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2111 Shale LaneCITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 INSPECTION RECORD Control No. C; PERMIT TYPE: ti O Permit Number: 001823 Date Issued: .07/10/92 SITE ADDRESS: LOT t 10 .1111 SHALE LANE EFDAR GROVE AITH PERT7,§UBTYPE: BLOCK, O APPLICANT: OR17TAIN KENT (612) 688--1613 TYPE OF WORK: NEW 1 SMUT / C 01"33 Permit No. Permit Hokkr Deis TMsphone # S/W PLUMBING HVAC ELECTRIC ' CFO ELECTRIC Inspection Dst+s Imp. Comments Footingsl Fo rMation Framing Roofing Rough Pibg. Rough Htg. Iaul. Fireplace Final Htg. Orsat Test Final Plbg. P114 Inspector - Notify Plumber Conot. Mater EngrJPlan Bldg. Fnal Dade SL Deck Final well Pr. Disp. INSPECTION RECORD CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT TYPE: Permit Number: Date Issued: BUILDING •06906 #6/23/9? SITE ADDRESS: LOT: 16 BtOCK I e 111 516ALt CANE CEDAR QROVE 4TH APPLICANT: BRITTAIN KENT (612) 452-0666 Control No. PERMIT SUBTYPE: TYPE OF WORK: sI (NI.SC.) ALTERATION DESCRIPTION PATIO 0000 Permit No. Permit Holder Dab Telaplrone # S/W PLUMBING HVAC ELECTRIC ELECTRIC kapeeUon Dow Inap. Comments Footings I Foundation Framing Roofing Rough Plbg. Rough Hig. Isul. Fireplace Final Htg. Orsat Test Final Plbg. Plbg. inspector - Notify Plumber ConaL Meter Engr./Plan Bldg. Final Deck Ftg. Deck Flnei Well Pr. Dlsp. CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt To be used for Est Value Date_ Site Address Lot Block Sec/Sub. Parcel No. a Name z Address City Phone o Name C Address I- City Phone c* a ?W Name W jE Address g W City Phone I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eaaan Ordinances. Da ,19 O FFICE USE ONLY On Site Sewage _ Occupancy MWCC System Zoning On Site Well - Type of Const City Water (Actual) (Allowable) * of Stories Length th D ep S.F. Total Footprint S.F. APPROVALS FEES Assessments Permit Water/Sewer Surcharge Police Plan Review Fire SAC, City Engr. SAC, MWCC Planner Water Conn. Council Water Meter Bldg. Off. Road Unit APC Treatment P1 Variance Parks Copies Signature of Permittee TOTAL A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances, Building Official Permit No. Permit Holder Date Telephone Plumbing H.VAC. Electric Softener Inspection Date Insp. Comments Footings 1 S Footings II Foundat Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Bldg. Final (r (' ?/ /J Cert. Occ. Temp. LP Deck Ftg. Deck Frmg. Well Pr. Disp. .,,?,,.? •,.-?.?...-,tic••rrr..!-,..•--,,?,?•:•?-.x?..•,.r,. .? .T•?? ,-•-..?..?.<-?-•..?...rr?xr.-.?•?,?..,.,?,.,P-.?,,,--•-..r.?..?,,,o.?i;,rJ CITY OF EAGAN *?p "??s 3830 Pilot Knob•Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # INTERIOR To be used for IMPROVEMENT Est. Value $1,500 Date JAN 26 19_2Q__ Site Address 2111 SHALE Lti Lot 10 Block 8 Sec/Sub. CEDAR GROVE 4TH OFFICE USE ONLY Parcel No. Occupancy FEES Zoning W Name KENT BRITTAIN (Actual) Const Bldg. Permit 35.00 o 2111 SHALE LN Address (Allowable) 1.00 S urcharge City EAGAN Phone 452-1460 r of Stories Plan Review Length p Name SAME Depth City SAC = oQ Address S.F. Total , SAC. MCWCC City Phone S.F. Footprints Water Conn On Site Sewage Fw Name On Site Well Water Meter Address MWCC System <W City Phone City Water Acct. Deposit i S/W P PRV Required erm t I hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Treatment PI Signature of Permitee f APPROVALS Road Unit A Building Permit is issued to: ICENT SRITTAIN Planner Park Ded. on the express condition that all work shall be done in accordance with all Council -- applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies 36.00 Building Official Variance TOTAL Permit No. Permit Holder Date Telephone # WATER SEWER PLUMBING H.V.A.C. ELECTRIC / /y G? t e '$-4?G Inspection Date Insp. Comments Footings l Foundation Framing 2- 7- ?O Q S Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. y Const. Meter Plbg. Inspector - Notify Plumber Engr.lPlan Bldg. Final ?' Deck Fig. Deck Final Well Pr. Disp. PRICE Site AddrE Lot Nam( Addrf " City _ Nami 1 Addr( City _ CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 PHONE 454.8100 Pr Phone FEES COMMAND. FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APLLIES MINIMUM - RESIDENTIAL FEE $12.00 MINIMUM - COMM.INDJFEE $20.00 STATE SURCHARGE PER PERMIT .50 (ADD*50 SIC PER EACH $1,000 OF PERMIT FEE) For Office Use O PERMIT # RECEIPT # 591'7 DATE: BLDG. TVP?' WORK DESCRIPTION Res. ?_ New Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Water Closet - $3.00 $ Bath Tubs - $3.00 Lavatory - $3-00 Shower - $3.00 Kitchen Sink - $3.00 UrinaIJBidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 Whirlpool - $3.00 Gas Piping Outlets - $1.50 (MINIMUM -1 PER PERMIT) Softener - $5.00 Well - $10.00 Private Disp. -$10.00 Rough Openings - $1.50 U. G. Sprinkler System - $12.00 PERMIT FEE: STATES S/C: -5; ???`?` GRAND TOTAL: s a CITY OF EAGAN Remarks * Cedar Grove Acauisitio Addition UIUAR UIWVE 44 Lot_ in Blk A Parcel 10 16703 100 08 Owner o,^"La `J Street 2111 Shale Lane state Eagan, MN 55122 Improvement ate Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK * SEWER LATERAL 1972 1,304.00 52.16 25 Paid WATERMAIN WATER LATERAL 1972 WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK EAGAN TOWNSHIP }.? ,pBUILDING PERMIT Owner ....([sC./._/S+'e'-rS....Z'<!-.....!_ ------ Address (present) Jj._._.!Q'/.-f6i s4!"y_ ..,rj?,?ary:v.• Builder ............_ ----------- ..._...... ---.................. ..__._............. -----....--- Address ----- ...__.................... ..__._------------..._..._...---...---_........ .. z Street, Road or DESCRIPTION of Depth Height _Est. Cost P rmit LOCATION N° 1204 Eagan Township Town Hall Date ...j" ........:.... or of ly - s Y - 44 y 45X / x 1 93X a, j ? • 4W W a This permit does not authorize the use of streets, roads, alleys or sidewalks nor does it give the owner or his agent the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and general welfare to anyone in the community. THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS. This is to certify, that.....-&4,M-4 ... t.?aw..4 __has permission to erect a.I? ........... ..... .... ................. ...upon the above described premise subject to the provisions of the Building Ordinance for Eag wnship adopla April 11. 1955. /J ....................... . . .. ... .----10 :--- Q-- .a. -------- -.... Per .-------?;e #.-£-----.V-F '-`- `-ct.f-----.....-.:"°'--..........._... Chairman of Tnwn Board Building Inspector 4'? CITY OF EAG AN No 14 0 0 8 r 3830 Pilot Knob Road, P.O. Box 21- 199, Eagan, MN 55121 PHONE: 454-81 00 p 1 ` ? `` tt `- BUILDING PERMIT Receipt J -• i To be used for GARAGE Est. Value $4,400 Date AUGUST 4 19 87 Site Address 2111 SHALE LN OFFICE USE ONLY Lot 10 Block 8 Sec/Sub. CEDAR GROVE 4 On Site Sewage _ Occupancy MWCC System Zoning Parcel No. On Site Well _ Type of Const City Water _ (Actual) a Name KENT BRITTAIN (Allowable) w T Address SAME * of Stories Length c City Phone 452-0655 Depth S.F. Total p Name DON HARRIS CONSTRUCTION Footprint S.F. 0s. Address 6632 15TH AVE SO APPROVALS FEES City RICHFIELD Phone 869-0701 Assessments Permit $5 0 8T5 f Water/Sewer Surcharge ' ? ? w w Name Police Plan Review tz _- Address Fire E SAC,City SA MW r?z ngr. C, CC ?w City Phone Planner Water Conn. Council Water Meter I hereby acknowledge that I have read this application and state Bldg. Off. Road Unit that the information is correct and agree to comply with allapplicable APC Treatment P1 State of Minnesota Statutes nd City of Eagan Ordinances. Variance Parks Signature of Permittee•'L?p•?'w Copies TOTAL 1.00 A Building Permit Is issued to: DON HARRIS CONSTRUCTION on the express condition that all work shall be done in accordance with all appIi ble State of MI esot Statutes and City of Eagan Ordinances. Building Official IT? CITY OF EAGAN NQ 17466 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 555{{112111? BUILDING PERMIT PHONE: 454-8100 Receipt # li J?? To be used for TMPRR NT Est. Value $1 1,500 Date JAN 26 1990 Site Address 2111 SHALE LN Lot 10 Block 8 Sec/Sub. CEDAR GROVE 4TH OFFICE USE ONLY Parcel No. Occupancy FEES Zoning w Name KENT BRITTAIN (Actual) Const Bldg. Permit 35.00 o Address 2111 SHALE LN (Allowable) 1 00 City EAGAN Phone 452-1460 # of Stories . Surcharge Plan Review Length o Name SAME Depth City SAC i Ou Address S.F. Total , SAC, MCWCC City Phone S F. Footprints water Conn On Site Sewage Fw Name On Site Well W ter Meter i? Address MWCC System a Acct. Deposit a W City Phone City Water W P it PRV Required erm S/ I hereby acknowlege that 1 have read this application and state that the Booster Pump SNd Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes and C f Ea Or ances. Treatment PI Signature of Permitee APPROVALS Road Unit A Building Permit is issued to: KENT BRITTAIN Planner Park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies Building Official n'NJ4 yin-{ . Variance TOTAL 36.00 66412 ?. Request Date //1 /./(' O ``C Fire No. Rough-in Inspaclion fired? ? Ready NowWill Notify Inspector ?? ( / Yes ? No When Ready? I ? licensed contractor owner hereby request inspection of above electrical work at: .rob Address (Street, Box or Rohe No.) l Zi k 5 /? ?Je LhnQ.- City ?Cr5'i N Section No. Township Name or No. Range No. County Occupant (PRINT) ?nn1KK ?y.,?? et'Ir W ?. IT?t N Phone No. ?r)'/,? ?-/L W't Power Supplier Atltlress Electrical Contractor (Compaity Name) ContraetorB License No. dtvN£R Mailing Address (Contractor or Owner Making Installaton) Au .1 nature( cto ar Making Installation) Phone Number All I y5Z_ 1460 (-awc MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT GriggYMlCway SMg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 Unlreraity Ara., St. Paul, MN 55106 UNLESS PROPER INSPECTION FEE IS Phone (612) 862-0800 ENCLOSED. REOUEST FOR ELECTRICAL INSPECTION ? See instructions for completing this form on bade of yellow copy. 'j F'.1 2 ' X" Below Work Covered by This Request E"M01.07 42 / Ne% Add Rep. Typeof Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Cnmractorts Remarks: Kt lErv Compute Inspection Fee Below., # Other Fee # Service Entrance Size Fee # Circuits/Feeders as Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 100 Amps Signs inspectors use only: TOLL., $ - Irrigation Booms 0 d7dv1 Special Inspection Alarm/Communication Other Fee I, the Electrical Inspector, hereby Rough-in Data certify that the above inspection has been made. Rnal Date (] OFFICE USE ONLY This request mid 18 months from coc;zo 0 215 4 3 ?- -_. Request Date Flre No. Rough.in Inspection Required? Ready Now ? Will Notify Inspector Wh n Read ? d -Yes NNo y e licensed contractor ? owner hereby request inspection of above electrical work at: Job Address (Street Box or Route S_ / Qty S 2. / l / _ ¢ '-i Q- Section No. Township Name or No. Rangy No. County O¢updm RINTI ? 1 Phone No ?J 2 r 12 i t tef+c 0 S- Power Supplier Address Elecln I Contractor (Company Name) Gdnlracmr's License No. 12 _71 Mail g Address IComractor or Owner Making In tallationnl) Authonzetl atur IGOntractorrO 'ner M Installatiom PhonXe^N mbar V MINN SOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT Griggs-Midway Bldg. - Room Si BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul. MN 55106 UNLESS PROPER INSPECTION FEE IS Phone(612)6A2-0600 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ill Sac irsiructiort for completng Vus form on back of yellow copy, 00i 1 ?1 5 A ?'l "X" Below Work Covered by This Request 7;? E/8-00001-08 -? S ew Add Rep. Typeof Building Appliances Wired EquipmentiNired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer O[her (Specify) Comm./Industrial Furnace E m Farm Air Conditioner - - - Other (specify) Contractors Remarks'. //W0Ji'L t?o1 d?jzv"? Compute Inspection Fee Below.: hy? yJ i+n c 4e'& L? I. # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 11to 200 Amps 0 to 100 Amps Transformers Above ,00 Amps Above 100 -Amps Signs Inspectors Use Only: TOTAL `S't! Irrigation Booms /• /S Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough in Date certify that the above inspection has been made. Final Dare OFFICE USE ONLY This request void 18 months from PERMIT v CITY OF EAGAN ?l 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT TYPE: Permit Number: Date Issued: BUILDING 001023 07/10/92 SITE ADDRESS: 2111 SHALE LANE LOT: 10 BLOCK: 8 CEDAR GROVE 4TH DESCRIPTION: ,-Build'i'ng Permit Type Z` Building-Mork Type UBC Occupancy Building Length Building Width',,- . DECK NEW R-3 16 11 r REMARKS RECEIPT # C 019853 FEE SUMMARY: Base Fee Surcharge Total Fee $25.00 $25.50 CONTRACTOR: OWNER: - RPP BRITTAIN 2111 SHALE EAGAN (612)688-1613 Control No. 0787 licant - KENT LN NN 55122 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Nn. Statutes and City of Eagan Ordinances. I oNAtT A X APPLICANT/PERMITEE SIGNATURE ISSUED BY. S GS G-I NATCTRE FV INSPECTION RECORD Control No. 0787 CITY OF EAGAN PERMIT TYPE: BUILDING .. 3830 Pilot Knob Road Permit Number: 001023 Eagan, Minnesota 55123 Date Issued: 07/10/92 (612) 681-4675 SITE ADDRESS: LOT: 10 BLOCK: 8 APPLICANT: 2111 SHALE LANE BRITTAIN KENT CEDAR GROVE 4TH (612) 688-1613 PERMIT SUBTYPE: TYPE OF WORK: DECK NEW RECEIPT # C 019853 PERMIT # REACTIVATE;_ CITY OF EAGAN r a S• SO 1992 BUILDING PERMIT APPLICATION 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans,-3 registered site surveys, I copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, I set of specifications, I copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which request is made or lot change is re guested once ermit is issued. Date -7 Valuation of work '5 (500 Site Address: 9 STREET SUITE ! Tenant Name: (commercial only) LOT BIACK 8 SUBD. e2 ar Ur-wjL 44s? P.I.D. Description of work: 0 S K The applicant is: ®.Owner ? Contractor ? Other (Deserlbe) Name { •'1*,"? Ke 't Phone =1613 t.,/ Property LAST FIRST uis2 -o655 N Owner r( CC Address 2((I STREET STE N City State ??-nvla-?Ch zip SS t 2 2 Company 5-1, Phone Contractor Address License # Exp. City State Zip Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. y3 Signature of Applicant: ' X BUILDING PERMIT TYPE ? 01 Foundation 9• ? 03 SF Addition ? 04 SF Porch ? 05 SF Misc. WORK TYPE P2Addition OFFICE USE ONLY ? 06 Duplex ? 07 4-Plex ? 08 8=Plex ? 09 12-Plex ? 10 Multi. Add'l ? 33 Alterations ? 34 Repair GENERAL INFORMATION O 4% A: - ? 11 Apt./Lodging ? 12 Multi. Misc. ? 13 Garage/Accessory ??Vte lace a 15 Deck ? 35 Tenant Finish ? 36 Move Const. (Actual) Basement sq. ft. (Allowable) 1st F1. sq. ft.. UBC Occupancy9 2nd F1. sq. ft. Zoning Sq. Ft. total # of Stories Footprint Sq. ft. Length On-site well Depth It On-site sewage APPROVALS Planning Building Engineering Variance REQUIRED INSPECTIONS ? 16 Basement Finish ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish MWCC System City Water PRV Required Booster Pump Fire Sprinkler Census Code SAC Code Assessments ? Site Footing O Framing ? Insulation ? Wallboard Final ? Draintile ? Fireplace Permit Fee 93,00 v81U t;a,_ g Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1: Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units' RAJ' 1 V ?s in C? r 1? Pl, per's L At v? r a CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: PERMIT PERMIT TYPE: Permit Number: Date Issued: 2111 SHALE LANE LOT: 10 BLOCK: 8 CEDAR GROVE 4TH BUILDING 000906 06/23/92 DESCRIPTION: ?.1 ti7? i \ ?! t, 1.,'I PATIO DOOR ;-Build?fng Permit Type SF (MISC.) Building,Work Type ALTERATION r? s , ! s , }ri REMARKS: C~ ?a 1 Ci 5 5 '? FEE SUMMARY- VALUATION $2,000 Base Fee $45.00 Surcharge $1.00 Total Fee $46.00 CONTRACTOR: OWNER: - BRITTAIN 2111 SH EAGAN (612)452-0655 Control No. 0689 Applicant - KENT LE LN MN 55122 I hereby acknowledge that I have read' this application and state that the information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. L ? PLICANTlPB MITEE SIGNATURE Nfo pid i' I SUED BY: IGNAT RE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: LOT: 10 BLOCK: B 2111 SHALE LANE BRITTAIN CEDAR GROVE 4TH (612) 452-0655 PERMIT SUBTYPE: TYPE OF WORK: SF (MISC.) DESCRIPTION Control No. 0689 BUILDING 000906 06/23/92 KENT ALTERATION PATIO DOOR PERMIT # ? q0t CITY OF EAGAN REACTIVATE _ 1992 BUILDING PERMIT APPLICATION 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re Quest is made r lot change is re uested once permit is issued. ' Date 6 / ?3 / 9_? Valuation of work 2000) Site Address: 2'H1 S?14 bx-lF STREET - SUITE N Tenant Name: (commercial only) LOT ?Q_ BLOCR ?_ SUBD. P.I.D. N k?(?C Descri tion of work: PJ, 6AS5 l?` ?dw A /?OPL? , , The applicant is: Owner ? Contractor ? Other Mescribe) Name 1%0B f -l'-;:bJ P'f Phone qSa--06S5 Property LAST FIRST Owner 1 l C ??t f ? Address d R? e P STREET STE K City ?FS?n State Zip SS/ZG? Company Phone Contractor Address License # Exp. City State Zip Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ? Signature of Applicant: r ' 7 OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ® 05 SF Misc. ? 10 Multi. Add'l. ? 15 Deck A42 ?ai ,, Aor WORK TYPE ? 31 New Q 33 Alterations ? 35 Tenant Finish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning N of Stories Length Depth APPROVALS Planning Engineering REQUIRED INSPECTIONS Basement sq. ft. 1st F1. sq. ft. 2nd Fl. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Building Variance ? Site ? Footing ? Wallboard ? Final ? Framing ? Draintile ? Insulation ? Fireplace Permit Fee yS Valuation: Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: $ 2 DCVO ? 16 Basement Finish ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish MWCC System City Water PRV Required Booster Pump Fire Sprinkler Census Code SAC Code Assessments SAC % SAC Units 1987 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR /HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS - RESIDENTIAL RENTAL UNITS FOR SALE UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, I SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: Valuation: Site Address LAI Lot -?-u Block p On Site Sewage_ A _ n MWCC System _ Parcel/Sub C?IY On Site Well City Water _ Owner I(1.'/1/ 7-- 912 / r7W-1N qV4a_ Date: L Address S11A1 City/Zip Code Phone q f 2 OG r y- I APPROVALS Contractor Assessments Water/Sewer Address 64 3.Z-1-4^=?y (a Police Fire ,t, City/Zip Code 41444444 rr?z_a Engr , Planner Phone ?l 0 ^zo/ Council Bldg Off Arch./Engr. APC Variance Address City/Zip Code Occupancy Zoning Type of Const (Actual) (Allowable) # of Stories Length Depth S.F. Total Footprint S.F. FEES Permit 55. f Surcharge Z . `=` Plan Review SAC, City SAC, MWCC Water Conn Water Meter Road Unit Treatment P1 Parks Copies TOTAL Phone # / 0447- 6 9d 3?OJ7yY,LNV,7 Sib'a'y?'f/ /??? sl?dd??'9 aivNdX9 f?'7 0 2...ss 37yh'S /1I2' i II i ?? ll t? II 9tnof/ ? i ? W 9x it 3?YAd9 ? yooo oYyyy.?,,,o ,?x,7/ ti N A e 1 11 city of aagan PATRICIA E. AWADA Mayor October 5, 1999 A.F.S. Contractor Inc. 1103 E. Cliff Road Burnsville, MN 55337 RE: Building Permit 2111 Shale Lane Lot 10 Block 8 Cedar Grove #4 Dear Krista, PAUL BAKKEN BEA BLOMQUIST PEGGY A. CARLSON SANDRA A. MASIN Council Members THOMAS HEDGES City Administrator E. J. VAN OVERBEKE Cry Clerk As we discussed on October 5, 1999, I am returning this permit application along with your check in the amount of $244.25, since the roof was completed prior to us receiving the application. If you have any questions, you can contact me at 651-681-4699. Sincerely, Dale Schoeppner Assistant Building Official DS/ld Enclosures MUNICIPAL CENTER 3830 PILOT KNOB ROAD EAGAN. MINNESOTA 55122-1897 PHONE'. (651) 681-4600 FAX: (651) 681-4612 TDD: (651) 454-8535 THE LONE OAK TREE THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY Equal Opportunity Employer MAINTENANCE FACILITY 3501 COACHMAN POINT EAGAN. MINNESOTA 55122 PHONE: (651) 681-4300 FAX: (651) 681-4360 TDD: (651) 454-8535 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 New Construction Reautrements D 3 registered site surveys showing sq. ft. of lot, sq. ft. of house and gp roofed areas (20% maximum lot coverage allowed) 2 copies of plans (show beam i window sixes; poured fnd. design; etc.) 1 set of energy calculations ? 3 copies of free preservation plan R lot platted after 7/1/43 DATE: 2 copies of plan 1 set of energy calculations for heated additions 1 site survey for exterior additions 6 decks CONSTRUCTION COST: 137 (1 1, STREET ADDRESS ? OBI Q 1 _ ??1 ?/ LOT: BLOCK: O Sus[./Kw. #: % c Q ? - ?I G YU\,I`C,. Name: &641 Phone #: ? y?n7? _ PROPERTY Last Fiat OWNER Street Address: Z/// /??cle ZAt City ?QLj Gr%YL ?ZZ Stale: Zip: 4 f F'? C ? ?" 6ht?-3(/70 ?G # Company: Y6YC D/I > ? : Phone (area code) CONTRACTOR IV-3 C?/ f Y License # l ? NP Street Address: . &M Ile 53;3-3-7-- te: Zip: St City . a - ARCHITECT/ ENGINEER Company: Name: Telephone #: area code ( ) Street Address: Registration #: City Sewer a water licensed plumber (required for new construction anlvl: State: Penalty applies when address change and lot change is requested once permit Is Issued. I hereby-qqc ovjrert9e1hgl1 have r" State ofM'n eaoloStatutes,ahd_CNyb1 ._ ._- ill II I SEP_ 16 i999 i I Certificates of Survey-Receiyed__ this application, state that the InformaBon is correct, and lagan Ordinances. (^ ) Yes OFFICE USE ONLY No Tree Preservation Plan Received - Yes - No - Not Required Zip: all applcabl t a 144. as City of Eagan 10/04/1999 Bill #M1066 10/4/1999 5240 244.25 Norwest Bank Minnesota Permit/Issam Reda M1066 24425 Poo S24ohs •';:0910000i91:1.0003866i81' r 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS _# OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: ? itfCLe., Rfw.ocjll.) Valuation: ? Date Site Address 2(11 54,le Lqle. Lot fn Block Parcel/Snub ?f1ftY,lklxk, IUL Address Lkne. City/Zip Code //ZSCtCi SSt2 2 Phone ?tCJ -bs J,-?1 pfo{?? Contractor ZP? HhRArS m ? Address 66 City/Zip Code UT 2jGQ ?S L123 Phone / 9`I `070 Arch./Engr.??'}}ikbod .d.-jaS -7hC Address (oC k7 PIG&ke'c' Tt?' I City/Zip Code 94e, p5, p 653Y-7 Phone 4 '? Llq- ??0Q 1( 2 flgo !5a'G Occupancy Zoning Actual Const Allowable # of stories Length Depth S.F. Total Footprint S.F. OFFICE USE ONLY On site sewage On site well _ MWCC System city water _ PRV _ Booster Pump APPROVALS Planner Council Bldg. Off. tr`L S Variance FEES Bldg. Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Copies SUBTOTAL Penalty TOTAL PERMIT p RECEIPT DATE: 6P Iii U)MI*L'PLUM$IN6 MMU LICATION CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 5512E 651-681-4675 Please complete for: D single family dwellings n townhomes and condos when permits are required for each unit D backflow preventer for Irrigation system SITE ADDRESS: 9Z ?}\ J?^rQ??+?'2 LY? OWNER NAME:: TELEPHONE #: (aS\ L1?-A -ntNo . (AREA CODE) INSTALLER NAME: TELEPHONE #:? g3? -gtr,1 <<, (AREA CODE) STREET ADDRESS: 605 12th Avenue South CITY: STATE: ZIP: Place a check mark next to the oermit work Wile New residential dwelling unit under construction and not owner/occupied $ 90.00 i Add-on, modification or alteration to existing dwelling unit, including: $ 50.00 • abandonment of septic systern • new installation/repair/rebuild of RPZ • lawn irrigation system • water turnaround Nature of work: Q, owc-e lwnifJc ?"q^ / _ Septic System, new/refurbished - $ 225.00 • includes County & Consulting Inspector fees • requires MPC license v State Surcharge $ .50 l T t S'C7 $ o a Reminder: Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc. I hereby acknowledge that I have read this application, state that the information is correct, and agree to complywith all applicable Cityof Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan a umes no liability damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit in City pr pertylrjght- -way/easement. i 6_ OF Updated 1/01 f & Iii Use BLUE or BLACK Ink y For Office Usp I City of EaRan I Permit I ' Permit Fee: U j 3830 Pilot Knob Road I l Eagan MN 55122 1 Date Received: I Phone: (651) 675-5675 1 I I Staff: Fax: (651).675-5694 1 2014 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: 4-7, Tenant: _ Suite N\ A x-,A-t Phone: L5~-Url' -131;)~ ResidentlOwner Vame: Address + City /Zip: M/V Milbert Compa nc A -a Cullign Water WC643176 Name: License Address: 180150th Street East City: Inver Grove Hgts. Contractor State; ; M; M N zip: 55077 Phone: 651-451-2241 contact: William R.Milbert Email: Type of Work New replacement -Repair _Rebuild - Modify Space - Work in R.O.W. _ Description of work: RESIDENTIAL Water Heater Water Softener- Lawn Irrigation RPZ PVB) Permit Type Add Plumbing Fixtures Main Lower Level) Septic System New Water Turnaround Abandonment RESIDENTIAL. FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn, Irrigation (includes $5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $5.00 State Surcharge) *Water Turnaround (add $200.00 if a 5/8" meter is required) $115.00. Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive' locates of underground utilities. www.-gopherstateonecall.org I hereby acknowledge that this information is complete and, accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start ithout a permit; that the work will be In accordance with the apps ed plan in the case of work which requires a review and approval of lans. } x x Applicant's' Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: i Required Inspections: Under Ground Rough-In Air Test Gas Test Final Meter Related Items: Meter Size Radio Read Staff: PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA124457 Date Issued:07/02/2014 Permit Category:ePermit Site Address: 2111 Shale Lane Lot:10 Block: 8 Addition: Cedar Grove 4th PID:10-16703-08-100 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Dane Reese 8640 5th Ave S Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Issam M Reda 2111 Shale Lane Eagan MN 55122--206 Ddr Mechanical Llc 8640 5th Ave S Bloomington MN 55420 (612) 965-3764 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA156921 Date Issued:07/25/2019 Permit Category:ePermit Site Address: 2111 Shale Lane Lot:10 Block: 8 Addition: Cedar Grove 4th PID:10-16703-08-100 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Ronald Sobkowiak 2111 Shale Lane Eagan MN 55122 Sela Roofing Remodeling 4100 Excelsior Blvd St. Louis Park MN 55416 (612) 823-8046 Applicant/Permitee: Signature Issued By: Signature