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2112 Shale LaneINSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 ?CCl SITE ADDRESS: I o I f` '10 ` APPLICANT: 1 r11 . 10 1?1 rif r 11A1 F 1 AN1 i,r.,, t ;? . ; I:"I, (A DAR 6140W, 4T" 1 61:) 4btl-- 10 to PERMIT SUBTYPE: ,. , . TYPE OF WORK: RFVA111 i < A A& L 81.11 t It 1 N[i 04/IH/96 ItV MAI?KS a I11 Nq?IW', f1001tti PCA)F 1 Nf, ^:4; P 1 1 1' A`.I f A Permit No. Permit Holder Date Telephone M ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL FM BSMT R1 BSMT FINAL DECK FTG DECK FINAL CITY OF EAGAN Remarks * Cedar Grove Acquisition Addition Lot 10 -Blk 7 Parcel 10 16703 100 07 Owner '` Street 2112 Shade Lane State Eagan. MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK * SEWER LATERAL 1972 1,304.00 52.16 25 .88 A006811 - - 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 BUILDING PERMIT Owner ........ _- S----- ._-..-...-.__........... Address (present) .....-----'-'"'`---r------------ ---- Builder ---- / -/ 'g7-... r..--........ _------------------ -- Address ..... .,#.v. °.-_-.iL"'.' {4-r--. '= DESCRIPTION N° 1393 Eagan Township Town Hall Stories To Be Used For Front Depth Height Est. Cos! Permit Fee Remarks LOCATION Street, Road or other Description of Location I Lot I Block I Addition or Tract ol7 This permit does not authorize the use of streets, roads, alleys or sidewalks nor does if 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. a This is to certify, .............has permission to erect a................... .......-------------- .__-upon the above described premise subject to the provisions of the Building Ordinance for gan wnship adopted April 11, 1955. ...................... ...................(F..!!i.....................I -------- ---------- Per ------- .-._._..-.__--. Chairman of Tnwn Board 4 t,6 Building Inspector EAGAN TOWNSHIP N° 1237 BUILDING PERMIT Owner-.'.`. Address (present) ..... --------------------- Builder ............... Address ............. Eagan Township Town Hall Date / ..../.../ .?7/_GV..._ Stories To Be Used For Front Depth Height Est. Cost Permit Fee Remarks LOCATION brreer, noaa or omer l escriprr0 or i.ocanon 'or i510CA __ Addition or Tract 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 B£KEPT IDN TIDE PREMISE WHILE THE WORK IS IN PROGRESS. ?C This is to certify, that.:---(11 .._...-(....'0 `" ..... ....:.................has permission to erect a--------- 46..r..4.c?r. r!? __..?..?./.?........ ? upon the above described premise subject to the provisions of the Building Ordinance for Eagan Township adopte April 11, 1955. .............. --- ..................... Per ....---........ tc!.........Sl......_...........,.........................__....... Chairman of Tnwn oard 4 ,g_ Building Inspector CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-16703-100-07 PERMIT 2112 SHALE LANE LOT: 10 BLOCK: 7 CEDAR GROVE 4TH c"5 5.y f PERMIT TYPE: BUILDING Permit Number: 027312 Date Issued: 04/18/96 DESCRIPTION: B`uilding,.,Permit Type Building Work Type Census Code , yam r REMARKS: WINDOWS DOORS ROOFING SOFFIT FASCIA FEE SUMMARY- VALUATION SF (MISC.) REPAIR 434 ALT. RESIDENTIAL $10,000 Base Fee $162.25 Surcharge $5.00 Total Fee $167.25 CONTRACTOR: - Applicant - ST. LIC.OWNER: DAHL CONST, BOB 14511010 0002798 DOYLE GAYLE 7473 DICKMAN TR E 2112 SHALE LN INVER GROVE HTS MN 55076 EAGAN MN (612) 451-1010 (612)452-7476 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Mn. Statutes. nd City of Eagan Ordinances. }(?J"??' J APPLICANTlPERMITEE SIGNATURE 'ISSUED B1.r IG QURE 3830 PILOT KNOB RD - 55122 8,, it, t 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) -$ 681-4675 New Construction Reouirements 3 registered site surveys 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) 1 energy calculations 3 copies of tree preservation plan if lot platted after 7/1193 required: Yes No DATE: !?-t W I ?(.0 CC DESCRIPTION OF WORK: STREET ADDRESS: LOT _[D BLOCK q_ SUBD./P.I.D. #: COST: / -7 Q / v PROPERTY Name: 99 WA F-, v AdLE- Phone #: 45Z- Z4,'( OWNER • * ?Z 11w" aLfz 4iA / ?" Street Address City: SfA-i.?A-f%j State: Zip: 1 / AS-' - 1010 CONTRACTOR Company: 24 V ou ?ri11C) aTZIU'TCf A? Phone #: Street Address: Z473 pl4 i14-rift TIZ . License* City: Z, State:. ftAJ Zip: SU7 ARCHITECT/ Company: Phone #• ENGINEER Name: Registration # Street Address- City: State: Zip: Sewer & water licensed plumber: Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the info rmati co e t and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Remodel/Repair Requirements ? 2 copies of plan ? 2 site surveys (exterior additions & decks) ? 1 energy calculations for heated additions Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No BUILDING PERMIT TYPE vrrn.? vac wll? I ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? ? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? ? 04 'SF Porch ? 09 `12-plex ? 14 Fireplace ? ? 05 SF Misc. ? 10 - plex ? 15 Deck WORK TYPE ? 31 New ? 33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: Basement sn'. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building Engineering . Valuation: $ 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Variance % SAC SAC Units / u CITY USE ONLY PERMIT #: !16 h " I RECEIPT DATE: 7/ j o -o I WIDENTIAL MECH NICAL PERMIT APPLICATION CrrY OF SARAN 3630 PILOT KNOB RD EAGM MA 551 EE 651-6$1-4675 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: L-2--01 SITE ADDRESS: 1 ?• `Q n n 0 . OWNER NAME: Ck0.._G qfyd_AS-za? TELEPHONE #: (1 < c(5ot--IY2-Ca (AREA CODE) INSTALLER NAME: STREET ADDRESS: CITY: )(A C $= TELEPHONE #: aZ;a- 3w-oooss (AREA CODE) STATE: /1? ZIP: 'G_S?n 9 Ol..we. ..6nn14 .n rt' M.v+ In ?6n n.'.i/ WArle #s A New residential dwelling unit under constructionand not owner/occupied $ 70.00 Add-on, modification or alteration to existing dwelling unit $ 50.00 • furnace replacement • air exchanger • air conditioner • other i'1/1`g Nature of work: A a v State Surcharge $ .50 Total $ GD -Yc Reminder. Call for inspections. 1 n n{I AUG S 200' Updated I/01 CITY USE ONLY PERMIT #: APPROVED BY: INSPECTOR RECEIPT DATE: COMMERCIAL MECHANICAL PERMIT APPLICATION CITY OF KAEMN 3$30 PILOT KNOB BD EA(I N, MN 551 EE 651-681-4675 Please complete for: all commercial industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: SITE ADDRESS: OWNER NAME: PHONE #: (AREA CODE) TENANT NAME (IMPROVEMENTS ONLY): WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: ADDRESS: CITY: PHONE #: - (AREA CODE) STATE: WORK TYPE: New construction Install U.G. Tank - Interior Improvement Remove U.G. Tank Processed Piping Specify Nature of Work: When installing/removing underground tank, call 651-681-4675 for inspection by Fire Marshal and Plumbing (inspector. Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater. Underground tank removal/installation = minimum fee Contract price: $ x 1%= $ (Base Fee) State surcharge calculate at $.50 for each $1,000 Base Fee TOTAL $ SIGNATURE OF PERMITTEE Updated 1/01 0;z ' /2 Cc,&Cc, ---------------- I For Offic'e:Use I I Permit#: f?lcf ? j '1' Ll I Permit Fee: 2'"0 I I I Date Received: I I I Staff: _i 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: '7,01 Site Address: r9014 f?ka,i bl- Tenant: Suite #: RESIDENT I OWNER -G3y3 Phone:?1Z-z7_1 Name: / Address / City / Zip: z b y 7 h4lP Lar actor V Contr Applicant is: - Owner TYPE OF WORK l ra ?4j EG ;t I-LYYLr'J Description of work: Z 1 t? Cost: / 3 7/ S Multi-Family Building: (Yes No Ao? Construction CONTRACTOR _ Name: Jr _) aiffu Am, T/,3,4a2j Licensee #: ?f7 t? p p Address: I z ?d? /(,yj t! o_ -`7 / / ,04 City: rh ina 4-"hd State: Zip: Phone: lllZ-?7 -?ll?S Contact Person: kcy)i Tll l T'Ll COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 Minnesota Rules 7672 _ Energy Code . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted (J submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If.yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor:' Phone: NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe classified as non-public-if you provide specific reasons that would permit the City to . .'conclude that the are trade secrets. 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 without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of pla /j X l ?V Iti ( l) IJ D X Applicant's Printed Name i I F Ea t Z??$ Applicant's Si nature Page 1 of 3 Q DO NOT WRITE BELOW THIS LINE SUB TYPES ? Foundation ? 05-plex ? 16-plex ? Accessory Building ? Pool ? Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ext. Alt. - Multi ? 01 of - Plex ? 07-plex ? Garage ? Porch (4-season) ? Ext. Alt. - SF ? 02-Plex ? 08-plex ? Deck ? Porch (screen/gazebolpergola) ? Multi Misc. ? 03-Plex ? 10-plex ? Lower Level ? Storm Damage ? 04-Plex ? 12-plex ? Miscellaneous WORK TYPES ? New ? Interior Improvement ? Siding ? Demolish Building' ? Addition ? Move Bui lding ? Reroof ? Demolish Interior ? Alteration ? Fire Repair ? Windows ? Demolish Foundation ? Replacement ? Egress Window ? Water Damage ` Demolition (entire building) - give PCA handout to applicant DESCRIPTION: Valuation / (I?{ o o o Occupancy MCES System Plan Review Code Edition - SAC Units (25%100% Zoning z? - ^+ City Water Census Code /?? Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Const. tlfl Width REQUIRED INSPECTIONS Footings (new bldg) Sheetrock Footings (dock) Final/C.O. _ Footings (addition) -,4 Final/No C.O. . Foundation - HVAC Drain Tile Other: Roof: -Ice & Water -Final Pool: Footings Air/Gas Tests Final Framing - - Siding: -Stucco Lath -Stone Lath -Brick Fireplace:-R.I. _AirTest -Final Windows Insulation Retaining Wall Reviewed By: Building Inspector --------------------------------- - ------ - -------------- - -- - ------- ------- ------- ------- ------------------------------ - ----------------- RESIDENTIAL FEES: Base Fee Surcharge r Plan Review o i MCIES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies Total Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA158698 Date Issued:10/28/2019 Permit Category:ePermit Site Address: 2112 Shale Lane Lot:10 Block: 7 Addition: Cedar Grove 4th PID:10-16703-07-100 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 - Brett A Larsen 2112 Shale Lane Eagan MN 55122 Greenguard Construction Inc 2915 Waters Road, Suite 101 Eagan MN 55121 (651) 289-7000 Applicant/Permitee: Signature Issued By: Signature