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2115 Shale LaneCITY OF EAGAN Remarks * r-radar Grove ACCIIIiSition Addition CEDAR GROVE #4 Lot 11 Rlk 8 Parcel 10 16703 110 08 Owner " Street 2115 Shale Lane State Eagan, MN 55122 a Improvement Date/j Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK * SEWER LATERAL (bk 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 BUILDING PERMIT Owner ....--.... Address (present) ?j._...-rG>ric t.Cy.....«.sr..y.w.rJ--• Builder ------------------------------ ----- ....----- ._._.... ..-----.----------- ....._ .......... ... Address ---------------------------- -_.....--------- ..__..------....._.--.-.._......_-._.-.._. DESCRIPTION N° 1204 Eagan Township Town Hall Date .. ,r/* ye ------ Stories To Be Used For Front Depth Height Est. Cost P rmit Fee Remarks 4V 0. V LOCATION Street. Road or other Description of Location Lot ' Block Addition or Tract 41f V Y a-8-9 A./ 17 - ic,rr1, e.6 w-V 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 HE PREMISE AWHILE THE WORK IS IN PROGRESS. This is to certify, that.. .... ...l?auo .`•+[= ....has permission to erect a.f0 ...................................... ...upon the above described premise subject to the provisions of the Building Ordinance for Eagwnship adopie April 11, 1955. /? ? ... .._._--_....-..._. -r ...?.4?_...K.a„->...........__. Per ...._.....?5....._l?w."?"C.f..... .......................... Chairman of Town Board Building Inspector EAGAN TOWNSHIP BUILDING PERMIT Owner .......... h.---- q?q-f. ,..... .?..------"- Address (present) ......;.L.4 ?S.-------C.?-?!!-c?d....?i ................ Builder .---....../. ........................... ..ccc,,,???__........... Address ---....._.77C..f.....?e ---- --. ?.-- DESCRIPTION N? 1446 Eagan Township Town Hall Date .6...1MAk ...................... Stories To Be Used For Front Depth Heigh! Est. Cost Permit Fee Remar k s ? J -- ?l ° LOCATION Street, Road or other Description of Location Lot Block Addition or Tract It sr &, 'a#y This permit does not authorise 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 PROGRE S. This is to certify, that .... ). -i-r...: ...............has permission to erect a.......... ........ ..... ... ....... upon the above described premise subject to the provisions of the Building Ordinance for E an Tow ip adopted April 11, 1955. ........................... ......i! ...!. ... ... Per ......................`...`. y...-.e........//.J.4. ?'.'".`..?...._?G!L?/.....---' Chairman of in, Board ,?QQ ` Building Inspector Q 'A RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Reauirsonts • 3 registered see surveys showing sq. ft. of lot, sq. ft. of house; and i6 roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1sat of Energy Cablfgans • 3 copies of Tree Pmeanatiml Plan ff lot platted after 711/93 Rim Joist Detall Options selection sheet (burgs with 3 or less units) DATE O(? - ©3 -Oc I RemoderRanair Reautrements _Dlks?_ • 2 copies of plan • 1 set of Energy Calculations for heated additions • 1site survey forexterior additions &docks • Indicate If home served by septic system for additions VALUATION 50f ObD ,ZIN SITE ADDRESS II5 58466 44?0E- MULTI-FAMILY BLDG _Y ' TYPE OF WORK / bbmT i n nJ FIREPLACE(S) )C 0 _ I _ 2 APPLICANT o L{/1 Yy (2,`? e-7-A STREET ADDRESS o? I S 5A1Al CE La-. J ?_ CITY BRA. STATE tjtJ ZIP 5S , / TELEPHONE # 6S/`VI52-Z-33? CELL PHONE # 6S I'3O3- MR FAX # 9,5,1 ' y31- Sy ST PROPERTYOWNER o N^? ?•w R 624 TELEPHONE# &5)- `/SLZZ235 COMPLETE THIS SECTION FOR uNEWf RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ M (J submission type) • Residential Ventilation Category 1 Worksheet Submitted • d • Energy Envelope Calculations Submitted ? JUN 1 0 2002 Plumbing Contractor: Plumbing system includes: Mechanical Contractor. _ Mechanical system includes: Sewer/Water Contractor: Water Softener Water Heater _ No. of Baths Air Conditioning Heat Recovery System Lawn Sprinkler No. of R.I. Baths Phone # Phone # Fee: $70.00 I hereby acknowledge that I have read this application, state that the Information Is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan O!nces. Signature of Applicane OFFICE USE ONLY Phone # Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of - plex ? 04 02-plex ? 05 03-plex ? 06 04-plex ? 07 05-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 08-plex ? 18 Deck ? 11 10-plex ? 19 Lower Level ? 12 12-plex Plbg_Yor_N ? 20 Pool ? 21 Porch (3-sea.) x 22 Porch/Addn. (4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous r 1 ? 30 Accessory Bldg ? 31 Ext. A@- Multi ? 33 Ext. Alt - SF ? 36 Multi ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement `Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy / :Y MC/ES System Census Code Zoning City Water SAC Units Stories ?- Booster Pump Nbr. of Units _ Sq. Ft. ? PRV Nbr. of Bldgs - Length _ Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ Final/C.O. _ Footings (deck) Final/No C.O. Footings (addition) _ Plumbing ?C Foundation X IIVAC Drain Tile Other Roof - Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests -Final Framing - Siding _ Stucco _ Stone _ Fireplace - R.I. - Air Test _ Final - Windows (new/replacement) Insulation - Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search ??l o°Z ai Building Inspector Copies Other Total MNcheck COMPLIANCE REPORT Minnesota Energy Code MNcheck Software Version 3.0 COUNTY: Dakota STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Family DATE: 4-22-2002 DATE OF PLANS: 4/22/2002 PROJECT INFORMATION: ADDITION FOR JOHN 5 BETH WRYCZA 2115 SHALE LANE EAGAN, MINN. 55122 COMPLIANCE: PASSES Required UA = 122 Your Home = 115 5.5% Better Than Code Permit # Checked by/Date Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS: Raised Truss 560 38.0 0.0 14 WALLS: Wood Frame, 16" O.C. 590 19.0 2.0 33 BSMT: Conc. 7.7' ht/7.0' bg/7.7' insul 522 10.0 0.0 32 GLAZING: Windows or Doors, Above Grade 77 0.350 27 GLAZING: Windows, Foundation, <= 5.6 ft2 8 0.350 3 DOORS 17 0.350 6 ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations subtnitted'with the permit application. The proposed building has been designed to meet the requirements of the Minnesota Energy Code. Builde Designer Date / r ? . Pr'dperty Address: 2115 SHALE LANE, EAGAN Buyer: WRYCZA N Legal: LOT 11, BLOCK B. CEDAR GROVE NO. 4 This Plat Drawing is not intended to be used as a survey and should not be relied upon as such. The lot dimensions are taken from the recorded plat or the county records and are assumed to be accurate. The location of the improvements shown on this drawing are approximate and are based upon a visual inspection of the premises. A licensed surveyor should be contacted it an accurate survey is desired. This plat drawing does not constitute a liability of the company and is intended for use by the company only. Drainage end utuity IEasamenlr 77 }0 4-/- ,./2o0'tr O+ N ? S? DOUBLE FRAME ?? ( GARAGE 221 1 ONE STORY FRAME N 3$' 75.00 O O N f? 1' = 30' SHALE LANE p CITY USE ONLY PERMIT #: 1 RECEIPT DATE: 8008 RESIDENTIAL MUMNICAL EMIT APPLICATION CITYoF EAHAN 8630 PILOT KNOB RD EAGM MN 551 EE 651-661-4675 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: 8- SITE ADDRESS 1 k `) '-Y-) OWNER NAME:,?k_f1 INSTALLER NAME: STREET ADDRESS: CITY: C- r. , TELEPHONE #: (j?'7I - L4 D-38 Wohlers Southside Htg. & Air, Inc. 6950 W. 146' St., #106 Apple Valley, VIN 55124 (952) 431-7099 STATE: Place a check mark next to the permit work type ZIP: i 1 _ ?JJ Add-on, modification or alteration to existing dwelling unit $ 30.00 • furnace replacement • air exchanger 9y • air conditioner • other Nature of work: f?° oX 0., -R_,f r a_c j wl C-rr-v 1cj G(::?,Cl 3?tu mcd4Q 6J?VCato, j.r?-JD_LL State Surcharge $ .50 Total $ SIGNATURE OF PERMITTEE t/02 CITY USE ONLY PERMIT #: APPROVED BY: INSPECTOR RECEIPT DATE: 2002 COMMERCIAL MECH MICAL PERMIT AMICATIOM CITY Of KAGAN 3$30 PILOT KNOB RD EAOM, MN 55122 651-6$1-4675 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 #: TENANT NAME (IMPROVEMENTS ONLY): WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: STREET ADDRESS: CITY: TELEPHONE #: STATE: ZIP: 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: I% 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 1/02 w SHALE LANE lid" 21H5 G.L BARTULI SHALE HALE LANE ST. IwFXHh, !J `t" ?' ST. PAUL, MINN LOT 11, BLOCKS CEDAR GROYE,4 SCALE 1/16=1 CITY USE ONLY LOT B((??L } PERMIT #: RECEIPT #: SUBD. stP1 (),.- o J 4 RECEIPT DATE: 'L 4 U to 2000 MECHANICAL PERMIT (RESIDENTIAL) Date: J5_ lb-CD Complete this section only if you are installing HVAC in a single family dwelling, townhome or condo under construction and not owner/occupied. • HVAC: 0-100 M B T U ADDITIONAL 50 M BTU • Gas outlets (minimum of one required @ $3.00 ea.) $ 30.00 6.00 State Surcharge .50 Total $ Complete this section only if you are remodeling, adding to, or reairin an existing single-family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repair. New T Alteration Furnace Air exchanger Other Fee State Surcharge Total Reminder: Call for inspections SITE ADDRESS: 2-115 S $ 30.00 .50 30.50 OWNER NAME: 'I-Ohn W r v a yt PHONE #: (9 L15 Z- 2-3W INSTALLER NAME: ?WohIf r? &[AhCld? F?+G. 9 TIIL PHONE#: t012 y.3 I-70°19 `am (AREA CODE) STREETADDRESS: 05^ (/ W. I`J'7?? (Sf tSU/ ? IO?D CITY: STATE: Mo _ ZIP: _J:iJ 2_?Ikti+???l' SIGNATURE OF PERMITTEE CITY OF EAGAN 3630 PILOT KNOB RD EAGAN MR 55122 651-681-4675 - Repair - Other Air conditioning L BL SUBD. APPROVED BY: INSPECTOR PERMIT #: _ RECEIPT#: RECEIPT DATE: 2000 MECHANICAL PERMIT (COMt4ERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 651-681-4675 Please complete for: all commerciaUndustrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: WORK TYPE: New construction Install U.G. Tank - Interior Improvement Remove U.G. Tank Processed Piping When installing/removing underground tank, call 651-681-4675 for inspection by fire marshal and plumbing inspector. Description of work: Fees: 1% of contract price OR $30.00 minimum fee, whichever is greater. Underground tank removallinstallation = minimum fee Contract price: $ x 1%=$ (Base Fee) State surcharge calculate at $.50 for each $1,000 Base Fee TOTAL $ SITE ADDRESS: OWNER NAME: PHONE #: (AREA CODE) TENANT NAME (RvIPROVEMENTS ONLY): WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: ADDRESS: CITY: PHONE #: - (AREA CODE) STATE: ZIP: CITY USE ONLY SIGNATURE OF PERMITTEE Use BLUE or BLACK Ink r For Office Use [ion Permit City of EaKd Permit Fee: U 3830 Pilot Knob Road Eagan MN 55122 Date Received: ® I Phone: (651) 675-5675 I r I Fax: (651) 675-5694 I Staff: I I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Name: Al"'yi<<. , Phone: Resident/ Owner Address / City / Zip: L ! I S' SI:G ~e ~.K Applicant is: Owner Contractor Type of Work Description of work: zc 1~ Construction Cost: ,.0C/ Multi-Family Building: (Yes/ / No ) Company:. u c Contact: Contractor Address: -24 1 City: L✓ State: Zip: Phone: License Lead Certificate M If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING 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 may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. 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.popherstateonecall.orp 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 plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Bu' ing Code must be completed within 180 days of permit issuance. _ Appli ant's Printed Name Appli ant's Signature Page 1 of 3