2116 Shale LaneCITY OF EAGAN Remarks * Cedar Grove Acquisition
Addition CEDAR GRAVE #4 Lot 11 Bilk 7 Parcel 10 16703 110 07
Owner Street 2116 Shale Lane State Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
* SEWER LATERAL j 1972 1,304.00 52.16 25
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 _------....L?..?..-.},t.?'?a."_. .. .........__......__...:...:.S-C.'_
i
Address (present. .... .. ... E""`??
Builder ..................................... ...
Address ......................................
DESCRIPTION
N° 1237
Eagan Township
Town Hall
///":7/
Date ........L.'?/ .......................
Stories To Be Used For Front Depth Height Est. Cost Permit Fee Remarks
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 BEEPT EDN TIj? PREMISE WHILE THE WORK IS IN PROGRESS. ?e
This is to certify, lhai...._- _._:..........__-._....__.?..-.' .................has permission to erect a.........(?...Rc?.-7? ..._?':....?' upon
the above described premise subject to the provisions of the Building Ordinance for Eagan Township adoptet9 April 11,
1955.
.__-_-......._...._........ -------- Ci--?-.
.....?(i?.1,......? -.. ???-t
. Per ..._...--'--- ------------- -------..................
Chairman of Tnwn • oard 4 15. Building Inspector
LOCATION
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
, 3830 PILOT KNOB RD - 55122
i ' p1 651-681-4675
New Construction Requirements
. 3 registered site surveys showing sq. ft. of lot, sq, ft. of house; and all roofed areas
(20% maximum lot coverage allowed)
. 2 copies of plan showing beam & window sizes; poured found design, etc.)
. 1 set of Energy Calculations
. 3 copies of Tree Preservation Plan if lot platted after 111/93
. Rim Joist Detail options selection sheet (bldgs with 3 or less units)
DATE -
JOB SITE
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWN
TYPE OF WORK_
APPLICANT 14
ADDRESS 1?f 4
PAGER #
CELL PHONE #
,YACE(S) _ 0 _ I - 2
PHONE# Xo3 gI 3S3(fi
ZIP CODE 55gzf7
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category
(check one)
Plumbing Contractor. _
Plumbing System Includes:
Mechanical Contractor: _
Mechanical System Includes:
Sewer/Water Contractor:
MINNESOTA RULES 7670 CATEGORY I
- Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Phone
Water Softener Lawn Sprinkler
Water Heater _ No. of R.I. Baths
No. of Baths
Air Conditioning
Heat Recovery System
Phone #
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the
with all applicable State of Minnesota Statutes and City of Eagan
Signature of
o .
Remodel/Repair Requirements
• 2copies of plan
. 1 set of Energy Calculations for heated additions
. 1 site survey for exterior additions & decks
Indicate If home served by septic system for additions
VALUATION
Phone
is
Fee: $90.00
Fee: $70.00
Certificates of Survey Received - Tree Preservation Plan Received - Not Required -
Updated 2002
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened)
? 05 03-plex ? 11 10-plex 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or- N ? 25 Miscellaneous
? 31 New
? 32 Addition
33 Alteration
34 Replacement
Valuation ?b
Census Code i
SAC Units
Nbr. of Units
Nbr. of Bldgs
Type of Const
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 EM. Alt - SF
? 36 Multi
? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
"Demolition (Entire Bldg only) - Give PCA handout to applicant
Occupancy 1Z. l - ivy
Zoning
Stories
Sq. Ft.
Length
Width
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
REQUIRED INSPECTIONS
- Footings (new bldg) _ Final/C.O.
Footings (deck) Final/No C.O.
Footings (addition) Plumbing
Foundation HVAC
- Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
Framing _ Siding _ Stucco - Stone
_ Fireplace _ R.I. -Air Test -Final _ Windows (new/replacement)
Insulation - Retaining Wall
Approved By .- Building Inspector
Base Fee
Surcharge (31-1-m&aolm
Plan Review
MC/ES SAC
?f
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
f 70
0,c o
PERMIT# q ?1 "1
RECEIPT DATE: "l ? _p
8008 RSIDENTIAL PLUM$IN6 PERMIT APPLICATION
CITYOF EAL6AF
3830 PILOT KNOB itD
PALM, MN 55122
651-6$1-4675
Please complete for: single family dwellings, townhomes and condos when permits are required for each unit,
backflow preventer for irrigation system
SITE ADDRESS: o7I f CQ 4??'L C C nLY2 -fZ
OWNER NAME:: C !7e5zV Lc?t7 TELEPHONE #:
I (AREA CODE)
INSTALLER NAME-?ey c:, '< ) vu.,-?k n, TELEPHONE
(AREA CODE)
STREET ADDRESS: Z I 1 S") 7C t°O t? 4-U-C-
CITY: AtSL-L-)? STATE: 1/L-Ly?\ ZIP: SS-S
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
• MODIFICATIONIALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
Water turnaround - existing dwelling unit (+ 518" meter'lf needed - $118)
Other:
_ RPZ: new installation/repair/rebuild $ 30.00
_ lawn irrigation system
Replacerrlent/additional: _ water softener _ water heater $ 15.00
State Surcharge $ .50
$ ) • 5o
Total
I hereby acknowledge that I have read this application, state that the information Is correct an agree to comply with all applicable City of Eagan ordinances. It
is the applicant's responsibility to notify the property owner that the City of Eagan assum liabili reydeaeag s caused by the City during its normal
operational and maintenance activities to the facilities constructed under this permit wi i il) property/ hto yJeasement.
SIG URE OF PERMITTE 1102
CITY USE ONLY
LOT (1?? 0 BL I PERMIT #: _:? I S
SUBD. \ k_U?CL1( G (0 V-f RECEIPT #: _.(4 3 0Qp D")
RECEIPT DATE: ?- ' GCS
Date: 2 -,,? _ g v
Complete this
• HVAC:
l
50 M BTU
U
• Gas outlets (minimum of 96 requked @ $3.00 ea.)
State Surcharge
Total
$ 30.00
6.00
J.DD
.50
Complete this section only if you are remodeling, adding to, or re airin an existing single-family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
New Alteration
Furnace 1 CP (?'- A) E- _>
- Air exchanger
Air conditioning'
Other
Fee $ 30.00
State Surcharge .50
Total $ 30.50
Reminder: Call for inspections
SITE ADDRESS:
2000 MECHANICAL PERMIT (RESIDENTIAL)
(LQL,
OWNERNAME: PHONE#: 6,5-/ 5 6? 7/
S- (AREA CODE)
INSTALLER NAME: PHONE #: 12- - W) (a 19 92
(AREA CODE)
STREET ADDRESS: t?00ib111
YMIOlIiM,1N1 QMq
CITY:
if you _re insta ' HVAC in a single family dwelling, townhome or condo under
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN NN 55122
.651-681-4675
- Repair - Other
STATE: ZIP:
GN OF PERMI
L BL
SUBD.
APPROVED BY:
INSPECTOR
PERMIT*
RECEIPT*
RECEIPT DATE:
2000 N>ECHANI P T (CONMRCIAL)
C #Y EAGAN
3830 OT KNOB RD
EA Nat 55122
65 - B1-4675
Please complete for: all commercial/indust I buildl?gs
multi-family buildings hen se arate permits are not required for each dwelling unit
DATE: v2 02 - 90
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 prix OR $30.00 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 $
SITE ADDRESS:
OWNERNAME: PHONE #:
(AREA CODE)
TENANT NAME (DOROVEMENTS ONLY):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
ADDRESS: R3TY13O 04
tt M 11111 MUMMY CODE)
CITY: STATE: ZIP:
CITY USE ONLY
SIGNATURE OF PERMITTEE
Use BLUE or BLACK Ink
i~. r---------------- i
I For Office Use
Permit
City of EaIla~ I /0"-D I Permit Fee: 1
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: I
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Name: Phone:
Resident/
Owner Address / City / Zip: 21 G
Applicant is: Owner Contractor
Type of Work ` Description of work:
Construction Cost: iE ' Multi-Family Building: (Yes / No
•
Company: Contact:
Contractor Address: 4-7- ~ City: '10V ZZ
State: A19 Zip: Phone:
License Lead Certificate
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.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 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 Building Code must be completed within 180
days of permit issuance.
>^~d x
x~ Z'
Applicant's Printed Name Ap icant's Signature
Page 1 of 3
i
Z5 3 0 -7
Use BLUE or BLACK Ink
-1
For Office Use
0 F ei
_
•-.. , t -
Permit#: 1 il 'e 0clP - (
"?..„
/(—/j 7
., /, -‘,.,
,. /,./,....- ...„..., ,,,... .)
Permit Fee:
- '
9,
0
o /24'
0,, /
Date Received: "-e.e'
3830 Pilot Knob Road I Eagan MN 55122 . Staff: gLit
Phone:(651)675-5675 I Fax:(651)675-5694 L
buildindinspectionsAcityofeacian.com
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
10/27/2017 2116 SHALE LN
Date: Site Address: Unit#:
Name:
JANS VISKER
Phone: 763-670-1776
......1
I
Resident/ ... R__1
Owner Address/City/Zip: SAME AS SITE i ess/City/Zip:
, 1 )
A
,
.
pplicant is: OwnerContractor
3 ,
INSTALL EGRESS CASEMENT WINDOW 28"‘A/x42"11.
Type of Work
Description of work:
•
i
Construction C1 500 ost: ' Multi-Family Budding:(Yes /NoX ) I
REVAMP REMODELING & DESIGN MARY
Company: Contact: I
105 NEW ENGLAND PL. STE 145 STILLWATER
I
Contractor Address'*
State: Zip:
MN 55082 Phone: 6122310010 City.
State: revanindesign@conicast.net
I BC634654 114840-1 !
License#: Lead Certcate#: Fi
I
If the project is exempt from lead i certification, please explain why: i
i
1
f.i—i....,-----._._--- . ----------------1
1
k COMPLETE THIS AREA ONLY IF'CONSTRUCTING A NEW BUILDING 1
1
In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan?
1, Yes
No If yes,date and address of master plan:
i
Licensed Plumber: Phone:
i
Mechanical Contractor: Phone:
,:.
•i
Sewer&Water Contractor: Phone:
I
; Fire Suppression Contractor: Phone:
i------------------...'.'.....'.k.......M..........M...^' .4.1.0,,,,ti,(I .....1,...1.,J,A ,. ,..w..........aa..am..,........,....*,....m.....w.w....,,, .
i NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be
i classified as non-.ublic if onprovidbs•- ilk reasons that wouldpoprit the City.to conclude that the are trade secrets. !
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at wwwicitvofeanan.comisubscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
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 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.f plans.
XMARY M DEVENS x (41/1 0)-----17"
Applicant's Printed Name Applicant's Signet re
Page 1 of 3
DO NOT WRITE BELOW THIS LINE / i it-t(p9.�
SUB TYPES /! Co S ktL v
i /
Foundation Fireplace _ Porch(3-Season) — Exterior Alteration (Single Family)
tingle Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
Multi Deck Porch(Screen/Gazebo/Pergola) Miscellaneous
01 of_Plex Lower Level Pool Accessory Building
WORK TYPES
New _ Interior Improvement _ Siding _ Demolish Building*
Addition Move Building Reroof Demolish Interior
Alteration Fire Repair Windows Demolish Foundation
Replace Repair _(Egress Window Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation Occupancy II& A MCES System
Plan Review Code Edition ,/ ) SAC Units
(25% 100% ) Zoning City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required.
Type of Construction y6 Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings(Addition) Final/No C.O. Required
Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test
Roof: Ice &Water _Final Pool: Footings Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In Air Test Final Siding:_Stucco Lath _Stone Lath Brick_EFIS
Insulation ); Windows ;
Sheathing Retaining Wall: _Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: "� , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review 1 4. ".71
MCES SAC
City SAC
Utility Connection Charge ""'�
S&W Permit& Surcharge ()"(
toE"/
Treatment Plant
Copies
TOTAL
Page 2 of 3