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2124 Shale LanePERMIT City of Eagan Permit Type:Building Permit Number:EA112388 Date Issued:08/12/2013 Permit Category:ePermit Site Address: 2124 Shale Lane Lot:13 Block: 7 Addition: Cedar Grove 4th PID:10-16703-07-130 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . Mitch Husnik Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Rafaelina Turpin 2124 Shale Lane Eagan MN 55122 Homestyle Builders & Developers Inc 37 Walden St Burnsville MN 55337 (952) 994-3980 Applicant/Permitee: Signature Issued By: Signature CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 OX-1 P HONE: 454-8100 BUILDING PERMIT Receipt # To be used for GARAGE Est. Value $7,000 Date 88P Site Address 2124 SHALE LN Lot 13 Block 7 Sec/Sub.CEDAR GHOYE 4TH Parcel No. ,, Name MILTON TURPIN Address 2124 SHALE LN ° City EAGAN Phone 452-5590 c Name GORCO CONSTRUCTION CO, INC a Address 10700 HMY SS W, SUITE 280 P City PLYNDUTH Phone %2-- 026 L85 Name W 4J Address 00 i W City Phone I hereby acknowlege 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 Permitee A Building Permit is issued to: GORCO CONSTRUCTION CO 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 17058 OFFICE USE ONLY Occupancy l11 FEES Zoning t (Actual) Consl Y Bldg. Permit 90.00 (Allowable) V-N Surcharge 3.50 # of Stories Pl i R Length an ev ew Depth SAC. City S.F. Total SAC, MCWCC S.F. Footprints - On Site Sewage Water Conn On Site Well Water Meter MWCC System - City Water Acct. Deposit PRV Required S/W Permit Booster Pump S/W Surcharge Treatment PI APPROVALS Road Unit Planner Park Ded. Council Bldg, Off. Copies 93.50 Variance TOTAL Permit No. Permit Holder Date Telephone # WATER SEWER PLUMBING H.V.A.C. ELECTRIC G(/ 00 Inspection Date In 4. Comments Footings 1 z z Foundation Framing Roofing Rough Plbg. Rough Hig. Isui. Fireplace Final Htg. Final Plbg. Const. Meter Plbg. Inspector - Notify Plumber Engr./Plan Bldg. Final 4,w - Deck Ftg. kr^f/, Deck Final Well ` Pr. Disp. F-1 I CITY OF EAGAN Remarks * Mar Grove Acquisition Addition CEDAR GROVE ##4 Lot 13 Blk 7 Parcel 10 16703 130 07 Owner q` 4,-vr?a- Street 2124 Shale Lane State Eagan, MN 55122 Improvemerit Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK * SEWER LATERAL 972 1,304.00 52.16 25 993 04 A004884 10-12-77 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) -:_- y l Builder :........__........._.___........._...._ Address .... ---------------- ......................._____.._.__._............._..._._ _ DESCRIPTION Stories- _ To Be Used For Front Depth Height Est. Cos! Permit Fey E - LOCATION Street, Road or other Description of Location - I Lo! Block -- -- J, j _ 35- 3 G J N° 1331 Eagan Township Town Hall / Date .. _------Remarks _ 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 BEt KEPT OIQI.,THE, PREMISE WHILE THE WORK IS IN PROGRESS. This is to certify, ihaf..Ca..te--- 4!7.... - ..... Ca_---------- has permission to erect a..... ?.....?e"????. upon the above described premise subject to the provisions of the Building Ordinance for Eagan T nship adopted April 11. 1955. ........................ t`:-!------!' .._.fL_._°.` ----------------- Per -ae..-4'-`-==41----t!C?2/C_? Chairman of Tnwxl _Bgard Building Inspeclor CITY OF EAGAN ND 1 7058 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 /t 2 Q Receipt # l? d 0 To be used for GARAGE Est. Value $7,000 Date SEP 13 tg89 Site Address 2124 SHALE LN Lot 13 Block 7 Sec/Sub. CEDAR GROVE 4TH Parcel No. Occupancy Zoning M Name MILTON TURPIN Actual)Const Address 2124 SHALE LN (Allowable) c City EAGAN Phone 452-5590 Y of Stories Length 0 Name_ GORCO CONSTRUCTION CO. INC Depth A uQ Address 10700 HWY 55 W. SUITE 280 S.F. Total City PLYMOUTH Phone 547-9626 S.F. Footprints On Site Sewage 2 Name On Site Well F -n 3 Address MWCC System 5 -2 City Phone City Water PRV Required I hereby acknowlege that I have read this application and state that the Booster Pump information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan O finances ?' ?, ] Signature of Permitee_, Vw-? ( r ?(/1; APPROVALS ((v A Building Permit is issued to: GORCO CONSTRUCTION CO Planner on the express condition that all work shall be done in accordance with all Council applicable Slate of Minnesota Statutes and City o?f Eagan Ordinances. Bldg. ON. ? L y Building Official _ 1J.O11 jar IFl(?? I 1111 Variance OFFICE USE ONLY M-1 R-I FEES 9n-On 3.50 VN Bldg. Permit VV=N 20' 22' Surcharge Plan Review SAC. City SAC, MCWCC Water Conn Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI Road Unit Park Ded. Copies TOTAL 93.50 ' 9W 57988 , /, Request Date Fire No. Roughio Inspection Required? / 1:1 Ready Now ill Notify Inspector wh R d ? E3 Yes ?'1O en ea y 112 linsed contractor ? owner hereby request inspection of above electrical work at: Job Address (Street. Box or Route No, city Section No. Township Name or No. Rarga No. unry kcA Occupant (PRINT) Phone No. tea- s-sgb Power Supplier Address Electrical Contractor (Company Name) C0ntns=r5 License No. Mailing Address (Contractor or Owner Making Installation) Aulhorizetl SignaNre (COntreclootlwner Malirp Ins I1a0on) Phone Number ; 3- v MINN TA STATE BOARD OF ELECTRICfTy THIS INSPECTION REQUEST WILL NOT Grigg Idway Bldg. St Am. S BE ACCEPTED BY THE THE STATE BOARD 7321 UnlNersity Ave., 5<. Paul, MIN N S5104 UNLESS PROPER INSPECTION FEE FEE 15 Phone (612) (812) 64 842-0300 ENCLOSED. A911-IV M 5'988 REQUEST FOR ELECTRICAL INSPECTION I?See instructions for completing this farm on back of yellow copy. X" Below Work Covered by This Request r E300001-0] e Atl , Type of 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 apeciN (AV{( Contractors Remarks: Compute Inspection Fee Below., # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps ?c Transformers Above 200 Amps Above_19B-=Amps .S? Signs Inspectors Use Only: / • \ TOTAL / Irrigation Booms /J X06 45 V Special Inspection Alarm/Communication Other Fee I, the Electrical Inspector, hereby Rough-in Dale certify that the above inspection has been made. Final ale 76 OFFICE USE ONLY This request void 18 months from RESIDENTIAL 551gY' BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 ) 651-681.4675 / New Construction Requirements • 3 registered site surveys showing sq. ft. of lot. sq. ff. 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 planed after 71V93 Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE SITE ADDRESS _ TYPE OF WORK- APPLICANT- STREET ADDRESS w RemodellReoair Requiremants 2 copies 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 'VALUATIOt MULTI-FAMILY BLDG -Y _N - FIREPLACE(S) _ 0 _ 1 _ 2 a ATE ZIP TELEPHONE # CELL PHONE # FAX # PROPERTY OWNER TELEPHONE # COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY 75C/-SS!a Energy Code Category _ 1IINNESOTA RIJLI:S 7670 CrYCEGORY t _ ?[IV\&SO"C.\ RULES 7672 (J submission type) • Residential Ventilation Category 1 Worksheet Submitted New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted _ i Plumbing Contractor: Phone # Plumbing system includes: Water Soltener Lawn Sprinkler t - - 9D.(1( _ Water Heater No. of R.I. Baths No. of Baths Mechanical Contractor: NIcchanical svstcm inchldCS: Sewer/Water Contractor: :fir Conditioning -- Hcat Recovery System I hereby acknowledge that I have read this application, state that with all applicable State of Minnesota Statutes and City of Eagan Signature of Applicant OFFICE USE ONLY ?_O/ - Phone # Phone # ree: $70.00 is correct/o/idAree to comply Certificates of Survey Received - Tree Preservation Plan Received - Not Required _ Updated 4102 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 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 ? 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 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 _ Foundation HVAC _ Drain Tile _ Other Roof _ Ice & Water _ F inal _ 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 Copies Other Total Building Inspector I 1989 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 - A STRUCTURAL PLANS 1 SET OF ENERGY CALCS. (CRECY WITH BLDG DIV.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CLLCS. 1 SET OF ENERGY CkLCS. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE OBITS # OF UNITS 3UTEt ADDRESSES FOR CORNER LOTS - CONTRACTOR /HOMEOWNER MOST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.. SEWER A WATER PERMIT FEES AND ACCOUNT DEPOSIT FEES WILL BE INCLUDED WITH THE BUILDING PERMIT FEE. PROCESSING TIME FOR SEWER AND WATER PERMITS IS TWO DAIS ONCE A PERMIT HAS BEEN COMPLETED INDICATING A LICENSED PLUMBER. PENALTY APPLIES NUN: PERMIT IS NOT PAID FOR IN SAME MONTH IT IS REQUESTED. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. DETaLH cD 00 ,CEP 0 g 1969 To Be Used For: Go Ra Ge Valuation: Date: ?- 9-91/ Site Address o?) a Lj Sh p l `2 Lot _L?__. Block q Parcel/Sub ?,Ql?fi Y1, 17J DUf t Owner M9 Mil' bjo T v f` P f ?J Address of I a q $J79 /t, LpNe City/Zip Code LG Cion? S o? i Phone TNC Contractor Co 4Co Cc)/-)s7- CD( / 67M N WY 5 S W F'ST Address Su City/Zip Code ??yrnDl7?l? SSy?? Phone S-1) a-9631o Arch./Engr. Address City/Zip Code ?DDO. vrrit;ts we occupancy M -? Zoning -1 Actual Const V-" Allowable V-n: # of stories Length .20' Depth 22' S.F. Total Footprint S.F. On site sewage On site well MWCC System City water PRV required _ Booster Pump APPROVALS Planner Council Bldg. Off Variance FEES Bldg. Permit 170'&D Surcharge I,5? 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 3 Phone # F CONTRACT uvn%.Fv 11i.vlva I nut. I Ivl-l vv., 1070OHIGHWAY 55, SUITE 280 GORCO CONSTRUCTION CO., hereinafter called CONTRACTOR is directed to make the PLYMOUTH. M N. 55441 DATE: $ rdiomhlp Irnprowreents to the property of: NAME: ^Yna M: II'Gri 7urPtrt HOMEN '+SZ-S 590 I SHALe - r_n,NE ADDRESS MIA- - 51,E It 12) "- BUS. N CITY: ZIPI 551 MATERIAL SPECIFICATIONS DESCRIPTION . GARAGE ?a x 7l2 SIZE OD STYLE GARAGE la • PITCH ""L STUDS: ? v `I 14D OC SIDE EAVES: SIDE A SIDE B 12' 11" END A END B 'RAFTERS AY 6 16' OC END EAVES: TIES Atifo x 20 ?8 DC FACIA TRIM: ttiCe - 1x 4 PI a HEADERS: CD a x l A DM ROOFING: w !2S F% bm Las 5 • WIDTH SURE SHEATmm H1" P ,IEr k SIDING: `Y '/x.. Z- (;:. ) CLADWOOD SIDING ( ) CLADWOOD SHAKES OTHER ( pfftARD80ARO SIDING ( ) PRIMED SHAKES 11`41475%. c0o.n36fL3 ( ) INSUL1TE SIDING ( ) ALUMINUM SIDING E ) WOODTEX SIDING ( ) BACKERBOARD ) HORIZONTAL LAP ) STUCCO MILLWORK ? NOTE: ? FLUSH DOOR y' 1.,+`-' QrkNEL DOOR PSALtir-A Pc.noL %kcL- - 1(e x`r' A" sL-JreQ^ee•?r`- ? MATIC DOOR OPR. Wra.+h,, s?.led J.. n IT ELECTRICITY Pe^ NoL'_s . r_---_____T r_________ ____ ' HARDWARE,J LWINDOWS? `SERVICE DOOR ; ------------ I )RANCH STYLE 1 1 )2'x8' e4w-6E- STRETCH 7 I I I ( ) J' x 8• J NASOMW BLDG. PERMft VARIANCE SURVEY GARAGESIAg W. GARAGEAPRON REINFORCEMENT X I DRIVEWAY APng I tl GROUND PREPARATION R.CO WALK PATIO TEP ILA, _,C 16 BUILDUP (j0 P.CO GARAGE REMOVAL _ EXCAVATION Sod r aa_-t. CONTENTS REbIQIZAL -FOOTINGS $ 0 60- SLAB REMOVAL PALL NtSt. • _ _ BLOCKS, UNDER SLAB EXCESS DIRT REMOVAL.__ GORCO _ .9LOCKS, OVER SLAB 41) cc:i v 3e REMOVAL DEBRIS G?2c0 ?YATE?PROOF _ 1 BUSH OR TREE REMOVAL___ _ __ P-4CKFI±L - THER (SEE R EVERSE SIDE OF CONTRAC T FOR CONDITION: HEREOF ) 34 -89 e A s SOURCE: f-sl-tt DISPATCH EL¢c?'ric tc> rnct...de. VIG'T'R,CNGH-C,irru•L' G{Fault. CsccmT+w' -c') Ce.tLI1•? 5 1-•bV?t -trI s•.r•tcr. 6144" t .Lucks r,I•nw,+Ins EEtetwe s As&-,k 60d wpWc V's W'tk . 3 I CITY USE ONLY /I L 12 BL RECEIPT#: OCv 99 SUBD. / azx_ -1Y RECEIPT DATE: 1999 PLUMBINH PERMIT (REsu xnALL) CITY OF EAfiAN 3830 PILOT KNOB RD EA6AN, MN 55122 (651) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit backflow preventer for underground sprinkler system FIXTURES Shower Water Closet Bath Tub Lavatory Kitchen Sink Laundry Tray b/S a Water Heater Floor Drain Gas Piping Outlet * minimum -1 Rough Openings Water Softener for dwellings under construction Water Softener * for existing dwelling U.G. Sprinkler for dwelling under const. U.G. Sprinkler * for existing dwelling Alterations * to existing residence Water Turn Around Private Disposal System MPC tic. (new and refurbished systems) Private Disposal Systems ` Abandonment RPZ (new installation/repair) Reminder. Call 681-4675 for inspections of water heaters, water softeners, alterations, etc. EACH 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 1.50 5.00 30.00 3.00 30.00 30.00 30.00 75.00 X X X X X X X X X X X X X TOTAL 30.00 = 30.00 = STATE SURCHARGE TOTAL .500^^ ?`]v --- -- --- ---- ----- ---- - -- - ------- - --- --- I hereby admowledge that I have read this applicetion, state that the infornation is correct, and agree to mmply with all appliceble City of Eagan wdinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to, the facilities constructed under this permit within City property/right-of-way/easement. SITE ADDRESS: 2 I --.) 4 Z,+ ? OWNER NAME: INSTALLER NAME: TELEPHONE M STREET ADDRESS: L SX e?? V? L CITY: STATE: ZIP: SIGNA IJRE OF PERMITTEE CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1999 November 4, 1993 City of Eagan Mayor Egan and Council 3830 Pilot Knob Road Eagan MN 55122 Dear Mayor Egan and Council: We live at 2124 Shale Lane, cedar=Graves #4;-t.=$look 7: My husband, Milton, has been d:isabled for seven years after a heart transplant. During the street reconstruction this summer, we had a lot of dust coming in. Milton developed a lung disease and has been hospitalized for a month. At this time he is in intensive care. Project 617R, cedar Grove Street Reconstruction, is now payable. After reviewing the senior Citizen deferment policy and realizing that interest accrues throughout the deferment, we have decided not to defer this assessment. I am enclosing full payment and asking your consideration to reduce this assessment. Thank you for your consideration. Sincerely, Rafaelina Turpin cc: Tom Hedges CityofEa�all 3830 Pilot Knob Road Eagan MN 5512210d- Date Re c ived: Phone: (651) 675-5675 CK Fax: (651) 675-5694 Staff: Use BLUE or BLACK Ink 2011 MECHANICAL PERMIT APPLICATION Date: CA -V5- i Site Address: a\ -a. i ShCt Ly -1 Tenant: 1�CL 4 1 i' 1 t r� Suite #: -v RESIDENT / OWNER Name: -e.... TL+�.,l� C..- e U[) Phone: (.,e l�-LIS---- SS 1 b Address / City / Zip: �L1 S r I,, k t-1 1, f nQ,�- 11 )Jl t , tJ )) )-.?- CONTRACTOR Name: BURNSVILLE HEATING & A/C, INC License #: 14 I. as «f_s_ .--i1 3451 W. Burnsville Parkway Address: Suite 120 City: State: Apmsville, MN 55337 Phone: CAL75- NC (4.-t3co 5 Contact: V11 r\ttOL_. Email: TYPE OF WORK New )( Replacement Additional AlterationAltDemolition Description of work:, I\ G kt,O (kkil , AC' RTW ui OT . + unteid d ground ou rn ` is er kprtnent quilt der i d C f Crede. le cc�tthe'Mechanical Inspector for, a . on it d niirtig li s. PERMIT TYPE RESIDENTIAL )( Furnace COMMERCIAL New Construction Interior Improvement 1` Air Conditioner install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump — _ Under / Above ground Tank (_ Install / Remove) )(1 Other Ali )1_1 ** When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $95.00 Fire repair (replace $5.00 State Surcharge) $ --- ' (30 TOTAL FEE COMMERCIAL FEES; $75.00 Underground tank $55.00 Minimum (includes installation/removal OR State Surcharge) $10,010, surcharge is $ 5.00 surcharge increases by $.50 for each $1,000 Permit Fee requires a $ 5.50 surcharge) Contract Value $ x 1% = $ Permit Fee - If the Permit Fee is less than Fee = $ Surcharge - If the permit Fee is > $10,010, (i.e. a $10,010-$11,010 Permit = $ TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Cali 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.aooherstateonecali.orq 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, be approved plan in the case of work which requires a review and approval of plans. \ 16A 3 tt el—k) Applicant's Printed Name Applicant's Signature ono 1,o0 PERMIT City of Eagan Permit Type:Building Permit Number:EA143256 Date Issued:06/08/2017 Permit Category:ePermit Site Address: 2124 Shale Lane Lot:13 Block: 7 Addition: Cedar Grove 4th PID:10-16703-07-130 Use: Description: Sub Type:Windows/Doors Work Type:Overhead Garage Door Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Rafaelina Turpin 2124 Shale Lane Eagan MN 55122 (651) 452-5590 Twin City Garage Door Co 5601 Boone Avenue North Minneapolis MN 55428 (763) 533-3838 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA160359 Date Issued:03/05/2020 Permit Category:ePermit Site Address: 2124 Shale Lane Lot:13 Block: 7 Addition: Cedar Grove 4th PID:10-16703-07-130 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater & Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 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 - Rafaelina Turpin 2124 Shale Lane Eagan MN 55122 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature