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2140 Shale Lane Receipt MECHANICAL PERMIT Permit No. + '1 CITY OF EAGAN ?l, Fee Fill in numbered spaces Type or Print legibly I S/C-- Tot SG- 1. / Date 7" ??'?/ 2. Installation Cost . ' ?-' , ?- 3. Job Address 1 yG blink kcg Lot' Blk. ' i Tract 4. Owner ....1 d C 'l a-v-' 5. Contractor Phone f y-? - 8. Address 7 ?'>r j Cit S - ?? . - tate y Zip - 8. Building Type: Residential Commercial ? Institutional ? 9. 10. 11. Work Description: New,e Add ? Alter Repair ? Describe vel Type /1-c+- No. EgJQment BTU - M. Ea. Forced Air No. Equipment CFM Mfg. Air Handling: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Oth -? Air Cond. er Mfg. Gas, Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all-or in ncesian4Odes governing this type of work. Signed: for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454,8100 CITY OF EAGAN Remarks *-Cedar Grove AcgUjsition Addition CEDAR GROVE #4 Lot 16 Blk 7 Parcel 10 16703 160 07 Owner - Street 2140 Shale Lane State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK SEWER LATERAL 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 fc4!'!.. _..... -:. _.` %..'......_.... Address (Present) ....-?..,.._..-----...-/--°-- ................. Builder .-..--............. ..... _._--...- --....._..... Address ..... .._ ........ _....... -,_---...-._...... DESCRIPTION NO 9'78 Eagan Township Town Hall Date ...._...-..... Stories To Be Used For Front Depth Height I?Est. Cost. Permit Fee Remarks - 1.14 LOCA Street, Road or other Desc i lion of Location Lot Block Addition or Tract .16&W,7 JsY-317 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 PRE*IISE WHILE THE WORK IS IN PROG?RIESS.e - This is to certify, that._......:...!'14c..._..._`-?.'.I ..... .--------- has permission 20 erect a_.?T.../°`ss.........._... .. ....upon the above described premise subject to the provisions of the Building Ordinance for Eagan Township ied April 11, 1955. `(/LG/. lL- ................................ Per --- ._....... ----------- (----------- - ...........__.. _.......... ___.._-. Chairman of Tnwn Board Building Inspector ti EAGAN TOWNSHIP BUILDING PERMIT N° 1834 Owner .... C-.'.^1..!<<<-? .,_...p....._.._..-°.--.. Eagan Township Address (Present) -al.....:r7. -.......4- -- ................ Town Hall Builder ..... _<..fi.? ...:.........'- ...... L.t..c-'C!o.:......_.....__.... Date ...... ... Address '-"°---'°.... ------------------------------------------ DESCRIPTION Stories To Be Used For Front Depth Height Est. Cos! Permit Fee Remarks V - Street. Road or other Description of Location I Lot 1 Block I Addition or Tract /G 17 I e- AZ ?(_ 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 KEPTYON THg PREMISE WHILE THE WORK IS IN PROGRESS. ?................... This is to certify, that ..._...-....4..1.1:'.-..?.?-t?:? ....................has permission to erect a.....°.:. ........... .upon the above described premise subject to the provisions of the Building Ordinance for Eaga TownsMp adopted April 11. 1955. ---TT-.....---_ ...................g ....._P......... ..""'.".".°.-.' -.ems.... ...." .............. Per ............... //yes tc. ........... - __7_ Cha man of Tnwn Soard Buildin Ins actor Cities Dijzital Quality Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. 'ar Grova coat. V. J , LJ.:JrU SURVEYOR REGISTERED UNDER LAWS OF STATE OF MINNESOTA UCENSED N ORDINANCE OF CITY OF MINNEAPOLIS 3616 EAST 55TH STREET 7 PA. 44681 fOS i•? ?urbryur'S ?crtiti[atr I i .. . i ri h ,I r? i I HiREBY CERTIFY-THAT THE ABOVE N A TRUE AMD COFRECT PLAT.OF.A SYP'I" N f pli L:crtga;7,6, Survey Lot 16 31oci- '7, Ceda_ Grove "N0 4. Eagan ;o:+nsal-# .a-c:. ;,: i:tr:., M• . 11 1 /?s y City of Eapn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 6755694 ----------------- I ; ca:L Permit #: I Permit Fee: / 7,6 I I Date Received: ?O (O/ -I I C I I Staff: l I I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Tenant: Suite #: RESIDENT / OWNER r' ? Phone: / g - /779 Name: Fy-Nq i ( o 54 p!t i Address /City ! Zip: 7 Applicant is: -Owner Contractorrr J TYPE OF WORK Description of work: Construction Cost: Multi-Family Building: (Yes N6-) CONTRACTOR a• ? k-S T 7e.-,-d1(N_icense#: -Q 206 3f7 Name: 2 .} ? { Address: Y ?dI G/ 50 0 _ 21 City: ?? 7 7 ?i 9 e G ?? State: kv Zip: SS ?? Phone: Contact Person: 4 o r COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7672 _ Minnesota Rules 7670 Category 1 _ Energy Code . Residential Ventilation Category I 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 may be 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 ans. Applic fs Printed Name A lica s ignature Page 1 of 3 Site Address: City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 2140 Shale Lane Lot: 16 Block: 7 Addition: Cedar Grove 4th PID:10- 16703 - 160 -07 Use: Description: Sub Type: e- Siding Work Type: Siding Description: House & Garage Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Restoration Resources 6850 Shingle Creek Parkway, #C -175 Brooklyn Center MN 55430 (763) 561 -2698 Applicant/Permitee: Signature PERMIT City of Eaan When installing ventilated soffit material, remove existing soffit mate take steps to ensure maximum ventilation into attic space. BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: - Applicant - Construction Type: Occupancy: $90.00 Owner: Fang J Guan 2140 Shale Lane Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: $88.50 0801.4085 $1.50 9001.2195 Issued By: Signature Building EA087707 12/09/2008 ePermit al (i.e. debris that could block vent openings) and I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State SEDGWICK HEATING & AIR CONDITIONING CO. 1408 NORTHLAND DRIVE, SUITE 310 • MENDOTA HEIGHTS, MN 55120 • (952) 881-9000 1110 S 1-11.1g ADDRESS OCCUPANT SOLD BY 4- eVen5\-(l MAKE SERIAL NO , jL� / ' ' X THERMOSTAT `" etc -16; \L -r--: VALVEsil ` I k✓ L (� LIMIT J �G1 /t. C LIMIT SETTING / FAN SETTING E-7-6-"1/1 PILOT TYPE IGNITION MODEL PILOT TIMING 1,41 PRESSURE -3 f.J INPUT CFH STACK TEM FORM 235 (REV. 10/10) PERCENT CO2 6 (" PERCENT 02 Mt" PERCENT CO ` p p V✓) CITY Ect9�r HEATING TEST RECORD JOB NO ` 6 I S 3 g OWNER kL INSTALLED BY MODEL CG PtS%A° ?►3 INPUT $flvvb VENT SIZE i( TYPE OF LINER C j4 �s S LINER SIZE /( FILTERS- SIZE it" h -4)-k-) \ L. WIRING E + Chi., C TEST TAG NUMBER 1 LIGHTING INST. A) 44- DATE 4 DATE TESTED OVO L: COMPANY TESTING L'L/3G✓ • C NAME OF TESTER / ct t ..-1 P FORM DISTRIBUTION: WHITE COPY - JOB FILE YELLOW COPY - CITY PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA109277 Date Issued:02/26/2013 Permit Category:ePermit Site Address: 2140 Shale Lane Lot:16 Block: 7 Addition: Cedar Grove 4th PID:10-16703-07-160 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to Mark Anderson , State Electrical Inspector, 952-445-2840 Joy Post 1408 NORTHLAND DRIVE Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - ZI YU GUAN 2140 Shale Lane Eagan MN 55122 Sedgwick Heating & Air Conditioning 1408 Northland Drive, Suite 310 Mendota Heights MN 55120 (952) 881-9000 Applicant/Permitee: Signature Issued By: Signature . Use BLUE or BLACK Ink � r----------------� I For Office Use � � � Permit#: � I �"' �j City of Ea��� � P r i : ���� � e m t Fee 3830 Pilot Knob Road � � Eagan MN 55122 � Date Received: � Phone: (651)675-5675 I I Fax: (651)675-5694 � Staff: I I I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: �" 7 "�y Site Address: 2� � a S��� �� Unit#: '• 'h=� '�� Name: ��w Phone: ReSld�n#� " ��pg� "' Address/City/Zip:_ ���d s�.,)� � y _4G!GQ"� S�,S–l�Z ' Applicant is: Owner �ntractor T�(�34 Of V1fa1'k , Description of work: ° , Construction Cost: ���� �_ Multi-Family Building: (Yes /No� �f � � x; , � , Company:�a�i�(a�.,�-}� Contact: � ::�y"I', 7 Address: �� /�a�{ ���>�� City: � 1� Cafl�r�C�O�" ', —� � � � State:�t/�jLip:_����� Phone: ���Z�f���',�mail: License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: .NQ7"E:#�/ar��ancit�e��perr�ing�n�urr�e�fs��rt��y�����su�$rra�t�re�nsid�retl�ta be publ��infcrrm��1an: Pt�r#i�ns-af fhe in�orma#i�h may�e c7�s�{f�et�as nv����iu�lic r�y��'p`r�v�d�s�p�cr�c r,easa'rt��hat i�rciulc��a�rmit�t/t�Crity tca � ��: `� -' cori�tuafe that#fie 'ar�tr�ale s,�cret�. ' 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.aopherstateonecall.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 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 Buil ' ode must be compl ed within 180 days of permi ' suance. ' x m� L�l��z X � Applic Ys Printed Name Appli nt's Signature 'i Page 1 of 3 I �