2140 Shale Lane
Receipt MECHANICAL PERMIT Permit No.
+ '1 CITY OF EAGAN
?l, Fee
Fill in numbered spaces
Type or Print legibly
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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
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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
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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:.,
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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
�