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2146 Shale LaneReceipt PLUMBING PERMIT. Permit No. I CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print legibly Tot /c 1. Date -y Installation Cost 3. Job Address Lot Blk. Tract 4, Owner 5. Contractor : Phone F_ Address 1i . Jr 7. City State ^-'i%/ Zip ? 8. Building Type: Residential Q Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter ? Repair El- 10. Describe 11. No. Fixtures Water Closet No. Fixtures Cesspool /Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and 1 agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date / 4 This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CITY OF EAGAN Remarks * Cedar Grove Acrauisiti,on Addition CEDAR GROVE #4 Lot 17 Blk 7 Parcel 10 16703 170 07 Owner Street 2146 Shale Lane State_Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK * SEWER LATERAL 1972 1,304.00 52.16 25 625.92 A013956 5-30-84 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 N° ].083 Eagan Township Town Hall Date .'-.----------------- Stories - To Be Used For Front Depth Height Est. Cos! Permit Fee Remarks ,p ? --- . . _ LOCATION Street, Road Or other Description of Location - Lot Block 'Addition or Tract /e . 19-e / r7 77 - A5,e -2 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 createany 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 PROGRESS. This is to certify. ?..??..s.........has permission to erect a.... ta ........ . -------- ..... .......... . ..upon the above described premise subject to the provisions of the Building Ordinance for, Eagan owns hip adopte .April 11, 1955. /?/J ??yq ,,ppp nn .....,....._.......V6L.Y?^.`.d^..!J..: ........ Per .... a t..L?.f.?S..._.. ... ... ... - .......... / ...... ... g P ...... Chairman of Tnwn Bod - min g Ina eetor 4-U. ri!-•,"ii2:e Ci`i3l:;.,fl!`'i) '1'l:f'iiii:;; iC):?::ia9r?i' .rl't f•ii^.t^jG_I; ;g7.?1:CC i:i j(! :f C0NSI"F'UCTiOth . ?.....:.1 S,..1 i:.1. c.;us I- Fdi{ (;t:4.i...L. . 191.'5 S?iaRa. E3i3 f"r'i!=!'. NiaL..l... i RD :1.'25 „L:Y ::.r:..,.,a :; i.rr...i. ,. ,_. a. ?: ;., .: ..„ Ir•a._r L..1'd 1., ,,, c..:a ii1i`'1„e`.'.5 s)"a,e 1999 BU.LLDING PERMIT APPLICATION (RESIDENTIAL) 5 -7 3?8 CITY OF EAGAN 3830PI651.68/46 5 55122 srp 09 1 a'V a>; l :7n New construction Reauirements ? 3 registered site surveys showing sq. ft. of lot, sr and gill roofed areas (20% maximum lot cove 2 copies of plans (show beam 3 window sizes; D 1 set of energy calculations ? 3 copies of free preservation plan R lot platted DATE: DESCRIPTION OF WORK: p` " • Y Remodel/Reoalr Reauirements house - 2 copies of plan No ) .j p 1 set of energy calculations for heated additions d f . d Ign;-etc.) 1 site survey for exterior additions 6 decks 7/1/93 )?- ,STRUSTION COST: STREET ADDRESS: LOT' \1 BLOCK: _ SUBD./P.I.D. #: PROPERTY OWNER Name: "" -& b Last l First Street Address: 4 ?P S ti aI e L?E* City State: 7 7j,--c. )a-: CONTRACTOR ARCHITECT/ ENGINEER Street s 1?"F? -2? City State: 4(S-41- sotto Zip: Phone #: Q9S? °°2C0 (area de) License # 015 0 _Exio. rn,i Company: Name: Telephone #: area code It ) Street City State: zip; 55337 Zip: Sewer & water licensed plumber (required for new construction onlv): Penalty applies when address change and lot change is requested once permit Is Issued. t4ereby acknowledge that I have read this application, state that the information Is correct, and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. {ten ?' I `? -c(q VY'uJY "r - ?' Signature of Applicant: Q OFFICE USE ONLY Certificates of Survey Received _ Yes _ No SEP 1 D Tree Preservation Plan Received Yes No Not Required P Registration #: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 'Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea. ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex .? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE ? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof * Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. SAC Code UBC Occupancy sq. ft. No. of Units Zoning sq. ft. No. of Bldgs # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Bu ilding Engineering Variance Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Valuation: $ SAC Units % SAC ?M CLAIM VOUCHER-REFUND REQUEST CITY OF EAGAN MAKE CHECK PAYABLE TO: Aztec Roofing ADDRESS: 11583 Rupp Drive Burnsville, MN 55337 LOCATION: 2146 Shale Lane P.I.D./LEGAL: Lot 17 Block 7 Cedar Grove #4 RECEIPT#/DATE: 116865/9-10-99 VALUATION: $6,000.00 REASON FOR REFUND: Permit was cancelled PERMIT #: 37739 TYPE OF REFUND: Electrical Permit 3211-9001 $ Plumbing Permit 3212-9001 $ Mechanical Permit 3213-9001 $ Building Permit Fee 3210-9001 $ 125.25 Plan Review Fee 3422-9001 $ SAC (MC/WS) 2275-9220 $ SAC (City) 3866-9379 $ SAC (Admin) 3446-9001 $ Water Connection 3865-9220 $ Sewer Permit 3743-9220 $ Water Permit 3713-9220 $ Account Deposit 2252-9220 $ Water Meter 3716-9220 $ Water Treatment 3868-9220 $ Surcharge 2155-9001 $ Utility Acct Overpayment 2250-9220 $ Curb Box Deposit Refund 2253-9220 $ Construction Meter Dep Refund 2254-9220 $ Water Usage Charge 3711-9220 $ Other $ TOTAL $ 125.25 1 declare under the penalties of law that this account, claim, or demand is just and that no part of it has been paid. t SIGNATURE i (f 9 October 5, 1999 DATE r- :f MN Lie •20120140 Aztec Rgofiy consttwtion co. THE PROFESSIONAL City Of Eagan Attn: Linda October 1, 1999 Dear Linda: Per our conversation today, I need a reimbursement on a permit we have applied for. The address is 2146 Shale Lane, permit # 037739. If you have any questions, please call me at (612) 895-0040. Thank you, Kristy Craft 11583 Rupp Dr. Burnsville, MN 56397 (612) 895-0040 Fax (612) 895-9962 L0 30Vd 9NId00d031ZVA6VW 6£4iZZ4Li£ b£:LI 666I/DZ/60 6£DL227LS£ x? MktIMmmumna VV EAGAN ASHIER: Js. TIRMTMM! NW, 761. ATE:- 1012SM TIRE: MOW I 4AV R. T.0. ENTk'F:P'"IT E9 320 900 MY SMALF tip 56.00 1155 9001 2WE SHALE LN 0.75 w 1 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN U 3830 PILOT KNOB RD - 55122 S 651-681.4675 New Construction Reaulrements Remodel/Repair Reautremenis ? 3 registered site surveys showing sq. ft. of lot, sq. ft. of house 2 copies of plan and al roofed areas (20% maximum lot coverage allowed) 1 set of energy calculations for heated additions 2 copies of plans (show beam a window sizes; poured ind. design; etc.) 1 site survey for exterior additions L decks a 1 set of energy calculations 3 copies of tree preservation plan R lot platted after 7/1/93 DATE: /G - Z -? -4, S CONSTRUCTION COST: DESCRIPTION OF WORK: lecol- -TO. STREET ADDRESS: Z1416 e AA _ LOT: ? I BLOCK: I SUBD./P.I.D.#: C?,i?LU1 vc PROPERTY OWNER Name: ?eAw `Oj°p 42--06EE71 Phone #: Last First Street '/(6 SNAG f. ( ?. y5-/ - 3 N tic> City X116R/`) State, Zip: CONTRACTOR Street City State: ARCHITECT/ ENGINEER Company: Name: Telephone #: area code ( ) Street City State: Sewer & water licensed plumber (reaulred for new construction only Penalty applies when address change and lot change is requested once permit Is Issued. Zip: Zip: I hereby acknowledge that I have read this application, state that the Information is correct, and agree to comply with all appticabi State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes No Phone #: (area code) Registration #: License # Tree Preservation Plan Received - Yes - No - Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-piex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea. ? 03 1 of plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 _ 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-piex ? 10 8-piex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE ? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg." ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof " Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. SAC Code UBC Occupancy sq. ft. No. of Units Zoning sq. ft. No. of Bidgs # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building Engineering Variance Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SAN Surcharge Treatment P1. Park Ded. Trails Ded. Other Copies Total: Valuation: SAC Units % SAC ;:lM?YXt:;, tXtkXIY,IY?R:7%:;<:r,;YF?nk:dt'il !s%:+kX;Xc{sX:Y,I\IY,cNk?YXc;gY,;;k CITY OF EAGAN CASHTERu TERMINAL.. NOu 692 ATE 04/22/99 TTMB 12,:42:00 ID N(•?t'IE.. S1.1SS 1- COR.PORAT.ION 3210 9001 2146 SHALE LANE 0505 2155 9001 2146 SHALE LANE 5 50 :iS4i?2. 9001 2146 SHALE LANE. . 126.91 Total. Receipt Amount,: :327.66 MOW? USER TD: NANCY Y,iW?'r X?X,iY,:YFX"M'/:.u;k?k:M=??kX:?k;k>k??YFX;?r?k%kat?F<;k:M?kXI Yt:k:;k7X ?%>Y, 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) ! 2 CITY OF EAGAN 3830 PILOT KNOB RD - 55122 -? a (o 651-681-4675 9 c??lQ??9 U -ao New Construction Requirements Remodel/Repair Requirements > 3 registered site surveys showing sq. ft. of lot, sq. ft. of house 2 copies of plan and all roofed areas (20% maximum lot coverage allowed) 1 set of energy calculations for heated additions > 2 copies of plans (show beam b window sizes; poured fnd. design; etc.) 1 site survey for exterior additions S decks > 1 set of energy calculations > 3 copies of tree preservation plan R lot platted alter 7/1/93 DATE: A/7r* / 9. 1 y-Y J CONSTRUCTION COST: 1 (' 0, `V DESCRIPTION OF WORK: '3 17 Z LI // e G Gc H /.r4 ? STREET ADDRESS: z / y (' _J"_ _ -r-- LOT: BLOCK: 'j SUBD./P.I.D. #: (22- v O Name: C-N u. ul In ?t sA 017 Phone -5 9 ,3 9 y o PROPERTY La OWNER Mr. Bob Crawford Street address:. 2146 Shale Lane city Eagan, MN 55122 d y zip: Company: I? S S WIP" Phone #: LSj t0 yS1 (area code) CONTRACTOR 1/ P l , 3?`a Street Address: I?j C- O GLI D 4 License # 2-3 7" City ? r f Z ice. r State: 4( yl Zip: 0 ARCHITECT/ ENGINEER Telephone #: area code ( Street city Sewer & water licensed plumber (required for new construction onlv): State: Penalty applies when address change and lot change Is requested once permit Is Issued. Zip: I hereby acknowledge that 1 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 Ordinances. P Signature of Applicant d-6 OFFICE USE ONLY \} Certificates of Survey Received Yes No Tree Preservation Plan Received Yes - No - Not Required Name: H I OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex X 17 Garage ? 22 Porch/Addn. (4-sea.) ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE UN ?tf H GhfA-'?? 31 New ? 35 Tenant Impr ? 39 Gas Line On ly ? 43 Sidi ng/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Win dows/Doors ? 33 Alteration ? 37 Demolish Bldg. ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code 3 (Allowable) Main level sq. ft. -/ZO SAC Code UBC Occupancy f2'? sq. ft. No. of Units 9 Zoning sq. ft. No. of Bldgs # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. 20 Booster Pump PRV Fire Sprinklered APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ //)000 Surcharge Plan Review License 'l2D X /DOB a MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: SAC Units % SAC SUSSII.G GES Mr. Bob Crawford 2146 Shale Lane Eagan, MN 55122 2144, SU-1-e Ln PLOT PLAN _._.----- _.___. CI TY 100 LEGAL DESCRIPTION LOT: ... 5 .. _. .. _.._.. _.... _:._._..?-.._ -:... . BLOCK: ADDITION: hL. , , f 9 i . - • - : jid 7- ..X 4 71 1 7 LOT SIZE: a 6$ a..1b -...i. IIv ?y .. ' Ago HOUSE SIZE: - SQ. FT. i CROSS STREETS: j AND t I DIRECTION Use BLUE or BLACK Ink . r________________� I For Office Use I � � Permit#: v �'� 7 � � Clty of ����� ; . . �s-�� � Permit Fee. I 3830 Pilot Knob Road � � Eagan MN 55122 � Date Received: � Phone: (651)675-5675 � � Fax: (651)675-5694 I Staff: � i I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: Name: �r� �/ Phone: 5��'����T;/Q Resid'ent/ Owner ' Address i c�ty i z�p: �I�'� �,�r �n Applicant is: Owner Contractor T e Of WOI`k Description of work: / do� Yp Construction Cost�L,`�j Multi-Family Building: (Yes /N�� Company: ac: Contact: ,Cod , Contractor Address: �� � z���� City: �Q v � State:�'�✓Zip:__%�;�� Phone: �SZ�' _TL,�Email: ' 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 supporfing documents fhat you submit are considered to be publie 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.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 Building Code must be completed within 180 days of permit i�ce. x fo,—� X � Applic Ys Printed Name plican s Si nature Page 1 of 3 I Use BLUE or BLACK Ink r----------------� . i For Office Use � ' � Permit#: �Q V" � j City of �a� � � /� � � Permit Fee: V��� � 3830 Pilot Knob Road � I Eagan MN 55122 � Date Received: �� ��(� � Phone: (651)675-5675 I I Fax: (651)675-5694 I i Staff: i , -----------------� 2015 REI IDENTIAL BUILDING PERMIT APPLICATION Date: Site ddress: Unit#: � .� � � �� s, ��� � E Name: a�.+�mr Phone: — D :� :�ResidenfJ �;��� . �����Owner �`�, Address/Ci y/Zip: Z�yG SL�,��._ �:������, � t �� �� ��-: Applicant is: Owner Contractor ���:� �' � .� >._�. z�� � , a l ���'�� � :; "�� : Description f work: .�`a/ ' ��Type of Work�=' . g�# ��n �� �'� Constructio Cost: S'"p� '�- Multi-Family Building:(Yes /No ) ��� ' � � � ��� ,���� � ������ �, �, ,:�` Com an �� � , p y: Contact: � �������' ��,�� ����; � � �'�:=`��� e� �� � Address: City: Contractor � ��,�.� " �, �� ' : State:fyl Zip: �$7Z� Phone: �S"����ail: # � ��"�f� ��.: ��... §: License#: Lead Certificate#: If the project is exempt from le d certification, please explain why: (see Page 3 for additional information) COMPLE E THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the Ci y of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes,date an address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: � NOTE,Plans antl supporf�n docu�nenfs�ti�af�ou st�bm�t are caris�dered to l�e publ►��r �r�fa�rm�frai� �� �rtrons�f � =� �� ��� � ��.� �e. `� � ; �� ��;fhe►nfoimat�on ma�be'"c/a sr�ed as no,�pti�l�c rf�L r�ou pra�rcle�p��fc�reasonsuti�at�auYd�perm��fhe�Ci'�y to : ����+° , ;� :,„ '_ ���. � ; ��, .� :canclude;that#he �re�trGide,se�rets � �� � y� � . � . �. .,. � ;�,�.� ,���:� _,`::, .� �����.���m��_, CALL BEFORE YOU DIG. Call opher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locat s of underground utilities. www.qoqherstateonecall.orp I hereby acknowledge that this informa ion 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 t e case of work which requires a review and approval of plans. Exterior work authorized by a buildin permit issued in accordance with the Minnesota State ' g Code must be completed within 180 days of permit issuance. X 4 C% G-a�sd X Applic nYs Printed Name A licant's Signatu Page 1 of 3