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'
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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