4470 Lakeshore Ter
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA108982
Date Issued:01/29/2013
Permit Category:ePermit
Site Address: 4470 Lakeshore Ter
Lot:13 Block: 03 Addition: Cliff Lake Shores
PID:10-17785-03-130
Use:
Description:
Sub Type:Exterior-Single Family Dwelling
Work Type:Windows/Doors
Description:House
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 by law in ALL single family homes .
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 -
Dean R Seaton Tste
4470 Lakeshore Ter
Eagan MN 55122--247
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
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� For Office Use I
C�Ir O�!1� �11 I Permit#: '� 5 � � I
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� Permit Fee: l0�' �� �
3830 Pilot Knob Road � I
Eagan MN 55122 I i �
� Date Received: 1 � �
Phone:(657)675-5675 �
Fax:(651)675-5694 � Q�1r, I
� Staff:�_�� I
���������_���____J
2014 MECHANICAL PERMIT APPLICATION
❑ Please submit two(2)sets of plans with all commercial applications.
Date:Il�-I�'/ �� SiteAddress: `! y / �� L.�k`fsi��12� '`�,�iZ.�'K.�
Tenant• I�1 ��' ��',�-'7'C�!�✓ Suite#•
Name:,��/`T./� �f�tfCr1� Phone:lc,�� �'l��`��c�"..�,� 7
1��S1{��t1�C�Wt1Qf .�-�
' Address/City/Zip: `7�� 7G� �/�4,L��%���,�� /e i21�.9��f._
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Name: 1�C.1 A%'Tf,s �'..�t��C— License#:
CUi�'�C�G�Q�' ' Address:��_.�� c'�12Et�tJ ��i✓�` �'`� City: S%LL�,✓`/�7—f�'�.
State:�Zip: ..�`� �� �-�-�� Phone:(c������3 ��`�� 3��
Contact:�L?� �- lTs4G Er� Email: ..JG>tit �.�C N��'t�"`�TE.�'j�F,�li 7�'�'rr C c'-�
New �Replacement Additional Alteration Demolition
Type�f:Vltt�rk' Description of work: I
��'��.#�oaf r�c�nted a�c!��st�ns�tn�su�ted c��ani�a��uT€p�t t�_i�t�ui��:�v���r��;����y '
��s. ;,P�c�antact t#�s Me�han��Insp��r�€t�r,i�fia��r�a��r��#t�s±��[�g'r�i`, €i�, .. `
RESIDENTIAL COMMERCIAL
�fumace New Construction Interior Improvement
AirConditioner Install Pi in Processed
��'�"i���� ? — P 9 —
Air Exchanger Gas Exterior HVAC Unit
_Heat Pump UndeNAbove ground Tank (_Install/_Remove)
Other
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge) ��
$100.00 Residential New(includes$5.00 State Surcharge) _$ ��? TOTAL FEE
COMMERCIAL FEES Contract Value$ x.01
$55.00 Permit Fee Minimum
$70.00 Underground tank installation/removal =$ Permit Fee
"If contract value is LESS than$10,010, Surcharge=$5.00 =$ Surcharge�
**If contract value is GREATER than$10,010, Surcharge=Contract Value x$0.0005
'"'If#he project valuation is over$1 million, please call for Surcharge =$ TOTAL FEE
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 start without a permit;that the work wiil be in accordance
with the approved plan in the case of work which requires a review and approval of plans.
xe Ctf" L /��•�G��✓ x � �
Applicant's Printed Name , plicanYs Signature
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�t�qu�re�i.l�pect��ns3 Re�ieweit�`F ' ��:„�
l�r�r�rs�unt( R�at�h FR A��T��t �as'Ser�iE�_�'��t �€�-#tc�t�r�leat ���k . : :�I�IA����i�
Use BLUE or BLACK Ink
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I For Office Use �
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Clty of ����� � Permit#:
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� Permit Fee: �
3830 Pilot Knob Road � �
Eagan MN 55122 � Date Received: �
Phone: (651)675-5675 I I
Fax: (651)675-5694 i Staff: i
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
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Date: � � �S �r✓ Site Address: ��-��e,J��od� ��'� � ����� Unit#:
�,�... �rv.Name:�� ��s,V..4.1//'"�..,_ �:��%„_ ,..d ,�.v°�x��j'...�.,.�..�...���..�� �.._,�..�...�,_. Phone: .�.�..�...��.�„���.,�.,.K._� a
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Q���r Address/City/Zip: � < /zov<- `��a'�c �c- G�-�
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' Applicant is: Owner Contractor
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��$ O�,��� Description of work: J���t�
� �'1 �. t�d
� Construction Cost: � ����� Multi�Family Building: (Yes /No�����
� Company: C� E� ����0� L�"^"��O 1 �,�c. Contact: ���5 ���9� �
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� Address: �5� V j�-�SS�'G(Yt, GlU /'.� 'S�ft 3s/ City: ���/�:� �
CO��1'1�tQ�' � �
� State:�Zip: �-�y�� Phone:�(o3-'.S.S6-�at,�3 Email: /�/'�1�(�a:l�f'��%+��r�a.�(�h./lu�T�x'�.
� ��v6 �
� License#: G�7 � Lead Certificate#:
1
If the project is exempt from lead certification, please explain why:
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:
Fire Suppression Contractor: Phone:
IVI�T�:P�a�s ar�d st�p�o�i�dvca,��r��t�tha�yaW�r����r�e consld�ed�b�#��b�c x�r��for�. Pa�o��o�
t�re i��ortxtat�on r��y��cia�s��ed a�s��n p���c i�'y��pro��s�ec��'c�e�n���a���►perr��t i�re C��+t�'
�...�.. � car��de##a����e �r�fi��►�,�c�e#�. � 1
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.gopherstateonecall.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 1 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 S e uilding Code must be completed within 180
days of permit issuance.
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Applicant's Printed Name App c s Si ature
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