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4491 Lakeshore Ter4 City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 \I‘p‘k Fax: (651) 675 -5694 Date: 4 l Z Site Address: 1 449 1 Lai(f.' oy e. �eY Tenant: 'CV I It'1 RESIDENT / OWNER CONTRACTOR TYPE OF WORK MA r ` t Applicant' ¢ rinted Name 2012 RESIDENTIAL PLUMBING PERMIT APPLICATION Name: KP.V jr") //�� e. r( / Address / City / Zip: / _t / LLkeShdre Ter Name: Applianosi Installer's of MN, Inc.. License #: S %L SS-!Prfn Address: 14105 Rutgers St. NE City: P rior L ake, MN 55372 ++ �t % 1 1 1 State: Zip: Phone: c�2.. 11 - `1�q - 0 sq Contact: M \C j\ (m fl New y Replacement _ Repair — Rebuild Modify Space _ Work in R.O.W. Description of work: J� ��a.., t.1..) Amer (7�'[ 0S A � RESIDENTIAL Water Heater Lawn Irrigation ( RPZ / PVB) Septic System New Abandonment Email: For Office Use /�!� Permit #: v Permit Fee: 61)e Date Received: J 1 ' ( Z Staff: Suite #: Phone: 651' 1 -15 10-0 5 Water Softener Add Plumbing Fixtures ( Main / Lower Level) Water Tumaround RESIDENTIAL FEES: $60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 State Surcharge) $60.00 Add Plumbing Fixtures Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) "Water Turnaround (add $189.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) 00 TOTAL FEES $ l Q0 • CALL BEFORE YOU DIG. Call Gopher State One CaII 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 acc dance with the approved plan in the case of work which requires a review and approval of plans. x Applicant's Si ;J ure J ougl -ln FOR OFFICE USE Required inspections: _ Under Grou. Date : .' Use BLUE or BLACK Ink r-------------'---� I For Office Use � ' � Permit#: � 1 l �� i Clt� 0� ��Il � l�g-� ; � Permit Fee: 3830 Pilot Knob Road � � Eagan MN 55122 � Date Received: � Phone: (651)675-5675 I � Fax: (651)675-5694 i Staff: i 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: �� 1��S� Site Address: `�� '"�� 5�� Unit#: �� ;�Name:w. .,��I Y.(�. , . ,�, 4��4 L,,..�.�ww�:��.Ui/�„S_�,�.��,�..�.,�.m��..w�...,..�Phone�..,�.�.�.�...._.�.�,.,,�.�..�� Y' G h. � Res�der�#I � � ()�y�y�; Address/City/Zip: ��""" , � �, � �' � Applicant is. Owner Contractor ..� �.�,.,..,.�,�ti.�..�.v.,�.�.a.�y..�..,,��.�,.�,�.,,, ,��.�.��.,�,..��ti.,�a�.,�,�..�.�...,�.�..�....��,�. ...�.�.�.n.d..�.�. � � Description of work: ��✓�� Type 4f V1lot`k � �� Construction Cost: Multi-Family Building: (Yes /No� � g�. ..�,..��,�,�.� .�...�„�,..��,� �b_��.,.� .�.ti.�..�.. �� .�.�.�.._.�,..�� Company:�t,�t/lt� �j�Ytfi�� G�J� �hc, Contact: ��f � �£ , I ��SI � # � Add�ess: JS�b ��G�;�'�1(M'� !//J � Suifc Clty: / �II1/b � Con�ra�#ar � �' � State:�Zip: �5��^/ Phone: '7G3-S.f� .�n'�� Email: �� at��.I��in.c+-��y�. ' �� I � License#: �c v�� 7�.3 Lead Certificate#: I �..��. ��.�..,s��r.��...��..�..�� R,�,�, _.4��.,.�.,wo_�a.�._�.,.�.��.��,�,�.,.�.��,,.�...��..�.�,�,.��.w�,��._�.,�,..��A,��.,�,.�.�..,�..�A�,�m. ��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: N�FE:Fl��;s�rad��%�art��g dncu�i�rt�t�t�ia�you��brn��ca��etl t��1��t�. Po�orr�of �e lnfort�a�on►�ay,be class��ed,a�non p��l��i�y��rro��pec�'r'c rea�+or�s t�aat wot��perr�#i�r� Gi�+to �� cor�c�ale t�aat the ��e trade s�cr��f5. 'p 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.qopherstateonecall.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 S t Building Code must be completed within 780 days of permit issuance. � X �ul� f r�t��-�,.-- � X Applicant's Printed Name Appli s Sign ture Page 1 of 3 Use BLUE or BLACK Ink " � r----------------� I For Office Use � . � ; �3� �3�7 � C�� n�� Permit#: � ; � /�, �� Permit Fee: lV � 3830 Pilot Knob Road I I Eagan MN 55122 � Date Received: � Phone:(651)675-5675 I I Fax: (651)675-5694 � Staff: I i I 2015 RESIDENTIAL BUILDING PERMIT APPLICATION �� -t' S'.ri z Z - �� y�� % �� ..-. � �� Date: � 2 �-s �f Site Address: ��-� .r � � Unit#: ��.� F � Names...f. /' ,1"� .,, ��i� ,..,..,, "_1 �J', K,.�,.v._�_�� w.,..._...�,��W.wPhone: ��,e��..,..�.�,�.�,w..�.�,� .. (.�l Sf� � � ��+d�ra� � �(g� � y��l L ,� � � a ss�z� i � Q1fyi�C � Address/City/Zip: � �.T.�wo�- �t6`'r� c�- c�^ ��. Applicant is�� Owner ��Contractor�� Po a�F�� %�� . ��,�� Description of work: J r�r 1� � � �/ � � Construction Cost: /7� �' �� Multi-Family Building: (Yes /No� �:� ��.�..� �.�.�, � �_��.�..,�m�,�..��,�.�..�.�� d� �,�.,�,�..��,..�..�,�� Company:(-�f C C��c v� �!9'i�%�'r��- ��. Contact: ��s ,�� 35� i/�c�yrbuy GN J� S'-�� s�;f � � � � Address: h City: �' �'/�a� � Go�ra.ctar ; � G .� State:�Zip: �-�y�% Phone:�to3�'.�.Sb-o�CJ3 Email: /��'�1C��.1L.�°��.�(�3�-��u�iT�� , �' �License# ��v � �C 7 /3 Lead Certificate#: �..,�.�...��.,ma..�.._,�.,� ,��.�,,..�..,�...� .,�,,..�.,..��,�,�,��.�,.,.,,�.�.�.�,.��„Mw�,�.�M...��.��,�,.�...,�,.��..�._,�,a�.��,�,�.,.�...�n.....�,.,�..,�.,..o.�. ��, � 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? � 9 � Yes No If yes,date and address of master plan: � � Licensed Plumber: Phone: � � � Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: �,�N�T�>P;�a�s a�d��o�an�nd�cs��rr�s t�at,�v�s��b��t are ca�si�3�a'ed t�be p�r�b�c i�i�a��o�. Po�r��c�' :k t�tinfor�atio��a�r�ae c��ss��ed as nr�n pt�b��F�ra�pro��s�eca��r��fit�a��f perr��f�:Cr�#o' � �� c�r��l�rale i��e �re�rade,�c��t5. .�.. � 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.org 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 St e uilding Code must be completed within 180 days of permit issuance. x (��/��.� / d%�G�;�-¢.i -/�i�---� x ApplicanYs Printed Name App c s Si ature Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA136721 Date Issued:05/26/2016 Permit Category:ePermit Site Address: 4491 Lakeshore Ter Lot:1 Block: 02 Addition: Cliff Lake Shores PID:10-17785-02-010 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 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 - Kevin G Gaffney 4491 Lakeshore Ter Eagan MN 55122 (651) 456-0405 Benjamin Franklin Plumbing 5718 International Parkway New Hope MN 55428 (612) 238-9709 Applicant/Permitee: Signature Issued By: Signature CityofEaQau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use % , Permit #: t J L'S Permit Fee: qpc> Date Received: Staff: 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 7/a Site Address: WV' LAire5Lit7 4 ce Unit #: Name: Gt £eJeCC.t -SCA".c�� Phone: 6-1 -6Y-?Ya( Address / City / Zip: "(len & S 'e e --r Sj?ZZ- Applicant is: Owner A Contractor Description of work: 6-5 tAc y Construction Cost: Sim ` Multi -Family Building: (Yes / ) Company: j6k.\` �. C 15 vVt ,C\JJ I/4 Address: \ 22 N -2j4=1 City: }GtS 11G J State: M\Lzip: 'b?()'3 Phone:161"14 1-O3?)Email: V)het IN( IiQIJC(. /) fen/ License #: MO 1 2,3 Lead Certificate #: Contact: 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: NOTE: Plans and supporting documents that you submit are considered to be public information the information may be classified as non-public if you provide specific reasons that would permit`` conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One CaII 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.org 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 issuance. x Applicant's Printed Name Applicant's Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation_ Fireplace — Porch (3 -Season) Exterior Alteration (Single Family) _ Single Family _ Garage _ Porch (4 -Season) _ Exterior Alteration (Multi) Multi_ Deck _ Porch (Screen/Gazebo/Pergola) _ Miscellaneous 01 of _ Plex Lower Level Pool Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* _ Addition _ Move Building _ Reroof _ Demolish Interior Alteration Fire Repair Windows Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building — give PCA handout to applicant DESCRIPTION Valuation Occupancy MCES System Plan Review Code Edition SAC Units (25%_ 100%) Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Suppression Required Type of Construction Width REQUIRED INSPECTIONS _ Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Roof: _Ice & Water _Final Pool: _Footings _Air/Gas Tests _Final Framing Drain Tile Fireplace: Rough In Air Test Final Siding: _Stucco Lath Stone Lath Brick Insulation Windows Sheathing Retaining Wall: _ Footings _ Backfill _ Final Sheetrock Radon Control Fire Walls Fire Suppression: _Rough In Final Braced Walls Erosion Control Other: Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 Use BLUE or BLACK ink rFor Office Use Cl of E Il Permit f L/// 6- 7,1 3830 Permit Fee: f " EaganIMN55122Road RL.t IYED Phone:(651)675-5675 Date Received: Fax:(651)675-5694 FEB 1 7 2017 Staff: 2016 MECHANICAL PERMIT APPLICATION ❑ Please submit two(2)sets of plans with all commercial applications. Date: 2/10/2017 Site Address:4491 Lakeshore Terrace Tenant: John Schmidt Suite#: :_ Resident/Owner; Name: John SchmidtPhone: 651-746-9401 Address/City/Zip: • Name: K&S HEATING AIRCONDITIONING&PLUMBING INC License#: 43689 Contractor Address: 4205 HWY 14 WCity. ROCHESTER State: MN Zip: 55901Phone: 507-3612332 HEIDI BROWN hbrown ksheatin Contact: I Email: Gau 9-com New �I Replacement Additional Alteration Demolition Type of Work Description of work: Furnace and AC replacement NOTE Roof mounted and ground mounted mechanical equipment is required to be screened by Clay Coder Please contact the.Mechanical inspectorfor:information on;peirmitted screening':methods. RESIDENTIAL COMMERCIAL Furnace - _New Construction _Interior Improvement Permit Type Air Conditioner _Install Piping Processed Air Exchanger _Gas _Exterior HVAC Unit Heat Pump Under/Above ground Tank (_Install/_Remove) tither RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit,includes State Surcharge $100.00 Residential New,includes State Surcharge =$60.00 TOTAL FEE COMMERCIAL FEES Contract Value$ x.01 $60.00 Permit Fee Minimum $70.00 Underground tank Installation/removal =$ Permit Fee =$ Surcharge Surcharge=Contract Value x$0.0005 If the 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 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. x BRIAN KEEHN Applicant's Printed Name Applicant's Signature FOR OFFICE USE ?' Required Inspections Reviewed ByC. .. Date. Underground Rough In. AirTest GasServiceiTest In floor Heat nal HVAC Screening PERMIT City of Eagan Permit Type:Building Permit Number:EA154213 Date Issued:03/04/2019 Permit Category:ePermit Site Address: 4491 Lakeshore Ter Lot:1 Block: 02 Addition: Cliff Lake Shores PID:10-17785-02-010 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - John M Schmidt 4491 Lakeshore Ter Eagan MN 55122 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature