4443 Lakeshore TerC!ty ofEaau
Date:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
RI"�`r -
CE, r1)
JUL 1 7 2012
For Office Use /
Permit #: //) )2 (
Permit Fee: /d
Date Received:
Staff:
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
yN
7-17 - 1 2- Site Address: / 3 het ishoe -Tiff-ate Unit #:
Name:
x 1v \aft LAS
Applicant's Printed Nan*
Mir t4A
Address / City / Zip: /'I� 3 Lthe s4eve
Applicant is: Owner Contractor
Use BLUE or BLACK Ink
Phone: X 5/- 1 /06 - 9 016
7- t/Y'ar.0 ( Q f 4.a 1 ,A•f/ 5577 L
Description of work: eeiA0t a f.,K 34 ct o
hl ..le (tail • (LtLQ / W ��ZQ� Qc
66rella7 M �,,�(,�,,, ,E' /• nti
Construction Cost: 3, O oo 'O° Multi - Family Building: (Yes t No )
.64edwt &a.m.(
Company: - roe' /VD TG t/ D v!L d ale 5 Contact: /Mal Lv44447t icV Clay
Address: 16982 (4 /tL l/V2j City: G.Q,A1,1 I rib X?
State: //1/!/ Zip: 51'b e I y Phone: 02 — 369 Z 5 4
License #: t5 C 4 01 Zs 7 g Lead Certificate #: ,P9
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
iIoU5r ROI r - P7'eit /? 7f3 , 4 // le/e2k le/e2 f j�
b
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:
CALL BEFORE YOU DIG. CaII 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.orgj
1 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.
A • • cant' _ Signature
Page 1 of 3
' SUB TYPES
Foundation
_ Single Family
Multi
01 of — Piex
_ Accessory Building
WORK TYPES
New
Addition
Alteration
_ Replace
_ Retaining Wall
DESCRIPTION
Valuation
Plan Review
Fireplace
_ Garage
Deck
Lower Level
(25 %_ 100 % - /er
Census Code
# of Units
# of Buildings
Type of Construction
Interior improvement
Move Building
_ Fire Repair
Repair
X39
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: i Ice & Water Final
Framing
Fireplace: _ Rough In Air Test
Insulation
Sheathing
Sheetrock
Reviewed By:
RESIDENTIAL FEE
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S &W Permit & Surcharge
Treatment Plant
Copies
DO NOT WRITE BELOW THIS LINE
/ 77
/ IWW3 r Te/ ^ I C
T Storm Damage
_ Porch (4- Season) _ Exterior Alteration (Single Family)
Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
T Pool — Miscellaneous
T Porch (3- Season)
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Final
� @ r2..q
TOTAL
_ Siding
Reroof
Windows
Egress Window
*Demolition of entire building - give RCA handout to applicant
"r?c A
P/
/ ! /L t .- / b
_ Demolish Building*
Demolish interior
Demolish Foundation
Water Damage
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC _ Gas Service Test Gas Line Air Test
Other:
Pool: _ Footings Air /Gas Tests _ Final
Siding: Stucco Lath Stone Lath _Brick
Windows
Retaining Wall: Footings Backfill _ Final
Radon Control
Erosion Control
, Building Inspector
Page 2 of 3
•
/
/
CER TIFICA TE OF
(923.50)
922.4
10.00' Offset
14.00' Offset
10.00' Offset
Sti
0,4%,
• Denotes iron monument found
o Denotes iron monument set
Bearings based on assumed datum.
Top of Irons Offsets
0 10.00' Offset 930.18
/
/
/
/
/
a
924.89
922.71
922.00
LEGAL DESCRI
Lots 13 an Block Z CLIFF
LAKE SHORES, according to the plat
thereof, Dakota County, Minnesota
Denotes Sanitary Sewer Service Invert
O
I hereby certify that this survey was prepored
by me or under my direct supervision and that
I am o duly Registered Land Surveyor under the
laws of State of Minnesota.
Craig W. rse, R.L.S.
44
Date
Registration No. 23021
1
/
/
/
/
r pt.,wc
(931.10)
S tr
a ego°
r
"��-' �=.a , _ias`T7- 7 ,-,
GRAPHIC SCALE
20 0 10 20 40
( IN FEET )
1 inch = 20 ft.
Top of Block = 932.80
Garage Floor = 932.42
Lowest Floor = 924.65
REQUESTED 8Y.•
Drawn by.
MS
922.8 /
SURVEY
BY:
DATE L . fb fr
14180 West Trunk Hwy. 5
Eden Prairie, MN 55344
(612) 937 -5150
/
/
/
/
/
/
/
/
/
EI1
/ , 0..r!
',/ED
I Date: 1/29/98 I Job No: 95198
Lots 13 -14, Block 2
wee t wooa 1 7-'r i o resse EaTy De PT. 1n c
DATE: - /P
BUILDING INSPECTIONS DIVISION
865.0 denotes existing elev.
(865.0) denotes proposed elev.
—�- denotes surface drainage
EIAIBIAN
HOFFMAN ��s INC.
Use BLUE or BLACK Ink
r____�___________�
I For Office Use r�
, ; ����3� �
Permit#:
� � � I
(� ' J Sa' �
1 O " �� i Permit Fee: ` � �
3830 Pilot Knob Road
Eagan MN 55122 � Date Received: �
Phone: (651)675-5675 I �
Fax: (651)675-5694 I Staff: I
i �
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
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1L J��l S� L{t�t� Cq;�.��t. -r.w�, tAe, �c"�'u�-�`� P � � i
Date: Site Address: Unit#:
� �mName:o..a._��l t'�w.�� �u��G,..,,�._j�.�i/C,,.S__ u,� ��k�,.._�.s„��.�.. Phone: v .x.�.,�,.., �a.��....,�,P,�..,�..��.,�
� RLSiCI@t�#/ � �
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� Qyy�g� � Address/City/Zip: �
' Applicant is: Owner Contractor
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� Description of work: �1✓�� �
�: Typ� af V�lori� ;
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�� ��� Company: l>t��S� �{1�� ���1� �l�c, Contact: ��-S ��'t r�� ��"' �
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� Address: �S� ��G7� 'b��` � � �s� City: �
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� � State:�Zip: gs��� Phone: 7�3-�.���vn'�� Email: ��� � �at�;J��n,cY�1 ���vl-
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License# /,G '��� �1�.3 Lead Certificate#:
�,n,...��..�..s.F�,..�.�...���.�.�..,....�.��a���.a.�.,.� ��.�...�,,,,�,,��,��.��,��.,�,��m��..,�.z... .e.�K�,.�.,��..�..�„�...��.._...�,..� ....�.�.x.,�.�....µ�..�._�
� �' If the project is exempt from lead certification, please explain why:
��,..� ,�....,�.,_�.�. ��,.�.�. ,��.d���,��.��.,.��.�� 4_...��.,,.u..� ,���,�,.�..,�.�,� ...�,. �,.�,.� �
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�J7'E.P���s a�►d st�p�art���do�tr����s t�a.�yo�r s��r��f a�°e cv�c�red to be pu�l�c%r�f�orra�ti�. Pp�o�s o�'�
: t�e i��'vrma�io�r�a�be ctas���ed a�n�n p�tbtic i�'y��pro�E�ae����c���sc��s t#�a��vcu�td perr��t t��C��y t� �
� c�r�cJ�ci��h�t t�ae�are tra�le,s�cre�s, y� �
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. wuw✓.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 perrnit, 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 180
days of permit issuance.
X �l�l�f T Yr�(e������� X --�
b
ApplicanYs Printed Name Appli s Sign ture
Page 1 of 3
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PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA160844
Date Issued:04/17/2020
Permit Category:ePermit
Site Address: 4443 Lakeshore Ter
Lot:13 Block: 02 Addition: Cliff Lake Shores
PID:10-17785-02-130
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures
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 (miscellaneous)$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 -
Gary D Griffith
4443 Lakeshore Ter
Eagan MN 55122
(651) 253-0411
Podany's Plumbing
1218 Sugar Ln
Chaska MN 55318
(952) 448-2709
Applicant/Permitee: Signature Issued By: Signature