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4462 Lakeshore TerPERMIT City of Eagan Permit Type:Plumbing Permit Number:EA110906 Date Issued:06/03/2013 Permit Category:ePermit Site Address: 4462 Lakeshore Ter Lot:17 Block: 03 Addition: Cliff Lake Shores PID:10-17785-03-170 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. Renae Frienwald 2200 Hwy 13 W Burnsville, MN 55337 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 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 - Margaret B Wall Tste 4462 Lakeshore Ter Eagan MN 55122 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA110907 Date Issued:06/03/2013 Permit Category:ePermit Site Address: 4462 Lakeshore Ter Lot:17 Block: 03 Addition: Cliff Lake Shores PID:10-17785-03-170 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Renae Frienwald 2200 Hwy 13 W Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 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 - Margaret B Wall Tste 4462 Lakeshore Ter Eagan MN 55122 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink r-----------------, i For Office Use � • � Permit#: � �U L ( � j C��Y O� '"�� I Permit Fee: l v�� I 3830 Pilot Knob Road � j Eagan MN 55122 � Date Received: � Phone: (651)675-5675 I � Fax:(651)675-5694 � Staff: I I � 2015 RESIDENTIAL BUILDING PERMIT APPLICATION �ate: 1� I��1 S� site aaaress: ��Z ��r,t�Y�� V✓�c..t.. ��at,,,,,,., �/0�1 S'S�� unit#: ;1" � ��Name:ub, /l �l�f�e� . A�� VLS,.,._a__..�.R„��,.�.. s�,�,�,.,�...�.Phone: ,��,,.�._..,�.x..,��,.w..M�..�..�,�.�...� ` �./ � REsi#�f:n.tf � j��v�-_ � Qyy��;r :� Address/City/Zip: � �� Applicant is�� Owner � Contractor �� , ��.�� ? � Descriptionofwork: ��►'�� T�� +Df 1lk�Qrk � � � Construction Cost: Multi-Family Building; (Yes /No� � � � �Company:�t�� (�-h�� L��(,�°1 ��ac._ Contact: C�'�`�-T �� . �n-"' � �� 35e-b v'c�1 bwt- li/`1 �J S'u�ft '�.�.s/ cit ��' � � �� an��ra�tor ° Address: � y: � � � � � State:�Zip: �Sy�� Phone: �G3-5.��vn'�� Email:, �� av��.I�r�w��"�� /� � L�cense# �>G '�� 1.3 Lead Certificate# ��,mw.ti.,,..,�,��.�.�,...�..r,��..�.,._��.��,._.��,�a.,��...�.��.��,.�_�,��.,�.�.�.�,„a,.��tiH,.«..,..�,�,��r�,.,�,,,,a.,..,........�.�.x.��,.,�,_.�«,,.�.n�..�.,�.�..�.�.,�„�,, � 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? � 1 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�':f'��ans a�d�crpport��g d�r��r�#�t�rat yo�sw�r��e c�r�s�a��ed�b�e�ubl�c��r��o�, t�o�o�s o�' �#�Q cnf�rma�v�r�aa�r 6�cl�ssi�ed as n�n p�abl�c ff y�tr proa�i�le spec�i�rea�c�t�s t�at w�c�tl�1 p��e C'f�ty ta' cor�c�de r��t`t�e ��e�a�l�ssc�et�s. � 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 180 days of permit issuance. X L u1 f �rr�c��."�-- X �-z_,___—. ApplicanYs Printed Name Appli s Sign ture Page 1 of 3 For Office Use (1 Permit#: / 711AE AG N Permit Fee: Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 OJ/ (651)675-5675 I TDD: (651)454-8535 FAX: (651)675-5694 Staff: buildinginspections c(Dcitvofeagan.com L 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: q-11.1`6 Site Address: 4414aZ• l-c.Xeiore- ' r'fCtC2� Unit#: = Name: 1 ixepartA' IZtw1\ Phone: Co1Z-2Y7-5S/S ,Resident/ Owner 0 . Address/City/Zip: 4z/( Z LaKe s re- /arme.e- Applicant is: Owner X Contractor D Description of work: i% DeLl�t h + 'epi✓�► eA %Y%S cter—u- cctivYlL ��rpe of-Work:� � IO Construction Cost: 'IZiS� Multi-Family Building:(Yes X /No ) Company:�p.,yne rw c,- T'S1y1l3tA1CG=Yle-. Contact: ... 01,1,v1- Address: .. 01,1,v .Address: 5rizo I4 . AD_ 44/Q7 City: /`" , I/L�,ky .Gan#tactor� State:ONO Zip: ,4721/ Phone: 9-#5/-/175 Email:t..2puel 1 b• b(Z License#: 13C-Ia,1OZ3 Lead Certificate#: ZCxc,-11- 2- If 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 Portions t f the information maybe , ,.,i£/assifieol as non=%iublic afyou protrtde,specifp masons that,w.o,,u,(dpermit;the City to conc(uvtp,that#,hey,^arewtratle secrets �' You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaoan.com/subscribe. 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. 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 I understand this is not a permit, but only an application for a permit, and work is • e • : ithout a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and aper. - • plans. Applicant's Printed Name Appli s Signature 41(--&A b-k&Sifew, 7.c/✓DO NOT WRITE BELOW THIS LINE /S%7'V'. 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 20 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 /7 2 I bO ) Occupancy , I G MCES System Plan Review Code Edition . Mr Zfl/c SAC Units (25%_ 100%P ) Zoning P Z City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction (.1 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: ?viewed By: / ill 7fi- ,Building Inspector !SIDENTIAL FEES Base Fee 12 0 5/. f i G Surcharge 41/5. a 2 S . / 1' Plan Review e MCES SAC 0,,,y►: „1 ,." City SAC 2y fl01D- f5)`, Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page2of3