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4478 Lakeshore Ter PERMIT City Of Eaga11 Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA133241 Eagan,MN 55122 � '' Date Issued: 09/30/2015 (651)675-5675 www.ci.eagan.mn.us 1 ' 0 9 LL U� Site Address: 4478 Lakeshore Ter Lot: 9 Block: 03 Addition: Cliff Lake Shores PID: 10-17785-03-090 Use: Description: Sub Type: Single Fam Construction Type: Work Type: Day Care Inspection Description: Census Code: - Occupancy: Zoning: Square Feet: 0 , Comments' Jennifer Herman 612-916-0201 I I Fee Summary: Day Care Inspection $50.00 1221.4216 Tota�: $so.00 Contractor: Owner: - Applicant - JENNIFER J HERMAN 4478 Lakeshore Ter Eagan MN 55122 I hereby aclrnowledge 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. Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink - � r-----------------, I For Office Use � . � �� C��T7 0� n�� Permit#: � i � 11 � ��P,�� 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 S'.fi z Z ��l7(�`�1�17� � � .I, � N Unit#: Date: � � �S �f� Site Address: � �� °d� ��a � � �� Name: t✓1/!"�.0 ��%��, �f'��'.�..,�.�.� e,., ,�..�_»w..o� Phone: ,�....�.�...�..W„�,...�,�.._d..�.�.�� 1�IT�� AddresslCity/Zip: ��7�'` w�7� ��j.�-ooL �-ci�s��cc� � C�--, �;J .�.s/2� , Applicant is: Owner Contractor ��.�� Description of work: J��r i� T�e afi i�Jv�i� ,J � Construction Cost: /ryl �' �� Multi-Family Building: (Yes /No� � �� Company: .,......,�.n�.�x v�-( ��'h%r�r�oy-�...�m..�.�Contact: ��5 ��°� ka.,�, .�,�.�..� �fx r J ,LL)7r. � �� ? r� � � �'��,t //or�� . � � Address: J5� VjG�S�,�� G� � �u 3S/ City: ��'/z%�7.�7h � COi!'��1'�C'�i01' ; � (�i1��,�(�3..I G� � � State:�Zip: �Sy�� Phone:��3�'.SS6-Q��13 Email: �'�1"c� �uG��r,rr�� ' � License# ��v � �7 /� Lead Certificate#: ....�.�,.��,�,......�_.,�,.�.,�..�.w.,s�...�,_..�..,,,�,.._��,��,.,,�...�_,.�,.,rt,.,�.,�,�,...��-�.�.�,��..�.�,.�...,.�..�.,�.,s�,_�.��._...�..�..,�.�_,..�,�..�� M�,.�....w,� �� 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? a � 3 Yes No If yes, date and address of master plan: � � Licensed Plumber: Phone: � � Mechanical Contractor: Phone: � � Sewer&Water Contractor: Phone: � � Fire Suppression Contractor: Phone: �l��T�:F��s arr�d sct��a�i�g d�acu��erats tfiat,�ou�w#�#�re co�s�F€.�'�d t�be p�r�i�r��. l�r�s c�' t�e kr�'�r�ra�o�rr�ay be cl�assi�ed as�t�n p�b�c ��ro�le;speci�c rea�►�s�lha�t�Fa�fr�p�rr��t f�r�G�+�a � cor��de t�� are t�^ade s�c�. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call48 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 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. x L.��S �Y�jG�,� X �— ApplicanYs Printed Name App c s Si ature Page 1 of 3 Use BLUE or BLACK Ink 'C r For Office Use 1s1 Permit#:��Ceity 0� Eapil : 3830 Pilot Knob Road Permit Fee. j / Eagan MN 55122 Date Received: /-.3/-/7 I Phone: (651)675-5675 JAN 3 12017 I Fax: (651)675-5694 Staff: 1 , I ,, 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 1/3 2.417 Site Address: Y'f 7.9 I-k)si^,,t_ cc Unit#: Name: Jni � � �'r� /JefeMi (-1" y�� Phone:.. 6s-1-7-06-68 Y) Resident/ U IOwner Address/City/Zip: 4 Y-7e 4q le-e4r�7—e-' Ge c _c_ Applicant is: X.Owner Contractor TD I Type of Work Description of work: >� Carh"v t) Construction Cost: 36,0 0 0 Multi-Family Building: (Yes /No K ) ' Company: 57 0 wry 2,-' Contact: i Contractor Address: City: State: Zip: Phone: Email: I g License#: Lead Certificate#: 1 If the project is exempt from lead certification, please explain why: ,,,,Q,—. k n.Q I i t COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING I f 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: i Licensed Plumber: Phone: I I. Mechanical Contractor: Phone: II I I, Sewer&Water Contractor: Phone: 4 I I Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of 1 Ithe information may be classified as non-public if you provide specific reasons that would permit the City to ate conclude that the 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.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 State Building Code must be completed within 180 days of permit issuance. x jrr.erKy Cr-A7,fi4x ` Applicant's Printed Name Applic drys Sign' ur_f Page 1 of 3 " /`7 7g L 1 c,z' DO NOT WRITE BELOW THIS LINE /L/7 99; 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 ifC Alteration Fire Repair Windows Demolish Foundation Replace Repair Egress Window Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION cti Valuation Occupancy i ,-7` MCES System Plan Review Code Edition k' st `o) SAC Units (25%_ 100`)/0( ) 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 Foundation Before Backfill )( HVAC_Gas Service Test Gas Line Air Test Roof: _Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final X Framing X. 30 Minutes 1 Hour Drain Tile Fireplace: Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick— EFIS Insulation Windows Sheathing Retaining Wall:_Footings_Backfill Final Sheetrock Radon Control Fire Walls Fire Suppression: _Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: , Building Inspector RESIDENTIAL FEES ! Base Fee frt.- �;�^ .k:'' Surchargev Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge / Y0 - i Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA167485 Date Issued:03/17/2021 Permit Category:ePermit Site Address: 4478 Lakeshore Ter Lot:9 Block: 03 Addition: Cliff Lake Shores PID:10-17785-03-090 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door 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: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - Jennifer J Herman 4478 Lakeshore Ter Eagan MN 55122 (612) 916-0201 Home Depot Usa Dba The Home Depot 2455 Paces Ferry Rd Atlanta GA 30339 (763) 852-1044 Applicant/Permitee: Signature Issued By: Signature