1840 Cliff Lake CtCITY'OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
• , ?A?t E I
? t 1 ( f?z 1 .iltliy ?
PERMIT SUBTYPE:
0
i c+1 r,+r
REC4RD
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
I :.1 ?' r „•,.? ??:t4f i
TYPE OF WORK:
, , . I . , ? I I w
f3t11! 0 1
Nf1
lS;i{lRIA!1
ar. ?:?r lar
WEw
t(+ F q il Nt T 5
INSPECTION
D• . .A
iik'.: ?,M.I !'I IJMhfjr iil rl, t i iI ?,i I II1 n lNt.l 111.itN6 XN42, 1644, '!84
?
?
Parmit No. Permit Holder Date Telephons •
'ELECTRIC
PLUMBIN(3 g 1 q7 ' S
HVAC 9 S7 t4
7
Inspectlon baf Insp. Comments
FOOTINGS
G - z-q7
MS
FOUND
(0
?'•Cl
FRAMING 7 y 3?? µg
ROOFING
ROUGH
PIUMBING
PLBG
AIR TEST
'
ROUGH
HEATING
?-'J(-L17
lv,Fj
GAS SVC
TEST ?
INSUL
!
GYP BOARO
/
FIREPLACE
o?J 7
FIREPLACE
AIR TEST
FINAL PLBG
C
FINAL HTG
!
ORSAT
TEST
BLDC3 FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
OECK FINAL
INSPE
CITY bF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS: 4401 ,.
i A Y ! f'- T
i11 f .liril;f ',
PERMIT SUBTYPE:
4N RECURD
PERMIT TYPE:
Permit Number:
Date Issued:
fii APPLICANT:
? ?. ?;• ) il't.j At:(9 r
TYPE OF WORK:
1 1 ; fiw
l'i i.it:i 111 a
a:3eng+:,z
wr. t -- i i+?7
N f= W
1. Of 0 1114ITS
INSPECTION .. • .•
r t ?int i 14 i, t r.11,
i i? i?i • i 1???? , •„
? 1?'?r'?I I'? l?i? . I lf? ..
kf: fRA Rk ; e `;l-41 P ! IINC f. (; I !f MIF 1 MF I IfAN t i.ql
I ol 4 INi l!?DINli tR44, IH44, 1144r:
Permft No. Pertnk Holder Data Telephona #
ELECTRIC
PLUMBING 7 7 5o7` G
HVAC ? /9 9 P-?5
Inepectlon Insp. Comments
FOOTINGS
L -L-9?
M3
FOUND
Cp ` !
FRAMWG ?? aA
ROOFING
ROUGH
PLUMBING
AIR TEST ' (J z2 z/
ROUGH
HEATING
xvq,-94
?
GAS SVC
TEST
INSUL
GYP 80ARD ???Lr 7
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
. CITY .. OF EAGAN INSPEC
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
, (612) 681-4675
SITE ADDRESS: , „ l
+ I Ah t ? t
1 t i Fy? ? .tli?{tt `, ,
I PERMIT SUBTYPE:
TYPE OF WORK:
:11 , J. t: i I i-il
1411111) i M(i
W:iNAsl
N !, / 1' l / 4 '!
N t l,1
1 /1F A !!N I'fS
INSPECTION D. • D•
?• . , :?
;,?.? ? ?.?i, +•?i1it ; I?ii:
R1'MAkk!i :'yJyl,l F'! lIM1iF FZ 41F N
?
N
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
? .? ? ,' ) >i'i,; •ti41t3i
iI Ai 1 t)f• A TNt ! it1+1Nt:i 1040. JH4:'
Permit No. Pertnlt Holder Dato Telephone #
ELECTRIC
PLUMBING
?.3SGgG7
FOUND
FRAMING
ROOFING
ROUGH
? -
PLBG
ROUGH
HEATING
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
OR$
TEST
. ,. INS
'CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
. :SITE ADDRESS•
ON
i • I ii t A !t LtiC ?
i., ? ° IIF l Atl
PERMIT SUBTYPE:
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
TYPE OF WORK:
f:1J11 f1IN?
A.9AV30
At?? /: y I±?J
wFw
I uf a ++N r r.1
INSPECTION D. . .A
! i'API I hJl, .?+t I ;J+.
l t?j} I !? I { ! t'. ? ?
fi S? . I i7), i I i ? I
1 I N(! ('1 flti
kr?qAfcF: ?:? ?,F<E1 4.1 IfMH? H 1.1f Ntf 1 Mt I IcAN fI nt
1 tlt- 4 tNt llllilN(, LRAN. I11`197, i044
Permit No. Parmit Holder Qata Telephono N
ELECTRIC
PLUMBING w //9'J V-A
Hvac /9 7 1&2S-(vg4
In4peedon t Insp. Comments
FOOTINGS Sa i l5. - C?w,y
FOUND
C?
FRAMING ? .
ROOFING
ROUGH
PLUMBING
l
PLBG
AIRTEST
? 3-- '
ROUGH
HEA71 G
?/z??Q'
GAS SVC
TEST
?jy/',1
YZ
?
INSUL 7 n
GYP BOARD .f- z? ?7 AAB
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
J? y
FINAL HTG
OFSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
DateQ
__Q _ /a? J C)? ,,
Site Street Address ? o?, c 1? ?Cr/? Ct Unit #
PropertyOwner R&L V C[,n.? ?n(\ Telephone# ((cbl)
Contractor D?Q. 0 ` 1.?,Y11: Y?1 i Telephone #0?a) Z16 9:16ay
Address n2 Q h I?1/?i Ku!LLe, Statej44) Zip 6
-I
The ApplicaM is: _ Owner , ?ntractor _Other
Alterations to existing dwelling $ 50.00
` Add plumbing fixtures (excludes water softener and/or water heaterv-complete next
section if installing these appliances).
`Septic System Abandonment
_ Water Turnaround (add $125.00 if a 5/8" meter is required)
Other.
Water Softener / VWater Heater
_ new V replacement $ 15.00
Lawn Irrigation _RPZ _PVB _new _repair _rebuild -
$ 30.00
State Surcharge $ .50
Total $-/?
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be.. in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an appiication for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approv d.
Jenn u Oa f ao lL5
ApplicanYs d?dnted Name Ap anYs Sig ture
?,l FEB 2 8 2005 ?
LOT SURVEY CNECKLIST FOR RESiDENTUU.
• BUILDING PERMIT APPIJCATION
PROPERTY LEGAL: j- `-? gjL /
?
? ,?
OATE OF SURYEY: ? s
LATEST REVISION: G
DOCUMENTSTANDARDS
• Registered Land Surveyor signaWre and companry
? • Buiiding PertnitAppiicatrt
? 13 • Legal descriptlon
6Y ?
?U ?
C3 • Address
• North arraw and scale
2'?' C3 a • House type (rambler, walkout, split w/o, spld enby, lookout, etc.)
? 0 • Directlonai drainage arrows with siope/gradient %
1 ? ' ProPosed/eiasting sewer and water services & irnrert elevattan
3 0 • Street name
G-" ? ? • Driveway
ELEVATIONS
? Ens a
? • Sewer service (or Proposed)
0 a • Property tomers
cr--? ?-? • Top of curb atthe driveway
? ?? • Eievatlons of any exstlng adjacerK hames
Proposed
13"?Q ? • Garage floor
2"'C3 ? • First floor
? 0 13 • Lowest exposed elevatlon (walkouUwindow)
Q"' ? ? • Property comers
0- C3 C3 • Front and rear of home at the foundation
PONDING AREA Cif aooliqblel
0 ?j 13 • Easement line
C3 ? ? • NWL
? ?/ ? • HWL
Q 13 • Pond # designation
? 0 C3 • Emergency Overflaw ElevaUon
DIMENSiONS
• Lot lineslBearings 3 dimensrons
?? Q • Right-af-way and street width (to back of carb)
C3/ 0 ? • Propased home dimensions inGuding arry proposed decks, overhangs greater than 2',
porches, etc. (.e, all structures requiring pertnanent footings)
?13 cl • Show ail easements of record and any City u6lfies within those easements
?? a Seffiaclcs of propased sbveture and sideyard setback of adjacent ebsting ?ructures
? • Retaining wall requiremen , N any
- Reviewed:
ame / ate /
.lanuary 1998
cnAqi oae1eLocovRMrYM
PEIZMIT
CITV OF EAGAN
3830 Pilot Knob Road
Eagan; Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-17785-010-01
PERMIT TYPE:
Permit Number:
Date Issued:
1840 CIIFF LAKL= CT
LOT: 1 BLOCK: 1
CLIFF LFlKE SHORES
BurLozNr,
030049
05(27/97
DESCRIPTION:
1 OF 4 UNITS
? BUf?:!d„ing Permit Type SF DWG
. Woi-k Type NEW
US'C OCCU{?Ancy R-3 U-1
Cortstruaticiih, Type VN
Zonznq _ ';:-? PD
Suzl,d},ri? Leng t'I' 49
? SuiJ:dirGg 5t3dth n 30
Gebsus Cade 102 1- FAM. A7TACH
i. -
?
j?
C..l?M`.,'S€
_ t?..
REMARKS: •
S&W FLUMBFR ,- WE.NZEI_ MECWANSCAL
FEE SUMMARY:
Base Fee
Plan Reviaw
Surcharge
SAC
SAC %
SAC Uni ts
Subtatal
VALUATION
7 0F 4 TNr,I_uozNC 1s4za 1844, 1816
$97,000
$868.50 MISC FEES
$564.53 Total Fee
$48.50
g,95@.00
100
1
$2,431.53
$1.539.50
$3,971.+d3
CONTRACTOR:
HOFFMAN HQMES TNC 18949807
2214 E 117TH ST
? SURNSVTLIE MN 55337
OWNER: - Applicant -
H01=FMAN HOMES INC
2214 E 117TH 5T
BURNSVTLLE MN 55337
(612)894-9807
?
I hereby 4cStnowTedge that I have read'this app7.ication and state tdiat th'e
informetian is correct and agree ta camply with ali applicable StaCe af Mn
StatuCes arrd City qF Eagan EirdinanceS,
? • - . we. _ > _.. . ..?
?
Ki.Y.?.<.?-?N E IR.n;?I I?_
A LICANT/PER I E SI IATURE ISS?ED Br. S R
t p 1997 BUILDING PERMIT APPUCATION (RESIDENTIAL)* -3 7 '/ , 03
CIT1f OF EAGAN
3 ? 3830 PILOT KNOB RD - 55122 ??? M-0
681-4675
New Gonstruction Reauirement ggmodeVReoair Reauiromenh
? 3 rogistered stte surveys ? 2 eopies of plen
• 2 coples of pWns (inUude beam 8 window saea; poured fid. desipn; etc.) ? 2 ske surveys (exterior additions 8 dedcs)
? 7 energy celwletions ? 1 energy calculetlons for heated addRions
? 3 copies o} tree preaervffiion plan if lol plalted eRer 7l1/93
requiretl: _ Yes 't- No DATE: SI , g(9-i' CONSTRUCTION COST: ? R? ? 00 rJ
DESCRIPTION OF WORK:
STREETADDRESS: IC649 (-Lkf'r- LAvj-- -Aaw
T ? BLOCK ? SUBD./P.I.D.#: G??F`?F ?AIC,N SN?nks ?o-V"k'?85-o1?-a?
9-Psx Gors a,3. 73
PROPERTY
OWNER
CONTRACTOR
Name: NoFfr4n.l 5?c. Phone#: $`tA-`lSo'}-
u.. ?.
Street Address: 2zl`t E. t 1-VTw Sc.c.eC??-
City: State:'F'?d Zip: SS337-
Company: Phone #:
Street Address: License #:
City: State: Zip:
ARCHrrECT/ Company: M?ONC--ro,-,wwo- DES;40 Phone#:
ENGINEER
Name: Registration #:
Street Address: $O W" $? Z t °
City: CA-aPO NASgQrj State: WvJ Zip; 5561 "+
Sewer & water licensed plumber (new construction ony): WECJ'ZtL wECrt m,XGM- . Penalty applies when address change
and lot change are requested once permit is issued.
I hereby acknowledge that I have read this application and sfate that the infortnation is e Frec nd agree to comply with all applicable
State of Minnesata Statutes and City of Eagan Ordinances. ^
?-
Signature of Applicant:
OFFICE USE ONLY _, i j'??+ Y
Certificates of Survey Received yyes _ No c`;?; %
i ?
Tree Preservation Pian Received Yes No Not Required 7i?AY
r: _-_
BUILDING PERMIT TYPE
? 01 Foundation o 06
?02 SF Dwelling ? 07
0 03 SF Addition o 08
0 04 SF Porch ? 09
0 05 SF Misc. ? 10
WORK TYPE
,e-31 New o 33
? 32 Addition ? 34
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
2oning
# of Stories
Length
Depth
APPROVALS
Planning
OFFICE USE ONLY ",
Duplex o 11 Apt./Lodging ? 16 Basement Finish
4-plex ? 12 Muiti Repair/Rem. 0 17 Swim Pool
8-plex ? 13 Garage/Accessory ? 20 Public Facility
12-plex ? 14 Fireplace ? 27 _Miscellaneous
= plex ? 15 D
Z -,5-Tzo Ci/v?.
Alterations o - ----- ----?
Repair o 37 Demolition
1
Basement sq. ft. "V
4 MC/W5 System ?-G-
K Main level sq. ft. soS City Water ?
- Z
sq.
ft.
97y
Fire Sprinklered
6 sq. ft. PRV
? sq. ft. Booster Pump
? sq. ft. Census Code. o z
?O Footprint sq. ft. SAC Code a i
Census Bldg i
Census Unit /
, Building ',e! Engineering Variance
Pertnit Fee Valuation:
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W 5urcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies -
Total:
$ 97 000 "%
? •?.`!
G?
. ?
G?
°k SAC
SAC Units
/1995 10:13 6129344305
C: MINNETONKA DESIGN PAGE 12
EX7ER10R ENVELOPE AVERAGE "ll" COMPUTA'f10N
?,. . . ... ?...
--
SI7E ADDRESS.: PHONE:
CONTRACTOR: C??!'i'm(?N WOp1?C PiAN #?.???L?
Determine working square footage of each
• 1. Total exposed wall area..._. 23?(p sq. ft, x.11 = 2SC.o -'?tA
2. 7otd1 roof/ceiling area..... I ?Q3O sq. ft. x.026 = 2?.(.p
Total expo5ed wa71 area above,floor=
,. a. Tota1 wa11 viindow area ......................... ? ?c?.,?(
b.' Tota] door area.... .......
Total slidinq glass door?4rea .............'..........., --??,,?
d. Totat fireplace wall area.. .......-...? ................. ??,??
e. Total wall framing area (average 10%) ........ ........
............
f. Total rim joist area .............
9• net well area a6ove floor_. ."""""" 2
h. wa17 area above floor.........
?
' .................................. •?1
i• wall area a6ove ftoor.. .
.......... " " " "
3• ?fi a rme wa11 area at foundation ..................... ...........
7ota1 exposed foundation area= ?
k. Tatal foundation window area..........
1. Tota1 net foundation area above grade ..............
Determine "u" value of each wall segment ?
(e.g. window, door, eaCh separate wail section)
a._ 10?4.1? x-- u???..... ? 51 01
? --?--?
• b. g "U"
?
c. 33133 x ??U"
? d. X
x„u„ UO ? 1,21 '
f. T X „U„ -z
X l,u„
n. x „uii _
i. X
.i. x l,ull _
k. X..u„ _ If item N3 is the saR
as, or less thdn item
X.?. 91, you have met the
`?^ intent of S9C 6006 (c
?
995 10:13 6129344305
' tdINNETONKA DESIGN
?' .
.
PAGE 13
,
`
+i''?TQTA(, ?%PpS[0 It00F/C! 1? I NC GILCULAT?OIIS :
Totalexpoud
rroer/e•l l Inn
a......,. -
s4 ft
Total •kyf 1 he ar
9 a+?....... '
s9 ft xItu,l
i?
k) Tacal roof/calllnq frawtng • ?
.
---•_.
. . •rna (Averspa ?
gQ fti X•liUu
i) Totri net lnsul
ted - '
q
roof/Celltnq erQa...._ ?qv
..
sq ft xI,U,.
*
'
4. ti . ??. .
1 f TOTAL J) thru 1) 7Z,'?
toCa) aF 14 Ts the same as, or )ess ehan R2, you hava rqet thc
' Z`ICAII 1.16008 X nd Q, tntent of
,
? . , . .
` . AX7[1MATE BUILDINC iNYEtOPE dEStGI[ • .
Yo
: of utitfxe the tatal envalcpe S"tap rethod. •Lha
ttaas fl; and 14 sha11 values es[sb]-ished by thq sum
noc 6e greatsr than tha
1 sum'of Iems N? u,d r?,., -•
.. ..
.. i. 2. -
. . i
?• 3' ' {- 4.
' . • . . . .? .
. `
,
10:13 6129344305 MINNET0N1<A DESIGN
* LINEAL FEBT EXpOSED wALL
? ,. BLOCK:
.
A.. ' .
KMEE•
4JALKOUT:
FULL 1 •
?
FuLL z : I 2
3
.
FIREPLACE:
RIM: ?4t
SQUARE FEET EXYO5ED AAtL ABEA
BLOCK:. '
. x
KNBE: ?
x 5
WAt,KQtJT:
X 8 ?
FULL 1:
FU[.t 2: ) ?"? x 8 g`1?C`?
? FiREPLACE: •
X a
? RIH: a+K
1 a 2`?•?
X
- IVIA6
SQUpRE FEET EICpOSED CEILING 23`1(0
I IOO?
WINDOWS: DOORS:
2?p4o kl-tr 11
ZCoSO ??? 2g.C? PATIO DOORS:
-ICO Za I
?Z" SIL?I:UGHTS BASEMLIT UNITS:
--??.
SKYLIGHTS:
PAGE la
i 10:13 6125344305 MINNETDNKA DESIGN
% Crt' OP09U8 Wd I 1 irft tt3f'
: CL]n6hv?lCt
EIG. Y?1
CbNSTRUCTTOAi- FRAMINf;
1,
2.
3,
4.
S.
6.
NET
=- la
1. 17
z,
3.
4.
5.
6,
U= .04
Sil? ?$f4LFit
zG. iQj
. ?
.
? 0 •?
??-
? n e ??
' .?
,
.
. `?
._....?._? ? • ? } ?
? ' a •. • • f a,, .
1.
2.
3.
4,
5.
6,
PAGE 15
R- VALUE
U= .09
U= .04
BLOCK
1. IAffF:RIOR AIR f'II1d
0.68
2.
3.
5. ?TVE BAhR1F1t 6,
- • . U= .14
SIAB ON GRADE
? ? ? ? ? •? 5 1
` ? r? !• ? ?
? ?
.
h V ?
?
---
!li -• ' ; • ' ' ` ?-- I 11
Nx c. a4 -- ' _
• ?? lU
LLL s
, ..
?
NM'£: 7NISICATE TYpE, ?rR?r yAL7JE. DEP1'ff qND
PIACf74NP OF INSUTATION.
PPAAV WALL.
XNDhTICaG)
WkLL
MIINNETONKA DESIGN
PAGE 16
CONSTRUCTION
' R-
2. 5N83. IN lif
4• EX
U _45.80
.02
fZG. #5
A ?.m F'UOW
uUP
FRqME
?.
INTEP
?
.
3.
4. -EYTrr
COi4STRUCTION
7.. INSTllE AIR FILM
2.
3,
4.
5. ----------- A i$_ F I LM _
U
Fzc. #6
FRAME
: --?_
' 1. INSTDE AIR FI(,M
2• ' 0.61
3.
4.
' S???TS- TI?FiAi,
u _
1? INSIDE AIR Fx?,M
2.
3.
4.
5. I LM
U =
NOTE: USE ADDITTpNAi, SFUTS IF MORE 5PACE IS
NEEDED FOR DEGqILS ANp
CALjCLL4TI0N5.
: 07
nturE Fi,CXy Up
" ` 0.024
NfJN--VII?1?p ?
? T FLpW
40?
I'IOFFMAN HOMES, INC.
2214 Enst I171h Street
Tdephone Burnsville, MN 55337
(612) 899-9807
pox CONTRACTOR A' 9284
(6I2) 894-9878
Mr. Joe Voels
City of Eagan
Plan Review Department
Dear Mr. Voels,
This letter is to inform you that Hoffman Homes, Inc. will be using the exact same plans
for the layout for Lot(s) i, 244 , Block k , Clift' Lake Shores, as were used on
Lot(s)zi-zt , Block i , Cliff Lake Shores. None of the structural buiiding
components, HVAC, plumbing or electrical will change from engineered drawings dated
Sincerely,
J?. ?
Patrick C. Hoffman
President
PCH/jem
pcWeaqlv
.CItY"OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDING
030052
@5/27J97
SITE ADDRESS:
P.I.N.: 10-17785-020-01
1842 CLIFF LAKE CT
LOT: 2 BLOCK: 1
CITFF LAI;E SHORCS
DESCRIPTION:
- 1 nF a ur?zrs
1`"??a???.?'4ing Permit 1'y?ae SF DWG
!? Suilditlg Work Type NEW
U8G tFeGUp*Pcy R-3 U-1
` Cbnstru¢ta'#n,` 7ype VN
Zoiiing ' -: PD
?ui,tding .?,engtt' 44
Buil3ing €fidt1? ? 30
? Census Cade j 102 1- FAM. ATTFlCH
?
I.,.
1 d !
°ui^v
REMARKS:
5&W PLUMBER - WENZEL MECHANTCHL 1 OF 4 INCLUDIIVG 1840, 1644, 1846
FEE SUMMARY:
VALUATION $97,000
Base Fee $858.50 MISC FEES $1,539.50
Flan Review $564.53 Total Fee $3,971.03
Surcharge $48.50
SAC $950.00
SAC 100
SAC Units 1
SubtoT.al $2,431.53
CONTRACTOR: OWNER: - appiicant -
HOFFMAN HOMES IIVC 1E949807 HOFI=PyIAN HOM1'IES INC
2214 E 117TH ST 2214 E. 117T11 ST
BURNSVILLE MN 55337 BURNSVTLLE MN 55337
(612)844-9807
r
S hereby ecknowledgs thaC I htavef read thi:s apj)licatiort and sCetB Ctsst ttte
infarmatioCt is corroct and agree_ to corriply with ail applicable State of Mn
5tatutes and City crf, Eagan Lirdinarscej,
AP5 ICANT/PERMIT SIGNATU E
( ISSUED B SI A E
1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) 3-r'j 2/ 03
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
681-4675
New Construction Reauirements ggtnodeVReoair Reauiroments
? 3 registered site aurveys ? 2 copies of plan
• 2 copies of Dlans (indutle beam 6 window a¢m; poured fid. design; etc.) ? 2 sfte surveys (exterlor eddidons 8 dedcs)
• 1 energy calculations ? 1 energy calwlations for heated additions
? 3 wpies of tree preservation.plan H lot platted after 711193
requlied: _ Ves No -
DATE: S?(°I I a --r' CONSTRUCTION COST: ? 5?'i o a o
DESCRIPTION OF WORK: RES:Q>6 ?fY't/ _ Tow?XO?
STREETADDRESS: t %`t i' G4?? L-Au- Cp?-+
?
I0T BLOCK t SUBD.IP.I.D. #:
5'•.?c.sx ?'? Lorr /, 3, d S?
PROPERTY
OWNER
CONTRACTOR
Name: PwFF#&A,-' Phone #:
w* rvsT
Street Address: 2L `y E• ???T'? sr.
City: B?w.n ?? ux State: "? Zip: 1;,s33 T
Company: Sa,..e- Phone #:
Street Address: License #:
City: State: Zip:
ARCHITECT/ Company: ? ? ?++rTa?k?s Dts? 46? Phone #: 93 ?f
ENCaINEER
Name: LY ?-? `L? '-; IJ Registration #:
Street Address: ?° ?"? • ?'g?? g???c ? Z+'
City: 'C,
ANJ i-rState: Zip: 5531?
Sewer 8 water licensed plumber (new construction only): Penaliy applies when address change
and lot change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the information i orre and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Appiicant:
OFFICE USE ONLY I yA 1 Q 1997
Certificates of Survey Received ZYes _ No uVi
Tree Preservation Plan Received - Yes _ No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01
0;2(--02
0 03
O 04
? OS
woRE
,e 31
a 32
Foundation ? 06
SF Dweiling o 07
SF Addition o 08
SF Porch o 09
SF Misc. 0 10
CTYPE
New o 33
Addition o 34
GENERAL INFORMATION
Duplex
4-plex
8-Plex
12-plex
_-plex
Alterations
Repair
? 11
? 12
n 13
? 14
? 15
?
0 37
JR .
Apt./Lodging o 16 Basement Finish
Multi Repair/Rem. 0 17 Swim Pool
Garege/Accessory ? 20 Public Facility
Fireplace o 21 Miscellaneous
Deck
o
-MDve
Demolition
Const. (Actual) ?C H Basement sq. ft. K H MC/WS System o?
(Allowable) ,4N Main level sq. ft. eos City Water
UBC Occupancy ,? ,L/ Zsq. ft. R 7V Fire Sprinklered
Zoning ? sq. ft. PRV
# of Stories z sq. ft. Booster Pump
Length Yi, sq, ft. Census Code. /O z
Depth .70 Footprint sq. ft. SAC Code a/
Census Bldg
APPROVALS
? Census Unit i
Planning
Building
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
v Engineering Variance
Valuation: $ L ? poo ?
0L O U
% SAC
SAC Units
PERMIT
- "CITII OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT TYPE:
Permit Number:
Date Issued:
6UILDTNG
030051
05/27J97
SITE ADDRESS:
1844 CLIFF LFlKF CT
LOT: 3 BLOCKa 1
CLIFF LAKE SHORES
P.T.N.: 7.0-17785-030-01
DESCRIPTION:
1 0F 0. UNITS
`builc(ing Permit Type
Buildit?,g Work Type
UBC QoGUp,4ncy
Const,ructii'6111, TYPe
3oning ?
' Suilding.?angtl
`8uilding WIdtli
'Censu.v Gndi
r.
( ce&,?5..?
$. ??"sa t
.m)?
t . . j'
SF DWG
NEW
R-3 U-1
VN
PD
44
30
102 1 - FAM. ATTACH
\, t €{ 1 i t3 r"'S } S: i 4- [ ? ?
, "'t`.? :? ..` ?4-'.•? ._. ..?,
REMARKS:
S&W PLUM[3ER - WEN7El MFCHANICAI.. 1 OF 4 INCLUDING 1840> 1842, 1846
FEE SUMMARY:
6ase Fee
Plan Review
Surcharge
5AC
SAC a
SAC Units
Subtotal
VALUATION
$868. 50
$564.53
$48.50
$950.0@
100
$2,431.53
$97 000
MISC FEGS $1,539.541
Totar3. Fee $3,971..03
CONTRACTOR:
HOFFMAN HOMES IIVC 18949807
? 2214 E 117TH ST
BURNSVILLE MN 55337
OWNER: - Applicant --
FiOFFMflN H01"IES INC
2214 E 117TH ST
BURNSVSLLE MN 55337
(612)894-9807
? Z hereby acknau#.edge that T hior?s read this aPpiic'at.idrr 6nd s?tate that thp ?
znformation is correct and agree td cornply with all applica6le State of Mn
Stacul:es arEd Gity of. Eac?arn prdi-nang;as.
??LICANT/P?? E? URE IS?D B SI A? U? ?---?
1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) 3? 71, 63
CITY OF EAGAN
5830 PILOT KNOB RD - 55122
681-4675
New Gonstruction Reauirements RemodeVReoeir Reauirementa
? 3 ragistered sRe surveys ? 2 copies M plan
• 2 copies of plans (include beam & window saes; poured fid. dnign; ek.) • 2 ske suneys (exterior atldRlons & dedcs)
? t energy plwlatione ? 7 errerpy ealala6ons iw heated addftions
? 3 copiea of tree preservation plen H lot platted eRer 711/93
required: _ Yea )? Na DATE: } CONSTRUCTION COST: ? q-4pO °
DESCRIPTION OF WORK: STREET ADDRESS:
?
LOT 3 BLOCK ? SUBD./P.I.D.#: C??FF CpV.k rjN?kS lo_I??gS-03o_0?
?I'•?cs r ?/ Lnrs /, 2. ?%
PROPERTY Name: N off?a.? ?s _ S.?+c. Phone #:
OWNER ?,,.. M,,
StreetAddress: ??'D?`"- s'ercA:,c"T-
City: $`Vr?,`A-A' State: ? Zip: SS33} ^
coNrw4c7oR Company: ._SA•tir Phone #:
Street Address: License #:
City: 5tate: Zip:
ARCHITEC7! Company: M<N,??co?..+1c.?c-1??s;4?J Phone#: 534-??{-?o
ENGINEER I
Name: "I`c. -T(`-?"' ? Registration #:
Street Address: L'-L 2l''
C11y: e-'NPr)OaE6? State: M? Zip: S531'}
Sewer 8 water licensed plumber (new construction only): ??? ?«'? . Penalty appiies when address change
and lot change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY //
Certificates of Survey Received ? Yes _ No
Tree Preservation Plan Received - Yes _ No _ Not Required
agree to comply with ali applicable
PfIF1Y 19 1997
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation o 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish
;3'102 SF Dwelling o 07 4-plex ? 12 Multi RepaidRem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory o 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace o 21 Miscellaneous
? 05 SF Misc. ? 10 = piex ? 15 Deck
WORK TYPE ??
? 1 New o 33 Alterations ? 36 ove
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
?K Basement sq. ft. &14 MC/WS System
Main level sq. ft. 8os CRy Water C
•3 41•/ sq. ft. , 97Y Fire Sprinklered
P_D sq. ft. PRV
Z sq. ft. Booster Pump
? sq. ft. Census Code. ?a Z
?o Footprint sq. ft. SAC Code oi
Census Bldg ?
Census Unit !
Building
Engineering
Variance
Permit Fee
Surcharge
Pian Review
License
MCNVS SAC
CRy SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $ 7 0ov ?
L?
zolr . Z (r
. (
/3
C?GGS
U?
% SAC
SAC Units
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT TYPE:
Permit Number:
Date Issued:
SUILDINCr
830059
05/27/97
SITE ADDRESS:
P.I.N.: 10-17785-040-01
1846 CLIFF I_AKE CT
LOTe 4 BLOCK: 1
CLIFF LAKE SHORES
DESCRIPTION:
1 OF 4 UNITS .
8wi'1?cjing Permit Type SF DWG
? Buildh7,g Work 7ype NEW
UBC (?CCUj3?4,ncy ft-3 U-1
ConStructi67t, Type VN
?Z o n i?n y P D
,. Buiiding` .:Lan9C', 44
Building Widtkl j 30
, :-Cen-, r,f, ;,Code _ ? ' 102 1 - FAm. ATTACH
:. . .r`?
r {?
\c iJ?
REMARKS:
5&W PLUMBER - WEN7EL. MECHANICAL 7. OF 9 INCLUUING 1840, 1842, 1£+44
FEE SUMMARY:
Base Fee
Plan Reviaw
Surcharge
SAC
SAC °
SRC llnits
Subtotal
VALUATIOId $97,000
$863.50 MISC FEE5
$564.53 Total Fee
$48.50
$950.00
100
$1,539.50
$3,971.03
$2,431.53
CONTRACTOR: OWNER: - Applicant -
HOFFMAN HQMES INC 18949807 HOFFP4AN HOMES INC
? 2214 E 117TH ST 2214 E1171'H ST
- BURNSVILLE MN 55337 BURMSVILI.E MN 55337
(612)839-9807
, I hereby rackn+awLedga tkzoC Il4avo r.eacE tha,s apPJ-joatiop ant3- state that tho
infnrmaL•i€sn is correct and ag[ree to cvnlply witli a11 applioabie StaCe of Pfn
:Statutes and Gity of Eagan fJrdinancesv
. _ >
•//1?'?/ ????
flN14
A LICANT/P?TTE SIGNATURE ISSUED e: S A ll
3?b.SO 1997 BUILDING PERMITAPPLICATION (RESIDENTIAL) `3971 o?
? CITY OF EAGAN
3830 PILOT KNOB RD - 55122
` 681-4675
New Construetion Reauirements RemodeVReoair ReauiremeMs
• 3 regiatered si[e surveys ? 2 copias of plan
• 2 copies of plans (Indude beam 8 window saes; poured fid. design; Mc.) ? 2 sile surveys (exteMor ed0itions 8 tledcs)
• t energy calculations
• 1 energy celculations for heated adCdions
? 3 copies of tree preservation plan H lat platted efter 711193
required: _ Yes Y4 No „ DATE: -5l 19I4? CONSTRUCTIONCOST:
DESCRIPTION OF WORK: P+es? O6,.1T`,f,%, -To-4+J Wrk(,
ST?2EETADDRESS: I?s`J L. C4%FF 1.A? Ca.?.ir.T
?
LOT A BLOCK t SUBD./P.I.D.#: Gt?k Fr ?-AiciE 511-2E5- ta'l-A-M$' OYo-'ol
5'- Pcsx -/ L.n / a, d3
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Name: rlloFF?a-? ?-?,?, z,ic• Phone#:
flRiT
StreetAddress: Zz`r E- ij'?O" s`'4zfzE;Z-
City: B?ANS-j- , -xf- State: r^N Zip:5s33-+
Company: SP? Phone #:
Street Address:
License #:
CitY: State: Zip:
Company: Dr-s;6 0 Phone#: g3u'-1-iy°
Name: Ly Registration #:
StreetAddress: S° `t2t0
CRy; 6 r1a-j H?sse,J State: "^tJ Zip: ss311-
Sewer 8 water licensed piumber (new construction onty): wcuzo-?? Y1bc.t+wacc.acv . Penalty applies when address change
and bt change are requested once permit is issued.
I hereby acknowiedge that 1 have read this application and sNate that the information isca and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances. e-? 17 ? ,, r, ,
Signature of Applicant
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No a
Tree Preservation Plan Received _ Yes _ No _ Not Requi
OFFICE USE ONLY
BUILDING PERMIT TYPE
.h,.
? 01 Foundation ? 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish
902 SF Dwelling o 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
0 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch o 09 12-plex ? 14 Firepiace ?-° -21-Misse! eous
? 05 SF Misc. 0 10 = plex ? 15 Deck/
WORK TYPE ??
O T
?31 New a 33 Alterations ?
0 32 Addition o 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Aduai) C•N Basement sq. ft. 'Y MC/WS System ?-
(Aliowable) ?•N Main level sq. ft. AG5- City Water y
UBC Occupancy sq. ft. If 7Y Fire Sprinklered
Zoning sq. ft. PRV
# of Stories z sq. ft. Booster Pump
Length w sq. ft. Census Code. a Z.
Depth .70 Footprint sq. ft. SAC Code ?i
Census Bldg r
Census Unit ?
APPROVALS
Planning Building Engineering Variance
Pertnit Fee Valuation: $ Q7, 4oo u
Surcharge
Plan Review
License r
MCNVS SAC G?
City SAC ?G D
Water Conn.
Water Meter / • ? I
Acct. Deposit / QT
S/W Permit
S/W Surcharge ? C
Treatment PI. Q G('j JRoad Unit V ?
Park Ded.
Trails Ded.
Other
Copies Total:
°k SAC
SAC UnRs
CITY USE ONLY
LOT / BL / RECEIPT #: #KY / 5'3 g Z
SUBD.??2a.?r 1Lt?,rra? RECEIPT DATE: rP?9I (7
_N?
1997 MECHAIVICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
Date: G (612) 6814675
Complete this section only if vou are installine HVAC in sinEle family, townhome or condos that are
under construction and are not owner /occupied.
• HVAC: 0-100 M B T U $ 24.00
ADDITIONAL 50 M BTU E.ee
• Gas outlets (minimum of oae required @$3.00 ea.)
• State Surchazge: .50
• TOTAL:
?
Complete this section onlv if vou are remodeline, addine to, or repairing eaisting sin¢le family
dwellin¢s, townhomes, or condos.
Add-on furnace
_ Add-on air exchanger, i.e. Vanee system, etc. _
Minimum fee applies to all remodel or add-ons of existing residences
State Surcharge
Add on air conditioning
Other
$ 20.00
.50
Total: $ 20.50
SITE ADDRESS:
OWNER NAME:
INSTALLER NAME:
STREET ADDRESS:
CITY:
PHONE It: 3!?g-c?E Dj
PHONE#:22 r??ObG7
STATE: "t ZIP:
CITY USE ONLY
LOT ? BL / RECEIPT #: / S 3J? Z
SUBD. RECEIPT DATE: 97
1997 MECHANICAL PERMTT (RESIDENTIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
? -rP• 9T c612> 681-4675
Date:
Complete this secUOn onlv •dvou are instailinE HVAC in single family, townhome, or condos that are
under construction and are not owner /occuoied.
• HVAC: 0-100 M B T U $ 24.00
ADDIT!ONP r SQ M BTU 6.00
• Gas outleu (minimum of one required @$3.00 ea.) cV• ?
• State Surcharge: .50
• TOTAL: :56
Complete this section onlv if vou are remodeline, addin¢ to, or repairine exisrine single familv
dwellings, townhomes, or condos. I
Add-on furnace
_ Add-on air exchanger, i.e. Vanee system, etc. _
Minunum fee applies to all remodel or add-ons of existing residences
State Surcharge
SITE ADDRESS:
OWNER NAME:
INSTALLER NAME:
STREET ADDRESS:
CITY:
A
Add on air conditioning
Other
$ 20.00
.50
Totai: $ 20.50
PHONE #: Uq - 1867
Pxorrs a: 3 -2 S-G W
STATE: ZIP: S D
SIGNATURE OF PERMITTE
CITY USE ONLY
LOT 47 BL I RECEIPT #: 7 S?CY Z-
SUBD. (??( ;L Anti'a RECEIPT DATE: 4-I 1?
_
1997 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAIV
3830 PILOT KNOB RD
EAGAN MN 55122
Date: (612) 681-4675
Complete tlris section onlv if you are instsllinE HVAC in single family, townhome, or condos t6at are
under construction and are not owner /occunied.
• HVAC: 0-100 M B T U $ 24.00
A.1T DITIONAL 50 M B'1'?J 6.00
• Gas oudets (minimum of one zequired @$3.00 ea.)
• State Surcharge: .50
• TOTAL:
Complete this section onlv if you are remodeline, addine to, or reoairinE eaistine sin¢le familv
dwellines, townhomes, or condos.
Add-on furnace
_ Add-on air exchanger, i.e. Vanee system, etc.
Minimum fee applies to all remodel or add-ons of existing residences
State Surcharge
SITE ADDRESS:
OWNER NAME:
INSTALLER NAME:
STREET ADDRESS:
CITY:
9?
A
Add on air conditioning
Other
$ 20.00
.50
Total: $ 20.50
PHONE #: / O v 7
PHONE #: S/?' 92
STATE: ffiN, ZIP: ? D
?
SIGNATURE OF PERMI
V • CITY USE ONLY
LOT _L/ BL ? RECEIPT #: 7 S3 ? Z
SUBD. ? ? RECEIPT DATE: 6/ ? 1 !7
?
1997 MECHANICAL PERMTT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
Date: qy (612) 681-4675
? / /
Complete ihis section onlv if vou are installin¢ HVAC in siaele familv, townhome, or condos that are
under construction and are not owner /occupied.
• HVAC: 0-100 M B T U $ 24.00
ADDITIvNAL 50 M BTU 6.00
• Gas outlets (minimum of one required @$3.00 ea.) aC• ?
• State Surcharge: .Sp
• TOTAL: ?
Complete this section onlv if vou are remodeling, addine to, or reoairina eaisting sinQle familv
dwellin¢s, townhomes, or condos.
Add-on furnace
Add-on air exchanger, i.e. Vanee system, etc.
Minunum fee applies to all remodel or add-ons of existing residences
State Surcharge
SIT'E ADDRESS:
OWNER NAME:
INSTALLER NAME:
Add on air conditioning
Other
$ 20.00
.50
Total: $ 20.50
PHONE q: E % q- ! ffd/
PHONE #: U F6 7 --
STREET ADDRESS: 'l ( ?J o! (!U a'/"i& -Y
CITY: STATE: / // A' ZIP:
SIGNATURE OF PERMITTEE
?
L / BL ? CITY USE ONLY RECEIPT#: 7/ 7 7'2-?
SUBD.??? RECEIPT DATE: /Q /
1997 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3630 PILOT KNOB RD
EAGAN, MN 55722
(612) 6814675
Please complete for. P single family dwellings
? townhomes and condos when pertnits are required for each unit
? backfiow preventer for underground sprinkler system
FIXTURES
Shower
Water Closet
Bath Tub
Lavatory
Kitchen Sink
Laundry Tray
Hot Tub/Spa
Water Heater
Floor Drain
Gas Piping Outlet ' minimum - t
Rough Openings
Water Softener `for dwellinps under conaWGlon
Water Softener ' tor exlsting dwellinp
U.G.Sprinkler 'for dwellingunderconst
U.G. Sprinkler ' for exlsUng dwelling
AlteraGons " to exfstinp residence
Water Tum Around
Private Disposal System ' oak Ciy iic.
(new and refurbished systems)
Private Disposal Systems"nbandonment
EACH
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
1.50
5.00
20.00
3.00
20.00
20.00
20.00
75.00
x
x
x
x
X
x
x
x
x
x
x
X
x
N Ph
f
/
10N_
_I
TOTAL
= 3•?
= 6.Do
_ .oa
= 9.6a
= 3.OD
_ c-0
_ IZ. D
D
20.00
STATE SURCHARGE
TOTAL
?-
?
.50
42.50
- I hereby acknowledge thet 1 have read this applkation, sfete that the intormatbn is corred, and agree to wmply wRh all applicabla City
of Eagan ordinances. It is the applianPs responsibllity to notify the property owner that the Cily ot Eagan essumea no liability for any
..' damages caused by the City during Ib nrormat operadonai and meintenence ectivides to the teGlttiea constructed under this pertnR wNhln
. City property/ripht-of-way/easemenl.
SITE ADDRESS: 1940 CG/FT? / AK E l'T
OWNER NAME:
INSTALLER NAME: W?/vZ?Cr
STREET ADDRESS: / 9s9 ?
cin: EAlGA?v
#: 4,52 - is6s?
STATE: /'//7aw ) ZIP: '!5S/Z Z
.
SIGNATURE OF PERMITfEE
-?
L ? gL / CITY USE ONLY
SUBD.?
RECEIPT #: 7 9 z17 P?
RECEIPT DATE: g10 7
1997 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KN08 RD
EAGAN, MN 55122
(612) 681-4675
Please complete for. . single famiiy dweliings
• townhomes and condos when pertnits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES EACH e 1( . TOTAL
Shower 3.00 x 1 = 3•va
Water Closet 3.00 x 3_ = 9,00
Bath Tub 3.00 x
00
31
' Lavatory 3.00 x 9,00
Kitchen Sink 3.00 x
Laundry Tray 3.00 x =
Hot TublSpa 3.00 x =
Water Heater 3.00 x
Floor Drain 3.00 x
Gas Piping Outlet • minimum -1 . 3.00 x
Rough Openings 1.50 x =
'. Water 5oftener • ror dwenin9s unaer wnawaion 5.00 x =
.. "Water Softener ' Mr exiating dwelling 20.00 x =
` U.G. Sprinkler ' for dwelling under wnsL 3.00 =
U.G. Sprinkler • tor existinp dwelling 20.00 =
Alterations " to euiating renidence 20.00 =
Water Tum Around 20.00 =
Private Disposal System ' Dak cry iw. 75.00 =
- (new and rePorbishetl systems) .
Private Disposal Systems'Atandonment 20.00 =
STATE SURCHARGE .50
' 42 •ig?>
TOTAL
. I hereby adcnowledge that I have read thia applleadon, state that the Infortnetion b correcl, and agree to comply with all applicabla City
. of Eapan ordinanoes. It is the applicaM's responsblity to notiy the property owner that the City of Eagan assumes no liability for any
.. tlamages caused by the Cdy during Ils normal operational and maintenance activities to the Tadifties coneWdad under this pertnk within
.. CitY ProPerty/riBht-of-wayleasement.
0"7" 2 ?L?F l?FKE CT
SITE ADDRESS:
OWNER NAME: OF M.4N d'm?S
INSTALLERNAME: WeiVZEL EPHONE#: ?SZ'IS?6S?
. 614 TE
L
STREETADDRESS: l95y /
?
o
I`
' CITY: E?}(sL?/?-? STATE: /M
'?A.) ZIP: 55-1 ZZ
"."
SIGNATURE OF PERMITTEE
CITY USE ONLY
? L ? BL RECEIPT#:
SUBD.(??- e --> RECEIPT OATE: 811197
I/O
1997 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
, 3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Piease complete for. • singie family dwellings
* townhomes and condos when permits are required for each unit
. backflow preventer for underground sprinkler system
FIXTURES EACH ? TOTAL
• Shower 3.00 x 3 •cc>
Water Closet 3.00 x
> Bath Tub 3.00 x _(_ = 3•ba
Lavatory 3.00 x
Kitchen Sink 3.00 x I = 3•oo
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x
Floor Drain 3.00 x _L = 3•an
Gas Piping Outlet ' minimum -1 • 3.00 x _--A_ = 9, oa
Raugh Openings 1.50 x = .
Water Softener ' for dwellings under wnsWdion 5.00 x =
° Water Softener ' for existing dwelling 20.00 x =
U.G. Sprinkler ' tor dwelling under const, 3.00 =
U.G. Sprinkler ' for exisNnp dwelling 20.00 =
Alterations ' W existing resWence 20.00 =
Water Turn Around 20.00 =
Private Disposal System ' Dak Cty tla 75.00 =
. (new end refw6ished systema)
Private Disposal Systems'nbendonment 20.00 =
STATE SURCHARGE .50
TOTAL 2•5b
, I hereby adcnowledge that I have read this application, sWte that the Infortnatiai ia correcl, end agree to comply with all appliceble Ciry
of Eagan ordlnances. It is the appliwM'a responsibility to notly fhe property ownar that the City of Eegan assumes no Ilability tor eny
., damages eaused by the City during As normal operationel and maintenance activities lo ihe fadlkies consbuaed under this pertnR withln
Cily property/riphtof-way/easement. SITE ADDRESS:
OWNER NAME:
INSTALLERNAME:
STREET ADDRESS:
cin: LA6A? STATE: ?7 ZIP: .55?22
SIGNATURE OF PERMITTEE
TELEPHONE#: .462- 1S6S
? L? BL CITY USE ONLY RECEIPT#: 7 9Z/7°t
SUBD. !'? ??a RECEIPTDATE: 9/0/
1997 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
, 3830 PILOT KNOB RD
EAGAN, MN 55122
• (612) 681-1675
- Please complete for. . single family dwellings
0 townhomes and condos when pertnits are required for each unit
0 backFlow preventer for underground sprinkler system
FIXTURES EACH V-Q. TOTAL
Shower 3.00 x ? = 3,?
Water Closet 3A0 x = DD
: BathTub 3.00 x 3,cm
Lavatory 3.00 x t2,?
Kitchen Sink 3.00 x 3, bo
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
b
, WaterHeater 3.00 x 3,0
Floor Drain 3.00 x 1.00
Gas Piping Outlet ' minimum - 1 . 3.00 x 47.OD
' Rough Openings 1.50 x =
Water Softener ' for dwellings under eonsWdlon 5A0 x =
° Water Softener ' foi existing dwalling 20.00 x =
U.G.Sprinkler 'rordwellinpunderconst. 3.00 =
U.G.Sprinkler 'torexfsGngdwelling 20.00 =
Alterations ' to exidtinp residence 20.00 =
Water Tum Around 20.00 =
- Private Disposal System ' Dak Cty iia 75.00 =
. (new and retuibkhed systems)
Private Disposal Systems'atandonment 20.00 =
STATE SURCHARGE .50
TOTAL ?S• S?
,. 1 hareby acknowledge thet I have read this applieetion, sfate fhet the InMrtnetion is corted, end agree to camply with all applicable City
. of Eagan ordinanoes. It is the applicaM's responaibGiry to notify the property owner thet lhe City oT Eagan assumes no liabillty for eny
.. demagea caused 6y the City during ita nortnal operationel and maiMenance adivities to the Tadlnies conshudad under this pertnR wilhin
City propertyMpMof-wayleasemeM.
SITEADDRESS: 4 CL/FF LLllLE l.?
OWNER NAME: 'a/(J Yz"g 153
INSTALLER NAME: tQ C. TELEPHONE
STREET ADDRESS: 65"? y1? ?
cmr: E?GAN STATE: ? "/N ZIP:
SIGNATURE OF PERMITTEE
Clty of Eap
3830 Pilot Knob Road
Eagan MN 55722
Phone: (651) 675-5675
Fax: (651) 675-5694
Date:tlC)" v-? 0) Site Address:
Tenant:
Suite #:
RESIDENT/OWNER Name:UW WLIL(. SYkU'?45 `OWYIhOYVLQ.S Phone:
? LALLe
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-
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Address / City / Zip:
Applicant is: _ Owner ? Contractor
TYPE OF WORK LlJ l YIGt04 ? cS(1rn
Description of work:??`
?
ConstructionCOSt?`A Lt I 'CJLZ•? Multi-FamilyBuilding:(YesX_/NO__)
CONTRACTOR NamehmYl[:&YI n ainl?? Tr1G License#: ?? ?5(b5
Address: 0r6(0() 3IA.jjuQ? Ild • f`? (w
City: ?rCUI t (9- State: ?)! Zip: JJ?J
Phone:"l5 1--1 Ul 'v`S-l ContactPersorr. YJ1&A0.' SCfA L(e"t-r
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672
Energy Code . Residential Vemilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Suhmitted
(?I submission type) • Energy Envelope Calculations Submitted
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:
NOTE:'F?lans and supportfng4documerits that you submlf;arg=consldered'tn be pubdc information y PorUQr?s,of
ihe infqrrnation:may be cla"sslfred as nort qub6c;if+you provide speci fi&reasons?that would permrt the Crfy fa ,
:conclubefhatthe..are<trad`e°sesrefs?..,
I hereby acknowledge ihat this information is complete and accurete; that Ihe work will be in conformance with the ordinances end codes of the City ot
Eagan; that I understand this is not a permit, but only an applicatlon for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in Ihe case of work which requires a review and approval oi plans.
?-----------------
? For Qftjee"?Use I
j Pertnit #:
T
? Permit Fee:
? Date Received: j
i i
I Stafl: ?
I
2008 RESIDENTI?L BUILDING PERMIT APPLICATION
i I . ,.. ,.. ,
x '.l??A x ??-L ?
ApplicanYs Printed Name ApplicanYs Signature
Page 1 of 3
tuvo sv,v.?wr,.?? i.lt?.t? 1? V 1i+L11`1lS YF;1tiV11'1: AYYL1(.Al1V1V
City Of Eagan 7&71 C)
3830 Pilot Knob Road, Eagan MN 55122 qg I1 7?
Telephone 4 651-675-5675 FAX # 651-675-5694 -t)
New ConsWcfion Revuirements RemodellReuar Aeauiranentr Olfica Use Onlv
3 regiuered siFe surveys shovAng sq. R of lot, sq. R of hwse; anC gI( raafetl areas 2 mpim of plan sharing faotlngs, heams, jdsfs Cert of Survey Re[d _ Y_ N
(24%mabmum lot rAVerage aiowedl 1 set of Enwgy Cakulatlws fa heatee additiore iree Pres Plsn Recd _ y_ N
2 mpies of Plan shmviig beam & window sizw: Pwred found design, etc 1 site survey for addPoans & AecYS Trae Pres Repuvad _ Y_ N
1 set af Energy Calala6ons Addition - inaicale rf orrsle septlc system On-sifa Septlc Sysiem Y_ N
3 copies otTree Preservation plan if lot plaCed aft 71V93
Rim Jdst OeM Optiw4s sdecticn sheet (hutldings vntlh 3 ar less un"rfs) .
Minnegasco mecttanical veudlation fortn
Date oq / 003 Construction CosY
Site Address ?f$yQ UniUSte
/sya,, iff ?ar
Description of Work IYX&S ?
Muiti-Famiiy Bldg ( Y 1_ Y
?? Firepiace(s) _ 0 _ 1 _ 2
Property Owner Telephone #(?? 9c.l.J l(JJCy?
? ?
Contractor ,(,!?l?rY.UV •
, Address
1 ?
Zip TeieQhone?;.%?L
?.
i
I
COMPLET5 TH1S AREA ONLY 3F GaNS7Rl3CT7P1G A NEa/V BU1LDFAIG
Energy Code Categary -IMirbnesom Rules 7670 Cazeaorv I _ Minnesora Rules 7672
(d submission type) ' Res'd?ial Verrtliatfon Caffigory 1 Woiicsheet New Energ}r Code Warlcsheet
SuhmiMed Subrttitted
• Enafgy Fmelape Calalatlons SubmlGetl
In the IasT 12 manths, has ihe City af Eagan issued a pertnit for a simiiar plan based on a masFer plan;
_ Y _ N If yss, date and address of master plan:
Ucensed Plumber
Mechanical Contrador
Sewer/Water Contracfor
Telephone # (
Telephone #( )
Telephone #(
I hereby apply for a Residential Building Permit and acfmowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statntes; I understand tius is not a pernrit, but only an application for a permit, and work is not to start without a
perxnit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval o pians.
?,v? w)n- yohS
Applican s Printed Name App(icanC 5ignature
I vuo ituvll?L,1\ 1 Jti1? 1u V 1LL11`I V YP:X1Vll'1' AYYLLC:AA1V1V
? ? City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Teiephone # 651-675-5675 FAX # 651-675-5694
New Construrban aeavirements RemadelReoeir Reauiremenh OIACe Uae Onlv
3 registered site surveys showing sq. ft of IoC 54 R of house and all racfed areas 2 copies oi plan slWUmg (ooUngs, heams, jdsts Cert of Survey kecd Y N
(20%maamum lot coverage atlawed) 1 set of Energy CaIaW6au far heated aCditlons hee Pres Plan Rectl Y N.
2 copias af Pian shovring beam 8 vnnCOw sixer paured founC desgn, etc 1 sita survey fir additions 8 CeCC9 Troa Pres Re7uited Y N
isetofEnergyCalculafions Adtlitlon- GMicafeifon,stesepdcsystem On-site SepGCSystem _Y N
3 copies of hee Praurvafion Plsn iF lat plaCed aRa 71193 -
Pom Jdst Oetal Opfians seJec7on sheet (butltlings wdh 3 ar less wifs) .
Mianegasco mechanical vmtilation fotm
Date /0 / 01 / OU
5ite Address Cunstruction Cost 19p?!, ?J D
?--
Unit/Ste # J.( /i
/bH`lt /8q9 f 1655t /$57
PL/
Description of Work
( Y/_ N
Maltt-Family Btdg -?/
Fireplace(s) _
0 _ 1 _ 2
PropertyOwner Telephoue #?q 9c.v '!U!(T
y 7
--
Contractor , ?J?? ?? •
, Address S '?JJ
f ?
'.: Stace C;n. J
Zlp .CS .: ?? Teienhone r (%?L.
CaMPLE7E T771S AREA OldLY 1P GaNSTRi3C77N13 A iYE'!V Bi78LD1NG
Energy Code Category - Minnesota Rules 7670 Cazesorv i _ Minnesota Rules 7672
(J submission type) • Residentlal Ventllatlon Categary I Wortaheet • New Energy CaEe Worksheet
submimed Suhmitted
• Energy Fsrvelope Calatatlona Su6milted
In the lasT 12 months, has fhe Cify of Eagan issued a pertnif for a similar plan bated on a masier plan$
_ Y _ N If yes, date and address of master pfan:
Licensed Plumber
Telephone #(
Mechanical Conhacfar
Sewer/Water Contractor
Telephone # (
Telephone #(
I hereby apply for a Residenrial Building Permit and aclmowledge that ttte information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Starutes; I understaad 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
approvai ofplans.
1i? ; ?- vohs +ica=ntS Cb?
Applic an's Printed Name Appature
CER TIFICA TE OF SUR VEY
roo of Irons @ Offsets
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15.00' Offset 933.50
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15.00' Offset 934.38
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15. 00' Offse t 932. 88
15. 00' Offset. 932.62
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cEC,ac pEsMrPnorv: GRAPHIC SCALE
Lots 1, 2, 3& 4, 81ock 1, CUFF
LAKE SHORES, according
fo the plat Zo o 10 zo +o
thereof, Dakota County, M,innesota
( IN FEET )
, 1 inch = 20 (k
. 930.0 Denotes Sonitary Sewer Servica lnvert Top of BIoCk = 935.50
Garage Floor = 934.50
• Denotes frpn Fnonument lound
y?
O Denates irvn rironument set
:
?i
REQUESTED B Y.•
Beorings bos9d tl/7 ossumed datum.
! hereby certlfy fh[it this survey was prepared
by me o/ undCl° Rl,y direct supervrsron and that
/ am a duly KeqJsPGred Lond Surveyor under the
laws of the Stafa of Minnesota.
- '52 7
Mortin J. Wab r R.LS. Date
Registration No. 12043
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865.0 denotes exist%/lg e/ev.
(865.0) denotes propasad elev.
denotes surfaCe drainage
HOFFMAN H4MES, INC.
. Westwood Professiona! SeF'viqes, lnc
14180 West Trunk Hwy. 5
Eden Proirie, MN 55344
(612) 937-5150
Rev;sed: 5116197 Ex. Ground Elev.
Drown by. MS Oate: 5110196 Job No: 9?iy8
Lots 1-4, BJock 1
Bl LOI -04.OWC
:
Oct 07 2014 0824AM HP Fax page 7
Use BLUE or BLACK fnk
� For Office Use r I
C�t O j Permit# I� ��� �
Ly f�a�a� ; � ;
� Perm�t Fee� � ` I
3830 Pllot Knob Road
Ea an MN 55122 �
9 Date Received: �
PhonQ:(651)675-5675 �
Fex:(651) 675-5694 Staff: I
I
_�������^�������J
2014 RESIDENTI14L BUILDING PERMIT APP�ICATION
'• .P s' ^ �+ .
��
Date: �"��� a Site Address; �� ��' i �� f��'l 1,�Yv � � ��� �
— unn ai'
Name: ��.��='��", ��/=. ,�r'�:� �`;, L,, �„-
Phone:
ResidenU
Owner Address I City I Zip:_' �h?yr�v-
Applicant is: Owner �f Contraclor
Type of Wcrk Description of work � ��• ��...- �� � • �' •�"�a.
/ 1 •�;
Construction Cost: �7 �Z��Y . � Mulii-Family Building: (Yes G°�No�
. r �; o
�
Company• ��. . ,.' f =:���✓�+ r ``'�1'� , , Contact: �r'.��`9'`�-,t.''�.-�--�--..
������/
Contractor Address:���':.� '1.7;��l3��•.=e'; Fr��'" �'����>�:i�' � City: ��''��%��`c.-�.���
�
State!°`�`�°�'� Zip: �°`5�`�,� Phone: � ���' '?,��� ���Email.���c,c;',_.��r.��*er'���^'si�C�'.��:��•�.�r•+.
---,—
� �,
License fiE: ,a�%~1��'� �'�,.� Lead Certificate#: .��''���"°�w%°"?.�� " �
If the project is exempt from lead certificatlon, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months,has the City of Eegan Issued a permit for a aimila�plan based on a master plan?
_Yes _No If yes: da4e and address of master plan:
Licensed Plumber: Phone:
Meehanlcal Contractor: Phone:
� Sewer&Water Contractor: Phone:
NOTE:Plans and supporting documents that you subm/t a�e considered to be pu6llc Information. Port�ons of
the Informatlon may be c/assffied as non public if you provlde specitic raasar►s that wouid permit fhe Clty to
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. Cali 48 hours
before you intend to dig to receive iocates of underground utilities. www. o herstateonecall or
I hereby acknowledge that this information is complete and accuraie;that the wo�c 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 perrtiit, and woric is not to slart 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.
Exterlor ��hortzed by a bullding permlt issued in accordance wlth ihe Minnesota State Bullding Code must e completed wlihln 180
da pe�m�t+7ssuance. -�•---�:,�,:....: �,
X_ ��a���rF�-"�--- �""'`� j '.�..„�. .x .--"°�.i�-7.�,,.-_. ��-•.,'`� ---•.__„
Appllcant's Printed Neme ApplicanYs Slgneture j
Page t ot 3
Use BLUE or BLACK Ink
r————————————————�
I For Office Use �
I � �
C�� O� n� �� i Permit#: � j
Y j � '�
� 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 APPLICATIO�� ����,�
Date: �Z ��/�S/ Site Address: � " �b �l� �'� '�'""^G �p� � J� Unit#:
�,.�. �a.. � � � Name,�.o �jl,f''� ����_�., .....��.�iV�.��.�.�.�,.,�,.�..._,�._.�..�...,�.,w oPhone:�� ��_�.�.,,.,.�.._.�,�.,__�
� ; 1
� F��s3tl���#f z S� �
� (;}}�y�e� � Address/City/Zip:
�
j , � Appiicant is� Owner Contractor
��_�.�,.�..�,.�.,�.�..�.,�.�...�,,..�.�.�,�.�..,�.w..�,.��,.,�.�,�,_�..�,.���.�.,w.W..�n�....�.�.a���. m�_.����.�.���.d ..,._,�w,.�..n_�.�,�.�.,��.,...�.�.��..��_�
� � Description of work: ����
� T�p� afi 1�N�ric ;
� �
� Construction Cost: Multi-Family Building: (Yes /No�
�.,� _ �,.�. � ComM1.an,�...w,����.e,�.�.���.�..�.....,_,.�G��1� �h�.�Contact: !�T/.f �Ut �g �— ,�.d..�,,.,....��
; � P Y��> � �
; ��' , � ll
� ' Address: �SG�b ��G�;J �tM�� �/� � SuJ��, .�sl City: ✓ i� I
� Contra�tor A
� � SS'��7 ` �
� State: Zip: Phone: �7G3-SS� �b�'''�� Email: ��� � �a�;1�r�itu�����yJ,�
� � �
_ � �� �� � License# �G �d� ��.3 Lead Cert�ficate#
� .._�.,.,�...�,...�4,._.-�,.:M,�,�.,..��.�. .���......�....�,.,.�
���.����,�_,.�ti�..�,�,..�.,.�,_....� �.,,..�...��.�, �._��. �.�,._,.�..,..A, ._._,_�, �,.�.����.H..� ,...�._..,..�, .�M�,__��A.m..�.�_..�
�
� If the project is exempt from lead certification, please explain why:
,�. �,.�.�.�..,_.,...�.�__.,.� ..,w..,m__m.._��..��...�,.�...M.,.�.._�a.��.,.�_,,.�,.�....�.,�..w....._�.�..,,w..,w..�...�.�....��..,.�,....n..�,...w.�.�....�,.ti.�.�,�.,..�.,.�......��.m.,�,
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? ;
#
I
� Yes No If yes,date and address of master plan: �
� }
� Licensed Plumber: Phone: �
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
�� Fire Suppression Contractor: Phone: M�
.�,�11��T�':Pl��s a�d�p�a����d�r.t������tha�}�o�s�#����e co�a���ed to b�p�b�c ia��'a����. f�a��s o�' �
� t��in�or�na��o��ay be c��ss��ed�non p��i�c�y��a pro�i�s�et:i�c r�ot��t�o��1 pert��'t��Ci�t� �
�� concl�t�a�f t� a;re t�ra�►�secr�. .
��.�,.���.�....,��. �. �..,� abe.x.�
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. vwvw.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
accordance with the approved p�an 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 �u1� f rP�c���:�--- X
e
Applicant's Printed Wame Appli s Sign ture
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA155689
Date Issued:05/29/2019
Permit Category:ePermit
Site Address: 1840 Cliff Lake Ct
Lot:1 Block: 01 Addition: Cliff Lake Shores
PID:10-17785-01-010
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.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
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 -
Barry Keane
44 Berkeley Ct
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature