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1851 Cliff Lake CtINSPECTION RECORD -'CIT1'`OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: ?n Eagan, Minnesota 55122-1897 Date lssued: ' " (612) 681-4675 SITE ADDRESS: . ! I I I I j . AC l '1 ? 101.. 1 1. PERMIT SUBTYPE: ? APPLICANT: tYPE QF WORK: NrW (..'t It+) I 'l1 I 1 N1' ) tll •:f Ir t?'IJOItV INSPECTION D . .. ?:?M t t•!?? ? i??il i r??, ' t? !11 I: I I ??fl { ! 1?'F ! ? !,. • b« C'I Hf; tif N:'Et i'1 ftfi ' i14 Pf F r Wt II! I(E1', ,'1 .': h TA F I,L L Permft No. PormR Holder Date Telephone M ELECTRIC I PLUMBING 9 ; ? /I 9S Hvnc e a4 - 4 95 ?' Inspsction e Commenta FOOTINGS ?r 1 FOUND /DZ`• 9S 4 FRAMING 4v ROOFING ROUGH PLUMBING PLBG AIR TEST /t H ROUGH HEATING / 1, GAS SVC TEST INSUL GYP BOARD FIHEPLACE 12 -,v, Q kv FIREPLACE AlR TEST FINAL PLBG FINAL HTG ? ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL ^? T^ ? INSPECTIDN RECQRD ^ CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: Z" (612) 681-4675 • SITE ADDRESS: ! IffrhF 11 •: ? t! 1 A),. i ',{lt?ltf '. 'PERMIT SUBTYPE: ? ; ? ,?, r: , APPLICANT: rir , fWi TYPE OF WORK: it'll IIIN (:'k N u iti I i i ni ? INSPECTION .. . D• ?r41i.i• : il ?'j ? ? r?tt „? 1 P) 'tl I t. i N,31 ; R1.MA3tk?'it ?'r F, W F'I.li}3 4!1•M1FI. 1'1Koi 1 a P 1 L• ti tJ 1 1 N It? 1', .' 1.:' 1? :"s ) ? ? Fermk No. P.rmie Ftolaer oate retepnona N ELECTRIC PLUMBING • j . HVAC // 15 Inspection te ap. Comments FOOTINGS 4,11fli 7 ? FOUND "05a, ? FRAMING ? 17 ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEA NG ?-a- GAS SVC TEST INSUL GYP BOARD v FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL . INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number. Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: I p rA c. r I PERMIT SUBTYPE: ? APPLICANT: N!44 =41 i H 7 TYPE OF WORK: 1'. t ,, i; ?,? I; V ! bJ (111.140 111111 I IMf ) INSPECTION .A • ?• • r1M f N?? ;? ? 3 1 I.?, t IrJ;?I ' feFMAfrAs.?? !I J% N F'1 tilr 1I1 Ns't t PI F.+r, i (4- f'l l x 41i TH 1 i) C'. .. .'.? !: .'A F L J Permit No. Psrmk Holder Date TslephoM i ELECTRIC PLUMBING all // JS HVAC , /M 19 I S-OZ f Inapecdon nsp. Comments FODTINGS ?f 5/ FOUND K,/ . FRAMING ROOFING RDUGH PLUMBING PLBG AIR TEST ROUGH HEATING ?/qL ? i'99G Gas svc TEST lq4 INSUL ?,9,G 4' ? GYP BOARD . • ? . ?G FIREPLACE ??. . FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDO FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL ?/`? ? INSPECTI4N RECORD ° ;CITY OF EAGAN PERMIT TYPE: 3830 P11ot Knob Road Permit Number. Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: ' I at. t i t a1ti1gi " f N?i I I;t1FF iAkF 14 11 {;1 , - fr,l.') 11 °1 4 •4 ttNl PERMIT SUBTYPE: TYPE OF WORK: NFw ( : rR?? INSPECTION .A . .A i ra .??i n c i ta ? i 1;?? ?,????,?! ,;i; ?•. :! hhs1 f I t:l? S 1 his,l I Ftf htltkk Pl.isk uI NI[ 1 f'I ItG i t4•11- 1 tk I41I-11 Itit'• .:?1 .. _ ? Permit No. Pertnit HoIdK Oab Telephone 0 ELECTRIC PLUMBING /A 25 HVAC Inspectlon t I p. Commen F0071NC3S ! FOUND ?d u•9s ? FRAMING ROOFING ROUGH PIUMBING PLBG AIR TEST ROUGH HEATING ? GAS SVC TEST _ls• C INSUL 't 4- ot OYP BOARD _ 7 „9 FIREPLACE ?_?L ? FIREPLACE AIR TEST FINAL PLBG 6 FINAL HTG . / ' OFSAT TEST BLOG FlNAL ( ! BSMT R.I. BSMT FINAL DECK FTG DECK FlNAL Address 4422 IAKEs'HORE TERRn!.s Zip 55122 IAt 24 BIIC 1 SUb C'(TFR T AKF SHnRFS THESE 11'EMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION. Date: 3 1n? y? Yes No Inspector. (, Final grade (6" from siding) Permanent steps (gazage) ? Permanent steps (main entry) Permanentdriveway Permanent gas Sod/Seeded grass v? TraiUcurb damage Porch Basement finish Deck Please verify with the builder the removal of mof test caps from the plumbing system and the shuboff of water supply to the outside lawn faucet before freeze poiential exists. Cantaa engineering division at 6$1-4645 before working in righbof-way or installing underground sprinkler system. ? White - City Copy Yellow - Resident Copy Pink - Contracmr Copy Address 1853 „r,IFF rAM OMr Zip 55122_ L.ot ? 22 Blk I Sub CLIFF LAM SHMs THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: Yes No Inspector: Final grade (6" from siding) 6-1 _ Permanent steps (gazage) Permanent steps (main entry) Permanent driveway x Permanent gas x Sod/Seeded grass TraiUcurb damage ? Porch Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shuboff of water supply to the outside lawn faucet before freeze potential exists. Contad engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. White - City Copy Yellow • Resident Copy Pink - Contractor Copy (o Address 1851 ri[,IFF raKE stioxES Zip 5512 2 L.ot 21 Blk I Sub aIFF IAKE SHOREs THESE ITEMS WERE !WERE NOT COMPLETG AT THE TIME OF THE FINAL INSPECTION. Date: 02.5 Yes No Inspector: Final grade (6" from siding) ? Permanent steps (garage) ? Permanent steps (main entry) Permanentdriveway ? Permanent gas ? Sod/Seeded grass TraiUcurb damage ? Porch ? Basement finish i/ Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. Contad engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy 0 Address 4420 IAKEsxORE TExRn!E Zip 55122 I.ot ' 23" Blk I Sub CI.IFF LARE StiO?tEs THESE ITGMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPEGTION. Date: (p Yes No Inspector: Final grade (6" from siding) v Permanent steps (gazage) r/ Permanent steps (main entry) ? Pennanent driveway Permanent gas v Sod/Seeded grass ? TraiUcurb damage ? Porch ? Sasement finish Deck V Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze porential exists. Contact engineering division at 681-4645 before working in right-of•way or installing underground sprinkler system. ? White - City Copy Ye11ow - Resident Capy Pink - Contrector Copy 610 a? 237 a volidotion doM pnnled n . Thi OFflCE USE NLY s reqvest void 18 monlhs frm i Ihis bo.a 559 ????J9? ? ? PLEASE PRINT OR TYPE / / l Reqoesl Dah Rough.in inspernon rpuir Yas Inspecnon OlherThon Rough-Ire Q Ready Naw Will Call ? (You must call Me inspMorwhen ready) Date Rmd, I, Ijcensed rontmdor ? owner hereby request inspedion of }he above elechi<al work at: lob Addrese (Shnl, B, or RoWe No.) Cily Zip Code SMion No. Tawnship Nama r Range No. Firc No. ounry Occupam Phane No. OFF rc rv1.E-S ?R4- q?b PowerSvPpUer Pddresz ?j?^'' ?A 1 ? ? ?? EIMn Conhacbr ?C mpany Npma) , Convatlor li No. Masfer Lic Nn (Plam Elen.Only) Mailing pddrom (Contmtlor or r Performirg Inskllmion) .' 4 !wt 'zed SigrwNre IConha r or Own Pedorming InsmllaNOn) Phone No. J EB-OOOOIAIO 6/95 STATEBO D COPY -SEE INSTRUCTIONS ON BACKOF YELLOW COPY IIIIII IIIIII IIIIII II I II RE4UEST FOR ELECTRICAI INSPECTION 5 MinnesoTa S[ate Board ot Electricity 1821 Universiry Ave., Rm -7?? S)CPaul, MN \i 04 \ / s- 0 3 176 1 1* Phone (612) 642-0800 a 1iY. Home up az Api. Bldg. Ofher: ew Addn 11 ommerciol Industrial Farm Remod Re air Air Cond. Hig. Equip. Wafer Hir. Load Mgmt. Other: D er Ran e Elec. Heot Tem $ervice 'X' above the work covered by fhis request. Enter remarks in fhis spa<e and on !he back of ihe white copy only. Calculate Inspecfion Fee - 7his Inspection Request will nof be accepted without Ihe corred fee: Olher Fee # Service Entrance Sae Fee # Circuih/Feeders Fee Mobile Home Park Slall 0 to 200 Amps 0 to 100 Amps $treet Lfg./Traffic Sig. A6ove 200 Amps Above 100 Amps Transformer/Generafor INSPECTON'SUSEONLY TO C Sign/Outline Lig. Xfmr. P. 6049 AJO Alarm/Remofe Conirol $wimming Pool I hereb ceM Ihol 1 inz eaed Ihe I insml a?beE herein on ?he dolm ebled Irrigafion Boom Rough-In $pecial Inspedion ?z Investigative Fee F'"°i ore ^?..y $ THIS INSTALLATION MAY BE ORDERED DISCONNEC D IF NOT COMPIETED WITHIN 18 MONTHS. 23I- 5 8 6 ? OFn E US ONLY This request void IB monfis hom .alidafion dore pdnted in Mix bax_ ? ?9 ? 5ad ? ? , '5-51o9 41%019 L PLEASE PRIN7 OR TYPE Raqoe DoM ? ?-? '? Ro?gh-in inspection reqeir d es (Yao must mll Ihe inspedorwhen readyj tnspecnon 01her Than Roogh-In: ? Reody N? ill Call Dale Read ?'? 5 I, i<ensed confmctor ? owner hereby requesf inspection of the above eletlrica ork 3 Ja?bp\d dr (Street, Box, or ure No,1?1 ,? ?p Ciry t+ -\ P?L?„ . Ul. ? Secfion No. Tovmship Nome or No. Range No. Fire No. Co?nTy pcc om Phone No. , Power Suppli Address . LU ' Eletlri Convaaor (Compony N me? Gonva Lianse No. Maskr Gc. No. (Plant Elecc Only) ? y /? ?Ll ? / 1 Mailing Pddmsa (Commnor ner Pedorming Inzkl?ofion) ?? • Aulhonzed Signolore (Contmclor or wner Pedormiy InalalloAOn) Phone No. Y EB-OOO0140 495 STATEBOAI41COW•SEEINSTBUCTONSONBACKOFYELLOWCOPY III'll II) (?I REQUEST FOR ELECTRICAL INSPECTION ??? y U Minnesota State Board of Electricity ? ?? 1821 University Ave., Rm. 5-128, St. Paul, MN 55104 t? * U 2 3 75 8 6 3?k Phone (812) 842-0800 /? p?? (P s9 /o. Home upex Api. Bldg. Ofher: New Addn Commercial Industrial Farm Remod Re oir Air Cond. Hfg, Equip. Wafer H}r. Lood Mgmt. O}her: D er Ran e Elec Hea} Temp. $ervice "X" above the work covered by /his requesf. Enter remarks in this space and on the 6ack af ihe whife copy only. Colculate Inspection Fee - 7his Inspection Requesf will not be accepted wifhout the correct fee: ONher Fee # $ervice Enhnnce Sae Fee # Circuits/Feeders Fee Mobile Home Pork Stall 0 to 200 Amps 0 to 100 Amps 5}reet Lig./Traffic Sig. Above 200 Amps Above 100 Amps Transformer/Generpfor INSPECroN'su EoNLV ? T?, Sign/Ovtline Ltg. Xfmr. Alarm/Remofe Conirol $wimming Poal I hereb rem that l ins ened the ele 'nstall n des i6cd here[n on ffie dme bted Irrigation Boom Ro.gMln Dak - J edion S ecial Ins p p Inves}iga}ive Fee ? Finol Cx Da / /. v THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS. i 2 3 7- 5 OFFlCE PSE Of{I.Y This rcqoest.oid 18 months fmm volidation dafa pnnted in thrs?? ` dAd / ? % OD PLEASE PHINT OR TVPE Reqvast Dare Roogh-in inspMion reqvired2 Yes ? Imp tion Other Thon Rough-In: ? Ready Now Will Call "? .?? (You mosl call ?he insp<clor wh ready? Dole Reody: I, Ticensed controcfor ? owner hereby request inspeclion oi the above elech'ical work ai: Job Pddrtss (Sheel, Brn, or RoWe No.) Sk- Ciry E 2ip Code e ge er a cL,n Section No. Towmhip Noma ar No. Range No. Fim No. Coan ? , - Omu am Phone No. ? ,'l . Rq4 - ? Q--10 dd r5upplier A re ? sce E e e.?r?e Xm? ? n Ao Ela 1ri al Comracror (ComOany Name) Cantmctur Lians Maxler Gc. No. lPlonl Eletl. Only) , Mailing Pddrma (Contm or Owner Perfarming Insrolla' n) , red IISignmvrt (Co? dor or Owner Performing InsmllaNOn) ??j Q_ l A?1s I 1\l L_- Ph ne No. EB- A- 0 6/95 STATE elamo YE?PV - II?III? nl?lll'I REQUEST FOR ELECTRICAL INSPECTION 51?7 MinnesMa State Board of Electriciry = 1 I? u 1821 University Ave., Rm. S-1 B, St Paul, MN 55104 ? * 2 3 7 5 3 7 6 * phone (612 842-0800 9-T Home up ex Apt. Bldg. Other: New Addn Commercial Industrial Form Remod Re air Air Cond. Htg. Equip. Wa}er Htc Load Mgmt. Ofher: D er Ran e Elec. Heat Tem . Service "k' above the work covered by this requesf. Enter remarks in this space and on fhe back oi the whi/e copy only. ? -??m p se,w ? eR., Colculafe Inspection Fee - This Inspection Request will nof be accepfed wifhout the correct fee: Olher Fee # Service Enhance $¢e Fee S` Circuiis/Feeders Fee Mo6ile Home Pork Slall 0 to 200 Amps Amps Sfreet L}g./Fraffic Sig. Above 200 Amps 0 Amps Transformer/Generator T INSPECTOR'SUSEONLY TOTAL $ign/Outline Lfg. Xfmr. Alarm/Remote Confrol $Wimmin9 PoOl I hereb cenl! Ihol I Ins eded Ihe elednc nibed hercin on fie dales sMhd Irrigatian Boom µo„yh.l„ pon S eciol Ins edion p p Investigative fee Fi.1 THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS. 74T\7'5? City of Eapn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 ------------------ i ? Permit Fee: I ? ? Date Received: j I ? I Stafl: ? i 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ?S 10<7 Site Address: Tenant: Suite #: RESIDENT / OWNER Name: Phone: Address / City/ Zip: ??+?? ? SY?Cf t? FcaG ce Applicant is: _ Owner x Contractor TYPE OF WORK Description of work: Construc[ion Cost: MWti-Family Building: (Yes _/ No ? l?-AV (- a ' CONTRACTOR License#: C4 Name: '\i ' Address: ?);dicJ R /00 C`- ? ^•-y State:&A) zip: JSJJ / Ci : RL``v'\SUl i'' . ry Phone: Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateporv 1 Minnesota Rules 7672 Ener9Y COdB . Residential Ventilation Cateqory 7 Worksheet • New Energy Code Worksheet Category Submitled Submitted (4 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: Plans and?supporfing docuirie"nts that y'ou submitare conslderea'=to, be pu4lra in'/o', imatron .porl??„ohs:of ' the information may be cJa'ssitied as-non public,rf you. prowde specific reasoris, that would permrt fhe;Crty to: ; concluiie,tliatlhe aare trad'e "secrefs. I hereby acknowledge that Ihis iMOrmation is complete and accurate; that ihe work will be in conformance with t ordinance?and cotles of the City ot Eagan; that I understand this is not a permit, but only an application br a permit, and work is not to staG out a per ; that ihe work will be in accordance ith the approved plan in Ihe case ot work which requires a review and approval oi pl,ns.? l x x _ App icanYs Printed Name icanYS Signature Page 1 of 3 41 City of Ea?alif) Il 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 ------------------ ? 'R(ge . ? i j Permit #: ?7 C? ! f I ? Permit Fee: (4 ? Date Received: j i ? I StaR: ? I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION L` I 1 r? . o Site Address• 7?? L4k'?C_151"G?L Date: 's Tenant: Suite #: RESIDENT/OWNER Name: L' ? " ' ?tC' Phone: Address / City / Zip: rAG rti'1 Applicant is: _ Owner K Contractor TYPE OF WORK Description of work: ? sibE_ Construction Cost: IUil1l ? Multi•Family Building: (Yes i. ! No ? CONTRACTOR Name: ^l' h 'cu License#: r;U?rn Address: . 00 City: ,I ?l 1'I ?Uti Wt' State: M10 Zip: Phone: Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateoorv 1 Minnesota Rules 7672 En01'9Y COde . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet CatBgOry Submitted Submitted (4 submission type) • Energy Envelope Calculations Submiqed 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: -you's"ubmit'are consideredYo be publlc mfoimafron 'I?ortrons of;;: NOTE: Plansand:supporting docuinenfs that , the information may be classified'as non public,'if=you provitle specifrc reaso`ns that wotild permif the?CifydQC cot?cl?de'tfiat.Che,'are?t?adeseorets:_ I hereby acknowledge that ihis information is complete and accurate; that the work will be In coniormance wit?h/'l?e ordinance ?and codes oi the Ciry of Eaqan; that I understand this is not a permit, 6u1 only an application for a permit, and work is not t s? rVwithout a per iY, that the work will 6e in accordance with the approvetl plan in the case of work which reqWres a review and approval of pl S. ? x L 1 "?e_ X 4z -?, Ap IicanYs Printed Name Af5plIcant's Signature Page 1 of 3 Clty of Eap UM Ywhcr Make Check Payable to: American Building Gontractors, Inc. Address: 2960 Judicial Rd, Suite 100 Burnsville, MN 55337 Permits: EA 85013, EA 85014 Site Addresses:'4420 Lakeshore Terrace, 4422 Lakeshore Terrace, 1851 Cliff Lake Ct, 1853 Cliff Lake.Ct, 4424 Lakeshore Terrace, 4426 Lakeshore Terrace, 4428 Lakeshore 7errace, 4430 Lakeshore Terrace Reason For Refund: American Building Contractors will NOT be replacing windows at the above addresses. TYPE OF REFUND Buildin Permit Base Fee 0801.4085 $ 998.00 Construction Meter Dep Refund 92202254 $ Curb Box De osit Refund 9220.2253 $ Fire Su ression Permit 0801.4096 $ Mechanical Permit 0801.4088 $ Plan Review Fee 0720.4222 $ Plumbin Permit 0801.4087 $ SAC MCES 9220.2275 $ SAC Cit 9379.4681 $ SAC Admin 0801.4246 $ Sewer Permit 6201.4532 $ Surchar e 9001.2195 $ Treatment Plant 6101.4685 $ Water Permit 6101.4507 $ Water Meters & Radio Read 6101.4509 $ Water Su I& Stora e 6101.4680 $ Co ies 0201.4230 $ Total $ 998.00 I decl nder the penalties of law that this account, claim, or demand is just and that no part of it has been paid. U 1h'IH IV?3 f TDATE SIGN City of EaRan Mike Maguire MAVOR Paul Bakken Cyndee Fields Meg Tilley COUNCIL MEMBERS Thomas Hedges CITV ADMINISTRATOR MUNICIPAL CENTER 3830 Pilot Knob Road Eagan, MN 55122-1810 651.675.5000 phone 651.675.5012 fax 651.454.8535 TDD MAINTENANCB FAqLIN 3501 Coachman Point Eagan, MN 55122 651.675.5300 phone 651.675.5360 hax 651.454.8535 TDD www.cityofeagan.com THE LONE OAK TqEE The symbol of strength and growth in our community. October 14, 2008 American Building Contractors, Inc. Attn: Andy Steiner 2960 Judicial Rd, Suite 100 Burnsville, MN 55337 RE: REFUND OF PERMITS EA 85073 & EA 85014 Dear Andy: On August 7, 2008, Permits EA 85013 and EA 85014 were issued to American Building Contractors, Inc. to replace windows at units in the Lakeshore Townhomes. As requested in your letter of October 13, 2008, we have cancelled these permits and are refunding the base permit fee of $998.00 under a separate cover. The State surcharge fee of $33.00 is non-refundable. This letter is also meant to advise you that effective January 1, 2001, the City of Eagan's Fee Schedule assesses a$50.00 fee to refund permits that have been processed and receipted. As a courtesy, we are informing contractors of this policy and issuing a full refund, minus the state surcharge, for a cancelled permit on a"one time only" basis. Please contact me at sbrandelnacitvofeaqan.com or (651) 675-5671 if you have any questions about this letter or the refund. Sincerely, Sarah Brandel Office Supervisor / Administrative Assistant Cc: Dale Schoeppner, Chief Building Official Peggy Fleck, Clerical Technician )ct-13-2008 03:18 PM American Building Contractors 9527079925 2/4 MN Contractors T.icejise #20169383 Tax I.D. #41-1701217 NIUC 2960 .fudicial Road, Suite 100 •, Bcirnsville; IvIN 55337 .• (952) 707-6959 a. Fax (952)707-9925. ,. _ ., . actober. 13, 20U8 , .. ? Attention:. City of Eagan Building Permits , .'American 13nilding Contractors, lnc. - , Is requesttng •rcxunds for permit # EA0$5013 &' #EA085014; Yf yoii havc any q-tiestions.please.contact ? Andy Steiner @ 952-707-6959 Tha.nk y,ou, . , .= . : , , . Andy. Steinex ` . . "" , , • . : - _ , . 7ct--13-2008 03:18 PM`American Building Contractors 9527079925 PERMIT" Ca9y of Eagan 3830 Pilot Knob 12d 6agnn, MN 55I23 ?51) 675-54575 .rww.ci.engm1.mn.us Sste aaa?-ess: aazo ?.c>c: 23 slodc: 1 'Cll: I U-17785-? 3 U-(1 F .1se: Lalieshore Ter Additioi3: CIifFLake Shores Permil Type: T'ermif Nmnber: of EREdfi(iR pKte IsSUed: Building L+;A085014 os/o7izoos Description: 311U T'ype: Extereor-Mtiltiple Uwe]ling Cans[rucCi<m Type: Work"lype: Windows/DOors-New/Replacement ?iescription: inclades4F22/1851, 1853C]iff LnkeCt -'eusetsCode: 434- - Uccupancy: ?crning: ]qllA1'8 FCCi: Q 3/4 Co¢IiTTi¢IIt5' If no ice protection inspection prior to finnl, must meet inspector with a lndder and fl¢t bar. Picnires ve not acceptnble in ? licu of inspc:clions. . FeC SU.XXI[]l'dCy: ','a luation: 33,006.00 ??f7lntTd Ct0 r: Unericnn BuildingCunlracWrs +95{)Iudicial Ad Suite 7p0 3vrnsvillc MN 55337 952) 707-6959 BL - Base Fee Surcharge - Rased tm Valuxtion Tota1: - Appticnut $515.50 (hvner: Cazo] A Rndolphi 4420 Lalczs}wre Ter 6'agan MN 55322 0801.4085 90012195 hereby acknowledge thtn I hxvc rexd this appRcatinn xnd sCate thai the infoimation is con•ect and agree to compty witb a[I applicable State if Minncsota Stututcs rnid City oF Eagan Ordinances. ApplicxnU['emiitee: Sigttaqn'e lSSUCd By: Signa[ure )ct-13-2008 03:18 PM American Building Contractors 9527079925 4/4 PERMIT "ity of Eagan Pcrmif Type: 13uil(ling K30 Pilnt Kn06 Permit Nnmber: LA085013 >agan,lvtN 5512 Dnl:e Isstxed: 08/07/2008 551) 675-5675 Qf Eqo J iite Addresa: 4424 Lalecshorc Tcr ,ot: 2,5 Block: 1 Addi(ion: Cliff Lake Shores 'ID: 10-17785-250-0I lse: )C3Ct1p1:1011: ',u6 T}+pe: Fx[cri(ir-Midtiple Uwelling Consl.ruction Typc: Nork7'ype: Windows/Ooas-New/Replttcumcnt )escripfion; includcs 4426,4428, 41130 :ensus Code: 434- Occupancy: :aning: ;quare Feet: 0 ?OT31IC1Crit5• 7f no ice protection n?spection piior to fuinl, mus[ meet inspector with a ladder snd flut bar. Piettires are not acceptable ni ? licu of inspections. ''t%8 SUM1tlAYy: laluation: 33,000.00 I ,oniractor: umerican 13uilding Caitractors .960 ludiciul Rd Suilc 100 3u3vsville MN 55337 952) 707-6959 I3L - Base Pee Surcharge - Basc:d on valw 'I'nfal: Applicttnt - 5515.50 Owncr: Ipmes Kapp 4424 Lakcshorc Ter I:agtui MN 55122 0801,4085 9001.2195 ticreby ncknowledge that T have read this application and sfnte that rtoe inForrnation is correc[ and agree to wmply with atl npplicHbfe Sttue -k' Minnesnta Statu(c+ xnd City of Eagan Ordinnnces, Applicant/Yermitee: Signahire IAlp" ]ssued By: Signanare ------------------ i ? Permit#: 8so 1 I ? Permit Fee: I ? ? Date Received: ? I I I Staff: I I -________________? 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address:??i ig53. /`?(a0 r'?'L?}O' `y"K=? S? ?'e ?? C95-E&-OQp j r] ??;y? Tenant: C% L?kkxT Sui[e#: RESIDENT! OWNER Name:Gll`tk t,CL?.[l, Sh(XQ5 ?()U7U1 hOft.S Phone: Address/City/Zip:.il?? uICk L_kLC Ll ? r'AV? 55 1r? 5 Applicant is: _ Owner _?L Contractor TYPE OF WORK Description of work. tea &I??+?' ??1 1 YtGlD4 ,D/ J - ConstructionCost: P ?>-3, DW.6D Multi-FamilyBuiiding:(Yes,?__ /No? CONTRACTOR Name:?l?l_? TVY_/ License #: -"LOI1 (P45M Address:q%Po 3LxJIU(,Lk I+?T • -`? toD City: I'7w VL(A{Lp- _ State:_uiv Zip: ?n3 Phone:"t15 ?)-_? cn - b"`? ContactPerson: y)l?!.(l4? cSCkLc A 1- COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Catectorv 1 Minnesota Rules 7672 EnOI'gy COdO . Residential Ventilation Category i Worksheet • New Energy Code Worksheet Category Submitted Submitted submissiOn type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permft for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plum6er: Phone: Mechanical Contractor: Phone: Sewer & Water Contrector: Phone: NOT?: Pfa"n? aird:supporf?nyw?Yoc4r?tenls tT?a"t??au s`irnrt ane oonsj?e?,r?d fz6e p""rWT,'c'Jmfor?ta#rat""?Po?Rrrs af ,, the irrfoimation:rnay, be cfassrfietlr?",s rto? p?rbfl??'r1'yot???roiirde?eo M-05on40?xha?t woi/ftl permr??fff"e?Cr?j+xa:';.., I here6y acknowledge that this infortnation is complete and accurate; that the work will be in conformance with the ordinances and codes of the City ot 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 [he case of work which requires a review and approval of plans. x '-Xr^-- ApplicanYs Printed Name ApplicanYs Signature Page 1 of 3 , - u W W W m N W : ct s J ^ W ? ? 4 W d ? ? O G m?a o ?O O 18?0 O m-'o p &--,O O Q/o 0 m--'O G m? o ?O G O/O O ? p ?a o C?O O p 0 O B'Q C crO' O ??o o d a O ?OO 0 0 ?o a O ? O O? O wNtow LOT SURVEY CHECIpJST FOR RESICENTWI. '.; BUILOING PERMITAPPLICATI • --?- PROPERTYLEGAI: a ? OWTEOF'SURVEY.' LATEST REVISION: DO M NT cTA1dD pD • Repistered Land Swvayor stpnaWre and company • BuUdinq PemdtApplicant • Le9al deacriptlon ' • Address • NoM arroMl a1W SCele • hlause We Oambler. rvaikauk ePpt w/o, aput entrY, lookout. ek.) . • Dkectlonel dralnape artaws wilh slopelyradfent % ' p?°PoseWexstlno sewer end water seMces a irneR elevaflon • . Streetnartw • ' Dmreway ' • . • . . . . . a ? . . ELEVATIONS . , r: . ExMQS Sewar servtca Property comeM . Top of curb at the dtiveMray Elevetlons oi anv e*tlng adJaeent homes P,L4posest GarBpe floor , Fust floor ' Lowest exqwsad elevatlon (pvalkoWwlndoO Properly wmeis Front and rear of home at the foundatlon PONDt_ NEA 9/eoolicablel Easemant Ma NWL . , HUUL aa,d # aesignanon Emerpency OveAlow Elevatbn . DIMEN310NS • Lot Anes18eadnps 3 dfinenstons ' • Ripht-of-way and sVaet width (to baA of qub) : • Proposed hort?e dlmenelona indudin d • . porches, otc. p.e. all shuclures requt? ??t ?sa'verhanps pnater than 7. Show all aasements af record and any City u6litles writhin those essemenb Setbaeks,of proposed sCructure and sideyerd safback c/ aClacent eAstlna structuras Rata(ning wall Reviawed: ?' ?-CITJY'OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: cOMI BUILDING 026516 1GJ/16f95 SITE ADDRESS: 1851 CI.IFF LAKE CT LOT: 21 BLOCK: 1 CLIFF LAKE SHOftES DESCRIPTION: . (ZERtl LO'f LINE) 13;611 dingl10ermit Type SF DWG Bw3,ldiny Wq„rl< Type NEW ? UBC OceupaYk?Cy\,., R-3 U-1 Gonstruction Tjipe V-N - Eahinq_ P--D ' Building Length 44 i Btailding Width 30 stories ` 2 ?3? ? tI T j J 1' ? j REMARKS: 5& W PLBR - WENZEL PLBG (4-PLEX WITH LOTS 22 23 & 24) FEE SUMMARY: Base Fee Plan Review Surcharge SAC SAC ? SflC Units Subtotal VALUATION $868 .50 $303.98 $48.50 $850.00 100 $2, 070. 98 $97 000 MISCELLANEOUS _ $1.892.50 'rotal Fee $3,963.98 CONTRACTOR: - Applicant - sr. Lzc. OWNER: HOFFMAN HOMES INC 18999807 0009284 HOPFMAN HDMES INC 2214 E 117TH ST 2214 E 117'1'H S7 BURNSVILLE MN 55337 BURNSVILLE MN 55337 (612) 894-9807 (612)894-9807 S hereby aeknowl at '! hawe read tHis applfcatiarr-end,stat-0 that the infinrmatiori is carrect and agr2e to comply with ail applicable SfiaLe af Mn. Statutes and 't,y of E gan Ordinances. ISSUED BY: GNA RE "?? INSYECTIUN RECURll CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 BuiLozNG 026516 ie/se/95 SITEADDRESS: L oT: 21 BLOCKe 1851 CLIFF LflKE CT CLIFF LAKE SNORES PERMIT SUBTYPE: sF owG ? APPLICANT: NOFFMAN HOME5 INC (612) 894-9807 TYPE OF WORK: DESCRIPTIDN NEW (ZERO LOT LiNE) INSPECTION FOOTINGS „ . FOUNDATION .. FRAMING ROUFING INSULATION FSREPLAGE ROUGN SN PLBG ROUGN IN HTG FTNAL PLBG FINAL RGMARKS: S& W PLBR - WENZEL PLBG (4-PLEX WI7H LOTS 22 23 & 24) r. . . ... . . .... . _ . . . . _ .. .. . . ,. _.. .. .. . . . .. ,. . . .. .... .. :. . _ _„ . _. 7-] I ? L _ , _ ? X61C CITY OF EAGAN t 3830 PILOT KNOB RD - 55122 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New ConsWCtion Reauirementa RemodeVReoair ReauiremeMs ? 3 registeisd N[e survsys ? 2 eopies of plan ? 2 mpiea of plans (indude beam & wfndow sizes; poured fnd. design; etcJ ? 2 eke survoys (arterior additions 8 decks) ? 7 enerpy eelwlationa ? 1 energy calwletiona fw heated adddiona ? 3 eopias W 4ee proaervatlon lan N lof plaqed after 7/1/93 required: _ Yes A.L No DATE: iol-? 19.< CONSTRUCTION COST: ?-:ir pq0 DESCRIPTION OF WORK: ???'? ??' I°.o s'• c?sni-? t? how.R, STREET ADDRESS: ? s5k r-"4ff L-Avj-: C0ur+•i LCiT 21 BLOCK I SUBD./P.I.D. #: C`-`f'F' LV+1cE L?ProR.EY to _ t"3 ?g? -?Sr Q? _Y- Gr %NLGa?s zz0 3ZY i PROPERTY N8I118:__ HoPFv-taa hls??,i "Zw4 Phone #: g5*-°1eo-?- OYVNER ?* ;°'°* Street Address• Zz tlc ?• >>"??T" s'rs City: State: '"tj Zip; 5531V CoNTw?C7oR Company: sa,.,& Phone #: Street Address: License #- 5 Z $ City: State: Zip• ARCHITECT/ Company: M.AreTo..jwM DESCbP Phone #- 93?'-??y o ENGINEER Name: L7?c -r+?,-, j Registration #Street Address- ?O -48 -r?%- STf L" < _ CIty: Cr1o.NNO-bSE.rJ State: M"f Zip: Ss3ti-+ Sewer & water licensed plumber. \-)Q+I.? L& '. W EC,rt aJ i cAxL, . Penalty applies when address change and lot change are requested once permit is issued. 1 hereby acknowledge that 1 have read this application and state that applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. OFFICE USE ONLY Certificates of Survey Received Tree Preservation Pian Received Signature of P,ppliqnt: Yes IINO _ Yes _ No corred and agree to comply with all T,%L OFFICE USE ONLY ° , , '? ." ' ^ i BUILDING PERMIT TYPE 0 01 Foundation o 06 Duplex o 11 Apt./Lodging o 16 Basement Finish .Ar- 02 SF Dwelling o 07 4-plex ? 12 Multi RepaidRem. 0 17 Swim Pool a 03 SF Addition o 08 8-plex o 13 Garage/Accessory o 20 Public Facility 0 04 SF Porch o 09 12-plex o 14 Firepiace o 21 Miscellaneous ? 05 SF Misc. 0 10 _-plex a 15 Deck WORK TYPE ?? L2o - Lo T ?L/ yL .0' 31 New o 33 ARerations o 36 Move 0 32 Addition o 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. N14 MC/WS System (Allowable) Main level sq. ft. ,905- City Water UBC Occupancy 3 I Zsq. ft. 'q 7,L Fire Sprinklered Zoning f'-b sq. ft. PRV # of Stories z ua r3lw sq. ft. Booster Pump Length ? sq. ft. Census Code. io z Depth 30 Footprint sq. ft. SAC Code D/ Census Bldg Census Unit ? APPROVALS Planning Building Engineering Variance Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permft S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units Valuation: 604 %V G£ a -- z- ?s,? z y33 = F/D Z - $ 97, o 00 - 36r y yo ?osXsy ? y3, y7D ZZ /3,37x zr = 333 it.G7x / 2e) _ 4 ' _ ?93 Z? ? ?y L lv 3 Z° ? 69/13/•1995 10:13 6129344305 MIWJETONKA DESIGN PAGE 12 • EXTERTOR ENVELOPE_l1VERl1G[ "U" COMPUrnrtoN owNER; nnTr: SITE ADDRESS: PNDNE: GONTRACTOR: PLAN Determine working square foota9e of each 1. Total exposed wall area..... .-'7Q40 sq. ft, x.11 = 2. Total roof/ceiling area..... 1,C_l0 sq. ft. x.026 =??•? Total exposed wall area above.floor= '-M&S a. Total wal] window area ........................................... `?•?? b. Total door area................................................... c. Total slldinq glass door area .................................... d. Total f9replace wall area ........................................ e. Total wall framing area (average lOX) ............................ ,2. "Z f. Total rim joist area ............................................. g. net wnll area a6ove floor ..................................... .. ?1 h. wall area above floor ..................................... ... i. , wall area a6ove floor ................................... J. frame wall a-ea at fowldatiott ................................... Total exposed foundation area=? k. Total foundation window area ....................... 1. Total net foundation area above grade .............. Determine "u" value of each wall segment (e.g. wtndow, door, each separate wail section) a. PA,1? .. X„u,. b. 'n x „u„ c. 33,33 x -,u" d. K louil ; . e. T11•'17 x "u, f0\ = 11,2} f. z „u„ z- 9. x„u „ ,? •? = Co?,<?, & n. x ltuti - i. X 'lull _ ' j. X 1-U41 _ If item 03 is the sai k. X "U" = as, or iess than itei 11, you have met the 1. X "U" intent of SBC 6006 (i 3 . .................. ......... Total - ?? (?•3Z . •09/13/1995 10:13 6129344305 MINNETOIJI<A DESIGN PAGE 13 4. TOTAt rXPOSrO It00P/ClIl.1NC GU.CULATIWIS: • Totalexpnfed ' rool/eatling area....... . sq ft 11 Tota1 skyllyhe araa....... sa ft x"U„ • k) Taal roof/call inq fr+.Sng xU" -2 (04 arns (Avarape s i?X)...... q ft li 1) ToCal nnt Insutated - ? • ?,Z , roof/aalllnq arna...... C1?IU sq Ft x"U' nX , .. 4• T07AL J) Chru 1) •y ? If toul of IfI ts the same as, or less d+an ??2, you hava eC the intent of • 2`(CAIt 1.16008 -A rcd 0. ' '` nt • , . . • , : ,. • . Al.7CMA7E 6WLDING ENYELOPE dEStGM • ' . ,. . .. . Yo utilixn the total anvnlape sys tem NeChod,•ihp values estxb]•)shcd by th4 Sum of i tams E3 and 14 shal l not be greater than tha wm'of t te.s 11 and r2. .. .. .. , i. . 4- 2. ? '3• ' +4. ? . ? • ? • 1 ? r .. ' ' . • , .09/1,3/1995 10:13 6129344305 h1INNETOfJKA DESIGN * LINEAL FEET EXPOSED WALL BGOCK: KNEE: 4JALKOUT: EULL 1:(3% FULL 2: ,21 FIREPLACE: RIM: BLOCK:. KNEE: HALKOUT: FULL 1: FULL 2: FiREPLACE: RINf : `4`?< SQUARE FEET F.7CPOSED I,TAi.L ABEA x .5..- x 5 - 7C 8 ° X$ x8=`IM x a q ?41y? _ IviAI. 23`t SQUARE FEET EXPOSED CEILENG IIOO ? WINDOWS: ID`E.II? DOORS: 21(p40 ZC?o PATIO DOORS: 1Co 20 1 `1,`X"1 1?? BASEME,?T UNITS: 1QA? A, SKYLIGHTS: PAGE 14 X CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: cPAql1l BUILDING 026517 18/16/95 SITE ADDRESS: 1553 CLIFF LAKE CT LOT: 22 BLOCK: 1 CL:[FF LAKE SHORES DESCRIPTION: _ (ZERQ LOT LINE) Bjp11dffhf4 Permit T y p e SP OWG .? rk l"YPs 0a? NEW g ,=rC s4o ourpa4 R-s u-1 P" CdnsCrutt3.e5h V-N ? Zanihg ?. p,D Builcl?fl tn Ch `t 49 g g ,e 30 $tt2a"oLhlg a,o t o ries? 2 ma411 .? \^ e Atm q e @ ?` ? YC R ? r r? ?} inV .2 }.? 6 ? W i??Wi?Ct QTI t ?£R Ad48.pc 4 ' . P.I $ j y m .. kY 4.. -. ?ff d Ym T i 4i tE ,d b? wa.,:? °P9 S rs?[ $ e.. REMARKS: S& W PLBR - WENZtL PLBG (4-PLEX WI7H LQTS 21 23 & 24) FEE SUMMARY: Base Fee Plan Review Surcharge SAC 5AC ? SAC Units Subtotal VALUATION $868.50 $393.98 $48.50 $550,00 1@0 $2,970,98 $97 000 MISCEILflNEOUS 1 892.50 'I"otal Fee $3,963.48 CONTRACTOR: - App11cant - sT. Lzc. OWNER: HOFFMAN HOMES INC 18949807 0009284 Hf7F'f-'hIAN HOME5 INC 2214 E 117TIi 5T 2214 E 117TH ST BURNSVTLLE MN 55337 BURNSVILLE MN 55337 (612) 894-9807 (612)894-9807 ? hereb?r aakcio?rl?tlg? t?a?:?' Yrave r??d: 'Gh?s a,pP??C?:?ic?ra ;?r?fivrm?tic?n is ?ct and ae?re.?co+t?pip ?S?t-h aPP???ah?? 'k p? i. utes and G€ crfEa9ati €lydir?artoes?:` I.:.... ,-? ? e '. __.. .._ . .. ? . ... . r . ? ? - i0 tIkr JtpM--- ISSU SIG INSYECTIUN RE(:Ollll CITY OF EAGAN PERMIT TYPE: B U I L D I N G 3830 Pilot Knob Road Permit Number: 026517 Eagan, Minnesota 55122-1897 Date Issued: 10 / 16 / 9 5 (612) 681-4675 SITEADDRESS: Lnr: zz sL oci<: 1853 CLIFP LAKE CT CLZFF LAKE 5WORES PERMIT SUBTYPE: SF DWG 1 APPLICANT: HOFFMAN HOMES INC (612) 894-9807 TYPE OF WORK: DESCRIPTION NEW (ZERO LOT LINE) INSPECTION FOOTINGS D. . FOUNUATION .• FRAMING ROOFING INSULAI'ION FIREPLHCE ftOUGH IN PLBG ROUGH IN HTG FTNAL PLBG FINAL REMARKS: S& W PLBR - WENZEL PLBG (9-PLEX WITH LpTS 21 23 6 24) r . ... .. . . . . .. . . .,,. . .. _. .... . . ._ . , _ ? ? ?. ,.. .. .. .. . . . .. . . . ?. ? .. . . . . ? . .. . ._ . ?. _. _ . ? ? CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681 -4675 ? 3 regiatered ake surveye ? 2 copies of plan ? 2 copies of plans (mdude beam 6 wintlax s¢es; pomed fid. design; etc.) ? 2 ske surveys (a)derior additions 8 decks) ? 1 energy CalculaNrnre ? 1 energy calculations for heated eddifions ? 3oopios of trce pieservation lan if bf plaked aRer 711/93 required: _ Yes No DATE: t°/'1 leiti CONSTRUCTIONCOST: DESCRIPTION OF WORK: STREET ADDRESS: ig 5s LOT 7-2- BLOCK ? SUBD.lP.I.D.#: - Pe sx rs Z?Z3 , ? yY , PROPERTY Name: NGfr-mAJ {?s Phone #: OWNER W" `°'°• Street Address• utq ?' «??? S?• City: 6"R.Jsu.u,c State: ZiP; 5533'-1- CON7RACTOR Company: SaM& Phone #: Street Address: License #: q28`? City: State: Zip• ARCHITECT/ Company: KtOO 6s\PtJu.,k 17es+w.1 Phone#• 934 ENGINEER Name: L`t"- r' Registration #- Street Address- City: C-64P? ki+`sse,?j State: ^J Zip: 553kI Sewer & water licensed plumber. ?j C-t''Zl- `- . Penaity applies when address change and lot change are requested once pertnit is issued. I hereby acknowledge that I have read this application and state that the information 's correct and agree to comply with all applicabie State of Minnesota Statutes and City of Eagan Ordinances. Signature of Appiicant: OFFICE USE ONLY / Certificates of Survey Received /- Yes ? No f 0 r.T 05 1995 ? Tree Preservation Plan Received _ Yes _ No i -------_ ...._- 1 OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation o 06 Duplex o 11 4a"02 SF Dwelling ? 07 4-plex o 12 0 03 SF Addition o 08 8-plex o 13 0 04 SF Porch o 09 12-plex a 14 n 05 SF Misc. 0 10 = plex o 15 WORK TYPE (Lo r ' L/,Av £. 1w''31 New o 33 Afterations a 36 0 32 Addition ? 34 Repair ? 37 Apt./Lodging o Multi Repair/Rem. o Garage/Accessory ? Fireplace o Deck Move Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. (Allowable) -M Main level sq. ft. UBC Occupancy 2-3 u -/ sq, ft. Zoning sq. ft. # of Stories Z N? ?j?) sq, ft. Length h'Y sq. ft. Depth 30_ Footprint sq. ft. APPROVALS Planning Building `.y3. ? -•de.? u?.. .y '. .,- .: ... _,. 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous ////-? ?- MGWS System b ? City Water o? f 7Y Fire Sprinklered PRV Booster Pump Census Code. /O y SAC Code ? Census Bidg i Census Unit Engineering Variance Permit Fee Valuation: $ ?l'?7.60c) Surcharge Plan Review License MCNVS SAC Cit SAC y Water Conn. Water Meter Acct. Deposit S/W Permit S/W S h S , urc arge TreatmeM PI. Road Unit ? Park Ded. Trails Ded. • Other Copies Total: pGocjc, - l % SAC SAC Units 09/13/1995 10:13 6129344305 MINNETONKA DESIGN EX7ERi0R ENVELOPE AVERAGE "U".,COM!'i17A'fION OWNER SITE ADDRESS: (lAT'f : 9 - 7 PHONE: PAGE 12 CONTRACTOR: mA0A 0yv?S _ PIAN #`.?r?? Determine working square footage of each 1. Total exposed wa11 area..... sq. ft, x.11 = 2Sb ,? 2. Total roof/ceiling area..... 1`UO sq. ft. x.026 =??•? Total exposed wall area above,floor= a. Total wa11 window area ........................................... b. Total door drea.... .. ................ ..........,,......... c. Total sliding glass door area .................................... 3?3 d. Total flreplace wall area ........................................ e. Total wall framing area (average 10%)-.......... ................. ,2 f. Total rim joist area ............................................. Z g. net wetl area above floor ..................................... ..??1 h. wall drea d6ove floor ..................................... i. wall area a6ove floor...................................... ,?. frame wall area at foundation ......................... Total exposed foundation area= k_ Total foundation window area ....................... l. Total net foundation area above grade .............. Determine "u" valUe of each wall segment (e.g. window, door, each separate wail section) d. X „U,. I _ s1.o1 x .,u„ c. 13.33 x "u" I ? _ ` l33 d. X 'pull e. x??U" Q? = 1f1,Z1 f. z ..u„ , = Cl,`1Z g. ?12??5 ti C,.u-, - 2 C,0 n, z liuii - i. X "up, _ ? x ,.u„ _ If item i3 is the sai k. X "U" = as, or less than itei #1, you have met the 1. X "U" = intent of SBC 6006 (3 . .................................Total 09/3311995 10:13 6129344305 MINNETGiJI<A DESIGN PAGE 13 4. TOTAL IXPOftO ROOp/ClILtNC W.CUlATIOtIS: Tet+l"pvsed roef/eaillnn a?ea....,.,. `?+ 00 ? aq ft J) Total skyTlyhe araa....... sq ft x"U" ? k) Taul roof/Celllng friw3ng • eros (Ave rspe 1 Q7:) .... .. 1???? 3q f C X•nUu t) Tatal nat Insuta;ted • rovf/ca(iinq s area.....,, q Ft x llU', 4• • y TOTAL ,j ) thru 1) If totsl of Sh TS the same as, or less than l?2, you hava rRet thc intent of • 2 YCa1t I.160p8:l1 atid p. ' '• . . r • . . . ; • , . AC7ClQATE $UILOING ENVELOPE dEStGN •' - , .. ? . . To utiltsn the total nnvntope systero Nethod, •the values estslal•ished by thq sum ' of lenms R3 and 14 shatl not be greater than the sum'of 1cms N1 and !2. .. .. . 1• ' +. ?. _ ' . -3• ' ' +4. . • - . . . . ,? , I r. ? 09/13/1•995 10:13 BLOCK: KNEE: 41ALKOUT: FUL[. 1: { n 6129344305 MINNETONKA DESIGN * LINEAL PEBT EXPOSED WALL FULL 2: ?2.71, FIREPLACE: RIM : 2.4t 'k SQUIIRE FEET ERPOSED AALL ABEA SLOCK:. x .S..a KNEE: x $ - BAI.KOUT: x 8 ? FULL 1: ? 37? x 8 FULL 2: ) ;? ? x 8 FYREPI,ACE: x a RIM: 2-4`K x 1 TOTAL 2_31to SQUARE FEET EXPOSED CEILING IIOO ? WINDOW5: I ?dc , II'? z?p4o kl'?` 11 a z.2r>- 2c?o Ill 2?.cd? ?2S1L?l=U?i»TS ?1 7' .>3 DooRS : 37 ,-J1 ? PATIO DOORS: BASEME:IT UNITS: SKYLIGHTS: PAGE 14 PERMIT LOW1 ? `CITY OF EAGAN suz?ozN? 3830 Pilot Knob Road PERMIT TYPE: Eagan, Minnesota 55122-1897 Permit Number: 0 2 5 51$ (612) 681-4675 Date Issued: 10 / 16 / 9 5 SITE ADDRESS: 4420 LAKESHORE TER LOT: 23 BLOCK: 1 CLIFF LAKE SHORES DESCRIPTION: (ZERO LOT IINE) 13 u31d'ing,,Permit Type SF DWG Buildiny Wark Type NEW ; `UBC Dccupanc;pr, ft-3 U-1 'Construction TyRe V-N ,-' 2oning P--D Buiiding Length 44 Building Width 30 Buil;ciihg stories 2 , - , r . ?L u .. REMARKS: S& W PLBR - WENZEL PLBG (4-PLEX WI7M LOTS 21 22 & 24) FEE SUMMARY: Base Fee Plan Review Surcharge SAC SAC ? SAC Units Su6total VALUATION $868.50 $303.98 $48.50 $850.00 100 1 $2,070.98 9gKTrg?CT??: - Appiicant - sr. LIC. OWNER: H M S INC 18949807 0009284 HOFFMAN HOMES INC 2214 E 117TH ST 2214 E 117TH ST BURNSVILI.E. MN 55337 BURNSVILLE MN 55337 (612) 894-9807 (612)894-9807 I hereby aeknawledge that I hava read thzs ' information i.s correct and a:gree to camply Stetutes and C' of Eagan Ordinances. L LICANT/PERMITEE SIGNATURE $97,000 MISCELLANEOUS _,_11z892.50 Totial F'ee $3,963.48 appilzata.on and state xhat the with all applicable State of Mn. ? ?lc?14 rep ??l I m? IS ? ED B SI TUR INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: Lo r: 23 sLo c K: 1 APPLICANT: 4420 LAKESHORE TER HOFFMAN HOMES INC CLYFF LAKE SHORES (61.2) 894-9807 PERMIT SUBTYPE: SF DWG TYPE OF WORK: DESCRIPTION 6UILDING 026518 10/16/95 NEW (ZERC7 LOT LINE) INSPECTION FOOTINGS .. . FOUNDATION .A FRHMING ROOFING INSULATIqN FIREPLACE ROUGH IN PLBG ROUGH IN HTG FINAL PL86 FINAL REMRRKS: S& W PI.BR - WENZEL PLBG (4-PLEX WITH LO'i5 21 22 & 24) ? . . . : _ ... . . .. _, _. _ . _ _ _ . ._ >.. ? L ? -? CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 ? 3 registerod aite surveys ? 2 copies of plan ? 2 copies of plans (indude beam 8 window s¢ea; poured fid. design; etc.) ? 2 sRe surveys (exterlor additbns 8 dedcs) ? t energy ealeulations ? 7 errorgy celalations for heated additiona ? 3 oopies o} Vee qeservation plan N lot plalted aRer 7/1/93 Fequired: _ Yes ,k', No DATE: tQ 1q CONSTRUCTION COST: DESCRIPTION OF WORK: K,6S'. A e+ja- jPcv STREET ADDRESS: `'E 4z9 *E^Ln04-(;. LOT l'!0 BLOCK ? SUBD./P.I.D.#: G,ifF L?+vj. St+-ale> to-??-?&o,o5-p? PROPERTY Name: N0Ffw+P)J HsµsS ,'z.? e., Phone #: rs"`A-S g a} OWNER wY •* Street Address- ZZ ?y E• ? ?"?? ST- City: ?ww?s?<uy State: '''^f Zip:5533 ? CONTRACTOR Company: iArA(--- Phone #: Street Address: License #* R2$? Ciry: State: Zip• ARCHITECT/ Company: ". P+061'b?414-ia l7csi Phone #• J34-14y° ENGINEER Name: L'it? c TUA L? P-J Registration #• Street Address• 190 City: ???N?SS?.? State: '^'`w ZiP; S53i'} Sewer & water iicensed plumber: ? 149V Penalty 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 th m ' n is ct and a ree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY f0a Certificates of Survey Received Yes Tree Preservation Plan Received Yes l? BUILDING PERMIT TYPE OFFICE USE ONLY 0 01 Foundation o 06 Duplex o 11 Apt./Lodging ,ja` 02 SF Dwelling ? 07 4-plex o 12 Multi RepaidRem. 0 03 SF Addition ? 08 8-plex a 13 Garage/Accessory ? 04 SF Porch o 09 12-plex o 14 Fireplace ? 05 SF Misc. 0 10 plex o 15 Deck WORK TYP wrp^ G?o - Lo> ,W-31 New o 33 Alterations o 36 Move 0 32 Addition o 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Pertnit Fee Surcharge Plan Review License MCNVS SAC ciry sAc Water Conn. Water Meter Acct. Deposit S/W Pertnit S/W Surcharge Treatment PI. Road Unft Park Ded. Trails Ded. Other Copies Total: ? • 36?x .At.. 0 16 Basement Finish 0 17 Swim Pool 0 20 Public Facility ? 21 Miscellaneous ? N Basement sq. ft. N/f MC/WS System ? N Main level sq. ft. City Water ? -3 u-/ sq. ft. ? Fire Sprinklered sq. ft. PRV Z? nw) sq. ft. Booster Pump v`?_ sq. ft. Census Code. _/D L Footpnnt sq. ft. 5AC Code oi Census Bldg ' Census Unit , Building Engineering Variance Valuation: g 71 bdo G . 7i ? I a? S- f _l ? ?Cw ?(• ? -?.. % SAC SAC Units 09/13/1995 10:13 6129344305 MINNETONKA DESIuN EX7ERi0R ENVELOPE lIVERAGC "U........ C0 M!'il7A'f[ON PAGE 12 OWNER; nnTr : 9 -) 517E ADDRESS: PHONE: CONTRACTOR: PLAN Determine working square footage of each 1. Total exposed wa11 area... .. "?33(D sq. ft, x. il = 25C.? ?ICO 2. Total roof/ceilin9 area..... 1\0Q) sq. ft. x.026 ="??•? Total exposed wa71 area above.floor = 'M?&S a. Total wall window area ........................................... ??•?? b.' Total door area................................................... 'rl,"17 c. Total sliding glass door area .................................... ?'?3 d. Total f9replace wall area ........................................ e. Total walt framing area (average 10%) ............................ f. Total rim joist area ............................................. 2 g. net wall area a6ove floor ..................................... ..??1 h, wall area above floor ..................................... i. ? wall area a6ove floor ...............'...................... J. frame wall a-ea at fowndation ................................... Total exposed foundation area= k. Total foundation window area ....................... 1. Total net foundation al^ea aboYe grade.............. Determine "u" value of each wall segment (e.g. wjndow, door, each Separate wail section) a. `Obt,?? X liuli 5?.0? c. 7 x ,.u„ c. 33,33 x "ut M = 1 ,33 d, R 14up, ? e. 1c11-2J x"U., f. x „ti„ g. 1?l'Z1?51 x 'lu" ,0 = Q.o`b,SC'0 h. X Stull _ i, X "U" _ ? x „u„ =. k. K "U" = 1. X "U" If item 03 is the 5ai as, or less than itei ql, you have met the intent of SBC 6006 ( 3 . .................. ............... Totat = ??i(1•3Z. 09/13/1.995 10:13 6123344305 MIPINETUNI<A DESIGIJ PAGE 13 4. TOTAI IXApSCQ ROOP/CQlLINC CALCUTATIWIS: • Tat+1expvseA ' roof/ealilnn area........ sq ft ,_r...._ J) Total Skyliyht arqa......, sq ft x"L" ? k) Total rool'/ca111nq framtng ' • ares (Averspe iQX)..... sq ft x•„(jif iT Total aet lnsula;ted - • , • roof/csfitnq srea.....,. ??v sq ft x"U" b? » ??? ••_ 4• • y TUTAL ]? Chru 1) 22'?t It tvtsl of /li Ts the same as, or Tess than A2, you hava met the intent of . z KcAn z. 16008 :k and o. ' • . , • . A1.YEpu7E BUIIAING HNVELOPE dESlGN . ' • , .. ? . . To ueTlizn the tatal aevalope systnm Nethad, •the values estsb2•Ished by thq sum of ttams E3 and d4 shall not be greater than tha svm'of lccm NI and !2. .. .. ? ?. 2. - ? . 3• ' ' + 4. - - . . . ?. , ?._. . .. ? 09/13/e995 10:13 6129344305 MINNETONKA DESIGN . * LINEAL FEET EXPOSED WALL BLOCK: KNEE: WALKOUT: FULL 1: ( 3? EU(.L 2: IZ.t EIREPLACE: RIM: * SqtlARE PEET ERPOSED WALL ABEA BLOCK:. x .5.- .. KNEE: x 5 - HALKOt1T: x 8 ? FULL 1: `32S x g FULL 2: ) ?? a x 8 FIREPLACE: x ? RIM: . A 23 ?'?o SQUARE FEET ERP05ED CEILZNG ?100 ? WINDOW5 : I n`? I I? DOORS: Z(p40 k? ? i S 2 zto5 o III 'Z?g.?} PATIO DOORS: 1? 20 ?zS?uyuG?d BASEMENT UNITS: SKYLiGHTS : PAGE 14 --?•CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: DESCRIPTION: PERMIT PERMIT TYPE: Permit Number: Date Issued: 4422 LAKESMORE TER LOTc 24 BLOCK: 1 CLIFF LAKE SHORES (ZERO LOT LSNE) B;uilding?., Permit Type SF DWG 13vil,ding W?rk Type NEW -UBC Occupanoy";.., R-3 U-1 Con5trucCidn F?p,e V-N Zoning P-D Bui7.ding Length 44 Building Width 30 F3us1ti33nq stories 2 '\\v t REMARKS: S& W PIBR - WEN7EL PLBG (4-PLEX WITH LOTS 21 22 & 23) u-4ql?l BUILDTNG 026519 10/16/95 FEE SUMMARY: Base Fee f'lan Review Surcharge SAC SAC % SAC Units 5ubtotal CONTRACTOR: - HQFFMAN HOMES ZNC 2214 E 117TH ST BURN5VSLl.E MN (612) 894-9807 VAIUNTION $868.50 $303.98 $48.50 $550.00 100 $2 , 070 . 98 $97,000 MISGELLANEOUS $1,892.50 ToL'al Fee $3,963.48 pplicant - 5T. LIC 18949807 0009284 55337 OWNER: HOFFMAN HOMES SNC 2214 E 117TH 5T BURNSVILLE MN 55337 (612)894-9807 V I hereby acknowledge that T have read this information is corre and agree to co?nply Statutes and City f Eagan Ordinances. L NT/PERMIT E SIGNATURE applfcation an€1 state that the with aL1, app].kca6le S-tate 6f Mn. = _ . J Ni4 U ISSUED B : 51 ATU INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITEADDRESS: LoT: 24 BLOCK: 4422 LAKESHURE TER CLIFF LAKE SHORES PERMIT SUBTYPE: S.F DWG 1 APPLICANT: HOFFMAN HOMES INC (612) 894-9807 TYPE OF WORK: pESCRIPTION BUTLDTNG 026519 10J16/95 NEW (ZEF20 LpT LTNE) INSPECTION FOOTINGS D. . FOUNDATION DA FRAMING ROOFING INSUlATION FIREPLACE ROUGH IN PLBG ROUGH IN HTG FINAL PLBG FINAL REMARKS: S& W PLBR - WENZEL PLBG (4-PL[X WITH I.OTS 21 22 & 23) ? . _. . _. , . . . , ? ? ? ? . . . . . ., . ? '. J CITY OF EAGAN •/?' 3830 PILOT KNOB RD - 55122 '1 lAJ 't'6 1995 BUtLDING PERMIT APPLICATION (RESIDENTIAL) 681-46T5 ? 3regbterod site survays ? 2 copiee W Plan ? 2 ooDba of plens (induda beam & window naes; poured fid. tlesign; ela) ? 2 ske surveys (exterbr additiona & decka) ? t energy calwletlons ? 1 energy piwlations tor froated additions ? 3 eapies of tree Drmrvation plen iF bt piatted after 7/1 /93 feyuired: _ Yes & No DATE: kp 14 I9<? CONSTRUCTION COST: }l , 0--? DESCRIPTION OF WORK: '4Si06Nr"ta-v uJlr ,,t?'rLA' TE`'""'A Gf STREETADDRESS: L'A"c LOT BLOCK L SUBD./P.I.D. #: ?'?'` F'? ?-P??' S ?''?t?.ES ia -? ?''?B °-'O5-°• L/-P<cx ?rs Z!, z z, ? L 3 PROPERTY OWNER CONTRACTOR ARCHITECT! ENGINEER Name: ?"ri'c-,_ Phone #: `bq`f -98 0"}- Street Address• ?ZZi Lt C-1 St' City: 'Sua+-,5 vL"- State: M,? Zip: 55 33 -4- Company: SaKI-- Phone #: Street Address: City: State: Company: NS?c,.! Name: L-'I" Tau.?t,?+ License #: 9 ''"b q Zip: Phone #• 13,f- }4+° Registration #• Street Address? ?o W% , -?? S c , City: C"+,? HasSe,J State: Mi'l Zip: '; 53 1? Sewer & water licensed plumber. V" &?-JLe L- C4KV . Penaity applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state fhat thp-iMe tio rrect and agree to comply with ati appliqble State of Minnesota Statutes and Ciry of Eagan Ordinances. Signature of Applicant: ' e, --' OFFICE USE ONLY ? I',,;,...???%i_ `.II Certificates of Survey Received Yes o - _ ?C i 0 5`i995 L ? Tree Preservation Plan Received Yes -No _ OFFICE USE ONLY BUILDING PERMIT TYPE f « :• _,.._ , .« - . ? 01 Foundation o 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish orz`' 02 SF Dwelling o 07 4-plex o 12 Multi RepaidRem. 0 17 Swim Pool ? 03 SF Addition o 08 8-plex o 13 Garage/Accessory o 20 Public Facility 0 04 SF Porch o 09 12-plex o 14 Fireplace o 21 Miscellaneous 0 05 SF Misc. a 10 -pl ? 15 Deck WORK TYPE CrK-a -Lo'T -G??vC -d- 31 New o 33 Alterations o 36 Move 0 32 Addition ? 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) ? Basement sq. ft. N/-, MC/WS System G (Ailowable) ?N Main level sq. ft. ?.s231- City Water _0,10-1 UBC Occupancy IJL-/ sq. ft. '0 Fire Sprinklered Zoning P-h sq. ft. PRV # ot Stories sq. ft. Booster Pump Length 5v? sq. ft. Census Code. O Z Depth ?` Footprint sq. ft. SAC Code o/ Census Bldg I Census Unit o APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ om Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. DeposR SNV Pertnit S/W Surcharge Treatment PL ?? CS Road UnR Park Ded. Trails Ded. Other Copies Total: °k SAC SAC Units 09/13/1995 10:13 6129344305 MINiJETOWKA PESIGN PAGE 12 . EX7ERIOR ENVELOPE AVERAGE "U°.,COMPt17A'fION OWNfk: _ ?_ --- nnrr: 9'7 SITE ADDRESS: PHONE: CONTRACTOR: 'v=1-mA?A 01'nr PLAN # Determine working square footage of each 1. Total exposed wall area..... 213(p sq. ft, x 2. 7ota1 roof/ceiling area..... 1`00 sq. ft. x.026 = Total exposed wall area above,floor= ?.? rlY I(:?A- II a. Total wal7 window area........................................... ') '1 'I-] b. Total door area................................................... , c. Total sliding glass door area .................................... 33 d. Total fireplace wall area ........................................ e. 7ota1 wall framing area (average 10X) ............................ 12 f. Total rim joist aren ............................................. 2 g. net 1ve11 area a6ove floor ..................................... ..? h, wAll area above floor ..................................... i_ wall area a6ove f100r .................... ................. j. frame wall area at foundation ................................ 7ota1 exposed foundation area= k. Total foundation window area ....................... l. Total net foundation area above grade .............. Determine "u" value of each wall segment (e.g. window, door, each separatc wail section) a. x --U,. X c. 33,33 x "UH d. X olull ? e. x „u„ 1J? ? }7,Z} f. X .,u„ Z y. 1121,5 1 r„u„_ ?(O h. X liuii _ i, X "U" = ? X If item N3 ts the sai k. X "U" = as, or less than itei 9'1, you have met the 1. X °U" • intent af SBC 6006 (11 = 2S?D ??0 3 . .................................Totdl = )1?).;?Z ••09/13f1995 10:13 6129344305 IAINNETONKA DESIGN PAGE 13 b, TOTAI I%YOSLO J100F/ClILINC GU.CUTATIWIS: • Tet+lexposed ' rootleo111nn a?ea....,... ?1+ sq it 1I Totat skyliyht aroa....... ' sq ft x "u" ? k) Taul roof/callln9 fnwSng ' ??? s area (Avsra f 1?x) . •"u" ,0'?.. ' ? ?,(o? q pe ...... r x 1? Tota] nst insula:ted - • " ?? „ ?? ? . . roo}/csillnq srna.....,. sq fC x "U M ? • Y 4. . T07AL Chru 1) ?•? If total of 0 is the same as, or Tess ehan A2, you hava met tho iatent of Z YGAII 1.16008 X ard 0. , , . , . . . ? . : . . . ? ACTENUTE 9UILDIHG ENVEIOPE .. • dESfGM • . . ? , 1'o utTlizn'the total anvnlope systero Nethod, •Lhe values estab2•Ished 6y tha sum of itams E3 and 14 sha11 not be g reater thaq the xum' of tta¦s 11 and !Z. . •• , 1• ' ? 2. .3• ' ' +4. • - ' • . • v . ` r I 1 kl9/]3/.1995 10:13 6129344305 h1INNETONKG DESIGIJ * LINEAL FEET EXPOSED WALL BLOCK: KNEE: WALKOUT: FULt 1: 1 3X FULL 2: ?7.t FIREPLACE: RIM: -At SQUARE FEET EXpO5ED NALL ABEA BLOCK:. x .5..- KNEE: x 5 - wALKOQT: x 8 a FULL 1: `37S x 8. ?` Q? FULL 2: ) :al? x 8= FIREPLACE: x ? RIM: -a+K X 1 A 24% PAGE 14 A 231CA SQUARE FEET EXPOSED CEILING IIOO ? WINDOWS: DOORS: PA"TIO DOORS: Zco ? 0 1I I 'z `h .?1 ,. 1????UG???S11 `y? BASEME.?T UNITS: 1?C ??? SKYLIGHTS: PERMIT# q0l?_ RECEIPT DATE: ?? a 2-d I uSID3:NTIAL PLUM$INfi PFfMIT APPLICATION crrY oF EAsAv 3930 Paor tcivos Rn eA&AIY, MN 55185 651-6$1-4695 Please complete for: ? single family dwellings • townhomes and condos when pertnits are required for each unit ? backflow preventer for irrigation system SITE ADDRESS: 1 0 ? ? OWNER NAME: : INSTALLER NAME: STREET ADDRESS: L 1??/ CODE) CITY: ?a 6,k;LflIX/ STATE: ZIP: Place a check mark next to the uermit work tvae New residential dwelling unit under construction and not owner/occupied $ 90.00 ' Add-on, modification or alteration to existina dwelling unit, including: $ 50.00 • abandonment of septic system • new installation/repair/rebuild of RPZ • lawn irrigation system • waterturnaround ?I I? N V f ature o work: V Septic System, new/refurbished - $ 225.00 • includes County & Consulting Inspector fees • requires MPC iicense State Surcharge $ .50 Total $ Reminder. Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc. i hereby acknowledge ihat I have read [his application, state that the information is covect, and agree to comply with all applicable Ciryof Eagan ordinances. It is the applicanCs responsibility to nofify [he property owner that the City of Eagan assumes no liability for any damages caused 6y the City dunng its normal operetional and maintenance ac[ivities to the facilities constructed under this permil within City prop? r!' h[-of-way/easement. SIGNATURE OF PERMITTEE Updated 1I07 VP'Cl ?I I U?T TELEPHONE #: ? ,1 VO '??(ll? ,? (AREA CODE) ' 'Date: 08/21/2001 Appliance Installers of MN Installer ... Install Date: 08/23/2001 Time .......: - M Client .....: SEAAS Order Number: 011322921949 Department..: 42 Customer.... : SELLNER, JEFF Address..... : 1853 CLIFF LAKE CT City........ : EAGAN, MN 55122- Phone....... : (651)882-2328 Item: Pick up at: WATER TREATMENT Standard Replacement - Softener WATER TREATMENT Permits Special Znstructions: AT HOUSE PERMIT REQOIRED Amount Received : Comments ........ NOTICE TO CUSTOMER: Do not sign this statement until the installation is satisfactorily completed. The installation of the above has been completed satisfactorily. 011322921999 SALES CHECK NUMBER CUSTOMER SIGNATURE INSTALI.ER NOTE: Return this £orm with your invoice. - hnve : h:i?ce in c ?ed ml ai-d nq hs,e chv z-: :, -i L . te.. 1.-.,.-1, nra f:^und .s l.ea,co. !"% Ct.:sl.ome - S.`..?r,aJ:,;.:re L? BL ? CITY USE ONLY RECEIPT #: SUBD. O? fC DATE: 1995 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 687-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit New construction Add-on fumace Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. - - ----- - - ----- - -- Date: lI'2- -1?;- FEES ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ? ? HVAC: 0-100 M BTU 24.00? Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @$3.00 each) ? (n o- ? State Surcharge .50? TOTAL ? SITE ADDRESS: ) i S( 66 61- OWNER NAME: 14bPll/Y/ /iA/ IfD}'l'f jff-S PHONE #: INSTALLER STREET ADDRESS: ±'l v,-Z / ? 14 1 W4 L-X-) ?vv ?+ CITY: , STATE:ZIP: L Q/ PHONE #: 3 A - ? ?? ?? L z, BL ? CITY USE ONLY RECEIPT #: ?n SUBD. DATE: /'/ C6 y' S G.? LO/rEd 7995 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit New construction Add-on fumace Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Date: 1 /' 2' ln ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 24.00 ? Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @$3.Q0 each) aZ 'go, ? State Surcharge .50 ? ! TOTAL SITE OWNER NAME: 141JVIIJW/7// 19GY!'!L1 PHONE #: INSTALLER ??/19 STREET ADDRESS: (_"N lC d6z, Z,? ? CITY: M& STATE:? ZIP: PHONE #: I ljl? aLl ?'? ?FLRNII??? rY CITY USE ONLY L ?_ BL ? RECEIPT #: SUBD. DATE: 4A5 1995 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit New construction Add-on furnace Add-on air conditioning Date: I 1 V 9, -1?5- Add-on air exchanger, i.e. Vanee system, etc. ? Minimum Fee: Add-oNRemodel (existing residence only) ? HVAC: 0-100 M BTU Additional 50 M BTU ? Gas Outlets (minimum of 1 required @$3.00 each) ? ? State Surcharge TOTAL SITE OWNER INSTALLER NAM FFFC $ 20.00 24.00? 6.00 G `' .50 / PHONE #: STREET ADDRESS: :7to d I C? /1 /G/9(? Z'(LC. CITY: /9#4 1 STATE:? ZIP: S? PHONE #: ( D6.1 '/ ? & "A- 75 L_& gL ? CITY USE ONLY RECEIPT #: 07/`-?_ SUBD. DATE: ?A5 1995 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? ? townhomes and condos when permits are required for each unit New construction Add-on fumace _ Add-on air conditioning Add-on airexchanger, i.e. Vanee system, etc. Date: ) / ' oZ-" I? ? Minimum Fee: Add-on/Remodel (existing residence oniy) ? HVAC: 0-100 M BTU Additional 50 M BTU ? Gas Outlets (minimum of 1 required @$3.00 each) ? State Surcharge TOTAL SITE OWNER INSTALLER FEES $ 20.D0 24.00? 6.00 G%* .50 ? PHONE #: M7 1101 STREET ADDRESS: 'ZW ;? l %-?n Vvr1 [?v ?? r v vu CITY: STATE: ZIP: PHONE #: ??2?y? CITY USE ONLY L QCL BL / RECEIPT #: SUBD. C-? DATE: 1995 PLUMB{NG PERMIT (RE5IDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for. ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES Shower Water Closet Bath Tub Lavatory Kitchen Sink Laundry Tray Hot Tub/Spa Water Heater Floor Drain Gas Piping Outlet * minimum - 1 Rough Openings Water Softener Private Disposal " Dakota cty. iicense U.G. Sprinkler' home under const. Alterations " to existing Water Turn Around - 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 STATE SURCHARGE TOTAL SITE OWNI NO. TOTAL x x Z = ? x x x = 3•? x x = x X x = x = .50 36. 5 a iNSTALLER NAME:. OEA)zrL- 96CNAN/G4C_ STREET CITY: Ffle,- 41U STATE: ZIP: PHONE #: (61Z ) 467'" /Jr(-J ?? G/? L?QL BL -L CITY USE ONLY RECEIPT #: SUBD. DATE: II ? ?S 1995 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please compiete for: ? single family dwellings ? townhomes and condas when permits are required for each unit FIXTURES Shower Water Closet Bath Tub Lavatory Kitchen Sink Laundry Tray Hot Tub/Spa Water Heater Floor Drain Gas Piping Outiet * minimum -1 Rough Openings Water Softener Private Disposal * Dakota Cty. license U.G. Sprinkler' home under const. Alterations ' to existing Water Tum Around 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 STATE SURCHARGE TOTAL SITE AD[ OWNER INSTALLER NAME? 14.1,VV z STREET x x x x x x x x x x x x CITY: L_ 4FAA-) STATE: /1/0 ZIP: 55177- PHONE #: (6/2 ) 4,,?-z ' IS6 5- /? - EACH NO. ? ? -L J- ? ? TOTAL 3,tit'> v? G, vo 3 .e?rv 3.? 3.az5 3.cm ? .5D 4. Sa /Gp L ?,,,L BL CITY USE ONLY _L RECEIPT #: &?? SUBD. ? DATE: ??a 95 IaVa rwmaIrvu rcrtmi iIrcCaiur-n I iML) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES Shower Water Closet Bath Tub Lavatory Kitchen Sink Laundry Tray Hot Tub/Spa Water Heater Floor Drain GaS Piping Outlet * minimum -1 Rough Openings Water Softener Private Disposal " Dakota Cty. license U.G. Sprinkler * home under const. Alterations ' to existiny Water Turn Around Zb L.Ax??loV6_ q2,Q.EI c4E NO. / Z ? ? -? _L STATE SURCHARGE .50 TOTAL • s? SITE ADDRI OWNER NA INSTALLER STREET AC ? 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 x x x x x x x x x x x x 11VWCr, , TOTAL (?.vo 9. crvv 3, vz=) 3 ,4TO A-°a C? CITY: LAC3A&) STATE: / i, PHONE #: (16M) ?;a ziP: 5S/2Z L CITY USE ONLY ? BL ? RECEIPT #: SUBD. DATE: 1995 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES Shower Water Closet Bath Tub Lavatory Kitchen Sink Laundry Tray Hot Tub/Spa Water Heater Floor Drain Gas Piping Outlet ' minimum - 1 Rough Openings Water Softener Private Disposai ' Dakota Cty. license U.G. Sprinkler " home under const. Alterations * to existiny Water Turn Around - EACH 3.00 x 3.00 x 3.00 x 3.00 x 3.00 x 3.00 x 3.00 x 3.00 x 3.00 x 3.00 x 1.50 x 5.00 x 20.00 3.00 20.00 20.00 NO. ? Z L I :AL TOTAL 3, va G,ov 3,60 ?I.aa 3,ov 3.? 3.0?D -3.0,0 :8, va STATE SURCHARGE .50 TOTAL 4,50 SITE ADDRESS: `442-z OWNER iNSTALLER STREET CITY: F-AGAA-) STA PHONE #: (6IZ ) 45Z- I-5-( '5' C? ? ZIP: ??/?? ?- a2' ? s 'BD A ? W RECEIPT fl CEIPT DATE TO 30B OY N DATE PI,EISE BE ADVISED THAT T'FERE IS A FEE SHORTAGE ON THE ASOVE ;J 1- 1- II,ECTftICAL I2STALUTION IN THE AMOUNT OF $ S-) -? SHORTAGE ML6T BE PAID WHITHIH 14 INYS. REHARI6 0 to 30 amp circuits= _ 100 0 to 100 amp service= ., U?/ service= t-7 i RETUBN A COPY OF TAIS FORM WITH ftEMITTANCE. PERMITII ?? 3 '7- .! 3'& ORIG. RECEIPTl1 )? 3 ?tE.r,EIPT DATE I -/ ?' Y!l/ 2046 RESIDENTIAL BUILDING PERIVIIT APPLLCATION g&S?6- City Of Eagan 3830 Pilot Knob Road, Eagan 1vIN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Canstruction Reouirements 3 registered site surveys snowing sq. t of Im, sq. R of house; and all roofed areas (24 % maeimum lot rnverage ailowed) 2 cOpies of plan showing beam 8 windvw sizes; paured fovnC desgq etc 1 set W Energy Caldila6ons 3 copies of Tree Preservafian Plan if lot platted ader 711M3 am Joist ONai Op6ans sdection sheet (6uiltlings wilh 3 w less units) Minnegasco mechanical veatilarion form Date » l oq / 03 Site Address _[S ?196-1 f 10 63 Description of Work Multi-Family Bldg Y)_ rr RemodeVReoair Renuirements 2 copies of plan showing foadngs, heams.lasFs 1 set o( Energy Calalatlons iw hwtetl additons 1 site survey for additlons & decks Atldition - indicafe if wr-sife sepdc system y?V. 71?5- Otfice Use Onlv Cert of Surray Recd Y N iree Pres Plan Recd _ Y_ N. Trae Pres ReauireC Y N On•siie 5eptlc 5ystem _ Y_ N Construction Cost UniUSte !# F314-9 zlzlAaf #W "VA4 Fireplace(s) _ 0 _ 1 _ 2 `JeTeYdph no e#() ProQertyOwner a // Contractor Address State ` C.ty ZiP SS ?'? Telephone' (/??7 ? 1??/,? GOMPLETE THIS AREA ONLY 3F CaNSTRS3C77NG ANE°N BU6LDd1dG - Minnesota Ruies 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code Categoiy , ResiCerrtiel Ventilafion Category 1 Worksheet • New Energy Cotle Worksheet (d submissian type) Submitted Submiited • Energy Emelapa Calculadons Suhmitted In ihe last 12 monfhs, has the City of Eagan issued a pertnit for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical ConTractor SeweUWater Contractor Telephone # ( Telephone #( Telephone #( I hereby apply for a Residential Building Permit and aclmowledge 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 5tate of MN Statutes; 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 ofplans. ? rLv I -), VOhs Applican's Printed Name Applicant Signature City of EapIl 3830 Pilot Knob Raad Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 ?------0 ----------- i I j Permit #: `J / 7o i j ? Permit Fee: (!?7/J • ? ? ? ? I ? Date Received: j I ? I Staff: I I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: / Site Address: Tenant: Suita RESIDENT/OWNER Name: Phone: Address / Cityl Zip: cl i (-C-, Lky,a coJef- ifrfi') i Applicant is: _ Owner ? Contractor TYPE OF WORK Oescription of work: RL •Stk- Construction Cost: Multi-Family Building: (Yes _?/ No I CONTRACTOR N ??IIC i (rAycJcj(_ Li n #: ame: ce se Address: C o 1 - I ?:'?j 'L wo Ciry: Rt :mSV; i e Sta[e:m&l' Zip: 5?3_3? Phone: (0 a y 90 Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Ener9Y COdC • Residential Ventilation Category 1 Worksheet • New Energy Code Woficsheet CatBgOry Submitled Submitted (4 submission type) • Energy Envelope Calculations Submitted In the last 72 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:-Plans and-supportinq documents that<ypu,submit are?cons?dered?to be-publlc Jnformatron s???"sof- ?. ihe intormatian may 6e clessified as?non publi6;ifkyou?prQVrtle specFfra reasons,thaf rvo'uld?permR'?thc?-Cffyto; ? coriclud"e'thaf-tl?e.;aretrad'e`secrei"s.. ,- I hereby acknowledge [hat Ihis information is complete and accurate; thal the work will be in coniormance with the ordin nces and codes oi the City of Eagan; Ihat I understand Ihis is not a permit, but only an application for a permit, and work is not ro sta without ermil; that the work will be in accordance with the approved plan in the case ot work which requires a revlew and approval of plans x? "-- x Ap IicanYs Printed Name Ap IicanYs Signature Page 1 of 3 AhL_ C17"'City of Eapn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 ------------------ ? j Permit #: ? -7 I I ? Pertnit Fee: i ? Date Received: ? I ? I Stafl: ? I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION -? Date: Cc ? Site Address: Tenant: Suite #: RESIDENT / OWNER Name: Phone: Address/City/Zip: hclS\3 CyIiFF 41kP v Applicantis: _Owner ? Contractor TYPE OF WORK Description of work: YiC' u? dP V\C JVl C_ ?,__ / No ? Construction Cost: Multi-Pamily 8uilding: (Yes Y CONTRACTOR Name: 04h4 C ": License#: c? 1Loq36_3 Address: Zi + i •'" ' p: 7( State:? ? Ciry: Phone: bO aqe, 3ac"C) ContactPerson:_lRi'? Iw'-YlE' COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateporv 1 Minnesota Rules 7672 Enefgy COde . Residential Ventila[ion Category 7 Worksheet • New Energy Code Worksheet C2t¢gOry Submitled Submitted (4 submission type) • Energy Envelope Calculations Submitled In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master planl _Yes _No If yes, date and address of master plan: . Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE:-Plans andsupporting docurrients thai y'ou submif a{e qonsld„e'retl?to be pubf7e tn/ormatrpn'?Pa?ld„?s'Qf '. ecific reasons tha? would permrt ?he Crty to^r the in`formation ma be o!i`ss?fred'as non uGfio='if? oa rowUe s y p y p p . , , ;.conclude?fYiat'the ?ace:traUeseCrels._ - -- ? ? z-' "? n_?. w, ?. I hereby acknowledge Ihat this iniormation is complete and accurate; thal the work will be in conformance ith the ordina,Aes and codes of the City ot Eagan; that I untlerstand this is not a permit, but only an application for a permit, and work is not rl without armit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval oi glar)$;? ? x 4r?_ x Applicant's Printed Name App icanYS Sig Page 1 of 3 ?. CER TIFICA TE OF SUR VEY?J _ ; i? ?. ,,. ? / N (925.54) . i A' ? 924.63 V ? ,? , ??........ ? i DRAINAGE & UTILITY EASEMENT ? \ (926.34? ,.? (927.7) ??? 925.18 o ? 926.78 ii 1 922.6 ct? 4° 00 5300 ao,`S4'e i \?.. o.? I - 1.00 o,oo v 22 Ct?F tqke 's S s3ao c927.4, / '• 0 927.75 I ?W Op S ? p nD /? Z4,p0 O ? 5 94 O0 s?`54E' ? ??? 851 h Z 3. 00 S \ ? a ? 0? ^i 2 J ? j z o° 0) e $ 106.00 ? n = 42? ?\ ? •o o °*.oo y o (927.7) Cq? ?° o ? 00 929.06 ES/y0 = o - , s3.oa o R£ ?? ? 24 ,? 9 922.6 S7? ? ? TfR 0 2 R,? r ? S4 E so. cF o? ? i ,.DO a 01) °p O -_ -- % ? L szz.6 --,. ? (925.93) ? rr / (927.4) i ? i o5ik i 924.72 i m / \ i 1 e ?rya 926.13 DRAINAGE &-?? 926.56) UTILITY EASEMENT ? 9 30 \?\ \ ? / Da' -?? LEGAL DESCRIP710N: EAry;? ENG??,vE?;Ry1qG DEPT, GRAPHIC SCALE Lofs 21, 22, 23 & 24, Block 1, ClIFF 20 0 10 zo LAKE SHORES, according fo the plaf EAGAN ? fhereof, Dakota Counfy, Minnesota R ? ? ? ? ? ? D (PLAT NOT RECORDED AS OF 10/03/95) ( IN FEET ) 1 inch = 20 tt. 3Y 930.0 Denotes Sanitary Sewer Service lnvert op of Block = 929. 10 865.0 denofes existing elBV. doTS l? q1;7 Garage Floor = 928.10 (865.0) denotes proposed elev. Note: A!! Utilities ond Curb are Proposed > -?- denotes surface drainoge • Denotes iron monumenf found o Denotes iron monument set Beorings based on ossumed datum. I heraby certify thol this survey was prepored by me o( under my direct supervision and thot l am a duly Registered Lond Surveynr under the laws o/ the State ol Minnesota. Mortin J. Webe .L.S Date Regisfrolion No. 12043 REOUESTED BY.HOFFMAN HOMES I/VC. w IYiitwood Professional Servrces, lnc 14180 West Tiunk Hwy. 5 £den Proirie, MN 55344 (612) 937-5750 Drawn by. MS I Date: ?0103195 I Jo6 No: 95198 _ LOtS 21-2' eIt21-2+.010c PERMIT Permit Type: Mechanical City of Eagan Permit Number: EA105458 Date Issued: 07/16/2012 Permit Category: ePermit Site Address: 1851 Cliff Lake Ct Lot: 21 Block: 01 Addition: Cliff Lake Shores PID: 10-17785-01-210 Use: Description: Sub Type: e - Furnace & Air Conditioner Work Type: New Description: Furnace & Air Conditioner Questions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952) Comments: 445-2840 ME - Permit Fee (Replacements) $55.00 0801.4088 Fee Summary: Surcharge-Fixed $5.00 9001.2195 Valuation: 4,562.00 Total: $60.00 Contractor: Owner: - Applicant - Sedgwick Heating & Air Conditioning Mary C Hoffman 1408 Northland Drive, Suite 310 1851 Cliff Lake Ct Mendota Heights MN 55120 Eagan MN 55122 (952) 881-9000 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. Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink r————————————————� I For Office Use � � ��j��4 � Clt of �� j Permit#: � � � � �� ; � 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 � /,,. // Date: �L 1� �S Site Address: �� l1 �� '-�""^G �� Unit#: �� Name:��a ��{��.d....� ��.�,�. .��.�iV(.,,5 ..n.�,�.�,�.�,.�,.w.,.�e��.,�.�Phone: ,��.�...�.�...�,��,.�.�..�� FteSf+rlen#f � � (�V1��Er � Address/City/Zip: .S�'; K � < Appiicant is Owner Contractor �.a ��,�a,....w.��.�.��..��„��a�...,,,��.�.�.�.�� ..�.� �._�,..�..,.m .�..�_.�.�....._.�,�.�._�.�,..�,a. ,� �,�,��:.... .��a .�.�� ,�� Description of work: ��✓�� . . � ' � Construction Cost: Multi-Family Bu�lding: (Yes /No� � �� Company:�t�S _^�h�� (�'�'I�G��1� �hc. Contact: /-�^/,f fY�t ug,�a�—� .a,_....�...,n.,.�� -� +/av I?ti � , , � � � JS�'6 �Gi� �tM� �� Sui��, .�s/ City: � � GQ11�t'�C#O#' � Address: `� � � � State:�Zip: gs�� Phone: '7�3-�.5� -bn'�� Email: ��av�;J9��,cyw1 (.�n��G�"1•c�-� � � License# �C �� 7G1.3 Lead Certificate# � .��,,F.��.�,.�,�..�.,.�,.�,�.�.F.�.,..�..._»�.. �,��w�w,��.� �.,,b��.�.�.a...�,.�„ �,�p�.�,.��e.�..��,,��,�..,�.�,w.�.,..o,�,.��,,,�,�,.�.�� ,��,�.� If the project is exempt from lead certification, piease 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: � t � Licensed Plumber: Phone: � Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: �N�T�:F��nS a�d�up�aart�g do�ur��r��ts t��a�yo�r 5�br��#��e ct��ed t�o be p�bl�c lr��ra�t�. P�+rms of � a r��►i�f�r�a�o�►rrra�r be class��ed a�n�n p�bl�c if yor�pror��s s�eci�'�c re��tr�that wc��p�r��t�ie C�#�+t� � c�rr�cl�ate i�a�t�e a-�e tra�fe s�c�e�. � I ` , ' ..�, �,. .w.a�� CALL BEFORE YOU DIG. Call Gopher State One Cafl 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 � 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 wilt 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. �� r/ `�—..—� x �Lf�f T YP�(��a�.�---� x e Applicant's Printed Name Appli s Sign ture Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA161392 Date Issued:05/21/2020 Permit Category:ePermit Site Address: 1851 Cliff Lake Ct Lot:21 Block: 01 Addition: Cliff Lake Shores PID:10-17785-01-210 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard 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 - Mary C Hoffman 1851 Cliff Lake Ct Eagan MN 55122 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature