1856 Cliff Lake Ct
. , > il\1
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
1 W I te
SITE ADDRESS: I ti i
. ? t? i ? t AF_ F? 1
I I f ! F1? !
I PERII4IT, $UBTYPE:
TYPE OF WORK:
f;ll[1111 M1A
N:.'ltil?
Nf Ii
(.'ERft l.(1? I !N? f
INSPECTION
, I ? tii, D • D
?1:r,htiN(i , 'OffF INf,
1 W.IIt !1 ( F iil) i I 1' i I t ro f
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7
RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
;,; , r: r ??uMr i• rN?
:i ;, ? , q . ?> H 1I )
r
Permit No. errnft Holder Date Telephone N
ELECTRIC q?
PLUMBING d'? g Sa1'f S
HVAC
Inapscdon te Inep. Comments
FOOTINGS
/ ? i a
?J
FOUND ? j
?...
U-K
?
FRAMING
l? ?
ROOFING
ROUGH
PLUMBING
PLBG
AIF TEST
ROUGH
HEATING
? l -G
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AtR TEST
?G
FINAL PLBG
FINAI HTG ?
ORSAT
TEST
BLDG FINAL
r?
BSMT R.I.
BSMT FINAL
DECK FTG
RECK FlNAL
I ? CI-PY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS: ? ? ? + I: ? 1 1 I1 I? t t i I
'PERMIT SUBTYPE:
N RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
IIVI
TYPE OF WORK:
f+t1i i n t" o
t?:'!s1 3
(.'?FtfM 1. 0 T 1.1NF )
INSPECTION DA . .A
i i;nhltrJo>
i 14! .iii n'l 1 110
1 11 ?,1 i:r; ,?c???r,l! ? rJ ?i t<<
!
1 1 tiANK" : 4 1'If- 41lINI I?t1,t. (1C) 1 9 ! (rtfWA cllii 11) Ik+f..' (tii l 1!) (l.IfF tAKF. C?
?
4.1 1'I frt:' tlt P?.'I I I?f 1<?,
?
?
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Permit No. erttllt Holder Uate Telephone #
ELECTRIC
PLUMBING
HVAC
.
Inapection 'POO insp. Com ents
FOOTINGS ? S/e/
WJ
FOUND
r.c
??3 G ? l?/ _.}/?
? 1t0?'
FRAMING
ROOFING
ROUGH
PLUMBING
G- ?
AI REST
ROUGH
HEA NG
GAS
EST VC
9
INSUL
GYP BOARD 1.2
G«J
FIREPLACE / _, _
FIREPLACE
AIR TEST
FINAL PLBG ?^SC?
FINAL HTG
ORSAT
TEST
BLDQ FINAL l11/? 7 ?
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
? CIT?i OF EAGAN
3830 Pilot Knob Road
• Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
1M
I +? I I f I A! ? PERMIT ,S,VBTYPE:
TYPE OF WORK:
,,, 1.. i : 1 1 llro
?ill 1 t I? I Mta
Q!;'liil q
06i: 1 /9b
li F 1.1
l Ti'Rtl 1.i1! t. INf )
INSPECTION .• • .A
i 1? rlhl l hli:? l, ??n f i Ni,
I tJ'.III N t IMN i 1 1 1 I 1 ,0 i
j ""1i1f IN I'f fsti +illiilf I N I! I
f I t.l 11 I }' 1 t < l • . ? 1 N A I
1 1 t MRf+Kc, - A f, lt x 14 11 tt Isihi, (li) l 1 t tKV.it i1C?1 tcil Is+f,.' 41iI t 1.'f cl tCu tAY..F C t
I `]l & f.l F`I t;R 111 tJ/f 1 I'I Itt,
1....
?
N
;CORD
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
Permit No. Permit Holder Date Telephone k
ELECTRIC
PLUMBING a ?J
HVAC Ub?
Inspectlon Inep. Commenta
FOOTINGS 7??/(??
/t , iIC1
GLKJ
FOUND
/o[ Mg
! !1 t??
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
? ?-
-.4 'X '
GAS SVC
TEST ?
INSUL
GYP BOARD
i/ -27-9(I
FIREPLACE
w
FIREPLACE
AIR TEST
FINAL PLBG
-7
FINALHTG ?? ((
OHSAT
TEST
BLDG FINAL
?
BSMT R.I. I
BSMT fINAL
DECK FTG
DECK FINAL
?
i
,
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
+ f u??
SITE ADDRESS:
.;r. ' i( i I i ? r1F {
? 1 t! i At t '.1Mkl `.
PERMIT, $,UBTYPE:
TYPE OF WORK:
!'! t i. 11 ; ' 10t
fatr It IjI N!3
H ., : a I !,
ee;/21/96
NFti
(.'FFtrr I ti l 1 YNf. )
INSPECTION TYPE DA • D•
1 N'i 111 A I 1 rtrJ
r:111i0i
! ttt I'1lc?: 1 IN11t {
f Pr?anRKti: 4?11 1 t' x u?I H i?s?,r, f it I i "i ) iN C.ti ( in1 10) iti (-.0 ( <0 i ai) 1 irrf IAF'F' CI
?
?
L.1 13 1 1+F'
I.It M:'ik 1 !'1 fii
?
N RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
r 1 ; r?; ?l ttr?p[ '•; [N1
y 1•0 [l 71 J
Permit No. Permit Nolder Date Telephone M
ELECTRIC ?a ' ?J30 Q°
33G ?'s/ SG ?' °'
PLUMBING 1 oZ -l S
HVAC ?
Inapectlon e insp. Comments
FOOTINGS ??
FOUND
!
th7
FRAMING /g
(
[.?y
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
?L
ROUGH
HEATING
OAS SVC
TEST
? ?-
INSUL Ot
uYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
1 Z??j
• ?
FINAL PLBG .. ?
FINAL HTG
ORSAT
TEST
I
BLDG FINAL
BSMT R.I.
BSMT FINAL !
DECK FTG
DFCK FINAL ,
_
?
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN ? J
3830 PILOT KNOB RD - 55122
851-681-4675
New Constructton Reauiremants
• 3 regatered site surveys showin9 sq. iL M bL sq. ft ai lause; ancll mofed areas
(20% maximum lot coverage aWwcW)
• 2 oopies of plan showirg 6eam 8 wiMow sizes; poured found design, etc.)
• 7 set W Eneryy Cakulations
• 3 copies of Tree Presenation Plan if bt Watted afler 71153
• Rim Joist Detail Options selection sheet (bldgs wiN 3 or less unNS)
DATE i ,1 LO /
JOB SITE ADDRESS
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY
TYPE OP WC
APPLICANT
ADDRESS
PAGER #
CELL PHONE #
FIREPLACE(S)
rd L1
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Category _ MINNFSOTA RULFS 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor: _
Plumbing System Includes:
Meehanical Contractor:
Mechanical System Includes:
5ewer/Water Contractor:
_ Water Softener _
_ Water Heater _
No. of Baths
Air Conditioning
Heat Recovery System
Phone M
All above informatlon must be submitted prior to processing of application.
Fee: $90.00
Fee: $70.00
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordy??nceS. I
Signafure of Appllcan j/
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1/01
RemodeUReoairReauiremeMs
. 2 oopies of plan
. 1 sel o} Energy Cakulatbns far heated aOditions
. 1 sile survey for exterior addiUore & decks
. Indirate if home served by septic syslem for addifions
VALU/[ION ? DUJ
G ci
Phone #:
Lawn 5prinkler
No. of R.I. Baths
Phone #
2 9 6-217 Q
,this? ?.^ Z1-/
OFFIC USE C)NLY This request.oid 18 months fram valldation date pnnMd ?n ??,
(o ,
!i 97149
,
PLEASE PRINT OR TYPE stI?
Raqmst ak (V"?1 RwHh-Ia InsveGio? requ ? M. Inspeaion IXher Tha, Rovqh.in: Q Reod Will Coll
?Vou most mll the inspedor wh aedy) D Re
I, li<ensed wniracfor ? owner hereby requesf inspedion of ihe a6ove e triml wo Q
Job d s (Sheel, Box r ftoute No. ?
01 c'h ?
Setlion No. Tawnship Name or o Range No. Fire No. Cwnry
Omup
OFV7 mt? Phoae No.
rowe,s? vne, naa,e..
Ele ' ConrcaCOr ompany,No? ? Contrador Licenxe N.
Vl Masrer Lic. No. fPlont Elx*. Only),
Mailing dresx (Comm or Owner Performi Insf tian)
'u `zed Signaf?re (ConVanor or Owner Performing Installmlon?
dlflt 4?`) n0Q1.i..A l??lU Phone No. ??
EB-OOOOA-1 6/95 STATE80 OCOPY-SEEINSTPUCTIONSONBACKOFYELLOWCOPY _
REQUEST FOR ELECTRICAL INSPECTION1/0? ?
MN 55104
IIIII III ??Ill I??I Mg2? Univarsty Avear Rmf S 128c?? Paul,
1V91V - M29 0 6 2 1 * Phone (612) 842-0800 j,?U ?(?
NQH, Addn
Bldq. Other:
?Water Hir.l I L?oad Mgmt. Vtner. ?1 / C-?/L
?R H 11 I IemP $ Ce? /?'T `G ( (
request. Enfer remoiks in fhis space and on ihe 6ack f ih whd copy
Calculote
Sireet
Fee - This Inspection Requesf will nof 6e accepted withouf the mrreci fee:
Fee B Service EnfrarKe $iu Fee # Circuih
rtk Stall 0 to 200 Amps 0 fo 100 A
Above 100
; S?i9 Above 200_Amps
nerafoi INSPECTOWSUSEONLY ?
1` V?
. Xfmr. ? ?A`I
?W
the
i Boom
Inspecfion
.W
Invesligative ree
THIS INSTALLATION MAY BE ORDERED DISCONNECT OT COMPLETED WITH
- 'ne i nw: nuxs oH eacK oF rEI.LOW CoVv
IIIIIIIII I
I
9 y 2 y l?lil
I ?llllil REQLIEST FOR ELECTRICAL INSPECTION ('pc?,?
? Minnesota State Board of Electricity
1 *II 1821 University Ave., Rm. -128 SL Paul, MN 55104 ??
Pnona ls,z) saz.osoo ?,? lp ??• .
ome up ez qpf. Bldg. Other: ew Addn
Commercial Indusfrial Farm emod Re air
Air Cond. Hfg. Equip. Wa}er Hir. Load Mgmt. Ofher:
D er Ran e Elec Heaf Temp. Service
"k' obove the work mvered by this request Enter remarks in this spoce ond on fhe ba<k of the whife <opy only. '
l (0_-30 Yn
(??
o
C
?
?1`?G?? C, 0'6 IL
Calculate
nEt
ion Fee - This )nspec iion Requesf will nof be o<cepfed without tbe correcr fee
:
aher Fee # $ervice Enfrance $ize Fee # Circuih/Fezders Fee
Mo6ile Home Park $tall 0 to 200 Amps 0 fo 100 Amps
$tree} Lig./imHic Sig. Above 200_Amps Above 100 Amps
Tronsformer/Generator INSPECTOR'S USE ONLY TOTAL
Sign/Ou}iine Lfg. Xfmr. L./1U
V
Alarm/Remofe Conirol ? O?
$wimming Pool
Irrigotian Boom I hereb <en'i Ihal l ins ed rhe elednml Insmllafio descdbed hereln on ?he dakz zwred
$pecial Inspedion Ra?gh-i?
ru? Investigafive Fee
c ? F??al
?•??•? ??????+??++??vn mwr nr•usoeHEU DISCONNtCTFO IF NOOMPLETED WITHIN 1B MON7HS7.
?3 ? 4 2 4 ? OFFI E OSE ONLY This request wid 18 monthz fmm .alldmlon dote prinled i s bax/
?.//9?
PCEQSE PHINT OR TYPE
Reqoert Do
R Roo9h-In Inspedion reqoired2 Yes Na Inspenlon Other Than ftoogh-In: 0 Raody Now ? WIII Call
F
? ?You muzt wll ?e inspetlor wh ready) ?ofe Ready:
I, licensed coMrodur ? owner hereby reqoes} inspedion of the obove electriml work at:
Jo6 Address Slreet, Bo., ar Roule No.)
"
(
? o Ciry Zip od
l
al
'
nx
Seqlon No. Tawnship Name ar No Ronge N. Fre No. Cowry
0. ?
?(?) Phone No.
`
PowerS Address
Ele ' I ontraa (Compoey Na e C mn Li Masrcr Lic. No. (Plonr Elea. Onlyt
?
Moil' dr ? o radm r erPedorminglnst lafian) ?
AuMq?zed Siynnture (CoPhayio? Owner Pe?iPy Ips?lo?)
f{ v ? ? )1
/-4 P° o
Z-
EB-OOOOlA-106 5 SfATEBOAROWW-SEEINSTRUCTIONSONBACKOFYELLOWWPY
??
II II II II I I I II I II (I I I II? 4I?I _ M 2tQUNtv S Ty Ave., dRm s 28ASt!PauPEMN 55104
?l?s?,????
* 0 3 3 6 4 2 4 7* Phone (61 2) 642-08o0
Home Ouplex Apt.6ldg. Other. New Addn
Cammercial Indus}rial Farm Remod Re air
Air Cond. Hfg Equip. Wofer Hfr. Lood Mgm}. Other.
Dryer Ran e Elec. Heaf Temp. Service
'R" above the work covered by tbis request Enter remorks in this space and on the back of the whife ropy only.
Colculote Inspedion Fee - 7his Inspec}ion Requ5not be accepted wi7hout the mrrect fee:
01Frer Fee # Service Enhance Size Fee # Circvils/Feeders Fee
Mobile Hame Park Stoll 0 to 200 Amps 0 to 100 Amps
$treet Ltg./rroHic Sig. A6ove 200 Amps Above 100 Amps
Tronsformer/Generator INSPEC T TAL
$ign/Ou}line lig. X{mr.
Alorm/Remo}e Con}rol =
Swimming Pool I hedescnbed herein on the daks stakd
Jad4??nlnlpror
Iffigation Boom Roaghln Oais
ecial Inspedion
S
p
Investigative fee J.+
THIS INSTALLATION MAY BE ORDERED DISC ECTE COMPLETED WITHIN 18 MO THS.
Clty of EapIl
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
------------------
?
j Permit #: I
I
Permit Fee:
?
I
? Date Received: I
I ?
I Staff: ?
I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
? ? .
Date:CP
)" w op) Site Address: ?n???? 1b%
Tenant: ?As I VP c`I Suite #:
RESIDENT/OWNER NameCA< U" SlfwM ?v"hOVVLQ.S Phone:
55G? cl'4-15
LALQL CC 0
?? C%(?
r
g9Gu?
Address / City / Zip:.
-
Applicant is: _ Owner _?k_Coniractor
TYPE OF WORK Description of work:,::V??? ???? ? afo %
'
ConstructionCost:`Y L?4,2)OD'C" Multi-FamilyBuilding:(Yes.?/No?
CONTRACTOR Namehyxican , aymacuprs, m License #:
Address: ogIPo I+LL - ? (0D
City: hwonslrl t tIl. State: Zip: 9533
Phone:"l,5D-??, 10(t91 ContactPerson: 61&AQ'
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateporv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 7 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(4 submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has The City of Eagan issued a permit for a slmilar plan based on a master plan?
_Yes _NO If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contrector: Phone:
Sewer & Water Contractor: Phone:
rderedx(a be pul?lr69ufa%rr+afroriy ?raqs otY'
NOTE: P_lansand?suppor(Ingedocurr?enls?tlydt yo??sub(nrt arercons
`
?
d perm?t Ch? C?q! to'..
the information may be clas`sdretlFss non pubfrc if? ou proyrcte specrfic reasons,sihat woul
k 4 v t (
c.oncl?tde t%iat?he
I hereby acknowletlge that this intormation 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, hut only an application for a permif, and work is not to slart without a permit; that the work will be in
accordance with the approved plan in the case ol work which requires a review and approval ot plans.
x UcWa sc"l?e-N,- x &, CA*?
ApplicanYs Printed Name ApplicanYs Signature
Page 1 of 3
?vvo s?uU?r,i? ilnt? y?ii.L1L\ V YZ1t1Vll1: AYYLLC:A'11ViV
City Of Eagan
3830 Pilot Knob Road, Eagan NIN 55122
Telephone # 651-675-5675 FAX # 651-675-5694 '
Nem Ccnstruction aeauNenenb RemodeVRe9air Reauirenenm OFfice Use Onw
3 registered site surveys showing 54. ft of lor, sq. R of house anC all roofed areas 2 wpias of plan snaring tootlngs, hmms, laists Cert oi Survey Recd
(24% maqmum lot coverage allpwetl) 1 set of Enxgy Calwlatlons for hnted addifions Tree Pres Plan Recd
2 ropies of plan shovnrq heam & windaw sizes; poured iound design, e[c 1 site wrvey iw addNans & derks iree Pres Rapuirad
i set of Enetgy Calcvla6ons AddiSar • indicataif orrsite sapuc system On-si[e Sepuc System
3 copieb af Trea Prmervafian P1ari it Ict PI2tted after 71153
Fim Jdst Oetaii Opfions seleceon sheet (Suildings vnth 3 or less unds)
Mimeguco mechanicai veatilario¢ form
?'? g o45
Y N
Y _ N.
Y N
_Y _N
Date /a / 0 9 / 0,5 Canstruction Cost Y Cq<. '5?
Site Address _aJ`zO Unit/Ste
l85lo t 458 t /8lPD 7, I $!c
Descriptlan of Work
( Y 1_ tY
Multi-Family Sidg _?
Fireplace(s) _
0 _ 1 _ 2
Property Owner Telephane # <(./!(1/ 7
Contractor .U`iLC.(JV? ? •
Address 555
?
i. Stace ?
-
ZiP '553j
Z Telepnone.T:; ??L
L ?
COMPLETE T7-71S AREA OldLY 3F GnNS?Ri3CT7NG A T9E°!Y BS)lLDIAIG
Energy Code Category - Minnesora Rules 9670 Caueorv 1 _ Minnesota Ruies 7672
(4 su6mission type) ' Rebiderrtlal Veritilatlon Category 1 Waiiaheet . New Energy Cade Warksheet
Su6mittad Su6miited
• Energy Emelapa Calculatlans Submitted
In the lost 12 manths, has the Cifiy of Eagan issued a permit far a simifar plan basetl on a master plan2
_ Y ,_ N If yes, date and address of master plan:
licensed Pfumber
Mechanicai Contracior
Sewer/Water Confracior
Telephone #(
Telephone #( J
Telephone #(
I hereby apply for a Residenrial Building 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 State of MN
Statvtes; 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 wozk will be in accordance with the approved pian in the case of work wisich requires a review and
approval of plans. ApplicansPrintedName Appiicant Signatvre
LOT SURVEY CNECKLIST FOR RESIOENTIAL
BUILDING PERMITAPPLICATION
r PROPERTY LEGAL: O z 44V=O:Z?
? ? DATE OF Sd6E?l
' LATEST REVISION:
DOCUMENT STANDARDS
Q"o ? • Registered Land Surveyor signature and company
W-?'O ? • Building Pertnit Applicant
? • Legal description
? • Address
21"?a ? • North arrow and scale
V" ? ? • House lype (ramblet, walkout, spift w/o, spid entry, lookout, etc.)
01K? 11 O • DirecBonal drainage anows with slope/gradient °k
-W"?1'3 0 • Proposed/exissHng sewer and water services 8 irnert elevation °
? • Streetname
? ? 13 • Driveway
ELEVATfONS
Ebstina
@? ? ? • Sewer service (or Proposed)
C9-'0 ? • Property comers
AW ffo'?/o • Top of curb at the driveway
? ?' O • Elevations of any epsting adjacent homes
Prooosed
""?o ? • Garage floor
?o 0 • First floor
o 100113 • Lowest exposed elevation (waikout/window)
9-'O 13 • Property comers
ao'?O ? • Front and rear of home at the foundatlon
PONDING AREA (i# aoolicable)
? m--,o • Easement line
? 4--'o • NWL
? Q-' ? 0 HWL
? f1?? • Pond # designatlon
? Q?0 • Emergency Overflow Elevation
DIMENSIONS
l • Ii
l
di
i
? ? ons
nes
mens
Lot
Bearings 8
a ? • Right-of-way and street width (to back of curb)
? ? • Proposad home dimensions induding any proposed decks, overhangs greater than 2',
/ porches, etc. (.e. all strudures requiring permaneM foodngs)
? ? • Show all easements of record and any City utllides within ihose easements
C3` ? ? • Setbacks of proposed structure and sideyard setback of adjacent existing structures
? Q/ ? • Retaining wall requirements, if an
Reviewed:
f
January 7988
cRA*i oaeieLocawnr.cia
PERMIT zk??J4?4 't
CITY"OF EAGAN m4o
BUILDING
3830 Pilot Knob Road PERMIT TYPE: 027812
Eagan, Minnesota 55122-1897 Permit Number: 06 /21 J 96
(612) 681-4675 Date Issued:
SITEADDRESS: 185e CLIFF LAKE CT
LOT: 9 BLOCK: 1
CLZFF LAKE SHORES
P.I.N.: 10-17785-090-01
DESCRIPTION: (zERO LoT LINE)
Bui$I`d-i:rlg P e r m i t T y p e SF DWG
iSuildin??Work Type NEW
JUBC' 0 ccup61eecy R-3 U-1
Construction Type V-N
,,z 2on,3,ng , ,? PD
Builtling' Length"Building Width Bu?Icli.n,g stories?
'E?nsus G"srde
r=
1860 (LOT 11)
L
REMARW-Ex WITH 1858 (LOT 10)
S& W PLBR - WENZEL PLBG
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
SAC
SAC $
5AC Units
Subtotal
VALUATION
$868.50
$434.25
$48.50
$900.00
iae
1
$2,251.25
44
30
z
102 1 - FAM. ATTACH
1862 (LOT 12)
$97,000
CLIFF LAKE CT
MISCELLANEOUS .$„1.923.50
Total Fee $4,174.75
C "er ?R FI?I'J1IGQIII. ? JI • Llli. V1(
i?17TR'QM'ES INC 18949807 0009264 OHUN??N HOMES INC
W 2214 E 117TH ST 2214 E 117TH ST
BURNSVILLE MN 55337 BURNSVTLLE MN 55337
(612) 894-9807 (612)894-9807
? I hereby ackno?aledge thaZ 1 have read t}tzs.applica?ion a?d state tha? the . ?
? infarrriationYs?corh and agNSi tocumply?c:rith all appkicable 5tateof Mn.Statutes and City ot agan Ordinances.
? l2e-JQ
ISSUED BY: I NATURE
, • = ? CITY OF EAGAN ? ? ; F"?Y ;??'
3830 PILOT KNOB RD - 55122 ?• ''''
? 12. 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675 {P
New Conslrudion Reauirements
? 3 registered site surveys
? 2 copies of plans (indude beam 8 window sizes; paured fnd. tlesign; etc.)
? 1 energy calculations
? 3 eopias of tree preservation plan H lot platted afler 711793
required: _ Yes ? Mo
RemodeVReoair ReouiremeMs
? 2 copies ot plan
? 2 site surveys (exterior additions & deeks)
? 1 energy calculations for heated edditions
DATE: sI 2g I94 . CONSTRUCTION COST:
j-?,90t7
DESGRIPTIONOFWORK: -geSiDE*}T, A?- io.a?ttko$AE
STREET ADDRESS:
cL Lp.,ce eo..?.r
LOT `t BLOCK ? SUBD./P.I.D. #:
y- PL-x ?/ zlars /o, cL,PF Lt?? 50,?s
PROPERTY Name: +?oFPrca,3 N??-?.?s .?*x• Phone #:
OWNER `""
Street Address: u"? ?• < <}?N 5`c2t??
City: State: my-? Zip: 5533?t
coNTRaCTOR Company: SA?Ac Phone #:
Street Address: License #: qZgi
City:
State:
ARCHITECTI Company: ? ? wAe"tr>tUA DESk6^j
ENGINEER
Zip:.
Phone #:
tYame: L yL-L- -rr-y"^ N Registration #:
Street Address: $0 W- S.a, re "* Zt a
City: C H? 4rk''?-6ej State: µ?j Zip: 553t'l-
Sewer & water licensed plumber: N*XAAp*s`
change are requested once permit is issued.
Penaity applies when address change and lot
I hereby acknowledge that I have read this application and state that th ' i ion isr" orrect and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances. ??
Signature of Applicant:
OFFICE USE ONLY
CertiBcates of Survey Received _LZ"Yes
Tree Preservation Plan Received _ Yes
_ "o k 1996
No `?-
OFFICE USE ONLY . • . ` •
BUILD ING PERMIT TYPE °
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
dd--62 5F Dwelling ? 07 4-plex o 12 Muiti Repair/Rem. ? 17 Swim Pool
? 03 SF Addition o 08 8-plex a 13 Garage/Accessory ? 20 Public Facility
0 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
0 05 SF Misc. ? 1.? = pleac _.?.._.._v o ?eck
WORK TYPE Z D' CO ?? G//?£
)z(- 31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition .
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# af Stories
Length
Depth
APPROVALS
Planning
l
?ly Basement sq. ft. e- - MCM/S System ?-_
e
Main level sq. ft. 00S City Water
?-/ Z? sq. ft. 7_ Fire Sprinklered
) sq.
Sq. ff.
n, PRV
Booster Pump
VI/ sq. ft. Census Code. OZ
.3v Footprint sq. ft. SAC Code . o/
Census Bldg
Census Unit
Buiiding
Engineering
Variance
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SMI Permit
S/W Surcharge
Treatmertt PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $ q 70,;a
? L.
°/u SAG
SAC Units
Sr995 16:13 6129344305
MINNETONKA DESIGN
EX7ER10R ENVELOPE lIVERAGE." PAGE 12
U"
-------?._.-.._?,--..._._ . . . .... . . . . . .
....C_.. . OMPU7A'fION
;OWNER;
f1AT'f
SITE ADDRESS:
PHONE:
CONTRAC70R: f71'1?ry,AN NOmL? PLAN # "Jrs'AO °
Determine working square footage of each
1. Total exposed wa11 area...... 233(p
sq. ft, x .11 = 2C>U.q(v
2. Total roof/ceiling area..... 1 ?Qq
sq. ft. x . .026 = 21?.(A
Total exposed wa17 area above.floor= '25S
a.' Total wall window area............................
b. Total door area .
...
..............................
c. Total slidin .... ?????
9 91ass door area ................. ..... .... ........ .......• '??,"1"i
d. Total fireptace wall area ............. .................••
e. 7otA1 wall framing area (average 10%)_. .....??? " " " ' •
f. Total rim Joist area.. ......................... Z,2 "-
9• net wall area a6ove floor._ ?
h• wAll area a6ove floor .................................
1• wa71 area a6ove ftoor..........
..? .....................'".
3• fr' ame wall a^ea at foundation ..................... .............
Total exposed foundation area=
k. Total foundation window area.......
l. Total net founddtion area above grade,,,,,,,,,,,,, -
Determine "u" vatue of each wall segment
{e.g, windoW, door, each separate wail section}
a. 1C?,1` g oru„ o'
• b. ??7 X „ui,
,
?
c. x „V„
c
a,
x „u„
e._ x
f. Z??X z
y. 172??51 x
h.
1.
? •.
k.
-?-------_
3 . ...... ...... .....
X
,.U„
„ul,
,.U„
Hull
X tpuii
X
z or u
X ,ou,,
If item !3 is the saR
as, or iess tNdn ltem
#1. Yau have met the
intent of SSG 6006 (c
,
,
10:13 6129344305 MINNETON{<A DESIGN PAGE 13
Tor,?L tPasro RoOrt/CliLinc cu.cuLAsIats:
ToCat axp4fed .
rool/ealling area........ sq f!
J) Total skyilyh! area......, sQ ft x"U" ?
___.,._.._.._.?
k) Total roof/caillnq frawtng ' •
arna (Averape l?h)..... -sq ft x•„U.'
t? 7ota1 nat insulated - ? • ?,Z t? ?
. roof/calllnq arna....... ??U sq ft x "U" ? , . .
. y
4. • TO7AL Chru 1) ?•?
If totsi af 84 ts the same as, or less ehan N2, you hava met the Tntent of
2:lCdit 1.16008 J1 snd 0. ' '• •
• .
. ? ' • ? .
. ' ., ' • ,
• AX7EMA7E 6U11AtHG iNVELOPE bEStWt • ?
• . .. ? _ .
7o utiilzn the totet nnvntope systers Nethod, -tha values est*b]•lshcd by thq sune
of ltaas f3 and !4 shall not be 9reater than the wm'of tcms 01 and M2. .. •. ••
. i.. ? 2. " ? • .
'3• ' -E4. ? .
- . . . ,. ,
,
16:13 6129344305
MINNETOtJKA DESIGN
* LINEAL PE&'P EXPOSED WALL
BLOCK:
KNEE:
WALKOUT:
FULL 1:13?
FULL 2: 12.3
FIREpLACE:
RIM:
SQtlARE PEET p„XpO5ED AAI.L A&EA
BLOCK:. .
x .5..°
KNSE: "
x 5 -
f7ALK0UT;
x 8 •
PULL 1:
FUl.L 2 : FIREPLACE: x 8 = ???
x II
R I M • 24`X
A x 1 A 2`?$
SQUARE FEET EXpOSED CEI[,jNG jjQO k 23
WINDOWS:
DOORS:
zf?4o kifit` 1 I a
ZCo?O III "2?{.C? PA2I0 DOORS:
?fn 20 { '
SII]1:U(? ld-rs BASEH£;IT UNITS:
PAGE 14
i ,sI
1?~Y SKYLIGNTS:
. .? ' .
Teltpbone
(612) 899-9807
Fax
(612) 894-9878
Mr. Joe Voels
City of Eagan
Plan Review Department
Dear Mr. Voels,
4N?
HOFFMAN HOMES, INC.
2214 East 117th Street
Burnsville, MN 55337
CONTRACTOR # 9284
This letter is to inform you that Hoffman Homes, Inc. will be using the exact same plans
for the layout for Lot(s) '`? iv , Block I , Cliff Lake Shores, as were used on
Lot(s) Z?, Block ,
, Cliff Lake Shores. None of the structural building
components, HVAC, plumbing or electrical will change from engineered drawings dated
Sincerely,
Patrick C. Hoffman
President
PCHfjem
pcw-giv
?_.
"CITY'OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT W/9'?/????(/?1?
?Y?/y7/ BUILDING
PERMITTYPE: 027e13
Permit Number: 0 6/ 21( 9 6
Date Issued:
SITE ADDRESS:
P.I.N.: 10-17785-100-01
1858 CLIFF LAKE CT
LOT: 10 BLOCK: 1
CLIFF LAKE SHORES
DESCRIPTION: (zERO Lor LINE)
Bt{al,d-iay Permit Type SF ?WG
?Building,Work Type NEW
r1 U8C OC0vipin,c? R-3 U-1
Canstr6ction'4Ty,pe V-N
,I? 2aning ? PD
BuiJ,ding Length'-'=`? 44
Bualtling WidCh 30
Bui,ldin,g stories 2
p
`( Ge?sus C'ade }M 102 1- FAM. ATTACH
4«r4-.
bh
REMARISPtEx WITH 1856 (LOT 9)
S& W PLBR - WEN2EL PLBG
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
SAC
SAC %
SAC Units
Subtotal
rT'7 Ea[?.???1
-J
1560 (LOT 11)
VALUATION
$868.50
$434.25
$48.50
$900.00
100
1
$2.251.25
i. L}
t
1862 (LO7 12) CLIFF LAKE CT
$97,eem
MISCELLANEpUS $10923.50
Total Fee $4,174.75
n?Tper - lI,.JYiLMPII l. J 1• Ll
CPI'OFPIAWIVTPID?p AI'ES INC 189498@7 0009284 OWIOFWAN HOMES INC
2214 E 117TH S7 2214 E 117TH ST
BURNSVILLE MN 55337 BURNSVILLE MN 55337
(612) 894-9807 (612)694-9807
I hereby ac-knowledge that I have read this application and state that the ?
informatioh is co,rKeot and agree to,c'omplywith a11 appli:cable State a?f Mn.._:Statue`s and` City4 af E'oan rci nances. `
L
/PERMITEE SIGNATURE ISSUED BY( GNATURE
?- --?
, . CITY OF EAGAN ?
' 3830 PILOT KNOB RD - 55122
nG- -I &
1.5 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 w-?'?l
New Conslrudion Reauirements RemodeUReoair Reovirements
? 3 registered site surveys ? 2 copies of plan
? 2 copies of plans (include beam 8 window s¢es; poured fnd. design; ete.) ? 2 site surveys (exterior addkions 8 decks)
? 1 energy wlculations ? 1 energy wlwlations for heated additions
? 3 eopies of tree preservetion fan H lol platted efler 7l7/93
roqulred: _ Yes No
DATE: 51 Z y J`l 10 CONSTRUCTION COST: 9-?,000
DESCRIPTION OF WORK: TV~WtAo4AE
STREET ADDRESS:
I858 Gu FY L-?PK?
LOT l'° BLOCK ? SUBD./P.I.D. #: ko - l1"t85 - 100'"m ?
L/- ActX w'/Lo*s 9, /; "kPF LPKS 5tidL6s
PROPERTY
OWNER
Name: iiofPmP.a kbr«s
wnxst
Street Address LZ`?1 E' ????~ Sz2tE'
City: d State: '"?
CONTRACTOR Company:
SA r16
Street Address:
City: State:
ARCHITECT/ Company: H
ENGINEER
Name: Ly,-L- Tca?:.,J
Zip: 5533l-
Phone #:
License #: q2gi
Zip:
Phone #:
Registration
Street Address }g s`- Sza-*ftT 5'L4 ; E-*Zt p
City:
C HpJ NA1,E.J
Sewer 8 water licensed plumber:
change are requested once permit is issued.
State: Na Zip:S53?}
Penalty applies when address change and lot
rect and agree to comply with all
I hereby acknowledge that I have read this application and state that the iM7
applicable State of Minnesota Statutes and Ciry of Eagan Ordinances.
Signature of Applicant: OFFICE USE ONLY
Certificates of Survey Received
Tree PreservaGon Pian Received
. RLSCEO V ED
+ ?ves _ No _-1U{?6,.b 6
Yes No
Phone #: i
OFFICE USE ONLY
BUILDING PERMIT TYPE
?' _ • .
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
2 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
0 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 -plex ? 15 Deck
WORK TYPE '?Z r
?1 New ? 33 tera ions ove
? 32 Addition o 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actuai)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Buiiding
??
y ?
Engineering
Variance
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SNV Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
,tZ-1V Basement sq ft. MCNVS System
ru Main level sq. ft. City Water o?
?? ? sq. ft. Fire Sprinklered
sq. ft. PRV
ep? sq. ft. Booster Pump
? sq. ft. Census Code. ,,loZ
'70 Footprint sq. ft. SAC Code o/
Census Bldg
Census Unit
Valuation: $ 7 0-9
?
/3'/
% SAC
SAC Units
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT cR.54?44
MO BUILDING
PERMITTYPE: e27814
Permit Number: 0 6/ 21 / 9 6
Date Issued:
SITE ADDRESS:
P.I.N.: 10-17785-110-01
1860 CLIFF LAKE CT
LOT: 11 BLOCK: 1
CLIFF LAKE 3HORES
DESCRIPTION: (zeRO LOT LINE)
Bul'bd.in,g Permit 7ype SF DWG
Building:.,Work Type NEW
I'FUBC tlCCUp?`n_c,y R-3 U-1
Gonstruction?rType V-N
f Zoning `z PD
Suildirtg l.engCh?
8uilding Width
Buildi.ng staries
, C?e n s u'? 'C p
$2,251.25
r
``'. __;..LI
L-
REMARM-Ex WITH 1856 (LOT 9) 1858 (LOT 10) 1662 (LOT 12) CLIFF LAKE C7
S& W PLBR - WENZEI PLBG
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
SAC
SAC %
SAC Units
Subtotal
C QRT4AAPTPfkf S I N C _'P]'_
2214 E 117TH ST
BURNSVILLE MN '55337
(612) 894-9807
44
30
2
102 1 - FAM. ATTACH
$97,000
MISCELLANEOUS $1,923.50
Total Fee $4,174.75
18999807 0009284 4-AImRfFIR4N HOMES INC
2214 E 117TH ST
BURNSVILLE MN 55337
(612)894-9807
I hereby ecknowledge that I have read this application and state that the
informativn is correct arnd agree to eomply with all applicable State of Mn.
Statutes a-nd C114i o'f Eagan£•'Ortl%nances.
L . J
A LICANT/PERMITEE SIGNATURE ISSUED B: IGNATURE
VALUA7TON
$868.50
$434.25
$48.50
$900.00
100
I
CITY OF EAGAN
- ' 3830 PILOT KNOB RD - 55122
cglq 14 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) ,
6814675
New IConstruclion Reauirements
HemodeVReoair Reavirementa
? 3 registered eite surveys ? 2 copies of plan
? 2 coDies ot plans (inelude beam 8 window sizes; poured fnd. design; etc.) ? 2 site surveys (exlerior addRions & decks)
? 1 energy calculations ? 1 energy eelculations tor heated additions
? 3 co0ies M tree preservatlon plan If lol platted efter 711/93
required: _ Yea A_ No
DATE: CONSTRUCTION COST: It }k OO o
DESCRIPTION OF WORK: -ge`54E'',"r`A?' To.,,J,JNosAE
STREET ADDRESS:
'
18bo C??PF L?.vx C9..tL1^
LOT " BLOCK ? a SUBD./P.I.D. 1O ' t -*-t$ 5 ' ? "Zi ' ° t
y-PccX w?Lort 9/ CU%FF L71kK6 SHAbS
PROPERTY
OWNER
CONTRACTOR
Name: i4orPr-c4a ??as ._?• Phone
un riner
Street Address: LZ'`? E? ?(nlTH Sze-tE,-
City: a..?."S`'•','-'' State: uAt-1 Zip: 5533-1'
Company: Phone #:
Street Address:
City:
ARCHITECTI Company:
ENGINEER
H ; ,,A-r,,.,r4i:n DE5i6?j
State:
License #: 4 L g +
Zip:
Phone #: 13`t- 11?kp
Name: LyLe Registration #:
Street Address- I$ Y?} 5l OreT S'" ' E?
City: C HAa K''s6E.J 5tate: Na Zip: S53t}
Sewer & water licensed plumber: Penalty applies when address change and lot
change are requested once permit is issued.
1 hereby acknowledge that I have read this application and state that the irfacr? r'on is co?t and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY RECEPVED
CertiBcates of Survey Received +! Yes _ No JU 8 4 99Q6
Tree Preservation Plan Received _ Yes No
OFFICE USE ONLY
•` _
BUILDING PERMIT TYPE
0 01 Foundation ? 06 Duplex
?2 SF Owelling ? 07 4-plex
? 03 SF Addition ? 08 8-plex
? 04 SF Porch o 09 12-plex
? 05 SF Misc. ? 10 - lex-
WORK TYPE
31 New ?
0 32 Addition o 34 Repair
GENERAL INFORMATION
Const. (Actual) 10-/V
(Allowable)
UBC Occupancy /
Zoning
# of Stories Z
Length
Depth 3c
? 11 Apt./Lodging 0
? 12 Multi RepairlRem. ?
? 13 Garage/Accessory 0
? 14 Fireplace 0
Lo dr- - ?,Vr
? 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft,
sq. ft.
sq. ft.
Footprint sq. ft.
APPROVALS
Planning
Building
. r w
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
? MC/WS System
-?
City Water ?
?7/ Fire Sprinklered
PRV
Booster Pump
Census Code. /OZ
SAC Code
Census Bldg /
Census Unit
Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SNV Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $ 7 000
J,', Z5/1
v
% SAC
SAC Units
r PERMIT
? ' CITY OF EAGAN BUILDING
3830 Pilot Knob Road PERMIT TYPE: 027815
Eagan, Minnesota 55122-1897 Permit Number: 0 6/ 21 / 9 6
(612) 681-4675 Datelssued:
SITEADDRESS: 18e2 cLiFF LAKE cr
I.OT: 12 BLOCK: 1
CLIFF LAKE SHORES
P.I.N.: 10-17785-120-01
DESCRIPTION: (zeRO LOT LINE)
Bu'.Thd.i,ng Permit Type SF DWG
6uiltlin'q-;.Work Type NEW
U"BG Occups4n:cy R-3 U-1
?rCbctstruction 'T?ype V-N
?I Zoning c?-? PD
Rui.ldingu Length 44
j 6ui,lding Width 30
B•uildang staries 2
f:?,en5us, Codef - 102 1- FAM. ATTACH
L J?
REMARM'Ex WTTH 1856 (LOT 9)
1858 (LOT 10) 1860 (LOT 11) CLIFF LAKE CT
S& W PLBR - WEN2EL PLBG
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
SAC
5AC %
SAC Units
Subtotal
VALUATION
$868.50
$434.25
$48.50
$900.00
100
$2,251.25
$97,000
MISCELLANEOUS $1,923.50
Total Fee $4,174.75
C??4PTQfkS INC rr 18949807 0009284 OfflAMN HOME3 INC
2214 E 117TH ST 2214 E 117TH ST
BURNSVILLE MN 55337 BURNSVILLE MN 55337
(612) 894-9807 (612)894-9807
? I hereby aakhQwledge th I`have read this spplicatian and state Ghat, Lhe,
infiormatian is cbr`°r "` an ag`ree to cainply'w3th al°1 appl9:eable State ofi Mn.
Statutes and Ci y ?f Eag n Ordi`nartpes.`
r ` . .?
ISSUED BY: SIGNATURE
CITY OF EAGAN
.` ' 3830 PILOT KNOB RD - 55122
odi ? 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-46T5
New Construdion Reauirements
RemodeUReoair Reavirements
?`????4•??J?
t 3 registe2d site surveys ? 2 copies ot plan
? 2 copies of plan9 (fnclude beam & window sizes; poured ind. design; ete.) ? 2 site surveys (exterior additions & decks).
? 1 energy plculalions ? 1 energy ealculations tor heated addkions
? 3 copies of tree preservalion plan H lot platted after 771l93
Fequired: _ Yes )( No
DATE: `' t 2- -i5 I-t 4 CONSTRUCTION COST: 4-+' a0- r)
DESCRIPTION OF WORK:
STREET ADDRESS:
166y Z°i- k F?- Lfl1l-& Cou4-i
LOT I '+? BLOCK ? SUBD./P.I.D. #: ?? - ? 2-t$ 5 ' (20 -O f
y-PL £,r?-/CoTS 9 Lf?ys sM-aAs
PROPERTY Name: i4ofprc4?,.a N??-?.?s ?`s?• Phone
OWNER `"" ,"••
StreetAddress: zz?1 ?• ????"' s-?a.t??
City: State: ?? Zip: 5533-t
CoNTRacroR Company: 5AMe Phone #:
Street Address: License #: 41gi
City: State: Zip:
ARCHiTECTI Company: M? ?K???? aES?`^? Phone #:
ENGINEER
Name: Registration #:
5treet Address- 90 L^'- }$ s' 5"?00--T 5..t rE -lk Zt o
City: C HaaK''?-6eJ State: Ma Zip:S53t"+-
Sewer & water licensed plumber: 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 the inf ati n i co ect and agree to comply with ali
applicable State of Minnesota Statutes and City of Eagan Ordinances. ?
?
Signature of Applicant:
OFFICE USE ONLY HECF'wF-D
Cettificates of Survey Received r/ Yes Ho JU?j{' ?i? b 999a
Tree Preservation Plan Received Yes No ?CS? --------'"
OFFICE USE ONLY .c •:
a ? y
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Dupiex ? 11 Apt./Lodging ? 16 Basement Finish
02 SF Dwelling ? 07 4-plex o 12 Multi Repair/Rem. ? 17 Swim Pool
0 03 SF Addition ? OS 8-plex ? 13 GaragelAccessory ? 20 Public Facility
0 04 SF Porch o 09 12-plex ? 14 Fireplace ? 21 Miscelianeous
? 05 SF Misc. ? _ a 15? eck
WORK TYPE - G p?-
1 New 33 Alter?tib?YS°'iQ-36-M1]love
0 32 Addition o 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) ? Basement sq. ft. "Z- MCNVS System ?-
(Allowable) Main level sq, ft. f?DS City Water ?--
UBC Occupancy -?/ sq ft Fire 5prinklered
Zoning ? 6 sq. ft. PRV
# of Stories ? sq, ft. Booster Pump
Length sq. ft. Census Code. /OZ
Depth 16_ Footprint sq. ft. SAC Code a/
Census Bldg /
Census Unit
APPROVALS
Pianning Building Engineering Variance
3
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City 5AC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
°h SAC
SAC Units
Valuation: $
A
. ?N?
HOFFMAN HOMES, INC.
2214 East 117th Street
Te(ephone BiiYnsville, MN 55337
(612) 894-9807 CONTRACTOR # 9284
Fax
(612) 894-9878
Mr. Joe Voels
City ofEagan
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) "k `°v , Block I , Cliff Lake Shores, as were used on
Lot(s) 22i i7 , Block Cliff Lake Shores. None of the structural building
components, HVAC, plumbing or electrical will change from engineered drawings dated
Sincerely,
Patrick C. Hoffman
President
PCH/jem
?-gl¢
? L. -1 BL CITY USE ONLY RECEIPT#: ?! 7 3
« T
`
SUBD. DATE:
1996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 551::2
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES EACH HQ TOTAL
Shower 3.00 x 1 _ 13,a°
Water Closet 3.00 x 13 _ ?&V
Bath Tub 3.00 x Z
Lavatory 3.00 x jZ vti
Kitchen Sink 3.00 :c
Laundry Tray 3.00 ;c 3
Hot Tub/Spa 3.00 :c =
Water Heater 3.00 x 3.cv
Floor Drain 3.00 x _L = 71crD
Gas Piping Outlet ' mtnimum -1 3.00 ;c
Rough Openings 1.50 ;< _
Water Softener 5.00 x
Private Disposal • Dakota Cty. ucense 65.00 =
(new and refurbished systems)
U.G. Sprinkler ' home under const. 3.00 =
Alterations " to exisen9 20.00 =
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL Sb,Su
SITE ADDRESS: 1 a~ (.L-/FL LJ-JKr- l,'r
OWNER
INSTALLER NAME: 06021 ?-t- /'/zpc-84NIC?4 C-,
STREET ADDRESS:---m2 !5LaGcINEc
CITY: LAGAiIJ STATE: ?N ZIP: J?SIz Z-
PHONE #: ( d lZ) ¢5Z - ?J?;2? a
CITY USE ONLY
L? BL ? RECEIPT #: W??- 7 3
? SUBD. ? DATE:
1996 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 whon permits are required for each unit
FIXTURES EACH ? TOTAL
Shower 3.00 x _L = 3,oa
Water Closet 3.00 x 9.00
Bath Tub 3.00 x 3. oc
Lavatory 3.00 x
Kftchen Sink 3.00 ;c f = 3.00
Laundry Tray 3.00 ;c =
Hot Tub/Spa 3.00 :c =
Water Heater 3.00 :<
Floor Drain 3.00 x .oa
Gas Piping Outlet ? minimum - 1 3.00 x ,afi
Rough Openings 1.50 ;< _
Water Softener 5.00 x =
Private Disposal • Dakota Cty, lieense 65.00 =
(new and refurbished systems)
U.G. Sprinkler ' home under eonst. 3.00 =
Alterations ' to existing 20.00 =
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL 42. Sb
SITE
OWNER NAM
L/
.c-)
c CT
INSTALLER NAME: ???2??- ?'"??c[},q•v?Ga ?
STREET
ti
CITY: E-46<JN STATE: MnJ ZIP: 5?/2Z.
PHONE #: ( 412 ) 452- /S-6 5- 67a ??
L BL CITY USE ONLY RECEIPT #: i?,Y?(73
? SUBD. cl-1 !?'?ywv? DATE: la°l10 ? ?
1996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Piease complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES EACH N-0, TOTAL
Shower 3.00 x 1 - 3,aa
Water Closet 3.00 x .3_ _ ,6b
Bath Tub 3.00 x I = 3.00
Lavatory 3.00 x 3 _ 7.ab
Kitchen 5ink 3.00 _
:c _L = 3,66
Laundry Tray 3.00 :c =
Hot Tub/Spa 3.00 ;c =
Water Heater 3.00 :c
Fioor Drain 3.00 :( 3.o0
Gas Piping Outiet * minimum -1 3.00 ;c
Rough Openings 1.50 :c =
Water Softener 5.00 :c =
Private Disposal ' Dakota Cty. Iicense 65.00 =
(new and refurbished systems)
U.G. Sptinkler ' home under const. 3.00 =
Alterations " to existing 20.00 =
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL 4Z , SD
SITE ADDRESS: Mo
OWNER NAME:
E 6r
E5
INSTALLER NAME: We"ZEC.. REG94 &J/G.4 C,
STREET
cinr: E4&AA--)
STATE: M&; Zlp; 5577 Z
PHONE #: ( ?!Z ) ?SZ- /sGS /;
CITY USE ONLY
Z ? a BL ? RECEIPT #:
SUBD. DATE:
Please complete for: ? single family dwellings
? townhomes and condos whEan permits are required for each unit
FIXTURE5 EACH ?Q. TOTAL
Shower 3.00 x 3• 0-v
Water Closet 3.00 x 3 = 9, o-P
Bath Tub 3.00 x 3.025
Lavatory 3.00 x 9,0a
Kitchen Sink 3.00 :c I = •oo
Laundry Tray 3.00 :c =
Hot TublSpa 3.00 ;c =
Water Heater 3.00 ;c
Floor Drain 3.00 x = 3•ao
Gas Piping Outlet * minimum -1 3.00 :t = ,bo
Rough Openings 1.50 x =
Water Softener 5.00 .c =
Private Disposal " Dakota Cty. license 65.00 =
(new and refurbished systems) '
U.G. Sprinklef " home under const. 3.00 =
Alterations " to existing 20.00 =
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL 4Z. sv
1996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
SITE ADDRESS: /e'(a2 ?241FF Z-49r-- Cr
OWNER
?MAN
INSTALLER NAME• kEN2!-5 C_.., /?'/EUdA-N<G4L.
STREET
4E:?
CITY: C?4AJ STATE: ZIP: 5?I2Z
PHONE #: (?/Z ) ?SZ- /?'lo? ?
' ciTr use oNLv
L ? BL ? RECEIPT#:
SUBD. DATE:
1996 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 .conditior,ing Add-on airexchanger, i.e. Vanee system, etc.
Date: 245 - 76
? Minimum Fee: Add-on/Remodel (existing residence only)
? HVAC: 0-100 M BTU
Additional 50 M BTU
? Gas Outlets (minimum of 1 required @$3.00 each)
? State Surcharge
TOTAL
FEES
$ 20.00
24.00 ?
6.00
' v
.
.5D
A P
SITE
OWNER NAM
INSTALLER
PHONE #:?LZLo??
STREET ADDRESS: ?g?_.j l? !-YIGI"AGO /1P!.
CITY: MA5, STATE: /,?L Zip: v
PHONE #:
Ot I Pr Zq k'L
' D CITY USE ONLY ?
L ? BL ? RECEIPT #: ."L.5__
SUBD. l? DATE:-?/??/5I'
1996 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 Add-en air exchanger, i.e. Vanee system, etc.
Date: 2'G?3- ??
? Minimum Fee: Add-on/Remodel (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
a
?
INSTALLER
0
$ 20.00
24.D0--'
6.00
? r
.50
?
PHONE #: wq-0127
STREET ADDRESS: -11i 2 / L-" 14 !/",/ It_-ao? i' I ? v
CITY: STATE: ?/ N! ZIP: - Maz ?. PHONE #: (
?7 %/
' CITY USE ONLY
L ? BL RECEIPT #:
SUBD. 0AW ? DATE:
1996 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 Add-on air exchanger; i.e. Vanee system, etc.
Date:
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) L'5' f
? State Surcharge .50
TOTAL
SITE ADDRESS: U n 47 6- R,
OWNER NAME: UuCr PHONE #: y?107
INSTALLER NAME: & / e, ""'
STREET ADDRESS:- % l> ,2? l? rt i L' / 1 ?su ?vL?
CITY: STATE: ON` ZIP: J?I?7
PHONE #: (
L kt.?' BL CITY USE ONLY
?
SUBD.
RECEIPT #:
DATE: % r ?
1996 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dweliings
_ • townhomes and condos when permits are required for each unit
New construction Add-on furnace
Add-on air condit'loning Add-on air exchanger, i.e. Vanee sys±am, etc.
Date: ???-q?v
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) .':_?
? State Surcharge .50
TOTAL 5.0,
SITE
OWNER
INSTALLER
PHONE
7 !'! -&• (f?
STREET ADDRESS: °/ v?/ 1 l, t!1 I vr 90a
CITY: ? STATE? ZIP: -jqs'6? /
PHONE #: ( } D ??'4 e lr 2
?
? ?? ?L
1 R6CEIY! / / 1f7 l
:LI!! QAIE 44 / / 7
Im
JOB
a+x
IkTt 5131
Ptaass ns AnvMEn rw?r nMs 15 e rU sxox:Acs or Tl% xaovE
EI.Fx'lRICAL I26TAI,LAT=OH IN 'ifM AMO!!tR' OF ; ;7?;n
SROMCT MiBT BE PAID YF{IT};III :4 a1T5.
RSMARIi3
1'OTAt_ FRF. 4NAlTtrF, rnrr . ?
ORIG. liCEIP?/
RECEIY?
BEIORl1 A COPY OF rHIS FORM WIIH RIIiIT'fAHCE.
97
- La 1w a.v. cucuscr f
0 to 100 aAO urricr
78D s.ene.y f/v
?
:S1 RECEIPS 9 CP? 74/1
:CEIP7 DATE
T'0
1(7H
o1i NER
OATE
PLFJISE BE ADVISED THAT 7ME L5 A FEE SHOfiTAGE ON TKgASGR
II.EC2RICAL .2STALLATION IIi T}E AMOUN: CF ; ?
SNORTJICEE MST BE PAID YHITHI:t 14 DAYS.
RE?fARl6
31 ta 100 amo. cireuits-
0 to 100 amo aervice-
TOTAL FEE DUE- /00
Tarar. F". SxnvTar,r• nitr
eExrlira ? -Z,/
ORIG. RECEIPLi_? 0
4ECEIPT DATE
RETURN A CQPY OF 2HIS FORH GISH REMITIANCE.
t
C?
0
?
..,..._ , „t.-.?-, .
L 1,2- B I
4
SIIBD
NEW RECEIPT gOCI y-,L?
RECEIPT DATE_o??/9
nATE
_ Tp
_ JOB
owtER
- - PLE15E BE ADVISED THA,T TFERE IS A FEE SHORTAGE ON TFE ABOVE
ELECZRICAL I2STALLkTION IN THE ANOUNT OF $
- - SHORTAGE HL6T BE PAID WHITHIN 14 DAYS.
- REMARXS
- /4; 0 to 30 amp. circuits=
31 to 100 amo. circuits= - -"
0 to 100 amo service=
. 1 101 to 200 anp. service= ?4?7c-? _
. TOTAL FEE DUE=
• LESS FEE RECIEVED ? ` - -
TOTA:. FE£. 4nOnTnGriiJE PERMITfI ? re;
ORIG. RECEIPTtI- lo Z 5;-0
RECEIPT DATE 7-3O
RETU?tN A COPY OF THIS FO_RM WIrH kEMITTANCE.
? CER TIFICA TE OF SURVEY `
Top of Irons @ Offsefs ?' /
?? AO 15.00" Offset 931.75
OB 15.00' Offset 932.32
v \ \
\
CO 15.00" Offset 932.33
?1 -7
OD 15.00' Offsef 931.53
(satas ic)
/
(931.8)
? ? 3a931.0 / , ?
/ e•s w AO / \-. (e32.07rc)
926.8 \.. ?\\
-ZZ"-.,
0?
932.0 ? 0
A-1 / rV 10
/ 9pp ? 2p? CV/ ?
? O L 8S8 ? ? 9zs.s
2000
?
?? ? S,s o ?\ `yo0 y S. O?
1 ?p Q O
p??,?.
Q / N 932.0
sa,
a3,.e a? ?? 7 ?F ? \? ?? ?8s6 9 m^.s
8so
(931.5)
930.8 S?'?
Qo
?17 86'2 9? ?i
m lb h ? 12 0,0
9324 \..` ? (930.25 TC) ? O
?
/
O ?
926.8
\ ? \., "•? / 932.0
(930J6 TC)
? /'?''• ? ? • , . , ? `u 7 ?
c? f?
/ \ ? ?•',3• ? ,c?? f, ?
I3ate ?
EAGAN E1VG ERING PIEPT ?? E A G A IV
L E G A L D E S C R I P T I O N . • GRAPHIC SCALE R E V I W E D
Lots 9, 10, 17 & 12, Block 1, CLlFF
LAKE SHORES, occording to the plat 2? 10 20 '0 BY
fhereof, Dakota County, Minnesoto 0
( IN FEET ) '?ATE , , .
1 inch = 20 ft.
930.0 Denotes Sanitary Sewer Service lnvert Top of Block = 933.30 865.0 denOfes exiSfing el2v.
Garage Floor = 932.30 (865.0) denotes proposed elev.
? denotes surface drainage
• Denotes iron monument found
O Denotes iron monument sef
Bearings bosed on ossumed datum.
I hereby certify that this survey was prepored
by me or under my direct supervision and fhat
I om o duly-Registered Lond Surveyor under the
laws .of tEie Stefe bf MinnerSo./
Q:?
Martin J. Weber R.L.S.
Registration N . 12043
Dofe
REOUES7ED BY.,
HOFFMAN HOMES /NC.
w Wiatwood Professiona/ Services, lnc
74180 West Ti'unk Hwy. 5
Eden Prairie, MN 55344
(672) 937-5150 Drown by. M5. I Date: 51,31196 I Job No: 95198
Lots 9-1
B1L09-120WG
Oct 07 2014 0823AM HP Fax page 1
�,�4 --- Use BLUE or BLaCK Ink
' �,!i��� i
�(�- C/�r'�'_ � For OHice Uze �
� j Permit#: ����°�� �
�lty Of���l�Il ���- �� -� � P �, .�� �
� e d Fee. � � �
3830 Pilot Knob Road
Eagan MN 55122 j Date Received: j
Phone:(651)675-5675 � �L'� � ��"� � � � � I I
Fax:(651)675-5694 I Staff: I
.`�-� ,� i-'�-�.:-z ��� ' ---�
2014 RESIDENTIAL BUILDING PERMIT APPLICATION � .
�y ��;
Date: � G � Site Address: 1���� � $ �� �� � e� �� �' � ������� `� unit�: .,
Name: ��� T r C� ��'7u j /� �, �- Phone:
Resident/
Owner Address!City/Zip: ��L'
Appiicant is: Owner ✓ Contractor �
Type of Work Description of work: ` �- i
Construction Cost: � �L' �y Multi-Family Building: (Yes � I No_)
Company � c' N�'s , Contact:_ /.�7"�-�G�:.-�-�'
Contractor Address'3 �C 11i1JYf 1 v �''��� City: �/y�2 c l�
State��I'✓� Zip: ��/� Phone: l� Iy 723G 3 Y7 Email:i3�vw�����C:�ri/���s- �
License#:�C�D t�G 7�I/ Lead Certificete#: /��`��1��� �
If the project is exempt from lead ce�llflcatlon, 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 Eagan Issued a permit for a slmllar plan based on a master plan?
_Yes _No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Cor�traclor: Phone:
AIOTE:P/ans anci supporfing documents that you submit are considered to be publ/c Informafion. Poriions of
the fnlorm8lfon may be c/assified as non-public ft you provide specifc reasons that wou/d permlt the City to
conclude that the are trade se�erets.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for roteclion against underground utility damage. Caq 48 hours
before you intend to dig to receive locates of underground utilities. www. o herstateonecall.or
I hereby acknowledge that lhis information is wmplete and accurate;ihai the wo�k will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a perrnit, buf only an application for a permit, and work is nOt to start without a pem►it; 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 horized by a building pertnit Issued In accordance with the Minnesota State Bullding Code must completed wlthln 180
da perm ssuance. .�—�'�""
X -- �G Z._... ,� x �
Applicanfs Printed Name Appllcant's Signature
Page 1 of 3
Use BLUE or BLACK Ink
r————————————————_'
i For Office Use �
� i ��f
C�� O� n� �� j Permit#: _
� j� � i
i ��� �
� Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 � Date Received: �
Phone: (651)675-5675 I I
Fax: (651)675-5694 I Staff: I
� I
2015 RESIDEI�ITIAL BUILDING PERMIT APPLICATION��
Date: �Z l�/ �S Site Address: j �� � �lt �� �Kc �o�� ��� Uni#: �S/�+�
�� �..Name: .. ��l�f�� _...����_�,..�.v_��.oi/{,S..�,��._._�.,..dM._w,,.�..,w.��,�.,.�.Phone:�..- a��...._,�..�..�.......�.�
� R�i�l���1 � �
� Q��gr � Address/City/Zip: .S�',
,
� � Applicant is� Owner Contractor
� .� � Descriptionofwork: ��y�,�, .,....�.��, ��._��..��..�,._.w.�.w._.�.�..,....�,�,a��...�_.w_.�.�,,..�.o�,_
� Ty�� C�f 1��1`1� �
� �� � Construction Cost:���������� ������Multi-Family Building: (Yes ��/No�� �� ��
�� { Company:/,�Ct/lt� �hfi�� ��G�d 1� �hc. Contact: ��f ��t r�� ��" ?
b )) ) �
> � ���- �'�� ') �
� Address: J��b ��G�;J �3w�� l�� � Sui e ,�s� City: �
� Con�ra�to°r: � ,, Q G�v �
� , � State:�Zip: �Sy�r� Phone: '7�3-Sf� .vn�� Email. Gc�� � �av�;.19�u,.w/(.�r�t� o J-�
� :� License#: �G v�� ��.3 Lead Certificate#
�� ,..,�,�.�,.�,.�._�,...�.�.,.n�.�..�._.�.�,�,.,.._� .M .�_e.,., 4,,..�.,..� a .._..��,.m,_..���..f.,�,�...,..�� . .�..�� _.,a,�_ A„��,..�,,���„�.w..�.,�....��,,,�,.�..,�,...�....�.��._....,�>.,,d�
� � _
� If the project is exempt from lead certification, please explain why:
,
� .��..�,�..��,�.,_.� . s�_„�... m4�..a.�..ti.��..�.,,���__,,.�..,.,�..,.�,���.�..�,..:.�,,, .,..�..�,.p.....�w_.a..�.�,�...n.�.�.�...�.._.��._..�,�,..o..�._.�..�.,,.�
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? :
3
�
� Yes No If yes, date and address of master plan: �
i
� Licensed Plumber: Phone: �
Mechanical Contractor: Phone: �
Sewer&Water Contractor: Phone:
� Fire Suppression Contractor: Phone: �
/V�7',�:P�Fa�s a�ad sup�or�i��d��cr��r��t�a�yo���b��e co.�s���red t�b�p���rr�#� Fc��t�s of.��
� f��s i��`nr�����ay�e class��d as non pc�#��c�'y��pro�r"rz�e s�re�i�t�a�+�t�s�a���p���G��r t� �
� - c��.cl�ate that t� �-re t�a�le�re��. � �.�. _�n�.{
CALL BEFORE YOU DIG. Call Gopher State One Call at{651)454-0002 for protection against underground utility damage. Call 48 hou�s
before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.org
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota S t Building Code must be completed within 180
days of permit issuance.
r/ ".�—r--__
X �Ll�� T yF.(G�W.,a�.�--"" X
�
ApplicanYs Printed Name Appli s Sign ture
Page 1 of 3
r For Office Use
\ er
Permit#: /59 277
EAGANPermit Fee: 'W//
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 �/� 1,�J
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: 1 " i V_
buildinginspections(c�citvofeagan.com
2019 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: "�- 4? Site Address:/ *5 h C' kr 4-P7--
Tenant: Suite#:
Resident/Owner Name: C�Go/f{ r,,•� }�7^�n4 Phone:
Address/City/Zip: /iS CC!•-' •L4- CT GG? "A.
Name: Pc,4072 ,'leg License#: /04-'6 4/3'142
ContractorAddress: 019"7 �(� 7I City: C70eke 6
State: iV Zip: $Si2 e Phone: -5l-?77
Contact: /a-i�u+ Email:Z41,vle-- . �.q-rt�T ac.� GUs'h C S*(.J>~T
Type of Work —New Replacement —Repair _Rebuild —Modify Space —Work in R.O.W.
Description of work: leg lcive-72_
Tankless Water Heater Lawn Irrigation( RPZ/—PVB)
Standard Water Heater
Add Plumbing Fixtures ( Main/ Lower Level)
Description Water Softener
Description:
Septic System
New Abandonment Connection to City Water from Well
—
RESIDENTIAL FEES
$60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation (includes State Surcharge)
$60.00 New fixtures, adding or removing piping (includes State Surcharge)
$60.00 Septic System Abandonment
$100.00 New Residential (fee collected with Building Permit)
$115.00 New Septic System (includes County fee and State Surcharge)
$60.00 Connecting to City Water from Well*+$290 for Meter and $190 for Radio Read = $540
*Sewer&Water Permit also required for connection charges �o��
TOTAL FEES $
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeacian.com/subscribe.
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
accordanceZ-4-726,,ILL41-71..2
with the approved plan in the case of work which requires a review and approval of plans. /
x d�✓ x Ad
Applicant's Printed Name A.cant's • ature
Page 1 of 2
FOR OFFICE USE
Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test Gas Test Final
Meter Related Items: Meter Size Radio Read Manometer Staff:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 TDD: (651)454-8535 FAX: (651)675-5694 buildinainsoectionsCa�citvofeagan.com
Page 2 of 2