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1859 Cliff Lake Ct.. y 11\?Ji CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: 1! t+lrl(h ? tr f iAic? ? I i f t I..AK P'.Nnhl `. ., 0 PERMIT SUBTYPE: PERMIT TYPE: Permit Number: Date Issued: H 11 1 I t3 J M Ea ii0'`'t!,b2 N!;117l96 , APPLICANT: ,:? - i?.• r•t 101111f. . 1 Pif t;94 'JN_,G'?; TYPE OF WORK: i I i , 4 I 11 4 1 <4 11 N t* Lo czerrA i ar t raE.t INSPECTION .A . D• ? t iiM I Nt, i i?i)f 1 hlai 1 0'.1ii (? I i ; I!• ?, f;'.I ( s t Nk! I! F,,; i r1n ? f t:f aakM '. ; , rre •i ,sro, i } , ?, u I•i c+? ? ? ?i Permit No. Permit Holder Date Telephone 1k ELECTRIC PLUMBING HVAC ?2g 8p?'lp??j Inspectlon Insp. Commenta FOOTINGS c? /• FOUND 'r FRAMING ? ag HOOFING ROUGH PLUMBING PLBG AIRTEST ROUGH HEATING ? i ??? GAS SVC TEST ? INSUL i/ 6 GYP BOARD FIREPLACE $-i3 vs s'r23 FIREPLACE AIR TEST FINAL PLBG b FINAL HTG C- -7 ORSAT TEST BLDGFINAL 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: APPLICANT: I AF 1 ? r k 1 P1/1h4 1M141- ', I Ni 1 I i t 4 AA F'?LIUI:Fi.' 1 Fi44 `lNA7 ? PERMIT SUBTYPE: TYPE OF WORK: htE41 t•? ,? ;• ?! i ???r! i If R[l l Q7 l INIE ) INSPECTION .. . DA E f ntn i 1`4 1, , 1; ra 7 N',lil !1) I w! ! , f i• ( t i,?1 ; ('tiftli,ll ! Id !,; (;;r i ?rd?it (?? ?<<, ± iraA i kf 07ARk': ! t t1I 4 1?t+1 I f ? I.1 f'I flft l-lf-lM.'[ 1 i'i E3fi I -1 Permit No. Permit Holder Date Telephone M ELECTRIC G 7 r-'V PLUMBING ?J HVAC "R Inspectfon -599 Insp. Comments FOOTINGS ,? /c?j 4 <G? FOUND FRAMING ROOFING ROUGH PLUMBING S'J- 3J'gC PLBG AIR TEST ROUGH HEATING ? ! GAS SVC TEST -G INSUL ?-f GYP BOARD FIREPLACE G FIREPLACE AIR TEST FINAL PLBG _ p FINAL HTG ORSAT TEST BLDG FINAL ! ?" J BSMT R.I. BSMT FINAL DECK FfQ DECK F1NAL 'I - i 1 . ., ? INSPECTT`ON RECORD GITY OF EAGAN PERMIT TYPE: ? 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 ? SITE ADDRESS: 1 F f I AK f '•1141 Rf % PERMIT SUBTYPE: ,, 1 , tittlLQfNEi 0171•,f+4 aK /1 If9 6 , APPLICANT: r. TYPE OF WORK: Nt: t) 47FPO 1 431 f 1 ME 1 1lt'•.1 itll'FfOM INSPECTION ., . D• ?! ! hllt I:l f Nt? , i rt 1! z,? t t! 1•,,???i . ?„ .? :???? . ?,:? ,;? ?i ?, ? i i.?: ? - ? ? ? Permit No. Permit Holder Date Telephone N ELECTRIC PLUMBING HVAC Inspaction e insp. Com e nts FOOTINGS FOUND «CJ FRAMING ROOFING ROUGH P UM81NG 4(7-1 p PLBG AIR TEST O' O ROUGH HEATING ? 3 ?/?Q6 ?(i ri 8 GAS SVC TEST INSUL r li GYP BOARD L FIfiEPLACE i' FIREPLACE AIR TEST FINAL PIBG FINAL HTG 2 _G ! ORSAT TEST BLDG FINAL ,cv o BSMT R.I. BSMT FINAL OECK FTG DECK FINAL INI CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: i?i c 1 1 I f I fiR ? ?{ ?I I F 1 A? F':?1uKr . PERMIT SUBTYPE: 'ION RECORD PERMIT TYPE: Permit Number: Date Issued: "-' . "..' r' , APPLICANT: 'H Mui.K. : i .;?r; i ??;•;{1 -1i??'+p! '. j 1??+ TYPE OF WORK: tIi I,Ct,ia1 100 Hil FRr,1140 N11f-? ?A 5 ii! fi 11. T 1 11 h NFw tr.ERa lr+r I rwr> INSPECTION .. . D. i?P11ri f k?lit I I tu+, I ??t+.?;; • r? i t le?. ;'?;!!!,:i i k% FI I i, 1 14 AaK !? : 1 0 F 4 t1N E 1; ; b tt t'I FtF< Mlf N:'E f V f tf1 Permit No. Permit Holder Date Telephone M EIECTRIC f G '1 ? PLUMBING HVAC q ?'?j?pOK+J• Inspection e Insp. Comments FOOTINGS FOUND ? Jlp? FRAMING ROOFING RouGN PLUMBING r 5 73?'4G PLBG AIR TEST ry ?t ROUGH HEATING GAS SVC TEST _ INSUL GYP BOARD FIREPLACE g/i5 ? o4a FIREPLACE AIR TEST FINAL PLBG FENALHTG OF1SA7 TEST BLDG FINAL G BSMT fi.l. BSMT FINAL DECK FTG DFCK FINaL 2 1 V m 219 ? O/F_FI ?jlIS (O+NLY Thu requesi void 18 months from wfidation dak prinkd In this box _/?? V U JL ?9 ?Sl ?217 ? PLEASE PRINT OR TYPE Requezt Dure Rough-?n ?nspen?on reqoired Yes ? Na Inspedion Oiher Than Rovgh-In: ? Ready Now WiII Coll (Yaa must call ?he Inspedor when ready) Dafe Ready: I, licensed coniracfor ? owner hereby reqoes} inspecfion o{ ihe above eledrical work at: Jo6 Pddua(Slreel Box, r Ro??e No, a ?. ?, ? Ciry ? Zip Code aa- Sedion Na. Township Name or Renge No. Fire Na. Coun? _ Occu a t ? Phone No. t'k PowerS r Address Elennml omracror (Company Nome) Conlmcmr ?Li sill N. v ?? J Q Masrer Lic. Nn (Planv EIeC. Only) Mailing Addrss(Confmcior or er Performing Insmllmion l l?-l q ? Aulh/a'n?1z_ed S?fig?naw-Vre?(C{o?n,t,mnor or Owner Pperfaprming Inslallati?o/n??? l l6??? 1S I X.X. J?A X S? .? Phone No. ??./y zp ??-k.J ?J E8-OOOOlA-10 6/95 STATEBOAHOC -SEEINSTHUCTIONSONBACKOFVELLOWCO% ull??I REQUEST FOR ELECTRICAL INSPECTION III I( I7 Minnesota 8 St- Paul, MN 55104 ???' Rm. 5-128 Univessity Ave ar c * 0 7 6 2!, 9 3 ? Phone (612) 842-?800 ?"?-°?'" l D Bldg A t Other: ew Addn ex up ome . p . d i R ommercial Indusfria l Parm Remo e a r Ali Cond. Hig. Equip. Water Htr. Load Mgmt. Othec D er Ronge Elec. Heat Tem . Service "X" above fhe work cavered 6y fhis request. Enfer remarks in this spoce and on the back of fhe whife mpy only. Calculafe Inspedion Fee - This lnspection Requesf will nof be accepfed wifhouf fhe correct fee: Other Fee 3 Service Enh'ance Sa Fre # Cirtuih/Feeders Fee Mobile Home Pork Stall 0 to 200 Amps 0 to 700 Amps Streef Ltg./Tmffic Sig. Tronsformer/Generator Above 200_Amps A6ove 100_Amps INSPECTOR'SUSEONLY TOTAL i ? Xf mr. Sign/Oulline Lig. Alarm/Remote Con}rol ' ! Swimming Pool [he?eb «n?i ihm i io: ea d th i msml r e dat<: sm?ed Irrigafion Boom Ro?qn-in • ? Special Inspedion na1 F r . nrw Investiga}ive Fee c wc7n1 i erInu ue v RF nR ? ? DFRED DISCONNECTED IP NOT COMPLETED WITHIN 18 MONTHS. r 2 76sc?] 2+? ? r i ' OFFIC USE ONLY This request ?oid 18 months (mm validmian dme pnmed in Ihis b lP7?9 ?i .?"5??? PLEASE PRINT J av OR TYPE Q Reqcest Dote Raugh-in inspectian required2 s No Inspedian Other Than kough-In: ? Ready Now ill Call ? lYou m, s? coll fhe frupecror whe eady? Dme Rmdy. I, licensed conirodor Q owner hereby requesf inspection of the above eledricnl work ah 10 ?¢? ?$1reRr, B or Rouk No.? 1 /J City Q Zp Code ^ Seciion No. iovmship Name Ronge No. Fire Na. Goun Occ a r Phone $ G? Po.?.?p ? ?? Ad d,e„ ` ? Electrtcvl C mran or jCompanY Namel L n¢ No l.i?? . Mosier Llc No. (%om Eled. Only) Maili g Adrdress (Contmnor ??{orming los?ollotion L? W?? ' Au xed Signomre fConnmciar or Owner Pedorming Inziollaeon' pho r?N-o?. •- Lowwi..-iu oiro STqTE90ARU?OPV-SEEINSTFUCTIONSONBACKOFYELLOWCOPY II I II I?i? II?I REQUEST FOR ELECTRICAL INSPECTION-5O ' Minnesota Siate Board of Electriciry ?`? ?`1821 University Ave., Rm. 5-128ySt. Paul, MN 55104 ? 9 * Phone (612) 642-0800 (p??j,/ -?j'/o a ?° ome Dup ez Apt Bldg. O}her. ew Addn erc C mial Industrial Farm Remod Re air Air Cond. H}g. Equip. Wofer H}r. Load Mgmf. Ofher: D er Range Elec Heat Temp. Service "X" above fhe work mvered by fhis request EnFer remarks in }his space ond on }he batk of ihe whife copy only. Cofculate Inspediw Fee - This Inspection Requesf will no} be occepfed without the corred Fee: Olher Fee ;p Service Entmnce Size Fee # Circvih/Feeders fee Mobile Home Park Stall 0 fo 200 Amps 0 to 100 Amps Sireet Lig./Tra{fic $ig. Above 200 Amps Above 100 Amps Transformer/Generator INSPECTOR'S USE ONLY TOTAL $ign/Oufline Ltg. Wmr. ? ?' Alorm/Remote Control ( Swimming Poal I i ti 8 I hereb cenl ihoi I ms ened Inal e he dahs st d rr ga on oom pough-in p Speciol Inspecfion TH Invesiigafive Fee IS INS7ALLATION MAY BE OR DEREO DISCONNECTED IF N07 COMPLETED WITHIN 18 MONTNS. 1111111111 REDUEST FOR ELECTHICAL INSPECTION?O Minnesota State Board of Electricity ?{ s 1821 University Ave., Rm. S?t287^ ? Pau1, MN 55104 j.? CeLn2O ? c. ?? OFFI E U$CE ONIY This reqvest wid IB mamhz hom validanon dore pnnled in M'x b PLEASE PRINT OR TYPE Reqmsf D.J. ough-in inspecnon reqoim R Yes O N. Inspecnon 01her Thon Rough-In: 0 Reody Naw WIII Call q (? wt mll ?he inspecror whe rmdy? (You m ?ule Reody: I, licensed conirador ? owner hereby reques} inspedion of the a6ove elecfrical work of: Job Address (Slreal, r Rouh Nn) Gh Zip Code Setlion Na. Township Nam Range Na. Fire No. County? ? Occvpa t , j ejJ ,, 8 6 Phono Powa applier Address 1 ? 1 • Elecnic Conmcror (Company Nama) Comracmr Lk n Na. Q ? Masler lic No_ (PIaM Hen. Only) -, ? n) Mallln9 Addrwe (Conba rr Owner Performinq In _ I 14 ?D` O . Z ? Pu ed 5ignoNrt Conhador or O.ner PeAoiming Insmllonon) ?.?.Q.Lo-uru?.. Phone No. (-Z) a- -EBOOOOIA,-10 /95 STATEBOARD PY-SEEINSTItUCTION30NBACNOFVELLOWCOPV - IIIIIII'II REQUEST FOR ELECTRICAL INSPECTIO kil IlIllillill 8I21 Un e sity Ave Paul. MN 55104 0 7 6 21 * Phone (stz) 642?/ «. ome up ez Api. Bldg. Ofher: ew Addn ammercial C E Industrial Farm Remod Re air Air Cond. Htg. Equip. Water H}r. Load Mgmf. Other: D er Ran e Elec. Heot Tem .$ervice 'R" above the work rovered by /his requesf. Enfer remorks in fhis space and on fhe ba<k of fhe white copy only. Calculafe Inspection Fee - ihis Inspection Requesf will no} be accepfed withouf fhe corrett fee: Ofher Fee # Service Enkarce $ae Fee # Circuits/Feeders Fee Mo6ile Home Park Stoll 0 to 200 Amps 0 to 100 Amps Street Lig./Traific $ig. Above 200 Amps Above I O U _Amps Transformer/Generotor IHSPECTOA'SUSEONLV TO A ? Sign/Outline Lig. Xfmc U ' -`? Alarm/Remofe Conirol $wimming Pool I hereb cem thot I ms e ennml in on des dbed herein on the dales .mlled Irrigation Boom Rwgh-In ?° ?/- d ^ ? ? ? ti S i l I ? ? nspec on pe< a Invesfigafive Fee F1nal r- "I'ses" I - / tg?Lj THIS INSTALLATION MAY BE ORDERED DISCONN fF N THIN 18 MONTHS. Clty Of ?apIl 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675•5694 --F6-r-,-od-------------- ? ice,', I j Permit #: v ?v` I i Permit Fee: ? ? Date Received: I ? i ? I Staff: ? I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date:VfJ"CG?OpJ Site Address: ['V(O(i ??rJ3 ? ???J V??=?'f • L"4 Tenant: Suite #: RESIDENT / OWNER Name:C4W L4" SVkE7f'Q5 MOU7Ylh0YVLQ.S Phone: Address/City/Zip+? CAlR LAILC cc 1 gqffAvl 510- 1 0-01- i11L4 -15 Applicani is: _ Owner ? Contractor TYPE OF WORK Description of work?? ? • Multi-Family Building: (Yes,?_/ No? Construction Cost: q? (2m U? CONTRACTOR NamehmiQP1L(.4'1 n ca$?mC, License#: Address: oq`Po 3(A.j(uQ? 1+-N • -`? toD - j Zi : ?)b33 St t (( P e: a P- _ City: P7wonslA Phone:"l`5a-Icn"b?? Contact Person: IU1?LACL' &JAI( AY COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateporv 1 Minnesota Rules 7672 Enefyy COdO . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Su6mitted Submitted 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: you submrt;are conslderetl to be public Informatton ? P'oftrons of NOTEr F/ans and supporting docuine n'ts thai , , the information may be classrfied"as non publicif you provide spec?fic reasons thaf would permit the?City fo':. ; conclii8e that the ar,e>'trade secrets . . I hereby acknowledge that this inforrnation is complete and accurate; ihal ihe 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 ihe work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. X Uwa Sc."l? e-?'?e K X &? L-&`-- ApplicanYs Printed Name ApplicanYs Signature Page 1 of 3 LOT SURVEY CHECKLIST FOR RESIDENTIAL B ILDING PERMIT APPLICATI . ? PROPERTYLEGAL: - ? ! DATE OF SU14VEf/ ?I? I 4 b LATEST REVISION: DOCUMENTSTANDARDS a ? ? • Registered Land Surveyor signature and company ?? ? • Building Permit Applicant ??? 0 • Legal description B?o ? • Address Q00?13 ? • North aROw and scale a--,[] o • House type (rambler, walkout, split w/o, split entry, lookout, etc.) e% ? • Directional dreinage arrows with slape/gredient % B-'o 0 • Proposed/exassting sewer and water services & invert eievation e?'O [3 • Street name 0? ? • Driveway ELEVATIONS Exsfina Q? ? • Sewer service (or Proposed) &P-'C3 ? • Property comers $?0 • Top of curb at the driveway C3 E3 • Elevaiions of any ebsdng adjacent homes Prooosed ??? ? • Garage floor Cr'[3 ? • Frst floor 0 2--'0 • Lowest exposed elevation (walkoutlwindow) 13" ? ? • Properly comers 2--'13 ? • Front and rear of home at the foundation PONDING AREA Cd aoolicablel a er'? ? • Easement line 11 Er- ? • NWL ? y? ? • HWL ci ?/ ? 0 ?" • Pond # designation O • Emergency Overflow Elevation DIMENSIONS 0 • Lot IinesBearings 8 dimensions ?? o ' • Right-of-way and street width (to back of curb) R'0? 13 13 • Proposed home dimensions including any proposed decks, overhangs greater than 2', -' porches, etc. (.e. all structures requiring permanent footings) [] o 13 • Show all easemenls of record and any City utilities within those easemenLs 0-?13 0 • Setbacks of proposed structure and sideyard setback of adjaceM exissting structures 0 % • Retaining wall requiremenq„ff any _, Reviewed: S" //-T/ 9C January 1996 cRM19ftSLoovaWr.Fra ?j __7, CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PERMIT PERMIT TYPE: Permit Number: Date Issued: 1859 CLIFF LAKE CT LOT: 17 BLpCK: 1 CLIFF IAKE SHORES P.I.N.: 10-17785-170-01 DESCRIPTION: 1-"*_,? (ZERO LOT B`Uil?din4,"Permit 7ype /Bttildzngapk Type UBC Oecupancy:,, CanstrucCion Ty-pe ? 2bning °=^?Builtling Length t 6uildi,ng Width- i::: .BuiAdin9„,st4;ries LINE) SF DWG NEW R-3 U-1 V-N pD 44 30 2 102 1 - FAM. ATTACH Ur> 57o7fl BUILpING 027562 05/17/96 Li REMARKS: 1 OF 4 UNITS S& W PLBR - WENZEL PLBG FEE SUMMARY: VALUATION Base Fee Plan Review Surcharge SAC SAC % SAC Units Lic. Search Fee Subtotal $2,256.25 $97,000 MISCELLANEOUS $1.923.50 Total Fse $4,179.75 CONTRACTOR: - Applicant - ST. LIC.OWNER: HOFFMAN HOMES INC 18949807 0009284 HOFFMAN HOMES INC 2214 E 1177H ST 2214 E 117TH ST BURNSVILLE MN 55337 BURNSVILLE MN 55337 (612) 894-9807 (612)894-9807 k I hereby ac information Statutes an . ? ow,ledge that I have read this application and state that't'Fie" correct and agree to comply with a11 epplicable 5tiate of M m° ti y "of Eagan Ortlinihce5. -. e_ _.... . __ _ .? _?nLWI] ?ilij? .? ?MITEE SIGNATURE • ISSUED BY: IG UfTE $868.50 $434.25 $48.50 $900.00 100 1 $5.00 CITY OF EAGAN $- 4' I?q r1? 3830 PILOT KNOB RD - 55122 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) C?? ?{ 1 r 681-4675 New Construdion Reauirements HemodeVReoair Reauirements ? 3 regislered ske surveys ? 2 copies oi plan ? 2 copies of plens (inelude beam 8 window sizes; poured fnd. design; etc.) ? 2 sile surveys (exterior additions & decks) ? 7 energy calculalions ? 1 energy ealculations (or heated addilions ? 3 eopies ot tree preservation plan H lot platled afler 7/1193 required: _ Yea ?[?, No ??, DATE: CONSTRUCTION COST: DESCRIPTION OF WORK: STREET ADDRESS: k g59 Gt, ?FF LA V-4- Cak R.r LOT l-t BLOCK ? SUBD.lP.I.D. #: ?O ' ? ??'g 5 ' «9 ' ? 1 f?-P:cx ?-? ?drf /.9 /4 dZO c..??FF LAUS Sr?a&S PROPERTY OWNER CONTRACTOR ARCHITECTI ENGINEER Name: ?o?Rr-ca.a ?-4?r?es =?• Phone #: Wt iIRSi Street Address zx' `-1 City: a ?*'S? • ?' State: *VJ Zip: W33-t Company: >AAr- Phone #: Street Address: City:. State: Company: H:•,??-?•,,?r.n Desi6wr Name: L y t-c License #: 4 Zg * Zip:. Phone #: Registration Street Address $0 ?^-'- ° CIty: C r?p.j NAS6E..1 Sewer 8 water licensed plumber: `^)e''iZA?' ?"« p`*S? change are requested once permit is issued. State: M?j Zip:5S3k"1" Penalty applies when address change and lot I hereby acknowledge that I have read this application and state that the information^'correct and a ree to comply with all applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. ? Signature of Applipnt: ?- OFFICE USE ONLY Certificates of Survey Received Tree Preservation Plan Received REC?ENCD V Yes ` /No js1AV (] Q 1996 _ Yes V No --------------- OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? ,?,e02 SF Dwelling ? 07 4-plex ? 12 Muiti Repair/Rem. ? ? 03 SF Addition o 08 8-plex ? 13 Garage/Accessory ? 0 04 SF Porch ? 09 12-plex ? 14 Fireplace o 0 05 SF Misc. ? 10 = plex_ -0 1.5 Deck WORK TYPE -Lo r -GAeL ? --- ------ 601"- 31 New ? 33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning N 7 ? : ? . ? 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous Basement sq. ft. ?/ MC/WS System Main level sq. ft. O City Water ? %A, 6-? ? 10 sq. sq. sq. sq. Footprint sq. ft. ft. ft. ft. k. ? Fire 5prinklered PRV Booster Pump Census Code. SAC Code Census Bldg z o/ / Census Unit Building Engineering Variance Permit Fee Valuation: $ `7 7?e'O Surcharge Pian Review / License MClWS SAC Z?l City SAC Waler Conn. Water Meter /1?` C f • Acct. Deposit S/W Permit ? S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies ToWi: % SAC SAC Units .;4t3/1995 10:13 6129344305 MINNETONKA DESIGN EX7ER10R ENVELO?-..___ _. . PE AVERAGE. .".u"...COMru7n-rtOr? PAGE 12 .- ,?`.• ,._.. , ... _... OWNER; SITE ADORESS: PHONE: CONTRACTOR: PIAN Determine working square footage of each 1. Total exposed wall area..... 23?(p s ft, x q ? .11 = 2SCv q(p 2• Total roof/ceiling area..... 1?Qf:z) sq, ft. x .026 = Total exposed wall area above_fl.oor= '232g.', a. 7ota1 wall wittdow area..,..., b. Total door area.. ................................... C. 7ota1 sliding glass door area.. " " " " " " d. Total flreplace wall area.. .................. ........ ...... ' . ?3 3,3 ......... .......... e- 7ota1 walt framing area (average ..... . .. "" f. Total rim jaist area... " " " " " " " •••••• 9• net wn11 area a6ove floor.. ' * ????????' """"""• Z i h• wall area above floor ..... ...?.................., .•??? i. wall area a6ove ftoor...... ....?..,...? ... ............... . ,?. frame wall area at foundation ... . . ................ .........? ' ........... . -• .. ................ ? , 7ota1 exposed foundation area= k. Total fcunddtion window area.......,.,.. 1. Total net foundation area above grade .............. Determine "u" yalue of each wall segment (e.q, window, door, each separate wa71 section) I X b. x c. 37?,33 x d . Ulf ? „U„W,q =1,3? X "U" n e ._ ?c1 ? •2-~l p ---.--_-? X .. U., Z1 f. x „V , x I,u„ n. x „u„ _ i. z toull ? J• X ',ull k. X 'lull 1. x .,U„ v ...3 . ............. ........ ..........Tnra? 7--. If item i3 is the sarr. as, or less than item #IP intentuofaSBCm 6006 h(c . ? _. _ ?, .. _ , . ;- -,e/1995 10:13 6129344305 MINNETOIJI<A DESIGN PAGE 13 4. TOTAI. KXP4StD ROOp/C(II.IMC CaLCUlATI0t13: • Totalexpased . root/esilinn area......,. sq fe J) Tata1 skyllyht aroa..,..., sq ft x "U" - k) Tau) roaf/CaTlln9 frtwing ' • ` •rsa (Averape lOh) ...... 1 `0 s9 fC x •„U,• .02 ' .. 2,(0?} • 1} Totai net insulatad - f/ ro (lt qO ? o ce ng araa....... I sq Pt x "U" 4. . '` - TQTAL J ) Chru ) ) --- If tota) of 14 Ts the same as, or less than • 2 :fCAlt I 16008 :A d A2, you hava • met the lntent of . n 0. . • . , . ` . • . ? . . - • ? , AC7ElIlu?7E 6U(LOING ENVECOPg bEStG1t . To of atTtlze the catai envnlope systen Nethod itams R3 d #4 , •thn valu'ss estsb]•Tshed by thq sum an shall not be greatcr than tha wm'of ttms 11 and !2, ., ., ' . . I.• _ 4.2, - . • . -• 3' -- + 4. , s . . _.. .... . " • . • .? I I • ? Il_l? 1V.1? ???7?YY??J ;...,. f' ;; • ;: ="•''' BGOCK: i; ? KNEB: 1 ? WALKOUT: FULL 1;13? euLL 2: 17_. 3 FIREpLACE: RIM: , SQUpRE FEET EXPOSED CEILING I IOp?" 2-???o WINDOWS: IQ,? ,II"r aooes: -Z?p4o ?-tt" 1I a 2 ,2 ?- Zpc-D 0 PATIO DOORS: -1 (v 20 1 ? ? IZ" S1U1:UC?14-t"S ?I ? y? BASEME.iT UNITS: MINNETINKA DESIuN * LINEAL FECT EXPOSED WALL SQdAJtE FEET BRpOSED AALL ABEA BLOCK:, . X .5..° KNBE: x 5 - WALKOUT: x 8 • FULL 1: ? 3K FU[.L 2: ) ;?a a FIREPLACE: x $ ? ?? 1 X a RIM: 2?-x A x 1 SKYLIGHTS: PAGE 14 Tclephone (612) 894-9807 Fax (612) 894-9878 Mr. Joe Voels City of Eagan Plan Review Department Dear Mc Voels, HOPFMAN HOMES, INC. 2214 East 117th Streef Burnsviile, 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) 11 -ZO , Block i , Cliff Lake Shores, as were used on Lot(s)? Block i , Cliff Lake Shores. None of the structural building components, HVAC, plumbing or electrical will change from engineered drawings dated ???i -? I/ 5<- Sincerely, ? Patrick C. Hoffman President PCH/jem awcegio- ? • PERMIT e4zoS7070 . .. ?CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: a u r Lo r N G EBgan, MinnesOt855122-1897 Permit Number: 027563 (612) 681-4675 Date Issued: 0 5/ 17 / 9 6 SITE ADDRESS: 1861 CI.IFF LAKE CT LO7: 18 BLOCK: 1 CLIFF LAKE SHORES P.S.N.: 10-17785-180-01 DESCRIPTION: (ZERO LOT LINE) 0?6ilding?ermit Type SF DWG Building W`or,k Type NEW i UBC' bccupancy(,? R-3 U-1 GonstrueCibn t°)ipe V-N Zor?ing '.6- . ry PD Bui,:ldit?9 Length ` A4 8uildipg Width 30 Opti dilsg - st9ries 2 s Cb?tl"e?-, , 102 1- FAM. ATTACH ? j ? . REMARKS: 1 OF 9 UNIT3 FEE SUMMARY: S& W PLBR - WENZEL PLBG VALUATION Base Fee Plan Review Surcharge SAC SAC % 5AC Units Subtotal $868.50 $434.25 $98.50 $900.00 100 1 $2,251.25 $97,000 MSSCEILANEOUS $1,923.50 Total Fee $4,174.75 CONTRACTOR: - Applicant - 5T. LIC.OWNER: WOFFMAN HOMES INC 18949807 0009284 HOFFMAN HOMES INC 2214 E 117TH ST 2214 E 117TH ST BURNSVILLE MN 55937 BURNSVILLE MN 55337 (612) 894-9867 (612)894-9867 I T hereby ac'knowledge th.at'Z fiave read th3s application and state that the i information i I s' ect and°egree t6 comply'with ell applicable 5tate of Mn. Statutas arrd C' y f Eagan 'Ordihances. ? ?. ..,, .. . _ _ . ? ISSUED Lmu BT IGN ?RE? I ? ?? 1q4 CITY OF EAGAN ?r?' 1?!? "1996 3830 PILOT KNOB RD - 55122 ?? BUILDING PERMIT APPLICATION (RESIDENTIAL) ? ?ll?? ;f Jl? 681-4675 "'? Nnw Conslmction Reauirements RemodeVReoair Reavirements ? 3 registered site surveys ? 2 copies af plan ? 2 copies of plans (indude beam 8 window sizes; poured (nd. design; etc.) ? 2 sfte surveys (exterior addRions 8 decks) ? 7 energy ealculalions ? 1 energy caleulations lor healed additions ? 3 coDien of tree preaervatiolan 'rf IM platted efter 7l1193 required: _ Yes No T' DATE: ,??fi I? . CONSTRUCTION COST: qk-:??000 DESCRIPTION OF WORK: pEWT-? A L. i o..??t NoynE STREET ADDRESS: l8 bt CLi FF l.+'??1=E Co..iA-T LOT 19 BLOCK I SUBD./P.I.D. 1O ' t-.k-tg 5 ' 1$0- ° % V'toCG?Y ' •'1mr4 /7 /q O e o Cl.1FF L.PKSx 5kkWloS PROPERTY NBflle: i4ofFptA?1 "oK6S Z-*x• Phone OWNER * Street Address: zzk A a- i City: a'a-h State: OvJ Zip: 5533Z' coN7wlcroR Company: SAAc ' Phone #: Street Address: License #: 4 Zg* City: State: Zip: ARCHITecTI Company: M; w)+e-i.xArA l7e5«?j Phone ENGINEER Name: L'i L-r-- Registration #: Street Address $0 W- -1$ T"; Slure-r 5.., ; E-* Zt p Cify: C"f"j NAS6E.J State: Ma Zip:S53t'i- Sewer & water licensed plumber: `^;'6"'ZA-'-change are requested once permit is issued. Penalty applies when address change and lot I hereby acknowledge that I have read this application and state that the informafon is?c rrect and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. , ? Signature of Applicant: OFFICE USE ONLY RECEN2 D IS Certificates of Survey Received _ Yes No MAy 0 g 9996 Tree Preservation Plan Received Yes c-?No --------------- OFFICE USE ONLY . ? "? • ?- BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish pt-02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition o 08 8-plex ? 13 Garage/Accessory o 20 Public Facility ? 04 SF Porch o 09 12-plex ? 14 Firepiace ? 21 Miscellaneous 0 05 SF Misc. ? 10 = plex ? 15 Deck WORK TYPE C Z?p - ?oT 31 New ? 33 Alterations ? 36 Move 0 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) (Ailowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Pianning Basement sq. ft. ?_ MCNVS System ?L ?v Main level sq. ft. ? City Water ? 2-40 Sq. ft. a7V Fire Sprinklered p-D sq. ft. PRV 2 sq. ft. Booster Pump -yr_ sq. ft. Census Code. 102- 70 Footprint sq. ft. SAC Code or Census Bldg ? Census Unit Permit Fee Surcharge Plan Review License MCNVS 5AC City SAC Water Conn. Water Meter Acct. Deposit S/W Pertnit SNV Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: Buiiding _ Engineering Variance ?s Valuation: $ Q o0 ? % SAC SAC Units PERMIT dIW570 70 X-"EFTY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B u r LDI N G Eagan, MinneSOta 55122-1897 Permit Number: 0 2 7 5 6 5 (612) 681-4675 Date Issued: 0 5 J 17 / 9 6 SITE ADDRESS: 1863 Cl.IFP LAKE CT LQT: 20 BLOGK: 1 CLIFF LAKE SHORES P.I.N.: 10-17785-200-01 DESCRIPTION: (ZERO LOT LSNE) E'"uilding,Permit Type SP DWG l;ding- t?'oerk Type NEW ?.- U8G 'Oeeupanc'?, R-3 U-1 ;f Construction 7ype V-N ? Zoning PD Building Length, v? 44 Buildip4- 1,Ii.dtiM- . . '. 30 B.uiJ:dangg stories 2 r`v9.ws Cbt18 ?. 102 1- FAM. ATTACH U 'nx { ?- I --I " . ?`? u ? ?;:7 1.?,rj' ? L?•' i3 i,S REMARKS: 1 OF 4 UNITS FEE SUMMARY: S& W PLBR - WENZEL PLBG VALUATION Base Fee Plan Review 3urcharge SAC SAC % SAC Units Subtotal $868.50 $434.25 $48.50 $900.00 100 1 $2,251.25 $97,000 MISCELlANEOUS $1,923.50 Total Fee $4.174.75 CONTRACTOR: - Applicant - 5T. LIC.OWNER: HOFFMAN HOMES INC 18949807 0009284 HOFFMAN HOMES INC 2214 E 117TH ST 2214 E 117TH 57 BURNSVILLE MN 55337 BURNSVILLE MN 55337 (612) 894-9807 (612)894-9807 i hereby acknowledg:e that I have'read this appiication'`and state that the infarmaCion is oorrecC'and agree to c'omply with al], applicable Sta,te of Mn. StaCutee andCi fEagan Ordinances._ LICANTlPERMITEE SIGNATURE ISSU D B: SI A IqAL1 CITY OF EAGAN 3830 PILOT KNOB RD - 55122 ? 1996 BUILDING PEaMIT APPUCATION (RESIDENTIAL) ? 687 -4673 ? ?A w Construclion Reauirements RemodelAgeoair Reaufremen ? 9 registered sile surveys ? 2 copies ot plan ? 2 cropies of plans (indude beam 8 window aizes; poured tnd. design; etc.) ? 2 site surveys (exterior additions 8 decks) ? 1 energy cakuletiona ? t energy calwlations for heated additions ? 3 copies of tree preservatlort plan H lot plaHed aRer 711/93 . requlred: _ Yes L% No DATE: + 144? CONSTRUCTION COST: 9? t(;?Qo DESCRIPTION OF WORK: STREET ADDRESS: 18(03 Ct-IFF LAY-L Co.1n LOT yO BLOCK 1 SUBD./P.I.D. to '?1-tV4 5'7' pO I ,?/ - O? rx '-/ 4rs / 7, 0, 09 C.,.kFF L6,rJ6 stirASs PROPERTY owNeR CONTRACTOR ARCHITECTI ENGINEER Name: 4afprc4a ?-br?s ?'s*'?• _ Phone uer rwe* Street Address- City: a"L+'s`' ? u-'' State: OVJ Zip: 5533-,t Company: Phone #: Street Address: City: State: Company: M; wsern,3r,A DES'`+.f Name: Ly+.r+ Ta.u:. P1 License #: 4 Z g i Zip: Phone #: g3`I' Registration Street Address• 90 L''- }$ s? S"Ill'"T 5'" TE ?Zl p C.1ty: C HAa l•lAS/sE....l State: Mki Zip:5531'I- Sewer & water licensed plumber: WEUZfZ'' Penally 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 W ation is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY / 1?C?C?EC?7[?DD ' Certificates of Survey Received VYes No MAb 0 9 9996 ' Tree Preservation Plan Received Yes ? No -------?"- " -? OFFICE USE ONLY BUILDING PERMIT TYPE :.?sr, . " a`1 . ".'-. f' ' Y . ... , _ •W. a 01 Foundation ? 06 Duplex ? 11 Apt./Lodging o 16 Basement Finish ,vft2 SF Dwelling ? 07 4-plex ? 12 Multi RepaidRem. ? 17 Swim Pool 0 03 SF Addition ? 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. ? 10 _>plex ? 15 Deck WORK TYPE ? L 2D -?o-r - Li.vL . JBC-31 New ? 33 Alterations ? 36 Move, • ' 0 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) 0-'Al Basement sq. ft. ?_ MC/WS System ? (Allowable) 0"-// Main level sq. ft. 8os City Water UBC Occupancy Z"!o sq. ft. t?f w Fire Sprinkiered Zoning ? . sq. R. PRV # of Stories sq. ft. Booster Pump Length ,• W sq. ft. Census Code. A? 2 Depth 10_ Footprint sq. ft. SAC-Code d/ Census Bldg ? Census Unit ( APPROVALS Pianning Buiiding Engineering Variance Permit Fee Valuation: . , $ , . ?7 000 Surcharge Plan Review , License MCNVS SAC City SAC r Water Conn. Water Meter Acct.Oeposit S/W Permit SNV Surcharge Treatment PI. Road Unit j Park Ded. Trails Ded. Other Copies Total: °k SAC SAC Units V, CITY OF EAGAN 3830 Piiot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: 0"5707a BUILDING 027564 05/17/96 SITE ADDRESS: P.I.N.: 10-177$5-190-01 1865 CLIFF LAKE CT L07: 19 BLOCK: 1 CLIFF LAKE SHORES DESCRIPTION: ??---., (ZERO LOT LINE) Buildiny-dPermit Type SF OW6 ?Building 46r,k Type NEW UBC Occwpanc;y?at. R-3 U-1 Construction Typ;e V-N 2oning: PD Bui.lding :Leqgth -X- 44 Buildtng WidtYt 30 B ui3ding,stories° ' 2 r "C'?rrta?us 102 1- FAM. ATTACH 2 t\ t? I '? ? £Y? f L.I k ej, REMARKS: 1 OF 4 UNITS S& W PLBR - WENZEL PLBG FEE SUMMARY: VALUATION Base Fee Plan Review Surcharge SAC SAC % SAC Units Subtotal $868.50 $434.25 $48.50 $900.00 100 1 $2,251.25 $97,000 MISCELLANEOUS $1,923.50 Total Fee $4,174.75 CONTRACTOR: - Applicant - ST. LIC.OWNER: HOFFMAN HOMES INC 18949807 0009284 HOFFMAN HOMES INC 2214 E 117TH ST 2214 E 117TH 5T BURNSVILI,E MN 55337 BURNSVILLE MN 55337 (612) 894-9807 (612)894-9807 S hereby ack.noulethatZ have read,this applscation ?andstaCe that theinformatian is c rr ct snii?agree to c`omp7y with all applicableStaCe of Mn, 5tatutes and Ci y o Eagan Ordi'nanoes'. __j tain ISSO SIG ?? CITY OF EAGAN ??? 3830 PILOT KNOB RD - 55122 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) , 681-4675 New Construdion Reauiremenls R modeVR? enair Ranvirementa ? 3registered sife suneys ? 2 copies of plan ? 2 copies at plans (includa beam 8 window sizes; poured ind. design; ete.) ? 2 site surveys (exterior addBions & decks) ? t energy calwletions ? 1 energy wicvlatlons for heated additions ? 3 copias of lree preservation plan it lot platteE after 7l1193 required: Yes ? No DATE: CONSTRUCTION COST: DESCRIPTION OF WORK: STREET ADDRESS: C`? CO'`""'r LOT t 9 BLOCK I SUBD./P.I.D. #: Y -Pi,dx '?/ A,rs s e zo a??FF +-I`VIr 5*40"$ PROPERTY OWNER CONTRACTOR ARCHITECT! ENGINEER Name: i4ofRHa.a P?Kas 'S-*x• Phone W} fIRSi Street Address- City: State: Ov-? Zip: 5533? Company: 5A„C Phone #: Street Address: License #: qZg* City: State: Zip: Company: M; uA-rt..*1V.n De5"k6+.1 Phone #: Name: L'1 t-r-- Registration #: Street Address- $? t^'- ?$ t?+ S'??T 544 rE o City: C Haa N''1=6Ej State: H.i Zip: 5531'i- Sewer 8 water licensed plumber: '">E''-)ZAk.- KdXAAA*J? change are requested once permit is issued. Penalty applies when address change and lot I here6y acknowledge that I have read this application and state that the inf at'on i orrect and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ? Signature of Applicant: OFFICE USE ONLY ' Certificates of Survey Received v Yes Tree Preservation Plan Received Yes RECENEDD No MAY 0 9 5996 c/ No OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 2?' 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? ? 03 SF Addition ? OS 8-plex ? 13 Garage/Accessory ? a 04 SF Porch ? 09 12-plex ? 14 Fireplace ? ? 05 SF Misc. _a_ 10----_ plex ? 15 Deck WORK PE ?GR,o - Lo7 = 7 p?-31 New ? 33 Aiterations ? 36 Move 0 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actuai) (Ailowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Pianning Building Engineering Variance Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit SM! Permit SM/ Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: ' ._ 16 Basement Finish 17 Swim Pool " 20 Public Facility 21 Miscellaneous :f-,v Basement sq. R. Ng_ MC/WS System ?C Main level sq. ft. jvos City Water ? Q• I ZItO sq. ft. S-rY' Fire Sprinklered -D sq. ft. PRV 2 sq. ft. Booster Pump sq. ft. Census Code. /p L 30 Footprint sq. ft. SAC Code o/ Census Bldg I Census Unit i Valuation: $ i- ,;o-O n ? Z(/ r, el?GCS. ? % SAC SAC Units - ----- -- ? ? -- --- -- HOFFMAN HOMES, INC. 2214 East 117th Street Telephone Bunrsville, MN 55337 (6I2) 894-9807 Fax CONTRACTOR Jf 9284 (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) 17-zo , Block i , Cliff Lake Shores, as were used on Lot(s) -z?, Block t , Cliff Lake Shores. None of the structural building components, HVAC, plumbing or electrical will change from engineered drawings dated 1,0/13 19'r Sincerely, t'2? ? Patrick C. Hoffman President PCH/jem pch/eaglv L BL CITY USE ONLY RECEIPT#: ? 7LO SUBD. DATE: 1995 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 ' (612) 681-4675 Please complete for: ? single family dwellings I 11_1? ? townhomes and condos when permits are required for each unit ? New construction Add-on furnace Add-on air conditioning Add-on airexchanger, i.e. vanee system, eic: Date: 5'a/ _T4 UT4 ? Minimum Fee: Add-on/Remodel (existing residence only) $20.00 ? HVAC: 0-100 M BTU Additional 50 M BTU ? Gas Outlets (minimum of 1 required @$3.00 each) ? State Surcharge TOTAL a SITE OWNER INSTALLER 24,00" 6.00 A & '#"-0' .50 3D ? PHONE #: !°7_1_P17 STREET ADDRESS: '110eZ1 I h J['-// &1& CITY: om` STATE:ZIP: PHONE #: ( ) ? ciTr use oNLv L BL RECEIPT #: S??vU SUBD. ? DATE: 1995 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? singie family dwellings z ? townhomes and condos when permits are required for each unit New construction Add-on furnace Add-on air cond'itioning Add-on air exchanger, i.e. Vanee system, etc. Date: 5 " 4? ?' / (o FFFC ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 24.001___? Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @$3.00 each) ? (o• ? ? State Surcharge .50 TOTAL 030 ? OWNER INSTALLER NAME: STREET ADDRESS: / L 1/1 CITY: W/L i PHONE #: ( ) pgJ'1790 , PHONE #: Q-. 907 ra, 5. CITY USE ONLY 5?f QD L ?? BL ? RECEIPT SUBD. ? 1r¢? DATE: 5°zy 6 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 air exchanger, i.e. Vanee system, etc. Date: '51 ? y 94 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) fo ? State Surcharge .50 TOTAL ? SITE ADDRESS: I aUM' L-4Lf'/' ?j1J( L /?r ?`f'al OWNER NAME: IJUM?4klD214121t , PHONE #:W."__07 INSTALLER NAME: rQa- f'? ?0d Z, STREETADDRESS• i (-`llC?? le, CITY: 1! I I v? STATE: N• ZIP: PHONE #: ( ) v 967 - Z--? 11?7 ) CITY USE ONLY L L BL / RECEIPT #: 5y720 SUBD. ?'aG DATE: ?5?49 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 Add-on air exchanger, i.e. Vanee system, etc. Date: s ''9 y-'?f(? FFFC ? Minimum Fee: Add-on/Remodel (existing residence only) $20.00 ? HVAC: 0-100 M BTU Additionai 50 M BTU ? Gas Outlets (minimum of 1 required @$3.00 each) ? State Surcharge TOTAL SITE OWNER INSTALLER NAM STREET ADDRESS: CITY: M. STATE: PHONE #: 24.00 6.00 .50 PHONE#:Sff-ff"'7 ZIP: _&0= ? - L?_ gL CITY USE ONLY RECEIPT #: ?00250 2 SUBD. DATE: I/U 1996 PLUMBING PEi2MIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, AAN 65122 (612)681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EACH tLQ. TOTAL Shower 3.00 x Water Closet 3.00 x Bath Tub 3.00 x ! = 3,aa Lavatory 3.00 x Is_ = R, rm Kitchen Sink 3.00 :c 3.C? Laundry Tray 3.00 :< _ Hot Tub/Spa 3.00 ;c = Water Heater 3.00 :< ?_ _ ?. tra CTt? Floor Drain 3.00 x S. Gas Piping Outlet ' minimum - 7 3.00 x Rough Openings 1.50 x = Water Softener 5.00 x = Private Disposal ' Dakota Cty. license 65.00 = (new and refurbished systems) U.G. Sprinkler' home under const. 3.00 = Alterations * to exisung 20.00 = Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL SITE ADDRESS: l Sa ! CL./FF L.4KE C'f Y OWNER NAME: - ItOFF/?Aitl ?D7ylE? INSTALLER NAME: 4JEAJZ EL- C,Q L- STREET ADDRESS: l?`J 7 ???N EE- P-D CIN: STATE: /?IiV ZIP: PHONE #: (4l2 ) 462 ? C? ??? CITY USE ONLY /??n ° L BL _L RECEIPT #: ?5 SUBD. DATE: 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAM 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 EACH tLQ TOTAL Shower 3.00 x Water Closet 3.00 x 4 ? Bath Tub 3.00 x 1 _ .oo Lavatory 3.00 x 3 Kitchen Sink 3.00 :< 1_ = 3.bo Laundry Tray 3.00 ;c = Hot Tub/Spa 3.00 :c = Water Heater 3.00 ;< 3. b? Floor Drain 3.00 x 3, o0 Gas Piping Outlet ' minimum -1 3.00 ;t Rough Openings 1.50 :< _ Water Softener 5.00 x = Private Disposal ' Dakota Cty. license 65.00 = (new and refurbished systems) U.G. Sprinkler' home under const. 3.00 = Alterations ' to existing 20.00 = Water Tum Around 20.00 STATE SURCHARGE .50 TOTAL SITE ADDRESS:- - l ??? (?4FF Z}KE (fT OWNERNAME: 1701'?/'/IW!v //o/r/c::- --> INSTALLER NAME: k)c?N Z EL. N5-[,A{,4AJ1C,4 L, STREET 7WNEL- , CITY: E,46A /U STATE: N ZI P: SSI2 Z PHONE #: ( ?2 ) 4$2 - r?bS ZC L -??-Q BL ? SUBD. dLa,,-? CITY USE ONLY 1996 PL?JMBING PERN9iT (RESIDENTIAL) r R`? 'Y 2IF EAGAN 3830 Pig O`h 4140B RD EAGAN? MM 65122 (61[? $61-4675 RECEIPT #: SO DATE: 7* Please complete for: ? single family dwQF3fngfi ? townhomes and con$os whean permits are required for each unit FIXTURES EACH N-% TOTAL Shower 3.00 x 'z = L. ? V?/?tsr Gless-*. 3.00 x 3 Bath Tub 3.00 x Lavatory 3.00 x 12,0 fi Kitchen Sink 3.00 ;c 3,00 Laundry Tray 3.00 ;< t = v?• bb Hot Tub/Spa ? 3.00 x _? = 3•ba Water Heater 3.00 ;c Floor Drain 3.00 ;< Gas Piping Outlet " minimum -1 3.00 x 7-_ Rough Openings 1.50 ;< _ Water Softener 5.00 x = Private DispOSal ' Dakota Cty. license 65.00 = (new and refurbished systems) U.G. Sprinkler ' home under const. 3.00 = Alterations ` to existing 20.00 = Water Turn Around 20.00 STAY? SUR4>kgA'Rz;F .50 TOT4L S , 50 SITE OWN INSTALLER NAME: wE'U Z-?, A1EGljAN1C.4L. STREET ADDRESS: oSc? /0 cmr: EAGA,v STATE: MN ZIP: 557 2'-?- PHONE #: ( 6(2) 4SZ- /,S? S? zan43 ?? - CITY USE ONLY ? 12 BL RECEIPT #: 015W?Z SUBD. O? DATE: ? y' 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 when permits are required for each unit FIXTURES EACH ?Q. TOTAL Shower 3.00 x 3,0n Water Closet 3.00 x 9.oa Bath Tub 3.00 x 1 = 3.no Lavatory 3.00 x 4. vv Kitchen Sink 3.00 :c Laundry Tray 3.00 x = Hot Tub/Spa 3.00 ;< _ Water Heater 3.00 :c Floor Drain ` 3.00 :c Gas Piping Outlet * minimum -1 3.00 x Rough Openings 1.50 x = Water Softener 5.00 x = Private Disposal • Dakota Cty. license 65.00 = (new and refurbished systems) U.G. Sprinkler ` home under const. 3.00 = Alterations ' to extsting 20.00 = Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL 4Z.Sb SITE OWN INSTALLER NAME: u-/F?UZQ- {'[?41Ll?U?GAC.. STREET ADDRESS: CITY: 4!?-Z,qGA-A-) STATE: M!u ZIP: J?S?22 PHONE #: (?olZ ) 452 - N;S- ??Q C%\ ?C 2006 RESIDENTIAL BUILDING PE12MIT APPLICATION L/ City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 ' New ConsWCtion Reouirenenb 7 registered sde surveys showing sq. R of lot sq. R of house; and all roofed areas (20%maximum iotcoversge allawetl) 2 copies of plan shmving heam & windav sizes; pwreC `ountl design, etc. 1 W of Energy Calalafions 3 mpies of Trce Preserva6on Plan if IM platled aRer 7lt193 Wm Jaist Oatail Optlons sdectlon sheet (huildings with 7 or less unitr) Minnegasco mechsnical ventilation form Remodef/Reoair ReQuirements 2 copies af plan sMweig foobngs, 6ams, loists i set of Energy Caialatims far heated additions 1 site survey for additlons 8 Eecks AddiUar - ind'cafe rFonsife sepdc system 5?':?O 7 4g/. 75 9ifice Use Onlv CeltafSurveyReW _Y _N Tree Pres Plan Reai _ Y_ N, Tree Pres ReQUired _ Y_ N On-siteSepUCSystem _Y _N Date 0 q / 0U A Site Address y,/;iv /AJ Coostrucrion Cost Y 43?i?vv ??-?-- 7 A f' A M/I UniUSte /F159{ 19(n/7 /8(,43 { 18(05 ' -/ Description of Work G/aXIS ( Y!_ PI Multi-Family Bldg -?/ Fireplace(s) _ 0 _ 1 _ Z ProQerty Owner at Telephone #(???7c?..1 -« Contractor .U1JlC,UV? ' Address SSJ ? ? ?- C:N Sta[e /1 Ziu Teiephone COMPLETE T3-i1S AREA OIdLY ]F CaNSTRl3CT7NG ANE9N BL7ILDING - vIinnesota Rules 7670 Cateeorv I Minnesota Rules 7672 Enetgy Code CBtegOry . RBSideMial Ventilatlon Categary I Worl6heet • New Energy CoOe Worksheet (J submisaian type) Submttted Submitted • Energy Emelope Calwlatlons SubmiCetl In the last 12 mon#hs, has the Ciiy 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 Sewer/Water Contracior Telephone # ( Telephone #( Telephone #( I hereby apply for a Residential 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 Srate 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. ? ?f ?- vohs Applican's Printed Name ApplicanY Signature . CER TIFICA TE ? ? ? , , , > ? \ \ 1 , OF SURVE Y' , , ? ? \ \ 9,.\ \ ? % 3 ,..? ? 9 ? ? -. (930.2) • 930.9 O 926.2 i ? 9? i?y h \ 93\ a \. L ?? OO ^ / 931.5 ? ry ?. ?o 93j ? 6J i c 0 ? Qe nV p ?. y (930.0) 931.9 z 932.0 a i? ,,? 61 S ? r. i 926.2 ? / ^ i i i ? i )A TE. _ Ly ?o LEGAL DESCRIPAON: Lots 17, 18, 79 & 20, Block 7, CLIFF LAKE SHORES, according to the p/ot thereof, Dakota County, Minnesofa 930.0 Denotes Sonitory Sewer Service lnvert Note: AI/ Utilities ond Curb are Proposed • Denotes iron monument found o Denotes iron monument set Beorings bosed on ossumed datum. ! hereby certi/y thot fhis survey was prepared by me or under my drrect supervrsion and thot I am o duly Registered Land Surveyor under the lows ol.the Stote ol Mrnnesota. ? r .7 `Mortin JJWeber,1R.L. . Dote Registration No,' 12043 REQUESTED BY.HOFFMAN HOMES /NC. . Westwood Professional Services, Inc 14180 West Trunk Hwy. 5 Eden Prairie, MN 55344 <612, 937-5150 Revised: 516196 - added elevafions Drawn by MS I Dote: 4123196 I?oe No: 95198 Lots 17-20. Bloc , 18 , i i, 867 o0 ry' ss2%. ?? 0 19 c??FF /^-1 d ; 1,'8ss"' a? i ^ ;° N Cb '. ? (929.45 TC) .......•? 929.65 (sso.az rc) 930.22 ? , ?.... Rf YI u . \. ? - .__ ... ?.,\. \ ti° 931 8 i 17 8 ' s 9' ? i i ? i O/? ?o c??RT 20 i ? \ .., i n?? \•. / P / 926.2 ? / ?... ? O (93 3 , S?60 Q 9 8) / 00 / , 0-, 930J 17 ° z o 90p y' ? . i 6N ae i ? i ??J O 2 O? ??0 929.9 / I ,v' , (930.5) / 931.2 / ,...?..? ? Q' ? i .? °J""'°"ln s'Lti?*y?yLh??*??. i • i Too of /rons @ Offsets ' i ? AO 15.00 Building Offset 930.80 GRAPHIC SCALE ? 15.00' Buildrng Offsef 930.59 Zo o 10 zo ao OC 15.00' Building Offset 931.16 ([N FEET ) OD 15.00' Building Offset 931.74 1 inch = 20 (t. Top of Block = 932.70 865.0 denotes existing elev. Garoge Floor = 932.40 (865.0) denotes proposed elev. ? denotes surface drornage ertr7-2o.nwr, Oct 07 2014 0826AM HP Fax page 13 Use BIUE or BLACK Ink �----------------, � For Ottice Uae � • i � �.,��,o(�� i Clty of�a�a� � Permit#: � � Perm it Fee: � i�•� � 3830 Pllot Knob Road � � Eagan MN 55122 � Date Received: � Phone:(651)675-5675 I I Fax:(651)675-5694 I Staff: I I I L�....�������`_______J ,� 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date� r'�'.� � Slte Address• 1�S� ! � � l, / '� l 3i ��G 5'G�,� �a,�� � r unit�: Name: �..7 i`'� ��'=::. ���'`�� f�: �''� v�,. Phone: ResidenU Owner Address/City!Zip:��9'Y!� C� Applicant is: Owner �°`� Contractor -- ,� Description of work: � �° '.c,.� a�'�� --'1 Type of Wcrk I, : Construction Cost: 3 ?S�'Z'�G. `..� Multi-Family Building: (Yes �/No_� ,.- ,,r' y -�°° 1 Company,�'�%��;���u���'Z�2''�✓'���x�: Contact: !,'�,�.�yi.F,`;��;,,.< '. : , .._ ..,�. ,r-�,_, Contractor Address',����c@ v`r2� s��,.;-�; ��.� �:�r�.-����°��s�:.� city: �s��+��t�����,� State��`���'° Zip: .�`� G • Phone:�.( •`j`'' �&'',�(�' )��Emell: ?t�.�G..'��' ' �f��°%' � .�.,�;t�:T�tca .._.ra;^,�.�r}��s.�i. ';�„ • � /e� , � �� � License#: ,�',���e�r�� r�i"l Lead Certiflcate#: •����� a-'`=�'"� ' f If the project is exempt frorn lead certlflcation, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUiLDING In the lasi 12 morrths,has the Clty ot Eagan i�sued 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 Contractor: Phone: NOTE:P/ans and supportirtg documents thai you subm/t are considered fo be pub/ic intormation. Portlons of the informatlon may be classJf/ed as non pubtic if you provide specific r+easons tfrat wou/d perm/f ihe City to conc/ude fhat!he are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at(651 454-0002 for rolection against underground utility damage. Call 48 hours before you intend to dig to receive locates oi underground utilities. www. o hersta;eonecall ur I hereby acknowledge that this information is complete and accurate; that the wo�k will be in canformance with the ordinances and codes ofthe 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; thet the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterlor a-agthorized by a bullding permlt Issued tn accordance wNh the Minnesota State 8ullding Code must completed wlthln 180 da perml�suance. �,_,,...-----:-.:.°.�= F�- ¢�! "�- `� � � '�f,� x � �..-- ��.�`/ X - �'_:_..�+:_,.. - Applicant's Printed Name Applicant's Signature i Page t ot 3 Use BLUE or BLACK Ink r-----------------� I For Office Use � i �� ��-i C��� ol n���� � Permit#: � �; � /� �-� � � Permit Fee: V• � 3830 Pilot Knob Road I I Eagan MN 55122 � Date Received: � Phone: (651)675-5675 I � Fax: (651)675-5694 � Staff: i I � 2015 RESIDENTIAL BUILDING PERMIT APPLICATION IL 1��l S � �� � �lt �� �,�� CO w 7`� ���"^ l'��' SS��Z Date: Site Address: Unit#: �,.�.�,,...��.�.,.�...� �..w ._.,.... .....�,,,..�..,.. ... w,..e_.�.�. ..._ u,. �,,�.....�.�w.�_��,.�.�,. ..�.,.�.......�._.,���,,�..._..�._�..���,.�,�..�_»._,..,,.,��..w � � Name: v l� f" � Phone: $ I�'�F �.� � �.�vc,s � � Res��l���' � � j)py�z;r -� Address/City 1 Zip: S�`'e' � �,.�.' � Applicant is� Owner Contractor .,,�..��.,.a.....,�..,,.�..�,_. ...�,.a.,.,� .....,.H...�.�.�.,.,a.,....�...s,,.,.�..,��.�,�__.�:.�.�..�..._..,_._�.,.w,d�.........�,�.,w...�_.�....ww,�.�..�...�n......�..... � �..��.�.,�,.,.�,.�._�..�_ l � � Description of work: W�►'i-� � � . Ty}�!@ 4�f 10��1'k � � � Construction Cost:���������� �� Multi-Family Building: (Yes /No���� �� �� � , . : � �� d � t �� � /� � /'' � � � � Company:��t/It� �j�Yt�� (���G�a l �h�, Contact: �`�f �/'�'t �� �-s'-� $ � ,0��.� t � Address: JSUb �'G�;J �tM�� �/� � Sui�� �.�sl City: �, G 11 ( � Car��ractor � Q � � � � State:�Zip: SSy�� Phone: `7G3-SS� ,bn'�J Email: ��� � ��;.I�I�uyw/�i�cT✓.f•� � � � � License# �G �d� 7�.3 Lead Certificate# �.����._.,�.....�q_„�._;m..,.�N�.�,...,.a.�.�,:�.,....,._�,�.�_..,s.�.��..,,.�..,.w.,.�.���..�...��...,�..,�.,r _._�,��..� w� ,._,. ...�.�,.�m,__,�..,�W.�...��..�..w�.�,�.�r��, �o,.�,..,��....e. � � If the project is exempt from lead certification, please explain why: a .a......wa.,.�.,.�.�_�.p.-��... _ �n���m�..��.�...,..w...�.._....�..,�..�..�.�w�,.��,...._�.�,.�.�.�� �..�.... .�,�..,,�........._...n,�.......; 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? : d ; Yes No If yes, date and address of master plan: � ! � Licensed Plumber: Phone: � Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: � Fire Suppression Contractor Phone. � w,, �IV�JT�'.��r��a�aa�l.�o������r�#�t�t�yaw s�b�a�e cor���ed t��r�p�tal������ �. P"o�o�s o� � � t���►�`�rr�����y be class��'�d ats nfln p��b�c i�y��pro�i��ec���a��s.t�a��vo�rl�1 per��t��:G��t� � �� c�n.r�als tM�f i� a�t�d�s�c�e�. ,� w_.:�� 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.aopherstateonecall.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. X �ul�. �rP������ X �� ApplicanYs Printed Name Appli s Sign ture Page 1 of 3 `C 1 For Office Use s moi > . ®„,,„,,R e co vc 0 -- ""..- f ,, l Cf KNOB ROAD EAGAN MN 55' OG l2nia Jr � 2019 RESIDENTIAL BUILDING I ER - PPLICATION sate ' L__._ Site Address: ` f _ r if[ L‘1 .1/ e LO _m...._________ ._.__Unit f8: . ._. Name .. s(OM r61 .._ r Rhone 2-c (+-f3--__(425 .. t r � t _cc, t to PD C,[ i Pr 1_11ch.01/e6 Description of work, < }y x -•R .. _ Type of Work — l irYtfi 13 Construction Cost )'.1V t.) t.,t Ali f a=�t. Build�,r no j e -fit td., Contractor ._ Lara°el t”' „/F t .,► p ....e.i'j21W -1,)7;,-- '' Z +,,m._ ... _ L- �� .L ..L ...( ( r\_. License a I'P C),t '' Lead Certificate h ,k,/±/17, t We pr , ct K0 exempt from lead certification Meade e explmn why. U i It- I `1 1 G 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 Ni H.yes riutE, acid aa.a..aiess t,IAst. . p!,“, ._... Licensed Plumber Phone- _._ Mec.huraical Contractus. Phone, Sewer&Water Contractor. _ Phone. Fire Suppression Contractor, Phone. _—_. TOTE Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at ww5v,cit tat'mcla: ;or cif^a rai-i Exterior work authorized by a budding permit issued in accordance with the Minnesota State Building Code must be completed within 100 days of permit issuance. CALL.l BEFORE YOU DIG .;rai Gophcrr State One Can .a 0151i 454,0002 f.,i,t, iicciana,.,i i ,..,:‘,1r,','",",:•",,:U$_ I,. t.. ...:r .'.pt;,;3 .... tan'.,, r-. r - • z,;+ -vhE 09, . ..°"o, ,.;,i • r•t • ,,, ; ,J,,t, ,i, . e �, _ = a c 1' i ,. a � '..a ,atri f t F i tr t E "� a z" ,"s .lE „r L t"'�, _ , LL''.:-'21.,A . -, — '-i-:;`':2-3. is Applicant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE 1 g J`"! ( -, t C L E C ', 7s- � O9 C SUB TYPES Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) _ Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) Nit Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex — Lower Level — Pool _ Accessory Building WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior )(%. _____ Alteration _ Fire Repair _ Windows _ Demolish Foundation _ Replace Repair _ Egress Window _ Water Damage RetainingWall *Demolition of entire building—give PCA handout to applicant PP DESCRIPTION 0 Valuation Occupancy ,(,,. 2 MCES System Plan Review t Code Edition " rat).) t'f SAC Units (25%_ 100%y ) Zoning ( ,-- City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of BuildingsLength Fire Suppression Required Type of Construction "V-6--- Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) )C Final/No C.O. Required Foundation _ _ ou dation Foundation Before Backfill HVAC Service Test Gas Line Air Test Hood Roof:_Ice&Water _Final Pool:_Footings Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick EFIS Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control yFire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: -ell , Building Inspector RESIDENTIAL FEES Base Fee 61,riti Surcharge 9 Plan Review +' ift" MCES SAC il t1 PI l � City SAC Utility Connection Charge S&W Permit&Surcharge /2 (90 Treatment Plant d i .11;., Radio Meter Read Copies ' TOTAL Page 2 of 3 rFor Office Use / I (-6 %:..%4tEAGAN I Permit#: Permit Fee: Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinginspectionse,cityofeanan.com 2019 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: Tenant: JJ�� ��jj Suite#: Res1{�et1tiOWIter Name: U/9/Z (/41/1/7 14 /G/L� (itif/1�C Phone:=- fe ``� '"1/�y� Address/City/Zip: /9 9 (" / / / L�I %�> A �s �7 Name: //. 'ti _� �/`✓/%'� License#: -C !f'/��4` O25-- r t r Address: /� SLCL fi/Z �//1` City: (7 17-5S 44 - © n at: 0 State: /"4911/ Zip: 5-- 3/r Phone: (i9/.2 Contact: (/5rn' 1 Email: , / 6�e/ Repair Rebuild _Modify Space Work in R.O.W. Type of Work —New (eplaceme Description of work: ' f kJ a �u� �� t�k s ho Tankless Water Heater Lawn Irrigation(_RPZ/_PVB) Standard Water Heater Description Add Plumbing Fixtures( Main/ Lower Level) p 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 =$540 *Sewer&Water Permit also required for connection charges TOTAL FEES$ 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.citvofeaaan.com/subscribe. I hereby acknowledge that this information is complete and accurate; that the work will be in confo -nce with the or ' ces an• codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is •,to start without a p rmi• at the work will be in accordance with the approved pla the case of work which requires a review and approval of p ,�/I. /47/trt' Applicant's Printed Name / _• • can s Si;nature Page 1 of 2