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4424 Lakeshore Tert,`il Y OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: • f ,., ? ? ? ,. ; ,?? , .ilc?kF CF K •i:: PERMIT SUBTYPE: PERMIT TYPE: Permit Number. Date Issued: r?jru, `. "", - ' APPLICANT: tf i. t, t: a : ( t> 1. ?) ?r`?'1 - ? si 41 ! TYPE OF WORK: IJi ? i• ? ? + ? ?•f'1 u U L.J. vzrR I-f r n•r ? ? t?; ; INSPECTION TYPE D• • DA ? - ! ? Permit No. Permit Hotder Date Telephone M EIECTRIC PLUMBWG HVAC Inspectlon Insp. Com ments FOOTINGS `fj -i? FOUND ? •?? ? (?Lr ?'yl? FRAMING r ROOFING ROUGH P UMBING yC ??,/ PLBG AIRTEST ROUGH HEATING _? . ? G d)q GAS SVC TEST INSUL 3 ? GYP BDARD 7 FIREPLACE FIREPLACE AIR TEST FINAL PLBG -? ? FINAL HTG ORSAT TEST BIDG FINAL BSMF R.l. BSMT FINAI DECK FTG DECK FINAL _ . 1 CITY OF EA( 3830 Pilof Knob Rc `Eagan, Minnesota (612) 681-4675 i 55122-1897 SITE ADDRESS: 1 ui ; ?,6 f;l ?y( r ? ? r? iit?r<F ?'F ir . ? . . ? r . PERMIT SUBTYPE: - PERMIT TYPE: Permit Number. Date Issued: , APPLICANT: TYPE OF WORK: 1;, ; i !• . 1 ;i Fq t H tLIt- R t? 1? 0 T' t 1 N f D INSPECTION D. • .• kEMAFtk?. - 9 fI! E.x WI t!i 1 f7TS 215 .', ? ts W K'i fcfr I?FN/F1 I'! 1;0, F LL Permit No. Permlt Holder Date Telephons f ELECTRIC Z PLUMBING ?/? (p .fL;f ??'?°r HVAC Inspection Insp. Comments FOOTiNGS KI/? r FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING ' 4 ? GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG 134 FINAL HTG ORSAT TEST BLDG FINAL . y'. v BSAAT R.I. BSMT FINAL DECK FTG DECK FlNAL tIYY bF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE AQDRESS: I t ?? c •t ! '.I!it; f. i ? PERMIT SUBTYPE: PERMIT TYPE: " I I t1 1 N 6 Permit Number: 94 Date Issued: o5 / 96 "Kt, -- ."''" APPLICANT: :`ts H l.tyt;K.: TYPE OF WQRK: 1„ , i: IPf1uN Ml-t.1 f jF R4? I r?*t t 1N E ) INSPECTION D• • D• i r;l?l ??r,li ! 1J ' ! ?; , .iilltJl I I^7 I? . . i I NF:f krMr,1rV,? P irx wE iri 1_0 TS 26 .?. `? hr 1,-1 p l htt •. l.IuN1 it ! 4' 1. !i !; Permit No. Permit Holder Date Telephone M ELECTRIC PLUMBIIVG HVAC Inspection nsp. Comments FOOTINGS 7 FOUND FRAMING ROOFING PL?UMBING S 2v- ?? PCJ ar? 1`4? AIR 7EST ? ROUGH HEATING T GAS SVC TEST ?- INSUL vnun GYP BOARD FIREPLACE 3Lrlf& ? • FIREPLACE AIR TEST FINAL PLBG l FINAL HTG ? yv: ORSAT TEST BIDG FINAL ?7LJ v? 85MT R.I. BSMT FIfYAL DECK FTG DECI( FINAL ,r-} _. . . _. .? _^^ ?.. ?.....,.-......r,_....?.??.,_. 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: 4 4:40 - t ar F shi 1,114 r rr k . . c???r-F????r? il:imr. sI wC: r f 1. ; 1 rF : :?Iri?''f , r ? 1=. :t•id ,.;ial PERMIT SUBTYPE: TYPE OF WORK: , ,??,, r???i ??t ,,.f;iit??+r? 4iE•.tc?? ?c?T ;;Nt y INSPECTION D• . .A I rJ ?i: 1! 1?z?? i i, 1 REMARK`.;: A-F?I.I?'k i,tl 111 ! f?'I'? 6 - tJ F ' 1Et k- 6,1 F N i t 1 !"' ! f3 Cy ? L Permit No. Permit Holder Date Telephone N ELECTRIC 7 ? ? +- "-4? PLUMBING 4 ', HVAC Inspectfon Insp. Comments FOOTINGS • ?f ?? ? ' FOUND ? ? FRAMING ROOFING ROUGH PLUMBING PIBG AIR TEST ? ROUGH HEATING _ -/ - ? GAS SVC TEST INSUL GYP BOARD / y vw ? FIREPLACE -3' FIREPLACE AIR TEST FINALPLBG FiNAL HTG ) ORSAT TEST BLDG FINAL ?if/ ! ?1, /? BSMT R.I. BSMT FINAL DECK FfG DECiC FINRL .. ' . ?. l1 • ?. ? ? , W-ertifica#e nt Cccupanc? Wit4 o fi Cfagan MOartiaeut of loxabig 31giiyccrinx n X . / : This Certificare issued pursuast to the rreqrrirem?nts of the Unifarm Buitding Code / certifying that at the time of issuance this structuWPvas in compliance with the various ordiru?ces of the City regulating building constru4n or use. For the following: , use clsss?fla;on: SF m swg. Permit No. 267q3 Ocapancy 7ype R3/ U j 7.oning Disuict PD Type Consi. VN ownerofaw&ng HOFMAN BM IlVC Aemft5 2216 E 1171H sr, B[mNsVIIIp Bwkmng Maez 4430 I.AKESHORE lE[= L27. B 1_1?_IFF LPKE StHIES ,- POST IN A CONSPICUOUS PLACE ? ? 4 (krtificate of Cccupanc4 ; . ; Wim of ?agan '? , Mcpartment oF 13nabcg 386pccrion I i This Certifecate issued. pursuant to the requirements of the Uniform Building CNe certifying that at the `time of issuance this structure was in compliance with the various ordinances of the City regulating 6uilding constntction or use. For the fo!lowing: uu ctamific.d.: SF DWG Bldg. Permit No. 267% Occupancy Type R-3/ uI y,.iog piwia PD Type Const. VN o,,,,,,Q of ei,;id;,,a r HTR4AN HCM',S IiC ,,a&m 2214 E 1 I TII3 ST, &1-TISVIIdL' Building AddRSS 44 28 '+M IMULqZ Locality IM, B if Q+M IAKE MOSES 411 7 &Wding OM" Date- POST IN A CONSPICIfOUS PLACE ? ? Wertificate of Cccqanc? (AM of cpagan zoarbaeNc of 13aming aaoccrioa This Certificate issued purseant 1o the reqaireinerets af the Uniform Burlding Code certifyeng that vt the time of issuance this stnucture was in compliance with the various ordinances of the City regalating building construction or use. For rhe jollowing: ux cLM&Waw.: SF DE ' elag. ?t No. 26742 Occupancy Type R3/U I Tming District PD Type Conxt. VN ow,eror Bua&ng H&TI-1AN EMW IIC weamu 2214 E 117M ST. BIlRVSVIIIE e.iwi.g Add,. 4426 LAKESRE I8;6= Locwm I26. B I, IIIFF IAEE SHOffS o.: (eaiwhog offr.W POST IN A (ANSPICUOUS PLACE j a M .. , 1 Wertificate vf CccupancV Witv of cFagan ? Zepartatcur of lonIiixg 3xldocctian This Certiftcnte issued pursuant to the requirenterets oj the Uniform Building Code certifying that at the tinee ojissuance this strrtcture was in compliance with the various ardinances of rhe City regu[ating building construcliore or use. For the following: use a"dicst;on: SF TJWG swg. wLnm;t No. 26741 Occuponcy lype R3/ u I Toning Oisoriu PD Type Cons[. VN Ow. d Building FOR4W HMO INC Adhess 2214 E ? 17TH Srs WMSVI= Building Address 4424 LAKESEEZ TERRAM I.ocality -LZ% $i, rl TFR T.11K1? SHCRS ?: a„i?? arriW ? POST IN A CONSPICUOl1S PLACE II II ? II i?I REQUEST FOR ELECTRICAL INSPECTIOM' Minnesota State Board of Electriaty 1821 University Ave., Rm. S 128, t. Paul, MN 55104 * 2 5 6 7 4 6 9 * Pnone (si2) 2-0e00 (o r".?W ?a Home-' Duplex Apt. Bldg. Ofher: New Addn ? Commercial Indushial Form emod Re air Av Cond. Hig. Equip. Water Hh. Load Mgmt. Other : D er Ron e Elec. Heat Tem . Service "k' above the work cwered 6y ihrs request. Enter remarks in ibis space ond on ihe 6ack of fhe white copy only. Coiculate Inspechon Fee - This Inspection Request will nol 6e accepted wifhouf fhe cortect iee: Olher Fee M $ervice EMrance Size Fee # Circvits/Feeders Fee Mobile Home Park Sfall 0 to 200 Amps 0 to 100 Amps Street Ltg./Tmffic Sig. Above 200 Amps A6ove 100 Amps Transformer/Genemtor INSPECTOP'SUSEONLY TDTAL ?Q Sign/Oufline Lig. Xfmr. ? Alartn/Remafe Con}rol Swimming Pool I hereb cem ihm I inz ecied the elednml i ihe dares stated IrrigahonBoom Rough-In Dare S ecial Ins ection p p F l ? Investigahve Fee ino z THIS INSTALLATION MAY BE ORDERED DISCONNECTED IFfiJ CO D THI 18 MONTHS. , 2` C??/? [? ? JO ?{p OFPI E l? ONLY This reqonl void 19 manlhe fmm voLdanon dale pnnnd in 1? 9r; a i4EASE PRINT OR TYPE eques? Oale Ro.gh-in i-peaon required2 Yes o Inspecnan Olher Than Rough-In: ? Aeody Now Will Call (Yw mosl mll the inspecror whm r y) Dute Reody I, ' ensed conlracfor ? owner hereby requesf inspedion of fhe above eledrical work of: Job fddrese (Sirtet, , or Rou1e No ) ? Ciry ? ZiP Carde kILt I Sechon Na. Townzhip Name or No. Rmge No Fim N. Coo? Ocwpant C Phom N. ` - PowerS.pplia('? ? ? a Iv:,i?`'?., 1\Y' Addrexs Elecm Conhacmr (Compoiry Nomet ' Contmcmr Lic e No Mas?ei Lc N. [Planl Eled Only) oq ?S Mai mg Addmss (Contrana Owner Pedortning Insmll non) ? 5 ' l 0 ?--?-? Auftrixed Sigewbm 1Conlroaur ar Ownx Pedoiming Imbllanon) Phona No. 4 a_5z? EB-OOOOIAI/95 STATEBOARD PY-SEEINSTRUCTIONSONBACKOFYELLOWCOW II?I(I{I I II dII` REQUEST FOR ELECTRICAL INSPECTION ? I I"? II r I?I ? f'll' Mninesota State Board of Electricity ?flll h7 1821 University Ave., Rm. S 2 , St. Paul, MN 55104 ?* 2 5 6 7 5 5 0* Phone (612) 842-0800 ,l?C?`(o ?, •. ome Duplex Apf. Bldg. Other ew Addn Coercial L Indushiol Farm Remod Re air nd. 7 F11g. Equip Wafer Htr. Loud Mgm}. Ofher Der Ran e Elec. Heat Tem . Service "X" above !he work covered by }his requesG Enfer remarks m}his space and on the back of fhe whife ropy only. Calculote Inspedion Fee - 7his Inspechon Request wJl noi be accepfed wiihout the corred fee: Olher Fee # Service EMronce Sae Fee # Circuils/Feeders Fee Mobile Home Park Sfall 0 to 200 Amps 0 fo 100 Amps Sfreet Lig./Troffit $ig. Above 200 Amps Above 100 Amps Tmnsformer(Genemtor {NSPECTOii'SUSEONLY , -^`? TOTe1 Sign/Outline Lig. Xfmr. Ol7? Alarm/Remofe Con}rol ? r l Swimming Pool + _ 4 i hereb oehn iha+i Fm eded ?he o.iall o d dvles smted Imigafion Boom Rough-In cok O S eaol Ins edion -??a p p t G ' Fi l Inve stigafive Fee , na ? • t THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS. ? 25 FJ - 755 OFF??3 ONLY This requssl void IB momhs lrom wlidanon dak pnn ? b I " ?? ? PLEASE PRINT OR TYPE / oc d /cZ / Req'roet Dore Rwgh-in mspeclion reqoired7 ? No Inzpeclian Onher Thon Rovgh-In ? Ready Nw Will Coll ?_?? (You mun mll ihe inzpenor when rea Dak Ready I,[Ylicnsed conhadar ? owner hereby requesf inspecfion of ifie above electrical work at: Job !d vaei, Box, or No ) js ( Gry Zip Code i t. L Sernon No. To.mship Name or No Range No Fire No Co?n p.pent ?^ Phone No. ]?^• ' PowerSap lier ? Addrexs FecM ConkaMr ComponxNom CoM crorLiunseNo. Masrencc No (PlanfElM.Only) Mailing Addnss (Co?macror r Owner PeAo?ming InsNllatian? ? Au 'ud SignaNre ?Conha r or Owner Pedammig InsrollaEOn) r I? Phone No. p? ' ?IO EB-00001h10 6/95 STATEBOAfl OPY-SEEINSTRUCTIONSONBACKOFYELLOWCOPY I I1111 I p Il6I ?? REQUEST FOR ELECTRICAL INSPECTIOt? Minnesota State Board of Electricity ? ? 1821 University Ave., Rm. S 1 . Paul, MN 55104 6? Phoile (612) 842-0800 ,,??l?(o , S-S' ?• s; 2 5 6 75 711611111 Home Duplez Apt. Bldg. Other: I ZI N- Addn Co Indusfrial Fartn Remod Re ir 1 Air Cond. Htg. Equip, Water Htr. Load Mgmf. Other. D er Ran e Elec. Heaf Tem . Service "X" above the work covered by fhis request Enter remarks m fhis space and on the back of the whrte copy only Calculate Inspection Fee - This Inspection Requesf will nof be accepfed wdhout fhe correct fee: Olher Fee # Service Enhanae Size Fee # Circvih/Feeders Fee MobJe Home Park Stall 0 ro 200 Amps 0 fo 100 Amps Sfreet Lfg./TraHic Sig. Above 200 Amps Above 7 00 Amps Transformer/Generator INSPECTOX'SUSEONLV TOTAL Sign/Outline Lig. Xfmr. ?1? , • Alartn/Remofe Conkol ? $wimminy Pool I hereb ceni that l ins ecled Ihe ele nam ed ?fhe dates sb?ed Irrigation Boom Ro„yh.i„ k oj' ,? ection $ ecial Ins p p Investigafive Fee Fiiwl k ? THIS INSTALLATION MAY BE ORDERED DISCONNECT D IF NOT COMPLETED WITHIN 18 MONTHS. ' 2 5 6- 757 ? y?? °"Lr Tni=.eque,t .oid ie??: rPm ror onon Fdaq Pnm? In 1n?s ? ?", ooos' ? l*??/?4 ' u d PLEASE PRINT OR TVPE Req?esr Dah Raugh-in inspe ian requved2 s pedion Other Than Raugh.lm Q Reody N Will Call ? ?-?c, (You must mll the inzpeaorwhen rca yl Dafe keady nsed confmdor ? owner hereby request mspedion o( the above chi<al wor ? tp,§e ' Jab lddress (Strcef, Box, Roub Na ? G p C e ? / Sectian No. Township Name or No. Range Nn Fire Nn C. Occupo N w• PMz No. • 9`d01 Power SoppLer QL? ? Pddrezz ? Elentlcal onwcbr (Company Name? Conkaclor se Na. Master Lc No. (Plonl Elen. Only) ? Maili Address?Conkotlorar erPedorming InsmlloHo ' ?? -O AuMorized SiqnaNn (Co ctor or Owner Pedorming InsbllaM1On) Inne Na. t t s ? t " - , o EB-O00OIA-10 6/95 5fATEBOAdL'OW-SEEINSTXUCTIONSONBACKOFYELLOWCOPY IIII? I REUUEST FOR ELECTRICAL INSPECTIONS? I?I W65 Minnesota State Board of Electricity , Y821 Universiry Ave., Rm. 1 au, M504 *?0 2 8 * Phone (812) 642-0800 ?? L J(o '+?= Home Duplex Apt. Bldg. Other: New Addn Commerciol Industr ial Farm Remod Re air Air Cond. Hig. Equip. Wafer H}r. Load Mgmt. Other: D er Ran e Elec. Heof Tem . Service "X" above the wori: covered by this request. Enter remorks in fhis spoce and on the back of the white copy only. Cakulafe Inspection Fee - ihis Inspecfion Request wJl not be accepted without fhe corcecf fee: 01her Fee P Service Enhnnce Size Fee S Circvih/Feeders Fee Mobile Home Park $fall 0 to 200 Amps 0 io 100 Amps Sireef Ltg./Tmffi< Sig. Above 200 Amps Above 100 Amps Transfortner/Generotor INSPECTOR'S USE ONLY TOTA $ign/Outline lig Xfmr. u Alarm/Remote Control Swimming Pool I he26 mm ?,m I os .axd ihe d I.mllef eed Irrigation Boom po,h.in k?.? G Special Ins eciion ? ? p Inves}igative fee THIS INSTALLATION MAY BE ORDERED UISCONNECTE 6T C LETE WIT HIN 18 MONTHS. 2 5 6- 7 5 6? OFFIC US ONLY Thrs reqvesl void IB momhs fmm validaM1On dare pnmed in thm 60 ?6?'? PLEASE PRINT OR TYPE 1915 6?O Raquest Dok , Rough-in inspecfian mqoired Yes ? No InspecM1an Olher Than Raugh-In Q Ready Naw Will Call /? -' 1w i- (You mos? mll the mspenar when reody Date Rcady. I, icensed <onhodor ? owner hereby request inspedion of the obove elednml wark at: Job /dd?\(Sireei, Bo,, or R te No a Gty Zip Code SecFan Na Tawnship Nome ar No Range No Fire No County ?? • O¢upant V- m Nu V)w . Phone N. -q 0l Power5upp6er Pddresz Elecmcal anwcror (C pany Name) Co aor Lanse No Masler Lic Na_ (Plont Eleq Only) n ? o O 4 Madvg Addresa (C onhaclor or ner Pedo?ming Insbllmion) ? c p `'l?Q Au nzed Si9nature Conlmcbr or Ovrtrer Periarmin9 Inakllohon tlk? . ? 1 Pfar?e No ? -60 E8-00001aID?6/95 STATEBOARftOPY-SEEINSTRUCTIONSONBACKOFYELLOWCOPY ACjaIeSS _ 4430 T.AKFSN(1RR TFRRAr'F' Zlp SSZL Lot '97, Blk i Sub rr.rFF T.att[: sranRFs THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: ? G Yes No Inspector. Final grade (6" from siding) Permanent steps (garage) ? Peimanent steps (main entry) ? Permanent driveway ? Permanent gas Sod/Seeded grass TraiUcurb damage Porch Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shuaoff of water supply to the outside lawn faucet before freeze po[endal exisis. Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy ? Address 4428 IAKESHOBE rEBRa!,•E Zip 5512 55122 L.ot 28 Blk t Sub Q.g'F' iaxE SHOREs THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION. Date: Yes No Inspector: Final grade (6" from siding) 11r Permanent steps (garage) Pennanent steps (main entry) i/ Permanent driveway Permanent gas Sod/Seeded grass ? TraiUcurb damage Porch Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shuboff of water supply to lhe outside lawn faucet before freeze potential exists. Contact engineering division at 6814645 before working in righPOf-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contraaor Copy (V Address 4426 LAKESHO?2E TER_RACE Zip 55122 1 I.ot 26 Blk 1 Sub CLIff IAxE sHOREs THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'fON. Date: Yes No Inspector: Final grade (6" from siding) ?- Permanent steps (garage) ? Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass TraiUcurb damage Porch Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in righ[•of-wey or installing underground sprinkler system. ? White - City Copy Yellow - Resident Copy Pink - Contractor Copy Address 4424 LnKESxo?tE TEltxn!:E Zip 5512 2 L.ot ••9s • Blk i Sub QarF LAIT sHottEs THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECfION. Date: Yes No Inspector: ? Final grade (6" from siding) k--? Permanent steps (garage) t? Pertnanent steps (main entry) Permanent driveway V/ Petmanent gas ? Sod/Seeded grass ? TraiUcurb damage Porch ? Basement finish Deck Please verify with the 6uilder the removal of roof tcst caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exisls. Contaa engineering division at 6814645 before working in rightaf-way or installing underground sprinkler system. ? White - City Copy Yellow - Resident Copy Pink - Contractor Copy 2006 RESIDENTIAL BUILDING PERMIT APPLICATION R" TJL??P City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 l-?? Telephone # 651-675-5675 FAX 9 651-675-5694 ' Nex ConsW cGOn Renuiremenls RemodeVReoair Reouvanen6 Office Use OnN 3 registered sRe survays shovnng sq. R of IoL sq. R of house; and all roofed areas 2 copies of plan shmnng footings, beams, jdsts Cart of Survey RecC Y N (20°/< mawmum lot coverege alloweG) 1 set of Energy Calwlafiana for hwtad additions iree Pres Plan Recd _ Y_ N. 2 rapies of plan sharing beam & wmdav srzes; paured fand desgn, etc 1 site surrey fa additions 8 decks Tree Prm Required _ Y_ N 1 sa of Energy Calalafions Addilion -iMicate if orvsrfe septlc rystem On-site Sepnc Systgn _ Y_ N 7 wpies of Tree Preservatlon Plan if lot plafted aftu 711l93 Rim Jast Oetail Opfions sdection sheet (builtlings vnb 3 or less unrd) Mimegasco mechanical vrntiladon form Date 01 l 03 ConstructioaCost ??/j????0 Site Address ?53/?j? _ UniUSte # Descriprian of Wark W;/ ??? ?XbS Multi-Family Bldg _ N Fireplace(s) _ 0 _ 1 _ 2 ? I PropertyOwner 7AL' U/UUk'? //lAra^ 2Q?t4"5(v Telephone #(? Contractor ( ! Vl.Y.1_;UI(J-? ? ?SJ'Il.?':, ' 44 Address 55$ ?L C:ty Stare Zip TeleQhone 0, COMPLE7E TN1S AREA ONLY IF CaNSTRl3CT7PIG A NEYV BiJ9LD1iNG - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code CBtEgory . ResiCentlal Ventllatlon Category 1 Worksheet • New Energy Code Nbrksheet (J submissian type) Suhmitted Su6mitted • Energy Fsvelope Calalatlons Submitletl In ihe last 12 monfhs, has fhe City of Eagan issued a pertnit for a similar plan based on a master plan? _ Y _ N If yes, daTe and address af master plarc Licensed Plumber Telephone #( Mechanical Contractor Sewer/Water Contractor 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 State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to star[ 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 pians. ? ? ?- Vohs Applican's Printed Name Applicant Signature PERMIT G/2o5o559 ?I* OF EAGAN 4W95 3830 Pilot Knob Road PERMIT TYPE: B u xLo r N s Eagan, Minnesota 551 22-1897 Permit Number: 026791 (6121681-4675 Date Issued: 12 % 0 5/ 9 5 SITE ADDRESS: 4424 LAKESHORE TER 1.0T: 25 BLOCK: 1 CLIFF IAKE SHORES P.I.N.: 10-17785-250-01 DESCRIPTION: (2ER0 LOT LINE) Permit Type SF DWG 6uilding-, y ,°lBuilding Wor,k Type NEW ' UBC pccupancyr, R-3 U-1 Construction fype V-N Zoning ? PD Buildfng Length 44 ? Building Width 30 ' {• 2 B,ul ld#n g:.stnries , ?CSpsus Code•-.., ` 0102 1- FAM. A7TACH REMARKS: 4-PLEX WITH LOTS 26 27 28 S& W PLBR - WENZEL PLBG FEE SUMMARY: VALUATION $97,000 $2,070.96 Base Fee Plan Review Surcharge SAC SAC $ SAC Units Subtotal $868.50 $303.98 $48.50 $850.00 100 MISCELLANEOUS $1,892.50 COPZE3 $2.00 Total Fee $3,965.48 .OWNER: HOFFMAN HOMES INC 2214 E 117TH ST BURNSVILLE MN 55337 (612)894-9807 CONTRACTOR: HOFFMAN HOMES INC 2214 E 117TH ST BURNSVILLE MN (612) 694-9807 - Applicant - ST. LI 18949807 000928 55337 I hereby acknowledge that i have read Chis application and state that the inPormation is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. j L 1 1,41'? m APPLIGANTlPERMITEE SIGNgWE ISSUED B SIG TURE' k 1N5Y1;(:'1'lUN KECURD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITEADDRESS: P•I•N.: 1e-17785-25e-e1 APPLICANT: LOT: 25 BLOCK: 1 4424 LAKESHORE TER HOFFMAN HOMES INC CLIFF LAKE SWORES (612) 894-9807 I PERMIT SUBTYPE: TYPE OF WORK: SF DWG DESCRIPTION BUILDING 026791 12/05/95 NEW (ZERO LOT I_TNF) INSPECTION FOOTINGS .. • FOUNOATION DATE INSPTR. FRAMING ROOFING INSULATION FIREPLACE ROUGH IN PLBG ROUGH IN HTG FINAL PLBG FINAL REMARKS: 4-PLEX WITH LOTS 26 27 28 S& W PLBR - WENZEL PLBG ? - ' - , ? - -; ,- - - --- -- - T . i .. . , r n; ? ?. ? l II ?. , , ? ? ? '< CITY OF EAGAN 3830 PILOT KNOB RD - 55122 2LI91 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) COV yt 11 .30 681-4675 New ConshucNon ReauiromeMS RemodeVRenair ReouiremeMs ?3 regiatered site surveys ? 2 copies M ptan ? 2 copiea oi plans (indude beam & window sizes; poumtl fid. design; etc.) ? 2 sRe suneys (exterior addRions S dedcs) ? 1 energy celwlatlona i 7 energy calculatlons for heatad addttfons ? 3 Copios oi hee Proaervation plen B lot Piatted aRer 711l99 requfred: _ Yes Y Na DATE: D ( Z'- ISS CONSTRUCTION COST: ?? p0Q DESCRIPTION OF WORK: R"?ot''-l`AL. '-Tow?a l4otAe STREETADDRESS: 4`12? L"Pv-f? 5A--iz? TlE¢..R-AC'L- 2s C??FF LA'u: LOT BLOCK l SUBD./P.I.D, / ll ?lll 06,Z--l PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER Name: Ko?f??Ar? H°??.5 ,'?,x.. Phone #: Sgy-q8o? w* rsrt StreetAddress• City: Bw'4'S`l "l State: K 0 Zjp; 55331 Company: SAr+e Phone #: Street Address: City: State: Company: M"100e1"w.ik.n pESl(*a License #: g 2-?'61 Zip. Phone #- q3q' Name: Ly La -1104u1:, a Registration #• Street Address' $° Ll I$-" ST'l 5" l -t Z%o City: C HwaNw,Se.) State: M'3 Zip; 55311 Sewer 8 water licensed plumber. wr."zr.`' . Penalty applies when address change and lot change are requested once pertnit is issued. I hereby acknowledge that I have read this application and sNate that the infortnation s po?Tect and agree to oomply with all applicable State of Minnesota SWtutes and City of Eagan Ordinances. ?i Signature of Applicant OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservatian Plan Received Yes No ?114. BUILDING PERMIT TYPE OFFICE USE ONLY , , . ? • mk ?fJN ?•„... ??•x. a 01 Foundation o 06 Duplex o 11 Apt./Lodging ? .d- 02 SF Dwelling ? 07 4-plex ? 92 Multi Repair/Rem. ? ? 03 SF Addftion o 08 8-plex ? 13 Garage/Accessory o 0 04 SF Porch ? 09 12-plex ? 14 Fireplace o n 05 SF Misc. 0 10 _ piex-== ="?=15 ck WORK TYPE ? ?/2a ~ ?o>' - C i•/r :-,?31 New o 33 Alterations o 36 Move 0 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actuai) ? (Allowable) UBC Occupancy f-3/? -i Zoning P 11) # of Stories y Length ? Depth _'TO APPROVALS 16 Basement Finish 77 Swim Pool 20 Public Facility 21 Miscellaneous Basement sq. ft. IY/H MC/WS System ? Main level sq. ft. f-tr City Water _2 IYP sq. ft. f74"' Fire Sprinklered sq. ft. PRV sq. ft. Booster Pump sq. ft. Census Code. /oZ Footprint sq. ft. SAC Code ai Census Bldg i Census Unit / Planning Building Permit Fee Surcharge Plan Review License MCMIS SAC City SAC Water Conn. Water MeYer Acct. DeposR 5NV Pertnit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies en Total: SAC Units Engineering Variance % SAG Valuation: $ aw ? .;, ?.- . ., ?.,...._ _ ...r.??,ar% .?;'?.?..?...?..s.?,.•..im.3`.:ee,tr^w?kr-.I /0? HOFFMAN HOMES, INC. 2214 East 117th Street Te(epbone Burnsville, MN 55337 (612) 894-9807 CONTRACTOR # 9284 Fax (612) 894-9878 11?22?4J Mc 7oe Voels City of Eagan Plan Review Department Dear Mr. Voels, This letter is to inform you that Hoffman Homes, Inc. will be using the exact same plans for the layout for Lot(s) Zr- z8 , Block t Cliff Lake Shores, as were used on Lot(s) zi-M Block t , Cliff Lake Shores. None of the structural building components, HVAC, plumbing or electrical will change from engineered drawings dated ?o1?3?af Sincerely, ^r?- k? -_ Patrick C. Hoffman President PCH/jem pcWeagla d ? t, 10 ` 0 ,. . ? , ¢ ? o ?Y W m ? i ? W < tI y J ym ? ? d m d < u G.i N Lo O ? .c x Y or' 0 a • ar'O ? • ?O O • G-`0 O • W--'O 0 • O? O ? • G1? O ? • B? 0 O • Q-'o o • e-'a o . LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILOING PERMITAPPUCATION PROPERTY LEGAL: QS.23_76,Z4 DATE OF SURV : 44/z z? 9_S- LATEST REVISION: DOCUMENTSTANDARDS Ragistered Land Surveyor signaWre and company 9uilding PermitAppiicant Legaldescdptlon Address North artow and acale House type (rambler, walkout, splR w/o, splft entry, lookout, atc.) Directianal drainape arrows with slopa/pradlant % ProposedleAstlng sewer and Mrater services a invert elevatlon . 5treet name ' Dtivewey ELEVATIONS , Exristlna ¢-? O 13 • Sewer service qV' p o • Property comers e 0 • Top of curb atthe ddveway O O • Elevatlons of any ebstlnp adJacant homas Prooosed G-13 C • Garage Iloor y'o o • Frstnoor ryn O • Lowest exposed elevalJon (walkouNwindow) W? Cl o • Property comers m? o • Front and rear oI home sttha foundaffon O 0' C3 • PONDING AREA !ff aoolicable) Easement Ilne ' O 19--'13 e NWL O W_'O • HWL ,- a PY o • Pond # designatlon o a-?o • E,nergency aemow Elevatlon ?o O • DIMENSIONS Lot 11neslBearinfls 8 d(mensfons O?O (3 • Right-of-WaY and sVeet width (to back of curb) . ?G a • Proposed home dlmane(ons Includinp any proposed decks, overhanps preater than 7, porches, etc. p.e. all sWcturas requirinp pertnanent footlnps) B?p O • Show all easemenls o/ record and any City udlitles within thosa easamanls G O • Setbacks of proposed structure and sideyard satbsck of adJacent existlng structures 0 [3'_11 • Retaining walt requtremenis, it any Reviewed: ? Na a / Oete iwj t986 1TYrJF EAGAN 3830 Pilol$Cnbb Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-17785-260-01 DESCRIPTION: PERMIT PERMIT TYPE: Permit Number: Date Issued: 4426 LAKESHORE TER LQ7: 26 BLOCK: 1 CLIFF LAKE 5WORE5 (XERO L07 A§u3:ldi_r?gv..Permzt Type e?8 ulSd3ng W_,q,4 k T y p e t3?G EFecupan,e?? Ccrnstru?tioae Zoning e:u3:Ydi,ng >Len,gth 9yi1, dt.n g ?Width: 4 l? LINE) 5F OWG NEW R-3 U-1 V-N PD 44 30 2 0102 1 - FAM. ATTACH H ? . z' h.. ? u 7' yi ? 4ai?!I "5fi xF"? ?n ¢ rt ?` i s,a 'at? ? .nt.r mo so559 BUILOING 026792 12/05/95 REMARKS: a-pLex wxrH 3 & W PLBR FEE SUMMARY: lOTS 25 23- 28°--r - WEN2EL PLBG Base Fee Plan Review Surcharge SAC SAC % 5AC Units Su6total VAIUATION $868.50 $303.98 $48.50 $850.00 100 $2,070.98 $97,000 MISCEILANE0U5 $1,892.50 Tota1 Fee $3,963.48 CONTRACTOR: - Applicant - sT. LTC.OWNER: HOFFMAN HOMES INC 18949807 0009284 HQFFMAN HOMES INC 2214 E 117TH ST 2214 E 117TH ST BURNSVILLE MN 55337 BURNSVTLLE MN 55337 (612) 894-9897 (612)894--9807 I herebp; icknow ledgs` that' I hav.e reatl`thYs _appli;a`atign and state Yhat the inf.oi^mat3on`iseprreo-t'and;agree.-ta comptiiy jwi;th all applicabl•e- Statd -'of M:n:1 statute.sandCity af Eagan Ord?.na-nces: ?.,_.. .. _ .:, ., _ ' _ '?'_;:? .. `.'' " ', rt ,`_?.. r ? ., ': _• _:`_ ..'._°.?? ? APPLICANT? ITEESIG E ISSUED 8Y?5IG?TURE ?? ? INSPECTIUN RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITEADDRESS: P•=•N.: 1e-17786-26e-e1 APPLICANT: LOT: 26 BLOCK: 1 4426 LAKESHORE TER HOFFMAN HOMES INC CLIFF LAKE SHORES (612) 594-9807 PERMIT SUBTYPE: TYPE OF WORK: SF OWG DESCRIPTION suzLpzNG 026792 12/05/95 NEW (ZERO LOT LINE) INSPECTION D. . D. F007TNG5 FOUNDATION FRAMSNG ROOFING INSULATION FIREPLACE ROUGH IN PLBG ROUGN IN HTG FINAL PLBG FINAL REMARKS: 4-PLEX WITH LOTS 25 27 28 S& W PLBR - WENZEL PLBG - - -:s---i, I'? -"??- i .-. - ? ------:, -'------- --- 1 ?I . . . . rii . ??? `.n. % i ? . ' ' ' . . .. I . . I ? i ? ~ CITY OF EAGAN ;? ?! ? (,? • ??` ? 3830 PILOT KNOB RD - 55122 ? 9191 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Gonstrudlon Reauirements RemodeVReoeir Reoulrements ? 3 registercd ske surveys ? 2 copfes of plan ? 2 copies ot plens ('vndude beam 8 window sizes; poured fid. design; ete.) ? 2 sile suneys (ezterior additions 8 dedcs) ? 1 eirorgy ealaletiona ? 1 energy calculations for heated additions ? 3 eopka M hee preservetion plan H lo) platted efler 711/93 raquired: _ Yes A No DATE: ti I ZZIS? CONSTRUCTION COST: 47}, 'O()' DESCRIPTION OF WORK: STREET ADDRESS: LOT a6 BLOCK RES?OtarT?AL "?ov+w?tioME l1q Ltv L-pxE 51+4.E 't6Rh-t4e SUBDJP.I.D. #: CL-.4?F LVa14LF s}\ac?-?? ,/ *cx t'/L-s zs z-71 d zts t PROPERTY Name: Hoff?annl HoKtg iPhone #: OWNER Street Address, zz iy E. w:'TM" sTot-G-Ws City: State: Ko Zjp• 55331 coNritaCTOrt Company: SAHs Phone #: Street Address: License #• 9 2-2,'4 City: State: Zip• ARCHITECT! Company: h"wN6T01'JkA DeS%(043 Phone #• ENGINEER Name: L`t L6 Registration #- Street Address• $O ?'''' 1$" S"r'kf'T 5" `-T& -* Z k° city: C+?.aN.?sse? State: Ma Zip:553« Sewer & water licensed plumber. Penally applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and shate that the informa' n iy orcect and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of piiqnt: ? OFFICE USE ONLY Cerdfiptes ot Survey Received v Yes Tree Preservation Plan Received Yes N 0 V 2 2 1995 _ No No , ? , BUILDING PERMIT TYPE OFFICE USE ONLY 0 01 Foundation o 06 Duplex o 11 Apt./Lodging o 4v 02 SF Dweiling o 07 4-plex ? 12 Multi Repair/Rem. ? a 03 SF Addition o 08 8-plex o 13 Garage/Accessory o 0 04 0 05 SF Porch o SF Misc. 0 09 10 12-piex _ ^_piex ? 14 Fireplace o - a 5?6eck,? WORK TYPE-`- ;r20 - Go T? Gl_ ?? ?31 New ? 33 Alterations o 36 Move 0 32 Addftion o 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth ALi/ Basement sq. ft. Main level sq. ft. sq. ft. .? sq. ft. Z sq. ft. ? sq. ft. 3a Footprint sq. ft. APPROVALS Planning Building ? ? ?•° 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous 45p` MCIWS System rror City Water ? Fire Sprinklered PRV Booster Pump Census Code. , by SAC Code a/ Census Bldg Census Unit Engineering Variance Permit Fee Valuation: $ 7 ?w Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposk S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units ??. z -z/ / ' . ?N? Telepbone (612) 894 9807 Fax (612) 894-9878 Mr. 7oe Voels City ofEagan Plan Review Department Dear Mr. Voels, HOFFMAN HOMES, INC. 2214 East I17th Street Burnsville, MN 55337 CONTRACTOR #9289 This letter is to inform you that Hoffman Homes, Inc. will be using the exact same plans for the layout for Lot(s) zs- zy , Block l , Cliff Lake 5hores, as were used on Lot(s) z? Elock t , Cliff Lake Shores. None of the structural building components, HVAC, plumbing or electrical will change from engineered drawings dated ?o(i3?as Sincerely, (-?1 CJh\??°? 6?' Patrick C. Hoffman President PCH/jem ??-g1o- Z4 wI v U?, t,''A ? • '? LOT SURVEY CHECKUST FOR RESIDENTIAL ? o BUILDING PERMITAPPUCATION W? > PROPERTY LPGAL: .r,76 Z7 J ti < ? ? DATE OF SURV •: m LATEST RE1lISION: o ? DOCUMENT STANDARDS D" Q o • Registered Land Suneyor signaWre and company w-'O cl • Building Pertnft Applicant ? C3 C • LagaldescAptlon W-10 0 • Address 0--'0 ? • North aROw and scale rY o o • House typa (rambler, walkourt, splR w/o, splR entry, lookout, atc.) GY o o • Directlonal drafnape artowa with slope/pradlent 96 0' o ? • Proposed/epstlng sewer and vrater services 3 invert elevetlon a-"O c • . Streetname er' 1:3 O • ' Driveway ? ELEVATIONS rY' o o • , Existlna Sewer service • Propetty comeB ? ? • Tap o/ curb at the dfirewey ? o • Elevatlons of any eristlnp adJacent homes Prooosed G?'O 0 • Garage floor 0/' o o • Fust floor 4Yd a • Lowest exposed elevatlon (walkoutNdndow) wl ci O • Property comers • Front and rear of home at the foundatlon 0 W? o • PONDING AREA A/ aooltcablal Easement Ilne ' • o L 9'0 e Wyl/L • - O 1e'/O • f{yyL • o ? o • Pond # designeBon o r]'O . Emargency Overtlow Elavatton ta?o O . DIMENSIQNS Lot IineslBearinys 3 dimansfons o% C3 • Right-of-way and streat width (to back of aurb) . ? o • Proposad home dimonaions Includlnp any proposed deeka, overhanps preator than 7, porches, etc. (I.e. all sWcturas raquirinq permanent footlnps) B?p O • Show all easemanls o/ racotd and atry Cily utlUBes wifhtn those easemenls ?O O • Setbacks of proposod struecure and sideyard setback of adJaeent eidstlng structures ? • Retaining wall requirements, if any Reviewed: iwy tso5 PERMIT e".?*o,5s9 A. laiTY OF EAGAN lc,?-1695 3830 Pilot Knob Road PERMITTYPE: aurLoi? Eagan, Minnesota 55122-1897 Permit Number: 026794 (612) 681-4675 Date Issued: 12 / 0 5/ 9 5 SITE ADDRESS: 4428 LAKESHORE TER LOT: 28 BLOCK: 1 CLIFF LAKE SHORES P.I.N.: 10-17785-280-01 DESCRIPTION: (ZERO LOT LINE) Building`Permit Type SF DWG Building Work Type NEW ' UBC Occupancy,, R-3 U-1 Construction Ty-pe V-N Zoning - PD Building Length 44 (Building Width 30 ? B.uilding storiss 2 ",?-',Census Code--.,0102 1- FAM. ATTACH . i?. . _ .? .?? ._.'tlv..... - _..f..ni y,..n. _ :,?o.. . . .... REMARKS: 4-PLEX WITH LOTS 25 26 27 S& W PLBR - WENZEL PLBG FEE SUMMARY: VALUATION $97,000 Base Fee $868.50 MISCELLANEOUS $1,892.50 Plan Review $303.98 Total Fee $3,963.48 Surcharge $48.56 SAC $850.00 SAC % 100 5AC Units 1 Subtotal $2,070.98 CONTRACTOR: - Applicant - sT. LIC.OWNER: HOFFMAN NOMES INC 18949807 0009284 HQFFMAN HOMES INC 2214 E 117TH ST 2214 E 117TH ST BURNSVILLE MN 55337 BURNSVILLE MN 55337 (612) 894-9807 (612)894-9807 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinences. ? - - 4?__ Aour, UrL?._ APPLICANT/PERMITEE SIGI AT ISSUED B' SI ATUflE I I INSYECTIUN RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITEADDRESS: P'I•N.: 1e-17785-28e-e1 qppLICANT: LOT: 28 BLOCK: 1 4428 LAKESHORE TER HOFFMAN HOMES INC CLIFF LAKE SHORES (612) 894-9807 PERMIT SUBTYPE: TYPE OF WORK: 5F OWG DESCRIPTIOM BUILDING 026794 12/05/95 NEW (2ER0 LOT LINE) INSPECTION FOOTINGS D. . FOUNOATION .. FRAMING ROOFING INSULA7ION FIREPIACE ROUGH IN PLBG ROUGH IN HTG FINAL PLBG FINAL REMARKS: 4-PLEX WITH LOTS 25 26 27 S& W PLBR - WEN2EL PLBG ? • ? -- - ?- - ?. -:,- -i n - ?- ---- . , ? ?. , . . ? . . . ? , ? , , . , . , ..? ,• i ? ? ? ? CITY OF EAGAN ??? 3830 PILOT KNOB RD - 55122 ? 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 J.? ? Q (j• `f"q ? 3 mgbMred site survsys ? z coptes a plen ? 2 copies of plana (indude 6eam 8 window sizes; pourad fid. design; etcJ ? 2 sRe surveys (eMerior addkions 8 decks) ? t enerpy calculationn ? 1 errergy caleulaGons for Mated edditions ? 3 copba M tree pieaervation pien H lot plalted aRer 711f93 mqulred: _ Yes L Na 0 ? ? DATE: ' t i7Z-491? CONSTRUCTION COST: DESCRIPTION OF WORK: STREET ADDRESS: T{F.S?Ob?TT%P1. "'?owNNoNE ?`FZf$ LPK-ESN? ?ERM'ac? LOT zg BLOCK I SUBD./P.I.D. #: C`tfF 9-P?r,r 5/ 4 rr 2s Z& , /z-7 PROPERTY Name: µ0f fKf`^? HO+'E5 I Phone #: aqy'9$o? OWNER '"" `"" StreetAddress• zz?W City: g-A a','s"",`-1-m State: N? Zjp; 5533? CONTRACTOR Company: SAr+E Phone #: Street Address: License #• q 7-a'4 City: State: Zip• ARCHITECT! Company: n??Ne-ro,?v.+a DES+? Phone #- 93q- 2" o ENGINEER Name: Ly 46 Registration M StreetAddress* $O L?''' ?$TN S"rRkf'r 5.+;-TA- -t Ztp City: c H..a No.ssE ?) Sewer 8 water licensed plumber. w6"m`- `'Av change are requested once pertnit is issued. State: Zip: 5 S 3?'? Penalty appiies when address change and lot I hereby acknowledge that I have read this appliq8on and state that the iniorm ' is coRect and agree to comply with ali applipble State of Minnesota Ststutes and City of Eagan Ordinances. ? Signature of Applicant OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preserva6on Plan Received _ Yes _ No ? , OFFICE USE ONLY . _ BUILDING PERMIT TYPE 0 01 Foundation o 06 Duplex o 11 Apt./Lodging o 16 Basement Finish 5;;P-D2 SF Dweiling o 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool 0 03 SF Addition o 08 8-plex o 13 Garage/Accessory ? 20 Public Facility 0 04 SF Porch ? 09 12-plex o 14 Firepiace ? 21 Miscellaneous a 05 SF Misc. 0 5 Deck WORK TY Ga T - G ie c ?-31 New o 33 Afterations o 36 Move n 32 Addition o 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actuai) ? Basement sq. ft. ? MCNVS System (Allowable) %7-^l Main level sq. ft. '6109- City Water ? UBC Occupancy ?3 sq. ft. ss ??! Fire Sprinklered Zoning P-D sq. ft. PRV # of Stories z Length ? sq. ft. s ft Booster Pump q. . Census Code. a z Depth ?30 Footprint sq. ft. SAC Code Census Bidg / Census Unit ? APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MCNVS SAC City SAC /6r Water Conn. Water Meter ? e-S - Acct. Depostt S/W Permft S/W Surcharge Treatment PI. Road UnR Park Ded. Trails Ded. Other Copies Total: °k SAC SAC Units , , w / ?N? HOFFMAN HOMES, INC. 2214 East 117th Street Teltpfiane Burnsville, MN 55337 (612) 894-9807 F CONTRACTOR #9284 ax (6I2) 894-9878 Mr. Joe Voeis City of Eagan Plan Review Department Dear Mr. Voels, This letter is to inform you that Hoffman Homes, Inc. will be using the exact same plans for the layout for Lot(s) z.y- zic , Block L , Cliff Lake Shores, as were used on Lot(s) z? Block L, Cliff Lake Shores. None of the structural building components, HVAC, plumbing or electrical will change from engineered drawings dated ?o??31a5 Sincerely, (^' l C-2? 6?---- ? Patrick C. Hoffman President PCH/jem pclJmglv ys + ?t ., U?c,J''A C. . v• LOT SURVEY CHECKLIST FOR RESIDENTIAL . ? , BUILDING PERM17 APPUCATION o - ? PROPERTYLEGAL: ? S ?TT7 , DATE OF SURV Y: 44 / z z? 9_S-- ? ? N LATEST RE1/ISION: 40CUMENT STANDARDS g," ? 0 • Ragistered Land Surveyor slgnature and company 2"'0 ? • Building PertnitApplicant R"? 0 0 • Legal descriptlon Q-'0 0 • Addtess 0% a • , North arrow and scale ? o a • House type (rambler, walkout, spllt w/o, spUt entry, lookout, etc.) ?Y o O • Directional drainape artows with slopa/qradlent % e' o O • Proposed/wdstlng sewer and water services 8 invert elevatlon Q-'O a • . Straet name ? O O • ' Dtiveway ELEVATIONS fJ?' O O • , Existlno Sewerservice ?'p O • Property comers e?f- O • Top of curb at the driveway • Elevatlons of any ebstlng adjacent homes Pr°oosed ?a O • Garage floor • Frst Iloor fil1/G a • Lowest exposed elevallon (walkouUwindow) M-' a o • Property comars . Q?'O o • Front and rear of home at the foundatlon o m" o • PONDING AREA Rf aoolicablel Easement tine O f4-`0 e NWL ? M--'O • FIWL 0 101? G • Pond M desipnatlon 13 c3Ko • Emerger?cy Overflow Elevatlon 0-?O O • Q-'C3 C • 9-1G 0 • e?p a . {r o a . ? O?? • Lot IfneslBearinqs 3 dimensbns Right-of-way and sVaet width (to badc of curb) Proposed homo dimandoire includlnp any proposed docks, overhanpa preatar than 7, porches, etc. (i.e, all sUucYUres requGinp pertnanent toodnps) Show all eesemenes of record and any Ciry uGlitles withtn those easemenfs Semacks of proposed structure and sidayatd setbadc of adJaeent wdstlng strucWres Retaining wall requirements, if any Reviewed: July 1895 --( VTY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 LINE) SF DW6 NEW R-3 U-1 V-N PD 44 36 2 0102 1 - FAM. ATTACH Uzo.soS?g BUILDING 026793 12/05/95 SITE ADDRESS: P.I.N.: 10-17785-270-01 PERMIT TYPE: Permit Number: Date Issued: DESCRIPTION: (2ER0 LQT REMARKS: 4-PLEX WITH S & W PLBR FEE SUMMARY: Base Fee Plan Review Surcharge SAC SAC % SAC Units Subtotal ? .,? i?,'?,.,,,, syy/ ?t...'??i`?? ?iw;????•z"7?'4:m12_:.... ?? ;Suildin'y:Permit Type Building Wor.k Type ` UBC Occupanc'q, Construction Type ' 2oning Building Length ? Building Width 'B,uild.ing-i`.s.tories _;: - -, C-.ensus Code,--: ,. <;? • ; ?v LOTS 25 26 28 - WENZEL PLBG PERMIT 4430 LAKESHORE TER LOT: 27 BLOCK: 1 CLIFF IAKE SHORES VAIUATION $868.50 $303.98 $48.50 $850.00 100 1 $2,070.98 $97,000 MISCELLANEOUS $1,892.50 Total Fee $3,963.48 CONTRACTOR: - p,pplicant - sT. LIc.OWNER: HOFFMAN HOMES INC 18999807 0009284 HQFFMAN HOMES INC 2214 E 117TH ST 2214 E 1177H ST BURNSVILLE MN 55337 BURNSVILLE MN 55337 (612) 894-9807 (612)894-9807 I hereby acknowledge that I have read this information is correct and agree to comply StatuCes and City of Eagan Ordinances. L I? APPLICANTlPERMITEE IG OE appl'xcation and state that the with all applicable State of Mn. _Aaf 14 R &l .?- ISSUED B . SIG ATUR INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 BUILDIN6 026793 12J05/95 SITEADDRESS: P•I•N.: 1e--177e5-27e-01 LOT: 27 BLOCK: 4430 LAKESHORE TER CLIFF LAKE SHORES PERMIT SUBTYPE: SF DWG 1 APPLICANT: HOFFMAN HOMES INC (612) 894-9$07 TYPE OF WORK: DESCRIPTION NEW (ZERO LOT I.INE) INSPECTION FOOTINGS D. . FOUNDATION ,. FRAMING ROOFING INSULATION FIREPLACE ROUGH IN PLBG ROUGH IN HTG FINAL PLBG FINAL REMARKS: 4-PLEX WITH LOTS 25 26 28 S& W PLBR - WENZEL PLBG -- , . -- ,- - -.-. , ---- , ? ?,? ?.. . • ,. h , ? i .•?, ? , , -? '. ? ,. . ? , . . i., . ? ? `? ; • CITY OF EAGAN 3830 PILOT KNOB RD - 55122 44w 1995 BUILDING PERMI6 1-467I5 ATION (RESIDENTIAL) f *-3,q (,3. 43 ? S regfaterod site aurveys ? 2 coples ot plan ? 2 wpies of plens (indude beam 8 window slzes; poured fid. design; elc.) ? 2 afte surveys (e)derior atltlitions 8 dadcs) t 1 enerpy calaiations ? 1 anergy wlculaUons Mr heated additions ? 3 upi,es of 4ee prossrvatlon plan R lot Plaried eRer 7/1193 mqufred: _ Yes X No DATE: 111 z2195 CONSTRUCTION COST: DESCRIPTION OF WORK: AL" -?'owNtioe-?E STREETADDRESS: `H 3° L+'Y-(-- St-?-a-L- "CC2M4c.? LOT BLOCK ? SUBD./P.I.D. 'y -,Re EX -/ '?' 'sZS, 26, 41 Z(5 PROPERTY Name: HofFMAnl HoP&g I '=,x„ Phone OWNER w* P°•* Street Address• zz 1y E. City: State: N*J Zip• 55331 CONTRACTOR Company: 5AKa Phone #: Street Address: License #• q Z" City: State: Zip• ARCHiTECrr Company: h"o-INST0my-As Destba Phone #• ENGINEER Name: L`t L6 'rK%A-?. V-' Registration #• Street Address- $o w. S-rnkf'-r 5";-T& -tt zto City: c Hw?Hr?SSE+/ Sewer 8 water licensed plumber. W fi"za`- change are requested once permit is issued. I hereby acknowledge that I have read this appiicaqon and state that applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Presenradon Pian Received Yes No State: Mo Zip; 5531, A Penalty applies when address change and lot the rirtfo ti is correct and agree to comply with ail C . .,.._ ? . . . <?? :,? , •,?., . ? ,_. ._ ,. -? _ s OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging o ?0--02 SF Dweiling ? 07 4-plex ? 12 Multi Repair/Rem. o 0 03 SF Addition ? 08 8-plex a 13 Garage/Accessory a ? 04 SF Porch ? 09 12-plex o 14 Fireplace o 0 05 SF Misc. ? 10 -plex ---- --- ... ; 5 Deck WORK TYP?E,e-o - e!?07----- '. ? . ., 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous ,0-11 New ? 33 Alterations o 36 Move 0 32 Addition o 34 Repair ? 37 Demolftion GENERAL INFORMATION Const. (Actuat) 07?-v Basement sq. ft. ? MC/WS System (Allowable) ? Main level sq. ft. s City Water c UBC Occupancy "lo -t Zsq. ft. ,0 a fi/ Fire Sprinklered 2oning - sq. ft. PRV # of Stories Z sq. ft. Booster Pump Length yy sq. ft. Census Code. /oL Depth 30 Footprint sq. ft. SAC Code o? Census Bldg i Census Unit / APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ ? 7, o 00 ? Surcharge Plan Review License MCNVS SAC / City SAC Water Conn. Water Meter Acct. Deposit S/V1l Permit SNV Surcharge ' Treatment PI. Road Unft Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units y ? 'ykn??,R,:?c.,__ ?,... . u..?..?.k:.€i.........e. ....,..a..._..,.n?cr5e. sRc.tS". i ! y , Telephone (612) 894-9807 Fax (612) 894-9878 Mr. 7oe Voels . City ofEagan Plan Review DepaRment Dear Mr. Voels, HOFFMAN HOMES, INC. 2214 East 117th Street Burnsvifle, MN 55337 CONTRACTOR #9289 This letter is to inform you that Hoffman Homes, Inc. will be using the exact same plans for the layout for Lot(s) Zy- Zg , Block L , Cliff Lake Shores, as were used on Lot(s) zi? Block 1, Cliff Lake Shores. None of the structural building components, HVAC, plumbing or electrical will change from engineered drawings dated Sincerely, 6Y`}--- ? Patrick C. Hoffman President PCH/jem ?-Siu ZS ., U?c,I'A? .,, > LOT SURVEY CHECKLIST FOR RESlDENTIAL BUILDINGPERMl7APPL1CAT10N • ? > PROPERTYLEGAL: J r ? a LC W /? DATE OF SURV .Y: 9, z z 9?T- 6 m LATEST REVISION: DOCUMENT STANDARDS 2-' 0 13 • Registered Land Surveyor slgnature and company ?O E3 • 8uilding Pertnit Appl(cant ? ? 0 • Legal descriptlon Q?'o ? • Address m-'C3 ? • Narth artow and scale Gr? ? ? • Nouse type (rambler, walkout, split wlo, splft entry, lookaut, etc.) 47K ? 0 • Directional dra(nege artows with slopalyradlent 96 e' a a • Proposed/wdstlng sewer and water sarvices 6 invert elevatlon la-' ? ? • . Streetname 9?- ? o • ' Drivaway ELEVAl10NS , Exisfin(i G1i' 0 0 • Sewar service W-- 0 0 • PropeAy comers • Top of curb at the drivewey • Elevatlons of any eAsstlng adJacent homes ro os G?10 ? • Garage tloor 47/? ? • FrstAoor pid ? • Lowest exposed elevetlon (walkouUwindow) M?' O ? • Properiy comers o-'O ? • Front and rear of home atthe foundatlon PONDIyG AREA Qf aooltcablel o m-' ? • Easement Iine O L9"D e NWL ' ? M--O • HWL , ,- ? rIY ? • Pond # designatlon ? EK'o • Emergeacy Overflow Elavatlon 0?13 13 • DIMENSIONS Lot IinesMearings & dimensions GY'O a • Right-ot-way and street width (to back of curb) ' ?o O • proposed home dlmensiona includinp any proposad decks, overhanpa yreater than 7, porches, atc, 0.9. aU sVuctures requinnq permanent tootlnps) e?p 0 • Show all easemants of record and any Ciry utilNes within thosa easamenCs ? ? • Setbacks of proposed structure and sidayard satback of adjacent existlng sVucWres ? G--f? • Retaining waN requlrements, it any Reviawed: iuy t995 , 5 L (,?6 BL / CITY USE ONLY RECEIPT#: ,?-y[G,,?2 ?G_[_ SUBD. J., DATE: 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAM 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Piease complete for: ? singie family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EAClH N2 TOTAL Shower 3.00 x 1 = 4• ao Water Closet 3.00 x 2 = oa Bath Tub 3.00 x = Lavatory 3.00 x ?_ = 9•? Kitchen Sink 3.00 :c Laundry Tray 3.00 ;c = Hot Tub/Spa 3.00 :c l = 3.0'0 Water Heater 3.00 :c I = 3. tyv Floor Drain 3.00 :< 1 = 3•&a Gas Piping Outlet ' minimum - 1 3.00 x ? = 9• ? 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 exisdng 20.00 = Water Turn Around 20.00 STATE SURGHARGE .50 TOTAL 37, 50 SITE ADDRESS: 44 24 1_.4KcSltaP_,r_ TO2I24G E OWNER .4 /U INSTALLER NAME: W,tJZEC-. / WEWLEN1C4 C., STREET CITY: EA614N STATE: MN ZIP: S5_/2Z PHONE#: (?J2 ) 452- ?a?_ o L o2(0 BL CITY USE ONLY RECEIPT #: 5'20S L_ 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 t1.4. TOTAL Shower 3.00 x 5. OV Water Closet 3.00 x 7or Bath Tub 3.00 ;c _L = 3,oa Lavatory 3.00 x ?? = R. o`v Kitchen Sink 3.00 ;c _? = 3•? Laundry Tray 3.00 :< = Hot Tub/Spa 3.00 :< _ Water Heater 3.00 x ? = 3•? Floor Drain 3.00 x Gas Piping Outlef " minimum -1 3.00 :c L = , vb Rough Openings 1.50 :< _ Water 5oftener 5.00 x = Private Disposal ' Deko18 Cty. IiCense 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 .4 2 , sz:, SITE ADDRESS: 442(, ?AKG5f??2? TdL2AGE OWNER INSTALLERNAME: k)GtiZCT- STREET CITY: Es}G4lJ STATE: I'IAJ ZIP: ?5?22 PHONE #: !'- - OFFICE USE ONLY L BL RECEIPT #: SUBD. CONTRACT PRICE: 1996 PLUMBING PERMIT (GOMMERCIAL) CITY OF EAGAN 3830 PILOT !(NOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for. ? all commerciaUindustrial buiidings. w multi-family buildings when separate permits are pM required for each dwelling unit. DATE: WORK TYPE: NEW CONSTRUCTION ADD ON REPAIR DESCRIPTION OF WORK: IS WATER METER REQUIRED7 _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETER S TO BE INSTALLED? _ YES _ NO. FAILURE TO PROVIDE THIS INFORMATION WILL RE3UL1' IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? _ YES _ NO. IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINY.LER PERMIT. FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per $1,000 of pgn339 fee due on ali permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: OWNER NAME: INSTAILER: ADDRESS: cirY: PHONE #: STATE: ZIP: SIGNATURE: APPLICANT OFFICE USE ONLY DATE• STE. # METER SIZE: ' DATE: INSPECTOR: CITY USE ONLY L _,LL BL RECEIPT SUBD. ??rS? DATE: V 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 Shower Water Cioset Eath Ts:b Lavatory Kitchen Sink Laundry Tray Hot Tub/Spa Water Heater Floor Drain Gas Piping Outlet * minimum -1 Rough Openings Water Softener Private Disposal ' Dekota Cty. license (new and refurbished systems) U.G. Sprinkler " nome unaer consl. Alterations ' to existing Water Turn Around 7 O 3.00 x •3, vv 3.00 x 3.00 x 3.00 x ? _ ?. rrv 3.00 ;c 3.00 x 3.00 x = 3.00 3.00 3.00 1.50 5.00 65.00 x _L x I :( !S- Y :( ? = 3.t& = S OTJ 3.00 20.00 20.00 STATE SURCHARGE TOTAL .50 SITE ADDRESS: 440E 1-14??#C5P-F, OWNER INSTALLER NAME• ?6A)ZA5- l VELOWlG4 C, STREET ADDRESS: /y?? 6q,4k?? P--40 CITY: ,?AVo&.) STATE: M/LJ ZIP: 637 2 Z PHONE #: ( 6/ Z ) 462 - 15bS &?d G? L BL SUBD. 1996 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: . ali commerciaffindustrial buildings. . multi-family buildings when separate permits are pg1 required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION ADD ON REPAIR DESCRIPTION OF WORK: IS WATER METER REQUIRED7 _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETER:i TO BE INSTALLED? _ YES _ NO. FAILURE TO PROVlDE THIS lMFORMATIOM WlLL RESULT IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? _ YES _ NO. IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINY.LER PERMIT. FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per $1,000 of pg ii fee due on all permits. CONTRACT PRICE x 1°h STATE SURCHARGE TOTAL ciTE nnpaESS- TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: _ cirr: PHONE METER SIZE: OFFICE USE ONLY RECEIPT #: DATE: SIGNATURF: OFFICE USE ONLY " DATE: STATE: ZIP: APPIICANT _ INSPECTOR: • - CITY USE ONLY L ? BL RECEIPT SUBD. ? us! DATE:? tlt) 1996 PLUMBfNG PERMIT (RESIDENTIAL) CITY OF EAGAM 3830 PILOT KNOB RD EAGAN, MN 55122 (612)681-4675 Please complete for: w single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EAj;H NLQ. OT Shower 3.00 x I - 3, oa Water Closet 3.00 x 3 = 9.00 83th Tub 3.00 x 3•0a Lavatory 3.00 x l2.6° Kitchen Sink 3.00 :c Laundry Tray 3.00 :c ! = 3.? Hot Tub/Spa 3.00 ;c 1 = 3. ? Water Heater 3.00 ;c ! = 3.? Fioor Drain 3.00 x Gas Piping Outlet * minimum -1 3.00 :t Rough Openings 1.50 :c = Water Softener 5.00 x Private Dispo5al " Dakota Cty. license 65.00 = (new and refurbished systems)' U.G. Sprinkler ` home under const. 3.00 = Alterations ' to exisnng 20.00 = Water Tum Around 20.00 STATE SURCHARGE .50 TOTAL 53.s-z> SITE ADDRESS: .4930 Lt1KE.SW02-4=-: Taaxlc-i? OWNER NAME: ya??A A.) INSTALLER STREET ADDRESS: 'g CITY: 5TA PHONE #: ( 612 ) 452' IS6 S ZIP: S5/2Z CITY USE ONLY r??? / L ? BL ? RECEIPT #: _1?7?'d l0 SUBD. DATE: "W 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: 3' 1a -74 ? 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) a ? State Surcharge TOTAL SITE OWNER OT S $ 20.00 24.00 6.00 G 0" .50 4?0 :50- PHONE #: 9y 9/ 1A INSTALLER STREET ADDRESS: '76val v27/ i CITY: 12114 S PHONE #: ( ) 5?.?s??GZ/ CfTY USE ONLY L ? BL ? RECEIPT #: 53? SUBD. a DATE: A/z? 77 7996 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 687-4675 Please complete for: ? single family dwellings / ? townhomes and condos when permits are required for each unit New construction Add-on fumace ? _ Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Date: Z/,1?fL FEES ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 • HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6700 ? ? Gas Outlets (minimum of 1 required @$3.00 each) ? State Surcharge TOTAL .50 SITE ADDRESS: ?1-va(D (4 /p??, nL OWNER NAME: UD! nxT_') PHONE #: dlE_i/` INSTALLER NAME: STREET ADDRESS: '7t, ,/( t ff'AW:W-.? g kQ ?"/ CITY: S STATE: N? ZIP: 0 PHONE #: ( ) bA"???67 ??r? CITY USE ONLY L ? BL / RECEIPT #: S//i2?3(0 SUBD. DATE: MI/ , y'<• 1996 MECHANICAL PERMIT (RESIDENTIAL) CI7Y OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (812) 681-4675 Please compiete for: ? single family dwellings ? townhomes and condos when permits are required for each unit _ New construction Add-on furnace _ Add-en air ^,ondi!iening Add-cn airnxchanger, i.e. Vanee system, etc. Date: 41' /Z 7 (o ? 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) 4?2 ? State Surcharge TOTAL SITE OWNER NAME: h OPek /l/ ?., d $ 20.00 24.00 6.0? 4!?? .50 di 86 PHONE #: INSTALLER NAME: Qtl!l - ffZEA- L;-' , STREET ADdRESE??°? , ? ??'a CI7Y: STATE:? ZIP:...??.?.? PHONE #: . / ' , . s CITY USE ONLY L ?L BL ? RECEIPT #: SUBD. DATE: 1996 MECHANICAL PERMIT (RE5IDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 687-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit New construction Add-on furnace Add-an air conc+itio-ning Add-or air exchanger, i.a. Vsnee system, etc. Date: J' IA" 44-=q ? 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) o? ? State Surcharge TOTAL !/p SITE OWNER $ 20.00 24.00 6.00 4 &;:;? .50 ;Q a W PHONE #: gy _9111?z INSTALLER NAME: LI `u' ? STREET ADDRESS???7 CITY; ?+S• STATE:? ZIP: PHONE #: ? La? SIIBD NEW RECEIPT KECEIPT DATE &/2//`c' TO JOB OW N PLEISE BE ADVISED THAT T'HE[iE IS A FEE SHORTAGE OH THE ABOVF' 1,7 '/-- w II.ECTRICAL IPSTALLATSON IN THE AMOIJNT OF $ U i DAT'E > ")-ik SHORTAGE KL6T HE PAID wHITHIN 14 b?Y5. REMARI6 ts= 31 to 100 amp. circuits= ?0 to 100 amp service= 1 101 to 200 amp, service= ?Q cu TOTAL FEE DUE= LESS FEE RECIEVED 2- TOTAL FEE SHORTAGE DUE = o?.,f .? PE?tMITl1 ORIG. RECEIPT1is7?? RECEIPT DATE RETU?tN A COPY OF TAIS FORM WITH REMITTANCE. City of EapR 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 ------------------ ? FoL `?. S?blJse I ? 50? 3 ? ? ? Permit #: 6 I ? ?jr1 . so ? Permit Fee: ? Date Received: j I ? I StaH: ? I -----------------? 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date:VCJ" V-)1' OR Site Address: Tenant: Suite iF: RESIDENT 1 OWNER Name:COaC JA?Z SYUJ? ? 7()U.JYth0YVU.S Phone: ? ? WCC Ll ' F j?? G . , i , l ' Address / City / Zip:. Applicant is: _ Owner _?& Contractor TYPE OF WORK Description of worK-iPar??? 0 w ? YIGtU4)?`?, i0 Mcz? Construction Cost:??J3 ?' DW. Mu Iti-Fam ily Bui Idi ng: (Yes No _) CONTRACTOR Namehqf'i_ CL?.i_1 (?jw ffilmefor$i xiry._ License #: ?? (obb5 Address: 0C6(Pc) 3t.lOLiuCLi, COD : 9D-33 0i Zi St t ( Itt2 ( p . a e: City: A?Ul Phone:5t50L_7Cn' v9"l Contact Person: ILllCAa' &JALcAY COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateporv 1 Minnesota Rules 7672 Energy Code . Residential Venlilation Category 1 Worksheet • New Energy Code Worksheet Category Submitled Submitted (V submission type) • Energy Envelope Caleulalions 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: tionsof NOTE: Plans and supporting dqctiments fhaf:qo'u submiYare<cons/dered?.'?o?ti,e;pu6ilc-idfo"rmation:" For ? the information may be?cla"ssffied as?non`pubLc lfyou prouide spe??f1G reasonsvtliaf ?vouldspermr#,fhe ??ty td- ., I hereby acknowledge that this infortnation is complete antl accurate; thal the work will be in conformance with Ihe ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application tor a permit, and work is not lo staA vrithout a permit; that the work will be in accortlance vnth the approved plan in the case of work which requires a review and approval of plans. X Ua.vIa S?l? e -?e ? X & ?- C-?u.-- ApplicanYs Printed Name Appiicant's Signature Page 1 of 3 CER TIFICA TE OF SUR VEY -__--?--? ? ?-? -?=----- --- ? - ??--- ----- -- ? -- I . ------- - I ' ?% (926.63) -- - - ------ ---- - 925.4- - -------? - -- -- - j ?- CRAltll.GE & ? T , ?? --- -- - _ u Pi i 1r rasEr,IFi iT - _,-- ----?- ? ? ?? ---- -- ---- ? ? . i 02a oi) (ezs o) 2480 929o0 922.7 , O4 , -- jj 1'0 ! oo Eo ? ??6 0 53?? °? ° ?._ s. a k ,.oD p0 W ? , j s2z.? 0 0'Sh E ,? ?' 25 'z ° o ' ,. ? o." -4 ?;,?-__ Nos?ia'Se•w ? g30? o? r? r - aco ? .za..3e--------- 4 o (929 ao) ? \ ? o0 ? (927.0) ° 0 24 1 0 ?i / ?'\ I ?? 80 26 ,." g° ,n6 ?° \X' o o d 4426 0? o, si o505^ E SERR? h??a °0 ?I o ? 4,? ? 28 >\ o ???'3? eoo 4 ? 0 53on b V(927 8) I ?' 1 ,n 929 OB ? 27 , ? o ,o0 9z? (D 1 6' ` ?V `Zi?? 1 N°0 8 2o W , or, oa ? ?? ? ? ?? ?? •? Q ? 5-500 ? i \\\ ? \ `? 922J to y I ' 1 (926 5) 4. q ' .? 926 86 t?? , i _ o? I N; m . , ?C)? ? ? (925.31 iC) \ r? I Top ol Irons 9 Offsefs --? 924 _ si ? 11 AO 9.00' Burlding Offset xxx.xx O8 10.00' Building Of/set xxx.xx OC 9.00' Building Offset xxx.xx DO 10 00' Burlding Offsef xxx.xx LEGAL DESCR/PIION: Lots 25, 26, 27 & 78, Block !, CLlFF LAKE SHORES, occording to the plaf thereof, Dakota County, Minnesota I 930 0 Denotes Sanitory Sewer Service Inverf • Denotes iron monument Iound o Denotes von monument set 8eorings 6osed on assumed dotum. I hereby certrfy thot this survey wos prepared 6y me o/ under my direct supervis,on ond thot ! om u duly Registered Lond Surveyor under the laws o/ the Sfate o/ Minnesofa. ? ? - -- - ? -<<. ' Mortin J. Weber, R L 5. Dote Registrobon NQ 12043 KF(1UESTFf> BY. HOFIGMAN HOMES /NC. w Westwood Professiono! Services, lnc 74780 CUest 7runk Hwy j Eden Prairie, hifJ 55349 (6I2) 957-5150 Revised. 10103195 Crty Revisions lirown by MS nute: 9128195 JoG Iva. 95198 Lofs 25-28 8locl. 1 ?--? \ - I ? 02 ? I7EPT. GRAPHIC SCALE 20 0 10 20 • '.4E ( IN FEET ) 3Y 1 inch = 20 ft Top ol Block = 92920 gES:p dnotes exislrng elev Garage Floor = 92820 (865 0) denntF-s P?,-fpnsen1 elev denotes surloce droNnoge ? 8il25-28 Oit'G Lots 25, 26, 27 & 28, Block !, CLIFF LAKE SHORES, occordinq fo the pfat fhereo/, Dakota Counfy, Minnesota 950.0 Denotes Sonitary Sewer Service lnvert • Denotes iron monument /ound o Denutes iron monument set Bearings bosed on ossumed dafum. 7 hereby certi/y that this survey was prepared by me ol under my drrect supervisian ond tbat I am o duly Registered Lond Surveyror under the laws o/ the Stote o/ Minnesota i ( •('. Mortin J. {4'eber, R L S Dote Registrotion No 17043 HOFFMAN HOMES /NC. w Wsatwood Professional Services, lnc 74780 LUest 7runk Hwy 5 Eden Pruirie, M1IfJ 55344 (677) 937-5750 Revised 10103195 City Revisions Drown ey: MS 1 U"j f e: 9128195 1 ", "O 95198 Cots 25-28 81ock 1 vnr?rni?. Ok,tii.,n •L 61? ti0% ?q zo o 10 Za q,[.Y ( IN FEET ) IY 1 inch = 20 (t. ? ?J Top o/ Block = 929-20 denotes existing elev. Goroge Floor = 92820 (865.(1) dennfes prnroseri Plea denotes surface droinage REQUESTED BY: eRzs-2s n3c : CER TIFICA TE OF SUR VEY - --1 CERTIFICA TE OF SURVEY _-,-? ,- + ? ?J - ? ??---- ----- --? - 1_ -----? -? '? =- - -- -- - - ?-? ? (92663) - ---f _ _ _ - - / --- _ 925.44 _ - -- (iRA l(I ('?r & 7? _V- ------ ------- - ? , _ _ +-- - 44 ?33 UlllilY C<SEhdFItT - ---- \ I ? -?' ?--- - / , ? ? ? t,926.01) (e28o) ?. 24.80 % 6' ? B 929 00 ' 922.7 ?6 LO OU o `?- - - Cp 5o ? I OD ? "S s? f °` o °? appD u? ,??} ? i ? 2 ? c0 1 j 9227 25 ° oa, 1 \\r? q o , , ? ''1 ? ? N4fi°? -__-. ±59 W O 1 c30? NN A r. - aGO ? ? J 3e1e------ 442 ? r x r928 ao, i ? \\\ (927.0) ?°o\ o ?q0? o o .,- ? %1 1 927.80 ?j 6 ? :` ?. 4 ? °`26 SN?R ? KE A E P o?_ ?, a S?oP5?5 SERR G? qh2a o? °? 28 ? ` ?. \ ? - p\ Ga ? (n w s{ ?o ? o zooo ?----? ; 929.08 ? (3) 27 6 !00 N a 20 W , , On ? Q O O? ? , O \ ezz.? ? ?; I , ? \?1 (926.5) •? 926.86 ? ? I him , , I ' ? .37 Top of Irons 0 Offsefs (925 ?., 924. s AU 9.00' 8uilding Of/set xxx.xx -- - - ?c--- I (926.10 TC) O8 10.00' Burlding Offset xxx.xx OC 9.00' Building Offset xxx.x)( OD 10.00" Building Offset xxx.xx LEGAL DESCR/P AON: L o t s 25, 26, 27 & 28, BI ock 1, CUFF LAKE SNORES, occording to the plat thereof, Dakota County, Minnesoto I 930 0 Denotes Sonitory Sewer Service Inverf • Denotes iron monumenf /ound o Oenotes iron monument set Bearings bosed on ossumed datum. 1 hereby cerfily that fhis survey wos prepored by me ol under my Oirect supervision ond fhof ! am a duly Registered Land Surve}ror under ffie laws o/ the Sfate ol Minnesota. ? i ? Martin J. L4'eber. R L S Dafe R{ ? rED BY TFMAN HOMES INC. ? Weafwood Professional Services, Inc 74780 4Yest Aunk Hwy 5 fden Praine. A(N 55344 (1517) 937-5750 Revised. 10103195 Cify Revisions Diawn by MS Uute. 9128195 JOD N'° 95198 Cots 25-28 Block 1 vo 8?E1C'v T GIIVEE?YG ?FPT -- ? ,- - - GRAPHIC SCALE . ` ? i E D :-- --- ------- - Zo 1 ,a za w E Y 1£ ?? 9y ( IN FE'r , /? ?. ?c ?jr ? ? • 1 inch = 20 " 1A T, f Block = 929.20 8650 denotes existing elev 6?. ae Floor = 92820 (8R5p) denotFS prnposPri PIPv ? denotes st.rlace drainnge 811?5-23 DWG CER TIFICA TE ?--?? ?-?- -- _ - -- - - \ ? --- ---- / ? lr9z6.oi) ? 24.80 ,? 922.7 \ . _ N46°1d59'W \ ? o ?\\ °\ \ (927.0) ° o ? 92780 ?. w ? ?. o 0 \\ ? ?, o i OF SUR VEY ' ?. .= (926.63) ??. 925 44-- 4a, --- - ? w ._ 6°N ? N lj? r ? ?q o 1 7 OD - oo S7 , _y3 oa ? W 24 ?? 1 p 26 -"?R? A?26 ?PK 5AN \ D T ? ? e oo ? ° ?\ \\\ v? `? ? 1 N o 27 . . ? ?IT • ? • ?j p0 ?? (926.5) ,?? ? ? 926 86 ? ? I ? I Too o( lrons 0 Offse AO 9.00' Building Of/set xxx.xx O8 10.00' Building Offsef xxx.xx CO 9.00' 8ui(ding Oiiset xxx.xx OD 10.00' Building Offset xxx xx LEGAL DESCR1P770N: Lots 25, 26, 27 & 28, Block 1, CL1FF LAKE SHORES, occordrng to fhe plat fherevf, Dakoto County, Mrnnesofo 930A Deno[es Sanrtoty Sewer Service /nvert • Denotes iron mortument /ound o Denoles iron monument set 8eorings bosed on assumed dotum. ! hereby cerbly that this survey was prepared by me ol under my direct supervision and fhat ! om o July Registered Land Surveyor under the laws oI the Slale o( Minnesota ? ? Mortin J. V4'eber, RL S Dafe Registratron No 12043 RF(7UE57[D BYi1 r , I I 1 I A (927 8) I 92908 ? ?_. _. / 1 io Tc) 512n nrr 2 .. m 0 notes existinq eJev (Ffir (1) rfPnnti-q .r-,p,,aari F1Pi deiroles 5u!/ace draioag2 HOFFMAAI H4MES INC. w Wealwood Professiona! Services, Inc 74780 CUest 7runk fiwy 5 fden Praitic. A!N 55344 (617) 917-5750 Rewsed. 10103195 Cit}, Revisrons fbown ny: MS I Drite. 912819-5 I Jab No. 95193 Lofs 25-2f3 Blo, (925.31 TF -?.9\ s I og%?!'? ?- t ur, L ? co S ?s f-0 a L , -??-- x (92840) ? -' no ? 2? ?) O `i I ? , ? , , I • I h? o ?q , I' ? ; , ;. ---_ -? -?..i - -- I --------- I- vp _ __ _ _._. - . - -- \ r ?i ?' ?Jk.Il`7G 17EPT ' = `__ ?---- t,??------- -- - - -- - - GRAPHIC SCALE EACaAN zo o w zo ?V? V4•E d .. . .? ( lN FEET ) SY ?? 1 inch = 20 ft Top o/ 8lock = 929.20 C-arnqP FInnr = 9?8 ?(1 53 p0 - , ---- ? -- ---f?= _ ,--- i - --- , ? - -` - ? , DRAIfIGE & - T UIII IIY FPSFPdFfli ? (9280) O2 92900 25 i` PC? 5j o0 I?RR qA2a o ? ? 1\ 28 0 BiL25-28 DttG Oct 07 2014 0827AM HP Fax page 16 Use BLUE or BLACK Ink �----------------- � For Office Use � � j Pertnit#� ��lY� I C�ty of Ea�a� ; /��; i Pertn�t Fee: ��[ � 3830 PIIOt Knob Road Eagan MN 55122 � Date Received: � Phone:(651)675-5675 I I Fax:(651) 675�b694 I Staff: I 1 I L��J 2014 RESIDENTIAL BUILDING PERMIT APPLICATION �� Date: J� � � � SiteAddress: �Z� �`�Z(�° `�yL� `f�3C� �`�� Name: ��°�� Z��u:� /� /,f, �- Phone: Resident/ Owner Address�city�zip: ' S�t— Applicant is: Owner �"��Contractor f Description of work: �� - s' .�' r 'x;,•� °`''�. Type of Work ,. l, Constructipn Cost� ��S�y Z" ��✓��` Multi-Family Building: (Yes ��No_� �°' � � � � �°"° �, � Company�s" �'a,�,r°°sv.-.�.`�,c.�,�,��?�''�-�� Contaci: � ;�"�a�,,��.,�:�_.. COr1�1^BCtOf Address`� '-'L� �.±'�•''�;r��r,�,tl� t�-sJ' 5.��'��•, ;;?�� City: ri�tif`d.��'>�� State�� Zip: .�- �;� Phone: �r �� %�' ? ��J Email: :��'E.r� °�!'e.��`:� °GS.�:��' - '� � ,� �, •^ �icense t�� D�°�'P�/,;� �ead CeNiticaie#: .��'!��'"�� ' � If the project is exempt from lead certlficaiion, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 mo�ha,has the Clty of Eagan Issued a permit for a similar plan based o�a master plan? _Yes _No If yes,date and address of master plan: Llcensed Plumber: Phone: Mechanlcal Contractor: Phone: Sewer&WaEer ContraCtor: Phone: NOTE:P/ans and supporting documents that you submit are consldered to be public information, Portlons of the/nformatlon may be c/assifled as non-�ubl/c!f you provlde specific r�asons that would permlt!`he City to conclude that the are trade secrets. CAL� BEFORE YOU DIG. Call Gopher State One Call at�651)454-0002 for rotection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. wwn�v.4opherstatvnnecall.o�a I hereby acknowledge that this intormation is complete and accurate;fhat the work will be in conformance with the ordinances and codes of the City o( Eagan; lhat I undersland this is not a permit, but only an application fo� a perrnii, and work is not to start without a permit that the work will be in accordance with the approved plan in the case of woric which requires a review and approval of plans. Extertor qthortzed by a bullding permlt issued In accordance wlfh the Minnesota State Bulldlna Code must e completed wlthln 1 Bp day perml�'(gsuance. �s°^^'.-'�"'� �f ��..: --�` � ..__ ,�. � °'``� : 1 X �_ . -. . ,rr„„",�.., ....pR.,..._.... � �.-` �`�.d.i l',.,'�.__-... � .�`�--'`1.' X ��_�_�'�---'•-_ " l.......... Applicant's Printed Name ApplicanYs Slgnelure � Page 1 oi 3 Use BLUE or BLACK Ink r————————————————� I For Office Use � ' � Permit#: � � �� Clty of �a�� ' ' , �>--- � � Permit Fee: � 3830 Pilot Knob Road � � Eagan MN 55122 � Date Received: � Phone: (651)675-5675 I � Fax: (651)675-5694 I Staff: I I � 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ��' ��S� Site Address: �� `�'�'�� 1��' �� U�n t#• � � ��Name.�.. . ��I�Y�� _�.. �,��.�� .��.��.o✓LS ��.�o.�.��_��,,�_�,,,�,..��Phone:..��.o.��.�._��.,�w...�..w, .�..�� R�eSid��tl € � � a��Er, � address i c�ty i z�p: .i� � � �' Appiicant is Owner Contractor : ��,qs,�.,...,��,�.�a.��.�,�.�,�,,�..�.��, - ,�.�.�...� ��.A.�d�e,.�.��,�.�...,.,�.,r..�.a�.�...��.._.,� � ` Description of work: �iVz� � �, T�pe a�1�orf� �' $ : � Construction Cost: Multi-Family Building; (Yes /No� � �� .��.�.:�� ,. ,.,.�.�.�.��.�.,,..��..�._4�.,�.�.�. I � �w.,�...�.,�� Company:�Gt/�t� (�{�fi�+� (��G�1� ��ic. Contact: �f ��t r�� , e ��'_ # � Address �Sab ��G�J�w�� (✓� � sui�� .�s/ City: l � � � � CQ11�1'�Cttf!' � Q,, ,y r � State:�Zip: �Sy�'� Phone: "7�3-S.f�.vn'�1 Email: �j� ��ot��.I,��?uyw/L�9s�cr"1 � License# �G �� .3 Lead Certificate# � If the project is exempt from lead certification, please explain why� M��+��N��m�ry��m��M45N � � —- .�.�.�.��N..v.�..�.��,.,�.��.�.��.��,.�.�,,�.�,�,.. ��..��,.,,�.... .,�..� .�.,�,..��....�..� 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? � � � 1 Yes No If yes, date and address of master plan: � � � � Licensed Piumber: Phone: � Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: �� Fire Suppression Contractor: Phone .n,.�.N�TE:P��l#5 c'�f�C�5it�?¢�O#�i��I�OCd1�31�T�t��7c�y0i�5�1�1��!`@ CO!?S�`��8t�f�U�b@�?�l=��!1�-�!'��`�"�, Fnx�r��s o� �� the inf�ort�a�r�a�r�aay be c/ass��`�ed as n�n p�ab��i��r�pro�i�s s�ec�c r�a�+o�,.s t�at�u��t per��t t�i�Ci�ty t� co�cl�al��I�t the ar+e trade��cre��. M �� 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.qopherstateonecall.ora 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 p�ans. Exterior work authorized by a building permit issued in accordance with the Minnesota S t Building Code must be completed within 180 days of permit issuance. r` `-�. X �l.f�f T Yr��..� n X Applicant's Printed Name Appli s Sign ture Page 1 of 3