4441 Lakeshore TerIl \S.
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
± . ,
SITE ADDRESS:
tFf' IA Kf ';li0 llE:S
I PERMIT SUBTYPE:
iCORD
PERMIT TYPE:
Permit Number:
Date Issued:
H01414Aat »oror?; fM,
1 431 :1 1 H'a+! -9rt($7
kr1.1 , 1. ?11 w,
0 3in: Q
t?'It7I??
TYPE OF WflRK: rjF W
INSPECTION „ . .•
; , s.± . ? . .
I (•rAi?KS: %W b f'UBt Wftt'lE't 11lF114ANfAl Pi AN a•'???)t i•11 t1 6'/ .){lE Vt+f i
7-1
; . ;
i
;
---?
-- - - - - - -- - - - - - -
p i1irkt .
Permit No. Permit Holder Date 7elephona M
ELECTRIC
PLUMBING
HVAC
Inspection Insp. Comments
FOOTINGS
!
G6F
FQUND
FRAMING l ?
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST ?
ROUGH
HEATING
?
GAS SVC
TEST
INSUL ?
GYP BOARD
FIREPIACE
Iv
FlREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
u?}
BSMT R.I.
.
BSMT FINAI
DECK F7G
DECK FINAL
iNsPEcTloN REcoRn
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: 414:
Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 .
SITE ADDRESS: APPUCANT: '
i FEt ;,i.c ,NbRF'z . • , { ? H114-4rtNl
PERMIT SUBTYPE:
TYPE OF WORK:
Fi.E $t; ,p !v'i' t O N
? ??
?RO f A I i t i,L
INSPECTION DA • .•
i
? 'lofrK , s _Sf:la ('I I.IWHER
WFNIF1. ME1'litiNti Ai P1l4A# 14F.V1r WfIl i'iY 70i.' V(lf t-s:
?
?
Permit No. Permit Holder Date Teiephone It
ELEC7RlC
P4UMBING
HVAC ? 5 ?00?7
Inspectfon ID-61 Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING ?
PLBG
AIR TEST J ?
ROUGH
HEATING
GAS SVC
TEST
INSUL r_z1?1S
7 ??
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG r( ?
?
ORSAT
TEST
BLDG FINAI.
BSMT R.I.
BSM7 FINAL
DECK FfG
DECK FINAL
_.r--?-y-?--
? .? ? A
? . .
W-tr#tfiCQte 4f CCCnpti1tC4
(Fitv vf Wagan
Tcpartmeut of 14uiibixg 3a50cc6oa
This Certificate issned pursuant to the requireneents o,f the Uniform Building Code
certifying that at the time of issuance this structurn was in compfiance with the various
ordinvrzces of the Ciry rrgulnting building construction or use. For the fa!lowing:
Uae Ctassification: SF DWU Bldg. Permit No. 3 1424
0-wMr Trpe R-3 U- I zonia8 a? P.D. Tya coM? ?7
Ownerof Building H?F'? ? Address 2214 E. 11? ?, ?+y'?a'
Huilding-Addtess 4443 LNT-?M IM tooliry, I. 13, B 2, MIFF 1AIKE SUM
Dur ,
Buildiag Official / /?-.
POST )NA CQNSPICUOIJS PIACE
?
?
Wer#ificate of Cccupanc?
Wiiv of Cfagan
?cpartracut aF SKmiug 3xdoection
This Cerrificate issued pursuaru to the nquirements of the Uniform Bailding Code
cenifying that at tlre rime of issuarsce fhrs structure was in compliance wrth the varrous
ordeRarsces of tl+e Ciry regulattng building construction or use. For the following:
ux c,miskatxm: IW D'dG swe. Nffnit r,o. 31426
00-pancy Type R-3 U- zunina oisaia P.D. Type comc?
2214 E. 1 I71H ST BMW=? Md
QwecrofBuifding HOFFM BOMES r?ewr
auiimag namms 4441 IAKESHORE IFR Local;ry L 14, b 2, r?T I.AiT 3-CM
? Dmc
eoamng oRwW
POST IN A CONSPICUOUS PLACE
? 2006 RESIDENTIAL BUILDING PERNIIT APPLICATION '?c?
? City Of Eagan
3830 Pilot Kno6 Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-3694 '
NewConstruttlon ReQUiremens RemotleVReox Rewiremen6 Office Use Onlv
7 regiscered sAe surveys shamng sq. ft of loG sq. R of house; and all rafied areas 2 wpies of plan shwieig footlngs, beams, iasts Cert of Survey RecG Y N
(20%mawmum lot caverage allowed) 1 set af Energy Calalanons for heated adtlitlons Tree Pres Plan RecC Y N
2 mpiw af qan shwnng beam 8 wmtlow s2es; poured fwnd desgn, etc i site survay for aEtlitions 6 decks Tree Pres RequireC Y N
lsetofEnergyCalMaaons ACdilion-mdcalaifon-yfesepbcsystem On-siteSep6c5ystan Y N
3 copies of Tree Preaervatlon Plan if lat platled afler'711193
Rlm Jdst Oefail Opfions selec0on sheet (builtlinqs wtlh 3 or lens units)
Minnegasco mechanical vennlacion form
DaTe /o / o! / 0181
Site Address IN?c3 f 77
Construction Cost r
Description of Work 17r()L/I I,/t,L4((/4 -_1C4&W Y_)l 44!,()
Muiti-Family Bldg __? Y)_ N ' Fireplace(s) _ D _ 1 _ 2
#
ProQerty Owner Mbd 11111A J7'elephoue # (9? ?
Contractor I IC,/VV-UU(U-/
Address City.
?
Smce uw zip Telepnone 4 (
?
CaMPLETE '7'H95 A9ZEA ONLY 1F CaNSTRl3CT7NG A NE'N BL3lLDi1dG
Energy Code Catagory r M'n°esaa Rules 7670 Cateeorv I _ Minnesota Rules 7672
(? submission type) Residerttial Vernllation Category 1 Worksheet • New Energy Code Worksheet
Su6miCetl SubmitG,W
• Energy Ernelope Calcul3tlans Suhmitted
In the last 12 months, has The Ciiy of Eagan issued a permif far a similar plan based an a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanicai Conhactor
Sewer/Water Contractor
Telephone # (
Telephone #(
Telephone #( )
I hereby apply for a Residential Building Permit and acknowtedge 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 chis is not a permit, but only an agplication for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in th case of work which requires a review and
approval ofplans.
l?7l,v I a- Vohs
Applicanl's Pratted Name Applicant'? Sign'pture
%,•' '" LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTY LEGAL:
? ? DATE OF SUR EY: a
LATEST REVISION:
DOCUMENT STANDARDS
J ?
-'
q ? • Registered Land Surveyor signature and company
? • Building Permft Applicant
O Q • Legaldescription
?
p CI ? • Address
m-'? ? • North arraw and scale
2"0 ? • House type (rambler, walkout, split w/o, split entry, lookout, etc.)
[a-'o ? • Directional dreinage arrows with slope/gradient °k
m?'o ? • Proposedlexdsting sewer and water services 8 invert elevation
? ? ? • Street name
M?' ? ? • Driveway
ELEVATIONS
Exastina
r?o ? • Sewer service (or Proposed)
[a-? ? ? • Property comers
D-?? ? • Top of curb at the driveway
? 91'?13 • Elevations of any ebsting adjacent homes
Pro s
? ? ? • Garage floor
0? ? ? • First floor
? ? ? • Lowest exposed elevation (walkout/window)
? ? ? • PropeAy corners
.e? ? ? • Front and rear of home at the foundation
PONDING AREA fif aoolicabiel
? e1, o • Easement line
O d' 0 • NWL
? e^ O • HWL
? ? • Pond # designation
? ? • Emergency Overflow Elevation
DIMENSIONS
u'o ? • LollinesBearings & dimensions
a' ? ? • Right-of-way and street width (to back of curb)
2-'0 ? • Proposed home dimensions inciuding any proposed decks, overhangs greater than 2',
porches, etc. (.e. all strudures requiring permanent foatings)
p-'? ? • Show all easements of record and any Ciry utiliUes within those easemenls
m' • Setbacks af proposed structure and sideyard setback of adjacent eristing structures
? ? • Retaining wall requirements, if any
Reviewed: D e
`
January 1996
CRAIG1999rHLIX3PRMf FM
czrv nr FA,nN
CASFISEf'tu 5 TE:RM7'.NAL. NOc 891.
I?ATEr, 02%1'?/98 'iTMF; 14,:12e3`;
T.Ii ,
NAMEc HQf-FM(aN I-IOMES ]:NC
2256 9001 4441 !_AI:EiHC7RE: fia42:1.,.46
i:.'.'r'.SF:, 9I301 4443 I...AI•:ESHORE 1,42:1.46
Tul:a7. ffr?rc1Dt F1Rinlln'I;; Bv84i ec32
CROf1639:5
USER TIiz NANC;Y
PERMIT
-<yOITY OF EAGAN
? '383A Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMITTYPE: BurLozNG
Permit Number: 031426
Date Issued: m 2/ 17 / 9 8
SITE ADDRESS:
4441 LAKESMORE TER
IOTs 14 BLOCK: 2
CLIFF LAKE SHORE3
P.T.N.: 10-17785-140-02
DESCRIPTION:
??r. ZERO LOT LINE
j',- '-?-:?
Permit Type
SF
DWG
i3A!*Vqrk Type NEW
? k1BG tdc?ca?+?t?c?? R/3 U/1
e VN
PD
? tj'
_o-ffi; ss
,
,M se ,
102 1 - FAM. ATTACH
cF
??' .. .
REMARKS:
S&W PLUMBER:
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
5AC
SAC ?
SAC Units
Subtotal
WENZEL MECHANICAL
VAWATION
$1,067.25
$693.71
$68.00
$1,900.00
100
$2.828.96
PLAN REVIEWED BY JpE VDELS.
$136,000
MISC. FEES $1,592.50
7ota1 Fee $4,421.46
CONTRACTOR: - Applicant - ST. I.IC OWNER:
HOFFMAN HOMES SNC 18949807 0009284 HOFFMAN NOMES
'A1214 E 117TH 57 2214 E 117TH 5T
BURNSVILLE MN 55337 BURNSVILLE MN 55337
(f)12) 894-9807 (612)894-9807
ISSU BV: GNATUR
J H O
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD • 65122
681-4678 ? ..?
New Construction ReauiremeMs
? 3 rogistered sRe surveys
? 2 copies of ptans (includa beam & windav saes; poured fnd. design; etc.)
• 7 energy taleulations
? 3 copies of tree preaervation lan if lot plaCed after 7/1/93
required: _ Yes NO
DATE:
Kemoaevneoair rceauiremerrcs
? 2 f I Ll?g I -
o `v
eopreso pan
? 2 site surveys (exteriu eddlGons 8 dedcs)
? 7 errergy calwlations for heated addkions
a )?
CONSTRUCTION COST; ?'?'?,?0? ??? • P??cl`f 1le?ml
DESCRIPTION OF WORK:
STREET ADDRESS: i'l'-r`-I \ Lp1U; SNan-k l(yR.A-AC<5
LOT: ?''f BLOCK: ? SUBD.lP.I.D.#: l0-1??85-?'1?-0"? C??FF ?-iA`(E S??S_
PROPERTY
OWNER
CONTRACTOR
Name: fAoMCS ?7J1C. Phone#: Sb?i`{-`'150?
Lest First
Street Address: G-G • t S"C
Ciry ? ?rt.?-? S ?: Lc-c? State: MJ
Company: SAMC- Phone#:
Street Address: License 4
City
Z;p: S?;33-+
I Z's
Zip: _
State:
ARCHITECT/
EPIGINEER Company: M• a ti'E To t-?? ?E S ??, rj Phone #;
i L4- l ? 4-,.x-LA
Registration tl:
Street Address: SD LJ Z( O
City ??r?,-1k!la556.?.J State: V'"11,1 Zip:
Ss 31?}
Sewer & water licensed plumber (new construction ony): Penalty applies when address chang
and bt change is requested once pertnit is is5ued.
1 hereby acknowledge that I have read this application and sTate that the
State of Minnesota Statutes and Ciry of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received - Yes - No - Not
agree to compty with all applicabl
?? 9 098
?----
?:,n«..,.. , ..,....?
OFFICE USE ONLY
BUILDING PERMIT TYPE
O 01
42l'-02
? 03
0 04
? 05
WORi
cW-31
? 32
Foundation ? 06
SF Dwelling ? 07
SF Addition ? 08
SF Porch ? 09
SF Misc. 0 10
:TYPE
IYew /
Addition ? 34
Duplex ? 11 Apt./Lodging ? 16 Basement Finish
4-plex ? 12 Multi RepaidRem. ? 17 Swim Pooi
&plex ? 13 Garage/Accessory ? 20 Public Facility
12-plex ? 14 Fireplace 0 21 Misceilaneous
?f?s - ' ._-------'
Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) :V-A,( Basement sq. ft. 14101 MC/WS System °?
(Allowable) N Main level sq. ft. /. 7V2 City Water
UBC Occupancy •? li.? Sq. ft, Fire Sprinklered
2oning P•b sq. ft. PRV
# of Stories / sq. ft. Booster Pump
Length ? sq, ft. Census Code. / OZ
Depth Co(e Footprint sq. ft. SAC Code O/
Census Bidg /
APPROVALS
Z Census Unit _L
Planning Building
? En9ineerin9 Variance
Permit Fee '
Surcharge
Plan Review
License
MCNVS SAC
City 5AC
Water Conn.
Water Meter
Acct. Oeposit
5NV Pertnit
S/W Surcharge
Treatment Pl.
Park Ded.
Trails Ded.
Other
Copies
Total: .c..•/ 3. , ?s.
?
t
? +
% SAC !' y
SAC Units --?:
Valuation:
;z -
$
?
r/Pt",
?11d.
?
6129344305
. fytItANET01JKA UESIGT,!
EX7ERIOR _
EF1yfLOPE AVERqGC "ll" COM('IITA'f10N PAGE 07
• -_ • - --_.._.__..........__ . .......
f;?WNER •
nnrr
517E ADDRESS:
1f PHONE:
CON7RACTOR: Ito - .n?AN
PI1W
Determine working square footage af each
1. Total exposed wall area..... ?8y ?, ?
sq. ft, x .11 = ZfJ? .CYL
2. Totat roofJceilin5 a
rea..... ' u.P sq. ft. x .026 ='4Z.,71
Total exposed wa11 area above floor=? ?,2.
a.
' Total wdll window area
b.
c
Total
Tot
l .,
door area.. ..?........?.......?
"....?.
................... 1 Zl, 3
.
d, a
TotaT
...
sliding qlass door area..
firePTa
1
.........,.'.
....
................. 3-7,? ?
....
e.
f Total ce wa
1
wallframTng areae(avera9e 10%) " " " " "
. Total ..
rim Joist ared.. " " " " ' " '••-••••••••
9•
h net wall area above fl oor ........? .....
........
... ?
..
............
.
? ......
wall
area d6ove floor ..........
.. . . ....
...............••
. .
wa1] area a6ove floor ... " " " '.••••••••.
J• frame ........
wdll area at foundation.............. ..........::::::::::
Total exposed foundation area=
k. Totat foundation window area...,,,
.
1. Total net foundation area ahove gf^ade ,
, ..............?
Determine "u" vaiue of each wal1 segment
Ce•9• Window, door, each separate wall sectipn)
x
, - Co Z.3'1
-------?..?
b•-??,?-? x „r .4S ? 1t??q
C. 10,?
x ..U„_
d---------- X ?lUl, '
e. 131 t X
f. i?O?l, lS x
x
h
;
.]
-----?..?
„U„
--- `--._
„u„??? _ 49 --_--?---- ,
X 'lull
x „u„ ?
X "U"
k. x Ull
3
x . Il
u , ?CP'
...........................
= ?'???lS
If item 13 is the sa
as, or less than ite
f'1, you have met the
intent of SBC 6006 (
-- --- - --- ? ? - - -- ?
?
;+?311995 10:13 6129344305 hIIh1NETONI<A DESIuN PAGE 98
' s" . _ ,r .
4. TOTAL LXAQSiO lIQOK/CE ( L) N0 CALCUl.A710fIS s '
Total expossd roaf/eai11nq area....... (p'L sq ft
]) Total fkyliyht aq rtt x"U" "
k) Total roof/eal l lnq Pr+ning '•„ ?QZ? • » 3°l
U
araa (Avenoe lOh) .... .. ? 2, sq 1't x'„
1), Total neC Insu]ated • 1?,??
- -sR ft x"U"
. rool/cet l Tnq area...... .. ?
4. • h TOTAI. J) th ru 1) 33? ??p
If total oF !4 Is the sama as, or ]nss than P2, you have met the iniant af
2:tCAR 1.16048 A ecnd O.
. ? , . '
. i , .-
ALTERAA7`E BUILDING ENVELOPE OEStCN . To utillxn thw catal envctlopn systam Pethod. •ihe values esbbl•ished by thQ sum
of ltams E3 and 14 shall not bn greatec thatt tha suoa'of Icews i1 u+d PZ. . .
• 1' - '?' a•
-' 3• ' .' .} ,y. _ -'- - '
- - . • .
. y
i I
. - . ,? . ' . . .
,;/1b95 10:13 6125344305 MINNETONKA DESIGN
LINEAL FEET EXPpSED WAGL
BLOCK:
KNEE:
WALKOUT; 3?
FU4L 1: \(_p7 ,v:?,
EUG[. 2:
FIREpLACE:
RIM: `&1i Is
* SQQARE PEET EXPOSED WALL A&EA
BLOCK : I(y?? ??
.Q
x .5
KNEE: x S a
WALKOUTs x 8 a 34`?
FULL 1: x 8=1
FULL Z: X g =
FIREPLACE: x a
BTM:
-
TOTA
L
IC
?
C
?
SQUAAE FEET ERPOSED CEILING
9
-
D
WINDOWS: DOORS: 3-7,r4
2(A4 1-H1' 11 rsc) .`..?
?y?? ? ????Z PATIO DOORS: ???t-
z(3 scz)
3Q5 Q I `? g? BASEME;iT UI3IT5:
?.?A4O II ??'??3
r,-, ,Gs
-- SKYLIGHTS:
_ ??
}2?.3
PAGE 09
f e
c:tTv nF EpcnN
CF1iH:I:EF'{° !:i rEr,rsrNAi... N n."? e91.
T.:iA7Ea 02!0198 T'[MF; 1.0003
ID r.
NAME,., 1101=f`MAN I°IQt4r-?'3 LNC
2256 9001 4441 t..AFtEaFIORF. 4,42:1.36
2256 9001 4443 I.AI;[SFIhFiE 4,421.46
.f
I'
Toka7. F;ec:eipi, Amourrt: 99842.92
'•.';ftO86335
UFiiF..fi ITi; NANCV
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road
l Eagan, Minnesota 55122-1897
(612) 681-4675
PERMITTYPE: BurLplNG
Permit Number: 031429
Date Issued: 0 2/ 17 / 9 8
SITE ADDRESS:
4443 LAKESHORE TER
LOT: 13 BLOCK: 2
CLIFF LAKE SHORES
p.I.N.: 10-17785-130-02
DESCRIPTION:
ZERQ LOT LINE
Pi:7'11t!`I%i'4.,Permit Type 5F DW6
p.rk 7ype
?.G:,4
MEW
=UBt` t?eb,?i?f#l4?j?s?
' R/3 U/1
^
?;.,,`C.ons VN
? Zatt;ing.
- P D
,
Bii-f]cf?mg; ti:`evoYi' 38
. ? 0 u7.1
d
1
?'? 66 ,
v+9
?{
$?
rSrCD. vby*S
F
??41tiS@-'
?i RY?? I
y
?
?
*Zla 102 1 - FAM. ATTACH
?' ?
? ?'?v ? an
REMARKS:
SW & PLB:
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
SAC
5AC ?
5AC Un3ts
Subtotal
WENZEL MECHflNIAL
VALUATION
$1.067.25
$693.71
$68.00
$1,000.00
100
1
$2.928_96
pLAF! REVIEWEO BY ,70E VOELS
$136,000
MISC. FEES $1.592.50
Total Fee $4.421.46
CONTRACTOR: - Applicant - sT. LIC QWNER•
HQFFMAN HOMES INC 18949807 0009284 HOFFMAN HOMES
2?14 E 1177H ST 2214 E 117TM ST
IfURNSVILLE MN 56337 BURNSVILLE MN 55337
(612) 894-9807 (612)894-9807
`bn 3.s ItcnAl"=;
K
BY.
1938 BUILDING
New Construdion ReaWrements
Name: N ,)F1f e,na..l -L-S C , Phone li6`1 `{
I.avt First
? 3 mgistered site surveys
? 2 copies of plans (inGUde beam 8 window saes; poured fnd. design; eta)
? 1 energy calculations
? 3 wpies MVee preservation plan if lot plaCed after 711/93
requlred: _ Yas No
DATE: 7-f 'I I w 't
Street Address: -T 0` S LR-.?-L?
DESCRIPTION OF WORK: 71Ta_j kAD"c-5
STREETADDRESS: 'i`kq3 LAvkSN-ytc ?Eft?ACr.-
LOT: I ) BLOCK: v SUBDJP.I.D. #: Ci.tFf t.ialtE 5 ESi26S
PROPERTY
OWNER
CONTRACTOR
City 1v2a.1
Street
PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
5830 PII.OT KNOB RD - 68122
681-4675 k7 ?
RemoOeUReoair Reauirements
? 2 coptes of plan ?? -
? 2 site surveys (exterior addkiona 8 decks)
? 1 energy calcutatlons for heated edditions
a/ r0
CONSTRUCTION COST;
State: Mn-'
Zip; SS 33"}
Company: Phone #:
City
License # ci 1- 6
State:
Zip:
ARCHITECT/
ENGINEER Company: M S N?.r &?o r.4<lk 1)5S'tn rj Phone #!: O
Name: L"?t-t- 7R-?-L- ul Registratlon #:
Street Address: ?o W- -t&T"- -?k -)? l,o
Cicy G-kJe?1 tk ?asS?
State: Mrf
z;P: G5 3
Sewer & water licensed plumber (new oonstruction ony): Penalty applies when address chang
and lot change is requested once pertnit is issued.
1 hereby acknowledge that I have read this application and siate that the infortnation is co ct and agree to comply with all applicabl
Sfate of Minnesota Statutes and City of Eagan Ordinances.
Signawre of Applicant:
OFFICE USE O Y ?
Certificates of Survey Received _ Yes _ No ??? 99%
Tree Preservation Plan Received _ Yes _ No _ Not Requ --?.--.
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11
0 02 SF Dwelling ? 07 4-plex ? 12
? 03 SF Addition ? 08 8-plex ? 13
? 04 SF Porch ? 09 12-plex ? 14
? 05 SF Misc. ? 10
WORK TYPE ?? -' ? ?? •
Apt./Lodging ? 16 Basement Finish
Multi Repair/Rem. ? 17 Swim Pool
Garage/Accessory ? 20 Public Facility
Fireplace ? 21 Miscellaneous
Affol1 New ? 33 Aterations ?
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) ?• ? Basement sq. ft. ? MC/WS System o<
(Allowable) ? Main level sq. ft. /. 7'Y 9 City Water ...?
UBC Occupancy ?
'•3//I•/ sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories ? sq. ft. Booster Pump
Length ,:39 sq, ft. Census Code. /D i
Depth (0(0 Footprint sq. ft. SAC Code D/
Census Bldg r
APPROVALS Census Unit P
Planning Building
? Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SNN Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
tLf ?
Total i `
"
% 5AC ?
SAC Units,,,_„_,
? .._
..•.....,....._r,,, ?
Valuation: $ !3d f ?m
HOFfMAN HOMES, INC.
2214 Ensf 7777h Street
Telephone I3urrrsviAe, MN 55337
(612) 894-9807
Fax CONTRACTOR #9284
(612) 894-9878
zl? Icici
Mr. 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) 4 i? Block "I., , Cliff Lake Shores, as were used on
Lot(s) L y' BloCk -v? , Cliff Lake Shores. None of the structural building
components, H/VAC, plumbing or electrical will change from engineered drawings dated
Sincerely,
PQ , Q?.
Patrick C. Hoffman?
President
PCH/jem
pnrmgio-
czTV r.?? EArAra
CA,N'!:F..I;;; , 7I=RMINA1.. N0: 87:;
DF1TE: 04/08/99 1'.I:M'L-": L`,i:41.1.c1
M;
NAME: SAPA CCINSTRUC770N INL'
3c :1.0 9001 4441 LAf;F_SI-InI::E 60.00
M55 3001 4441 I_AI.F_SH(JRF t3.':;0
'in+,al. Fryr.ei.pt, Amnurtit: bO.50
C00077
l!SER ZT?: NANC;V
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651•681-4675 9 °J
New Construclion Reauirements Remodel/Repair ReaufremeMs
? 3 registered sffe surveys showing sq. H. of 101, sq. H. oi house 2 copies of plan
and ?II roofed areas (20% maxlmum loi coveraae allowed) 7 set of energy calculatfons for heafed addMlons
> 2 coptes of plans (show beam 6 wintlow sixes; poured fnd. des(gn; etc.) 1 sRe survey for exierior addNions 3 decks
^r 1 set of energy calculations
> 3 copies M tree presenation plan M lot platted aRer 7/7/93 DATE: CONSTRUCTION COST:
DESCRIPTION OF WORK: 1.J? 1 1-t ? in?
??2in ?'3 it4 ?% sh
STREET ADDRESS:
LOT: BLOCK: ?? SUBD./P.I.D. #:
12
Name: 6-t;1 vVLpA,v? Phone #:
PROPERTY Flrst
OWNER
Street Address:
City
State:
Zip:
?1-3- gq L4 9 gd-7
Company: Phone #;
(area code)
CONiRACTOR pc ?? /
Street Address:_ License # ?_Exp.
?? '?V zl/?''
\?1 ? ?1 z+, s c. ' i
City State: 1VlZtp:
ARCHITECT/
ENGINEER Company: Name:
Telephone #: area code ( )
Street Address: Registration #:
City
State:
Sewer 8 woier Iicensed plumber (reauired for new construction onlv):
Penalty qpplies when address change and lot change is requested once permit is issued.
Zip:
Fhereby acknowledge that I have read fhis applicatlon, state that the informatlon Is conecf, and ogree to comply wtth all appllcable
State of Minnesota Statutes and City of Eagan Ordlnancea. r
Signature of Applicant: r
`
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received - Yes _ No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
D 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg. ? 41 Wood Stove ? 45 Fire Repair
O 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
GENERAL INFORMATION
Const. (Actual) ?L Basement sq. ft. Census Code
(Allowable) Main level sq. ft. SAC Code 6 I
-
UBC Occupancy sq. ft. No. of Units ?
Zoning P• c? sq. ft. No. of Bldgs ?
# of Stories ^ sq. ft. MC/ES System
Length ? sq. ft. City Water
Width - Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS ,
Planning Bu ilding l? Engi neering Variance
Permit Fee Valuation: $? 2 60 ?
Surcharge
Plan Review
License
MC/ES 5AC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded. '
Other
Copies ?
Total:
SAC Units
% SAC
L??? BL ? qTY USE ONLY RECEIPT #: O u-T
SUB /YCXI RECEIPT DATE: A(//I9
1998 PLiJMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3630 PIIAT IQPOS RD
EAGAN, !M7 55122
(612) 681-4675
Please wmplete for: D singie family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES
~
EACii
#
TOTAL
Shower 3.00 x 2A_ = 9•00
WaterCloset 3.00 x -316 _ .oo
Bath Tub 3.00 x =
Lavatory 3.00 x
Kitchen Sink 100 x 1 = 3•00
Laundry Tray 3.00 x .oa
Hot TublSpa 3.00 x 3.6o
Water Heater 3.00 x 3.00
Floor Drain 3.00 x 3.00
Gas Piping Outlet • minimum - 1 3.00 x
Rough Openings 1.50 x =
Wetef Softeft2r "far dwellings under construction 5.00 X =
Water Softener ' for axisting dwelling 20.00 X =
U.G. Sprinklef ' for dwelling under const. 3.00 =
U.G. Sprinkler ' for existing dwelling 20.00 =
Alterations " to existing residence 20.00 =
Water Turn Around 20.00 =
Private Disposal System ' MPC iic. 75.00 =
(new and refur6ished systems)
Private Disposal Systems * Abandonment 20.00 =
STATE SURCHARGE 50
TOTAL . s?
- - - - -----------------------------------------------------•----------------------•-•------------------------------------------
?I hereby adcnowledge that I have read this application, stete that the iMormation is correct, and agree to comply with all appliwble City of Eagan ordinances.
It is the applicanPs responsihility to notiTy the property owner that the City of Eagan assumes no Iia6ility for any damages wused by the City during its
narmal operationsl and maintenance activities to the facilities constructed under this pertnit within City propertylright-of-way/easement.
SITEADDRESS: 444I 1-A/GE5N0RE /?? ?
OWNER NAME: 4FF/'?'JM7 % ID7*945-5
tNSTALLER NAME: W EiUZIEL.. /`"IELI-IAAWCAL- TELEPHONE#: 4SL-IS(o5
STREET ADDRESS: 125-C/ 5N400ALA; C K,Q
cmr:
STATE:
ziP: 5,5/2z
SIGNATURE OF PERMITTEE
JSlFORMS BLDG/PLBG PERMIT (RESIDENTIAL) 1998
? CITY USE ONLY p?p c
L BL o2- RECEIPT#: O os? r
SUBD. RECEIPT DATE:
1998 PLUMSING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT IINOH RD
E7+Gax, t4d 55122
(612) 681-4675
Please complete for: ? single famtly dwellings
? townhomes and wndos when pertnits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES EACH # TOTAL
Shower 3.00 x 3 = 17,00
Water Closet 3.00 x -3 = 17 oa
Bath Tuh 3.00 x =
Lavatory 3.00 x /2,0
D
Kitchen Sink 3.00 x 3,00
Laundry Tray 3.00 x 3.00
Hot Tub/Spa 3.00 x 3.6o
Water Heater 100 x 3,00
Floor Drain 3.00 x
GaS Piping Outlet ' minimum -1 3.00 x
Rough Openings 7.50 x =
Water Softener ' for dwellings untler construction 5.00 x =
Water SoRener ' for existing dwelling 20.00 x =
U.G. Sprinkler ' for dwelling under const. 3.00 =
U.G. Sprinkler ' for existing dwelling 20.00 =
AItEf2t10f1S " to existing residence 20.00 =
Water Tum Around 20.00 =
Private Disposal System ' MPC iic. 75.00 =
(new and refurbished systems)
Private Disposal Systems * Abandonment 20.00 =
STATE SURCHARGE .50
TOTAL 54,1150
-------------------------------------------------------------- ----- --------- --------- .. •------ -----•----------------- ----- -----------
1 hereby adcnowledge that I have read this application, state that tha iniormation is cortect, and agree to comply wkh all applicable City of Eagan ordinances.
!t is the applicanPs respansibility to notity the proparty owner that the City of Eagan assumes no IiaDiliry for any damages caused by the City during its
_normal eperational and maintenanoe activfties to tha facilities constructed, under this permit wkhin City properiy/right-of-way/easement
SITEADDRESS: 4443
OWNER NAME: /^fOFF/VL}N /7l1?'/dE:S
INSTALLERNAME: WEAJZcL. MXJ44NI CA-4. TELEPHONE#'Y'JZ- IS& S?
STREETADDRESS: 17D
?I
cirv: ER6AN
MA)
55/ZZ
JSlFORMS BLDG/PLBG PERMIT (RESIDENTIAL) 1998
SIGNATURE OF PERMITTEE
CITY USE ONLY
LOT BL RECEIPT k:
SUBD. RECEIPT DATE:
1997 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAIV
3830 PILOT KNOB RD
EAGAN MN 55122
? a? f(612) 6814675
Date: 1j
Complete this section onlv if vou are installine HVAC in sinQle familv, townhome, or condos that are
under construction and are not owner /occunied.
• HVAC: 0-100 M B T U $ 24.00?
t1DDiTIGNr1L 50 M B 73 6.00
• Gas outlets (minimum of one required @$3.00 ea.) ?'
• State Surcharge: .50
• TOTAL:
og?
Complete this section onlv if you are remodelin2, adding to, or repairine eaisting sinele famiW
dwellines, townhomes, or condos.
Add-on furnace
Add-on air exchanger; i.e. Vanee system, etc. _
Minimum fee applies to a11 remodel or add-ons of existing residences
State Surchazge
SITE ADDRESS:
OWNER NAME:
INSTALLER NAME:
STREET ADDRESS:
cITY:
Add on au conditioning
Other
$ 20.00
- .50
Total: $ 20.50
PHONE #: Vq, 770 7 '
PHONE #: 925- hab /
sTaTE: ly J. zIP: 1!5511D
SIGNATURE OF
4 CITY USE ONLY
/LOT ? BL d? RECEIPT #: js u
SUBD. l" ? Xj??1LQ/,L RECEIPT DATE:
vu I
1997 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KN08 RD
EAGAN MN 55122
(612) 681-4675
Date• '
Complete this secuon oniv if vou are instalGng HVAC in sinele familv, townhome, or condos that are
under construction and are not owner /occupied.
• HVAC: 0-100 M B T U $ 24.00
ADDITIONAL SC M BTU 6.00
?
• Gas oudets (minimum of one required @$3.00 ea.) j_
• State Surcharge: .50
• TOTAL:
Complete this section onlv if vou are remodeling, addin¢ to, or reuairine eaistine single familv
dwellinFs, townhomes, or condos.
Add-on fiunace _ Add on air conditioning
Add-on air exchanger, i.e. Vanee system, etc. _ Other
Minimum fee applies to all remodel or add-ons of existing residences $ 20.00
State Surcharge - .50
Total: $ 20.50
S[TE ADDRESS:
OWNERNAME: D1 PHONE#:
INSTALLER NA d ! PFiONE #:
STREET ADDRESS: PD ?
CIT'Y: STATE: MAI ZIP: ?
SIGNATURE OF PE1;CN1ITTiX
-•--. , ?
?
CITY USE ONLY
L _ BL _ RECEIPT#:
SU80. RECEIPT DATE:
1997 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please Complete for.
DATE:
CONTRP,CT PF?ICE:
WORK TYPE: _ NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: ? $25.00 minimum fee or 1% of contract price, whichever is greater.
• Processed piping - $25.00
• Scate surcharge of $.SQ per $1,000 of oermit fee due on all permits.
CONTRACT PRICE x 1 %
PROCESSED PIPING
STATE SURCH,4RGE
TOTAL
SI7E ADDRESS:
OWNER NAME: TELEPHONE #:
TENANT NAME: (innPROVennerrrs oNLv)
INSTALLER: ADDRESS: -
CITY: STATE: Z1P:
PHONE #: °
I .
SIGNATURE:
? all commerciaUndustrial buildings.
. multi-famity buildings when separate pertnits a2 D& required far each dwelling
unit.
SIGNATURE OF PERMITTEE CITY INSPECTOR
City of Eakan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
------------------
? fos?'`'„Qftie?}l+Jse I
j Permit #:
? ?? ?
? Permit Fee: k
? Date Received: j
i ?
I Staff: ?
I -----------------?
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:??D P) SiteAddress: 4-1"I l 1 4443 1- """te, 5?tcm Tuy4ce-
Tenant:
Su ite
RESIDENT/OWNER Name:G[A tA" s?5 `vwll`'10wtg-S Phone:
Address/CitylZip:-llb? CLA Lkt-& Cc. ? 92ui 5;N )j
Applicant is: _ Owner _)L Contractor
TYPE OF WORK Description of work: l QQ.C
?
Construction Cost: ?. aoo- CD Multi-Family Building: (Yes No ?
CONTRACTOR NamehR'1QYIGG.Y1 biAA, axiAIGIinkc+J, U)c License#: 40t (AS(b5
Address: toig Wc) ?L10<<LlC1? I?N
City:I?C?l/<<UL State:?0v Zip: JJJJ
Phone:"i.5a-Icn, Vigl Contact Person: IUICtl? cSG?L?C Q?.Y
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateporv 1 Minnesota Rules 7672
Enefgy COdO . Residential Ventilation Category 1 Worksheet • New Energy Cotle Worksheet
Category Submitled Submitted
(4 submission type) • Energy Envelope Calculations Submitted
in the last 72 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _NO It yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
s fhat: bu=submit_arg considered>fo;ti"e` u61ic?lrrtoFinafiu'n:??Poitionsof.
NOTE: Plans and su ortin ;docume'n,'t
ons that wou?d permi?`fhe Gity to', .
reas
b
the informationmay be cl ssified a`snu pubRR?if
ou?proulde,spe?rc
?
?
?
a?'nciutie??tEiat he'are?'tradeWOve`ts , ftj?,.tahK,r.:
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance vnth the ordinances and codes of the City of
Eagan; that I understand ihis is not a pertnit, but only an appliration for a permit, and work is not to start wlthout a permiY, tha[ the work will be in
accordance wrth the approved plan in the case oF work which requires a review and approval of plans.
xUoAG SCWC efe1- x ? a+- L?-'u'?'.?C•^'_
ApplicanYs Printed Name ApplicanYs Signature
Page 1 of 3
?
CER TIFICA TE OF SUR VEY
RF
, ? ,•
yd0
q
(931.10)
920.4
?
q g \
p ro ,? .
/ ? \ \
/ ry??' ? 1 4
/ a ?`.
O 13 ?
? 922.4 A
(923.50) ;
922.4 ` % i ?F 44
,,./ , ,_ ,??<< T?43
. ,
Top of Irons @ Offsets
AO 10.00' Offset 930.18
OB 10.00' Offset 924.89
QC 14.00' Offset 922.71
O 10.00' Offset 922.00
??rRRq?F
00 0 , ?
?
(92?
929 SO rC ? \
?? ? 9';°•0 ? rc? i
i o,• ? i i
i
p O
/
. i
R ?
?Op
O BO0QC--\
rr ,
?.?
LEGAL DES
Lots 13 an lFF
LAKE SHORES, according to the plat
thereof, Dokota County, Minnesofa
930.0 Denotes Sonitary Sewer Service Invert
• Denotes rron monument found
o Denotes irort monument set
Bearings bosed on ossumed dafum.
I hereby certify thot this survey was prepared
by me or under my direct supervision and that
I am o duly Registered Land Surveyor under the
laws ofState of Minnesota.
/
Croig W. rse, R.L.S. Do'te
Registration No. 23021
REQUESTED BY.? D
4J
HOFFMAN ?IOMES INC. . ?
Westwood'?r'o?'essiorial':?`e?"vicea,"lnc
14780 West Trunk Nwy. 5
Eden Prairie, MN 55344
(612) 937-5150
Drown by. M$ I Dote: 1129?98 I Job No.• 9S,9S
1 ots 1.3-14. BIoC
1?
?
?Block 2, CL
?
?
j
II _,.
ni
. ?
,
srpn^ ?? 921.3 1
(s3,.oo)
/ .?
O
GRAPHIC SCALE
le I
cory
\
i
? i
?
/
/
/
/
/
?
?
?
/
/
?
?
?
zo o io zo +o
( IN FEET )
1 inch = 20 ft.
Top of Block = 932.80 865.0 denotes existing elev.
I Garage Floor = 932.42 (865.0) denotes proposed elev.
Lowesf Floor = 924.65 -? denotes surface drainage
,
,
B2L73-74.OWG
Use BLUE or BLACK Ink
r----'------------�
I For Office Use �
' � Permit#: � � �� I
Clty of ����� � �s� ;
I Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 � Date Received: �
Phone: (651)675-5675 I I
Fax: (651)675-5694 I Staff: I
I I
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
� Ir ���� � SS�Z�
Date: �Z 1� �S Site Address: ��I�� �'^"'G��'a✓Z �'���" ���"'' �� Unit#:
�� �mName:._,...�'1 f'i"...._., MV��m�j�.�,...�J��GV{_,S�.�_x.�.w.�ri d., _v�..�w.w_.��.:Phone: .,.��,.�.e.�.�,,µ.�.�,.�__��.�
$ U
� RE*s��le�r1#1 ; �
� O1�yflEr � Address/City/Zip: ,
� �
� Applicant is����Owner ��bM�Contractor�� y���
� ���,..�,.,. _.��.�ti.,m..�.,�..,.�.�,a.�.,�,�. ��
tl� tl�� � Description ofwork: W�✓��
, Type 4f 11�►0 rfC � �
� � Construction Costv � � Multi-Family Building: (Yes � /No� � �
�� � Company:�lNlt.� (�{2G�� (�1�G7D 1� �hc, Contact: ��f �'f�t r�� �g"' �
� € Address: �Sab �'G�;J�wv� �/J � SulfL y�s/ City: �� � � �
Con�ra.c#or � p
# State:�Zip: SSy�7 Phone: 7C�3-S.S� .�n�J �//� � `� � �w/(,�r�d'�c�yl.
EmaiL �cN .I,�ru
f
� License# �G '��� ��.3 Lead Cert�ficate#:
�,,,,�,�..,���,�.._._..,�.�.,.,�...�.....�,�,.......,..�..�.-_,�,, .��_�.� � �.,,,,.�,���.��.. �„�.,. ��a,,_�����.�..,�..,,�w,�..._..a._�.m.t..w..da�..�.,.��.�.�..,�.,.�z�.,..m..
,
� � _
� If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING �
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? �
�
1
Yes No If yes,date and address of master plan: �
�
� Licensed Plumber: Phone: � �
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
IV�T�:f�fa��a�d s�rp�orta�g tivcu��nts tttat,�ou sw��t a;�e cor�s�r�e�ed�o�e p��l�c��o��`���, Po,rt�or�s of ;�
��e rnforr�a�iQn�nay be Gl�as�i�ed as nan-pubf�c rY y��pro�de�ec�`i�r��at�s i�a�wo�1�l p8rr��t t�re'Cf�t� �
�, co�tcl�ale t��t���r�a��t�a�le s�cre�s. � � ;
�
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.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved 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 �l.f�f T 1'��c��c.�,�� x
b
Applicant's Printed Name Appli s Sign ture
Page 1 of 3