4445 Lakeshore TerINSPECTION RECORD
CI.Ty OF EAGAN PERMIT TYPE;
3830 Pilot Knob Road Permit Number:
Ea an, Minnesota 55122-1897 "' ? ?
9 Date tssued:
(612) 681-4575
SITE ADDRESS:
4 AP ! `.,.10,?"' "i 1 F kr
i PERMIT SUBTYPE:
APPLICAMT:
i 6 1 ii ?t 4 9 8 0
TYPE OF WORK:
Nt 1.1
( 7F ftlo i t; ! ; i r+r ?
INSPECTION D. • DA
I . r'l Airt s.;: 1 0 t ?! ON i tS !: & Li iIi K?r wf N :•r 1
?
Permit No.
Permft Holder
Date
Telephone 8
ELECTRIC
PLUMBING J A -2 - f
HVAC ? 9006"
Inspectlon L-Dvifgf Insp. Co ments
FOOTINGS
FOUND ? • ,
FHAMING
ROOFING
ROUGH
PLUM8ING
- -?J- ?
? Q
PLBG
AIR TEST
ROUGH
HEATING ' G
GASSVC
TEST ? 37 ? `IiESr 7' ul- 10J"Ct
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG r??/Gd
( 'J
FINAL HTG
OpSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
?
=?l ?Y
.
, . INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
I 3$30 Pilot Knob Road Permit Number:
Ea an, Minnesota 55122,1897
9 Date Issued:
I (612) 681-4675
, .. , ..
SITE ADDRESS: APPLICANT:
?,: .. ;;41ij; 1,r3;
.'T W)q. <.?rsi}i
PERMIT SUBTYPE:
TYPE OF WORK:
1)f'Vii,Is 7P T10 W
M F l-1
ftltNf1 ltil tr"fy
INSPECTION .. . D•
P f MAFiI:''D i 1 FlF ?* tfpf!'i'S W Pt.pR - WEN7E'!
F' t RN 0 R 11 l' 17 !.! F. f? R Y .) o t' V O C. is,
?
,
= ;.
.
,
?. _
'
Permit No. Permit Holder Date Telephone #
ELECTRfC
PLUMBING
Hvnc
Inspection baf# Insp. Com ents
FOOTINGS
FOUND
FRAMING ,Z
ROOFING
ROUGH
PLUMBING ?
/ i
Pt.aG
AIR TEST It
ROUGH
HEATING
GAS 5VC
TEST
/J Z
i
INSUL
GYP BOARD
FIREPLACE
F1pEPLACE ?
AIR TEST
FINAL PLBG
FINAL HTG
r -
ORSAT
TEST
BLDG FINAL f ?
/
BSMT R.I.
BSMT FINAI
DECK FTG
DECK FINAL
s? 14
WertifiCate nf cec"arte?
C i" of Cfagatt
Z00rtuut of zniibing 3813peetiun
This Certificate issued pursuant to rhe requireinents of the Uniform Building Code•
cenifying that at the time of issua?uce this structare was rn compliance with rhe variour
ordenances of rhe City regulating building constructron or use. For rhe follawing:
ux Oassir?cab«m SE DdG Bldg. Pertnit No. 31687
Oocupancy Type RU1 U I TAaing Disuiu Iff) Type Comt. VN
Oweer oC Build?mg HOFZ'M HMS DC Adras 2214 E ? I TM ST. B 'V=
Buitding Addrtss 'i" LAIMM IEEUi l..lity j' 11s B2f aaF IAT M . +S
r
Datr
Euilding OtTicw
POST 1N A CpNSPtCUOUS PLACE
?
• y_
?-? •-?
(fRrdfiCQte df CCC1tpQnCv
?'ttv of Wagan
zeyartmettt oi vui[bing 3nf3oectiaa
This Certijcate issued pursuant to the requirements af the Uniforra Buifding Code
certejying that at the time of issaance tltis structune was in compliance with rhe vnrious
ardurances of tlu City rrgularing building constnution or use. For rhe following:
tjse Clm, f,ca„m: s F'n w c BWg. Pu,,,;, Na. 31688
?, Tra 512 ?,;,? ?, Pn T,? Canu. ?
ownff of euilmastiOFEMAN RMES Dr. 2214 8 I 17IH ST
?'„I.IFF L
s.jwc.8 Addnm 4445 I,A09M 1004CE j-,ity L 12. B29
, Dam.
eumoa arK;,i
POST IN A CONSPICUOUS PLACE
HOUSE HEATING TEST RECORD
ADDRESS / /: / ? 4n)1Z:a S4A3PA ft±17" ppT. - FLOOR_
OCCUPANT ihl-Ef ONNER
HEAT LOSS DATE HTG. INST. .-
SOID BY INSTALLED BY
Elecfrical Work By Gos Lins By
TYPE OF NEAT GA `FA HW _STEAM -SPACE HTR. _UNIT H fR'
.-OTMER
GAS DESIGN CONVERSION
MAKE TrG MAKE OF BURNER _ RAY-N_ WFl T R HEATING CO.
Modsl Madel 4637 GhiGago A 4n
Mox. BTU Ratinq
INPUT MAKE OF FURNACE -
Modal
CONTROLS
THERMOSTAT ? Heat PIu9 Vant Si:s -
Volre wKINU OF LINER SIZE NONE
Limif 1?e VS SJ2 Drofe Haod Rsquloior
Limit Settiny J d Filfers Size Number -
Fan Setfiny _77. Chimnoy Location ns?d?-?- Outsida
Pilot Type "-S Chimnsy Conttructien
Pilot Make w ' d 7 /
Pilo1 Modsl 5?Smake Bomb - Pilot Timinq Draft
L.W. Cut Off Door Pressms_ 10 Pressura? <_ PvcmtC02 Date Tested __?
Input CFH 1vV Percont OZ ^ A Company Tesfing
Stack Tamp. Partent CD Nams of Tsstsr _
CITY ?ASUBURB
Wmng
Test Top_
Liqhrinp Inst.
Fo,m 235
2o06 RESIDENTI.AL BUILDING PERNII'T APPLICATION
City Of Eagan
3830 Pffot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694 '
New Construc0on Re4uiremenLs
) registerad sRe surveys shanng sq. R of IoL sq. R of hauu; and all roofed areas
(20 k mazimum lot ooverage albwedl
2 caqes of plan shavnng beam 8 winEOw s¢as; poured fowd design, etc
1 set of Enwgy Calwiahons
3 mpies af Tree Preservafion Plan if lot pletled after 711193
Rim Jdst Dettil Opuons selecbon shaet (buJdings wM 3 w less unim)
Minnegasco mechanicai vealilation form
Date lo / L91 / 08
Site Address y4tq7j' z% qys
Description of Wor$
Muiti-Family Bidg
Y/_ N
RemoEeVReoair Reawremei6
2 cwes of olan shavnng iaatinqs, beams, idsts
1 set af Energy Calwlahms for heated adtlidrons
1 ata surrey for addiUans & dedcs
ACdifion - indcate il onsrfe sep6c system
Construction Cost ~
Fireplace(s) _ 0 _ 1 _ 2
//)
ProQerty Owner -?"t hmu _mbe? /dAbi 4;iL4{(,-;(%`ffelephane # (9? ?L3
Contractor
Address
State -
J?JiI'W? City ?7
Zip 65 3 n Telephone *
> >
CaMPiETE THIS AitEA OiTlLY 3F
Energy Code Category J Minnesota Rnles 7670 Cateaorv 1
(d sutrtnssion type) • Resitlerrtal verrtllation Category t worksheet
SuhmiCed
• Energy Ernelope Calculatlons Su6mitted
A NE'1U BL3ILDING
Minnesota Rules 7672
. New Energy Cotle WotlcsneM
Suhmltted
In The last 12 months, has the City of Eagpn issued a permil for a similar plan based on a master ptan6
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
MeChanicai ConfraCtOr
Sewer/water Coniractor
Telephone # (
Telephone #(
Telephone #(
Fug a 7
gq4. .2S
Ofice Use Onlv
Cert of Survey RerA Y N
Trea Pras Plan ReW _ Y_ N
7rea Pres Required _ Y_ N
On-mte Septlc Systwn _ Y_ N
I hereby apply for a Residenriai Building Permit and acirnowledge 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 start without a
permit; that the work will be in accordance with the approved picase of work which requires a review and
appmvat ofptans. . ?
lii?,v? ? I/D?S i ??G, ;
Applicanf's Printed Name Applicant'? Signlture
-j (_),? C\ 7
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone 9 651-675-5675 FAX # 651-675-5694
New Construdion ReauiremeMs
3 registe2d s'rfe surveys showing sq. ft. of IoL sq. R. of house; and all roofed areas
(20% macimum iot coverage allowed)
2 copies of plan showing beam 8 window slzes; poured found design, etc.
t set of Energy Calwlations
3 copies of Tree Preservation Plan'rf lot platted after7M193
Rim Joist Detail Oplions selection sheet (buildings wifh 3 or less uniGS)
I --10CIO
RemadeVReoairReouiremeMS Office Use Onlv
2 copies of plen CeAof Survey Rear _Y _ N
1 set of Energy Calculations for heated addNOns Tree Pres Plen Recd _ Y_ N
1 sile survey foradditions & decks Tree Pres Required Y _N
Addmon - irMicafe X on-site sepfic system On-site Septlc Sys[em _ Y_ N
?
Date Z / O?? ?
??
7
;? Construction Cost
??
?
Site Address Urw
7y
"G /G ?+ UniUSte #
,
C? ?qul/j
Description of Work
54/a{,L-
4,LJ
_
.
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 1?r 1 _ 2
Property Owoer /`-lAMLWt / Telephone #
A5 12t ?
Contractor
Address M`5% Aj.J% lhKr7u.J /fi.Zf City 51141/b4r
State /ky Zip ?; 79 Telephone #( fjW) $_// SH/$/
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category , Residential Ventilafion Category t Workshee! • New Energy Code Worksheet
(4 su6missiontype) Submitted Submitted
• Energy Envelope Calculations Su6mitted
In the last 12 months, has ihe City of Eagan issued a permit for a similar plan based on a master plan2
_ Y _ N If yes, date and address of masTer plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #( )
Telephone #(
I hereby apply for a Residential Building Permit and aclrnowledge 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 start without a
permit; that the work will be in accordance with the approved 71nF f work which requires a review and
approval of plans. ? -
ApplicanYs Printed Name Ap icanYs Signatur
16
I
i
a z
?--'o ?
o% ?
M--?o ?
L4--'o ?
l°!'O ?
8?'o ?
m--'o ?
B-'o ?
o'-'0 ? ?
[9- ? ?
e'o ?
0?'O ?
o-'C ?
? e3--?o
ELEVATIONS
's'n
• Sewer service (or Praposed)
• Properly corners
• Top of curb at the driveway
• Elevations of any eristlng adjacent hames
Prooosed
Pl ? ? • Garage floor
[?? ? • First floor
0"?o ? • Lowest exposed eievation (walkouUwindow)
a?-6 ? • Property comers
lY'o ? • Front and rear of home at the foundation
PONDING AREA fif aoolicablel
? Easement line
? d/ ? • NWL
HWL
? C?/ O •
? ? - • Pond # designation
? ?'" ? . Emergency Overtlow Eleva6on
DIMENSIONS
?o ? • Lot IinesBearings & dlmensions
p-'? ? • Right-of-way and street width (to back of curb)
a-? ? ? • Proposed home dimensions including any proposed decks, overhangs greater than 2',
porches, etc. (.e. all structures requiring permanent footings)
[a?` ? ? • Show all easements of record and any City utilities withln those easements
05 ?-? • Setbacks of proposed sUucture and sideyard setback of adjacent ebsting sUudures
? ? ? • Retaining wall requiremen_"any /
Reviewed: ?
mn ?
January 1996
CRAK317BBIBLDOPRhrt.FM
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTY LEGAL:
DATE OF SURVEY:
LATEST REVISION:
DOCUMENTSTANDARDS
• Registered Land Surveyor signature and company
• Building Permi[ Applicant
• Legaldescription
• Addfess
• North arrow and scale
• Housa type (rambler, walkout, split w/o, split entry, lookout, etc.)
• Directional dreinage arrows with slape/gradient %
• Proposed/existing sewer and water services & invert elevation
• Street name
• DfIV6W8y
L BL
SUBD.
CITY USE ONLY RECEIPT #: Y /1
&-75.c-
RECEIPT DATE: &/°2°2 5?9/
1998 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RL7
EAGAN, AIIi 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when pertnits are required for each unit
D backfiow preveMer for underground sprinkler system
FIXTURES EACH # TOTAL
Shower 3.00 x Z - ?
Water Closet 3.00 x 2 = ?o
Bath Tub 3.00 x = 3oa
Lavatory' 3.00 x ?
= g. Oa
Kitchen Sink 3.00 x _L = 3,00
Laundry Tray 3.00 x
n
3.0
Hot TubiSpa 3.00 x =
Water Heater 3.00 x
Floor Drain 3.00 x 3.0D
Gas Piping Outlet " minimum - t 3.00 x 72.Oa
Rough Openings 1.50 x 3 = 4,so
Water Softener "for dwellings under construc6on 5.00 X =
Water Softener ' for existing dwelling 20.00 x =
U.G. Sprinkler ' for dwelling under const. 3.00 =
U.G. Sprinkler ' for existing ewelling 20.00 =
ARerations ' to existing residence 20.00 =
Water Turn Around 20.00 =
Private Disposal System ' MPC iic. 75.00 =
(new and refurbished systems)
Private Disposal SyStems'a,nandonment 20.00 =
STATE SURCHARGE 50
TOTAL ?, oz?)
------------------------------------------------.._....--------°----...------- -------•----------- ------------ ---- -------------
1 hereby admowladge that 1 have read this application, state that the infortnation is correct, and agree to comply wRh all applipble Cdy of Eagan ordinances.
It is the applicanYS responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during ils
nortnal operational and maintenance activities to the facil@ies constructed under this permit wRhin City propertylright-of-way/easement.
SITE ADDRESS: -4#4? k-4Kz=6t4zt,/zc
OYIMER NAME:
[NSTALLER NAME:
TELEPHONE# 4-5 2"
STREET ADDRESS: l ! S7 6#AA)/-)C-7C )?Q
CITY: LACoAN STATE: ?N 21P: -x??I Z
SIGNATURE OF PERMITTEE
JS/FORMS BLDG/PLBG PERMIT(RESIDENTIAL)1996
?.. , „ _.. 2
L ? BL v
SUBD. ?
CITY USE ONLY
RECEIPT#: RECEIPTDATE:
1998 PLUMBING PLRMIT (RESIDENTIAL)
CITY OF EA6AN
3830 PILOT KNOH RD
EP.GAN, MA7 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinklersystem
? ?---------?_?_???
FIXTURES ----?- -
EACH
#
TOTAL
Shower 3.00 x = 100
Waker Closet 3.00 x 47- pO
Bath Tub 3.00 x 00
Lavatory 3.00 x .Do
Kitchen Sink 3.00 x '3? op
Laundry Tray 3.00 x _L = 3,ao
Hot Tub/Spa 3.00 x =
-
Water Heater 3.00 x T
= 3,60
Floor D2in 3.00 x I = 3, o0
Gas Piping Outlet "minimum- t 3.00 x
Rough Openings 1.50 x 3 = ?
Water Softener 'tor dwellings untler construction 5.00 x =
Water Softener " for existing dwelling 20.00 x =
U.G. Spfinklef ' for dwelling under const. 3.00 =
U.G. Sprinklef 'torexistingdwelling 20.00 =
Alterations ' to existing residence 20.00 =
Water Tum Around 20.00 =
Private Disposai System ' MPC iic 75.00 =
(new and refurbished systems)
Private Disposal Systems"Abandonment 20.00 =
STATE SURCHARGE .50
5V ce
TOTAL
-- •--•------------------ ------------------------- ------------------------------------------------------------- --- ------------- ° - -- ----
- ordin - ances. -
I hereby adcnowledge that I have read-this application, atate that the information is cortect, and agree to wmply wifh all applicable Ciry of - Eagan -
It is the applicanPS responsibiliry to notify the propeRy owner that the City of Eagan assumes no liability for any dameges caused by the City during its
nortnal operational and meintenance activities to the facilkies canstruded under this pertnit wRhin City property/right-of-way/easement.
SITE ADDRESS: 4449 ` ?/2AC.c
OWNER NAME:
INSTALLER NAME:
L- TELEPHONE * 45Z- I 56?
STREEf ADDRESS: / /J / r--4
CI7y. ?AMAJ STATE.
/U ZIP: 55 /Z2
SIGNATURE OF PERMITTEE
JS/FORMS BLDGIPLBG PERMIT (RESIDENTIAL) 1998
. ? ;jj. CITY USE ONLY
,
LOT /CZ BL o2, REceIPr
SUBD. RECEIPT DATE:
1998 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PIIAT IQdOB RD
EAGAN tlN 55122
Date: (612) 681-4675
?fComplete this section onlv if you aze installing HVAC in single family, townhomes or condos under
construction and not owner /occupied
• HVAC: 0-100 M B T U $ 24.00
ADDITIONAL 50 M BTU 6.00
C
• Gas outlets ( minimum of one required @$3.00 ea.) _17.
• State 3urchazge: .50
• TOTAL: g7
Complete Uus section anlv if you aze remodeling, adding to, or repairing existing single family dwellings,
townhomes, or condos. Note: Mechanical pemut is not required for alteration/add-on to ductwork in
existing residential units; but is required for the following:
Install furnace
Install air exchanger, i.e. Vanee system, etc.
Muumuxn fee appiies to all remodel or add-ons of existing residences
State Surcharge
SITE ADDRESS:
OWNER NAME:
INSTALLER NAME: -J-)h
STREET ADDRESS: - / lv
CITY:
15/FORMS BLD/MECH PERMIT (RES) - 1999
Install air conditioning
Other
$ 20.00
.50
Total: $ 20.50
PHONE#: S7"1- IftUl
I 9 ?? ed PHONE #: vz
r ? STATE: ??/ AJ Z?P: ?yd
SIGNATURE OF PERMITTE
/
'? , ` ?
CITY USE ONLY
LOT ? BL ? RECEIP'I#: / O r7?
SUBD. RECEIPT DATE: ?/°Z`iI9
19
Date• b+ ? 7 fr
Complete this section on! if you are installing FiVAC in single family, townhomes or condos under
construction and not owner /occupied
• HVAC: 0-100 M B T U $ 24.00
ADDITTONAL 50 M BTU 6.00
?
• Gas outlets (minimum of one required @$3.00 ea.)
• State 5urchazge:
? .54
• TOTAL: ?
Complete this secdon oMjy if you aze remadeling, adding to, or repairing existing single family dwellings,
townhomes, or condos. Note: Mechanical permit is not required for alterarion/add-on to ductwork in
existing residential units; but is required for the following:
_ Install furnace _
_ Install sir exchanger, i.e. Vanee system, etc. _
Minimum fee applies to all remodel or add-ons of existing residences
State Surcharge
i
.
SI7'E ADDRESS:
OWNER NAME:
INSTALLER NAME:
S'I'REET ADDRESS:
CIT'l':
j.
Install air conditioning
Other
$ 20.00
.50
Total: $ 20.50
_ PHON? #: g yy- 007
' PHONE #: --l??-
STATE: ZIP: J D
SIGNATURE OF PERMITTEE
MECHANICAL PERMIT (RESIDEbiTIAL)
CZTY OF EAGAN
3830 PIIAT IINOB RD
EAGAN 2AT 55122
(612) 681-6675
JS/FORMS BLD/MECH PERMI'C (RES) - 1999
>k:X:F?zF$;:f.%:p6?:??ttF:kln??Y6$;YF`?i iksk>gk,Y,eXM?".1#%k?:"^?Y,tW?X.Y.3'<???FyF
1::11'V OF I: f-iC,A4
CF,::>H7:Ef'-. 5 1'FqPU:tdr;l... P!Or i'Ri8
Dnrr. 04:/0/98 l:CNF:'r, 0000.
in:
NAMEHr'1F'FMFlN IIOM?-S '.LPlC;
2256 9001 4447 l_(-1!.I_Sl-IOfiE 4940.46
t':!'r'_56 9001 4445 !..(il.Gihl!]RE 4 9'4i]7.'71.
?
Tn1:7l FikiA'E':i.hL A1TO1.17,,,, ey7_?`7.J.7
I:fii.)£39553
US:=Fi 'C71,-, NA^2C:4'
! PERMIT
A CITY.OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 031688
(612) 681-4675 Date Issued: 0 q/ 14 / 9 8
SITE ADDRESS:
4446 LAKESHORE TEit
LOT: 12 BLOCKe 2
CLIFF I.AKE SHORES
P.I.N.: 10-17785-120-02
DESCRIPTION:
(ZERQ LDT LINE)
Permit Type SF DWG
?k Type NEW
R-3 U-1
V-N
PD
a;4
38
66:
1
102 1 - FAM. AT7ACH
g a
p?
?,'
r '? .,?n ffi
?*^ ? ?v?'? sn cre ff;?°?'?, ?as a
a? .:,,,
s"3 '
REMARKS:
1 OF 2 UNITS S& W PLBR - WENZEL
pLAN REVIEWED BY JOE VDELS
FEE SUMMARY:
VALUATSON
Base Fee
Plan Review
Surcharge
SAC
SAC $
SAC Units
Subtotal
$1,002.25
$651.46
$61.50
$1,000.00
100
1
$2.715.21
$123,000
MISCELLANEOUS $1.592.50
Total Fee $4,307.71
CONTRACTOR: - Applicant - sT. l.IC.OWNER:
H6FFMAN WOMES INC 18949807 0009284 HOFFMAN HOMES
2214 E 117TH 5T 2214 E 117TH ST
B{1RNSVILLE MN 55337 BURNSVILLE MN 55337
(612) 894-9807 (612)894-9807
X ##sf?b?rk'a?krtS?
c w „?
;;. ;SnF?'rta.t4?bri is
nd; G
\ ? / t.
? ionst 98
ion Re uiremenb
BUILDING PERMIT APPLICATION (RESIDENTIAL) $q304. 11
CITY OF EAGAN '
3830 PII.OT SNOB RD - 56122 f?d-5 31
681-4675
RemodeUReoair Reauirements
? 3 rogistered site surveys
? 2 copies of plana (include beam 8 window saes; poureC lnd. design; etc.)
• t energy plculetions
• 8 copies of tree preaervation plen H bt plaUed after 7/7/93
required: _ Yes X No
DATE: 3 1Z3 /R q
? 2 copies of plan
? 2 ske surveys (exterior addHions & dedcs)
? 1 energy calalations for heated addRions
CONSTRUCTION COST; ? 3?°,n'? (K(• Q?&?,-(
DESCRIPTION OF WORK: ZE5:0E,-j-r') pc?_, '(_q V,,,.j{+oM6
STREETADDRESS: `k`k`?S L-AKeS??KA?- TE.RR-AC..?
LOT: t 'V? BLOCK: SUBD./P.I.D.#:
b&&Pcrr C-1 lor •//
Name:_ t"Foq='F P'lAa ?-?9r-i6 S r SaJC . Phone #: 169 `t -- ? r6v "?-
PROPERTY t.esc Firsc
OWNER
- i}
_
Street Address: Z a!`f E- 1 \ } 5 i(1.E6`_%
City ? u? S`ii ?E State: M0 Zip: 5533
Company: Phone #:
CONTRACTOR
Street Address: License !7
City State: Zip:
ARCHITECT/
ENGINEER
Company: M4j?C-TQn114.1'F-
bc-5 ?C9rj
Phone #:
Name: L?1 t_& -rFL?A u N Registration #:
Street Address: So w •
City ccFAn/ I-?556? State: MtJ Zip: SS 31 --1-
Sewer & water licensed plumber (new construction ony): c-*`?Penalty applies when address chang
and lot change is requested once permit is issued.
I hereby acknowledge fhat I have read this application and state that the inTortnation is rt d agree to wmply with all applip6l
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant 7x
OFFICE USE 9NLY ?J
?
Certificates of Survey Received ! Yes _ No ? ? 4 19%
Tree Preservation Plan Received _ Yes _ No _ Not Requ d
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
,L!(-02 SF Dwelling ? 07 4-plex
E3 03 SF Addition ? OS S-plex
O 04 SF Porch O 09 12-plex
? 05 SF Misc. ? 10 = plex
WORKTYPE C-??P-0
,,d 31 New ? 33 Alterations
? 32 Addftion ? 34 Repair
GENERAL INFORMATION
OFFICE USE ONLY
? ,.? .r?
? 11 Apt./Lodging ? 16
? 12 Multi RepaidRem. ? 17
? 13 Garage/Accessory 13 20
? 14 Fireplace ? 21
? 15 Deck
-
• Lo T ' z
O 36 Move
? 37 Demolition
Basement Finish
Swim Pool
Public Facility
Miscellaneous .
Const. (Actuai) -r'N Basement sq. ft. 1,616 MC/WS System
(Allowable) Av Main level sq. ft. ?42-1S City Water
UBC Occupancy JC• &•/ sq. ft. Fire Sprinklered
Zoning P.b sq. ft. PRV
# of Stories I( 63r. sq. ft. Booster Pump
Length 38 sq. ft. Census Code. /DZ
Depth 60/0 Footprint sq. ft. SAC Code oil
Census Bldg
Census Unit
APPROVALS
Planning Build ing Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W PermR
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
? ??
°kSAC
SAC Units
?
Valuation: $ 2-3 OOo
- ----- - - -
I-Iorr•MnN HoMcs, INC.
2214 f-.ast 777th Slrect
Trlcphone f3«r'nsvillr, MN 55337
(612) 899-9807
Fax CONT/UICTOR N 9284
(612) 894-9878
Mr. Joe Voels
City ofEagan
Plan Review Department
Dear Mr. Voeis,
- This letter is to inform you that Hoffman Homes, Inc. will be using tlie exact same plans
for the layout for Lot(s) << 1, Block 'v , Cliff Lake Shores, as were used on
Lot(s) I /'" , Block '? , Cliff Lake Shores. None of the structural building
com o ents, HVAC, plumbing or electrical will change from engineered drawings dated
i ' jy
Sincerely,
;
;
i ?
Patrick C. Hoffman
President
PCHfjem
pclJeaglv
c:I°rY +aF Lr,cAN
CFiSFC!:r:fi;, '': il-:"ti•i]:NAI_ M(lr, i'•iFi
r.,nrr;; 04r14!98 i:CNil:_e 1505a141
fLi'.
NAMEa klf.-1F"i"Me1N !?fX!'::' T.NC;
2:.`.56 `;Cip'I. 4447 1..AI'WFIQRE Q4r1,.46
F'i"76 9001 4445 LAF'I 51+,RRE 4,307.71.
;
?
TRtc1l R4)r.:n:i.ph, rtw)1!7',4:;; iap r`r39.1'?
(., Pl.) %3 .`.- `.:1;.! <;
IZF.I'a 7'11: NAPN;'r'
,:?;??;?c;?,t•.?;.????:ri??;h:?:ars?'r?,:?;:? :X?n:?:w,.?:?r:w??Y>;:,«r,:?;h;n
? A CtTY OF EAGAN PERMIT 3830 Pilot Knob Road PERMITTYPE: gurLorNe
Eagan, Minnesota 55122-1897 Permit Number: 031687
(612) 681-4675 Date Issued: 0 4 J 14 J 9 8
SITE ADDRESS:
4447 110 LAKESHORE TER
LO7: 11 BLOCK: 2
CLIFF LAKE 5NORES
P.I.N.: 10-17785-110-92
DESCRIPTION:
(ZERO LOT LINE)
??,.
f?U,$?iQ3,, ?
?, Permit Type SF DWG
;8.ui?cl3:nO,,Uo?rk 7ype NEW
UB C#?"OctlPaonR-3 U-1
?V-N
P D
$B
66
:
1
102 1- FAM. ATTACH
REMARKS:
1 OF 2 UN275 S 6 W PLBR - WENZEL
PLAN REVIEWED BY JDE VOELS
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
SAC
5AC ?
SAC Units
Subtotal
VALUATION
$1.067.25
$693.71
$68.00
$1,000.00
100
1
$2,828.96
$136,900
MSSCELLANEtlUS $1,592.56
Total Fee $4.421.46
CONTRACTOR: - Applicant - sT. LIC
HOFFMAN HOMES I.NC 18949807 0009284
2214 E 117TH ST
B'URMSVILLE MN 55337
(612) 894-9807
i W p _,z
. ;=5tatiYl;;e
? .. .. ?? K
.. /'?
HOFFMAN HOMES
2214 E 117TH ST
BURNSVILLE MN 55337
(612)894-9507
? ISSU Y: IGNATURE `
. ? - 1998 BUILDING PERMIT APPLICATION (RE3IDENTIAL)
81 CITY OF EAQUN
JIL$ 3830 P II.OT KNOS RD • 66122 31
681-4676
New Construeaulrements RemodeVRenair Reculrements
? 3 repistered sHe aurveys ? 2 coples ot plan
? 2 wpiea oi plans (inGUde beam 8 window sizes; poured fid. design; etc.) ? 2 stte surveys (exterior addkiona & dedcs)
? t energy celculations ? 1 energy calaletbns for heated addkions
? 3 copies M tree proservation plan H lo[ plaKed after 7H/93
required: _Yea & No
Fn,?l+e
DATE: 3/2 3 ci CONSTRUCTION COST; l 3?.'aac--, C,CL 4.4ve,1
DESCRIPTION OF WORK: kz/ Towr?tl-or-?tE
STREETADDRESS: ''t`l? TEticzlyc-E-
LOT: 1 1 BLOCK: v SUBD./P.I.D. #: S+-kotZ6'5 lO - I??BS-
..b,LPGZX wI LoT '/Z
Name: ?afF h'1ArJ . rt,-?C . Phone#: ?Ocl`?- C1F5D-4
PROPERTY 1.%st First
OWNER
Street Address: ZZlt
City ?uR.?sV :?.? State: 1Mr-? z,p: 55 33
Company: SP?? Phone#:
CONTRACTOR
Street
City
State:
License # 91 LS
Zip:
ARCHITECT/
ENGINEER Company: Phono ti:
L, ? E -cri,, ?l
9 3 `{. - -?4`} O
Registration #:
Street Address: sU S-r(LeZf-- k-
ciry ?r?Ar/l}A?rc? stau: VI N z,P: 5531 '?-
Sewer & water licensed plumber (new construcdon ony):
and lot change is requested once pertnft is issued.
I hereby acknowledge that 1 have read tliis application and state that the
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Appliqnt:
OFFICE USE ONLY
Certificates of Survey Received Yes _ No
W E") Z? (-- L
Penalry applies when address chang
ind agree to comply with all applipbl
C _ J.
2 4 99$
Tree Preservation Plan Received _ Yes _ No _ Not
c?r • Ir?
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
A02 SF Dwelling ? 07 4-plex
O 03 SF Addition ? 08 8-plex
0 04 SF Porch ? 09 12-plex
0 05 SF Misc. ? 10 = plex
WORK TYPE 2
„0?31 New ? 33 teratl
? 32 Addition ? 34 Repair
,c34;L4;7??1;1?•7.???T?iL•7?
OFFICE USE ONLY
? 11 Apt./Lodging ? 16 Basement Finish
? 12 Multi RepaidRem. ? 17 Swim Pool
? 13 Garage/Accessory ? 20 Public Facility
? 14 Fireplace O 21 Misceilaneous
?zo • Go T • --``
?r???
? 36 Move
? 37 Demolition
Const. (Actual) Basement sq. ft. /. lo/(e MC/WS System
(Allowable) '?r! Main level sq. ft. -71017 City Water
UBC Occupancy ?•/ sq. ft. Fire Sprinkiered
Zoning f Q.A sq. ft. PRV
# of Stories d s r sq. ft. Booster Pump
Length 38 sq. ft. Census Code. /O Z
Depth o!o Footprint sq. ft. SAC Code ?
Census Bldg i
Census Unit
APPROVALS /J
Planning
Building
Engineering
Variance
?.
Permit Fee Valuation: $
Surcharge i
Plan Review
License
MC/WS SAC ?0Cr
City SAC ?
Water Conn. If
Water Meter
Acct. Deposit
S/W Permit
SNV Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other Vo" /
Copies . ,
Total:
%SAC
SAC Units
. .17 1GI1J
,, .
?'awne?;?
612734d__1105 h4IhIN?T01d1:; DCSIGI!
FXTERI0R LRVCLOPE_AUERAGE "U," COMPUTAf,IOfV
nnrr:9 -13-9S
f-`.;3C i t7
51TE ADDRESS:
CON7RACTOR:
PHONE:
PLAN td `«
Dctermine working square foota9e of each
1. Total exposed wa11 nrea... ,. sq, ft, x^ li ??-
2. Total roof/cciling area..... sq. ft. x .026 =4n
Total exposed wall area above floor-\?`
a.' Total wall window area...........................................
b. Total door area ..................................................
c. Total sliding glass door area .................................... ??Yn
d, Total fireplace wall area........................................
e. Total wail i'Yaminy area (average I0%)............................
f. Total rim joist area ...........................................-• _
g. net wall area abave floor .....................................
h. wall area abovc floor .....................................
I. , wall area above floor............................ ..........
' ' frame Wdli area 4t foundation ................................... ?
? Total exposed foundation ared= S? \-1 ??
k. Total foundat?on window area .......................
1. Total net foundation drea aGove gradc .............. K?? S
Determine "u" value o` each wall segment
(e.g. window, door, ezch separate tvall section)
a. 12;1.?, z
x
d.
1. ull
i, u,t .'?-S = I ?D ??1
„ u
X ,1 U11
e. ? 14)\ X ?lult ?2-.? ?
f. X „u?,
g. Izn.?? ? X „ul,
h. X "U" _
i. x t; Ull _
x 11 u11 ?
k. C ,1V ;
1. „u 1,
3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . To t a 1
If item @3 ts the 53
as, ar less than ite
#l, you have mflt the
intent of 50C 6006 (
----- ---------?' --- --____
93? 1C:13
61293443t75
MIMMETDNI<F1 DGE,IGH
, 'raTaL EzPasto RaWcEtLtrta cAa.cutnrtais: TOta1oxposad
roof/cm911nrt ar@a, ..... . . (??'Z.?n sq ft
J) Total akyifyhC araa....... ' sq fC x"U,•
k) TotaI roof/catltrtg Nramittq- - ? .
arom {Avcraaa ft x
1) Tota9 not iasulaeed • ?,
PAaE UB
m
`
m 3.
: roof/co111ng sG f t x??iJ??
? , ^-----?----?-- ------._---
?70TAL J j th ru 1)
If total oE stl T3 the gsmc a7, or 9Q?s than jv2, you hdvc mct zhe in;anC of
• 2 :1CAR 1.16008 X atd 0. • ,
, ? .
, ? .
, ALTERK1a3E GUILDING iPdYELOFE QESkGH . • -
To utTltzc thQ totaS envG4aPc systam mtttod, •tM@ vulues asta10-1111cd hy ?hl? ,um
of ltoms F3 mnd #4 ahalt nat bcssaatcr ".han Che s-um'cs'.` itcms 01 snd ?92. .
• . 1. _ _ -4- 2. ' a ' ,
- ' • . . - --..
. *
995 '10:13 61293.1;1305
BLOCK: y(psrs
KNEE:
WALKOUT; -??
FULL i: `(p`j`?S
r"ULL 2:
FIREPLACE:
RIM: ?(D1, irj
BLOCK; Is
KNEE:
WALKOUT:
FULL 1;
FULL 2:
FIREPLACE:
RIM: ICD?,??-?
A .
x
?
SQUARE FEET EXPOSED CEII,ING
WINDOWS : -?-
'21-Atv s? 54
2c?3Cp &,kz
zl? So
2c,v413
10 SIb?LIC,aEit },???'
DOORS : 37 ,77 ?
PATIO DOORS: ?w?
SASEME;IT UNITS:
SKYLICHTS:
FAGG DJ
R
m
c
MIt,INGT01J4<;+, DESiGH
* LINEAL FEET EXPpSEO idA4L
" SQQ.IAE FEET E}CPOSED FTALL AEEA,
X .S
x 5 e
x 8 ? 3Cr4
x 8 = i ?3 1?
x g b
`a_Iii"??
400 City of Eap
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
------------------
? ,F0ij(D,`??ZQ'IJYi ;
j Pertnit
? Pertnit Fee:
1
? Date Received: j
I ?
I Statt: I
I ----------------?
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:SiteAddress: 14W46 4Lk41 tate, SvLlm mralce-
?
Tenant:
Su ite #:
RESIDENT/OWNER Name:COaC wL?Z SY? 10UUU1,hOPV1QS Phone:
Address I City / Zip: itbi_?) CIl Ck Cc. ? qlSU, 5c5i a4 ?15
Applicant is: _ Owner _)L Contractor
TYPE OF WORK Description of work: l eCLV' d--Q YQ.rl3Ut" ?w Sv )
-
U?
Construction Cost: *?J31 ??• Multi-Family Building: (YesK__ / No __j
CONTRACTOR Name:PMVf'1C? Qy)A?jCJCI7S -Vj1Cz License #: 401 (OJ5005
Address: 9_q(P() ZtA.OL(uCA.? M- -*(Cv
City: IN?lll ( L4- State: Zip: 9D- :.J
Phone:"lya 1 D-1 "? v; l Contact Person: VJIo4' &,t1LLCQX{.r
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Fesidential Ventilation Category 7 Worksheet • New Energy Code Worksheet
Category submined submmed
(4 Submission type) • Energy Envelope Calculations Su6mitted
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 Contractar: Phone:
Sewer & Water Contractor: Phone:
NO7E: Plans and supportiqq.doculnesfs fhaf you "submit,are?oonsidetedto be pubLc In?orma#ioq; ?ortioF
the inforinafion may 15e,6lassifr?d'asmon pu6lrc=ifouTprovrde,spjpr5? reasons fhat,wou%d perrnlt the City4o
"
cpnclude"-ftiat the _;a'r,e tra
desecrets R3; ' . .
I hereby acknowledge that this intormation is complete and accurate; that the work will be m conforcnance with the ordinances and codes oi the Ciry of
Eagan; that I understand this is not a permit, hut only an application lor a permit, and work is not to start without a permit; that ihe work will be in
accordance with the approved plan in the case ot work which requires a review and approval of plans.
Xua.vtu Sc4n.t? e4,- X??a,.
ApplicanYs Printed Name Applicant's Signature
Page 1 of 3
? Top of Irons 0 Offsets
A? 10.00' Offsef 920.35
OB 10.00' Offset 919.45
CER TIFICA TE
CO 14.00' Offset 920.74 \
O 10.00' Offse t 921.72
> O
.
? g
/ Aa 9?99
ry ??5a
(920.3)
v 919.5 ?
?
919.7
66`0
?
F
m ?
?qkEs?44?
aos ?
4 o T
?
1 7 n?y ?O
0
OF SURVEY
8 `
00 ? 01
?
0
4445
T?RRq
l.
°Se
\ ? 1
.
?
908.0 ?
O
/
m
j m o / \
/ ?° ry \
(919.50 TC) ?
\ 919.56 TC
,
/
?
K
m?
ON
ry?
?
???
ry O
°?
(b
Z00
?
(923.4)
921.2 /
Q
V ?? J
r
S oo.° 'r 8 ' y?0
o /
• ? (923.0)
o?a 922.9 '??.
/
LEGAL DESCRIPAON:
Lots 17 & 12, Block 2, CLIFF
LAKE SHORES, occording to the plof
thereof, Dakoto Counfy, Minnesota
Top of Biock = 922.46
Goroge Floor = 922.08
Lowest Floor = 914,31
GRAPHIC SCALE
20 a ,0 20 w
( IN FEET )
1 inch = 20 ft.
930.0 Oenofes Sonitory Sewer Service fnvert
865.0 denotes exisfing elev.
(865.0) denotes proposed elev.
denotes surface drainoge
• Oenotes iron monument /ound
O Denotes iron monumenf set
8earings based on assumed datum.
I hereby cerfify that this survey was prepared
by me or under my direct supervision ond thot
? l am o duly egigpered Land Surve}ror under the
lows of t S fe of ?to.
Mortin J. Web R.L.S. Date
Registration o?'72043
REQUESTED BY.•
?ATE OFFMAN HOMES /NC.
' Z ? D PT•
31G,• I?SPECTIO?S
w Westwood Professional Services, lnc
i ?
/ I 14180 West 7runk Hwy. 5
Eden Prairie, MN 55344
r- (612) 937-5150
/
i
Drown byc M5. Date: 3114198 Jab No: 95198
Lots 11-12, Block 2
82Li1-12.DWG
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA165854
Date Issued:11/24/2020
Permit Category:ePermit
Site Address: 4445 Lakeshore Ter
Lot:12 Block: 02 Addition: Cliff Lake Shores
PID:10-17785-02-120
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Janine M Hudson
4445 Lakeshore Ter
Eagan MN 55122
(651) 452-2017
Hero Plumbing Heating & Cooling Inc
10900 Hampshire Ave S
Minneapolis MN 55438
(612) 827-4674
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA165953
Date Issued:12/02/2020
Permit Category:ePermit
Site Address: 4445 Lakeshore Ter
Lot:12 Block: 02 Addition: Cliff Lake Shores
PID:10-17785-02-120
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Janine M Hudson
4445 Lakeshore Ter
Eagan MN 55122
Minnesota Rusco
5010 Hwy 169 N
Brooklyn Park MN 55428
(952) 935-9669
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA176922
Date Issued:06/07/2022
Permit Category:ePermit
Site Address: 4445 Lakeshore Ter
Lot:12 Block: 02 Addition: Cliff Lake Shores
PID:10-17785-02-120
Use:
Description:
Sub Type:Furnace & Air Conditioner
Work Type:Replace
Description:
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Janine M Hudson
4445 Lakeshore Ter
Eagan MN 55122
Bonfes Plumbing Heating & Air Service Inc
455 Hardman Ave
South St. Paul MN 55075
(651) 228-7140
Applicant/Permitee: Signature Issued By: Signature