4449 Lakeshore TerCITY OF EAGAN
3d30 Pilot Knob Road
Eagan, Minnesota 55122-1897
' (612) 681-4675
? SITE ADDRESS:
i PERMIT SUBTYPE:
f,7ts ....L N V' 'r?1C
.? ri t. 11 C IK :
PERMIT TYPE:
Permit Number:
Date Issued:
WR/!tilqti
i APPLfCANT:
(.tbi.')
TYPE OF 1NORK:
i!I ,+ I t 1 i E??:
INSPECTION TYPE DATE INSPTH. INSPECTION TYPE DA
,,.,?,. , • , ,,_?, :? , ,? „ ,
Per it Holder Date Telephnne Ik
PLUMBING
HVAC
Inspection 'SW Inr Comments
FOOTINGS
?/
W6
?,
-
FOUND !J %
FRAMING
ROOFING
ROUGH
PLUMBING
_?- • ? ? ?Lf-
PLBG
Alfi TEST
ROUGH
HEATING
gz2
GAS SVC
TEST
INSUL
GYP BOARD
c?q
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
?
DOMESTIC
METER
IRRIGATION
METER .
.
FLUSH
MAINS
coNOUCnvirv
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
' CITY OF EAGAN PERMIT TYPE: '' iI DINii I
3830 Pilot Knob Road Permit Number:
Eagan, Mir,-nesota 55122-1897 Date Issued: •, ' ; ? `{ F <' `; ?
! (612) 681-4675
t 41 • ;? rt' ?: : ;i ?? 'SITE ADDRESS: APPLICANT:
i
PERMIT SUBTYPE:
1„ .
TYPE OF WORK:
l. i? T L ! Nf
. .A . ..
1'4??
i
f AN N'L111Fl,lf 11 fi'( l.lA'dhtf' P91 I l.Fk -
I ?& W i% 4tt FJ:'f ! M! r tiANlrAt pN0141•
?
mq?? ?[ -
, ..
?
?-
# ?
? ,._
- -- - - ----- - -- - - - -- - - - - - - -
Permit Holder Date Telephon6 #
PLUMBING `? 7 JCa' s?i
HVAC
Inspection t sp. Comments
FOOT',NGS . ,
FOUND
FRAMING Ll? Q
G ?
ROOFING '
ROUGH
PLUMBING
?
PLBG
AIR TEST
- ' -
-
---
ROUGH
HEATING ?, . ?r
GAS SVC
TEST
- .,
--
INSUL ?
GYPBOARD I'2t•gd?
L
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
[3LDG FINAL
?
DOMESTIC
METER
IRRIGATION
M ETE R '
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
Qkrtificate of Cccupanc?
4AtV of Cfagan
zcyartraettt of zKmittg anf3p¢ction
This Certif:cate issued pursuant to the requirements of the Uniform Building Code
certifying that at the time of issuance this strucp+re was in compliance with the various
ordinances of the City rrgulating building consrruction or use. For the fol[owing:
Use Ctassificuioa• SF DC -ZERO IOT I+DE Bldg. Permit No.
Occupncy Type R3/U I 7.ning District PD Type Const. VE
- o?oraucw?ng HOM" Ham name, 2214 E 1171H S`_r* B'V 7y
Building Address 4"9 I.AItE4HM TLT" ,oc,;ry L2, Bl, a.IF'F I.W SHOSES M
?' ?"\; - ._? 1- ? ?1 }?'• / Datr
Buildiag OfCecial ,
POST IN A CONSPtCUOUS PLACE
i
G?r
r
r
Cfertificate of Cccupanc?
iKitv of Wagan
????cut ? zKming 3napeciinn
Tbrs Certejcare issued pursuant ro.the requiremests of the Uniform Building Code
certifying that at rhe time of issuarrce this srructure was in compliance with the various
ordirurnces of the Ciry rrgulating building construction or use. For the following:
ux SF DWG - ZERD LOrT LIlM aag. Pemit r+o. 33306
pccupancy Type R31 u I Zmiog Distric PD Type Comc VN
Ovmer o( Huilding ?' BM Add,ess 2214 111tfflSMs B'Vn.IE
Buitding Addmss 4451 LAKESFM IERRACE l,pcwdy 1. 1, B 1, MIFF LAKE sHDFES 2mD
Da1e:
Buiidiog Official
POST IN A CONSPICUOUS PLACE
(eq a ca
2006 RESIDENTIAI. BUILDING PERNIIT APPLICATION
City Of Eagan
3830 Pilot Knoh Road, Eagan NIN 55122
TeIephone # 651-675-5675 FAX 0651-675-5694 '
Nex Canstructon Reawremen6 Remotlel/Remr Reamrements Ofice Use Onlv
7 ragistered srte surreys shrnnng sq. R of lot sq. R of house; and all roofed ereas 2 rnpiw oi plen shovnng fooungs, beams, last Cert of Survey Reed _ Y_ N
(20 % mazimum lot coverage allowed) 1 set of Energy Calculanans for hwted addNans iree Pres Plan Recd _ Y_ N
2 cMes of plan snanng heam & wmtlav snas; poured found desgn, atc 1 ate survey for aEdiitiM1ais & decks Tree Pres Required _ y_ N
7 set of EnagY Calalabons ACdifion - moicafe if on-.wte sePtrc system On-mte Sepbc System _ Y_ N
3 capies of Tree Preserve6on Plan if lot plaGad after 711P93
Rim Jast Oetail Ophons selecuon sheM (6Wdingswtlh 3 arless units) Mimegasco mechanical ventilation form
Date ! V / ?[ l 0?5 Cansirucrion Cost 'z/9 DD
(f
Site Address Y?/5l t / ??9 f Unii/Sie # - ?1!l%1 ?-
Descnption of Work ?f / da? !/v°u WL? W
Muiti-Family Bidg f Y 1_ N
?J Fireplace(s) _ D _ 1 _ 2
Property Owper 1 " elephone # (9?
i3
Contractor 44
Address City
State , Zin Teleonone 1(4rL Q
? ? > >
CaMPLETE T3-11S Ai2EA ONLY IF LaPISTRUCT7NG A NE3M Bl31LDING
Energy Code Category - Minnesota Rules 7670 Cazeeorv I _ Minnesota Rules 7672
(J submission type) • Residendal Ventllation Category 1 Woncsheet • New Energy CoCe Worksheef
Submitted SutmRteC
• Energy Ernelope Calculadons Submitted
In ihe last 12 months, has the City of Eagan issued a permit for a similar plan bosed on a master plan$
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Confractor
Sewer/water ContracTor
7elephone #(
Telephone #(
Teiephone # (
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 oniy 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 th case of work which requires a review and
approvalofplatts. . A9-
- G - ? ??Printed Name Applicant' Sign'Pttue
Applicanl's
f . • I.OT SURVEY CHECKLIST FOR RESIDENTIAL
• . ' BUILDING PERMIT APPLICATION ?
PROPERTY LEGAL: ?Y 2 2 p-DATE OF SURV?Y:J
>
? IATEST REVISION:
DOCUMENTSTANDARDS
f?- ? • Registered Land Surveyor signature and company
Cd? ? ? • Building PermftApplicant
o?'o ? • Legal descrip6on
p--,p ? • Address
Q--'[3 ? • North arrow and scale
p-'0 ? • House type (rambler, walkout, split w/o, split entry, lookout, etc.)
a/p Q • Directionat drainage arcows with slopelgradient %
C9?? ? • Proposed/epsting sewer and water services 8 invert elevation
[3?p ? • SVeetname
Q?'C] O • Driveway
ELEVATIONS
Exdstinfl
? • Sewer service (or Proposed)
[3' ? C] • Property corners
0 q. • Top of curb at the driveway
? 0?0 • Elevations ot any exassting adjacent homes
ro sed
tgr ? p • Garage floor
2-'0 ? • First floor .
?? ? • Lowest exposed elevation (walkouthvindow)
[3'
p ? • Property corners
/
p? p 0 • Front and rear of home at the foundation
PONDING AREA fif aoDlicable)
? • Easement line
? • NWL '
? p?p • HWL
? • Pond # designation
? [?' ? • Emergency Overflow Etevation
DIMENSIONS
• Lot IinesBearings & dimensions
gd?-?' ? • Right-of-way and street width (to back of curb)
Er'p ? • Proposed home dimensions including any proposed decks, overhangs greater than 2',
porches, etc. (.e. all structures requiring permanent footings)
?? ? • Show all easements of record and any Cily utilfies within those easements
?( ? • Setbacks of proposed sVucture and sideyard setback of adjacent ebsting structures
? C33 • Retaining wall requirements:if any /i
Reviewed:
January 7998
CRApIypygLpGPRMf FM
CIT`r' 01= FAGAN
CWuIi-ri; 1S '?'ERMIiJai_ NOe 864;
I:FrI[ ;: f1W8/98 '?'7MF:,, 0c4724E•
:D:
NnN:f°';; Hrl!-FMAN'FfON'cS:, 'fNC,.
2i?36 9001 4451 I...AF:ESI4R TE 4731E,.46
Pp``iY 9001 4437 I_6a!:E:'}I-II"i T'F 41^1E,.4F,
056 900' 4443 ;..6th;l:9}Ili TI:" 0500.21.
2256 900f. 4419 I...F11.FSF!{i T'L- 4a3i.f:,.Af
;o+,nl. I%ecei.pi; Amount; !.Q449.53
CFtil9754-;
USF"F' :[D: JRN
s„X?*?k%? ?+n'4'Y?r?*?c?'x%??X??K?X?W.?%h?W? ?%??kakN??tu?kk•#?SV??
PERMIT
f' F EAGAN
C,TY.O
\?3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT TYPE: B U I L D I N G
Permit Number: 033311
Date Issued: 0 9(18 / 9 8
SITE ADDRESS:
P.I.N.: 10-17785-100-02
0.449 LAKESHORE TER
LO7: 2 BLOCK: 1
CLIFF LAKE SHORES ZNp
DESCRIPTION:
i,r7
? ?".C-k7:Yf S"? C't1 C 1
g ;
SF DWG
NEW
R-3JU-1
VN
PQ
38
68
1
2,584
102 1 - FAM. ATTACH
ZERO LOT LINE
Permit Type
4-ark Type
L 0-n?t-h_ nfi
Wadth . °
??. ""
4yrw
IL4 . , s? ?SrCN h'$e°nro "+? Rt£??4.b ?`1£
&g'
?
5q+M gy '-"F's Uk?(S 'mmg
?e6 $' y?- 5? ? 9t_ E'L K 3?'3 ry?gg
REMARKS:
PI.AN REVSEWED BY WAYNE MTLLER.
S& W IS WENZEL MECHANICAL PHONE #452-1565.
MINNETONKA DESIGN S0 W 78TH STREET CHANHASSEN,MN 55317
FEE SUMMARY:
VALUATION $145,000
Base Fee
Plan Review
Surcharge
SAC
SAC &
SAC Units
SubCotal
$1,112<25 MISC. FEES
$722.96 Total Fee
$72.50
$ 1 000.00
100
1
$2,907.71
CONTRACTOR:
WOFFMAN MOMES ZNC
.3214 E 117TH ST
BURNSVILI.E MN
(,Giz) 894-9e07
55337
OWNER:
HoFFmAN HomEs
2214 E.
BURNSVZLLE
(651)894-9807
1177H STREET
MN 55337
? ? ' ; 7G h?r`?by ?ckriawl?d?
?,n'C`v°rma?icrn,.i? cirr,r
SCatute?s nd.rz ?+ e
$1,692.50
$4,500.21
- Applicant - ST. LIC
18949807 0009284
e tF??t? I' tiev,e rea?t' °tfii?s :?PpYie?'tio:n -a?rtd stata Chat: tKe. '1
eet ana t-,O -Pfi
'F ??c??Y9 t3Pd?r?rs17?#3sY; F ` ,
NATIIRF UED BV: SIGNATURE
• _ ' 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
crrsr oF Enc+nx
` 3830 PII.OT KNOB RD - 86122
681-4678
New Conahuction Reauirements RemodeUReoair Reuuirements n.
A 3 registered site surveys ? 2 copies W plan - f-?? _?" ?
? 2 copies ot plena (Indude beam & wintlow sizes; poured fid. design; etc.) ? 2 site wrveys (exterior atlditiona & dedcs)
? 1 energy ealalations ? 7 anergy ealculatbns for heated addkiona
i 3 copies oi tree preservatlan plan if bt pletted after 711/93
required: _ Yes .6;_ No
DATE: St'[ tC CONSTRUCTION COST; ? 13b oo?aTS'1c?-. Poaw.t,??
DESCRIPTION OF WORK: -CdwJlA 9k.LE
STREET ADDRESS: `f14+4t kA1Ltf5l-)teRlc l E.W4%LC
LOT: BLOCK: Q:?)_ suso./P.I.D.#: G.i FF LAYt SH'aftS Ip-ll}$S ^ loo-oY
'5Ac.00 ACo:ti.uJ
Name: H*frfw144 4-bY1ESk'Sr}1G. Phone#: mg"qgflo}'
PROPERTY last
OWNER
Street Address: Z24 tt G - I I
Ciry 9 WLNSIJ??+? State: MW Zip: SSi 3 3,4-
Company: 95 A1''« Phone #:
CONTRACTOR
Sueet Address: License # 5 7-8-4
City
State:
Zip:
ARCHITECT/ ?i?1J.J6ToJJ?4 ?ES?(o?
ENGINEER Company:
Name: L`j l.E' -ULt a h?
Phonetl: IN "5?4*0
Registration #:
Street Address: ? o Ui - 191*1, s-Tlefti-
ciri 64+iw tt 4556.p.J state: Fqt-j zip: SS3
Sewer & water Iicensed plumber (new construction any): Penally applies when address chang
and lot change is requested once pertnit is issued.
I hereby acknowledge that I have read this application and state that the iniortnation is cortect and agree to comply with all applicaW
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant
OFFICE USE ONLY
Certificates pf Survey Received _ Yes _ No
Tree Preservation Plan Received Yes No
OFFICE USE ONLY
BUILDING PERMI7 TYPE
,
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
O 02 SF Dwelling 0 07 4-plex ? 12 Mufti Repair/Rem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
.,Q-44 'SP Porch . L p' 09 12-ptex ? 14 Fireplace ? 21.?IGlis&ellaneous
0 05 ,.SF'-Miso. t ? 10 _-plex ? 15 Deck, •
woRK nrPe .
- p 11, New- , r•, ;,O 33y;Alterations 36 Move
. ;
?
32 Addition C]
?„4. ,
?
37
Demolition
GENERAL INFORMATION
,
•j ,
r,?
.•.%
.
`,r'... •t,:
' .•wa.*...<
Const. (Actual) JLiV Basement sq. ft. /G 3 2 MC/WS System X
(Allowable) JV Main level sq. ft. , : ,_ •< 7. C'tyWater T
?
UBC OccuPancY H3 L - I ??$LL
sq.
ft:
3 `
Firb Sprinklered
2oning
# of Stories sq.
7- sq. ft.
ft. PRV •
'Booster Pump
Length sq, ft. Census Code. I a2
Depth ? Footprint sq. ft. a 6`t SAC Code a/
Censns8dg ?
Census Unit J
APPROVALS M c c^
Planning Building Engineering Variance
Permit F.ee: • ?; , c :Surcharge
Ptan Review
License '
MCNVS SAC
City SAC
Water Corin?1
Water Meter
Acct. Deposit
S!W Permit
S/W Surcharge
TreatmeM PI.
Park Ded.
Trails Ded.
Other Copies
Total:
Valuation: :•r , $
,:3c?;?:41a? r5zo
0
lb 3a. o°cA 0
It'1u i /1
3-sX ?o = ?hao
- G X
t za x .S = ? ?o
t ?x 5 =. lO
t 0, x ?a = ?-
.
X 5.9 :-, Ct6,ytiy
% SAC
sAC units G 2,1 x z3 = y?3 X? 6 7' 7;1,1
6121i 1-t4JtU5 hITHIJC101JIW liESS6t1 `
?Y,7ERfOR GRVCL(1PE_AUCkAGC "U.' COMPUTA;fION '?t¢+4?oy
-- -_ _ • L.eT 'L
nnrr: `I-13-?t5
P:,' ,E 07
$%..ew 1
SrrF aoortESS:
r.oNrancrau: ?40 - =n1f?l it
PiroNE :
PIAN IF
Determine workin9 square foota9e of each
1. Total exposed wal l area..... }?ri) 1I ` sq. Ft, x .11 - 2?
2. Total rool'/cciliny area....._ sq, ft. x .026 =42
Total cxposed wall arca above floor=,?
a. Total wall window area ...........................................
b.' Tota1 door area................ ,.......... ......................
.
c. Total sliding ylass dour arca .................................... 1Q?
d. Totat fireplace wall area ......................
..................
e. Total wall framing area (average 1Dp) ............................ T
f. Total rim joisC area .............................................
9- net wall area a6ove floor .....................................
h. wall area a6ovc floor .....................................
i. wall area a6ove floor ....... ...........
j. -frame wall area at foundation,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Total expoSed foundation ared= Sa\?r?
k_ ToCal foundation windosv area .......................
1. Total net foundation area above grade ..............
[letcrm{rte "u" value of eaCh wall segment
(e.g. window, door, eech separate wall section)
x °U"?`?`??_,._..-_= CD2.3?
b._ I(7,1 I
x
d. _ x lu„ _
e._ \Q\ X „u,- ??.?
x „U-??? _ cp ?(.0s
x 'lull?ti0 = ?? , cHA
h. X 11 Un _
i.
.i •
k,
x 11 ul.
x 11 ul.
X .. u 1.
3 . ............................. ...Total = 7mza-? 15
If item 93 1s the sa
as, or less than ite
#i, you hAVe met the
intent of SBC 6006 (
1995 io:ia
612934`1305 MINNETONfCA DESIGIJ PAGE U2
y. ToTRL CxP03@a RA0FfC@ILINO CAR.GULA7tOtISl •
Taesl?xpas?d
raoP/eaalllng are,q.... .. (p'j_ yq pt .
)) Tutai akylfphC araa......• ' sq Pt x"0" ?
...?__
k) 7otAI rooP/culllnq Pru+ing
uroa {Avcra(
ia 54 1't x•sv- J??'?- • ., ?,`?
9) ToCA{ naC Insul • acnd
rovP/calllng araa....... -? sq ft x uU" ??7- ., 2c1j?, • ' TOTAi. J) thu ) total aF fh Ts the sumc, as, or Inss than P2, you havc nict the tntnnt of
2 :tCAIt 1.16008 :h amd 0. • • ,
.
. ? , •
. ALTERIIATE BUILDING ENVELaPE UESlCH . "
To utiltza the total enveelopa syst4m sethod, •;he valucs estnh)•Ished by thq sum
oF 1 rams p3 mnd 04 shaj E naC 6e grcater than the aum'ot tra.s 11 and #2. . ..
• 1' - ,o- 2.
? ?• ' . . -n??. . . . _ .
• ' • . • ? "
. F
10:1? 6129344305 h•1INNETONKA PESIGN
* LT(dCAL FEET EXPpSED 6)A(.L
oLacK: `(p„s
KNEF.:
WAl.KOUT; 7Z?
r•ut,c, i:
FuGC, z:
FIREPLACE:
RIM: ?(p?j Irj
BLOCK:
KNEE:
WAt,KOUTc
FULL 1:
FULL 2:
riRcPc,ncE:
RIM:
?wxt,u
S
UAR
-
Q
F. I ECT E7CPOS 7
ED CETLING IC9
WIKDOWS:
lzcp?Q
2CP2(-q
SQ) ?I11 ?07
?cvao Il 1.?;? ;
SQUARE FEET EXPOSED WALL ABEA
x .5 'i?Z`15
x 5 a
x 8 s 30A
x 8 2-
x 8 -
X Q
1 ?. I C c?? , !
DOORS : 3'7,?j?L
PATIO QOORS: ???O;
BASEME:iT UNITS:
SKYLIGHTS:
PAGE 179
'? I?5 lEt:13 6129344305
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?'?.c n-! ~!til • ? . r 7 %rill ?t
?`w':?,; `? ? - ° ,?f; !. •?
P4INhlET0f,1}<A LESIGN
Qye15?tRC1C'?' (?..._._ ?.,??7'W4riF?:
1. 4.
S.
6,
FAGE 10
A..1?
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6129344305 'j "` ROOF-C?;ILING MIINFJETONKFa LESIGN PaGE 11
» .'
= _??FJ CONSTRUCTIpN R-yALUE
-- ?--
? J
'y?_u.a7??,, ? r? ?• _JNTERIQR n7R Fr?,M
2.
5Gvp Rb n ca
3• IN.,?.U?dIZOY -'?'---5=--
VT]?`i. ? 4. EX"E RTOR? r,?-
_ ?;? 45.80
?-?J ? U ' .02
FRAMC
VENTED H£11T FZK1W 1- INTE$IOR ATR I>ILM
I I vY p, ?'? 3• L LATION ?$----
F'TG. y5 4' ?T?M??It FILM
40.tS
U ° 0.024
? HiAT T'Lf7w UP
vFarren
UG. II [j ?
F,r(;, Er7
COtdS'PRUCTIpN
11 INSill:, ATR FILM
2.
3.
4,
5. ' AIR tP
ILM
U
FRAME
I. TNSIDE AIR FILM
3.
u.
5.
1,
2.
3,
4.
5.
0.61
IUIAL
U ?
INSTDE ATR FILM
'TLM
U ?
NO4'E: USE ADDZ'I'IONAL SHMI'S IF M7ItE SpqCE IS 5dR
NF.EDLD FOR DETAILS ADip CqL(.UL„yq.IQNS, tem
:he
i (c
NCJN--VEN'I'ED ?
FIF11T FiAW
UI'
czTV ur• tiAGnN
CASF•IIEIi: JS T'ERMINAI_ N0: 86f,
llFlTEa 09/1E3/98 TlhSlc;; 15:47r,08
SQ.
NAMEa HOFFMAN HCIMES7 ):NL'.
2256 9001 4451 L.AI':F:SHfi TE 4q;316..46
2256 9001 4437 LAFT!il-II: TF_ 4y;316.ht
2256 3001 4443 I...AY,L:itlfi TF 4y`,Of7.21
2256 9001 4439 1_AI:ESHfi Tk. 41316.46
Total, Rereipt Amount ; 17,449.59
Cf!09f'5JJ
UCFF; ITI: jAN
? CITY OF EAGAN
3830 PilOt IGQob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
FERMIT
PERMITTYPE: suzLorNa
Permit Number: 0 3 3 3 0 6
Date Issued: 0 9/ 18 / 9 8
SITE ADDRESS:
4451 LAKESHORE TER
LOT: 1 BLOCK: 1
CLIFF LAKE SHORES 2ND
P.I.N.: 7.0-17785-090-02
DESCRIPTION:
LINE
SF DWG
NEW
R-3/U-1
VN
PD
31
67
1
2,077
102 1 - FAM. ATTACH
.e':t
\ ` J E 1 j ?
0l ?4? ? .?. .? a i .._.. _. ? ? I ..... ?
/
ZERO LOT
B,ui3dintI_Permit Type
?Building Wortrk Type
UBC C7ooupancy`,1
Construction Ty+pe
Zani,ng ,
' Building Length ?r
Building , Width
?Buil'diw1? s,tories
._34yeare Peet', ?
C b?i°s`iA s g f,Q c6o, =.z
t?i
REMARKS:
PLAN REVIEWED BY WAYNE MILLER.
S& W IS WENZEL MECHANICAL PHtlNE #452-1565.
FEE SUMMARY:
VALUA7ION
Base Fee
Plan Review
Surcharge
SAC
SAC %
3AC Units
Subtotal
$1,007.25
$654.71
$62.00
$1,000.00
100
1
$2,723.96
$az4,0ee
MISC. FEES $1,592.50
7ota1 Fee $4.316.46
CONTRACTOR:
HQFFMAN HOMES INC
2214 E 117TH ST
BURNSVII.LE MN
(612) 894-9807
- Applicant - ST. LIC
18949807 0009284
55337
OWNER:
HOFFMAN HOMES
2214 E.
BURNSVILLE
(651)894-9807
117TH STREET
MN 55337
I hereby aoknowledge that S have read this application and staCe that the
information isoc+i^rect and agr2e to cbmply, wiCh all appl3cable State af Mn.
Statutes and G' ofi Eagan Ordinances.
APPLICANT/PERMITEE SIGNATURE
SUED BY: SIGNA1 FE
?
. 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
' . ? CITY OF EAGAN
3830 PII.OT KNOB 7 RD - 55122 New Construction ReauiremeMS RemodeVReoeir Reauirementa Qj - I?-9 ?
? 3 negiatered sne surveys ? 2copies of plan
• 2 copies of ptans (include beam 8 window sizes; poure0 fnd. daeign: eta) • 2 ske surveys (exteriw eddkions & decks)
? 7 energy calwlationa ? 1 energy piwlations for heaOed additions
? 3 copies of tree preservffilon plan H lot plattetl after 7/1/93
required: _, Yes X, No
DATE: 9 I'A I16 CONSTRUCTION COST; ??? ? L??L Qo?C,H
?L
DESCRIPTION OF WORK: R?SiDE.al'C?Av Tow?J?-}oVIE
STREET ADDRESS: L4Kt54?v,et TErIJACE
LOT: ? BLOCK: I b? SUBD./P.I.D.#: ?L1EF L#?U.t yH?S 10- l?'TSS- l?qO?Dy
3EG.N4 ADp T1oa
o Name: HOfe-Myko kOY1ES, -xor- P6oneil: FSAI'tI?
PROPERTY Lest Pusc
OWNER
Street Address: 11 5 r.
City ('?%4t?•?Sd+???' state: M'u/ zip: 55331
Company: S AJWE Phone #:
CONTRACTOR
Street Address: License # 9 Z$ y
-?
City
State:
Zip:
ARCHITECT/
ENGINEER Company: Miw!'rehlyNk Des?onl Phone #: 934 A14 U
uE Tf-au.o
Regsstration #:
StreetAddress: rjSD W • ?"?? 5?" •
City ClijeftwaASSE-0 State: Mlf zip: 553t?
Sewer & water licensed plumber (new construcGon Penally applies when address chang
and lot change is requested once parmit is issued. Lf. S a??O ?
I hereby acknowledge that I have read this application and state that the
State of Minnesota 5tatutes and City of Eagan Ordinances.
Signature of Appiicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
and agree ro comply with ali applipbl
:i
Tree Preservation Plan Received _ Yes _ No ^ Not
OFFICE USE ONLY
BUILDING PERMIT TYPE
1 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
Q2 SF Dwelling ? 07 4-plex ? 12 Multi RepaidRem. ? 17 Swim Pool
O 03 5F Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
r: 13W04 `SF Pcfth;.•t O 09 12-plex ? 14 Fireplace ? 21 :1Wsce116fieous
O 05?,SF•Misc. ? 10 =plex ? 15 Dec
WORK TYPE
?
1 j.:v4'?I?'4•c
o y
.J . •?.y
!
.- rs y. • . .Y3L;(?.?)':a. ?'?;??.
. 0,.34,,A t„pca#io.?s ; ;`,p 36 Move r
? 32 Addition ;.r?;qu,3;? Rjpqi? : ? 37 Demolition
GENERAL INFORMATION
Const. (Actuai) ? Basement sq. ft.
(Aliowable) ?N Main level sq. ft.
UBC Occupancy 6-3 &ftR sq. ft.
Zoning ,. ? •..
# of Stories A10 . sq.
/ -T`- sq. ft.
ft.
Length 3 / sq. ft.
Depth 67 Footprint sq. ft.
APPROVALS , ;;" t'
Planning
Suilding W M -
?
/ 3 93 MC/WS System ?
?,5lJ3 ? C,ity Water
Fire Sprinklered
s Boostetr`?ump
Census Code. io2
? SAC Code m ?
CensWJ31dg ./
Census Unit /
Engineering Variance
Permit Fee , , ,,r • :?_
Surcharge •
Pian Review
License
MC/WS 5AC
cky sa,c ? _.
Water Corrin. ?
Water Meter
Acct. Deposit
S1W Permit '
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded. Other . .,?
Copies
Valuation;
{? .r.'.'?.i' .b.e • ;
1Ja5? MG/?" ...
, :3/?X 2F
`•? - ?6N5 0..
•'• '" ;?5' = 3H?Pl? 77
? .i
3l X ?39 t4)
- ?Xb
Total:
:2 1 xzz
_ _ / 3457
= 36
= iHH
ISo3
_ q6 z
F1 16 z
737Z
% SAC
SAC Units
t,it,?,iEir,t u-. oEszuw PacE oa
;,'XY'??62EC1?. Erdv"aP?,3.?C; ndaf?? "(9,• COMPurA7'tcJN
OWNER Pls1,u tJUPvtEiER C.1 `I_ 1 `Tre,7Vm il
gIre AoC)AEss I?ccU-%2.ct
cow°rRc,croR a-1CL"LL,?; ?.
? PNON
4ast9? Iw? ??+ ,,?.?5l???? ?nota9e t?nc"r ova??zpl??,3 ????;pii t? cd1
9. Yatc21 o:tpos6d wsllJPounctation ar::a z,bovc> t;r-;;yo
2. Total exposed roof/cssifinV area
9. Yofql aupasrrd 19oor/canifavnrc?d r:ry3f,,
9_?.!?q K?.1? ? - 9
?,
sq re x.oaa b 3s. S
^-, :.q It x ,Ot = -
Yo46sl not ax{soa::d i,vull airdu
0. Total b^rall vAr,Bm-u t;9oo l5
b. Yo3al cluar arua a4g , ob
0. 1`6Rd71 3DgtilYT 019M, aMn q ?j
r!. Totml r'Bsoplaaa vvzjg arWaa
0.'fo2e[usp{1 fta?m€nm (tlvtrcna10,Q I ?2
4R
l. '1'atal rest ?,scaU arvtt;s tafjvvaPYpor (rim }oisi) ?
?`04. -60
q. Yo@s0 riraw jol.?s uin?j ?
oo
TCSQQl OXmEEd fOSS6?ij43@16fl =7JF:d _
_
:.S I O U
• {r. Ybiof flucissetmion wAs:kh;r asv!s
!. 5'o4pc nci rfluruc??vnn um9 prex9?
_ QW01nQ vr?lu? ?r ?;?.€??
a. x ~cr
6. ??. x'tJ'?
d.
P. 90! 30 ? e.L,,, o00
b c8
P?. ,? x °?i.3' __?__...... ?.?.?..._ . a "?•
e...e..??Lo?? h°?;°? ? t?•?7l? g? ??r.
4. Yc4al Wuul °U" valuo Yor cxX.sa':,c9 vJdUitoun>13UOn aroJ = 169 . 2 Z
(1Y f-4 is tha samo as, or le^s'.^?ry item 01. y(jU Poave reret tho inYent 1-r ;hq Siate energY codo.)
OS!19/1,'i98 iL;:al GiJ'_??„14;iiL? h!II?!tJCl0l;l.r? DCtiP;hl
?e??u?.L'??oo a c rra c7rar?i n:t??rr,_:'«!lT.f??' I n?ra?':;°tSmAn'
70tai oaMsed rooucoiiinq aroo oCI
j. T'ot;?l gg?yilohl arr;L ""-
u:.Toi01 r06i/tutlin
(3var,n,o 1 h%)
1. TOIaI iy:jt Iri3ul35o-tri n?oPlctal!;'??j
SAvF?
i '''-) 9 o
I
7`l =S IQ
Dtltormino °U' valtju oi eao;, Gxpo,=,ad rool/ceflinq area "saqment":
_.. x "gJ" ?'-
r-WE oa
9b
x'wJ"'
----... ... ?' ..?
5. Ya8a1 ne4upl °U° VAIU@ PQP P08fILk?,^€nf3 irea = 27. 7 Z
Of (A ls th9 ^am0 £ss, or Ibr ttu9.sru ige2, you hM-vo MGttho infonf o( the Sfate Enetpy Code.)
Daumirle
??+??tl9vc,rattnr?re'?-?mnn?•
Yoflal eupossd flaorJcartft=>t?r-cd cw v M. Total ffuorlcan?:vure:l aoaa framint7
(&v*PUfy(i 967,.) -
n. To4-al not insaL.r3 i7oorlei;ltil;svan;rl ?
arma -°-
_ ?•-. ----- x"? .._`° ? ?
tt. -?_ x °U° ? ?.
----.?- -_...?..... ,? " ___
J ____
a. Ta"l actual `U° veluo 4nr 4iooNCcaYillovorc.tl asoa
Qf CO !FS the stamo ms, or la>as thQn 03. S'au flevts met f9ie Intont of the 82utu Eneroy Cpde.}
P?€??C. ??????ll3t? Frrv?lnr.;r qe?lnn
To ufili38 the to431 mnvelogis rysiercy merthed, thc valuOs 05trabli5hed by the sum ot item C4, 05,
0nd 0 shGll no4 ba qreFitar 4h?qn tlr_, ;;urn oP iinn7 t}1, i;7 ancJ 4K3,
Z I { , Z Z
4. ? 5?t . 7`L _ b5. 7`l ?1 Z, a.a _ ZSc ?. ? 43?n q?-d
• fY af?G CLY`?+???}CC' ? Ur?
P,4S1C
l+? ?L
R_ Vp(„jE
C'OIdSTRUCTTON - FR,aN_rh'C, 7'? _
I . ?NTI72IOR AIP FIL!-I 0.68
z. 7?
.'.. 57f T?'1--Mr.i'-w``,ou
U= .09
L-S(,. U-i
rG. 'CZ
5;?? ISEaI,GR
0
r;? U', c?
d d?
c--`
9?0o bi
9 Q ?
0 AyP L?
Fl?. 43
? J
?? ? r •?? ' ?
• `? ?O
SLqB piI Gtt?,DE
,._w.
?., r.rrr?.-Uer, n?n rYZx 0.6e
2 _--?-?-
3. ti'-7';75U _ -
t . T6'T32 '9!E.?1YIY=SP', 2-i36"
5 . 5'Tb`It 1(; -'?•'?`" U= .04
1. SkP'f[:FTOR AIR FTIFt 0.68
2. ,?-
3. z?.`?ta _
--?y-
e
FSIAC;K
uz ,aa
7.. INCFRSOR AIT2 F'TLA9 0.68
2.
?: . PRQTf.I."I'IVE P.4RRI .F f2
5. --
6.
. u= 14
;?-----? ---------
ri
? ? J l Y
( I .• ? ,
?
-- ? • ? 7, /? i?
I? ? S n
ifi _. ?•f ? If? J.
T(d''E. ICfDICA?'r TYPE, "R" VAIIJE. RF'P':'f{ PND
P:ACE*+k?"`Y?' OF INa711+,7fON.
f-t?- SfaL4.
fd-NDATZL.J ??
Wrt4L
' • R(;pF'-CEILIPic.
? -(a
? r
`lIIJr
r?lIlulEii_Id„ DL? t?, : Ub
C') N ST,t U CT I ON R-VALA,lE
:!. INTF:RrQ(?A??_,?,LI,M ? o?-
2. `>fF;" (;Yf'• fif). ?a
4• h il'l'RTQR pTR FTf
TFSTAL 45.80
.OZ
r .a M •,
VF*Pl`ED L I "'I ' F'F,AT F(','141
J y Up
T'YG. NS
1. fiV'I'GRLOR AIR N'1_LM n.nl
._..y411 --`.. - 4y -
J. -?_L?15 Ui?A1'ION
-F.'TLIM01t .1IR PLLM (
_-------------'tY?'C`t`?-?- 40-,-1G.5
--
u ` 0. 024
coLIs r2ucrrov
1. zvsj;u. aia Err.m
2. -_?.?-----
3. -
4,
5. ZSO' E ArR FTLM (1.1 7
U
FRkME
? J F?"'?T flAW UP
u
vE.Tft'?7i
FIG. A6
h.'QN-VF.I`7rD
i-?AT FLOS4
UP
L!
r?
i
1 IfvSIpE AIR Fll.hi • 0.61
„ - --
3 __--
4. ---
5. O1;T5 f (1_L Aj ft.?Il.i
U =
1. INSTDG ATR FILPf 0
, -- --
3
i? _------- - -- -
5. UU'T-S"L13T-A T?fi c fZ. ? t 0. 1 7--
-------.i?, .;., ,-- - --- -
u =
trG'?'£:: USE ADUr?'-rOtW, ?f-EE.'fS IF t"DI7F SPACF :1
rn?r?pt:0 FoF Ul!'AILS M!D C.4L0JTATO?!S.
`'IG. 07
? ?
CITY USE ONLY
L BL RECEIPT#:
SUBD. RECEIPT DATE:
1998 PLZMIDING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 BIIAT IQ70B RD
EAGAN, hIIi 55122
(612) 681-6675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preveMer for underground sprinkler system
FIXTURES EACH # TOTAL
Shower 3.00 x Z = 6,oD
Water Closet 3.00 x Z = i6,&o
Bath Tub 3.00 x 1 = 3.oa
Lavatory 3.00 x
e
9.0
Kitchen Sink 3.00 x
Laundry Tray 3.00 x
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x ? = 3•?
Floor Drain 3.00 x
Gas Piping Outlet ' minimum - t 3.00 x
Rough Openings 1.50 x
Water Softener 'tor dweliings under wnstrudion 5.00 x =
Water 5oftener ` for existing dwelling 20.00 X =
U.G. Spfinklef ' for dwelling under const. 3.00 =
U.G.Sprinkler "forexistingdwelling 20.00 =
Alterations ` to existing residence 20.00 =
Water Turn Around 20.00 =
Private Disposal System ' MPC iic. 75.00 =
(new and refurbished systems)
Private Disposal Systems ' Abandonment 20.00 =
STATE SURCHARGE 50
TOTAL 4 7. DO
------------------------ - - ----------------------------°----------- • - °------------------------ -- • -• - •- °- --- ------------------- -....--
I heretry-acknowledge that I h-av-e read this application, state that the infortnation is corrad, arid agree to comply wRh all applicable City of Eagan ordinances.
It is the appliqnt's responsibility to notiTy the property owner that fhe City of Eagan asaumes no liability for any damages ceused by the City during its
normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement.
SITEADDRESS: -449-7L 4i«e)eE -7? .
OWNER NAME:
INSTALLERNAME: VJEJl1ZEC-. / /EC.4A'N1C4L TELEPHONE#: `52
STREET ADDRESS:
CITy: F-A&AA-) STATE:
SIGNATURE OF PERMITTEE
ziP: 55/2Z
JS/FORMS BLDGIPCBG PERMIT (RESIDENTIAL) 1998
z .,
/L BL CITY USE ONLY
SUBD. `_"'??,'/??? ?LOlC20 ???
RECEIPT #: A)0o0- //
RECEIPT DATE:
1998 PLtJMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT IQiOB RD
EAGAN, ASi 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
D backflow preventer for underground sprinkler system
- ---- - -- - - --- - ------ - ----- - - - -
FIXTURES
EACH - ------
#
TOTAL
Shower 3.00 x 3.co
Water Closet 3.00 x 2 = ,Oo
Bath Tub 3.00 x
Lavatory 3.00 x y.oG
Kitchen Sink 3.00 x 3. bD
Laundry Tray 3.00 x _L = .Oo
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x
Floor Drain 3.00 x
Gas Piping Outlet " minimum -1 3.00 x Z = (..06
Rough Openings 1.50 x _? = 4•so
Water Softener ' for dwellings under wnstruction 5.00 x =
Water Softener ' for ezisting dwelling 20.00 x =
U.G. Spflnklef " 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 refurbished systems)
Private Disposal Systems ' Abandonment 20.00 =
STATE SURCHARGE 50
TOTAL 44.OT)
- - ------------------------------------- --------------------------•-•-•-•----------------------------------------?-------
I hereby acknowledge that I have read Mis application, state that the inPortnation is carreG, and agree to comply wRh all applica6le Ciry of Eagan ordinances.
It is the applicanPs responsibility to notify the property owner that tha City of Eagan assumes no Iiebility for any damages causad by the Ciry during its
nortnal operelional and mainMnance activities to the facilities constructed under this permit within City propertylright-of-way/easement.
I
SITE ADDRESS:
OWNER NAME:
INSTALLERNAME: VVEAJZ?, MEC??Nrc?-C TELEPHONE#: ?52
STREETADDRESS:
CITY: G46 AAJ STATE:
SIGNATURE OF PERMITTEE
ziP: S5/Z2
dS1FORMS BLDG/PLBG PERMIT (RESIDENTIAL) 1998
? CTfY USE ONLY
LOT ? BL RECEIPT #: 5/SCp
SUBD. t,e.a RECEII'T DATE:
??a.R?
] 998 M£CHA1VICAL PER4lIT (R.SIDMIAL)
CITY OP E4fiRP
S$SO PILOT KNOB RD
EAsAN ixx sslzx
Date: fp?• ?0??? (618) 6$1-4675
Complete this section onlv if you aze installing HVAC in single family, townhomes or condos under
construcrion and not owner /occupied '
• HVAC: 0-100 M B T U $ 24.00
ADDITIONAL 50 M BTU ..6099
.r-
• Gas outlets (minimum of one required @$3.00 ea.) c+?. ?
• State Surcharge: .50
Lc"a
• TOTAL: V.-
Complete this section onlv if you aze remodeling, adding to, or repairing existing single family dwellings,
townhomes, or condos. Note: Mechanical permit is not required for alteration/add-on to ductwork in
existing residential units; but is required for the following:
_ Install fumace
_ Install air exchanger, i.e. Vanee system, etc.
M:r.imi:.+:: Fee spp!ies to a?? :mmo3el or ad3-ors if EXISL2IIb *05ide.nces
State Surchazge
SITE ADDRESS:
OWNER NAME:
INSTALLER NAME:
STREET ADDRESS:
CIT'Y:
Install air conditioning
Other
$ 20.00
.50
Total: $ 20.50
PHONE #: p -111` 91D1
PHONE O: b A' J/9?6 fO'
STATE: (nNi ZIP:6-.W I
SIGNATURE OF PERMITTEE
15ffORMS BLD/MECH PEAMIT (RES) - 1998
LOT I
SUBD.
CITY USE ONLY
BL ? q RECEIPT #:
? I?JV RECEIPT DATE:
Y 99$ MECH"ICAL PEfiMIT (MIDENTIAI)
crrY oP Ensa?r?
3$30 P1LOT KA08 itD
£lkfifkN f!N 55122
nete: (618) 6$1-4675
Complete 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 -6-90
?
• Gas outlets ( minimum of one required @$3.00 ea.) ?? .
• State Surchazge: .50
• TOTAL: 1 ?-
Complete this section onlv if you aze remodeling, adding to, or repairing existing single family dwellings,
townhomes, or condos. Note: Mechanical pernut is not reauired 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.
Minimum fee applies to all remodel or add-ons of existing residences
State Surcharge
SITE ADDRESS:
OWNER NAME:
INSTALLER NAME:
STREET ADDRESS:
CI1'Y:
ISlFORMS BLD/ME.CH PERMIS (RES) - 1998
Install air conditioning
Other
$ 20.00
.50
Total: $ 20.50
PHONE#: $f7- 411U/
PHONE#: 92 S'al'o I
STATE: W- ZIP: 6501
SIGNANRE OF PERMITTEE
lo?
41 - Clty 0f E8pIl
3830 Pilot Kno6 Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
?-----------------
? ???,?a{?1 i
I V-l?l ?
j Pertnit Ii: 4 I
? Permit Fee'.
I
? Date Received: j
I ?
I Stafl: ?
I ------------------'
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: VCJ" W OL) Site Address: -14qq ?i *l ? l tat?e, 5VLUV' 1'en"4Ce
Tenant:
Suite
RESIDENT / OWNER Name COk U" SrWX,0,5 ( v"h0MR .S Phone:
Fk LAL(L
Cl
c
j(6Q CL -")
4-1C5
5
)
..
,?- ?
a
l
Address / City / Zip: _
5j
a
jfiiClv?
Applicant is: _ Owner ?y Contractor
TYPE OF WORK Description of work: i QQ?' LXY 1"?vt" ? ?, U t YI(A?? -(10?
Construction Cost: ? 4?)? OCID. Lo Multi-Family Building: (Yes X_ / No ___)
CONTRACTOR Namehq,& fn? n1c, License #: (Oj5?8
Address: 9q(Po 3c.1(;1UQ? W• -*Cw
4 (L
h ?1/ U Zi
: 5?a33
St
t
Q-
City:
w(12&U P
e:
a
Phone:"15aricn'?Aqi ContactPerson: IU1&A4'
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672
Energy Code . pesidential Ventilation Category 1 Worksheet _
• New Energy Code Worksheet
CBtegory Su6mitted Submitted
(4 submission type) • Energy Envelope Caiculations 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 If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contrector; Phone:
Sewer & Water Contractor: Phone:
P,,ottrops of.:
be publtc mf5rmahon
ed?#o
tloauments"?hat yoG submrt are?corvsir
NOTE: "Plans-a"nd=§upporx{rig
?
,
?
q
"asons?tha't wqultl perrRt theHy,fQ'-
?cfar
au pdofifde''s
:6ecl?ssr?d as-non
u5lie
'rfG
th
i
'to`rmatlon?
_
?
?
p
y
e,
n
may
-
"c`o'neiu8e.tfiat?the ?a`r,e'tiadeiseciet`s:..v=;;=`?:•:;;^;=`;;:at:';,w?-:??,_:.?:rs?r.-
I hereby acknowledge Ihat this information is complete and accurate; that the work will be in conformance with the ordinances and codes ot the City ot
Eagan; that I understand this is not a permit, but only an application tor a permit, and work is not to start without a permit; that ihe work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
X Ucunu Sc"t4-?'?e+- x
Applicant's Printed Name ApplicanYs Signature
Page 1 of 3
4
Top of Block = 91705
Lowesf Floor = 908.90
Garage Floor = 916.67
930.0 Oenofes Sonifory Sewer Service Invert
865.0 denotes exisfing elev.
(865.0) denotes proposed elev.
denotes surface drainage
• Denotes iron monument found
o Oenotes iron manumenf set
Beorinqs bosed on assumed dotum.
CER TIFICA TE
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100 LOT 1
OF SURVEY
GRAPHIC SCALE
20 o io za sa
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( IN FEET )
1 inch = 20 ft.
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Too of lrons @ Offsefs
OA 10.00' Offset 916.35
OB 13.67' Offsef 919.01
OC 10.00' Offset 921.59
OD 10.00' Offsef 915.70
NOTE:
Building Dimensions Include
Brick Facing.
LEGAL DfSCRIP710N
Lots 1 and 2, Block 1, CLIFF
LAKE SNORES SECOND ADD1170N,
according to the recorded plat
thereof, Dakota County,
Minnesota.
Plat not recorded as of the
date of this survey.
i ?
REqUESTED BY.HOFFMAN HOMES INC.
. Westwood Professronal Services, lnc
14180 West Trunk Hwy. 5
Eden Proirie, MN 55344
(612) 937-5150
Orawn by. MS ? Dote: 813,198 ( Job roo: 95i98
Lots i& 2, Block 2, 2nd Add.
B2L09-10.D6YG
! hereby certrfy fhof this survey was prepared
by me or under my direct supervision and thot
I am o duly Registered Land Surveyor under the
Use BLUE or BLACK Ink
r-----------------,
I For Office Use �
I � ,�� �
��� O� n� �� j Permit#: j
� N � � /�� I
1J � Permit Fee. � � �
3830 Pilot Knob Road �
Eagan MN 55122 � Date Received: �
Phone: (651)675-5675 I �
Fax: (651)675-5694 � Staff: I
I �
-----------------�
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
g.n z�
Date: fiL ��/ �S Site Address: ���� ����� ��L� �� �f�� M� Unit#:
��� �roName:.Ww ��I�CY...,_... ��_�L���v.w��Ui/�__.� ......�a�...,,...,_��.�...��..�,.�Phone�.,.�. ..�,....,��.�..._.b....�..,,b.��
� Ftes�de�tl � � �
� Q���r< ' Address/City/Zip: � ;
Appiicant is: Owner Contractor
�.,�� Descriptionofwork: �j(J�yt,��.�..�..�t.�.�..a��.�.....�m,dM�..,.,..�..,�,�.,_._.��....a..,�.�.��..�.�.�,� �,.
Ty�pe af l�lb rk
I � Construction Cost: Multi-Family Building: (Yes /No� g
� � Compan 'Gt/►t s Ytfi�� ���GTa 1 �hc. Contact: �^�-f �� �� �'�"" ���
> � Y: /> LJ� � � �
� Address: JS�b �'�.� �7tM�� �/� A� SuJfe u.�I City: ' � � � �
�; C�n#raCt�r � / r
� State:�Zip: �Sy�� Phone: 7�3-SS�.�n'�� Email: ��� � �a�.f9�nuYwl �Ye°er`,!,�,-`
� � /� �
; � L�cense# /-�C �d� ��� Lead Certificate#:
���.�,��.�_.._..w.a�.�..u�. M,.��.��....��,. _.�.,.u��,��,��.�._���..�.�,�..��.����,.,,�,�.. ri,.w_.�.�...�..�.,.,,..�.� .�._.�..,�.� A���_,e..�
��
' If the project is exempt from lead ce�tification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING �
S
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? a
�
�
Yes No If yes,date and address of master plan: �
�
Licensed Plumber: Phone: �
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
111�JTE':P��n:s a�d�u��or�i��r c�oct,rner�#s t��#,�or��br�a�e ca�s�red i�be pt�#y:1�c Ia���tiar�. Porl�rm�of
' �e t���rt�ta�c��iay be ctassa��ed as non p��#�c if y���rrvui�e speci�c reas���a#�r�af p�r�fit t��'Ci�j+t� :
cc�r�cl�r�le�t��at t�e are�rrade sec�e�. rv��
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.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 1 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 Bui�ding Code must be completed within 180
days of permit issuance.
�.
X �u�S �r�i u.��,--" X
Applicant's Printed Name Appli s Sign ture
Page 1 of 3
411,
C!tyofEaaafl
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
MAR 302016
r
Use BLUE or BLACK Ink
For Office Use
Permit#: l
Permit Fee:
Date Received
Staff:
/b
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
'i6/
Date: Site Address: Unit #:
�� x �Wn�t`�
Name: 4j/47V , Phone:, ? �"j�S 6~
Address; / City / Zip: VWf L� 4,1•64-C„(.�
�S
Applicant is: Owner cy Contractor 7, �..
o--..-4-->4...,
nw
Y#lrk
Description of work: �p /.-OZ°-i�'J
7:1,
, T
Construction Cost: /5/ e-0. Multi -Family Building: (Yes / No fes- )
nt�Ct+�t�
Company:.,,e-7.1._. .$ 41.--e-e--7704Contact: / /&-
SiN® =a K.
Address: 7"/ I� d f y "T� 164,..— City: 1 1v dpi .
�Zi6":57a--Phone:���"�%G - Email: �/C�.e•�c�T�-c-�fic�-
Stater p:
i itis-gEQ1Le
Lead Certificate #: /
License #: e7" % 7 �I i // *--47
If the project is exempt from lead certification, please explain why:
In the last 12 months,
Yes No
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
If yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Fire Suppression Contractor:
Phone:
Phone:
Phone:
Phone:
3TE. itt ars rm e i o
th otmatio »a ® lanon cif you
conal p e fiat
r
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.00pherstateonecall.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 per 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 State Building Co be completed within 180
days of permit issuance.
x
Applicant's Priq'ted Name
Applicant'
Page 1 of 3
SUB TYPES
Foundation
Single Family
Multi
01 of _ Plex
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100°/) Zoning
Census Code Stories
# of Units Square Feet
# of Buildings Length
Type of Construction V . ' Width
DO NOT WRITE BELOW THIS LINE
Fireplace
Garage
Deck
Lower Level
(C) Interior Improvement
Move Building
Fire Repair
Repair
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Siding
Reroof
Windows
Egress Window
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building - give PCA handout to applicant
Occupancy r �" -2-
Code
2.
Code Edition Mil
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Roof: _Ice & Water _Final
}Q Framing
Fireplace: _Rough In Air Test Final
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC _ Gas Service Test Gas Line Air Test
Pool: _Footings _Air/Gas Tests _Final
Drain Tile
Siding: _Stucco Lath Stone Lath _Brick
Windows
Retaining Wall: _ Footings _ Backfill _ Final
Radon Control
Fire Suppression: _Rough In _Final
Erosion Control
Other:
Reviewed By: OW) /i%,k47 , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
i3, q'T Yz)t N /20 3 f rr
Page 2 of 3
Dale Schoeppner
From: Bjorklund, Gary(DLI) <gary.bjorklund@state.mn.us>
Sent: Monday, November 20, 2017 1:07 PM
To: bruce@abilitysolutions.net; bruce@abilitysolutions.net; Dale Schoeppner;
DLU.Elevator.ETrakit
Subject: Final Approval for Permit Work at 4449 Lakeshore Ter, EAGAN
ABILITY SOLUTIONS AND TWINCITY STAIRLIFT:
The ELV INSTALL permit work has been completed and approved for the following project:
Permit Number: ELV1709-00206
Project Name;
Site Locat'on: 4449 Lakeshore Ter, EAGAN
The Department of Labor and Industry is required to inspect and provide approvals on elevator related devices
prior to allowing them to be placed into service.
An Inspector from the Elevator Safety Section recently performed an inspection of the work performed under
the permit listed at the site above.The new installation is in compliance with the Department rules for
elevators.
NOTE: Compliance with Minnesota Rules and the ANSI/ASME A17.1, Safety Code for Elevators and Escalators
does not necessarily assure compliance with the Americans With Disabilities Act of 1990.
CONSTRUCTION CODES & LICENSING DIVISION
Elevator Section
1
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA177669
Date Issued:07/13/2022
Permit Category:ePermit
Site Address: 4449 Lakeshore Ter
Lot:2 Block: 01 Addition: Cliff Lake Shores 2nd
PID:10-17786-01-020
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 -
Jerry Edelman
4449 Lakeshore Ter
Eagan MN 55122
(952) 237-8285
Hero Plumbing Heating & Cooling Inc
10900 Hampshire Ave S
Minneapolis MN 55438
(612) 827-4674
Applicant/Permitee: Signature Issued By: Signature