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4456 Lakeshore TerIN CITY OF EAGAN J 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 ECTIDN RECORD PERMIT TYPE: ? I I I ' ? ? 14 Permit Number: ? ? .' •? ' ?{ ?• Date Issued: , _ ?.... . . .?.s.u?? a.... , SITE ADDRESS: •!.a?'? h' F`; N t? F? +1 t r, : s t N i aK r '-Al oR FS • PERMIT SUBTYPE: ?„ •. • ?.: APPLICANT: Mi i ti• ? ; , :? , n ?,?:a? TYPE OF WORK: . . '. ??.. . . NFW j! i:iF 2 UWtI`.) INSPECTION TYPE D• / D• ?{ Wtll I! 1-i. E f r? ? ., dr -W P l H ft - I?tF IM i' t. 4 1` t Ft t; ' tx cJ 4. ll f t i N f Permit No. Permit Holder Date Telephone 1! ELECTRIC 7 , '7 ? PLUMBING / g 9 ?- ?' HVAC S -] t? 95'(PP47 Inspectlon Inap. Comments FOOTINGS r?ilt ? Y4'r " '? ?Ard) FOUND G ` U `?/? ! GL?CJ FRAMING (f?'.J ROOFING ROUGH PLUMBING ?-y PLBG AIR TEST ROUGH HEATING - ?9 GAS SVC TEST INSUL "T ` GYP BOARD ?/l? FIREPLACE FIREPLACE AIR TEST FINAL PLBG 7F/ FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL ? INS PEC TION RECORD CITY OF EAGAN PERMIT TYPE. 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: ' (612) 681-4675 ' I SITE ADDRESS: APPLICANT: F:F?;IinRt' i"EN . PERMIT SUBTYPE: TYPE OF WORK: INSPECTION .. . .• ? ? . . .. . .; , ? ?? ! '? Permit Holder Date Telephane # PLUMBING HVAC . Inspection Date Insp. Comments FOOTINGS FOUND FRAMING 'i ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD I FIREPLACE FIREPLACE AIR TEST FINAL PLBG I 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 t y ? INSPECTION CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 ? SITE ADDRESS: ; ? ! : ,,, ???. ? ? . ? !,F V ...I tF1i;i I ?it ? PERMIT SUBTYPE: C1f-;i:kli'l1UM M f? l•1 INSPECTION .• • DA , r,Mllt11 •?_ ,i?:f lilr) ? ?1 ? 1??; 1! { ?'i 1 .;i??l{ 1 i•! , , . . :?r.'I i .± '} ! ., I ItEMMRKSt ?; .E: LF i>R.fiR - 1-Jf.Nrf 1. Pf_i3H dCORD PERNIIT TYPE: Permit Number; Date Issued: APPUCANT: 11 !,111 i JA; TYPE OF WORK: 4 Permft No. Permlt Holder Date Telephone # ELECTRIC PIUMBING C1 ? `f ??'i51o ?j HVAC 7 096"647 Inspectlon lemy Insp. Comments FOOTINGS CSJ C?v?ryt as7?r? i?+.?4- w?ket+ ?..e+ ? FOUND FRAMING (c ROQFING ROUGH PLUMBINQ ? PLBG AIR TEST rl 1l ROUGH HEATING „- ? GAS SVC TEST ? [a ? .? iNSUL GYP BOARQ FIREPLACE FIREPLACE AIR TEST FINAL PLBG. h FINAL HTG L OASAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FfG . DECK FlNAL , -dy 40 .. ? 1, , Wertificate of Cccupanc? Wt#V of Cfagan Mepartmettt of 13um* 3ni3pemnn This Cenificate issued pursuarst to tiee requirements of the Uniform Building Code certifying t/wt at the timt of issuance this srructure was irt compliance with the various orriinances ojthe City regulating building construction or use. For the following: uu SF M ewg. remit No. 2Q781 Oocvpwncy 7ype -R3/ U I 7.rmina Disaia PD Type Consi. VN Owner of BuildinE tiCFTM MCS PC /Wdmss 2214 $ "7M S1, B,V= Huilding Ad&ets 44JC7 IAKESHM '?+ 'Ku looliry j+lQs B3, Q•TEF IAKE SHOW Date: Bnildia6 Offcial ? POST IN A CONSPICUOiJS PLACE ? Kertificate of CccupancV - (Fitv of Cfagan mepattattut of isKilbing 3uaoertion This Cenifecate issued pursuaat to the requirements of the Uniform Building Code certifying rhat at the time of issuance this strucrvre was in compliance with rhe various ordinances ojthe Ciry regulating buildirtg constructiort or use. For rhe following: ux ciassirwada,: SF DC ewa. reanic nro. 2q782 Opcupant,y Typt R3/ " I Toning Diwict PD Type Const. vm Owrcrof Bui{ding Hwwm HMS 12C Address 2214 F+ 1171H .?? MMEMa Buildin6 Address 4/1% LAFF-CH ?E MUtAa LocalitY ?9 P-10 U.Q'V 1-4KE CUW-S :/9nildiagotTKial i POST IN A CONSPICUOUS PIACE c+? //? - 7/s? 405-431 ? . RE FOR ELECTRICAL INSPECTIOK47? ° inneso a S ,lbl tate Boartl of Electricity 1821 Unrversity Ave., Rm. 5-128, St. Paul, MN 55104 Phone (612) 642-0800 Home Du lex Apt. 81dg. Other: ew Addn ommercial Indushiol Farm - Remod Re air Air Cond. Htg. Equi . Water Htr. Load Mgml. Other Dryer Ron e Elec. Heat Temp. Service 'X" a6ove Ihe work covered 6y this requesG Enter remarks in rhis spoce and on the back oF the white copy only. I I `?-? '? ', ' 4ll! ?. 6?',R'0 Calcu/afe Inspecfion Fee - ihis Inspection Requesf will not be accepted wifhout fhe correct fee. O[her Fee # Service Entrance Size Fee # Circuits/Feeders Fee Mobile Home Park Stall 0 to 200 Am s 0 to 100 Amps Sheet lig./Tmffic Sig. Above 200-Am s Above 100_Amps Transformer/Generofor INSPECTOF'S USE ONLY TOTAL ? $ign/Oudine Ltg. Xfrnr. ? Alarm/Remate Conlrol Swimming Pool I here cerli *at 1 ins Rd the el xribed herein on the dates aie Irrigation Boom po?9M. Daia S eciallns ection p p Invesligofive Fee F??a ? Dale/D L THIS INSTALLATION MAV BE ORDERED ISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS. OF LY Tl?request wid 18 momhs Imm validahon dale pnnied in ihu box. n ? 11?1111111111111111111 IIIIIIIIIIIIII ? p? ? ? ?? ? /? * 0 4 Q 5 4 3 L B* pLEASE PflINT OR TYPE Rcquest Dore Rough-in inspechon requtredz ? N. e5 Inspecnon Other Thon Rovgh-Im ? Ready Nav 81 Call I R?j (Yoo most wll the inspxmr wh I Dore Revdy I, censed mnhacror ? owner hereby request inspection of the above elecirical work at Joe na ,e (sueo, eo„, o, rta N? ciy LoP cade n + ? 4 I SxM1On N. Tmvnship ame or No. Ronge N. Fre No. Counry?? 1 Occupont J.RLC J=7 ?_ NJ Phone N. I&D "A - ? g41 Power Sup - Address EI I' I Conho ar Coinpon Name) n?m w L AMskr Lc N. (Plom Elen Only) M I nva r Owner Pedormin Insblloho , Art?o„=d s ?ctu.eW,n e. P ? I 'b°' IMz - 5b3/O E6WBOlA-11 8/96 ? " ?...?e...e?.....,.. ?«..??.e?....?....?,...e.......?.,?......?.?..e., 4 5-432 A I.. REQUEST FOR ELECTRICAL INSPECTION G 71, : ? Minnesota State Board of Electricity 1821 Universiry Ave., Rm. S-128, St. Paul, MN 55104 Phone (612) 642-0800 . Home Duplex Apt. Bldg. Ofher: ew N Addn ommercial Indushial Farm Remod Re air Air Cond. Ht . Equip. Water Hh. Load Mgmt Other. Dryer Range Elec. Heat Tem . Service "X" above the work covered by Ihis request. ENer remarks in this space and on ihe back of the white copy only Q?D Q?? ?jCC, i S0 Colculote Inspecfion fee - ihis Inspecfion Reques/ will noi be accepled wifhouf the correct fea: Other fee # Service Entrance Size Fee # CircuiLS/Feeders Fee Mabile Home Park Slall 0 l0 200 Amps JA 0 to 700 Am s Street Lfg./Traffic Sig. Above 200_Am s A6ove 100-Amps Transkrmer/Genemtor INSPECTOR'S USE ONLY TOT $ign/Oufline Lfg. Xfmr. Alarm/Remote Control Swimming Pool I here6 ceni rfwl I ms etled lhe elxrcic Mrein on ?he dmes sb Iffi9aflOn BOOm RoogMin Dofa/ /r ection S eciallns L•' v? p p Investigafive Fee Ft?al ? uare THIS INSTALLATION MAY BE OROEREr) DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS. b> c p?-{1F.FlCE USE ONLY This reqoest void 18 monlhs 6om validoeon dote primed in Ihis box ? ! / IFIIIIII?IIIIIIIIIIIIIIIIIII?IIIIIIIIII??(/??.7??)`i * 0 4 0 5 4 3 2 6 * 6V "?? PLEASE PRINT OR TYPE Requesj Dme Rough:n inspecM1On requrtedE es ? Na ?Vov musl coll rhe tnspxbr w n reo yI Inspection Olher Tha? RwgMn ? Reody Naw ??all Dare Ready: ? \ I, 'censed contmctor Cl owner hereby request inspection o 1 e above electriml work a 21 ,$o Jab Address 15neel, Bo:, or R No L Ciy ` Smnon N. Township Name or N. Range N. Fire No- Cmny Occu rF ?^\W ? ry\ ? \ Y Phone Power $upplier _ ? ??.??? Address J? o 07 AIS- EI rci al Contm ICompa?y ame? rc« r L N Mostu 6c N. (Plam Elad. Only) M li onhocl r Owne, Per(ormin rmllotionA Au onzed gnolure (C nor or Owner Ped rm ? 1 • in al at n) ? - EBUO001 AI1 8?/96 -- e.wr? enwon nnev ...... .eun.?nuc nu ewrr ne vei ? n?u rnov 4?_Zo 2006 RE SIDENTIAL BUMDING PERNIIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan NIN 55122 Telephone # 651-675-5675 FAX 9 651-675-5694 Naw ConStrudian Reouuemenls 7 regiscered sRe surreys shoxing sy ft of lol, sq. R M hause; and all rooFed areas (20 % mazumum lot cove2ge allawed) Z wpies af plan shmng beam 8 wmdrnv saes; poured found desgn, etc. 1 set of Enegy Caiala6ons 3 copes W Tree Preservetlon Plan it bt Olatted aftar 711ry3 Rim Jdst Detml Opaans selec6on sheet (biWdings wM 3 w less uniG) Minnegasco mechanical veorilation fors Date /() / o! / n5 Site Address yu6-j3f Description of Work Muiti-Family Bldg YJ_ rr RemooelfRecar Rrnwmments 2 cMes of plan showeig fooCngs. baertu, lasts 1 sat o( Enaqy Calalahons for heated adGitlcos 1 91t8 SUNBy fOf dddlbOfl6 fi dECKS AddNrn - indicate iFomste septlc system Constructian Cost ;6 Firepiace(s) _ 0 _ 1 _ 2 lz:? L, S a--3 3 ??i-'2S Otfice Use Oniv Cert ofSurveyReM _Y _N 7ree Pras Plan RaW _ Y_ N 7ree Prgs ReGUired Y N On-site Septc Systwn _ Y_ N ProQertyOwuer gI//A? ?ffelephane#(9? iT ConLractor Address S(II[E " 55?5 Z;?? City fUW61 cJ? '-ip 6S.3 Li , Teieanone 0(f,"-'A ? CaMPL,E7'E T'N9S A72EA ONLY 1F CONSTRlJCT7NG A Nf'M Bl31LL11NG Energy Code Category ? Minnesota Rules 7670 Cateaorv I _ Minnesota Rules 7672 (?l su6rttisscpn type) Residential VerNlatian Category 1 Worksheet • New Enefgy Code Wocksheet SuGmitted Su6mitted • Energy Envelope Calwlatlons SuCmiCetl In the last 12 months, has the City of Eagan issued a permit far a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Controctor Sewer/Water Coniractor Telephone # ( Telephone #{ Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I undersrand 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 tha approved plan in th case of work which requires a review and approvai ofpians. _5_ V V Applican 's Printed Name ApplicanY Signature lOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMITAPPI,ICATION , ? °z Gd' ? ? m? ? l9? ? ? ? ? ? ? s,r'o 0 W-?13 ? G-?O ? R--'o ? GY o ? PROPERTYLEGAL: UAIt Vh SVKVtT: LATEST REVISION: DOCUMENTSTANDARDS • Registered Land Surveyor signature and company • Building PermitAppiicant • Legal descriptlon • Address • North arrow and scale • House type (rambier, walkout, split w/o, split entry, lookout, etc.) • Directional drainage arrows with slope/gradient % • Proposed/exissting sewer and water services & invert elevatlon • Street name • Driveway EIEVATIONS Eastlna ? ? • Sewer service (or Proposed) SK' ? ? • Propertycomers G?o ? • Top of curb at The drivewey 0 ak"10- • Elevations of any ebsting adjacent homes Prooosed ?? ? • Garage floor g-'o ? • First floor e-'0 ? • Lowest exposed elevation (waikautNaindow) 2"10 ? • Properiy comers 0? O ? • Front and rear of home at the foundation PONDING AREA fif aoolicablel ? C?-,o • Easement line • E5' 0 • NWL ? ? • HWL 0 • Pond # designation ? ? • Emergency Overflaw Elevation DIMENSIONS cr' ? ? • Lot IinesBearings & dimensions '6 ? ? • Right-of-way and street widTh (to back of curb) 2? ? ? • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (.e. all structures requiring permanent footings) Cir' ? ? • Show all easemerds of record and any City u67itles wfthin those easements z' ? ? • Settracks of proposed structure and sideyard settrack of ad)acerk etisting structures ? ;2---0 • Retainingwallrequiremenis,'rfany Reviewed: January 1998 CRAN370BBIBLDGPRAtT FM ';WKWAS:;; ry„ Ty M, .Y? ":k7q>"?Y?!f:'. ;; ;•',?f:#'. . -: a,u. CIrv Oi= i:.i=TcAN. . . L.....". `? '...i ,.P?t°'. Ni.. r^7I6 L?r,/c23/9-.:M'r.,, '3^52"- IN rr}r:F:. HCFcr;r-,r-; MES TN'= t:.C'.`.- .`.`,02A ;.fir';F. !.e°iI'(1L;il"iM? ? 11315.6':.r 2254 t.:ifi'1 *406 L.;;F(rc3Hi'P':. .,^:;:1.;:.A ,. c T., . ? ? ..:?I?.1,? ?? .-.':•-•C1.Ip1. _c..,R . L I_:?,}ni?.'•i . i _ _ ? CIfY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PERMIT PERMITTYPE: suILorNe PermitNumber: 029752 Date Issued: 0 4/ 2 2/ 9 7 4456 LAKESHORE TER LOT: 20 BI.OCK: 3 CLIFF LAKE SHORES P.I.N.e 10-17785-200-03 DESCRIPTION: (1 OF 2 UNITS) ?11`" `?' Permit TYPe ?!x L t4 $ t??,, SF DWG 06u 3,.1'#??3; ?t?rk TYPe NFW _ 0 :c0 up?a,nqy'?y R-3 U-1 , ?..-_ . . e V-N PD g Su5:1,d?ta n 38 , Ll 31d 105 Ck1 6 F ? 102 1 - FAM. ATTACM ;. a ? ? ?? pa?lo: ?? 4w&? REMARKS: S& W PLBR - WENZCL PLBG FEE SUiNMARY: Base Fee F'San Reviaw Surcharge SAC SAC % SAC Units Subtotal VHLUATION $1,067.25 $693.71 $68.00 $950.00 100 1 $2,778.96 $136,000 MISCELLANEOUS $1.539.50 Tatal Fee $4,318.46 CONTRACTOR: - flpplicant - sY. Lzc.OWNER: HOFFMAN HOMES INC 18949507 0009284 HOFFMAN HOMES INC 12214 E 117TH ST 2214 E 117TH ST tBURNSVILLE MN 55337 BURNSVILLE MN 55337 (612) 894-9807 (612)894-9807 . I ;Z hareby. aekncwl€=##?e S 64 ve r0,07 infdrmat3on xs caH^??`? =i Sta,tuces`.and :a f ?rrrdrr? ? ? " ? LL . .. . , ' ..._ _ ?,..... A ICANT/PERMITEE SIG ATURE ?,s?., a € ,.et . .? . .. ...... .. ..i.:.... _ . ?. . ..,... .. ISSUED QY: StGNATUIRE ????1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) c?,3 ( ?,?(, CITY OF EAGAN 3830 PILOT KNOB RD - 55122 t B81-4675 ? New Construction Reauirements RamaleVReoair Reauiremenh ? 3 registered sfte surveys ? poopies p{ plan ? 2 coples of phns (inGude beam & window aizes; poure0 fid. tlosign; etc.) ? 2 sile surveys (eMedor addkions & tlecks) ? t energy calculations ? 1 energy celculations for haetetl adtldions ? 3 copiec of tree preservabon plan ii bt platted aRer 711193 requiretl: _Yes X- Na DATE: 4 I`b I 9? CONSTRUCTION COST: DESCRIPTION OF WORK: STREET ADDRESS: PROPERTY OWNER RESk 0EA T?fct,ToWr.4 NoME4 +A 5ke ?-+a?ESrrnE -7?-,R4LAGC 3 SUBD./P.I.D.#: 10 - II -ir SS- 2A??> -0 3 Name: 0-no,-e-s, z:"c-• Phone#: u., m., StreetAddress: zZ'y E- s?&r- City: Bua.NS.,?..?E State: " PJ Zip: sss 3-)' CONTRACTOR Company: sP'^t Street Address: City: State: ARCHITECT! Company: ENGINEER Name: L't'-L- 'I'e"`L„-r Phone #: License #: 4 zs1 Zip: Phone #: 514 -I'`?2 Registration #: Street Address: zt ° CIty: CkAm +405SSEr1 Sewer & water licensed plumber (new consVUCtion only): and Iot change are requested once pertnit is issued. State: ""'[ Zip: Ss3 i"? '??? Penally applies when address change I hereby acknowledge that I have read this application and state that the information is cor t and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ? Signature of Applicant: OFFICE U5E ONLY 1<ECEIVE Certiflcates of Survey Received /! Yes _ No APR 0 9 1997 Tree Preservation Plan Received - Yes - Na !? Not Required $y;0-- OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging e`- 02 SF Dwelling ? 07 4-piex ? 12 Multi Repair/Rem. ? 03 SF Addition o 08 8-plex o 13 Garage/Accessory ? 04 SF Porch ? 09 12-piex _? 14 Fireplace 0 05 SF Misc. ? = ex WORK TYPE ,d- 31 0 32 New Addition o 34 eration Repair s o 37 ove Demolition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning ? Cook ? 16 Basement Finish ? 17 Swim Pool 0 20 Public Facility ? 21 Miscellaneous -!f' L Basement sq. ft. /, 416 MC/WS System !Ar - /V Main level sq. ft. 4 ZYL City Water ? -? u-? sq. ft. Fire 5prinklered R D sq. ft. PRV sq. ft. Booster Pump -70 sq. ft. Census Code. l o Z 46 Footprint sq. ft. SAC Code ?L Census Bidg i Census Unit ? , Building Engineering Variance Permit Fee Surcharge Plan Review License MCNVS 5AC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SNV Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: ? valuation: $ 136, po o w ? C ?l P-/ ?? % SAC SAC Units ? elT1P' OF EAGAN 3830 Pilot Knob Road - Eagan, Minnesota 55122-1897 -(612) 681-4675 SITE ADDRESS: PERMIT PERMIT TYPE: Permit Number: Date Issued: 4458 LAKESHCIRE 7ER LOT. 19 BLUCK: 3 CLTFF LAKE SHORES• P.I.N.: 10-17785-190-03 BUILDING 029781 0G/22(97 DESCRIPTION: (1 OF 2 UNSTS) Type SF 0WG i°k Type NEW P?LIESC R-3 U-1 S? ?-ii"`?V?i6t5:.?1', iR e V-N PD $u??dkhg a?9Gl7' 38 ° aBui-Id??T"Q. th n s ^ ? 56 ?' - $?.9.k.?i.??t?d'4°5iyks 1 102 1- F A M. fl T T A C H REMARKS: 5& W PLBR - WEN7EL PLBG FEE SUMMARY: Base Fee PJan Review 5urcharge SflC SAC % SAC Units Subtotal ? eg' e?? ? v,"iRa t:? ;L::a? .?? VALUATION $1,067,25 $693.71 $68.00 $950.00 100 1 $2,778.96 $136,000 MISCEL1.flNE0US $1,639.50 'fotal Fee $4,318.46 CONTRACTOR: - flpplicant - 5T. Lrc OWNER: H,OFFMAN MOMES INC 18949897 0009284 HOFFMAN HOMES TNC 14 E 117TN ST 2214 E 117TH 5l'- "RNSVILLE MN 55337 E3U12NSVILLE MN 55337 ?612) 894-9807 (617.)894-9807 statuters 44*d- cl;6f gagarroa;r PLICANT/PERMITEE GNATURE ??•s =q f ? s?_.' ?? ? ? ? „'_?`]° n s pJ ISSUED BW: SI6NATUf9E 1997 BUILDING PERMITAPPLICATION (h'ESIDENTIAL) cirr oF EAGnN 3830 PILOT KNOB RD - 55122 681-4675 ! liqli New Construction Reauirements QeatodaUReoair Reauirementa ? 3 registered ske surveys ? zcopies p{ plan • 2 copies of plans (inGude beam 8 window s¢es; pouretl fid. design; etc.) ? 2 site surveys (exler{or ed0itions 8 Aedcs) • t energy celculations ? 1 enargy celculatlons for heated adtlkions ? 3 copies of tree preeetvation plan if lot platted after 711/93 required: _Yes ?-,- No ' DATE: CONSTRUCTION COST: DESCRIPTION OF WORK: g& S',`pE'J' j p-? 't ° `^'N+1°r%E' STREET ADDRESS: I-S LOT ? BLOCK 3 SUBD./P.I.D. 3 ?uP?LK `"f ?er •20 ? 1IY,? +liko. h?a.? ? v: PROPERTY Name: Hoffw? Phone #: OWNER ..r .?.. Street Address: 7-7-"A E- k`-47T 1 City: State: l"PJ Zip; Ss33"? coN7RacTOR ' Company: %,114- Phone #: Street Address: License #: ?Zg City: State: Zip: 5 ARCHRECT/ Company: Phone#: 934- ENGINEER Name: LYL?- Registration #: Street Address: 90 L"j 5,?, ;t ZIO City: State: *'+rJ Zip: S53 Sewer 8 water licensed plumber (new construction ony): Penally applies when address change and lot change are requested once pertnit is issued. I herehy acknowledge that I have read this appiication and state that the information i and agree to compty wfth all applicable State of Minnesota Statutes and City of Eagan Ordinances. ? . ? Signature of Applicant: P,rY.s`•?,-? OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received - Yes - No - Not Required BUILDING PERMIT TYPE 0 01 Foundation o 06 Duplex 0?-'02 SF Dwelling ? 07 4-plex 0 03 SF Addition o 08 8-plex 0 04 SF Porch ? 09 12-plex 0 05 SF Misc. 0 10 = piex WORK TYPE ee 31 New o 33 Alterati ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowabie) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning OFFICE USE ONLY db 0 11 Apt./Lodging o 16 Basement Finish ? 12 Multi RepaidRem. ? 17 Swim Pool ? 13 Garage/Accessory ? 20 Public Facility 0 14 Fireplace ? 21 Miscellaneous I20 .- l?d7- - ?G•?? 0 37 Demolition ? Basement sq. ft. l, /6 MC/WS System Main level sq. ft. /, 7 f 7 City Water •3 / sq. ft. Fire Sprinklered sq. ft. PRV ¢er.. sq. ft. Booster Pump sq. ft. Census Code. /o z. JQ? Footprint sq. ft. SAC Code a/ Census Bldg ? Census Unit Building Engineering Variance Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: / ... valuation: $ °k SAC SAC Units 61^_d .13U5 h1INl-0CTLi-0KR LCSIC,N F'AGG U: , FXiER[OR fNYELOPE_AVCRAGG ;'U" f.OPSf'iiiAfION ownea • _____.. ---- nn ? r : q - SI7E ADDRcSS: PHONE: CON7RACTOR: PI[aN ld Dctermine workirg square foota9e of each 1. Total exposed wall area...., }l } I ? sq. ft, x .lI 2. Total roof/ceiling area...-- ?(Ozj?p Sq. ft. x .026 Total exposed wall area above floor=`???,? a. Total wall window area............................... ............ ti Z?. ? b.* Tot,al door area.......................... ... . ......... ............ c. Total sliding glass door area ........................ ............ d. Total fireplace wall area ............................ ............ e. Total waTl i'raming arca (averaye lOa) ................ ............ 3. f. Total rim joist area ................................. ............ ? g. net wall area above floor ......................... ............ h. wall arca a6ove fioor ......................... ............ i. w alt area a6ove floor•.......................•. ...,•.•••••. j. frame wall area rxt foundation Tota7 exposed foundation area= k. 7otal foundation window area ....................... 1. Total net fourdaticn area above yrade ..............(7 Cetermine "u" value cf each wall segment ' (e.c. window, door, each separate wail section) a. 12"1,3 X b c. X d. e , \ s1 X f. 1?7,1? x y. tiZ3n ?.?1 X h. z "u" _ x 11 u„ ' -- • x „u„ k, C "U" ?? . 3 . ................................. ?otal = ti? „ul, ,.ull ,1-S = l?gh "V? L]- 0 U)j _ ? „U" X If item #3 ts the sa as, or less than ite #1, you have net the intent of SSC 600b ( ------ ----------?----- --- . 995 10:13 6129344305 MIMNETDHKA DGSiGN F':aGc .. U^o roTaL Ixroseo Aaox/MLtrrc cA.cuLarlais: • roca1' oxsos•d . rooF/cmTiPnq yrQ.a,,,,,,_ ft )) Tota) sky9lght araa....... --- . 39 fC x1,U" .. k) 7otai Yoof/ca111ng framSng ' area (Avcrada 1Qr)..... sq ft x•OUll ,`?Z?- • ? 3`?'t 1) TQta1 nat lnsu3acnd roof/cei I ing s4 ft xllUll ,?Z , 2cl 2(P 4. i'OTAL J) thru 1) If totai oE at] is thc game as, or 3nss than 92, you hava mec thc intanC a9` 2:1CAR 1.16008 A axd O. • •, . ' . ; • . ALTER?YPa'9`E t3UliDiitG EPIVEI To util lza tha Catmt anvaloPe sYS ?dm ?ittod. -ghe of ? tcau P3 mnd #4 ahai i no[ ba ?ptaatcr than Che . y. • a- 2 , .?' ' '.. ??a. • _OPE Q€StGH . ' va4uias estr.pa1•3?711cd hy Chq ,um s.umn? ttcass ?3 Ccsd ?,,'.. .. ? ' . ? • ' ' *.- . ` 10:13 61293?4305 BLOCK. J KCiEE: WALKOUT; FULL 1: r"UC.L 2: FIREPLACE: RIM: 1(P?I I?j . BLOCK: KNEE: WALKOUTt S? FULL 1: f ?D?,Ir FULL 2: FiREPLACE: , d HIIJIJGTONIG? DESIGI,I * LIIdEAL PEET EXPpSED 6dA4L SQQARE FEET F-7CP05ED WALL ABEA x • 5 .a ??2`1 a x S ° x 8 a ?r,?1 "t x 8 2_ x 8 m X a SQUARE FEET EXPO5ED CEILING IC9ZU`' -----?_ wzrroows: -p`? ?? N 20? I I I? ?y UZ ?,o s o ? 4 i,8? 2Ca40 l ( I ?" ?3 ?, 10 SID?,U(?4t{- r ? 1z1,3 1 ? DOORS: ?37,17? PATTO AOORS: ??- BASEME;IT UNITS: SKyLICHTS: 09 R m c , , . , Telephone (612) 894-9807 Fax (612) 899-9878 Mr. Joe Voels City of Eagan Plan Review Department Deaz Mr. Voels, Igo HOFFMAN HOMES, INC. 2214 Enst 177th Street l3urnsvi7le, MN 55337 CONTRACTOR u 9284 This letter is to inform you that Hoffman Homes, Inc. will be using the exact same plans for the layout for Lot(s) 19 tn Block 3 , Clift' Lake Shores, as were used on Lot(s) I (z- , Block '? , Cliff Lake Shores. None of the structural building components HVAC, plumbing or electrical will change from engineered drawings dated Sincerely, ikman President PCHfjem ?mglU ....: $:Y,:%i.7S';:>;:, . , . pt C2TY fiF EAGA?N r, c•.?•rc r,??? i A'_. KOG 7'i.. ,4,.oL,.?fir S F.:' ?f? rM^ 07!07/3£3 TT`i::e MUM M:, .?AM }sLDr: MCMr .r,O Wn .':,_?i)i. 4458 LAa;i-s4?ORE M.e3 2155 3001 4459 LAKF'iiNORI=_ (].10 ? ?0'.a7. Ror_ei.r'rt ';479Q 7c'1 f'SE'i IDe NAP.ry s':S. "C ?'$`k;t.."'.Y<X(?s;t?t?'? ftr:Yi}.•,<n(YOX';C1:t??'Ci;):.:C?:Y,'.:'l:;ci,k;'fJ?:Sk'e'.?';• CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 FERMIT PERMITTYPE: auILozNs Permit Number: 032221 Date Issued: 07 f08/ 9 8 SITE ADDRESS: P.I.N.: 10-17785-190-03 DESCRIPTION: 4458 LAKESHORE TER LqTc 19 BLOCK: 3 CLIFF LRKE SHqRES ?,?.t? ? LANDING/57AIF2S ADDN B,??.'d'kft? Permit Type SF (MSSC. ) ?u`.:lc3?. nj"'Wo r k T y p e N E W 434 ALT. RESIDENTIAL X, ff vii"k.?.'r"..? wa".,siz' ? ffiF aea4.?gN q;k.= er, REMARKS: PLAN REVEWED BY MIKE BRRCK FEE SUMMARY: Base Fee Surcharge Total Fee n.A sta?I?- ?°@"NR? ?'t a^>rs? 4s?'?L .1 ?i°s" ??yID VALURTSON $500 $21.00 $za.. s0 CONTRACTOR: - Appl3cant - sT. LIC pWNER: SABA CONST INC 13820323 2013371 LUNDBERG PRM 657fi JACKDAW PATM 4458 LAKESHORE TER ?AKEVILLE MN 55044 EAGAN MN 55122 ,(612) 382-0323 (612)456-9650 ? ? .hereby ?nkrs? ??? ?het,'? havs rmad Chis :appla.?-a;Ciz??r ?risf s? :3n,form-st3ari, ta 6nmply w-f th aa15p3:i c a St at u'te6 ar?J°? n 6PttiYr.o n04e -._ t?"_-`i'^? ? thaC? V 5 tate €s3` Mr) 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) V CITY OF EAGAN 3830 PII.OT KNOB RD - 55122 681-4b7b New Construction Reauirements RemodeVReoair Requirements ? 3 registered sde surveys ? 2 copies of plans (inGUde beam 8 window s¢es; poureO fid. design; etc.) ? 7 energy plcvlations ? 3 copies of tree preservetion plan'rf lot pletted after 7/1193 required: _Yes _ No DATE: ok?9r DESCRIPTION OF WORK: STREET ADDRESS: L-4-1o-Sh(/J--2. VLQT: -[L- BLOCK: SUBDJP.I.D. #: Name: L_/K-U,G? ? AL- Phone #: '? ?S(p ? ?(y ?V PROPERTY ? Lazt First owrrEx -?/?1 s? ?c,?lrzsLi r?-? ? Street Address: e ??'Q ? City ? C1.+? State: /-1? Zip: ? $°lS - o8Z LA Company: _Y?GZ Phone #: -?STZ - Q 32- -3 CONTRAC?OR /& J 7& Ed/ 33'7 /? License it Street Address: City ?/LL d iState: ///-) Zip: S? yL? ARCHITECT/ ENGINEER Company: ? Q Phone #: Name: Registration #: Street Address: Ciry State: Zip: Sewer & water licensed plumber (new construction only): and lot change is requested once permit is issued. Penatty applies when address chang I hereby acknowledge that I have read this application and state that the infortnation is correct and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. ? Signature of Applicant _? J ? OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No - Not ? 2 copies oi plan ? 2 sRe surveys (exterior additions 8 decks) ? t energy nlwlations for heated additions ??j C20 oxk?f A Uh? ?50 ? CONSTRUCTION COST; x OFFICE USE ONLY BUILDING PERMIT TYPE }10??•? w R? ? 4 E3 01 Foundation ? 06 Dupiex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi RepaiNRem. ? 17 Swim Pool ? 03. SF Addition ? 08 8-plex ? 13 Garage/Acce ssory ? 20 Public Facility ? 04 SF Porch ? 09 12-piex O 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 = plex PK 15 Deck WORK TYPE ,q.&,p, zJOA/ O 31 New ? 33 Alterations 13 36 Move k32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATI ON Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. CRy Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. ti:? Depth Footprint sq. ft. SAC Code OI Census Bldg ? - ' Census Unit v APPROVALS Planning Building ?1 Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit 5/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other % SAC SAC Units V , . ? - -- - I USE ONLY L a? BL ? ? RECEIPT#: SUBD.rTc i!JbLf9/t.N/y RECEIPT DATE: 1997 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: . single family dwellings ? townhomes and condos when permits are repuired for each unit ? backflow preventer fo'r underground sprinkler system EIXTURES Shower Water Closet Bath Tub Lavato ,ry. i KitchenSink Laundry Tray Hot Tub/5pa Water Heater Floor Drain Ges Piping Outlet ' minimum - I Rough Openings Water Softener ' for dweihngs under construdion Water Softener " for existing tlwelling U.G. Sprinkler * for dwelling under const. U.G.Sprinkler `Torexistingdwelhng Alterations " to existirg residence Water Turn Around Private Disposal System ' oak cty iic. (new antl refurbished systems) Private Disposal Systems' anandonmeM EACH HQ., Tnre? 3.00 x 1 = 9.bti ? 3.00 x ? = 9ar? 3.00 x 3.00 x 3.00 x 3.00 x = aa 3.00 x = 3.00 x .Oa = 3.00 x 1 = ;ba • 3.00 x = I ; oa 1.50 x I 5.00 x = 20.00 x = 3.00 = 20.00 = 20.00 = 20.00 = 75.00 = 20.00 = STATE SURCWARGE TO i r5L ? I hereby adcnowledge that I have read this applicatbn, staM that Me infortnation is correcl, and agree to comvry with,sll applicahle City of Eagan oMinances. it is the applicaM's respons3ility to notity the property owner that the Cily oi Eagan assumes no liab,ility furany damages ceused by the Cily during ils normal operslional am1 mairrtenance ectivkies W the faGlkies construded under this permit within Cdy property/rght-of-way/eaeement. SITE ADDRESS: OWNER NAME: FF?-AiIJ INSTALLER NAME: E?JVZEL- /'1 STREETADDRESS: /7J / ciTV: ERI?? .50 #: 1-62 '? J`'?GS STATE: ? ZlP: - 'J?S/ ZZ-- SIGNATURE OF PERMITTEE Z+ ' ,il L 19 BL =?-- SUBD.? /Z407tai,Y CITY USE ONLY gO ? /?Q ? RECEIPT#: `'?7 RECEIPTDATE: 9 y ?? 1997 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 8830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Piease complete for: . single famity dweliings . townhomes and wndos when pertnits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES EACH NQ, TOTAL Shower 3.00 x 2- = L,aa Water Closet 3.00 x 3 = o0 Bath Tub 3.00 x - ba 31 Lavatory ' 3.00 x = 12,ao Kitchen Sink 3.00 x 1_ _ bO Laundry Tray 3.00 x Hot TublSpa ' 3.00 x = Water Heater 3.00 x J_ ' _ ,oo Floor Drain 3.00 x Gas Piping Outlet " minimum -1 3.00 x aa Rough Openings 1.50 x = Water Softener ' for dwellings uMer canstructlon 5.00 x 1 = ? Water Softener ` for existing dwelling 20.00 x = U.G. Sprinkler ` for dwelling under const. 3.00 = U.G. Sprinkler ' for existing dwelling 20.00 = Alteratlons " to exisNng reswence 20.00 = Water Tum Around 20.00 = Private Disposal System ` Dak Cri tic. 75.00 = (new and returbished systems) Private Disposal Systems "Anandonment 20.00 = STATE SURCHARGE .SD 5z) 42 TOTAL _ ' 1 hereby adcnowledge thet I have read this applkaHon, sfa[e that the informetbn ia corred, and agree to comply with all epplicable City of Eagan ordinances. tt a the applkanPs responsibility to noUy the property owrbr thet tM CBy M Eagan assumes no Ilabilky for any damages caused 6y the Ciry during its nortnal operallonal and malmenance actlviGea W the fadllUes conatruGed under thb pertnk within Cily propeAylright-of-way/easement. 51TE ADDRESS: ?fT-? o ["sf?c?rrv-qz- / e.icxfr?? OWNER NAME: , 'OFFO'L?ON O;Ze? INSTALLERNAME: WC-AUZEG. NEWANIC.4L-T?LEPHONE#: 4S2-?s??I STREET ADDRESS: /957 SifAWA,1 ?? ??v CITY: EA64/ll STATE: MN ZIP: SS/22 51GNATURE OF PERMITTEE ? r ?• CITY USE ONLY LOT o?0 BL ? RECEIPT SUBD. ? ? ? zko,?? RECEIPT DATE: 1997 MECHANICAL PERMiT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOS RD EAGAN MN 55122 Date: (612) 681-4675 l0 •'i `7 Complete this secUon onlv if vou are installin¢ HVAC in single family, townhome, or condos that are under construction and are not owner /occupied. • HVAC: 0-100 M B T U $ 24.00 ADDITIONAL 50 M BN 6.00 9? • Gas outlets ( minimum of one required @$3.00 ea.) • State Surcharge: ,gp 40- • TOTAL: Complete this section oniy if you are remodeling, adding to, or repairina eaistint sinele familv dwellines, townhomes, or condos. _ Add-on furnace _ 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 SITE ADDRESS: O WNER NAME: INSTALLER NAME: STREET ADDRESS: CITY: !f ?VAg -71!M111j' Ce r PHONE tJ: ? / ? _Mor PHONE #: _ STATE: ZIP: SIGNATURE OF PERMITTEE CITY USE ONLY LOT / 'r1 BL ? RECEIPT #: 715012 SUBD. ( ? O? RECEIPT DATE: ?!/`-07 / 1997 MECHANICAL PERMIT (RESIDENTIAL) CI1'Y OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 G _"/1,l/?/ (612) 681-4675 Date: ??? ( Complete this section onlv if you are installinLy HVAC in single family, townhome, or condos that are under construction aod are not owner /occuoied. • HVAC: 0-100 M B T U $ 24.00 ADDITIONAL 50 M BTU _ 6.00 • Gas oudets (minimum of one required @$3.00 ea.) ? 7- • State Surcharge: .50 S? • TOTAL: a 7. / r Complete this section only if vou are remodeling, adding to, or repairina eaistinE sinele familv dwellines, townhomes, or condos. Add-on fumace _ Add-on air exchanger, i.e. Vanee system, etc. Minimum fee applies to all remodel or add-ons of existing residences StaYe Surcharge SIT'E ADDRESS: OWNER NAME: INSTALLER NAME: STREET ADDRESS: 17 4. CITY: Add on air conditioning Other $ 20.00 .50 Total: $ 20.50 PHONE #: D % y - / O b / PHONE #: _ STATE: AJ, ZIP: ?? ?I SI8VATL;KP OF PERMITI'EE o B su? ? New Receip Rereipt Date .„, .3.'. .,?: . N .?. . Order For Payment Date_§?7/`l7 Request for Tnspeciion Number on thss job yp5- h3a, Date Filed I ic Electricatlnstaller ?•, ,-t ?,K LicenseNo.`Clivoy88 Owner/Qccupant ??5-.--,:..-, ?4d.-.-.c? County j.b+k? 7ob Address_ H'156D 1,alc?- ? 'f".y..;..? G?ty ,?,?-c•._ ,- - ---v - Additional Rough-in 3aspection was required. 5tA shortage offees pn the above job. Reiaspection Pas. A Copy of this order must be returned with payment to the; Eagan Municipal Center • 3830 Pilot Knob Road . Egan, MN. 55122 Phone: 681=4600 - ~` [ ,;? Ploase rcturza this with a check in the amount of $ ?, paWIe to t9e City of Egan: The above order mustbe complied with by (datc) q 7' EleCtiical InspeGtor Chris Brinkhaug, 1026 pa,tc Itd:, Shakopee, Mn 55379' (612)4969615 ROM ' PHONE N0. : Aug. 18 1996 07:53RM P2 Fee City of EaVaIl 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 ------------------ ? ?oriQcasl?."se ? j Permit #: v ?? T I ? ? ?; ? Permit Fee: I ? Date Received: ? I ? I Staff: ? I L ----------------J 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date:Ce5" vJ OR Site Address: 5LO 44 l v Tenant: Suite #: Cjt4 LtaZ 5?5 (v"4'10YVLQ9 Phone: RESIDENTIOWNER Name: Address / City / Zip: j?l!`CV CAlF? LA?C cc? rAvl 5rpi DI;L e9)41 5 Applicant is: _ Owner ? Contractor ' TYPE OF WORK g' Description of work: -1 Qcw ZXP Y'QfbW ??inAg- - 00 , ? Construction Cost: ? 54 , aQD• Oa Multi-Family Building: (Yes ?,_ / No CONTRACTOR Name:Pa014-lCliY1 b4 OaYIlfaCiaCSF_Tf-I& License#: ?t (O'1.3n Address: oc'Ly() 3u0Littccl (1d - i c0D State: ? Zip: 9533 bAI(' aL t U Cit . _ a y: Phone:"t`5?1 En' lb?? ContactPerson: 1UI?Q' S?L?(Ar COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted submission type) • Energy Envelope Calculations Submitled In the last 72 months, has the City of Eagan issued a permit for a similar plan 6ased on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTEi "Plansand,supporting`iiocurrienls that?yd"u?suti?lt$are ennsaldei?d?to?be publrcit?fo"rmahon ?,Po?ons bf: .' ` " permVt the Crt?y to : ? "specrfie reasobs that wduld the intorination ?may_ be,cl'a'ss?f?ed "as'non pp?bc,rt you provid e concldde;thar-th? ±are,t[ade secre7s. ;. ..:, ??:?.?`.. ?•s,:?•?E, ?.:..s. _? I hereby acknowledge that ihis information is comple[e and accurata; ihat 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 applicatlon 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 oi work which requires a review and approval of plans. x ApplicanYs Printed Name ApplicanYs Signature Page 1 of 3 y CER TIFI ATE OF SURVEY LEGAL DESCRlPDON: Lots 19 & 20, 8(ock 3, GL/FF LAKE \\\ SNORES, accordrrrg to the p/ot Ehereof, Dokota Courndy, 7vlinnesota Top of Block = 913.78 E Goroge Floor = 912.80 Lowest Floor = 905.03 GRAPHIC S C ALE / (911.8(910.38 TC) ?? 7 20 0 10 20 40 910.41 TC / 911.3 900.8 ILDf GN5pEC71ONS DEPT. / ? ae ? ? (910.64 Tc) i ( IN FEET ) 910.71 TC 1 inch = 20 ft. °j \ \ '?ooS ? ? ?? / j O \ ?? - ? \ 930.0 Denofes Sanrtary Sewer Service Invert P ?(bA° ? O /\ /? 865.0 denotes existing elev. R?D+ ? o/ 19 (865.0) denotes proposed elev. # denofes surface drainoge 911.6 ? +ry? ?? R2 ? ? i • Denotes rron monument Iound / ?N oo ? 20 ? o Denotes iron monumenf sef (913.50) i \ Bearings based on assumed dofum. ? (902.50) 903.1 I hereby certify that fhis survey wos prepored by me or under my direct supervision and that 902.9 i 4 h *s p 1 om o duly Registered Land Surveyor under the 971.9 laws ot{? e Stafe of Mrnnes to. ( ? ?k C 7?? O ,- ? 1 ? q^ . S ?O/ '6'00 l.? / ?' e \ Croig W. orse, L.S. Date ry? SS ? o° ? 3?°o ENGU ? ? ?EPT. Registration No. 23021 8• o a. X (e12/1o) ? REauESrEO ar.• ? X D??o tK? HOFFMAN HOMES /NC. Ton of lrons 0 Offsets O 10.00' offset 903.07 ? J (D? Weatwood Professional Servrces, lnc (902.5 14180 West Trunk Hwy. 5 OB 10.00" Offset 911.02 90 3.2 eoViD/f, s c T +?}L Eden Proirie, MN 55344 L ? (612) 937-5150 O 10.00' Offset 905.30 ? Revised: 414197 Ex. Ground E(ev. OD 10.00' Offset 901.90 Lot 79 & 20, Block 3 83C79-20.OWG °1995 Weateooa Profesmmol Servicea. Inc ,t ? ' 2 27 cdi 48 x.n nero.e a57?v: ?y 13 GOPHER STASE ONE CALL \/ S 1g 5?-0002 MTwFTdlGIFrArw1 4 ? ? ? ? \ A ??c? ? n. x -800-152-116G ?!'? 15 16 ? t7 6 8ro e. D.I.P. E \ \ ? F` 0 SD 100 150. CRIXiNU EL.. 4.3 \' \ \? !^ ? 3 3 4 4 q $ .922.3] 8'- 90° BEMO \ ? w ouc m[e To ee rr-uzi.?o 11 .`1 PROlEC7E0 DURNIG COMSTFUCT. (? ? \ $EE CRMINO PUM ?RNCES IH T1E CEP110N `?0 ?? a 1? • 7?? ? ? ( 91ALL E%TEN O TO 1 ' s BEHIND CUR& ? w GAIE FRON BIDG(1TYP.) ? 7ELE. ? ? . {' PYG SAN. NCE ( ) ?916.30 at ? 0 26 ??-?u-m . ? ?? Mn '.: .' '" ? . . ?. ... ' ' , l p _ : A? : , .. , ,.? ..:J 1 i • ? -` .L.: g r ; _ .? N , ?? //?4e? /'" '.7 ?•.'?? _? • ??"??\ ,•\` ? v?)i.//? 910.J0 ? ? J .. .? . , ' Shc ?, J. ,.... _` : IJ ` ?` `• S,& ` YS113". . ? ? n ?3 4 TP. 1 ` TI.O\\ FF:92220 ,..? ?? . Z7 ? ? J ??' iF.92{. ? 110 ? i ?1.0 ?. Ff-91].DO ? i FT?912 K= ? /? ? H_?} 23 ? NOTE: ? ?\ . <? ? ?• -924 i0?? ?C \\` ?? ? / ? Q S B' GAIE V&YF .-ENU M-]3 1/2° fl! ? ? B ?iQO ? iT.91d J ? I11 8 " DIP 4 6' DIP TO BE CU55 SP Zz 1F?91&?O 21 ?J' UNlE55 OIHERIMY NO1F?. ??` ? ft6 ? /` ? 0.d ?.TiII Al1 B? P?C S?MTMY SiNQt PIPE ttl 6E SDR-33 UN165 CTHERNiSE NOIEfI. NL 4' PVC SAWTMY lU BE SMt-ffi. .9?2.20 Uptl POIE 12 CB ?•? ? FF-914. f ZO f{'?91a.1 D]0.0 DdOlES SNl11M2Y SEIIfR SERMCE INKRT O IC OTNfA1M5ENOiED 13 xo . 19 BUMING UNLESS RtW OENO'ES SINITMY SEMER SERMCE OY iiliff L8:ke iF.919.90 ON WClIINE Flt Shopping ' BENCH MARK ; •z < t C 14 [r?.s+zw ? ?? : ; ? a' DOMN S7RGM FF ? ?? ?s •s,z PFR QTY OF FAGMI en re BRA55 YplUllpii /196I AU S SW CpiNQt ' MCCE "IF``"'X n '3` " El. 950.88 LAKESHORE TERRACE '° TS ANDMD PUF NO. 71 ? ?912 Yr B' TEE BULORlG ElEV. NOTED ARE FOF M'0. WLY - H6ER TO iHE CRADMG PIAN FOft WRRENT INFORMA7101L '°?-`-°.'P. GRWND EL-910.7 I ? I 425 . ' i . . . _ . . . _ ? . . . . . ...4. .- _ i.• .', ; t ' ., _+ _ ..p-. - . . . . . . . . _ . _ . . _ . . 925 ---! ----- ?- -? . ? ,. i sP ? ? .. 920 I _ ,.. p u .c Aoc 920 - --+ --- i ? [ ?y C?t?JTr ???f? : ,5 - ?--- ? -t -- 75 ? P ? z . .. . ?? I 91 9zo _ ?-- -_- 1 i I I I _ • . - E 911.N 4 -" GR,DE? ' , ? 64 ? sa f-- ---- -- r--- i . ? 900 i !? i ? I I ? 1 ? . ... . ..: . 91 . ?. W? .... . .. y .. . . . . .. . .. . . ? ? ? ? . I... , FA . OEPM I _ ?? ... . 1 ... I ? ? E. ? 907.]S W O ? ?1 3= ? .E ..w. ?? 2? Y M tY0474 I $9rJ_ 905 . i ?. i ? i I I ? ..._ . . ....4. ? II i ? RE . pFd9 91137 I 90G. ? ? ? r'-° I .. . .. . . .... ... . .. .... .. ? . T ... . I - . I I . .. I . . . . . I . . _ . ? I -_1 v?c e'?a..e?._swez s rs[ . s`z iso ?. ' I " ' - I REC CANF RD DR iNG 7 M WNVQ CON56 c710N CORDS 7E l .-1 4 ? - ----- -- - '--- -= -- - - 25 ?-? •w «. G'EHT/F/I i i . R+ / 00 / h ??? pc ,? ?q, ? (902.50) 903.2 902.9 i / 7X p T \F?O / / : 0 ? ti ToD of lrons a Offsets AO 10.00" Offset 903.01 OB 10.00' Offset 911.02 CO 10.00, Offset 905.30 OD 10.00' Offset 901.90 :A\ T E \ (911.8 0? ? (910.38 TC) 971.3 i 910.41 rc 900 8 ? ? , , W ? R? oss 0 O . ??. P B S ?Q Z,Q4? J ti ; 19 . . . ? ? \ 20 ? . ?? . OF , i i \\ \ ? , , 59 TC) / \ \ " TC / / \ \ EAGAN 9rr.s s07.2 N, o ., 3 c9, 3.50> 912.4 T???Q???r?$ 9 9 O // ? UI i , ? i i i ? 0 8 Fo / U .? x F`O x (972/00) ? n b / (so . ? 903.2 /l.a J 1 L) E. S f?T r'4..JC ? / SUR VEY LEGAL DESCRIP IION.• Lots 19 & 20, Block 3, CLIFF LAKE SHORES, accordrng to the plat thereof, Dakota County, Minnesota Top of Block = 913. 18 Goroge Floor = 912.80 Lowest Floor = 905.03 GRAPHIC SCALE ZQ 40 ( IN FEET ) 1 inch = 20 ft. 930.0 Denotes Sonrtary Sewer Service /nvert E 'i7 555.0 denotes existing e/ev. --- (865.0) denofes proposed e/ev. INSPECTIO!? j r), = --_- denotes surface droinage • Denotes iron monument found o Denotes iron monument set Beorings based on ossumed datum. l here6y certify that thrs survey was prepored by me or under my direct supervision ond fhot I om a duly Registered Land Surveyor under the laws of.tfje State of Minnes ta. ----.. .. vv, Croig W, orse, L.S. Registrotion No. 23021 REQUES7ED BY.HOFFMAN HOMES /NC. ? Westwood Professional Services, lnc 14180 West 7runk Hwy. 5 Eden Prairre, MN 55344 (672) 937-5150 Revised: 414197 Ex. Ground E/ev. Orawn 6y M5 I Date: 3137197 ,/ob No: 95198 Lot 19 & 20, Black 3 83L79-20 DWG Use BLUE or BLACK Ink r------------�----� I For Office Use � ' � Permit#:�� j Clty of �� / � � Permit Fee: ` ��a� � 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 � 2015 RESIDENTIAL BUILDING PERMIT APPLICATION I �r � /'1�► �� - Date: t�' ��/ �S/ Site Address: �� "��v� �� Unit#: �,�,..� ��Name:T_� /) �I�Y1'�_�_.� ��L.��n,�j�.o�/(��.n.a.,.,.�.w..��,.,,�. Phone: ��.m.,_.��.�..�.� �./ � Rk.'S�t�ETI� � ,/' � � a�y��;r � Address/City/Zip: ��' ; § � '� Applicant is: Owner Contractor ��. ��,�..��.....�.,��.�..�.��..�,m....�.�.�.��..�� ,..��.��_a�a�.,�._.�..�....�.�.�.....,.�..,_.�.. � Description ofwork: ��►'�� TypB af lt�orf� t � Construction Cost: Multi-Family Building: (Yes /No� � �. �.��,,�.�,�,,..�. _�a.�,.....�.,_�.,...,�..�..p..._. . -,,�.__�,..w.�. .�,.._.w,...�..�.�.n,,.�,.y�.��.,,,�.�.�...� ..�..,...��..,.,�,..,..,..�.. � � . ..,�� Company:/,t�.� (�h�G�'� L�'`�1�G�1 �hc, Contact: ��-1 �� "' � � � �� 11 � � Address: JSG'b ��L�;J�1�.w� /� � Sul � �.�.t/ City: � Go��xacto�r � State:�Zip: �Sy�t� Phone: `71�3-S.f�-v°`�� Email: �� atn�J��nu y��Y�•�-. � License# �c �� 7�1.3 Lead Certificate# �v�.,.�.,.,��.��..��..�.._ ..,,�.,,w�.,,,� �.�,_�...��.M.�.�.�...�,�.,�._�.__�.,4.....��.�..�,...,�.. ..,�.�...�.�,�...��__�.�„��..,�.�«�...�,.M,�...�.�»,�„�.�H�4�..,,� ' 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? � � � Yes No If yes,date and address of master plan: � � Licensed Plumber: Phone: � Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: � N�DT€:P��s�r��up�orta�g c�c��rts that yv�s�rbr��re ca�al�e;red�ti be p�b�i��a�ia�. Pa��c� � t��i�t�vrtr�a�io�r�a,�6e c#a��ed a�rron p�u�il�c if po��rro�e�ec�ic re�at�t�at�ar�1�f perr��C'�y t� can�cle i��i��e ar�t�~a�l�sec�ets. Wp�� 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.qopherstaleonecall.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 Building Code must be completed within 180 days of permit issuance. �..—..�_ x �u1� {�r�`��i'�'-�,-�,--�� x Applicant's Printed Name Appli s Sign ture Page 1 of 3 Use BLUE or BLACK Ink r----------------_, I For Office Use � . � E3L �3`l(� � C�6� �1 ��11 � Permit#: � I � �� ; � Permit Fee: 3830 Pilot Knob Road � � Eagan MN 55122 � Date Received: � Phone:(651)675-5675 I � Fax: (651)675-5694 I Staff: i I I 2015 RESIDENTIAL BUILDING PERMIT APPLICATION S'.,ri z Z Date: � y �S �f� Site Address��'y�� -��e.l�� a �'�"` ��'�'~N Unit#: �,. �u.. .��.�.,. ..��.mw,�...�.,�m��_��_w..._�.,�.�n..� � .�..�,..._.,..�,...w.�.�..w..��..�� / /� / � � � Name..�..� ..�^,.:,_,f'/"� �.,�.�6,�.�� f��' Phone: � G C �� s�� r�s� - y� G /� �� a ss�z� � (jti�i�r Address/City/Zip: .�a ��f✓�tf.lwvL �f�a'� c� G�-� � � � Applicant is: Owner Contractor .��..�� ,�. ��....,�.a�.�.,m.��,.,��.��..�_.�.�,...,��,.,d..��.,.._..,.,�.�..��.��....��..�..,__� � Description of work: J 1��1'� ' Ty��e c�W9J�rk � � � � Construction Cost: /� �` v� Multi-Family Building: (Yes /No� ��.. � ...�..�.,..�.. ., �.�..m...,�,,. _ �.�.,,..,..u. .�� Company: ��f C C��R v�-f �r�'i�.=f��f ��. Contact: L°,��5 7�� /� � .�/�'� �/o�� ± �� Address: �5� �lC�S�UI�t, � � 3s/ City: ��"�/N�� • 9 C�l'�P1C'��' � � State:�Zip: �Sy�7 Phone:�G3-��.sb-o�tJ� Email: L�/'�1��-1��i.e,��.�(�'h./ouGT� � , �` � License# �e v 6 G 7 �!3 Lead Certificate#. � 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? s � � Yes No If yes,date and address of master plan: � � � Licensed Plumber: Phone: � Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: lV�T�:P�5 a�d s��o��al�cuu�a�n�tfi�a#y�o�r 5�#��are car��i��-ed to�ptr��i�to��r�. Pct��s o� t��in�`orr�a��r�a�r�a��ae ci�ssi�ed�n�n pc�b�""i�y��pro�l�s�ec�ic r�o��at w��p�rr��e Ci�t�' cor��l�de t��t�� ar+�t��l��c�t�. _ CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq 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 e uilding Code must be completed within 180 days of permit issuance. x L��5 T Y�%t�jC��C-�..� X �~�. ApplicanYs Printed Name App c s Si ature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA167983 Date Issued:04/05/2021 Permit Category:ePermit Site Address: 4456 Lakeshore Ter Lot:20 Block: 03 Addition: Cliff Lake Shores PID:10-17785-03-200 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door 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: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - Scott D & Ellen C J Trust Thorson 4456 Lakeshore Ter Eagan MN 55122 Renewal Andersen 1920 County Road C West Roseville MN 55113 (641) 264-4088 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA175437 Date Issued:04/04/2022 Permit Category:ePermit Site Address: 4456 Lakeshore Ter Lot:20 Block: 03 Addition: Cliff Lake Shores PID:10-17785-03-200 Use: Description: Sub Type:Water Heater Work Type:Replace Description:Standard Water Heater 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 - Scott D & Ellen C J Trust Thorson 4456 Lakeshore Ter Eagan MN 55122 Champion Plumbing Llc 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature