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4464 Lakeshore Ter?.?-_?-. --?- ._ _ -? INSPECTION RECORD F CITY OF EAGAN . PERMIT TYPE: V 3830 Pilot Knob Road Permit Number: 6 4 Eagan, Minnesota 55122-1897 Date Issued: '1 1 N p"`•:, (612) 681-4675 SITE ADDRESS: t i't l Vt t.(IKt 1410kf `: . PERMIT SUBTYPE: ,, ; APPLICANT: t t, I .' ) si+)q -,H01 TYPE OF WORK: NF I) t;'rv ?, t v r I rr,?y f, r?-, ( R it' r 11! rr . .. . .A I il I 1 ?. r!i!?.?`• I S i'r i Permft No. Permit Holder Date Talephone N ELECTRIG ??'?`J ??(o (P PLUMBING Hva,c 04 InapecHon 4hie Insp. Comments FOOTINGS 'V4 FOUND rd FRAMING 4 ROOFING ROUGH PLUMBING zf- PLBG AIR TEST ROUGH HEATING ? - ' GAS SVC TEST I INSUL GYP BOARD ? FIREPLACE Fl?' FfFiEPLACE AIR TEST FINAL PL6G 6 FINAL HTG 3 ?G ORSAT 7EST f f ?, 6LDG FINAL BSMT R.I. BSMT FINAL DECK FfG DECK FlNAL r. ., INSPECTION RECORD CITY OF EAGAN ? PERMIT TYPE: ? ?3830 Pilot Knob Road Permit Number: • Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: ?•. ? :sh:FIIUHt 1i t 0 ItRirtl •; !Ft• t1?h."1 ',bltjRES tPi'Ifi •rrt0T , PERMIT SUBTYPE: TYPE OF WORK: b t" , riti, r iu N N r 1, i ( i, t Rr) tuf 1.[rot:1 INSPECTION . . . I ? .. ' • i ?:1 ? ? ??1. ., , • ? . . ?i::i I :f „I ? :I111'1( f" k W! [it I (it if.l I ii W F4I. IIIr _ 01 NII 1 1'1 R4i ? , '? . ,.. . _. .. .. --- .." .. ° . -?. --- . , . , .. --- - ; . . . ? -------- - PermR No. Pertnft Holder Date Telephone # ELECTRIC '700 PLUMBING HVAC 125 -40 SG inapectlon Insp. Co ments FOOTINGS j? ?T FOUND FRAMING ROOFING PLOUMBING V PLBG AIR TEST r ? Q ?J ROUGH HEATING GAS SVC TEST INSUL ? ? LJ GYP BOARD FIREPLACE `- 96 FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL OECK FTG ! DECK FINAL CP/ !o ?? - r -•_? At. ? - - _ ? ? ? - \ . ? 6emficate of cccujoanc? 1 MM ? "an 4Oartwc»t uf IrOWg 3*40ectian This Certifecate issued pursuant ta the reyuire+nents af the Uniform Building Code certifying that at the time of issuance this strrrcmre was in compliance wirh the various onfinances of the City regulating building construction or use. For the following: use chmsificat;on: SP QC, eldg. Pemrit No. 96I47 O-UPM-Y TYPe R3/131 Zonina Diatrict ? Type Const. 3M Oweer of Buibdio8 jJOEJ?M IICMS jM Addies0'1 1/. 'R 1 17'R7 CT ?,?'yTr T? Buildin6 Address44M TAgEQxiZ'F 3]M Gocality Da1e: Buildius Otixaal ? PO6T IN A CONSPICl10US PLACE =r a -- ? ? ?• ? ? c -? %ei.?ilicate of Cccuoancv I WR4 of ftelm ..?- ? ztowtwext .f 15*0;? 340ectiox ; This Certificate issued pursuant to the requirements of the Uniform Buitding Code certifyrng that at the tinre oj issuance this srnrcture was in compliance with the varrous ordinances of tiu City negielating building construction or use. For the followrng: ux ca,ssifinr;oo: SF II,1C awg. ea,nii rvo. _7.6646 pocupancY 7}rpe R3/U I Zoaing District Rl Type Caist. SM o.n= 'Dr eWWMg FOFPMAtI HM DC Aaawss 9914 F 1 17M cr mmnxzm ZF B7Aad. 4466 LAKBGHM Lwgr Tj`:s R--3-T -_ ??-T?--.' IJ4M SLEFS . _, EkKe. J amwiog oncial ? ? POST IN A CONSPK=US PIACE . II II I II II II REQUEST FOR ELECTRICAL INSPECTION ?a ,?. Y Minnesota SWte Board of Electricity 15- ? J 1821 University Ave., Rm. $t? Paul, MN 55104 * 0 M23 7 6 0 3# Phone (612) 642-0800 ! /Y, Home Duplex Apt Bldg. Other ew Addn 11 Commercial Industrial Farm Remod Re air Air Cond. Hig. Eqwp. Water Hfr. Load Mgmt. Other D r Ran e Elec Heat Temp. Service 'R" above the work <overed by tha reques}. Enfer remarks m Mis spxe and on the bock of the whde copy only. Calculafe Inspedion Fee - This Inspechon Requesf wrll not 6e accepted wdhoul the mrrect fee- Olher Fee 3F $ervice EMronce Size Fee # Ciraiils/Feeders Fee Mobile Home Park Sfall 0 io 200 Amps 0 fo 100 Amps S}reef L}g /Traffic Sig. Above 200 Amps A6ove 1 00 Amps Transformer/Generator INSPECTOH'SUSEONLY TO L $ign/OWline L}g X{mr. i50 Alortn/Remofe Con}rol $wimming POOl I here ceni Ihat I ins ed ihe an I in.loll d zcnblil herein on ihe daka amred Iffigaflon Boom pough-In S ecial Ins ection ? p p Investigative Fee Final ? Dme ? I rB ? THIS INSTALLATION MAY BE ORDEREO DISCONN JP ITHIN 18 MONTHS. 2 J 1- 6 0 9 ? OFFlCE USE ONLV This request void 18 manths from wlidoeon dak pnnted in Mis box. _I ^ y /5 ? PLEASE PRINT OR TYPE a 4 /// /fy Req.t Dore Roogh-in msp<tlron rcqmredi Yes ? No InspecM1On Olher Than Raugh-Im ? Ready Now WAI Coll ? ? ?Yoo must mll 'he inspecror whe dy? Daie Ready I, licensed confintfor Q owner hereby request inspedion of ihe abova elecfrical work ot: Job Mdress ( t, Box, or R e No.J i Gry? Zp C.Y. 5ecM1On N. Township Nam<oi N. Ronee N. Fire N. Caun Oc<upant Phane No ?69 - "1 Power $upplier iJ&?-, ?. Address Elaclnml ontmcror (Campany Name) CoMmd r'O No 1 Mos r Lc No (Plant Elec1 Only) MmLng Address (Conhatlor pfllilvaoir PeAorming Insbllmion ?q2bq() ? /wMo Sigiwroro ? ha Tjr Owner eAoiming InsMlloNon) Phone N. EB-OOOOlA106/9 SrATEBOAR COVY- SEEINSTRUCTIONSONBACKOFYELLOWCOW ? I II ??Q_ IJt? II ? I I??I REQUEST FOR ELECTRICAL INSPECTION 5? 7 Minnesota State Board of ElecVicity ?? R{ 9? ?. MN 55104 `?}' * 2 5 6 6"9 * Phane (612)5642 V-O800 mI Flome Duplez Apt.8ldg Olhei.- New Addn ommercial Indushiol Fnrm Remod Re air Air Cond Htg. Equip. Water Htr. Load Mgmt. Other: D er Ran e Elec. Heat Tem . Service 'K' above fhe work covered by this request Enter remarks in ihis space and on ihe 6ock of /he white copy only. Calculafe Inspection Fee - 7his Inspection Requesf will not 6e uccepted without the correcf fee: Olher Fee 3F Service EnM1'ance S'ae Fee # Circvih/Feeders Fee Mobile Home Park Stall 0 to 2D0 Amps 0 to 100 Amps $treef Lfg./Traffic $ig. Above 200 Amps Above 100 Amps TrOnsfofiner/Genera}or INSPECTOR'SUSEONLY TOJ/?{/? Sign/Ou}line L}g. X{mr. ?? ? r Alarm/Remofe Conkol $wimming Pool i ha2 mm ftt i m: ? d ':anon o=d h&in on ihn, dare, ?rea Irrigafion Boom xough.m S ecial Ins ecfion p p Investigotive Fee ! THIS INSTALLATION MAY BE ORDERED DISCONNECTE C 18 MONTHS. 2 5 6- 6 9 7 4? 03, I? QNLY Thu reqvest void 78 manths from .olidanon dale pnnkd in Ihis b/? ? ? y PLEASE PRINT OR TYPE Reqoest Dob Rough-in inzpection reqwm es N. Inspechon 01her Thon Roogh-In 0 Rmdy Now ill Coll - (Yao must wll IFie inxpeMr en y) Dok Ready I, li<ensed mnhador Q awner hereby request inspeciion of ihe a6ove elecfncal work af: Job Mdress (Street, 6ax, or R N? Ciry f^? Zp Code ? W v l. l? Sedion N. Township Nema or Na Raige No. Ftre No ouz ? r xk p.pent N rS Phone N. IA -cMrl Porrer 5upplmr Addmss Elac1 Conkacbr (Company Noma ?? ? Contmnnor 0 ?IT nse N. Y Mumr 4c No. (Planf EIM. Only) Mailinyr Mdmlu' p(C'o?nhuctor Owner Pedorming Insm^lloLan) i AuPoo ed Signalure (Confincror or Owner Performing InsMllafion) li,3 (li.W a a CWM . -')Cl Phqng EB-OOOOIA-10 6/95 STATEB RDCOPY-SEEINSTBUCTIONSONBACKOFYELLOWCOPY l II II I II III I IIII Q E 821 U .'Pau PEMNT55Ot0a ?j .? rc,? ?rversity Ave., Rm. SR 2ac?t s 0 2 3 7 5 3 6 8* Phone (612) 842-0800 /??/ ?,y Home Duplex f. Bldg. Other: New Addn Commercial Indusfnal Farm Remod Re air Air Cond. Hfg. Equip. Water Htr. Load Mgmt. Other: D er Ran e Elec Heaf Tem . Service "X" above tbe work mvered by ihis request. Enter remarks in fhis space and an ihe back ol the whde copy only. +em p a.rv i e? Colculate Inspechon Fea - This Inspedion Requesf will nai 6e accepted without the conM fee: Olher Fee # Service Entrance $ae Fee dE Circuils/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps Street Lig./Troffic Sig Above 200 Amps Above 100 Amps TmnsformedGenerator INSPECTON'SOSEONLY TOT $ign/Ou tline Lig. Xfmr. ?n Alarm/Remofe Con}rol ?f-C 2 $Wimmin J Pool iha11 ins ected rhe elenncal in Ilabon d in on the doros nbtad bd Irrigation Boom poveh.in oak eciol Ins edion S p p Invesfigaiive Fee Final Dot ?f y THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF OT COMPLETED WITHIN 18 MONTHS. OFFICE USE O L?Y` This reqaest void 78 momhs irom wlidonan dah pnnted in Mis /6,ox. ? PLEASE PRINT OR TYPE (p keqoest Dure mspedion reqmr Yes ? No Roogh-m Inspetlmn Olher Than Roogh-In ? Raody Now Will Coll (You moll the inspenor when ready) usrc Dme Ready I, licensed contracior ? owner hereby requesf inspedion of 1he above eledrical work af: Job Pddress (Stmet, Box, or Rouh Na ) Ciy Zip Code 4 T Secfion No. Township Nome or N. Range No. Fire No O nt - pa 4r Phone No. ? Ll P r5uppier , Pddr s EIMn I CoMrador (Campany Name) ' Commnor h No Mosren cc No (PIan1 Elee Only) ri Modin lddress (Commn Ovmer Performing Inalallaho onzed SignaNrc (Conhador or Oxner Pedortning nxMll Imian) ho Na ?13a-? EB- 1A-10 6/95 STAT BOAfiOCOPV-SEEINSTRUCTIONSONBACKO COPY Address 4466 IAKESHORE TEP-P Zip 5512 2 I.ot ' ' 15' Blk 3 Sub c= LAKE sDaes THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPEGTION. Date: Cr 7 Yes No Inspector: (AX Final grade (6" ftom siding) ? Permanent steps (garage) Permanent steps (main eniry) Permanent driveway Pecmanent gas Sod/Seeded gtass V/ TraiUcurb damage ? Porch Basement finish ? Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shuhoff of water supply to the outside lawu faucet before freeze potential exists. Contact engineering division at 681-4645 before working in righbof-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy 0 2006 RESIDENTIAL BUILDING PERNII'T APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 ' New ConSWCtlan Reowrements 7 registered srte surreys ahovdng sq. ft W lot sq. ft of hause; and all roofed areas (20% mmumum Ice crnaage aliowetl) 2 wqes of plen shonng beam 8 vrindow s¢es; pareG huntl Gmign, etc t set o( Energy CakulaEOns 3 cwies of Tree Preagvetlan Plan if lot platted after 711H3 Rim Jart Detail Ophons selectlon sheet (buJdingswM 3 orims wits) Minnegaaw mechanicaf veadlation fars Date /0 / L21 / n? SiteAddress '?4q/ev >" 940 Description of Work t r/_ N Muiti-Family Bldg -\J RemadeVReoair Reouiremen6 2 copies of plan showei9 faatlngs, heams, joub 1 se[ of Enagy Calalafiau for heated adtlNans 1 sroa survey tor aGtlitions & Oxks Aeditiart - inmcafe d orvgfe sepOt system Canstrucrion Cost ;5 F'veplace(s) _ 0 _ i _ 2 ize e 3 1 3)-& 2s Office Use Onlv Cart of Survey Red Y N Tree Pres Plan ReW Y N Tree Pres RequireE Y N On•site Sepec System _ Y_ N Property Owuer ??ul lLe. - Mb(r //V/h 4{(?? fI'elephone # (9? F'? ?(f?(,?/ ] T--rr' ? Contractor Address State • Zip City Z'elep6one # ( f? ? G7 CaMPLE7E TNIS A12EA ONLY 1F ZaNSTRl3CT7NG A NE'N Bi31LDING Energy Coda Catagory ? Minnesota Rules 7670 Care¢orv 1 _ Minnesota Ruies 7672 (d su6mission rype) • Resitlentiel VerNlafion CaOegory t Worksheet . New Energy Code Worfaheet Submitted Su6mitted . Fsefgy Ernelape Calwlatlons SuOmitted In the last 12 months, has ihe City of Eagan istued a permii for a simlar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanicai Confractor Sewer/water Contractor Telephone # ( Teiephone #( 7elephone #( I hereby apply for a Residenrial Building Permit and aclmowledge that the informarion is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and thc State of MN Statutes; I understaad 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 th case of work which requires a review and approval ofplans. ?- VD Applican 's Printed Name Applicant' Si?ture ¢ .. ?.o W W • m N s a a J ¢ a K m W V y : ?? 0 (13"i7 O M-?O O ?o a ? ? a o a Q--10 0 v,-'0 ? 9--'a ? LOT SURVEY CHECKLIST FOR RE5IDENTIAI, BUILDING PERMIT APPUCA710N / PROPERTY DA7E OF SuRVEY: " O 0// LA7'EST REYISION: DOCUMENT_STAN • Registered Land Surveyor signature and company • Buifding PertnitAppliqnt • Legal description • Addrass • Narth arrow and scaie • House type (rambler, walkout, spiit w/c, 3p11t enhy, loaicout, etc.) • Direclional drainaQe arraws with slape/qradlent 96 • Praposed/eristing sewer and water servicas 81nveK elevatlon • . Street name • ' Driveway ELEVATIONS 'stl 9a' O Q • Sewer service ? 3 0 • Property comers m?13 O C3 ? . Top af curb at tha drivewey Q • E3avaaons at any ebsUng adJacent homes Pro os Er' 13 13 '- • Garage floor all [ C) • First floor ? 0 • lowest exposed elevation (walkoutlwindow) a • Properiy comers cl 0 • Front and reer of home at the foundatlon PONDING ARFA nf a.,.,ir,.atiie) • Easement line ] &?,a e NWl ] 5,?C3 • FIUVL 3 B??" • Pond # desipnaUon ] a • Emetgency OveAtow Elevatlon / DIMENSiON2 • Lot IinesBearlnps 3 dlmensions 3 a • RighFaf-way and street width (to back p( aup) , • Propasad home dimenaions Includtng any proposed deciq. pyefian OS Oreater than 2' / O , porches, etc. Q.e. ap sUuefures . re4uirinC partnanent foodnps) Show all easements ot record and any City uUliUes withtn those easements Setbacks of propased structure and sideyard satbaek of adjacant axistlng structures u ? Retaining wall requiremeNs-,if anv" Reviewed: ??-? ` 16/47 ily 1995 I? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: Cep# 9 M5 BUILDING 026647 11/14/95 SITE ADDRESS: 4464 LAKESHORE TER LOT: 16 BLOCK: 3 CLIFF LAKE SHORES P.I.N.: 10-17785-160-03 DESCRIPTION: , (2ER0 LQT LINE) ? BaY`?.ltli,Permit 7ype SP DW6 ,E?'ifixd:lYtj, 4l-q?k Type NEW s t?Bc Qccu?an-ay., R-3 u-1 ? caarstructfun Fylp,e V-N Zo;,n,i:reg PD Btiildi,ng Le rrgGh: ° 40 , Hu3.ld3nge1'Ji``tith- 62 8.y £,14 014tis_???mr e's - ss€ r t. w ?''?G s' ? ia N;?k qem t? ?p nw sm N ?J? >ei€a * a• ?'.iC?' ',?3 Z.. ::k -a?m' REMARKS: DUPLEX WITH LOT 15 5 6 W PI.BR - WEN2EL PIBG FEE SUMMARY: VRLUATSON $164,000 6ase Fee Plan Review Surcharge SAC SAC $ SAC Units Subtotal $1.207.25 $422.54 $82.00 $880.00 100 1 $2,561.79 MISCELI.ANEOUS $1a892.50 Total Fee $4.454.29 CONTRACTOR: - Applicant - s7. Lzc. OWNER: HOFFMAN HOME5 INC 16949607 0009284 HOFFMAN HOMES INC 2214 E 117TH ST 2214 E 117TH ST BURNSVILLE MN 55337 BURNSVSLLE MN 55337 (612) 894-9807 (612)894-9807 I Z heraby ackriawledga thet` I"Mave.:read this. `appl:tcation :ansd state that the I info,rmation iscorreot and_agree I tci complp-w3,th.allappiioabla?3-t?teo'F°Mn':",. ; 5taEu'tes= arid Cit f Ea?9..?n` ardinences`. _ ? ' ? ot?n ??C I-rn, liC T/FE E SIGNAiURE ISSUED BV.?SI TURE INSPL,(:'1'ION KECURD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITEADDRESS: ' ' ' ` - 6e-e: LOT: 16 BLOCK: 4464 LAKESHORE TER CLIFF LAKE SHORES PERMIT SUBTYPE: 5F OWG 3 APPLICANT: HOFFMAN HQMES INC (612) 894-9807 TYPE OF WORK: DESCRIPTION BUILDING 026647 11/14/95 NEW (ZERO LOT LINE) INSPECTION F007INGS „ . FOUNDATION D. FRAMING RQOFING INSULATIQN FIREPLACE ROUGH IN PLBG ROUGH IN HTG FINAL PLBG FINRL REMARKS: DUPLEX WITH LO7 15 S& W PLBR - WENZEL PLBG --- - ----- ?__^?rl:l'?Y, ;`hl 1 1 6 IV i iG.liJ ??t; :,th+ bil i?INf' 0' y ?? ? ? ??7'illl ??0? 1'? .i.?•?", I?FI'9 .:1 11 i.w{;.. ` CEtS;; ! f? I 1 CUf?" ; .' i'LI"' [i.'.,'.'.twt ?j. fP(a ?t?"3 ?'! i F{- i ,k'C ;:I!i;?:F,• (L 1 ?ff1,,V? J I:I? I i I! 1 pi!? ? v ? GITY QF EAGAN ?? 3830 PILOT KNOB RD - 55122 `?/ `?•1`t 't 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681 -46T5 ? 3 regetered site surveys ? 2 wpies oi plens (Indude beam & window szes: poured fid. design; etc.) ? 7 errergy calalationa ? 3 topias of Uee preservetion plan H lot platled after 7l1/93 ? 2 aDpies of plan ? 2 site aurveys (e)derior additlons 8 dedcs) ? 1 energy calwlations for hea0ed additions required: _Yes ? No gr?ua? .?' IVpottr ?-1 DATE: 1OI Z5I°?? CON5TRUCTION COST: lipol DESCRIPTION OF I'VORK: „ 7tsCl .P, r.vf se L lJt,ve 1 STREET RDDRESS: 4`t to-{ tra.,c.e 53+?nF i LUT tike BLOCK ?A SUBD./P.I.D. #: buPt,t x W/ Ler /s PROPER7Y Name: ??fiwkJ Phone #: owNeR ?. ? ? Street Address• ? ?? S1 - City: ,,,I.e State: V"li Zip:5533 4- coNTw4cTOR Company: S,Ar? Phone #: Street Address: License #• City: State: Zip- ARCHITECTI Company: Phone#- `134-1440 ENGINEER Name: L`(Lt- ?a-u-ytJ Registration #• Street Address• 150 ZI o Gity: State: Zip: 553i?- Sewer & water licensed plumber: Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the-infa tio icorrect and agree to comply with all appiiqble State of Minnesota Statutes and City of Eagan Ordinances. SignaWre of Applicant: LA OFFICE USE ONLY Certificates of Survey Reoeived _ Yes ? ifdo 0 r 7 2 5 1qprj ; / r 7ree Preservation Plan Received _ Yes :;? No .._ _ ? f? & V OFFICE USE ONLY s` Wtit:.t? op Y ?w BUILDING PERMIT TYPE 0 07 Faundation n 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish ,x?'02 SF Dwelling o 07 4-plex o 12 Multi Repair/Rem. ? 17 Swim Pool 0 03 SF Addition o 08 8-plex o 13 Garage/Accessory ? 20 Public Facility 0 04 SF Porch p .99 12-plex o 14 Fireplace ? 21 Miscellaneous n 05 SF Misc. ?110t -LL"10 • .,;;.10'.XV1,MUZ,° Deck WORK ,Ja?-31 New 0 32 Addition t2o Go 0 33 Alterations o 36 Move 0 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of 5tories Length Depth APPROVALS Planning Basement sq. ft. ? ds0 MCNVS System ? Main level sq. ft. City Water .? -3 -/ sq. ft. Fire 5prinklered P"b sq. ft. PRV l?6s?.r sq. ft. Booster Pump `fo sq. ft. Census Code. /OZ? lvz Footprint sq. R. SAC Code ? Census Bldg _L Census Unit i Building Engineering Variance ? Valuation: $ w/p,?N ? ?,?. l3s?T Permit Fee Surcharge Plan Review License MCNVS SAC Clty $AC Water Conn. Water Meter Acct. Deposit S/W Pertnit SNV Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % sac SAC Units Z K 6 =/ Z `1Zx y° = i ?efsa 7K ro x fz- - 120 g5 ?O(? po,?? N ?- /z x?Z ' /Yyxst'_ 7,77? ? Zco ?. ?S s1= <z??? ' ?'Ly ?zr ?gS?fi'x2s= y?? ysy .?---- Za xz / ? ?/ZV r l? ' ?TA? 13 61Z93443Ub M1NIJtIl1Nl<A lltS1laN F'F+Ut UZ EXTER[OR E[LOPE.AVERAGE. COMf'U7A:fI0N. nnrr : 9 -1la ?"" SITE ADDRESS: PHONE: ' CONT RACTOR 1 : +?iot"vmW PIAN # Determine working square foota9e of'each 1. 7otai exposed wall area.,... 2?-U33 sq. -ft. x.il 2. Total roof/ceiling area..... ?02 sq. ft, x .026 Total exposed wall area above,floor= 2S'7-1S%S a. Total wall window area ........................................... .... b. Total door ared .... , ..................... ..,. ................. 3?33 c. Total sliding glass door area .............................. •--: d. Total fireplace wall area....... ....•••••-•••••••-•-1••1 •••••.'..• --- Z5 U e. Totdl wall framing area (average lOp} ............................ .. . 1 3 f. Total rim Soist area........................................... g, net wall area above floor.......................... ?••••-•••-- h. wall area a6ove floor..................................... i. wall area a6ove floor ...............'...................... j. frame wall area sx foundation................ •••?••••••••.•••••• 7otal exposed foundation area= 3?15 k Total foundation window area ....................... _ 1. Total net foundation area above grade .............. a. b. c. Determine "u" (e.g. window, value door, of each wall each separate segment wall secCipn) 254,33 x „U. . - R°? = 2 WZ1 3`1,33 x IIUII tQ9,q 113.33 x ?U'l d. X u?? ? ? U113 f. 21h?3 X .,?„? t2 . _ ?.51 q. 3,S,OCP x is u„ n, x „u„ _ j x z 'lull - ?. k. x ilun t. 5 x „u„ 3. .......---• ......................Tota1 = 30?1,5?0 .... .?..__.__.._.__._..__.__...?__.-...-- -- If item 03 ts the st as, or 1e55 than ttt 01, you have met thi intent of 56G 6006 : 995 10:13 6129344305 h1IhlNETDIJKA DESIGN PAGE 03 4. 70CAL lXPAi[0 IIqOF/CEILtNG GLCUTA'fI0t14: ' Total rxOQzad roof/ce111np area,....... 14 rt J} Total skyllyhe arna.....,. ,.s(; ft x"U" ' k) Total roof/cnillnq rraning • . arns (Averacn 107},,,.., 2-CZ? Z..??sq ft x'"U" `42 1) Total nnt Insulatad • ?- , . raof/cell ing area....., sq ft •x "U" N?1' ? AV • 4. . y 70'[AL J) Chra i) IP total of sh is the samc as, or ]ess than N2. You have met the intent of • Z:SCAII 1.16008 A sed 4. .' ? , ; . AL7ERriATE 6UILDIHLi ENVEIOPE pESIGH • ' To utlS(zn tho totai nnvelope sys tan method.•tha values establ•Ishnd by thq sum of ltnms f3 and 14 shall not be 9 rea[¢r than the svm'af Itams 111 and !2. . •• -. 3. • ' • ' ' + 4 . ? ` _ _ - • • -L- . ? r 10:13 BLOCK:ig? KNEE: R,G 6129344305 1•1INNCTOIJKA DESIGN * 4INEA4 FEET EXPOSED WALL WALKOUT: -4() FULL FULL 2: E'IREPLACE: RIM: * SQUABE PkET LXPOSED WALL AxEp BLOCK:17"i KNEE: 5 WALKOUTc 4 ? x 8 FULL 1: 2`? j x`0 -2.143 FULC. 2: x 8 ? E3REPLACE: x v RIH: Z.l4,a X 1 ••?.I?-,? _ A S UAR ' ? Q E E EET EXPO5ED CEILING Z.02(.p WzNDOWS: DOOR5: 2?50 11?1 ?`?,?2 3vSU ? I( g?. PATIO DdGRS: 4{? 33? 20?}Cv ?" ? ???? r '`f0`f (p III BASEME:iT UNITS: SKYLIGHTS: 1(DZo 11 3,43 ? (y4p 2L4Cp Ill 2s ?z z?n 3(v I 1 I I R ?'Z7 -77 PAGE 04 ? ?i f; CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P.I.N.: 16-17785-150-03 DESCRIPTION: PERMIT PERMIT TYPE: Permit Number: Date Issued: 4466 I.AKESHORE TER LOT: 15 BLOCK: • 3 CLIFF LAKE SNORE5 (ZERO LOT -ldfnermit Type ?ti?;7.dirtg l3krk 7ype "OCCUpaia,c?hq;, ? C'onstrtict,€:?n. `Ty'?,e Zohqnlg • Bni2ding? LangCkf - .vbM ¢uiiding Wi;ctth,.,- '£4`, 6;u3:Ik1-ijVq' s GP,i":Ses ;da;"- pa.°s.. LINE) 3F DWG NEW R-3 U-1 V-N PD 40 62 ,sFreE ?P i „et,? '_.?av` 1,* v? ' wLt a 02oIk 94os BUILDING @26646 11/14/95 REMARKS: DUPLEX WITH LOT 16 S& W PLBR - WENZEL pLBG FEE SUMMARY: VALUATION Base Fee Plan Review Surcharge SAC 5AG % SAC Units Subtotal $1,207.25 $422.54 $82.00 $850.00 100 1 $2,561.79 $164,000 M7SCELLANEQUS $1.892.50 Tntal Fee $4,454.29 CONTRACTOR: - Applicant - 5T. I.IC. OWNER: HOFFMAN HOMES INC 18949807 0009284 HOFFMAN HQME5 ZNC 2214 E 117TH 5T 2214 E 117TH ST BURNSVILLE MN 55337 BURNSVILLE MN 55337 (612) 894-9807 (612)894-9807 T'herebyr aaktltsaledge.that-"I°hmue read -this:aPRliaation gnd stat`Qt#i`at.the? _i,nformatio i?n s.-car.r,ect=attd agree tio o,amplyW3th all ePPliaabl& State of M.irr,,- ,'... Stetu'tes.and.Gf Eagari`Ordinances. • • . . _ - . _. ,_ _ , . . ....-.., , ?? I ANT/P EE SIGNATURE ISSUED BY IG U EI INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITEADDRESS: P'I•N.: 1e-17785-15e-0: LOT: 15 BLOCK: 4466 LAKE5HORE TER CLIFF LAKE SHORES PERMIT SUBTYPE: SF DWG ? APPLICANT: HOFFMAN HOMES INC (612) 894-9807 TYPE OF WORK: DESCRIPTItlN auzLozNG 026646 11/14/s5 NEW (ZERO LOT LINE) INSPECTION FOOTINGS D. . FOUNDATION „ FRAMING ROOFZNG INSULATTON FIREPLACE ROUGH IN PLBC, ROUGM IN HT6 FINAL PLBG FINAL ;+i'! 1 ???'i ii • r•l) ?I 1;' J. o u . ,?:I •,??!:r r,r.?.ni:,?i?l?.-. .:ii? ???? ., „?? i• ?1n. bn:?• ??U , ql'y ir.l?c. ( • 1 ?s?? I (I i ,>' F l9 [0- , ... ? ?.7:% 1 ra• y' , t:.11 ?l I) P9J :.li:-I i:iP: <'i0!ll a=.: r n i • 1 I? i: f UI' :. ; . J Y.'? i i1F''. ? ., ? I ''. .. i.., ?;. , .? CITY OF EAGAN 3830 PILOT KNOB RD - 55122 ? ict4c`1996 BUtLDfIVG PERMIT APPLtCATION (RESIDENTIAL) 681,4675 New Conshudion Reouirements $eIltodeVReoair Reouirements MQ V V t. ? 3 ragisteied ske smveys ? 2 eopies of plan ? 2 copien of plans (indude beam 8 window saes; poured fid, design; etc.) ? 2 sfte surveys (exterior adyitiona & dadcs) ? 1 energy eakulatlona ? 1 errergy wlwlations for heated additions t, ? 3 copiea M hee preservation plan if bt plaaed after 7/1/93 r ?w ? reqWred: _ Yes ? No J TCf? - ? DATE: jO1zib/45 CONSTRUCTIONCOST: DESCRIPTION OF WORK: fZc-s? Oc,.Ti ? av 17..?.? Wr]/.? ??,?L?. ?jrtCti ri L,o.,.?rn. `C.•.,E?,. STREET ADDRESS: qq6k0 LOT 1'."? BLOCK SUBD./P.I.D. #: tt` "? L-ACE S t? buaZtx `-? LmT /ta' PROPERTY Name: Hof-fvAnd I-b,-? , 1-ic-. Phone #: owNeR ?. Mn StreetAddress• City: State: wc?J ZiP; 5533?- CONTRACTOR Company: Phone Street Address: License #• qZsi City: State: Zip• ARCHITECTI Company: Phone #• 93 4 - -+4'A° ENGINEER Name: ?--t?? Registration #• StreetAddress• ZNn City: 6+1 A,j La n sst^i State: `A4 Zip: 553 ( -1- Sewer & water licensed plumber: Penalty applies when address change and bt change are requested once permit is issued. I hereby acknowledge that I have read this application and state that applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received zyes Tree Preservation Plan Received Yes No the mfo i rtect and agree to compiy with all ? . ? o c r z 5 tss5 • Q OFFICE USE ONLY BUILDING PERMI?T„TYPE • . .. 0 01 ; Fou'fidalion o 06 Duplex ,V-02 SF Dwelling ? 07 4-plex 0 03 SF Addition o 08 8-plex ? 04 SF Porch o 09 12-plex 0 05 SF Misc. 0 10 0 11 Apt./Lodging o 16 Basement Finish 0 12 Muiti Repair/Rem. ? 17 Swim Pool ? 13 Garage/Accessory o 20 Public Facility ? 14 Fireplace ? 21 Miscellaneous 0 15 Deck WORK TYPE T" Lc.•?!L ,_---?" -t"1 New o 33 ?ions o 36 Move ? 32 Addition ? 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) :V-- -/ Basement sq. ft. MC/WS 5ystem oe- (Allowable) ? Main level sq. ft. ;?,bzs City Water oc UBC Occupancy sq. ft. Fire Sprinklered Zoning P-b sq. ft. PRV # of Stories sq. ft. Booster Pump Length 1 D sq.ft. Census Code. /aZ Depth ? z Footprint sq. ft. 5AC Code Census Bldg ? Census Unit I APPROVALS Planning Building Engineering Variance Perrnit Fee Valuation: $ ?`?ooo ST?'2G/,s,e, Surcharge `./ Plen Review "`/ f ?e? ?F^f65"". License MCNVS SAC City SAC Water Conn. - ? Water Meter - - ' Acct. Deposit S!W Permit S/W Surcharge ? ? (f Treatment PL Road Unit ? Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units 3 61293443175 h1INNETGNK,G PESIGIJ rAut uz EXTERIOR EPfYE?OPE AVERAGE, 11U.'.,.COMf'U7A;fI0N, nATf : SIiE ADDRESS: PHONE: COMTRACTOR: ?OV-VY'AW PLAN N C}?33 -ST1:'}AA?C1V Determine working square footage of each 1, Total exposed wall area..... 54• ft. x.11 = 31dC?°I?0 2. Total roof/ceiling area..... 2o2?Q sq. ft, x Total exposed wall area above floor= ZS??S a. Total wall window area ........................................... 2?'?33 b.' Total door ared .......................... . .. ..................... 3"1t-i -1!- •• 1??3 c. Total sliding glass door area.................................. d. Total fireplace wall area ..................................••'••• e. Total wdll ft'0ming area (average 10%)............................ f. Total rim joist area .. .................. ....................... ? ? net wall area a6ove floor..................................... h. wall area above floor ..................................... i. wa]1 area above £loor ..................................... j. frame wall area at faundation.................. .•4 ••••••••••'•? , Total exposed foundation area= <)3.5 k_ Total foundation window area ....................... 1, Total net foundation area above grade .............. `'1 Determine "u" (e,g, window, value door, of each wall eaCh separate segment wall section) a. z?4,33 x,. U„ b. xitu„ C. x „U„ d. X liUil a e. 21e> x $lul,- f. 21?,3 x „ut, g. ?`??OCQ X " u 1, , h. X "Ul. _ i X j x Ou„ - k. x „ull z 1. -A 3 ? , Y „u„ . 0`1 3 . .......... ...... ....--.........rotat = 3?,'^--?'(A If item i3 ts the st as, or le5s thdn it+ #l, yau have met thi intent of SBG 6006 "_"_ "' _ . _ R....._.__.._^.... 10:13 6129344305 htINNETONf<A DESIGN PAGE 03 70YAL C%AOSLD RdOF/C6ILING CALCUlAT1Wl4: ' Totstexpased roof/cai 1 Ing araa. ..... .. Z(3 aq 1`t J} Totsl Skyligh[ araa......._ sq !t x"U" ' k) 7eta1 roof/cnillnq frauir,q ' ?2 • ,. L`-??(? ares (Averaqn lOX},...., '7-0-Z_N(_0 - sq ft x• '"U" ` {} Total net Insulaced ft x "U" Nb2' "'?(y?? ' . roof/cellinq area. sq ...... y, , Y TO7AL j) Chru 1) ;i If totsl oF A is the same as, or less than p2. you have met the tntent of • 2 HCAII 1.7.6008 A sed 0. .? . ? . ? AL7ERNATE BUILDttI(t £HVELOPE AE51CN • To utTllze thc total envnlope tystem nethod. •tha values estsbl•isl+nd by thq sum . . of [tems 13 and 14 shall not be 9 raater than the wm'of ltaas 11 and !2. • ? . ?. } z. - ;. - • " ? 4. - - • - ? • •- F 10:13 6129344305 BLQCK:ir KNEE: R, 5 IiALKOUT: -4U FULL FULL 2: FIREPLAC6: RIM: BLOClt:.1Ri , KNEE: I ? ,r-, WALKOUT: 4 ? FULL 1: ? Iq j FULL 2: FIREPLACE: Rzrs: 2-?4,3 .rIK? . . x 8 * X ° : 1 -2.1y-,t SQUARE FEET ERPOSED CEILING WzNDOGS: %'S.+DOOR5: y7,`j-?? 2oSo 1111 3vso I 0-9 ,02. I I, 84 ZO?CO ? ? ?,,?5 1(.a.4z 1(pZQ I ? 3,43 1 C.o4o I 3 ,?3 2L4Cp ll l -?? ?Z 2.3(o I?I I q,`z-7 - 7, 77 h1INNETONKA DESIGhI * LINEAI. FBET BXPOSEO WALL ;i * SQUABE FF.ET EXPOSED WALL ABEA ' 7C •J .°?'?r.? XS x 8 - -JZ? PATIO DOORS : I L? r?-A BASEME:IT UNITS: SKYLIGHTS: PAGE 04 ?'. ? I; CITY USE ONLY L BL ;r ' RECEIPT #: SUBD. DATE: e 2 7996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAM 3830 PILOT KNOB RD EAGAN, MN 551,22 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EACH NSQL TQTAL Shower 3.00 x C121 _ 1 0 Water Closet 3.00 x • aa Sath Tub 3.00 x Lavatory 3.00 x ? = 9Oa Kitchen Sink 3.00 ;c = D Laundry Tray 3.00 ;t Hot Tub/Spa 3.00 :c = Water Heater 3.00 :c Floor Drain 3.00 x 07- Gas Piping Outlet " minimum - 1 3.00 :c Rough Openings 1.50 x . 50 Water Softener 5.00 x = Private Disposal * oakota cty. iicense 65.00 = (new and refurbished systems) U.G. Sprinkler " home under const. 3.00 = Alterations ' to extsting 20.00 = Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL -'17100 SITE ADDRESS: y OWNER NAME:-A INSTALLER NAME:? STREET ADDRESS:_ r CITY: ?? STATE: /Jj /!/ ZIP: ?S/°1 ?- PHONE#: 5liNATU KEL)F-PER1M1'fT CITY U5E ONLY L ? BL ? R E C E I P T #: 53n SUBD.I?,( -?U DATE: 1142A10 1995 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unft FIXTURES ? EACH NO. TOTAL Shower 3.00 x o2- _ 6- OD Water Cioset 3.00 x 02- = 10.o6 Bath Tub 3.00 x 3.60 Lavatory 3.00 x 9100 Kitchen Sink 3.00 x = 300 Laundry Tray 3.00 x Z = 3,L,TD Hot TublSpa 3.00 x = Water Heater 3.00 x Floor Drain 3.00 x ? _ 3 ?Lb Gas Piping Outlet " minimum -1 3.00 x = Rough Openings 1.50 x Water Softener 5.00 x = Private Disposal ' Dakota Cty. Iicense 20.00 = U.G. Sprinkler ' home under const. 3.00 = Alterations * to existing 20.00 _ Water Turn Around 20.00 47O STATE SURCHARGE .50 1 l%' 1 AL A yy? ( 4 &a SITE ADDRESS:- ' O). /G 1 - .f pJ?J??.? ? OWNER NAME: INSTALLER NAME: STREET ADDRESS:- CITY: X(x.d.//21 STATE: ZI P: ?,- 01 PHONE #: iS ?• ?.??e si UraA I I ILL . ? . L gL ? CITY USE ONLY RECEIPT#: 50?-310 .1= SUBD. DATE: ? I9 ±(p 1996 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit New construction Add-on fumace _ Add-on air conditioning Add-on airexchanger, i.e. Vanee system, etc. Date: FEES ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 24.00 ? Additional 50 M BTU 6.00''? ? ? Gas Outlets (minimum of 1 required @$3.00 each) ? 4' ? State Surcharge .50 TOTAL SITE ADDRESS OWNER NAME; INSTALLER NAI STREET ADDRI CITY: PHONE #: STATE: ? PH6NE #: ?99 167 ? . L L // 5 BL 3 cinr us'E oNLY RECEIPT#: ,Sa 3/D SUBD. DATE: 7996 MECHANfCAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681 -4675 Please complete for: ? single family dwellings "I ? townhomes and condos when permits are required for each unit New construction Add-on furnace Rdd-en air cend:!ioning Add-on air exchanyer, i.e. Vanee system, etc. Date: / " /P ' 17G rP ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 24.00 6"" Additional 50 M BTU ? 6.00 Gas Outlets (minimum of 1 required @$3.00 each) ?? ? State Surcharge TOTAL .50 ? ? SITE ADDRESS: ` OWNER NAMEJ INSTALLER NAME:? STREET ADDRESS:. CIn: R t PHONE #: ( ) i a?-°???S ta.???b Clty of Eapn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 ?----------------- ? ?o?fl??axuse I i C?G} i j Permit #: 1 `? ? ? ? .? ? Permit Fee: ? Date Received: j I ? i Scan: i I -----------------? 2008 RESIDENTIAL BUILDING PERMIT APPLICATION ?yr??'? Date:ll0"t/-r (S Site Address: L4L4 Tenant: Suite #: RESIDENT/OWNER Name:CLl?k L4" SYt? ?Q?A7V1?'10YV?Q.S Phone: Address / City / Zip: ??Q CAl ek L,0%tLC cc ? 91u1 5cl 114 -A41 '1 Applicant is: _ Owner _'?_ Contractor TYPE OF WORK Description af work: l QCtV' (X'Y Y'?X13U-t" ? LU l Construction Cost: 4 -7o, b OD . Multi-Family Building: (Yes?,_ / No ? CONTRACTOR Name:16qM&IC? b&n Cb/d1gjCj:QS ]4`1C License #: ?? ?5?8 Address: 9-gk00 13CAOL(uCL? M• ? COD Zip: ? ?J State: 1t (9 u ?1 _ - City: 1nQ, l Phone:"l'5 a -1 En "'-Ul ContactPerson: 1UI&Aa' COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7672 _ Minnesota Rules 7670 Categorv 1 _ Energy Code • Residential VenAlation Calegory 1 Worksheet • New Energy Code Worksheet C8t¢y01'y SubmRted Submitted (q su6mission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based an a master plan? _Yes _No If yes, date and address of master plan: Licensed Ptumber: Phone: Mechanical Contrector: Phone: Sewer & Water Contractor: Phone: ize form;ation:;'R"ortioias-,of .. NOTE: Plan`s and supporfing documen?s:lhat<you suGmit?are cons deredj`f,b,;pulifYc?fn ouprovi?spe¢di?r,?easow4that iyoufd perrJiri'the Crty to the informatlon may be classrfied a's Hon publrcTf ? ; c'onclude;tti?at ftic? ,?ar,e traiietsecrets I hereby acknowledge thal this information is complete and accurate; that ihe work will be in contortnance vrith Ihe ordinances and codes of the CiTy of Eagan; that I understand Ihis is not a permit, but only an application for a permit, and vrork Is not to start vrithout 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. X UcLcna Sc"l?ePer- X a ?-L-?sc.- Applicant's Printed Name ApplicanYs Signature Page 1 of 3 . , ,. , - CER TIFICA TE OF I 'I A I ? -r L - - - - - 3 4? (906.4) 0?o?i t?- ?!e ? ? \ ? 15 o'?fO a?oo . ? e> . . - - - a9. .' , , : . , , h ? ah ? O ? / / i' , , , , /I?-- '? (914.t6 1 1 ? / / / ? ? (973 . ? 904.0 . ' ?a . ? ?ry? r 3 ? SUR VEY ? I ZJ I R ?E E ? Da O Z EAGAld EIVGINEEEiING DEPT. 73 _---- 3_20 TC) ? \ (O ZZ 'f 6'! _._ • .,' \ `DATF. 1..?? -v ? ?t?• J 60? , (512.75 TC) i ? F ? i 1A / ? i 902.5 $ o ? ? \ \ ^ ?- / (sis.s) ? . \ O / \ ?•?` `- / 84.f5"' , -- 69 ? -> \ ? ? ? Q A3F ,,* Qp 16 la 9? $ F ? 3r / \ Q .2 ? OO o ? 4 ?b LEGAL DESCRlPAON: Lots 15 and 16, Block 3, CLIFF - LAKE SNORES, accordrng fo the plat fhereof, Dakoto Counfy, Minnesofa (PLA r NOT RECORDED AS OF 9128/95) Top of Block = 975.05 " Lowest Floor = 906.85 Garage F/oor = 914.70 GRAPHIC SCALE 20 p 10 20 40 II ( W F'EET ) 1 inch = 20 [t. 930.0 Oenofes Sanitory Sewer Service /nvert Note: 1) A/1 Utilities ond Curb ore Proposed 2) Building dimensions do not reflect brrck facrng 865.0 denoEes existing elev. (865.0) denotes proposed elev. denotes surface drainoge • Denotes iron monument found O Denotes iron manument sef Bearings based an assumed dotum. I hereby cerfify thot this survey wos prepored by me of under my direct supervision and that i am a du/y Registered Lo d Surve}ror under lhe /ow's -of the. Stote of, n ta. _4 - Mortin ? Weber, 44.LS. Date Registrafion /Jo. 12043 REOU£S7ED BY.• HOFFMAN HOMES, /NC. . Woatwood Professional Services, !nc 74180 West Trunk Hwy, 5 Eden Piairie, MN 55344 (612) 937-5150 Orown by M$ I Dote: 1 0119195 I Jot, Ho: 95198 Lots 15 & 16, Block 3 Use BLUE or BLACK Ink r--__..-.-----------� i For Office Use � • � � �� Permit#: � I Clty of �� Permit Fee: �� 3830 Pilot Knob Road � � Eagan MN 55122 � Date Received: � Phone: (651)675-5675 I I Fax: (651)675-5694 I Staff: i i I 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ��' ��/�� Site Address: �� `�"`1""��'�' �� " Unit#: �,e.�. v,A.�w-� �� u�.._. y....a,_a,,��d.__. ,a�,�A. ,��.a�,�, .._�,.��m..�.��_�,.��...�_,��.s,...,��.a�..�.�.�..�,.�..� -„�..�.�..,�... �..�,,,,.�,� ____. � � �'il�'�� / :�: � � Name: (..� �� '�"�� Phone: � � R#�S�C�f:i1#�/ � � � (��y��;r � Address/City/Zip: S�^"�' � � Applicant is: Owner Contractor ,.�,.�. �...�,.��,.,�,.�,�a.� - �,�.....�.w.=.�....�.. _a.,,...k��.,��d.�,e.�.,...�...o,..��.��,...��,,.,,w...m.�, ....w..��..� T�� Q"F V�IOrk Description of work: ��✓�� l �' � Construction Cost: Mult�-Family Building: (Yes /No� � � � Company: �t�� (�-hfi�� L.b��l�G�a 1 nc�. Contact: ��f �� r�R �"' ..�.e..�.o� I � ,�� (j�" � St�llTe ��` �� ') � � Address: �G��'� �s� City: � C011�t'aC#O#' � � $ State:,�Zip: SSy�t� Phone: '7(�3-S.S� z bn�� Email: �� av�t.f��m,cywl (��"1- �� License#: �C �� 7�1.3 Lead Certificate#: .�,��,�,.,�...��..,..�,�,�..��,,,,..�.�.�_..�..��. ��..,,�.�x,�,.�.,��.��.��,��,�A.��.�,�.��..�K,�,...�.»�.,� �_,.�„��.� .�„�....�...n,�.�,..�,.�w,,,..,�...x��A�.�� 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�T�':F�a�s a��1�u��ortr�g a�o�u�e�#�t�t�you�w��a�cortsl�F�t�at tv b$�pub�c��i�. l�r�r��o�' � t�e+��`ort�ati�►r�ay be cla�si�ed as r�on p�t#��',ya�pro�i�&e�ec�i�c r�aso�s t��war;��1 perr��h�:Cf�tr� `� � ;:�� r.��ti/��:t��r ��W�fi�/�+.�ri��.i..a'.. � . �.4 CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours �� before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.org I hereby acknowledge that this information is comp�ete 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 �ul,� �rP,��.�,--- � X Applicant's Printed Name Appli s Sign ture Page 1 of 3