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4468 Lakeshore Ter Wertificate of Cccupanc? CM4 of Cftgan Mepaxtmcut of etiitiiug "N40ecriox 77eis Cer<<;?cate issued pursuant to the requirements of the Uniform Buildiag Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulatireg buildireg coRStruction or use. Far the following: use clasuftatm: SF DWG/GAR sag. Pern,;t No. 27255 O-JP-Y TYve R-3 U-1 zoo;,,g Mwia PD Typ? c... V-N 0W=o(8WWft HOFFMAN HOHES 1NC Ad&.,. 2214 E 117TH ST.. BURNSVILLE, MN B? Ad&m 4470 LRKE3KORE TERR L,.W,y L13, B3, CLIFF LAKE SHORES ''?=rJ?y euMmg offirW i; POST IN A CONSPFCUOl1S PLACE ` Kertificate df Ccc"anc4 W{t4 of 9-agan ?axt---cut of ex" anoectim This Certificate issued pursuant to the requirenrents oj the Uniform Building Code certifying that at t!u time of issuance !lris strwcturr was in compliarece with the various orrlinances af the Cery regulating bueJding construction or use. For tbe folfowing: uwcka+rcat;m: SF I3JG awa. P«mit wo. 26784 0-v-cr TYvc R3AL- Zonina ukuia PD Tya con5c. VN o.rwo(Buiwing HFfM E??L.S DC Ad&m 2214 E 117TA ST, BI]RMIIIS e,:w-g Aaa- 4471 t.. Iuy L7,W, IZ.IIF IAIKE snV S f Dw- o? ?P06T IN A CONSPICUOliS PLACE r' - INSPECTION RECORD ? eII Y OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: •' ? ? Eagan, Minnesota 55122-1897 Date Issued: 4+ A! t i (612) 681-4675 SITE ADDRESS: APPLICANT. • iui; 14 1:1 f,l t: !':.t1U(tt" 1 E K.",* itt? I I ri:sni IIf.JMt"?y I t41 ' ? I ! f 1 AKf' !MaRk ?, ? ::r? ? :• ? .? ? 894. !0407 , PERMIT SUBTYPE: 1 ,.. TYPE OF WORK: N FLJ t:lr,l ( r.t.kO t or i rNf ? INSPECTION . . D 1 f'!, I'1I f'f?4 I Rlf? I :t .ili jsl t?11! i I! ? 1 14' : ? ; 1 tl,Fl !'1 Iit. I I M/01 I RFMl1Rt:;: b W F't:liR LJkN?El H E48 ..iw Pe?mlt No. Permft Holder Date Tetephone k ELECTRIC 19 ? PLUMBING 7Z G ? -I S HVAC • Inepectfon te Insp. Comments FOOTINGS `j///` / !0 ? FOUND yl?9? r FRAMING •' f 3?? ? ? ROOFING ROUGH PLUMBING PLBG AIF TEST ROUGH HEATING _ GAS SVC TEST INSUL ? GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG _ fi FlNAL HTG ORSAT TEST BLDG FINAL BSMT R.I. 6SMT FINAL DECK FfG DECK FlNAL , . . p* , INS] CITY 6F EAGAN , 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SfTE ADDRESS: PERMIT SUBTYPE: n! ON REcoRn PERMIT TYPE: Permit Number: " Date Issued: "" " APPLICANT: lit[)( P a ,t11 MI TYPE OF WORK: N f tJ °FkO l0 i I iNFI INSPECTION .. . D• ? i ri i iA 1, ? Ni, ? I P k: M A R K:, t'; & RI F' L NFt 1-lE. P t Permit No. Permit Holder Oato Telephone M ELECTRIC PLUMBING ?f' A4(p 44 .. 654 ? HVAC - rJ ?I(i 4'? Inspection L-IfAe Insp. Comments FOOTINGS ?/-1-i & FOUND FRAMING ,.a / 6 I? ROOFING ROUGH PLUMBING J ? _ 7 PLBG AIR TEST - ' ROUGN HEA7ING -r GAS SVC TEST ; • Inrsuz GYP 80ARD f 44 FIREPLACE FIREPLACE AIR TEST FINAL PLBG ??-?c _ ?_ - ---- - --- FiNAL HTG i_ - - - ' ORSAT TEST I - - BLDG FINAL - -- - BSMT R.I. BSMT FINAL DECK FTG DECK FlNAL 2 1 V-19 7 ? OFFICE USE ON/LYTho request void 18 monfis (rom wlidafion dok printed i/n t?his/b?o PLEASE PRINT OR TYPE Requesl Dok Rough-in inspeaon req?i es o Inspeaon Oiher Than Raugh-In? Reody Now Will Call ? 4?- p'ao mos? mll ?he mspecbr w he rea y? Date Ready. 411censed confracior ? owner hereby request inspedion of fhe above electrical work at )ob Pddress (Street, Box, Rouh o ? Gry F_ Zip od r aa Setlian No 7ovmship ama or Na. I Range N. Fve No. Cou (:3,4 t PFwne Na. Po+erS.pplier ? Pddress ?? ' Elen I Con mam (Compan Nam Cswcmr Licer?se N. ?? C Mashr 4c No (Plonl Eled Only) Mailing dmss (Conlmctor Owner Pedorming In lollatla Ihonxed $igno (Conhador or Owner Pedorming Inetallanon) ? ?.C?a.,? Phon No. 3 . EB- lA)O 6195 STA7EB COPY-SEEINSTflUMION50NBACKOFVELLOWCOPY I II I II I I I II? 8?P1?Univessky Ae., Rm ? S 28c? PaulP, M`N 55010 ?/ ? ,*? 0 7 6 1 9 7 1 * Phone (612) 642-0800(Q ?I kv Home Duplex Apt. Bldg. Other: ew Addn mmercial Indusfriol Farm Remod Re air Air Cond. Htg. Equip. Water H}r Lood Mgmf. Other: D er Ran e Elec. Heat Tem . 5ervice "X" above the work mvered by fhis request. Enter remarks in tbis space ond on ihe back of 1he white copy onfy. Colculate Inspection Fee - This Inspection Request wJl not be occepted whhouf the correct fee: OHier Fee # $ervice [nhance Size Fee # Circuih/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps Sfreet Ltg./Traffic Sig. Above 200 Amps Above 100 Amps Transformer/Generotor INSPECTOP'SUSEONLV T? 1 w $ign/Outline Lig. Xfmr. ?• Gv 1 Alarm/Remofe Confrol Swimming Pool I hareb cem! Ihat I ins ected Ihe e smlla o herein o dates smfed Irrigation Boom Rough-In eaallns echan $ p p InvesfigoTive Fee Final ?? ? - ? THIS INSTALLATION MAY BE ORDERED UISCONNECT T CO T N 18 MONTHS. , Addness 4470 LAKESHORE TERRACE IAt 13 Blk 3_ Sllb CLIFF LAKE SHORES Zip 5512? THESE 11'EMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION. Date: Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass TraiUcurb damage Porch x Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawa faucet before freeze potential exists. Contaa engineering division at 681-4645 6efore working in right-of-way or installing underground sprinkler sysrem. White - City Copy Ye]Iow - Resident Copy Pink - Contractor Copy (S Address 4471 TaKRaunnF rErzunCE Zip 55122 LOt 7 BlIC 9 5ub l:f.7FF T/Q7F CHf1RF.S THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: " Yes No Inspector: Fina] gtade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway Pertnanentgas Sod/Seeded grass TraiUcurb damage Porch LI/ Basement finish VI" ? Deck ?, Please verify with the builder the removal of roof test pps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. ContaM engineering division at 681-4645 before working in rightof-way or installing underground sprinklcr system. ? White - City Copy Yetlow - Resident Copy Pink - Contractor Copy 2006 RESIDENTIAL BUILDING PERMIT APPLICATIOIv lo City Of Eagan 4-- 3830 Pilot I£nob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 ' New Conswctian Reamrements 3 registered sfte surveys shovnng sq. ft ot lot sq. R M hwse; and all roofed areas (20% maumum lot coverage allowed) 2 copies of plan shrnnng 6eam 8 window sizes; pourad found desgn, etc t set of Energy CalalaDons 3 copias of Tree Preservatlon Plan if lot platted aRrl 711N3 Rim Joist Oetal Ophons sHechon shaet (bwltlings vnth 3 w less unrfs) Minnegasco mechanical veatilazioa form Date /o 1 o! ! SiteAddress 4?7o-i7?ty? RemodeVReoar Reouirements 2 capim of plan shawing foofings, beams, joisb 7 set of Eneigy Calculafions for heated adtliflons 1 site survey for additions & decks Addi6on • irtINcafe if onsde sepuc system Construcrion Cost ;6 5S, Description of Work F??Iq 3 41 9_ 2`5 Office Use Onlv Cert af Survey Razd Y N Tree Pres Plan Recd Y N 7ree Pres Required _ Y_ N On-site Sep6C SyStem _ Y_ N ? Muiti-Family Bldg ( Y/_ N Fireplace(s) _ 0 _ 1 _ 2 ?J ?elephone # (9?i -f?? ProQerty Owner f " pzvi?? Conlracior (JUI.Y_.LJV? i Address 5?J < OT City Stace Zip JrS,?' ? Telepnone ° ? GOMPLETE T3-19S A}ZEA ONLY 1F CONSTRUCT7PiG A AiE'1Y Hi31LI9iNG - iblinnesota Rules 7670 CateQOrv 1 Minnesota Rules'7672 Energy Code Category . Residential verrtJiaHOn Category i Worksheet • New Energy Code Wodcsheet (J suhmission rype) Submitted Submitted • Energy Emelope Calala8ons Suhmitted In the iast 12 months, has the City of Eagan issued a pertnit for p similar plan based on a master plani _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/water Contractor Telephone # ( Telephone #( 7elephone #( I hereby apply for a Residenrial Building Permit and acknowiedge that the in£ormation is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in th case of work which requires a review and approval ofplans. R , / ' 1lVY -5- V0?1.S Applican'sPrintedName App(icant' SigngLture LOT SURVEY CHECKLIST FOR RESIDENTIAt , . BUILDING PERMITAPPLICATION_,; PROPERTY LEGAL: TE OF SU VEY. ? --TI--IT.- ? ? L4TEST REVISION: DOCUMENTSTANDARDS ?a ? • Registered l.and 5urveyor signeture and compeny ? • Building Pertni[ApplicaM 0 • Legal descripHon ? • Address ff ??6 ? • North arrow and scale G?-.7r o • House type (rambler, walkout, split w/o, split eMry, lookout, etc.) '- y Q11"C3 0 • Dlrectional drainage arrows wifh slope/gredieM % e'-'o ? • Proposed/ebstlng sewer and water services & irnert elevatton 8--'13 ? • Street name ? Igw'01?3 ? • Driveway • r , C?WWWWR? G1--'(3 ? • Sewer service (or Proposed) 9;--I7 a • Property comers GP-? ? C3 • Top of curb at the driveway gPtAVk"' 0 • Elevadons of any e)asting adJacent homes Prooosed Q/o o • Garage floor 0' 0 0 • First floor 2? ? ? • Lowest euposed elevatlan (walkouHwindow) Cr'o 13 • Property comers qifl ? • Frorrt and rear of home atthe foundation PONDING AREA (daoolicable) ? C? 0 • Easement line ? ?? • NWL ? 2? ? . HWL ? ??] • Pond # designatlon ? ?? ? • Emergency Werfiow Elevatlon DIMENSIONS ff' ? ? • Lot IinesBearings 8 dimensions @' ? ? • RigM-of-way and street widUi (to back af curb) ? ? • Proposed home dimensions inGudirg arry proposed decks, ovefiangs greater than 2', ?? ? porches, etc. (.e. all structures requiring pertnanent footings) • Show ail easemem.a of record and any Cily utilities within those easemenffi 121' ? ? • Setbacks of proposed structure and sideyard setback of adjacent ebstlng structures 0? Retaining wall requiremeMs_if any / Reviewed: Janwry 1988 cswo1o9e4KDCVrer.rt.FM ? -> r \ ?. , f cn.o TE VAL'yt ENp SER`?ICE 10' / FROM BLDG. (T,YP.) ? ? FF_920.30?9073 /FF=920.30 5 0 1 voaa C'? / .? ?/ ? i ? ?=322.20 ,? i ? <FF=919.9 ? PROTECTED OURING SEE GRADING PLAh HYD 8'-6° D.I.P. ? 8"x 6" TEE GP.OUND EL=917.8 =917.80 7 ,?- ??? FF=919.90?' ?' .' 13 aos.7 ' FF= 917.80 8V? 8" GATE VAL 2-8"-22 1/2' BEND ? 14 ?. 917.40/ aw.s f? i AKESHORE TERRACE +A y. - --, - -- --- - ? ?? -? - ? ---- , I -- ? FF=91 .?? ? ?i x \?. ? eY ? .?0 t ' ' t _. .. •-, - ,;'??`fli? ?v.?w ?'?Lt! 17'77 ------ -r-• =-- - . THIS Df,i.'1 iS ;={)R FUqrjQSCa C" 'f Ai<D i , P" oIO wp'. _'- ? uA,n?; ' -- ------ 75 MIN. C VER 4 - _ , - - i --... - ? PA'f uLrTH ? i - - I I I - - -- ,- _i - -._ ? f 1 ) I ? ?+=c I ??3.57--- --- -- - ---TS?,---- ``? s912.80 8°x 6?.:; ------------ - - rRO+1No. . . . . : . . . . . .'.' . . . . . ."? i-. r . - - -°= ---- --._--- - - - . -_-- -- ?`? , --- _ -8" 01 WATER MAI VER P-LL?(_'SL'EtJ_ Of?` IT SHOUL 'Jc1? i f? {c RMA710Pd0{ THESITE. I'A'i I) r? I I I i _ F: ? ? . ?U ? 57 >U - - __ .. . _ .- - -- --- - - -I-- - -- - -- ? Vl, a 2. 549 - - - - --- ?r-- [ ? ? ?Z.'?8. . . . . . . . . . . . ? VC 0 ?H _ j j-- - - -- --_ _.-- STA. 26+00 ? RE = 914.7 IE N. = 902 60 . . . . . . . . . . . ? ; IE E. = 902 50 MN-jO ' . ' STa, 2 +85.5 )i - --- ----- - - -- -- - - -- ---- ? RE = 11.39 s' ----- ? IE W. E. = 898. IE N:. 898.42 ? 6ItY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE Permit Number: Date Issued: r? 55a?? 3?-421941 BUILDING 027256 04/11j96 SITE ADDRESS: 4468 LAKESHORE TER LOT: 14 BLOCK: 3 CLIFF LAKE SHORES P.I.N.: 10-17785-140-03 DESCRIPTION: (ZERO LOT LINE) Permit Type 4',, 5F DWG , r k 7 y p e N E W G' t???C????ic. R-3 U-1 V-N PD ad1h?j?"L°?hp?Ai ._? 38 = Bu,t?siifJq th? , .M 66 " ldp? ??;t?tT3?9 m<5=?• i 7 102 1 - FflM. ATTACH ^? t?i t?"ataiP SR 1I?'. a??.rs.iei ?tw n??:' s?', a+`_i«m?'dx a? gf- a??_x?'".+_-i ?'miIw'? ?v'°',-a'?„??, ROW REMARKS: S& W PLBR - WENZEL PLBG FEE SUMMARY: VALUATION Base Fee Plan Review Surcharge SAC SAC % SAC Units Subtotal $1,067.25 $533.63 $68.00 $900.00 100 1 $2.568.88 $136,000 MS5CELI.ANEOUS $1,923.50 Totel Fee $4,492.38 CONTRACTOR: - ,qpplicant - S1'. LTC.OWNER: HOFFMAN HOMES INC 18949807 0009284 HOFFMAN MOMES INC 2214 E 117TH ST 2214 E 117TH 5T BURNSVILLE MN 55337 BURNSVILLE MN 55337 (612) 894-9807 (612)894-9807 ° -.T ne?eby pckr+o?al'?tf?? .-k StaCwtvs a;ht3° Cxry u'F Qi L ' ?- APPLICANT/PER SIGNATURE rrea?f^?th is ?0' plkeart itan i?tfi&t;?? ` tQ ?iithply. t.si.th Lal P, ? SSU D 8 SIG I??TU E I I, : 1 , CITY OF EAGAN ..`? ?, ?4 }. •.g? 3830 PILOT KNOB RD - 55122 2ff b1996 BUtLDING PERMIT APPUCATION (RESIDENTIAL) 681-46T5 tleyp ConstructSon Reauirements ? 8 roghtered site surveys RemodeURepair Reouirert ? 2 copies of plan ients ? 2 copies of plans (indude beam 8 window slzes; powad fid. deslgn; etc.) ? 2 ske surveys (exterior addttions & dedcs) ? 1 energy celculations ? 1 energy calwlaUons Por heated addRions ? 9 oopks of hee prosaivatbn plen H lol plaked aRer 711/93 mquired: _ Yes C. No DATE: 7./2- (,, I91r CONSTRUCTIONCOST: ???'°O? ??•? J DESCRIPTION OF WORK: STREET ADDRESS: 4?(Og 1"A??? ?GAILACt LOT I I BLOCK ? SUBD./P.I.D. #: i° ? ? ?'ntsS - k4° - 03 _ 0 ? V RROPER7Y Name: NotfNfla H°KEs ?-Z*x.. Phone #: ggy'q$O4 OWNER "'°` Street Address- zz tK E. ???'TM sT??s City: State: "Aw Zjp: 5533? CONTRACTOR Company: SAHe Phone Street Address: License #- 4 za?t _ City: State: Zip, ARCHITECT! Company: M4N14fiTowy-A DESt(Pa Phone #- q3q- 14y° ENGINEER ? Name: L`146 TK-A %:. V-' Registration #• Street Address, $O City: c Naar??? •-. , State: M"3 Zip: 55311 , Sewer 8 water Bcensed plumber: PenaHy applies when address change and lot change are requested once pertnk is issued. 1 hereby acknowledge that I have read this applicatian and state that the information is cairect and agree to compiy wNh ati applicable State of Minnesota Statutes and City of Eagan Ordinances, Signature of Applicant: d '??YY?---• 1 OFFICE USE ONLY BECEPVED Certificates of Survey Received _ Yes _ No FEB 2 6 1996 ------- -------- Tree Preservation Plan Received Yes _ No . \ OFFICE U5E ONLY BUILDING PERMIT TYPE 0 01 Foundation o 06 Duplex ? 11 ,;0-02 SF Dwelling ? 07 4-plex o 12 0 03 SF Addition o 08 8-plex o 13 0 04 SF Porch ? 09 12-plex _ 0-A_4_ 0 05 SF Misc. ? 10 -plex_ ? 75 woRK nrPe ' ,,?- 31 New 0 32 Addition 112- 0 - ? ?- Apt./Lodging o Multi RepaidRem. ? Garage/Accessory o ire lace o Deck - ??•?? ? 33 Alterations o 36 Move ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) 1-1z-/Y Basement sq. ft. (Allowable) -:rr-1 Main level sq. ft. UBC Occupancy ?J/u-K sq. ft. Zoning ? sq. ft. # of Stories / ?'l3sA.r. sq. ft. Length 3 e sq. ft. Depth /° 6 Footprint sq. ft. APPROVALS Planning Building 310 i.. Y' 16 Basement Fin sh 17 Swim Pool 20 Pubiic Facility 21 Miscellaneous MC/WS System City Water Fire Sprinkiered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Engineering Variance ? i Pertnit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. DeposR SIW Permit snN surcnerge Treatment Pi. Road Unit Park Ded. Traifs Ded. Other Copies Total: % SAC ` SAC Units ???:?; w, ?•,- ? _ Valuation: $ /?v, aDc:P ? ?. (dX-- ? (-A / n i,. ....t.._..i.e..,.. . ?.w ? __. .,..i. ? k g?.1 k I _ Telephnne (6I2) 894-9807 Fa.r (612) 894-9878 . Z/2?. l.14 Mr. Joe Voels City ofEagan Plan Review Department Dear Mr. Voels, HOFFMAN HOMES, INC. 2214 East 117th Street Burnsville, MN 55337 CONTRACTOR J/ 9284 This letter is to inform you that Hoffman Homes, Inc. will be using the exact same plans for the layout for Lot(s) 13 a? Block 3 , Cliff Lake Shores, as were used oa Lot(s) 14 z, Block '? , Cliff Lake Shores. None of the structural building components, HVAC, plumbing or electrical will change from engineered drawings dated l0 ?le-9S . Sincerely, Irick C. Hoffinan President PCHfjem - - 4 W pclt/eaglV ,? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: .?11?.?1 (1 BUILDIN6 027255 04/11/96 SITE ADDRESS: 4470 IRKESHORE 7ER LOT: 13 BLOCK: 3 CLTFF LAKE 5WORE5 P.S.N.: 10-17785-130-03 DESCRIPTION: REMARKS: S& W PLBR - WENZEL PL86 38 66 1 102 1 - FAM. ATTACH e,'g^??1''??i?'bi:tia ?? ???°,mib???-,?e??rm?{?; m^mmk ? iu?'a`d a ?R u? ?c??g??it n?? ?Na?:aa ?NS`s ?? 3??? ?'e..°?m ?! AV FEE SUMMARY: VALUATION Base Fee Plan Review Surcharge SAC SAC ? SAC Units Subtotal $1,@67.25 $533.63 $68.00 $900.00 100 1 $2,568.88 $136,000 MISCELLANEOUS $1,923.50 Tatal Fee $4,492.38 CONTRACTOR: - pppiicant - ST. LIC.OWNER: HOFFMAN HOMES INC 1$949807 0009284 HOFFMAN HOMES ZNC 2214 E 117TH 5T 2214 E 117TH 57 BURNSVILLE MN 55337 6URNSVILLE MN 55937 (612) 894-9807 (612)894-9807 tdelYt;e9 x-crftir G41y:?`F gd'tlt;f?P i ? ?. ?. _ _ r c . _ _ _ ' { , a.. < ........ .....?... ? ..... APPLICANT/P E SIGNATURE (ZERO LOT LINE) 44i '`?Permit 7ype 5F DWG L el,i.. rr:g;; 49_?pk T y p e N E W pc"a,u=pan?;??, R-s u-1 V-N Lna?':?? PD % te t" v + .c.T...«. ? _.,... .F w ? . ? ..,v. at .+ a.. ..?'? y 5;}a!tT .x.y w.i.wu oN? 9?NYv.E.ercr y.uvw e .?:? ar' a t? ...... ea .. o. . .? . ?. . . w+? . _ .... ., r. ..... ._ ISSUED BY SIG ATURE - • j d ' CITY OF EAGAN 3830 PILOT KNOB RD - 55122 ??.??995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681 -4675 ? 3 rogistercd alte surwys ? 2 mpiec of plana (indude beam 8 window saes; poured fid, design; etcJ ? 1 energy calwletirn6 ? 3 copbs M tree preesrvation plen B l01 plalted after 711/93 raquhed: _, Yes &__ No ? 2 copies ot pisn ? 2 ske suneys (exterlor addftions 8 dadcs) ? 1 energy celculations tor heated addRians pATE: 2-I zi, I`i b CONSTRUCTION COST: DESCRIPTION OF WORK: PROPERTY OWNER CONTRACTOR ARCHITECT! ENGINEER RES?OF.an'tAL ?owfaFiOME 136,0 0 O (J. rc?n, ? NoffMArJ HotAES , Phone #: $g`k'g$D-l Wi !N{T Street Address• 7714 6. kk-}''`'' sTf-Ee-r City: Buf ,.,s,( " -,- State: MJ Zjp• 55331 Company: SAME Phone #: 5treet Address: City: Company: MliNNfiTo??ua Dea+r.a Phone #• 43`k' 2yqo Name: Ly t-ra Registration #• Street Address- $° L"' Ig" sTAM-r 5.+ ?T& -t? Zko City: C N" NAgSE.J Sewer & water licensed plumber: W 6"z6`' change are requested once permit is issued. State: M'i Zip: 5 S 3t' Penalty applies when address change and lot I hereby acknowledge that i have read this application and state that the infortn tion is- orrect and agree to comply with all applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. Signature of Applicant: ? OFFICE USE ONLY Certficates of Survey Received _ Yes _ No F?B 2 6 1996 Tree Preservation Plan Recelved _ Yes _ No License #- q z" State: Zip• .= e,?4s?a?. - ??.:ara STREET ADDRESS: 4 q -4-o ? 4 aa ? BUILDING PERMIT TYPE OFFICE USE ONLY 0 01 Foundation o 06 Duplex ? 11 Apt./Lodging o d3'-02 SF Dwelling o 07 4-plex o 12 Multi Repair/Rem. ? D 03 SF Addition a 08 8-plex o 13 Garage/Accessory ? a 04 SF Porch o 09 12-piex ? 14 Fireplace ? n 05 SF Misc. 0 10 = plex_ o- 15 Deck_ ?-' WORK TYPF C ltl?c- - C ? 31 New o 33 Alterations o 36 Move n 32 Addition o 34 Repair ? 37 Demolition GENERAL INFORMATION ..r ? ?... ?,, ,,,,...<. ? . .. 16 Basement Finish 17 Swim,Pool 20 Public Facility 21 Miscellaneous Const. (Actuaq ? Basement sq. ft. 11616 MC/WS System oL (Ailowable) Main ievel sq. ft. 1,7417 City Water UBC Occupancy -3 -/ sq. ft. Fire 5prinkiered 2oning ?-n sq. ft. PRV # of Stories ?T sq. ft. Booster Pump Length 3jo sq. ft. Census Code. o Z Depth /°(o Footprint sq. ft. SAC Code ?L Census Bldg _L Census Unit APPROVALS Planning Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit SIW Pertnit S/W Surcharge Treafinent PI. Road Unit Park Ded. Trails Ded. Other Copies Total: °k SAC SAC Units , ,. . , Building Engineering Variance Valuation: $ „Z s'6,aao CGr , /r ?5 - Z A L"4 6 CS _0 4H? Telephane (612) 894-9807 Fax (612) 894-9878 ?? z?- 19 4 Mr. Joe Voels City of Eagan Plan Review Department Dear Mr. Voels, HOFFMAN HOMES, INC. 2214 Gnst 117th Street Buntsville, MN 55337 CONTRACTOR # 9284 This letter is to inforrn you that Hoffman Homes, Inc. will be using the exact same plans for the layout for Lot(s) 13 11 k Block 3 , Cliff Lake Shores, as were used on Lot(s) i a v Block `? , Cliff Lake Shores. None of the structural building components, HVAC, plumbing or electrical will change from engineered drawings dated 10 -kb-95 Sincerely, Patrick C. Hoffman President PCHPem pcWeaglU 10:13 6129344305 P-0IIJNETONI<A DESIGN EJf7ER10A EhlVELOPE AVERAGG "l1" COMFIITl1'fION nnTr: 9 -\ 3-95 SITE ADDRE55 PHONE: CON7RACTOR: ttoL-mAv uY+1?S PLAN # PAGE 07 \ ??.?ZO? u Determine working square footage of each 1. Total exposed wal l area..... m f- ? sq. ft, x .11 2. Total roof/ceiting area..... ?(p Z(.p sq, ft. x.026 Total exposed wall area above,ftoor=, a." Tatal wall window area .......... .. ... ... IZ?1 3 6.' Total .. . .... ......... . door area . T ....... ..•••...... ..................... c. otal slidtnq glass door area ................................ d ... , Totat fireplace wall area .. .. . ................................... e. Tptal wall framing area (aver.age 10%) ..................... ? f ....... ., . Total rim joist area............ .............................. . g. net ... wall area above floor ?- ........................... .. .. -?, h. wall area a6ove floor. ........... ....... i T ................. . , wall area above floor .............. ............... ....... j. frame wall drea 4t foundation ................................... Total exposed foundation area= 'S205 k. 7ota1 faundatian window area ....................... 1. Total net foundation area ahove grade .............. Oetermine "u" vaiue of each wall segment ' (e.g. window, door, each separate wall section) X "U" e. X „??? x "u„ d. X liuli _ e. X t. I?O"I? lS x g . 123? .c; 1 x n. s. .i • k. x iiuii ,Q°ti = 12_.3g ,us ,.u„ ,tu„ R x liull x lluli x ?lull ? X tou„ 0d1( .D = ? 3 . ............................. ...rotal = Z?'?.?15 If item #3 1s the sa as, or less than ite #l, you have met the intent of SSC 6006 ( A. 1 1995 10:13 6129344;i05 MINNETONKA DESIGIJ PAGE 06 4. toTAL txvosto aaor/cttLtka cA.cuLarimisi • TOta1 expos4d rool/ul l (nR area. ....... tp2 sq fe J) Totai skyllyht araa.....sq fC x "U'• " k) 7ota1 roof/ce111nq frwSng arss (Avera lOr) L ?i '• ft x '"U" M 3."l `C37,4• ,... ., q oe 1), • Total nat Insulated • roof/callfnq area....... sq • ft x "UP' ??Z ? 2`12(p y 4. • TOTAL J) tMru 1) If toCal oF sh is the sama aS, er lnss than /2. ynu havn ?+feL the Tntnnt af • 2 YCAR 1 .16008 JA amd O. ? ' , , ? • . , ; . . . AL'TEfDU1'E BUILDiHG ENVELOPE AE5l6N • ? 'fo util (ze the total envalope system Kthod, •ihe values ests6l•Ished by thq sum ' af liaaas E3 and 14 shall noC ba greater than tha aum'of fceas 11 and !2. 1.• t 2. :3. . '.. .F?. • . - - . • . . ` ??? . . . v 7` ?1995 10:13 6129344305 htINNETONKA DESIGN LINEAL FEET EXPOSED WAGL BLOCK: 1 (pS,? KNEE: WALKOUT: 3? Fu[,L 1: 1c?`j??S FUGL 2: EIREPLACE: RIM: ?(17"?, 1rj * SQOARE FEET F.ICPOSED idALL ABEA BLOCK: x .5.. ? $2.75 ttNEE: X 5 WALKOUTs X g a 3U? FULL 1: x 8= 133`7? FULL 2: x g ? FIREFLACE: x Q RrM: I ? Ic.o7,{S A SQUAftE FEET * 102C ERPOS EB CEILING .D WINDOWS: I2.-1 t3t- DdORS: 2C?1{.p N-N' II S? ,5? 2(p?? 4 % ??kZ PATIO AOORS: ZoSc, I 3OS0 1 1( ?.? BASEME:IT UNITS: 2La40 I l ? ? ?q'a ?0 SID?LIGEt(- .ry ,? SKYLZGKTS: . yf27.3 PAGE 09 CITY USE ONLY L? BL X RECEIPT #: G/ 930 SUBD. DATE:%ggAG 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAM 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 FIXTURES EACH NQ. TOTAL Shower 3.00 x 3 = 9.00 Water Closet 3.00 x :3 _ ,rro Hatn I ub 3.00 x = Lavatory 3.00 x 4 = 2.? Kitchen Sink 3.00 ;c _I_ = 3,ob Laundry Tray 3.00 ;< I _ ,hc7 Hot Tub/Spa 3.00 :c 1 = 3bo Water Heater 3.00 ;c Floor Drain 3.00 x Gas Piping Outlet * minimum - t 3.00 x Rough Openings 1.50 :c = Water Softener 5.00 x = Private Disposal ' oakota cty. license 65.00 = (new and refurbished systems) U.G. Sprinkler ' home under const. 3.00 = Alterations ' to exdsting 20.00 = Water Tum Around 20.00 STATE SURCHARGE .50 TOTAL 57. $O SITE ADDRESS: ?? `-?K??,F -??12P,4Gr- OWNER INSTALLER JU Z4EL- ? STREET ADDRESS: ?Is7 )2o CITY: Cl"A-) STATE: InAi Zlp; PHONE #: { 6tz ) 457 - /5'6S / ` G?G?? CI7Y USE ONLY / BL .? RECEIPT L -/'f SUBD. DATE: Z?z 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILaT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EACF! H% TOTAL Shower 3.00 x 'z Water Closet 3.00 x Bath 7ub 3.00 x = Lavatory 3.00 x Kitchen Sink 3.00 :c _L = 'i.bV Laundry Tray 3.00 :c _L = :5.0a Hot Tub/5pa 3.00 :c _L = 3.0T Water Heater 3.00 :c 3, trt) Floor Drain 3.00 :c 3.vr) Gas Piping Outlet ' minimum -1 3.00 :c °l.trC' Rough Openings 1.50 x Water Softener 5.00 ;c = Private Disposal ' Dakata cty. i;cense 65.00 = (new and refurbished systems) U.G. Sprinklef ' home under const. 3.00 = Alterations ' to exisHng 20.00 = Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL SITE OWNER INSTALLER NAME? h)rti)ZCt-- STREET ADDRESS: - IqS 7 ?HAl?sit?E?? 12o CITY: STATE: PHaNE #: ( rof2 ) 45 z- I6-6S ZIP: J??/zZ CITY USE ONLY L ? BL -tui SUBD. - 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 air exchanger, i.e. Vanee system, etc. Date: 40y ? Minimum Fee: Add-on/Remodel (existing residence only) ? HVAC: 0-100 M BTU Additional 50 M BTU ? Gas Outiets (minimum of 1 required @$3.00 each) ? State Surcharge TOTAL 1996 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (672) 681-4675 RECEIPT #: ;.6ELL DATE: 0 ('0 FEES $ 20.00-"' 24.0 6.00 ? .50 d7 / SITE OWNER NAM INSTALLER i PHONE #: KfLIA _ 60 STREETADDRESS: a&4?'? CITY: STATE: ?Nv ZIP: ? l ? PHONE #: ( )?? ? ? CITY USE ONLY L ? BL .6 SUBD. ? RECEIPT #: S65// DATE: 96& 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 furnace Add-on air corsditioning Add-on air exchanger, i.e. Vanee system, etc. Date: 7" 9z,' ? 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) / ? State Surcharge .50 TOTAL ? SITE ADDRESS: OWNER NAME: PHONE #: INSTALLER NAME: v w'' ' v c STREET ADDRESS? PHONE #: ( ) CITY: STATE:? ZIn. I ^?\ 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan -AO 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Consirudion ReauiremeNS RemodellReoair Reauiremenis 3 registered site surveys showing sq fl ot lot, sq it of house, and all roofed areas 2 copies of plan CetC (20% maximum lot coverage allowed) 1 set of Energy Calculalions for heated adddions Itam 2 copies of plan showing beam 8 window sizes, poured found desgn, etc. t stle survey (or addihons & decks ireB isetofEnergyCalculations Addifron-indicate'rforticdesep6bsystem D[Ps 3 copies of Tree Preservahon Plan d lot platled afier 711193 Rim Joist Detail Ophons selection sheet (huildings wilh 3 or less untls) k-7D.0o ,a I ILc . Y N .JY;_N Y.Fl .. . ?.....Y ?.-?N Date Site Address a 44U Construction Cost Unit/Ste # Description of Work I N lcj?{' ? 6 X t' C4?-r IPV Multi-Family Bldg _ Y Fireplace(s) _ 0_ 1 _ 2 PropertyOwner t i?VF ? C, /' /?/?N I I?/ ?100&wA-e-r) Telephone#(6s)) 01 " JSIY Contractor 5 LlMe r 5 ??l Address State (}A-G MaJ City :E-ALC1+A-e,C. Zip 5-7b Telephone #( 9S'Z) ??- 41,?> 77 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateaorv 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submifted Submitted . Energy Envelope Calculations Submitted In The last 12 monThs, has the City of Eagan issued a permit for a similar _ Y _ N If yes, date and address of master plan:TF!-!,!: Licensed Plumber Mechanical Confractor Sewer/Water Contractor 1 uT'ei?one Telephone #( ?; J r Telephone #? 'qA plan2 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 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 /a rova lan Applicant's OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Yor _nl ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ?. 44 Siding ? 32 Adddion ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 WindowslDoors / ? 34 Replacement 'Demolition (Entire Bldg) - Gi ve PCA handout to applicaM Valuation '),, OL9-D Occupancy MCES System Plan Review _ 100°k or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const ? Width REQUIRED INSPECTIONS _ Footings(new bldg) FinaUC.O. _ Footings(deck) ? FinaUNo C.O. _ Footings (addition) Plum6ing _ Foundation ? HVpC _ Dram Tile pther Roof _ Ice& Water Final Pool Ftgs Air/Gas Tes[s Final ?C Framing _ Siding _ Stucco _ Stone _ Brick Fireplace _ R.I. _ AirTest Final Windows Y Insulation 7` _ getylning Wall Approved By: Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Perrnit & Suroharge Treatment Plant License Search Copies Other Total ?vJi,:t f? v?'p L L 7 ? ? ------------------ ? P, 1 ..? 4 ? , j Permit #: I Q ? ? Permit Fee: (6 U? 7? I I ? ? Date Received: ? ? I I Staff: ? I -________________? 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 'C`( Site Address: 44(k i" 44-10 t'u'E' 5?1ap' «'vlzice- Tenant Suite #: RESIDENT / OWNER Name G[l4 ?k?.L 5?X.. S ?OI.UN1,`'10PVU9 Phone: Address / City / ZipJ(Y640 CAA LAILC Ll yi ?i?- ?? ? ?J Applicant is: , Owner ? Contractor TYPE OF WORK ?/?? ? Description of work: l 2? 1XK I(,tYli _ 101.1 ??OL(?? ?a?^ CH>? Construction Cost: 4 -7? ?? • ? Multi-Family Building: (Yes No ? CONTRACTOR Namehjllj.(? EjilAfA,Qj??i ?1G License#: 40t.(410M Address: 0qq4*() 3(+tC3Liu&1.k m• -*( cD State: Wj Zip: lJ 3 lA k LQ ?1A ( . ?& 1 City: Phone.0l5a ,ui' Uqgi ConiactPerson: uCtll4' cSGflLtCAY COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 EnOfgy COde ?. Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet C8t0go1'y Su6mitted Su6mitted (V submiSSiOn type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit far 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: NOTE: pfairs?and •suppai#fn4dnqr?rsr?`ttfs,hst?dd 5uffi?ri?? u?onstd?3;???""u?t4l o?meat{oR??,?a?€idns of's r??e?Crt}+to,.; efm ", uld r t H t? ?a i? s 6 l c1 " r . wo p r ? ? s$ ? oU pro rron pu lr l fhe intormafion may be a§srtredfia, I hereby acknowledge that this iniormation is complete and accurate; fhat the work wlll be in conformance with the ordinances and codes oi the Ciry of Eagan; that I understand this is not a permi[, 6ut oniy an application tor a permiL and work is not to start without a permik that the work will be in accordance wrth the approved plan in the case of work which requires a review and approval of plans. x Ualailc1 Sc"<<e ?"'e v- x ApplicanYs Printed Name ' ApplicanYs Signature Page 1 of 3 , CER TIFICA TE OF ? ? ---- --- -- I w I j I U k----------------- 3i , ---- -j Q I ? aig O ? ? ? ?_ 8 I W -7e n? (917.60) 911.12;1 i? ?D I_a I Proposed 8oulder A wal, Proposed Patio Retoining ? Wo// O? ( 9j6) x 909.3 o? °= LO _ g " 13 / 10.00 - io.oo ,B ? v ? s n N ? o x 9' ?• ?? i L ' - 8; N O ? 9 .0 0 1 I N W O U : r?, Q _ LLJ 7? ` NI f 14 00 Fwo ? d" x (909.0) p ?; 81 _ 0, F4I w 7'W Q ~Z x (91P4) J ? ? ? ? ? 91 7x ? ? 4-0) s ? Too of lrons 0 Offset s x(908.6) AO 10.00' Building Offset 910.80 BO 10.00' Building Offset 918.23 i` i ? CO 10.00' Buildi»g Offset i ? 914.09 i ? , DO 9.33' Building Offset / ?r \ 916.53 ? z 916.97 I NJ' B-B - T w 905.7 --? - O -- 916.5 x p Q 5.16% ? ? co )0 ? io_oo2bO B ? -? - p °o ? O Of 9.007 8 x ? -? oIN 904?5 / (e,s.,o) r- 915.84 .?? , i .' / i ? ?. ? 1? ? ';:1Vis I? E?T. LEGAL DESCR/PAON: Lots 13 and 14, Block 3, CUFF LAKE SHORES, occording to the p/at thereof, Dakoto Counfy, Minnesote Top of Block = 918.45 Lowest f7oor = 909.62 Goroge Floor = 91745 GRAPHIC SCALE To o 10 xo 40 ( IN FEET ) i incn = zo rt 930.0 Denotes Sanifory Sewer Service /nrert 865.0 denofes exisfing e/ev. (865.0) denotes proposed e/e'v. denotes surface drainoge • Denotes iron monument found o Denotes iron monument set Bearings based on assumed dotum. I hereby certify thot this survey wos prepared by me or under my dlrect supervision ond thaf l am a duly Licensed Lond Surveyor under the lows o e Siote v AI'm o. 0? Croig W. orse, R.L.S. ote Registratlon No. 23021 REOUfSTED BY HOFFMAN HOMES, /NC. ? IIV IVistwood Professiona/ Services, !nc \ 74180 West Trunk Nwy. 5 \ Eden Proirie, MN 55344 \ (612) 937-e150 .4 Revised.• 3/1196 Addad Existing £levations, Drainoge and Building styfe 3119/q6 e ?rsc Drown by. M$ Dote: 2121196 Job Na: 95198 SUR VEY Y ? (-ACaAt; I Q ? ?EG ? I (916.16 TC) 916.18 TC *Ie (915.20 TC) I 915.33 ? - - - -?I ?-- ??. ? Lots 13 & 14, B/ock 3 ,.. . Use BLUE or BLACK Ink r-----------------� I For Office Use � . � �`'��I � I C�� Permit#: � � � � � Permit Fee: � �� 3830 Pilot Knob Road � � Eagan MN 55122 � Date Received: � Phone: (651)675-5675 I � Fax: (651)675-5694 i Staff: i 2015 RESIDENTIAL,BUILDING�ERMIT APPLICATION iL i��l S' �{U�0� (�.�'�S�',��, ��-�— �'�a �q� SS�z�z� Date: Site Address: � Unit#: � a,_- ,_ �.�� . _,,�. .. .�.�.��.,��.,.��,�, ...�,�M,�o.�,._.ma�.�,��,�_. .�� .W.,_s,�,.�- .�...,�.,.�.,..�,..��,� � Cl�� L��L s�G�� ? Name: Phone: � RE*s�de��f ' aZ � � a�y��;r � Address/City/Zip: �� Applicant is. Owner Contractor # ,.��.�„ .�..�..�m.�.....�.,��,.�.�. „,.,.m..��.,��..,r_._��.�.�.��..�..w��.� �.�.,.�..,.� ,.�..n�.,�.�.. , .�.�$ �� Description of work: W�✓�� c� � � � ' � Construction Cost: Multi-Family Building: (Yes /No� � �.� .�..�.�. �.,�..�.. _ �.�,,�,dd�..,..,..�._.,�., ,�.,..,�.��,.�..�.�,��..�.,..,�. � �..,�.� �� ; � Company: �t�S �h�� C�'i��1� �hc. Contact: /�`J,J �r�t��o�. �s--- � � � � J�Gr'b ��G� �?tM' �� Sui�r �.?sI ✓ '�� Gantra�ta�r � Address: `� City: � State:�Zip: �Sy�� Phone: '7�3-5.�� .bR�J Email: �� ov��.I��ru+-�1�1��c7ovJ, � � License#: �c �� 7q.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? � } 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�':P��ns a�d su�#�ort��g d�ocu�€:r�ts thaf ya�su��a�e co�`tl�e�l t�bE p�b��r��r��. l�o��n�of th�i�r�`grrr�a�i��r�aay 6e cl�ss��eal a�non pub�c�"jF y��ro�v��aRe s�ec�r�a�r��t�at wa�#�t p�rr��C�y t� ca��a1e t�� '+e trade s�c�'ets. � 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 complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that t 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. rC `.'�---�------. x �(.t�f r y<��t��.r-�' x ApplicanYs Printed Name Appli s Sign ture Page 1 of 3 Use BLUE or BLACK Ink r----------------� I For Office Use � � j � �� i Clty of �� Permit#: � .�� Permit Fee: � 3830 Pilot Knob Road � � Eagan MN 55122 � Date Received: � Phone: (651)675-5675 I I Fax: (651)675-5694 i Staff: i 2015 RESIDENTIAL BUILDING PERMIT APPLICATION �uG��- �'y�a ss�z z Date: � � �S �r✓ Site Address: ��-��e,J��od� ��'� � �� Unit#: �,�... �rv.Name:�� s,V..4.1//'"�..,_ �:��%„_ ,..d ,�.v°�x��j'...�.,.�..�...��..�� .._,�..�...�,_. Phone: .�.�..�...��.�„��.,�.,.K._� a � G s � � � �tQs�d��,� yyG�-��17a L �r f' cc�" a ss1zz � � Q��r Address/City/Zip: � < /zov<- `��a'�c �c- G�-� f ' Applicant is: Owner Contractor �. . ��$ O�,�� Description of work: J��t� � �'1 �. t�d � Construction Cost: � �� Multi�Family Building: (Yes /No�� Company: C� E� ��0� L�"^"��O 1 �,�c. Contact: ��5 ��9� � # ,/ �/� h {/O'DJ � � Address: �5� V j�-�SS�'G(Yt, GlU /'.� 'S�ft 3s/ City: ��/�:� � CO��1'1�tQ�' � � � State:�Zip: �-�y�� Phone:�(o3-'.S.S6-�at,�3 Email: /�/'�1�(�a:l�f'��%+��r�a.�(�h./lu�T�x'�. � ��v6 � � License#: G�7 � Lead Certificate#: 1 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: IVI�T�:P�a�s ar�d st�p�o�i�dvca,��r��t�tha�yaW�r��r�e consld�ed�b�#��b�c x�r��for�. Pa�o��o� t�re i��ortxtat�on r��y��cia�s��ed a�s��n p��c i�'y��pro��s�ec��'c�e�n��a��►perr��t i�re C��+t�' �...�.. � car��de##a��e �r�fi��►�,�c�e#�. � 1 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 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 e uilding Code must be completed within 180 days of permit issuance. x l��.� / y�G�;�-�.i �—_ x Applicant's Printed Name App c s Si ature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA146906 Date Issued:11/21/2017 Permit Category:ePermit Site Address: 4468 Lakeshore Ter Lot:14 Block: 03 Addition: Cliff Lake Shores PID:10-17785-03-140 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Cindy A Woodward 4468 Lakeshore Ter Eagan MN 55122 (651) 681-1578 Pella Northland 15300 25th Ave N #100 Plymouth MN 55447 (763) 355-1300 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA176581 Date Issued:05/23/2022 Permit Category:ePermit Site Address: 4468 Lakeshore Ter Lot:14 Block: 03 Addition: Cliff Lake Shores PID:10-17785-03-140 Use: Description: Sub Type:Air Conditioner Work Type:Replace Description: Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 210-0754. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Cindy A & David W Woodward 4468 Lakeshore Terr Eagan MN 55122--247 Haley Comfort Systems 3708 Broadway Ave N Rochester MN 55906 (507) 281-0138 Applicant/Permitee: Signature Issued By: Signature