4469 Lakeshore Ter• ? il\?J1 L' t. 11V1\ 1\L' l?Vl\L
:CITY-OF EAGQN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: ?
Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675
SITEADDRESS: APPLICANT:
? i? ? t; ??t ??,
?1 r?t; t= '::iltfRt 1 t t? Ii+?i t a;?.?? tl?:r?! • ? ra?.
l.f f l f1kM :•i1'10 f?f.1'r ( ff )«' y 1104 •?i13o7 ?
PERMIT SUBTYPE:
TYPE OF WORK:
111 '::, ?• I I 1 J t?F? t,'t 1??? I(i l t IAl1 ;
INSPECTION rA • .•
01f" (. E X 1.41 TH I_ E.I I ? .-
1; IJ P I Ft at W! Nl r- L r" I ri i
?
?
Permit No. Permii lioldsr Date Telephone N
' ELECTRIC
PLUMBING
HVAC
•
,
Inspectlon 'Efjte Inap. Comments
FOOTINGS 0, /, q
/
FOUND 4e, 7 ,O
ay
FRAMING
<
T 7
F100FING
ROUGH
PLUMBING
PLBG
AIR TEST ?/'l
ROUGH
HEATING
GAS SVC
TEST
INSUL
?4??
GYP BOAFD
?
FIREPLACE
AIR TEST FIFIEPLACE /??,c. ? 1 w
FINAL PLBG
iv
FINAL HTG i p L
ORSAT
TEST
BI.DG FINAL
v L?
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FlNAL
? ? ? llr ?Jrl.l, 11V1r 1'(L.?, V1C1J
?
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Ro3d Permit Number: ?. r, : ks ??
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: ` APPUCANT:
t I iutit tl ?.,
PERMIT SUBTYPE: TYPE OF WORK:
k 1 i' I IoN I1 1 ) lii`i i_ i
F = '7t.?-- -- -- - - -
INSPECTION DA • r•
•? ('I {???, i? I)(I i ? I'i
I f? ,!!? !4 r 1 Ilfi ,? , ?.,1 t
.., ., ? 7•} i' ? ?.1. j,1 i I ?: ?i i(? ? i I?
iZ F"MAiifcS: fei1F'1 F X 61.1 1 N t. [i I st
si !y i,J PLlift •_ 141 NIF 4 F'i ti(i
I Permit No. ? Permit Holder Date Telephone M
ELECTRIC
i
PLUMBING
HVAC ? ? f f 8' Jt'„??
Inspectlon ate Insp. Comments
FOOTINGS
?
FOUND
FRAMING
?q 2?t lL 'Z?.a"` =•`?„T "Lt' `? -
? • ,
ROOFING ,
ROUGH
PLUMBING , _ ???-?? l?? ???• ?
PLBG
AIR TEST
ROUGH
HEATING
r?-
GAS
EST vC
6 ?IO "'7
/..M
INSUL .2
GYP BOARD zi/
?/?J?
? ?C
FIREPLACE
FIFEPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
f I-S.
• ? rr ?
6ertificate of ccc"ancv
Wit4 of Cftgan
MCOartment o? ??* 3x#VCCr*«
Thes Certifecate issreed pursuant to the requirements of the Uniform Building Code
certifying that at tiu tinee of issuance this structure was in compliance with the various
ondinances of tfie City riegulating building constructeoR or use. For the following:
U. CWfir? SF DWG/GAR
00-p-r TyvX R- 3 U- i Zan;,g DisU;a
Owner of s?ikfim HOFFMAN HOMES INC
PD
_ Bift. Pt,,,,;, No. 27256
TyW ca,u. V-N
2214 E 117TH ST., BURNSVILLE, MN
SS
4468 LAKESHORE TERR ?,,;y L14. B3. CL1FF LARE SHORES 337
g??6A?r
Due.
BmidinE Olficial /'
POST IN A Cx)NSPICIJOUS PLACE
??.o ?
'? . , ?
? .
?
Werfificate nf cccupanc4 r
MM of Cfagan
wext e? 15,104" andpectt•«
This Certificate issrud pursuant to the nquirenunts of the Uniform Building Code
certifying that a1 the ti.rru of issuance this srructrrm was ia compliance wrth the various
ordirrances ojthr Cery negulating building carestrucrion or use. Far the following:
use cumr.cabw: SF D6r, ewg. wemit No. 26790
oo.pecy Type R30IJ I zooin6 Diweia PD rype co-u_ Vfl
own« or aoi" E3FFMAN F20 IN: Aoa=s Z l4 F 1171H ST, H1g].S1T[T TF.
m" wadm 4464 LAIE? SZm!tE IF-RRAry Lod;ty IB. B2. rl.IFF IAM a]GMRICS
DIL:
P06T IN A CONSPICilOl1S PIACE
?
3 3 6- 3 6 6? 0F?ICE UO LY This reqvest void 18 months (mm wLdoM1On dare pnmed m Ihis bor
??s r//
- ?
- i
PLEASE PRINT OR TVPE
?
Request Dak ftough-in inspenion poved2 es No Impecnon OIMr ihan Rough-InoRmdy Now 0W11 Coll
-? n t` jYoo musl mll the inepeclor when rcady) Dak Reody.
1, 14 Lcensed confrador ? owner hereby requesi inspedion of the above electn<al work o}:
Job /ddmss (Strzet, BoR, or Route No )
4/Y7( AaV%eslnone.'TaarAc?. Gry
C-y'klj Lp Cade
ssoAa.
Seclion Na Tawnship Nome or No. Range N. Fire N. CounH
.17n.l?aka
Oa?pam
?t.v. (c GreaoI Phone No
?a 2- 5152- ?p87
PowerSopplier
POkd 4E-ec.. Addmss
-
Elcmml Canvaclor (Campairy Name)
e Conlmcbr licen.e N. Mosiar bc. Nn (Plam Eled. Only)
? ?
Mailing PAdree1 (C cror or O.mer Pe ortnmg InsMlimionl C
J?
Aullionud Signa re (Co tm%wnp.?eAo 'n91n allafionl
a Phone No.
(o Y -?7loD
EBOOOOIA-106195 STATEBOAHDCOPY-SEEINSTHUCTIONSONBACKOFYELLOWCOPV
IIII IIII II I I I III I II REQUEST FOR ELECTRICAL INSPECTION
Minnesota State Board of Electncity ?i 3
1821 University Ave., R? -7 aul, MN 56704 ?y -?
`*? 5 6't 1 L 3* Phone ;si z). saz-oaoo ? `"`LL
Home Duplex Apt. Bldg. Oiher: New Addn
Commercial Indushial Farm Remod R.
air
Air Cond. Hig. Equip. Wafer Wr. Load Mgmf. Ofher:
D er Ran e Elec. Heot Tem Senice
"X" above the work covered by fha request. Enfer remorks in this space and on ihe bock of ffie white capy only.
Cal<ulate Inspection Fee - This Inspedion Request wdl not be occepted wrthout the corred fee:
Olher Fee 8 $ervice Enhance $tre Fee # Glcvifs/Feeders Fee
Mobile Home Park 5tall 0 fo 200 Amps 0 to 100 Amps
Sheet Ltg./Traffic $ig. Above 200 Amps Above 100 Amps
Transformer/Generator INSiEMOR'SUSEONLY TOT
Sign/Oulline Lfg. X(mr.
'
Alarm/Remota Canfrol
0
Swimming Pool 4tth,daw"4rod/-
I here ceni? thar I ms eaed the decmm l
1d.4.4L
laigation Boom xo,,h-in ?.
eciol Ins
edion
5 ?
p
p
Investigafive Fee Fnal
THIS INSTALLATION MAY BE ORDERED DISCONNECTE T COM E WITHIN 18 MONTHS.
25V- 711 ? :PEUS? ONLY This reqmsi vad 18 manlhs fmm volidmion date prinred in fhisb
?/C'f ? ?
? ? ? Ou
PLEA5E PRINT OR TYPE
0
Reqwa k Raugh-i impernon reqw Yes
d Inspecfion 01herThan Rough.ln: [3 Reody Now ill Call
k
d
O
Vou must mll fie inspecror w hen rea
y? ok
ea
y.
I, I'censed confmdor ? owner hereby request inspedion o{ ihe above eledrical work at:
Job Address (Shaet, Bo?, Ra e Na ? Ciry Zip Code
"!
SM,an No. Township ame oi Na Range No. ftrc Na. Counp ?
Occupan? ? ? ? ?
^ ? _ ?
Phom N?(;
r
PoxerSupplier Mdress ? ?^
1 ` \
Elecfic Conkaclar (Campony Nome Canrcactar L e N. /
o Mosler L< No (Plam Eled Only)
,
hbiLig Ad?drees (Conhacror n PeAarmmg InnollaNon?
f N L
(T uu
orized SignaN (CO tlo, or Owner Perio?ug Insmllanon)
- )-a-Qj.??? Phone
EB-OWEIA-10 6/95 5fATEBO4 COPY-SEEINSTRUCiiONSONBACKOFYELLOWCOPY
I?I IIII III IIII II IIIII III?IIII I? II REQUEST FOR ELECTRICAL INSPECTION 6?j , .
Minnesota State 8oard of Electricity ?
1821 University Ave., Rm. 5-728, St. Paul, MN 55104
* 0 3 3 6 3 6 6 0* Phone (612) 642-0800/pa??C? ?
Home Duplex Apt. Bldg. 014? New Addn
Commercial Indusfrial Farm Remod Re air
Air Cond. Htg. Equip. Water Htr. Load Mgmt. Other.
D er Range Elec Heaf Tem . Service
'k' above the work covered by tha request. Enter remarks m lhis space and on the back of fhe whi}e copy only.
Calculate Inspechon Fee - 7his Inspection Requesf will not be accepted withouf ihe corred fee:
Other Fee # Service Enh'ance Sim Fee # Circuih/Feeders Fee
Mo6ile Home Park Stall 0 to 200 Amps 0 to 100 Amps 2.0
$freet Lfg./TraHic Sig. Abave 200 Amps Above 700 Amps •50
Tronsformer/Generafor INSPECMR'SUSEONLV TOTAL
S
Sign/OWline lfg. Xfmc ? 0
?O•
Alartn/Remote Conhol
Swimming Pool I h<reb ceni fio e ecmml inslnllation desmbed hermn on the dares smted
Irrigation Baom Roogh-in
ecial Ins
edion
S
p
p
Investigotive Fee F,ral
THIS INSTALLATION MAY BE ORDERED CO EC ED IF NOT COMPLETED WITHIN 1 MONTHS.
2 5 6- 719
. . OFFIC USE ONLY Thie reqoesf void 18 man?hs from vaiidanon date pnnred in Ihis box
-?`{9?i
,
? (? dd
PLEASE PRINT Ofl TYPE
Request Dyye
? ?
\/ II ` Rao9h-in inspenian require es
ou mus1 mll the inspecmr wherea r?
(Y Inspetlion Oiher Than Raogh.ln Q Reody Now tll Call
D.I. Rmdy.
I, ensed contracfor ? awner hereby requesf inspecfion of the above eledricol work at:
bb Addresz (Sheet, Box, ar um No I Cip-y 2p Code
1y
? • Y n
C_.l L
Secnon No. TownsNp Nama ar N. Rarge N. Pme No Co 1?M?-
occovant Phone Na.
PovrerS.p li Pddrexs
ElecRC CoMmcar ( ompany Name ??'/? Con Lmnse (N`?o? (y'
OL/q U? Mmmr Lc No. (Plant EIM. OnIY)
Mailin Pdd (Cnnwcloro er Pehoiming Inamllanon)
/ ?q C) d .
aA?w
/wMo ed Signamre ?C nhaMr or O.mar Perloimug InslallaNo
l" ?
U Phone No.
- ?-
203
a
EB-00001h10 6/95 STATEBOAROCO -SEEINSTRUCTIONSONBACKOFYELLOWCOPY
?? ( I I P56 ? II IN III REQUEST FOR ELECTRICAL INSPECTION 5?
Minnesota State Board of Electricity (R. °
1821 l? Ave., fl??8, $aul. MN 55104
0 7 1 9 * Phone (6i2) 642-0800
ome Duplex Apt. Bldg. Other: ew Addn
mmercial IndusMiol Farm Remod Re air
' Air Cond. Hfg. Equip. Water Htr. Load Mgmt. Other:
D er Ran e Elec. Heat Tem $ervice
"X" above ihe work covered by this reques! Enter remorks in fhis space and on the buck of the white copy only.
Calculofe Inspectron Fee - 7his Inspection Request wdl not 6e occepted without the rorred fee:
Olher Fee 8 Service Enhance Sae Fee # Circuih/Feeders Fee
Mobile Home Park Stall 0 t0 200 Amps 0 io 100 Amps
5}raef L}g./Traffic Sig. Above 200 Amps A6ove 700 Amps
TlanSfofinef/Cienefatof INSPECTOfl'SUSEONLY TOTA
$ign/Ou}line ltg. Xfmr
(?
D ?
Alarm/Remote Conkol
$wimming Pool i hereb oam mof i in: eaed ihe e?e?cai €kn ien de. 2d em dn Poa doie, d
Irrigo}ion Boom Roogh-In
$pecial Inspection
Invesfigafive Fee Flnal Da y!
Y
THIS INSTALLATION MAY BE ORDERED DISCONNECTED F"N T COMPL ED ITHIN 18 MONTHS.
Address 4468 LnKESHORE TERBACE Zip 5512 ?
Lot 1 4'? Blk 3 Sub CLIFF LAKE SHORES
THESE TI'EMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECl'ION.
Date: 7 -rj(p Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage) ?
Pecmanent steps (main entry) ?
Pecmanent driveway
Permanent gas ?
Sod/Seeded grass ?
TraiUcurb damage V/
Porch v
Basement 5nish l?
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shuboff of water supply to
the outside lawn faucet before freeze potential exists.
Contad engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. ?
White - Ciry Copy Yellow - Resident Copy Pink - Contractor Copy
Address 4469 T AKFq7(1RF TFRRAr'F' Zip 55122
I.ot 8 Blk 2 Sub r-'tg'F LAKE sHORES
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION.
Date: 5b Cy ? Yes No Inspector.
Final grade (6" from siding) ?
Permanent steps (gatage) ?
Permanent steps (main entry)
Permanent driveway
Permanent gas ?
Sod/Seeded grass ?
TraiUcurb damage ?
Porch
Basement finish
Deck
Please verify wi[h the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 bcfore working in right•of-way or ins[alling underground sprinkler system. ?
White - Cily Copy Yellow - Resident Copy Pink - Contractor Copy
2006 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-3675 FAX # 651-675-5694 '
NewConsWCnon ReauiremEnfs
7 registered sAe surveys showing sq. R of lat sp. R of house: and all roofad areas
(20%maximum lot coverage allowed)
2 copies of plan sho.ring beam 8 windox sizes; paued found desgn. Mc
1 set of Energy Calala6ons
3 copies of Tree Preservehon Plan if lot platted after 711193
Rim Joist Oewl Opuons selection sheet (6uddings wAh 7 w lass units)
Minnegasco mechanical venhlation fortn
RemadeURaoair Rewiremenis
2 copies of plan showing faatings, heems, lasq
i set of Energy Calalafians fa heated atldinons
1 si0a survsy for additions 3 decks
AdAition -inCicate rf on-srfe sepUC system
?(,e`6t 3
3 Y9 "7s
Office Use Onlv
Cart of Survey Recd Y N
Tree Pras Pian Reoi _ Y_ N
Tiee Pres ReqUired Y N
On•sile Septlc System _ Y_ N
Date /V / 01 / 00 Canstrvction Cost ?/9 DD
Site Address ?/It ?7? UniUSYe # ?In
55/??
DescriQtion of Work n?w ?? / I?NiLI?CJ !N? wuw '
Multi-Family Bldg ( Y/_ N
?J Fireplace(s) _ 0 _ 1 _ 2
Property Owner elephone # (9? ?
ContraMOr
address ?5 DJ City
? 9ta[e Zip Telepnone : (??? ?Z7 • a?%0?_ ;
?
CaMPLETE T3-IIS AREA aNLY IF LaNSTRl3CT]T!G A NE'N Bl31LDING
Energy Code Category - Mnnesota Rules 7670 Categorv 1 _ Minnesota Rules 7672
(? su6mission rype) Residential Verrtllatlon Category 1 Worksheet • New Energy Code Worksheet
Submitted Sunmitted
• Energy Ernrelope Calwlatlons Submitted
in the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan2
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanicai Confractor
Sewer/water Coniractor
Telephone #(
Telephone #(
Telaphone #(
I hereby apply for a Residential Building Permit and aclmowledge 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 pernrit, but only an application for a permit, and work is not to start without a
permit; that the work wiil be in accordance with the approved plan in th case of work which requires a review and
approval of plans. .
7ii?i,v ? ?-1/D)1,.5 Q,11 G- - Ao-
Applicanl's PrintedName Applicant'p Sign7ture
" ? LOT SURVEY CHECKUST FOR RESIDENTIAL
W W BUILDI PERMITAPPLICATION
? W PROPERTY LEGAL• ?7d ? ?
_..??
W
a ? m DATE OF SURY E Y:
LATEST REVISION:
t Z Y
DOCUMENT STANDARDS
e' ? ? • Registared Land Surveyor sipnature and company
? ? • Building PertnftApplicant
?
o
• ;
Lagai descriptlon
Q-?'o
;-1/ ? • Address
13 O • North arrow and scale
e ?
0"? 0 ? • House typa (rambler, walkout, splft w/o, splft entry, lookout, etc.)
? • Directional dra(nega arrows with slope/9radlent %
W'o ? • Proposed/erisUng sewer and watet secvices S invert elevatlon
? ? • . Street neme
? ? • ' Driveway
ELEVATIONS .
'stl
P'? a a • sewar service
gr' ? ? • Properiy comers
GK- ? ? • Top of curb at the driveway
?? 0 • Elevadons of any abstlng adJacent homes
ro s
?j7 ? • Garage floor
a? ? ? • Frst tloor
i," C3 ? • towest exposed etevadon (walkout/window)
W-70 ? • Property comers
?a ? • Front and rear af home atthe foundatlon
O fd" C3 •
? M-? ? e
? M-' O •
p E]?p •
? ? .
9' ? O •
m?/ 0 ? r•
m?? o .
C9? ? ?? .
? C3? ? •
PONDtNG AREA B/ aoolicablal
Easement iine
NWL
HWL
Pond # desipnatlon
Emergenry OveAlow Elevatlon
DIMENSIONS
Lot IinesBesdngs 8 dimensfons
Rightaf-way and street width (W back of curh) •
Proposed home dimensiong Includinp any proposed dacks, overhanps flraatar than 7,
porches, atc. (I.a, all sftutWtes requirinq permanent tooCnps)
Show all easaments o/ record and any City utilNes within thasa easements
Setbacks of proposed structure and sideyard satback of ad]acent eristlng sVUCcures
Retaining wall
Raviewed:
Juy 1995
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-177$5-080-02
DESCRIPTION:
PERMIT
4469 LAKESHORE
LOT: $ BLOCK: 2
CLIFF LAKE SHORE9
PERMIT TYPE:
Permit Number:
Date Issued:
TER
(ZERO LOT LINE)
Beiildin'g,P
rmit Type SF DWG
;
B?u3ltling Wixk
TYpe NEW
?
O6C,pc cupa=n cy R-3 U-1
Cort•stnuctii,on "ry?e V-N
Znnimg PD
8uildirrg=i?er19.'??T 38
8u31,din?W1 tl.tks' 59
aiqld ,i;F?9??te`s
-
a
?.p
i=j„
y ?i. -*.?`ky t,., i4 ? •m'
5.
a
e ar-?
a,3
a ar ' ?3 s
::m.::??;."' ???,?.•
,,?,_
'?ia afG
c;U03.t5
BUILDING
02679@
11/30J95
?s fiY-gs r?t , f"
REMARKS:
DUPLEX WITW LOT 7
5& W PLBR - WEN2EL PLBG
FEE SUMMARY:
vaLuArxoN
Base Fee
Plan Review
Surcherge
5AC
SAC %
SAC Units
Subtotal
$1,057.25
$370.04
$67.00
$850.00
100
1
$2.344.29
$134,090
MISCELLANEOUS ,$1,892.50
7pta1 Fee $4,236.79
CONTRACTOR: - ,qpplicant - sT. Lzc. OWNER:
HOFFMAN HOMES INC 18949807 0009284 HOFFMAN HOMES TNC
2214 E 117TH ST 2214 E 117TH ST
BURNSVILLE MN 55337 BURNSVILLE MN 65337
(612) 894-9807 (612)894-9807
E hereby aclinc+wledge t'ha, ,t ,Y^,havo _rrsad this: ap:plieat;iian ar1,tt state. rhaev the
i+7fo-rmatian 16 'erar- t arid ag-ee. t.4, csst?.pl_yy.wxYh.?l?a+?Ppli?ati?:•? ?.tarta `cfMn,,.
.
5tafiuCes arad 'cx . ° of E igaq Ord'3narrc•es.,.
, .
? m?-
LICANTlPEFiMITEE SIGNATURE ISS ED BY. IG TURE'
490 CITY OF EAGAN J 3830 PILOT KNOB RD - 55122 ? ??4 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
New Conatnudion Reouiroments RemadaVReoair Reoufroments
? 3 reglalercd sRe aumeys ? 2 copies of plan
? 2 copiea of plena (indude beam 8 window sizes; poured fid. design; etc.) ? 2 site surveys (exterior addklons 8 decks)
? 1 energy calaletions ? 1 energy eelalations for heated additlons
? 3 coplea oi tree preaervaUon plen H lo} pletted after 7/7193 -tf4j,n? I sea,mH
tsquired: _, Yes ,)4 No
DATE: I i1z ? 1 a?? CONSTRUCTION C05T: i2-Q-1000
DESCRIPTION OF WORK:
RBS?Otan'?AL "?ow?JFLohIE (
? ? .... ,
STREETADDRESS: `??6q
LOT $ B/LOCK y SUBD.IP.I.D. #: ?" FF L't?v?' S1-1'zeY
}?..oirr ?+l / ? _7
PROPERTY Name: K?fKAa H°+'&s i -r+AC.. Phone #: gqy"q$D?
OWNER W* m^
Street AddFess' zz iW E. ?k-:CrR STiCE6 r
City: State: M?? ZjP: 5533?
CONTRACTOR Company: sAr+e Phone #:
Street Address:
City: State:
ARCHITECT! Company:
ENGINEER
6, NN6TWJItA pES«a
Name: Lti L6 TRLLL.,.?
q?,tiLA,t
License #: q 2-a61
Zip• `
Phone #•
Registration #•
Street Address• $o w. 5-rr1"T s??-Ts -ik, Zto
City:
C ww.AH"SE.J
State: M'? Zip: 5 S 3 il
Sewer 8 water licensed plumber. W 6iz&`' Penalty applies when address change and lot
change are requested once pertnit is issued.
I hereby acknowledge that I have read this application and state that fhe infortnation is wrrect and agree to compiy with ail
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
;;^'? 2 2 1995
Certificates of Survey Received _ Yes _ No
Tree Preservation Pian Received Yes No
,. „ , .. ,
„
? .:.
BUILDtNG PERMIT TYPE
0 01
,ef?-02
a 03
0 04
0 05
woRi
Foundation o 06
5F Dweliing o 07
SF Addition ? 08
SF Porch o 09
SF Misc.
c 7
OFFICE U5E ONLY
Duplex ? 11 Apt./Lodging ?
4-plex ? 12 Multi RepaiNRem. ?
8-plex a 13 Garage/Accessory o
12-plex -"'--0-14 Fireplace ?
_-plex ?
!,rv
A"1 New o 33 Alterations o 36 Move
n 32 Addition o 34 Repair o 37 Demolitian
GENERAL INFORMATION
Const. (Actual)
(Aliowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Pianning
????u• l?.?
., ?. :..'" ?....,<.?
16 Basement Finish
17 Swim Pool
20 Pubiic Facility
21 Miscellaneous
?L -W Basement sq. ft. ? MC/WS System
M Main levei sq. ft. ? City Water ?
?3 / sq. ft. Fire Sprinklered
v-D sq. ft. PRV
4?JJpT- sq. ft. Booster Pump
sq. ft. Census Code. o z-
? Footprint sq. ft. SAC Code ai
Census Bldg /
Census Unit /
Buiiding
Engineering
Variance
Permit Fee
Suroharge
Plan Review
License
MCMIS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SNV Suroharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
Zx?y ` /yyxsy=
,
,
?
?
7\
`
Ct{6? " ?L/
?? C?? S X Zf =
7zs?
---
% SAC - /33
SAC Units /
valuation: $ l3 uvo
/nA„f
3?,??? : i?ryy
C?luG.s - 7
2XIz.s = zs
G?.?. z Y( & =
?, 'fBb z s''/ _ --
? ?o? 3SL
y.
E129344305 PAIIJNETONKA DESIGhJ PAGE 07
EXTERIOR Eh1YELOPE AVERAGL ,"ll" COMf`uTA'(10N
nnrr: `?-}3?`?S
AODRE55:__ _ PHONE;
CON7RACToR;_Yto?t=n?AN ?1aw\?.s PIAN 1F \\??.rI10???
Determine working square footage of each
1. Total exposed walt area...., IWI1, ? sq. ft, x.11 = zo`g?aL..
2. Tota1 roof/ceiling area..... <<pu.P sq, ft. x.026 = 42 Total exposed wall area above floor=,
a. Total wall window area ............................ ... 1v , 3
b.' Total dovr area...... . . . .. . ................ . ....................
......
c. Total sliding glass door area....................................
d, Total fireplace walt area ........................................
e. Total wall framtng area (avecage 10%) ............................
f. Total rim joist area ............................................. ?
9• rlet wall area a6ove floor__.......-•• ......................... ,
h. wall area a6ove floor................... i• T wall area a6ove floor .............. :..
j. frame wall area at foundation ...................................
Total exposed foundation area= 'S2OG
k. Total foundation window area .......................
1. Total net foundation area above grade ..............
Oetermine "u" vdlue of eaCh wall segment '
(e.g. window, door, each separate watl section)
x,. uii??.?.° COZ3--1
b. z „u,i
c X ..u jt ? ??----S-L-
d. X lull _
X Hull
f. I?O?I, ls x„U„
g. 123?C,s1 X „U„??-° -csA
n. X „u„ _
;. x IOU „ _
• j, X ltuti ^
k If item #3 is the sa
• as, or less than ite
1? bz-•-1?
X li,
U ??l(p = s,? #1, you hAVe met the
intent of SBC 6006
(
3 . ...................... ....... ....Total
? ,.. .
995 10:13 6129344305 MINNETONI<A DESIGN PAGE 08
YQTAL LXPOS[0 IlppX/CEILINO CAI,CUI.A710115: •
Toealaxpostd •
roof/e•! l inq area....... . (p2 s9 f!
)) Tota) fkytipht area....... ' sq ft x"U" ?
k3 Tota) raof/cniling Pr+ping '
arsa (Avera
e lA7t)
? 2? s •
t?
ll O?-? •
•Il °1
3
. ......
q
a
• U
t x ,
«
-._,
._.
:
1). Tots1 net lnsuiacnd • ?
roof/caTllnq sq .
ft x"U„ ??Z- .
_,
.. 2`1,2(p
•
.
4. . y 707AL J? 1) 33n ??-0
if tot8l of !q is the same as, or less than f2. yuu
Z:tCAR 1.16008 it and O
• havn met the intnnt
'. of
.
. ' ` • . ' .
, ACTEAAATE BUILDING ENVELOPE OESfCN .
Yo atTllza the totsl nnvatopn system method, -the values extshl•Ished by thp svm ' of ltems 13 and 14 sha11 aot be greater then the suro'of ttews /) and !Z. . .. - :.
1. 4- 2, - . • .
:. 3• ' ' ? 4. , . ._ . . ... ...
. ' - . • .
. `
10:13 6129344305 MINNETONKA DESIGN
* LINEAL FEET EXBpSEU WA4L
BLOCK: `(ps,s
KNEE:
WALKOUT: 3?
FU4L 1: 100s
FUGL 2:
FIREpLACE:
RIM: ku?l ?S
BLOCK:
KNEE:
WALKOUTt ->?
FULL 1:
FULL 2:
FiREPLACE:
RTM: I?p11,I?
* SQQARE FEET EXPOSED F1ALL ABEA
x .?..°?.?\??
x S a '
x8s30?
x S =133?z-
x 8 =
X °
4V1NL
SQUARE FEET - -
IC
Z?
ERPOS 9
ED CEILING
WINDOWS: 12-j,3k
2C0'KP PH?- 11 s`1 s?
2C03(.Q 1 ' col42
?os<z? 4 l I I Z) p2.
3oso I 1(,g?
?
sit?uG?t-
lo 5s
IZA
x I lY? . I'
N??,1
DOORS :
PATIO QOORS: 1??k
BASEMEVT UNITS:
SKYLIGHTS:
PAGE 09
`C(TY OF EAGAN PERMIT ck_602
3830 Pilot Knob Road PERMIT TYPE; B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 0 2 s 7 8 9
(612) 681-4675 Date Issued: 11/ 3 0/ 9 5
SITE ADDRESS:
4471 LAKESHORE 7ER
LOT: 7 BLOCK: 2
CLIFF LAKE SHORE5
P.I.N.: 10-17785-070-02
DESCRIPTION:
9'% (ZERO LOT
01'1 dinrmit Type
E?u°i3?d i ng k?c ,eir,k T Y P e
. U8 C..l)c C-Up3ttpy^??;Q ?
Cnrts C Ptlc ti o Pr- `Typv
Zoning.=
"Buil'd f+tg: 0engt17,
° Hui],dinR ?Width ?4v3l.dii?9
OTi'es
'-
<J
.? ?
LINE)
3F OWG
NEW
R-3 U-1
V-N
PO
38
66
1
? m tt?i? d *'?T
q visu
o-2?pyT s
0-N;s' i4?79 -, ? ^
I'Q??y?;d,:?tt
REMARKS:
DUPIEX WITH l0T 8
S& W PLBR - WENZEL PLBG
FEE SUMMARY:
VALUATTON
Base Fee
Plan Review
Surcharge
sac
SAC %
SAC Units
Subtotal
$1,067.25
$373.54
$68.00
$850.00
1BB
1
$2.35$.79
$136.000
MISCELLANEOUS $1,892.50
Total Fee $4,251.29
CONTRACTOR: - ppplicent - sT. I.IC. OWNER:
HOFFMAN HOMES INC 18949807 0004284 HOFFMAN HOME3 SNC
2214 E 117TH ST 2214 E 117TH ST
BURNSVILLE MN 55397 BURNSVILLE MN 55337
(612) 894-9807 (612)894-9507
? I hereby aeknowlgOt d9e `that-,'i rh`aye.-read ?,thfs, ap?p1;icat3ori.ahU sta?a ,Ch¢?'t=„'?be .
° i.n?ficsrm,ation 3.r"M?eat anti ag?'ee, to cortpl,y "`with a3?? ap?Y23cab?,e ?°?ate, o#' fiM1n
; .
? "statuteeartd , trf .Eaya?i Drd?rrartc?s=.; ?
' _.. z . ._ . . "?
?? kvkm?
---+ issueo e si ATU E
-
,
j' • CITY OF EAGAN
19 1995 BUILDING PERMIT APPLCATION (RESIDENTIAL)
91 681-4675
New Conshuetion Renufrements RamadeVReoair Reouirementa
? 9 registered 6ife surveya ? 2 coPies W plan
? 2 eopiea of plarm (indude beam B wfndow saes; poured fnd. design; etc.) ? 2 aNe surveys (extelor eddkions 8 dedcs)
? 1 energy ealaletions ? 1 enargy calwlations for heated addklons
t 3 coples o} Vee preaervation plen 11 lof plat[ed efter 7/1/93
roquirod: _ Yes Y, No
DATE: I 1I zz 1 9 S
DESCRIPTION OF WORK: ReSioE?'?a.L.
STREETADDRESS:
CONSTRUCTION COST:
'Toww? pAoKG ` i (Xt.t?.:
LOT '+ BLOCK y SUBD./P.I.D. #:
PROPERTY
OWNER
14offMAn1 HolAeS , ZwG.
?, P...
oe?)
R[c.?
Phone #: ggy'g$OI
Street Address• zz ?H E. "«'TM STf-E6'c
cfty; State: '^o ZjP• 5533"4
CONTRACTOR Company: SP,Me Phone #:
Street Address: License #qLa`?
City: State: Zip,
ARCHITECTI Company: h' P+N6YoNKn ba Phone #'
ENGINEER
Name: L`1 LS TKu?. ?' Registration #Street Address' 80 w. 1g'" 5-rrL6J6r 5-. ?-rE -+t 2t o
City: C H&atAn.ssr-*J State: "10 ZiP: 553t"A
Sewer & water licensed plumber. W 6"z6`^ Penatty appiies when address change and lot
change are requested once permit is issued.
I hereby acknowiedge that I have read this appliqtion and sNate that the information is coned and agree to comply with all
app8cable State of Minnesota Statutes and City of Eagan Ordinances. /A 1
• Signature of Applicant
OFFICE USE ONLY zyes Certifiqtes of Survey Received _ No 6q 0 V 2 2 1995
Tree Preservation Plan Received Yes No
OFFICE USE ONLY
BUILDtNG PERMIT TYPE
0 01 Foundation o 06 Duplex o 11 Apt./Lodging a
0 02 SF Dweiling o 07 4-piex ? 12 Multi RepaidRem. ?
a 03 SF Addition o OS 8-plex o 13 Garage/Accessory a
0 04 5F Porch ? 09 12-plex o 14 Firepiace o
a 05 SF Misc. ? 1lex- --°o
WORK TYPE
.eK- 31 New o 33 Alterations o 36 Move
a 32 Addition o 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
/? Basement sq. ft.
-i? Main level sq. ft. ?,'?YZ
3 -/ sq. ft.
- !? sq. ft.
/ f
Br.rr- sq. ft.
3& sq. ft.
/°(o Footprint sq, ft.
Building
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permft
SNV, Surcharge
Treatmerrt PI.
Road Unit
, Park Ded.
Traits Ded.
Other
Copies
Total:
°r6 5AC
SAC Unita
:L
.?` "• °"' ?
,,? ? '•? .. `"?:
.. :? ?. -
.,. .? .? . .?"
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
MClWS System
City Water ?
Fire Sprinkiered
PRV
Booster Pump
Census Code. /oz.
SAC Code o /
Census Bldg
Census Unit /
_ Engineering Variance
valuation: $ 13ri
6 . 7i
. 1 I
?6?
??.
: .. ..,
3,_ : , • . • ' ,.
HOFFMAN HOMES, INC.
2214 East 117th Street
Telephone Burnsvil(e, MN 55337
(612) 894 9807
Fax CONTRACTOR # 9284
(612) 894-9878
Ailzz(95
Mr. Joe Voels
City of Eagan
Plan Review Department
Dear Mr. Voels,
This letter is to inform you that Hoffman Homes, Inc. will be using the exact same plans
for the layout for Lot(s) -t , Block '1/ , Cliff Lake Shores, as were used on
Lot(s) I$ v, Block ", Cliff Lake Shores. None of the structural building
components,,,HVAC, plumbing or electrical will change from engineered drawings dated
1P2-f4b .
Sincerely,
7p? - ?C4412--
Patrick C. Hoffman
President
PCH/jem
pclJeagltr
S^ +_
CITY USE ONLY
L ? BL ? RECEIPT #:
O?
SUBD. C A?kc cosre? DATE: LI-L
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 air exchanger, i.e. Vanee system, etc.
Date: 9k
? 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) J ? State Surcharge .50
TOTAL
SITE
OWNER
INSTALLER
- PHONE #: LQS%7
STREET ADDRESS: J ??'// G// C5// /4vli
CITY: ? STATE: ZIP:
PHONE #: (G/'o
.
: , ..
cirr use oNLv
L ? BL RECEIPT
SUBD. rvuoe DATE:
7996 MEGHANICAL PERMIT (RE5IDENTIAL)
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 foreach unit
New construction Add-on fumace
Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc.
Date: a- A y ?!?a
• Minimum Fee: Add-on/Remodel (existing residence only)
? HVAC: 0-100 M BTU
Additional 50 M BTU
? Gas Outlets (minimum of 1 required @$3.00 each)
? State Surcharge
TOTAL
SITE ADDRESS:?
OWNER NAME:
INSTALLER NAME:_
STREET ADDRESS:.
0
CITY: STA
PHONE #: (bo) 8Z'jC7y61 ?
FFFC
$ 20.00
24.00 ?
6.00
.50
?f 7•
PHONE #: 21L01
ZIP: ?
CITY USE ONLY
L, B BL ? RECEIPT #: ?3
SUBD. ? DATE: ?9 Q
1996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55772
(672) 681-4675
Please compiete for: ? single family dwellings
? townhomes and condos whrn permits are required for each unit
FIXTURES EACF! IlSZ.
2 TOTAL
Shower 3.00 x r?
- =
Water Closet 3.00 x v? _ ?00
Ba4h Tesb 3.00 x
Lavatory 3.00 x 9.00
Kitchen Sink 3.00 ;c = D
Laundry Tray 3.00 :c Z = 3O
Hot Tub/Spa 3.00 ;c =
Water Heater 3.00 :c
Floor Drain 3.00 :<
Gas Piping Outlet " minimum -1 3.00 x =
0
Rough Openings 1.50 x 3 i
=
Water Softener 5.00 x =
Private Disposal * Dakota Cty. license 65.00 =
(new and refurbished systems)
U.G. Spfinkler ` home under const. 3.00 =
ANerations ' to existing 20.00 =
Wafer Tum Around 20.00
STATE SURCHARGE .50
TOTAL ?Y-06
SITE ADDRESS:
OWNER
INSTALLER
STREET ADDRESS:
CITY: STATE: /Yl 41 ZIP:
PHONE
$UURATQKL Ul- PEKAfiTT
.
'L
SUBD.
CITY USE ONLY
1996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAM
3830 PILOT KNOB RD
EAGAN, MN 551:!2
(612) 681-4675
Piease complete for: ? single family dweliings
? townhomes and condos when permits are required for each unit
FIXTURES FCEi TOTAL
Shower 3.00 x ?
Water Closet 3.00 x ?
3sth T u b 3.00 x
Lavatory 3.00 x
Kitchen Sink 3.00 ;c
= 3.00
Laundry Tray 3.00 x Do
Hot Tub/Spa 3.00 :c =
Water Heater 3.00 ;c 3100
Floor Drain 3.00 ;c = ?, OQ
Gas Piping Outlet " minimum - t 3.00 :t ? _.3, OZ?
Rough Openings 1.50 x 3 = .?a
Water Softener 5.00 ?c =
Private Disposal " Dakota Cty. license 65.00 =
(new and refurbished systems)
U.G. Sp1'Inkler' home under const. 3.00 =
Alterations ' to existing 20.00 =
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL y`? 0Q
SITE ADDRESS: y`l ? .l?hJ?-aA'-?-?
OWNER NAME:?
INSTALLER NAME:?
STREET ADDRESS: f
r
RECEIPT #: 531,/9/
DATE: A9 X
CITY: STATE:_/Y//!/ ZIP: S?1a?
PHONE /2) ,?a - lS(o 5
UT ATDAE?FE?I??fi
? BL A
c
------------------
?
i ,?q i
}.r? Q _i
j Permit #: C LJ I
I
? Permit Fee: ?
? Date Received:
I ?
I Statt: ?
I----------------?
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
-?^?
Date: `!?Q SiteAddress: LAi+q I t"Cl 5?101rp' TWIACC
Tenant:
Suite #:
RESIDENT/OWNER Name:QlW I,4a SYICC'QS 3vUXk0YV LQS Phone:
Address / City / Zip:l?? cll (k LAtcC cc y i'?tn 55ic-
Applicant is: _ Owner _)j, Contractor ,
TYPE OF WORK Descriptian of work: 1 eCtV Qk` Y'mUt" ? wl VICA?? ? ??? 14
Construction Cost: Multi-Family Building: (Yes X_ / No
CONTRACTOR Name hYi@Yit_ 'C n?fi. l,t]/Ll[LjClDr$? Tt?C, License
Address: pqYlo 3udiuC4Ll
h
{C : J> 3
O
Zi
S
ck?L1
Q-
Ciry: v
p
tate: _
Phone:0150- -1 cn ' 0-U'"l ContactPerson: aC?l4, cSGUt.?CPX{.Y
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateporv 1 Minnesota Rules 7672
Enef[]v COdO . Residential Ventilation Category 1 Worksheet ? • New Energy Code Worksheet
Category Su6mitled Suhmitted
(4 submission type) • Energy Envelope Calculations Submitted
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 inaster plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
MOTE: Pfkris andFsupporttng?dqcui?`"8r%YS tir?y?T? 3?p7ir?itt?.ar?s? ? d??be;:?iu???1t'?arcnaf#on?s` ?.`ions ot; ..
'
'"
?
(
'
`
? ?er?s
e
?L
tr?t+i
b?'sFlaaf dYou
the infarmat[on`-may,be,classrfrerl stsht?ori {SUb1tGti???s?t,pY,OYtd
. . : 'a_?tfff.?l. 2??#r`?<?a'e ts.?, Va?Ai hereby acknowletlge [hat this information is complete and accurate; that the work will 6e in conformance with the ordinances and codes ot
the City of
Eagan; that I undersiand this is not a permit, but only an application for a permit, antl work is not to stan without a permit that the work will be in
accortlance with the approved plan in the case of work which requlres a review and approval of plans.
x??1.(?Cl ?]W LLC e? 1? x
ApplicanYs Printed Name ApplicanYs Signature
Page 1 of 3
CER TIFICA TE OF SUR VEY
?
?
?
i
i
I
I
----?
- - - - i
?
?
I
?
----I
?
?
?
\
\
\
\
?
?
?
?
?
? ? ;-------_---_-
?---- - I ?---------------? i ' '
(sn.2) i
? -? (913.2)
? 405880 40'56"E 78.00
4.00_
905 5 0 2e oo ? wm 8 iz,oo
o N a p i
16.57 T O^ i 7 f? V f 1200 ? R tl? Q s O ? /,,
-___ _- I - xeao ?. J
?-
? izw
i
5.13% 00
00
I f I ~i? °o j i ,
,m S$ 040'58`E 78.00
n /
0
W
o
i15.63 T) I 700% O?
904.8 ? aioo g 8 ?? ':oog ? i
---- O x? V' ?C O
J8
Hj'329 4.OgCn _ 2600__ ' wm ?1200 ?Z j
4.00 / i
I 588Q?56nE78.Q? 40
(916.8) (972.9) i
,
?
?
-, ?
? ?aae
i /
\ • \ / /
13Y _
Da4EA ? rA
. ??,RI?7G AEFT.
?
? ???
n
%
L£CAL DESCR/P110N:
Lots 7& 8, Block 2, CLlFF
LAKE SHORES, according to the plat
thereof, Dokoto County, Minnesota
930.0 Genotes Sanitary Sewer Service lnvert
Note: A!! Utififies and Curb are Proposed
• Denotes iron monument (ound
o Denotes iron monument set
8earrngs based on assumed datum.
1 hereby certify thot this survey was prepared
by me o( under my direct supervislon ond that
f am a' duly Registeled Land Surveyor under tbe
laws oF? fhe Stote- o/ Minnesola. : ?
Morfin J. Weber, g,L.S. Dote
Registration No 12043
NyO / \ \
i? ? •
GRAPHIC SCALE
30 0 /5 .70 60
?
( [N FEET )
1 inch = 30 ft.
Top oi Block = 918.18 865.0 denotes existing elev.
Lowest Floor = 909.26 (865.0) denotes prcposed elev.
Garage Floor = 91780 --+- denotes suriace drainoqe
J#
Lots / & 5, Clock Z
92107-08.0WG
øüú
þ
ý
þýý üû û ú
ùýý üüîïðýì
ä ñéé
ü ô
ää
ÿ
þý÷
üûúùø
÷
ô
ô
÷ ôùø
ó
ö
÷
ô
ô
ã
ôüØ
ã
ôùø
ã
ûé
ûô
ü
ô
óû
ú
ò
óû
ú
üØ
ý
â ãÛûô
ððôü ó
ã
ø ýãóð
ô
í
æêäêðä
öù
üûô
ô
íè
æê ê
õøôø
÷ óò
øø
Û
ô
þ
ô
ððóôü êððß
ô
ô
ã
þ
ãó
ÝßÜßððä×ß
ô
úù
ö
ë
ô
øø
é ô
ôô
ô
øùö
øø
ú
ü
éã
ü
û
ñ ù éþ
ìô
ê
øø
õ
ô
ü
ûô
û
ù ü
ûô
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA131807
Date Issued:07/08/2015
Permit Category:ePermit
Site Address: 4469 Lakeshore Ter
Lot:8 Block: 02 Addition: Cliff Lake Shores
PID:10-17785-02-080
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
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 -
Geraldine E Hetterick
4469 Lakeshore Ter
Eagan MN 55122
(651) 681-9514
Airic's Heating Llc
2609 Highway 13 W
Burnsville MN 55337
(952) 345-0032
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA132953
Date Issued:09/14/2015
Permit Category:ePermit
Site Address: 4469 Lakeshore Ter
Lot:8 Block: 02 Addition: Cliff Lake Shores
PID:10-17785-02-080
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 -
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: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Geraldine E Hetterick
4469 Lakeshore Ter
Eagan MN 55122
(651) 681-9514
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 355-1300
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
r----------------�
I For Office Use �
� ' t D� I
C�� O� n� �� j Permit#: j
Y ' � ' � �-��� �
iPermit Fee. �
3830 Pilot Knob Road �
Eagan MN 55122 � Date Received: �
Phone: (651)675-5675 I �
Fax: (651)675-5694 I Staff: I
I �
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: �� ����S� Site Address: ���� ���`��'°�L� ����`� � )�'"' �� ���Un t#:
�� ��Name�' V�l t'�W,, ..., �u�L�� �m��.�ii/�._�.,.��.�..�.ro,,e.�.�,w..... ..�Phone: , .�a.�.�,��..�..�..__. ��
� Ft�s�de�:�1 � �
� flVyi�Er � Address/City/Zip: �� , �
� �
.
Applicant is: Owner Contractor
� Description of work: W�Vz� Z
' T�pe of 11�lort� � _ �
�' Construction Cost: Multi-Family Building: (Yes !No� �
�� � Company:� Gi/It� {2�+� �G��1 �hc. Contact: ��-j �/'�( ug ��"' �� �
g � � , > +/oz�_ ��'IZb �
� Address: JSGrb ��G�-.� �i.w� G�� � sulf� .�s/ City: �
C antra�tor
� �
� State:�Zip: gSy�y% Phone: `71s3-S.f� .�r.'�1 Email: ��� � �oN�.Iri?��u,.�(��Ac�vf,
�� , � License# �C ��� ��.3 Lead Certificate#:
,�;.,�,��,,ti.>.e�,.....�,�.��.,.�...�..�....�,..,..m,�.���.�,.�,.,,,,ti.a.�, �,....�,r.,.,�F.�.,�..�.��,.,�.�v��.�,���,.�,��u„�.�,..,�.�,,�...,��.�..�...�....,�.a.,_.�,.��..,.�....�_�.�,�..s��� �
� If the project is exempt from lead certification, please explain why:
.� .�..,� ...�s.,,e.� .,.�.���..� �.�.�.,�,..�.m.�.,��..�d����.._... x���w�...�.�.,�...�.�¢.�.�.�,m.,�,m,..._� � .�...:��.,..�
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: �
� i
� Licensed Plumber: Phone: �
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
� Fire Suppression Contractor: Phone:
;N�3T�:�'���s a�d sup�o���c��u��nt�that yo�r���are"co�d�ed t�n�eµ�a���ir�f�r�atitr�. Pc%�ans of
f.l�e r'n�arr���`ior�ma�r be c�assi�'ed as non p�b��i�f}r��pro�al�e s�ec�i'�c r���ot�t�a�wat�t�Srr�i�t t��Cr�y t� `
� cflncl�de�fa�t t�e �r�tra�le s�crets. ��
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.popherstateonecall.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 t Building Code must be completed within 180
days of permit issuance.
�/ `��_
X �Lt�f T rr�(��.� X
b
ApplicanYs Printed Name Appli s Sign ture
Page 1 of 3
Use BLUE or BLACK Ink
r----------------�
i For Office Use �
, ; 1 ��2-;
C��� �� ����� � Permit#: � ��:� i
i � I
� 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
�l ..� S.f�z Z.
Date: � � �-S �f� Site Address���r W�7l ��-��e.l���d� �-��a �' ��a�N Unit#:
�,,.�.. �4Name:W� . e.µ`.���� .,, .��i�..., ����wm,�.��.w.�,.u�_.., ...,....,..,u�..�,.m Phone: . _ �.,_�d.�a.,..��,.��.�..,m«��,_.„,�
G
� �tes�r�e�t! � �t/L�l- �4' �� /�
� a SSiz� �
OW�1�J' � Address/City/Zip: ��7<filwv L f�/r�'r1 c� !.`� cM-.
'� Applicant is: Owner Contractor
� Description of work: J��l►^•
�' 7'�B Of V#la�k ;�
/� �b. do
�> ;� Construction Cost: � � ����� Multi�Family Building: (Yes � /No_) �� �
�.�..�..,.�,....,�,,�..��,.�.� .�,. �.�,,.,� � .�...
� # Com an �� (>���0� L�""���O✓ �c. Contact: ��'s �o��
� � p Y���f C 1 � �
` a {/O�JI
� � � Address; �5� �jC�,��L(lr�, �� �� `���t 3s/ City: �'��/�:�7�• i
Gar�ra.ctor � � �
� State:�Zip: �-�y�% Phone:��3—SS6-oac13 Email: l.�%"�fG���r,�(�'h.(1U�iT�
� �`
� � �
� License# ��v 6 G�7 /� Lead Certificate#:
�,��,,.�..,�.��.�.�..w��,�m��,��__�.�,�.,�,�.��.�.,...�....�4�,we..,,�,�.��r..,..��,�.�.�.,w�,����.����.�.,.w.�,���a,,w.�.,„.�,��..�.�
� If the project is exempt from lead certification, please explain why:
�
�...,�,...�...� ��,.a.���.�_a,r.��,.,�,�,.��..n �.�,� ��� ��,.�...�..��..F.a�.�.,� ..�.,. ��.�.�..,.�.�
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? #
a
Yes No !f yes,date and address of master plan: �
� Licensed Plumber: Phone: �
Mechanical Contractor: Phone: �
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
�lV�JT�;Pla��s ar�d��o���dnr����s t�aa#yo�s�rb��t a;re co��f�red to,��r�l�c rr��'�r�a�. Po�o�af
t�e�n�'�r�ta�oa�may�e class��ed as�t�n pa�ab�c i��o�pro�r�+d�spec��i�r�as����hat r�v�d perr�a�#��e Ci�to �
�c�nr.��de#hat�are t�ade,secre�.
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����'.S / I��GCa..�.ti.i X ./L�-----
Applicant's Printed Name App c s Si ature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA140492
Date Issued:12/27/2016
Permit Category:ePermit
Site Address: 4469 Lakeshore Ter
Lot:8 Block: 02 Addition: Cliff Lake Shores
PID:10-17785-02-080
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Thomas L Weiland
4469 Lakeshore Ter
Eagan MN 55122
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA140492
Date Issued:12/27/2016
Permit Category:ePermit
Site Address: 4469 Lakeshore Ter
Lot:8 Block: 02 Addition: Cliff Lake Shores
PID:10-17785-02-080
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Thomas L Weiland
4469 Lakeshore Ter
Eagan MN 55122
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA160290
Date Issued:02/28/2020
Permit Category:ePermit
Site Address: 4469 Lakeshore Ter
Lot:8 Block: 02 Addition: Cliff Lake Shores
PID:10-17785-02-080
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 -
Thomas L Weiland
4469 Lakeshore Ter
Eagan MN 55122
(651) 455-6282
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 745-1400
Applicant/Permitee: Signature Issued By: Signature