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4484 Lakeshore TerN CITY OF EAGAN 3830 Pilot Knob Road Eaqan, Minnesota 55122-1897 , SITE ADDRESS: f F1 I { , • . . , ? S f`?QES ` PERMIT SUBTYPE: I I : 'ici it 1 C-i 6 E1 L 1'i C fi, 3 PERMIT TYPE: Permit Number: Date Issued: II(ik 1'1wi JAHN r.cA TYPE OF WORK: ?- .. i' t !4 AI -- - - - - - - - - - - - - - Permit No. Permit Holder Date Telephone # ELECTRIC PLUMBING HVAC Inspectlon Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG A1H TEST ROUGH HEATlNG GAS SVC TE5T I ' INSUL GYPBOARD FIREPLACE FiREPLACE AIR TES7 FINAL PLBG FfNAL NTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FfG DECK FINAL I NSP ECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 a SITE ADDRESS: APPUCANT: ?, t 1 fi? F,Il(Elil 1 f t< :i??! 1 hinl?! F{I.IM(='. l l?? ff I Fli i :.t1U12F `.. t2 ) 804 f?R917 ? PERMIT SUBTYPE: :,I, TYPE OF WORK: ? r; i I.j 1I1 l t+'N 1.'tF?ti 1. 0 1 ! INk ) INSPECTION ,. • DA I f•?rili<'!I f tl VI f?. ? fT I I RFMRRX.`'- 111.lf'1 (• Y. LJi IFI 4418t. 1 RYt 5i4f1Rf; !EF? (lI:tT f; 1 'i t. G1 f^ 1?1.? 4.11 M: 1 1 1) i tif3 ,._o_ , .. ?. . .; . ? - _? Permtt No. Permit Holder Dete Telephone # ELECTRIC PLUMBING HVAC Inspectian t Insp. Comments FOOTINGS ` 0v(O ae FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ?G - , n yJ ?rS?f ROUGH HEATING GAS SVC TEST INSUL ?v GYP BOAFD 7 C FIREPLACE , FIREPLACE AIR TEST L? - - FINAL PLBG -- -4-C?-j I sl - ' y - FINAL NTG _d IGI7 ?? f ?? / -- -- dRSAT TEST ? I BLDG RNAL BSNfT R.I. BSMT FINAL DECK FTG DECK FINAL I ? R z • . CITY QF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681 4675 E ADDRESS: I '` *"* I ' o-? ' 1 ` I ; . . I AK E `y6tUftF Yf` ft ?.. 1 1 I t I i+k t. °.W(fRE `•; PERMIT SUBTYPE: , Iftl'' ;CORD PERMIT TYPE: Permit Number: Date Issued: Wii 1 I 1? l N?i e. 71 atiitt 196 oU - .....? „ APPLICANT: '!, , . .. ,r! It????fr , 1Nr. {t>1R 1 ;i?rR- y?sAP TYPE OF WORK: ,I; .3 ? i , i i i6N w c- t.i t."fR(3 I" T 1,7NCy . .. . .. fiiUNA,ftKR : !?llF`I..k Y W1 } N 4 4 84 1_AM F':;Ilflk? I t R ( i.Qi 6) .i & bJ 1'1.Hft lJi?l?F,"f= t f't 116 ?. Permit Na. Permtt Hoicier Date Telephone Ik ELECTRIC PLUMBING "f 96 -15611 HVAC inspection IHJoe Insp. Commonts FOOTINGS 4ey ,(yAG FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST FiOUGH HEATING GAS SVC TEST - INSUL GYPBOARD' FIREPLACE FIREPLACE AIR YEST FINAL PLBG 4 e3? I? FINAL HTG ORSAT TEST $LDG FINAL ?? I ?? ?J, `?`? ?u?r ?-?Y''1,?1 !? ?ir c?} ?r? BSMT R.I. BSMT FINAL DECK FTG 6ECK FINAL ? - - ---_ - -- .*r .• Wertificate of Cccupanc? (FU4 of CfQgAn ?c?artatait vf Zritiixg 384rcction ? < 1 ? . 1 This Cenificate issued pursuant to the neqair+emenrs oj the Uniform Burlding Code certifying that at tlie time of issuance this stnrcture was in compliance with the various orriinctnces of tiit City rrgulating buelding construction or use. For the following: LIM Gassifcalim SF D`+1G/GAR Bmg. Pesmp No. 27733 0-ro-r TyPe R-3 U-1 T.aoina Disuid PD rype Const. Vt1 Ckvm of euibhn HOFPMAN HOMSS INC Address 2214 E 117TH ST., BURNSVILLS, MN 8,,;ft Addmss 4484 LAKESHORE TBR Lmwity L69 B3, CL1FF I.AKE SHORES n.k- POST IN A C()NSPICUOUS PLACE ? M?r=•` r ?. , ?ertificate of Cccu.oanc? cc" ???t of This Certificate issued pursrennt to the requireinents of the Uniform Building Code certefying rhat at the tinre of issuance this stnccrure was in cornplianee with the various o,dinances of t/te City regulating building construction or use. For the following: uu C'Lassificafim: SF DWG/GAR Bbg. ???t No. 27732 omawumr TYrm R-3 0-1 zonina D;suia PD Trpe ca,st. Vn Owna of B?lding HOFFMAN HOMES 1N"" Addien 2214 E 117TH ST., BURNSVILLE, t!N B ?? ?? 4486 LAKESHORE TEB ?? L5. B3, ?L1FF LAKE SH08ES ? BuiJidingolYkial I POST 4N A CflNSPICl30l)S PLACE .. 33 6 - 4 4 0 91 OpFFI E USE NLY This request void 19 man?s {rom vohdahon date pnnMd /in t-his !box Oa9JS? y?d r s ?07lg?? ?. PLEASE PRINT OR TYPE Reqoest Do?e Rao9h-in inspedian require Ves ? N. Inspenion Other Than Rauqh-In 0 Ready Now ?WAI Call _? (you moxr call fie inspedorwhe rea ? ?ate od . I, icensed roniracfor ? owner hereby requesf inspedion of ihe above elechico ork at Jab Ad? (Sireet, eox, Rou No ? Ciry ? ' Lp ade Secnon No Tawmhnp Name or N. Range No. Fire N. Counly?l , Occ?vanr Phone No ('1 Povrer lier Pddross Eleclrice onhador (Campany Namel CoN ar Limnse No Mosk r Lic N. ?Plonl Eletl Only? Madmq /Address (ContmM Owner Perfarming InstallaM1Onl V? 1 xed SignaNre IConha Owner Pedortning Insmllanon) _ca W I 1 I_VVrt' Phone No E&OOOOtA-I STpTEBOAfiUCOPj$tEINSTf7UCT10N30NBACKOFYELLOWCOPY 'fllll IIII IiID II I III I) ?I NIII II I IIII 8P1 O U nie siry Ave d flm. Sp' Bc?IPauPI, MNTSS0O 4Y 0 3 3 6 4 4 0 3 * Phoae (612) 642-0800 ? 9 9(0 me Duplex Apt.8ldg. Other: ew Addn Commercial Indushial Farm Remod Ra mr Air Cond. Hfg. Equip. WaMr Hh load Mgmt Other. D er Ran e Elec. Heat Tem . Service 'X' above the work covered by this request. Enfer remaiks m this spoce and on the back of ihe whife mpy only Calculote Inspection Fee - This Inspection Request wdl not be accepted withoW 1he correct fee: Olher Fee # Service Entmnce $ae fee # Cirwih/Feeders Fee Mo6ile Home Park Stall 0 fo 200 Amps 0 to 100 Amps Sheet Ltg./TmHrc $ig. A6ove 200 Amps Above 100 Amps Trans+ormer/Generafor INSPECTORBUSEONLY ? TOTAL+{ Sign/OuHineLtg.Xfmr 1 ? 1 ? S Alnrm/Remote Control Swimming Pool L? I Mreb cem I msw0o deernbad herom on Ihe dales okd Iffiyafion Boom Roogh-In Special Inspedion Investigative fee Final THIS INSTALLATION MAY BE ORDERED SC NNECTED i OT COMPLETED WITHIN 18 ON HS. 3 3 5- 4 41 0 OFFIC USrtE Oy LY This reqoesl void 18 montha imm wLdahon dok pnnted in this boz. _O a? ee 7 7 8`i ? ? ? PLEASE PRINT OR TVPE ?Jr J ? / 7rrvueal Dale Rough-In inspeaon "uirud?t/dd Yes ? No Impecnon Olher Than Rough-Ire ? Reody No..?.'ill Caii /a'? -? (Yoo must call Ihe inzpetlor when o y) Dare Revdy r? I, ' ensed confradar ? owner hereby request inspedi n o Me above ctrical wo o ?19 lob dms (Slreet, 8oz, o uk " Ciy Ik. L ? Sec4on N. Tamahip Name or N. Range No Fire N. Counry Occupan1 Phone No $q - q o `i PoxerS lier Address ? Elecln I Conhanar (Company ame) ?>i?? Connatlor b ?A u N Maskr Lc. Na Wlam Eletl. OnIY) MoI?I?A,id ?Contracro, , Performing insmlbeon) ? 60 A? nu ?d Sig?nalupre ontmd?or o,r, Ownnar pPeda?rming ImkllaNO^n) ( Phone No. , EB-OOOOlA-10 6/95 STATEBOARO M-9EEINSiRUCT10N50N6ACKOFYELLOWCOPY O? IIIIIIIIIIIIIIII II IIIIIIIIIII III 821?Uo? sity Ave.,RmER?6A?IPauIP,MN5O5104???g\3 0 3 3 6 4 4 1 1 * Phone (st2) sa2-0eoo ?1as?`s? _1/ Home Duplex Apf. Bldg Other:f w 11 Addn ommercial Indushial Farm ??-& Remod 1 Re oir ' Air Cond. Htg. Equip. Water Hh. Load Mgmt. Ofher. D er Ran a Elec. Heaf Tem . Service "X" above the work covered by this request Enier remarks in this space and on the back oi fhe wFite copy only. Colculafe Inspection Fee - 7his Inspedion Requesf will not be accepfed without fhe correcF fee; OHier Fee ¢e Fee # Circvih/Feeders Fee Mobile Home Park Stall = 0 to 100 Amps Sfreet Lfg./?raffic Sig. ps 700 Amps TfanS{ofiner/Cienefafo! INSPECTOR'SIISEONLY /? ? Tglp Sign/Outline Lig. Xfmr. ?"/ ? Alartn/Remofe Conhol I ? Swimming Pool I hereb ceei that 1, e inslallah desoibed herein on tha dares m IIfigation BoOm Roogh-In Dah ecial Ins $ edion p p Inve sfigative Fee Final cot HIS INSTALUITION MAY BE ORDERED DI ONNE NOT COMPLETED WITHI 18 M NTHS. 2006 RE SIDENTIAL BUILDING PERMI'T APPLICATION pq C ity Of Eagan 3830 Pilot Knoh Road, Eagan MN 55122 Telephone 4 651-675-5675 FAX 4 631-675-5694 ' New ConsaucAon Reourtemenis 4emodeVReoair ReouiremenLS Ofice Usa Onlv 3 registered srte surveys shavnng sq. R af lot sq. ft. of house; and all roofed areas 2 capies of plan showmg foo6ngs, 6eams, joists Cert of Survey Recd (20%maximum lot crnerage allowed) 1 set of Energy Calalatlons for heated adaitions Tree Pres Plen Recd 2 mpies of plan shwnng beam 8 wmdrnx srzas; poured found desgn, etc 1 sde survey for addifions & decks Tme Pres RequireC 1 set of Energy Calculahons Adddiar - mNCate ifon-srte septlc system On-site Sepuc System 3 copres of Tree PreserraGOn Plan if lot pla@ed after 711/93 Rim Jaist Oetal Opbons srJec9on sheet (6witlings wilh J ar less units) Minnegasco mechanicalvenhlanon form ??'z; / 7 3T;-o7i- _Y _N Y N Y N Y N Date /0 l ?! l 08 Construcrion Cost ?/ I OQ ,{', Site Address '?ffW 7" 7ytY UuitlSte #-lGU/n Qrn?. 55/? Description of Work ?I Muiti-Family Bldg ( Y/_ N Fireplace(s) _ 0 _ 1 ?? I Property Owner 1 - elephone #(9? I Contractor lJt.l?'v? ? • i Address City h Stace h ` Zip 653?J Teleahone3(?5lj ?^•'7 "1' /0 ? I Ca9VIPiETE '4'HIS AREA ONLY 1F GaNSTRlJCT7NG A NE'N B131L331TlG - Minnesota Rules 7670 Cateeorv 1 Minnesota Ru(es 7672 Energy CaOe Category . Residential Ventliation Category 1 Worksheet . New Energy CoEe Worksheet (4 su6mission type) Submitfed Submitted • Energy Ernielope Calculatlans Submitted In the lasi 12 months, has the Cifiy of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanicai Contractor Sewer/Water Contracior Telephone #( Telephone #( Telephone #( I hereby app]y for a Aesidential 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 Ciry 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 starc 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 of plans. (IU/r -?' VDIiJ Q.CI Applican's Printed Name Applicant' SigTture LOT SURVEY CHECKLIST FOR RESIDENTiAL U m Y m Q 7 U ? a m m < /z ?Y O ? B?? ? @?O ? ?o ? B? ? ? ?/? ? O ? i?? ? C3? /? ? ? ? PROPERTY LEGAL: DOCUMENTSTANDARDS • Registered Land Surveyor signature and company • 8uiiding Permit Applicarrt • Legal description • Address • North arrow and scale • House type (rambler, walkout, split w/o, spiit entry, lookout, etcJ • Directional drainage arrows with sfope/gradient % a • Proposed/ebsting sewer and water services & imrert elevation • Street name • Oriveway ELEVATIONS 6? ? ? • Epstina Sewer senrice (or Proposed) ael'6'? ? • Property comers C9? ? ? • 7op of curb at the driveway / ? ?? • E3evations of any sbsdng adjacent homes P o as *?'13 0 • Garage floor Q?'13 ? • Frstfloor ? • Lowest exposed eievation (walkouUwindow) ?C3 ? • PropeRy comers ?? ? • Front and rear of home at the foundation PONDING AREA C?f ao licable ? ?? • Easement line ? B?'C:l • NWL ? a?'O • HWL ? e" ? • Pond # designation ? q/O • Emergency Overflow E3evatlon DIMENSiONS P?'13 ? • Lot lineslBearings & dimensions ? 2-? ? • Right-of-way and street width (to back of curb) .a- ? ? • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (t.e. all structures requiring permaoent foatings) ?? ? • Show all easemenis of record and any Cily utilifies within those easemerds 0-? C3 ? • Setbacks of proposed structure and sideyard setback of adjacent exissting structures ? CY o • Retaining wall requiremen?eny ? Reviewed: - ? ti. o ! Date January 1996 CRAq19G018LOGPRA(f.FM LATEST REVISION: ' ? , \ ??- ',!; ,r j. \ ? HYD. . , t7.1.Q. b" TEF & 8° PLUc GROUND cL. ? , ? M ? h?.7g ?a ri t?-3 i ? -? •FF=927.1d 927.1 n,, ms. \ 9159 `. ? ? y ? g ? ?--NH-?4 r 1 , , ?, . ? '._ . . ; . ; , . _. . .. -., ...?F-t ,• < ,, J 0 SW CCRNER SSE. RIF=926.40 1rF=926.sC ' ? I ? ? 3,-- - '----?? -10' (?YP.),? ?1 y 8"X8" `EE i ? ? 8.. ; ., ?l i i i - s, ? , ? 'A \ ?T\t 1 .? ? ,l - ?. -- , ? , ; . , y . 1 ? ?,-- ? ? =:?:i. ' CLIFF LAI - - - -- -- -- --- - ? --- - 1 M'r. - 1 4 RE _ 92?-,.4G My_,3 ---- " -------- - = 9??,?c - - - R= - - - ., - -------- --?-- i? W, = 9'_.?? IC ?. = 4? ? 4C r?E,B? n?, 2r:-f - --._.? . . .,,.?: , ?. . " ----- - -- ? ,.. , • -- -- ..,..,?? --- ? --?------ ------ --- ----- - -----?- --- P U:t. IT v?. .._ ,. , . . _ ?'c[,C^. ..?• o . . •- _ ?rC:. ... •. 1".T , . . , ?-. 'lJ -,.?? e_?uc•J""?,I'J?.4.. "_' &MA/ 011 A PERMIT ? •CITV OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: Eagan, Minnesota 55122-1897 PermitNumber: (612) 681-4675 Date Issued: ??jy??N? 06 /11 J96 SITE ADDRESS: 4486 LAKESMORE TER LOT: 5 BLOCKc 3 CLIFF GAKE SHORES P.S.N.: 10-17785-050-03 DESCRIPTION: (ZERO LOT LINE) ?!3'?, Permit Type SP DWG a:`h, ?4?rk Type NEW ?R-3 U-1 C=c'%1?k,B;n ,,.. ag %) e V-N 2on3?roc} Pq ? x+l??izzng 38 66 ??% m I ?).`?t1?u?`; 102 1- PAM. ATTACH ws a. ?g'&?sao ? tRV ro?w 4?4i nwg REMARKS: DUPLEX WTTN 4484 LAKESHORE 7ER ( LOT 6) S& W PLBR - WENZEL PLBG FEE SUMMARY: Base Fee Plan Review Surcharge SAC SAC % SAC Units Subtotal VALUA7ION $1,002.25 $501.13 $61.50 $900.00 100 7 $2,464.88 la 61fi}H4lp???i d? 4Fe "i`eMeS 1?w? ?M9 Y4Pt & t?.?a???? 18r'? ??±h .?u? Iftatl •^Y'Y?y' ti8+3N]e ?.?`mi{? ? ? $123,000 MISCELLANEtlUS $1i923.50 Total Fes $4,388.38 CONTRACTOR: - Applicent - sT. Lzc HOFFMAN HpME5 TNC 18949807 0009284 2214 E 117TH ST BURNSViLLE MN 55337 (612) 894-9807 I hereby a,c.k'etawl?tlg?. t??y irlf46 rme?itrr? f? 1?6',r 11 ra?t sta t uta s a,na_;C ?ir?*?L r.., ?.r.ae. HpFFMAN HOMES INC 2214 E 117TH ST BURNSVTLLE MN 55337 (612)894-9897 ;e rn ea? a{spla,6atiam arrd st?ato t?Pwa?C,th? ?? ?a ac?trY?-??y tlfit aI,-? app l_a'aatte???.;?ta?e siarr?es: _? ATUR ISSUED B SIG ? CITY OF EAGAN 3830 PILOT KNOB RD - 55122 _-np 4?,1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681 -4675 Na?+ Gonslruclion Reauirements RemodeVReoair ReauiremeMs ? 3 registered site surveys ? 2 copies of plan ? 2 copies of plans (indude beam & window sizes; poured fnd. desgn; etc ) ? 2 site surveys (exterior additions 8 decks) ? 1 energy calculations ? 1 energy wlculations for heated additions ? 3 copres ot tree preservation plan H IM plattetl efler 7/1193 required: _ Yes ? No DATE: 51 Zg 15'o CONSTRUCTION COST: i-; I° DESCRIPTION OF WORK: STREET ADDRESS: 3 65; DE4T? A ?. i ot 448(p l-,Au.c-stwa& "f'e(LaAcE d LOT S BLOCK 3 SUBD./P.I.D. #: 1O 't -k't$ 5' O So - a9 b(///GF'X 6/6-1- / (O CL?FE t.f?tcrw ?Y?S PROPERTY Name: i--loFFr-c4a kcr-«s z?• Phone #: OWNER Street Address: City: ts State: m)*-4 Zip: 5533-t coN7RacroR Company: SA?e Phone #: Street Address: License #: Q Zg City: State: Zip: ARCHiTECT! COmpefly: N: usAEi.xaYA D6546-I Phone #: 93k- ?y`?P ENGINEER PJame: L'14c-. -Cf-''``:.^3 Registration #: Sfreet Address' 90 Clty: C HA-? NAc-ia€j Sewer 8 water licensed plumber: w6i.J2jk,-. HEUi Ar??GAfti change are requested once permit is issued. State: Ha Zip:553t"i- Penalty applies when address change and lot I hereby acknowledge that I have read this application and state that the information '. correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ` - OFFICE USE ONLY Certificates of Survey Received Tree Preservation Plan Received _ Yes No _ Yes _ No MAY 2 ! °--------°--? ° i , BUILDING PERMIT TYPE OFFICE USE ONLY 0 01 Foundation ? 06 Duplex o 11 ,d 02 SF Dwelling ? 07 4-plex ? 12 ? 03 5F Addition o US 8-plex ? 13 ? 04 SF Porch ? 09 12-plex o 14 ? 05 SF Misc. ? 10 - lex_ ? 15 WORK TYP ,P[-'31 New ? 33 Alterations ? 36 , ? 32 Addition o 34 Repair ? 37 GENERAL INFORMATION Const. (Actual) ??X/ Basement sq. ft. (Allowa6te) Main level sq. ft. UBC Occupancy 3 u/ sq. ft. Zoning ?'- D sq. ft. # of Stories lJi?.r sq. ft. length sq. ft. Depth 66 Footprint sq. ft. APPROVALS Ptanning Building Apt./Lodging El Multi Repair/Rem. ? Garage/Accessory o Fireplace ? Deck Move Demolition . m ! ?• _ ... *w. ?. . , . 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous MC/WS System ? /?35City Water = Fire Sprinklered PRV Booster Pump CensuS Code. /Oz SAC Code o ? Census Bldg ( Census Unit ( Engineering Variance Permit Fee Surcharge Plan Review License MC/WS 5AC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SN11 Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Totat: valuation: $/ z 3, o 00 G?? P °k SAC SAC Units 10:13 6129344305 i MINNET0IJKA DESIGhJ PAGE 07 EXTERIOR ENyELOPE AVERAGL °ll" COM!'UTA;f,10N 517E ADDRESS: conraacroR: Flo?-rmAN ?lar1?? nnrr: 9 -13-95 PHONE: Piax # C\?a ?x ?,?E Ntot?" Determine working square footage of each 1. Total exposed wal l area..... M 1- 1 sq. ft, x.11 - 201g ?OZ 2. Total roof/ceiting area..... JQ`Z(.p sq, ft. x.026 = 42 ,2 1 Total exposed wall area above,floor=? a." Total wall window area .......................... }-zi , 3 b.' Total doar area...................... .... .................. .. c. Total sliding glass door area .................................... ,C? d, Total fireplace wall area ................. - ....................... e. Total wall framtng area (average 10%) ............................ f. Total rim joist ared ................................. ? ••••........ ? 9- net wall area a6ove floor ..................................... 42 h• wall area a6ove floor .................... I wall area a6oye floor ...............:... .... j. frame wall erea at foundation ................................... Total expased faundation area= 'F?2\'1S k. Total foundaCian window area ....................... 7. Total net foundation area above grade .............. Oetermine "u" vdlue of eaCh wall segment ' (e.g. window, door, ezch separate wal] section) a. 12?,3 x "uil?? b. ,12 z ,. u„ 1(D gh x ?lull , ? . TA . . d, X OUll _ e. 131?C.o? x °uii f. X 9- ?2-1% .C?? X ?.W.-M _ "'t"C? c:A n. x „ull ? x flu„ _ • j, x u?? _ k' If item i3 is the sa as, or less than ite 1. ?5z-•-1 ? x "U"_ #1 • You have met the ? tntent of SBC 6006 ( 3 . ............................. ...Total ------ ----------t--- --- _--___.. ,995 10:13 6129344305 MINNETONKA DESIGN PAGE 08 . • 94, tOTAI IxAC3lD EOOM/CEiLINO CALCUtA7tO1151 ToCa1 Woud roof/ea111nq ft J) Total fkyllyht area.......?;,,?,._sq ft x"U" k) Tots1 toof/eel l inq Pr+•Sng arna (Averaon l0y) .•-- -• ` 2` s q ft i); Total ne! insulsxnd sq ft x°U" . roof/cel l Tng area...... . --- • TOTAI. J) thru 1? ??4CD I( total of stI is tha same as, ar tess than /2. Yau have inet the intant of • Z;lCAR 1.16008 A emd 0. .? • r • . • ' . • , Al'.TERpATE BUILOtNG ENVELOPE UESlG1! ` • 'Co utiitzn !he iotal envaloPn systam Kthod, -Lha values esta61•lshed by th4 sum 'of Itams 13 and 04 shatl not bn greatec than tfin sunn*ef I tms J?1 s°d f2• • . ' 2. ?; ? ... . _.. ... . - - . • •• ; • . . , . . ` 10:13 6125344305 MINNETONKA DESIGN * LINEAL FEET EXPpSED 41AGL £'. BLOCK: KNEe: WALKOUT: 3? ;_ . F, FU4L 1: 1(.p-7,ls FULf. 2: FIREPLACE: RIM: ?&71 ?S * SQQARE FEET E7CPOSED WALL ASEA BLOCK: `V?-? `,--_, x KI3EE: x 5 a : WALKOUTt S? x 8 s 3C? FULL 1: x 8=133?1? FULL 2: x 8 - FIREFLACE: x = RTM: x 1 n?CD?,?s TOTKL IC ?L ? SQUARE FEET EXPOS 9 .D Ef} CEILING WINOpWS: 1Z? , 3? DOORS: 3-717? Z-li'f(p W+I' ?l S` t ??D 4 , &ik2 PATIO AOORS: I?? zoSc, I l ll ? p? 305 BASEME;IT UNITS: ?v40 11 I? ??? ?p SIU?LI(,?Flt" ?,? SttYLIGHTS: 123 1 3 PAGE 09 !9 ?I ,? ?N? HOFFMAN HOMES, INC. 2214 East 117th Street Telephone [3iirnsvillc, MN 55337 (612) 894-9807 ? CONTRACTOR # 9284 Fax (612) 894-9878 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) 5 x 4, Block 3 , Cliff Lake Shores, as were used on Lot(s) I it 'Y, Block ?' , Cliff Lake Shores. None of the structural building components, HVAC, plumbing or electrical will change from engineered drawings dated 1o146(y5 Sincerely, 7N4 Patrick C. Hoffman President PCH/jem pch/eaglo- ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-17785-060-03 4484 L07e CLIFF LAKESHORE TER 6 BLOCK: 3 LAKE SHORES , c2o,585CA 5 BUILDZNG 027733 06/i1J96 DESCRIPTION: «k? " (ZERO LOT Bui?.ding,Permit Type r?Building 4Qrk 7ype iU8C ,Occupa„nc?y?. s-? Coris"truatf4n Zoning '--, ' Building Length t Bui,lding Liidth ? Bu'i'?l.d?ir59%storie&`' \? tlT`?; ,('X .,. LINE) SF DWG NEW R-3 U-1 V-N PD 38 66 1 102 1 - FAM. ATTACH REMARKS: DUPLEX WI7H 4486 LAKESHORE T.ER (LOT 5) 5& W PLBR - WEN2EL PLBG FEE SUMMARY: VALUATION Base Fee Plan Review Surcharge SAC SAC % • SAC Units Lic. Search Fee Subtotal $2,573.88 $136,000 MISCELLANEOUS $1.923.50 Total Fee $4.497•3$ CONTRACTOR: HOFFMAN HOMES INC 2214 E 117TH ST BURNSVILLE MN (612) 894-9807 $1,067.25 $533.63 $68.00 $900.00 100 1 $5.00 - Applicant - ST. LIC 18949807 0009284 55937 OWNER: HOFFMAN HQMES INC 2214 E 117TH ST BURN5VILLE MN 55337 (612)894-9607 I hereby acknowledge that I have read this ini'ormation i`s corr?ect ah,d "agree tQ ctimply Statutes and y of Eagan Ordinances. P LICANT/PERMITEE SIGNATURE PERMIT PERMIT TYPE: Permit Number: Date Issued: application and state that the wS,th all appticable°SCate`af Mn., ?I?IA RjoJILA4 ISSU D B: SIG ATUR . CITY OF EAGAN 3830 PILOT KNOB RD - 55122 ????996 BUILDING PERMIT APPLICATION (RESIDENTIAI) 681-4675 rements RemodeVReoair Reauiremen ? 3 regislered aite surveys ? 2 copies of plan ? 2 copies of pians (include beam 8 window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior adddions 8 decks) ? 1 energy calwlafions ? t energy calculations tor heated additions ? 3 eopies of tree preservation plan 'rf bt platted afler 711/93 required: _ Ves ? No DATE: S/Zg I9`- CONSTRUCTION COST: DESCRIPTION OF WORK: STREET ADDRESS: lES?DAL. 4484 L?AXkS?r? -iL-2"CC- 41v«K LOT 4 BLOCK 3 SUBD.IP.I.D. jO ''-*}85 OC0023 ? G?1PF Lr?KS? 5?,as:S ' )uP?LiC i-'/?o7 S PROPERTY Name: +1ofPrlAa 1-14rtes ?-?• Phone #: OWNER ""_ Street Address: Z2'''? E• ??}?? s-c???'? CIty: a State: ON)J Zip: 5`?33'1 CONTRACTOR Company: SAMG Phone License #: 4Lgi Street Address: City: State: Zip: ARCHiTECT! Company: n; uAZ-4.,,aV-A ()E5%6tf Phone #: ENGINEER Name: L `1L-L- -rf-'"`""2 Registration#: StreetAddress S.,"E City: C"A...) State: K.i Zip: 553?3' Sewer 8 water licensed piumber: Penalty appiies 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 i ti n is orect and a ree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes No Tree Preservation Plan Received , Yes , No RCCCWEDD ildV 2 8 9396 --------------- OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 ,,0'02 SF Dwelling ? 07 4-plex ? 12 ? 03 SF Addition a 08 8-plex ? 13 ? 04 SF Porch ? 09 12-plex ? 14 ? 05 SF Misc. ? 10 ?- ? 15 WORK TYPE 0 ` L° 'r New ? 33 Alterations ? 36 0 32 Addition ? 34 Repair ? 37 GENERAL INFORMATION Const. (Actual) (Allowabie) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning 8asement sq ft. -/v Main level sq, ft. -/ sq. ft. P- i sq. ft. „rr sq. ft. ? sq. ft. ? Footprint sq. ft. Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit SNV Pertnit 5NV Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: Apt./Lodging ? Multi Repair/Rem. ? Garage/Accessory ? Fireplace 0 Deck Move Demolition 16 8asement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous /, (a l(a MC/WS System ?- 4 63s City Water Fire Sprinklered PRV Booster Pump Census Code. /0 SAC Code o/ Census Bldg ? Census Unit Building Engineering Variance valuation: $ 136,Do? ? / A-? L67- % SAC SAC Units I ?N? HOFFMAN HOMES, INC. 2214 East 1I7th Street Telrpbnne Biirnsville, MN 55337 (612) 894-9807 ? ? CONTRACTOR # 9284 F (612) 894-9878 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) 5= 4, Block 3 , Cliff Lake Shores, as were used on Lot(s) ( A v, Block 2' , Cliff Lake Shores. None of the structuraf building components, HVAC, plumbing or electrical will change from engineered drawings dated io(t 6(9S . Sincerely, C--? ? Patrick C. Hoffman President PCH/jem PdJeaglV , : ...tiC'S:'ii':;.('?:?;e ... '..?F . .. itJ, ?? i ? ,: t ? .! fi_.. .. .: ?"Y: i . ,.• ? . _ . ?li., i ^ ? i ?i I,'nC?:',rll.if'tfi. ? •i_ . .... w? ii'•a i. Pi?'i'r';':?p:??ir ,.,..,.%'X:`h;:„, a::Y,:.„f._dY„7-?,;,-ai:;i':ii't•=',. , d(<:`i:i;;?: PERMIT ClTY'bF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERAAIT TYPE: Permit Number: Date Issued: 6UILDING 031047 10/31/97 SITE ADDRESS: 4484 LAKESHqRE 7ER LOTc 6 BLtlCK: 3 CLIFF LAKE ShqfPS P.I.N.: 10-17785-060-03 DESCRIPTION: (GAS) rmit Type FIREPLACE r.k Type NEW 434 ALT. RESIDEN7IAL „ '. ..... '.:a?x?•.`.,.?? REMARKS: ???'???? a?w?`?? 'v "? ? ? ? ? 8? ?a ? ,. 1 FEE SUMMARY: Base Fee $50.00 Surcharge $.50 Total Fee $50.50 CONTRACTOR: OWNER: _ p p p 1 i c a n t- ? HULTING JOHN ? 4484 LAKESHORE TERR EAGAN MN 55122 (612)454-7950 ? . a I .h^8"I^4 tsy`? cknk?_w'2ed"ge t ini'arm,aticrn`:=1? cxo r:reet- APPLICANT/PERMITEE SIGNATURE I?1°0"? sR?`?I m----? - CITY OF EAGAN 31044 3830 PILOT KNOB RD - 55122 ?j !( r10 /i 1497 FIItEPLACE PERMIT APPLICATION -1 V ?J U 681-4675 DATE: .7' -2,?. PERMITFEE:$50.50 DESCRIPTION OF WORK: _ CONSTRUCT NEW FIREPLACE _ ALTERATIONS TO EXISTING _ INSTALL GAS INSERT ONLY INSTALL GAS LINE ONLY r ??OTf-IER: /I?Pw 'iJerl? oi?i s ?, STAEET ADDRESS: _ ?, y ? LOT + BLOCK SUBD./P.I.D. (Lib.?l 6'V - APPLICANT: (circle one only) OWNER CONTRACTOR 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. PROPERTY OWNER F[REPLACE INSTALLER Name: Signature: Phone #: ys Y` Street Address: 4- City: ??r c 4;' 4-7 State: ? Zip: SS/ a- z_ Company: (V u/,4-7 e?-^ Phone #: Signature: _ Street Address: City: License #: State: Zip: GAS LINE Company: CJ,-cJ -piPhone #: INSTALLER Name: Signature: _ Street Address: City: State: Zip: L /O D ?J SUSD NEW RECEIPT # ?tECEIPT DATE DATE kj TC JC PLEASE BE ADVISED THAT THERE IS A FEE SHORTAGE ON THE ABOVE C? ELECTRICAL INSTALLATION IN THE AMOIINT OF $ - SHORTAGE MUST BE PAID WITHIN 14 DAYS. REMfLRKS 700 - 30 AMP CIRCUITS = ? C, 31 - 100 AMP CI?tCIIITS = PE?tMIT II - ? q4O ? ? OkIG RECEIPT # 7??.? RECEIPT DATE ZLl PLEASE RETURN A COPY OF THIS FO?tM WITH YOUR ?tEMITTANCE. / l /,'??j lt° tz THANK YOU ! OWNER ??/wvw I??7"LC? 0 - 100 AMP SERVICE _ _ I 101 - 200 AMP SEHVICE _ ? L-5 . 3 RECEIPl' Ii ?l 7 / r5 ? .:::z?r o.;re_ / iP7? nAxE // - 20 -Ct'C, 20 .; aB ou x ??.F,ASE 9E ADVIS^cD T:+AT =E IS A FEE SHORTAGZ ON 2'HE ABOYE c^..ECTRICAL I16TALI.A1'ION IH = AMOUNT OF $ ; :1 :? ? SHORTAGa MIbT 3E ?AID '.iHITHI2i 14 IS1'!5. R£YARKS j 0_0 30 amn. c_-cuits= v 31 ro 100 amn. czrcuics= 1 ? 00 0 co 100 amo service= am '- do ?r ?'(?'1'ai. FrE SNORTAG^c DUF - < 4 h PERMIi!1 ORIG. RECEIPT:/ RE!'EI?T. DATE xI fL RETURN A COPY OF THIS FORM WITH REMITT.4NCE. ;0 `z -1 I A ov) - 3350? > 3?? o? )0W L 61 gL ? CITY USE ONLY RECEIPT Lr[?- SUBD. O?w a,?e. rcao DATE: 1996 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681a4675 Please camplete for: ? single family dwellings ? townhomes and condos when permits are required for each unit New construction Add-on furnace 4dd-en air condilioning Add-on air exchanger, 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) :3, ? State Surcharge .50 TOTAL .'? 7,5" SITE ADDRESS: g OWNER NAME: 14dri-l'InrI k) 140'0?lL?S PHONE #: INSTALLER NAME: L\11`7 "'jl STREET ADDRESS: Gllv? I V21 /-kC: CITY: STATE:? ZIP: ?SyU1 PHONE #: CITY USE ONLY L ? BL ? SUBD. ? 610 RECEIPT #: DATE: fet f/F? 1996 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILQT KNOB RD EAGAN, MN 55122 (612)681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit N? ew construction Add-on furnace Add-on air conditioning __ Add-on airexchanger, i.e. Vanee system, etc. Date: EE ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 24.00,-' Additional 50 M BTU 6.00 ? f Gas Outlets (minimum of 1 required @$3.00 each) ? State Surcharge .50 TOTAL ?Y? ? 51TE ADDRESS: /-//-/ 9 ZAA LS?'4 &7 OWNER NAME: I__N9j6K INSTALLER NAM ? PHONE #: STREET ADDRESS: ? ??I Cw CITY: STATE: ZIP: v PHONE #: ( ) :?S??iSG / / ? ? ??/ CITY USE ONLY L? BL ? RECEiPT #: 5 ?j /19--7- 96 SUBD. DATE: 1019 g& 1996 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 unit FIXTURES EASH NQ. TOTAL Shower 3.00 x 3 = ?7•Oqp Water Closet 3.00 x Bath Tub 3.00 :< _ lavatory 3.00 x Kitchen Sink 3.00 ;c Laundry Tray 3.00 x Hot Tub/Spa 3.00 ;c Water Heater 3.00 ;c _L = 3•?? Floor Drain 3.00 ;c = 3? Gas Piping Outlet " minimum -1 3.00 ;c Rough Openings 1.50 x Water Softener 5.00 :c Private Disposal ' Dakota Cty, ucense 65.00 = (new and refurbished systems) U.G. Sptlnkler ' home under eonst. 3.00 = Alterations ` to existiny 20.00 = Water Tum Around 20.00 STATE SURCHARGE .50 TOTAL 57, crv SITE ADDRESS: 94's"T L/?KEsy4?? -7ZeRAC?. OWNER INSTALLER STREET /oFF/?lA? Oov CS /9 CITY: L46,AA-) STATE: MJ ZIP: PHONE 457 ~ 16-6 1?r CITY USE ONLY ` ?L ? BL ? RECEIPT #: ?U y SUBD. ? DATE: tD 7996 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 unit FIXTURES EACH N? TOTAL Shower 3.00 x 3 = 71 OV Water Closet 3.00 x 97, ? Bath Tub 3.00 x = jo. Lavatory 3.00 x /2.0V Kitchen Sink 3.00 :< ! = 3.0v Laundry Tray 3.00 :c I = 3. dU Hot Tub/Spa 3.00 ;c 3.0v Water Heater 3.00 :c 1 = 3.aV Floor Drain 3.00 :< 3.a"D Gas Piping Outlet * minimum -1 3.00 x ? = )2,0 Rough Openings 1.50 :< 1. Water Softener 5.00 x 5•? Private Disposal * Dakota Cty. license 65.00 = (new and refurbished systems) U.G. Sprinkler ' home under const. 3.00 = Alterations ' to exiseng 20.00 = Water Tum Around 20.00 STATE SURCHARGE .50 TOTAL 6fxv SITE ADDRESS: 149 (? OWNER L A&I 4?Re4ce C--s (NSTALLER NAME• OCA) Z-ACZ- /'/E494A.Ile-4 (-- STREET crnr: STATE: NN ZIP: PHONE #: ( ti2 ) 45--o- I s? ? G, ?- y ,01111 - City of EapIl 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 ------------------ ? Fo?4r?e.?se ? j Permit #: ? rn ? Permit Fee: ?? ? Date Received: ? I ? I Staff: ? I ? 2008 RESIDENTIAL BUILDING PERMIT APPLICATION ' rl 1- Date:??DB SiteAddress: ??? ? ??v? ? SY?'?? -R"??- Tenant: Suite #: Phone: S WIhOYVLQ C%W U" 51 tuM `OU RESIDENT/OWNER . _ . f Name: Address / City / Zip: I(bq43 CItek LAtQC CT. ? @1Aui 551 a_?? -L41 15 _ Applicant is: _ Owner ? Contractor TYPE OF WORK Description of work: 1 eGu- Lit'k` 'fQlUUt' ? wiYIGI.dk5 [ Construction Cost: +74i too -Uo Multi-Family Building: (YesX_/ No__- CONTRACTOR Name hw? 'n' _W License #: ?1 (0(0005 Address: oq(Jc) 3u0LiucLl (1d ? [oo State: ? Zip: 9-_-)33 nClk ( Ui hA . _ c City: Phone:5lya-1Cn'v% ContactPerson: ILJIoa- &`L(?r COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code . Resitlential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category suemitted Submined submission type) • Energy Envelope Calculations Submitled 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: NoFE: Plsns and'su- aiitl? tlocuments thaY" ou sqbmrtar'e'?co+?s?deTed to; be;pii[ilic?lnYorrtuafion,;g?drtlorrs.ot;;r the informafion may be clas`sdied as non pub ic4flyouiprpvide spec?frc ?aeons}tfiat would permrt tfie Eity?to' , I hereby acknowledge that this intormation is complete and accurate; lhat the work will be in confortnance with the ordinances and codes of the City of Eagan; that I understand [his is not a permit, but only an applicatlon for a permit, and work is not to starl without a permit; that the work will be in accordance with the approved plan in the case ot work which requires a review and approval ot pians. ?? x ?tcwic? ScFn.l? e -?e,? X ???, C- ApplicanYs Printed Name ApplicanYs Signature Page 1 of 3 i (sis.7) I 918.0 ? I O P I 4.00 ? I (s2a.o) x (925.2) r - 27.95 - - -.-? I . ''?'• ' 4 f?. . .? ? 1 ? I I CER TIFICA TE ?i } 1 N4z. oa ? 0£CK I PORCH I FWO LOT fi rMC, q `? ? 5:?A rz? '33°wn " ? ?` 84. oo 1 g g 1 a2.oo ? -- ? (923.7) I PORCH I OECX 38.00 92,?0 LO ? LOT 5 I 4484 4486 tl LAKESHORE TERRACE 0 4.50 11'S0 ry 4.50$ O l _- _o ry J2SO AN __ _ __ _ ?ryr 42.00 (920.0) AO 10.00' Offset 919.30 ?B 10.00' Offset 921.72 CO 10.00' Offset 922.24 DO 10 00' Off f 1 9213 ? . se 925.58 ? ? 1 ).00 ?-- - 4.00 ? I > . (9z7.a) ? - --- - ? o 64.00 (926.2) 924.9 sis.s i b i ? O ? i 915.4 cl? ? ?^ ° ? I -±- j - ---- --- _`-._.--- --L - -f--- --__._-?-_- ? I ? (92579 TC) ? ?rt lu I I ? 925.2 ` (925.41 TC) L ? 924.8 ? --- __-- , ? - i -_ - --- ? ?-° EXISTING N CURB & GUTTER r---------i I / L_V_I i / I / I I ? ? L ' ? ? _]E:AGAN E,LVGIC DEP"'i. REQUESTED BY.- LEGAL DESCR/PAON.• Lots 5& 6, Block 3, CClFF LAKE SHORES, according to the plat thereof, Dakota County, Minnesota Top af Block = 928.08 Lowesf Floor = 919.93 Garage Floor = 927.70 GRAPHIC SCALE 20 0 70 20 40 ( IN FEET ) 1 inch = 20 ft. 930.0 Denotes Sanitory Sewer Service /nvert 865.0 denotes existing elev. (865.0) denotes proposed e/ev. denotes surface droinage • Denotes iron monument found O DenoFes iron monument set 8earings based on ossumed datum. I hereby cerfify that this survey was prepared by me or unde my direct supervision ond that ! om o duly ?gistered ??veyor under the loWS of srore or s r ° Morfin ?. W Registration 12043 Date HOFFMAN HOMES /NC. ? OF SURVEY Too of lrons @ Offsets ?. G? , . Weatwood ProFessional Services, Inc 14180 West 7runk Hwy. 5 Eden Prairie, MN 55344 (692) 937-5150 Drawn by M$ ' Dore: 5120196 Jab No: 95198 Lat 5-6, Block 3 a.?r ns_na nwr. City of EakaIl 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 l� 0C) 3 131 vb� Use BLUE or BLACK Ink For Office Use Permit #: i (0) Permit Fee: Date Received: Staff: 2014 MECHANICAL PERMIT APPLICATION ❑ Please subfl it two (2) sets of plans with fall co meer/cial�applications. Date: �L" Site Address: �"t 7" ► La ask/ U r I eV {7�ne..2 Tenant: C1 /1 `l 11 A H7 0 Suite #: J Resident/Owner ., Name: (] I Phone: %5 I X 47g6o Address / City / Zip: Lz/ vi C a,V6s h o rei kK I(/ t'9d-k7 i a -) Contractor Name: (`IIP 440a v 1-1(6-1-10 ,i- Pj i/ License #: U 1 1 0'1-0 55 Address: Mull. ide_ � y t i 0 f CA- City: \--\--ac I\G3 y G State: fl'W Zip: ._'—..>()'29 !�Phone: Q? I - q '1-- Ya V C7 Contact: .4,V I/Li Email: �-e ✓ VII . VIACON2 GGOO@ ow I/ ou rcur Type of Work New Replacement Demolition _Additional _Alteration Description of work: NOTE Roof mounted and ground mounted mechanical equipment is required to be screened by City Code Please contact the Mechanical Inspector for information on permitted screening methods. Permit Type RESIDENTIAL Fumace Air Conditioner COMMERCIAL — New Construction Interior Improvement Install Piping p� g Processed Air Exchanger Gas Exterior HVAC Unit _ Heat Pump _ Under/Above ground Tank ( Install / Remove) Other _ _ RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit (includes $5.00 $5.00 State Surcharge) State Surcharge) el-) _ $ 0. TOTAL FEE $100.00 Residential New (includes COMMERCIAL FEES $55.00 Permit Fee Minimum Contract Value $ x .01 = $ Permit Fee $70.00 Underground tank installation/removal *If contract value is LESS than $10,010, Surcharge = $5.00 **If contract value is GREATER than $10,010, Surcharge = Contract ***If the project valuation is over $1 million, please call for Surcharge = $ Surcharge* Value x $0.0005 = $ ..,' TOTAL FEE 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 stj 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. -e ./i(gr 4e=e-- Applicant's Printed Name x Applic gnature COW) FOR OFFICE USE Required Inspections: Reviewed By: Date: . 4 Underground _ Rough In Air Testes Gas Service Test `i In -floor Heat Final HVAC Screening Use BLUE or BLACK ink r-----------------, I For Office Use � ' � Permit#: � � � ! i Clt� of �� Permit Fee: � 3830 Pilot Knob Road � � Eagan MN 55122 � Date Received: � Phone: (651)675-5675 I I Fax: (651)675-5694 � Staff: I I I 2015 RESIDENTIAL BUILDING PERMIT APPLICATION p ll 5�.1�z Z. Date: � � �-S �T� Site Addres�d�-7�� r%r-��.T��y� �WR �"` ��N Unit#: � , �_Name:��._.'V�;;-I�/"�.,_ �r�(�i�,...... 5��1'�.....a_A..�w...�_., , .�u.H�,.�M Phone: �,�.,,.�,...�,�.�...,�d..�..,w..,�.,�� R�i�isn�l g . �1�o� � �� /� .� a SS/az � ��Vi��i' � Address/City/Z�p: D �Gf✓�<.I�•�c.ovL � lJd� cc.. C� C�--. ' Applicant is: Owner Contractor � �,�,,.��,»�...�,u_...�.�. _,,_.�.,�.,.�.�....e.�,_.,�.,..��,�...�.� �,,,.�_a......��...�.�,..�.�.,��,. � � � Description of work: �C��h .Yµ � Type of w�ork ,, � � � Construction Cost: /7� �' �� Multi-Family Building: (Yes /No� � �,�.� ��..�.��_.m.,�d.�.��. �,.,.��.,,�.........m�.�...�,. ._.,....�,�, .� �.. ,� �..� � ' � Company: �� f C U�r.v�-/ ��'I+%�'r�� nc. Contact: ��5 ��`09� � � � ��J � CO#�t'�C#=UP � Address: JJ� ��s�ta��, G� l�� s�f` �sr c�ty: �'��/�w� • � � State:�Zip: �Sy�7 Phone:��3-'S.S6-�� Email: L�'�.1��e-1Z.�°..��,.�(�ey�,/lu��,r� , �� License# ��v � �a 7 �!3 Lead Certificate#: �,.,��.�„_,�.W„�.„.,w� �,�.�,,�_��,a.�,,.��,��.�..��,....�,z�..�.��..�.��A.�,,,�.�..�.��.�._.�.�..�.�.��.,�.�.,.o...,�.�:�.,�,.�.,�,,.�.,�.�a..e...�..��..�,.,� 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? g � ; Yes No If yes, date and address of master plan: � � Licensed Plumber: Phone: � Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: .�lV�JT�:#'�s a�d��vort��g+docu��rr�s tf�a�yo��u�b��re ca��r•ed�tr be ptrbl�c i�#ri�raa��. Po�cu��af � t�►�i�r�'nrr�a�i��s c�a�s��ed�r�;�n p��if y��pro��l�e�pec�c r�aso��at��!pert�i�t t�e C�ta �,.,�,, __:� � c�r��,ol�a i�hat t� are�te s�e#s. 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 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. Exteriorwork authorized by a building permit issued in accordance with the Minnesota S e uilding Code must be completed within 180 days of permit issuance. ��'.� / d�(��—c� �..—� x X Applicant's Printed Name App c s Si ature Page 1 of 3