4485 Lakeshore Ter` INSPECTION RECORD
CITY OF EAGAN PERNIIT TYPE:
? 3830 Pilot Knob Road Permit Number: o.' tt ?'F
? Eagan, Minnesota 55122-1897 Date Issued: s+F. !! 1/`it?
(612) 681-4675
SITE ADDRESS' • 111, 0 40 " pppLICANT:
r u ? Ht n? ?
1'i r, ,;- i
? ! I I f ! ';t ? ,II(I('; ? { + 1 i ?;'+ 9 ?tFtF91
PERMIT SUBTYPE:
, ;..,,
TYPE OF WORK:
NF W
J. tj l lffp4 ( IFf+rN L fl l I. INF )
INSPECTION .• . .•
: ti .??1 f•? t i?ij?l ? r i I!!,? i
i'?( 1 r i 1 ?(j I I 1.
: ?+?rs! f'l lir, I lf??'?t
rt Tr M a1Zr: 5-; ! r, 11.? PI f: xWi M 44EIt; i. A k s- K? rf ra P? t'F FR tLc? r 4 j
1'i ktt. - Wr M: [-! NI N1;
Permit No. Permit Holder Date Tetephone M
ELECTRIC `', ?
PLUM81iVG
HVAC S? Q(? ?a5.'?v? '1
Inspection t Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING g ??b
PLBG
AIR TEST
ROUGH
HEATING
I ?
y
GAS SVC
7EST
is
INSUL
---
-
_-
GYP BOARD ? - -?
?
FIREPLACE
FIREPLACE
aiR rESr
-- 1
--- -
FINAL PLBG
! ???•
EINAL HTG
ORSAT
TEST
BLDG FINAL
ip
BSMT R.I.
eSMT FINAL
DECK FTG
DECK FiNAL
?
?
J
`GITY OF EAGAN PERMIT TYPE: '101 +1 11 r Nfi ?
3830 Pilot Knob Road Permit Number: 0 V;
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
1;1F 1 .?ltil'tt, ? f l? ?' i ??'•?:-I< l;??pll , I fJ?
? 1 f I ! f 1i k • 1111 }l l' L?.' ) i i1:1 4 13 t 10 r? .
PERMIT SUBTYPE:
TYPE OF INORK:
r9 F I2
{?FFtO 10 f I lMk: I
INSPECTION DA • DA
;It ! i ; 1:11
ii'i•.II{ r• i, :I? i Il ;! 1,'?? ?
1 r•t j'i I; . ?irli.[f ? 1?; I! ??
! I?iiEl 1 E=? f tIJ;?l1
PrMARV :,: 110Fai.f x wriH 4415! 1.AlcF ':4I00F -trR t1 0 t ;?
s; & w e?1 eri wrNIr I I Nt tilF
-?
?
Pertnit No. Permit Holder Uate TelAphone #
ELECTRIC
PLUMBING
HVAC *-
Inspection ,,.Ip. Comments
FOOTINGS
FOUND
?
X-
FRAMING
!.? l
ROOFING
ROUGH
PLUMBING ?
PLBG
AIR TEST
ROUGH
HEATING
?
GAS SVC
TEST
RA#
INSUL
GYPBOAAD '
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
O Z3•
yr??
FINAL HTG
0 .23-96 ?
?
ORSAT
TEST
BIDG FiNAL
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
_ .r-i .•- r ' 1- V'
W-er#ificate af cccoanc4
Wit4 of Cfagan
Moartmewt of e«ilbhtg 3xdocrrisn
This Certifecate issued pursuant to ilee requiremeats of the Uniform Building Code
certifying that at tlie time of issuance this stnrcture was in compliance wrth the various
orifinances of the City regulating burlding co»struction or use. For the following:
U?CLmificabon: SF DiiG/GAR Bldg. Pem;t No. 27835
0-w-r TYK R-3 U-1 Zonioa nnoin pD Type coost. Vn
owwo(Buikfing HOFFMAN HOHES 1N(" Ad&m 2214 E 117TH ST., BURNSVILLB, MN
B?? Addrm 4485 LAKESHORE TERRA F?.Y L4, B2, CL1FF LAKE SHORES
- i Datr
. Bailding Official PflSST IN A CONSPICLIOUS PLACE
%ertcficate nf Cccupaxco .-'
Cfitiq of Wagan ?•
Tc*trWcut of istati* axapectisx
Tisis Certiftcate issued pursuanrt to 1he requirerirenls of 1he Uniform Bui[ding Code
cenifying that at the time of issuance this snvctuie was in corripliaicce with the various
?t
oRiinarrcts pf the City regulatueg buildirtg cortstruction or use. For the following:
usc cusssfxmtimL SF DWG/GAR Bldg. ???t No. 27834
O-UP-y TYr B-3 U-1 Zj.a D,.,. PD Tya ca,w. Vn
Chnwo(8uilding HOFFMAN HOMES 1N:; Ad&en 2214 E 117TH ST., BURNSVILLE, MN
4487 LAKESHORE TER L,.W;?y L3, B2, CLIFF LAKE SHORES
°u"`
P06T IN A CONSPICUOUS PLACE
IIIII I?II?iI REDUEST FOR ELECTRICAL INSPECTION
? M62? ?? I Minnesota State Board ot Electricity ?rn 1821 University Ave., Rm. 28, t. Paul, MN 55104 ??
L* Phone (672) 642-0800 / S(p
e Dupiex Ap}. Bldg. Ofher: ew Addn
Commeraal Indusfriol Farm Remod Re air
1 Air Cond. Htg. Equip. Wate? Htr. Load Mgmt. Ofher:
D er Ran e Elec. Heaf Tem . Service
"R' above the work mvered 6y ihis request Enfer remarks in this spoce ond on t6e hatk of ihe whde cop only.
2Z'??, ?-`r-'?c .es-?
L?
Calculate Inspeclion Fee - iha Inspection REquest wdl not be accepted without the <orzecf fee:
OlFier Fee # Service EnNance $rse Fee # Cirails/Feeders Fee
Mobile Home Park Stall 0 ta 200 Amps 0 to 100 Amps
Streef Ug./Tmffic Sig. Above 200 Amps Above 100 Amps
Transformer/Generator USE ONLY ?
I
Sp T?T?
Sign/Outline Lig. Xfmr. 1
Alarm/Remate Control /
?
r
Swimming Pool
?
msMllahon descnbed herom on Ihe dorea alartd
11 ' e el«fiml
h
b,.
Irrigation Boom Re?9h. r Doro
$
ecial Ins
eclion -
p
p
Investigative Fee F; oare
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPL ED WITHIN 18 MONTFIS.
2?J ?-16 2 Q O? USE NLV This reqvest void 18 months Imm validafion daro pnnted in Ihis?a? ??
9?
•
?,3 9 7 (0 975? 4
??
PLEASE PRINT OR TYPE ,poc ,CJf?/u4
/
kequcet le Rwgh-in insped?an requimd2 Ves ? N. InspecM1On Other Than Rough-In: 0 Ready Naw ill Coll
? (Vou moaf mll Ihe inspecbrwhe readyj D e R y:
I, licensed conhacfor ? owner hereby request inspedion of fhe abo eledricol wor
Jo Pddross (S eet, Box, or la j Gry c - C
SetlionNo.
I
TownehipNom<orNo.
Rong<NO
FinNo.
I
Coonry /
Occu n1 ( ,(?? ^?_? Phone N
PawerSup e ? ny n Address
EIMnc Contmdor Campany Nome? Ca tntlor 6cen N
f?C?seU ? Masrer lic. N. (Plam Elea. Only)
ss (Conhacror
Mading Aildrt?O
er Pedormmg Ins allanan
'ssd $igiwlvre ?Canhacror or Owner Pedorming InsblbM1On) ,
V '\ Phone No.
EB-OOWIA.10 6/95 BOAILR COPY-SEEINSTHUCTIONSONBACKOFVELLOWCOPV
4/S( 2006 RESIDENTIAL BUII?DING PERNII'T APPLICATIO?t 35L9 ?v?
? v City Of Eagan
3830 Pilot Knob Road, Eagan NIN 55122
Telephone # 651-675-5675 FAX 9 651-675-5694 '
Naw Conswc4an Reouvements RemoCeVRecer Reauiremenl5 Offica Use Onlv
3 registeratl srte survep showing sq. R of lot, sp. R of hause: antl all roofed areas 2 wpoes of plen showmg foobngs, beemv. idsts Cert W Surve) RecE _ Y_ N
(20%maumum lot coverage albxred) 1 set at Enerqy Calala6ons for hwted a0tlifians Tree Pm Plsn Recd Y N
2 wpia of plan sAwnng beam & wmtlwe srzes; poured found desgn, etc 1 sae wrvey fir adtliCrons & Eecks Trae Pres Raquire0 Y N
1 set M Eneryy Calalahans Add'diai - m6caYe Aonstite septrc tystem On-mfe Septw System _ Y_ N
7 coqea of iree Preservefian Ran it bt platled aloi 111N3
Rim Jast Oetmi Optlons srJecuon sheet (budduigs wAh 3 ar less wuls) Mimegasco mechaaicat veutilacioa foxm
Date /v l oI / Loo
Site Address #y87-/ lly8
55,
Construction Cost
Descnpaoo of Work
Muiti-Family Bidg
YJ_ N
Fireplace(s) _ 0 _ 1 _ 2
m
I Property Owner -A)-'4/(1M ' Mbd P-dA. 4T.(tiULIlC'elephone # (q-q "FK
Contractor
Address
S[ace '•
y?/i2N?J City ULIL'L /Ci/C.iLe'iC/
zip Jr5 2 J j "i'elennone =? Q
/?
CaMPLETE TtiIS AREA ONLY 3F CONSTRl3CT7NG A NE'/N Bl3lLDING
Energy Code Category -' Ml"nesota Rules 7670 Catecorv 1 _ Minnesota Rules 7672
• Resitlenfiel Ventllation Category 1 Worksheet • New Energy Code Warksheet
(?l submission type) Su6mitted Submitted
• Energy Ernelope Calwtetlons Subrtutted
In the lasf 12 months, has the Ci}y of Eagon issued a permit for a similar plan based on a master plan$
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone #(
Telephone # (
I hereby appfy for a Residential Building Permit and acimowledge that the information is complete and accurate;
that the work wiil be in conformancc 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 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. ? . - VD S Q.?i AO
Applican's Printed Name Applicant' Sig7ture
. ' LOT SURVEY CNECKLIST FOR RESIOENTIAL
LDING PERMIT APPIICATI
PROPERTY LEGAL: "
Z-4-
DATE OF gi?WVEY: 9,a
m LATEST REVISION:
S DOCUMENT STANDARDS
V"0'13 ? • Registered Land Surveyor signature and company
M'0?0 ? • Building PertnitApplicant
910' ? ? • Legal description
a," ? ? • Address
R" ? ? • North arrow and scale
ze'? ? • House type (rambler, walkaut, split w/o, split eMry, lookout, etc.)
4? ? ? • Directional drainage arrows with slope/gradient %
P,-? ? ? • Proposed/exassting sewer and water services & irnert elevation
?
a--, ? • Street name
/
O ? • Driveway
ELEVATIONS
Exist]na
i3' ? ? • Sewer service (or Proposed)
e?'a ? a Properiy comers
2'0'?o ? • Top of curb at the driveway
?
? CY ? • Elevatlons of any exdsting adjacent homes
Pro°osed
a"o ? • Garage floor
a'o ? • Frst floor
@'13 Q • Lowest exposed elevation (walkoutMrindow)
o-'o ? • Properly comers
a? ? • Front and rear of hame at the foundation
PONDING AREA (iaoolicable)
? ?? • Easement tine
? EJ'? • NWL
? ?i ? • HWL
? ¢r ? • Pond # designation
? 0/? • Emergency Overflow Elevatlon
.V.?? ? • Lot IinesBearings & dimensions
.ET? ? ? • Right-of-way and street width (to back of curb)
Rr? ? ? • Proposed home dimensions including am proposed declcs, ovefiangs greater Uian 2',
porches, etc. (.e. all strudures requiring pertnaneM footings)
Er' ? ? • Show all easemenis of record and any Cily udlNtes within ihose easemeMs
-t' ? ? • Setbacks of proposed structure and sideyard setback of adjacent ebsting structures
E3 H?-? • Retaining wall requirements,,jj any
Reviewed:
January 1996
cnna19o86LocartntcFM
• PERMIT
'CII'1'( OF EAGAN
3830 Pilot Knob Road PERMIT TYPE:
Eagan, Minnesota 55122-1897 Permit Number:
(612) 681-4675 Date Issued:
CPj05S5 -2 ce
BUILDING
027835
06/11/96
SITE ADDRESS:
4485 LAKESHORE TER
LOT: 4 BLOCK: Z
CLIFF LAKE SHpRES
P.I.N.: 10-17785-040-02
DESCRIPTION:
(ZERO LOT
?Sg(1s LINE)
B?ti„i,l;dtfA
j?,Permit 7ype
SF
DWG
?k Type
???13??d?n?? ?R NEW
,
?'??7°#3fi ?£I ec?fp?= R-3 U-1
? V-N
P D
- BufYding :l,??i?jtM 38
66
C '
FAM. ATTACM
ryS?
??? ?
° s
?`t ? °?
L
_ cm
REMARKS:
DUPLEX WITH 4487 LAKESHORE TER (LOT 3)
S& W PLBR - WEN2EL PLBG
FEE SUMMARY:
VALUATION
Base Fee
Plan Review
Surcharge
SAC
5AC %
SAC Units
Subtntal
$1,967.25
$593.63
$68.06
$900.00
100
1
$2,568.88
$136,000
MISCELLANEpUS $1,,923.50
Total Fee $4,492•38
CONTRACTOR: - Appli.cant - 5T. Lzc.OWNER:
HQFFMAN HOMES INC 18949807 0009284 HOFFMAN HOMES ING
2214 E 117TH S7 2214 E 117TH 57
BURNSVILLE MN 55337 BURNSVILLE MN 55337
(612) 894-9807 (612)894-9807
T heriIS?k apJ
infor"riratiu?a^
?.?,.
0ro a-n'$ V,iA't`,jthv ?
?ge`?=s" ?d ?m?1y .with 611, appl.tcabav „?at'o? of Ffrt
? IiJE?? S??/A UA:E! IC/d?
3830 PILOT KNOB RDN 55122
iot" 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
New Conslruction Reauiraments RemodeVReoair Reauirements
? 3 registered site aurveys ? 2 copies of plan
? 2 copies of plans (inelude beam 8 window sizes; poured tnd design; etc ) ? 2 site surveys (exterior add'Rions & decks)
? t energy calculations ? 1 energy calculaNOns tor healed additions
? 3 eopies of tree preservation lan N IM platted after 7N/93
required: _ Yes No ?
DATE: 5/2' g l g (, CONSTRUCTION COST: 1 3 0 °O
DESCRIPTION OF WORK:
STREET ADDRESS: 144 8'5 LA «5j-1'zz" t EAILACC-
LOT I BLOCK y SUBD./P.I.D. #:
bupctx ?/ Lor --? G.kPF Lt?rs 5*41a.S51
PROPERTY Name: i-1o';F1rta.k3 "oxes ?s-)2c• Phone #:
OWNER ' u61 rinr
StreetAddress:
Clty: Y3 State: M"J Zip: 5533}
CONTRACTOR Company: SA?Ae Phone #:
Street Address: License #: qZg*
City:
State:
ARCHiTECT! COmpany: H : uNe1naKlt D65k6Wj
ENGINEER
Zip:
Phone #: `136t ' li'kp
Name: L y L.e Registration #:
Sfreet Address rE
CttY:
C HA.J ?-tAS6E.J
Sewer & water licensed plumber.
change are requested once permit is issued.
State: 4441 Zip:553t}
Penalty applies when address change and lot
I hereby acknowledge that I have read this application and state that the i and agree to comply with all
applicabie State of MinnesoW Statutes and City of Eagan Ordinances. ?
Signature of Applicant:
OFFICE USE ONLY (??C F. Q?E D
Certificates of Survey Received _ Yes No J U N 0 3 9996
Tree Preservation Plan Received Yes No ---------------
OFFICE USE ONLY
BUtLDING PERMIT TYPE
? 01 Foundation ? 06 Dupiex ? 11 Apt./Lodging ? 16 Basement Finish
,O?- 02 SF Dwelling o 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
0 03 SF Addition o 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
0 04 SF Porch o 09 12-plex o 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. _l9--ID -:pLex
-- - - ? 15 Deck
---- ? ??`
WORK TY'PE La, L i?t
4?- 31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 F2epair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) V-ov Basement sq ft. 141MClWS 5ystem ?
(Allowable) S-W Main level sq. ft. /, 7V7 City Water ?
UBC Occupancy K- /.?/ sq ft. Fire Sprinklered
Zoning ?.? sq ft. PRV
# of Stories / 4$rar. sq. ft Booster Pump
Length 38r sq. ft. Census Code. /c L
Depth ?? Footprint sq. ft. SAC Code aI
Census Bidg ?
Census Unit ?
APPROVALS
Planning Buiiding Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn. /
Water Meter ,
? L
Acct. Deposit ?
S!W Permit
S/W Surcharge
??LG,S•
Treatment PL
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
HOFFMAN HOMES, INC.
2214 East 117th Street
Telephone Burnsville, MN 55337
(612) 894-9807 CONTRACTOR # 9289
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) 3kBlock 'Y , Cliff Lake Shores, as were used on
Lot(s) t Zj' , Block !?, Clift' Lake 5hores. None of the structural building
components, HVAC, plumbing or electrical will change £rom engineered drawings dated
t ojiz(q$-
Sincerely,
Patrick C. Hoff ?man
President
PCH/jem
pcnrcaglo-
A' CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
aLO6 gS.a c.v
BUILDING
027834
06/11/96
SITE ADDRESS:
P.I.N.: 10-17785-030-02
DESCRIPTION:
?
4487 LAKESHORE TER
LOT: 3 BLOCK: 2
CLIFF LAKE SHORES
(ZER@ LOT LZNE)
ermi,t 7ype SF DW6
-qrk Type NEW
xs??°, R-3 U-1
`o:n`",?pPe V-N
P D
38
66
? m
5;""
102 1 - FAM. ATTACH
?dr. snF
r,r
Fi?p ri ? t
REMARKS:
DUPLEX WITH 4485 LAKESHORE TER (LOT 4)
S& W PLBR - WEN2El. PLBG
FEE SUMMARY:
VALUATIQN
Base Fee
Plan Review
5urcharge
SAC
SAC ?
SAC Units
Subtotal
$1,967.25
$533.63
$68.00
$900.00
100
$2,568.88
veEin?? ?"-^??C.
?3"3xE^'?: "a t , n?
?y Q,i uc s. g
?
$136,000
MT5CELLANEOUS $1.923.50
Total Fee $4,492.3$
CONTRACTOR: - p,pplicant - sT. Lzc.OWNER:
HOFFMAN HOMES INC 18949807 0009284 HOFFMAN HOMES INC
2214 E 117TH ST 2214 E 117TH ST
BURNSVZLLE MN 55337 BURNSVILLE MN 55337
(612) 894-9807 (612)894--9807
., . i ?... €, n? - Y
,., T. herebp aak'?awle=d9? ? h ti
?e re4&
inf, ormafip n ?? coFr,se? ?rrc?? agree tCo 0
S7Katu?es 4nd.`?t??'
?
rA cl
`??pl:ia,+??ian'°anti S''Ga?=e ?hAt'.the r,
wi?h
F ?
ISSUED eY: IG TURE
-- ? CITY OF EAGAN
3830 PILOT KNOB RD - 55122
i4b 1996 BUILDING PERMIT APPLICATION (REStDENT1AL) f r
681-4675 ',t? ? -?I
New Construction Reauirements
RemodeVReoair Reauirements
? 3 registered ske surveys ? 2 copies of plan
? 2 copies of plans (include beam 8 window sizes; poured fnd design; etc.) ? 2 site surveys (exlerior addHions 8 decks) ? 1 energy calculations ? i energy calculations for heated additions
? 9 copias of tree preservation lan A lot plattad afler 717l93
required: _ Yes No
(3(Q?ooo 0',,J ?Ll..ewl')
DATE: 5 r ZS ?-%-e CONSTRUCTION COST:
DESCRIPTION OF WORK:
STREET ADDRESS:
yq 8? l4k wE 5?:;, tL(- -rc-fl uAcc-
LOT 3 BLOCK Z SUBD./P.I.D. #: ?o - l-*-t8 5- 00 -0-1,"
CL?FF
6aPCL!c ' Lf?K6? SNn26S
r? LoT
PROPERTY Name: +-IafRr-?a.a N?,?s ?'=-*x• Phone #:
OWNER
5treet Address: ""°'
City: a State: 0A)-1 Zip: 5533--t
CONTRACTOR Company: SAMe Phone #:
Street Address: License #: q Zg'?
City: 5tate: Zip:
ARCHiTECT! Company: M; uu?'cw,1V-A DES,`^J Phone #: 93`t- 'ky`lIA
ENGINEER
Name: L'!L.L- Registration #:
Street Address- 5.., re -*2.tp
CIty: C HA*5 H1kS6E.J State: Ma Zip: 553t"i-
Sewer 8 water licensed plumber: Penalty applies when address change and lot
change are requested once permit is issued.
1 hereby acknowledge that I have read this application and state that th tion is orrect and a ree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances. f r?/'c
Signature of Applicant
OFFICE USE ONLY
Certificates of Survey Received _ Yes No
Tree Preservation Plan Received Yes No
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Dupiex
jW'02 SF Dwelling ? 07 4-plex
? 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. 11A---ptex
WORK
/-31 New
0 32 Addition
? 11 Apt./Lodging ?
0 12 Multi Repair/Rem. ?
? 13 Garage/Accessory ?
0 14 Fireplace ?
a--a5_ Deck
? 33 Alterations ? 36 Move
0 34 Repair ? 37 Demolition
GENERAL INFORMATION
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
Const. (Actual) aZ-^? Basement sq R. /6 !(o MClWS System ?
(Allowable) ? Main level sq ft. ? 7y9 City Water
UBC Occupancy 2•Y tt/ sq. ft. Fire Sprinklered
Zoning f?• a sq. ft. PRV
# of 5tories 7sq ft. Booster Pump
Length 3b sq ft. Census Code. lo Z
Depth 66 Footprint sq ft. SAC Code
Census Bldg
Census Unit
APPROVALS
Planning Building Engineering Variance
PermitFee Valuation:
Surcharge
Plan Review
License
MCNVS SAC
City 5AC
Water Conn.
Water Meter
Acct. Deposit
5/W Permit
5NV Surcharge
Treatment PI. /
Road Unit y ?AGC?
Park Ded. / Q2
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
7 0:13 6129344305 F1IIJhIETONKA DESIGIJ
ERTER[OR EhIVELOPE AVERAGG "lP' COM1)UTIl:f.10N
nnrr : `? - ti 3-95
PAGE 07
PHDNE:
5I7£ ADDRESS
CON7RACTOR: YtoFV-NIw U1111?5 PIAN 0
Determine working square footage of each
1. Total exposed wa11 srea..... ?WA I, ? sq, ft. x .lI ?-
2. Total roof/cetling area..... ?(12zcP sq, ft. x .026 = 42 ? 1
Total exposed wall area above.floor=`? ?j?'2_
a.' Total wall window area ........................................... 1 Z?I, 3
b.? Total door area .... . ................... . .....................
c. Tota1 sliding glass door area ................................... \pn
d. Totat fireptace wall area ........................................
e. Total wall framing aren (average lOp) ............................
f. Tota1 rim joist area .............................................
g. net wa17 area above ftoor .....................................
---
h. wall ared a6ove floor .....................................
i. w alt area a6ove floor ..................................... _
j. frame wall area at foundarion ...................................
Total exposed foundation area= ?2\ I5
k. 7ota1 foundaCion window area .......................
1. Total net foundation area ahove grade ..............
determine "u" value of each wall segment
(e.g. window, door, each separate wall sectipn)
a. 12?,3 z ?lull= COZ.3`1
b. x „Ul, .4S = ??ogq
c_ z ..Ult , ....??-
d.
X "U"
e. g oluit
f. x„V„
g. 1z3?.sl x„u„
n. x ,Iu„ _
;. x . tiu„ _
J, X lsult _
k, x "U" ?
X uull
3 . .................................Total = ???'15
If item i3 is the sa
as, or 7ess than ite
#1, you have met the
tntent of SBC 6006 (
995 10:13 6129344305
h1INNETONKA DESIGtJ PAGE 08
4, YorAt 4xvosco RaaXlcEiLiNa w.cuLarIais: •
Tota1 exposad roof/e.111nq araa........ (p'Z sq fC
J) Totai skylfyhe area.......??_ sq Pt x "U" "
k) Total roof/callIng fr+pSng s
ares (Aver
?
lp>
) rtt x •"u„ ,?Z`? M 3.°?
q
aae
......
,
1)
• , Totsi nst insuiated • ?
roof/ceilinq area....... \A"W?1 sq .
ft x
"U"
`47- ?
??? •,
• y
4. • TO7AL 3) th ru t) 33? ? CD
lf total of i1i Ts the same as, or Tess [han '2. you have met the intant of
2 :lCAR 1.16008 A atnd 0. ' `
. , . ' .
ACTEAMAIE BUILDIHC ENVELOPE DESfGM . '
7o uti117ta the totsl envalope systaa wethod. •the values efbb2•lshed hy thp sum " of t taras f3 and E4 shat ) noL be greater than the wm'of f cews 11 and !2. . .- .•
l . _ ?. 2, • •
. ' ' • •. : .
. _ - ' . • ' .
. `
10:13 6129344305
eLOCK: KpS,r--.'
WALKOUT: 3?
WIINNETONKA DESIGN
* LINEAL FEET EXPp5Eil WA4(.
Fu[,L i: 10 ,1_:-,
E'ULL 2:
EIREpLACE:
RiM: l&T), IS
* SQUARE FEET EXPOSED 4TALL ABEA
BLOCK :
KNEE: x S a
WALKOUTt x 8 s 30?
FULL 1: x 8=1?3"72
FUL[, 2: x S -
FIREFLACE: x a
RxH: I?P?,I??
- x 1? ILo?,(S
. TOT
AL
S
?
QUARE FEET ERP OSEfl CEILING I(-9 Z
WINDOWS: I2-113 k DOORS:
f(D'KP
2CP3(,p PATIO UOORS:
zos? I l l? zl ??
?,qSQ I 11g? SASEMENT UNITS:
?0 S1?I-IC?? 1:5 SKYLIGRTS:
.
}Z7
PAGE 09
?N?
HOFFMAN HOMES, INC.
2214 East 117th Street
Telepbone Burnsville, MN 55337
(612) 894-9807
F CONTRACTOR # 9284
a?r
(612) 894-9878
Mr. 7oe Voels
City ofEagan
Plan Review Department
Dear Mr. Voels,
This letter is to inform you that Hoffrnan Homes, Inc. will be using the exact same plans
for the layout for Lot(s) 3k `{ Block 'Y , Cliff Lake Shores, as were used on
Lot(s) kA '=', Block '+? , Cliff Lake Shores. None of the structural building
components, HVAC, plumbing or electrical will change from engineered drawings dated
i o/, z(etS-
Sincerely,
?
Patnck C. Hoffman
President
PCH/jem
pch/esgla
? .?
L4 gL CITY USE ONLY RECEIPT #. &a 8,6
SUBD. o DATE: 9 ? _
4996 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-c„ air cencii;icrong Add-an sir exchanger, ;.8. Varee system, 2tc.
Date:
? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
or
? Gas Outlets (minimum of 1 required @$3.00 each) '3_
? 5tate Surcharge .50
TOTAL A -g56
SITE ADDRESS:
OWNER NAME:
INSTALLER NAM
STREET
CITY: 04 ? STATE:MA? ZIP:
PHONE #: ( ) osv? ka
7
CITY USE ONLY `/ q
L ?t BL a2- RECEIPT #: ?a d O/
SUBD. _d G?? DATE: ? 9 l('YO
1986 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-aii air ccnditioning Add-on air exchanger, i.e. Van2e system, etc.
Date: I ?- Z
? 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 - .1'1' 51
SITE
OWNER
INSTALLER
PHONE #:Q1L Z?.?/
STREETADDRESS: 7&2?
CITY: WM STATE: ZI p: S?G ?
PHONE #:
CITY USE ONLY //'^
L ? 8L ? RECEIPT #: ? ?`?"5
SUBD. DATE: 9// 9co
tlu
1996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Piease complete for: ? singie family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES EACH ?Q TOTAL
Shower 3.00 x 9•?
Water Closet 3.00 x
Bath Tub 3.00 x
Lavatory 3.00 x 12
Kitchen Sink 3.00 x 3.?
Laundry Tray 3.40 x 3,bo
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x 3.[7U
Floor Drain 3.00 x - 3.4ro
Gas Piping Outlet * minimum -1 3.00 x ? = /2.CTd
Rough Openings 1.50 x =
Water Softener 5.00 x =
Private Disposai * Dakota cty. iicense 50.00 =
(new and refurbished systems)
U.G. Sprinkler " home under const. 3.00 =
Alterations * to existing 20.00 =
Water Turn Around 20.00
STATE SURCHARGE
SITE ADDR
OWNER NA
INSTALLER
STREET AC
CITY: E??,E?iCJ STATE: /'/A) ZIP: 5510 -Z
PHONE #: ( ?/Z ) 45Z - I6t -5- (7?
TOTAL
SS LA.
.50
57, S-d
/ ?2Ac.C:
i S/Rld)itJE6-Z-
? L
•- ?f gL 0 CITY USE ONLY RECEIPT#: ? ?ao5
2
SUBD. DATE: g °2" y
1996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAM
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please compiete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES €AGli ND. TOTAL
Shower 3.00 x :3_ = 9.?
Water Closet 3.00 x 9, an
Bath Tub 3.00 x 3.00
Lavatory 3.00 x 12,oa
Kitchen Sink 3.00 :<
Laundry Tray 3.00 s ho
Hot Tub/Spa 3.00 ;c =
Water Heater 3.00 :< ? _ ?•p?'
Floor Drain 3.00 :<
Gas Piping Outiet " minimum - 1 3.00 x _n = 9?
Rough OPenings 1.50 :< _
Water Softener 5.00 x 1 = 5?'
Private DiSposal " Dakota Cty. license 65.00 =
(new and refurbished systems)
U.G. Sprinkier ' home under const. 3.00 =
Alterations * to existing 20.00 =
Water Tum Around 20.00
STATE SURCHARGE .50
TOTAL 6-7-so
SITE
87 L.9
-7?-2i 2Ace
OWNER NAME: /*7 fd '? I iviriG::>
INSTALLER NAME: ?7 EL / )/E6.4A43 IG4L
STREET
NAAJitJ?.
CITY: EAGw4? STATE:Mk) ZIP;
PHONE #: ( 6PZ ) 45Z - 16-6!5- a
s? Z&
1 ?{FCEIPT A ? ? ?`?` /
:EIPT DATE
To
JO8
OW NER
,-4v .
A
,
DATi
F*„F,ASE BE ADVISBL+ 'f'NAT THERE IS A f'FE SHOEiSACE ON T!M AHaVE
II.ECTAIGL ISSSAI.IATIOH IH THE AMOUHT OF S '10 S-9-
SHORTACe ML15T BE PAID WNITHIH 14 DAYS.
RE?IAA16
Z'Z 0 to 30 amp, circvits-
? 31 co 100 amo. circuics- ?
0 to 160 amp sarvice-
? l0i to 200 amo. service° [0
TOTAL FEE DUE-
LE55 FEE RECIEYED
TfTI'df_ FFR CAf1QTSCFT11iF . ?o 0?0
PERHITO Zcv- (" r ( G -z-
ORIG. RECEIPIA
?tECEIPT DATE
RETURN A COPY OF TflIS FORM iiITH REMITTAIiCE.
------------------
?
j Permit #: ! , ? j
i Permit Fee: ?X
? Date Received: V ?
I ?
I Staff: ?
I -________________?
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:tJ95'(&'0P) Site Address: u4 ZJ ( '`"'?'=' uykce-
Tenant:
Suite #:
RESIDENT / OWNER Name CLl4 Uta SYtlJ1? ?()UXh0YVLQ.S Phone:
Address / Ciry / Zip: l(6Q Cl? C? LCI(-C cc. ? ??? 551 aa -.L4-1 s
Applicant is: _ Owner -'$,Contractor
TYPE OF WORK Oescription of work: 1 QCLY' ?'Y Y?X15ut'.? w l P V.tOk? '" ? _ _
Consiruction Cost: ?4&.400 - W Multi-Family Building: (Yes,K--/ No _)
CONTRACTOR Name:hgp«Yl G ??? yfliL License#: 401 (0?`t8
Address: roig(Po \3(.l.DLIC(?(,i, 1?(% • ? (oD
Zi
: JJ J
St
t
lA (LIl
'
'
p
e. ?
a
-
W 0S
City
i
Phone:"l.50--licn' ? ContactPersorr. YJtaAr"' ?kL(P!'{..r
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7672
_ A4innesota Rules 7670 Categorv 1
_
Energy Code . ResideNial Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category submined Submitted
(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 pian?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contrector: Phone:
Sewer & Water Contractor: Phone:
IJOTErFilarrs,anB.sUpparttngdoaumecx`tsi?fa€?trirs,u?ffraeeeorrs?lcl?ed??b?epr?Glr?firfrarma#ra?,Pa `" ah?'
4 4 ' q ? R?P'd Z6 k 6
?? t
k
a
the information inay, be cla'sstf?ed as?norr ?Sub?l? "Ff ynw prou?de speci t Guould,permrt???e
I hereby acknowiedge Ihat Ihis information is complete and accurate; that the work will 6e in contormance wi[h the ordinances and codes ot the City of
Eagan; tnat I understand this is not a permit, bui only an application tor a permit, and work is not to start without a permit; that the work will 6e in
accordance wrth ihe appmved plan in the case ot work which requires a review and approval of plans.
x ?-
?t'cw?? X ?'
?-
ApplicanYs Printed Name ApplicanYs Signature
Page 1 of 3
,
a
t
CER TIFICA TE
? ,
? ,
? L ?- _ 1
,
I `- I -
? ?
i
i \
-C?
Gv?g i
-T` ll ' I
? I
1 / 914.6 ?
?
I ` / I
(924.7)
924.6
I - 30 -B I
I I 2.00
_ _ I _ _ _ _ _ _ _ I (924.2) x
?
I I
I ?
I I O o- 7(
I _ I
? I I (9Za.9)
40.00
x
q I
? ?o ^
i9
8a. oc
O / X
?
?
r
_ I
r
i
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i ?
/
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?
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(
40.00
-------
t -----
N 9ti?, o - -
? 0 0 ? ? $
h 4.50 4.50 N
OT 4 LOT3
4485
LAKESHORE
?
LO
i ? 40.00 ?
L_A-L - - J
8 OB
t
4487
TERRACE
8
?
/
o O j-- -
r- 1 Q
n q ?
7z5o
?
2.00 I
o?
3 h?
o ^ +
38.00 9?4 g l
(927.ST
I I +
i
? 40.00
L - - 1----?
b'O. o0
OF, SURVEY
Too of /rons @ Offsets
AO 10.00' Offsef 919.37
OB 13.00' Offset 924.52
?
- OC
? 10.00? Offset 922.07
?_ DO 10.00' Offsef 920.96
I
CAkEsy?
913.0 ?
I
I
(923.3) I
922.7 ?
I
I
7 O I
A
I
I
920.3) ?
sis.s
L
? .
? RR'4 CE
?
L?
?
?fftEViElf? F. ?
ante
I
D2:r.v?n
i.
REQUESTED BY.LEGAL DESCR/PAON:
Lots 3& 4, Block CL/FF LAKE
SHORES, according to the p/at thereof,
Dakota County, Minnesoto
Top of Block = 925.88
Lowesf Floor = 91773
Garage Ffoar = 925.50
GRAPHIC SCALE
p 0 10 20 40
( IN F'EET )
1 inch = 20 ft.
930.0 Dertotes Sonitary Sewer Service Inverf
865.0 denotes exisfing eleu.
(565.0) denotes proposed e/ev.
- denotes surface drainage
• Denotes rron monument found
o Denotes rron monumenf set
Beorings based on ossumed datum.
l hereby certify fhat this survey wos prepared
by me or under my direcf supervrsion and that
! a a.duly egistere Lond Surveyor under fhe
ldof th tote e fo.
Martin J. Web r .L.S. Dafe
Reqrsfration o. 12043
HOFFMAN HOMES /NC.
. Westwood Professional Services, !nc
74780 West Trunk Hwy. 5
Eden Prairie, MN 55344
(612) 937-5150
Revised: 5129196 Ex. Graund Elev.
Drown by MS oote: 5120196 Job No: 95198
Lof 3& 4, Block 2
s Tc)l
o r-
!
_ ! r
For office Use
City of EaEan I Permit D
~6D
3830 Pilot Knob Road Permit Fee:
_ I
Eagan MN 55122 j Date Received:_
Phone: (651 675-5675
Fax: (651) 675-5694 I Staff: t/ r Z'•~' j
2008 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Site Address: -C . l it t~=
Tenant. 1~~~~1 L4F~~~ Suite
RESIDENT I OWNER Name~f Cy- C Phone: n l ~Q
Address /City /Zip: An d; / n 111A
CONTRACTOR Name:s
Address: t
~ ~
City:( State: t) 1 Zip:
Phone Contact Person:
TYPE OF WORK _ New replacement Repair _ Rebuild _ Modify Space _ Work in R.O.W.
Description of work:
PERMIT TYPE RESIDENTIAL
Water Heater Water Softener
Lawn Irrigation Add Plumbing Fixtures
L_ RPZ / _ PVI3) Main - Lower Level)
Septic System Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater; Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Sur harge)
$50.50 Add Plumbing Fixtures, Septic Syste Abandonment, Water Turnaround' (includes $.50 State Surcharge)
`Water Turnaround (add $136.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as bu~It) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) c
TOTAL FEES $
I hereby acknowledge that this information is complete nd 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 hick requires a review and approval pla 1
Applicant's Printed Name U Il Apd icanes tgnatu
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under Ground -Rough-In -Air Test -Gas Test -Final
Use BLUE or BLACK Ink
r----------'-------,
I For Office Use �
�' � Permit#: � ��� j
lU J �1 ����� I Perrnit Fee: �C��� I
3830 Pilot Knob Road � �
Eagan MN 55122 � Date Received: �
Phone: (651)675-5675 I �
Fax: (651)675-5694 i Staff: i
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
.� ,/
1L 1.���S� ���� � ��ti-��y�'% �l �iV✓�t�i �a �a-,-�,, ��Un t#:�.
Date: Site Address: � �
��� , Name:.a_ �1„ll Y.�. ._.. ���L��.._�. ��.oi/,�5,,,..,��_w,._,.�� , ��.,�w..�.,a....�Phone:���..�_,.��.,.��r �w.�
�./
� I�esiti�#I � �
� ()���r Address/City/Zip: �� , �
° �
�� '� Applicant is: Owner Contractor
_, ,�m�..� �,�.�.,d.,�.v.�,.a.�.�...��.�.a.�„���,�.a...,��.,��.�.�... ��e�..�.,,....�.��..�.o.m,�,..,�..�..��,�..�......�..�.........�
�� �
.�.�$ ��,��� Description of work: Wi✓�� �J
� €
�� � Construction Cost: Multi-Family Building: (Yes /No� �
� � Company:/,Lt/►t� ��j�h�U'+� (���G�1� �hc. Contact: ��-t �!'� �� ��"' ������
a a > .I �
� -� r� /" � SUi�c ��'� Clf �'�� � �
GOtl#t'1Cfi0�' � Address: JSGfb �G�;I(�wv G� .�s/ y.
� State:�Zip: �Sy�� Phone: '7�3-5.�� .�r'�1 Email: �°�1 � �w�.19�ruY�l���cToy.l,�.`
4
� License#: �G '�O� ��.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:
� IVaDT�:P��ns a�d s��or���mc�o�u�a��t�t�at yo���b���are ca�aslr�r�d t�be��rab:l�lr��tian. Po�o�s o#' ;�
��e i�r�`�r�a�`i�o��a�be ctas�i�ed��non p�rbJ���,y��pro�e s�ec�ic r�eas�r�.s t�l�a�t�au�l p�erra�t�i�Ci�y t� '�
� c�r���de i��a�t�e �re tra�le�ecre�. ��.�. ��
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.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 I
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota S t Building Code must be completed within 180
days of permit issuance.
�
X �ul.� �r���L�°�_�,.-- X
b
ApplicanYs Printed Name Appli s Sign ture
Page 1 of 3
Use BLUE or BLACK Ink
r---------^------�
I For Office Use �
� �L �/� I
� Permit#: u �
Clt� of ����� � �; �
� Permit Fee: ��� �
3830 Pilot Knob Road � �
Eagan MN 55122 � Date Received: �
Phone: (651)675-5675 I �
Fax: (651)675-5694 � Staff: I
I �
2015 RESIDE���Al��6UILDING PERMIT APPLICATION�z �
;� �s I r EJ`' N �rx.�� �'!oY� �v�'a C,�-- �' a/'a
Date: Site Address: e.1� � Unit#:
� � ��Name��u n /��!"� �e���� .v���/'��' ,.�...a.�.��_�,.,.,.�...�..�,.� Phone:��.�.,�..�,�w ...�.ow. ��
�..i �
�` I�ESltI BM�/ / �.r.�v
� QWi��I' � Address/City/Zip: ��� � y��� L�1 < ocr �-t6dr2 cz !.� c�-. ;J .�S�Z� a
�, �
� � Applicant is: Owner Contractor
��Description of work: J����.�.�..,.,�a.._Q,.,��,wu.���,.��...�.w. . u ��.��.��,,.._.�.r��.�.�....,�.�..,�......�
Typ�e a#v�lo�k � �
�
� �� Construction Cost: / � �' �� Multi-Family Building: (Yes /No� �
�.�.,.�..m„�;a.,�.�...,.� . �..,�,�..�,�.�.�.,..�.....,,.,,,m,�,�..� ,.�. � ..�,.4���.�.�,.,.�
� �,� /1 �V�
� � Company: Cr fS ����0� L"""��`�O 1 ��nc. Contact: ���S � 9�
� �
�/or�J
2 �/� �y� .��fi - �
� Address: ✓�� ��`55�'Ld l�t, G 1` ss� Cify: �'�,�'/�� � �
CQl�#t'1Ct=O�' � 1 �
� State:�Zip: �-�y�� Phone:��3-'�.56-0�11,/� Email: L��"�1G��Gf��(�'s../`�G��'��,
' �, �
License# ��v 6 G�7 /3 Lead Certificate#
' If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING �
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? �
,
S
d
Yes No If yes,date and address of master plan: �
�
� Licensed Plumber: Phone: �
� Mechanical Contractor: Phone: �
�
� Sewer&Water Contractor: Phone: �
Fire Suppression Contractor: Phone:
NOT�':#��a�s a�ad�p�o����docur�e�ts tha#pa�r s�br��t�'e co�s�d�retl!r�b��rb�c i��r��`�an. Pa�o��o�'
t�Q�nt'�rt�a��on����e ctassi�sd�s�c�n p�b��i�'y��pro��ls�pec��+c r�asr����at t�oc���t pe►r�t��C�to'
sr>
� ca��de t�aat� a�e�ra�le,�ec�s, % �
CALL BEFORE YOU DIG. Call Gopher State One Calf at(657)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 e uilding Code must be completed within 180
days of permit issuance.
x (����.� / r�(,{.o�:�,� X �.
Applicant's Printed Name App c s Si ature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA138777
Date Issued:09/20/2016
Permit Category:ePermit
Site Address: 4485 Lakeshore Ter
Lot:4 Block: 02 Addition: Cliff Lake Shores
PID:10-17785-02-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & 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 -
David G Wratkowski
1012 Rushmore Dr
Burnsville MN 55306
Lofgren Heating & Air
5708 Upper 147th St W
Suite 106
Apple Valley MN 55124
(952) 431-5811
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA138778
Date Issued:09/20/2016
Permit Category:ePermit
Site Address: 4485 Lakeshore Ter
Lot:4 Block: 02 Addition: Cliff Lake Shores
PID:10-17785-02-040
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Stove
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 -
David G Wratkowski
1012 Rushmore Dr
Burnsville MN 55306
Lofgren Heating & Air
5708 Upper 147th St W
Suite 106
Apple Valley MN 55124
(952) 431-5811
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA157643
Date Issued:08/30/2019
Permit Category:ePermit
Site Address: 4485 Lakeshore Ter
Lot:4 Block: 02 Addition: Cliff Lake Shores
PID:10-17785-02-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
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.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
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 -
David Tstes G Wratkowski
4485 Lakeshore Ter
Eagan MN 55122
Haferman Water Conditioning
12142 12th Ave.
Burnsville MN 55337
(952) 894-4040
Applicant/Permitee: Signature Issued By: Signature