4488 Lakeshore TerINSPE
? cirv oF EaGaN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897 (612) 681-4675 .
CTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued;
SITE ADDRESS•
'
': ? ;I1U1?f? t-F?? ,
'
PERMIT SUBTYPE:
APPLICANT:
, . . .i .. i 1'. ?.'1
TYPE OF WORK:
.. I ' t ; .;.
r? ? w
INSPECTION
, .A .
. ? DA
?4l I.O f 1. 1 NF
`, W PLNA - Wk:HZt'?A. .P1 N6
r
I 4,
Permit No. permit Holder Qate Telaphone #
ELECTRIC OQ ' , yoZ9 ?
?°
0-77
PLUMBING 15?9?' fj'rf ,? ?5 s
HVAC
Inspection Insp. Comments
FOOTINGS yj??7 Z416
FOUND _ _ /?
/J
FRAMING ? I
ROOFING
ROUGH
PLUMBING ?
PLBG
AIR TEST
ROUGH
HEATING
-?-y
GAS SVC
TEST
( l
c?Q
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG 4
FINAL HTG
, _G,
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FiNAL
. .
CITY O'F EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
?.1 lit + ?tikt
SPECTION RECaRD
PERMIT TYPE:
Permit Number:
Date Issued:
'In'ti . i tq
! A Kt=1;N0 kF, TEC! ,,11 n i'r F rl.; ?a?"' .
PERMIT SUBTYPE:
fm I i f j i r4 ?
oz ':3c: ;1)
ssQ .1111 Iwa
VIF +) tlT .•. Q J
?' APPLICANT:
,,. . ? ? .
1i94 480!
TYPE OF WORK:
NF'4i
( 1 UI~ : I)N C I`. 1
l?f: ?: (. R 1 f' f[(1 N
INSPECTION .• . DA
? ? ? . . . . . ? , ? ? . , , • ? 1 I i , I ? I f.' ! i i . .
I ",*) f7it';: 7f Rf} i tOT t Ihif
Pormit No. Permit Holder Date Telephone N
ELECTRIC
PLUMBING
HVAC srL „4
Inapectlon W*j Insp. Com ments
FOOTINGS /!;v 1,0?6
FOUND !, 21
FRAMING 7??. ?
l
GG6
ROOFING
ROUGk
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING ???
94
1
GAS ST VC
E
C'1//?,7
l
INSUL .? 25 m43
GYPBOARU
FIREPLACE
d
FIREPLACE
AIR TEST /
FINAL PLBG ?
FWAL H7G
OFSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
?T ?
- ' {
%ertcficate of Ccc"anc?
wim of Wagan
Mc#artmeat vF Zuilyimg 3uap¢ction
This Certrfecate rssued pursuarsf to tfee requirements of the Uniform Building Code
eertifyeng tfwt at tfee tiint of issuance this structurr was irt compliance wirh rhe various
ordinances of the Ciry ngulating building construction or use. For the following:
uY SF I]WG ( I QE' 2UNIIS) swg. a«it r4-. 2%34
Occvpancy Type -R3/11 Zmiog Distr? PD Type Conu. VN
o.w or eui,a;ag HOFFTlArI HOMES INC Aem.?, 2214 E I I TIH ST, SiJRNSVIIlE
Btrilding Ad?,ss 44? ? T94WM Lpdpy IAf B3f a4FF IW MW
I -
Due:
Baildinb OffiCi?J % '-
POST IN A CONSPICUOUS PLACE
?
WtrtifiCQt¢ of CCC1t.pR1iC?
Witig uf Cfagan
Tepart raeur of BKIbittg augivection
Tltis Certificale issued pursuarsr to the requireraents of rhe Unifarm Building Code
ceriifying that at the time ojissuance this:structure was in compliance with the various
ordinances of the Ciry regu/ating buildrng ronstruction or use. For rhe foltt9"Fg:
use Clauificatian: SF DW - (1 CF 2UNITS) Bkg. Permit No. _
Oowponcy Type R3/ uI Tiooi? Distrin ? Type CoMt.
Owner o( 8,,;kt;,,s H7FM ECpn Dr, ,,,,d,.u 2214 E! 17M ST
Building Addras 400 LAKESHM TUT" Lodiry ? B3_ L
Daw.
BuiWio6 Ofr"
POST IN A CONSPiCUOUS PIACE
44G=/9 ?
REQUEST FOR ELECTRICAL INSPECTION
Minnesota State Board of Electricity ?
1821 Universiry Ave., Rm. S-128, S[. PeUI, MN 55704
Phone (612) 642-0800
.
7 KHome Duplex Apt. Bld . Other: M-New Addn
mmercial Indushial Farm Remod Re ir
Air Cond. H. E uip. Waler Htr. Load fvlqmf. Other:
Dryer Ronge Elec. Heal Temp. Service
°X" above Ihe work covered by this requesi. Enter remarks in this space ond on the back of the whife copy only.
t
Colculate InspecFion Fre - This Inspection Request will not be accepFed withouf Fhe cortecl Fee:
Other Fee n Service Entrance Size Fee # Circuits/Feeders Fee
Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps
Sheet Ltg./iroffic Sig. Above 200_Am s Above 700_Amps
TransFormer/Generator INSPECTOH'S USE ONIY TOTAL
Sign/Outline Ltg. XFmr.
Alarm/Remote Conhol
$wimming Pool I hereb ceni thai I ins ihe elxrical ins here on tM dares n
Irtigation Boom Ro,Mn oare
S
ecial Ins
xhon ??
p
p
Invesfigafive Fee F??el D?3 ?a 8
THIS INSTALLATION MAY BE ORDEHEU DISCONNECTED IF NOT COMPLETED WITHIN 78 MONTHS.
? d a i/ OFFlCE USE ONLY This request void IB months Fom volidat??e?? in is 6ox.
7 ??
II ?II I??I II IIIIIIII I III IIIIIIIII I I IIII ???-Q- ?A-
s 0 4 4 0
5 80 9*
PLEASE PRINT OR TYPE
R89
^?
l ( Rwghin inspecrion reqvmed8 ? N.
Qs
p Inspec?ion Olhm Than RrnglNn? Ready N. ill Call
Pe
j
? y
rea )
(You mua coll Ma inspecrc,r wh ii Date Ready
enud mnhactor ? owner hereby request inspection of the above electriml work at
Job AA ?,?.?. ?w Roula No? ?ity ZiP Code
? aa
Sxrion No Towmhip Name or N. Ro,e No. fire N. amry
Orcupant Phone No
PowerSu ?. Address ^ ? .
Eleckiml onhocbr JCompuiry Nome) Conkr.br L
icens
e N. Moacr Lu N. (%anf Elect 0n1y1
J ?
/
u
Moil ing Ad1?? ? clor w er Perfoemi(g ?
l±i
Aolhor' Signalure (Cannoe Owne.
Perfoimiig Installonon Pfnna N.
?
? v`-'`?
E6f10001A-70 8/96 STATE BOANJWOVY • SEE INSTl1UC7IONS ON BACK OF YELLOW GOPY
440- 7g U
? . ???aq1¢/1
REQUEST POR ELECTRICAL INSPECTION /°C -
Minnesota State Board of Electricity 1821 University Ave, Rm. S-128, St. Paul, MN 55704 -
Phone (612) 642-0800
Hame Duplex Apt. Bldg. Olher: .„ New Addn
11 ommercial Indushiol Farm Remod Re air
Air Cond Htg. Equip. Water Htr Lood Mgmt. Other:
Dryer Ronge Elx. Heaf Temp. Service
"X" obore rhe vrork covered by lhis requesl. Enter remarks in this space and an Ihe back of fhe whrte copy only.
Calculate Jnspection fee - This Inspecfion Reqoest wJl nof be accepled wrthout the carrect (ee:
Otlher Fee # Service Entrance Size Fee # Gircuits/Feeders Fee
Mobile Home Park Sfoll 0 to 200 Amps 0 to 100 Am s
Street Lig./Traffic Sig Above 200_Am s Above 100-Amps
Transformer/Generator INSPECiOR'S USE ONL TO'[AL
Sign/Oulline lfg. Xfmr.
?1/A 1?l ?9?f 7/Y7A)?- .?n
? V
Alarm/Remote Conkol
Swimming Pool
I h.b cem thar I ins ?he el m' smlla ??: ?h darez ?--° '
Irriga}ian Boom gaglfln
Special Inspecfion
Imestigative Fee
Fioal D. ?
THIS INSTALLATION MAY HE O RDERED DISCONNECTED IF NOT COMPLETED WITHIN 78 MONTHS.
OFFlCE USE ONLY This requesi void 18 menths han validoM1on dale prinkd in thie box
62
`?" ?'°'?'
?III II I II I I I I II II I( I II II I I I I I II?I ??'?6 °?
-- ? a?
* 0 4 4 0 5 7 9 L* pLEASE PRINT OR TYPE ?
Reaoesl Date Rouehin inspenion required2 Ves ? No Inspa?:on Olher Tnan RougMn ? Rcady Now ill Coll
(1'w musl call ?he inspecior wh reo ? Dab Reody
I, " ensed conhoctor ? owner hereby request inspection of Ihe above elechicol work at:
Job Address (Srveot, Bw, w Rane No ) Ciy Zip Code
Sedion No Township Name or No. Rorge No. Fire N. Counry
Occupont ? Plwne
No
?
Yy
Q
P. $vpplier ,k, Addrees ?
Elechi< Conhoclor [Compony Name? (? p.?
Q.?. ./??C..L/?'?-?L, C/o'n!va/ci?or Lcense No. C/
l?/?T o O Masrer Lc. No (Plonl Eka Onlyj
Nnd,ug/ Mdre/ss/(Conhanw n Per(«ming Insmllolionj
?1
Yl?l 0
:ls Signalure I???ar ar Owrer Peho?ning Imbll Phorw No
E60C00 A- 8/96 ?e? g0 0 PY - SEE INSTRUCTONS ON BACK OF YELLAW COPY
2006 RESIDENTIAL BUILDING PERNIIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
TeIephone # b51-675-5675 FAX 9G51-675-5694 '
New Conswc5an Reowrenenfs RemcdeVReoair Reauirements OIRCe Use OnN
3 registered sAe surveys shaving sq. ft of lat sq. R ot house; and @JI roafed areas 2 copias af plen sMwmg faatinqs, heems, jcisis Cert of Survey Racd Y N
(20% ma?umum lot coverage allawed) 1 set of Enegy Calculahdfs fw heated aCditlons irae Pres Plan Recd Y N
2 copies of plan shawng beam & wmdax srzav; poured faund dmgn, etc. 1 site survey fa addRrons & decks Trea Pres Raquired Y N
1 s& of Energy Calalahans Aedilion - mdicate if orvsrte sep6c syatem On-site Sepuc SysRem _ Y_ N
3 capies of Trea prmervatlnn Plan if lat qaUed after 71103
Pom Jdst Detail Optlons seiecuon sheet (huiltlings wM 3 w less wi5)
Minnegasco mechanical vemilation form
Date /0 / ?0/??!? / 08 ?? ?,G' ,`?Q. Coostrucrion C?ost ?
SiteAddress 7T"!O? 7 /?Y'?? (//1?.?4/ ??/S.?f , T /-d??
Description of Work
Muiti-FamiiyBidg ( Y1_ N Fireplace(s) _ 0 _ 1 _ 2
??
Property Owner 1 - elephone # (9? ?
Contractor ) lUl.1lX.ZX1ICA/
44
Address Ci ?
tY
Stace 1 ` Zip 575? n Te(eonone -4(g?
l. /? '
CaMPLETE TH15 A72EA OrlLY dF CaNSTRL3C77NG A AIE'N $l31LI91NG
Energy Code Category ? Minnesora Ruies 7670 Cateearv 1 _ Minnesota Rules 7672
(J su6mission rype) • ResiGential VerNlation Category I Wo'fcsheet • New Energy Cade WoAaheet
Submitted Suhmitted
• Energy Envelape Calwla8ons SubmiGetl
In ihe Iast 12 months, has the City of Eagan issued a permit far a similar plan nased on o master plan8
_ Y _ N If yes, date and address of masier plan:
Licensed Plumber
Mechanical Conhactor
Sewer/Water Coniractor
Telephone #(
Telephone #(
7elephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MI3
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in th case of work which requires a review and
approval of plans.
?? ?
l? L
? '
VU
Applican'sPrintedi3ame Applicant' Sigr?ture
.
e? ? ?
p? ? ?
yY' ? ?
?? ?
pi ? ?
C?Y ? ?
r?Y ? ?
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Rol' ? o
M", a a
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION J#,
PROPERTYLEGAL:
DOCUMENT STANDARDS
2me !&cs(9
• Registered Land Surveyor signature and company
• Building PermitApplicant
• Legal description
• Address
• North arrow and scale
• House type (rambler, walkout, split w/o, splft entry, lookout, etc.)
• Directlonal dreinage arrows witti slope/gradient %
• Proposed/ebsting sewer and water senrices 8 invert e{evation
• Street name
• Driveway
Ebstlna
?? ?
?? n
ir? ? ?
? fii' ?
• Sewer service (or Proposed)
• Praperiy comers
• Top of curb at the driveway
• Elevatlons of any ebsting adjacent homes
Proposed
po' ? ?
fi? ? ?
Bo" Ct ?
e ? ?
0--? ? ?
? GY ?
? OK ?
? G!" ?
? Z??' ?
13 Gl// ?
? ? ?
C?? ?
?? ?
0, ? ?
e? ?
? o-o'?
• Garage floor
• First floor
• Lowest exposed elevation (walkouUwindow)
• Property comers
• Front and rear of home at the foundation
PONDING AREA fif aoolicablel
• Easement line
• NWL
• HWL
• Pand # designation
• Emergencyr Overflow Elevation
DIMENSIONS
• Lot IinesBearings & dimensions
• Right-of-way and street width (to back of curb)
• Proposed home dimensions including any proposed decks, overhangs greater than 7,
porches, etc. (i.e. afi structures requiring permanent footings)
• Show all easements of record and any Cily utilfies witli(n those easements
• Setbacks of proposed sVucture and sideyyd setback of adjacent ebsting structures
• Retaining wall requiremen ' ny
Reviewed:
January 1996
cruw1caerM0cPanrr FM
vr% i r- vr ourcvrn .
LATEST REVISION:
. A?
- t.
L(;Y i:F .=AtF'•
;-p,::.. ?h;: .- ri=?:`•?'?dG?'? ??' E `?'i'? ;
i7. ..? nn?jit:ISf]c..
??1M?"? '-;l_)I'-1?M??J :-!'..)N-•• .['?I!;; ? .,
225,, -(ip: feF'P _F;"_s:_i'r..E
,5r.: ??c.,'I i a ?!1
tyi. ..
. .JiJ
, ';-. ,._..- &-co- . -, 436192
`:Af!(;Y , ..
-? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERIVIIT uqlqq°1
PERMIT TYPE: Bu z Lo z w G
Permit Number: 0 2 9 6 3 9
Date Issued: 0 3/ 31 / 9 7
SITE ADDRESS:
4486 LAKESHORE TER
LOT: 4 BLOCK: 3
CLIFF I.AKE SHORES
P.I.N.: 10-77785-040-03
DESCRIPTION:
a+
?- .
REMARKS:
ZERO LOT LTNE
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
sac
SAC %
SAC Units
? subtotal
38
66
ATTACH
VALUATIQN
$1 9 067.25
$693.71
$68.00
$950.00
iee
i
$2,778.96
$136,000
MISCELLflNEOUS $1,539.50
Tptal Fee $4,316.46
CONTRACTOR: - npplicant - sT. LzC OWNER:
HOFFMAN HOMES INC 18949807 0009284 HOFFMAN HOMES INC
2214 E 117TH ST 2214 E 117TH 5T
BUftNSllILLE MN 55337 BURNSVILLE MN 55337
(612) 894-9807 . (612)594-9807
T ?hereby a,cC#fert;?4-,3 h
Lriform.ati or"i?`•z? co?r.??P-et.an'd' N"'a?
?l .. .,._.. .. _ . ...... . _ .?_. ,.
?'/ „ -
, PLICANTJ MITEE SIGNATURE
(1 OF 2 UNTT5)
ermiC Type SF DWG
?-k Type NEW
? y? R-3 U-1
crW:,T.."e V-N
? w PD
1
102 1 - FAM
rt
?ve re6d;f?k??4 aP ?;V 0ati0
reo? t4
, -
?.f3t'iFiS,-'G?. , ' .•
. n:?. m z :. .. F ..n..Y ..,..,...._._.., ... c .. .va .e.. .e.., e .. .?.,. a t.? .. . ,
? ISSUED EVY: 5 NAT RE
atqo 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL)
q cIrr oF Fr?caN
3830 PILOT KNOB RD • 55122
881 -4675
Nefv ConstruGion Reuuirements
S6fiode1lReoair Reauirements
4if,31b.4L
ca,Q(P43-Z
? 3 registered stte surveys ? 2 copies af plan
• 2 copies of Dlans (indude beam & window saes; poured ind. tlesign; etc.) ? 2 ske surveys (exterior edditions 8 decks)
? 1 energy calwlations ? 1 energy calalations for heated addRions
? 9 copies oT tree preservation plan 'rf lot platted after 7/1/93
required: _ Yes -)(- No DATE: 3 1ia CONSTRUCTION COST: i 36, °?v }'A c-" 'Qpu." t
DESCRIPTION OF WORK:
STREETADDRESS: q`4`6`6 LAVJ--S%A,,ltk 't?RR?c-Cr
LOT BLOCK 3 SUBD./P.I.D. #:
DµQLLlC W/G.r • 3
PROPERTY
OWNER
?
Street Address: ZZ'y E- L i--t '1 ' STn&e T
Ciry:
3v."s J'- uA?
coNrRacTOR Company:
SAME
?..,
State: l"? Zip: S5 331
Phone #:
Street Address: License #: "Iz$?
City: State: Zip:
ARCHITECT! Company: M«??? ? Dft4o Phone #:
ENGINEER
RECEIVELI Name: Ly Registration #:
MAR 2 0 1997 Street Address: g° w- 11?c, ?
BY: City: C++a?wa?r,J State: ?,J ZjP: 5S3 i'}
-?--"
Sewer 8 water licensed plumber (new construcdon onty): W6JZAL- ??? A?ACAV,, . Penalty applies when address change
and lot change are requested once permft is issued.
I hereby acknowledge that I have read this application and state that the information is corre nd agree to comply with all applicable
5tate of Minnesota Statutes and Ciry of Eagan Ordinances. ?--?
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Name: _ " aoff mp,s 1-6..tE, e. Phone #: Es4?r-Sgo?
Tree Preservation Plan Received - Yes - No - Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
o 01 Foundation o 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
,0 02 SF Dwelling o 07 4-piex o 12 Multi Repair/Rem. 0 17 Swim Pool
0 03 SF Addition ? 08 8-plex ? 13 GaragelAccessory a 20 Public Facility
? 04 SF Porch ? 09 12-piex a 14 Fireplace o 21 Miscellaneous
? 05 5F Misc. 0 10 = plex ? 15 Deck
WORK TYPE
n
A /,
/? ? t?
-?' 31 New
? 33
Alt ' s 36 Move
t
? 32 Addition o 34 Repair ? emo ition
GENERAL INFORMATION
Const. (Actual) ?? Basement sq. ft. /? L 1? MClWS System o<.
(Aliowable) ? Main level sq. ft. I, 7Y 7 City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning Pb sq. ft. PRV
# of Stories / Or»r sq. ft. Booster Pump
Length '70 sq. ft. Census Code. /6 2-
Depth 166 Footprint sq. ft. SAC Code 901
Census Bldg I
Census Unit ?
APPROYALS
Planning Building Engineering Variance 44
Permit Fee / ..
Valuation: $
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SiW Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
?? L./, ?•/
,y? G?LGS.
ly
% sac
SAC Units
? CITY CyF EAGAN
% 3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-17785-030-03
DESCRIPTION:
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
4490 LAKESHORE TER
LOT: 3 BLOCK: 3
CLIFF LAKE SHORES
(1 OF 2 UNITS)
ermit Type SF DWG
kr,k Type NEW
n,cf2-3 u-1
V-N
.?
P D
38
66
102 1 - FAM. AT7ACH
??;{a
`w T"A
?E ?ua
CK.9f'l97
BUILDING
029640
03/31/97
REMARKS:
zERO Lor LzNe
FEE SUMMARY:
Base Fee
P1an Review
Surcharga
SAC
SAC %
SAC Units
Subtotal
VflLUATION
$1,@&7.25
$693.71
$68.0@
$950,00
100
$2,778.96
$136,000
MISCELLANEOUS $1,539.50
Total Fee $4,316.46
CONTRACTOR: - Rpplicant - sT. LrC OWNER:
NOFFMRN HOMES INC 18949$07 0009284 HQFFMAN HOMES ZNC 2214 E 117TH ST 2214 E 117TM 5T
BURNSVILLE MN. 55337 BURNSVILLE MN 55337
(612) 894-9807 (612)894-9807
I Z he,reby a,q?Snawle??a
-inf arai?t?,.erFlFl,'€s c6?ric,0ctA i??d.ag
? 8t etut e, s an"i PitY V???z Oed?
? s.. _ ...t... ... ,.. ? r a ' J
APPL ANT/PERM EE SIGNATURE •
hi'o?° ?;PPII'Q????rt at c? ot?t? '??iat?thcz
? ??6*pj"Y04?.'G(m Pi?ltate ztf pn ?
?
J
.R..
(Ntn ? ua'r,? ? 1?11?
ISSUED B? 5 NAT E
997 BUILDING PERMIT APPLICATION (RESIDENTIAL) jjj{ b,4L
L49 CITY OF EAGAN '
,_,?/ ?/A?q' q g
3830 PILOT KNOB RD - 65112 681-4675 (,A.?r ,t,;.l
New Construction Reouirements RemodeVReoair Reouirertrents
? 3 registered sHe surveys ? 2 copies of plan
• 2 copies of plans (indutle beam 8 window saes; poured fid. desgn; ek.) • 2 site surveys (exterior additions & dedcs)
0 1 energy calculations • 1 energy celculetiana for heated adCRions
• 3 caples of tree presarvation plen if lot platted efter 7l1/93
required: _ Yes No '
DATE: 3( i q 14'?- CONSTRUCTION COST: °T+Xj' ll3'Rc"? 4 L (Z`L-
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT 3 BLOCK SUBD./P.I.D.
A"rccx '"f t•r -?//
PROPERTY NHm2: +cFFMwJ Na..es, ?-ac. Phone #: gq`'`"480?
UWNER ?..* .ms* '
StreetAddress: ZZok E` 5'`aET-
City: 3?"5nal: 0,E State: a^,J Zjp; 5533-t
CONTRACTOR Company: s'+^E PhOne #:
Street Address: License #: q7-8i
City: State: Zip:
ARCHi7ECT/ Company: Phone #:
ENGINEER
Name: Registration #:
RECETVED treet Address: ?iO `^' • ?T? `'?°??
MAR 2 0 1997 ity: C.4,,,,,VA,„S6E,J State: +-'+J Zip: `63,
BY:
Sewer & water licensed plumber (new consWction ony): WE47-E1- Penalty applies when address change
and lot change are requested once permit is issued.
I hereby acknowledge that I have read this applicatlon and state that the information is correct and agree to comply with all applicable
State of Minnesota Statutes and City ot Eagan Ordinances. ?
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received
_ Yes
_ No
Tree Preservation Plan Received - Yes - No - Not Required
BUILDING PERMIT TYPE
0 01 Foundation o 06 Duptex
A 7-' 02 SF Dwelling ? 07 4-plex
? 03 5F Addition o 08 8-plex
0 04 5F Porch ? 09 12-plex
? 05 SF Misc. ? 10 _-pl
WORK TYPE
.Ef- 31 New o 33 Alteratic
? 32 Addition o 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
OFFICE USE ONLY
0 11 Apt./Lodging o 16 Basement Finish
0 12 Multi RepaidRem. 0 17 Swim Pool
0 13 Garage/Accessory ? 20 Public Facility
0 15 Deck
?0 3_6Move
? 3'7`Dematiti
Basement sq. ft.
?O-A( Main levef sq. ft.
R ? u• / sq. ft.
sq, ft.
/ dlr? sq. ft.
sq. ft.
66 Footprint sq. ft.
Building
/, 6 !4
/,7 1-0
Engineering
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
Variance
6 xI 'r-
?
o<
OZ
?L
T
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S!W Permit
S!W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation:
??-
$
z
D?
?T-- -
/
% SAC
SAC Units
1u:13
;WowNER:
SI7E A6DRE55:
CDN7RACTOR : kto F t= n? q? Unv's
Determine wor•king square foota9e of each
1. Total exposed wa11 area..... ?I 1 sq. ft, x .11 - 'Z? IQ-Z-
2. Total roof/ceiling area..... zj?A sq, ft. x.026
Total exposed wall area a bove floor=`C ?112-
a. Total wall window area ................. ....................... ... 1 Z1, 3
b.' Total door area .... .................... ..• .- ........,........ ....
c. Total sliding giass door area .......... ...................... ....
d, Total fireplace wall area .............. ...................... ....
e. Total wall framing area (average IO%) .. ...................... ....
f. Tota] rim 3oist nrea ............ . ......................
?
....
?F?
G-'1?-
g. net wall area a6ove floor ........... ...................... ....
,
h. wall area a6ove floor ........... ...................... ....
i. ; wall area above floor ........... ...................... ....
j. frame wall area at foundation ......... ...................... ....
Total exposed foundation area=
k. 7ota1 foundation window area ........... ............
]. Total net foundation area above grade . ...........
Oetermtne "u" value of each wall segment
(e.g. window, door, ezch separate wall sectipn)
a. IZ`I,3 X I.U11
b. X„ U„
c. x u„
a. z ?lu°
e. ? s?IQ K ?????
f. ?1?61 ?"D- X Q0 %(0'6
g. 12n ,C;1 x „U', ; _ -?q
n, z .,u„ ?
; . x ,1 u„ _
? X ,1 u,l ?
k. X ,. u,l
I , X IOU„ = S ??
3 . .................................Tatal = "75?'??15
6129344305 P4INWET0Id6J; DESIGPI
ERTEHIOR EFiYELOPE_AVERAGG COMPIITAf.iON
D/tTF : l - ? 3`95
P" GE U;
PHONE:
PItW #
Tf item 43 9s the sa
as, or less than ite
#l, you have met the
tntent of SBC 6006 (
'P"1995 10:13 6129344305 MINNETOhIICA DESIuN
td, PAGE 08
TOTAL ExrO3E0 AQCIlC@ILlrta Cxt,Cclt.AYtalsa •
;,?
''Tota1axposad
.
rooP/callloq area........ (YZ . sq Pe
J) Totat akylfght araa....... ' sq Pt x "U„ ?
k) TotaI rooP/caflfng framfng '
area {AveraCe lA>)..... ? 2? s4 ft x •?U O?-? • .. 3"?
1)_ Totai net (nsulaead •
; roof/ce11 tng arna. sq f t x "u"
, - .
4'
' TOTAL J) [hru )) 33, ? ?p
IP [otaT oF !rI 1s tha Same a5, or jnss than you have
Z met tht intent of
•
:1CAit 1.16008 :A a=d 0. • • ,
. ; . .
. ALTEMATE BUILbING ENVELCPE OESfGld . '
To utiltzn the tptal anvatope sysXpm Pecthed, -thn valuas estabLtshcd by thq sum '
aP Itetus 13 and 14 sha11 pot ba grBater than thQ xum'og items 11 and 92,
. Y. . ? 2- a .
4-?e
. ' - . • ,-
. `
10:13 6129344305
BLOCK: I (pr'- fr'?
KNEE:
WALKOUT; 3?
FU4L 1: 1(?p'7
FULL 2;
FIREPLACE:
RIM: 4r]
BLOCK:
KNEE;
WALKOUTt
FULL X;
FULL 2:
F.iREPLACE:
LIM_: I (0-1, I,7?>
SQUARE FEET EItPOSED CEILING
WINDOWS: jZ-?,I ?- `
0-pi(p p+r
zCv3(_p I ??k2
ZO?p ?III
3Q50 ?
2 ???
-Cv4Z
?0 SIb?LI(?N1? ? ?
127,3
1 ri??D7??
DOORS: 37 ,'17 ?
PATIO DOORS:
BASEME;iT UNITS:
SKyt,;GHTS :
PAGE 09
R
m
c
1•tINNETONI<A DESIGN
* LINEqL FEET EXt+pSED WAGL
? SQDABE FEET EXPOSED WAGL ARU
x .S .a73.2`1S
x $ ?
x $
x 8
x 8 -x >
HOFFMAN HOMES, INC.
2214 East 117fh Street
Tekpbone Burnsvifle, MN 55337
(6I2) 894-9807
Fax CONTRACTOR 1t 9284
(612) 894-9878
Mr. Joe Voefs
City ofEagan
Ptan 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) 3• q , Block 3 , Ctiff Lake Shores, as were used on
Lot(s) 1 ,y , Block -? , Cliff Lake Shores. None of the structural building
components, HVAC, plumbing or electrical will change from engineered drawings dated
Sincerely,
Patrick C. Hoffman
President
PCH/jem
pcaJeaglv
v
. t;
CITY USE ONLY
LOT ? BL ?+- RECEIPT k: 7c:;PJ4 5
SUBD.PLa/?•_!f?_ RECEIPT DATE: 4?/97
VU., .
1997 MECHANICAL PERMIT (RESIDENTIAL>
. CITY OF EAGAIV
3830 PILOT KNOB RD -
EAGAN MN 55122
Date• (612) 681-4675
(s
Complete this section onlv if vou are installine HVAC in sinsle familv, townhome, or condos that are
under construction and are not owner loccunied.
• HVAC: 0-100 M B T U $ 24.00
ADDITIONAL 50 M BTU 6.00
?
• Gas outlets (minimum of one required @ $3.00 ea)
• State Surcharge: .50
7-2
,( $U
• TOTAL:
Complete this section only if you are remodeling, addinLy to, or repairina eaistinQ sin¢le familv
dwellin2s, townhomes, or condos.
Add-on fiuxtace
_ Add-on air exchanger, i.e. Vanee system, etc.
Minnnum fee. applies to a11 remodel or add-ons of existing residences
State Surcharee
SITE ADDRESS:
OWNER NAME:
INSTALLER NAME:
STREET ADDRESS:
CIT'Y:
Add on air conditioning
Other
$ 20.00
.50
Total: $ 20.50
rxorrE a: WZ/'??7
PHONE #: ?2?;__6V
?•
STATE: ZIP: 65_y,) /
S[G T'URE OF PERNfITT
,? • .
L BL
SUBD.
RECEIPT#:
RECEiPT DATE:
1997 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for.
DATE:
C1TY USE ONLY
CONTRACT PRICE:
WORK TYPE: _ NEW CONSTRUCTION
DESCRIPTION OF WaRK:
INTERIOR IMPROVEMENT
FEES: . $25.00 minimum fee or 1% of contrac2 price, whichever is greater.
? Processed piping - $25.00
? 52ate surcharge af $.50 per $1,000 of rmi fee due on all permits.
CONTRACT PRICE x 1 %
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS
OWNER NAME: TELEPHONE #:
TENANT NAME: (mnaROVEMENTS oNt1) -
INSTALLER:
ADDRESS: cITY: srarF• 710•
PHONE #:
. . - '
SIGNATURE:
SIGNATURE OF PERMITTEE
? all commerciaUndustrial buildings.
• multi-family buildings when separate permiLS are no required for each dwelling
unit
CITY INSPECTOR
r ;., CITY USE ONLY
LOT BL ? RECEIPT#; NJO.S
SUBD. lJu?f?e??L /J/? ?'r4 RECEIPT DATE:
,
1997 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGA[Y
3830 PILOT KNOB RD
EAGAN DRV 55122
Date: (612) 681-4675
Complete this section onlv if vou are installing HVAC in siuele familv. townhome, or condos that are
under construction and are not owner /occupied.
• HVAC: 0-100 M B T U S 24.00
ADDITIONAL 50 M BTU 6.00
• Gas outlets (minimum of one required @$3.00 ea)
• State Surcharge: .50
• TOTAL: .f, Sy
Complete this section onlv if vou are remodelinE, adding to, or renairin¢ eaisting sin¢le familv
dwellines, townhomes, or condos.
_ Add-on fumace _ Add on air condirioning
Add-on air exchanger, i.e. Vanee system, etc. = Other
Minimum fee applies to all remodel or add-ons of existing residences $- 20.00
Stats Surcharge .50
Total: $ 20.50
SITE ADDRESS:
OWNER NAME:
INSTALLER NAME:
STREET ADDRESS:
CIT'Y:
7-/U
PHONE #: ??%- / bU1
?
PHONE #:
STATE: ZIP: JJ7OZ
SIGNATURE OF PERlvtt E
?• ?
CITY USE ONLY
L _ BL _
SUBD.
RECEIPT#:
RECEiPT DATE:
1997 MECHANICAL PERMIT (COMMERClAL)
ClTY OF EAGAN
3830 PlLOT KNOS RD
EAGAN, MN 55122
(612) 689-4675
Please complete for.
DATE:
CONTRACT PRICE:
WORK TYPE: _ NEW CONSTRUCTION
DESCRIPTION OF WORK:
INTERIOR IMPROVEMENT
FEES: ? S25.00 minimum fee Q 7% of contracf price, whichever is greater.
? Processed piping - $25.00
? State surcharge of $.50 per $1,000 of oermit fee due on all pertnits.
CONTRACT PRICE x 1 %
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME: TELEPHONE
TENANT NAME: (iMPROVEMErrTS ONLY)
INSTALLER:
AODRESS:
cirr:
PHONE #:
SIGNATURE:
SIGNATURE OF PERMIITEE
. all commerciaUndustrial buildings.
. multi-famity buiidings when separate permits are = required for each dwelling
unit.
STATE: ZIp:
CITY INSPECTOR
- -- - - - -- - -
}. ,
CITY USE ONLY p
L ? BL RECEIPT#:
SUBD. " RECEIPT DATE: `S?9I1^7
1997 PLUMBING 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 pertnits are required for each unit
. backtiow preventer for underground sprinkier system
FIXTURES €ACH N2
Shower 3.00 x 2 = Av
Water Closet 3.00 x
Bath Tub 3.00 x =
Lavatory 3.00 x 3 = ?
Kitchen Sink 3.00 x 1 = 3.cb
Laundry Tray 3.00 x ! = 3.ob
Hot Tub/Spa 3.00 x I_ = ob
Water Heater 100 x
Floor Drain 3.00 x _L =
Gas Piping Outlet ` minimum -1 • 3.00 x 00
Rough Openings 1.50 x -A_
Water Softener "for dwetlings under wnsfrudion 5.00 X =
WaterSoftener "rorex;st;n9awauinp 20.00 x =
U.G. Sprinkler ' for dwelling under const. 3.00 =
U.G. Sprinkler 'torexistingdwelling 20.00
=
AlteretlOnS ' w existing residence 20.00 =
Water Turn Around 20.00 =
Private Disposal System Dak Cty lic. 75.00 =
(new antl returbished systems)
Private Disposal Systems' ntandonmenc 20.00 =
STATE SURCHARGE .50
TOTAL ?• ??
I hereby adcnowledge thet I have read this application, state that the irrfarmffiion is corract, and agree to compty with all applicable Ciry
of Ea9an ordinances. tt is the applicanPS responsibility to nofdy the proparty ownerthat the Ciry of Eagan assumas no liability Tor any
damagas pused by the Ciry during its normal operational and maintenance activities to the tacilfties construded underthis pertnit wiThin
City propertylrightaf-wayleasement.
0 ZAKESf/D ?EfLiQic c
SITEADDRESS:
OWNER NAME: 0,CVM4N S
INSTALLERNAME: ?Z?.C.. M-C^L.a/-1A)lGAC_, TELEPHONE#: 45-Z-1565'
STREETADDRESS: wNe'? 1%-1L.P
cirv: E:.46An> STATE: My ZIP: 5S?Z2
7 G 4444-,6
SIGNATURE OF PERMITTEE
? . cirr use oNLv
L ? BL ?- RECEIPT#:
SUBD. RECEIPTDATE: `5/g?/?'"/
1997 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55722
(612) 681-4675
Please complete for: ? single family dweliings
. townhomes and condos when permits are required for each unit
. backflow preventer for underground sprinkler system
FIXTURES EACH NO. TOTAL
Shower 3.00 x Z
WaterCloset 3.00 x
Bath Tub 3.00 x =
Lavatory 3.00 x 3 = oa
Kitchen Sink 3.00 x ! = 3•aD
Laundry Tray 3.00 x
Hot Tub/Spa 3.00 x _I = 3AG
WaterHeater 3.00 x J = 3,Qb
FloarDrain 3.00 x
Gas Piping Outlet ` minimum - 1 • 3.00 x 3
Rough Openings 1.50 x S = 4,SD
Water Softener ` for dwellings under wnstrudion 5.00 X =
Water Softener ' for existing dwelling 20.00 x =
U.G. Spdnkler ' for dwelling undar wnst. 3.00 =
U.G. Sprinkler ' tor existing dwelling 20.00 =
Alterations ' to existing residence 20.00 =
Water Tum Around 20.00 =
Private Disposal System ` Dak Cty lio 75.00 =
(new and refurbished systems)
Private Disposal Systems • n.nandonment 20.00 =
STATE SURCHARGE .50
TOTAL y5-.Oa
I hereby edcnowledge that I have read this application, stata that the infortnation is mrred, and agree to mmply wkh all applicable City
at Eagan ordinancas. It is the appliceM's responsbil'Ry to notify the proparty owner that the City of Eagan assumes no fiabAity for any
damages caused by the Cily during its normsl operational and maintenance acbvitias to the faalRies wnstruded under this pertnit within
City DrooeM/riahtof-wavleasemenl.
SITE ADDRESS:
OWNER NAME:
INSTALLER NAME:
STREETADDRESS:
CITY: ?+Q"ti
EE /L
STATE: MN IP: ??''??2Z
?
SIGNATURE OF PERMITTEE
W WNZIF'-.t.-. M??Ak-r?TQLEPHONE #: 452 - 1Sf=S
`a-?"??
City of Eapn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
------------------
?
j Permit #: ? r ? j
? Permit Fee:
? Date Received: ? j
i i
I StaB: ?
I-----------------'
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: -C&?D Site Address: `i'l 46Q>" iHaC) tctt4,? 5Y`m «rvztce_
Tenant:
Suite #:
RESIDENT I OWNER Name CLt4 Lq" sY? ( V?17V1 `10YV?Q..S Phone:
Address / City / Zip: ?? CAA Ljc?(LC cc 1 g!] n 551 14? -.1-411ei
Applicant is: _ Owner _:?_ Contractor
TYPE OF WORK Description of work: I QCtV" ZXK Y'mp?.
Construction Cost: r7a I fj"?,CD',90 Multi-Family Building: (Yes No ?
CONTRACTOR Namehy?t Yl fn Cbi.l?.r Ta,_License#: 401 (0iJ005
Address: qq(,0c) 3a0LluClk M- ? toD
State: j Zip: ?33
bW-}
CIA ( (
0
Cit
p,
.
y:
-
Phone:"1? 0-1 ?'v?Cl ContactPerson: YJI??
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilanon Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Su6mitted
(4 su6mission type) • Energy Envelope Calculalions 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 master plan:
Licensed Plumber: Phone:
Mechanicai Contractor: Phone:
Sewer & Water Contractor: Phone:
be;pr?l?trc Infu"ima#fon PorNons?o"t; •
eons?de'redo
a're
NOTE: Plans aritl-'suppar'?ing'8ocumerjfs tkat yo? suTrmn
?
'
,
asons?ha3 would perm?f#he Cfty#&.
i
fe
ovld
ea
fili
ft
p
'
i
d
-n
n
n
?
c
's
i
e
r
you
r
l
fie
as
o
pu
c,i
e sp
the i
tormabon
may be,
a
s
no(rAWKtiiat?the
I hereby acknowledge [hat this iMOrmation is complete and accurate; that the work will be in conformance with the ordinances and codes o1 the City ot
Eaqan; that I undersland this is not a permit, but only an application for a permit, and work is not to staA withoul a permit ihat ihe work will 6e in
accordance vrith Ihe approved plan in the case oi work which requires a review and approval ot plans.
x ucw(4, JWW(efe4- x
ApplicanYs Printed Name ApplicanYs Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
? Foundation ? 05-plex 0 16-plex ? Accessory Building ? Pool
? Single Family ? 06plex O Freplace ? Porch (3-season) ? Ext. Alt. - Multi
O 01 of _ Plex O 07-plex ? Garage ? Porch (4season) ? 6ct. Alt. - SF
? 02-Plex ? 08-plex ? Deck O Porch (screen/gazebo/pergola) ? Multi Misc.
? 03-Plex ? 10.plex ? Lower Level ? Storm Damage
? 04PIex ? 12-plex ? Miscellaneous
WORK TYPES
O New O Interior Improvement ? Siding ? Demolish Building•
? Addition ? Move Building ? Reroof ? Demolish Interior
? Alteration ? Fire Repair ? Windows 0 Demolish Foundation
? Replacement O Egress Window ? Water Damage
' Demolition (entire building) - give PCA handout to applicant
DESCRIPTION:
Valuation Occupancy MCES System
Plan Review Code Edition SAC Units
(25%_ 700% Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet ppy
if of Buildings Length Fire Sprinklers
Type of Const. ' Width .
REQUIRED INSPECTIONS
Footings (new bldg)
FooTings (deck)
Footings (addition) Foundation
Drain Tile
Roof: Ice & Water Final
Framing
Fireplace:_R.I. _AirTest _Final
Insulation
Reviewed By:
Sheetrock
FinallC.O.
Final/NO C.O. '
HVAC
Other:
Pool:_Footings _Air/GasTests Final
Siding: _Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall
Building Inspector
RES/DENTIAL FEES:
Base Fee
Surcharge
Plan Review
MC/ES SAC
CiTy SAC 'i
Utility Connection Charge ?
S&W Permit & Surcharge i
Treatment Plant
Copies
Total
Page 2 of 3
r ?
CER TIFICA TE
,
E
3
.......ed..?..?.. ? } ? ?
i
I
! J1
I
?
?....? ......? ... .....
I
?
.... ...??n..
?
1
V?
1
(s2o.oo) °
? .
919.57
IIrrDECK ? ?,SOSZ•174wO
? ; + / P R I
? 4.0p
I (s2zo) '
?
I ?
I
I
J
(925.80)
925.84
mlp
? 4 38.00
o ?qkE488
P
H?RF
M
4 o
9 o n o
?2$0 N 4.Sp ? A(O
0 i \
o°
'o
N
9ti?
zzz??l 00
? '• ?o
? 915.1 ? a
I ' 8 {o
....._..... - _ I a.
. ,
_.__.. - ,..?
?
! CURB & GU77ER -s <82µ.89 TC) I
9 4.96 TC (924.89 TC)
o ;
D1 1 ? ...\924J1 TC
_....,.._._....?.._.. ?
84.00
W
OF SUR VEY
CO 10.00' Offset 921.08
OD 10.00' Offset 920.38
roo of /rons 0 Offsets
AO 10.00' Offsef 921.57
OB 10.00' Offset 924.96
(
I P0 R C,
/ OECK /
3a.oo i
O
) A
'Z50 n
o°
sa
ry 3
21.00 ?• 914.5
I
I
I
1
R? ?
N? '
?S ?
Lp,? ? r
a'
i
fyv?lo"F- siCA rE/.t1c.C.r Ar ?eAvlvc?
(918J0)
20.17
1 ? ! (r
o° I
n x (e2s.o)/
4.00
I
I
/
?
\
O
[?QOam
?
LEGAL DESCRIPAON:
Lots 3, & 4, B/ock 3, CLlFF
LAKE SNORES, according fo the p/at
thereof, Dakota County, Minnesota
Top of Block = 927.33
Garage Floor = 926.95
Lowest Floor = 919.18
GRAPHIC SCALE
20 0 10 20 10
nmll?
( IN FEET )
1 inch = 20 ft.
930.0 Denotes Sonitory Sewer Service lnvert
865.0 denotes exisfing elev.
(865.0) denotes proposed e(ev.
denotes surface drainage
DI / ?`V? ? v
• Denotes iron monumenf found
p
?UILDI? I? PE?TIOV? DEPT. 0 Denotes iron monument set
8earings bosed on ossumed datum.
hereby certify thot this survey was prepored
by me or under my direct supervisron and fhat
??_ 1 am o du/y Registered Lartd Surveyor under the
lows of-lhe State a( Minnesefe.--)
_
C-jNEF',j{,jN.1'.aDEF^a; - lPortin J. Weber, R.t?.S. Dote
r G Registrotion No. 1?043
;
(925.80) ?-"
924.53 ?
!
!
/
!
- /
-. ? - -
?
?
, cURB &
GUTTfR
,
,
?
REQUESTED BY.•
HOFFMAN HOMES /NC.
W Westwood Professional Servrces, lnc
14180 West 7runk Hwy. 5
lvv Eden Prairie, MN 55344
(612) 937-5150
Drawn by NTS I Dote: 3118197 I Job No: 95198
441
#449 921.59 x
o ,o.oo
T?RRA?e
o°
P
3
Lots 3& 4, Block 3
B3L03-04.DWG
.
"t595 wesbootl?m?essonm Ser?+ces. mc
I\ ? ?
?
?
1 ?
?
\ ?-1
1 `\1
1 1
• ? ? V1
- ? •r
/ 1 1
1 -'.d\
1 l
BENCH MARK _ ? f )\
BRA$$ MONIIMENT /1982 qJ O SW LCRNCF
BNIDCE CUiT IAKE W. k 35E.
EL. 950.86
I ? ? ? I I
( ( ? ? I
92.5I
- -' -?-?
1 ? ! ? I
I ?
920 I '
- - L--
-t ---?--
?
I I I
--
, i ---?---1---t---+--
"E- '
910 r i Ie - llt. I
-, -- - - --?-- -
? i ? 7 ?
? i
I I ?
?
905:
--- - - - 1-- -
? -- --;-- ;- -- r---?
? ' i
895; ? -
" ' "-
?
I I _ ..
:
i i
i ?
],5' M CCWEPI I
---u
zio
NH-1 ?
srw-u.b6:;,,..
PE ? 9i9r?? Di
IE E. 90E89
h w. - so:.se
IE 5. + d56.25
iE tt ? 89F.15
MH-1
4- RE - 9:
iE E. - ao.?c
?E W. =i928AB
;an 49 Hwn Eetae 0lgginp:
corrm sraTE ohee ca.i-
Txh Clly Iuw 454-0002
u?. Tx F,ee +-eoo-zez-nss
? NOiE:
I
?
ALL 8' DIV h 6' MP TO BE M55 52
? UNLESS O7HERw15E N01Ep.
1
?
ALL 8" P?C SMITARY 5[NER FlPE TO BE SOR-1.`; IlNLE55
? O1HEPw15E NOIED, ALL 4* SA111T/RY TO BE IDR-26.
I
? 870.0
p[N11E5 .:ANITMY SENER $ENNCE INWRI O 10'
i iROM BUILOINC. UNLE55 OIHERMISE NOTED.
WYE?0+55 DENOlES SANITMY SEN£F SERNCE
WYE LOCAPON OM MNNUNE iRW
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.n, .;?a c.no.. ?r?.?rc ' _......?.... ..,..•.-..,r. -- CONSTRUCTION PLAN
CL1FF LAlCE COURi' ° SOUTH RUN •
Use BLUE or BLACK Ink
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I For Office Use �
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Clty of ����� � Permit#: �
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� Permit Fee: V�� I
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
IL 1���S� �� �S�v� `�wv� cv c��,',y�. �� c�si a�
Date: Site Address: 0 0 "l' Unit#:
� � � Name:�� /1 Il�Y.,,M,,..., uv„u����� ....j�����.....�w�,�.�,_v�..�...,�..��.,..�..�. Phone: - �a.�.�,...r..�.._�
t� G
�;' Ftss��len� � �
� Q�t�Er' � Address/City/Zip: ��"�'
� � Applicant is������Owner ��� Contractor ����� , ����y ,��
Description of work: ��✓�� `�� �
Ty�� O"F 1��Or1C �
� � � Construction Cost: ������ Multi-Family Building: (Yes /No���� �
�� � Company:1,(�t/�t S (�YEfi�� (.���G�J� �hc. Contact: ��f ��'t u� ��"" ��
� � �
� Address: JS�b �'G.�;J 17tnN� �� � Sulf�, u�1/ City: ✓ 1 � 11 3
� Can#ract�or � �
� State:�Zip: gSy�� Phone: �7(o3-5,���bn�'� Email: ��� � ��;Jg�iiuLw/ ��e�`J•
� �
� License#• �c ���" 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 Cit of Ea an issued a ermit for a similar lan based on a master lan? 4
Y 9 p p p �
Yes No If yes, date and address of master plan: #
�
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
N�TE:P��s a�d sc��o�t��g d�c.t�r��r��Nt�at yo�s��br�a��co�sl�ed��ke j����or�t�un. �"c��tto�s c�#
th�in�arr�aa�i�o�►r�a��e class��ed as rron pc�b#��r'f�ta pro�i�►e spec�c rea��;r�t���"perra�#tlae Cf�t�
� co���r/e t���`t� ar�t�adQ s�cre#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.aopherstateonecall.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 wil� 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.
�.
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ApplicanYs Printed Name Appli s Sign ture
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