4489 Lakeshore Ter: . ?
, ,?, .
C1TY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE AQDRESS: , „ 1:
PERMIT SUBTYPE:
PERMIT TYPE:
Permit Number:
Date tssued:
APPLICANT:
,•?; , . :?? ;?,?i?;; ? ri?
???) 4 0 licf i
TYPE OF WORK:
i" ; I , ? ;.11I
fllt I 1 li 1 Nt
w .'c,?, ( h
lo i Io lt4!
vru
i:t i" t-i t 1>1 1 1 rat ?
INSPECTION • .A
1 0! 1 { 1
4
?
W f't HR l..IF µi F t f't.Elti
F n Ll I 1 1 Ah t'MMti' i F i
' ?.
..?
Permit No. Permk Nolder Date Telephone #
ELECTRIC 36y
ptUMB?NG
HVAC
Inapection te Insp. Comments
FOOTINQS
FOUND ?V•???? ?,?
FRAMING
ROOFING
ROUGH
PLUMBING
1 -?
PLBG
AIR TEST
11_121k
ROUGH
HEATING
42
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIHEPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLOG FINAL ?x
BSMT R.I.
BSMT FINAL
UECK FfG
DECK FlNAL 2
? CI7Y t')F EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
+ . ,?r f ,iii<?. (# k
PERMIT SUBTYPE:
TYPE OF WORK:
W i ;, ?, I ? ?w
t<u?Ii?] ri6
1 H
t?511u1?i?,
MI lJ
? 1i I? 1i l it l I 1 Nf )
INSPECTION .ATE INSPTR. INSPECTIO .•
r, 1 t1?; ! I??,r i ,
i i! .Ifl At F ??I? , I I I f'? ., ?
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
te?i.') i;•):I f<iFyi
'?• P C hfAk kS, , S T? k4 f't.tik -- W. N;'1 t f't 1:1:1
i 4?111'1 }'y, E.f) 1I?I +1+lWR 1 f1h4 ',t1I3}at: I t=ft ?1 tf1
Permit No. Pertnit Holder Date Telephone#
ELECTRiC Q () 1/ l yl ?°
PLUMBING
HVAC
Inspectlon Date Inap. Commenta
FOOTINGS 10
FOUND
FRAMING
I
?L
ROOFING ?
ROUGH
PLUMBING
PLBG
AIR TEST
l? s-
ROUGH
HEATING ?
GAS SVC
TEST ?
INSUL
!
GYP 80ARD
FIREPLACE
FIREPLACE
AIRTEST -7 /I
FINAL PLBG
1221 -
FINAL HTG 1_ C ?lS ?
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK Fi(3
DECK FINAL
'-•-I
%RL'tifiCQt¢ nf CCCIipQIiC?
Wit4 of Wagan
McOartincat of 13xitbing ?ijocrtion
This Certificate issued pursuant to the requirements of 1he Uniform Building Code
certifying that at tlre time of issuance this structure was in compliarece with the various
ordinances of t?te City regulating building co?tstnection or use. For the following:
Use Classification: SF I7m Bldg. Pertnit No. 26514
Oocpancy 7)rpe R3AII_ Zqning Disuria Pfl Type Const. VN
Owner d 6uilding fY]FFM11N }YIES TW Admess ? 14 R l17M RZ',E[NNOVILJ F-
Buildiag Addras 401 1AFESM-W IMAM l.ocaliryT.l ,A, !3,'RRf I1][itF?: glo'FS
, uate: ?
- BwldinB Olficul '
POST IN A CONSPICUOUS PLACE
W,alificate of cccu.vanc?
W" of Cpagan
?e?arta?ext sf earttbbng aaoecriun
Titis Certificate issued pursuant to the requirements of the Uniform Building Code
certifying [hat at the time of issuance this structur+e was ire co,npliance wirh the various
orrlircances of the City regulatiRg building cvnstruction or use. For 1he followrng:
UseC7usification: $F DW Bldg. Permit No. 26515
Oocup-Y Ty'1e R3/U I 7.onina D'estrict PIl 'fype Const. UN
Owner of Buildin6 HOFTM HOM DC Adihess ?? 14 P I I7M $j'- 11 T F
Biutding Addiess 4489 1 ,AKP_4HM jMAa---
i
Buildiog Official
l,ocaliry
;.
Date: /
POST IN A CONSPICUOUS PLACE
g.wVW"W
1111111 I fl REQUEST FOR ELECTRICAL INSPECTION ?/? W5
Minnesota State Board M Elechicity
? 1821 U(ive? ity Ava., R 12Sj I, MN 55104 ?cii #Y8134 III II
? 0 * Phone e12 642-0800 ?i ????l?rS
Home upex Apf. Bldg. Other: I XI New Addn
Commerciol Industriol Farm Remod Re air
Air Cond. Htg. Equip. Water Hh. Load Mgmt. Ofher:
Dryer Ran e Elec. Heat Tem .$ervice
"k' obove the work covered by }bis request Enfer remarks in ihis space ond on the back of the whde mpy only.
Calculafe Inspection Fee - This Inspection Request wJl nof be accepted wifhouf fhe correct fee:
OIher Fee N Service Enharwe $ae Fee # Circuih/Feeders Fee
Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps
Street Ltg./rraffic Sig. Above 200 Amps Above 100 Amps
Transformer/Generator INSPECTOR'SUSEONLV TOTAL
$ign/Oufline L}g. Xfmr.
7
?
Alarm/Remafe Conirol ( -
7
$wimming Pool I heRb cem ?har I ?ns acted ihe elacMCOI ?nst611a?io bed hercm an Me do?es sm?ed
Irtigafion Boom Ro?gh-in ?J?y?O ??
enal Ins
S
ection r
p
p
Investigative Fee Final e?
THIS INSTALLATION MAY 8E ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS.
2 O V-359 0?
. _
x?? ?
OFFI E USE ONLY This request void 18 monlhs from vaLdatian dvle pnnted m th'
//??95 9
I
PLEASE PRINT OR TYPE
Reqmst Doh Rough-in inspenion reqmm Yes Inspecnon OtherThan Roogh-In ? Ready Now ill Call
5 (Yoa most call Ihe mspeaor when rmdy) Dak Ready
I,'0 licensed <onhactor ? owner hereby reques} inspedion of the a6ove eledrical work at:
lab fddress (Streel, Box, or Roule No ) ?-? Gry ?1^^ Z?p Code
Y...M Q.n
Sedion No Township Nome or N. Range N. Firc N.
Coun
`
Oc<opant Phone N.
Po plier ress F
Eledd I Commtlor (Company Nome) Commcbr License Moxlar Lk. Na. (Plont Elen. Only)
? i
Mailin Pddresz (Cammnor or er Performing InsMllarion? ? ?,
??.?/?
(,C/?,?.(y/CJ
AuM :ed 5lgnanre (Canlmciorar Owner Perfortnmg Installation)
Mn1 351 P No.
? a-
Ee-0000 A. 0 6/95 ATEBOARDCOPY-SEEINSTRUCTIONSONBACKOFYELLOWCOGY
2 O O-?.[? O ?
?? o Oj,s FF7 E U ONLY Thrs rcqoesf void 18 manths Irom voLdanon dare pnnkd in Ihls p ???
4
? OV
PLEASE PRINT OR iYPE (,/
Reqoest Dak kough-in inapenian reqvi Ym Inspedion Other Than Raogh-in Q Reody Now Will Call
? (Yoo m.st coll Poe inapeclor xfi nody) Dute Ready:
licensed con}rac}or ? owner hereby requesi inspection of ihe above eleclrical work af:
Job Pddress (She<p Bax, or Rome No )
• Gry Z, Code
I 23
SecNon No Township Name or N. Rurge N. Fire N.
Co
Occu
poM Phone N.
\
1•• 1 , ?
Pyoiec5vpplmr dms
\
JJ CL
40Y_%
Eledn I Contraqor (Comparry Nama, Confimdor Lic No Maskr Lc. No (Plom Eled Only)
t
,
MaArtp
Addmse fConha r r Owner Pedorming Im Ilanon) ?
r
4
J
lwth rixed SigrwNm ?Conhawr or Owner Pedoeming Insbllanon) Pho e Na.
-
?5 13
EB- 1A-10 6/95 FftATEsSOARD
n rJ'!1 CY
* 0 I
2 0 83 6 0 REOUEST FOR ELECTRICAL INSPECTION/?47A
` II IlII M82t UnNersity AvearRm 5-1?6 S. Paul, MN 55104
8* Phone (612) 642-0eoo `/ 11 95
Hame up e?c Apt. Bldg. Other New Addn
Commercial Indusfriol Farm Remod Re av
Air Cond. Htg. Eqwp. Water Hh. Load Mgm}. Olher:
D er Ran e Elec Heat Tem . Sernce
above fhe work covered by this request Enfer remarks m this space and on lhe back of the wbde copy only.
Calculote Inspechon Fee - 7his Inspechon Request will naf be occepfed without rhe correct fee:
Olher Fee tt $ervice EMronce Sae Fee # Cirtuils/Feeders Fee
Mo6de Home Park Stall 0 ta 200 Amps 0}0 100 Amps
Sireei Lig.ITroffic $ig. Above 200 Amps Above 700 Amps
Transformer/Generator INSPECTOF'SUSEONLV O
TAL
T
Sign/Outiine L}g. Xfmr. , /!'?' y
1
t
Alaim/Remote Con}rol ??
$wimming Pool i hereb mm thal I in: ecied the elecmcal u:tall de ,b hereun on the mes :mtcd
Irrigafion Boom Rouqh-In
eaal Ins
S
edion
p
p
Investigative Fee Fnvi ?
? Dot j. /
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETEU WITHIN 18 MONTHS.
Addtess 4491 LAKESHORE rERRA!,E Zip 5512 2
Lot -' I. ' Blk 2 Sub miFF L4i sttoas
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPEC'I'ION.
Date: /(P A?9 Yes No Inspector: lAh6
Final grade (6" from siding) i,/
Permanent steps (garage)
Peananent steps (main entry) ?
Permanent driveway
Permanent gas ?
Sod/Seeded grass i/
TraiUcurb damage V/
Porch ?
Basement finish ?
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exiscs.
Contaa engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contractor Copy ?
Address! 4489 IAKEESHp?2E TERgACE Zip 55122`
I.ot z Blk 2 Sub !,7.IFF LAxE SHO?tEs
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: '7a(p 9(P Yes No Inspector: '
Final grade (6" from siding) v
Permanent steps (garage) ?
Permanent steps (main entry) v
Permanent driveway t/
Permanent gas y
Sod/Seeded grass ?
TraiUcurb damage
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shutoff of warer supply to
the ouuide lawn faucet 6efore freeze polential exists.
Contact engineering division at 681-4645 before working in righhof-way or instailing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
200b RESIDENT_IAL BUIIIDING PERNIIT APPLICATION
? City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
TeIephone # 651-675-5675 FAX # 651-675-5694 `
New ConstrucCOn Reowrenenfs
7 registered sAe surveys showuig sq. R of lot sq. R of hause; and all rmfed areas
(20%maOUmum lot caverage ailowed)
2 copes of plan shamng beam 8 wmtlow saas; poured found damgn, etc
1 sat W Energy Calala6ons
3colotes of 7ree Praaervenon Plan if lat plaGed after 771H3
Rim Jmst Oetaii Opaons seiecpon sheat (builtlings wM 3 or leas wifs)
Minnegasco mechanical veatilazion form
Date /() /' o/ [ / 04!5
Site Address
RemaddlReoer Reouiremen6
2 capies of plen showng faatlnga, bwms, idsts
7 set M Enef9y CalalaEwu for hw[ed ad0itiuns
i site survey far addftns & ded:s
Addihon • mdicate if on-srte septlc system
ConstructionCost
(55
Description of Work
Multi-Family Bfdg
Y/_ rr
Fireplace(s) _ 0 _ 1 _ 2
??gao
Ofice Use Onlv
Cert otSurveyRecE Y N
Trea Pres Plan R9cC Y N
Tree PreS Required _ Y_ N
On-sire Sep6c System _ Y_ N
PropertyOwner °IC?elep6one#(9.?
ContracTOr
Address
SL'1[E "
55E -1 ? City 1-?Py'JU
IlAWUl5l?? 'ip 5S3 ?L/j Teiepnone=`(?/L?„?
?
CaMPLETP THiS A32EA aNLY 1F CONSTRL3C?]NG A NE3N B131LI91NG
Energy Code Category -' Minnesota Rutes 7670 Cateeorv 1 _ Minnesota Ruies 7672
ResitlenUa! Ventilatlon Category 1 Worksheet • Naw Energy Code Wodcsheet
(J submission rype) SuOmfttetl Submilted
• Energy F_melope CalafaBons Su6mittetl
In the last 12 months, has the City of Eagan issued a pertnifi for a similar plan based on a master planZ
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/water ContracTor
Telephone # (
Telephone #(
Telephone #(
I hereby apply for a Residenrial Building Permit and aclmowledge that the informarion is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand tius is not a pernut, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in th case of work which requires a review and
approval ofplans.
?- llD
Applican's Printed Name Applicant' Sign?ture
z
LOT SURVEY CHECKUST FOR RESlDENTWI.
' BUIL
DWGPERMITAPPUCATI N
. W : •.? ? ,p
PROPERTYLEGAL•
< ? m DATE OF SURVEY: _ /0/6 r
UITEST REVlSION: 9
DOCUMENT STANOARDS '
13""D G • Registered Land Surveyor sipnature and company
57-'a O • Buitdinq PertnitAppllcant
gr'O C • Legal dascriptlon •
?o ? • Address
?p o • North artow and acale
o? o • House lype (ramWet, walkout, spAt w/o, apAt enby, lookout, atc.)
0 O • Dlrectlonal drainaqe srrowa wiTh slopelpradiant %
?C O • Proposed/eAstlnp sewer and water services 4 Inrert elevatlon
a?g a • . Street name .
Drivaway
" p •
O--,o a .
o ?o .
??
? O •
O •
o .
O O •
o ?rG .
o
O Q ? a
?
p ? .
o G .
O'g o •
c?p a .
?a a .
B? O O •
p/p p •
p p--13' •
Jup 1996
E)dsdna
Sewar aervka •
PropeAy comeis
ToP of aurb et me drlveway
Elevetlons of any oxtatlnp adJacent homes
Garape floor
F7rstfloot
Lowest exposed elavetlon (rralkoutlwirMow)
PropeAy comeis
Front and rear of home at the foundatlon
Easement qna NIML • HWI: ', -
Pond # dastpnaUon
Emergancy OvaAlow Elevatlon '
DIMENSION3
lot IlneslBeerinpS b dGnOnstons '
wpnt.ot-way snd sveet wtdtri po badc of curb) •
Proposad home dimondona 4?cludlnp any propoaed decka, overhanps proatef 7ian 2',
porches, etc. (I.a. a11 aVucwres requGinp permanent tootlnps)
Shaw all ea9ements of recwd and any Cily utllitles withln ttwse easementa
Setbacks.of proposed structure and sWeyard setbsck of adJaceot exdstlng struclures
Retaining wall
Rev(ewed:
? 'CITIi' OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
cp?_4qooq
BUILq1NG
026515
10/10J95
SITE ADDRESS:
4489 LAK[SHpF2E TCR
LOTs 2 BLOCK: 2
CLIFP LAKE SHORES
DESCRIPTION:
(ZERO LOT LZNE)
Permit 7ype
6ual?e? SF DbJG
?„
OGikiii;ng?Flsprk Type NEW
t"ft -,
J,"tJBG OCx?WPo R-3 U-1
.
i cvrRSttw?'C?trn TyPe V-N
PD
3£3
u11 : d i n 4d'i dth
S 66
,
";,_
-11 1- .ovlaN?rv'N'i b _ ?,# '=2
t SA.-
?.q;'
`'?1kTM
m
REMARKS:
5& W PL6R - WENZEI- PLBG
OUPIEX WITH 4A91 LAKESHOF2E 7Ef2 (l.OT 1)
FEE SUMMARY:
Base Fas
Rlan Review
Surcharge
SAC /I ry
JFIW O
SAC Units
Subtotal
VALL1AT70N
$ 1 , 0 0 2 .2 5
'R35a, 79
$61.50
$850.00/1 00
$2,264.54
$123,000
M.ISCELLANEOU5 $1,892_50
Tata1 Fee $4,157.04
CONTRACTOR: - pPPlicant - s7. Lrc. OWNER:
HOFFMRN HOMES INC 18949807 0009284 HOF'FMflN HOMES INC
2214 E 11ITH ST 2214 E 1171M 5T
BURNSVILLE MN 55337 BURNSVILL.E MN 55337
(612) 894--9807 (617)894-9807
Z Yie we7iy_ acknauaYsdg-e Y.haC`.]C'haver?ead tbus`ra.#rpli-ctitibn and state tha,t?..tIrro
- ?-br)foPmatzc?n ?is ?cerrr-ec•t•. 4in?d :agYeel tcz co?nPly ,wj,th; ay?{alAi-- °5?ate,31ta
r
Statwtes ahdCity ?of Eagan'?CYrdinan;c;es..
, .
...?_
( ? t C Cct^?-? ?i12_ _ ? ?1119 Il D/ {?. ? ?
APPLICANT/PERMITEE 5 _ . . ' ISSUED B SIG TURT
1NSPECr1,IUN RECURD
CtTY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Numher:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
suzLosNe
026515
x0/ze(95
SITE ADDRESS: i. n r: z a Lo c r. :
4489 LAKESHORE TER
CLIFF LAKE SHOftES
PERMIT SUBTYPE:
SF UWG
2 APPLICANT:
woFFmAN HomEs zNc
(612) 894-5$07
TYPE OF WORK:
DESCftIPTION
NEW
(ZC.RO LCJT I.71VE)
INSPECTION D• . D.
FOOT7NG5 FOUNDATION
FRAMING ROfIFING
TN5ULATION F1REf}LACE
ROUGH ZN PLBG ROUGH ZN Hl"G
FINAL RLBG FINHL
REMflRKS: S G W PLBft - WENZEL PL6G
DUPIEX WI7H 9491 LAKESHORE TER (LOT 1)
?- , :,' ` , ' ' • _ ' , - - _.
? . ;. . ? ,. ._. - " ; . . - - _ . . . .
, CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
? 3 registeied site surveys ? 2 copies oi plan
? 2 copies of plens (indude beam & window sizea; poured fid. design: etc.) ? 2 alte surveys (ex[erbr additlons 8 decks)
? 1 energy wlalffiions ? 1 energy calculations Por M1eated eddttions
? 3 wpies M Loe preeervation pian iF lot pfatted after 7Hl93
tequired: Yes?lS, No
DATE: / ?/Z q5 CONSTRUCTION COST:
DESCRIPTION OF WORK: ?BS14???Zl
STREET ADDRESS: UmEtri
Lor 2 eLocrc 2 SUBD./P.I.D.#: 4?L?2-&?X
?uPGSx c?? Lo? - /
???
/"Qn ???5 g9`,-9gG4-?
PROPER7Y Name:
,
• Phone #:
O4YNER ?*
Street Address• Zz
City: State: Zip:
CoN7RACTOR Company: #C+?Qh T7?/kesz Phon : ?
?
Street Address: Zz Iy 6 - 117??- License #• ?9?- $?
City: ?r/ISl/???+2 State: /V) Zip• 55 3 3 J7
ARCHITECT! Company: Phone #- 93'7--7 WU
ENGINEER
Name: Registrati on #:?
Street Address• g? 10'
Ciry: ??Q?t ?Q.SSe?t State: 41) Zip:
Sewer & water licensed plumber: 146'CQf'Gi?? . Penalty applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that I have read this applicaGon and state that the
applicable State of Minnesota Statutes and City of Eagan Ordinances. r,
OFFICE USE ONLY
Certificates of Survey Received
L-e Preservation Plan Received
5ignature of ,A'pplicent: ---- ?
Or, r 0
? Yes
_ Yes C No
?
correct and agree to comply with all
?
.J..
??'--------
sssi s o 1 ?j
?
r,
rG4r ?i?
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation o 06 Duplex
CP? 02 SF Qwetling ? 07 4-plex
0 03 SF Addition o OS 8-plex
0 04 SF Porch o 09 12-plex
o ?Mhs . -plex
? ? ?-o - G 6 f -L?•? ?
woo .
,V- 31 New o 33 Alterations
? 32 Addition o 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Pianning
0 11 Apt./Lodging o
0 12 Multi Repair/Rem. o
o 13 Garage/Accessory o
? 14 Fireplace ?
0 15 Deck
? 36 Move
? 37 Demolition
Variance
y-N Basement sq. ft. ?? MCtWS System ?
?'??! Main level sq. ft. City Water T
sq. ft. Fire Sprinklered
P=D sq. ft. PRV
sq, ft. Booster Pump
? sq. ft. Census Code. n Z
? Footprint sq. ft. 5AC Code ai
Census Bldg /
Census Unit
Building
Engineering
Permit Fee
Surcharge
Plan Review
License
MCM/S SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
51W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Totai:
Valuation:
'W41N Gc-a£ i-
yo X 3? _ /, szo
CRNr• Zxlo = lz
C'4's 7 x / ° 7
g / Z 3, o00 `p
% SAC yb Z
SAC Units lZZ j
?
.
,„ . .
? .; , .
.
. hw ??.. . .. . ,.
16 Basement Finish
17 Swim Pool
20 Pubiic Facility
21 Miscellaneous
4 63?
CZ %b)
4 7 X1)
6/0 4 ,
Z/xz1
°
?pS?
09/13!1995 10:13 6125344305 h1INNET01JKt1 DESIGN
. EXTERIOR ENVELOPE AVERIIGC "tl" COMf U7A:fI.ON
OWNER
SI7E ADDRESS:
CDN7RACTOR:
PHONE:
Pr1w
Determine working square foota9e of'each
1. 7ota1 exposed wal l area..... IK1 1I ` sq. ft, x.11 ? 2? 27-
2, 7ata1 roof/cetling area..... 10 A?P sq, ft. x.02G = 42-%? 1
Total exposed wall area above floor=` \,2-
IV , ?
a. Total wall window area ........................................... `I
-T
b. Total door area ....,......................,. . ..................... i
\
c. Total sliding glass door area.......................•.,.••--••••-
d, Total fireQlace wall area ........................................
e. Total wall freming areA (average 10").-..•••••••••••••-•••••••••• ?
f. Tota] rim joist ared ............ ................................ . ,=>
g. net wall area above floor ..................................... 12??.
h. wall area d6ove floor .....................................
i. T wall area a6ove floor ...............:.....................
j. frame wall erea at foundation..........
Total exposed foundation area= ?01?s
k. 7ota1 foundaCion window area .......................
l. Total net foundation area above grade ..............
Oetermine "u" value of each wall segment
(e.g. window, door, each separate wall section)
nnrr: 1? -13-`t5
PA6E 07
a. l2"1,3 X 'lull . = C02.3°1
X
b. „
Ull
I(O??t
?
c. z ^lllk
d. g ,iuii _
X ?lull
f. X .?u" ?Q = (P?US
g. 1z3%.s1 x „u„
n, z V.
-
;. X „ul, _
? X Vu,l ?
k, X "U" =
1 , c4z-•-1 ? X ????? ,p?(0 ? ? ??
If item i3 1s the
as, or less than i
#1, you have met t
tntent of S8C 6006
3 . .................................Total = ????5
09!1311995 10:13 6129344305 MINNETOIJI<a DESIGN PAGE 08
toTAt Cxrasta eoor/cet?INa McuLar10113: Total exposad '
rooF/ea itinR area........ (p2 iq /t
J) Total skyllyht area....... ' s9 1't x"U'• "
k) Total roof/cailtng Prwing
ares (Averave sq ft x',,u,,
1). Total nee insutated • ? •
: roof/ceilTng arna....... ,A'(_0 7'? sq ft x "U" `?7- ? ???D. •, '
?• • ? TOTAL J) th ru t)
1f total oF sII Ts the same as, or ]nss than /2. you have mec the Tntent of
• 2:lCAft 1.16008 A eftd 0. ' .`
, ? • • .
. ' . ' • ' •
ACTEpM117'E BUILDING ENVELOPE QESlGk . '
To utTllxe tha tota) envalope system nethod, -the valuns estsb7•Ished 6y thq sum ' of Itaras /3 and 14 shall nat be gresater than tfia wm'of Itaas 11 u+d !2. . . ?
. S. ' + a . _ • .
- ?
. ?
,
69/13/1995 10:13 6129344305 I•tINNETONKA DESIGN
* LINEAL FEET EXPpSEO WA4L
BLOCK: `(Psfs,
KNEE:
WAl.KOUT: ?-3
FUL(, 1 : \ (p7 ,
PUGf. 2:
FIREPLACE:
RIM: is
* SQUARE FEET E7CPOSED WALL ARFA
BLOCK :
KNEE: x S ?
WALKORTs 3? x 8 a 3C?
FULL 1: x 8=
FULL 2: x g ,
FIREPLACE: X a
kIM: y?P1,l?? x 1? ICO JS
IVIRL
S `NJ1
QUAR$ FEET ERPOSED CEILING
WINDOWS : DOORS : 3017 R`
2(,?? ? 11 C-7) sl
% PATIO QOORS: ???t-
zo? Itl` ??JZ
3050 I `?g? SASEM E;IT UNITS:
?0 SIb?LI(?N1? ? ,?
--- SKYLIGHTS:
_w ?
IZ7,3
PAGE 09
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT ,p-4q009
PERMITTYPE: BuILozns
Permit Number: 026514
Date Issued: 10 / 10/ 9 5
SITE ADDRESS:
4491 LflKESHORE TER
LOT: 1 BLOCK: 2
CLTFF LAKE SWORES
DESCRIPTION:
- (zERo Ln7 LznE)
"q;_Permi.T. 1'yFe SF UWG
guS.'lcEin6.',4t?rk Type NEW
=:=kt8? t?c,CU??aYt.?yk4? R-3 U-1
V-N
ZfrYi3?YYg ? ?°•?
?
t PD
,
,
'BCti.ld??it? tF7. 38
a 66
Ojj 3;;J--ldi"n;q.?t.ories,
'w
t?
C5 M1
4
..
iY2.5
W[ rv°?.£r'(`<:?o
i 1
i n Tt? ""mt'4a .mGU yL?n 43.?+
--, 11?,r y:S;;: ?i:?? 3 ? ts.? e,???
REMARKS:
5& W PLBh' - WENZEL PLBG
DUPLEX WITH 4489 LAKESHOFtE TER (LOf 2)
FEE SUMMARY:
VALUATIUN $136,000
Base Pee
F].an Review
Sijrcharge
5AC
sAc ?
SAC Un1 ts
Lic. Search t"ee
Subtutal
$1,067.25
$373.54
$68.00
$as@.mm
L60
1
_ .$5.00
$2,363.79
MISCELLANEQU5 50
Total rPe $4,256.29
CONTRACTOR: flpplicant - sTe Lzc. OWNER:
MOFFMAN IiOME5 :CNC 18949807 0009289 HOi=FMAN HOMES INC
2214 E 117TFi ST 2214 E 117TH ST
BURNSVII.LE MN 55337 BURNSVILLE MN 55337
(612) 890.-9807 (612)89/1-9507
%
' `1 hereby aeknawledoe that;X ,-ha*rs `read tha,s apwlivatiian and state .th4t th?.
infoHmat°ibn: is Apai,),ept:an,s1 ag'r'?? i:q cszrxtply-";with' ?11 aixp;j.i`t?,aftI•t ?ltato:'.P# ¢fn:< -
? . :SCatutes ane!•CiCy`4f'Ea-qa'ri Ctrdirid€rees.• ;
??AN7/?ITEE SlWgORE IED BY{ SIG ?T?E???
INSPEcTIUN RECURD
CITYOFEAGAN PERMITTYPE: auTLnINc
3830 Pilot Knob Road Permit Number: 026514
Eagan, Minnesota 55122-1897 Date Issued: 10 /10/ 9 5
(612) 681-4675
SITE ADDRESS: L n 7, 1 a Ln c K e
4491 LAKESHORE TER
CLI1=F LflKE SIIORES
PERMIT SUBTYPE:
SF GWG
2 APPLICANT:
HOFFMAN HOMES SNC
(612) 894-9807
TYPE OF WORK:
NEW
t]ESCRSPTION (ZERO LpT" I_7NE)
INSPECTION
FOOTSNGS .. .
FOUNDATl"ON .ATE INSPTR.
FRAMINti ROOFTNG
TNSULflTTON FIf2EPLACE
RfJU6H IN PLBG VtOUGH IN HT6
FINAL F'LHG FINflt
` ?
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
New Conshudion ReauiremeMs Ram - 7Reoair ftauirenfs
? 3 regis0erod slte turveYs ? 2 oqties of plan
? 2 mpies of plens (indude beam & window a¢ea; poured fid. design; ete.) ? 2 slte surveys (ezterbr adddions 8 dodcs)
? 1 energy celatletions ? 1 errorgy calculaGons fur hBated add'Rions
? 3 copies of troe proservation lan M IM plaCed aRer 7/1l93
requfrod: _ Yes No
DATE: ?01Z-A5 CONSTRUCTION COST: M-7 O(IU -
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT ? BLOCK Z-- SUBD./P.I.D. #: C/'?CZ-a-&
DuPe- zx ?1 Gor- z
PROPERTY Name: ???Q°? ' "'?7E? 5?'? • Phone #:
OWNER ?* F•o*
Street Address•
City: SLrnsw,/k State: Zip: ?3 3 '7
CoNrw?CTOR Company: 7C - phone#:
Street Address: License #• g? ??
Cfty. -7u?nsd, State: Zip. -25 3 37
ARCHITECT/ Company: Phone #* ? ENGINEER
Name: Z-yle Registration #•
Street Address' $Vz
City: eG/k2 ?C45S,e?- State: z"110 Zip; 5S317
Sewer & water licensed plumber. penally applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that
applicabie State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes
Tree PreservaUon Plan Received _ Yes
the infortn Don-m corcect and agree to comply with all
?
I ] ?•-? ? ?? ! , 1 ??i,? ? . , ' ? '
-No
K No 0 C T 0 5 1995 !
---- ---_ J
L -
_"'---?-----?
BUtLDING PERMIT TYPE
0 01 Foundation o 06 Duplex
6!-02 SF Dwelting o 07 4-plex
0 03 SF Addition o 08 8-plex
? 04 SF Porch o 09 12-plex
0 05 -plex
? ? 20 - dor vt
WORK T?E
,C:f' 31 New o 33 Alterations
0 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
L1»:Z•]7c14?
Planning
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SNV Surcharge
Treatment PI.
Road Unft
Park Ded.
Trails Ded.
Other
Copies
Total:
°k SAc
SAC Units
OFFICE USE ONLY
4
J
I t .*, ,- ..
0 11 Apt./Lodging ? 16 Basement Finish
0 12 Multi RepaidRem. 0 17 Swim Pool
0 13 Garage/Accessory o 20 Public Facility
0 14 Fireplace ? 21 Miscellaneous
0 15 Deck
0 36 Move
0 37 Demolition
444 Basement sq. ft. ? MC/WS 5ystem GL
yL-n/ Main level sq. ft. ?? City Water o?
,e- u-I sq. ft. Fire Sprinklered
Fl-b sq. ft. PRV
/ 4Bs?r- sq. ft. Booster Pump
3f sq. ft. Census Code.
Footprint sq. ft. 5AC Code O/
Census Bldg /
Census Unit ?
. Building Engineering Variance
valuation: $ 1-3 6.Oo o . "'
?Ai,? Gt vL? /v
yoX s s = /,su V
CA?. 2 x b 12 ee,vr. 7x / _ -7
J'x z? ` ??==
Z
02Gly?_
, 0y&
? ?Sm7
S
\? ?J J, 63
?Z..lo? _ ??y>
?-7 rl> >)
?i
p.uir.vt(s - 2? x 3x = 7?g
z9
?.?..... R...\ l. tp 19.s' `?-
qca.?...,. d } ?j Z7?r Zs'?7
r,n+r?.,o- /
ZD?/.7S
-
,? .Z• ; /(!( - i? 2- 7
?2y. r?FG?
?
l l, ?3s"
09/13l1995 10:13 6129344305 MINNETONI<A DESIGN
' • : EXTERIOR_EiQV£LOPE_AVERAGC "t1"COMf`IITA:fIpN.
OWNEA;
SITE A6DAE55;
CON7RACTOR: tt?FrIl1AN ??1'??.5 -
nnrr: 9-73-95
PAGE 07
PHONE :
PLnx #
Determine working square foota9e of'each
??-
1. Total exposed wa11 area..... sq, ft, x .11
2. Total roof/cetling area....- sq, ft. x.026
Total exposed wall area above,floor=1 ?'`Z-
SZ1, 3
a.
' Total wall window area ..........................................
b. Total door area...................................................
c. Total sliding glass door area....• ............................... ?gCl
d, Total fireplace wall area ........................................
e. Totdl wdll fCaming area (average 10%) ............................ ,
f. Total rim jofst ared................ ...........,......•••........
-
g• net wall area a6ove floor................. ...............••--- L2•?,?
h. wall area d6ove floor ................... .................
i. T all area above floor .....................................
j. frame wdll area at foundation...........
Total expose6 foundation area= ?01S
k. 7otat foundaCion window area.......................
l. Total net foundation area a6ove grade ..............
Oetermine "u" value of each wall segment
(e.g. window, door, each separate wall section)
a. 127,3 x
b. X
c. x
d
„u„?I?,?
„Ult .4S = 1(og°I
„Ul,=??
x „uii
e. X liukt
f. X „U„
g. 12n.?1 x „U„`
n, x .1 ut. -
; . X 11 u„ _
? ;. x „U„ ?
k, X "U" _
1. ?'cSz.-1S X "U"? .D
3 . ........ ............ ............. Total = S .
If item 03 is the
as, or les5 than i
N1, you have met t
tntent of SBC 6006
09!13/1995 10:13 6129344305 MINhlETONI<A DESIGN PAGE 08
4. tOTAL IXPOSfO AAQK/ClILiNa CALCULA71OIISs •
Totai axposed
roof/eoTifnn aren........ (pZ ?q
ft '
Totai akylfght sq 1t x "U"
k) Tota1 roof/ca111nq fr+uSng '
arna (Avera
K 2\ f
10>
) ••
ft
•
??U,? ?JZ?, • M .?.°?
q
qe
.... ..
. x ,?,_
1), Total net Insulated • ?
l/
l l T •
t
"U"
`?7- ?
?? ? •
• roo
ce
nq area...... sq t x ,
h. . h TOTAL J) Ch ru 1)
ff total of s11 is tfie same as, or ]nss than f2, yeu have met tho intant of
2 4CAA 1 .16008 A emd 0. ' , '
.
. ' . ' • ' •
ALTEAMAI'E BU1lDING ENVELOPE AESfG1! . '
To utij lxn thr total envalope syxtem mthod, •ihe valuas establ•lshed 6y thp sum " of ltaras I3 and 14 shall nat be greater than tha axiw of Itam 11 and !2. . .- ?•
. ? • .
2.
' 3• ' -* ?. . .
- - • • .
. `
09:13/1995 16:13
61253443O5 t+IINNETONKA DESIGN
* LINEAL FEET EXNpSED WAGL
BLOCK: Kps,s
KNEE:
WALKOUT: 3?
Fur.L i : \COXS
PUGL 2:
FIREPLACE:
RIM: l(p7, Is
BLOCK: }(??}S
KNEE:
WALKOUTs
FULL 1:
FULL 2:
FiREPLACE:
RIM: MJC?
* SQDARE FEET E]CPOSED WALL AAFs
x
x S ?
x8
x 8 =1?3?7z
x 8 ?
x °
SQUARE FEET
ERPO5 ED CEILING
WINDQWS: jZ-I , 3k
2LIi(p W+?" 11 a`? .rl
2C03{..0 I
Z(3sc?, ? i II v r.??.
?,O S Q 1 ?I\g?
14? SI ?LI C.a Nt ? ,?
1z71.3
1 ? I CD7J
N?ti
DOORS :
PATIO AOaRS: I0:
BASEMENT UNITS:
SKYLIGHTS:
PAGE 09
.?
CITY USE ONLY
L ? BL ? RECEIPT
SUBD. DATE: ??169S
79'J5 YLUMt31NG PEKMI7 (KE5IDCN I IAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 687 -L675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES -- EACH NO. TOTAL
Shower 3.00 x 1?21 = ln • 66
Water Closet 3.00 x o2- - .Od
Bath Tub 3.00 x 3 f DO
Lavatory 3.00 x 47-00
Kitchen Sink 3.00 x = 3,0B
Laundry Tray 3.00 x = . D
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x
Floor Drain 3.00 x = 3
Gas Piping Outtet " minimum -1 3.00 x = 3-OD
Rough Openings 1.50 x
Water Softener 5.00 x =
Private Disposal ` Dakota Cty. Iicense 20.00 =
U.G. Sprlnklef * home under const. 3.00 _
Alterations ' to existin9 20.00 =
Water Tum Around 20.00
STATE SURCHARGE .50
TOTAL . ao
SITE
OWNER NAM
INSTALLER
STREET ADDRESS: / %-.'::, % ?h6je/?'-Q-?o? /42epIc-
CITY: STATE: A9Iv ZIP:
PHONE #:
3fG`RATQHEUFFEFFMfiTT( ????,
L BL
SUBD.
OFFICE USE ONLY
1995 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55722
(612)681•4675
Piease complete for: ? all commerciaUndustrial buildings.
? multi-famiiy buildings when separate permits are = required for each dwelling
unit.
DATE:
WORK TYPE: NEW CGWSTRtiCTION
DESCRIPTION OF WORK:
CONTRACT PRICE:
/',DD ON REPAIR
IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? YES NO.
FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE.
WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM7 _ YES _ NO.
IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT.
FEE: $25.00 minimum fee or 1°k of contract price, whichever is greater. State surcharge of $.50 per
$1,000 of oermit fee due on all pertnits.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL
SITE ADDRESS:
TENANT NAME:
OWNER NAME:
INSTALLER: -
ADDRESS: _
cirr:
PHONE #: SIGNATURE:
OFFICE USE ONLY
I METER SIZE: ' DATE:
RECEIPT #:
DATE:
STE. #
STATE: ZIP:
APPLICANT
INSPECTOR:
?
J
L-L BL ??, CITY USE ONLY RECEIPT #:
SU60. ? Q!`/ A. . DATE: ?? f5
I aya rwmesInu renAM 1 tRC.7IUCI4 1 WL)
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 NO. TOTAL
Shower 3.00 x o?-?
Water Closet 3.00 x
Bath Tub 3.00 x _? _ ?• 00
Lavatory 3.00 x
Kitchen 5ink 3.00 x
Laundry Tray 3.00 x Z =?3. 0 D
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x = ?. 40
Fioor Drain 3.00 x =
Gas Piping Outlet ' minimum - t 3.00 x = m OD
Rough Openings 1.50 x
Water Softener 5.00 x =
Private Disposal ' Dakota Cty. license 20.00 =
U.G. Sprinkler' home under const. 3.00 =
Alterdtions * to existing 20.00 =
Water Turn Around 20.00 L:,/r
STATE SURCHARGE .50
TOTAL ?DlJ
SITE ADDRESS: x
OWNER NAME:?.a
INSTALLI
STREET
CfTY: e"wn STATE: )?Z /V ZIP:
PHONE #:
Vltl I LF
L BL
5UBD.
OFFICE USE ONLY
RECEIPT #:
DATE:
1995 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNlQB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: o all commerciaVindustriai buildings.
? multl-family buildings when separete permits are IIpi required for each dwelling
unit
OATE:
CONTRACT PRICE:
WORK TYPE: NEW C014STRUCTIC3N RDD ON REPAIa
DESCRIPTION OF WORK:
IS WATER METER REQUIRED7 _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED7 YES NO.
FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE.
WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? YES NO.
IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT.
FEE: $25.00 minimum fee or 1°k of contract price, whichever is greater. State surcharge of $.50 per
$1,000 of 2ennft fee due on all permits.
CONTRACT PRICE x 1°k
STATE SURCHARGE
TOTAL
SITE ADDRE9S:
TENANT NAME:
OWNER NAME:
INSTALLER: -
STE. #
ADDRESS:
ciTr:
PHONE #: SIGNATURE:
OFFICE USE ONLY
METER SIZE: " DATE:
STATE: ZIP:
APPLICANT
_ INSPECTOR:
' L BL CITY USE ONLY
SUBD. a.NQ
RECEIPT #: _77 / ?5
DATE: ?? 7 5
1995 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
A1d-C!? ?:C COnd!!t0?1En9 Add-on airoXCh8^38f, !°. V?n£9 Sjic4°",??, °!C.
Date: //- G --- fs'
EM
• Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
? HVAC: 0-100 M STU 24.00?Additional 50 M BTU 6.00
v?
? Gas Outlets (minimum of 1 required @$3.00 each) ? G?
? State Surcharge .50
TOTAL p3D !59
SITE ADDRE;
OWNER NAM
INSTALLER N
STREET ADD
4??o:?7 6v//1
PHONE #: ?11119
CITY: '_/_?_jj j STATE:? ZIP: 55y?7
PHONE #: ( ) Do.f??(?d1?7 G/ /
' ?
CITY USE ONLY
L _ BL _
SUBD.
RECEIPT #:
DATE:
1995 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: • all commercialAndustrial buildings.
? multi-family buildings when separate permits are = required
for each dwelling unit.
u'i-iiL. // V /? ' ti0N•1MlC•1 !?RICL.
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: •$25.00 minimum fee 2E 1% of contract price, whichever is greater.
w Processed piping - $25.00
? State surcharge of $.50 per $1,000 of permit fee due on all permits.
CONTRACT PRICE x 1%
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRES$' _-,._..
OWNER NAME:
TENANT NAME: (IMPROVEMENTS ONLY)
INSTALLER:
ADDRESS: _
CITY:
PHONE #:
STATE: ZIP:
SIGNATURE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
TELEPHONE #:
f
° cirr use oNLv
L ? BL ?
SUBD.
1995 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
RECEIPT #: 4? 75?5
DATE: 11 `5
Please complete for: ? single famity dweilings
? townhomes and condos when permits are required for each unit
New construction Add-on furnace
. Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc.
Date:
FFFC
? Minimum Fee: Add-onlRemodel (sxisting residence only) $ 20.00
? HVAC: 0-100 M BTU 24.00 ?
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required @$3.00 each)
? State Surcharge .50
TOTAL
SITE ADDRI
OWNER NA
INSTALLER
STREET AE
CITY: 7?
PHONE #: (
PHONE #: zl'"jl«
ciTr use oNLv
L BL RECEIPT #:
SUBQ. DATE:
1995 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? all commerciai/industrial buiidings.
? multi-family buildings when separate permits are not required
for each dwelling unit.
DATE:
CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION
DESCRIPTION OF WORK:
FEES: ?$25.00 minimum fee 2[ 1°h of contract price, whichever is greater.
• Processed piping - $25.00
• State surcharge of $.50 per $1,000 of RgLmg fee due on all permits.
CONTRACT PRICE x 1%
PROCESSED PIPING
STATE SURCHARGE
TOTAL
INTERIOR IMPROVEMENT
SiTE ADDRcSS:
OWNER NAME:
TENANT NAME: (IMPROVEMENTS ONLY)
INSTALLER:
ADDRESS:_
CITY:
TELEPHONE #:
STATE: ZIP:.
PHONE #:
SIGNATURE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
City of Eap
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
?-----q--,----------
i ?oLiQlflGS?S'a? [ L ? I I
? Percnit #:
i Permit Fee: _ I
? Date Feceived: j
I ?
I Stan: ?
I ------------------'
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
ry? L?. ?
Date:llCJ?OR Site Address: -lq? 4, S?xm TQn,,4ce
Tenant:
Suite #:
RESIDENT/OWNER Name:Ctlkk LCt,V_(,I 5?'?Ci`Q5 ?OIA71(1,hOYV" Phone:
Address / City / Zip: ??Q CA? Ok Lk<C CC.,— r.?GVi 551 010-
Applicant is: _ Owner ? Contractor
TYPE OF WORK Description of work: 1 QLLV' LXY YY.? l3ut' . w l Y1GL?k.? ? cSl??Sl? ,
ConstructionCast: Zl?- Multi-FamilyBuilding:(YesNO
CONTRACTOR Name:h1ii b6l,:4, Qx1. z License #: ?1 ?b?
r -?? -
M ?,y ?f.
Address:o?'I?YJo 3i.10<<uCL? ILF.? - -`F (w
: ??J3
Zi
St
t
h(
'
l ( CS
p
a
e:
i
W
mlt
City:
PhoneA15 a -1 cn ' bqsrl ContactPerson: nICa1? cSG?L(CPXZ-r
COMPLETE THIS AREA ONLV IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
?
Enefyy COdE
. Residential Ventilauon Category 7 Worksheet • New Enerqy Code Worksheet
Cat8901y Submitted Submitted
(4 submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City oT 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:
NOTE': P/a»s an8'supporlfng tlo,currients that }io? sularnrt are??onsrtlereil -beypu611c'Inta`imatrof? ?}Pqrtror+s qt, ;
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I hereby acknowledge Ihat this informatlon is complete and accurate; ihat ihe work will be in conformance with the ordinances and codes of the City ot
Eagan; ihat I untlerstand Ihis is not a permit, but only an applicalion for a permit, and work is not to start without a permlt; that the work will be in
accortlance with the approved plan in iha case ot work which requires a review antl approval of plans.
x ?C4,.LC-?r--
AppllcanYs Printed Name ApplicanYs Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
? Foundation ? 05-plex ? 76-plex ? Accessory Building ? Pool
O Single Family ? 06-plex 0 Fireplace ? Porch (3-season) ? Ext. Alt.-Multi
? 01 of _ plex O 07-plex ? Garage ? Porch (4season) ? Ext. Alt. - SF
O 02-Plex ? 08-plex 0 Deck ? Porch (screeNgazebo/pergola) ? Multi Misc.
? 03-Plex ? 70-plex ? LowerLevel ? Storm Damage
? 04-Plex ? 12-plex ? Miscellaneous
WORK TYPES
? New ? Interior Improvement ? Siding ? Demolish Building'
? Addition ? Move Buildfng ? Reroof 0 Demolish Interior
? Alteration ? Fire Repair ? Windows O Demolish Foundation
? Replacement O Egress Window ? Water Damage
` Demoli[lon (entire 6ullding) - 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 PRV
# of Buildings Length Fire Sprinklers
Type of Const. Width
Footings (new bidg) Sheetrock
Footings(deck) Finai/C.O.
Footings (addition) ? . FinaUNo C.O.'
Foundation ' HVAC
Drain Tile ? Other:
Roof: Ice & Water _Final Pool: _Footings _Air/Gas Tests
Final
Framing _
Siding: _Stucco Lath _Stone Lath _Brick
Fireplace:_R.I. _AirTest _Final Windows
_ Insulation Retaining Wall
Reviewed By: Building Inspector
RESIDENTIAL FEES:
Base Fee
Surcharge
Plan Review
MC/ES SAC
CiTy SAC '
Utility Connection Charge I
S&W Permit & Surcharge I
Treatment Plant
Copies
Total
Page 2 of 3
CER TIFICA TE
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LEGAL DESCR/P770N.•
Lots 1& 2, Block Z, CLIFF LAKE
SHORES according to the p/at
fhereof, Dakota County, Minnesoto
(PLAT NOT RECORDED AS OF 9128195)
930.0 Denotes Sonrtory Sewer Service lnvert
Note: All Utilities ond Curb are Proposed
• Denofes iron monument found
O Denotes iron monument set
Bearings based on assumed datum.
l hereby certify thaf this survey wos prepored
by me of under my direct supervision and that
I om o duly Registered Land Surve}ror under the
lows of the State of Minnesota.
Morfin J. W?ber, R.L.S.
Registration No. 12043
Dote
_ 578°56'22'E
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(92o.0)I I
920.29
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7op of Block = 923.38 865.0 denotes existing elev.
Lowest Floor = 914.46 (865.0) denofes proposed elev.
Gorage Floor = 923.00 -f denotes surface drainage
REqUESTED BY.-
HOFFMAN HOMES JNC.
IV Wsstwood Professionol Services, Inc
14180 West Trunk Hwy. 5
Eden Prairie, MN 55344
(612) 937-5150
Revised.'
Drawn by. MS
City Revisions
Date:
Job No: 95198
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PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA112986
Date Issued:08/27/2013
Permit Category:ePermit
Site Address: 4489 Lakeshore Ter
Lot:2 Block: 02 Addition: Cliff Lake Shores
PID:10-17785-02-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Janel Behrends
122 West 3rd S
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 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 -
Victor C Seavers Tste
4489 Lakeshore Ter
Eagan MN 55122--244
Haley Comfort Systems
122 West 3rd St
Hastings MN 55033
(651) 437-0338
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
r--------^-------�
I For Office Use �
' � Permit#: � � � � I
Clty of ���a� � �� �
� Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 � Date Received: �
Phone: (651)675-5675 I I
Fax: (651)675-5694 I Staff: I
I �
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
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Date: Site Address:
� � ' Name: Vll Yt'.,�.�e ,��N�Ld...,�..���.oi/!,�S��,d.��.�..�,�w,�.w,.�,.a..,� Phone: ��,....,m..�.� �
a F�eS'�C��fi1#,� £ a
� Q�•��r � Address/City/Zip: ���' �
�� � � �� Applicant is��� �Owner �� Contractor �� � �� �����������
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� ' Description of work: W�Yz� �
� T�� af lAlo r� �
� Construction Cost: Multi-Family Building: (Yes /No� €
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� � Company:�'Gt/it� �h�� L���G�J �hc. Contact: �If �!'Ut u� ��"'
� � J �+ �
, jSGT"b V1�G�J �JIM'� L//� � SU%fe u.71/ CIIY: �/ r� � �
� � Address: ,
Cantraetor �
� State:�Zi �Sy�f 7 Phone: '7t�3-S.S� .Gn��J �t/i1 � L; ",�(,�v.�c��f,
� � p: Email: �aN .19�ru�
�` � License#: �C '��� 7�� Lead Certificate#:
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�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? �
�
t
Yes No If yes, date and address of master plan: �
i �
� Licensed Plumber: Phone: �
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone: '
Fire Suppression Contractor: Phone: ,
N�TF:P��ns a�d��r�por#r�g�nd�a�s���n#�tfia#you su�rx��f a�e corts�c�r'ed to�ie p��b�1�#or�a���n. Fo�a�s o�'�
t��e tnfor�►a�on r�ay be cEass��ied as r�an pt�b{���f yv��ro��e s�ecr�c reaso�s t�a#v►��pEr��t�Cr�y t� �
�cor��de��r�t t�e are t�ade�c��. �� ��
CALL BEFORE YOU DIG. Call Gopher State One CaII 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.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.
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 �(.!�f �I'P.� u a�.�s-�' V
6 ^
Applicant's Printed Name Appli s Sign ture
Page 1 of 3
Use BLUE or BLACK Ink
" � r----------------�
I For Office Use �
. � ; �3� �3�7 �
C��� �� n���� � Permit#: �
; � /�, �� �
� Permit Fee: lV �
3830 Pilot Knob Road I I
Eagan MN 55122 � Date Received: �
Phone:(651)675-5675 I I
Fax: (651)675-5694 � Staff: I
i I
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
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- �� y�� % �� � ��� �..-. � ���
Date: � 2 �-s �f Site Address: ��-� .r � � Unit#:
��.� F � Names...f. /' ,1"� .,, ��i� ,..,..,, "_1 �J', K,.�,.v._�_�� w.,..._...�,���W.wPhone: ��,e��..,..�.�,�.�,w..�.�,�
.. (.�l Sf� �
� ����+d�ra� � �(g� � y��l L ,� � � a ss�z� i
� Q1fyi�C � Address/City/Zip: � �.T.�wo�- �t6`'r� c�- c�^
�����.
Applicant is��� Owner ����Contractor�� ����� Po a�F������ �%������
� �. ���,���� Description of work: J r�r 1� �
� �/ �
� Construction Cost: /7� �' �� Multi-Family Building: (Yes /No�
�:� ��.�..� �.�.�, � �_���.�..,�m�,�..��,�.�..�.������ �d� �,�.,�,�..��,..�..�,��
� � Company:(-�f C C���c v� �!9'i�%�'r���- ���. Contact: ��s ,�� �
� � 35� i/�c�yrbuy GN J� S'-�� s�;f � �
� � Address: h City: �' �'/�a� �
Go�ra.ctar ; � G
.� State:�Zip: �-�y�% Phone:�to3�'.�.Sb-o�CJ3 Email: /��'�1C���.1L.�°��.�(�3�-��u�iT���
, �'
�License# ��v � �C 7 /3 Lead Certificate#:
�..,�.�...��.,ma..�.._,�.,� ,��.�,,..�..,�...� .,�,,..�.,..���,�,�,��.�,.,.,,�.�.�.�,.��„Mw�,�.�M...��.��,�,.�...,�,.��..�._,�,a�.��,�,�.,.�...�n.....�,.,�..,�.,..o.�. ��,
� 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? �
9
� Yes No If yes,date and address of master plan: �
� Licensed Plumber: Phone: �
�
� Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
�,�N�T�>P;�a�s a�d��o�an�nd�cs���rr�s t�at,�v�s��b��t are ca�si�3�a'ed t�be p�r�b�c i�i�a��o�. Po�r��c�' :k
t�tinfor�atio��a�r�ae c��ss��ed as nr�n pt�b���F�ra�pro��s�eca��r��fit�a����f perr��f�:Cr�#o' �
�� c�r��l�rale i���e �re�rade,�c��t5. .�.. �
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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.
Exterior work authorized by a building permit issued in accordance with the Minnesota St e uilding Code must be completed within 180
days of permit issuance.
x (��/��.� / d%�G�;�-¢.i -/�i�---�
x
ApplicanYs Printed Name App c s Si ature
Page 1 of 3
r
For Office Use 1'
�► �+ Permit#: 7
9
E AGAN
flECEivE Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694r SEP 1 1 2013 Staff: •�
buildinoinspections(a cityofeagan.com
BY:
2019 RESIDENTIAL BUILDING PER APPLICATION
Date: 9-10-2019 Site Address: 4489 Lakeshore Terrace, Eagan MNx Unit#:
Name: Jeffrey Grothe Phone: 612-849-9532
Resident/ 4489 Lakeshore Terrace, Eagan MN
Owner Address/City/Zip:
Applicant is: Owner Contractor LigPPf 'I> C �
Replace deck surface and railing,use existing 2x10 joists and 6"posts supporting deck.
Description of work:
Type of Work.
Construction Cost: $3,000 Multi-Family Building: (Yes ✓ /No )
Company: Contact:
Contractor Address: City:
State: Zip: Phone: Email:
License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why:
Lead? I don't think it applies to my deck.
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:
NOTE:Pians and supporting documents that you.submit are considered to be public information. Portions of the information may be
classified as/non-public l i Wilde specific nolo/151W would permit the City to conclude that they are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaaan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
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.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.
Digitally signed by Jeffrey Grothe
x Jeffrey Grothe x J effrey Grothe Date 2019.09.10 16'46 26-0500'
Applicant's Printed Name Applicant's Signature
r
DO NOT WRITE BELOW THIS LINE7 /i7 '9tni 1 •
1
/
. 7q - /
1
SUB TYPES
Foundation Fireplace Porch(3-Season) Exterior Alteration(Single Family)
Single Family Garage Porch(4-Season) Exterior Alteration(Multi)
Multi •$Deck Porch(Screen/Gazebo/Pergola) Miscellaneous
01 of_Plex Lower Level Pool Accessory Building
WORK TYPES
New Interior Improvement _ Siding Demolish Building*
Addition Move Building _ Reroof Demolish Interior
Alteration Fire Repair _ Windows Demolish Foundation
Replace Repair _ Egress Window Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation Occupancy jYtL 3 MCES System
Plan Review Code Edition ' 64 iS.' SAC Units
(25% 100%\(rr, ) Zoning P 0 City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction V b Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) x Final I C.O. Required
Footings(Addition) Final/No C.O. Required
Foundation Foundation Before Backfill HVAC Service Test Gas Line Air Test Hood
Roof: Ice&Water Final Pool: Footings Air/Gas Tests Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace: Rough In Air Test Final Siding: Stucco Lath Stone Lath Brick EFIS
-
Insulation Windows
Sheathing Retaining Wall: Footings Backfill Final
Sheetrock Radon Control
-
Fire Walls Fire Suppression: Rough In Final
-
Braced Walls Erosion Control
-
Shower Pan Other:
Reviewed By: II , Building Inspector
RESIDENTIAL FEES r , .
Base Fee !/`" . `
Surcharge (LIL irV
Plan Review 0, . `vr P)
MCES SAC 19 itei i.'
City SAC
Utility Connection Charge
S&W Permit& Surcharge 99
t ` (/
Treatment Plant i
Radio Meter Read _ I. ��
Copies
6i,
TOTAL
- Page2of3