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4492 Lakeshore TerIN C . CITY OF EAGAN 3830 Pilot Knob Road , Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: E r`" ?' ' f ! i•+ 1:?F ?:.Mtl)kF' i 1 f? I At £ 3N PERMIT SUBTYPE: ;; .•. TYPE OF WORK: 1,; ,s 1; I t t a isli M F IJ <<r R If I.0 t 1 rxE ? INS C ON PE Ti DA • .• r l? ,?I1 11 i l i?l? I I! i i'k r:? I CCORD PERMIT TYPE: Permrt Number: Date Issued: K!1 i I it 1 M(3 G!.'ri q:if, ou lo f I'Q(-, "" ."' ,. ? APPLICANT: :s.,; : ,;-o; ri !l?i•t , I f+?t t f, I' 1 it?tq •?;iklJ i R E M l# R M?.) r'i 6 !d P (. B ft - 44F IM J f L P 1 , 60 t. Parmit No. Permit Holder Date Telephone 1! ELECTRIC $ joc? .t PLUMBING o y?? - HVAC Sag q4p Po?5 G47 Inspection a Insp. Comments FOOTI NGS i/ SGv, L FOUND ? IQG / ? FAAMING M8 ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARb 6 FIREPLACE f?y FIREPLACE AIR TEST FINAL PLBG f2v FINAL HTG ORSAT TEST BIDG FINAL BSMT R.I. BSMT F)NAL OECK FfG pECK FINAL INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: .+t; t r>> mi3 , 3830 Pilot Knob Road Permit Number: C Eagan, Minnesota 55122-1897 Date Issued: , (612) 681-4675 ' SITE ADDRESS: APPLICANT: 'PERMIT SUBTYPE: RtNtC;H t N TYPE OF WORK: f'ltdAi PermR No. Permk Holder Date Telephone # ELECTRIC PLUMBfNG HVAC Inspection Date Insp. Cotnments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR 7EST •? ?? FINAL PLBG FINAL HTG ORSAT TEST 6LDG FINAL BSMT R.I. eSMT FINAL DECK FfG DECK FINAL I ? INS] CITY QF EAGAN ? 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: , .1 :1 •..' 1 Af l..11,)I i. P_ ? C I. E `: t 7 AP 1 ?47 HOR`^ GI . PERMIT SUBT1fPE: . i-1i:. t TYPE OF WORK: #'1i ?; 4;k ff''f 1 0 hi c; I I r i a i: rs W?3 nHh. o n 1(h7/ij N F t-i f 7Eftn t??i i t 1 NFI INSPECTION rA • .A t t•1'.141 S 3 ?t1! { I }+; , 1 y?llt"#i I PJ 4'3 1:;, ?1-4 hI 1 1 s MI A It if S; S: & W P Ifi R-- t.l t 13 7 iL P? R! ? N PERMIT TYPE: Permit Number: Date Issued: APPLICANT: r1.t.?? 8 44 -- 9 k Hr Permit No. Permit Holder Date Telephone N EIECTRIC 341AJ? ? cw PLUMBtNG HvAC Inspection insp. Comments FOOTItJGS ?._/3?4 FOUND t FRAMING ROOFiNG ROUGH P UMBING r/ j ? ? .:7? ? • ? ?n PLBG AIR TEST ? `-- ROUGH HEATING 0- 9 GAS SVC TEST INSUL t GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT F1NAL I DECK FTG DECK FINAL Wei.?trficate nf Cccupanc4 61MV of Cfagan Tc.offtwcut of lorili* 3u4#ecti0a _ • -? Tltis Certicateissued pursuant to the reqnerements of the Uniforrn Buildireg Code certifying that at rhe tinee of issuancc tieis structure was in compliance with the variaus ordinances of tfu City reguluting building construction or use. For the following: usc c-ussir,n,;a,_ SF DwG awg. eem;t r,o. 28485 0-V-1yT"C R-3 U-1 y*WoE Diswic R-3 Tyrm conu. VN OmwofB,,;id;,,g HOFFMAN AOMES Ad&rms 2214 E 117TH ST., BUENSVILLS, MAl 8??Ming Addmn 4494 LARESHORE TER [Acw;ry Ll, B3, :;L1FF LAKE SHORES / Dow ? suum" offic;ld ' POST IN A 0ONSPFCl10US PLACE .* . • * u " 4r 1 4 i 0 P' t ?. '?) ?f_? 1- ; •(?' . Werdticate of cccupaitc? W" of Cfagan zevartmear of 13xitb* 3*60ectiori Tiiis Cenificate issued pursuant to the requirements of the Uniform Building Code certefying thaa at the tinu of issuanct this srrWCtare was in compliance with rhe various osdinances of the City regulating building construclion or use. For the following: ?clusif"Mfim SF DWG Bwg_ Pe,,,,;, Na. 28486 O-Uw-yT?W R-3 U-1 yoWng phmw pD Type Const. VN ow,aota„aa;eg HOFFlfAN RO!!ES 1NC nadnm 2214 E 117TR ST.. BURNSVILLE, MN ei,; - 4492 LAKESHORE TERR L,.wky L2, B3, CL FF I.AKE SHORES EWe- nding ?POST IN A CONSPICUOUS PLACE 1y'I? III iREQUEST FOR ELECTRICAL INSPECTION In ?III IIJ? II I I(I I II ? II II) ? I II I II Minnesota State Board of Electricity 11 III 1821 University Ave., Rm. S-1 8, St Paul, MN 55704. ? g?(p ? ??• * 0 3 3 6 4 4 2 9* Phone (612) 642-0e00 Home Duplex Apt. Bidg. Other: ew Addn ommercial Industrial Farm Remod Re air Air Cond. Hfg Equip. Wafer Hfr. Lood Mgmf. iher: D er Range Elec Heat Tem . Service "X" above Mre work covered by this requesG En}er remarks in this space and on the back of the while mpy only. 2&S'-30 2-50 ISC7J- Colculate Inspechon Fee - This Inspeciion Reques/ will not be ocrepted withoui ihe correci (ee: Olher Fee ? $ervice EMmnce Sae Fee S CircuiTs/Feeders Fee Mobile Home Purk Sfall 0 to 200 Amps 0 to 100 Amps S}reei Lig./Traffic Sig. Above 200 Am Amps Enso TransformedGenerator , INSPECTOR'SUS v Ly'1? ? TOTAL Sign/Ou}line Ltg. Xfmr. L? „r•^' Alortn/Remote Confrol $wimming Pool I hercb c. i ai I ins eckd the eleanml insmllat herein on the dates s t Irrigation Boom Rovgh.ln Special Ins edion ?f p Inveshgafive Fee Final THIS INSTALLATION MAY BE OROERED DISCONNECTED OT COMPLETED WITHIN 18 MONTHS. 3 J?° 4 4 2? Q?C USE OIJLV This re est vo I8 m nPos fmm vaLda?ion dota pnnled in M?s 6ox Q 5/ ? ? PL'EASE PRINT OR TYPE 7-7 Rpuest Dob Rovgh-in InspMion reqm ? N. Inspemmm O?her Than Roagh-In ? Ready Now Coll ? ? (You mux? m11 the mspecbr whe rcaz te Aead I, Ef-49ensed contmdor ? owner hereby request inspedion of fhe above el rical wo QO Job Address (Sireef, 8oe, RoWe No ) Gp ? C . Sedion Na Tawnship Nome or No, Ranga N. Fra N. Caunp Occ?pont Phone No Powsr Supplier Address ' Eletln (Conhaclar iCompany Name) at.? Conrcador ' nse N. C°.A Moakr 4c No. jPlam Elect Only) Moiling Pddmaa (Conhodor or/Oymer PeAormi zed SignaNm (Conhocror or O+.ner PeAorming Immllafian) Phone No. Ee-00001 10 6195 STATEBOAflO V-SEEINSTPUCTIONSONBRCKOFYELLOWCOPV ?IIIII ?I I II II II IIIII III I) REQUESI FOR ELECTRICAL INSPECTION il Minnesota Slate 8oard of Electricity 1821 Universiry Ave., Rm. S-1j?8, SAPa? , MN 55104 ?? 0 3 3 6 4 4 3 7? Phone (612) 642-0800 o?K9 0?0 Nome Duplex Apf. Bldg. Other: New Addn ommercial Industriai Parm Remod Re air Av Cond. Htg. Equip. Wafer Hfr. Lood Mgmt. Other: D er Ran e Elec Hedt Tem . Service 'R" above ihe worV: covered by ihis requesf Enfer remarks in this space and on the back of fhe white copy only. s?r- Calculate Inspectian Fee - This Inspection Requesf will noi be occepted without fhe mrrecf fee- OHier Fee # Service EMrance Size Fee # Circuils/Feeders Fee Mo6ile Home Pork $fall 0 l0 200 Amps 0 to 700 Amps Sfree} L}g./TraHic Sig. Above 200 Amps Above 700 Amps Tronsformer/Generator INSPECTOH'SUSEONLY TOTA $ign/OWline Lig. Xfmr. O?? 7. Alarm/RemofeCon}roI :+;?o?-? Mybt Swimming Pool I hereb mrh thaf the e tlnml inabll described herem on ihe dote:ela Irrigahon Boom Rough-In S eciallnspedion p Inves}igahve Fee hr.1 THIS INSTALLATION MAY BE ORDERED fd108Q$ED OT F?.Wt 5. 33 6 - 4 4 3 IT 1 PLEASE PRINT OR TVPE OFFI USE ON Y This request veid 18 m:Nhz from .aLdotmn dak pnnted m lfus bo ? ??-g?9 ? dv 3 Requnl ak p.q?gh-m mspecrvon reqwred Yes ? N. ?Yo? mus? coll Ihe inspMOr when ody) Inspecnon Other Thon Rouqh-In 0 keady Naw dl Ca?l Dok Reody. I, 'censed coniractor ? owner hereby requesf inspection o( fhe above electncal work ut: )ob 04'ess (Street, Bav, or R No. Ciq L ' Zip Code b r Sernan No. Towns i ame or No Raige N. Fire No Co np Ocwpanl Phone No. Power 5 Address Eled' I onhacror (Campany Nome) ` Con nor Lice ? No. Mmkr lic No. (Plam Elect Only) 1 I?Pddress (Conhamr or er PeAarming Inaklianon) P?Ah cd SigmNrc (Conhatl1`or or?Owna Pe/?homurg Insmllonon? JQw V o`?-?/l Phone No EB-010OOlA-10 95 STpTEBOARDC?Y-SEEINSTAUCTIONSONBACKOFYELLOWCOPV ?i/b 2D06 RESIDENTIAL BITIIIDIlVG PERMIT APPLICATION ? ? City Of Eagaa 3830 Pilot Knob Road, Eagan MN 55122 TeIephone # 651-675-5675 FAX # 651-675-5694 ' New Construction Reaumrtents RemetleUReoeir Reomrm+en6 Office llse Onlv 3 ra3istered sde surveys shovring sq. ft af IoL sq. R of hause; and all roofetl areas 2 wpies af plan shawmg iacbngs, baems, jasts Cert of Survey RecC Y N (20% maximum lot coverage aiovretl) t set of Energy Calalatlana fa haated atltlitlons Tree Pras Plan Recd Y N 2 copes of plan shovnng 6eam 6 wmOav srzes; poured found desgn, etc 1 site survey for addibans & tledcs Tree Pres Raquved Y N 7 set of Enugy Caldtlatlons Addilion - m*cate rf onsde sep6c system On•site Sep6c System _ Y N 3 copies of Tree P'eservehan Plan if bt Platted aftg 7l1M Pom Jast Detaii Opbons sekNOn sheet (biddngs wdh 3 ar fess mifs) Minnegazco mechenical venulatioa form Date /0 l 0?(l 00? Constzuction Cost N?7 DO SiteAddress UnibSte ss?a Descnption of Work Mniti-Family Bldg _Y? _ N Fireplace(s) _ 0_ 1_ 2 Property Owner Covtractor Address Sta[e \ City Zip Te(epnone ? - CaMPLE7E T3-11S Ai2EA ONLY iF ZaNSTRL3C77MG A NE'1V BL3ILDING Energy Code Category 'r Minnesota Rules 7670 Cate2orv 1 _ Minnesota Rules 7672 (J subrrnssion type) • Resitlential Ventilatron Category 1 Worksheet • New Energy Code Worksheet Suhmitted Suhmilted • Enargy Ernelape Calculatlons Suhmiitatl In ihe last 12 monThs, has the Cify of Eagan issued a pertnit for a similar plan based on a master plan? _ Y _ N If yes, daTe and address of master plan: Licensed Plumber Mechanicai ConTractor Sewer/water Contractor Telephone #( Telephone #( J Telephone # ( I hereby apply for a Residential Building Permit and aclrnowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a 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 ofplans. G 91 Applican 's Printed Name Applicant' Sign?ture RESIDENTIAL BUILDINC PERMIT APPLICATION cirr oF encaiu 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Constructlon Reouiremenb RemodellReoair Reauirements • 3 registered site surveys showing sq. fi. of lot, sq. ft of houu; and all rppfetl areas • 2 copies of plan (20%maxunum lot cove2ge allowed) . 1 set of Energy Calculations far heated adtliGons . 2 copies of plan showug beam & wiMow s¢es, poured found desgn, etc.) . 1 site survey for extenor addBions & decks • 1 set of Ertergy Calculatans . Indicate rf home served by se0tic system for additians . 3 copies of 7ree Preservatbn Plan il lot platted after 7/1193 . Rim Jotst Detail Options selection sheet (bldgs wifh 3 or less unAS) DATE ??w 'I e?102 SITE ADDRESS TYPE OF APPLICANT v- ut/1 cc Gase'l%a; e . STREETADDRE55 ?KS (,?ra1. NLf/Y4 13 CITY I"O.Sd / STATE/'UZIP TELEPHONE 051-NO-056 CELL PHONE # fAX # COMPLETE THIS SECTION FOR wNEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESO'1'A RUI.FS 767U CA'1'EGORY l _ MI ftJ6? (J submission type) • Residential VentllaGon Category 1 Worksheet Submitted 2 5IV8get • Energy Envelope Calculations Su6mitted Plumbing Conhaetor: _ Phone # Plumbing system includes: _ Water So$ener _ Lawn Sprinkler Water Heater ? No. of R.I. Baths No. of Baths Mechanical Contractor. Ae PL 1-(7( O67?r Gi Ar Phone # Mcchanical syslem includcs: _ Air Conditioning Hcat Recovery System Sewer/Water Contractor: VALUATION ? 9 nOn . MULTI-FAMILY BLDG _Y N (Q fIREPLACE(S) _ 0 i!1 _ 2 Phone # SS.3317 Fee: $90.00 95? -?U-O7s 8 P'ee: $70.00 I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordin ces. n Signature of Applicanf ?,/ ` ?/^ l??T_ ------- _------- _.___----- -_. .... ..__..... °.......... __..____------------------- __-------- __-------------- OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 E#. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/DOOrs ? 34 Replacement •Demolition (Entire Bldg only) - Giva PCA handout to applicant Valuation Occupancy MCIES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footmgs (deck) FinaUNo C.O. _ Footings (addition) _ Plutnbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Au Test _ Final Windows (new/replacement) _ Insularion _ _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply 8 Storage S&W Permit 8, Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Building Inspector Total ' .. LOT SURVEY CHECKLIST FOR RESIDEiJTIAL UILDING PERMIT A PLICATION PftOPERTY LEGAL: +"? ? : ?7L DATE OF SURVEY" ' LATEST REVISION: DOCUMENT STANDARDS < z ? ?? ? • Registered Land Surveyor signature and campany M-?-o ? • Building Permit Applicant 2?'? O • Legal description a • Address ?? ? • North arrow and scale 9-'13 ? • House type (rambler, walkout, split w/o, spl'd entry, lookout, etc.) C-i--'o ? • Directional drainage arrows with siope/gredient % G-IC3 ? • Proposed/e)dsting sewer and water services 8 invert elevation 2-'13 ? • Street name 2-'13 ? • Driveway ELEVATIONS Ebstina ey"cl ? • Sewer service (or Proposed) Er'ci ? 0 Property comers e--,o ? • Top of curb at tfie driveway P--13 ? • Elevadons of any exasting adjacent homes Praoosed CY'D ? • Garage floor cr'o ? • Frst floor Zr? ? ? • Lowest exposed elevation (walkaut/window) P-- ? ? • Property comers tY ? ? • Front and rear of home atihe foundation PONDING AREA fif aoolicable) ? H' ? • Easement line ? d ? • NwL ? d ? • HWL ? CT" ? • Pond # designation ? 9- ? 9 Emergency Overflow Elevation DIMENSIONS Ia- ? ? • Lot lineslBearings & dimensions ?Y ? ? • Right-of-way and street width (to back of curb) jY ? ? • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (.e. all structures requiring permanent footings) cr- ? ? • Show all easements of record and any Ciry utiidies within those easements r3' ? ? • Setbacks of proposed structure and sideyard setback of adjacent ebsGng structures ? 6?- ? • Retaining wall requiremenA if any Reviewed: -? - TA ? January 1996 CRAIG19G8r8LDGPRMT.FM ? ,. . ?N? HOFPMAN HOMES, INC. 2214 East 117th Street Telephone Burnsvil(e, MN 55337 (612) 894-9807 Fax CONTRACTOR 1t 9284 (612) 894-9878 1-(3„ IR ? Mc 7oe 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) I e7- , Block _3, Cliff Lake Shores, as were used on Lot(s) I t, ", Block y , Cliff Lake Shores. None of the structural building components, HVAC, plumbing or electrical will change from engineered drawings dated IPil L?yCJ PCHfjem pcwceglo- YatncK (;. HOYttriatl President ?i ???????. CITY OF [:'AGAN .i i1=1iMSNAI_ NOr. 95 PATEv 08/07t96 ?IME.: t4:58:34 rri ; NAMN=:: I-IOf=FMAN HOMES INr 2256 9001 4494 L.A}.f SFIORE 4y49c?.38 2256 9001 4492 I..AKFSHOfiE 4,432.38 To+,a1 FecAiGr Amoun+,: 0y984.76 rR[7C,i:t714 l.U^f:.:F; TDa NRNCY Y??k?k?F?K ?k:?F?kMA? %c%c %? ?k ? a? # # kCYF*YF ?kc?k?NC?k??K?K ?X ? ?K?kX? %??k ? ? PERMIT 0-AL0 67-17 l4/ -CITY OF EAGAN 3830 Pilot Knol3 Road' PERMIT TYPE: B u z Lo zNe ` Eagan, Minnesota 55122-1897 Perm it Number: 0 2 8 4 8 5 (612) 681-4675 Date Issued: 6 g/ 0 7/ 9 6 SITE ADDRESS: 4494 LAKESHORE TER LOT: 1 BLpCK: 3 CIIFF LAKE SHORES P.I.N.s 10-17785-010-03 DESCRIPTION: Anz'. (ZEftO LOT LINE) Au9lkd1pvj,?Perm3t Type SF DWG Soidl`.L1,€14104.?tk Type NEW ' C} ?? t7}`b a I1 C;W? R- 3 U-1 -? e V-N A(l , jdir?gr 3$ w3dth ° dI??q 4 -14 b " ss 1 ?rrg?e??,br??&.:? il 102 1 - FAM. ATTACH er I ,?,P` ?esie P„ ?rca ;i?s td?°t?€5' 4P !i .iF? w?'(?' "ai'Sla¢°er +??. F 71 REMARKS: 5& W PLBR - WENZEL PlB6 , FEE SUMMARY: Base Fee Plan Review 5urcharge SRC 5AC ? SAC Units Subtotal VALUATION $1,@67.25 $533.63 $68.00 $900.00 100 1 $2,568.88 $136,000 MTSCELLANEOUS $1,923.50 Total Fee $4,492.38 CONTRACTOR: - Applicant -- 5T. Lzc.OWNER: HOFFMAN HOMES ZNC 18949807 0009284 HOFFMAN HOMES SNC 2214 E 117TM 5T 2214 E 117TH ST BURNSVILLE MN 55337 BURNSVILLE MN 55337 (612) 894-9807 (612)894-9807 t _ I Eter-eby av ft140 C?_'t: . " :x,•r i Y . ' ' _ ha?qr resd` -th10 'a;p?13.c a??.On aYJd s?at? thd?,ath? : tr ?9??e trr a?mP??r t;a,p.plie4br`stat4s 8? Mr? arr??? ? t _ . ?. ? --?I EDBY IG TUF" ?y z q Jg CITY OF EAGAN 44 4 3830 PILOT KNOB RD - 55122 , 4 J D 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) !1466 681-4675 ? 3 registered site surveys ? 2 copies of plan ? 2 copies o( plans (indude beam 8 wind(yw sizes; poured fnd. design; ete.) O 2 site surveys (exterior additions 8 decks) ? t energy calculallons ? 1 energy calculations for heated additions ? 3 copies of tree preaervation ptan if tot plaNed atler 717193 required: _ Yes l No DATE: 7- 130 15 v CONSTRUCTION COST: DESCRIPTION OF WORK: 'R ES?DE?-C;A?. 1o..?,aNov?E STREET ADDRESS: a 49 i -ferzs-AC.E LOT l BLOCK 3 SUBD./P.I.D.#: lO' t'}$`''014-03` I 1uvG?x L07- -Z 3-? 'LVkA(- +.iKKsr swd&s PROPERTY Name: i4oFFma.a ?-1CIrces ??-• OWNER " """ Street Address• u"k e- City: State: ?n? CoNTRACTOR Company: >ANe ' 5treet Address: City: State: _ ARCHITECT/ Company: M 4.,)-1Ctn?4n ENGINEER Name: Lyt-c Phone #: g`?`t-`S$°-A Zip; 5533-'t Phone #: License #: 4Zgj Zip: Phone #: 93`t- 7t`?p Registration Street Address• go W- SKoie-r 5.., re -*zt o Cilty: C r?pJ NA-.66.J State: Mli Zip:553n- Sewer 8 water licensed plumber: '^)EL..+2.F-,. Kc..ca? A.??GACIi Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this appiication and state that the inform ion,i's ' orrect and agree to comply with all appiicable State of Minnesota Statutes and City of Eagan Ordinances. Signature ot Applicant: OFFICE USE ONLY Certificates af Survey Received Tree PreservaGon Pian Received ? _ zy.. No _ Yes _ No RECEWED 3 9 5996 ? -- BUILDING PERMIT TYPE OFFICE USE ONLY ao ? ^ A • t '? ?'• ? an - .• ? ? t• 0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish 0?'102 SF Dwelling o 07 4-plex ? 12 Muiti 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 ? 14 Fireplace o 21 Miscellaneous a 05 SF Misc. 0 10 _-plex a 1 c" WORK'7YPEw • ? 7 ' 31' New `- 0"" -a- 33-ARe s ? 6- ove , 0 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) -14 Basement sq. ft. C? Cn MCIWS System ? (Allowahle) Vr-N Main level sq. ft. ?'1-2 City Water UBC Occupancy TZ- u / sq. ft. Fire Sprinkiered Zoning /1-L)_ sq. ft. PRV # of Stories 6r?r- sq. ft. Booster Pump Length Z?6 sq. ft. Census Code. 10z Depth _ la(? Footprint sq. ft. SAC Code Census Bldg Census Unit / APPROVALS Planning Building Engineering Variance Permit Fee Valuation: Surcharge Plan Review .. . License MCNVS 5AC ` City SAC Water Conn. Water Meter Acct. Deposit S/W Permit ' SNV 5urcharge / Treatment PI. ? `? Road Unit Park Ded. Traiis Ded. Other Copies Total: g 0,00 v L 01(. , . l, b?1 Lv 6 0 C/ S? qvC !' % SAC • SAC Unfts lu:l? E129344305 ' -- I•1INNETONI<A UESIGN FAC,E ?; • EX7ER.IQR EfIVELOPE AVERAGC "t!" COM. . F'lITA.'f.10N -- _ _ . ........ ....... . . . NER;?___•_W- _?.._... __? nnrr: `i-13??5 I $I7E ADDRESS: PHONE: CON7RACTOR:_tto1r-mAN ?1or??s PIAN Determine working square footage of each 1. Total exposed wall area...., sq. ft, x.11 = ZD?X,OZ? 2. Total roof/ceiling area..... 102.(,p sq, ft. x .026 = Total exposed wall area above,f}oor=!??,'? a. b.? " Total Total wall window area .................... door e ????????? " '" ?? 3 ` C. Total ar a.. sliding glass door area., '.... . ..................... ..... ?7,1 d. Total fireplace wall area .........................•••• e. f Total T ............... wal] framin area . .. .... . . . . . " """ " " ' ?a?er.age 10") .......... ........... . otal ..... rim ,?oisfi area,, , 9- net . walt area a6ove floor, ..•••..........?............••••-' h. ? ......................... wall ..... . ..... area d6ove flcor ?• . . ... . . " '. " " " wa11 area a6ove floor . j. .. . frame wdll area at foundatian ................................... Total exposed founddtion area= '?620C::? k, Tota1 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) x „U" ? b. 1-1 X „ u„ (jo 9q C_ X „u„ • d. X Oull e._ \31?Co1 x llu,t ,p? '= 12 3g • _, f. I?O?, lS x.,u„?,?` = CPI Us ? ' ? s. X „u„ ?F`? ? h. X 4jUll _ ? I ;. ? X „U,1 - ? i , • A V Ilull ^ ' S k, X„U„ If item #3 is the sa; u as, ar less than ite% -1.? X U ???(p = s ? #1, you have met the! i t _ , n ent of SBC 6006 . ....... ..... ..................... Total -------- ___ - 3 ?. i; 10:13 6129344305 MINNETONKA DESIGIJ PAGE 08 tOTAL EXPDSlO RAQP ??? ? ? 1na w.cuw?riars i . ?' . Total,exposed roof/ul l Int .t araa. ...... , 2 • J) Totai Sky)I ?9 ?t yht area....... • k) 7otat roo(/caf 1 ing /raniqy . SQ ?t x?• ? ?---? - ares (Avaraaa lA7t)...... ? Z Y4 ?'t x•?U,rJZ?- . Tota1 nat lnsuTated • ~ 3 ? • ' -'-------- ; roof/ceillnq area....... ??(p?S ' y ? s4 ft x?,0??» If tot?l oF st 707AL J) thru 1) 23??(p . Z%CAA 1.16048 A the same as, or 1e5: than h, you ard 0. have MCC th , e intanC of •' • . , ACTERNA7'E BUILOIHG ENVELOPE pESlCN To utTllxa th? tot?l envnlcpa syxt? ?thod, •the values esca6)•12hed bY thq sum °f lta^s ?3 and 14 :ha • . 1) net•6a 9raater thdn iha suro'cf tte.s eP) 2- ' . 3. M ?. . . • . ? ' • . . , . I I j li F_- . . 10:13 6129344305 t•IINNETONKp DESIGN * LINEAL FEET EXPpSED YAGL BLOCK : 1cp? ? ? KNEE: WALKOUT: 3? % FULL 1: 10 ??s FUGL 2: FIREPLACE: RIM: `(D?, Irj SQDABE FEET EXpOSEO iTALL ABEA, BLOCK x .5 KNEE: X S ? WALKOUTt x 8 a 30`? FULL 1: ?(0'?, ? a x 8= FUL(. 2: 8 ? x FIREPLACE: X a ?-l I,c h • I( o ' YM. v - x 1. +• ?CD7 ?S A SQUARE FEET ERPOSED CEILING IC9Z(pt WINDOWS: 12--7i3t- DOORS: 3717? 2(?4Cp ?Ht' 11 Sq ,5? 2L1?3{,Q } ???-'Z PATIO DQORS: ?o ? I I II 2? q2 305 0 ? M? g? SASEMENT UNITS: 2Lv40 1 l 1? ??3 ?0 SID?LIG?tI? 1? ?"? SKYLIGHTS: IZy.3 FAGE 09 . . ? ?N? HOFPMAN HOMES, INC. 2274 Enst 117th Street Telephone (3urnsvi(!e, MN 55337 (612) 894-9807 Fax CONTILICTOR # 9289 (612) 894-9878 i-j3o (q? Mr. Joe Voels City ofEagan 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) I e 7- , Btock 3, Cliff Lake Shores, as were used on Lot(s) 1 , 4" Block 'L, Cliff Lake Shores. None of the structural building components, HVAC, plumbing or electrical will change from engineered drawings dated io(,? (55r PCH/jem pchfeaglv Yatnck U. Hottman President CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: euxLozNS- l 028486 08/07/96 SITE ADDRESS: P.I.N.: 10-17785-020-03 DESCRIPTION: h" 38 a, 66 X 102 1 - FAM. ATTACH ffir ? `sa T?^.3? IV.s REMARKS: S& W PLBR - WENZEL PLBG FEE SUMMARY: 8ase Fee Plan Review Surcharge SAC SAC $ SAC Units Subtotal 4492 LAKESHORE TER LOT: 2 BLOCK: 3 CLIFF LAKE 5HORES (ZERO LOT LINE) ermit Type SF DWG ?k Type NEW R-3 U-1 Q V-N PD VALURTION $1,667.25 $533.63 $68.00 $900.00 100 $2,568.88 4,P ??a'=??s? ?M•?, ,g.?` a?`?;0 ei?Mi?u A?"siud.'§ ?a?$?$? a`_„? "W1 Z c,??x utn -1 iL? ? $136,000 MISCEI.LANEOUS $1,923.50 Total Fee $4,492.3$ CONTRACTOR: - Appiicant - sT. LIC.OWNER: HOFFMAN WOMES INC 15949807 0009284 HOFFMAN HOMES INC 2214 E 117TH ST 2214 E 117TH ST BURNSVILLE MN 55337 BURNSVILI.E MN 55337 (612) 894-9807 (612)894-9807 L. ili G 1 Y••l' 6+ A ? T ?FI µ . - , k' 1..F ' i he?r;?h?+ ?;???t]?auz'???cCge tF?? I hai7e th?s ?a?p?aa'Vian arnd?-stWtA, ?'t?h aGh-o - < xYi`?or-ri?a^G3ts?a,?'?e ?si€npiy ia??.t?1r..?1? ap?i?:catkls `.??a?.a, S't8tUt$R+' i a v,. ? r s u, 3 P LICAN MITEESIGNATURE ? ISUEDB?SIG,ATURL?-[? - CITY OF EAGAN ? 1996 BUILDING PERM T APPLBICATION (RESIDENTIAL) 4?1 4qj •? ? 681-4675 )116 n ? 3 registered aite surveys , ? 2 copies of plan ? 2 copies of plans (include beam 8 window sizes; poured tnd. design: etc.) ? 2 site surveys (exterior additions S decks) ? 7 energy calculatlona 4 1 energy calculations tor healed additions ? 3 coples ot Uee preservation plan if lot platled aNer 7l1/93 required: _ Yes __L No l OA7E: ?I-60 I4e CONSTRUCTION COST: DESCRfPTION OF WORK: STREET ADDRESS: {ZESt DE?.1-r? A ?. `1 ?.,.r?t{o?E ?t?t9'?' LAtieSNae? T?n.n,ac.? LOT -I-- BLOCK 3 SUBD./P.I.D. #: 1O '?-*-t$5 -°3 c??FF LPK? S?a?S b1-r,LC!?' Gr,r - /? /3 •3 ? PROPERTY Nam@: +?OrPrtA.?J N?K6S ?*'?• Phone #: $?`?'9$0? OWNER ""' Street Address, ZZ`'k 6' ? k }7??i 'i;-t ZtE,- City: 'a-h State: mP-? Zip: 5533? CoN7w?croR Company: SAne ' Phone #: Street Address: License #: 4Zg? State: ARCHITECT/ Company: M; uA-riewaich t7es%(V? ENGINEER Name: Ly4c Zip: Phone #: Registration StreetAddress• gO ti^'- 2$."+ sES""e-r S..t re -*? Ztp City: C H,d.) NA-6EJ Sewer 8 water licensed plumber: change are requested once permit is issued. State: mli Zip: 953k1" Penaity applies when address change and lot I hereby acknowledge that I have read this application and state that th ' m on,is' correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. % Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes No Tree Preservation Plan Received _ Yes _ No OFFICE USE ONLY n,, ',sq ° , ' • . , .-•... BUILDING PERMIT TYPE ` 0 01 Foundation o 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish jw4-02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 5F Addition o OS 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 21 Miscellaneous 0 05 SF Msc.io 10 _-plex ? 15 WORK TYPE ???-O ? Gc7 T? G/?C ,?'31 New ? 33 Atterations ? 36 Move 0 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) _9? A/ Basement sq. ft. /, (o/!o MC/WS System ? (Allowable) :V-,4 Maii-i level sq. ft. ? 74/7 City Water UBC Occupancy -i21/a.l sq. ft. Fire Sprinklered Zoning F_ 6 sq. ft.. PRV # of Stories / ArtsmY. sq. ft. Booster Pump Length 38 sq. ft. Census Code. D Z Depth 66 Footprint sq. ft. SAC Code d/ Census Bldg / Census Unit / APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ , 3 000 Surcharge Plan Review 2 License - MCNVS SAC - ? City SAC Water Conn. Water Meter ACCt. Deposit SIW Permit S1V1f 5urcharge' ' C Treatment PI. ,V.,, Road Unit ? Parli Ded. Trails Ded. Other . ,. ' Copies __ ?/?j/ U' ToWI: °k SAC SAC Units ??**uy C:C'1'Y C?F FF:UAt: ;:Atzf-I:I:ERs JS T'E'fiilrNAl_ N'?c 5:39 IiArs:,, 9.0/43/97 '1'?M 1.1•c59•:?'r, v; f4:? a ?'.4?iE:i HC11=(-MRN I-i0M1=Ei '_'NIC ,3?if3 e700''. 4494 I...AM;1=tiHCiiF .itl.Il;l 2255 3701 4494 LA`:F_fiSHni'i: Ci.f:afl 3430 '?CJCI:L 4494 I..AS;1=SliranW 5,(10 TO:q=. RF.',Cpj,p1; Ell?OUFit,., ;J;:i.','.TQ rf:QB176'? ±.1'.irE:Tt `.[''u 1Flr! ,v,t%kx*X?* %K*.;:'i;m*1 ** "'?X* *•l,<.* >ka, 1 %k* >'/.M* >k>>f M?k;t:W 4 *ik PERMIT CITY-OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: suILozwG Eagan, Minnesota 55122-1897 PermitNumber: 1)30914 (612) 681-4675 Date Issued: 10 / 0 3/ 9 7 SITE ADDRESS: 4494 LAKE5WORE TER LOT: 1 BLOCK: 3 CLIFF LAKE SHORES p.I.N.: 10-17785-010-03 DESCRIPTION: ?IYTp nym ,rd;.-, ? x,. qva ??ermit Type FZREPLACE 9?77rt ?Type NEW =>r`w,ri?i;;?°;'?ix`ii;e?,?:1?, 434 ALT. RESIDENTSAL VVI'o • ` t. h" ? I?F?+v _'&t¢? 'I_iSI'*d+:l:o-'j??f9 " :"a?'x"?'3I".J? • ? ? ? E4S:<???'g??g ? N7?q1, e„ ??, q=-?rv? :i.' x , ?.? REMARKS: FEE SUMMARY: Base Fee Surcharge Lic. Search Fee Total Fee , $5e.ee $.50 $5.00 $55.5@ CONTRACTOR: - ppplicant - ST. LIC OWNER: HQFFMAN HOMES INC 18949807 0009284 OAVSO50N IONE 2214 E 117TH S7 4494 LAKESHORE TER BURNSVILLE MN 55337 EAGAN MN (612) 894-9807 (612)686-8329 T' h?v##r) SCstieatgsp a"nd:e CI,t ?oz,n. R ?Q.l m? ? ISSUED : SI NA UFIE CITY OF EAGAN 1997 FIREPLAC 681ERMIT APPLICATION ?' CQt,eicl I ? DATE: /U PERMIT FEE: $50.50 DESCRIPTION OF WORK: ? CONSTRUCT NEW FIREPLACE ALTERATIONS TO EXISTING _ INSTALL GAS INSERT ONLY INSTALL GAS LINE ONLY OTIiER: STREET ADDRESS: / `7 U? dGOi' LOT ( BLOCK 3 SUBD./P.I.D. #: APPLICANT: (circle one only) OWNER CONTRACTOR ¢?-? I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesots Statutes and City of Eagan Ordinances. ?2 Ve^ g325 PROPERTY Name: ?L-Q /L?_ Phone #: OWNER Signature: ?? Street Address: - City: (? ?w State: Zip: 2a FIREPLACE Company: 0 P-'?Q- ?l ?vWS phone #: 7 INSTALLER Signature: -kLLZ? Sveet Address: zZ I`t ? f I7?` Sf - License # : 9ZgV City: 2? ?u•-•c4?? Z? State: Ml? ZIP; .?rJ 33 2 GAS LWE 2 /4 Company: -,?2i - phone #: IN5TALLER Name: n-?- Signature: Street Address: City: Q-(?,a? State: ?N Zip: s• , '_ OFFICE USE ONLY BUILDINIG PERMIT TYPE 0 14 Fireplace WORK TYPE ? 31 New a 33 Alterations 0 32 Addition o 34 Repair GENERAL INFORMATION Census Code. 434 SAC Code 01 REMARKS Chimney/flue must be inspected before concealing. ?Z&rsra 2- 4ECEIPT :f ? 770 ,?'- IPT DATE I]A Ty' /I ` Z C.. -q(,. .ro K??kl, ,ros au trEx e / PLe.ASz BE ADVIScD '°HAT T?ME IS A FEE SHORTA GE ON THE ABOVE ea a'T.e.CTRIGL I2STALLA1.70N T_N TF+W' AMOtJNT OF SHCRTAGe^, MLST BE ?AID SiHI7H2N 14 ID1Y5. RHMAR16 cuits= /C.,? 100 amo. circuirs= ? 0 c0 100 amo service= ? 101 t0 200 amo, se-vice= ?C) 4EN?L^I A COPY OF iHIS FO!L*1 WIIH REMZTT.INCE. PERMII:I ORIG. RECZIPT;1 RECEZP? DATE CS/-? ?? K Cities Digital ? Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. 1? -r ? . ? . ? ?1/ r.CASHRECEIPT d CITY OF EAGAN ? . , . . . 360 PILOT KNOB ROAD ? EAGAN, MINNESOTA 55122 ! oerE ?.•^7? y_1 ',4` P.? % l? 1e 1 i-. A?UN?7 : ( 51 0 0 a oouAr+s ? CASH XCHECK 1m V ? ? ' ? ? ?)??M. ? ? ?a•"- "!?? FUND O&IECT AMOUNT (t;Z-0 C 23596 Thank You :, . .? ?? - ?? - WNW-?ym Ov, Yeuow-4Naun9 CAVY P'uk-FIe Copy , . 63 ? j?4 ?1NOS}ir'----- i serial # 513 5' 92 30 4p Chip# d?y? B tyZ PertnR # ?nddress: l?'(o:k MerlUf (.?v?ti:':':[?? 1 AGREE TO COYPLY WRH,CIiY OF EAGAN,i ' L CITY USE ONLY Z BL ? SUBD. ? RECEIPT#: ?-L" DATE: 7996 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please compiete for: ? single family dwellings I/ ? townhomes and condos when permits are required for each unit New construction Add-on fumace Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Date: <W1'gY1 `?1?i FEES ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 24.00? Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @$3.00 each) si ;?'z ? 5tate Surcharge .50 TOTAL 194 ? 0414 SITE AD[ OWNER INSTALLI STREET CITY: No, STATE: IIIAI, ZIP: 67(j?y PHONE #: ( bT(iNAT cinr use oNLv L BL RECEIPT #: SUBD. DATE: 1996 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Piease complete for: ? all commercial/industrial buildings. ? multi-family buildings when separate permits are = required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION DESCRIPTION OF WORK: INTERIOR IMPROVEMENT FEES: ?$25.00 minimum fee 2C 1% of contract price, whichever is greater. • 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 ADDRESS: OWNER NAME: TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS:_ cinr: PHONE #: TELEPHONE #: STATE: ZIP: SIGNATURE: SIGNATURE OF PERMITfEE CITY INSPECTOR ? ? ? ?ak5' , L BL CITY USE ONLY SUBD. 1161 RECEIPT #: DATE: ?/a? 0r° 1996 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit New construction Add-on furnace Add-on air conditioning _ Add-on airexchanger, i.e. Vanee system, etc. Date: ?'a t-y4 ? 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) ?0±?r/ , ? State Surcharge .50 TOTAL ?? SITE ADDRESS:_ OWNER NAME: INSTALLER NAM STREET ADDRE: CITY: PHONE # V? gh STATE: A) ZIP: SW 7 CITY USE ONLY ? L SUBD. BL RECEIPT #: DATE: 1996 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 687-4675 Please complete for: ? all commercial/industrial buildings. ? mutti-family buildings when separate permits are not required for each dwelling unit. DATE: CONTRACT PRICE: .?..? WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: ?$25.00 minimum fee g[ 1% of contract price, whichever is greater. * 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 ADDRESS: OWNER NAME: TENANT NAME: (iMPROVenneNrs oNLv) INSTALLER: ADDRESS:_ CITY: PHONE #: TELEPHONE #: STATE: ZIP: SIGNATURE: SIGNATURE OF PERMITTEE CITY INSPECTOR CITY USE ONLY ? ° L 2- BL ?-- RECEIPT #•1n5yD SUBD. DATE: 1OI J7IRCa 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (672) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EACF! NSL TOTAL Shower 3.00 x 2 = .? Water Closet 3.00 x Bath Tub 3.00 x = Lavatory 3.00 x 3 = 9.? Kitchen Sink 3.00 :< _L = '31 C? Laundry Tray 3.00 :5°? Hot Tub/Spa 3.00 :c 3 • &V Water Heater 3.00 :< 3 • &V Floor Drain 3.00 x "3. CV Gas Piping Outlet * minimum - t 3.00 :c ? _? Rough Openings 1.50 x .3_ = 4.5a Water 5oftener 5.00 x - _- PrivBte Disposal " Dakota Cty. iicense 85.00 = (new and refur6ished systems) U.G. Sprinkler * home under const. 3.00 = Aiferations ' to extsttnq 20.00 = Water Tum Around 20.00 STATE SURCHARGE .50 TOTAL ?2. OD SfTE ADDRESS: -14 C? ? Z??4le-e OWNER INSTALLER STREET CI1Y: ??}?.?/a•tJ STATE: PHONE #: ( 41Z ) 452 - I.?C S ZIP: 5-5-12-2-- OFFICE USE ONIY L 8L RECEIPT #: SUBD. DATE: 1996 PLUM8ING PERMIT (CAMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 6814675 Please complete for: ? all commerciallindustrial buildings. . multl-family buildings when separate permits are DQt required for each dwelling unit. DATE: WORK TYPE: _ NEW CONSTRUCTION DESCRIPTION OF WORK: CONTRACT PRICE: ADD ON _ REPAIR IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLU5HOMETERS 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. 1F SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINYiLER PERMIT. FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per $1,000 of ii fee due on ali permits. CONTRACT PRICE x 1% STATE SURCNARGE TOTAL SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CIN: STATE: PHONE #: SIGNATURF: OFFICE USE ONLY APPLICANT ZIP: ,. METER SIZE: DATE: INSPECTOR: ,. CITY USE ONLY ' L ? BL ? RECEIPT #: ?D SUBD. ? DATE: 1,91319 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 661-4675 Piease complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES F•AC.H NQ.. TOTAL Shower 3.00 x ?'3 = 9. ? Water Closet 3.00 x 3_ = 9.? Bath Tub 3.00 x = Lavatory 3.00 x Kitchen Sink 3.00 ;c = 3.cfo Laundry Tray 3.00 3xv Hot Tub/Spa 3.00 :c 3,c)6 Water Heater 3.00 :( 1 = -3•cz) Floor Drain 3.00 :< 3•C0 Gas Piping Outlet ' minimum -1. 3.00 :c ?L = 9,00 Rough Openings 1.50 :< ?_ = 1• ? Water Softener 5.00 :c = Private Disposal ' Dakota Cty. Ifeense 65.00 = (new and refurbished systems) U.G. Sprinkler ' home under const. 3.00 = Alterations ' to existing 20.00 = Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL 5t, OD SITE OWNER ! LAKE?dr?? `? INSTALLER NAME: k)IWZ E(_.. NE"44NlCA L.. STREET CITY: L,96AAV STATE: ZIp; SS/? 2 PHONE #: ( 612) 452 Zal' /o- 7- 4G L 8L SUBD. OFFICE USE ONLY RECEIPT #: ' • i DATE: PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for w all co mercialfindushial buildings. . muRi-fa ily buildings when separate pertnits are B12 required for each dweiling unit. DATE: WORK TYPE: NEW CONSTR CTI( DESCRIPTION OF WORK: IS WATER METER REQUIRED7 YES WATER FLOW: GPM. ARE FAILURE TO PROVIDE THIS INFORMATI( NO. IF 50, PLEASE PROVIDE THE FOLLOWING: ?USHOMETER:i TO BE INSTALLED? _ YES NO. I WILL RESULT IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A I iF SO, YOU iYii1$Y APPLY FOR A SEPARATE FEE: 825.00 minimum fee or 1% ai contract price, $1,000 of pgLO]It fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: OWNER NAME: INSTALLER: _ ADDRESS: _ CfTY: PHONE #: is greater. State surcharge of $.50 per # SIGNATURF: OFFICE USE ONLY METER SIZE: ' DATE: CONTRACT PRICE: ADD ON REPAIR 2E U.G. SPRINKLER SYSTEM? _ YES _ NO. SPRiNi:LER PERMIT. STATE: ZIP: APPLICANT _ INSPECTOR: City of Eap 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 ?----------------- i ? Pertnit #: I (11; i Pertnit Fee: --60D? + ? Date Received: ?? 1 17U' 0 G? I I _ {?.1// ? I. Staff: ,?1 ? ------------------I 2008 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: (o z6 ' 08 SiteAddress: +µ11+ (,-Rke-5)AOI`e 1 errace, Ea Tenant LdYr0.iVte QV SkAak Suite #: RESIDENTlOWNER Name: L-O'cYQfvieOSr">kaL Pnone: (0 5 f 4-5Z 13 ( 6 adaress/ ciri /zip: Ter race ,Laqa? 55 12,Z CONTRACTOR Name:License#:_D6b(o Address: Z-6 Q ++ ,47t . ' cicy: Lalce Jr ( l2 state: M ?.1 zip: 5?`F q Pnone: R`??'Z- `t ??(Rcf ContactPerson: J??nH TYPE OF WpRK _ New 4Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W. Descri tion of work: PERMIT TYPE RES/DENTIAL ? Water Heater _ Water Softener Lawn Irriga6on Add Plumbing Fixtures L- RPZ !_ PVB) C_ Main _ Lower Level) _ Septic System Water Tumaround - New Abandonment RESfDENTfAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (inctudes $.50 State Surcharge) S30.50 lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System 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 built) (includes County fee and $.50 State Surcharge) $90.50 Fire R@pair (replace burned out appliances, ductwork, etc.) (indudes $.50 Shate Surcharge) TOTAL FEES $ SO - J ? I herebv acknovAedoe that tn,? -..,.ae?., .,.,. ..........._. .._..?_ ...". __ .? _ ._ _ . --;u .. .. --...r.-'-' .... ............... ?m, u?c mn? mn w ui unuannantx wrtn Ine OfolnanCeS ana COCPS ot Ule City of Eagan; that I understand Nis is not a pertnit, but only an apptication for a pertnit, and vrork is not to start without a pertnit; fhat the work will be in acoortlance with the approved plan in the wse of woAc which requires a review and X I of plans. ? x ?&oYCz-ln ?'(Sof.t ApplicanYs Printed Name / e r,.„+•. FOROFF.ICEUSE. 5?.; .r° ` ?R X v' A Re uired Ins q Unci ? t ?? r ^??. m `a& City of Eapn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 ^----------------- ? Far?Qffic?'Use /? ? j Permlt #: ? l O I i Permll Fee: I ? Date Received: I i i I Statf: ? I ------------------' 2008 RESIDENTIAL BUILDING PERMIT APPLICATfON Date: "v-? () SiteAddress: u-1-`? ????q - ""'°"" SVIpirr' TR"ykce- Tenant: Suite #: RESIDENT/OWNER Name:CLl4 14l?Z sYtUC3 (uU.)N`'10YVLQ.S Phone: Address/Ciry/Zip:??Q CA1O? W(e' CC t 04•? 551 aa -0-415 Applicant is: _ Owner _:?L Contractor TYPE OF WORK ??y-? _(? Description of work: l QC1V' rXk` 1-?13Ut" ? W I Y1GL0Q?? ? 6j ' Construction Cast: ?2400D•OJ Multi-Famity Building: (Yes X_ / No ? CONTRACTOR Name:?"Y1CY1 b&A?Ca_LtYQC ? T-I& License ri: ?? (obM Address: crjq`Ao 3(.Lt;IUCI.k W• A LQD State: ? Zip: ? aJ hAd'mi t 1Q Cit , y: Phone:06 a'l En ' ?!9l Contact Person: Yllaa4' &f/LtCAY COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7672 Minnesota Rules 7670 Categorv 1 _ _ Energy COdC • Resitlential Ventilanon Category 1 Worksheet • New Energy Code Worksheet Ca[BgOfy Submitled Submitted (4 su6mission type) • Energy Envelope Calculations Submitted In the last 12 months, has ihe 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 Contraclor: Phone: g docume'itPs fhai you submlf.;arerconsialeredtto ?e publrc !n7`'oPmaf{o" 'PofTionsof-. NOTE: Plans and supporti ` Crty to -; re fhe informatiort may @e cle'ssified as non public if{you?rovrde specif?o reasons thaf would permrF ihe ro,, a " - .cb'nclude;stfia"?dhe' aare'tratle?`?'orels , ..?„.:.??,.,?_r.3?x..a.ei?:l5 .?? ?•,.., . , I hereby acknowledge that this information is complete and accurate; that the work will be in conforrnance with the ordinances and codes of the City ot Eagan; ihat I untlerstand 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 ol plans. x Ucivic, Scn.14Per X ApplicanYs Printed Name ApplicanYs Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES ? Foundation ? Single Family ? 01 of _ plex ? 02-Plex ? 03-Plex ? Oa-Plex WORK TYPES ? New ? Addition ? Alteration ? Replacement DESCRIPTION: 0 05-plex O 16-plex ? Accessory Building ? 06-plex ? Fireplace O Porch (3-season) ? 07-plex ? Garage p Porch(4season) ? 08-plex ? Deck ? Porch (screen/gazebo/pergola) ? 10-plex ? Lower Level O Storm Damage CI 12-plex O Miscellaneous ? Interior Improvement ? Move Building ? Fire Repair Valuation Occupancy Plan Review Code Edition (25°/,_ 100% 2oning Census Code Stories # of Units Square Feet # of Buildings Length Type of Const. Width REQUIRED INSPECTIONS Footings (new bldg) Footings (deck) Footings (addition) ? Foundation Drein Tile ^ Roof: Ice & Water Final Framing Fireplace:_R.I. _Air Test _Final Insulation Reviewed By: ? Pool ? Ext. Alt. - Multi ? Ext. Alt. - SF ? Multi Misc. ? Siding ? Demolish Building* ? Reroof ? Demolish Interior ? Windows ? Demolish Foundation ? Egress Window ? Water Damage ' DemolNion (entire 6uildmg) - give PCA hantlout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock Final/C.O. FinaUNo C.O. ' HVAC Other: Paol: _Footings _Air/Gas Tests Final Siding: _Stucco Lath _Stone Lath _Brick Windows _ Retaining Wall Building Inspector RESIDENTIAL FEES: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies Total Page 2 of 3 - -. ? CER TIFICA TE OF SUR VEY (sis.s 918.4 I J / I ( i nT n ti OO ^ JO)\ 923.7 -? - - - ? --? a ? 3 - ---_ _- ry P2? ?LqK 9 E4492 SHpRE ?ZSO 8 4 So ? ? ry ? 4P.00 (szS?oJ ?. _ L ? 1 8¢ 0O ? 4?00 T-? 00) F 3BOo Wd t 916? o° ry ( (920.7) sis.s i , r ! F? O LpT 1 44g4 . TERRq ?? _ 4,500 ? ' o „ ¢ ?O 39 J L;__ -- -- T--y?? C[-... - ±lYtlll?nl l. Top of lrons @ Offsets ?^ AO 10.00' Offsef 919.32 ? OB 10.00' Offsef 918.40 LEGAL DESCR/P770N: Lot 7 and Lot 2, Block 3, CLlFF LAKE SHORES according to the plat thereof, Dokota County, Minnesota roP or erack = 925.48 Lowest Floor = 917.33 Garage Floor = 925.10 GRAPHIC SCALE zo o ,o zo 00 (IN F'EET ) 1 inch = 20 ft. 930.0 Denofes Sanitary Sewer Service lnvert 865.0 denotes existing e/ev. (865.0) denotes proposed elev. denotes surface drainage • Dertotes iron monument found O Denates iron monument set Searings based an assumed datum. ! hereby certify that this survey wos prepared by me or under my direct supervision and that 1 am a duly Regisfered Land Surveyor under fhe to. laws? Z17717 L?,??? ?.5. Dote Craig Registration No. 23021 ?9?S10 ? J w r - - ? r OD N rn ? ai 1 ? i ! (sp. -- / - ? ! , Tc) ? I ? ! / I I i Lq_?- KESy0RE- r r r ? r O 10.00' Offsef 916.19 ? O 10.00' Offsef 923.02 (924.2) 912.5 r RRq ,? ?- Cc I 923.1 ? ?REQUESTED BY.- ? HOFFMAN HOMES INC. ? ? . WeBtwood Professionol Services, !nc ? 14180 Wesf Trunk Hwy. 5 Eden Proirie, MN 55344 ? ? uRe ? (612) 937-5750 & ??rreR ! Revised: ?/Z4/ss Ez [aound t7ev. ? ? ? -? ? -zz Drown by MS Dote: 7122196 Job No: 95198 Lots 1& 2, 8lock 3 83L00-02.DWG Use BLUE or BLACK Ink r----------------� I For Office Use / � � �3 � � ; ' � Permit#: � � Clt� of �a��� � ��� ; � Permit Fee: 3830 Pilot Knob Road � � Eagan MN 55122 � Date Received: � Phone: (651)675-5675 I I Fax: (651)675-5694 I Staff: I I � 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: �� 1��l S� Site Address: ����' ��'�,idtwL ���''��f�' ���1°"'� �� �����nit#: � �� Namex�.��.�,��IIYY �, GGt�,L j ln.ov!,s..,�.���.� Phone: ... ��� F��SIC�4t�#� J, � � Address/Cit /Zi ���2� ��'� ��� 1`�'dU� � � r�l CSI 2 L � C�W�1�:t' Y P� Applicant is: Owner Contractor Description of work: W�✓�� �� Ty�e�f 1NQrl� Construction Cost: � �•`T' Multi-Family Building: (Yes /No� � � � /`' /� �. �� ,� � ` Company:�it/►t.�� f�-{2fi�� (�''"i�G7a 1� �hc. Contact: ��f �Y�'� �� �s�-�- � � Address: JS�'b �'�,�J �Jtiv� l�� � Suifc �sl Cit : ! '�I1� 1l C�n�raC't�1r � Y � State:�Zip: SSy�� Phone: '7�3-5,�� �Gn'�� Email: ��� � �arn�.I�r�iruY�����y1. License#: �G '�o� 7q.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: N�T�:1���r��,�t�d�u�Aor�ang al�cument�that yo��ubm��are ct��sic�iered�a be�rub�tc ir���rn��tiaa. Po�o��c►f the infvrmat�t�n r���r be classf�ed�rs�n=pub#�c if yc��pro�ride��e�i�1c reas�ns th�#�ir�ot�ld�er��t�he Ci�y!to c�rrr�l�de,tlaat the are tratls�ecrets: 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. 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 �u1S �r�����..�- X Applicant's Printed Name Appli s Sign ture Page 1 of 3 Use BLUE or BLACK Ink - r----------------� I For Office Use � � �3 3`� � ► C��� O� n���� � Permit#: � � I �� I � Permit Fee: 3830 Pilot Knob Road � � Eagan MN 55122 � Date Received: � Phone: (651)675-5675 I � Fax: (651)675-5694 � Staff: I I � 2015 RESID�NTIAL BUILDING PERMIT APPLICATION N��. -�lq� � �, s�.s�z z Date: � 2 �-S > � Site Address: ��-���.r��y� /-��a �'�" ���r Unit#: �w� F .�:.Name: r. _�w,°.^1�l`�., ...,��i�,�... S��l'. ._,��.�,.,.d� w . ....���...�d_aPhone: ._�..�,...__��...,�.w,�...,�.�_w� " � � � R�sidsr�#/ � y�'�2,m ���� � ./� .r � C�' ssjZz (,)��{;1'' Address/City/Zip: �' � ,lwo<- `��d'�, ct- G�^ /J � � Applicant is: Owner Contractor ��,.. ..�,��...�..��,.� - .�...�.,..e��o.u..�._.�..� ...�.�m..�x�,.,e�.�.,�.�,�..�_.��.���.�.�.��..�..�,....w...,... � Description of work: J f��i'� 7'yp+e a�F 1�lar� /,� � � Construction Cost: /�� �' �� Multi-Family Building: (Yes /No� � 3 � + � ���� j" �Y� � Company:�� cS ���4e� �U�%fr���-y��nr. Contact: ���5 vo9 kA.,�, ,�.�.,.�,,�.,.�,�,.� a � � � 35� �/,� �u�� �� �.� s��� ��;f � � � Address: �`5S s� City: �' �j/7�a� • � Co�a�ractor � �..�y�% Phone:�G3�.�.Sb-�� Email: L.cf'i.fc� �eJL.� �� � � :� State:�Zip: . �l3 �.u� �u ���, � � License# ��U o �7 /3 Lead Certificate#: �,::.�...��,�...��..�.�,�, �.�m..,� ...��,.��,K���a�„�.�.�VT.�.,n,�,�, �,.�,,.�. v,��......,w,�..�...._..w.m�...�,��.,,���w..�..�..,,..�.....�.a.�._n�.�.w.�.�.._ � If the project is exempt from lead certification, please explain why: � _ �,.,.��..�..,�,���..,o.�,.��,�.,��_ ��.....,_.�s,_ _.�,u...���.o�e�.�.,���,,.��..._ �..�.........��. - - 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: lV�T�:#����$and�r�p�ar���docu�»+en�tfi�a��ou��s��are co�»��ed to be p��r�i�fic x�r�o�tf�. Po�ar�s c�#' ;:k t�e iu��'�rnra#i��►r���r�e cfa�si�ed a�n�n pe�b�e�`y��pro�v�s�pec��rea�nr�s tha#t�a�r�p�t���:G3�+�a � c�r��l�r/�#�a�'t�s �re t�°a�le,�c�°e#�. � CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. CaII 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota St e uilding Code must be completed within 180 days of permit issuance. x L��'��.5 �1��(,c�:�.�,� X .�---� ApplicanYs Printed Name App c s Si ature Page 1 of 3 I I For Office Use e e e a `eEAGAN. Us ISi)e: � J®t ` -' >"LIVED r� 1� Date Received: �P-A-16 3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 JUN 2 0 2018 • buildinginspections(�cityofeagan.pom Staff: L 1 J 2018 RESIDENTIAL PLUMBING PERMIT APPLICATION Date:44: Site Address:'AJ--ek, if - /l ' 1 y Tenant • . t .� - Wr •0Rr:f.d@ r � Name: ,(� �'' - one: , nr io 7a• 3 • r � �� Address/city/zl 'illi____,. ..........` , ' g .1� .r..t 9 1 t- f /GJ! ri� �'( 1i k F R {�Y 1y Name: MILBERT COMPANY dba CULLIGAN WATER License#: WC6 F'1376 lO AO%."1414:.-0.4V1 F }i.ice $1 .4)i Vb' Address: 1801 50TH STREET EAST City: INVER GROVE HEIGHTS ace.‘ s i t :4,1 State: MN Zi 55077 ' at p Phone. 651-451-2241 Xii�ts y ;,. ,.+? Contact: BILL MILBERT Email: gloria.abast�cuiligan4water.com tr °t �`f °� ' -New Replacement —Repair Rebuild Modify Space Work in R.O.W. � Y0ee , :oi, p Led, tt1` -4., �:4:,,s''to riV:, , �t*-' t{4x . > r r p x ____ ,x; Description of work: �'� ,1ru {' RESIDENTIAL TAlt .1 1Z,VV Y '�,', Water Heater ,fr 30 1 H z'," `c-' _Lawn Irrigation( RPZ/ PVB) X Water Softener � ertn it,Ty'0'0 , 'tltt !�t _Add Plumbing t�flr{ rr . �1 11 _Septic System Fixtures( Maln./ Lower Level) ?i � t " �f Y New_ !Water Turnaround 5.;;p is 04. It } ,!.ii; �. ,f.� r Abandonment RESIDENTIAL FEES: -�....._.---------- $60.00 Water Heater,Water Softener, or Water Heater and Softener(Includes State-Surcharge) $60.00 Lawn Irrigation (includes State Surcharge) $60,00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State Surcharge) *Water Turnaround(add$280.00 if a 3/4"meter Is required) $115.00 Septic System New(Includes County fee and State Surcharge) 'TOTAL FEES$ 60.00 CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454.0002 for protection against underground utility damage.Cal48 hous before you Intend to dig to receive locates of underground utilities, www.gopherstateonecall.orq 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,citvofeagan,com/subscribe. 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 ot to start without a permit; that the •rk will be in accrdance w''t the approved an In th case of wor which requires a review and approval o pia . < rbOS-\ (\ I Applicant's Printed Name x - Applicant's Signature 'Cr a+Y.S`"iI>,`'iZt/,. a,`', 'i' 's�4L� :. r ' jj�, lu' �4 �a-i'� '� a zt Y k� ,k x ;S r- ' x yy t' 'Y I O 1OFt=iCE USE r`.c{�e 3 fp. r,7 ctij .tY Sqa q 'I_zg(. .viewet r ' 5V r ,V,t kgrit- S- : ,y��,fkM foo ixy'k`F.Yto tz¢J{..s :2 ap-,r'S FE,'0EtLa0 ' s ��s�.1.µ fhL t :.,: 3 .gYj,,,�r'.�tlltevleyvediB:�_--- � 1{I.: . 4'1?- €'''°c .Nt _ k i r:W.j.,,Val:*.4 P.:',4 tli1.ed°I-.V. .: Gt OI'1_, eryi 1.,€ ;rt`',� t ;:ttx -f�,E. u , ,.,?�` 1,T,V,1.1' �a \: ~t l t�'`�.'•b i4 1,`< "a;a " ., .„ *rC3i.: 01 ,) as G tin t, e ,Sx t,,,.i-} s r p spy ;` 4'1.4 1. � 4 Q, �, � R u9hnk .i} to t a�T=stt t �F n� M�rt3ril`t-`got 'ct 1 @�tT1•5ti ` v61,,,,, �41CA -:t sx �t � ° 9 . krZ,Vhi J� ,„ , ', T g ,�t At : at, �„9.19A �.t ' mKgctio)Reed �Manometer; 4-1{,t 'Sta f , PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA151152 Date Issued:08/10/2018 Permit Category:ePermit Site Address: 4492 Lakeshore Ter Lot:2 Block: 03 Addition: Cliff Lake Shores PID:10-17785-03-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Jeffrey M Halbur 4492 Lakeshore Ter Eagan MN 55122 (507) 340-3793 Boys Mechanical Inc 490 Villaume Ave, Suite 300 South St. Paul MN 55075 (651) 340-5956 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA151161 Date Issued:08/10/2018 Permit Category:ePermit Site Address: 4492 Lakeshore Ter Lot:2 Block: 03 Addition: Cliff Lake Shores PID:10-17785-03-020 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Jeffrey M Halbur 4492 Lakeshore Ter Eagan MN 55122 Champion Window Company Of Mpls 5100 HWY 169 N, #B New Hope MN 55428 (763) 574-2054 Applicant/Permitee: Signature Issued By: Signature