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1974 Safari TrCITY OF EAGAN 3830 Pilot Knob Road SMR SEIjVECE PERMIT P. C. Box 21199 PERMIT NO.: ''' 7'" Eagan, MN 55121 pATE. ;..,•?.; i_.. ?< ;- Zonirp: _ 1`.7 No. of Units: - 1 Owner; Deni - /1dd?ess: Site /lddross; I? i-4 Sa fs?ri Tra i 1 t'? ?2 Raa- i z a Plumber: _-Snu1.li1-otan PI?•ahi ng 550"t; 110.00ps: ?- 1 pmG *o aMNIy wft Nr. CilF of l.40o 0 Connectlon CJ+oroe: - -424.00p& "111111mm0s' I\ttOtmt DepOwf: Parmlt Fee: _._ ;Ll G7L?pGL $urchorpe: BY Misc. C]lorpes; DcM of I nsp.: Totol: l^uqx" Dote Poid: CITY OF EAGAN 2 WATER SERVICE PERMIT 3830:11 11loi Knob Road P.O. Bo*21199 PERMIT NO.: ?''?• ? Eagan, MN 551 DATE: - ? Zoning: No. of Units: es gn- --? orre Owner. Address; - 3 11 7 'ito er?.?ia??• S • S 8T. . Size: Aceount Deposit: Reader No.: Permit Fee: I agree to comply witb the City oi Eagan Surcharge: -'-'`" Ordinances. . . ''' Misc. Charges: Total: Insp.: Date CITY OF r,AGAN WATER SERVICE PERMIT 3830 ?ilot Kndb Road P.O. Box 21199 PERMiT NO.: 8129 Eagan, MN 551211 DATE: ? - Zoning: No. of Units; Owner. Pes gn-A- ome 1 agree to compiy wRh the City Ordinances. ey Date of Insp.: Address: SiteAddess: ;:: ar .ra 2 a ar r, Plumber. ` QU °WLL Uw ? _ .... -. CITY OF EAGAN ` 1?5?s 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, M N 55121 ? PHONE:4511-8100 BUILDING PERMIT ReceiPt# ?- To be used for S" Est. Value * 136 , 0OiJ Date r1Uly U::: 1' 27 , 19 d 6 SiteAddress 1974 S11FARI 'ric Erect ? Occupancy ?3 Lot 3 Block 2 Sec/Sub. 5t'1FAi1 3RD Remodel ? Zoning ?0 Parcel No. Repair ? Type of Const. U.I7 Additivn ? No. Stories W = Name DESIC?,1i-A-IiOME Move aemolish ? ? Length 72 Depth o Address 12493 Z7`lEi? RID.?E BLVD Int. Impr. ? Sq. Ft City $ ' VjL,vne 894-4100 Install ? =o Name S1^IG ? ? Address Water & Sew. Police Fire Eng. Permit $ 528.00 Surcharge 69.00 Plan Review 264.00 sAC 575.00 WaterConn. 50u.00 Water Meter b3 • 50 Road Unit 290.00 5Tr. PI. 156.00 Parks Cop+es Total $2 ' 4 4' ' Liu the express condition that 1,,ouncii I hereby acknowledge that I have read this application and state that the Bidg. Off. 8 1 y ? information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. APC Var. Date A Building Per all work shall I Building Offici and Ciry of Eagan Wrmit N0. PermN Hoider Daie Telephont A PFVnbing /c/3 H.V.A.C. om ?111.??14 son.o.. Inspectlon Date Insp. Commenb Footinya 1 Footlnys 11 Foundatiort Framfny Roofing Iiough Plbq. ? ? _ ? s Rouyh Hty. 'rr Insul. Fireplsce Final Hty. FMaI Plbp. Bldg. Ffnel c«,. occ. h¢rRC ???. c?u o{ bui - ???1 a C/ ?J Deck Ftg. Dock Frmy. Well Pr. Disp. •{ ?t PERMIT # PLUMBING PERMIT RECEIPT # ? CIT1f OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: 'I CONTRACT PRICE PHONE: 454-8100 ? Site Address BLQG. TYPE WORK DESCRIPTION ' Lot Block Sec/Sub " Res. New `-' ? Name ' I { r - Mult Add-on ? Address Comm. Repair c City ? Phone - Other , Name FIXTURES TOTAL ? Water Closet - $3 00 x ? ddress `` ' 1 ? r = [, . ? Bath Tubs - $3.00 O City Phone Lavatory - $3.00 I ? Shower - $3.00 _ FEES Kitchen Sink - $3.00 I COMM/IND FEE - 1% OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE _$10 00 Urinal/Bidet -$3.00 -T-Laundry Tray -$3.00 I ' , Floor Drains - $1.50 i MINIMUM - COMM/IND FEE ?? - 20.00 ? Water Heater -$1.50 STATE SURCHARGE PER PERMIfi - •50 ?Whirlpool -$3.00 I (ADD $50 S/C IF PERM4F-ARICE GOES I ? Gas Piping Outlets -$1.50 BEYOND $1,000.00) Sottener - $5.00 I Well - $10 00 , ' . Private Disp. - $10.00 Rough Openings - $1.50 SIG?14TU O *ERMITTEE 1 FEE: j STATE S/C: FOR: CITY OF EAGAN L GRAND TOTAL• Y PERMIT # /dr 7 7 MECHANICAL PERMIT RECEIPT # " cin oF EAcaN ii-r:-- .,- 3830 PlLOT KNOB R OAD, EAGAN, MN 55121 DATE CONTRACT PRICE: PHONE 4548100 Site Address BLDG. TYPE WORK DESCRIPTION Lot Block •"? Sec/Sub .. , N ? _I Name c - ? ew Res. M Add l m ? Address . , -on u t C c Ciry Phone 452-3775 omm. Repair Other ? Name FEES 3 Address RES. HVAC 0-100 M BTU - $24.00 p City Phone "1-4 100 ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 TYPE OF WORK GAS OUTLETS - 1.50 EA. Forced Air 1?)U, i:i'??! M BTU •=`' •'? COMM/IND FEE - 146 OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00 Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES Vent CFM BEYOND $1,000,00) Gas Piping Outlets # Other FEE: S/C: SIGNATURE OF PERMITTEE TOTAL• FOR: CITY OF EAGAN ? CASH RECEIPT CITY OF EAGAN ? 3795 PILOT KNOB ROAD EAGAN, MINNES07A 55122 , DATE C. ? . . - 19I'? l: , . eeceIveo ? ,? . ,? • _ FROM AMOUNT ? & DOLL,ARS +oo ? CASH ?CHECK r FoR ? . t". ( . v _. (t-l ?? k"- , ... . ' -, , , I . ;t : , (:? o n? BLDG. PERMIT N0. •??J ? -'"?'. -n l -:? ? ?. 1?4• .Jr . f L? f ? .. , . . • ? . 01-3210 B16g: ?permit 01-3422 Plan Check 01-3445 Surch./Adm. 01-3446 SAC/Adm. 01-2155 17-38b0 20-2275 20-3865 20-3868 20-371b 20-2252 20-3713 20-3743 79-3866 11-3855 Surcharge Road Unit SAC Water Conn. Water Trmt. Water Meter Acct. Dep. Water Permit Sewer Permit Sewer Conn. Park Ded. TOTAL ? qSl gI RESIDENTIAL BUILDING PERMIT APPLICATION _ CITY OF EAGAN ? 3830 PILOT KNOB RD - 55122 ? j?- ab -o l 651-681-4675 111) NewCansVUdionReauirements RemodeVReoairReauirements ?Ju ? - • 3 registered site surveys showing sq. ft. of lot, sq tl. of house, an?ll roofed areas • 2 copies oi plan ?• S (20°h maximum lot coverage albwed) . 1 set of Energy Calculafions for heated atldihons- • 2 copies of plan showing beam & window sizes; poured found design, etc ) . 1 sAe survey for ezterioraddi6ons & decks ?• 1 set of Energy Calculations . Indicate A home served by septic system for addilions • 3 copies of Tree Preservation Plan it lot platted after 711193 .. • Rim Joist DeFail Ophons selection sheet (bldgs wifh 3 or less units) DATE JOB SITE AD O IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER NI l fitki`l_ 4- F_i?i?/XYtG f? 01l1? S S0 TYPE OP WORK f?El?? A'I?C yJl r.i061VS ? f l.P? FIREPLACE(5) _ 0_ 1_ 2 APPUCANT C?(ZZ?'cT KY-L-7?W, ;J nz-?J 4- Ct o I .?s? PHONE# `15 Z' ADDRESS?LP?I? C?l.?'a'P? (?l1?vP, ?- ZIPCODE 45_ I oZ PAGER # CELL PHONE # FAX # C1SZ-'Rq I-ya 5"Z) NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATLGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted MINNESOTA RULGS 7672 - New Energy Code Worksheet Submitted Plumbing Contractor. Plumbing Systcm Includcs: Mechanical Contractor: Mechanical Systcm Inchicles: Sewer/Water Contractor: rlir Conditioning Hcat Rccovcry System Phone # Phone # Pcc: $70.00 All above information must be submitted prior to processing of application. 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 Ordinances. SignafureofApplicanf Vl - Certificates of Survey Received _ Tree Preservation Plan Receive _ Not Required _ Updated 1101 Water Sottener Watcr Hcatcr No. of Baths VALURION ? /IJ /" " Phone #: I.arvn Sprinkler Pee: $90.00 No. of R.I. Batkis OFFICE USE ONLY ? 01 Foundation ? 07 OS-piex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch(screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex PI6g_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) - Give PCA handout to applicanf Valuation Occupancy MC/ES 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 Width REQUIRED INSPECTIONS Footings (new bldg) Footings (deck) Footings (addition) Foundation Drain Tile Roof Ice & Water Final Other Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone Insulation Windows (newheplacement) Approved By Base Fee Suicharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total FinaUC.O. FinaUlVo C.O. Plumbing HVAC Building Inspector 16?monQhs /rom-d !f' t CJ, O'T 'yd 50495 k 3)?3? v 3 C? '??( .V5,6 7 o c' Rr,quest [ate 11 1 86 Fire No. floagh-'n Inspecuon Reamred> ?Reatly Now?Will Noldy Inspec- - 9- XIK]Yes ?No tor When Heady ,pnLicensed Electncal Conlractor 1 hereby request inspection of above ? Owner electYical work mstalled aC Slrea[ Address, Box or Foute No. GtY 1974 SAFARI TRAIL EAGAN ecLOn o. Township Name or No. RanBe o. Coumy DAKOTA Occupant (PqINT) Phone No. DESIGN-A-HOME 894-4100 Power Sup0lier Adtlress DAKOTA ELECTRIC, FARMINGTON Electncal Convector (COmpany Namel Cont dctor"s License No. C& M ELECTRIC, INC. A-042214 Maibng Ad r ss (COntrector or Owner Making Instailauon) P.O. BOX 328; LAKEVILLE, MN 55044 Author ed i natu.e (Contr actor wn Ma g Instailation) Ph n Number ? ? 1 69-3233 + MINNES A STATE BOARD OF ELECTflICITY THIS INSPECTION PEQUEST WILL NOT Griggs tlway BIdO• - poom N•791 BE ACCEPTED BY THE STATE BOAND 7827 iveraitv Ave.. St. Poul, MN 65104 UNLE55 PROPER INSPECTION FEE IS Phone 612)642-0800 ENCLOSEO. 619io - REQUEST FOR ELECTRICAL INSPECTION /EBp-O`O/OpOL05 See instmctwns lor comoletmg this lorm on beck ol vellow copy. CGO 70? "X" Below Work Covered by 7hes Request Ililew{Addl peO.I Tvae m e..im.e I A.PVliances WireC I Equipmenl Wired I Silo Unloader Bulk Milk Tank p Fee • SarvicaEntrenceSize k Fae Fexders/SU6leedera # Fee C"Ourta 0 to 200 Am s 0 to 30 Am s 1 2.0 0 to 30 Am Above 200 qmp5 31 to 100 Amps 2 10.0 31 to 700 q s Swinmin Pool Above 100-Am s Above 700-Am ' TranstOrmerS Irrigation Booms Partial"Other Fee Signs Special Inspection 5O ]. SI) 70TAL FEH L am»,ks ( u ? , , f ?? XouOh, ?Me?/ I, Na Elactncal ?l'J1Y InepOClOr. herBby cerLty that the above Final Date ,p.? 1 ?O( inspection haa baen rmaea. 1/?? 3 (e 1 1oa17o roo3v -s/41 2006 RESIDENTIAL MECHANICAL PEiuvuT nrrLicaTioN O City Of Eagan 7k---_.... 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Ylease complete for: single family dwellings & townhomes/condos when permits aze requved for each uni ,6'T 200110,6D U,'SQ Date ( 6_ / Itla ,- / 0 6 Site Addresslq7? J G?G7r i f r r Unit # PropertyOwner .' AG. (r?1 6 rO?5 5Telephone#(6S Contractor ?-( C l? c t? P_ 04c l So/f S / l ,-n'1 LqG SCreetAddress City ? State A11111 Zip 3 Telephone # (7Sa ) ( ? / ' ,7676 Bond #: ( L/ J ? [ !' (?, Expires: 3 Tn e G / The Applicant is _ Owner ? Contractor _ Other Add-ou or alteration to existing dwelling unit $ 30.00 ? furnace _Additional 4?Replacement _ New air exchanger air conditioner heat pump other State Surcharge $ .50 Total $ ?O I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and aceurate; that the work will he in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an application for a permi[, and work is not to start without a permit; that the work will b'?. ith the approved plan in the case of work which requires a review and approval of plans. . .JC95 k .?,-_ 6 ','<-, Applicant's Printed Name plicant's Signature RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EACAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 NewConstructionReauirements ' • 9 registereo site surveys showmg sq. ft. of !oC ;q. Y. of house. and all ioofed areas (20°1a mazimum tot cove2ge allowed) • Z comes oi plan showing beam 3 window saes; poure0 fourd tlesign, elc ) • 1 set of Eneryy Calculations • 3 cepies of iree?reservation Plan rf lo[ platted aRer 711193 . Rim Joist Detad Options selecuon sheet (blCgs wAh 3 or less unAS) DATE ? I ?? ??I/ Remodel/Reoair Reuuirements • 2 w0ies of plar, • I set of ?-eryy Catalancrs for nealed aCtlitions • I vte survey'cr ax;enor acuihons 3 decks . Ini neme sarved ny septic system for addihons ? VALUATION L? ` oj SITE ADDRESSN74 SA 6q'? ? L MULTI•FAMILY BLDG _Y XN TYPE OF WORK n _I'?(?iS) &.2- y gLt'I AiL D !nJ ? ?.cMl S+ II--?REPLACE(S) _ 0_ 1= 2 Great Lekee 1Mndow 6 Slog Co. APPLlCANT 74650GIendeDAve STREET DR SS Apple V?. MN 55124 CITY STATE ZIP TELEPHO`FJEW J-D CELL PHONE # FAX #(95?j `"t PROPERTY OWNER M 1 6(x_? °I' LI ? VY D SS O TELEPHON ?S UJo _ O--GI l ----------------------------------------------------------------------------------------------- COMPLETE THI3 SECTION POR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ NI['\\I:ti0'I'.1 RULI:S 7670 CA"CEGOI2Y I y[IV\F.SO'1'.A R['L1:5 7672 (N submission rype) . RzSidential Venulation Category t Worksheet Submitted . New Energy Code Worksheet Submmed • Energy Envelope Calculations Submitted Plumbing Contractor: Plumbing system includcs: Mechanical Contractor: N"[ccli.mical ,ystcm includc,: Sewer/Water Conhactor. _ Wa[er Softener Water Hca[er No. of Baths Air Condiuaiin; Heat Rccoccrc Systcm Phone # -----°-°---------------------------------------------°-----•------------•---------------------------------------------- I hereby acknowledge that I have read this application, state ihat the informaticn is correct, and ogree to comply Nrth all applicoble State of Minnesota Statutes and City of Eagan Ordinaoces. 1_?_ Signature of Applicant OFFICE USE ONLY ?Fi _ Phone' ? ? ?,?,?y -- Ia?v?? Sprinkler j I'ee?: J.S'9-46?1 0 No. of R.I. Bat?s , _ Phone # Fcc: 5 i Q00 Certificates of Survey Recewed _ Tree Preservation Plan Receroed _ Not Reqwred _ Updated 4102 OFFICE USE ONLY ? 07 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 43 0 1 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4•sea.) ? 33 Ext. Ait - SF ? 04 02-plex ? 10 OB-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 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 Impravement ? 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) - Give PCA handout to applicant Valuation Occupancy MGES System Census Code Zcning City-Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaU'C.O. _ Foo[ings (deck) FinaUNo C.O. _ Footings (addition) _ Plumbing Foundanon HVAC Drain Ti]e Other Roof _ Ice & Water _ Final _ Pool _ Fti,s _ AiriGas Tzsts _ Fina] _ Framing _ Siding Stucco S[one _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacemznt) _ Insulanon _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Building Inspector Total I BUILDING PERMIT Fieceipt # 12526 4 -? C?.$- 7obeusedfor SF DWG/GAR Est.vaiue $138,000 oate AUGUST 27 19 86 SiteAtldress 1974 SAFARI TR Erect It Occupancy R3 Lat 3 Block z Sec/Sub. SAFARI 3RD Remodel ? Zoning PD Parcel No. Repair ? 7ype of Const. V^ Addition ? No. Stories w Name DESIGN-A-HOME naove ? I.engm 72 3 Address 12443 RIVER RIDGE BLVD oemolish ? ? Depth Ft S 30 ° cii B' VILL4o.e 894-4100 Int Impr I ll ? . q. y nsta s Aoorovals Fees o Name SAME Z $ ? Address ? ? City Phone ?a F W Name 1? Address a w City Phone I hereby acknowledge that I have read this application and state that the information is correct and ree to comply with all applicable State of Minnesota Statutes and ' of Eagan Ordinances c &gnature of Permittee A 8uilding Permit is iss to: DESIGN-A-HOME all work shall be done in accordance with all apolica6le St?e ot Minnesi CITY OF EAGAN t?1 p 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121'v - PHONE: 454-8700 z Assessment water & Sew. Police Fire Planner Council Bldg. Off. 8/ 19 / 8 Var. Date Permit +' 3zo.vv Surcharge 69.00 PlanReview 264.00 SAC 575.00 Water Conn. 5 0 0. 0 0 Water Meter 63.50 Road Unit 290.00 7r. pi. 156.00 ' Copies I 7otal $2.445.50 on the express condition that City of Eagan Ordinances. Builtling PROBE ?.Vb, (a , ?NC . ROSE [ONSUlT1H6 fH611MftS ENGINE?RlNG PlAHF1EA5 and LANd iUftYEYOlSS &eK 99 PAVE so COMPnNY, INC. 1000 E.,t57 146N STREET, BURHSVILLE, N111lIESOTa 55:27 P1l 422'3000 ? AS BUILT SURVEY ?, Z,ffqcz -0c.tcrtP2icrc: LoT 3, BLaCK 21 THE SAFAKf THlRO AAKOTA cou,vTY, MiMNE5ora 30' ;CAf.F ADpI7lONI) CR?-,-PD DEA/OTES EX157/N6 6(.EVAT/OM (94L•6) pEA/oTES PROfYJSEO ELEV11770N .?.-r 1NUICATE5 UIRECTION OF S2JRFA0E DRAINA6E PROPaSED 6ARA6& FLOOR '94?7.5¢? ? A.4 ,S(/ILT 9q,P.9feE F440R 'y8 OF 2?Z?88_ ? o° 3o' .FRaNT 8U/LDIN6 9E7BACK L lNE , DRAIA1f+r-E AIJD UTILITY EASEME ,-? + „ pa ?^? Y 0 /?i i r t. ???,.% ? x ? LoT 3 .f a o• ^ ?o ? r? \\ A ?o F 'k° \p? ?,• i? ? E'LEV,qT/ON EGE YA7?DA/ ) \ , X ? i ^ r \ .\ N 1 o. J?.. 1 s- CP4G.0, wnTep- N 8s. ? ? ?. i N 7l ?28 Z n i Ll ? Z',? 0 04q; ) --?-hereby cer-tfty--that-thi?-la a?:ue n correct-rnprie sant ition o a tracZ o? land a: ahcxn' and deacribed hernan.• !+6 prsp.4rad by mn on thia 5kv - day ot Fe8R-L)lJkY" , 1988 . . v ' CS?p? OENOTES EXIST/Al6 fLEVAT/oN C9¢G.S) pEit/OTES PROPOSED ECE?A7/UN LoT 3, ecocK 21 TNF sAFARr DAKOTA CDUA/TY, MINNESaTA COMPANY, INC. 1000 EA57 1461t STREET, OURNSVILLE, IJINHESOTJI 55337 AS BUiLT SURVEY 'aOBE \ CONSllLTIH6 EH(31flE(!15 ENGINEr. niING PIAHNEHS and lANO fUftVEYOQS SCAIF. . /"- 30' po .? 30' _ FRONT BUILD/N6 C? •! , SETBACK L/NE ) . a DRAIIJPGE AND UTILITY EASEMENT . ? ? oa ? ?V,`' . 18 ag "? 9 g ? pD?P?'r?r-.>> / X / 'F- / ,/? r ?oT 3 (?30. o) (g3? ?929. 95 ? , a ; . $ ? ? i ? r ? x .o. / 1 . ? \ \ ? TNIRD ADp1TlON, 9 \ \ ? z ? ? ? ? ? ?Y9G.37 Y? /OII warcrL 'V 6je83•>B ?\ ?qas•6j'? N 7Z• 28 n EcE?s?noAv ? 10 i --l-her+hy eertifq-t9rat--th#?-ie -a`?-ue ?co c npraeen?i?ion o a ract C? land as ahoxn'and deacribed heraon.• 1ie prep4rnd by mn on this 3kD__ day of FESRUf1KY , 19 sa . ?,. ?1r.Q.'•t Ninn. X.a? No. 140eS ? Bma 99 . F?%e so PH 1z2-jo00 r? 1NUfCA7ES DIREC710N OF SUKFAC6 DRAINA6E (944.8j)= PRaPoSED 6ARA65 Fl.OOR ELE1/q7/ON Ag gri/LT 64,c'A4* Ftp"ll EGE Vf177Od! 95 aF 2/a/BR. PROBE EA/b, ?C: . , 7986 BQII,DING PEAlIIT 9PPLICATIOA - CITY OF fiAG9N NOYS: 9LI. CONTRACTORS H[iST HE LICENS6D i1ITH THE CITY OF E6GAN 3IIQGLE FAlILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OE SIIRVEY, 1 SET OF ENERGY CALCULATIONS MOLTIPLS DSiELLIRGS - RESIDSNTIAL INCLUDE 2 SETS OF PLANS, CE8 1 SET OF ENERGY CALCDLATIONS RENT9L DBITS FOR SALS ONTTS OF SORVEY - CHE($ WITH BLDG. DEPT., INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: -?j Valuation: Date: Site Address 19 -7 OFFICE US6 ONLY I Lot 3 Bloek 2 ? Erect ? Occupancy 93_ Remodel Zoning re Pareel/Sub S,4fyie17r1y7/t0 APp iTro,tJ Repair _ Type of Const .{/ Addition U of Stories Owner ?ri?yy? r?g?7?j Move Length 7 Z- Demolish Depth ?,O Address ?9yU ///?/.?G t7n-_ Int.Impr. _ Sq Ft Install City/Zip Code FJ'j/N!A ?S'f3 S Phone ff35"- 33G3 APPROVALS FEES Contraetor ?i6n/ A-ffUrH ??//?C. Assessments Permit Water/Sewer Surcharge Address J2-qv3 IPiv'e>z i2tOGe Sauv Police Plan Review ? Fire SAC ? 7S City/Zip Code ?VR?/SY/tL2 M.? 5s 337 Engr Water Conn N?;o ? Planner Water Meter ?;5, }'O Phone Council Road Unit 71010 Bldg Off Treatment P1 Arch./Engr. APC Parks Oarianee Copies Address TOTAI. ? ?/v s• City/Zip Code Phone # a e a NOTE: ADDSESSSS FOR CORNER LOTS - CONTRACTOR/HOMEOiiNEB MIIST DESIGN9TE AHICfl ADDRESS IS DESIHED. NO CHARGES WILL HE ALLOHED ONCE BUILDING PERMIY IS ISSIIED. xe?'z,c?ox /???t 41qZ - Sa - 3?z ? 8 ? 3/3? ZZ? 3Z = 7c5?4/x 16": !?/? ?or ?j'7 j2s /s 7z?6 oo w I ? ERTERIOR ENVELOPE AVERAGF "U" CDMPUTATION oarriE R : SITE AODRE55: CONTRACTOR: DATE: PHONE: DETFRMINE IdORKING SOUARE FOOTAGE OF EACH: 1. TOTAL EXPOSED 1JALL AREA, , , , . . , . So ?f p Q () i sq ft x „U„ 'll D 2. TOTAL ROOF/CEILING AREA,,.,.... 12 00 gp ft x"U" -026 3. TOTAL EXPOSED 1JAlL AREA CALCULATIONS: Total exposed wail area above floor,,,, .,. 2???,(fp scI ft a) Total wall window area: ? p?- 4lazed...... ??j2 ^U s f ? L % .,U" o T Z?, I ?> qiazeA...... ^ sq ft x b) Total door area ......... ?7. G'Z sq ft x"(J " 2 c) Total slldfn(i qlass door area: lNSut,D?.GIlL?S Vlazed...... I (D 61 ? j sq ft xIIU?? ?7>3 ?- 9lazed...... --" sq ft x "U" ?- - d) Total fireplace wall area ?U00 sq ft x"U" 40? f'L.dJ --- e) Total wall framinq area / G 3 (Averaqe 10?)........... 2 t?4r UQ sq f[ x"U" qJ f) Tota) net wall area a6ove floor (Insulated)... ) J_I ZeCIU f " " 1?4.:5 ?? -' .... sq t x U @ 9) Tcta) rim Joist area...... oo sq ft x"U" ------- --- - Total foundation area (Exposed).......... 6o sq ft h) 7otai foundatlon window area............. sq ft :c "U" •1 -- I) Total net foundation area abov d I 6 1.r f? e qra e........ ( 7 sq f t x"U" TOTAL a} thru i) Q? 3 I f item N3 is the same as, or less than item /+1, you have met the intent of S.R.C. Section 60Af, (c) 2. 60ac a 4. TOTAL EXPpSED ROOf/CEILING CALCULATIONS: Totai exposed 2 roof/celllnq area........ ? 00,O0 sq ft J) 7ota1 skyllnht area....... sq f[ x"ll" -"'- ° ---- k) Total roof/ceilinq framinq I Z?`?n " " ' G2? ? 12 area (Avera(ie 1(l9l),,,... sq ft x U ? 1) Total ne[ insulated b ? ?? " " 2 roof/cetfinq area...,.., ( U i sq ft x U - 4. TOTAL 1) thru 11 If total af #4 is the same as, or less than I`2, you have met the intenx of S.B.C. Section 0006 {c} 1, ALTERNATF. BUILDIPif, F.FiVFLOPF. DESICN To utillze the total envelnpe system reethod, the vaiues established by the sum of Items N3 and H4 shall not 6e greater than [he sum of items Ri and 92. 1. + 2. 3. + 4, _ C E R T I F 1 f, A T I 0 N I hereby certiiy that I have caltulated the "U" factars and "R" values herein and that the buildinq here (iescrihed mcets or excee(is the State af Minnesota Enerqy Cunserva[ion Att. !Wn qnature co?te? otistaur,rloN R vnLue RAMING SECTION: 1 Interior air film 0.65 2 i ° n2YW.9c? ,q4 3 7/2 inches so t wond ? ?S /32 I?uS, 3Q'o, Z. 6Co 5 E,7+7!/VG F Exterior ai- r-?- film TD7AL R = Lj,6-S 11 = 1/R a i090 :CTION (INSULATED) Interior air fftm ST SECTION: n,FR In[erior air flim n.6R r?I h." PF'i'f I K,oU ??h" S?F7waa,? 1,8$ 25/37- INS.(3r,'a. 7,06 cxcenor air riim 0.11 U - 1/R a ,041 ION SECTION Interior air ffim O,f,R II2" kP. Pot?Y?7'r'R6NE -7,sv 12.^ 6L&)C4< I,Z£3 [xterlor air film l1.17 TOTAL R m U ° i/R ° doT - . Q• - 4 4'•v? °? a',? 14.V .v' .d. SLAD ON GRAD[ -"??.a . ,??; ? ? ; ?4 , ?. a•, •a 4. ? f , ,. " ? q ,` a Y? . ? ' ? • . d. . , 4. ' .g , ? ? 41? . . Q ' 41 . Q A - •Q'. . • , ?? U = i/R = , O'FS CONSTRUCTIDH R VAWf f,[ILING SECTION (IMSULATED) ? 1 Interior air fllm 0,6I 2 M.° naYw?,??. , +5 4 fxterior air f11m st1111 0.0 TOTAI R -4l.67 U = i/R = OZ4 CEILING FRAMING SECTiON: 1 Interior air f11m (1,61 z 4 5 3 6 h°'&cDl;? INSU=, 3'S100 !+ Interior air film still ?. I S '51A-Zr ? lnches sof*, wood 44 132.7 TOTAL R a u = 1/R a ,?`Lla CEILINf, SEf.71DN (INSULATED): 1' Intertor air film f1.61 2 3 ? 4 Fxteriar air fitm still (1. 1 M? T6TAL R = Ua IOaa VEN1'ED CEILiNr, FHqMIMG SECTION: 1 Intcrlor air film n,hi 2 3 4 fxeerlor air lm still n. 5 I nches sof t aiooA TOTAL R = u= 1/R= 1 Inside air film n.f+1 ? - 3 1? ----- 5 OutSide alr film n,17 TDTAL R = U = 1(R = /AOBE N ENGINEEAING `p?aNNERS°ondO?AHC S'URVEYOCOMPANY, INC. 1000 UST 146N STpEET, BURNSVILLE$ YIHMESOiA 65337 PH 432'3000 Cer?%Ir'i ? Sur-Ye y ?goal I?Se.icri c?p iO?t; LOT 3, BLUCK Z, 7NE SArfIKr DAKOTA CDUA/7'Y, MINNESOTp C92?-_?? OEAlOT65 EXI57-/A/6 CLEVA'T161(/ e\ (94e,•5) pEit/OTES PFZOpOSED ELEV/ITION fNDICATES UlRECT10N OF SURFACE DRAINA6E 944.83 - FINISHED 6ARA6E FLODR ELEVq'T/ON SCAL.E . I''= 30' 30' FRO/?T BU1LD1N6 ? (942.-i ? 3ET6ACK LINE---) JW , ,-, P?2 o P° S'E'A , ?k E 9 U ? LoT ? / P w DR,41AIA6E AND UTIUTY EASEMEN7 "p3o. o) g3o.o) ? 1 ? .? ?O , ? 3 -? , /-/ '°, // , - / ? ?9, \ ?i .! hl 7Z 41 ?i ?944.0) \ u ?_ `° ' ? C?x.sj ? I hereby cnrtity that thie ie a true and correct raprneentation oi a tract of land as ahoxn'and deacribed hereon.. Ae preparad by ma on thii /4W day of 7t" _, 19A . A ? a ?a / • ? Vk 3°00 ? ?4?? ' \,o \\%\ q HoME TH/RD ADDl7/ON, c? - ? ; y ?-•- / r,a:rv Or- :r:.acanN C;ASH:CEFie S rr.-F;rsiNAi_ NOe 77i. 1115F:.: 07!t9/99 'i:ft'iF_: 1.:3:23°39 ID, i+!F11 IF - Cl1!iiTl:li1 F'C101._S :32:10 9001 1.974 c:AFARl: TR ia'?c'ti.i?5 2:1.55 9001 1374 ',iAFARI TR 6.50 ,c. 7ol;a:l. Ijecezp+, Amaur,t: 229.175 M3.1.36'? 4 USE:R LLi: NANCY ?. 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) ' CITY OF EAGAN 3830 PILOT KNOB RD - 55122 ? ? '??c D 651-681-4675 -1, ---? s- New Construcfion Reeulremenis ? 3 regisFerad sMe surveys showing sq. H. of lot sq. ft. of house and all roofed areas (207, maximum lot eoveraae allowed) ? 2 coples ot plans (show beam 3 window shes; poured fnd. design; etc.) D i set of energy calculaHons D 3 eopies of hee preservaNon plan M lof platfed affer 7/7/93 DATE: -2,T?-( DESCRIPTION OF WORK: STREET ADDRESS: LOT: ? BLOCK: _? SUBD./P.I.D. #: ? PROPERTY OWNER Remodel/Reoalr Reauhements 2 eopies of plan `? 7 aet of energy calculallons tor heWed addHlons t sHe survey for exferlor addiMonf i decW COST: _ 11) 0? r Name: 4? rbn5 b N'kZ'? lu- Phone #: lr?- Lasf First Street Address:-j ` -) Gty State:y--A p Zip: Company??ILZAM1 S Phone #: (area code) CONTRACTOR ?^ SireetA dress: License# ?D95 Exp.6??( City C? .r? State: U? Zip: -S ? ?- ? ARCHITECT/ ` 1 ` ENGINEER Compan . Name: ielephone #: area code ( ) Streefi Regishation #: City State: Zip: Sewer L water Iicensed plumber (reauired for new constructfon onl Penalfy applies when address change and lot change is requested once permR is issued. #.Mereby acknowledge thaf 1 have read this applicaflon, siafe that the Information is conect, and agree to comply with all applicabl Sfate of Minnesota Stafutes and Cffy of Eagan Ordinances. , ? Signa}ure of AppltcanY. OFFICE USE ONLY Certificates of Survey Received _ Yes _ No ' Tree Preservation Plan Received _ Yes _ No _ Not Required ? OFFICE USE ONLY BUILDING PERMIT TYPE ? ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea. ? 03 1 of _ plex ? 08 6-piex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ??19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging L?Y 20 Pool ? 25 Miscellaneous WORK TYPE ' 31 New 19 ? 35 Tenant Impr 0 39 Gas Line On ly ? 43 Siding/SoffitslFascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas InseR ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof ? Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code 131-1 (Allowable) Main level sq. ft. SAC Code o 1 UBC Occupancy sq. ft. No. of Units l Zoning sq. ft. No. of Bldgs ? # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS W Planning Building ( Engineering Variance Permit Fee a?-? a 5 Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies TotaL• m-? Valuation: $ ? SAC Units % SAC ? ?` C?IiSUl71N4 E11alHEERS # // E MINEEAING PlAlINEFlS ond LAND iUBYEY0115 ? ?'•C-oMPfiNy, 1NC, ' ?1000 EAST 146M 57AEFT, BUftHSVILLE, NINHESOT.I 54-337 pli 4:2-3000 ?,? _---- CI /?1?.?rr+! 2I07Z. [OT 3, BCOCK 2, TNE SAFAR/ TH/RD ADp1T/ON, RAKOTA CDUA/7'y MlfJNE50Tq DENOTES EXIST/.V6 ELEVAT/D,V C9tG.5) pCAlo'TES PROPOSED ELE?A77UN -?-r INUlCA7ES U/REC7/ON OF SURFACE DRAINA6E pROPo$ED 6ARq6S FLOOR ECEVq7/ON 4.4 gv/GT 44,p4" F440R EC.EV977D.V A8 Ow z/Z/e8. /'"'' ?(E U 2?ss o . E/?-?,?-.? .??? ? sr ? ss' o ?qy Bu/LUIN6 A`I E / J 1.' aq' 0 Aa i 1? la .C / AhE AND Y EASEMENT 00 ') 7Z ?ZB ^ Gi r/ r? ? T~'?•.v I?? I L v iqq6,. ?49:0) , 'bY Certify--tttat-thia ie a?:ue?n?co?nc??npreaan?i?ion a a racZ o7 tx ihc+m'and deacribcd hereon.• Ae prepqred by ma on thia _3kD day of . . 2R y ^ 1 19 86 • ?' ??' :? ??r+'? Ninn. Maa, No. i6oes i t 2 CITY USE ONLY L BL SUeo. 7he Szri jr RECEI PT #: RECEIPTDATE: ,11-I0'010 PERMIT # `I RU -! 2000 PLUNBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PIIAT KNOB RD EAGAN, hII7 55122 651-681-4675 Please complete for: \? )ingle family dwellings ?townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinklersystem FIXTLIRES oerw s TnreI Alterations to existing dwelling minimum fee Describe: (?nX*Q ?c Q \ 1?,.,? o 0 $ 30.00 Bath :ub $ 3.00 x = $ Floor drain 3.00 x = $ Gas piping outlet " minimum -1 3.00 x = $ Hot tub/spa 100 x = $ Kitchen sink 3.00 x = $ Laundry tray 3.00 x = $ Lavatory 3.00 x = $ SBPYIC S stem new/refurbished • requires MPC Iie. 75.00 X = $ S2ptiC S Stem abandonment 30.00 x = $ RPZ new installation/repair/rebuild 30.00 x = $ Rou h opening 1.50 x = $ Shower 3.00 x = $ Underground sprinkler if dwelling is under construction 3.00 x = $ Under round sprinkler ff existing dwelling 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ Water softenef if dwalling under construction 5.00 x = $ Water softener if exisnng dweuing 30.00 x = $ Waterturnaround 30.00 x $ State Surcharge .50 -> -> -> $ .50 TOt01 a $ p S ° r.eminder: Caii for inspections of alterations, i.e. water heaters, water softeners, etc. - ------------------------------------------------------------••------- ---------- - - --------------------------------------- I hereby adcnowledge that I have read this application, state that the intortnation is correct, and agree to iompy wdh all applicable Ciry of Eagan ordinances. It is the applicanYs responsibility to notify the property owner that the City af Eagan assumes no liability for any damages caused by the City duringfts nortnal operational and maintenance adivibes to the facilities construded under this pertnR wkhin City property/righl-of-way/easement. SITE ADDRESS: N V _ N OWNERNAME::CNI??&4 2LAS.S'o TELEPHONE#: LfS) L%"v - o-Yq6l (AREA CODE) INSTALLER NAME. C{-?TELEPHONE#: ?501 R31 - °?,?1 lt STREET ADDRESS: \,9 (AREA CODE) a_S 1 a? Qu-. n, cin: 'N TE: M tv ZIP: 3 3 \, L? 31? TURE OF PERMITTEE 2/84 CITY Or EAGAN APPLZCATION FOR PEIRMIT SEWER AYD/OR WATER CONNECTION (PLEASE PRINi) 1) PF.OPETr?"t ADD-R-rSS: _ / cI 71-? c7-. ?'n h i p^ D ?/'Y G`Y A ^ rz-raI, G..SC'tiI?TZCV: ?? - flnc/31ock/S?,divis?cn or Tax ?arcei I.D. P7L:.p2r) DaT' O" 0.7cIGiAL Cs::: _ `''-•-_•• -_ ' - D?R-1 SL:GL' c?SIILY ? R-2 CL'Pr.="{ (7:'0 C'"I':'S) ? - _ .. ? i^i-3 \i'.'."yYTCF L-.;-2.S) r ? iZ-4 lY<y::!'_'c'n:T/CC_j)C.:.iT;1;,';,1 ? LI\I"_'?) ? CCi•nE7-,Ci3I,/RE.^'?,i7_?C? -`'?C' ? 'CCS i RIAL Q L`TSTi.?,TICN.'-1I,/GCv?'?r•IL?,^.' Gl ar: ?rC=`T C=_', Zip• P?:i,VE: 3) NP.,IE; asE Pet ? FLCRESS: CI.Z, STA?'G', ZZP: I, n ? PfiCVE: ?"PLUMB? ? ." ER LICENSE # 4) ?n?l.l.?LF1YiICf'1? ? A.JD4ESS: CIT"l, ST'n-m, ZIP: OIGACC oo1ur FOR CITY I1SE OYLY PLU!!BERS LILEtiSE: ? Attive 0 Ezpired Q Not af Record arr initia PIiOVE: 5} INpIGfI'E :4[-IICH PER:•tIT IS BEIM RFY'(JE$'PID: L1 GU:u"VECI'SGV TD CITY SES'lE..'q 000:`1NAPIG:1 1U CZTY TNTATETt - ? OTEEM (PIZA_.?' DESCftIBE) 6) U:DIG,... ? PT.--!?SE f?OID r1PPRWED PER"^ST FOR PICi:-L?'i BY Q.VE OF ABGUE . ? PLEASE :`' / PER:UT TrJ 1, 2. 03. 4 r'1BOVE 1? (Circle one) -, 7) SICzzkTL"RE: f - ----- C1ATE: ?! ?l aiians?e i? +r a?c?.a? a? s r+e r-? s?a ? s s s?a?-a:? a?t ??cE?rrsa ?? t s? s ss?? F O R C I T Y U 5 E 0 N L Y PERMIT °- ISSUED F°ES_ $ /D - 5-Z? $ $ S S SE.':LR Pmn1rT (I`ICL:;DE SU°CH?RGE) WAT°:2 PEI2R1IT (Ii:CL'uDE SliRCHAcZGn) WATER METER/COPPERHORN/OUTSZDv- REi,D:B WAT°R TAP (INCLUDE CORPORATIO;1 STOP) SE:'JLR TA? AC^OUNT DEPpSIT - F7AT°R $ WAC $ J 7 J? Cl Z+ SP.C $ TRGVR IQATER ASSE552+.E:dT +S T4u:IK SEWER 1SSESS??EAiT $ L`nTE?.AL BE:IEFIT/T4U^IK SE:•:ER $ LATc',Rr1L SENEFIT/TRUNK ['IATER $- ?•5r?`' n C? WATER TREATMENT PLANT SURCfiARGE $ OTHER: $ TOTAL Ah10L'NT PAID/RECSI?T # ? G t> ?2_ 5 .h67:? 7/ DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGiiT OF WAY? L, YES IF YES, THEN n"PERMIT FOR 'AORK WITHIN PUBLZC ROADWAY'° MUST BH ZSSUED BY THE FJ NO ENGINEERZNG DIV:SION. LIST AS A CONDI- TION. SUEJECT TO '?'HE FOLLOWING CONDZTIONS: APPROVED BY: TI:LE: OAT°: lD 13/ • CASH RECEIPT • CITY OF EAGAN 3830 PILOT KNOB ROAD , EAGAN, MINN TA 55122 , D TE RE<EIVEO / FROM AMOUNT S (/? OG a ooLLwwe Ioo E] CASN ? CHECK 62t? iYND COOE NMOUNT U ? O( 1-2 U ? / Thank You B? N? 67971 wnica-vavem coov vellow-PO:ting Copy Pink-File Copv qtN1 5,4-5L,..; 'Pa?- HE/illl'11(i&L111H l:UlilU1TIUNING CU. 'n" t; L Weatherstrips A.S.H.V.E. ' • Construction No. Insulauon Windows Doors Guide Out. Wall Int. Wall Ceiling Roof Floor Kind How ApPIieA Reference - Ves-No Yes-Na ?y _ FI.? ? ?/ G- Roan Le gth ? Width ? H01ght FL ?? V1,,1,- Room Length I Width/.:Z Ncigh! _ Yli ndows a nd Doors- Cracka ge and Ar ea yyc?'- Ly a2 Windows and Doors-Crackage and Area Nu. N/rnin ot ane Heipht ol pane No. ol h h[s ?ineal ft. of uack Area sa. fr. 4$Ud-l13 !32 No' µyd?h of ana F{aiphl of ene Nn. of b h1 s Lmeal it, of CraCk Area 50? ?? ?_ .?;Z a 3 z ?-8' ?o ?. a a i Coef Btu Coef Btu Infiltration P- 3 D? In/ikration p? ? 0 3 Glass O oD Glaes .S CJ Exp. wall eLA Exp. wall ? E Net exp, wall Net exp. wall! Int. wall Int. wall Ceilin9 Ceiling ? Floor Floor 7ota1 Bw. 3 Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required 6q. ft. E.D.R. or sq. ins. W.A. Leader area ?FI. ? Y?/n? oom Length ?2 Width ' Height ? FI ?j?'f/? Room Length a? Width/ Z-Height Wi ndows a nd Doors- Crecka ge and Ar ea Wi ndows nd Doors- Cracka ge and Ar ea N?? WuHh ul anc Hc?qht ol pane No. of h Ms Lineal it, of crack Aren nq. h. No W?d,? of oi e Hx-qht nl an No, o1 b h Linenl 11. of crack A?ea sq. it. ?o 7 aa - 3 s s- D .zv 3 ? / d ,a+e ? Coef Btu Coef atu Infiltration / Infiltratron '7Q Y- Glass / Glass e y(j Exp. wall Exp. wall ? Q C) Net exp, wall Net exp. wall ?S ? J Int. wall Int. wall F//r,6PZ/¢?? /O O tl Ceiling _ Ceiling a A F loor F low Total Btu. 7otal 9tu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Hequired sp. It. E.D.R. or sq. ins. W.A. Leader area Room Length Width Height FI ?y'?i(? oan Length W?dth 7,11eight YJi ndows a n Doors- Cracka ge and Ar ea Wi ndows a nd Doors -Cracka ge a d Ar ea Nn W?Oih ol ene HerpM uf oane No. ui li hts lineal ft ol crack 4•ea sq. li. NO. Wi??b ?f g Nmph? u1 q No. ol b hts L?neal IL af crack Aiea sa. ft. _ 3;Z q0 3 ? 3 Coe( Btu Coef B[u lnnlt,acion --- p Inrli,acion 7_7 ? s -- `--=--' Glass /?'? J! Glass .1 -- `iti -- - Exp. wall 2 ? Exp. wall /a k? Net exp. wall _ 170 Q 2 0 Net exp. wall 76? Int, wall Int. wall Ceiling C¢ilmg F loor f Innr lutal Btu. ' To[ai Btu. 1 ftequirecl Sy. It. E.D.R. or sy. in5. W.A. LeadP.r area R Oquired Sq. It. E.D.R. or sq. ins. W.A. Leader area j ? z gz.,6 HEAT LOSS CALCULATIONS MINNEAi'dL15 nnii? HEATING&AIR CONDITIONING CO ' ? We.rthQrstnps A S H V . •'V-- - . . . .E. Construction No Wind w G uide . Insulabon o s Doors R t Out' Wall Int. Wall Ceilin R l e erence g oo Floor Kind How Applied Yes--No Yes-No 19_ _ Fl 6 ,E Room Length ? Width Height VJ FI. ? f?E? Roan Length ? Width?3 He?yht indows and Doors-Crackage an Area Windows and Doors-Crackage and Area No. Widrh Heiqni No. ol Lineal h. Area of anp ol pane b0hts ol cra<k sq. 11, No. W?dih Haipht Nn. of Lmeal f1. Area of ane of aoe bts of Crack sq. it. Infik Coet Btu Coef etu raLOn a ? ? In/iltratlon Glass G . S E ciae6 zp. wall ? ? ? ? Ezp, walI Net exp. wall ? N Int w ll el exp. wall . a Ceiling ? ? ry a ? Int. Wall C lli Floor e ng ,?3 /?7 -5, Floor Total Btu. 3equired sq. ft. E.D.R. or sq. ins. W.A. Leader area Total Btu. U ? Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI. 3fj.7 Room Length ?, Width Heighi c-FI. Room Length/3 Width ? Hei ht Windows and Doors-Crackage and Area y Windows and Doors-Crackage and Area Wid,h Heiqht No. of L?neal h. Aren of ane oi oane hghts of creck sq. It. Hxiqht No. of l?neal It. A,ea ? -5 D 2 ? a?e e? rood hor,s o<<,ack sa.,t. Coe T B tu n(iltration ? Z Coef 1 I Btu la . ?ss 0?02 ? z n 11tretion Glass :xp. wall c;z _ ? Exp. wall Jet exp. wall ? Net exp. wall Q ?1 nt. wall Int, wail :eiling p j loor , Ceilinp ? Floor otal Btu. Total Btu. equired sq. ft. E.D.R. or sq. ins. W.A. Lea er area Rgquired sq. ft. E.D.R. or sq. ins. W.A. Leader area l• Rpom Length Width Height FI. ?' Room LenBth Width Height Windows and Doors-Cracka e a d A g n rea Windows and Doors-Cracka e d A ip Witltn Heiqpt No ol L l i g an rea . _ of ane ul n??a . li hb inea L ot creck Area sa. fl. NO. W i l, f'tl ?qh? H n No. of Lin eal 11. 4,ea a H n 0 u ? Dnnn b hte ol cr ek sq. 1. Jil(ralion Coef 8 tu r i Coef -- 9tu lass n nvea«, ?.p O a 500 Glass cPwall Aa Ezp. wall >t exp. wal I t ll D Ne, exp. Wen b ?- z y 2 . wa lnt. weu . __ --- - -- ail?ng oor O s S?,9_ Ce,ling ? .? J?V- a Ploor . aal Btu. / Totel Btu. quiied sq. It. E.D.R. or sq. ins. W.A. Leadar area Roquirecl sq, ft. E.D.P,. or sa. ina. W.A, Leeder mee ? ? / ?l ? ? 1'? ?? ? '?i 2007RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan ? 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651fi75-5675 Please wmplete for: single family dwellings & Wwnhomeskondos when permits are required for each unit Date ? / _LL l Q7 Site Address l7 /`/ Unit # Praperty Owner Telephone ti ( (p:s/ Cootractor StreetAddmss CI?' /?'//??? S?BIC Y Zip SS/d ? Telephone# ( 9Sd )?y'3j ,S' j.?,? Bond Expires: The Applicant is _ Owner ? Contractor _ Other Fire repair (replace burned out appliances, ductwork, etc.) $ 90 00 " . This fee applies when extensive mechanical repairs are made to a building. Add-on or alteretlon to exlsting dwelling unit $ 50.00 _ fumace _Additlonal ?Replacement _ New air exchanger ? air condidoner _ heat pump other State Surcharge $ .50 Total $ SO Sc? I hereby apply For a Residential Mechanical Permit and acknow(edge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of tNe City of Eagan and with the MeChBtdcal COdes; that T LtldOlstand this i3 not 8 permit, but only an appiication for a permit, and work is not to start without a permit; that the work will be in acwrdance with the approved plan in the case ofwork which roquires a review and approval ofplans. I M ApphcanYs Prm Name Appli ant's Signature R2?0 U? D ? auG a;2'2007 City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1974 Safari Tr Lot: 3 Block: 2 Addition: The Safari 3rd PID:10- 75852- 030 -02 Use: Description: Sub Type: e - Air Conditioner Work Type: Replacement Description: Air Conditioner Comments: Questions regarding electrical perm 952- 445 -2840. Fee Summary: Contractor: McGuire & Sons Plumbing & Heating 1424 N 3rd St. Minneapolis MN 55411 (612) 604 -4285 X61 ME - Permit Fee (Replacements) Surcharge -Fixed Total: Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Permit Type: Permit Number: Date Issued: Permit Category: equirements should be directed to Mark Anderson, State Electrical Inspector, Owner: Michael Grosso 1974 Safari Tr St Paul MN 55122 $50.00 0801.4088 $0.50 9001.2195 $50.50 Mechanical EA079213 08/08/2007 ePermit I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1974 Safari Tr Lot: 3 Block: 2 Addition: The Safari 3rd PID:10- 75852- 030 -02 Use: Description: Sub Type: Work Type: Description: Comments: Fee Summary: Contractor: McGuire & Sons Plumbing & Heating 1424 N 3rd St. Minneapolis MN 55411 (612) 604 -4285 X61 e - Water Heater & Water Softener New Water Heater & Water Softener Meter Size Meter Type Manufacturer Permit closed Cherie Pung 1424 3rd St N Minneapolis, MN 55411 PL - Permit Fee (WS & /or WH) Surcharge -Fixed Total: I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Applicant/Permitee: Signature PERMIT City of Eaan Permit Type: Permit Number: Date Issued: Permit Category: Serial Number Remote Number Plumbing EA090429 07/31/2009 ePermit hout required inspection(s). Letter & correction notice sent to applicant on 2 -5 -10. (pf) - Applicant - Owner: Michael Grosso 1974 Safari Tr St Paul MN 55122 $50.00 0801.4087 $0.50 9001.2195 $50.50 Issued By: Signature Line Size PERMIT City of Eagan Permit Type:Building Permit Number:EA115400 Date Issued:09/25/2013 Permit Category:ePermit Site Address: 1974 Safari Tr Lot:3 Block: 2 Addition: The Safari 3rd PID:10-75852-02-030 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . Scott Landa Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Michael Grosso 1974 Safari Tr St Paul MN 55122 Tradition Roofing & Exteriors 1032 Cleveland Ave S St. Paul MN 55116 (651) 325-1548 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA116611 Date Issued:10/09/2013 Permit Category:ePermit Site Address: 1974 Safari Tr Lot:3 Block: 2 Addition: The Safari 3rd PID:10-75852-02-030 Use: Description: Sub Type:Fireplace Work Type:Gas Fireplace (new) Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required by law in ALL single family homes . Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - Michael Grosso 1974 Safari Tr St Paul MN 55122 Hearth And Home Technologies 2700 N. Fairview Ave Roseville MN 55113 (651) 638-3309 Applicant/Permitee: Signature Issued By: Signature � Use BLUE or BLACK Ink �----------------- � For Office Use � • j Permit#: � ��" j � C��y of�a�aIl �� _ �� -��.� , i �3 � � Permit Fee: * I 3830 Pilot Knob Road �,n.� � t��' � � Eagan MN 58122 �JC� � ` � � Date Received: � Phone:(651)675-6675 � � Fax:(651)675�894 � � � I i � �-------------�41t� 2014 RESIDENTIAL BUILDING PERMiT APP�ICATION tq°�� Date: /2 SiteAddress: ��7� ��f"ff�'i �j�H'l� Unit#: �a II"1 Name: I� t�t��i �.�z .�-7��Sa Phone: ��`Co�S"�''O��`T Resider�t/': C)amer ' ' Aad�ss i c+ty i zp: -�n� ; Appiicant is: Ormer �Contraotor ' `T Of WC��'k ' Description ofworic:,�ons� ��11� �rroa�c�.° .2�'�c�15-�•tlas� l��st�iv�w1 Yt� ' Construction Cost: ��J�- Multi-Family Building:(Yes /No�J Company:��f��c�5 �r�nc�e.+a �►`cnc�_Contad:'��fr.h t� � C�n�r`acfOr � � Address:��FG90 6�!41,c�.t6 �� City: ��E 1��«t State: �� Zip:�1�4— Phone: ��'�f'�maiL �SCe��f�ItR35��.�� ' �icer�se#: '�cv �,b 42.7 l�aa certi�ca�e#: ./1��`� 2 3�.47- � If the project is exempt from lead cerbfication,please explain why: (see Page 3 for additiona!ir�formation) COMPLETE THlS AREA ONLY IF CONSTRUCTING A NEW BUILDING tn tl�e iast 12 morrths,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: Mechantcal Contrac�r: Phone: Sewer�Water Contractor. Phone: ND�'E:f�tan�a»d�tpportiny a►ocur�e�s�tat�r subtnit are ca►rsidered.rio be public�nformafion: Poc�a�»s af ' ifie�rrfvrmation m�y�tie cla�sified as,rwn�blic if you provide spec'�t'ic neasons i�t.would p+�rni��re;City ta; ; concluale fhaf the ar�e bade secr�. _ _ . _ _ CALL BEF�RE YOU DIG. Cafl Gopher Stats One Call at(651)454-0002 for protection against undergrourxi utif�y damage. CaR 48 hours � before you intend to dig fo receive locates of underground utilities. www.aooherstateonecaN.org I hereby acknowledge that Uus ir�fortnation is canplete and acCUrate:tl�at the work vw'il be in conformance with the ord'ma�aod�of the City of Eagan;that i �derstand this is not a pertnit.but only an applica6on for a p�m9t, and wak i�not to start vntl�out a pertnit;that Uie woric wiU be in accadance with the approved plan in the case of woric which requires a review and approvai of pians. � Exterior work authorfzed by a buildinp permit issued in accordance with the Minnesota Building Code must be canpleted within 180 days of permit issuance. � x _�G"G�T�'�t C/1!� x ZQ Appiicant's Ptit�bed Name NcanYs Signature " Page 1 of 3 ,. ` DO NOT WRITE BELOW THIS LINE ��-��(p� SUB TYPES 1 ��+� ��' Foundation _ Fireplace _ Porch (3-Season) Storm Damage � Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) _ Multi _ Deck _ Porch (Screen/GazebolPergola) _ Exterior Alteration (Multi) _ 01 of_Plex _ Lower Level _ Pool Miscellaneous _ 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 Z(y�-(() Occupancy �(L� MCES System Plan Review Code Edition �51j�- SAC Units (25%_ 100%� Zoning �� City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Sprinklers Type of Construction � 3 Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) � Final/C.O. Required Footings (Addition) Final/No C.O. Required Foundation � HVAC Drain Tile Other: Roof: _Ice &Water _Final Pool: Footings �Air/Gas Tests Final � Framing Siding: _Stucco Lath _Stone Lath Brick Fireplace:_Rough In _Air Test _Final Windows � Insulation Retaining Wall:_Footings_ Backfill Final Meter Size: Radon Control Erosion Control Reviewed By: Building Inspector RESIDENTIAL FEES Base Fee Surcharge � <5 � � l ` � I �� Plan Review � � � � � � MCES SAC � City SAC �C� � � Utility Connection Charge S&W Permit 8� Surcharge � Treatment Plant �� Copies � TOTAL Page 2 of 2 Use BLUE or BLACK Ink � r----------------� I For O�ce Use � i ' � Permit#: f �� I Clty of �a�� , ; � Permit Fee: � 3830 Pilot Knob Road j � Eagan MN 55122 � Date Received: � Phone: (651) 675-5675 � � Fax: (651) 675-5694 L Staff: --------------i 2015 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: � �� Site Address: � 7 / C� �� r.4'i J�`'i � Tenant: � �Z �.''l�SS� Suite#: '� � � -- � � � i,..� , �, �� Name: Phone: S� � �` �� ;, � "- Address/City/Zip: �� -� �� / ��: ��y Name: (�c'o�� J��S'�-� ��1�� c n,6��License#: z �_ �. '�C C = #= Address: �G'Z S S� �� jJ�� %�� Ciry: ��.5-� �-fl��- � ��- - V � State: +'�� Zip: S��UG�� Phone: G��_ �j2 - �� /s� � e _ � Contact: �-r'�i �^' Email: � .1 ��U��-�"�^�� .a�d o , c' o.�---, � ,,, �.� ��=� �S�a` �� New �eplacement _Repair _Rebuild _Modify Space Work in R.O.W. �TY�e of,�� r — — — �d��. �E � �� ' � A = Description of work: /�.r n�o c✓e / �I��'�- ��d�-+ . �.. �-; ,� , .. � �-.�,.-- �� ; i RESIDENTIAL � �`'� - �� Water Heater � � £ �� 4 Water Softener �-� Lawn Irrigation(_RPZ/_PVB) �� $ �' � Add Plumbing Fixtures�Main/_Lower Level) � � � Septic System �� . � _ � New Water Turnaround .�=�. °��` , �� ,�� Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes�5.00 State Surcharge) $60.00 Lawn Irrigation (includes$5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic Svstem Abandonment,Water Turnaround"(includes$5.00 State Surcharge) *Water Turnaround(add$200.00 if a 5/8"meter is required) $115.00 Septic Svstem New($10.00 per as built)(includes County fee and$5.00 State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that 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. x �C'4t�,�( J�5=� x Applicant' rinted Name ApplicanY i ure � �,. �. , - - F�. �!� �`:� : i - -� �� -� � ��c�u �d= `sp�== o - . _, ~ ; ; __p, � .. � . IV�eter Re�a��1 ��r�ns.�_ ; � �� c�� ea a�Qt�r��;a . y � . _ � , .� _ —,�—., � ��<.,—. _ _ , �. __ _ _. . _ C!tyofEa�all 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVED AUL 11.5 St r Use BLUE or BLACK Ink For Office Use I - Permit #: rA Permit Fee: (0 LH,1-13 Date Received: ('-lJ) Staff: '7! 2016 RESIDENTpIALj ' BUILDING�PERMIT APPLICATION Site Address: ) 1 7`'I c�1Gt y-, Date: ( 1301 )4 Unit #: Cc Name: 1" 11 CiVId 4Lc;� Y 'f V j �sf yf�`55 Phone:�C)i I 1 Address / City / Zip: )c/714 5c ' rii 1'rdl i' Applicant is: Owner Contractor Description of work: ✓e C.7,a/ -/ y�1'�� — s�/1 rid. ��! �^ r f� �✓t/� `� � 14' "4"' r✓,:-rf -' /t -•%r- /'° ,moi"-.. 4/ e" rf iL'.v/../9„7/4, - r• '`• Construction Cost: Multi -Family Building: (Yes / No ) '"„03 Company: &r s h &id d Contact: u rne-S MAId So -el Address: 5 ci20 PA -hre,(2,-t- 14 41/00 City: 41219k "h 1 State: i v v Zip: 55) 2 `I Phone: %SZ J3)40DEmail:) omit- S License #: IJ C 1 90 2 3 Lead Certificate #: NG+ — 2r 7/ 2. 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: Mechanical Contractor: Sewer & Water Contractor: Fire Suppression Contractor: Phone: Phone: Phone: Phone: 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.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 State Building Code must be completed within 180 days of permit issuance. Applicant's Printed Name Applicant's Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation 'y( Single Family Multi 01 of _ Plex WORK TYPES New Addition yAlteration Fire Repair ll'" Replace Repair Retaining Wall Fireplace Garage Deck Lower Level Interior Improvement Move Building DESCRIPTION Valuation Plan Review (250/. ) Census Code #of Units # of Buildings Type of Construction 9-t (0(90 v-6 r Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation _ Roof: _Ice & Water _Final Framing )( 30 Minutes 1 Hour Fireplace: _Rough In _Air Test — Insulation Sheathing Sheetrock Fire Walls /(, Braced Walls Shower Pan Reviewed By: Final Siding Reroof Windows Egress Window _ Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Pool: _Footings Air/Gas Tests _Final Drain Tile Siding: _Stucco Lath _Stone Lath - Windows Retaining Wall: — Footings — Backfill Radon Control Fire Suppression: _Rough In _Final Erosion Control Other: , Building Inspector Brick Final RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL 0-0-1.41 izbwnir/L" 3,so7ofr' ,ora f56 tt /S ,n v 3/Z X 6690 ( 'r0 7 " C 09 3 of 2 Page Paas 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA137739 Date Issued:07/20/2016 Permit Category:ePermit Site Address: 1974 Safari Tr Lot:3 Block: 2 Addition: The Safari 3rd PID:10-75852-02-030 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Michael Grosso 1974 Safari Tr St Paul MN 55122 Aj Alberts Plumbing Inc 7975 Afton Rd Woodbury MN 55125 (651) 738-0580 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA138150 Date Issued:08/12/2016 Permit Category:ePermit Site Address: 1974 Safari Tr Lot:3 Block: 2 Addition: The Safari 3rd PID:10-75852-02-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Michael Grosso 1974 Safari Tr St Paul MN 55122 Bws Heating & Air Conditioning Llc 6520 Edenvale Blvd., #117 Eden Prairie MN 55346 (952) 681-2615 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK In Li)(\i0 For Office Use Ci City of Eaaali Permit#: / �� c)1 "PermitFee: 3830 Pilot Knob Road `p l C--- Eagan MN 55122 RECEIVED Date Received: I I Phone:(651)675-5675 Fax:(651)675-5694 Staff: JUL 0 61017 ` 1 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 7.5. /7 Site Address: /971/ Sao n� -i'IAti1 Unit#: Name: >mr; 4- L.2. Gfe55O Phone: (0S/"'L.Sf?'-O79J Resident/ OW.ner Address/City/Zip: Itrig ri'*Trvi I , --6 , £ IZZ t Applicant is: Owner X Contractor ' Description of work: 1 ,:�-_., r% . r-� ri - Type of Word p =pied es Construction Cost: t. Multi-Family Building: (Yes /No Company: .,,1r$ir v frrAlee- . p y: yY1E.S �e'x�ear� L�P.SI�,n�n Contact: Vd/�/ Contractor`:, de"AAA Address: 5920 170 471. f/ / City: / State: Zip:55127 Phone: •4CY-16,70 Email:301,ryn 1pdb.dpi Z License#: /9/023 Lead Certificate#: If the project is exempt from lead certification, please explain why: yes, ase.. b&114-*,rt /9S6 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:'Plans and supporting documents'that you subrrut are:cnsidered to be public information `Portions-of ''; the information maybe classified as non public if you providoe specific re sons that would permit the City to i,,, ._ P ._ conclude that,they are trade.secrets. ,, ., ,. .rn m�. a 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.00pherstateonecall.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 State Building Code must be completed within 180 days of permit issuance. x tea" w M• M:11cr Applicant's Printed Name Applicant' nature Page 1 of 3 A 11/-4, -- ' .--ri( .. 1Q -747 DO NOT WRITE BELOW THIS LINE 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 . , Y MCES System Plan Review Code Edition � ,� j .0 l'' SAC Units (25% 100%' ;) Zoning City Water Census Code ��"" Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) Final/No C.O. Required Foundation Foundation Before Backfill HVAC Gas Service Test Gas Line Air Test 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 ____ } Sheathing d` Retaining all:_Footin s i Idccfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: Rough In Final Braced Walls Erosion Control Shower Pan Other: f Reviewed By: 1i„. , Building Inspector RESIDENTIAL FEES Base Fee Surcharge (-- t le Plan Review y i 0 (2 0 MCES SAC City SAC 0 M.C."'' Utility Connection Charge S&W Permit&Surcharge e , v., Treatment Plant t.✓ Copies tei0 \Dr.. TOTAL f 0 s (0 rag e2of3 Use BLUE or BLACK Ink For Office Use ,�4 0 1 Permit#: L.// City11111111P of Eaaall Permit Fee: b 0 . c.-.)O 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651)675-5675 Staff: Fax: (651)675-5694 2017 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 7/24/2017 Site Address: 1974 SAFARI TRL Tenant: Suite#: Resid ttl�tt ' : NamePhone: Address/City/Zip: , DIVERSIFIED PLUMBING & HEATING INC License#: PC667869 Name: Contras Address: PO BOX 91 city: CHASKA State: MN Zip: 55318 Phone: 952448-0756 Contact: COLLIN KING Email: COLLIN@DIVERSIFIEDPH.COM New ✓ Replacement —Repair Rebuild Modify Space Work in R.O.W. Description of work: RESIDENTIAL Water Heater Water Softener Lawn Irrigation( RPZ/—PVB) Petri I ✓ Septic System Add Plumbing Fixtures( Main/ ✓ Lower Level) New Water Turnaround 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. Call 48 hours before you intend to dig to receive locates of underground utilities. www.000herstateonecall.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. xCOLLIN KING x Applicant's Printed Name Applicant's Signature FOR OFI USE *�� 7 i l 7 `'t F a � / RequiredIt ect ns.: Ground Rough-In Meter Relate e : ulster• ize f »«tift