4963 Safari Cir ~
CASH RECEIPT
~ ~ CITY OF EAGAN ~
P. 0. BOX 21-199
EAGAN, MINNESOTA 55121
DATE - 19 ~ ~
RECitV6o , .
FROM . ~ . ~ ~
AMOUNT $ ^I
~ l. ' - ~ ~ & DOLLARS
t0o
? CASH aCNECK
`
F+ow ~ ~ - c.. ' - " r
~
FUNO COOE A~~OUNT
~
Tha u
;
- B Y -
~ .
VYhite-Payers Copy
I Yellow-Posting Copy
Pink-File Copy
Receipt ~~`1 PLUMBING PERMIT Permit No. ~ I~ f~. 'l~
CITY OF EAGAN
Fee
Fill in numbered spaces S/C
Type or Print legib/y Tot. i'
1. Date 2. Installation Cost
3. Job Address Lot -l ~ Blk. r Tract l"'
~
4. Owner ~ ~
5. Contractor • Phone ~ ~ ~ ~
6. Address
7. City - State Zip ~ ~
S. Building Type: Residential b Commercial ? Institutional ?
9. Work Description: New ? Add ? Alter O Repair ?
10. Describe
, 11. No. Fixtures No. Fixtures
f Water Closet Cesspool/Drainfield
~ Bath tubs Septic Tank
Lavatory Softner
Shower Well
! Kitchen Sink
% Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
' Slop Sink
~ Gas Piping Outlets
12. 1 hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed :
for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-6100
Receipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fee
fill in numbered speces S/C
Type or Prin[ legib/y Tot.
1. Date ~ i~ 2. Installation Cost Y~ ~
3. Job Address ; c~:- Lot " Blk. Tract
4. Owner f`-'r . • ~ ~
i
5. Contractor ~ * Phone
6. Address ~ ` -
7. City - 5tate Zip
8. Building Type: Residential F~`~. Commercial ? Institutional O
9. Work Description: New Add O Alier O Repair ?
10. Describe Fuel Type d-
11. No. ~ui~ STU - M. Ea. No. Equipment CFM
Forced Air ~ Air Handling:
Mfg.
Boilers Mech. Exhaust _ ~
Mfg. ~
Unit Heater
Mfg. Other
- Air Cond. '
Mfg,
Gas, Piping Outlets
12. I hereby certify tfiat the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of wark.
Signed :
for
Rouyh Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 4b4~100
CITY OF EAGAN Remarks
Addition SAFARI ESTATES Lot 24 B~k 1 Parcel #10 65850 240 01
Owner_ ' ~ Street 49b3 Safari Circle State
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. ].9$2 1~3'].~j4 ],Q3.']rj 1Q
STREET RESTOR. . . g ~ 7 _$3
GRADIMG • 4'$~ 43 ~ 8727 10-15-83
SAN SEW TRUNK Z 1 2 ~ 1. 3 7 $']2'] 10-15-83
1F SEWER LATERAL j S2 1 .ZO 1~ .~4~
WATERMAIN
* WATER LATERAL 1 8Q
WATER AREA 1 S2 ~ 1.6~
~ Services 1 82
STORM SEW TRK ~g82 86b. 1 1 3. 38 520 15 c0o8727 10-15-s3
* STORM SEW LAT 19g2 5
CURB & GUTTER
SIDEWALK
STREET LIGHT
ROAD UNIT 26D.00 442298 4-3-84
WATER CONN, G~O.00
BUILDING PER, g 2
SAC "
PARK
CITY OF EAGAN WATER SERVICE PERMIT
3830 ?ilot K nob Road 5 5`~
P. O. Box 21199 PERMIT NO.: {
Eagan, MN 55~~i1 DATE:
Zo~inp: No. of Units:
1?alek Conat
, ~ro~ 9 Safari irc e L A Sa ari Estatea
Sits Addrcss: Pipez' P 2,
Pl~xr~ber. • P
AAeter No.: Connection Charge: , p
~ Siu: /kcount Deposlt:
Reoder No.: Permit Fee: p
I.~.e. ~o oo.oy wN6 Hw Cih oi Eesn¦ Surchorge: ~ p ~etar
Mlsc. CFwrpes:
Totai:
By Dote Paid:
Dote of Insp.: Irup.:
CITY OF EAGAN SEWER SlRVICE PERMIT
3830 Pilot Knob Road ^74`~
P. O. Box 31199 PERMIT NO.: ~-2-~G
, Eagan, MN 551~~ DATE:
Zaninp: No. of Units:
,:a e : .ons
Owner:
Address: a ar rc e
Site Addreu:
Plumber: P~ er Plbn
~ ~ 425.00 pd
1~yn~ h eoe+~M w~ll1~ ~M Cil1? ~f Coru~cNon Cha?~s: , _ c.
Ordiw~ea~. AcoouM Dsposit: ~
Prnnk Fee:
Surd+oros: ~
~ By Misc. Choroe~
Dote of Insp.: Totol:
Dote Poid:
'I~ _ -
CITY OF EAGAN ~ WATER SERVICE PERMIT
38?~0 Pilot''riob Ro l~ p~RMIT NO.: '
P. O. Box 21199 ~f F~:~ `I '
Eagan, MN 55121 r~ a~ DATE: 1
+ ~ No. of Units:
Zoninp: `
~lalek Const
.
Addrcss: le L24 l'1 S~!farf '~=;cat.,~.s
~Site Nddress: 4`l6
' t ~ Ut; I leS
blumber: L~r 470.00 Dd
~ ~AnnecHan Cherqe:
Nleter No.: ' , _ , t: 15 r. d
Siu: e'~ ~unt Deposi 1~).OC~ pc;
Reader N~: i " . ~ ermit Fee: . 50 ~
1 yn~ to wilA !iN Cky of Ea9oa Surcharye: G 3. 0 0 p d?~ e t e x
o~~~ y~ L 6 2 a3 7 nn~~. c?,oroe::
Tata~:
pcts Paid:
of Insp.: Inap.:
CITY OF EAGAN ~T
3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121 lr ~ 8923
• PHONE: 454•8100
BUILDfNCa PERMIT Receipt {k ~
To bs uwd fe~ SF DWG/GAR Est. Volue $164 ~ 000 DO}e APRIL 2~ ~q 84
SiteAddress 4963 SAFARI CIR. X R3
Erect ~ Occupancy-~~
Lot.-24- elock ~ Sec/Sub. SAFARI EST. q~ter ? Zoning
Parce~ No. 10-65850-240-01 Repolr ? F~re Zone N/A
Enlarge ? Type of Const. V
ac Name DR. & MRS. KEITH SCHOAP Move ? Stories
W
; Address Demolish ? Length 92
b City Phone Gmde Sq. Ft.-
? Depth 41
o Name HALEK CONSTRUCTION INC. APD~orals Fee~
o~ Address 140S1 BURNHAVEN DR. Assessment Permir_~~~
u~ City BURNSVILL$hone 435-7070 Water&Sew. Surchorge 80•~~
F Police Plan check 296.50
Fw Name Fire SAC Sz5.00
qddress Erp. Water Conn. 470. 00
~W City Phone planner WoterMeter 63.00
Council Road Unit 26~.0~
I hereby acknowledge that I have read this application and state that Bldg. Off.
the inlormolion is correct and ogree to comply with oll nppiicable 2 2$7-5~
$tate of Minnesoto Statutes and Ciry of Eogan Ordinances. APC Totol $
Signoture of Permittee ~
A Building Permit is issued to• HALEK CONSTRUCTION INC. on rha express condition thn~
oll work shall be done ' accar e
w6
i~ IrOypycable
5, tate of Mirnnesota Statutes and City of Eagan Ordinances.
Building Officiol 4d ~~+-J - - -
CI I"Y"UF EAGAN *T p
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 , lr ~ p 9 Z 3
. ° PHONE:454-8700
BUILD,INCi PERMIT Receipt # ~
To M wed fer SF DWG/GAR Esr. Value $164 ~ 000 pa~e APRIL 2~ ~y 84
SiteAddress 4963 SAFARI CIR. Erect ~X p~~~po~~y R3
' Lot~~LBlock 1 SeclSub. SAFARI EST. Alfer ? Zonirg
Parce~ ~vo. 10-65850-240-01 Repoir ? F~re Zone N/A
Enlarpe ? TYpe of Const. V
w Name DR. & MRS. KEITH SCHOAP Mo~e p # Stories
; Address Demolish ? Length 92
b City Phone Grade ? Depth 41 Sq. Ft.-
p HALEK CONSTRUCTION INC. Avwovala Fee~
O Name
Address 1'~~SL BURNHAVEN DR. Assessment Permit • 0
~ Clty BURNSVILL$hona 435-7070 Worer&Sew. Surcharge 80.00
Police Plan check 296.50
~w Nama Fire SAC 525.00
Address Eny. Water Conn. 470. OO
~W City Phone Plonner WaterMeter 63.00
Council _ Road Unif 260. 00
I hereby acknowledge thot I have read this application ond state ihaf Bldg. Off.
the inlormntion is correct and agree to comply with all applicable 2~ 2$] _ 5~
Sfote of Minnewta Statuhs and Ciry af Eogan Ordinonces. APC Totol ~
$ipnature of Permittee ~ ~
A Building Permit Is issued t• HALEK CONSTRUCTION INC.'. on the express conditlon ~hn~
oll work sholl be done ' otcor o e
w~ IVGppljcoble
5_ tcfe ef N~innewta Stotutes ond Ciry of Eapon Ordinances.
Buildinq Offidol ~d'+M~J
e~
(P,xmit N,a/. Permit Holder Uate
Plunibin9 ~ T~ j`-~ ~P i e'Y ~~L g
H. V A.C. ~-I 1~ U ~n S 2 C~ ~ I x
Eleetric
Softener
I lnspection Date Inzp. Other
~ Footingi .
Foundation
Froming ~i ~y,y J~~
C_ ~ ~
' Rough PI ~ lb ~9, Y W~-
t EY WFl
RoughHVAC gl,~g,{ R~_ ve,tit ,~~A S cl, ~ `I
Inwlstion y~y;4
Final PI6g
Final HVAC ' ~f
Final < ~
Cert/Oce. ! a
w~ Deuri Lotation: ~ ~ ~ ~ g-B
- ~l~y/~y ~/u~ w/ u
vuen 51i~~
s.,,b. Q/~~r/s~Y ~~!/~'.gc nh~oo,rj~l.~f~
Pr. D'isp.
This request void ~l/~/ ~ - Z(ar
18 mpnths fmm 1 ~P 5U
1~ .n ~ 4 ~ ~.~t g ~ S ~ a~,~ ~i~f ~-l~
Requesi Da - Fire No. Ah-in Inspection
flequ red? ?Feady Now~Will Nntity, Inspec-
x es ?NO ror When Ready
icensed Electrical Contractor I hemby reqvest inspeetion o/ abova
Owner ' eleetrical work installad et:
SVeet ddress, Box or Rou No. Cit
.~9 3 ~G~
acLOn o. ownship Nam or No. Nange No. Co~ / ~
aK0 ~
Occu nt IM11 J~ q Phon No.
v0~~ ~ ~3 5- 70 ~ U
IbwqnSuppli~~ ~ ~ Adtlress
ie_f~ F
Elecsy
,ca,,~l Contr ctor (COmpa Na q). ^ Con~act i s Lic nse No.
3
Mailinp ddrass IConv cmr or Ownar Makine ~~stafl tion)
~2 ~!0 7 SC~a
Authorize ie~ature ( ntractor O ner Ma 'ng Installation) Phone Num~ar
MINNE$OTA STATE BOA OF E~LECiA1CITY TMIS INSPECTION pEqUEST WI L NOT
Grigee~Midwey BIdB• - Aoom N-791 BE ACCEPTED BY THE STq7E BpqqD
UNLESS PqOPER INSPECTION FEE IS
1821 UniveraitY Ava., St Veul. MN 56106
vM.. 16121 297.211t ENCLOSED.
f`~/1y/ REQUEST FOH ELECTRICAL INSPECTION ' EB•OOW/1A-0
' See instructions (or eompleti.q this fwm on back ot yellaw coOY. 2% ! g~
t0 1
A ~ "'X'"~Be/oW Wo~k ~overed by This Request
dd Rep. Tyoe of Builtline APPlioncea WireE Equipmanf Wired
Home Range Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. BuilAing Dryer Electric HeaLn
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Mi Ik Tenk
~ Parm O~he~ Peci y r er ISUeriry~
t r uoci y ~ er Oth~r
Compute lnspection Fee~Below
k iee ServiceEnlreneaSize p Fea Feedets~5ubfeeders N iae Circuite
Utp m~7 Oto30qms j 7i Otn30Ams
~ Above 20 _qm x; 31 to 100 qmps d 31 to 100 A
Swimmin Pool A6ove 100_Am S Above 100_Am ~
Transiormers Ir~igation Booms Partial!Other Fee
Signs Speciallnspection 5
T L FEE
Remarks r O
flou9h-in D~ he Ele '
~ Insvactor, hereby
Finel p~/ ertily ~hat fhe ebove
( . ~ ins0ection has heen
~ mBtle.
Tltl~ ropueet vola 1B mOnths irom
y3Y52- ` S/~r
, 577~5 La~ /~-r ~ ~u.o-~
Nea~rest DaSe ' Fire No. uyh-:n I~cenion
uireA7 ~IleaAV Now Q Will Notify Inspec-
~ ?~es ~No tofM'henNeadv
~r.¢nSed Elecbiral Contrdctor
i herab~r rep~st insWet:on of above
Owner ebctrical wrork imWlletl aY. ~
Street Atl~ress, Box w 1b e No. , Citv
~ -
CtlOn o. TOW16h~p M NO. RB~~QC O. CWnly L
~N / ~
o~~ rxi n~j ~ Na.
uf f~ ~ C;ff7c S f
Power SupD~~a AAJress
I
Electr 1 Contracta (Canqe Na~l Gonhac[or"s L. ree No.
~i~.e 6 0 ~~8 _3
Maili~q dress ICmVactw ar Owv~er kinp I~~ailation)
l07 S i2
AuMori Sig~a re(C cmr Owner Yakinp I~bllationl ~M1O~ Nwdie~
NINNESOTq Sip 9pppp OF ElFC7HICRY THIS INSPECTION NEAUEST IdILL NOT
Gripps-Y:Awar BIdY. - 11om~ M-f87 ~ ACCEPIED Bl' THE STAIE BOABD
7827 Ilnivaraity Aw.. SI. Paul. YM 5510? UNLESS PROPER INSPECi10N f~
Phom 18121 297.2111 ENCLOSE~.
J~a' I~QUEST FOR ELECTItlCAI INSPECTION eer3nooi-0a
, see ina..uelia~s m. rneyler,nu .nis~ira.m m met ur w~ta. eocv. ' h//J
""1C" 8e/aw Work i~vered by This Request
waa neo. r~o of a~a~~ aoo~~a~ wcroe ~ ea~~om~..~ r~.ea
Home Ran9e empo.ary Service
Ouplex Water Heater Lighting Fixtures
Apt Bui Wing Dryer E~ectric Heatin
Comnerciai Bldg. Fumace Silo Unloader
Ind~5tria1 Bldg. Air Corditiarer Bulk Milk Tank
~j~ tne. n t r ISOeciN!
t r ~ Iher Oth¢r
ompute lnspection Fee 8e/aw
C Fee ServieaEntnueeSiza p iee Feedere/S~bteedeis A Fee C"vcuits
0 to 200 0 to 30 0 to 30
Above 200 A - 31 to 700 Artqs 31 to 1D0
Swimmi Pool Above 100_Amps Ahove 100_l4
Transfmners Irtigation Boonu Partial!Otl~er Fee
Sig6 Special Inspection S f~p
~r~ OTA
~p 'ofl
(buph-in Da[e 1. ~ EI ~al
I..soxtor. lu~ebf
cenih the~ the above
iinal t Da~ y .i~v~vav haa bseo
J O
7libroWWratllBmmtlofmm •
t ,
i
i.a I
~ 2/84
~
1 CITY OF EAGAN
~ ~
~1 APPLICATION FOR PER'`4IT
J SEWER AND/OR WATER CONNECTION
(PLEASE P9INT)
i~ PPOp~ r~or~ss: 1-~9~~~F/~iPl C l~~'~~
r Fr:,I. DES ,~Cutirlc:r:
(Iqt/Block/Subdivision or Tax Parcei I.D. N~k>er)
ir ~~tZS'_'= :G ST?.L'CP'RE, D.a'?':; G? ORIGi::AL. ;uII.CI:`;G F~_.;i•• T_cS~?:;~:
! F~S.-~`_ ..,`1I2:(:~vC°C5~ ~ R-1 Si~;G'~. rP?~.I?.Y C:=_-. ,
? R-2 DUPL,~{ ('?ti:~ L'~]ITS)
? R-3 'IC{4NHCZ;SE (TIL4E'-' + LNZTS) ( UNI^'S)
? u-a ~paR~^~:r/co.roa~~:r~:i ~ w~ls;
? c~cx~;r.,~razr.~~or-FrcE
? ~~~s~~w
? rrrsTZ~,-TZC.~r./ccv~~rr
Z) AP°LIC~?+T IPLEaSE PRiN7)
rmr~: ~K Cov TR:
anD~ss: Z1~1o5~1 ~i>.~i~r~A1~~/s'
CrrY, sT~~~, zra: ~~~/fi~' S` vi~~~'~ /!/i~//~d 337
PHOVE: ~ 1.~ 3 J~- ~U 7D
:
3~ pj,~,r.~r~ (PLEASE PRIN(~ FOR CITY USE ONLY
ru~~~: P/pE2 !'L, ~t3 ~~'c,
ADDRESS: ,~,3,3 ~.~j~ , ~C~~, PlUX8ER5 LICE4SE:
~ Q Aetiye
~ CITY, STATE. ZIP: /~/f v ' /l~~~v .S /J. ~1
/ C] Expired
H3icR Z Not of Record
~ PH~'~~ 7~I PLUMBER LICENSE N~° yL~I~~/i/
~ F
~rr inttia
4) OCCUPI~N'P/U'7CI~2 1~I ~ V ~`f ~ P J~ H I N f J
NAI~:
~D~ss: /~3 f~ E~cN€a~
cz~, srA~, zzP: G f7~; ~l d~~ S~
I~ a-
Pxo:~re: L D ~
5) INDIC,'P~ WHICI3 PEP'~LIT IS BEIi~:G F~UEST~;
~ CC:~"~IEC:ION `LY) CITY SETi~7ER
~ CC..^IECrICV 'I'0 CITY i~TATER
? GI'f'.ER (PLFASE DESCRIBE)
6) ~:DIG,.:: C:~:
? PL,EaSE E?OID APPRWID PER,tilIT FOR PICi:-~P BY ONE OF P.BO~IE
~°:.EaSE ?*'.~tIL APPRO`l~ PER~tIT 'It~ 1, 2,~ 4~,/E
(Circle one)
si~a~.~: na~re: G ~ ? ~
• ~ ,
a~:~a~is i~ ~~a E~~s.s+~ r r.~ sasa:w ~ ai s r:sa:a,~ a~ re f.~:.~r-~ur a~ a~ ~s ~ ~ssaac v
F 0 R C I T Y U S E O N L Y
PER~tIm " ISSUED
FrrS: $ 2l o,: ~ ncv~ rT (I`;CL.;7: SU ~R._3i
o~+~ S~ tE 1 ~~g r,.
$ ,.S o WATE~ PERA4IT ( INCLUDE SURC:'.ARGE)
S ~-p WATER METEP./COPPERHORN/OUTSZ'JE REACER
S W~TL.°, i~aP (I1VCLlJD~ CORYJR:ITIJ:I SLCP)
~ SES•7E.". Tnn
S /$~y"'T~ ACCOUNT D~POSIT - SE::ER
S i~, s--~ ACCOUNT DEPOSIT - ~JA;°R
$ .~~a . wAC
$ v-1~..~J`r ~ SAC
S TRU;IEC ?•7AT°.°. '.1SSz'SSi•:E:IT
$ TRliVK SEWER ASSESSbtENT
$ LATER~L BENEFIT/TRUNK SES~TER
$ LATERAL BENEFIT/TRUNK WATER
S OTHER
S TOTAL
$ ~'-"o' A:~10UNT PAID/RECEIPT ~ L,l ~ S
DOES UTILITY CONNECTION REQUZRE EXCAVATION IN PUBLIC RIGIiT OF WAY?
~ YES IF YES, THEN A"'PERMIT FOR WORK SJITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
NO ENGINEERING DIVISZON. LZST AS A CONDI-
TION.
SUIIJECT TO TEI~ FOLLO67ING CON~ITIONS:
APPROVED BY: ~ D
TITLE: _d~~
DAT°: 7~ ~ ~ S~
~ss~~~~s~~nc~tss~wt~w~wa~w~Ra~~+~w~~~~~.arE~~ss~~aa~~~~ww~
.
~
-
S~ z/a~
~h I
~ CITY OF EAGAN
` =*s.,;.• ~
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTIO.T
(PLEASE PRINi)
i~ PROPEi~'PY AD~RFSS : L~~ ~ j~~ C/~ T/f' ~/1 '
tFrar DF.S~ZIPTIC,1:
(Iqt/Block/Subdivision or Tax Parcel I.D. Niunber)
EtI~:'=`;G SI:.UCPit~, DaT~.' v" ORIGi
1AL :~i2LCL`;G P~_aSm T_cS~?~;C?.:
c_ _
_
, P2.S~^ ~..••IZ•X;/F?C°CSr.`7 LS~: ~ R-1 Su~1UT~ rP`~.LT.Y
? R-2 DUPI,E.Y ('Iti~'p Wi ITS)
~ R-3 1GIv1~~HCUSE (TKRE:" + WITS) ( UNITS)
~ R-4 APAR'IP".E:T/C^v~IDQ~1Pi1I[,nl . ( iNITSi
Q~CIAL/RETAIZ,/OFFICE
p L'STRIAL
? IN ITGTIONAL/GG4"E.Ri~"~N'I'
2) App1,ICpV~ (~Pt~ASE PRINi)
rr~~:-'~~~z~l~f?S~
~ SS: ~ s~"ca T~ N ~ So\
cri^r, sTa , zr~: ~iv~~ Ta r~ i/!Ili~r~y, 5~i'?31
PHO~:
j) p~~~ ~ PLEASE PR1Ni) , FOR CITY USE ONLY
NA.~: P~ ~ .
PIUM RS LICE4SE:
ADDRESS: ~ 7 ~j ~ Active
~ CITY. STATE. ZIP: ~~~7~ ,S. lj~ ~~y~j _ S~ t~~ -7 L] Ex ireC~
ica
- PH~~= PLIIMBER ILENS "~(S~,~S ~ N c
arr nitia
Q) ~~~~~f,r~ (PLEAS PRINT)~
b]ANIE:
ADDF2ESS:
CITY, STATE, ZIP: `
PH(W~:
5) IDIDICATE WHICH PEP,hLIT IS BEL'~:G REQUFSTfD:
~ CO:~TIELTION 'Il~ CITY SE47ER
~ con~vECrroy ~ ci~s~ ~~.~rz ~
? r1i'Y.II2 (PLEASE DESCRZBE)
6) L'~IpIG;
~ 0.~:
? PLEaSE f:OID APPT.t(7VED PER~LIT FOR PICi:-UP BY OLVE OF F~BO~IE
?°LE2SE :~iAIL APPROVEp PER~IIT 'IC) 1. 2, ~ 4 ABOVE
(Circle one)
sz~~~.-:~: ~1 9- ~y
~ ~ :
o~a~:a+f.lo:~ ar ~a ~tat=:a ~~s r.s raa.a~:j~ as w ~~:sa*a r~ a~ ar~ fa:.es:~:r~ ~ a~i ~~assa.r. a
F 0 R C I T Y U S E 0 N L Y
PERMIT ISSUED
FEES: l"-o rt.:^~ nr~_t T^~ r~~~
/ O S~ ! ~L:JD~ SURCR?RGE)
$ io ~-~_-"WATEr PERt~1IT (INCLUDE SURCHARGE)
$ WAT°R METER/COPPERHORV/OUTSIDE READER
$ WAT~~ TAP (•I~ICiUDE CORPORATZC:7 STCP)
$ - - . _ . . . . _ SE;9ER "~~'Zn ~
"y;, ~
r$ / c7` ACCOUNT DEPOSZT - SEi~'ER
i
~S- .~4--G_ _.AC-C~OUNT-I>EPOSIT - WATER ~
-r.
S WAC
$ SAC
S TRU~IK t4ATER ASS~'SSME:]T
S ~TRli~IK SE[vER ASSESSME~IT
$ I.ATE4AL BENEFIT/TRUNK SE?aER
$ LATERAL BENEFIT/TRUNK WATER
S • OTHER
.
.
$ TOTAL
$ AMOUNT PAID/REC~ J'~+/l~~-
DOES UTILITY CONNECTION REQUIRE EXCAVATION ZN PUBLIC RIGi~T OF WAY?
ES . IF YES, THEN A"PERMIT FOR WORK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
NO ENGINEERING DIVISION. LIST AS A CONDI-
TION.
SUBJECT TO TfIE FOLLO67ING CONDITIONS:
APPROVED BY:
TITLE:
DATE:
~a s~ ~t~ E~ s~ y~t~ ia s~ ~t~ w f-~ wf~ w~ ~t~ w s~ s~w ~.a ~.t ~ se ar w~a r~~ ~a w w
~ y CORRECT906~ 9V01'ICE ~
OATE: Q~
Address ~,3~/`~ ~ Gi/ 4iw ~-=--[/1 ~ Site Name /
~`t
Owner/Agent~~~ \_~Q~~~ Telephone
Owner/Aqent Address ~
Ordinance Nos. and Corrections - Correct 8y
~~.-~-~-r i~~f~.-~~64~--r~~ Ll
r~~- o
. _ ~
~ ~
3 d, , _ _
G ~ r
For reinspection ' `J ~
Eagan Dept. oflnspection InSpeCtof:
3795 Pilot Kno6 Rd. /f"1 / O u
Eagan. Minnesota 55122
a54-8i oo Dept.:
~ l 1 ~ 1 RESIDENTIAL
~ o~ ~ BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675 ~
New Conslruc0on ReaufremeMS RemadellReoair Reauirements 1~ a•~
• 3 registered site surveys stwwiig sq. ft, of lot, sq. rt. of house; and all roofed areas • 2 copies of plan
(20% maximum lot coverage allowed) . 1 set ot Energy Calculatians tor healed additions
. 2 wpies af plan showing 6eam & window s¢es; poured found design, etc.) • 1 site survey for exterior additions 8 decks
• 1 set af Energy Calculatlans . Indicale if home served by septic system foradditians
. 3 copies of 7ree Preservatlan Plan if lot platted after 717193
. Rim Joist DetaB Options sNection sheet (hldgs with 3 or less units)
DATE ~ ~ ~J °j VALUATION ~~vv ~ ~
SITEADDRES$ ~f~~ `rO'~'~ G~'~~-~e MULTI-FAMILYBLDG _Y 'rN
TYPE OF WORK ~c ~°o~ FIREPLACE(S) _ 0_ 1_ 2
APPLICANT ~~?fy~
STREETADDRESS J-r~l-z- 6~~/o-r~`~- /1~c- CITY /1~ STATE/y"'~ ZIP ~~y
TELEPHONE #~lJy3l
rC~O CELL PHONE # FAX # 9~~- y~~~`~~
PROPERTYOWNER ~~~:~-~~/G TELEPHONE# ~~~~`~y°v
COMPLETE THIS SECTION FOR ~NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINVlSO"l'A RLZES 7670 CA"fEGORY I P~~A~2~1~.~ ~
(J submission rype) • Residential Ventilafion Calegory 1 Worksheet Submitted New Energy Code Work Submined
. EnergyEnvelopeCalculationsSubmitted JUN 2 4 ZDOZ
Plumbing Contractor: Phone # By _
Plumbing system includes: _ Water Softencr _ Lawn Sprinkler Fee $90.00
~Vater Heater No. oF R.I. Baths
No. of 13aths
Mechanical Contracfor: Phone #
Mechanical system includes: _ Air CondiUOning Fee: ~70.00
Heal Rccovery Systcm
Sewer/Water Contractor. Phone #
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.
Signature of Applicanl ~~~f
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4I02
~ ~7
- Inclixle 2 sets of plans,,
~ n~ 1 Gertificate of Survey_&.
„ , S fi,n~ BUILDING PERMIT APPLICATION 1 set cf energy.calculatiores,
/ ~ l0 4~,a~ 4
'1b Be Used For Valuation ~ Date ~'3~ J~ l
Site Pddress A Q C J~5~~5 OFFICE USE ONT?'
r~ot ~ Blocx sec.~s,~b.5~~i Erect ~ ~~~~Y
P~~1 /D - G s~So - o2yU- U/ Alter zoning 14 1
Repair Fire Zone 1
O+mer: ~ l~ 5L /f?~S lrll ~r'k. 5~D a~ ~~e of Const.
. A7pve # Stories
Ad3ress: - Demolish Fmnt g%L ft.
Grade Depth
City/Zip Coc2e:
Phone APPItOVAiS FEES
~/~~~a.~~ ~07/5~uc~%m? .lti?G Assessments Permit S93
Contractor: ?qat~r/Se,aer Surcharge O ~
~dress: //~-)S"~ I~t,s6n~.~~~~t 1~1~i7/2 - Police Plan Check a9G ~
k 5533~ ~ `~a-~ ~
City/Zip Code: u 7t,cr iLYL~~1 ~ge Water Conn. O ~
Phone 43~ Planner Water Meter ~a3
Council Road Unit ~i-(n~
p,r~./~g, : Bldg. Off.
Address: ~
City/Zip Code: _
Phone # : 5 v
C
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SURVEY FOR= - - ~oaao
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HALEK CONSTRUCTION ' . "6~~,9,3
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atAiNAOE 9 UTILITY iQ ~O '±~O~9a p~9~~ ~ M
EASEMENT /l~ Z ~e~?
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_ _ ~ ~ ~R, ~0~3~~ CONCRETE
b'y~ ~ ~ ~ mi ~i a ~~~CUR9
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i-~~ TRANSFORMEF~2 TC.gg~T ~
C~_ ~x ~oo ~ ~ 9~s9.C~
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I hereby certify that thi.s is a true
and cerre~t survey of the boandarxes of:
Lot 24, Block 1, SAFARI ESTATE5, ~~p Prop. Gar. Slab. Elev. = 1013.0
accordang to the recorded plat 4r~`' Prop. Firsi flr. Elev. = 1017.o
thereof, Dakota County, Minnesota. 1003.2 Deno~es ERist. Elev
~-s. ~
and of a proposed bua).d:ng as surveyed p 3o so i2o
7y me this 21st day of March, 1984 ~
,`oC4~~~ SCALE IN FEET
Leiand C.N. Smith, Land Surve~~or
Minnesota Registration N0. 1n94? PROGRESS ENGIPlEERING, INC
BEARINGS SHOWN ARF. THE SAMF. AS SH041N ON TFiE CONSULTING ENGINEERS
RFCORDED PLAT
LANO SURV~YORS
~ Denotes Iron Monument Found 14051 RURNHAVEN ~RIVE SUITE 103
o ~enotes Iron Monunent Se~:
x Denates Spike 5et BURNSU[LLE, MINNESOTA, 55337
~ (672)435-6555
~ ~ .
SURVEY FOR~ - ioas.o
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HALEK CONSTRUCTION ; ' ~ "62
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E?~GA~! ~ ~ ,
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REVIEWED ~
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` ~ ~ III.~~[7 I / ` ~ . / ~O ~0~9~ ~0., / Q N
~ DRA~NAGE 9 TI L TY'~ ~ ~ o'~
EASEMENT J-- 2?e~ ~ - 62 ,a ~'n.
A".; A.
~ • C~ . 3 Z~ 25-~ g ~
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R N ' G,'i ~ a`7 2
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1 n~^~ QyOP~ i ~.e'~ io• `~-;,I~
~ ~O s Np 64 2' , ~
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1 ~ ~ ~ ~0~'~` CONCRETE
--Q `~v~~~ 9'lipi i~ CUR9
5p'~ q~ ~ ~A R\~_
` ~ ~ y o u,' i 91 ,/q5 ~ .
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S>g~~3, 4 nE _;10 fl~ o
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- ~ 7RAN~FOR O I TC.99970 ls
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1 hereby cer~~fy Cha~ thi~ is a true
and rorrec?: survey of ~.he bo~ndarie~. of: `
!_ot 74, 6:ock 1, Sr~FARI FSTIITES, ~1~ci~ ~l.E~~
ac~ordir.g to the recorded plat y~'~ ~
thereof,~ Dakota Count,y, Minneso~a. ~i~j~~, p,ja Z /
2-$_F ~
and of a proposed bui.'.d:ng a<_ surveyed o ao so ~~zo
by me thi~ 21st. da.y of March, 1984
-
SCALE IN FcET
'_e:and C_P!. 5i,iith, '._and Surve}~or
Minnesota Regis~ration N0. in94? PROGRESS E!~lG1i~;EERING, INC
SF.ARINGS SHCWiJ ARF. THE SAMF AS SffGWN ON TI1E CONSULTING ENGINEERS
RFCORDE~ PLAT
LAND SURVEYORS
e Denates Tron Monumeni Found
o ~enotes I~~nn Mnni~i~ient Se~~ 140`:1 Fiuktiiln~dl~~ ~,~~i.IV+~ SWTE 103
~ Denotes Spike Se~t ~;Uk,.',vi~ l.! , N;!:=Pdi ~.~1~A, 55337
. , ~5
• EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION .
OWINER: ~~fi I. ,
t
SITE ADDRESS:
CONTRACTOR: ~~~LL . G~t~-~; i
DF~TE: i'J 1'L~~~'_ - - - - _
I. Design Co~sideration: SBC 6006(c)2
Total exp~ sed wall area: , 2>'~a,p~ "(p~;,, (p~
AbEAS SQ. FT. X "U" = CALC. "U"
windows !L7~- _ .Q~ . - (i~~ _ _ _
-
DooYS 0(v - 2., ~
_ ,
g Door
Slidin Glass
_ , ~
Wall Framin A_ ~Dr~ TJ•"2
' g rea (~°vc~y ~ol
_ _ - ,nY~. _-210~~ . - - -
Net Wall Area ~,~q.~ ~Ug O
~j.111n. - ~ _ -
_ _ -
Rim Joist Area //~j~j ~ I. •4
~ _ - - _ _
Total Net Foundation -1~ .15;_ ~f~~
- - - - _
-Tota1 calculated "v" is: I~15,2 ' L
Since the total calculated "U" is less than thL desi,n
qualification required, we have met the intent of SSC 6006(c)2. •
II. Design Consideration: SBC 6006(c)1
Total roof and ceiling area: ~~j~ ~ ,,t , _ ~q , ~
ARtlAS SQ. FT. X "U" = CALC. "U"
Framing A.ea (avg) _
- - i 59 , Ca_ , 4'L5 , `(°l
Net Insul_:_tion Areas ~,~~~i ,~j ' ~,I(o;
Total calculated "v" is" ?,~4-,IS, L 1°(',~'j
, ~
Since the total calculated °U° is less than the design
qualification required, we have met the intent of SBC 6006(c)1
Pa.~~~en ~r _ , ,
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~~t;o Shtg. Z.Z~P I ~~j/~ Shtp,. `L.2~o
SidinR .-jt.~ ~ ,Sid~nF. , 7q
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y F.~ct. Air ,!-1 , Ext. Air i~
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THRt1 CEILTMG Iitt. Air .(r~ ~ , THRU CEILING Iat. Ais ,La:J
, y~ IpBITLKI'~@i S.A.
ME.~R &.R.
c~x. Mmnt+er [}.3~-j ' Ias. ' 44. c~
Ins. '~.O Still Air ,~l
St111 A1T • (nl 'P7ta7' °8° • Ct~,.`~j
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TFIRU CO~C. BIIC. Int. Air ~e~ TfiFQI RIM JOIST Int. Air (,ti
C.B. ~ 12") Ine. • G~
~l~s~~~ Ins. ~~pt•) 1~" Wo~d j.~`i
4.2
Ext. ~?i: ' , I~ ' S~, shr.g. ~.2c.~
B.R. (~?t•) - siainF 1`1
SidiatF ~~?t• ~ " Ext. Air I-~
a'. ".i Tat~l nAn a
~ T~tal 'R" ~ 1 74'' ~7 ~
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I
ity oF ~etgan
3&30 PILOT KNOB ROAD. P.O. BOX 27199 BEA BlOtvt9UiSi
EAGAN, MINNESOTA 55121 Mavo~
PHONE: (612) 454-B100 niOMnS EGAN
JAMES A, SMITH
JERRY THOMAS
iHEODORE WACHTER
Council Membe6
- THOMAS HEDGES
Ci~Y AOminuha~or
EUGENE VAN OVERBEKE
Clry Clerk
OCTOBER 5, i9a~
HALEK CONSTRLICTION CO INC
74051 BURNHAVEN DRIVE
BURNSVILLE, MN 55337
RE: SINGLE FAHILY DiiELLING
~ 4963-SAFARI CIRCLE ~
LOT 24, BLOCK 1, SAFARI ESTATES
EAGAN, MN 55122
TO WHOM IT MAY CONCERN:
The final inspection performed on October 3, 19$4 revealed a large pile of
dirt and a pallet deposited on the pavement in front of this dwelling.
Because we are so near the period of heavy snows, the City is requesting you
to remove the debris immediately. This will enable the streets to be swept
and snow to be plowed with no problem to the operators.
Thank you for your immediate compliance,
Sin erely,
~
Py~
Dale Peterson
Chief Building Official
DP s
THE LONE OAK TREE.. .THE SYMBOL Of STRENGTH ANO GROWfH IN OUR COMMUNIiY
For Office Use
Permit
City of Ea
oj 1J 3830 Pilot Knob Road Permit Fee:f
Eagan MN 55122 Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 Staff:
2008 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date Site Address: ~$l.
Tenant: o \3( C C Suite
RESIDENT /OWNER Name: 0A LC Phone I~, C
Address/ City/Zip: ~
CONTRACTOR Nam b;r L L l nse LOC
Address:
City: State: 2~ Zip:
Phone: Contact Person: ~ ry-----+
TYPE OF WORK New Y- Replacement Repair _Rebuild _ Modify Space _ Work in R.O.W.
Description of work:
PERMIT TYPE RESIDENTIAL
Water Heater Water Softener
Lawn Irrigation Add Plumbing Fixtures
l- RPZ / PVB) Main _ Lower Level)
Septic System Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State 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 Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES
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
Fagan: 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
acc dance with the approved plan in the case of work which requires a review and approval of la
(AD x
Applicant's Printed Name Appli nt's Si'gnature'
FOR OFFICE USE Reviewed By: Date:
Required Inspections: !Under Ground -Rough-In Air Test __Gas Test Final