4978 Safari Cir . . ~
~ , CITY OF EAGAN ~ q~FjL~
' 3830 Pilot Kno6 Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 C.S~ c~ ( ~
BUILDING PERMIT aece~pt ~
T~ M~~ SF D6~1G/GAR Est. Value C 0 0 p~e AUGUST 2 19 84
Site Address 4~ ~ 8 S~~ Erect ~ Occupency R3
Lot 2 6 Block 1 Sec/Sub. ` Z F`"r~ Remodei ? Zoning
Parcel No. Repair ? Type of Con:t. V
Enlarge ? No. Stories
~ Name t'~ • W•'JOHIVSON CONST Move ? ~ength
~ . . _ Oemolish ? Depth 5 ~
C'tty~ c Phone Grode ? Sq. Ft.
S~~ Avorovols Fee•
, ~ Name Q Q
O~ Addreaa /~ssesunent Permit •
u~ City Phone Water a Sew. 5urchor~ 61 . ~ 0
Police Plan check 2 4 4. ~ 0
~W NaR,e Firo ~C 525.00
Addresa Enp. Water Conn. 4 7 0. 0 D
~z 63.00
~ W City Phone Plonner Water Meter
Councfl Road Unit ~~z~~
1 hercby otknowledpe tFwt I heve reod this applicotion and state thot Bldg. Off. Parks
the inlormotion is to~rect and agree to comply with afl opplicable APC Total ? 0
Stote of Minrxsoto Stotutes and City of Eo9on Ordinonces. ~
Var. Dete
SJqnoturc of Permittee
~~;.W. JOCINSUPd CONST
A Buildi~g Permit is issued to: on ihe ezprest conditlon thai
oll work sholl be dons in occordonca wlth oll oppliooble 5tote of Minnesota Statutes ond City of Eaflon Ordirwnce:.
Buildinp Official
P~rmit No. P~rmit HoldW Date
Plum6inq ~ , l~ ~ U rd - l
H.v.a.c. y ~ ~C C'~rtrb~l - 9/~3~~y y~~ -~o
EMcttic R~~j Q W v~-,/ o' ~'p ~ 7 ~.S~
Soit~ner
Irapectio~ Dste Insp. Other
Footinq~ 8~
Foundstion
Framinp
Rouqh Plbp.
Rouqh HVAC ?fj
Inwlation ~ d
Final Plby. `
Final HVAC r ~j
Final /
CMt/Ooc.
y~~~~ Defcriba Loestion:
VYell
S~we~ •
P?. D'aP.
Receipt PLUMBING PERMIT. ~ Permit No.
, CITY OF EAGAN F~ .~r , •
~
' ~ ~ Fill in numbered spaces S/C
Type or Print /egib/y Tot. c~3 C'
1. Date ~ 2. Installation Cost
. r~ ~ ~ . . i< ~
3. Job Address Lot ~ Blk. ~ Tract
~ ~
4. Owner ~ r ~ ~lf~ ..?Sc~,._,~ ~ -
-.i%
l~. f~ ~ w - ~ L....~G~
5. Contractor ~f l " ' ~ Phone ~ -
a ~ _ ,v'
6. Address ~ r~ ~ ~ ~ ~t._. ~ ' ' , ~
r'~ ~
.
7. City i,"~~ r State % "~i Zip ~~,s '~.J
8. Building Type: Residentia~,L7 Commercial ? Institutional O
9. Work Descriptio~: New~ Add ? Alter ? Repair ?
10. Describe
11. No, Fixtures No. Fixtures
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. I 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 454~100
; -
Receipt `I - ' ' MECHANICAL PERMIT Permit No. • ~
CITY OF EAGAN -
: ~ Fee
; i i
fill in numbered spaces S/C
Type or Prini legibty
Tot. x'' C J c)
1. Date ` ~ ~ ~f `'2. Installation Cost
3. Job Address ~'t- Lot Blk. ~ Tract ~
h~
4. Owner ~
1 .
5. Contractor ' r ~ ' ~ Phone ~
6. Address 1 ~ ' ~
7. City State ~ Zip
8. Building Type: Residential ~ Commercial ? Institutional ?
9, Work Description: New C~- Add ? A~ter ? Repair ?
10. Describe Fuel Type '
11. No. E_~Jpment STU - M. Ea. No. EQUiament CFM
~ Forced Air ~ - . ~ Air Handling:
Mfg. J ;
Boilers Mech. Exhaust
Mfg.
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. I 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.
5igned: ' ' for
Rough Final
Inspections: Date Insp. Date Insp.
' This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CASH RECEIPT '~-~s
• i
' i CITY OF EAGAN y~
P. O. BOX 21-199
EAGAN, MINNESOTA 55121 '
DATE ~ 19
RLGQIV<O ~ ~ ~ I
FROM
AMOUNT ~ I
8 DOLLARB
too
CASH ~ CHECK
~ ~ / ~
~ ,
f
FOR ~ _ ) ~ ~ ;
. ' . , ' Jr i /
C.~^.if~
~ Y
IUND COOE AMOUNT
1
~ ~
Thank/ ou . - ~ . ~
~ I _ BY
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
CITY OF EAGAN Remarks
Addition SAFARI ESTATES ~ot 26 alk 1 Parce~ #10 65850 260 O1
ow~er ~ street 4978 Safari Circle state
4$-~-6a-~~}e Avenue
Improvement Date Amou~t Annual Years Payment Receipt Date
STREETSURF. lgg2 1037.54 103.75 10 622.54 A014839 11-14-84
STREET RESTOR. . .
3 309.35
GRADING 1982 60 . 361.83 " "
5AN SEW TRUNK 1 82 4 1..6k 0. 90 . 36 A014839 11-14-84
• SEWER LATERAL 7 1 ~ .2~ 1~4 . ~F~F 1439 . ~+4
WATERMAIN
~F WATER LATERAL ~
WATER AREA ~ 3( 1 82 ~+51:64 ' _,_90. 36 A014839 11-14-84
* Services 1 82
STaRM SEW TRK 3 1982 866. 1 173• 38 173. 39 A014839 11-14-84
~ STORM SEW LAT ].982 5
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit 260.00 4~45156 8-2-8
WATER CONN. 4~~. 00 " "
~UILDING PER. ~~9364 " "
sac 525.00 " "
PARK
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pilot Knob Road 4; 5
P. O. Box 21199 ~IT
Eagan, MN 5512~1 DNTE:
Zoninp: No. of Units:
~~r. Oln~0I1 anet
/lddrcss:
S~ce Address: a ar rc e B Sa ari Estatea
Plumber. n~ `y~
- - • Pd
I syr« to eerpl~r wtlr N» Cih ei Ea~aw Ca+rwct~on Charpe: 425 . 00 ~d
Orliu~nas. /lcoount Depoait: 15.00 pd _
Permit Fee: 10.00 pd
surd,aroe: .50 dp
gy Misc. G+oroes:
Dah of Insp.: Total:
I nsp.: DoM Poid:
CITY UF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road ' .
1'. O. BG.: 21199 PERMIT NO.:
, . ;
Esgan, MN 5y121 DA7E:
Z~~~y; Rj No. of Units:
M4i Johnson Const
Addross:
Sne Addrcu: 4978 Safari Circle B a ar e a es
P~~~: Gens Ryan
Meter No.: Connecfia+ Charfle: ~ P ~
Size: Aocount Depos;t: • P
Recder No.: Permit Fee: • P
1~~ !o osnPF~r wilb !IM CMp ef Eya• Surcharge: p
p m ar
p~~~, Misc. Chorpes:
Total:
gy Dota Poid:
Dote of Irup.: ~?uP•~
CITY OF EAGAN Wq~ ~VICE PERMIT '
3~30 Pilot Knob Road 572j
R. 0. Box 21199 PERMIT NO.:
Eag~n, MN 55121 DATE: - - '
Zoninp: No. of Units: 1
Owner. : t
a
1lddress: ~ ` ~
Site Addrcss: ' •b52b B1 Safari Eatates
, p~t~nber ~R~: -n-
~ 4
~~'Meter N': r~ ~ R F~ Co~nection Charge: 1. 0 pci •
Size: / f' nt Deposit: 1 ~ 0 0 d
r~.• ~ 3 L 3 9'y,~! Permit Fee: P
I pr.~ re sompyr with e1N Ciryr of Eeye¦ Surchnrge: . SO pd
, p meter
Oniiw~was. M1sc. Chorpes:
Totcl: ~
I
gy Date Paid: I
Dote of Insp.: Intp.: ;
- ~
. . .
~ii ALL CONTRACTORS MUST BE LICENSED WITH THE CZTY OF EAGAN JU12 s~9~
~ INCLUDE Q SETS OF PLANS,
0 CERTIFICATES OF SURVEY
~ SET OF ENERGY CALCULATIONS
To Ee used For: ~~DW(a.`~a~2. valuation:~IZZ,~v~. ~ate:
Site Address: y~~ S°~~a~~ C i~ • •
L~t:,~ BZock: ~ SectjSub:~ E5t Lrect: ~ Occupancy: R-3
Parcel Remodel: 2oning: R-~
Repair: Type Of Const: V
Owner: n~, ~ti~. Jb~Jl~SC>r'1 ~iar~S~ Enlarge: $ Stories:
Move: Length: Qj2
Address: Demolish: llepth: r-~p
City/Zip Code: Grade:" Sq. Ft.:
Phone
Contractor: n~ , ~,fp{~/1~sY1 C vI1.5f ~
o~
Address: p~5. Assessments: Permit: Pj~j,-
Cit /Zi Code: iq/ Water/Sewer: Surcharge:
Y P ~~i'7Y~i/'~G-~Ci 1 I/V
+ Police: Plan Rev.:
Phone ~~~Q Fire: SAC: ~j25."`
Engr.: water Conn: 4 ~o.°°
Arch./Eng: Planner: Water Meter f~3.=°
Address: Council: Road Unit: 'L60.°`
Bldg. Off.: ~ Parks:
City/Zip Code: APC: /
py,~np~, Variance: ~ ~
Z4~34= ~fc~ x54 - 4qo~Q-
Z4~2~=(~~2x5q-` ~~28~
I~ x~ 4~:.~ ~2c~ x s 4= ~~v4
• _C
I~~~~-= 43Z xs4 = Z332g
-
~4x~~: = g~4 x ~ ~ _ ~7Z4
f o~~:~-~ = c: o x~ c= f~- 30
fi.~` ~i -
. 12(~38
~,ay•oe+
61
2 u 4 _ Q '
525°~~+
49C•00+
6 3 ^ 0 0 -i-
26G=OC+
~ 1 1 1^ 0 0"
I .
. CITY OF EAGAN N~ 9364
~ a 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55721
PHONE: 454-8100 ~r~,
BUILDING PERMIT Receipt # ~
Te ba waA fer SF DWG/GAR Est. Value $122 ~ 000 po~e AUGUST 2 ~q 84
SiteAddress 4978 SAFARI CIR Erect ~ Occupancy R3
~ Lot Z 6 BIoc1A aec/Sub. SAFARI EST Remodel ? Zoning RI
Parcel Na ~ Repair ? Type of Const. V
~ Enlarge ? No.Stories
W Name M.W. JOHNSON CONST neove ? ~enyth
Z P. O. BOX 13 ~ Demolish ? Oepth $ ~
Address Grade ? Sq. Ft.
~ City FARMINGTONphone 432-
~ p S~1ME ADP~ovalf Faet
Name
Address Assessment Permit S 488.00
Watet 8 Sew. ' Surcharge 61 .
~ Citv ~ Phone 244.00
Potice Plan check
GW Name Fire SAC SZS.~O
~ Address _ Eny Water Conn. ~ 0 0
~W ~ City Phone Ptonner WoterMeter.~...00
. Councll Rood Unit 2h(1_00
I hereby ackn6wledge thot 1 Mve read this opplicnrion ond state that gldg. Off. Parks
fhe inlormotion is~rnrred and agree to comply with all oDPlicubla APC Total $2 • 1~-1 .
Stata of Minnewte Statutes and City of Eagan Ordinences.
. . . . . . . Var. Date
.Sipnature of ~Permittee .
M.W. JOHNSON CONST
A Building Permit is iesued to: on ths expreu corditlon ~ha~
all'work sholl be dorro in acwrdance if ~ a o` Q
iom e.5ta ^f!~;nnesota Srofutes and City of Eagan Ordinonces.
Bulldinp Offlciol . . fl"~~_m
cA 3~ REQUEST FOR EC€CTRICAL INSPECTION EB-00001-94
7'J ~ See inshuctions tor com0~eti~g this torm on beck af Vallow copV• ~ 3d / 0`/
7' ~ ~ ""X": Below Work Covered by This Request
Add Rep. Type oi 9uiltlinB ADP~~ancea Wired Equipmen~ WireJ
Home Range Temporary Service
Duplex Water Heater Lic~hting Fixtures
Apt. 0uildiny Dryer Electric Heatin
Commercial Bldg. Fumace Silo Unloader
~ndustrial Bidg. Air Co~itioner Bulk Milk Tank
Fafm OMer Peo y ~~~er ISnecify) .
t.r SVec:~ y ffier Other
ompute lnspectian Fee Below .S
M Fea Sarvica EnhanceSize k~Fee Faeders~SUhfeatlers b Fee Circui~s
0 ta 200 qmps 0 to 30 Am s .r ~ m 30 Am
Above 200 qmps 31 to 100 Amps 31 to 100 A
Swimming Pool qbove 100_Amps Above 100_Am ~
Transrormers Irtigation Booms P-r ial•'Other Fee
Signs Speciallnspection 5
Xemarks _j • ry
VP /
flouBh-in ~aJ IG rical
;y v ~ ~^+tlispectar, hereby
certiiV ~het 1he above
Final ~ ~"~e ction has been
l e.
fhlsrequas~voitll8montlisfrom • ` '
This request void V L a~~~ ~.3 C~ y
18 months ~rom ! y9 3~
I~1 S ~ s~ S~ 9. 5~
flequest Date Fire No. flough-i Inspection
P quireA7 ~ReaAy Now~Will Nolity Inspec-
~ Ves ?No forWhenReatlv
? Liconsed Elect~ical Convac[or I hareby requast inspec~ion oi eEOVe
~Owner electricel work ins~alled et:
Streei Address, Box or Route No. Gi~y
q ~ s-. ~r~ ~
ec[mn o. Townshi0 ~dame or No. Ran9e No. Couyty
Ua aT0.
Occupent ~PftINTI Phone No.
~ 'C'.o . ~ri'e, S`f -1s3o2
Poyver SuUV~r Atldress
/
?w o 4 ~e~'['Y~i ~ r i
Elec[rical Cnntractor (Comp»ny Nnme) onlrar. or's License No.
~ ~~t~ Y1 ~
MailinB A~dress IContracmr or Owner Making InsWiia[ionl
~{418 S~tf'ari e~'rde, E'a un /~N
Author' ed Signat IConvactoJOwner Makine ~nsta ationl Phune Number
S'~-63~ 6
MINNESOTq STqTE BOANO OF ELECTiiICITY TMIS INSPECTION REQUEST WILL NOT
GrigBe-Mitlway Bldg. - Noom N•181 BE ACCEPTED BY THE STq7'E BOARD
1821 University Ave., S[. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
~ Phone 1612~ 297-2171 ENCLOSED.
'
- EXTERIOR ENVELOPE HVERAGE "U° COMPUTATION
.
y. . ' .
~ .
' OWNER - - _ . _
.
• , - -
_ . - - _
~ ~ ' . . .K
, . .
. . N.:_ : '
~ i• SITE A~~RESS ' ~ -
~ ~ :.,:t _ . - _ . . . _ . . . ;
' CDNTRAC70R ~iV ~~~tiJ~~ - DATE = I L{ PHONE _
~ . . _ . , . .
~ Determine working square footage of each.
. . ' ~ . . ' Q
1. Tatal exposed wall area 31'1 lo~ I Lo sq. ft. x~;,~,
2. Total roof/ceiling are@ ~l0~10 sq. ft. ~x ~0~~ ~
Total exposed waZl area abave floor = 2~13 Z~r~
. a. Tota? wall window area 3~
b. Totai doar area lD 4
.
c. Total s7iding glass door area .
~ d: Total fireptace wall area .
e. 7ota1 Wall framinq area (average lOa)............
4. Total net wall area above fl oor 204 5.ll.0 '
g. Total rim joist area ~f_`F
Total exposed foundation area = ~ 2G,? lo .
h. Tota1 foundation window area......_ ' ~
t. Toa7 net foundation area above grade J Z 9~'3 Lc+
- Determine "U" value af Ea~n wai7 s=gsant. '
a. 358 ~ µ x,~L° , 3Z = 14 , b ,
. n, 38 X = S.Za
c. LD4 X ,5 - 3L
d. X _
e._ ZZ.~ ~Z g~~~~~ , C~I.c = ZI ~ S I
2.t~yS~lto X , f~~3 _ $'7`;8~ .
, 9• 31~I- g~~U~~ , O~ ~ = IZ ~
h. X • _
1 Z9,3Lc x~~u~~ ~ ~ = I 8, I
3 . .~J.~~~n,;,~ ~.....Total = Z Z.~ ?
If item N3 is the same as, or less than it~m G1> you have met the intent
of 53C oOC~(c}2.
,
- , . . . : . . , . . . .
7 . 1 . a
• ! ` 7ota1 exposed roof/ceiling area = ~ 1Ln~~
/ , ` ~ Total gross roof/ceiling area = IL~y~ ~ •
/ _ j. Total skylight area y. o
/ k. Tota1 roof/ceiling framing area ~
~ 1. Total net insulated raof/cei7ing area....... 14'l~0
~
Determine "U" value for each roof/ceiling segment. .
: , . .
_ .
. X _
. j, .
~ . : . k; ~ l ia~ . . x ~~U~~ . , C~z~ _ 93 .
~ t. I~'7~o x ,_a2Z = ..'3Z.y
4....... l0~1,0 .........Total ' ~ ? . •
If total of #4 is the same as, or less than ~2, you have met tfie intent of
3: SBC G006(c}~. .
: . R
To utilized the total envelope system method, the values.established by the
~ sum of items #3 and ~4 shall not be greater than the sum of itens ~1 and ~2.
. . . . . ~
~ . • _ + 2., '
;
~ + 4. -
~ 3. ~ .
;i
MATERIALS ~ Therm. gesistance "R"
Ezterior Air
5lding Naterial ~4 5
I SheathiTig 2~0
~ Insulation -
SheetroCk •Y ~
i Interiox Air ~
~ .
5tuds ~
Rim ~ 8
Conc. Blks. ~Z-S
j
~
, . . . , •
~
~
;
~ 2/84
/ CITY OF EAGAN
~ APPLICATION FOR PERMIT
%
SEWER AND/OR WATER CONNECTIODI
(PLEASE PRINT)
i) PROPEFYPY ADDRFSS: y~~}~ -~~i4-~?i C'-/QP~~
r_FrAr• D~prroN: .cor a~ ~LO~°K / s.s~r~r~
(Lot/Block/Subdivision or Tax Parcel I.D. NLm~er)
1 IF F"ii: ---':G STRL'CTG:tE, Dtli.~. 0_° ORZGiiZ~1L DliI:~L`L".G P~;•ff=' ISS~.~+ivC:: .
j C-tor. _,.i' ~ ewr i
PRESc .T '_.^.`IP:r;/P??OPOS~ G~~: ~R-1 S~aGL~: r^p_~rr~~!
? R-2 vUFi~{ (1^.~0 i,'NITS j
? R-3 ~INHOCiSE (TIif2EE + UNITS) ( UNITS)
? R-4 AP}1FYII~~NT/COL~]DC',FIINIIM ( UNITS)
? C~MERCIAL/RETAI7~/OF:'ICE
? 2,~31L'STRIAL
? IIVSTITUTIONAL/C~~NT
z~ AppLIC~TI• (PLEASE PRINT)
rur~: ~/I'l GJ• c~ffNS~1s~ e~~Sr.i°U~Tro.•~
ADDRESS: O . ~jC~ ~Y / ~ O
CITY~ STATEr ZIP: `~~/Jl,~NJ('r7FJS~ ~7J'/l~ " `-~S~ $
PHONE: ~a -`(p 8 38
3~ P~~~ PLEA E PRINT) FOR CITY USE ONLY
NAME. ~~~/2 /~~v~ PLU BERS LICENSE:
ADDRESS: /~{~!/S SOUTff ~/~~`l 7~i~l,v Active
CITY~ STATE~ ZIP: ~O,~jEJ7'/DUitJ k~ J~/SJ `<jTJ~(og Expired
PHONE: L, ,~i//a~ 0 Not o R co d
'Yo2~-//~/~{ PIUMBER LICENSE N Y7
a nitia
4) ~pp~~~~ (PLEASE PPINTJ
NA[~1E:
ADDRE55: ~
~
CITY, STATE, ZIP:
PHOPIE:
5) INDZCI~TE FhiICH FERhIIT IS BEING RE~UFSTF~;
~CONNECfION Tb CITY SE,S^]ER
~CONNE~i'ION TO CITY WATEft
~ OTf~R (PLFASE DFSCRIBE)
6) INpIG;:~ Ot~:
~ PLEASE HOLD APPROVID PII~NLIT FOR PICK-UP BY ONE OF ABOVE
~ PLEASE MAIL APPRCRIID PII~tiLiT 'Ip 1, 2, 3, 4 ABOVE
(Circle one)
7) SI~IANRE: f ~ DATE: ~ ~f~fl
. .
~~e~w:w~sAi~ ar ie ~:~aca~ r iink [a~:~ . a rt ~r~t.~'.~~~:r ir a~ a~t ~iiKa'.~°~~
. . #a~riisrs=.aaw,. .
F 0 R C I T Y U S E O N L Y ~ ~
PERMIT ISSUED
F~ES : S ~ o. r,~- a SE~riER AL,'$i'IT_T ( IidCLtiD~ SUP.CHARGE )
$ i,>. `-,r'c WATER PERP4IT (INCL'JDE SURCHARGE)
$ ~ ~ WATER METER/COPPERHORN/ODTSIDE READER
$ WATER TAP (INCLUDE CORPORATION STOP)
$ S~;dER TAP
$ ~ ~t. G-o AC~OUNT DEPOSI'=' - S~'r1ER
$ ACCOUNT DEPOSIT - WATER
S ~~o_ o--o WAC
S ?:~~--..-r~ SAC
S TRUNK WATER ASSESSP4ENT
$ TRUNK SETAER ASSESSMENT
$ LATERAL BENEFIT/TRUNK SEWER
S LATERAL BENEFIT/TRUNK WATER
S ~ OTHER ~
S TOTAL
S i'~,13 AMOUNT PAID/RECEIPT lo
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGcIT OF WAY?
YES IF YES, THEN A"PERMIT FOR WORK WITHIN
i PUBLIC: ROADWAY" MUST BE ISSUED BY THE
~ NO ENGINEERING DIVISION. LIST AS A CONDI-
TIOD'.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:-~~P
TITLE:~(~ ~
DATE : C~ / cJ _ , ~
~ s~ ~s w~s~ ~a w:~ w~ w~~~~ ws~ w,~ sa ~i! ~~t~ ~e~ se ar~ wa ~e~ w s~ w~
/
~ ~ ~ ~ ~ RESIDENTIAL BUII.DING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122 3c~. ~,~J ~
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction ReQUirements RemodeVReoair Reouiremenb Office Use Oniv
3 registe2d site surveys showing sq. fL ot IaL sq. ft of house; and all roofed areas 2 mpies of plan Cert ot Survey Reod _Y _ N
(20% maximum lot coverage al~aved) 1 set of Ene~gy Calculations for heated additions Tree Pres PWn Recd _ Y_ N
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for addNOns & decks Tree Pres Reqd _ Y_ N
lsetofEnergyCalculations Additian-indicaMilansitesepticsystem On-siteSepficSystem _Y _N
3 copies af Tree Preservation Plan 'rf lat pWtted after 711/93
Rim Joist Detail Options selection sheet (bldgs with 3 or less uni~
Date o~ c Construction Cost ~d. d q~ ~
Site Address y~/ --~A ~a/'/ ~{/c! ~ Unit/5te #
Description of Work ~ Q ~/'4~ T
MuIU-Family Bldg _ Y N Fireplace(s) _ 0_ 1 _ 2
Property Owner ~07~-~ ,~l'~'~ Telephone # ( )
Cont~actor ~PS~/^„ /Z~~f,''na
Address ( ~C1L~ / 3~/9f/p ~/or~ Ciry ~lyi'YICL~t~
State /yN Zip Telephone 7~i5 ~ Sy~^
I
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code CategOry . Residential Ventlladon Category 1 Waksheet • New Energy Code Worksheet
submission type) Su6mitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25~ plan re~iew
fee applies.
Licensed Plumber Telephone )
Mechanical Contractor Telephone-# ( . 7
!;~1~~ u~.
Sewer/WaterContractor Telephone.#~( SrJ, . ~ I
~ ~ ~ a. .I
I hereby apply for a Residential Building Pertnit and acknowledge that the in~rmation is complete and accurate;
that the work wiil be in conformance with the ordinances and codes of the City ofEagan and
the
State of NIN
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 the case of work which requires a review and
approval of plans.
~9/C .S•
Applicant's Printed Name ~ App ' s Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling p 08 O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? O6 04-plex ? 12 12-plex Plbg_Yor_N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition O 36 Move Sldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 Altera6on ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant
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
• AEQUIRED INSPECTIONS
_ Footings(new bldg) FinaUC.O.
_ Footings (deck) ~ FinaUNo C.O.
_ Footings (addition) _ Plumbing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ A'u/Gas Tests _ Final
_ Framing , Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final ` Windows (new/replacement)
_ Insularion , Retain~ Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
TreaVnent Plant
License Search
Copies
Other
Totai
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA144120
Date Issued:07/13/2017
Permit Category:ePermit
Site Address: 4978 Safari Cir
Lot:26 Block: 1 Addition: Safari Estates
PID:10-65850-01-260
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
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: 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 -
Scott P Erie
4978 Safari Cir
Eagan MN 55122
Minnesota Exteriors
8600 Jefferson Hwy
Osseo MN 55369
(763) 391-5514
Applicant/Permitee: Signature Issued By: Signature