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4991 Safari Cir CITY OF EAGAN Remarks #10 65850 220 01 Addition SAF.ARI ESTATES Lot 22 Rlk 1 Parcel Owner - Street 4991 Safari Circle state : ~ Improvement Date Amount Annual Years Payment Receipt Dace STREETSURF. ~ . 72b,2g A013805 5-1-84 STFiEET RESTOR. ~ 9 J~'` ( ] $.6] " GRADING • • 422.13 ~ SAN SEW TRUNK Z 1 2 ~ 1. 6~i 18~.68 A013805 5-1-84 N SEWER LATERAL I~2 1 .2O l~{ . j~I~ 2$]$. t~ " WATERMAIN ~ WATER LATERAL 1 82 WATER AREA 1 1{ l. (~y Q. 1$0.6$ A013805 5-1-84 * .c1P.2'Y~CC8. 1 82 STORM SEW TRK 1 82 866. 1 1 3. 38 346. 77 A013805 5-1-84 ~F STORM SEW LAT jg$2 5 CURB & GUTTER SIDEWALK STREET LIGHT RQAD UNIT 26d.00 ~k42702 4-19-84 WATER C~NN. 4]0.00 " " BUILDING PER. $ $ SAC PARK ~ ' CASH RECEIPT ~ ~ CITY OF EAGAN P. O. BOX 21-199 EAGAN, MINNESOTA 55121 DATE `_~,1- ~ r; ' ~ 19/~ c i RLG6IVQD ' ~ ~ . ~ FROM ~ -J ~ - ~ ~ AMOUNT ~ 'IJ n ~ ~ ~ ~ k DOLLARS ~oo ~ CASH ~ CHECK rOR.~/i t . . ' ~,J - ~ . , ' . - ~ ' ~ ~ FUND CODE Af.1 OUNT - ri i S . i 1 ! ~ ~ _ i~ ~ - ~ ~ ~ " r_l Tha u ' . , , j:~ J. _ . . BY / ~ i4 _l l 1.1~ . White-Payers CopY Yellow-Posting CopY Pink-File CoPY ? • . ~ . ~ ' CITY OF EAGAN p ~r 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N~ 890 ~ ' ' PHONE: 454-8100 , BUILDING PERMIT Receipt # f'' To ...e ~r D~3G/(~. .r~ e~r. va~~ : 9 5, 0 0 a oore J r, 19 ~ 9~ ~~991 SAFA7tI C)_:: R3 Site Addr~s Erect QX Occuponcy Lot B ock 1 ~ec/Sub. ~'~~I i%~`fATES ^~ter p Zoninp kl Percel No. ~ C-~' ~ f' ~ G- 2 2 0- O 1 Repoir ? Fire Zone N~ Enlarye ? Type or Co~st. V W Name ~'1~ & f~`RS MEFK ~ # Stories ~ Address DemoHsh ? Length~~ ~ City Phone Grode p Depth Sq. Ft. t?',:~~~' VALtJF i;nl~ir;', I"IC Approvalt Fees ~ ~Name ~.0. OX , _c,.0!, Address t ~ Nssessment Permir u~ City ` • , Phone 9 6 9 7 Woter 8 Sew. Surchor9e r`'.~ Police Plan check ~ • U C ~ ~ r~Fx~;v r.r:r_x SERV . o~ W Name firo 5/1C 1 r~ ~ Address ' - 5 7 6 0 E"~' Water Conn. 4'/ 0. 0 0 ~ W City Phone Plonner Water Meter 6 3. 0 0 Council Road Unif 2 G~• ~ 0 I hereby acknowledfla that I have reod this opplicotion ond state that Bldfl. Off. the informotion is co?rect ond agree to wmply with oll applicoble ~ 92 ~ rjQ State of Minnesoto Statutes ond City of Eagon Ordinonces. Total Sfpnaturo of Permittee I3F;,='`~' ~"~,''~T'~- ?'C~niF.S 7?!.'.. /l Bullding Permit {s issued to: on the express condition Ihnr olt work sholl be done in acoordo~cE with oll oppliooble State of Minnesota Statutes ond City of Eapon OrQinances. Buildinp Official ' ~ + { ~ ~ 1 ) Psrmit No. Permit Holdsr Misc. Psrmit No. Holder Plumbiny !.f ~ l.~ ~~Y'~ ~ ~ ~j ( H.V.A.C. ~I'J~ ~ , . WNI Water Disp. Sewer e~?~~ 3 S o 5~~~( 4 t o. v~ C~ ~b5a r .ttL~s o?-. G-t3-$ ~f ~Q.Sa Inapeetion Date I~sp. Other Footings ~ i Foundttio~ Fnminq , ~c~ t Rouyh Plbp. • Rouqh HVAC 7 ` /f r, -r ',J l • , ' .,,n-,.._J' Inwlation ' ' ~ ~ ~ ^9 I y~., . Final Plbp. Final HVAC -/1_ pc/ ~1~,~' - 3.~'~/ ' . / .t. o. Final l ~ c.o~~ W~r DKCribe LoCetion: - YYeli ~'l`S ~ Sewer _ , Pr. D'ap. Receipt MECHANICAL PERMIT Ps~mit No. • CITY OF EAGAN ~ Fee Fill rn numbered spaces S/C - Type or Prin[ /egibly T~. 1. Date 2. Installation Cost y 3. Job Address Lot Bik. Traci 4. Owner 5. Contractor Phone 6. Address 7. City ~ ' State Zip 8. Building Type: Residential ? Commercial ? Institutional ? 9. Work Description: New ~ Add ? Alter ? Repair ? 10. Describe Fuel Type 11. No. Eaui~ment BTU - 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 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 464-8100 , Receipt l~ 3~ a~ PLUMBING PERMIT Permit No. CITY OF EAGAN ~ 1~ F~ Fill in numbered spaces S/C Type or Print legibty Tot. U . ~ ~ 1. Date K`/ 2. Installation Cost 3. Job Address ~ Lot BIk.1!~ Tract ~ 4. Owner 5. Contractor ' ~s~~_ • ~~i~ Phone } - ~ ~ 6. Address ~ 7~ ~ " / ~~J/~ y~ G 7. City ~ ' - i - , State / ~ir. Zip ~ } -Y' 8. Building Type: Residential G~7 Commercial ? Institutional ? 9. Work Description: New I~ Add O Alter ? Repair O 10. Describe 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drdinfield ~ Bath tubs 5eptic Tank _L Lavatory Softner ~ Shower Well i Kitchen Sink Urinal/Bidet Other Laundry Tray / Floor Drains Drinking Ftn. Siop Sink Gas Piping Outlets 12. I herehy 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 : , ; . ~l_ for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454$100 CITY OF EAGAN 3830 Pilot Knob Road SEVVER SERy~CE PEiWI1T P~ ~S:.x 'L7199 Eagan, MN 551~ P~~T NO.: ~ E 9!~ Zoninp; DATE: - ~ Owner; B@s( pglue ~~p~$ No. of Unita; , Address: 5tte Add?ess: 4991 Safari Cir~le L22 al Plumbe.: Bruc e er Safari Estates 4"I - 4 42702 g oedi.en ~Nr wle~ Nu Cifr af Eaoa~ Con??sctton c~,e,pe; 425. 00 pd Aocou?M ~eaoslr: 5.0 p Pem,?t Fee: 0. Q pd Bv Sur~chor~s; p ~ote of Insp.: Misc. Cha~Oe~ Insp.: Tato1: Doh PoJd: CITY OF EAGqN 3830 Pilot Knob Road WATER SERVICE P~T P. O. ^:~x 21199 Eagan, MN 55121 PE~iT NO.: 55~ : zo~,r.,~: ~1 D^TE: 5_~9_~~ ~'^er: ~'~et VS1Ue Hp~es No. af Uniis: Add?ess; 5i~'° '~'~ss: 49gi Sgferi Circle ~lumber: '~r.uc~_mueller pl~ L B1 5A 8ri EBtates Mete? No.: siu: Con.+ecrron Reader No.: ~r~: ~mr Deaostr: 1 S. 00 pd ~~w to Pe?mit Fee: 10. 00 Orrlw~ne,~,~Wf/ whA NN Ci~Y of Eege~ Surchar9e; . 50 pd M~ac. Charyes: Pd me t e r ~v Totoh Date of I~p.: DcM Paid: - ~?bp.. CITY OF EAGAN 3$30 Pi1ot FG'~ob Road wArER ~j~/~~ P~T P. O. Box-21199 ' E~gan, MN 55121 PERMIT NO.: . Zonirg: '?.1 ~ATE: i - 7 ,1 ~t Owner: No. of Units: 1 tee ?ess: F; ~ ~s $ L'~ Slte ~lddre$E , „ L 2 2'i I ~~xnber. ~iti,,':~ 'rj i1 Safari Estates ~ Meter No.: ~ ~ ~ - , 51ze: F= e"'. ; i i;.' nection Chorye; 4 . UO pd R r No.: L. ~'~coOUnt De I a. 00 pd ~ U i ~ a ~t: ~~D~w to wmpi~r ~ ~ Permir Fee: 1 ~0 pd ~h of l~ya¦ Surchcrge: . 5U ~d M~~~ ~wroes: 6=i . 00 pd meter By ~ Total: Date of Insp,; /,y~ ~te Pa~d; - / / ~ r ~nsP.: , . . . ..i i . : > ; . . ~ . ~ . r .1 . ~ ~ . , y . . . r. i~. ~ ` r~ Y > ..i. ' ~ ~('i y.' 4 Jlt~ ' • ~ . " . . ~ ~ . ~~T l' ~Lh, ' . ' . lJ 0 t rtf~ ^ • . ~ . . - ~~f ~ 5 ey ' . . , . , . . . . . . : _ , . ' . ' . . . . . ~ " ~ _~i ( 1.~ s"'i~`~'je'fl i~ ~ . ~ _ . ~ . ~ . . . ~~t r '~G~?1.- D~ #D ~ ~ ` x 1 rjA., , • L~ `22 . ~ ~ " ~ ~,~~h~~V~ ~ ~ . ' ~ . ' . ' . . . . . . ~ ~ ~ ""'~i . ~a i"~ . . '..al'T~ ~i-A:l~.~ ~.L-E. d t' - -4U' - ~ ~ Q»~ib~.1~ ,a,~..10 uc>u5~ ~o~a.~io~ . ~ , : s ' c.tzE~~~1~ok~Hb. ; 4 ~kY['' 'jr~ 8 ~ ' " /.~,~CV~L?,:4..`.~'1~t~D~.IE SY b. ' ,i: ~ ~L'rf'E:EF~ ~U2Y~'yC?(Z . ' . ~ . ~ , . . . . ' . . . . , i4 ~I ~I'C~ ~I.~~UI~Nl,~.'rl0 ' ' . _ . , , , - ' ~ i T.' . . ~ . ~ " ~fQp ~ ~paQ9pK 4ZO ~2 YD~ ~3~G~ a4• F`!~ ~ ~ , . Cor[.,.t~ f~'~',~'?ti~~,l~-T+~~- .~~~~c,. ICXa jtECi • . . r ~ • ~ . • ~ . . ~ ~ ' ~ ~ . ~ ' . . . - . ~ . . ~ . ~ . - al . . - . ~ . ~ , ' ~ . ~ ~ . ~ . . ' ~ . ~ . . ~ . . ' ' . ~ ~ ~ ~ ~ ~ . ~ ~ . . . . . . ~ . . ~ , . . , . . . . ~ . ~ _ ~ . . , ~ ~ . . . - , _ . . . . . . ' • . . . . . - ' , ~ . _ , . • ' ~ 'i , ID~Ci ~ t{?04~ . ~ qt10 9Pif7 4t e l,uleA +F~• . ~ ~;.I . - ~ ~ O 4TT= 4s ~ ' ~ .~I . . . . - . . - . ~ d. r "n_'~ F n. {eo' o,e~.~. Gt ~r 5 . s Oe+~a,t- ~ • ~ ii+ OIQ' ~ r ~~'t~ ~ . . §S/~ . . . . . ~i . ' ' . . . . V . ~ ' . - . . t 5 v... . t ~ ( ~ Y ' ' ~ ~ ~ ~ 'a - . .V . . . ~ ~ . . . .Y ~ b W - ~ ~ f~ ~ . . ~yA ~ ~ . ~ \ . ~ . . ; \ • 3 ` ` Y ~ . . ~ ~ ~ . ' . . . . . . . . . . . a ! m ~ qT~ wo .7~ _ r ~ ~.I 4F~.w4yZ. . ~ t~~'i, . , . ~f '°ci4•ss ~ ~ - - ~ . . . . . ,r~~ r`~ ~tr T ~1:~/~e : . . - . ~ . , ~ ~ ~ W ertl~tlq ' . . : 4YC) t ~i s _ : 1"1~. ' 4e ,.~ex. . - vF..Y~ .r......._ \ . ~ , ~ ;~',J . . W II. [S . . ~ ~ ' ~ . . . Y . 9,1 ~ . . ~ ~ ~ ~ ~ . . . ~ ~ . . . ~ ( - ~ - ` - 4.'K7_ ~ ~1TO ~ < ' ~ 1f?!G~ W IC31C? 1C>iC? rtXX3 . . , . R, OZ. . n c . ~ ~ ~ ~ ~ ' p~ NIt.L. ~ ~ ~ V-1° ~'Q~ ~J~~. G+ ~ ~ . ~ . ~ h 4a. ~~u., y , ' . ' . . ~ . . . . . ' - ~ . . ' . L ~.MFi.I CITY OF EAGAN Ir.clude sets of pla~s, ~ ~ 1 Gertificate of Surve, F, . 5~,~, gUILDING PERNIIT APPLICATION 1 set c£ energy calculations. ,_.t.-~ ~ B To Be Used For ' aluation . ` ~i5 ~O'T7 Date ~C ~r Site Pdclress ~q ~l J~ ~N+7 i CrkC ~~e OFFICE USE ONLY $ Lot Block ~ Sec./Sub. S4 ~pR ~~e~r~~ Erect OccupancY T ,~3 ~ Parcel / D - (c J` ~.SC~ `a.~0 -Cl I Alter Zoning ~ I,~ ~ Repair Fire Zone OHmer: ~ ~a.- /`"~R S ~"!eQ ~ ~e _ # Ae o1eConst. i Address: ~ '~va~ ~ /~o~ ~ ~mlish Front `77 £t. ~ City/Zip Code: Grade Depth 3S-`/ ft. V Phone ApPROVALS ~5 ^.6 Cantractor: Q es ~/u~ e Nn•,. Pe ~H ~ p,ssessr~ents Pennit y~ S s ?4ater/Sewer Surcharge y ~ ~ Address: ~o /jij~ et d 3~ Police Plan Check ~ City/Zip Code: / a~ 41 Fire SAC 5~ S~9~~ Phone Ll3 ° 96 4 7 Water Conn. y>D Planner Water Meter ~ 3~ Council Road Unit ~t GO ~ Arch./Ft~g.: ~e~ ~.4n ,v,pc~i. .SC'I~~~ ~ ~ Bldg. Off. - Aaaress: Gl,~ ~ ~ ° ~ ~'~'`City/Zip Code: / I/ a f ~ ~9~ p Phone # : L/ G 7L a / ~ ~ a ' ~ ) REQUEST FOR ELECTRICAL INSPECTION Ee•oouoi.oa ' Sea inst.uctions for completing ~his furm on back o( yallow copy. 2~g~ , 1 i a Q y!i, ~s~ b~ ~ ""R"' Be/ow Work+9~ ere$ by This Request FC? Reo. 7Vpe o~ Builtling ApD~~a~cea Wired Equipmenl Wired Nome Range Temporary Service Duplex Water Hea[er Ligh[iny Fixmres Apt. Building Dryer Electric He2[in Commercial BIAg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tunk Farm Other pem y Other ISUCCity) t ar Sueci Y Other O~her ompute Inspecuon Fee Below ~ M Fee SarviceEn<ranceSize k Fee Feeders~5ubfaede~s # Fee Circuits 09 Oro200Am s Oto30qm s Oto30Am s Above 200 Amps. / iG'b 31 to 100 Amps 31 to 100 A $winmiing Pool A6ove 100_Mi s Above 100-Am ~ Transiormers Irrigation Booirs ~ Partial%Other Fee Signs Special Inspection Nemarks S -JJ TOTA EE flough-in P Date ~ the cvical ~ nsPecbq emby certifv ihe above Final 1 ~e peclion has been e, aa. mla reQUeat va~E 18 monlhs Irom This request vaid O~~ ~r~ ]'4 c( 18 rtwn(hs from 9 0 A L-a ~I ' ~q~5d Raquest D@~ Fire No. Po h-in InsDection / ~ fleqwred? ~Neady Now ~ W~II No~ify, Inspec- ~ ~ ' Yes ?NO tor When qeatlY ~Licensed ElecVical Convaclor 1 herebv ~e0uesi inspection of above ? Owner electricel wwk imUlletl aT Street~.Adress, Boz or Roule No. City ~ `l ~ ,S/} fAa. ~ CtiC. ~F1'~1a'/`l ecUOn o. Township Name ur No. Nange No. County ' +~Q~ Or.cupan[IPFINT,If /,J/~~ Phone No. ~A V~/U'~ Power Supplier Address e~9~ ~cl~c ~i2h~%i, Elec ica.~lF,Conttac[or Compuny Namel Contrac/lo/r's License No. / O IG I , ~~<G " Z. MailinB ~+ddress ICOnVactot or Owner Making Installationl .~~5 i~z>-~ l L~ L .S':1-~i? S~ Aufi 'ze Sig~,a ure IConv tor Ow~lnstalla ~ 1 P ne NumDer Y~,~-~ozz MINNESOTq STATE BOAN F ELECT111CITY THIS INSPECTION REOUEST WILL NOT Grie9s•Midwey Bldg. - Noom N-1B7 BE ACCEPTED BY THE STATE BOAflU MN 55104 UNLE55 PROVER INSPECTION FEE IS iB27 University Ava., St. Paul, ENCLOSED. Phone (Bt21 297-2117 This requesi void ~3 55a 51 ~Y Ig y 18 months /rom A e~ ~32~~ ~2 g~ S la,a-~ Repuest Date Fire No. RouBh-in Inspection Reqwred7 QReady Nuw W~~I Notify.lnsPer ~Yes ?NO ~ ~ ~or When Ready Q Licensed Electrical Convnctor 1 hareby repuest inspaction ol above ? Owner alactricel work instelletl et: Street Atltlress, Box or Route No. City S ~ti?f%Z, e C'~~.~~' ~l'~-~~~ ecvon ownship Name or No. Range o. Counry .1/.~a~ f /~7' Occupnn[ WPIN7) Phone No. ~~tsf iJf~~~~ /r~t,/.~ Powor SupViiar Adtlress i~4~e 7'~ t=/ ~Ti~;c ~/fK.,:,~_~~,. Elec[~cel Conttacto~ ICOmpany Namel ' Contracmr's License No. / i eT f' ~ f~'~ c~~ ~ Y/l f~ Mailine /~ddress IComracmr or Ownar Makinp Instailationl i~~ s-> f=~~~~~ ~ u~ 1f-~ r~~1~:~ y Aut orized Sie~aare (Contraclor Ownar Making Instal'IafioN Phone Number ~~n/;~.~ ~ ~ - z z. MINNESOTA STATE BOAPD OF ELECTIIICITY THIS INSPECTION flEQUEST WILL NOT Griges•Midwey Bldg. - Room N-191 BE ACCEPTED BY THE STATE BppRD UNLESS PROPEN INSPECTION FEE IS 1821 University Ave., St. Paul. MN 66104 Phona 18121 Z97-2171 ENCLOSED. Lp iJ SG~~ REQUEST FOR ELECTRICAL INSPECTION ' Ee•°°°°'-°r , See instruetiens tor comoletirp this form on beek o1 Yellow copy. 51Z ~('g tr A li' S 3 2 3~ "X" Be/ow Work.C~ve,~ed by This Requast AdA NeD. Type oi Builtlinp ApO~~oneew Nlratl Epuipment Wiretl Home Range Temporary,Service Duplr,x Water Heater lighting Fixtures Apt. Building Dryer Electric Heatin Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Ferm thei per.i v t er ISUecily) t er Suom v the. Ofier ompute lnspection Fee Below M Pea ServiceEnironceSixe p Pee Feedars~SUbfeaders N Fae Circuits U to 200 qm 5 0 to 30 Am s 0 to 30 Am Above 200 qm s 31 to 700 Amps 31 to 700 A Swimming Pool Above 100_Am s Above 100_~+ Transformers Irri ation Booms Partial- Other Fee Signs Special Inspection 5/j emarks U S~ T~ E~~ d~ Nough•in Date 1, fhe lechieal Insoeetor, hereby cartify thet the above Ginal ~~C~ r insPe~tion hes boen mede. • tIM~ reyuant voi01B monthe Irom , CITY OF EAGAN ~ 3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121 NO 89 ~i '7' ~ ` PHONE:454-8100 BUILDING PERMIT 2ece~pt # 0~7-~/~ To 6a u~ed fe~ SF DWG~GAR Est. Volue ~9$~ 00~ Date APRTT. 1 9 , 19_$~ SiteAddress 4991 SAFARI CIR Ered Occuponcy R3 Lot 22 Btock 1 Sec/Su6. • AF RT .STATF.S Alter ? Zoning Rl Parce~ ruo. 10-65850-220-01 Repair ? F~re Zo~e N/A Enlarpe ? Type of Cansf. V W Neme MR & MRS MEEK Move ? # Stories ~ Address Demalish ? Leflgth 77 ~ City Phone Grode ? Depth 5 q. Ft.- rc BEST VALUE HOMES INC ADD~ovalt Fees o Name S 41 R_ 00 Ot Address P•o. box 24038 Assessment Permit, V~ CitY APPLE VAL Phone 432-9697 Woter 8 Sew. SurcMr9e 47 _ 50 Police Plon check 209. ~0 Gw Neme FEEHAN ARCH SERV fira SAC 525 _ 00 tz GLAZIER AVE x~ Address Enp. Water Conn. ~Q 0 ~Z City APPLE VAL phone 431-6760 plannar WarerMeter~.3..90 <W Council Rood Unit ~~n _ np 1 hereby ocknowledge thof I have read this application and stote thaf g~dg, p{{, the inlormation is Correct o~d agree fo tomply with all applicoble State of Minnesoto Statutes und City of Eagon Ordinonces. APC Total $1 ~~SQ Sipnature of Permittee A Building Permif Is issued ta: BEST VALUE HOMES INC. on the expreas conditlon thnt oll work sholi be done in ocmrd w~ I oDDli~~f Mi newr~ ta $to~ond Ciy of Eopan Ordinancea. t \ N '~G Bulldinp Ofiicial : C,. ~ ~i 2/84 ~ ~ CITY OF EAGAN ~L~,-,`~"~J APPLZCATIO~I FOR PERtiIIT SEWER AND/OR WATER CONNECTIODT (PLEASE PRINTJ l Pr.oP~ ~~~ss: ~y 91 ~v f~~a,: ` ~r~/e r.Frar• n~u~rZCV: 2 -1 ~v{v~i r Cs~ (Int/Block/Subdivision or Tax Parcel I.D. Nw~iber) ir ~tl~_=_:G SPRC'CP^,2E, D2'?~' G^ ORIGi. .=:~iILC~;G P:~:~ST ISS~?~C~: - . ~,~::CC • i P?LS~- ~~.^,~IIi:r/F: .~G1DCS~ ~5 GX R-1 5~1C~'LE e^P?~.Z:,Y ' ? R-2 GUPL~F,.'`{ ('T_S~'p Wi ITS) ? R-3 TCda1~IG~iJSE (TfIRF" + LNZTS) ( ULVITS) ? R-d ApP.RT.`^.~:T/COiIIJil~ .LTtii'IL,nl ( CNITSi ? CQ'~ME.'4CIAL/REI'AIZ,/OFFICE ? ~us~az ? rtvsTZZUrzotaat./co~-~~m~v~r 2j jjpp~~V~ (PLEASE PRIH7) Y~ ~ 1~~~ ~n~ss: x CITY, STATE, ZT2: ~rl/l~ ~pL~ ~//r/ci J~~/~~/ Pxo~: ~3~-~i~y7 3~ p~~~ LEASE Pg,i~NT) FOR CITY USE ONt,Y NPME: d PLU ERS LICE45E: aDD~ss: .~`7X Active CITY~ STATE, ZIP: /~~,y,~ ~ ~~y ~J.`/j ~ / ~ Expired ~ PHODIE: %S~~ "~S PLIIMBER LI~CENSE N~, ~6 Nat /Jjec'/p'rd a r `n~ a p~Jpn,i.Tr~a~,~ (PLEASE~ PRINiJ ~ NPME: ADDF2ES5: CITY, STATE, ZIP: PHONC: 5) INDICI,'P~ WHICH PERh1IT IS BEII~G REQUESTID: ? CO,~NECTION TO CITY S~^]ER ? CO~'NECTION 'IO CIT1' FTATER ? CII'f'~R (PLLASE DFSC'tIBE) 6) ~JDZG,.:: 0:~: ~ PLF<',SE F?OID APP.RWID PERtiLLT FOR PICi:-UP BY ONE OF ABOVE ? PLE.'15E :~AIL APPRO`,c"~ PER~LiT 'IO 1, 2,~ 4 AEWE (Circle one) ~l si~~n.-~: ~~,~~~~'t-~~i_.,:.Lse~ ~a~re: S 7y 4ROl:~al~iAil~?~llt~~~tlf~liMR~:ii~i# ~ . . l14~:~~.`.,-~i~fl~t~~gax.R . . A i~ i~;ii:~ t~ a~ F 0 R C I T Y U S E O N L Y PER'~IIT ° ISSUED FEES: $ /6.S-~ SEPiE:? n~n~~rm (Ti7CL'~DE SliRC?~?RGE) S i a- S~' WATER PERP4IT ( TNCLIIDE SURCHARGE ) $ ~ w~ WATER METER/COPPERHORV/OUTSIDE RE:,uE3 $ WATL?? TAP (INCiUD° CCRPORATIC:I STOP) $ SE:4ER TFP ~ • a'--a ACCOUNT ~EPOS IT - SET;;ER $ 1 ACCOUNT DEPOSIT - WATER $ ~ WAC $ r~~ SAC $ TRUNK ?VATE.: ASSFSSP•1EDIT $ TRliNK SE~9ER ASSESSi?ENT $ LATE?2AL BENEFIT/TRUNK SE:4ER $ LATERAL BENEFIT/TRUNK WATER $ OTHER $ TOTAL $ f~`i.~~`~ Ai`~lOUNT PAID/RECEIPT ~~lO`~ ~ DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLZC RIGHT OF WAY? YES 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 FOLLOSJING CONDITIONS: APPROVE~ BY; Ly~~.L//•~ TITLE: DATE : r~ .a a~ ae+ ~a ~a w=w ~ w~ w a~ ws~ ~a~ ~ s~e ~s~ w_~ rE ~ s~ wan Ra ~rt~ ra s~+ w~ . ~ " Y ~ F~ehan's architectural 521-52s3 ~erv~ces EXTERIOA ENVELOPE AVERAGE "U" CObiPUTATION OWNER /y~5 ~.P.S /yEF.F--~ f~i,aL/ ,UD. C3-Q322=-Q SITE ADDRES3 ~.~,.9l~ CONTRACTOR ~,'T ~~!/,E Hc11'/,E~,, DATE 3~PHONE DETERMINE WORKING S~. f00TAGE y( 1~~ 1. Total expoeed wall area..... 92s9. it. x .17 = 5d5. 2. Total, rooi / ceiling area...1 9~sq. it. x .05 ~ ~,5 4~0~ 3. Total floor/cant. area......~~_sq. ft. x./O =_lr_."9'~~ 9• ~ara~ ~xp~.eo wa.u ~.e,~A ,aeov,E~zm,e _3~28. ~O ci'1-, a. Total wall window area ~f.3z' ~n b. Total door area.... /~~.86 c. Total slidinq glass~door area ..~,oz d. Total Pireplace wall area....... e, Total w.all Yraming area (average~l0%)...... _3/~. ~ i. Totai net wall area above floor............ ~r9~~ g. Total rim ~oist area 229.-39 raTA~ Faudo,~,T%~! ~a,e,~q Ps -s.3 h. Total Youndation window area ' i. Total net foundation area above grade...... fi~, Determine "U" value ot each wall segment ~i 25t3.°~o.2xG a. 309.~~ X~~U~~ ,Q5 a /,~q ~ ie b. . 8~ x ~~U~~ ~ a~ ~77, 0 2x9 c. ~O. x~~U~~ 20~ d. x nUn ~ a4 2.~ qGX ~rU~r . e.2 . , i $5. ~ ,aX ~rU~r ~ a ~'Z~ i ~i ~ 2?q ~JC trU~r . ~ iD 6/ . h. X ~~U~~ .95 m ~.~X ~~Ur~ ° . . ~ TOt81 I ~ I Ii item ~3 is the same as, or less than #1, you have met the ~ intent of SBC 6006(c)2. , I f~/T. " Feehan's architectural 521-5253 ~ services 5. Total exposed rooP / ceiling area %7%~ o Total skqlight area.. . - k. Total Ylat rooi/clg. Praming area......... l. Total net insulation tlat rooY/clg. area....~.. ~(,io m. Total vault rooY/cl~. Praming area............ ~ n. Total net insulated vault roof/clg. area...... i3r4/. ^ Determine "U" value for each roof/clg. segment ~ , ~ X ~~U~~ m k. Py?~~. 9' x'~U~~ vO~G = .6 ' . ~ 1• CS.An.ro~X IlUll O~z a . ~ ~ /O X IlUl/ .QZ a n. /_3t~.g x "U" .022, _ ~,3T 5 Tota1 ~39.~ If total oi #5 is the same as, oP less than #2, qou have met the intent of SBC 6006(c)1.~ 8. Total exposed floor cant. area ~8q ° o. Total floor/cant. iraming area (anerage lOM).. (08."~ p..Total net insulated iloor/cant. area.......... r~5'.~ ~~g o~~~ Determine "U" value !or each Ploor/cant. segment 7~0 d EXjEP./Qe O. ~~87 G X ~rUri °~7 .Q? a „'j. 3/ • p~=5s~~_X ~~U~~ , ,2 m ~-3~- =a?~ 6 Total /G.-37 Ii total oP #6 is the same as, or less than #3 qou have met the intent of SBC 6006(c)3. ALTERNATE BUILDING EIVVELOPE DESIGN To utilize the total envelope system method, the values established by the eum of items #4, #5, #6 shall riot be greater than the sum oP itema #1, #2, and #3. 1. 2. 3. _ , 4. 5. 6. _ ~ Prepared . ~ r Date .~VT. TFIRU 3TUD ~Int. Air .6a . INS. ~Int. Air .6R ~ w•~ $,It, & Siding 3,R, ,95 r~/ 3.R, & Sidinp, B.R, e95 0 3tufl -9 Ins. ' ~'~~"BU/~j.eiT,E ~xr shtg. 8.°a ~32 ~/~N //l7' Shtg. ga ~ ' ~er,~a ~vr. ` 2 ~jIKCO Siding ..Z~ ~iGGO $iding e ~ Ext. Air .17 Ext. Air .17 - i ~I Zu ~ T~tal ~~Rn ~ /.3, ~ ~ . ~ T,tal "RN ~ 22. G3 1/R a ~~U~~ ~ .07~ . 1/R = "U" = eoA9 ~ THRU CEILING Int. Air .68 THRU CEILING Int. pis .6~9 MEMBER 3.R. .5B INSULATI~I 3.R. .~8 0 f~ G.E.~ Clg. Member -%'S's Ina• ' .38' o jl~'oAN lo , pO 1ri8, ' ~,9z Still Air .61 Still Air .61 Totel "R" _ -S~: 87 T~tdl nRn ~,~•p ~/4 1/R - n[J" = s02.2. / ~ - . 1/R = "U" = aD~~o 1 ~ ' THRU CONC. BLR. Int. Air .6q THRU RIM JOIST Int, Ai~ .64 C.B. ~ zg Ins. /-3 ° ~ Ins. ~~Pt.) 57 1~-" W~~d 1.~?9 Ext. Air .17 '~3-' ~ ~/~-Te/1E Shtg. ~ $.R. ~~Pt.~ Sidin~ _ Sidin~ (Opt,) Ext. Air .17 ' ~ T~tel "R" ~E3. ~ . T~t61 nRrt : ~ - :i * a 1 /R ~ nUn = . /3 1/R ~ "U" - o G~~ ~ p ? ~ . .e:': ~ ~ _ ~ . ~rr. ~.3 ?FIRU STUD ~Int. Ai.r .6A . TfiRU. INS. ~Int. Air .6R ~5,8, & Siding 3,R, a+/ 3.R, & $iding, S.R. ,-sL5~ Stud ~ Ins. /9, o Bri/cT~ 2°~` ~ shtg. 8. o~ '~32" BU/,cj,eiT~ ,~xT' ~°a Sht6: 8., ° ~i4Y7/f //~T lo cE~P~'i~4N !r/T. G Sidin~a o27 Siding • 2~ _ , Ext. Air .17 Ext. Air .17 ~ 'I ~K (i T~tal nRtt ~n , ~x~o T,tal "R~~ z ,~o G3 1/R = uUu ~ eCYo 1/R ="U" = e0.~5 i TfiRU CEILING Int. A1r .69 THRU CEI~ING Int. AiT .6g MEMBER S.R. INSULATI~i 3.R. C1~. Membxt ~ Ins. In8 S 1 Air .61 till Air .61 Total "R" _ T~tlll uRn ~ l/R = "[J° _ , , 1 _ ~rU,r Q ~ , , _ THRU CdH~IC. BIK. Int. Air .63 THRU ffiM JOIST Int. Ai* .6R C.B. ~ ~ Ine. " Ins. ( ~ 1~" W~~d 1.A9 Ext. Air .17 s 8• .R. (~Pt•) 8idine _ 93dinR (Opt.) ~ Ext. Air .17 ~ • ~ ~.s T~tel nRn ~ ~i ~tel rtRn _ ~I 1 $ _ n(jn _ l/R . nU° - ? ! ~ a' \ ' . ~p • ~ ' ~~I . . t . . / / TH$U STUD Int. Air .68 TARU IN9. Int. Air .65 ' 5~8"'F.C. S.R. 3tud 5/R" F.C, S,R, 3htg. (~pt,) BO't7i SIDES Shtg. (~pt.) SOTfi SI17ES Ins. 5~8,~ g.x. .56 5/8„ s~ .;56 5/8" s . .56 ~ 5/ ~'s.a, .56 - . Air .17 Ext. Air , .17. /T~t7i1 'rRn = T',tel uRu g ~ ~ l/R ~ nUn ~ 1/R = _ TRRU flTUD Int. Air .6E1 TfiRU INB. Int. Air .68 . v~~ B.R. Stud N/~ S;R. Ina. w! SIDING Shtg. ~r/ 3 IIdG 3htg. " 8lding , S ing \ ~\Ext. r _ .17 , Lrxt. Air - .17 tel "R" f~ Tatal "R" 1~R~~Un = 1~I~= nUn = ~ ~ ~ f ~ TfiRU MEMB~R Int. Air .6A TliRU INS. Int. Air .68 AT CANT. Cerp.-' Pad /.~9 AT CANT Ce*4.-Ped ~"~g AT l,A~P.~jE' vi.nyl ,Ql ~F7,p,91,E vi~y1 Und, co Und. c.E~j~fa9.y ~ / " c.E.~j,~iY ~ P1Y~+d. .93 093 J~iet Depth Ine. 3l3 L° 3offit 's~ ~FG. n~3 3~ffit fc, Ext. Air .17 Ext. Air .17 Totel nRn ~ ~~,~5 T~tel nRn _ 97 S9 ' ~ 1/R _ nu~~ _ c~~ ~.~R a'~~U„ ~ e~ ~5 TH~t1 ST[7D Int. Air .6$ TNRU INB. Int. Air .65 ' , 5'/8° F.C. S.R. Stud 5~8" F,C. B.R, 3htg. (~pt.) BOTFI SID 3htg. (~pt. BOTH SIDE3 Ina. 5/8~~ g. .56 5/8" 8.R .~56 8~~ R 56 ~ g~~ ,a. .56 - E . Air .17 . Air , .17. atal "R'.'. _ ~tal~'R" _ lIR ~ uUn a ~ 1/R = „(J°' ~ ~ ~ TfiRU 9TUD Int. Air .6f3 THRU INS. Int. Air .68 'v/~ S.R, Stud w/~ 3;R. Ina. ~ N~ SZDING Shtg. p/ SIDING 3htg~`~ + " 3i n Sid#"ng Ext Ai .17 . Air .17 Tqtel nHn T~te ~ R" _ / ~1/R = "U" = 1/8 m "U" _ % f ~ i TfiRU MEI~ffiER Int. Air .6H TSRO INS, Int. Air .68 • AT CANT. Carp.-' Psd /'~g pT CANT Carp.-Pad ~3 /aT EuT,E~.t~~e vinyl //j .~xT.~~o~ Yim~l Und, ~ Und. cb aui~Tz~~ z/z a~'<T,e~~ 2. 93 e~ ~.yMa. J~iat 4eoth ~ Ine. 38. ° Soffit „27 S~ffit ~~•tzo~ =~7 Ext. Air .17 Ext. Air .17 TOtBl nR~r = 9 T~tEi7. nRn ;~-3 1~R s"U" = oC15`~ 1~R -"i7" = 00.23 ~ ~.~r~ ~`C