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4840 Safari Ct NPERMIT City of Eagan Permit Type:Building Permit Number:EA127898 Date Issued:10/20/2014 Permit Category:ePermit Site Address: 4840 Safari Ct N Lot:18 Block: 2 Addition: Safari Estates PID:10-65850-02-180 Use: Description: Sub Type:Fireplace Work Type:Gas Insert 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 . Valuation: 3,000.00 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 - Keith Fredrickson 4840 Safari Ct N Eagan MN 55122 Hearth And Home Technologies 2700 N. Fairview Ave Roseville MN 55113 (651) 638-3309 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA111930 Date Issued:07/18/2013 Permit Category:ePermit Site Address: 4840 Safari Ct N Lot:18 Block: 2 Addition: Safari Estates PID:10-65850-02-180 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, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Keith Fredrickson 4840 Safari Ct N Eagan MN 55122 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature ' CITY OF EAGAN 9?~~ 3830 Pilot Knob Road, P,O. Box 21-199, Eagan, MN 55121 ~ a__ PHONE: 454-8100 ~ ~ `1 BUILDING PERMIT Receipt # Te i~ wed I~or S~ DS~+1G/GAR Est. Value Y~:.!) r Q(}'~ pcte .7i3PdE 26 ~g i>4 4 0 SAF73RI CT NO Site Adfi(ess Erect ~ Qtcuponty SAFA~ I F:: `i' - ~ Lot BIo~ 5e Aiter ? Zoni~g Parcel No. j~ Repoir ? Fire Zone r`~~ Enlarye ~ Type of Const. ~ oc Name IVP..LTF~R KAitO Mave O # Stories = Address COGG~1?' LEV Demolish ? Length 52 ~ C ity ~AGAN phone 4 S 2-1 ~ 1 ~ Grade p De pth Sq. Ft. Sr;I,F' Approvala Fees ~o Name I 0 o~ :idress Assessment Permit ' u~ ~ity Phone Water &$ew. Surcharge Police Plon check ~ O yVjW ~ Name Fire SAG ` Address Enp. Water Conn. 7 p•~~ ~W City Phone Plonner Woter Meter ~~~~d • Countil Rood Unit 6 I herc::y ocknowledge that I have read this applicotion ond state thot g~dy. Off. the irlormation is wrrect and agree to tomply with oll opplicable ^PC Totcl ~ S~~ Stote ~f Minnesoto Stotutes and City of Eagun Ordinances. - Sipnc re of Permittee ,~,r r-~;r-~ ,r,.~_' : . I~xT:n A Buil~ Permit is issued to: on the express condition thn+ alt wo~ `.~II be done in occordor~ye~with all opplicable State of Minnesota Statutes und City of Eoqan Ordirwnces. Buildinq Officiol Permit No. Permit Holder Misc. Permit No. Holder Plumbing ~ ~ ~ Y f~ 1 ' C. ~ 2 l ~ `1 H.v.ac. u d k r n ~'l weu w~e? Disp. Sawar Eleet?ic ~~-I~`~~U ~,h.(u~hJlin "I~a-(~6'~ ~a.u"v Inspection Date Insp. Other Footinps ' Foundation Framing / ~ Rou~ PI~. Rough HVA ~ Insulatian s Final Plbg. Q ~ _ F~nal HVAC ^ Final ~ ~ i ~.1Cz ~ ( ( ~ ~ b Water Describe Lotation: ~ Sawer Pr. Disp. ~ ~ ~r ~ Receipt ~ PLUMBING PERMIT Permit No. ~ ~ ~ ~f CITY OF EAGAN F~ r l ~ Frll in numbered spaces S/C Type or Prini legibly Tot. ~ ~ ' ~ 1. Date y? - ~ 2. Installation Cost ~ • % `t ( ; ~ ^ 5 ~ 3. Job Address C ~ fi. ,~1, Lot~ ~ Blk. Tract 4. Owner ~ ~ ~.~,Y~! 5. Contractor /~1'/~ %/IT%~f)A~/~ i~ Phone ~ 5~ 5'~ ~ r 6. Address /s ~:c ti~,% ~ ~r 1'?. 7. City ~ :i~ J7 State ~ }'J,f Zip ~~!-C~~ 8. Building Type: Residential ~ Commercial ~ Institutional ? 9. Work Description: New ~l Add ? Alter ? Repair ? 10. Describe 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfield _L Bath tubs Septic Tank j Lavatory Softner ~ Shower Well Kitchen Sink Urinal/Bidet ~ther ~ Laundry Tray 1 Floor Orains 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 454-8100 • U, i 5 S c~.c,l w( l,w~Lk ,Gf ~,r~t,; _ K~-,ro's e~.2..p w~ ~o a ~ ~1C~J< YQ insPac#-e~, ~ r~,; ~S . f~ t~ e '~-t. ~ ~-f l.,t. ~n. ~ r4-t~ . ~ ~ ~ ~ ~ . - . _ , _ . ~ ~ 5 a- I°I ~ o rn~ S. I~C~..rd _ - . _ ' CASH RECEIPT V . ~a f CITY OF EAGAN P. O. BOX 21-199 EAGAN, MINNESOTA 55121 ~ ~ DATE J7 ' l' ~ 19 ~ ~ REC61vE0 / , ~I ~ ~ , ~ /ti,_- FROM AMOUNT $ I~~'> C.,./ -7 /1•' % ~ _ / U ,~';:~~J y`~ ~ G~ 6 DOLLARS ~oo ~ CASH ~ CHECK ' y, ~ . PORr ; r - L ~ ~ C,~.~ ~ .{,,f ~ ~-K-ri- , . '~,r' ;f /UND CODE AMOUNT ~ 'y ~ .3 •~J - a ~ v ~:a ~ ~ Yya ys' - y /U U .20 .~~'La ~70 oo ' 7 ' J ~ ? ~ J Thank Y ~ ~ , ;~~i(,~? ar d ~ , ~ ~~T ( ~ e~" Whita-Payers Copy Yellow-Posting Copy Pink-File Copy 1 ~ l Receipt D MECHANICAL PERMIT Permit No. l~~ ~ ~ CITY OF EAGAN ~ ~ , ~ Fee ~ ~ FiII in numbered spaces S/C Type or Print legibly Tot. f; ~ J~ - - 1. Date i " 2. Installation Cost ~ ~ ~ l; ~ 3. Job Address ~i l"' Lot Blk. Tract 4. Owner ~ l 5. ContractoP ~ " ~ ~ .:f_ ~ a~ ~~.Ci. Phone j _ ~ j ~ ~ T i ~ ~ 6. Address ~ /~..5~ ~.'~it/-~c~-C-=' f ~ L-~~ ~ ~ / 7. City - State i", : Zip " - - - 8. Building Type: Residential ~ Commercial ? Institutional ? 9. Wark Description: New LL7" Add ~ Alter ~ Repair ? 10. Describe _?_.l 'J Fuel Type , ~ z ' 11. No. ~uioment 8TU - M. Ea. No. Equipment CFM Forced Air=- - Air Handling: Mfg. - Boilers Mech. Exhaust Mfg. . Unit Heater y , :;J Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, end 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 454-8700 CITY OF EAGAN Remarks Addition SAFARI ESTATES Lot 18 RIk 2 Parcel #10 65850 180 02 Owner : r Street 4840 Safari Court No. State Improvement Date Amount Annual Vears Payment Receipt Date STREET SURF. 1 1 3. 75 10 726. 29 A014141 6-29-84 STREET RESTOR. 3 19g2 1545.63 309. 33 ~Y 618, ~7 t~ GRADING 1982 603.03 60.30 10 422.13 " " SAN SEW TRUNK 1$2 k 1. 6~ 0. 33 180. 68 A014141 6-29-84 1F SEWER LATERAL , a 1~2 1 .2O 1~4 .~~F 28~g.88 t~ WATERMAIN * WATER LATERAL 1 82 WATER AREA l~ I 1 82 4 1. 64 0. 180. 68 A014141 6-29-84 Services 1 82 STORM SEW TRK ~j 1982 866. 91 173. 38 $ 346. 77 A014141 6-29-84 ~F STORM SEW LAT 19~ 5 CURB & GUTTER SIDEWALK STREET LIGHT ROAD UNIT $2b0.00 ~f~44339 b-25-84 WATER CdNN. 470 , (~Q " ~UILDING PER. ~~9224 s,ac 525.00 " " PARK t OF EAGAN 1NATER SERVICE PERMIT 3330 Pilot Knob Raad 5fi3''i P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 ~ATE: ~ Z~~~: F`1 No, of Units: - Owner, wal , ` , - 2 Safari Est~~tes ~te Address; " . ,'.YL_i. r ~ i . k, r. ` t' 1cas~wc ~ ter 1+io.: Co~nection Chorge: ~ . ~ ~2e. ~ n i ~ ~ L~ nt DepOSlt: . ~ ~ 3 L 29 f7 e'L Permit Fee: ~ P Reaider No.: . . ~ p d ~/ag~ M oomVhr wNb th~ CifX of Eayon Suroharge: p ;r,~ter Or~iw~ Misc. Chnrods: Total: By Date Paid: Dote of Insp.: i^~.: c~ Y ~F EAGAN WATER SERYICE PERMIT 3830 Pilot Knob Road L~~",3 ) P. O. Bax 2179~ PERMIT NO.: Eaqan, MN 55121 DATE: ' ~ ~ Rl No. of Units: ~ Zoning: Owner. - Wal et T. KRrO Address: ~o~ e ~1 z Safar.i Estate~ Site /lddress. _ - Ptumber. Ark '.iec ical d Connection Charge: P Meter No.: . p Size: Acrnur~t Deposit: ~ ~ pcl Reader No.: Permit Fee: d I~grs~ to aompl~t wil1~ H~s Cify of Eegan Surcharge: p pd meter OrdineeeM. Misc. Chorges: Totcl: 8~ Data Paid: Date of Insp.: CI ~ Y OF EAGAN SEWER SERV~~E PERM~T ~:.~?r~ 3830 Pilot Knab Road p~v11T Na.• `~_.]._t4 p. O. Bax 21199 DAl'E: 1 Eagan, MN 551~~ No. of Units: zonlny: a ter ~m pwner: Address: Ll B Safari ¦etates Site Address: Ar~ ,~~chat~icsl . p Plumber: 4 ~ I pros to eon+Phr wHh tua CN1r ef Ea0°• ~^nection Cha?qe: ~ Accour~t Deposit: p prdinanas. Permit Fee: . ~ 'P Surchor0e: Misc. CF+arqes: BY TotaL• pute of Irisp•: p~ paid: Insp.: _ _ i _ _ CITY OF EAGAN AT , , 3830 Pilot Knob Road, P.D. Box 27-199, Eagan, MN 55121 l~l ~ 922 4 PHONE:454-8700 ~ BUILDING PERMIT Receipt # ~f To bs wad fw SF DWG/GAR Est. Value $$U,D00 Date TUNR 26 , 19~4 4840 SAFARI CT NO 3 SiteAdd~ess z SAFARI EST Erea [7j Occupancy~- Lot 1 Black SeclSub, Alfer ? Zoning Parcel No. 10-65850-180-02 Repair ? Fire Zone r1/~ Eniarge ? Type of Const. ~7 W Name W~TER T. KARO Move p # Stories Z Address 284 COUGAR LN Demolish ? Length SZ ~ City EAGAN Phone 459-1910 Grode ? Depth 4$ Sq. Ft.- Approrala Faas o Name SELF o~ Address Assessment Permit 373.00 u~ City Phone Water 8 Sew. Surchorge 40• F Police P~on check 186.50 Fw Name Fire SAC 525. Q~ Address Eng. Water Conn. 4 ~ Q~ u ~W City Phone Planner WaterMeter-~3-.Q~ Council Rood Unit 260 _ (10 I hereby ocknowledge that I have reod this aDC~ication and sfate that g~dg. Of4. the intormntion is correct and ogree to wmply with all npplica6le Stote of Minnewta Statutes and City of Eogun Ordinances. APC Totol Signoture of PertniMea • WALTER T. KARO on the ex ress condition thm A 8uilding Permif Is issued to: P oll work sholl be done in atcarda wi I opplicoble tute o!v)jnnesota Statutes ond City of Eagan Ordirwnces. _ BWIdMg Official Ct--C.sz~ ~~y^-~--~ J Y-~ This repuest void 4 yG I^ g(( 5 r~ v 18 nnnths from ~ ~ ~ / LI~ ba 5 - ~r va_~u Reque ate o~ _ Fire No. q oGh-in lnvpection Hequiretl? ~Ready Now Notity Inspec- Q es ?No :I ~uraYhen Ready Licensed Elecvical Contractor 1 haraby request inspection oi above ? Owner electrical work iretalled et: Stre t Address, Box r flnute No. City ~~4~~' - r_ C- ~ ~ ~~6~~- eclwn o. Township Nnme or No. NanBe No. Co,utn~ty U ~l/~oTf~ OccuoantlPfllNT~ ~ Phune No. ~-C1~-l~J~ Pow r $upplier Atltl~e /CoT ~~C ~ ,9/1 ~l/.v6T'w ri al nVa"c,tor~ Company Name) C ntrarmi s Liqe e No. C~ iv3a~ ~2~~r, O 4~~'~ ilir Atltlress (COntre to~ or Owner Makinp In lation) - L,~~,~0 6~ ~ Author' ed ienawre o rac~or ner Making Installa~iun~ Phone Number Q~~ ^ J 1~ ~ MI NESOTA STAT O D OF ELECTPICITY THIS INSPECTION REQVEST WILL NOT Griggs-Midway B B• Room N-791 ~ ACCEP7ED 9V THE STATE BOAND 182t Univernity 54 Peul. MN 56104 UNLESS PNOPER INSPECTION FEE IS Phone 1612~ 297.21t1 ENCLOSE~. ~I/I REQUEST FOR ELECTRICAL I~' pECT10N ~@'0°°°''D`A/ ~ ' See instructio~s 1or completirig T~~gon beck o1~vNlow copv. S~ ~ ""X"' Below Work Covered bY This Request ~ , ~ d Reo. TVpe oi BuilCing ApP~iancea Wired Equipment Wired Home Range Tertiporery Service Duplex Water Heater lightiny Fixtures Apt. Buildiny Dryer Electric Heatin Commercial 81dg. Fumace Silo Unloader Industrial Bldg. Air Conditioner 8ulk Milk Tunk Farm Othe.r per.i y Othe~l5uecifyl t er pec~ty Other OMer ompute Inspectran fee Below - p Fee ServiceEntrenca5iza p Fea Peeders~Subteeders N Fee Cir<uits Oto200Am s~ Oto30qm s Ot~30Am s Above 200 qm 5 31 to 100 Amps 37 to 100 q Swimming Pool Above 100_Am s~ Above 100_Am ' Transiormers Irtigation Booms (J Partial%Other Fee Signs Speciallnspection S ~ OTAL Memnrks y O~ flouBh-in D;Le ~ the Ele cel f V ~ Inspecbr, he~eby O Certity the~ lhe above iinal , Onte ~~speetion I~as been D ~ mede. thle raquest voiC 18 monttu Irom ~i f~33 ~I ! 2004 RESIDENTIAL BUII.DING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Cons6uction Reauiremenls RemodeVReoair Reouiremerits 3 regislered site surveys showing sq. ft. of bt, sq. ft of house; antl all roofed areas 2 copies of plan ~~fl (20%maximumbtcoverageallo~s~ed) isetofEne~gyCalCUlationsforheatedadditions ~a~~`p4~re;s~kn~k~Gr~`~r.,'~_`~~.;~ 2 copies of p~n shovmq beam 8 windax sires; poured tound design, etc. 1 sHe survey for additions 8 decks 'P,te;,.,~Aequir ;~,,~:~1 IselofEne~gyCalcWations Add'dion-irMicatei(on-stteseptksystem ~~a~c,.^~.~~~:~,~f~~ 3 copies of Tree Preservation Plan'rf bt plaked aRer 7l1193 Rim Joist Oe4il Options seleWion sheet (bidgs with 3 or less unifs O~? Date QdZ / /f~ j, ~ Construction Cost 2, 007~ ~ Site Address c/ 7/ ~.lG~/~~~ - N ~ UnitlSte # Description of Work ~ ~~~'t ~ O1~ G~'S~~P ~ ~U Multi-Family Btdg _ Y~i N Fireplace(s) _ 0~ 1 _ Z Property Owner ..G~~1/G~-- C%'C-~iYE%llG`-~Gt Telephone # fp5~~ Q 5~'7i~ Contractor V/ ,V, a~ 7 ~/Y I f.(~ r lQ-~ Lf%"L~( Address ~~tl~yI~,, 1/Li( City hhSv~l~ ~ State ` Zip Telephone # (gSG) S~'IS `~GI~v COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUIL~ING - Mimtesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Enefgy Code Category , ResidenUal Ventliation Category 1 Worksheet . New Energy Code Worksheet submission type) Su6miked Submitted . Energy Envelope Calwlalions Submiried Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25~ plan review fee applies. Licensed Plumber Telephone # ( ) Mechanical Contractor Telephone ) SewerlWaterContractor Telephone#( ) I hereby apply for a Residential Building Permit and acl~owledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requit ~S'a~revie-~^ approval ofplans. '1 'I ~ I ~I ' /2ieG, liI/al{~~ ~cGia~~ GU~":~~~,~~ z~~~; ~J, ApplicanYs Printed Name Applicant's Sigia e ~ ' ***~*********t*********~~**********~*** CITX OF EAGAN CASHIER: JS ~ TERMINAL NO: 763 DATE: 09/11/00 TIME: 14:11:28 ID: NAME: WESTURN CEDAR SUPPLY, LLP 3210 9001 4840 SAFRI CT N, 125.25 2155 9001 4840 SAFRI CT N 3.00 Total Receipt Amount: 128.25 I CR137218 TTSFR ID: JAN 2000 BUILDINC PERMIT APPLICATION (RESIDENTIAL) J~~ 9 oF 3830 PILOT KNOB RD - 55122 851-881-4675 New CandnrcNOn Raaulremenh RemotleUReoair RaoWremeN! D ~ reyiatarbd Y19 fuN9Y4 ahoN'~~fl 54 R Ot 101, iq, fl. Of F10uE6 2 WP~es of P~an Rfd ~I rooletl areas (20% maxlmum lot eovemae albwed) 1 set of eneryy cdwlo8w~s tor heafetl adtllHons > 2 coplea of plans (ahow beom 8 wintbw dzas; poured fnd. desiyn; etc.) i dre wrvey ror axrenor auamons a aecw D 1 se} ol w~ergy ~ICUWllons > S coples of hae preservation plan H bt potletl aRer 7/1 /93 ~ DATE: 9' ~~-UU CONSiRUCTION COST: S 5 G U DESCRIPTION OF WORK: `~'EA ~Z ~~F 6tc~o ~ STREET ADDRESS: Ss `{U SA F/f 2~ ~ ~t/ LOT: ~l'~ BLOCK: ~ SUBD./P.I.D.Y: ~lr~~~Yl ~~~l~~PiC Name: ~,~E+~~z~crloN r~FTy~~ Phone~: ~s~- `~aS-9~42 PROPERTY LOSt Firaf OWNER Sheet Address: ~ y G SA ~A ~ i ~ it/ CHy State: Ztp: . Company: `~ESru azN CE nAR S~~r~G Y Phone 767 Su~ _ o"~~Y (area code) CONIRACTOR ~GU i.y zo i Ss S~G' Sheet Address: 9 3`' rq vE n/ Ilcense M Exp. cny o"G Y04T~ state: ~p; ss v i ARCHIlECT/ ENGINEER Comparry: Name: Telephone 0: ( ) She~t Address: Reglslmtlon k: CHy State: Zip: Sewer/water licensed plumber (if insfallina sewerlwaterl: Phone L~ 1 herebY aeknowledye lhat 1 have read this aPplicaHon. afafe Mai Ihe ~fo ,yr~1 agree b eomP~Y ~ aA appOCabte State of Minneaota Slafufes and Clly of Eagan Ordinances. ` Signature of Appli n - OFElCE USE ONLY _~'~,k~V~~ ~ . Certificates of Survey Received _ Yes _ No ' SEp 11 2000 Tree Preservation Plan Received _ Yes ~ No ~ Not Required BY:`-- , x~~*~:~~~*:~~~~<*~v*~: CTJY C?'= I::f~G'FN . fA3HIc:R:. 1S TER'~`ili.~AL N0: i3.'~ I;,. PAT.~'c 10/1.1%39 T'.T.F`•~:: !.~°44:4+ iUo ° T'~1~iF~ PA~F~_CFAFI' r1F 1`7'NS.:FS:;p'IR; T~~r. _,~i?.Q SiQl.1:1. 4(;4.0 Sf~r(-:lii C7 3'c'.',..?5 21.•>'; ~r?Ol. 484[; 5fi' Ari'[ C7 if,1.C0 a ~ a - T+~+~~ F'FCt~ii>+, Anra~~~tite 33:C.i?`i CFi19. Ui~~. iJ5fR TPr .1Ary ~ *k~*~k?AXF:a7k~C7k~%Cx~M[~~C?K?KYCXc~K~c;} ~~ury~u~: w~~skWilcs<~~ 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) t ~ ~ CITY OF EAGAN ~i 3830 PII,OT KNOB RD - 55122 ~~j~ c~ 3~ ~ Q~ (651) 681-4675 I• a" ~ p New Construction Reauirements RemodeVReoair Reauiraments C-`=^-'~./~-~J • 3 regis[ered site surveys ? 2 wpies oF plan ? 2 copies of plans (include 6eam 8 wintlow sizes; poured ind. design; etc.) • 1 site surveys (erterior additions 8 decks) ? 1 energy calculations ? 1 energy calculations for heated additlons ? 3 copies of tree preservatlon plan if lot platted after 7H/93 required: _ Yes _ No ~ DATE: I~ I 5 ~~I ~I CONSTRUCTION COST: ~GlJ~DO D 3 ~ J~ DESCRIPTION OF WORK: ~ ~ Gi f STREET ADDRESS: LOT: BLOCK: SUBD./P.I.D. 0~_J~n. ~ ~~'t-~X.l.ci Name: ~ ~[(,~r,1~.F,Ja~ k~.l'I"~ l f U I K~I Phone#: ~S~" ~~~J" "1 PROPERTY Last Fvsc OWNER ~ ~ Street Address: City ~l~,Q,11- State: MI Zip: ~'1 I~~ Company: ~GU I.C~ (~,1~Q{'~I Phone lX I d` ~QI ~"~S~ CONTRACTOR ~ n~ Street Address: ~~,1 VIU I I Y) U/ S License # ~~Exp. 3 I D D City ~(~~5 State: /VU~ Zip: ARCHITECT/ ENGINEER Company: Phone N: Name: Registration Street Address: Ciry State: Zip: Sewer ~ water licensed plumber (new construction only): . Penalty applies when address change and lot change is requested once permit is issued. 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 Applicant: M1~Y u-~x l~ G~l/`~ OFFICE USE ONLY Certificates of Survey Received _ Yes _ No ~~T 5p~ Tree Preservation Pian Received _ Yes _ No _ Not Required OFFICE USE ONLY ~ = BUILDING PERMIT TYPE ~ 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish O 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ~1 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous O, 05 SF Misc. ? 10 _-plex ? 15 Deck WORK TYPE ~ 31 New ? 33 Alterations ? 36 Move ~ 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code ~ (Allowable) Mai~ level sq. ft. SAC Code UBC Occupancy sq. ft. Census Units ~ Zoning sq. ft. Census Bldg # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire 5prinklered APPROVALS Planning Building G~ Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review ~ License ~a/2Gr-/ <-3Sh~, //s. ~~j X ~b (o Z-~ mr MC/ES 5AC P City SAC Water Conn. Water Meter Acct. Deposit , S/W Permit ~ "'`(~p ~ ~J~_~N_tx. ~ S/W Surcharge ~I~ c TreatmentPl. ~J~ -~-~'lc5-e~~Y~,Lti~ Park Ded. Trails Ded. Other Copies ' . Tota~: % SAC SAC Units ~ O~~ CONSUlTIHO lNOtN~lAf Et~G:~l~EEAING P~RHHlBf and IAND ~UIIV[YOlIf i COM,PANY, INC. ~ ~~1000 [AST 14iM~ STI1C[T, EUfIHSVILLE ~ NIXHCSOTA SSS)1 ~H ~]2-]000 Cer~ i~' cc:~ 3ur~Z-~e y i ~Q'4I l~E.lCt'IP~~ofL • LOT /8, BLOCK 2, SAFAi4/ EST•9TES, ~ d.9kOTA GDUNTY iLl/NNESOTA. I.-. I , , 9 \~~svo,~ ~'~S6sso~ DENOTES EX/ST/NG E[Ed•f~T/ON ~ ~ (96SS0) Q~NOTES PROPOSED EGE!/!~T/ON ~ ~ . !i /A/GYCATES d/RECT/OiY OF SURFACE DR.4/N.AGE ~ I ~ ~ a ~ NORTi'/ , 1 ~ e sc.9[E: go' : 5"1_ C~:, c' ~ ~ ' 1 ~ ~~1 ~ ~ o ~ / LOT " l' / /8 f a ~q q~ ~ / ` ~ ~ ti/ ° _ so r ~ - ~ ~ ~ ~ ~ ~ ~ 45 ~ OPG~ J- I lU ~Q~ 5p Q° ° / a , ~2 ~ 4~0 00 ~C~ ~ \a ~ 'yo $r 1~"?aP: ' J 0 . c~ ` ~ ~ ~i°' `~h~/ ~ 1i^%~j,~ Q• / oi C\ ti / ~ a ~ '~i ~3'a ~ ~1 9"P , r9~pG9 ~ 4~,~ = p ,6~. ,o. ~s ~ • . ry. ~ oo. ~ \ CY ti ~ , n~ / ~ ~ ' i~~~ `1' °~~~4ag~M.t ~ ~.i ~ ~ ~,°g~9L1 / / f/N/SHED G,9RA6E ~'a~ ~ S 99° 32' 24"E (R~ N,~ ~LOOR ELEY.= 970~ (9 . ~ v~i ~ y~ r~by certi~-- `t " hi~ i~ a trua and co~ct r~pre ~ntation o! a tract ot at thovn' and de~crtbad h~r~on~. A~ pr.par~d by ~n~ on thi~ zs~+ d~r ot , .~E ~ 19 S_4-, ' i ~'j ~ ^~i f ' i G:!„~ Ninn. }~t~• M0~ /«t+?-~ laa~~~ ~ ~ ~aa~ ~ °~~--~_'T.~d- ITY OF EAGAN Include 2 sets of`plary~, ~ ~ 1 Certificate o~ Survey & ` BUILDING PERMIT APPLICATION 1 set of energy cal.culations. S i.~ Li.C ~ f-aM•:L y ~ Zb Be Used For v„~~:~,t.;...~ Valuation ~ d, ooa. Date [a ~3- 8 aJ- Site Address: D S~i er pFFICE USE ObII,y Lot ~ slocac sec./sub Erect X Occupancy ~-~j /D Sg;~I Alter Zoning 2- 1 Parcel S'~-~ . L~o -~1.Re~ir Fire Zone N/Fti //IALT~v -'/i~A ~~e _ 'Iype of COnSt. Qemer: ,P._.,~ Nbve # Stories ~~~5~ ~~~i ~o~~.aP L.a,v~ Demolish Front 2 ft. City/Zip Cocle: E,y p.,a,~, ~s-.~ iL g Grade Depth ft. Phone 5x.3- / 9/ c5 APP1~~711LS FEES Contractor: ~E L Assessments Perntit ~j-] ~j Address: Water/Sewer Surcharge Polioe Plan Check I S~o City/ZiP Code: Fire SAC ~2 S_ o0 Phone Eng. Water Conn. 4 ~ o. Planner Water .Meter ~0 3 . Council Road Unit Z(oo . t- Bldg. Off. s'e pp~ ci coae: P ne ~TAL 7, S d - ~`{~~c2-C9= IC~4c~ x5q = 5~1(~0 13x22 = z~~,c 5~-= Is~F44 ;3C~X22--` ~~ox Il = ~lz~o i ~~C~~¢ ~~OC~O ~ 373•OG+ q p . D C + ~0(.5~+ , 525~OG'- i G9G ^ Oi. ~ O : w n .r. , , 2~ ~ ° l7 ~i a. 1 9 7 7•% C~ A~BE CONSUlTINO tHOINtUi • ENGINEEAING P~AHHEIIi ond LAND ~UfIVtYOIIf COMPf~NY, INC. ~ L 1000 CAlT 146~ STIIfLT, EURNSVILL[ ~ MIHNCSOTA SSS)7 ~H ~!2'~000 C~er~z}~ cct~ ~Sur-y-~ y L~tO~Z._ r I~e`~;'~ -~O7t ; LOT /B, BLOCK 2, S,9FARI/ ESTATES, ~ ~.9~t'OT•9 CDUNTY, M/NNESOTA. I--, I \~~~yv~-~ (~6_S,SO~ DENOTES EX/ST/NG ELE!/HT/ON M ~ (96550) GL~'NOTES PROPOSED EGE!/AT/ON ~ /A/A~CATES D/REGT/OiY OF ~ v SURF.9CE DRR/N.QGE ~ I ~ ~ ~ q' ~ h a NORT.'~ ~ ~ ~ SC.9LE: /"=40' lJI ~ , ~ I ~ I , p ~ ~LOT f ~ ,~1 b ~ / ~8 a 3a q'~! ~ I v ~ ti~ _ r ~ S° ~ ~ ~ ~ ~ / ~ gPG~ ~9~'~3~ QP 0 F~q "~'~~i F e` J' C~ ~ 5 l ~50 ~ 'o a~ , / n~1 i° o`•~C~ 3 / 0\a / .o g3,~',~ b'l~ / Q• ' 0 4,c~ ap; ~\o.n ~ ,L5/ ~o ~.(c~% ~ ~1 '0! oc9"f'v~;~'.~?~~6j~ a ' 3 ~ ~ ` OQ/ v~ po ~`°O ryry~ _ I ~ 'P~'6~ 0~0/~34P+?KI .Np~ ~OS+`9~j / / f~N/SHE"D G,9RAGE ~'~t~ ~ S 69° 32' 24"E (R~ FLOOR ELEV.= ~llo.o i ~ H ~v3,1, ' 9 . Sy , a~ ~a I-h~r~Dy certi~'"y-- `t hi~ ir a true and co~fct rrpre entation ot a tract ot land at t?~o+m' and de~oribad h~reon,. A~ pr~par~d by ~n~ on tl~i~ 2`_ dar ot ~u.tE ~ 19 ~L-~ ' . ,-r- , t~:~~: c=i i ~ ~ . '~~~/.ur~~" ?ttnn~ ~fj~ X0~ /!st>S~ i Y!',~r~ ;6. EXTERIOR EP]V5'LCF~ AVERACE "U ` C0: i~11TATIOiI oUrv~R v T- /~i~ ~ SITE ADDRESS~~F",~p j LC~~-~Z-~~~ ~v~;,vTn~o,~ rH ~~r rs. CONTRACTOR~~_~yG.~ DAT~y° /~pHOfIE~~ / 9/a Determi.ne ororkin~ square footaoe of each. ~3p 34X II 1. Total exposed wall area ~D ~17 sq. ft. x.,k9"' _ 0y6 ~ 2. Tot31 roof/ceiling area /~~''7 sq. ft. x~_ Total exposed wall area above floor = 3~,3&? a. To~al wall vrin~or~ area /SZ b. Tota1 door area c. Total sliding glass area SG d. Total fireplace orall area o~~- e. Total wall frar~ing area (average 10~)... /63 f. Total net wall area above floor /y7~ g. Total ric ,jolst are2 ~7 Total exposed fcundation crea = ~ ' h. Total foun3ation erindovr area ~ i. Total net foundation area above grade .~_p Determine "U' value of each wall seEment. a. /S~ x "U" o.Sz = 7q,o b ~ X irUr. p ~ -~7~- D.~ X ~~U:: o Sk ° __~d_~ - ~o,~ x ~~u.` D.y ~ w9,o e. / ( ~ g o p = ~ ' f.j~ X "U" 0,0 X "U'~ 0.0 3. = 5,S h. x ~~u~ ~ i.~ x ~:U„ ~2 ~ ~ , 3 ............................................Tota1 ~ ~ ~e~ X If iten a3 is tne same as, or less than item dl, you have met the intent of SBC G006(c)2. . ~ . - Total exposed roof/ceiling area = ~ ~ :otal skyli~ht area k. Total roof/ceilin~ frar~,in; 2rea (average 10~, /.2_ 1. iotal net insUlated roof/ceilin~ area 5-G Determine "U~ value for each roof/ceilin~ segment. ~ , ~ X „U; z . k. X.:U" a,o = 3.~ 1• l lSG X..~,, o.azo = a3• tl . .....~........Total = aC 6v If total of t,'4 is the sane as, or less than F2, you have met the intent of SHC 6006(c)1. Alternate Buiidit~g Envelope DesiF,n To utilize 'the total envelope systera met*,od, the values established by the sun of items A3 and ~+J shall not be greater than the sur~,of items B1 and s2. ~ 3~~ ~23a.3 4 ~ + 2. ~-f = 2~3,~2 x 3. 3 72 4= .3 ~3 ~ k ~ l/ , ~TfiL ~;f j-~:1_~.._ i ' 1:.. "Y' /,di.!; r~ k'r..,-f. _ r r~oNi-. ELEv. /oX~--v ~r=~{x r~ _ ~36 s~r~T i K i ~ , „ , l'~GNr v`t.:~: v (3'~,x ~.6 ~zx r~ -d + zx,~~s% = So.~sc~ F`T L EF T EL /3`-8 u~(~ X ~2; L-~(iX i~'-Fl+ixn=8/i= ~~bZ SQ,FT T~yti~ ~4= x~~ = 66a sQ.fr ~o s Q ~ ..7 , `7"'a ~ i~J L. CL~~' % L/ r/ G/~` jfo~x ~S- /~a.'7 S~aF'T ~ x 1 / ~ ,?S-7 S~ FT /a.~y. SqFI` ~ 1 "J ? ' _ , Q , ~/f'~l~o 6tl 5 ; _ C a.. - J o~ l~= ,S~ ~ f~(!~n'iTl~in?, ) _ ~ : 51 , ~~--1,,., 3 X 7 ~ a. / , S .r~ , ~i9LG ~=/c'%,%;,/G `/~fi~` . f~% =G-38-~(-.3,~= 3 . ~.GrLt/~~~ ~i~'C~9 = ~f 3~-.'~-~ ~-35~-s ~ _ ~/d ; ~ I~~i~I ~`o~s i ~i'~.~r ~ z ~ ~/o ~ 33 t~ i 'v ~ , = v v ~i .t r 1 = % ~5,~ , T~~"~ ~ ~ L ~ U , ~ . l,~ i ~ ; ~x.z s, ~ ~ . , ~ i ~ s F X~ y , U = , ft = = /6 C-° ~ 5 - ;L ~ r;~ _ _ ~ 7 • ~L/L?i~v6 ~'L~5'SS T~~, ~ r/- ~ _ .5-:~ ~ , (i1J ~ ~ f-`/'-C~i i',?~ /gk'~~4 . l~~~o ~-7.Z- S~ - ~ 3~ = ~O , N~r Gr/~ ~ G ~ ~ ~r- o - ~ z -56 - s~ - 3 3 = ~{5~~ , ~C'iirl ~o~s i - 33 _ , --~y~ d - ~D S ji° xu, .....t~i%lt ::R=: f_' :r !'.r rCs~ _ ~rr=7- ~L.~~. C~ , 1,~J~ ~u ~o w S C i~ I 3- z L/~ = ~ S~ ~ . ~ 1~~ (='~~5 c ~ f~ _ 'I d 2 - -.e- • l.~y' [.L ~/~~';~i'l,rl6 ~;~'~,-f} ./~if 92-~j-/6 2-,3~~ : 3S , l~~r t~~zc ~ ~5z-g-~oz-3 s-3, - 3is , ~/~Yl ~Ta~sT.. ~i~~H = ~X ~c~ ~ ~-°~j ~~~~/~l~~`J ~ f~~? ~ ~ Z / ..l'.-~/'~T ELCv ~ CG. o ~(/j ~Y17ouJ_..S- ; C" G2 ~ S l',~ =,~"z ~ ~x~ Y;' u = , sz; ~ ~ ~ ~f ~ ~~ILL ,!clG.r`i~`l;N6 ~/<'~1,' .l .~,F'o6-33'3 ) ~ ~T ~ ~;~L C ~1~ S t~6 - - ~ o ~ ~ ~ _ ~ ~ r._ ~.f r~i .i ~ o ~ , ~ ; ,~:-~"a~ 3 0 ~ ~lyo ~ ,~=_l.~' ~ iJ /f/ %>.~r i lQ ~ ~ ;I ~ ~ i I/ 1` V~9~~Es ...e . k.~.~ tc F'i?~ n; ~ r~ G; , ~ ~ lC T ~ I t"' j°-1 Ll~~ f~ l 7 /y~~9 ~-~~5,~,~.~ " i.a~ 3 'r ~ ` , ~1{ f- , LT /~j T~ ~F_i47H~ir16 .Z .06 ~ ~ -S i ~r GfJo 01~ d'~ , y , z ' ~~-y r~ o, s /N%, ~j i ~ /`/L/~'J D.v~ ~ ~ ~ ~ « ~ /~~.y~ _ . o ~ 7 ~ , LtJ/~ L ~ ; , _ f.~ XT ~~1~'' ~/C ~°>1 4 . /7 7~1X~~~~L.~lP ~~ai~v6' /j~l. ! ~ ~<~Y~%T.E~!~A~.~S~~.~ oz ~.a6 ~ ~ ~t/S . /5, o d ~z. -~f %t° li', ~/S ~ti~ ~ i',,~ r-,~,~~ o.~~ , z3,s~ ~ ~ ~,57 = . o YZ G. I`~~ ~0~5 % ' !-`XT h~~/~fi~if~ d:/7 ~ 5,~~~/~ ~ ~Yl ~r~, ;t~fr~ a0,~ ~ ~~S /~j a o h 's / P~ /7/ i9Y'; O ~ `t"U= ~z3,I~= ,0~!3 ~ I . C..~ ~/L/0'y~ ~ /Cyr~ 3%i!If~ l~~ . . . ~ ~ / ~vs ~D~~~`4~Tj~iRFiC~ / z Z , ~f ~z ' ~ % l' ~ 0 5'S j",,~y" Gt1o~7~ G'~ ~ - 1 i ~ N~ 30 ~~U ~ „ r 3 8 ~1 ~ v = 9~ ~ , o ~b , L, ~'~i L i~1/ ~ , ~ /~vs, p~ ~ov7-A~~I I Z Z _ 3/~ ~y ~ ~ '~5' i~" i~?S - f9.~7~ „U,, _~~y.67 -,020 ~ ~ , , i _ I~ 2/a4 ~ CITY OF EAGAN ~ / APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTIODT (PLEASE PNINT) 1) PROPECYi'Y AI~DRESS: ~ / I~GAL DESCRIPTION: ~ Q d ' (Lot/Block/Subdivision or Tax arc I.D. Ni.miY~er) ~IST_~:i~ ST^[;C':'Uf2E, 1~?1'^ O_° ORSGiLV~L ,:UII,DING rt.`~u°iiT ISS~ANC°: ~ / ~ (:"~IOnt'~/`lear) PRES~:i' 3~:,*7I~;/pRpppSED L~SE: ~d'"~-1 S;VGL: ~ffLY ? R-2 DUPL~ t'i+~i0 UNITS) p R-3 TCkVNHO[JSE (THI2EE + iJNITS) ( UNTTS) ? R-4 APAR~`~NT/CObIDC~L4~iIUM ( UNTTS ) Q CODM~RCIAL/RETASI~OFFICE i p ~USTRIAI, ? INSTITUTIONAL/GOVERrIMQ~T Z~ ~P~~ (PLEASE PRINT) , NA["fE: ~iC. ~~}fY:FJ ADDRESS: '7J C~s-~~4~.~~'~° - CITY, STATE, ZIP•"~~,~_~ PHOi~: 3) Pi71MRF'R y njiT~ FOR CITY USE ONLY IL ut~r ~ ADDRESS: PLIIHB~RS LICENSE: A,~ ~ Active CITY~ STATE, 2IP; nS~~jy~T ~~,j( - fjSl/G•~ - 0 Expired "~1ASTElf- Not of Rgcord - PHONE: 1f,'~3-~~~~ PLUMBER LICENSE #,~-SJ C~ p / a nitia 4~ 0~[JP~1NT~~JNER ~ PLEASE_PRINT) ~ (,crt-r( 7"~'k' ~AQr) a~o~ss: yr9, ~fC~ S~?~,9.Pi ` f~ I /IOc~ CITY, STATE, ZIP: PHONE: 5) INDICATE WHICH PERMIT IS BEING RF~LTESTID: ~ ? CODIIVECPION 1CJ CITY SEU7ER ? CONNF~TION TO CITY WATER ? C7PFIEIt (PLFASE DESCRIBE) 6) IN[~IC:~T~ O~: ~ PI,F.FISE AOLD APPROVID PERI~IIT FbR PICK-UP BY ONE OF I.B(3VE PLF115E MAIL APPROVID PERi~1IT TO 1, 2, 3, 4 I~BOVE / _ (Circle one) 7) SI~3AZi,'RE: ~ ~ DATE: D r~ D ~ f ~ ~ ~~~:~.~~~~~~~;E~:~~~~i ~ ~ ~ ~ ~ * - ~!Mi#f 1PIili4t~h?q.F!I~~'Ih~!#~# ~~+?~!I~f!wiMFN"+~ ~!~k+~fJ!!~w~r~sr a¦ F O R C I T Y U 5 E O N L Y PERMIT ~ ISSUED ~ FEES : $ ~ d ~ ~ SETr1ER ?~ERi~1IT ( I"dCLUD~ SUP.CHARGE ) ~ /O- S4 WATER PERI~1IT (INCLUDE SURCHARGE) $ ~ WATER METER/COPPERHORN/OUTSIDE READER $ WATER TAP (INCLUDE CORPORATION STOP) ~ SEWER T.T-.P $ OS ACC~';.IT DEPOSZT - SEWE~ S `o+. ACCOUNT DEPOSIT - WATER $ ~ 7'O, rr-a WAC $ Sa?+i-~`-C~ SAC $ TRUNK WATER ASSESSMENT $ TRUNK SEWER ASSES5MENT $ LATERAL BENEFIT/TRUNK SEWER $ LATERAL BENEFIT/TRUNK WATER S ~ OTHER $ TOTAL S ~a AMOUNT PAID/RECEIPT # ~ DOES UTILITY CONNECTION REQUIRE EXCAVATZON IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A"PERMIT FOR WORK WITHIN ~ PUBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGINEERING DIVISZO[V. LIST AS A CONDI- TION. SUIIJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: p~ ~ TITLE: ..~l~~ c:f~L_/~ DATE: ~ G- .e sr ~ w~~ .t'!e ~ ot+~~ses~ w~w ~;a ~~,~;++~eria s~ w~ w«~e s~r w~ ~ CITY USE OYLY PERNI[T ~ ~ ~ l ~ RECEIPT DATE: ~ - I ~ - C~ ~ ~SID~NTIAL M~C~I~+4NIC~EI. ~~bI1T ~~~PLIC~ETIOR crrYoF gws,~v s8so ~aor xivoa ~n P.t~4&AP MF 551 EE 651-681-~i675 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: ~ /C~ ~ SITEADDRESS: ^Yp~~ ~W~~ l~~ N OWNER NAME: f.,'U'f' 1~eG1Y1l.F.~On. TELEPHONE (,DSI ~I-D5'`~3~Z (AREA CODE) INSTALLER NAME: 6IIGU Tr MC~-+ l~1,Y)1 CQ.~ TELEPHONE 52"21~ (AREA CODE) STREET ADDRESS: 3L J~D Kennebe~ ~r ~ CITY: Ff10~Q-Yl STATE: ~ ZIP: 55~2-2 Place a check mark next to the ermit work t e New residential dwelling unit under constructionand not owner/occupied $ 70.00 ? Add-on, modification or alteration to existin dwelling unit $ 50.00 . furnace replacement • air exchanger • air conditioner • other Nature of work: tt 50 . o0 State Surchar e $ 50 Total $ 5't~.50 Remiitder: Call for inspeetions. bk ~Ylo~.~e, ~-e~-e?sen~ si~.r Tua~-oe-~ ~ ~ - t g-01 ~~Cr~~ll 200t ~ UPdated I/OI JUL 1 8 By _ MECHANICAL (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 ~-~~d ~ ~ Q\'3~ Telephone # 651-675-5675 FAX # 651-675-5694 Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit Date / / ~ / ~3 Site Address y g y~ S a'~ 1 C"'b N Unit # Property Owner Q~(` 1 G k d n Telephone #((ps"~ ) y(~, ~ y Z. Contractor Street Address C~ty State Zip Telep6one # ( ) The Applicant is ~ Owner _ Contractor _ Other Add-on, modificafion or alteration to existing dwelling unit $ 30.00 ~ furnace replacement air exchanger air conditioner other ~ ~ ~ ~ ~ , . ~ .7 ' State Surcharge ~ $ .50 % Total $ I hereby apply for a Residenrial Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a pemut, but only an application for a pernrit, 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 requues,a review and approval of plans. - . ~ ' ~'~;~1 . o.! , ; , ,f et_ _ r,~ Applicant's rmted N~ e ApplicanYs Signature ~~~f~ ~r~e~y~~c~5o~ I I hereSy cs~4ity th~t thls gl~n, specificeQon, or repoet wac pre~ared by nzs ar under my proje~t waz~~W 6- ~,r~, o y,.c, ~ direct aupervisicsn ar~c3 4ha8 I am a duly ~ . ~C/~' Ucansed Rrohssk~tal ~rsginoer under ihe Date { ~ ^ Z~-~ ~ nav~n~~a su~mwi rannoio8i~s, m~. laws of the State of MiEnnesota. gy pES Prlnt Name: P ul E. tofe P• Sheet of ' _ Signature: ~ ~5 - - - - } - t--- - - - I I i ~ ~ ~ 6 - ~ 6 - s - - - - - i ~ ~ ~ ' I . - -r . _ . _ ~ ` - -j-a U9 - - j- _ - - _ . _ . . i._.._. I , ~ ~ t _ ~ - ! - ',r s F / ~ : : ' . - N 6 - - - ~ , , - - ~ ; ; . S S'a }a fl~_. 6 r~~ ~ ---1-- ~ {JI~i.~ T w~ 4 S R~ A6 w!Fa Tun~d~ ~ ~ I I i - - - 6 6 - - --i ~ ~ I ' S ~.~.it, - t - ~ - ~ - ~ ~,~r ~ . ; g~ - _ _ , ~ ~ , ; ` i ' a _ ,r - ~ ~ - ~ I ,E i I ' ~ : _ , ' - - - - - ~ - - - - ~ D w S .._I _ ~ ~ ! i. ; ~ - - , - . ~ ~ -~-1.N - - - , ~ y ; ; ~ - ' - - - i ~ ' ~ i ~ + i I ' I - - i- -t- - ----t-- - - - ---1..--.. , i ~ ~ ~ ~A. ~ . R+ ' ~'10 . 6 0 1 S ~ _ ~ - - - - - - - - - ' , , _ _ - _ ` ~ ~ . ~ r 0 ~ I ' _ I V - - PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA146123 Date Issued:10/10/2017 Permit Category:ePermit Site Address: 4840 Safari Ct N Lot:18 Block: 2 Addition: Safari Estates PID:10-65850-02-180 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. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Keith L Fredrickson Tste 4840 Safari Ct N Eagan MN 55122-2617 (612) 423-9697 Controlled Air 21210 Eaton Ave Farmington MN 55024 (651) 460-6022 X253 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA159471 Date Issued:12/20/2019 Permit Category:ePermit Site Address: 4840 Safari Ct N Lot:18 Block: 2 Addition: Safari Estates PID:10-65850-02-180 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener 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. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$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 - Kelly Higgins 4840 Safari Ct N Eagan MN 55122 Haferman Water Conditioning 12142 12th Ave. Burnsville MN 55337 (952) 894-4040 Applicant/Permitee: Signature Issued By: Signature