4850 Safari Ct N CITY OF EAGAN Remarks
Addition SAFARI ESTATES ~ot 20 aik 2 Parcel #70 65850 200 02
owr,er - r screet 4850 Safari Court No. stace
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. ~ 1982 1Q3~.54 1Q3.']5 Q
STREET RESTOR. . . ~
GRADING ~ ~ . .
SAN SEW TRUNK - ~ ~ 6~ O.
f SEWER LATERAL ~ ~G, ~ ~k
WATERMAIN
~F WATER LATERAL
WATER AREA 3j ~
*
STORM SEW TFiK ~~J 1 8Q 866. 1. 1 . 8
# S70RM SEW LAT 1 82 r~
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
~
INSPECTION RECURD
CITY OF EAGAN PERMIT TYPE:
3830 Piiot Knah Raad Permit Number: ' F~'
Eagan, Minne~ota 55123 Date Issued: ' "
(612) 681-4675
SITE ADDRESS: ,~i f~ r,,, k. APPLICANT:
•r~~ :,i: f I M ,f ~:i t~t~~ 1 t
.;i I i ! I~ I Y . I, f i t, 1 ) 1' .l
PERMIT SUBTYPE: TYPE OF WORK:
t.~ , i ~ 1 a ~ ~ , ~ , . ,
. .
~ i;~:, ~ t r~~s i
i I P11~i. y I~~~~ 1 1(V~i', i~l i; 111',! i: 1~ I~ I Ii;i Td il~~tl',! I if4 . IIjZ~i~ y~ ~ ~±i~ • ~ f;tll i i Iihl ~ I"I ! M~ 1 f~ I~ 1!
~ ~
~ J
Permit No. Permit Holder Date Telsphone #
5M!
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspectlon Date Insp. Comments
Fooiings I
Foundation
Framing
Roofing
Rough Pibg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orsat Test
Final Pibg. Plbg. Inspector-Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final
Deck Ftg.
Deck Final ~ z l-9~ ~
Well
Pr. Disp.
SEWE~& W~'T'ER PERMIT OFFICE USE ON~Y
CITY EAGAN METER #~~7 ~a ~~3 PERMIT DATE v~ l 11 !
3830 Pilot Knob Rd.
Eagan, MN 55122-1897 CHIP 6 PERMIT # 12153
METER SIZE ~ f B.P. RECEIPT # ~i4368
~ ~ ISSUE DATE ~ B.P. RECEIPT DATE 9~ 91
DATE .IULi' ]r:, 04
_ PRV - BOOSTER PUMP
SITE ADDRESS 48 5~J SA'r'Aiti :'.JU;~'I lvv PERMIT RE(]UESTED
.
LOT BLOCK ~ SEClSUB SAFARl ESTATES
x SEW~R _X__ WATER - TAPS
APPLICANT: ARL1h;GTD~i ~t0tel~S
ADDRESS: 13774 ~R1N; 8Tc)N ~OURT ~ - COMMlIND X RESIDENTIAL
CITY, STATE SAVAGE Z~p 5 5? 7$ x NEW - EXISTING
PHONE: 894-3385 ar 431-199`
Lawn Sprinkler Meters are to be Installed
PLUMBER: OLB~RG CQNSTRliCTZON Ahead of Domestic Meters on Water Line.
ADDRESS: C4i0 l 31ST ST CT Credit WILL NOT be.given for Deduct Meters.
CITY, STATE APPLE VALLEY MN Z~p 55124
~
PHONE: 432-9079 \ - ~t
I AGREE TO COMPLY WITH CITY OF
OWNER: ~5 ~aPI~Ll~;AT~T EAGAN~ORDINANCES
ADDRESS:
CITY, STATE ZIP
PHONE: SIGNATURE WH N METER fSSUED
; -s ~rb ~
PLEAS~ ALLOW TYYO WORKING DAYS FOR PROCESSING. CALL 454-52~ FUR INS~CTIONS. FOR STORM
SEWER PERMITS, CONTACT EMGiNEERING DEPT.
SEWER & Y~TER PERMIT OFFICE USE ONLY
CITY C~F EAGAN METER # PERMIT DATE ~ I t g•
3830 Pilot Knob Rd.
Eagan, MN 55122-1897 CHIP ~ PERMIT # 1~ 15i
METER SIZE B.P. RECEiPT # L143~
~ 9$1 ISSUE DATE B.P. RECEIPT DATE y~~ t
DATE J ~ ~ 1~' ~
_ PRV - BdOSTEA PUMP
SITEADDRESS ~"='S~ iPP'?,';~' '',~:~~liitT :Yt,
' PERMIT RE~UESTED
LOT BL~CK 4 SEC/SUB ~uARl ESTI?TES
~ SEWER WATER - TAPS
APPLICANT: ~'~`-~I`+~;7~t~ ~'~UZlBS
ADDRESS: 1-~734 ?R1tiCE7UN COURT -COMM/IND RESIDENTIAL
CITY, STATE '~AVAGB ZIP 5~3 = NEW - EXISTING
PHONE: ~~1+-3385 or 4i1-~?g5
Lawn Sprinkler Meters are to be Installed
PLUMBER: ~ I.BEF:G CONSTHUCTION Ahead of Domestic Meters on Water Line.
ADDRESS: ~~410 131ST ST CT Credit WILL NOT be given for Deduct Meters.
CITY, STATE AP~~~ VALLFY N'+' ZIP S~1%~+
:
PHONE: 432-gQ7~ •
I AGREE T~0 COMPLY WITH CITY OF
OWNER: ~~+''1r. ~1PPLIC~+NT EAGAN ORDINANCES
ADDRESS:
CITY, STATE ZIP
PHONE: SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSIMG. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
, .
~ JUL 17, 1991
~i ~ DATE:
4850 SAFARI CT N(ARLINGTON HOMES)
RE:
X
Your Sewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 C~achman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer & Water Permit for the above property cannot be completed for the following
reasons_
Your Sewer & Water Permit for the above property has been completed, but the meter cannat
be issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall_ Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuanCe.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- RE~UIRED BY LAW.
CONTACT COMMUNITY DEVELDPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
~x~ .
~ CASH RECEIPT •
~
~
CITY OF EAGAN
w
383Q PILOT KNOB ROAO `
EAGAN, MINNESOTA 55122
• ,
i -
DATE ~ 1g ,
i ~
` ? - I ~ ~ ~ , <<~ . • ~ ~
AMOUNT S
` i ~ ~ ~ J~.
g DO~UAS
+oo
p CASH CHECK
san 1 : .1... ~ ' I ' _ `
i.1
y ~ ' ~ al ,
V
l._~ I , - ~ /
~ r_ .
FUND OBJEC7 ~ AMpUNT
Thank You ,
BY ~ ~
G 14 ~ 6 8 ~
Yepow~-Postlnq (`,opy ~
PirYc-File Copy
. . ~..-'_,,_~a . . , ~ f , , .-„s . _ --r..-~.
` y._;, _ j,- .7 CITY OF EAGAN t
~ • 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 _
BUILDING PERMIT Receipt # ° ~
To be used for s~ ~ Est. Value =i~'~ Date JULY 10 ~9 91
Site Address 4gSd SAlAlI ~T NO
Lot 20 Block Z Sec/5ub. s~~i ~T~~s OFFICE USE ONLY
ParCel No. Occupancy R~~ FEES
ARLING'L~0l1 ttOMBS Z~^~
W Name (Actual) Const ~1~_ Bidg. Permit ~ 7~
a Address 13~76 PllllICLTON C'f ~AUowaeie> Y~ Surcharge ~Z•~
Ci?y ~v~~ Phone 894-338s ;r o~ sco~~es - 516.00
Length b~_ Plan Review
o Name s~ 431-1995 ~~h lpp.pp
o ~ S~- snc, c~~y
„Q Address S.F. Total - SAC, McwCC 6~~~
~ City Phone S.F. Footprints _ 6~.~
On Site Sewage Water Conn
~ W Name on S~~e we~i - wacer Meier gs•~
AddceSS MWCC Sys~am ~ jp~pp
City Phone c~rywace~ ~c. oeposa
PRV Required - S/W Permit
I hereby acknowlege that I have read this application and state that the Boosfer Pump - ~yy ~rcharge
information is correct and agree to comply with all applicable State o( 176~~
Minnesota Statutes and City ol Eagan Ordinances. Treatmenl PI
Signature of Permitee APPROVALS Road Unit 370•~
A 8uilding Permit is Issued to: A~.Zlil~sl'~'1 ~ P~a~ner - park Ded.
on the express condition that all work shall be done in accordance with all -
applicable State of Minnesot tatutes and City of Eagan Ordfnances. g~, pry. _ Copies
Building Official ~ ~ ` ' / ~ . l Variance - TOTAL ;3~ s9~. ~(1
r
v
• Pamdt No. Permk Holder Date Tebphone ~Y
W~ER /~7
V
SEWEA
PIUMBING • 0 j ~c'J ~ D
~(J, . ~ / 7 g s. Ga
~Aw~.~ v
H.v.n.c. ~ ~ ~ ~ / `~i4 -(v0
ELECTRIC ~IO ~ ~o
tnapsction Date Insp. Comments
Footings I ~
Foundalion •
Framing ~=TQF~'~
Roofing ~G~
Rough Pibg. ~jq~
Rough Htg. / g' ~ 4 ~
Isui. ~ ~
F~~~ ; ~S
Final Htg.
Orstat Tesl
Finat Plbg. _ .9 Plbg. Inspector- Notily Plumber
Const. Meter
EngrJPlan
Bldg. Final ~'7~2-~~ DS
Deck Ftg. ~l f/J
Deck Final
we~i
Pr. Disp.
' ~'~1T{'~ .e1.M "1T'~ ~ . ~ . ~ w r, ?i.'. a _ r +'4-._~~. ' . . .
. GITY OF EAGAN
454-8100 •
DEPT. OF BUILDING INSPECTIONS ~
~ ~
Correction Notice
Located at SG ~cY~' C ~
I have this day inspected fhis structure and
these premises and have found the following
violations of city codes governing same:
I J /z, ~<Q ~ (L ~%i" ~ / J _
o- -OV~S~
. ~ ~ - r 1
~ c k 1~~'0
Pr ' ~ _
~O O li'~~ ~r°I'
When corrections have been made, please
call 454-8100 for inspection.
Date ' ~ U
~
Inspector City oi Eagan
DO NOT REMOVE THIS TAG
Addsess: 4850 SAFARI COURT NORIH Lot Zp Blk z Sec/Sub ESTAlES
These items were/were not complete at the time of the final inspection.
9/19/91 Yes No a ,
Final grade (6" from siding)
Permanent steps - garage
Permanent steps - main entry ~
Permanent driveway
Permanent gas
Sod/seeded grass ?
Trail/curb damage ~
Porch ~
Basement finish ~
Deck
Please verlfy with the builder the removal of roo£ test caps from the plumbing
system and the shut-off o£ water supply to the outside lawn faucet before
freeze potential exists. ~
R[{1ttE~NRR
White - City copy Yellow - Resident copy Pink - Contractor copy ~
,~/i. CITY OF EAGAN N~ ~ 93a ~
~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100 ~ ~ 3~g
BUILDING PERMIT Feceipt s C
Tobeusedfor SF DWG/GAR Est.Value $144,000 Date JULY 10 ~9 91
Site Address 4850 SAFARI ~OURT NO
SAEARI ESTATES OFFICE usE ONLV
lot 2~ Block z Sec/Sub.
P2fCCl N0. Occupancy R-~ M-1 FEES
ARLINGTON HOMES Zoning R-_)._
W Name (Aciual) Const V~ Bldg. Permil ~ ~ 94. 00
3 Address 13774 PRINCETON CT ~quowame) V~__ 9 72.00
° C~~y SAVAGE Phone $94-3385 xolStones _ surchar e 516.00
Lengih PlanReview
~F Name SAME 431-1995 oeP~n 5~T snc.ary 100.00
g¢ Address S.F. Total - SAC, MCWCC 650.00
~ City Phone S.F. Foolprint5 _
On Site Sewage Water Conn 660. 00
ez Name OnSiteWell - WalerMater 95.00
Address Mwccsys~em X7~ 30.00
g~ City Phone C~ry wa~e~ X7L Acn. oepos;~
PRV Requiretl _ S/VJ Permit 30.0~
I hereby acknowlege that I have read this application and stata that the Booster Pump - SAN Surcharge • SO
information is carect and agBe to comply with all applicabl ate of
Minnesota Statutes and Ciry o~ agan Ordina~ Treatmeni PI 2~6.00
Signature of Permilee APFROVALS qoad Unit 370.00
A Building Pertnit is issuad to: LINGTON HOMES P~a"^a~ - Park Ded.
on the express condition that all wo k shall 6e done in accordance with all Council
applieable State of Minnesol tatutes and Ci of Eagan Ordinances. g~~, pN, _ Copies
Building OHicial ~ Variance - TOTAL ~3, 593. 50
p
02665 0 ~
Repuest Da~e F o. Ravgh-inlnspec n
Require0? ? Reatly Now ~NINYNOtify Inspector
- - 1 S,.K'S ? No N1hen Featly4
I~nsed coniractor p owner hereby request inspection ot above electrical work at:
Job Atltlress IStreet 8ox or Route No.j City
1- ~ c_ : ~
~1 Section No. Towns~ip Name or No. Renqe No. County
0.
OccvoantlPRINTi P~one No.
~ ~
Pywer SunP~~er Atltlress M 5 ~
00 th S' .lf~, r
Elecmcal. Comractor IGomDany Name~ Conhac~or's License No.
'~tl~~ r~ e G' ~ - ~ ~
Mailinq Atltl:ess ICOnVac[or or Owner Makmg Inslallalionl
-11 1'c h A~]SLc~ ~~e 2 r ~
Autnonzee Si ~COn acmnOwner Makin II onl Phone Number
MINNESOTA STATE BOARD OF ELECTHICITV iHIS INSPECTION REQUEST`NILL NOT
Griggs-MlEway BIEg. - Poom 5-1)9 ' BE ACCEPTED BV TNE STnTE BOARD
1821 Universiry Ava.. SL Paul. MN SS10A UNLESS PqOPER INSPECTION FEE IS
Phone (612) 642-OB00 ENCIOSED
?E~UEST~PORoELECTRI~CA~L~INSPECTION F,~~~'"~~q ee-oooo~os
~ ' /G~~:~'
"X" Below Work Covered by This Request
ew Atltl Rep. TypeolBuildinq AppliancesWired EquipmeniWiretl
Home Range Temporary Service
Duplex Water Heater Elec[ric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Fumace
Farm Air Conditioner
OUer~syentyl Comrac[or'sRemarks: ~ Q~ HO`~'
Co`mpute Inspection Fee Below.~
# Other Fee # ServiceEnlranceSize Fee # Circuits/Feeders Fee
Swimming Pool ~ 0 to 200 Amps - 0 co 100 Amps
Transformers Above 200 _ Amps A6ove 100 _ Amps
Si9n5 Inspeaor'sUSeOnry: O„3pA~~ ~r), TOTAL
Irrigation Booms ! ~ '1 50
Special InSpection 30 ~~UV " ~
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCQNNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MO ~
I, the Electrical Inspectoc hereby Ro~yn~m o~~` _G/
certif thattheaboveins ectionhas ~c/ ~
Y P Final ~ Date
been made.
OFFICE USE ~NLY
This reques~ voitl 1B mon(hs Irom
8~02664 ~o ~ ~
~as~
~ /~1 -
ReQUest Dale Fire No. ftough-In Inspec~ion
L _ Requiretl? ? Reatly Now !aJWIHJdifylnspec~o~
~s C No When Featly?
= I L.FC(ensed coMractor owner here6y request inspection of above electrical work at:
Joe Atldress i3veeL Box or Roma No.) Ciry
Seciion No. Township Name or No. ' Range No. Couny
~ ~
Occupant IPRMT~ P~one No.
i 9
PowerSUpplier Atltlress ~ 550'°~y
~C~~c~~iL ~~2 C~c: O Oth
Electr¢ai Gomracior ~COmpany Name) Conlrec~or's License No.
~ oyoc~l5
Mdiling AdO~ess IConVac~O~ or Ownpr Mdking InS~tllalion~ ~ 5~ l o
1l ~~d ~~~e L
4olhonietl na~ re ~COn~ ctor~Owner Maki ~a PM1one Num~er
~ - aa
MINNESOTA STATE BOAPD OF FLECTPICITV THIS MSPECTION R WUEST WILL NOT
Grlggs-Mitlway Bleg. - poom 54]3 ' BE ACGEPiED BY THE STATE BOARO
18]t Univereity Ave.. St. Vaul. MN 55104 ~ UNLE55 PROPER INSPEGTION FEE IS
Phone ~612) 6EZ-0800 ENGLOSED.
y/~O/~/ REQUEST FOR ELECTRICAL INSPECTION '-"'~a ee-ooom-oe
? See inslmctions for completing ~nis form on Oack nl yailow copy ~~s' ~0~2
"X° Below Work Covered by This Request
ewkdJ ^eG:' TypeofBuilding AppliancesWired EquipmeniWiretl
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
CommJlndustrial Furnace
Farm Air Conditioner
ONer Iryeofy~ GonVacmr§ Remarks: "~C m~ S e~ V ~ L `
Compute Inspecfion Fee Below.'
# Other Fee # ServiceEMrance5ize Fee # Circuits/Feeders Fee
Swimming Pool 0 l0 200 Amps 0 to 100 Amps
~ Transformers Above 20D _ Amps Above 100 _ Amps
SignS Insoeclor5 Use only. TOTAL
Irrigation 8ooms (1' ~15~
~ Special lnspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETEO WITHIN 18 MONTHS.
I, the ElecVical Inspectoc hereby Ro~yn-m oaie
certify that the above inspection has F;,,ai Date
been made.
OFFICE USE ONLY ?L~~
This repuas~ voitl 1B monlhs Iwm
v f:r~-a:c.--- ~ p
,,NT p ,v~a~.,;,~o
~,Q' f
~U.iPO5G~.6tl~
~J- dur,2n~as ~'d-:•' 01 '
' ` MINN~'j?~~~ ~ 2
~ty oF ~egan ~ - -
3830 PILOT KNOB ROAD, P.O. BOX 21199 ~~~~~'%~°Te'D ~
EAGAN, MINNESOTA 55121
nUl nnr"tiWjV
JOHN SATTERLEE
4850 SAFARI CT NORTH
EAGAN MN 55122
Lot 20, Blk 2
Safari Estates First
~ ~~~ilf„{, , :I~i~i
RESIDENTIAL ~
BUILDING PERMIT APPLICATION `~a S/c~ 2 S'
~'~~`l C 1 CITY OF EAGAN
I C~ I 3830 PILOT KNOB RD, EAGAN MN 55122
65'I-681-4675
New Constru~tion Reauirements RemodellReoair Reauirements
. 7 regislered site survey5 showing sq. R. of lol, sq. R. of Muse; and ali roofed areas • 2 w0~es of plan
(20%mazimum lot toverage allowed) . 1 sel of Energy Calculalions for heated additions
. 2 copies ol plan showing beam 8windax sizes; paured (nund desgn, etc.) . 1 site survey for exterior additions 8 decks
• 1 set of Energy CalcWations . Indicate if hame served 6y sepcic system for adaitions
• 3 copies of Tree Preservatbn Plan if lot platted after 711193
. Rim Joist DeW7 Options selectbn sheet (Dldgs wi~h 3 orless units)
DATE ~ ~ ~ ~ VALUATION 4 ~ 3.~ ~J~ •
1
SITE ADDRESS ~n SQ /~l~ ~f ~ MULTI-FAMILY BLDG _Y -'Rf'
TYPE OF WORK _ K~c ~~oU F FIREPLACE(S) _ 0_ 1_ 2
APPLICANT T L S Q/"
STREET ADDRESS lSZ S~.!~ Hl~~-/ /.3 GTY_~~STAT~ ZIP ~5,3 ~j ~
TELEPHONE # ~T ~'"O`i~Y CELL PHONE # FAX #
PROPERTYOWNER ~dg~T ~2-~ /T~ TELEPHONE#
COMPLETE THIS SECTION FOR ~NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MIIVNESOTA RIILES 7670 CATEGORY 1 MINNFSOTA Ri1LFS 7672
(J submission type) • Residentlal Ventilatlon Category 1 Worksheet Submitted ~ • New Ensrgy Code Worksheet Su6mitted
• Energy Envelope Calculations Su6mitted
Plumbing Contractor: Phone # _
Plum6ing sys[em includes: _ Water Softener _ Lawn Spri:ilcler ree: ~90.04
Water Heater No. of R.I. Baths
No. of Ba[hs
Mechanical Contractor: Phone #
Mechanical system includes: _ Air Conditioning Fee: ~70.00
_ Heat Rccovery System
Sewer/Water Contractor: Phone #
° ° ° °
I hereby acknowledge that I have read this application, state that the information is correct, and agree t~ comply
with all applicable State of Minnesota Statutes and City of Eaga Ord' n es.
Signature of Ap¢lica
i
--11 fl ~8 20~f~-- -
OFFTCE USE ONLY
Certificates of Survey Received Tree Preservation Plan Received _ Not R yired
- t_._.~ _ aroz
PERMIT ~ nr~ ~~,~3
~ CY~TY' C3F EAGAN = ~ /i~/3
3830 Pilot Knob Road PERMIT TYPE: BUI LDING
Eagan, Minnesota 55123 Permit Number: 0 212 2 4
(612) 681-4675 Date Issued: 06 / 17 / 93
SITE ADDRESS:
4850 SAFARI CT N
LOT: 20 BLOCK: 2
SAFARI ES7ATES 1ST
P.T.N.: 10-65850-200-02
DESCRIPTION:
(3EE REMARKS)
fi^ef~i ~
n~ Permit Type OECK
wilding~Wark Type NEW
~BC Occuparrep~ R-3
fluild3ng Lertgt~r 20
Buil,dirf~ Width ~.,a_.1 16
~ ~
u,;, , f~
~ i
, .
, . l--
t, r ,
r
~
~ ~~~~~i.~~ ~~?~r~
~'-~--~r,F`~ ~
REMARKS:
FOOTINGS WERE INSPECTED WHEN HOUSE WAS UNDER CONSTRUC7ION (PERMTT #19381)
FEE SUMMARY:
Base Fee $25.00
5urcharge $.50
Total Fee $25.50
CONTRACTOR: - Applicant - S1'. ~zc OWNER:
JQSEPH CONST, J 14545002 0906020 KRTHA BOB
9380 MALMO CTR 4850 SAFARI CT N
EAGAN MN 55123 EAGAN MN 55122
(612) 454-5002 (612)452-6125
X hereby acknowled'ge ~h~t I have read this app2ication and sta~s thet the
in~armata~an is correcC and Ag-ree to comply with all applicablB State af Mn.
' Stat~~es and Ci~y of Eagen drdin~nces.
~ ~
~1,n~Lr~-~-~.!
~.t~
APPLICANT/ EE SIGN URE -~SSUED Y: IGNA
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: euz~orNs
3830 Pilot Knob Road Permit Number: 021224
Eagan, Minnesota 55123 Date Issued: 0 6/ 17 / 9 3
(612) 681-4675
SITEADDRESS: ~oT: 2e BLOCK: 2 APPLICANT:
4650 SAFARI CT N JOSEPH CONST, .7
SAFARI ESTATES 1ST (612) 454-5002
PE RM~KSUBTYPE: TYPE OF WORK: NEw
OESCRIPTION (SEE REMARK3)
. .
FOOTING FINAL
REMARKS: FOOTINGS WERE IN3PECTE~ WHEN HOUSE WAS UNDER CONSTRUCTION (PERMIT ~19381)
~ ~
~ . ~
REACTIVATE _ CITY OF EAGAN
PERMI"~' ~ 1993 BUILDING PERMIT APPLICATION
~ ~ ~ fi81-0675
.t n:.,~ ~ -I!,
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of enerqy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last xorking day of month.
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date ~ / Q-3 Valuation of work ~'~-CIC1
Site Address: ~B~O -sf'Ae~ ~'T. ~
STREEi SU3TE ~
Tenant Name: (commercial only)
IAT ~Lv BIACK ~ SUBD. P.I.D. M
~ Descri tion of work: Ec~ - 9~/ 9/ w~
The applicant is: ? Owner Contractor ? Other (Deseri6e)
Name ~K/r'1A 80~ Phone S~~Z-~/z~
Property ~.ST FIRST
Owner pddress ~/c~so S~~.a~e. C=~ /ll
STREET STE ~
City ~F1C-~R~' State /`~K' Zip S~iZ2
Company ~asEP~? C~.~sr Phone y-~~-s~%~'2-
CO~tf8Ct0~ Address y~~O ~'QL~Yn License ~ 6aZ~ Exp.~r~X
City ER G~^' State Zip
Company Phone
Architect/
Eng(neer Name Re9istration M
Address
City State 2ip
Sewer & water licensed plumber Protessing time for
sewer ~ water permits is two days once area has been approved.
I hereby acknowledge that I have read this apPlication and state that the information is
correct and agree to comply with all licable State of Minnesota Statutes and City of
Eagan Ordinances. ~ ~
Signature of Applicant:
~
OFFICE USE ONLY
,.i,;. ,
BUILDING PERMIT TYPE ~ ` 4
" ` +;i ' .v.
. 'i
? OI Foundation ? 06 Duplex O 11 Apt./L~in~ •~:15 Basement Finish
~ 02 SF Dwg. O 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
~ 03 SF Addition ? 08 B-Plex ? 13 Garage/Accessary O 18 Cortm./Ind.
? 04 SF Porch 0 09 12-Plex ? l4 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. ~15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
31 New ? 33 Alterati~ns ? 35 Tenant Finish ? 31 Demolish
~32 Addition ? 34 Repair O 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) lst F1. sq. ft. City Mater
UBC Occupancy 2nd F1. sq. ft. PRV Required
Zoning 5q. Ft. total Booster Pump
of Stories Footprint Sq. ft. Fire Sprinkler J
Length On-site well Census Code C/~C/
Depth l~. On-site sewage SAC Code -T
APPROVALS o
Planning Building Assessments
Engineering Variance
RE~UIRED INSPECTIONS CC-,Xrsr~~w ~cs~.~~KUy~
? Site ~ footing ? Framing O Insulation
? Wallboard ~ Final 0 Draintile ? fireplace
Permit Fee S, ~O vaw.t;w,: S
Surcharge ,s~
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
5/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Oed.
Trails Ded.
Copies
Other
Total: ;7s,s-o
SAC %
SAC Units
y~l ~rt ~n ~rar' ~~~r~? T~~. . ..o m,.n_ _ . _ . ..~.F. . . w . _ . ..,.nm. . . . ~ xn~v,a.~..e+.
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Certiticate of Survey tor: -t~-1~~ i
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AGAN ENGI ~ERING DEPT sQ
• soo.o Denotes fxistin¢ ~~evafion ~~s ~
• oo.n benoles Pmpo3~ed ~'lei!Q'~~an ' ~ ~ owes. -ovr Elcr/o~ ~
- ~ D~enotes ~na~i~a¢e i U1rli~~ly ~dsement Top v''B/o~'k fl?Vd1~pl~ ~~q:a.
~ Deno~rs Dinairrd~~~e~ flo+~?"Direclidn Ga~~ Slab E'~eycrfio~~~33.~. ;
o Ae~a~fes Morlt~~rt?n! B~,rrin~s ~wwn nre ssu~ial p~e ~h :
;
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PAKOTA couury, A[1~i,y[sorA
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~t th~ Irin Of lfi0 Statf OI Mln~mlota. Oeted thN ~rf dq pl A.D. 19~ ~ . .
R~.y. 6-s~-9~ -new 6o~se ~PGMON .
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Scale ~ 1~=40 ~ 9m3 R 3~;~,~p o~M~d ~o.
~ _ .
2~22 EntP,rpriSE Or~w
~~NCSUavtroea.wvacrwinc[~ M«ndota Me~ghts, MN 55t20
yC~~J nBBI- F~Igr•• t/~NO/L1~M~'RM~LANO^~.aCAIErtHGH~TCGTS IV~G~ VD~'IJ~~ .
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Certiticate of 5urvey tor: A~t-.l~GTD/~? ND/'!ES ~
/ NORTH
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DAKOTA ~NrY~~M1~~sorA ~
1 herebY ror~liv thRt Ibis auMV. 4~9~ Or repprt P~ ~r^~ bY m~} ar vnde. my dirRCt s~ptp~v~i~sinn an ~ 1 a~n dulv ~1rt9ismre.l land SurveYO.
u.db the fawf of tha Sbte Of Mim~e~op. Oeted thh ~~S Aev ol v~'~~ r.D. 19~L-- .
xev. 6-z-r-q~ -new 6o.,st ~04TYO~
7- I -~j( -edQ K:yi~}' Elev.
~
L R Siel~ ~a«.~n ~'S I2P9.1lO. 190P6
~ Sca/e :1 " -40 9~z„
. ~
~ 1991 B LD~P~ TION
5 CITY OF EAGAN ~ -
SINGLE FAMILY DWELLINGS HULTIPLE DWELLINGS COMMEERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY IAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
' NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE W1lICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER 6 WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER. •
~ ~ ~
~ Be Used For;~ ~/r+. h om~ Valuation: ~ Date: / / /
Site Address ~{~S~ -SAL/}R. ~f- • OFFICE IISE ONLY
Lot Zp Block ooO ~
FEES c~
Occupancy "3 M~~ Bldg. Permit /9~i00
` r Zoning ~1 Surcharge ~j2,00
Parcel/Sub .7 A',~/f~ r~57~~4 ~ES Actual Const Plan Review , aa
~J / Allowable Y-M SAC, City ~e0~
Owner fy'/L( i viS T~ 7'~'~ ~S # of stories SAC, MWCC 6SOAn
' ` / Length ~vT Water Conn. ~D
Address /..377~ ~/C~/1cL-~7~^ ~t: Depth ~ Water Meter (i~d0
S.F. Tatal Acct. Deposit 30~0 D
City/Zip Code s/F~~SE ~,n $S,j7fl Footprint S.F. S/w Permit ,JJ
8`~ 4~ 33 FsS~ / y 9 S s/w surcharge ,So
Phone y.~ On site sewage_ Treatment P1.,~~6,0 O
~J / On site well Road Unit O~Oo
Contractor r"I'Z( i~^S ~/7'~~ FS MWCC System V Park Ded.
City water t/ Trail Ded.
Address ~1ivr~ E PRV _ Copies
Booster Pump _
City/Zip Code SIIBTOTAL
APPROVALS Penalty
Phone Planner Lot Change g-~-
/ ,1 Council TOTAL .J,~ ~
Arch./Engr. ~/~~i nS }-o~ ~°~ES gl'dg. Off.~J~-9/
Variance C
Address Sf}'r1'1~ _ ~l"-~'~
City/Zip Code
Phone # , I
~ ~ 1~
agrees that all work shall be done in accordancA with
(Sign ture of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
~
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* * .
Certiiicate of Survey tor: ~'+n~~v~Q~• ~ •O's`~5 ~
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1EP?GAi~T ERIGIs'VEEAING DEPT I so
~ 9vo o Denoles Exrslin £levalio» PRt7pO5E0 HOtJSE ELEV T
, • oo.o bu~olesProp~~~d~'le~'fian Lawes 7aorEleva ion F8s zo
- Denotes dramo¢er Ulili~ly ~asemenf Top a,~'BlackE~evalion ,~q:~.3~
Deno{rs Ora'irr~~
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u~der tha 4vn of (he Stma e~ Mlnrte7oU. DeMd tFh xl S ~n, a~~,_ n.D. 19~L ~
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COMM. NO.
Planning Design Inc. .
1611 Highway lU N.E.. ~
Minneapolis, MN 55432 .
b12-76U-1420
Minnesota State Energy Code Calculations
Based on Chapter 5 of the Model Energy Code
1983 Edition Adapted 1/1/84
Owner: MODEL HOME CO^MM. NO: 8 0576
Site Addres~: („p°C GO ~t~.~t~/ J~r~ ~t P1~1~o~
Contra~tor: ~ ARLINGTON HOMES Phone:
Pldg. Class: A1 Ai for Single Family/Duplex
A2. residential < 3 rtories
Over 3 stories
Ot h er'
GElVERAL INFOF:MATIDN ,
Note: The section designations ("Section A"~ "Section b" etc.) are for
convenience in calculatians only, and are not related from one set of
calculations below to Ehe next.
1. I~1dg. Walls Perimeter x Wall heights, ~ Area
ground ta eave
Section A : 83.5 9.88 = •824.98
Section B: 9 12.83 = 115.47
Section C: 79.`i 18.68 = 1465.U6
S'E•ction D : ~ p ~ u
Gross Wall Area = 2425.51
building dimensions Floor or
~ ~ Ceiling
Length x Width = Area
Sect i an A: 6 14 = f14 '
Section B: 16 28 = 448
Section C; 3~ 3~ a 1024
Section D: V p m p
Total floor or ceiling area = iJJ6
Ftim Joist Ferimeter = 172~
Floor joist 2 by (B", 10", 12" or 16")): 10
Rim Joist Area a 143.3333
4. Doors
Area: 43.8 Thickness (inches): O
Ferimeter (feet): ~l
Type of constru~tion:
5. Total door's perimeter: 0 •
6. Window5 •
•
Manu4acturer: • U factors 0.52
State approved: YES
Type Height x Length x Number = Total
(inches) (Inches) of glass SqFt
units
CASEMENT 60 16 2 13.33
CASEMENT 48 20 2 13.33
CASEMCNT 60 20 6 SU
CASEMENT z6 24 4 24
CASEMEN"f 48 24 2 1S
CASEMENT 60 24 7 70
FIXED UNIT 24 16 2 5.33
FIXED UNIT 24 20 2 6.6%
u o 0 0
o u o 0
0 o u u
0 0 0 0
a o u o
.
7. Window elass area (SqFt) a 19B.66
Type Height n Length x Number m Tatal
(feet) (feet) units SqFt
e. Patio Door: 6.85 3 2 41.1
9. Atrium: O O O 0
lu. Fireplace area
Width: b Height:
Total Sq Ft = 30
li. Er.posed Foundation '
Height are~ A: 0.67 Perimeter area A: 172
Sq Ft area A= 115.24
Exposed Foundation
Height area li: 0 Perimeter area b: O
5q Ft area B~ p
1~'. SqFt U factor U r, A
Gross wall area~ 2425.51
minus
Window area 398.66 ` 0.52 1Q3.3
Patio door area 41.1 0.47 19.3~
Atrium area 0 0 o
F.im Joist area~ 143.33333333 0.041 5.88
Door area 43.8 0,14 6.13
Fireplace area 3U 0.76 22.8
E>;posed Found. 115.24 0.14 16.13
~ Framing area 242.551 0.095 23.04
equals r
,
Totals for net a~~ll: . 1610.8256667 0.043 69.27
. ~
Totals for gross wall area: 265.87
* Framing area is 10% of gross wall area
13. Gross wall area x factor below ~ U x A per cade
Factor is .11 for A-1 single family & duplex
.23 for A-2 and okher residential
.23 for other buildings
.28 for over 3 stories
Factor is: 0.11
bTUH ~ 266.8v61 MUS7 &E ? Ok @ ,265.8
(calculated above)
14. Gross ceiling area a 1556
15. Ceiling framing area (10% af ceiling area) e 155.6
16. Joist Area f10% of ceiling area) ~ 155.6
17. Net ceiling area (6ross ceil. area - Joist.area) = 1400.4
18. U ceiling: 0.021 x Net ceil. area = 29.4p84
19. U framing: 0.024 x'Joiat area a 3.7344
2U• Total of item 18 x item 19 ~ 33.1428
21. Gross ceiling area x factor below ~ U x A per code
Factor is .026 for A-l single family & duplex
.033 for A-2 and other residential
.~6 for other buildings
Factor is: 0.02b
BTUH = 40.456 MUST BE > OR.a 3~.1428
(calculated above)
.
• . v/ nul~~ln~ rr, rt rhwC U YMLUG I
~
, ~ Inalda •1s film .6$ • ~
~ IiALL ' , ~ ~f IiiCerlar v411 .45 (ilall) •{T + 1 . • I
SECTION ~ . ' a
~ Insulation 19 .00
i~ ' Sheathing ' 2.06 .043
~...~r- " • Siding .67 `
. ' ~ Ouutde atr fLlm .17 f
(
~ a ror~t. 23.03 • ~
~i Instde alr film .6$
ST'CD ~ . Interiar wall .45 ~
sErrzo~+ ~-~xau ,cua - 6~~ R~ ~6.5qFr~inB) u. ~ .
~ ~ Sheathing 2.06
` ' SLding • .6'J 0
~
Outslde air tllrs .l7 '
~ •
. ~ s ror~. 10.53
~ In~tda al= E11m Ro .68
~ Y~ ~ Int•rLor Yall '
SE~Z'=ON IRSUlaClco ~w~ll ZY ~ ~ +
Shsachiag .
. . ' Exurivr xall covering
ExCar.lac ilr film' & ..17
•
8 TOTAL ' .
_ • ~ ~ Inteetot slr fLlm R• .68 ~
I 2nsulatson 19•00 y . . . '
JOIST ti . ~ I~ inch soE[ woud R=1.88 ~Ai~ U s~.
~ " ; • Joist) •
Sheachlag 2.06 ~041 . ~
Extcrior xall covering .67 •
~ Exterior air film ~ .17 ' ~ ~
~ ~ s '1'oTnL 24 .46 . .
• . ' . '
. • Lnterloe air film R° .68 .
. .
. ~ Insul.cioa 5 •00 ' .
. . . ~ r.`~1 . .
~ Foundation ' , `1.28 '(F~ ) U f
~ , • •
~ E:tarlor air .film ,A~ .17 . ~ '
. ~ & xor~t.. :i7 .1>3 . . . ~
` . • ~r"~~~^~ ~
. , poaed Sluck . :i: ~s
. . • ,
; . , ' ;
~
.
A ~wL~c" /h UE . • .
f~L'4IJ~G . CEII~~{G
. • " ~ O.EI Air Film '0.61 .
~ 36.00 InsuTation ' 44.00
~
4.38 Joist . ~
: • ..56 Ceiling •56
• ~ + , j = .
; . .
O.E1 Air Film 0.61•
, 41.55 Tota1 R 45.78 ~
1
.024 U = ~ • .027.
• • .
F! AT. RC~F OR GATHEDRAL CEILI~~G ~ ~
'la ue R 'IALUE ~
FR;+,~SiNG CEILING
~ I
I . ~•61 Inside air film 0.61
~
. Ceiiing
.I Joist (stud
Insulation
~ E Air space
RaGf detking
Insulation
, .
' . Built-up roof
I~~ . ~•17 Outside air filn 0.17
Total R •
• l ~
• R~
lindow infiltration .5 cfm/lineal foot of crack ' '
tesidential door infiltraticn 0.5 cfm/squ~r2 foot ar door and minimum code requirement
~cn-residential door infiltration 11.0 Sf~n/linea] foot af track !
Jp 12" concrete block no insulation j..47 R 2.1 f
!b 12" concrete block insulated cores ~.26 ~ 3~.8 , i
1~ 12" IiSlit~eiaht block •.32 R 3.1' • . ~ ,
%b 12" ligntwei~ht block insulated cores =.12 R 8,3 ~
~
J single glass = 1.13; with starm .winda~r .54 ~
J double 91ass = .55 •
J triple glass ~ .4l , . ~ ~
. , , ~
y
iil e~tzrior walls and ceilings must have a vaaor ~arrier (0.10 perm m3x.): ~
:apor barrier must be on the inside (heatz4 side) of wa~7. '
~apor barriers of the polyethelene thin film hav? no R value.
. • .
• ' Y
, . , ~ . 'r . ' , _
, . ,
. . ; .
CITY OF EAGAN FOR CITY USE ONLY
3830 PILOT KNOB ROAD
7 ~ EAGAN MN 55122 PERMIT #
PHONE: (612) 454-8100 RECEIPT # ~ 9/
~~iBING..i'~~[~T DATE: 9
~S~Cl~~x`~{1~j,, PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION COMPLETE THE FOLLAWING:
N0. FIXTURES EA. TOTAL
NEW CONST ADD-ON MINIMUM 15.00
ADD ON _ ~ SHOWER 3.00 30C1
REPAIR _ ~ WATER CLOSET 3.00 `'I Ul1
BATH TUB 3.00 ~n.Clll
OWNER NAME: ~,nQ,~.,~.f.a~~IO~c~n.Q_A~ ~ KITCHENYSINK 3.00 /3.n1~
, ~ LAUNDRY TRAY 3.00 ~CZ
SITE ADDRESS: HOT TUB/SPA 3.00
~1 ~ WATER HEATER 3.00 )O
LOT: o~~ BLOCK SUBD. P FLOOR DRAIN 3.00 ~
~ Q'~~~ , GAS PIPING OUT.
INSTALLER: '_1~iL1 ~ (MINIMUM - 1) 3.00 `~•O~
ADDRESS:~~91~~c..11~.e~~L~ _ OTHER OPENINGS 1.50
CITY:C~I'V~f~S~SL~ _ WATER SOFTENER 5.00
.MS'l~, ZIP; ~~I~ PRIVATE DISP. 15.00
/ _ U.G. SPRINKLER 3.00
PHONE ~ ~~o
~\1~ ^ - ~ SUBTOTAL S ~y .C~ v
~ Y YJC.U_3~ ST. SURCHARGE .SD
SIGNATURE OF PE ITTEE ~
TOTAL: S S~"~- SO
~p~IMERCIAL~iNDUSTRIAL' PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMILY BUILDINGS WNEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRICE: FEES
OWNER 2dAME: 18 OF CONTkACT FEE.
STATE SURCHARGE - $.50 FOR
SITE ADDRESS: EACH $1,000 OF PERMIT FEE.
LOT: BLOCK _ SUBD. $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 18 $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE
(SIGNATURE)
FOR:
CITY OF EAGAN
CZTY OF EAGAN FOR CITY DSE ONLY
, 3830 PILOT KNOB ROAD
, EAGAN, MN 55122 PERMIT #
PHONE: (b12) 454 8100 RECEIPT # /O~'.S~-
~i~CHbNTCA~. F~RMI'x DATE: $ % `I/
j~SIDEH~'~AT, PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLZNGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION FEES
NEW CONST ~ ADD-ON MINIMUM $15.00
ADD ON HVAC 0-100 M BTU 24.00
REPAIR ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIM[TM 3.OD
1 OF 1 PER PERMIT
OWNER NAME : ~ C~ \ \ ~Q ~ F ~
c SUBTOTAL: $ ~
SITE ADDRESS• "`I"~~SL~, JG~0.`C''. C~ STATE SURCHARGE: .50
LOT:~ BLOCK ~ SUBD TOTAL: $
INSTALLER: ~~C'~ _ '
e~ + r '
ADDRESS C• , d~ ~ O ~"l d~ SI ATURE OF PERMITTEE
CITY: l~~ ZIP: ~~C~~
PNONE C~~t~~
~OMMERC~AT./~PUS2'~~AS,:;; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
. .
APARTMENT BUILDINGS, AND MULTI-FAMILY BUZLDINGS WkiEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLZNG UNIT.
CONTRACT PRICE: FEES
OWNER NAME: 18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
SITE ADDRESS: EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING = $25.00
LOT: BLOCK _ SUSD. $2i.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 18 $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE
(SIGNATURE)
FOR:
CITY OF EAGAN
-~3poS S ~ S0
2oos RESIDENTIAL PLUMBING PeRMiTaPP~icarioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date ~ ~ 1 ~6
Site Street Address ~~~U S3'~T~K I G i ~ Unit #
Property Owner ~6 ,~r~ hG~ Telephone # ( )
Contractor -~@ / ~ Telephone # ( )
Address City State Zip
The Applicant is: ~ Owner _ Contractor 40ther
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
, Alterations to existing dwelling $ 50.00
j~--Add plumbing fixtures. This fee includes installation of a water softener and/or water
heater at the same time. If you are installing onfv a water soffener and/or water -
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
WaYer Turnaround (add $130.OD if a 5!8" meter is required)
1-'ll'I ~
~ ~ 7
Other. `
- -
F
Water Softener Water Heater $ 15.00
_ new _ replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
Sfate Surcharge $ 50
Totai $ ~
I hereby apply for a Residential Plumbing 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 the plumbing codes; that I
understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in
accordance with the approved pian in the event a plan is required to e revie ed and approved.
,6~~' ~ /~~,6+~ ,
ApplicanYs Printed Name plicanYs Si ture
~Z~)gS
2006 RESIDENTIAL BUILDING PERMIT APPLICATION ~ 2 S
City Of Eagan v/iw. e^~
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Consimction Reauiremenis RemodellReoair ReauiremeNs 0€fiCB,j
I~e OAN
3 registered sile surveys showing sq. N. of lol, sq. ft. of house; and all roofed areas 2 copies of plan showing footings, beams, joisls CEtt 9~~~Y RBGd _ Y,..' N
(20% maximum lot cwerage allowe~ 7 set of Energy Cakulations for heated addi~ions I~ee Fr¢s Flsn, ReCtl ;Y N:
2 copies of plan showing beam & windov+sizes; poured found design, etc. 7 sife survey (or additions & decks ~ree Pres Requved _Y N
lsetofEnergyCalwlations Addition-indicateifon-sifesepticsystem Dn-sile5e~ii~3ystem .,;;Y WN~
3 copes of Tree Preservation Plan if lot platted a8er 711/93
Rim Joist DeWil Options selection sheef (buildings with 3 or less unils)
Minnegasco mechanical ventilation fomi
Date / ~ ~ 06 Construction Cost
Site Address y~s ~ ~I~~~/ GT UniUSte #
Descriptian of Work F//v'/.f/1~ ~/1~f~~r~~d ~ ~~~~P~~
Multi-Family Bldg _ Y~ N Fireplace(s) _ 0~ 1 _ 2
Property Owner /Cd ~i-f T /~i'r'~a~ Telephone # (!p!Y ) Yf ~ -~~2 t'~'
Contractor S~'L ~
Address City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Catezorv 1 _ Minnesota Rules 7672
Energy Code Category Residential Venlilation Category 1 Worksheet . New Energy Code Worksheet
- (~J submission type) ~ • Submitted Submitted
. Energy Envelope Calculations Submitted
In the last 12 months, has The City of Eagan issued a permit for a similar plan based on a master plan~
_ Y _ N If yes, date and address of master plan:
Licensed Plumber ~ Telephone ~
,
" i~
Mechanical Conhactor I. Telephone )
~ „~•r. - ~_wc ' ~
SeweNWater Contractor I.~ Telephone ~
~ i
1- 1_-
~
I hereby apply for a Residential Building 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 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 requires a review and
approval of plans.
,f
e6t~~F ~ , ~
ApplicanYs Printed Name Applicant s Si ature
DO NOT WRITE BELOW THIS LINE
Sub Tvaes
? 01 Foundation ? o7 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Eut. Alt- Multi
? 03 01of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 33 Ext.Alt-SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ~ 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior _~?~h 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation `O" 45 ~+re Repair
~,33 Alteration ? 37 Demolish Building' ` ,
~C~ 43 Reraaf e ~8' SZIVindows/Doors
? 34 Replacement •Demolition (Entire Bldg) - Give PCA handout to applicant
"!:,.~r~•;.~`ya;'~-~`,,., 'x'1~s ~\•y~_•`\~A~\a.~„"~R1'~ 'a;Z.; ~''~'~e.`.~~'.:~'.
DESC~IqtlOn: WaterDamage_Yes
Valuation ~ Occupancy MCES System
Plan IQeV.iEv~c ~_,___ti~Y00°/q-Qr~_ 25% . ~ ~ .
~ nah.w~? .`r^.~
t'!s•~ .
Census Code ~ Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV ~ z~
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIItED INSPECTIONS
_ Footings (new bldg) _ Sheetrock
_ Foo[ings (deck) FinaVGO.
_ Foo[ings (addition) ~ FinaUNo C.O.
_ Foundafion Y HVAC
Drain Tile 7~~ Other
Roof _ Ice & Water _ Final _ Pool Ftgs Air/Gas Tes[s Final
~C Framing _ Siding _ Stucco Lath _ Stone Lath _Brick
X' Fireplace~ RL V Air Test ~ Final _ Windows
Insulatiord~' 7e _ Retaining Wall
Approved By: ( 1, , Building Inspector
Base Fee
Surcharge / ~~1/~'~
Plan Review L ~ " ~ rf
~1 Ll
MC/ES SAC ~j.,,r~ I lJ" (
City SAC ~r ~
I -,r1~`~G~6'~"PZ.° ,~Cs
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
, . - ~
Copies ;
Other . yyn~ ..R j.. -L' ...~a ~ ~ .
Total
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-
y zoo~ RESI~NTIAL BUILDING rE~i~rLicaTrorr ~
° ~ ` ~~f
~ City Of Eagan ~ C~f,~'
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construc6on Reouiremen(s RemotlellR
oa~ ONce lJse Onlv
3 registered site surveys showing sq. ft of lot, sq. ft of house; and ail roofed areas 2 copies of plan showing footings, beams, joisis Cert o( Suney. Recd Y_ N
(20~a maximum lot coverdge allowed) 1 set of Energy Calculations for heated additions Soils Report _Y _ N
1 Soils Report if proposed buiiding is to be placed on disturbed soii 7 site survey foradditions & decks Tree Pres Plan Recd .'•_Y -_N.
2 copies of plan showing beam & window sizes; poured found design, etc. Addttion - indicete ilon-sife sepfic system Tree Pres Reqwred ~ _ Y~~_ N
1setofEne~gyCakulations Qn-sRe~Sep~c5ystem~ ~~~_Y ~_N
3 copies oi Tree Preservation Plan if lot pWtted aher 7l1193
Rim Joist ~efail Options selection sheet (6uildings with 3 orless uni~s)
Minnegasco mechanical ventilaGon form c~Q,(~.~
P[ans are considered public information unless ou state the are trade secret and the reason.
/ r ~ c~ ~
Date J l (Y l~'J ~ Construction Cost ~%J~~
Site Address `7~~ S~-~4 ~r ~iT ~ UniUSte #
Description of Work ~ ~C°1L..o rf1y~ ~S71L.., 1/'~~~ /T*J~ ~ ~~I~ ~~~5
Multi-Family Bldg _ Y~ Fireplace(s) ~ _ 1 _ 2 . -
Proper[yOwner TJ(]!~ 'f~~~/ST~ /~--Q~ ~A Telephone#( ,~0-r~h ~s~ -rn/,~S
Contractor ~%~~1'~l ?Q(tc'H 4n~~~<.4~~"'S~~
Address / 7 3 % L/ t~'j /F~3/ ~ ~ City %'~'S %"~'nll'i
State Zip Telephone # ~ / ~ - Sr~~,~
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- - Mianesota Rules 7670 CateQOrv I _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category t Worksheet • New Energy Code Worksheet
(J submission type) ~ Submitted . Submitted ~
~ . Energy Envelope Calculations Submitted
In the last 12 months, has ihe City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan: '
Licensed Plumber Telephone )
Mechanical Contractor ' Telephone # ( J
Sewer/Water Contractor Telephone J
I hereby apply for a Residential Building 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 the State of MN
Statutes; I understand this is not a'permi~; 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.
o~~~o~~~
~u ~ ~e~`~u,s ~ ~ ° -
Applicant's Printed Name Applicant's Signature ° MAY 2 4 2007
•DO NOT WRITE BELOW THIS L~ 1
i
Suh TVPes
? 01 Fountlation ? 07 05-plex ? 13 16-plex ? 2D Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ~ 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc.
? O5 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
O 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
,x~ 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
< ~
? 33 Alteration ? 37 Demolish Building* ? 43 Reroof 46 WindowslDoors
? 34 ReplBCement `Demolition (Entire Bidg) - Giv ~ PCA handout to applicant ~
De5C1'IptiOn: Water ~amage _ Yes ~ ~
Valuatian V~ ~ Occupancy ~ MCES System
Plan Review ~ 100% or _ 25°!o Code Edition
Census Code ~ Zoning ' City Water
SAC Units Stories ~ ~ Booster Pump
# of Units Sq. Ft. PRV~
# of Bldgs Length Fire Sprinklered
Type of Const Width + ~
~
REQUIRED INSPECTIONS
Footings (new bldg) Sheetrock
~C Footings (deck) Final%C.O.
T Footings(addition) ~ FinaUNo C.O.
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final PooY` Ftgs Air/Gas Tests Final -
Framing _ Siding _ Stucco Lath _ Stone Lath _Brick
_ Fireplace _ R.I. _ Air Test _ Final Windows
_ Insulation _ ' Retaining Wall
Approved By: , Building Inspector ~
Base Fee
Surcharge
/7/~~t
Pfan Review
MC/ES SAC / ~ ~ ~ ~
City SAC
Utility Connection Charge ~~I}"'f~,. ~j
S&W Permit & Surcharge ~ aG
l7/`i ~
Treatment Plant
License Search
Copies
Other ~
Total
4r5-.0 .5,01P.ither c -7- ,td: ARE STOP SOFFITS AND ALL
OTHER DEAD SPACES.
SMOKE DETECTORS
--MIRED ON ALL LEVELS OF THE HOUSE
i_EENNG ROOMS. ON LE.—
u SLEEPING AREAS. CENTRe,
LATE SMOKE DETECTORS IN HALLWAYS.
Pin/ *--A•
• -4P
A FOUNDATION WALL MOISTURE
BARRIER IS REQUIRED BETWEEN
INSULATION AND FOUNDATION WALL
FROM Fl nnr? TO GRADE
A - /it ' " cede/vox:- groors
04,4 Rait/.0.29,
7FtRA.
t 'Lit`,
pit77—rto 1-10012 gfis
.-M6a5
A VAPOR BARRIER MUST BE
INSTALLED ON THE WARM SIDE OF
ALL WALLS AND ATTIC CEILING.
ENCLOSED USABLE SPACE
L.':\,; DER STAIRS MUST BE
Y FINISHED WITH
3UMBOARD
3Y-
WIWPet
STAIRf3 SHALL BE PROVIDED WITH ILLUMINATION IN
THE IMMEDATE VICINITY OF THE TOP LANDING.
EAGAN
REVIE
1Ss
BUILDING INSPE TIO
S D VISION
tiM mit>