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4862 Safari Ct N r~ff ~.ec 7:~•.,,~ z~r~. v•. ~r3~ ~_.•.~.r~: HOUSE HEATING TEST RECORD ADDRESS ~ ~1~~ r~ ~FI~ F' - • APT. FIOOR GTV SUBURB OCCUPANT f~ ~ ~ ~ owNER HEAT LOSS pATE HTG. INST. ~ G' G' _ SOLD BY ~a ~f~ M~r A:~-' INSTALLED BY LJ ~l iL El~chieel Work Br Gos Lin• Br 1 C TYPE ~F HEAT GA FA Hw 57EAM SPACE HTR. UNIT HTR. OTHER GAS DES~GN C~NVERSION IrAAKE ~rf;• ~ f%J MAKE OF BURNER Mod~l • ~ ~L!~ ~ ` ~ ~ Mod•I S«ial ~ ~`~~J 1~ Ma~. BTU Rotinq INPUT ~ U~ MAKE OF FURNACE A~1od~1 ~ CONTROLS THERMOSTA r ~ ~~Flso? Pluy V~nf Si:• a ~ ~ Va1v• KINO OF LINER SIZE NONE _ . Li~i~ 1~~ Dra(e Hood R~9YIOTOf ~.C'~' t"~ I•`~,: Limit S~Ni~y ~ G s Fi Ihrs Si:• Fl. < f'`. 'CPIum6~? Fon S~ftino T/ ~ Chimn~y Location Insid~ Ovtsid• ! Pilof Typ~ ~i Chimn~y Construction Pilor Mok. ~ Pilot Med~l Smok• Bomb M~irinp Pilot Timin9 G'-~~ DroFt T~st Toq L.M~. Cut Ofl Door Pressur• Liyhtinp Inst. Pr~ssur• I~ P~rc~nt C02 Dote T~srod ! I ~ r( ~ Input CFH 7'~~,_~ P~rt~e~f OZ ~ Compony 7esling r' Stack T~mp. J~~ P~runt CO Name oF Tes»r L) Fw~ 235 CASH RECEIPT ~L ~ ~ ~ CITY OF EAGAN P. 0. BOX 21-199 EAGAN, MtNNESOTA 55121 DATE 19 ` weccivao. , . _ FRO~f , ' AMOUNT $ I ~ DOLLARS ~oo ? CASH ~ CHECK Po~ ~ a . FUND . CODE A~.10UNT ` ~ ~~J ( ) v` ~ ' , ~ ~L ~ / ~ i i / !,1 u~ r ~ ) ! ` ~ 5 S i „ ~ ,~L_ - ~ ~~.,J c. S 1 , c _ .-~J~ ` L, 7l r Than ou _ ~ . _ ~ ~P 3. ~ ~c-; ~ B Y ~ ~ dbU ~.L U. c-''c~ ~ White-Payers CApy ~ Yellow-Posting Copy Pink-File Copy CITY OF EAGAN Remarks Addition SAFARI ESTATES ~ot 21 Rlk 2 Parcel #10 65850 210 02 Ownet' Street ~+862 Safari Court N~. State ~ Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. j.~$2 1037.5~ 1~3.']rj STREET RESTOR. 9$ . JC n n GRADING 1982 603.03 60.30 SAN SEW TRUNK ~j L 1~ ~F 1. (~1 3 IF SEWER LATERAL 1 SZ 1 .2O 1~4 .~4~F WATERMAIN * WATER LATERAL 1 S2 WATER AREA (p~j 1 82 ~ ]..6j} ~ $P~'1~CEB 1 ~ STOFM SEW TRK 33 1 2 866. 1 1 3. 38 346. 7 A 14 29 10-15-84 * STORM SEW LAT 1982 S CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 260 WATER CONN. 4~0.~0 " " ~UILDING PER. ri 5AC ~ r n PARK . . ~~.~.f----- . _ ~ , CITY OF EAGAN _ g54~ , 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 . PHONE: 4548100 , , , BUILDING PERMIT R~~~i~r # Te w wed ia :~F ~W~/G~ Eat. Vnlue $128 ~ 000 p~e SEPTEMBER 26, 19 ~4 Site Addresa ~ SAFAR I CT NO Erect ,it R-'' L'1 Occupancy Lot 21 Block 2 Sec/Sub. SAFARI EST Remodel ? Zoning Parcel No. Repair ? Type of Const. V Enlarge ? No. Stori M.47. JOHNSON CONST Move ? Len th W Name 9 ~ Address P- O. BOX 13 0 Demolish ? Depth City FARMINGTON phone 2- Grade O Sq. Ft. ~ ~qL ApPeovols f~as Z~ Name O o~ Address Assessment Permit ' u Water E~ Sew. Surcharye 64 . 0~ ~ City Phone 51 . 50 Police Plon check ~W Name Firo SAC 525.00 u~ Address Eny. Water Co~n. 47Qa.Q d ~ W City Phone Plonner Woter Meter ~d CounNl Rood Unit~n0 1 hereby atknowledge that 1 hova read this opplicution and stafe that g~dg. Off. 9~25~t~4 Parks the informotion is correct ond agree fo comply with oll opplicobla APC Total i ~ Stote of Minnesoto Statut and City of Eagan Ordinonces. 1 Var. Date 5ip~ature of Perrnittes ~ t~ ~ , ;rr ' r j ~j ) l. ~ ' ~ , , . J ~ . . J c . , A Bullding Permit is issued to: o~ the exprou condiNon tha+ oll vrork sholl be dor?e in occordoexe with ~II qpp~icabl~ S.rot9.bf ~innesota Sfatutes ond City of Eo9an Ordinances. BWldirp Officiol ~(J 1~, t_ C~- G~, ~ Permit No. Psrmit Hold~r Dat~ Plumbin9 ~ ~`sZn ~ ~ ( 1 ~ . ~ , ~ _ ~i ~r H.VA.C. ~]l:'~ ' I~ i ~~~~c~L`' ~C,.ZZ Electric ~.~r o~'i- iWr ~ a v Softener Impection Data Insp. Other Footinys ~ by , ~ Fou~dation F?aminy Rough Plbg. - y Rouqh HVAC Inwlation ~ Final Plbp. Final HVAC S~~ Final / Cert/Occ. Water Deuribe Lotation: VYeI I Sewer Pr. Disp. , . . - , Receipt PLUMBING PEFi,MiT • Permit No. CITY OF EAGAN F~ y j G_~ ~ ~ fill in numbered spaces S/C Type or Prini legib/y Tot. r' 1. Date ~ - 2. Installation Cost ~ , . Li t ~ G fi 41 3. Job Addreu ~ C ; Lot Z~ Blk. Tract ~~T'~72 ~ 4. Owner ~ ~ ~Cfyl?_, - ~ ' 5. Contractor ~e~Z- Phone ~ - 6. Address ~ - / ~~f ~ _ • ~ ,:'f-;~-/c' T f.~ ~ / _ 7. CitY J~'lSr~l ! State ' - Zip -~~-1C~ i ~ . 8. Building Type: Residential ~9 Commercial O Institutional ? 9. Work Description: New ~7 Add ? Alter ? Repair ? 10. Describe 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfield Bath tubs Septic Tank ' Lavatory Softner ' Shower Well ~ Kitchen Sink Urinal/Bidet Other Laundry Tray ~ Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify t~'jat the above information is true and correct, and I agree to comply with ~II o~'dinan~es.and~COdes governing this type of work. Signed : -f~~1' f: _ for Rough ' Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt 2`I ~3y ~ MECHANICAL PERMIT Permit No.' i:~, CITY OF EAGAN , y- F~ Fill in numbered spaces S/C Type or Print le~ibly ~ Tot. ~ , ~ ~ ~ ~ , 1. ?ate ' J~ ~ 2. Installation Cost ~ ~1 , G ` ~,+r : 3. Job Address~ - Lot~_Blk. T~act J' ` ~ ~ , ~ - 1 4. Owner I ' • \ ~ - ~ ~ , , , , 1 ~ - ~ , 5. Contractot... k~ 1 r ; \ i Phone L1 ~C' ~ 6. Address ~ ~ : c , 7. CitY ~ t- ' State ~ ~ ; ~ Zip . . 8. Building Type: Residential Commercial ? Institutional ~ 9. Work Description: New ~ Add ? Alter O Repair ? 4 10. Describe Fuel Type ' ' ~ 11. No. ~.quinment BTU - M. Ea. No. EQUiament CFM Forced Ai r i ' - ` r ` . Air Handling: I Mfg. < ~ _ ~ Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. ~ hereby certify that the above information is true and correct, and I agree to comply with all ordinanrres 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 454-6100 ~ CASH RECEIPT ~ ~ ~ CITY -•~F EAGAN ~ • P. O. BOX 21-199 EAGAN, MINNESOTA 55121 DATE._ 19 i~ HCCi1VRD / PROM ' ..y fy ) AMOUNT $ I : 1'~ da DOLLARS ioo ? CASH Q-EHECK FOR / FUMG COOE AIAOLNT ~ . - ~ ; ~ , ~ . ~ : ~ , 1 Thank You ~ BY i , 1 1Nhite-Payers Copy Yellow-Posting Copy Pink-File Copy CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Kn~?b Road P. O..dox 21199 PERMIT NO.: " Eagan, MN 55121 D11TE: r' ZO^i^o: No. of Untrs: Owner: ~ ohnson Cor.st Addross: S~te Addross: 48b~ ~afari ~ourt ?'.o L21 B2 Safari ~etafies Plumber. f' nz f•-: r~ : 1~Z, Meter No.: ConnectFon Charye: ' p Size: Accoimt Deposit: ~ t~[' Reoder No.: Permit Fee: . 1 prr M oo~ply w1lb !Iw Ck~r af l~y~¦ Surdtnrye: ~r, OrJh~sor. Mlsc. Chorfles: b. p me e r Totcl: ~ By Date Poid: Dote of I nsp.: Insp.: CITY CF EAGAN Wp~ S~y~~ PERMIT 3830'ilot K~ob Rosd P. O. ;~ox 21199 PERMIT NO.: ~ i Esgen, MN 55121 D^TE: I~~ ' Zoninp: _ 1 No. of Units: 1 ~r. ~i;d JoIA~ ~ . . ~ ~ .ess: ~ ,5 :;ti !~~te ~lddress: ~~a~~ afari ~ciur~ ~'1ir~;y2l B2 Safari Fst F~ ~ ~unber. ~ ~E~Fl "~i; ±ia~31ry , Meter No.: ? . )J p - r , . , iCo,nrmetio~ G~arye: Sj2e: ~f L' d e\ ~ .i r'~ ~ c ~ - ~Icoount Depostr: 1 ~ . c. Reoder No.: d_ 8 3 h ; Pe?mit Fee: • 1~/r~+ to ean~lp ~?Mi~ IIw Cih ~i E~9a¦ Surcharys: ' On~eene.s. Mrsc. Charyes• 6 3.~: ~ tl p~~ c..: Totol: ey Date Pald: Dote of Insp.: CITY OF EAGAN s~~ f~~CE PERMIT 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: ~ ~ Eagan, MN 551~'J DATE: ~ ~ ~ ' ~ ' ' Zonlnp: 1 No. of Unit~ pN,r~r: 0 8on onBt Addross: 5~ Addrcss: 8 ar .ourt i~o L B Sa ri Eetates Plumber. ~en~ ~an Pltsb ir ^ , -_~-c ~ _ , ~.s~. r..~.h? c~.~ c,o?~.d~«, r~ro.: 425. eo p~ Or~(..~e... ,~,nt pepoNt: _ 1 r. t~f? pr~ Perrnit F~e: 1~'° ~ Surd~orp~: • Gn .,c' ~ BY Mitc. Chae~ Doh oF Ir~p.: Totol: Qaf~ Poid: r " CITY OF EAGAN N~ 9541 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 4548100 ~(o(o BUILDING PERMIT Receipt # Te M wed 1er SF DWG/GAR Est. Volue $128 ~ 000 pe~e SEPTEMBER 26, ~q 84 SiteAddreu 4862 SAFARI CT NO Erect C~ Occupancy R3 ~ot 21 Block Z ~eclSub. SAFARI EST Remodel ? Zoniny R - Parcel No. Repair ? Type of Conct. V Enlarge ? No. Storie ~ W Name M.W. JOHNSON CONST n~o~e ? Length ~ P. B~]{ 13 O ~amolish ? Depth Address Grade ? Sq. Ft. city FARMINGTON phone 432-6838 SAME Avv~o.ob Fee~ }o Name .00 Vri Add~ Assessment Permit S warer & Sew. Surcharqa 64 _ 00 ~ City Phone Police Plan check 251 _ SQ ~W Neme Fira SAC 595 _ 00 Address Enp. WaterConn. 47f1 _ fl~ ~ W City %Phone - Plonner Woter Meter ~ 0 ~ Councll Rood Unir 9F+n np I hereby ockwwledge that I have read this opplicotion and stote that gldg. Off. 9 25 84 Parks tM inlormation is correct and ogree to comply with ol opplicable APC Total, $2, 136.50 State of Minnewto Stotut and Gry of a on Ordin ces. m ~ Var. ete Sipnoture of Permittee C~~ A Buildlny Permit Is issued ro: W. H SON C NST on tMe expren conditlon ~ho~ oll work sholl 6e done in ottqrdante with II ica_blq.5~f innesyota Statutes ond City of EoOan Ordirwncet ~ Bulldinp Offlciol aS! This repuesl void ~ / ~ ~a~ (L~~g 18 c:m~hs Irom ~ lP ~ < ~ L ~ ` 5 ~t.~ flequest Date Fire No. Nnugh-i InsDection R q ra ~Heady Now~Will NoGfy Inspec- es ?NO L ~or When peady ~licensed ElecVical Contrnaor I hereby request inspeclion of ebove ? Owner electrical work installad at: Street Address, Boa or Foute No. Ci~ ~ Z s~<'1,~ cuo . Township Nama or No. R~~Be No. Cowrty z'T~ Or.cupam IPRINTI hone Nc. ~ Gv. 3~~1w- Pow ~ Sup lier Atl re s c_ ~rmtn~ EI vical Comracto ICOmpe Nemel Co rctor"s License No. lnc~ 9 ailing A ress (ConVactor,or Own Making Instailetion • O ~ O AuMorizetl S~gneture (COnVactor Owner MakinB InstallatioN Ph ne Number 0 -~3 MINNESOTA STATE BOAHU OF ELECTflICITY THIS INSPECTION PEQUEST WILL NOT Gripgs•Midwey Bltle. - floom N•197 BE ACCEPTED BY THE STpTE eOARU MN 56104 UNLESS PROPEfl INSPECTION FEE IS 1821 Univergity Ave., St. Peul. ENCLOSED. e~'_' ra~o~ vo~?~~• ' REQUEST FOR ELECTRICAL INSPECTION EB-o°°°~-~?' I~ f° ' See instmctions for compb~ine this form on back of Yel low copy. l~``/ I~/ ~ M(~ ^r~ l b ""X~ Bel~ W'o~'CbVeYed by This Request ' . AAd fleD~ TVpe ot 6uilding Applioncns Wirad Equiomen[ Wired Home Range Temporary Service Duplex Water Heater Lightin, Fixtures Apt. Building Dryer Electric Heatin Commercial Bldg. Furnace Silo Unloader Industrial BIAg. Air Conditioner Bulk Milk Tank Farm iher oea y ~he~ ISner,iry) t er Suecify ffier Othi;r ompute lnspection Fee Below p Fee ServiceEnhaneeSiie tt Fee Fexders~5ubfaeders M Fee Circuita ' 1 y,~ rJ 0 to 200 qm s 0 to 30 Am s r .),Sb 0 tn 30 Am A6ove 2 0 qm>s~~ 31 to 700 qmps ~p,lat 31 to 100 q Swimmin Pool A6ove 100-Am s Above 100_Am - Transiormers ' Irrigation Booms .f Partial,~Other Fee Signs Specialinspection ~ Remarks S~/"~'~~ TOTAL E O ~ Fough-in Date I the Elac ~ l~~~y'S nspeebq hereby certify thet the above Final ( ' oection has bee~ ~ made. Thle requeet vold 18 monlhs irom This reQUest voiE !A / , I a ~ ~Yj y 18 months from •p ~ l0 ( ~'V~n A 9?0 l~s a- 5 ° Request Date . Fire No. ugh-in I Vection Require eatly Nuw~ll Notity, InsOec- ~ ~ '7 s QNO ~or When FeadY icensed Elec[rical Conlractor 1 hereby repuest insDection uf ebove Owner S electrical work installad at: ~ ~ Sveet AtlAress, Box or Poute No. ~,i Ci~y ~ ~ K ~ 7..,.~ ~ ecUOn o. T nship Name or No. RanAe No. County Occupan~ (PRINT) Phone No. j37 (y , J~ ~ - ~ . Pawer SuO~~ier ' Address CJ C. ~i~ ~/~r Elec~t9 cal Contracmr fComOany Namel Contractor's License No. % t .u./~ ~-~/C.~-~-~./r' -c- ~lar s Mailing Address IContractor or Owner Making InstailaYi / '~~/et G. Authorized Signature (Contractor~ wner aking Installation) Phone Number c{6c~ ~ ' 6 MINNE&OTA STATE 00AflD OF ELECTftICITV TNIS INSPECTION REQUEST WILL NOT Griggs-Midwey 61de. - Raam N-191 eE ACCEPTEO BV THE S~ATE BDANO 182t Univarsity Ave.. St. Peu1, MN 55104 UNLESS PROPEH INSPECTION FEE IS Phone 1612I 29]-2111 ' ENCLOSEO. REQUEST FOR ELECTRICAL INSPECTION EB-OOW7-Od(/ ~ ' See instructians for comy~~eting tLis form on back of vellow copv. IU~ (j~~ ~ '"X'" Below Work Covered by This Request Adtl AeO~ Type of BuiltlinB Appliuncee Wired Enuipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fiytures " Apt. Buildine~ Dryer Bectric Heatin ~ Cominercial BIAg. Fumace Silo Unbuder Industrial 81dg. Air Conditioner Bulk Mllk Tank Farm Othxi peu y ~her lSner,ityl t er l VeciSy t er O~hcr ompute Inspectian Fee Below # Fee Service Entrenee5ize k Fee Fnxders/Sabfexders N fee Circui[s OtoZ00Am s~ Oto30Am s Oto30Am s A6ove 200 qmps 37 to 100 qmps 31 to 100 qm s Swimmin Pool Abave 700_Amps Above 100_Am~s Transrormers Irrigation Booms Partial:'Other Fee Signs Speciallnspection xemarks ^ 5 /ia TO G/G i s~ flouan-in. Datu I. th ical ~ Inspeetor, herp~y certily thai the above Fina~ ~ /y~1 ~ D:ite'j q~gpection hes bean ~Y ~mede. TNS requast voi01B monlha from ~1 2007 RESIDENTIAL PLUIVIBING PERMITAPPLICATION ~ CITY OF EAGAN n C I^~'~ ~ 3830 PILOT KNOB ROAD, EAGAN MN ~9?~'~~;, 651-675-5675 ~ L ~ ~ - p~~. ,~I Please complete for modifications to existing residential dwellings. 20pj J i i8 0~ Date ~ ! 1 \l ~~~n n~ ~ / SiteStreetAddress o~ Unit# Property Owner ~~V~U l~ ~~V~I~,~U~ Telephone #(~r) ~~Z- Sa7 Contracto(r~ ~~~1 ~~~-~~S ~~~-~~~T Telephone# ( ) ~ Address L~~t ~~i ~ t~t~Ul~~~ City ~ Q(/~ ~ i State }~nn Zip`~~ The Applicant is: _ Owner ~Contractor _Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Fire Repair (replace burned out fixtures, etc.) $ 90.00 Alterations to existing dwelling $ 50.D0 Add plumbing fixtures. This fee includes installation of a water softener and/or water heater at the same time. If you are rnstalling only a wafer soffener and/or water heater, do not complete this section; move to the next section and check the appiiance(s) you are installing. _Septic System Ahandonment W ater Turnaround (add $136.00 if a 5/8" meter is required) Other: .y Water Softener _ Water Heater $ 15.00 new _ replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ 50 Total $ l~~O I hereby appiy 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 plan in the event a plan is required to e reviewed~ approved. e~ cS ~ JJ-o~l ~~z'r?~J Applicant's Printed~ ame A ica fs Signature ~ . . . . : . . . . . . . ,f IJ I_ 2 6 f: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN INCLUDE Q SETS OF PLANS, / Q CERTIFICATES OF SURVEY Q SET OF ENERGY CALCULATIONS To Be Used For: h.FPW~a•lGa2.. ~ Valuation: ~Z.P"j~000• Date: site .~ddress: ~f~6oZ C~- J~y . • ~ Lot: aI B1ock:~Sect/Sub:,5~~,;~ Erect: ~ Occupancy: ~-3 Parcel ~7 Remodel: Zoning: .Repair: Type Of Const: ~ Owner: ~}'1, ~,(~jljrj5o~'1 ~6r,~f' Enlarge: # Stories: L Move: Length:- Address: ~ Q• ,pp~( /3p Demolish: Depth: ~ Cit /Zi Code: / Grade: Sq. Ft.: Y P FCtrm~ ~~Ohr /YI/V Phone # : .[~3a - ~3~' Contractor: j~, Jp/~ry5dh ~HS~ ~ Address: ~yy~~ Qs ~t~~'P~ Assessments: Permit: ~jQ3.~ Water/Sewer: Surcharge: City/Zip Code: police: Plan Rev.: Z5I•~ Phone Fire: SAG 525.`w Engr_ : Water Conn: ¢~o. Arch./Eng: Planner: Water Meter (~3.=° Address: Council: Road Unit: y~p,= Bldg_ Off.: ~ Parks: City/2ip Code: APC: I vy,,,nA~t- Variance: y;S~ 2~K qc~ -~~~i~ x 54 = c~458q- ~iq ~ i~lo ~ 54 ~ ~5c~o Z'4~x 2~ ~ c~2~ ~ ll ~ C~8~¢ Z~x~~ ~ 1i~~~ ~ 4! C~~jO~~ ~ - ~ ~ < 1'z8 b44 " I ~1T. D'~ d~, L.~:.. * 503• + 64 • + 251•5+ 525 • + , 470 • + 63 • + 260 • + 2~736•5* . ~ ' CERTI FICATE OF SURVEY H9•3 . . . ~Al_AKIE_ t-~VE, r,(p~,T fv f~l 14 4a' t 4-~~ E ~ 85.00 h _T.__ . p~'~ O . . __.._.___._.._~5 ; 5 i kilev:~tii~ny shown ~re exi.sCi.ng grades ~[72nttyA~E and iire ussumed datum. i l.}~"lL1YY ~=ASEP-\Gt~1~~ Propoae~l ~arai;~e Ploor elevaCiun 97.5 ~ ~ ] I ( i i herehy cerCily ch.iL t6i, is a correct ' W 1.._OT 21 repre+entatiun of +i survcy:,-rif: i ~ ~ ~I ~ , ~ Lo[ 21, Bluclc 2, SAI~AFtI~ BSTATIiS, llakoCn ~ d" County, MinnevaCe, ?ccurJinE;^ to the. - ~ B t-.-OGlC Z I ~ N N re[•urded plat ChuCec~l. ` ; . ~ Q,. G, ' o~ ~ I d' N And the~t 1 i3m a duly ra~;i.sr.erecl .land t= C~ ~ ~ ~ o survevur, under tl~e luwy nf che Stare of N Minnesoet~. ~ ~ q 9v. ~ ~ ~ ~ i~c 1 O ~ ~03 93 V'~ . n ' Zh ~ B J - 1 . .~I , . • ~ i M ~ ~ 5.Z ~ M F"k'OFY~SE.O m IO. I ?I N C~A1Z ~ NOUSE N I I zo .~a io.~ q Cene I.. Jac.obvun, in . Reg. No. 7734 °t~1~ 9,~c~ c~o.s ~ ~D" ~3 Dated this 20Ch dny cif Sept„ 1984 51 ~ ' ` ~ o i ~D c ` ~ _ ; ~ ~ , i p ~ ~ _``"~~5 ~ ~ ~QCy ~J ' °~L 4 S J~4'~~ a~, CT~qR~ , NOrz~~ .~;s.~ DR. BY GLJ SCALE - I'~ =40~ o ~ENOTES IRON MON. BEARINGS ARE ASSUMEO DATUM. Prepared for: JAC08SON SURVEYORS M, ld. Juhn,on Cnn:;l'r. y. n. a„X ~_4p LAKEViLLE, MINN. 55044 Parmi.n~;ton, MN. 55024 ~ PHONE 469 -4328 ~ i ~ _ ~ ~ EXTERIOR ENVELOPE HYERNGE "U" GUr~NUitiilu[V " a w , , ' ~ y._. ~ . . . ' _ ' ' i_ti . . : ~:..~~WNER . . . .:r; ; ~ - . ~ . . . . - - - . _ z.. . , _ • , . . . . _ _ _ _ . < . . . . : : ~ : _ : * , ~ ` . : - - - - ' _ - ' . ~ ~..f m=:,~::r ~ . , . : . , . _ ~ „'::':~SITE AD~RESS-` _ . . . _ _ .:r:_,v - ~ ~ _ CDNTRACtDR~~C;V~I,.'Jo1d~.1~C~•~ DATE -'=.I~~ ~{.-PHONE~~_~' _ - - . , _ . , . . Determine working square footage of .each. 1. Tota1 exposed wall area 31 "I la_~_I__Lo sq. ft. x_,(„(~ j 2, Total roof/ceiling area 11~~0 sq. ft.~~x ~D~loz :~-O4 ~ . . i • . i Total exposed wall area above floor = 2~32~ i.• ~ a. Total wa11 window area 35@~ 4' ~ i b. Total door area 38 ' • . c. Total sliding glass~door~area . - ls 4 ~ • d: Total fireplace wall area e. Total wall framing area (average l0A)...:........ Zz'7.~4 • ; . . ~ f. Total net wall area above floor 204 5,?I..o i g. Total rim joist area '~1~ . Total exposed foundati on area I= ~ 2G ~~a Lo ~ , h. Total foundation window area ' • ~ t. Taal net foundation area above grade ~ Z 4~"3 Le , Determine "U" value of Eacn wal} seg:~:_nt. • ~ ~ ~ a. 358,~i- x~~u,~ , 3Z = 14 ~~c ~ b. 38 X„~„ i39 = 5,2a , ~ . ~ c. l0 4 X~~~„ rJ =_~Z . ~ d X s ( e. ZZ7 ~Z X~~~~~~~~ ~ ZI ~ a I i - • 2.t~y5~lto X ,1Z~= B~~BW . , 9• 3i~ X„U„ , oy l= ~z,8 ~ h_ _ X • - _ _ ~ ' i. l Z..~,31n X~~~~~ , ~ = I S~ I ~ 3 . ......:..........3~~~:.~ ~.....Total = Z + ? ' If item n3 is the same as, or less than item ~l,.you have met the intent i of 53C o0C5(c)2. ~ . ; . ~ I ~ . . . . ~ - ' / _ . ~ . . , . , . ~ . . . ' . '~''~i " 7ota1 exposed roof/ceiling area 1Lau0 : . - : ~ ~ • Total gross roof/ceil ing area = 1 Lo~1 O_ . ' j. Total skylight area ' k. Tota1 roof/ceiling framing area . , ii~y ~ D _ 1. Total net insulated roof/ceiling area....... 14.Ta ' ~ ~ Determine "U" value for each roof/ceiling segment. ; . . . . . . J. x _ • : k. • ! Lo~ X , bZ• _ ~1'~ . ' 7. I~F`71o. X ,.dZZ ~ .."~Z.y , 4.. , ~ LA~I.~ . ..Total ° ~ ~ , If total of #4 is the same as, or less than #2, you'have met the intent of ~ SBC G006(c)'{. . . . . : : ' • ' , , A • To utiltzed the total envelope system method, the values.established 6y the sum of items #3 and ~4 sha11 not be greater than the sum of itens B1 and ~2. 1. ' + 2. ~ ~ , . 3. + 4. _ MA.TERIALS ~ Therm. &esistance "R" ~ Eztarior Air ~17 Siding Material ~y5 SheathiTig 2,OLp ; In9vlation - ' SheetroCk ~45 Interiox Afr ~108 Studa ,5'T . Rim I 8 , Conc. Blks. ~ Z8 . . . . . ~ . ~ , • y~(..~~.~ RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55'122 65'1-681-4675 NewConstruction ReouiremeMs RemodellReuairReauirements • 3 registered site surveys showing sq. ft. of IoL sq. ft of house; an~ll roofed a2as • 2 copies of plan (20% maximum lot coverage albwed) • 1 set of Ene~gy Cakulations for heated add'NOns • 2 copies of plan showing beam 6 window sizes; paured found design, etc.) . 1 site survey for exterior additions S decks • 1 set af Energy Calculatians . Indicate'rf home served by sepOc system for additions • 3 copies of Tree Preservalion Plan i( lot pWtled after 7/7/93 . Rim Joist Delail Options selectlon sheet (bldgs wiN 3 or less unils) DATE i`~ ~ i, aa VALUAIION ~ 0700(~ - JOBSITEADDRESS ~~~°~,_S~M-~~ri L'aC.~r~ IF MULTI-FAMILY BUILDING, HOW MANfY~ ~UNITS~ ~ PROPERTY OWNER hl U1~3~-CZ i,f/V' i~Z _ TYPE OF WORK ~tnSfGt ~I cc %/0.S ~ a q qn (%l4 ~j FIREPLACE(S) _ 0~ 1_ 2 APPLICANT _~~~@kS~, ~/`~jti[/p~ ~r -IIr 2rS~~rv~s~~d' L PHONE# ADDRESS_~~S~f? 1 . ~~a I,3 ~ufuS(/r~IB.~ ~IV, ZIPCODE .~-3' PAGER # CELL PHONE # FAX # NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted MINNESOTA RUI.ES 7672 - New Energy Code Worksheet Submittad Plumbing Contractor: Phone Plumbing System Includes: _ Water Softener Lawn Sprinklcr Fee: $90.00 _ Water Heater _ No. of R.I. Baihs _ No. of Baths Mechanical Contractor. ~~V`eS t/~P ~?hQYl~~~i~lHl"eSI~C~ Phone # 95a~Q~~B~s(~_ Mcchanical System Includes: _ Air Condiu ning Fee: $70.00 _ Heat Recovery Syslem Sewer/Water Conhaetor: Phone # All a6ove information must be submitted priorto processing of application. APR 0 1 Z~~Z I hereby acknowledge that I have read this application, state that the information is corr ct, and ag~o compl with all applicable State of Minnesota Statutes and City of Eagan Ordi es. BY \ Signature of Applicant Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 2002 CITY USE ONLY - ' s LOI' ~ BL ~ PERM['C'K:. ~ _ !L3 1 ~i+ , SUBD. ~l~ttrl tS~(lfe~~ RECEIPT . ~ ~ RECEIPTDATE: IO~zIO"Q~ - s _ u.- 2000 MECHANICAI, PERMIT (;RESIDE~NTIAL^) ; ~ - - ~ CITY OF EAGAN ' " ~ 3830 PIIAT ~-FRIOH ~ RD. ~ . - . - EAGAN DRI 55122 , ! s'.._q '~'~AO 651-681-d675 ~31~•~~ ' t~ , t:° i Date: 11 ~~t~~ 1=`~ Complete this section onfv if yoa ace installing HVAC in a single family dwelling;° townhome or,~condo under construction and not oWmer/o~cunied. • HVACc 0-100 M B T U ` 30:0'Q ADDITIONAL 50 M BN 6.00 • Gas outlets (minimum of one required Q$3.00 ea.) State Surchazge ~ :50 Total $ ~ ; - . " _ . . r . . . . Complete this section onlv- if you aze remodeline, addine to, or te airin an. ex~st~ng°;sEng'le-fariAdy dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repa~t - ''k. _ New _ Alteration _ Repair Other• ~nl['t ,~~t J ~ : ar ~ Fumace _ Air conditionmg Oiher ' ~ ` ~ _ Air exchanger _ = . ~.h: '~T . . . . Fee $ °~0 0;0~, State S.uccharge . ~r }.~Q Total~ . $ ~'Q.SO • Reminder~ Call for inspections A SITEADDRESS:'"c~~U1~ ~~~I Cp~il,~ - OWNER NAME: LIV~~ `l~Yl _ PHONE tl; ~ ~ . ( ~ ' ' ~ . '~(AREA'CODE) . - ~ ~ [NSTALLER NAME: Yl . PHONE ~ (wEeeacooe> ` STREES ADDRESS: C~ ~ L tr , ~C[TY: ' STA~'CE: ~ ~ Z[P '~'L~~ ~tCl 1 ~~La l~ M I~.~ - ~ SIGNATURE OF •RMI'LTE°E' . ' 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) ciTV aF ~ncaN 3830 PILOT KNOB R~ • 55122 ~ ~ ~ 651-681•4675 O ~ ~ ~ 10- ai- i~ New ConstrucHon Renulremenfs Remodel/Reoah ReaNrements ? 3 reg7de~ed rtte surveys showing sq. !L of lot, sq. R. of house 2 eopies of plan and all rooted area~ (20~ maximum lot coveraae allowed) 7 set oi energy cakulaflons iw heaMd addiNons ? 2 copies of plans (show beam a window sixes; po~red ind. design; eic.) 1 sXe:uney for exterlor addiHons 6 decW ? 1 sM ol energY calculations ? 3 cop~es ol free presenafbn pian H loi platted aHer 7/1/93 . I i~ DATE: ~ ~ CONSTRUCTION COST: ~~d' DESCRIPTION OF WORK: ~ ~Q- ~6~ ~ STREET ADDRESS: `-~OE~' ~ A~ r ~V- ~ ~J'~+~--- G~'~f LOT: ~ ` BLOCK: ~ SUBD./P.I.D. ,t- ~ S ~z!~~-n Name: , ~z G~ ~ .--Gr~ Phone Cs / ~ l~G 7 '3 PROPERTY tart Ftrrt OWNER Y'O~c~" <`~~I ` 9 Street Address: ~tv- ~ S~ d" City ~ G?~--- State: ~/L'~ Zip: Company: ! VVW~ Sa"`-~ ~0 ~T ~ Phone C~- 1~3i / d-~~ (area code] CONTRACTOR ~ ~ ¢ 9,/ Street Address: C~J7 ~ K ~o ~ a+'' Ucense # ~"I~ 3~' Exp. 3~ CHy ~~s s~~~- State: ~/U Zip: .~53 3~ ARGHITECT/ ENGINEER Company: Name: Telephone area code ( ) Sheel Address: Regishation Ci}y Sfate: Zlp: Sewer 6 water ~icensed plumber [reauired for new consfructton onlvl: Penalty applies when address change and lof change is requested once permN Is issued. I Ftereby acknowledge that I have read this applleaNon, sTate that the f~ormatlo cort t, nd agree to compiy wifh all app8cabl State of Minnesota Statutes and CNy of Engan Ordinances. Signalure of AppllcaM: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservadon Plan Received _ Yes _ No Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex 0 16 Fireplace ? 21 Porch (3-sea.) ~d 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea. ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ~ 19 Lower Level ~24 Storm Damage ? OS 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE ? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) J~ 42 Reroof ' Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code (Allowable) Main.level sq. ft. SAC Code UBC Occupancy sq. ft. No. of Units Zoning sq. ft. No. of Bldgs # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building Engineering Variance Permit Fee f~ S Valuation: $ b~0 5 Surcharge ~-S~ Plan Review License MC/E5 SAC • City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge ~ Treatment P~. ~ Park Ded. ~ Trails Ded. Other Copies TotaL• a~~ ~ s SAC Units % 5AC , . . . . ~F _ ' C" ~ z~a~ ~ CITY Or EAGAN ' ~ '~e~~ ~ I tllll / AP°LICATZON FOR PE&~1IT • ~ SE~QER AND/OR WATER CQNNECTIODT (PLEASE PRINi) P~o~~ ~o~ss: ~~~a s~~,9 ~ C'~u,~-r- r.Fr=,L DE~G~I°TIC~I: ~ v T o2~ /d ~OC'/~ 0~1 SJ~}j"/QiP/ .ES Ti~~[ (Loc/~loc3c/5 ~ visicn or Tati Parcel I.D. N~r;~r1 ~ SF' W:I:='=:G S?~E'CP*:"tE~ Dr1~' 0_° Oi2T.Gi^.'.Ai. `iiIi.^•L"G -=-'1: T_5~.;:-~:C~: PP~Sc ~.^.`7I~X:/?pOP05~ L'Si: R-1 SL;GL: F?!ffLY ~ ~ 2-2 CUFT.Y: (?'.':O L^?IT~) i n m~.. -~rrv*`.. ,..5..,_ _ -..T.-.`. ~ . ~ -.:\1:..,.... l"'_.. - i:_LLi..l ~ U~V~= :1 . ? ~~,T~.,r/cc_u~~.,~;r~t t ~^:z_s; ? CCi-n1E::CL~I./REPIIL,/Oi'~'ICy ? ~1'CL'Si?r~,L ? ?\STZ'.^~'TIO::~L/G:JE'-c~n~T 'Z) ~j~~!` . ~F~~Li~.)G Yll(il l ~ l.r rg,r~~: ~I. G~ . ~r7,~}tJ.~ ~ ~'(~sr/.577T U~r7.~,J aoe:~ss: 0, ~t~o x /3 d c~r, sra~, z~: ~A~IPi'~'1 l~'~1 L-7D1~~ S~Da~t Pxo~: y3a 83 ~ P~EasE ~at4r) 3) PLi.,;~~~', ~ ~ \ FOR CITY USE O4LY (~--CI'~Z- ~M'~/ PLUHBERS LICENSE: , aDn~ss_ ~Y7~1.5 Sdurh` /~io~B~+27 ~Po • ~ a~ti~~ ~ CITY~ STATE~ ZIP: ~()S~,c^~/.j~J(f~~ ~f~ ~5~~~ 8 0 Expired i~fwa~~n Q Hat af Pecord ~ PHONE; ~ a3 y~ PLUMBER LICEYSE N_ ~R~9i"ff att tnitia 4) ~~P~/Cr;Z,~ (PLEASE PRIN() NAME: ADDF2ESS: _ CZTY, STATE, ZIP: PHONE: 5} INpIG"~TE SVFIICII PERh1IT, IS BEIM; RE~UES'I'ID: ~CC.~NG(.~PIOU T'J CITY SETr7F12 [a°'~cor~vnc:reV ~m ciTSt c~raz~t ~ CJ"i[~t (PLG`,SE D£SCRIBE) 6) IP:DIG, ~ C:+E: ~ PLz:~SE F?OLD ApPP.OVID PER.'VLI'f FOR PICi:-U'P BY CNE OF e'1FicZIE ~ ~LFiLSE :~rT'~IL APP?2CVED PFR•LiT TYJ 1. 2, 3, 4 AFOVE (Circle one) 7) SICA'I[.'RE. _ ~.~.--_i DATE: Aial~lsfA ~ i G~ lr:aau! t r~t ~~y~a a~ af bs ~ssr:~ a ~e be ~sf_as~i~ f f~ S s[ ~~aa~ FOR C ITY U SE ON:,Y PE?tMiT ISSUED F°~S: $ /p- eS~a SSi^iEB noaa~rm (r~ICLi;~~ SU~C:~RGE1 S J~. ~1i.'1-.T..r".~ P..F.~.:1?m ~i~iCL~17.G J:J.~.C4.'-~fZCiL~ $ W:vTER METER/COPPE4HORN/OUTSZD~ RE~DE.', $ WATEB TAP (INCLCDE CORPORATION S'"C?! $ 5~:•7E4 T~D ~ ~:,.r S ~`-a~ - :~_G~~= _ J - +~c~ $ r-~ ?!CCOU\T D~PC~SZT - A;y^_=~ $ 1:~~D- s~--d` W~,C $ `'"C~ SP.C S TRliVR fJAT°~ ASS~SS:ir:1T $ TBuP;K SES~IER ~SSESS::E~iT $ LrI.E:~;L BE~EFIT/TRU.iiC SE:dE~ $ LATER~L BENEFIT/TRU~:iC ~•7ATt'?t $ ~ OTHER ' $ TOT?.L $ ~ °-t, pu".OU;:T PAID; REC~I?T ; ~ 7 ~ ~ 9 DOES UTZLITY CONiVECTION REQUIRE EXC?.VATION IN PUBLIC RIGiiT OF WAY? ~ YES IF YES, THE.J A"PERMIT FOR :~ORK WITHI:I PUBLIC ROADWAY" MUST BE ISSUED BY THE I?_] NO ENGINEERING DIV:SION. LIST AS A CONDI- TION. SUEJECT TO THE FOLLOF7ING CONDITIONS: • APPROVED BY: ~~°~!~i TI:LE: ~ DAT°: /J- ~.r- t~~ i ~aaw~sw~~~nc~~a~w~tsw~ws~wr~R+~~c~w~~w~~~wF~s~~~R~~c~~e~~w~. City of6akau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use „ �f ;.�3C o Permit/fr. , Permit Fee: Date Received: Staff: 2009 MECHANICAL PERMIT APPLICATION Date: i a' IO -R009 Site Address: Tenant: /tdv;S )bGtn�on 2-/(%a SagkA c -f-. P3 . Suite #: J RESIDENT / OWNER Name: i S Jr, 1 ^t n SO r% Phone: a-25©'6©cat¢ Address / City / Zip: 1/86 2 5a0C4/-; C+ i r17c... , Mid 5 S l a eN CONTRACTOR Name: )U 5C I.1-4.17.01 License #: r/ Address: City: State: Zip: Phone: Contact Person: TYPE OF WORK ')( New Replacement Additional , Alteration Demolition Description of work: In54.1I Orya v. ee--ter/72rr 4CP ,tri NOTE: Roof mounted and ground mounted meck'anical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. PERMIT TYPE RESIDENTIAL X Furnace (NEW GRA,. /WA) COMMERCIAL ` New Construction Interior Improvement Air Conditioner Install Piping _ Processed Air Exchanger Gas _ Exterior HVAC Unit Heat Pump Under / Above ground Tank ( Install / Remove) ^** When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector Other RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes bumed out appliances, ductwork, etc.) (includes $.50 State Surcharge) $.50 State Surcharge) $ TOTAL FEE $90.50 Fire repair (replace COMMERCIAL FEES: $70.50 Underground tank $50.50 Minimum (includes installation/removal OR State Surcharge) surcharge is S.50. increases by S.50 for each Permit Fee requires a 51.00 surcharge). Contract Value $ x 1% _ $ Permit Fee - If Permit Fee is Tess than $1,000, = $ Surcharge - If Permit Fee is > $1,000, surcharge S1,000 Permit Fee (Le. a $1,001-S2,000 = $ TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One CaII at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.00pherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans x 4Ut S �o kyL c r, x Applicant's Printed Name Applicant's i nature FOR OFFICE USE Reviewed By: nDate: / 2- /1 �0 Required inspections: _Under Ground _ Rough in Air Test yas Service Test In -floor Heat )(tine! Exterior HVAC Screening Inspection City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675-5675 www.ci.eagan.mn.us PERMIT City of En Permit Type: Permit Number: Date Issued: Permit Category: Building EA086295 09/23/2008 ePermit Site Address: 4862 Safari Ct N Lot: 21 Block: 2 PID:10-65850-210-02 Use: Addition: Safari Estates Description: Sub Type: e -Fireplace Work Type: Gas Insert Description: Construction Type: Census Code: 434 - Occupancy: Zoning: Square Feet: 0 Comments: Chimney/flue must be inspected prior to concealing. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector. Andrew Hoffman Fee Summary: Valuation: 3,000.00 BL - Base Fee $3K Surcharge - Based on Valuation $3K $88.50 0801.4085 $1.50 9001.2195 Total: $90.00 Contractor: Fireside Hearth & Home 20802 Kensington Blvd Lakeville MN 55044 (952) 985-6675 - Applicant - Owner: Linda M Writz 4862 Safari Ct N Eagan MN 55122 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. Applicant/Permitee: Signature Issued By: Signature City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675-5675 www.ci.eagan.mn.us PERMIT City of En Permit Type: Permit Number: Date Issued: Permit Category: Mechanical EA089970 06/30/2009 ePermit Site Address: 4862 Safari Ct N Lot: 21 Block: 2 PID:10-65850-210-02 Use: Addition: Safari Estates Description: Sub Type: e - Air Conditioner Work Type: New Description: Air Conditioner Comments: Quesetions regarding elec 445-2840 Ashley Orman 410 W Lake St cal permit requirements should be directed to Mark Anderson, State Elec cal Inspector, (952) Fee Summary: ME - Permit Fee (Replacements) Surcharge -Fixed $50.00 0801.4088 $0.50 9001.2195 Total: $50.50 Contractor: Standard Heating & Air Conditioning 130 Plymouth Ave. N Minneapolis MN 55411 (612) 824-2656 - Applicant - Owner: Travis Johnson 4862 Safari Ct N Eagan MN 55122 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Applicant/Permitee: Signature Issued By: Signature 411011 City of Eapil Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink C6.For Office Use Permit #: / O "I(G l.1 Permit Fee: /66- S Date Received: Staff: 2012 RESIDENTIAL BUILDING PERMIT APPLICATION l2"5 -1r 2\..Site Address: WO 2 Name. 7;zis RESIDENT / OWNER Address / City / Zip: G/et4 -zC'_r(- Applicant is: XOwner Contractor Unit #: Phone: 7-°1 �G—rEto 3 Description of work: Construction Cost: LSAJoW 01.16-4e —/.11,1 000 Multi -Family Building: (Yes / No Company: Contact: Address: City: State: Zip: Phone: License #: Lead Certificate #: the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: ,NOTE Pians and supporting d rcu eats that you .submit:are considered to be public informal the information may be classified as non p rrbilc if you provide specific reasons Lit t qtr uls p conclude tla t the are trade secrets. Portions of he City to CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate: that the work will be in conformance with the ordinances and codes of the City of Eagan: that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit, that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 160 days of permit issuance. l ✓�� SJ h►'�ScJr` x Applicant's Printed Name x Applicant' i ature Page 1 of 3 4i 41,11 City of Eapil 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: 3q6/ Permit Fee: (! c Date Received: Staff: 2012 RESIDENTIALQPLUMBING PERMIT APPLICATION Date: _31? '/ I1 Site Address: / V4 A . rI C N Tenant: RESIDENT / OWNER CONTRACTOR TYPE OF WORK PERMIT TYPE Suite #: Name:424)1. ��J0'4ri.s / �) Phone: tU��- O2 SU^ C.03� Address / City / Zip: IMR. S I Name: Address: City: State: Zip: Phone: Contact: nse #: Email: New _ Replacement Repair _ Rebuild r_ Modify Space � Work in R.O.W. Description of work: I"Jrc'fCK ✓1 C (�0--freik dT `Llbl r4 --E S RESIDENTIAL Water Heater — Lawn Irrigation (_ RPZ / _ PVB) Septic System New Water Softener )(Add Plumbing Fixtures Water Turnaround Main / Lower Level) Abandonment RESIDENTIAL FEES: $60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $189.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x ✓lS u Applicant's Printed Name X' Applicant's nature FOR OFFICE U Reviewed By: D Required Inspections: Under Ground Rough -Irl Air Te Final City of Eagan Eagan, PERMIT City of Eaan Permit Type: Plumbing Permit Number: EA103490 Date Issued: 03/28/2012 Permit Category: ePermit Site Address: 4862 Safari Ct N Lot: 21 Block: 2 Addition: Safari Estates PID: 10-65850-02-210 Use: Description: Sub Type: e - Fixtures Work Type: New Description: Main Floor Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: PAM ELDRIDGE 8640 HARRIET AV S #100 BLOOMINGTON, MN 55420 Fee Summary: Valuation: 750.00 PL - Permit Fee (miscellaneous) $55.00 Surcharge -Fixed $5.00 0801.4087 9001.2195 Total: $60.00 Contractor: Richfield Plumbing 8640 Harriet Ave S #100 Bloomington MN 55420 (952) 881-3355 - Applicant - Owner: Travis Johnson 4862 Safari Ct N Eagan MN 55122 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. Applicant/Permitee: Signature Issued By: Signature City of Eagan PERMIT City of Eaan Permit Type: Building Permit Number: EA118392 Date Issued: 10/31/2013 Permit Category: ePermit Site Address: 4862 Safari Ct N Lot: 21 Block: 2 Addition: Safari Estates PID: 10-65850-02-210 Use: Description: Sub Type: Fireplace Construction Type: Work Type: Gas Insert Description: Census Code: 434 - Occupancy: Zoning: Square Feet: 0 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. Fee Summary: Valuation: 3,000.00 BL - Base Fee $3K $88.50 Surcharge - Based on Valuation $3K $1.50 0801.4085 9001.2195 Total: $90.00 Contractor: Hearth And Home Technologies 2700 N. Fairview Ave Roseville MN 55113 (651) 638-3309 - Applicant - Owner: Travis Johnson 4862 Safari Ct N Eagan MN 55122 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. Applicant/Permitee: Signature Issued By: Signature City of Eagan PERMIT City of Eaan Permit Type: Building Permit Number: EA127177 Date Issued: 09/23/2014 Permit Category: ePermit Site Address: 4862 Safari Ct N Lot: 21 Block: 2 Addition: Safari Estates PID: 10-65850-02-210 Use: Description: Sub Type: Reroof Work Type: Replace Description: Census Code: 434 - Zoning: Square Feet: 0 Construction Type: Occupancy: Comments: Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes. Chuck Glum Fee Summary: Valuation: 4,000.00 BL - Base Fee $4K $103.25 Surcharge - Based on Valuation $4K $2.00 0801.4085 9001.2195 Total: $105.25 Contractor: Highmark Exteriors 11237 Nicollet Ave S Burnsville MN 55337 (952) 882-8904 - Applicant - Owner: Travis Johnson 4862 Safari Ct N Eagan MN 55122 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. Applicant/Permitee: Signature Issued By: Signature City of Eagan PERMIT City of Eaan Permit Type: Mechanical Permit Number: EA142017 Date Issued: 04/11/2017 Permit Category: ePermit Site Address: 4862 Safari Ct N Lot: 21 Block: 2 Addition: Safari Estates PID: 10-65850-02-210 Use: Description: Sub Type: Residential Work Type: Replace Description: Furnace Comments: Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary: ME - Permit Fee (Replacements) $59.00 Surcharge -Fixed $1.00 0801.4088 9001.2195 Total: $60.00 Contractor: Standard Heating & Air Conditioning 130 Plymouth Ave. N Minneapolis MN 55411 (612) 824-2656 - Applicant - Owner: Travis A Johnson 4862 Safari Ct N Eagan MN 55122 (952) 250-6038 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. Applicant/Permitee: Signature Issued By: Signature