4885 Safari Ct S ~ ~f CASH RECEIPT ~
,
' ~Tp CITY OF EAGAN
P. O. BOX 21-199
EAGAN, MINNESOTA 55121 ,
,
DATE. - " 19
RtCt1VtD ~ - ~ / ` , f . ~
FROM ~ /
AMOUNT ~ _ I y
~ " J
s oo~~wws
_ ~uo
; ~ GASH CHECK
~ i > . ~i:,~ , i ~
ron 1 F-~ j~--t 4, 7~:..
~'.J;' ) ~
. , l::c~ .-t. 5 .
- c~ ` . ~
~ - c. ~ ~ . ~ . •
FUND COD6 AMOUNT
~ j -
' L~~ J ~ i
~ 1
, ~ ~
1
- ' ~ ' ~l 1 , ? V
Thank You , - , ` ~
ev : ~
YVhite-Payers Copy
Yellow-Post~?q CoPY
Pink-Flle Copy
CITY OF EAGAN Remarks
Addition SAFARI ESTATES ~ot 12 R~k 1 Parcel #10 65$50 120 O1
pwner~ . ~ - ~ ` ' < - Street 48$5 Safari Court So . State
Impro~ement Date Amount Annual Years ~ Payment Receipt Date
STREETSURF, - • 622. A~1 22 -20-~
STREET RESTOR. 19$~ 1546.63 309. 33 ~r p,
GRADING O • 3 ~j1 . $3
5AN 5EW TRUNK ~jZ 1 a2 1. (2} 33 6
~F SEWER LATERAL (,e3(j 1 SL 1 .2O Z~F .t424 1
WATERMAIN
~ WATER LATEFiAL 1 ~
WATER AREA 1~2 l, 6~F O. ~j
* Servicea 1 82
STORM SEW TRK ~~~7 1$2 866. 91. 173. 38 5
# STORM 5EW LAT 19$2 S
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
Reoeipt PLUMBING PERMIT Parmit No.
CITY OF EAGAN
Fee
Fill in numbered spaces S/C
Type or Print legib/y Ta~
1. Date 2. Installation Cost
3. Job Addre~/~`~ ~ ^~{~~~~Lot t'~~ Blk. _L Tract ~
'
~J,~..~!~~ ,~-1F;~N ~
4. Owner
• >
5. COnt~aCtori~~~ ~ -~-r rI+ `
~ Phone ,
' ~ i
6. Address/ ~'-'i ~'y~ / F ~ f~
7. Citj4„ ~ ~;J~^ State ~'1 N Zip y`
8. Building Type: Residentia~.,~] Commercial ? Institutional ?
9. Work Description: New~ Add ? Alter ? Repair ?
10. Describe,'' ' • ~ ~
11. No, Fixtures No. Fixtures
Water Closei Cesspool/Drainfield
Bath tubs $eptic Tank
Lavatory ? $oftner
Shower Wel l
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this tYpe of work.
Signed : for
Rough Final
Inspections: Date Insp. Date Insp.
This is your pe~mit when numbered and approved.
Approved CITY QF EAGAN 464-8100
~L
J~ PERMIT# Ir~/
MECHANICAL PERMIT , . ~ ~ i
~ CITY OF'EAGAN RECEIPT #
3830 PILOT KNOB ROAp, EAGAN, MN 55122 DATE: ~ ,i 8- ri`?
CONTRACT PRICE: ' G~r`' PHONE: 454-8100
Site Address BLDG. TYPE WORK DESCRIPTION
Lot ~ Block Sec/Sub Res. New
~ ~
Muft Add-on
m Name 7J~ ~ /i~,~;
~ ~ Comm. Repair
Address ~ Other
~ City ~.~i~r,~,~„ Phone ~
FEES
Name RES. HVAC 0-100 M BTU
` - $24.00
3 Address - r ' ADDITIONAI 50 M BTU - 6.a0
p City Phone (RES. HVAC INCIUDES A/C ON NEW
CONSTRUCTION)
~ GAS OUTLETS (MINIMUM - 1 PER PERMI'n - 1.50 EA,
TYPE OF WORK COMM/IND FEE - 14b OF CONTRACT FEE
Forced Air M BTU APT. BLDGS. - COMM. RATE APPUES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
Boiler M BTU R MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
Unit Heater M BTU REMODELS - w2.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
Vent CFM $ STP~TE SURCHARGE PER PERMIT - .Sp
(Aqq $.5a,5YC IF PERMIT PRICE GOES
Gas Piping Outlets # BEYOND!`~1,,000) .
Other , , <
; ~ L
• c ~ ~ ~ . ~ r . ~ , . f'. - FEE: ~ ~ ~ ~ ~ ~ •
v
S/C: ~ SIGNA RE OF PER TTEE
TOTAL: /
FOR: CITY OF EAGAN
9.~~/~~ ~ ~
~
i '
. ~ CITY OF EAGAN c~ 5~
3830 Pilot Krab Flosd, P.O. Box 21-199, Eagan, MN 55121
PHONE: 4548100
eU1LDING 'ERMIT R~c~+a? # ~
T. w w.~ h. u E~t. vo~~e r oa~~ ~ . ~ 9 5
Site Address . ~ ~ r-~ Erect 0 Oc~vpsncy
„ , Remodel ? Zoning ~
Lot ~.6;_ Block ~c/Sub.
Repair ? Typa ot Const.
Parcel No. Addition ? No. Storiet
Move ? Length Z `
W Narime Demolish ? Depth ; ~ t
; Addreae Int Impr. ? Sq. Ft.
~ City Phone Install D
Apao•ols FN~
~ Name
A~~ Assessment Permk - ~ _ i; ~
v Water d~ $ew. Suroharqe - u u~.~
~ City Phone
t Polic~ Plan Review C!
_
Name Fin SAC
Addres: Enq. WeterConn. UC
~ W City Phone Plonn~? Water Meter r> . 0 f)
Countil Road Unlt ~ - ~
I hercby ocknowledps thot I haw read this opplication ond stote thot g~dg. pff. i! 7r. PL
ths informction is conect and ogree to comply with all appliwbl~ A~
5tot~ of Minnesoto StotuHS ond City ol Eoqan Ordirwnces. Pe~
~ Var. Dste ~pies
Si9ROft11! of Permittsa - , i e'
• ~ 1' i .lt Totel ,
/1 Buildin9 Pem?it Is issu~d fo: - on fh~ expnm Conditlon thot
dl work sholl be dorw i~ otcorelona with oll opplioobl~ Sfaf~ of Minnesoto Stofutes a+d Cify o! Eoqon O~irantes.
9ufl~np Official
",i:
P~?mit No. PKmk HoM~r D~ T~I~phon~ it
~u~~~ 5 5 ~ b ~ ~ ,1 ~ g ~~a - y
H.v:a?.c. " _ c~ _ y
EMchle
Soft~rnr
I~etion Dat~ Insp. Oth~r
Footlngs 1 ~ ~ Y ~
Fooa~9s u(o ~y J8 I~
Found~tlon
Framing
Rooflnp
Rouyh Plbp. , J -
Rough Htg.
Insul.
Finplace
Final Hty.
Flnal Plby.
Finsl
co.yoo~. C C _ ~ _
wat.r W~nib~ Loutio~:
WNI
S~wer
Pr. Dlsp.
R~ipt ''r r' MECHANICAL PERMIT Psrmit No.
- • . - CITY OF EAGAN ,
FN
Fill in numbered spaces S/C
Type or Prini lepi6ly T~ .
1. Dste 2. Installatio~ Cost
3. Job Address ' ~ Lot ~~Blk, rsct
4. Owner
5. Co~tractor ` Phone ~ -
6. Address _ . . - ,
7. City Stste ' Zip
8. Building Type: Residential Q Commercisl D I~stitutional ~
9. Work Deacriptio~: New Add O Alter ? Repair ?
10. Desaibe Fuel Type ,
11. No• BTU - M. Ea. No. Eouiument CFM
Foroed Air - Air Handliny:
Mfg. , _
Boilen Mech. Exhaust
Mfg.
Unit Heater
Other
AIr Cond. .
Mfy.
Gs~, R'ipinQ Outiets
~
12. I heroby certify that the ebova information is true and correct, and I ayree to
oomply with all ordinanors and codea governing thia type of wo~k.
' for
Houph Final
Inspections: Date Insp. Dete Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
R~aipt % ~ ' ~ ' ~ PLUMBING PERMIT P~rmit No. - ~
CITY OF EAGAN
. FN
~ fill in numberod specs~ S/C
Type w Print legibly T~
1. Date 2. Installation Cost
3. Job Address r~ Lot Blk. Tract
4. Owner / , ~ . ~Z.~~ ;2{~•~_ ,.~.ti..a-~
5. Co~tractor ~ _ ~ . _~...~hone . t.
6. Addmu ~ . - , , ~ ~ . k
7. City ~ ~ : State • ~ Zip ~ C ' ~
8. Building Type: Residential Commercial ? Institutional ?
9. Work Description: New gJ Add ? Alter O Repair ?
10. Describe
11. No. Fixtures No. Fixturea
_ Water Closet ~p~l/Drainfield
~ Bath tubs $eptic Tank
S Lavatory Softner
/ Shower Well
/ Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Dri~kiny Ftn.
Slop Sink
Gas Piping Outleu
12. 1 hereby oertify that the above information is true and correct, and I agree to
oomply with all ordinanc~s and codes governi~y this type of work.
Signed : f t-'~- • t S for
Rouph Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approwd CITY OF EAGAN 464-8100
` CITY OF EAGAN SEWER SERVECE PERMIT
~ 383t? Pilot Knob Road P~µIT NO.:
P. O. Box ~1199 ~ _ ~ ~ ~ ,
Eagan, MN 55121 ~ATE~
No. of Units:
Owrnr: x=~~: i~ Ccu'is L.
, Addrcsr. •
Site Address: ~ ~ '1 :ir~ ` T- ,
~ P~umber. ~ - - _ . J , ~ ,
I - . : ~ ' - ~ , . , _y
I, 1~/eM fe eew~l~1? whl~ tM Cih? Cor?nection Charpe:
~ x
Or~iMwa~. ~O~ ~~t'
P~rmit FN: i ' .
Surtlta~'0~:
By Miic. Cho?qes:
I Dat~e of 1?ap.: Total:
Dot~ Paid: i,
.
CITY OF EAGAN WATER SERVICE PERMR
383Q+ Pilot K nob Rosd
P. O. Bux ~.1199 PERMIT NO.;
Eagan, MN 55121 DNTE:
Zonin9: No. of Units: 1
Owner: . . :':~ri~~
Addrosa: _
;:y~~3~'1 f'.X~}, ~ , _
Site /lddrtss: - -
Plumber: .1 !1c7 -
Connection Chorps: ~
Meter No..
Sise: Acoount Deposit:
Reader No.: Permit Fee:
1 yrM h eo~ply willi !IN G!y of b9+¦ Su~l+orye: .
OrliM~. Misc. CFwr~es: ` . ~
TotoL• `:.3. ~)~~.-x: ::_K-,,_.,,.
gY pote Paid:
Date of InsD.: Irop.:
CfTY OP EAGAN WATER SERVICF PERMR
3~i0 Pilot Knob Road _
PERMiT 0..;
P. O. Box 27199 ~-1
Et~gan, MN 55121 DATE:
Zonirg: No. of Units: ~ ,
Ownsr. _ ~ ~ ,
?~ae~: ~ , : F _
a~ ~:~'-~~7' - ~-i r~=
Sih /lddrcss: , ,
. ,¢`D~_ _~t~:%-"
Ptumbar. ' 5 J . '.J -~d
Meter No.: ~ S 1~. 0 C~--,C; ~
Stze: " a'-L" ~nt-~P~t~
Reoder No.: Permit Fee: 1~~.OOEx1 _
1 y~ te oo~n~lp wll6 1w C1h ef l~y~¦ Surchmfle: . 50~,}~',
132.O~~,d S/C
Mtac. Chorpss:
O~diM~oM. ~c ~ . n0}x' :-.,~t_'r-
Total: _
~Y ~~L Dot~ Poid:
Date of Insp.: Insp.:
~-,1 g s
J -~.A _ Z = . .
d ~
. . . . I n . _ 4~ ~ . - . • _
~ ~
0~ ~ Om978 0 . ~
FieQUest Datg Fire No. Ro g~In Ins ction Requir Inspection O~her Then Rou9h~ln
(VOU must inspecror when reeGy) ~ Reatly Now ~Will Notily Inspector
Q Ves ? No Dale Ree
I licensed contractor ?owner hereby request inspection of above electrical work at:
Job Atltlress (SVee[. 8oz or Route No.) Ciry
S ~ S ~L~
Section No. Township Name or No. Range No. County
Occupant(PRINp ' Phone No.
~isy s~ ~ s
ower5upplier Addrass
Electrical Contrecror (COmpany Name) Concracrors Llcense No.
Lf<0'.E>K' ~,G ~ 1~
Malling Atldress (COntrector or Owner Making Installaiion)
~O a i`1 z. T G~ r~ r~'Y i/
Authorizetl Slgnature (Convector/Owner Making Installalion) P~one Number
/
~ /Z 30.i
Ph2
nUN'Z;sity av~5t P u SMN 5 100ICITV I II ~I I I II I) .I I I~ I I III . II ENC SOSED.OP ER NSPECTONF~EE lo$T
/y ~C~ _ Y7 (/FiEQUEST FOR ELECTRICAL INSPECTION , ee-ooooi-os
/yq~ J" ~ See instmctiana ior completing tbla form an back oi yellow copy. ?~~''~'~7
'/~S "X" Below'Work Govered by This Aequest ~
Ne Adtl Rep. Type of Building Appliances Wired Equipment Wired
Ho`me Range Tamporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Furnaca Other S eci
Farm Air Conditioner
Dlher (specify) ConVector's Femerks. y ~
~7l7/~ /~+~L~ r a"fr.-~
Compute Inspection Fee Selow: ~
# Other Fee # Service Entrance Size Fee # Circuits/Faeders Fee
Swimmin Pool 0 to 200 Amps ' 2 0 to 100 Amps P~d
Transformers Above 200 Amps Above~ 100 -Am s
$I OS Inspecror's Use only: - TOTAL
Irrigation Booms - . ~ ~O vc ; , S d
S ecial Ins ebtion
AlarmlCommunication 7HIS INSTALLATION MAV BE D DISCONNECTED IF NOT
Other Fee ~ COMPLETED WITHIN 18 S.
I, the Electrical Inspector, hereby Ro~yn-~~ v oaie 3_ c/
f
j
cedify that the a6ove inspection has F~~ai ~ e~ n~
been made.
OFFICE U9E ONLY
This request voitl 18 monlhs From
REQUEST FOR ELECTRICAL INSPECTION Ee-°°°°i~+
5~~~~ ' Sea insiructions for compleli~q this fmm on beck oi
~oa~. 1 ~ ~l Ss
~ 3 2"~ ~ 7 "'X"' Below Work ~DVeredLby This Request
d Ra0 1 ype of Builtl{ng AOP~iaMaa MirsU EQUiOmenf Wired
Nome Range Temporary Service
Duplex Water Heater Lightin,y Fiztures
Apt. Building Dryer Electric Heatin
Commercial Bidg. Fumace Silo Unloxier
Industrial Bldg. Air Condrtioner 8uik Milk Tank
Parm Other Speufy Oiher ISUer.i(y~
[her Suec' y Other Other
ampute lnspection Fee Belaw
# Fee ServiceEntrancaSize k Fea Feeders~SubfeeAers N Fee Circuits
Oto 0 Am Ota30A s Oto30Ams
- Above _Am ~s 31 to 100 Amps 'f~ D' 31 to 100 q
Swimming Paol Ahove 100_Mips Above 500_1\mp~
TransYormer5 Irrigation Boo~ris rjU Partial%Other Fee
Signs Speciallnspection 5 5° TO7A~ pEE ~
emarks r i ~ !~/~J/
`7
flou0h-in Date ~
1. e Eldcvica
t nspector, irerebv
certity Ihet Me above
Final . c ~ywpection has Geen
~=a~.s ~da.
t14e requeat vola tB mont~s fram
~srepues~void 53a.;~( ~ ~
rtqnths fram
~ ~
fleques [~ate Fire No. Re/~QUrt"ed? ~G ciion ~~adV No~y-~R'ill Notif~ InsDec-
pt ~ ~S ~~•*es - ?NO ~or When Reatly
icensetl Electrical ConVactor 1 herahy repuest inspection of above
~wner elec4icgl work iretelied at
Strea~dress, sox or Route Na. CiW
~~5 Q ~ , t
ection o. Township me or No. Range o. Counly
~cr ~ n f'a
Occupant IPflINTI Phone No.
T~Yelo .r~s ~.~r2~"• 8'~'G--/9
Power Supplier Add ess
Dc< l r ~a. ~e~ ~C~~.r-ru n~
ElecVi al~Contracmr (ComVany Namel Conharlor's License No.
~G.S ~ 0 ~ ~'"3
Mailing A'Ad/ress (Conhacmr or Ownar MakinB ~~stailatfonl ~ ~
Y ~i'i _S. C ~
Aufiorv ~ SiO~~wre (Contrac~odOwner Makine Insfalla~ionl Phone Number
~`~G~itt t~~/D ° 3 5 SS
MINNESOTq yTq E BOARD OF ELECTflICI THIS INSPECTION NE4UE5T WILL NOT
Grigqe-Midwey Blde. -~om N-791 BE ACCEPTED eY THE STATE BOAND
UNLESS PROPEH INSPECTION FEE IS
1827 Universi[Y Ave., St. Peul, MN 55106
Phone (612) 29J-21t1 ENCLOSEO.
f, f, . 2004 RESIDENTIAL BUII,DING PERNIIT APPLICATION
~ City Of Eagan \
~o ~3 s 3830 Pilot Knob Road, Eagan MN 55122 U
Telephone # 651-675-5675 FAX # 651-675-5694
New Consfrudion Reauiremen4s RemodeUReoair Reauirements ~11G~~,~
3 registered site surveys showing sq. ft. of lot, sq. R o( house; and all roofed areas 2 copies of plan ~grE~~'~jF+l, g~+,`~'~ ~~1
(20%maximumlotcoverageallowed) ~ isetofEnergyCalculationsiorheafedadditions -~seS+~~ga~R~ ':~1~'k~.
2 copies of plan showing 6eam & window sizes; poured found design, etc. i site survey for addilions & decks 3a~~~R" ~S~Y4~~
isetofEnergyCalculalions Addition-indicafeiloo-sitesepticsystem }~SI~'e~~~~~~~~~=s....~!~ ~
3 cop~es of Tree Preservation Plan if lot platted aRer 7l1193
Rim Joist Delail Options selecdon sheet (bWgs wiM 3 or less unils ~ 1 r~
, v V L%
Date ~ / ~ ~ / ~ Construction Cost j
~C'
'T
Site Address 5 $fj'~/72.~ ~ S;~ UniUSte #
Description of Work ~`-1i/4[.tct.~ ~p^i~ 4.~%il~~ S f~Yh/= S i z,/-'_ `
~
Multi-Family Bldg _ Y }Q N Fireplace(s) _ 0 _ 1 _ 2
T
Property Owner ~ L@:'r~J 1J2 LC C+-G'f 4~ft-ivn~ Telephone GSI ) ~.5~ 3 Y J`j
Contractor /~u// ~~~fr?.~G~LS ~
Address ~(or,°~ ~-yNJR2~ l~/: SJ ~ZF~1 City I~~aOrK.^~~~~?
State j~-ti~ Zip SS Telephone#(~}$'Z~ ~/~(~!O Co
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7G72
Energy COde Category . Residentlal Ventilation Category 1 Worksheet • New Energy Code Worksheet
(~submissiontype) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previousiy constructed a building in Eagan with a similar plan? _ Y _ N !fi so, 25% plan review
fee applies.
Licensed Plumber Telephone )
Mechanical Contractor ~ Telephone # ( )
Sewer/Water Contractor e ~u'' hone ~
Op
I hereby apply for a Residential Building Permit and ac wledg at the information is complete and accurate;
that the work will be in conformance with the ordinances c des 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
ap •oval o s. ~
~ ~r..l , S w 2v
~ /J '~~J ~
pplicant's Printed Name Applicant's Signature
OFFICE USE ONLY
~
Sub Types ~
O 01 Foundation ? Q7 05-plez ? 13 16-plex ? 20 Poo! ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ent. Alt - Multi
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ~A 23 Porch (se
ottf4eeeF~ej- ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ~
? 06 04-plex ? 12 12-plex Pibg_Y or_ N? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
O 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 ~emolish Building* ? 43 Reroof ? 46 Windows/DOOrs
~ 34 ReplBCement "~emolition (Entire Bldg) - Give PCA handout to applicant
Valuation 2~ ~D ~ Occupancy ' MCES System
Census Code 3 y Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bidgs Length Fire Sprinklered
Type of Const ~ l~l Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Final/C.O.
Footings (deck) ~ Final/No C.O.
~ Footings (addition) P~~z~N- _ Plumbing
~g Foundation _ HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Poo] _ Ftgs _ Air/Gas Tests Final
~ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I, _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By: , Building Inspector f~-p rj; ~
Base Fee
Surcharge 12 ~ X yr 1"~ X~~ = ~6~~~~
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
.
y~~s
s~~~2: ~ ~ s~ .
~'o J~TLe~1~~ 2 c b~F Te i3 e.
p r~r~~D , a ~~T
lmens%~S. ~j~;s;:~
a+~e H~ '~l ~~"X~Z' .
a -r~ ~~e~l~e P ~ez
~ ~;1
A r n_ ~
~~~e
-C2~..~ ~ Zd~
~
CITY USE ONLY
PERMIT y ~ RECEIPT DATE: ~ ~ ~ ' ~ ~
~.SIDENTI.~kL ~4i~CF1~hNIC~L ~P~gMIT ~fa~~PLIC~7'ION
crcY o~ ~as~?iv
9$SO PILOT KNOB itD
EA6AN MN 55182
651-e$1-46T5
Please complete for: ? single family dwellings
townhomes and condos when permits are required for each unit
Date: D 1~ I ~l I D I
SITEADDRESS: yg8~i .SGt-FGLhI ~,O(.C~'-I' SOLf~-~1
OWNER NAME: C-sle.Yl I?iY'tA~-e,V1'IGLI'11'1 TELEPHONE (^ri I ~I`~ 4/ ` 3S'79
(AREA CODE)
~
INSTALLER NAME: Wohlers Southside Htg. & A/C, Ina TELEPHONE 9~_ y.3 I- 7~1~
Dan Wohlers (AREA CO~E)
i950 West 146th Street, Suite 106
STREET ADDRESS: ,~pple Valley, MN 55124
CITY: STATE: ZIP:
Place a check mark next to the ermit work e
New residential dwelling unit under constructionand not owner/occupied $ 70.00
~ Add-on, modification or alteration to existinq dwelling unit $ 50.00
. furnace replacement
• air exchanger
• air conditioner
• other
Nature of work: NP.b ~C1 L' e. ~L(,i"n lx G~
,
State Surcharge $ 50
U
Total 0 ~
Reminder. Calljorinspections. ,1AN 2 2 2001
B ~cc~~i.,Q~~J
SIGNATURE OF PERMITTEE
Updated 1/01
CITY USE ONLY
PERMIT RECEIPT DATE:
APPROVED BY: , INSPECTOR
COMM~RCI~kL bI~:C~kAIC~kI. ~~M1T ~E~P~LiC~cTION
C1TY OF ~RBcAN
3$SO ~ILOT KNOB iiD
~s~v, ~x 55 i s$
651-691-4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
SITE ADDRESS:
OWNER NAME: PHONE -
(AREA CODE)
TENANT NAME (IMPROVEMENTS ONLY):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
ADDRESS: PHONE#: -
(AREA CODE)
CIT'1': STATE: ZIP:
WORK TYPE: New construcrion Install U.G. Tank
_ Interior Improvement Remove U.G. Tank
_ Processed Piping
SpecifyNatureofWork:_
When instal[ing/removing underground tank, call 651-681-4675 for inspection by Fire Marshal and
Plumbing linspector.
Fees: 1% of confract price OR $50.00 minimum fee, wluchever is greater.
Undetground tank removaUinstallarion = minimum fee
Contract price: $ x 1%_$ (Base Fee)
State surcharge calculate at $.50 for each $1,000 Base Fee
TOTAL $
SIGNATURE OF PERMITTEE
Updated 1/Ol
~
CITY OF EAGAN N° 10 5 6 5
3630 Pilot Kno6 Road, P.O. Box 21-199. Eagan, MN 55121
PHONE: 4548100 ~~y~~
BUILf11NG ~ERMIT Receipf #
Te M w~d Iw SF DWG/GAR E#,ya~~ $148.000 pa~e JULY 12 ~q 85
SiteAddresa 4885 SAFARI CT SO Erecc ~7 occuPancy R3
LAt~.ZBlock ~ Sec/Sub. SAFARI EST Remotlel ? Zoning Rl
Repair ? Type of Canst. ~
Parcel No. Addition
? No.Staries
DEVELOPERS CONST Move ? ~e~gth 6$
W Nsme Demolieh ? Depth ~j~
Z Address 1101 CLIFF RD Int Impr. ? Sq. Ft.
'S c~t~ BURNSVILLE pho~g 890-6194 ~nsta~~ ?
S~E Appmrelf FM~
O Name
~ A~~~s Assessment Permit 3 ~Q
City Phone Wufer 8$ew. Surcharge 74 _ QQ
Palice Plan Review ~L~S Q
°f Name Firo SAC 525.~Q
z~ Addrese Eny. WaterConn. 500.00
~W City Phone Pionner WaterMeter 63.00
Countil fioad Unit 280. ~0
I hereby ocknowledge thut 1 h read i opplicotion nd state thaf g~dg. Off. ~ IZ $S Tc PI. 132 _ OQ
ihe inlormofion is corre ree omply with II apPlicoble A~ parks
Srota of Minnewto u Or ' nces.
Var. Date C~~~
Siprwture of Permi es 7atal S2 403-$Q
A Building Permit Is iu o: D OPERS C T exprcy
oll work sholl be done in acm~dance with ppliwble St of rrcsTota
S-t-a-tulea and City o7 Eoyan Ordinancec
BWldinp Offfciol -
-~io s ~
~
' 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN .
NOTE: ALL CON'IRACTORS NUST BE LICENSED YfITH THE CITY OF EAGAN •
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OE SURVEY
1 SET OF ENERGY CALCULATIONS
148,OOO. /
To Be Used For: Valuation:~ Date: 1/r-~
~-7- G.C.1.
Site Address: OFFICE USE ONLY
Lot: ~ Block ~ Sect/Sub rect ~ Occupancy ~
Parcel /1 ~~Sd- Remodel _ Zoning 2-I
Repair Type of Const
Enlarge ~1 of Stories
Owner Mo~e _ Length [~y5
/ , A , Demolish Depth
Address ~ Grade 5 Ft
i ~ ~
City/Zip Code ~ r~ 9-----------------
~
ContractorF%~ APPROYALS
Address v.~~-~.~. Assessments Permit 553.
Water/Sewer Surcharge
City/Zip Code Police Plan Review ~4 S"
Fire SAC 5L5.°~
Phone /k Engr Water Conn Soo.
Planner Water Meter 3.
Arch./Engr Council Road Unit 2a0.
Bldg Off Parks
Address APC Treatment P1 13 Z.°°
Phone ll ~fQ-~f~~ Variance a'/~3-~ Q
7
~
. r
0 . ~
? ~
553 • + ~
, 74•+ ~
j 276•5~ / ~
525• + `~,I~
500 • +
, n3, +
280 • +
132•+
2~403•5-k ~
''j(o x~j 2_ = I I SZ x 54 ~~220~
Z x ~ c~ ' 2 c~ x 5 4' ~ v`~c7 `r u
,
{Z x• ~'S~ = 180 ~ ~{l = ~3F~b
IS ~-2c~ ' ~~D ~ 54- " Z(o~o
32~c24- " ~ _ ~44~
32~~~Co - l~~ Z ~ - 4`7~3~
1 4~I 4~8
I . _ . . . .
t`~ EXTERIOR EP{VELOPE AV[RAC,C "U" CQMPUI'FlTION
OlJF1ER: ~ _
SITE ADDRESS: ~ J ~
CONTRACTOR: pA7E: PHONE: U
DETERMiFlE WORY,IMG SOUARE FOOTAGE OF EACH:,
1.. T07A1 EXPOSED bJALI AREA........ T sq ft x"U" .~Q~
2. 70TA1 R00F/CEILING AREA........ ~ sq ft x"U"' = 3~ S
3•' TOTAL EXPOSEO IJALL AREA C~LCULATIQNS:
Total exposed wall
~ _
' area above floor........ Sq ft ~ "
a} Total wall window area:
~ glazed...... _ ~X /~G 59 ft x n~ii , ~l~-~¢ -~i~~,-~,~.i
glazed...... 1 sq ft x a
b) Total door area ~ sq ft x"U" , O 7 = ~,~4
c) 7ota1 ~ / ,
qlass door area:'
' _ 9lazed.:. . sq ft x . ~Y .~a,
~
glazed.. sq ft x .
~
d) Total fireplace wall area ~ Y} ~ sq ft x"U" _ ~
--r,.....__
e) 7otal wall framing area ~ ~
(Average 103) sq ft x ~~U~~ i ~ - ~.0~
~
' f) Total net wall area above .
floor (Insulated)......,- ,1~a3 _ Sq ft x "U" ,0~,,,~ _
g} Total rim Joist.area....,. 30,[~ sq ft x"U" _
' t~~~
Total foundat.fon
area (Exposed)......,... sq.fC
~ h) Total .Fo~ndat{on
~ wtndow area ~t~ sq ft x"U" uT-~p Q Q
, _
i 1) Yotal net foundation '
area above.gr`'ade2....... sq ft x"U" i Q~
3• , 70TAL a) thru 1) _~.4~
j If'item N3 Is the same as, or less than Ttem ~1, you haye met the intent of
~ . S.R.C. Sectlon 6006 (c} 2:
~
. ~
! ~t. TOTRL EXP~SED RQOF/CEILIMG CALCULATIONS: .
, .
Total exposed
~ roof/ceiling area........~
sq ft
J) . Total skyl ight 'area.......~_ sq ft x'aU" . f- ° ~
~ k)' Total roof/ceilinq framing ' ~ ~
area,~Averaae 109,).:..~.--d-'~-f-'-'SQ ft x
~
.
1) Total net insulated ~
roof/cei 1 ing area.......,,~,~_~,_ s4 ft x nU~~ ~~J ` s
~-~1L~eS.-~
' ~ , TOTAL J) thru 1)
If total'of is the same as, or less than /12, you have met the intent of >
• S.B.C. Section G606 (c) 1.
r:
,~r.
' . • . . . ~
ALTERP~ATE DUILDING ENVELOPE ~ESIGN
To utilize the total envelope system method, the values established by the sum
of ltems H3 and ~4 shall not be 9rea[er then the sum of items J/1 and 1~2.
. t . a~• + z . - _ a
3, .~rT-~-~e~ + 3~,/~'., .
, .
~
, ~ ~
;
;
;
CERTlF.ICATIOId
j _ _ _ -
I I hereby certify that I have calculated the "U" factors and "R"
values herein and that the buildinq here descrihed meets or exceeds Che State
of Minnesoca Enerqy Conservation Act,
c
j
~ ~ I9nature
; . _
~
'i
f' .
19 .
~ ~ ~ ~
~ ,
i.uii:~ir.u~..~i~i~~ ~..iti W~l Ui
, ~ ,.'1 I . - . ~ ; i -'•.1~ • ~ ' ~r.' i~.:
~ 'tr ,i,i' rr' ~ C~ILlllfi SCCTI~II (IIIS~ULATED.~:,~+ ~.~i
, ~r.;.r.' ,31 ,i , InCerlor atr fl lm 4~ , ~ , n hl ti'•i
. ~ n ~1 • • ~ `~r~.~
!~4. .1.. \ E -/V . ~i. I~ 1 ~J
, ,3'.' ~ r~ -i..~~~_,~y~~ .t/i ,CJI,:;
, ;..',,r ~ ;
~ ~i fx[eriorT ilr fllm (sttlil n Gi
; 3 ~ _
~ ' t ~ ; + ~ uTOTAL~~~',> %'X
i p;, t ~ v .i.ay' ~ i ~ i; ~'i s„ Y~ ' ~ ~,.i
~ 4 ~ i~ J I~ 14 1 R 1 p~. 1 ~ ,q
l' i i i i i~ 3 i 4'~ ~ I~~~t ~ U~ f f~ A+/ O(/1
t~ i s -fi d n ~ I~
i - i 4r,~~ ,il ~f~~rt ? ~YF. ft' 1~~~
~ 1~ 1; 1;~ tL*~~ ~r '.lill'~~~ IF,rl'-,~Y,° tlry~~ ~}Y I~~'~`~j~
~ i 'i ~ 1 1 l h 5 ~ ~ i l 5 n ^ d~ H~ ~ I~ vi
r{~ `Ji ~ i ~
. 1 ;I~ ~ ~ ~.G.~~4 rl~~i~Yl/y~H ~Aill~~~ /~~ll(!?
~ ~ 7 \\l ' ~ i.~' ' ~f ~ A 'y~' 'r[~C4 ~ula~/~~`~ V~~ il"~ i
r t. ~ i v~ ~ ri~ fr~l i 5.
~ ~G; ~..~,f~ CCII.IFJC FRAM1NG~s~cri,oN~~'4~°,~',;,'<' , ,~~''C+,~,~
~7,'J~kt~l~~ 2~~~~;,,5 ' i,~ l'Interlor alr film¢~ r~ i!Y n~n n~{l~:'~l
I r!~ f Ii ~'hit~lly'S~I~~~ f~~~e~1L1~~fIF ~ ~ ~1~,~~ '~J ~p-~~~Y~~~~' 4~ T i ~i~~~i:
~ M\ i I ~ Y{ i i r F ~ ~ .~r~
~ :AIR , '~~'~yENTED , ~ oa ,~„f
J 3 .~~c2rdcar~ ~ ; ,~/.rJ G~ , ,Y
r. ~+v 4ri `etyl1i^~ ~ '~I Intario a1.Y ~~~@: $t~~~
, F~QW" .I:~ f~~i.q ~ iP +'.el ~}I n r~ 't• ~ t ~ ~ I '
/ E~i ~ ~ l r ~ :-5 y~ ~ly f nches~ ~sof t: woa~i r. 1~'./~3~~~t
iin.,~ `...~~+.~~rrk w~ i ' y T _.l
V .
i f Tp ~p o /
,i / wj~.'il w71~~ ~ ~ '1 • ~V1~v~ll.l~tlQlll~.~11, iI~'.
i~ i~ r'.i Pi n~n n ~ ~ k i i~ 4 ! iJ i~ i i: 1~i ' :
i ~i 1'~i. li~ ~~I~i ~..+~~ln ~ i~~ ~ tlyL. I i~ i' `
t re 1I \ . p '1 ~t r ~ ~
i~ ~ r S ~ w. ~I.~f~ r~ ~ x ~ ~ ' ~ ~ V A I I\ • q"~..'
, ~ I ~ ' f . •i 2 ~n .pb 1 x /i
r ~ I ~ ~ ~ . u~ YI !.1'r~ i ~f.P. 1
~ I~.~~~ ~ ~ ,"i~ ' ! ~ ,1. I ? x I~~~A ~t ~ ~i~ I
~ ' S ~ 5i ~f ~~~~i ~ ~r. . ~~1 ~ ~5., f ;~~~1 ~f~ 1: Y ~if 1 U t <
, ~ . ~ ~~.i' ~~4.~. i + 1 . + I. ~r~~i4+ i ~~l.,i ~
~ r.s~~' ' ~ ~ ~ f~f ~ ~ ~~.1. i /h
~ ~ ,r~~.. ' i ~ ~ . • . . I.~- i.r:'`~ ~~~f° 'ti ' ~ .t.i~`
! , 1' 'r" a~l~l CEILIJJG SEf,T101~,(I~MSULATEL~) ~i`,,~,;:~`.r
L1~S,^ ~iS?$f ~c.~". "L?q'~._^(Jp'~",aYia-~,a ~!=~~'S\I'C57K2.P i i ~ ~ fl C C' I' ~ O 1' ~ a I t' ~ I ~ I~l ~ ~ n F+
. - z , . , i-- 7.- ~ •
~ ti ~ ~
' ry _ f ~ iS r . „3 : . ~.2'~ ~ ' . :.t.
. ~.a 4 ~ ir,~, srj'.~ ~y~z~~~p~~ ~r~~~~ ~ II ~~.FXI'C'r~01'.d~ ~~~.nll St~~~, n'`,1'.
~i i ri.J 1 ~I '
. r~! ,.1 ~~•i r ~n a n I^~ t1A-ltl~~;4 1 ~ li i ~ • ~ ' ~~i 9 ~TOTAL..R~ . .'1
.1 Y lr_ ' ~T'~:
/ i ~ • ~ ~T~ S 1 ~ . i~
~ ~ 'i ~ i i~ h~.. ~l "vt xn~~ . 7 t 'n1~^ pr} qr~''il
! ~ r` ~/jr 1`. t'iy ~Vld ~!".~1 .
1~ i! ~ f ~ i ~ ~
. . ~ ^ ~ .f ~ ~ ~ ~ i ~ r ~
r ~ 4 I A i~~ ( I`4 I', r ~I~; r J.1A ~,~.f
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1 ~ f.:
, ; ~ i i r ~ . . ~ ' . i;
. . ~ ' • ' 4~.e !1~-. 1~~~~'~li
~ 2 3 ~ 5 . ,
. CEII,INf; FP,Ai4iPl~',SECTIOhI.;; ' ~ , .
, • :i'. .~..~~r':,~ 1,.. lnterior afr film. . ,.'{,:`;;;';t~0:61:
VCNTED : z . ; , , ~ .
. . . ~ ^ . , . ~ 1 .
n~ y
' , i i .'„y/~~` h fxte : air'fllm• 5C111, ' ~~,1
. ' 5 rnches..soft wood .
~
, ~ TOTl~L;.R
, , • , .
. •
, , • ,
, . , . ~ ° .1~/R
.
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. . . ' . t~`'~i ; ' Y^" ~ i. ~ ~ - ~ ~ ~ t.
tr,-4i'`r'~'~~~``;'Y •,',.~:.t~~ Insldc alrr fllm. ~~F
; , >.~'f/ / 3
. / . ~ _ . l.~i . , ~ . . . ~ • _
. . . ~ ~ ~ , , . . ~ ~ . . ~ . , i . . . , . . . a J , :ir' ~
' _ I~ _ , ~ ' ' C(111_~ I'lllli, I I Uil ~ ~ , Il vALU~~ ~,~~a
I r- . ~ ~_.Y i
I s Sl ii ii ~~'.i j i li" i r. ~ i~ !iy r' r i ~iV~
~ ~ J t ( ~
~Iti~`+~`I} 4~,~~~~1lALL.FftAl11PIC~:SCC710N;. ~i
~ ~ . r ~ i 4 r . ,
'I~ . I Interlor'alr fllm ~.p
, ~ , ~ ti ~ ~
' , . " ~
~ f;_~ - -i 1 %y r
~ ~it I , ;i 4t 1~-.. ( S1 ' i , . / I(1C~1L'S SO~C 4100(~ ~ ,4 : ~
~ i ~ ) ./~/~.~w ,ti
~ 4 I l- (/'?F~~~' Yil~//1'/?.X ~ I 1~ ~ I~.~ ~
Sll ~
" 5< ~'~P;i~`a.r , ~ ` r~i
~ ~ i i i':F ' .
~ ~ f~. E x[ e r i or air, fi lm ~ 17 ,'i
'1 , ` ; irr;•:
I _ : ~ ~ ; ' , ~ ~ , ~ ~ ~ 70TAL`~ fj = r,::
/ i(i . i ~ < lq ? IJVi~~rl~.i ~ -i~~~1{;
~ J ~ ~ ~ 5~~1 ~t 1 v I" I I i 1~ 1 "M1~ ~ ~ h~ ~ ~ i
~ s ~ ~ ij ~ ~ , . ; ~ , . i 1 i ~ q ~ ~ tr ~ P r ~ + ~ 1 i.,
' ~ ~~~;i~~{~i~~~~l'I~Fi~~N 'rt; ~ i.,i, ~ i I ~ } i . ~ ~ ~~i ~~R~~mi ~ ~ ~'F~y~i~~
~r'1 i ~ ("~T I!~ 1~ ) h. ( yt i h ' I 1 ~ r I~ jr' ~ i~ Y- ~ ~i D'I f IIli~,7
d~ ~ , { , , t ~ ~ ~ ,
.N„~.e ,i ~~pLL;SECTION:(.~tJSULATED)'',^ ~'~~~i`.' ?
i. .~.~I ~ 1' Interlo ' ~+'.,t~ `rl~~.r (d~r~ i~F " i
r~r q r alr fllm 1,t fiR,(;`,;r~
{1i ~.d f I ~ i' . {I /~U~~ ~e_Y.~h f.~i~ i 1 i .Il ~ ~J.
r ~ i. '.3. i e~;l
, ' ~ ~ . ~ IyiAx) lti;~) t~ i ~ 't~ ' . ~ G ~'~•.i ~ : Y ' i ~ . f~~
_ t.i ~ ~ r I .n~0 .Illr '-0
r. )
r ~71 1 sy. 7y ~rr. ) ; J ~ : ~ 7 . l':
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11 r r ' I' : ~i ~ iir' u Ri.~IR p. G ~.~~1
r ` if ~
~ ' ~ ijr ~ ~ ~ i '1 ~1 11 . f i i~.
~ . I I i . , ~ M ~ I . ~ ~ ~ h ~
j 1 I ' ' I . I ~ 1 , 1~.
;',(""~i1~iJ~~ ~'.RIM J01 ~ ~ ; 7s
~ , , , ST SECTION ~ , . ~ + t!
' . 1 .Interior airfllm }
' r~~ ~ ui~'~ ~,i - .i.;
. , :-T : n f, A ~
' 2.
a'~ T 1~ i I/ N i ~ 'L.- .Q.:~ ~i0(!nr'~.
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1 . If ~ ~I~\
, , a ' c ~1 ~~S Y . ~ - `r..}L
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~ . . ~ ~ / ~~~4
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~ ; ~
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~ S
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- ' ~ : a ~~i'' ( ~ i i~t~~ f
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i ~_-rr-- ' , . _ . . t. ~ y i . ~ 1 I ~
I ~ I~ t .
~ " a ' < <.:.FQUNDATION SECTIDN. • '','.~,l~"'
. 7~ ~A ` , " 1 Tnterior a r m ~,R
. , ' 'a 2 , i ~ , ' ~S. ~ ~
~ ~ 6. / ~
. . ~ ~ ~•'r •',F~, . ~---\j~ /n~/~ . ./~~'r,Y~
d..n", C ii h.x~erlo air film , rl I] ~
a d'' •`'/•i~~'O.n,~`` t
. ~4'~..a 4 ~'l~/,~Jl~' . (r,
~ ` TOTAL, ft , lI
: . S U ,`l/R=~
. , , SLA(3 ON CRADC "
, ' ' _ . V;a , . . ' 1~r 1 r . , ,•t I-
~ 1,T~ '~(L ~ 1 V 1 l~ µ~~v i
' •4' C~~ 1~~.~ / 1 ' ~~'~'r r ~1'• ~ ~~i ~'i~ ~~i'.
' jR~jA~yn~,.,;:,. ;'y ,a~.,
, , ~
' . '~i4 ~ ~ .t.,4~ ~ ,~i . I~~.~ ~ ~r,,~,',~' ~ ~~~t ~!i'.
. . u i ~ 7 ~ r ~ ~ .'4• ' ft'
. . . ° • i.. , C~, . ~ . . ~ .P~ . . ~ . ~ r
. . . L~ ~ V , Q . ~ ~ r f ~ q ~ ' ~ / P • ~ . {
. . . . ' . " V: i,.. ~ 4'~ i } . . . . . . • . n / . . . . . . ` - ~
Certificate f'or:
i' •Developers Construction -
' . 1101,Cliff Road
Burnsville, Mn, 55337
DELMAR H. SCHWANZ ~o~¢
I~NOSUfiVEVORS MC
Rpp.a~PrpA U~l1P~ L.iV/{ (~1 TM <ITIP (~1 MinnMl~lll ~
14750 SOUTH ROBERT TRAIL ROSEMOUNT. MINNESOTA 55088 PNONE 617 {ti77lP AI)
i~~ lT"
SURVEYOR'S CERTIFICATE I
a
Elevations shown are existing ~j ~
Proposed garage floor elevation ~ _
?
~ ~,a
~
y ~s ,
i~~ ~y ~
~ '
/
~ i~ 6Z °
3~~ s~ r~'s''<
~ ~ ~ ~ '`s-o , ,
~ ~ s~' j- o
~ ~ ,Y~ ~ 9_
i ~i~/B \ s" 6j
¢E~92
% A
iv ~ a ~ ~ ~ 9698/~h ~ " ~ `
o~o ~q,Z
~ ~ ~ / 9~.6 ~N~ 7
1(,~i~~'i L 0~ M~9qy33 ~ H, 939.6/ ~ 3o n'~
ti ~
/ , % ~ ~ o~h . 9~ / n,
~ ~
_ ~ ~ 97~ 1r, ~ M f ,
_ ~ a~n; v
` 3z ` l \
5s ~a ~ ~ ,
EAGAN ~ ~ !~~9~.¢~~ ~~~o^ ~
`i~B o ~
R E ~Y~ W Q y~9 G~ y~~ o ~s•5 e
9_ 36 . ~ hy9 / --nA~ ~
~
~C/ M ^ •
sY - a_ / a~ a M
to . 5- 85 9~y~ N~' a~,$~ h
DATE 9?~ ~ ~a`,°/' D p /
3~
~V
I hereby certi£y that this is a true and correct representation oP
Lot 12, Block 1, SAFARI ESTATFS, according to the recorded plat
thereof, Dakota County, Minnesota.
Also showing the location of a propoaed houae as ataked thereon,
Dated: June 3, 1985 ~
M~NNESOiA REGISTRATION NO. 8625 -
RESIDENTIAL
5~ l,} C,) BUILDING PERMIT APPLICATION Q 2, 2..~
- r ~ CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55722
651-681-4675
New Constructlon BeaulremeMS HemodeVHapalr Reaulrements
• 3 replstered stte surveys showing sq. fl. of bL sq. it. ol house; anC g~ roofe0 areas • 2 copies ol plan
(20% me~cBnum bt coverage alrowed) . 1 set ot Energy Calculations tor heatetl addBbns
. 2 coples of plan showing Oeam 8 wintlow sizes; pouretl found tlesgn, etc.) • t sNe sunrey for ezterior adtlAbns & decla
• 7 set of Energy Cakulalbns • Indkate B home seNed by septic system for addAbns
• 3 caples of Tree PteservatWn Plan H bt platted eher 7/1/93
• R'un ,bist Detail Optbns selection sheet (bklgs w~h 3 or less unhs)
DATE G VALUATION I ~i ~Y"1P~
SITE ADDRESS -lg~s ~'~`r G/ ~ MULTI-FAMILY BLDG _Y !i N
TYPE OF WORK ~O~ Ret'De7F- FIREPLACE(S) _ 0_ 1_ 2
APPLICANT eS~EL, f Sco~
STREET ADDRESS `t OD ~ 3~ ~ CITY~STATE~,~LP~L
TELEPHONE # -5 ~ 'D~~ CELL PHONE # FAX #
PROPERTYOWNER lJ"le!'Y'~ /src~S~Pw~s~~/ TELEPHONE# ~S(- YS~/-~57~
COMPLETE THIS SECTION FOR ~•NEW~• RESIDENTIAL BUILDINGS ONLY
Energy Code Category MINNESOTA RULES 7670 CATEGORY 1 MI I~~6~
(J submission type) • Rasidential Ventilation Category 1 Worksheet Submitted • e e~V t ~ mitted
• Energy Envelope Calculations Submitted JUN 0 7 2002
Mumbing Conhactor: Phone #
Plumbing system includes: _ Water Softener Lawn Sprinkler ee: 90.00
Water Heater ' No. of R.I. Baths
No. of Baths
Mechanical Conhactor: Phone #
Mechanical system includes: _ Air Conditioning Fee: $70.00
_ Heat Recovery System
Sewer/Water Conhactor: Phone #
I hereby acknowledge that I have read ihis application, state thaT the information is correct, and agree to comply
wlth all applicable State of Minnesota Stptutes and City of Eagan Ordinances.
Signature of Applicant ~ ~
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4l02
OFFICE USE ONLY
? 01 Foundation ? 0~ OSplex ? 13 16piex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling O 08 0&plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Exl. Alt- Multi
? 03 01of_plex ? 09 07-plex ? 17 Garege ? 22 Porch/Addn.(4sea.) ? 33 Ext.Alt-SF
? 04 02-piex ? 10 0&plex O 18 Deck ? 23 Porch (screened) ? 36 Muki
O 05 0&plex ? 11 10-plex ? 19 Lower Level O 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof 0 46 Windows/Doors
0 34 Replacement •Demolltion (EMire Bldg only) - Give PCA handout to applicant
Valuatlon Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaVC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesu _ Final
_ Framing _ Siding Stucco Stone
_ F'vepiace _ RI. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply 8 Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
i
. I
C~ 2/84
3 ~
~ ' CITY OF EAGAN
~ ~ kr.~ . ~1
, APPLICATION FOR PER~'~1IT
SEWER AND/OR WATER CONNECTIODT
(PLEASE PRIMT)
1) PROPEf7PY ADDRESS: T~~ ~'il~~.fRl .rr~
T_FP~~i. oesc~tirzc~: l,o ;~~oc ~f S"~1-F~R; Fsr,,~~7'~
(Iot/Block/Su~ciivisicn or Tax Parcel I.D. Ciisr~2r1 -
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3) PLC,'~ffi~'. (PLEdSE PRINT) FOR CITY USE ONLY
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, ~~U `~p PLUHBERS C~E45E:
ADDRESS: ctive
CITY~ STATE~ ZIP: ~ffi ~.+/P~ ''h S J'~/S ~ pire~
~ PHOi~IE: t~f Fecord
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ADDRFSS:
CIT'!, STA'I'E, ZIP:
PHOVE:
5) INDIG",TE S~t-iZCH PERMIT IS BEING RD~CIESTED:
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I~ ~vN~IF~fZON 'R~ CITY WATER
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PL.°r15E E?OID APPROVID pER''~LIT- FOR PIQ:-~'P SY ONE OF AECVE
? PL~,SE P^~1IL APPROVFD PEP~LIT 'PJ 1, 2, 3, 4 AF,WE
(Circle one}
7) SIG~2[.'RE: ~ .~c.2 DATE: ! - I~-~S._
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F 0 R C I T Y U S E O N L Y ~
PE?±?IT ISSUED
~
F°~S: $ /G' SEitiL4 ?~~R?4rT (I2ICL:;DY SU~C`.i?3GG)
S % U~~ WATER PERI~1IT { INCL'JDE SURCFiARGE)
S ~j ~ ~ ' WATER METER/COPPERHORN/OUTSZDE READER
$ WATER TAP (INCLUDE CORPORATION STOP)
$ SE;vER TAP
. S /~.<.~-rJ ~r~0i::._ ..?GSI'= - ac..=~
$ ~S ACCOUNT D,F.PpSIT - 47ATER
$ S~o. , w WAC
$ S -;j ~;O SPC
S TRliNK WATER ASSESSi4E::T
S TRLiJK SES4ER ASSESSME*IT
$ LATE~L BENEFIT/TRUNK SE:•:ER
S LATE?tAL BENEFIT/TRUNK ~4ATER
S /3a, • OTHER '
S TOTAL
$ ° ~ Ai~lOLTNT PAID; RECEZ?T i~ ~3 ~
~
DOES UTILITY CONNECTION R~QUIRE EXC~VATION IN PUBLIC RIGHT OF WAY?
[~,~5 IF YES, THEN A"PERMIT FOR '~ORK WITHIN
PUBLIC ROADWAY" D1UST BE ISSUED BY THE
r_~ NO ENGINEERING DIVISION. LIST AS A CONDI-
TION.
SUEJECT TO THE FOLL0~4ING CONDITIONS: '
~
APPROVED BY;
TZTLE: ~ '
DATE : I i ~ I
~ si+ w s~ ~ s~ ~ nc~ w~ ~ w~+ w~ w+-~ ~ w.a w~w~ f~ ~t~ wt ~ se Rs wt~ ~a sr w~
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA119512
Date Issued:12/03/2013
Permit Category:ePermit
Site Address: 4885 Safari Ct S
Lot:12 Block: 1 Addition: Safari Estates
PID:10-65850-01-120
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 -
Glenn A Bruggemann
4885 Safari Ct S
Eagan MN 55122
(651) 454-3879
Home Depot At Home Services
656 Mendelssohn Ave N
Golden Valley MN 55427
(763) 542-8826
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA146642
Date Issued:11/06/2017
Permit Category:ePermit
Site Address: 4885 Safari Ct S
Lot:12 Block: 1 Addition: Safari Estates
PID:10-65850-01-120
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.
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 -
Glenn A Bruggemann
4885 Safari Ct S
Eagan MN 55122
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA146748
Date Issued:11/13/2017
Permit Category:ePermit
Site Address: 4885 Safari Ct S
Lot:12 Block: 1 Addition: Safari Estates
PID:10-65850-01-120
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
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 -
Glenn A Bruggemann
4885 Safari Ct S
Eagan MN 55122
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature
For Office Use l
a ` ; OAR19 " Permit#: /(10. 0 E AG
c1/
7r► �:� Permit Fee:
N
Date Received: '1 l 1
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 1y
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff:
buildinginspections(c�cityofeagan.com L
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
Name: A „ hG . T Phone: (.o )—00f)— 1 coca
Resident! w
Owner Address/City/Zip: 44sr• r G�--
Applicant is: Owner `Contractor
Description of work:
Type of Work
Construction Cost: -5-700C) Multi-Family Building:(Yes /No X )
i n Company: ra. ())1/4.1S Contact
Address: 1C._(SbLI (_e36,`4 Jt'rl#t'. City: (2c ..zh-..Oc1 ?^#
j State: V Zip: B Phone: / l -L114-e3'ti :jcci CO
License# 11-17_ to"741 Lead Certificate#:
If the project is exempt from lead certification, please explain why:
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:
Fire Suppression Contractor: Phone:
OT ..
a =" y
� r r Panandsuortingdocuments a submit am WA;• r
cNassEifed4s:, . pblfcou . . • "; reasons that ° the Or to
•
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State Onepali 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 fora permit, and work is not to start with.- ■. be in
accordance with the approved plan in the case of work which requires a review and approval . • - s.
✓�—�_ ��.i /
Applicant's Printed Name A•.. 0-'ant's Signature
DO NOT WRITE BELOW THIS LINEzigg 6 cil ricig i' C-1- 5 /L/�'3'0 -
SUB TYPES
Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration (Multi)
Multi _ Deck _ Porch(Screen/Gazebo/Pergola) �0 Miscellaneous
01 of_Plex Lower Level Pool Accessory Building
WORK TYPES
New _ Interior Improvement _ Siding _ Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
Alteration Fire Repair Windows Demolish Foundation
_ Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation 11 3.7i°t'b, — Occupancy MCES System
Plan Review Code Edition /On Za!c SAC Units
(25%_100'09 ) Zoning Tz-1 City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings 1/ Length Fire Suppression Required
Type of Construction V Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) Final/No C.O. Required
Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test
Roof:_Ice&Water Final Pool: Footings Air/Gas Tests Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace: _Rough In Air Test Final Siding:_Stucco Lath _Stone Lath _Brick EFIS
Insulation Windows
Sheathing Retaining Wall: X) Footings Backfill Final
Sheetrock Radon Control
Fire Walls Fire Suppression: _Rough In Final
Braced Walls Erosion Control
Shower Pan /7124
` Other:
Reviewed By: / 0� ��//tF- / , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies / 4
TOTAL
Page 2 of 3
• LOT SURVEY CHECKLIST FOR RETAINING WALL q0.
BUILDING PERMIT APPLICATION
Address: 4; S Sr�1 1 L-7
Applicant Name: & /1/7t1. J
( " n7Ov 1 f1
DATE OF SURVEY: i/3o//7
LATEST REVISION:
as
a)
**Permits required for Retaining Walls 4 feet high or greater.
• a_
o z a DOCUMENT STANDARDS
f ❑ 0 • Registered Engineer signature and company
X ❑ ❑ • Building Permit Applicant
$ 0 0 • Address
,8 0 0 • Legal description
X 0 0 • Lot lines/Bearings&dimensions
0 0 • North arrow and scale
,l1 0 0 • Street name
,B' 0 0 • Show all easements of record and any City utilities within those easements
.6 0 ❑ • Setbacks of proposed structure and side yard setback of adjacent existing structures
ELEVATIONS
„if 0 0 • Property corners
O 0 • Top of curb at the driveway and property line extensions(only if wall is within 30 ft.of curb)
O 0 • Elevations of any existing adjacent homes
Z 0 0 • Adequate footing depth of structures due to adjacent utility trenches
O .e' ❑ • Waterways(pond,stream, etc.)
O .0' 0 • At the foundation of the building and/or nearest structure
PONDING AREA(if applicable)
O 0 0 • Easement line
❑ B" ❑ • NWL
❑ X0 • HWL
❑ ,0' 0 • Pond#designation
O ,0' 0 • Emergency Overflow Elevation
O ..er 0 • Pond/Wetland buffer delineation
Y i • Shoreland Zoning Overlay District
Y (i•'' • Conservation Easements
RETAINING WALL INFORMATION
J '
0 0 • Location of Retaining Wall on property
j;1- 0 0 • Top&bottom elevation at each end of wall and any change in elevation in between
.e' 0 0 • Type of material (i.e. modular block, boulder,etc.)
0 ❑ • Directional drainage arrows with slope/grad-° %
Reviewed By: —4 "___ Date �8
G:FORMS/Building Permit Application-Retaining Walls Rev.5-4-09 d
certificate for: / q( /-62-- -
i. - Deve lopers Construction .
�_
`�7
. 1101,Cliff Road 6 O J
turnsville, Mn. 55337 'A
Ali,
DELMAR H. SCHWANZ 904%
LAND SuRvEVORS INC
Ream..a IMAM LA* M The St.w of Memesm 1
14750 SOUTH ROBERT TRAIL ROSEMOUNT.MINNESOTA 56065 PHONE E1!423171$
It.
SURVEYOR'S CERTIFICATE i .
Elevations shown are existing 0°
Proposed L
garage floor elevation -1 _. 0r
•
•
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7 �-"' _
- EWED -9,::„.
05,
G /` ;o 46'2 'tea?
I> .7" .
*47
Eagan Building Inspe ,i.':. fir: gi .'i \ ro
1 , tii i J 96f.le al-.,,,t ,o , �Z
111 ith D T 004. "•' c1 7 '7
vow4
\ 7949 i,
(-C -. - ( g---. 1.i..-4. _ arag9 9J to
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e
925. 3 f I tit\
EAGAN / ��
RE W D .v�.9_ /At,
9 •-- - s 913,"7 I ' •,...0. \ S4
BY `-6 k,. , a
DATE 65 Sl -'' h
1S .:,y•ak'
4
I hereby certify that this is a true and correct representation of
Lot 12, Block 1, SAFARI ESTATES, according to the recorded plat
thereof, Dakota County, Minnesota.
Also showing the location of a proposed house as staked thereon.
Dated: June 3, 1985
l / '' / , ,
MINNESOTA REGISTRATION NO.6526
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