4886 Safari Ct S CITY uF Ex.~;AN WATER SERVICE PERIINT
3830 ~ lot Knob Road
P. U. Box 211~l9 PERMIT NO.:
Eagan, IIAN 55121 p,,TE;
Zonirg: . No. of U~its:
OMmer: - - - Qi1St ,
Addrcas:
S~Q ~~SS: ~y r~rC~?2.~ _ L.. ~ ~ =i~ _ ~3
~ ~1JRIbE1" rIC.,.^~Oli 1~i':.;y
~!f NO.. COf1flQCfIM1 QfOf~: ' . - -.-j~', .
SIZO: ^CCOUIIf DEpO8I1': ~ .
Reuder IVa.: Permit Fee:
1 qrM to eo~plr wllb !IN CMy of Gq~w Surchor~e:
Miac. Charpes: .
Totol: . , ~ :`~s
BY Dote Poid:
aate of lnsp.: Irtsp.:
CtTY OF EaGAN s~ P~~~
383a Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 pA~~ _a ~
Zoninp; 1
Owr~er. 'C'•' '';.t!2St. No. of Unlts: -
Address:
Site Addrcss: } f? r_ ' - , - _ -
Plumbur r:,....;: i 1
' ' ' ;5i~(!! ~ '.i ~i'
1 yrN te ~s~Ir wNl~ !w Ghr ei ale~ Connection Q~r~e; l:5 ~,;!~v_' ~
OI~IMqlM. ~OUflf DQ~~f: . S_~ ~Z' L i
Pl?111~ FlQi ~'1 ~ - ,
~ 8 Su~~ -
y Misc. Cho~s; I
Qote of I~sp.: Tatal: !
I nsp.: Dot~ Paid: i
,
CITY O~ EAGAN WATER SERVICE PEItMIT
3830 Pifcit Kne~b Road i f~ `_Z~
P, O. Bax 21199 PERMIT NO.: `4 ~ f LUJ
! Eagan,MN 5512~~1 ~ ;,p~y~~;~„
~r~_ ,~c~,` ..on.,~- ~ ` ~hto. of"Ui~Its'
a~ r'
°f~`'
AddresS: O ' ~
Slh Mdross: t _ ._sri~:~'3,,~~
• : tA lll~,~~
Plurnber: ~ ~ ' ~ ^ r ~
Metar No.: O j~' ' ` . " ~ .
, . Ca~nection Charye:
5ize: ~_L2.,~.L'.. Accourrt Deposit: ~ ,
, -
! Reader No.: ~~Y1'~
f,~ D~ . Pertnit Fee:
T
~ l~PM ~O a0111p~r M~~ Of b~ll SU?CffOfgf: . .
01'J1M . G . ~ . 1 ~
Misc. CFwrpes: -
Total: ' • . .
BY Date Raid:
Dota of Insp.: ~ Inap.:
f~- a,~~~j ~
E : r. . ~ ~
_ ~ ~ _
+ CITY OF EAGAN i O S S O
' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
~ PHONE: 454-8100
QUILDING rERMIT Rece+pt # Y' ` •
r Te w wrA ia , ' Est. Value i. Date 1 y
Site Address - = _ Erect 0 Occupancy '
Lot ' Block Sec/Sub. Remodel ? Zoning
Repatr ? Type of Const.
Parcel No. Additlon ? No. Stories
Move ? Length
Z ~~e Demolish ? pepth
~ Address Int Impr. ? Sq. Ft.
~ City Phone Install ?
p~ Apptorak F~es
~ O N8R1@
uu A~~ llssessment Permit
S Water d. Sew. Surcharge
~ City Phone ' U
~ Police Plan Rev{ew
~ . u u
~,W Name Fire SAC
I~ Address Enp. Water Conn.
" .J
~ ~W City Phone Planner WaterMeter
CouncH Road Unit ` ~
1 hereby ocknow~ed9a thot I have ?ead fhis opplication ond stote thaf gldg. Off. ~ ~ Tr. PI.
the inlormotion is tOrrect and ogree to Comply with oll opplicoble aP~
Srota of Minnesoto Stctutes and City of Eagan Ordinonces. P8~
Var. Date C~~~
$iynoture of Pertnittee
Total '
A Building Pcnnit Is issued to: ' ` a+ th~ exprcss conditlon tha~
all worlc shall be done in xco~donce with oll appliaoble State of Minnesoto 5tatutes ond City o4 Eoyan Ordinonces.
Buildinp OfflciOl ~
P~?mit No. P~rmk Hold~r Dat~ Tslsphone ~k
Plumbinp I U _ r~ ~/.3 3
H.VA.C. ~ ~1~- ' 1e}~I~S ~J ~5' ~ I,
Ehatria
$ott~r
Infp~Ction Dat~ Insp. Othar
Footl~gs I ~
Footings II
Foundatlon 9 ~
Freminp
Roofin9 %S ~6 LL~,~
Rou~h Piby. . . ~ ~
Rouyh Ht~. ~vl~ f ~ ~-Gf 3D /6 SS !S
Insul.
Fireplac~
Final Hty. /O~f
Final Plbp. ~ . L-
Flnel
Cert/Occ- ~~S T(1 FS 'f' a. ~ S-~~o
w~~ D~scribs Location:
W~11
8ewer
Pr. Disp.
R~aipt - ' ~ PLUMBINO PERMIT PNmit No. - ~
C17'Y QF EAGAN F« .
~ y
, . ~ .
~ _ . _ ~ FJ/1 !n numbeird ~p~sces S/C
_ Tjryar ar Prlnt l~lMy Tot
1. Date ' , 2. Irxtallation C~t
3. Job Address' Lot Blk. Tract
4. Ovmer _C~ t~- t_ i_~~
5. Contrsctor ' ~ ' ~ ! ~ ' ' ' ; ~ `~~/1 ~ ~ Phone '
6. Ad~kess 1i i r.:-~
7. City ; State ~ ' Zip " ~ -
8. 8uildinp Type: Residential Commercial O In:titutional O
9. Work D~scription: New ? Add 0 Alter ? (iepair ?
10. Describo
11. No• Fixturss No• Fixtures
Water Clo~et ~p~l/prainfield
Bsth tubs Septic Tank
~ lavatory Sohner
f Shower
6 WNI
Kitchen Sink
Uri~al/Bidet Other ~ ~ ~ '
Laundry Tray
T
~ Floor Drains
Drinkin~ Ftn.
Slop Sink
Gas Pipin9 Outlets
1Z, I hareby artify that the abovs information is true and correct, and I aprea tn
oomply with alt o~dinances and codea governing this type of work.
Siyned : ~a
Rouph FinN
Inspections: Date Inap. Date Insp.
This is your permit when numberod and spprowd.
Approv~d CITY OF EAGAN 464~100
~ - ..~f :7
Raceipt - ' ` r ~IAECHANICAL PERMIT Permit No. ' "
CITY OF EAGANL
Fe~
. a ~ Fill in number~ed apeces S/C ~ ~
Type vr PI'ini /egiblY Tot
1. Oate 7-~~' ~-S 2. Inatallation Cost
s ~ ~!ur i
3. Job Address ~~1~ r'~ ~ L'ot Blk. Trect
t
4. Owner ~ : ~iY; J f /~CG ~tii'!
5. Contractor c_ _ „ ~p~opfe .
~..-b
~ . .
. _ . . , _ ~ ~ . i
B. Address f~y.;
`+:;T~,~r~_ti=5,~:*irs~ "
7. City S~te- ~ 7 Zip
8. Building Type: Residential ~ Commercial ? Institutio~al ?
9. Work Descriptiort: New ~ Add ? Alter O Repair ?
- .-rf-v _
10. Describe ..r~.?v =!-%i~f - Fuel Type ,
r h~: :r ~"a , . ~
r
11. No. ~jpp~pi BTU - M. Ea. No. Eauiament CFM
~ Forced Air ' ' ` Air Handling:
Mfg. - ~ ..v
Boilers Mech. Exhaust
Mfg. !`.y =i~
Unit Heater ; , ~ y'.,
Mfg. Other ,C11
~ Ai r Cond. ' ~ / '
Mfg. ~.,.-,~--fir
i Gas, Piping Outlets
12. 1 hereby certify that the above information is true and carrect, and I agree to
comply with all ordinances and codes governing this type of work.
.SIJf18[~: ~~~Y'tii, `v'f-~.,,r~c'!~/-:-' f0~
Rough - Final
Inspections: Date Insp. Date I~sp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454$100
GEO. SEDGWICK HTG. & AI R COND. CO.
r v 3~/y9
HOUSE HEATING TEST RECORD
4'c' ~ `a > ; ~ ~ i i ~ : - c . N~::_; .t'~/tiJ
ADORESS ~ CITY
OCCUPANT OWNER
HEAT LOSS DATE HTG. INST.
SOLD BY 1r'4j~ ~ t ~ -INSTALLED BY G~ . = ~ ` ' ~
Electrical Work By V Gas Line By ' ` k
TYPE OF HEAT GA_ FA~ HW_ STEAM SPACE HTR. UNIT HTR. OTHER
GAS DESIGN CQN1(E~IO~NN
MA K E L- ~v ~ -M~IC-~~F_8ll~3 N E R C/y
Model ~ / Q -i Model - -
Serial ~ ~ G~~ y~ ~ Max. BTU Rating
INPUT i1 J:: D~ MAKE OF.FIJ~AF~-'
Model
.~.+~t,~~ CONTROLS ~ ~ DATE ~
THERMOSTAT ` Heat Plug - Vent Size
Valve ~U }"~~Sv.^ C., n~ ~o L s KIND OF LINER S12E E
v, r- : es
Limit r~~'' S79T D~aft Hood ~ ~ ~ ~"Regulator ' l`
Limit Setting ~d~`~'t Filters Size Number
Fan Setting ~%r Chimney Location Inside Outside
Pilot Type ~ ~G'~k Chimney Construction ~ ~t ' - ~
Pilot Make '~oh"Sp^ Con 'a:s s
,
Pilot Model 6~ v` r~' ~ Smoke Bomb ' Wiring ~
Pilot Timi~g ""~'vT Draft ^ - Test Tag
L.W. Cut Off Door Pressure Lighting Inst.
, c ' / - i <; - ~ ~
Pressure - ~ ~ Percent CO ~ Date Tested ~ -
~C.~ ~ ~ / Z r~ , _ ~c~ S .a , c re.
Input CFH~ Percent 02 Company Testing
Stack Temp. f Percent CO ~ Name of Tester % ~ ' ~ `'r ~
Form 235 _ _
CITY OF EAGAN Remarks ~
Addition SAFARI ESTATES Lot 3 Rik 1 Parcel #10 fi5850 030 O1
owr,e~ ~i 1~ Vr, ` ~ street 1934 Safari Trail stace
n:, . i ,.fi; , I 4886 Safari Court So. , , ~}v ,
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. ~ c~'~ 1.982 ]_~3']. ~jf~ 1~3.']rj 1Q ~ ~ ~
STREETRESTOR. (pC( 19$2 ~4(.63 309.3 ~
GRADING 1.9 . . ~
SAN SEW TRUNK Z ...~r
~F SEWER LATERAL .
WATERMAIN
~F WATER LATERAL
WATER AREA
~
STORM SEW TRK 1 82 8 b. 1 1 . 8
iF STORM SEW LAT 1 82
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. u
~UILDING PER.
SAC
PARK
'4
_
~
' .
~
-
~ ~
i
Tn~s ,«a~~~ w~a ~ c f a' 7 7~~S ~85
.rontM `om J Q
L3 yao~
tiequest ate Fi~e No. Nough-~ InsDection
~ Nepwred? ~Fieady Nuw~Will Nolilv. InsOec-
9 ~ ~ ~ ~~es ?No ~or When Ready
~Licensed Elecirical Conbactor 1 herebY request inspection ai abova
? Owner elecVical work i~telled at:
Sfreet Adtlress, Boz or Pnute No. ~ City
Y~9 ~c~; ~ Ea ~
cuon o. Towns~ip Name or No. Ran9e No. Counly
!.~{+~fr~~
Occupant IPIiINTJ R~one No.
l¢c ~ g'y~l~4~/~
Power Su plier Adtlress -
~
EI rical Cmnacmr IComOany Name) - ConRar,tor's License No.
~ . i 9~Y1 3
AdaihnB Address ICOnVactor or Owner Making Instailation)
9 N Sd, ose;~ 1 m~ Ss~i
Au ~ ~ etl Sigwture iCOnhacmr~Ownor Making Insta~lation) Phone Number
4i~a-~9~o
fdINN OTA STATE BOAND OF ELECTIIICITY Tt1~5 INSPECTION HEQUEST WILL PIOT
Griqgs-Yidway Bldg. - Poom N-181 gE ACCEPTED BY THE STATE BOAND
1827 UniversitY Ave., 51. Paul, 4N 56100 UNLESS PROPEN INSPECTION FEE IS
PA..M ~612~ Z9~Z~~~ ENCLOSEO.
~g'~~y REQUEST FOR ELECTRICAL IIVSPECTION es-ooooi-oa
, See imtructims for comple this fa.m on bnck o~ Yel low cooV. ~ p+~~ ryy
?
6 2 9 ~-X~ ~ ee~~ Wo~~ed by Thrs Request ~r~ ~ai
'Ade Reo. ryoe ot auiiame Aeo~~ancws Mtrae enuiome~~ wtre.f
Home Range Tem~orary Service
Duplex Water Heater Lighting Fixtures
Ap[. Building Dryer Electric Heatin
Commercial Bldg. Furnace Silo Unbade~
Indusirial Bldg. Air Conditioner Bulk Milk Tank
Farm Othar nec~ v ~~her l5uccify)
~.r Syec~ y Other Other
ompu[e lnspectron Fee Below
R Fae ServieeEntrence5ize # Fee Fenders~Subteeders N Fee Grcoies
~ to 200 Am ~s 0 to 30 Am 0 to 30 nm s
Above 200 Amps 31 to 100 qmps ( . ~`7 31 to 100 A s
Swinming Pool Above 100_Amps Above 100_~m '
Transformers Irriqation Booms Partial~`Othes-Fee
Signs Special Inspection S~~ /
TOTAL FEE
Remerks ~ n'
~
Rouph-in Daie ~ ' /
I, ihe Nec4iCal
? ~f/ InsDec~or, he~eby
certify Ihai the above
final . ~SDecUO~ has been
e mada.
t04 ~eT~ vatl /8 montlc fiom
This ~e0uesi wiA i!l ~ ~ ~ ~OS
months Imm Y)V~
~1 J/ L3/~/
; ~ /t~.po
Xepues ~ Jle Fire No. Row_ in I~pec~ion
9 / O ~ OYeedT x~ ~Hr.adv Now ?«~~When~Feady~c
10
~ Gcensed Elec[nwl Conhaclor ~~epy request inspaclion ot aEOVe
? Owner Nectriml wvk i~stalbd aL
Snpet Atldress, Box a Route No_ Citv
~~8 ~a.r ~ Coc~r~- L\a Q
I~on Toxmshi0 Name or No_ fla~e No. Couyy . ~
/'1 /
WKV
Occupant (Ri1NT1 Phnne No.
9y~!- 9y
Po Su lier Add~¢ss
~
Elec "cal Contracta ICOnpa,ry Name) Cmtrac~or's Lic¢nse No.
~ ~il! f'~ ~ 3
Ltiil nB .4tldress ICOn[rattor or Ow~r A4~king ~nsp:lation)
/l/ . D S2~J ~ S//
A~ ized Sigrecure (CO vactor Owrer Maki~p Insbllation) ~one N~n~ber
7
~ THIS INSPECTION NEQUESf 111LL NOT
YINNFSOTp yTp7E gpppp pF ELECTIIICI7Y gE qGCEPfED BY THE STAiE BppRO
Griqps-Yidray Bldg. - Raam N-191
7821 Uniwrsip Ave.. SL Paui, MN K+100 UNLE55 PROPER INSPECTON FEE IS
P~~y ~812~ 29~.2~~~ ENCLOSEU.
[G 1 REQUEST FOR ELECTRICAL I~CTIQAI Ee-ooaoi.w
/ , See i~¢tnctions fw'Wmpietiv~ Mis farm m tiiek of wllo~ copY. `
4 j,~ ~j ~.Q ""X'" Be/ow WorlcCovered by This Request ~ y~~7 ° p
aea x~- rrne ot e~~w:ne wwran~.s a:..e EOUiDment w~.ea
Home Fiange ~ Temporary Service
Duplex Water Heater Ligh[~ng ixtureti
Apt. Building Dryer Electrfc Heatin
Commercial Bldg. Fumace Silo Unloader
~ndustrial Bldg. Air Corditioner Bulk Milk Tank
Fartn O~ner vec~W e~he~ ISOer.iryl
t r Sucury Other Other
ompa[e lnspection Fee Be/ow
• Fee ServieeEirt~e~aSize A Fea Feeda~s~Subleetlcrs M Fee C4cuits
0 to 200 qm 0 to 30 0 tn 30 M
Above 200 Am~; 31 [0 100 Amps 37 to 100 q
Swimnim3 Pool A6ove 100_Art~s Above 100_A~4~s
Trenstormers Irrigation Bornrs Partial'Other Fee
Sigis Special Inspec[ion / \ ,
SID ~ TOTAL FEE ~
x~,e.~s . ~ ~
No~pRin Date 1. Me Elecviwl
i~o~.o., ne.eey
n:h aAa+.he aeove
firel . >/.T 1'~ inso~tion has eeen
maAe_
•
~Ilb ~a W vOi018 mmNn lran .
RESIDENTIAL
~~v~~ BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122 ~
651-681-4675
New Construqion Reouirements RemodaVRenair Reauirements
• 3 registered sile surveys shmving sq. ft. of lot, sq, ft of house; and all roofed areas • 2 copies of plan
(20°~ maximum lot covarage allowed) . 1 set of Energy Calculations for heated additbns
• 2 copies of plan showing beam & window sizes; poured found desgn, etc.) . 1 site survey for exlenor addNOns & decks
• 1 set of Energy Calculations . Indicate rf home served hy septic system for addNions
• 3 copies of Tree Preservation Ran if lot platted after 711193
• Rim Joist Detail Options seleIXion sheet (bldgs with 3 or less units)
DATE ~ l lo Znc'J2 VALUATION ~~r OOo
SITE ADDRESS K~CO S?'tFa^2~z=~ L'~' S MULTI-FAMILY BLDG Y X N
TYPE OF WORK Re - 1ZOC~F FIREPLACE(S) _ 0~ 1_ 2
APPLICANT ~3~~`~-~ C~ST`~vcr~o~7 , 'ZwL
STREET ADDRESS 74 rS" F~wcc 14~7C CITY ~~~-~0. STATE ~N ZIP SS~~S'
TELEPHONE #cri~~y0/-~`'iN0 CELL PHONE #~/2 ~43 -9~(,S~a FAX # ~9J~'+-~k0/ -~~10
PROPERTYOWNER Y~~ PVI.~Lc.L ~O~~c~J TELEPHONE# CroJ~~6~'~`10~
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Coda Category _ MINNI:SOTA RUI.ES 7670 CATEGORY 1 MINN~SO'fA RUI.~S 7672
(J submission rype) . Residential Ventiiation Category 1 Worksheet Submitted . New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
I~ r~ ^ n r!~ - ' l
Plumbing Contractor. Phone # - - ~ 1__
Plumbing system includes: _ Waler Softener _ Lawn Sprinklcr II ~ ~~~'ee""'~9~.00
Water Heater No. of RL BatHs ~
No. of Baths
I4`~_-_
~
Mechanical Contractor: Phone #
Mechanical system uicludes: _ Air Conditioning Fec: :670.00
_ Heat Rccovery Sys[em
Sewer/Water Contractor: Phone #
I hereby acknowledge that I have read this application, state that t inf ion is correct, and agree
with all applicable State of Minnesota Statutes and City of Ea n s.
Slgnature of Applica
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updaled 4/02
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multl
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 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 ? 46 Windows/Doors
? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Baoster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Final/C.O.
_ Footings(deck) FinallNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
RooF _ Ice & Water _ Final _ Pool _ Ftgs _ Au/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ 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 & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
CITY OF EAGAN N_ 10 8 8 0
~ ' 3630 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 p a L
BUILDING PERMIT Receipt #
Te M uad fe. SF DWG/GAR Est. Value ~130,000 ~fe AUGUST 30 19 85
SiteAddreu 4886 SAFARI CT SO Erect ~ Occupaney
Lot 3 elxk 1 ~c/Sub. SAFARI EST Remodel ? Zoning
Percel No. ~ Rapair ~ Type of Const. V
Addition ? No. Stories ,
LECY CONSTRUCTION Move ? LengtA
N~^a Demolish ? Depth 4 2
= Address 9308 XYLON CIR Inl lmpr. ? gy. Ft.
~ City BLMTN pnone 944-9499 ~nsta~~ ?
.
SAME AOP~ovab Feas
O Name
~u Assessment Permit • ~0
Address
~ City Vhone Woter 8 Sew. Surcherga 6$• ~ ~
Police PlanRevlew 254.~~
~w Name Firo SAC 525.~~
Address Enp. WaterCOnR 500.00
~uZ. CitV Phone Plonrcer WeterMeter 63.00
Council RoadUnit 28~.~0
1 hemby ockrwwledge that ve read his apDlicofion ond stote thot BIdg.Off. B~IH~HS Tr. PI. 132. OO
fhe inlormotion Is corre g,ee t wmply with all opplicoble
Stata of Minnesoto Stotu i f Eogon Ordirwnces. AP~ Parke
Var. Date CoDiea
S~pnoture of Perm~nee 2~ 3 2 Q Q
LECY CONSTRUCTION T°tai
A Building Permif IS issuad to: on the expreza conditbn Iho~
all work sholl be dorro In xm~dance with all v' uble State of inn t Sratutes ond Ciry of Eapon Ordinonce~.
BuHdinp OHlcial -~)~l/Y~
~ ~ '
. . v
~
~ 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
1 NOTE: ALL CONTRACTORS MUST BE LICENSED IiITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULA IONS
To Be Used For:~l.KcSIQ~~1~ Valuation: i~ "~G_S~. Date: p
Site Address: ~ a`o ~ ~ 3v~~ W
OFFICE USE ONLY
Lot; ~ Block ~ Sect/Suta~^1~-3et x Occupancy ~•3
Remodel Zoning (L-I
Parcel /1 Repair 1 Type of Const
Lrn,~t n„`(~n„n~,~\ Addition I~ of Stories
Owner ~Zl., C~O wMv~ ) Move _ Length SCn
Demolish Depth ~
Address G~o~ xti~ c~a.e~ Int.Impr. _ Sq Ft
~O~'~~~~~ Install
City/Zip Code '7
Phone "l `l'"~ l ~1 APPROVALS FEES
Contractor Assessments Permit ~jC78. ~U
Water/Sewer Surcharge ~05.°-~
Address ~r-1~0.,~ Police ~ Plan Review 254.~
Fire SAC 52~. =
City/Zip Code ~t'1~,~ Engr Water Conn 500,~
G u~ Planner Water Meter (03,
Phone Council Road Unit 'Z$D,
n ,C~~ \ Bldg Off ~ Treatment Pl 13z•°°
Arch./Engr, ~,0~ APC Parks
Variance Copies
Address I~, TOTAL ~3 a 7,
City/2ip Code ~!'W1~
Phone {1 1~n+1]~,
F ~,~c~ S~`CF` I.,OC4T~o~~ ~ `E
Zc~ n 3~ - ~ ~sa- _ ~33s2 .
, .
~
ZZX 2v ~J~- ~ L~l(o0 . •
~ I l = ~2~ O
~D x 2Z - ,
Zo ,c 22 = ~-q ~ x g ~ ` f ~0 40
22x2Co ~ Sl2 x 4! - Z3q'SZ
J~~ = 9o x o-- 32c~
x Id 7~ ~'s ~~oc{o
(2°I 22 4
~ , Page 1 of 4
~ EX7ERIOR ENUELOPE AVERAGE "U" COMPUTATION
OWNER: ~/J S l ~l,Q,~,C~(Q~tJ DATE: ~~0'~S
SITE ADDRESS: I-.QT 4~L-~ I~C~~~QII (~~,~~~HONE: ~
CONTRACTOR: ~~~'°f ~u~.
Determine workin~ square foota~e of each
i. Total exposed wall area..... sq. ft. x.tl = ~1~•1`
2. Total roof/ceiling area..... 0~ sq. ft, x.026 = ~1•~s4
Total exposed wall area above floor= 3~r-1 O
a. Total wall window area Z01•7a
b. Total door area.. aZ
c, Total sliding glass door area ~p~
d. Total fireplace wall area.......... -
e. Total wall framing area (average 10%) 3e}-~.o
f. Total rim joist area.. _ 314
g. net wall area a6ove floor ~,~-~,Zg
h. wall area a6ove floor
wall area a6ove floor
J. frame wall area at foundation
Total exposed foundation area= ~S•S
k. Total foundation window area
1. Total net foundation area above grade ..............~eJ
Determine "u" value of each wall segment
(e.g. window, door, each separate wall section)
a: ZoR•~~ X = lal.$~
b. 4'~ X~~~~~ •aa9 _ r3 oZ
c,~ ~b~. X ..e~ _ ~1•~~
d. " X - _ e
e. 3qr~ X _ ~''!•°iG~
f. 314 X •~~g4 = (3.$2
g, ~'~s~-y.t~ X .04~ _ ~11•~3
h, x _
i, X _
j. X _
If item {f3 is the same
k• x~~~~~ = as, or less than item
N1, you have met the
X"U" = 7•OI intent of SBC 6006 (c)2
3 . .................................Total = 3foa1-•3~
• ' , . i~ i
Px rrior ~nvelopc Average "U" Computatioii Page 2 of 4 ~
~ '
Total exposed roof/ceiling area = ~43~ - i
i~ ~
i li
m. 'lbtal skyli.ght area ICO I I' I~ :i ~
n. Total roof/ceiling frar,iing area {lveraye 10~)... ~1
V.~ ~'I. i
o. Total net insulated roof/ceilin9 arca........... 121~p•4 I ' ! ~
Determine "U" valuc for each roof/ceiling segment i
~
~ m. ~CO X .~s~ _ ''~•qCp ~ ~ ; i
- - ~ ~ ! ~
~ i
n. 143.cs x„~,~ .aZ4_^ = 3 r45 , ,
o. la-r~.4 x ~,U„ .oz. = z~•53
n ~taz = 3~i•g3
„ If tota]. cP ;I4 is the seune as, or less Lhen I~'l, you have met the intent of
SIsC 60Q5 ;c) 1.
. I~lternate Building Envelope Design
Rb utilize the total envelope 'system metltod, the values established by tlte s••,im of
it~ns 83 and il4 shall not be greater than the sum oP items I{1 and Ik2.
~ . '34 ~ . e i + z. 3~ •34 = 4'r-8 •45
3. + 4. ~'~i = 3g~.Z(p .
5
l
I
~
I
I
. . . . . . . . . II
I 1'. li I
I '
_ ' . . j~l;,~' f..~
i. .
' ~ 1 f i~ ~+r J . . . ' .
~ ~
~ 1h Y~ ~ t :Y ~ -
9
~ ~g ~ ~ pL~A~ ~ ~
~ . ~ ~
Li~u~4L F
_ T, F~cpos~0 ~N~4LL _
BLOG_I~ t~ 1-- - :
~lC.~.1~E~ 52 _
~
W,O._.~
I!~
~UL.L I~i~~ ~~-ico
~uLL ,
~ ~i~~~ i~!_ E ;
1Z1M. i~ 3~4.
S~ . ~T, ~K~o~~D WA LL A~~.EA
. ~ i,,, ~ _
t31La~.K: ~ i . K , S ~•5
IC.ti EE ~ 5~ 1C $ _ ~o
i~:
W O , - ` ~ k 8 = -
. '
~ ' 1'?40 S - 1 q~o~
~Ul: 4"~i~ _ . '
Fu L;:Ll~2 % k ~ _ ~ ~~4
~P ".i. ~ _
-
. . .
R~'i~ _ 4_ x I = 3~4
.
_ . Tot~~. = 3s~.s
. ;
. _
'~J,Q,~t-. ~K~oS~D GEI LIIJC~ 14~
;
, . .
- - - ~ _Vl! D1~1~ ll ao,.~~ Doo25
I~srrr I vppe~ 4'Z
_
_ :
3-z43o.~:,8to 2-aObo.a ~io 2-Zq40-L 3Z
a~ng a: i~ -'t~~4az-t z~~ z4~.3 z.~ ~i°cTl o DfZaS ,
5 ' `y
'~.~~~+Ere. ~ . ( ~~'7tq- k0 . ~ l:
. ~ ~
~ :Z.Z . ~ ~ ~ ~.~•r~.
a4~' ~$Z
Y ,
- - _ . . F~St-~-+ UaJi+S -;~j~~"':'~
x.
~
` ` n~
yrc,~ :
. ~ I ~ ~ ,~4'
. . . . ~i....'
- ` 1
. . _ _ _ . . . ~,..:ti~~:
~ . ~ t~nLL SIiCT;OPaS
ric~Te; ,Use 15g uf ep~yur_ wall area for
' framc construct.ion ('onstr.uction f~~~ I2-Valuc
I 1. 7~e~•i.or i.r~film O.E,t3 ~
~ 2, r ~p r .
3. 3/ M inc-7lxc~s~ a.o,~.ft ~.r~~n~l
` ' 4 . ~ 5~1~~ . ~L•_~7
I ~ 5. ~f b! AJ G~__,--- . Ce2
~;~`'7~ 6. i:xlr.rior nir fi.lm = 0.7.7
i1AI.~L ' -0 q'otal.~j ~
rl 1'- ~ ~2. z. ~
~
~ ~ ~ = .G
r•zG. 41 TOnvIF•.t~i oF
PRA27L IJF~LL l. ]ntcrior aix f:i.lm U.6Fl
2 -rr- ~A .
. 3. g~~~l~?`.~Ui~.~----~- ~.GCi
• ' n. _ 4_._~~T~~_--------~-ocj
:
. .
~ s. (p~tNC~.--- - Z.
! ~ 6. tixtcr.i.or. air film O..17~
~ FIG. u2 I. ~w ~lbtal ~,''~(J.~~„•
~
~ . ~.~m ~ - .Q4~
~ + . ~ . Intc ~ior a9.r_film O.6E3
. I~ 7
~ , z. 3~~ ~ii~SUL:_.--.~-~
_ ----r---,;
~ . 3. ~O
. , - ~a~ - - -
c L ~ ;'n L E~( i O -Q 4 . "1 . ~
i.JSt:.'al K O 5~ .T~I~ ~2..
1~~~~ ~i~,~ ~Q 6. 3;r.t:r.rior air film 0.1'i
',!:Cr ~ . - 1'otal
,~I-_. ~ j r~= z z.3~~
. , ~
, o • p 1• C3
, ~ 1. Intcr..ior nir f:i]rn 0.G£3
~ µ -
~ 2 - -
~iR;:?.l;'Cit ~
~:•TL ' t1~• . ' 3. .
~ ' ~i' • '0. ' • A.
I4} ,r, F; 5.
~ " • u r, •rno t
•i•'/,.• • 6. Sxterzor. ais film 0.17
~ . ~ . . . . ToCnl . - '
.,~,~r4,
( si,~ oa ez~s,ni:
~
; ~ C
l~ ~p .-.7ir i . (r . .
• ~ - ',.c =
{ ~ ' y ~ . 1 ~J ._R~ Illi`( ~ - ~ . , , ' If ~ -
o f'` • . ~ 6 . ~ _ -
, ~ ~ i ~
` ~ " ' • ir /(I ~ - ~ ' ~ /(l^
Y a. r, ~ ~ . ,C
~ . ' ~ /II
• . • rr.c. ~In ,rt y ~ _ ,
' ~
~'IG. ;13 ~ ~ - - ~ .r
' ` e. lCI ~ll~'Y• .X X ' I~I
~ - ~f(' lir ;
_ ~ ~ ~
I , • ~ . NO'PE: 7nc3ir.atc L'yn~, ":t" valuc, t?cntn a:~~d
` ~ ; _q11Cef:l~Itt GF ~1~1~Uld~lq:1.
a ~ S
. • i_4="~'T°'..~.r. ~ . . . ' ;
J.•~ l'l' 11' ~
' npoi~%CI:ILTttC ~ + . , . '
~ , . . •
, ' .
,i Conr.t:ruct~.ion ~lt-vnlue
J
, /"'f..(J ~
: ~ o.~~ .
^ r, ~ L -~)'.nC,-e~tr-~iv~r, ~i.r fil.m
.~'fj"~ t_"'i
3
1 a
~
~
~ ~ _S~4_.
; r~ /,~.v I pC~
` 1, l~rr"ti 3' ~u~S~±_~ j
t~ ~r Ii ~ 4. 1:xt.crior r~ir f:iLa {_l:.i.l ~Z
.~r~~~lllll~.'a;~11~~;1
~~l'i~l,~~~ - qs ao .
ve~rr _ V= oz
s,: ~
4 ~ . ,
f~~` ~ L,~ • . . : .
ented llcac flow ~
~P . . • . . '
. Pzc. ffs~ ; ~ . . . .
. . . , ,
~ • • . ' •
• - 1. InY.erior. ai.r film 0.61 .
,~::.^,J%~~.•.~~.c^.a..»3}~ 2. ~ lA~~~ ~ ~
z.,.~~~..}u_.'.,''J~..._r'_'`!'~'_~
_ 3. ZkQ t} ~N~~
~ _ _.__-~-"~-J" r'--"_"'i" • .
Yj , • q, Ii>;lerior air film :.L-il
l~ ~ '7b1A1 40•~Sr
1~ • ~ , . . l~=.0?4
~ ,~i~~~~~{.~~~~~~~ .
.
`~J ~ . . • . . • .
3 ¢ `
.
~ li~~at f1oE~ up ~ , . .•vented
' •~~I~__~6.~--• . . ' . , '
3 ~ ~ 1,o l'nsi.dc ais film O.G7.
• ~ ~ r_,~-t 2. ' ' .
, ~ ~L ,~eSL-,
~.~.t~ ~ ~
? . ~QJV,~.y'~ ~ ~
.x~~~..y„~~i,.'11cn. ~~-'4. 5. Outsi.dc oi.i: fil.~n ' 0.17_
~ . . , .
~PO La 1
j~~ ~ ~ , ~ .
~ ~ z ~ ~ . . . .
~ ' ' ~ ~ Not•.c: U~o 1c~diLional ~hcul:a if mor<i cpnco ,ia:`
NOy-PP.h"fLD nceded L~r det;~i.L~ and calculaL•ioi~fl:l;.,, :
~ ' lianz . . , ; ,
P "e'
. gJ.ov u • . • • ~ • ~ , , ' ~ : Y r.,l~
. . . ~j / w) ~y, ,i' ti . , t.i
' ti , ' . T T T °`r.'.' . , i_ r°.
r.r2: ~X7 ~ ' ' s .
CERTIFICATE OF SURVEY
FOR L ec y C~onstruc tlo.7
Lot- 3~ B/o~ / Safari Estates,
.~ct ko tct C'oun t'y~ M'~neso-tri .
~ 5~ ~K
~~`7~ e)
~ `S-4,~q,P
C~ T'P-4i~
~~9~`~ ~ ~ ~~.a)
` / ~ o ~ ~f ~2~
/ ~ Sg ~
` ~ s9
J
j ~ /j~\ ioo ~ v,,.5
'^O p^ ~ / \ o ~ \
•1/ ~UV Q~ ~ \ 41~'~
o
9~~~~) ~y.
s
P~ ` \ \
~ n y, ~ n
/e~ ~ 22,~ Q \ b
Q ~ `I` . ~ Q ~ ~ \
`c yv / O / es \ ~
\ ~ / _ , ~ G.4)
OV ~ / ,
;
(1 ~9~ m ` \ ~ ~ J , ~ .
\3~ Q~ ~ ~Po~F O 4~ r~
/ ti Q~oyG ~ ry Q4/
~ ~ q~ / ~ ~
`'~@. o ' J J
~ ~ ~ y
~ N ~ ~
~ ~ ~ ~ / \ \ ~ ~ a .
,V
~Q/ p8 ~95 p~
, ~ ~
h / ~ ~~a~h4 Q
1 ~4~ ~ (~O
^ 30/ v io ` ~C~_ ~
~~~.o) ` I
~ ~9 \
~N ~ ~
y°^ ~
~
- ~L°~ 9
S'9
S~/~ \
~/003 ` s
~y~ 3)
~ ep
Ka 95[,~
L~9 er~ c!
f'ro~os~c/ C/evafion5
O /ron monuine.~t
~2~ ~"o~ of ~'v~..-~da~~o.~
(x9.s) eXistii`/9 ~/evafio~
90.ra9e ~'/oo~
9c4.s' P~PoS~°c~ H/GVQ~'%~?J 9GZ. /owEO-f ~/or~r
P/n~ose~ c~i rcc fi
or7 0~
s~.-fa~~ d~Q~,~Qye
I hereby certify that thia survey, prepared by me or undar my direct euperoision, is e true File No
~ Hansen Thorp and cortecT reyresentatfon ot the boundrie9 of the above desc~ibad land and of the 85 -/Sb
~ loeatlon of ell bulldi~gs, if any Mereon, and ail visible encroachmenta, it any, from or on
~q ~ PeIIII~eI~I OISOCI InC. seidlamlandthatlamadulqregisterc=dlandsurveqoru~MerStataothdinn~sota5tatutos Book-POge
1 Q Sectlon 328.02 to 328.18.
B ConaWtlng E~ineeis & Lartd Suroeyoro 'l7~ 9b
' 7585 Offlca RWg2 Circle ~ ^ ~
~ f. Etlen Pmirle. P9{tl 55944'38q4 /~GjYS Scale
~~,2~ a2~,~ Y_ y_ Fs ~
Dete: Reg~stratEon Pfo. G 2 7¢
~
~ ,2~~,r~d s-'9-ss 3~
~L1FA74 i ~SrATES ~.c/~ , f ~-3~`~ . ~.u r- s~ •
HEAi` LOSS CALCULATIONS `~k~~~ ~'0 r?~11NNEAPpL S, MItVN.
HEATINGBAIR CONDITIONINO COe~
Weether5trip8 A,S,H.V,E. CpneUUeliql NO. . . (~eu~etiD~
1ATindows poors Guide Out. Wail Int. Wall Celtlnp Root ilaor Kind How Applied
Reference
Yes-Na Yes-No ~y~_ .
FL ~j'Hom~ Lenglh ~ WldlM 3 HOlpht FI. ~yj/G poom LenDlh a7~ Wldth p Helphl ~
YJindows and Doois-Crackage and Area Windows e Doors-Crackage and Area
No. W~Nh He:oht Np. ol ~~n~el 10 4qe IMfd~h Ha~pM11 Nn. ol U~eel 11. Aree
ol ana of ene li hta o1 a k ll. ~ ' Ne• el I arN li hls 1 cr ~0. li.
a'~ r'o 3 33 a ~o ~ v 3 a
o? /G o?! ,2 0? s'o2 /L /
~ ~s~ 3~ /C ~
coei ecu coe~ aw
Inliltratim /3~ ~~~j/ InllN~atim ~ ~ 3pp~
Glass ~ /Oa J~D J!/DO Gless . ~ O 00
Exp. wall . Exp. well ' ~
Net exp. wall 35~~ Net aKp. well .
Int. wall . Int. well . ' .
Ce111nB Cslling . -
F'~« i3 6 5o F~~. 5-
ro~ei a~~. ~ y ro~e~ a~~. ~/57~
Ruyul~ed sq. ft. E.D.N, or sa. Ina. W.A. leadar erea Roqulr~d aq. ft. E.D,R. or ap. Ina. W.A. Leader erao
iFl. ~,~/Fj~ ~TRoan length ~p Wid~h / Maight f FI.~~ Roan Length Width ~ Heiyht
Ydindows and Ooors-Crackage and Area Windows and Doors-Crackape end Area
No. W drn Haipht Na. ol l~naal N. 4ren . W~A~h x~phl No. ol 4neal 11, 4ran
ol ~ ene o} ena li hU ol crecl o. 1~. Na• ol n nf nna li hU ol 'r k sq.
~ ~ Pi~ 3 7 3 07 y G o i~ ~
o? ~ y a 2
ao ~{a
/ ~ G. /c. coai e,u - a1 cooi e~~
Infiltretion /~C(p0(o . Infiltretion - y (oa l~7 /f~
Glase ~ 5 3~O Glase . ~ E, U ~ 5Q _~j<-Gb
E~p. wall ~ ~ Exp, wel~ p
Net eav. wau . //03 ~o Net exo. wau y ~~(,p ~(op
Int. wall ~ Int. wall
Ceilin9 _ Ceiling ~P.Y~ - /dc~
c~oor s - Fiaor ~ 5 ~
iaia~ etu. ~ Ja3 Totel Btu. 0~06
Required sq. ft. E.D.R. or sQ. Ins. W.A. Leader areo ' I?aquirsd s~. Pi. E.D.R. or eq. ins. W.A. laedar arae
~Fii~~ Room LenOth Width Heipht FI. ti,o Hoom Lengtb ~~j Wldth /7 Hoight
Windows and Dtiors-Crackage and A~ea Wln ows end Doore-Creckage end Area
No. Wia~n Me~oM No. ol l~nael 1~. 4na . W~nn. 1.,~pn~ Nn. ol Uneal h. A~en
of ane ol rne hls of ue k ~L . N~' ol~en ~ Me L hp of cre~k s. 11.
1'~ ' P~ 37 3'0 o /9 0
eoe~ ei~ . caer ei„
Infiltratian ~ InrHCration ~ / ~ ~
~
Glase ~ 5~ Glese ~ o~ ~ /000 _
Exp. wall E~p. wall
Net exp. well ~ ~ ~ Net exp. well (oo ~ 3Coo
I~rt. weN : Int. wa~l ~
Ceil;ng ~ Celli~ ' //p0 ~~O
Flour • FI~ ,rj
i~,~ai uw. 7/`~ ~o~a~ etu. _ ~~93
HE.^,i LOSS CA~CULAiIONS HEATING q CpNDIT10NING CO. MINNEAPOLIS, MRdN.
Waetherstrips A.S.H.V.E. ConstruCtion No. ~ Ineulalion
VT ndows Ooors Guide Out. Wall Int. Wall
Reference Cellinp Rpof ~ Floor Klnd How Applied
Yes-No Yas-Na ~g~` ~ .
r Fi. ~ oum Length wi,nn ~ H~tuhi P~. E~ noom ~e~a~n d~ wid~ti /p ii~i~n~-
YJindows and oors-Crackaga and Area Windowa and Doas-Crackage and Area
No. ~dih He~phl Na. pl L~naal IL Area W
o~ anu ol e~e li h~a o1 cr N. ' ' No. ~d~h ' Ho~qh~ Nn. ol lmsel h. Aron
a ~ D . o/ 1~n~ II hls 1 cr k s. li.
i a ~
- a~ ~ P 33
Coef Btu ' Cpel 9tu
in~iinai~m ~ ~ Inlllustlan 3(0~(,
Glass . p Glsas . (oc~ dQp
Exp. wal~ EMD. wsll . , . .
Nec e,ep. wall 6 ~ Nel sxp. wall ~
30 6 / d
Int. wall ~ IM. wall . ' :
Ceilinq Calllnp ~ a~p ~ 6
Floor ~ Floor ~ S
Total 0w. ~p ~ TWaI Btu. ~ . s O
~iequked sa, tt. E.D.R, m sq. Ina. W.A. Leedar eroe Rpulnd ~Q, 16 E.O;H, or ~Q. Ina. W.A. Leeder e~ee
'FL Poan length (o Width Helpht FI. , r,y / Roan Lanpth /y Width Height ~
Windows and Doors-Crackage and Area Windows arxl Ooora-Crackage and Area
No. ~+~din Heipht No. ol L~n~al h. 4ree . WiA~h Nx~pht Na. ol l~neal 1~. A~ee
o ene ol ena li ht~ o~ rsc o. f~. No. ol n e1 n~e li ht~ ol k ~.~1.
/ ~G /b' /9
rs ia~
~ ~ ~ iw ,
Coel 9 tu ~i r ~1 ' Coof ~ Iu
InHlltetion - f-~'
. Intiltretion ~ [~L7 ~S/~
31ass Glaes ~ ~a~ ~
c.p. wall ~ ~ Exp. we~l ~
Vat exp. wal I. a,7 Net exp. wal I _ - ~ 7 pa
nt. wali I~t. Wnll
~efling _ Cei~iap ~/p
~ Floor ~
lutal B[a. iotal BtU. ~ 3/7~
aeqaired sq. tt. E.D.R. or sq. ins. W.A. leader areo ~ Raquired iq. It. E.~.fl. ot sq. fne. W.A:. Leader area
F~~ L~K.!/O R~ length ~ Widlh ~ Helpht . a FI. ~~7 Rppn Length ~3 Width Height b'
Windows an Ooors-Crackege and Area Wlndows and Doore-Crackage and Area
yo, Wiaih Ne,yM No. o/ L sa~ Arw ~y inrn i a~a~~~ Nn. nl L ~eN 11. 4~ex
ol ene ol nna li htf ol r s. 11. . No. yl ~ enu h hls o1 er k q.
a 3 iG ~ d i~~ ai
coet etu ~ ~ coel stu
,~nh~auo~ / 5! S ~n~~~trot~on d S~7 /~~o
ilas8 ~ ~ Glees ~r ~Q~
:xp. wall - Exp. wnll
vet exp. wa7! - (o (m~ Net erp. wall /D . ~p p~
nt, wail ~ Inl. well ' -
;e~r„e ce~r~e • 3 -Jr-a-
• - -ri~. s
utal Btu. Total Btu.
~,~ta[Ck
Hrar ioss ca~cuu?norus HEATING 8
A R NDITIONINO CO. MINNEAPUUS, MINN.
Weatherstripa A.S.N.V.E. Corrotruct(on No. . Ineula[ion
Nlindows Doors Guide Out. Wall IM. Wsll Ceilinp Rool Floa Kird How Applied
Referante
Yes-No Yes-No ~g__ - .
,~I, 3 Room Lenglh s Wldth /5 Halphl FL Hoom isn0th Width Hel~ht
Wlndows and Doois-Crackage and Area Windows and Doors-Crackage end Area J
No. W~~~h He~aM No, o~ Unsal U, Aroe
ol anx ol ene li htn ot . k s. 11. ' ~ No. ~~d~n ~{oiqh~ Nn. ol Lmsal h. Aree
~ ay ~L ~ ~ r ena II hl~ f cr k •0. 1~.
coer e eu coer e w
Inliltrelion /~(o IrtNltrst}an
Giass / s0 /O~O Glass
E,cp. walt . Exp. well ~ • . . .
Net exp. wall a ~ ~j Nel sxp. wall ~
Int, well ~ ~M. Wa~~, ' .
Ceiling q'Jas . ~ Cs11Mg . ~
~F~oor ~ S - . Floor ~
total aW. 69 _tael etu, ~ ~ .
~~ayuired rq. It. F.D.R, or cq. {ne. W.A. Leader araa Rpu1rW aq. IL E.D.R. or ~q. ine. W.A. Leeder erea
FI. ~fj~ a Roan Lenpth ~Q Wldth Naipht 8' FI. Hoan Length Width Haiyht
Windows and Ooors-Crackage end Area Windows and Doors-Crackage and Area
W d~h HeiOh~ No, ol L~n~al lt, 4rse H
No. al ~ sn o/ ena li hls of cr a. h. - ' N0• p~~~~h pl~~nna No~hU ol ~al k~. `Are,'.
Coef Btu Coof ntu
Inffltra[ion . (nffltratipn .
Gless Gless .
EHp. wall ~ ~ Eap. w01i
Ne[ exp. wall . d~c.~ ~ C~ Net axp, wall
IM, wall Int. well -
C.e{ling (j0 CailinQ ~ -
Floar ~ Floor ~ ~ -
~~otal 8tu. ' . ~p Total Blu. ~ . ~ . ~
Reyuired sq. It. E.O.H. or sq. ins. W.A. Leader areo ' Requiretl sq. tl. E.D.R, or sq. in8. W.A. Leader area
H• Ropn Length WidtA . Helght . FL ~ ~ Room LenB[h Wldth - Neight
Windows and Ooors-Crackage and Area Wlndows and Doore-Crackage and Area
No. '~'~a~n Heiah~ No. ol L~nsai H. A~~a W~nr~~ !~,~pht Nn. M Uneel 1~. A~en
o sne ol nne htn ol cr k s. 1~, ' N~' 01 en,~ ~ nnu h h~s ot cre k
CoBI B W ~ • Coef B tu
~.nliltration InHIIrAUOn ~
"alass ~ Gless
_xp. wali EKp. wbll
Vet exp. wall ~ Nal exp• well
nl. wall . Int. well
~eil~n9 CeUinp .
=1our • FInW
~utal Bw. . totel Btu.
.
B~~~ Y Services Since 7957
ENGINEERING TESTING
ncorporateC
MINNESDTA:Minneapolis,Hibbing,StCloud,Rochester,St.Paul ~s.senuN.ee. coK~uemPKe.a.e.
Aililiatetl Otlicer. P.H. ANDERSON DALE P. ALLEN, P.E.
C.G. NFOSE, P.E. JAME$ d. CFAIG, Jr, P.E.
NOATH OAKOTA: Bismarck, Williston; MONTANA: Billings ax.enusies.ve.
Reply To:
P.O. Box 35108
Mpls., MN 55435
(612) 941-5600
September 17, 1985
Lecy Construction
Attn: Mr. Mark Lecy
9117 Decatur Avenue
Bloomington, MN 55438
RE: 81-374 EXCAVATION OBSERVATIONS
AND COMPACTION TESTING
Lot 3, Block 1
Safari Estates
Eagan, MN
Mr. Lecy:
As requested on August 15, 1985, an excavation observation was
conducted at the above referenced project by a Senior Engineering
Assistant.
AVAILABLE INFORMATION
The proposed structure is a 38 by 56-foot, two-story, walk-out
with an attached garage sitaated at the northwesterly corner.
Proposed basement slab elevation is 962. Frost depth footings in
the rear of the house will be at elevation 958.
9oi1 borings were conducted on this lot in September of 1981.
The borings showed fill to approximately 7 feet in the proposed
house area at that time. On July 25, 1984, test pits were dug on
this lot. Test pits were dug across the lot to determine the
most suitable soils. We had recommended that, to minimize the
excavation deoths, the proposed structure be placed on the
northerly portion of the lot. We recommmended that all the vege-
tation be removed in the area of test pit #4 and that the excava-
tion be taken through the layers of stumps and branches at test
pit location #3.
CONSULTING ENGINEERS / SOILS AND MATEFIALS
Affiliated Company for Chemical & Environmentai Testing and Consulting - Braun Environmental Laboratories, Inc.
' 81-374
Lecy Construction -2- 5eptember 17, 1985
•Phe fill encountered in the test pits conducted in 1984 was, in
our opinion, adequate for support of the proposed structure.
EXCAVATION OSSERVATIONS
Auqust 16, 1985: At the time of our observation, the excavation
for the proposed house had been started. The building pad had
been stripped of the vegetation, and a portion of the topsoil and
existing fill had been removed. An area of buried trees and
brush was encountered in the southwesterly corner of the proposed
house pad. The trees appeared to have been buried in a trench
extending from the center of the lot (out of the house pad)
northwest through the southwest corner of the hcuse pad. The
trees extended down to approximate elevation 950.
During our observation on August 16, we recommended that the
trees be removed from the house pad area, including the oversize.
Approximately 12 feet of oversizing was recommended.
Auqust 27, 1985: We observed the area that had been excavated
for the proposed house. The trees and brush encountered in the
excavation and observed during our observation on August 16 had
been removed for the most part. Oversizing of 12 to 14 feet had
been provided around the southwest building corner. The excava-
tion had been taken down to approximate elevation 950 at the
southwest corner of the proposed house. The soils in the bottom
of the excavation were silty sands and silt estimated to be in a
loose to medium dense condition. Below the trees and 6rush which
were removed, it was our opinion that these soils were the
natural soils.
Approximately 12 feet of fill will be required in the southwest
corner of the building pad. During our second observation, we
recommended that compaction tests be taken in the fill placed and
compacted for support of the proposed structure.
COMPACTION TESTING
Compaction tests were taken on August 27, September 5 and 6,
1985. The compaction tests taken on August 27 indicated that the
fill had been compacted to near the required density. You will
note in the attached tests that test #2, which was 88~ of
modified Proctor density, was taken out of the limits of the
deeper portions of the excavation. That, in our opinion, is why
the density was somewhat lower than test #1.
Additional tests were conducted on September S, 1985. The tests
indicated that the fill had not been compacted to meet the recom-
mended density. This area was reworked and retests were taken on
Br~unTM
. 81-374
Lecy Construction -3- September 17, 1985
September 6, 1985. The retests indicated that the areas tested
had been compacted to exceed the recommended percent densities.
CONCLUSIONS
Based on the soil borings, test pits and our observations, it is
our opinion that the soils encountered below the organic fill and
debris are adequate for support of the proposed structure. Based
on the results of the compaction tests, it is our opinion that
the fill has been compacted suf£iciently to support the proposed
structure.
GENERAL
Services performed by the geotechnical and material engineers for
this project have been conducted in a manner consistent with that
level of care and skill ordinarily exercised by members of the
profession currently practicing in this area under similar budget
and time restraints. No other warranty, expressed or implied, is
made.
It has been a pleasure to have been of service to you on this
project. If there are any questions or if further information or
testing is required, please contact us at your convenience.
Very truly yours,
BRAUN ENGINEERING TESTING~ INC.
/ ~ lP`~"c~j"~'
James M. Samuelson
Senior E gineering Assistant
C, G. Rruse, P.~
Vice President -~Engineering
JMS/CGK:gec
Attachments
cc: City of Eagan
Attn: Building Inspect. Dept.
ThecontentofiMSreporlan~supporbngdocumentsaraforIDaexcWSlveuseofiheatlOressen.InthexbsanoeofourpnocwrNtsnapproval
we rtiake no representetlon and assume no responsibliity ~o any otherPartles regarding such content.
B~~~ Y Services Since 1957
ENGINEERING TESTING
i~co~po~a~eo
MINNESOTA: Minneapolis, Hibbin St. Cloud, Rochester, SL Paul mr~r,~ea o~r~es:
r.o. Eox 35ibs
Bismartk 8 Wlllislon, Np
Replyto: ju~jls. MN 55435 B°°°s`'"''
COMPACPION TFST RFSULTS
Date: Aug. 29, 1985 Project: 81-374 Lot 3, Block 1
Safari Estates
Reported To: I~ecy Construction Faqan, A~]
9117 Decater Ave.
Bloanington,NIN 55438 Copies To:
TEST # : 1 2
Date: 8-27-85 8-27-SS
Location: 45'W of 29'W of
SE bldq. SE bldg.
Elevation: 954 955
Soil Classification: P-1 ML P-1 ML
SILT
Field Density Deternunation: X Sand Cone Method ASTM: D1556-78
Nuclear N~thod ASTM: D2922-78
Dry Density (pcf) 103.3 97.7
A7oisture Content (8) 21.6 21.0
+$4 Sieve Material 0 0
Laboratory Moisture-Density Detesmination Standard Proctor ASTM:D698-78 (Method )
X Nbdified Proctor ASTM:D1557-78 (i~thod A)
Max.Dry Density (pcf) 111.4 111.4
Moisture Content (8) 21.6 21.0
RES(JIS`S
Relative Co~action 93 87
of Proctar)
Specified Minimum 90 90
Ra[~arks: BRAL7N IIVGII~iNG TESTIAIG I[QC.
Test 1 meets the specified minunum ~
compaction. ~
Test 2 does not ireet the specified ~
minimum cac~action. ~ LG? ~ ~1LC~~^'~~
T
ames M. Saim~lson
700.35R Senior Engineering Assistant
• P.O. Box 35108 Y~~~ Y Services Since 7957
Mnls. MN 55435 ENGtNEERING TESTING
i~m.oo,aisa
MINNESOTA: Minneapolis, Hibbing. St. Cloud, Rocheste~ry, yS~t.
P]a~!u~l1~Try~ ~y~q}~~~ AllilieleAOllices:
~+µY~~++~W~ ~ 1aa+7U1LLJ Blsmerck&WIIIISton.ND
Reply to: s~,n;,,~ mr
Date: Sept.10, 1985 Project: 81-374 Lot 3, ffiock 1
Safari Estates
Reported To: Lecy Construction ~gan ~ pqq
9117 Decater Ave.
Bloominqton,MN 55438 Copies.To:
TFS`P 3 4 3A 4A
Date: 9/OS/85 9/OS/SS 9/06/85 9/06/85
Location: 20'N,15'E 12'5,23'W Rh'PEST REi~ST
of SW ~ ~
bldg, corner---------
Elevation: 961 961 961 961
Soil Classification: P-2 SC-SM p-2 S~-SM P-2 SC_SM p-2 S~_c„M
Q.AYEY ~ SILTY SANI~---------------------~~
Field Density Det~mination: X Sand Cone Method ASTM: D1556-78
Nuclear Method ASTM: D2922-78
Dry Density (pcf) 107.3 108.4 130.4 134.9
Moisture Content (8) 19.7 18.5 ll.9 10.9
+#4 Sieve P7aterial (8) - - _ _
Iaboratory MoisturrDensity Determination Standard Proctor ASTM:D698-78 (Method )
X Modified Proctor ASTM:D1557-78 (Method A)
Max.Dry Density (pcf) 133.8 133.8 133.8 133.8
Optimum
Moisture Content 9.1 9.1 9.1 9.1
RESUTA'S
Relative Coirg~action 80 81 97 1/2 100
(8 ot Proctor)
Specified Minim~un 9p 90 90 90
RHt~atks: BRAUN ENGINEERING TESTING INC.
Tests 3A & 4A unet the specified
minimum co~~paction.
Tests 3& 4 do not meet the specifi
minimum conipaction. ~ L G`L~
James M. Samuelson
700.35R Senior Engineering Assistant
• ~ ~ ~ ~ Y Services Since 7957
ENGINEERING TESTING
o~o~.a~rd
MINNESOTA: Minneapolis, Hib6ing, St. Cloud. Rochester, St. Paul AllilialeEOllices:
Bismerck & Willis~on, ND
HQply t0: Billin9s. MT
LABORATORY MOISTURE-DENSITY RELATION
Project No. 81-374 Sample No. P-1 Date Tested $-27-$$
ModifiedProctor ASTM D: 1557-78 Method: A
UNIFIED SOILS CLASSIFICATION: Mi, - Sandy Silt
(ASTM D2487 & D2488)
MAXIMUM DENSITY: 111.4 OPTIMUM MOISTURE CONTENT: 18.0
116
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MOISTURE CONTENT, %
a Y Services Since 1957
ENGINEERING TESTING
inoorno~r~ea
MINNESOTA: Minneapolis, Hibbing, St. Cloud, Rochester, St. Paul Alliliated Dllices:
e'~smamk a winis~on. rvo
Reply to: ¢oime~, mr
LABORATORY MOISTURE-DENSITY RELATION
Project No. 81-374 Sample No. P-2 Date Tested 9-5-85
Modified Yroctor ASTM D: 1557 -78 Method:A
UNIFIED SOILS CLASSIFICATION: SC-SM, Silty Clayey Sand, Fine (Yained, ffiown
(ASTM D2487 & D2488)
MAXIMUM DENSITY: 133.8 OPTIMUM MOISTURE CONTENT: 9.1
136
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MOISTURE CONTENT, %
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SEWER AND/OR WATER CONNECTION
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DOES UTILITY CON:1£CTZON REQUIRE EXCaVATION IY PUSLIC RIGHT OF WAY? .
YES IF YES, THEPS :y "PERMIT FaR 'rIORK WITHIN
PUBLIC ROr1DWAY" MUST BE ISSUED BY THE
~ NO ENGINEERIDIG DIVISION. LIST AS A CONDZ-
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SUEJECT TO THE FOLLO~JING C~NDITIOIS: •
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GTY OF EAGAN
P. 0. BOX 21-199
EAGAN, MINNESOTA 121
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3830 PI~OT KNOB ROAD. P.O. BOX 21199 BFA &OM9UIST
EAGAN. MINNESOTA 55121 nnovor
PHONE: (612) 454-8100 ~ - M~MAS EGAN
.1~ME5 A. SMI7H
JANUARY 2~ I9S6 VICELLISON
n+EOOOaE wncr{rErr ' '
Counci~ Members
J BYRON WATSCHKE tHpnnasnEp~Es
FORTUNE REALITY c"''Atln1nahO1Of
4940 VIKING DRIVE EUGENEVANOVERBEKE
MINNEAPOLIS MN 55435 CiryClerk
Re: Safari Estates - Financial Guarantee
Dear Mr. Wa[schke:
It has recently been brought to my attention tha[ the City of Eagan is not
holding a Financial Guarantee for the Safari Estates Development. I would like
to refer you to Item 8, Page 4 of the Safari Estates Development Contrac[ which
requires the developer to deposit an acceptable Financial Guarantee and states,
"Such bond or collateral agreement shall be approved by the City At[orney and
, sha11 continue to be in fu11 force and effect until released by the City."
Although a Letter of Credit was submitted to the City it no longer remains in
effect since its expiration date. Therefore, I hereby request a new Irrevocable
Letter of Credit in the amount of $8,108.00. Until this Letter of Credit is
submitted and accepted by the City of Eagan, [he followi~ lots will not be
issued a building permit: Lots 2, 3, 13, 14, 15, 18, and ~'7 of Block 1; Lots 1,
2, 3, 4, 5, 6, 8, 10, 12, 13, 14, 20, 22, 23, and 24, of Block 2, Safari Estates.
As of this date these lots show ownership of Fortune Real~`y, S. Byron and Sandra
Watschke, or Darrel and Vivian Watschke.
Listed beLow are the items and the amounts to be covered by the new Letter of
Credit.
i
1. Street lights
4 each @ $500.00 (DEA).plus energy cost $240.00 $2,960.00
2. Erosion control (estimated acreage ye[ Co be improved)
, 2.86 acres at $300.00/acre 858.00
i
3. Restoraeion (estimated acreage yet to be improved)
; 2.86 acres at $1,500.00/acre 4,290.00
Total Revised Financial Guarantee ~ $8,108.00
; If you have any questions please contact me at 454-8100.
~
! Si cere~ ~ '
1
• raig E. Knudsen _
Engineering Technician
cc: Tom Colbert, Public Works Director Ed Kirscht, Engineering Technician
Dale Peterson, Chief Building Official
. e CEK: 'eh THE LONE OAK TREE...THE SYM80L OF SiRENGTH AND GROWfH IN OUR COMMUNIlY
`l I ~'~o , So
2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single famity dwellings & rownhomes/condos when permits aze required for each unit
Date~~/ ~ /~l S0.T0.r ~ C~. S.
Si[e Address ~ l~~ ~ Unit #
Property Owner ~ S Telephone #(~SI )~D O 6 ~ n/ D~
Contractor I { Lv
Street Address CC~~ / y J~u J 1• W' City S
State ~ N• Zip .~C>~~O 6 Telephone #(~J
Bond Expires:
The Applicant is _ Owner ~ontractor _ Other
Add-on or alteration to existing dwelling unit $ 30.00
~~furnace _Additional ~Replacement
air exchanger
airconditioner _New _Replacement
other
State Surcharge $ 50
Total $ p~'SV
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand tlus is not a
emu , but oniy an applica6on for a permit, and work is not to start without a permit; that the work will be in accordance with the
ap ro d plan in the ca worl which~u~s a review and approval of plans.
i~
Applicant's Printed Name ApplicanYs Signature
~ S "--~~c- .S~
2004 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: commercial/industrial buildings
mul[i-family buildings when sepazate permits are not rcquired for each dwelling unit
Date / /
Site Street Address Unit #
Tenaot Name (if applicable) Previous Tenant Name ~
Property Owner Telephone k ( )
Contractor
Street Address City
State Zip Telephone # ( )
Bond Expires:
The Applicant is _ Owner _ Contractor _ Other
Work Type
_ New Construction _ Underground Tank _ Install _ Remove '"'see 6elow
_ Interior Improvement _ Install Piping _Processed _Gas
Nature of Work:
"When inslaUing/removing underground lank, cad for inspection 6y Fire Marshal and Plumbing lnspector
Permit Fees: $7050 Underground tank installation/removal
550.50 Min mum (includes Sta[e Surcharge)
or
Co~tract Value $ x 1% Pemvt Fee
• If permit fee is $1,000 or less, add $.50 ~ $ State Surcharge
If nermit fee is over $1,000, add $.50 For
every $1,000 nemilt fee $ Total Fee
i hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; that the work
will be in wnformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is
not a pernut, but only an application for a pemut, 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.
Applicant's Printed Name ApplicanPs Signature
Approved By: , Inspector Date:
7~~.~ g i ~ 3.~~
' ~ zoo6 RESIDENTIAL BUILDING rE~iT nrrLicnTioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
NewConstn~ctionReouiremanCS RemodeVReuairReauiremen~ ' OfficeUseOnN
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 tapies of pian showing footings, beam5, jdsis Cert o( Survey~Recd ~ Y•_ N
(20°hmaximumlotcoverageallowed) isetWEnergyCalalalionsforheatedaddNOns TreePresPlan~Recd ' _Y~_N,
2 copies of plan sha+rirg beam 8 window sizes; poured found desgn, etc. 1 site suney for add6ons & decks Tree Pres'Required~-°- _Y N
1 set of Energy Caiculations Atlddion - indicete if on-sde septic system On-site Septic Systein ~~~~_Y _ N
3 copies M Tree Preservation Plan'rf iot platletl afler 7l1193 .
Rim Joist Detall Opbons selection sheet (buildings wiN 3 or less un'AS) .
Minnegasco mechanical ven[ila[ion fo'm
ot7
Date / ~d I ~ Construction Cost (5~7~ ~
Site Address yB ~ ,A F~l l 5• Unit/5te #
T~~~
Description of Work 1-(p, C:/J~a 3Ffr~-e it/~~C i l:S~ L,4r~ "~~°~-~~//~i° /°~d ~
~f~~(/Z ~N'FT~2 .Jiin~r/32 /2~~n .?oiliv,o
Multi-Family Bldg _ Y~C' N Fireplace(s) _ 0 _ 1 _ 2
Property Owner ~f~ ~nLjnS o~I Telephone #(6S/ ) ~R .Q - L~7 /~0 3 ~
Contractor i~ AS - ; ~70r~"+ Tmr°/UvP~li~ n
Address '7~0 G?.ati'~ w~.-~7~ ~L~ 4/ _ City ~7-c.rX~'~,4 ,~'~~S"
State j~~
J r~/ _ Zip S$'/!~ Telephone 6~ G~7 S~? ~S1
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code CategOry , Residential Venlilation Category 1 Worksheet • New Energy Cotle Worksheet
submission type) Su6mitted ~ Submitted
. Energy Envelope Calculations Submiped
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 masier plan:
Licensed Plumber Telephone ~
MechaniCal Contractor Telephone )
Sewer/WaterContractor Telephone#~ )
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 Ciry 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. ~
~v s 5 ~/J ~~i ~~-~1 l
Applicant's Printed Name Applicant's Signature
DO NOT WRiTE BELOW THIS LINE
. .
Sub Tvqes
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 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 Garege ? 22~ Porch/Addn. {4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Dedc ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? O6 04-plex ? 12 12-plex ~ 25 Miscellaneosuts
Work Tvoes G~~~L ay~
? 31 New ? 35 Int Impravement ? 38 Demolish Interior ~ 44 Siding ~
? 32 Addition 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
33 Alteration ? 37 Demolish Building" ? 43 Reroof ~ 46 Windows/Doors
? 34 ReplaCement •Demolitlon (Entire Bidg) - Give PCA handout to applicant
D05C~ipYIOO: Watar Damage _ Yes
PG
Valuation Occupancy Y 3 MCES System ~
Plan Review /1 ~y 100% or _ 25%
~
Census Code _ Zoning City Water
SAC Units Stories - Booster Pump -
# of llnits Sq. Ft. PRV ~
# of Bldgs Length r Fire Sprinklered r
Type of Const ~i Wdth ~
REQUII2ED INSPECTIONS
_ Footings (new bldg) _ Sheetrock
_ Footings (deck) Final/C.O.
_ Footings (addition) ~ FinaUNo C.O.
Foundation ~ HVAC ~
Drain Tile Other
Roof Ice & Water Final Pool Ftgs AidGas Tests Final
~ Framing ~ Siding _ Stucco Lath _ Stone Lath _Brick
Fireplace R.I. AirTest Final ~ Windows ~
~ Insulation _ Retaining Wall ~
Approved By: , Building Inspector
----------------r - ~ - ~
Base Fee I~ s~ J~r,.S. ~.6~'4
Surcharge v~~~s, ~poe~ pd-
Plan Review ~
~J
MC/ES SAC ~~rZ~/I //G
Ciry SAC ~ ~
Gry~ ~
Utility Connection Charge
S8W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
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2006 RESIDENTIAL BUILDING PERMIT APPLICATION L`"''
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsW ction Reauiremenis RemodelfReoair Reouirements Office~Use OnH
3 registered site surveys showing sq. it of lot, sq. ft of house; a~ all roofed areas 2 copies of plan showing footings, beams, joists Ced ot Survey Recd _Y N
(20%maximum bt coverage allowed) 1 set of Energy Calculafiore for heeted adddions Tree Pres Plan RecA Y~"~~N
2 copies of plan shovnnq 6eam 8 window sizes; poured Found design, etc. 1 site survey for addiuons 8 tlecks Tfee Pres Reqwretl Y~;~=N
1 setcf Ene'gy Calcuk6rns Addifion ~ indcafe N on,site sepflc system On-si[e Sep6c System _Y N
3 copies of Tree Preservatlon Plan N lot platled afler 711193
Rim Joist Detail Options seleGion sheet ~huildings with 3 or leu units)
Minnegasco mechanical veMilation fortn . ,
'1/-~~/
- Date VL(' / Coostruction Cost l/f , a~ ~
Site Address y/~~~ ~/`~i~i4~/ ~~-S~ UniUSte #
Description oF Work {QLi/? -
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 1 _ 2
Proper[y Owner ~%/Y~ ~ ~S ~ Telephone # (~j,fr ) ~D ~D ' 3.0~~0 9
Contractor / 1 //l
Address City
State Zip Telephone # ( )
COMPtETE THIS AREA ONlY !F CONSTRUCTING A NEW BUILDING
- Mi~nesota Rules 7670 Cate2orv 1 Minnesota Rules 7672
Enefgy Code Category . Residen6al Ventilation Category 1 Worksheet . • New Energy Code Worksheet
(d 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 ~
Mechanical Contractor Telephone ~
Sewer/WaterConiractor Telephone#~ )
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in confocmance 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.
S. ~~'e /s f~ ~
Applicant's Printed Name Applican s Signature
DO NOT WRITE BELOW THIS LINE
Sub Tvoes
? 05 Foundation ? 07 O5-plex ? 13 16-piex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OB 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 EM. Alt - SF
? 04 02-plex ~ ? 10 OS-plex ? 18 Deck ? 23 Porch (screenlgazebo) - ? 36 Multi Misc.
? OS 03-plex ? 51 10-plex ? 19 Lower Level ? 24 Storm Damage ~
? 06 04-plex ? 12 12-plez ? 25 Miscellaneous
Work Tvpes
? 31 New ? 35 Int Improvement ? 38 ~emolish Interior ? 44 Sidi~g
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement 'Demolition (Entire Bldg) - Glve PCA hantlout to applicant
D¢SCI'IptfOfl: Water Damage _ Yes
Valuatlon Occupancy MCES System
Plan Review 100%or 25%
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
_ Footings (deck) Final/C.O.
_ Footings (addition) _ Final/No C.O. ~
Foundation HVAC
Drain Tile Other
Roof _ Ice & Wa[er _ Final _ Pool Ftgs Air/Gas Tests Final
_ Framing _ Siding _ Stucco Laih _ Stone Laffi JBrick
_ Fireplace _ R.I. _ Air Tes[ _ Final _ Windows ~
_ Insulation _ Retaining Wall
Approved By: , 8uilding Inspector
Base Fee
Surcharge
Plan Review
MClES SAC
City SAC
Utility Connection Charge '
S&W Perrnit & Surcharge
Treatment PIaM
License Search
Copies
Other
Total
Use BLUE or BLACK Ink
For Office Use
2
City of Permit 1td 0 t I
(~f Eatan r~
I Permit Fee: lof~ 1
3830 Pilot Knob Road I
Eagan MN 55122 I I
Phone: (651) 675-5675 I Date Received: I (-J~
Fax: (651) 675-5694 Staff:
I
2012 MECHANICAL PERMIT APPLICATION
❑ Please submit two (2) sets of plans with all commercial applications.
Date: 11/9/12 Site Address: 4886 South Safari Court
Tenant: Suite
RESIDENT / OWNER Name: Mike Johnson Phone: 651-688-8903
4886 South Safari Court, Eagan , MN 55122
Address /City /Zip:
Name: Clearwater Plg & Htg License
19260 Mushtown Road
CONTRACTOR Address: City: Prier Take
952-440-3779
State: MN Zip: 55372 Phone:
I
Contact: Susan Email: susan@clearwaterphc.com
j j
__..m.__._-..,..__.......... .....................u...» .._'-I
New X Replacement Additional Alteration Demolition
TYPE OF WORK 1, Description of work: change out air conditioner
...-.......m.,...,.__..-.....
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
- Code. Please contact the Mechanical Inspector for information on permitted screening methods.
} 1 RESIDENTIAL COMMERCIAL
1 _ Furnace _ New Construction _ Interior Improvement
PERMIT TYPE X Air Conditioner _ Install Piping _ Processed
{ Air Exchanger _ Gas _ Exterior HVAC Unit
Heat Pump Under /Above ground Tank Install Remove)
Other
0 RESIDENTIAL FEES:
$60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) 60.00
$100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) _ $ TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground tank installation/removal (includes $5.00 State Surcharge) OR Contract Value $ x1%
$60.00 Minimum (includes State Surcharge) Permit Fee
*If the project valuation is over $1 million, please call for Surcharge 5.00 Surcharge*
TOTAL FEE
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.oooherstateonecall.ora
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.
Susan Schlink`
Applicant's Printed Name Appicant's Signature
FOR OFFICE USE
Required Inspections: Reviewed By: Date:
Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA122022
Date Issued:04/22/2014
Permit Category:ePermit
Site Address: 4886 Safari Ct S
Lot:3 Block: 1 Addition: Safari Estates
PID:10-65850-01-030
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 or installing Bay or Bow
windows, 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 -
Michael H Johnson
4886 Safari Ct S
Eagan MN 55122
(651) 688-8903
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:Building
Permit Number:EA138260
Date Issued:08/17/2016
Permit Category:ePermit
Site Address: 4886 Safari Ct S
Lot:3 Block: 1 Addition: Safari Estates
PID:10-65850-01-030
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 or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Michael H Johnson
4886 Safari Ct S
Eagan MN 55122
(651) 688-8903
Home Depot At Home Services
6224 Lakeland Avenue N, #102
Booklyn Park MN 55428
(763) 542-8826
Applicant/Permitee: Signature Issued By: Signature