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4924 Safari Ct S
CITY OF EAGAN ~ f~ 2$ , ' 3830 Pilot Knob Ro~, P.O. Box 21-198, Eagsn, MN 55121 PHONE: 454-8100 dU1LDING ~ERMIT R~~+a~ # ~ T~ ~ w~d Mr . ~ ~ )G; t ~ i j~ Ft Est. Volue •1 , l, , ~ 1 pote , ~~r : a, ~a~ . , 19_~ Site Aiddress 2 Q ~t•~'~~-:I{ j Ctj' Erect Occupency Lot E Block ~ ~/Sub. 5~'~~~` ' Remodel ? Zoninp Repeir ? Type of Const. - Parcel No. [ Enlsrge ? No. Stories b~ l~F V~: ~,Qk'!~'RS r_'C3: ! G'T' CG Move ? Lengtn N~e Demolish ? Depth Z Address " ~ Grade ? Sq. Ft. ~ it'.,.:r ~ • l.- i ~ City phone Install C] AVN~aIs F~~s c , ~ Name , r:~ . c~ ~ ~ ~ /~ssessment Permit ' Addresa Woter 3 Sew. Surchorye r~~ City Phone Polite Plan Re~iew ~W Name Fin SAC ; Addreaa Enp. Wcter Conn. ~ W City Phone Plonnar Water Me~er 5 Countil Rood UnFt - t hereby ocknowledpe thot I hov~ reod this opplicotion ond state tiwt BI~. p{f.-~ .i i-~• Parlu the iniormotion is correct and agree to comply with oll applic~l~ APC Totel Stote of Minnesoto Stotutes ond City of Eogan Ordino~ces. Ver. Dete 5ipnoture of Permitte~ . . ~ : A Bulidiny Permlt Is issued to: on th~ express condltlo~ Ihar pll work shall be done in acoordance with all oppliooble Stabe of Minnesoto Stotutes nnd City of Eapon Ordinances. BuiWi~p OffiNol P~rmit No. P~rmk Holda Dat~ T~Isphone 0 5 ~ h~ Y~ H.VA.C. ~ o~ ~ ~ ~ I I c~ ~ ~ _ ~ ~ ; e'.~n'i~ t1 ~ 5 g. crz) sotan.r Ir~ction Date Insp. Other Footiny~ ~ Foundation Fnminy y~, ' RooHny Rouph Plbp. f' Roua+ NVAC Inwlation Final Plbq. J~1 " Final HVAC 7 Final f f.6' ~~f ~ d" ~ .r c.n/ox. ~ w.n. o.scrib. ~o~.tio~: YII~11 S~rNr Pr. pap. R~oeipt MECHANICAL PERMIT Pennit No. CITY OF EAGAN Fee Fil! in numbered s~sacsa S/C Type ar Print /egibly T~ 1. Date 2. Inataliation Cost 3. Job Adtkess Lot Blk. Tract 4. Owner 5. Cantractor ' Phone 6. Addrou 7. City State Zip 8. Building Type: Residential ~ Commercial ? Institutional ? 9. Work Description: New O Add ~ Alter ? Repair O 10. Describe Fuel TYpe 11. No• Ep~ipmpnL BTU - M. Ea. No. Eauiament CFM Foroed Air Air Handliny: AAfg. Boilen Mech. Exhaust AAfy. Unit Heater Mfg. Other Air Cond. Mfy. Gac, ~iping Outlets 12. I hereby certify that the above informetion is true and correct, and I ayree to comply with all ordinances and codes governing this type of work. ~ign°d ' for Rouph Final Inspections: Date Insp. Date Insp. This is your permit whan numbered and approved. Approved CITY OF EAGAN 454-8100 ~ Receipt PLUMBING PERMIT P~rmit Na CITY OF EAGAN F« fi!l rn numbered spaces S/C TYPe or Prrnt /egibly Tot 1. Date 2. Installation Cost 3. Job Address ~ Lot Blk. Tract 4. Owner 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential 0 Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter ? Repair ? 10. Describe 11. No, Fixtures No. Fixtures Water Closet Cesspool/Drainfield Bath tubs 5eptic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Orinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : ~ for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CASH RECEIPT : ~ ~ ~ CITY OF EAGAN P. O. BOX 21-199 EAGAN. MINNESOTA 55121 DATE ~ g Reearvro ~ FROM ~ - AMOUNT $ I a oo~.~~ws ~on ~ CASH ~ GHECK FOR ~ J FUND CO~E AfAOUNT , . ~ ~ , C.. ' . , J ~5 j ~ ~ Thank ~ou : : ~ ~ ltiti . BY ' White-Payers Copy Yellow-Posting Copy Pink-File Copy CITY OF EAGAN Remarks Addition SAFARI ESTATES ~ot 6 e~k 1 Parcel #10 65850 060 O1 Owner Street ~924 Safari Court So. state Improvement ~ate Amount Annual Years Payment Receipt Date STREETSURF. (F 1 4 10 5 (n~~. ~'SI ,~rc~a(~ ~'8_ ~15 STREE7RESTOR. 19$2 . • S ' 0~. ~.7~$ ~ OI ~9~10 -~rQs GRADING 1 82 603.03 60.30 10 3~/, ~3 f~ o~s9~~ -PS SAN SEW TRUNK 7 D, ~ D I 5~~~ --~S iF SEWER LATERAL f s~~~~ ~ ~~r - ~.S WATERMAIN 1F WATER LATERAL WATER AREA O.3~o DiS~ a~lo - ~ 8S ~ Service STORM SEW TRK 3~ / 7.~, `3 A a+ s9 a~ 1F STORM SEW LAT CURB & GUTTER SIDEWALK STREET L1GHT Road Unit 260.00 WATER CONN. 47O.OD ~UILDING PER, r n SAC rr ii PARK CITY OF EAGAN Wp~R SERVICE PERMIT 3830 Pilot M.~ob Road P. O„ Box 21~1gg PERMIT NO.: 6156 Eagan, MN 55121 DI~TE: 7-- $ 5 Z~~~9' No. of Units: Ownsr. ~eve1_o ~ers ~ Address: r ~ Site Address: r+924 S• ;;oust. ~,(x. ~S ~rr~. ~ states P~umber: ~a'~igr]_e~ ~~,,nCf7in~ ~ I?CC~ ~ 1 ~Y`' r'~, AAat~rs o.; ~ Connedian Chorfle: _ 470. QO p~; Acmourit. C~e''~dSlt: 15. O~,~d Reoder No.: ~ 8'7 O'~' Penrift Fee: lO.OJ ~~!M to oo~a~l~r will~ Nw Gfp of E~~e~ Surcharoe: .~0 On/lr~a~. ^ Misc. Chor~ss: _ 63.00 pd n~F_ter C ~ Total: ~ BY ~ Dote of In ~id: sP•. _.__~2 LD - S? ~ : •1 ~ ~ , cirv oF EA~AN yVATER SERVECE PERMR , 3830 Pilot Knob Road P. Q: &?x21199 PERMIT N~.: 6156 ~ Eagan, MN 55 21 ~ 1 DATE: 7-~ 5 Zonirg: No. of Units: p~,,,,~~; Uevelopers Const /lddress: Stte /~ddress; 4%'24 Safari Court L6 !~1 Safari I:states P~umbar; '•`eierke Trench nn ~:,;c. Mett~ No.: ConnectionChorpe; 47Q•QO pd Size: Readsr No.: ~unt Deposit: 15 Oppd Permir Fee: I n. 00 ~na !o as~pl~r ~rM~ N" C~' °f &Ye• Surchorye: . 50 ~eee~s. Mtsc. Chcrfles; 63. f10 pd ~etar B Totol: Y Dote Pcid: Dots of Insp.: r~.: CITY OF EAGAN ~ ~ 3830 Pilo; Knob Road ~ER SERVICE pptMIT P. a. Box 21199 PERMIT NO.: 7 345 Eagan, MN 55121 pA.~, J 5 Zonirg: ~ 1 Ownsr, iievelo ~re r No. of Units: 1 onet ~?ddress: Stre Add?ess; 4924 Safari Court I~b B1 Safarl Estate3 Plumber. Weierke Treucliin & Lxc. 12-2.8-34 486G6 100.04 pd ro~~ wlli~ M~. CiF~ ~ y~„ Ca,ractlon Char~s: 42 . 00 , ~J~ewat. ~?toouM DepO~it: ~ • p ' Prm,k Fee: 10 . !)0 By Surdwrp~: . 5 ~1 Dote of In Misc. Gw~; Totol: In~p.: D~oM Pald: ~„_.~,~,~~d `fq~-b~ . Y~5~~5 ~ c~ ~r ~ ~ ~ , va Nequest Da . " Fire No. Bh-in Insuection ~ Requued7 ~ReaAy Now II Nolity Inspec- es ? No ~ ~atly Lice~sed Elec ncal Conhactor I hereby repuasl insoecNOn of above Owner ebctrical work i~talled aY Svee~9a ~ r Rou e No. ~ City ~r ti~ Township Na or No. Hange No. County ~ ~r-~ L6 ~ B~l[, S 2N ~ ~t ~~c~it~cc- Oc nt IPf11 T~ PM1e~e No. 1~-P?e~o ~rs ~6~rt $~j4-G/9 PowerSuppp'¢r L Address ' ~a k.0 T 4 Fi~-Z Pi~ ~ r~v~ 1~ ~ EI - 1 Contr tor ny N~ Coatra~~ ~ e~ No. v G 8-3 Llailirq Atldr s(COnva mr or Owner M inB ~~stall ion) a ~ 7 S Authwiz Sie~eture ICOntractor wner Meking Installationl PM1ane Numb¢r ~ YIMNESOTA $TpTE ARD OF ELECTPICITY > THIS INSPECTION PEQUEST N'IlL NOT Gripyn-Yidwey Bldy. - Noom N-197 BE ACCEPiEO BY THE STATE BOARD 1@7 UniversihA~e., St. Paul, MN 65106 UNLESS PROPER INSPECTION FEE IS ~r ~~~~~g~J~~~ ENCLOSED. ~~a O ~S REQUEST FOR ELECTRICAL INSPECTION Ee'°°°°''a~ q ^ ' See instruclions br como~e~iig lhis torm on beek oi Yellow copy. ~,I ~ 7.} ~~-F., , "X'" Below WorJc Coveced by This Request °t ( R MeO- Type of Buildine ADO~~ancea Mired Equipment Wired Home Range Tempprary Service Dupiex Wa[er Heater Lighting Fixtures Apt. Bufldinc~ Dryer Electric Heatin . Commercial Bldg. Fumace Si~o Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other pec~ v ther ISUec~~vl tMr Suocify ONer O~her ompute Inspection Fee Below i • Fee ServiceEntrancaSiza q Fea Fandars~5ubfeeders e Z Cimvits 0 to 20U Am s 0 to 30 Am s ~ tn 30 l1n Above 200 qmps 31 to 100 qmps !j 31 to 100 A Swimming Pool Above 100_Am - Above 7p0_A Transformers Irngation Booms ' Partial.'Other F Sig~s Special Inspection S 5p ~ 'TOTAL F ~f/~J Nma.ks ppy~r~~ Date ,~ha Electriw f/~~ ^S Impgctur. he~eby certify [Im~ ehe above Final D'^ e J' C, ~repeetion has baen . ~ ~da. thYrt~vaid /8 monib Irom • 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 ~ '~j (o C~ ~ 651-675-5675 Please complete for modifications to existing residential dwellings. oate l~1~ Site Street Address ~/i a7~ sa ~a~e j e~e f J~ Unit # Property Owner Telephone # ( ) Contrector ~ c), ~~ieUa~C~.S Telephone# (9.sa) yd/_~a8/ Address v2/~~6~ ina'~te^r-~-y City L¢~~~ i L~e State /~/N Zip~ The Applicant is: _ Owner ~ Contractor _Other Alterations to existing dwelling $ 50.00 „~Add fixtures to rooms, excluding water softener and water heater _Septic System Abandonment _Water Turnaround (add $121.00 if a 5/8" meter is required) _Other: ~0..0-C.w~.~ ~ ~i v~T Water Softener _ Water Heater $ 15.00 _ replacement _ additional Lawn Irrigation System RPZ_ new _ repair _rebuiid $ 30.00 State Surcharge $ .50 Total $ ~ I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. ~a,~~ < ~ k~,~ Q~ ApplicanYs Printed ame ApplicanYs ign ure O~~~~ y~~ ~ ~~pu ~ ; ~,;h ~ By 2004 RESIDENTIAL BUII.DING PERNIIT APPLICATION n ~ 3 City Of Eagan Co-x-~ 3830 Pilot Knob Road, Eagan MN 55122 ~ l~. (o ~ Telephone # 651-675-5675 FAX # 651-675-5694 ~ ~ ~ ~ NewConstructionReauiremenb RemodeVReoairReouirements ~ nj' 3 registered sRe wrveys shaving sq. 8. af bt, sq. fl of house; and all rooted areas 2 mpies of plan Cett of 3urue"y~~Recd .l" ~IJ (20% mazimum bt coverage allowed) 1 sel of Ene~gy Calalations for heated additions Tree PreS Plan_Reoi _Y N, 2 copies of plan showiig beam & wiMow srzes; poured found design, etc. 7 sde survey far addNOns 8 decks ~[ee F~es.~equ~,red ~ ~ Y_ N iseto(Ene~gyCalculations AddRlon-indicate'rfonsttesepNcsysfem qn-sik~`eptk~:~SStel~k ~.~lY~`'~.I~ 3 copies of Tree Pieservation Plan "rf lot platted atler 7/1/93 Rim Joist Defail Optbre seled'wn sheel (Wdgs wiM 3 or ~ss unils Date 7 / ConstrucNon Cost 2{, ~ Ot9o ^ Site Address ~g ~ ~ ~ A'~~~yYL ~ C'7r UnitlSte # Description of Work f Y~-4!~ ~~iv! ~ Multi-Family Bldg _ Y _ N ~replace(s) _ 0 ~ 1 _ 2 _ PropertyOwner ~jn T'Z ¢/~~~4~a/tfQ- ~rK~2iS Telephoneit(G5+ ) y52- ~~y% ~ / \ Contractor I~- d U i l"6N- s71~ .~,.~i c~ Address T~L~D 2"?'7 City L~l'~/'VIGL~ State _ U Zip 'Z7~/ Telephone #(YS~ 7G~' 333~0 ~ e~C - -2•!O ~S9a COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Catecorv 1 _ Minnesota Rules 7672 Enefgy Code Category . Residentlal Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submiuian rype) 5ubmiHed Submitted • Energy Envelope Calculadons Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. v~J1 '1 Licensed Plumber - ~ `~t', ~ Telephone # ( ) ~~t~-~ , 2p0a ~J Mechanical Contractor ~ ~R ~ ' \ Telephone # ( ) \i ~ ~ ,p~ ~ Sewer/Water Controctor !Ua Telephone # ( ~ \ n , I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approv ' the case of work 'ch requires a review and approval ofplans. ~ C~~~.1+a-~L ( ~C`F~en/ °-...e~~r Apphcant's Printed Name Apphcant Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ~ 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ~ 33 Alteration ? 37 Damolish Building` ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation ~'LS~"'C! Occupancy ~ MCES System Census Code ~ Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bidgs Length Fire Sprinklered Type of Const ~ W idth REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) FinaVNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof Ice & Water Final Pool Ftgs Air/Gas Tests Final ~ Framing Siding Stucco Stone Brick ~ Fireplace _ R.I. _ Air Test ~Final Windows ~ Insulation _ Retaining Wall ' ~ . Approved By: , Building Inspector Base Fee SurCharge ( / ~ ~ D J Plan Review MC/ES SAC ~ ~ City SAC Utility Connection Charge S&W Permit & Surcharge Treatrnent Plant License Search Copies Other Total . 1 ~r~. 1 p I 2~0~ ~j~_. ~ ! ~ ~ `t`'~ I CITY Or EAGAN ~ ~S~c:~. ~ 111~1 ~ APPL=CATION FOR PER~IZT ~ " SE[dER AND/OR WATER CONNECTIODt (PLEASE PRINi) 1) PF.OPERTY ADDRF.SS: y% a~ .S h/ i4/~/t / C/ S' r~r=,~, o~c~tirTcv: L. G /3~0 ~r" ! Sti f,~h°~z: r.~ r~~~ ~ (LotBlocJc/Su.'~,divisicn or Ta~c rarcel I.D. Nt~,b2r1 ~ ir ~•:L='=:G S~CC^:~. DA'~' 0~'OcZTGLIai, ciiIT..^.I.`:G =~_~i~ TCJ~.c~i.C:.: ~r:_' pnrcL-r ~;~.TF:/?DOPOS~ li ~!~T Si•~GL: iP!~SIL? ? ~UPT.~! ('?`.ti'0 L^?IT~ ) ? ?-3 TCf.t~C±rcr (~r'F~.~, - (,-•;I•..G~ I r~ti~^_~1 ? i,~: ?`!'~-•im/CC_~Ci.+r;r-;.i ( [.':;ITS; ? CCi-ryff..?CL=S./RE?'1TI,,~Cc"~'I~ a ~'~os~: i ? T_V~I:LTIC.:AL/G:'J~'\nrc~.;.j. 2) APPLSG=..~iT ~ ~PL~ASE ?A17f) r~,;•~: r ux ~ ~ r- s .~.sT aDC~ss: i/Q/ Gl~ F R1) c~^:, sra~, zzP: i3;,r~.~.r~,~~~= ~,y Ss33~ Pxo.~_ ~'~a ~~l~y ~ 3~ P~~~~ ~ ~ L (PL'cASE PNINi) FOF CITY pSE 441Y NP~~: :-liv'~ I G/~ K~ TREiY:.~i.vG tri ~JC ' ~ ?UJNBE LICEtiSE: ADDRESS= ~~U (~'~/f~" ~D ~Active ~ ~ CITY~ STATE, ZIP: Ff}~~p.wi' ~ E:pired r~ ~Haic-. ~ No- Record ~ PHONE:-~ ~yf[-~~v~6 PLUMBER LICEVSE H (JQ~~d2C/ - ~ t t(11 33 4) OCCLPAN'P/CSvTlE'i2 IPLEASE PRI;Ii) ~n f=F~RrS ADDRESS- CTTY, STATE, ZIP: PH01`IE: 5} INDIG'1TE WHIC![ PERi•LIT IS BEI\G REQUEST'~: _ZOV T~ CITY SEYJER cbc~zev ~ro ciz^z ,aaz~a ? dil~t (PI.G15E DF_,C2IBEy 6) If:DZG,.~ C.IE: - - - - - - - . ~~1SE E?OID APP_PqVED PEE2.tiLIT El~R_ PICi:-(.'P SY. ONE CF-~/E ~ PI.~,SE :~*1-~IL APPR(Jt/ID PEP.•tIT TJ 1, 2. 3, 4 ABUVE (Circle one) 7) SIC~TL'RE: G~~~ ` feo.c~-i/S DATE: ~'d.~ F~ ~ R ol+L+Mfe~a:f~ ~ a~[r:axa ae ~ r.w osa~~ ~ o s~sa~:a a a a~ r~~s-~ra~ a~ s~s=sc~.aa~ F 0 R C I T Y U S E O N li Y PE?2+1iT ISSUED F°.T'iS: $ ~O(/ S°:'iEB ?~~a~pTm ~T r,•-~^ nr~_ ar^) ~ (L.C SU.....:A.,~.. S ~/%_~C~ W~T~'~ PERf1IT (I`iCiuD~ SiiRC::Ai2Gi) ~ 7j WATER METER/COPPE4HORN/OUTSiD: RE:,DER S WATE4 TAP (INCL~DE CORPORATIOJI STCP? $ SE;vE~ T? D $ ~S-UC = _..^i:::~^ ~~=Gc~= - c_:.=3 • $ /s~ ACC:OUNT DF.PC~SIT - j^7A:'r~ $ .5 a . wac S ~ .~~J ~U SP.C $ TR[i?IK [~ATt'R aSS~SS2dr:iT $ TRG:1K SES~ER ~SSESS:~iE2iT $ LrITr,R=.L BE:vEFIT/TRUiIK SE:•:E4 $ LATERr1L BENEFIT/TRU~IiC IJATx'R $ ' ~.j~.ocJ OT:3ER ' $ TOT? L S _ /.~~iUV A~".OL:vT PAID/RECEI2T ; DOES UTILZ.Y CONNECTION REQUIRE EXCAVATION IN PU&LIC RIGHT OF WAY? ~ YES - IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGINEERItIG DIVISZO[V. LIST AS A CONDI- TION. SUEJECT TO TfIE FOLLOWING CONDITIONS: • APPROVE~ gy; T I': LE : DAT~: J ~ ~a~ws w~s~~ ~~+~s w~w~w~+~se w~ ~c+w~~w~. i~ wf~ ~t~ s~ w±a ~c~ ~a sl~ ~ ~ . CA$H RECEIPT , • CITY OF EAGAN P. 0. BOX 21-199 EAGAN, I SOTA 55121 TE 79 RECEIVEC ' 4~~~ RROM ' ~ ' ~~~~~f AMOUNT s C'a ~l~ 9 DOLLARS ~oa ? CASH ~CIC' ROR ~~'.t ' ~ s . , o ~ FVNO CODE pMOU i7 ^ L Thank Yo eY N° 51364 White-Payers Copy Vellow-POSting Capy Pink-File Copy l 'I~ 1 ~ 1 ~ / ~ 4 ~ ~ ~ CITY OF EAGAN ~I t ~ APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTIODT (PLEASE P9INT) 1) PropIIrrY Ap~RESS: 4924 Safari Court S. r.rraT• DESC~tI_~riCN: Lot 6, Bl k 1, Safari Estates (Lot/Biock/Subdivision or Tax Parcel I.D. N~r) I'r' ~{S;:'=_:G 5'IRL'CPTRE, De?Tt. 0_' ORIGii:AL uiILLI:IG P:~'_•!IT ISS~?i~iC~: ~ P4~Sr-`_,^. ~,...1i.~;~:~C°OSc~' ~'S:: ? R-1 S~GLE r^A:~trI,y , ? R-2 DUPL~{ (Zh0 WiITS) ? R-3 'IY~'rIIIO[JSE (ZZiRE" + L7DIZTS) ( UNITS) ? R-4 ApAR'IS'~:T/CC~~INIU;~1 ( iNITSj ? C~fi~E.ERCIAL/RETAII,/OFFICE ? IRUUSTRL~L ? INSTITUTIONAL/GOV~~IELV'P Z~ AppLSC1~V+r (PLEASE PNINT) i~n~: Developers Construction, Inc. ADDFtESS: 1101 Cl iff Road CIZ'Y, ST~'rE, zIP: Burnsville, i~1N 55337 - PHO~: 3~ P~~,,~~ PLEASE PRINi) FOR CITY USE ONLY Donahue Plumbinq PLUNBERS IICENSE: ADDRESS: ~ Active CITY~ STATE~ ZIP: L] Expired t. Q Not of f7ecord PHOiVE: PLUMBER LICENSE N arr nitia 4) p~~,~n,~/a~~q (PLEASE~ PRINT) ADDRESS: CITY, STATE, ZIP: PEIONG: 5) INDICATG WHICH PEP,MIT IS BEIi~,'G REQUESTID: ~ CC.u"~IDCrZON 'It~ CITY SETrTER ~ COA'NFX.TIO.I TO CITY WATER ~ C7I'I~R (PI.EASE DESCRIBE) 6) ~~IC; L 0:~: ? PLEaSE F?OLD APPR(7VID PEf2~'~IZT FOR PICi:-UP BY ONE OF ABOCB ? PLE?~SE bT11IL APPROVID Pg2:~LIT 1, 2, 3, 4 AE,WE (Circle one) 7) SI~tr1T[.'RE: l.~f;~-, l'~"/C~a_P~ DATE: ~~G ~ ! R q:ili~11FA i~ i ~ll~:t~a s! f~'s . . . ~ . ~ . ` . ' ' a- ~ . Asa#a~~isr;~a:a~a~~~r~:.~r;l:r~a~~f~~~~af~cw F O R C I T Y U S E 0 N L Y PER~lIT ISSUED ~ F°rs' S S°_i':E~ DL,`A`.7T'^ (r.~..r--`~^ ~ ' ~ Sli CHr.=.G~) $ WATER PER^1IT (INCLL'DE SURCF:ARGE) $ WATER METER/COPPERHORN/OUTSIDE REaDER $ WaTER TAP (I:VCiUDE CORPORATICN STOP} $ SE:•7ER m" P $ ACCOUNT GEPOSIT - SEi~?ER $ ACCOUNT DEPOSIT - WATER s wac S sac ~ TRUNh ?~ATER ASS°S5:-SE;IT $ TRli~IK SESdER ASSESS~IENT $ LATE°,AL BENEFIT/TRU~TK SET~ER $ LATERAL BENEFIT/TRUNK WATER $ OTHER $ TOTAL $ A:`~fOUNT PAID/RECEIPT ,'1. DOES UTILSTY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ~ YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE ~Q~ ENGINEERING DIVISZON. LIST AS A CONDI- TION. SUIIJECT TO THE FOLL0:4ING CONDITIONS: APPROVED SY: TITLE: DATE: ~ a~+ ~cs s~ ~w ~c ~ w~cw w~a ~e ~ w sw ws~ ~a wt~ w~~~s~ w.a ~t ~ s~ sin Ra wt~ w w:~ w~ ~ I CITY OF EAGAN No 9$ 2$ y 3830 Pilot Krro6 Road, P.O. Box 21-199, Eagan, MN 55127 PHONE: 4548100 ~ BUILDING PERMIT Receipt # Te M wad fer SF DWG~GAR Esf. Volue $149~000 Date 1)F.f FMRF.R ~R , Iq_$~ SiteAddresa 4924 SAFARI CT SO Erect ~1 Occupency R3 Lot 6 Block ~ 1 ~ec/Sub. SAFARI EST Remodel ? 2oning R1 Repair ? Type of Comt. ~ Parcel No. Enlerge ? No. Stories DEVELOPERS CONST CO Move ? Length 87 W Name Demalish ? Depth ~ Address 1101 CLIFF RD Grade ? Sq. Ft. City BURNSVILLFpha~e $90-6194 Insta~~ ? Apyrovok Faa~ Nama S~E Azsessment pertnit $ 5 S S_ 5 ~ A~~~: 74 . 50 s~ Cit Phone Water 8 Sew. SurcMrga Y 277.75 police Plan Review ~W Neme Fin SAC 525.00 Address E~p. WaterConn.470.00 ~W City Phone P~onner WaterMeter 63_00 Coundl Rond Unit ~~n-nn I hereby ackrwwladge thot 1 hova reod this npplicaHO^ a^d stote thot gidg. Off. 7 7/2 F, /R ¢ Perks the inlormotion is corre[t ond ugree to wmply wifh all opplicable AP~ Total ,52, ZZ.rl _ ~5 Sfata of Minnesota Stotutes ond Ci o Eaqan ~~inonces. Var. Date Sipnafura of Permittee A Bullding Permit I: issued to: D• VELOPERS CONST on the axpress wrditlon ~ho~ oli work shall be done in nccordanea w . I oDV~icabl("StotF o4 Minnewta Statutes ond Ciry of Eoqan Ordimnce~. Bu{Idinp Offleial A-~' ~ ~ ~ . . ~ ALL CONTRAC RS MUST BE LICENSED WITH THE CITY OF EAGAN ~ ~ INCLUDE Q SETS OF PLANS, Q CERTIFICATES OF SVkVEY ~ SET OF ENERGY CALCULATIONS To Se Used For!~• Sr,.~Glt ~4+'~^~ a~ Valuation:k yo~ Date: fy-)Q-~~~ Site Address: c} 5',a~A,~; Coua.~Sd_ ~4~0~'' ~ ~ • Lot: 6 B1ock:~Sect/Sub: ~.g~~~~~5 Erect: X Occupancy: R-3 Parcel Remodel: Zoning: {Z-~ f Repair: Type Of Const: 'S~ Owner: J~ve~e~,j CcmS~~~~~Tor,, ~,n,~~ Enlarge: # Stories: Move: Length: Address_ //o; C~;~~' a~~- ~v,nn,yU:U/F Demolish: Depth: ~ City/Zip Code: 7ZKrtisv~~l~ ~S 3? ~ Grade: Sq. Ft.: Phone Contractor: ~~ve~~~,,,~ ('o,~,~, ~NE ~ ~ Address: ~4 % ~p (L~-- Assessments: Permit: 555•~ City/Zip Code: S~3 3~ Water/Sewer: Surcharge: -~s Police: Plan Rev.: Z~'_f~. Phone q C>- ~ ~ Eire: SAC: `7GS Engr.: Water Conn: 4~o,Q= Arch./Eng: ~ Planner: Water Meter ~03.°~ Address: Council: Road Unit: 'Z(op, ' ` Bldg. Off.: ~"Parks: City/Zip Code: APC- S Variance: ~ ai ~ '7S nlinnolk- IZ~ ~ ZZ = cpic~ x 54 " 33z~~ ~~~~x 3~7 c~~ x~-~ = 359~g 22.x I~ = 3S2 x S~-~~ I~ oo~ ~2~ 3~ = ~3z x ~4-~ 233ZS 2~~~5' ~2s x4c ~2~~2~ Z`1 ~r~~.,,.^ ~9 Cp x f t "~7 c~ 5~ ~ - ~ (~~~~5 _ i~ t t r ~ ,c~ :Y.{. :'Y~:'~F~~ P # Q~ * JJJ~rJO+ 74~J~+ ~ 2l7~75~' I ~21~00+ 470 • 00 + 63• 00 + 260 ~ 00 + 2e225•75* / Certificate for: Bk: 55~18 Developers Conatruction Inc; • 1101 Cliff Road ~ Burnsville, Minneaota 55337 DELMAR H. SCHWANZ LANDSURVEVORS~ ~U~-. ReqisteieG UnE~~ Liws of Tha Sbb o~ Minnaiota 2978 - 145TH STREET W. - BOX M ROSEMOUNT, MINNESOTA fi6068 PMONE 812 42b1789 ~ y I SURVEYOR'S CERTIFICATE ~P~P~ ~ Scale: 1 inch ~ 4~ feet vC~kB ' U ~ ~ ~ ~9j5'~' \ • Denotes found iron monument ~ ~ 997.9 a Denotes set wood hub ~ „rr~F4R =6~ ~W ~ ~r6. q~~9 ~notea exiating elevation 4 ~5 ~ ~S bo~ io / \ ~98`~ / \ 6~- ~ \ \ Z~F- \ oP ~U~ \ \ ~ 1 9g,.iS m ~ ° Drainage and Utility ~ ~ 1 EasAment ~ ~ ~ y~ ~ j.', ~ ' ~9 sz.s i9~o.s / \~~G ~ ` s.s ~ ;i. i w ~V'. ° Garagel ~ 0 ~ i v ~ ~i,r p~~ ~ ~n zvf Proposed House Z / \ , ~ ~ ~of r „ ~ ~ I~ ~h j',, ~~b",. ~11L~ ~1-b y ~1? ,~oPHae ~ ~ ,J' b y . `~P 969'y / ~ ~ iz / D T l , . I' ~ ~ p L / f 4 HI.H4 ~ ~ / ~M 1 , I 50• V ~ ~ ~OI~ ~nl ~ y'.~~ n0~\,~/ ~ ~ ~b l~ ; i9~ 48 ~ a p ~V ~ ~ 8 ~ ~ y 37_ 08~ ~ ~ \v ~ E ~ ~'o , Proposed `garage floor elevation .J • I hereby certify that this is a true and correct representation of Lot 6, Block 1, SAFARI ESTATES, according to the recorded plat thereof, Dakota County, Minnesota. Also showin~; the location of a proposed house as ataked thereon. Dated: December 13, 1984 ~ ; , ~ ; ~ i J ( ~ i i ~ ~`~t~l ':~r.~ ~ MINNESOTA REGISTRATION N0.8625 w/ ~ ~ EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION , . : OWNER: ~ . SITE ADDRESS: CONTRACTOR: ~a~ DATE: ~ 6 PHONE: GZ J~ ' DETERMIME 410RKING SOUARE FOOTAfE OF EACH: . l , . TOTAL EXPOSED WAIL, AREA. . . . . . _ a ~C~'(~ sq ft x "U" e• ~ 2. 70TAL ROOF/CEILING AREA • 2 ~ 5q ft x„~~, O~~s- = 3:~ 3.' T07AL EXPOSED IJALL AREA CALCULATIONS: ' Total exposed wall ~ , , ~ area above floor,,,,,,,, sq ft ~ ' i a) Total wall window area: ~ I ~ 9lazed...... ~ ~ sq ft. x q~J.52 4 glazed...... sq ft x "U" ~ b To[al door area q d~f - s(J0 ) . . ~ ~ s ft x U . - c) •Total sliding glass door area:' glazed.:. ~ sq ft x u~~~ ~ ~-n ~ ~ glazed...... sqk.ft x . _ ' , d) Total fireplace wall area _~~b sq ft x"U" ~ e) Total wall framing area n ~ ~ (Average 109;) 0~.~ ~ 59 ft x.~~Un _ ~ . ' f) Total net wall area above floor (Insulated)....... sq ft x"U" , Q =~Z~ ,q) Total rim Joist .area...... sq ft x"U': ~~~`"j~ _ ,Q Total foundation area (Exposed),,,,,,,,, p~ f„~ sq.ft h~ Total .foundatlon windo~a area............ ~ sq ft x"U" _ I r i} ?'otai net foundat.ion area above.gr'adea......._ ~ r~ sq ft x"U" , D9,.~ 3' , TOTAL a) thru 1) _ ~f ,.j If'ftem /~3 fs the same as, or less [han ttem N1, you have meC the lntent of . S.~.C. Sectfon 6006 (c) 2. I • - / '~~~-O~ • , , 4.. 70TAL EXPOSED RODF/CEILIPlG CALCULATIO~IS: . Tota1 exposed " , ~ , . roof/celling area........_~C~,~~~ Sq ft • , J) . Total skyl (aht. area.......~sq ft x'.'U" ,O~ ~ k) Total roof/ceillnq framing ~ ~ area (Averaqe 109:). sq ft x"U" i Q~ ° ~ 1) 7ota1 net insulated - e~/~ roof/ceiling a rea...:... sq ft x U . _L~ , TOTAL J) thru 1) If total~of u4 is the same as, or less than !'2, you have met the intent of • S.E3.C. Section G606 (c) 1. ' . • : ~ , ' . , ALTERNATE.[3UILDIFIG ENVELOPE bESIGN ' . To utilize the total envelope system method, the values established by the sum •of ttems N3 and (!1I shall not.be greater than the sum of items N1 and !~2. ` ~ , + 7.. _ . . . 3, + !1, ti~ ~ ~ar~ol ~r'drn~l - ; . ' l~~ 5_ . . ; s~~~~, o , arrr~ h!/~~ /o, l o~ x, lJ~/ a~/ 7 ; .~hs~ x , oa~ ~3~~ s C E R T I_ F, I C A T I 0 Id l~z~ i I herehy certify that I have calculated [he "U" factors and "R" ~ values herein and that the huildinq here descrihed meets or exceeds the State~,~~j of Minnesota Enerqy Conservation. Act, 6i ' i~ • . S19nature . i' . ' ~ . • - ~ ~ . ~ . ~j . . . I ~i?~. ~,i~~,.~.~.,.,i~ ~Il vfJ.iii~.'~~ ^ I ' ' , f.[ILIIIG SLC71pi1 (IIISUC~TED). , ' ~ , ~,•,r ~ Incerlor"ai'rifilm ~ "~~f1~f,1 „ , , ~ . ; r. , . ? - ~ 3 . rariiin~ `[~oi~~ ~rl:+~ o r ; ' 3 ' ~ ~ h ior ilr,film (Sr~ll) ~ (1 ~ ['xter , ~ ~ ~ TOT.AL R ~ I F. ~.4 ~ i i 1 pt i l yl f.! A'.. ~ FI 1 y l + V~ ~''l ~1~~ ilt.~~i _ 'IV / ~ 1 } . ~ 1 4 ! I 11 ~ ~ 1 ~ j%~ ~ ~ ~ ~ AA ~ Sv }i1 Ifi~J W ~ ~ i h.fa~~i5r i 11 'r`~8~~~ npY ~ ~ \~~l 11.'~ f~~1~~ t tY \ ~ { . ~ ~ V 1 I y ~ ~i . i : . ~ ~ ~ ~ ~i/ ~ I i y ~ 5 4 N \ i1 ~ 'r. i ` ' ' C P FR~MI G F TI i; ti;'t'(`'r,~ + 1 .CILI JG. F! S C ON ,,r„ f o~t~ ' I Ri~,,, 2ti, 5~, 1 Incerlora(r.•f•ilm i,~07f,1 ~ / r " I , r. ? .5 (?~,''..~ner~~u~'~Ji~ ' ~'~j+--~~ ~f ~ AIR .V ~ , ~ , , ~ ENT,ED " 3 ~.m//~~~rt~ ~.~.~aao~ ,~a,,"I ~ ; FLOW - ' ~f .~Interior a~r film st111 ~.;0 , , S ~ 5. '3%? i nches :sof t.woo~i rjYr$.~`s C. ~ ~ " ' ~ ' ' TOT~L R ~,x'~I~' i ~ ~ ~ ' : , r,; , ' ~ Q 1/ R'a f ~ ~ ' ~ , j, i ~ , ~ ~ , ~ a ~ , ~ ~ i - 'i~r ~ i ~ ~~i 1 ~ -r: ' i~..t I ' i :Iti i+ ~ ~ l~:.; i . r . i j i 7 ~ . . , . ~1 r ~ ,l~ ~ i i < < f ; , , , , ~„r~ , CEIII~dC, SEf,T101! ,(IMSULqTED) ' ~ ~ ~ . i.~11~.'i~:y9_f?e'.'~"Ki'~~+?~r~:S~'~b~_'„»f a~a~r'S~ S"~.~ i . ~ fl t C I' I D I' d i f~:~T I ~ f~l ~ . n~~ _ . , . . . 2. ~ , ' 3, . ~ : , „ ~i...f.xCerior air:Yilm;(still :<0 1 ,4 ' , :,'fOTAL R ; : ts-; } i ' .1 '~~/~`:..'..~4;/ ' . ~t ~ -`1~{~ U~.p ~/I\ ~'~f. I I~.r . t~t r 1j /l~ t~ ti ~ ~p?~F~~~l,~yl i' : . -~CL~1~~\°a~^.~/.~~~ ! i-•~ I~j t : ~ ~ I ~ ~ r _ 'i': i ~ ~ • 1i ~ i . : ~ ' ~ t'~. 51 !1! , .I ~ ~ ~~'Y ' S . ~ ~ , ~ ~r.~v~ ie ' ' CEII,ING FP,AI11PIr, .SECTIOhI , ~ : . . ~ i. . ~ . , _ ' ~ ( , ~.i i . 1.. Incerior'afr film " { .°%`'.Q 61 . VCNTED . . z ~ 3 a f,-- , ' I.i [xterior air Film scill n,,l 5 y i nches sof t a~ood ~3 ~ff~l r'. , ` _ - TOTAL R . ' • . , . - U = 1/R•= x_a~~'.~~, , ~ ~ 3 q ` ~ . - ~ . ' . . , . . ~ ' ~ ~ . . ,~~c f , . . ' . ~ . . . , . ,~~~r-^ ~L~.~'~~~~~J%-: . . _ ~ ~ . . . l 'L _n~,1~Ti? ` ~„'_t . ~ ~ ~ ~ I . ~ ; 'T-'. ; ~,,,r=--=~'-'_ n ~ t ,,~1G?'°rt"...: ~ 1. I ns i d a 1 r f l ~,~,J~l:ry,.~ j''~l~ J~ ~ , ~ ~ 1+ ~I~ 0~ ide air~ iln. n,1) . „ I , 2 ~ - - TO7AL: R ~ , . ~ coiisi~nur,~riori n vntne , ~y-~ ~ ~ ~ : . . , ~ ! , , ~ 1'~• IdALL FRnI•11F;G SECTION ~ ~ ~ `~l- - -..-~1 : Interlor ai c':£f Im ' : ~ .p'.'(R 'r , - _~7 ~.r , ` 3. ~ i!1 l('S .SOfC tino(~ ~ o ~ ~ 1~ " ~ S .'3~ ~ . ~ ~ '~7'~y r-~ ' ~r' , ( f~ . Cxterior ai r fi Im f1;'1.7 ~ , ; TOTAL„ R ~ : ~~~i ~ „ ~ ~ r 1 i ~ ; r } ~ ~~Y ~ t ~ p° ~ + ~ ' r~ 4~ ~ { ~ ~ : i i~ ~ 5~~ C ~~1Am~l~~ ~ ) i i~ S i ~~i ~ Y i i i . ~ - i v ti ~ i ' : ~ ~ ~ ~I~ . t i~ l~ f~ ~ , n ~ ~~i' ub ,VALL"SEC7~1011'~.(~IIJSULATED)'r `r~'' ~ ~`~'.r ~ i,ti ~t' ' % ~..Interlor air f(lm~ i <!i '~t~`~R"~~'~r,r>~; C-.rr ! ' ` r ~ ~ ~ . ~ . . 'Y' t~ ~ ' 3' ~ l,~a 1~.il y v;,~ r.. j ~r l L S~~ ~ : . k~ ~ 9 vG~`. i~~'~ri i ~;'J )~7 S+: ~ ) l ` : ~ ' ~ / ~5'~'.. ' r i j ~ L y_: i (,•'Cxterlor alr: film ~ y ~f N . ; , , ~TOTAL.:;I~ n; 7 f ~ ~:i 4 . . ~ ~ 1Y~ ~ ~ V 1(. r ~ ~ ~ ~ U = 1 / R ~ ~ `lr'~. ~ ~ ~ ~ ~.,:c,:. , i,":, v " ~ t t ~ ~ ~ ~ RIM;JOIST SECTIQN , 1. ;I ~ + , , , 1' Interior air Fllm ~ ; ~ ,~.•.,(1'(S~ ~ ,s': - ~I' ~ 2, i~ , f'L`~ ~dbrir i S~ ~ . :jj y . ''l(1 ~f~~~~l c 3 . ~ . ~ ' ~ t~ . ~yr~'. ~ ~ 4 I ' S 3 . ~ . ~ ;I ! . '~l fi. ExCcriok air iltir ~ R;:T~iYy~~ ~i; ~ ' TDTFlL R = y , ,r , ;i ~ ~ ' . . I ~ i ~ S . . .-y u . . S i 4 ~ , ~ ~ . ~ ~ U , ~ t i i~ , ' ' , 1LR=.~ '~.s ~ ,p ~ A ~ ~ ~ , . ~ ' / . . . , ' ~ ' .I..:+' : ( It .1 ~ ~ . • ' ' : ~ ' ' a. '.:FOUNDATI01! SECTIO~I. , , ~ ~ i ; ~r. o; -(1 Interior a1r ftlm - ~~j ~ ~ r •.'~AY . ~ 'i -a. ('xterlor air film ~ , , . ~ ~ dQ._6•_~. /'/•/~~`/~~F ' ~ „4 ~i~~~P~ ~l~/~~~~~,/ ~ . ~i . . . ' ~•~j.,..A' . TOTAL R / , ~ v ` ~y,~~ < S . - U 1/R' , , SLAfS O~J GRADC f , ' ~ ~ _ ~ ~ I . ~ a~4r `~~V~ q ~ `~i ~ ,4,; ~ , ~ ' { 4 , ~ ~ I , „ , , ~y ~ a , ,a' , , ' ~ A ~/i ' ~',a ` ~u. 4. ' ~ a `a ,`„d ~ Q,,,, , ~ , . . . . . ; . , ~ ,<z~ . t~,v , 4~~ q Q~ . 1 i. . ~ .v: ~,.1~~. . :~4/ , ~~(1_ ~ ` , , r:'a , ~ . , , 9. _ . ~ ; .;f"1'~ .~`^r...`.~ . 4 . , 41!!!1/1' City of Eapll Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: jiY0 (3 ) Permit Fee: Date Received: 73-` 30- 465 j 2 Staff: 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: Unit #: Name: ?2-t h 4 6442h rcP2/2/ s Phone: S/ '4-Y2 34/9 ftz'f S 4:; ��• Address / City / Zip: Applicant is: Owner Contractor Description of work: Construction Cost: 2 Ic%t"} Company: Multi -Family Building: (Yes / No Contact: Address: City: State: 14,t IA. Zip: --d�Y Phone: `IC2-41W-33411e / Q5-2-21cv�-S/O�% License #: 20r2 /9 /'/Lead Certificate #: �Ay If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information Portions o the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. 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.qopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the ' nesota State BtEilEting Code must be completed within 180 days of permit issuance. J x g,¼) Applicants Printed Name App it c nfignature Page 1 of 3 City of Evan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use j� Permit#: (./S Zi Permit Fee: Date Received: Staff: JI-fT-I2- 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit #: RESIDENT/ OWN R Name: Pal42 ` Aq-i2.j /'"tt RL/ .) Phone: ) - Z( J Address / City / Zip: 4:7,1 Z4 S4-44 rz, G71 - .S- , w® >Applicant is: Owner Contrdctor 'TYPED TWO K e Description of work: J ic-`K _ Construction Cost: _ 36/ero ' — Multi -Family Building: (Yes / No ) �Com any: 1�.id�l 1-/IS tui�,l �� Contact: l�b4�rr/ -52-2.4o ... 5- el CONTRACTOR: Address: &OO -2.-.7 - f City: ✓� ��' State: AIM Zip: cc -0V( ( Phone: q52 -- 14,,/— 3334 License #: 19_, 51 •zl i c1 Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)/ £ 110-s414 1) LSr� /4i 1 ' ' 2 - \ (5%) i In the last 12 months, Yes If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: _No Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE Pla and sou a porting docuf eats ra tfret ya b considered t , e P bl rnformatfo .'• rtto s f€ the rnfor ro . may be classified as non p r l c fou vid p c' = on h rind erm e conclude th he re trade eco tsx CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Bui�lding Code must be completed within 180 days of permit issuance.. x 1 �,r' 1 l Applicant's ijincted Name Applicants Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Single Family Multi 01 of _ Plex Accessory Building WORK TYPES New ,k Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25% 100%_' Census Code # of Units # of Buildings Type of Construction Fireplace Garage Ale Deck Lower Level Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Interior Improvement Move Building Fire Repair Repair Mcoove. 4/3y / REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water Final Framing Fireplace: Rough In Air Test Insulation Sheathing Sheetrock Reviewed By: Occupancy Code Edition Zoning Stories Square Feet Length Width Final Siding Reroof Windows Egress Window c s Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant .ZRc -1 9©9 MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Other: Pool: Footings Air/Gas Tests _ Siding: Stucco Lath Stone Lath Windows Retaining Wall: _ Footings Backfill Final Radon Control Erosion Control , Building Inspector Final Brick RESIDENTIAL FEE Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies ?5 cue /Gz19 %& 239E TOTAL Page 2 of 3 • ,r\-// 2978 — 146TH STREET W. — BOX M ROSEMOUNT, MINNESOTA 56068 Developers Construction incl , 1101 Cliff Road Burnsville, Minnesota 553371 _ DELMAR H. SCHWANZ LAND SURVEYOR' UL, Registered Under Laws of The State of Minnesota SURVEYOR'S CERTIFICATE PHONE 612 423-1789 Scale: 1 inch 40 feet • Denotes found iron monument o Denotes set wood hub ,77.9 Denotes existing elevation f .v Drainage and Utility Easement "1.11LDING INS = ,TiO ,S DIVISION 4 M /9/. 4de 37` 4%9‘..../ Proposed garage floor elevation ; I hereby certify that this is a true and correct representation of Lot 6, 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: December 13, 1984 , -7 MINNESOTA REGISTRATION NO.8625 41,11 CityofEaaau Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use Permit #: t Permit Fee: Date Received: Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION I Site Address: Unit #: Id em/ .�. x Name: C Phon SI C L: :e` S )— �1 �9 Address / City / Zip: LiGr31-i o.��s.� Sa Applicant is: Owner Contracto ape Description of work: Pd �Q c'( /t�/if° Construction Cost: ) �t © ulti-FamilyBuilding:s / No Cor tactor' � k Company: *')a{ -,,,p „N a Contact: 69 Address: �y 1 LtC> - D t Q City: Q A v 1. State: r'%) Zip: Phone: CS1'4( ( h1 MGail: License dal T(Iv� Lead Certificate #: If the project is exempt from lead certification, please explain why: In the last 12 months, Yes No COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Fire Suppression Contractor: Phone: Phone: Phone: Phone: /OTE: Plans and supe docnts that you submit a ®` sl = `° be ' blrc r!•rtff = `° on Po e in torah a ay� i#led ' ° _ rf; ou pro ° peck ,fin ° t ° they re: des. ts: ons o CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. C o� Applicant's Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA137945 Date Issued:08/01/2016 Permit Category:ePermit Site Address: 4924 Safari Ct S Lot:6 Block: 1 Addition: Safari Estates PID:10-65850-01-060 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Fredrick O Ferris 4924 Safari Ct S Eagan MN 55122 (651) 452-5849 Performance Plumbing & Heating 315 Pine St Farmington MN 55024 (651) 463-1223 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA144218 Date Issued:07/17/2017 Permit Category:ePermit Site Address: 4924 Safari Ct S Lot:6 Block: 1 Addition: Safari Estates PID:10-65850-01-060 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 - Fredrick O Ferris 4924 Safari Ct S Eagan MN 55122 (651) 452-5849 Controlled Air 21210 Eaton Ave Farmington MN 55024 (651) 460-6022 X253 Applicant/Permitee: Signature Issued By: Signature