4925 Safari Ct S
CITY OF EAGAN Remarks
Addition SAFARI ESTATES Lot 8 a~k 1 Parcel #10 b5850 080 O1
Owner ' ~ Street_4925 Safari Court So. stace
c
improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. ~ r> IO 1 -Z -S
STREET RESTOR. ~u • • ~ 61$.67 A013085 1~-ZS-B~
GRADING 9 2 603.03 60.30 10 422.13 " "
SAN SEW TRUNK ^ L 1 82 1F 1. G1F O. ~HO.6B AOZ3O8S lO-ZS-S3
~F SEWER LATERAL 2O ~4 14 ZS7H.S$
WATERMAIN
~t WATER IATERAL 1 ~
WATER AREA ~~j~ 3 1$~ 8 13 85 1d~2~J~$3
* ?SC 8 1 82
STORM SEW TRK (~3 1 82 866. 1 1. 8 346.77 A013085 10-25-83
1F STORM SEW LAT 1 82
CURB & GUTTER
SIDEWALK
STREET LIGHT
250.00 41587 2-22-84
WATER C~NN. ~SO.OO
BUILDING PER.
SAC n
PARK
. ~--r~ ~ INSPECTIUN RECURD
~ CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road ' Permit Number: ph
Eagan, Minnesota 55122-1897 Date Issued: ~~`t i 1 t:,~ ~
(612} 681-4675
SITEADDRESS: ~ ~ ~ ~ APPLICANT:
~~~m : ~s~.c,~~ic : ~
t • , ,,~ARI CT :i ~tl~' :~~t.t,F~:l~v
.;~',F',';1~ 1 1~~ ,`~'j~`l' ~ ~ i i i t a
PERMIT SUBTYPE: TYPE OF WORK:
! I'tti'fa'I• l'tAl(.:~~ ii,9`::{~'~~'1'( ~I~!
~~.5~; 1 ; I ~3 ~ . ~'f;i:{ : r .
• •
t?a,;~~~,r~~r~~~r~
F•;i.f(1~ilf f N ~ 1, i~.' - I iir'~.i.
i
~ ~
~ J
, Permk No. Permk Hoider Date Telaphon~ ~I
~ ELECTRIC .l~1r39 ~j ~ O'~
~ PLUMBING ~ ~`J ~~-~~J~-
HVAC
Inapectlon Data Insp. Commenta
FOOTINGS
FOUND
FRAMING ~p~~~ ` ~ 1
7 f
ROOFING
ROUGH 'S`97 U J
PLUMBING ~7-~
PLBG
AIF TEST
HEATING ~ ? ~ 0~3 ~ L~V c
GAS SVC ~
TEST '
INSUL ~~j ~
t
GYP BOARD
FIREPIACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL y` 4'7 ~*8 ,~'ed S d s i3+2 S
~ - 2-~f n..~ ~e,f.oclt ha. ,n~,fG~ S~+:r3
DECK FTG
DECK FINAL
; ~ ~ INSPECTION RECORD
~ CITY OF EAGAN PERMIT TYPE: ~ ! " ~
3830 Pilot Knob Road Permit Number: ~ q
Eagan, Minnesota 55122-1897 Date Issued:
(612) 68i -4675
SITE ADDRESS: ' ` ~ F"'" ` APPLICANT•
I t~ k: ti li i.,.~i ~ .
~ ~r AFr1 i } : . .i ; ~ , ,
. ~ i~ , ,
PERIIAIT SUBTYPE: TYPE OF WORK:
~
~ .
. .
. ~ ,
, £
~ ; -
; , - ~
£ ~ ~ ~
~ . . „
,
. _
. _
; : ~ ~
,
_ . ; ~ ~
~
~ ~
~ ~
, . . ~ . . . - ~ _ _
i . _ _ . . _ _ ~-$~w
'~`~~~BP~'P~Y~'
s~"('CxI#.. E-,-. e Ki.3 a ~
L~ . ~ ~ 'y'~~ : x~
. Permit No. Permit Holder Date Telephone #
f ELECTRIC
~ PLUMBING
HVAC
Inapsctian Dato Insp. Comments
FOQTING5
FOUNR
FRAMING
ROOFING ~ Z ~
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TES7
INSUL
GYPBOARD
FIREPLACE
FIREPLAC~
AIR TEST
FINAL PLBG
flNAL HTG
ORSAT
T[ST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTQ
DECK FINAL
CITY OF EAGAN ~T ~
. ' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 jr • ~~33 .
PHONE: 454-8100
BUILDING PERMIT Receipt # ' ' '
Te M w~d fo~ SinQ Fam AttGareEst. Value $124.OG0. Date , 19
S ite Addresa 49 2 5 S a f ar i C t. Ercct ? Occupancy 6,3
Lot Blcek~~cJSub. Alter ? Zoning ~
Percel No. Repoir ~ Fire Zone
Enlarqe p Type of Const.
ac Name Mw Johitson Const. - ~1e ~ # Stories
z Address ~~R 130 pemo~ish ? Length
~ City Phone Grode ? Depth 4~q. Ft.
Approvals F•es
, O Neme S.a~++!
Address Assessment Pertnit '
uF Clty Phone Water a Sew. Surcharpe 62.00
Police Plan check ~46v00 ,
~'W w~1e Firo SAC 525.00
Address Enp. Water Conn. 450.00
u ~
~W City Phone p~a~~~ WoterAAeter 63•
Councfl Rood Unit 250•a0
I hereby ocknowledpe thot I have reod fhis application and state thot B~d9 Off.
the inlormation is correct ond ogree to comply with oll epplicuble APC Totul 2089.00
State of Minnesote Stotutes and City of Eegan Ordinonces.
Siflncture ot Permittee
A Building Permit is issued M: (~•~~yg on tM express tondition Ihn~
all work shall be done in accordante with all opplicoble State of Minnesota Statutes ond City of Eoqan Ordinonces.
Buildtnq Officicl ~ ~
Ptrmit No. Pe?mit Holder Miac. Parmit No. Holdar
Plumbinp (J N ~ , I j~ 1 (%'c
H.v.ac. ~,3 0 ~~%i • f~~,~ / ~
w.u
wae..
D'np.
S~vwr
E~~~ o R.q y-I
y~9o~ ~~Jc~- 5,p ~l~l Y
Iropsdion Date Insp. Other
Footingi ~ J ~
Foundetion
Frsminq ~
~'jy
Rouph Plbq.
Rouph HVA ~
Inwlation a_sr5/ ~
Finil Plbp. ; _
Final HVAC
Final ~
W~r Gscribe Locstion:
Wsll
5~vwr
Pr. D'ap.
CITY OF EAGAN 1NATER SERVICE PERMIT
3830 Pilot K?iob Road :j,
P. O. B~x i1 :~e~ PERMIT NO.:
Eega1~, MN 55121 DATE: 4-i7 -:-:i:
Zoninp: I No. of U~its: ~
,1.1!i::SO:'1 1.v5:'i~:
Ovmer:
~ Addross:
Sice ~ddress: ~~~'s Sarari Couxt L8 ii1 :~a"ari I:statcs
~ Plumber. ~enz T?y3r
Meter No,: Connection Charge: SQ . O~J t~d
s~:~: nsoou~r oepos?r: 15 . oo pa
Reoder No.: Permlt Fee: 1 u. 00 pd
1 agrM to oomPlp wiel~ !M City of E~pew Surcharge: . 50 pd
Ordl~enea. Misc. Charpes: f;3. ~~d ^;~tG•2
Total:
By Dote Paid:
Dote of Insp.: Insp.:
- - - - - - ~ f' _
' . ir-. _
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot K~ob Road ~ ,
P. 0 o Bax 199 PERMIT NO.: ~4 ~O
Eag~n, MN 55121 ~+-I'-- %~4
DATE:
ZoninQ: No. of Units: 1
p,,.,,s,; ~:iti JOtilr.so:i C;osnz
Addrrss: - G,~
Site Address; ~ 9_75 S8f3T1 C'OUTt LR I3l Safari E ~tates
~lumber. uenz Ryan
Metar No.: d ~o'C~ Connection Chorge: '~50.00 ~1d
Sizs: " Acoourrt Deposlt: 15.00 txi
Reoder No.: Pe~mit Fee: _ i'J.00 pd
1 yn~ te ~'I~ e"Gu~ ;1~~~~,~, . 50 p~l
o.et..~a.s. ~ OrY~ •~LE TRiC - G~Etc~,or~s: `>3. ~n r:~4t ex
BY ~ UiRED 6Y ,d:
ocre of ~nsp.: •
~ _ crrv use oN~v ~33 ~S -
L !Y BL ~ RECEIPT#:
SUBD. r~~ ~ RECEIPT DATE: j
1997 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55722
(612) 681~675
Please compiete for: . single family dwellings
~ townhomes and condos when pertnits are required for each unft
~ backflow preventer for underground sprinkler system
FIXTURES EACH y,Q, TOTAL
Shower 3.00 x =
Water Closet 3.00 x r = 3
Bath Tub 3.00 x ~ _ ~
Lavatory 3.00 x ! _
Kitchen Sink 3:00 x =
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet ` minimum - t • 3.00 x =
Rough Openings 1.50 x =
Water Softener `}or dwellings under constroGion 5.00 x =
Water Softener ' for existing dwelling 20.00 x =
U,G.Sprinkler `Pordwellingunderwnst 3.00 =
U.G. Sprinkler `forexistingdwelling 20.00 =
AIte~3tlons ` to exiseng residence 20.00~ _
Water Turn Around 20.00 =
Private Disposal System " Dak Cty iic. 75.00 =
(new and refurbished systems)
Private Disposal Systems' AbandonmeM 20.00 = ~
STATE SURCHARGE .50
TOTkL ~ ~ - -S d
I hereby adcnowledge that I have read this a~lication,~sfate that the intortnaUo~~is co~rect, and egree to complywith all applicable~~City ~
of Eegan ordinances. It is the. applicaM's rosponsftiility to-notiry the property owner th9t tAe~City~of Eegen essumes no liability far eny
tlamages caused by the Cfty tluring iL5 noenai'operationa~ and maintenance eclivities to the hcilities constructetl ~urMer this permft xrithin
City property/right-0f-way/easement.
SITEADDRESS: ~ s s~~~r;
OWNERNAME: Nes.1t~, P)~a-
INSTALLER NAME: ~ ` ~ TELEPHONE ~ ~ ~ 8 a S
STREET ADDRESS:
CITY: STATE: ZIP:
/ C „CT
SIGNATURE OF PERMITTEE
,L`;C5'S~i'; .•;~U'tY;f?t:nu„$:".y4;S,~Y..~~~h:Y. !:Y>kfY.^.!;YU,°.Y„'•'.);(o'~'. ::C:"
C f'rY OI= L~rr.
~.~A., " . ?;r~'i';T~'A'_ i?4
04Jin~97 f~ .e2:~n.~
~~tli4.., lN~~r ~r~L~~~Y ~~R~.~i .
i .1 )r. r••. ~;.r. •~r r n
43c..~ '3~V^t.l~~ :r.0.
91J41. t:32!~ S1>R'~i." Ci' r;,1•'
;':1
3'
. Y z-:a Kr-++-rvi..:.~. - s. . ~wt.n
rj _ . _ -C"y, . . . .
:~''~~i: -
~.cc:n P~q.nv~ .
..yg < j. r? c . . $$•ii'•'<' $(5;.. ."'•otg.
r
PERMI~'
G1YY`~F EAGAN PERMIT TYPE:
3830 Pilot Knob Road BUILDING
Eagan, Minnesota 55122-1897 Permit Number: 02 96 6 2
(612) 681-4675 Date Issued: 04 / 10 / 97
SITE ADDRESS:
' 4925 SAFARI CT S
LOT: 8 BLOCK: 1
SAFARI ESTATES
P.I.N.: 10-65850-080-01
DESCRIPTION:
(TWO BEDROOMS)
~ $131~ak~ng Permit Type BASEMENT FINISH
$~~5~~~g~WOrk Type ALTERATSON
. `G~n~~~ C~R~~ 434 ALT. RESIDENTIAL
a= ~
m
;
4 . . . ~ ~R~ ~ r ~
~~~~O~tY.ri~f # ~ Y~~ ~ti by pk~
~ . ' . ~
~ ~ ~ g~
~
~h ^i
Y
.!}3' ~~r "We ~ P'HiP 1K''°4 f ~°t $ '
;5~ ,,gg^^ ,u,it t 4 ~ F
~~'r~ ~ ~~e'e~"P .~n`: ~F ~ ~"~'v: ~C.a+.t ~ t 8: ~
~
REMARKS:
FEE SUMMARY:
Base Fee $50.00
Surcharge 5.50
Total Fee $50.50
CONTRACTOR: - Applicant - ST. ~NER:
, HOME GALLERY 18230294 200 8734 RUEGG RANDY
3001 HENNEPIN AVE S 4925 SAFARI CT S
MINNEAPOLIS MN 55408 EAGAN MN
' (612) 823-0294 (612}454-8524
I hereby, ~ckntswY~~1~~ tYr~~. ~~l~~v~~ react Lt~3~' R~3.~~~iot? a1~~ 's~ate Uha~ the
in;fpx)nd~~i:on'i~.~4~1~~C,t~ aC[rd-'ci'g~e~`t~t`~COndpL~~ta~th"~~~.8ppliGable S~ate o€ Mi
~ st~~utes_ ~an~1 c,~~t~ ~x~ ~~~#an a~~3~.m~~~~s - ~ ~ ~
.
_ .
~ . , ~
n _ _ . 4 ~v . e r . .
~ tx
~ C
APPLICANT/PERMITEE SIGNATURE I 0 BV: R
1997 BUILDING PERMIT APPLICATION (RESIDENTIAL)
~ CITY OF EAGAN
3830 PILOT KNOB RD - 5512Z ~Q~~~ ~p
681~675 ~II r
New Construdion Reauirements RemodeUReoair Reauirements
? 3 registered ske eurveys ? 2 mpies of plan
• 2 copies ot plans pnvude beam S window sizes; poured fiG. design; eta) ? 2 site suneys (exterior atltli~orre & dedcs)
? t energy calwlatans ? t energy ealwlatlons for heated addiGom
? 3 copies of tree preaervetlon plan 'rf lot platted efter 7/1l93
required: _ Yes _ No "
DATE: ~ CONSTRUCTION COST:
DESCRIPTION OF WORK: ~J'L~~-~"/ ~~/x*t' /
STREET ADDRESS: SG~ 7~~( G?~ ~
LOT ~ BLOCK ~ SUBD./P.I.D. r~ r~~
PROPERTY Name: ~'"~U~ig. ~i1/rLf/~C~/_///~ Phone#: ySL~ ~S~ y
OWNER Street Address: ~S s~~~~ ~ f
City: ~.Gi~~~ State: Zip:
CONTRACTOR Company: /'i~~ ~~~v ~.~r~ Phone ~Z y y
Street Address: 3 0D ~ License ~
City: ~ DC-~ State: ~•~r Zip:~~
ARCHITECTI Company: ~ f ~/v' G% Phone
ENGINEER
Name: Registration
Street Address:
City: State: Zip:
Sewer 8 water licensed plumber (new consWction only): . Penalty applies when address change
and lot change are requested ance permit is issued.
I hereby acknowledge that I have read this applicatian and state that the information is corcect and agree to comply with ali applicahle
State of Minnesota Statutes and City of Eagan Ordinances. ~
Signature of Applicant:
CEIVED
OFPICE USE ONLY
MAR 2 ? 1997
CeRificates of Survey Received _ Yes _ No
HY:
Tree Preservatian Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY
~e t ~w
~ e ~ ; , ~ T
r.., ~r
BUILDING PERMIT TYPE ~ ~ ~
.~e ~
? 01 Foundation ? O6 Duplex o 11 AptJLodging ~ 16 Basement Finish
? 02 SF Dwelling ? 07 4-piex o 12 Multi RepaidRem. ? 17 Swim Pool
? 03 SF Addition o 08 &plex n 13 Garage/Accessory o 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace o 21 Miscellaneous
0 05 SF Misc. ? 10 = plex ? 15 Deck
WORKTYPE ~.,.,i(- ~_;..;~M ~,g, wr~Jo~as 1~.~-kl•..~Na...
0 31 New ~3 Alterations o 36 Move
? 32 Addition o 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS 5ystem ~
(Allowable) Main level sq. ft. City Water ~
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq, ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. v3~!
Depth Footprint sq. ft. SAC Code ~
Census Bldg ~
Census Unit o
APPROVALS
Planning Building ~.t~ Engineering Variance
Pertnit Fee Valuation: $ 2~ ~
Surcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Traiis Ded.
Other
Copies
Total:
°k SAC
SAC Units
:r;t7k:tYt~tY,CYCkCX:~:`;:~t~N"K>XNtS:ty;"t>,XN,iY:x';f~Y:YeY,t~CY,t;'.~CS::
i ;;7$$:g;
CITY C1c r=i}GF;N
r-,Acy:•I:Fi° 8 7L'-_R";T"<(~~_ '7n: 60
'.'GIi.0I9r YI~t J.`~~J'.:a'7
~,<a~:.~: ~~ar~!_ Gat_i..e:;v cr<„
?c^.: ~ 9C:,.:1'. 49r ~ tihFAF;:: C7 :I.Es2.'r.?5
2i`:' i~OJ. ~..".~£'_`.S BAFRfi: ;:7' c,~0~
~G':.:., ~'i~C(3'].Gi} f~OTl~JY1,. i,E"~' :i
(.;:ti 'L ~:'~£3;i
LS`:i t :.D:: tc<>:.'(;V
~ Sx~ ~'~4.~ J~ .~...1~~~ ~ . i h T ):~'~~yf'.T~:
PERMIT ~
~"CPTY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B u z ~ o z N ~
Eagan, Minnesota 55122-1897 Permit Number: 0 2 9 4 6 4
(612) 681-4675 Date Issued: 0 2/ 10 / 9 7
SITE ADDRESS:
4925 SAFARI CT S
LOT: 8 BLOCK: 1
SAFARI ESTATES
P.I.N.: 10-65850-080-01
DESCRIPTION:
;~~`r-~. (ROOFING)
~uiSdin~``-Permit Type SF (h1ISC.)
~~uik~d~rrg W~r.~ Type REPAIR
Census Gode 434 ALT. RESIDENTTAL
. . , j~'z
> ~
~
~ . _ . , _ . . ~ .
t ;
~ 3
a.`.. :l . ~J ~
( 9 : /
~4i l .i~~\.^~•i'
. ~ ~ Yc /
ii
~ i }~1~7'~~ , j~-~^e~ r "~Y, r
,
~ ~ i ~ 3~ r ~L~~
~~t~ `~3 _ ..r _t>`~ ~!L.
~"a°sJ '~c'~'°`~'TM _ L .
REMARKS:
FEE SUMMARY:
VALUA7ION $10,000
Base Fee $162.25
Surcharge $5.00
Total Fee $167.25
~
CONTRACTOR: _ ppplicant - ST. ~IC OWNER:
MOME GALLERY 18230294 2000873 RUEGG RANDY
3001 HENNEPIN AVE S 4925 SAFARI CT S
MINNEAPOLIS MN 55408 EAGAN MN 55123
(612) 823-0294 (612)454-8524
Z hereby acknowled,ge that S have read this application and state that the
informaCion is correct and agree tv c~mply wi~h all applicable 5tata nf Mn.
L 3tatu.tes and City of Eag~n Ordz,nanceg.
_ _ _ ~
~ ..yJ,i.,/~~~ ~oun ~.e~~.~ 11'hJ~-
~APPLICANT/PERMITEE SIGNATURE ED : SI N T RE~
~ 1997 BUILDING PERMIT APPUCATiON (RESIDENTIAL) ~ IL'/.
CITY OF EAGAN
, 3830 PILOT KNOB RD - 55122 (,~~y,~%1 Z_J
681~675
New Construdion Reavirements RemodaVReoair Renuiromenfs
? 3 regiatered aite surveys ? 2 copies M plan
• 2 copies of plans (indude beam 8 wimlow sizes; poured fid. dealgn; etcJ ? 2 site surveys (exterior additbna 8 tlecks)
• 1 energy celalations • 1 energy calculatlons for heatetl adCttbns
? 8 copies of tree presenelion plan B bt platteE after 7/1/93
requiretl: _ Yas _ No "
DATE: CONSTRUCTIONCOST: ~~6~~~
DESCRIPTION OF WORK: ~~~Vt E~iS7~.?G IC~G .SHi~~GL~~ ~E-~~~ w/7// ~
STREETADDRESS: ~ S~ S~~~' / c7 S ~G~9~
LOT BLOCK SUBD./P.I.D. ~~~h~
PROPERTY Name: F: U~ ~G RA~?l~% d' Phone y~ y-~~z y
OWNER ~
Street Address:T ~3 S/1~/~i c7
City: State: Zip: SS~i~3 ^
CONTRACTOR Company: f~o~'Lic ~~~~~r Phone#: ~~3-~~29~'
Street Address: ~ ~ ff S License 2tra"O ~73
City: r~~~s State: ~-i~ Zip: 5s5'a ~
ARCHRECT/ Company: Phone
ENGINEER
Name: Registration
Street Address:
City: State: Zip:
Sewer & water licensed plumber (new construction onty): . Penalty applies when address change
and lot change are requested once permit is issued.
I hereby acknowledge that I have read this application and sfate that the information is correct and agree M comply with all applicable
State of Minnesota Stahrtes and City of Eagan Ordinances.
Signature of Applicant i"O'~- ~0-1 cL7 ,e .
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY ~ ~
~ ~ eq~
~ ~ P,.,
BUILDiNG PERMIT TYPE ~ 'm4' ;
0 01 Foundation ? 06 Duplex n 11 Apt./Lodging o 16 Basement Finish
n 02 SF Dwelling o 07 4-plex o 12 Multi RepaidRem. 0 17 Swim Pool
0 03 5F Addition o 08 &plex n 13 Garage/Accessory ? 20 Public Facility
n 04 SF Porch ? 09 12-plex n 14 Fireplace n 21 Miscellaneous
s' 05 SF Misc. 0 10 =
plex o 15 Deck
WORK TYPE ?2~ ~roo ~
0 31 New o 33 Afterations o 36 Move
0 32 Addition o 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actuai) Basement sq. R. MGWS System i
(Allowable) Main level sq. ft. Ciry Water i
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. it, Booster Pump
Length sq. ft. Census Code.
Depth Footprint sq. ft. SAC Code
Census Bldg i
Census Unit fl
APPROVALS
Planning Building ~B Engineering Variance
Permit Fee Valuation: c~ . ~ov. -
Surcharge
Plan Review
License
MCNVS SAC
City SAC ~
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
5AC Units
CITY USE ONLY
LOT O BL RECEIPT#: ( a`~~~
SUBD. ~ RECEIPT DA7'E: 7~ ~/I ~
~
1997 MECHANICAL PERMIT (RESIDENTIAL>
: CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
~I ~ ~y - g .7 (612) 681-4675
Date: 'T
Complete this section onlv if vou are instalGna HVAC in sin¢le familv, townhome, or condos that are
~nder construction and are not owner /occuuied.
• HVAC: 0-100 M B T U $ 24.00
ADDITIONAL SO M BTU 6.00
• Gas outlets ( minimum of one required @$3.00 ea)
• State Surcharge: .SO
• TOTAL:
Complete this section onl~if vou are remodeling, addine to. or repairin¢ eaistine sinele familv
dwellines, townhomes, or condos.
~ Add-on fumace _ Add on air conditioning
_ Add-on air exchanger, i.e. Vanee system, etc. _ Other
Minunum fee applies to all remodel or add-ons of existing residences $ 20.00
State Surcharge .50
Total: $ 20.50
SITE ADDRE55: `f ~ ~ ~ ~~~1 r i (~T •
OWNERNAME: Vl l~(. ~ C~ } 11L~ PHONE#:
INSTALLERNAME: ~ ~~T~`~(1 ~ ~ ~ ~~~,r~~~wp~,~, ~ PHONE L/,'~ S - 3 `~7
STREET ADDRESS: ~ ~u S~SZ~ ~~y Q~
CITY: ~~R l,~ ~ r-OJ C: STATE: ~Cl~ ZIP: S S3 ~
SIGNA PE ITfE
'7~ G . ~-e- '7~~~~
~~v~~l~ ~ ~ 3 ~ 7
cirr use oN~v
L _ BL _ RECEIPT#:
SUBD. RECEIPTDATE:
1997 MECHANICAL PERMIT (COMMERCtAL)
CITY OF EAGAN
383Q PILOT KNOB RD
EAGAN, MN 65122
. (612) 687~675
Please complete for. . all commerciaUndusfia~ buildings.
? multi-famity buildings when separate permits are ~ required for each dwelling
unit.
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: . $25.00 minimum fee ~ 1°k of contract price, whichever is greater.
~ Processed piping - $25.00
~ State surcharge of $.50 per $1,000 of permit fee due on all pertnits.
CONTRACT PRICE x 1 %
PROCESSED PIPING
STATE SURCHARGE
TOTAL
S1TE ADDRESS:
OWNER NAME: TELEPHONE
TENANT NAME: (IMPROVEMENTS ONL`n
INSTALLER:
ADDRESS:
CITY: STATE: ZIP:
PHONE
SIGNATURE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
CITY OF EAGAN NO 88~3
3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55127
PHONE: 4548100
BUILDING PERMIT Rece~pt #
Te 60 YNA I01 Sine Fam AttGarREsr Volue $124 000. Dore `Z .~9~
SlteAddress 4925 Safari Ct, Erect ? Occuponcy R~ ~
Lot Block r.--Sec/Sub. ~a.~~~ Alfer ? Zonin9 R~
Parcel No, Repalr ? Fire Zone ~.A--~--
Enlarge ? Typa of Const. ,
W Name Piw Johnson Cons t. Move O # Sror+es
Z Address PO BOX 13~ Demolish ? Length- 4q
~ ~~ty Phone-..,~z~°Q3$ Grade ? Depth Sq. FL-
ADprorals Fees ,
o Name S ma ,
Zr Assessment Permit
o~ Address 62.~~ ,
uSa Woter 3 Sew. SurcFrorge '
r- City Phone ~~0'b
F Police P~O~ ~ 525.00
ww Name F"0 450.00
~ Wafer Conn.
Address E"0• 63.0~
~W CitY Phone Planner WuterMeter
Roaa Unir 250.00
I hereby acknowledge thot I have read this opD~~~a~~on and stote that g~dg. Off.
the inlormation is correct and ogree to wmply with all opplicable APC T~a~ Z~$9.~~
Stote o4 Minnesotc Stotutes and Ciry of Eagan Ordirwnces.
$ipnature of Permittee
H Building Permit Is issued to: on the express condition thn~
ull work shall be done in occordonce wlih oll a li oble St of Minnewto Stotutes ond Ciry of Eagan Ord7nances.
Building Officiol ~ ~r'h~
~i
z~a4
~y ~ .
; CITY OF EAGAN
~ APPLICATION FOR PERMIT
~s' ~_1 I
SEWER AND/OR WATER CONNECTIODT
(PLEASE PRINi)
1) PROPERTY ADDRESS: 9~~ ~p j~arL 1~~
r.Frar. DES~u~rzCV: l~T 8~~~ 1 Soi=-,~,t.i f~r ~ 5 Isi
(Lqt/Block/Subclivision or Tax Parcel I.D. Ntmiber)
ir ~...."{I~T:_:G ST.RUCT!,TRE, Da'?~: GF ORIGii:AL 'ci~II.DL`;G PT•Sm Ic~~?;~;C::
! P°.=~~ ~^:~:r~~C,'_°C5~ ~5:: ~R-1 S'u11GLE r^P`~.II,Y ,
? R-2 CUP?,E.Y ('I~~O L'DIITS)
? R-3 ZCnv1~IIICYJSE ('I"r*.RE" + ~TS) ( UNI':5)
? R-? PPARTf'~^:T/CODIDCLtiLL\IU:`-1 ( UDIITS)
Q COP+~RCLAL/R~fAII,/OFFICE
? L~L'STftZAL
? INSTIT'[TI'IONAL/GCV~~AII~vvT
2) APPLIG3~+"P I (PLEASE PRINi)
NAi~1E: W' ~'Y!~/7~/v$C~h~ ~~1~/ `J'~~
aDD~ss: P-D~ ~t~ X /80
crr~r, sT~~, zz~: F~l-,r?I~l /iulrTOa-, ~l ~ ,S5'Da-ri
PH~~: y3~-~~3~
3~ P~;~~ ~ PLEASE PRiyT)~ FOR CITY USE ONLY
rr~ti~: 6~~rz - -(y~y,
PLUHBERS LICEHSE:
ADDRESS: ~'rj , ~~~(ZT T~.~ Active
CITY, STATE~ ZIP: pS~ ly~u,~T "Nn~ Expired
~i~. ~ Not ecard
- PHO~tE; ~Z~,-1 {~4 PLUMBER LICENSE H ~`~i4'9 ~
drr lnt la
4) OCCIJPp,NT/~f,Ti1ER (PLEASE PPINfJ
NP~IE: ~iC/~ ~Ohl~/SOn/ ~ONST.
ADDRESS: ~Q, ~X I~
CITY, STATE. ZIP: ~Ai.-rl..r`ti/~r~I~ ~~Nr? ~o'~~/
Ptto~: ~'~2-l~~~
5) ZN~ICATE WHICH PEP^1IT IS BEING RD~UESTEp:
~CO.~'NF.CTION TO CITY SESdER
CO~;J?CtION 'IC) CITY WATER
? CJi'f'.ER (PLL'ASE DESCRIIIE)
6) ~:DIG;.:: 0:~:
? PLF,aSE F?OLD APp PER~~IIT PIC~:-UP BY aNE OF 71BO1,'E
~,pIF?SE hTAI iAPPRWID PR~tIT 1, 2, ~ 4 ABWE
(Circle one)
sz~~.~.-~: " D~Te: '~-/~-//'-C~~
~..~..~,..,.~.~....t~:~~,.~~..~s=:~ , .
~~:.F~..~~....~.t~..:,.- _ -,....t
~~~~a
F 0 R C I T Y U S E O N L Y •
PERMIT ISSUED
Fz'E5: $ /G Sb S~S^:Eo ncol~Ti (I_ICL:;D~ Sli°CH?RG.:1
$ I(~. 5~ WATER PER^4IT ( IP:CLUDE SURCHARGc, )
$ ~P3-~D WATER METER/COPPERHORN/OUTSIDE RE~?DER
$ W~TEP. TAP (INCL'JDE CORPORATICN SiOP)
$ Si:~E4 TrD
$ ~S.v~ ACCOUNT DEPOSIT - SE:VER
$ /S~~' ACCOUNT DEPOSIT - WAT~R
s v~a.°~ wac
$ >LS-~ SAC
$ TRU~IK :VATER ASSFSS.-1E;IT
S TRliNK SEWER ASSESSMENT
$ LATERAL BENEFIT/TRUNK SES^7ER
~ LATERAL BENEFIT/TRUDIK WATER
~ ' OTHER
$ TOTAL
$ 2 ~ A:~10UNT PAID/RECEIPT Z (oCj ~
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGi~T OF WAY?
YES IF YES, THEN A"PERMIT FOR bVORK WITHIN
PUBLIC ROADWAY" MUST BE ISSUE~ BY THE
~ NO ENGINEERING DIVISION. LIST AS A CONDI-
TION.
SUBJECT TO TFIE FOLL0~4ING CONDITIONS:
APPROVED SY: (/~~'V~~
TITLE: ~~j ~~,~L
DATE :
.~ss~~ra~s~a~~c~~w~~#w~ws~w~w.awE~f*w~~f~w_a~~srta~+R+~~ws~~~
n~' ~g 3 3 -
~~ip~n/'~~~~/ ` CITY OF EAGAN ~I11dL'..2 sets of plans,
~ ~ 1 s lan w/elevations &
i
gDILDING PERM7.T APPLICA'[ZODI set of energy calculations.
~C-~t'~'' =i_
Zb se usea For ,~Q.c..+~ ~'u~Q~,., valuation `~/o~'S; o-o'v nate ~1 ~y
Site Address: ~ L".o c~T OFFI(:E USE ODII.Y
q~a
~ 1
Lot 8 Elo~x / sec. /s~b. ~'ar ~ ~s1 ~ `~iec.t oocupancy -3
Parcel # c ~LS - ~c S ~ II ~G C / Zoning ~
Repair Fire Zone NA _
owner: m_ w. .Johnson Cov~s-~ ~~e of const.
Nbve # Stories
Address: p. ~o.~ /3~ D~iolish F'ront ft.
city/zip coae: FQrmiriq-I-on MIV Grade - DePth ft-
~ ~ ~ .556a . .
Phone ~.3~-6538 ~~S F~S
~
Contractor: Jy~. W. Johvison Cons-E Assess~nts Pesmit -~9~3
Address: 4GirnP Cis C.L.bnve~ water/Sewer surchar4e "~a.2 _
Poliae Plan Check
~
City/Zip Code: Fire SAC ~'y~
~
glq, Water Conn. ~Sd -
Phone Plarmer Water Meter (00
Arch./E,Yig.: Coimcil Road LTnit SD~-
Bldg. Off.
Address: APC
City/Zip Code: ~
Phone # : ~ - ~'PAL
~ ~ ~1-
~3 ~ 3~ 0
~ g
~
t
~u ~
~
~
~~'~r
~ CERTIFICATE OF SURVEY ~
. l
N ~ 81°zz,s~„w
5r ` ~ -
. 3z~•9Z
_ ' -
i _
I _ "
43, z _
` 4~I N o
~ ~ M~ ao e~ 7~ ~ rj p~FA21
i
~i W ~Z 1 N f J
' N ~ ~ N I ~p 94•3
I c~ r~~' B ' M9 GT. 50.
± e ~
~ m~ L o-r 8 a~
~ ; ~ - Q ~ ,o
I ~ ~4 a v, .~9 9 `6q .
~s
B L.aGK ~ : \ g
s2 a qM' o-
h / g
~
5~ ~ ~ -
~ N j V
/ -~i
/ ~
~ ~ ~aRa~NA<.'e ~ UTi~~TY / ~ ~ /
~ .f EqsEMENT ~ o~ ~76'N 'SI ~ ' ~b•
~ ' i ~
i ~
6=~/~ \ ~ ~ E;levations sh~~wn are existing
~
6 S8 „ i grades and are assumed datum. ~
~
121.4 ~
I hereby certiCy th:~t this is a eorrect re.presentation oI a survey of:
Lot 8~ S1~~ck 1, SAFAKI ESTATES, Dakota CounCv, Minnesota~ according tu the
p1aC therenf. on fi.le and o[ record.
and tl~iat I am a duly registernd land surveyor und~~r the laws of thc State oC Minnesota. ~
,
Dated this 8th dxy of FebruarY, 1984 Geae L. Sacobs i, Ptinn. deg. Nu. 7734
6R. BY GLJ SCALE - 1~~ = 50~ ~ DENOTES IRON MON. BEARINGS ARE ASSUMED DATUM.
Yrepared for:
JAC08SON SURVEYORS
hi. W. Johnsnn Consr.r. LAKEVILLE, MINN. 55044
P. 0. Aox 130
Farming[on, Minn. 55024
PMONE 469 -4328
; ~
'l0700 Lyadale Ave $o, ~
µ '
~ { ~ ~ , ~ . Bloomington;' MN;; 559Zp ~ ~
,
' ~ - EXTERIOR ENVELOPE /~YERAGE "U°~COMAUTATION
~ , . ~ . f , ~ i
~ f.;, ~ ~i~ • ~ ~br~} ~i~:~ h~~ SWtE~l(~Q~~~~~ • ~.^a,-':
r ~WN~R. ~ ~r ~ tt " ~ tr i
,
~ ' . "s u ~~i E.:
SITE~~A~DRESS~~ , ~c " ;`"~[~<r ~ u 1~ , ~.t 1 +ti ~ "i
t ~
_ ; i: t i ~,r;.
: CONTRACTOR , ~ ~ , , : ; ; ; .
_ -M W, ~JoHr~So ~ ~ DATE 7 '~1- O PHONE ~ ' ~ ' ~
, '
' ;
I J. . ~ . ~ '.j 5 }i i~ " , 1 i .
. . k ~,y h 4 _
Detettm ne working squarerfootage of:'each ~ r~
. ' .i 1 . . 1 Y 4.
~ ' 1' . . t ( l .j. * I I ~ .1'~' ~ . f l ~~l,.,..1 '
1 Total exposed"walt area:,. , I SO •sq. ft , x _ .18 • [~`7
11 , _ `
,
2. Total roof/cei l ing area ~ 5 Z4 s ft. x ; ,
. ~ , Q ~ ~ ~ ~
, ; : ~ ~ , ~
a : ~ < < ~ • ' .j
~ , Total exposed wall'area'above floor,~ Z,
,
~ r t , ~
~ ~ e. Total walltwindow area ~ ~ ' : '
' b Total door area . R . . I?I, 4 ~ t~ ,
. ..r . ,
~ c:'Total sliding,glass~door area.~.`. ; ' ' t
~ , , d ;:7ota1',.fireplace wall .area ~ ; , ` r ' " ~ a
• - . • 8 'd1~:ifr ~ i
~ ~ e.Total.;wall framing area (average 10~)~ ' ' - q q
1
~ • ~ 1~ • • ' . I f~ ~ C. 2 ~ 1~ A~, F t ~ .
, f.'.Total .net~wall .:area above floor 4'1:;+ ;~,r;~ , . , ~ ~ ~ j, ~ ~ k' ~
~ g ' TotaT rim ,joist area . ~ , rc ~ p , . ' , ,
~ ~ ~ ~ . , . . . . . r~ i .t 1 r • i • • F; ~ • ~ U~ { V'~ u ~ t i y~f~:
, 5~ e
~ i ~ ~ ' . : ~ . : ri~t,g~"t\ ~ , t.i at
t ~ 6
~ Total expased foundation a ' ~ 3<
> ~ • ~ area==,`~~' ,1!-Il~~ ~ ; ,y ~
~ , ~ ~ , . : jr
F ~ i . . ' . . ' . . s ~ i ~
t, t~,
h., Totati foundation window area~.:`;>`~,'~`r;1;~j~„{z„ (,p,~ "
l ~ ~'f ~ 1' TOd~ net foundation area above`igrade~' ' • ~ ~ r`1 ' 'if,,at~ l ' ` Y ~
~ ~ i . ~ ? ~ ~ L ~ f ~ ~ r ? ~ ~ "l ~ -1 ~ . ~ 1 y i y n . ~ ) 1 ~ r~. 1
.l r ~ ~ r~ r [ ~7 ~i?~~ Yj ji.{~$ y ~ i 1 Jr ~~~p~ f ~
a ~ 11 11 ' A ( ~ iA /t ~ : 5r . t -'i
, , ' , <,t ~ Determine U E 4 , ' r i:
, r{ i, value of;each wal,l segment ~ y ° '
, ~ . . ~ ~ ~ , ;
k,~,l{ ~ ~ '~-.r ~ ~i 1p t~ f~~ b° ~ i~j~j : ' ~ ~ .i- ~ .~'~{A ~ ~ l.:
i~` ~i ~ f .I. 1 .~5'. F ~,I~ ~ ~~jI~T~1~ ~ [f 5 1 i ~ ~ ( :i~~
r - 7 ; iiu qf ~ ~ n 1 - ~ f~ t,~+, (`~,htj r . ~ y .~.E ~ ~ ~ I i .
+ iy(~}~1 i^ o a• ~''I~~~p _rf X IIIII~~IiN a~ n QFF 1,'.l ~ ~ fti~` {~y-.~,
~ r . ~ ~
5 ' ~ l ' ~ t; 1
~ . 1[ s ~ ~ ~ t' ~ ..f~N3~ ~ ~ i ~ , . . . ~ t x t~ ~ f.,~l ~ v ~i .tT'
F: ~ b 3 8 ~ X n~ t a,}, t`~ ~ i: c ~ r L., f.'r
~ , ~ ; 1.3 . ~ Z' ~ ( , . ~
ir
~ ~ ~t 3 ~ ~ fi : '~1 ~ N~ ~ 1 1 ~ ~ ~ . n .
~ S f , + C t . z.z < . p.
~ , ` ~ ` 4 ~d X ;~~~„z ~ ~:~l ~ _ ~ ; . , i ; ;
i . . i . ,J ~ ~ .
_ ; , . j t
; d ~ . y b x ~ . ~ , ; .
. 3le ~ ~~'7 Z 8
~ 1~ , 8.~~~-J_J Z 1;. X uVu_ r~ a. ' ~ C.'1 "1 .
~ 1 ~ i.
. ~ i-:
' f. ^ y ,1
~ ' .1~'~I~~~ILe A IIUn~ i ,IO~Iq. /.l r~ .:i
~ , ~ ' , $O X ~
i~ ; , ~ ~
g ' ' ` ~ . ~ }
.
r i ~~ui ~ ~ ~ ~ i'~
l . ~ 'i~ Y ~
1 : . i ' ' _ S I
r`~ n: `(,,3 X ' ~SS 3:y ~ , , ~ !
, ~ ~ ~
~ ' ~ • ~ , . t ' 1 J
~ 1yo;S' X q :r.~
. 4 (o = ' ; '
: : , f = i~p
3. . ~.S-~~~'.5~. i i i r ~ i~
~ ~ . ,.Tota1; - „ ` 2. .lo } ' ~~+t;
' . If item,~3 is the same~~as, or'less~than item;~t,ryou;have met the ilntent l: ~
of SBC 6006(c)2 ` ~ ,
t 1 ~ . ~ ' "s~t ' ~ ~ c. ' .1 Yt~ i ;I
~ _F ~ ~ t r ' - t~ v .ii
~1 l ~..i ~ ~ ~ ~ f i F~ ~ ~t . ' << <r p
° 1~ ~i r~ ~ie : i ~ ~ . ~ ~ ; ~ 1 ~ il
o . tA ~1~ '~s~}r .f. . ( ~.2~ V~ i ir~ I ki-~~1~5 ;~ft~~
t L I ..i ~ '.r[ y ~ r
~ w 1 1 S i ~ . _ i , ~ ~ 4 ~ r ,a ~.1 } r
~ ' .ny~',r~ L. 't s. . +j'.i~~ .ijn~` t ~ d .i ~
. , , . t' i r- ~ . ~'I
.i'.
I .
L }I
~ 1 . . ' ' ' . .,i t : ~t
f' ~
- . . . i ~ + ~ t t~ { > 1. 1 ~ y.~ ~
- ~ T i i i'~P~ ~
~ r Total exposed roof/ceiling area = 15~~1 ~Y~' , F 7'li
'
r ~ : , , , y „ ~
,
:
~ Total ~gross'roof/cel~ling area = 1SZ~ Y ` ~ ' , ~ `Y
.
,
r 't;~
, i ,
.
irQ,
~ `j: Total skyligbt area . *
, t r;
' k. 7ota1 roaf/ceiling framing area ; 1 5 Z, y_. ` ~
1, Total net insulated roof/ceil~ng area:... ; 13~1, L.D ~
. - ' I
Determine,"U" value for each roof/ceiling~segment
~,r .
a ~
_ . . o -::i
' J . X U _ "I
~ ~ ~ ~ ~ ~ :
k. ~~J~~y J( ~~~u ,~4Z ° ~~4 - 7J
~ ,
t.~3'1i;tQ X ,035
~
-4 ' ~ SZ~I ..Total ° ;r t " t~!~
, , <
1 S ~ ',I
. , ~ : ; ~ . r~ , _ ,
~ t , ~i
' If total. of #4 is'the same as, or'less than ~#2. you~ have met the intent of i- ?
. , ,
, • ;s
`SBC G006(c}1 '
° . ~ , ; . . „ : . r , , ' _ ,
, : , . .
To utiltzed:the tota].envelope system method, the values`established 6y the ' t,•
~sum ,of items #3.and p4 sha11 not,be greater than the sum of itens 81 and 92
, ,
, ~
, . s;
: : . ~
S ~
, ~ ~
s . . . r'. . . < ~i i . . .
.i r ~ . . +
1 'f 2.' r'.~ h E ~ ~ ~ b i i
t.. ~ l 4 ..I-
j ."1 , , tj +~±++.~r~ . , t ,~I
~ ~ . . ~ . . ~ _ ~ i
3. + 4.~~ i ` ;ki .
~ ' ~
~ ~ ~ ~ ~ . ~ _ ~ • ~
,
~ ~ ~ , ~
, KATERZALS ` Thera. Resletance "R"
, . k. . , . , ; , . r •
r'.Tztgrior Air , , 1`7 ~ , ;
, :'Siding MaLerial . ~ ,`i5 ~ .
SheatKing 5 ;
Insulatioa . ~ ' ~ ,
, Sheetrock.. ~
, Interior Aii '
Studa . v,38 ; : - ~
. ~
Rim , 1, 88 ,
Conc. 87.k8. ' 1 Z8 '
z'
~ ~ r
_ - ~
, _ .
. , , ~ . -
. . . - . ~ ' • t~ .
~ .
r
. . ' ~ . .
; . ' . . , ~ . .
. ' . . . . . . . ~;~i
. . , ~ . . _ . . . . , i ~ . , . . . ~ .
~ . . . . . . , - . . ~ ~ 1 ~ ' , . ' r +a
, . ~ ~ r, ' ~1,
,
~ ~
. ~ ~ ~ ?-`'d .
ta ~ ~ : ~ . . i
i
~ t ~ . . ~ - ~ . . n . i~3~ .
F . - 1 ..p M f
> ~ T ~L7: f ~ ~ , ? . . . ~ ~ ~ t.~. ~ ~ 4 ,i% .
r ~ ~ . r~t 1
{ i ~ r a rt ~ v - ~ .
~ " fb 1 ~ : ~ ' ~ i " ~ r , ~ ~~.iii 1 t ~ ~ -
`yy~ ~ry ~ ~r ¢r~ 5 . _ + ~ ~ Y.+ ,.y~,s-~d ni i ~ -a ~ ~ `~fy _
a rh d~kr ~}~i,.. ~ ~n:. . . , .,~u~.:.~efe.~„r+i9~'*e.~ .i~,~ ~ . S t v~x.7.e~. i~r. , ~F'~.e... 3
LOT ~ BLOCK L SUBD. ~
RECEIPT # y5~3 pATE I~~95
1995 CITY OF EAGAN
IRRIGATION PERMI7 (FOR BACKFLOW PREVENTER)
COMMERCIAL INSTALLATIONS: FORM MUST BE COMPLETED BY LICENSED PLUMBER ~
Date: s Commerciai GPM
~ Residential (boulevards) GPM
7c Existing residential
` _ ~ ~ . yq~s~:y,~,~~
Area/address to be irrigated~ ~ Gs`""""
Installer: ~l9° l,[ Owner,~` Plumber ? C/""""" !
Streetaddres~• ~~~s VIK~~UG' ~G(/~Q= GU~~ . _
City, state & zip code: C.~G ~ q~ ~?J~l SSO(/phone S.~ ' 3 S~~ CI
Owner Name~ ~ v` ~
Street addres~ /~~a5 ~~°~-o
City, state & zip code: i`i- ~t. Pnone ~J`~-9G~ 7
Irrigation contractor, if different than installer: ~~z~~
Telephone#: ~3'7 - ?
I fiereby acknowledge that f have read this application, statethat the information is correct, and agree
to comply with all applicable City of Eagan ordinances. It is the applicanYs responsibility to notify
the property owner that the City of Eagan assumes no liability for any damages caused by the City
during its normal operational and maintenance activities to the facilities constructed under this
permit within City property/right-of-wayleasement.
~ ~G~,."
pplica s signature Title
Approved by: Date:
l~
PftV ? Yes ? No New service ? Yes ? No 7n
Meter Size~ & Cost ~~ZU~ /1~- z ~
-
Fees due: O~ Calculated b~• a.~s~----
PROCEDURE FOR IRRIGATION SYSTEMS - 1995
An irrigation permit is required - please contact Protective Inspections at 681.-4675.
Fees
Commercial project: $25.50 irrigation permit to cover installation of backflow preventer.
$50.50 water permit fee onlv if new service is installed.
$30~.00 per tap if installed by City.
Residential project: $20.50 irrigation permit to cover instaflation of backflow preventer.
$50.50 water permit fee if new service is installed.
$750.00 per connection - WAC.
$372.00 per connection - water treatment facility.
Existing residence: $20.50 irrigation permit to cover installation of backflow preventer -(not
required if backflow preventer previously installed).
Meter charge: If gallons per minute are less than 25, a 1" meter will be required at a cost of
$170.00. If gallons per minute are more than 25, a 2" turbo with strainer wiil
be required at a cost of $800.00. This information is to be supplied by the
designer of the system.
No meter will be sold before all sewer and water inspecYions are complete on a new service. If new
service Iines are not repuired, one check may be written for meter and permit costs. Receipt will be coded
to 20-3716 (meter portion oniy) with pink copy forwarded to Utility Billing Clerk.
The instalier is to contact Protective Inspections at 681-4675 for inspection of the inside water line and
backflow preventer. The Public Works Department may be reached at 681-4300 for water turn-on and set
and seal of the meter. Inspection hours are 8:30 a.m. to 3:30 p.m. Monday through Friday. Requests for
A.M. inspections should be made on the preceding work day. Requests for PM inspections will be accepted
until 12:00 noon.
Q, ~ CITY USE ONLY ~.~oSq ~
L v nBL RECEIPTif:
SUBD. JQ~~~~Qle~ RECEIPTDATE: S d7-~~
PERMIT# ~Oq~I ~
8000 ~LiJM$INfi ~~b~I1T (ii£SIDENTI~kL)
crrYoF~ts~r~
s83o ~u.ar xROS Ru
PR6AN, MN 551 PY
asi-~ai-~a~s
Ptease complete for: D single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES EACH # TOTAL
Alterations to existing dwelling - minimum fee
Describe: $ 30.00
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas i in outlet ' m~n~mum 3.00 x = $
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x = $
Laund tra 3.00 x = $
Lavato 3.00 x = $
Se tic S stem new~returbisned • re uires MPC Ile. 75.00 x = $
Se tic S stem abandonment 30.00 x = $ I
RPZ new installatioNrepairlrebuild 30.00 X = $
Rou h o enin 1.50 x = $
Shower 3.00 x = $
Under round s rinkler if dwellin is underconstruction 3.00 x = $
Under round s rinkler ite~sun dwemn 30.00 x = $
Watercloset 3.00 x = $
Water heater 3.00 x- _ $
W ater softener if dwe~~tng under construceion 5.00 x = $
Watersoftener Ne¦~aun ewenin 30.00 x = $
Waterturnaround 30.00 x _ $
State Surchar e .50 $ .50
Total S
Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc.
° • •
I hereby adcnowledge that I have read this appliration, state that the information is cortect, and agree b wmply with all applinble City of Eagan ordinances.
It is the applinnt's responsi6ility b notify the property owner that Ihe City of Eagan assumes no Iiahility for any damages pused by the City during its nortnal
operalional and maintenance actlvities to the facilities consWCted under this permit within City propertyMgh[~of-wayleasement.
SITE ADDRESS: ~i ~J G~~ ~ ~7+~ ~~~2"
OWNERNAME:: C~~~_~ ~~~G7 TELEPHONE#: TS 7 ~i~ Zy
(AREA CODE)
INSTALLER NAME: LJ J ~ TELEPHONE ~E°~ ~
STREETADDRESS: Z~~ ~z~3~~°u-S //!2 ~Y~ ~ARE,aCOOe~
CITY: ~~il/IO~ STATE: Ir ZIP: C~~~
~~Zis~>.%l%~/(/(
SIGNATURE OF P MITTEE
~ _ ~
~`-r~ zoo6 RESIDENTIAL BUILDING rEx~T arrLicnTioN ~
City Of Eagan
3830 Pilot I{nob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reouiremenfs RemodeVReoair Reauirements Ofl`xeUse OnN
3 registered site surveys showirg sq. ft of lot sq. fl. of house; and all roofed areas 2 copies of plan showi~ taotings, beams, Joisis Cert of SuFve~'~Reod =~Y =M
(20% mazimum lot covera9e allowed) 1 set of Ene~gy Calculadons for heated additions Soils Repod Y< _ N
1 Soils Report it pmposed building is lo be placed on disturbed soil 1 site survey foradditions & decks TreePres Plali`Recd ~N,
2 copies o( plan showing beam & window sizes; poured found desyn, etc. Addition - indirate i( onsite septic sysfem iree Pres Reqtiired ~=Y =N
1 set of Eneqy CalculaGons ~ Onsde Sep6~!System,, ,,,_Y _N
3 copies of Tree Preservatbn PWn N lot platted after 7l1/93
Rim Joist Detail Options selecGOn sheet (6uildings wAh 3 or less unAs) .
Minnegasco mechanial ventllation form
ao
Date ~ / L~ / ConstructionCost 7~~~ '
SiteAddress ~'`/z-5 ' C`~ ~o UoiUSte t~
/
B~Y o ff'/~2 - I"~ua f~
Description of Work
Multi-FamilyBldg _ Y ?N Fireplace(s) _ 0 `/1 _ 2
~y ~
Property Owner f (vv+ ~ Telephone # ( )
~ ~
Contractor ~j Le bo .K
Address ~7 SL 3~Qdi o~/' " City bo d u"~'
State f~l~/ Zip ~ S~ z-6 Telephone 6S/) ~ 5~- S 7 ~oO
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
~(Jsubmissiontype) Submitted , Submitted
• Energy Envelope Calwlations 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/Water Contractor Telephone )
I hereby apply for a Residential Building Permit and aclrnowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval ofplans.
(p2~ / ~K?L ~
Applicant's Printed Name Applicant' Signature
DO NOT WRITE BELOW THIS LINE
Sub Tvaes
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling ? 08 O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-piex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo/perola) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? O6 04-plex ? 12 12-plex ? 25 Misceilaneous
Work Tvpes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 WindowslDoors
? 34 ReplaCement •Demolitfon (Entire Bldg) - Give PCA handout to appliwnt
D85CI'iption: WaterDamage_Yes
Valuation 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 Widthi_. - ' ' . ,
_ 3tEQUIRED INSPECTIONS
_ Footings (new bldg) Sheetrock
_ Footings (deck) FinaUC.O.
_ Footings (addition) FinaUNo C.O.
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool Ftgs _ Air/Gas Tests Final
_ Framing _ Siding _ Stucco Lath _ Stone Lath _Brick
_ Fireplace _ RI. _ Au Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By: , Building Inspector
-
Base Fee
Surcharge
Pian Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA108387
Date Issued:12/05/2012
Permit Category:ePermit
Site Address: 4925 Safari Ct S
Lot:8 Block: 1 Addition: Safari Estates
PID:10-65850-01-080
Use:
Description:
Sub Type:e-Windows/Doors
Work Type:Windows/Doors
Description:House
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Timothy C Eng
4925 Safari Ct S
Eagan MN 55122
Property Claim Solutions LLC
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA179333
Date Issued:09/29/2022
Permit Category:ePermit
Site Address: 4925 Safari Ct S
Lot:8 Block: 1 Addition: Safari Estates
PID:10-65850-01-080
Use:
Description:
Sub Type:Furnace
Work Type:Replace
Description:
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Timothy C & Pamela L Eng
4925 Safari Ct S
Saint Paul MN 55122--261
Bonfes Plumbing Heating & Air Service Inc
455 Hardman Ave
South St. Paul MN 55075
(651) 228-7140
Applicant/Permitee: Signature Issued By: Signature