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CASH RECEIPT ~ ~ _ CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 RtCQIVRD ~ FROM AMOUNT ~ I _ ~ 6 DOLLARS +oo ~ CASH ? CHECK roe _ ~ ~ FUND COOE AIAOUNT Thank You ? ' BY ~ ~V White-Payers Copy Yellow-Posting Copy Pink-File Copy CITY OF EAGAN Remarks Addition S.^.FARI ESTATES ~ot 7 B~k 1 Parce~ #10 65850 070 O1 Qwner ~ Street 4932 Safari CouTt So . State Improvement Date Amount Annual Years ~5 Payment Receipt Date STREET SURF. 1982 1037.54 103. 75 10 a~..5~1 -~D o /U-/5 -8s STREET RESTOR. 7~ 1982 1546.63 3fl9. 33 0. C'- v o rs - s GRAOING 4~ • r, ~'-/O U-/S'~ S SAN SEW TRUNK ~l 1~ ~ 1. C)~ O. !Q•,3~o C-/U~I 90 D~/S ~ ~F SEWER LATERAL 1 S2 1, .ZO 1!1 -1 U / WATERMAIN * ;yVATER LATERAL 82 WATER AREA 1 S2 ~ l. ~i O. O. C-~G O U~ .S' .S ~ Services 1 82 STaRM SEW TRK lg~ 866. 1 1 3. 3~ ~ ~'~/O 90 ~u -/S " ~ STORM SEW LAT 19$2 S CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 185 00 2 1 WATER CONN. ~35 ~ Q~ r~ ~UILDING PER. sac 5~ r~ „ PAR K INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: + ~ ~ ' ~ ~ ~ ~ ~ ,~,a~~M 3830 Pilot Knob Road Permit Number. , Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 ~ t-.a n. ,ti SITE ADDRESS: ~ ~ ~ ~ , E ~ ~ ~ ; ~ APPLICANT: , , ~ c~r s • . , ; ~ . ~ ~ , , ~ , . PERMIT Su~TYPE: TYPE OF WORK: , ~ ; . , , , , ~ , . , ~ , , , . , - • • t,. , ~ ~ ~ - Permit No. Permlt Holder Date Telephone # ELECTRIC PLUMBING HVAC InspecUon Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUM8ING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL cirir oF ~?c~?N ~ . =71! Pllof K~ Rmd Ee9aw, MN SS122 • • PHONE: 454-l100 BUILDING PERMIT Rece~pt # Te b~ w~d fer Est. Value Dote , 19 Site Addrcss Erect ? Occuponcy Lot Blotk Sec/Sub. Alter p Zoninq pa~~ # Repoir ? Fire Zax Enlorge ? Type of Const. W Name ~p~~ ? # Stories Z Addross Demolish ? Length ~ Grode ? Depth Sq. Ft. Ci Phone o N~e Approvols Feas u~ ~fe~ Assessment Permit f, C~ P~~ Water a Sew. Surchorqe Police Plon check ~W Name Fira SAC ~ /lddress Erg. Woter Conn. <W Ci Phone Planner Woter lNeter Cou~cil Road Unit I hercby acknowledge that I have recd tfiis oppiicotion ond stote that g~dp. Off. fhe intormotion is correct ond agree to comply with oll opplicable Total Stote of Minnesota Stotutes and City of Eagon Ordinonces. Sipnature of Pertniftee A Buflding Permif Is luued to: on the express condition tha~ oll work sholl be done in accordonce with oll appliooble State of Minnesota Statutes and City of Eogen Ordinoncea. Buildirp Offlciol Permit No. Permit Holder Miac. Permit No. Hoider Piumbing ~~0 `1 l ~Q~4~l.~E Q~ 1 H.v.ac. 2-7 8~ c~d.~ ~'cKsa Z-(-~ ~ w.n watsr D'ap. Sewe? Eleatric SS~ Z~Cj t r1~1 ~'~C~ /Z. ~l S-`f5' li ii 3_2-$Z i;~ ~'r\0. 4 O<~ Iropeetion Dats Insp. Other Footings ,,~'fJ !i " _ , i i ~ Found~tion Fnminq a,~. Rouyn P~ba -8 Rouph HVAC Inwlation ' -bl Final PI6~ F(nal HVAC - , a~ ~J . _ , i_~ f: , ~ ~k.r Final ~ W~r D~acribe Locstion: MVell S~vwr Pr. Disp. Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fee - Fill in numbered spaces S/C ' Type or Print legibly 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 D Commercial ? Institutional ? 9. Work Description: New O Add O Alter O Repair ? 10. Describe 11. No, Fixtures No. Fixtures Water Closet ~pool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify 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 4b4-8100 _ ~ ~ Reveipt MECHANICAL PERMIT Permit No. CITY OF EAGAN ' Fes frl! in numbered spaces S/C Type or Prrnt /egib/y Tot. ~ ~ ' ~ 1. Date ~L..3!+; 2. Installation Cost 3. Job Address ~ - ~ Lot_r_Blk. Tract 4. Owner 5. Contractoc ~ Phone - - 6, Address 7. City State Zip Building Type: Residential ? Commercial O Institutional O 9. Work Description: New C3 Add ? Alter ? Repair ? 10. Describe Fuel Type 11. No. ~yuipment BTU - M. Ea. No. EQUiament CFM Forced Air Air Handling: Mfg. Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Other Air Cond. Mfg. 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 Flnal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 4b4-8100 CITY OF EAGAN WATER SERVICE PERMIT 379: Pilot Knob Road PERMIT NO.: Eagnn, MN 55112 DATE: Zoning: No. of Units: Owner: - - ~ ~ ,-i ~ , . ~ r . , Address: Sfte Address: - - ~ _j~,~~„~,~~~+L s~ ~ r , - a Plumber. - Meter No.: Connection Charye: Size: /~ccourrt peposit: Reoder No.: Permit Fee: I a9roe to wmpl~r with the City of Eagon Surcharge: Ordinan~a. Misc. Chorges: , Total: BY Dote Paid: Dote of I nsp.: I~p.: ur~r oF ~?a~N SEWER SERVICE PERMIT Nlor Knob Roed PERMIT NO.: Eagen, MN 551~2 DATE: Zoninp: No. of Units: Owner: , - _ , ~ /lcidress: Site Address' ~ o'_ r 31 :i ~ Plumber: 1 pes~ h wmplr wh6 tbe Gtp of Eaga• Connection CharQe: - Ordinonoss. Atcount Depostt: Pemnit Fee: - - SurcF?arpe: • By Mtse. CFwr+pes: Dote of Ir~sp.: Totol: Insp.: Dote Poid: : RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 1~{ ~ 3830 PILOT KNOB RD - 55122 ~ 651-681-4675 NewConatruetionReouirements RemodellReoalrReauiremente ~~o'~O • 3 regafered site suneys showing sq. R W IoL sq. fl. M house; aM all roofed areas • 2 copies of plan (20% mauimum Iot cmerage allox~ed) • t set of Ene~gy Calwlatiore fw heated additions . 2 copies of Dlan sMwug besm 8 wlMow saes; pouretl found dasign, etcJ • 1 sile survey for extenor addilions & decks • 1 sel of Energy CalcWafions • Indicate if home served by septie syslem lor additions • 3 copies of Tree Preservation Plan il lol ptaried aMer 711193 . Rim Jo'sl Detail Options seleclion st~ee~ (ddgs wilh 3 or less units) . DATE S.P VALUATION ~~C,()(7 JOB SITE ADDRESS a ~ ~ ~ IF MULTI-FAMILY BUILDING, HOW MANY U pITS? PROPERTY OWNER ~ tl u_~~~~ ~i i ~ - TYPE Of WORK I ' Q ~r+ Pu~ d FIREPLACE(S) _ 0_ 1_ 2 APPLICANT ~ ? PHONE# ADDRESS c~~.~0 CU ~ l~ G~ lJ I3 U ~,J_ ~~'1~U ZIP CODE~ PAGER # CELL PHONE # FAX # NE1V RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted • Energy Envelope Calculatlons Submitted MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: Phone Plumbing System Includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00 Water Heater _ No. of R.I. Baths No. of Baths MechanlcalContwctor. ~iJ~eS!(~ ('l1VsYlQ1~ Phone# ~~ir~'~I /~/~~~5~ Mechanical System Includes: _ Air Conditioning~- Fee: $70.00 _ Heat Recovery System Sewer/Water Contractor. Phone # All above information must be submitted prior to processing of appiication. I hereby acknowledge ihat I have read this application, state that ihe information is correct, and agree to comply with all applicable State of Minnesota Statutes and CiTy of Eagan Or~ ances.~ ~ Signature of Applicant Certificates ot Survey Received _ Tree Preservation Plan Received _ N Required _ . Updated 1701 OFFICE USE ONLY ~ ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg • ? 02 SF Dwelling ? OB O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ~ 10 08-plex ? 18 Deck O 23 Porch (screened) ? 36 MuIG O 05 03-plex ? 11 70-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvemeni ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Altaration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolition (Entire Bldg only) - Giva PCA handout to appiicant Valuation Oc:cupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinkiered Type of Const W idth REQUIRED INSPECTIONS _ Footings(new bldg) _ FinaUC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Roof Ice & Water Final Other _ Franilng _ Poo] _ Ftgs _ A'u/Gas Tesu _ Final _ F'ueplace _ R.I. _ Au Test _ Final _ Siding Stucco Stone _ Insulation _ Windows (new/replacement) Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC W ater Supply & Storage S8W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total _ - This request void 5as~a- ~'l O ~ o/ 18 months from ~ 42096 La~ ' ~ 'a.s'' Req' `t Date" 'Fire No. RouHh-i InsVer,tion FlepuireA? ~Neady No~l NntitY. Inspac- !D es ?No lo When HeadY ~icensed Elec[rical Convactor I hereb ra y quest inspection ot ebove ? Owner elecc~ical wark installed at Sveet Address, Boz or Rou[e No. City ~2 G S ~ G/LCl f ecLOn o. Township Name or No. anBe No. CowHY ~ OccupentlPRINT) P one No. ~ P~^ ~ I? Power s~oo~ie~ ~ Adtlress ~ EI cvical ConVaclor ICOmpany Name) Con racmr's License No. t L ~ MailinB Address IConVrcmr o Own~_Ma ing Ins ilatio ~ L~7 <z. e"yX~.c Authori d Signa[ure IConttactor~ ner Makine InsWllationl Phon Number ~ 6 MINNESOTA ST11TE BOARD OF ELECTRICITY TNIS INSPECTION REQUEST WILL NOT GriBes•Midwey eld0. - paom N-191 BE ACCEPTED BY THE STqTE BOARD 1821 Universicy Ave., SL Paul, MN 55106 UNLESS PqOPER INSPECTION FEE IS Phone Ifi72) 297-21'17 ENCLOSED. I"5a5~~ REQUEST FOR ELECTRICAL INSPECTION EB-OOWl-O4 See instructions for como~etina ffiis form on back ot yallow coov. - sl '"X" Below Work Covered by This Request ~ ~,g~ ' Ad? Reo.' TVOe of euiltling Appliancas Wirod Equipment Wired ~ Home Range Temporary Service Duplex Water Heater Lightinp Fixtures Apt. Building Dryer Electric Heatu~ Commercial Bldg. Fumace Silo Unloader Industrial BIAg. Air Conditioner Buik Milk Tdnk Farm otnar ~ew v Oiner Isoodfv~ t er Su~:cifY Other Oih~,~ ompute lnspection fee Below p Fee ServiceEntrenceSiza k Fee Faeders~Subfeatlers N Fee Circuits Oto200qm s Oto30qm s Oto30Am Above 200 qmps, 31 to 100 qmps 31 to 100 Am s Swimming Pool Above 100_Amps Above 100-AmUs Transtormers Irrigation Booms / Partia6'Other Fee Signs Special Inspection TOTAI.~FEE Hemarks.y S /3 s , G /~l. ~ ~~O flough-in ~ate ~ I, tha EMctf.ical~ Insoector, he~eby ?fy thet the above Final ~ 'nspection hes been matle. • Tliis reQUasl voitl 18 monttis trom Thi, ren~mst void 4~-+~ n ~ ~yt ~a~ l~~ 18 mn ths fr n ~ L7 (~1 ~~Q~`t~ l 1- ~ ' ~~1~~.75 .z~ rt ~ Reque. Uate Fire No. Rouql in Insper.Unn t fteq ed! ~ReadY Nuw [}N0911 Notifv ~nsoec- I ~ ~ ~ V~s ?NU ~or When qeatly ~censed Electrical Contr.~c[or I hereby request inspection of above ? Owner electrical wurk installad at ' Sbeet Ad~ess, dux or Rou[ o. ~ CitY ~ ~ ecbon o. Townshi Nanre or Ranpe No. Cow Oc' ~ n (PRINT) one No. ~v~ ,2S Ca v n1 S t' O` Power ulier Adtlress ~ ~ ~ ~ ~ Etuetrical-Convactor IComuany Name) Convactor's cense No. Tv,^ . ~ ~ ~ KE:,.;_.:.:. . '.'a . ~~-:~31 4~d MailinqAAJresslGonvaptor~om4wner~Mekirtg,-4ngallaripnp~ . 2~i~..... . _....~1.'1:.9)~ . r : n Aulhorizetl ~ t(r~TO r lliilndr fNAking:InsiaN vbnl Phone Number ~ ~ C" EIvD1~IGI~ 4~2,-5036 ~ THIS INSPECTION HEQUEST WILL NOT MINNESOTA STpTE BOAPO OF ELECTPICITY - Griges-Mitlway Bltlg. - Room N-181 BE ACCEPTED BV THE STAiE BpqRD 1827 UniversityAae., SL Paul, MN 55106 UNLESS PFOPEH INSPECTION FEE IS ~ vn..o.. I6121297-27H . ENCLOSED. q REQUEST FOH ELECTRICAL INSPECTION ,r-;, Ee-ooooi.oa ~ y, j~ ' See inshuctim~s fur com0letin9 this form on back ol vellow copy. -8~~;75 ..~i ( ~ ""X';~e!~a~u~Wark Covered by This Request ~[~j'pJ~l New Add Rap. TVpe ol Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lightiny Fixtures Apt. Buildin~ Dryer Elec[ric Heatin Commercial Bldg. Fumace Sllo Unloader Industrial Bldg. Air Conditioner Bulk Nlilk Tanlc Farm o~n~,. per.i v tne. Isneritvl ~ier _ pi:cify O~ho~ O~hor Compuie lnspection Fee Belnw C Fee ServiceEntrancaSize # Fea Feednrs~5ubtexders N Fee Circuita 0 to 100 qii~ 5 „pQ 0 tu 30 Am s •QO 0 ta 30 Am s ~ mps 31 to 700 qmps Sp0 31 to 100 Am s bove 200 qi~~~~s Above 100_Amps Above 100_Am>s Transtormers Remnte Control Circ. Partial~'Other Signs Special li ~ n S . J~ Rem»r ~ O TOTAL F _ p RouUh R ~ I ~5'~~c~rical ` Inspector, he~aby cer~ity thet the nbove Final ( D'n'/te n/ inspeetion hes been O ~I"~ IG- This ruquest void 18 months fmm EAGAN, MINNESOTA 55122 DATE ~ ' ~ • ~g t'~ necerveo K~i2~'~,,~K ~~~G~c~~~C t FRpA AMOUNT $ L/ `I QO , c~ $ DOLLAR$ +ee ' ~ CASH ~CHECK .oa vZ ~t'Cl i Ct~ u rT ~ ~(.`t~~~ ~~~c~t~: L ~M~'~ - *`T 31 ~`7S ~'A-c~l.~:~~ UvIQ l I-~ ~ ` PYNO ~OOE qMOl1NT c' O S, OGr , ~ ~o gl ~ Sa~ti~~ Fs~ s Thank You o-` BY ~ ~ , \J~//~-~14N~~ N° 29059 White-PayersCopy Vellow-POSting Copy ~ s~b~ i~~~ . 2004 RESIDENTTAL BUII.DING PERNIIT APYLICATION e~ City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construcli~on Reaulremenb RemodeUReoairReau'rtemeMs 3 registe2d site surveys showing sq. fl W lot, sq, ft of house; and ~Q roofed ereas 2 mpies of plan . (20% maximum IM coverage allowed) t sel of Energy Calwiations for heated edditions 2 copies of plan shovring b~m 8 window sizes; poured faund desyn, etc. 1 stte survey fa addifions 8 deds 7 set of Energy Calalations Addition - indicafe if onske septic sysfem 3 copies oiTree Preservation Plan if bt platted afler 7/1193 Rim Jdst Detail Optlons selecdon sheet (bldgs wilh 3 a less unils . Date I~Z I O'/ Construc6on Cost a~. a~a SiteAddress,, `p'9 3e? S~~a~i ~a ~~~~ourrt~l Unit/Ste # ~ ~ ' 3 ~ r c t-~. Description of Work v~ C Multi-Family Bldg _ Y n Ftireplace(s) ~ 0 _ 1 _ 2 Property Owner n rid ~e S~~~~'! / Telephone ) ~ S%- YS~ - g9 Contractor r~(iSv~~h ~~7.r4 7/[i~7~v'nv, / Address ~~~b /.(//Lii ~r ~.mi City !/r~ ty~ ~P L.v.~s State ~ I'! +'1 ~6/~ 7'a Zip ~ S!/ U Telephone # ( ~S'~ ~i17 ~ ~ ~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEYY BUILDING ~ Tvlinnesota Rules 7670 Cate¢orv 1 Minnesota Rules 7672 Energy CAde Category , Resldential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted . Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25~ plan review fee applies. Licensed Plumber Telephone ) Mechanicai Contractor Telephone # ( ) Sewer/Water Contractor Teiephone # ( ) I hereby apply for a Residential Building Pemut 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 pernvt, 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. (4~ , i ~ ~ ~rt P /C/ ti~`~ ' Apphcant's Printed Name Applicant's Signature OFFICE USE ONLY ~ Sub Types ? 01 Foundation ? 07 05-plex ? 13 18-plex ? 20 Pool ? 30 Accessory Bidg ~ 02 SF Dwelling ? 08 OGplex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck O 23 Porch (screenlgazebo) ? 36 Multi Misc. O OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 72 12-plex Plbg_Y or_ N? 25 Miscellane0U5 WorkTypes G I~'~'h-~-~ 5~zr~ti /~on~.~- rz~ J'~~=~Qar ~'171~ ~~Ci~G ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Mave Building ? 42 Demolish Foundation ? 45 Fire Repair ~ 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement `Demolftlon (Entlre Bldg) - Give PCA handout to applicant Valuation ~ ~ Occupancy MCES System Census Code ~l~ 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) FinaVC.O. _ Footings (deck) FinaVNo C.O. _ Footings (addition) _ Plumbing Foundation ~ HVAC Drain Tile Other Roof Ice & Water Final Pool Ftgs AidGas Tesu Final Framing _ Siding _ S[ucco _ Stone _ Brick Fireplace _ R.I. _ Air Tes[ _ Final _ Windows ~C Insulation _ Retaining Wall Approved By: , Building Inspector - ~~-S ~ Y~J r1.L Base Fee i {,~C,i• , Surcharge Plan Review 2~ ~ ~f MC/ES SAC I J~ I~ G U= ~~~x l~ City SAC r Utiiity Connection Charge ~,;,~.ft,. S&W Permit & Surcharge ~P~ ~ O Treatment Plant ~n'l License Search ~ 4~ v Copies . 075 Other ~ . , Total ~ ~ ~ ~IPicate for: . ~j~'p S/S3 , -;velopere Conatruction, Inc. t2443 River Ridge Blvd. Burnsville, Mn, 55337 DELMAR H. SCHWANZ ~ 9~~~ ' cr,e . ciauE ~nnosurtv~von Rpi~tHM V ~OSr Law~ o~ TM SLb of MinnnoU 1978 - 1~6TN 6TXEET W. - 90X M ROBEMOUNT, MINNESOT 66088 PHONE 812 423•7769 SURVEYON'8 CEFiTIFICATE SCALE: 1 inch ~ 30 feet c~/'1.1 Elevatione ehown are existing ~ro O Denotee eet*wood hub & tack 8r Propased gara ~ floor ~ \0=~_ 60•00 ' elevation ~M°~ ~ ` 3 ~ 97~~~ ~ TaP NuB ~ ~ ~ 8/o Drainage & utility . y ~a;~~ easement ^ s ~l a //~~,~o ? ~ o v~P~' qg3'4 G-9~ ~'6 ~ T ~'j \ d ' / a , 3~ ~ . / o .~o s \ / ~r• , p h1~j ~ q j '3y ~'.o ry~~RB ~~~,v 1 r/ .R ` r•°o, ~ , $ra ~ti~ ~N 8 ° ~ N ' . / ~ ' ° Q ~ ~ ~ ~ ~ ~ 1 ` Q~ ~6r 7/ ~ \ ~ ~~~~1 j~-s~~ \4~ ~ y ~S ~ ~ ~ ~ / 90. 3Z ~ H ~'~9-3j_ o w ~ ! I hereby certify that thie is a true and correct representation oP Lot 7, Block 1, SAFARI FSTATES, according to the recorded plat thareoP, Dakota County, Minneeota. Aleo shoWing the location vP a propoaed house as ataked thereon. I~ated: Octo6er 20, 1981 . ~ - / ~ ?~G~i'y~'~ MINNESOTA REGI TRATION N0.6825 " RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN Q~~ 3830 PILOT KNOB RD, EAGAN MN 55122 65'I-681-4675 3 ~ . a~ New Constructlon ReauiremeMS RemodellReoair Reauirements • 3 regislered sde surveys showing sq. fi. of lot, sq. k. of house; and all mofed areas • 2 coples of plan (20°~ maximum lot coverage allowed) • i set of Energy Calalations far heated additions • 2 copies of plan shovring beam & window s¢es; poured tound des~n, etc.) . 7 sfle survey for exterior additbns & decks • i set of Energy Calculalians • Indicate'rf Iwme served by septic sysiem foradditlons • 3 copies of Tree Preservation Plan If lot platted aRer 7l1/93 • Rim Joist Detad Optbns selection sheet (bldgs with 3 or less unils) yC~ ~ DATE ~ ~ ~ VALUATION ~ ~j ~ SITE ADDRESS y9 3a MULTI-PAMILY BLDG _ Y _ N TYPE OF WORK ~~BF~f/~ FIREPLACE(S) _ 0_ 1_ 2 APPUCANT ~57~/~'I ~~'q-~ STREET ADDRESS ~ ~~d /3~~J[z /rJa'~` CITY~STATE~ZIP ~SyY TELEPHONE ~~/~-<?3O~I CELL PHONE a a~-Y~ FAX # PROPERTYOWNER [ JOc-~9 ~~'«iPS TELEPHONE# ~5/-y5~-8 577 COMPLETE THIS SECTION FOR °NEW° RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNFSOTA RUI.I;S 7670 CATEGORY 1 MINN~SO'1'A RULES 7672 (J submission type) • Residentlal Ventllation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope CalculaGons Submitted Plumbing Contractor: Phone # Plumbing system includcs: Water Softencr _ Lawn Sprinklcr Fee: $90.00 Water Heatcr No. of R.I. Baths 1Vo. of Baths Mechanical Contractor: Phone # Mechanical sysCem includcs: _ Air Conditioning r'n Heat Recovery System D~~~ Q U ~ S e w e r/ W ater Contra ct or: Phone # MAY 0 8 2002 I hereby acknowledge that I have read this application, state that the information is ,-a o comply with all applicabie State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant . OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 6ct. AIt- 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 (screened) ? 36 Multi ? 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 Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolltlon (Entire Bldg only) • Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Footings (new bldg) FinallC.O. _ Footings (deck) FinaVNo C.O. _ Footings (addirion) _ Plumbing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Rebining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge ' Treatment Piant Plumbing Permit Mechanical Permit License Search Copies Other Total :....,:.::.,:~....:•...,,.,,..,;a. >Fl(-.i:i:dM~i,.`d)...~:,,::l..~: c:a~.p~~k,i.:....:._...'a,.~.:~..,:,:.,,r „~.~~.~:.a,,. , i~!.7~Y il'~~~ 1=";^-i~A.i`'. r;n~:~~..~A: :r.t, ~..:::>~~9::r~~_,{_ ;~r~r ~ ; E , I ( 3:. DF~Tc:I, i[1/`I.`i;V`97 7:i:r4~c, E"i:%'i''... '.C~ a :f?~~i:-;i ...,..1 r'F§.,.,:~~,.._r9.: t,i~::._ :.,J.:;. 4a.iii(. 1.r~:~;~"'~,.!}~. •.,T '-~r' ~~.J S `~~.^,..0:' 4^3i; `.;f-,P'AI:'T C'i ~.fSC. 'h ~ ._r,~..fJ.' I?t:......:~C~i; `;UIOt^S'Fg ~i~'..''r`; ~:'fta.~ ~.:lr.:~r'. "t,..u..~...i..~ L~:~ti':."i i.~': ..IC,t`~ / "p.i.:~S:r ~`Yl,.,.s!:Yf n.'...'.t)p..,? "~r ~ ~ ~ .~'%'rv' PERMIT CIT1F OF EAGAN 3830PilotKnobRoad PERMITTYPE: aur~ozNe Eagan, Minnesota 55122-1897 Permit Number: 0 3 0 9 4 4 (612) 681-4675 Date Issued: 10 i 0 9 J 97 SITE ADDRESS: 4932 SAFARI CT 5 LOT: 7 BLOCK: 1 SAFARI ESTATES P.I.N.: 10-65850-070-01 DESCRIPTION: (WATER DAMAGE) Bti`Ili~~i~'g Permit Type SF (MISC.) E~uild3~g W4rk Type REPASR 'Censws GodeY'~. 434 RLT. RESIDENTIpI f ~ ~ . . , ~ J~ ' , . ~ 1\~±^/{£ t ° ,'"'~v'. i ~A ~ ~ f~ ;,'tt `4"' px~'~ t ;a ~ ~ ~ ~I * ~*e.7~ ~~a~ ,_.i~ `~..._a~ ~1~~'•:..7i ~ A: b ~;:s:.:-1 REMARKS: FEE SUMMARY: VALUATIOM $4,000 Base Fee $87.25 Surcharge $2.00 Total Fee $89.25 CONTRACTOR: - Applicant - sT. ~xc OWNER: GAUSMAN, D K 14073477 2000658 PHILLIP$ DOUG ~2372 LEIBEL ST 4932 SAFARI CT 5 WHITE BEAR LAKE MN 55110 EAGAN MN 55123 t(612) 407-3477 (612)452-8977 ' I here:by'acknowledge that I Mave read this application and state thaG the inf~rr~~tion is cqrretst~~and agree Ca c~mply w~,~h a21~ aRpli~atrle~_St~te n'~ Mn,« ~ ' Statutes and City of Eagan Ordinances. ~ ' ~ ~ . ~ ~ _ ~f1Ut~ R.~'r .I APPLICANTlPERMITEE SIGNATURE ' ~SSUED STGNA U E I 1897 BUILDING PERMIT APPLICATION (RESIDENTIAL) ~ ~j ~ cirr oF ea~aN 3830 PILOT KNOB RD - 55122 681-4675 Llew Canstnietron Reaulremenfs $9~¢9eUReoair Raauirements . ? 3 registered sfte surveYg ? 2 copies of plan ? 2 copies oT plans (indude beam & window saes; poured fid. design; etc.) ? 2 ake surveya (axteAor additkna 8 tlecks) ? 1 energy calculations ? 1 errorgy calwWNons for heated edd'N'ons ? 8 copies of tree preservedon plan if IM pletted eRer 7f1l93 reQUired: _ Yes _ No ~ ~ ~ DATE: ~~`/7 CONSTRUCTION COST: ~ DESCRIPTION OF WORK: ~ sor ~O STREETADDRESS: _Lf~~d'dP ~G'~ LOT ~ BLOCK SUBD./P.I.D. %k~ ~ ~-~~1~~~ PROPERTY Name: ~ S Phone y~~ OWMER Street Address: ~ City: State: ~ Zip: ~~l-~~ ~ coNTw?crott Company: Phone ~~~3Y» Street Address: a-37~ ~,~~~C I S~ License ' City: ~f~,~L State: ~i~ Zip: ~~/D ARCHRECT! Company: Phone ENGINEER Name: Registration Street Address: City: State: Zip: Sewer 8 water licer.ged plumber (new construction onty): . Penalty applies when address change and lot change arc iequested once permit is issued. I hereby acknowledge that I have read this appliqtion and state that the infortnation is correct and agree comply ith all applicable State of Minnesota Statutes and City of Eagan Ordinances. ~ . •r~~,l~- SignatureofApplicant OFFICE USE ONLY Certificates af Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No Not Required OFFICE U5E ONLY ~ ~ w _ ~ ;,f~• r~ BUILDING PERMIT TYPE ~ ~ ~ ~ ~ 0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging o 16 Basement Finish ? 02 SF Dwelling o 07 4-plex ? 12 Muki RepaidRem. 0 17 Swim Pool ? 03 SF Addition o 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility 0 04 SF Porch ? 09 12-plex a 14 Fireplace ~ 21 Miscellaneous 0 05 SF Misc. 0 10 _-plex a 15 Deck WORK TYPE f~,p °7 r Q~a.~.,-~ e ~ V 0 31 New o 33 Alterations o 36 Move n 32 Addition ~ 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MCNVS System (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. ~ Depth Footprint sq. ft. 5AC Code ~ Census Bldg Census Unit 4 APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ ~ ~ ° _ Surcharge Plan Review License MC/WS SAC Ciry 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 SAC Units , %-~7~ 3 5~~~~tir: c r~~'tS 1024 nnx~ ~ ' ~ ~ ^ . J~ ~ 3a ~ - owr~x ~ PLFASE BE ADVISED THAT TtIERP IS A FEE SHORTAGT ON Tf~ ABOVE II.EC17tICAL IHSTALLATION IN THE AMOITNT OF $ NJ~' ~ SHORTAGE ASl15T B~ PAID WHITHIH 14 DAYS. REMARI6 q~~~~''~~ , 3d a sr,b !r~'s- _ °0 .~/~/~a ~ /o. ~ r~ ~a ~Gs~,e~~i /a~ - a~ ~ 7 ~ 6 ~ d4 ~ ~'/a z , .v `t a3 8~:~,,~~~t\ P~~,~~~- ~ T a75 ~~rt~Q-!- ~f ~`~ft ~ - ~c_~L - ~zfis/~s! #a~o~~~ - ~~~,oa - 3i~/~~ I BEA BLOMOUIST TNOMASME~GES MAYOR ~ " CIlY AGMINISiPA10B THOMAS EGnN CITY OF EAGAN EVGENE vaN OVERBEKE MqRK PARRNNTO CIiV CLENN JAMES A. SMITH THEODORE WACHTER 3795 PILOT KNOB ROAD COUNGUMEn+aEHS ~ EAGAN. MINNESOTA ' , sytzz . . . ~ PMONE <5~-0100 DATE: p~TOBER 21, 1981 " ' + _ t~~, DAKOTA COUNTY ABSTRACT C0. SPECIAL ASSESSDIENT SEARCH RE: _ _ ~Lot 7 Block 1 SAFARI ESTATES' 4932 SAF'ARI COURT SOUTH Enclosed herein is the search which you requested made on the above described property. Kind of Improvement Runs Beginning Original Amount Balance Due ~ NONE REQUESTID ~j ~ I further certify that according to the records of said office, the following improve- ments are contemplated or pending after having been approved, and are now in the nrocess of planning or completion. , Kind of Improvement Approximate date o Completion Approximate cost ~ NONE ~ WAIVER: , Neitlier the City of Eagan nor its employees guarantees the accuracy of the above in- formation which was requested by the person or persons indicated. Nor does the City or its employees assume any liability for the correctness thereof. In consideration for the supplying of the indicated information in the above form, and for all other consideration of any nature whatsoever, any claim against the City or its employees rising there from is hereby expressly waived. Levied assessments to be paid to the County Treasurer at Hastings, hiv. 55033 Very truly yours , . TH~~~?~~~^ r~_~, ~r~ _ . ~AK TRE THE SVMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITV. , ~C((ar~c2 ~u~ . ~lwCaE-~r,l. #7~Iq~.ZO t 4/.58 ~~day ~ar+~n~ ~u~~G~lq~l WCt~~r ArT4 ~~{51.6y t ' .10 ~¢n SCwT k r~ 5fm s~~, r~k ~,U~.~~ f~.~~ `~re~t • 1,5d4~y3 no i.nker~s{ ~f r~~f b¢k+t Ocf.~s.ra11 (lcvie~' S~tlz,nc~~ fh~Y u~/,cs7m«tils ~~P~cc¢~Fs~ref~s) 4,~frZ ItUiF~ ~in.ne rG~/96~,a~'an in~erqf ~a,f~ ef <d/e. ~~ease ~4~yuPt ~I~e amDU.nf ~us Mc infz~esF pe~Qu~ ~ru.~ ~u~u (~~1~1t~ uw~~~ +lu daf }~atG~.. ~ yan t1G,t.~ ar,,.~ 6u.es+~o~~5.,.~(~asc call n,~ afi ~5U-tlDO - ~iuv1~-~~• l?~~~~ I~.6~ry,~- , . ~ . ~ ' • . . , i f I ' ~ ; Ci[.• of E:.;.:n . ;-PS F'ilot i~r.;5 [~~ar1, }a: 7ni:: . ~ . ~..:1: ~~v` ~~r~Kg/ . . ~~~~7~ SF'-r~ 1L 1~5~ ~c•• - :i ~:CN . . . . 7 6Co-~ ~ RL:_ - i. S~Gf/Li _~L~!L.~a~ . . `~93z Sa~(,~,~t Ge~w,,~ T~- g2~13 , t"=:^'~'d .`•c-c:i t.`.e sc~r,h w!~i.h ~•cu rc;::rs:ed ~~~e an :!~c ~~~re d,s.r;i•~•1 , F::;~-:;•; • or i-;.::..-..r.: Fan, Br~ir.n:r.; Jr:~i~~l .L:.~;.~: 6~:sr:c :~~c ~W~4~ ~61°. Sc1ti'- I9Sz Q~,l9~.zo Ul~h Q~ua. '~rtil.vy `z~~, ~ T~ v5~./~/ - `~hiSGt?~ n jG~,q~ " „ ~,SyU-b3 . t~~':`.rr ;cr::f}• t;~t at.or~:^g to t.`.e rr:;r.< of sail o:fice. t5e f.::.~:r~ i-; r_•.c-.. ac. ~;er.:r,c~ or ; rr..li-; ,i:a: h~: ir.~ tccn ;.,;.roL;_, a^.1 is t:e ~r::cs~ o: pI~r.nin~ or cr...plr::en. . c..n.itr . -~:r::oa ar,-^o~.-~:_ ~ h ~•c•~'_7 .'c ~:'Y C: [.1~J? COT 1:5 C.:.~:'rCCS e71T]11'CCS :~B ]i:~'l~v O: '~:C J~']:C ' 1^~ .•".~•:7^• w3i Tc'y~l`<:C..~ b~~ t!:r ~.~TS]1 OC '~l`~SORS 3C~::1:cJ. X.`.^ ~JCi i^e`C_:y .f e;'~.:rrs as>.ne a^; l.~~i'.:y fer t~e ca.-re_:srs; tF.•:r~cc. ' s:'cr,::or. =~r ihr su;^i~~ir; oE t.`.e n~i:ucJ ir.~~r-~-:on i~ tie :I~CCf f~~' f-. a~.`._. c:r,.~era:icn ~f arc r.~:~re .h~;sar~.er. ~^y e::~i- ]:.1.~••:: .~:c` l:s e-., I~•.cc> r:5:.^3 :'.":t f'J.:: 15 f~ft^~• C~r.'Q>:;~" ~.1:':t• Lr.::J a;,c's"c-_s ta be ~~EJ to the Co.:--;•:~Ji:or a: H~>tir,;s, '~L': 5:+'S.i 1~':.• :r~'; ; __rs ~ ' . j `•r r ~ S? ~ i~ .:='~5:.......- lE?.;~:'aL;T ' ~ ~ ~~-~~z~ - ' , { ~ s AnoF~ CoUnty 100EAST MAIN,ANOKA,MINN.55303 18121 421.SBB2 Henrtepln CoUnfy 123 SOUTH ]TH ST., MPLS.. MINN. SSd02 (612) ~¢4894 Hamsay Caunly 6TH ANO WABASMA, ST. PAUL, MINN. 551~1 (812J 2244681 DekOld Caunly 301 W. BUflNSVILLE PKWV.. BUFNSVILLE, MINN.5533] ~612~ 89i-5020 S~PAULTITLE INSURANCE CORPORATION ORDER N0. D-8243 DATE 9~24~8~ SPECIAL ASSESSMENT SEARCH Lot 7, Block 1, Safari Estates Legal Description: Dakota County of: Property Address: 4932 Safari Court South, Eagan Plai: Parcel: SPECIAL ASSESSMENTS NOW PAYABLE ARE AS FOLLOWS: Beginning No. of No. Remaining Levy No. Type of Improvement Year Years Years BALANCE BALANCE PENDING ASSESSMENTS ARE AS FOLLOWS: Project Current Status Estimated Cost APPROXIMATE COMPLETION D'ATE FOR PENDING ASSESSMENT IS: AUTMORIZE~ SIGNATURE 440-SA5:12/79 CITY OF EAGAN Np s y s g 3795 Pilof Knob Raod Eegan, MN SSIY3 - ~ PHONE: 4S4-B100 BUILDING PERMIT Re~~D~ # ro be wea fe. SF DWG/G9R En, va~~ $147,000 o,re October 22 ~ ~y 81 s+re Address 4932 Safari Court South E,~r ~ p«„~„n, R-3 ~.of 7 Black 1 sec/5„b. ~fari Estates qire. ? zo~~~9 R-1 Parce~ # 10 65850 070 Ol Repoir ? Ftre Zone NA En~aroe ? Tvce or Consr. Vn w Nome ~velopera ~ Construction~Inc Move p # sror+es z Z Address 1z443 ~ver Ridge Blnd, oe,,,or,~n ? ~enq~h ~ - ~ Burnsville ~pno~ ~90-6194 Grada ? Depth~Sq. Ft.- ~p Nome ~~PS AvProvala Feas z~ Axsessment permit 55 o~ Addrezs u Cit p~ne ' Woter & Sew. $urcharge ~ ~ Police Plon check 275. Ww Name Fire SAC 525.~~ ~ W Water Conn. ~a.~- 3~ Address Erp. <W Ci Phone Poonner WaterMeter ~•00 Councll Rood Unit ~85.on I hereby ocknowledge tFwt I have read this upplicotion ond stole }haf gldg. Off. the information is correcf ord agree to wmply with all oppliwble AP~ Total 5n - Stote of Minnewta Statutes cnd City of Eayan Ordirwnces. ~ Sipnnture of Pertnittee r A Building Permit Is iuued to: ~ 13 on the ezpres condition thn~ oll work sholl be done in cccordonce with ol liw le S t o Mi atu and Ciry of Eapan Ordinances. Buildinp Official ~ cQ.<< ~ ~-E-~ 0.r^o~ ~t (p ~ ~ CZTY OF EA('~AN Include 2 sets of plans, 1 site plan w/elevations & BUIIDING PERNIIT APPLICA C~ p O1 set of ei~-gy calculations. To Be Used For Single famil ~Uation ~ Date 10~6~81 Site Address: 1~932.SaYari Court So. ~ OFFICE USE ~Y Lot r,: 7,l, B1ocJc ~,1 Sec./SubCSafari Estates ~e~ p~~~l~, Parcel l ~ ~ O c~i 0 d( Alter Zonin9 - Repair Fire Zone Enlarge _ 4ype of Const. Nbve # Stories Pddress: De~nlish Front ft. City/2ip Caie: Grade Depth Q-~ ft. Phone # : APPI~7AIS FEFS Contractor: Developers Construction Inc. Assessments Pesmit ~~~y ~ Address: 121+Li3 N~-ver Ridge Blvd. Water/Sewer Surcharge Police Plan Check-_z~ t~, ~j City/Zip Code; Burnsville, Mn. 55337 Fire SAC ,r Z S,~ Phone 890-6194 Water Conn. '3 3.f.C 6 Planner Water.Meter (J' Q ~.~r ~g : Council Road Unit o d Bldg. Off. Address: pp~ City/Zip Code: Phone TpTpS, ~~D O~. S O aCertificate for: . ~~o Sr/Sj • Developera Conatruction, Inc. % , 1244~ River Ridge Blvd, Burnaville, Mn. 55337 x 9~S ~ . DELMAR H. SCHWANZ ~r,e. u,¢c~E LAnOSURVEVOR RMkbrW unOV Lawa o/ Tn~ SbN of Minnnota 2B7B - 1~6TN STREET W. - BOX M ROBEMOUNT, MINNESOT 66086 PHONE 611 4Y3-1788 ~ SURVEYOR'S CERTIPICATE SCALE: 1 inch ~ 3D feet q7?.t Elevations ehown are exiBting 8 O Denotes est*wood hub & tack ~ r / ~4.~~ _ '~°60 00 Propoaad gara 4 floor ~~p~ \8 °~-33 0 elevation . ~ / ~ 9"jG• ~ rav /~'u~ c ~o ~ BG Drainage 8c utility o easement 1- y/ a o.,~, ~ o ti~~ ti° ~ °s ~•k ~i~o f~ / •6) ~~!r ~ o ~ ~ .c 3\ \ ' ~r. ~ ~o . p~47 ~j .'L ~r .j . / ~ ys~ d ryb/RB 9'~ y 1 s~ ~ R ~C,o~~ / $jI ati~ N B ' ° . o Q / gso•$ ~ \ \ n ' o. 7, \ U a'~6 \ V/ ~ f s~~ a\ ' , ' ~ / 90. 3 z M _ ,1 y~9-3~_ oew ~ ~ _ ~~e~ebBlocktl,~3AP'ARItffiTATESa accordingctorthe recordedtplatn oP thereof, Dakota County, Minneeota. ---°---Also--showing--the-loca-tlc>tt of. a propoaed house as ataked _thereon. Dated: October 20, 1981 Ii ; ~ MINNESOTA REG TAATION N0.8826 ! 'I~~-AU ~'1~ ~!~-3 r ExTER10R ENVELOPE AVERAGE "U" COMPUTATION L-~-~7~,7~0~ OWN~ER: ~~i.l~h~ . _ d~ ~ SITE ADDRESS: ^~of f /3~~ / ~'d~1Ki~ ~~~.11f~~ CONTRALTOR: ~~~p~~ ~ ~,,,,z DATE: PHONE: ~lj-~/y~y~;! . pETERMINE WORKING SQUARE FOOTAGE OF EACH: , 1. TOTAL ExPOSED WALL AREA„~,,,,,, ,Q34 Gi sq ft x"U" , 17 m~ 3 2. TOTAL ROOF/CEILING AREA,,,,,,,, ,2..~ 1 U sq ft x"U" , p~ = I3~,~0 3. TOTAL EXPOSED 1JALL AREA CALCULATIONS: Total exposed wall area above floor,,,,,,,, 3~~~ sq ft a) Total wall window area: ~t'ir3L~ 9lazed...... Z R'~ sq ft x~~~~~ , j'~ 4 ~ S~o~ZO glazed,,,,,, sq ft x "U" _ b) 'Totat door area sq ft x"U" ,2~7 IL,q~ c) Total slidtng glass door area: 7~UC:~Lr glazed...... at0 sq ft x"U" ,'SS"' = IS,SD glazed...... sq ft x nUn - ° - _ d) Total fireplace wall area sq ft x"U" „ = I~}, e) Total wall framing area (Averaae 109.,)......... 3~ Q~ sq ft x"U" I~ _ l~7, f) Total net wall area above floor (Insulated)....... Z!~ eC ~ sq ft x"U" , p(D~r, = 7(p. g) Total rim joist area...... ~ c{ ~ sq ft x"U" , O~ S~ = Z j~ Total foundation area (Exposed)......... 2 CB ~ sq ft h) Total foundation window area............ sq ft x"U" _ " I) Total ~et foundation area above grade........ Z.~ ~ sq ft x"U" . ~ q = 2~P.70 3• TOTAL a) thru 1) b'3,4X If item N3 is the same as, or less than item N1, you have met the tntent of S.R.C. Section 6006 (c) 2. 4 ~ ( _ L ~ ~ ~ 4.• TOTAL EXPOSED ROOF/CEILING CALLULATIONS: , / Total exposed - ~ roof/ceiling area........ Z 7 I d sq ft Total skylight area...... sq ft x"U" , S~'° 33 d k} Total roof/ceiting framing~'T ~QZ ,C~Z~ 3~~ S area (Average 109;)......UN+1~T ~'IZ~ sq ft x"U" ,04~'° ~?CG ~T ~z8'd ,ozS' 3Z~oo 1) Total net insulated roof/ceTiing area.......~~~~r ~«8 sq ft x"U" .03 = 34~q 4 VaucTFO ~uC~P~s f~p.rz ce~u~t4. TOTAL j) thru 1) 7.OS _ If total of N4 is the same as, or less than N2, you have met the intent of S.B.C. Section 6606 (c) 1. ALTERNATE BUILDIP~G ENVELOPE DESIGN To utilize the total envelope sy"Stem method, the values establisf~ed by the sum of items /~3 and f~4 shall not be yreater than the sum of items N1 and !~2. + 2. _ 3, + 4. - C E R T I F I C A T I 0 N I hereby certify that I have calculated the "U" factors and "R" values herein and that the buildin~ here.described me`eGs or exceeds the State of Minnesota Enerny Conservetion Act. "d,'~~ I:' /l-cl ~Jigna[ure ~/z~i/8'~ (Date) - . ' 'SanLr, sECT~oNS ' . NOTc:e'U.» 2~~ of opayuc wall area for • ~ frame construction Construction R-Value .47 -v 1. terior air film 0.68 1-~ Z 2. ~ Z`~ D2~FUav~-~ _ , 3. ~ i/yi.nches soft wond ,3r! 3 4. 7iT z ~tsS Sc • ' z•ol~ . _ ~ '`:i ~ . 5. "ST7 f CGt^J ~ ~ z'~ ~ B~I~ 6. Exteri.br air film ^ 0.17 . . WALL ~ . ~ . ~ . ~ . " . . Total ~ 7._f~~ ~ . ~ . . . ~ • . ~ , ~ FIG. ~{1 TOPVIEI+T QF . ~ . ~ - ~ , ~ - . F_T2AtiE i~'ALL 1. Intcrior air £ilm 0.6II 2. ~"7~`~G9tkl.~ ,4~ 3- 3~lz" B.t~-rr iuS. I 1 r,o - . ~ . • . . 4. 2 I~S~AD z,vCo ' . ~ 'd~' ` ` r~ 5' . ~ - • ZU ~_"~I.f ~ 6. Exterior air film 0.7.7 Total ~L FIG. ~2 ~C- ~~~4~~ . - ~ ~ ~ ~.7'07 ~ _ . . ~ ~ ~ A~ ~ _ . ~ . , - - ~ 1. InterSor ~ir Pilm 0.68 ,-~_'`1~`~ ~ ~ 2. ~ ZY BA-lT' Iu,-t pl , ov ~ ~ O 3. I~/z` S'J ~TZtl00l7 I•~~ I 4. ~r[L jSc~LF~( I:= -l.v~ 3 5. -5'1zlc.co , t,(J cT1~5e~ul ~-f(1'i 6. Exterior air film 0.17 _Q.f"' ~ t ~ ~ L.i ...i -T lbtsl ~ 3 .7 ~ 1,:.~ . ~ ~ ~k~`~ ~ .~r. - ~ F ~=•07' . - ~•Z.~. ~ ~ • A µ ' . _ "t ~ 1. Interior air film 0.68 . ;~72+'31TICh . d o';~ 3 \ 2. ~ yz" ~K P, PmL~/SfYR~C-nl,£ 7. ~7j ~ ~ Z~ • 3. ~12."` ~C:~GiL ~ 1,7,Q'. . k'P_LI: • ~1' • ' • 4. 4~ ' i n?~[ ' 5. - ~r ~ P . ~-l,. • 6. Exterior air film 0. 17 . ' Total ~ . c~ . ~3 . . , ~ ~a ~ SLAB 0:7 GRAD^ . . . : I . ' . . . . Q • ` ? • ~v p , ~ - C~r~ rr ~ . ' , • . 6 ` . ~ ~ , , - r`r.-~_~• ~l1 ~i - 11,/( ~ b • ~ ~ 111 . b ~ G,• ~ ^ . ' • _ ~ i ~ ~ • ~ ~ . /[I X - " • ~ /C/ ~ . ~ ~ ( FIG. $4 ~f( ~ t~• ~ - ~ , ' /lI ~ i~'/(I ~ ?IG. #3 ' ~ - ` ~ " /C( ~ y X X x ~ - - i ~ I!( c lir = - ~ „ , NOTE: Zndicatr ty~e, value, denth and , ` ~ , placerient of insulation. . p ` . • . . b ' . ~ . . . . _..__.°._'_.___Y.. . _ ~ . . . . . ~~'7 . . . ' ~ • . . ~ ' " . . . ' - ~ , ROOF/CEILING . ~ ' - . . ' ~ . ' ~ • ~ruction R-Value ± • . r 1: .Interio~ air film 0.61 ~ , 2. 1 z" 5~ . /4~ ~ ~ ,x~n~l~(t ~ ~ ~q. ~ ~~~,'T,11{ 11: ~','1 I K YLI . , ~ 4.=' Fxterior air film (sti11) ~.6i . ~I~ ll~~ ,_~~~~)1111 zota~ 4~,~~, ~ v = . o L~ e . '-lJ ~ ~ i: rur.,Airz ,~i - _ ' Z I/2.c 3fL ,dS` - 3, 5~~2 z. ,~"j ~T ~r5~~ L, S~S~ , • „~r~H ~G . 3Z,°° t'ente3 heat fl~i4. ~l -uP 'S, C~fhi2~!cn~¢ ~,~G, 5 f ~ ~ : .aZr FIG. ~k5 . - . . ' ~ ' ~ - 1. Interior air film 0.G1 u+,. ...:ar-+: ~e~•-n.~l^._~:-r.~t+'- ~~s~r.c~~~xr^ . 2. I y" S(L . LS" ~ . . _ -~_---=-`i~:~~~_ ~ ==~r~---~ 3. . ~ zs - - ~ w.-ff ~ z {o,e+J 4. Er.terior air Silm (still T Total IZ = 3 3.~( i (I~I ; i^; % ~ ~ = . d3 ~ 1 ~ : ! t~7 !~•i~~~~ ~ : . - ~ . - . , FI~~ H~ rur, ~-iz. ~~crt . `"u L'J 4' • Z: t/z" ~ ~ 'QS" _ , 3, i~z• 56F"fcoGr~~ j~F• 37 yeo~o~M lo,aS t:eat flof~ up ,.vented 4. I" ~T . . ~ ~'FT' i R.- ~~K' Td =~.,~Z'q ~ - U r ,p4\.. FIG. #6 . . . ' " . . . . . . . . _ ~ 1 . ~ ~t 5 ~ n 1. Inside air fil.m 0.G1 - 2 . ~q<.t i .~•...t •S.' _ ~3. ' ~ ~ . . - s>.e~:;= / ~y 4. . ~ ti,.y+_ . . / !~~~:f----; :y.;:~~-:'•'~ .5- ' 5. Outside .air. film 0.17 I:.,:;~+-/ ~ ~r~ Total I ~ , ~ i:0,1-PL'h"I''i.D ~ Notc: Usc additional shcets if more ~pacc is . needed Lor details and calculations. ~ ' . Heat ' • • _ flov up. - F..T.G. q~ ~ RESIDENT OWNER Name: 06M 1 Q BAt I lip S Phone:U. S '4 Sod 11 Address City Zip: 3 02 M g a s 030_61-e... CONTRACTOR Name: (j S t i Y „y License (..)to I SD c Address: Si 5 ixtt La kx Elv City: c. Clt State: Zip: S 3.5o, Phone: LO i) iO E C' Contact Person: i TYPE OF WORK )0 New Replacement Repair Rebuild Modify Space Work in R.O.W. Descri tion of work: 0 1 1,i* t 1 C PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation Add Plumbing Fixtures RPZ /)n PVB) Main Level) Septic System Water Turnaround New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater end, Softener (includes $.50 State Surcharge) (includes $.50 State Surcharge) Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) $30.50 Lawn Irrigation $50.50 Add Plumbing *Water Turnaround $100.50 Septic System $90.50 Fire Repair (replace (add $185.00 if a 5/8" meter is required) New ($10.00 per as built) (includes County fee and $.50 State Surcharge) burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES City of Ea� 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 Applicant's Printed Name V,CtEWIE SEP 2 4 2009 JJ ignature Permit Fee: J 0 Date Received: Staff: 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: NI 01 Site Address: '9 3®a_ C S Tenant: Suite l 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 o ø þ ý ü þýýüûúùûùúû ÷üüýýø ú÷÷ âû æ þ ã â ÿ þý ûúùø÷ öú õ ô ø÷ ó ò ÷öú õ ñú ý ý ÷ ð ïú ð úù î üû þ ÷ üíìë ý îþ éè è ò÷ ûú ý öç éèìèì Ý ú üè ñÿÿð ïó ÷÷ áææð ê æ ý õá ýúý ÷ ããî ð èóìû æ ûò îó þ ý îó íãëìââ ù ò ý ÷÷ æ ð ý ð÷ò ÷÷ ù û æî û ú æþ ý å è ÷÷ ß ú ûý ú Use BLUE or BLACK Ink For Office Use Permit#: 014 '3�[ ,113`-' 3 City Of Eapu . 5-4/l./„93 Permit Fee. / 3830 Pilot Knob Road �/� /� Eagan MN 55122 RECEIVED Date Received: Phone: (651)675-5675 Fax: (651)675-5694 Staff: MAY 1 8 2011 2017 RESIDENTIAL BUILDING PERMIT APPLICATION1 Date:, / 17 Site Address: 4'73 t � ' -� 2® EA(dA'f Unit#: Name: h2OCO 4 k#i ?t/ /2 Phone:("57' � 8°T 77 Reside %.44. Own Address/City/Zip: r. iUTj 6404A/ Applicant is: Owner Contractor Type �14: ®rk Description of work:g�o�L /T� fii#26//717- 4._ ,-&-zit5e4(/ ) Construction Cost: Multi-Family Building:(Yes /No iy ) A II Company: A _ I' a Address: 1i 7 7/h4/4 L City: fly/ A/ 4.4 Stater Zip: ��f Phone � d�� '�'” " ail: Pr`e-bN161 1 4 6244/6 License#:[ iL.L0 Lead Certificate#: If the project is exempt from lead certification, please explain why: int �r D COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE lans a d$ ::°orti documents tit u �: �• consid 4 e, public info ` . ort! the in ormatii n ; e s�F� anon lic * '® i�ride specific sons.that wo .it they . to c de that hey are ttrade .,. "�.. ., .... .. a 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 Minnesot ate B 'Iding Co must be completed within 180 days of permit issuance. m ffj K/ x Applicant's Printed Name A Ii ant's Signat e Page 1 of 3 DO NOT WRITE BELOW THIS LINE /L/3 0 C')3 SUB TYPES l q 32 Sqk-, Cii- _ Foundation Fireplace Porch(3-Season) _ Exterior Alteration(Single Family) Single Family _ Garage _ Porch (4-Season) Exterior Alteration(Multi) Multi _ Deck _ Porch (Screen/Gazebo/Pergola) Miscellaneous 01 of Plex Lower Level Pool Accessory Building WORK TYPES _ New _ Interior Improvement Siding _ Demolish Building* Addition Move Building _ Reroof _ Demolish Interior X.. Alteration Fire Repair _ Windows __ Demolish Foundation Replace Repair Egress Window _ Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation111_00Occupancy 01/44/4-44/ MCES System ,� '� � Plan Review Code Edition w��� SAC Units (25% 100%_720 Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction V )J Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final I C.O. Required Footings (Addition) X Final I No C.O. Required Foundation Foundation Before Backfill X HVAC Gas Service Test Gas Line Air Test Roof:_Ice &Water Final Pool: _Footings Air/Gas Tests _Final 71/4 Framing / (30 Minutes 1 Hour Drain Tile Fireplace: Rough In _Air Test Final k Siding: _Stucco Lath _Stone Lath _Brick_EFIS Insulation Windows 3 j fr° /..1,/i,- Sheathing Retaining Wall: _Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: Rough In Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: i..., , Build'ng,lnspegtpr RESIDENTIAL FEES 3 Base Fee l ( Surcharge Plan Review Sr. 2 -' d ; 6 0, MCES SAC City SAC Kt 7 LA4-64*.d ii6_ l'Oftil 4" 7 :17 ° Utility Connection Charge f ( S&W Permit&Surcharge Y)(_ X ) 0 Treatment Plant c;7' Copies TOTAL � r� `'' U/ �./ page 2 of 3 Use BLUE or BLACK Ink For Office Use 6/- c/ Permit#: City of Eaaall Permit Fee: (fid 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 Staff: Fax: (651) 675-5694 � 2017 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 6 ( ) Site Address: `t / 3 Ste, rz r," Tenant: /)� 774L,i //mss Suite#: Resident/©caner Name: b.-, e / 1/l,�s Phone: Address/City/Zip: 4 3 2 r l /` S Name: )0e �r v � '4'1'1.5' License#: 7 1r Address: �c� 2 ? /7 i J 4 46J-c_ City: Contractor State: YJ? br Zip: 5 `—Sc' ei Phone: C> l 2 t, c' 7 z Contact: 67(728-,— F�G S Email: �� X X i'/• Type of Work _New _Replacement _Repair _Rebuild Modify Space _Work in R.O.W. Description of work: / C. < L A !� RESIDENTIAL Water Heater Water Softener Lawn Irrigation( RPZ/_PVB) Permit Type Add Plumbing Fixtures( Main/_Lower Level) Septic System New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation (includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround*(includes State Surcharge) *Water Turnaround (add$280.00 if a 3/4"meter is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x Applicant's Printed Name Applicant's Signature FOR OFFICE USE " .AReiiiewed By: Date: Required Inspections: Under Ground ,_ Rough-In irr Test " Gas Test Final Meter Related Items: Meter Size Radio Read. Manometer Staff PERMIT City of Eagan Permit Type:Building Permit Number:EA158592 Date Issued:10/22/2019 Permit Category:ePermit Site Address: 4932 Safari Ct S Lot:7 Block: 1 Addition: Safari Estates PID:10-65850-01-070 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Douglas Phillips 4932 Safari Ct Eagan MN 55122 Highmark Exteriors 8720 Eagle Creek Pkwy Savage MN 55378 (952) 882-8904 Applicant/Permitee: Signature Issued By: Signature