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2002 Safari Heights TrCity otBaQan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit #: Permit Fee: Date Received: Staff: �C s j /� 2010 MECHANICAL PERMIT APPLICATION Date: 5 d/ )--10Site Address: 0O CtM1 � J /ACLU rat 7Y r4 n6 y /16,S*) RESIDENT / OWNER Name: ;(t . j / `r Tenant: Suite #: J Phone:405/"4L / 1— -7/9e CONTRACTOR BURNSVILLE HEATING &A/C, INC. Name: _ . _ .... r�urnsvine t arxway Address: Suite 120 City: License #: 4165/3E/2 lLj Burnsville, MN 55337 State: Zip: Phone: Contact: 016. Email: TYPE OF WORK PERMIT TYPE New X Replacement Description of work: t 1Qij,7 ii Gf Additional Alteration A CY /QC i,1 Demolition RESIDENTIAL xFumace )Air Conditioner Air Exchanger Heat Pump Other humid, av,-1_756ii New Construction Install Piping Gas COMMERCIAL Interior Improvement Processed Exterior HVAC Unit Under / Above ground Tank ( Install / Remove) ** When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal $50.50 Minimum (includes State Surcharge) OR - If Permit Fee is less than $1,000, surcharge is $.50. - If Permit Fee is > $1,000, surcharge increases by $.50 for each $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). Contract Value $ =$ =$ =$ x1% Permit Fee Surcharge TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.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 Ina (zv h� Applicant's Printed Name x Ap it ,A' 41%."1/ ant's Signature INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: „., -Al Ai; I Iii 11,11 1'. 1 I, Pt I ; I ;1• 1; 1 i SAI AicI F',IAIC. ' ;'Nil 1;') ?,l,1 t!!! 1':1111.111Nil 1-0 11.11;; it! /01; ,,,, J PERMIT SUBTYPE: TYPE OF WORK: Permit No. Permit Holder Date Telephone i ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND L?/ FRAMING 46 ROOFING ROUGH PLUMBING 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 INSPECTION RECORD CITE( OF EAGAN , 3/9-2PERMIT TYPE: 3830 Pilot Knob Road Permit Number. Eagan, Minnesota 55123 Date Issued: (612) 681-4675 , SITE ADDRESS: 1, O I SAFARI HEIGHTS TR AFAR I F'S 1 Al S IND PERMITI PBTYPE: APPLICANT: I Control No. 0 3 HUI LU1 off 000'471 0,/20192 NT I TE'LSTAEOT BROTHERS (612) 466-9126 TYPE OF WORK: NEW INSPECTION TYPE .DATE iNSPTR. INSPECTION TYPE FOO1 IN6 DATE INSPTR. fFrANLMi? INSULATION 1JAIv 1 13OAkn 1?tNAt 1 IREPLAILt IfFHANK'•t- RELFIP1 M PwmR No. PwmIt Holder Date Telephone N 3JW PLUMBING HVAC ELECTRIC/ 0$ q.-A O'er ELECTRIC Inspection Dube trap. Comments Footings I /?7oZ Foundation Framing Roofing Rough Pibg. ) JC /f, / a?+?v .4 Rough Htg. 7 Isul. s e°h ?- z 9 Fireplace 2 Final F "g. 7U2 Orsat Test S Final Plbg- Plbg. Inspector- Notify Plumber Conat. Meter -7. `j Z P Z -G ?C ?'z EngrJPlan U p C ?' q/ o v r s/? ?,+ l i Bldg. Final ! Deck Ftg. 7 ?q 2P Deck Final wen Pr. Disp. s 6 ?? ? 3 0 ?sl - ? /1, J r0iol - de" Req/uest Oate (' F' a Na. Ro h-in Inspection Required? 0 Ready Now 0 Will Notify Inspector ^^77 J C/ El Yes ? No When Ready? I licensed contractor 0 owner hereby request inspection of above electrical work at: Job Address (Street. Box or Route No.) City ?• + .260 S Section No. Township Name or No. Range No. County OCCUpant(PRINT) Phone No. Power Supplier Atltlress Elect cal C ontracts, (Company Name) Contractor's Licensee No uc ^r / .4174 S'1 A) ) AFC . % /z Mating Address (Oontraclor or Owner Making Installation) i d ,? Aye n s Authonz ignalure (COntractoKOwner Making Installation) PM1One Num r 2_. yo - w MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul. MN 551041 UNLESS PROPER INSPECTION FEE IS Phone (612) 6412-0800 ENCLOSED. S?F1/9- REQUEST FOR ELECTRICAL INSPECTION ?'O O n No See instructions for completing this form on back of yellow copy. J 'IY?t r 4X" Below Work Covered by This Request Bnr %EB-0000108 New Add Rep. - Typeof Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner other (specify) Contractors Remarks: Compute Inspection Fee Below: # . Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps 100 Amps Signs Inspectors use only: TOTAL Irrigation Booms ?' d ?O SQ Special Inspection Alarm/Communication THIS INSTALLATION MAY BE OR D DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 M HS. tf I, the Electrical Inspector, hereby Rough-in a ! d- ' P certify that the above inspection has been made. Final to OFFICE USE ONLY This request void 18 months from ////O 9 50 OFFICE USE ONLY This request void 18 morello, from validation dab printed in this box. of e /i 9? y IilIIIIIIIIIIIIIIIIIIIiIIIIIIIIIIIIIIIIIIiII?%a?/???a? - -?, * 11 4 1 8 4 9 8 2* PLEASE PRINT OR TYPED Request Om/q/ Ili f // / ? // 7 RaughAn inspection required? Yes ? No (1'ou mot call the inspecNr when reodyl Inspection OTher Than Rogh4o: ? Ready N. JI Coll Dab Ready: ?,o? I, ? licensed contractor L?7 wner hereby request inspection of the above electrical work at: Job Address IStreel, Box, or Route No.) 2&02 i'/4?/ It l4?ris TAfi/c city E,701-`? Zip Code SSILz Section No. Township Name or No. Range No. fire No. Coup, ? y -)q Occupant ;e?(A- / ??Op? 1 fl/ Phone No / _ b y 1y Power Supplier ?y?f7F Z?yir?s -(C- Address Electrical Comractor )Covpvsy Navel 56-Lrs Contrormr Ucerae No. A110 Mosher Lic. No. (Plan Elect Only) aaR Moiling Address (Connector or Owner Performing Insbllmwn) Aulhod gnmlure a Owner ing InsblloRoo) Phone No. loj/-oft REQUEST-FOR ELECTRICAL INSPECTION'Af° /d' Board of 28, ni7esota 1 University State Electricity Ave., m. St. Paul, MN 5510, 418-498 162 Phone (612) 642-0800 Home Du 'ex Apt. Bldg. Othac New Addn Commercial Industrial Farm Remod Re it Air Cond. Htg. Equip. Water Htr. Load Mgmt. Other: t (r? Dryer Range Elec. Heat Temp. Service ( '(j "X" above the work covered by this request- Enter remarks in this space and on the back of the white copy only. Calculate Inspection Fee - This Inspection Request will not be accepted without the correct fee: Other Fee a Service Entrance Size Fee At Circuits/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps Street Ltg./Traffic Sig. Above 200_Am s Above I A0 Amps Transformer/Generator INSPECTOR'S USE O N LY TOTAL Sign/Outline Ltg. Xfmr. , ^ ` LC..r l r"" Alarm/Remote Control n/ fkC-AJq ?c L0 g Swimming Pool ? K-?-? I hemb a Illat I inspecwl the elec l insmllati. euri6xd heroin on to dates stated Irrigation Boom Ra Wn Dare Special Inspection Investigative Fee Fi cal Oab THIS INSTALLATION MAY BE ORDER S D MONTHS. Address 2002 SAFARI HEIGHTS TRAIL Zip 5512 2 Ldt ' -I Blk 2 Sub SAFARI ESrAIM 2ND THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: 05/06/93 Yes No Inspector: Final grade (6" from siding) ? Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas t/ Sod/Seeded grass I/ Trail/curb damage Porch Basement finish V Deck ? Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. White - City Copy . . Yellow - Resident Copy Pink - Contractor Copy b0? q?D?-- 2005 RESIDENTIAL BUILWING PhWH APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Telephone #( New Constructlon Requirements Remodal Repair Requirements Office Use Only 3 registered site surveys showing sq. ft. of lot, sq. ft of house; and all roofed areas 2 copies of plan Cad of Survey Recd -Y -N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pies Plan Reod _Y -N. 2 copies of plan showing beam & window saes; poured found design, etc. 1 site survey for additions & decks free Pres Required -Y -N 1 set of Energy Calculations Adddlon - indicate d on-sde septic system On-site Septic System -Y -N 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Date 165- ` Constructio Site Address rtrt V 1 Unit/Ste # Description of Work A rnit??? h?l1tA_ WJi?f'S?V y? 1 i Multi-Family Bldg _ Y _ N (s)0 _ 1 - 2 ce Fir epla P O t ?• XII? 1 A ? ?? `e 71 t ? ? ? hone # bs7j) 140 S - 0 ,388 `? 1 Ot ? 11 Tele roper wner y p Renewal By Andersen Contractor 1920 County Rd. "C" West Address Roseville, MN 55113 City State 651-264-4777 Telephone # ( ) License #20130983 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 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 Mechanical Contractor Sewer/Water Contractor Telephone # ( f 70.E Telephone #( ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the 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 pe that the work will be in accordance with the approved 1 in the case of work which requires a review and appr val of plan . pp icant's Printed Name Applicant's Signature 'f 1! JUL 2 5 2005 OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 AccessoryBidg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of - plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 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 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS - Footings (new bldg) _ Final/C.O. - Footings (deck) _ Final/NO 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 Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ••a, sv-..c iuv tc. vu rria !OV O!1 '%qO* !(N.IYL`I"?14L ?1°&nlllSK+7tfPt re a -Tune t 2001 City ofEMF n 3836 Pilot Snob?Road E°agatt, MN 55122 To Whom it May Conn: Elder -Tones is Elder Jon" to Provide ththorizedis to em bedding permits forRammial by An&rsen. Please allow ?ervicc for us in date beyond 6/6!01; until a Hagan. `This 01botl2ation 15 valid for any to the Ci ty tenewal by Andersen manaper eapr ady revokes it in writing _ I request this antlimization be our building Pcrmib am y expeditiously, as to not delay in the prvt essi of Y . furdwr. Eloase can me if the a arc my questions.. I ? be contacted at 763-502-4706_ Your immgdiato attention to this matter is adar? 9 , Sinoetely, Ymond R -Rau nstalladon Manager Renewal by Andersen Corporadn t'.c: Kern-FTdex 7nnee . - W Vu Received Tune Jun. 7. IAN' % 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan lO? LI t-? ej 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements RemodelReoair Requirements 117c 11se i 3 registered site surveys showing sq. ft of lot sq. ft. of house; and all roofed areas 2 copies of plan CE(t915tirva r} to tw ?'s?- l'` (2g% maximum lot coverage allowed) 1 set of Energy Calculations for heated additionstae.Pres F?}a`)tifl,„ '" try 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tt&?Pre,Rt(171[ad" %, +A`z'E,'a Addition - indicate If on-site septic system f7r}s3Se' k .ts .- €Y .t 1 set of Energy Calculations 3 copies of Tree Preservation Plan If lot platted after 711193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units nstr Date 1 rnr"Ir Co ?..? ction Cost _:h Site Address aw-A ? 50.Sr0.C ? t Unit/Ste # Description of Work \QS c S t n? C l) S LA-) t Y1-QJ?C 5 {l(? ??T11 nG?J - Multi-Family Bldg - Fireplace(s) - Y 0 - 1 _ 2 O --'I VtQ f na 5 !17(? u C Telephone # OS `'R 3,Sr1 wner Property t RENEWAL BY ANDERSEN Contractor 1920 COUNTY ROAD "C" WEST Address ROSEVILLE, MN 55113 City State 651-264-4777 LICENSE #20130983 _ Telepbone # ( ) 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 (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. - _-\ s ,ii Licensed Plumber s '' V Telephone # ( ) Mechanical Contractor JI Telephone #( Sewer/Water Contractor - - - Telephone # ( ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. 11 Applicant's Printed Name ppIicant's Signature OFFICE USE ONLY Su b Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 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 O 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement "Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump ' # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width - Footings (new bldg) - Footings (deck) Footings (addition) _ Foundation _ Drain Tile Roof _ Ice & Water _ Final Framing Fireplace _ R.I. - Air Test _ Final Insulation Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total REQUIRED INSPECTIONS Final/C.O. Final/No C.O. Plumbing _ HVAC Other Pool _ Ftgs _ Air/Gas Tests _ Final Siding _ Stucco - Stone - Brick Windows Retaining Wall Building Inspector vv?vsi i?•.1 Inv lG. JV lisp !O J o 11 '4480 1ttSCft.°ll'?lfi ?? BLYUtSK,7lS(Y re al Stmt woi City of Eagan 3836 Pilot Knob Road Eagan, MN 55122 To whom it may Concern: Eder ]ones to authorized to pull building permits for Rmuewal by Anderaw?_ Please allow JMc Provide this service for us in Eagan. 'ibis audtor z&6*n is valid for any date beyond 616101, until a t6newai by Andersen manager y revokes it in writing to the City. I request this authorization be accepted'expeditioual ? of our building pea Au any further. please can = if &= am not delay in the an be contacted. at 763-502-4706_ any ?9?•. z f6can va I Your immgdiabe attention to.fts Lusher is a> m6arm- Sinoaiely. and-R. Rau tistallation Manager Renewal by Andersen Corporaden t'e: Kms?-FsTdes 7anea C?H D . nicy,y Pup?4AlIAAL '?'?cwnM'r ?zan Received Ti?e Jun. 7. 1-07P1d Wooz INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: B U I L D I N G 3830 Pilot Knob Road Permit Number: 025962 Eagan, Minnesota 55122-1897 Date Issued: 07/07/95 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-65851-010-02 APPLICANT: LOT: 1 BLOCK: 2 2002 SAFARI HEIGHTS TR MITTELSTAEOT BROS CONST SAFARI ESTATES 2ND (612) 552-1771 PERMIT SUBTYPE: TYPE OF WORK: SF (MISC.) REPAIR DESCRIPTION (FOUNDATION) INSPECTION TYPE .DATE INSPTR- INSPECTION TYPE DATE INSPTR. FINAL F CITY OF EAGAN 38°*O Pilyt Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT TYPE: BUILDING Permit Number: 0 2 5 9 8 2 Date Issued: 07/07/9S SITE ADDRESS: P.I.N.: 10-65851-010-02 DESCRIPTION: PERMIT c-6n 4 2002 SAFARI HEIGHTS TR LOT: 1 BLOCK: 2 SAFARI ESTATES 2ND (FOUNDATION) Building ,Permit Type SF (MISC.) Building Work Type REPAIR REMARKS: FEE SUMMARY: VALUATION $5,000 Base Fee $99.75 Surcharge $2.50 Total Fee $102.25 CONTRACTOR: - Applicant - ST. LIC. OWNER: MITTELSTAEOT BROS CONST 15521771 0003443 LEDDY SEAN 2425 96TH ST E 2002 SAFARI HEIGHTS TR INVER GROVE HTS MN 55075 EAGAN MN (612) 552-1771 I hereby acknowledge that I have read this information is correct and agree to comply Statutes and City of Eagan Ordinances. -'?APPLICA-NT/PERMITEE SIGNATURE application and state that the with all applicable State of Mn. ISSUED BV SIG TURE CITY OF EAGAN 4101 2s 1 3830 - PILOT KNOB RD - 55122 2 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) tr li C R i N 681-4675 ur on ons equ rements ew ? 3 registered site surveys RemodelfReoair Reauirements ? 2 copies of plan ? 2 copies of plans (include beam & window saes; poured fnd. design; etc.) ? 2 eke surveys (exterior additions & decks) ? 1 energy calculations ? 1 energy calculations for heated additions ? 3 copies of tree preservation pl an if lot platted after 7/1/93 required: _ Yes T No 46, DATE: ?/ ? G95 CONSTRUCTION COST: DESCRIPTION OF WORK: STREET ADDRESS: 2? SA Ct??2i / IUTS T?.9 - LOT BLOCK SUBD ./P.I.D. #: TJ ?I l Ltf v.L Vin! PROPERTY Name: Phone #: OWNER "°' '"'T Street Address- City: State: Zip: CONTRACTOR Company: Phone -42Z,? Street Address: L nse #: ? 43 iice City: ??v,? ? Li ? ?d?e- hkl? State: `FLT Zip. 5?7 ARCHITECT/ Company: Phone # ENGINEER Name: Registration # Street Address* City: State: Zip: Sewer & water licensed plumber: change are requested once permit is issued. Penalty applies when address change and lot I hereby acknowledge that I have read this application and state that the info ti o is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant OFFICE USE ONLY Certificates of Survey Received No Yes Tree Preservation Plan Received - Yes - No OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation o 06 Duplex o 11 Apt./Lodging ? 02 SF Dwelling ? 07 4-plex o 12 Multi Repair/Rem. ? 0 03 SF Addition o 08 8-plex o 13 Garage/Accessory o 0 04 SF Porch o 09 12-plex o 14 Fireplace o 05 SF Misc. o 10 = plex o 15 Deck WORK TYPE 0 31 New 0 33 Alterations o 36 Move 0 32 Addition x-34 Repair o 37 Demolition GENERAL INFORMATION 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous Const. (Actual) Basement sq. ft. MC/WS 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. SAC Code 61 Census Bldg Census Unit 0 APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ /000 Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SM/ Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units SEL,J JALAILEI JE L?oAy 2Q?z C=AFiL/ UC, LM i S -r&4 L ?Aca-.J Qac.0, PLa to o. L. laud I?..OC?r?, (n AaLdm- ,?u5 LacE ?i,..? $ !? `I ? C god 3 - u ov Le._xEir 3lu` = i =o" 314. sbio L"/ bILk„J TILE it, (L&? a (L E- 6a C1LTm"- ?xrE2"x Ly--u.) -I/LE TiI?UL412MI.wJL. A„Ad PE ,ate 77L,6- L?ocuto-r-- ) hmt - - 'pF JrGn•a2 b/LA.J -r,,- W? „rC 7 (Q THESE PLANS MUS REMAIN ON JOBSiT' Lot/_ Block Subd. UNDERGROUND SPRINXI.ER SYSTEM PLUMBING PERMIT Date Receipt # ?? a D Commercial: $25.50 + water tap if required. (City installs all taps up to 1"). If adding new service, a water permit will be required, as well. Existing residential: $15.50 (Plumbing permit not required if backflow preventor was previously installed). Residential developments: Fee to be determined by building inspections department. May require payment of water permit, plumbing permit, WAC, and water treatment plant fees. a ,;?7aa ? y (Address to be Homeowner/Plumber. // J/ U / i o C J - 3 ?i -74 Phone #: ?t 3513' Street Address: /Go, ?7? City, State, Zip: Owner Name: ? Q ? Street Address: 2 /?,? K=Y_? Phone #: /Llil ?i1n? a a-1 . Irrigation Contractor: Phone #: I hereby acknowledge that I have read this application and state that the information is correct and agree to compl with all applicable of Eagan Ordinances yal o. il. cc: Engineering epartment /nom FEBCO l ,P-I?/ AP2, i'? 7 PERMIT : Control No. 0302 CITY-OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: BUILDING Eagan, Minnesota 55123 Permit Number: 000371 (612) 681-4675 Date Issued: 04/28/92 SITE ADDRESS: 2002 SAFARI HEIGHTS TR LOT: 1 BLOCK: 2 SAFARI ESTATES 2ND DESCRIPTION: Bullding,_Permit Type SF DWG ,Building Work Type NEW "'UBC Occupancy-, - R-3 N-1 Construction Type VN Zoning E Building Length 50 Building Width 51 REMARKS: RECEIPT A C V? rj 41 FEE SUMMARY: Base Fee Plan Review Surcharge SAC SAC % SAC Units Subtotal VALUATION $165,000:. $867.00 $563.55 $82.50 $700.00 100 $2,213.05 NISC FEES $1.610.50 Total Fee $3,823.55 CONTRACTOR: - Applicant - ST. LIC. OWNER: NITTELSTAEDT BROTHERS 14569126 0003443 NITTELSTAEDT BROS 785 SUNSET OR 785 SUNSET DR EAGAN NN 55123 EAGAN NN 55123 (612) 456-9125 (612)456-9125 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 Mn. Statutes and City of Eagan Ordinances. L- AIN T/PE T7 7E7IGNATURE IS D BY: SIGNATURE INSPECTION RECORD I Control No. 0302 CITY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 000371 Eagan, Minnesota 55123 Date Issued: 04/28/92 (612) 681-4675 SITE ADDRESS: LOT: 1 BLOCK: 2 APPLICANT: 2002 SAFARI HEIGHTS TR NITTELSTAEDT BROTHERS SAFARI ESTATES 2ND (612) 456-9125 PERMIT SUBTYPE: SF DWG TYPE OF WORK: NEW INSPECTION TYPE SITE .DATE INSPTR. INSPECTION TYPE FOOTING DATE INSPTA. FRAMING INSULATION WALLBOARD FINAL FIREPLACE REMARKS: RECEIPT N PERMIT #'a I? / CITY OF EAGAN 1992 BUILDING PERMIT APPLICATION APR 2 681-4675 2 RECD SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs.. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re guest is made or lot change is requested once permit is issued. Date !1 / 'la / Valuation of work j-7 ?-6kzloe? ' Site Address: 2.a72 SA?ra?2? N/Fr?artrs i- STREET STE M Tenant Name: LOT _ BLOCK SUBD. , C , dd 9r;9 m P. I.D;V p ! Z Description of work: The applicant is:. ? Owner IlLcontractor ? Other (Describe) Name Phone Property LAST FIRST Owner Address _ STREET STE i City State Zip Company ?i EL?i?i :/Jr d xr ,. Phone LI<& 91a 4 Contractor Address -?7tS Ila,, License # 6W" Exp.3/3,?g? City ?Av.a,? State /7141. Company Phone Architect/ Engineer Name Registration A Address City State Zip Sewer & water licensed plumber Ae'W'0_rv? Processing time for sewer & water permits is two day's once area has been approved. 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. Signature of Applicant: BUILDING PERMIT TYPE ? 01 d Foundation ? 05 Apt. Bldg , 02 SF Dwg. ? 06 Garage/Accessory ?.03 Two family ? 07 Fireplace ? 04 Multi-fam. T.H. ? 08 Deck WORK TYPE ,900'31 New ? 32 Addition ? 33 Alterations ? 34 Repair ? 35 Tenant Finish ? M Move GENERAL INFORMATION valuation: f 165,000r G?t`RAGe: /OX/9= IRo gsMT; 63/ X /6 = l0, 09(o Const. (Actual ) V_ N - - Basement sq. ft. (Allowable v :W 1st F1. sq. ft. UBC Occupancy R.3 M"I 2nd F1. sq. ft. Zoning E Sq. Ft. total # of Stories Footprint Sq. ft. Length ?cpT On-site well Depth S/ On-site sewage APPROVALS Planning Building 11-2-'/ 92 L5 Engineering Variance REQUIRED INSPECTIONS ? Site ? Footing ? Framing ? Wallboard ? Final ? Draintile Permit Fee 8617,00 Surcharge 62,50 Plan Review 563.55 License MWCC SAC 100,00 City SAC o0 00 Water Conn. 5,0 0 Water Meter R5 00 Acct. Deposit 30,o0 S/W Permit 30,00 S/W Surcharge Treatment Pl. Z00,00 Road Unit 3e D, 0c Park Ded. Trails Ded. Copies Other Total: ? SAC % Lo SAC Units a5x4y= II x S: Sx !q Sx i3= ? 09 Basement Finish ? 10 Swim Pool ? 11 Res. Add./Porch ? 12 Comm./Ind. ? 37 Demolish ? 99 Undefined II o0 SS . /SZ f 3'72 x?s= ?o?s8a sT FLOO (Z . ?stiiT 13'72 X 53 = X12,'7 ? ? ZND rLoo2 a5 k LJ 2 = 1050 /1 X 5:: 5S lOX H = 40 ? 13 Public Fac. ? 14 Agricultural ? 15 Miscellaneous MWCC System 1`es City Water fiS PRY Required Booster Pump Fire Sprinkler Census Code SAC Code a? Assessments ? Insulation ? Fireplace J c.lS x8`3= 6d6g5 /6y,077 DATE EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION OWNER -rkj g SITE ADDRES CONTRACTOR I It ?T `? E? STRA f l /jai Oy4 iT I.Ly ADDRESS_ ZE3S D!! E9!/.FJ PHONE y S Le 91 DETERMINE WORKING SQUARE FOOTAGE OF EACH 1. Total exposed wall area ... 3,j g73 sq. ft. x .11 2. Total roof/ceiling area ... lii q a sq. ft. x •026 - ?y2 Total exposed wall area above floor - 3 y5Q a. Total wall window area ......................... Y2 5.3 b. Total door area .. .......................... 114?. c. Total sliding glass door area .................. y 2, 4 d. Total fireplace wall area ...................... p e. Total wall framing area (average 10%) . f. Total net wall area above floor _oT g. Total rim joist area ........................... 31 2. o Total exposed foundation area - Q 7 h. Total foundation window area ................... i. Total net foundation area above grade .......... 6 Determine "U" value of each wall segment. b• 34 J X "U" 107 - 2. ,7 17, q d. 0 X "U" D - D e. 3 5?. o x .,u.. ?! - 3q. 9 f • 2 2'7? ! x "u" , 0 4 3't - 9 S. g•-- 312 x "u" .044 / 3. 7 h._ / 2 x ..U., r NZ 5,0 1._ $5 x ,.u., 0?L - G. S 3 . ...............................Total If item 03 is the same as, or less than item "1, you have met the intent of SBC 6006 (c)2. -I- Page 2 of 2 Total exposed roof/ceiling area - 16#4419 J. Total skylight area ........................... p k. Total roof/ceiling framing area (average 10%).. 1a Z, S 1. Total net insulated roof/ceiling area ......... j j Determine "U" value for each roof/ceiling segment. i • _ (J X "U" k. 02. _X n11" .0258 ° 2. ?Ce 1. 1'.5 X fluff VS ° FJ 4 ....................................... .Total .3 1) If total of 44 is the same as, or less than 02, you have met the intent of SBC 6006(c)1. Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum of items 03 and 04 shall not be greater than the sum of items 91 and 02. 1. + 2. 3. + 4. -2- x -- ?,_.V:G _"--o_?-. n-._( rut SURVEYOR'S CERTIFICATE MITTELSTAEDT BROS. CONST. EAGAN REVIEIN E D S q F'q R ,? IoM n 999.! ? -?HE1 T y N 999 ! "_ T' • A I L 993.J? 10 00.7 N fp'? to x 1003. BENCH MARK N 70P OF PIPE o 5 ?_- _ _ = 1001.81 I! ql ? 1004.3 O O 1 l?R?yEWEO '-0x31004.3,• N31- O 0007'33" W ?33'- pQq:1_,1 /0G 3 Av 1 4 BENCH MARK 20 7' TOP OF PIPE mp xp ) 9.67, 1. 1000 1007.00 xx ° ?? o xi00l. i ' .6 20.35 w a Q GgpAGE d /o ?l 4T.9g 10 d : fo Sp'28„ d I 10053= 6.013.0 xf00l.2 6,00 ' ti ? N r PROPOS N ? NOUgE?p m O ~ V 29.53 O o? M fr a rJ? ppm 30'-10076 x !q vRte, CI Q - f O1 J loom. T x _ _3 7 y3 _ co N/vG3. z? / I N rn N 11 I ? .r LOT I 11 _ ? I ? Io tr! ?'„ Q N GE 0 p?.P? ?` O .1 N ' ` 22 ?, _ N g5 Bf N D _ O $4 I ,jjaN ENG N RING EP`= WE \'4 By Date 77??pp pAy7 SCCALEI1 INCGH? 3"OIFEfTDE7l1 . T ?I M -n T r p ? O M A A 1 G p (n D N N M N m T. I fC171 00 ~ y I p m -V Z N O !n I I I N. James R. Hill, inc. PLANNERS / ENGINEERS / SURVEYORS 2500 W. CTY. RD. 42 9 BURNSVILLE. MN. 55337 • 612-890-6044 I' 11 11 wLJ 1:_•V'-, 11'•JI-li'ICJ R 11tL llv-_ ICL IAU•01C ODQ-0C44 49_( ruV SURVEYOR'S CERTIFICATE MITTELSTAEDT NOTE: NO SPECIFIC SOILS INVESTIGATION HAS BEEN COMPLETED ON THIS LOT BY THE SURVEYOR. THE SUITABILITY OF SOILS TO SUPPORT THE SPECIFIC HOUSE PROPOSED IS NOT THE RESPONSIBILITY OF THE SURVEYOR NOTE: BUILDING DIMENSIONS SHOWN ARE FOR HORIZONTAL 6 VERTICAL LOCATION OF STRUCTURE ONLY. SEE ARCHITECTUAL PLANS FOR BUILDING 5 FOUNDATION DIMENSIONS. BROS. CONST. + DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET SCALE; t INCH - 30 FEET • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 10o4 C) FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - 1796 3 FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK -/0rj4+ FEET WE HEREBY CERTIFY TO M ITTELSTAEDT BROS. CONSTTHAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF Lot I , Block 2, SAFARI ESTATES SECOND ADDITION, according to the recorded plat thereof, Dokoto County, Minnesota. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 15 TH DAY OF APRIL , 1992. R. HILL. INC. e- T m ? W A m A X) O F N m x I 5 I . o n a O z O co v O m Z ( N o m i I ? < JOHN C. LARSON, LAND SURVEYOR MINNESOTA LICENSE NUMBER 19828 James R. Hill, inc. PLANNERS / ENGINEERS / SURVEYORS 25UU W. CTY. RD. 42 • BURNSVILLE, MN. 55337 • 612.690-6044 CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 "m FOR CITY USE ONLY PERMIT # RECEIPT # DATE: 5 3 PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS 6 TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ------------------- WORK DESCRIPTION NEW CONST ?f ADD ON 777 REPAIR OWNER NAME: SITE ADDRESS:d,'D, LOT:/ BLACK OP-, SUBD. INSTALLER: i COMPLETE THE FOLLOWING: NO. FIXTURES EA. TOTAL ADD-ON MINIMUM 15.00 SHOWER 3.00 WATER CLOSET 3.00 / BATH TUB 3.00 3_ Z1 LAVATORY 3.00 /,- KITCHEN SINK 3.00 3 1 LAUNDRY TRAY 3.00 3 HOT TUB/SPA 3.00 ?- WATER HEATER 3.00 FLOOR DRAIN 3.00 GAS PIPING OUT. (MINIMUM - 1) 3.00 3 - ROUGH OPENINGS 1.50 OTHER _ _ WATER SOFTENER 5.00 PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 SUBTOTAL S 4_!_ L ST. SURCHARGE .50 TOTAL: S ?Q 00 PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: OWNER NAME: SITE ADDRESS: LOT: BLOCK _ SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FOR: CITY OF EAGAN FEES 1% OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 18 $ STATE SURCHARGE $ TOTAL: $ (SIGNATURE) ADDRESS:) v U_ CITY: f^ ZIP: PERMIT # `3? r CITY OF EAGAN /C t7(' V O'k 1992 BUILDING PERMIT APPLICATION 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural.& structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested; but not picked up by last working day of month in which request is made or lot change is re nested once permit is issued. Date 7 / _7_ / _212Z Valuation of work 2 5?'m Site Address: 2Q`J2 S/Yi?i992 i ?E c?.5rr5 2z/;sc- STREET STE 1 Tenant Name: (commercial only) LOT BLOCK ? SUSD q 4r i • P.I.O. N 0 r Description of work: b6e,PC 5 w - C rz>r c.c 41 The applicant is: ? Owner Contractor ? Other Wescribe> Name Phone Property LAST FIRST Owner Address STREET STE F City State Zip Company 1291 T zSr ?T Phone 41s?-91a js Contractor Address 's Sr?,.r5?-r Qiy License # 3 4ti -;?, Exp. 19LI City State I Zip !S+^Si2 a Company Phone i tect/ Arch Engineer Name Registration Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. 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. Signature of Applicant: - OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 05 Apt. Bldg ? 09 Basement Fini sh ? 13 Comm/Ind New ? 02 SF Dwg. 0 06 Garage/Accessory ? 10 Swim Pool ? 14 Comm/Ind Add ? 03 Two family ? 07 Fireplace ? 11 Res. Add. ? 15 Comm/Ind Rem ? 04 Multi-fam. T.H. ,?-" Deck ? 12 Res. Porch ? 16 Public.Fac. S ? 17 Agricultural WORK TYPE 31 New ? 33 Alterations ? 35 Move ? 32 Addition ? 34 Tenant Finish ? 36 Demolish GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) 1st F1. sq. ft. City Water UBC occupancy 2nd F1. sq. ft. PRY Required Zoning Sq. Ft. total... z'_ Boostet'Pump # of Stories Footprint Sq. ft.o% 4 Fire Sphinkler Length On-site well Census Code 3 Depth On-site sewage SAC Code APPROVALS Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ? Site ? Wallboard M Footing ® Final ? Framing ? Draintile ? Insulation ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: Valuation: s SAC % SAC Units .) SURVEYOR'S CERTIFICATE { r 01i??EWa? SAAR 1 000.7 N BENCH AWRK (?''''?O?I w?N T 1OP0 OF P1 PE O S I ???? ?• 01.91 _ xq ? yo .$ xz o W W 0 0 N J N I N N • GgRgGEi 1pp53x 60 ? ? n ? `? PROPp 24.53 N ?ONOUS, ,3O _.ICOlR 14 N ,? 0 MITTELSTAEDT BROS. CONST. /2 DEL t/x I1 % 'y, - 008.7x 01 1.6 \` zs• ? ?? 002.0 ? r cru s I LOT I ?o P o`1 GE P? `?Pj / 0 9 P ? ? DOE P??MEN / I0i1 P ? 2 0? 2 X15 N O r? T ?' I 1\r I?V Y • -'13.06 104.3 ' " , - N 10°07 33 W `` F? ARK B C OF P YOP r- 1007.00 y"cps- 2035 / -r1 °s0' " 28 N N tD - / /- V i p ? r` X ?J ° j M In N 0 M 1 tt ?? 11% i SCALE I I INCH = 30 FEET N I I mm -n T cD 0 O I j j m A 'y p r N ? ^v ? ? < i p (q D N 6 Z fm1 N ff 1 j I v' N D S O RI z O <p ~ D ! j O I m 'U Z 50 Z I m N _ O m I i i u N I 1111 1 IOOOS 1 r 0 lOp.37 ,. 96-- .i x1001,2 00 James R. Hill, inc. PLANNERS / ENGINEERS / SURVEYORS 2500 w. CTV. RD 42 9 9URNSVILLE, MN. 66337 • 612-890-6044 x 1003.5 1004.3 CITY OF EAGAN Page 1 of 4 PERMIT n WORK WITHIN CITY ROADWAYS 1. Location gey? L oy 2 2. Nature of Work PjL? y r?-?x 3. A construction sketch or plan shall show the location of the proposed work. A copy of the sketch or plan shall be provided with permit application. 4. Method of Installation or Construction 5. Work to start on or after and shall be completed by approximatelyW 6. Will detouring of traffic belnecessary? /_,C) If necessary to detour traf-fic, describe suggested route: DETOURS: The Director of Public Works shall be notified in writing at least 72 hours in advance of any detour being established, changed or discontinued. NAME OF APPLICANT i77+1'/Ec.. rj7/IE7QT 0-.. PHONE 4<g?j45- 7,?? ADDRESS C SIAlt NAME OF PARTY OR ORGANIZATION • PERFORMING WORK r7yuc,?,? n1.?o7 :mar/ S_'7 vF Li/1'x.d?t ADDRESS PHONE The undersigned herewith accepts the terms and conditions of the regulations by the City of Eagan as herein contained and agree to fully comply therewith to the satisfaction of the Eagan City Council. For: /IJ +?E .i ?ay?{- 1/1 Z1011. Title: Signed: _-- ^z ( Date: F/6197 IFOR CITY USE ONLY AUTHORIZATION OF PERMIT Fee: $ /?- Receipt No. Permit No LJ In consideration of agreement to comply in all respects with the regulations of the City of Eagan covering such operations, and pursuapt to authorization duly given by said Eagan City Council; permission is hereby granted for the work to be done as described in the above application, said work to be done in accordance with special provisions as hereby stated: OF PUBLIC WORKS XS ALL LEGAL REQUIREMENTS SHOWN ON REVERSE SIDE AND ON "SPECIAL PROVISIONS" TO BE COMPLIED WITH! THE DATE WHEN WORK IS COMPLETED MUST BE REPORTED TO THE EAGAN CITY ENGINEER. Page 3 of 4 c. Except for the negligent acts of the City, its agents and its employees, the permittee shall assume all liability for, and save the City, its agents and its employees, harmless from any and all claims for damages, actions or causes of action arising out of the work to be done herein and the continuing uses by the permittee, including but not limited to the placing, constructing, and reconstructing, maintaining and using of said utility under this application and permit for construction. 5. Existing Facilities--The utility facility and installations shall not interfere with any existing utility facility on the City's right-of-way. 6. Private Property--The work permit or permit for construction as issued does not in any way imply an easement on private property. 7. Quality of Work--Finished surface, base and sub-base of road upon completion of work shall be at least equal to or better than specifications of original road in accordance with City Standard Specifications. Surface shall be finished within 48 hours upon completion of backfill. 8. Cutting Trees--The permission herein granted does not confer upon the permittee the right to cut, remove or destroy trees or shrubbery within the legal limits of the roadway or relieve permittee from obtaining any consent otherwise required from the owner of the property adjacent thereto. 9. Drainage--All waterways and lines of drainage shall remain operative. 10. Pole Anchors--No pole anchors, anchors, braces or other construction to be put on roadway shoulder, except by permit authorization. 11. Driving Limitations--No driving onto highway from ditch or driving on shoulders or over curbs where damage will occur. 12. Lugs on Equipment--No lugs shall be used on equipment traversing road which will damage the road surface. 13. Clean-Up--Street surface and roadside shall be cleaned after construction is completed and left in a neat and presentable condition. 14. Trees and Vegetations--Burning or disking operations and/or the use of chemicals to control or kill trees, brush and other vegetation is prohibited without prior approval from the City. 15. Replacement of Sod--Wherever top-soil and sod are disturbed, they shall be replaced and maintained satisfactorily until the turf is established. The undersigned hereby declares he/she has read and will comply with all the PERTINENT REGULATIONS as stated above. DATE: t' /, g SIGNED: ,t JOHNSON / MARTIN SOD AND LANDSCAPING, INC. Serving the Rosemount, Eagan, Apple Valley, Burnsville and Lakeville Areas. aooa SAp'anra I.WS I rat I CITY OF EAGAN _L B MECHANICAL PERMIT RECEIPT # D loDl? SUBD• (612) 6814675 DATE RESIDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, COMPLETE FOR TOWNHOMES/CONDOS WHEN SEPARATE PERMITS ARE REQUIRED FOR EACH DWELLING UNIT. OWNER ; ??c{ec?r fires.Sf, FEES SITE ADDRESS: ? o 0 a ?r Z c fa V- t Tlzi / ADD ONMEMODEL (EXISTING CONSTRUCTION ONLY) $ 15.00 INSTALLER: Surnsvllle keetin & A/C, Inc. HVAC: 0.100 M BTU 24.00 PHONE #: Savage, MN 55378.1122 ADDITIONAL 50 M BTU 6.00 ADDRESS: GAS OUTLETS - MINIMUM 1 @ $3 EA. 7.00 CITY. 7rn, SURCHARGE: $ .50 SIGNATURE: TOTAL: $ J COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTIFAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: CONTRACT PRICE: FEES 1% OF CONTRACT FEE. STATE SURCHARGE IS $.50 FOR EACH $1,000 OF PERMIT FEE. $ PROCESSED PIPING • $25.00 MINIMUM FEE • $25.00 OWNER: TOTAL: $ SITE ADDRESS: TENANT: SUITE #: INSTALLER: ADDRESS: CITY. ZIP: PHONE #: 1 CITY SIGNATURE: 1 SIGNATURE. Sao 5-Z) 2007 RESIDENTIAL BUILDING PERMIT APPLICATION l/1""" City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reauirements RemodeyReoair Requirements office Use Only 3 registered site surveys showing sq. ft. of lot s% ft of house; and dfil roofed areas 2 copies of plan showing footings, beams, Joist; Cad of Survey Recd _ Y _ N (20%mordmun lot coverage allowed) 1 set of Energy Calculations for heated additions Soils Report _ Y _ N 1 Sods Report 0 proposed building is to be placed on disturbed soil 1 site survey for additions & decks Tree Pros Plan Recd _ Y -N. 2 copies of plan showfrg beam & window sizes; poured found design, at. Addition -indicate ifon-sife septic system Tree Pies Required _ Y _ N 1 set of Energy Calculations O"M Septic System _ Y -N 3 copies of Tree Preservation Plan I of platted after 711193 Rim Joist Detail options selection sheet (buildings with 3 or less units) Unnegasco mechanical ventilation form (? Plans are considered public information unless you state the are trade secret the laS?h. t 4 aSC7 Date / / Construction Cos Site Address oZ::?) 5tS ;7,iv2= RC 1 ct4TS j-3P!,1 L uniUSte # Description of Work t ? .t 1 `~y I N Off --r Cpl ??? ? 1 - 1 1 Multi-Family Bldg _ Y N Fireplace(s) _ 0 _ 1 2 Property Owner ?'YT Telephone # ((,5il) Contractor r 1 1 Address-?2c::>t ejt-? City 1 C C State I t I xtL Zip1;;Sn3'S Telephone # ((,Z51) o21ri0 - 1 "106 f? c S A- s 1- V COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Cade Category • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Erwelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? - Y _ N If yes, date and address of master plan: Licensed Plumber Telephone # ( ) Mechanical Contractor Telephone #( ) Sewer/Water Contractor Telephone #( l 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 n to start without a permit; that the work will be in accordance with the approved plan in the case of w which wires a review and approval of plans. Applicant's Printed Name pill t' ignatu JUN 0 82007 • , , DO NOT WRITE BELOW THIS LINE Sub TVDes ? 01 Foundation ? 02 SF Dwelling ? 03 01 of_ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex Work Types ? 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement ? 13 16-plex ? 16 Fireplace ? 17 Garage ? 18 Deck ? 19 Lower Level ? 20 Pool ? 30 Accessory Bldg ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc. ? 24 Storm Damage ? 25 Miscellaneous ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 37 Demolish Building" ? 43 Reroof )d 46 Windows/Doors 'Demolition (Entire Bldg) - Give PCA handout to applicara Description: Water Damage _ Yes Valuation t i ?yp Occupancy ljt? t"3 MCIES System Plan Review 100% or _ 25% Census Code jJ IJT Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const V /3 Width - Footings (new bldg) Footings (deck) Footings (addition) _ Foundation _ Drain Tile Roof _ Ice& Water _ Final O Framing Fireplace _ R.I. _Air Test _ Final Insulation Approved Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ? 07 05-plex ? 08 06-piex ? 09 07-plex ? 10 08-plex ? 11 10-plex ? 12 12-plex REQUIRED INSPECTIONS _ Sheetrock Final/C.O. Final/No C.O. _ HVAC Other Pool _ Ftgs _ Air/Gas Tests _ Final Siding _ Stucco Lath - Stone Lath -Brick Windows Retaining Wall Building Inspector ? n C IZ$t}$ i 0102 1 w+ n e7 0 Ua L4 j7f R L°? 1,9C i"1 I -- Oct. 3. 2011 11:24AM NORTHWESTERN MUTUAL *City otEa�u 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 CC No.3029 P. 1 Use BLUE or BLACK Ink For Office Use Permit ass co Permit Fee: INFLOW & INFILTRATION PERMIT APPLICATION Plumbing I Sewer & Water Date: O''')</ Site Address: 1d07- 5 /ar/ //et/4 r Tenant: 2w ce 4051W Suite #: a. n- > 44 � . •� Name: o for Phone: .fir/ -07- 719a Address I City I Zip: r%i00 —• 54.4v; jielj 43 jrra/ �{7, rl"L��'�l"`Qt` e0 ��$, 4 E ) W ft � � X1.9. 9,..i.. IT t . �� -�, C�� `f�• ft. 't to-'''.• Name: License ff: Address: City: State: Zip: Phone: Contact: Email: fn�n dy• , ,t a If�� cry �': 17 t `� ?^c �r�ti %s „r r d ci �` ; r� Y6 PLUMBING (Within the building envelope) _ Sump Pump Repair Other: SEWER & WATER (Outside the building envelope) Repair - Other: .W "� � � 4-.'• 4py� -. • .•.QISAMtj1to t � �44 , �L � ' f .tit..1 W ' r Description of work: FEES $55.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $ J S *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit Ill repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.cityofeaoan.com/inflow, or City Hall at 3830 Pilot Knob Rd. CALL BEFORE YOU PIG. Call Gopher State One Call at (661) 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. 4✓4plaS; 0 x Applicant's Pri ed Name x 1 " 7/1;:ci Applicant's Signature Date: City of Evan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 JUL 0 2 2012 Use BLUE or BLACK Ink r For Office Use ? Permit #: Cv JOor z-vpi,40Li Permit Fee: Date Received: 7 - 2— Staff: 2012 RESIDENTIAL BUILDING PERMIT APPLICATION 7/V/Z___ 1K) . Ou` Site Address: 7°C)L ,<�, •f �La�J? Unit #: RESIDENT I OWNER Name: MA -1T `- fY keti C / 4a o 1-b 0 Phone: Address / City / Zip: 100 2, - �^ �j - r I , �c.-�{�` Applicant is: +Owner Contractor v TYPE OF WORK Description of work: Bu ( I c. it . b x/ 3 Seazc'r'► Po (el/ /V 14 uriefi 1 / N Ca 0 Construction Cost: /1/13;7000 Multi -Family Building: (Yes /No((( ✓ ) CONTRACTOR Company: M�rf'- Contact: �Cobir Address: 11 41 ^i. {'c.-' City: r yR-G ► State: /ii1\-11 Zip: C7572.-2_ Phone: jp/,Z— /" -79/ License #: i cgg s,61@ Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) iti t- e4 �-(T q Z i 6 U� 111 COMPLETE THIS AREA ONLY In the last 12 months, has the City of Eagan issued a permit Yes Itco No If yes, date and address of master plan: IF CONSTRUCTING A NEW BUILDING for a similar plan based on a master plan? Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of 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 Minnesota State B •Code ust be completed within 180 days of p it issuance. Applicant's Printed Name Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Fireplace (_ Single Family Garage (_ Multi Deck 01 of _ Plex Lower Level Accessory Building WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25% 100% X-) Census Code # of Units # of Buildings Type of Construction Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool /6)5:36:E/ zoo z is Tr, Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous 5 &1"1, i%vw igah, (t 64.0)Aq-Po✓ z,) rm-4/ C ( - 7-6 J 2 < � I Interior Improvement Move Building Fire Repair Repair (1/S'o7O vio Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) )( Footings (Addition) Foundation Drain Tile Roof: Ice & Water Final )(� Framing Fireplace: Rough In Air Test Final Insulation Sheathing Sheetrock Reviewed By: RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Siding Reroof Windows Egress Window Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant MCES System 7 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 Radon Control Erosion Control Building Inspector emoopw_ 6frtrU /0044.0 /- /0'ff (47/L/ 41-1) 5 1C Final Brick Final / ticr000 Page 2 of 3 I LL I Il_�• s5,eoa r -tom r rui SURVEYOR'S CERTIFICATE MITTELSTAEDT BROS. CONST. � 999 1 , �. TRA 999.7 8::NCI-1 MARK TOP or PIPE o =1001.81 z4.1 V)0 flyWV EAGAN REVIEWED ay ;3 PIN4 ITS 3E 1004.3 -''_ . -13.06 ID04, 3, i( 4 \ N 10°07' 33" W BENCH MARK TOP Of PIPE x 1003.5 /000 ,6 l r'" rz 1007.00 1, 0 2q.53 3p'�100g 20.35 4T.9`'- 10 ` i a 1° SO' 2g„ 1' • J NLovr ST -191)P 50 �a r• _ IT �� ✓ir.1�/ PrJYi.I4/ �, pC , . ^I 4 _ Ori l00.7.x - - 5 T.yg300 6 :o 7� i x Iti (._/vU3'.2-) = fV o Il .\ V o �� N 0 LOT I Sic1� claw) gefJ & poo) CSL ao 33' how) —'� 0 SHEET 2 OF 2 FILE NO. FOLDER PROJECT NO. 92208 M, REVISIONS 1 0 FDRAWN BY SHP � A y 1 rn 0 r N SCALEI INCH Ea 72 James R. Hill, inc. PLANNERS / ENGINEERS / SURVEYORS 2500 W. CTY. RD. 42 * BURNSVILLE, MN. 55337 • 612-890-6044 Affidavit I Rob Mueller attest to the fact that at 2002 Safari Heights Trail, Eagan that the new pad footings and the foam insulation for the new garage and laundry room was installed per the revised city plan. Rob Mu - Iler, Owner ' Date Mueller Homes, LLC f3r4* (D53C9 EAGAN CC rl EWED BY:_.__ DATE: 1,0 /SO Z BUILDING i t?S 'ry"' riS DIVISION Mueller Homes, LLC 1944 Safari Trail Eagan,Mn 55122 612-701-7914 Robmueller725@comcast.net 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 Permit#: Permit Fee: Date Received: Staff: 00 Cc L 2012 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: Tenant: 2 S C f' 7Y-1S�fs Suite #: RESIDENT / OWNER Name: -4� /' Phone: S Address / City / Zip: -2 2 �- ," /T'f S 4 /S' 74;e• -•L- CONTRACTOR Name: If c jt y �, (/�! (Gt ,..-, id,, ,.....f. License #: Address: . 27 /c 4 4,,15,4 �„ City: /_c 4- e -c— ' / 7-t State: Zip: .5-5c.% cf.' Phone:-..- Z 7 ( +7 Z Contact: i/ :e -f Email: i)<'t —' r j2/- S• Gyi�,( G TYPE OF WORK New Replacement Repair 14 -Rebuild, Modify Space Work in R.O.W. — _ _ Description of work: CI C/Jt tl -,/-6 i tii61 /5-97 /4-4) PERMIT TYPE RESIDENTIAL Water Heater / Water Softener Lawn Irrigation (_ RPZ / PVB) Add Plumbing Fixtures ( Main / Lower Level) _ Septic System Water Turnaround New Abandonment RESIDENTIAL FEES: $60.00 Minimum Water Heater, Water Softener, or Water Heater (includes $5.00 State Surcharge) Fixtures, Septic System Abandonment, Water and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation $60.00 Add Plumbing *Water Turnaround $105.00 Septic System Turnaround* (includes $5.00 State Surcharge) and $5.00 State Surcharge) TOTAL FEES $ (add $189.00 if a 5/8" meter is required) New ($10.00 per as built) (includes County fee CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.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. x 4-) l �� 1� c, 5 Applicant's Printed Name App if cant's Signature FOR OFFICE USE Required Inspections: Under Groun Rough-ln =:, : Air Test Final r City of Eaaan 3830 Pilot Knob Road Eagan MN 55122 RECEIVED Phone: (651) 675-5675 Fax: (651) 675-5694 OCT 1 9 2015 r Use BLUE or BLACK Ink For Office Use Permit #: / Z364/7 4in Permit Fee: ?c% • et /14--/C- Date 1--/C- Date Received/ .1 .c Staff: 2015 RESIDENTIAL BUILDINGG,/PERMIT APPLICATION 10-11— Date: I0 -11q "IS Site Address: LDD& /Mbel 4L7 /C_.. Unit#: n Res den#! Owner Name: / >r A7 T* ( ,4/,/4 A/057 -0U Phone: W5i .' 0-7/71 Address / City / Zip: ZCOL f//41-4-./4/2.4 C.f ! -7-12,4/L Applicant is: Owner 1K Contractor x Of Word : Description of work. _ i. _aa ' +',••• i, .. "if .Ri*#,AGZ, e)'-'1` � Multi -Family Building: (Yes / No ) Construction Cost: t 1141,00 ntractor Company: ' V e -Leg. / � S Contact: gig- ,i/-?-/'" /' Address: Ig4f 5/ M.) IP -AA . City: /y State: Zip: 5�'/ V- Phone:(jZ-�f $ 5 mail: 4161-Meii 4 License #: Zat193?)8cf(Q Lead Certificate #: • ci"• If the project is exempt from lead certification, please explain why: 1LT AFM -12* 19O? $ viL; i.✓ 91 X 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: NOTE: Plans and supporting currents t( at you submit are conMt � t bn puion Portions of the informationna6l r be classified as r public if ' * u provide sp rc reasons that would permit the ty to .r . onclude 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.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 o - s. Exterior work authorized by a building permit issued in accordance with the Minnes a St. = uilding Co must be completed within 180 days of permit issuance. x Applicant's Printed Name A • cant's Signa re Page 1 of 3 SUB TYPES Foundation ,f Single Family Multi 01 of _ Plex WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25% 100%4 Census Code # of Units # of Buildings Type of Construction. - i / e,1�/y� DO NOT WRITE BELOW THIS LINE Fireplace Garage Deck Lower Level Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Interior Improvement Move Building Fire Repair Repair. Pav REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Roof: _Ice & Water _Final Framing Fireplace: Rough In Air Test itL Insulation Sheathing Sheetrock Fire Walls Braced Walls Reviewed By: RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Final TOTAL Siding Reroof Windows Egress Window Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building _ Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Pool: Footings Air/Gas Tests _Final Drain Tile Siding: Stucco Lath _Stone Lath _Brick Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Fire Suppression: _Rough In Final Erosion Control Other: , Building Inspector 73 '�- y/" 1 a9 Page 2 of 3 City of Eaaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVED FEB 03 NS r Use BLUE or BLACK Ink For Office Use I Permit #: .566 Permit Fee: _c71/r, 7f (l`►° Date Received: ] J) ( Staff: 19C' 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: t 3 - J t(! Site Address: 2 VZ % I jtj &l /L C/4&f Unit #: sid ni! fl ee . Name: A f 4: M/!/ 4/ &)1 57b tJ Phone: ( /'' 1- 1 / 7 l I �) %`T n ,. Address / City / Zip: ZOO 2. 5//f/11./5//f/11./!li't! J Ti 4/ gAGAh Applicant is: Owner x Contractor work Description of work.4 CE J t4A4,,5 J, Mf � .ef JW # 4 E/ AA ibi91/41. Ti Construction Cost: Z2., G�f� --- Multi -Family Building: (Yes / No> ) or Company: M UsLC. 12. ji r `LS Contact: 4e...6 M6spiJ K. Address: 1 74+ 4/,'P_/7)204/z-- tii� City: is �' State: Zip: �cJ 2� Phone:3�,-►,. ` 3(61 Email:l'C1� qR 4C i f�. QQQQ� License #: Z�6 C/DcI % Lead Certificate #: i e.,i 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: NOTE Plans dsupporting dos ayou s it are considered to a ®i . ., � h ilrn the inform • n air be -class! li l # u provide s e f" ld t e cot chid -. they e s= w to . 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.00pherstateonecall.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< at' Building Code mu; be completed within 180 days of permit issuance. Applicant's Printed Name A. •lice is Signatu e Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation )( Single Family / Multi 01 of _ Plex Fireplace Garage Deck Lower Level WORK TYPES New Interior Improvement Addition Move Building 1( Alteration Fire Repair Replace Repair Retaining Wall DESCRIPTION Valuation Plan Review (25% 100%y Census Code # of Units` # of Buildings Type of Construction REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Roof: _Ice & Water Final Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width xFraming Fireplace: Rough In Air Test Final Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Reviewed By: Siding Reroof Windows Egress Window Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required ,)C Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Pool: Footings Air/Gas Tests _Final Drain Tile Siding: _Stucco Lath Stone Lath Brick XWindows Retaining Wall: Footings _ Backfill _ Final Radon Control Fire Suppression: Rough In _Final Erosion Control Other: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL vt,, l t 7) is o Page 2 of 3 City of EaQali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink 1 /1 For Office Use I /��Permit #: 7 Permit Fee: C2 ( " C) Date Received: Staff: 2016 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 5-2, /6' Site Address: 20 2 5ci E7'1 /'-‘1 t f 7S7 Tenant: J Suite #: M • ,Owner ess Name: o6-11. r�t y c� ,- C . Phone: Address / City / Zip: Z �,"✓(/ S Contractor ri � 1C < .� Ic2 ,q" 1 7L'6S License #: -- 7 u 7` C Name: ll Address: 3 2 ? ! - G�444/"f 4e �- City: Z G/ •cU �7( c State: ��%� Zip: � �x Phone: Csa�Z �G� �c� 7 (Z. Contact: l G-rC 4_f Email: GxJC r( Iir'",/GL .4-2 e6;47 -27;‹,e. hype of We � ,.7.V New Replacement Repair ) Rebuild Modify Space Work in R.O.W. — — — Description of work: fe-:-%7j �c ( /-----7 CS ' te:' 71<'✓�.- mit Type ...; ° RESIDENTIAL Water Heater Water Softener Lawn Irrigation (— RPZ / PVB) Add Plumbing Fixtures ( Main / Lower Level) — Septic System — Water Turnaround —New — Abandonment RESIDENTIAL FEES: $60.00 Water Heater, $60.00 Lawn Irrigation $60.00 Add Plumbing *Water Turnaround $115.00 Septic System Water Softener, or Water Heater and Softener (includes State Surcharge) Turnaround* (includes State Surcharge) TOTAL FEES $ (includes State Surcharge) Fixtures, Septic System Abandonment, Water (add $280.00 if a 3/4" meter is required) New (includes County fee and State Surcharge) 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.ord 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 Required Meter Ilei Meter C Date: Tenant: City of Eap 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 3lztIIts r Use BLUE or BLACK Ink For Office Use Permit#: / 36-5 Permit Fee: �% c� ' 00 Date Received: Staff: 2016 MECHANICAL PERMIT APPLICATION 0 Please submit two (2) sets of plans with all commercial applications. Site Address: 1.001- s hdd-r tkls Y kok., Suite #: Phone: Address I City / Zip: Name: (si41/4t— Wt €n I l'\vff License #: tM S cb SO (t� Address: it 1500 0 EV 0f '1c City: %A/Erg-64 State: itvv14 Zip: 'SSati` Phone: US t - "1-1-Asr O' V) Contact: (Af—\S Email: , ~, ‘AV PX- : wnesn��Gn New Replacement Additional `y Alteration Demolition Description of work: -ct tiM t fl - U ATS SvoeikeYJ RESIDENTIAL Furnace Air Conditioner Air Exchanger Heat Pump Other COMMERCIAL New Construction Interior Improvement Install Piping Processed Gas Exterior HVAC Unit Under/Above ground Tank ( Install / _ Remove) RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge $100.00 Residential New, includes State Surcharge = $ TOTAL FEE COMMERCIAL FEES $60.00 Permit Fee Minimum $70.00 Underground tank installationtremoval Surcharge = Contract Value x $0.0005 If the project valuation is over $1 million, please call for Surcharge I hereby acknowledge that this information is complete and accurate; that the work will be in confo Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start wi with the approved plan in the case of work which requires a review and approval of plans. Contract Value $ x .01 = $ Permit Fee = $ Surcharge = $ TOTAL FEE rmance the ordinances and codes of the City of x C 1-k,S (1.*.P.axv Applicant's Printed Name x rmit; that the will be in accordance Appii City of Eaa 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVED FEB 1 2 2016 Use BLUE or BLACK 11 01 For Office Use Permit #: Permit Fee: Date Received: Staff: 2016 COMMERCIAL BUILDING PERMIT APPLICATION Date: t2 '- ICS Site Address: Tenant Name -M-6/6 L9C1(--10 �1-3✓(Tenant is: New / Existing) Suite #:1"411-0-4UM 5riAfa V/$ Former Tenant: P12...i 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. x Applicant's Printed Name Page 1 of 3 Name: L kl Lt._(=C�1 -P-C � L Phone: � S � . Address / City / Zip: [ r37. -C. / Z- ' Applicant is: OwnerGontractor Type of Work a X` Description of work: �--M ,j z ti- Construction Cost: \2 ( 5-60, L1 ContractorAddress: Name:42/50 l..:tjtiWTIIK- Ars A` • 1 License #: 3 331 3" l32 1.. City: • r State: 1A4Zip: Phone: (6-1:;)(c-> .. =f2- �� ` uv\W4 � Contact: Email: � ► �� er Name: f'1t2r-"1t'(\ Registration#: Address: QD ( - ,•-•City: p C ---S State: 6 Zip:3" �' Phone: ICJ( NZ-- `f3 % 66 3� Contact Person: ift?-/ l4 Email: Licensed plumber installing new sewer/water service: Phone #: NOTE: s and supporting do c ``that you tare +ct nsidereal to b public i» i oration theinformation ma b e clad • s none bl�tt if . • u provide sp: • ns that • • con • e • ✓ o f qty to 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. x Applicant's Printed Name Page 1 of 3 E41C: C6% dw O DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation V Commercial / Industrial Apartments Miscellaneous WORK TYPES New Addition Alteration Replace Salon Owner Change DESCRIPTION Valuation Plan Review (25% 100% " ) Census Code #of Units # of Buildings Type of Construction Public Facility Accessory Building Greenhouse / Tent Antennae Interior Improvement Exterior Improvement Repair Water Damage REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Decking _Insulation V Framing Fireplace: Rough In Air Test _Final Occupancy Code Edition Zoning Stories Square Feet Length Width _Ice & Water _Final V' Insulation Meter Size: Exterior Alteration -Apartments Exterior Alteration -Commercial Exterior Alteration -Public Facility Siding Reroof Windows Fire Repair Demolish Building* Demolish Interior Demolish Foundation Retaining Wall *Demolition of entire building - give PCA handout to applicant ✓ %Sheetrock MCES System V SAC Units City Water v' Booster Pump PRV Fire Sprinklers or' Final / C.O. Required Final / No C.O. Required ✓ Other: F/1 .`%DPP/lk/�' Pool: Footings _Air/Gas Tests Final Siding: Stucco Lath _Stone Lath Brick Windows Retaining Wall Erosion Control Concrete Entrance Final CIO Inspection: Schedule Fire Marshal to be present: ✓ Yes No Reviewed By: nth /4 , Building Inspector Reviewed By: L/ , Planning COMMERCIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC S&W Permit & Surcharge Treatment Plant Treatment Plant (Irrigation) Park Dedication Trail Dedication Water Quality 3oR.75 tel -3 2/16r:04 / /0. d -o 2. 47 ra Storm Sewer Trunk Sewer Trunk Water Trunk Street Lateral Street Water Lateral Other: ltt tiefiriedrflo FM fit; .3 ' 1.7 "" IVD/tk- eixo Sts ilv6. atreF Pros-tr. /SSt/47vc6 (/36. a/Ga, 5t/8P. 8) TOTAL � 167.31 Page 2 of 3 Dale Schoeppner Chief Building Official City of Eagan 3830 Pilot Knob Road Eagan, MN 55122-1810 Dear Mr. Schoeppner: March 20, 2016 The Metropolitan Council Environmental Services (MCES) Division has determined the SAC to be charged for the wastewater capacity demand for Studio Vibe to be located at 1975 Seneca Road, Suite 500-600 in Seneca Building within the City. The City will be charged SAC as determined below. Charges: Fitness 2939 sq. ft. @ 2060 sq. ft. / SAC Office 103 sq. ft. @ 2400 sq. ft. / SAC Credits: SAC Units 1.43 0.04 Total Charges: 1.47 Office / Warehouse (Grandparent 1965) 3876 sq. ft. x 80% usable space x 30% @ 2400 sq. ft. / SAC 3876 sq. ft. x 80% usable space x 70% @ 7000 sq. ft. / SAC Total Credits: Net SAC: 0.39 0.31 0.70 0.77 or 1 SAC Due The business information was provided to MCES by the applicant at this time. It is also the City's responsibility to substantiate the business use and size at the time of the final inspection. If there is a change in use or size, a redetermination will need to be made. If you have any questions email me at Cory.mccullouphe.metc.state.mn.us. Sincerely, Cory McCullough SAC Program Technical Specialist CM: tj: 160318A6 (688550, 391718) Determination Expiration: 3/18/2018 cc: Peggy Fleck and Amy Griffin, City of Eagan Kathy Gruett, Linvill Properties, Inc. File, MCES 390 Robert Street North I St. Paul, MPJ 55101- 805 Phone 651.602 1000 j Fax 651.602. 550 I TTY 651.291.0904E metrocounciLorg An Equni Op/ ortcxtitj1 Errt /ayer Ips,R1'11li[ 11 19 i'lltei I it /01E.iA;di k4 119 ER i 0 i pi A III III il r!Oh ¢ '21 NN- - E o,w i, < I 1119i S ,� R Rb n_ p6 9 1 pgpg ygyg 6 ! /9 .snaan5nsI kit 1 Larson Larson Specialty Structures, Inc 184 South Lake Drive Leesburg, FL 34788 Internetenpineering@comcast.ne I hereby certify that thls plan, specification' or report was prepared by me or under my direct supervision and that I am a duly Licensed Professional Engineer under the laws oX the State of Minnesota. Wayn Date_ arson - fi9x1-1g- Ct. - T • arson Larson Speclalhi Structures, Inc 184 South Lake Drive Leesburg, FL 34788 tnterneeflqIfleerIfl9@COmCUt.ne I hereby certify that this plan, specification or report was prepared by me or under my direct supervision and that I am a duly Licensed Professional Engineer under the laws of the ate of Minnesota. , 19 liVeyne Date_ ase1 AN 6' el 51-05. . No. , Etrt _arson Larson Specialty Structures, Inc 184 South Lake Drive Leesburg, FL 34788 internetenpineering@comcaast I I hereby certify that this plan, specification or report was prepared by me or under my direct supeMelon and that I em a duly Licensed Professional Engineer under the laws of the State of Minnesota. e Wayn Date:_. 2.0CS atm L- G l‘` D- }J,ktv it eizet4,s 4415-riaL F1 tr..1,_csr.,—• kez,.loowi The existing fireplace wail and adjacent panels will still provide adequate bracing to meet current wall bracing requirements. rson Larson Specialty Structures, Inc 184 South Lake Drive Leesburg, FL 34788 InternetengineerIng@comcastn t hereby certify that this plan, specification or report was prepared by me or under my direct supervision and that I am a duly Licensed Professional Engineer under the laws of the State of Minnesota. Way Date /;_uceme17631 City of Ea�all 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 JUN 0 91916 r Use BLUE or BLACK Ink For Office Use Permit #: / 7/5' (� " Permit Fee: C> / / ,: b .21/b Date Received: Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: (0-9 US Site Address: 240 2, y `, l �7J j ' `� Unit #: Resident Owner Name: _ Address / City / Zip:01_01.11.j ] //o /G A10, t 07'2..Z Applicant is: Owner Contractor Description of work:,06 Air/lejleib ��j°1 Company:MIO L Z J 65 Contact:RI* Aiti2.1p-41.44. 4delrtz-,:a4 Address: 1744 94 -F -Arai IL City: ��% (QIL. State: % Zip: Oita Phone: 3T¢ --2 � Email:: License #: ZOO egscgo Lead Certificate #: If the project is exempt from lead certification, please explain why: Phone: Cps 1- L -7 f0 /4A/` Construction Cost: 1 3L Multi -Family Building: (Yes / 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, Plans and supporting documents that` you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the 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.00pherstateonecall.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 ust be conypleted within 180 x iii/ Applicants Printed Name A Ii ant's Signatur 1 014 days of permit issuance. Page 1 of 3 C�O NOT WRITE BELOW THIS LINE SUB TYPES Foundation 7i Single Family Multi 01 of _ Plex WORK TYPES New d Addition Fireplace 17.4. Garage Deck SCJ Lower Level Porch (3 -Season) Porch (4 -Season) if Porch (Screen/Gazebo/Pergola) Pool y Interior Improvement — Siding Move Building Reroof Windows Egress Window Alteration Fire Repair Replace Repair Retaining Wall DESCRIPTION Valuation Plan Review (25% 100% " ) Census Code # of Units # of Buildings Type of Construction /17e) REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation / 37/51' Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant Occupancy LT? 1C - Code Edition Zoning Stories Square Feet Length Width Roof: y% Ice & Water '- Final Framing 30 Minutes )(s 1 Hour Fireplace: y> Rough In Air Test ( Final Insulation Sheathing Sheetrock Fire Walls ?' Braced Walls X; Shower Pan Reviewed By: iv) % MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required Final I No C.O. Required HVAC Gas Service Test Gas Line Air Test Pool: _Footings _Air/Gas Tests Final Drain Tile Siding: _Stucco Lath _Stone Lath _Brick ' Windows Retaining Wall: — Footings Backfill _ Final Radon Control Fire Suppression: _Rough In Final Erosion Control Other: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL it )'/'C'' It 5-0 . n o 3y • e"o- hen Ap) -/-i vN (elle" X 9' 8" X ' • fT� chev, Tern 3/e 2 0.0 s /4-7. Lat e;zs t: veL- '75-1 'X zo-da ST•t`fi • Page 2 of 3 N EYOR'S CERTIFICATE -----91-9-7--144. 11 999,7 99>, 0 ro00 7 N GH TS MITTELSTAEDT -4-g" N C k MARK - TOP OF PIPE =1001.81 Sti f Lel /7/51 EROS. CO NST, EA•GAN REVIEWED ay kVA NATE ;Ci Cl._.... iy' 11 ORNPOS O 0 0 1004.3 --13.06 N10007' 33" W BENCH MARK TOP OF PIPE 1007.00 x1003.5 10 > 24.53 6 '6', r\� N N LOT I 1002 o (l P/, o,ok))(i it C m 0 -p SCALE ( INCH ='p'''F�Tr` James R. Hill, inc. PLANNERS / ENGINEERS / SURVEYORS 2500 W. CTY. RD. 42 • BURNSVILLE, MN. 55337+ 512-890-6044 City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use�� Permit #: Yj C Permit Fee: CD° Date Received: Staff: L 2015 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: � 2 s/ t� / f,5 f S 7 /' Tenant: Suite #: QSI tJCiW Ilrlr .. ', Name: 7474- 'Gt ."- X4,4 Phone: Address / City / Zip: 2C:3C, 2- �� C: r^:1 (- , 91 S 14. -- iactC?r Name: Aeiceic ", firms-- :X. -c, Lr 4 J License #: #G-‘ ' ..2‹.4'-' Address:203 2 '7 /7 G -a .‘c.,�, frit4-...._City: .�-: -c r-i`/lam S Phone: 6j 2- 7G( .g 4" 7 `2— State:,27'-1.. Zip:15c-74`ee Contact: e, rc-z f Email: /)C).(rZiJ)----20%Gr ,11-}- 7-1c.%c a f;1iN0 z, — New Replacement Repair Rebuild Modify Space Work in R.O.W. — — — Description of work: i(c . e ( .e` R.— LS 4 /3c -$ es-, 7 1 /4 ka -°' RESIDENTIAL Water Heater Water Softener Lawn Irrigation (— RPZ / PVB) Add Plumbing Fixtures ( Main / Lower Level) Septic System — Water Turnaround New Abandonment RESIDENTIAL FEES: $60.00 Water Heater, $60.00 Lawn Irrigation $60.00 Add Plumbing "Water Turnaround $115.00 Septic System Water Softener, or Water Heater and Softener (includes State Surcharge) Turnaround* (includes State Surcharge) TOTAL FEES $ (includes State Surcharge) Fixtures, Septic System Abandonment, Water (add $280.00 if a 3/4" meter is required) New (includes County fee and State Surcharge) 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 Wer /tai—GcC s Applicant's Printed Name Applicant's Signature tan, BPOCITICaUOfl or under my direct supervision and that I am a duly Licensed Professional Engineer under the laws qfjbe State of Minnesota. 1t'2. M44L 1-tpc PERMIT City of Eagan Permit Type:Building Permit Number:EA177972 Date Issued:07/27/2022 Permit Category:ePermit Site Address: 2002 Safari Heights Tr 1 Lot:1 Block: 2 Addition: Safari Estates 2nd PID:10-65851-02-010 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. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the water damage. 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 - Matthew P Tste Anagnostou 2002 Safari Heights Trl Eagan MN 55122--300 (651) 491-7190 Kaufman Sheet Metal Roofing 2521 24th Ave S Minneapolis MN 55406 (612) 722-0965 Applicant/Permitee: Signature Issued By: Signature