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2010 Safari Heights Tr3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Data Received: Staff: 2011 MECHANI AL PERMIT APPLICA QN Date: Site Address: _ t2/i' ; , `� �� t:�-- Tenant: RESIDENT I OWNER CONTRACTOR Suite 1r Name: Phone: Address / City /Zip: Name: Address:` / / Kr State: 1L Zip: Conte TYPE OF WORK New Replacement Description of work: i nee #: z1Qia(oow y: Phone: 933- %7/7 Email: Additional Alteration Demolition ivge� _its Ole WI* PERMIT TYPE RESIDENTIAL FEES: $55.00 Minimum! Add-on or alteration to an existing unit (includes $5.00 State Surcharge) 595.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) RESIDENTIAL Furnace Air Conditioner _ JrAExchanger Heat Pump Other #161, /i.L, B � rn�srrm New Construction install Piping Gas COMMERCIAL Interior Improvement Processed Exterior HVAC Unit Under / Above ground Tank L.. Install I Remove) "When installing/removing tank(s), ca i for inspectbn by Fire Marshal and Plumbing Inspector COMMERCIAL FEES: 575.00 Underground tank installation/removal OR 555.00 Minimum (includes State Surcharge) - Kthe Permit Di is less than $10,010, surcharge Is $ 5.00 - If the Permit ,Fge„ is > $10,010, surcharge increases by $.50 for each 51,000 Permit Fee p.e. a 510,010.511,010 Permit Fee requires a $ 5.50 surcharge) .66;4V - TOTAL FEE Contract Value $ =5 =5 x1% Permit Fee Surcharge =g lC/I TOTAL FEE CALL BEFORE YOU DIG. Gall Gopher State One Cell at (651) 4540002 for protection against underground utlrity damage. Cali 48 hours before you intend to dig to receive locates of underground utilities. www,000herstateonecall,orq I hereby admowfedge that this information is complete and secure*: that the work will be in conformance with the ordinances and codes of the Ciy of Eagan; that I understand this Is not a pert, 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 pia,.,.. x oa e D'l,L1.v A Cs Printed Name ant's Signature T •d 617686E62SG 9WI13W111d NOSdWOHl %/ 8E:6 TTO2 C2 unC City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink Permit it: t / 7 1 Permit Fee: �� 1 Date Received: Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION LL /% Date: rc •/ - ll Site Address:261/f%c52TC!AW /fr/-S rfiee/f Unit #: RESIDENT / OWNER Name:Mx x # "de- Phone: 4s.• "levier' / Address / City / Zip: 020 ie sd e„;., e /k7S 7 t7,'l �/ Applicant is: Owner XContractor TYPE OF WORK Description of work: fr/46e pj�l,'s )r f%ik. w.141 t/`$C(j"M�''�dk:i Construction Cosi/ Multi -Family Building: (Yes / No )' ) CONTRACTOR Company: f / Gep,5 7c j'7116,74---__Tfr Il - Contact: dam(/. V. Address: /d 70 (Q' 571• . C(/ City: 6420W "'Op o'S State:/SV Zip559 /v Phone: 743 - 7$5 • 9/3 5 License #: /A:9Y Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, Yes No If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: 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 they 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.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 Dce J F€ Applicant's Printed Na x Applicant's Signatur Page 1 of 3 ,ca/%SA&R;H er DO NO WRITEBELOW THIS LINE • SUB TYPES Foundation \ Single Family !_ Multi 01 of _ Plex Accessory Building WORK TYPES New Addition xAlteration Replace Retaining Wall DESCRIPTION Valuation Plan Review Fireplace Garage Deck Lower Level Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool 1G —p .rt (1'D10- Interior Improvement Move Building Fire Repair Repair (25% 100% x) Census Code # of Units # of Buildings Type of Construction V'6 l7 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 Insulation Sheathing Sheetrock Reviewed By: Siding Reroof Windows Egress Window Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* _ Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant VP a-vL)7 MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Other: Pool: _Footings Air/Gas Tests Final Siding: _Stucco Lath Stone Lath Brick _Final Windows Retaining Wall: Footings Backfill _ Final Radon Control Erosion Control , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL 00Ic 115,Cy 6.CX2(.7 /47°0 gv K3,i(20 Page 2 of 3 0070 59 -A -k, 1,�n+s 7�. q q /-7(1 (7H- 57 994.8 BENCH MARK TOP OF PIPE ELEV?987.83- . 1) \ '0(1) 985.0 984.4 4, 4)*969 6 Gyr a2 T2s S Oo 96 e3, L�L C9 990.9 op 996.4 04) /1 e/a- %00/-?j x 1001.5 998.0 c/2 g4 I- -- 1' r 1 35.30 -- N85°0112 2"W I'Th\itr i /2 BENCH h TOP OF ELEV.=� MI ninon City of Evan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit Fee: z/5.( Date Received: Staff: 2010 MECHANICAL PERMIT APPLICATION Date: Date: �77zZ fel Site Address: 20/0 3u1 VT�%I '✓s [rJ/ Tenant: MCA $kitice veyeAte( RESIDENT / OWNER CONTRACTOR Name: Ma* * kv e mei Suite #: �'L /Phone: Address / City / Zip: ?t (0 St) 12 TYCOl Name: Celdnatie • 17/6/Theo Address: 7402AM 40-e State: — Zip: 65 Phone: Contact: Email: License #: City: afea152-441- TYPE OF WORK PERMIT TYPE koe/a4e eCe,e/ fiti'_ awl New R� Iacemen Additional //Altaton, Description of work: fP a L°l � oc / ( NOTE: Roof mounted and ground rr Code. Please contact the Mechanical l Demolition 4 RESIDENTIAL Furnace Air Conditioner Air Exchanger Heat Pump 1/ Other Dtifirlt /i� 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 Contract Value $ x 1% - If Permit Fee is Tess 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). = $ 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.gopherstateonecaliorg 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: without a pe mit; that the work will be in accordance with the approvedov�plan in the case of work which requires a review and approval of plans. / tel/ I`�tA� Applicant's Printed Name IIrections: _Under Ground Rough In _Air T Applicant's Signature iar HVAC :Ser eenina 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink 130 00001100 Penni*: 94/6 3 Date Received: Staff: 2010 RESIDENTIAL PLUMBING PERMIT PPLICATION Date: 0.;../0)-0/0 Site Address: 24/0 f C, Tenant: " `4 Surae l5: RESIDENT 1 OWNER Name: .-kiC.. - G�.it - Phone: Address 1 City / Zip:f-'/K'C 7-ee_ic_fifl Cr!, S6 l -- CONTRACTOR CONTRACTOR Narne: Licenses: 6'5LZ1a27047 THOMPSON PLUMBING CORP /..7— __•Z —70Address: 1,5.001 miNNFTONKA IND. RD. City: MINNETONKA, MN 55345 9' — ,_793- 7 7j7 State: Zip: Phone: Conteril�irr(I�iG. ' ' mall: i &U1 vl.e «'l 'tkilt f trio n .1'�I TYPE OF WORK 1 '/ f New -VReplacernent (Repair Rebuild Modify Space _Work In R.O.W. T _ Description of work: PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation Add Plumbing Fixtures (_,_, RPZ /— PVB) (<:, Mein Lower Level) Septic System Water Turnaround New Abandonment RESIDENTIAL FEES: 550.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation $50.80 Add Plumbing 'Water Turnaround $100.50 Septic System 690.50 Fire Repair (replace (includes 150 State Surcharge) • Fatures, Septic System Abandonment, Water Turnaround" (includes 150 State Suicherge) (add $166.0D if a 5l8" meter is required) New (610.00 per as built) (includes County fee and $.50 State Surcharge) burned out appliances, ductwork, etc.) (includes 150 State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG, Cali Gopher State One Cali at (651) 464.0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.nopherstateonecall.orq i hereby acknowledge that this Information Is complete and accurate; that the work we be in conformance with the orarmnoes and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and vwrk 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 a • plana. x Qa.stwv2 Li&ak Applicant's Printed Name 4 54'63 O ' d 61,686E62GS 9N I HWfl1d NOSdWOHl TECI 0102 22 un[ ellb City of Eaaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 AIN 07 RECD r Use BLUE or BLACK Ink Permit #: Permit Fee: 614q Date Received: Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: C` 71.e Site Address: D(Q 5r 'e/,.. /5f, %ra rf Tenant: Suite #: RESIDENT / OWNER Name: Mil 94 rede 461ole--. -- I?hone:6 . Address / City / Zip: .6507(‘,/,..4 /4, tie,fYS 7/.VJ „IVO Applicant is: Owner`Contractor TYPE OF WORK Ph Description of work: /10e.g.earW k`ICG4e,z-. 12:,/, ,4 i Construction Cost: ?�ero Multi -Family Building: (Yes / No ) CONTRACTOR Name: .,..�,, , ` i y License #: / ©V Address: /.3/2 7e, ti,.. (,,(f 4/ City:i6v�/Qr. (5. State: 74(v" Zip: 55 ' ' Phone: 3 -765 - f/ %/� p74 Contact: parG•Yf;G7 Email: �Je *4 ' F '0 65 COMPLETE In the last 12 months, has No If yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING the City of Eagan issued a permit for a similar plan based on a master plan? date and address of master plan: _Yes Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE Plans and umts erect to be lic information Portions of enthat you submit are cons pub supportingNdocd as on the information °maybe classifien-public if you provide specific reasons that would p =the;City to . .. uconclude:that=they are tradeh ecrets. CALL BEFORE YOU DIG. Call Gopher State One CaII at (651) 454-0002 for protection against underground utility damage. Cali 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 l 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 lans. x DcU JP-ei Applicant's Printed Na,) x ae4/ Applicant's Signatur Page 1 of 2 9 / i ffe f ► � r � DO NOT WRITE BELOW THIS LINE qtgio SUB TYPES Foundation Single Family Multi 01 of _ Plex Accessory Building WORK TYPES New Addition jt Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25% 100% Census Code # of Units # of Buildings Type of Construction Fireplace Garage Deck Lower Level Interior Improvement Move Building Fire Repair Repair 1 Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool 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 1- Fireplace: _Rough In Air Test Final 5 Insulation Meter Size: Reviewed By: frg/ 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 Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant ZRc- ix0% F av MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock Final / C.O. Required Final/ No C.O. Required • HVAC Other: Pool: Footings Air/Gas Tests _Final Siding: Stucco Lath _Stone Lath Brick l` Windows Retaining Wall: _ Footings _ Backfill Final Radon Control Erosion Control , Building Inspector 30.k, 0 9i ? ?v k t Tct*L/y Ril.tira,44,4 Q A.0.4" 36019 Page 2 of 2 SEWER & WATER PERMIT CITY OF EAGAN 3830 Pilot knob Rd. Eagan, MN 55122-1897 DATE FEB 3, 1992 OFFICE USE ONLY METER,#,/ PERMITDATE 2/04/92 CHIP PERMIT # 12528 / C METER SIZE 511? 5-ed 314 B.P. RECEIPT # 1-71 ISSUE DATE 3 - / u B.P. RECEIPT DATE 02/03/ 92 _ PRV -BOOSTER PUMP SITE ADDRESS 2010 SAFARI HEIGHTS TR LOT 3 BLOCK --L-SEC/SUB SAFARI ESTATES 2ND APPLICANT: ADDRESS:- CITY, STATE PHONE: - ZIP PLUMBER: MCDONALD PLUMBING ADDRESS: 18271 KENWOOD TR CITY, STATE LAKEVILLE MN Zip 55044 PHONE: 435-3334 OWNER: MITTELSTAEDT BROTHERS ADDRESS: 785 SUNSET DR PERMIT REQUESTED X SEWER X WATER - TAPS - COMMJIND X RESIDENTIAL X NEW EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit WILL NOT be given for Deduct Meters. -1001- I AGREE TO COMPLY WI CITY OF EAGAN ORDINANCES a. '- . , A, 'T-1 . . ? CITY, STATE EAGAN MN ZIP 5 PHON,: 456-9125 NATURE W N MET S UE PL SLOW TWO WORKING DAYS R PROC SSNG. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. /? SEWER & WATER PERMIT CITY OF EAGAN 3830 PHot Knob Rd. Eagan, MN 55122-1897 DATE FEB 3. 1992 METER # - CHIP # - METER SIZE ISSUE DATE PERMIT DATE 02/04/92 USE ONLY PERMIT # 12528 I B.P. RECEIPT # r~' 1 C B.P. RECEIPT DATE 02/03/ 92 PRV -BOOSTER PUMP SITE ADDRESS 2010 SAFARI HEIGHTS TR LOT 3 BLOCK 2 SEC/SUB SAFARI ESTATES 2ND APPLICANT: ADDRESS:- CITY, STATE PHONE: ZIP PLUMBER: MCDONALD PLUMBING ADDRESS: 18271 KENWOOD TR CITY, STATE LAKEVILLE MN ZIP 55044 PHONE: 435-3334 OWNER: MITTELSTAEDT BROTHERS ADDRESS: 785 SUNSET DR CITY, STATE EAGAN HN ZIP 55123 PHONE: 456-9125 PERMIT REQUESTED X SEWER X WATER _ TAPS _ COMM/IND X NEW X RESIDENTIAL EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit WILL NOT be given for Deduct Meters. I AGREE TO COMPLY WIT t4 CITY OF EAGAN ORDINANCES SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. ?n?e.;:;:-y+a-;r?r-• _ .,,???; .??. -..?..?-..,, .... .,?T,,,_ __„P,yg'°?'{q?,rwrv"?11SFn'''a''a`?'. d?w-•: r.'?fn . CITY OF EAGAN - ?, 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ? .200, 80 ' PHONE: 681-4675 BUILDING PERMIT Receipt # To be used for SF DWC/GAR Est. Value $181,000 Date FEB 3 1992 Site Address 21 Lot 3 Block Parcel No. Name P LTTtl.STAL Ti' d111VT l AS u7 Address 785 SUNSET DR EAGAN Nita zP '& a'L e. a IV cc Name awrr a Address cky Zlp Phone S License # 0003443 I hereby acknowlege 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 Permitee - ?` A Building Permit is issued to: KITTELLSTABDT >d>t0'I'HERS on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official OFFICE USE ONLY Occupancy R-3 ice- I - FEES Zoning E Bkj8' Permit 923, (Actual) Const V-N Surd-ge 90.50 (Allowable) VV=N Plan Review 600.00 # of Stories , Lkense 5.00 Length Depth "I SAC, City 100.00 S.F. Total SAC, MCWCC 700.00 S.F. Footprints 675.00 On Site Sewage Water Conn On Site Well Water Meter 95.00 MWCC System X 30.00 City Water x Acct. Deposit PRV Required S+WPermit 3O•? Booster Pump SNV Surcharge Treatment PI 300.00 APPROVALS Road Unit 380.00 Planner Park Ded. Council Bldg. Ott. Copies Variance - TOTAL 3,929.00 Permit No. Permit Holder Date Telephone # w ??V r? l / 'T 7 PLUIbBIWG ' ?5 ?3J -3d3 WAC ELECTRIC av ELECTRIC Inspection Date Insp. Comments Footings I 2• y.9 2 Foundation 2-.7 7a Framing Roofing Rough Plbg. Rough Htg. Isul. 3 3 92 ?S Fireplace Z "p2 p dJ S / d/ G??? Final Htg. Orsat Test Final P lb9- Plbg. Inspector -Notify Plumber Const. Meter Engr./Plan Bldg- Final Deck Ftg• ?X7 Deck Final wen p _ Pr. Disp. •j r • x? !i ?mrfxftratr of (Orrupaury Citp of Qlagan Rqmtund of %dWmg 3mvrrtimt This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of inmwe this structure mw in compliance with the various ordinances of the City regulating building construction or use For the foAowing• U,a oo SF DWG/GAR BWg.hrmKNo 20080 T* R-3 M-1 Tome{ DWria E 7hm cow V-N Ow""demift MITTELSTAEDT BROS Add= 785 SUNSET DR aad*Ad&. 2010 SAFARI HTS TR Lb?3, B2, SAFARI ESTATES 2ND m, n ?! (1 ?) Dew APRIL 16, 1992 POST IN A CONSPICUOUS PLACE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: All 101 Hri 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESSz t APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: It INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. F 4-- , i w$ 3- T Y Permit No. Permit Holder Date Telephone N ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE /V Ct I FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL t ' r INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: I { f,,` t. t F APPLICANT: r trtt0llalt)y Aar tifNl:C'A IIILl ; {f+!?! Sit-4?AA PERMIT SUBTYPE: TYPE OF WORK: fill 1111141 I ii /o t /9" N.f w fFktl LOT LIM INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. I•t i lJ?. Fitt I Plt, , i? ?? t f41? - !11!1:{I ! i't l{ { r, Permit No. Permit Holder Date Telephone • ELECTRIC PLUMBING 7 Sa`?S6S HVAC /Q tT! _ Inspection Date sp. Comments FOOTINGS -T -q-7 AA3 FOUND O1r? FRAMING k??6/ ROOFING ROUGH PLUMBING PLBG AIR T AEST Z J .0 16 ROUGH HEATING 22-X;77 GAS SVC TEST INSUL GYP BOARD FIREPLACE 7-. FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL / Glad/? BSMT R.I. BSMT FINAL DECK FTG lGa ?, v1 GGCJ DECK FINAL or... "-% Wertificate of CccupancV WitV of *Rgan arbacut of ZKOWS 3x6pection This Certificate issued pursuant to the requirements of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: Ux Classiruaum: SF DWG Bldg. Pertni( No. 30856 Occupancy Type R 3 U-1 Zooing District R-3 Type Cont. Vn G M HOMES 15025 GLAZIER AVE., APPLE VALLEY MN Owterof Building AddRss 3737 BURGUNDY DR L1, B5, SENECA H1LLS Building Add RSS Lnolay Date. Building Official POST IN A CONSPICUOUS PLACE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: I ( It T Nil ?3$30 Pilot Knob Road Permit Number: ' Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: I Ali f }II I'iti I It PERMIT SUBTYPE: TYPE OF WORK: irrr,rtl1• DATE INSPTR. INSPECTION TYPE DATE INSPTR. ------------- 1414ARKFr. A SEPAPAr£ PFRMT7 l5 pr.wplrF0 FOR ANY PI11HOING 01: 1 If 4-1Rlt'Af 1.1010 Permit No. Permit Holder Date Telephone A ELECTRIC PLUMBING 9 ??Q HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING 7 ROOFING ROUGH PLUMBING AAA PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL I Addtess:'•2010 SAFARI HTS TR Lot 3 Blk 2 Sec/Sub SAFARI ESTATES 2ND These items were/were not complete at the time of the final inspection. Date: APR 16 1992 Yes No TnqPPrrnr, Ox Final grade (6" from siding) Permanent steps - garage Permanent steps - main entry C/ Permanent driveway v Permanent gas / Sod/seeded grass Trail/curb damage Porch 0 Basement finish 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. White - City copy Yellow - Resident copy Pink - Contractor copy ? 3 8 2 a, ,? o0 Request Date ?ry 7 Fire Roug + Inspection Re aired? ? Ready No. WilI Nobly Inspector Wh R d ? ^ L? - Yes El No en ea y 119 licensed contractor ? owner hereby request inspection of above electrical work at: Job Address (Street. Box or Route No.) City aS FW Section No. Township Name or No. Range No. County Occupant (PRINT) Phone No. ? t rA C- `l Power Supplier ,p ?/ Mtlress Electrical Contractor (Company Namel Contractors License No. Mailing Address (Contractor or Owner Making Installation) Author Signature I omractor)Owner Making Installation) P one Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT Griggs-Midway Bldg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD IS21 University Ave., St. Paul, MN 55101 UNLESS PROPER INSPECTION FEE IS Phone 1612) 6024600 ENCLOSED. J 06382 REQUEST FOR ELECTRICAL INSPECTION w See instructors for completing this form on back of yellow copy "X" Below Work Covered by This Request e 'Add Ref. Type of 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 Othee(speciy) Contractor's 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 fnspe0or5 Use Only ? TOTAL Irrigation Booms ?? r Special Inspection Alarm/Communication THIS INSTALLATION MAY BE OR ISCONNECTED-IF NOT Other Fee COMPLETED WITHIN IS MONTHS. I, the Electrical Inspector, hereby Rough-in Date` r?.cr certify that the above inspection has been made. Final oats I ?J al OFMCE USE ONLY This request void 18 months from Pppp, CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 11102008L) PHONE: 681-4675 BUILDING PERMIT Receipt # e Q?? (-'% To be used for SF DWG/GAR Est. Value $181,000 Date FEB 3 19 92 Site Address 2010 SAFARI HEIGHTS TR Lot 3 Block 2 SeCtSu)SAFARI ESTATES 2N Parcel No. Name MITTELSTAEDT BROTHERS Lu Address 785 SUNSET DR City EAGAN MN Zp 55123 Phone 456-9125 cc Name SANE Address City ZtP Phone o License # 0003443 I hereby acknowlege 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 OFFICE USE ONLY FEES Occupancy R-3 N-1 923 00 Zoning E Bug. Permit . (Actual) Const ? Surcharge 90.50 (Allowable) V-N Plan Review 600.00 # of Stories 58' License 5.00 Length Depth 48' SAC. City 100.00 S.F. Total SAC, MCWCC 700.00 S.F. Footprints - 675 00 On Site Sawage Water Conn . On Site Well Water Meter 95.00 MWCC System R 30 00 X Acct. Deposit . City Water PRV Required SAW Permit 30.00 Booster Pump SM Surcharge 0 .5 Treatment PI 300.00 APPROVALS Road Unit 380.00 A Building Permit is issued to: MITTELSTAEDT BROTHERS I Planner Park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg, Off. Copies Building Official raxT? I Illu Variance TOTAL 3,929.00 DATE: FEB 4, 1992 RE:' 2010 SAFARI HEIGHTS TR (MITTELSTAEDT BROTHERS) . x Your Sewer & Water Permit for the above property has been completed. It wilt be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Water Permit for the above property cannot be completed for the following reasons: Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. v?° a-r r ?' j `'CASH FlEC?tPTz ` ^` r _'? F p ; ? ,' L F CITOF It . '' 3830 PILOT KNOB ;ROAD EAGAN MINNESOTA 55122 r DATE, 3 g j . AMOUNT.9 .. ? i? -. .. '.7li' & DOLLARS a 6 ,CASH, CHECK ? , X11 ?7 50 ` , -: q FUND *ECT ?y r, f rs Thank" u BY - ll, 0171361. r?ON 2006 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits are required for each unit 30 .67--l Date / a l 14 l Q Site Address I Unit # Property Owner }Ctc t? ?/VQQL7 N Telephone # (k ) 7U Y Y- 0 % Contractor B URNSVILLE HEATING & A1C, INC. 3451 W. Burnsville Pa way Street Address Suite 120 City Burnsville, MN 55337 T l h # State e ep one Zip Bond #: Expires: The Applicant is Owner X_ Contractor Other Add-on or alteration to existing dwelling unit $ 30.00 furnace -Additional -Replacement _ New air exchanger air conditioner heat pump other _ DEC 0 6 711'1(, Pr 50 $ State Surcharge . Total $ I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a e t; that the will be in accordance with the a?yp\?gyted plan in the c(\ q{\work which requires a review and approval of plan VI.CS(1 in (0 C) Applicant's Printed Name Applicant's Signature (0 W v N I ZW F Vi\ 7 np wX P a? 00 1 e N fM M O TS ?99ze N N-?^\6 09 W SAFARI HEIGH 6 00. ? 9Og ? ?, 7x24 qe ? a 96.11c n g0 P? l a 3? A '^ PROPoSED ? ? v / ?pO I ?a crAPe 0,?/ 0NpPOf i9011 /?o 1 0 a1 (`t9 g9ag rr? c•? ( 5333 2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 y 7ulsfiso4a Please c omplete for: single family dwellings & townhomes/condos when permits z ch unit Date Site Address ? (a) q(Lt C L( ??t7 ? ' Unit # Property Owner 4t)t ff--3 6?n 1 kt 1 Telephone # (&SI ) (OV?0 --LI ;WS tc? Contractor Pf\ r ft t' t(;??t S ( Lo C_ Street Address SStss )4 g b- `3T. w City t1L L l State N j 10 Zip ? ( L Telephone # (? Sa ) 31 . 'l °Z r - Bond 1 N93(0(" Expires: mL The Applicant is - Owner Contractor Other Add-on or alteration to existing dwelling unit $ 30.00 furnace -Additional -Replacement air exchanger ? fair conditioner -New =Replacement other i State Surcharge JUL 0 9 2004 $ .50 Total $ "ti I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the w rk will be in accordance with the approved plan in the case of work which re uires a review and approval of plans. !?•e,l-11/11 ? ? Applicant's Printed Namecant'sfSignatnre 2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan NIN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits are required for each unit Date Site Address Unit # Property Owner Telephone # ( ) Contractor Street Address City State Zip ( ) Telephone # Bond #: Expires: The Applicant is Owner Contractor Other Add-on or alteration to existing dwelling unit $ 30.00 - furnace -Additional -Replacement air exchanger - air conditioner -New - Replacement other State Surcharge $ .50 Total $ I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand 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. Applicant's Printed Name Applicant's Signature U/ q3 PLUMBING (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit Date /C / v 3 -?7 c 4 t 1(L( Unit # Site Address `,ClO Telephone #6?1) ? -?q? Property Owner "?"_.(` ? by-f-\ / {? An O? F Contractor \ ?Z . Address City ?n G State Zip Telephone# (??5)?4 `iu i The Applicant is Owner Y Contractor - Other Septic System _ New - Refurbished Submit 2 sets of plans and MPC license $ 100.00 Includes County fee. Additional consultant fees may apply. Alterations To Existing Dwelling Unit, Including $ 50.00 _ Adding fixtures to lower levels or room additions, excluding water softener and water heater _ Abandonment of septic system _ Water turnaround (+ 5/8" meter if needed - $121.00) Other: _ RPZ _ new installation _ repair _ rebuild $ 30.00 Lawn irrigation system Water softener _ Water heater $ 15.00 replacement additional r- _- - _ ,1-.- ! U E e ?' U, S.9 $ .50 ? ? State Surcharge ?I .J! T tal hY $ o -- --- - _ I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work wiii be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; 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 c plans. \Ak m SCI 1DC)CC ' Applicant's Printed Name plicant's Signature RESIDENTIAL ?\ BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Requirements • 3 registered site surveys showing sq. ff. of lot, sq. ft. of house; and all roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 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) DATE -//-6d_ SITE ADDRESS TYPE OF WORK MULTI-FAMILY BLDG _ Y _? N FIREPLACE(S) i::4- 1 _ 2 APPLICANT SCr hak bp_M ?X1?PGii rYL C STREET ADDRESS -2!V66 WaSltrJ -CITY (a/cn7'??re STATE,/?1-?ZIP TELEPHONE # 9<9-W-R2 ELL HONE # FAX # 94? -Fal-g_Vl PROPERTYOWNER /77/A r4 ?AD? TELEPHONE# ----------------------------------------------------------------------------------------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ MINNESOTA RULES 7672 (J submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted Energy Envelope Calculations Submitted Plumbing Contractor: ____ Plumbing system includes: Mechanical Contractor: MCCIlalliCatl System includes: Sewer/Water Contractor: Phone # ------------------------------------------------------------------------------------------ I hereby acknowledge that I have read this application, state that the information is with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant OFFICE USE ONLY Water Softener Water Heater No. of Baths Air Conditioning -- Heat Recover' System vs-ow JIVP, 2.s RemodedRegafr Requirements • 2 copies of plan • 1 set of Energy Calculations for heated additions • 1 site survey for exterior additions & decks • Indicate if home served by septic system for additions VALUATION 64091-60 Phone # Lawn Sprinkler No. of R.I. Baths Phone # Fee: $90.00 Fcc: $70.00 -------------------- - edt,lboni ?g?o 1-ply Certificates of Survey Received - Tree Preservation Plan Received _ Not Required Updated 4102 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt- Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn, (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 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 Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr, 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 & Wa*r _ F inal _ Pool Ftgs Air/Gas Tests Final _ Framing _ _ _ Siding Stucco Stone _ Fireplace - R.I. - Air Test _ Final _ _ _ Windows (new/replacement) Insulation - Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total 199,2-el 3.5a CITY OF EAGAN CASHIER: MG TERMINAt_ NO: 595 DATE-. 01/12/98 TIME: 15:14:09 ILi NAME ALIIE"11 FIRESIDE INC 321.0 9001 2010 SAFARI HTS 50.00 2155 9007. 20iO SAFARI HTS 0.50 Total Receipt. Amount" 50.50 CRO8 54333 USER ILI: MARI_YNN CITYwOF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: BUILDING Permit Number: 031342 Date Issued: 01/12/98 SITE ADDRESS: 2010 SAFARI HEIGHTS TR LOT: 3 BLOCK: 2 SAFARI ESTATES 2ND P.I.N.: 10-65851-030-02 DESCRIPTION: (GAS) rmit Type FIREPLACE -11 Type NEW 434 ALT. RESIDENTIAL .Ta` 0 REMARKS: FEE SUMMARY: Base Fee Surcharge Total Fee 7 $50.00 _ $.50. $50.50 CONTRACTOR: - Applicant - ST. LIC OWNER: FIRESIDE CORNER'INC 16332561 2009091 CHEN HUANG 2700 N FAIRVIEW AVE 2010 SAFARI HEIGHTS TR ROSEVILLE MN 55113-0847 EAGAN NN 55122 (612) 633-2561 (612)866-8805 i Ea^`: ca a ? F t e o- Eh? fRr rm i b t .:p r ?{` d€" 't t? y 9 £« Gtd't?t,Sands ??.tJ+ ?? Hagar ?r?tin?nt???4 £t?. ? '? ? ; fi ? ?w APPLICANT/PERMITEE SIGNATURE 0 0110 1 A ISSUED q y-. NA RE RD - CITY OF EAGAN 3830 PILOT KNOB OB RD 55122 31-54JL 1997 FIREPLACE PERMIT APPLICATION 681-4675 DATE: / /CJ ?,nB PERMIT FEE: $50.50 DESCRIPTION OF WORK: X CONSTRUCT M FIREPLACE _ ALTERATIONS TO EXISTING STREET ADDRESS: INSTALL GAS INSERT ONLY INSTALL GAS LINE ONLY OTHER: 2-c/0 SAFA i? 1 (?ic? ld 7? ?a2.? LOT J BLOCK I SUBD./P.I.D. APPLICANT: (circle one only) OWNER CONTRACTOR 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. PROPERTY Name: C t4 N -?,U?? Phone #: g4 ' OWNER ., Signature: Street Address: ZO / 4 (A 17 City: L FIREPLACE 1rRA S ompan INSTALLEIkv 64 ?/lC- 0 V?3 Signature: Signature: Address 3 6S70 - is l ti Y -5 ?12 NJ State: A / Z z- > ?rz? s 1b?" 633 -zs-? l +'L?s S t r?? & t2 ?tSFy Phone #: P, 70 --07 City:4:5u`?-S` 11--L-6 State: GAS LINE Company: INSTALLER D 81 ?, Name: _ Signature: Street Adc City: License #: 2-0090 9 Zip: b ' ' 3 317 Phone #: State: Zip: OFFICE USE ONLY BUILDING PERMIT TYPE ? 14 Fireplace WORK TYPE ? 31 New o 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Census Code. SAC Code REMARKS Chimney/flue must be inspected before concealing. CITY OF F_AGAN CASHIER: MG TERMINAL NOa 765 DATE: 01/20/98 TIME. 15:il):i2 III. NAME: WOLFF FLDRS INC 321.0 9001 2010 SAFARI HTS 50.00 21.55 9001 20tO SAFARI HTS 0.50 r Tonal Receipt Amount- 50.50 CROB5597 USER ID, MARL.YNN I ClTrOF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PEkMIT PERMIT TYPE: Permit Number: BUILDING 031364 Date Issued: 01/20/98 SITE ADDRESS: P.I.N.: 10-65851-030-02 DESCRIPTION: 2010 SAFARI HEIGHTS TR LOT. 3 BLOCK: 2 SAFARI ESTATES 2ND f"""! (ONE BEDROOM) B'uilding` Eermit Type Building Wark Type Census Come. 434 1 r +' t } l `, Z1 - 4 t g § BASEMENT FINISH ALTERATION KILT. RESIDENTIAL REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK FEE SUMMARY: Base Fee $50.00 Surcharge $.50 Total Fee $50.50 CONTRACTOR: - Applicant - ST. LIC OWNER: YOLFF BUILDERS INC 18666266 2010224 CHEN HUANG 7621 KNOX AVE S 217 2010 SAFARI HEIGHTS TR ,RICHFIELD MN 55423 EAGAN MN 55122 (612) 866-6266 (612)646-7425 I hereby acknowledge that I have read this information is correct and agree to comply Statutss and City of Eagan prdinarkces. L_ r al I, L'V APPLICANTIPERMITEE SIGNATURE I o,pplidation-and 'state-that the with all applicable State of Mn. noun kfu,( I M_ ?g ISSUED Y: S. SGNA RE 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) $0•-60 3-314 CITY OF EAC}AN 3830 PU OT KNOB RD - 88122 681-4675 New Construction Requirements ? 3 registered site surveys ? 2 copies of plane (include beam & window saes; poured fnd. design; etc.) ? t energy calculations 4 3 copies of tree preservation plan if lot planed after 7/2/93 required: _ Yes _ No DATE: l - I3 -?7 DESCRIPTION OF WORK: iS e r? c t ti 2 V\ Remodel/Reoair Requirements ? 2 copies of plan ? 2 site surveys (exterior additions 6 decks) ? t energy calculations for heated additions CONSTRUCTION COST; / ©a STREET ADDRESS: _ acs lb Scat c r r I? z° «,l?n h 1?ra i p LOT:_ BLOCK: SUBD./P.I.D.#: /II.?BnIAIt? Zh/Y, Name: L e n IykCIA-IN Phone #: ?lG _7 ` ,? ,- PROPERTY cast Fi OWNER II _? I Street Address: ?UL(U S u r i ly c.us? b, PG t` I City l f i s, cl - State: } Vk Zip: SS 2 2, Company: WOLIa- !-we- 17i FZ5 Phone#: ir66 "(07(;6?aOfr-D(oSa CONTRACTOR ?^^ Street Address: ?(votb ? k 4 ij f , 5 , License # cub y7 City State: Mk Zip: ARCHITECT/ ENGINEER Company: Phone #: Name: Registration #: Street Address: City State: Zip: Sewer 8 water licensed plumber (new construction only): Penalty applies when address Chang and lot change is requested once permit is issued. hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. d Signature of Applicant: OFFICE USE ONLY V Certificates of Survey Received _ Yes _ No ..M 13 In Tree Preservation Plan Received Yes No Not Required A40 OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging 0' 16 ? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 ? 05 SF Misc. ? 10 = plex ? 15 Deck WORK TYPE ? 31 New ,0'33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. A Basement Finish Swim Pool Public Facility Miscellaneous MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit APPROVALS Planning Building AAO Engineering Valuation: $ Variance ?r34 of 1 0 Permit Fee Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit SNV Permit SAN Surcharge Treatment PI. Park Ded. Trails Ded. Other Copo T SAC SAC Units CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 W?' COMPLETE THE FOLLOWING: NO. FIXTURES EA. TOTAL ADD-ON MINIMUM 15.00 / SHOWER 3.00 WATER CLOSET 3.00 BATH TUB 3.00 _ LAVATORY 3.00 KITCHEN SINK 3.00 LAUNDRY TRAY 3.00 - 1 HOT TUB/SPA 3.00 3 / WATER HEATER 3.00 % FLOOR DRAIN 3.00 GAS PIPING OUT. (MINIMUM - 1) 3.00 '3 ROUGH OPENINGS 1.50 19 -TO OTHER _ _ WATER SOFTENER 5.00 PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00// SUBTOTAL S `Y ST. SURCHARGE .50 TOTAL: TDSeS PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS 6 TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION NEW CONST /L ADD ON _ REPAIR OWNER NAME: SITE ADDRESS: ?<6 /D D_AZ.4AUL l7 000?.1? ?rt, LOT:?2 BLOCK INSTALLER 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: FOR CITY USE ONLY PERMIT # _ RECEIPT #P. n 1 -7 D DATE : 9 v7--. FEES 18 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) CITY OF EAGAN ADDRESS: vIAd?7? ?J1,? CITY: ZIP: CIT`P 0$'EAfAN 3830 PILOT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 $ 3L SO iZ TR v PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION NEW CONST ADD ON REPAIR _ OWNER NAME: FEES SITE ADDRESS: G?D1D ADD-ON MINIMUM $15.00 HVAC 0-100 M BTU c-_ 4.0 ADDITIONAL 50 M BTU C_6 Q9? GAS OUTLETS - MINIMUM .3V 3.00- 17,00 OF 1 PER PERMIT SUBTOTAL: $ 3910 STATE SURCHARGE: .50 LOT: J BLOCK SUBD. _-3 ,,lnw TOTAL: INSTALLER Burnsville Heating & A/C, Inc. ADDRESS: 12481 Rhnrie Hand Ave An Savage, MN 55378-1122 CITY: Rg4_00w: PHONE # SIGNATUR PE?tMITTEE J Ale,, &,ek FOR CITY USE ONLY PERMIT RECEIPT # # /D DATE: PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT 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: PHONE #: FOR: ZIP: FEES 18 OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. PROCESSED PIPING - $25.00 $25.00 MINIMUM FEE. CONTRACT PRICE x 18 STATE SURCHARGE TOTAL: (SIGNATURE) CITY OF EAGAN L e/ 7 BL CITY USE ONLY RECEIPT M O S (pDC? SUED. RECEIPTDATE: 1998 PLUMING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Shower 3.00 x Water Closet 3.00 x Bath Tub 3.00 x = Lavatory 3.00 x Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet ' minimum - t 3.00 x = Rough Openings 1.50 x = Water Softener ' for dwellings under construction 5.00 x = Water Softener *for existing dwelling 20.00 X = U.G. Sprinkler ' for dwelling under const. 3.00 = U.G. Sprinkler ' for existing dwelling 20.00 = Alterations 'toexisting residence 20.00 Water Turn Around 20-00 = Private Disposal System ' MPC Iic. 75.00 = (new and refurbished systems) Private Disposal Systems' Abandonment 20.00 = STATE SURCHARGE .50 TOTAL Z vr5T-J -- -I ----- ---------n--ces. hereby acknovAedge that I have read this application, state that the information is corteel, and agree to comply with all applicable Cily of Eagan ordina It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City propertylright-of-wayleasement. SITE ADDRESS: L71 LC U e OWNER NAME: CA e., INSTALLER NAME: TELEPHONE#: l 7 - 13U? STREET ADDRESS: p?°7 7 r( 7 -5,6 CITY: 4A U STATE: SIGNATURE ZIP: ? 3 Z2- JS/FORMS BLDG/PLBG PERMIT (RESIDENTIAL) 1998 925.00+ 90.50F ,)J - Ja 6 6 2,15.50+ 923.00{- 90.50+ 600.00+ 27 315.50E 3,929.00* 199"UILDING PERMIT APPLICATION l`i5 z CITY OF EAN REQUIREMENTS: 100 JAN 3 0 :Rr:C!J SINGLE FAMILY 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET ENERGY CALCS. MULTIPLE DWELLINGS 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET OF ENERGY CALCS. # OF UNITS RENTAL FOR SALE COMMERCIAL 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS, 1 SET 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 QQ LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. To Be Used For: sL? 6-n uy Valuation: q Date: Site Address 2 tgi o 6,*-ya-?ov , d j1 ,z 21 r4 r242z Lot Block 01 Parcel/Sub Owner Address City/Zip Code Phone Contractor ?Irgr1 Address 7g,City/Zip Code Phone Arch./Engr. Address City/Zip Code Phone # 1 V c:0 ) Occupancy Zoning Actual Const Allowable # of stories Length Depth S.F. Total Footprint S.F. On-site sewage On-site well MWCC System City water PRV Booster Pump APPROVALS Planner Council Bldg. Off. Variance Sewer/Water. Ucensed Contr. - for se er/water permits is two ays once area as can ap -ICE USE ONLY ?_ rcNs FEES L3 M -j Bldg Permit 9Z 3, co t= Surcharge 90.5c -T--M Plan Review E co, oo V_nl License Fee , of SAC, City /co,oo SAC, MWCC 7co,oo 4g Water Conn. ,T?5,0D Water Meter 46.00 Acct. Deposit 3(,,L?o S/W Permit ?o. ? S/W Surcharge so Treatment PI. Road Unit 3£tc ,, 9 Park Ded. Trail Ded. Penalty Lot Change TOTAL ?G Z 3797' S Processingtime agrees that all work shall be done in accordance with (Signature o ermittee all applicable State of Minnesota Statutes and City of Eagan Ordinances. GARAGE 32xa?1=7?d' 1 o x 2 = ('7-c?J ?r "ILI , gSMT, ?3xZZ.= 3K 8 lo?l2= ZK2 6 X28= sT F?,ootZ z Y, = VALLAAMON 01-2- 7, c--" 166 Z? 4L (`') IGa 13q? x 14= )91'544 f ?35L r$ JL/ q )153= r7ygy2 ZNp FLoop, fox ac, =1300 L? x i 3 . sz 1 -7 Igo poi oil 1 ql, o00 ?.v6hi GNE?hrFrL CITY OF BUILDING INSPECTION DEPARTMENT 20195 HOLYOKE AVENUE, P.O. BOX 957 LAKEVILLE, MINNESOTA 55044 612-469-4431 This form is only applicable to detached one-and-two family dwellings. The requirements herein are based on amended Section 502.2.1.7 in lieu of the criteria specified in Sections 502.2.1.1, .2 and .3. Building Address: 2014) SA?rr . IVa,& .?rs T2 Contractor or owner: 4> 77- /Zf, 4° Building Element "R" Values Area (s4 ft). of Ext.Walls ceilings walls* (exterior) Floors* (overheated spaces) Design-4A_Required 38 Design LaRequired 20 Designs D Required 20 2.141 (without foundation) Windows** 4 P440- IOn Design2.1-7Required 2 Foundation Walls DesignL('Required 5 (when insulating full depth of foundation wall) Design114'Required 10 (when insulating only extend below) Slab-on-grade floors Doors Footnotes: to frost depth & footings Designq Required 8.83 DesignlH Required 3 * For the insulated cavity of opaque walls, floors, and rim joists. ** Maximum window area must not exceed 12 percent of the area of exterior walls, not including foundation walls. CERTIFICATION I hereby certify that I have completed the above information and that it complies with the Minnesota State Energy Code. Signature Date: 4?1qZ ~ ~ ~ U o~ ~ Wz ~~i (n J ~ ~ ~ ct Wm N Z c0 S ~ 9 84.4 Z m ~4 ~ W ~ a f~~ 965.0 ~ ~ BENCH MARK P "~/n W F-' O TOP OF PIPE ~ 0 V~ Z U ~p ELEV.=987.83 \ M S/\~ aR`2~s9896 r(~ Z 70 r ~2 J 3 ~2B@q \ 992.5 ~ Q. N t0 ~~~hP ~ ,,Q y, h \ ~ ` ~ N~°l ~_~i ~ ~ ses.~ ra~,~~s \ °99x.2 ~ ~~5926~09"~ ~~7x ~ /3/ s' 991.8 1YF FygFp ; I (y9 990.9 ~ 3 M / 0~~00 6~ S / ~3/g ` rg~/pS° C a/0 ~~0 \ ~ ''R 4R4 x ~ . 2 a . x y°p° CP ~ti 93.7 `e9 ~99~- a992.1 ss °~SSFO ~ , / ~ F ~ ~ BENCH MARK 994.8 z / 9~ ~ S3° 9/~,_'ST, / TOP OF PIPE ' s' 3' ; ELEV. = 994.53 ~ / 996,0 0 ° ''`o _ / c~ t / --J i / ^ ~ a° c w o ~ \99 994.5x ,E, M ~ ° o ~+~`m °'o a~ m a~~ / J ~26 ~ ~}~~J 1 T a n~ c ~ ° o ~ CL / ~ 1 ~c3~m~~~o 995.6 x 996.4 ~ ° ~ N La~~N°~~~ ~ / ~ ~°'Emoa~~n o / M~ ~ LOT 3 ~ ~ S x 1001,5 ~ _l i I F '~q / N ~ Z q,~~"9c o~'~ ~ , Z 0 G I,-- ~ ~ \9 O Q - _ o _ . I _ W ~ Z~ ~ ~ I Q ~ 00 \ U N / ~oWW ~ ~ NZ 2 ~ ~ N Z ~~o \ / ~ ~ S ~ m Q ~ ~ N ~ W ~ Wz ~ ~ °C o ~ LL~ 35.30 _ - W Q Q N85°01'2 2"W • r_r``^rr\l~ 1~1`~~I f= ~ Q N V0 L_~"11~111V II~L_L_ O Al ~i ~~1 Q ~ w N ~ D ~ ~ o ~ J m ~AGAx E SINE ~ ~ W RING DEPT V) ~ M N ~ r~ o j . J PRINTED I JAN 3 01992 DRAWN BY SWK I DATE NOTE NO SPECIFlC SOILS INVESTIGATION ~I 1'24-91 HAS BEEN coMPLETED oN THIS DENOT~S PROPOSED SURFACE DRAINAGE REVISIONS LoT BY THE SURVEYOR. THE 0 DENOTES IRON MONUMENT SET SCALE: 1 INCH = 30 FEET SUITABILITY OF SOILS TO SUPPORT THE SPECIFlC HOUSE PROPOSED • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = '~~3. 9 FEET IS NOT THE RESPONSIBLITY OF X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR = 98G Z FEET THE SURVEYOR. (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = 999.3 FEET NOTE BUILDING DIMENSIONS SHOWN ARE FoR HORIZONTAL a vr~r~cAL Loc- WE HEREBY CERTIFY TO MITTELSTAEDT BROS CONST. THAT THIS IS A TRUE AND CORRECT ATION OF STRUCTURE ONLY. SEE REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: ARCHITECTUAL PLANS FOR BUILDING BOOK /PAGE & FOUNDATION DIMENSIONS. Lot 3, Block 2, SAFARI ESTATES SECOND ADDITION, according to the recorded plat thereof, Dakota County, Minnesota. 401/43 IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS PROJECT N0. SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 24TH DAY OF JAN. ,1991. 92027 SIGNED: JA ES R. HILL, INC. _ FILE N0. B 1-92-102 JOHN C. LARSON, LAND SURVEYOR SHEET I OF I MINNESOTA LICENSE NUMBER 19828 Date: CityofEa�all 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVED MAR 1420% r Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: /4N -2. - Staff: _ /.. Staff: 2012 RESIDENTIAL BUILDING PERMIT APPLICATION '\Q 3/i7(,/x Site Address: 01o10 SA At NQtrs Unit #: Name: T" /7z 7`iter% �� r Address / City / Zip: 02o)/Q� � - 1 � • '/h %/'�d•.�/ Phone: ‘S7 YSy Applicant is: Owner Ltractor Description of work: lie,acte, /4,04,, A2.71. PI- 4,0( Construction Costf� l Multi -Family Building: (Yes / No , ) Company: IC, �,7S %C/rG` $ Wr- Address: /33(7(94 S.X.//0 State: yn Zip:J5%'25 -774. Contact: poii,L(iC le - City: 6,,,40 ,er„, t S Phone:3157SS •7r3SY License #: for. Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Phone: Sewer & Water Contractor: Phone: Mechanical Contractor: 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 Building Code must be completed within 180 days of permit issuance. Peg Applicant's Printed Nan? Applicant's Signature Page 1 of 3 DO NOT WRIT BELO THIS LINE f�3 -/O SUB TYPES Foundation IL Single Family Multi 01 of _ Plex Accessory Building Fireplace Garage Deck Lower Level WORK TYPES New Interior Improvement Addition Move Building it Alteration Fire Repair Replace Repair Retaining Wall DESCRIPTION Valuation Plan Review /9 O®o (25% 100%_Zi Census Code '�l3if # of Units # of Buildings / Type of Construction T_Ifb REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Ice & Water Final Framing >jt Fireplace: at Rough In Air Test 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 Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width 'Final TOTAL Siding Reroof Windows Egress Window _ Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant ,zitc--2 .&07 MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required at- Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Other: Pool: Footings _Air/Gas Tests Final Siding: _Stucco Lath _Stone Lath _Brick At Windows Retaining Wall: Footings Backfill Final Radon Control Erosion Control , Building Inspector 1,,R.11� _ ?fro 1,j6 fi � c/fr x Ao7 w14$m,9b(4s ovo Page 2 of 3 îð þýý üûûüûû úýýûúêïý ò êø àæåæ ò þýö ÿþýüûïøûóøÿýüû øýüûÛø øû óÿóòîÿûü ñ ðÿøï õûøíõììõõüøðÿøõøþøõëóìõüùêÿõÿþûûøø ý ë óøþõéøøøðÿøþüúêõüìõë ïçòçååëæå ëåæ õú ÿøìøèÿçòç ëæ ë æ èÿòë ôîó öòñ ûû ôøìôõýìýõìü ø â÷ëïøíúí êøôìýø öíä÷ææ òä÷ææ áàæ ßàòåòò ìøþüúììíøìûûììêøõøøøõûüúìûûþ êä ÿóüêîøë ûûù øõ ÿøÿü ÿø ÿúî ü û ýüü ûûúú øüüúø÷ïü ï ê üý ý âÿï þý ýüö úùø÷õ ò õ ùø÷Þô ý ÷õ ò à Ûà ùø÷à ê ßéÞéú Û ÝìÞÞüìüßØ ü àÞÞüùìÞãÞþ ùßßì àÞÞüùìÞãûàÞï ááïï éíèõ öó õòæäçÿçÿ õø äçáçá ôóò öñð ÷÷ ùé÷ýéúð ÷ ùéøõ à ý ê òýù à ü àÞ èáæáïï úø ô ë ý ÷÷ ý ê é ý é÷øô ÷÷ ú êàý ý ðøêü ì ýç ÷÷ ó é ýýø PERMIT City of Eagan Permit Type:Building Permit Number:EA157066 Date Issued:08/01/2019 Permit Category:ePermit Site Address: 2010 Safari Heights Tr Lot:3 Block: 2 Addition: Safari Estates 2nd PID:10-65851-02-030 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 - Matthew C Bazzano 2010 Safari Heights Tr Eagan MN 55122 Mayday Restoration 18062 Judicial Way N Lakeville MN 55044 (651) 253-4085 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA171400 Date Issued:08/16/2021 Permit Category:ePermit Site Address: 2010 Safari Heights Tr Lot:3 Block: 2 Addition: Safari Estates 2nd PID:10-65851-02-030 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 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 C & Susan B Bazzano 2010 Safari Heights Trl Eagan MN 55122 Renewal Andersen 1920 County Road C West Roseville MN 55113 (641) 264-4088 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan , Permit Type: Building 3830 Pilot Knob Rd �,�; % ;:, Permit Number: EA180231 Eagan,MN 55122 •.__ EAGAN (651)675-5675 www.cityofeagan.com *E R 1 8 0 2 3 1 Date Issued: 11/15/2022 Site Address: 2010 Safari Heights Tr Lot: 3 Block: 2 Addition: Safari Estates 2nd PID: 10-65851-02-030 Use: * 10-65851-02-0.30* Description: Sub Type: Single Fam Construction Type: V-B Work Type: Solar Description: Census Code: 434-Residential Additions,Alterations Occupancy: IRC-1 Zoning: E Square Feet: 0 Comments: Improvements to the home may require smoke detectors in all bedrooms. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes(Minnesota State Building Code). Fee Summary: BL-Base Fee $162.25 0801.4085 Plan Review $105.46 0720.4222 Valuation: 7,578.00 Surcharge-Based on Valuation $4.00 9001.2195 Total: $271.71 Contractor: - Applicant - Owner: BRS Field Ops,LLC Matthew C&Susan B Bazzano 1403 N Research Way 2010 Safari Heights Trl Orem UT 84097 Eagan MN 55122 (385)482-0045 This permit shall be null and void if work does not start within 180 days of issuance,or if work is suspended for 180 days or more after started. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee:Signature Issued :Signature -------------i For Office Use I l , 1 90231 ® ® ® o I Building Permit#: I I S&W PermitEAGAN #: 1 I VP • I Permit Fee: �I ECEIVE"AN I I Date Received: I 3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 I 02 (651)675-56751 FAX: (651)675-5694 NOV 11 2&2 1 Date Issued: S 2 j buildinginspectionsOcitvofeagan.com 8 1___________ BY: RESIDENTIAL BUILDING PERMIT APPLICATION Date: 11 / 10/2022 Site Address: 2010 Safari Heights Trail, Eagan, Minnesota, 551 3n3#: Applicant is: ❑ Owner 0 Contractor Name: Matthew Bazzano Homeowner 2010 Safari Heights Trail Eagan Address: City: State: Minsof 5122 phone: +1651686493E4mail: teoandchive@mac.com Description of work: 8.4 kW PV Solar Panel Installation on Roof Type of 7,578.48 workConstruction Cost: Type of building: ® Single Family ❑ Townhome, of units ❑ Twin Home Company: BRS Field Ops, LLC Contact: Carson Campbell wilding Address: 1403 N Research Way, Orem, Utah 84097 City: Orem Contractor UT 84097 385-482-0045 * permitting.department@blueravensolar.com State: Zip: Phone: Email: License#: EA793716 02/29/24 Expiration Date: Sewer& Company: Contact: Water Contractor Address: City: ReLlrodfor ' State: Zip: Phone: Email: new ctlon License#: Expiration Date: 0 I understand that Plumbing, Mechanical, and Fire Suppression work require separate applications. 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. Contact Gopher State One Call at(651)454-0002 or www.00pherstateonecall.ora for protection against underground utility damage. Contact Gopher State One Call 48 hours before you intend to dig to receive locates of underground utilities. 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 1 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 Carson Campbell X c4m* awlsk& Applicant's Printed Name Applicant's Signature FOR_OFFIC�'USE-_ONLY Site Address: ao/0 Sa�.r�t5 Ir-s-, 1 Permit#: /Ro?3 1 SUB TYPES A—Single Family _ Fireplace _ Lower Level _ 01 of_Plex _ Foundation _ Porch _ Deck _ Garage _ Pool WORK TYPES New _ Repair _ Siding _ Retaining Wall Addition _ Fire Repair _ Reroof _ Move Building Alteration _ Water Damage _ Windows _ Demolish Building* Replace _ Egress Window ✓Solar *Demolition of entire building-give PCA handout to applicant DESCRIPTION Calculated Valuation 7S-79 Occupancy Zitc- I MCES System Plan Review 025%,13100% Code Edition ✓1,VRC-,j6,2o SAC Units Census Code Zoning City Water #of Units Stories Booster Pump #of Buildings Square Feet PRV Type of Construction V9 Fire Suppression Required Separate Stormwater Management Permit Required REQUIRED INSPECTIONS Footings: New Addition Deck Siding:_Stucco Lath _Stone Lath _Brick Foundation: Before Backfill Poured Wall Roof:_Ice&Water _Final Framing: 1 Hour ✓Residential Alteration Erosion Control Braced Wall Framing/Blocking Pool:_Footings —Air/Gas Tests _Final Braced Wall Sheathing(prior to house wrap) Retaining Wall:_Footings_Backfill_Final Interior Braced Wall Panel(s) Fire Suppression:_Rough In_Final Firewalls Windows Insulation Other: Fireplace:_Rough In _Air Test _Final HVAC: Rough In Final ✓ Final/No C.O. Required Radon Control / Final/C.O. Required Reviewed By: S, A 4', , Building Inspector FEES Ve.;Iz Calculated Valuation Base Fee Plan Review State Surcharge K 60 Met Council SAC City SAC Treatment Plant Water Supply &Storage S&W Permit&Surcharge Meter Radio Read Other: TOTAL $ ��•