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2011 Safari Heights Trt j CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: INSPECTION RECORD PERMIT TYPE: Permit Number: Date Issued: ill 1 0 Ill 04.1 ,r nNr IIf- 1(041 1!• N I-, _j PERMIT SUBTYPE: I I APPLICANT: ! ,ttt; t , 1 11(,I TYPE OF WORK: INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR. hh 11I1. I I N1. i I rd tit ! I.' r I fl r t 1:1 HA1{1 . .1: t F I Permit No. Permit Holder Date Telephone # S/W PLUMBING o?,? g .?- HVAC /p?C 9 ELECTRI ?! ?7V ay ELECTRIC Inspection Date Insp. Comments Footings I .21 ' A l IV Foundation ' y Ov / Framing l7 /y I Roofing Rough Plbg. l Rough Htg. 2-3-7 -RW Isul. Fireplace Co Final Hlg. Orsat Test Final Plbg. IZ_c? // Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. r - ?` -w ?1 /? l<= I (.ra '- "?? 2,ad,C-c gut, Address 2011 SAFARI HEIGHTS TRAIL. Zip 5512 2 Lot 10 Blk I Sub SAF RT .STATF 2m THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: Od2 V Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) ? Permanent steps (main entry) Permanent driveway ? Permanent gas LZ Sod/Seeded grass ? Trail/curb damage Porch 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. 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 9989 6/o C? ReOUesl Date ?/r _ y it o. Rov I Inpsaolion Required ready) npa m? call inepe'Orr w Inspection Other Than Rough-in ? Rpady Now ? WIII Nonly Inspector No J vea Reea Data I licensed contractor L3 owner hereby request inspection of above electrical work at: Job Address (Street. Box or Route No., 020// S4. Fftei ??- <` /? fJ 7W4 City SAG ^/ Section No. Township Name or No. Range No. County Occup n I (PRINT) /K ??7? P h 4 4 r ?X 5 Phone No. u Q? rj S G C . ? / ` ' / Power Supplier /? Atltlress ?z O L Eleplncal ntractor (Company Name) ?lzoh 7 tC Contractors License No. G402Z Mailing Atltlress (Contractor or Owner Making Installation, ?V 51ra Z "'e o /? Z-4 iy (J G e?'G Jr l?c ?v f•/d y Y Aunt zedna ture COntr a c}?J?Owner Maxi net latmn) I Phone Number / - y? / / G?/?/ ?Z 3 2,2 _ T /,(J-,9 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs.Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1811 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE 15 Phone (612) 64241800 ENCLOSED. ?? REQUEST FOR ELECTRICAL INSPECTION a'`!i ? See instructions for completing this form on back of yellow copy, 0-9 8"9 6 "X" &e/ow, 01ork Covered by This Request a. New Add Rep. Type of Building Appliances Wired Equipment Wired Home - Range Temporary Service Duplex Water Healer Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace - Other (Specify) Farm Air Conditioner other (specify) Contractor's Remarks'. Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps j tau / 0 to 100 Amps .Ctc. Transformers Above 200 Amps ve _ Amps Signs Inspectors Use Only TOTA L Irrigation Booms ---Ill G / 7J r:?J Special Inspection / Alarm/Communication THIS INSTALLATION MAY ISt ONNECTED IF NOT. Other Fee COMPLETED WITHIN 1 HS All I, the Electrical inspector, hereby Ri a ate Q certify that the above inspection has been made. Final s o re - 6-re OFFICE USE ONLY This request void 18 months Irom PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR -TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED: FOR EACH UNIT. NO. FIXTURES EACH TOTAL 1 SHOWER 3 WATER CLOSET BATH TUB LAVATORY' KITCHEN SINK LAUNDRY TRAY HOT TUB/SPA WATER HEATER FLOOR DRAIN GAS PIPING OUTLET • minimum - ROUGH OPENINGS WATER SOFTENER PRIVATE DISP. - Dak:Cty, Gc: U.G. SPRINKLER ' bome, under wrist. ALTERATIONS -to existing WATER TURN AROUND STATE SURCHARGE SITE OWN 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 1.50 5.00 20.00 3.00 20.00 20.00 3,0.0 3.00 .50 INSTALLER: `J7wlz&z it a / n A ADDRESS: I9$ 9 dha17?p?. /G? CITY: STATE: M A/ ZIP CODE; PHONE #: (lp/a) _171502 -16(o 6 SIGNATURE OF RMITTEE gYY9 YLUmvgNb F;kKMJLv (mbbiLIDEIVI?1A1) CITI''OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681AV5 TOTAL: 3 91 50 LOT SURVEY CHECKLIST FOR RESIDENTIAL Sul LDING PERMIT APPLIC TION (,z 9"M D Registered Land Surveyor signature and company 9-`13 D Building Permit Applicant VU Legal description D 6. O Address @?Q D North arrow and bar scale EY? D House type (rambler, walkout, split w/o, split lookout, etc.) 9-1-3 ? D Directional drainage arrows with slope/gradient t. D [3 0 Proposed/existing sewer and water services 0 Street name [7` D 0 Driveway ELEVATIONS Existing / D L D Sewer service 0' D D Lot corners T D ' D Top of curb at the driveway D tr? ? Elevations of any existing adjacent homes Proposed LY D ? Garage floor TY D ? First floor D' D D Lowest exposed elevation (walkout/window) DAD D Property corners DAD ? Front and rear of home at the foundation PONDING AREAS (if aozlicable) DAD D Easement line LSD D NWL D'D D HWL M' D 10 - Pond # designation D D Emergency Overflow Elevation M-D D CT D D a'D D D'D D D D?1- entry, Lot lines Right-of-way and street width (to back of curb) Proposed home dimensions including any proposed decks, overhangs greater than 21, porches, etc. (i.e. all structures requiring permanent footings) Show all easements of record and any City utilities within those easements Setbacks of proposed structure and setback of adjacent existing Ret Reviewed; October 1992 Date of Surveys ?0_ -v 2007 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 Date_ Site Address Unit # Property Owner r?Y W 2, ?? 1? LQ ((Wtci?ct Telephone # (( / ) C? S 70 Contractor BURNSVILLE HEATIN G & A/C INC , 3451 W. Burnsville Parkway Street Address SIlltp 120 City Slate Bamsville, MN 55337 p Telephone # (/? 7J,? A`9 y?OU (? Bond #: Y? ?g S/g L 12 d -7 / Expires: 7/>e h F The Applicant is Owner __,Ll Contractor Other Fire repair (replace burned out appliances, ductwork, etc.) $ 90.00 This fee applies when extensive mechanical repairs are made to a building. Add-on or alteration to existing dwelling unit $ 50.00 k furnace -Additional Replacement _ New air exchanger air conditioner heat pump other = State Surcharge $ .50 Total $ vT 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; th ttTcp r n [ permit, but only an application for a permit, and work is not to start without a permit; that the work wil d c approved n the case of k which requires a review and approval of plans. 7iu Sa 7Q bo 1 4 2008 Applicant's Printed Name Applicant's Signature 1--Q I ?3 RESIDENTIAL BUILDING J U Permit Application City Of Eagan ( s 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 New Construction Requirements Remodel/Repair Requirements Office Use Only 3 registered site surveys showing sq. t of lot sq. ft of house; and all rooted areas 2 copies of plan _ Can of Survey Recd (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions -Tree Pres Plan Reod 2 copies of plan showing beam 8 window sizes; poured found design, etc. 1 site survey for additions 8 decks -Tree Pres Not Reqd 1 set of Energy Calculations Addition - indicate if on-site septic system _ Ons@e Septic System 3 copies of Tree Preservation Plan g lot platted after 711193 Rim Joist Detail options selection sheet (bldgs with 3 or less units ??, Date 62 /6--7 /a-L_ do Construction Cost 1 ' Site Address -.2011 SA l k 1 Unit/Ste # )kF l c' ^ O va? Description of Work ?.r-z vw -- Multi-Family Bldg Y - N Fireplace(s) _ 0 - 1 - 2 Property Owner G ?G?Gl? ?%?G? f Telephone # ( ) Contractor Address 17 12 77 FjzLZ /// City Q?y? rrer//? State Zip rUaj, Z Telephone # (6 42) ao2P 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 Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the formation is__complet,. and accurate; that the work will be in conformance with the ordinances and codes of th t of an an e 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 Applicant's Signature INSPECTION RECORD CITY OFEAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 022712 Eagan, Minnesota 55123 Date Issued: 12/1S/93 (612) 681-4675 SITE ADDRESS: LOT: 10 BLOCK: 1 APPLICANT: 2011 SAFARI HEIGHTS TR PETERSON HUBER CORP SAFARI ESTATES 2ND (612) 894-6084 PERMIT SUBTYPE: TYPE OF WORK: SF DWG NEW INSPECTION TYPE FOOTINGS .DATE INSPTR. INSPECTION TYPE FOUNDATION DATE INSPTR. FRAMING ROOFING INSULATION FIREPLACE ROUGH IN PLBG ROUGH IN HTG FINAL PLBG FINAL REMARKS: S & W PLBR - STAR PLBG F I? L J PERMIT CITTOF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT TYPE: Permit Number: Date Issued: BUILDING 022712 1.2/15/93 SITE ADDRESS: P.I.N.: 10-65851-100-01 2011 SAFARI HEIGHTS TR LOT: 10 BLOCK: 1 SAFARI ESTATES 2ND V /V DESCRIPTION: Bulldirfg: Permit Type SF DWG Building ?W rk Type nc NEW ky' /-UBC Occupa R-3 M-1 /'Construction Tyne V-N Building Length \\ _ 63 \ Building Width ) 45 Building stories 1 REMARKS: S & W PLBR - STAR PLBG FEE SUMMARY: Base Fee Plan Review Surcharge SAC SAC SAC Units Subtotal VALUATION $804.00 $522.60 $73.50 $750.00 100 $2,150.10 $147,000 MISCELLANEOUS $1,744.50 Total Fee $3,894.60 C9 TR OgTOR: - Applicant - ST. LIC. OWNER: RS UBER CORP 18946084 0001321 PETERSON HUBER CORP 12229 WOOD LAKE DR 12229 WOOD LAKE DR BURNSVILLE MN 55337 BURNSVILLE MN 55337 (612) 894-6084 (612)894-6084 I hereby acknowledge that I have read this application and Jtate that the information is correct and agree to comply with all applicaBle State of Mn. Statutes and City of Eagan Ordinances. L ?I Am A.z,""rl I Th 1, APPLI MITEE SIGNATURE ISSUED B : SIGNATURE REACTIVATE =;;rfF?LD PERMIT'd 0 1993 CITY OF EAGAN 1993 BUILDING PERMIT APPLICATION 681-4675 CAM, 12-13 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: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date Valuation of work a`? SQ t dei 3 Tra- 9 Site Address: STREET SUITE N Tenant Name: (commercial only) IAT ?? BLOCK ) SUBD. C*TAT6-,' VNn P.I.D. N AfviTI #7J Descri tion of work: The applicant t is: ? Owner ? Contractor ? Other (Describe) L4 Name FAW-00WALn L.pw? ? Phone 17-50-7 1S Property LAST FIRST Owner I ' 15-51 M111 tovrt Vv e4t Address pp.pp ?STREET ,, , M ?" ? STE N `1 City I la ?? U11`"(- % State fty - Zip 55127 Company C'`lr"fZSDN Phone 89 y_6 of q Contractor ?2Z2g WCn LAZ6 PAVE License # 0601321 Exp.331 95 Address LL . ,,,, City 11VJeN5V 1 We State 'mom Zip 5SS337 Company IC 41 R Phone 123 - I? a Architect/ K(?N PALffiCIS R ti # i t Engineer on s ra eg Name )? AIVACH /? 4Ej JV E 1 at 7 Address ?M City MINNWCI-1 S. State /M;N Zip 5511)9 Sewer & water licensed .4AIYN X111 Wf6 tilt 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 with all applicable State of Minnesota Statutes and City of correct and agree to compl y Eagan Ordinances. " ` Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYP E ' ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging 16 Bas2mea F4ish 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. r7 M Swim Pool ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind. ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add11. ? 15 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE la 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) VN Basement sq. ft. MWCC System (Allowable) VjL 1st F1. sq. ft. City Water UBC Occupancy 1{ 3 I{ 3 I i/ l 2nd F1. sq. ft. PRV Required Zoning - Sq. Ft. total Booster Pump # of Stories T Footprint Sq. ft. Fire Sprinkler Length _T3_ On-site well Census Code -7-4:7-1 Depth y5,33 On-site sewage _ SAC Code a/ APPROVALS Planning Building Engineering Variance REQUIRED INSPECTIONS ? Site ? Wallboard Footing Ll Final Assessments O-Framing IY Insulation ? Draintile ? Fireplace Permit Fee Vetmtion: g H9 , ©c?d Surcharge 35 / Plan Review License z :/yy .F? MWCC SAC 36k ? = "2s z City SAC Water Conn. USX y Water Meter Z 3(, Acct. Deposit S/W Permit 7z S 3 5= S/W Surcharge t t P1 T r rea men . Road Unit S3 x/9;90 Park Ded. Trails Ded. ?ofb /S6/k^ Copies Other H;sbe?Q % 0 SS?ooa Total: SG/k SAC % SAC Units r ?sf° s;_iq ia 04e- 0 ,30 I/ - 'w OWNER .T EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION SITE ADDRESS ?O I Sl I rTK ! G F {'?? CONTRACTOR ?oyV #C/AA V7---w DATE PHONE 4 li?rl 1?" Determine working square footage of each.. .11 1. Total exposed,W i sq. ft. X U Z. Total roof/ceiling area ......?_?i] G T sq. ft. X ,or Total exposed wall area above floor = 2ZQ. Z a. Total dolt window area ........ of b. Total door area ................................. c. Total sliding glass door area ................. . d. Total . fireplace wall area ........................ --- e. Total wall framing area (average tOSj...:........ f. Total net wall area above floor ................. g. Total rim foist area ............................ Total - ftposed foundation area h. Total foundation window area .......... ..:........ i. Toal net foundation area above grade ............ Determine "U" value of each wait segment. a.- X"u, b.. 4? X "u" 2--x lav do DUN e. V X flu" f.X "u". h X "U" r--- 74 f 3 . ...................................Total L 1, -- EA-z A-rJ ME= If item 03 is the same as, or less than item #1, you have met.the intent of sac 6006(c)2. WALL SLOT-IONS peo l5y of opaque xall.PFea for frame construction Construction 3 . 2. 3. 4. S. IEEE I 6. Rxterior 1. 2. 3. 4. S. 6. R-Value 4' f U? X04- 1. 2. 3. 4.. S. ;. M3 o4 1. Into Jor air film 0.60 2. 3. .. Qty A 7- K- • 4. 5.. 6. Exterior air film 0.17 _ Tota vp - 7. ?F / Y 4- V GRADE . • r .. r%L • (fit rxd. #4 Ire " ? b ?rrts ? •. a •iIr x s (r/ NOTEr Indicate type. "^•" value, death and ` ° •?;` . placement of insulation* t P --------------------------------------------- Total rr,,; ??.TC/ ROOT/CEILING Construction R-Value i. interior air film 0.61 'S ? I?f ?? ?? tr i' ?', { 4. ; Txterior a r fig lm ti },. • . ? • •? .?G O U N iUS llt, ?l 2S . ? ? 1 Z " :• • - 2= 3-7,30 Vented Beat. flow • U 03 up FIG. .s 1. Interior air film 0.61 2. 1 Art 5 c2c 4. rtoriox axr Al m stiZlT"" -tT Total 9-7 r ,0 2. FIN MRIETO ti MI r , i Heat floe up vented •FIc. ?6'... 3 '? emu' 1. Inside air film O. GI "r:A 2 ?S«+ ' r .e." + t::. ••:: 4 S4; ; •?`?i'?y' .+ •? S. outside aix film 0.17 Total 1 Z .. NON-FEI+TZD Note Use additional shouts if more space i . needed for detaila and'ealculations • ' Heat flow up FT.R. !7 . r ., . t. Total exposed roof/ceiling area /S94 j. Total skylight area ...................... k. Total roof/ceiling framing area (average'i0S)... 1., Total net insulated roof/ceiling area........... Determine "U" value for each roof/ceiling segment. X "u" X -U U 4 ..................................Total = If total of 94 is the same as, or less than #2,, you have met the intent of SSC 6006(c)l. Alternate Building Envelope Design- To utilize the total envelope system method, the values established by the sum of items #3 and #4 shall not be greater than the sum of items #1 and #Z. 1. + 2. 3,. + 4. c TOTAL P.04 --------------- ------------------------------------------------------------------------ PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ?Y NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE DATE I --ZLg3 FEES HVAC: 0-100 M BTU IN _Am6y4gc)0 3 I4 (?O ITIONppAXXL((5}}0 M BTU ????iMUh1 9-; - 001 - GAS OUTLETS (rod c ? 1?rvt ? EA CH ADD-ON/REMODEL (EXISTING CONSTRUCTION) STATE SURCHARGE TOTAL SITE ADDRESS: r AND $ 24.00 1 6.0?0? /?'1 _L $ 15.00 .50 1.?.? lily r/• OWNER NAME: V TELEPHONE #: INST. VOGT NEATiNG a AIR conomomm ST LOUIS PARK, MN 55426 SALES 4246767 SERACE9294011 CITY: STATE: ZIP TELEPHONE #: 3v SIGNATURE OF PERMITTEE 'y 1770 1vaGt.IItllIA d a __ _' it CITY OF EAGAN g 3830 PILOT KNOB RD EAGAN MN 55122 9 (612) 6814675 RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 X00 .`7 New Construction Requirements RemodeVReoair Requirements Office Use Onlv 3 registered site surveys showing sq. ft. of lot, sq. ft of house; and all roofed areas 2 copies of plan _ Cert of Survey Recd (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions -Tree Pres Plan Recd 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Not Reqd 1 set of Energy Calculations Addition - indicate if on-s@e septic system _ On-site Septic System 3 copies of Tree Preservation Plan if lot platted after 7/1/93 Rim Joist Detail Options selection sheet (bldgs with 3 or less units v Date 7 3. /0 2 / , Construction Cost 66 1 o(8 Site Address AC-, 1 S C R RZ r He l 4 ?fiS ?L04 (? Unit/Ste # Description of Work T? fw cW Ic- _ Multi-Family Bldg - _ N Y Fireplace(s) - 0 - 1 - 2 ' Lp( Property Owner ` " f ? Bg 635"-- eCf-i- orJ Telephone# (CaI ) .3.3 92- Contractor !/US Contractor ?/ /l/ ? ? ? AJ,/ %0 i 2 Address 17`7/S y2? Ade f? W city ' ! "0!=A State Zip Telephone # (&(Z ) 32B -/Y3/ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateeorv I _ M t e to Rules 7672 Energy Code Category . Residential Ventilation Category 1 Works I L a I C 1J • Iw nergy Code Worksheet (J submission type) Submitted S tted . Energy Envelope Calculations Submitted it JUL J 8'1003 ?; II Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( 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. 9 Zt er-?e-(G 4=:3? Applicant's Printed Name Applicant's Signature 1j, i n;) Sarveyor•s OTtificnte I , SURVEY FOR: DESCRIBED AS: Peterson Huber Corp. Lot 10, Block 1, SAFARI ESTATES 2ND ADDITION, City of Eagan, Da County, Minnesota and reserving easements of record. ?Y \ a ? 981D PROPOSED ELEVATIONS EAGAN ReV IIiWED Top of Foundalions a 982.1 00 Garage Floor n981.7 Basement Floor s 973.3 Approx. Sewer Service Elev. a vERlry Proposed Elevations e Existing Elevations Drainage Directions ...?? Denoles offset Slake d HEDLUND Planning Engineering Surveying 9201 Evil elm.1.91" freeway. 01tnmW9Itm, MI m"Ots 99120 TeteDhtme 19121 MOM SCALEI I Inch : 40 Feet BENCHMARK, s nH ti,/ Inv' 956.38 MIN, SETBACK REQUIREMENTS Front - 3o' House Side - 3o• C- Rear - 5o'f om mwm Garage Side -ta' U3 Z 0 JOB NO.: t HEREBY CERTIFY THAT THIS IS A TRUE ANDCORRECT REPRESENTATION OF THE BOUNDARIES OF TILE ABOVE DESCRIBED PROPERTY AS Sun. VEYE0BY ME On UNDER MY DIRECT SUPERVISION AND DOES NOT PURPORT TO SITOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. Dale L1 _L!93 0 DGREN,LA SURVEYOR #MIkNNrzOtA LICENSE NUMBER 14370 a3H 41.5 BOOK: PAGE: CAW FILE: I DWG. CHK. /nlsc93 3 *' City of Eapll 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Date:Q Use BLUE or BLACK Ink For,Office Use Permit#: /06)qCir9 Permit Fee: Date Received: Staff: INFLOW &1INFILTRATION PERMIT APPLICATION Plumbing / Sewer & Water Site Address: Tenant: Suite #: RESIDENT I OWNER Name: t.. 01-0e 1--k..— jO— r RY) te7c0 Phone: : 1. Qg(0, -7D Address / City / Zip: o2c7lfR�0< 1Trq��S �a 4gRnv, Ss -r2 I CONTRACTOR Name: — License #: Address: City: State: Zip: Phone: Contact: Email: TYPE OF WORK PLUMBING (Within the building envelope) SEWER Sump Pump Repair & WATER (Outside the building envelope) Repair Other: I 4c.� X Other: rQt3Seel (_u 1 Fef'xit/ ,/, Pse... +a rC`t (d. Pe -A-1 DESCRIPTION Description of work: 1, ,. r) v 1 o es S , cle„ , tkc ed Se lman, l 1 roves -1) Kn. 4 0 � l'yl�t a to ot,c—! 1/2_ +-(...p ) 1 FEES $55.00 I Each (includes $5.00 State Surcharge) TOTAL FEE $ * *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.cityofeagan.com/inflow, or City Hall at 3830 Pilot Knob Rd. 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 per • 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 requir review and approval of plans. x2 11 e(( ctC,r d Applicant's Printed Name Appl'cant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough -In Final Date: City of Eaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office 1iUse Permit #: 1 Vi 5" Permit Fee: Date Received: Staff: (®i(0113 2013 RESIDENTIAL BUILDING PERMIT APPLICATION - /3 Site Address: co// s-.'%4 %l Unit #: v / Name: Ql/�// �- Z -1-e- Sae?, re-Ari✓a��- Phone: �f/' (�d�iG/ ' 574? Address / City / Zip: 7O// �japc r .�,j as //o, Applicant is: Owner X, Contractor Description of work: ,t'L a 40x1d Ode,pBre i,ee sJ,,l 01.014 *t 4 elect. Construction Cost: 7,23'9 Multi -Family Building: (Yes / No X ) Company: /%f%n �"(j ✓(!lid+ Address: Poi /ys `''e' State: /%d- Zip: 5J/ot 9 Contact: Zone) City: 4p/e / !/c• /� 952-4'f2- 7Go/ License #:.t oOo23�'lo Phone: Lead Ce rtificate #: /VA 7. / or - If r - If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) iqqLt 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: Phone: Mechanical Contractor: Sewer & Water 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.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. y S,iCr. Applicant's ranted Na Page 1 of 3 SUB TYPES Foundation Single Family Multi 01 ofPlex _ Accessory Building (Xi SCI_ t :L *-S C 1. DO NOT WRITE BELOW IS LINE _ Fireplace _ Garage Deck Lower Level _ Porch (3 -Season) Porch (4 -Season) _ Porch (Screen/Gazebo/Pergola) _ Pool WORK TYPES 4 _ New)(re,"°- Interior Improvement _ Move Building Alteration Fire Repair Replace Repair Retaining Wall DESCRIPTION Valuation Plan Review (25%_100%) Census Code # of Units # of Buildings Type of Construction 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: 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 MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required 14. Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Other: Pool: `Footings Air/Ga Final Siding: _Stucco Lath tone Lath _Brick 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 e) X -41 /9( p(114,0/104 ° `2'D TOTAL Page 2 of 3 Suivcqor's Ccrtifkatc SURVEY FOR: Peterson Huber Corp. DESCRIBED AS: Lot 10, Block 1, SAFARI ESTATES 2ND ADDITION, City of Eagan, Dakot County, Minnesota and reserving easements of record. A \1 4 4l PROPOSED ELEVATIONS Top of Foundations Garage Floor a gala Basement Floor ft g73,3 Approx. Sewer Service Elev. et veRtFy • gam 983.1 BY q82.iosi 17-7 9810 .AGAN REvigw ED Proposed Elevations Existing Elevations Drainage Direclions Denotes offset Slake 01 ( ,ro,.w- h".<4577 oCireie LOT Sa. FOOTAGE = 42, 213th • ie <11 �.e 4.4 SCALE I Inch = 40 Feet BY EAGAN ENG ERING DEPT. BENCHMARK, sum @ R.m. 9Ui Inv = 956.38 MIN. SETBACK REQUIREMENTS Front - 30' Rear - 50'f em NWM House Side - 30• Garage Side -1a' HEDLUND Planning Engineering erin p Surveying 9201 1:11!1 •loominp'on p, ewone i r . eto lngton. Minnesota 55120 IIIEREBY CERTIFY THAT THIS IS A TRUE ANDCORRECT REPRESENTATION OF THE BOUNDARIES cfl THE ABOVE DESCRIBED PROPERTY AS SUR- VEYE}BY ME OR UNDER MY DIRECT SUPERVISION AND DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. 0. INDGREN, LANASURVEYOPI 1 / MINNESOTA LICENSE NUMBER 14376 Dale I r / 193 JOB NO.: BOOK: PAGE: CADD FILE: m;sc`l? 3 DWG. CHK. Use BLUE or BLACK Ink r----------------- I For Office Use Permit qty of Ea Rd~ I Permit Fee: Ln~~ 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 i Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: f Site Address: o l/ Saa r, f 5 % C Unit NameL6., gU`e.re~ ~.•~a-~ Phone: ~ db o g Resident/ r Owner Address/ City/Zip: Ooh/ S a7 GC I, t`?/ei ~,~'J5 Applicant is: Owner j>~ Contractor Description of work: te_- (Z52) [ take_ S, [Type of Work ~ Construction Cost: Multi-Family Building: (Yes / No ) Company: ! ' 1 iu~f S ( /l Sf~u Y% ~ 1,4 C Contact: f ]CL"S Contractor Address: X 37 off- City: AI)o & State: MN Zip: Phone: Lc/ ' 70 3 D a ' License OC-3V 3 W 7 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: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of i 9 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.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of pe\rmit issuance.( x i' 1 o-L-L S x Applicant's Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA157251 Date Issued:08/12/2019 Permit Category:ePermit Site Address: 2011 Safari Heights Tr Lot:10 Block: 1 Addition: Safari Estates 2nd PID:10-65851-01-100 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Lowell Baerenwald Tste 2011 Safari Heights Tr Eagan MN 55122 (651) 315-3847 Burnsville Heating & Air Conditioning 3451 West Burnsville Parkway, Ste. 120 Burnsville MN 55337 (952) 894-0005 Applicant/Permitee: Signature Issued By: Signature