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2014 Safari Heights Trcity of Earn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink Permit #: E 3-1 Permit Fee ciV 00 Date Received: 0 Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 8-//0//0 Site Address: P0 /L( 5 1\c A g 1 14 TS TI Tenant: Suite #: RESIDENT / OWNER Name: Cv ( 14-Q fAZ\ S' Phone: b 5-1 -44 6-14 - I / S 5 - Address / City / Zip: (3O ( t-/ Afirk it i j-( r S Tr-, ci a9 a. r wt h S -s-1 )..z. / Applicant is: Owner Contractor TYPE OF WORK Description of work: Ry I a`i C. F co i Ndlc' co S Construction Cost: 14/ OO .c3c Multi -Family Building: (Yes / No CONTRACTOR Name: tr(t S S_A SO IN .6 (1(LOWS License #: ,R063 5--"? 1 Address:7 6 Sd-- Na- Lac. a City: fti I CK wS 0 "- State: 'YVw--Zip: SIT? Y5 Phone: ? /' L( 96 -5-7 if Z_ Contact: K t1 I t,•- G /---- Email: COMPLETE In the last 12 months, has Yes 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: _No 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 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.orq I hereby acknowledge that this information is complete and accurate; that the work will be in confo nce 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 4t to start wit .ut a per it; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of p ns. x /.W l tri O cls Applicant's Printed Name Ap'•li -nt's Signature Page 1 of 2 City of Eaaali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink Permit #: —1 53-7 ir Permit.Fee 0 = 3 # aS Date Received: 8 /to /tc Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: T/10//0 Site Address: ?014 5 F PI 171 - TS rf Tenant: Suite #: RESIDENT / OWNER Name: 'r c 2 4"—S .mho e: S / —L! 5-1( -1 ) S S-- Address / City / Zip: 9--01 t-( S PF 6 le. 1 1%VS r I,- v Applicant is: Owner 7—Contractor J TYPE OF WORK Description of work: 4 [4.0. CiSc. t. fop ho av-egS 1- ,( 2;/.. vv, Construction Cost: 3,?...0 0 ®a Multi -Family (Yes / No ) *ging: CONTRACTOR Name: 1A1( S 'vs SO vo 16 G (L O i S License #: g.ot 3 WS -2/ Address: 1$ t,` D- /U sf 1 z tt_ 12,9.City: N t \C -L --e--.56 �^� State: "1 Y W` Zip: _c-.5---2?,„ Phone: 1 ir —q 1..)-- 1..)---74/$ �/ - Contact: /40 i vi- !`Oi Email: COMPLETE In the last 12 months, has Yes 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: Licensed Plumber: Phone: Mechanical Contractor: Phone: • 3 Sewer & Water Contractor: Phone: NATE: Plans and supporting documents that you submit are blrc considered to be pe information Portions of the information inay be classified as non-public if youJprovide specific reasons Haat would ` permit the City to -r conclude thatt.they are t ade secrets.;; CALL BEFORE YOU DIG. Call Gopher State One CaII 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 conform nce 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 to start without permit; t .t the work will be in accordanc9e with the approved, plan in the case of work which requires a review and approval of p Applicant's Printed Name x Applicant's Signature Page 1 of 2 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Fireplace Single Family /Garage. Multi ✓ Deck 01 of _ Plex Lower Level Accessory Building WORK TYPES New Addition fAlteration Interior Improvement Move Building Fire Repair Replace Repair Retaining Wall DESCRIPTION Valuation Plan Review (25% 100% V' ) Census Code .71 # of Units # of Buildings Type of Construction Ver REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Footings (Addition) Foundation Drain Tile Roof: _Ice & Water Final Framing Fireplace: _Rough In Air Test Final Insulation Meter Size: Reviewed By: Cg , 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 Sheetrock / Final / C.O. Required Final / No C.O. Required HVAC Other: Pool: Footings Air/Gas Tests _Final Siding: Stucco Lath Stone 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 TOTAL Page 2 of 2 CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS' INSPECTION RECORD PERMIT TYPE: Permit Number: Date Issued: 1-0T -?, i AR I 14E 161141 1{ i1 i. 1 (r1 t ,Nit PERMIT SUBTYPE: .I TYPE OF WORK: N I I-I tt11 ! 4 tr r Nt, y't /'1 Ft / +"r INSPECTION DATE INSPTR, • TYPE DATE INSPTR. I + f' I r? r i 11FAIIARK S: S& W Pt (Af? h I IIV1: R IRF C 14 L. - 4' f *1 0- APPLICANT: :! ! f i.I i 1 t. h; tr I I I I R Permit No. Permit Holder Date TNephone N SAN PLUMBING S - O HVAC 3 3 j? ELECTRIC ay y? ELECTRIC Inspection Date Insp. Comments Footings I ?? Foundation 3 Z yfs s Framing Roofing Rough Plbg. ?/7 3 7 Rough Htg. y-/? 7 rs v W y Isul. Fireplace ??.. 2J Final Htg. C Orsat Test Final Plbg. 2 $- 2?j NN Pibg. Inspector - Notify Plumber Const. Meter EngrJPlan Bldg. Final ( /3'93 D Deck Fig. Deck Final Well Pc Disp. `t ? Address 2014 SAFARI EMITS TRAIL Zip 5512 Lot 4 Blk 2 Sub SAFARI ESTATES 20 THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: 13 3 Yes No . Inspector: S Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas 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 shutoff of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 6814645 before working in right-of-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy ? 9 C-/ 2507 t/a-:o= ?a 0 fA' AM,, X, A Request Date Fir o. Raug In Inpsecion m (You mull call inspector when,,ndy) Inspection Other Than Rough-In ? Ready Now Will Notity Inspector Yas ? No Date Read 1 n licensed contractor D owner hereby request inspection of above electrical work at: Job Andress ISaeet. Bov or Route No.) - City ` e ' ! f r uQ all c Sedion No. Township Name or No. Range No. County ?, ,`.l s/ ? o?? Occupant lPRINTI Phone No. Power Supplier Address Electrical Contractor (Company Name) Contrati License No. Mailing Address (contractor or Owner Making Installation) Au - d S,'ruure Icorn rac nOwn r M 4 g Installation) Phone Number MINN OTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul. MN 55106 UNLESS PROPER INSPECTION FEE IS Phone(612)6a2-0800 ENCLOSED. //g REQUEST FOR ELECTRICAL INSPECTION Q? `•?{w E13-00001-08 ? See!nslrpctions for completing m e form on beck of yellow copy $ A * 0 G e_ 0U Q2 1r.5 W X" Below Work Covered by This Request `s v sly Adtl Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater 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 # Cim /Feeders Fee Swimming Pool 0 to 200 Amps A; 0 to 100 Amps Transformers Above 200 _ Amps Above 100 Amps Signs . Inspectors use only: TOTAL b e a lI ci Sp l Inspection Special ? / Alarm/Communication THIS INSTALLATION MAY BE O ED DISCONNECTED IF NOT FiDER Other Fee COMPLETED WITH MO S I, the Electrical Inspector, hereby certify that the above inspection has been made. RougM1in ` Final Date Date } .Z OFFICE USE ONLY This request void 18 months from K 69 888 C'17ao? Repuesf Date Z6 Fire o. Rough- Inspection Re aired? O Randy Nuw ?Wiil Notify Inspector Wh R d ? ` Yes ? No en ea y licensed contractor ? owner hereby request inspection of above electrical work at: Jab Address tStrest. Box or Route No.) City 7 ,Zj / E iq exov Section No. Township Name or N o. Range No. County Occupant (PRINT) Phone No. Power supplier Address Electrical Contractor (Company Name) Contractor's License No. Ev and EG ?, 44 0Z9 Mailing Address (Contractor or Owner Making Installation) / e?C Aumoriz Signalure ICOnM1actor/Owner Making Installation) Phohe Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul. MN SS104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. (3,1 jy3 REQUEST FOR ELECTRICAL INSPECTION r° ? ?ee See instructions for completing this form on back of yellow ropy EI K 69588 "X_Be/ow+Vork Covered by This Request ' e New Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other(Specify) CommAndustrial Furnace Farm Air Conditioner Other Ispeatyl Contractors Remarks. Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps / Transformers Above 200 _ Amps Above 1 Amps Signs Inspector's Use Only Irrigation Booms Special Inspection (ttYYY Alarm/Communication THIS INSTALLATION MAY BE NECiED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Bovgn-in r Date ,a ?? certify that the above inspection has been made. Final Date OFFICE USE ONLY This request void 18 months from PERMIT C? c? CITY U EAGAN 3830 Pilot Knob Road PERMIT TYPE: U T u ;.; Eagan, Minnesota 55123 Permit Number: .- (612) 681-4675 Date Issued: o 3 1 SIT E ADDRESS: 01 el BLOCK: .. ?:. SAf`AR T, .'1 TE ?i"I1 :>.r.N- 10 65251.-010 0,2 DESCRIPTION: i '8u.i101',I_Q Perm.t: iypca Cul}.di.nq'Worl, Fyl-;:v t1BC 0ccupc?ncy Coln. rwr.i.ionPyp ?or1.1. ng Nn Id'n<I rer,gL.h Sui 1 J,. Iitl 1,d i1 ;F OWG IgLW R N-1 V -N E r 'L 61) 19 REMARKS: & W PLFIR KI UVER N1.Ci1 FEE SUMMARY. ' I iA i1 iY V l i3 ?.! Surcharge sAc :;hC Unite. Suhto taI ?r,9ec.ae ?Ift ?ti 4.6a.50 j175Q;. fl4. 1(s! 6) 1 ?7,"38.36 1I n) I`U CONTRACTOR: 1 p p 1 1 c a n L- S r. I_ [ ':OWNER: `11-FTFLSTAEDI E'R01HLRS I15691.0 0 V;Y34/13 Ill IT-rEL`a"FAGf1T EROS CO 785 SUHSL[ DR 78S Sl1N.`_iPT OR F A G A N i1iN 65123 L A G A N Id ld 561:'3 (612) n56. 91'?S ( 617)951:'S l ti Pr_;,y ec!.nowIodgPI that I hove read 1,11 5 epp' -c,;1 ion ; oiorrr-it'Jon , aorrc-c,. grid i.o coa11!Iy ?,!i1.11 I +,1i•'.!-I `: 't„.-•• o Plri ';i-. t.11Lbb City roi 1`?.(;.-n L APPLI? CANT/PERWTTE SIGNATURE tdTS 1'1. LANE OIIa Iot-.a I F(I:, Im41 fi ?1l;? 1 M ISSUED : S NATO E INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: u ' L u r! 6 3830 Pilot Knob Road Permit Number: W 0 Eagan, Minnesota 55123 Date Issued: / ! / (612) 681-4675 SITE ADDRESS: cr APPLICANT: Lr: ti e LO rK? ?. ?'a11 SAFARI: HEIGHTS TR I+111TELSTAEDF BROTHERS "!1FAR7 ESTATE:; 'id0 (6.1 A56- 125 PERMIT SUBTYPE: SF DWG TYPE OF WORK: NEW INSPECTION FOOTIN^ DATE INSPTR. • TYPE FRAIINr1 DATE JNSPTR. INSULAT'I'ON FINAL r I:7; .II FsCi. RFMARKS: a & W PLG"t -- KLUVLR hIFCH REACTIV„ATE _ PERMIT IF 18-50.2 CITY OF FAGAN $ 042. 3 1993 BUILDING PERMIT APPLICATION 681-4675 Rico 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 .3 /)2. / Valuation of work Site Address: 20/y n i I`•jgtT/LfJiC STREET SUITE N Tenant Name: (commercial only) LOT ? BLOCK Z SUBD. 5,4r, 2i I.D. k Description of work: The applicant is: ? Owner contractor ? Other (Describe) Name Phone Property LAST FIRST Owner Address STREET STE N City State Zip ??-'T?? ? C-,,Phone 05&4Fiz5 Company /? sr?z? nr Contractor 1? Address ??5 G 4&4,_,5c7- hyz License # eey3uy3 Exp. City State Zip;.- 3 Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber ?tw 2 /yJ?Ll1.1A4e_1-t- Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation 19 02 SF Dwg. ? 03 SF Addition ? 04 SF Porch ? 05 SF Misc. ? 06 Duplex ? 07 4-Plex ? 08 8-Plex ? 09 12-Plex ? 10 Multi. Add'l WORK TYPE If 31 New ? 32 Addition ? 33 Alterations ? 34 Repair GENERAL INFORMATION Vatmtim: $ 1'7'1, or) 0 Const. (Actual) V- N Basement sq. ft. MWCC System ES (Allowable) v- N 1st Fl. sq. ft. City Water YES UBC Occupancy R-3 M -? 2nd F1. sq. ft. PRV Required Zoning E Sq. Ft. total Booster Pump 4 of Stories Footprint Sq. ft. Fire Sprinkler Length bq , On-site well Census Code /or Depth y On-site sewage b?? SA C Code ea o? ws" APPROVALS Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ? Site ? Wallboard ? Footing ? Final Go_ Res._ 3z I2 ? Insulation ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % too SAC Units sxl`F 1yx37 Ll Y 7 = 2rn ? 11 Apt./Lodging ,16 ide. finish ? 12 Multi. Misc. ? 17 Swim Pool ? 13 Garage/Accessory ? 18 Comm./Ind. ? 14 Fireplace ? 19 Comm./Ind. Misc. ? 15 Deck ? 20 Public Facility ? 21 Miscellaneous ? 35 Tenant Finish ? 37 Demolish [3 36 Move ? Framing ? Draintile xz2%709 K2=(24) 680!(16=10??? V0 liy4 2N]> Roca, Czar 2y x '2 1 2 /ZritL 13 If y6 193& '7 x h1 , xrsy .210 W, 1 1ST ?wat2 S g = i?36 1 x 8 :- 8 I1 K Ir/2> /G =5?e I (? 2 ,2 q Cl fs s 1 >?Y= yggq(a 1 ?6gK5`I' r??-• ? - SURVEYOR'S CERTIFICATE R V Date 14GINZE1%G DEPT EAG NOTE: NO SPECIFIC SOILS INVESTGATION HAS BEEN COMPLETED ON THIS LOT BY THE-SURVEYOR. THE SUITABILITY OF SOILS TO SUPPORT THE SPECIFIC HOUSE PROPOSED IS NOT THE RESPONSIBILITY OF THE SURVEYOR NOTE: BUILDING DIMENSIONS SHOWN ARE FOR HORIZONTAL 8 VERTICAL LOCATION OF; STRUCTURE ONLY. SEE ARCHITECTUAL PLANS " BUILOMPG 8 FOUNDATION DIMENSIONS. ?- DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET 0 DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 588.3 FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - 979.9 FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - 9 8 8.7 FEET WE HEREBY CERTIFY TO M ITTELSTAEDT BROS. CONSTTHAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF Lot 4 , Block 2, SAFARI ESTATES SECOND ADDITION, according to the recorded plot thereof, Dakota County, Minnesota. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS IOTH DAY OF MARCH , 1993. PROPOSED GRADES SHOWN WERE SI T8FM1 FROM THE GRAOMXi PLAN FOR SAFARI ESTATES SECOND ADDITION PREPARED BY OTHERS. M M O p W m O m W o I A D M O Z M O fl O D O m n Z O N ° Z O 0 M In W co HILL, INC. 11 JOHN C. LARSON, LAND SURVEYOR MINNESOTA LICENSE NUMBER 19828 James R. Hill, inc. PLANNERS / ENGINEERS / SURVEYORS 2500 W. CTY. RD. 42 9 BURNSVILLE, MN. 55337 • 612.890.6044 SURVEYOR'S (1re4? r, a CERTIFICATE,&,? . 949 / 19 \ 19 (q7? - n ?oe4?3 973.0 vrE / \ N4/e2 ELEV.-97456 c \ Stpq ` / ' \ Rr 9MG ry0 / \ S v 9y cy h? ti ro 0 0 968A / p ?O V . ry0. ` O hp / (5?9 z / 1% l 7 Y9E r 1 / M 1 ° 7 I(94c'*r ELF 98B•?H 1 ? rrry LOT -4 a 1.. ?&-,4, ?7 11 `Dl q Noy Sob Date ma 1 / 1 ' O m W C 0 W? n D N n Z O m ZO a m Y Z O m c> 'n z O C) m y w K N James R. Hill, inc. PLANNERS / ENGINEERS / SURVEYORS 2500 W. CTY. RD. 42 0 BURNSVILLE, MN. 55337 • 612.890.6044 f D 0 ¦ D 0 f D 0 D 0 D ¦ 0 D ¦ D 0 1 0 D f 0 D f D 0 f 0 0 LOT EVRVEY CSZCELIST FOR RZSIDZNTIAL BUILDING PZRXIT APPLICATION PROPERTY •VGALt LOT 4 &Xp- 7- , 5 g csKt1 1 517A-ra-S Z,. r Date of survey: 3 - ld -'1'3 Registered land Surveyor signature and company building Permit Applicant Legal description Address North arrow and bar scale !louse type (rambler, walkout, split w/o, split entry, lookout, etc.) Directional drainage arrows with slope/gradient ?. Proposed/existing sewer and water services Street name Driveway D 0 0 RUVATIONS Existing Sewer service ¦ D 0 Lot corners ¦ 0 D Top of curb at the driveway f D D Elevations of any existing adjacent homes Proposed ¦ D 0 Garage floor ¦ D D First floor ¦ ? ? Lowest exposed elevation (walkout/window) 1 0 D Property corners ¦ D D Front and rear of home at the foundation i PGNDING AREAS of applicable) 1 0 0 Easement line f 0 0 NwL - ¦ 0 0 NWL ¦ 0 0 Pond # designation ¦ 0 D Emergency Overflow Elevation rypa DIxENSZOxs 'Ra??? 114 ?v -RIN ¦ D 0 Lot lines ¦ D 0 Right-of-way and street width (to back of curb) ¦ D 0 Proposed home dimensions including any proposed decks, overhangs greater than 21, porches, etc. (i.e. all structures requiring permanent footings) f D 0 Show all easements of record and any City utilities within those easements D 0 Setbacks of proposed structure and setback of adjacent existing homes D 0 0• Retaining wall quirements, if any Reviewed- I'V}T J P. ?'? run ....«?rw.y DATE EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION OWNER c SITE ADDRESS ?p?y 7qg%, NJJ GHT T/Lst/ CONTRACTOR ADDRESS i.,x rrr lb2 PHONE Y'?(i`1/2 DETERMINE WORKING SQUARE FOOTAGE OF EACH. 1. Total exposed wall area ... 412 a I sq. ft, x .11 - Z 2. Total roof/ceiling area ... 119Z sq. ft. x •026 - 4 L Total exposed wall area above floor - LJ20) a. Total wall window area ......................... b. Total door area .. ........ ............... C. Total sliding glass door area .................. d. Total fireplace wall area ...... .. ..... e. Total wall framing area (average 102) .......... f. Total net wall area above floor ................ g. Total rim joist area ........................... Total exposed foundation area - I?z h. Total foundation window area ................... n i. Total net foundation area above grade .......... ?q R' Determine "U" value of each wall segment. a. a X nun Vz - 2 Z y.3 b. 37.$ X "D" , n7 - 2.4 C._ 1e3.1!r X "D" . . 1/1 - Y35 d. D X $full a O X nun ?/ - 1&,-2. f. i38y.3 X "U" oy3y - Zo.l g. 289 x fluff posy - 12, 7 h. 0 X "U" 6 - p X ?tuft 3 . ...............................Total - If item d3 is the same as, or less than item 41, you have met the intent of SHC 6006 (c)2. -1- Page 2 of 2 Total exposed roof/ceiling area - I %9p J. Total skylight area .. k. Total roof/ceiling framing area (average .lOb).. 1. Total net insulated roof/ceiling area ......... / G lS7.S Determine "U" value for each roof/ceiling segment. J. X f.U" p k. )l2 e X "u" .0258 2.9 4 ....................................... Total 9. If total of 04 is the same as, or less than 02, you have met the intent of SBC 6006(c)1. Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum of items 03 and 04 shall not be greater than the sum of items 01 and 02. 1. + 2. 3. + 4. - -2- 1993 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN SS122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. `L1O• FIXTURES SHOWER 3 WATER CLOSET I BATH TUB LAVATORY i KITCHEN SINK / LAUNDRY TRAY i HOT TUB/SPA / WATER HEATER FLOOR DRAIN GAS PIPING OUTLET • minimum - ROUGH OPENINGS / WATER SOFTENER PRIVATE DISP. • DatCty. lic. U.G. SPRINKLER • home under mast. ALTERATIONS • to existing WATER TURN AROUND STATE SURCHARGE SITE OWNER TOTAL: ARCH 3.00 3? 3.00 'f7 - 3.00 E - 3.00 X_ 3.00 3.00 2 3.00 3.00 3.00 3.00 3 1.50 y 5.00 5 - 15.00 3.00 15.00 15.00 .50 5 INSTALLER: K I"J 2 t r \XU yt n LU I nS+ ADDRESS: 13 3 cl D U r i (2r a t? CITY: 2e ? Lr P STATE: WAN ZIP CODE: h ) PHONE #: (LIB, ) '6.21- "09 SIGNATURE OF P ITTEE 1993 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN SS122 (612) 681.4675 PLEASE COMPLETE FOR ALL COMMERCIAL INDUSTRIAL BUILDINGS. ALSO FOR MULTI- FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNrF. _ NEW CONSTRUCTION _ ADD ON REPAIR WORK DESCRIPTION: CONTRACT PRICE: $ FEE: 1% OF CONTRACT FEE. STATE SURCHARGE $.50 FOR EACH $1,000 OF k;ElM FEE MINIMUM FEE $ 25.00 CONTRACT PRICE X 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CITY: PHONE #: STATE: ZIP CODE: FOR: CITY OF EAGAN APPLICANT - / PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE DATE HVAC: 0-100 M BTU ADDITIONA-LM- M BTU-- GAS OUTLET (MINIMUM 1 @ $1.00 EACH) (?) 6l, ?l L C( C@ /.. r a 4K 7 -? ADD-ON/REMODEL (EXISTING C07VS7RUCTION) STATE SURCHARGE TOTAL SITE FEE $ 24.00 6.00 $ 15.00 OWNER NAME:Y l' l7'J? ??7? ??Y TELEPHONE #: T ? - l /"2,?7_ 12481 Rhode Island Ave.- So-CITY: STATE: ZIP CODE: TELEPHONE #: IYYJ 1ur t_nA1N11.A1. YL' muil I ty almr PI juni'l CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 411°P City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use Permit#: g6? Permit Fee: Date Received: Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: i l — ?- i k Site Address: aU1 ( S/4e r`Ltf-s f Unit#: RESIDENT / OWNER Name: ✓av7 L 11-d 0,45 Phone: COP --,V,1- to Y 77 Address / City / Zip: Applicant is: Owner Contractor TYPE OF�IVOR�( Description of work: 'I C - off c,„ ;re_ _ troy, r Construction Cost: /3, ,N6, Multi -Family Building: (Yes / No •V ) CONTR �TO Company: CA) r \ 0,-F- 7v,,e_ 1--ti1( Contact: 4 t C/V. - Address: )60-(o (,4 ` o -tic -e l 10 L Ai City: maple C yd/. _- State: Zip: ‘5,36) 9 Phone: 3-y0-, , ci (00 -ac) -,1 License #: r265(05.t'1 Li 5 Lead Certificate #: /votT - 0-1338 ) 3 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, 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: _Yes Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE Plans and supp sting documents that you submit are consrdered� to b p rblic informpeeation Portions of the information maybe classy/ed as non- publ fc rf you provide specific reasons that would r nit the Ci ty to . conde`°that they are trade..secrets ` t .. „ >. ,. . cluVit,,:: CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 forprotection 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. x NIA_ A ��- Applicant's Print i Name x Applicant's Signature Page 1 of 3 41011 City of Eakan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: /05- -c? 5 - Date Received: Staff: 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit #: Name: k /1h s Address / City / Zip: PO `7 5041=r Applicant is: Owner Contractor Phone: �ytzq-S Ira:// io3 /P3q-aY17 Description of work: NNa 1/41-t G P 1d` C -P 9 w l n d ct wS j ct e Ki Sln 9J 0 "^9 9 Construction Cost: y v> (? CI Multi -Family Building: (Yes / No ) Company: 1,,) fl 5 Vl\ 4t`} ken^ -L U IC P_ Address: /b 12 442 IAA GYN.- i If c) LM tu Contact: 7 `rc R State: AA Zip: 75 City: Mbit C,-frepAt Phone: (e 3 _. Llq 3 -)-7-9-q License #: )-0'Cis S Lead Certificate #: AM -7— 56 r78 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) I/key- 2- by 14-+ Q 1-‘40 1�1 h' (jeac -ft 54a.'Sl�) 1 qq 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: 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.ciocherstateonecall.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. x Acre.,„l`Oj kc Applicant's Printed Name x Ap''s t's Signature Page 1 of 3 Use BLUE or BLACK Ink r----------------� I For Office Use i �j�/ C� j Permit#: / -��cs L� I � ty of �a�a� ; . /^� ; � Permit Fee: - �,.1 � I 3830 Pilot Knob Road Eagan MN 55122 � Date Received: j Phone: (651) 675-5675 ► � Fax: (651) 675-5694 I Staff: I �-----------------I 2015 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: �a S Site Address: �G'f-lt �� fi�r% �C ��h�` S �y'Jc ( Tenant: �r�"i G.�. �a��G.-, S Suite#: R�Sid�t�'t/�/.1'��r' Name: �1�'�GG. �- .��:�.--�f' Phone: Address/City/Zip: 2c%C! � ��✓'(' J " .�,�..5� ��' �' � Name:_ ��}��C' �Ucr ��Gt1--� Lvr�. License#: T C C�l/ /C l�f�' �Olttt'�CtOi' Address: G–Q�S c� �` ��/� �i�t/'�' ,�.�i-� City: ��P CJrI��. State:��Zip: �SQ�E� Phone:_�l Z– �G3� �a 7 Z ; Contact:��< ��-- ��'�rSEmail: �� ?Uu- �/G�l�.,�4 f' ., ��/�e �D'�V�/t�r�C —New _Replacement _Repair _Rebuild �Modify Space _Work in R.O.W. Description of work: �� G�--.r- �c.v�l �j 4 �-- RESIDENTIAL Water Heater � . - �� Water Softener Lawn Irrigation(_RPZ/_PVB) �� Add Plumbing Fixtures�Main/_Lower Level) Septic System New Water Tumaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation(includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic Svstem Abandonment,Water Turnaround*(includes State Surcharge) "Water Tumaround(add$210.00 if a 5/8"meter is required) $115.00 SeptiC SVstem New(includes Counry fee and State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.org I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. X_ L�� f�- �� X �� ApplicanYs Printed Name ApplicanYs Signature f�R{�FFlCE l�Sf , Reviewed By: Date:> Requiretl �nspQctions: Under Grt�und ': Rough-In Air Te�t . Gas Test Finai iUleter Reiated ltems: Meter Size Radio Read Manorneter Staff: Use BLUE or BLACK Ink r----------------� � i For Office Use• � ' � Permit#: �� "' V�j Clty of �a�� Permit Fee: � 3830 Pilot Knob Road � � Eagan MN 55122 �',?� ;�r- { � _.� � Date Received: °r�� Phone. (651)675-5675 " s �� I � I Fax: (651)675-5694 �>r, , r i,�� i Staff: I ti1.:� ,� � l�c,� � �y,sl ---------------�-��. , �, 2015 RESIDENTIAL BUILDING PERMIT APPLICATION �(��2�>> / -- t� �� Date:�Z3�/� Site Address: � � ` �. �N Unit#: � �� Name: �'�� l��C�..�"' �J�Tt'/��-f Phone: I'�BS�� ,c�,� �.'QWt�Et' . '� Address/City/Zip: Z��' �� //L"7-'�� C.. . .�� r�7�� Applicant is: Owner Contraetor � Q�j/ ��'y�, ' Description of work � � � � ��pe_�f Wo�k �� 00 � Construction Cos� �u/� � Multi-Family Building:'(Yes /No Company: f�(��r(�..^ � �''�l'��T l�, Contact:�jC�+. ��'��ti,,�p--' ��,��, Address: '� ��'"�T1'�� `U City: G77(s��*N State:�Zip: �sT Phone: !/i �Email: C,K,fVI��-Y�l'rC�� License#: G�/�V3��Q Lead Certificate#: If the project is exempt from lead certification, please explain why: 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: FiresSuppression Contractor: '4 p ` Phone: ' N�T�':Pt��s a�C��p�o�gr dc�c��er�t�t1�at y�u s��#a��co�ts�ct�r�tl to be p��b��i�� v�tins uf t3��irrforr�a�o�a r�r�,y�a�cla��i��f��n+�tt��i�i�r`�'you pro�Cale��c rea�cr�s fh��o�l�I pe►��t�e C��!.t� cr,r��d'e that the a-re�e s�ecr�s: , ,,� � CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.org I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permk; 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 m st be completed within 180 days of permit issuance. �. X C. X Ap licant s Pri ted Name A pl an s Sig ture Page 1 of 3 , DO NOT WRITE BELOW THIS LINE �i��— � [ 5� . ' �2��h�� j�` < SUBTYPES 2-� �`1 ��► _ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) , _ Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) Multi Deck Porch(Screen/Gazebo/Pergola) _ Miscellaneous _ 01 of_Plex � Lower Level _ Pool _ Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior � Alteration _ Fire Repair _ Windows _ Demolish Foundation '�I _ Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation jd �D Occupancy ��G-/ MCES System "�'� Plan Review / Code Edition oi7 SAC Units � (25% 100%�� Zoning � City Water -- Census Code 'Y 3�l Stories --- Booster Pump -- #of Units / Square Feet � PRV i #of Buildings � Length � Fire Suppression Required --� Type of Const[uction � Width � REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) � Final/No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Roof: Ice &Water Final Pool:_Footings _Air/Gas Tests _Final � Framing Drain Tile Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick Insulation Windows Sheathing Retaining Wall:_Footings_ Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Other: Reviewed By: , Building Inspector RESIDENTIAL FEES /�/ lrAi�c, + � �v' �G� � �.(1� �!/'•l v l�`f,�r�,� aG�� g�'� Base Fee I g� �% Surcharge Plan Review 1�4 -- MCES SAC City SAC Utility Connection Charge S8�W Permit&Surcharge Treatment Plant Copies °.� `' �d TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA162750 Date Issued:07/27/2020 Permit Category:ePermit Site Address: 2014 Safari Heights Tr Lot:4 Block: 2 Addition: Safari Estates 2nd PID:10-65851-02-040 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 - Grace K Adams 2014 Safari Heights Tr Eagan MN 55122 (612) 839-6477 Mcdonald Construction 7601 145th St W Apple Valley MN 55124 (952) 432-7601 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA179483 Date Issued:10/06/2022 Permit Category:ePermit Site Address: 2014 Safari Heights Tr 1 Lot:4 Block: 2 Addition: Safari Estates 2nd PID:10-65851-02-040 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the water damage. Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after started. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Grace K Adams 2014 Safari Heights Trl Eagan MN 55122 (612) 839-6477 Kaufman Sheet Metal Roofing 2521 24th Ave S Minneapolis MN 55406 (612) 722-0965 Applicant/Permitee: Signature Issued By: Signature