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2015 Safari Heights TrControl INSPECTION RECORD No. I ?. i NO CIIIY OF EAGAN PERMIT TYPE: No l 1 3830 Pilot Knob Road Permit Number: Ob / 1 y Eagan, Minnesota 55123 Date Issued: Z (612) 681-4675 SITE ADDRESS: LOT, t l ®t oc K t i APPLICANT: ??ti16 ;;AVART NF1W#1'9 T!; mi:DANALO CONST INC SAFARI ESTATES 20D {Fii?) 68N-lO&i PERM?T ?,gPTYPE: TYPE OF WORK: NEW INSPECTION TYPE I I- 11 Nt? .DATE INSPTR. INSPECTION TYPE S=RAM 1 N k, DATE iNSPTR. 114%UI Al IuN Fl"A! hTPF:PLA?_r RFMARg S i 5 A W CONTRACTOR - STAR PUBQ 9 1 E 7 1 e t- Permit No. Permit Holder Date Telephone # S/W PLUMBING HVAC ELECTRI ? ELECTRIC Inspection Date Insp. Comments Footings I s/ ao qa /?? Foundation 2 Framing Roofing Rough Plbg. `'?(,' G 1 L Rough Mtg. Cie Isul. Q Fireplace Final Htg. Orsat Test 4 Final Plbg. Plbg. Inspector- Notify Plumber Const Meter EngrJPlan Bldg. Final Deck Fig. Deck Final We" Pr. Disp. Address: 2015 SAFARI HEIGHTS TRAIL Lot 11 Blk 1 Sec/Sub SAFARI ESTAIES 2ND These items were/were not complete at the time of the final inspection. t : 8/21/92 Yes No In ppetor- 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 shut-off of water supply to the outside lawn faucet before freeze potential exists. ,.pa, vc`xi?o "w? White - City copy Yellow - Resident copy Pink - Contractor copy J 45404 , ,.. .- Request 06t re No. t gh-I Inspection fl v ? Heady Now ill Natty IncoeW?r es ? No Tr/14a y. I ?9i t d t h ti f l t i k °O ? b i b cense rac con or owner ere on o ec r wor y request nspec a ove e Job Adbress ( ree l eo or Ro No I , City Section No. Township Name or No. Ra ge No. Co Occupant P 10 1 17 Ph ne N _ I Power SuPpo 1 Addres ElecVi al Comrac r (COmpan me) act 4 Li o. Mai ?n adress actor Owner Making Insfalla' n) Audi zed Sn. q efu(e IG clor/ %'' stal 1Z) - u er MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Grlggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone(612)642-0800 ENCLOSED. //ff 90:2_ REQUEST FOR ELECTRICAL INSPECTION j45404 Ii See instructions for completing this farm on back of yellow copy. X" Below Work Covered by This Request e Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Healing Apt. Building pryer Other (Specify) Comm./Industrial Furnace - Farm Air Conditione? other (specify) Con Vac § Remarks: ,U9U:1 i f? 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 0 Amps u Signs Inspectors Use Only. (_ S TOTAL Irrigation Booms 7oTR`!d? J? (o 6 Special Inspection („f'R CV Alarm/Communication THIS INSTALLATION MAY BE ORDERED ISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS.. f I, the Electrical Inspector, hereby Rough-in certify that the above inspection has been made. Final ?- OFFICE USE ONLY ' This request void 18 months from 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. ft. 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 101 ') 102? SITE ADDRESS TYPE OF APPLICANT-- L In STREET ADDRESS TELEPHONE #Ldd(0-'J09640CELL PHONE # STATE XAr)ZIP SD 1-1 FAX # ? la ??? PROPERTY OWNER VVtx-' "z TELEPHONE # (Q5-A?] ^qr-) t I -------------------------------------------------------------------------------------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ NIINNESOT:\ RULES 7670 Cr1"1'h?G0RY I _ MINNESO"C_+ RULES 7672 (d submission type) • Residential ventilation Category 1 Worksheet Submitted New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: ___ Phone # Plumbing system includes: Water Softener _ Lawn Sprinkler Fee: $90.00 Water Heater _ No. of R.I. Baths -- No. of Baths Mechanical Contractor: Phone # Mechanical system includes: Air Conditioning Fcc: $70.00 -- Hcat Recovery Systcm Sewer/Wafer Contractor: Phone # -------------------------------------------------------------------------------------------------------------------------- I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eag n rdinonc s. Signature of Applicon A U Q W, VL"4kk?_ OFFICE USE ONLY -'1? \?\ S° Remodal/Repair 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 co'e VALUATION ©C)0 MULTI-FAMILY BLDG _Y ?N k- O,u Me- FIREPLACE(S) _ 0 _ 1 _ 2 Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ updated 4/02 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 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (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) 0 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) J Plumbing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & W ater _ Final Pool _ Figs _ Air/Gas Tests -Final Framing _ Siding _ Stucco Stone - Fireplace _ R.I. - Air Test - Final _ Windows (new/replacement) Insulation _ Retaining Wall Approved By 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 Building Inspector k CITY OF E,AGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT Control N 0465 PERMIT TYPE: BUILDING Permit Number: 000517 Date Issued: 05/19/92 SITE ADDRESS: 2016 SAFARI HEIGHTS TR LOT: 11 BLOCK: 1 SAFARI ESTATES 2ND DESCRIPTION: -Buii"ng Permit Type Building`-Work Type UBC Occupan`c;y Construction 'Type Zoning Building Length Building Width r_ , 'ti t• 4 si SF DWG NEW R-3 M-1 V-N E 70 ,34 ( 1 dal ? 1Lt' ? ? G ? •?]??????`•"'? REMARKS: I , ^ '? S S & W CONTRACTD STA PLBG FEE SUMMARY: Base Fee Plan Review Surcharge SAC SAC % SAC Units Subtotal VALUATION $171,000 $888.00 $577.20 $85.50 $700.00 100 1 $2,250.70 MISCELLANEOUS $1,610.50. Total Fee $3,861.20 cant - ST. LI 16887061 000237 CONTRACTOR: - Appli MCDONALD CONST INC 1212 BLUEBILL BAY RD BURNSVILLE MN 65337 (612) 688-7061 OWNER: MCDONALD CONST INC 1212 BLUEBILL BAY RD BURNSVILLE MN 56337 (612)688-7061 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. APPLICANTIPERMITEE SIG URE IS Ef Y: ITU)A '? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 INSPECTION RECORD Control No. 0465 PERMIT TYPE: BUILDING Permit Number: 000517 Date Issued: 05/19/92 SITE ADDRESS: LOT: 11 BLOCK: 1 APPLICANT: 2015 SAFARI HEIGHTS TR MCDONALD CONST INC SAFARI ESTATES 2ND (612) 688-7061 PERMIT SUBTYPE: SF DWG TYPE OF WORK: NEW INSPECTION TYPE FOOTING .DATE INSPTR. INSPECTION TYPE FRAMING DATE INSPTR. INSULATION FINAL FIREPLACE REMARKS: S & W CONTRACTOR - STAR PLBG 511 CITY OF EAGAN 1992 BUILDING PERMIT APPLICATION 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, I set of specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re guest is made or lot chan a is re guested once ermit is issued. work j/// S0a ??XC/ua/?`hy Lo7`' Date .S Valuation of t Site Location: Zb 1 S SOt {?aLrL Tr. , eEal Qn, M N Z7 S127_ ? ?DC Yt2 S STREET T STE # Tenant Name: LOT it BLOCK I SUBDsa ?rrL Es #ZLfCS ?y P.I.D. # Description of work: The applicant is: ? Owner Contractor ? Other (Describe) Name Phone Property LAST FIRST Owner Address STREET STE # City State Zip Company n1cDorald C hs+ruc-,ion , -Y%c. Phone &/2-)68'F 7041 Contractor Address 1?-1 Z 8ILte ti E1 /3ay Rd License # 04023?.6 I City kk? rsxi Illt.. - State M N Zip S5 337 Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber 34&r -P.1Lk 'rn-LI n, Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I haver d thi pplication tate that the information is correct and agree to comply wit all p cable of Mi esota Statutes and City of Eagan Ordinances. Signature of Applicant: v / L/ v BUILDING PERMIT TYPE OFFICE USE ONLY ? 01 Foundation 19 02 Single Family ? 03 Two-family ? 04 Multi-fam. T.H. ? 05 Apt. Bldg. ? 06 Garage/Accessory ? 07 Fireplace ? 08 Deck ? 09 Basement Finish ? 10 Swim Pool ? 11 Res. Add./Porch ? 12 Comm./Ind. New ? 13 Comm./Ind. Add ? 14 Comm./Ind. Rem ? 15 Public Fac. WORK TYPE ® 90 New ? 93 Remodel ? 96 Move ? 91 Addition ? 94 Repair ? 97 Demolish ? 92 Alterations ? 95 Tenant Finish ? 99 Undefined GENERAL INFORMATION Occupancy R-3 M-1 -- Basement sq. ft. Zoning e- 1st F1. sq. ft. Const. (Actual) y- N 2nd Fl. sq. ft. (Allowable) V- N Sq. Ft. total # of Stories Footprint Sq. ft. Length 7o On-site well Depth 34 On-site sewage APPROVALS Planning Building Engineering Variance REQUIRED INSPECTIONS ? Site ? Wallboard ? Footing ? Final ? Framing ? Draintile ? Insulation ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Road Unit Treatment Pl. B.oad4"lT w??h Park Ded.AC41rj , Twaii-s-Bed Mw or. Copies Other Total SAC % 100 SAC Units _i Vakwtta,_ g 171,0000-0 888.00 GAS; 65.50 3z xz2= Toy 77. Z0 Z X 12 = (244) 7 O? •00 iasO K 1&r 100.00 6sMT: 675.00 r--315 O, 00 11 39-0 48% El 16 Agricultural ? 17 Building Move ? 18 Demolition ? 20 Miscellaneous MWCC System Yes City Water Yes PRV Required Booster Pump Fire Sprinkler Census Code icy SAC Code o i Assessments /00680 x30= J140 x?2= 13z 12 27 X IS= 1 ?,©go Sp I ST Fi V& Y. 7 = /0 _9RIa 1zsZx53= 671gy6 Ll S6ASCN P br.C q ?2xiy = f68 K53 x 890`1 AIVP- I I97 )<.5.3= 6 41 q) 170, x51 .i *4k 2422 Enterprise Drive * P O EA tAN?.btrverMa•oyatNaNEEttl _ _ Mendota Heights,MN55120 ,"* eer hg•• LAND PLANNt11e•LA14M11et11NC TECTs (812) 881-1914 Certificate of Survey for: fv "D ONAL? _ CO11 SSRIION i ? 12.33 96 "7y ° f><a vj 1 r 3 866.88 .! /? ? 6 \ s 959.1, Woo O v / o tb• O o a° \ o ? y?AeJ •o s \ Jf ? 6) 0 971,t p?b 4 4 3 l\ ??' O PCV? yl?`2x. ali 4ti P?? ? i 3 GIV\. p ?pyE ?. a ?• ?e l 96?Q fi ?( / M o t M o A IF i t Ic/ el BY EAGAN ENGINEERING DEPT • eoo-e Denotes Existing Elevation PROPOSED HOUSE ELEVATION •<fK0 Denotes Proposed Elevation Lowest Floor Elevation: Ybg,? Denotes Drainage do Utility Easement Top of Block Elevation: g7Q,o Denotes Drainage Flow Direction -o- Denotes Monument Garage Slab Elevation: `171et7 -e- Denotes Offset Hub Bearings shown are assumed LOT It BLOCK I , SAFAQ ESTATES . ZND ADDIT0 DAkaTA COUNTY, MiNNESOtA 1 hereby cattily that this survey, plan or rport "" grEpered by me 4m del my direct snnerrlsion and that 1 em duly negistered Land Surveyor under the Iwra of the Stale of MlnrtaaoM. Da1ad this 'W day of 7.1 A.n, is iZ%v. `f/'tB1q?-' AM C?•; ! E(evi- .? n ® 1 ?) /ACV- Prop. EfeVs.?001, c l ? • ? '7y0 nOAEnt „1 . 1 . . tErt. NO. 14e91 esr ? bs9 51 MINNESOTA STATE ENERGY CODE CALCULATIONS BASED ON CHAPTER 5 OF THE MODEL ENERGY CODE - 1983 EDITION ??.'? Adoption Effective Owner -4 t- 6 d`';' 1 Site Address LOT (l, 5LCX K I ? 5,.412 ? mss, 4 2H n Abj 17-7 o^j Building Classification: Type Al (Single Family & Duplex) 7' Type A2 (Residential, 3 stories or less) (Over 3 stories) (Other) GENERAL INFORMATION 1 v? 1. Building Perimeter. 2. Wall height (ground to eave) ft. 3. 1. X 2. (above) gross wall area,??(d?*(4-1II0 sq.ft. 4. Building dimensions (L) `-' X (W) =lq.ft.roof & floor area 5. Sq. foot area of rim joist - $lp?pr j ize (2 X ?j lC/ X91 (Perimeter) = L'?Csq.ft. !!II 12 6. Doors - ArealL Thickness in U. factor- I? A7 Type of Construction Perimeter ft. Manufacturer 7. Total door's perimeter ft. 8. Windows: ManufacturertP- 454 L . Z-4" .(? State approved U factor TYPE SIZE AREA (Sq.Ft.) NUMBER OF TOTAL -f g_* lk t /19;=7V /? E??s•1?? EACH UNITS SQ FEET 9. Total sq.ft. Glass t 10. Fireplace area: Width X Height = X = sq.ft. 11. Exposed foundation: Height X Perimete4r,, F'_ X 2 1 ?sq.ft. COMPLETION OF THIS FORM IS REQUIRED FOR ALL NEW CONSTRUCTION, MAJOR REMODELING AND BUILDINGS BEING MOVED WHERE ENERGY, OTHER THAN THE MINIMAL CODE ALLOWANCE, IS USED. -1- 12.,Framing area = 10% of gross wall area. 13. MGross wall area ???,??J( 0 i sq. ft. Window area A ?/}} I sq.ft. U windows =I I I Rim joist area A:+7 I14 sq.ft. U rim Joist= t? 1 Door area A 157 1 t40 sq.ft. U door area= I other doors area k q.ft. U other doors=41 Exposed fndn A : sq.ft. U foundation= 107(a Framing area AM14sq.ft. U framing area=109-E-5; Net wall area A. q.ft. U wall= Io402 - (13B) TOTAL . . . . . . . . . UxA = UxA = 1 UxA UxA UxA UxA UxA UxA 14. Gross wall area x 0.11 (A-1 single.family & duplex) = allowable UxA/Code (13. above) x 0.23 (A-2 other residential) x .23 (other buildings) x .28 (Over 3 stories Aix U Code _? 1 BTUH must be larger than or same °F. as 13B above 15. Ceiling framing area (Af) equals 10% of ceiling area 15A. Gross ceiling area = (L) X (W) _sq.ft. 15B. Joist area (Af) = 10% ceiling area - f J?/I sq.ft. 16C. Net ceiling area (Ac) (15A - 15B) _ 9 ll sq.ft. U ceiling x A = AC v? U framing x A f = 1 x o L • _yy? I 15D. TOTAL U x A ......................... .:J ll 16. Ceiling area (15A) x 0.026 (A-1 single family & duplex) = allowable UxA/Code x 0.033 (A-2 other residential) x 0.06 (other) TUH must be 'larger than or same A(15A) U Code 1 V LF(/ AA V F. as 15D above NOTE: Use U and A values obtained from pages 1, 3 and 4. CERTIFICATION: I hereby certify that I have calculated the "U" factors and "R" values herein and that the building here described meets or exceeds the State of Minnesota Energy Conservation Act. Date signature -2- i ? 0 Y, pfd OY4= ? V Y, Z teox= 1r,- 02gI O'3r0 ?` O l ((Wl} WALL SECTION STUD SECTION 2ND WALL SECTION. RIM JOIST U VALUE CALCULATIONS "N IS total N R VALUE U VALUE Inside air film .68 Interior wall .40 (Nall) U 1 R Insulation Sheathing 1q•p 2,0(0 .043 Siding •(07 Outside air film .17 R TOTAL 03 ng , (o Outside air film .17 R TOTAL 10 - 53 Sheathing 2.0(0 • p q 5 Sldt 7 Inside.air film .68 Interior wall 11)J 4" stud R= 1Wq (0.5 (Framing) U . k Inside air film R- .68 Interior wall Insulation Sheathing Exterior wall covering Exterior air film R ..17 R TOTAL R TOTAL ' ) 3 `Exposed 8luck 2.0(0 041 !ring ,(p'] R- .17 R= .68 II.O Foundation 1. Z g (Fdn.) U = R = Exterior air film R= .17 .07(O Sheathing Exterior wall cove Exterior air film R TOTAL Interior air film Insulation (Wall) U • R . z Interior air film R= .68 Insulation .1q.0 1 Ik inch soft wood R=1.88 (Rim U = R = Joist) ?1 Grade 3. CEILING WITH VENTED ATTIC SPACE ABOVE R VALUE FRAMING R VALUE CEILING 0.61 AirFilm 0.61 110-C? Insulation 45.0 4.38 Joist ------- 0.56 Ceiling 0.56 0.61 AirFilm 0.61 Tota1R 4(o-78 oZ2j U = 1/R . oZl Window infiltration 0.5 cfm/lineal Residential door infiltration 0.5 requirement Non-residential door infiltration foot of crack cfm/square foot or door and minimum code 11.0 cfm/lineal foot of crack Ub 12" concrete block no insulation = .47 R 2.1 Ub 12" concrete block insulated cores = .26 R 3.8 Ub 12" lightweight block = .32 R 3.1 Ub 12" lightweight block insulated cores = .12 R 8.3 U single glass = 1.13; with storm window .54 U double glass = .55 U. triple glass = .41 All exterior walls and ceilings must have a vapor barrier (0.10 perm max.). Vapor barrier must be on the inside (heated side) of wall. Vapor barriers of the polyethelene thin film have no R value. s CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 xmmmn FOR CITY USE ONLY PERMIT # RECEIPT # /0!O S DATE: 9 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: M A n c0 0-basin 1 ^1'ICln SITE ADDRESS LOT: BLOCK / SUBD. INSTALLER: ADDRESS : "I I `-1 I =,L( M _ K ))1F- CITY: PlcaLne, ZIP: ` EL11:ny PHONE #: __VELI-•LDCA7, COMPLETE THE FOLLOWING: NO. FIXTURES EA. TOTAL ADD-ON MINIMUM 15-69 _ SHOWER 3.00 WATER CLOSET 3.00 BATH TUB 3.00 LAVATORY 3.00 G.CY? I KITCHEN SINK 3.00 _crn LAUNDRY TRAY 3.00 - -Co HOT TUB/SPA 3.00 z? WATER HEATER 3.00 A.0( FLOOR DRAIN 3.00 a._CL) GAS PIPING OUT. _ (MINIMUM - 1) 3.00 ROUGH OPENINGS 1.50 y. _ OTHER _ WATER SOFTENER 5.00 C, ..? PRIVATE DISP. 15.00 U.G. SPRINKLER 3. 0 0 SUBTOTAL 00- .? S 'YJ. 551?_ ST. SURCHARGE .50 0 SIGNATURE OF PERMITTEE I{-?Z TOTAL: S `- , I//__iV)•L? /Y? (]bUSTRTAI' PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. ------------ ______ ____--°°--------- °___ CONTRACT PRICE: OWNER NAME: SITE ADDRESS: LOT: BLOCK SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FOR: CITY OF EAGAN FEES 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 3830 PILOT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 FOR CITY USE ONLY PERMIT # RECEIPT # OS DATE: REIAETIAi PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS 6 TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ------------------- WORK DESCRIPTION NEW CONST ADD ON REPAIR _ OWNER NAME : F??c ` ?, \ ^ S SITE ADDRESS: LOT: BLOCK 1 SUBD. S?QfiZ? ??5 INSTALLER: $_ D` k C! \ ( l ADDRESS P ?> > "--4 -) -noCt c?1?? S 1 CITY: Y) CA PHONE -ir toC) ADD-ON MINIMUM $15.00 HVAC 0-100 M BTU 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 OF 1 PER PERMIT SUBTOTAL: $'?b'(DO' STATE SURCHARGE: .50 TOTAL: $ELL _lsL tit?v--C? I NATURE OF PERMITTEE RmSA;m9STKr.A7. 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 #: ZIP: 18 OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR EACH $1,000 OF PERMIT FEE. PROCESSED PIPING - $25.00 $25.00 MINIINUM FEE. CONTRACT PRICE x 1% STATE SURCHARGE $ TOTAL: (SIGNATURE) FEES FEES FOR: CITY OF EAGAN 2006 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. ')? ?5 S? Date ' ? Unit # Site Street Address _.Zal C ate( ?A112461 2 Af Telephone # (asA Iez-- z7// ?a Property OwneK *4 11?, -f : P /CPS Telephone # t?5L4 13S_- 7F90 Contractor I-ya ??i)SU/GG2 State - Zip =fr 3 Address The Applicant is: _ Owner Contractor -Other Refurbished Submit 2 sets of plans and MPC license New Septic System y fee Includes C _ _ 00. Per as-built $ 10.00 Alterations to existing dwelling $ 50.00 Add plumbing fixtures. This fee includes installation of a water softener and/or water _ heater at the same time. If you are installing only a water softener and/or water heater, do not complete this section, move to the next section and check the appliance(s) you are installing. Septic System Abandonment UL 3 - Water Turnaround (add $130.00 if a 5/8" meter is required) Other: Water Softener Water Heater $ 15.00 new replacement Lawn Irrigation _RPZ -PVB -new -repair -rebuild $ 30.00 $ .50 State Surcharge $ Total ....1-J....:M..i the infnfT9r1(lfl k rrimnl ete and accurate. that the I hereby apply for a Residential riumoiny ruimit anV av. -vviuuyc "Iv -I -'""- - - work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordant with the approved plan in the event a plan is requireME7:LiI nved . Appli6an'sPrinted Name App can's Signature City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 2015 Safari Heights Tr Lot: 11 Block: 1 PID:10- 65851- 110 -01 Use: Description: Sub Type: e - Furnace & Air Conditioner Work Type: New Description: Fumace & Air Conditioner Comments: Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952) 445 -2840 Fee Summary: Contractor: Angell Aire 12253 Nicollet Ave S Burnsville MN 55337 (952) 746 -5200 Addition: Safari Estates 2nd ME - Permit Fee (Replacements) Surcharge -Fixed Total: I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Owner: Duane A Wisnik 2015 Safari Heights Tr Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: $50.00 0801.4088 $0.50 9001.2195 $50.50 Issued By: Signature Mechanical EA092312 12/14/2009 ePermit PERMIT City of Eagan Permit Type:Building Permit Number:EA113541 Date Issued:09/05/2013 Permit Category:ePermit Site Address: 2015 Safari Heights Tr Lot:11 Block: 1 Addition: Safari Estates 2nd PID:10-65851-01-110 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . Audrey Flattum Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Duane A Wisnik 2015 Safari Heights Tr Eagan MN 55122 (651) 687-9711 Storm Guard Restoration 1355 Geneva Avenue North, Suite 201 Oakdale MN 55128 (651) 738-1698 Applicant/Permitee: Signature Issued By: Signature