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2018 Safari Heights TrSEWN & WATER PERMIT CITY OF EAGAN '3830 Pilot Knob Rd. Eagan, MN 55122-1897 DATE DEC 110 1991 I OFFICE USE ONLY METER # 44 !- 5// I PERMIT DATE 12/12/91 CHIP # G 11 PERMIT # 1243$ METER SIZE ?I tl B.P. RECEIPT # C 016480 ISSUE DATE ?l 9??? B.P. RECEIPT DATE 12/11/91 PRV _ BOOSTER PUMP SITE ADDRESS 2018 SAFARI HEIGHTS TR LOT 5 BLOCK 2 SEC/SUB SAFARI ESTATES 2ND APPLICANT: ADDRESS:- CITY, STATE PHONE: ZIP PLUMBER: STAR PLUMBING ADDRESS: 1018 MOUND SPRINGS TERR CITY, STATE BLOOMINGTON MN ZIP 55420 PHONE: 884--4149 OWNER: LLOYD D HJELLE & ASSOC INC ADDRESS: 14530 PENNOCK AVE CITY, STATE APPLE VALLEY MN ZIP 55124 PHOE: 32-1737 PLEASE/ALLOW TWO WORKING DAYS FOR PROCESSING. CALL SEWER PERMITS, CONTACT ENGINEERING DEPT. PERMIT REQUESTED X SEWER % WATER - TAPS COMM/IND X RESIDENTIAL X NEW EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit WILL NOT be given fgr,Deduct Meters. CITY OF WHEN METER ISSUED FOR STORM .CP SEWQR &WATER PERMIT CITYOF -E/IGAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 DATE DEC 11, 1991 USE ONLY METER # PERMIT DATE 12/12/91 CHIP # PERMIT # 12438 METER SIZE B.P. RECEIPT # C 016480 ISSUE DATE B.P. RECEIPT DATE 12 11 91 PRV -BOOSTER PUMP SITE ADDRESS 2018 SAFARI HEIGHTS T1R LOT 5 BLOCK 2 SEC/SUB SAFARI ESTATES 2ND APPLICANT: ADDRESS:- CITY, STATE PHONE: ZIP PLUMBER: STAR PLUMBING ADDRESS: 1018 MOUND SPRINGS TERR CITY, STATE BLOOMINGTON NN ZIP 55420 PHONE: 884-4149 OWNER: LLOYD D HJELLE & ASSOC INC ADDRESS: 14530 PENNOCK AVE CITY, STATE APPLE VALLEY MN ZIP 55124 PHONE: 432-1737 PERMIT REQUESTED X SEWER R 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. CITY OF SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. 0 CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE Y I ( .19 ' fJ? IDI? ?? ?Gt ('Y1 FROM AMOUNT $ 5q C ? 44 .r? t fl lcX r Ic??1 ?i (E? DOLLARS ,00 ? CASH U CHECK r P-3 i C 016480 While-Payen Capy Yelbw--Posting Copy Pink-Fie Copy Thank You i?- -- BY f-TR.i r.---.;:?•i1fT^L'-v?...T _ ... ... -. ...4^.+i ?.. ......ry..: v ??y!??.lri,'A...v ..-_ ..- .. .... r -+..,?r - .. v .r.- CITY OF PAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 L y ? PHONE: 681-4675 _ BUILDING PERMIT Receipt # To be used for SF DWG/GAR Est. Value $137.000 Date DEC 11 19 91 Site Address 2018 SAFARI HEIGHTS TR Lot 5 Block 2 Sec/SubPAIARI ESTATES 21 Parcel No. Narne LLUTU D HJBLLE & ASSOC INC zw Address 14530 PENN= AVE a City APPLE VALLEY NN Zp 55124 Ph,,,, 432-1737 cc Name , SAME 0 Address C4 Zip Phone Lioense # 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: LLOYD D HJELLE 6 ASSOC 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 FEES Occupancy R-3 H- Zoning *4,6 Bldg. Permit 769.00 (Actual) Const V-N Surcharge 68.50 (Allowable) V-" Plan Review 500.00. M of Stories Length License Depth ? SAC, City 100000 S.F. Total SAC, MCWCC 650.00 S.F. Footprints 660.00 On Site Sewage Water Conn On Site Well Water Meter 95.00 MWCC System x 30.00 City Water X Acct. Deposit 30' PRV Required S/W Permit Booster Pump - S/W Surcharge .50 276.00 Treatment PI APPROVALS Road Unit 370'00 Planner Park Ded. Council Bug ON. Copies Variance TOTAL 3.549.00 Permit N o.. Permit Holder Date Telephone +Y %W / J ? 7c PLUMBING J WAC o?8 9? s,/ B?GG ELECTRIC F JIJ-/ ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing 2_ /? -p j D5 Roofing Rough Plbg. O- /d? 7 ?- '"`G Y1 ril v Rough Htg. Isul. rll -? r -bS Fireplace 6L Final Htg. b1!/ w ,C br Orsat Test /l/1 Final Plbg• Plbg. Inspector - Notify Plumber Const. Meter j Engr./Plan Bldg. Final Deck Ftg. Z Deck Final 616 Wen Pr. Disp. -3-9/ l?r 30 /75 *MJ r REQUEST FOR ELECTRICAL INSPECTION 1-11.411191 ? See instructions for completing this form on back of yellow copy, Q r; 7 Q R r1 "X" Below Work Covered by This Request `? ?'? EB-OODOt-08 New A{1r Type of Building AppllncesWired Equipment Wired - Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace e Farm Air Conditioner Other(spemfyl 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 100 Amps Signs Inspectors Use Only / TOTAL Irrigation Booms /V GJi Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORD NNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has been made. Final ate ??pp OFFICE USE ONLY This request void 18 months from Addre;s: ,2018 SAFARI HEIGHTSLIR 5 Blk 2 Sec/Sub SAFARI ESTATES 2ND These items were/were not complete at the time of the final inspection. Date: 1992 Yes No Final grade (6" from siding) Permanent steps - garage Permanent steps - main entry Permanent driveway Permanent gas / y Sod/seeded grass Trail/curb damage Porch V 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. acmeowm White - City copy Yellow - Resident copy Pink - Contractor copy DATE: DEC 12, 1991 RE: 2018 SAFARI HEIGHTS TR (LLOYD D HJELLE & ASSOC INC) X Your Sewer & Water Permit for the above property has been completed. It will 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. /a cp 7 p 5 7 8 2 f ?'/ 5 , 0 Request Date Ire'NO. Rough-in Ihspec' Re fired? FJ Ready Now Will Notify InSB?or h d I es N ea I'Xlicensed contractor ] owner hereby request inspection of above ctrical work 7 Job Address (Street. Box or R to City Sec ion No Township Name or No. R ge No. County Cccupa tl RINTI Phone x*c P. 5 p Addrees ` lectncal Co for I Ompany rya?et C T L G ontractor5 L ense IN Mdiling 2 5 r? C10r Or O w n r Making nst lOnl $ ? Lair/'', AwM1Onze? ignawre aon r Maki g Ins alionl /^y Pf?yee,N q233 v MINNESOTA STATE BOARD LECTPICITV _ THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - R 06M S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul. MN 55100 UNLESS PROPER INSPECTION FEE IS Phone (612) 662.0800 ENCLOSED. /?/???? REQUEST FOR ELECTRICAL INSPECTION li? See instructions for completing this form on back of yellow copy, q' r,7 Q P A s "X" Below Work Covered by This Request kp p y J N Y /eSt?S.?? New Add Rep: 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 Condition; Other(specity) Contractors Remarks. Compute Inspection Fee Below: k Other Fee # Service Entrance Size ers Fee 0 to 200 Amps Transformer s Above 200 Amps Amps Signs Inspector's Use Only. AL s? Irrigation Booms 70 d ,j? Special Inspection X V 'her l1 ? ??Q r- Alarm/Cmmuncalion THIS INSTALLATION MA ED IF NOT Other Fee COMPLETED WITHIN ~ I, the Electrical Inspector, hereby Rough-in - y7, ?/ ??`"'JJ certify that the above inspection has been made. Final e ?j OFFICE USE ONLY Tha highest void 18 months from IG; 2 /a?/9i p 57865 1v r1a f/? Request Date o? l 41 And Ni Roeah-in eclion ,a, " , =Yes C No D Ready Now?Will Noiity Inspector When Ready? icensed contractor .0 owner hereby request inspection of above electrical work at: Job Address ISt est. Box or Rou No - r ?/ City /• C C? Seclion No. Township Name or No. Range No. County Occup IPRINTI . Pho40 Powar peer / Atldre j 21 Elec[n onlrecbr f ompan amel Contractor Licen No. MailinryAgtl{Ba?yG acto or weer a i Install Ion) l J` 7- z at r ICOn;racton er Xing In allation) Author ii tlB'S e - si /.? Pho a/Vt?/y)m?lh. ey/y //?/y,'-?]??) L 1 J333 hdsiiiii? MINNESOTA STATE BOARD PIFELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Rom S-173 BE ACCEPTED BY THE STATEBOARD 1821 University Ave.. St. Paul. MN 55106 UNLESS PROPER INSPECTION FEE IS Phone (6121642-0800 ENCLOSED. CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 NO-19953 PHONE: 681-4 675 C 0 1 L7 qkl? BUILDING PERMIT Receipt # To be used for SF DWG/GAR Est. Value $137,000 Date DEC 11 19 91 Site Address 2018 SAFARI HEIGHTS TR OFFICE USE ONLY Lot 5 Block _2- Sec/Sub SAFARI ESTATES 2N FEES Parcel No. Occupancy R-3 M_1 69 i R 1 Bldg. Perri[ 7 .00 Zon ng _ Name •1.0YD D HJELLE & A SOC NC (Actual) Const V-N Surcharge 68.50 W Address 14530 PENNOCK AVE (Allowable) V-N Plan Review 500.00. Z Cty APPLE VALLEY MN Zp 55124 rr of Stories th Len - 741 License Q g Phone 432-1737 Depth 336! SAC, City 100 _no Name SAME S.F. Total SAC, MCWCC 650.00 S.F. Footprints 66 Address On Site Sewa e Water Conn 0-00 g City Z1p On Site Well Water Meter 95.00 Phone MWCC System Acct. Deposit 30.00 City Water License # PRV Required SAN Permit 30.00 1 hereby acknowlege that I have read this application d state that the Booster Pump SrW Surcharge • 50 information is correct and agree to comply with al plicable State of 276 00 Minnesota Statutes and City of n Ordi Treatment PI . Signature of Permit APPROVALS Road Unit 370.00 A Building Permit is issued to: LO HJELLE & ASSOC 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, Old, Copies Building Official in? [Mfq Qiii 1149/ Variance TOTAL 549.00 02,(P x?, RESIDENTIAL PLUMBING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122, Telephone # 651-675-5675 Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit .Sara i Date / Z ! ( C7 3 Site Address Z D` 8 S ?FiQ R I t-i e t q et f 7-?5 ! W i unit # Property Owner [?' ?Q S /??J 2 J` O Telephone # ( ) Contractor Address ?j L7 ZO l?l J \I ? tNj S 11? A a?C? E N ? city 3P06 e- V AJ Aik l State 44!J, Zip Telephone # (2 3l ? - y0 The Applicant is Owner 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 $ 50 00 5 Add fixtures to lower levels or room additions, excluding water softener and water heater . Abandonment of septic system (+ 518" meter if needed - $121.00) _ Water turnaround ((]].? A Other: k'N, -a VV,, L. t ?- i %,L !5Z _ RPZ _ new - repair _rebuild $ 30.00 Lawn irrigation system _ Water softener _ Water heater $ 15.00 _ replacement _ additional h St t S $ .50 e urc arge a DEC 1, 0 u 1 J o $ Total i 1 I hereby apply for a Residential Plumbing Permit and acknowledge'diyt ete and accurate; that the work will 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 ca-p?proved plan in the case of work which requires a review and approval of plans. ,VJ?,N-Z ?o? eL ?(C c QL,="kA - Applicant's Printed Name App9 cant's Signature. RESIDENTIAL 5 ?S 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 711/93 Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE O SITE ADDRESS (?k TYPE OF R?K?-' APPLICANTJ! STREET ADDRESS TELEPHONE # z ULTI-FAMILY BLDG _Y _N FIREPLACE(S) _ 0 _ 1 _ 2 CELL PHONE # 4A (IMniIL-STATE ttZIP cZ' T -- FAX # PROPERTYOWNER 1 `t -- 1 , \a?SQ TELEPHONE# COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RUI1?S 7670 CATEGORY 1 _ MINNESOTA RIJITS 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: _ Mechanical system includes: Sewer/Water Contractor: Phone # Fee: $70.00 I hereby acknowledge that I have read this application, state that the information is correct, d agree to comply with all applicable State of Minnesota Statutes and City of Eagayr6r finances. Signature of Applicant OFFICE USE ONLY Water Softener Water Heater No. of Baths Air Conditioning Heat Recovery System ?S 01 Remodel/Regalr Requirements • 2 copies of plan • 1 set of Energy Calculations for heated additions • l site survey for exterior additions & decks • Indicate If home served by septic system for additions VALUATION 4 DDD r rl _ Phone p r` r7, C Lawn Sprirulilcr .. Fge .' No. of R.L balths Z Phone # Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of-plex ? 04 02-plex ? 05 03-plex ? 06 04-plex ? 07 05-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 08-plex ? 18 Deck ? 11 10-plex ? 19 Lower Level ? 12 12-plex Plbg_Y or_ N ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn.(4-sea.) ? 23 Porch (screened) ? 24 Storrs Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi ? 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 & Water _ Final _ 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 •'l 769-001- 68 '50+ 500'00+ 2,211.50+ 3)549°00 759^00+ 68.50` 500'00+ 2,211.50+ 11 3,549.00> s_ 1991 BUILD N P APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS _# OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. 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. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: Single Family Valuation: Date: 1n-1-91 Site Address 2018 Safari Heights Trail Lot 5 Block _9 Parcel/Sub Safari Estates Second Addn. Owner Address City/Zip Code Phone Contractor Lloyd D. Hjelle & Associates, Inc. Address 14530 Pennock Avenue City/Zip Code Apple Valley, Mn 55124 Phone (612) 432-1737 Arch./Engr. Address City/Zip Code Phone # 1 OFFICE USE ONLY 3?, oo?? Occupancy R-+3 M-I Zoning Actual Const V- 9- Allowable # of stories Length - ?7u?- 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. /d-z 9ilx Variance . FEES Bldg. Permit r(o ,DO Surcharge 69'5 Plan Review oo,o0 SAC, City 100,00 SAC, MWCC 6 c 00 Water Conn. Water Meter 16,00 Acct. Deposit 30,co S/w Permit O.Jo S/W Surcharge ,SEP Treatment P1. 2r1 ,00 Road Unit 70,00 Park Ded. Trail Ded. Copies SUBTOTAL Penalty Lot Change TOTAL "JA--- agrees that all work shall be done in accordance with (S' na re of Contractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. vAt, GARAGE 32 x 2G = 83Z Z x?2; 1 (2 q) Sob x ? 5= ! 2120 Us MZ Z8 KN2=- ?, r7 'z `X/y_ gf-I 1,4/o= lo Sy6 xlq = 11,8yy IST FLOOR .Lsw = 8y ? Ito =?-°-- ??? X 53= 'y 5898 2 N D 2KXy2= 11?? G ?cr?l, 8y 12?ox53s /o?Ot7So 13? ? 64 z o ti 137 000' . y 4 ? Survey For: AALJ6 L1, yd Hgelle '19530 Pennock Avenue Book Page fS Apple Valley, MN 55129 DELMAR H. SCHWANZ [APO SunvcroR& 1100. a.stawre u.a.r ra.. a rn. our a ww.ras 11750 SOUTH ROBERT TRAIL ? SEMOUN , INNESOTA 66066 612/423.1769 965, 26 SV YOA' •CERTIFIC 'InP I?'? ? 0 '? / \ 96P. Pz ' r / I `to 2 Scale: 1 inch= 30 feet ,gyp N>IBB o ? ?? , y? . 9 2 / 5ve Dc? ?PO' \41 963 ?° \ \? \Gp" /DO 7-4-4 9>B.9 rp v 9ja? o•° \ 'd?od TDP /frrg } +? sP 9cs,6 = 9995 Il ?/ G?? ,6 3„ 4°s ,' raP FlvB lip O \ ? s o = O = Iron pipe monument 51/ o ? = Set wood hub o Op >(9j;,2 Denotes existing elevation ?X8 v X J R 4'> X, Proposed garage floor elev. 72,0 V \ Proposed top of block elev. 7 PY pose we`; IevfeL'e' v.? 96 ?? ?'`-^ 1 sue,., Description: Lot 5, Block 2, SAFARI ESTATES SECOND ADDITIO acco g ecor d plat thereof, Dakota County, Minnesota. (-7- 1 hereby certify that this survey. plan. or report was ?' .::........•.,,..• 'q ?Y'' ,?'~J1"'r r z .,$ a 1Sa.-?.•r? J - t'. sl prepared by me or under my direct supervision and 110, • '•l;; .., , that I am a duly Registered Land Surveyor under = DELh"AP H. t l the laws of the State of Minnesota. = i SCHWANZ / j 8625 - tQ•? 09-19-91 Delmar H. Schwartz i ) ••., J Dated Minnesota Registration No. 5626 PHILLIPS PLAN SERVICE 10700 Lyndale Ave. So. Bloomington, MN $5420 EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION Suite #106 OWNER SITE ADDRESS /o20/S ? r P-L14fS. r CONTRACTOR `` ?/?!1F1 35oC: DATE /o i I9 ! ^HONE . ?3 Z 173 ?_ Determine working square footage of each. 1. Total exposed wall area ...... 30 ?d sq.'ft. X ,!( _?l 2. Total roof/ceiling area ...... sq. ft. x .GZc. _ FT?-?-tgtl Total exposed wall area above floor = Z-7 96 a. Total wall window area ................. .......... 2 49. b. Total door area .. ................. .......... c. Total sliding glass door area ......... .......... 75' d. Total fireplace wall area........... ......... /a e. Total wall framing area (average 10%).. .......... Z"lft f. Total net wall area above floor ....... .......... Z?) `6ti g. Total rim joist area .................. .......... 7,Cr 7,52 Total exposed foundation area = I6b h. Total foundation window area ..................... L. i. Toal net foundation area above grade ............ Ib1/ Determine "U" value of each wall segment. b. X hull 13 = >> c. X °U„ 33 d. ?o X „u„ e. X .lull .10 = ?'I f. . _,. X ..U.. .6,13 = Ib?,i? g, X 'lull , 09 I D h. t, X ..u.. 33 = 1,9b i. fb % X lull ,o- _ 1-.I 3 .......................................Total ';;'i i. If item #3 is the same as, or less than item #1, you have met the intent of SBC 6006(c)2. Total exposed roof/ceiling area = Q AO? Total gross roof/ceiling area = 9 Ao j. Total skylight area ........................ - k. Total roof/ceiling framing area ............ , O 1. Total net insulated roof/ceiling area....... B A-2. Determine "U" value for each roof/ceiling segment. ,... X $lu" k. 4 8 x „u„ _ , oz4 Z, 35 1. 8pp8GGZ. X 11U„ ; pzz = l 4 ................... 1 s?Q.........Tota1 -1'15 If total of #4 is the same as, or less than #2, you have met the intent of SBC G006(01. To utilized 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 11 and #2. 1. + 2. _ 3. MATERIALS Exterior Air Siding Material Sheathing Insulation -- SheetroCk Interior Air Studs Rim Conc. Bits. + 4. Therm. Resistance ,III 2,Oto .45 Los l8, 59 has 1.7A CITY OF EAGAN FOR CITY USE ONLY ' 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT # /U P,UlxBT`t?XT DATE: 9 PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION NEW CONST _ ADD ON _ REPAIR OWNER NAME: SITE ADDDRESS Z ? 1k ';k4r LOT: S BLOCK aP, SUBD. ?? PIFa?nv INSTALLER: ADDRESS: 98c>'r_' A& w1 G; r CITY: Pr;or 1. (.a ZIP: S ?3? z PHONE #: 41A 7- (.o? 34 DWELLINGS & COMPLETE THE FOLLOWING: NO. FIXTURES EA. TOTAL ADD-ON MINIMUM 15.00 SHOWER 3.00 3 WATER CLOSET 3.00 2 BATH TUB 3.00 6- LAVATORY 3.00 3-oa f KITCHEN SINK 3.00 3 a LAUNDRY TRAY 3.00 HOT TUB/SPA 3.00 _ WATER HEATER 3.00 I FLOOR DRAIN 3.00 3 n? GAS PIPING OUT. (MINIMUM - 1) 3.00 3 m? ROUGH OPENINGS 1.50 4•s? _ OTHER _ _ WATER SOFTENER 5.00 PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 SUBTOTAL S 9 O- Sy ST. SURCHARGE .50 TOTAL: S T? o OMMERGIALfINDUSTkTAL: PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: OWNER NAME: SITE ADDRESS: LOT: BLOCK SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FOR: CITY OF EAGAN FEES 1% OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 18 STATE SURCHARGE TOTAL: (SIGNATURE) CITY OF EAGAN L B MECHANICAL PERMIT RECEIPT # 0-0 171) ?7 o? (612) 681-4675 DATE -1? B- 61a SUBD. :L / zn_ RESIDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, COMPLETE FOR TOWNHOMES/CONDOS WHEN SEPARATE PERMITS ARE REQUIRED FOR EACH DWELLING UNIT. OWNER:- 1 f FEES SITE ADD S: ADD ONIREMODEL (EXISTING S 15.00 CONSTRUCTION ONLY) zf * ' HVAC: 0.100 M BTU 24.00 INSTALLER: ?.2 ?/ /?e 2 ADDITIONAL 50 M BTU 12S(L ADDRESS: y 7 ??77 GAS OUTLETS - MINIMUM 1 @ $3 EA. ?.o CITY- ZIP- ST7ZZ SURCHARGE: $ ? SIGNATURE: TOTAL: $ COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCL VINDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: CONTRACT PRICE: FEES 1% OF CONTRACT FEE. STATE SURCHARGE IS $.50 FOR EACH $1,000 OF PERMIT FEE. PROCESSED PIPING - $25.00 a a MINIMUM FEE - $25.00 :1L' Ya Bl TOTAL.: a SITE ADDRESS: TENANT: SUITE #: INSTALLER: ADDRESS: CITY. PHONE #: SIGNATURE: ZIP: CITY SIGNATURE: r ?5 RESIDENTIAL BUILDING ((1 Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements RemodellReoair Requirements Office Use OnN 3 registered site surveys showing sq. ft of lot sq. ft. of house; and all roofed areas 2 copies of plan Carl of Survey Recd -Y -N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd _Y -N 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Reqd -Y -N 1 set of Energy Calculations Addition - indicate if onsife septic system On-site Septic System _Y -N 3 copies of Tres Preservation Plan K lot platted after 7/1/93 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date fl l 19 / Z,,-5a, Construction Cost 4/0) 6>`-)C> Site Address -2-0 1 $ s,4 PAK-Z ( r6Ef?TS L Unit/Ste # Description of Work rr n iS ?2? t i?f rrTT Multi-Family Bldg _ Y 'N Fireplace(s) _ 0 ?1 _ 2 ?'' Property Owner GI? ? " Id>LLLS ,?A,0 ?Ti ?E 3E 7 44-kc3- Telephone # Y3S Contractor 92?A ,r a_. {-per ?lo-.--I Address Zl(3S State 41/V City U7-C- eA,?A-00 Zip Telephone # (G5] )r- COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted 00 A-70 C,Cf,-d 11?2510-? Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone #( Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the informaEignis-comp e-and_-aeburate; 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. Applicant's Printed Name ` Applicant's Sign-We OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of - plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch(screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ?I 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex / Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair X 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant Valuation . 0(7 C' Occupancy /C. MC/ES System Census Code y 3 Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const vll? Width REQUIRED INSPECTIONS _ Footings (new bldg) Final/C.O. - Footings (deck) _ Final/No C.O. - Footings (addition) Plumbing Foundation HVAC _ Drain Tile Other Roof _ Ice & Water Final Air/Gas Tests Pool Ftgs Final Framing _ _ _ _ Stone Siding Stucco _ Fireplace ?R.I. X Air Test Final I l _ _ Windows (new/replacement) nsu ation - Retaining Wall Approved By -r 2, Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total 11,1** City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: Y-' L 2013 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: % ? Site Address: d /2 Tenant: Suite #: Name:/. j—‘ S 7147t -c-- c7 Phone: d.-1 3 7g 91-7-.C. ? Address / City / Zip: 2— /g i � 77 License #: 1DG (2-7/41,5-16. Name: -/Ru Z1� . Y Address: ' �t � , Nl , City: State: jr? A/ Zip: 55 3 / X Contact: .se Phone: Email: ,P, -0 cl.,z.rh.,/u5 New _ Replacement Repair Rebuild Modify Space Work in R.O.W. Description of work: RESIDENTIAL Water Heater Lawn Irrigation (_ RPZ / PVB) Septic System New Abandonment Water Softener Add Plumbing Fixtures (_ Main / Lower Level) Water Turnaround RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $200.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ 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.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 perm' • tha,tf e work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ,r7 Applicant's Printed Name x Applicant's Signatu e FOR OFFICE USE, Required Inspections: