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2019 Safari Heights Tr. INS.PECTI CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: l i , I lii :!.' t4OCK: A 17AR I lit 1 444 r"i TR ? . PERMIT SUBTYPE: I zr ON RECORD PERMIT TYPE: - Permit Number: Date Issued: fill 1 I U 1140 H.'TAIC, 14/c.lf, CORNFRSTONf HOW Ht DRS 1 f, I' 1 il '/ i f. p; l TYPE OF WORK: INSPECTION DATE INSPTR INSPECTION TYPE DATE INSPTR. . ('lIIt1,,FI I N Ifir: ,,Iliil { 17 ! i .Ir I I'1 lo+ i I N A I k1'MAltk:ix S S W P113 J Ap w. Permit No. Permit Holder Date Telephone # ELECTRIC >A44• U (.h,(, PLUMBING HVAC Inspection Date Insp. Co mments FOOTINGS FOUND FRAMING (( ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST / 2-9 Y INSUL _ GYP BOARD FIREPLACE 4 ` FIREPLACE AIR TEST --- - FINAL PLBG FINAL HTG ld? 6 I 'O.L? ?'u09Q ORSAT TEST BLDG FINAL /Q BSMT R.1. BSMT FINAL DECK FTG DECK FINAL 0 AfJdre,% 2019 SAFARI HEIGHTS TR Zip 5512 Lot 12. Blk Sub SAFARI ESTATES 2ND THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: `0 0 yp Yes No Inspector: Final grade (6" from siding) t/ Permanent steps (garage) Permanent steps (main entry) L I Permanent driveway Permanent gas Sod/Seeded grass Trail/curb damage Porch I/ Basement finish Deck vl? 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 6814645 before working in right-of-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy 2 6 3 - 637 ® OFFICE USE ONLY This reque bold 18 months train validation dare printed in his box`J d PLEASE PRINT OR TYPE V R,nal Dow Rough-in inspection re ui ? Yes [3 No Inspection Other Than Rough-In: ? Ready Now WIII Call (You must call the inspedor when ready) Date Ready: I, ? licensed contractor ? owner hereby request inspection of the above electrical work at: Job Address (Street, Bas, or Ruts No.) City E Tip Code ZO /9 S.a rv r/ y t fs Tr o Section No. Township Name or No. Range No. Fire No. County // Occupant / Phone No. Ca/H J? tTjHZ i?C//S Power Supplier Address Electdanl Contractor (Company Name) Canbacmr License No. Master Li, Na. IPla t Elea. Only) Mailing Address (Contmdor or Owner Performing Installation) Audwrised 5ignawn (C aor or Owner Pedormirg mwllafion) Phone No. ?lZz X577 ES-00001A-10 6/95 STATE BOARD COPY- SEE INSTRUCTIONS ON SACK OF YELLOW COPY I1111 II IL 811 IpI j11 REQUEST FOR ELECTRICAL INSPECTION 60 a? Minnesota State Board o II II ?II IIII li II I II I) II II II IIIIIIII 1821 University Ave., Rmf SI1 8c?. Paul, MN 55' 1%0 * 0 2 6 3 6 3 7 1* Phone (612) 642-0600 91044 40 Home Duplex Apt. Bldg. Other: New Addn Commercial Industrial Farm Remod Re air Air Cond. Htg. Equip. Water Htr. Load Mgmt. Other: Dryer Range Elec. Heat Tem . Service "X' above the work covered by this request. Enter remarks in this space and on the back of the white copy only. Calculate Inspection Fee - This Inspection Request will not be accepted without t e correct tee: Other Fee # Service Entrance Sae Fee # Grcufts/Feeders Fee Mobile Home Park Stall to 200 Amps 'LP 0 Amps f Street ug./fraffic Sig. Above 200 Amp Above 10 Amps Transformer/Generator INSPECTOR'S USE O TOT Sign/Outline Ltg. Xfmr. ? i` Alarm/Remote Control f"? Qp Swimming Pool I heal, cerli I I m: a ?? oIV 'an da:rd Imigation Boom Special Inspection R., I 9) EM H Investigative Fee IS INSTALLATION MAY F Ti a oae I tb BE ORDERED ISC NN CTED IF NOT COMPLETED WITHIN 18 MONTHS. iSaa:?L- 2004 RESIDENTIAL. BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 a? ;20 C New Construction Requirements RemodetiRep& Requirements 3 registered site surveys showing sq. R of lot sq. R of house; and all roofed areas 2 copies of plan (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions 2 copies of plan showing beam & window sizes; poured found design, at. I site survey for additions & decks l set of Energy Calculations Add'lion- indicate ff onsts septic system ffm 3 copies of Tree Preservation Plan I lot platted after 711/93 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date Construction Cost 0 G 0 Site Address Z d (? S a-ye- 0--r-1 14 L t (r14'r? f t& I L. Unit/Ste # Description of Work ?L LL Multi-Family Bldg - Y AZN Fireplace(s) -' 0 - 1 - 2 Property Owner Vl L 1^ L la-tN l•; rWZ- Telephone # ( (15 () ?( I (/ ?$ Contractor ? rrtip?i L1? t) ls, V u1 oh, 4,-V _ Address -71 6 `j am-? I f + ?.l eS r ,/ city tM-t-j State Yy\, N Zip (;'Sl 12, y Telephone # (fT 9Q7 3 3 S COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Catcam I - Minnesota Rules 7672 Energy Code Category . Residential Venfilation Category I Worksheet New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor I hereby apply for a Residential Building Permit and acknowledge that the i formations + eihplete end accurate; that the work will be in conformance with the ordinances and codes of the Mix of __ggl, nd_ ihesState 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 requir s a review and approval of plans. ..ter J6 Lv^ 1j?? IYr? Y _ N If so, 25% plan review Telephone #( Applicant's Printed Name OFFICE USE ONLY Sub Types y ? 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 /7Fr, 18 Deck ? 23 Porch (screen/gazebo) ? 36 Mufti Misc. ? 05 03-plex ? 11 10-plex ? 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 A 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation O a Z -tiff MCES S t ccupancy . ys em Census Code ?rO?T Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const -?bL Width REQUIRED INSPECTIONS _ Footings (new bldg) _ Final/C.O. Footings (deck) Final/No C.O. Footings (addition) _ Plumbing _ Foundation _ I-IVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas T ests _ Final _ Framing _ Siding _ Stucco - Stone _ Brick - Fireplace - R.I. _ Air Test - Final Windows _ Insulation _ _ Retaining Wall Approved By: ------ - - - - - 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 170 ? -2 P-q 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan NIN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 "r7o New Construction Requirements Remodel/Repair 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 Cart of Survey Recd _Y _N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pms Plan Recd _y _N' 2 copies of plan showing bean n& window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required _Y _N l set of Energy Calculations Addition-indicate ifonstte septic system On-site Septic System _Y _N 3 copies of Tree Preservation Plan if lot platted after 711/93 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Date Site Address /J/ C / n_ Q lt? l Construction Cost a6y Qy (s?- !175 - Unit/Ste # Description of Work L/A'dCims f /J Multi-Family Bldg _ Y - N Fireplace(s) - 0 - 1 _ 2 Property Owner / Telephone # (6-57) (1-5`76 -9&M Contractor eet 'e r Sa Addressy? state y (?ail/ / ' ? lz-d +^ City ?l ? Zip Telephone # (i5/? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category I _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone # ( Telephone #( N If so, 25% plan review L'J L I hereby apply for a Residential Building Permit and acknowledge that the infotmatio is complete and that the work will be in conformance with the ordinances and codes of the City of E _ dAhe-Sta -17 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. / as (? lGl?m e-s?-p,L r ?/ Applicant's Printed Na e Applicant's Signature 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 EM. Alt - Multi ? 03 01of_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 ? 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 Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # 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 T ests _ Final Framing _ Siding _ Stucco - Stone - Brick - Fireplace _ R.I. -Air Test -Final _ Windows - Insulation _ Retaining Wall Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector PioNSER ? * T4 Certificate of Survey for: LAND SJRYEETQR5 I QML t LAND PLAt1N`RS`-LAN05CAPE 2422 Enterprise Drive Mend0tu HergflLn, MN 55120 (612) 681-1914 FAX: 681--9488 625 Hiyhwuy 10 WE, Bln.ne, MN 55434 (612) 783-1880 FAX: 783-1883 CORNERSTONE HOME BUILDERS 2919 SAFARI HEIGHTS TRAIL 5 260.37 POND AP-17 N`rrL=916.0 HWL=98.5 ry ti OP MARK ELEV,=961.421 4 8. oT, r O i i 4) \R?b it Xle h? j?• 1 )7 6r 4°c \y \? Al I 1 I I i I r I I U ?- A 4JIk i T . J tt-f-f ' 47 1 y %`'h -EDGE OF POND PER PLAT - ,CORM SE'NER LINE ON PROP. LINE AW 12 ti• 945-3 rDRAINAGE &- W. ,r EASEMENT F Y 1 I ! N, X96 ? 964.7 ! !p 9GG.1 969, N , 96 .4 r9G •1 INVR'W9 2.7 L?ENCi-I MARK ti TOP OL PIPE ELEV.=966.35 NOTE: PROPOSED GRADES SHOWN PER GRADING PLAN D1": CCST ENG. NOTE: BUILDING DIMENSIONS SHOWN ARE FOR HORIZONTAL AND VERTICAI. LOCATION OF STRUCTURES ONLY. SEE ARCHITECTVAL PLANS FOR BUILDN' AND FOUNDATION LIMENSIONS. NOTES NO SPECIrIC SOILS INVESTIDATION HAS REEN COMPLETED ON THIS LOT BY THE %kVEYQR, THE VITABgITY OF $Gi, 1'O 4Uf'I'OIRT THE SPECIi IC HOUSE PROPOSED IS NOT ME RESPONSD UTY OT' THE SURYEYCR. LAGAN REVi-FWED 1'80POSE0 HOUSE ELEVATION c" LOWEST FLUOR ELEVATION: IDP OF BLOCK ELEVATION: c9n ?,7 GARAGE SLAB ELEVATION: 4.'3 NOTE; THIS 0i - RTIf-:CAIE DOES NOT PVRPORT TO SHOW EASEMENTS OTHER THAN X UOO-00 DtNOTES "ISTINO ELEVATION 7H05F SHOWN ON THC REGORDfC PLAT. F I;OO,DU) OENOTES PI<0:'OSLO ELEVATION DENO I tS ORAtNAGE AND UTILIT'r EASFkENr NOTE: CONTRACTOR MU$T VERIFY DRIVEWAY DESIGN. OENOTES DRAINAGE FLOW 08U-TION NOTE: AEAn:NGS SHOWN ARE BASED ON AN F.59LIME0 DATVM -o- OENOTES MONGMENT ---F-T- DENGTES OFFSET HUD IM1,E rIEREDY CERTIFY TO CORNFRSTONF VOMIT BUILDERS THAT Tliiti IS A TRITE AND i:ORRLCI REPRESENTATION QF A SuRVEI OF 1HE. HOUNOARIES OF: LOT 12, BLOCK 1, SAFARI ESTATES SECOND ADDITION DAKOTA COUNTY, MINNESOTA IT DOES NOT PURPORT TO SHOW IMPROVC,MEN TS OR ENCHROACHMENI"S, EXCEPT AS SHOWN, AS SURVEYED By ME OR UNDER MY DIRECT SUPERVISIDN THIS 29TH DAY OF MAY, 1996. flGNED:: PIONEER EPJGIIJEE^RI? , P..A. SCALE : 1 INCH = 50 FEET Far t ?:---- -- Jonn C. LO(SGn, L. R=g. No. 19828 6891 95238,00 SWK - pro M f 1 "I CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: 67/ 7/seo BUILDING 027876 06/14/96 SITE ADDRESS: P.I.N.: 10-65851-120-01 DESCRIPTION: 2019 SAFARI HEIGHTS TR LOT: 12 BLOCK: 1 SAFARI ESTATES 2ND 9,Wlding--Permit Type "Building tJox-k Type T UBC Occupancy ! Construction Ty%pe ? Zoning Building Length f Building Width' f 8ruilding stories --,-?,Yruare Feet,. SF DWG NEW R-3 U-1 V-N E 54 50 4 2,195 101 1 - FAM. DETACH %f REMARKS: S & W RLBR - FEE SUMMARY: VALUATION Base Fee Plan Review Surcharge SAC SAC % SAC Units Subtotal $1,017.25 $508.63 $63.00 $900.00 100 1 $2,488.88 $126,000 MISCELLANEOUS Total Fee T $1.923.50 $4,412.38 CONTRACTOR: - Applicant - ST. LIC.OWNER: CORNERSTONE HOME BLDRS 14277667 0008375 CORNERSTONE HOMEBUILDERS 3299 139TH LN NW 32 !?, 139TH LN NW ANDOVER MN 55304 `AN OVER MN 55304 (612) 427-7667 (612)427-7667 i I hereby acknowledge that I have read this.application and state that the information is correct and agree to complytwith all applicable State of Mn. Statutes and City of Eagan Ordinances.. APPLICAN?RM?EE SIGNATURE ISSUED CITY OF EAGAN p ,(? 3830 Z Iq PILOT KNOB RD - 55122 1996 BUILDING NG PERMIT APPLICATION N (RI ox ESIDENTIAL) 6814675 Name: ?7LZs r7upw Phone #: W, FIRST A 3 registered site surveys ? 2 copies of plan ? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior additions & decks) ? 1 energy calculations ? 1 energy calculations for heated additions ? 3 copies of tree preservation plan if lot platted after 711193 required: _ Yes _ No DATE: 31 Lb c, CONSTRUCTION COST: DESCRIPTION OF WORK: klow STREET ADDRESS: -000 ?-,24-FAQ t4 64TS P-?L- LOT 12,- BLOCK _I SUBD./P.I.D. #: Si,4-?rz+ 5 ? In ?1Dp)11t / PROPERTY OWNER CONTRACTOR Street Address- City: RemodeVReoair Renulrements State: Zip: Company: GD c,-pju I /"&A tra ji, _ Phone #: 4Z7-r1/do7 Street Address: ?77tFf 130-L GJ dJ.UJ• License City: it?NDOt L" State: Yl' J- Zip: ?4- ARCHITECT/ Company: ENGINEER Name: Phone Registration #: Street Address- City: Sewer & water licensed plumber: change are requested once permit is issued. State: Zip: Penalty applies when address change and lot 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 FPREC?EMED Certificates of Survey Received `k , tYes _ No MAY 3 0 1996 Tree Preservation Plan Received Yes No --?--? BUILDING PERMIT TYPE OFFICE USE ONLY ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish /?-02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 _-plex ? 15 Deck WORK TYPE 31 New ? 33 Alterations ? 36 Move ? . 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. to MCNVS System (Allowable) 2Z- Main level sq. ft. 4,0_6 City Water UBC Occupancy el-/ sq. ft. Fire Sprinklered Zoning £ sq. ft. PRV # of Stories LLvt? pi r sq. ft. Booster Pump Length sY sq. ft. Census Code. Depth SD Footprint sq. ft. -Z, 195, SAC Code 41 P U /fqw° yo Census Bldg Census Unit APPROVALS r/0- Planning Building Engineering Variance IZ6 t 1/j? % /2f S6? Permit Fee Valuation: $ Surcharge Plan Review License Hsu r JuY« Tr ) MCNVS SAC 1?D2ms. ?Nw^rr ? ? \?mt`y 2M. City SAC _ -- = 9/ Water Conn. 3 Sx zG / S6 ?/ Water Meter Acct. Deposit /, /YQlo 2(asX 5`y = Z`1? o= ?(. S c z°? - 3 SNV Permit /D X ZY33 ? SNV Surcharge YX /? = 57v sZ Treatment PI. Road Unit 7 r ? Park Ded. ?o X Sj / ?? , = ??•Sx Z6 "' 7`111 zs i sas ? s Ded. 71s_ rI" ne ` Copies Lam Total: % SAC to SAC Units 3?z1o,S _?Z ,o, o?y * Pi®NGIR LANG 2422 Enterprise Drive Merldoto H6xjhIte, MN 55120 (612) 681-1914 FAX:681--9488 Certificate of Survey for M 5 N89959'1 20W POND AP-17 N'PJL = 9 215.0 HWL=938.5 13 BENCH MARK TOP OF PIPE (cfGf EL= V,-961.42, 48.( A ? (e7 I c`V ?Qh l nrn2 it :°?'?i, ryo ?'1 Yyq ? ??C ,r sc?4. fl t° 7 LAF9 PLANNERS. LA695CAPE ARni705 625 Highway 10 N.E. Blaine, MN 55434 (612) 783-1880 FAX'. 763-1883 CORNERSTONE HOME BUILDERS 2019 5AfARl HEIGHTS TRAIL EDGE OF POND PER PLAT r? r ST, "STORM SEWER LINE ON PROP. LINE r MH. 12 \,/s, 945.3 DRAINAGE & UTIUTY .` boa EASEMENT PEP, PLAT- 7?' 711J o S'??I t X55; -lbb $1.8 -Q?p lT 964.7 J ?f r O 9ss.1 96s.?. 1 5[ C[ 9 3r$? INV 1 2.7 HENCH MARK T \A TOP OF PIPE 9/` \ ELEV.=966.35 NOTE: PROPOSED GRADES SHOWN PER GRACING PLAN BY. CCBT ENG. NOTE; BUILDING DIMENSIONS SHOWN ARE FOR HORIZONTAL AND VERTICAL LOCATION OF STRUCTURES ONLY. SEE ARCHITECTUAL PLANS FOR BUILDING AND r'OUNDATION OIMENSIONS. NOTES NO SPECIFIC SOILS (NVESTICATIGN HAS REEN COMPLETED ON THIS LOT BY THE SL1RVZYOR, THE $VlTABIUTY OF SOILS TO SUPPORT THE SPECIFC HOUSE PROPOSED IS NOT THE RESPONSIB,LITY OF THE SURVEYOR, I I I I r r r r r r r r r r tC 6 280.37 LAGAN REVIf.,WEQ y30POSED HOUSE ELEVATION LOWEST FLOOR ELEVAYION: Q ` 1UP OF BLOCK ELEVATION: C96140-_ CARAr_E SLAB ELEVATION; 3 NOTE: THIS OERTRCATE 00E5 NOT PURPORT TD SHOW EASEMENTS OTHER THAN X 00090 CENOIES EXISTING ELEVATION THOSE SHOWN ON THE RECORDED PLAT, ( 000.00 ) DENOTES PROPOSED ELEVATION NOTE: CONTRACTOR .MU67 VERIFY DRIVEWAY DESIGN. - - -- DEMO ff3 DRAINAGE AND UTILITY EASE.VENT DENOTES DRAINAGE FLOW DIRECTION NOT:; ;EAR'NGS $NOVIN ARE BASED ON AN ASSUMED DATUM -I&- OENOTES MONUMENT -HT DENOTES OFFSET HUB WE HEREBY CERTIFY TO CORNERSTONE HOME BUILDERS THAT THIS IS A TRUE AND CORRLCI REPRESENTATION OF A SURVEY OF THE BOUNi7AFtIE5 OP: LOT 12, BLOCK 1, SAFARI ESTATES SECOND ADDITION DAKOTA COUNTY, MINNESOTA IT DOE5 NOT PURPORT TO SHOW IMPROVEMENTS OR LNCHROACNMIENIS, EXCEPT AS SHOWN, AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 29TH DAY OF MAY, 1996.~"ll ,'IGNED:r PIONEER ENGINEERIN P,A- SCALE : 1 INCH = 50 FEET H r; ,? 689 96238.00 SWK / John C. Larson, L.'S, Rea. No. 19828 LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APP ICATI PROPERTYLEGAL: / DATE OF RVEY:? B LATEST REVISION: DOCUMENT STANDARDS < zz ? • Registered Land Surveyor signature and company ?? ? • Building Permit Applicant ? • Legal description ? ? • Address p?'? ? • North arrow and scale 157 ? • House type (rambler, walkout, split w/o, split entry, lookout, etc.) ?/ ? • Directional drainage arrows with slope/gradient % y ? Proposed/existing sewer and water services & invert elevation ? • Street name ? ? • Driveway ELEVATIONS Existing ? • Sewer service (or Proposed) : GY ? ? • Property comers ?p 13 • Top of curb at the driveway p? ? ? Elevations of any existing adjacent homes Proposed lilr'?? ? • Garage floor M-' 0 ? • First floor ? • Lowest exposed elevation (walkout/window) i9' ? / 1 ? • Property comers h f d 0 ? ? • e oun ation Front and rear of home at t PONDING AREA Cf applicable) ir ? ? • Easement line [t9? ? ? • NWL ?? ? • HWL ? ?? Pond # designation E3 ? • Emergency Overflow Elevation DIMENSIONS ? ? • Lot lines/Bearings & dimensions ? Right-of-way and street width (to back of curb) C7 ? ? Proposed home dimensions including any proposed decks, overhangs greater than 2', / porches, etc. (i.e. all structures requiring permanent footings) d ? ? • Show all easements of record and any City utilities within those easements / ID ?/M • Setbacks of proposed structure and sideyard setback of adjacent existing structures C, ? ? Retaining wall requirements, f any Reviewed: January 1996 CRM 199G43UXPRMr.FM EXTERIOR ENVELOPE AVERAGE "0" COMPUTATION PLAN 1 DATE: OWNER: CONTRACTOR: CORNERSTONE ROMEBUILDERS SITE ADDRESS: ----------- ---------------- ------------------------------------------------ 1)TOTAL EXPOSED WALL AREA: 3282.90 sgft a "U" .11 2)TOTAL EXPOSED ROOFICEILING AREA: 1475.00 sgft r OUR .026 ----------------------------------------------- --------------------- WALL AREA CALCULATIONS: TOTAL WINDOW AREA: 242.67 sqft a OUR .39 TOTAL DOOR AREA: 37.78 sgft a "U" .07 TOTAL GLASS DOOR ARIA: 80.00 sgft a "U" .39 TOTAL FIREPLACE WALL AREA: 0.00 sgft r OUR 0.00 TOTAL WALL FRAMING AREA: 255.46 sgft s OUR .09 NIT INSULATID NALL AREA: 2299.10 sgft a OUR .04 ' TOTAL RIM JOIST AREA: 265.82 sgft a OUR .04 EXPOSED FOUNDATION ARIA: 102.08 sgft a OUR .082 = TOTAL FOUNDATION WINDOW AREA: 0.00 -- sqft a -------- OUR ------ 0.00 ---------------• ----------------------------------------- ------ (3)TOTAL If item (3) is the same as, or less than item (1), you have meet the intent of 2 NCAR 1.16008 A and 0. -------------------------------- -------- -------- ------ ---------------- --------- Ro0F/C8ILIN0 CALCULATIONS: TOTAL SKYLIGHT AREA: 0.00 sqft a OUR 0.00 TOTAL ROOFJCEILING FRAMING AREA: 147.50 sqft s OUR .026 MIT INSULATED ROOF/CEILING AREA: 1327.50 sgft a ----- "U" ------ .022 ------------- ----------------------------------------- -------- -- (4)TOTAL If item (4) is the same as, or less than item (2), you have meet the intent of 2 HOAR 1.16008 A and 0. - --------- -------- ------- ------ ---------------- ALTERNATE BUILDING ENEVELOPE DESIGN To utilise the total envelope system method, the sum of items (1) and (2) shall be greater than the sun of items (3) and (4). (1) 361.12 +(2) 38.35 (3) 262.44 +(4) 33.04 ------------------------------------------------------------------------------- I hereby certify that the building here described meets or exceeds the State of Minnesota Energy Conservation Act. 361.1 38.4 94.6 2.6 31.2 0.0 23.0 92.0 10.6 8.4 0.0 262.4 0.0 3.8 29.2 33.0 399.47 295.48 ,L4,-q3V4 CITY USE ONLY LOT /07' BL RECEIPT #: 91Y'd 6 . ?_ SUBD. r RECEIPT DATE: 1997 MECHANICAL PERMPT (RESIDENTIAL) CITY OF EAGAN 3830 PELOT KNOB RD EAGAN MN 55122 AS- (612) 681-4675 Date ! Complete this section only if you are installing HVAC in single family, townhome, or condos that are under construction and are not owner /occupied. = HVAC: 0-100 M B T U $ 24.00 ADDITIONAL 50 M BTU 6.00 • Gas outlets ( minimum of one required @ $3.00 ea.) • State Surcharge: .50 • TOTAL: Complete this section only if you are remodeling, adding to, or repairing existing single family dwellings, townhomes, or condos. Add-on furnace Z Add on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Other Minimum fee applies to all remodel or add-ons of existing residences $ 20.00 State Surcharge .50 Total: $ 20.50 SITE ADDRESS: aol G} Sa-Fzu-?' A? ?Qrea? nn `J OWNER NAME: l C lrS PHONE #: li '' e INSTALLER Sri (?54Y1 Jc?ePHONE #: TJot-? 77 S STREET ADDRESS: 3 (O SO CITY: STATE: /L/ A ZIP: J?S?a?Aa/ RK4 / S1GNA F PERMITTEE CITY USE ONLY L __ SL RECEIPT: SUBD. RECEIPT DATE: 1997 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: $25.00 minimum fee 2c 1% of contract price, whichever is greater. Processed piping - $25.00 State surcharge of $.50 per $1,000 of permit fee due on all permits. CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TELEPHONE #: TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS: CITY: STATE: ZIP: PHONE #: all commerciaUndustrial buildings. multi-family buildings when separate permits are= required for each dwelling unit SIGNATURE: SIGNATURE OF PERMITTEE CITY INSPECTOR L BL CITY USE ONLY RECEIPT #: ?2?/ lP SUBD aid DATE:. . 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EACH !1!(S2. TOTAL Shower 3.00 x = 3. o? Water Closet 3.00 x = lv.? Bath Tub 3.00 x = 3 Lavatory 3.00 x = ra • v z? Kitchen Sink 3.00 x = :3, d-o Laundry Tray 3.00 x = 3 . 0-0 Hot Tub/Spa 3.00 x = Water Heater 3.00 x = 3. ate Floor Drain 3.00 x = 3,0-ID Gas Piping Outlet * minimum -1 3.00 x Rough Openings 1.50 x C!?p- = 9.0 0 Water Softener 5.00 x = Private Disposal • Dakota Cty. license 65.00 = (new and refurbished systems) U.G. Sprinkler ' home under const. 3.00 = Alterations ' to existing 20.00 = Water Turn Around 20.00 SITE STATE SURCHARGE TOTAL .50 OWNER NAME: INSTALLER NAME STREET ADDRESS:- CITY. STATE?\V"-, ZIP: S?S^c'??= PHONE #: ((00 ) LI U LA w ?? OFFICE USE ONLY L BL SUED. 1996 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681.4675 Please complete for. * all commercialtindustrial buildings. W multi-famity buildings when separate permits are Rgt required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION ADD ON REPAIR DESCRIPTION OF WORK: IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? - YES - NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? _ YES _ NO. IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT. FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per $1,000 of Fcmft fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: OWNER NAME: INSTALLER: _ ADDRESS: _ CITY: RECEIPT #: DATE* STE. # STATE: ZIP: PHONE #: SIGNATURE: OFFICE USE ONLY APPLICANT METER SIZE: DATE: INSPECTOR: / 6 a 3 , RESIDENTIAL BUILDING (D Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX It 651-675-5694 ?% t5h,25 New Construction Requirements Remode[Reoair Requirements Once Use Only 3 registered site surveys showing sq. ft of lot, sq. ft of house; and all roofed 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 Recd 2 copies of plan showing beam & window sizes; poured found design, ate. 1 site survey for additions & decks _ Tree Pres Not Recd 1 set of Energy calculations Add'Non - indicate if on-site septic system _ On-site Septic System 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units c? Date CP <7 G Construction Cost O ,?J ` Site Address r? b r ??' J ? L Unit/Ste # Description of Work \ ?'a t [??? I ILP?C SFI Multi-Family Bldg - Y (6N (?? Fireplace(s) 0 - 1 _ 2 O P t ge r r SC `2 ? t hone # To T4 Tele roper wner y , _ ?j p Contractor 4e_) A1t'.UC_9Ck1__t0 lizA D-S Address ( S-S - 16 qilq LA City State lWU1 Zip S3 o Telephone # (76-5) "0(P (6 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,5ubmitted Licensed Plumber Telephone #( Mechanical Contractor Sewer/Water Contractor 1 - 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 fora perm t, and work is not to start without a permit; that the work will be in accordance with the ap ved plan i e ca ork which requires a review and approval of plans. Applicant's Printed Name App icant's Signature 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 ? 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 ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg) - 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 Footings (new bldg) Footings (deck) Footings (addition) _ Foundation _ Drain Tile Roof _ Ice & Water _ Final Framing Fireplace _ R.I. _ Air Test _ Final Insulation REQUIRED INSPECTIONS Final/C.O. _ Final/No C.O. Plumbing _ HVAC Other Pool _ Figs _ Air/Gas Tests - Final Siding _ Stucco _ Stone Windows (new/replacement) Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector • Pond 4P17 NWL-9404 NOTE: -Underground U!01b,, Shown Are APProxaare. 1n0.RUlied Telephone NWL=926A Conhacror Shall Varify Their Exact Locaflo2 rigid Eleclnc `?-_J f. . 5TB TIL9 v\ 119 2 15? DRAINAGE ESMT. InoG.a aS Man InP-Burred TV Cable 2l" FES With Tidsh Guard, s CY. Cl.1fl Rlp-Rap. 11 \ \ I S A F A R I E S T A T E S Mark,ng Sign 8 Lair 7 ?olnti Tied Per Std. PMIe a20A Y '. l \ S A F A R I E S T A T E S h- 1 STw ,(9 J -`, / 1 `l I t ? % /ki o r t. ? Ib ?1,? Llr: 17 16 IS % 1 ]2 1 ' r?' -? c?. sr. 11.usrA e e 13lo w? ne s]w_nz?ie E) 11 10 g I;' 1?I frI i;'? _ell '¢f.JFSfk) N Si411.01 I {I•- 41A/.) f[n ].I I Ja •1= 1/ n) ,cccfu sc<) I wlf?/1 \ L'- I I 1o''Tfoes s•> r` 'I B 'SlA.7.01.9 ' \ , II \, .. -'/, 16 10 ¢]InFS EE) -I I Ills \ I I / ] _0.00 ').-! ).i^ _ 1 I r I 20 ?_?:'t. NNNf! ,a- Ee STA,3.91 (DES EE) 1 I ? I k:i .<.r I I' :'', le t ':?---o?•---? ._ \ a`7 - o'er th + ??c' l 1 cif s •?':. T•] ., ?' `??_ .•1'7 a? < ,,,. \ I I 1 fl'i ?- ST. 71 E. L , J ', r Cep-=r.ae' 12e3v 1 _ •_?• rat- t-? .. ; t / , c. ,^E5-EE) lL r / 4 \ Z° 4 / ' o'er 1 . 3L ??i ` :?Q j lSEswEE'.`303U BL \/// / I •I y] ST46. 31 NI ' _.. 'v'\d•° \ 1 ell I F-',I LT 1 1O' /x coo s' (DESAy 1?(.c?a ^TA. s.w 22 6 LU r 6 ay In rIOES.EC) ' IT. ,I.GI J, ITA 7.01 91 'S .•1 :?.1'. I :V f#S E[) \p? Y I 1 I /' / 11 /MLTICESCC 21 I ..q ?, '(PI Ir w WYL(o,l cc 7 ` 111 ? T.t1., 4/("B\ OTa G!el O 1 :?11 -\ 'i Ina 1•v(ois ie ?t '`li\?Ifs'Lr.:DE S.AA?I'.?EenvR) ,I --. 20 Ili-:L £9M1. 23 / 02 2ND I ADDN. \ \\``E 2ND ADDN. S.. s.-.. Na 2203V SAFARI HEIGHTS TRAIL DLrn 3ssssen 7o ' ! - B14 ELEV.-'I947 17 ! d I' it l ?(5 r? _ ... 1000 !. -- - 1 ! TOPINiTT NNYQO. ¢AFARI TR. _----- _.. - i crvACe-Ztd2397-- - r - - --- 1-ssV A11,. { , !r 4i_U 0K .: I ..._. ;0<y{,07 ' TOP f05.ai - -? -}.1QOQ . 990 _.. ,.___ t.._-_.. .. 1•.-- ./??_. '._ _. ._. I i Irl'°.cr iR? I!I .I .- ,..,,i???i i1 -11H c ? ? ? t .. .. .' ? ? t i ! 1 _`??• ? i ? r <, ?? - i,O°P,r ssasv? r ? sr= Hc•s.-?g i1T°".p.~ esa.?s _ ... -?91L_ . 980 «. - -.-- ± NW-11"RCF.CLAV 339,1 e - 1 T' fi t-. n - nlfw.M - Tw.yR..y? L i I I _ ._. + ERfMIN I 970 ?.? '?At:n ^s a +? i _ I __ - - - _ ?- - ? - -- I -- ' 1 / [ ze ?z-RCP. C41V a - - _ i I ijl I ( ! ! 4pk``-?•/a. ?,- ?` -: - I i f • ?R:_ ... i? i ? 13 INa. sAr c s. E i rIL1•'•RRei I00. '-T_ ?+tY lL6,Y-.lRlr -~ --___ I - _Y - _ '4 ( - !. ! ....... TY M. a , I 1_ TI •R=afa 1 sr I Ty swx -gt:z.a. LJY i I rE LL.l? i _ 3K IsTFP, Cur iKa 6s ,6 CLrW s161% --5- 950 9811.__ : ' 'Leu.P•l•? LT' _ _ ! {r x j i_. ?..: -..1 1 I -6 a 1''x 1 1 - ;.. ,. - -- ---- -- 11 I 1 - . -. e' w: s..u t ?ti??q?w-? ? ii 1 ? I I y` -?-t---? , i=s' n: .. ? ?. .. 6 s ! ? yar ?. _ 540 970 .9,i0. cur -. 'L9.fiB.-?I ,o- us,CP. n?r z.sst . It y ,o- ,zt,rs. cuv6 ,mT. _ I IM sa.a . i•.sb 95 ..: _ ' 1P- ,rwcr CL„! @ , rw\ L ?71 lr>?L-96F•h t ^t j I Q?k .. i ' ' sBa_._ a : : _ _L? t .r '?,• - ; 3Y• CLW 0 0Y • 260 -0510 2 few .. .940.. ?T, NWL -- ?`-^- CONTRACTOR. t?NA4/A4A INC. 1 T "t le, CLJ, a l,ei RECORD PLAN 11-92 R.P. 2202 ?. . U = suze 1 =9zsa k Y. AI?y I I lo°<,v ,ti Ev, y., nn 1 It ! ! I i}IX7 ! I ... ..r ••, n.. wmM1y Fdn.ne 920 REelf?i O I }> w• Aqp- a „ - a ES Ui(5 2ND 1 __ _'i4 aRl AO0171QN CCST IBC Storm Sewer • • wVl[J. r - Sewer Service Stationing is from Downstream Manhole, - InPlace B- Sanitary Sewer Through This Development Shall Be Inspected se 6wr of !used r - Sewer Service to be x- PVC, SDR 26 Stained 15' into Lot- By The City After Grading Work and Service Connections Have - Wafer Service to be 1- Copper, Type K with Curb Stop @ Been Completed. PL & 15' T.;; into Lot. - Underground Utilities Shown Are Approximate. Contractor Shall Verity - Sanitary Sewers fo be B- PVC, SDR 35 With Belding per Detail. Theft Exact Location. - Manhole, Catch Basin Stations, Locations Ile from Street Sra(loning, S A F A R I ESTATES - Percent of Grade on Pipe Is from CL Structure to CL Structure. SAFARI ESTATES HYO .w uur-99o.5o I - Conlact Joe Connolly at 454.5220 lot City Inspection of 6- GV 8 BO) Service Connections Prim, to Backfilling. I\\ 6-as• TEE W V-986.42 ; SELVILE n I - Homes Constructed With First Floor Elevation Below 966 0 PROP STORM W.Sp.. 1)51 5 . EQYILE S?VIEE 9aW.I:£E SRaET 22B2o ??RYILE WillI?w une Pressure Reducing Valves. -7[}z el.}e. 19 6ERVKE SWlL.1NY.-91109 W5.o.-965.0 It .-916? P e' wc sAn. sr=w r \ z0'ESmm. 15wi..[w-'fj1;73 wyo59697 O wso:9en.3 rJW1.. `-1vixNµ1NV.-915.1 ?.-grb .la rw -{ S / SbRVaE ? wR m is \ z STA 81100 . 9LO.b9 ws.o. 51 .4 M V.- 910 05 R ro. 5 SEWu s 1.>s A 16 SEfLJ?C1E ? ma s Rr. 12 SWRnYV :5wµ, w -m,% \ \ 5 1.15 I 5 O.O$ I IeiwQ IM1\''.-[Arz 42 /9WF.14 1 .\ s N. o -G1 9 \I / t err.• ?? s?• 5 1 visf >e J > prlB 5,0L'. Y: 9$0.70 MM SR LraG 51x05 9 9 2x104,[ 5ER?}-f1L1 iI?(1 N'R 22 f12' SEND .az S F.I'.Y',[E ` ? f\( 114' BIND /a%?5T+11r2I.4 ,START.IV / I fflY (y 6 J9V.tF ?f? afs '\ fF?'r r R r \ / 22 1!7 BEND t . i _?'°ro I `\ ?? HYD. e B.9L Wao.-' J[ 1 2 p r? 6' CV a 6 BO% [+WQ.Inv-9'16.3 w.5.o: 9is 4 m 5.R wv,111 95 BEND 20 x ? \. [ .- ?.?z _ ' .1 re'wu ?>- ve -mil a .? ?' .a / // ?•^? ria [ ,+, +[ }? e. r i.: s z.15 _ "-`av!<•w[ 1 Y!4 [sf I 1 .[nfsei3-rG-?---0? - Y / r a. ? t[ °-a° ff[ s*n_D.hs'wx /`y ,?e4[1?uj?_?[s..., +.. / i ? ,..f ry???.. ? 9/ ?e [ ot?sle< soar./ - r_ ?- _ 1 ?. w I 5 'fr I sYZ i o stun e , IW?SfaJICE '[+ar 1/'. '/ ,o • o.o ? 1 1 _ ..-- I 'I _. -- - \? nw fit ?? [ jSWRJW ?95G:/I ? ? } .•n ? .- [[[![ ? ?Yfas[ ? 1. r... i 1 ! ? r do !. '_. . -.-xyy. 1 j 0.P 9 °VC Y.Y.-'EW -f ?_ t le sro to sc - I r' _ ,I 1 ! _ ; r `I .. Ee?[RN l;;l.ox t _ t yl: 940 >e.Txarf P I as -- e ..-- -- ( _.. CONTR r f RECORC SAM Ye J-3 ° t- 7 .... f 1 t t f)Z t kRyy Way B[tl this ? 5 uf[ M [F3 41 I and Vn6br "Rgyno t i I wY f Vast It of em, v.Me°»w . f . duly `` r f ? 2M Defacer 11x1 bt a Ins w rW 1 c uns. 12 10 o e ?Ie -?-Ca n rs> ass Im 's. Use BLUE'or BLACK Ink For I Office Use Permit City of Ea~a~ 1 y6y 1 Permit Fee: 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: 1 Z Site Address: ! IL nit Name: Phone: Resident/ n _ Z Owner Address / City / Zip: 55/?_ Applicant is: Owner Contractor Type of Work Description of work: Construction Cost: Multi-Family Building: (Yes / No Company: l vFcx- . 64QkW 7 tContact: f4* Contractor Address: /9 44 2,65649-1 7;W/L_, City: E4 b4A State: Zip: ~Z Phone: &IZ 701- 7W License #: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 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.oro 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 Minneso tate Building Code must be completed within 180 days of permit issuancex A;e"- AQ,~?ewevz, x Applicant's Printed Name pticant's Sign ure Page 1 of 3