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2023 Safari Heights Tr
Address 2023 Safari Heights Tr Zip 5512 1 Lot 13 Blk Sub Safari Estates 2nd THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: I p_ _ Yes No Inspector: 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. Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy S120 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair Requirements 3 registered site surveys showing sq. ff. of lot. sq. ft. 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, etc. 1 site survey for additions & decks 1 set of Energy Calculations Addition - indicate if on-site septic system 3 copies of Tree Preservation Plan if lot platted after 7/1193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) "'7,2,? difr is Use Only. f Ced of SurueyRecd Y N Tres Pres Plan. Recd -Y _N Tree PreS Required IY N OresfleSe{lt?c:?jslem .::y _N: Date / o 2l Construction Cost ?1 Site Address 0OP3 Jt_tt arj j/ it eI /- _ h 7,e1M_ Unit/Ste Al /1CA c i Z h e ua lU Description of Work i2 n/ s - u e r Multi-Family Bldg - Y - N Fireplace(s) - 0 ?/ t - 2 D/ Property Owner 1`t°_ S /CO W L (/ Telephone # (66-7) 9QS''T z7 Contractor j e /P Address 20Z-3 2 r/ ffe le- City State _H//U/V Zip ZZ Telephone#(637) ?6Y UY7 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category 1 - Minnesota Rules 7672 Energy Code Category . Residential Ventilation 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? _ Y fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor N If so, 25% plan review Telephone #( In ?_ ICI I? I. r. I., Telephone #( I Telephone #( ?i ?4AR 2 1 2005 I hereby apply for a Residential Building Permit and acknowledge that the informatioh-is' complete-atid'acCMte; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of NIN 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. /q, l e.5 4W e. Applicant's Printed Name pplicant'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/Adds. (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 l? 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) - G ive PCA handout to applicant Valuation p(y-t2 Occupancy MCES System Census Code Id 3 Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const _1,! ez_ Width Footings (new bldg) Footings (deck) Footings (addition) Foundation _ Drain Tile Roof _ Ice & Water Final Framing ?C Fireplace X R.I. ) Air Test Y Final Insulation 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 REQUIRED INSPECTIONS _ Final/C.O. ?t Final/No C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Siding _ Stucco -Stone -Brick Windows Retaining Wall Building Inspector ;1 OL- to awl RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681.4675 New Construction Reoulremente • 3 registered site surveys showing sq. ft. of lot, sq. it. of house; and go roofed areas (20% maximum rot coverage allowed) • 2 copies of plan showing beam & window sizes; poured found design, etc.) • I set of Energy Calculations • 3 copies of Tree Preservation Plan a lot platted after 711W • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE -- // -0 2- SITE ADDRESS TYPE OF APPLICANT STREET ADDRESS /?, 6 (a 6Jh cA r TELEPHONE # g? $S/-S?2 CELL 'J?STATE,IMZZIP? FAX # PROPERTY OWNERz' <rrr? TELEPHONE # &L')1-9e2 < -S7Y? ----------------------------------------------------------------------------------------------- COMPLETE THIS SECTION FOR -NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ MINNESOTA RULES 7672 (,I 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: Air Conditioning Heat Recovery System Phone # Phone # Fee: $90.00 Fir, elp _ i, q? 'i4 49 ? u n 1 5 2002 --------------------------------------------------------------------- ,... 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 Eagan Orrdices. / Signature of Applica :4& g J -.°.°._.°°-----°-----._.°----...._...-.°...._Y OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 Water Softener _ Water Heater _ No. of Baths MULTI-FAMILY BLDG _ Y FIREPLACE(S) U,` _ 1 _ 2 Phone # Lawn Sprinkler No. of R.I. Baths ywr/ $/,6?,a6 Ramadeill Reculremems • 2 copies of plan • 1 set of Energy Calculations for heated adtlalons • I site survey for exterior addabns&decks • Indicate a home served by septic "am for additions VALUATION -n /' .1 e?? T 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 Ext. 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_Yor_ N ? 25 Miscellaneous ? 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 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 /5 2, 92, Building Inspector ?kX?M?C>kXc m?v?e?YF>dY?>ri%?%YdX? %?%: *:,nk?k8<#?PbYFYFXC YF?;?;;;C ?c:ic>%>% CITY OF EA[-',AN CASHIIiJzl? JS TERMINAL NO" 6,92 DATEu 08/iC/99 TIME: iD:22:54 IL: NAMEn THE FIREPLACE CENTER 3210 9001 2023 SAFARI HGT 60.00 2155 9001 2023 SAFARI HGT 13.50 Total Receipt Amount: 60.50 CR 115077 USER ID: JAN ??YF>X?:YF?k:?3X>kt<Y??MY%??%?XYF?%??>X>X>X%'>X??#YFXtgc??X;:>k?k?% 13 £t1BD: r CITY USE ONLY B / RECEIPT #: RECEIPT DATE: PERMIT# ? ? / l /t 1999 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAraAN 5830 PD.oT KNOB RD EAGAN, MN 55122 (651) 681-4675 Please complete for: A single family dwellings > townhomes and condos when permits are required for each unit > backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas piping outlet ' minimum - 1 3.00 x = $ Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x = $ Laundry tray 3.00 x = $ Lavatory 3.00 x = $ Minimum fee alterations to existing dwelling 30.00 x = $ Private Disposal System new/refurbished ' requires MPC lic. 75.00 x = $ Private Disposal System abandonment 30.00 x = $ RPZ new installation/re air 30.00 x = $ Shower 3.00 x = $ Underground srinkler if dwelling is under construction 3.00 x = $ Underground srinkler if existing dwelling 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ Water softener if dwelling under construction 5.00 x = $ Water softener if existing dwelling 30.00 x = $ Water turnaround 30.00 x = $ State Surcharge 50 > > ----> $ .50 Total > > > > $ 0 o Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc. ------------ ---- -- - --- -- --- ---- ------ ------ - ---- ------ --bit-y- ---- -- --•------ 1 hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under /(his permit within City property/right-of-way/easement. SITE ADDRESS: r ! / -P/ /in?? OWNER NAME:: TELEPHONE #: S®SI ' / QS 7 7y? / (AREA CODE) INSTALLER NAME: ?y? {? , , /(p v/ ?(ro // TELEPHONE #: STREET ADDRESS: (AREA CODE) CITY: nrc/Ut ?r?y?2 STATE: ZIP:-?o77 a?l ?1? SIGNATURE O ERMITTEE 1999 FIREPLACE PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD - 55122 651 681-4675 Date: q q Description of Work: - Construct new fireplace V6as -Masonry - Install gas insert only Other Job address: Alterations to existing Install pas line only Lot: Block: Subdivision/P.I.D. #:I O,. Applicant (circle one only): Owner Contractor Permit Fee: $60.50 PROPERTY OWNER FIREPLACE INSTALLER GAS LINE INSTALLER Name: Zy_e' Phone #:C Last First Street Address: I City ?.tC State: fNti Zip: ?? c r? Company: /l?ye? or/f?zrZ Phone #:([ (area code) Street Address: ,Zr_?/6j 4222:lj/ } City State: /Y10 Zip: Phone #: (area code) Street Address: City State: ,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 S i of Eagan f'nance . Signa e AU6 I 0 OFFICE USE ONLY BUILDING PERMIT TYPE ? 16 Fireplace WORK TYPE ? 31 New ? 33 Alterations ? 39 Gas Line ? 41 Wood Stove ? 32 Addition ? 34 Repair ? 40 Gas Insert GENERAL INFORMATION Census Code 434 SAC Code 01 REMARKS Chimney/flue must be inspected before concealing. L BL 1 CITY USE ONLY ? SUBD. 9l 4 RECEIPT#: 9 113`133 RECEIPT DATE: PERMIT # 1999 PLUMBING PERMIT (RESIDENTIAL) CITY OF EmAN 3830 PILOT KNOB RD EAGAN, MN 55122 (651) 661-4675 Please complete for: ? single family dwellings > townhomes and condos when permits are required for each unit backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Bath tub $ 3.00 x i = $ .34? Floor drain 3.00 x 1 = $ 31%_ Gas piping outlet ` minimum - 1 3.00 x = $ Hot tub/spa 3.00 x = $ e` Kitchen sink 3.00 x = $ 3- Laundry tray 3.00 x = $ Lavatory 3.00 x = $ 2 Minimum fee alterations to existing dwelling 30.00 x = $ Private Disposal System new/refurbished ' requires MPC tic. 75.00 x = $ Private Disposal System abandonment 30.00 x = $ RPZ new installation/re air 30.00 x = $ Rough opening 1.50 x = $ 1/ Shower 3.00 x = $ Underground srinkler if dwelling is under construction 3.00 x = $ Underground srinkler if existing dwelling 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ 3 y` Water softener if dwelling under construction 5.00 x = $ Water softener if existing dwelling 30.00 x = $ Water turnaround 30.00 x ---- _ $ State Surcharge .50 > > > $ .50 Total > > > > S Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc. - ----- ---- - ----- --- -------- ------ -- - -- ------ - -- I-hereby acknowledge that have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement. SITE ADDRESS:,Q Z 3 S?/i CTCr i?i ?5 I OWNER NAME:: /Ul, ?LS rCO? TELEPHONE #: (AREA CODE) i INSTALLER NAME: ka :5'k? h? h,", a e_ - TELEPHONE #: LAS / ?JG o '95(22 STREET ADDRESS: _64fo S Lc9 $ 7? } (AREA CODE) Z? CITY: rck/A2 STATE: Jt--- ZIP: '550 SIG URE OF PERMITTEE CITY USE ONLY LOT BL nn RECEIPT #: 1 l 0 LV ?( q SUBD. ?.&QQA A' ?S aY RECEIPT DATE: I ?-??- I I \Ij MECHANICAL PERMIT # 1999 MECHANICAL PERMIT (RESIDENTIAL) crrYOF Emim 3830 PILOT KNOB RD EAGM UN 55122 (651) 681-4675 Date• / Complete this section only if you are installing HVAC in a single family dwelling, townhome or condo under ' I , construction and not owner /occupied. • HVAC: 0-100 M B T U ADDITIONAL 50 M BTU • Gas outlets (minimum of one required @ $3.00 ea.) J State Surcharge Total $ 30.00 .66.00 .50 $ 34.5 Complete this section only if you are remodeling, adding to, or repairing an existing single family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repair. New _ Alteration _ Repair - Other Reminder: Call 681-4675 for inspections. Furnace Air conditioning Air exchanger Other $ 30.00 State Surcharge .50 Minimum Total Due S 30.50 SITE ADDRESS: a0?? F h L OWNER NAME: t° v PHONE #: e?W - Y -7d 9 /(AREA ODE INSTALLER NAME: d?- PHONE #: O (AREA CODE) STREET ADDRESS: L26 ? G ` CITY: STATE: ZIP: CJJD6? 4?- SIGNAIMM OF PE ITTEE L BL SUBD. APPROVED BY: INSPECTOR 1999 MECHANICAL PERMIT (COMMERCIAL) CITY Of EAGAN 3630 PILOT KNOB RD EAGAN, MN 55122 (651) 681-4675 Please complete for: all commeri multi-family DATE: WORK TYPE: New co Interior "NOTE: When installing/removing and plumbing inspector. DESCRIPTION OF WORK: FEES: 1% of contract price (LR $30.00 CONTRACT PRICE x 1% PERMIT FEE STATESURCHARGE TOTAL ------- ------------ - ------ SITE ADDRESS: OWNER NAME/ ?S TENANT NAME (IMPROVEMENTS ONLY): INSTALLER: o `Z ADDRESS: b ?C.'), CITY: IWIl) dZ 7/'JA/ CITY USE ONLY rial buildings when separate permits are not r uiLred for each dwelling unit CONTRACT PRICE: on Install U.G. Tank ement Remove U.G. Tank (Minimum Fee) Processed Piping (Minimum Fee) :ground tanycall 651-681-4675 for inspection by fire marshal fee, whichever is greater. RECEIPT #: RECEIPT DATE: MECHANICAL PERMIT M ($.50 per $1,000 of permit fee due on all permits.) L_ lL #: (rte 4 ? L9 (A TA PHONE #: 6S7 - -(P (A??COP E) ?_ STATE: ZIP: 57Ov? ,,-!51GFNATLJRE OF PERMI E 4a?,?I v? r4 ..?.r .N {. )„ %{+t..u)., i. q: ),.,• i. nary, ,.7n)?-,.ml„.pl: ,, .;?n.7?.,. i ? CITY OF EAGAN CASHIER: JS TERMINAL NOu 70? DATE % 05/iR/99 TIMQ 0913008 I L? is NA3 E,; `i3USAN L. RiaNEi 2252 9220 2023 SAFARI HIS 30.00 2210 9001 2023 SAFARI HIS W14.55 3866 9 379 2023 F.i"+i-ARI HIS W0.00 3422 9001 2023 SAFARI HIS 984.46 2271, 9i:?20 2023 'i3a="ARI HIS 1,i039.:5C) '34.AA 9001 2023 SAFARI HIS 10 "!_9 2115 9001 2023 SAFARI HIS 13.50 3740-9e O 'e.?O:ia SAFARI HIS 50.W) 2155 9001 :c.t.lc..., SAFARI HIS 96.50 3868 9220 2023 SAFARI HIS 03.001 CR086 31, CONTINUE-.. USER Lfi;; JAN 0 CONTINUE :k?ok;k7k;1:Y?: r.'m'W„Yx7S;'l,'7Y•Ir."k?:??!;;:W.:";k?F>:;1; 7k:';., .:::k7?i m?'iku';?i?t CONTINUE:' CITY O IEAGAN CASH:I:ERi 3 TERMINAL NO: 7:38 PATF,w 05/1.2/99 TIMES 090809 1D NAME:: SUSAiN I._ RO14[ Wi6 9220 Ei'Oi'`. iiAFi"d"T HIS ii4.00 3713 ccsl.. isC.i•..:, .i:Al"'AIiE. I°..o 50.00 3865 9220 207:'.3 SAFARI HIS 825.00 Total Receipt Ammmtu 5, an. 01. CR 10863:1 USER IQ JAN )?%"X< n n **** V?.Fn,7i. $: o-;ir;?k -F7FX<;:?;1.1"W7rY,;iX7;t?.7k 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) 35 (., G ? New Construction Requirements ? 3 registered site surveys ? 2 copies of plans (include beam 8 window sizes; poured fnd. design; etc.) ? t energy calculations ? 3 copies of tree preservation plan if lot platted after 7/1/93 required: _ Yes _ No DATE: DESCRIPTION OF WORK: STREET ADDRESS: CITY OF EAGAN 3830 PUAYr KNOB RD - 55122 (651) 681-4675 V LOT: BLOCK: SUBD./P.I.D. #: PROPERTY OWNER 1 a a --t) .0 i x_10 -99 Remodel/Repair Requirements ? 2 copie Ian ? 1 a survey erior additions & decks) ? 1 energy calculation heated additions CONSTRUCTION COST: 01, Ael Name: A60C Niks Phone#: (OSl StlXJ /d Last First Street CONTRACTOR e #: License # City ?/j / /?/ LKC?f n7\ State: 161 Zip: 5-,soa city State: Zip: C) r ARCHITECT/ ENGINEER Company: rr P ? Q Name: '?96a? ?t%Jt7J (fC Street City Phone #: Registration #: Sewer 8 water licensed plumber (new construction only): . Penalty applies when address change and lot change is requested once permit is issued. w?? tf?a a1?(. I hereby acknowledge that I have read this application, state that the information is correct, and a to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. - / Signature of Applicant: _ OFFICE USE ONLY 3 Certificates of Survey Received Yes No {? J Tree Preservation Plan Received Yes No -?R- of Required State: zip: OFFICE USE ONLY BUILDING PERMIT TYPE ? 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 A, 31 New ? 33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) U/1/ Basement sq. ft. Census Code LL (Allowable) Main level sq. ft. SAC Code T UBC Occupancy Ll / sq. ft. 7 /ydl o- I Census Units Zoning sq. ft' A, --6 ;Z7 Census Bldg # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building 71M-, Engineering Variance Permit Fee Valuation: $ C9Cr Surcharge Plan Review 4 5-e- /? a7 /?? Z I- ??-? / S License MC/ES SAC / Z City SAC W t C Z /'/,O / a er onn. Water Meter 7 7 32 Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: - S -!). v % SAC SAC Units t r arrivAv%T or EXEMPTION FROM STATE CONTRACTOR LICENSE State of Minnesota ) Miles Rowe j as Affidavit of County of Dakota ) Building Permit Applicant __ p, u p being first duly sworn, upon (Building Permit Applicant) oath, deposes and states the following: 1. This Affidavit is submitted in connection with the building permit application made by M files Rowe (Building Permit Applicant) for a proposed work project located at 2023 Safari Heights Trail , Eagan, Minnesota. 2. I acknowledge and understand that Minnesota Statutes, 5326.84, requires all residential building contractors/remodelers to obtain a license from the Minnesota Department of Commerce, unless otherwise exempt under the statute. 3. I am exempt from the residential building contractor license rquirement for reason(s) pursuant indicated t below n(checksthoseethat 6apply): 3, X a. I am the owner of the residential real estate on which the home shall be built and I will do the work myself or jointly with my own employees or agents and I am building such home as my own personal residence and intend to permanently live therein. b. pI am ractice nasrdefined in Minnesota Statutes, Chapter 326. C. My annual gross receipts are less than $15,000. d. My contracts on individual projects in aggregate do not exceed $2,500. e. I am a mechanical contractor, plumber, or an electrician. _ i. I am a speciality contractor, remodeler, or material supplier involved only in part of the proposed improvement to the residential real estate. 4. I acknowledge and understand that the statements in this Affidavit are made under oath and if I make any statement in this Affidavit that I know to be false or incorrect, I of the subject building permit or bothecution revocation could ord denial d or that I FURTHER YOUR AFFIANT AYETH NOT. Dated: Subscri and sw a ore me 1999 this / day o NANCY L. SEVERSON S? q NOTARY PUBUGMINNESOTA DAKOTA COUNTY My Commission Expires Jai. 31.2000 tary Public Print/Type Applicant's Name and Address Pik LOT SURVEY CHECKLIST FOR RESIDENTIAL RUIL DINQ PPRMIT APPI IcATIAN _ PROPERTY LEGAL: ? D a n a m a a n N Q z 0 ? ID''? ? ??a ? 3?7 G a? ? ? 3 ? ? 21 ? ? a- ? ? a? ? ? ?- ? ? ? ? a DATE OF SURVEY LATEST REVISION: DOCUMENTSTANDARDS Registered Land Surveyor signature and company Building Permit Applicant Legal description Address North arrow and scale House" (rambler, walkout, split w/o, split entry, lookout, etc.) Directional drainage arrows with slope/gradient % Proposed/existing sewer and water services & invert elevation Street name Driveway Lot Square Footage Lot Coverage ELEVATIONS Existinc Sewer service (or Proposed) Property comers Top of curb at the driveway Elevations of any existing adjacent homes Proposed of ? ? Garage floor ,:1- ? ? First floor a'? ? Lowest exposed elevation (walkouttwindow) cf--a ? Property comers 2-11 ? Front and rear of home at the foundation PONDING AREA of applicable) rr--e-- /6 Easement line 0'0 ? NWL P- ? ? HWL e' ? ? Pond # designation ? ?' ? Emergency Overflow Elevation DIMENSIONS IJ ? ? Lot IinesSearings & dimensions 0, ? ? Right-of-way and street width (to back of curb) 3-' G ? Proposed home dimensions including any proposed decks, overhangs greater than Z, porches, etc- (i.e. all structures requiring permanent footings) Cr' ? ? Show al easements of record and any City utilities within those easements of ? ? Setbacks of proposed structure and sideyard setback of adjacent existing structures ? er'? Retaining wall requirements, if any // ?y ???? ? L?- / Reviewed: March IW9 CRAIGBLOt"W FM RESIDENTIAL BUILDING Permit Application City Of Eagan 'S"-10'00 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 New Construction Requirements RemodetReoair 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 _ Cart of Survey Reod (20% maximum lot coverage allowed) i set of Energy calculations for heated additions _ Tree Pres Plan Reod 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks _ Tree Pres Not Reqd l set of Energy Calculations Addition- indicate ifonsite 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 Date O 3 Construction Cost a o.0D Site Address ?3 C aw X4c c F? '! 2e Unit/Ste # Description of Work _ oo aaILt L[ i ( t? t_ Multi-Family Bldg - _ Y_ N f J Fireplace(s) _ 0 Z 1 _ 2 Property Owner p U YI n? n e_? Telephone # ( ) Contractor Allied Fire" dba Firadde HOBO& MM Licanpa2ggeball Address 200KFakNawAvo City State -,5116398561 Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesota Rules 7670 Category 1 • Residential Ventilation Category 1 Worksheet (J submission type) Submitted • Energy Envelope Calculations Submitted Licensed Plumber Mechanical Contractor Sewer/Water Contractor A NEW BUILDING _ Minnesota Rules 7672 • New Energy Code Worksheet Submitted Telephone TelephonT fl Telephone fl IBy-- - I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and appro 1 of plans. - ar fdus O n Q? °?i alx& Applicant's Panted Name 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 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 ? 16 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 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 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 ? ?>-? 5-I 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. t5E?o ?d. Carl, Date 0(. Site Street Address olD 3 ?4?4HihF? ?/ ui/ Unit # Property Owner !1 OW Telephone # (6V 40? ' VW Contractor 6 r, 'f Telephone # ( ) Address City State Zip The Applicant is: Owner _ Contractor -Other Septic System - New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 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 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 State Surcharge $ .50 Total $ n?D 60 I hereby apply for a Residential Plumbing 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 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 accordance with the approved plan in the event a plan is required to be reviewed and approved. im &Wc- =/, Applicant's Printed Name Applicant's Signature HEARTH &HOME April 5, 2007 City of Eagan Inspection Attn: Jeff Wheeler 3795 Pilot Knob Road Eagan, MN 55122 Re: Miles & Susan Rowe Residence 2023 Safari Heights Trail Dear Jeff:. Please let it be known Heat N Glo 6000TRXI at the above address, has been installed to manufactures specifications and in accordance with the local and state building codes. This fireplace was installed in the family room in the lower level of the home using permit number 3 ff' 73 If you have any questions please feel free to contact me. My direct line is 651- 638-3351, Thank you, Brenda Huston Builder Coordinator f Ile EGIt Y" LoUbp CenW S Ie CoWlet Tools WFMIdw Hap y Jobs40: 20235AFARI HEIGHTS TFI/JL HO. MILES & SUSAN RUV E Map Pg.: 14983 Lest ROWS Lo&Box SBUrce: 501ectiop' Ouoret. Addles,: 2823 SPFAW HEIGHTSTRAJL Count' Ciy EAGAN Steno. MN 2ip:55122 Gedit Stntua: Fireplace Gaoler Fud: H...-Ph MI)90S-9747 EA W.rk_M. Ed Work_2 Ed FAX EA'. Enmt Web Silo: Budder. ROTTLUND HOMES Job Sup: A8 Phone: Go Back TO. bb Reedy Summary3 $etde' NO.. CbMeds\ Oeaills \Relenels Pending\ History \ link, 41)1 Freplow I, Robb e2 Freplaoe 3: Peemils Mid HemNGI. r 1 a ?4, Model. 8i 1 Woatlon' FemiypBn y+ 5. II '?*''. TWeSbo Contact: a iw I P .ONmbr S88T3 APPy Dale' Apr2303 No10s'. -Mated 023 SAFARI HEIGHTS TRWL r ErimaN COMaas Insp Celled: Apr 213, 03 Add ginel CPMads InsP Date; Apr29,03 abs?re StidMt 7 Sy0d 3N Columnw/Sed Sdhed WM: E-Mailed ----'-'-"' P Sjno¢nteOWlndmv lo,p Nob a: . . 900 AAY j j LAURAZUTSON j(320)251-0884 WOGO RD. EGWA OLNER (992)47+1399 E This is a screen shot from our records showing the type of fireplace, location, permit number and inspection information. AAJL Certificate of House Location For: ,,Susan and miles Rowe fl, DELMAR H. SCHWANZ LAND SURVEVOR& INC. ftgft M'A le+e er T er.rr of ufnn @ 14750 SOUTH ROBERT TRAIL ROSEMOUNT, MINNESOTA 55088 Property Address: 2023 Safari Heights Trail Lot Area = 38,993 square feet House = 2,379 square feet • = Found iron pipe monument ? = Set wood hub at building offset q1? = Existing spot elevation Q = Proposed elevation = Proposed direction of drainage 22? ?p9 h? MANHOLE 1 SURVEYOR'S CERTIFICATE Scale: 1 inch = 30 feet H9990 ,=4231789 651. 59939, arF POND AP-30.1 HWL = 929.0 ,NWL = 927.0 937.8 W fV Z N fY I / LOT 13, BLOCK 1 TSB + S'erl' .. 938.2 00STORM FLARED DRAINAGE G UTILITY EASEMENTS r POND ENO SECTION f&G-?, } 935.9 1140 8.2 ®r V-011 ?41;100 0*11R J 141 3g 95 OBI 3 _.' _ ` ` N'.4.3 •2 y ? 2'iv N 1 16 o ?I o 9 1.8 25 - + io ? 9ro3 h .g ss H ° in I f7 + 3.g 961.8 9 O •q0 W 1 ( 5. 63.3 PR?PO?D ?(o HOW 96 9.6 20.g 63 22.67 m m 10 + I m I 63.3 962.7 / 26 , \ CURB STOP, 963.2 0 1 0.00 R$ 2S• QQ '0 0 953.0 961.9 STpp" 7? 43V i r r i ?„? moo h? ?6 CON ,'_l?' MI G INSPE, i Proposed garage floor elev. x'o Proposed top of block elev. 964.?7 Proposed lowest level elev. 9?b.3 ti5 962.3 4} HYD "a // Property Description: 961.1 Lot 13, Block 1, SAFARI ESTATES SECOND ADDITION, yE 961. C6 according to the record plat thereof, Dakota County, jGN . C6 Minnesota. 7S 961.4 c • /J "'f j. 940 I hereby certify that this Purvey, plan, or report was a D prepared by ms or under my direct tupsrvitbn and 0? that I am 4 duly "Itered Land Surveyor under the laws of the State of Minnesota. ?o dr Dated '04-30-99 Also showing the location of a proposed house staked thereon. D Lf: AR H. SCHAVANZ - 8625 -- 0 Delmer H. SchwmnE Minnesota Roo stration No. ONS rcd cvtd Use BLUE or BLACK Ink For Office Use I I _I City of Eap 31013 i Permit I S l n OD I QC 1 I Permit Fee lY I 3830 Pilot Knob Road I * } I Eagan MN 55122 I Date Received: / Phone: (651) 675-5675 Staff: Et 1::3, Fax: (651) 675-5694 I 2013 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: Tenant: Suite Resident/Owner Name: 10 -4 P, Phone: Address / City / Zip: L_ 2. Name: MILBERT COMPANY INC dba CULLIG WATER License 063031-WC Address: 1801 50- STREET EAST City: INVER GROVE HGTS Contractor State: MN Zip: 55077 Phone: 651-451-2241 Contact: BILL MILBERT Email: Type of Work 7~_ New _ Replacement _ Repair -Rebuild _ Modify Space _ Work in R.O.W. Description of work: RESIDENTIAL Water Heater 3ONater Softener Lawn Irrigation RPZ PVB) Permit Type Add Plumbing Fixtures Main Lower Level) Septic System New Water Turnaround Abandonment 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 Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org 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 ans. Il I ~'l ~ x ..2 x Z , . App icant's. Printed Name App icant's Signature FOR OFFICE USE Reviewed By:. Date: Required Inspections: Under Ground RougOn Air Test . Gas Test Final 91./LI/2 3aS 490-91 AS SNOISIA39 'ON ewe uwmxe,xaai 9L/BL S 0a els ws us.** sour Assns. � ,+s sesa Mta+•.w.w NivuuNwef wocrsaleposssumunedsssys ZL94499 (oZ9) xe3 Z49S-499 (on) ...id elosauum'aoauel`J- L mrs'3 IS 41ZL 6Z6 Stl33N10N31V f L9flMLS 3u1 `se;eiaossy g uawned AN1N3d21VO O21d 010 NW 'NVOV3 11V211 S1H013H IatldVS £ZOZ H021Od NOSV3S 4 NIVHd/ONV1 z 0 [Ti Z z 0 o? I p. 9 08 0: 0 0 fn w 0 z es A -A I� N‘.i 4® City of Eaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 U3ZG1& r Use BLUE or BLACK Ink For Office Use 1 is6��C a) Permit #: �j, d f/ Permit Fee: �c C' O—/ 4�� 'W Date Received: Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit #: +esic�e tJ NamedJ (/tv ,,,,, Phone: 61d® 0,3 Address / City / Zip: Applicant is: IV, j--4.4caner ()) a3 `��'C ( iio r 4 If ! ( Owner Contractor Description of work: Construction Cost: , Li„Cc estseil Paa. .E.......- ,/ 3 l r oJo Multi -Family Building: (Yes / No ) r:xt y Contract Company: ©(0 Pfd (_cirfc,1 5e✓yr`r/ `/( Contact: i4 LA.-a,G- 1_04„ Address: 1 (-In1-41 4V s . City: re,N v!)Atai,vvrc'eA State: t Zip: 3 -?7 Phone:66--,)._-5-49-11b) Email: (:)(4-, (sDevt-4r%e for f ,! a'` .5'5 License #: CW�~ 1,1471 Lead Certificate #: R.� , 1 _ q /�0 rCo - -- ?r• If the project is exempt from lead certification, please explain why: In the last 12 months, Yes No COMPLETE THIS has the City of If yes, date and address AREA ONLY IF CONSTRUCTING A NEW BUILDING Eagan issued a permit for a similar plan based on a master plan? of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Fire Suppression Contractor: Phone: Phone: Phone: Phone: 11�TE dans ands pp ® ” ®� u��•r r `e y or cons of the information may b ssifeds a# ouJ01 r f iey are trade secre 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. 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. xof f, vi %G'\ Ap licant's Printed Name x Applifrant's Signature Page 1 of 3 060-3 J1zival b SUB TYPES Foundation Single Family Multi 01 of _ Plex WORK TYPES New 'y(, Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% X ) Census Code # of Units # of Buildings Type of Construction V I -;,Es r� O NOT WRITE BELOW THIS LINE Fireplace Garage Deck Lower Level Porch (3 -Season) _X. Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Interior Improvement Move Building Fire Repair Repair REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) X Footings (Addition) Foundation Roof: Ice & Water Final (� (�` Framing )( 30 Minutes 1 Hour Fireplace: Rough In Air Test Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Occupancy Code Edition Zoning Stories Square Feet Length Width Final Siding Reroof Windows Egress Window Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building 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 Suppression Required Meter Size: Final / C.O. Required X, Final / No C.O. Required 7.x., HVAC _ Gas Service Test Gas Line Air Test Pool: _Footings Air/Gas Tests Final Drain Tile Siding: Stucco Lath _Stone Lath - Windows Retaining Wall: Footings _ Backfill Radon Control Fire Suppression: Rough In Final Erosion Control Other: Reviewed By: ) ``" , Building Inspector Brick Final RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL 9)( 2ctol Page 2of3 Certificate of House Location For: ...,!Sugan and Miles Rowe DELMAR H. SCHWANZ LAND SURV!YOR$ MIC. • Illegletered war two M The State et Mteeaete 11760 SOUTH ROBERT TRAIL. ROSEMOUNT. MINNESOTA 06060 Property Address: 2023 Safari Heights Trail Lot Area = 38,993 square feet House = 2,379 square feet • = Found iron pipe monument O = Set wood hub at building offset 40 = Existing spot elevation Q = Proposed elevation ir Proposed direction of drainage o. {7R o MANHOLE 9 SURVEYOR'S CERTIFICATE M423-1782 651, H9990 /3c? Scale: 1 inch = 30 feet POND AP -30.1 HWL = 929.0 NWL a 927.0 0 0 0 4 8 96 m s EVIIIPN7 s � . -74,^ �''�! �! G INSPE ,(0) 4 4'71 ) Proposed garage floor Proposed top of block Proposed lowest level I I \1 963.2 •l1 963.0 r s 961. ' C8 ■ C8 961.4 Cyc Pis 1. poe,, tVr (otX,/4g1 M 64014640 /IA C) I hereby certify that this surrey. plan. or report was prepared by me or under nit direct supervision and that 1 am a duly Registered Land Surveyor under the laws of the State of Minnesota. Dated .04-30-99 962.3 4.0 elev. '�tdr`rd elev. a. 5 elev. /75Z, 3 Property Description: Lot 13, Block 1, SAFARI ESTATES SHCX,D ADDITION, according to the record plat thereof, Dakota Cbunty, Minnesota. Also showing the location of a proposed house staked thereon. vAVIV:;;s:lrrrlrrrrrrr r DELMAR H. SCHWANZ ! € {'�; — 8625 ,r�.r::�tttiea City of Eagan PERMIT IP1' City of Eaan Permit Type: Building Permit Number: EA137175 Date Issued: 06/21/2016 Permit Category: ePermit Site Address: 2023 Safari Heights Tr Lot: 13 Block: 1 Addition: Safari Estates 2nd PID: 10-65851-01-130 Use: Description: Sub Type: Fireplace Construction Type: Work Type: Gas Fireplace (new) Description: Census Code: 434 - Occupancy: Zoning: Square Feet: 0 Comments: Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary: Valuation: 3,000.00 BL - Base Fee $3K $88.50 Surcharge - Based on Valuation $3K $1.50 0801.4085 9001.2195 Total: $90.00 Contractor: Statewide Gas Services 308 W Lake St Waconia MN 55387 (952) 442-3940 - Applicant - Owner: Chau M Dinh Pham 2023 Safari Heights Tr Eagan MN 55122 (612) 703-0377 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. Applicant/Permitee: Signature Issued By: Signature City of Ea*ll 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 2016 r Use BLUE or BLACK Ink� �gg,5 112 Permit Fee: 1/fir. Staff: I For Office Use Permit #: Date Received: 2016 RE IDENTIAL BUILDING PERMIT APPLICATION p� 1-4t ttl }-Sl Z 2— Date: C� IS d,ui Site ddress: Cif/ -14.6 Z�-,t� (t c 4 CJ 9J ► A Unit #: �y. Residentl Owner °�A� Name: , r r! Phone: a (2 05 6 / 3- Address / City Applicant is: ir S /2-2- / Zip: 2,e7C1 c —OP "s tliTc. Cr --04'L; E'l l Owner Contractor ape of Work Description Construction of work: /e C k ! �t , (d{ _ Cost: S .000 OY)--_ Multi -Family Building: (Yes / No 'V ) C©ntractor Company: Contact: Address: City: State: Zip: Phone: Email: License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: In the last 12 months, Yes No COMPLETE has the City If yes, date and THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING of Eagan issued a permit for a similar plan based on a master plan? address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Fire Suppression Contractor: Phone: Phone: Phone: Phone: NOTE: dens and suPp ® r e information ay b apssified g documents that a submi ar . consiid� a ®. bl� infor as non, c #you ®� specific rea h i uldpermit th conc. a#hej ®gets. �, ity to w CALL BEFORE YOU DIG. Call before you intend to dig to receive loca I hereby acknowledge that this informs. Eagan; that I understand this is not a accordance with the approved plan in t Exterior work authorized by a buildi days of permit issuance. x 1 v. Applicant's Printed Name opher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours s of underground utilities. www.qooherstateonecall.orq ion is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of permit, but only an application for a permit, and work is not to start without a permit; that the work will be in e case of work which requires a review and approval of plans. g permit issued in accordance with the Minnesota State Building Code must be completed within 180 Applicant's Signature Page 1 of 3 SUB TYPES Foundation Single Family Multi 01 of _ Plex 1AaO NOT WRITE BELOW THIS LINE Fireplace Garage t0 Deck Lower Level Porch (3 -Season) Porch (4 -Season) WORK TYPES e New Interior Improvement Addition Move Building Alteration Fire Repair Replace Repair Retaining Wall DESCRIPTION Valuation Plan Review (25% 100% P ) Census Code # of Units # of Buildings Type of Construction 3 REQUIRED INSPECTIONS Footings (New Building) $ Footings (Deck) Footings (Addition) Foundation Roof: Ice & Water _Final Framing 30 Minutes 1 Hour Fireplace: Rough In Air Test Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Reviewed By: ?,Oen Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Final Siding Reroof Windows Egress Window Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building 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 Suppression Required Meter Size: Final / C.O. Required p Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Pool: Footings Air/Gas Tests Final Drain Tile Siding: Stucco Lath _Stone Lath _Brick Windows Retaining Wall: Footings Backfill _ Final Radon Control Fire Suppression: _Rough In Final Erosion Control Other: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL ) ' Pectt `(1.4197,.`"�� / v s'774-;`,1 w 1 Page 2of3 cvrtirrcate or liaise Location For: .1)'8usan and Miles Rowe DELPAAR H. SCHWANZ LANG $L YIVOR& INC. • rf.rra.w+r as.. Lime The auto.t d.en...l. 11750 SOUTH ROBERT TRAM. ROSEMOUHT. MINNESOTA 55055 SURVEYOR'S CERTIFICATE Property Address: 2023 Safari Heights Trail Lot Area = 38,993 square feet House = 2,379 square feet 41 = Found iron pipe monument ❑ = Set wood hub at building offset 90 - Existing spot elevation Q = Proposed elevation ProPosed 460 direction of drainage.0 h4 MANHOLE 220.93 NO2.53'31"E 9 2 4 0 M 1 1 9 ▪ r 837.8 f 938.2 H9990 651 .940 POND AP -30.1 HWL = 929.0 NWL - 927.0 LOT 13, BLOCK 1G olx ////5ivs0), cola- Ci2/3 �r ORN FLARED 985.9 4r00 END SECTION jciP) e DRAINAGE 5 UTILITY EASEMENTS Scale: 1 inch = 30 feet EAGAN ado 4:7) G INSPEG' .:, • . s. "Proposed garage floor elev. ae410 Proposed top of black elev. 944.3 Proposed lowest level elev. 957..3 P1 963.2 Io 983.0 961.9 i 961. . '%J, Fo 1 hereby cwlity that this survey. plan. of report was prepared by me W under mi dlr. 1$uperrlslon end that l am a duly Aepletered Lind Surveyor under the laws 01 the Slete of MMnesola. Dried .04-30-99 .1 co 981.4 Ira Cr TAC /Atli v 16r1 9, a 0 962.3 4.0 Property Description: Lot 13, Stock 1, SAFARI ESTATES SECOND AUDITION, according to the record plat thereof, Dakota County, Minnesota. . Also showing the location of a proposed staked thereon. oko" r'�sQtilttr• �{riyr,- i DELMAR H. '\ w, • f SCHWANZ ; • •,• — 8625 - --r`