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2031 Safari Heights Try INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: i 3830 Pilot Knob Road Permit Number: a Hr-, 4 Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: , -A PAP 141 114Of IR t11 I ,fhl'r1N `-Ak AN 1 1: `- I A I I !'W I 1 (F. 1 2) 440 i ?.i?tPERMIT SUBTYPE: TYPE OF WORK: NFtJ INSPECTION TYPE DATE INSPTR. INSPECTION I ! rffM i rlr, i:t f (411 F1 If! I I fI 1 Il;f 1'1 Hf I ,:,I: ;, I ?.? I• ? ? Ic?f111,11 I ri II ? f. &44 PI IIMHF"K wt Nit L PI 7 J Permit No. Permit Holder Date Telephone N ELECTRIC ?VA? PLUMBING 078 7 (r? `fy?3 HVAC Inspection Date Insp. Comments FOOTINGS S"` FOUND ??? FRAMING ROOFING ROUGH PLUMBING ?Ylq T AIR TEST /Yf7 ROUGH HEATING GAS SVC TEST INSUL s GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG ,IV FINAL HTG ro .2 ORSAT TEST BLDG FINAL C ` (C BSMT R.I. BSMT FINAL DECK FTG DECK FINAL Oe %er#ifica#e of Cccupauc? 6" of upagan zepartmcut of 43sming Uspectioa This Certificate issued pursuant to the requirements of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: Use amificzuon: CR TL>r! Bidg. Permit No. 28524 oto.q. y Type R_I. Ti- I zoning Disvia R•-1 Type Coest. yg Owner of Building POSTI,ER t WAW Add.. 14888 TT?Mn AnE CM ?MR I KE Bni : Address 2031 SARI fl?5 TR to wity L 15, B1, SAFARI ESTATE 2l'ID Due: ?17-01/9b POST IN A CONSPICUOUS PLACE Ipts box. ..S OC--E USEQNLY This request void 18 months om 6 wli dotion dab printed i?nP / ?? E 7Q? i i P ?l IIIII11111111111 Illlll?lillllllllll 1111111 t * 0 4 1 2 2 5 1 I ?° ?ll? ? I RU J t PE BS i rO AL Request Dole Roo,wn inspecfion required - yes No Inspection Other Than RoughM: ?,Ready Now II Coll (You must call the irapedor when ready) Date Ready: licensed contractor ? owner hereby request inspecfion o the a ? electric o a Job Address (Street, Box, or Route No.) city .?203 t 17 3 S fion No. Township Name or No. Ronge No. Fire No/ CCou?tk Occupant Pltor?e No. a 9?6 ower Supplier GV,? Address jyr,h ,fin, E 'ca Contractor (Company Nome) Conhactor License No. Master tic. No. Mont El«t. Onlyl 6 C?Daoz? Moiling Address IContracmr or Owns Performing Installation( 37 C4 IfF 53"YIA e Author" Signature (Contract or Owner NrIormirg Instal 'on( Pho)tg_NO. T//r% ]y - 7 7607 11115N, REQUEST-FOR ELECTRICAL INSPECTION '16 State ard of ectriity 412-251 8121eUnivers ty ABve., Rm. S 8C St. Paul, MN 55104 Phone (612) 642-0800; Home Duplex Apt. Bldg. Other: New Addn Commercial Industrial Farm Remod Re air Air Cond. Htg. Equip. Water Htr. Load M mt. Other: Dryer n e Elec. Heat Temp. Service "X" above work c eyed by this request. Enter req+prks in this space and on the bock of the white copy only. OJT ?D ? , rcq - Q. ?pC?QJ ?7L Calculate lnspec ion Fee - This Inspection Request will not be accepted without the correct fee: Other Fee It Service Entrance Size Fee # Circuits/Feeders Fee Mobile Home Park Stall 0 to 200 Amps Z. 0 to 100 Amps Street Ltg./Tmffic Sig. Above 200_Am s Above I DO- Amps Transformer/Generator INSPECTOR'S USE ONLY T AL$^a Sign/Outline Ltg. Xfmr. Alarm/Remote Control Swimming Pool I hueb w m I ins leci' sMllm'ron described 6.in a" *, dabssk#ed Irrigation Boom RagM Datgi' I?,- ecial Ins ection S (O p p Investigative Fee Fin ova L? THIS INSTALLATION MAY BE ORDERE DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS. Address 2031 SAFARI HEIG RTS Tlt Zip 5512? Lot' IS Blk I Sub SAFARI ESTATE 2nd THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: 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 shutoff 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 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) _ FinaVNo 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 Building Inspector Total S 3 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 I -(' a? 651-681-411 New Construction Requirements • 3 registered site surveys showing sq. R of lot, sq. ft. of house; and all mofed 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 Ran if lot platted after 7/1193 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE 7 3 Q i Water Softener Water Heater No. of Baths SITE ADDRESS ??aI Se;cl-rr 4ejkAS7ralt( MULTI-FAMILY BLDG - Y k.N TYPE OF WORK e - C06_ FIREPLACE(S) _ 0 k 1 _ 2 ?O?`?rV?^e1P? ?13vL5?Cuc?lc?Y1 APPLICANT K I STREET ADDRESS QUIZ I C ev\,k e r Pc CITY "L 1k? STATE I 1 ZIP( S' 3 TELEPHONE # 763 -7(7- 23 27 CELL PHONE # 2 FAX # X17- 291 1 II fog -(1ErS-`061' PROPERTY OWNER S} t- P?5 q ?? Sc ht ^1k TELEPHONE# COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ MINNESOTA RULES 7672 (v 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 Recover. System Phone # D) ( 2 Fee: $90.00 Phone # II III - 11 11 3 0 ZOO? -----------------------------°°-------°°---------°______--------•---------------------"W-- ------ I hereby acknowledge that I have read this application, state that the information is correct, and with all applicable State of Minnesota Statutes and City of Eagan Ordll ar+ees -? 6 ? Signature of Applicant ?'-- --`-- OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ RemodegReoair Requirements 2 copies of plan • 1 set of Energy Calculations for heated additions • 1 site survey for exterior additions & decks • Indicate if home served by septic system for additions VALUATION 1 ScJ . Phone If Lawn Sprinkler No. of R.I. Baths Updated a/02 ?mr,?X???k?km??X?X?Xc?X%?Xc?X?X>x?s<>xm????>x>x??>x?>k?mm:?a? CITY OF EAGAN CASHIER: S T'E'RMINAL- NO-, 37 DATE: 08/21/96 TIME: 13:25:03 ID NAME: MARK K POSTIER 2256 9001 2031 SAFARI BITS 4,52038 Total. Receipt Amounts 4,.524.36 CRO63ii'3 USER ICs. NANCY ?%?: >k?k ?>K ? %? k ? ?# N c ?C X? k? %c X? ?X Xt ?X ?K k? ? ? X? ?k %c ?k ?k # %? N ? N ? ?k > ?>K:K # X? PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 2 8 5 2 4 (612) 681-4675 Date Issued: 08/21/96 SITE ADDRESS: P.I.N.: 10-65851-150-01 2031 SAFARI HEIGHTS TR LOT: 15 BLOCK: 1 SAFARI ESTATE 2ND DESCRIPTION: 0uiId.i,ng-,Permit Type /Building Wbrk Type f USC Occupancy Construction type Zoning Building Length Buitlding Width, -Square, Feet, ? _>.,. .ta.s u s Cod e SF DWG NEW R-3 U-1 VN R-1 54 54 3,818 101 1 - FAM. DETACH f REMARKS: S&W PLUMBER = WENZEL PLBG. FEE SUMMARY: VALUATION Base Fee Plan Review Surcharge SAC SAC % SAC Units Subtotal $1,087.25 $543.63 $70.00 $900.00 100 $2,600.88 $140,000 MISC FEES $1.923.50 Total Fee $4,524.38 CONTRACTOR: - Applicant - ST. LIC.OWNER: POSTIER COMPANY 14407506 2007412 POSTER CO 14888 TIMBERGLADE CIR 14888 TIMBERGLADE CIR PRIOR LAKE MN 55372 PRIOR LAKE MN 55372 (612) 440-7506 (612)440-7506 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Mn, L_ Statutes and City of Eagan Ordinances. APPLICANT/PERMITEE SIGNATURE ISSUED EV)SIGNATURE J L 5 f Si New mcceip 11 Receipt Date 4 Order For Payment for Inspection Number on this jobs c?as / Date Filed ° 111/5-117/ Electrical Installer_ qua- ?6w#r a rt . License No. CiFO;zOa Owner/Occupant Posrl&K- 6mr:57-, County Dr Job Address ?1031 S4r-H cr /fa--rs ?K City Ed5 : -r? Additional Rough-in inspection was required. ::KA shortage of fees on the above job. _Reinspection Fee. A Copy of this order must be returned with payment to the; Eagan Municipal Center 3830 Pilot Knob Road Eagan, MN. 55122 Phone: 6814600 Fee C Computation 2.6C) fM1 P d V ((!,6 ?ir7i .S. = /O<7-0 r 767-4{- F-&r?: >/2S 6D SC Please return this" with a check in the amount of e , ? payable to the City of Egan. The above order must be complied with by (date)- Electrical Inspector, Mark A. Anderson, PO Box 713,Shakopee, MN 55379 (612)445-2840 CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681x1675 v;:?) V-, F) ? 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 healed additions ? 3 copies of tree preservation plan tf lct platted after 7/1/93 ` required: _ Yes _ No / ll DATE: I r9lo CONSTRUCTION COST: Lsgac ?'('E,1 1 DESCRIPTION OF WORK: A&47L) a 7'/ 0010S7-101,L-7-70A S,T EET ADDRESS: (J?,5 I LOT BLOCK SUBD./P.I.D. #: SAFMI XT15 ScCr010 AbDrioa) PROPERTY Name: OWNER CONTRACTOR W, ,as, Phone #: Street Address- City: State: Company:a CO. Zip* _ 909-/? vbrrn?. Phone #: yy? 7506 (A?%ED52? Street Address: /-'f989 AN86woC6E Cik. License #- City: 465at State: A)- Zip-e?537z ARCHITECT/ ENGINEER Company: Name: Phone #• Registration #' Street Address* City: State: Zip: Sewer 8 water licensed plumber: h1QV2E1- Penalty applies when address change and lot change are requested once permit is issued. 1 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. ?r ?? /rf2T 1, Signature of Applicant: OFFICE USE ONLY / R F r. F V? D Certificates of Survey Received /Yes No btu Tree Preservation Plan Received Yes OFFICE USE ONLY I , BUILDING PERMIT TYPE ? ,01 Foundation ? 06 Duplex ? 11 Apt./Lodging 13 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. 0 10 = plex 0 15 Deck WORK TYPE e e'31 New ? 33 Alterations ? 36 Move 0 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) V&/ Basement sq. ft. tt-2-9 MC/WS System - (Allowable) y/y_ Main level sq. ft. +(? -77 City Water ? UBC Occupancy 2-9. u-I L sq. ft. s 1 z Fire Sprinklered Zoning 4 - I sq. ft. PRV # of Stories I sq. ft. Booster Pump Length sv' sq. ft. Census Code. l o t Depth sal' Footprint sq. ft. 3R I g SAC Code 01 Census Bldg I Census Unit I APPROVALS Planning Building A4 Engineering Variance Permit Fee Valuation: $ ILI0, 000. Surcharge Plan Review License $G x . ) MCNVS SAC City SAC 2q.??K sH = Water Conn. t s. e.40 u z= Z' 3 i Water Meter ) z S = 110 725. Acct. Deposit S/W Permit S/W Surcharge Treatment PI. zG .?? x S'/ : 1ob1 ?y Road Unit 3, `? u z 27.32- Park Ded. z w x Z = 4/? Trails Ded. -7 7 ? s'/ 1( ' sTO - Other , Copies ?-' 2z. 33u 211 Total: _ a x z 241 %SAC g12- 1?- +L = S, I SAC Units - " r I , fi , V 7 s S 4'* * PIONEER * eln0 Weer Certificate of Survey for: LAND PLANNERS. JEFF ZI M M 2422 Enterprise Drive Mendota Heights, MN 55120 (612) 681-1914 FAYZ681-9488 625 Highway 10 N.E. Blaine. MN 55434 (612) 783-1880 FAX:783-1883 AAN SAFARI HEIGHTS TRAIL to a/ \5 // \ age / ?, / J?Q?PST / GZ 0/ 413r. 961.7 \ yz \ y+?s\ 16 / r 1 00 95z.? *• 1 15 z?w' \ J\0 9 \ 4. 0 9fi3.8 3` 966.8 2? Q2 \ fkGrol )??? \ l., 30 \ 1970 yp $ ti \ 980.8 BENCH MARK TOP OF PIPE E1EV.=986.17 $3' EAGAN ENGIA ERING DEFT. u o /? 10 NOTE: PROPOSED GRADES SHOWN PER GRADING PLAN Bn COST ENG. NOTE: BUILDING DIMENSIONS SHOWN ARE FOR HORIZONTAL AND VERTICAL LOCATION OF STRUCTURES ONLY, SEE ARCHITECTUAL PLANS FOR BUILDING AND FOUNDATION DIMENSIONS. NOTE: NO SPECIFIC SOILS INVESTIGATION HAS BEEN COMPLETED ON THIS LOT BY THE SURVEYOR. THE SUITABILITY OF SOILS TO SUPPORT THE SPECIFIC HOUSE PROPOSED IS NOT THE RESPONSIBILITY OF THE SURVEYOR, NOTE: THIS CERTIFICATE DOES NOT PURPORT TO SHOW EASEMENTS OTHER THAN THOSE SHOWN ON THE RECORDED PLAT. NOTE; CONTRACTOR MUST VERIFY DRIVEWAY DESIGN, NOTE: BEARINGS SHOWN ARE BASED ON AN ASSUMED DATUM 959.7 Ln ? .o w LOWEST FLOOR ELEVATION: 94(0.6 TOP OF BLOCK ELEVATION: 74?7 ? GARAGE SLAB ELEVATION: 7+4 X 000.00 DENOTES EXISTING ELEVATION 000.00 ) DENOTES PROPOSED ELEVATION DENOTES DRAINAGE AND UTIL17Y EASEMENT DENOTES DRAINAGE FLOW DIRECTION -a DENOTES MONUMENT B DENOTES OFFSET HUD WE HEREBY CERTIFY TO JEFF ZIMMERMAN THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: LOT 15, BLOCK 1, SAFARI ESTATES SECOND ADDITION DAKOTA COUNTY, MINNESOTA IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCE_PyAS-SHOWN, AS SURVE)k? Y ME OR UNDER MY DIRECT SUPERVISION THIS 29TH DAY OF MAY, 1996. $fCNED: /? PIONEER EI>KNEENC, P.A. SCALE : 1 INCH = 40 FEET 11 / 391 96235.00 SWK 14 BENCH MARK TOP OF PIPE ELEV.= 965.91 i 969.9 ---- SERVICE IN V_ =962.4 10 'd LOT SURVEY CHECKLIST FOR RESIDENTIAL ILDING PE IT A PLIC f I PROPERTY LEGAL: DATE SURVEY: S LATEST REVISION: q DOCUMENT STANDARDS ®? ? • Registered Land Surveyor signature and company tH-'? ? Building Permit Applicant ?? ? • Legal description ?? ? Address l?? ? North arrow and scale 0-'0 ? • House type (rambler, walkout, split w/o, split entry, lookout, etc.) R?-? ? • Directional drainage arrows with slope/gradient % 2-'0 ? • Proposed/existing sewer and water services & invert elevation ff- ? ? • Street name ?,-'C ? • Driveway ELEVATIONS Existina ? • Sewer service (or Proposed) RI 13 ? • Property comers ? • Top of curb at the driveway ? ? • Elevations of any existing adjacent homes Prooosed ?? ? • Garage floor 2?? ? • First floor 0`0 ? Lowest exposed elevation (walkout/window) ? ? • Property comers ?Y'? ? Front and rear of home at the foundation ? ?l? ? 2r? ? ? a ? ? / C7 i? ,e-? ? zr- ? ? 12-1? ? r, ? ? Ja-? ? ? O--'0 PONDING AREA Cif applicable) Easement line NWL HWL Pond # designation Emergency Overflow Elevation DIMENSIONS Lot lines/Bearings & dimensions Right-of-way and street width (to back of curb) Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (.e. all structures requiring permanent footings) Show all easements of record and any City utilities within those easements Setbacks of proposed structure and sideyard setback of adjacent existing structures Retaining wall requirementsjWy _,o Reviewed: January 1996 CRM19WM0GPRMr.FM ENERGY CODE WORKSHEET FOR 1 & 2 FAMILY DWELLINGS SITE ADDRESS Z1M c- RmAIV _ COMPLETED BY& 776F CITY ! - PnONE R DATE BUILDING CLASS I FICATION s cat egory 1 (standard) or a category 2 (must includ e ventilation) MINIMUM CRITERIA if Foundation Insulation-RIG Walla & Windows Roof Attio Insulations f Slab on Grade Insulation-RIO (See table on reverse side fox allowable percentages).'. R44-With Attic No Iieel r Floor over unheated spaces-R24. R38-With Attic Raised. Heel Foundation Windows 1/2" insulated Glass. R38 & R5-Solid Rafters -Wood or Vinyl Frame -' STEP 1 Window & Door Area STEP 2 Calculate area as a percent of wall A. Total Window & Door Area in Sq. Feet ' WINDOWS (Including Foundation Windows); _ WINDOW MANUFACTURE NAME: C. From Step 1 divide box A (Window & Door Gl45Lt1 WINDOW MANUFACTURE TYPE: Area) by box 0 (total wall area) times 100 equals the window and door area as Q. WINDOW MANUFACTURE U FACTOR: ff•40 percent of wall area (box C). .i R. O. Quantity Dimensions sq.ft.Area fiO A X 100 l C 2 3 Box Bz5z 15, 1.'--(p" X 5L(O" ? cl STEP 3 f , _ Design Features i Z' 60N X 52 , nn ASSEMBLY 1 .. , , )H X 31 U FRAMING TYPEt . X Z'-'(D STANDARD FRAMING studs 16"? 1 (/'x 41 L! M 11 _ o.c. -- (/ _ 23 ADVANCED FRAMING , studs 24" _ .to:c. X CAVITY INSULATION R JV X SHEATHING TYPEt X LESS THAN < R-5 X R-5 s OR MORE X U-FACTOR I DOORS; From the table, (reverse side) determine the --,-_ maximum percent window & door are f th ' rt 8 X a or. e design options selected and enter the t valu ,/ (/ e in ox D below, based on the window mfg.U- factor: * G B X r 17d? , , }? D ?. Total Area of - A_ q•ft. ( (Jn) - ,I ?-?tf^?-1 i ' Windows & Doors - ? B, Total Wall Area in Sq. Ft. The t value from the table in Box D shall be equal to or greater than the t in Box C Wall Total Height Area Perimeter 4. 7, Total Area of Walls i ? P. The building must not exceed the maximum window and door area as a ' percentage of overall exposed wall area listed below for the combination of framing technique, R-value of insidation within the insulated cavity, i sheathing R-value, and window U-factor. Other components must meet the requirements of this subpart. MAXIMUM WINDOW A14D DOOR AREA ' AS A PERCENT OF OVERALL. EXPOSED WALT. Cavilp Window U-Faclor STANDARD 11-13 t 2R-7 13.4% 17.80/6' 21.31/6 2.1.3% STANDARD R-15 2R-5 12.996 17.1%, 20.196 23.4°6 STANDARD RA8 <R-5 dl.l% ;16.096 .18.896 22,096 STANDARD It-18 2R-5 13.5% 18.696; 21.8% 25.396 ADVANCED R=18 <R-5 11.196 `17.1% 20.196 23.4% ADVANCED I1-10 2R-5 13.5% 19.2%, 22.5% • ' 26.1°.6 STANDARD 8-21 <R-5 11.896 r ' 17.096 19.996 23.196 STANDARD R-21 2:R-5 14.0°,6 19.396 22.5°.6 2&10% ADVANCED R-21 <R-5 11.84, 18.1%'.. 21.296 24.6% ! ADVANCED R-21 Mt-5 .. 14.096 19.996'' .i 23.296 r 26.996 Subp. 3. Performance criteria. The combined thermal transmittance (11,j jf'• factors for walls, roof /ceilings,, and floors over unheated spaces inust be less than or equal to: ,. A. 0.110 Btu/h ft2 °h for walls; a B. 0.026 Btu/l, ft2 °),. for roof/ceilings; and .' C. 0.04 Bht/h W T for floors. t •„ STATAIMI: MS § 216C.19 i.; IIIST: 18 SR 1361 7670.0480 Repealed, 18 SR 2361 3 Minn. Rules Chapter 7670 26''{' ' lone 19`.11 ( CITY USE ONLY L 5 BL RECEIPT* MOO N W 7 SUBRECEIPT DATE:_ 1997 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 6814675 Please complete for. . single family dwellings " townhomes and condos when permits are required for each unit. backtlow preventer for underground sprinkler system FIXTURES ,EACH fi , Shower ? 3.00 x 40 Water Closet 3.00 x 3' - se Bath Tub 3.00 x Lavatory 3.00 x .3 - ?a Kitchen Sink 3.00 x ? -- as Laundry Tray 3.00 x ? ' - 40 Hot Tub/Spa - 3.00 x ? , -37,9 Water Heater 3.00 x T = 3.u0 Floor Drain 3.00 $( - z Aa Gas Piping Outlet ` minimum - 1 3.00 x T = , • .' Rough Openings 1.50 x _ Water_ Softener " for dwellings under construction 5.00 x Water Softener " for existing dwelling 20.0,0- x _ U:G. Sprinkler "fordwelling under cont. 3.00 _ U.G. Sprinkler " for existing dwelling 20.00 = Alterations " to existing residence 20.00 = Water Turn Around 20-00 = Private Disposal System . Dak Cry lie. 75.00 = (new and refurbished systems) - Private Disposal Systems `Abandonment 20.00 = y ;vu STATE SURCHARGE -.60 TOTAL Yr I hereby acknowledge that I have read this application, state that the Information incorrect, and agree to comply with ell=applicable City ' of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of'Eagari'assymes no liability for'--any' damages caused by the City =during its normal operational and maintenance acwitles:to the faalitiep,consbuded under this.pe,rmt(WfthhV City -property/right-of-way/easement. / r S ?1? ??? lT/ll / L ; SITE ADDRESS: : ,? 71, e ts OWNER NAME: l INSTALLER NAME: Ae/ 46 0, TELEPHONE #:?lZ Y?r/'f3`J STREET ADDRESS: /OV- 3i S¢. CITY: ,,Wins 7?',l STATE: 1?7k?-- ZIP: " ` 2 r V 1 Y ERMITTEE ggiATU' V/ CITY USE ONLY LOT BL RECEIPT #: „d SUBD. RECEIPT DATE: 1997 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 Date: (612) 681-4675 T? ??y7 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: 0-100M B T U $ 24.00 ADDITIONAL 50 M BTU 6.00 '00 • Gas outlets (minimum of one required @ $3.00 ea.) re /x.o c9 • State Surcharge: .50 • TOTAL: • To Complete this section only if you are remodeling, adding to, or repairing existing single family dwellings, townhomes, or condos. Add-on furnace 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: ?.a T/ Yh'6?- OWNER NAME: 11? I,.Gd+??? PHONE #:/fl ?f Zo? INSTALLER NAME: PHONE #: STREET ADDRESS: CITY: A> f STATE: ? ZIP: Js- IG A O RMITTEE CITY USE ONLY L BL SUBD. RECEIPT #: RECEIPT DATE: 1997 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612)681.4675 Please complete for: ? all commerciallindustrial buildings. ? multi-family buildings when separate permits are not required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: ? $25.00 minimum fee or 1% of contract price, whichever is greater. ? Processed piping - $25.00 ? State surcharge of $.50 per $1,000 of pe02 fee due on all permits. CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS: CITY: PHONE A TELEPHONE #: STATE: ZIP: SIGNATURE: SIGNATURE OF PERMITTEE CITY INSPECTOR \ CLAIM VOUCHER- REFUND REQUEST CITY OF EAGAN MAKE CHECK PAYABLE TO: 11? I f-red r ; c i ' Sv ? H fc?. _ F A ?C ! nc ADDRESS: 31050'<enn ? c?eC f)r. ! ',aaan /?N 55 /??-ioo3 LOCATION: aJO3? Sa ?ar l-?e a ??s lr. ?l5 ?3 l, ?a ?ar; E sf?fes o'ff'=`/ , RECEIPT DATE 9-7 VALUATION REASON FOR REFUND ?ern„f issued TO -Someone else. TYPE OF REFUND ELECTRICAL PERMIT 3211-9001 $ PLUMBING PERMIT 3212-9001 $ MECHANICAL PERMIT 3213-9001 $ 0`17 o BUILDING PERMIT FEE 3210-9001 $ PLAN REVIEW FEE 3422-9001 $ SAC (MC/WS) 2275-9220 SAC (CITY) 3866-9379 $ SACrADMIN 3446-9001 $ WATER CONNECTION 3865-9220 $ SEWER PERMIT 3743-9220 $ WATER PERMIT 3713-9220 $ ACCOUNT DEPOSIT 2252-9220 $ WATER METER 3716-9220 $ ROAD UNIT 3860-9375 $ WATER TREATMENT 3868-9220 $ SURCHARGE 2155-9001 $ UTILITY ACCT OVERPAYMENT 2250-9220 $ CURB BOX DEPOSIT REFUND 2253-9220 $ CONSTRUCTION METER DEP REFUND 2254-9220 $ WATER USAGE CHARGE 3711-9220 $ TOTAL $ a7 I declare under the pena lties of law that this account, claim or demand is just and that no part of it has been paid. Ql? xcw y'?? 14az /O 5 7 l9 Signature L??K / ? 1 Da (e I CLAININOU L BL CITY USE ONLY SUBD. ?' RECEIPT #: '/? DATE: 6' 9 7 1996 MECHANICAL 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 v_ New construction Add-on furnace Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Date: 2-21-97 y4 * 41 ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @ $3.00 each) 3.00 ? State Surcharge .50 AL 27.50 ?J 9/% ;7 SITE ADDRESS: 2031 safari Heights Trail OWNER NAME: Postier Builders PHONE #: INSTALLER NAME: Fredrickson Heating & Air Conditioning, Inc. STREET ADDRESS: 3650 Kennebec Dr., #1, Eagan, m 55122-1003 CITY: STA ZIP: PHONE #: (612 ) 452-2775 SIGNATURE?? CITY USE ONLY L BL RECEIPT #: SUBD. DATE: 1996 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? all commercial/industrial buildings. multi-family buildings when separate permits are = required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION DESCRIPTION OF WORK: INTERIOR IMPROVEMENT FEES: $25.00 minimum fee Qr 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: TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS: _ CITY: PHONE #: SIGNATURE: SIGNATURE OF PERMITTEE TELEPHONE #: STATE: ZIP: CITY INSPECTOR • - Sewer Swvlce SMdoning is from Downstreun Manhole. - Inp/ace B• Sanitary Sewer Through This Development Shan A. msyctev ,i< • ?.?'• `" - Sewer Smite to be 4- PVC, SEA 26 Slubed 15' Into Lot, BY The City Alter Grading Work and Service Conriecnons Nava Water Service to he 1• CoCp Been Compleled. PL 6 15' Tall Into Lot eq Type N with Curb Stop p Underground lioown Are Approximate. Convacmr Snail vealy - Ssn0ary Sewers to be T PVC, SOfl 35 With Bedding Pa., Datafl Thai, heir Easel LOLOlion. - Manhole, Catch Basin Stations, Locations era him Street Stationing, S A F A R I E S T A T E S - Percent of Grade on Pipe is from CL Structure to CL Structure. NYp Too Nu*-99o.5o I - Contact Joe Connolly W 454-5220 fm City Inspection of 6- Gv 5 BOX Service Conrlectlars Priow 10 Bieklllling. W PROP sr< 6•:6' TEE Iv,-'Mb .42 ; SERYiCE E I - Harass Constructed With First Flow Elewtlon Below 96d SWICE \ st, ')bl S SERVICE RV1LE Wg! Itaquirs Pressure Reducing VNVea. •` • N.Se --"Z a $FM,ff 19 SERV4E SWk.)NV.-9'1109 W0 w s0: 9esg I iB SNR.pN.-975. WSD.-9"1b.9 aPi a' PVC SAN.evr 2E' £snrt SVS•u6/• .? WS.o.-%9awR INV.- Sts ps 1 SWg.IW'1W- 14 '5 ?E X STh a.r3O 12 SwR.INY. It 16 EA?Z p I%L.3 MH 5 Rf. l1 fi s I.IS so•os, R wJ••7t.212 SwR.INV.'A?..di 135frstcE{is ?•. ?. I .? • I • o7i / q.ra J / raw. ervr%:I.10 e i.os I- 71 f OM)i M SM NK \ i' a _ds T' BEND eO, n.xzs ` . 11,f11'BENE X X 1rt?e.W f.f 22 f12' 1 e•16 $w SO. 9951 yf-1 Mw Ssr re.o r MN \10.T. Set 22772B ND a.b ?\ L ^? r rep t bµ9 SWa.INY-9ll e5 rJEE ? • a #J r no??s1 ? r w - .N ? ? / \, ,r"? W rr 20 c r as :, / SfA. o.hv Mbx '$ r ' f srw r _ / y . roe rrx ry+.f -. ` Ci'TZ l ?r .sl+b r hu,, a.oo r .a sf s Ri.i\Sli w?Yt '•:ai/f.. 96i9 k o.eT iK s 7 22 112' BEND +*i '?\ t t NN 9fM 71 '' 3 i.9o 6- GV a BOX s w£a.- 9to.e PROs sTaK t• Ol4O yT 211.E N.YYUE? MI I^e Sst6• IwA-7W.-I{ Sm(w O44W gnu a{}?? ? ?/ •B °4Yf i.Ni2SL???I ' B / _ \ y- 21 229111.3. 5:1E" Jib S SFRV:CE 1 NYDTMwf 9N.H 5 w.5n.%1.4 rvs.p. la.r J _ 1 NyD.tN M+n 9N.2b Q q+.'pV'd >.. 1 GVBBOX w-v.•701.8{ 9 Cr6•lEEr SEXY CE SW¢.ruv. 916.67 ? Cx .'TEE {, - W.AO.-y612 i I ?- !-I g - ta+x auts!•''?0a?bper" *`i? .... `+v5L 1MV.•`%o42 l / ? & •q ) aN enrsr 16NIa6aEC H ' r •?? 8. •?r r @.??. `;t sift j c ?yt?,t v h • ? r J 1 f- ?? 23 ?ei / (VVWW" r 2ND ?? ADDN. ?S? y.'_p s. r av3°N2 4 1'i . -+.. ak.n sea u / ? " 5? .fry i I :f SAFARI ESTATES 2282U lw.s.oWNv&o Nyp SWR. WV. 966 SL u i s« tt wa a z.I z , TAwrN{. HYO. 9a 9.9N 6-aT GV T BOX TEE I 9 s w 5 r•?5 ? S g.r5 HMSf r ? SEFUt(L r?+d , V: SO ...?a.3 swa. - f 'i W 97b SNp- R IHV-9t636 .?1 X 2217 8f N! 11 114' BEND 4 f r ??" a riir - fNa L • •• _. • N °° ixl iI.c'm MN ,511 J,a)?.11? ? 2 8'lT ]] 5 e.:e I 0 2#. e w a.a.v 2 I s o.oe iERvlt' SERVICE I 3 N50. - 995 9 W.S.a. •977.9 SEaY IC6 3wiL INV-9641$ ' $NS-iwv. 9"1o b3 O W.5O. 567.2 I SWR..IUV. 951.62 2ND I ADDN. I -I - 7': q _.. ? 1 _ 1 _. . _- la Y - ... : . .... d .' F AcI c .' ? ? ? a M t-r L y N a I . I rl r I / r . 0 25 50 RfM.49 NE I,+& w5 _ I � Use BLUE or BLACK Ink tr-----------------, I For Office Use � + ' � Permit#: ���U � City of �a��� I Permit Fee: � � "�' " \.L `�—�" 3830 Pilot Knob Road � � � I Eagan MN 55122 � Date Received: `� rS I Phone: (651)675-5675 I I Fax: (651)675-5694 . i Staff: _ i --------------;r—r„ Nv� 2014 RESIDENTIAL BUILDING PERtVIIT APPLICATION � ��`�� Date: � Site Address: �-`��7! JG���� �t��r �s �t►'��� Unit#: �� Name: ��'�t✓'�'f 'f -i A�Gj a GSO�, Phone: ZI��'7�"�Z�Z Resident/ Z�j'�� �� < r��;y/�S ( Owner Address/City i Zip: �r►� �f �� !���l, ��y�ti ����zl �.. Applicant is: �Owner Contractor �` Description of work: ��C C �Type of Work Construction Cost: M��Iti-Family Building: (Yes /No� Company: _Contact: Contractor Address: _City: State: Zip: Phone: Email: 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 CONSTRUCTIVVG A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan kiased 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 informafion may be classified as non-public if you provide,speci�Fic reasons':#hat wouldpermit the City fo conclude fhat the' are trade secirefs. 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.orc� I hereby acknowledge that this information is complete and accurate; that the work will be in c��nformance 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. .a., n ,�.� ,/ - /�'' ,G'� X jk�� �r , �jd�7��� �va x �`'����' �,� E G9 e, ApplicanYs P nted Name Appli anYs Sign ture Page 1 of 3 �,��i ������-, '� .��, ' , - DO NOT WRITE BEL�W THIS LI E � ��.—��f�, SUB TYPES _ Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration (Single Family) _ Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Multi) _ Multi �/ Deck Porch (Screen/Gazebo/Pergola) Miscellaneous � _ 01 of_Plex _ Lower Level _ Pool Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* �C Addition _ Move Building _ Reroof _ Demolish Interior _ Alteration Fire Repair Windows Demolish Foundation _ Replace _ Repair _ Egress Window _ Water Damage _ Retaining Wall 'Demolition of entire building—give PCA handout to applicant DESCRIPTION ,� �}� Valuation �j f Occupancy � MCES System Plan Review Code Edition �������'` SAC Units (25%_ 100%,�) Zoning � City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Sprinklers Type of Construction �_ Width � I REQUIRED INSPECTIONS Footings (New Building) Meter Size: ' � Footings (Deck) Final/C.O. Required Footings (Addition) � Final/ No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Roof: _Ice &Water _Final Pool: _Footings _Air/Gas Tests _Final Framing Drain Tile Fireplace:_Rough In _Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick Insulation Windows Sheathing Retaining WaIL•_Footings_ Backfill_Final Sheetrock Radon Control Fire Walls Erosion Control Braced Walls Other: � Reviewed By: I , Building Inspector RESIDENTIAL FEES �g}�.. �.�/ Base Fee ��Y"L(�''� �f l� �'`�' f / Surcharge Plan Review � � U � l � �" � � b MCES SAC � City SAC Utility Connection Charge S&W Permit& Surcharge Treatment Plant Copies TOTAL Page 2 of 3 � _ _ _ � - � � � . � ,, ... . 2a22 6nterprise D�ive Mendota Heights, MN 55120 �P* * (612) g81--191�4 FAX:681—9488 * P�C�NEER LAND 5uR4EY0R5 • qVl�ENf�NEERS � E31'��1�0�19 LAND PLMII'�fpS. ti,�r+nsc� �Rcrn�c�s 625 Highway 10 N.E. * Blaine. MN 55434 �c * ,� (g12� 783-1880 FAX.?83�1$$3 � 5ur�e for: JEFF ZIMM ►MAN �`���� Certif�cate O y o` x 1 SF�FARI HElGH7S TRAf� ... � ���� I, . J �� ��: I ^ � �� �� �.��' �' � ', .' � . , �'� '�� � , .� ,� � � �g�i,� ,'�� ss2:$ � � ��r 1 � � t � /���JQ�,�` , �` � ��� � 5 ,���' � 14 �`°,, i� ��P��'�e '�S� 1 tN� °� p�''�S�'� ��� � 9 1 �_-, �. �p,�p ,� X � �� � �� 959.� ss3.s sss.e� 2�a2, 961.7 �� k (�V�'S� ,. �1' , � � ;��� �� �`a� �, 3° ` � :* ���/ u =� \ _- � �� �� P�NOVS�� � 968.8 � � ��� � � •�,� �3�.�, � 7�^!� � ' `6\� �` AGE� � 973.0 �1�• r' > GP��, 968.0..- � \ `970.�� 0 33�ti`6 �2�,p2� BENCH NlARK \ t � � 2ti• 3� � TOP OF PIPE � "� � � �q^Ik' S� , � w ELEV.�965.91 .0 \ . �;� �.�►'�'��9V8.s R�OpC�A'� � �� � \ Q �{ r� P ��vL �'j �� l � � t��' � �� F�i ��y.2� �� � �� �� �`� / � t�l7 � J ' `�7 yp��,y �. � , �, ro 7p.4p �\� sF�' � � N� \ � ,�p�' \� /� �g'S1 969,9 � /' � . 98Q.8 � . vy^ �' u�o D Q•�, �-----SERVICE �TOPCOFMP3PE 972.1��7�]+`+ lNV.=962.4 ELEV.=986.17 975.9 -- _ � t F � �, � � � � � q�l�' � 975,4 �He�O � �.;' � �`s � °�S?O+� �, ���- // PROPOSEO HOUSE ELEVaTION :�:���4IV E G ERING DEPT. �.owes� ��oo� ��.�vAr�oN: 9�C�.� TOP OF BLOCK �IEVATION: �7d'`7 NOTE: PROPOSEO CR�DES SHOwN PER GRADiNG �LAN 8Y; CCST ENG. �ARAGE SLAB ELEVATION: 7��� NOT�: BuILOiNC OIMENSIUNS SHOWN AR£ FQR HORlZONTAL AND VERTICAL LOCA4i9N 0� 57RUCNR£S ONLY. SEE ARCHIT�CTUAL PIANS FOR BUil01NC AND fOUNDATiON OlMEN510N3. X 00�:00 DENOTES EX�5�ING ELEV47i0N NOTE: NO SPECIFiC SOILS INVESTIGanflnl Ha5 8£EN COMPL£TEO ON THIS LOT BY THE ( Oa�•00 ) OENOTES PROPOSED EIEVxTION SUFiVE1'OR. THE SUIlABIUTY OF SOilS TO SUPPORT 1tiE SPECIflC HaUSE .._ _. DENOTES ORAINAGE nND uTIItTY E�SEMENT PROPOSEb IS NOT_THE RESPONStBIUTY OF THE SURVETOR. — OENOTES ORAINACE fLOW 01RECTION NaTE: THIS CER7�FICAiE DOES N07 PU�PORT 7o SHOW EASE�lENTS OTtiER THAN '�^— DENOTES MaNUMEiVT 7HOSE 5HOWN ON 7M� RECOROE4 PI,xL ---�— DENOTES OFFSET HUB NOTE: GONTRACTOR MUST NERIFY pRIV�W�Y OESIGN, -�-� ' NOT�: BEnR�aCS SripWN ARE BASEO ON AN A55UMED OANM WE H�RE�Y C�RTIFY TO JEFF ZIMMERMAN TNAT THIS IS A TRUE ANb CORR�CT REPRESENTATION Of A SURVE7 �F THE 80UNpARIES Of; ' �.OT 15a B�OCK 1 , SAFARI ES�`A7ES SECONID ADDITION DAKOTA COUNTY, MINNESOTA ' 1T pOES NOT PURPORT Td SHOW lMPadVEMENT5 OR �NCHROACNMENTS, EXC�P AS` HQWN, AS SURVE Y ME OR ' UN�ER MY DIRECT SUPERVISION TH15 29TH DAY dF MAY, 1996. NED: F'iONEER EN NE� G, P.A. SCAL� : 1 INCH � 4Q FEET ' . _.....�...____ . 889 96235.�0 SWK Joh� C. Larsan, L.S, Reg. No. t9828 r -CFor Office Use /I `:, E AG A N ± ! r f Permit#: Permit Fee: d• C1 Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinginspections@cityofeagan.com 2020 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: Name: M ask cx9 ©'\ Phone: I7) 3 L.+-1 -3aaa ResI i ` • e Address/City/Zip: 3 ey.6..C�°l1� t-1'e.A -\�,,,)' — F eq C • � s Applicant is: Owner i Contractor -, `n ,1 Description of work: "6 to, . it ' . et, >, + '_?� ` re la k 0" ; g \;.‘,. l Construction Cost: `cls nr p Multi-Family Building: (Yes /No V) '""r` 4 Com an1r, c✓�ii4on§act: t 1 - P Y��r✓I 1'fl (r("�1 f pt+{�I Ct,/1 i�U ,-,4i"ciT,,,,,,,e,„jott.‘,;01r.: z Address: - aoa City: B\0 e'MA v � r y . State 01,Zip: Phone: mail: r •w•--'--° • - License#: Lead Certificate#: 1,\pf‘Attke,0 C.d M C-(. -\s ,,1\ If the project is exempt from lead certification, please explain why: l /jt/!G�/", ,2+ p" 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: Fire Suppression Contractor: Phone: 1T:::74:::;.:..::-, i, r 7P _g .•,, 3 ' ,"." a €' 3 a e i-e p�• �':_'. ' J➢ kr, +' ' * ,�, �+ .� � .. s 4 Y",!` ,, , � �, C . fib` T:. .‘,.?,..-k3:4----. 514,--- You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaaan.com/subscribe. 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. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in 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, a•• •rk is not toy ithou . permit; that the work will be in accordance with the approved plan in the case of work which requires a review and -.pr. al of plans x k o,1n 0 MM. / Applicant's Printed Name Appl',,'�-��