2039 Safari Heights TrAddress 2039 Safari Heights Tr
Lot 17 Blk
Sub Safari Estates 2nd
Zip 5512 1
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: Y Yes No inspector: EyY Iflehk6U
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 6814645 before working in right-of-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
• ' 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 $ l 17 -?
L (A 651-681-4675 ?1 ( (? '' J (_ p7
New Construction Reaulremenh Remodel/Repair Re remenh
3 registered she surveys showing sq. H. of lot, sq. ft. of house
and gil roofed areas (20% maximum lot coverage allowed)
? 2 copies of plans (show beam L window sizes; poured Ind. design; etc.)
1 set of energy calculations
3 copies of free preservation plan h lot platted after 7/1/93
DATE: ?A I n-) ",-t T J
DESCRIPTION OF WORK:
STREET ADDRESS: Z
LOT. ? BLOCK: 1 /SUED./P.I.D. #:
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
2 copies of plan
1 set of energy calculations for heated additions
1 site survey for exterior additions a decks
CONSTRUCTION COST: I k8o -r
?S\?L? 1--D
Name: -??'CI2SCM EVE2&--?4 C Phone #: iz- 6Z50 -7460
Last First
Street Address: !b t N Y(A k K
City Efa A'J Stale: K /J Zip: 55 / 2 3
Company: //a 5t 1 Phone#: ee VZ (i5o- 7440
(area code)
Sheet Address: License # Exp.
City
State:
Company: Name:
Telephone #: area code ( )
Street Address: Registration #:
City State:
Sewer L water licensed plumber (required for new construction aniv):
Penally applies when address change and lot change is requested once permit is issued.
Zip:
Zip:
1 hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all appiicabi
State of Minnesota Statutes and City of Eagan Ordinances.
r Signature of Applicant: ?
OFFICE USE ONLY I r --
Certificates of Survey Received Yes No JUN 8
Tree Preservation Plan Received Yes No Not Required - --- -
OFFICE USE ONLY
BUILDING PERMIT TYPE
a
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12'12-plex & 17 Garage ? 22 Porch/Addn. (4-sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
K 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
` Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual) S' tJ Basement sq. ft. Census Code 4-34
(Allowable) Main level sq. ft. SAC Code 01
UBC Occupancy RT3 sq. ft. No. of Units 1
Zoning sq. ft. No. of Bldgs o
# of Stories sq. ft. MC/ES System
Length l Z sq. ft. City Water
Width I- I,. Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Bu ilding 1 PrtAt?( Engineering Variance
Permit Fee III
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total: 113 . 7 Sf
Valuation: $ ' /-DOB
312 X l 1. ` = .2-2 C?
SAC Units
% SAC
CITY OF EAGAN
CASHIER; S TERMINAL NO: 770
DATE: 07/01/99 TIME: Q W 0 03
ID:
NAME ADVENTURE SPORTS SCU14A SAILING
3210 9001. 2039 SAFARI HTS 111.25
2155 9001 2039 SAFARI HTS 2.50
Total. Receipt Amount: JJ3.75
CRW2749
USER ID: NANCY
Certificate of House Location For: H98225
Col. Everett C. Iverson
361.0 Denmark
Eagan, MN 55123
DELMAR H. SCHWANZ
LAND SURVEYORS. INC.
IIe4l,lered Under ls+s M The SMIs bl Mmneeou
14750 SOUTH ROBERT TRAIL ROSEMOUNT. MINNESOTA 55089 )M(W423-1769
651
SURVEYOR'S CERTIFICATE
Property Address: 2039 Safari Heights Trail
Lot Area 20,658 square feet
(louse Area = 3,055 square feet
2 \
l ?? 0 \
°° 11-k 917.
`i ti°° p????? LOT 17 \ \
c`1 ?
e;' BLOCK 1 6\
2i
4B1•8;ej
4q1?„
+,- \
993:2
[?q i \
1 ?2 98
5 Quc
\ as
\-
IFMMAE
BY I g"
'?•
DATE ' 'Z I ' r, all
9•
BUILDING INSPECTIONS DEPT.
Proposed garage floor elev. gS8.o
Proposed top of block elev. 17W.-33
Proposed lowest level elev. gf9.3
1y'`
\ so
.a
sso.
ti
9?
c°i?.
\ goy
Leo
Property Description:
Scale: 1 inch = 30 feet
O = Iron pipe at lot corners
• = Iron pipe at building offsets
qj9 = Existing spot elevation
0 - Proposed elevation
Proposed direction of drainage
\
981.5
2/969 8 boo
987.2
? ?a 82. f
1.4
9 . 8 O RATER
+ i jy20 /
ALV
ha O \ 4.7 .?P Y
84.5 4.4
\ v? • 0o O ro /???
O
riO
Lot 17, Block 1, SAFARI ESTATES S1JCOW ADDITICNF see5?5 ?Q
according to the record plat thereof, Dakota ?/
County, Minnesota.' 966.0
Also showing the location of a proposed house staked 1's
thereon.
I hereby certify that this Survey, plan. or report wag
prepared by me or under my direct supervision and
that I am a duly Registered Land Surveyor under
the laws of the Slate of Minnesota. -
Dated 03-25-99
• s? m
+2 'J / OpQp?.
+
??. ti2 oy?o9es.z
987.
ti 5 e ,/•?
P P?
DELMAR 11. /WA VvI..?
SCHWANZ '
_ Delmer 14. Schwartz, )(
(/?//1
_ 025 ? f?y_ Minnesota Registration No. 8625
L I' t B ,, /n?' J CITY USE ONLY
SUED. -z
RECEIPT #: Gal
RECEIPT DATE: q-1-91
/?
PERMIT # 37 ( 03
1999 PLUMBINGt'PERMrr (}ESIDENTMQ
01-e CITY of EAGAN
a4 Iq? 3830 PILOT KNOB RD
EAGAN, MN 55122
(651) 851-4675
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 = $ ,?3
Floor drain 3.00 x = $ 3
Gas in outlet ` minimum - 1 3.00 x = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $ 3
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 tic. 75.00 x = $
Private Disposal System abandonment 30.00 x = $
RPZ new installation/re air 30.00 x = $
Rough opening 1.50 x I 'z = $ p
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 l = $
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 --> > ----> $ .00
Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc.
--------------------------------------------- -----------------------------------------------------------------
thereby acknowledge that 1 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: 039 _S e i. k s 1 N? 7Er I
OWNER NAME:: ZCr 61JLA '-T tr20-Soy% TELEPHONE #:
(AREA CODE)
INSTALLER NAME:
TELEPHONE #: &:Gl - a
_ (AREA CODE)
STREET ADDRESS: ?L 103L4 _ (_ht;n?-ev)atrle oc?
L?
CITY: Emir Inn; ng4my\ STATE: 0, ? ZIP: S.Sa
SIGNATURE OF PERMITTEE
CITY USE ONLY
LOT _J t_ BL 1 RECEIPT #: f 1 ?? JC?
SUBD. ?l,Q?d - 2 RECEIPT DATE: 1 MECHANICAL PERMIT # 3-260V
1999 MECHANICAL PERMIT (RESIDENTIAL)
CIS CITY OF EAGAN
a4 ?a?1 3830 PILOT KNOB RD
[[?? EAGAN MN 5512E
Ci- (651) 661-4695
Date:
Complete this section oniv if you are installing HVAC in a single family dwelling, townhome or condo under
construction and not owner /occupied.
• HVAC: 0-100 M B T U $
ADDITIONAL 50 M BTU 6.00
• Gas outlets (minimum of one required @ $3.00 ea.) z Ac >
State Surcharge .50
Total $ 33. 0
Complete this section oniv 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
Reminder: Call 681-4675 for inspections.
Furnace
- Air exchanger
Other
Air conditioning
Other
$ 30.00
State Surcharge .50
Minimum Total Due $ 30.50
SITE ADDRESS: c -031 SU •FR, r t H AS Et
OWNERNAME: ? . `TT er4 y\ G5,vx.- PHONE #:
(AREA cone)
INSTALLER NAME: T-CF. r 6 ? ,, , 6 n P I l -061-78a4
PHONE #:
p CODE)
(AREA
STREETADDRESS: al()'3U C>n •n
nl7lt: P Aue.
CITY: j Dtt vvri nA??\ STATE: Y1/1 r? ZIP: ssc)
®
SIG TURF OF PERM E
L BL
SUBD.
APPROVED BY:
I
CITY USE ONLY
INSPECTOR
RECEIPT #:
RECEIPT DATE:
MECHANICAL PERMIT
1999 MECHANICAL PERMIT (COMMERCIAL)
CITY OF E:AGAN
3850 PILOT KNOB RD
EAGAN, MN 55122
(651) 681-4675
Please complete for: all commercial/industrial 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: 1% of contract price OR $30.00 minimum fee, whichever is greater.
Processed piping - $30.00
CONTRACT PRICE x 1%
PROCESSED PIPING
PERMIT FEE
STATE, SURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME:
TENANT NAME (IMPROVEMENTS ONLY):
INSTALLER:
ADDRESS:
CITY:
PHONE #:
(AREA CODE)
STATE: ZIP:
($50 per $1,000 of permit fee due on all permits.)
PHONE #:
(AREA CODE)
SIGNATURE OF PERMITTEE
is%c>xYd>Kx??k<kc>KhYkthY%??k??K k:%tk<X; kt>K%? %caY?Xk<>K?%>kk<%? ??kaY?XMk<
CITY OF EAGAN
CASHIER- S TERMINAL.. N0. 892
DATE; 04/07/99 TIME. 15.1_:48
ID.
NAME. MAR30RY IVERSON
205 9001 2039 SAFARI HTS 95.00
2252 9220 2039 SAFARI HTS 30.00
303 9220 2039 SAFARI HTS 50.00
3743 9220 2039 SAFARI HTS 50.00
3866 9379 2039 SAFARI HTS 100.00
3716, 92"20 2039 SAFARI HT'S 10.00
3868 9220 2039 SAFARI. HTS 468.00
3865 9220 2039 SAFARI HTS 82`.00
3422'9001 2039 SAFARI. HTS 969.90
2275 9220 2039 SAFARI FITS 1;.03.`.-:.50
CR:0600 kt* CONTINUE
USER ID. NANCY A* CONTINUE.
ktXcXt?X<YFk;YF?Xk?X<?'k<X<Xc??kk:kt>K:kk?Mkt?>Xrk?#XokW ?YF?kckt??
XXX?XYdk XnXFYF XY,<XkMhYatiX XkkkkkW.k k CONTINUE
CITY OF EAGAN
CASHT.ERv S TERMINAL
HATE: 04/07/99 TIME:
ID.
NAME.. MAR30RY IVERSON
3446 9001 2039 SAFARI HTS
32:10 9001 2039 SAFARI HTS
NO. 892
.1.5.1.9.49
10.50
1492.:1.5
Total Receipt, Ama.n+,e 57?_44.05
CR 10601.2
USER ID. NANCY
YFxYy<k<k;Xt>%v??ktk<k;#YFkt:KktkCkckt?k?C#Xtki?tXsXc>K#k<Y?kCke# ?Y#rXk<
3-s w:.1r?i? oa?YS
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
P S f rj mfv CITY OF EAGAN
3830 PILOT KNOB RD - 55122
% -(?QT' (651) 681-4675 ' a y 4 S
cov?'c
New Construction Requirements ( PEN +" ? RemodeVReoair Requirements 4-
? 3 registered site surveys
? 2 copies of plans (include beam & window sizes; poured find. design; etc.)
? 1 energy calculations
? 3 copies of tree preservation ]an if lot platted after 711/93
required: _ Yes J No
DATE: `6 )-(A 12C t l 11i95
COST:
DESCRIPTION OF WORK: Cc^'ST2u4TiGV? /7 2?v S. 0 5 -12x11-,i 4 /7 0 u9?
STREET ADDRESS: 2 U3 ci S A-F P rw VA -,:%.S KJy i C , L? {?IJ _
LOT: l? BLOCK: j SUED./P.I.D. #:
0.U
G ,ice Sk /?
i `?
Name: 'CV2tEl? C- ?V-E &SUVN I "_-r?Lf [1
Phone #: 4
PROPERTY Last First
OWNER
Street Address: 3 & 1 O 2) ,, N t-{ A kk r Vf Sp
City t ?a9A ikJ State: Zip:
e#
CONTRACTOR
Street Ac
City _
ARCHITECT/
ENGINEER Company:
Name:
Street Adc
City
? 2 copies of plan
? 1 site surveys (exterior additions 8 decks)
? 1 energy calculations for heated additions
License #
State: Zip:
Phone #:
Registration #:
State:
Sewer 8 water licensed plumber (new construction only): Wd (f 2K7 -WE dCh i vj cj
change and lot change is requested once permit is issued.
?? ?6a(a -
' ??Lt 11?i r
1 her acknowledge that I have read this application, state that the infor tion is correct, artcre
State of Minnesota Statutes and City of Eagan Ordinances. ('s- I _ LA (' - -?l ?S
r Signature of Applicant: ?? L' C
OFFICE USE ONLY
Certificates of Survey Received ? Yes No
Zip:
Penalty applies when address
comply with all applicable
i,? MAR 2 6 1999
Tree Preservation Plan Received _ Yes _ No V111? Not Required
0
S
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging
or 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem.
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory
? 04 SF Porch ? 09 12-plex ? 14 Fireplace
? 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
$4 31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowable;
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
? 16 Basement Finish
? 17 Swim Pool
? 20 Public Facility
? 21 Miscellaneous
Basement sq. ft. Ilk fo Census Code 01
Main level sq. ft. _ SAC Code of
2"D sq. ft. 02?11 Census Units I
3 5 Pw sq. ft. _I 1? 93 Census Bldg
Esq. ft. 17-1 1 MC/ES System
sq. ft. City Water
Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
Building
Engineering
Variance
Permit Fee Valuation:
1 b ( uuu
$(L
Surcharge
Plan Review
License ?O
MC/ES SAC Kr t59?_=XS4 ?8(o?I30
City SAC
Water Conn.
` 'g5 x s `? _
??? 27` °=
Water Meter
A
D
i 3 ss ea x -7 2a o
cct.
epos
t
S/W Permit qHZ , 12q I X K l lv = 2? i tO
v v --
S/W Surcharge
T-7 43d
-
Treatment Pl. ,
Park Ded.
Trails Ded
Other
Copies
Total:
% SAC
SAC Units
?- oyn L
zVFleSp-Y,
ENERGY CODE WORKSHEET FOR 1 & 2 FAMILY DWELLINGS
I .ITE ADDRESS E W' __L w/ CITY
COMPLETED BY: P[[ON8 q DATE
BUILDING CLASSIFICATION: ? category 1 (standard) or 'a category 2 (must include ventilation)
MINIMUM CRITERIA
Foundation Insulation-R10 Walls & Windows Roof Attic Insulation:
(See table on reverse side
Slab on Grade Insulation-R10 for allowable percentages) R44-With Attic No Heel
Floor over unheated spaces-R24 R38-With Attic Raised Heel
Foundation Windows 1/2"
insulated Glass R38 & RS-Solid Raf teas
.
-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 NAMH A36/U C
F
St
1 di
d
.
rom
ep
vi
e box A (Window & Door
WINDOW MANUFACTURE TYPE: CeJ/? Area) by box B (total wall area) times 100
equals the window and door area as a
WINDOW MANUFACTURE U FACTOR: 77? of wall area (box C).
perceentt
-
R. O. Quantity sq.ft.Area .
BOX A 5
97 X 100 =
Dimensions C_
Box B Y7 7-1
71-0 N X t
-- 2 STEP 3 Design Feat
Q
1
I N
-,
[
/ ures
,
1
X , ASSEMBLY
Z1'0 X /_V0
FRAMING TYPE:
-Oa X 31"00 ' (y STANDARD FRAMING '\/ studs 16" O
C
.
.
X ADVANCED FRAMING studs 24" o
X .c.
CAVITY INSULATION R
X
SHRATHING TYPE:
X k
LESS THAN c R-5
X ._
R-5 > OR MORE
U-FACTOR II
_
DOORS; From the table, (reverse side) determine the
maximum percent window & door area for th
X e
design options selected and enter the t value
?jo in Box D below based on the window mfg. U-
factor:
X D
Mil
Total Area of A.nq ft
Sli ndows & Doors
B. Total Wall Area in Sq. Ft. The % value from the table in Box D shall be
cqu al to or greater than the % in Box C
Wall Total Height Area
Perimeter
Zz o / /,-7 iI 2 A,
Total Area of Walls 8=17L
sq.ft
- o
ONE- & TWO-FAMILY RESIDENTIAL DUILDINC PRFSCRflvnW (COOK-HOOK)
APPROACH
MAXIMUM WINDOW AND DOOR AREA AS A PERCENT OF OVERALL WALL
AREA
From Jinn Rules part 767 s eu plrt 2. item F
Cavit Exterior Window U-Factor
Framing Insulation Sheathing 0.49 0.36 0.31 0.27
STANDARD R-13 2 R - 7 13.4% 17.8% 21.3% 24
3%
STANDARD R-13 R - 5 12.4% 16.4% 19.7% .
22
5%
STANDARD R-15 > RS 5 12.9% 17.1% 20.1% .
23
4%
STANDARD R-18-19 < R - 5 12.1%0 16.0% 18.8% ,
22
0%
STANDARD R-1819 R - 5 14.0% 18.6% 21.8% .
25
36/
ADVANCED
R-18-19
<R-5
12.9%
17.1
20.1% .
9
23
4%
ADVANCED
STAN R-1$ -19 R - 5 14.5% g 22.5% .
26.1%
DARD R-21 < R - 5 12.8% 19.9% 23
1%
STANDARD R-21 > R - 5 14.5%s 22.5% ,
26
1%
ADVANCED R-21 <R-5 13.696 18.1% 21.2% .
24
6%
ADVANCED R-21 ?R-5 15.0% 19.9% 23.2% .
26.9%
&9W2MLC&&kW_vAhM
STANDARD R-17 < R - 5 11.9% 15.70/, 18.4% 21
5%
STANDARD R-17 R -S 13.8% 18.4% 21.5% .
25
0%
ADVANCED R-17 <R-5 12.6% 16.6% 19.6% .
9%
21
ADVANCED R-17 > R - 5 14.3% 19.0% 22.2% .
25.7%
Notes:
Window area equals rough opening minus Installation clearances.
Window U-factor must be determined by either the National Fenestration Rating
Council standard 100.91, or ASHRAE 1993 Handbook of Fundamentals, Chapter 27,
Table 5.
PCOW Fax Note 7671 DM. ___
/f011.
CO?? Co.
? Plp,y
Io. • R. I
iCertificate of House Location For: H98225
Cols Everett C. Iverson
3610 Denmark
Eagan, rat 551-23 -
DELMAR He SCHWANZ
LAND SURVEYORS. INC.
RegUlefed Under Lows of The ShH OI Minneems
14750 SOUTH ROBERT TRAIL ROSEMOUNT. MINNESOTA 55088 3p('Xr423-1789
651.
SURVEYOR'S CERTIFICATE
Property Address: 2039 Safari Heights Trail
Lot Area = 20,658 square feet
House Area = 3,055 square feet
i
?Z•
\9R7?.
LOT 17 BLOCK 1?
0 / +
??1•8 983:2 ,i
,7v +
ggl`l ? ??A/4/ Q?' 1 ,298
\ 5(
AP I
\ , , ti oyEO
\1 ? oo`? 984. ?9 Q??S? ??
2 d.,o •
Scale: 1 inch = 30 feet
O = Iron pipe at lot corners
• = Iron pipe at building offsets ...
r
q9R =Existing spot elevation
Q = Proposed elevation
Proposed direction of drainage
1$9
\ y
\ . 9?y
16
\ ? ,ry5•
v1
6.0 2
PC's
985, tit 6 f CtQQ
py?
9e7 (?8fi.2
ti Qoe
? ? o\ . as ?
Cj ?r s9 968.5
Proposed garage floor elev.- gfg,D \
Proposed top of block elev. 888.33
Proposed lowest level elev. ", 3
SA IJ- INS<n 97-S? 1
987.2
981.
yk,'ry
C
981.5
W
?3.
\ 5
/ 2.1
9-
/ 1.4
+
9 -S HATER
/ VALV
/ 4.7^P?
?"'v ?O yp O 00 a° / r
990. 084.5 4.4
O ,
Property Description: 'O ,1h C6 /?V
Lot 17, Block 1, SAFARI ESTATES SDCONID ADDITION, 9?•? ge5.5 5
according to the record plat thereof, Dakota '&"
County, Minnesota. 988.0
Also showing the location of a proposed house staked
thereon.
1 hereby certify that this survey. plan. or report was
prepared by me or under my direct supervision and
that I am a duly Registered Land Surveyor under
the laws of the State of Minnesota.
Dated 03-25-99
D??t?nt1,-i.
SCHLv;+.?aZ
-.8tF25 --
Delmar H. Schwanz.
Minnesota Registration No. 8625
LOT SURVEY CHECKLIST FOR RESIDENTIAL
' BUILDING PERMIT APPLICATION
,
PROPERTY LEGAL: 2f/ 7
, / f ?? 6
T
DATE OF SURVEY.' J
U
a
$
LATEST REVISION:
v
m d DOCUMENT STANDARDS
a C
Q Z N
`G
? Registered Land Surveyor signature and company
? Building Permit Applicant
rf? ? Legal description
d ? ? Address
? ? North arrow and scale
Cr' ? ? House type (rambler, walkout, split w/o, split entry, lookout, etc.)
y ? ? Directional drainage arrows with slope/gradient %
? ? ? Proposed/existing sewer and water services & invert elevation
2-13 ? Street name
??? ? Driveway
?-? ? Lot Square Footage
c'(? ? Lot Coverage
ELEVATIONS
Existin
J ? ? Sewer service (or Proposed)
? Property comers
2?? ? - Top of curb at the driveway
c'? ? Elevations of any existing adjacent homes
Proposed
r ? Garage floor
0 ? First floor
? Lowest exposed elevation (walkoutAvindow)
PY? ? Property comers
e' ? ? Front and rear of home at the foundation
PONDING AREA (if applicable)
? r pJ Easement fine
? o'p NWL
? HWL
? d ? Pond # designation
? rya Emergency Overflow Elevation
DIMENSIONS
0? ? ? Lot lines/Bearings & dimensions
d ? ? Right-of-way and street width (to back of curb)
o`? ? Proposed home dimensions Inducing any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all structures requiring permanent footings)
??? ? Show all easements of record and any City utilities within those easements
in ? ? - Setbacks of proposed structure and sldeyard setback of adjacent existing structures
? ?--6 Retaining well requirements, If any
Reviewed:
March 19M
CRAIc0=PRMT. FM
A)lIDAVIT Or EXEMPTION FROM STATE CONTRACTOR LICENSE
state of Minnesota )
as Affidavit of Everett C. Iverson
County of Dakota ) Building Permit Applicant
Everett C. Iverson , 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 Everett ?. Iverson (Building
Permit Applicant) for a proposed work project located
at 2039 Safari Hots Txail Eagan, Minnesota.
2. I acknowledge and understand that Minnesota Statutes,
$326.84, requires all residential building
contractors/remadelers 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
requirement pursuant to Minnesota Statute 5326.84, Subd. 3,
j for reason(s) indicated below (check those that apply):
f 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. I am an architect or engineer engaging in professional
practice as defined 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.
f. 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
understand that I could be subject to criminal prosecution
or denial or revocation of the building permit or both.
FURTHER YOUR AF nIAHT?SAYETTH NOT.
Dated:P `,`
Building Permit Applicant
Everett C. Iverson
'n " t 13
Eagan, MN 55
Print/Type Applicant's Name
and Address
Subscr and sworn^ be ore me 1999
this day of /'.
otary Public
NANCY 1. SEVERSON
NOTARY
PUBLIC- DAKOTA OMIT UTA 1
$ MyOpmnWon BMIR Jan 31.2000
RESIDENT OWNER
Name: PlaAjdj \__Iveirces,ki P hone:
Address
Applicant
r��
,f^; L mi ll F,nc J
City Zip: (96?)
is: Owner )-Contractor �J
TYPE OF WORK
Description
Construction
of work: Cltil Cries f' 1
.'c'
Cost: 1 w Multi Family Building: (Yes No
CONTRACTOR
Name: w F. N SS'J +[A r 'C t License O? 6 1 f
Address:
City:
Z 3- Able- le- W i
p State: Zip:: 1 I
/f iJ f
Phone: is 1-( 3 6'11 Contact Person: Y v Attie_
COMPLETE
In the last 12 months, has
If yes,
THIS
the City
date and address
AREA ONLY IF CONSTRUCTING A NEW BUILDING
of Eagan issued a permit for a similar plan based on a master plan?
of master plan:
_Yes _No
Licensed Plumber:
Phone:
Mechanical Contractor: Phone:
Sewer Water Contractor:
Phone:
NOTE: Plans and supporting
the information may be ctastified
documents that you submit are considered to be public information. Portions o
as non public if you provide specific reasons that would penal the City to
conclude that they are trade secrets.
4 1 1 111 CityofEaaau
Date:
Tenant:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
Applicant's Printed Name
x
Applicant's Signatur
Use BLUE or BLACK Ink
q /3 4,7
Permit Fee: v
Staff: e•
Permit
Date Received:
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
(9 Address: „20 i l-lel s 1
Suite
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 cwith the approved plan in the case of work which requires a review and approval of plans.
�Ci
J
Page 1 of 3
'46
City of Eap
Date:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee: /6 5 -
Date Received:
Staff:
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
1 b Site Address: ZC:73et Unit #:
Name: 'Ll& 46/0Y�
Address / City / Zip: j.03 "rJ ' ° TK -
Applicant is: Owner Contractor
Description of work:-Tar---r^ot k �'� Ybo-km
Construction Cost:
Phone: 5k -, 6(817..
{2
Company:,)e` `\ *4k ci`mak �0
Address: 1764_ rytiN4
State: ✓1 Zip: 554240
Contact: 1ae.r-.
9 A2 '�dS7aEmail: 3M.-(2)0
��0. CLO Co&\
Phone:
City: LotA.,S
License #: 8,0 Lead Certificate #:
If the project is exempt from lead certification, please explain why:
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:
NOTE: Plans and supporting documents that you submit are considered to be public information.
the information may be classified as non-public if you provide specific reasons that would permit
conclude that the are trade secrets.
Portions o
the City to
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.gooherstateonecall.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, 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.
xJo "4e -A
Applicant's Printed Name
Appli
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA167633
Date Issued:03/24/2021
Permit Category:ePermit
Site Address: 2039 Safari Heights Tr
Lot:17 Block: 1 Addition: Safari Estates 2nd
PID:10-65851-01-170
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
William E Hernandez
2039 Safari Heights Trl
Eagan MN 55122
(619) 207-2789
Milbert Company (culligan)
1801 50th St E
Inver Grove Heights MN 55077
(651) 451-2241
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA172782
Date Issued:10/15/2021
Permit Category:ePermit
Site Address: 2039 Safari Heights Tr
Lot:17 Block: 1 Addition: Safari Estates 2nd
PID:10-65851-01-170
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site. If water damage is encountered, please call (651)
675-5675 to schedule a site visit to verify the extent of the damage. Any repairs must be inspected prior to covering. The
inspector will determine if an additional permit will be required to repair the water damage.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
William E Hernandez
2039 Safari Heights Trl
Eagan MN 55122
New Life Contracting Inc.
814 Grand Avenue
St. Paul MN 55105
(651) 336-9966
Applicant/Permitee: Signature Issued By: Signature