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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