2050 Safari Heights TrRESIDENTIAL
BUILDING PERMIT APPLICATION 1
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 1
b 651.681-4675
New Construction Requirements
• 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed 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 Plan Slot platted after 711193
• Rim Joist Detail options selection sheet (bldgs with 3 or lass units)
DATE to - - C/ / JOB SITE ADDRESS .? 6 Sl) S/9481-1'
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER SeULO, 5;2111'y2M
00
/?Of
TYPE OF WORK
APPLICANT AlAkWa
?Sl
ADDRESS 4AW
PAGER #
CELL PHONE
FAX #
NIEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category
(check one)
Plumbing Contractor:
Plumbing System Includes:
Mechanical Contractor:
Mechanical System Includes:
Sewer/Water Contractor:
Air Conditioning
Heat Recovery System
All above information must be submitted prior to processing of application.
FIREPLACE(S) _0,, ?-/ 1 _ 2
PHONE#?l175??10
ZIPCODES ,2a
Phone #
Phone #
Fee: $90.00
I hereby acknowledge that I have read this application, state that the information i correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Or aces.
Signature of Applicant
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required
Updated 7/01
_ MINNESOTA RULES 7670 CATEGORY I
- Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Phone #:
Water Softener Lawn Sprinkler
_ Water Heater _ No. of R.I. Baths
No. of Baths
RemodegRBgair Requirements
• 2 copies of plan
• 1 set of Energy Calculations for healed additions
• 1 site survey for exterior additions & decks
• Indicate if home served by septic system for additions
.?_l s
VALUATION 7?%?'
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_Y or _ 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)
Footings (addition)
Foundation
Drain Tile
Roof _ Ice & Water _ Final _ Other
Framing _ Pool _ Ftgs _ Air/Gas Tests - Final
Fireplace - R.I. - Air Test _ Final _ Siding _ Stucco _ Stone
Insulation _ Windows (new/replacement)
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
_ Final/No C.O.
_ Plumbing
Fi'VAC
Building Inspector
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS'
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
1 1) 1- ff HI f1 t_ t
''•' :tFAftt Nt'it:Ht'• if:
aril /il+ I P . i /1 f f '.: ?'NLI
PERMIT SUBTYPE:
APPLICANT:
TYPE OF WORK:
1
INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR.
+•It?fl : rli.
i, f .I I r ?? I l l f rl I, ? t r l !. f .
1'I?i?l?!; 1 ra ! 1 f•.,. 1?1f 11 ?...f t! i •
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MA1tKfi t 3 & w Pt HI
Permit No. Permit Holder Date Telephone 11
S/W
PLUMBING ?I 7T9
HVAC 'y ¢ 4451 - 4#-291
ELECTRI
ELECTRIC
Inspection Date Insp. Comments
Footings I 9/K/ 4?I. I Q
Foundation
Framing d ?7G `/dam ??? , e?
Roofing D 1 rrS v4-
Rough Plbg. ?9 /?
t{
Rough Htg.
T
Isul. Y/
Fireplace
Final Htg.
Orsat Test
Final Plbg.
l
? Plbg. Inspector - Notify Plumber
Const. Meter
EngrJPlan
Bldg. Final f?
Deck Ftg.
Deck Final
Well
Pr. Disp.
Hq
f? (
I
_ J ? r L
Werti ' cote u Ccc anc
CMV of Wagan
Te*arhment of 13afthM 3x6pection
,ttr
f
F"
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Thin 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 th4q City regulating building construction or use. For the following:
Use Classification
Oc q--y Type
Owner of Buildup
Building Amass
t 1 ??
Bldg. Permit No. 23M
Zoning Distri t -fkt Type Coast. VN
A". 7660 64M SI. FIM SERFS, M
RM TRAIL Locality L20, B I. SAFARI RUALES 2ND
Date: 05/241%
POST IN A CONSPICUOUS PLACE
Y
?'l a? /
?
00 66 7/4 5
Request Date
5? Fne No. Rough-In Inpsecom Required
(You must call inspector when ready) Inspection Other T to Rough-In
? Ready Now Will Na01y.Inspeplor
j
4- p - Year ? NO Date Ready
10 licensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Street Box or Route NC `U
A 0 5 L J ?
v City
?
s- .
Section No. Township Name or No. ange No. County
O?
Ocwpant(PRINT) Phone No.
-Z) V n r-- -T-O w• 1 D- b 3 S-(.p
Power Suppli r Atltlress
Electrcal Contractor company Name) Contractor's License No.
Mailing Address tContractor or Owner Making Installation)
s ??? ??
Aumorizetl Signature (COntracmrrOwnm Making Installation Phone Number
1,1- -s 1
INNE TA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
G s- way Bldg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD
1821 Iv hilly Ave.. S1. Paul. MN 55100 UNLESS PROPER INSPECTION FEE IS
Fred. (612)642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
//// O ? See instructions for completing this form on back of yellow copy.
?ry 0 7 4 . 5 Below Work Covered by This Request
6ae' EB-Op001-08
ok "I
New Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./industrial Furnace Other (Specify)
Farm Air Conditioner
Other (specify) Contractor§ Remarks \
e l S .?
Compute Inspection Fee Below:
# Other Fee # Ser eEntrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 200 mps .pJ 0 to 100 Amps Soo
Transformers Above 200 _ Amps f Abov _ Amps , ,0
Signs Inspectors use only. TOTAL
Irrigation Booms - j C)
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ED D SCONNECTED IF NOT
Other Fee .5 O COMPLETED WITHIN JO-MONTHS. (
I, the Electrical Inspector, hereby Rough-in /7,
1 -W owe a-C/-
,
cenifY that the above inspection has
been made.
Final (
owe
... ' - ! [•i
d'7 7
s
Address 2050 SAFARI HEIGHTS TRAIL Zip 5512 2
I.ot , 20 BIk I Sub SAFART F.STATFS 2ND
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: 5 sp Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage) r !
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
Trail/curb damage !
tr r?
Porch
Basement finish a t '
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in right-of-way .or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
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HOUSE HEATING TEST RECORD
Owner ev e-S l i ,-/j e
60, of *
l !W rl, e
dap
a
Gas Line B 01 0
TYPE OF Gas_ Forced Air_ Hot waza_ Swam
Z HEAT. s
0? ? Q ?f VenL Size ? ? Pace Heaer Urrit Heater Omw
38a ! A i 6wik
nOSo-c"r
AV o/q
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rj'r ni
a
n CITY USE ONLY
PERMIT #: 99-530 RECEIPT DATE:
8002 RESIDENTIAL MECHANICAL PERMIT APPLICATION
CITY OF EAGAN (?
? IJ ? r
3830 PILOT KNOB BD FRO RUM
IIUI
£AHAN6E
651-661-4675 APR 0 9 2002,
AZggj
2
Please complete for: ? single family dwellings
townhomes and condos when permits are required for each unit
Date: 3-1*f Oz
SITEADDRESS: ZfSd 5PI-_4R/ HI-5 7RC-.
OWNER NAME: rj?(ef ??ivV ??r+r/fit NCE TELEPHONE #:
INSTALLER NAME: APO t-t_O ff9A'TI.t/4- TELEPHONE #: 657-77
0-060 3
STREETADDRES?S?:t ?? HuJy 31i, la"10.. Al.
CITY: STATE: MAI ZIP: S.g°/?-$°
Place a check mark next to the permit work type
_ Add-on, modification or alteration to existing dwelling unit $ 30.00
?• furnace replacement
• air exchanger
?• air conditioner
• other
Nature of work:
AAIJ3 AIR 60A(,0 T7oar W-
State Surcharge $ .50
Total $ 34- sb
SIGNATUI OF PERMITTEE
1/02
CITY USE ONLY
PERMIT #:
APPROVED BY:
INSPECTOR
RECEIPT DATE:
2008 COMMERCIAL MECHANICAL EMIT APPLICATION
CITY OF EAam
S$SO PILOT KNOB RD
EAGM, MN 55122
651-6$1-4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
SITE ADDRESS:
OWNER NAME: PHONE #:
TENANT NAME (IMPROVEMENTS ONLY):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
STREET ADDRESS:
CITY:
TELEPHONE #:
STATE: ZIP:
WORK TYPE: New construction Install U.G. Tank
Interior Improvement Remove U.G. Tank
Processed Piping
Specify Nature of Work:
When installing/removing underground tank, call 651-681-4675 for inspection by Fire Marshal and
Plumbing inspector.
Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater.
Underground tank removallinstallation = minimum fee
Contract price: $ x 1%= $ (Base Fee)
State surcharge calculate at $.50 for each $1,000 Base Fee
TOTAL $
SIGNATURE OF PERMITTEE
Updated 1/02
PERMIT# 1 r y 3a
RECEIPT DATE:
8008 WKSIDENTIAL PLUMBING PERMIT APPLICATION
CrrY OF EA(LAN
3630 PILOT KNOB RD
E&GAN, MIN 55128
651-681-11675 FBV-e?' Please compl ete for: single family dwellings, townhomes and condos when permits are required f backflow preventer for irrigation system ZQ?2
SITEADDRESS: OV
OWNER NAME:: TELEPHONE M
(AREA CODE)
INSTALLER NAME: TELEPHONE M 4. -/ -' 7 7 -7 9ff-,n
STREET ADDRESS: (AREA CODE)
CITY:
STATE: /, . ZIP:
SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license)
includes $40.00 County fee $ 100.00
Note: Additional consultant fees may apply
• MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
- Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
Abandonment of septic system.
- Water turnaroun - existing dwelling unit (+ 5/8" meter if needed - $118) I
Other: 02 ,? T / ?/ '/bQc+,?? ?ira1
_ RPZ: new installation/repair/rebuild $ 30.00
_ lawn irrigation system
Replacement/additional: _ water softener _ water heater $ 15.00
State Surcharge $ .50
Total $30-50
I hereby acknowledge that I have read this application, state that the information is correct, and agree to complywith all applicable Cltyof Fagan ordinances. It
is the applicants 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 pro ; -of-wayleas . a
SIGNATURE OF PERMITTEE 1/02
PERMIT
C30TYoOF EAGAN
% Knob Road
Eagan, Minnesota 55123
(612) 681-4675
2050 SAFARI HEIGHTS TR
LOT: 20 BLOCK: 1
SAFARI ESTATES 2ND
BUILDING
023080
03/10/94
SITE ADDRESS:
P.I.N.: 10-65851-200-01
DESCRIPTION:
Bu"ilding_ Permit Type SF DWG
Building Work Type NEW
fUBC Occup ancy.' R-3 M-1
/ Construct ion Type V-N
Zoning - R-I'
Building Length
Building Width
? Building stories 2
68
47
Q Wool
C
REMARKS:
RECEIPT #'s - CR 020342 03/10/94
S & W PLBR - COURTEAU PLSG C 22780 03/22/94
FEE SUMMARY:
VALUATION
Base Fee
Plan Review
Surcharge
SAC
SAC %
SAC Units
Lic. Search Fee
Subtotal
$853.00
$554.45
$80.50
$800.00
100
1
$5.00
CONTRACTOR:
DVORAK, THOMAS
7660 64TH ST
PARK SPRINGS MN
(612) 770-3148
- Applicant - ST. LIC
17703148 0005804
55115
OWNER:
HOMAS DVORAK
660 64TH ST
INE SPRINGS MN
612)770-3148
55115
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.
Statutes and City of Eagan Ordinances.
L
$2,292.95
PERMIT TYPE:
Permit Number:
Date Issued:
$161,000
MISCELLANEOUS $1.828.50
Total Fee $4,121.45
I
i! . I Mad
APPLICANT/PERMITEE SIGNATURE ISSUED . SIGNATURE
INSPECTION RECORD
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT TYPE: BUILDING
Permit Number: 0 2 3 0 8 0
Date Issued: 03/10/94
SITE ADDRESS: LOT: 20 BLOCK:
2050 SAFARI HEIGHTS TR
SAFARI ESTATES 2ND
PERMIT SUBTYPE:
SF OWG
1 APPLICANT:
DVORAK, THOMAS
(612) 770-3148
TYPE OF WORK:
NEW
INSPECTION TYPE
FOOTINGS .DATE INSPTR. INSPECTION
FOUNDATION DATE INSPTR.
FRAMING ROOFING
INSULATION FIREPLACE
ROUGH IN PLBG ROUGH IN HTG
FINAL PLBG FINAL
REMARKS: S & W PLBR -
' 12 o CITY OF EAGAN -'
30 1994 BUILDING PERMIT APPLICATION i-,;; r c; IS 681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Valuation of work / go 000
Site Address: ox 50 SA F4A Hzf- A+5 'jr,
STREET SUITE #
Tenant Name: (commercial only)
LOT BLOCK SUBD 2,?
1151tFtR1, Pc?tf7oCs P.I.D. p
w.
Description of work: £iv S F 6W G .
The applicant is: ? Owner 19-Contractor ? Other (Describe)
Name F 5`r* 5 u//iV4 S TA ??P- Phone G 8S•7G 7 r
Property LAST FIRST
Owner
Address
STREET STE #
City State Zip
Company JJdK7Gco?.rs Phone '?-2 c) -sel y8
Contractor Address 7Ce o 6 C/ s. 7- License #000S"60y Exp. 3- A1111r
City i"e'7g 5eo'CE#e- State leIE Zip s i?
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant: ?/l " _°
OFFICE USE ONLY
A
B
UIL
DING PERMIT TYPE N•
r?
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
® 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'l. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
U 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) V41 Basement sq. ft. Ile 58 MWCC System
(Allowable)
UBC O LI 1st F1. sq. ft.
d F1
ft
2 iG City Water
PRY Re
uired
ccupancy ,/ n
. sq.
. S z q
Zoning Sq. Ft. total Booster Pump
# of Stories "".`.. Footprint Sq. ft. Fire Sprinkler
Length 6 8 On-site well Census Code /D/
Depth J,3 3 On-site sewage SAC Code a/
Census Bldg
APPROVALS Census Unit /
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
?.Site
? Wallboard
E9- Footing
10- Final
® Framing
? Draintile
Q-Insulation
? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surchargge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
Vat mtim:
32,?3G //Sz
-2
l?k y - ?y
2-
=
iz
/?Z
-Z
I?S?N?9, /iyyo?
2Nd
z3,4-q 5'B3
(oSZks `/
64V
zo.4-3z = 610
z o? Z - yo
l? B y9o
35202
2422 Enterprise Drive
Mendota Heights, MN 55120
PIONB®FI LAND SURVEYM a CIVIL ENOMS (812) 881-1914 FAX 881-9488
* enp Weer ng LAND PLANNERS. LANDSCAPE ARCHITECTS 625 Highway 10 N.E.
Blaine, MN 55434
4( 1(612) 783-1880 FAX: 783-1883
Certificate of Survey for: D. C. a COMPANY
EAGAN
EVIEWED D
L--4?5
e "one
;D
;aV, ?
>AGAW MfG&T?ZjM6 DEW.
Z 0 So L. ATiI ^-( // ( Gi?T
PROPOSED GRADES SHOWN PER GRADING PLAN BY. CCST ENGINEERING
NOTE: BUILDING DIMENSIONS SHOWN ARE FOR HORIZONTAL AND VERTICAL
LOCATION OF STRUCTURES ONLY. SEE ARCHITECTUAL PLANS FOR BUILDING
AND FOUNDATION DIMENSIONS.
NOTE: CONTRACTOR MUST VERIFY DRIVEWAY DESIGN. THIS CERTIFICATE DOES NOT PURPORT TO SHOW EASEMENTS
NOTE: NO SPECIFIC SOILS INVESTIGATION HAS BEEN COMPLETED ON THIS OTHER THAN THOSE SHOWN ON THE RECORDED PLAT.
LOT BY THE SURVEYOR. THE SUITABIUTY OF SOILS TO SUPPORT THE BEARINGS SHOWN ARE ASSUMED
SPECIFIC HOUSE PROPOSED IS NOT THE RESPONSIBILITY OF THE SURVEYOR.
PROPOSED HOUSE ELEVATION
x ooo.oo Denotes Existing Elevation
( ooo.oo ) Denotes Proposed Elevation Lowest Floor Elevation: 7103r, Denotes Drainage k Utility Easement
Denotes Drainage Flow Direction Top of Block Elevation: -/Z. Z
Denotes Monument
E- Denotes Offset Hub Garage Stab Elevation: X171 P
LOT 20 , BLOCK I
DAKOTA COUNTY, MINNESOTA
SAFARI ESTATES 2ND ADDITION
VIP, hereby certify that :his survey, pion or report was prepared by me or under my direct super
under the lows of the Slate of Minnesota. Dated this IST day of MARCH A.D. 19
REVISED 3-3-94 MOVE HOUSE 10.00 FEET BACK 8 EXIST ELEVrS.
REVISED 3-9-94 GRADING PLAN
Scale: 1 inch= 40 feet
am duly wgisterd Land $ur vevar
i
WEER ENGINEERING-,-P.A.
f
Larson, L.S. Reg. No. U
4.00 SHEET I OF 2 SHEETS
* **
.PION
* eTtaT
Certificate of Survey for
988.5 x G91?.?S
sl?
??t?tP6a
988.5 ?°b
t4l r_
1C, 0b y1
7 /0 `try 54
2422 Enterprise Drive
Mendota Heights, MN 55120
am Dmmarts (612) 681-1914 FAX:681-9488
uus AK M MITCn 625 Highway 10 N.E.
Blaine, MN 55434
(612) 783-1880 FAX:783-1863
D. C. a COMPANY
i ?
?o /?
19 1 515ERVICE
BENCH MARK
TOP OF HUB
ELEV.=986.67----? ! _ „?69
\ N
?ii.edlo? Sim ?acg
19
973.5
?O
Ca
50 ?b,y0 .0 9
1r /
6
38D.1 ?.
?,i. \lglb?l\ ??
1 `
\ ? ?\
\ X98 \
\ \ 0
I \ \ \ \ \ \\ \ °ee\ \
IN%
I ` `\ 8? `\ \
\ \
?DRAINA DRAINAGE IN UTILIT9Y- _904-- ..-
5r l EASEMENT PER PLATS J5
1 \ -
0 0
77
i
i
- - 964.4
64..o>? 170.50. S0°07'08"E _ { 964 e?1
NOTE: EXISTING CONTOUR LINES
GRADING PLAANTdY COST
Z
SCALE: I INCH= 40 FEET
1
BENCH MARK \ \ I
TOP OF HUB
ELEV.- 987.60
9112)s 1
x84.4 4)
% i9
9.9 N?, r -
z \
SHEET 2 OF 2 SHEETS
t
2b?U
B' D
B' 0
fi D
Y
;,--D,
B' 0
B'' 0 0
D
0
0
0
0
9
Br 0 13
O'b 0
[3
0
0
LOT SURVEY CRECKLIST FOR RESIDENTIAL
BUILDING PERMIT
PROPERTY LEGAL!
DOCUMENT aTl,?n,pna ???
Registered Land Surveyor signature and company
Building Permit Applicant
Legal description
Address
North arrow and•bas scale
House type (rambler, walkout, split w/o, split
lookout, etc.)
Directional drainage arrows with slope/gradient t.
Proposed/existing sewer and water services
Street name
Driveway
ELEVATIONS
0I0 0 Existinc
Sewer service
91 0 Lot corners
0' 0 Top of curb at the driveway
D 0 Elevations of any existing adjacent homes
2"'-13 0
A Proposed
Garage floor
D
D D
? First floor
D
D 0
0 Lowest exposed elevation (walkout/window)
P Property corners
O D Front and rear of home at the foundation
PONDING AREAS (if applicable)
V 0 Easement line
D
0 - NWL
D 0 HWL
9
0 ?A-
D
Pond # designation
e D Emergency Overflow Elevation
DIMENSIONS
entry,
r0 0 Lot lines
D 0 Right-of-way and street width (td back of curb)
D?0 0 Proposed home dimensions including any proposed decks,
overhangs greater than 21, perches, atc. (i.e. all
structures requiring.permanent footings)
DAD 0 Show all easements of record and any City utilities within
9?0 D those easements
Setbacks of proposed structure and setback of adjacent
D existing homes
0 Retaining a rements, if any
Reviewed: J/ y/ rc_f
October 2992
HYD. ToP Nur_ 190.50 I
6" GV & BOX
6"x6" TEE W.V.-" .42
19 SERVICE
W -6-o-9EE.9
SwR twv- 1".05
\5 1+95 1
SERVICE`;
W-5.0.- 905.4
5wp uv.-91?.85. I
20
5 2+15
STA. 13+ S MH
5
5 1+90
SE=RVICE
W.S•o.- 961.5
SwR. I NV.- 911.05
18
5 1+15 '
Sy
° -"'° 22 112° BENI)
' 11
? ?, fo,f I
7..°3• i
13 /40 52-03'
E6.3 ??r «re
--? , A.
iC (,(???t 03 5203'
19 58
1 5 0+67
6" GV & BO.
982.2E N. VR!
22 l sl-. o S.0
SE?d/?E
415.0. qA; .9
Sw,e. 1AM 914.7
5Eszvicf 21
W.S.D. 9a7.4
SWP-.tNV 970.67
THE
THE
UummAlmitEE
RACY EAGANOF O
CU UTILITY LOCATIONS
ELEVATIONS. THIS DATA IS FOR
TION PURPOSES ONLY AND
i USING IT SHOULD VERIFY THE
TION ON THE SITE.
............
............
j .............
.......... ......................................
..........
............1........................
.
...........
1 ................
i ::::::::::::
{ :::::.... ....::::::
...._ ....... .........._..........
... .........
i
. .
23
2ND
........................ .
_ ..............
......................... ..
..........
FURNACE SIZE CALCULATION WORKSHEET
SITE ADDRESS DATE
HEATING CONTRACTOR PHONE
GENERAL CONTRACTOR OR
CALCUL?TIONS PREPAY
The basic information below, must be ascertained from the plans for the structure to be
built.
1. Sc. feet of exposed wall area above grade- x "U"
. oYZ x 90 degrees. ??JJ
2. Sq. feet of exposed window area f`/ x "U" .5Z x
c
' O ` J
90 degrees.
3. Sq. feet of exposed door area 3. 1 x "U" -Q x Z
90 degrees.
4.
Sq. feet of
ceiling area 6n x "U" '02-5 x 90. u c?
8 3?
I
5. Sc. feet of basement floor area -LO y1 x 2 BTU/sq. ft. [
1
6. Sq. feet of asement wall area below grade Z 3I) x c?
3 BTU/sq.
7. Lin. ft. of infiltration for windows l - x (.5) 9
x (1.085) x 90 degrees.
8. Lin. ft. of infiltration for doors 73?47 x (1.25) 7?
x 11.085) x
90 degrees. 1
0
I
9. Lin. ft. of infiltration for sliding glass doors 2- x z ZY
(.75) x (1.085) x 90 degrees.
10. Allowance for kitchen and bath fans:
# Sr.- _ kitchen fans @ 600 BTU ea.
# -el bath fans @ 200 BTU ea. (?Cd"
11. Allowance for fireplaces: # - -- @ 1.320 BTU ea.?
12. Total BTU loss for all above items '63 Z q 6
53 ??s
13. Add for combustion air (SBC 7722) (.001) x net loss above,.
x (12.5) x (.075) x 90 degrees.
14. Add line 12 and line 13. 77[r? -------
15. Maximum increase allowable by SBC 6007 is line 14 x 115%. l h 7
Output size of furnac 1. :. 1 between line 14 and line 15.
Applicant Signature
PLEASE COMPLETE FOR ALL COMMERCIALANDUSTRIAbBUILDINGS:. ALSO'FOl
FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED -Fa
DWELLING UNIT.
NEW CONSTRUCTION
ADD ON
- REPAHt
WORK DESCRIPTION:.. _
CONTRACT PRICE: $
FEE: 1% OF CONTRACT FEE.
STATE SURCHARGE- $ 50 FOR EACH $1,000 OF FEE.
MINIMUM FEE: $ 25.00
CONTRACT PRICE X 1% $
STATE SURCHARGE $
TOTAL $
SITE ADDRESS:
TENANT NAME: STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
CITY:
STATE:
ZIP CODE: .
PHONE #:
FOR:
CITY OF EAGAN APPLICANT'
1994 PLUMBING PERMIT (COM [ERCIAL);
CITY OF EAGAN
3830 PILOT SNUB RD
EAGAN MN 55122
(612) 681-9675
1994 PLUMBING PERMIT (REST]
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612)681.4675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
NO. FIXTURES EACH TOTAL
_ SHOWER 3.00 3 - ea
WATER CLOSET 3.00 V 9 -
BATH TUB
3.00- e;
V6 °?'
LAVATORY 3.00 f2,00
-L KITCHEN SINK 3.00 3 v o 9
LAUNDRY TRAY 3.00 3-?
HOT TUB/SPA 3.00-
!. WATER HEATER 3.00 4.3.x"",v
FLOOR DRAIN 3.00 f 3 - o a
GAS PIPING OUTLET • minimum -1 3.00
i ROUGH OPENINGS 1.50 y. SC7
WATER SOFTENER 5.00
PRIVATE DISP. • neray. ac. 20.00
U.G. SPRINKLER •. home under cowL 3.00
ALTERATIONS • w existing 20.00
WATER TURN AROUND 20.00
itL 4. 5"
STATE SURCHARGE ..50
TOTAL: So-a19
SITE ADDRESS: -,?o <?: ?e,:S1,fr '1`r4rI
OWNER NAME: Z ?v?r e S c 1 ?? V wit
INSTALLER: ?° ^ Q !u wt b v g
ADDRESS: 2N23 - 19` }! i/?
CITY: A90. 54-- QFw STATE: MA) ZIP CODE:' TS'/ 9
PHONE #: (&/Z-) -7" - ?y 9 y
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
FIREPLACE INSERT
DATE V q
HVAC: 0 BTU
ADDITIONAL 50 M BTU
GAS OUTLETS (MINIMUM 1@ $3.00 EACH) u c nc? / brier
ADD-ON/REMODEL (EXISTING CoNSTRucnoN)
STATE SURCHARGE
TOTAL
SITE
aa5
FEES
6.00
$ 20.00
50
OWNER NAME: !S Ck((l U Gl V",- TELEPHONE #:
ADDRESS: ['-1-7 S (a' t/
CITY: R lit 6SG r\, STATE: L? ?L ZIP CODE: St{O ? l0
TELEPHONE #: L IS - S 1/ 9" 62 q `7
PERMITTEE
1994 MECHANICAL PERMIT (RESIDENTIAL)
CTPY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL COMMERCIAUINDUSTRLAL BUILDINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
DATE:
CONTRACT PRICE: $
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
1% OF q FEE $
:.(R2:w::n5;.:5' a:ssR:'::?S! R=ii
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF FEE.
TOTAL $
SITE ADDRESS:
OWNER NAME: TELEPHONE #:
TENANT NAME: (IMPROVEMENTS ONLY)
INST
ADDRESS:
CITY: STATE: ZIP CODE:
TELEPHONE #:
SIGNATURE OF PERMITTEE CITY INSPECTOR
1994 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
CITY OF EAGAN
CAS141ER: S TERMINAL NO: 764
DATE. 06/29/99 TIME: 15%55:53
III s
NAME.. ALLIED FIRESIDE INC
g2iO 9001 2050 SAFARI HTS 60.00
21.55 900.1. 2050 SAFARI HTS 0.50
Total Receipt Amoi.,tnt:s 60.50
CR.1.1242 8
USER IDs NANCY
>kk????sk?Y??k:k>k?k%c?c>k>k???kX??#*?>K%X?#???>K%??k#?k K?X>k
4
1 999 FIREPLACE PERMIT APPLICATION
?j CITY OF EAGAN (o - 2 g
3830 PILOT KNOB ROAD - 55122
651 681-4675
Date:
Description of Work: Construct new fireplace Gas -Masonry Alterations to existing
Install gas insert only Install gas line only
Other
Job address:
Lot: k Block:
Subdivision/P.I.D. #: JUfi VA U-e- h } VCS
Applicant (circle one only): Owner Contractor Permiit Fee: $60.50
Name: S )) UbE f I Ve Pho!
PROPERTY Last First
OWNER
Street Address: fl_? J ? - -T{?
City rl in, State: _ Zip:
Company: ` r C (a ? //Y/ AI 9?VdPhone #: Y V---072V
(area code)
FIREPLACE
INSTALLER Street Address:
City
Company:
GAS LINE
INSTALLER Street
City
State:
Zip:
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 City of E gan Ord' ces. }
D n Signature
I u
i
}t? ?'JJG , I ?I
t S e: Rt- Zip:
Phone #:
(area code)
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 16 Fireplace
WORK TYPE
? 31 New
? 32 Addition
? 33 Alterations ? 39 Gas Line ? 41 Wood Stove
? 34 Repair ? 40 Gas Insert
GENERAL INFORMATION
Census Code 434
SAC Code 01
REMARKS
Chimney/flue must be inspected before concealing.
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
L c? y 3830 PILOT KNOB RD - 55122 (1 ?6 3 .
651.681-4675 Q ?)
New construction Requirement; Remodeftoalr Reauiremend
• 3 registered site surveys showing sq. ft. of lot, sq. R. of house; and all roofed areas 2 copies of plan - (e - C)
(20% maximum lot coverage allowed) • 1 set of Energy Calculations for healed additions
• 2 copies of plan showing beam & window saes; poured found design, etc.) • 1 site survey for exterior additions & decks
• 1 set of Energy Calculations • Indicate g home served by septic system for additions
• 3 copies of Tree Preservation Plan d lot platted after 711193
• Rim Joist Detail Options selection sheet (bldgs with 3 or less wits)
DATE \-31\-0 a VALUATION \oc?nc.oo_oo
JOB SITE ADDRESS an S a 5a'Sy .m', U ?, 4_\ C S Tc d .1
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY
TYPE OF WORK :"\ n -STS ?r A ??.T ; o FIREPLACQS)y,? 0 _ 1 _ 2
APPLICANT Rocc?d??. Cot.?To`cc ct. PHONE# Lk-'S
ADDRESS a59 $ Asti sKM ZIPCODE 551ag
PAGER# CELL PHONE # le\-1 FAX# 1b5)-tlg-ua??
(Son !-tv.,6y
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 Fd'
(check one) Residenti
al Ventilation Category 1 Worksheet Sub - Energy Envelope Calculations Submitted 02
MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted Plumbing Contractor. Phone #:
Plumbing System Includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00
Water Heater _ No. of R.I. Baths
No. of Baths
Mechanical Contractor. _
Mechanical System Includes:
Sewer/Water Contractor.
Air Conditioning
Heat Recovery System
Phone #
Fee: $70.00
Phone #
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant ? - 6?1
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 2002
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of - plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 31 New
X 32 Addition
? 33 Alteration
? 34 Replacement
Valuation
Census Code
SAC Units
Nbr. of Units
Nbr. of Bldgs
Type of Const
x
x
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
? 07 05-plex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex X 18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex Plbg_Y or_ N
59,(X)o
y?
? 20 Pool
? 21 Porch (3-sea.)
X 22 Porch/Addn. (4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessoy Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
? 38 Demolish (Interior) ? 44 Siding
? 42 Demolish (Foundation) ? 45 Fire Repair
? 43 Reroof ? 46 Windows/Doors
e Bldg only)) - Give PCA handout to applicant
9-3 / U - 1 MC/ES System
Zoning City Water
Stories ?i Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
Width
REQUIRED INSPECTIONS
Footings (new bldg)
Footings (deck)
Final/No C.O.
Footings (addition) Plumbing
Foundation
Drain Tile
Roof _ Ice & Water _ Final Other
Framing
Fireplace - R.I. -Air Test -Final
Insulation
Windows (new/replacement)
11 35 Int Improvement
? 36 Move Bldg-
0 37 Demolish (Bldg)"
"Demolition (Entir
Occupancy
(099. 15_
a-ci. o 0
Pool _ Ftgs _ Air/Gas Tests - Final
Siding _ Stucco _ Stone
J S 1 FGac2 A00 i 7-7o "-J
2 (? 1? X SS`.cG = 11-772-
17-
F4? Awn ra?J
c)
3c)
??, cK ? oaa
S'7 / 73-
_L1 ?3.? t
Final/C.O.
I-IVAC
Approved By
Building Inspector
MNcheck COMPLIANCE REPORT
Minr,?-so$a Energy Code
MNcheck Software Version 2.0
Minnesota Department of Public Service
1-612-296-5175 1-800-657-3710
COUNTY: Dakota
S''ATE : Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
DATE: 1-29-2002
DATE OF PLANS : I I'Z'I 1n y
i
I
Permit #
Checked by/Date
SiEtE ??WO
TITLE' Z?'S? SAFf>RI IFF
?L4A' 1' F/io.
COMPLIANCE: PASSES
Required UA 231
Your Home 200
Area or Insul Sheath Glazing/Door
----------
------- Perimeter R-Value R-Value U-Value UA
7
--------
CEILINGS' ------------
834 ------------------------------
38.0 0.7' ----
24
WALLS': Wood Fram'e;'1611 O.C. 1440 19.0 2.0 74
GLAZING: Windows Doors 232 0.350 81
FLOORS: Over Unconditioned Space 314 38.0 8
FLOORS:' Over 'Outside Air 492 38.0 13
COMPLIANCE'STATEMENT':' the propos ed building design represented in these
documents is'consistent'with the building plans, specifications, and other
calculatioris'submitted with the p ermit applic ation. The proposed building
has;been'designed to meet the req uirements of the Minnesota Energy Code.
Builder/Designer_12?SyPl'<A L?j??? ??W' Al - Date fib". /oZ
Use BLUE or BLACK Ink
1 For Office Use
1
j Permit
City of Eapn I a~
Permit Fee: ! Vi
3830 Pilot Knob Road
Eagan MN 551.22 Date Received: .513
Phone: (651) 675-5675
I I
Fax: (651) 675-5694 1 Staff: I
I I
- - - - - - - - - - - - - - - 1
2013 RESIDENTIAL BUILDING E IT APPLICATION
Date. G ` Site Address: Unit M
F a.. Name: 'Sfi -,Q A I'l 5 ✓a l/l Phone:
Resident/
Owner Address / City / Zip: 5 U S ~✓k~ 1 ►~1
Applicant is: Owner contractor
Description of work: If A-,f c E JZ,,z ~R yZ yG t Q fl 101' f A,:~
Type of Work
' Construction Cost: f (✓(J Multi-Family Building: (Yes / No
Company: Yt to h ^ P~ Contact: V7,1
n T"
Contractor Address: U0 0(2 City: S t LUv iS pa)l Ic
State: VVt4 Zip: 3- 16? 6 Phone: ~ s-~ -
License ID L y U Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
-
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x c--` \ VV N. ice- ~J " x
Applicant's Printed ame Applicant's ignature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA156665
Date Issued:07/11/2019
Permit Category:ePermit
Site Address: 2050 Safari Heights Tr
Lot:1 Block: 1 Addition: Justin Dean Frank
PID:10-40250-01-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Stephen L Sullivan
2050 Safari Heights Tr
Eagan MN 55122
Haley Comfort Systems
4320 Hwy 52 N
West Frontage Rd
Rochester MN 55901
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA165170
Date Issued:10/20/2020
Permit Category:ePermit
Site Address: 2050 Safari Heights Tr
Lot:1 Block: 1 Addition: Justin Dean Frank
PID:10-40250-01-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
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 -
Stephen L Sullivan
2050 Safari Heights Trl
Saint Paul MN 55122--301
(651) 338-5004
Bettin, Inc
3208 1st Street South
Waite Park MN 56387
(320) 251-2505
Applicant/Permitee: Signature Issued By: Signature