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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 • i (f??l f l Itl, ! I tlr i .t? 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" y r f 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 N Q to m m 0 t- r N m u c ?o v L O O a ?o Q m to 0 Cu O m' L 0-4 Q Sold 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 T 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