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4829 Safari Pass _ ~ CITY OF EAGAN ' - 3830 Pilot Knob Road, P.O. Box 21-199, Esgan, MN 55121 t i~~n • PHON E: 454-8100 ~ BUILDING PERMIT Receipt~ To be used for - Est. Value ~ z 1~. , ~ ~ Date G 2 N ,19 i' Site Address OFFICE USE ONLY ti`~ j~ F On 5ite Sewage Occupancy ~-j Z Lot ' Block ' Sec/Sub. MWCC System Zoning K-~ Parcel No. On Site Well (Actual) Const Y-TM a Name 'r^ ~ _ CityWater A (Allowablel Z n~.. ~ Q 3;, t~ PRV Required x # of Stories Address , ~ City - ~LfPhone ~?$~--9383 Ba~terPump Length ~7' Depth •+E~ , p Name S.F. Total Footprint S.F. Address ~ City Phone APPROVALS FEES ~ W Engr.lAssess. Permit • L ~yy~ Name 5, ~c.'(} Address Planner Surcharge Q W City PhOne Council _ Plan Review i~•~ Bldg. Off. _ SAG City • I hereby acknowledge that I have read this application and state that the Variance _ SAC, MWCC ~ 5U. flL~ intormation is correct and agree to comply with all applicable State of Water Conn. S~~ • afl Minnesota 5tatutes and City ot Eagan Ordinances. Water Meter G~ Signature of Permittee _ - Road Unit ~ S. -~~O r•t~'`a i~:!1 ti :'r.iZ:S A Building Permit is issued ta--_.-"_'_-___-_. _ Treatment Pt .Od.L~C on the express condition that al I work shal I be done in accordance with all applicable State ol Minnesota Statutes and City of Eagan Ordinances. Parks TOTAL " '''Gf"~"~ Building OfficiaL - Psrmit No. Permlt Holdar Dah Tslaphons # Plumbin9 G~~'(,~ //S /C~1C ~ ~ - 88~ ~:v.1~c. ~ ~ ~ / ~9 ~,~ci - /'1'/~ ohj/~ Electric ~ , , /a1l~j~~ ~D ~ . G ~ ~,9 - Softener Inspeetion Date Insp. Comments Footings I "~y Footings II Foundation Framing 1 Roofing Rough Plbg. - . ~ / - "c:; - ' ( ' ; - Rough Htg. ~f3 ~ /3F 8 L /~ef /-23~ ~ 2 - IsuL ~P /~%c... ar Fireplace p Final Htg. ya_~ Final PIb9• ~o-}~~/ Bldg. Final Cert.Occ. 3 ~ Temp. LP Deck Ftg. Deck Final Well Pr. Disp. -l~ 7f` L C6~c . e.~.;x ' . r ? . Y . . ~ . . . _'~~;r: ~ . ~ a, j 3~ (~.e~#ifir~tP u# (~rru~tt~r~ ~itp of ~agan ~p}~xrtm~nt af ~uilding .~CU~,prriiam Tkis Certificate issued pursuant to the requirementr of Section 306 of 1he Uniform Building Code certifying that at the time of issuance this srructure was in compliance with the various ordinaaces of rhe City regulating bui~ding construction o~ us~ For the following.• u,~ c~earioo ~as. No. 1 fi(l02 ~„P.~Y ~ R3/M 1 R 1 ~ c.~, VN oW~« ~r auu~~ ~ Q]S1YM Hl1~S A~ P.O. B(~ 1049. 8~,~~I,E ' s~~7a~~a,aa~ 4829 SAFARI PASS c.~~~ryLl, B1, SAFARI ~ , ; ~ ~ ~ D.,~: :1AI~(]i 13. 1989 e~aa~g o~ POST IN A CONSPICUOUS PUCE ~ ~ - ~ - . PERMIT # ~ / • ` ~ MECHANICAL PERMIT RECEIPT # ~ ! • CITY OF EAGAN Y 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE y~~y CONTRACT PRICE: PH~NE: 454-8100 Site Address K'~ U~ f « g~pG, Typ~ WORK DESGRIPTION Lot ~ Block Sec/Sub R e s. . 7~ N e w Name ~r<~~ f' ~r Muit Add~on Comm. Repair Addrer~ s~ P Other c City/~'~r~~r=~~tl2~ Phone Name 1'~' ~ FEES ~ RES. HVAC 0-100 M BTU -$24.00 c Addr~ ~ U ~f ADDITIONAL 50 M BTU - 6.00 p City {1i~~ n`_~%r~ Phone ~ (RES. HVAC INCLUDES A/C ON NEW CON5TRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMI~ - 1.50 EA. TYPE OF WORK ~ COMM/IND FEE - 196 OF CONTRACT FEE Forced Air n! M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE 8 CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADO-ON 8 Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.OU STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # ~ BE~COND $1,000) Other ~ ; p~ ~ ~ ~ . FEE: `~a ~ /~~;~j~ ~ n~ - ~ l S/C: F~ SIGNATURE OF PERMITTEE f , TOTAL: a~' L'~' . r N: FOR: CITY OF EAGAN ~1...a,_ ..h..~:~.~a.y~<_.:.._ . . , ; : _ , , PERMIT # ~ ~ f ~ ~ / . ' PLUMBING PERMIT RECEIPT # ~ ~ i ~ ' . CITY OF EAGAN v, 3830 PiLOT KM08 AOAD, EAGAN, MN 55122 DATE: f~ ~ ~ 7~ CONTRACT PRICE PHONE: 454-8100 ^ f Site Address ' ' BLDG. TYPE WOAK DESCRIPTION Lot Block ~ Sec/Sub Res. x New ~ ~ Muit. Add-on m Name , ~ ~ ~ t ~ ~ ~ ~ 'J~ ~ - _ Comm. Repair ~ Address f ` ~l Other c Ciiy r!~. ' r Phone t~~ RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TO~AI Name ,r~ 1-~ ~ ' ~ iE' Water Closet - $3.~0 S~ ~ ~ Bath Tubs - $3.00 ' c Address ~ - Lavatory - $3.00 J ~ Ci~ , :a, c ;~.LC~. Phone ~i-z~--; J ~Shower - $3.00 - Ki!chen Sink - $3.00 ' FEES Urinal/Bidet - $3.00 _ COMM/IND FEE - 1% OF CONTRACT FEE _~Laundry Tray -$3.00 APT. BLDGS - COMM RATE APPLIES ~_Floor Drains -$1.50 TOWNHOUSE & CONDO - RES. RATE APPLIES j Water Heater -$1.50 MINIMUM - RE5IDENTIAL FEE - $12.00 _LWhirlpool - $3.00 ' ~ _ M1NlMUM - COMM/1ND FEE - $20.00 ~Gas Piping Outlets - $1.50 STATE SURCHARGE PER PERMIT - .5U (MINIMUM - 1 P~R PERMIT') ~ADD $.50 S/C IF PERMIT PRICE GOES SoRener -$5.00 BEYOND $1,000.00) Weil - $10.00 Private Oisp. - $10.OQ _ ~ ,r~ - ~Rough Openings - $1.50 `f~ ~ ' SIGNATURE OF P,~RMITTEE ~EE: 1~~ STATE S/C: FOfi: C{TY OF EAGAN GRANO TOTAL• _ - _ _T ~ Date: 1~l~S/~S 1 CITY OF EAGAN Permit No: Z z j 28 / P Date: 3830 Pilol Knob Road B/P No: i P.O. Box 21199 ~ Eagan, MN 55121 ' . : l 1 . , , Owner. u SAFAAI P:?SS, E.l i. ~~~1 : Site Address: J Plumber: i *55G'.C~ Zoning. MWCC: ' .~70. OJ P~ No. of Units: City Chg: s . . Acct. Dep: 1 ag~ee to comply wilh the City ol Eagan Permit Fee: ~ ~ Q Ordinances. Surcharge: r ~ : .,,nuire gy ' Misc.: SEWER SERVICE PERMIT 12/28/88 r CI~Y OF EAGAN _ Permit No: ' Date: ~~~7~ ~ Size: S 3830 Pfiot Knob Roed Meter No: k~S ~ P.O. Box 21199 (h,~~,~i~ad~No: Date: ~..------~-,r-- Ea~an. MN 5512`(" a. Owner. *"F HOMES i Site Address: SS L1 Bl SAFARI Plumber - ~55p 00 ad Zoning_ R1 Conn. Chg: i Acct Dep: Q0 Qd No. ot Units: Permit Fe~ 10 ~ ~d Surcharge: 5~ud I agree to com with Ihe City of Eayan Tr. Plant Ordlnances. Meter. 9t~ c~ nd MISC.: PRV uunul uFn - BY WATER SERVICE PERM T - } ~ < , 'i . . _ . i2/x~/i~s 202t}~ Date: ~ CITY OF 6AGAN Permit No: Size: 3830 Pitot KrMb Road Meter No: Date: ~ p,p, pcx 21199 ' Reader No: Eayan, MN 55121 -.,?TRD t,'USTJt+! NOM.~~ ' Owner. ~~~'6.'t Site Address: 4~29 ~Ap~~l 3~S' B i~ Plumber 0:l~RC . t ; Conn. Chg: ~S~'~ ~d Zoning: 15.~ Pa No. of Units: Acct Dep: 1~.~,~ n~ Permit Fee: , s~~ ~ egree to comply wiih 1he Cfty of Ea9an Surcharge: ~~,T,L,~ n~j Ordfnances. Tr. Plant ~ ~c Meter. _ By Misc.: R8flIf1U8D WATER SERVICE PERMIT ~ ~ ~ ' CASH RECEIPT ' . • F CITY ~F EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 ~ ~ DATE ~ " ~ 19 RECENED ! iROM ~ _ ~ . . • AMOUNT S ~ 8 DOLLARS ioo ? CASH [j CHECK wn -1 ~ ; -1. f ~ , . _ , ~ FUND OBJECT AMOUNT = r - - Thank You BY ' i} ~ ~ ~ • 4 , White--PaYers %MY 1'~ • ~ Yellov~Postirg CoPY Pink---File Copy : CASH RECEIPT ' . . ~ I ; ~ CITI~ OF EAGAN ~ 3830 PILOT KNOB ROAD ~ EAGAN, MINNESOTA 55122 ± DATE ~ •i ~ ! 4 t9 ~ _ ~ % V ~ ' i ~iveo ~ _ F~ ~ ~ C~C ~ L.~~~~C`//~ ;1.;'i/i_c.j~~~~ r 1 AMOUNT S ~ ~ % ` ` L' & DOLLARS i o0 ? CASH Q CHECK - ! ' , FOq t'- ~L~4' ~ i. 4 ~ ~~;~i 1 ~t_.,~ -~-''--~~~1 ,~/Z ~ / ~ FUND OBJECT AMOUNT Thank You . eY ~ ~ i=~ wnn~P j.i i' sye~s CoPY Yellow-Postlng COpy Pimfc-File Copy BLDG. PEr,~RMIT NO. ~~-f'C~~ T"4o{ ~ ,L.~' ~~LV Y ~ ~ s ~ ~ 01-3210 Bidg. Permit - Q1-3422 Plan Check ~ % Oi -3445 Surch./Adm. ~ ~ ~11-3446 SAC/Adm. ~ ~ 01-2155 Surcharge 75-3860 Road Unit ~ ~ ~ 20-2275 SAC ~ 20-3865 Water Conn. ~ J~~ G`~ C~ 20-3868 Water Trmt. ' 0 C~ 20-3716 Water Meter ~~C-~ ~ 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. l ~ ~ 28-3855 Park Ded. TOTAL CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ~ a, PHON E: 454-8100 ~ BUILDING PERMIT Receipt 4k Tobeusedfor SF Di~C/ ~ar Est.Value ~114,~OU Date LtFC 2~ ,19~~ Site Address 4~ 2 9 S A F A R I PAS S OFFICE USE ONLY Lot ~ Block ~ Sec/Sub. gAr T On Sne Sewage Occupancy R-~ 2 MWCCSystem ~ Zoning R-1 Parcel No. On 5ite Weu (Actual)Const Y-% a Name M[~:'C t: r~ t 1' ~JH N n M~; ~ Ciry Water (Allowable) Y- t~ Z PRV Fiequired ~ # of Stories Address P 0 BOX 1049 ~ City BURlISYILLEphone 454-A383 Ba~terPump Length ~47~ Depth ~+b , a Name SAME S.F.Total ~ ~ Address Footprint S.F. ~ City Phone APPROVALS FEES ~ ¢ Engr./Assess. Permit f"~~ ° `,'d ~yW Name ~ r- Planner 5urcharge • _ ~ Address ~Z CR PhOne Council PlanReview jl~•~ <W Y 1~.U.'1 Bldg. Off. _ 5AG City I hereby Acknowledge that I have read this application and state that the Variance SAC, MWCC s~•~ inform8tio~h is correct and agree to comply with all applicable State of Water Conn. 550"O~ Minnesota Statutes and City of Eagan Ordinances. 9U _ Water Meter Signature of Permittee Road Unit 3 ~ S- C~t7 A Build'ing Permit is issued to: ~TN~~ CI~STt,M_ F;O;ir Treatment P1 ~Qg. on the express condition that al I work shall be done in accordance with all parks applicable State of Minnesola Statutes and City of Eagan Ordinances. 2' ~g Building Official _ _ _ TOTAL CITY OF EAGAN Remarks v ~ s', ~~i.1. _ t.._ ~ t/ ,.T Addition T~E SAFARI ADDITION ~oc ~ aik 1 Parcel t p ~~$~~p ni n n~ Owne~ r street 4R~9 Safari Pass scate Eaean~ MN 55122 Improvement Date Amount Annuai Years Payment Receipt Date STREETSURF. ~ 1982 2$S.Q~ 2$.5~ 1~ STREET RESTOR. GRADING SAN SEW TRUNK ~pC~ 19$2 . • SEWERLATERAL trk D 19 2 452 00 s~w ss lat & serv o 1982 2591.00 1 WATERMAIN WATERLATERAL trk C~ 19$2 3]].~~ 2 1 WATER AREA (0 19H2 ~FSL O Water La STORMSEW TRK 19$2 926.00 61.~3 1 S70RM SEW LAT CURB & GUTTER ' SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK CITY OF EAGAN • 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N~ isQQ~ PHONE:454•8100 ~ C, BI~ILDINGPERMIT Receipt# i ~ ~ Tobeusedfor SF DWG/ Gar Est.Value $114,000 Date DEC 28 ,19$&- SiteAddress 4829 SAFARI PASS OFFICEUSEONLY Lot 1 Block 1_Sec/Sub. SAFARI ~Sr OnSiteSewage - Occupancy R-3 M-1 MWCC System X Zonf~g R-1 ParcBl No. On Site Well _ (ACtuaqConst V-N a Name METRO CUSTOM HOMES CiryWater (Allowab~e) _V-N W Addfess P 0 BOX 1049 PRVRequired #ofStories i ; Booster Pump _ Length ~ ~ ° City BURNSVILLEphone 454-9383 Depth 46' , a Name SAME S.F.Total ~ Q Address Footprint S.F. _ ~ City Phone ApPROVALS FEES W w Name Engr./Assess. _ _ Permit _ 620.00 ~w Planner Surcnar9e 57.00 i Z Atltlress a W City Phone Council _ Plan Review 310.00 BId9.O~f. SAQCity 1~~.~0 I herebyacknowledge that I have read this application and state that the Variance SAC, MWCC _~~OQ informetion is correcl and agree t mpty with all applicable State of Water Conn. _~~Q.Q.Q Minnesota Statutes and City of Ordina . Waler Meter _~.~~Q Signature of Permittee Road Unit ~2$..'Q8 A Building Permit is is ed to:_ • RO CU$TOM_HQT]ES_- 7reatment Pt ?04_00 on the ezpress condition that all work shall be done in accordance with all applicable S~ate of Minnesota Statutes and City o~ Eagan Ordinances. Parks ~~~yyyyyy~~~ TO7AL Zr806.00 Building Official_~~_~~~. 11~_~ \ i 9/8"9 9o~s~o/ ~ ~5620 / ~ " °v Req le Fire N. Rough-in Inspection ~ Re~qu~i ? ReaOy Now yyain noN/y Inspeclar IW~ea ~NO WhenReatly? I rbensed contractor ? ow er hereby request inspection of above electrical work at: ,bb Pdd reet z ar RoNa No. CIty ' n No. T Name or o. Mge . CouMy r~ 1/C./ ' OccuPanl(PRINT) ~ Phon No. , ~ Power upplier Atltlresa Eleclricel Contrectoi (COmpany Name) M r~ Li nse No. ECTRIC ~9 14~4~~~~e~ANE /wthor~~ W (C 'n ti Phone NumbBr s aa MINNESOTA STATE BOA1iD OF ELECTNICIfY THIS INSPECTION RE~UEST WILL NOT GHgga-Mitlwey BItlB~ - A~m S1T3 BE ACCEPTED BV THE STATE BOARD 1821 Unlveralry Ave., 3l. Peul, MN 55100 UNLESS PPOPER INSPECTION FEE IS Pho~re (612) 84&OB00 ENCLOSED. I ~ j(~'/8Cf RE~UEST FOR ELECTRICAL INSPECTION . eeaoaoi o~ ? See insiruCions for completing ihie brm on beck ot yelbw copy. 'J' ~Q/~~ 5 6 2 0 ~X" Below Wark Covered by This Request ew a~ep. . TypeofBUilding AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building ~r r Other (Specify) Comm./Industrial urnace Farm ' Air Conditioner Olher (specify) Cqntrector9 >Remerks: Compute Inspection Fee Below: ~(/O' # Other Fee # ServiceEnhanceSize Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 l0 100 Amps Transformers Above 200 _ Amps A Amps Siqns ~nspec~ors uee onry: ^ TOT Irrigalion Booms s,~ ~ Special Inspection Alarm/COmmunication Other Fee 1, the Electrical Inspector, hereby AO09~10 °e~ ~~3.a certify that the above inspection has F„ei oa been made. ~ OFFICE USE ONLV Tnis requeat w1A 18 months han /a /s/.~~ ,oao ~ ~ O 3 9 7 z, r~, Req st , Fire Raugh-in Inspection ~ Required? ? Ready Now O Will Notify Inspector ? Yea ? No When ReaEy! I icensed contractor ? owne hereby request inspection of above electrical work at: Job Atldre (S , Box Ci~ ~ I Secfi No.: Township Name or No. Reng o. C ny ~ ~ (PR T Phone No. ower uppiier qtldrese EleClrical pe.y_N~9~ T,~ryTT]?~ , raclor5 e e No Cii t::L3? a. ci Malling Ptldreqs (Cpqlra .FYTi ory gJ bi j~:J'~V Y MN 55124 Au~~onze traclor/Owner Meldng Inslallation) Phone Number t MINNESOTA STpTE BOAHD OF ELECTpICITY THIS INSPECTION RE~UEST WILL NOT GAgps-Mltlway BIGg. - Hoom 5-179 BE ACCEPTED BV THE STATE BOARD 1821 Universlry Ava., S~ Pau4 MN 55109 UNLESS PNOPER INSPECTION FEE IS Phona (872) 6I208W ENCIASED. ~~/l REOUEST FOR ELECTRICAL INSPECTION .r. eeoooai-m ia ? See insVUClions ior completlig this larm on back of yalbw mpy. 9O a ~ ~ 6 U 3 Q~ ~ `X" Below Work Covered by This Request e Add Rep. TypeofBuilding AppliancesWired~ ipment~red " Home Range porary Service Duplex Water Heater Elec[ric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm ' Air Conditioner Olher (specify) Contraclor9 Remarks: Compute Inspection Fee Below: # Other Fee # ServiceEniranceSae Fee # Circuils/Feetlers Fee Swimming Pool 0 to 200 Amps 0 to 10o Amps Transformers A6ove 200 _ Amps Above 100 _ Amps SignS inspec~«5 Uae Ony: TO A Irrigation Booms Special Inspection Aiarm/Communication ~ O[her Fee I, the Electrical Inspector, hereby Rough-in oa~a cartifythattheaboveinspectionhas F„~ ^ G~~ been made. OFFICE USE ONLY This request voitl 1B momhs 1rom / 577~ 15: so 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN ~ 3830 PILOT KNOB ROAD, EAGAN MN 55122 I 651-67556T5 Please complete for modifications to existing residential dwellings. I' Date~/~/ V ~r II site Street Address ~-?~saq S~~~I ~5S ~ Un~t # Property Owner ~ Telephone # ) ~ ~ Contractor 1 L~ ~ f I~ ?V ~ Te~lpephone #~~y b~~' Address _ r c, ~~~~Q 7 City VIL State~ Zip The Applicant is: _ Owner ~ Contractor _Other Alterations to existing dwelling $ 50.00 _Add fixtures to rooms, excluding water softener and water heater _Septic System Abandonment _Water Turnaround (add $121.00 if a 5/8" meter is required) li _Other: II _ Water Softener ~Water Heater , $ 15.00 replacement _ additional I Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00 - j':; f~2C M State Surcharge , j' " ~ " ~ $ .50 ~ i Total L $ r I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and oodes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only "an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a lan is required to be reviewed and approved. jl ~(7~ ~z~" " "6' ApplicanYs Printed Name ApplicanYs Si n re ; i CITY USE ONLY LOT ~ BL 1 PERMIT#: ~I ~'1 3~ ;i SUBD. ~~l"Oi v-, RECE[PT J 3~ y 7'~ ~ ~ . RECEIPT DATE: ~ ~ ~ ~J ~ o 2000 MECHANICAL PERMIT (RESIDENTIAL) cxm~r oF Eacax il 3830 PILOT KNOB R~ ~ ~ EAGAN D4~I 55122 r n_~ U~ ~ 651-681-4675 II Date: V/ Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under conshvction and nat ownedoccuoied. II • HVAC: 0-100 M B T U $'i 30.00 ADDITIONAL 50 M BN 6.00 • Gas outlets (minimum of one required @$3.00 ea.) il State Surchazge ,i .50 Total $ II . Complete this section onlv if you are remodelins, addina to, or repairine an existing s Imgle-family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repair. ~I _ New ~ Alteration _ Repair _ Other ~I _ Fumace Aircondition~ing _ Airexchanger _ Other li ' Fee $,I! 30.00 State Surchazge ~ .50 Total $ 30.50 Reminder: Call for inspections il SI7'E ADDRESS: ~l b 2~ ~(7l't'~Y 1 ~ CS OWNER NAME: N IZDI Y A'S OI d l PHONE 1051 ;I -~-I ~ ID - O I Zg 1 1, L (AREA CODE) INSTALLERNAME: WnI1Ie~S ~DU~fhe~~~ TI"Tq. PHONE#: IOIZ~~ -~~1'7~c1°~ 1 f i (AREA CODE) STREET ADDRESS: ~n ~I cj~ W I`~l ~ I•- SU F-I~ I D~p i C[TY: ~yJ~,, VC( ~~~I STATE: M ZIP: SS If ;~D ' SIG ATURE OF PERMI E ~ II CITY USE ONLY ~ _ g~ _ PERMIT SUBD. RECEIPT#: APPROVED BY: , INSPECTOR RECEIPT DATE: 2000 MECHANICAL PERMIT (COb4~+RCIAL) CITY OF EAGAN 3830 PILOT fQ10B RD EAGAN, l~i 55122 651-681-4675 Please complete for. all commercialfindustrial buildings multi-family buildings when separate permits are not required for each dweiling unit DATE: WORK TYPE: New constcuction _ Install U.G. Tank _ Interior Improvement _ Remove U.G. Tank _ Prceessed Pipiog When installing/removing underground tank, call 651-681-4675 for inspection by fere marsha! and plumbing inspector. Description of work: Fees: 1% of contract price OR $30.00 minimum fee, whichever is greater. ~ Underground tank removaUinstallation = minimum fee Coniract price: $ x i% (Base Fee) State surcharge calculate at 5.50 for each $I,000 Base Fee TOTAL ~ ~ SITE ADDRESS: OWNERNAME: PHONE#: - (AREA CODE) TENANT NAME (IMPROVEMENTS ONL1~: WAS THERE A PREV IOUS TENANT IN THIS SPACE? _ Y_ N. NAME: INSTALLER: ADDRESS: PHONE - (AREA CODE) CITY: STATE: ZIP: SIGNATURE OF PERMITTEE I 1999 BUILDINC PERMIT APPUCATION IRESIDENTI ~AL) CITY OF EAGAN a3- / 3830 PILOT KNOB RD - 55122 3's~l~~ 3 ~ lo ~ a 651-681•4675 il ~-~-~9 New Construcfion Reaulremerrts Remodel/Renah ReaufremeMs ? 3 registered sRe surveys showing aq. H. o} lot, sq. H. of house 2 coples of plon and Q roofed areas (40% maxlmum loi coveraae albwed) 1 sM of energy calculaffons for heoted addlHons ? 2 coples of plans (show beam a wlndow sizes; poured fnd. design: efc.) 1 sfle survey for exterior atldHbns 6 decks D 1 SM of energy calc~latlons ? 3 copies of free preaervaHon plan tl lot platted alter 7/1/93 DATE: -~'1 ~I CONSTRUCTION COST: EJ.~G~D ^ n 'f TIf DESCRIPTION Of WORK: PCP.!'oo~ ~'tovSP 4 Cx,-ac~~ S~c~r,-, ~~c,,.,~ STREET ADDRESS: ~~,dr'1 Sc~c~^ t nc c S / II LOT: BLOCK: SUBD./P.I.D.#: SE~1iCl J~ n II Name: ~ ~ ta c{ ~ Z~n ~SS'~ Phone SC~II ~~id ~ PROPERTY ~agt Fn~ II OWNER StreetAddress: '-iS1,}~ SG~cr, C)~,5~ II Ci1y JC~cr. State: d'''"v Zip: SS I d a Company: I-I v,n e.; 6~ j~u ~ Ol ~ ti a fr~c/vs Phone ~ '7 -G 9 S-~ (area code) CONTRACTOR ~o; 69 3 S 3 SheetAddress: ~ aa`'!'? 1~J: i IP,-I ~--e_ ~o license# Exp. 3~ZG~p C~~/ ~rn S J, I I t_ St~@: Y~'1cV zllp: ~5 ~ II ARCHITECT/ II ENGINEER Company: Name: ii Telephone area eode ( ) ~i Street Address: Registration I~ Cfty State: Zip:l ~I Sewer 8 woter Ilcensed plumber (reaulred for new construction onlv): i I! PenaHy appiles when address ehange and lof change Is requested once permN is Issued. I hereby acknowledge that I have read this appllcaNon, sfate thaf fhe informatlon is conecf, and agreeljto comply wtth all applicabl State of Mlnnesota Statufes and Cily of Ecgan Ordinances. / _ II Signature of Applicant ~ _ OFFICE USE ONLY ~ I Certificates of Survey Received _ Yes _ No i I Tree Preservation Plan Received _ Yes _ No _ Not Required II- ~ OFFICE USE ONLY BUILDING PERMIT TYPE ? 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. (4sea. ? 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 Misceilaneous WORK TYPE ? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36. Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bidg.• ? 41 Wood 5tove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof * Give PCA handout to applicant ~or demolition p,~rmit GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. SAC Code UBC Occupancy sq. ft. No. of Units Zoning sq. ft. No. of Bldgs # of Stories sq. ft. MC/ES System Length sq. ft. Gity Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PL Park Ded. Trails Ded. Other Copies Total: SAC Units °k SAC - 19$$ HUILDING PERMIT APPLICATION - CITY OF EAGAN ~ . r~ SINGLE FAMILY DWELLINGS ~ ~ ~ ~ ~ ` L ~ ~C S ~ ~~II ^ ~ ~ ~ rV~~~ I INCLUDE 2 SETS OF PLANS~ 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTEs ADDRESSES FOR CORNER LOTS - CONTHACTOR/HOMEOWNER MQST DESIGNATE WIiICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS I3SUED. MULTIPLE DWELLINGS RENT9L UNITS FOR SALE UNITS ~k bF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITA HLDG. DEPT.,II 1 SET OF ENERGY CALCULATIONS C0I41ERCIAL II IVCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS~ I 1 SET OE SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS - > _ ~1 I ~ ~.~p To Be Used For: ~ ~ Bh Valuation: '~'7~7I" Date: ~,//i~J/~'~J ~ ~ ~ ~ Site Address l~',~~~ ~s 5 ~ OFFICE USE ONLY I l, Do0" Lot ~ Block ~ On site sewage_ Occupancy II R-3 M^ Yq ~ A MWCC system ~ Zoning i ~-I Parcel/Sub ~ ~j~yJ On site well _ Actual Conslt N ~ r City water ? Allowable , V- N Owner J~r)C~L~~ ~~p`// ~ PRV required ~~l of storiei ~~j ~L Booster Pump _ Length I ~ Address ~ J/ ~~f y ~ Depth ~J(~ ~ S.F. Total II City/Zip Code y/~J// ~IE.~jy y S33 % Footprint S.F. Phone `l S 4~ 7~~~7 APPROVALS FEES Contraetor ~ ~ Engr/Assess Permit Ij D 00 Planner Surchargei S ,Ot~ Address Council Plan Revilew ,_3/O . Do Bldg. Off. I~R~ZZ SAC, Cityi O~00 City/Zip Code Varianee iz-G• SAC, MWCd --,Ot7 Water Conn 5 , oJ Phone Water Met~er D~ C~O Road Unit~~ ,po Arch./Engr. ~J~~~ Treatment P1 V u 7~~ Parks I~ Address Copies TOTAL o O a City/Zip Code J I~I Phone li ~ III . V~LUATIOt~.~ , - . , . . G~4RA~E , Z2x22= 46~{ X ~'1~~ . • 6.°~vVl"~.' - ~ - - . ~y X 3 L = ~6~f ~X~~' Z2 IZy zy = Z~g 1 `~U = C4) , o•~ _-r ~ II~1Dx 13- 1,5Z~v o ~ a , 620•00+ I H b45P ~ 57•00+ 3 1 U• 0 U+ i, f~Sna7: i17~ I too•oo+ GAft = 55U • OU+ 4~u ~ 55U•D0+ ~~S = -25! 90•00+ ~ 325•0~+ 2aa•oo+ Ib~z x4y% ~S2~J/k 2~ao~•oo* I~.~.~-,.-~- 3 ~a,~.rr Z.o ~cl i= ZZO X L~p~ p~ ~1320 ~I ~16T,~vv CusTom ~~Q~ CnIIS~1~.TIHU EnuinEens No~ES ENGINE~t~I~~G r~i~~~~~t~~s ~,~d tnnu ~uavEVons ~~940,0~ COMP~NY, INC. 5& L 1000 LAST li6ui ST11EE1, BUIIIISVILLE~ ~IIIIIC:OIA 5~~37 pll 4S2'9000 a.. L~ T~~~L G LI YT L~~ V I~T'~ ~~e ~ ,~e~ a I .DCJ C~~~ c~ I c~ t: LO T l, BLOCK ~ Tt/E SAFAK% ADD/T/D~l/ 0~4KOTA COU,V7F'~ M/NNESoTA C9?1~o7 DENOTES EX/ST/NG ELEI/.QT/Ort/ (9~B.o) DENDTES P,eoPOSEO EGEIiAT/O.V , r /NO/G9'T~S O/llECT/4N OF SvKGACE pR~4/N.9CE 928.33 = FiN/SNE.o ~A,eA6E ~GaoR ~cE?ATioN 5p,ao SCALE: I" = .30' (~~e,~ 1~~ . DRA/n/A6E A/~/D N ~6° 57~ ¢3 E s(~6''/ . `~j UT/L/TY EASEMENT ~op, DO (9/9•~ ~o ~~9'$~ ,r / ~ ~ 1 ~1~ ~ 5~ ~'-s oT ~ 1 1 ~ 1 ~ ~ ~zk.~~ ~ 1 w ~ . 1 ~9~y..7 %~z3•?' ~ ' ~ ° 1 ° ~ v~ 1 iiz~•~' S l1 ~ 36 ED $ ~ N ~ ~ . 1 e~ -,"~P ~~USE 2• 8 S~~pa ~ ~ `,N~~, oM gQ~~~ ' m m 6•~ ~ Z , ~ - ° 1 ~ ~J 3.0 ~ ;w 0.33° c.e 1~` 14•3 .r 2 r > , 1 m N / yS,2 _ N O~ \ lo ~o,oo w 22.33 ° ; ~ N` , 92a~3~ LZa'~ ~ W~ Zi,~, o ~ _ ze•~ o ~ o 30' FkONT BU/CD/N6 5 ~ SETd9CK L./NE ~Z~.S~ ~a 86. r4 ~ ~Z~.s, 5 76° 5 a3 . ~ ~ I~ ~f ~~-~/3~9~y ~~~"r~~~rc,.f; - r2~~~ ~ `l~- ~ ~ I.~~. ~ ~3l' \~3~ . . ~A" ~ ~ ~ B}r o , Dat~ .~.~~~-a Z"; PA55 - , ~,A~AK~~ E~ GAY~T E~ ;=`ii.T. ~ERT~dG L^ P 9~6 zs 11 ~ , ~ ~ po~o~90 [~~~~~G3[~D I 1~.r.6y cert~fy tliat tl~le in a true and correct t'ept~e~ittatialt aL a tract ot land u ihovn' and deeei•ibed lierevn~• ~e prapar~d by ma oiti tl?i¦ `Zo_ day o! .~E~E~OER- ~ 19 b 8,. • -tinn. Jl.d~ 1~Q~136c~ I~~!//~~'~ANCF TL~ SD~ SET~AGK (r,~qNT6D BY COUniCiL AGTfON /2-G-S~ „ • ' APFLICATION FOR PERMIT :~E~ PFfYMENr OF FEE AT TIME OF . APPLICATION ppFS bIOT CpC7- a y~ i ST,INfE APPRGVAL OF PIItMIT. + ~`3 ~ SEWER AND/OR WATER CONNECTIQN : INSPF7C.TION OF S~~+R A[~ID/DR WA1gt ; C r~~!~ts j iNSruv,riaa5 wIIa, tx7t se SCIDOC.ID ; :'~~4. ~ . ~ ['NPIL PERMIT FVS BE¢i APPROVm. * t~ =1:. - s.+t~:x~+~~~~~~rtts.s.+a¢ ~i~a~t~i~ests~i i~~ < ~F ~~C~C~~9 ~I (PT~AGE PRINT II 1) PROPERTY ADDRESS: ~8~ S~A-~~ y.f~ . T FY;AT DFSCRIPTION: u~ Q~ ~ ~ A-F/42 ~ qP ' , II -~Lot Block S ~vision or Tax Parc ;r) IF EXISTING STRL'CTURE, DATE OF ORIGINAL BI)ILDING P~' T ISSOANCE: ybnt Year PRESENT ZONING/PROPOSID LSE: II Q COMNIERCIAL/RETAIL/OFFICE I~ R-1 SINGLE FAMILY Q INDC'S'PRIAL ~ R-2 DLPLEX (3WO Cnits) Q INSTITOTIONAL/GOVERNbNN1ENT ~ R-3 2C)WNHOOSE (Three + Cnits) ( Lnits) ~ R-4 APAIfTNIE,'NT/COAIDOMINILM II ( C'nits) 2) ~S'~v~:v~ NAME: 2~SN£/2~ ~XC • ,i ADDRESS 0 S~ l.~ A~ D W z.~.i .C • ~I CITY, STATE, ZIP: S'-,f-/Zy/ II PHONE: 3? ,1~ I~ III I' For City Use 3) • NAME: ~ l~j,E/Z. G Plumbers License: ADDRESS: p(j S' • T - ~f A~ired CITY, STATE, ZIP: yZ/l,J ~ S^S/,7 y~ ~I I~ Not recordec PHONE: L~~ 1~ f D 7~ MASTII2 LICENSE # 2 6 q( WZ q st Ia n~~ ii 4 ) ~ui e..i~ j ~ NA[~7E: ~ f Y-2 0~f~On~t E S + ADDRESS: [~~X Ib~~I ' r ii CITY, STATE, ZIP: ~c~,L~t vSC ' II PHO[QE: ~,fY - I ~ ~J II 5) i~ ~y ~r ~ at II ~ CONNECTION TO CITY SEWER ~ CONNECTION TO CITY WATER ~ G`THEIt 6~ ~ ~.~a-~ ~a .~*.****~~~*******.**..*~**,**„******,~~**********,.****,t*~~.****~****~*****,************,*~*~*~****,.,,, * THE GOLD COPY OF 7i~ pg2(KIT WILL BE SENP DIRECiZ.Y TO PCTSLIC WJRKS 7t7 FACILITA'I~ MEPER PIQC-OP. ; PLEASE l1LTAW 'IWO FARKING DAYS FOR PROCESSING. SONIEiONE EROM Tf~ CITY WILL CONPAGT YOD IF Tf~RE * ARE ANY PROSI,II~iS. ~I ' ~*******++**~t**,+tx~**~~**~*,r*t*~~~*+*,t***+,t***~**t*~*,r*,++~t***,t*~**,r~*,r******;r***~r~*+**+t,r**,t**x~~r: II ,cs . lil . FOR CITY USE ONLY ~ ~ PERMIT ~ ISSC'ED , ~ Pd w/Bldg. Permit FEES: ~ $ $ / ~ , SEWER PERMIT (INCLUDE SDRCHARGE) C~ $ ^ S I O WATER PERMIT (INCLUDE SCRCHARGE) $ ! ~ ^ $ WATER METER/COPPERHORN/OL'TSIDE READER $ S WATER TAP (INCLLDE CORPORATION STOP) $ $ SEWER TAP / $ $ ~ S ACCOUNT DEPOSIT - SEWER $ $ ~ S ACCOC'NT DEPOSIT - WATER $ ~ S WAC $ $ SAC $ $ TRL~NK WATER ASSESSMENT $ $ TRLNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BEN°FIT/TRONK WATER $ S WATER TREATMENT PLANT S[JRCHARGE $ $ OTHER: $ $ TOTAL ~ 9S" / RECEIPT RECEIPT DOES OTILITY CONNECTION REQLIRE EXCAVATION IN PC~BLIC RIGHT OF WAY? ~ YES IF YES, THEN A"PERMIT FOR WORK WITHIN PL~BLIC Q ROADWAY" MOST BE ISSLED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SL'BJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE : ~ rY ~ ity oF e~g~n 3830 PILOT KNOB ROAD. P.O. 80X 21199 VIC ELLISON EAGAN, MINNESOTA 55121 Mw~ PHONE: (672) 454-8100 Ty.ioµqs EG~w DAVID K. GUSTAFSON PAMEfA McCRE4 iHEODORE WAC4i~ER Council Members iHOM0.S HEDGES . December 28, 1988 c~.~m~~~.,~~o~ EUGENE VAN OVERBEKE GfyClerk DRESHER EXCAVATING ~ 1053 BALDWIN CIRCLE APPLE VALLEY, MN 5512U REs "jt829 SAFAAI PASS, L1, B1, SAFAR2 ADD. 4134 DEERWOOD TR., L23, H3, ENGSTRaM'S DE6Ri100D 3993 NORTHVIEW TER., L14, B1, LESINGTON PA6BVIEW WbRNING: BEFORE DIGGING, CALL LOCAL OTILITIFS - TELEPHONE~ ELECTRIC~ GAS~ ETC. - REQDIRSD BY LAW XX Your Sewer and Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coaehman Road) until the meter is pieked up. BE SDRE TO CALL PIIBLIC ii0AH3 (45~4-5220) FOR YOUR PERMANENT WATEA TORA ON. _ Your Sewer and Water Permit for the above property cannot be completed for the following reason: _ Your Sewer and Water Permit for the above property has been completed, however, the meter cannot be issued or occupancy allowed until further notice. Sineerely, ~Gc~~ dan Severson Seeretary JS THE LONE OAK TREE. ..THE SYMBOI OF STRENGTH AND GROWTH IN OUR COMMUNIiV öëö î ÿ þýý üûüûü úýý ùúýý ûëþé þýö þýüûúùîý ûúùöø ùîý Þý ù ô ïý ô ëýü ã ÿþ ù ÿ ý ä ýåù ë ì ã ôîáõùô ßæêê õú þý ë îèæêäêä ôïóï öòñ ùù ò ó Ý ò þþéé ë ìäþé ãöñ ãö áäßä ë üúø ë ëì ë ùù ëëé ô ôùúøëùùüþ éã þý òúé í ê ùù÷ ôþ ý ýúþ ý PERMIT City of Eagan Permit Type:Building Permit Number:EA110249 Date Issued:04/30/2013 Permit Category:ePermit Site Address: 4829 Safari Pass Lot:1 Block: 1 Addition: The Safari PID:10-75850-01-010 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . Eva Lewis Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Scott Stafford 4829 Safari Pass Eagan MN 55122 Purpose Driven Restoration LLC 325 Main St NW Elk River MN 55330 (763) 633-4737 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA126606 Date Issued:09/02/2014 Permit Category:ePermit Site Address: 4829 Safari Pass Lot:1 Block: 1 Addition: The Safari PID:10-75850-01-010 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Scott Stafford 4829 Safari Pass Eagan MN 55122 (651) 894-2618 Purpose Driven Restoration Llc 325 Main St NW Elk River MN 55330 (763) 633-4737 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA160772 Date Issued:04/13/2020 Permit Category:ePermit Site Address: 4829 Safari Pass Lot:1 Block: 1 Addition: The Safari PID:10-75850-01-010 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 - Joann Seaton 4829 Safari Pass Eagan MN 55122 (651) 491-1595 Homeworks Services Co Dba Homeworks Plumbing Htg 1230 Eagan Industrial Rd, Suite 117 Eagan MN 55121 (612) 400-9020 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA160773 Date Issued:04/13/2020 Permit Category:ePermit Site Address: 4829 Safari Pass Lot:1 Block: 1 Addition: The Safari PID:10-75850-01-010 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). 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 - Joann Seaton 4829 Safari Pass Eagan MN 55122 (651) 491-1595 Homeworks Services Co Dba Homeworks Plumbing Htg 1230 Eagan Industrial Rd, Suite 117 Eagan MN 55121 (612) 400-9020 Applicant/Permitee: Signature Issued By: Signature