4830 Safari Pass
CITY OF EAGAN Remarks
Addition S~~I ESTATES ~ot 1 Rlk 2 Parcel #10 65850 O10 02
Owner Street 4830 Ssfari Pass State
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. ~ . .
STREET RESTOR. 19H2 1546.63 309.33 ~
GRADING • •
SAN SEW TRUNK j~ 1 82 ~~j 33
iF SEWER LATERAL 72(~ 1~ 1 .2O 1J~ .~i}~
WATERMAIN
* WATER LATERAL 1 8P
WATER AREA ~J I 1 82 ~i 1. 61+ O.
S6I'P~CB6 1 ~
STORM SEW TRK ~~j 1 82 866. 1 1 3• 38
~F STORM SEW LAT 1983 5
CURB & GUTTER
SIDEWALK
STREET L~GHT
WATER CONN,
BUILDING PER.
SAC
PARK
INSPECTIQN RECORD ~ Control No.
~ CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: ~
Eagan, Minnesota 55123 Date Issued: f~~/ 4~
(612) 681-4675
SITE ADDRESS: ~ n ~ ; ~ ~ ~ L, ~ ~ : ~ APPLICANT:
qi13• SAFARI RA~S ~ C CON~iT IN~
SAFRRi f.-~s7Aif'•3 (~r1~ ) ~69--3723 .
PERMIT SUBTYPE: TYPE OF WORK:
•r i t~i,r; . N~u
. .
I tiel i I Nt~ 1~F~tAM i11A
ihl~ttl ATICMN Frr~a~.
flHfi°ta~.k
!+i 11i1Ai:'. ~ ; t~/ ( nlViflAf_71iR
; -
~ ' ~v ~ r } ~y s ~;p~ .1' ~ ~~y.F . . ~ i . 1 = ~ ti . Sy
1 ~z ~ ~ _~cF`'~ ~iTi .c ~ ' _ at~- ~ r i~_, w`~.~°` ~ -r~~ -^~1
a~'~~ ~1,.; : . ~ i , e . w ~ - ~ ~ S - - - _
,~s~ ~ y ~
, ' ~ f ..^;8i' y'
~s~BG~.~_?~~~~r~l~ ~ n~ ~~i.1. ~ L. ~.z•' ' . . .
. Psrmit No. Rermk Hotder p~ Telephons N
S/1N
PLUMBIHG .vy~'i, ~ ~ ~ 9~-- ,~/l~3 -
HVAC a~2 p.
ELECTRIC ~i ~ °`O
ELECTRIC
InspecUon Date IrEap. CommerKs
Footings 1 ~i _ j D ~
Foundatfon
ii 2 -
Framing v
~A" Co.~
Roonng Gh'EGit'-~~c.o•s..~ ~3.-~7 -f~~. - ~Q
Rough Plbg. _ O ~ ~ a_ bT ` v/ SG7,~L
Rough Htg. _g
~ o~ y: ~~~rl~ ~~~Z-~~ s
Frepsace f - d''
I~ ~G~
Finel Fffg. ^
Z..~
Orsa! Test 1C l
Fnal Pibg. _ 3 Plbg. Iriapector - Notity Plumber
Ca~st. Metev
EngrJPlan
Bfdg. Final 1 ~ ~
Deck Ftg.
Deck Final
Well
Pr. Disp,
4 ' , '
6' rr * ~+~fi
` '~cate ~ccu~anc~
~i~j o~ ~agan
~c~SrtNCC,~t o~ ~Kitbiyc~, ~K~c~oa
' This Certifecate essued pursrrvnt to the nequirernents of the I/niform Buiuting Cade
certifying that at the time of issuance this structur~e was in compliance with the various
: or~dinances of the City regulating building construcrion or use. For the following:
vse c~assi5cuon: swg. re[mic ?va 1728
~P~Y 1)'Pe Zoning Disorict Coa~
_ '~r~ E; ~
Owrcr of Building Add~ess
_ B~m~ A~ SAFARI PASS ~~ty L, S2, SAFARI FSTA'IFS
_ / ~ ~ ' Ol/22/q3
. Daze_
&dl~og O~ ,
, POST IN A CONSPICU~US PLACE
k
INSPECTI~N RECQRD
CITY OF EAGAN PERMIT TYPE: E~
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued: ~t, ~'+R'~ ~i~-•-
(612) 681-4675
SITE ADDRESS: ` ' ' " 't'." APPLICANT:
~ ~ ~ i i ss{_ u+_ r
, , n;. ~ i•~~~. , , ~ ~ , ~
. ~ ; , . . .
PERMIT SUBTYPE: TYPE OF WORK:
' ~ i ' ! . 1 - , ~ . ! I ~ ~ i . , .
• •
,~'~:~t I ri• 1 3i 'I I,, t~. ,
;~:~!,II ~ ' i I-~ I :-fr.
, . .
_ _
.r . . . - at
. . . . ~ . , .
. ~ . . .,i . . . ` ~ ~ "
~ , t ' , ~ , , . . . . 7 ~
Permk No. Permit Holder Uete Telephone N
ELECTRIC
PLUMBING
HVAC
Inspectlon Date Inap. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.1.
BSMT FINAL
~EC~c Fra
~ECK FlNAL
t~T?~ o77P
~
INSPECTIQN RECORD
CITY OF EAGAN ~ PERMIT TYPE: ' ' ' ' '
3830 Pilot Knob Road Permit Number: `'~Q ~ q
~-Ett~n, Minnesota 55122-1897 Date Issued: ` r!~`
(612) 681-4675
SITE ADDRESS: ~ . , , ~ ~ : , ; ; ; APPLICANT:
~ . r7~.,,; , , , , .
PE~iMIT SU~TYP, TYPE OF WORK:
~ , , ~ , , , t . , i ,
. .
, , ~ . . . . ~ ~ r~i,i
fil 1'I~i{ 1 . ~ i . . , . ~r ~ , ~~1 1 ~ I ~'i'ii ~ i
Cf~l l ~14t.-~.'ti~IH kkl~Ah:l~tHtti I l[.~, il~ It:Ai. E'tl:Ml I HPlU tNSt'l l 2 l11ry~;
~ i;- ~ r". 1( 1=i i~,i ~ t ~ i ii~l I I'~ It ~~~i 'titl 1'! i1~11; t t'~~: I!ii!'f
~ ~
~ J
Permit Holder Date Telephone ~t
PLUMBI ~ 3 ,
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH ~ ~ ~Q~`
PLUMBING ~ ~y l
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE /b~
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITV
TE5T
HYDROSTATIC
TEST
BSMT R.I. -
BSMT FINAL
DECK FTG
DECK FINAL
INSPECTIDN RECORD
CITY OF EAGAN PERMIT TYPE: '
3830 Pilot Knob Road Permit Number: `
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
f . , ~ : ' .i :
SITEADDRESS: , , ; APPLICANT:
;~nt7 ~ ~a^~
PERMIT SUBTYPE: TYPE OF WORK:
. .
~ ~
~ : ~
Pertnk No. Parmlt Holder Date Telephono i
ELECTRIC
PLUMBING
HVAC
InspocUon Data Inap. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST •
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.1.
BSMT FINAL
DECK FTG /0,` ,
DECK F1NAL !O ' ~ '
Address 4830 SAFARI PASS Zjp
•I.ot • 1• Blk Z Sub sAFARI ESTn1Es
TI-IESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: O1 22/93 Yes No Inspector:
Final grade (6" from siding) ?
Pecmanent steps (gazage) ?
Permanent steps (main entry) ~
Permanent driveway
Permanent gas
Sod/Seeded grass ~
Trail/curb damage
Porch ?
Basement finish
Deck
Please verify with the builder the removal of roof test caps from fhe plumbing~sysrem 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
~ S l Lc l a ~..~Z~
zoo~ RESIDENTIAL MECHANICAL rE~miT nrrLicaTioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when permits are required for each unit
Date ~p~ l a 7 / ~ 7 ~
Site Address ~j d / ~ Unit #
Property Owner ~(T~- ~~.(j1/~. Telephone p (~p~~ ) ~7~3 J ?
c
ContraMor
O'Connor's One Hour
Street Address 1904 Vemullion St, City
Hastings, MN 55033
State Tetephone# ( ~S"/ ) ~37- `~~`7'7
Bond # ;/(~t<{.. ~ ~ ~(a ~ Expires: /a ~ ~ ~ d~
The Applicant is _ Owner ? Con[ractor _ Other
Fire repair (replace burned out appliances, ductwork, etc.) $ 90.00
This fee applies when extensive mechanical repairs are made to a building.
Add-on or alteration to existing dwelling unit $ 50.00
? fumace _Additional ?Replacement _ New
air exchanger
air conditioner
heat pump
other
State Surcharge $ .50
Total $ _
i hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a
permit, but only an appiication for a permit, and work is not to start without a permit; that the work will be in accordance with the
approve~n the~ f work which requires a review and approval of plans.
/
v~,~cL_ (
Applicant' PrintedName App, ant's nature
~c~~*~~~~~~~~~~~~~~W~~~~~~~~~~~~~~~~~~ne
czrv aF r~,~:~~~
CASH:L'EFi: MG TCRM.T.NAL tQO~ 8'1
DE4T'Ee 01/14/"~fi TIMk.: 13ec:l.ei.8
IUc
i~MF_: FRfJ] NART'GFI:TNF. CONS7
3210 ~001 483U SAFAf.I F'AS 5C.l,U~
21.55 3U~J~. 483C1 8Af°AI"iI FAS 0.50
3430 9009. 4830 SAFAR:f. F'A5 .:~.[]0
Tn'ta:L I"cer_ei~~+, ~mo~~ni; ~ 5~,.5U
CF:C.18,:74F31
l1Sf_li TI+: PfAFiLYNN
%~~kX~~%~~~ ~X~X~~ ~Y~~kX~~~ka~ %~~~~~~%~~k~~k~X~~~~~ %~~~~~Y
PERMIT
~ CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: g u i ~ o z N ~
Ea~an, Minnesota 55122-1897 Permit Number: 0 3 0 9 6 7
(612) 681-4675 Date Issued: 01 J 14 { 9 8
SITE ADDRESS:
4830 SAFARI PASS
LQT: 1 BLOCK: 2
SAFARI ESTATES
P.I.N.: 10-65850-010-02
DESCRIPTION:
~r
Bi'~ildaltg'~,Permit Type DECK
~uilding W?s,rk Type NEW
'Census Code 434 A'LT. RESIDENTIAL
;
~ ~
M~
a_~. ~~r. . .
~r. ~
~
d~~ ~f ~
~\\l.;`;..' f....::..-
1t 4 Ff~
% (i l~~t '~~1~t I it~-~~i~~~~ ~l~i•'
. ~ .i ~ ~ a.~ i'~G il
~ _
y~-~-~ u C i
REMARKS:
FEE SUMMARY:
Base Fee $50.00
Surcharge $.50
Lic. Search Fee $5.00
Total Fee $55.50
Y
~
CONTRACTOR: - Applicant - sT. ~IC OWNER:
HARTGERINK CONS7, FRED 14473733 0006420 VEVEA ERIC
16450 WEBSTER CT 4830 SAFARI PASS
PRItlR LNKE MN 55372 EA6AN MN
(612) 447-3733 (612)666-5376
I he.~sb~y ackn~owle~dg~ tha~C~;S Mav~ reac~~~thir~_ap~pl~~at~aA ansT steG~~ tha~ kh~ :
info=rmatipn is correct and agree to comply wi.th a12 applic~able SteCe tl'f Mn'.
Statutes and City o~f Eagart Ordinancas.
~ ~ _ ~ ~ ~
_ ~ ,n ~o;~~
AP ER ITEE NATURE ~ ~155
ED S YdA U E
997 BUILDING PEF~MIT APPLICATION (RESIDENTIAL) D
CITY OF EAGAN n e A t~ w f~
3830 PILOT KNOB RD - 551 T2 ~<d;ta ~
, 681~675 . R ~
Cd:l? I-~.3
New Constru~ion Reauirements RemodeVReoair Reouiremanta .
? 3 regiatered ske surveys ? 2 wpies W plan J~"
• 2 copies of plana (inGude beam & window aixes; pourod fid. deaign; etcJ ? 2 afta surveys (eutedor addtGons & dedcs) ;g;T~Y I1(~!V 1Iti
? 1 energy calculations ? 1 energy calwlations for heated addiGons
? 3 copies Mtree preservation plan'rf IW platted after 7/1l93 ~,0.~ ~IC,"
requlred: _ Yes _ No ~
DATE: In "~-°l ~ CONSTRUCTION COST: ~ SO Q
DESCRIPTION OF WORK: ~c~ ~'c
STREET ADDRESS: y~ ~t~~ ! ~~t S S
LOT I BLOCK SUBD./P.I.D. 1+~1h/
PROPERTY tvame: l/~- V~~ ~~ZrC ~-1/~ c.K~ Phone ~~~3 '
OWNER
Street Address: ~'1`6~ ~SrG r~, ~u.5s
City: ,4C;.,4 State: ~ Zip:
CONTRACTOR Company: _~~t1~ ~~~4~PT<-ERl~tJ6< Cs~S~phone#: y'~~-3~ ~3
Street Address L(oWr~-O 1,Je~OS~f~ G"~ • License
Ciry:_}7r ~`o E' i-U. k~ State: Zip: ~S3 ~7
ARCHITECTI Company: r~~ Phone
ENGINEER
Name: Registration
Street Address:
City: State: Zip:
Sewer & water licer.5ed plumber (new construction only): . Penally applies when address change
and lot change are ~~equested once permit is issued.
1 hereby acknowtedge that I have read this application and state that the inlortnaGon is correct and agree to compty wfth all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
Signffiure of Applicant: P ~
d r~ e~
OFFICE USE ONLY
Certificates of Survey Received _ Yes No ~r - 9~
-
Tree Preservation Plan Received _ Yes _ No _ Not Req
OFFICE USE ONLY ~ ~ • ~
`a. ~
BUILDING PERMIT TYPE " °
~
0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
0 02 SF Dweliing o 07 4-plex o 12 Multi Repair/Rem. ? 17 Swim Pool
? D3 SF Addition o 08 8-plex o 13 Garage/Accessory o 20 Public Facility
? 04 SF Porch o 09 12-plex o 14 Firepiace ? 21 Miscellaneous
? 05 SF Misc. ? 10 = plex p' 15 Deck
WORK TYPE
p~ 31 New ? 33 Alterations o 36 Move
0 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS 5ystem
(Allowable) Main level sq. ft. City Water i
UBC Occupancy sq. ft. Fire Sprinklered
2oning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. H3y
Depth Footprint sq. ft. SAC Code
Census Bldg
Census Unit
APPROVALS
Planning Building i1~ Engineering Variance
Permft Fee Valuation: $
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Partc Ded.
Trails Ded.
Other
Copies °
Total: . r.~..l~ ~{I
% SAC
SAC Uniffi ~ ~
~
v'
~
: f~ , , _ T C. CONSTRI/G?/Oil/ .
~ CONSU~TING lN31NEERS .
~~Q;BE PLRNNEBS ond LRND fYRYtYORf # 53~}3. D 1 '
BK. I81 t;;
E~~~+I~il~1EEAING " ~
~ '?~r k~ . P
~ " : C"OMPANY, INC. ~4 ~ `
, 1000 EAST 1~81~ STREET, BURNSVIL~E, MINNESOTA OS337 PH 432~'JO00
CERTIFICATE OF SURVEY
Legal-~~ Description: LOT 1. SLOCK 2, ar9F<1R/ ESTATES
~KOTA CD!/NTY,t /lJ/NNESOTil .
( 9
~LO ) DENOTES EXISTING ELEVATION
( 97n ,o ) DENOTES PROPOSED ELEVATION '
INDICATES DIRECTION OF SURFACE DRAINAGE
970,33 = FINISHED GARAGE FLOOR ELEVATION
, oo - BASEMENT FLOOR ELEVATION
8•~3 = TOP OF FOUNDATION ELEVATION
SCALE : 1' m 30' ~ ~ "l
P1~.55 ~1.56
. A~AR~
~ ~55.~ r~~B•
r~b
5~, ;
. ~n 1 (qbl•~ ~ a
o „ e q3 ~ f~1~4i ~ ~
0
, 38 N '16 6$
p9Z s5• a W~e m
R° q'Z7~ tg.
y=15•°° ~ ~ ~ ~
v 1 l ~ 1 '
(4~3%~ ~ ~ , -
~yD3~7 ~
y 1 1` ~ ! ~
~ ~
SOfT. F.PONTBI//COiN6' t ~7o.~N~g,9~5.58 r Z
,f'ET~9CK L/niE ` ~83~7 (y~,h:% ~~a~e° cP
1 1~L~ gl q18iO ~ C
~oo ~ ~oro i ~ p ~l
~81
83- i 6a~~ y 9~8°rl `
Z ~ `r'
\ , $ ~O, '
' ~ u
e ~ ` $ PRo~ ~TA',~
~ ~
~
~ ~ 8 N°~S6 ~ N~~I °
, o , oo I e ~ .
S!~~ N` 1~ 3s' ~ q~o~
, ~ l ~g82 A
` ~~83.bj ~ ~ " I ~ ~
` > " I ~
~ ~ i ~ ~o
DRA/~/AGE AND 5` f,2, ~ `~"m r~ J (6
vT/4/Ty EA.S~i7~~NT
~u
~ ~ ~ $r.29~~~'~, ~z
~qq'o:3~ N 81 ° ; ,
~gc,~ , ~ .
~ ~ 1 i Q~ --~I?--=---
~ , . L ~
•t`yN ENGI~$ERZNG DEPT-_
I` hereby cartiEy that this is a true and correa~ rapresantation of a tract of
land .as ahown and dascribed hereon. As prepared by ma thia ~ day of
Do2"a$C,e. r 19~. '
~y~ ~p ~ 10-27-~L ~ DECE78G L o F7. Jo6 ~ ~ ~ , . '
7?+ESaa,n6~, ~ Minn. Reg. No._/(oOBS
' : ; . ~ PERMIT c~¢2z~{-z
CITY OF EAGAN -
3830 Pilot Knob Road PERMIT TYPE: BU~~ I~N
Permit Number:
Eagan, Minnesota 55122-1897 0 2 S 617
(612) 681-4675 Date Issued: 0 5/ 2 4/ 9 5
SITE ADDRESS:
4830 SAFARI PASS
LOT: 1 BLOCK: 2
SAFARI ESTATES
P.I.N.: 10-65850-010-02
DESCRIPTION:
B,uilding~Permit Type BASEMENT FINISH
Building Wo'rk~Type ALTERATION
.,.-e .a„ . _Y
'C , ~ A.9...
-
T~~ . _ i
~l. ~
t i ~ . ~ _ ~ .
~ ~ ~ . ` ~ . A mm
t. ~
REMARKS:
FEE SUMMARY:
VALUATION $1,500
Base Fee $35.00
Surcharge $.50
Total Fee $35.50
CONTRACTOR: OWNER: _ Applicant -
VEVEA ERIC
4830 SAFARI PASS
EAGAN MN
(612)686-5379
Z' Hereby acknpwledge that I have read thi.s application and state that tha
in'Formation is cbrrect and agree to comply with all ~5ppiicable 5tate nf Mn.
~ Statute nd C'ty af Eagan Ordinances. J
\ n R o.~, r 1~
P ANT/PERMITEE SIGNATURE IS B: IGIJPSURE
" INSPECTI~N RECORD
CITYOFEACAN PERMITTYPE: su~~ozN~
3830 Pilot Knob Road Permit Number: g 2 5 617
Eagan, Minnesota 55122-1897 Date Issued: 0 5/ 2 4/ 9 5
(612) 681-4675
SITEADDRESS: P• I• N. : 1e-6ss5e-e~.e-ez APPLICANT;
LOT: 1 BLOCK: 2
4830 SAFARI PASS VEVEA ~RIC
5AFARI ESTATES (612) 686-5379
PERMIT SUBTYPE: TYPE OF WORK:
BASEMENT FTNZSH ALTERATION
. „ .
FRAMING INSULATIQN
ROUGH IN PLBG FINAL
a~-_ _ _
~ . ~ _ _ ~ .w . ~ ;
;
r ,
~ ~ ~ ~
Sv
l~ CITY OF EAGAN ~ s
3830 PILOT KNOB RD - 55122
1995 BUILDING PERMIT APPUCATION (RESIDENTIAL) ~ 1
681-4675 ('~j ~x' F~~ ~ ' I ~
New Conshuetion ReauiremeMS RemodeUReoair ReauirameMs
? 3 registered site surveys ? 2 capies of plan
? 2 copies of plans (inGude beam 8 window saes; poured fid. design; etc.) ? 2 ske surveys (exterior addftions 8 decks)
? 1 enerpy calalations ? 1 energy calculations for heated eddldons
? 3 nopies oi tree preaervetion plan if lot platted after 7l1/93
required: _ Yes No
DATE: ~Z I`~1 S CONSTRUCTION C05T: 5~ ~D
DESCRIPTION OF WORK: r ~~~~~"I
STREET ADDRESS: 1 r~~ Y~
? c~- ~
LOT ~ BLOCK ~ SUBD./P.I.D. ~~Trti ' `S
PROPERTY Name: _ Y ~V ~G ~ Phone ` '
OWNER
Street Address• q~~ "~~~5
C ity: ~1~ state: ~ zip: ~ 2 Z
CONTRACTOR Company: ~~T Phone
Street Address: License
City: 5tate: Zip~
ARCHITEC7l Company: ~l-F Phone
ENGINEER
~ Name: Registration
Street Address~
City: State: Zip:
Sewer & water licensed plumber: . Penalty applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the information is correct and agree to ~mply with ail
applicable State of Minnesota Statutes and City of Eagan Ordinances.
5ignature of Applicant `
OFFICE USE ONLY ~r~ r_~'~~~~
t6.
Certificates of Survey Received _ Yes _ No (~AY 1 2 1994
Tree Preservation Plan Received _ Yes _ No
. . :
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation o 06 Duplex ? 11 Apt./Lodging ~ 16 Basement Finish
0 02 SF Dwelling o 07 4-plex o 12 Multi RepaidRem. ? 17 Swim Pool
0 03 SF Addition ? 08 8-plex o 13 Garage/Accessory o 20 Public Facility
0 04 SF Porch ? 09 12-piex ? 14 Fireplace ? 21 Miscellaneous
a 05 SF Misc. 0 10 = plex o 15 Deck
WORK TYPE
a 31 New .~93 Alterations ? 36 Move
0 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actuai) Basement sq. ft. MCNVS System
(Allowable} Main Ievel sq. ft. City Water
UF3C Occupancy sq. ft. Fire Sprinklered
2oning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. y3y
Depth Footprint sq. ft. SAC Code _L
Census Bidg ~
Census Unit v
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $ /sQO ~
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
_ ~ PERMIT ~ontrol No. ~I ~ C 7
~ 1 J
CPYY UF EAGAN PERMIT TYPE:
3830 Pilot Knob Road B U I L D I N G
Eagan, Minnesota 55123 Permit Number: 0017?_ 8
(612) 681-4675 Date Issued: 11 /(9'L J 9 2
SITE ADDRESS:
983@ SHPARI PRSS~
LOT: 1 BLOCK: 2
SflFARI EST(~TFS
DESCRIPTION:
r~Build'ir~g PermiL 7ype SF DW6
~.uil.d.i~g,Work Type NEW
UBC Occupan~y R-3 M-:L
Construction Type V-N
Zaning R-1
6uild3ng Length 38
Building Width ` 40
\ J
+ `p
r
~ t~ : r'
, _
,i' i ~ ~ r~ /'~^,1 ~ ~ r / / . f~- '
i L7i.~:~~~~ ~~~I. t~`_ t~~J ~_~~j~~ .t~_
` `i
REMARKS: ' ~ ~ Sa ~
S & W CONTRACTOR -
FEE SUMMARY:
VALUA7TON $103,000
Base Fee $658.0~D MTSCGLLHNEOUS $1,610<50
Plan RPView $q22.59 Total Fee $3,439.50
Surcharg~ $51.50
SAC ~700.m0
SAC % 190
SAC Units 1
Lic. Search Fee $5.0@
Subtotal $1,829.00
CONTRACTOR: - Flpplicant - sT. ~zt~WNER:
7 C CONST INC 14693723 @~i0~1076 T C CQNS7' INC
6202 240~iH ST E 6202 24aTH ST E
ELKO MN 55920 ELKO MN 55020
(612) 469-3723 (612)469-~3723
I hereby acknowledge that 7 have i-ead th3s ~pplicatian and state that the
information is correct and agree to comply with all applir.able StaT.e of Mn.
Statutes and City of E,~g,-~n C7rd5.nances.
L- ~ -
APPLICANTlPERMIT E SIGNATUFiE SUED : IGNATURE .
PERMIT ~i CITY OF EAGAN ~~~~'3~,`~(~
REACTIVATE _ 1992 BUILDING PERMIT APPLICATION
' 681-4675
,.O~T 9 RECp
'.r~.. _
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 when typing of permit is requested, but not picked up by last working day
of mortth in which re uest ts made r iot chart e is re uested once ermit is i sued.
Date .0 / / Yaluation of work CoS~~a~ ~
Site Address: Sc; f'~,r,~ a~~
SiREET SU[TE / ~
Tenant Name: (cortqnercial only) i, C LOfrs'~` L^~
LOT BIACK ~ SUBD. SG ~u n~~~ j qp~ P. i. D. te
Descri tion of work:
The applicant is: Owner ontractor ? ~ther coe8o~r~~
Name I~, c~ r~.--f- c_ Phor~~._~Cc ~i ya3
Property ~~ST F,RST
Owner Address ~~~a ~~a~' ~'/~Q ~ u„` S-~^o~ ~
~ STREET STE M
City State Zip
Company ~u.r`~ Phone
Contractor Address License # Exp.
City State Zip
Company Phane
ArchitecU
Engineer Name Registration ~1
Address
City State Zip
Sewer 6 water licensed plumber . Processing time for
sewer ~ water permits is two days once area has been approved.
I hereby acknowledge that I have read th9s application and state that the information is
correct and agree ta comply with all applicable State of Minnesata Statutes and City of
Eagan Ordinances.
Signature of Applicant: ~ ~ ~
OFFICE USE ONLY . ~
~ ` .
BUILDING PERMIT TYPE ~ - '
? O1 Foundation ~ 06 Duplex ~ 11 Apt./Lodging L3R~i 8'Jse~nt Finish
~ 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. O 17 Swim Pool
O 03 SF Addition ? OS 8-Plex ? 13 6arage/Accessory ? 18 Comm./Ind.
~ 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm,/Ind. Misc.
O 05 SF Misc. ? 10 Multi. Add'1. ~ 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
~31 New ? 33 Alterations ? 35 Tenant Finish ? 37 ~emolish
O 32 Addition ? 34 Repair O 36 Move
GENERAL INFORMATION
Const. (Actual) v-x Basement sq, ft. MWCC System ~~.s
(Allowable} v- N lst F}. sq. ft. City water ~
UBC Occupancy R-3 n~-i 2nd F1. sq. ft. PRV Required
Zoning ~ 5q. Ft. total Booster Pump
8 of Stories Footprint Sq. ft. fire Sprinkler
Length 38 On-site well Census Code i~
Depth p On-site sewage SAC Code ~
APPROVALS
Planning Building Assessments
Engineering Variance
RE~UIRED INSPECTIONS
? Site ? Footing ? Framing ? Insulation
? Wallboard ? Final ? Draintile O Fireplace
Permit Fee v.i~ciw,: SJ ~3t pAJ
Surcharge
Plan Review GqRAGE; ay ~,?f_ S~y
License
MWCC SAC 1 k b = 8
City 5AC 6 XZ = (/2
Water Conn.
Water Meter , 50o x l6 = Ssooo
Acct. Deposit 85MS: 3g X ~y; 53Z
S/W Permit 24~e1
S/W Surcharge y = y~~
Treatment Pl. `~$BX I`5= f~{,8~~
Road Unit mA,N
Park Ded.
Trails Ded. G.q~t._ Soo
Copies ~,oo E~S•qT. = qa8
Other ax~~ ~y
Totat: l502 X 5g,. ~19,Go~
5AC % 00
SAC Units ~ /~Z, y24
~ CONSULTING ENGINEERS T• C• ~NS'Tr~dG?/Oit/
I~OBE PIRNNE85 ond LpND fUflV6YON5 # 53~3 . ~ I
~~~ENGI~NEERING sK. isr
~ p~i. ~4
~ C;OMI~ANY, INC.
1000 EAST 1461h STREET, BUHNSVIL~E, MINNESOTA 55377 PH 432~3000
CERTIFICATE OF SURVEY
Legal Description: LOT 1, BLOGK Z, SAFAR/ ~sTArES,~
QAKoTq COU~(/TYt /YI/NNESOTA.
( 9 ~yo ) DENOTES EXISTING ELEVATION
( 970 ,o ) DENOTES PROPOSED ELEVATION
INDICATES DIRECTION ~F SURFACE DRAINAGE
970•33 = FINISHED GARAGE FLOOR ELEVATION
R7 i~ oo = BASEMENT FLOOR ELEVATI~N
83•~3 = TOP OF FOUNDATION ELEVATION
SCALE : i' @ 30' ~ ~
fI ~56
$`~J
7
SAFAR~ _ r9~.~:
~s.o~
(~6J5g~ ~11 c e
~ b~ ¢7 ~ ~
~ ° ~ 5' ~}3~. ~ i,4, ~
o ~ „ e ~ x
a e 38 N '16
as ~ o ~e m
R` q'Z~ `~~0 _ f ~ ~
1.=15~p° i~ ~n
o l l , ~
~~3%~ ~ ~ '
~0~~,3 ~7 ~ ~ ~ J
51 1, ~ ~
/ C
,SaF/. ~.eo.vT.eUiuri.v6 1 i ~lq7A~H~e-9~5.58 r ~
,f'ET~~.'~' .L.//1/~ ~83~7 (~j?bi - gila~oo ~ 1 C
1 1l(~~ 8'/ 9'16~0 -~o~o ~ Rl
3g,oo ~ 0 1 S P
- $3; i o 9,~0 ~o rsi
1 6ARA~ y -r' W
` o~
\ ' Z ~ 1 ~ '1 ~ O
~ ~n ~ ~ $ ofl~`~ '3.'sY w~"~r+~, m
~ s\1 Hp~,rb c Na~o I o
~ s y , ~
00
. ~ N. 1,1 39 ( ~ ~ILaD / I
~ t ~~-a?.g; A .
~ • ~83,~ ~ . - / 1 ~ i
I ;P
1' ~ 1
, ~ I ID
~Z~/ ~ (~1
p29i.tis~GE A~t/D 5, r..I~ L J`~ ~ m r!-„~ - ~ i
lJT/L/TY EASE/Y/ENT ~ ~ ' ~ `~~n~
~ 81. Z9f~ , 1'~~~ ~ ,
zl~:- 1
~g2~i3: ^ J 8/° 57t - ' o
99°'~ ,~g." _
C ' r '1 _ ~ r ~~Gra
/T~~ ~-_,r..,
pT / ~p p-y
t . '4 ..~.+1a~Y i'! S>~aYZ~~ll.~ L`~~~-
E '9s
I hereby cartiPy that th3s is a true and correat representation oE a tract oP
land as shown and described hereon. As prepared by ma this ~9 ~ day oE
~c.YogCR~ , 19~• ~
~yiSEp.lO-2"7-~Z-i DECE78D I.oF7~ Job ~ , . ~
7uE ~Aan6s. _ Minn. Reg. No. O S
LOT BIIRVSY CHECRLIST FOR RESIDENTIAL
~ o
SIIILDINO PBRMIT APPLIC TION
~ ~ PROPERTY LE6AL• i~~~ E~',~~ [ / ~
~
< ~ Date of survey: ~7r~/ c~ Z_~
~ ~ ~ ~T
DOCiTMENT BTANDARDB
~i~ ? : Registered Land Surveyor signature and company
? . Building Permit Applicant
0' ? 0 Legal description
? 0 • Address
? • North arrow and bar scale
Ei • House type (rambler, walkout, split w/o, split entry,
/ lookout, etc.)
~T • Directional drainage arrows with slope/gradient
? 6~ 0 • Proposed/existing sewer and water services
FJ~ ~ ? • Street name
C~ 0 ~ • Driveway
ELEVATIONS
Existina
? ~f ? • sewer service
C~ ? ? • Lot corners
e" • Top of curb at the driveway
? f~ 0 • Elevations of any existing adjacent homes
Pronosed
C~ 0 ? • Garage floor
C3~ ? 0 • First floor
? • Lowest exposed elevation (walkout/window)
C'~ ? ? • Property corners
C~ • Front and rear of home at the foundation
PONDING AREAS !if'aonlicable)
? ~ ? • Easement line
o d ? • ~,L
? C~i ? • HWL
? d ? • Pond # designation
? ~ ? • Emergency Overflow Elevation
DIMEN6ION8
? • Lot lines
C'1~ • Right-of-way and street width (to back of curb)
C~' • Proposed home dimensions including any proposed decks,
overhangs greater than 2', porches, etc. (i.e. all
structures requiring permanent footings)
C'1~ 0? • Show all easements of record and any City utilities within
those easements
C~ • Setbacks of proposed structure and setback of adjacent
/ existing h
? Cf ? • Retai ' re rements, if any
Reviewe : ~ ~ ~4 ~d
Name / Dat
October 1992
.'v, ~ . ~ . . . ' ~ ~
' EXTERTOR ENVEUOPE AVERAGE "U" COMPUTATION
. OWNER ~ , L C pi~S~ rr~v[~-- _ ~ _
SITE ADDRESS "j~~.3(~ ~l ~Ct~` _
CONTRACTOR ~ ~C• ~7l)~ST• _DATE PHONE_7~~
i
Determine working squareffootage of each.
1. Total exposed wall area..... (o~~ 7.~sq. ft. x .I . ° ~f~~,-'~
2. Total roof/ceiling area....._1~O~sq, ft. x•trLSo~m
Total exposed wall area above floor = ISOO
a. Total wall window area ~~~.Z
b. Total door area 3~ `o
c. Total sliding,glass door area............
d. Total fireplace wall area....... .
e. Total wall framing area (average~l0~).:... IZ9•O ,
f. Total net wall area above floor............ .
g. Total rim ,joist a.rea '7~.0
~ Total exposed foundation area = ~ ,
h. Total foundation window area.........,...... '
. 1. Total net foundation area above grade...`.. ~-W
Determine "U" value of each wall~segment.
a~•_ I~I~ X ItUfl a ~ i~•`~
' ~ X 1~U11 ' s ~y', ~ ' ,
. __J:~L_•-~ ' .
X. 11 U ~1 S _
C .
~ X 11 U 1~ ' a .r . . .
d, .
e. ~Z~ g ~~U~r s
f. l ~~~•V 11~n a'J~Lf.~~, ~ ~ . ~ " ~ .
• ~j. i "V ~ X .tlUlt ¢ -1./ i ' . ~
~.Ly`.~~
h. ~ X nU n a
1. `]~j.7 X ~~U„ , l3 '•s O.
3. . .....................Total m ~
. ~
If ltem N3 is the same as, or less~than~item #1, you have met the
intent of SsC 6006 (c)2. , ~ '
~ _
. , ~
Total exposed roof/ceiling area = Q~ ~
Total gross roof/ceiling area =
,j. Total sk,ylight area... -
k. Total roof/ceiling framing area..:. `
1. Total net insulated roof/ceiling area` ~3 ,
1
Determine "U" value for each roof/ceiling segment.
~ ~ X n U n _
~
k. ~1.(o x „U„ , 03 = 2.`~'
1. 7J~~~ X ,~U~~ ,~'Z_ = I`t"fa
U . ....................................Total = ~
If total of #4 is the same as, or less than #2, you have met the intent
of SBC 6006 (c) 1.
To utilize the total envelope system method, the values established by
the sum of items #3 and #4, sha11 not be greater than the sume of iLems
#1 and #2.
l. i• 2. _
3 , i• 4 . _
Materials Therm. Resistance "R" ~
Exterior Air il~ _ " '
Siding Material
Sheathin~ 2-~~~0 _
Insulation ~~~a
Sheetrock ~`t~ _
Interior Air ~ _
Studs __s . '
Rim ~ , gj~ ti -
conc. s1ks. 1~~~~~ .
CITY USE ONLY
L I BL ~ RECEIPT#: 0~~''
SUBO. RECEIPT DATE: ~ ~ ~
1998 PLtJl~ING PERMIT (RESIDENTIAL)
CITY OE EA6AN
3830 PILOT FINOS RD
EP.GP.N, API 55122
(612) 681-4675
Please ~mplete for: D single family dwellings
D townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES EACH # TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
9ath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x =
Fioor Drain 3.00 x =
Gas Piping Outlet ' minimum -1 3.00 x =
Rough Openings 1.50 x =
Water Softener "for dwellings under construction 5.00 X =
Water Softener ' for existing dwellin9 20.00 x =
U.G. SprinklB~ * for dwelling under eonst. 3.00 =
U.G. Sprlnkle~ ` for existing dwelling 20.00 =
Aiterations 'to existing residence ~ _ `~.~d
Water Turn Around 20.00 =
private Disposal System ' MPC nc. 75.OD =
(new and refurbished systems) ~
Private Disposal Systems' Abandonment 20.00 =
STATE SURCHARGE 50
TOTAL Z~
I hereby adcnowledge that I have read this apR'~~tion; state thst the ir.forratan is correect, and agree ta ~mply w:'.h ali apNlicable C2y of Eagan orEina~ces.
tt is the applicanPs respansibility to notify the property owner that the Ciry of Eagan assumes no liability for any damages caused by the City during its
normal operational and maintanance aetivities to the facitities constructed under this permit within City property/rigM-of•way/easement.
SITE ADDRESS
e
OWNER NAME:
1NS'TALLER NAME'. 1_.(~i'Y'' c~l[lL. ~LlYY1~TlA'~ H~ I~(~ . TELEPHONE 11/~_
STREETADDRESS: ~~L.~tln f Z~nfYlYl i~VQ
CITY: ~QP STATE: V~,'n.\ ZIP: 3~
~l.~%!//~
~ (
SIGNATURE OF PERMIITEE
JS/FORMS BLDGlPLBG PERMIT (RESIDENTIAL) 1998
:~d~~K'k~ah: ~'~'s;<vc~N'Yr:~K~F~~~k~C~:*k~s~rk~kYcY,;#~*n~~Ww,.;v~k~X~k~~c
C7TY 01= ~AC~N
!;pSF.!1:EI"(~ ii 1'I-RMTNAL tl~:' 7i9
D(aT.`'.; 0~'/iQ/S8 TIM~'a _~;;~5;09
IE~:
r.~a~s~: erTC .n ~F~~,a
3~_0 901]! d830 SA~AR? F'AS 50.00
215 i~?C)Ui. 4830 ,'"ift!'fa!i? F~S ~ f.1.Sp
r
4
i
'!'n4:9~. ~tiOC~i.~'~'t F~'T.Cl1tli:f `'.~~~„".:i"~
c~n~~s~,~
'~5E'; :Crl: t~'A,~'!',Y
h
}!~YFY;d°MX{?R~:'?t~%k%k`K%kYt;k%$M'I,CY,n;:k;~?k7hhY~:e aex~F%F+a~k>Y.k:&~IS;#
J
. ~ PERMIT
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: e u z ~ o z N ~
Eagan, Minnesota 55122-1897 Permit Number: 0 3 2 414
(612) 681-4675 Date Issued: 0 7/ 10 / 9 8
SITE ADDRESS:
4830 SAFARI PASS
LOT: 1 BLOCK: 2
SAFARI ESTATES
P.I.N.: 10-65850-010-02
DESCRIPTION:
B,W'ildin'g; Permit Type BASEMENT FINISH
~uilQing ~c~rk Type ALTERATTON
~'~GensUS Gode 434 ALT. RESIDENTIAL
1
'
~
f,
_ . ~ ~
~ e
E /
f`. '
`^`-~~,'•E'~ ~
`
it ;
. /i: , r ..-i.~,,,. 6
t ` ~
E I t ..ii a,
~ . . ~ , w _ .
REMARKS:
PLAN REVIEWED BY MIKE BARCK
CALL 445-2840 REGARDSNG ELECTRICAL PERMIT AND INSPECTIONS
SEPARATE PERMIT REQUIRED FOR ANY PLUMBING WORK
FEE SUMMARY:
Base Fee $50.00
Surcharge $.50
' 7ota1 Fee $50.50
,
CONTRACTOR: OWNER: - Applicant -
VEVEA ERIC
4830 SAFARI PASS
EAGAN MN 55122
~ (612)593-0319
I I hereby acknowledge rhat 2 have read this application and sCate that the
information is corr~ct and agree to comply with all applicab]:e State of Mn.
I Statutes nd City.of Eagan Ordinances.
' - - ~ ~ ~
AP T ERMITEE SIGNATUIiE IS UED BY: SIG AT RE -
~
~ ~ 8 BUI DING PERMIT APPLICATION (RESIDENTIAL) ~
~ ~ CITY OF EAGAN
V~ 3830 PILOT KNOB RD - 66122 `~ft ~SS~
esi-ae~s ~ I ~
Naw Conshuction fteauirements RemodeVReoalr Reeuiremerds
? 8 registered aite surveys ? 2 mpies W plan
? 2 copies of plans (inGude heam 8 window s¢es; poured fnd. design; etc.) • 2 site surveys (exMrior addftians 8 decks)
? 1 energy calculations ? 7 energy celwlations for heatad additions
? 3 capies af tree Dreservation plan if lot plattatl after 711/93 ~
requ red: Yes _ No
DATE: ~oI~T ~ CONSTRUCTION COST;
DESCRIPTION OF WOF?K: t~li~~~~ ~ 1'Ul~i~
STREET ADDRESS: ~ ~ ~~~I ~,y~
LOT: ~ BLOCK: ~ SUBD./P.I.D.
Name: `~.~1LJ \ ~---1~ ~ ~ l~`G~"- i ~ Phane tl: b~ ~ ~ / ( ~ ~
PROPERTY ~8~~ Ei~st c-~ 3~ ~ I c~
~,~VI~,ER ` l U3 ~ ` I/ l l` 1 ~S
Street Address:
City State: ` Zip: ~ v~
Company: S~"~~~ Phone
CONTRACTOR
Street Address: License #
Ciry State: Zip:
ARCHITECT/ ~;q~,~,~,,~
ENGINEER Company: ~ ° Phone
Name: Registration
Street Address:
Ciry State: Zip:
5ewer 8 water licensed plumber (new construction only): 1„~~1 ~ . Penalty applies when address chang
and lot change is requested once pertnit is issued.
I hereby acknowledge that I have read this application and sfate that the infortnation is e aACt and agree to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances. /
5ignature of Applicant
OFFICE USE ONLY D ~ ~
Certific~tes of Survey Rece+ved _ Yes _ No
Tree Preservation Pian Received _ Yes _ No _ Not Required
~ . ~ yy' r ,.,y < [
~
OFFICE USE ONLY ~ ~i~_.
BUILDING PERMIT TYPE
? 01 Foundation ? O6 Duplex ? 11 Apt./Lodging ~ 16 Basement Finish
? 02 5F Dweiling ? ~7 4-plex D 12 Multi Repair/Rem. O 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ~ 14 Fireplace 21 Miscellaneous
? 05 SF Misc. ? 10 _-plex ? 15 Deck
WORK TYPE
? 31 New ~ 33 Alterations 0 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MClWS System
(Allowabie) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire 5prinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code.
Depth Footprint sq. ft. SAC Code ~
Census Bldg ~
Census Unit ~
APPROVALS
Planning Building ~ Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
,
TotaL•
°k SAC
SAC Units
Tod 6516755699 From: 7637108061 5-01-19 5:09pm 1? 2 of 3
r
% / /For Office Use
it.
t. ..�i Permit#: ) 13
.�,..�� Permit Fee:EAGAN
, ..
...... ......
3
3830 PILOT KNOB ROAD EAGAN, MN 55122-1810 Date Received: 5'/--/q1
'/--/
SAY 01 2019
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694
buifdinginspectionsacitvofeagan.com Staff:
2019 RESIDENTIAL BUILDING PERMIT APPLICATION
Site Address: 4830 Safari Pass, Eagan MN 55122
Date: 5/1/2019
e Unit#:
I Tom Kenyon
Name:
IPhone: 651-895-3418Resident/ i
Owner lAddress/City/zip: 4$30 Safari Pass, Eagan MN 55122
I Applicant is: Owner Contractor
Description of work: Replace existing overhead garage door on attached garage.
Type of Work ,
Construction Cost: $1000.00 I
Multi-Family�"""--"� ulti-Family Building:(Yes /No I/ )
I Company: AA Garage Door LLC
Contact: ,Dave Sands i
i
f' i Address: 562 Lundy Lane Hudson
Contractor 1 City: t
State: WI Zip: 54016 Phone: 651-702-1420 Email: dave@aagaragedoor.com 1
__________a License : NAT-671642 j
Lead Certificate#:
If the project is exempt from lead certification, please explain why: t
I
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? 4
I
Yes No If yes, date and address of master plan:
i Licensed Plumber:
e
Phone: 1
Mechanical Contractor: Phone:
i
Sewer&Water Contractor: E
Phone: s
Fire Suppression Contractor: Phone:
NTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe s
classified as non-public if you provide specific reasons that would permit the t C' to conclude that they are trade secrets.
You may subscribe to receive an electronic notification from the City of proposedordinances by signing up for an email update on the City's
website at www.citvofeagan.com/subscribe.
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.
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.gopherstateonecall.oro
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 appro II of plans.
xDeborah Nyasende x ?` t, , fir.
Applicant's Printed Name Applicant's Signature