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4841 Safari Pass Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee i ' Fll/ in numbered spaces S/C , Type or Print legib/y Tot. 1. Date r~ 2, Installation Cost - 3. Job Address Lot Blk. Tract J 4. Owner / - r• ; ~ - . - 5. Contractor ~ - ' ~ Phone - `yw - i 6. Address ~ % ~ , F - .'r ~ ~ L' l ; 7. City l~`~.-'r. • - ~ State i~ 2ip - - , . 8. Building Type: Residential ~ Commercial ? Institutional ? 9. Work Description: New I~ Add O Alter ? Repair ? 10. Describe Fuel Type 11. No. ~uinment BTU - M. Ea. No. Evuiament CFM ~ Forced Ai r ~ ~ % Air Handling: Mfg. r % ; . ~ Boilers Mech. Exhaust ~ ~ Mfg. Unit Heater ~ Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : - - for Rough F lnal Inspections: Date Insp. Dete Insp. This is your permii when numbered and approved. Approved CITY OF EAGAN 4b4-8100 R~oeipt ~ J `t ~ PLUMBING PERMIT P~mnit No. ' ` ~ CITY OF EAGAN ~ ; F~ l" ~ ~ Fil1 in numbered snacea S/C Type a Print /egibdy T~ ~ 1. Date ` ~ ~ 2. Insta~lation Cost ~ f ~ ,f ~ i 3. Job Address L.? ' Lot ~ Blk, T~act r 4. Owner I ' ~ ` 5. Contractod"{k~; ~ ~r i, C Phone - . 6. Address F5~ J i;<-?i C~ ( 7. CitY f 'r• t~ ~ r State ~ Zi P` 8. Building Type: Residential Gommercial ? Institutional ? 9. Work Description: New'~ Add ? Alter ? Repair ? 10. Describe 11. No, Fixtures No. Fixtures ^ Water Closet Cesspool/Drainfield 1 Bath tubs Septic Tank Lavatory -Softner 2 Shower Well ~ Kitchen Sink Urinal/Bidet Other ~ Laundry Tray ~ Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that tfie above information is true and correct, and I agree to comply with all o~~nances and codes governing this type of wo~k. Signed : f ~ _ : - for Rouph F inal lnspections: Date Inap. Date Insp. This is your permit when numbered and approved, Approved CITY OF EAGAN 454-8100 ~ . : ~ ' CASH RECEiPT ~ CITY OF EAGAN P. O. BOX 21-199 EAGAN, MINNESOTA 55121 , DATE ~ ~ 19 / ' ~ R<GLIVlD /r 1 ~ s~ ~,,,;i'~ ~ . ~ .~~.e..--~--'1 RROY ~ - ~ AMOUNT $ ~ ~I ~ S`J . U a no~~was ioe ? CASH ~ CHECK IOR ~ ~ • - : J , ~ ) ~ _l_.L' _ . ' ~ FUND COD6 plAOUNT , i - % ' J C~ • l _ - 1 '1 ; 1j X e% C,~ ~ 1 % ~ ' 4 .r ~ Thank You ~ , I BYI~ ' 1~ A' r • • •j S ~ r White-Payers Copy Yellow-Posting Copy Pink-File Copy ~ ~ Receipt ~ PLUMBING PERMIT P~rmit No. CITY OF EAGAN , ; Fee Fil1 ~n numbered spaces S/C Type or Print /egiblY Tot. i. Date - 2. Installation Cost 3. Job Address • Lot Blk. ~ Tract ' 4. Owner 5. Cantractor ~ h'~ q 3~e! n ~s'...~~... v v.t~e~.~.d ,.r~'.~~' 6. Address 7L2 f'.'..'G. E. ~G~~t~f~~. ~ : ' ~ 7. City C-Stat~ Zip 8. 8uilding Type: Residential L~ Commercial ? Institutional O 9. Work Description: New ~ Add O Alter ? Repair ? 10. Describe 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfield Bath tubs $eptic Tank Lavatory Softner _ Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets ' 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : ~ ~ ` for Rough F inal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CITY OF EAGAN Remarks-- ~ ~ ~ ~ 5 Addition THE SAFART AnnTTT(1N Lot ~ Blk 1 Parcel ln 75850 Q3~ ~1 Owner Street 4~41 Safar~ ~ass s~ce~agan, 1KN 5..51 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. (Q 1'T2 , 2Q C010292 9-9- 5 STREET RESTOR. GRADING SAN SEW TRUNK 35/a, . 20 C010292 5 SEWER LATERAL p( 333 • C~~-02 2 1900.o C010292 - - 5 WATERMAIN WATER LATERAL 27 , - - WATERAREA 35/j,•2Q C010292 - - ~ coioz92 9-9- 5 STORM SEW TRK g 01 2 2 STORM SEW LAT CURB & GUTTER SIDEWAIK STREET LIGHT WATER CONN. ~r BUILDING PER, SAC PARK CITY OF EAGAN yyATER SERVICE PERMIT 3839 Pilot Knob Road P. O. Box 21798 PERMIT NO.: Esgan, rv~fii 55121 DATE: - 5 ~'O^I^~: R Z No. of Units: Pietsch Const Add~ess: Sit~ Addrcs~~ ~+~41 S ~i 'Pas~ I.:< B Sa ari A n Plumber: +~J-~TKe lTer;C~ F 3iXC Mster No.: s3.~~a Connection Chorye: • P Size: r:A~caurrt Oeposit: 15.00 pd Reoder No.: Permit Fee: 10. CO ~d ~~wr• ro py wM1~ e`. Cifr~ o~~l-~~nroli~?oe~ . 5~ pd Orlis~ Mtac. Gwr~pes: . p ~ Total: b3.00 pd meteY BY Qate Poid: ~te of lr?sp.: I nip.: CITY OF EAGAN ~R PE~~ I 3834 Pilot Knob Road { P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 pA~_ ~ - Zoninp: ^ No. of Units: k ~ ~wner: i `gt=~i i..~.1sL ~Wd?e55: Site 1lddrcss: `~'',.i 5r~~'ari . ' ~t~.!-t Plufnblr. ~~'i~Y~~ ~~-~7-~t~.`.; ~ - _ . ~ . ~L~i~,F~.) [1Q I 1 prM te eaa~l~r wilii !I~ Qhr ~f tap~ co,,,,.~,a, aa~: =1 zs , i~~~ ti aa,a.~a.., , Acoount Deposit: ~ , - , Psrmit F~s: ' ~ ~ urcFwrps: By Misc. Chorpaa: dcte of Inap.: Totol: ' Insp.: Dote Po1d: i CITY OF EAGAN WATER SERVICE PERMR 3834 Pilot kaob Road ' P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DI~TE: ~ Zonlnp: ~ No. of Units: OwrKr, ='it.te~_ ~e~~t Addrass: ~ ~~~41 ~~.,.r , , • ~ ~~~lr • . ' S~a Addr+ess: ~ ' as 5 _ ~ . , _ . Plumber. e~ieY~~ :'r~._ - AAeter No.: Connection CFwrqe: ~ ' • -~c~ Size: Acaoimt peposlt; 1; . i~ a Reoder No.: Petmit Fee: l L.!70 :~a I prM !o eow~l~r wllh fM Gryr ~f E~„~ SurcMrpe: j 3 , , O~Iw~weM. Misc. G+orpes: Tanl: ~ gy DaRs Poid: Uate of Irup.: Irap-; - v . ' CITY OF EAGAN I~° ~ d~ O 4 3830 Pilot Kno6 Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 4548100 5~7.~ 7 BUILDINCa PERMIT Receipt # Te b~ m~d /or SF DWG/GAR Est.Value $87,000 pa~e JUNE 17 ~q85 SiteAddres~ 4841 SAFARI PA55 Erect ocwpency R3 Lot 3 Block 1 ~ec/Su6. SAFARI ADD Remodel ? Zoning R7 Repair ? 7ype of Conrt. v Percel No. Addition ? No. Stories PIETSCH CONSTRUCTION CO Mova ? Lengxh 51 W Narrme Demolish ? Depth S ~ z 17525 ISLETON AVE A~~~s Int Impr. ? Sq. Ft. ~ ~~ty LAKEVILLE pnone 435-6445 ~nsta~~ O 9 Neme S~E AOWOrals Fw~ ~,ri A~~ Assessmenr Permit . 3 worer & Sew. surcnaree 43 . SC F City Phone 19 0 ~ Volice Plan Revlew ~w Name Firc SAC 525.0~ i~ Atldress Erq. Water Conn. S O U. ~ L i u ~w City Phone Plonner WaterMeter 63.OC Council RoadUnit 280.OC I hercby otknowladpe thot I F~ave reod this applicmion ond stata tfwf Bldg. Off, 6I11~ H S rr. ai. 13 2. 0 C tM inlormation is W~~ecf nrd ogree lo comply wifh all a0plicable APC Patka StaM of Minrrosota Stetutes and CiM of E on Or irwnces. ~ e 1 Ver. Date Copies S~ Si owro of Permiftea ~lPl~,l~~ IETSCH CONSTRUCTION Tota~ A Building Pormit is issued ro: on the exp~vas condltlan Ifw~ all work shall be dons in caordonee wit mble Sfine Minne S utes ond Ciry ot Eopon Ordimnce~. Bufldirq Officiol m:s .eu~~~ ro~e ~ ~ ~ 7 ~ ~ ~ ~ S . a L I...5 0. o u Rep te ' fire No. Itnug - I~pec[ion n ~ O~~~• fleQU~r 7 ~Neady Now ~ 1 Notify, InsOec- / ~ ez ?NO lor When Ready i`x~etl Electtical Gon[ramw ~ hereby repuest inspection ot above ? Owner ' +lectrinl werk i~talled at: SVee[ AAdress, 8ox or Roure No. Ciry 2 ~ b+SS F ,l/ uon Township Name or No. flange o. Cau /~A/CpTi9~ Occupant (fltlNTl Phore No. R ~~~!/R~ Porier Supplia Atldre ~ S l~t.n UC. EI .ical on~ctor ICom nv " ~ CD~~/~~^~ N / AEailinB Atldress IG~cmr or Ow~r A1aki~p I~taila[ionl ~ ~ ? /OU/~/S!f! e~~C C(/« Aufi "zed SiB~ture (COnvactor rcr Maki~p Ireralla[ion) ~one Number a -oF~~ MIM FSOTA STATE BO OP EIECTIIIGITY THIS INSPECTION qEQUEST NILL NOT G~iggsalidwaY Bldg. om N.197 ~ ACCEPrEO BY THE STA1E BOARD UNLESS PpOPER INSPECTON FEE IS 1821 Univmsip Ava..St Paul. YN 6510C ~ ~ ~812~ Z9~Z~~~ ENCLOSED. 53~c~ I~QUEST FOR ELECTRICAL IIY~ECTION E~'00007~ / ~ ' Sae iret~uctions tM cO~IBling thi5 tam al hBCk O~ YellOw CopV. ,Il~/ q' (4 O 7 5 8' ""X" Be/ow IYork Covered by This Request ii aea nep- rroe o~ s~iia~~e Apolunces w:.ee EquiOment Wired Home Range Temporary Service Duplex Water Heater Lightiny Fixmres Apt Building Oryer ~ Electric Neatin Cortmercial Bldg. Furrece Silo Unloader Indus[rial Bidg. Air Cwxlitioner Bulk Milk Tank Fa~ UNer peu v -~her ISUecffyl t.r peci y t Oth¢r nmpvte lnspection Fee Below 0 Fee ServiceEnlreneaSiza q Fm Feedars~5ubfeedera N Fee Cirwiq 0 to 200 Amps ~ 0 to 30 A 0 tn 30 M: ~ Atwve 200 Am ~ 31 to 100 Amps 31 to 100 A Swimmir~ Pool Above 700-Am Above 100_~+~Ws Transformers Irngation Boo~r~s Partial.'Other Fee Sig~s Special InSpec[ion Na~rks OTAL FEE l ~ 5'S~D / • p~~/ Ibuph-in , Date ~ i. t1ie~ElaclriF,a1 ~ ~ InsOec~or. he~aby certii~r tlHt the aEoYe Fi~al D'~~e pection las besn / /6.3.b ~ae_ .~,.~.~,a~,~ Y 2005 RESIDENTIAL BUILDING PERMIT APPLICATION ~7~ • G Q City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 _ New Construction Reouirements RemodeUReoair Requirements Office Use(~~dv 3 registered site surveys shaxing sq. fl. of Iot, sq. it. of house; and ~II roofed areas 2 copies of plan Cer{ af 5tavey;ReCd ,~;Y f~ [20% m~cimum lot wverage allowed) t set of Energy Calculatiom for heated additions Tree Ptes PlanFt9tXi _Y _t~j 2 copies of plan showing beam & window sizes; poured found design, elc. 1 si~e survey fw additior~s & decks €t90 Pres f?equrc2d ~:Y i~ lsetofEnergyCalculations Addifion-indicateifan-sifesepticsystem Dh5it6SBpGc~..aT'ysiedl _,:Y _N' 3 copies of Tree Presetvation Plan if lot platled afler 711193 Rim Joist Detail Opfions seleclion sheet (buildings with 3 or less units) Date U/ l 2.2 / ~y ~ / Const~cnoncost r2-~77. SiteAddresa `~8~1/ Safarr~ /'~55 C~qc]M /~N S~~2Z- UniUSte # Description of Work J / (/!<l5 T [2 Enf !h~ ' o c7~~'Q~ ,~/1 I 7S Multi-Family $Idg _ Y~ N I~replace(s) _ 0_ 1 _ 2 ~d~uc}r, ~ k~'~'L~1e Property Owner Telephone 6SI ) 6g3 - 95~ Contractor 51~"l~~-7)(1r~ f r7 JYIG Address ~~JO ~ st 4~ C~~ivniia. Citv ~~KaDc°e. State /~/I/ ^ Zip ,7~ Telephone # ( ~j7,i ~/~.j ' ~/OD CIG~ - 2. l COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeo[v 1 _ Minnesota Rules 7672 Energy Code Category , Residential Ven6lation Category 7 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted . Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, dote and address of master plan: Licensed Plumber Telephone ~ Mechanical Contractor Telephone ) Sewer/Water Conhactor Telephone ) I hereby apply for a Residential Building 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 the State of MN 5tatutes; I understand this is not a permit, but only an application for a peanit, 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. n~ 'i ~~v~da« ~ ~ C~ ~ ~1 ~ ~ Applicant's Printed Name A licant's Signature ~I fi ~ S E P~~ 2~05 I (1J ~ ~ al Y _ ~ OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 F~ct. Alt- Multi ? 03 01 of_plex ? 69 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt-SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex ? 19 Lower Level O 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Yor_N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg~ - Give PCA handout to applicant Valuation Occupancy MCES System Plan Review 100°h or 25% Census Code Zoning City Water SAC Unfts Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIItED INSPECTIONS _ Footings(new bldg) _ FinaUC.O. _ Footings (deck) Final/No C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tes[s Final _ Fr~mi ro _ Siding _ Stucco _ Stone _ Bnck _ Fireplace _ R.I. _ Air Test _ Final _ Windows _ Insulation _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ~ ~S~ ~v U ' ~ • , ~ f ~ ~ ~ 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED NITH THE CITY OF EAG9N INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS To Be Used For: si„~/~ ~~jy,~~~~ Valuation: ~~,ooo. ~ Date: /~~Gtl.~ ///y,~y v ~ , Site Address: y,~5// j~q~,q p~~s OFFZCE USE ~NLY Lot: 3 Block / Sect/Sub S~ Erect ~ Oceupaney 1Z-3 ' Remodel _ Zoning R-I Parcel Ik Repair _ Type of Const ~ Enlarge 11 of Stories Owner ~j,p~m i~,p~~i,~~ Move Length ~ Demolish Depth c Address f„ ~,v~,p i(~ ~j~ Grade Sq Ft City/Zip Code Phone APPROVALS Contractor ~-l~~"S~,y C~jNS7~,ec~//i>~> ~1S Assessments Permit ~j~~}. Water/Sewer Surcharge 4 S° Address /i5~3 ~sl~~,~~ ~f~~~ Police Plan Review ~ q Fire SAC 2y City/Zip Code ~/~'kjr~~~~~,~ /J~N, Engr Water Conn ~jop,°° ' Planner Water Meter ~3, Phone y35 iy~~- Council Road Unit 2~p. Bldg Off ,j Parks Arch./Engr. APC Treatment P1 13Z ~ Variance Address TOTAL a ~ _~G~, ~'O City/Zip Code Phone ~k 6~ 24x 4cp = I ~~4 x 54-- ° 5~co 1(0 ~ox ? ~l--. Z7o xs4 ~5c~ ~ - - 13x Y~ lo q-x S4- I o•* 2 ~"7~ ~ " ~n ZQ- X I l - ~ C~ CO . 3 94 + 43•5+ 1 9'7 • + ~ 52S•+ ~00• + 63 • + 280• + 132 ° + 2~134•5# ' City OP ~ ~/ai~... ~ . , " ~l • ~ I:XTh~RIOR ENVCIAPE AVERACE "U" COMPUTATION , ! , ,~wner / //=TSG7~dI~1~~/DN ~j~Addreae /~SaS ZS~,~~N~4-~if'~.~Phone ~5"-~vyy?l I,egel Descrtptlon vf Croperty: Lo.~l~Y Slock~_Addition'T?/.e SA~f"A~P/ A~~ Date ~lte Addrrse "y~y~' ///.~1/~ ! l~/~l` . - • AVERACE LINEAL FEET OP EXPOSED WALL.AREA ABOVE GRADE )?ain level ~ Llneal rt. of framed wall above grade ~3/ x helght of wall ~ ' Kim ]olat area . ~OQ (~8 l,ineal ft. of rim a height of rim u,ry/,~av7` y/p ' _ Lrwer teve . e 3~ Linea] Et. of framed wa11 above grade x height of wall y Llnedl ft, of ma~tonry wall above gradeL~,~ x height above grade .G ~ ~8- TOTAL wall area •above grade. including windwa and doora ~~o~O?-~7' wlNUOh'S: Area x"U" value / y ~U~~p~ Make ~ type ~G//<~ J.?/e /~fJS~M~s~'C47n 2fJY.r36aq. ft. x r u.~ y e~(U) (A) ~ ~ 2-av.r~s.eq. fc. /ii x 0 ~ „ s ft. i~/ x ~~U~~~a 6.y~1 (u) (A) 2 ~xya. 9• x „U ~ (u) (n) - r .v •i 2~A4~Vy eq. ft. iy ' o n a r e ft. /9~ x~~U.~~a /e.S~ ~l') (A) ~-2~bt42 4• ~U)(p) Ti - ~ . .'.~-25/x~/?/eq. ft. x nV~~ - y~~ a " N " 3-?'LXGO sq. ft. E nUo .~/G o . ~U)(A) F. r " y .Z- /PX3 f eq. ft.~X nUn~~° ..~.y (U) (A) ' sq. ft. x ~~U~~ a (U) (A) x (U) (A) „ sq. ft. ' (U)(A) n u eq. ft. x avo a aq. ft. x~~U~~ s Nl (A) _sq. ft. x ~~U~~ ~ (U) ~A) x nV~~ . (l~) ~A) sq. ft. (U)(AJ sq. ft. x . u n 8Q. fct.~ X nUn . (0)\(IA) 11 11 BQ• lC• . x t~~~~ v x vU~~ v ~U~ ~A~ eq. ft. _ - ,2i ss~ y I)OORS: Area x "U" value ~l~~ ~9. 9',~ x.~U,~ si e~co> cn; Make 6 type f d 3 BQ~ ft. x nUn , a (il) (A; „ „ a L~_eq, . m 2 (U) (A: ~~G sq. ft. x U.D Z x nV~~.~(U) (A~, n u PRlic /]~nR ~ eq. ft. . ~+e ~ /°~9fiu Gbo4 6 °-r~- OPAOUE WALL CONSTRUCTION; Area x"U" v ue eq. ft. . x ~~U.~ ,d/ a ~I`~'/S (t:)(A x ~~U~~ vy a h'.oo (U) (n eq. ft. Uetail refer eq. ft. x"U"~° /~,y'~ (U)(A ence f.rom e ~ £t~ x "U'~_~ /T `M (U)(A /fs~as~ u Q x nUn . ,.~3{0 (I!) (A attached eq. ft._ /8Y X ~~U,~ (0) (A sheete aq. ft. „U,~--e (U)~p • sq.~,ft: . x ~ / D 1'OTAL ilall Area Including~ ~~A/.al~ TOTAL (U) (A) ~ vJ"~" Windoae 6 Doors ~ ~ ~ ~4.g3 = A~~. , D'7~ - TUTAL (U)(A) VALU6S UIVIDED BY 1'OTAL WALL AREA AVGRAGE "U" Minimum .17 or leee for l b 2 family dwellinga Minimum .22 or leee for all other buildinge N~~TF.: Tf nvn[ege "U" valuea ae calcula[ed above do not meet.the Energv Code reqairementa, the "AJ.ernate Envelope Design" as indicated on Page 5 may be ueed. . . . . . : ' . ~ ~ , i;iryn.. . . , . ' . • . . . . ' i: . ~ . . . . . . . . ' • ' ,lJA1.L Sf.CTIUNti ' Ag` L I Jn'1'F:: Usr , l0"/. of up~aque w~l l nrea ~ fur frnmin}; meniburs - R-Value . ' FftAMING ltEMBERS IN WALLS . . . Ti~y VleN Ex[erior air, €ilm.--................___.._. ....17----.- ~ • ~ Siding ( I ~ Sheathing /!I / ~4~ I~Sy ~ soft wood ~ Y._~ ~i"..dry wall .4s Interior air film '68 ~ I TOTAL R- i~ 93 U ~ 1/R U • i ~9 FRAMED WALL Exterior air film •17 Siding Sheathing ~ ~ /~D~7 yx batt insulation _ ~7 ,45 dry wall - Interior air film ~68 ~2• ~(p - u-i/R u. ,vy RIM. JO~~T.Ai{F.(~ Sxterior air film r I~ Siding - Sheathing • ~1==^---- 1. 88 _ eoft won _ Iy,O~ . .68 Interior air film - • TOTAL R = ~~J, y . ~ U ~ 1/R U ~ .Dy MASONRY . WI~I _ Exterior air film _.1_.. '17 ~ ~ 12" concrete block_, ~-•--/2~'-" ~p0 Ineulatioa ' _ ~ . _ . _ . interior aiz film~ ._.._..--:6a--- ~ . . TOTAL R ~ ~ ~3 _ ~ _ . . • - I . . , ~ ' ROOF CF,ILING ~ Jr ' Outside air film .61 r ~ r ~ - - ~ Inaulatian r~'lI~/~ ~"i~~f - T~~:/s:. . - ' 1 I ~ r~3~ j~.- ~OjI..__ il~~~.~~) 1 iJ jl~,~~'-. Drywall ~ .45 l vL _ - / \ Ineerior air film .61 - TOTAL R_ ~ t~IS (p ~ i , - U ~ 1~R U . - _ Outside aSr film -_-.61. - Inaulation_ . ~ I ~ 1.J, Ll . V~~' .1~~ , i y~~ prywall __45 l ~ ^ - ~ ' In[erior air film •6~ - . TOTAL R = U~ 1/R U= _ Outeide air film •17 g~.~t~~~~n, rnnfinro _ -_c.~~. ,r ---r'-! Ineulation f, - . - . Wood decking ~ _ _ , ~ _ Interior air film .61 . ' 1 ~ , ~ _ ' ' • ~ - ---TOTAL -R-- . . U - lIR ° . )F/CCILINC,: CAL AR~A: ~7 aq. ft. tail reference 'U •0~~ a eq. ft. ~5~ (U) (A) ~m above. "U" x aq. ft, (ll)(A) scribe openinga "U'~--x eq. ft. ` ~U~~~~ roof "U" x aq. ft. ~ C1J)(A) ~~U~~ x sq. ft. ' (U)(A) "U" x eq. ft. ' (U)(A) , ~ '(?"_"'.~.-x eq. ft. ' ) TOTAL3~ e4. ft.~,~,(U)<A) rni. cu> cn) vntuNS ~,5i ' VIDED BY TOTAL RUOP/ 3 Q, ~ . O~ AYG. "U'~ ILINC AREA ~ 0 EItAGE "U" .05 tor ventilated roofe .10 for all other conatruction - ~ 'fF.: lf aver:age "C'"' vnluea es calcOlated above do aot meet the EngerRY Code requiremente, the "Altcrnate Fnvelope Deeign" ss indicated op Yaga 5 may be used. Certificate for: , , Pietsch Construction ' DELMAR H. SCHWANZ L~NO SURVE~OfiG ~NC Faqrt~p.M Undpr ldws pf Tnp $~dV n~ Mm~lOI~ . • 14750 SOUTM ROBERT TRAIL ROSEMOUNT, M~NNESOTA 55088 PMONE Q217317~l9 SURVEYOq'S CERTIFlCATE / v ~~6~ 8 , / 4 . , ~ ' ~ ' ~ ~ , ; ` ~ /~o ' oG1 5 ~ i ~ 960.5 ~ti D~ , ~ ~ ~ o ~ , ' ~~y ~ ~ ~ I[,y~ ^ s~ c r .7/ • V ~~S o9 Y y nG N L ~ 2 ' V,, ~ J~ ~ ~ ~G 5 R ~ ~ ~ ~ ~ ~ o ~ c ~ 96~'~ ~ ~ 9`y~' yck~' ~~.;~'~y ~ ~ s ! 'l ~?~ne~s ~l•~~~'~ Q~ /9 S~ ' ~~3 ~4n I ODenotes proposed elev. 9G ~ ~ ~~{'Y Prom development plan. S ~ ,S "~n, ~ N 5s~ ~5'~ 5 I hereby certify that this ia a true and correct representation oP Lot 3, Block 1, THE SAFARI ADDITION, according to the recorded plat thereof, Dakota County, Minnesota. Also showing the location oP a propoaed house not et~ked thereon. Dated: May 16, 1985 i ~ ~Z3 , MINNESOTA RE615TRATION NO. 8825 . .i ' ~ C 2/84 ~ ~ ~ ! CITY Or EAGAN ~ ~ 'c ~1 14~~~ APPLICATION FOR PERNIIT SEWER AND/OR WATER CONNECTIODI (PLEASE PRINT) P~D~ ~o~s: y~ rr ~,~~w~; P~-SS r.rrar DESC2IPTIC:I: 1 n. 7` 3 t3~ o v/: / (Ir~t/Block/Su~divisicn or Tax Parcel I.D. Ni.nr~er) ~ I"r W:IS:'_:G S'?'~CCP^:'cE, DAT O~' Oi2IGi ?AL 'rtiZ'~yD~:G P~_~:IT ISSu?~:G: P°~S~`" ~:^.`1I;v~:/P~OPOS-'"~J L'.,~'r.': ~R-1 SLiGL~ FPyffLY ` ~ ~ R-2 CLTPL,.,.~'`{ ('IZ;~ LTIITS) ? P.-3 TCT.v~II?CLJ~E ('I'I-'?. W+ L^TIT51 ( Wi ITS) ? ?-~k r;P?,R'?a~:T/CG.7~Ci-!I`7IL~1 ~ L~l~ITj~ p CQ~CL~L/RE^.AII,/OFFIC:~ Q ~.'CUST.'~ZAL Q L`dSTI'SL'TIO:l~L,/GGV~~L~:~'~'T 2) APP7..,IG..~T (PLEASE PAINI) ~ r ` ann:~ss: ~sa~' ~,~f z CITY, ST1TE, ZIP: - PHOi~: 3) PLL.'~ffiER . PLEASE PRINT) FOR CITY USE ONLY r~: l~Ls~l~'/!~'E T,?E,~e~~o,./ ~ E.~'C Ge PlI1HBERS LICE4SE: ADDRESS_ ~~6 ~/~f' ~D ~[ive CITY, STATE, ZIP: E~4 G~-~„ ~ y 5 5/,~ 3 ~ Expi d N nf Record . ~ PHODIE: ~~f3~.G PLUNBER LICENSE N CJd~%~Y ~ a r nttta 4) ~7pn,r~/a~2.~ (PLEASE PRINIJ 1~i~Ttr/i ~o, c•)` ~D~SS_ _~~~s.~,- ~s~~-r~~ CITY, STATE, ZIP: ~~q. fj-¢ ~j ~[~F ~y S-~O~ Pxo:va: ~j!.~ 5~ ~ YYS~ 5) INDIG'1T'G WI-iICH PERtilIT IS BEING REQUESTID: ~~C.TION 'It~ CITY SES~7ER ~•~0./ L~l ~~rZON 11~ CZTY WATER ? OTNFR (PLL•'ASE DESCF2IBE) 6) Pi:DIC1;.:: C.ir.: • PLr'a5E F?OID APPROVID PER'~lIT FOR PICI;-L'c BY ONE OF AGOVE ? PLFASE .*AIL APPRpVID PEP:lIT TJ 1. 2. 3, 4 A£OVE (Circle one) ~ ~ i 7) SIG.~Z[iftE: ~ l~ DATE: 6 Si ~3' . ~4 q~~l?JY i~ i!a l~g~l.J~ ~~t f!Riii1~:~ ~i i i isii:~ a i fe!!:a!l~J~! A fs! iif'~i~ ~ FOR C ITY USE ON:,Y PEBMST " ISSUED ~ F°~S: S ~G'-Sv SEi^iER ~~4;'!rT (I`ICL::D~ SU~C`i?RGE) 5 /G'-fU WATER PERPI2T (Ii.CL'JDE Sli~C:iARGE) S S-,~~<~c., WATER METER/COPPERHORN/OUTSIDE READER S WATER TAP (INCLUDE CORPORATION STOP) $ SE;JE4 T~P $ ~S.~w =r~Gi::YT .,?C~SI= - a_.~~3 $ i S! °~`iJ ACCOUNT D.F,POS IT - WAT°R $ S~° u r~ 0 WAC $ S~~ c~~r i SAC S TRliNK WATER ASSESSi3E.~T S TRliidK SEWER ASSESSiIE.IT $ LA;E:t~L BENEFIT/TP.UNK SE:•:ER $ LATERAL BENEFIT/TRU~IK FJATE~ $ ~3~ ~ a U ~ OTHER ' $ TOTAL $ / S~ `~v ANIOL'NT PAID/qECEI2T R ~ S.J~~-~ s, DOES UTILITY CONNECTZON REQUIR£ EXCAVATION ZN PUBLIC RIGi~T OF WAY? C~ YES ZF YES, THEN n"PERMIT FOR *AORK WITHIN PUBLZC ROADWAY" MUST BE ISSUED BY THE (~iNO ENGZNEERING DIVISION. LIST AS A CONDI- TION. SUBJECT TO TEiE FOLL04aING CONDITZONS: ' , APPROVED BY: r - c_~ TI.LE: ' DAT° : ~I~~~ ~s~~+~~~~uc~~e~s~~s~~ws~ws~Ra~c~w~~~w~~~sef~Ra~c~ras~~~. 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) ~2' ~ CITY OF EACAN ~J ~ lJ ~j 3830 PILOT KNOB RD - 55122 651-681-4675 ~ , t ~ _ °t S / New Conshuctlon Reauiremenls ~ Remodel/Reoalr ReaufremeMs > 3 regirtered stte surveys showing sq. fl. ol lot, sq. (f. of ho~se 2 eoples of plan and all roo}ed areas (20% maximum lof coveraae atlowed) 1 sef of energy caiculaf(ons for heoted addilions ~ 2 copfes of plans (show beam 8 window sizes; poured fnd. design; efc.) 1 sRe survey for exterior addMions a decks : 1 set of energy calculatlons > 3 coptes of Tree preservation plan B lot plaited aFter 7/1/93 DATE: ' 11 ~ CONSTRUCTION COST: o~ DESCRIPTION OF WORK: S~o/r-~ ~G,., a J~ I~[~~~ ~ STREETADDRESS: y~~I~ ~A~/~ pGSS ~ ~ ~ ~a~ LOT: ~ BLOCK: I SUBD./P.I.D. Name: gu. ~.~i 7~~ Phone 64 3-~I T~ ~ PROPERTY ?cs1 First OWNER StreetAddress: ~Ig N l gw~.~ PuSS City _ Fq9 m-. State: l~'~1 Zip: SS I~~_ Company: l~ ~e~~ c~., Q~~ d~ „~rac r Phone ~1~ 7~~ - 6`~T ~ (area code) CONTRACTOR ~ 2~~ Street Address: 1 ad H~. ~1? ,,co I ~~t+ /~v~ License #:?-0i6~Y-~Exp. ~ City c ~~I JP State: ~"N Zip: SS~ ~a.~ ARCHITECT/' ENGINEER Company: Name: Telephone area code ( ) Street Address: Registratlon City State: Zip: Sewer 8 water Ilcensed plumber (reaulred for new conshuction onlv): PenaNy applies when address ehange and lot change is requested once permit Is issued. I hereby acknowledge that I have read this appllcation, state that fhe Information is correct, and agree fo comply wffh all applicable Stote of Minnesota Stotutes and Cfty of Eagan Ordinances. Signature of ApplfcanY. OFFICE USE ONLY Certificates of Survey Received _ Yes _ No ` Tree Preservation Plan Received _ Yes _ No _ Not Required OFFICE U5E ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 5F Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 03 1 of _ plex O 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE ? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof ` Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. SAC Code UBC Occupancy sq. ft. No. of Units Zoning sq. ft. No. of Bidgs # of Stories sq. ft. MC/ES System Length sq. ft. City 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 PI. Park Ded. Trails Ded. Other Copies Total: SAC Units % SAC ~ ~ ~ " CITY OF EAGAN • _ ~ ~ ~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING ~ERMIT R~«i~ ~ T~ b~ w~ Me ' A;1 Est. Yalue t.`? ~ i~ il u Dote - 19 Site Addre~ I: : _ Erect OCCUpanCy Lot - Blocky co~i `~,3r'r#': Remodel ? 2oning ~ Sub. Repair ? Type of ConK. Parcel No. Addition ? No. Stories ~ Neme C OIy S': R UC'~' r(~ r. Move ? Length W T n,- Demolish ? Oepth J,~ ~ Address ~SI,~~1'()I~ AV~. int Impr. ? Sq. Ft. City .`i ~ I~ r p~ne ~ " h:'~'~." Install ? 5 A M C' APpova Is it~~ ~ Nama ~u A~~ Assessment Permit ~ n u~ C i t y P h o n e f Woter d$ew. Surcharg e l' Poliu Plan Review~~ • U G ~S . O U ~,W Name ~ Fin SAC A~~ ~ Enp. Weter Conn. ! 110 . 0 0 ~ W City Phone Plarme~ Water Meter ~ 3. 0 ~ CounCil~,~ Road Unit 2~~- ~ fl 1 hereby acknowledpe fhaf 1 haw mod this opplicotian and stot~that Bldg. Off. j~` Tr. PI. 1-> G. C) Q !M informotion is correct cnd oqree to comply with all appl~ble Stat~ of Minrnsoto Stctutes ond City of Eoyan Ordi~oncss. A~ Parks ' Var. Dste Sipnatun of .Pem+itto~ - - . ' -,1 - ; . _ CoPies , ~ ~ ~ . 5 0 A BuildinQ Ptnnif Is fsSUed ?O: 3' ' r i`~~, i.{lt On tM ~tai~n8 COnditlOn thot dl work shoil b~ dorw in oaordonc~ with oll appfiwbl~ Strn. of Minnesoro S~aurn ond City ot Eoqon Ordi~,ar,oes. Bufldirq Offlcfol P~rmit No. P~?mk Noldw O~a T~I~phon~ ~ Plu~nbinp ~j U ~ C1~--~ 1 ' a3~7 3 H.VA.C. ~ 1 U ~ ~ ~ - I r ' - ~ ~~o ~07 ~,J ~ tl ~ I '~/0 • 6 soft~r i~ction D~t~ Insp. OM~r Footings 1 ~ L~ Footings 11 Foundetlon Framing / RooHny - Rouph Plby. . ~ Rough Mtg. 7l~ ~ Insul. o~.t.~.+ ~ , "t`.r S rr Finplace ~ Flnal Hty, p Final Plby. ~ Final e CsrtJOce. Watsr Dhc~ibs Locnion: WNI Ssw~r iM. Diap. Use BLUE or BLAGK Ink r—————————————————) I For Office Use � I � r �L.M�� j Permit#: �� 7�jjL- I �� / y� � � � I Permit Fee: (.�U• �� 3830 Pilot Knob Road JUN 13 2014 � Eagan MN 55122 i Date Received: � � "�� P h o n e: (6 5 1)6 7 5-5 6 7 5 B Y. � staff: /'�� Fax: (651)675-5694 �________________! � 2014 RESIDEN�IAL�PLUMBING PERMIT APPLICATION Date: ' /� L'� Site Address: � �� ; Tenant: , ' # J Suite#: � �< r` Nam � .S Phone�r�� a-�C� �� i�f'�' �`� 'I � �u� � �..� �- � �� Address/City/Zip: � � � ��. . ��, .. . � �. �. I . .:.�: Name�� '��t,—` �__l ��C�:�2�� „`.�- �+ u�` 1--�� License#: � �. � � ' � Address '-t�-� � �� City: �Ll��-�.1�--�`�� N ��`�±��X` �° ' � ` i `� " �1,�°>�`�t� � � State:�_Zip:�t��L Phone: � �� $ � �: F. � ; <� '' � �' Contact: �� Email: h �.�ar� �.�.,,� „ , '� y. y . � � .. � � F. . � .�,�� ,�,��, _New �Replacement _Repair _Rebuild _Modify Space _Work in R.O.W. � � � � �> ;�''=.<`a;`�: Description ofwork� �� • _R.�..�'�� , > `,r: RESIDENTIAL � ` Water Heater _ _ n � fl �z �Water Softener � � �' �awn trrrgatron(_RPZ,'_PW8) � ��$E Add Plumbing Fixtures�Main/_Lower Level) ; � Septic System 5 � _New Water Turnaround � � , : : : $ ; ,, � � ` ` , Abandonment � x � ,. ,,�„�� :�.� . �...� .�� ,,.��,.._ .,^.� RESIDENTIAL FEES: � ;< $60.00 Water Heater,Water$oftener,or Water Heater and Softener(includes�5.0o state surcharge} � � $60.00 Lawn Jt'rigatlon(includes$5.00 minimum State Surcharge) � � � � �s�.fiQ t�fjtt° r�{liiTiI`u3iiC��k'Qiii$S, �$i'i�`iC vVS�ici1�'9 r+u"'..i�t�vic'i'ii�iit,��ut£:"Ti:3'^:^:��^::�E�*�It1C�G��S$�.��#�SS:CC!?��Q� u 'Water Turharound(add$200.00 if a 5/8"meter is required) �� $115.00 SeDtic SVStem New($10.00 per as buift)(includes County fee and$5.00 State Surcharge) �,� ± �,��. ,_.��.�,,�� TUTAL FEES$ �. �,_,,�..,� CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against un�erground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.ora I hereby acknowledge that this irrFormation 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. X �1r1��-�-- X � ��'�� " App nYs Printed Name Applic t's Signature .` 'tM j � � .+� i; '` .i��Y a ��t-_: _ „;.Yy 'a�.j�j% �t+. �y��+� +�£�: :g;+}d �.;.5 's= ..�'r:: - Y�=>: . �,..�� .: � .,,: ,.<t,..,:,...:.. .i�.,[R�C'..T'r�4 5:;�:;= � ��n�� ,r;, !"��.,.#�i�,�R�'�' .�� ' �. � � ,.. �::.,.• •:': ..�:r ,:.,.�� ,.... �•�`�f�"' _ �.i....�'sfiz,,..i . � ,.,....�,::.:w._:c,�v ...:.;a;,,:z ....�..:i _,�,. �£ ' .,.,,.: ,. ....:. .,,..�.....�.w:r.:�:?�.?:�:,.>.,^,. 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"'' i.. ..... ..:.....::.....-. J �. n::.d..22'w.'...i.sY_..:..��r . ��' . � .?��+�d•1�nik 1 cad For Office Use /1 ��/7 I A I m i ® , ::::: l 1 a ,e ,r EAGAN , r$,®. /`? 73�'� : [ r I I - RECIEVEI Date Receive. -�� I 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 ( (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 MAY 3 0 2018 Staff: '`� buildinginspections((cityofeagan.com L 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 5-30 (c6 Site Address: Lt Vi( 54-Pa f l Pt s.,7 Unit#: Name: 14 Ay +- aA., 6 8(Art-1 S Phone: 6/01- g - 9/Gy 1 Resident/ /� Owner U Address/City/Zip: / VW( C,N 4``ri i'et5S J/Applicant is: Owner A Contractor �� Type of Work Description of work: R Vie(L 2. d i j wjr 4 e c,k,,. Construction Cost: 000 J Multi-Family Building: (Yes /No ) Company: 0,..yr I eAr Ldrosl/UL(JTh/( Contact: Ct lirl ni Contractor Address: 113 00 2-3 5 ST. .. City: k-€ti/ (&.. i State: ' Zip: S 5� Phone:t/ 791 , , l Email: Ak y wear' C cW 5f`a)A mix Est ,c.a License#: p L 0/ / L/t 7 Lead Certificate#: ,9 T / 7 .)-77/ If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non public if you provide specific reasons that world permit the City to conclude that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances 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.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is rot 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 approv f plans. x IT eurf/iv PI cl,\-e r x Applicant's Printed Name Applicant's Signature ham' DO NOT WRITE BELOW THIS LINE TPi/ a.r; j��rjs /f j�'�S. SUB TYPES Foundation Fireplace Porch(3-Season) Exterior Alteration (Single Family) Single Family Garage Porch(4-Season) Exterior Alteration (Multi) — Multi >e Deck _ Porch(Screen/Gazebo/Pergola) Miscellaneous 01 of_Plex _ Lower Level _ Pool _ Accessory Building WORK TYPES ''[ New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building Reroof _ Demolish Interior _ Alteration _ Fire Repair _ Windows Demolish Foundation _ _ Replace _ Repair Egress Window Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation iclIV Occupancy 04.'`, MCES System Plan Review Code Edition 12-0 11' SAC Units (25% 100% ) ' .. Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction Ito Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) y Final/ No C.O. Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Roof:_Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In Air Test Final Siding:_Stucco Lath _Stone Lath Brick_EFIS Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: 11, , Building Inspector RESIDENTIAL FEES Base Fee Surcharge 0614' Plan Review . MCES SAC City SAC 0 Sir -- .2, Ti- ,2--o Utility Connection Charge S&W Permit& Surcharge Treatment Plant Copies TOTAL Page 2 of 3 _ . Certificate for: {� Pietseh Construction -' t a' �7/�`� ,, iiNt .. DELMAR H. SCHWANZ LAND SURVEYORS INC: L.{If L4".,1 P1LQS R.O•Ster,1 UndP L#Mc Of The.State co Mrnrk.tN. `�� 14150 SOUTH ROBERT TRAIL ROSEMOUNT.MINNESOTA 55088 PHONE$1242i1789 SURVEYOR'S CERTIFICATE0/tAl /1‘400h il ' - 0/1 (1// . ---"--------1- ..- t 14 \r 0 1 \ 1).\ \ q ..---*"..%1‘ '/ \ 1„- -- et' 4010- 1 li • fell . � s ,,,09 r L 4 iv. af V 4,ildr ,. GA AG `J' . ice ti .fly s.. \.1\ \ Its \119;- `*4\\v, v m. (p. 1 C)Denotes proposed elev. 0.o r 0rt ria< from development plan. 9a fo I hereby certify that this is a true and correct representation of Lot 3, Block I, THE SAFARI ADDITION, according to the recorded plat thereof, Dakota County, Minnesota. Also showing the location of a proposed house not *ticked thereon. Dated : May 16, 1985 1 AO 4"7...y MINNESOTA REGISTRATION NO.8625 .f PERMIT City of Eagan Permit Type:Building Permit Number:EA151466 Date Issued:08/27/2018 Permit Category:ePermit Site Address: 4841 Safari Pass Lot:3 Block: 1 Addition: The Safari PID:10-75850-01-030 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Robert J Burtis 4841 Safari Pass Eagan MN 55122 Polar Builders Inc 1103 West Burnsville Parkway Suite 110 Burnsville MN 55337 (952) 895-8100 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA154303 Date Issued:03/12/2019 Permit Category:ePermit Site Address: 4841 Safari Pass Lot:3 Block: 1 Addition: The Safari PID:10-75850-01-030 Use: Description: Sub Type:Residential Work Type:Replace Description: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 - Robert J Burtis 4841 Safari Pass Eagan MN 55122 (612) 868-4164 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA154953 Date Issued:04/19/2019 Permit Category:ePermit Site Address: 4841 Safari Pass Lot:3 Block: 1 Addition: The Safari PID:10-75850-01-030 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations 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 within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Robert J Burtis 4841 Safari Pass Eagan MN 55122 Polar Builders Inc 1103 West Burnsville Parkway Suite 110 Burnsville MN 55337 (952) 895-8100 Applicant/Permitee: Signature Issued By: Signature