4847 Safari Pass GEO. SEDGWICK HTG. & AIR CONO. CO. ' D~3'~c~ O'f
` FfOUSE HEATING TEST RECORD
ADDRESS V $4~ ~~`a rF`u S S CITY C- 46A V-i
OCCUPANT OWNER
HEAT LOSS DATE HTG. I ST.
SOLD BY e &N• L ~A_ b 1.--. INSTALLED BY
Electrical Work By Gas Line By (7, e" 'I f r
TYPE OF HEAT- GA ~AS D GNW STEAM SPACE HTR. UNIT HTR.~~T
MAKE ~ Y~~ -_-MAKE OF BURNER R F w EW E n
Model Model
Serial 0'~49543 Std6_a Max. BTU Rating "
INPUT /O C) oat. MAKE OF_EU4MA'Ifflt- _
Wdel DATE `
CONTROLS
THERMOSTAT Heat Plug ~ Vent Size
Valve KIND OF LINER S12E NONE
Limit Draft Hood S , Regulator ' 1
Limit Setting Filters Size Number
Fan Setting ~~~•7"' ~4 Chimney Location Inside X Outsid&
Pilot TYpe '`E ~ " ~ ~ S ~ " Chimney Construction
Pilot Make
Pilot Model Smoke Bomb I Wiring
Pilot Timing Draft Test Tag ~l s
L.W. Cut Off y Door Pressure ` Lighting Inst.
Pressure --J Percent C02 Date Tested '
Input CFH ~UO~~'f~ Percent O 2 ~ Company Testing
Stack Temp. Percent C0 Name of Tester ~~s'~f f~~• F ~ c~n
Form 235
Receipt-' ' PLUMBING PERMIT Parmit No,
, CITY OF EAGAN - Fee
Fill in numbered spaces S/C ~ J
Type or Print legrbly Tot.
1. Date 2. Installation Cost
3. Job Address -LotBlk. ~ Tract
-r----
4. Owner
5. Contractor ~ Phone 6. Address - f
.
7. City ' State 2ip f ~
8. Building Type: Residential ~ Commercial ? Institutional ?
9. Work Description: New ~ Add ? Alter ? Repair ?
10. Describe
11. No. Fixtures No. Fixtures
' Water Closet Cesspoo!/Drainfield
~ 6ath tu bs
5eptic 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 Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approvad.
Apprpved CITY QF EAGAN 454-8100
, y CITY OF EAGAN
• 3830 Pilat ICnob Road, P.O. Box 21-199. Eagan, MN 55121
PH ON E: 45481 QO
BUILDING PERMiT Re«+cr #
TO w wwd iw Est. Value Date 19
Sitc Address Erect 4 Occupancy
Lot 1 Block ~ec/Sub. Remodet ? 2oning
Repair ? Type of Const.
P~e1 N~~ AddRion ? No. Stwies
Move ? Length
~ Narrie Demolish ? Depth
Address 'L: Int Impr. ? $q. Ft.
City Phone ~ 5 1 t' Install ?
Name ApOrorals Fea
Add~~ Assessment Permit
~ Water S Sew. Surcharge
City Phone
Polia Plan Review '
~W Name L1~~'~ !3!:,P1bi ;F;.",'`J?.C:L: Fira SAG " i
W !_o Address Enq. Water Conn. 1
tW City Phone 9 -.1 1"44 Planner Water Meter
Council Road Unit 2 8 ~ • 0 ki
1 hereby otknowledg* thot I haw reod this appl icotion ond stare thnt :
Bldg. Off. Tr. PI.
the inlorrriotion is torrect and agree ro comply wifh all appiicable APC
Stote of Minnesota $totutes ond City of Eaqon Ordinonces. Parks
Var. Date Copies
Sipnoturc of Pennitta ,
Total
A 9uiiding Permit is issuod to: on tM exprsss tonditlon thot
all work sholl be done in acaordonce with all oppliwble Stote of Minnesoto Stotutes and City of Ecqon Ordinonces.
9uildirq Official
' Permit No. PKmk Holdar - Dab Telephons ik
Plumbing UH.v-A.c. "
ENctrlc Y, / I ~ r
8oftonsr
Inepsction Date Insp Other
Footinga I
Footings II
Foundatlon
Framing 7 y'
Rooftng %
Roug
Rough Htg. ~ E h Plbg.
Insul.
Fireplace Qj'C
Flnsl Htg.
Final Plbp. • ~
Final
c.wocc. i a to I6 ~ ~
Water DKC?i6s Location:
Well
Sewer Pr. Disp.
<
Reoeipt `MECHANICAL,PERMIT Pennit No.
CITY OF EAGAN
% FN
L1 - ey~ i ? f
Fill /n numberrd sFacet S/C ~
TyPe or Print lspidly Tot
1. Dsto 2. Instailation Cost r ~ ?
3. Job Address f Lot ^ p' Blk. Tract '
4. Ownar i.W
5. Conuactor ' Pfione _ . - ,
8. Address
7. Gty State 2ip
8. Building Type: Residential 0 Commercial O Institutional ?
9. Work Dasaiption: New EY Add ? Alter ? Repair 13
t I~~
10. Desixibe 0 Fuel Type -
i
11. No, Equioment BTU - M. Es. No. Equipment CFM
~ Forced Air "J `Air Handling:
Mfg.
Boilera Mech. Exhaust
Mfg. Unit Heater
Mfg• Other ! _ r f
1 Air Cond.
Mfg.
i`
i Gas. Piping Outlets
12. 1 hereby certify that the above information is true and correct, and I agree to
oomply with all ordinances and Codes governing this type of work.
Signed: t:/ , - / " for
Rough I i1" "`-'l - f inal
Inspections: Date Insp. 08te Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CASH RECEIPT ,
CITY 4F EAGAN
P. o. sox 21-199
EAGAN, MINNESOTA 55121
..r -
DATE
wceMvKo i,,
•woM
AMOUNT ~
$
6 OOLLAR!
7oo
? cwsN Q CNECK
•~~G+r.~ • .
FOII . • • ~ --4
/
!
~ . " . ' _ .t ~ ' - E" '
FUND CODE AfAOUNT
Thank You ,
BY
. : .
White-Payen Copy
Ysllow-Potting Copy
Pink-File Copy
CITY OF EAGAN SEINER SERVICE PERMIT
383n Pilot Knob Rwd pE~IT NO.:
P. O. Box 21199 D^~:
Eagan, MN 55121
'
Zoninp: No. of Untts:
Owrrr. usttl !.bsZS4 `
Addross:
Sia Address: ; Saf$ri Pas9 L4 -
Plumbae - ? iu:;i) i:~r
I3-55
~i + •
I MrN N"NoI! wMb !Iw CM1I of 900010 C'omeetion aaeqe:
OrdfNnas. Accarnt Deposit: ~ . - : i .uJ~ ^
PermIt FN: : .
SurcFw?pe. '
BY 11Aisc. Chorom
Dote of Insp.: Total:
pots Poid:
I nsp.:
ciTY OF EAGAN YIIATER SERVICE PERMIT
3833 PNot Knob Road pERMIT NO.:
P. O. Gox 21109 DATE:
Eagtn, MN 55127 NQ, of Units:
Zoninp:
Owrrr:
Nddress: , ' -
Sift /?ddress: ,
P1umbar. Conroction Charge: ,
NMftr No.: Accourit peposit;
Sine: paRnit Fee:
Reodsr No.:
1asm !e 1%"RMI' fV CM7 oi loMw Surdhoroe:
FAUc. Chor~s:
Totcl:
pate Poid:
By ImP•:
Dote of InsD.:
CIT't QF cAGAN WATER SER~CE PERM
3830 _Pilot f:rwb Road pERMIT NO.:
P. O. Box 21199 0^TE: 7 ;
Eegan, MN 55121 1
R 1 No. of Untts:
Z°~irq' Card c:onst
pwrer:
hddron; S af ar i Ac? dn
~h 4_''?7 Sa.`ari Pase L4 B1
;
5U0.,)0 od
conn~ctia? CF+oroe: . J
Mster No. rO 3 unt peposlt: U~
Siu: ~ Pem'+it Fee: ~
Reoder No.:
~ ,`if~aroe: 132.OQ
ae.1y *10,00 .1
1 Nn~ h -
~ f. GAi~c. ~roes: r
r
OI+/IM t't t- ; ~%r + L% ~64t~. Poid:
BY
I r~sp.:
`
~~1'077/7,
, . ''f•
~~~=~~O~~~a
RequASi l5:lte Fire No. ugh-in InsDectfon
~ Req reA? []Fleady Now ~II Notity.lnsper-
S es ?NO ~or When qeady
icensed ElecLical Contractor 1 hereby requestinspection of above
Owner elechical work imtelled aC
Street AdAress, Boz or qoute City
~~C.~
ecuon o. Township Namc or No. Rangc No. County
Occ a (PHWT) Phone No.
~ 4~
Powe lier n ~ AAdress
Elec[ ica olracmr ICom ny N. 1 Conhactor's Lice=so.
K
in ~ ss IContre or or Owner A1~king Instailation) ~ /y,~ `
Zp
Authorizetl amre ontracto Ow Making Ins[allatio PM1one MuuMer
MINdESOTq STATE 80AND OF ELECTRICITY THIS INSPEGTION REUUEST NILL NOT
Griggs-Midwey Bldg. - Room N-197 BE ACGEPTED BY TNE STA7E BOAIID
7821 University Ave., SL Paul. MN 65104 UNLESS PPOPEX INSPEGTION FEE 6
Pn..n.. 16121 2972111 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION EB-00001'OJI
+ Sae instructions for comletirg this (dm on beek of Yellow copY-
D A n
~ '~Lf)."3 Z,li, "X" Be/ow Work Covered by This Fequest ~ gS(
Fdd Nap. Type ot Building Applianees Mired EQUipment Wired
Home Range Temporary Service
Duplex Wa[er Heater Lightiny Fixtures
Apt. Building Dryer - Electric Heatin
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Butk Milk Tank
Fgrm Other Pec,y therlSpr,cityl
t ,r Suecify ther Oih.r
omnute lnspection Fee Below
tl Fee ServiceEntmnce5ize tt Fee Fee.ders/SUbfeeders K. Fae Gi¢uits
0 to 200 qm s 0 to 30 qm s .3 01,23
0 Am
Above 200 Amps31 to 100 Amps 'L 3to 700
Swimming Poal Above 100_Am : Above 100-AnWs
Transiortners Irtigation Booms Partial.'Other Fee
Signs Special inspection S m ~~1
Pemarks U- 1-0/
flou0h-in Oate Electv'cal
canify that the abovn
Final nate nspeelion has Leen
c~. 1y 11 ,fr/ reaee.
rnu reuuan•oia ie momns f.«n
I . CITY OF EAGAN Na 10400
' 3630 Pilat Knob Road, P.O. Box 21•199, Eagan, MN 55127
BUILDING PERMIT PHONE: 4548100 rteeeipt ~i
~
T. M awd hr SFDWG/gar Est. Volue $103, 000 pafe JUNE 13 1q85
SiteAddreaf 4847 SAFARI PASS ereci aapency
Lot4_Block 1 Sec/Sub. RAFART Ann Remodel ? Zoning
Pareal No. ReDair ? Type of Conrt. V
AddNion ? No. Stories
-
a Nerime CARD CONSTRUCTION Move ? Length 5z
~ 636 SO LEXINGTON Demolish ? Deptn 35
Arldress Int. ImPr. ? S9. F2.
citv ST PAUL phone 699-5166 i„Sten ?
~ Name SAME Avn.ovob iw.
fu Assessment Permit 440.
Address
E~$ 0
City Phone Wofer 6 Sew. Sureharpe 51 0
Police Plan Review 220.25
GW Neme PHILLIPS PLAN SERVICE Firc SAC 525.00
m-~Z, Addresa Enp. WaterConn S O.OO
~W City Phone 432-2044 Plonnar wetertdeter ~~00
Countil RoadUnit280.00
~oO
I hereby ackmwladga fhat 1 haw rood this epplication ond store that gld9, pp. F/II/HS 7r. PI.
fhe inlormotion is CArrect d o9ree,to Comply wif oll aDPlicabla
Sfata oS Minrrosoto Statut nd Ci !of gan O nonces. APC Parka
Vac Dete CoDies
Sipnmuro of Permitrae 2 212.25
CARD CONSTRUCTION Total •
A Building Parmif Is issuad fo: on fM aMpmss condiflon tMt
dl work shall be done in accordonee with pplimble State Minnewto Stotutes ard City o7 Enpen Ordironcea
Buildirq Offidol ~
PERMIT
City of Eagan Permit Type: Building
3830 PILOT KNOB RD Permit Nutnber: EA034770
EAGAN, MN 55122 Date Issued: 03/26/1999
(651) 681-4675
Site Address:
4847 Safazi Pass
Lot: 4 Block: 1 Addi6on: THE SAFARI
DescripNon
Sub Type: Pool UBC Occupancy: Work Type: New Construction Type:
~
Description: In ground Zoning:
CensusCode: 329 ~ Sq~Fee~.,~,
+;As
RemarksC Plan reviewed by Craig Nevaczv!;.
Fee Summary: State Surcharge 7.50
Valuation: $15,000.00 Base Fee 251.25
$258.75
Contractor: - Applicant - OWner: .
Cusmm Pools Inc. St. Lic.: Mike Rowley
8960 Excelsior Blvd 4847 Safati Pass
Hopkins, MN 55343
' 612-933-2255 Eagan, MN 55122 651-452-2831
~
I hereby acknowledge that I have read this applicarion and state that the information is conect and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
~
Applicant/Permitee: Signature Issued By: Signature
, C.T.TV C.)1= E:AGFlN
cnssi-!.r.r-.Fc 9 i'EF;MTNpL N0% i`r'S
Lh~TE:c 03/2.6/99 TIMk:;, 13:2:3e48
ID ;
NFlME: L'U57f1M f'pOL.!; crar
ciSS 9001 4847 SfiFAIU FAS 7.50
320 9001. 48+47 ,AFAftI E'AS 251.,,25
~
~
I
Tota:L f'ecei.Frt Amount~ 258.75
cRio!.5na i
USl~ft ICts NANCV
2'C~ x Zco = -7 28 S 4- ` 3q3 i z
1~ x 21 ` ~2-13 x 54
2~ K Z¢ = 52~ x i~ = 5f3o8
3t~99 ~ *
S(O Y, 41
440•5+
- 26fo x 4k - 51•5+
22 x l3 - zzo•ZS+
szs• +
1~2 Svqsoo•+
63• +
280• +
732• +
21212•25~
c
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS l9UST BE LICENSED NITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
To Be Used For: kdf{qCc. Valuation: ~ Datec~on,:
, Site Address: q 9 `i Iazrav ~ RJJS OFFICE USE ONLY
Y1,.td ~n Lot: 4 Block ( Sect/Sub Erect ~ Occupancy ~-3
fM - Remodel Zoning
Parcel # Repair _ Type of Const
Enlarge tories
Owner
Move Length c2
~~~I ~ .~Q~I„ C~ Demolish _ Depth 3S
Address L -~y~ v Grade Sq Ft
-
City/Zip Code mPIS. 55q07
Phone pil APPROVALS
Contractor CQf(j a~~.S~ pssessments Permit
. -
c,~ Water/Sewer Surcharge ~.so
Address ~k ~lJ~ b~rqtw police Plan Review ZZp, 25
Kz~ Fire SAC rj25,
~ ~
City/Zip Code Engr Water Conn
Planner Water Meter (03.°-"
Phone - Council Road Unit 2 gp.°'
gph , Il i~ p~~ ~rt~c~ Bldg Of~ Parks
Arch./En r. . APC Treatment P1
Variance TOTAL
Address
City/Zip Code
Phone p y~0
~
~-Izz 1T '
~
Q
Q1'
iURVEYOR"S 4ERTIFICATE ''MIKE ROWLEY . .
L_ lJ r
91.18
z.o - N 66005s00 E
~
1'S ,DRAINAGE & UTILITY~ 1 ~
~ EASEMENT PER PLA7
/
\i
_ 1
. 1 4 Z ~
LoT ~ W
w , ~ 1 w cn
0
L9bo.6) i9.o0° ~t
9 ~ 1C 1 (yI,bS7p l9~' p w`, w
~
w PFtoPoSED 2.0 -1)
NpUSE /IN~~ ]N.~ W
111~EX15TING
X ~0 1 b GAR' o
p Zg.O t0~ 4~~ i9•a~
9~7Z'+X
a1
\E
. .
N~ ~9•~~ ~ :r ~ ~~tm, o !Xy s. b
~ 'oo
90.00
\ o
9uW
~5''O 106 ~S 9 3'
S56 S A FA R ~ PA ,
DENOTES PROPOSED SUI?FACE DRAINAGE
O DENOTES IRON MONUMENT SET SCALE: 1 INCIi = 30 FEET
O DENOTES IRON MONUMENT FOUND f'ROPOSED GARlIGE FLOOR = 9l,-7.4 FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOIJEST FLOOR = 961,1 FEET
(000.0) UENOTES PROPOSED ELEV/ITION PROPOSED TOP DF BLOCK = 9b7„~ FEET
h,-T Cqa.¢AcaE
I IiERE(iY CERTIFY TO MIKE ROWLEY TfIAT TIIIS 1S A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE [30UNDARIES OF:
Lot 4, Block 1, THE SAFARI ADDITION, according to the recorded
plat thereof, Dakota County, Minnesota. '
AFlD OF THE LOCATION OF A PROPOSED BUILDING. IT DOES NOT PURPORT TO SHOI•J IPIPROVEIIENTS
OR ENCROACHh1ENTS, IF ANY, THEREON., AS SURUEYED BY P1E, UR UNUER h1Y DIRECT SUPERVISION,
THIS 7T/f DAY OF OUNE , 1985.
SIGNED: JAMES R. HILL, INC.
BY:
F AROLD C. PETERSOIJ, LAND SURVEYOR
P11NNESOTA LICENSE N0. 12294
PROJECT NO. BOOK / PAGE JqMES R. HILL, INC.
85656
FILE NO Planners / Engineers / Surveyors
,
8200 Humbotdt Avenus South
FOLDER sloomrneton,Mn. 65431 012-8e4-3029
,
i -a
` EX'PERIOR ENVELOP."'. AVERAGE COh]PUTATION :
3
owxsR
~
SITE
~'HONE
CONTRACTQR _ _.,-_-----DATE (o"IZ•
Determine working square rootage of each.
~ sq. ft. X .1 ~ • ` ~ ~
Total exposed wall area...... 315 N
sq, ft. x •Ffjso • = C;~ ~.r
2, To*al roof/ceiling area.....
Total exposed wal]. area above floor = Z~~?-_-
a. Total wall window area
b,` Tntal door.area
s
c: Total slldinP, .Klassdoor area.........
d. Total fireglace wall area 2 3
ver a Q: 0'$
.
e, Total wall.framing area (a t~ - ~
f Total net wa11 area above floor..•••~••••
~ g. Total rim 3oist area
- Tota1 exposed founc?ation area 1t?1•
h. `Total foundat;lon window area
- i. Total net foundation area above grade...'.•
Determine 1113" v31ue of ear,h wall segment.
a. ~~---X U~~
u„
. b. X „
. C. _ -
_ d. ~vf.o g lr [i'f
, x nrJfi
e.
-
gx „u"
h ._..~-x it 11n
. . ~ ~ • __1r' -~----X 9rU it
. ~ . ...TOl;iil ~ . J~/1'
-
3 . .
If item N3 is the same as, or less than item #1, vou have met the
intent cf SBC 6006 (c)2.
~
. . . . ~ ~~j
, _ r':.~. .«y~y.',~,~"~s
V A a :
:
, .
~
Total exposed roof/eeiling area
K r ~ - . • . , , '
. . . . . y~
lzl
x Total gross roof/cei,ling area s
, _ ~ . ;•e > ~y!
Tot81. 314y'31gY1t ~~,T'88 k, Total: roof/c8iling framing~area.... tt~~
Tota;l.net insulated roof/ceiling area
for each roof/ceiling segme.nt
e "U" yalue
IIetermin
3
4 < r,
X r~jJIP
~4 , f . . . . v aa
~ {Q 1 . f1ut1
C - /_y1 I^ . . fy~l.,
n . ~ ~
x.' 1}UII..
a 1
-f z ,..H ~ y ,f ~ ~ • ~ r TotG13_
L 1;. . a ? 5
'Al
~
17,
fS~ n` ZC ~otal of .#4 `Ss tf~e '§ame as'or less than N2, you have met the intent
~
SBC,,6406'(,c) .1_,~
uCilize ttie..t4tal eavelope„system method,, the values established
L suiA of i~ems #3- art& #~±t, shalT not bP gre~ater than the sume of 3tem~
he
. ~
i
C q ~t ~s
~4 [ ~ Lt fi ~ • i G ~ ~ , F
r y '~5 g `
vs . . . 4 i(.
+
'Lt {
r . , . ~v,
^ 1
lfi <a _ . . , . • r ~
u Materials Therm Resistance "R"
lu ~ 5~~~a °
Exte~ior A3r
~r
, a
ng M.
:mate~~$a ` 67mv
.ff. ~ N„ . .
..,S6eathin~;r,.r.
~.;;1_._
Tnsul~tian ~
~ c~`iI'4O@fI'OC1{
~Interior Air
SCLtCI ~ ~J
1 . F F
Cona Blks;:,
w~
e , . . _ . , . , . _ . ...,~.w...~ . . a'lHST~ ~
- HOUSE SPECIFICATIONS
f=
Heating degree days 8300
Fuel type : natural gas
Fuel cast: 60 cents per ccf.
Height of house 3 stories
Volume of house :•25558 cu. ft. o F G-rv c'_(Cy
774 rrllN u ear«w ~~prv
lnfiltration scores for;
_
basement/cellar 2
windows 1
doors 1
walls 1
Floor exposure factor: 3
The basement walls have insulation R-10
The area of your exposed wall is 182 sq ft.
The R-value is R-22
Foundatian perimeter 41 ft.
Foundation exposed 24 inches.
Foundation below grade 7 ft.
Total first floor area 1014
Total carpeted area 606 sq. ft.
Uninsulated ceiling area D
R-value D
Insulated ceiling area 1040
R-value 44
Rim joist area 120.11
R-value 7
Area of outside watl 2927
R-ualue of outside wall 22
Heating system condition : 1
Average daytime temperature 6$
nighttime temperature 6Q
- Single pane window data -
Height Width Number Direction
( None entered )
- Double pane window data -
Height Width Number Direction
72 48 f SOUTH
12 72 1 SOUTH
72 46 1 SOUTH
4$ 36 1 SOUTH
- Triple pane window data -
Height Width Number Direction
48 48 5 NORTH
36 24 4 NORTH
120 60 1 NORTN
- Doors with storms data -
Height Width Numter Direction
C None entered 7
- Doors with storms data -
Height Width Number Directian
72 78 1 NORTH
36 78 1 NORTH
78 36 1 SOUTH
HEATLQSS CRLCULATION RESULTS
ASSIPiING THAT YOUR YOUR FUEL COSTS ARE 60 cents PER ccf.,
YOUR FUEL BILL SHOULD BE A60UT $ 473.42
UF THIS BILI, 24.0 '1. IS 6UE TD ]NFILTRATION,
44.0 % IS DUE TO CONDUCTION,
30.0 % IS DUE TO BASEMENT HEAT LOSS.
`f0U ARE LIVING AT AN AVERA6E TEMPERATURE OF 64.8 DEGREE5 FAHRENNEIT.
NPE OF HEATLOSS ES7IMATE6 GOST POTENTIAL SAVINGS
DOLLARS PERCENT DOLLARS PERCETJT
INFILTRATION THRDIJGH:
BASETiENTtCELLAR $ 66.98 14.IX $ 55.82 40.1'1.
WALLS ANU CEILINGS $ 5.80 1.2% $ .00 .0%
UINDdWS $ 33.36 7.0% $ .DO .0%
DOORS 2 9.32 1.9% $ .DO .0%
TOTALS $ 115.00 24.3'1. 8 55.00 40.1%
CONDUCTION THROUGH:
SINGLE PANE WINDOWS
NORTH 8 .00 .0% $ .00 .0'f.
EAST,WEST $ .00 .0% $ .00 .0%
S01lTN +b .00 .OX 'b .00 .0%
DOUBLE PANE WINDO6IS
NQRTH $ .DO .07 $ .DO .0%
EAST,WEST $ .00 .0% $ .DO .0'f.
SOUTH 'S -55.67 * -11.8'!. $ 4.08 2.9Y.
TRIPLE PANE WINDO.JS
NORTH $ 50.82 10.7% $ .DO .07
EAST,WEST $ .09 .0'1. $ .00 .0%
SOUTH $ .DO .07 $ .DO .0'1.
DQORS Wt0 STORMS $ .00 .0'!. $ .00 .0'!.
DOORS WITH STOPoNS 8 37.40 7.8". $ .00 .0%
ATTIC CEILING AREA $ 29.83 6.3Y. $ 2.49 1.7%
OUTSIDE WALLS $ 149.44 31.5% INSULATIDN EXCEEDS STANDARD
TOTALS $ 211.00 44.7% $ 6.00 4.7/.
BASEMENT LOS5 THROUGH:
FOLQJDATIO=N ABOVE GRADE $ 89,60 18.9% $ 62.03 44.6%
BELOW GRADE $ 41.06 8.6% $ 3.73 2.6%
RIM JOIST $ 15.48 3.2% ~ 10.87 7.8%
TO7ALS $ 146.00 30.8Y. $ 76.00 55.1%
- -
- -
GRAND TOTALS $ 473.42 100.0% 'S 139.02 100.0%
~ NOTE: A NEGATIUE LDSS 7NDIGATES A GA1N IN THAT CATEGORY.
pDD1TI0NAL SAVINGS CAN BE GAINED FR OM WINDOW AREAS BY
SHUTTERING OR INSULATING THE WINDUWS DURING THE NIGHT.
]LOAO
~ • 1
2/Sa
CITY OF EAGAN
APPLIC3ITION FOR PERDIIT
SEGIER AND/OR WATER CONNECTIODI
(PLEASE PRINi)
1) P??OP= ADDRE55:
r Fr~,I. D y..CRIP'I'?CV :
(Loc/B1ock/Sdivisicn or Tax Parcel I.D.
' 7'r' ST";ti=-j:t:;, DAi.:. OF CRT_G^~AL uiII.^L`:G ISJi.a-,%1.=:
PREs='= L'~-• Ki2-1 Si~G'~ FF'nSLY .
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? R-4 TT
Q CCi,n~z-aC~.L/RE:.'-1IL?C'rt'T-Cy
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? ~.sT~:-.-rzo~.~,/c..^~~~~~-^
(PLEASE aatNr~
2) APPISC=1
aDDREss:
c=T^r, s:=E, zzP: C~a. J, 7
PfiGNE:
j) pa::,~,p..-~ ~PLEI~„SE vR`iJ FOP CITY USE 04LY
NP~~L: PEIP T ~ r7~
PUJ!!BP IICEYSE:
A.GC:iESS: ,S 33 7- 9 Z d (JLC,Active
CZT`_'. .ST?.TE, ZIP: l!.'J~?L,.S- ~PExp' ed
t of Re ord
PHOVE: l.07 PLUMBER LIL£NSE
i
' d.f :nl[13
4) OLLL'cF1N1T/CS•i?m (PLEASE PRI!11)
NFli'IE: C-' E< 0 ZQ'
ADDRESS: / 2~-/' yCo S
CIT'!, STATE, 22P: -49Z4-~ 5~541/2
pf;o*rE: '7-f-17
5) INDIG".TE WI-IZCH PEFL'•lIT IS BEIrC; REQ[TESTIp:
~ CC::,VECfION 'In CITY SE.Tr1ER
~ CC:.^NECi'IC.I 2U CZTY T9ATER
? .HIER (PIT115E DFSC:2IEE)
6) B:DIG~.: C2.:: •
• Q PT.E.vE F?OID APP??GVID pER,'NIT FOR PICii-LP SY O:IE OF AFGVE
~°i£=;Sc, R;AIL APP?2(7Vm PEF-%LIT TJ 1.C~2) 3, 4 A&OVE
(Circle one)
7) sZCaTURE: o.aTE:
~
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A~~a i f YFS~i:aa ! 1!!flfO'~!~ 1~ ~ y~ ~gl~a~y
F 0 R C I T Y U S E O NY
Pc?~+.I^• rSSU°D
cc; ~
$ nr?..TT'^ ( I~IC:T_•,'~D
JL`.
WaTE7 nEp.."TT_:' (It`:CL'uDE SiiRCT:yRGii
WATER METER/COPPERHORN/OUTSIDE RErDc,1
$ `n'ATE.°, TAP ( INCLL'DE CORPORATZON
STOP )
$ 5^;vcR TAP
ACCOutiT DFPOSIT - IdATE3
$ IqtiC
$ sAc
$ TR:;:rx s•aaTER ass::ss:,Ft:T
$ R ySSESS:er~-T
~
s LATE?,.,L ^nE:vEFZT/TRtiVFC Sc:•iE=
$ L<;TERaL SEVr,FIT/TRU::K WATz'R
'S /31~' WATER TREAT^tEbTT PLeLNT SURCHARGE
$ OTHER:
$ TOT:,L
$ ~2~ 5 (i pMOC%:]T °AID/'REC°:?T ;lr L3 `'--7
DOES UTl:,ITY C02::7ECTZON REQUIP.E £XCaVATION IN PUBLIC RIGHT OF WAY?
YES ` IF YES, THED: A"PERD]IT FOR 'r7QRK WITHIN
PUBLIC ROADWAY". MUST BE ZSSUED BY TH£
F-I NO ENGINEERING ?N:SION. LIST AS A CONDI-
TION.
SliEJECT TO THE FOLLOWIYG CONDITIOiQS: •
APPROVED SY: • ; ~
TI':LE: •
DATE:
wpg~cawEw saWsmw~rtmmaf~w.~
` 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
681-4675
New Conatruction Reouirements RemodeUReosir Reauirements
? 3 registered site surveys ? 2 copiea of plan
? 2 copies of plans (inGUde beam & window sizes; poured fid. design; etc.) ? 2 ske surveys (euterior addRions 8 dedcs)
• 1 energy calalations ? 1 energy mlwlations for heated edditians
• 3 wpies of tree preservetion plan 'rf lot pletted after 711193
raquired: _Yea _ No
DATE: J- CONSTRUCTION COST; ~6,1900
DESCRIPTION OF WORK: 1'1 ?'1 S IVV'i i?l PoO
STREET ADDRESS: `-I S'C 7 S &arl
LOT: ~ BLOCK: SUBD./P.I.D. sz, 1,k~
Name: Phone 675 `C cEiA f
PROPERTY Last First
OWNER Street Address: `t (1 `t'~ ScA Q v- I PaSS -
City EQG State: M4 Zip: bS( clal~
Company: LS 6 ~ ~ I S Phone {,J/ (p) -J~~ ~ dO`SS-
CONTRACTOR r
StreetAddress; R~~O I S I C7~_ t~,_~icrnse#
City o~~ 1~ S State: Zip:
ARCHITECT/
ENGINEER Company: Phone
Name: Registration
Street Address: ,
City State: Zip:
Sewer 8 water licensed plumber (new construction ony): . Penalty applies when address chang
and lot change is requested once permit is issued.
1 hereby acknowledge that I have read this application and state that the infomiation is canect and agree W comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
~
Signature of Applicant.
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No 81999
Tree Preservation Plan Received _ Yes _ No _ Not Requi
,
OFFICE USE ONLY
BUILDING PERMIT TYPE
13 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
O 02 SF Dwelling ? 07 4-plex ? 12 Multi RepaidRem. 0 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-pfex ? 14 Firepiace ? 21 Misceflaneous
? 05 SF Misc. ? 10 _-plex ? 15 Deck
WORK TYPE
A 31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System
(Allowable) 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 o L
Census Bldg I
Census Unit ci
APPROVALS '
Planning Building ~ Engineering Variance
Permit Fee Valuation; $
Surcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
TreatmeM PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
Cities Digital uality Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
' _
SURVEYORPS CERTIFICATE ' MIKE ROWLE'f . . •
• ` y8y 7 sA4,hV' pA-0
~ f'it1407~, Mt-j.
N sS~aa
' i_ i lo.s! y~1~ ab~3/ •
66°Q5'00'#E
~
a UTiLITY ~ ~ 1 ~•g ~ DRAINAGE ~
'
. ~ EASEMFNr PER PLA7 . "
4
e
p , ` yo.i) 19-~" ~
4 ~~,1 1 ~
~ pSE~ 2
+ : + ni pH~P lfl
oU9E
N.EXIgTIN6y, I. I-~° GAR• 0
Q y8' b , Q4 O/ .0'19•oO+ `
97
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~HOLJSg ~•i9•p~~~~
o 'g~ / (qs5•0~ p .
90.00
~
964 1 $ 5~`5~~p9~W ~9bPAg 7S 9 3~
I i
5 A FA R
QfNOTFS.VQflAl1:F_? ritArrrnonulnrr - - - EAG6W M
~ :3 ~jw [E B
BY
DATC 3'ZZ'
BUILDING INSPECTIONS D PT.
f:.:I:TY 01= Iii:FlGAN
I:ASh.f.f::.Rr, J5; 7li FiP4; PJAI_ IQi.; c 76:3
AAtL", C9102!99 i.i.i1V 3^002:I.
SD;:
N^Fci:° i=ibC:-PER.'4:LTS .
321.3 L:('lU.', 44347 (i•F:c'AliI F'AS 1.:3Y'rr'S
2155 3001 484:7 SArrF?R.[ F"A:'ii 3„59
;ic?iG 9001 ¢:lE`i' £:iAP'P.PtI I-'A;i S25.R5
2155 9001 4847 'i^p Af{',C PF1S 3.CJ
f.
1
l'i;ta7. F'er_e:ipl: Amouni:: 2`7:1.00
C?H64 i ,
USE.R ;De ;IAid
1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
CITY OF EACAN
3830 PILOT KNOB RD - 55122
651-681-4675
yew Consinichon Reauiremenh Remodel/Reoatr ReauIremeMs
? 9 regtstered ske surveya showing sq. 8. of bt, sq. tt. oS house 2 copies o1 plan
and all rooted areas (20% maxtmum lot coveraae ailowed) 1 set of energy calculalions lor heafed addMtons
? 2 coples ot plans (show beam a, window sizes: poured tnd. design; etc.) 1 sHe survey fw exterlor addHlons 8 decks
D 1 set of energy coleulafions
? 3 copiea of hee preservWton plan H IW plaHed aMer 711 /93 ~
DATE: 0 lze l 1! CONSTRUCTION COST:
DESCRIPTION OF WORK: p2 lGaa~ ~'/-(~A~ ~d'
STREET ADDRESS:
LOT: ~ BLOCK: SUBD./P.I.D.Tk'L )Gl,l dIJ'~.-
Name: v u..~ v m rk e Phone
PROPERTY La%+ F~rst
OWNER
Street Address: L1 N0')
City State: M~. Zip: 'i 7 J„2 2
Company;Am.erk`cG-, R,jd,Y,a Phone#: - 707- 6gr ~
(area code)
CONTRACTOR _
Street Address: 1,)d 7 911 -~rs-~-f p`~ ~'T~ S0 License #~(,i( G5 38 3Exp, 3-Z~0
City Au+I n s State: /7) )4~) Zip:
ARCHITECT/
ENGINEER Compony: Name:
Telephone area code ( )
Streefi Address: Regisfration 4k:
City State: Zip:
Sewer 8 waler Ilcensed plumber (reauired for new consirucHon onlv
Penalry applles when address change and lof ehcnge Is requested once permff is Issued.
1 hereby acknowledge that I have read ihis applicaHOn, state that the IMormatlon is cortect, and agree to comply wRh all applicabi
State ot Minnesota Statutes and CMy of Eagan Ordinances.
' Signcfure of Applicanf:,, ~J
OFFICE USE ONLY L
=G
Certificates of Survey Received _ Yes ^ No
Tree Preservation Plan Received _ Yes _ No , Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-piex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dweliing ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 PorchlAddn. (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 Bldg.* ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolrsh (Interior) ? 42 Reroof
" Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code
(Aliowable) Main level sq. ft. SAC Code
UBC Occupancy sq. ft. No. of Units
Zoning sq. ft. No. of Bldgs
# of Stories sq. ft. MC/E5 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
5/W Surcharge
Treatment PI.
Park Ded. `
i
Trails Ded.
Other ;
Copies
Total:
SAC Units
% SAC
4111/11.
City of Eaau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use I
Permit #: "Z‘-11
Permit Fee: �61J5 - r -
Date Received:
Staff:
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: 4847 Safari Pass
J
Unit #:
Resident/
Owner
Name: Connie Wrase Phone: 612-812-4485
Address / City / Zip: 4847 Safari Pass
Applicant is: Owner ✓ Contractor
Type of Work
Description of work: Replace 5 square of siding on the front of the house
Construction Cost: 4995.00 Multi -Family Building: (Yes / No ✓ )
Contractor
Company: Austad Construction Contact: Natalie Fysken
Address: 182A Ryan Lane city: Little Canada
State: mn Zip: 55117 Phone: 651-482-0070 Email: roofingmn@msn.com
License #: BC320318 Lead Certificate #: nat41393-2
If the project is exempt from lead certification, please explain why:
In the last 12 months,
No
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
If yes, date and address of master plan:
__Yes
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Fire Suppression Contractor:
Phone:
Phone:
Phone:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gooherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
Natalie Fyksen
Applicant's Printed Name
x /th.&42 Pited-ff'L
Applicant's Signature
Page 1 of 3
ty of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
ED
30,1 0 '0
Use BLUE or BLACK Ink
For Office Use ( �%
Permit #: l �J1 016
Permit Fee: / .3IP
Date Received: (P- J Y \ tQ
Staff:
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: //b//,& Site Address: 4047 I
Name:
tel L 3
Address / City / Zip: 434-7 �a.tL-: Rs5
Applicant is: /Owner Contractor
Unit #:
C0-1-cit
Phone: ?52 963 6?8
Description of work: le9lace-. elec./44>Z, , 4 (ad t �.. � r. 419011;5 W .-S
Construction Cost: °'7 Multi -Family Building: (Yes / No )
Company: �W1 Contact:
Address: City:
State: Zip: Phone: Email:
License #: Lead Certificate #:
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 would permit the Cityto
,,conclude that they are trade secrets.` n#r°
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 not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x (co-- Wrc6R___
Applicant's Printed Name
Applicant's Signature
Page 1 of 3
401 Fess
DO NOT WRITE BELOW THIS LINE
(37oW
SUB TYPES
Foundation
Single Family
Multi
01 of _ Plex
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
Fireplace
Garage
'0 Deck
Lower Level
Interior Improvement
Move Building
Fire Repair
Repair
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Siding
Reroof
Windows
Egress Window
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation 39c)'• Occupancy C 1
Plan Review Code Edition
(25`)/0 A;) Zoning
Census Code Stories
# of Units Square Feet
# of Buildings Length
Type of Construction V' %3 Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
_ Footings (Addition)
Foundation
Roof: _Ice & Water _Final
Framing 30 Minutes 1 Hour
Fireplace: _Rough In Air Test
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Final
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
_ Final / C.O. Required
Final / No C.O. Required
HVAC _ Gas Service Test Gas Line Air Test
Pool: _Footings _Air/Gas Tests _Final
Drain Tile
Siding: Stucco Lath _Stone Lath Brick
Windows
Retaining Wall: _ Footings _ Backfill _ Final
Radon Control
Fire Suppression: _Rough In _Final
Erosion Control
Other:
Reviewed By: -TO 144 141 i K (Lid- , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
2 60 S ? • /e r )14 $ a cQ.FT .
Page 2 of 3
SURVEYOR'S CERTIFICATE MIKE ROWLEY
N660°! 91.18 -
1-3-1olo
BY
DATE
BUILDING INSPECTIONS D PT,
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA154111
Date Issued:02/19/2019
Permit Category:ePermit
Site Address: 4847 Safari Pass
Lot:4 Block: 1 Addition: The Safari
PID:10-75850-01-040
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
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 -
Connie Mae Wrase
4847 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