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4853 Safari Pass CASH RECEIPT ; ~ CITY ~F EAGAN P. 0. BOX 21-199 EAGAN, MINNESOTA 55121 DATE ' ~ 19 - RiC Gl V t0 ~ FROM AMOUNT $ . ~ . , A~ DOLLARS ~ao ? CASH ? CHECK ~ / FOR'~~ ~ r~~7'~'- /~-/f ) ~ l _ ~~.r ~ _ .K,/ . ' FUNC CODfi AMOLINT ~ / Than u ~ ~ ~ ~ ~ ~ , BY ~ - - VYhite-Payers Copy Yellow-Posting Copy Pink-File Copy CITY OF EAGAN Remarks - ~ ~ ~ Q ao~ ~~f Addition THE' SAFARI ADDITION ~ot S B~k ~ Parcel 1(l 74R5n~$Q O1 owr,er screet 4853 Safari Pass State EaQan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. /~d / loG ~~o ~~-)-O-d'SJ STFiEET RESTOR. GRADING SAN SEW TRUNK ~p 1 2 483.0~ 32 2~ 15 ~'p o~lo f~-?~' ~~l SEWER LATERAL D/ 4 ~ 30 33 1 O 3. 3 S (o /~S EJ -"S' v 1 82 2 1 0 172 73 1 / 7,s 7. ~ s / lo ~n -20 WATERMAIN WATER LATERAL j HZ 381 OO ZS.4O LS =Z S • ~ o f3O /(oCc /lo ~-7~b ~lS WATEFiAREA 2 2 1 3~z.a.oC^ ~(o/~o l- -~.5~ Water Lateral 1985 261 88 ~ ~ ~ . 9 b' /3D ~ ~o - ~ -~,tr STORM SEW TRK Co q9 1 HZ 9Z7.OO 61.80 LS ~o /~.;JO /lo fo ye -j=S~ STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 260.Q0 4~48438 12-18-84 WATER CONN. 4~0.00 " BUILDING PER. ~t SAC PARK 1N~YLC~'1'lUl~l KL~;UK1~ CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: i~~+~ Eagan, Minnesota 55122-1897 Date Issued: ~ ! ~i ' ' ' ~ (612) 681-4675 ~ r= ~ c; ; ~ . . : 4, ~ ~ c, i APPLICANT: SITE ADDRESS: ' ,;y 1 x ~ t~~r. r: . ~ ~ " , ~ , pA:i: ~ , , i~ iNCi ~ . . , . PERMIT SUBTYPE: TYPE OF WORK: . r ~ ~~r~ . „ . ; ~ ~ r~-;r:~ , ~ , , . r,r~. ~ ~ ~ ~ ~ Permit Holder Uate Teleplwne N PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ~r~~~p / ~ ROUGH PLUMBING PLBG AIF TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREP~ACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HVDROSTATIC TFST BSMT R.I. BSMT FINAL DECK FfG DECK FINAL Reoeiqt PLUMBING PERMIT Permit No. CITY OF EAGAN Fes . , . fill in numbered spaces S/C Type or Print legib/y Tot. 1. Date 2. Installation Cost 3. Job Address ' 1, Lot Blk. Tract 4. Owner ~ , • " ' ~ 5. Contractor i~ 1~' Phone 6. Address 7. CitY State Zip 8. Building Type: Residential ? Commercial ? Institutional O i 9. Work Description: New ? Add O Alter Repair ? 10. Descrihe 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfield ~ Bath tubs Septic Tank Lavat~ry y~ $oftner ~ 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 i . , I CITY OF EAGAN . ; ~ c~ ~ , 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 4548700 aUILDING ~ERMIT RK~~a~ # Te w~ 1or Est. Vafue ~ Dote . 19 • ~ Erect ? Occupancy Site Addreu Hemodel ? 2oning Lot Block ~c/Sub. Parcel No. Repair ? ~ Type of Const. Enlarge ? No. Stories Move ? Length W Name Demolish ? Depth ~ Addresa Grade ? Sq. Ft: City Phone Install ? Approvsis F~~~ , t~ Name Z~ Assessment Permit Addresa ~ City Phone Water E~ Sew. $urthorp~ Polite Plen Review Gw Name Fira SAC ~w Address Enp. Water Conn. ~ W Gity Phone Plonner Wafer Mater Cauncil Road Unit 1 hereby ockrawied9e that I have read this opplication and state thct Bldg. Off. I`~ Parka thie inlormotion is correcf and agree To comply with oll applicob~e APC Total Stot~ of Minr~esota S~otutes and City of Eogan Ordinonces. Var. Date Sipnoture of Permifte~ A Buildinp Pertnif Is issued to: . t. ~ on tha expre~ tondltion thot oll work sholl be done in accordonce with oll opplicable Stote of Mi?u~esoto Stotutes and City of Ee~on Ordina~oes. Buildinq Official Psrmit No. Pormit Holdsr D~t~ Teiephone # ~ rn - 3 11 - 3a H.VA:c. G a ~F a 1- . Elsctric ~ ' , ~s~g5 Soherar Irnpection Date I~sp• Othw Footin~t 1 / Foundation Framinq / s p,. Roofing ~ Rouqh Plbp. ~ ..c-t~ ..Y Rough HVA Z ~7. Inwlation ~•~7 ~.y ~ r Find Plbp. y~,S t~ Final HVAC ~G s / ~ 3~ ` ` ~ E>.-, Final ~„j~~I~ ~ c..uo~. ' - s` -s`,r a' i`C w~~~ D~scriba ~ocation: 1 ~s ' ~ ~ s.,~.. ~ ~ ~ Pr, Oisp. Receipt MECHANICAL PERMIT Penr~it No. CITY OF EAGAN Fa~ Fill in numbered s~oaces S/C ~ Type or Print /egiWy Tot 1. Date ~ ~ t 2. Installation Cost ~ ` 3. Job Address Lot 81k. Tract d 4. Owner 5. Contractor Phone 6. Addreas " . ~ 7. C'ity State Zip : r>> • S. Building Type: Residential Q Commercial ? Institutional O 9. Work Deaaiption: New f.l Add ? Alter ? Repair ? 10. Describe Fuel TYPe 11. No. Equioment 9TU - M. Ea. No. Euuipment CFM Forced Air 'f Air Handliny: Mfg. ~'~13`s~ N'~~ - Boilers ~ i ! Mech. Exhaust Mfg. ~ ~ Unit Heater Mfg. Other Air Cond. Mfg. Gas, ~iping Outlets 12. I hereby certify that the above information is true and correct, and I apree to comply with all ordinances a~d codes governing this type of work. S'~°d : for Rouph Final Inspections: Date Insp. Date Insp. This i: yoUr permit when numbered and approved. Approved CITY OF EA(iAW 4b4-8100 (j , ; Raceipt % PLUMBING PERMIT P~rmit No. X ~ CITY OF EAGAN FM i~ Iy i ~ f G' J fill in numbered speces S/C Type w Prin[ legibly T~ 1. Date ~ 2. Installation Cost ' ~ ~ i . , 3. Job Address ~ Lot Blk. Tract 4. Owner ~ , ` _ , ~ _ ` 5. Co~tractor `t ~ ~ , ~ . Phone • . - ~ s. Address . ' ~ ~ ' / r' ! ' ~ ~ i 7. City State i~ Zip 8. Building Type: Residential 'Q Commercial ? Institutional ? 8. Work Description: Nevb Add ? Alter ? Repair ? 10. ~escribe 11. No. Fixtures No. Fixtures ~ Water Closet Cesspool/Drainfield Bath tubs $eptic Tank ~ Lavatory Softner ~ Shower Well ' Kitchen Sink Urinal/Bidet Other L.aundry 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 Rouyh Final Inspections: Oate Insp. Date Insp. This is your permit when numbered and approved. Approved CtTY OF EAGAN 454~8100 ~ f ' CASH RECEIPT . , : CITY O~F EAGAN F. O. BOX 21-199 EAGAN, MINNESOTA 55121 oare ~ _ . 19 neesrven /J ' . FROM -Y~.LY.~i-~~~, ~ ~ .~I~'.'~ ~.~~~+=~y(~.I~ e AMOUNT $ • I~:' ~ Ae DOLLARS ~oo ? CASH Q. CHECK FoR w-- f ~ `i _,l~ ~ FUND CODE AMOUNT ~U ;?y 3 ~ ~ J 3 ~ - ~ ' ~ Z ? Thank You ~ B Y 4~,~i e ~AA.~~ ' ! White-Payers Copy Yellow-Postin9 ~DY Pink-File Copy i _ . . _ . _ _ . _ . CITY OF EAGAN SEy11ER SERy1CE PERMIT 3830 Pilot K~+ob Roed 7104 P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: I-2-85 Zaninp: Ri No. of Units: 1 i~,M~: D e idrich Bldrs ~ Mdrcas: ~ S+se Address: 4853 Ssfari Yaas L5 B1 Safari Addn p~~~r Welerke Trenchin & Exc 12-18-84 48438 • 1.'... to eo~y whh el~. G!p .i fess. Ca?n.ct~on Charpe: 4 2 5. 00 d OrdlMwa~. ~locount Depo~it: p P~nnit F~a: P Surcharpe: p By Misc. Cho~s: Date of Ir~sp.: Totol: fnsp,: Oot~ Poid: ~I CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot K roa Road ~ P. O. Box 21199 PERMIT NO.: _ Eagan, MN 55121 DATE: ' - Zoniny: p 1 No. of Units: 1 ~,~r: Die.dtiCh Bldrs Addross: y~ 4853 Safari Faes LS B1 Safari Addn p~~,,,,~~. i erke Tre-~cl~in~~ t~ Frc. Met~r Na.: Co~nectio~ Charqe: 7 00 pd Stu: Acoount Deposit: 15 . QQ pd Reader No.: Permit Fee: 2'J.00 pd 1 qn~ !v eowpy whl~ !M CMp of E~y~w Surchorfls: . 50 Pd ~M~ M~~ C~~ 63.~0 pd meter Total: gy Dote Paid: Dote of Insp.: ~nsP•- , CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road P. O. e3oY ZT199 PERMIT NO.: , Eagan, MN 55121 D/~TE: ' - ` ' Z~ ing: No. of Unlh: 1 iii.tcitich }'~~~~1~~~ I~ddress: ~ B~,f6Fer~i!'~°1A ~81L5'~'Bll~l'~[i~.~ari. Addn ` $ita /lddrcss: ~ ~ J(o~txnber: ' r ' k! k ' ^ M~tar No.: 3`~ H Z`3 ~•°Z Q'^~~g' 4 i 0. 00 (+rl Size: Ro.~, ~~8~x,~t' D.bdsitc I. 5. 00 Reader No.: ~ 4 L o'2!~ ~1 Perynit Fee: !`~.t~U Pd 1~/~ I~e ees~l~r wilh i`a Citr ~f l~y~~ Surcharqe: 0 P d pedine.oM, Misc. Choroes: ~ ~ • ~d meter Totol: gy Date Pald: ~ote of Insp.: Inip.: ~ ~ S - , his reor~st wid l`~/ O 6 l f~`5 ~~v~ ~mr kom ti / .Fi. 5 ~ 5 ` Bd~uesY,pate ~ Fire h1o. oug~-in Insucc~ion n ~ HeQUir ? ~ReaAY Now ~71 w~ft Nolilv Inspec- ' 71 J~ es ?No ry~ ior When H¢atly i~¢nsetl Electrical CoMractor I M1ereby repuest inspecFOn ot above ?Own¢r elecUicel work i~~allad aL Suee dres~x or Rout o. ` C~~v ~ CL'~ , ~''t~~ ~ ~ - ~on TownshiV ame or Nu. Nange No. County . /f/ ~ ~ ~ V Oeeu ' ni,IPf1iNT1 Phone No. ' _,~l ~ ~,~J VO~~~ Address l/U'Q'~' > % ~ lt rJj,; Elat ntractor ompany Nanwl Co~~~act " License Nu. ~~DRICK " m ' L ~d < ~ . WilingAd r~616qq~r prOwne ~ Insiailationl ..t J~.f.U ~t`VNOCK L.A - D Authaiz i r 1 tj !or wr7ef}Aakiwy.J st~IlatioN Phorre N~vnbt>r 1V11v 5~'~ ~,4 YIMME50TA STATE BOAND OF ELECTIIIQTY THIS INSPEGTIpN REQUEST WILL NOT Griges-pfidwey Bidg. - Room N-791 BE qCCEPIED BY THE STqTE epAND UNLESS PROPER INSPECTION FEE IS 7827 UniversitY A~e.. St. Paul, MN 55104 ,~~~~2129~~~~~ ENCLOSEO. ~ REQUEST FOR ELECTRICAL INSPECTION Ee-°°°°'-o+ 1~' See instructions for / ~~14~~ 6 5' 4om?lati+y this tvm on beck ol rallow copY- I f' y[~ , c~ ~ ~ 4 '"X'" Below Work Cavered by 7his Request d Rep. Typa ot Builtlin0 AppliaMaa Nira! Epuipment WirM Hwt~e Range T pprary ServiCe Duplex Water Healer ightiny Fixtures Apt BuilAinc~ D yer [lectric Heati~~ Cortpnercial Bldy. urnace Silo Unloader . Irclustrial Bldg. Air Conditioner Bulk Milk Tnnk Farm Otne~ Saeu y Other ISOCCify) ther SVei:i(y ONer Oth~r 'ompute lnspection Fee Below f iee ServiceEntrenceSixa N Fee Fexders/Subfeeders d fee. Circuits 0 to 200 Am s 0 to 30 qm ~ 0 tn 30 Am s q Above Z~~ Amps 31 to 100 AmUn; ~ ~ 37 to 100 A Swintmfng Pool Above 700-Mips Alwve 100_/aml~ Transiormers Irrigation Boorc~s ~~i Partial.'Other Fee. Si~s $Uecial Inspection /..i ~a~~ r~ TOTAL E~~{JG~ muph-in ~ Datc G he Ele mal , i / Z- aa Inspectuq hereCy ` ~tr ina~.ne ano~a F~'p~ ~ / r D~e~ ~~spection has been / ~ ^ ` amde. Rb~aestvaW78monttalrom . . . , CITY OF EAGAN (vo g Q$ ~ 3830 Pilot K~rob Road, P.O. Box 21•199, Eagan, MN 55121 PHONE:454-8100 ~ 3 BUILDING PERMIT RecelA~ # Te M wad (er SF DWG/GAR Est. Volue $99 ~ 000 pote ~FCF.MSF.R 18 19~~ 4853 SAFARI PASS Erect C~ Occupancy R Site Address Remodel ? Zoning R 7 Lot 5 elock 1 SeclSub. SAFARI ADD ~ Repeir ? Type of Const. V Parcel No. Enlerge ? No. Stori S~_ DIEDRICH SLDRS INC Move ? Lenqtn ~ Name ~emolish ? Depth Z Addre~ s TH ST Grede ? Sq.Ft~.4~~ ~ City HP LE VAL phone 32-2292 Install O p $AME ADO~evalf Fae~ Name Z~ Assessment Permit ' Address V~ Cit Phone Wate~ 8' Sew• Surcharga 49 . 50 Y Police P~an Review Z15 0 ED MELICH 525_00 u.W Name Fire SAC ~z 901 E 77TH ST I~ Address Enp. Water Conn. 470 _ 00 ~W City RICAFIELI~hone Plonner WaterMefer F~ nn Council Road Unit ~F+~ ~n 1 hereby acknowtedge thot I Mve read this npplicofion ond store fhat BIdg.Off.1Z~~.H~S4 perks fhe inlormotion is correct and a9ree to comply with oll opD~icable AP~ Total $9. fll SO $tate of Minnezota Stafutes ond City of Ea an Ordinan<es. ~ - AL`_•~ Var. Date Slqnaturo of Pertnittee @`~ A Bullding Permit is iuued to: DIEDRIC BLDRS INC _ on tha express eorditlon tha~ oli work sholl be done in acwrdance wilh o oDD}~ ble St te of in~ta totutes ond Ciry of Eoqon Ordirances. Buildinp Official ~-D~~~ ~3o.so ~ 2005 RESIDENTIAL MECHAIVICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dweRi~gs &[ownhomes/condos when permits aze required for each unit Date~_/~~/~ Site Address ~~~,~ut/ D~ Uoit # ~ Property Owner / ~ O Telephone # ) ,~}Ja 7 ! Cootractor L,/ /~j~,I,Q~YIId ~ . S[reetAddress _~~r~ ~/Q'~ ~ ~ City State 1.~_ ~ Zip Telephone# (~j,~- ) y,~il S'~3~ Bood Expires: The Applicant is _ Owner ~Contxactor _ Other Add-on or alteratian to existing dwelling unit $ 30.00 ~ turnace _Additional /eplacement _ ' air exchanger ~ air conditioner _New /Replacement other State Surcharge $ 50 Total ~ $ 3D-S~ 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 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 casa of work which requires a review and approval of plans. D~~~ 0 y~n ~ .2Q C.v~~ ~ LJ Applicant's Prin Name Applicant's Signature ' : ' 2005 COMMERCIAL MECHANICAL PERMIT APPLICATION + City OfEagan 3830 Pilot Kaob Road, Eagan MN 55122 Telephone # 651-675-5675 Please compiete for: commercial/industrial buiidings mWti-family 6uildings when separate pertnits are not required for each dwelling unit Date / ( Site Street Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address City State Zip Tetephone # ( ) Bond Expires: The Applicant is _ Owner _ Contractor _ Other Work Type New Construction _ Underground Tank _ Install _Remove "see below Interior improvement _ Install Piping _Processed _Gas Nature of Work: "Wfien instaNing/removing underground tank, call for inspection by Fire Marshal and Plumbing lnspector Pe~mit Fe¢5; $70.50 Underground tank ins[ailatioNremoval $50.50 Minimum (inciudes Sqte Sumharge) or ContractValue $ x 1% _ $ PermitFee • If ep rmit fee is ~I,U00 or less, add $.50 ~ $ State Surchazge If ep rmit fee is over SI,000, add $.SO for every $1,000 permit fee $ Total Fee I hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; Yhat the work will be' in conformance with the ordinances a~d codes of the Ciry of Eagan and with the Mechanical Codes; 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. ApplicanPs Printed Name ApplicanYs Signature Approved By: Inspector Date: 9528911656 ~ 09/16/2005 02:14 9528911656 AIR MASTERS INC PAGE 01 4 '~~O `p ~ r0 11~23 EAt',iNJ EMG+COM DEV ~ 99528911656 N0.495 P0'2 ~ 30,50 2005 RESIDEN77AL MECHAMC.AL P'BRMI'I' APPLTCATION City ptEagan 3830 PUot Knob ~oad, E~gan MN ~5122 7ekphonct1651•675-5675 Pkeec oempkce fbr: single famiry dweUlnys k wwohomeslronaas when permits aro rcqyires for ~nah uni~ Date / Slp Addras UeH ~I Properiy Opper ~ TebPhone tl ) _~a.._. ~ ' Gqdrelor _ ~1-- /~i.n.I~~ii] --_~-.~d--~ ` ~ ~ 9sreetAddrew - Clry 3au,~~~ d/~~)~~ 2ip ~ TeItPAone~ (Qa J~~ 6 ~ BuAO q: @~H: Ths Appllnnt b O~r ~~~~~r - ~~ar .Add-OR Of B~~Y~O~1 t0 ET~9~ dWO~IhC YOi~ S 30.00 ~ `Atld7donai ~epiacxment ` al~ eXCharger / afr aOnCltbne~ ~ New ~Replacement other ~ • ' _ ~ SOtta Saroi~ae~ _ I ~ S 50 ~ romi ' ~ s o.SZ~ I haeby aPpb' for a Aesidenliel Mechaniul Petmet ertd acknowledge lAat the intormstion is compk~e an4 ece~uate; that the worlc will be in eqiPomiance with rhe ordinanua and codes of the C~~y op g~n ~ with the Mechanical C~; ~y~ i~d~n~ ~i! a ' Pafmk, but epry ~~u~~ }ar a pe~nik and wotk is not rq ePP~' V fn qie of worr which r uires ~'witdeut a Pamh: that the wvrk wJl be In ectaMatxa with tht , M areview and approval oPpl rg rr~ ~~t. ~ l~.ld ~ ~ ~ ~1 ~ ' tad xame Appiicant's Signatum _ . . .._a_ • . i . . _ ~ _ _ I RESIDENTIAL ~~~j9 L, s ~ BUILDING PERMIT APPLICATION ~ CITY OF EACAN ~ ~ 3830 PILOT KNOB RD, EAGAN MN 55122 f~~ 651-689•4675 ~ New Cone W clion Reauirementa RemodeURenair Reauiremants • 3 registared site surveys shovnng sq. ft. of tot, sq. R. of house; and all roofed areas • 2 copies of plan (20 % maeimum lot coverage allowed) • 1 set of Eneqy CalcWations for heated additlons • 2 copies of plan showing beam & window sizes; poured found desyn, etc.) • i sile survey for extenor additions 8 decks . 1 set of Energy Calculations . Indirate if hane served 6y septic system for addilions • 3 copies of Tree Preservation Plan if lot plafled after 7/1193 • Rim Joist ~etail Options selection sheet (bldgs with 3 or less unAs) DATE ~ U' VALUATION ~ (IJ~ SITE ADDRESS ~ MULTI-FAMILY BLDG _ Y _ N TYPE OF WOR PIREPLACE(5) _ 0_ 1_ 2 U APPLICANT Ced9~' ValleY Exteriors, Inc. STREET ADDRESS GGoon Reoids, MN 55433 CITY STATE ZIP TELEPHONE #~,"r1 1~ D~ I CELL PHONE # FAX # 7~~ -7SS ~3 f~J PROPERTY OWNER~ ~ ~1~/~ ~ TELEPHONE # ~ ~of~'~i ~ai9 COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category MINNESOTA RULES 7670 CA"1'1;GORY 1 M[N l,~Ty~~ ~~,~p~I ~p 7gI7 ~'''111"~ (d su6mission type) • ResidenGal Ventilation Category 1 Worksheet SubmiKed • Ne ~y'~OdeWdrkSHe~t~`5 q~ ~ fled • EnergyEnvelopeCalculationsSubmitted JUN 2 g [UUZ ! Plumbing Contraetor: Phone # _ By Plumbing system includes: _ Water Softener ~ Lawn Spdnkler Pee: . _ Water Heater No. of R.I. Baths No. of Baths Mechanical Conhactor: Phone # Mech<mical system includes: _ Air Conditioning I'ce: ~70.00 Heat Recovery System Sewer/Water Contractor: Phone # ° I hereby acknowledge that I have read this application, state that ihe~information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan rdinances. Signature of Applicant /w~ ~ U OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updaled 4/02 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-piex ? 20 Pool ? 30 Accessory 81dg ? 02 SF Dwelling ? 08 O6-plex ~ 16 Fireplace ? 21 Porch (3-sea.J ? 31 Ext. Alt - Muiti ? 03 01 of _ plex O 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened} O 36 Multi ? OS 03-plex ? 11 1 D-plex ? 19 ~ower Level ? 24 Storm ~amage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 ~emolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicant Valuatlon Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Foo[ings (deck) FinaUNo C.O. _ Foorings (addition) _ Plumbing Foundarion HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Poof _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stuceo S[one _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insula[ion _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plum6ing Permit Mechanical Permit License Search Copies Other Total ~ FERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: ~ u r~ n i N e Eagan, Minnesota 55122-1897 Permit Number: m 3 7_ 7 5 4 (612) 681-4675 Date Issued: P fl/~t~ 3/ 9 S SITE ADDRESS: 4553 SAFARI PASS LOT: 5 BLQCK: 1 THE SAFARI P.I.N.: 10-75850-050-01 DESCRIPTION: RERGOF Bu~ildiri~y! Permit Type S'1"OftM UHMAC,E BUilding Wa.rk 7ype REPAIR _~=~ensus Gotle~~~~~~ 434 ALT. RESIOENTTAL f . - ~ e , REMARKS: REROOF DUE TO STORM DAMflGE. FEE SUMMARY: CONTRACTOR: - Applicant - sm. ~_TC. OWNER: AZTEC ROOFING 18950040 2013914 GRHBNER 6ARY 144A CLIFF RD E 4853 SAPARI PASS BURNSVILLE MN 55337 EAGAN MN 55122 (612) 895-0040 (651)~88-2729 I Mereby acknawledqe that I have read this appli.cation and state that the infiormation is correct and agree to comply with all applicable State of Mri. Statutes and City of Eagan Ordinances. L ~ ~ APPLICANT/PERMITEE SIGNATl1RE SUED BV: SIGNATUR , ' ~ 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL CITY OF EAGAN ~ 3 _ ~-a-'l 3830 PII.OT KNOB RD - 55122 i~3 681-4675 ~ New Conahudion Reauirements RemodeUReoair Reauirements ? 3 registered sde suneys • 2 copies of plan ? 2 copies ot plans (fnGude beam 8 window sizes; pourad fid. design; etc.) ? 2 s@e surveys (ezterior additions 8 decks) ? 7 energy CalalaFlons • 1 energy calculetions for heated addRions ? 3 copies of Vee prexnation plan if bt plaCed after 7/1/93 required: _ Yes No DATE: - ' CONSTRUCTION COST; ~ 3S~ ~ ~-i2 DE RIPTION OF WORK: 2~ fT /2d D/` S~ ~ STREETADDRESS: S~/~l~A/~ i ~~S't ~ LOT: S BLOCK: SUBD./P.I.D. -I ~ S /~,i . ~ v c~ 1'~,v~ ,n, Name: ~~6~6~YGS"~ ~lA~~ Phone#: !Z~ PROPERTY F~s~ OWNER StreetAddress: ~ ~s7 s~~~~l ~l4~~ city ~lRGi1iN State: ~T-f N. Zip: S S l Z~ Company: /9~T~_FC /ZooF//,?6 Phone 7J / S'-~D S~C7 CONTRACTOR r ~ Street Address: 7" C G'L ~ ~ ~ ~ License # ~ (O~ ~'~I` ~O c;ry Bv~'~t~viLLG sr~ce:,~11iY z;P: S~ ARCHITECT/ ENGINEER Company: Phone tt: Name: Regisnation Street Address: Ciry State: Zip: Sewer 8 water licensed plumber (new construction only): . Penally applies when add2ss chang and lot change is requested once permit is issued. 1 hereby acknowledge that i have read this application and sfate that the informadon is correct and agree to compy with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ~ i OFFICE USE ONLY D ~ Certificates of Survey Received _ Yes _ No I I II 1 Tree Preservation Plan Received Yes No Not Require ~ ` - - - 1 • : OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? O6 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dweliing ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool O 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 Afterations ? 36 Move ~ 32 Addition ? 34 Repair ?'si Uemolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered 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 Pertnit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units I ~ . . ~ ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN ~ ' ~ ! ~ / INCLUDE Q SETS OF PLANS, i~%'' ~ CERTIFICATES OF SURVEY ~ Q SET OF ENERGY CALCULATIONS To Be Used For: ~.FR.~(a. (L~AIZ_ Valuation: `~~--~r~r Date c j~ 'I _ ~ Site Address: ~'J ~t.4~~°i, / ,?°,~~'_lS ~ ~9~n~~ - • • Lot:~ B1ock:LSect/Sub: ~i~ s,</ck'~'/ rect: X Occupancy: ~-3 Parcel Remodel: Zoning: ~-1 Repair: Type Of Const: g~~a.~ Owner: r~~7~ ;n, f/. CJN `"Scrt% Enlarge: # Stories: Move: Length: 5q Address: Demolish: Depth: LH'1 City/Zip Code: Grade: Sq. Ft.: ~/a Phone ~~~-w?~~? Contractor: i~~~/Gh' s° ~ ~ I , L;ll~[,~S >i, 6 Add[ess: ~7~ s"T~. Assessments~ Permit: ~}'~0~ City/Zip Code:,~~; Y.4~~c ~-.z~, Water/Sewer: Surcharge: 4`~.= ~j-~`" Police: Plan Rev.- ~S.' Phone ~~72-~-~`>"'-~ Fire: SAC: SZ5 Engr_: Water Conn: Q~ v.` Arch.~Eng: ~~n ~G.,~ Planner: Water Meter (a~.° Address: 9ri E. 7~`~`s>iL Councila Road Unit: 2C~.°- Bldg. Off.: Parks: City/Zip Code: {('lG(~~`-~I~ APC: Variance: ~ nh,,,, o ~t - 2~ n 2C~= ~~Zn S4 ~ 3~~0~ 2 r x 2 ~ " Sc~~ x 4 r~ ~ 23 Z q~ 3z x 24 J~ c~ g x i i ~~44 ~ ZZX ( x41 ~ 12~Z8 - ~5 K 2~ 3~~ 4~ _ ~~~~e ~8z2r o• x 430 • 00 + 49•50+ 215•00+ 525 • 00 + 470 • 00 + 63•00+ 2 60 • 00 + 2r012•50& CertlYlcaLe I'or: ~ " Diedrlch, Inc . ` 8560 West 14oth St. ' • ' Apple Valley, Mn. 5512R _ ,~'k. ~z/~~ DEI.MAR H. SCHWANZ " UND $URVE~OAS ~NC ano~~+•.«~ u~an ~aw. n~ in~ cuv o~ Minnetod . . 14750 SOUTH ROBERT TRAIL ROSEMOUNT. MINNESOTA 55066 ?NONF t/2 4ZL7TH ~ SURVEYOR'S CERTiFICATE a Z hereby certify that this is a true and q~Jti correct representation of Lot 5, Block 1, TAE SAFARI ADDITION, according to the 0~ ~ ^ recorded plat thereof, Dakota County, 66.~y~ ~ ~ \ Minnesota. ~ / _ ' Also showing the location of a propoaed ~ a~~~ house as $taked thereon. s Drainage & utility ~ s~ easement ~ ~s Dated: December 14, 1984 ~ ~ a7" ~ \ 96s~q SCALE: 1 lnch a 30 £eet ~ Elevations shown are exiating ~ z i\ / Proposed gara e~fIoor 96r.~ ~y. ~tl elevation ~;~~~3.~ . d \ \ ~ ~ ~ ~ ~ ~ c \ % ~ ' be S1 o5E ~ 4~+ ~ ~ X~jtS ~ P~~ ~1~~h 1V'~ V ' / f/sl~°N ~ ; ; ~ y ° ~ ~ - i~ / / ~ ~ ' i 3 Q ~ Q ~ j ~ b I_ ~ ~ I A~A : I, ~ ~ R o ; ~ ~ ~ ti / ~ ~ ~ iti ~ fibD 912.7 / QO~~ ~ 97l~1Gr+~ / b'yr~ ti~ j r,~~~N y y a~i / ~~6s.+ nv ~,~a ~a o , ~ , ~ ' o~ ° ~ . ~ j 99q: o ~ ~ ~ , „ S ' l~ P , ~ ~ '~n.~ >np c~ ~ e ~ ~ ~ ~ ~ ~ , ~ , ' .~!~~~i r~? 'r~ MINNESO7A RE6ISTRATION NO. 8825 (Form Dcvcloped hy thc Statc of Hlnncso[a Uuilding Code Aivision) V ' T~ ETi SUfi~ITTcD NITII IIUILUliJC PERI~IIT APPLICATI0:7 ~ , „ . i'.KTF.RIOR }'`7VF.LDFE AVERACP. "U" COHPUTATION j OHNERc _ ; - ~ i SLTE ADDRESS:. ._.~'~a~+~ . ` ~ ~ _ , CONTRACfO~)IE~YIC/I'1-~tc~•_~kj"G.DATE: PiIONE: i Determine vorking equare footnge of each 1. Total exposed Wall area....... ~ eq.ft. x ' - 2'1 . c, i r :a 2. Total roofJceiling area......... cq.ft. x~OZC.~ - 3~ r! ~ , , ~ 3.• Total exposed Wall area calculations: . ; i Total exposed wall area above floor ~ "~.~t~~.~ ; . ~ ~ a. Totnl ~,~11 uindow area l~,zl~~t~ ~ b:" To[al door area ?P, ; ~ c. Total sliding glass door area ~ d. TotaZ fireplace uall area ' e. Total i+all framing area (average lOZ) ',__~_I~r, ~ f: Total net s+all area above floor .....................T{~ ti` `-G ~ . S. Total riu joist area Z Co ~ i ~ Total expoaed foundation area ~ j ; ~ h. Total foundatian vindov area 'i - i. Total net founda[ion area above grade ? ' Detezmine "U" value of each vall aegment ; ' a. ri~ R ~~uu ~~1~:' ' ~ .Ij j~ i ~ ~ ~ b. ~ X , -f,;~ 11 • , . ~ c. t~~~ X~,vu r('~'f .`r,j,J;~ a. d. '"f X li~n r~~ r ~ 1~~~ 1 ~ ~ Z ~ ~.1' X~~u~~ ~ 2- U i • e. ~ . , ~ • f. ~ (,v" ) ~,~(r x ~~Un . ~:`'~'i`~ 1 ~ ~ 8, ~!~~r ~ ~~Un ~ ~ h. - - g ~ . , , ' i. I ~ =i~ , r, U X , i J ~ f J , ~ 3• ~ T~T~ • w ~ . I ~ 1 If item C3 is [Ao eame as. or lesa than item O1, you havo met the lntent o1 sac eoo6c~)z. • , ~ 4. ToWl ex,osed roof/cciling calculatlons: Total exposed roof/caili~g area ~ ~~~f > j. Total skylight area k. To[al roof/cciling framing area•(averaFe•107.).........~- 1. Total ne[ insulated roof/ceiling area .................12."~ ~~t Determine "U" value for each roof/celling se~ent j~ . g n0u --J . _ k. I ~I~~ ~ ~~~2 . Z,8~5 ~ 1. ~ ."I~`t. X 0, ~j I ~F . ~'Z , C) ~ 4. TOTAL ~ ~ If total of C4 Ss the same as, or les;, tL:in 02. you have nct ~Le intcnt of SBC'6006(c)1. ~ Alternate Building Envelope Design • ' . To ut111ze the total envelope system method, the values establislied by the a~ of items 03 and d4 shall not be grea[er than the sum of items O1 and 02. , 1. + 2. ' : ' . 3. + 4. ~ C E R T I F I C A T Z 0 N ' I hereby certify that I have calculated the "U" factors and R valuea herein and that the building heru described meete or exceeds the Sta[e of ~ • ?tinneeota Energy Conservation Act. r~~ ~ ; 1 ~ ~ It . • ) ~~_.l! I V? ~i ~ ~ . (Signature an (y~~~l d . • -~l `i ; a~ i(Date) ~ti~•: . • 1:,gc Tiir~~e ~ : ~ FOUI'/CL'ILIllG ~ . . ~.iV~ Cc~netroction R-V~~lne . ~~~~y ~~f/ 1. Interior ~ii r film 0.61 ~ v , ~ ~ • - / i(~j ) ' {1 ~~TS~ ~ 3. > > ~l;~~i~ Ji7 ~'~III~~~I,~~~~'~~~ ` I ~ l~ r film (etill) 0-7~I J'~ ,i I I j `l, ` ~4. 'T'~tcriola~i , VF1;T ~1~~) ',Y~it~:i;.l~.lll.1~)i ~ tocal ~„G~~ ~ ; ~~~~~~4~ ' J _ p,~i'1 ; I ! i ~';:nted ~ . L'ca~ flo~: . up • . { YIG. 115 ~ ' i ' ~ (',-1 iit ~ S _ ,rii< 1 , . . ,4S ( - . 1. In~tcrior aix film O.G1 ~ r~ , ~i , -1!d`' lA~,~.~t~V':~Ae1~T~l.n.~.~J.l`.•yl^.~G1~nl~~.IG' f. '~li` ' " : _ 3. ~i~'~ ,,1.., s,~~G, ` 4. F.r.terior air film st~C~.-bT ~ 7'otal ~ ~ pj . , / . . . . . ~ : 42 . '1 ~ ~j !,~~~~"~i ~.~r ~ 1!:I!%/~~~i ~ r ~ ~ • ' ' . • ~ ~lleat flov up .vented i . ~ ~ i , FIG. UG ' • ° . ; . . . . . . . _ . , 3, n ' . , . 1. In~iRc air fil.m O.G1 , .~f~•°.~ 2. ~h: . . . i,.l°~'~-%~~'~ f ~::i 3. , t .,;,~..or:~;.;-..: . f ~ . ~~\~~Y.~ ~ • f'''~""~ rm 5. oiitside vir film 0.17 ~r~.: jT' ~ Total ir = ~'/l ; ] 2 ~ ~ - . ~ ii • • ~ • • t7027-VL2Ti~. Nnlc~ Usc .~ddiCion:~l ::hocts if moru c~:~r:o is!~ . needed fur det~ilr. aud ct~lcul~Cion::. ti ~ ' ~ Ilcat ' . ' ' , flov up ' ii P.T.~. f!7 , ~ • 1JAI.L Si!"9:C1f:S ' . - . 'NO'PE:,. U:.o ]0,: of o~~~yuc w~ll arc,z for n--~•- frumc cou::tructiun Consrr~icri~n ty , R-Va~uc ~i~ ~ --Q 1, ~tc~or air film O.fO n 2. II(_" Vl~ 1~r~hl . b~~ '-v 3. incT:cs soft a:n~d (~,y~;5 3 q, ~ 1;I'~:', 2..~ ' . S 5. . .6 ~ BASIC 6, Extcrior air film > U.17 WALL I 7.ota1 , Z ~I V= , U~ r~~ L ~ 1:. • ~ FIG. $1 TOPVIEIJ OF F'fv:t:E lil.LL 1. 7ntcrior air filr,i O.GO - 2 , . . ; f~~t _ ~/t,44_..~. , ..,4~ ~ , ~,1.:~:., 'j4.uo . . • J~ • ' 4. ir, ,'=c•i. ?,G(~ ' Q 5. S~'~~~ l,U 5 . 1r~.~i ' G. ]ixterim~ air fil~a U.1.7 FIG. ~'2 ~C~i~~{ lbttil ~~Z~.~~ . I J ~ ~ _ . 0 4 ~_.I.. F~~ ~ 1. 7nterior .ir film 0.G9 ~ I' 2. lif~-"' ~ i 4. UU . ,~:~~.I ~ 3. i~ri~,~' ~~1U!_; I ~'JJ 'r,-1~ I - i 4. ' ~tq. 2.U ~ .~~LL .I SCRLfJ( .i ~~V-{~ ' '~N~._ -r . :_.sp;~c..al ` it 3 5. /.0: T~ R~~ ~.~C` i~ I~-- ~ 6. Sir.terior ~.ir f'ilm O.1J ~~t~_.6. ~ ~si 1. t-•~,L---J ~ Totwl ~ : Z' ~ , ~ p t~ ~ •t~~• 1.~` ~.tl . ' ~ = J . ~ ~ ~ ~ ^ ! . rJ G . ~ ~~u ; 1; , ~'~1 'I I ~_t, r I ' z 1. Interior air film O.GB ~(fl~il,1TI0:~ A a.~ L~._"'_`-C~ ~1• 2. I'„ ` i. Y; f''C! Y.`- i t -1 i c; G~ ~tA~ ~ p' t1 • ' 3. i _ _ 1,7 ~1 4~ . n 'o. 5. , ' • _ ' h.q r• • ' G. Exterior. air film 0. 17 ~ ._._i~. . . . . Total i: ° G 3 i. ~ . ~ st,nn o:a crau:: . . , ~ • ' 6 f • ` ` ~ • ~ ~ . 1 , ~ • • ~T'-. ir . „ , `a. , ` , , . , . ~ " , . J U _ ll l'~= , ~ . • , • _ 4 r,. , ~ ~ ,6' ` ~j/ ~r~ ~ ~ p. ' , 111 - . - Y . • . ~ - /I~r . n ~ i ' ~ ' ' ~ . I(I ' r FIG. H4 k ~ ~ ~ ' `rIG. ~3 !!I s _ ' , D ~ f. ` \ 3 ` , . . ° ' / _ _ 1 ~ /l/ . ~ ~ /ll c. Irl N~ ~ n~ ~ ~y, . NOTC: Indicatr. Ly~a, "P," v~lu~, da»th an~ ~ . ~ ~ ; . placenent of incul:~ttou. P . . ' ~ . . . • i ~ . , r.,y~ a " Thc Total F.nvclrv~~u C~7culation F!~~thod . ~---1------ Thc regulations :;tate that alCCrnativc overall U valucs for buildinq sections are pcrmissible if it is ~hoam that thc total buildin9 er.vcloye heat loss/gain doe:: not excced that of a::inil~r bui.l.ding tliat mects the regulation U value mar,imums. Sn tliis c~se, we ~~ill consi~3ar only thc walls and roof/ceiling criteria, assuming tl~at the rr_maindcr of the building meets regulation requirements. ' A. Tc~tal L~at loss ,~s dcsi~r,cd („•alls and roof/ceili.ng) IITU/hr. de~ree F. ~~~~°15 " ~~3• x 7'otal H,:11 Area - ' Root/Cei.in9 ~ n~9. "U" x Total Roaf/Cciling Aica = • ToY.al = ~ H. Total heat loss if desiyned to nieet the re9ulation maximum (walls and ~ • roof/ceiling) Walls = Avg. "U" x Total wall Area = RoOf/Ceiling = Avg. "U" x Total Roof/Ceiling Area o ' Total = . . ti • ~r. - C ~ ~ , ~ z~a~ CITY Or EAG.,N ~ ~~~~-r.~ ; ti~~~~ ' APPL;C;,TZ~v FOR PER~IIT • SES~ER A~tD/OR WAT~R CCNNECTI0:1 (PLEASE PflIHi) 1) PRO°~' ADDRESS: ~j-F/+/2/Z I /~hSJ r.Fr=,L Dw~C'~LyI'IC:I: Lc T S [~t.c~ /C ~ 51r~hR2/ i9-/I/~ (LOt/~lock/Su:r.ivisicn or `iat ?orce! ~.D. :;•W„~.r1 1 ~.L~ ....:I~_ CT^T~~^.,r P T ^7~,'. '•_1i ' ~ =:G A^ 0_° C2_G~'_'-w c;~I`.., . nrc4~n ~^~pP05~ C~: ~-1 Si'vZ: cp•.iTr,'_ P. ..^.`7ii c; ~ _.-2 i.[,?~. ('I;iO L?:LSi . ? ~-3 'IC;~~~'r~'c_° ('!".:.c~. - L:TI^S) I L'~~__) ? ~,="`~:T/CC;.i.C:'riIL'1 ( L:ii:; ) ? C~is.~:CL=./R_.~vL,.~C--..y,.,.. Q ~:CtiS~~S~ Q '~:SiI'~ ,'?'I~:'1.-'~I.iGi.'::' 2) APPLIG...~;m iF~~'~E r~1~~r) ~i•~: - L/{~~/zfL/l - ~G~!_~~}'JrY fli?!~//t~i.s AGC.=c°_SJ: ~"i~~ - / ~ Sj aT S CI~"_', ST~~'I"-_', zIP: •7~Lr' G.~i3-L- ` - ~5_- ~y PEO~: .~t ~ lNl~d~c rN1Nij 3~ Pu~~~' FOR CITY USE ~NLr i~~7/~E ~~,5~ ~ PVJ!! RS LIC:,tiSE: ACD3ESS: _ ~~D ~ /Q/~ ~ i Active CZTY~ STATE~ ZIP: i~µy. ~J~,y (j.S/,;j3 Cj Expired ~N~i-r. ~ a[ f Re ord PfiC~IE: c~s;/_~G,,,j'~ PlL"!BER LILE95E N ~ ~rr !nttia 4) pCC,'~*p~NT~Cr•,i.~ (PLEhSE PHIN!) NAME: ~ ~t n-r ~ /•7- ' .f n ~ ~ , c .r.v T ~r PTJDRFSS: CTTY, STAT~, ZIP: PIiO`IE: 5) INpICs*,TE SVHICII PERt~lIT IS BEII~C; nEQiJ~STGD: `INE'.CTIODI TJ CZTY SLTt7FF~ Q,J/ CDfJ:dEC:IC;V 'It~ CITY S~IAT~R ~ di[~2 (PLG,SE ~.SC2IIIE) 6) ~~IG, ~ C::E: PL.'SE E?OID ApP„T~(`V~ FD PEf2}tIT FOR PZCi:-iiP BY ONE OF r'1F'.~R„'E ? PLFI+SE tif~1iL APPR(7VID PEP:•LIT TJ 1. 2, 3, 4 AfiOVE (Circle one) ~ ~ ti / 7) SIC.~TL~i E: ~ I -~~I ~ < 6-l,'.~%G,1 DATE: ~ - ~~S '~'f pilMfs.~1:f~ i q tv:a~a a~ ~a r+r~ssr~s ~ s saF:ia:~a fa1l,l:~esiF.f~ s a rs`saaa'fcps~ FOR C ITY USE ON:,Y ~ PEp'^.IT ISSUED F~~r'.S: $ .•._.~"O r~.i o nr. aRrT T~ 7'-~~ or•_]Dr~_ S ..E ~3---- ~--IC....,. SU~.......~~.Ja..~ S i6.~~ WATE~ PFp,j~'IT_i (L`:Ci.~D~ ~u~C::A~2Gc,) $ ~ r• WATER METER/COPPEHHORN/OUTS~D~ REnD~R s WAT~R TAP (INCLL'DE CORPORATION STCP? S SE:iE4 T~P $ ~S' _ ~_=G~~= - S ACCOUDIT DFPOSIT - f•i%.':~3 s .~L7 0 , t-t~ WrlC S ~~._S ; "~-o' SP.C S TRWK tQATER ASSES52j9_:iT S T4u::!C SEFiE4 y55~55:?~~i:' $ LATER",L BEVEFIT/T:2U.IK SE:?~z ~ S LATE:2t~L BENEFIT/TRUtiiC ~1AT°_R $ ~ OTHER ' S TOT?,L +S Ai~lOU::T PAID j REC°I?T n?~ 8 lo~~~ DOES UTILZTY CONNECTZOIV REQUIRE EXCAVATION IN PUBLIC RIGi-IT OF WAY? C] YES IF YES, THEN A"PERMIT FOR WORK WITHIN ~ PUBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGINEERING DIVISION. LIST AS A CONDZ- TION. SUEJECT TO TF~E FOLLOWING CONDITIONS: ' APPROVED BY; ~°C1_~ TZTLE: ~p~- DAT_° : / ` a - ~ ~ ~ ~ ~ ss as ~r~s~ w ~r~ ~ r~~ w ~it w~ ~c~ ~ wi~ w.a rt~ ~e Ra ~c.~ ~e ~w w ~ S? ~3~ ~ rs-SD PLUMBING (RESIDF,NTTAL) Permit Applicatiou City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for. Single Family Dwellings Townhomes and Condos when permits are required for each unit Date i / ~3 / b 3 GRABNER,GARY Sit¢ Addr¢SS 4853 SAFARI PASS Unit # EAGAN, MN 55122 - (651) 688-2729 Property Owner _ Telephone # ( ) Contractor NOR~LOM PlUMB1NG CO. Address ((~`''/-1 ~'~7-4033 City State MI[~;FAP(lL~~ NiN ~SQa$ Telephane# ( ) The Applicant is _ Owner _ Contractor Other Septic System New Refurbished Submit 2 sels oi plans and MPC license $ 100.00 InGudes County fee. Additlonal consultant feas may apply. Alterations Ta Existing Dwelling Unit, Including $ 50.00 _ Adding fixtures to lower levels or room additions, excluding water softener and water heater _ Abandonment of septic system _ Water turnaround ~/g^ meter if needed -$121.00) Other: _ RPZ _ new installation _ repair _ rebuild $ 30.00 _ Lawn irrigation syste~n _ Water softener ~ Water heater $ 15.00 xreplacement _ addltional f2 (n 2 f~ L " i~- ~ ~ II StateSurcharge ~faN 2 $ 00~ U .50 Total B $ Y I hereby apply for a Residential Plumbing Permit and aclmowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the Ciry of Eagan and with the Plumbing Codes; that I understand this is not a permit, but only an application for a pernut, and work is not to start wi[hout a pernut; that [he work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ~ ~°r~~ ~m ~~/I/1.~L--~ ApplicanYs Printed Name Appli Signature i r ~ ~o~;:oifice~use ~ Clt~ 0~ E~~i~Il j Pertnit# r( ~ j ~ Pertnit Fee: ~ ~ ~ ~ 3830 Pilot Knob Road ~ Eagan MN 55722 ~ Date Received: ~ Phone: (651) 675-5675 j Stae: I Fax:(651)675-5694 ~ ~ 2005 RESIDENTIAL BUILDING PERMIT APPLICATION C~~f- /ne~'~~~ S ~7 - j`7- 0 S~ Date: 7 2 SiteAddress:~~~ ~a~~i ~~~35 C~ /,~7~ .~~~~Z Tenant: -~:a,^~ ~;Y'~ /J~'iI' " Suite#: 7 RESIDENT/OWNER Name: ->,r~h~Yi~^ Phone: /o5/~~iS_.7~.~?~1 ~ ` / c~_'' Address / City ! Zip: ~/~7~ l:cJ l~y, YiJJ~ ~ t+' S o-'~ ~)I7 Applicant is: ~ Owner _ Contractor ! TYPE OF WORK Description ofwork: e v~~ ~ C Construction Cost: ,~~~G~J~ Multi-Family Building: (Yes No ~ ~ CONTRACTOR Name: o7v"~ L~ _ License Address~ ~~5 , ~c7 ~c~~^ ~ c93S City: G~ ~y7 State: J Zip: Phone: (r~/~ ~h'~~'~ Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (1~ SubmissiOn type) . Energy Envelope Calculations Submitted - In the last 72 months, has the Gity of Eagan issued a pertnit 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: Sewar & Water Contractor: Phone: eNOTE"Plahs antl supporf~ng'documents:that yovsubmit are, considered to be public inforination;; Portions of {-the tirformafion may be classrfietl as noir=public,if you provrde specifc reasons tbat would permii fhe City to . ~ u~,;,. " ~ _conctude~ttiatthe are'tradesecrets, - ~ ~ I hereby acknowledge that this information is wmplete and accurate; that the work wil e in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only ' a n work is not to s[art without a permit; that the work will be in . accordance with the appmved plan in the case of work i~ ~q i Js ~te ~e~n$~C al of plan;i.' jy ~r ~ l ~ X l~ r JUL 2~ 2008x ApplicanY Printed Name I L A anYs nature Page 1 of 3 ~y - 4 ~ DO NOT WRITE BELOW THIS LINE Sub Tvqes ? O7 Foundation ? 07 05-plex ? 13 16-plex ? 2D Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 O6-plex ? 76 Fireplace ? 21 Porch (3-sea.) ? 31 Ezt. Alt - Multi ? 03 Dt of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Ait - SF ? 04 02-plex ? 10 08-plex ~ 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 MWti Misc. ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage O O6 04plez ? 12 12-plex . ? 25 Miscellaneous Work Tvpes ? 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 Wndows/Doors ~ 34 ReplaCEment 'Demolition (Entire Bidg) - Give PCA handout to applicant DESC~iptiOfl: Water Damage _ Yes Valuation 3~~ Occupancy ~l/J MCES System - Plan Review /~iB 100% or _ 25% 2 cYiG _ Census Code L/ 3~1 Zoning City Water SAC Units ^ Stories ~ Booster Pump ~ # of Units Sq. Ft. ~ PRV - # of Bldgs T_ Length Fire Sprinklered ' Type of Const Width - REQUIRED INSPECTIONS _ Footings (new bldg) _ Sheetrock _ Footings (deck) Final/C.O. _ Foo[ings (addition) ~ Final/No C.O. Foundation HVAC Drain Tile Other Roof lce & Water Final Pool Ftgs AidGas Tests Final _ Framing ~ _ Siding _ Stucco Lath _ Stone Lath _Brick _ Fireplace _ R.I. _ Air Tesi _ Final _ Windows Insulation Retaining Wall Approved 8y: , Building Inspector - Base Fee ~ 3° Surcharge Plan Review MGES SAC City SAC Utility Connection Charge S&W Permit 8 Surcharge Treatment Plant License Search Copies Other Total jl ~ ; ~ I For~D~ce Use I I Permit#: i Clt~ of E~~a~ ~ ; ~ Permit Fee: 3830 Pilot Knob Road ~ ~ E3Jen MN 55122 ~ Date Received: ~ Phone: (651) 675-5675 i ~C,~ i Fax: (651) 675-5694 i Staff: I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: s~`~ ~ Site Address: ~ C~ 5~ 5`3 r+ ~a SS - Tenant: Suite RESIDENTIOWNER Name:~~G~~ C ~ rci YJl~ Phone:(,~~/- z~~"' G S3(, Address I City I Zip: `f" 6 S 3 cSa ~ J^ i ~4 S$ Applicant is: _ Owner ~ Contractor TYPE OF WORK Descnption ofwork: S%~.'r~ ~ ~.¢~a Construction Cost: Z~ Sv~ ~'u Mulli-Family Building: (Yes No ~ CONTRACTOR Name: ~ `~~-~S~ru~-~.'„~., i.-.~ License#: -/-~~`5`J ~%S f Address: ~6 fr <<+~'~/ t^ f~w' City ~a'~~•'l~`~° State: Zip: 5 id y~ Phone~~2 - 7S ~3~ Y Contact Person: ~h ~ 4 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a pertnit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Poitions of the'information may be classified as non-public if you provide specific reasons ihai would permit the City to conclude fhat the are frade secrets. I hereby acknowledge that Ihis information is compiete and accurate; that the work will be in conformance with the ordinances and codes of the City of . Eagan; that I understand ihis is not a permit, but only an application for a pertnit, and work is not to start without a permd; ihat the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. fj i ~ x 1- ~ I 1 i' vc C< u. X Applicant's Printed Name Ap ip cant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA125037 Date Issued:07/16/2014 Permit Category:ePermit Site Address: 4853 Safari Pass Lot:5 Block: 1 Addition: The Safari PID:10-75850-01-050 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Gary W Grabner 4853 Safari Pass Eagan MN 55122 Property Claim Solutions Llc 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA147822 Date Issued:02/08/2018 Permit Category:ePermit Site Address: 4853 Safari Pass Lot:5 Block: 1 Addition: The Safari PID:10-75850-01-050 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 - Gary W Grabner 4853 Safari Pass Eagan MN 55122 (651) 688-2729 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:EA154576 Date Issued:04/02/2019 Permit Category:ePermit Site Address: 4853 Safari Pass Lot:5 Block: 1 Addition: The Safari PID:10-75850-01-050 Use: Description: Sub Type:Reroof Work Type:Replace Description:Includes Skylight 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: 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 - Gary W Grabner 4853 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