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4863 Safari Pass ~ . , ~f ~ , CITY OF EAGAN t} c~ ' ' ~s 3830 Pilot Knob Road, P.O. Box 21-199, Eagsn, MN 55127 ~ f.. ' PHONE: 454-8100 eUILDING ~ERMIT R~ia # T~ M ier ` i ! ~ : ~ _ ;-l!~t Esf. Value S .1 1 ~ ~ i. ~ ~ Date n, , : Y , 19 t~~ , ~ " " ;2kSS Ereet Q Occupa~cY Site Add?ea r_ , Lot 91cek ~ ~/Sub. SAFA!? I AI}ii Rsmode! ? Zoning Repsir ? Type of Const. c~,,, Parcel No. E~la?ge ? No. Stories G.il. "~:r :.ONST CC 1*dC Move 0 l.ength b-i ~ N~ , Demoliah ? Depth , Addreff 1 ~ r~~ I'Q]'~ ~~7}; ~tV a Ft. City , Phone - J ~ Install ? ~ Aoprevels fNs Name /lssessment Pennit Addrest ~ City Phone Woter d~ Ssw. Surchary~ Poliu Plen Review Nama Fih S/~C ' ~3 Address Enp. Water Conn. City Phone Plonner Water Metar ` . C,ouncil Road Unit ' i haroby acknowledye that I hove rcad this opplication ond stote ttwt Bldp. Off. K i~.` 3 5 . th~ inlormntion is oorrect and ogree to comply with oll applicabl~ APC Total • ~ Stah of Minnasotn Stotutes ond City of Eayon O~dinar?ces. _ Ver. Dats Siyrwhx~ of Pem+ittM ` F , : _ : . ) ~ I'. .t' ~ ~ i ' i: C: iV :;'i' I? Buflding Permit Is Issu~d to: _ on th~ ~~ress caditfon tho+ dl work sholi b~ daw in acoadona with oll appliaobl~ State of Minnesoto Stctutes ond City of Eaqcn Ordinonas. 8uildinp Offtciol ~ ' Pwmk No. Pwmk Hoid~r Dsn T~le hon~ * Plum6in~ ~ V ~ L _ $ c H.VA.C. ~ Pt f Z ? E~~ i ~ ~0 . U o Soiteror Inapection Dan Insp. Othw Footinqt 0 ) ~ Fou~datioa ~3 W Framina G~ . Rootiny / ~~z~~ ~ ~f RouYh P~lq. (e a Rouqh HVA .Z` ` .81~ i~~,i.tio~ Final Plbp. G - ~ ~ Finsl HYAC ~ 4 Fi /g (.t,).~j . G?t/Oee. :.z 9~~ ~ ~ • ~ Wanr Daaibs Loc ion: ~ ~ ` ~ YYall ~ ~ / S~w~r ~C~ ~ ~t `.U Pr. Oap. VV ~I ~ ~ R~aipt PLUMBING PERMIT P~rrnit No. ` CITY OF EAGAN FM ' ~ fill in numbened;pacea S/C Type w Print /eyiWy T~ 1. Date 2. Inatallation Cost ~ 3. Job Address ' .S = r~ Lot j Bik, r' Treci f- > ~ 4. Owner ~ • 1 ' ~ , ~ , , - 6. Contractor _ ~.~r.-. r :J Phone 8. Address ~ - . . _ 7. City State 2ip ~ ' " 8. Building Type: Residential fl Commercial ? Institutional ? 9. Work Description: New ~1 Add O Alter ? Repair O 10. Describe 11. No. Fixture: No. Fixtures ~ Water Closet Cesspool/Drainfield ~ Bath tubs Septic Tank Lavatory Softner Shower Well • Kitchen Sink Urinal/Bidet Other ' Laundry Tray ' Floor Drains Drinkiny Ftn. Slop Sink Gas Piping Outleu 12. I hereby osrtify that the above information is true and correct, and 1 a9ree to oomply with all ordinances and codes governing this type of work. Signed : = - , ' _ for ' Rouph Final Inspections: Date Inap. Date Insp. This is your permit when numberod and approved. Approved CITY OF EAGAN 464-8100 Rewipt MECHANICAL PERMIT Permit No. _ CITY OF EAGAN F~ ~ ' FiU in numherod spaces S/C ' Type or Prini /egiblY Tot 1. Date ~ x"_% 2. Inatallation Cost , 3. Job Addre~ '~~~n I~LBik. Troct 4. Owner ~ ~ 4'~- ' w . , : i ~ f . ~ ' ~ 1 y ' - PfiOnB . ~ 5. Contractor - 8. Address ' ~ ..Z .r"' '1 ~ ' - 7. CitY ` , - State J~~~ - -Z~P r;. . 8. 8uilding Type: Residential Ql Commercial O Institutional O 9. Work Description: New ~ Add ? Alter O Repair ? 10. Describe FuelType , ~ 11. No. F.tiuipmeIIL BTU - M. Ea. No. E~c uiament CFM E - ~ Forced Air c- <~; > Air Ha~dling: Mfg. Boilers Mech. Exhaust AAfg. Unit Heater Nffg. Other Air Cond. Mfg. ~ Gas, Piping Outlets 12. I hereby oertify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. s ~y~~ ; - t . . r ~ for Rouqh F inal Inspections: Date Insp. Date Inap. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-B100 CITYOF EAGAN Remarks ~1~'~~'~}^-~' ' ~'~'~'S r~!~: ~C~~ Addition T~E SAFARI ADDITION ~ot 7 sik ~ Pa~~i 70 7585~ ~7(1 n1 r Owner sc~aet 48b3 Safari Pass 5tate Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. ~ ~ S2 28 28 ~ STREET RESTOR. GRADING SAN SEW TRUNK 19$2 483.~0 32.20 15 / SEWERLATERAL tr 0 j9$2 455.~0 3~.33 15 ' s ss w lat & serv. 1982 2591.00 172.73 15 WATERMAIN WATER LATERAL tY'it 1982 381.~~ 25.~F~ 15 . ~'~~6 ~ oZ. WATER AREA 19$2 483.~~ 32.2~ 15 a ' STORMSEWTRK 19$2 92~.~Q 61.$Q 15 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER, SAC PARK CITY OF EAGAIV SEVNER SERVICE PERMIT 38~0 Pilnt Knob Rwd ~ P. O. Box 21199 PERMIT NO.:}_, -1 -`J:~ I Eagan, MN 55121 DATE: , , Zoninq: ' No. of Units: I Pearaon Coust. ~ Owner. Addross: S~~ 4FG3 Safari ~'ass I.7 a ar r~ n• t,*: net~n + , ~tr°,r~ LR'• ' Plum r _ . ; ' - 515~Q l:2b.t~~pd I~qrN h~oe~/h wilh !I» Cih of E~fe¦ Cor+n~ction Charpe: , ~ p ~ Oedh~~ar. Ac°°~~nt D~po~it' i, P Pem~it FN: ~'J~L ~ SUff~'IOPQl: ~i ~ NUSC. CF10~'Q~C I By ~ Dote of Insp.: Total: Doh Piald: ; ~ C17Y OF EAGAN WATER SERVICE PE~t 3830 Pil~t Krab Rwd p~MIT NO.: .P. O. Box 21199 D/?TE: Eagan, MN 55127 ~ V~i~ ' Zonir~: ~t'~ i _ ;1. -i~~ Cor=st. Owrn~: - _ - 1,% • ~ '386 ~ SiM /lddrcss: . i ; ' ' ( ~Onnection Choro~~ ;r ~r NO.: peppsit: , ~Z°: permit Fee: Reods? No.: ~.p.. t~ ee~fr M'iN' l~. c~tr ~f ~+N¦ surdw?~: ~ ^ 1 G Mitc. Chorpss~ ~ ~;ci ~~~ri ~M~' Totol: Date Paid: @Y ~rqP-: Date of In~D.: CITY OF EAGAN WATER SERVICE PERMIT I 3&30 Pi:...'Knob Roed p~iT NO.: 'r- ~O P. O. Bvx 21199 - ~ ~ Eagan, MN 55121 ~ ~ ~ No. of Units: ~ • Zonirq: ~ ~NRMf ~ J 1 3.. _ . ~ . ~s ^~i'OfS: ~~1~ ~f?'~~f1Y ~ ~ { ~:i !1 ,a i. r Site Addross: _ ~ - , v ~ . ; , ; ;ir ~r~i '!J . ~f1 r. P1unb~ ~,~~ian Ghorqe ~P ? AAeNr i { ~ ~ - ' 'kpp~nt Depo~it: ~ , Siu: ~ / ~ .i~a~ . R~~ No.: J/ n r~'--; Permit Fes: • 1 qp'M h e~w~/h wi11~ Iw C~7' ~f e~N¦ Surcfiar0~. 3_. ir ~ i Mise. Chorpes: 6:i .'~,i , t;: r Totol: p~ Paid: By Dote of I~p.: --"r- 9~a3~s-~ _ ~ RESIDENTIAL BUILDING PERMIT APPLICATION ~ CITY OF EAGAN I I~r 1~ ~-i 3830 PILOT KNOB RD - 55122 651-681-4675 New ConaWCtion Reauirements RemodeUReoair Reauiremenis • 3 registered site surveys showing sq. ft. of lol, sq. & of Aouse; aM ell mofed areas • Y aDies of plan (20% m~imum lot coverage allaued) . 1 sel of Enerpy Calculaliore for heated addNore • 2 copies of plan showing beam 8 windav s¢es; poured found desip4 etc.) • 1 site survey for e#erior add'Alons & decks . 1 set of Energy Calwlations - • Indicate H home served by septic system for addiGons • 3 topies of Tree Preservalion Plan'rf lot platted after 711N3 • R'un Joist DeWil Options selection sheet (bldgs wilh 3 or less uniLS) . DATE ` `r b'~ ~O3 VALUATION l JOB SITE ADDRESS ~ ~i~J IF MULTI-FAMILY BUILDING, HOW MAN/Y~ UNITS? ~ PROPERTY OWNER J~ TYPE OF WORK ~/~o~ FIREPLACE(S) _ 0_ 1_ 2 APPLICANT ~ I..~ ~x~f- PHONE# 6~~ ~ 67"~1 ADDRESS N~- ZIP CODE T.S~ D~ PAGER # CELL P NE # FAX # I~IE1V RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category MINNFSOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contraetor: Phone Plumbing System Includes: _ Water Softener _ Iawn Sprinkler Fee: $90.00 Water Heater _ No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mechanical System Includes: _ Air Conditioning Fee: $70.00 _ Heat Recovery System Sewer/Water Conhactor: Phone # All above information must be submitted prior to processing of applicatlon. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinanq s. ~ Signature of Appltcant Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ . Updatetl 1lOt OFFICE USE ONLY D 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ~ 09 07-piex ~ 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF O 04 02-plex ? 10 08-plex O 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? O6 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous ? 31 New O 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding O 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolition (Entire Bldg onl~ - Give PCA handout to applicant Valuation 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) _ FinaVC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addirion) _ Plumbing Foundation HVAC Drain Tile Roof Ice & Water Final Other _ Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Fireplace _ R.I. _ Au Test _ Final _ Siding Stucco Stone _ Insularion _ Windows (new/replacement) Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total - - /O ~ 8~~~ K a 6~~ f ~ ~ Re uesl Date Fire No. ~ R h-in Inspecbon uiretl? Reatly Now ~ WII Notity Inspector 9-8-92 Yas ~NO WhenReady? I~ licensetl contractor O owner hereby request inspection of above elactrical work aC Jon Aaaress ~Street. Box or Fiaute No.~ Ciry 4863 Safari Pass Ea an Seqian No. Towns~ip Name or No. Range No. Caunty Dakota OcwpantlPRINT~ PM1One No. Greg Demaray Power SuOW~er AtlOress Dakota Electric Farmington E~eclrical ConVaclor ~Company Neme) LoM~attor5 License No. Roehning Electric CAO 1557 Mailmg Atltlress ICOnirec~a or Owner Making Installalan) 14811 Endicott Way A le Valle , Mn. 55124 oriie SignaWre IGaMrad ner Makin Inslalla~ionl Phone Number ~ 423-4328 MINNESOTA $TATE BOAFO Of ELECTRICIT/ THI$ INSPECTION REQUEST WILL NOT GdgppMWway Bidg. - Poom &1l3 BE ACCEP7ED BV THE STATE BOARD 1821 Univerolly pve.. $t Paul. MN 5510~ UNLESS PflOPER INSPECTION FEE IS Vhone (612) WP-0800 ENClO5E0. 5a9~9~.. REQUEST FOR ELECTRICAL INSPECTION esooomoe ? See ~ins~mctiogs lor compi¢ting t~is brm o~ beck of yenow copy. ,/Q'g g~ F ~ 1618 0 ~x" Below Work Covered by This Request e Add Fep. ~ TypeoiBUilding ApplianceSWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other-(Specify) Comm./Industrial Fumece X Off eak meter Farm Air Contlitioner Olnerlspectly) Contrector's Remarks: Campute Inspection Fee Below: # Other Fee # ServiceEntranceSize Fee # Circufls/Feeders Fee Swimming Pool D to 200 Amps 0 to 100 Amps Tfans~ofinefs AbovO 200 _ Amps Abo 10 AmpS SignS Inspec~or§ Use Onty: TOTAL Irrigation Booms ~'3 O Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORD DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 78 MONTHS. I, the Electrical Inspector, hereby Rough~in oaie certifythattheaboveinspectionhas Final been made. v OFFICE USE ONLY T~is reQUest voi0 18 rtwnrtis Irom Thirs~ pre~qryuest wid S'3 y~ Z O~~ S B~7nV~r~~ L ~ ~ / r Requ s[ Date ~ ire No. po m repection ' Nepu r ~fiepdy Now II Nntity Inspec- • ~ 'es ?NO ~or When Reatly ensed Elecfrical ConVactor 1 hereby request inspxcion a1 above ~Owner elactriral tiork i~talled at: Sireet A dress x or ftoute o. . City ~ ~ ~ ' 1~1i ~L~ /f~ ecu n o. TownshiD Name w Range No. Covnty ~ ~ ~u Occu t(PRINTI t Phone yo. ~~C .-"~'~1 ~ Pa'~'e~ OPlier ~-J-yy- Address .t ._(//}_,.///A_.,_.,~ '~c=~7~C7Pvxb.~'G~ Ele h~lh ~ C "ICollyf~ ' C tract r's Liceree No. qq1q~45~4-1Up I~EiVI~~OnqCK~ T~l~lti'EN - Ma~li~''1L~1'~•r•CYA~7.~ 1r11V~JtGYon1 ~ ~ AuMorized SiB~ature (ConCmctar Owrier Makirq Irttaliatianl Phorie Nmnber. MINNESOTq STATE BOARD OF EIECli1iC17Y THIS INSPECTION REQVEST WILL NOT Grig9s-MidweY Bldp. - Ibom N-791 aE ACCEP~ED BY THE STAiE BOARO iB27 University Ave., St Paul, MN 55709 UNLESS PROPEN INSPECTION fEE ~5 Phone (612) 2972111 ENCLOSED. r` /REQUEST FOR FIECTRICAL INSPECTION EB-0°°°~ / v, See i'u4~ctiq~s tw co~ryrleting [his fnm on bnek~of yollow eopY.~ p / 5 5 5 ""X"" Below Work Covered by This Request Io'6 S aa Rep. ~ rype ot e~~w~.m avo~~anees rrw EQUiDmeni Wired Home Range T rary Service Duplex Water Heater ighting Fixtures Apt. Building ryer Electric Heatin Co~n~rcial Bldg_ ~ Fumace Silo Unloader Industtial 81dg. Air Conditiorer Bulk Milk Tank Parm o[ner oe:c~ [ner (Sacciryl ther Syec~ ther O~he. ompute lnspection Fee Below N Fea SarviceEntranceSize R~ F¢a ioedars/SuMeeders N Fee Circuits U to 200 O to 30 qm ~ O to 30 Am ~ Above 200 qrnps 31 to 1D0 Amps / 31 ta 100 q ~ Swimnirg Pool Above 100_ Above 100_Amps Transiortrrers Irt~gatioo Boars Partial'Other Fee ~ Sigis ~ Special Inspec[ion G TOTAL FEE Nertcrtks ~ v(D' flouBh-in Da./te/ [ . Me Elec . ~ • //~O I~pectw. ~eraby ~rtify tl~at the abpva Final D'nie ~~tion has beeo ~ mede. TMt repuest roW 1B monMehwn - I C~TY OF EAGAN N° 10 19 5 ' ' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55127 ' ' PNONE:454-8100 Sl,SDC BUILDING PERMIT Receipt # Te M m~d iw SF DWG/GAR Est. Va~ue $116 ~ 000 pa~e MAY 8 , ~q 85 SitaAdd~ea 4863 SAFARI PASS - erect l~ Occupsncv R3 Lot~-Block ~ Sec/Sub. SAFART AnD Remodel ? Zo~ing R1 Repefr ? Type of ConR. `Z Parcel No. Enlarge ? No, Stories G.D. PEARSON CONST CO INC M°ve ? Lengtn 64 ~ Neme Demolish ? Depth Addrm~ 17670 ISLETON AVE W Grede ? Sq. Ft. 30 City LAKEVILLEphone 435-6303 tnsta~~ ? $F~ Nmne SAME Avwe.aM F•es T~~~~ " Address Assessment Permit `f ~ -3 • OO City Phone Water E Sew. Surchorge 58. 00 Police P~an Review 236.50 t~ Name Fire SAC 525-00 ~3 Addreu Erq. Wafer Conn. ~ ~ City Phone Plonror WatarMeter.~.~~ Cowuil Rx.d Unit ~ R ~ ~ 1 hercby aekrowladpe tMt I hew raad this application ond sroro fhat eldg.Off. 5/6/85 .T..:P . 132 . 00 tha inlormation is comct a'd ogrea ro complY wirh oll applicobla A~ Total ~2~ 2 6]• S 0 SroM of Minnasota Stoturos and Ci ~e9an monces. ~~-Vac Date Sipnofure of PermiMea A Bulld~np Vermit Is ~uued ro: G-~ • PEARSON CONST w~ the azpress condtnon ~ho~ dl work ahall ba done in xcordonce with pJ_I opplioobla ' Minnesoro Statutes and Ciy of C.:~~n Ordinorxa~. Buildfnp OHkiol '4~i_/i ~ ~~J ~ . ~'R z5 < 8 8~ - -C-~-~--s/ /as,,~ 2005 RESII)ENTIAL BUILDING PERMTf APPLICATION ~ a„ l ' City Of Eagan ~ ' I I II 3830 Pilot Knob Road, Eagan MN 55122 I~ p;iHY J:; ZQ05 ~J Telephone # 651-675-5675 FAX # 651-675-5694 _ ~ ~ NewConsWctionReauirements RemodeVReoairReaul2ments OficeUseOnle-. - 3 registered site surveys showing sq. ft. of bt, sq. fl. ol house; and all raoled areas 2 copies of plan CeR of Survey Recd -Y _ N (20% maximum lot coverage allowed) 7 set of Energy Calculations for heated additions Tree Pres PWn Recd _ Y_ N, 2 copies of plan showing beam 8 window sizes; poured found design, etc. 7 site survey tor addi~ons 8 decks Tiee Pres Required _ Y_ N lsetafEne~gyCalculations AddNlon•indicafeilon-sitesepticsystem On~sileSepticSystem _Y _N 3 wpies of Tree Preservatbn Plan B lol platted afler 711/93 Rim Joist Deta~ Options seledion sheel (buBdings with 3 or less unlts) / .I~ Date J! /~~J Canstructioo Cost 7y"~ 5ite Address ~d'l~ .3 d-i~u ^ ~~,J I UniUSte # Description of Work .%r~ P~/n ne ~~~~~J Multi-Family Bldg _ Y x N Fireplace(s) _ 0_ 1 _ 2 Y ' Property Owner !Y2%G e* ~ t'~%~LrC.;'•. Telephone g~- G'O'~ Gn i( r~ Contractor ~ 2~~~ ~ /~d/ G~'~'S~ n Address (rosZ ~!D Sf~~~ City '"~M~('""" State ~ N Zip Telephone # (6C-~ ) ~-'/'Y ~h'~~Z ~ Cys~- q-~~ -3 s3 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category , Residential Venfilation Category 1 Worksheef • New Energy Code Worksheet (J submission type) Su6mitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone J Mechanical Contractor Telephone ) Sewer/WaterContractor 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 Statutes; 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. i~, ~~~y~" ~ , Applicant's Printed Name Appli t's Sig re OFFICE USE ONLY ~ ! Sub Types ? 01 Foundation O 07 D5-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) O 31 Ext. Alt - Multi ? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 08-plex ? 16 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_Y or_ N? 25 Miscellaneous Work Types n ~ Q ~ 1(! ? 31 New O 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ;O- 32 Addition ? 36 Move Building ? 42 ~emolish Foundation ? 45 Fire Repair ~ 33 Alteration ? 37 Demolish Building" ? 43 Reraof 0 46 WindowslDoors ? 34 Replacement "Demolidon (EnUre Bldg) - Give PCA handout to appllcant Valuation ~!9 Occupancy MCES System Census Code ~ Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings(new bldg) _ FinaVC.O. Footings (deck) ~ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundatian HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final _ Framing _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows _ Insulation _ Retaining Wall Approved By: ~ 2i , Building Inspector Base Fee Surcharge n ~ ~ ~J ~'VI ~•vc Plan Review MC/ES SAC ~ Q/p ~ City SAC v Utility Connection Charge ~ r---'-"~ S&W Permit & Surcharge q ! Treatment Plant j~ ~ License Search Copies Other Total ~ Certificate for: Bk: 82/47 ; G,D, Pearson Const. Co., Inc. ' 17670 Isleton Ave. W, I,akeville, Mn. 55044 DELMAR H. SCHWANZ IAND SI~NVEVOPF INC aao~str,rn unnar Ldwe or TM1~ Sl~le M Mmn~aMn 7a750 SOUTH AOBERT TRAIL ROSEMOUNT. MIMNESOTA SSOBB PMONE 6~2 4711769 SSIRVEYOR'S ICATE a ~~'<3'~ ~ \ ~ 9~ ~ ~r ~ ~ , - ~ = ~ z~ ,~,3° - oi , \ ~ ~ C ~C ~ ~ ~ \ o II ~ \ ~ 3 \ ~J`~ ~ \ \ a\ ~ , f bS, ~ o ~y°6~~ ' \ " ~ \ _ _ ~ ~bs1' 0 titi / ~ ~ \ ~ 1- Ca'• v~~ q13•6 ~ ~ ~levations ahown are $ N ~ 39// ~ existing \ q, P 9~ i' p 1 T ~ ~ 10 ~ ~ 5~~ ~•o ~ROr~ ~ ~ q6 '^oposed garage floor ,1~Bp ~ ~ ~ / 91~ elevation 9~__. orj1Z' Wo / ~ ~ i Z~ 9 ~ o ,i S hez•rb certif that thia is a true 8~ ~ C °J 9~~ and correct z~epresentation oP Lot 7, 9~1•2 0. / 9~~''0/ ~ Block 1, THE SAFARI ADDITION, ~ ov ~ according to the recorded plat thereoP, ~ ,,r ~ ~ Dakota ..ounty, Minnesota. ,i 1' /~J/~ r~~• 1 Ai~o showing the location of a proposed ~9T~ house as staked thereon. ' Dated: Apr3i 30, 1985 ~~9%~/ 'S ~ ~3' ' % / i,!, n , v r~; c/ illl?-~i`f MINNE507A EC,ISTRATION NO. 8625 ~ i ' ~ ~ ~ t ) 4 ( ~ / ~ ~ 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST 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: "~~g~ggB:99 26 8 Sinele familv hom~ialuation: Date: 4~ ~ 5 Site Address: 4863 Safari Pass OFFICE USE ONLY Lot: ~ Block ~ Sect/SubThe Safari A~¢~ect ~ Occupancy ~-3 Remodel Zoning ~ , Parcel Il 1075850070010 Repair _ Type of Const ~ Enlarge ~l of Stories Owner G, D._Yearson Construction Co. Inc. Move _ Length ~ Demolish Depth '~o Address 17670 Isleton Ave. West Grade Sq Ft City/Zip Code Lakeville, Minn. 55044 Phone 435-6303. APPxovnLs ;Contractor G. D. Pearson COnctri~rt.inn r~_ I~,SSessments Permit ~}-~3.~"' Water/Sewer Surcharge ~d`-' Address '~7670 Isleton Ave. W.a Police Plan Review 23(o,y' Fire SAC 5'Z5, City/Zip Code Lalkeville. minn. 550L,,~ Engr Water Conn St~p. = Planner Water Meter Phone Q35-6303 Council ~Road Unit 2~.~° Bldg Off / Parks Arch./Engr. APC / J Treatment P1 \'3Z.= Variance Address TOTAL City/Zip Code °~a ~ S"~ Phone dl 30 ~ = ii~c~ xsq-~ ~~scoo Z~P ~ 2(o~K' (a ~CD x ~ ~ ' ~ 43(0 - f 14o x 4~ ' 4~~i 4~ ~ , o. 3o x 38 473 • + ~ ~ `~-~.-3~ 58•+ 235•5+ ~25• + . . SDO• + 63• + 280 • + 132 • + 2e267•5* Certificate for: Bk: 82/47 ~.D. Pearaon Const. Co „ Inc. ' . • 17670 Isleton Ave. W. . • ~ I,akeville, Mn. 55044 a DELMAR H. SCHWANZ ~~Np GUHVEVOFG Mf APa~51nM WOM Ldwc pl TIM iM1lla OI Mrnnryp\11 14~50 SOUTH ROBERT TRAII ROSEMOUNT. YINNESOTA 550Be PMONE 6~21ti7769 S RVEYOR'S ICATE ~~3'~ ~ \ ~ 9/' vj-~ ~ \b \ , ~ D _ ~~,3 , ~ ' . ~ ~~o W ~C~ \ ~ ~ 3 r\ I \ ~ y~~-~ ~ \ - - \ a\ ~ \ ~ `L. ~ \ oi ~o6g.3 , ~ ~ s i o \ ~ ~ \ ~6 1 0 0 \ ~ ~ W ~}d83~ 0 1,~, CJ• . q9 Elevationa shown are ~ \ 6~j.$ B ~ ~ ,~9I/ ~ existing - ~ \ 9 / P `~w 9~ / p ~ z~ y' o ~,~i}2 ~ 5~~ ~•o JRpr~ i T ~ 6 Proposed garage floor ~~~p 3~ / q~' elevation 9~,~ y1Z' o / ~ / r\ Z~ o~'g~~~ / o ~y I hei•eby certify that thie is s tl'ue ~8 / D, °I ~ and correct z~epresentation of Lot 7, f~9~1•2 ` / 90L' D/ / Block 1, THE SAFARI ADDITION, ~°o~/ fG°!I G according to the recorded plat thereof, ~ ~/~~5-~ Dakota County, Minnesota, i T~ A13o ahowing the location of a proposed ~qT1• GJ A/~~ house as staked ther9ox?. ; /txf~ G~o~ ~ . / Dated: April 3~, 1985 <'9~ . , ~ , m; r ~ i~'~;,;;~ n.~~~ ~,,,'.~,,~~G~-~'r`~ MINNESOfA REGIS~TRATION NO. 8fi25T~ ~ ~ ~ ~ ~ ' EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION owri~a: J F ~tzy Pr~.,ar~~?,? _ Si7E ADDRESS: ~`~fo'J' _Xa -:d° P~~ , CONTRACTOR: ~C.~Ptwe~...l.p.rllr...~,~,~ c~..~c~ DATE: /,2~K PHONE: y3,~~3n3 DETERMINE FIORKING SOUARE FOOTAGE OF EACH: TOTAL EXPOSED b1ALL AREA,,,,,,,, 2(e24 sq ft x"U" .11 = 28$.~e4 TOTAL ROOF/CEILING AREA,,,,,,,, ~,[~,p sq ft x"U" .026 = 2-q.~4 3. TOTAL EXPOSED WALL AREA CALCULATIONS: Total exposed wall ~ area above floor,,,,,,,, 2.(o L 4 sq ft a) Total wall window area: 9lazed...... 2q'tl sq ft x , 34 ~ $l. Ce~ glazed...... sq ft x "U" - b) Total door area G ~ sq ft x"U" •(3 = '~~80 c) Total sliding glass door area: glazed...... '1 O Sq ft x"U" ~ 4G = 32~20 qlazed...... sq ft x "U" _ d) Total fireplace wall area q- 8 sq ft x"U" _ ,(e g- e) Total wall framing area (Averaqe 104)........... ( 1~ sq ft x"U" . I o = ~~7~ q~ f) Total ne[ wall area above floor (Insulated)....... l~ ~ I sq ft x"U" • 04' = fc4,4'~- g) Total rim joist area...... 2"j 2 sq ft x"lJ" ~~g' _ 0,88 -.r- Total foundation area (Exposed).......... sq ft h) Total foundatton window area............ sq ft x"U" _ 1) Total net foundation area above grade........ ~ 4 g' sq ft x"U" • 0~ _ ~0,0 $ 24 2 4 TQTAL a) thru i) = 33,5¢ ~f item !/3 is the same as, or less than item N1, you have met the intent of 2"ICAR 1.16008 A and 0. Page 1 4. TOTAL EXPQSED ROOF/CEILING CALCULATIONS: Total exposed roof/cetlin~ area........ I~ 4a sq ft j) Total skylioht area....... sq ft x"~" ° k) Total roof/ceiltnq framing area (Averaae 1~9:)...... 114 sq ft x"U" ,02'1~ a 3.I~i 1) Total oet insulated 2 5 G 5 roof/cei 1 ing area....... ~ 0 2!o sq ft x"U" • oz5 ° , 4. , TOTAL thru 1) 28 ~8~ If total of N4 ts the same as, or less than R2, you have met the intent of 2 MCAI2 1.16008 A and 0. ALTERNATE BUILDINf ENVELOPE DESIGN To utilize the total envelope system method, the values established by the sum of items N3 and N4 shall not be 9reater than the sum of items NI and !~2. 1. + 2. ° 3, + 4. ° C E R T I F I C A T 1 0 N I hereby certify that 1 have calculated the "U" factors and "R" values herein and that the huildinry here descriheA meets or exceeds the State of Minnesota Enerc7y f.o~servation Act. 51~nature (Date) Page 2 ~ CONSTRUCTlON R VALUE WALL FRAMING SECTION: 1 Interlor air film Q.6R 2 V " o¢. wa~~- .45 A ; Si/Z" Tnc es,soft wood 12 4 s+ic~ATH~NG 2.aL 5 S~~iuc, ~ T 6 Exterior a r m A. 7 TOTAL R m I 0~ ~ U= 1/Rm .~O WALL SECTION (INSULATED) 1 Intertor air fltm f1.6R -;2 i "oQ wa~~ .45 3 5~ Z~ ItJSJL• 2a.0a B ,f-{4 5µte-aTF+~~-~G z.aG 5 S~ u~uG ~b~ Exterlor atr film 0.17 TOTAL R = 24,03 U a 1/R = .04- RIM JOIST SECTIOIJ: 1 Interior air ftlm 0.6R 2 ?NSV~, 2a,ao C 3 I~/z„ W p 1. 80 4 SMfcCTHt1~G z,o~ 5 S~vt~c~ •~7 6 Exterior air fiim n.~7 ' TOTAL R = Z5~44 FOUNDATION INSULATIOP~ REQUIRED: Min. R-5 on entire wall OR U= i/R - .o'~ p a.;:re. Min. R-10 down to frost depth - ~~a,- fOUNDATION SECTION: D y- 1 Interior alr fitm A.f,R ••p: P , 2 INS~L~ ~ ~~L ~NE8.S2ec~ 12,4`.6 '',6-.%=' ~3 12" ~~.oct t.28 ";'-'!~Y 4 Exterior air film 0.17 a ••:a.• ~ ~ (5 aQ•~>~4 '4~ ' TOTAL R =Iq-~58. , . U = I/R ° .Q~C9 SLAR ON GRADE ".'C• ~Vi ,4• ti- : ,.Q• : ~I,', 4 ~ ~ •1' . IQ _ '4`, .`n4=~ . .Q,, L . . A ~ . ~ : ~ q ~ . . a ~ i ~V ,Q• Q` ~ r ~~i ~ ~ ~ d ~ . • ~ ~ i+ • ~ ~ \~4 . ~ 4' + ~ ' ~ 4• .4' n' Heated Slabs: ~ ' q~ ~ q; ~ ~ E ~v,., Minimum R = 8:5 ~ ~ • q~ ~ 'q~ '9. , ,.y; z.. Unheated Slabs: QQ ~ Q ; ' • 'v 4~ Minimum R = 6.2 • - ~ ~ 4~ ' . ,d•, Q, `„"~b a~t~~••`~ rS ~a ~4~'-'.~ `L'A . Page 3 0' CONSTRUCTtON R VALUC CEILING SECTION (INSULATED): 1 lnterfor air ffim ~.61 f~ AIR 2 5/A~~ SHET~TiZpc~K. ~S6 CHUTE 3 ~µ~V~" ~Otl 3 4 ~ Exterior air fllm still) ~.F+1 p TOTAL R° 3g ' 7 O U m 1/R s. 025 ~ 2 5 CEILING FRAMING SECTlON: 1 I~terior alr fitm 0.61 ~ 2 Sg" 5Mlfc~ETRoaIL •$b q~Fj VENTED 3 NsuL, 3o,ao FLOW 4 Intertor air film still I 5 ~y~/z" inches sof[ wooA Q..'S8 TOTAL R = 36~IG U = 1/R a ; o2~C. CEILING SEf.TtON (INSULATED): ~n~.a~ -~_~._~o+~+?e..~~~ T 4nterior air film 0.61 2 A Fxterior air film still D. 1 TOTAL R - G 3 _ f ~ U = 1/R = - 1 I 2 3 4 5 CEILINr, FRAMING SECTION: 1 Interior air film Q.61 VENTED 2 3 4 Exterior air film still 0. 1 5 inches soft wood TOTAL R = U = 1/R = 3 4 5 H ~ ~~~~4 : " 1 Inside alr film ~.F~ ~.r: ; ; 3 4 5 Outside air fitm ~•~7 ~ 2 TOTAL R = _ U = IIR = Page 4 GUI~ELINE TO (R) FACTORS FROM ASHRAE MANUAL OF TYPICALLY USED PRODUCTS AIR FILMS ~ SHEATHING ~ Interior Air Film (Wa17s) 0.68 3/4" Wood Subfloor or Sheathing 0.94 Exterior Air Film (Walls) 0.17 1/2" Plywood Sheathing 0.62 Interior Air Film (Uented Ceiling) 0.61 1/2" Particle Board 0.66 Exterior Air Film (Vented Ceiling) 0.61 Gypsum or Plaster Board 3/8" 0.32 Interior Air Film (Non Vented) 0.61 Gypsum or Plaster Board 1/2" 0.45 Exterior Air Film (Non Uented) 0.17 Gypsum or Plaster Board 5/8" Q.56 Plywood 3/8" 0.47 Plywood 1/2" ~.~2 BLOWING WOOLS Plywood 3/4" 0.93 Approx. 3" 9.00 Sheathing, Reg. Density 1/2" 1.32 Sheathing, Reg. Density 25/32" 2.06 Npprox. 4 1/2" 13.00 Nail-Base Sheathing 1/2" 1.14 Apprax. 6 1/4" 19.00 Approx. 7 1/4" 24.00 Approx. 14" 30.00 ROOFS Approx. 18" 4D.00 Built-up Roofs 0.33 All other insulation materials must Asbestos-Cement Shingles 0.21 be verified (R Factor) Asphalt Roll Roofin9 0.13 Asphalt Shingles 0.44 INSULATION Insulation: 2-2 3/4" fiberglass 7.00 SIDING Insulation: 3 1/2" Fiberglass 11.00 Aluminum Siding 0.61 Insulation: 6" Fiberglass 19.00 Aluminum with Backer 1.82 Insulation: 3 5/8" Fiberglass 13.00 Aluminum with Backer t~ Foiled 2.96 Insulation: 9" Fiberglass 30.00 ~/p x 8 Lap Siding (Wood) 0.81 insulation: 12" Fiberglass 38.00 7~~6 x 12 Hardboard Siding 0.67 Insulation: 8" Cellulose 29.00 Asbestos 5idings 1/4 Lapped 0.21 Insulation: 10" Cellulose 37.00 Stucco (Brown and Finish Coat) Insulation: 12" Cellulose 44.00 insulation: 1 1/2" Thermax 12.00 Insulation: 2" Thermax 16.00 DOORS ~ 1 3/4" Solid Core Door .46 :~IOODS w/Storm, Wood .31 Fir, Pine & Similar Soft Woods w/Storm, Metal .26 ~ ~~2~~ ~ 89 Pease Steel Door Insl/N/GL 7.45R .13 2 1/2" 3.12 Sliding Glass Door, Wood .65 3 1/2" 4.35 Metal .72 5 1/2" 6.87 CONCRETE BLOCK WINDOWS 3" Concrete Block (5 & 6 Reg.) All Windaws (Filled with Vermiculite) 1.93 ~w/Storms 1" to 4" Space) .56 12" Concrete Block {S & G Reg.) ~.2g Removal Double Glazing (RDG) .55 (Filled with Vermiculite) 3.15 Thermo or Welded 3/16" Air Space .69 8" Liqht Weight p,~g 1/4" Air Space .65 (Filled with Vermiculite) 5.03 1/2" Air Space .58 12" Light Weight 2,qg (~ther windows specifically tested (Filled with Vermiculite) 5.82 can use better ratings) Page 5 , , . OP7IUNAL Ut51GN METHpU As an optlon to completing the Exterior Envolope Average "U" Computation where "U" values have to be calculated, the following method may be used. NOTE: All of the following six items must be accomplished in order to utilize this method. ~1? I. Ceilings which meet one of the followin9 criteria satisfy this requirement: A. R-38 throughout the entire ceiling. Indicate on plan section drawing how this will be accomplished. Complete appropriate diagram F, G, or H. B. If a portion of the ceiling is less than R-38, the insulation in the remainder of the ceiling must be increased to yield an overall average thermal resistance of not less than R-38. C. Where the roof at the perimeter of the ceiling prevents installation of insulation to full depth, the insulation in the renainder of the ceilino must be increased to reduce the overall ceiling heat loss to no more than if R-38 had been installed throughout the entire ceilin9.- (Submit calculations if this method is used). °a~ 2. For the insulated cavity of opaque wall and rim joists, but not foundation walls, a minimum R-20 is required. Complete diagrams B and C. 3. For the insulated cavity of floors of heated spaces over unheated spaces, a minimum of R-20 is required. 4. Maximum glass area may not exceed 12% of the area of exterior walls not including foundation walls. All windows shall be double glazed or have storm windows. Complete the following equation using data from the first page: 3(a) : 3(t) _ ' x ~ x (x) must be less than .12 to meet requirenents of this item. 5. Maximum glass area may not exceed 10% of the area of exterior walls, not including foundation walls, when a sliding glass door is installed. All glass shall be double glazed or have storm windows. If sliding glass doors are to be installed, complete the fotlowing equation using data from the first page: C3(a) + 3(c~ ; 3(t) _ Y (y) must be less than .10 to meet requiranents of this item. E. A 1 3/4" metal faced door system with an insulated core providing an R value equal to or greater than 3.0 or a conventional door and storm. All primary doors must have durable weatherstripping. Page 7 - ,r_ , ~ ` . ~ ~ I 2/84 ~ I CITY Ot EAGAN I ~~`r`ti APPLICATION FOR PE:h`4IT SEWER AND/OR WATER CONNECTION (PLEASE PRINi) i) PFOps~ r~~~ss: _ z/Sr~ 3 Sc- ~~i ~~c..s~r T F3ar. D~utirzcv: t~ T 7 F~o ,F / Sc~« i (Lot/Block/Su:divisicn or Tax Parcel I.D. Ntsnber) ~ .-`~..:Z~:'=:G S?'?.L"~'.^..rLS. DRT' 0_° OiZT_G~T.?u", uiI :UI_`:G =~;~5: ISS~?~Cr: _ ` P°~S~"P „^..;7I:~:/P!~POS~ C'S: ? R-1 Si~;GL: cP?~SL: ~ R-Z DLJPZc..`Y (?'.i0 IIi?I.S) ? cZ-3 ZC7.~:~rvrcg (?g?v.~ + II~]ITS) ( G~II='S) ? A2t:ic~n•c_";m~CC;7~Ci~~r;7ILn1 ( LTiIT_5) ? CC'~SE°CL~I./Rb^.'AII,/OFFIC:: ? ~'~JliS'I'.'~L3L ? L`7STI:LTIC:'~I,/GG'~I~'~:~.,ti'T Z) }L~p~~,~,,~ (PLEASE PRINf) NA`~SE - ~~:~^l~2in~iJ't/i'~ P' ~ciJm~inp~~~ ~-ir~P ACDRESS: ~.IO ~ tI /C h iP~`J Pi70f~i/io ~ CTT'_', S:r.T~.', ZIP: ~r~~nra'TC~a 7%3/l• ' PF.O~: S~~ ~ - 7 ~f 2~F j~ pu,~.~~v (VLEdSE PP1Ni) FOR CIT7 t1SE 041Y _ D ~ at~ s ~~/P~ ^ PLUHBERS LICEHSE: , PDDRESS: ~fG3~/ Cl'JiDAe/~ _c~p fik'iC El/, ive CITY~ STIaTE~ ZIP: ~~~c~ ~ Expir TN~~c- Not of Record ~ PHO~IE: ,~f(,_3J` 8'21~ p~UNBEA LILEYSE # zfSJg/rJ 7 ' rr nitia 4) OLC.?,JpPS1T/C~v~?P.it ~LEASE PFiNI) rur~: G .n c.rsn.~ C'o"s~- ~~reESS: /76_>O ~'s/~ ~vn ~e W . CTTY, STATG, ZIP: /SPur~~i~ ~i? R`S7y S~ PHO~r~ _ ~3 S'- 3 03 5) INDZG"~TE :~[1ZCH PERKIT IS BEIhG REQUESTID: ~ CO:INECPI0~7 'Ib CITY SE7i~iER ~ CONNE~I'IGN TC) CITY S~TAT~t ? di[ER (PL~SE DFSCI2ZIIE) 6) L^DIG,.:; C::c.: . PL°.~SE I?OID r1PPPOVF~ PER.~IZT FOR PICi:-G'P BY Oi~IE OF A&NE PI.EASE +*~IL APP?,pVm pEF.:•LIT 1rJ 1, 2, 3, 4 AFi(n1E (Circle one) 7) SZC~'!Lr"2E: DATE: - . , ~~lO~~iRflb.iY!?r Al~g~j! SI'Ri7i~Y#~/ is~i~i:~a!l~RJl:f~O~J~~ ~l~Itliii'ga~ F O R C I T Y U S E O N:. Y PcRMIT ISSUED /r F°1-5= S L~~~~~1 SE:9c..°. ?~~~~1T_T (I`IC?.,1;,.7~ SLF°C.`:~:: vc) $ C O~SU W~TE? PEi2.^4IT {IiICL'uDE SiiRC.iARGn) $ C~J~oC. WATER METER/COPPERHORN/OUTSIDE REi,BER $ WATER TAP (INCLUDE CORPORATIO~I STOP) $ S :'.vER TAP s /S-~o : _~e~:,_ .,..:c•s~_ - $ _ / S ~r ACCOiiNT DEP(~SIT - [•lATrR S ~ ~o. Lo wac s ti ..w snc $ TRGVK ~VAT£R ASSESS;~SE.`IT $ TRliiQK SES~ER ASSESS::~:iT +S L`nTEP.AL BE:IEFIT/T.°,U~IK SE:'?EFc $ LATERrIL BEYEFIT/TRU.1K LVATER $ WATER TREATMENT PLANT SURCHARGE $ U OTHER: $ TOT? L $ y~~"L Ai~lOU\T PAIDjREC~Z~T ~~~/"y'~ DOES UTILITY CONNECTION REQUIRE £XCaVATION IN PUBLIC RIGiIT OF WAY? ~ YES ZF YES, THEiI A"PERMIT FOR 'AORK WIT?-IIN PUBLIC ROADWAY" MUST BE ISSUED BY TAE ~_~`~0 ENGINEERING DIVT.SION. LIST AS A CONDI- TION. SUEJECT TO THE FOLLOLJING CONDZTIONS: • APPROVED BY: TZ:LE: ' DAT°_: , ~ ~ w ~ w ~rs w ~ ra ~t~ w ~ w ~-sf w~ ~t+ ~t+~ s~ ~w~ ~s~ ~t+ ~ ~ fa ~i~ w~ w+~a sw ~ ~ ~(:~CY,CM)i ~~~iF?,c>ki~Y(. 'Mi~~K 1~t~ti>'Fh?7K {°:is?k~:>X3~~A'ikYeXtsYYFY,[%( ntf,:>k~ ~ c.r.r~r n~~ Fr~c'~,r~ CR51-I'[EFic _~`i i'F:~RMINAL. N0: 6i'i. ~nr~:, o.3i~i.ir.~rr rzr~t_: o_,~~~;?~,,;s~. ir.~ : n~r~r1E: ~~n~.r:i._r.,F~ar-T nF rsr~ tnc. irzs.zs ;~a.c~ ~~o~~~ a~c~~a Sr"~1=P.R:L ~~as 21.`'i5 iCIC:I. 486:a riAFAR1_' PAS 3.00 8i?~,fl 3tYfl1 4310 E'~`.FiWit k)~4 ~ ~SF s~3~ . c=~~'.:i0 7oi:a1 I:;ncei~ri, Fu;~a~_r+t: ri~ 12rF7Y 4 I18f_'R T~!~ JAN :;r.;;;RN<+~Y,:,~cY,cB:~X~k~>%7kYi~M~ 'W.~::>%#M~Y,<,;:;;cP6k>~~n•M7~M~X}XXi>X7k 2000 BUILDINC PERMIT APPLICATION (RESIDENTIAL) cinr oF ~?caN q ~ d3 ~j Z( v~~ I 3830 PILOT KNOB RD - 55722 ~p~j 651-681-4675 ~ ~a ? s r.y~aered rre wrvevs ~nowmfl w. n. a be. w. a. a~ 2 coWe: a v~ a I- CJ C~ aid ~ roofeG areas caD'6 maximum tot covawae albwem 1 iet of enerpy edadaMons for healed cddlMoru > s copias or paro cu,ow neam e winaow azes: voured ma. aed~n: e~c.~ 1 Yte wrveY for exteAOr addlHOnt S decks a t wrorenerpy caaewaxona a ~ coples W hea pres6nallon plqn tt bt p1aAFad aMer 7/1/9J DATE: 3 - I ~ ~d CONSTRUCTIONCOST: ~93 (o DESCRIPTION OF WORK: Si U 7 h LY STREET ADDRESS: ~SG f Rr~ ~ 55 LOT: I BLOCK: ~ SUBDJP.I.D. ~ ~ ~ ~ ' Name: ~/~?i !1e .LJ-2r~ n ~ 5 ~,,,,e ySa - ~ ~ PROPERTY lap Flrst OWNER • Stre6t Address: ~4 3 ~q Gr, ~55 CHy ~Gi' ~ Q n Sfate: /n DP: 1- ~ Company:~~n.~~Cl~a ~f o ~ hjn~ Phone ~ - 6 6 a ~ (area code> CONR2ACTOR Sh6etAddfASS: ~~~a ~~+°i~~n r~~ LICAnS6~ a( ~ J Exp,?~~ /(70 cny .~r~~5 srate: !~'1 ~ z~: SSyd ~ ARCHITECT/ ENGINEER Company: Name: Telephone ( ) . Sheet Addreas: ReglslraHon M: . CNy Sfate: Lp: . Sewer/water licensed piumber (ff installina sewerhvaterl: Phone I hereby ackrawledpa ttaf I have read thb applicalbn. afafe ttwt 1he Infortnalbn is carect, and ogree b compy wHh aA apP~~ s?aFe of Minnewla Sfalules and CNy ot Eapan Ordinanees. Signalure of Apptleant ~-L`~'~~ • OFFICE USE ONLY Certificates of Survey Received _ Yes _ No ' Tree Preservation Plan Received _ Yes _ No _ Not Required OFFICE USE.ONLY ~ fi BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-plex O 13 16plex O 21 Porch (3-sea.) ? 31 Ext ulti O 02 SP Dwelling O OS O6-plex O 17 Garage O 22 Porch/Addn. (4-sea.) O 33 Ext F O 03 01 of _ plex O 09 07-plex O 18 Deck O 23 Porch (screened) ? 36 Muw O 04 02-plex O 10 OS-plex O 19 Lower Level O 24 Storm Damage ? 05 03-plex O 11 10-plex Plbp _Y or_ N O 25 Miscellaneous ? 06 04-plex ? 12 12-plax ~ 20 Pool O 30 Accessory Bidg. WORK TYPE O 31 New O 36 Move Bldg. O 43 Reroof O 32 Addition O 37 Demotish (Bldg)' O 44 Siding O 33 Aiteration O 38 Demolish (Interior) ? 45 Fire Repair O 34 Repair O 42 Demolish (Foundation) O 46 WindowslDoors • Give PCA handout to applieant for demolition permit S'aEl~lERAL :NPOl2l1AAT10N SAC Code # of Stories sq. ft. No. of Units Length sq. ft. No. of Buildings Width Footprint sq. ft. Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. MC/ES System UBC Occupancy sq. ft. City Water Zoning sq. ft. Booster Pump PRV Fire Sprinkiered MISCELLANEOUS INSPECTIONS • ~ Stucco/Stone APPROVALS Planning Building Engineering Variance Permit Fee ~ ~-~7 Valuation: $ Surcharge r3 . U t~ 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 • Totat: 1 ~ ~3". ~ ~ SAC Units °k SAC Nov 21 2013 9:40PM BRUCKMUELLER PLUMBING INC 6516882160 *City otkau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 page 1 Use BLUE or BLACK Ink r.l For Office Use Permit ll: 19'60- Permit Fee: ..... C0 Date Recei ed: /1 - staff: INFLOW & INFILTRATION PERMIT APPLICATION Plumbing / Sewer & Water Date: / / / 8 V? Site Address: t'i g ct 3 5cc r i Pa - Tenant: & Tenant: Suite #: } of ; i Name: f ruCe.. Lj/`I CleSo ri Phone: &SF 373- /70 et Address / City / Zip: IegV3 St2 r°`v 'S SS — i 0 A AI 'JS /V qy kk , f ti 4Njtg Vtl Name: iri,.t.t' %,144 J/€r Mt rr hr n9, XIV'. License #: !a Co.i g'.S I- pm Address: ?qq'd Pennstida via Auei A a.- City: i1^i29a f State: MA) Zip: Vis / 3 Phone: 6 51- 615 6 ._ ce. ce 4 Co Contact f" r r'. or l a/ r C,, Email: .. 0 _ 41 0 i e C ' w'1 _O, .71 ary ter PLUMB/iNG (Within the building envelope) ✓Sump Pump Repair SEWER 4 WATER (Outside the building envelope) Repair Other. Other: 1G'i ® 1 1 iii Description of work: ; Code P grin n t� SU ln� puny) i �?r ,� tip c ,�r��. FEES $60.00 / Each (includes $5.00 State Surcharge) TOTAL FEES f 0, CIG * Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit Ill repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.citvofeaoan.com/inflow, or City Hall at 3830 Pilot Knob Rd. 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.000herstateonecall.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. le, /3rut/mue-l/e, - Applicant's Printed Name Ap cant's Signature Jul. 13. 2016 8:58AM City of EataliCerr' 3830 Pilot Knob Road V , SAO— Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 No, 2316BLLP_ _1 BLACK Ink For Office Use permit* /3 76g'..5. Permit Fee: 60- VO Date Received: Staff: L 2016 MECHANICAL PERMIT APPLICATION ❑ Please�submit two (2) sets of plans with all commercial(application Date: l�"',.��"�1�% Site Address:(4 (o3 Tr"t.-✓� r Tenant:(t C-01— tn--) Suite #: �Re�sl:dent%O.vy ............ . r ` I, �n L Qlrrr � �Yi Name: � � Phone: d7 V , CAddress/CitY /ZPC5 ntraitor; ;.`'`;;; ..................... BINDER HEATING &AC, INC. Name: 222 N . License #: Mc. N ardm�n So, StP " Paul, MN 55075 Address:City: 651-457-8781 State: Zip: Phone: j V1a � 44, if Contact Email: (1-1, ill/bRir. New Replacementlacement Additional Alteration Demolition Description of work: �.,At_'-f' ..:::;�•;;>.;,,'•:•:::'.':':":• .:..,"•::':•.:'.::.. Roof'mounted.and;..found>moiunted:mec ease ;corttaet,theMechanlcal;atls .a. rcale.uiiient:;is:re. uired•to`b'e'.'screene'd'b ... C''' ectafr"{Iii idmnatto.frpn. ecrnrtted;acreenin :nreFhods:;::::::.:;. :::::........: PQrfTllt : ypib` ;; ,,:.;;' :iB. RESIDENTIALMMER F nate I C A - 0 C L New Construction Interior Improvement Air Conditioner Piping AirExchanger _Exterior _Install _Processed Gas HVAC Unit _ Heat Pump Under/Above ground Tank (_ Install ! Remove) _ Other _ _- RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State includes State Surcharge Surcharge = $ TOTAL FEE $100.00 Residential New, COMMERCIAL FEES $60.00 Permit Fee Minimum Contract Value $ x .01 = $ Permit Fee $75,00 Underground tank installation/removal, includes State Surcharge Surcharge = Contract Value x $0.0005 If the project valuation is over $1 million, please call for Surcharge ° Surcharge = $ TOTAL FEE 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, e.k.,/ `: 142f21 Appl cant's Printed Name FOR:•OFFICE.USE :'.;:,,:::• Required Inspections dez..00' frz • Applicant's Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA159421 Date Issued:12/17/2019 Permit Category:ePermit Site Address: 4863 Safari Pass Lot:7 Block: 1 Addition: The Safari PID:10-75850-01-070 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 - Brice C Erickson 4863 Safari Pass Eagan MN 55122 (651) 373-9702 Lindus Construction 879 Hwy 63 Baldwin WI 54002 (715) 684-4647 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA159828 Date Issued:01/22/2020 Permit Category:ePermit Site Address: 4863 Safari Pass Lot:7 Block: 1 Addition: The Safari PID:10-75850-01-070 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 - Brice C Erickson 4863 Safari Pass Eagan MN 55122 Lindus Construction 879 Hwy 63 Baldwin WI 54002 (715) 684-4647 Applicant/Permitee: Signature Issued By: Signature