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4866 Safari Pass r For Office Use � � o �� Permit#: #° EAGAN Permit Fee: tU® OD Date Received: '1 1 as11 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX:(651)675-5694 Staff: 812.7 buildinginspections cr citvofeagan.com 2018 RESIDENTIAL PLUMBING PERMIT APPLICATION - � C.� Date: Site Address: ! �d j . ass Tenant: Suite#: / 37 4 , � �t11" Name: 1\):)eke.- G er�J i� 10�i�, Phone: �?S �" 4% Address/City/Zip: tie ',' p t �C�S � ' (k./Q4A: qq Name: JL'cense#: `("►�� Address: .S S 16;SC� %LJ. . City: 3 � 1 Det State: gip: s (( 7 Phone: – S^ ... Contact Email: '., NNr IK> 'y�fo L New .replacement —Repair —Rebuild —Modify Space Work in R.O.W. Description of work: :` RESIDENTIAL Water Heater Water Softener Lawn Irrigation(—RPZ/—PVB) #�� T Septic System Add Plumbing Fixtures(—Main/—Lower Level) New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater,Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation(includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State Surcharge) *Water Turnaround(add$280.00 if a 3/4"meter is required) • $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES$ 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.gopherstateonecail.orq You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. 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 lans. x . A,a \ek. x L. Applicant's Printed Name Appl nt's Signature OFFICEUSE ,t y z } r� r � y � r i e - I R llii� Telt FSI @ 1 ax 4 $ erRel ,� � : » . N p .•;:�ia ' ra*wa ,t 1` . ' ' CITY OF EAGAN . 95J2 ' 3830 Pilot Knob Road, P.~. Box 21-199, Eagan, MN 55121 ~ PH ON E: 454-8100 7 7 BU1LDfNG PERMIT Receipt ~pt To b~ u~ed foe SF DWG ~ GAR Est. Volue 12 ~ OQO pa~e SEPT~P~iBG.T2 28 19 F~4 S ite Address 4 8 6 6 SAFAR I PASS Erect ~ Occupancy R 3 Lot ~ Block 2 SeclSub. SAFARI ES'r Remodel ? Zoning • Parcel No. Repair ? Type of Const. V Enlarge ~ No. Stories BEST VP_LU?3 ~-IOP~IES INC Move ? Len th ~ Name _ 9 Z Address p•~• ~~G i Demolish ? Depth APPLB VAL Grade City Phone ~ Sq. Ft. App?ovols F~es o Name U~ Address Assessment Permit ~ City Water E~ Sew. 5urchorfle v~ V V Phone Police Plan check~~0 Q;=~y'' ~W Name F~~ ~ ~~V Fire $AC y^'~ x~ Addres Enp. Water Conn. 0~ DA ~ ~W City Phone ~6 0 Plonner Woter Meter 00 Council Rood Unit ~60•00 I hereby ocknowledge that I hove reod this application ond stote that Bldg. Off--~~~ Parks the i~tormation is Correct ond Ogree to tomply with all opplicable APC Total ~ • State of Minnesoto $totu e~and G,tY of Eagan Ordinonces. Var. Date -.F1. C-___ ~ ' ~ Siqnature of Permittee - ~ A Building Permif is iuued to: g~EB o~ the express torditlon tha~ olI work sholl be done in accordonce with oll opplicable State of Minnesoto Statutes and City of Eaflon Ordinences. Buildln9 Offidol ~ ~ Parmit No. Permit Holder Date Plumbing ~;Fl ,~j r, V I t~,1 , ~ ~ 2'7 1. ~ ~J7 - l~7 ~ H.V.A.C. L,~ ~ 1-F~i~ 1v ~C ~ ~ ~'r1 ~ i ~ 'I '{~~_~~G~-,Z Ekctric l,~ (E P ~a1 l g v ~ `l G~3 << ,o.ov ~.p Softener Inspection Date Insp. Other Footings . Foundation ~ Freming s ~ r ~~-0 - - Rouyh Plbg. Rough HVAC d 9 ~C Inwlation d Finsl Plbg. -igy' Final HVAC Final ~'~lp~j Cert/Occ. ~ Water Describe Location: Well .SBYVCf Pr. Disp. i ~ ~ ~ , Receipt MECHANICAL PERMIT Permit No. ~ I~ t~ CITY OF EAGAN F~ I r~ f ( fill in numbered spaces S/C Type or Print /egrb/y .ro~~~ ~ U 1. Date O~°~ZS 'y 2. Installation Cost 3. Job Address r~lSS Lot 7 Blk. L Tract r~ 4, Owner /~s~ (/fi~ LUG ES ~ ~Z~E / (r 5. Contractor ~/tTf~ ~Q''~L /~lC Phone 7~ 7-.~~ yL 6. Address ~ S ~ 7 U ~ N/'T 7. City ~/~'B~"L,~ State rG~i~ Zip S S3 ~ L 8. Building Type: Residential ~ Commercial O Institutional ? 9. Work Description: New ,Q~ Add ? Alter ? Repair ~ 10. Describe Fuel Type /~''r ~ ~~-S 11. No. ~uioment 8TU - M. Ea. No. Eauinment CFM V Forced Air ~G~ Air Handling: Mfg. ~ll }~iY. [J T Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby c:ertify that he above inform~on is true and correct, and I agree to comply~~vith,~Ff d' ances and codgd-g6v~tning this type of work. ,ff Signed : ~ ` [-t" ! ~or Ro~gh F Inal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Cr ~ ~ Receipt I~,~ PLUMBING PERMIT Permit No, ~ J CITY OF EAGAN Fee f.~ r~ tCf ~ FiII in numbered spaces S/C , Type or Prinr legibly ~ Tot. v.~~ 1. Date •,J'/ 2. Installation Cost 3. Job Address `~7~1 Lot i' Blk. ~ Tract 4. Owner - . - - 5. Contractor /J,. • ~ ~t - Phone °r'-~ % , 6. Address v ~ ~ , ~ ~ 7. City ~ ; . ~ ' 'r_' State . ~ Zip ~ , ~ : 8. Building Type: Residential L'g Commercial ? Institutional 0 9. Work Description: New ~ Add ? Alter O Repair ? 10. Describe 11. No, Fixiures No. Fixtures ' Water Closet Cesspool/Drainfield , Bath tubs 5eptic Tank ~ Lavatory Softner Shower Well " Kitchen 5ink 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 ag~ee 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 approved. Approved CITY OF EAGAN 454$100 CASH RECEIPT ~ CITY aF EAGAN P. Q. BOX 21-199 EAGAN, MINNESOTA 55121 DATE 19 RECHIV6D FROM AMOUNT $ I 4 ae DOLLARS ioo ~ CASH ? CHECK C~ roR O~ FUND CODE AMOUNT Than ou . ~ BY White-Payers Copy Yellow-Posting Copy I Pink-File Conv T ~ CASH RECEIPT ~ . ' C11'Y OF EAGAN P. 0. BOX 21-199 ` EAGAN, MINNESOTA 55121 19 l. ~ DATE ~J ~ J `'1 ~ RCG tl V BD 7 ~ FROM ~ ' ~ LI'_ - i'~._1 (~V - ~ AMOUNT $ ' c=? ~ J ~ DOLLARS ~oo ~ CASH ~CHECK Pow ~ ~ ~ (f9 ' ' ~Jl./L~(/ ~ I: l~,L~. ~ ~ '„~i~'^~:r ~''~f`,G~=l~G-~ i~L~i-~`~ ^ 7n ~ ~ i ~.-I ~l,r ~G~l~/1/ . • l .I.? ~ ~ %r - w/ ? FVND GODE A1.IOUNT ~ i i " J / l~ cJ / ~ J ' ? .J y ~ _ y~ Thank You ~ BY ; ; : ~c~~~. - h..~ White-Payers Copy Yellow-Posting Copy Pink-File Copy CITY OF EAGAN Remarks Addition SAFARI ESTATES ~ot ~ R~k 2 Parcel 10 65850 070 02 Owner f ~ ii= ' - - --screec ~+866 Safari Pass s~ate Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 19H2 1037.54 103.75 10 726.29 A014725 10-15-84 STREET RESTOR. r . . (~18.(~7 « GRADING 1982 603.03 422.13 " " SAN SEW TRUNK ~j~ j; 6j~ 1$~.6$ A014725 l~-1.5-8~+ * SEWER LATERAL 2878 ~ 88 " WATERMAIN • WATER LATERAL WATER AREA (e3( 1$~.6$ A014725 10-15-84 i STORM SEW TRK 1 82 866. 1 1. 8 346. 77 A014725 10-15-84 N STORM SEW LAT 1 S2 CURB & GUTTER SIDEWALK STREET LIGHT Road Unit WATER CONN. 470.00 n ~UILDING PER. i~ SAC PAR K CITY ~F EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Rosd 5749 P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DNTE: Zoninp: Rl No. of Unlts: 1 Best Value Homes rrs:: 4866 Safari Pass L7 B2 Safari Estates ~er LOren Brown Plbt~ er No.: ~~~c~~.~~ l:~ Connectlon Charfle: 470.00 vd Stze: ~/z ~-CU Accoimt Deposir: 1 S. 00 pd Reoder No.: 3~~~ Permit Fee: 10. 00 pd _ 1 yn~ to eo~apyr wNl~ t!~ Cih ef E~ge• Su?ci+orqe: . 50 pd OrJiM.a~. M~sc, CF„r~es: 63.00 pd mete /~i Totoi: gy , ~ ztt~ , Dote Pofd: Dote of Irup.: Irnp.: . ; ,s~+- - CITY OF EAGAN Wp~ S~CE PERMIT ~ 3530 Pilot Knob Road P. O. Box 21199 PERMIT NO.: i Eagan, MN 5512: D^~: - 't 1 Zonirp: No. of Units: 1 ~ i pw,,,~. Best Value Iiames : ~ /lddross: S~~ 4856 Safari Pasa L7 B2 Safari Estates 1 p~~~r LQren Errnan Plb~ ~ ; AAeter No.: Connecrion Chorye: 47~3.00 pd ; ' Size: Aooount Deposit: 15.00 ~d ' Raader No.: Pennit Fee: 1 C. On p3 ~ ~ p~ !e esApy wll1~ !IM Cir~r of E~~sa Surchorye: . 5~ ~+d ~''~~'0~' M1sc. Chor~es; _ ~ . n ~ pd meter ~ ToraL• I By Date Paid: ~ Dote of Insp.: Inap.: ~ I CITY OF EAGAN SEWER SERVICE PERMIT , 3830 Pilot Knob Road F,~. P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 pA~; IO-~~-BG Zoninp: - R1_ No. of Unlts: 1 p~y,wr; beHt V81u@ IioiAeO Address: 5i~ 4366 5afari Paes L7 B? Safari. Eetatea Piumber: ~-•oren Brat~ Plbs; 9-2E-84 ~,b677 1 U0. ~;0 pd ~ N~ b~ wNh lV 4e~ ~f hp¦ CorNncNon Ciwrpe: - ; 2 5.~0 ;sd Oedin~was. /lcoourrt Depait: 1 O:l pd Pem,M F..: ~ 0. 00 ixl Surohorpe: . SC i~d , BY Mist. Chorpy; Date of Insp.: Totol: Insp.: Doh Pofd: ~ CITY OF EAGAN No 9552 t 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 4548100 ~ ~ ~ ~ BUILDING PERMIT ReceiPt # " To be wad For S~ DWG~GAR Est.Value $112,000 pate SEPTEMBER 28, 19 84 S1teAddress 4866 SAFARI PASS Erect ~ Occupancy R3 . Lot 7 Block 2~ Gec/sub. SAFARI E$`I' Remodel ? 2oning ParoH No. Repair ? Type of Const. V Enlarge ? No. Stories ~ Name BEST VALUE HOMES INC Move ? Lenath = Address?~,0. B~X 24038 Demolish ? oepth ~ Ci<y _~PPLE `VAL pnone 432-9697 Grada ~ Sq. pt. ~ SAME APO~~aN Feea ZQ Neme , Aiseument Percnir 63.00 o Addrass u~ City Phone Water 8 Sew, Surchorge 56. OD Police Plan check Z31.50 Gw Name FEHANN ARCH SERV Fire SAC 525.00 w 4~ Address 13010 GLAZIER • Enp. WaterConn.470.00 ~W City APPLE VAL pha~e 432-6760 Plonnar WoterMeMr 63 _ o0 Cou~xil Road Unfr 26n_nn 1 here6y ncknowledge thot I have read this opDlication ond stote thaf g~dg. Off. 9~27~84 Parks the inlormation is torrecr nnd agree to c mO~Y M'~th oll epplirnble APC Total Stute of MinnewPo Statu adm y o qan O~di - ~ Date Siqnoture of~ PermiMee A Building Permir Is Iuued to: BEST VALUE OMES on the express conditlon ~ha~ oll work shall be done in aaordonce with ~o li~ Sta Minnewta Statutes ond City of Eogon Ordinoncea. Buildi~+q Off{ciol This reQUest void 1~ ' Q~~/~ ~ 18 rtro~ths fmm I ~ ~q . 6 6 L"1 /.f a 5 •~,.r' v.~ Request Date Fire No. qou -in InsDection Insoec- Fequired? ~Aeatly Nuw ~ ill Notify, 'V ~(f ?Yes ~JO ~or When Ready ? ~Licensed ElecVical Contractor 1 hereby request insoection ui above Owner elecvical work ins~alle0 at Sireet Address, Box or Route No. CitY fo 2 a.`° ectmn o. Township Name or No. anAU No. Counly , ~ Or.cupnntlPfllNT) Phone No. ~3 C/fj~vc .c2<J Pawer Supplier Atld/re's'^s A~ B ~ /LG .C ` / h ~ o ~ Ele trical Contrac[or (Company Namol Contt'e/cmr's License No. G c~ /fiL C ~i[7 , ~ Y Z~ Mailin0 P.ddress (COntractm or Ownar Mzkfng Installationl ~ ~ J t, lz U l e.t S 2 Auth i Sign ture (COn ~a ~Owner Making In ta ion) P one Num e~ c. -5/c, Z Z MINNESOTA STATE BOAPD OF ELECTRICITY TMIS INSPECTION REQUEST WILL NOT Grig9s-Midway Bldg. - Room N-791 BE ACCEPTED BV THE STATE BOARO 1821 llniversity Ave., St Paul, MN 65104 UNLESS PNOPEN INSPECTION FEE IS Phone (812) 297-2117 ENCLOSED. (~$t~. REQUEST FOR ELECTRICAL INSPECTION EB-00o01-O4 ' Sae instruotione foqoompleting this form on back of yellow copy. l Y~ S~~ ~ ~ "'X'" Below Work Cove~ed by This Request AAb Nep. Type of Builtling ApP~~ances Wired Equiument Wired Home Range Temporary Service Duplex Water Heater Ligh[in, Fixtures Apt. Building Dryer Electric Heatin Commercial 81dy. Fumace Silo UnloaAer Industrial Bldg. Air ConAitioner Bulk Milk Tank Fy~m O~he~ Oom y ~her ISnecifyl t er SUCCi(y Oihcr Oth~:r ompute Inspection Fee Below # Fee ServiceEntranceSiae fl Fee FeeEers/Subfeeders N FPe Cirew[s 0 to 200 Am s- 0 to 30 Am~s 0 to 30 Am s ~ Above 200 qmps 31 to 100 Amps 31 to 100 A s Swimmin Pool Above 700_Amps Above100-AmVs Transiormers Irrigation Boorc~s Partial~'Qther Fee Signs Speciallnspection Remerks S,'a~ TOTAL E flouBh-in Date ~,~he Eleclneal Inspectot, hereby ceetify that ffie above Final ~^~e inspection has been ~ ~ ~'3 made. Thia repueat voitl 18 montla fram ,n~ a4 es o;d 'f ~off i 3 ~o(Elg ~ ,fi,rio~cns rrom ~ l.~ ~ 5 ~f . ~ Request Daie Fire No. Roug. -in Inspec~ion p Hequired~ ~fleady Nuw ~Will NulifY InsVer,- G~ / ~~es ?Na ~m When Ready [~Licensed Elec[rical Con[racmr 1 hereby raquest insoectio~ oi ebove ? Owner elecbical work inatalled ae Stree[ Atldress, Baz or Raute No. C~tV 4~~G~ ~,~f,~~,~ G,~til ecuon o Townshi0 Name or No. Range No. County EeDT~ Occupant IPHINTI Phone No. f Ua I~L o~ ~s Power Supplier Address Cp =~'~cfk.CG i%! Ele trical Contractnr ICOmpany Namol Contra~c/tor's License No. '~i Ti/~6~ /-CG . ~Y . ~ ailinB A~Jress (COnvacmr or Owner Makine Insiailation) l s~l- L < v~`1U Z A th Signamre on[ act dOwner Makiny Ins ation) Phone Number y3=~,~o z Z MINNESOTA STATE BOAHD OF ELECiIiICITY THIS INSPECTION pEQUEST WILL NOT Grigga-Midwev Bldg. - Room N•181 . BE ACCEPTED BV THE STAiE BOAND 1821 UniversitY Ave., Si. Paul. MN 56104 UNIESS PflOPER INSPECTION FEE IS Phone (612) 297-211t ENCLOSED. ~d~REQUEST FOR ELECTRICAL INSPECTION EB-00001-Dq ~~~j b r~ ' See instruetions fW c6motaiine this Torm m back o/ vsllow coOV. ~dr~(~~ '"X" Below Work Covered by This Request ~ Add Reo. TVpe ol Builtlinp AOP~iancea Wired Equiument WireA Home Range Tepiporary Service Duplez Water Heater Li~htiny Fixtures Apt. 8uilding Dryer Electric HeaUn Commercial Bldg. Furnace Silo Unluader Industrial 81Ag. Air Conditioner 8ulk Milk Tank Parm O[her ueci v O~ne:r Isuec~fvl c er uec:i Y ther Oth~r ompu[e /nspection Fee Below A Fee ServiceEnVBnceSize q Fee Feede~s/Subfeeders # Fne Circuits ,Gc~J D to 200 qm s- '02 ;L7oC~ 0 ro 30 Am s 0 tn 30 Am Above 200 Amps a. va 31 to 100 qmps 37 to 100 Am s Swimming Pool Above 100_Amps A6ove 100_Amps Transiormers Irrigation &wms ~ Partial%Ot e Signs Speciallnspecti.on Q Hemirks S~/,rU TO7AL EE ~ • PouBh-in Date ~J f~ .theH Vi ~ . J Inspector, hereby cenify thet the a4ove Finel ' D~ne ' spection has baen ~i~0'37I ~.~aae. Mls request vo~tl 18 montha imm ~ ~ ~ ,6,2~54a_'s~ Certif icate of Survey s~~Rs ~ Fo~: SURVEVING 8 ~AND PLANNING . 1415 NOFTM LILAC OfiNE.GOIDEN VALLEV MN 55422 9E.5'r y~'L~E NoME~S Cen~e~/i~e 9q69 - ~ - y~~ A~i7 //7 q~~~ /O~SS q16 B q'1t~,5 S` Conr~ete Cur'6 0\? 0 1 ~ aje' ~ ~ .9~0 tir~~°~a~ ' ~ h ~ ~ p , E ,3ci'c ~ya3.e ~ O - q0tr l ~ c ~ - ` Sca/e - 1 " = 30' ,~a 5~-- ~ o----=7.~ o Denotes i~'on b~~' 6 ~ 9 <~~°°Denofes ex~sfinq I ; i~ : ~ rgF q60. ti~ I ~ l ,,4~ ~ ~ ?Af /O/7. c ~ 6. ~ ~ E ~ ° ~ 6~ r ~ ~ 98 .5 e ~ ..f Set wooa hub_s a~ bu~/ i~q ; I~ 2B. DDU N a i eo~•r~ers. c ti P~~,o~;s~; m ` I ~ , ~ f~o~is ° ~ Q I% ae q9'' I Benchmor,4 ~ NWco~ of ~ `~4 -25 ~ `Q 99-- I": ~ ~,be~q/ass pedrs~o/ fo e%c. bo.~r ~ ° ~ of fh' N~y Cor' O~ ~Of Co/' ,6e~ween ~ I ~ ~ /ofs E67. .F/ev , 96.5: 2D a o ~ I eqa/ Desc~ip f~on ~ i Lof 7, b/ock 2 SAFAR/ ~ ESTATES F/RS T SL__________Js ADD/T/OM, Do%ofa h h Coun~y, Minnesofa. -/OD - ~`~a.~ WE MERfBY CERTIFY TNAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF TNE BOUNDARIES OF THE IAND ABOVE DFSCRIBED AND OF THE IOCATION OF ALl BUIl01NG5, IF ANY, THEREON, AND All VISIBLE ENCROACMMENTS. If ANY, FROM OR ON SAID IAND Dafad rhi~ ~BT~ dar of "P~A.O 19Bd ~ //O ~ lob No C//n Book 3 Paye 3/-34 br ~y•J~'~ Sec. 3~ T. 27 R, z.3 su~.aror. Minn..oto RoQwrorion No /9P93 - 'I BA II B$ II BC II SD 1 1101 1111 1121THRU CpNT. ~ MEMHER (Exposed) 1131 1141Interiar Air .6B i151Finish Flooring............ l.~3 1161Underiayment .93 1171Plywoad 0 liBlS~ist 11.56 1191She~thing 2.0E 1201S~ffit .79 1211Exterior.Air .17 1221Tot~1 "R" Value............ 17.k2 12311/R = "U" .0574053 1241 1251 1261THRU CRNT. @ I~SULRTION tExteriorl 1271 1281Interior Air .68 1291Finish Floaring............ 1.23 1~01Ur~derl~yment .93 1311Plywaad 0 13~IInsulatian 3@ 1331Sheathing 2.06 1341Saffit.. .79 1351Exterior•Air .17 1361 1371Tot~1 "R" Value............ 35.86 139I1/R = "U" .0278862 1391 1401 I A I I B I 1 C I I D I 1 E I I F I I G I I H I 11 21 EXTERIOR ENVELORE AVERR6E "lJ" COMPUTATION 0 31 410WNER ANDY AND JONI C,EORGE 519ITE ADDRESS SAFARI PASS ~ 61CONTRpCTOR________BEST VALUE DATE_____9-10-84 PHONE_____________ 71 • 81 DETERMINE WORKING SQUARE FOOTA6E 91 iQli. Total expased wall area 1909.066sq.ft. x.11 ~@9.9973?/ 1112. Totai roaf/ceiling area 1421.355sq.ft. x.Q~26 36.95523? 1213. Total floor cant.area 611sq.ft. x.08 48.8A ~ 131 (over unheated enclosed areas) 1414. Tatal floor c~nt. area 38sq.ft. x.@26 .9A8 x 151 over unheated expased areas) 161 1715. Total exposed wall area abave the f1Gar.___________ 1646.21 rsi 191 a. Totai wall windaw area ^c31.4134 201 b. Total daar area 71.1E89 211 c. Tatai sliding giass daor area 0 221 d. Tatal fireplace area.... 231 e. Tatal wall framing area (ave. 10%)........ 164.621 241 f. Total net wall area above the floar....... 1179.0@7 251 g. Total rim ~oist area 165.82 261 271 TOTqL EXPOSED FOUNDATION ARER ~7.@351 2B1 291 h. Total fvundation window area 16.@2 301 i. Total net fouMdation erea B1.Q161 311 321 Determine "U" value of each wall segment 33i . a. 231.4134x "U" .39= 9@.25123 341 b. 71.16B9x "U" .06= 4.~70134 351 c. 0x "U" .39= 0 361 d. 0x "U" 0= 0 371 e. 164.621x "U" .0916590= 15.@8900 381 f. 1~179.@07x "U" .0431965= 50.92902 391 g. 165.82x "U" .0406669= 6.743392 401 h. 16.02x "U" .39= 6.2478 411 i. 81.0161x "U" .0824402= 6.67B986 421 4316....... .Total 180.2096 ? 441If item #6~is the same as or less than•item #1 you have met the current 451energy code. 2 MCAR 1.16008 R RND 0. 461 471 481 491 501 511 521 531 541 551 s~i 581 591 E01 611 621 TOTAL EXPDSED ROOF/CEILING AREA 1421.355 631 641 Total skylight area 651 k. Total flat raof/ceiling•framing area...... 142.1355 661 1. Total net flat roof/ceiling area.......... 1279.220 671 681 691 701 Determine "U" value f~r each raof/clg. segment 711 0x "U" 0= 0 721 k. 142.1355x "U" .0269251= 3.827019 731 1. 1279.220x "U" .0227946= 29.15932 741 75i 761 771 7817 ...................................Tota1 32.98634 791 8@IIf item #7 is the same as ~r less than item #2 you have met the 811energy code 2 MCAR 1.16@08 R RND 0. 821 831 TOTAL FLOOR CANT. AREA tenclosed) 611 841 85i o. Total floor cant. framing area (ave. 10X). 61.1 86I p. Total net insulated flaor/cant. area...... 549.9 871 881 Determine "U" value far each floor/cant, segment 89i o. 61.1x "U" .0566572= 3.461756 901 p. 549.9x "U" .0c^26&09= 12.4~22~ 911 9218 ...................................Totai 15.93397 ? 931 941If item #8 is the same as or less than item #3 you have met the 951energy code 2 MCAR 1.160~D9 R AND 0. 961 971 TOTAL FLOOR/CANT. ARER (exposed) .s~ 981 991 q. Total floor/cant. framing area (ave. 1@X). 3.A 1001 r. Total net insulated floorlcant. area...... 34.2 1011 1021 Determine "U" value for each floor/cant. segment 1@31 q. 3.8x "U" .0574053= .2181401 1041 r. 34.2x "U" .0285144= .97519~5 1051 10619 ...................................Tota1 1.193333 x 1071 1@81If item #9 is the same as or less than item #4 you have met the 1091energy code. 2 MCAR 1.1E008 R AND 0. 1101 1111 1121I HEREBY CERTIFY THAT I HAVE CRLGULA TH "U" FRCTORS AND "R" 1131VALUES HEREIN AND THRT THE BUILDING ERE CRIBED MEETS 0 XCEEDS 1141THE STpTE OF MN ENERGY CONSERVATIO RCT 1151 1161 _ 1171 (signa ure) 1181 1195 1201 1~11 (d e)- -~f-- - i BA II BB I~ EC il $D t 11 "UE7ERMINE "U" VALUES" 2iTHRU STUD WITH SIDING & 5.R. 3i 41Interic+r Rir .68 51Sheet Rack .45 ~IThermo-Break 0 718tud 6.93 815heathing 2.0E, 51Siding.. .79 1@IExterior,Air . .17 111Tota1 "R" Value............ 10.91 i211lR = "U" V~lue .0916590 131 141 151THRU TNSULATIQN WITH STDING & S.R. 16( 171Interior Air .6B 181Sheet Rock .45 191Therma-Break 0 201Insulatian 14 . 2115heathing 2.06 2215iding.,. .79 23IExteriar Air .17 241 251Tata1 "R" Value............ 23.15 2611/R = "U" Value............. .0431965 . 271 28I 291THRU CEILING MEMBER 301 311Interiar Air .68 321Sheet Rock .58 331Ceiling Member 4.35 341Insul.ation 30.92 .3515ti1i f-1ir .61 361 371Totai "R" Value............ 37.14 38ii/R = ~~U~~ .0269251 391 k01 41I 4~tTHRU CEILINC~ INSULATTON 431 4411nteri~r Air .68 45iSheat Flock .SB 46IInsulation 4~ 471Sti11 Rir .61 48i 49iTat~1 "R" Value............ 43.87 5011lR = ~~U~~ .0227946 511 521 I BR II BS II BC II BD I 521 531 541THRU CONCRETE BLOCK 551 561Interiar Air .68 571Conc. Hlk 1.~8 561Insulation . . 1~ 591Sheet Rk. (Opt.?........... @ 601Exteri~r Air .17 611 6~ITota1 "R" Value............ 12.13 6311/R = "U" .~8244~2 641 651 661THRU RIM ~0I5T 671 691Interior Air .68 691Insulation 19 701Rim Joist 1.89 711Sheathing 2.06 721Siding .79 731Exterior.Air .17 741 751Tota1 "R" Value............ 24.59 7611/R = "U" .@406669 771 781 791"U" val~ie f~r windaw....... .39 801"U" value far d~+ars........ .06 811"U" value for Patio Drs.... .39 8~1 8J I 841THRU CANT. @ MEMHER (Enclosed) 951 861Interior Air .68 871Finish Flaoring............ 1.23 881Underl~yment .93 891Plywoad 2.0E 9@IJoist 11.56 9115heet Rack .58 9215ti11 Air .61 931 941Tota1 "R" Value............ 17.65 9511/R = ~~U~~ .~0566572 961 971 98ITHRU CANT. @ INSULRTION tEnclosedl 991 1001Interiar Air .68 1011Finish Floaring............ S.~w 1021Underlayment...... .93 1@31Plywaod 2.@6 1041Insulation 38 , 10515heet Rack. .58 1@ElStill Air .61 1@~I '~I 1081Tata1 "R".Value:::::::::::: 44.~9 1@911/R "U" .0226809 1101 ~ i + I f ~ y~- 2/84 L^~i y 'y I i~ j CITY OF EAGAN ~ APPLICATIC`iN FOR PERtiIIT - SEWER AND/~R WATER CONNECTIODi (PLE,ISE P9INT) 1) PF.OP~' ADDRESS: SI~ ~ADP/ C I~S/~ T.Fr~. DFSC.."Z?°T?C:I: .1..0 ~ ~ (Lt~t/Bicck/Subdivisicn or Tax Parcei I.D. N~ber1 i r:2~':'= :G ST: i;CTTc;. Da'?-' G~ ORIGi.:AL ~.uii,.^.I:`:G F=_.S", rca?.`dCu: ~ ~ . ?11 ~ " ' . . P. ~ 71 ~.('.~."~~.C.W ~J.:.' ~ '1' T x-x R-1 S1ll~iL:. L._.~a~Y ? R-2 GUPr~: ('_T4:0 L'~IITS) ? R-3 'IC~vi~ OL75E (Tf~~c::c + L~7IT5) ( LNI"_'S) ? R-d j~P,A,Rti~m;n~C^v~~JCS~LVIL:•1 ( UV"11Si ? C~~IE.°.CL=,L/REI'AII?OFFIC'~ Q II~CSTPSAL Q P.VSTITL'rIO.''~.L/GCV~4:~~1EV'T 2) F,pn~G~~?j~ (PLE~SE PRI,V[) ~rs~t ~A~v~ ~mCs ran~ss: ~ ~ crrY, sTaTT, zr~: ~,f'p.CE IJA.c.~ ~,c' /~~;cJ Pxe~: ~ ~,~1 1 ~ j) pj,j„qg~a L"tASE PR1NT) ~~~~N p u+~ n fOR CITY VSE ONLY R--O ? ~f- Q _ A~ ~ PLUMQfRS LILENSE: ADDRESS: aLa-i(J ~ Active ~ CITY~ STATE, ZIP: ~ /~'/r~n/ Q Expired HJi~n Q Nat ai Pecord ~ PHOi~IEa/ 9%~ ~pj~~O pLI1MBER LICENSE N_~'/~, /9a I ~°'~~~1~ arr ~nitia 4) OCC[JPAy'r~(x~~~ ^ ( LEASE PRINi) NAI~- c(/) ~ (~~.-.G~ ~i:.7.._<-v.. ADDRESS: ,nd o? S~(J ~,.5~~' CITY, $TATE, ZIP_ PH0:7E: Z - 5} INpIGYTE WEIICI3 PE^c1•]IT IS BEIiP:G REQUESTflJ; ~ C'L':~T1F,CTION 'Ib CZTY SE;'IER ~ CC:?DIF~TIC~I 'IO CITI SJATER " ? UI'I-'~2 (PLF~ISE DESC2IBE) 6) ~1DIG, ~ C:::: ? PL~~SE I?OLD rIPPRCVID PERtitIT FOR PICi:-UP SY ONE OF 11BGVE ~ PIEaSE ti*AIL APPRaV'~ P~~tIT TO 1. 2. ~ 4 AEO',7E (Circle one) 7) SI~~,TLT~E: ~ l,~i~~a--~<~"--~' DAT'E• / T •4 ~e w-w:a+t~a:r. ~ ~ ~.e::~.~ ~ aa ~.r,.isa:~ r .r s r:sa:~;~ ~ ~.r~..:r~~-~n. ~e a~s.~e ~a~~ssav < F 0 R C I T Y U S E O N L Y ` PER`~tIT ISSUED ~ F°ES: $ l. o~.;--~ nro~tr~*+ r.~ - - o~c; r,-- - its. 5.... n_, i Ci....,~ ~ii.....:.~.r.._:.) $ ~6.5 G WATER PERP4IT (INCLLDE SURC ~ARGE) $ H-~ WATER METER/COPPERHORN/OUTSI~~ RE:.v~R $ WaTE.°. T~l? (I„Ci,~D: COR?GRAT~0;7 S'^C?} ~ ~ 5.~..:'1~~'...~ n ~ . . ! ~ $ a---~ ACCCUNT DE?OS IT - SE::ER i $ /e;, ACCOliNT DE?OSIT - SdA'P~: S r1 :~li_ l c WA~ ~ $ .S'~_5- ~--d Se'~C ~ ~ $ TRT1:IiC S~AT~~ ASSF'SS.'-:: tT , ~ S TRliNF S~;vER ASS~SS2dEtiT y $ LAZ'E°.AL BE^:EFIT/TRUVK SES•:E~ $ LAZ•'ERAL BE\E°IT/TRUDIi; SdATER $ ~ OTfiER 11 $ TOTAL S a-•-d A:ti10UNT PAID/RECEIPT S~ ~ 7 ' 9 ~ DOES UTILITY CONi]ECTION REQUIRE EXCq"',~VATION'IN PUBLIC RIGi~T OF WAY? YES IF YES, THEN A~"PERMIT FOR WORK WITHIN ~ PUBLIC ROADWAY" MUST BE ISSUED BY THc NO E[~IGINEERING DSVISION. LIST AS n CONDI- TION. SUIIJECT TO TFIE FOLL0:9ING CO:dDITIONS': 1: Mi APPROVED BY: ~~'~~~J TITLE: _-L-~~~s P i~-,~~ i DATE: /a - ~.lr`: ! ~ ~w w~ ~ i,~ ~c ~ ~t ~as~ ~t~ w ~ w a~ w~ Ra wt~ w ~w ~ r~ a~ w~ ~ se a~+ wea ~t~ w s ~ ~ ~ . . . ~ ALL ONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN , INCLUDE ~ SETS OF PLANS, 0 CERTIFICATES OF SURVEY 0 SET OF ENERGY ALC LATIONS . To Be IIsed For: ~ F. DWG. G-+a.~;_ Valuation: /!a{a~- Date: Site Address: y~CC S,r~~y,~, ~~sS ~ • Lot: ~ Block: Sect/Sub:, ,c „r,~e= r~jt Erect: X Occu anc ~ L~~ s-J P Y ~ ~-3 Parcel Remodel: Zoning: jZ-I Repair: Type Of Const: Owner: ~nLf r +c ~6~a ~ ~re.~0-o Q _ Enlarge: # Stories: Address T Move: Length: ~ Demolish: Depth: City/Zip Code: Grade: Sq. Ft.: Phone ~ Contractor: ~5~~(~<2~~ {La„k~, T y~ a~ Address_/"G/ja~ ,~y"o3d- Assessments: _ Permit: y-~3,- City/Zip Code:/~~,~`~ (j,y~~ lV S~S/dY Water/Sewer: Surcharge: ~jCo,~ Police: Plan Rev.: 2,3 s_o Phone y,~ ~ `jG' q~ 7 Fire: _ SAC: 525• ~ Engr.: Water Conn: q~p.a Arch./Eng: fP~~,,,~ ~~,Q~~~ ~~,Q~ Planner: Water Meter (~3,: Address:~~oio G~~ Council: Road Unit: 'j~0.=° Bldg. Off.: ~1 ! Y t Parks: City/Zip Code:/~ APC: r a D 6c4 ~-~7 Phone#: ~3~ ~'?Go Variance: ~ l ~2o x 3~3 ~ ~~o ~4i ~ 3`ic~o Z4 x 2~ Z~- x~ ~ ~ ~f3~ ~ 2~ ~ ~2 ~ ~ ~ c - 2 5~~~(- - ZUY~ ~ ~ - `l~o ~ 4~ ~ ~f (~c~ ~ . ~4~t~~ . . " :a . ~ L. • • • • : M-,p lP O In O O ~ ~ M N ~ ~ N ~ N ~ N ~ 2006 RESIDENTIAL MECHANICAL rERMiT nrrr,icaTiox City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for. single family dwellings & townhomes/condos when permits are required for each unit Date V ~ / ~ ~ / ~ Site Address ~ C~ ~r1 W S~p~ c~ ~ IInit # PropertyOwner r~ . W l \5C1~ Telephone#(~~ )~4.~J~j~jcf Contractor ~C 1 ~C+--~ ~ n ~ ~ Street Address ~Q`p ~ ~ TS~~S~ ~l City State I' v- Zip ,~U~~_ Telephone#.(~/ )~ZZ-~/~ZC~ Bond tt: Expires: The Applicant is_ _ Owner ~ Contractor Other Add-on or alteration to existing dwelling unit $ 30.00 furnace _Additional _Replacement _ New air exchanger ~C air conditioner heat pump other State Surcharge $ .50 Total ~ ~ CJ 1 hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurake; that the work will be in conformance with the ordinances and 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 tt~e work will be in acwrdance with the approved plan in the case of work which requires a review and approval of plans. ~.M~-~, ApplicanYs Printed Name Applicant's Signature 2006 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for. commercial/industrial buildings ~ multi-family buildings when separate permits are not required for each dwelling uni[ ~ Date / / Site Street Address Unit # Tenant Name (if applicable) ~ Previous Tenant Name ~ a ~ Property Owner Telephone # ( ) Contractor Street Address City State Zip Telephone # ( ) Bond Expires: _ . . . . . . _ Ti~e Applicanl is _ Owner _ Contractor _ Other Work Type New Construction _ Underground Tank , install _Remove ""see below lnterior Improvement ` Instafl Piping _Processed _Gas Nature of Work: **When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing lnspector PeI'mit Fees: $70.50 Underground tank installation/remoJal $50.50 Minimum (includes State Surcharge) or ContractValue $ x 1% _ $ PermitFee $ State Surchazge ~ Ifoermit fee is less than $1,000, add $.50 If eo rmit fee is more than $1,000, surcharge is $.50 for every $I,000 owed. $ Total Fee I hereby apply for a Commercial 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 case of work wfiich requires a review and approval of plans. ApplicanYs Printed Name ApplicanYs Signature Approved By: Inspector Date: Required Inspections: _ U.G. _ R.I. _ Air Test _ Gas Service Test _ Infloor Heat _ Final /��=�� 7 RECEIVEQ �uL � � zai� _ ._ _ . �� :Z� ��f � � � ,s,2'S44_76� Certif icate of Survey RS F'or : ��. SURV£YING d lANO P�ANNING �� . `,�r� ��'.5'T" 1/�4'LUE' ;�` 1415 NORTH LILAC DRIVE.GOLDEN VALLEY MN 55422 �� C��/i�r q��,q ------,�—- __�.___,.`. -�--- q1��7 q�� / �� q16 9 c. �� .��` q'1�,5 �' � _ I Co�crcfc� �ur��S �� r � ��'; o . 4� � ; ��8� I � � x qq0• 'y;t� �a� G �-��` � 0� � .: ,E��,Jrc J �' -��oo -- �° �, � �q9�•B � � �r+ 90 ° —.�—�.� _ -----.� SCa'�e • � �� - 30� ;� a � �ls � Deno�es ��'o� s o 88; q� � I I`�1 9 (YBO o' . �f�-_,� qb 6 � �Denof�s ex�sfing , •�' 0� f l 1 � ' ��1 `�� 6 I G°/L°✓AJ/��. y� I�, i l `' �a .�e� � � �U�US D'I Uui��/79' C� ° �� 9'�. °,e .5 e 6� � '�� f' � �.,� Sef w�oa � > � ,� Q �� ?3 ��; N � ,�1� �� (��"`L �'r��rs. � � � � � h P/'G��::��''� � '.� � �^�'`d�� ,[� '� " � //��..5� N n ) y �� ,'` � ; ,... ,� �� ' �;��';'��q�� ,!�'�e`�nch�na�`i� � N1Ncar, of ��i �� ` �" a �' �� a/ fo e%. ,�o.� � �►; fi - �-��- --- � �� ----�: U �,6er9/a_,s ,oedrs J qf�?, -25 " �b Q � , ;';aU \ �/•/ J � �?T f�r /V�y COl.' 01 �OT CO,/' ,UG°71v�En �� f �1:. �_— _, J�� ` 6 �e�� _ 98..�" �D a, /D�s 6', 7 �.� � �6'-1�� — -- -�, ,� � � ,� .-'z_ -� ��L��1� �escr�' fidn 4 I o � Lof � block ? SAF,4R/ `= � � �-s rA��s F/RS 7" ��- _ — ---- _ _-�s Aoo�riaN, oo,4ofa � h Coun�y, l►ilinnesofor. a°91 —/DD— �`�s� . WE NEREBY CERTIf1f THAT IHIS �S A TRUE AN� CORRECT REPRESENTATfON OF A SURVEY UF 1HE BOUNDARtES OF THE IAND A90VE DfSCRIBEO ANQ Of 1HE tOCATI�N �F All BUILDINGS. IF ANY, THfREON. ANO I►Ll V151$LE ENCROACMMENTS. If ANY, FROM OR OtY SAID ll►ND Datcd rhii �e�� dar oF �P�� A.0 i9BQ • ��O � 1ob No �saok 3—Pa�� -3/-3� � /�"' . �G� T. 27 R, �.� br Sec. $ur�oyor, Minn�tofo ROaittration No �-��9•3 _- � 'f ` ° Use BLUE or BLACK Ink r________________� I For Office Use I � � Permit#: �� / j Clt� of �a�� 1`1C � . . f �� R�,CE1 Y L-� i Permit Fee. ��- i 3830 Pilot Knob Road Eagan MN 55122 �� ;� ��'�� Date Received: � � Phone: (651) 675-5675 I I Fax: (651)675-5694 I Staff: � 1 I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION � � .� 1�. Date: � J� Site Address: �� ,��/ �� Unit#: � ;;; Name: �� LS�6fi/A/��1i1 Phone: Residen�l � Owner, '= Address/City/Zip:_��'� �� 15 Applicant is: Owner �Contractor Description of work:��c� .�J�/�/'d,� aC�X�� Type of Work ' Construction Cost: �/�O�,fJ� — Multi-Family Buil�ing: (Yes /No� ) �IZ��/ /� / �J Company: � � Contact: o/`y/�Ji' /�%�'�� COtltraCtOC Address:��'" v�� >l� /�� City: ,��-�� i' State:��zip: ��b// Phone: ��.3-��'/��mail:��/J� ��7i' r ° L-''�� ' License#: ��/� �� Lead Certificate#: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) � 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: NOTE: Plans and supporfing documenfs 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 ; conctude 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.qopherstateonecall.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. ��/iJ g��-� f"� X ApplicanYs Printed Name Ap IicanYs Signature Page 1 of 3 .�► �� j� , .. ,� � ,. �(� �GC- 'L�1 -U,ff' .. . �. DO NOT WRITE BELOW THIS LINE `��.�� SUB TYPES Foundation Fireplace Porch (3-Season) _ Exterior Alteration (Single Family) Single Family Garage Porch (4-Season) _ Exterior Alteration (Multi) _ Multi �(' Deck Porch (Screen/Gazebo/Pergola) Miscellaneous ��_. 01 of Plex Lower Level Pool Accessory Building WORK TYPES New Interior Improvement Siding _ Demolish Building'` �Addition _ Move Building _ Reroof _ Demolish Interior Alteration Fire Repair Windows _ Demolish Foundation Replace Repair Egress Window _ Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation '�� Occupancy ��. MCES System Plan Review Code Edition �� SAC Units (25%_ 100%�) Zoning �_ City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Sprinklers Type of Construction °("� Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: }(�`; Footings (Deck) Final/C.O. Required T�� Footings (Addition) � Final/ No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Roof:_Ice &Water _Final Pool: _Footings _Air/Gas Tests _Final Framing Drain Tile Fireplace: _Rough In Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick Insulation Windows Sheathing Retaining Wall:_Footings_ Backfill_Final Sheetrock Radon Control Fire Walls Erosion Control Braced Walls Other: Reviewed By: �� , Building Inspector RESIDENTIAL FEES Base Fee Surcharge � Plan Review MCES SAC City SAC Utilit Connection Char e ��""" �� '�" Y 9 � ��' I S&W Permit& Surcharge �� Treatment Plant � Copies � /� —° � �� TOTAL � � ! � Page 2 of 3 � . . . ��Y�7 , � � �st2f5�_��- Certif icate of Surve Y Il�1C. F"o'': Sl1RV£YING a lANO PIANMING 1415 NQRTH L1LAC DfiIVE.GOLDEN VALL�Y MN 55422 ��'r y�'L�� '�'��' ��° Cen�c�/ri�e R��9 ---r------ _�._.__ -r-- a1��SAFA `4�� /`^✓� 9,�6•B �cL G1(c,r7 < ��. �� Concrtf� �;ui'15 �^? `�- �81 ! � � x4�9� ,4r4�a�1o��, _�.�- " � ��, �h � , i .� � 1q93•8 � o �-/DD -- qab° �, l." � c —!----�.— ------� �� S�a/e : ,� "=30' ,�a s � � d ��- � � Denofes iro� ��,;�-��, q�l�' � � Q�, ��'�Deno�es ex�stinq `� I � '`i �`'� af°0 , �i elevaf for�. ° I�, , � � ��.. � ,5 �b'6. p -,,,f ��EP�`'�,� Sef rv�oa' hu,bs a� �w�/d�q ,��'.,� �`° �3 ��: � �'' �i � �, Co�ri�rs. . m , I ti � h f'ro,o�:;�;�-� ' I � � , � f�o�i.s n � �� ,� ,,� � �e �, ! gq�� Bench�ork � N1Ncor. of � fi - - --- a � 9� �= ----�: � �,bc�_q/r�ss ,oedis�a/ fo e%. .�o.�r � �� ' --23 � -•'' �b „ •-~ -�/•� - 3 � �'�L `� ° �. �''" ��f � ( � �?� 1`hr /V�y CQr.' O�' l0�Co!' ,f e�w'een � �� __� lo�s 6'�7. �"/ei< = g8.�: 2D a I S� '��l -�/��l� .-2_, .� � �� a�( �escr�' tio� 0 1 9 � ° � Cof 7, 61ock � SAF,4R/ �` � � � E'S TAT�'S F/�4S T �� — — --—._._. � ��S ADDI?'/C�rtl, Da�ofcr '� '� Coun�y �1�linnesofa. �°g� /04-- �`�'`-� � . WE HEREBY CERTIFY THA1 Thf15 IS A TRUE AND CORRfCT REPRESENTATION OF ,� SURVEY �� THE g�UNDARIES OF THE IAND /+BOVE D#SCRIBfO AND Uf 1HE IOCATION QF Al1 �U�LpInIGS, IF Ar�1Y, TNfREON, AND All ViSI�IE ENCROACMMENTS, If ANY, FROM OR OfV SAID l,�►ND Da►od �I+i� �� dar oF_�PA� A.0 196� • /I� � !ob No � � . Book 3 Page 3/�3� b Sur�oyor, Minn��oto Rop�t�rotion No �.��93 Se�• 3� T. �, R. �-� _ I ��L�=�� 7 RECEIVEC� �u� z � zo�� -- _ • �V f �J(1! �J� Z.'/ �v�,l.� � � BLJS (6121 544-76t9 �ertif icate of S�urvey S�1R��'Y�}RS /cr0/' : �r, SIJRVEYING d LANO PLANMING � /�� 1415 NORTH LlLAC ORlVE.GOLDEN VAI.LEY MN 55422 �� `� s Ce��c�/ri�e Q��,q �1� _�- -�--- ----�—r—- q�1�`S�7�� q�� /�4�'✓ 916 B �(�` q�(o,Gl tc ,�c _ =--ri--'-- �} COIJCrCfC �U/YS � 1 �;�' � '� � ��gl � � � x9�9 1tir1La Q� �- r�' _�� o� { �C' J `� —I-IOO �O ��`��3� `9e3,e � O �, qe ° _�_�.� _ -----: Sca/e - 1 " - �D' A S �: a —1s 88; � l7enofes �.�o� ae� � I�f �� q ��eoa� �°'s � �SJ�in 7-�,� qa b � De/�of x q � � �`''`� ab0 I e%vaf�o�. \►� �� 1 �a � S D'I ,uui��lJ o �`' �, ^' s. ; �� f��E�`'�;,� Sef wo��a' hv,b_ 9" � � . ae .5 e �, +--� ,� / � ; � � �3 -°A, �N �' �l\ �� `- (��`L � rr��i's. � j � i m • � �� , �/ �, ` � h �°/o�G�::��°'� j,� � �-�J �. I { � � � � � � �,� I ; � f�ou.s�:� -.� ,` ;°y,��_.�qg,��? ,, enchmo'rk � N1�/co�- of `' � ` rv a �'� �� ' �a/ fo e%c. bo�r j fi¢ - z5 --" � ` ��' -.�i-� �- -�: c� �,�er9/U'�s ,oEdrs q�,� p ' �y �'`=� �� -; � � � � N/y car o�' �o�Co�' ,�e��een . .� � �. _ o� fh�. ��_+ � I � ��. i ' �� /o�s 6'�� ,�"�e�, = qB.�: �D � �� i`�------ � � �� ° � � -_ ��esc��' fion .o I � o � Cof � block ? S•QF,4R/ �' � � �"S TAT�'S FIRS T �. __` � ^�S ADDI T/ON, Do�o�a L� — — � Coun�y, Itilinnesofa. � -�, a°"� —/OD— '`.� . WE HEREBY CERTIfr THAT THIS �S A TRUE AND CORRfCT REPRESENTATION OF A SURVEY OF THE BOUNDARIES Of THE IAND ABOVE DESCRIBED AND Of THE lUCA1fON OF All bUIIDItvGS. IF ANY, THEREON, AND All V1SIBlE ENCRQACHMENTS. If ANY, FROM OR ON SAID L�ND Dat4d rl�i� �d'T1/ dar af "P�� --A.0 i9pQ �� Job No /� Book 3.--Page 3/-34 � �"' 3G' T. �7 R. 2.� br Sec.�_ $ur�cyor, Minn��oto ROqittrotion No ��93 � Use BLUE or BLACK Ink r — For Office Use City of Ea an Permit# Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651)675-5675 Staff: Fax: (651)675-5694 2017 SEWER AND WATER REPAIR / DISCONNECT PERMIT Date: W. 3 ' l Fee: $65.00 I City Sewer City Water Repair Disconnect Description Of Work: 12\Q,PA Or- (Nes 002A31- p 1 pC 1 VA-4e—se �).3ec- t Ns- .4 \\ Street Address for Proposed Work 486 SACAr PA-S.S I ( h�r,�.AS G ems/ ' 651-0►6-3 7X Name: Phone: Owner Information I Address/City/Zip: 4864 Sp-VAri eA v...) MAI slate. Applicant is: Owner ).Contractor Licensed Pipelayer Master Plumber J.__ Property Owner p / �— Name: NSA-rP V� cam LLC_ Phone: CGL71 L(r 3r 37911 d 4 Address/City/Zip:(235-5.- FA-fro e 41,E 37f Ro .e"(1€ I �v/ £3-//3 Pipelayer Training Certification Card#: or Master Plumber License#: a itxt, I acknowledge that the information is complete and accurate and 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. Applicant(Print Name)) Applicant's Signature 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.orq PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA149030 Date Issued:05/03/2018 Permit Category:ePermit Site Address: 4866 Safari Pass Lot:7 Block: 2 Addition: Safari Estates PID:10-65850-02-070 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Thomas A Gearman 4866 Safari Pass Eagan MN 55122 Sedgwick Heating & Air Conditioning 1408 Northland Drive, Suite 310 Mendota Heights MN 55120 (952) 881-9000 Applicant/Permitee: Signature Issued By: Signature r For Office Use ::::e/ Zo /Cl/ Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff: buildinginspections ancityofeagan.com 2018 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: (3' Site Address: ( tF' t ‘a ' il(k" Tenant: Suite#: • Name: /Pt oE^"&-S lre t4A-61-►^ Phone: fa - /(0 - 11 3 (- letiRtl +rr Address/City/Zip: b £ - 4-s(-61":" P&L S S Named V42,_ 44.4 T License#: (o l AddContractor - ress: , 5 - 10.t..)•� 14311- 11 44_(fa J w 3k5C� State: r" Zip: S-1.5-11-7 Phone: 61.., ( x Contact: 1 Email: � t l�ll�'� h�- -��/ ti l 60k/11 •v- _New - k Replacement _Repair _Rebuild _Modify Space _Work in R.O.W. ype of WoDescription of work: 1_, p (0.LIL- (A)1Si 0 "E-' eAe - RESIDENTIAL Water Heater I Lawn Irrigation(_RPZ/_PVB) Water Softener Permit Tye. Add Plumbing Fixtures(,Main/_Lower Level) Septic System New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater,Water Softener,or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation(includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State Surcharge) "Water Turnaround(add$280.00 if a 3/4"meter is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES$ 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 You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. 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 ork is not to tart without a permit; that the work will be in accordance with the approved plan in the case work which requires a review and approval •lens. x Rb xA Applicant's Printed Name App is Signature FOR O ICE Reviewed-Br 11!s :7,- Required:#nspe ter Related Items: Meter Sizelata Rte' � � 1-1 SEDGWICK HEATING & AIR CONDITIONING CO. HEATING JOB NO C)%a) 1408 NORTHLAND DRIVE,SUITE 310 • MENDOTA HEIGHTS,MN 55120 • (952)881-9000 TEST RECORD ADDRESS tit“. J'(>f• PSS CITY CIA OCCUPANT 1-11064,3s Gelfrr1)„ OWNER S•tmb SOLD BY 1-02 INSTALLED BY Sef""c1` MAKE L2,i4bx MODEL ML IQ,OUff O9oEg3 SERIAL NO. / 7 1 g 1 1 2-t12., INPUT /(-(�C 6/ 11 THERMOSTAT 'I-y/1 C 1----,9("e,.../- VENT SIZE VALVE jam' I� I t TO r TYPE OFLINER i�/'L P�''17� LIMIT )Xe ) ,l f v LINER SIZE LIMIT SETTING / — FILTERS: SIZE 2',X 5 NUMBER Z ) 3 FAN SETTING *7---; 11 ?V WIRING Pc" (i Hz-,.‘, ,s-1/44. PILOT TYPE "1,40?"'"? t TEST TAG .---..-1 IGNITION MODEL .-5 77:: LIGHTING INST. ✓ S.PILOT TIMING ri / DATE TESTED / —/x _"I�7 PRESSURE ✓ /mPERCENT CO2 -7- q �' . `� COMPANY TESTING Ce�/ L"le-'" I (3`/ 1 INPUT CFH /G Cf PERCENT 02 Yl � > `_ y nr IE STACK TEMP. 3 (� PERCENT CO / / NAME OF TESTER �in�x /'�L X71 l ) FORM 235(REV.10/10) FORM DISTRIBUTION: /WHITE COPY-JOB FILE YELLOW COPY-CITY For Office Use 5-D� � A _ Permit#: / E AGA N A. Permit Fee: Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinuinspections a.citvofeagan.corn L 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: / per/� �6 - Name: TAD s' ��/� an- �"� Phone: bJ Resident/ Owner Address/City/Zip: / ' a? I er-5 5 Applicant is: Owner )Q Contractor Type of Work Description of work: ger I C ! b w owsD deer Construction Cost: 1.53 '9 9 Multi-Family Building: (Yes /No ) Company: 1.e,orlaxo /6 r/ Contact: /42 Contractor Address: /4706-- 6/44. Dr, (I/, 5-te 2O City: Gate„ vim% State:A V Zip: 55422 Phone: /<?"2a�3-v?7,gmaii: ;/ *24'1'(.4‘g.'i't'og. License#: 21'9\ 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: I Licensed Plumber: Phone: I ( Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit areconsidered to be public information. Portions of the information maybe classified as non-•ublic if .u rovide s•ecific reasons that would •ermit the Cit to conclude that'the are trade secrets, You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gooherstateonecall.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 approv. of plans. ' x 117,5/, (J1 x , 1 Applicant's Printed Name Apple' Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA164925 Date Issued:10/12/2020 Permit Category:ePermit Site Address: 4866 Safari Pass Lot:7 Block: 2 Addition: Safari Estates PID:10-65850-02-070 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$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 - Thomas A & Lisa Gearman 4866 Safari Pass Eagan MN 55122 Top Choice Plumbing Llc 1892 Boulder Way Carver MN 55315 (952) 457-0033 Applicant/Permitee: Signature Issued By: Signature