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4867 Safari Pass INSPECTI~N RECORD ~ CITY OF EAGAN PERMIT TYPE: ~t~~ 1 L il l NFl 3830 Pilot Knob Road Permit Number: 4+.'r3N I ~ ~ Eagan, Minnesota 55122-1897 ~ Date Issued: " ' ~ ~ ' (612) 681-4675 SITE ADDRESS: ' ' ~ , APPLICANT: i f: ?t Iil 1?~ . ~.I'tF-At~t VA';'; , t:~ t~~~r'~i !~~t Mld IN~. I{~ ,t ;~i I ( 1. 1 t rer..'ti PERMIT SUBTYPE: TYPE OF WORK: ~ ; . r~i i~ . . i ~t~~ ~ ~ ~•i~~ : ~ r~;;i ~ . ~ ~ ~ Permit No. Permlt Holdar Data Telephone 11 ELECTRIC PLUMBING HVAC Inspection Oate Insp. Comments FOOTINGS FOUNO FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG ?y~~ - DECK FINAL °1ll~ I l ~P - - - - 1N~YLC:`1 lUN K~(:UK1~ CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: ~t~n ' ~Eaq~, Minnesota 55122-1897 Date Issued: (612) 681-4675 SiTE ADDRESS: i ~ t, , APPLICANT: t ~ A5~ ~ ~ r~; i i, , r.r~i~F i, ~J ~ ~ , . , ~ , ~ PERMIT SUBTYPE: TYPE ~F WORK: , ~ ~,i~ „ , ~ , ~ ~ ~ ~ i , ~ , . • • . ~~;~i;`~.: ~ i 1' 1,ii I f'~~~ ~ t I tl!115l.1', l i! f~li IIPI~' ( ~ ~ I ti I i 1~~, nf i 7-: ~ c:, . ~ _ ' k "i - i ~ 2' . . t . `'Y" h"- _ ~ ~ ~ ~ Permit Holder Date Telephone # PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND : M FRAMING 0~~, ~ ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE - - - FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS coN~uCTivm TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL -y. . . . . . . „ 1 . . . . . . . . . - ~ q . . . . . r . , . . . . , . . . . . •-,c.: 'c _ ~_=~i, CITY OF EAGAN ~~Q ~ 74~Z ~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 P H O N E: 454-8100 BUIIDING PERMIT Receipt # - To be used for Es1. Value s 1 r~ Date JAN 25 g 9Q Site Ad~ress 4~b7 S/?tARI PASS Lot Block 1 Sec/Sub- ~~I OFFICE USE ONLY Parce4 No. occ~pancy - FEFS Zoning W Name ~~~~~Y (Actual) Const _ Bldg. Permit 35.00 ~ Address 4867 SAFARI PASS (Allowable) - ~ Clty ~~N PhOn@ _ Surcharge ~ ~ ~ ~r of Stories Lenglh _ Plan Review ZF Name ~~N STOl188URbER Depih - SAC. Cily ~Q Address 3423 I.ANE l~VL M S.F. Total _ ~ City CRYSTAL Phone 537-~ 962 S.F. Foolprinis _ SAC, nncwcc ~ On S~te Sewage _ ~Nater Conn °C Name or, s~~e weu ~ W - Waler Meter =Z Add~2SS MWCC System _ i W Clty Phone City Watar _ AccL Deposit PRV Required _ S!W Permd I hereby acknowlege that I have read this application and state that the 8ooster Pump - SrW Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes and City o( Eagan Ordinances. 7reatment PI Signature of Permitee APPROVALS Road Unit A Building Permit is issued to: ~R~p S~~a~~~ Planner - park Ded. on the express condition that all work shall be done m accordance with all ~ applicable State of Minnesota Statuies and City ot Eagan Ordinances. Bldg. Olt. _ Copies • variance - roTA~ 36. SO 6uilding Official , Permit No. Permit Holder Date Telephone # WATER SEWER PLUMBING ~ f~~f ~ Sv H.V.A.C. EIECTRIC , .),~7~ ~~lDc~ ~j~ ' C ~ ~~c~ ~ ~/(l~r7l' ov Inspection Date Insp. Comments Footings I Foundation Framing " ~ ¢ ~ Roofing Rough Plbg. Rough Htg. Isul. Fireplace Fnal Htg. Final Pibg. Const. Meter Plbg. Inspector - Notity Plumber EngrJPlan 81dg. Final Deck Ft9 ~i"C/7~ ± ~ Deck Final /L~ - well Pr. Disp. _ PLUMBING PERMIT For Off~e ~,1~ ~r(y ~ CITY OF EAGAN PERMIT# 11 CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT~ Sv PRICE PHOI~E 454810~ DATE: ' U Site Ad~ess / ~ ,~c.'vy BLQG. TYPE WORK DESCRIPTtON Lot Block eGSub ~S• New Muft. Add-on Name A ,r ) uc Comm. Repair ~ N 5 /a v e o Other . ~ Address ~ ~ City S S p Phone `f SI-3 c. I R~• PLBG. ONLY - COMPLETE THE LLOWING: - ` ND. FIXTURES TOTAL f~ ~ ~N _ Wa~er Closet - a3.00 $ Name Bath Tubs - $3.00 c Address ~ ce~-- s S vatory -$3.00 , ~ City ~L-- Phone 4 - ~ l 1 ~ r-$3.00 ~ T Kitch Sink - $3. UrinaU t- 0 FEES Laundry $3.00 COMM.lIND. FEE -1% OF CONTRACT FEE Floor Drai $1.50 APT. BLDGS. - COMM. RATE APPLIES Water ter - 1.50 TOWNHOUSE & CONDO - RES. RATE APLLIES Whirl d-$3.0 MINIMUM - RESIDENTIAL FEE $12.00 Ga iping Oudets 1.50 MINIMUM - C~MM.IND./FEE $20.00 MINIMUM -1 PER RMIT) STATE SURCHARGE PER PERMIT .50 Softener -$5.00 ,(ADD $.50 S/C PER EACH ~1,000 OF PERMIT FEE) Well -$10.00 Private Disp. - $10.00 ` -f}' j ~ Rough Openings - $1.50 ~ ~ U. G. Sprinkler System - $12.00 ' SIGNATUR OF PE ffTEE PERMIT FEE: STATES S/C: ` FOR: CITY OF EAGAN GRAND TOTAL: INSPECTIaN REC~RD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Rqad Permit Number. Ea an, Minnesota 55122-1897 ~ ~ ~ 9 Date Issued: (612) 681-4675 t" . , SITE ADDRESS: f„; . 4i ~ APPLICANT: ',("AR! .Pl43.rs , , . , , . . r~~~ ! i~ i ~ . ~ , . . . PERMIT SUBTYPE: TYPE OF WORK: , ~ . , ~ , , . . . ~q 0 ~ . T. ~ ~ ~ : ~ , ' ~ ~ ~ ~ . ~ : ~ ~ ~ ~ ~ Permit No. Permit Holde~ Date Telephone ~ ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS F~UND FRAMING HOOFING -ZG- ROUGH PLUMBING PLBG AIR TEST RQUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FfG DECK FINAL CITY OF EAGAN ~ ~ ~ ~ , ~ 3830 Pilot Knob Road, P.O. Box 21-199, Es~sa, MN 55121 PHONE: 454-8100 QUILDING PERMIT RK~~a # T~ M w~d ix , r Est. Value Date ~ ' 19 • . Erect ? Occupancy Site Addrea Lot Block - ~c/Sub. Remodel ? 2oning _ ~ Repair ? Type of Conat. Parcel No. Enlarge ? No. Stories , , f~ Move ? Lsngth , ~ , ~ Name Demolish ? Oepth Address ~ ~ ~ Grade ? Sq. Ft. City ' ' Phone ~ Inatell ? , V AoProvab f~p ~ Name . y,;y' O~ Addree: Assessment Pertnit t u~ Cit Phone Water b Sew. Surchorpe , ~ Y po~~~e Plan Review ~W Name Fin SAC ' i~ Address Enp. Woter Ca?n. u ~W City Phone Plonner Water Meter ~~y~ Rood Unit I hereby ack?wwledpe thot I hovs rcod fhis opplicotbn ond state that g~dg, pf{, ~ t.: i~: ~ the Intormation Is correct ond ogree to comply wirh e11 opplicobl~ QP~ Total ~ State of Minnesoto Statutes and City of Ea9on Ordi~anus. Var. Date Sipnoture of Permitte~ _ A BuHdin9 Permir Is issued to: ~~~'.l':;,~I o~ fh~ expross CondiNon Ihot eli work shotl be dorr in acc~rdonce with oll qppliaable Stote of Minnesota Stotutes and City of Eapan Ordlnances. 8uildirq OffiNal ~ ~ PRmit No. PKmk Hold~r Drt~ TeN hon~ ~f P~~~~ 5 i l'h -.D ~ Y~ -3~3a H.~.~.~. S y~ ~ 5~ ~a~ s~s E~~ h'~so~ ~ ~ s3 ~r ~i-> >o ,(~a So ~ ~ 7 - ~ soften.r r / d • ~ Ir~ction Date Insp. Oth~? Footin~ Foundatan I f ` ~S ~ ~ ' ~G/ -6 Frsminp 3~~ ~ Rooflny Rou¢+ Plby. ' ~ w Rouph HVAC ~ J Inwl~tion Finsl Plb~ ~ Q. Finsl HVAC ~ Final v _~s ~ ~ " ~ , c.~ox. /8S (,l~ C°,0 ~c ~ lZo ~ d~ ~y~~~ D~scribe Loeation: Mlhll S~+~r Pr. D'ap. _ Receipt PLUMBING PERRAIT Permit Na. CITY OF EAGAN ' Fes ~ - ~ Fil1 in numbered spaces S/C ____,~_,,,T_ Type or Print /egib/y Tot. 1. Date 2. Inata/llation Co t : . ~ ~•~~1~ / fi'15 3. Job Address ~7 X u" ~ •=~"~ot ~ Blk. ~ Tract ~ , 4. Owner ~ t' i ~rt,": ' - _ y,•. , ~ 5. Contractor ~ l ~H~ u. % ~J ~ ~`i ~ l I~C..Phone i ~ ~ ~C l'. r ~ . , 6. Address . ^ 5 i F~. . _ , ~ T ! -f~:.;: 7. City State ~ l~ AJ Zip - 8. Building Type: Residential Commercia~ ? Institutional ? 9. Work Description: New Add ? Alter O Repair ? 10. Describe 11. No. Fixtures No. Fixtures ~ Water Closet Cesspool/Drainfield Bath tubs Septic Tank 3 Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify thaythe above information is true and correct, and I agree to comply with all or¢inances 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 ° ~F EAGAN WATER SERVICE PERM~T ~ ,.,s0 Pilot Knob Road pERMIT NO.• . _ ~ P. O. Box 21199 D/~TE: ` Eagan, EMN 55121, t Zoninp: No. of Units: ~ Owner: "''etL'o I Addross: g ~O g;("' s~ ~ t ~ , ~ ~ Sits Address: ~ _ ._~~a ~ _7 if i;,;~ - i~Ns t~ , ~ Plumber: ' . 6 ~ ~ Meter No.: ` ~~~sit: ~ ~ Siu: ~ Rec r No.: 3 ~ J Permit Fee: ; 1 e~ to ean wNl~ 1M CN!? of Ee~°a Surchorge: _ ~~,~t ;,,er ~-r' O~diwo~a~. Misc. CFwroes~ ; z~_,~.' ~ s/ ~ I Total: - Date Pnid: By ~ Date af ~ / 9/ S s ~^'p.: , CITY UF EAGAN SEW~R s~V~ P~~T ° 7 3~F: ' gg3~ Pilot Knob Road pE~IT NO.: ~ ~ P. O. Box 21199 DATE: J i Eagan, MH 55127 rI No. of Units: ~O"~"~` Metro Cuato~n I~Qmes Qwnsr: Address: 4°~57 aafari Pass L, i Sr f ari A~.n Slte Addre~: Plumber. ' ~~t ~hew Dafsials ~nc . ~ . F ~ 3 1Q. ~S iC'2^7 4~~ Jn pd w~, e~. Citr ~~N°¦ ~^^°~lon c~+aroe~ 1 S. 00 , ~ ~ M ~ ~M Deposit: ' Crdia~nas. lO.On P°r"~tt Fe.' .50 ~i Surckwr0e: Misc. p+oro~ ~ B~' Total: ! pute of lrisP•: p,~ pald: I~sp.: _ . - I CITY OF EAGAN WATER S~RVICE PERM~T 3830 P+lot Knob Road 5 t~ PERMIT NO.: ~ P. Box 21 ]9~ DATE: Eagan, I~AN 55121 T j No. of Unirs: 1 Zonir+p: •.etro Custos 3an~es Qwner: I SEl f 3T. ~ A~iLT.I I1dd1'la5: ~.c;,~ `;ef8r~. PF?SB SiM Address: istt::~t~ i_~~ziel~ i:nc. P Plumber. ~„~ia+ Chcroe~ r~ Meter No.: ~ S . 0.. Accou~t Devostt. I . 0 ~ Size: penr,it Fee: Reoder No.: ~ p met er 1 pes~ to eew~V~f ~!M Ci~Y o~ E~s~~ Surcharfle: Misc. Charo~~ _ _ , ~c. s C ~~O*0M' Total: Date Poid: BY Insp.: pate of Insp.: - ~ - - _ _ _ - - ~ CASH RECEIPT ; ~ • ' ~ ~ CITY OF EAGAN P. 0. BOX 21-199 EAGAN, MINNESOTA 55121 i •i ~ ! ' _ i L ~ , DATE 19 RtCtIVtD J FRpM 'I _ - ; AMOUNT $ ti;'~ I 8 DOLLARi ~ao ? CASH Q CHECK } _ /OR. ~ . . . . l . G~ ' 1 ~7 . i . - FUNO COOE AMDUNT 1 ~j: ( .i ~i Thank You ~ ~ 8Y ~ . 1,1 n 1Nhite-PaYe?s CoPY Yellow-Postinq CopY Pink-File Copy CITY OF EAGAN Remarks - ~/~--r~`"f' ..J~ L~~ Addition- T~ S~~I ADDITT~N Lot ~ Blk 1 Parcel 10 75$5D 080 Ol Owner Street 4867 Safari Pass State Eat~an, MN 55122 Improvement Date Amount Annual Years „ Payment Receipt Date STREET SURF. 1 2 A 1 STREET RESTdR. GRADING SAN SEW TRUNK (y~f j 82 483.~ 32.2~ 15 . 2~ A01 SEWER LATERAL Q O 0 33 1 ~ A 1 1 82 2 91.0 172 73 15 1 00.0$ A01 -g WATERMAIN WATER LATERAL 1 2 3$1 0 25 40 15 2 . ~ AQ~ WATER AREA (r 2 2O 1 1 Water Lateral 1 STORM SEW TRK 1$2 92].O 61.HO 15 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. n u BUILDING PER. 99'~7 SAC PARK This reQUest void S~ 3^ 8~ ~ v7, ~ months from ~ L g~ Ri, ' C~~e, si3~~ ~ HepueSx Date Fire No. Rough-in ~nspection Reyu r ~fleaAy Now ~II Nolily.l~spec- 8~ 'vs ?No tor Nfl~en 11eatlY icensed Electrical Contrac[or I heraby request insoation of above ? Owner elachical wwk installed a[: Slreet Address, Boz or Route No. C~1Y S Fa~e' ~A-s.s E ~~1 ecL4n o. Township Name or No. Range o. Covn~y l~ Occuuan~ (PRINT~ Phone Na. q S HCS ' / 7 Power $upplie~ Address QEtT' SSC~. ~~l TDnJ M.J Elec[rical Convactor ICompany Namel ~ Cont:actor's License No. LE ~G O / 5?O - 5 ilinp Address ( ont~act or Owner MakinB ~~s ilati n) G"~4 D,e PcE cc~ ~ya Ssi 7 Auil~ori SignaWre (ConVact r nor Making Instalia~tion) Pho~ NwMer 3 - O YINNFSpTA STATE BO D OF ELEC ICITY THIS INSPECTION BEQUFST qlll NOT GriWS-Yidway Bldg. - Boom N481 BE ACCEP7ED BY THE STA7E BOARD UNLE55 PROPER INSPECiION FEE IS 7ffii University Ave., St. Peul, MN 56104 Ph~n~ ~872) Z9~~~~~ ENCLOSED. _ REQUEST FOR ELECTRICAL INSPECTION E~0°°°~'~O°.,~y ' See instrucfions far completirg this form on 6eck of vellow copv. `/~J~/ J l u CO ~ 2 5.0 7 4 s 3~,~X~ ~ Be,oW Wo~k Covered by Thes Request RtlE Rau~ Typa oi BuilJinO /~uo~~a~~aa 17frW Epuipmen~ qired Home Range Temporary Service Duplex Water Heater Lightiny Pixtures Apt. Buildfng Dryer ElecVic Heat~n Commercial Bldg. Fumace Silo Unbader Industrial Bldg. Air Conditioner Bulk Miik Tank Fafm ~~~r.~ oecr(y Other fSOer.iryl t r Suoc~fy t er Ofh¢r ompute lnspection Fee Below R Fee ServicaEnVanceSize k Fee Feeders~5vbieeders t! Fee Circui~s 0 to 200 qm s 0 to 30 Am 0 tn 30 Am -Above 200 Am>s. 31 to 100 qmps Z 0 QO 31 to 100 A Swimming Pool Above 100_Am Above 100_A~ 7ransformers Irrigation Ba~ms Pattial.'Other Fee Signs Special Inspection 5~,~, TOTALFEE UU Bemarks ~ / \ Ibuph-in ( e~! LJ I, the Elect~f ~ ~ ~nsoacrm. he.enr certih ~t Ma abova Final ' ( - oate ~~pation has been ~ S~ y ~da. ~Iy{~epiMat vOld 18monlRS irom ~ , v J~~'/O / $3-~ 2 ' ~ fleQUes1 ~are Fi o. Rough-in Inspection a-.s- 9 0 ~ AequireC? ? Featly Now ill Notify Inspec~or ~ r~ No ~^lhen Reedy? I censed conlraclor p owner hereby request inspection of above electrical work af: Job AOtlress (Snae4 Bo~ or Ro~te N. p ~ ry ~Q a Section No. Township Name or No. Range No. Counry ~C~ 1~ o ~L Occupant(PRIN1 Phone No. ~e r ma ~a - o yl Power Svpplier lWaress Ele~vi I ConVacto~ (Compan Name P? Y ) /l / ` Comracl ' License No. ~0 Y11 1~ ~C.r''R' L----~~s'--~-~ C~ yQ MaM1ng PtlOress IConVacbr or Owner Maklnq Ins~ a ion) ~ ~~_~k ~I a ~ ~ PI~~ ~ ~:~~y~ Au~OOr e0 Slqnature (COmracmdOwner Making Instellali n) -T Phone Number 55 - /Od..S~ MINNESOTA STATE BOAHD Of ELECTflICITY THIS INSPECTION REOUEST WILL NOT Griggs-MWway Bltlg. - Poom &i'!3 BE ACCEPTED BV THE SiATE BOARD 1821 Univanlq Ave., SL Veul. MN SS10E UNLESS PROPEq INSPECTION FEE IS PM~re (6t2) 662-0800 ENCLOSED. ~ l0 REQUEST FOR ELECTHICAL INSPECTION F"~`~~ ee~oaao~o~ ? See Inslvc~ions ~or compleling Ihis torm on baCk of yellow copy ~ 9~'90/ 6 Y ~ 1 H 3 3 2, 'X" 8elow Work Covered by This Request ~~1~`' ewA'dd Rep; TypeotBuiltling AppliancesWiretl EquipmentWired Home Range Temporary Service Duplex Water Heater Eledric Heating ApL Building Dryer Other (Specity) CommJlndustrial Fumace Farm Air Condilioner Ot~er (specily) Conttacmr'/s ~Remarks: ~1 Compute Inspection Fee Belaw: Y~~~s rn e ri ` b d t I # O~her Fee p ServiceEntranceSize Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 700 Amps Transtormers Above 200 _ Amps Amps SigpS Inspecror§ Use Only: ~ OTAL 5~ Irrigation 8ooms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORUERED DISCONNECTED IF NOT Other Fee COMPLETED WITNIN 18 MONTHS. I, the Electrical Inspector, hereby Rouqh~in / oa~e~_>_G~ certify that the above inspection has F;,,ai G Dat been made. ~ OiFICE USE ONLV This request voi0 18 mon~ps from This reQUast wid ~ ~~BS ~~J ~~~~3 ~ ~,a~, ~ ~~Q.~ ReQUes.•Date" Fire No. ugh-in Irtspec[ion ~9u~red? ~ ~Ready Now ? Will Nolify Inspec- ~'E" ~ 3 ?Yes o ~or When Ready icereed Electri~al ConuaMOr 1 herebv ~eY~st i~pection at ebove ? Owner electrifal work iBtellad at Svcet Aadress, Bax or Route No. Gtv S/~GAre P SS ~'4~'~ti1 ecUOn Townshio Name or No. Ra~c No. Coumv (~k OT Occupant (~tINT) Pfiom No. c 7b ~yES ~ `97s Powe. SupO~~a Address ' ~ZT O~L ~ i ~JG7~ M.J EI trical Contr ctm (Ca~nVaM Namel ~ ~y C lractoi s Licr.nse `No. Ci T/"6/, lS Q-J Maili~p Address IContra tor ar Owner Makiip m,.qilanoN 99~1 ' D - (/~u-~ HaJ SS/ Au(horiz Sigaature,IConvacto r Meking Iretallatiml Phw~e Nwn~er --7370 YINpFSOTA STA7E BOA OF ELEGTIIICITY THIS INSPECTION NEQUEST ~YIIL NOT GrippsalidwaY Bldy- - 11oom N-191 gE ACCEPTED BY THE STA7E BOARD MN 55100 UNLE55 PROVER INSPECTION FEE IS 1827 University Ave.. St Paul, ENCLpSED_ Wpm (b12) 2972111 ~~3 NEUUEST Foe ELECttpcaL ~n~PECTION Ee_oooo,~. , See i~irue<ions im eo~letinp this fum an bxk of rellow eopy. ~ ~ 2 5 3 ""X'" Be/ow Wa~k Coveied by This Request ~ Fdd Rep. Typa ol BuiMinp Appliancea qired Epuioment Nired Home Range Temporary Service Duplex Water Heater Lightiny FixTUres Apt Building Dryer ElecVic HeaUn Cwrrnercial Bldg. Fumace Silo Unloader Irdustrial BIAg. Air Caditianer Bulk Milk Tnnk Farm Other peu Other ISOer.ifyl Oecfty t er Othe~ ompu[e Inspection Fee Be%w • Fea SmiceEntre~eSizo # Fqe FeeAers~SUMeeGers b Fee Ci~cui[s 0 to 200 0 to 30 q 0 tn 30 Am A6ove 200 Amps 31 to 100 Ai~s 31 to 700 A Swimming Pool Above 100- Above 100_Artg~s Transfom~er5 Irtigation Boorrs Partial.'Otl~er $ig~s Special Inspection 5 TOTQL FEE AD~~Q I Ne~mrks ~ ppyB~{n Date the Elac ' 1 pactor, hereby canity that the above Final r Oate G~~ inspec[ion has been U'/" ~rede. i~w~+.aw 18manne hom CITY OF EAGAN ~o g 9 7 7 t 3830 Pilot K~rob Road, P.O. Box 27•199, Eagan, MN 55127 PHONE: 454-8100 ~c~~' BUILDING PERMIT Receivt # Te M wed M~ SF DWG/GAR Est. Volue _~118, 000 pOfe MARCH 19 , ~q 85 SiteAddress 4867 SAFARI PASS Eract C,~ Ocwvsncy R3 Lot $ Block 1 SeclSub. GT~FART AiID Remodel ? Zoning RL Repair ? Type of Const. V Paroel No. Enlarge ? No. Storiea ~ Move ? Length ~4 METRO CUSTOM HOMES INC Neme Demolish ? Depth 3~ Z . . ~ qddress Y' Grade ? Sq. Ft. City BURNSVILLE Phone 894-9759 Innall ? SAME Avwmab F~e~ ~ Neme Q Addresa Assessment Permit ~ City Phone Water E Sew. Surclwrye 5 g• 0 ~ r Police Plan Review 239.D0 yGW Name Flra SAC 525.00 4~ Addrtsa Enp. Water Conn. ~-Q.Q...9 ~ ~W City Phone Plcnner WoterMeter~~~ Council Road Unit ~Rn nQ 1 hertby acknowledpe tFwt I hove read this cpD~ication and state thaf gldq. Off. 3 13 8 5 `1' . P. ].3 2. ~ ~ fhe inbrmation iz correct and agree to compty wilh all aDVliceble APC Total S7 _ 976 _ Oh Stata of Minnewta Statutes pa ity o( Ea ef0 irwnces. Var. Date Siprwturo of PermiMaa ~ ~ ~ A Building Permit Is I ued to: - ETRO CUSTOM HOMES INC on ths axpress cond~tbn thoi oll work shall be done in aCmrdante with all, [o(p)plic~a,ble Staro nnpoto Stotutes and Ciry of Eoqan Ordinantes. Bufldinp Officlal "~"'~-~R ~~'~~u'O~'~`J CITY OF EAGAN 17462 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55127 /y PHONE:454-8100 /S) ~ ~]~j~~( BUILDING PERMIT Receipt # l. r u< U To be used for BASEMENT Est. Value ~ 1, 500 Date JAN 25 g 90 Site Address 4867 SAFARI PASS 0.00 LOf BIOCk ~ SeC/Sub. SAFARI OFFICE USE ONLY PflfC@I NO. Ottupancy - FEFS Zoning _ W Name MRS RANDY HERMAN ~ACWaI) Cons~ - Bldg. Permit 35.00 o Add~ess 4867 SAFARI PASS ~Allowable) - Sumharge 1.00 City EAGAN Phone x oi sio~~es - Lengih _ Plan Reviaw ~F Name l'ORDON STONEBURNER DeD~h - SAqCily Addfe55-3423 LANE AVE N S.F.TO~aI - SAC,MCWCC ~ City CRYSTAT. phone 537-1962 S.F.POOtprints _ On Site Sewaga _ `Nater Conn ww Name OnSileWell - Wa~erMeler s~ AddreSS MWCCSystem - iw City PhonB City Wa~er _ ~0~~ ~eposit PRV Required _ S/W Permit I hereby acknowlege that I have read this application and stale that the Booster Pump - SiW Surcharge inlormation is correct and agree to comply with all appliy$ ble State of Minnesota Statutes and City of Eagan rdina~7G~~C~ Trealment PI Signature ot Permitee ~ APPHOVALS Road Uni1 GORDON STONEBURNER Planner - park Detl. A Building Permil is issued to: on Ihe express condition thal all work shall be tlone in accordance with all Council . 50 applicable Slate oi Min`nnesota Statuies and C-ity of Eagan Ordinances. eldg. OIL _ Copies BuildingOflicial 11I1Q1T~~.P1.l~_ I~J~_ Variance - TOTAL j6.5~ ~ Y ~ RESIDENTIAL BUILDING Permit Application City Of Eagan --~j ~ 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 New Construction Reoui2menfs RemodeVRenair Reauirem~ls Olfice Use Oniv 3 registered sde surveys showing sq. ft of lot sq. R o( twuse; and all roofed areas 2 mpies of plan _ Cert W Survey Recd {209', mazimum lot cove~e albwe0) 1 set of Eneigy Calculations lor heated addifions Tree Pres Plan Reai 2 copies of plan showing beam & window sizes; powed found design, etc. i sRe survey for add'Nons & dedcs Tree Pres Not Reqd 1 set of Energy Celahations AddNon - indicafe ilaisite sepNC system _ Oo-site Septlc System 3 copies oF Tree Preservation PWn if lol platted after 111193 Rim Joist Detail0ptions selection sheet (bldgs wiN 3 or less units Date lSl /~pO~J~ Coostruction Cost J ~~15~ SiteAddress ~}~lp~' c~..~.di~~O~SS UniUSte # Description of Work \ ~ ~ Muld-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2 Property Owner~,~ { vQ[~~,,~ Telephone )~I Sa • aS9'I ~ Contractor RENEWAL BI ANDERSEN Address 1920 COLIN"IY ROAD "C" WLST C~~, ROSEVILLE, MN 55:13 - State LICENCE #"..130983 :lephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category , Residendal Ventilation Category 7 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted . • Energy Envelope Calculatlons Submitted Licensed Plumber hone ) Mechanicol Contractor ~ ~lephone'Ykm ~ Sewer/Water Contractor TeMe h~~ ~OQ,~ ) r U' Y,_-~_ 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 IvfiV 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 appr val of plans. ~`~C~ ~ r~SOt~J `U ~ Applic~ant's Piu~ted Name Applicant's Signature CiFFICE USE ONLY Sub Types ? 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-plex ? 17 Garage ? 22 PorchlAddn.(4-sea.) ? 33 Ext Alt- SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multl Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 MiSCellaneOUS Work Types ? 31 New . ? 35 Int Improvement ? 38 Demolish (Interiar) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish;jFoundation) ? 45;';: Fire Repair ? 33 AlteraGon ? 37 ~emolish (Bldg)' ? 43 Reroof ? 46 Windows/DOOrs ? 34 Replacement ~ 'Demolition {Entlre Bldg) - 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 Bidgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings(deck) FinaUNo C.O. _ Footings (addirion) _ Plumbing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (newheplacement) _ Insulation _ Retanring Wall, Approved By , Building Inspector - - - Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S8W Permit 8 Surcharge Treatment Plant License Search Capies Other _ Total ~ ~ ~ ~ ~ iV•~i .u„ cna ,o~ o« w4no x~rusneu. nrenuntu~~sn . ' . ~muu~ ~e a~, ~ . ~ . _ _ ~ . . , . . . . . . , ~ r~d zoa~ . _ . . 3836 PiIot Bnoh Road ~ . ~8~. MN SS122 To wAom Ie lvtay eoncer,~: . Slder 7ottes to ~orized to ptttl baiId~tg pernilts Por g,e~v„~ {n, qndersa~. Ptease xtiow P~ide this ~ica for ue in ~an. '1Tt~s ~~atian is vatid far eny datc beyond 6/6101: wntiI a~evvaf by And~n ~~lY nevnloas it ia writlag to the C1ty- I reqneat this authotrzatioa be acptp~ted~expe~iNously. av to not dela in the ' our baiidia~g Pcanib emy titrthcr. Pl~aac oaII mc lf thctc ara nny qu~ione., I~ b~e~ ~f ~ coutacted at ~63-502-4706.. : : . , , _ Yoar iaiwqdiebe atDeatioa to.th[s m$ttcr i~ . sinoetely. . . ond R Rau osrallation Managcr . . Ranowal bY Aude.osan Corpo~ic~ . ('r.: Karn-k7~lra~ 7~nea ~ ~ ~~..~4 _ , _ . . . : 1 Q ~.uM~p,~_~~ . . . . "_..•ui..::..~, V"v . . ~rptieuyan°~~Oq°yan ~ Receive~ Ti~e Jun. 1. I~O1PM / V ~ ~ , ;VN<.~",<.:~:,~,ikY63<"rk:R~:k~'M7kk~YF:4(:"k~?F'~>km~!'n'C~k)X'M>'d~VKt:~fi~, ~Y~9F?k%K* cr.rv or- F:r,c;f;n! c~t:,i~:i:r::r?e r 7F:kMII~Ai.. R0; 3;-,r~ Li(~T'iC~: n,J13/5!E, '1']:i41ii:;~ 7.:~~OE2:;:',t:, ii~i i.!F3i~ili:~; I'AN['L.Cf?P~~T f.)F' hft~ 1:t~C :;%_i.p '7Ut7i. 4t36i S~FF~RI 1='t~s.;; 4`;.r~i7 21:5:`i `a011:1. 4t3F,7 f~Af"Ai;:'f. I'Fi i 0 ~p roi:;.,:i. r<e~,=:,:~.i,l; Arna~~nt^ 4:°i,.";~J CRO('s~l~ii~.~",li U~EFi :CI?;~ ~iFli~!CV 7'F:,<%RMY,<?Sk :k~n 'M>XkCY,:~} Y~t'MPFh. ~k?R*>K%t7F~>K7X 'M7X ~k?kPF '~<%;~:XC 'M~ 16 . ~ ~ PERMIT ~ CITY ~F ~AGAN 3830 Pilot Knob Road PERMIT TYPE: gul~ozt~s Eagan, Minnesota 55122-1897 Permit Number: 028814 (612) 681-4675 Date Issued: 0 9/ 11 / 9 6 SITE ADDRESS: 4867 SAFARI PASS • LOT: 8 BLOCK: 1 THE SAFARI P.I.N.: 10-75850-080-~1 DESCRIPTION: ~u~I,~I3~~ Permit Type DECK ~'$ca~~~Y~d~l~~ k Type NEW ~ Gec7su~= C,q~_~~ R34 ALT. RESIOENTIAL ~ ~~a'` ~ A~ ~ ' ~ y V b.' ; n._d ~ atay' ` ~ ~ ~ . ~ ~i%r.~;* c x°~ ~ ~ ~ ~ ~ ~ 'a.5 "e x,''~^t x r -r r",~."~ °~P'~ ~t~ ~ d "-'~!&i& w~ ~'.{~'.'~S ~ g~ ~~a ~ ~ :~a ' i,P,". REMARKS: FEE SUMMARY: Base Fee $45.00 Surcharge $.50 Tota1 Fse $45.56 CONTRACTOR: - flpplicant - ST. ~zC.OWNER: PANELCRAFT OF MN INC 17216628 0002179 NOAH DAVID 3118 SNE~LING AVE S 4867 SAFARI PASS MINNEAPOLIS MN 55406 EAGAN MN (612) 721-6628 (612)452-2594 . a ~ u. _ Fy.. _ I hersi y acknBtJ!~.ectge Chat T t~~~e °re~d t~ris applicatipn a~r.d ~~a~e th~C' ~he ~in.fcsr~ ~;~or~: ~.s- G~r^~~t5t ~_n'.i ~ig~~ ~i~ sa~rrip3Y ~.t~.t~i' a1~. ~,ppl~~~ble 'Jtate k'~ ~1n. . ,.ro~~a~`u~` ~ ari~t ~i~~~ c~~f ~~g~~ Qrdirz~nc~s ' ~ < . , . , r _ . . . . ~ ~ JI / C~' APPLICANTlPERMITEE SIGNATURE ISSUE : SIGNATURE ~ CITY OF EAGAN ~S, ~O ~ 3830 PILOT KNOB RD - 55122 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 Neve Construction Reauirements RemodeUReoair Reauirements ? 3 registered aite surveys ? 2 eopies of plan ? 2 enpies oi plans (inelude 6eam 8 window sizes; poured fnd. design; etc.) ? 2 site aurveys {exterior addRions 8 decks) ? 7 energy calculetions ? t energy calcufations (or heated eddilions ? 3 copfes of tree preservatlon plan M lot plaUed aRer 7/7193 required: _ Yes No DATE: 1['inbP~ S/~'!l`G CONSTRUCTION COST: ~ 17i d~~ °i' DESCRIPTION OF WORK: DE~ K STREET ADDRESS: y~~7 ~'G Psss LOT ~ BLOCK I SUBD./P.I.D. ~ PROPERTY Name: IVaG~1 ~Q~~ a~- S G~ Phone ~SZ~ z~9~ OWNER ~ uer riASr Street Address~ ~~~`7 Sc~'4.-, Ps ss City: ~ ~~~n State: ~n Zip; S~/2z CONTRAC70R Company: I"Gn e'Cr r{~f ' Phone ZZ CO ~ Street Address: 31 I S Srrc/% ~q ~¢ue So License 2~~~ City: l~'yl,PlS State: /?7~~ Zip: SSydCp ARCHITECTI Company: Phone ENGINEER Name: Registration Street Address~ City: State: Zip: Sewer & water licensed plumber: Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowiedge that 1 have read this application and state that the information is correct and agree to comply with ail applicable State of Minnesota SWtutes and City of Eagan Ordinancea n~ / Signature of Applicant: OFFICE USE ONLY ~~~~~~~D Ce~tificates of Survey Received _ Yes _ No S EP ~ 9 S39& Tree Preservation Plan Received _ Yes _ No _ _ _ _ _ _ _ _ _ OFFICE USE ONLY ~ . BUILDING PERMIT TYPE 0 01 Foundation o 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish n 02 5F Dwelling o 07 4-plex ? 12 Muiti Repair/Rem. ? 17 Swim Pool ? 03 SF Addition o 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 Alterations o 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MCIINS System ~ (Allowable) Main level sq. ft. City Water i UBC Occupancy sq. ft. . Fire Sprinklered Zoning sq. ft. PRV # of 5tories sq. ft. Booster Pump Length sq. ft. Census Code. 43u Depth Footprint sq. ft. SAC Code o t Census Bldg _J_ Census Unit APPROVALS Planning Building Engineering Variance Permit Fee Va~uation: $ Surcharge Pian Review License MCNVS SAC Eity SAC Water Conn. Water Meter Acct. Deposit S/W Permit 5/W Surcharge Treatment PI. Road Unit Park Ded. Traiis Ded. Other Copies Total: % SAC SAC Units CITY USE ONLY PERMIT RECEIPT DATE: 7'7(/ ~I ~£SID~NTI~tL bI~CHf~t1~iICAL ~3IT f4~~'LIC~k110R CrrYoF exsetx sbso ~nor [u~os [tn gt4HAA I~R S51 EE 65t~8t-~?e~5 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: ~ ~ ` SITEADDRESS: "('~~LL~ ~Y--J~ 1 ~~~1 ~7T~ OWNER NAME: l L~ ~~l~ TELEPHONE (AREA CODE) INSTALLERNAME: ~(,69~ ti"t~-~'~11~C7 °~'Ct~ TELEPHONE#: l~~ (AREA CODE) STREET ADDRESS: l J`-~ ~~I ~~V I*' ~ CITY: ~t~d~~ ~L~ STATE: ZIP: Plar~ a check mark next to the ermit work t e ~ New residential dwelling unit under constructionand not owner/occupied $ 70.00 Add-on, modification or alteration to existin dweliing unit $ 50.OD . • furnace replacement • air exchanger • air conditioner • other Nature of work: ~ / State Surchar e $ 50 Tota{ Reminder: Cal1 far inspections. S NATURE OF P I"R3'$~ n 15 u r~ ' ~ i, APR 0 S CJUIUpdatedl/01 ~ I ~Y Cf7Y USE ONLY PERMIT RECEIPT DATE: APPROVED BY: , INSPECTOR COMM~CI~I. M~:Ci~kN1Ci4I. ~MIT ~PLIC~tTiON CrcY o~ ~~~4N ssso p~,oT xxoB ftu i:A6~EA,14IN 551 EE 651-6$1-4675 Please complete for: all commerciaVindustrial buildings multi-family buildings when separate permits are nat requ+red for each dwelling unit DATE: SITE ADDRESS: OWNER NAME: PHONE (AREA CODE) ~ TENANT NAME (IMPROVEMENTS ONLY): WAS THERE A PREVIOUS TENANT IN THIS SPACE? ~ Y N. NAME: INSTALLER: , ADDRESS: i___ PHONE#: _ (AREA CpDE) CITY: STATE: ZIP: WORK TYPE: New conshuction Install U.G. Tank _ Interior Improvement _ Remove U.G. Tank _ Processed Piping Specify Nariue oF W ork: When insta!ling/removing underground tank, ca11 651-G81-4675 for inspection by Fire Marshal and Plumbing Itnspectar. Fees: 1% of contract price OR 550.00 minimum fee, whichever is greater. Underground tanlc removaUinstallation = minimum fee Contract price: $ x I%= $ (Base Fee} State surchazge calculate at $.50 for each $1,000 Base Fee TOTAL $ SIGNATURE OF PERMITTEE Updated 1/01 ~~~~m~ra~~~~~~~~~~~~mm~~~~~~~~~~~~~~~~~~ czrv oF E~r~r~ CASH7:Ff,~ S 1'E.fiFfINAI._ ~Oe 809 DATF;; C19/04/98 TIME: i5~f]i:3~.1 IU: t~AMF; 1=LLiFft-1qNE"5 3210 90f1i 4fibi SAF(-1RT F'AS 1.3'e25 21:55 j00:1. 48E~i 3AI=ACyI PAS 4..00 Tota:l r.t~~e~~~k Rmn~.er~+.: i4i.2~ cFio9E,9 i 6 usF~r: zr.~ ~ r~ar~rv ~~z~~z~~mmz~~~~z~~~~~~~x:~~~~~~~~~~~~~~~z~~:z~m ~~iX#:4;1'~ 'M ~'X•~(~(:KhCYF~%N7k%c:~C:~tXc:l M"#.X(~t?rv~k7kMhY`.XiX>X%K%„X~Wx"~ r7:TY [ll'- ~r~[;F~N CAF3H:1'f:i:ha S lC:I;NLCiJ6dl.. NCI:: `,:i:5 T_~A7~:: 0"r',`~?h/5)7 7:I:N~L', i:Jen;3;`.'i4 ST_~ ~A~ ilE: ^ !iiE_I...(a 3i210 `i)OI:11. 4f367 EinFlllil: I'-`A1.ii g~,'('S 29.:.'S`,:r :)C)f:34. /f~3e,i' 'SA~"Alii. 1='(-1Si :.`.Sfl t ~ To+,]:i. Pir.,~r.^Ei.~~i; FlIY~pL.Ytf,:: :LOi~„rS CF:i] i'S)(:iti?=} l.I;f:::F: :[I'~a ~!F~N~Y ?nk+:;:YFI~XCYF~t.~,'C?: Y,(.v,('My67kY„Jt.XYfA'~>'FW>k9Yik'M?k%~ M~kS:XC>KiR?Y:F?K~%Nl ~ PERMIT ~ CI~"Y OF EAGAN 383o Pilot Knob Road PERMIT TYPE: Eagan, Minnesota 55122-1897 Permit Number: ~y 3 0 6 0 7 N G (612) 681-4675 Date Issued: 0 7/ 2 4/ 9 7 SITE ADDRESS: 4867 SAFARI PASS LOT: 8 6LOCK: 1 TWE SAFARI P.I.N.: 10-75850-080-01 DESCRIPTION: ~ REROOF B,~i~-d~~zri'~~~~~Permit Type 3F (MISC.) ~u~:ls~a~1~ l~rk Type REPATR ~,~?"`~~pgc~g CtycJ~~~ 434 A'LT. RE5IDENTIAL ~ + z ~ -P°. 6 ~ ~ L g~~~ ~ ~ a ~ p ~t M" 6 ~ ~ u=~ ~ ~ _ . ~ ~''i'°v~+? ~ , ~ ~ ~ ~ 'F+'t"~s.,m%~~~na~r ~ ~ . ~ REMARKS: FEE SUMMARY: VALUATION $5,000 Base Fee $99.75 Surcharge F, ~2.50 Total Fee $1@2.25 CONTRACTOR: - Applicant - sT. I.IC OWNER: SELA ROOFING & REMODELIN6 18238046 0001050 NEMER LISA 4100 EXCELSIDR BLVD A867 SAFARI PA5S ST LOUIS PARK MN 55416 EAGAN MN (f12) 823-8046 (612)452-2594 . ~ ~ 4~:~~ ~ ,I ~ ,.~ti~. ]L he~^~liyracknctwl:edt~~ ~hs,'~'Y Mi~+~~'~~~~L~~C~~'p!?~'k~'~a~,~~s~=~~ ~h't~~~ ~~~~z~ ~ r ~ , ~iy+~nf@cy~.y~tifp,~pG~+ttJ. ~~y4r ~c}°4~r}r~y.~~ c~ay ~s.gc~sl~ `t~~}yr~.j~p~,y~ p'~yy,yy c~~P ~ ~~~~t' ~~'~~~~~i`~~ ~f~~ ~i~e »~ri S ~ L1~QW~~.}{-Y Ja~L~ 4~v4~.k'Rf~ F~CM~%(e ~9 ~LIfLIYtVW~F ~ i~t~~F ~.~#4~4 ~ s'D~}• ~ ~ h ~ 5~,~$ ~ ~ 'i w e ~ ~ s i i e : r . . s.... ~ e .,.n.,~ e. . ~ ~...,,.5 i . r_ r . .............._....~..e.., e-. ...;v _et,.u, e._. d..~._.. _ i._ c,~se.P _a.~.._ e.&. ~ ~~-~~-~'~D APPUCANT/PERMITEE SIGNATURE - ISSUED . iGNATUAE 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) D~`~ CITY OF EAGAN 3830 PILOT KNOB RD - SS122 681~675 ~ Ner~tnrdlon ReaulremeMS RemodeUReoeir Reauirercmrtls ? 3 reg~tered site aurveri ? 2 wPies of plan • 2 copies of plans (indude beam 8 window saes; poured fid. des~n; eta) ? 2 sRe surveys (e~ctertw additlw~s 8 dedcsj • 1 energy calculatlorn ? 1 ene~gy celalatlona kr heated addiHons ? 3 copias Of tree preeervation plan if lot platted efter 7It/93 required: _ Yes _ Na ' m~ DATE: 3~T 7 CONSTRUCTION COST: ~5 g S• ^ DESCRIPTION OF WORK: ~ ffmu s e~~rt2 ~4-~ ~ 5TREETADDRESS: ~ ~ ~ ~`1"f^l SS LOT ~ BLOCK SUBD./P.I.D. PROPERTY Name: .G/~'fr` ~~l~'1~°~ '//!fy!/,t? /l1~fHl Phone ~sa~ a5 Q y OWNER , Street Address: b ~ .Si'~~i4'j"G ~f}S S City: L~ State: ~i~ Zip: ~ ~ CONTRACTOR Company~ Phone 4100IXCQ~DOR6L~ID. 1 StreetAdd~~ISH4RK,MINN~TASfi~iB License#: ga'3'g~~6 ~ City: ' State: Zip: ARCHITECT/ Company: Phone ENGINEER Name: Registration Street Address: City: State: Zip: Sewer 8 water licensed plumber (new construction only): . Penalty appiies when address change and lot change are requested once pertnit is issued. I hereby acknowledge that I have read this application and state tl~at the information is c:orrect and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ' OFFICE USE ONLY ~..ertificates ot Survey Recei~ed _ Yes _ No ; ree Preservation Plan Received _ Yes _ No _ Not Required OFFICE USE ONLY ~ ~ BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish n 02 5F Dwelling o 07 4plex ? 12 Multi RepaidRem. ? 17 Swim Pool o 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace o 21 Miscellaneous ? 05 SF Misc. ? 10 _ piex ? 15 Deck WORK TYPE ? 31 New ? 33 Alterations o 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const (Actuai) Basement sq. it. MCNVS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq, ft. Fre Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprirrt sq. ft. SAC Code Census Bldg - Census Unit APPROVALS ~_''i ~ • ~';.i • •.,y~ Planning Building ' Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/W5 SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S1W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units FERMIT CI~Y't~F EAGAN 3830 Pilot Knob Road PERMIT TYPE: g u z ~ p I N ~ Eagan, Minnesota 55122-1897 Permit Number: ~ 3314 2 (612) 681-4675 Date Issued: 0 9 J 6 4/ 9 8 SITEADDRESS: 4s6~ 5RFARI PASS LQT¢ 8 BLOCK: 1 THE SAFARI P.I.N.: 10-75860-080--01 DESCRIPTION: REPLACE WINDOWS Bu.a~S:d~~Y~^aPermit Type SF (MISC.) B~iilcf:ilt} ~1yo~.°k Type REPflIR ,nG'~et7sus ~ode~"`~ 434 AL7. RESIDEN7IAL FY P ~F P ryp • A~ +fr.rc:~' £ ~ ~ k'~'a~~ ~ees . ~ ~ 1 ~ ' ;8 ~,.y~ e.'~ y+. ry ~ ~ tiP.ea~" Y ~ ~ V.: ~ G~`~ "u~ ~'yy&iitt b_'~.~1~.~t $ hyC`3F°^ "p~n tai ~Y;:'~m` .~+~+s `E ~ -F ~ ~~ry , k at ~ ~'P~a"~t `1 i~ ~ ' y"<'" g~ m ~ r. ~a~ _i°~~t ~i~ ~r; ~"r ~ Fe ~~`;~::~~~~tt,ar ,s • W REM~~~:cxN~ 6 WINDOWS WITH COmPLETES TN EXISTING OPENINGS. FEE SUMMARY: VflLUATION $8,000 Base Fee $137.25 5urcharge _ $4.00 Total Fee $141.25 ~~W~~C~~ORNDERSEN - flPplx15024777 20040630 OWNER: ~I~A 0 73RD AVE NE 8 q86J SAFARI PASS IDLEY MN 55492 EAGAN MN 55122 12) 502-4777 (651)452-2594 ,`~T' Pisrsby "acl~knQw~,~clye. that t h~we, read `this ~pp~,z~a~ian anci` sta~e Lh~~ th~ ~~~'orm~~~~n z~ cn[^ee~~ a~c~' ~grs# '~tz c~rnp3~+ w~,'~ri a~~ .~pp~.ie~b.~~; ~~Ga~e Mn. . ~ . ° - ~a~~'~u'Ces an~ ~a,~~t c~'~_ ~agart C1rSia.n~rr~es. ~ ~ ~ ~ ~ _ _ . ; a . _ ~ ~ . _ APPLICANTlPERMITEE SIGNATURE ED BY: SIGNATU „ . 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) crt~t oF EwaAx asao ru.ar za~ros xn - asiza ~ 1~l ~3~ 1 ~-I~~-. ba~-~~~ New Construdion Reauirements RemodeUReoair Requirem nts -l ~ . ? 3 registered a@e surveys • 2 copies of plan ? 2 copies of plans (inGude beam 6 window s¢es; poured fid. design; etc.) ? 2 si[e surveys (eaterior ad08ions 3 decks) ? 1 energy plculations ' ? 7 energy calculations for heated add'Rions ~ - ? 3 wpies of Vee preservation plan i( lot platted after 7/7/93 ~ ~ requimd'. _ Yes _ No - . . . ~ . . ~ DATE: g I3 ~~~0 CONSTRUCTION COST; ~~I S~~ DESCRIPTION OE1fUORK: ~oLZ~~i,NO ID IA771n~i9Z~~d y~-/- A en-yh l~,-~-aa r vi ~ A! f M R C7A2P,l~I STRE T DRESS: ~-I~iIO`T ~,~C2~/ ~Q-d,l~ _ LOT: ~ SLOCK: ~ SUBDJP.I.D. Name: / ( UQ,~ ~A.A ~ Phone ~Sa aJ l `-1 PROPERTY ~ First OWNER f ~j' IO ~ ~ ~C,1~4..J~ Street Address: L t~ City ~ / State: ~7V1lti Z~P~ /c~-a Company: Phone `.~b~'-(_f7"-I ~ CONTRACTOR ^y~ Street Address: 3J`~- ~3 ~ ~AJ~-P . / / ~ License # ~ ~D L(~ (o City State: 7'1/1 ~ Zip: ARCHI7'ECT/ / ENGINEER Company: ~t/!~~ Phone#: i~u.:c. a'~c2~;5u`fii~:,n Street Address: C~ty State: 2ip: Sewer 8 water licensed plumber (new construction only): . Penalty appiies when address ehang and lot change is requested once permit is issued. I hereby acknowledge that I have read this application and state that the information i correct and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No Not Required - OFFICE U5E ONLY BUILDING PERMIT TYPE ? 01 Foundation ? O6 Duplex p 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4plex ? 12 Multi Repair/Rem. ? 17 Swim Pool O 03 SF Addition ? OS 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscelianeous ? 05 SF Misc. ? 10 = plex ? 15 Deck WORK TYPE D 31 New ? 33 Alterations ? 36 Move f;l ~r1~it~nn 1-f ?d Ra;~air _ 1-! ~7 I~Pmplifinn GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main le~el sq. ft. City Water UBC Occupancy sq. ft. Fire 5prinklered Zoning sq, ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bldg Census Unit APPROVALS Planning Building Engineering Variance ~ Permit Fee ~ 3~ Valuation: $ ~ Surcharge ~ i'lan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: ~ 41. ~ % SAC SAC Units Z~r~ ~IG4 ~~4 ~ . ~ _ x ~ ~ - ~~c~ 25~C4~ = 112~ x¢t- ~125 ~I~~ol a•~ 478• + 59 • + 239• + ~ 525• + 500 • + 63 • + 280 • + 1 32 • + 20276- ~ ~ i ~ . i• . / 1985 BUILDINC PERHIT APPLICATION - CZTY OF EAGAN NOTE: ALL CONTRACTORS l9UST BE LICENSED HITH THE CITY OF EAGAN ' INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURUEY 1 SET OF ENERGY CALCULATIONS To Be Used For: Qi~ _ Valuation: Date: ~ / ~ I 000, Site Address: ~O ~ ~~q OFFICE USE ONLY Lot: ~ Block ~ Sect ub a rq I{ ~ ~~Ur?Erect ~ Occupancy (Z-3 Remodel _ Zoning ~-1 Parcel S Repair _ Type of Const ~ ~ Enlarge ~I of Stories Owner ~/V//~ ~ ~ ~~~~~g~e _ Length 7 ~ emolish Depth ~ Address 6 Grade Sq Ft Clty/Zlp Code r ~JS ~3 / Phone d' r ~ ~ APPROVALS Contractor ~i~p ~ Assessments Permit ~ ~ Water/Sewer Surcharge 59.'~ Address Police Plan Review 239.°~ Fire SAC ~2S.a0 City/Zip Code " Engr Water Conn Planner Water Meter 3,°= Phone Council ~ Road Unit 2Q~0,~° Bldg Off Parks m Arch,/Engr. APC Treatment P1 132,~ Variance ~j / Address TOTAL a,(1 a~ c~, City/Zip Code Phone ll h ~alu #y4c e 33..'Je~ ~}r. . . . ~y 3 t a ~ ~ . , r. . j SS ~ ~ ~ ~ ~ r ~ ' - >,¢~o~ ~ 9 Pe.~~ ;,,3 - ~ yr~ .aoBE : . t_ ~ ~ -r ~ ~ , CONSUlTINO !HO Ht[flf ' ''z,ENGiNEEAiNG . ~ P~~N?+~~: and ~AND ~URVtYOIIf . ~ - ~ ;COMP~ANY, INC. . L' " 'R .`q00.[A3T 146~h ~STR[[T, EUrtHSVIILE. 41?1NClOTA SS13T ~N ~]t'b000 ' : , _ _ ce~-~i}' ~ ccc,~ _ Sur~r-e y • ~ . ~O~[lI r~ r~~p~ tC n• LOT a~ 6~otC 1~ .`.~?x¢.i . ADD t'nont, Lk1KnTA courJ7'y M in1NE50TA. . ~ . ' ~ ~ , 1l° ` S q3.2~~ ` ' / ~ / \ / . . . . Q7 ~ ~ j \ . ~ ~ . ~'i • . . ky \ ~Qi( 'I~1~ ~ : .~~~i 3 \ f , ~ i ' ~ \ \ ~ ' \ ~ . 4~ ~ - p ~ ~ ~ ~ ~ ~ ~ ~ . . ; . ~ , ~~o ; ~ ~(~J}' y`~+ -S ~ C~' ~ r .'p ~ J ~.w G~ '''.a~ r Ft ~ \.i1J • zs ~•~~aF• ~ _ c~'~ \ ~~61 ti~ ~ o ~pe 5 - s J `m. \ ~a/ , 'O ,~j tiqaoy.~ ~ d?, 4 ' Q~'~ a ~ ~w ~ , . - ~ ~ ~ /o . . . _ , . ~IO~TrI . ' Sc,~;E; I"=4o~ h \9 ~ ~ _ 's.. ~T\~r~ ~ p~o ~ . ti . . ~ ~ ` DENar~.s F~tiSTr.lG EI-EVrsTtoi.l o• ~ ~ y. ( q7aA ) DW OTES - RP.oP?`,~ E~-EVaTipJ . . ~ ~ . IuDICa7E5 DIRECT~o~) oF Sv2FAGE 7•4 4P% . ~ . penwar,~ , sJ ~ ~ ~ F~utSr+r~ 6~o¢~or.E r-~ooR F1~~n~'~aJc q74~~j ~5 ' . `~;5 t 7 r8~ . ^ . ~ i I h~r+by cartity:;th+et .thi~ .ir a trua .an cortyat -ripre~~ntition 'ot~a`~tt~a~t ot ' land :a~ ihown' and :dercribad h~r~on A~ pr.par~d by n?~ on::thi~ i3*w "dajr .ot i r,_ , ,.~+d , ~:1ls5 ~ . ~ • ~ ~ ; - 4'~~ . - . . . . . -,y''k°-, . ~ r . . ~ . ~ . ltinn~ ~~t~'11o~` ~ ,I ~ . 2/84 i ~ ' CITY OF EAGAN ~ ~ ~~~4 l ~~t~~ APPLICATION FOR PERMIT SEWER ANDjOR WATER CONNECTION (PLEGSE PRINi) ~ 1) PROPFSri'Y ADORcSS: O ~ / {'C45S T.Frar. DESGRI~TZCV: L~ s( Y3~ 1 ~Q (It~t/Block/Su~division or~Tax Parcel I.D. Nimti7erj ~ I'r' =y.'`LZ~':'=:G S?'~?L'CPT:"`E. DATE O~' OR?G.^.IAL uiII.DIi;G °~:~ST ISSu?~C.: i [~:=r. _ - , PP~S~'?' ~.^.`]T~;/P?DPOS~ IIS'r,': ~ 2 1 S~;GL~ ~P"~SLY R-2 GUPL...t'Y (TYti~J iIPtITS) ? R-3 ZC7.v~C[?GE ('T'fL°.~ + L?TZTS) ( D~II'_^5) C7 c~.--~ A^rA.~'^+x'~IT/CC_~Ci~LTi]ILtiS ( i1PiIT5) ? CCY'~..'2CIAL/RE:AIL,/OF'FIC:j ? .]'~i'DL'ST'tiT1L Q L~:STIi'LTIO:IAI,/GGVE.TtTME,1'T 2) APPLIC~'P ~A (PLEASE PR[N~i/) IrIr7Y'n C.c,~.STDtiw "E~aH..CS An~~ss: 3907 ,~i~lce~n., d~iQ CTTI, ST~'~TE, ZIP; ~q,~r#,f - PFiO~ c 3} FLL:ffiE.°. ~~ME. Y PLEASE PNIHT) . FOR CITY US LY 45 ~ PLl1H6E ICEYSE: ADD.RESS: ~ (r Active CITY, STATE, ZIP: peqy u~--Q~, j l~,[ - 0 Expired H~i~n Q Record ~ PH~~=~ .~Z3. ~J~~°~:'(7 PLIIMBER LICENSE !t ~j^/~f a 4) O(..'C(JPANT/('j,vitEF2 (PLEASE PRINT) DR1P1E : ADDRESS: CITY, STATE, ZIP: PHO*IE: S) IPIDIG'1TE W[3ICH PERI~IIT IS SEING RE~UESTGD: ~ CYJDRIE',CTIO~I 'IC) CITY SE~rIER ~ CONNEC.TZO~I 'Ib CITY ~+TATER ? d~E~2 (PLE7vSE DF~CRIBE) 6) L*IDIG; ~ C.~: • . ~ PLE~SE k?OID APPROVID PER.+IIT F1~R PICf:-Ur BY QNE OF 11BWE ~ PLEFISE :~tAIL APPROVm PEPutIT TJ 1, 2,~ 4 AEOVB (Circle one} 7) SI~~.T[JRS: ~ ~ DATE: ~ ~~lOl~ii~/oJSi~i~ls+[l~:aac~f~~'+r .r ~ i~iA i~~f ~ii~:~ a R ftli~u~M~~.r fil s~~~ I~C~Y [ F 0 R C I T Y U S E O N L Y PE.T2MIT ISSUED F..t'.I'.S: $ ~Q. ~v SE:^iE.°. T_~F.B?17T (IYCL;;B~ SU.°.CH?RGc,) 'S /D-~'J WATEc2 PERITT {IT:CL'u'DE SliRCHARGc,) $ ~~o ? WATER D7ETER/COPPERHORN/OOTSZDE READER $ ~~7(~-Oc~ WATER TAP (INCLUDE CORPORATION STOP? ~ SE:vER TAP $ 7/~ S=~U -C~OI._:'I' ~._?r,SI: _ $ _ S'-~Cl ACCOUNT DFPOSIT - P7ATER S ~P~ t:~s~ WAC $ ~~..S.uu SPC S TR[iNK 6VATER ASSESS:SE:IT - $ TRtiV?C SEtiaER r,S5ES5~1ENT $ LATERAL BEDIEFIT/TRUNK SE;~:ER $ LATERr1L BENEFIT/TRUNK WATER $ WATER TREATMENT PLANT SiTRCHARGE $ p~ OTHER: $ TOT~L . $ _ _S 0d AI~IOCJNT PAIJ ° ~ ~S o~ , R„C..IPT ~ DOES UTSLITY CONNECTION REQUIRE EXCAVATION IiV PUBLIC RIGHT OF WAY? YES IF YES, THEN "PERMIT FOR 'niORK WITHZN PUBLIC ROAD69AY" MUST BE ISSUED BY THE NO ENGINEERING DIVISION. LIST AS A CONDI- TION_ SUBSECT TO THE FOLLOWING CONDITIONS: • APPROVED BY; TI:LE: • DATE: ~~~5 4i'~a+~w~""~~~~e~ww~aw~w~.-~w~w_~~t~w~.i~~r~w:~~~sesi~R~~~~s~~~ I ~ 1 1990 BUILDING PERMIT AYPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PL9NS 2 SETS OF ARCHITECTURAL -9-R~FS3'£RED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS ~~E~NERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS OF RENTAL UNITS OF FOR SALE UNITS PENALTY APPLZES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICN REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE YERMIT IS ISST3ED. NOTE: ~ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH AD~RESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILD2NG PERMIT IS ISSUED. PRQCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. /1 J A f8 2 2 RECO To Be Used For: ~SYhf~ 'I-tni5~ Valuation: Date: Site Address 1/ ~6 J S/.~. f/-1 R/ S S OFFICE USE ONLY Lot ~ Block FEES Occupancy Zoning Parcel/Sub ~~j Actual Const Bldg. Permit i b~ ! Allowable Surcharge ~ Dwner /N~Q¢/V1RS,~'H-NlJY ?~/ZM.4 ofstories P1anReview Length SAC, City Address `f ~~7 S,~}/1~y-Rf ln.4S5 Depth SAC, MWCC S.F. Total Water Conn City/Zip Code G-~~~ Footprint S.F. Water Meter Acct. Deposit Phone On site sewage_ SfW Pexmit On site well S/W Surcharge Contractor ~TO~~oN ~ToN.EB7~R .~1~ System _ Treatment Pl. City water Road Unit Address 3~f a-.3 ~.i¢ N~ ~1/f-c- N6` PRV _ Park Ded. Booster Pump Copies .50 City/Zip Code G`/2y3~1t~ /l~//~ ~3'?%~ SUBTOTAL APPROVALS Penalty Phone 3 7-/~ /r Planner _ TOTAL Council Arch./Engr. Bldg. Off. ~i(Z3 Variance Address City/Zip Code Phone # i - ~ 2005 RESIDENTIAL BUILDING~PER11€IT APPLICATION ~ ~ ~ ~ City Of Eagan ~ Q~ ~ ~ ~ ~ ~ 3830 Pilot Knob Road, Eagan MN 55122 p Telephone # 651-675-5675 FAX # 651-675-5694 ~li'f ~ 0C, 2`~ ~005 7 D New Construction Reauirements RemodeUfteoair Reauiremenls OPoce Uu OnN 3 registered site surveys showing sq. of lol, sq. ft. of house; and ~II rooted areas 2 copies of plan Ced of Survey Recd _ Y_ N (20%mazimum lo~ coverage allowed) t set af Energy Calculations for heated edditions Tree Pres Plan Recd _Y _ N, 2 copies of plan shawirg beam 8 window s¢es; poured found desgn, etc. 7 site survey for addNons 8 decks Tree Pres Required . _ Y_ N 1 set of Energy Calculations Addi6on - indicete Honsite sepUc system On3ite Sepllc System _ Y_ N 3 copies of Tree P2servation Plan if lot pletted after 711/93 Rim Joisl Detail Opfions seleclion sheel (buildings wBh 3 or less uniLs) Date ` l,~'~ / 0 S Construction Cost o~~ Site Address L~ p~.(! ~ J~a,~ 1~4SS UniUSte # Description of Work ~CJI~C.JL ~ LIJ~ (Vl Cp~ i~ ' I ' Multi-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2 Property Owner Telephone t~~( )u~ p~ RENEWAL BY ANDERSEN Contractor 1920 COiJNTY RD "C" WE5T Address ROSEVILLE~ MN 55113 C~~, 651-264-4777 State LICENSE #20130983 Tetephone q ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Venlilation Category 1 Worksheal • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted . In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master planZ _ Y _ N If yes, date and address of master plan: Licensed Plumber Telephone # ( ) Mechanical Contractor Telephone ) Sewer/Water Contractor 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 oniy an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved pl in the case of work which requues a review and approv of plans. ~f~. ,~nS cn~ Applicant's Printed Name pplicanYs Signature OFFICE USE ONLY . , Sub Types J ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? D8 06-plex ? 16 Fireplace ? 21 Porch (3-sea.j O 31 Ext. Alt - Multi ? 03 01 of_plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) O 33 EM.AIt-SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex 0 19 Lower Level ? 24 Storm Damage ? O6 04-plex ? 12 12-plex Plbg_Y or_ N? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Damolitlon (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Plan Review 100% or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Btdgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaVC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation 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: , Building Inspector - - - Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ~v ~e. sv•.i suv i~. av rn4 ! OJ U!1 '4480 M1±1YlSII'hL ~Y61VUlSLf'Jf4IV ` , ' . ` • ~¢IUV re ~ ~ . ~ - r~a 2oa~ ~ ~ . - 3836 PiIcrt Snab Rosd ~ Eagan. MN 55122 . T° Whom It M.ay Crntcern: IIder Tones ie authorizcd tA puli buiIding Pem~ts forRe~mwal by Andaxsen~ ~Icase a1Iow date bcyond 6/6!0 4 un~ s~svica for na in $g~, `II11R 8R$lOTI28tithl ~4 v81ill fp[ gsl~i ~ to tha City_ ' ~anawal by Andersen mana~r ~[PresslY revokes it in wiiciag I rcqneat this~~oxizstin~be acc~ted~~donsly, a~ to uot dela m rhe g oF out baiidiu y zt$cr. Elcaac caA mc If thctn ac~c nn Y• gru~essirt contaat~d at 763-502-4706. Y 9~ans., I can he • ~ _ Your imm~diate att~aCion to ~1is m~tter is ~ g~, ~ i . . SiacietelY> . . ~ ' , : ; s F S'mond"R ~Rau astallarion Manager . Renowttl by Auclastn Cotporatiton . . C:c: Ks~rn F,feierS~nec ~ • ~K~~~"~`'^'~c.4 .C~[ ~GY o~sz a.~ . G - ~'-xa~ . - - y ~a ~ ~ !~c~'~`°`H°"~ _ . _ n~zoas - - _ _ _ _ . . _ _ . Received Tia~e Jao. 1. 1~OIP4d ~ City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4867 Safari Pass Lot: 8 Block: 1 Addition: The Safari PID:10- 75850- 080 -01 Use: Description: Sub Type: e- Windows/Doors Work Type: Windows/Doors - New/Replacement Description: House Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264 -4777 Total: Applicant/Permitee: Signature PERMIT City of Eaan 4/30/08 Notification letter sent regarding expired perm BL - Base Fee $3K Surcharge - Based on Valuation $3K - Applicant - Construction Type: Occupancy: pf Permit Type: Permit Number: Date Issued: Permit Category: A framing inspection is required when installing a Bay or Bow window or if the opening is altered required in all sleeping rooms prior to final Owner: David M Noah 4867 Safari Pass Eagan MN 55122 $88.50 0801.4085 $1.50 9001.2195 $90.00 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature Building EA080274 10/05/2007 ePermit Smoke detectors are City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4867 Safari Pass Lot: 8 Block: 1 Addition: The Safari PID:10- 75850- 080 -01 Use: Description: Sub Type: e- Windows/Doors Work Type: Windows/Doors - New/Replacement Description: House Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264 -4777 PERMIT City of Eaan Construction Type: Occupancy: Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: $90.00 Applicant/Permitee: Signature - Applicant - $88.50 $1.50 Owner: David M Noah 4867 Safari Pass Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: 0801 9001 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature Building EA091287 09/23/2009 ePermit ÷ï÷ îú ÿ þýý üúÿüú ùýýÿûîùýý ûï þ ÷ Þ þý÷ þýüûúù ñý ûúù â í ùñý Üý ù ë òý ë ïýü ä ÿþ ù ÿ ý ïöë å î ä æèè öù þý ï ñê æèè ç ý ôÿè õððó ÷òñ ùù öëö Ýõ õ îäâ ï ìÞþ ÷ äâô äâ àìßôô ï üú í ï ï î ï ùù ï ï ÷ ë ëùúíï ùù ü þ ÷ä þ ý õú÷ ð è ùù é ý úþ ý û ÿþýþü ÿÿ þýõý üþþÿÿíðüÿÿ úæûþòþ í ÿø û ú ùþ ßþ öõ þ ßþ ô ô ôþòþ û þöñ ðñöñ ûó ÿ ñ ÿ ëëì åþþå ÿþýþüôöì ë ñøêûÝã èççí ÷ü û æþ èçëçìë öõõô øóò ùùþ ñ þåôöþæ ëëì åþþåíûþòþ þ ÿþýþôöìÿþýþôöìì êéë æ þõýæþæþå þæ þùùþþ þæþæò ñþ þþý ñù õæþþùùþ ûþ òô þûþ þî òÿþýþï þ ç ùùþã ñûýþ ûýþ • " , # d ; ate0 By Ian ?q 10/17/2013 THU 11:45 FAX 651 437 9745 HALEY COMFORT SYSTEMS 111001/001 Use BLUE or BLACK Ink For Office U+se - _ J ` j Permit City of Ea ~aii I Permit Fee: 3830 Pilot Knob Road I nn Eagan MN 55122 Date Received. tb j Phone'. (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I I I 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: z4y (~W~ ~ n / Ct G1 Gl Unit#: Name: VICIi ('I~ n f~(>r Phone: 1' -45-2- - -,:'RESIDENT./. , ~ ~ OWNER Address/City/Zip: 1~~ ~JL C~ ~`~CjC11~ Applicant is: Owner Contractor TYPE OF WORK Description of work: C C-,17 1 SC r f Multi-Family Building: (Yes No Construction Cost: IE2,11 9 (6 k-) Company: I e ~i COAA FO ~ S y S fe_nA S Contact: ~L{ l L CONTRACTOR Address: tyJ S+ City: Gl S I r~S State: MN Zip: Phone: (l F" ' ~j 3 d License IAA D 1 3 ~j 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? A _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' hat yr>ii submit are consialerec to be pubfic information. Portions`of of, - the information maybe classified as'non-public if you provide specific'reasons that would permit the City to conchtde.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.aooherstateonecall.oro 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 Minnesot late Building Code mu t be completed within 180 days of permit issuance. x 4411 x Applicant's Printed Name Applicant's signature Page 1 of 3 r CityofEaaii 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink L For Office Use Permit #: Permit Fee: Date Received: 666> Staff: r� 2014 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: oC —/ �'" /y 7 Site Address: 8'(v 7 J/7 G{ !'i` FA 5 Tenant: Suite #: CALL BEFORE YOU DIG. Call Gopher State One CaII at (651) 4546002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.org 1 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. x f&k .-- Applicant's Printed Na x Applicant' Name: Phone: Address / City / Zip: Name: Ric k..1 ipb... h. J•• t_ License #: fChYa 6,6A a Address: /WI oZ2 / St 4tJhG City: ems. ,em../ State: 42%. Zip: SSS if Phone: 743- 753—/93 S Contact:Rtc• k Email: /� kP/J+d I-. zr�t(;;6,..4.,....,1 . Ca-, _ New Replacement Repair fi Rebuild Modify Space Work in R.O.W. _ — Description of work: RESIDENTIAL Water Heater Water Softener Lawn Irrigation ( RPZ / PVB) i e Add Plumbing Fixtures ( Main / l Lower Level) _ Septic System Water Tumaround New Abandonment RESIDENTIAL FEES: $60.00 Water Heater, $60.00 Lawn Irrigation $60.00 Add Plumbing "Water Turnaround $115.00 Septic System Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) Turnaround* (indudes $5.00 State Surcharge) and $5.00 State Surcharge) TOTAL FEES $ (includes $5.00 minimum State Surcharge) Fixtures, Septic System Abandonment, Water (add $200.00 if a 5/8" meter is required) New ($10.00 per as built) (indudes County fee CALL BEFORE YOU DIG. Call Gopher State One CaII at (651) 4546002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.org 1 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. x f&k .-- Applicant's Printed Na x Applicant' Use BLUE or BLACK Ink r I For Office Use I lDoqq~ E~11 I Permit a I City of La 3830 Pilot Knob Road 0 i Permit Fee: Eagan MN 55122 I Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 I Staff: II 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Z12A ! 2 Site Address: Unit i Name: P a U'A Phone: Resident/ Owner Address / City / Zip: Applicant is: r ttactor Type of Work Description of work: _yC`2L _ r t[ n ( yl t.~, ~ l" : Construction Cost: D Multi-Family Building: (Yes / No Company: Contact: Address: City: 4~ Zia Contractor State: Zip: ~j Phone: (of~' License (1 Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) IggS COMPLETE THIS AREA ONLY IF CONSTRUCTING ANEW BUILDING In the last 12 months, has the City of Eaganissued 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 supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide'specific,,reasons that would permit the City to conclude that they are trade seerets. 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.ora 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.< xf , x Applicant's Printed Name is s Signature Page 1 of 3 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 o Qt!O Occupancy Z G 1 MCES System ^ Plan Review Code Edition ,Z 44? SAC Units (25%_ 100%-e~-) Zoning JZ~/ City Water Census Code H.74 Stories Booster Pump # of Units J Square Feet PRV # of Buildings 1 Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final - Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In -Air Test -Final Windows Jl! Insulation Retaining Wall: _ Footings _ Backfill _ Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: Building Inspector 44 RESIDENTIAL FEES Base Fee 3 7 Surcharge eel 0, Plan Review MCES SAC s"~~/jy~ Q'dG City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies Z®6044 TOTAL Page 2 of 3 . � �r Use BLUE or BLACK Ink --------- � For Office Use j � I Clt of �a a� � Pe�„t#: �� o � Y � � � � � Permit Fee: • � � 3830 Pilot Knob Road � Eagan MN 55122 I Date Received� — � Phone:(651) 675-5675 RECEIVED � � � Staff•� � Fax: (651) 675-5694 • � NOV 0 2 201� �----------------J 2015 RESIDENTIAL PLUMBING PERMIT PLICATION �� ` �°� '�''� ��.. Date: �` Site Address: Tenant o�- �� 4 _ry y Suite#: $ � � •, � `.k ��',�" • �� ry �ftesidentl0 r1 �,;; Name: �(}�. Phone�j5��'�"�o�.y-'oc��. � �� .� � �� ,� c - � � �� Address/City/Zip: ��''�"` . '�u` ,�u k +� s'r`� . i �� rvame: M�b�'t Co�pany Inc dba Gulligan Water WC641376. r n �� ,'�� _ License#: ��r�°� �' . �'� ��'` � Address: 180� SO� St E1St ��ry: Inver Grove Hgts., ��Cont�actq;= � . 55077 651-451-224�' �� ,,�' � .� State: Mri Zip: Phone: . �� z �� `��,a,�,,,, `¢ % contact: William R Milbert � � � `' Email: `� ' - r �� * `��` New Replacement _Repair _Rebuild _Modify Space Work in R.O.W. � T�ype of�Wor — _ ,�: � � �;� e�.� �� _� � Description o work: 'A � 4�Y �s '" ° RESIDENTIAL r �� Water Heater . � Lawn Irrigation(_RPZ/_PVBj �Water Softener k '=Permii�gT : � �� yp"3 Add Piumbin Fixtures � e . Septic System 9 �Main/_Lower Level) � �"� t # Water Tumaround F� ,�� _New � ,� � � �� , t„�h°'�_ � Abandonment RESIDENTIAL FEES: $60.00 Water Heater,Water Softener, oc Water Heater and Softener(includes$5.00 State Surcharge) $60.00 Lawn Irrigation('includes$5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes$5.00 State Surrharge) '"Water Turnaround(add$200.00 if a 5/8"meter is required) $115.00 Septic Svstem New($10.00 per as 6uilt)(includes County fee and$5.00 State Surcharge) /� TOTAL FEES$ �/ D O 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: vwvw.aooherstateonecall.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 apptication for a permit, and work is not to start without a permit;that the work wili be in accordance with the approved plan in.the case of work which requires a review and apprayal of ptans. X �f�� L��l�!'��. { x �dl�" D Applicant's Printed Name A IicanYs Sig ature , .. A ,. .= n� �� . } ��Y k L�� ._. ...,,. .. . ., . . *� , FOR�'�OF IC USE; °. ,�� ` ' Re ewed B,� e � � � . "" ,.�*,� �Re u�red Inspecti.ons � � e G'r={', '; c� '; . 1 Air"�'�es. � � . ��aG • r � £ , ;Me, tae°r�Re��ted Items IVleter,�Si� d q ..� t�et, . �� .�. ti ��. �� ,.��, _ �� , , z w� ,. ... _�u_��_ . �.. !" #$%&'()'*+*, -./$%'"&0-1Q6$4A$,+ -./$%'56/7-.189:;F>C ?*%-'!@@6-A1>9B=OB=>9D -./$%'#*%-+(.&1--./$% E$%-'8AA.-@@1'';FD<''E*)*.$'*@@'' O#$%& ''!())**+ ''?.0'<3S3-* 567 !89V:O:898!98O8' ;40 ?-@2.$0%$(,1 <=>'?@A0 <*)*+FQ+4-=%*+'?@A0 C-&'?@A0 B0A$3%0 704%-*A*+ Q0+4=4'Q)0 NYN'9'U%%=A3+%@ b+*+F <H=3-0'D00 8 5$0340'$03/0'A-*+0)'A*%=-04'S'.=40'1-3A'+'4*0'S-'.0'S*+3$'*+4A0%*+P #(//-,%@1 C.0+'*+43$$*+F'/0+*$30)'4SS*'G30-*3$J'-0G/0'0R*4*+F'G30-*3$'K*P0P')0>-*4'.3'%=$)'>$%&'/0+4M'3+)'3&0'40A4'' 0+4=-0'G3R*G=G'/0+*$3*+''3*%P''Q3$$'S-'S*+3$'*+4A0%*+'3S0-'*+43$$3*+P #'9'#340'D00'TNcT!8YP":'8O8!PN8O: G--'E6//*.&1 <=-%.3-F0'9'#340)'+'^3$=3*+'TNcT"P88'L88!P"!L: ^3$=3*+ ''NJ888P88 "(%*41H9>OI=O' #(,%.*2%(.1JK,-.1 9''(AA$*%3+''9 <0$3'BS*+F'B0G)0$*+F73/*)'2',3. N!88'IR%0$4*-'#$/)NOXV'<3S3-*'5344 <P'=*4'53-&'2,''::N!XI3F3+'2,''::!"" KX!"M'O"Y9O8NX 6'.0-0>@'3%&+1$0)F0'.3'6'.3/0'-03)'.*4'3AA$*%3*+'3+)'430'.3'.0'*+S-G3*+'*4'%--0%'3+)'3F-00''%GA$@'1*.'3$$'3AA$*%3>$0'<30' S'2*++043'<3=04'3+)'Q*@'S'I3F3+'U-)*+3+%04P (AA$*%3+\[50-G*00 '<*F+3=-0644=0)'#@ '<*F+3=-0 Use BLUE or BLACK Ink . ,Yl/� For Office!3s I +i , 4 Egli'b City of Eaali Permit#: /j� I Permit Fee: �l> �. 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone;(651)675-5675 I Fax:(851)675-5894 Staff. I I 1 ` p 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: j ' 1--fl i Site Address: 1 ll c"--1 C}C q,v' 12Z\S'fitrr 1Unit#: � ',;,',1, t=1� +��'ll��i'l'),,"' ci+,,I Name: S �_ i� C� � Phone: ii S ci ?} ' �� i - �'+.*.. „,. Aiira ,if. it .,.,.!1 1 !rir s,,'.':r Address/City/Zip: 7 Qc n -p.. S�i �, , � Iilfi 1, k7 1�+.roll 1.1�t iii ";� Applicant Is: Owner Contractor i m h iilylj1 lif •ii'. Description of work; , . • Je! , illi i, , •,f '�' f'?, j�;li i+�1' ' Construction Cost _ Multi-Family Building:(Yes l No, ) :;{I +�!i ni zi,: ” i 1 jIl'',;;,.; r L, i!l 'ill ',,, ` ,4 i,, Company: 'RCr.�Q iii'i Cc- r\t` .; S1 ay^Contact; Ie tv 11!Y��l ;i�" Address: ` ;� kern { , ,1 city: �10� a� �( ' i ,r nNZI yq''i� �l ib g•• E f�t1i'i�t�,;` State p:,„ hone. Email: r r tl;' ii 4 {ii,,, LicenseLead Certificate#; �/ C a 1� C,t dj. If the project Is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor; „�- Phone: Fire Suppression Contractor: Phone: i )�Y i ;:r,{ L '� h4p=rrl°rye N {� '?6s,l.f wS+r izW 'r i nail k+ A„i r .,, ii .rt ,; p,i+I'r (f I t r ,!') ,; i g,a it,,,,41,E H _{{, ,�. i 4,c !! t i,,P .s,t 'ii4.,{f1 t t1”7wm w ; ,,�!' ,Iry ., 1 rrL i� ,i{r;"' i!"n �! "+f? :• , r}, �t� � y 1t�' ``<,r`, Y �I � r�,�? �{t .;hl" 1� •S oh e,o f rf}��.' �� f� �rl�� I "aJ a'`4 r a + ,1.1 '`{:1,0+Ulf{,''%/ 1, 1 r 4,Ll:,.:. 1 1`I� •" rt4 ru, 1��T I� ^r ,) 14 f It'°r " J ° F,4.:. f r v rr'I � ��,i,,; �A,f.;,, ufr' 'J'I Y'� } .��r� 1� ,yv.,.y ��;Ss�'r�i��1 N � 1R ,44..","1,;!..),,,-1,', �,) lil' f�,I tc +.'�. s :. r 4{ 1 r ,i r .1 7, iaf. ;• a -tu l }j` I/ ,' :r, }Y;,i 4dik :Tp. : Ica a, 'J_ 4 ',r + ' `til @f,i li 1 {;!;y°d I r � �� lf�r,1,,::Sli 11 1�i� "Ir �+,,�, �;tl� �'',;,,I,� i1+ a f;? ,� .� f;I �, Is�, � 1-1�. ' r ot`bf 41 01�..�)f i. i>• i1 11)r , 1 Irrl,, llrrtl 0 G +l � t1,t A I;:'}'`)`1r:��; �I ,III , I ,( `.•,�h � +, X1;1� , 'L''}''' r�re'9r...+'.'1�, y�r }p,/4 y r'u; rUll��rt��;{'. i,t i1 r ifi 1'rT r � y r}iY �fp' ' t 11{r'r.r! 79: (;,!. .y;,.,� Liifiikilfl s,:':;i';')311;','�,:::!}:'.'-,LiLi'11111, {1' i .e.i. ,. f' iY yy �1 `L',I r ,m + ;,,1 'll }} y r`t'11 j; 1 1 ) +,..1 ' ;•}r x, { �.1.it.,,;:,,,..11.—��-i+f''f. ,t r ,..1.,..a.—:.;"1:.A...._,1.1:- y , i, f f ,I r:4, S!�.1 ,I.I�.�it J..' i lh Ae./ '1 ;,7r:W,_�ti rr�dn,,:�� oe�r f, J I r� , lei 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, v hereto necali,or 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 piens. Exterior work authorized by a building permit Issued in accordance with the Minnesota State Building.Code must be completed within 180 days of permit issuance. x I ()iv' • 0 x `te 4, Applicant's Printed Name Applicant's Signature Page 1 of 3