4872 Safari Pass . r. ' CITY OF EAGAN ?
3830 Pllot Knob Rosd, P.~. Box 21-199, Eagan, MN 55121 1~~~~
PHONE:454-8100 ~ -
BUILDING PERMIT Receipt M
To be used for ~F' U~~~CiAR Est. Value $13+~ r D00 Date ~~Y 5 , 19 86
Site Address 4 8 7 2 S~'1FAR I PAS S Erect f~ Occupancy h 3
Lot ~ Block ~ Sec~sub. ~A~AI~ I ESZ' Remodel ? Zoning ~1
Parcel No. Repair ? Type of Const ~
Addition ? No. Stories
..,,,,o ? Ler,..h
¢ Name ~ ~ '1~~s:~ . ~
W ~ Depth ? c
o Address ~ / ;,u, impc ? Sq. Ft~~
City • F,~,.~,~ 4~ 7-~Vy4 Install ?
o Name 5~"-~ Apprrnals Feea
~ Q Address Assessment Permit ~ 513
~ Ci t y Phone Water 8~ Sew. Surcharge b. 00
Police Plan Review~54
~°C `liJ~~{~TC1.11~liA D~.iIGN Fire SAC 51~OU
W W Name
Address ~j~ '~"`~'yK ST Eng. WaterConn. SOQ.OQ
~W ~;ry ~XCk:LS~~,1e 7~-599i pianner WaterMeter ~3.50
Council Road Unit 29~ • 00
I hereby acknowledge that I have read this application an~ state that the ~ ~~j 6. ~ ~
information is correot and agree to~co~ply with all app~icab State of Bfdg. Off. 5l1 j tt 6 Tr. PI.
Minnesota Statu es and City'qf Eagan Ord~ . APC Parks
\ Var. Date Copies
Signature ot Permittee 1 ~ Total ~
A Building Permit is issued to: Bl~?~-t~ BU I LDERS I l~C on the express condition that
all work shall be done in accordance with all applicapfe State of MinnesotaStatut~s and City of Eagan Ordinances.
Building Official ~ l: w-<- ~ GL
~
~ Ps?mN No. P~mMI HoIdK ON~ TN~phons k
c ,
Plumbiny : Y r •
J -
~
H.V.A.C. ~ . G'
EI~eUic
Sofbner
In~pectio~ Dat~ In~p. Comm~nb
Footings I ~
Footin9s II
Foundatbn
Framiny 6
Rooflny
Rou9h Wbp. -
~
Rouyh Hty. ~ f . /
Insul. ~
Finplace l~9 ,
Final Hty. S ~
Final Plby.
-2 .
Bldy. Final ~
C~rf. Oce.
D~ck Ffq.
D~ck Frmp.
W~II
Pr. Disp.
, r~wq~rs ~-~r~-° ~ r . . r . _
PERMIT # ~
: ~ MECHANICAL PERMIT RECEIPT # ~ ~
cmr o~ ~?c~
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE ~a~ ~ ~ ~ Q~
CONTRACT PRICE PHONE 454-8100
Site Ad ress BLpG. TYPE WORK DESCRIPTION
Lot ~ Block Sec/Sub~%
Res X3 New ~
~ Name p~.~~ ~ Mult Add-on
y Address Comm. Repair
c City ~ Phon p~h~
~ Name FEES
c Address RES. HVAC 0-100 M BTU -$24.00
3 ADDITIONAL 50 M BTU - 6.00
o c~~Y T----_ u_ig
ADD-ON AIR COND. 0-24 BTU - 12.OQ
ADDITIONAL 6 M BTU - 6.OQ
TYPE OF WORK 100,000 24.0 GAS OUTLETS - 1.50 EA.
Forced Air M BTU COMM/IND FEE - 1% OF CONTRACT FEE
8oiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unit Heater ~to~ M BTU MINIMUM - COMM/IND FEE - 20.00
Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50
Vent CFM ' (ADD $.50 S/C IF PERMIT PRICE GOES
. BEYOND $1,000.00)
Gas Piping Outl~ts ~}~~~urnace
Other / ,
FEE 43.Sa ~ ~ r / f~_.
S/C: • 50 SIGNATURE OF PERMITTEE ,
TOTAL: ~
FOR: CITY OF EAGAN
' a,,r;..• , ; r; . . : • , , , , r.PERMIT # ~ l.J.~ tL.~
: PLUMBING PERMIT RECEIPT # ~ °'L ~ ~ ~
CITY OF EAGAN
3830 PILOT KNOB ROAD, EA(iAN, MN 55121 DATE: y~','' i~
CONTRACT PRICE PHONE: ~54-8100
Site Addl~ess BLDG. TYPE WORK DESCRIPTION
Lot Block - Sec/Su ~
~ ` Res. ' New
m Name ' Mult Add-on
~ Addr - " ~ ~ ' Comm. Repair
c City~~~ I~-' ~ Phone Other
NO. FIXTURES TOTA,L
Name Water Closet - $3.00 s
; Address • ' ~ Bath Tubs - $3.00 _
p City ~ Phone Lavatory - $3.00
Shower - $3.U0
F~ Kitchen Sink • $3.00
COMM/IND F~E - 1°,b oF_CONTFIACT FEE _ Urinal/Bidet -$3.00
Laundry Tray - $3.00
MINIMUM - RESIDENTIAL FEE -$10.00 ~ Floor Drains -$1.50
MINIMUM - COMM/IND FEE - 20.00 j
STATE SURCHARGE PER PERMIT _ Water Heater -$1.50
Whiripool - $3.OU
(ADD $.50 S/C IF PERMIT PRICE GOES ~r,as Piping DuUets -$1.50
BEYOND $1,00O.OOy Softener - $5.00
weu - $10.00
Private Disp. - $10.00
r~ i ~
~ ~ { Rough Openings - $1.50
SfGNATURE OF PERMITTEE FEE
STATE S/C:
FOR: CITY OF EAGAN GRAND TOTAL•
CITY OF EAGAN Remarks
Addition SAFARI ESTATES Lot 8 Rlk 2 Parcei #10 65850 080 02
Owner ~ street 4872 Safari Pass State
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 6' ~$2 1Q3'J.rjl~ 1~3.']~j 1,Q
STREET RESTOR. 3 . . S
GRADING T ~ . ~
SAN SEW TRUNK L 1 S2 ~F 6~L O.
~ SEWER LATERAL 3 2 ~F ' .~1~
WATERMAIN
* WATER LATERAL 1 8Q
WATER AREA (p 31 6]} O
~ S 1 a2
STORM SEW TRK ~j ~ 1~ 866. l. . 38
• STORM SEW LAT 1~ S
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILOING PER.
SAC
PARK
.
CITY OF EAGAN SEINER SER1/1CE PERMIT
383d Pilot Knob Road pE~IT NO.:
P. O. Box 21 i99 •
Eagan, MN 55127 DATE: `
Zanirq: No. of Units:
~ Owflsr ~ `s ',l,u .+E, r.
rj~l?Qd~~1~fESS: ~ l ~ ~ • ~ ` - : ~
f;Clt 7+1.,.-~t; <.Ii`
~Il1Y1bEf: - - . . .
- ' - ~ F ` 1 '1 i~ . .
1 Nn~ to eo~l! wNl~ ~~f Ca~nettian CharOe: -
Or~w~aa.
Pem~it fae:
~ Surciwr9e:
ey Mist. ChorOes:
~ Total:
DatB of I~p.:
~ pof~ Paid:
~ Irap.:
i
~ CITY OF EAGAN WATER SERVICE PHlMIT
3830 Pilot Knob Road pE~IT NO.: ~ "
~ P. O. Box 21 °itJ9 .
Eagarl, MN 55121 DATE: i
. I~~~. ~ No. of Units:
~',ac1i Buildsr~
j pwner:
Addroaa: -
SMs /lddress: ~~`12 S+~f~T1 T.'•:~,~i i.z~ Sb`t~.r:' H,s`
Plumber. '~'•0!~»5or. ','lz~mi~fw;:,
C~nection Chorge: p''~G•0()pc3
~ltAr ~0.: ~ G "!1*?i
$IZE: /~COO~JIIt ~lp03~t:
Pem+R Fee: ~
Reoder No.: . •c ~ ~
' 1~~ 1o es~Ph wMh 1V Citf' ~f 4l~~ SuKhorgs: ~
' Misc. CJ~wroest =~'ss . ~ 4 T°
Or~iw~nw. {•.i , 5! me e~
Totol: -
BY Date Poaid:
~ Dote of I nsp.: ~
~
;
I
~ CITY JF EA~AN WpTER SERVICE PERMR
j 3830 pi~ot Knob Road PERMIT NO.: 7471
P. f~: Box 21199
Esgar, MN y~121 1~ DATE: ;
T,'
Z~,,~: ~ No. of Units: j
Owr~s~: --'1^~ Lll~l. C'~5 ,
i
A~I~GSS: ~
49 2 Safari Pass L:: 5afari Est
i Sita /4tldrcas:
~ Plunber. o*-~pson P ~.imbi.n~ {
5 p~j '
AAet~r No. ~ ~Oro°' . l?Opd
Sixe: ~~".~o~ u~nt 10.00pd
' Reoder No.: ~0 ~ 1F~w~e
~ 1~~n.1o ao~urhr wYl~ ~M ~1.~ •~L~(~~°T~ . 5 Opd ;
~ or~i~e 'u 15 6. 0 0 d TP ,
~ 1~~~0 • 53.5~pd meter
Dote Paid:
Date of Insp.: Intp.:
~~1~-S~
~ _ .
CITY OF EAGAN N o 118 8 6
3830 Pllot Knob Road, P.O. Box 27-199, Eagan, MN 55121 7~~
PHONE: 454-8100 (l~
BUILDING.:PERMIT Receipt #
To be used Ior SF DWG/GAR Est. Val ue $13 2~ 0 0 0 Date MAY 5 ~ g 8 6
SiteAddress 4872 SAFARI PASS Erect ~7 Occupancy R3
Lot $ Block Z Sec/Sub. S~~I EST Remodel ? Zoning R
Parcel No. Repair ? Type ot Const ~7n
Addition ? No. Stories
a Name BACH BLDG CORP Move ? Length 29
= 8810 RIVER HEIGHTS WAY Demolish ? Depth
o Address Int Impr. ? Sq. Ft
p~ty I.G.H. phone 457-9044 ~nsta~~ ?
a $ ~AMF Approvals Feea
o Name
$ ~ nddress ~ Assessment Permit ~~00
~ City Phone Water & Sew. Surcharge ~~50
~ Police Plan Review
Fw Name r1INNETONKA DESIGN Fire SAC ~~00
Address 337 WATER ST ~~00
aw ~~ry EXCELS~~e 474-5991 Eng. WaterConn.~-50
Planner WaterMeter~~00
Council Road Unit
Iherebyacknowledgethatlhavereadthisapplication tethatthe
information is co gree t ply with all ap ica e State of B~dg. Off. 5/1/86 Tr. PI.
Minnesota Stat es and Ci f Ea n APC Parks
Vac Date Copies
Signature of Permittee Total
A Building Permit is issued to: CH BUI ERS IN on the express condition that
all work shall be done in accordance with epp y' State of Min at and City ol Eagan Ordinances.
Building Official
VY
bss~d /.3 S =
2004 RESIDENTIAL BUII.DING PERMIT APPLICATION
, ~ City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Conshudbn Reauirements RemodeVReoair Reuui~aments
3 reg'steied si[e smveys shavirig sq. ft of bt, sq. ft of house; and ~II roofed areas 2 copies ot plan ~
(20% ireximum lot coverege a0wred) i set of Ene~gy CalcuWtions for heated addttlons '
2 copies af plan showfig 6eam & window s¢es; pouied tound design, etc i si~ survey for additions 8 decks aee~'tes. .
7 set of Ene~gy Ca~ulations AUd'dMn -indkate ilonsde septic system
3 copies WTree Preserration Plan if lot platled after7/tf93
Rim Jaist Detail Options selection sheet (bldgs wiTh 3 or less units
Date ~ 7 / O~'1 Construction Cost
Site Address 4 d 7~AA'S ~i 1~5 _ UniUSte #
I • 1 ~1
Description of R'ork ' VI ' JYGICP-~ S{~! p v~ 0~
Multl-Family Bldg _ Y r1 Fireplace(s) _ 0 _ 1 _ 2
Property Owner ~0~1 k- '.~~Y"~`-~ Telephone 6 S 1) a~ G G oW~
Contractor U~ ~S~-d'-~
Address City
State Zip Telephone #
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Tvlinnesota Rules 7670 Categorv 1 Minnesoffi Rules 7672
Enefgy Code Category . Residential Ventllatlon Category t Worksheet • New Energy Code Worksheet
(J submiuion type) Submitted Submftted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber Telephone )
Mechanical Contractor Telephone # ( )
Sewer/Water Conhactor Telephone )
I hereby apply for a Residential Building Permit and aclrnowledge that the informarion 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 pernut, but only an application for a permit, and work is not to start without a
permit; that the work will be ia accordance with the approved plan in the case of work which requires a review and
approval ofplans.
~ 1 uL ~~~v~! 0~?~n-Ol~
Applicant's Printed Name A icanYs Signature
OFFICE USE ONLY
Sub Types ` .
O 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Att - Mufti
? 03 01of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4sea.) ~33 Ext.Alt-SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level O 24 Storm Damage
? O6 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous d
~GC
Work Types ~
/ o~`\~,
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ~ 44 Siding ~S` ~3
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ~
O 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 48 Windows/Doors
? 34 Replacement •Demolidon (EnGre Bldg) - Give PCA handout to applicant
Valuation ~p00 ~ Occupancy c~ MCESSystem
G e
Census Code 1~ ~b4 Zoning City Water
SAC Units 7'~ Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const ~ Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Final/C.O.
_ Footings (deck) _ Final/No C.O.
_ Footings (addition) _ Plum6ing
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: uilding inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Totai
A Settlemant SWtement U.S. Department of Housing OMB Approval No. 2502-0265
and Urban Development
8. Type of Loan
1. FHA 2. FmHA 3. [ X] Conv.Unins. 6. File Number: 7. Loan Number. 8. Mortgage Insurance Case Number.
4. [ ] VA 5. [ ] Conv.ins.
432533-TDJ 0024557282
C. NOTE: THIS NOTE IS FURNISHEO TO GIVE YOU A STATEMENT OF ACTUAL SETTLEMENT COSTS. AMOUNTS PAID TO AND BY THE
SETTLEMENT AGENT ARE SHOWN. ITEMS MARKED "(P.O.C.)" WERE PAID OUTSIDE THE CLOSING; THEY ARE SHOWN HERE FOR
INFORMATIONAL PURPOSES ANO NOT INCLUDED IN THE TOTALS.
D. Name and Address of Borrower E. Name and Address of Seller F. Name and Address of Lender
RAFIK MUKHARAMOV BETTE J. SKEFFINGTON WORLD SAVINGS BANK
SVITLANA MALYSHENKOVA 4101 WISEMAN BLVD.. BLDG. 203,
4872 SAFARI PASS SAN ANTONIO, TX 78251
726 JAMES AVE EAGAN, MN 55122
ST. PAUL, MN 55102
G. PROPERIY LOCATION H. Settlement Agent
4872 SAFARI PASS , BURNET TITLE
EAGAN. MN 55122
Place of Settlement L Settlement Date I
7550 FRANCE AVENUE SOUTH, Dishureement Date
E~INA, MN 55435
5127l2004 3:00:00
PMISl27/2004
J. SUMMARY OF 80RROWER'S TRANSACTIONS K. SUMMARY OF SELLER'S TRANSACTIONS
100. Gross Amount Due From Borrower 400. Gross Amount Due To Seller
101. Purchase Price $333,000.00 401. Purchase Price $333,000.00
102. Personal Property 402. Personal PropeAy
103. Setllement Charges to Borrowe~ $5,695.70 403.
104. 404.
105. 405.
AdJustrnents For Items Paid By Seller In Atlvance AdJus6nanb For Itams Pald By 3eller In Advanw
106. City/iown Taxes 406. City/TOwn Taxes
107. Counry Tazes 1,475.65/6 mos 5/27l04 to 7/1/04 $283.76 407. County Tazes 1.475.65/6 mos 5/27l04 to 7!1/04 5283.78
108. Assessments 408. Assessments
109. 409.
110. 410.
9~~, 411.
172. 412.
720. Gross Amount Due From Borrower $338,979.48 420. Gross Amount Oue To Seller $333283.78
200. Amaunls Paitl 6y Or In Behalf Of Borrower 500. Raductlons In Amount Due To Seller
201. Eamest Money $5.000.00 501. F~ccess deposit
202. Principal from World Savings Bank $286,400.00 502. Settlement Charges To Saller (Iine 1400) $34,86424
203. Erzisting loan(s) faken subJect to 503. Existing Loan(s) laken Subject To
204. 504. Net Payoff to Ameriran Bank $20,658.91
pp5. 505. Net Payoff to Amerlcan Bank $63,563.43
206. 506. Net Payoff to Washin9ton Mulual Bank, FA $181,08322
207. 507.
2p8. 508.
209. 509.
AdJustments For Items Unpald By Saller AdJustmenb For Items Unpaid By Seller
210. City/TOwn Taxes 510. CiryR'own Taxes
211. County Taxes 511. County Taxes
212. Assessments 512. Assessments
213. 2nd 1!2 Certified Assessment $76.N 513. 2ntl 1/2 Certified Assessment $~6~»
214. 514.
215. 515.
216. 576.
217. 517.
z~g, 518.
219. 519.
220. Total Paltl 6ylFw Borrower $277,476.11 520. Total Reduction Amaunt Due Seller $300,245.91
300. Cash At SeNlament FromlTO Borrower 800. Cash At Seltlemant TolFrom Seller
301. Gross Amount Due From Borrower (line 120) $338,979.48 601. Gross Amount Due To Seller (line 420) $333,283.78
302. Less Amounts Paid ByfFOr Borrower (line 220) $271.476.11 602. Less Deductions In Amt. Due To Seller (line 520) $300,245.91
303. Cash [ X] From To Borrower I $67,503.37'6D3. Cash To From Seller I $33,037.87
PayoR(s):
yV
4-32533 - TDJ Page 2
L. Settlement Statement
700. Total Salas Commisslon 333000.00 Q 6%=19980.00 ~
Dlvisionyf Comndssion (Iine 700) As Follows: Paid From Borrower's Pald From Seller's
701. $79980.00 lo Coldwell Banker Bumet Funds At Settlement Funds At Serilement
702. Seliing Agent Commisslon
703. Commisslon paid at settlement $79,980.00
706. Broker Administretive Comm. (Seller) to Coldwell Banker Burnet $250.00
800. Items Payable In Conneetlon With Loan
801, Loan Origination Fee
802. Loan Discount
803. AppraisallProperty Evaluation Fae to World Savings Bank ~ $325.00
804. Credit Report
805. Lender's Inspection Fea
810. Document Prepa2tion to World Savings Bank $50.00
811. Processing Fee to WoAd Savings Bank $306.00
812. Flood Zone Inilial Determination Fee to Firsl American Flood Dala Services S4•UU
813. 7ax Service to First American Real Estate Tax Service $61.00
814. Mortgage Broker Fee to Minnesota Mortqage Financial Corporatlon $700.00
815. Equiry Builder Servicing Fea lo World Savings Bank $150.00
816. Flootl 2one Ongoing Monitoring Fee to Firsl Americadn Flood Data Services $9.00
817. Fundirg Fee fo World Savings Bank $50.00
819. Broker Fee to Minnesota Mortgage Financial Corporatlon (POC $5,328.00 by Worid Savings 8ank)
900. Items Required By Lender To Be Paid In Advance
901. Interest from 5/27l04 to 6l74104 @38A200/day $691
902. Mortgaga Insurance Premium for
903. Hazard Insurance Premium for
1000. Reserves Deposited With Lender
1001. Hazard Ins Reserve 5 mo ~ 52.65/ mo World Savings Bank $26325
1002. Mortgage Insurance
1004. County Tax Reserve 6 mo Q 713.51 ! mo World Savings 6ank $687.06
1009. Aggregate Accounting AdjustmeN from World Savings Bank •$2~9•5~
1100. Title Charges
1101. Settlement or closing fee lo Burne[ TiOe $275.00 $275.00
1702. Tttle Evidence [0 8umet Title $185.00
1103. Title examination lo Bumet Title $130.00
1106. Assessment antl Search Review to Bumet Title $30.00
1107. Doc Prep Fee
1108. Title insurance to Bumet Title $1.263.50
1109. Lenders Coverega $333000.00 ($901.75)
t 110. Ownefs coverage $333000.00 ($361.75)
1111. Endorsement (Arm or Balloon) to Burnet Title 50.00
1112. Plat I Inspection and Review to Bumet Title $60.00
1113. Name Seaich and Review to Bumet Titie 30.00
1114, Recording Service Charge to 8urnet Title $50.00 $100.00
1115. Courier Service & Processing to Bumat Tille 575.00
1117. Escrow Fee to Bumet Tille $50.00
1200. Government Reeording And Transfer Charges
1201. Recording Fees: Deed $ 35.00; Mortgage $ 20.00 $55.00
1202. Mortgage Reg Tax $ 765.90 $765.90
1203. State ~eed Tax $ 1098.90 ~ $7,098.90
1204. Conservadon Fee $5.00 $5.00
1205.
1207. Release of Mort9age! COR $60.00
1212. Misc. County Recording Fee Rel Tax Lien $20.00
1213. Misc. County Recording Fee Discharge $30.00
1300. Additlonal Settlement Chargea
7304. 1st V2 20D4 RE Taxes to Oakota (POC 1,551.76)
1305. payoH Slate Tax Lien ta Minnesota Department of Revenue $70205.34
1306. Escrow Judgment Discharge in Dakota to Bumet Tille Master Escrow $2,500.00
1400. 7otal Settlement Charges (Enter On Lines 103, Sectlon J And 502, Section K) $5,695.70 $34,86424
ava care u y reviewe e e emen a emen an o e es o my now e ge an e ie i is rue an accura e s men o a receip s an is ursemen
on my account or 6y me in Ihis transaclion. f further canify that I have received a copy of the HULf Settlement Statement.
BUYERS SELLERS
Rafik Mukharamov Bette J. Skeffinglon
Svitlana Malyshenkova
The HUD-1 Seltlement SWlemenf which 1 have prepared is a true and accurete account of this transactlon. I have caused or will cause Ihe tunds to be disbursed In
with this statement.
Settlement Agent Date
5/27l2004 3:00:00 PM
BURNET TITLE
4 y /
i F
f 1
1986 LDING PERI~Y APPLICATION - CITY OF EAGAN
NOTS: ALL COATRAC20RS MUST BB LICENS6D iiITH THS CITY OF EAGAN '
SIAGLE FAlQLY DWELLINCaS
INCLQDE 2 SETS OF PLANS, 3 CERTIFICATES OF SQRVEY, 1 SET OF ENERGY CALCULATIONS
MQLTIPLS DAEI.LINGS _ ggsIDENTIAL RENYAL D6ITS FOH S9LS ONITS
INCLUDE 2 SETS OF PLANS, CESTIFICATE OF SDRYS7[ - CHEC[ WITH BLDG. DEPT.,
1 SET OE ENERGY CALCULATIONS
COHIiERr-rer:
INCLUDE 2 SETS OF ARCHITECTURAL & STRQCTURAL PLANS,
1 SET OF SPECZFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: ~ e, a~, Valuation: ~~1~,'S-,$f~~ ,Date: ~,d~l$(e
a ~
Site Address ~ ' OFFICE IISE ONLY
Lot ~ Block ~c
_ Erect _ Oecupancy ~-.3
Remodel Zoning
Pareel/Sub ~~r~ ~g-~.~~; Repair _ Type oP Const ~
~ Addition U of Stories
Owner ~F,fp , Move _ Length Zq
Demolish Depth ~
Address 9~iD K~i~~is I+et~.)l~'s Int.Impr. _ Sq Ft
~ ~ v~ Install _
City/Zip Code u¢,~ inuc, CKr
Phone ~}5~ 1G4~ 6PPROVALS FSES
Contractor ~q.C.~ OS; iC~inli ~cC~i , Assessments Permit ~
,1 Water/Sewer Surcharge
Address ~SSIC Ktue7" tte~c~}~~,y ~cu„ Poliee Plan Review
--(Q~(~l- Fire SAC
City/Zip Code~p,ip_( l~y~~~;~ ?t-e~~,~`\c SsGY'_ Engr Water Conn ~
Planner Water Meter ~c~'~',~
Phone ~{7 ~°ib4~ Couneil Road Unit P~_
Bldg Off i- Treatment Pl /51i~
Arch./Engr. ,qne~-{;on~~~giG ,t, APC Parks
Variance Copies
Address ~3~ ~.~~c.+er' S'~ _ lOrAL ~2./~{~
Lic~56 T
City/Zip Code ~he~I6tz~r ~ 55331 r Z~} 4S
Phone 0 ~{"7~-S`~ ~
HOTE: ADDHESSBS FOR CORNER LOTS - CONTRACTOR/HOMEOiiNER MIIST DESIGNATS iIHICH 9DDRESS
IS DESIAED. 80 CHANGES T~II.L BE ALLOpED ONCE BOILDING PEEMIT IS ISSIISD.
S"~X 2 ~ ~ ~~~`C3~8 ~ - q ~ ~ G 320 ~ :
~ ~ 4~~ ' ~~~i+ ~ ~ ,
3 x ~ 2~ ~ ~ .
U2~ 2g - J I 7C~ ~c ~ ~~Z~
Zg yZ ` //76 5/7~/~
~ ` cl-U .>c g 3Zv
l 3~ `
.
, RON KAUEGER AS50CIATES, \INC.
REGISTERED LAND SURVEYORS
7382WASHINGTONAVENUESO. EDEN PRAIRIE, MINN.55344 PHONE 812-941-3030
CERTIFICATE OF SURVEY
Survey for_ g~C'`~ -ZNC • Job No. 5FS~9 ek. w3s Pa. 6a
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XXX - ~ENoT~S EXlST/NC~ ELEV,4Tlo%! y~'~ / ~ pp.0
~XXX) - OENOTE S PRoPOSEO EC.EVAT/~n/
- OENdT&S D/RECT/or/ G~ FLOW '
oP SuI~FAcE D2A/NAG~E . P~~
p,2oPosEO EGE1/AT/oNS \
GO~t/EST FL~Q- 977• 83
~1'~T~ARAG,E FGoc,e- ~o c1~`-I °o~
TO? OF FOUNO,4T/oN- 9 8 5. 83
- • LoT 8 , ~GcGK 2
1 hereby certity that Lhis tis a trua anC correct representation ot a survey of the boundaries o7
,SdF~},e~ ~sTA7~s /~/25T AOO/T/O/~/ p/°iKOTi9 Caunty, Minnesota.
, Surveyad by m ht3~ 24~d of p~lL ~ 19 B~ • .
RON KRUE R& ASSOCIATES, INC.
STA E REG. NO. 14374
_ rage t or 4
:
` ~ EXTERIOR ENVELOPE AVFRAGE "U" COMPIITATION ~~3~~.
f
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,
! OWNER: nnTr: -y-~s-8'~ ~'r~ ~ a
; SITE ADDRESS: PNONE: ~
. CaN7RACTOR:_ n ~n~~, ~ €
.
! Determine working square foota9e of each ^ >
. " x-.ti,
1. Total exposed wall area..... aCeJ~_sq. ft. x.11 l, y~
' 2. Total roof/ceiling area..... If7LQ sq. ft, x,026 =~lj~g- ~
' Total exposed wall area above floor= ~y s;."`:
i
~ , _ . .
a. Total wall window area ~q
b. Total door area ~
~ c. Total sllding glass door area..
, y~
~ d. Total fireplace wall area...., ~o ~
, . '
' e. Total wall framing area (average 10%) ~4 ~ ~
f. Total rim joist area ~ 7-y
; g. net wall area above floor r7sc~ ~
h• wall area a6ove floor
wall area a6ove floor ~
j. frame wall area at foi:ndation......... ~ "
_
Total exposed foundation area= l~~
k. Total foundation window area........... . *
l. Total net foundation area above grade
~etermine "u" value of each wall segment ~
(e.g. window, door, each separate wall section) ;.w:;,.
.
a. ~s~ X y9 =-.?..~9r ` 1y'
l. if`Y.
b. .39 X ~.3/ _ ~~.~4
'.~I ,.yM1..r~
y~ x ,y9 = ~a.a9 ' ~
_ .
d. ~lo X ,-3Lv = ~B•8 , ,
. .t~'?sa:;
e. al~/ x ,Dc~-= ~3.-'~ ,
f. ~7~/ X ,7~~/ _ /0.9L , a. ,
. .
9. /7_59 X ,Oy =
~o..s~ ~
,~a
h. X _ ~
Y~
V 111111 _ ~ x~~~~i 4 '
/1 V . ~„r'~ yn L
' - w k ~Y ~~vd. ~ 'I
J V u U n _ }d! ~llxrn !~y',.,
~ ~'sr~'.~v
If item @3 is" tfie;;sai
k. X. "U" , s5 as, or less than^"; tei
N1, you have"~'m t~;~h~'
1.~~ x°~° = ID,qa intent of " „
SBC~ 00~" ~
3 . . ~ ~"k `
................Total - ~
~,s~~
~r
_.~..r.~ -=.e- -
-a.
, ISc rrior ~nvelopc Average "U" Computation Page 2 of 4'A "'~a"
: ' ' ~9x
, ~ ' ~ Total exposed roof/ceiling area = /17(0 - ~x
m. 7bta1 skyliyht areA ~
`,,'3~,
n. Total roof/ceiling framing area (average lOB)... ~~7 ~
•
. ,
o. Total net insulated roof/ceiling area........... /~29~{ i..'~:;
. Determine "U" value for each roof/ceilinq segme~it '-ti " n" t-
. , ~ • `~.p.:
m. _.5 g ,33 = I.CvS ~::t :.~v;::..~:
- . .<;.n
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~ n. g , o~?~/ _ ~ ~ ~v~'~.
~
r=:,
o. /~98' X ~~U~~ .0,~ _ . ~ t~;?
4 Total ~ , ~
' . . • Y ~ . ~r~f.
If total of ;I~7 is the same as; or less ~-han A2, you have met the intent of '``'s`y°
SbC 60Q6 {c) 1.
._V~,,
. x~i
Alternate Buildin Envelope Design t?ti~;
. . ~ . - ~?~i . y..:.
4b ut.ilize the total envelope'system method, the values est lished by the s;un of~
items A3 and #4 shall not be greater than the sum of item I{1 and #2. r.
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******f****~*****t**4*~**********#**
rt .
- CITY OF EAGAi~ * PA~~ pE ~ ~ ~ '
* nrriscazzoN ~oFS r~om oorsr~~ ~
~ ~ * arpxov~~, oF r~nuT. ;
APPLICATION FOR PERMIT *
~ nasrncriorr oF s~a~ Arm/ox s~m ;
*f rr~rau.ramrONS WIId. NOT BE SC~~ >
SEWER AND/OR WATER CONNECTION P~T ;
* APPRWID. '
* ~
~ ~
~ ,
*,e**~**~#t:+*~******+*+.*+*+**~#*+***
P ease Pr t
' 1) PROPERTY AD~RESS: 2
LEGAI. DESCRIPTION:
Lot Block Subdivision or Tax Parcel ID
IF' EXISTING SiRCCtS.R2E, DATE OF ORIGINAL B[IILDING PERMIT ISSL'ANCE: , ~
~
(Nbn Year)
PRFSEtVP ZONING/PROPOSID LTSE:
~ C02~Y•fERCIAL/RE,TAIT,/OFFICE ~ R-1 SInGI,E FAMILY .
~ IAIDCSTRIAL ~ R-2 DL'PLEX (4too Units)
~ INSTITi'TIONAL/GOVERbAg,TpP ~ R-3 Zl7W~IIi0USE (Three + Units) ( Onits)
. ~ R-4 APARTMENT/COI~IDOMINI[JM ( Units)
2j ~ NAP~: ~
~ ADDRESS:
CITY. STATE, ZIP: ~
. PHONE:
• 3) ~ u For City Lse
- Pl~ibers License:
ADDRESS: ~ Active
EStpired
i CITY. STATE, ZIP: ' Not recorded
PHONE: MASTER LZCQVSE#
' v ' 1 rS~~
4) • ~ ia~• ~ ~
N7fN~:
_ A~DRESS: . .
CITY, STATE, ZIP:
PfiOt1E: -
5) u v r: • o.
~ CONNECPION ~ CITY SEWgt ~ CON[gX.TION TO CITY WATER O'I'AER .
~ 6) u v i• ~ PL£P~SE HOLD APPROVID PE[2MIT FC)R PICK-~ BY ONE OF ABOVE
~ PLEASE MAIL APPROVID PERMIT TO 1, 2,(3,1 4. AEOVE
~ (Circ1~ one)
7) r. r u• - ~ ~ ~ /f~ ~
~x
'•'1: ~ 1'i: M ~ ~ 1' • S IJ' F Y~' • J~• 1 • • D~
• •~1
• • ia~ ~ e : r M•n •,nar ~ ~ ~ • a• • n f Y ' .
. ~OR CITY USE ONLY ~j~-
PERMIT # ISSOED
~~~7~ Jr/2/ ~~rv
Pd w/Bldg. Permit FEES:
$ $ ~ ~j
CJ SEWER PERMIT ( INCLt~DE SURCHARGE )
$ $ /O. S~ WATER PERMIT ( INCLCDE SL'RCHARGE )
$ (~.~1• S~ $ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLL~DE CORPORATION STOP)
$ $ SEWER TAP
~ $ ~Sf ~ Cr73 ACCOUfiT DEFOSIT SEWr^.R
$ $ /,5
, ~ Q ACCOL'NT DEPOSIT - WATER
S /i , o-~ S wAc
$ _7 7ti ~CI~ S SAC
$ $ TRLNK WATER ASSESSMENT
$ $ TRL'NK SEWER ASSESSMENT
$ $ ` LATERAL &ENEFIT/TRC~NK SEWER
$ $ LATERAL BENEFIT/TRCNK WATER
$ /S ~•L9 0 $ WATER TREATMENT PLANT SLRCHARGE
$ $ OTHER:
$ ~ ~ S~ S ~7'J TOTAL
02/~0 _ ~ ~ 7_7 i
RECEIPT _ ~ RECEIPT ~
DOES UTILITY CONNECTIO[V REQLIRE EXCAVATION IN PC~BLIC RIGHT OF WAY?
~ YES IF YES, THEN A"PERMIT FOR WORK 6VITHIN PLBLIC
Q ROADWAY" MUST BE ISSC~ED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
$UBJECT TO THE FOLLOWING C~bNDITIONS:
APPROVED BY: ~~r~~„2,/
TITLE:
DATE : ~ ~
_
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AT LO~ CULATION ° rtEMP. DIFF.
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Cu~tomw Name _ ~ ~r~se-s ~ TVW Coratru~tion
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O~Nr Name . ~ ~ ~ Walia . Int.
Sb~rt - Y._: , Gilinp Iro.
City . Floor ~
fl.l RoomlLergth WidtA H~i t fl.l - RoomlL~n h Width YNi t
WinFlows and Doors-Gukaga snd Ara Windowt ~nd Doors-Gadcpe ~nd Arr
w~a~n H.~ym we. er ~ ~;~w~ w..~ wam ti•ym we. e~ Un~ n.
Na nl o~M o1 n~M L el <r1CY q. h. Na. ol p~ l 1~ M eIKY ~11. M.
S~ 3~ o o / 5 3a
, - - - -
Coet. Btu CoN. Btu
Intdtration Q ~p Infiltration ,~J
c~,~~ 50 /oa cum a
Ezp. wall~ a Ezp. wall
Net e¦p. wall Net szp. wall
~ Int. wall ' ~ /D Int. wall
Ceiling Ceilinp
Floor Fbor
Total Btu. Total Btu.
FI.~ Room~Lergth f8 Width ~,Mei t 8 ~ FI.~ ~Room~Len h Width ~ FNi t8
Windows and ~uors-Gsckage md Arw Windows and Doors-Gadcape ~nd Ara
wo w.n~n H«a~~ ~+e. e~ u.r~ N. wrw wwm M•Mn~ no. er u~w~ ~t. A'r.
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Inliltration Inlihr~tbn
GVU 3~ $ 36~~ G4m
E~p. w~ll Exp, wall
N~M eKD. wall a$~ N~t exp. wall oZ ~D
Int. wall ' Int. wall
Cei6ng Ceiling /o~-~
Flonr Floor
Total 8tu. Total Btu.
F~.I A~ILen h ~ Width H~i tt FI.~ Room~L~a h Width !Mf t
W~nMws mrI Doors-Gackags snd ArM Windows and Doors-Grlcp~ and Iur
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5<~~~ ° a
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N~t e~p. ws11 (F Q Net e~p. wsll 6~
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cci~„y 3 c.~rn~ a.
Flax Floor
ToUI B1u. Tobl Btu.
1 -
^ , HEAT LO55 CALCUTATiON ° ~EMP. DIFF.
Cuttomw Wme - Typ~ Conuruction
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OrNr Name . _ Walls . IM.
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City Floor
'FI.I j~Q RoomlLength Widtb M~i t FI.I FoomlLm h Width FNi t
Win{bws and Doors-Gacksge and Ars~ Windows and Ooon-G~dcpa ~nd /kr
w,e,n H.yn~ No. o~ ~ Liiw~ h. ~rw waro INNm Ne. ee L1~11t Mw
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1 a _ _ -
coet. sc~ - cwr. ac~
Infdtration '~c~ Infiltration
G~ss~ Glsss
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Net e:p. wall ~//m Nat asp. wall
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Ceilin9 / S/o Ceilirq
Floor Floor
Total Btu. Total Btu.
FI.I RoumlLan th Width ] H~i~t j~ FI.~ Room~Len h Widlh H~i t
Windows nd Doors-Crxkag~ md ArM ~ Windows and Doors-G~dupe ~nd ArM
W~tltn r~~~Om NO. 01 LinNl tl. MM ~ 4[ / WiOt~ M~i~l~l Ne. of LInYI N. A/r
No. ol ~n~ ol ~M L U OIa~K~ ~O.II. J7 ~ NO• O~p~M 01 ~M LI M1 01p~p .It.
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y 7.37
Cwf. Btu Cwi. Btu
Inliltn~ion Intiltration
G Isu G ~aa
E~p. wall E zp. wsll
Nel eKP. wsl~ NM axp. wall
Im. wall ~ I~t. wall
Ceibng ~ ~ Ceiling /
Flonr ' Fbor
Totai Btu. Total Btu. ~
Fi.l Room~Len h Wid~h N~i t f~.~ Room~L~n WidM INI t
W~Mnws anA Doors-Guicage snd ArM Windows and Oaors-G~dup~ and /kr
N.. W.nrl. WM~I No. o~ L~wrl tl. Mw M~, a M~~ ~ i~1ry `O. M l~ 1 tl. q N.
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(~ql. 9tU CMI• atY
Inf iltratwn Int iHntwn ~
Gu~s Glu~
Exp. wall Etp. wall
N~1 ~rp. wHl N~t exD. wall
Int. w~11 Int. wall
Ceilog Giling
Flax Fbar
Topl Btu. Tobl Btu.
C C
caty oF ec~c~c~n
3830 PIIOT KNOB ROAD. P.O. BOX 21199 BFA BLOM9UiST
EAGAN, MINNESOTA 55121 nwvw
PHONE: (612) 45d-8100 ~ MO~0.5 E~qp~
JAMES A SMITH
JANUARY 2, 1986 `~1CElLISON
traeoooae wncrrtea ' '
eo~mcn Men,ee~s
,T BYRON TdATSCHKE nionnasNEOCEs
FORTUNE REALITY CM~minbholor
4940 VIKING ~RIVE EUGENE VAtV OVERBEKE
CiN Gek
MINNEAPOLIS MN 55435
Re: Safari Estates - Financial Guarantee
Dear Mr. Wa[schke:
It has recently been brought to my attention that the City of Eagan is not
hoLding a Financial Guarantee for the Safari Estates Developmen[. I would like
to refer you to Item 8, Page 4 of the Safari Estates DeveLopment Contract which
requires the developer to deposit an acceptable Financial Guarantee and states,
"Such bond or coliateral agreement shall be approved by the City Attorney and
, sha11 continue to be in full force and effect until released by the City."
Although a Letter of Credit was submit[ed to the City it no longer remains in
effect since its expiration date. Therefore, I hereby request a new Irrevocable
Letter of Credit in the amount of $8,108.00. Until this Letter of Credit is
submitted and accepted by the City of Eagan, the followin~ Lots will not be
. issued a building permit: Lots 2, 3, 13, 14, 15, 18, and ~'7 of Slock 1; Lots 1,
2, 3, 4, 5, 6, S, 10, 12, 13, 14, 20, 22, 23, and 24, of Block 2, Safari Estates.
As of this date these lots show ownership of Fortune Realty, S. Byron and Sandra
Watschke, or Darrel and Vivian Watschke.
Listed below are the items and the amounts to be covered by the new Letter of
Credit.
i
1. Street lights " _ .
4 each @$500.00 (DEA) plus energy cost $240.00 $2,960.00
~ 2. Erosion control (estimated acreage yet co be improved)
2.86 acres at $300.00/acre 858.00
; 3. Restoration (estimated acreage yet to be improved)
2.86 acres at $1,500.00/acre 4,290.00
Total Revised Financial Guarantee $8,108.00 .
~ If you have any questions please contact me at 454-8100.
a
~ Si cerely,
i ' ~ % ~
raig E. Knudsen-
Engineering Technician
. cc: Tom Colbert, Public Works Director Ed Kirscht, Engineering Technician
` Dale Peterson, Chief BuildinQ Official ~
i CEK: jeh THE LONE OAK TREE...THE SYM60L OF STRENGTH AND GROWTH IN OUR COMMUNIIY
r
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA149781
Date Issued:06/11/2018
Permit Category:ePermit
Site Address: 4872 Safari Pass
Lot:8 Block: 2 Addition: Safari Estates
PID:10-65850-02-080
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Jarod R Lowry
4872 Safari Pass
Eagan MN 55122
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA171771
Date Issued:08/31/2021
Permit Category:ePermit
Site Address: 4872 Safari Pass
Lot:8 Block: 2 Addition: Safari Estates
PID:10-65850-02-080
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Jarod Ray Lowry
4872 Safari Pass
Eagan MN 55122
Haley Comfort Systems
3708 Broadway Ave N
Rochester MN 55906
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature