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4875 Safari Pass -ti~ • U b CITY OF EAGAN O,~ ~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 B~1ILDING PERMIT Receipt ~ To oe used for Est Value ~ ~ ~ ~ Date ` ' ,19 ~ Site Address OFFICE USE ONLY Lot Block Sec/Sub. ' ' i~ On Site Sewage _ Occupancy MWCC System _ Zoning PafCBI No. On Site Well _ Type of Const City Water ti (Actual) . ~ Name , (Allowable) W ~r of Stories 3 Address ~ ~ength ' a City Phone Depth S.F. Total , p N8m@ Footprint S.F. ~ ` Address APPROVALS FEES ~ City Phone Assessments _ Permit ; , . Water/Sewer _ Surcharge ~ W Name ~ Police _ Plan Review _ ~ Address Fire - SAC, City ~ Z Engr. _ SAC, MWCC t W City PhOne ~ Planner _ Water Conn. Councfl _ Water Meter I hereby acknowledge that I have read this application and state Bidg. Off. _ Road Unit thattheinformationisCOrrectandagreetocomplywithallapplicable APC _ TreatmentPt State of Minnesota Statutes and City of Eagan Ordinances. Variance _ Parks Copies Signature of Permittee TOTAL A Building Permit is issued to: on the express condition thet all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances Building Official P~rmit No. P~rmit Holder D~t~ T~I~phone s Plumbing Y~ 7 a i H.V.0.C. , ,~..7u-~~ ~f ~ ~ c; z. /7 l Electric ~ : c_*=~ Softener Inspaction Date Insp. Comm~nh Footings I / « Footings II Foundation Framing Con,Gt ~u~S' G Q7 Roofing Fiough Plbg. Rough Htg. Isul. ~ Firepiace 7~ ~ Final Htg. ~ f ~ _ Final Plbg. ~~l ~ ~ Bldg. Final . y 'p ' ` , Cert Occ. ~ Temp. LP / _ ~_g7 ~ ~ ' Deck Ftg. DeckFrmg. G-'~8 ~~S m,.-ecc~,~,,v5 we~~ cA-l/¢~ w~~ k~afer s~ Pr. Disp. 'r ou„ $ v es S ~ ~ a • , ~ f~~rti#ir~#~ uf (~rru~ttnr~ ~Citp ot ~a~an ~P~~~#11tP~tt D~ ~llt~dltt~ .~tt~}iPtttDtt This Certiftcate issued pursuant m tlte requiremenu of Section 306 of the Uniform Building Code certrfyrng that at rl~e time of issuante thfs struc~ure was in conrpliance witlr the various ordinrrnces of the City regulaAing bur7ding construction or 1cse. For 1he following: ux t~ro. oocup.ay Type zonmg nisaia R ~ 'I~ c.oost. ~YEC7 0~ BIYb1Ils h~, f1. _~L71~~t S\ ~7~~~~~ ~ ~ .17. a]11~. ~ ' r e~im~naa~ '~=3'S.~F.AEtI :fa;6 ~;~y i,7. B3. SAFt~'tt: n.~ 20 1 ~3 I &uld'mg Of6ria1. - POST IN A CONSPICUOUS PLACE ~ r._ r..,. . . . . , . . : : :r , . . " : . _ . . . . • . PERMIT # ~ ; ~ . PLUMBING PERMIT RECEIPT # 7~ ~ ~ CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ~~~7L? CONTRACT PRICE PHONE: a54-8100 Site Address ~ BLDG. TYPE WORK DESCRJ~TION Lot Block SeciSub Res. New ~ Mult. Add-on ~ Name - Comm. Repair ~ Address < ' ` Other c Ciry ,d; Si11 f~ Phone RES. PLBG. ONLY - COMPLETE TNE FOLLOWING: NQ. :FIXTURES TOTAL ~_Water Closet - $3.00 Name - ~ ~ th Tubs-- ~3,~0 3 Address Lavatory - $3.00 ~L~ • ~x ~ p City ~ Phone ._.~_Shower - $3.00 ~Q ~_Kitchen Sink - $3.00 FEES Urinal~Bidet - ~3.00 COMM/IND FEE - 1°rb OF C~NTRACT FEE Laundry Tray -$3.00 3~ c'~ APT. BLDGS - COMM RATE APPIIES ~Floor Drains -$1.50 ~ TOWNHOUSE 8 CONDQ - RES. RATE APPLIES .~-Water Heater -$7 50 i-~~ MINIMUM - RESIDENTIAL FEE - $12.00 ~Whirlpool - $3.00 MINIMUM - COMM/IND FEE -$20.00 -~Gas Piping Outlets -$1.50 STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIn (ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00 BEYOND $1,OOO.UO) Well - ~10.00 Private Disp. - $10.00 ~ _,~Rough Openings - $1.50 ' SIGNATURE F PE EE FEE: STATE S/C: • Sv FOR CITY OF EAGAN GRAND TOTAL• ~ PERMIT # y~ / L'' , . , , MECFIANICAL PERMIT RECEIPT # = ~ ~ ' ~ CITY OF EAGAN ~ ,'T 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: j CONTRACT PRICE: PHONE: 454-8100 ~ Site Add ess ; ` ' . - f 1 ~ BLDG. TYPE WORK DESCRIPTION Lot " JBiock ~~z,~ Sec/Sub Res. New - ~ ~ ` j Name ~ ` ~ ~ i ~ - Mult Add-on ~ Addre&s S~~" ` ~ ~ ~ _ ~ ~ Comm. Repair ~ Other c City ' ' ~ Phone . L , FEES Name ~ ' ~ ~ ' ' - ' RES. HVAC 0-100 M BTU - $24.00 c Address ~ ADDITIONAL 5~ M BTU - 6.00 p City ~ = ` ~ ~ Phone ~ J ~ (RES. HVAC INCWDES A/C ON NEW CONSTRUCTION~ GAS OU7LETS (MINIMUM - 1 PER PEkilAl~ - 1.50 EA. TYPE OF WORK , " COMM/IND FEE - 1~i5 OF CONTRACT FEE Forced Air ' ' ~ M BTU APT BLDGS. - COMM. RATE APPLIES TOWNHOUSE 8~ CONpOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unrt Heater ~ M 8TlJ ~ REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.Q0 STATE 8URCHARGE PER PERMIT - .50 Vent. CFM (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # ' ~ . BEYOND $1,000) Other FEE ' - - . S/C: SIGNATURE OF PERMI7TEE ~ + TOTAL• : t ~~"p3.~:~:~ ' . . •-0;a . _ ' > , FOR: CfTf OF ERGAM CASH RECEIPT CITY OF ~~1GAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55~ 2 DATE ' 19 REC61bED FROM AMOUNT ~y I ' A OOLLAR{ +oo CASH ~ CHeCK V ~ ` rOR ' ~~e~.,: ' . . 1 FUNO CODE AMOl1NT / " 1 1 ' Thank You BY ~ ] ' . . • . Y • ~ n White-Payen Copy Yellow-Posting Copy Pink-File Copy CI~1f OF EAGAN Permit No: Dat~ ~ 7`~ ~ 3830 Pfit~t Knob Rosd Meter N0: 7~'~~ -S~ Size: 5~~~ P.O. Box 21199 Reader No: ~ 3 S 7 S Date: ZD -87 Eagan. MN 55121 ~ .Joi:nson Owner. Site Address: ar~ ass , . a ar Plumber ~enz ~an Conn. Chg: ~ - " ~ ng: ~ ~ ~ Acct Dep: 1 S ~)t~ ¦~~~!!~~bf Units: ~ Permit Fee: ' ' ~r,a' i `~~!t Surcharge: _~~~~~R ~g e tq comply with the City of Eayan Tr. Plant ~~~lnCes. Meter. 1 „'""n / Q/~-c~ Misc.: , ~ , tsY ~ WATER SERVICE PERMIT ~ w'T~a~'~T„-~T.'~-~. S ~ ~ r • - .w . r sT _ . ~ CITY OF EAGAN Permft No: ' Date: 8-~~'g~ 3830 P,pot Knob Road ~1Aeter No: Size: P.O. Box 21199 Re~der No: Date: Eagan, MN 55121 , Owner. : .~ohnsoa Site Address: • a ar ass ~ a ar _ Plumber " ..y VI; Conn. Chg: S' ~-~}e~ Zoning: i' 1 Acct. Dep: 1 5_~(? No. ot Units: 1 ~ Permit Fee: 1t~ _ ~n Surcharge: - S~~ I ayree to comply with the Clfy ot Eayan Tr. Plant I ;t3_1~+~ Ordinances. Meter. Misc.: By ~ ~ WATER SERVICE PERMIT - - , I CITY OF EAGAN SEWER SERVICE PERMIT , 3830 !'xdt Knab Road t ~(?OE 9 P.O. Box 21199 • PERMIT NO.: ~-~--~7 Eagan, MN 55121 ' DATE: 1 Zoning: ~ ~ ~ No. af Uniis: ; Owner. t`••ty• Johnsou Address: ~ SiteAddress: 4~75 Safari Pasa L7 B3 Safari 3rd Plumber. r~z 100.0~ + ~PR" 7~u57 G-."2 -£~7 42 i c~tl ~ 1 pree to comply with the Clty o1 Eeyan Connection Gharge: _ ' 4 R~ Ordlnances. Account Deposit: Permit Fee: ~ n 5r { Surcharge: - ~ Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: BLDG. PERMIT N0. '.'s~` ~ i ~ ~ < . ~~F- - (/!r'. , ;'r` , , „`~.c_ r<:i 01~3210 Bldg. ~ermit ' - 01-3422 Plan Check , ~ O1 3445 Surch./Adm. ~ 01-3446 SAC/Adm. ~ 01-2155 Surcharge ~t ~ - 17-3860 Road Unit i~'~ 20-2275 SAC 7 ~ 20-3865 Water Conn. ` ~ ~ 20-3868 Water Trmt. ~ ~ 20-3716 Water Meter i-. 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. ' - 11-3855 Park Ded. TOTAL ' ~ .-y' , , ~ . ~ CASH RECEIPT - , CITY OF EAGAN ~ 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE ~ ' 19 ' t ~ R6CEIY6D ~ ~ . FROM ~ ~ ~ ~ ~ ' ' i AM1IOUNT $ I n & DOLLARB ~oo ~ CA5H ~ CHECK FoR ~ i - ~->~-1 . t ~ ~ J ~ ti . .i' _ i ~ FUND COOE . AMOUNT Thank You . BY ~ White-Payers Copy Yellow-Posting Copy Pink-File Copy CITY OF EAGAN 13 8 0 4 t 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 ~ q C~ BUILDING PERMIT Aeceipt# U J 7obeusedfor sf dwg/gar EstValue $155,000 Date JUNE 22 ~g 87 Site Address 4875 SAFARI PASS OFFICE USE ONLY Lot ~ Block 3 Sec/Sub. SAFARI 3RD on S~te Sewage Occupancy R3 MWCC System Zoning Rl Parcel No. On Site well _ Type o/ Conat y City Water (ACtuaq a Name M.W. JOHNSON CONST INC (Allowable) w # of Stories = Address Y•0. BOX 24389 ~engtn ~ Ciry A•V• Phone- 432-6838 DeOih y7 S.F. Total , p Neme SAME Fomprint SF. ~Q Address ApPROVALS FEES ~ City Phone Assessments Permit $ 668.50 Weter/Sewer Surcharge -~50 w W Name PHILLIPS PLAN SERVICE Police _ Plan Review 344.25 tz Fire _ SAGCity 100-00 x- Address ~~7 Engc _ SAC,MWCC 595_00 aw City Phone 432-6838 planner _ WaterCOnn. ~-QQ Council _ Water Meter vV I hereby acknowledge that I have read this appllcation and state B~dg.Off. _ Road Unit 305.00 thattheinformationlscorrectandagreetocomplywithellappliceble APC _ TreatmentPt 1Rf1_np State of Minnesota Statu ~ d City of E n O~in~nces. Variance _ Parks cop+es 5 Sfgnature of Permlttee ~~0. n 1~ Q ~ rOrn~ A Building Permit is issued to: M. W. ,IOHNSON CONST INC on the express condition that all work shall be done in accordance with all ap~plipcp~ble State of Minry ota S~atutes and City of Eagan Ordinances Building Official /J[sL.~.~c,t ~ ~ This ret~vesl void /~~p~ ~CJ/~~ 18 nwn:hs trom / ~ D`2a693" ~ ~ ~~97 Req sFOate' Fire ba. R - InsVer.tion ~L~7 c qui~ ~tl? ~ ?AeatlY No Will Notify, InsOec- p.? s No ~o~ When fteatly v Lice.nsed Electrical Cont~actor 1 hareby ~epuest inspection of above ? Owner eleclrical work instelled et: S[reet Address. Box or Povte No. City S<~-~Ci ?~i~- ecuon o. Towns~i0 Name or No. flanee No. ounry OccupnnllPqINT) / Phone No. ~ ~ K ~c... J O ? Power $upV~~er Atldress - '....i Electri al Contrac~for ~ICOimOeaY ~Namel ~ Contrar.tor's License No. • ai/li~ g Ad/dress (COnVaAct9~- 'o~ Owne~ kinB ~ stailation) `"L L' i _ / - ~ ~Li Authoriz SiBnn ~COnhactor ner Making Insta on) Phqne ~N mber Z O MINNESOTq STATE BOAPD OF ELECTpICITY THIS INS~ECTION REQU[ST WILL NOT Griqgs•Mitlwey Bltlg. - Noom N•191 BE ACCEPTED eY THE STqTE BOAXD UNLESS PqOPEfl INSPECTION FEE IS 1821 ~niversitv Ave.. St. Paul. MN 5610q Phone (612) 642-0800 ENCLOSED. ///~7 REQUl._ ~OR ELECTRICAL INSPECTION ea-ooooi-os ~ Sea i~~ :tions for mmpleline this lorm on bock ol yellow copv. ~ y~~ D- 69 3 ~/1( 8elow Work Cove~ed by lhis Request Adtl NeD- TVpe of Builaing Appliancea Wind Equiu~~ent WireA Home Range Temporary Service Duplex Water Heater Liyhtiny Fiztures Apt. BuilAin~ Dryer Electric Heat~n Commercial Bldy. Fumace Silo Unloader Industrial Bldg. Air Conditioner Bidk Milk Tenlc Farm ~nr~ aec~ v omei Isne~~~vl t er uer.i y Other O~her ampute lnspectron Fee Be/ow p Fee Service Enhance5ize H Fee Faxders/Sublexders p Fea Cfrcuits U to Z00 Am s 0 ro 30 Am s ,00 0 tn 30 F~n+. Above 200 qmps. 31 to 100 Amps Qp 31 to lU0 q $wimming Pool Above 100-Am s ~ Above 100_Am s Transformers Irrigation Booms Pdr[ial.'Oth ee Signs Speciailnspection Namarks OTAL FE • Hoogh-in ~ M I, t~e Elecvical ~ r•ip p~ Ins ector, he~ab cerlify thet the aCOVe Final ~ ~ e inspection has been ~n v „u.l~'~J„?iL~ ~ meae. •MS repuest ro1018 montlu imm RESIDENTIAL S~~l~ BUILDING PERMIT APPLICATION o?t~'~ ~S CITY OF EAGAN 3830 PILOT KN06 RD, EAGAN MN 55122 851-68'1-4675 NewConstruclion Reauirements RemodeUReoair Reuuirements • 3 regis~erad site surveys shOwing sq, ft. of lot, sq. fl. of house; and all roofed areas • 2 copies of plan (20°k maximum lot coverage allowed) • 1 set of Energy Calculations for heated additions • 2 copies of plan showing 6eam 8 vrindow sizes; poured fouM tlesgn, etc.) . 1 site survey for exfenor additions 8 decks • 1 set of E~rt~y Calculatrore • Indicale if home served by sepGc system for additions . 3 copies of Tree Preservatwn Plan if lot platled atter 711193 • Rim Joist Detail Options seleclion sheet (bldgs vrith 3 orless units) DATE ~ ,E;~ VALUATION ~ l (~`"t~ ~ ~ r SITE ADDRESS MULTI-fAMILY BLDG _Y _N TYPE OF WORK ~ FIREPLACE(S) _ 0_ 1_ 2 APPLICANT STREET ADDRESS ~ d'D%'~~cin P~SSfL STATE '~'j ZIP TELEPHONE #T~J~" I' CELL PHONE FAX # PROPERTYOWNER ~e TELEPHONE# ~~~~v~~~ COMPLETE fOR "NEW" RE5IDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY l MINNI;S01'A RULLS 7672 submission type) • Residential Veotilation Category 1 Worksheel Submitted • New Energy Code Worksheet Submitted . Energy Envelope Calculations Submitted - ~ - - + j; ~ _ I~ , seP o s 200 Plumbing Contractor. _ Phonc # IL~ ~ i Plumbing system includes: Water Softener L.awn Sprinklc~- Fec: $90~ 0 Water Heater No. oFR.I. Bat13~_ No. oF Ba14is Mechanical CoMractor: Phone # Mcchlnical system includes: _ Air Conditioning Fce: ~70.00 _ HcaC Rcwvcry System Sewer/Water Contractor: Phone # I hereby acknowledge that I have reod this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. / ~ C j~~ Signature ot Appllcant OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4l02 OFFICE USE ONLY ? 01 Foundation ? 07 OSplex ? 73 18-plex ? 20 Pool O 30 Accessory Bldg O 02 SF Dwelling ? OH O6-plex ? 76 Fireplace ? 21 Porch (3-sea.) ? 37 Ext. Alt- Multi ? 03 01 of _ plex O 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - 5F ? 04 02-plex ? 10 0&plex ? 18 Oeck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex O 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 72-plex Pibg_Y or _ N ? 25 Miscellaneous O 31 New O 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 W indows/~oots ? 34 Replacement "Demol(tlon (Entire Bldg only) - Give PCA ha~dout to applicant Valuatlon Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS ~ _ Footings (new bldg) FinaUC.O. _ 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 Stucw Srone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insularion _ Retaining Wall Approved By , Building Inspector Base Fae Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total ~ 1 ' ~ • Roofing • Siding • Gutters • Sheet Metal • , ' 7466 Washing[on Avenue South • Eden Prairie, MN 5534M1 ~ Office (952) RR I-8232 • Fax (952) SR 1-85 (1 ~ . Liccnse #4289 ~ July 25, 2002 . City of Eagan Building Permits Atm Jan: Re: 4875 Safari Pass, 55122 A permit was obtained for the above address at a valuation of $39,711.9L This included the roofreplacement and several other trades. The permit fee was $563.25. We have a new contract to replace the roof only far a valuation " I~ of $13,65430. ,~,~Q,~,v ~'.~~2.l,Qh ~ ~}~-~..~.~i ~N.~~iJ~ w~~1^„-~ We aze applying for a new permit for the correct price and aze Re uesting a refund of $563.25. Cazl Scott Operations Manager I , ~ ~-~,m~.~~ t.q ,~~.~c~ ~ q , `1 I ) 5 ~ , g C ~c~S? ~C `~~--~'-a.",.-~ ~ '.~-,~-ei~s..,~~ m ~ ~3 ! z. ~ , ~ _ J Localry Owned - ~ CEDAR SHAKE and Operated ~ & SHINGLE BUREAU ' . $IfICB 1980 The RecognizedAmhoriry Sincc 1915 ~ S ~ RESIDENTIAL y 7 BUILDING PERMIT APPLICATION CITY OF EAGAN tJ 3830 PILOT KNOB RD, EAGAN MN 55122 ~ p< < 651-681-4675 New ConsVUCtlon Neoulrementa RemodelRieoalr ReauhemeMs • 3 registered stte surveys shaxinp sq. f1. of lat, sq. H. W house; and g~l roofed areas . 2 copias of plan (20°/ maximum bt coverage albwed) . 1 set ot Energy CakulaYrons for heated addNbns • 2 coples of plan shaxing baam & winCOw sizes; pouretl found tlesign, etc.) • 1 sNe survey br exlarior add'aions & decks • 1 set of Energy Cakufatbns • hWicate tl ~ome served by septic system for additlons . 3 capies ol Tree Prasarvatbn Plan G bl plett~ alter 7/1/93 • Rtm .blSt Deis~ Optbns selecilon sheet (bklgs wiN 3 or less units) DATE ~~nl. ~ ~'O~L VALUATION ~L~ c~S~ _ ~"l SITE ADDRESS 7 ~ MULTI-FAMILY BLDG~` Y ~ TYPE OF WORK ~2C~ FIREPLACE(S) ~!D _ 1_ 2 APPLICANT STREETADDRESS ~yG~ Cc~G_ : CITY~'~TATE~LIP~~1~3.~~~ TELEPHONE # 9~i,? 5~/ So~~ CELL HONE # FAX S~~"~~~~ PROPERNOWNER lC'~ ~ 1/l~S~~P TELEPHONE#~I-S~S6 ~~.4e~ COMPLETE THIS SECTION FOR ~NEW° RE5IDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672 submission type) • Residential VenGlation Category 1 Worksheet Submitted • New Energy Cotle WoAcaheet Submitted • Energy Envelope CalculaHOna Submitted Plumbing Contractor: Phone # Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00 _ Water Heater _ No. of R.I. Baths _ No. of Baths Mechanlcal Conhactor: Phone a Mechanical system includes: _ Air Conditioning Fee: $70.00 _ Heat Recovery System Sewer/Water Conhactor: Phone # I hereby acknowledge ihat I have read this application, state that ihe information is correct, and agree to comply wim all applfcable State of Minnesota Statutes and City of Eagan Ordina ces, / SignatureofApplica~ . . OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ? 01 Foundation O 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling O 08 06-plex ? 16 Fireplace ? 21 PorCh (3-sea.) O 31 EM. Alt- Multi ? 03 01 of _ plex O 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4sea.) O 33 Eut. Alt - SF ? 04 02-plex O 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? O5 03-plex O 11 10-plex ? 19 Lower Level ? 24 Storrn Damage ? 08 04plex O 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Impravement ? 38 Demolish (Interbr) ? 44 Siding ? 32 Addition ? 36 Mave Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (81dg)" ? 43 Raroof ? 46 Windows/Doors ? 34 Replacement •Demolilion (Endre Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC U~its Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldp~ _ FinaVC.O. _ Footings(deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Draui Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final _ Framing _ Siding SNCCO Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector -----------------------------------_G2!.~L~.~ Base Fee Sureharge 7 C?C~ Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total ~~yy, a5 ~ ~S ~ `I' L ~ RES~IDENTIA! ~ BUILDINC PERMIT APPLICATION CITY OF EACAN 3830 PILOT KNOB RD, EACAN MN 55122 65'l-681-4675 New Conatruction Reauiremente RemodetlReoair Reauirements • 3 registered site surveys showing sq, fl. of lot, sq. fl. of house; and all roofed areas • 2 copies of plan (20%maaimum lot cove~age allowed) . 1 set of Ene~gy Calculations for heated aCditions • 2 copies al plan shovnng beam & window sizes; poured found desgn, etc.) . 1 site survey for extenar additions & decks • 1 set of Energy CaICWa6orp . Indicate if home served by septic system ior additions . 9 copies of Tree Preyervation Plan if lot platted aRer 7HI93 • Rvn Joist OeWd Oplions selectian sheel (61dgs with 9 or less units) DATE S•Ava •(~'a VALUATION .~3 ~ 1~'a°9' SITE ADDRESS ~~~'~J SA~.0.C ~~ASS MULTI-FAMILY BLDG _ Y ~ N TYPE OF WORK1~f)~~ a a~ i~i~+ Oii"~ 1~;,`}~1n~,Y~ FIREPLACE(S) _ 0_ 1_ 2 APPLICANT ~t~ ` I i Renewal By Andersen, Inc. STREET AD~RESS 1920 County Road "C" VVesY -STATE_ZIP iELEPHONE #~~•o~~•~~'~'~' CELL' Roseville, MN 55113 i# PROPERTYOWNERM~~.Q. C~C~~i'~f~l~ ~l~]SSL~C' TELEPHONE# lfl~"`vI•~{S~0'S3~JC~ COMPLETE THIS SECTION POR "NEW" RESIDENTIAL BUILDINGS ONLY Ener~y Code Category _ ~IIVNLSOT:~ RCLI:S 7670 G\TEGORY t ~IIN~L50'C.-\ RCLIS 767? (J submission type) . Residential Ventila6on Category 1 Worksheet SubmiKed . New Energy Code Worksheet Submittetl • Energy Envelope CalcWations Submitted Plumbing Contraetor: Phoi~e Plumbing system includes: ~ Water Sof[ener _ La~ni Sprinl:ler Fee: 590.0O ~Vater Hea[er No. of R.I. Baths No. of Baths Mechanical Contractor. Phone # b[ech:uiical system includes: :1ir Conditioning Fee: ~70.00 f-icat Recovei7 Syslcm Sewer/Water Contractor. Phone # I hereby acknowledge ihat I have read ihis application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan dinance . SignatureofAppllc ~ . - ~ OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 ~ -1 OFFICE USE ONLY ? 01 Foundation CI 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ~ 02 SF ~welling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex O 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt • SF ? 04 02•plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower ~evel ? 24 Storm Damage ? O6 ~4-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ~ ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33Alteration ' ? 37 Demolish(Bldg)' ? 43 Reroof ? 46 WindowsiDoors ? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicant . ~ Valuation Occupancy, MC/ES System _ . . ~ Gensus Code Zoning City Water - SAC Units Staries Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bidgs Length Fire Sprinklered Type of Const Width ~ ~ ~ ~ REQUIRED INSPECTIONS ~ _ Footings (new bldg) _ FinallC.0. ~ _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ Plumbing Founda[ion 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 (newireplacement) _ [nsula6on _ Retaining Watl Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC Ciry SAC W ater Supply & Storage S&W Permit 8, Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total •••••~••r.+•.i aaau ai.av ctin ~oJ Oll'94601tCPICRALf3k~ACIL73K'J151Y . . . ~uuz~ue rC' _ ~ r~6 zoo~ ~ . 3836 Piiot Knoh Road . F.stgan. MQ~I sg122 To 4Vhom Ic Maq Concern: Elder Jones is authorized to puil bnilding pe~~ far Renawal by Andeisen_ Picase allow Slder ]ones to proyidc this servico for us in Easan. 'iltis audtorizsticm is vaiid fvr any date beyond 6/6/Ol; un6,I a~`enewa( by And~rsen manage~. exp~y ~vokes it in wrlang to tha City_ I recNesc this autliorizaflon bc accepted expedldo,~sly, as to not delsy in the pro~essing of our building pc~ita aay fyrth~r. Plcasc caII mc If Wc~ arc eny qucstlona. I can Ue contacted at 763-502-47U6. , Your immqdiatc aktent~on to thIs miittcr is apprecia[ed. Sincetely, . ~ Ymond R. Rau astallation Manager Ranewal by fwdelsen CnIporatian • C'c: Kmn-F.lde,r 7onea SK-~'~~aC4 ~u.~~, o..Q G - 7-x~j o?t v ` ~7 . . ~'~aoE~,yaa~,~U4q ~ . Received Time Juo. 1. I:O1PM , , 3 ~ ~ z~ - ~ 5~ x - ~ . ~ 2~o x s8 - ( ~ Z4o ' ; 4 ~ 20 ~ 2~ x 3~ IZ ~(2 = I c~~4-4 1~x~~ = 2Z~Fxv = I~I~Z ~X~~~~~2~` ~ ~ ~~1~ ~j ( x = ~ ~l 2~ x 4 ~ ' (~Z7~~ ~~~~=12~k44= t2~ ~ = lo~ x ~ ~ ( S4 ~3a ~ ~ JG-G~ ~ i ~ _ + ~ . } l7=+ l~. ~ i~/~ :J'r ,1 . . , ~ r + 1987 BOILDING PERMZT APPLICAT N- CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLDDE 2 SETS OF PLANS~ 3 CERTIFICATES OF SIIHVEY~ 1 SET OF ENERGY C9LCQLATIONS DiOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOft/HOMEOWNER MQST DESIG2iATE WHICH ADDRESS ZS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BQILDING PERMIT IS ISSIICD. MULTIPLfi DiiELLINGS - RFSIDENTI9L RENT9L ONITS FOR SALE DBITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SIIROEY - CHECK iiITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COI~AfERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS~ 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS~ - n $2 ~ 000 LANDSCAPE BOND I~~r~"'~' ~~m!~ ~ ~ ~ To Be Used For: ~'in~/e ,zz,y;,/y ~,~i,.d/ luation: 1~? ~-e~V Date: /P /S-8~' Site Address ~7 ~ a,4~.; OFFICE IISE ONLY Lot ~ Block ~ ~ On Site Sewage_ Occupancy ~ i MWCC System ? Zoning Parcel/Sub 7'j~~q~-,' 77,,,:~/ Aa9~riu.~ On Site Well Type of Const City Water ? (Actual) Owner ~L,~,~.e,- (Allowable) ~ ll of Stories Address Length Depth City/Zip Code S.F. Total Footprint S.F. Phone APPROVALS FEFS _ ~ Contractor /GJuI. Ja/~a,sm, ~ey,sL _ Assessments Permit 6~8- Water/Sewer Sureharge ~ Address P(J (,~ox d~~B`~ Police Plan Review 334.rs Fire SAC, City O(~• City/Zip Code ~~t~ ~,v ~~ja ~ Engr SAC, MFICC Z 5. ~ Planner Water Conn S2 S Phone ~;Z-~B~B Council Water Meter Bldg Off Road Unit 30 Arch./Engr. /d~,/~os ~~~-H ~~-urcc APC Treatment Pl ~80. ~ Variance Parks Address Copies TOTAL a ~5~. ? 5 ' City/Zip Code Phone ~,3y_,L-,838 \ I ~ ~ CERTIFICATE OF SURVEY - S 33' 08 ~ S/ E" ~45 00 - _ Z'- \ 30 ~ K 9S.Z - 5 ~ti-. , ,l, _ 7 ~ _ ~ _ - - _ _ - - N. O 'l -Y21o ` ~ 9 95 . I /o - ~ ,S~ ~0' L4.35 , j ` r ~ ~ M F'RaNosEp ~ I . `~r I " m 1~ L O T 7 t D GA.P. 30 ~ ~ ~ ti 1 BLoc.K 3 ~ ~ ~ ~ / ~ N ' I ~ 4 ~ ~ ~ -O o 'oi', O ' 4 . . ~ 0 ( ~ 9 ~~QOfOSED ~ I I ~ _ j~ N 1 I ` 0 ~ 8 9 H~use n ~ ~ > M I . I i~a p' il~. I vl ~l , / 5~e l 3/.3i ~~p I m ! S Q/~ ~ ^ . ~ ~ I 1 I 1Q J~ I 1 M I I ~~-~L 'f ~ - - - - - ~ _ .J ~i O 04AEASE ~ ~ ~~TlLITY 8 ~ ~ O 9 , MEN' .9 ~ ~ 93 . z 99. 7~ , .~c ~ so . ~ ~ 70.00 ~z°s8'3`- n1 33' o~~Si~~W = 440 t~levatinn5 ctinwn are ~ . ~ ' , exi.sting grades and ~ ~S'~FAR I -T-,~,q~L . ~ ~9, 9L are av~umed datum. - I'rnpc~ced garage flo~~r e~lev. = 95.5 Arrows denote pioposed directinn of ; sur;acc wa[er runoff. , Z heraby ccrtify that thi.s is a correct reprose.ntati.on of a.survey of: ~ Lot 7, rilock 3, "CR~ SAF'Aki THIR1) ADD7Ti0N, Dakota County, Minnesota, accordi.ng ~ to the recordecl plat thcreof. and that this survey and certifi.cate was preyared by.me or under my direct supervi5ion ~and that i am a~duly regis[ered Lz~nd surveyor ond~r C}~e laws of the 5"tate of Minnesota. ~ ~llated thi.s 11th day of .iune, 1~~87 . ~ . . , ,ene L. ,acobson, Mii . Reg. No. 7734 DR, 8Yl GDJ SCALE - 1~~= 3° o DENOTES IRON MON. BEARING5 ARE ASSUMED DATUM. PREPARED .FpR ; JAC0850N SURVEYORS Johnson C~~ns[ruc[inn~ Y. O. Bnx 24389 ~ Appl~~ v~ ~~~~y, ~ ssiz~ ~ , LAKEVILLE, MN 55044 PHONE - 469-4328 - ~ ~ ~ , ; ~ _ , , - - EXTERIOR ENVELOPE RVERAGE "U" COMPUTATION ~ . , ~ ~ ~ OWNER ~ ~-S~G• E _ - ~ . ~ : , . ~ 3= 'a.~ 0~.-'4 . ' ti ' _ . s SITE ADORE5S . . . : , ~ . _y , a . . . . . . . . . _ . . T. : . . ~ d . . . : . . . . . . . . ~ _ : " ' . . ~ . ~ . . . . . CDNTRACTOR M,W, ~OHi,?~(~?~ ST DATE -5-7_~`~ PHONE ~ - _ . . _ . , . - . , ~ Determine working square footage of each. ; 1. Total exposed wa11 area 25~~,~Z ~sq. ft. x•1L •~.58~ 2. Tota1 roofJceilin area ZI~`~ sq. ft. x•026~ ~ g Total exposed wall ared above flaor = 2Z0 (o,~ a. 7ota1 wall window area '3'31, $ b. Total doar area ~ ' c. Total sliding giass door area . d: Total fireplace wall area _ ~ e, Total wall framing area (average 10%)...:......•. 14 Q---~-~.p f. Total net wall area above floor . ,44 _ • g. Total rim JQist area ?.~p Total exposed foundation area = I3~,3Z , h. Total foundation window area i, Toal net foundation area abvve arada ~'S'L - Deterr.iine "U" value of eacn wail see:,:_nt. • a. 331 ~ , 3Z = it~le~12 5'~ X , ~3q = '7,5 - 15 y X„~„ , s d. ~ X ~ e., Lols ~ x~~u~~ , 0910 = 15~ f. ~y 9y~ q~f x,.~„ ,n~t = ~04,~1 g, Zp "Z g~~~~~ , 04 ~ ~ ~'L. h. X ~ _ 133,3'L x °u~~ ,b82 = Ib~ 3 . . . . . . : . . . . . . . . . . . .~•WJ ~ ~ ~.Z. . .Total = z ~s1.~~~-T If item n3 is the same as. or less than item ~1, you have met the intent of SBC 6DC5(c}2. .f:_• ' . . . ~ , ' : ~ . ' . • 1 . - ~ ~ ' . . ~ . ' ' ' . . ~ , ' Total exposed roof/ceiling area ZIOy Total gross roof/ceiling area = ZIO`~ j. Total skylight area , - k. 7ota1 roof/ceiling framing area 2 I d~ 1. Total net insulated roof/ceiling area....~... ~ Determine "tl" value for each roof/ceilinq segment. . . X ~ . j, k: . ~~~~,y X = S•,p~ I~-I~~W X uUn ~ l.~a . ~ 4 ...................Z~ Q ~.........TOtd~ ° , If total of #4 is the same as, or less than fl2, you have met the intent af SBC G006(c)i. . . To utilized the total envelope system method, the values.established by the sum of items #3 and p4 shall not be greater than the sum of itens B1 and ~2. . i. Z~19 ,5A~ 2• ~Sy,9 a 334~, 28 3. Z.~~~'L1 + 4. 'l~o~~g = 3Z7~~~ MATERIALS Tharm. Resistance "R'~ Pxterior Air Slding Material ~y S SheathiT~g Z~/.~~t'~Ir - Insulatiott l_\ SheetzoCk ~4 S Interiox dir 5tude l°,5~ . Rim 1, S$ Conc. Blks. ~~ZA . ~ . C I T Y O F E A G A N PAYMRntf OF FF~ AT 'I'IME OF * * APPLICATION DOFS NOT ~I1S'PINIE * ,*t APPROVAL OF PII2f~IIT. s APPLICATION FOR PERMIT * * : IN5PF7C.TION OF SE~It ADID/~2 Fm~t * a r.ramrONS WII.L NOT HE S(~~ * SEWER AND/OR WATER CONNECTION P~T * . * * ~ r APPROVID. - - - - " * r r ~ r * r . . *****+#*,r**x*+*t+~+r++.,~,~::+:*~:::,r+:+: P e'ase Print T~QSS ~~1) PROPERTY ADDRESS: ~~~JJ V~l~~~,:~j~, LEGAL DESCRIPTION: LOT ~ BLOCK 3 j~'y-Fj.¢t~ ~ j,e~ " Lot Block Subdivision or Tax Parcel ID ) IF EXZSTING SIRL'CIVRE, DATE OF ORIGZNAL B[,'ILDING'pERMIT ISSL'ANCE: ' (Mon Year) - PRFSEPTP 7ANING/PROPOSID L'SE: ~ COD'P7ERCIAL/RfiTAIL/OFFICE I~R-1 SINGLE FAMILY . Q IbIDC'STRIAL Q R-2 DL'PLEX (74,o C~nits) ~ INSTI79TIONAL/GOVII2I~A~.NP ~ R-3 'IC)WNHOLSE (Three + Units) ( Units) ' Q R-4 APARTT~IT/CObIDOMIDTICT7 ( Units) 2) ~ NA[•'lE; M. W. ,TOHNSON CONSTRUCTION pppg~S: P. 0. BOX 24389 CITY, STATE, ZIP: Apple Valley9 MN 55124 PHONE: 432-6838 3) ' U~''~' NPME; Genz-Ryan Pl~bing and Heatin Co, For City Ose . g Plumbers License: ADDRFSS: 14745 South Robert Trail Q F+ctive I~I~ F~cpired CITY, STATE, ZIP: Rosemaunt~ MN 55068 ~_1 Not recorded PHONE: 423-1144 MASTER LI(a7SE# 1849M St Initial 4) rsu • ~ i~+- [~NIE: ADDRFSS: , CITY, STATE, ZZP: PHONE: . 5) I,~ en i ~ m: ~ ~-~y-yra~ ' X~C CONNECrION T0 CITY SE,WII2 ~ ~pNNDCTION ?U CITY WATER ~ O'I'Hgt ' 6) ~ u a c- e r ~ PLF.A.SE HOLD APPROVFD PERMIT FOR PICK-C~P BY ONE OF ABOVE ~ PLEF~SE APPROVID PERMIT TO 1, 2, 3~ 4, ' (Circle one) 7) a,. u•• ~:u. d"~ . - ~ ~ ~ ~•i- w ~ n : r. eo ~ ia~ r c~• ~ • av i i~: ' • r ~ ~ ~ ~ ~~..~x ~~~::6:1.•.Hi1 i ~~:•a-: ~ s•.-...ii ~-•e~.~ . . FOR CITY USE ONLY ~ ~ ~ PERMIT # ISSC~ED Pd w/Bldg. Permit FEES: L~ S $ ~O 5 SEWER PERMIT (INCLUDE SORCHARGE) S $ ~ l~ s O WATER PERMIT (INCLDDE SL~RCHARGE) ~ $ lo ~ ~Z, $ WATER METER/COPPERHORN/OL'TSIDE READER S $ WATER TAP (INCLL~DE CORPORATION STOP) S S SEWER TAP ~ S ~ s~~ ACCOC~NT DEPOSIT - SEWER $ $ / S ACCOL~NT DEPOSIT - WATER $ ~7 ~ S $ • WAC $ li~.~ S ~ U $ SAC S $ TRL'NK WATER A$SSSSMENT S $ ~ TRL'NK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRONK SEWER $ $ LATERAL BENEFIT/TRL~NK WATER S ~ D D C~~, $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: , $ 7 v U $ J I TOTAL RECEIPT ~ RECE PT 10E5 UTILITY CONNECTION REQUIRE EXCAVATION IN POBLIC RIGHT OF WAY? a YES IF YES, THEN A"PERMIT FOR WORK WITHIN PLBLIC ROADLVAY" MC~ST BE ISSL'ED BY THE ENGINEERING ~ ~ NO DIVISION. LIST AS A CONDITION. SL~BJECT TO THE FOLLOWING CpNDITI0N5: APPROVED BY: TITLE: DATE: - e For Office U 1 '� , :::: . A AN EC E l�t/E Date Received: Y' 3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 l (651)675-5675(TDD:(651)454-8535 I FAX:(651)67 FEB 1 3 2019 Staff: 1 buildincinsoections@cityofeagan.corn 1 2019 RESIDENTIAL BeiltDINO-PEikililIT APPLICATION Date: 2/13/i 9 Site Address: Li S 75• sad-a6 9Ass Unit#: Name: iffeir ' 16ClA Phone: 06-41W 44611 • I i Resident/ + , -7 _,t Owner Address/City I Zip: "t$ i Ya // /2Cl Applicant is: Owner Si)(iiK/Contractor / rl /1 E /l d J� Type Of work Description of work:cc e c,Xo t\les c\Oyra.\\ •\'h S.K\Ctc46.tN esS Scsk,1 t f‘a,r 4'52:60. o ° Construction Cost Multi-Family Building:(Yes /No ) Company:Ch tMtle tOCAX`S Contact: a TCUI,NA'O4 contractor Address: 1 .\ u)C- City: L.aJ'€..t t\ Q State:k ) Zip:SSC/44 Phone. 32•%%tg.5252 Email:Gcic PC c c,mt1•Cf>rri, License#: %.114-- Lead Certificate#: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plansend 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 a ld tit the City to conclude that aro trade straws. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaaan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.ctoaherstateonecalitorq 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. x 5ti3Roi1 ru,cv� x Applicant's Printed`Name iican gnnature �p g - . DO NOT WRITE BELOW THIS LINE 1.--/ ,7 5- SUB TYPES — ____ — Foundation Fireplace Porch(3-Season) Exterior Alteration(Single Family) _ /Single FamilyGarage 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 _4(Alteration — - _Fire Repair Windows Demolish Foundation — Replace Repair 'I Egress Window Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant _ DESCRIPTION Valuation 5-4?20 Occupancy / 1‘44 MCES System Plan Review Code Edition imiNi'3-12( SAC Units (25% 100% ) Zoning A k City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction V(5 Width REQUIRED INSPECTIONS Footings(New Building) _ _ Meter Size: _____ Footings(Deck) Final I C.O.Required Footings(Addition) Final I No C.O.Required _ Foundation Foundation Before Backfill )( HVAC Service Test Gas Line Air Test Hood Roof: Ice&Water Final Pool: Footings Air/Gas Tests Final Framing 30 Minutes 1 Hour Drain Tile Fireplace: Rough In Air Test Final Siding: Stucco Lath Stone Lath Brick EFIS Insulation — Windows ____. Sheathing Retaining Wall: Footings Backfill Final Sheetrock Radon Control Fire Walls Fire Suppression: Rough In Final _ _ Braced Walls Erosion Control ______ Shower Pan K Other: illi puts u, 14e 1-0 Reviewed By: ,Building Inspector RESIDENTIAL FEES Base Fee Surcharge l- NA - Plan Review (1 ()I MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge7– Treatment Plant 5 0 Radio Meter Read 1 Copies TOTAL • Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA157485 Date Issued:08/22/2019 Permit Category:ePermit Site Address: 4875 Safari Pass Lot:7 Block: 3 Addition: The Safari 3rd PID:10-75852-03-070 Use: Description: Sub Type:Fireplace Work Type:Gas Fireplace (new) Description:2 fireplaces Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - Antar C Salim 4875 Safari Pass Eagan MN 55122 Fireside Hearth & Home 2700 Fairview Ave N Roseville MN 55113 (651) 633-2561 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA157744 Date Issued:09/05/2019 Permit Category:ePermit Site Address: 4875 Safari Pass Lot:7 Block: 3 Addition: The Safari 3rd PID:10-75852-03-070 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener 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 - Antar C Salim 4875 Safari Pass Eagan MN 55122 Haferman Water Conditioning 12142 12th Ave. Burnsville MN 55337 (952) 894-4040 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA171432 Date Issued:08/16/2021 Permit Category:ePermit Site Address: 4875 Safari Pass Lot:7 Block: 3 Addition: The Safari 3rd PID:10-75852-03-070 Use: Description: Sub Type:Reroof Work Type:Replace Description:Includes Skylight Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the water damage. Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Antar C Salim 4875 Safari Pass Eagan MN 55122 Minnesota Restoration Contractors Inc 12252 Nicollet Ave Burnsville MN 55337 (952) 479-7131 Applicant/Permitee: Signature Issued By: Signature