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4878 Safari Pass , CITY OF EAGAN Nd 9Q51 • 3830 Pilot Knob Road, P.O. Box 21-189, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT R~ui~r # c'~%~ ~ / Te b~ w~d for i~' 134•: C;/~-,~'u: Est. Velue 1 1 6,{) 0~Da~e IN~Y 9 , 19 84 ~'ti7£3 ~AF~1~?Z PA`~ R3 Site Address Erett (~C Occupanq Lot Block 2 sec/sub. SAFAR I~: ~ Alter ? Zoning x Percel No. 6 5 8 5 0- 0 9 0- 0 2 Repoir ? F~re Zone y Enlorpe p Type of Const. V W Name BFST VALUE HOL~IES INC' Mova p # Stories z Addreas P•'~ . BOX 2~ 0 3$ pemollah ? Length ~ City ~PPLE VALphone 432-9b97 Grode ? Depth 56 Sq. Ft. SAMF Appro~als Fee~ ~ Name ~u A~~ /lssessment Permit ' ' s~ City Phone Woter ~ Sew. Surchorpe ~ U•~ U :F;::;~i:; i AI2CH SE1~V Polfce Plan check 236. Sfl F~u+„ Name , . ,J Firo S/1C 525. ~0 Address . . L - Enp. Woter Conn. 4 7 0. 0 0 ;W . City Phone p~o~~er Water Meter 63 . OU ' Countil Rood Unit ~ 6 ~ U I herrby ocknowied9a that I haw reod this opplication ond state that Bldp. Off. the ~nformolion is correct and agtee fo comply with oll upplicoble ~ .~jQ Stote of Minnesoto Statutes ond City of Eogan Ordinances. /,PC Total Slqnoture of Permittee A 8uilding Permit Is issued to: i31~,`,'1' Ci~,t~;?: ;~C~tii::i Z~wC express condit(on tha~ all work shall be dor?~ in occordo e with qll o licable Stcte of Minnesoto Statutes and City of Eaflan Ordinonces. BuHdlnp Officfal [ ' ~ ' , _ Permit No. Permit Holder Miac. Permit No. Holder Plumbing ~ ' 'T ~ ~ f ~ Y ~~Cln4cl~C ~21r ~ H.V.A.c. ~ ~I e ~r N c~ ~ r ~ -a ~ . ~6 y Well W~tsr D'~sp. Sawer Ew~?~~ p! 41r~ ~.etK ~'~2, l~~F Yv: Irupection Dat~ Insp. Other Footinpt Foundstion Frsming 7 Rouah Plbp. ~ - Rouph HVA - ~ ~ Inwlation Final Plbp. 'a- . 7~ 6~0-/ Final HVAC Final Water ~ocation: YYell , Sswer Pr. Disp. - / > > Receipt `r y~~~ ~ PLUMBING PERMIT Permit No. CITY OF EAGAN • ( / ! J ~ ~ ~ Frll in numbered spaces ~ S/C Type or Print legibly ~ S~ Tot. 1. Date ~ . ~i ~ ' ~ ~ ' 2. Installation Cost 3. Job Address ` ' ~ ' ~ ~ i ~ r ~ • JLot % Blk. ` Tract ~ ; 4. Owner / . 5. Contractor ~'~i~ sf~ ~ - P . - /f ~/P' / Phone ; ~ 6. Address ~ ' J ~ ~ 7. City ' • iU. /~f State / ~ ~ Zip Buiiding Type: Residential ~ Commercial O Institutional ? 9. Work Description: New ~ Add ? Alter ? Repair ~ 10. Describe 11. No. Fixtures No. Fixtures ~ Water Closet Cesspool/Drainfield ~ Bath tubs Septic Tank Lavatory Softner Shower We~~ • Kitchen 5ink Urinal/Bidet Other ' Laundry Tray ~ Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. ` ~ ~ Signed : , / ~,~.l~ ~ , , G-~ far Rouyh Final Inspections: Date Insp. bate Insp. This is your permit when numbered and approved. Approved CITY QF EAGAN 454-8100 Receipt / ~ ~ MECHANICAL PERMiT Permit No. CITY OF EAGAN - : , Fee Fi!! in numbered spaces S/C Type or Print legibly Tot. 1. Date i`~~ 2. Installation Cost ~ ~ , ,~i , r _ ~ . ~ . . , 3. Job Address •~r Lot 1 Blk.~ Tract r" 4. Owner % ~ ' ' ~ ~ ~c f ' . i : c . ff~r,r i fr ~GL ~ri~ / / 5. Contractor ~ Phone ~i' ' ~ . 6. Address . - / / ~,'~'~-Gir% % ~ 7. City ~ fi ~ ! State /<-i'~G' Zip ~ 8. Building Type: Residential ~ Commercial ? Institutional O 9. Work Description: New Q Add ? Alter ? Repair ? 10. Describe Fuel Type 11. No. Epuioment 8TU - M. Ea. No. Equiqment CFM ~ Forced Air Air Handling: Mfg. Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Flnal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 ? ~ CASH RECEIPT ~ ~ CITY 4F EAGAN ~ ~ P. O. BOX 21-199 EAGAN, MINNESOTA 55121 i ~ ' ~ATE ~ 19 RECEIVL~D ' ~ / FR~_ ' AMOUNT $ ~ i ' ~ _ ~ ~C l `i ~r c-,J ~ DOLLARS ~ee ? CASH Q CHECK I ~ - /7 Ro1~~Y %U ~ ~ F-~ ~'r~ ~ _ . i ~ ~ " FUND CODE AMOUNT .f . , J`_ ) ~ ~ ,~r ' . Tha ~ u ~ , ~ ; , ev ~ y ' • ' ?Nhite-Payers Copy Yellow-Posting Copy , Pink-Fila CoPY ti CASH RECEIPT . - . ` ~ CITY 4F EAGAN - P. 0. 80X 21-199 EAGAN, MINNESOTA 55121 ~ DATE ~ ~ 19 R¢C 61 V ED FROM AMOUNT $ I f dc DOLLARS ~oo ? GASH fl GHECK row i~- . FUNO CODE AMOUNT c~ a.?, - " -v . L'-~ c-l G~J 7/ ~ ~ ~v ~ . C,c~ j - i C~ Thank You BY , , _ ~ White-Payers Copy Yellow-Postin9 Copy Pink-File Copy CITY OF EAGAN Remarks Addition SAFARI ESTATES ~ot 9 B~k 2 Parcel #10 65850 09Q 02 Owner- ` - ~ ~~Street -f+g~8 Safari Pass scace 1953 Safari Trail Improvement Date Amount Annual Years Payment Receipt ~ate STREET SURF. (p > 1982 1037.54 103.75 10 22 . 54 A015 05 5 STREETRESTOR. 1}$2 ],rj46.63 309. ~ 3d •3~ GRADING 1982 603.03 60.30 10 3 l. 3 " SAN SEW TRUNK ~ ~ 5~ Q~ O. ~j " ; SEWER LATERAL ~ O l~ . ~j+ 1 WATERMAIN • WATER LATERAL 1 S2 WATER AREA 8 ~F 1. 6~ . ~j " f 1 ~ STORM SEW TRK (f ' 1$2 8~. 1 1 3• 38 5 1 STOFM SEW LAT 1 82 5 CURB & GUTTER SIDEWALK STREET LIGHT ROAD UNIT 260.00 ~~43111 5-9-84 WATER CONN. 470.00 " " BUILDING PER. 9OS1 s,ac 525.00 " " PARK CITY OF EAGAN SEIIVER SERVICE PERIWT 3830 Pilot Knob Rosd iGyE, P, O. Eox 21199 PERMIT NO.: - Eagan, MN 551~a 1 ~~~p; 1 No. of Units: ~~r: Beat a ue Flcmies Address: S~~ 3a ari Pass L9 B2 Safari Estat~s Plurt~er: Laren Brown lb~ _ . t~ I.oe.. ~e ee~.~y? willi LL. uhr ef Ee~e. Conrnetta, o+o~+p.: 425 . 00 pd a~~... ,~oo~,M oe~: r~-~a-~-- P.~t , , . su~dwrqe: gy Misc. Gwross: Date of 1 nsp.: Total: DoN Pioid: CITY OF EAGAN WATER SERVICE PERMIT 3830 Pi~ot Knob Road - . , P. O. ^~x 2t 199 PERMIT NO.: ~ Eagan, MN 55121 DATE: 5~- 3~~~3f` Zoninp: I`1 No. of Units: ~~r: F~est Value Home~s Addrosr. Site /~ddress: ~878 Safari Paea L9 B2 Safari Estates Plumber• taoren 3rowr, Plb~. Meter No.: C~~~~ ~arge: 470.40 pd s~=~: ~~t ~~~t. i s. ao pa Reader No.: Pertnit Fee: l;i 10.00 pd 1~grN eo ~oaPlq wNl~ tM Clhr of la4nn Surc~orfle: . 57 pd Or~iMn~. M~~, ~~ye~; 63.00 pd meter Total: gy Dote Paid: Date of Insp.: In:p.: ~ CITY OF EAGAN WATER S~IICE PERMR 3830 Pilot Knob Road p~~T NO.: 5507 P. O. Box 71199 5-30-$4 Esgan, MN 55~1 i 7 ~T~' 1 , Zoninp: No. of Units: a,,,,,r Best Value Homes , ~ 4878 Safari Pass L9 B2 Safari Estates ~~ih Add?ess: ~~r. Loren Brown Plbg er No.: 3 N.,Z. a~ 0 7 3 Ca+nectwn Cha?fle: 470.00 ud ssu: " i4°•.~• Acoow+r Depostt: 15.00 pd Readsr No.: o N~- 3 I Pam,it Fee: ~ 10.04 pd I.~w ~e eo~rh? ~IK ~i. Su~~ . SO pd ~iM~ M~~ q,o~; 63.00 ud mete~ , Y ~ ~ Totol: B ~ ~~f~ Dote Poid: Date of Insp.: rn~s ea~es~ ~o~e 4 Z lo rv ~P~ZI ~~6~ 1B mppnths fmm 1 p s c 1 I'J ~ ~ 0. ~.-r r ~ . 7 D Requast Date Fire No. flo -i~lnsoer.tion ...~~yyy I~, / flequired? ~fleady Now~Will Notify InsOec- 7 Yes ?NO [or When Ready qLicensotl Elecfrical ConVacto~ 1 heraby reques[inspection ot ebove ? Owner electrieel work instelleA at Street AdA~ess, Box or Route No. CitY 4~~' SF~~~. ,~~9-f~ H-~.~~ zcuun o. ownship Name or No. Range No. County Q ~ OccugantlPqlNTI Phone No. )E~:~ ~ ~uL i3a.~.eJ Power Supplier p AAtlress ? ~ . O ~L}' L~ /~LG~.P'• ~ ~LJ'J9! <1 ~ ~ Elechical Contracmr ICOmpany Namel Contraaor's License No. t-'~~~:.JOaI ~/e.r: ~ ~ ~r/~ ~ z Mailine A~~dress (Contracto£or Owner MakinA ~nstailatioN ~.3. - v ~ ~l . lJ~ll ~-~i2 Auffiorized'Si nature ICOnvecm~ Own r MnkinB ~nstallation) Phone Numtier . ~ ~~a-y~ ~ z, MINNESOTA STATE BOAND OF ELECTRICITY TM~S INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - fioom N-797 gE ACCEPTEO BV THE STqTE BOAND 1821 UnivarsitY Ave., St Peul, MN 65104 UNLESS PNOPEP INSPECTION FEE IS Phone ~612~ 28]_21t1 _ _ ENCLOSEDy . REQUEST F~H ELECTRICAL INSPECTION EB-00001-0-0 ~Ez4y ~ ~~Zi (gY Seo inshuctions br comDleH`g this form-o~o1 Yellow copy. ~ ""X" Below Work Covered by This Request AAtl Bep. TyOe of BuildinB AaO~iancas Wirad Equipment Wired Home Range Temporary Service Duplex Water Heater Lightiny Fixtures Apt. BuilAing Dryer Electric Heatin Commercial Bldg. Fumace Silo Unloader Industrial Bldy. Air Conditioner Bulk Milk Tdnk Farm ome~ ucurv mer Isuoclrv) t er 1 pocify ther Othe~ ompute Inspection Fee Below ~ N Fee ServiceEnhanceSite H Fee Feaders~Subfeeders # Fee Circui~s ' .u'+~' U to 200 qm s ~i7. U 0 to 30 qm s 0 to 30 Am s Above 200 qm ~s , /p cw 37 to 100 Amps 31 to 100 Am Swimmin Pool Above 100-Am s Above 700-Am 5 Transformer5 ~rrigation Booms , j~V Partial%Other Fee Signs Special Inspection 5 TOT EF pemark5 . `T,~ ~~rt. floue~-in r Dace ~ ,the E cal ~'J~~ Insoactoq hereby ~ erlifV ~hat the above Final inspaction has been ~ mede. w ihie reQUeat voitl 18 montM fmm~ ~ ~ ' CITY OF EAGAN ~T 9051 . ~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 lr O PHONE: 454-8100 BUILDING PERMIT Receipt # `Te M wad {er SF DWG/GAR Volue $ 116. OOO~fe MAY 9 , 19 84 4878 SAFARI PASS R3 Site Address Erect ~ Occuponcy Lot 9 Block 2 Sec/sub. SAFARI EST qirer R1 10-65850-090-02 ~ Z~~~~ N/A Percel No. Repoir ? Fire Zone Enlarge ? Type oF Const. V c Neme BEST VALUE HOMES INC Move ? # Stories Z Address P-O. BOX 24038 pemolish ? Length ~ City APPLE VAL phone 432-9697 Grade ? Depth `-~6 Sq. Ft._ Approrals ~ F•es o Neme S`~21E Address Auessment- ~ Permit +S 473.00 Water 8 Sew. Surcharga 58• 0~ City Phone GW FEEHAN'S ARCH SERV Police P~an check 236.50 Ww ~ Name Fire SAC SZS_~~ Addres GLAZIER En WaterConn, 470 00 ~W City ~ E V Phone 31-6'~60 pl nner WoterMeter 6?-00 Council Road Unit ~~+n - nQ 1 hereby acknowledge that I hova read this opD~icution and stote that g~d9~ Off. the informotion is carrect and agree to comply with oll oppiicnble AP~ Totol +S2 • 085. 5~ State of Minnesota Stotuies und City of Eogan Ordinances. ~ Sipnoture of Permittea A Building Permit Is issued to: BEST VALIJE HOMES INC on the express condition thn~ all work sholl be done in occorda e with I~I~appy ~li le ote of Minnesota Statutes ond Ciry of Eaqan Ordinonces. BWldiny Officiol "~^-'C ~~~ti/ CITY USE ONLY PERMIT / 9 7~~ RECEIPT DATE: 8008 i~SIDSPTI~kL M$CfilklVlClkL ~P~tMIT ~k~P~PLIC~TiON aN oP $xer~x S$SO ~II.OT KAOB $D f~k6AA 311Y 551 EE ssi-se~-~e~s Please complete for: ? single family dwellings O~_ ~j ~ 0 IJ ~ D townhomes and condos when pertnits are required for each unit APR 0 3 2002 Date: / ~ ~ ~ ~ a By SITE ADDRESS: ~ O~ O S~~~ f~ S S OWNER NAME: TELEPHONE ~J r--~, INSTALLER NAME: 7 ~~f' ~ TELEPHONE ~_~J~J`~-7~7 Z STREETADDRESS: ~~23 ~ ~ ~^Su ~~G,/r~ CITY: r~^J ~ t ~c- STATE: ~ ZiP: J~ ~ 3~ Place a check mark next to the permit work type Add-on, modification or tion to existina dwelling unit $ 30.00 urnac I • air exc anger • air conditioner • other Nature of work: State Surchar e $ .50 Total $ JC/ ~ Sd ~ N OF ERMITTEE t/02 CITY USE ONLY PERMIT RECEIPT DATE: APPROVED BY: , INSPECTOR EOOE CObIM£~CIi4L bI~C~ERIC~l1. ~E~iMIT 1k~P~L1ClETiON CITY oi' ~ES~k1V 3$30 ~ILOT KNOB ~D ~ts~v,l~uv 55i sE 651-6$I-4675 Please complete for: all commercial/industrial huildings multi-family buildings when separate permits are not required for each dwelling unit DATE: SITE ADDRESS: OWNER NAME: PHONE TENANT NAME (IMPROVEMENTS ONLl~: WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: STREET ADDRESS: CITY: STATE: ZII': TELEPHONE WORK TYPE: New conshvction Install U.G. Tank _ Interior Improvement _ Remove U.G. Tank _ Ptocessed Piping SpecifyNatute of Work: When installing/removing underground tank, call 651-681-4675 for inspeclion by Fire Marshal and Plumbing inspector. Fees: 1% of contract price OR $50.00 minimum fee, wlilchever is greater. Underground tank removaVinstallation = minimnm fee Conhactprice: $ x 1%= $ (Base Fee) State surcharge calculate at $.50 for each $1,000 Base Fee TOTAL $ SIGNATURE OF PERMITTEE Updated 1/02 RESIDENTIAL t~,c~ ' ~ ~ BUILDING PERMIT APPLICATION CITY OF EAGAN ~ ~ O - ~ ~ 3830 PILOT KNOB RD - 55122 651•681-4675 "7J - - ~ Naw Conatruction ReouiremeMS RemodeVReoair ReouiremeMs • 3 registered stte surveys showirg sq. N. of lol, sq. R. of howe; and ~II roofed areas • 2 coples of plan (20%ma~dmum bt coveraye alloned) • 1 set of Energy Calculations for healed addiGons . 2 copies of plan showing 6eam & winlax sizes; poured fouM design, etc.) • 7 site survey for extedor additia~s & decks • 1 set of Ene~gy Calculatbre • Indrcate'rf hane served 6y septk system (or additbns • 3 copies of Tree Preservation Plan'rf bt plaGed after 1/1/93 • Rim Joist Defail Optlans seledion sheet (hidgs witli 3 or less units) DATE 3~ VALUATION JOB SITE ADDRESS ~578 SA~~4~1 ~RSS ~~,4~v m~ IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER TYPE OF WORK~T, l~E~vY~~~N rAS CrN6s a F,.a~~~MC,<~- FIREPLACE(S) _ 0_ 1 ?2 APPLICANT CRe-wriv~ /~i~~s~w~ Z^~G PHONEiII ~)~3Co - 9333 ADDRESS /~a? (~l ~'~a~+rvir~r ?,vokcUa~ (ja,<,,.rv~c.i~, ZIPCODE SS337 PAGER # CELL PHONE # f~~a -~?a - 4~ 9"~ FAX # NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULFS 7670 CATEGORY 1 (check one) - Residential Ventila6on Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: Phone Plumbing System Includes: _ Water Softener Lawn Sprinkler Fee: $90.00 _ Water Heater _ No. of R.I. Baths _ No. of Baths Mechanical Contractor. Phone # Mechanical System Includes: _ Air Conditioning _ Heat Recovery System ~ ~ ~ ~ ~ ~ ~ Sewer/Water Contractor. Phone # . MAR 0 7 All above information must be submitted prior to processing of application. By I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. o Stgnature of Applfcant Certificates of Survey Received _ Tree Preservation Plan Received _ Not Req ed _ Updated 2002 OFFICE USE ONLY ~ 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF O 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-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 ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement *Demalition (Entire Bldg only) • Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings(new bldg) FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ Plumbing _ Foundation HVAC _ Drain Tile p~~ Roof _ Ice & Water _ Final _ Pool Ftgs Air/Gas Tests Final _ F~anvnS _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total ~ ~ ~ ~ ~ - , z~a~ ~ ~'3~' j CITY OF EAGAN / ~ ~ APPLICATION FOR PERP4IT - SE~dER AND/OR WATER CONNECTIODI (PLE,iSE P9IHTJ 1) P..T~C)P~cPY ApDRx'SS: ' ' ~ J ' rFr`,~. DESG~I°TiC;I: ~t~ (L~c/Block/Subd~vision or Tac Parcel I.D. ~LUr.~,er) Y..~'..Si=.~=.C ~T:t:CP':Cu~ D?aT G= ~RZrii.v'~L .:UTi.~T.':Ci F:.=_'1m T~~~,~iv`"i=: ~ F.._...~~~ 11 ~.r/=.'~.C~CJ l~J.=.: ~ ~~1 SL! a~li. ~ " ~ ` = J_.i_~T V CI R-2 DUPLEi {'IL•:0 ~i~IITS ) ? R-3 T(7.v1iII-ICC:S~ (TtLRF"' + L~]I;S) ( Wi I':'~) ? R-4 ApART.'x'`.":/CC`~Ci~L;IL:I ( V~iIi~i ? C.Z,^~~CI.~L,i^2i ETr3IL?OFFIC:j ? I'i~liS~,I,~L Q P.STI'I'u'TIC:VAL/G;~~~n~1*^ 2) i,PPISC ~iP IPLE;.SE PRIYi) • NA~~~: Y ` ~/GN ADDRESS: ~ s ~ CTT:~ J~.'~a~r 7iZi: CL r" Pxe~: - ~ f' 3) PL:.:1Bg? p c'SE PHlNI) - FOR CITY l1SE OV~Y ~ _r~i ' ~ ADD „S• " " PLLH RS LICE,4SE: ~ % I Active CITY, STATE~ ZIP: ~ ~~~~-~y~,~y ° ~ Expired %HJIC~ ~ PHO~IE~~~-- ~j~~~ PLUMBEA LICENSE d~~/G_h~' ~ N~ co C~` arr ini[ia 4) OCC1JPa~~~~;~Tt,c...-.~ ~ (pLEASE PRIN~) t~u~r~: ~B s~ T ' ~T! ~ ADDRESS: ~ CITY, STATE, ZIP: PHo`Ie: 5) INpIC TG WHICIi PER'•SIT IS BEI.:G RD~UESTID: ~ l.l'Iy,LA...i+o~ 1V l..Tll ~~i'LL< ~ CC:LVECiIG.7 TO CITY [JATETt ? ClI':'.~t (PLEI~E DE„C?SHE) 6) L`:DIC, ~ C:W: ?~~E F:OID APP~,~ PER~•tIT FOR PICi:-UP BY ONE OF e'1BWE ?°_T.EaSE ti*'.rliL APPROI,r.~.-il PEI'~•LIT 'it7 1~ 2, 3, 4~'1B0~,7t (Circl one) 7) SI~~„[." • ? ~2-~ DATE: ~-r Q ' _ ~~lq:~la!#i~ i~l ~l~~~a f! falt~~~.aa ~ o s~:ss:a:~ ~~l~FS:ry~ f~ a~ !!~i!~t~taal• e F 0 R C I T Y U S E O N L Y PER~tIT ISSUED F°~S : $ i G. o~-' a S°i'. nro~iT i ~ ~~IC~..,..._ Sii~C~": G~ i $ /~s. v n WATE~ PER2~'lIT (ZNCLUDE SURCI:ARGE) S l~°"~ WATER METER/COPPERHORN/OUTSI~~ RE;GE3 S WATi~ T~IP (INCi,~D~ C0~?OR~;~Ct S~C2) S S~:'~~~ T=.~ ~ $ '4-~' ACCOUNT GEPOSIT - SE:?ER S i S<- ~ ACCOUNT DEPOSI: - WA~°_?2 S _ o -d wAC ~ -~i ~.x'd~.~ G~-ci Sc'iC $ TRU:;E~ ?PAT~~ ASSESS.-IE~IT S TRII;]S S~.;vER ASSESSi•lENT S LA^1EP.AL BE:±EFZT/TRUVK SE?~:ER S LATERAL BE^;EFIT/TRUNn WATER S OTHER $ TOTAL $ id `J'Z/ A~IOUNT PAID/RECE:PT ; ~~O ~ DOES UTILIT'1 CONNECTION REQUZRE EXCAVATION IN PUBLIC RIGHT OF WAY? G YES IF YES, THEN A"'PERMIT FOR WORK SJITHIN ~ PUBLIC ROAD4iAY" MUST BE ISSUED SY THE ~ NO ENGINEERIDIG DIVISION. LIST AS A CONDI- TION. SUIIJECT TO TFiE FOLLO:~7IDIG CONDITIONS: APPROVED BY: E~ TZTLE: ~ G-~-~ ~ DAT°: ~-~~'n-- ~e~-~~as~i~~~~~c~~~~~+w~wawwf+wawt+r~~r~r~aawt~~~i+~++~c~wwww~ PERMIT# ~"i ~ ~ ( ~ RECEIPTDATE: 3- U 8008 ~SID~NTIlkL i'LUM$INfi ~P~~ibI1T ~'~L1C~cTIOA ~(Q,t~~ ~ oZ ~ 3`') ~0 saso u.~or u o~s ~tn ~A6AF, bl1V g51EE 657-8$7-4675 Please complete for: single family dwellings, townhomes and condos when permits are required for each unit, backflow preventer for irrigaGon system SITE ADDRESS: r v ~ r ~ I 55 OWNER NAME: : TELEPHONE (AREA CODE) INSTALLER NAME~ L ~~~Z I~^ ~ 7 i J~ TELEPHONE SS Z~~ c~ i D STREETADDRESS: Z Z~ O~ Q ~ N~~ Y' 1 ('~E'0'CODE)~ Z t.~Y1 ~(Q3,~~(L~ CITY: ~ I I~'~ STATE: ~1 ~ ZIP: S~d y _ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00 includes $40.00 County fee Note: Additional consultant fees may apply • MODIFICATIONIALTERATION TO EXISTING DWELLING UNIT, INCLUDING: _ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00 _ Abandonment of septic system. _ Water tumaround - existing dwelling unit 5/8" meter if needed -$118) _ Other: 5~S ~ ` 1~-e:~`~. V _ RPZ: new installation/repaidrebuild $ 30.00 _ lawn irrigation system ReplacemenVadditional: _ water softener ~water heater $ 15.00 State Surcharge D~(~n f2 ~ M f~ $ .50 l~ ~G U LS MAR 2 8 2002 33 . 5(~ Total I hereby acknowledge that I have read this applicaUon, state thatthe informatlon is correct, an B e- comp Cityof Eagan ordinances. It is the applicanPS responsibility to notify the property owner thatthe Ciry of Eagan assumes n iabilityfor any damages caused by the Ciry during its normal operational and malntenance activitles to the fadlities consWcted under this permi Ci property/ri way/e ment. SIGNATURE OF PERMITTEE 1/02 ~ Feehan's ~ architectural s~~-5253 ~~rvices EXTERIOR ENVELOPE AVERAGE "U" COI~iPUTATION OS4NER~~ <~(/~i l~ c'~~a i~.. r, ~••r c SITE ADDRESS ~ 7~ r~- CONTRACTOR~~j~( V/1W~ ~~'J DATE-1 3$ PHONE ~}'3Z L I 1 DETERMINE WORKING SQ. FOOTAGE 1. Total exposed wall area.....415~~`~" sq. Yt. x .17 =~ce~,-I~ 2. Total rooi / ceilinq area... IIoL sq. ft. x- .05 m °,5 '3 3. Total floor/cant. area.... - s4• ~t. x _ To'f'a~ E~('~~v Y~a~~. AR~~b ,c~t~/~ ~te. ~13~, 3 a. Total wall window area.. '3 Fo b. Total door area.... '1's, c. Total sliding glass~door area d. Total fireplace.wall area - e. Total wall Yraming area (average 10~)..... ~2-~F3 f. Total net wall area above floor........... I.f~?'L•~ g. Total rim ~oist area 3c~~ -rorA.~- ~~?~on-~a~ o~aa. ~ , h. Total Poundation window area...... 1. Total net Poundation area above grade...... ~S~ c~ Determine "U" value of each wall segment a. ~~o x ~~U~~ ,4/~5 a '~~~o b. '13~ x ~~u~~ -T~ ° c. X ~~U~~ e ~ d. r x~~U,~ ~ n ~ e. 2 •~S x ~~u~~ - a ~ ~ i X nU~~ ~~~`~a . g. ~..7CI~~ J( 11Tttf ~OC.JJ a V ~ h. 2~4 x "U" ~S- = 3 i. 1 6~ la x~~U~~ ~i Total ~}~jc'J ~ v . If item #3 is the same as, or less than #1, you have met the intent oi SBC 6006(c)2. . ~ , • ' . ~ Feehan's ~ architectural 5u-5253 ~ services 5. Total exposed roof / ceiling area ~1 Total skylight area.. . k. Total flat rooi/clg. Preming area............ 1. Total net insulation flat roo4/clg. area...... m. Total vault roof/clg, iraming nrea............ n. Total net insulated vault roof/clg. area...... Determine "U" value for each roof/clq. segment ~ ~ . X 11U11 a IC. l?~X r~Ut~ 2~ e ~ aJ 1. x "U" Z = 33.11 m, x "U" _ A. X nUn ° 5 Tota1 3b,'L1 If total oi #5 is the same as, of less than ~2, qou have met the intent of SBC 6006(c)1.~ 8. Total exposed iloor cant. area o. Total Yloor/cant. framing area (average S0,°o).. p. Total net insulated floor/cant, area.......... Determine "U" value 4or each Ploor/cant. segment o. x "U" _ , P X ~~U~~ a 6 Total IP total oi #6 is the same as, or less than #3 qou have met the intent oP SBC 6006(c)3. ALTERNATE BUILDING.ENVELOPE DESIGN To utilize the total envelope system method, the values established by the eum oP items #4, #5, #6 ahall not be~ greater.than the sum oi items lti, #2, and ii3. 1. 2. 3. n -4. 5. 6. a Prepared by Date , 771RU ST(JD ' ~Int. Air .6j3 THRU. INB. ~Int. Air .68 S,R, & Siding 3,R. ,95 w/ S.R, & Sidin~ S.R. ,~95 Stud 9.'~ Ins. /3. ~ '2s/.3z"eu/<j.eiT,E ,ExT shtg. 8 °G ~.32" BU/LT'.2/j.~ ,eYr Shtg. ~j~ C~Pliffi~i~N /[/T C~ T/r`~/f /dT ~Ti~CO Sidinp .27 S~GGO 8iding / Ext. Air .17 Ext. Air .17 - i I zu ~ Tatel ,~R~~ _/3. 98 j. T,tal ,rR,i _ 22. G3 • 1/R a '~U" _ .07~ ~ 1/R = "U" = e6~ THRiJ CEILING Int. Air .68 THRU CEI;SNG Int. Aia .69 MEMBER S,R, ,~g IN3ULATI~I B,R, .~g „ C1P. Member q'~ Ins. ' 38- o Ina. ' ~ 9Z / c~~~~A~ ~ ~ Still Air . . 1 Still Air .61 T~tal "R" _ .9,~: 87 T..t~ ngn ~ 39,f4 1/R ~ nUn ~ sOzz ~ ' - . 1/R = "U" = eD~(o ~ THRtJ CONC. SIX. Int, pir .6`~ THRU RIM JOIST Int, pir .6a C.S. ~ 28 Ins. /3 ° ~ Ins. (Opt.) 5 7 1~" W~~d 1.~?9 Ext. Air ' .17 ~32 ~ AUaT,ei~ 8htg. ~ ~ 3,R. (Opt.) SidinF~ •~7 _ 31din~ (Opt.) ~ Ext. Air :17 :.F,. . ~ i . . ~ T~tel ,rR,r e T~tdl "Rn ~ ~3 ~i - ~ . 1/R ~ nUn = ./3 ~I 1/R = nUn - e~~ . a . i ~A ~ . . ~ ~ .e:': . ~T ~I ~yJ, ._y,_~~~/~'~~~/~ . CITY OF EAGAN Incl~e 2 sets of plans, ~ G~0 v°~~ ~ j~ ~ ,O 1 Gertif icate of Survey ' ~ ~^//v s BUILDIlQG PERMIT APPLICATION 1 set cf energy calculations. 7.br Be Used Fbr ~c / Valuation 4~ Date S-/- Site Address `I ~ ~ 5~~~ ~r ~f~ S S OFFICE USE ONLY ` rAt BlOCk SeC./Sub. .SA~i1A~ ~',i:~~<,EYect x OCCUpdnCy ~,3 Parc~l ~ 10 - ~ 5~ b - U~/() -0 Alter zoninq - / REpair Fire Zone Owner: ~~Pt~ (irs~ t ~ ~~le _ of Const. Move # Stories Address: ~v./~„~~,~ v3~ ~iolish Front O ft. , City/Zip Code: / /e /7~ Grade Depth S o ft. ' Phone L/S~- G~ ~ / APPROVAIS ~S ~ Contractor: ~e~ in ~ ~r, h~ ~_c Assessments Permit 5~ 1~3 I ~aater/Sewer Surcharge s $ ~ Address: Po7i~ Plan Check ~`3 ~ City/Zip Cocle: ~ Fire SAC .~t 5' Eng. Water Conn. O Phor~ Planner Water Meter (03 r Council Road Unit a/ O Arch./EY1g.: /~~c~ ~aw i l~.p c`t f-'p~r„ Bldg. O£f. i~ r AC3CZL255: /S~~ / G~H~-<,~ '~i~/ A~ CitY/Z.ip Code: f~ / fi 7+O~PAL ~ i~ o S• J! b Phone # : y / C~ G < I _ ~ ~ ~+~~6 ~ 1/~ ~s 9' ~y ~y~ ~a ~ 3,6 I~ ~ ~ 3 I ~ y3 3 47j o_+ YO oc~ ~ 25~ s~. y~ >zs4uc.~ , 476^~^_r 5i•;:0+ "e6C 2085^SCv I RESIDENTIAL BUILDING PERMIT APPLICATION ~ ~ i' ~ CITY OF EAGAN ;'i I,~ I v 3830 PILOT KNOB RD - 55122 ~ ~ 2 ~ O 651-881-4675 ~ h ~ 'r,., ~ NewConatructionR~uiremenb RemodeVReoeirReauiremanh~ v~p~~~_ • 3 registered sde surveys showing sq. R of lot, sq. ft. of Muse; a'M ap roofed areas • 2 copies of plan ~ (20% maximum lot coverage allawed) • i set of Ene~gy Calalations tor heated additions ~ • 2 copies of plan ahowing 6eam & window sizes; poumd found despn, etc.) . 1 s@e survey far exterirn additia~ & decks . 1 set af Errergy Calculatiore • IMicele if Mme served hy septic system far add'Nor~s • 3 copies of Tree Preservation Plan'rf bt platted aRer 7J1193 . R(m Joisl Detaa Options selection sheet (bldgs with 3 a less unBS) DATE ~v ~ -I ~ ~ ~-p VALUATION ~h L7 ~ JOB SITE ADDRESS Y U~ S' cl ~~2/ ~/-~f IF MULTI-PAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER ~~~c~c ~l LC/~UC~c TYPE OF WORK 2~ 3z~ FIREPLACE(S) _ 0_ 1~ 2 APPLICANT ONL'C ~ PHONE#~,T~-LI~.I ADDRESS 6 G!C a%7 ~f D U ZIPCODE~ PAGER # CELL PHONE # - -7~ FAX # ~fa-~~~-(af/ NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNE50TA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Su6mitted - Energy Envelope Calculations Submitted _ MINNE50TA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor. Phone Plumbing 3ystem Includes: _ Water SoFtener _ Lawn Sprinkler Fee: $90.00 _ Water Heater _ No. of R.I. Baths _ No. of Baths Mechanical Conhactor. Phone # Mechanical System Includes: _ Air Conditioning Fee: $70.00 _ Heat Recovery System Sewer/Water Conhactor. Phone # All above information must 6e su6mitted prior to processing af application. I hereby acknowledge that 1 have read this application, state that the info tion is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordin s. Stgnature of ApplicaM Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ ~ Updated 20D2 OFFICE USE ONLY 01 Foundation ? 07 05-ptex ? 13 76-piex ? 20 Poal ? 30 Accessory Bldg p~ 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Parch (3-sea.) ? 31 6ct. Ak - Multi 03 01 of _ ptex ? 09 07-plex ? 17 Garage ? 22 Parch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex O 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS D3-plex ? 17 10-plex ? 19 Lower Levei ? 24 Stortn Damage ? 06 04plex ? 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 ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 48 Windows/Doors ? 34 Replacement *Demolidon (Entire Bidg only) - Give PCA handout to applicant Valuation ~ Occupancy MClES System Census Code ~3'~- Zoning City Water SAC Units Stories Booster Pump N6r. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bld~ ~ FinaVC.O. _ Footings {deck) FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile ~ T ~ y~ , r JC Roof ~ Ice&Water ~ Final ~ Other Jv+2~4`.~ ~~''1~~> ~ PC~To~~ Y Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final ~~~~~i Fireplace _ R.I. Au Test _ Final _ Siding Stucco Stone ~ Insulation _ Windows (new/replacement) Approved By T L , Building Inspector Base Fee RSl .-l S Surcharge 41. ~ O ,r-~ ~F~.~ I ~j~?(,~-~ ~j Plan Review 1 ~n ~ ~ MClES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit . Mechanical Permit License Search Copies Other Total ~ ~ -I . 3 ~ ~ C~i ~ ~ ~ -i Cr o~ t; ~ ~ ~ p:,. ~ ~ ~ c~~ t~-. - ~ l~~ "U~ ~ ~-.j 1 , ~ ~ ' ~ - o``~ ' s ~ D % ~ o ?~~~1 . ~ . ~ o ~ o~ }t, , ~ / S. ~ ~ ~j , ~ , ~ ~ ' ~ ~ ~ ~ , ~,4 ~ , ~ ~ ~ ~ . - - ~ ; ~ - : ~ , - ~ C) ~ l.~` ; ~ ~ ~1-i ~ Cti~ ~ . L ~ ~i l , ~ ~ a p --l ~y ~ •p 1~ , t ~ ~ C m- ~ , ~ . ~ - ~ ~ v - L " _rf~~`. ~ ~ 3~~.~ Q ~ \ ZN~~ ~ ~~~~w ~oQo f~~hQn'r ~ ~rch~tecturc?I ~Y ~ ~p;~~ I~~-. r~rvic~r