4895 Safari Pass , . • . . . . . . . ; ~
c• CITY OF EAGAN '~0 ~IS32
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100 - ,
BUILDING PERMIT Rece~pt # `
To be used for Est. Value s 1• SOO Date ~ 26 9 90
Sile Address ~95 SAlrARRI PASS
Lot 3 Block 2 Sec/Sub. SApAAI ESTATES OFFICE USE ONLY
Parcel No. o~c~pa~~y - FEFs
Zoning
W Name 30AAf b TER~tY aAVIS (Actual) Const - Bldg. Permit 35.00
4$ S 311TARI PASS surcnarge
O AddfeSS _ (Allowable) - 1.Q~
City EA~ Phone x ot S~o~+es -
Length _ Plan Review
o Name w~N ~~gZRUCTI01i Depth - SAC, City
AddfeSS P ~ ~X 2~96 S.F. Total
SAC, MCWCC
U~ City ~p~ YALI.EY Phone 423-3110 S.F. Footprints -
On Site Sewage _ Water Conn
~ W Name On Site Well - Water Meter
AddfGSS MWCC Syslem _
Z Acct. Oeposit
<W City Phone C~rywa~er _
PRV Fequired _ S/W Permit
I hereby acknowlege ihat I have read this application and state that Ihe Booster Pump - ~y~/ 5urcharge
inlormation is correct and agree to~Comply with all applicable State of
Minnesota Statutes and City.gf Eag~n Ordinances. Trealment PI
! %
Signature of Permitee , APPROVALS Road Unic
A Build~ng Permit is issued ta: i~ A~~ ~ST~~~TIaN Planner - park Ded.
on the express condition that ali work shall be done in accordance with all Council
applicable State o( Minnesota Statutes and City of Eagan Ordinances. g~y. p~f. _ Copies
Variance - TOTAL 3b.0~
Building Official
.
. Permit No. PermR Holder Date Tekphone #
JUVATER
SEWER
PLUMBING
H.V.A.C. 1~__ cf o~~P D
ELECTRIC
Inspectlon Date Insp. Comments
Footings I
Foundation
3 v ~
aoor~y qp ~i,~ . ~
Rough Pibg. y~ip "
Rough Hig.
Isul.
Freplace
Final Htg.
Final Plbg.
Consl. Meter Plbg. Inspector - Notify Plumher
Engr./Plan
Final ? ~ ~ ~
Deck Ftg.
Deck Final
Well
Pr. D~sp.
~ . ~ PERMIT # ~
. - MECHANICAL PERMIT RECEIPT # ~
CITY OF EAGAN -
3630 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-810~
Site Ad~ess ' BLDG. TYPE WORK DESCRIPTION
Lot Blo Sec/Sub Res. ~ New
Name - Mult Add-on
Comm. Repair
Address
c City Phone ~ Other i
FEES
~ Name RES. HVAC 0-100 M BTU -$24.00
c Address ' ADDITIONAL 50 M BTU - 6.00
p City Phone (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PEkMI'n - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 1~Y6 OF CONTRACT FEE
Forced Air M BTU APT BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDOS - RES. RATE APPUES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
Vent CFM g STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # BEYOND $1,000)
Other
FEE '
~
S1C: ' ~ SIGNATURE OF PERMITTEE
~,n
TOTAL• -
FOR: CITY OF EAGAN
- CITY 4F EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHOM E: 454-8100
BUILDING PERMIT Receipt ~t
To be used for ~ Est. Value Date ~ ' ,19
Site Address 5' r' ' OFFICE USE ONLY
Lot Block ` Sec/Sub. '~r`F i~ fl"' ~n Site Sewege Occupancy
MWCC System Zoninp
Parcel No. On Site well (Actual) Const
cc Name ~ ~ C~ty Water (Allowab~e)
= Address PRV Required ~ of Stories
~ City PhOne ~ ' ~ - ~Ster Pump Length
Depth
, p°C Name ~ S.F.7otal
o ~ Address ~ ' i i~ Footprint S.F.
U~ City ~':.i.~ Phone i i
APPROVALS FEES
~ a Engr./Assess. Permit ~ ~ '
~W Name
_ ~ Address Planner Surcharge '
~ W City Phone Council Plan Review
Bldg. Oif. SAC, City
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC
information is correct a~d agree to comply with all applicable State of Water Conn.
Minnesota Statutes and City of Eagan Ordinances. Water Meter
Signature of Permittee Road Unlt
A Building Permit is issued to: Treatment P1
on the express condition that all work shall be done in aCCOrdance with all ° : .
applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks
Building Official TOTAI
Psrmit No. Permit Holder Dats Telephone i~
Plumbing
H.V.A.C.
Electric
Softener
Inapection oate ~~sp. Comments
Footings I ~
Footings II
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
Bldg_ Final
Cert. Occ.
Temp. LP
Deck Ftg. ~ -
Deck Final 3/~ ~ J
Well
Pr. Disp.
PLUMBZNG P~~tMIT DATE: 4/16/91
RE~EIPT: ~12914
SITE ADDRESS 4895 SAFARI PASS Unit # Permit # ~43~6
L 3 B 2 Sect./Sub. SAF?LRI
AAA- STUB ~ VALVE
INSPECTION INSPECTOR DATE COMMENTS SYST~M.
~ '
INSPECTION INSPECTOR DATE COMMENTS
..+..~+~r+-~ ; ~r~..rR+^~.-r~o~„AC~!~: . _ . . _ . .'~.r-~ -~,."_,,,a~. . . . - : ~ -~~F?'*~IF'~" '
' . . Y.:, ~
CITY OF EAGAN f:0 ~~~6 ~
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 r. .
PHONE: 454-8100 ~ 1~~, ~ r
BUILDING PERMIT Receipt # ` • .
To be used tor ~IHISK Est. value Date ~ 8 ~991
;
Site Add~ess ~9~ ~FARI pA3s I
LOt BIOCk SeC/SUb. OFFICE USE ONLY
Parcel No. occupancy - FEes
.teu?Hra a ~eY a?vis 3s.oa
a Mame (Actual) Const - Bldg. Permit
~ Address 1~uiowaeiel - i • ~
~ Surcharge
City Phone s or stories -
~e~~ _ Plan Review I
a AI.Il.t~l COliS1'QUC7I011 ,
o Name Depth - SAC, City ~I
Address ~ S.F. Total - SAC, MCWCC I
~ City Phone S.F. Footprints _
On Site Sewage _ Waler Conn
~
W W Name On Site Well - Water Meter
U~ Address SyS1e"' - qcct. oeposit
i W City PhOne City Water -
PRV Required _ S/W Permil
I hereby acknowlege Ihat I have read this application and state that the Booster Pump - c~y,~ c~~harge
infarmation is correct and a ee to comply with all applicable State of
Minnesota Statutes and City Eagan Ordinanc~s. Trea~menl PI
Signature ol Permite8 APPROVAIS Road Unit
~$~i i~ Planner Park Ded.
A Building Pemtif is issuBd to: -
o~ the express condition that all work shall be done in accordance with all Council
applicable Stats of Minnesota Slatutes and City of Eagan Ordinances. g~~j, pf~, _ Copies
.
Building Official 4' Variance - TOTAL
permit No. Permk Holder Date Talephona N
WATER
SE1nlER
~u?,~e~NC /~r 33 - /
H.V.A.C.
E~craic !05(0~ • S/
Inspection Date Insp. Comments
Footi~gs I
Foundation
r
Framing y/l2 ~
Roofirg
Rou9h Plbg.
Rough Htg.
ISUL y~ 7 L.ll
Freplace
Final Htg. ~
Final Plbg.
Const Meter Plbg. Inspector - Notify Plumber
Engr./Plan
Bldg. Final
o~ Fc~. U IT
Dedc Rnal -f~T~ ~ ~
Well
Pr. Disp.
, e .
~
~ CITY OF EAGAN 1'~ O
. 3830 Pilot Knob Rosd. P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING rERMIT Receipt ~qt
Te b~ uwd ler Est. Value Du~e 19
Site Address ' Erect 0 Occupancy
Lot Block ~eclSub. Remodel ? Zoning
Percel No. Repafr ? Type of Const,
Addkion ? No. Stories
Move ? Length
W Name 1' ~ ` Demolish ? Depth
; Address 1' ' Int Impr. ? Sq. Ft.
~ City Phone " ~ Install ?
. AVProval~ F~es
Name
~ " Address Assessment Permit
~ Water & Sew. Surcharge
City Phone
Polite Plan Revlew
~W Name ~ ' Fire SAC
i~ Address Enq, WaterConn
v ' q....~,,..~~
~ W City Phone ~ Plonnar Water Meter
Council Road Unit °
I hereby acknowledge that I hnve reod this opplication and stcte fhot Bldg. ~fF. Tr. PI. -
rhe informcfion is torrecr and agree to tomply with al1 npplicoble APG
State of Minnesota Srufutes ond City of Eagon Ordinances. Pe~$
Var, date Copies
Sipnoture of Pemuttee
, Total
A Bullding Permit is issued to: ' ort the express conditlon thor
pll work shall be done in occo~dorxe with all applicoble Stote of Minnesota Statutes ond City of Ec~an Ordinonces.
8uifdinp Official
~
~
• P~rmit No. Psrmit Ifoldar Dat~ 7alephone #
ri~~~~ 3 c l t ~ 7s~~
H.VA.C. ~j C~ VV ~Q ; ~ -
E~.~~~ ~
~ ~ ~ 1 _c-~,_-: ~ i l:~ - ` ~ Z_`
f~~., 3 (.~l~.L~: ~ a~ '
soft.~.r ( CG~ C'ir~.
Inspsction Date Insp. Other
Footinys 1 ~
Footinya ll B
Foundatlon
Framiny ~
Roofing
Rough Plbg. j!6 ,Q~ ~
Rough Htg. ~ ~
Insul. ~
F(repfaCe
FinalHtg. ' ~ ~ -(J `
Flnai Plbg. ~O~fja a / ~
Final ~ad _ ~
. ot,
Ce?#/dcc. 'X Q , C~, ~ ~ 3 ~
Water D~scribs Lo ion: -
~,.~,~s~~~
Sevrsr (~ac-~
~ 7 ~ ~ -aa-~6
Pr. Di~P. E?~~~,d .3
_ . _ . W
-
~ERMIT # ~ ~ ` ~ CITY OF ~AGAN FEE /
~ ~ ~5 ~ MECHANICAL PERMIT ,
RECEIPT # 454-8100 S/C
~ MINIMUM RESIDENTIAL FEE - 510.00 + 5.50 TOTAL 1a
DATE MINIMUM COMMERCIAL FEE - 520.00 +~.50
1. Bldg. Type: Res ~ Comm Inst 2. ew ~ Add Alter Repair
~~~5 ~ C'Y
3. Total Bi Price ' 4. Job Address
Lot ~ Bloc ec G`"""'~~ 5. ner f ~t;
6. Contractor A'' ~L L~ t~ ~,~r i~" `'/f 1%L `~~J~
( ame) ~ / ~jj ~ (Streeq (City) (Zip)
7. ContractorPhone# C6c~
RE jQENTIAL HE~T1~L~~ 01-100,000 BTU's -$24.00. Each additional 50,Od0 BTU's or fraction -$6.00
ESIDE
I~ALrCO_ O IN 01-24,000 BTU's -$12.00. Each additional 6,000 BTU's or fraction -$6.00
MODIFI~ATIOIJS/ALTERATIONS -$10.00 minimum fee
HEATING VENTILATING HOT WATER STEAM AIR COND.
eIR PIPING PROCESSEO PIPING AIR HAND. EQUIP. RtFRIG.
RES. GAS PIPING OUTLETS - 51.50 TANKS: L.P. UNDERGROUND OTHER
COMM./IND. RAfE =1% OF T TAL B P` CE,. US 5.50 STATE SURCHARGE FOR EACH 51,000 OF FEE.
~
Signed: ~ l~'~ for
Approved Inspections: Date Rough Insp. Date Final Insp.
Receipt PLUMBING PERMIT Permit No.
CITY OF EAGAN F~ ~ .
Frl1 in numbered spaces S/C
Type or Print /egibJy Tot.
1. Date 2. Installation Cost ~ S '
i. '
3. Job`Aclaress~~;~~,_•,r ~'~e.QD Lot Blk. Tract
' •G4s.z,.• ; ` .r, ~ ~ f _ rrr.,
4. Owner ` s: E_~* _ ~ ~ %
5. Co~tractor~7it Phone ~ ; -
~
.
6. Address /,j i ~ '
~
7. City State _ Ziq< ~!~1.[,,1
~f l ~ J~T
8. Building Type: Residential A Commercial ? Institutional 0
9. Work Description: New ,Q ' Add ? Alter O Repair ?
10. Describe
11. No, Fixtures No. Fixtures
Water Closet Cesspool/Drainfield
~ Bath tubs
Septic Tank
,J Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
i
% Laundry Tray
` Floor Drains
--t-
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 : for
Rougn Final
Inspections: Date Insp. ~ate Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
R~aipt ~ bIIECHANICAL PERMIT P~rmit No. .
~ 0~ L~ I~" CITY OF EAGAN FN
Fil! in numbtnsd tpace~t $/C
Ty~ or Print legidly Tot .
i. Dst~ 2. insqllation Cost
3. Job Addr~u . = Lot ~ _91k. ~ Troct ~L_
4. Owner
5. Conu~aor Phone r
8. ~lff ( i'! ' i _ ~ ~
7. City 1= Stats ~ Zlp
8. Buildiny Type: Residential ~ Commercial ? tnstitutional O
9. Work Description: New C3 Add O Alter ? Repair D ~
10. Describe _ Fuel Type ia~:
11, No. Equioment BTU - M. Ea. No. Equiament CFM
' Forced Air , " ~ ~1 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 F inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved C1TY OF EAGAN 454$100
CITY OF EAGAN Remarks ~-~'s ~
Addition THE SAFAR2 ADDiTTn Lot ~ Blk ~ Parcel 1n 75R50 03Q 02
Owner Street ~+895 Safari Pass state Ea~an, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 198`~ `Z$].OO `~S.7O LO / ~•~JD OI(~ Io~'/o2-~S
STREET RESTOR,
GRAOING
SAN SEW 7RUNK ~ 1982 483. 00 32. 20 15 a~. 00 1~4 37 /-2 -~'-2 ~
SEWER LATERAL trk 19$2 455.~0 3d.33 1~3 3c~3. 3s D~ ~7 /.2-~'Z ~S
s Iwf ss lat & serv Q 1982 2591, 00 172 . 73 15 / 7~ 7- 3S' 1a2-
WATERMAIN
WATER LATERAL trk QV 198Z 381 . ~Q 25. 40 1~ S• o a ~ ,~7 S
WATER AREA 1982 483.00 32.2~ 15 3 a~. mo /-~-p / /.?-i~
Water Lateral 1985 261. 88 17. 46 15 ao21~. 9 / - ~-z -d '
STORMSEWTRK ].9$2 92~.QQ (l.$~ 15 ~o~p.00 ~-~2 tf '
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONM. u
~UILOING PER.
SA~ 525.oa
PARK
' CITY OF EAGAN WAT~ SERV~~ 'P~R
3830 Pilot Krwb Road PERMiT NO.: 1__;.--
P. O. Box 21199 D^TE:
Eagan, MN ,5'.~1 ` 1
Na. af Un~n:
Zoninp: _ ;;gtate ~lOn;ey
an
pwn.~:
_a ar 4 ~n.
I~'dd'°ss: a f ~ c~'. .
Stt~ /?ddr~u: • ' 'CS
~ l~turr ' ' . ~ p
i Piun+bsr .3 ~ S / a~ :~ti°n C1'°rfle n.
M~ter No.: bc , .c L~-~' ' ~ ~ ~t: , .pu
s~L~ Np.. a `1 , •r ~~K~fO~~ . ~ T
Ravv. ~ ~ n
~ I«rM h oosP1l l~.~ • r
Miac. Choroes~ r.teter
~ ~~O~OM' _ Totol: .
! ~ ~ > i pat~ Pold:
BY i~p.: ~
I Dnte of 1nsp.: ~
a- z y- P
~
CITY OF EAGAN MIATER SERV~CE PERMIT
3830 Pilot Knob Rosd p~1T NO.: ,
P. O. Box 21199 - = ~ , , _ ~
Esgm. MN 551~1 ~ • D/~TE:
Pia, of Units: ~
Zonl~+p: - ~ R 1
' r -
OWIMI:
Addros~: L3 B2 5afitz- r:-'•~:~~.
~ 4895'Safsri Pass "
Pfun+b~r :~irr : ~ ~c~bi.~Z¢ - -
Cor,nsction Chorys: ; - ~ :
Met~r No.: ~unt DeP~it:
Si~e: Pertnit Fee:
RsaMr No.:
1 N~w !o er"~h"riM' 11M Ck1~ Su~cho~ge. ~~OD3
Miac. Chorors: 13,.
Or~t~s~a~• _ ~ r} n , t ~ *
Total:
pot~ Paid:
BY InrR:
pcRe of Ir~sp.:
~ CITY OF EAGAN SEWER SERVICE PERM~
3g30 Pilot Knob Road p~µlT NO.: _
P. O. Box 21199 DATE: i
Eagan, MN 5572~ 1
zon{no: ='i1 No. of u~~K:
pwnsr: -
Address: ~ c; • d n
. r ~
Site Addross: ~
,~s
. L
Plumber. 1~J0 . flCpd
" , S+,`.-'J~ Con?aetior? ChonD~~ r1~••d
1 MrM b~°'yl~ wM6 tw G1f d VM~ '
Acoaint DeD~~
O.~iMwaN. ,
. P~nraf FN:
Surdarp~:
Miac. Chm~
By Totoi:
' pate of I~sp.: pp~ P~oid:
Inap.:
~
CITY OF EAGAN . rJ~ 14 612
3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121
PH ON E: 454-8100
BUILDING PERMIT Receipt# '-X')~
Tobeusedfor DECK Est.Value ~1,000 Date FEBRUARY 17 19 88
Sife Address 4895 SAFARI PASS OFFICE USE ONLY
Lot 3 Block 2 Sec/Sub. SAFARI ADD. On Site Sewage - Occupancy
MWCCSystem _ Zoning
Parcel No. On 5ite Well _ (Actual) Const
a Name TERRY DAVIS ~ Ciry Water _ ~Allowable)
~ AddfOSS SAME PRV Required _ # of Stories
~ City Phone 452-2635 BoosterPump _ Length
Depth
, p Name AMRE S.F.Total
~Q Address 1935 CTY RD B2 FootprintS.F.
~ City ROSEVILLE phone 631-0450 pppROVAIS FEES
~w Engr./Assess. Permit ~z4.00
wW Name .50
~Z Planner Surcharge
z - Address
U~ City PhOne Council Plan Review
¢W
a Bldg. Ofl. SAC, City
I hereby acknowledge that I have read this application antl state that the Variance SAC, MWCC
information is correct and agree to comply with all applica6le Stale of Watef Conn
Minnesote Statutes and City of Eagan Ordinances. ~ Water Meter
Signature of Permittee f Road Unit
A Building Permit is issued to:_ Treatment P1
ontheexpressconditionthatallworkshallbedoneinaccordancewithall (COy~~ 1.00
applica6le State of Minnesota St utes and City of Eagan Ordinances.
~ $25.50
BuildingOfficial ~~t ~~L.. 70TAL
CITY OF EAGAN N° 1 1 16 0
. ~ 3830 Pilot Kno6 Road, P.O. Box 21-199, Eagan, MN 55127
PHONE: 454-8700
BUI~.DING PERMIT Receipr # ~
Te M m~d b~ SF DWG/GAR Volue $107 ~ 000 pa~e OCTOBER 23 ~y 85
SiMAddreaa 4895 SAFARI PASS Erect fR OccuPenc~ R3
3 2 ~ SAFARI ADD Remodel ? Zoning Rl
~ot Block ac/Sub.
Repair ? Type of Const. `J
Parcel No.
AddRion ? No. Stories
AMERICAN ESTATE HOMES Mo~e ? ~enqth $5
~ Name Demolis~ ? Depth 52
7357 INWOOD AVE SO sc~. Ft.
Address InL Impr. ?
City COTT GRV phona 459-7099 ~nsta~l O
~ Name S~E AVV~ovab Faes
A~~s Assessme~r Permit S 450.SD
~ Woter 8$ew. Surcharge S3
~ City Phone
TONY ALBANITO P°~"e Plan Review 22 S. Z S
GW Name Fire SAC SZS.OO
i,~-~ Address 8787 ~STH ST SO Enq, waterCOnn. ~5
Oj 00
~W City COTT GRV phone 459-7099 plonnar Wate~Meter ~L3~00
Council Roaaunit 280.00
I hereby ackrwwladge ihat I have read this oOP~~~a~~on ond stote that g~dg. Off. 1 O 2 3 8 Tr. PL 13 Z. ~ ~
the inlormotion is correct and ogree to}'w5ymgpply wifh all opplicoble AP~ Perks
Stote of Minnesotc Stotutes a Cirys~uO•~ nces.
Vac Date Coplas
Siqnature of Pertnittee 25
AMERICAN ESTATE HOMES rote~
A 8uilding Vermlt Iz iuued to: a+ the express conditlon tha~
oll work shall be done in acwrdance with all qpBliFy6~e Sta^ tei f nne St tutes ond Ciry of Eopan Ordinonces.
Bulidinp Offkial ~t_~L'~dLiK.
i
r CITY OF EAGAN ~0 . ~$$6 ~
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100 i4
BUILDING PERMIT Receipt # V
To be used for BASEMENT FINISH Est. Value ~1 ~ 500 Oate APR 8 ,~gQL_
Site Address 4895 SAFARI PASS
LOt 3 BIOCk Z SeC/SUb. SAFARI OFFICE USE ONLY
Parcel No. occuPancy - FEes
Zoning
~ Name JOANIE & TERRY DAVIS (Actual)COnst - BIdg.Permil 35.00
W 4895 SAFARI PASS (a~owable)
o Address - surcnarge 1.00
City EAGAN Phane 452-2635 xo~s~odes _
Leigih _ Plan Reviaw
,o Name ALLEN CONSTRUCTION c~,m _ sna cry
$a Address 14510 SHANNON PK41Y STE 105 S.F.iota~ - SAC,MCWCC
: ~i~y ROSEMOl1NT phone 423-3110 S.F. Footprinls -
On Sile Sewage - Wa[er Conn
W w Name On Site Well - Water Meler
~ MWCC S slem
Address ry Y - Acct. Deposit
gw City Phone a wa~er -
PRV Required - SNJ Permit
I hereby acknowlege that I have read this appli atio d state ihat the Booster Pump - S/w Surcharge
intormation is correct and a to comply rth all plica6le State of
Minnesota Statutes and Ciry f gan Ordi nces. Trea~ment PI
Siqnature ot Permitee APPROVALS Road Unit
A Building Permit is iss d to: AL Planner - park Detl.
on the ezpress condili n that all work shall he done in accordance with all Cauncil
applicahle State of Minnesota StaWtes and City ol Eagan Ordinances. Bldg. Olf. _ Copies
I n1N1~01'~,1~~, Variance - TO7AL 36.00
Building Oflicial ~
;s's ea~es~ w~a C~ 7 `/~o ( ( / 3 '~5~
~ U~ ~ 3 ~ -SG-~t~"r 7 y. 5~
Rgque t [e Fire No. Bou{~M-in Inspactfon
q retl? ~Reaay Nmv~W111 Notity. Insoec-
Yes ?NO W~^ ~atly
Licensetl E ecviral Gonvaclor 1 herebY request inspac~ion of above
ne~ elaclricel wark instailed at:
Sheet Adtlress, Boa or Ro City
- ~.e-~' ,~i ~
ec on Township Name or No. Range No.
o~o~~ rxiNrl wo.
l $5'
Power Supplier Address
Elect' ctor IC Y Name) Con ctor's License No.
~ ~ ~
~~~~e Ndaress (Con[ra Im or D ing Instdilatio 1
Authorized ture ( cmr ner Nlaking Installati PAone Numb¢r
N~M A STATE ~ ARU OF CT1tICITY TM~S INSPECTION REQUEST INIL~ NOT
G -YiAway BIdO. - peom N481 ~ eE ACCEMED BY THE STATE BOAND
UNLE55 PROPER INSPECTION FEE IS
7627 University Ave., St. Peul, YN `~109
Pinne 1~2128]21i1 EIVCLOSED.
` REQUEST FOR ELECTRICAL INSPECTION ; Eg'O°0°1-00
' See i'ctructians tor eompleling lhis tprm an back of yellow copY~
41 ""X'" Be/ow Work Coveied by This Request f
t~dd Rep. Type of Building ApD~~a~~ee YIirW Equipmen~ Wired
- Home Fiange Temporary Service
Duplex Water Heater Lighting Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bldg. Furnace Silo Unloader
Irdustrfal Bldg. Air Conditioner &Jk Milk Tank
Farm otne~ aeuiv rne.lsuer.iryl ~
1 r peciry ot er Othcr
ompute lnspection Fee Be/ow
! Fee SarviceEnhanceSize # Fea Feeders~5ubleeders K Fea Circuiia
0 to 200 Am 0 to 30 qm 0 to 30 Am
Above 200 Amps 31 to 100 Amps 31 to 100 q
Swimming Pool Above 100_Am ~ Above 7P0-A~
Transformers Irrigation Boo~rs PartiaL`Other Fee
Si gis Spec ia l I nspection
Be~rks TOTAL=FEE
~,9- nr ~ ~ -sv )
floupMin ate ~he.Electrical/
? . /J' Inspeclar, her6y
cerlify tl¢[ the abovg
Final . ~~e/ij inspec[ion hes been
~ ~de.
7Wi~W~vatllBmonHnhom ~
~'1~5658 . - ~ ~aos'o 0
Repuest Oale - Fire Rough-m Inspection
R iretl? ? Reatly Now Will No~ity lirepactor
Ves ? No When RBedY?
I I~ licensed contractor ? owner here6y request inspection of above elecVical work at: .
~T
JoE AtlOre9s (StteeL Ba~ or Roule No.) Ciry
~'cu~~ a55 ~".9loAr~/
$gctqn Np. Towns~ip Neme or No. Range No. Counry
vA~or.~
Oc[up/anU PRIN/T1) C Phane No.
/ C~/ / / V
PowerSupplier AtlOress
Elec - ai Contracror ~COmpany Name~ • Convactor5 Lkense No.
~c~ ia~ ~ ~ /
Mailing Atldress IConVgclw or Owner Making InstalWtion)
sa. k ss 7
ie0 Signature ~G nVactorlO.m ekinq InstalWtion) P~ow NumOer /
p f.f7 ~
MINNESOTA STATE BOARD OF ELECTPICITY THI$ INSPECTION REpUEST WILL NOT
CrlggtrMMway BICg. - lbom &7)3 ~ BE ACCEPTEO BV THE STATE eOARD
16Yf Unlversky~AVe., St Peul, MN 55104 ' UNLESS PFOPER INSPECTION FEE IS
PhoM(612)6t2-0800 ENClASEO.
L 2 REQUEST FOR ELECTRICAL INSPECTION ee.oaoo,-oe I
~~7~~? ~ See insVUCtions br completing this torm omback ol ye~ow copy. ~1 ~L~ d~O .
M y~~'~~~ (/(/O
W 6~~ $ Y~'f 4~ "X" Below Work Covered by This Request
ew Add Rep. ` TypeoiBuiltling AppliancesWireO EquipmentWired
Home Range Temporary Service
Duplex Water Heater Eleciric Heating
, Apt Building Dryer Other (Specify)
Comm./Industrial 'FUrnace
Farm Air Conditioner
O~her ~speciry) Contractor5 RemaMS: ~
1yJiS~/~Qrh°IX~S /~uiri/~ f
Compute Inspection Fee Below: j/I,$~fCZ //afl0/JS
X Other Fee # ServiceEntranceSize Fee # Ciraits/Feetlers Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
Signs Inspeaw5lJSe On~y: ' / TOTAL
Irrigation Booms c.!'a~ ~ yj. ~
Special Inspection ~
~ Alarm/Communication THIS INSTALLATION MAY BE ORDE DISCONNECTED IF NOT
• Othe~ Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-in r o a`
certify that the above inspection has p~~~ e
been made.
OFFlCE USE ONp ?
T~is roquest voitl 18 mon~hs Irom
/'La
• CITY OF EAGAN NO ~ ~632
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 ~ ~r
BUILDING PERMIT Receip~ #
To be used for BASEMENT Est. value $1, 500 oate ~ 26 , i s 9~
Site Address 4895 SAFARI PASS
Lot 3 Block 2 Sec/Sub. • SAFARI ESTATES OFFICE USE ONLY
PBfCBI N0. Occupancy - FEFS
Zoning
w Name JOAN & TERRY DAVIS (ActuapConst - BIdg.Permil 35.00
o Address 4895 SAFARI PASS (pllowable) _
Cit EAGAN Phone 452-2635 xotStories _ Surcnarge 1.00
y Lenglh _ Plan Review
~o Name AI.T.EN CONSTRIIGTION oepm - snc, cay
~Q Add~ess P O ROX 24094 S.F.TOtal _
~ GIyAPPi.F. VAi.T.F.V Phone 4?3-3]?0 S.F.FOO~prin~s _ SAC,MCWCC
On Site Sewage _ 'Nater Conn
~
ww Name On Sile Well - yyater Meter
Address MWCCSys~em -
~i AaL Oeposil
a W Gty PhOnO Ciry Waler -
PRV Required _ S/~N Permit
I hereby acknowlege that I have read this applic state that Ihe Booster Pump - SNJ Sumharge
information is corcect and agree mply wit all icable State of
Minnesota SlaWtes and Cil t E n rdinan s. Trealmant PI
Signalure ol Pefmi~ee APPR~yA~s Road Unil
A Building Permit is issued ALLEN CO TRUCTION Planner - park Ded.
on the express condition that all work shall be tlone in accordance wilh all Council
applicable Stace ot Minnesota Statutes and City of Eagan Ordinances. 61dg.011 Copies
pI,„,, ~ Variance - TO7AL 36.00
BuildingOflicial 1..~1 I1.Yl(A.' 11111
2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
~ ~-t 3-I ~S Telephone # 651-675-5675 ~ 3~ ~
Please complete for. single family dwellings & townhomes/condos when pemvts are required for each unit
Date OS / 0`~l a `f
Site Address ~Cy ~ ~ K.~ ~v ~ Unit #
Property Owner %-e r r~{ J~~ ~ S Telephone #(~S -7 S O~ ~l0 3_~
Contractor ( ) / / OI
Street Address ~(o S / 7 S~ S ~ l JC City U
State / / / ~ ' Zip J 0~ 8 Telephone # ( (p5 ~ ) ..t7 ~ ~ p / ~ ~p
Bond Eapires:
The Applicant is _ Owner ~Conhactor _ Other
Add-on or alteration to eaisting dwelliug unit $ 30.00
~ furnace _Additional I~Replacement
air exchanger
~ air conditioner _New ~Replacement
other
State Surcharge ~ ~
D MAY 1 7 2004 $ .so
Total BY _ $ c~l/ •~XJ
I hereby apply for a Residential Mechanical Permit and aclmowledge that rion is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan d with e Mechanical Codes; that I understand Uris is not a
mut, but only an application for a peruut, and work is not to start ' t ermit; that the w will be in accocdance with the
ap~~ in the cas o worl~~
c~~
~ review and approva of pl s.
a~e f
Applicant's Printed Name pplicanYs Signature
I
2004 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: commercial/indusVial buildings
multi-family buildings when separate pemnts are not required for each dwelling unit
Date / /
Site Street Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephone q ( )
Contractor
Street Address C~ty
State Zip Telephone # ( )
Bond Eapires:
The Applicant is _ Owner _ Contractor _ Other
Work Type
_ New Construction _ Underground Tank _ Install _Remove *"see below
_ Interior Improvement _ Install Piping _Processed _Gas
Nature of Work:
•'When installing/removing underground tank, call fo~ inspectlon by Fire Marshal and Plumbing /nspector
Permlt Fees: $7050 Underground tank insfallaNon/removal
$50.50 in um (includes State Sutcharge)
Or
Conh~act Value $ x 1% Permit Fee
• Ifvernut fee is $1,000 or less, add $.50 ~ $ State Surcharge
If pemut fee is over $1,000, add $.50 for
every $1,000 nemvt fee $ Total Fee
I hereby apply for a Commercial Mechanical Perntit and aclmowledge that the information is complete and accurate; that the work
will he in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I mmderstand this is
not a permit, but only an application for a pernilt, and work is not to start without a permit; that the wotk will be in accordance with
the approved plan in the case of work wlilch requires a review and approvai of plans.
Applicant's Ptinted Name ApplicanPs Siguature
Approved By: , Inspector Date:
RESIDENTIAL y$Y~
~ ~ ~ BUILDING PERMIT APPLICATION
CITY OF EAGAN °2 9" ~'S
~ 3830 PILOT KNOB RD, EAGAN MN 55122
651-681•4B75
New Conelructlon Baaulremenu RemadelRieoeir ReauhemeMa
• 3 tBgiStered sfle surveyS showing sq. h ol lot, sq. ft of ~ouse; and ~ rooled areas • 2 copies of plan
(20%ma~umumblcoveragealbwed) • lsetofEnergyCakulatbnsforheatedatltlNbns
. 2 copies ot plen showing beam & window sizes; poured found design, etc.) • 7 site survey for exlerior adailbns & decks
• t sel of Energy Ca~ulatbns • Indkate H home servetl Gy Septic syslem fa additbns
• 3 copies ol Tree Preservatbn Plan H bt platteA afler 7/t193
. Rim Jolst Defail Optbns selection sheet (bklgs wit~ 3 ar less untts)
DATE ~`02~ -O~ VALUATION I~ ~CJI. Ff~
SITE ADDRESS `~'$95 S.~-~,o; ~~~~4~C~ MULTI-FAMILY BLDG _Y ~
NPE OF WORK ~LfQ~rf" ~ i FIREPLACE(S) vfl _ 1_ 2
APPUCANT ~i, ht! IJr~M ~X~e~Rn2C
STREETADDRESS 7Y~~ /.~/2c~~k~,~an ~~P CITY ~..r~+1'/Y' STATE~7~ZIP.~J~
TELEPHONE # 95a~RS/-Se?'~2 CELL PHONE # FAX # 9,~-SFf% -~6//
PROPERTYOWNER ~e~2.i / /ciUt~ C TELEPHONE# ~iI-5!~~1' -,~1.2r,
COMPLETE THIS SECTION FOR ~NEW~ RE5IDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672
submission lype) • Residential Ventilalion Category 1 WoAc&heat Submitted • New Energy Code Worksheet Su6mitted
• Energy Envelope Calculations Submiried
Plumbing Confracfor: Phone #
Plumbing system 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 # I r~ ~ D
_)UI 2 5 2002
I hereby acknowledge that I have read This application, state that ihe Information is co ect, and agree to com i y
with all applicable State of Minnesota Statutes and City of Eagan Ordin ces. y
Signalure of Applkant
............_._._.._.._..._._._...._..._._._._._....a~_...~~
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
? 01 Foundation ? 07 OSplex O 13 1Eplex ? 20 Pooi ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Eut. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. Aft - SF
? 04 02-plex ? 10 0&plex ? 18 Deck ~ 23 Porch (screened) ? 36 Muki
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? O6 04plex ? 12 12-piex Plbg_Y or _ N O 25 Miscellaneous
? 31 New 0 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) O 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 WindowslDoors
O 34 Replacement •Demolition (EMire 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 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 Tesu _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
------------W~~M_---------
-
Base Fee a°?3"
Surcharge ~ . ~p
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Tota~ ~?r~?9. 7.l-~
r Y
I ~1 3
1990 BUILDZNG PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING ?AY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRE55 IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT NAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
YAR 2 2 R~Ctl
To Be Used For: ~L~' ~/1S~ Valuation: Date: y D
Site Address y-B~J~ ~~l f'~sS r-OFFICE USE ONLY
Lot Block FEES
Occupancy
Zoning
Parcel/Sub ~~xt ~,d.l/'„I~A, Actual Const Bldg. Permit ~.d~
Allowable Surcharge
Owner ~.,/{ry,l~n1 '~/S # of stories Plan Review
~ ~ ~ Length SAC, City
Address 4895 5,4,~~ t~.~s Depth snc, rtwcc
S.F. Total Water Conn
City/Zip Code /j~~,~J SS/J~j Footprint S.F. Water Meter
Acct. Deposit
Phone y~ 1i ~~p~j S On site sewage_ S/W Permit
/ On site well S/W Surcharge
Contractor ,N~u~v ~~fS'~QL{ri~PV MWCC System _ Treatment Pl.
p ~ City water Road Unit
Address ~.(y, ~p~c~694- PRV _ Park Ded.
/ Booster Pump _ Copies
City/Zip Code ,E4YID/,~~ ~fln} SUBTOTAL
~ 7 APPROVALS Penalty
Phone ~z; -3//o Planner TOTAL 31",
Council
Arch./Engr. Bldg. Off. ~3~Z3
Variance
Address
City/Zip Code
Phone #
, r'
1991 BUILDING PERMI APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS M[TLTIPLE DWELLINGS COMMERCZAL
2 SETS OF PLANS 2 SETS OF YLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - 6 STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WIiICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
i-~ra~
To Be Used For: ~,~~y,~-~,G~,y1k~ Valuation: Date: LI'/?1~~~
~
Site Address ~c`S~fS .aE~i
~pi/ S OFFICE USE ONLY
Lot ~ Block FEES ~y
Occupancy Bldg. Permit ~i~~v
Zoning Surcharge /.s~1'
Parcel/Sub ~1'e~,f1h~ Actual Const Plan Review
Allowable SAC, City
Dwner (/Od~JI~ ~ y.,E.y 11~,/ls it of stories SAC, MWCC
/ n Length Water Conn.
Address _ ~ (~QQS Depth Water Meter
S.F. Total Acct. Deposit
City/Zip Code lT„d,t~l~,.~ Footprint S.F. S/w Permit
S/W Surcharge
Phone ~S ~i ~/i~ On site sewage_ Treatment P1.
j~ On site well Road Unit
Contractor (~psa~(~ . MWCC System _ Park Ded.
City water Trail Ded.
Address ~J~/O S{~~~~fanJ ~~/-u~~ PRV _ Copies
Booster Pump
City/Zip Code d~1Dus~'/, fi'f~ ~ 5~~4~ SUBTOTAL
/ APPROVALS Penalty
Phone y~7i3 Planner Lot Change
Council TOTAL ~
Arch./Engr. ~~g_ Bldg. Off. %S-s/
Variance
Address
City/Zip Code
Phone #
agrees that all work shall be done in accordance with
( nature of ntractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
, ~n ~
:++Ikr ~ ~ i?
i + .
U•~
35•00+
d~y!'~' 1 • 00+
`5 36•00~
t J • . .
~ C./
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED 11ITH rf1E CITY OF EAGAN
C0141ERCIAL SINGLE FAMILY DHELLINGS
INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS
& STRUCT[1RAL PLANS, 1 SET OF 3 CERTIF'ICATES OF SURVEY
SPECIFICATIONS AND 1
SET OF 1 SET OF ENERGY CALCULATIONS
ENERGY CALCULATIONS
$2,000 LANDSCAPE BOND
To Be Used For: ip,~ i~~(~Valuation: ~+-fit~~ Date: /O-'1G~J5
Site Address ~~~~~~p~S OFFICE USE ONLY
Lot ~ Block ~ Erect ~ Occupancy •3
Remodel Zoning R~I
Parcel/Sub 7jaE ~~2~Qpp«im,? Repair ' Type of Const ~
~1 Addition l~ of Stories
Owner iy~~~~~~,~E ~~g~,y~c,e. Move ~ Length
Demolish Depth ~ Z
Address ~~j-7~,y~~~~ ~'j. Int.Impr. _ Sq Ft
~ ~ ~ Install
City/Zip Code llP/A!C ~C .~l~~zY~
Phone ~~~O~g 9PPROVALS FEES
r
Contractor ~
E-E•.~,Q,? ~~rF ,(~i,~~s /,~n- Assessments Permit 4~. -
Water/Sewer ~ Surcharge 53.-
Address ~3$7 Police ^ Plan Review 225. '
Fire SAC 525,
City/Zip Code ~1~~`_~~F ~/(o Engr Water Conn $Op.
Planner Water Meter ~3.
Phone y~~-
7~i Council Road Unit 2gp,
Bldg Off~n,s3.$*j Treatment Pl ~
Arch./Engr. 7~vy ~,~c~t,¢,~~=o APC Parks
' Variance Copies
Address B7- ~~~57. TOTAL ~ a ~
City/Zip Code ~7/,~G~ ~yjj~O
Phone Ik Zf~g
~ c~ ~ 3 4~ c~ n~~- ~ z za- ~ .
. . ~
24 ~ 28 = ~~2x ~ = 3~~~~ ' ~
I~ x 3 2 "~£~o x 4-4- ~ Z I I 2c~
(t'~~ ~U " f~°x ~ Ib~4U
~ ~ ~ 2 ~ Co~ X ( 2 - ~ b3~ 8
lb ~ lZ ~ I~I2x 2~ = 3g4U
lo~ ~8
~~.o~so+
,=~so+
r_=z~+
,2s~o+
s:,, ;a+
53°;.6+
~e~=~o+
i~z~~o+
, ~,?s~
I
~ ~~Q C. R. WINDEN 6 ASSOCIATES, INC.
V~~~ LAND SURVEYORS T~L 64b-3846
1381 EUSTIS ST., ST. PAUIi MINN. 5b10!
POR: AMERICAN ESTATE HOMES, INC.
~
bo 5p ~9' ~ ~ ~ \
N?17p,82 _ _ ~ \ Scale 1' =30'
~ ~
l \
~ ~
l ~
p~
~ ~ \ O~o
~ ' ` ~ ~ °
~4 l._- ` ` \ pB. ro
~ siy U
\ ~ u
\ C
~ ~ ~
\ ~ w \ F."
~5 ; µ°~Se \
~ ~
~ . \ Q~o~~s 2,.3 ~V / ~ /O
~'o \
.fl~ ~ \ ~ qa ' ~ /
s
rn- ~~"6~ ~ ~
ij O\ a~ 3~ ~ q 5 w ,
a•
;s. ~ ~ 9~ QP ~ s ~~rb`
F / ~~o oti
o Denotes Iron ~ ~ 3Q ~ \3605~ \
Monument 4.r~ Z / y ~
~ Denotes Wooden ~
Stake b
Proposed Garage Floor ~ P~P'
Elev. = 980.5
(980.5) Denotes Proposed Fin ed Te~ 2
Gro
~ndDenotes1Direction of J'n'q0~
Surface Drainage
Vertical Dat~-N.G.V.D. 1929 ,~op o
Bearings Are Assumed (
Lot 3, Block 2, THE SAFARI ADDITION,
Dakota County, Minnesota.
WE MERE6Y CERTIFY TMAT TNIS IS A TRUE AND CORRECT REPRESENTATION Of A SURVEY OF THE
60UNDARIES OF THE IAND A60VE DFSCR16ED AND OF TME LOCATION Of All 6UIl~INGS, iF ~NY,
TMEREON, AND All V151lLE ENCROACHMENTS. If AN1', FROM OR ON SAID LAND.
Datad fAi~ ~~~dey oF ~fober A.D. 1V~ C. R. WINDEN 3 ASSOCIATES, INC.
__Revlsed ocf, z~,Mes br__`"'=~-~'w~"^~
Surrayor, Mien~wfa RoyiHratio~ No. 772~ ~
195-4 ,
NASN
•
' . ENERGY CONSERYATION EVALUATION -
.Site A$dCess X~LX1C FJ~i ~Pes~ - ' ~
Owner TERRY & lOAN DAVIS Contrector AMFRT('AN Hf1Jv,~ FSTATFS •
ta~cutations done by GARY L'HARTMAN Phone699-3197 uata 10/13/85
~ ~ Tyoe of building SINGLE FAMILY
~Ed
. Qssembl .(Show calculations on worksheets (S FU U-Value U x A .
a ota ei ing rea. ess Y~9 .
Insulated Area: Area See Fi
Framin Area:(10% oF Total Ceilin Area See Fi . 2) 184 .022 4. 04
g Sk li hts (From Pa e 7) 6 3. 78 ~
~ Other:f0escribel
i~ 1 Totals
2 Avera e U-Value (UxAI/(Al from Line 1 .021 ,
. 3 Re uired U-Value (For ane and trro family dwellings only) .026 **x'""'~ , .
% a ow Wa rea; ess Win ow an
Insulated Area: Door Area See Fi . 3) 1344. 4. 045 60. 49
Framin Area (l0Y oF Total Wall Area See Fi . 41 149.3 ~.099 14. 78
indowe:(Fram Pa e 71 114 62.7
Doors (From Pa e~7 93. 7 47.2
im Joist Area:(See Fi ..51 160.3 .042 6.73
R .
3 Fire late Wall: ' ~
a
Foundation WaII~fA6ove Grede Less Wlndow Area See Fi , b) 108. ~.0~8 9.56 ~
- W Foundation Windaws: (From Pa e 7) 19. 5,' 1 ~2
ther:fDescri6e) ~ ~
ther~(Describel ~ ~
4 rouis 1998.9 216.04
5 Avera e U-Value, (U~11/[A1 from Line 4 ""*"x"' • 1 08~
6 Re uired U-Value Far one and two family dwellings onlyl xk*'^~* .11 - .
[f lfne 2 is less than line 3, and line 5 is less than line 6, proposed assemblies meet code
requirements. If line 2 is greater than line 3, or tine 5 greater than ltne 6, coaplete t~e
foltowin~to determ ~ine
alternato U-Value for total exterior envelope. . ~
9
O
°1 UxA (Line 11 + UxA (Line 4) + _
~
a 8 Area (Line x U-Value (Line 31 x ~
o ~
-y
' g Area fLine 4) x U-Valua (Llne 6) x ' ~ ~
3 ~
o "8u et" Line 8 t Line 9
r
IF L~+~~.~~ 7 is greater than Line 10, alter assemblies as reqWred so Line 7 does not excead Lfne 30. I ,
If Lir,~. ' is less than Line 30, proposed assemblies meet code requirements. i
1
`
Fi ure Ceiling/Roof Insulated Area: '1650 _ Sq. Ft.
(with attic area) .
' R-Value
Interior Air Film .61
Inaulation FIBER6LASS S~.OQ r^
Continuous Vapor Barrier 0.00 /
~ s
Interior Finish 5/8"ROCK . 58 ~
Intexior`Air Film .61 •
Total Assembly R-Value 51.8 •
T
Assembly U-Value (1/R) .019
Enter on Page 1
Figure 2 Ceiling/Roof Framing Area: ;~4 3 Sq. Ft.
(with attic area)
&-Value
Iaterior Air Film .61 .
InaulationFIBERGLA$S 50.OQ `
Wood tiember 3 4.38
Continuous Vapor Barrier 0.00 .
Interior Finish 5/8"RDCK .58
~ ~
Interior Air Film .61
~ Total Assembly R-Value 45_12
Asaembly U-Value (1/R) .022
Enter on Page 1
For additional roof aeaemblies, see pagea 3 and 8.
s`
2
' VAULTEO AREA
. Figure lA Ceiling/ROOf Insulated Area: ~A Sq. Ft.
S (wlthout attic area)
R-Value
Vented Air Space
interior Air Film .61
e.~
Insulation 30. 00 ~ ~
Continuous Vapor Barrier 0.00 ~Y '
Inte;ioF Finish 5/8"ROCK .58 ~ ~
Interlor Air Film .61
Total Aasembly R-Value 31.90 ~
Aeaemhly U-Value (1/x) .0,~1
Enter on Page 1 _
Fisture 2A Ce111ng/Roof Framing Area: Sq. Ft.
(vithout attic area)
R-Value
Fac[erior Air Film .17
Roofing
Roof Sheathing ,
Wood Member
Continuous Vapor Barrier 0.00 y
Interior Finiah
Inierior Air Film .61
Total Asaembly R-Value
Asaembly U-Value (1/R)
Enter on Page 1 .
For additional roof assembliea, see paqes 2 and 8.
' 3
_ _ .
. F1 ure 3 Exposed Wall Iasulated Area: 1344,4 Sq. Ft.
R-Value '
Interior Air Film .68
Interior Finiah 7~°ROCK ~-45 '
Continuous Vapor Barrier 0.00 ~ I ~
I ,
Insulation FIBERGLASS 19•~~ ~JI '
sheathing BILTRITE 1.22 4
Exterior Finiah pLUM -62
~
Exterior Air Film .17 =
Total Asaembly R-Value 2~13
• Aasembly U-Value (1/R) .045
Enter on Page 1
• Fif3ure 4 Exposed Wall Framing Area: 149.3 sq. Ft.
R-Value
Interior Air Film .68 , ~
Interior Flnish } "ROCK . 45 `
Continuous Vapor Barrier 0.00 Il`\\
Wood ~tember 5 ~ " 6 . 88 ~
Sheathing B I TR I TE 1-~ ,
Exterior Finiah ALUM 6Z ~
~
Exterior Air Film .17
Total Assembly R-Value 10.01
Assembly U-Value (1%R) .099
Enger on Page 1
Por additional wall assembliea, see page 8.
. 4
, • ,
Figure ~ Exposed Wall Rim Joist Area: 166,3 Sq. Ft.
. ~ -
R-Value .
Iaterlor Air Film .68
Vapor Bazrier 0.00
Iasulation FIBERGLASS Iq nn ~II
~I
Wood Member 1~" 1. 8 8 u !
Sheathing BItTRITE 1.22
Exterior Finish ALUM -62 i~
~
~
Exterios Air Film .17 ~
Total Assembly R-Value 23.56
• Asaembly U-Value (1/x) .042
Enter on Page 1
Notes: 11 Floors over unheatad spacea. For floore of heated or mechanically
cooled spacee ovar unheatad spaces, the overall U-Value .
for the floor ehall not exceed 0.05. For floore ovar outdoor
air, such as overhanqa, the overall U-Valus for the floor
ah~ll meet the sama requirement as Eor roofs, U-Value oP
0.04.
2) Slab-on-grade Floors. For slah-on-qrade, the iasulation
arpund the perimeter of the exposed floor shall have a ~ '
minimum R-Value of 6.4. The insulation must extend dow*nward
from the top o£ the slab a minimum of 3'6" or downward
to the bottom of the slab then horizontally beneath the
. sla6 for an equivalent distance~. ~
3) Vapor barriera. The maximum perm ratinq Eor the vapor y
barrier is O.Y. A minimum of 4 mil polyetheliae, or equal,
ia required to achiave this. The vapoz barriez muat 6~ '
continuous with all joints overlapped and mada ovor Eraminq
membere or 6lockinq.
4) For notas on fou»dation wall see pa9e 6.
5) For additlonal asoembliea not,allustrated use woskaheet
on paqe 8.
5
. ` Fi ure 6 8xpoaed Foundation wall Area
. Co~crete Block or Poured 108.~ Wood FoundatioA Iaaulated
Concrete Foundatioa Area: ~ Sq. Pt. Araa: Sq. Ft. ,
' &-Value
In[erlor Air Film •68
u
0.00
_ ,i ` Continuous Vapor Barriet
„
~ Foundation Wall CONC BLK- ~ -P8 '
i
~ I Insulation CERTI FOAM 10•
, pp
HII' ~u xterio W A3~ Film ~ ~
_ ~I To[al Assembly R-Value _ 1Z.7~ +
Assembly U-Value (1/R) '078 '
Enter on Page 1
~ Notes: 1) Only the above Qrade area of the foundatiop ra21 if
~ . co ba included in the snssQY ~alculations. (7~p0 ~
~ 2) Tha EnerQy Coda require~ chat, iF tha Floor abov~ ths W"
~ baeau~nc or crawl spaca ia not insulssad, the founda•
. tion rall auss be insulated.~ Either che fourtdation - ~ Q -
~ must h~ve a oinimum R-!0 insuLtion appliad £rom the ~ V Q
top of cha foundacion to the frost line or a minimum . 0(/
R-S in~ulasion applied over the ensira £oundatioc v O~ ~
wall. ihe R-Yalue syacifiad ls for the iosulatioa p ,
~ - m~serial only. 7 O O ~
5) IE rldQid foam insulation is to ba aDPlied ta the 7od 0° O~~o
axcarior of tha Eoundacion uall, ths above arade J O~ .
: portion muat ba protectad from the sun, the weath~r ~
~
e~00
D ~
~ artd physical abuse. ' J~pp~~~~~ ~ D
6j If ridgid faam insulaeion is to be acpliad to the ~ 7 D o
~ interior, it musc be procecced by minimum 1/2" gYP. n O P0~ .
~ board or equal (as specified in section 1712 0£ tha
llniForm Building Code).
.S) Foundation wall insulation Eor woad Eoundations must
be installed as ~pecified by the vatianal Fores[
Praducts Associacion's ~esign Nanual. ,
Wood Foundation Framed :
Area: 5q. Ft.
R-Value
Interior Air Film .68
. Concinuous Vapor Barrier 0.00
Foundation Wall (Plywood)
Wood Member ~1\~1
~l\
Exterior Air F11m •17 ~I
To[al Assembly R-Value '
~ Assembly U-Value (1/R)
Enter on Page 1 ~ . ,
6
, SKYLIGHT, WINOOW ANO DOOR ASSEMBLIES .
,
-aw
Sk li ht Manufaeture Manufacture Na. No. Used Tatal Sash Area (Al R-Value U=1/R U x A
24x36 1 6.0 4.04
ata s Erker Paoe 1
s
-aw
Windaws Manuhetuee Manuhcturo No. No. Used Total a h.Are~ (A) R-Value lJ~l U x A
33.~
KC26202 6 18.0 .55
T
40x24~H 2 26.6 .55
32x28DH 2 12.4 .55
• KC26201. 1 2.2 .55
20.16~H 1 6.6 .55
20x24DH 1 2.8 .55
}CIRCLE 1 2.8 .55
KCN36 2 8.0 .55
ata s Pa e
-aw
aun ion
Wall Windor ManuFactun Manufactuee No. No. Used Towl Sash Arca U1I R-Value U=1/R U x A
40x24DH 1 13.3 .55
28x16 2 6.2 .55
oas r .
w w
R-Valw Stam Dao? Ooor U-VSIw
Ooms Manufacwre Size Ne, Usad Toal Daar Arc~ (A1 Dow (If U~e~ Assembl U~1/R UxA
34.3 .47 16.12
3_ 1 19.8 .47 9.3.
6_ 1 39.6 .55 21.78
, :z
ota s _ntr a a
~ , ,
~ . . ~ ~ • i • ~ o ~ u r. .
r,..~ ; t •o-~ i• • n • ~ ~ • • :
i ~
CITY OF EAGAN
APPLICATION FOR PERMIT SE~ P.bID/OR WATII2 CONI~PION
1) PROPERTY ADDRFSS: ~Pleas Print)
T.FT;AT DESQ2IPTION:
(LOt Block Subdivision or ax P ce I.D. Number)
IF EXISTING STRtiCR[.'RE, DATE OF ORIGINAL BCILDING PERNffT ISSC'71NCE:
(Nbnth Year)
PRESENT 20NING/PROPOSID OSE: R-1 SINGLE FANIILY
R-2 DC'PLEX (Trro L'nits)
R-3 TOWNHOL'SE (Three + L~nits) ( Units)
R-4 APARTMENT/COI~IDOMINIL'M ( C'nits)
COT'II~IERCIAL/RETAIL/OFFICE
IbIDL'STRIAL
INSTI'IL'TIONAL/GOVEE2NNNIENNT
2) ~
rrar~: ~i~zE~? ~~~.r/ ~ T,9~~~
s d.~~s
aDn~ss: ,.3s ~
CITY, STATE, ZIP: TTi9~jE ~d~eE ~J
~orb
PHOi~: ~J / D ~I~
3) • r~• For City Lse
NA[~~: ~
~ P1 s License
ADDRFSS : gg70 157 st ST. W.
APPLE VALLEY, MN 551~ ~ ve
CZTY, STATE, ZIP: C? ired
t R cor<
PHONE: MASTER LZCENSE # ~~~~7o/~i,3 ~f
Staf mtial
4) ~sr ~ ~ ia•
N11ME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
5) n r~ ~ : • a•
~GONDIECPION 'Iq CITY SELJEF2 ~ CONNECTION 'PO CITY WATER
l v Q 0'PHEE2 (Please Describe)
6) ~ • • i
? PLFIISE HOLD APPROVID PERNIIT FOR PICK-~'P BY ONE OF ABOVE
PLF.FSSE MAIL APPROVID PERhffT TO 1, 2~ 4, ABOVE
(Circ e one)
~ - ~ ~ ~1
/~.5~~~.
.
F O R C I T Y U S E O N L Y , ~
PEp`1IT " ISSUED '
~
F°~S: $ .C~-TU S°:•ic..°. ?~~~l~Ty ~I~IC~L::L.`. JU.~.~::?RGc)
$ /~'S~ WATE~ PE~1IT (INCLi1DE SliRCz:ARGn)
$ (o ~ `U WATER METER/COPPERHORN/OUTSIDE RE2,DER
s WAT°?2 TAP (INCLUDE COR?ORATION STOP)
$ S: :•ie.4 T? ° ~
S ~S: u° ~rCCi:::_ ~?GSI'= -
$ - / U ACCOGAIT D`:POSIT - UTATER
S S ~ w~,c
s s~-~-o~ snc
$ TRu`+K S9AT°R ASSESSi~?E:IT
$ TRu.I{ SE;~iER ySSE55cL^iT
$ Lr.T~?.nL BENEFIT/TRUNK Sci:~R
$ LATE~L BEJIEFIT/TRU:7K ~VAT°R
$ ` G~' WATER TREATMENT PLANT SURCHARGE
$ OTHER:
$ TOTAL
$ ~/,GG AiIOG•\T PAZD;'REC°I?T n j~)'~('
DOES UTILITY CON.IECTION REQUIRE EXC?.V?.TION IN PUBLIC RIGi-IT OF WAY?
YES IF YES, THE:V A"PERMIT FOR ~AORK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY TAE
~ NO ENGINEERING DIVISZON. LIST AS A CONDI-
`110N ,
SliBJECT TO THE FOI,LOWING CONDITIONS:
APPROVED BY: -
TI;LE:
/
~ATr ; / ~ ~
• CASH RECEIPT •
• , . CITY OF EAGAN
P. O. BOX 21-199
EAGAN, MINNEi~ 55127 ~ ~
DATE ~j 19
weeerveo
FqpA
AMOUNT $ ~ ~
& DOLLARS
T'e
? CASH ECK
eon
l~s~~~a ~ ~sJ .
G~ o
FVNO ~COOE PfAOl1NT
U U
7 O L ~(J
7/ / v
i
< /S'
Thank You
a
N_ 57595
White-Payers Copy
Vellow-POSting Copy
. Pink-File Copy
r~ 1988 BIIILDING PERMIT APPLICATION - CITY OF EAGAN
~ ~ ~
SINGLE FAMILY DWELLINGS ~
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FDR CORNER LOTS - CONTRACTOR/HOMEOWNER MfJST DESIGNATE WIiICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS ~ OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH HLDG. DEPT.~
7 SET OF ENERGY CALCULATIONS
CONA4ERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used ror: ~~C~~ Valuation: Date:
( J ~
Site Address y~5 ~j(it-p~~~~'S OFFICE USE ONLY
~60p ~
Lot _3 Block On site sewage_ Occupancy
MWCC system Zoning
Parcel/Sub On site well Actual Const
' City water Allowable
Owner ~`(L~ ~}{~/IS PRV required _ IF of stories
t'q-c Booster Pump ` Length
Address '7 O { S ~ja-~(Ll ~55 Depth
S.F. Total
City/Zip Code ~~~b~ SSIf~'~ Footprint S.F.
Phone ~ S~ ~ 63 5 APPROVALS FEES
Contractor ~l7~JK~~ Engr/Assess Permit a?
Planner Surcharge ,g'D
Address ~,~.5 ~ y~ Council Plan Review
~()5~1~~~ 5~/3 Bldg. Off. ~~-~2~~1 SAC, City
City/Zip Code Variance SAC, MWCC
Water Conn
Phone ~-ay 5~ Water Meter
Road Unit
Areh./Engr. Treatment P1
Parks
Address Copies
~ TOTAL "
City/Zip Code
Phone #
~ti ~
- - .
, 1
~ l ;
Jo
1
, N ~
~ ~ ~
I, ~ ~ ~
~
~ ~
~
i ~
0
~ ~
~
i
~ , . . .
rn C. R. WINDEN 3 ASSOCIATES, INC.
•r ~ ~,~C~~1r~ IANp SURVE~ORS T~L ~46-D~4t
V Q IJSI EUSTIS iTti fT. ?AUL~ MINN, ss~os
ppR: At~RICAN ESTATB HOI~S~ INC. ,
I~~ ~pdi5
6j5 S~A~~ ~~55
~
,
~~X 17-. NE ~ y
°5p``9 I ~ \ • Scale 1'~30'
. L l~,l 55 H 76~o.B2 ~ i ~
. ~
~ ~ ti
~ . ~ Q,`~~.
~ ~ ~ ~°o
m. m
_ .
\ ~ • ~ ~ i
~i M- ~,2 ~ c? c
e o
\ i 4 p P. , ~C
4 ~a`.
a / q ~y yt~ ' J \ ~
, \ ~ oQ~ ~i ' `~M 1y • ~ o'I~'h ~5
\ ~ : ~j~~ T f ~,p~y t~~ '1.~ ~'S . /
~ - \ ,s ' ' ~ ^w `Q~• / / /O ~
l0 \ , `t . ~
ls / /
M' ~~e
~ ~~'y . M
S•
4; ~O~ ~ rs . ~ ' ~ q'~
b
y ~ °o., . ~ , Q
CP . ~ c"'
~ ~ / s~ o~ °
o Denotee Iron ~ \ ~ y~ y~ \
Monument ~.r~ " ~o ~ ~
¦ Denotee Fiooden . ~ / y ~
Stakn ~ ~b
Propoaed Garage Rloor y ~p ~ ~
Elev. ~ 980.5 ~
(ggb.S) Denotee Yropoeed Fin e~ z•
Ground Elevation ~~,~d y~~~
-~Denotes Direction of wrb
Surface Drainage e~
Vertlcal Datum-N.C.V.D. 1929 , ~(ep
Bearinga Are Aaevmed , . t ,
` Lot 3. Block 2~ TEiE SAFARI ADDITION.
Dakota Couney. Minnesota.:
wE MEREII' CER11f~ TMAT iMIS IS A TRUE AND CORRECT RE?RESENTATION OF A SURVEY OF TNE
~OUNOARI[S O~ TNf IAND AlOV! GESCRIIED ANC OF iNE IOCATION Oi All ~UIIDtNG3, IF ANI;
TNEREON, AND All Vi31~lE ENCROACMMENi3. ~F ANY; fROM OR ON SAID IAND.
D~1~d thi~ ~~_~_det ~'to~t A,D. 10~ R. WINOEN i ASSOCIAfES, INC.
/ ~'GG~`rtiLD t~
~ ivr~~r, Mlew~wb Rpi~~rofien M~.~
/96-5 • ~ . ,
~ ,
~ oT 3 1`3 I f~ 2
~fHC SA~A~~ AD~1J.
CITY OF EAGAN FOR CITY USE ONLY
3830 PILOT KNOB ROAD
EAGAN, MN 55122 PERMIT #
PHONE: (612) 454-8100 RECEIPT # !
1~~$~I+T~.::~~-~~ DATE: G
S~A~~!1~`Tl~I;;~~ PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
~~/.:~...._.Y..::,... .
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION /J -f COMPLETE THE FOLIAWING:
OY"'~F~ N0. FIXTURES EA. TOTAL
NEW CONST _ ~ dy~ ADD-ON MINIMUM 15.00
ADD ON ~ _ SHOWER 3.00
REPAIR _ JG~~/~G~ ~ WATER CLOSET 3.00
BATH TUB 3.00
LAVATORY 3.00
OWNER NAME: _ KITCHEN SINK 3.00
~y . LAUNDRY TRAY 3.00
SITE ADDRESS: ~ S _ HOT TUB/SPA 3.00
WATER HEATER 3.00
LOT:~_ BLOCK SUBD. _ FLOOR DRAIN 3.00
~~i/' ^ //'f~ G(MINIPMiJMG-Ol) 3.00
INSTALLER: -
o,,~,c ROUGH OPENINGS 1.50
ADDRESS: `~~~0 - ~G _ OTHER
WATER SOFTENER 5.00
CITY: ZIP: S S 5~I 3 _ PRIVATE DISP. 15.00
~ U.G. SPRINKLER 3.00
PHONE ~ ~J~~' 3 ~ /
SUBTOTAL S ' `B'~
~ ST. SURCHARGE .50
SIGNATURE OF PERMITTEE
TOTAL: S ~ S° s~
~~~'IMEI~CIAI.~3`E]DD~TR~qI. ; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
~ MULTI-FAMILY SUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRICE: EEES
OWNER NAME: 18 OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
SITE ADDRESS: EACH $1,000 OF PERMIT FEE.
LOT: BLOCK _ SUBD. $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 18 $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE
( S I GNATIJRE )
FOR:
CITY OF EAGAN
~3, ~a,'~~~`' c~
~ ~~5~~3.
~ ~y/~~~z
PERMIT pS15665 CYCLED--A/£ ' B& L EL6CTRIC, INC. ~
BEVERLY GUSTAFSON EDWARD LANGE ~
1689 COVINGTON LANE 4684 RIDGE CLIFFE DRIVE i
EAGAN, MN EAGAN, t4N
ARNOLD DUBBELDE ' JOHN DETERS
4425 SLATER ROAD 4423 SLRTER ROAD
EAGAN, ~1N EAGRN, 14N
CHARLES SFIIRRON BRUCE CROSBY
4714 W. ~'lZND TRAII, 1761 WALNUT LANE
EAGAN, MN EAGAN, FSN
NORIIAN PETERSON F;OY CREELMAN
4337 SEQUOIA DRIVE 1883 BEAR PATH TRAIL
EAGAN, MN EAGAN, MN
JAMES DAHLBERG TERRY DAVZS
1641 MALLARD CIRCLE 4895 SAFARI PASS
EAGAN, tiN EAGAN, MN
/ ~ • ~D
2005 RESIDENTIAL BUILDING PERMIT APPLICATION v~
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construclion Reauirements RemodeVRenair Reauirements Otfice Use Onlv
3 regisle2d sde surveys showing sq. ft. of lot sq. ft. of house; and all roofed areas 2 copks of plan Cerl oi Survey Recd _ Y_ N
(20°h mazimum lol cwerage allowed) 7 set of Ene~gy Calculatlons for heated add'Abns Tree Pres Plan Recd _ Y_ N_
2 copies of plan showtrg beam & window sizes; poured found desgn, elc. 1 sile suNey for addRbns 8 decks Tree Pres Required _ Y_ N
isetofEnergyCalculaGons Add'NOn-indicateHons/TesepGcsystem On-siteSepticSystem _Y _N
3 coples otTree Preservation Plan'rf lot platled afler711l93
Rim Jost Dela~ Oplions selecfion sheet (bu~dings vrith 3 or less unifs)
Date C l~ Construction Cost T j S"
Site Address ~ S S UniUSte #
Description of Work ~~~'l ~1 Y~S ~ l~ Y l~ ~~~C/~ (~LJ/( 11 C,~ S7l
, Jr
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2 ~M ~ '
Property Owoer l`P ~C1.~11 ~ Telephone # (~QS~ ) • d lD 3S-
Contractor w~ Bl' ANDERSEN
1920 COiTNTY RD "C" WEST
Address ROSEVILLE, MN 55113 C~ty
State 651-264-4777 Telephone s~ ( )
LICENSE #20130983
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventiiation Calegory 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
• Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber Telephone )
MechanicalContractor Teiephone#( )
Sewer/Water Contractor Telephone ~
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of tt~e City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; at the work will be in accordance with the approved plan in the case of work which requires a review and
approv of plans.
Applicant's Printed Name Ap 'c Ys gnature
OFFICE ~SE ONLY
Sub Types ~
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 D6-piex ? 16 Fireplace O 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
O 03 01 of _ plex ? 09 07-plex ? 17 Garege ? 22 PorchiAddn. (4sea.) ? 33 Ext. Alt - SF
? D4 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? OS 03-plex ? 71 10-plex ? 19 Lower Level ? 24 Stortn Damage
? O6 04-plex ? 12 12-plex Plbg_Y or _ N O 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition O 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entlre Bldg) - Give PCA handout to applicant
Valuation Occupancy MCES System
Plan Review 100% or 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinkiered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinallC.O.
_ Footings (deck) _ FinaVNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AidGas Tests Final
_ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By: , Building Inspector
-
Base Fee
Surcharge
Plan Review
MClES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
•.•....,.s..•,~ ~uv ~c.oo rna ro~ otl ~g460~lC~P4~tIhL ~~tB1YUtSt(.7HI4 -
_ . ~muu
re - ~
. . . . ,
r~o ~ 200~ ~ ~ - ~ ~ .
. ~
.
3836 PiIoE Knoli Rosd - "
~5~. MN 55122 ~
.
. To Whom k May G~toern: .
Etder 7ones is authorized t~ -
Elder Joncs to pmvide this 1~ bniIding Penn~ts for Rertevyal bY Andersem_ Piease nIllrnv
serviCcfortts in I
datc bcyond 6/6lOl- vntiI a~nawa! '~a enth.orizatian is vatid for any
to the City. ~ bY AndGtaen mapaprr ~81y nevokes it in wrIting
I request this autiio~rzation be ac.c~te~~~pedidousl ' -
our ba~Tdiag P~lmita anY funficr. Plcasc caII mc If thcic au+o ~ deEsy in the P~~s~~g of
~ cantactca. at ~63-Sfl2-0706 Y~~ona.. I
caa txi •
Your immqdiat,c a~cntion to th{s mattcx is 9
Sinoarely, ' .
~ l ~ v
T
~llOIId~~, ~j~t[ .
asta(Iation Manager
Rcnowai by Anci~rscn CaiPOrativn . .
C'r.: Karn-Fsid~ 7nn~c - . -
~ ~K~~~'u-~.~C4 .C.C ~otis a:,~
~i _ T~~Cir~~ _ .
(~Ef 0. ' .
` ~ r~wuc~~-
~y nneacte .
_ . - - - _ _ .~0"~st"'e°.~~zav
Received Ti~e Ju~. 1. 1~O1P~d
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4895 Safari Pass
Lot: 3 Block: 2 Addition: The Safari
PID:10- 75850- 030 -02
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspec
acceptable in lieu of inspections.
Fee Summary:
Valuation: 3,000.00
Contractor:
Lindus Construction
879 Hwy 63
Baldwin WI 54002
(715) 684 -4647
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
Permit Type:
Permit Number:
Date Issued:
Permit Category:
on prior to final, you must meet inspector with ladder and flat bar. Pictures are not
Owner:
Terry B Davis
4895 Safari Pass
Eagan MN 55122
$88.50 0801.4085
$1.50 9001.2195
$90.00
Building
EA086110
09/16/2008
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA123114
Date Issued:05/29/2014
Permit Category:ePermit
Site Address: 4895 Safari Pass
Lot:3 Block: 2 Addition: The Safari
PID:10-75850-02-030
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and house wrap and leave on site.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
Joanie M Davis
4895 Safari Pass
Eagan MN 55122
(651) 206-2211
Action Roofing & Siding LLC
1315 Southview Boulevard
S St Paul MN 55075
(651) 457-2642
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA132685
Date Issued:08/28/2015
Permit Category:ePermit
Site Address: 4895 Safari Pass
Lot:3 Block: 2 Addition: The Safari
PID:10-75850-02-030
Use:
Description:
Sub Type:Siding & Windows/Doors
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of house wrap and leave on site for final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
Joanie M Davis
4895 Safari Pass
Eagan MN 55122
(651) 206-2211
Action Roofing & Siding Llc
1315 Southview Boulevard
S St Paul MN 55075
(651) 457-2642
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA158735
Date Issued:10/29/2019
Permit Category:ePermit
Site Address: 4895 Safari Pass
Lot:3 Block: 2 Addition: The Safari
PID:10-75850-02-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Joanie M Davis
4895 Safari Pass
Eagan MN 55122
Haley Comfort Systems
4320 Hwy 52 N
West Frontage Rd
Rochester MN 55901
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature