4900 Safari Pass ` ~ CITYOFEAGAN ;
. 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121
. PHONE: 454-8100
eUILDING rERMIT Rece~v~ #
T~ M w~ fw Est. Volue ' ~ Oote ~ 19
SiteAddrep - - - Erect ? Oceupancy -
l.ot Blxk ' ~/Sub. ` ~ R~~el ? 2oning
Rspsi~ ? Type of Const.
Parcel Na.
Enlarge ? No. Stories
Move ? Length
~ Name ~ ~ ~ ~ ~ Dsmolish ? Depth
~ Addrese ~ " _ _ , Grade ? Sq. Ft.
City ~1Phone " Install ?
~ Nama AP~ols FNs
Addres~ ^ssessment Permit - ' \
~ Water 3 Sew. Su~charye
City Phone
~ Palice Plan Review ` ~
Nsme Fin SAC
~W
Address Enp. Woter Conn. ~
City Phone Piarn~er Watsr Nkter
~
Countfl Road Unif
I heroby ocknowf~dp~ ihat I F~ rood this applicetion ond state that g~dg. p~{, ~
the inlormotioe+ 1s correct ond o9ree to comply with oll opplieabb A~ Total
Stah of Minnasota Statutes ond City of Eaqon O?dinonces.
Var. Date
Sipnotu?~ of Pem~ittN
h Buildi~g Pertnit Is iasued t~o: ~ on tM •xpew eondiHon thot
oll work sholl b~ dorw in aoooedante with all applimbl~ Stote of Minnesoro Stotutes ond Uty of Eopan O?dinanuL
Buildieq Offkiol
~ ?~rmit No. hrwdt Flol/w O~IM T ~
- S~-~ Y S~~' 7~ _ s
?~v~?~c. o l g
E~ ~ g
s~r~..
o.~. i~. ow.
F°°t~n~t II ~
FoumMtion
Fronino
qpp/Ino C5'C
n~ -
Ra~ MV
Imulttion TfS'
Firal Mbo. ` ~
Final NVAC Z/ • <
Finsl ~
a~tro~o. Z g ~
~ o.w~s. ~oe.t~on: I ~ ~(~j~ f l~
~
wwi _ ~ . d g ~ f}
s.w.` e, ~ 7~~J~-s
Receipt PLUMBING PERMIT Permit No.
CITY OF EAGAN ~
Fee
Fi!l in numbered spaces S/C
Type or Print legibly Tot.
1. Date 2. Installation Cost '
3. Job Address 1"_-:.. Lot Blk. • Tract
4. Owner
5. Contractor Phone ~ '
6. Address ' ~
7. City State Zip
8. Building Type: Residential C~ Commercial ? Institutional O
9. Work Description: New ~ Add ~ Alter 0 Repair ?
10. Describe
11. No. Fixtures No. Fixtures
Water Closet Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
' Shower Well
Kitchen Sink
Urinal/Bidet Oiher
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 : - ~
- for
Fiough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454~100
R~aipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN .
FN.
fill /n numbered sp~cea S/C '
Type ar Print lepibly
- , _ 1 • Tot ~
1. Date 2. Installation Cost '
3. Job Address ` Lot Blk. + Tract
4. Owner ' ~ ~
5. Canuactor Phone `
6. Address . r"
7. Gty - State Zip
8. Building Type: Residential 0 C~mmercial O tnstitutional ?
9. Work Descxiption: New ? Add ? Altsr O Repair ?
10. Desaibe Fuei Type
11. No. ~uiRme;.: BTU - M. Ea. No. Eouiament CFM
Foraed Air Air Handliny:
Mfy.
Boilers Mech. Exhaust
AAfp.
Unit Fleater
Mfy, Other
Air Cond.
Mfy.
G~, Piping Outlets
12. I heroby certify that the above information is true and correct, and I agree to
oomply with all ordinances and codea governing this type of work.
~~°d ' for
' Rouph Ffn~l
Inspections: Date Insp. Date Insp.
This is your psrmit when numbered and approved.
Approved CITY OF EAGAN 464-8100
CITY OF EAGAN Remarks
Addition SAFARI ESTATES ~ot 16 a~k 1 Parce~ #10 65850 160 O1
ow~e~ st~eet 4900 Safari Pass s~te
Improvement Date Amount Annual Years Payment Receipt Date
STREET SUFiF. 1982 1037.54 1~3.75 10
STREET RESTOR. ~$2 , . ~C ii
GRADING nl~ ~$2 603. Ejl.g "
SAN SEW TRUNK L ~ ~ 1. 6~V Q.
* SEWER LATERAL Q j~ ~
WATERMAIN
iF WATER LATERAL 82
WATER AREA ~ ~j ~ }4
# 1 82
STORM SEW TRK ~ 66. 1 1 . S
f STORM SEW LAT 1 2 S
CURB & GUTTER
SIDEWALK
STREET LIGHT
R~.d Unit
WATER CONN. SOO O
BUILDING PER.
SAC
PARK
:;~YY OF EAGAN WATER SERVICE PERMIT
383Q Pilot Knob Roed 7
P. O. Box 21199 PERMlT NO.: `
Eegan, MH 55121 D~T~: ~ % - ~
'.l No. of Units: i
~4 Zoninp:
~~evel~~; ::rs cnns 4
Owner:
Mdross: ~rl A1f.,~-isPass i,I~ ?11 ~~ir«ri I'states
Site /lddross:
~ ~n iChin u
Plumbsr: v1 ~1" S 7~ Connectian Q+orqe: S 0 U. 0 0 U~'•
, Meter No.: ~ 9 1= , ~Opd
slze: " R•'~.~.• Acoamt oeposit:
D 3 A'I ,SD ~ 7 Permit Fee: 1 0- 0~ _
• Recder No.:
1 pw~ ~e oo~plf wil1~ Nw Ciryr ~f ~Y~~ Surd~o?Oe: 5 i~
1 . ad
Misc. Chorpes: .
Totol: ~ _ Cl~ . , ~ r
By .r-~ - . n Date Paid:
Date of Insp.: ~ ~ Inip.:
~o
' CITY OF EAGAN SE~NER SERV~CE PE~R '
3830 Pilot Ktt~b Road pERMIT NO.: ~ 34b
P. O. Box 21199 - - ~
I Eagen, MN 551~2i ~`T~' '
Zoninp: No. of Units:
Deve opers co~sst I
.Owner ~ i
4 Safr~ri Paes L1 B Sa ari ~sta[es ~
! Site /lddross:
Weiet e Trenching & ~.xc• ,
~ Plumber. • ~
~ 4-~ , - . _ _ 425.00 pcl
1 M~~ ~~Vhi wM6 !Iw G1P eF aYew Conrnctlon CJ+arp~: ~ ~
Or~IMea~. Aooount DaPoair ---Y~.-~~--'-'~
P~rmlt FN: , ~ .
Surcho?Qe:
BY Misc. CharOes: ~
, Date of Ir~ap.: Total: 1
' DoM Pold: ~
IroR: ~
,
,~Ii'Y o~ En~anl WATER 5ERVICE PERMiT ti
38?a Pilot Knbb Rosd r~ ~
PERMIT NO.:
i P. O. Box 21199 DATE: 5~ 7--
Eagan, MN 55121 1
:.i rb. ~ u~~r~:
Zoninp: Develo~era const
Qwner.
4900 HafariePasa L16 B1 Safari I'statea
Site Addrsss: _
~~r: ti1 5Q0. ~4 Pd
Connection Chorqe:
Wleter No.: 15.OOpd
Size: /~caount Deposit: - 1,~ nn -
Pertnit Fee: - t.
Reoder No.: •
wili~ 1iM Cif1r af E~e~ Surcherqe:
~.y~. to o~oy? 132 00 Ad
Misc. Choroas~ -
~~et e r
Total:
Date Paid:
BY Ir~sp.:
Dote of Insp.:
~..~..r_ - - - -
PERMIT# ~C~~a-~ RECEIPTDATE:
8008 itESID~NTIiRL ~'LUM$IN~ ~~~M1T ~k~P~LIC~cT10N
crrYog ~s~v
3880 PILOT KNOS RD
~'AHAN, I~N 551 EE
B81-681-9675
Please complete for: single family dwellings, townhomes and condos when permits are required for each unit,
_backflow_pr_eve_nter fof_irrigation system~
FiANSON A, DAVE
SITE ADDRESS: asoo saFaRi aass
EAGAN, MN 55122
OWNER NAME: : (s5~) asz-z~ss TELEPHONE
(AREA CODE)
L __~T i
INSTALLER NAME: _~V 0 r b ~ o iN1 ~l IA.WLI~i v~.t~ TELEPHONE ~0 I~- S z7 -~'}0~33
STREETADDRESS: Z°~OS C-~ccrfc~d /}y~,y~~,~,g, SOLt~Y ~~EACODE)
CITY: _ rv1l~iS. STATE: M~ Zlp; SS~O~
_ 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 ^ I
_ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
_ Water turnaround - existing dwelling unit 5/8" meter if needed -$118}
Other.
_ RP2: new instaliation/repair/rebuild $ 30.00
_ law~ irrigation system
Repiacementladditional: watersoftener ~ waterheater , D~ Ir^ !['I `Sli~l~i~$ 15.00
SEP 2 3 2002 ~i~i
~uu - I
State Surcharge $ .50
~3y
Total $ l $ ~50
I hereby acknowledga that I have read this application, state that the informetlon is correct, and agree to comply wIN all applicable City of Eagan ordinances. It
is the applicanYs responsibility to notify the properiy owner that the City of Eagan assumes no Iiability for any damages caused bythe City during its ~ormal
operetional and maintenance aciivities to tha facilities constructed under this permit within City prope /right-of•wayleasement.
t
SIGNATU ERMITTEE i/02
CITY OF EAGAN ~J° 1010 5
^ ' 3830 Pilot Kno6 Ro~, P.O. Box 21-199, Eagan, MN 55721~
~ _ ~ PHONE:4548700 ~f
BUILDING PERMIT Receipt #
Te M aad /er SF DWG/GAR ~.ya~~ $142.000 ~fe APRIL 17 ~y 85
~ - - _ _
sitenddree~ 4900 SAFARI PASS erect ~ oeeupeney R3
~ot 16 elock 1 ~lsub. SAFARI ESTATES Remadel ? Zoninq Rl
Repair ? TypeofConct. v
Percel No.
Enlarge ? No.Stories
~EVELOPERS CONSTRUCTION Mave ? l.ength 76
~ Name Demolish ? Depth Sr}
~ A~~' 1101 CLIFF RD Grede O sq. Ft.
cie~ BURNSVILL~ha„B 890-6194 mscan ?
S~~ Apyrova4 Fta~
~ Ngme Q
~ Address Asusame~t Permit
Ci Phone Woter b Sew. Surtfiorga 71 _ 0 Q
269.00
Police Plan Review
r'~ Name Firo SAC 525.00
z~ Addresa Enq. Woter Conn. ~~s.Q ~
. ~W City Phone Plonner WaterMetar~.90
c~ii ~a u~ct ~Rn _ n0
1 herehy ecknowiadga thot 1 M ad fhis opplication cnd stare that 81dg. Off. 4 11 8 T. P. 13 2. 0 0
tha inlormotion is eorren a a ree to comPly w 1h all applica6le APC Total ~S~„ 378 _ OQ
State of Minnesoto Statut o Ciry of qan fdinoncas.
/ Var. Date
Sipnotum of Parmittaa
A Buildin9 Permif I~ i to: DE ELOPERS CONSTRUCTION o„ ~ exprea cord~non iho~
oll work sholl 6e dona in aowrdonce wit applimbla aro f Minneaota Statutes ord Ciry of Eapan Ordinoncas.
BuildNq Offlcbl ~~0~"'~~
T~;s ,~~d ~j i(r~ 3 ~S' ~ 85
~~°~i~~~ s ~ ~
Rgquest Da Fire No. liough-' I~pection
1 ~ ~^y( ~ Repmred? ~Reatly Now . ~II Notify InsVec-
/ ~l ~Yes ~NO [or When ReadY
[~[icensetl Electrical Conlractor 1 here4y reQUes[ inspection ot ebove
? Ownar aleetrical wark i~gtalled et:
Street Addre/ss, Boz or floute City
v v
ecL n o. Townsh~p N or o. Nange No. Counly
Oecupa t IHiINT) Phone n.
Pow¢I uOY~~N Aadress ~
/ B
ctrical Contractor IConWan Namel ' tracto.~s License No.
Q
Mai mB ~dress (COn ctrn r Ownar Makine ~~stailatioN
~
A t~ igmtu 1 b mr/Owner MakinB ~~~alla[iunl ~on Number C f
~r 1 J ~
YI ESpTA STATE BOA LECIAIdTY THI I SPECTION REQUEST iMILL NOT
G ygs-Yidwev B~da- -~b -187 0E ACCEPiED BV THE STA7E BOAN~
1821 Ilniversi[Y p~e.. St. Paul. MN 55106 UNI.ESS PROPER INSPECTION FEE IS
Plqro (67Z~ Z9~-2~~~ ENCLOSED.
(-J j~ ~ 7~ I~QUEST FOR ELECTRICAL INSPECTION E~'O0OD1"od
/ ' See irmtruetions tor eompletinp [his fvm an beek ol Yellow eopv. ~ J\~~~
~ 1~ 4~ 4 `~~X'~ Be/av Work CUVered By This Nequest
Add Itep• Type o1 Builtling ADO~~aMea rlired Equiomene Wired
Home Range Temporary Service
Duplex Water Hpater Lightin,y Fixtures
Apt. Building ~ Dryer ElecVfc Heatin
Co~miercial Bidg. furnace Silo Unloader
Industrial Bldg. Air Corditioner Bulk Milk Tnnk ~
Fartn the~ cec~ v e~her ISOecitv)
t r SVeci y Ot er . Oth~r
ompute lnspection Fee Below
A Fea ServiceEntraMeSize # Fae FeedersBubtceders Fee Circuits
Oto200A s- Oto30Ams ~ Otn30Ams
Above 200 Am ~ 31 to 100 qmps 31 ro 700 A
Swimmin Pool Above 700_Amps A6ove 100_~+mps
TrenSfortners Irti tion Boorrs Partial: Other Fee
Signs ~ Special Inspec!ion g T~AL
FEE~
R¢merks 5) ~j
Rpueh-in Date
q (7 ~ Elechica~
I /i?Jd Ini'pe~cWr; h'e~eby
ca~tifV tlmt the above
Firial Date p~tion has been
,f% °e
m.ma~•wais~ussr.o~, .
~i~/~ s~
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED IiITN THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
To Be Used For: Valuation: ~~6 ~ te: % Jr
Site Address: ~~j~ S .~~~5 14Z0~ USE ONLY
Lot: ~ Block ~ Sect/Subs~d~i ~~ex ~ Oecupancy (L-3
Remodel ` Zoning (Z-I
Parcel I! Repair _ Type of Const 'SL
Enlarge 11 of Stories
Owner ~~s~l/~~~~~~_ Move _ Length ~ICv
Demolish Depth S 4
Address /p/__5~~~~ ~ Grade _ Sq Ft
~rry
City/Zip Code
Contractor APPROVALS
Address Assessments Permit 5 3 S.aO
Water/Sewer Surcharge 'Il.°°
City/Zip Code Police Plan Review Z~o9.°°
Fire SAC 52>.
Phone ~1 Engr Water Conn Soo.°°
Planner Water Meter (c3.
Arch./Engr Council Road Unit 2go,m
Bldg Off~'
y!,~S Parks
Address APC Treatment P1 13 2.m
C Variance
Phone 0 _ ~j~ •~o~s+'!~ TO'IAL 3
~
O
~
r
1.
14x.,33 = 4c~2 n 54 = 24~9~, - -
3~ ~ 35 = 1 z4~ x s4- ~ c~7 2
o:~ *
~ ~ X ~ _ x54~ SIF3Q ~
' , . S38• +
- 18o K 4l ~ 7~~8v
~ ~ ~ 269•+
q( 525• +
Z~ }C J~ / ~?~~O K ~ I OO I K~ 500• +
63• +
~7 ^7 280•'+
Z.~ ~ ZS~ I~~O ~Q ~ ~O I~U , 132•+
2~378• ~
(411~
~
~p` Q~.
Certificate for:
, ~Developers Construction s
11~11 C11Ff Rd. f'k'
Burnaville, Mn. 55337
D AR H. SCHWANZ
~.AND$URVFVORG INC
. u<O.SIarM Vn~~r Lrw£ n~ iM1p $taV n~ M~nntsVla
~a750 SOUTH BERT TRAIL ` RQSF,~INT. MINNESOTA 55068 PMONE 812 423•1789 ~
rQ V.
/ SURV~S CERTIFICATE I
~~~77 11~"~ 576.6 SCALE: 1 irr.>~ ~'ee' I;
/ ~q E ~ Elevaticns showr, are e ctr.t in;^ Ii
y~, / (i
~k;,~ ~5~,• ~ Proposeu y~r:i,;e floo~~ ,
P~ ,i ~ elev~.ti~>n Ioi2,~_
~ ~~~8~ ~ s ~ ~
cl'' ti s~ c ~i I~ ~
.~v ~o 's I
~ ,
.~k 53!j \ \ . ' ?
? ~ ~ ~
\ ~ : l
~ Drainage & utility 2 ~
c~ easement a ~ ~ °a
~
~ ~o
~a ~ ~
\ ~ \ ~ A~ b ~`~s
~
~ ~ ~ ~
o \
~ ~ ° . ~ Y1 \7
•
~g~. . .
\ ~ .
~
\ ~ . ~ ^~9
~ . ~ ~8 .
~I
..3' \ / OT / /
~ Lr ~ b
I hereby certity that. s~. ~
this is a true and correct~', ~
representation of Lot 16,. j \
Block 1, SAFARI ESTATFS, /
according to the recorded ~ .
plat thereof, Dakota County, tiA
Minneeota. ~ . ~ ~~h9
Also shoeing the location of a \ /
proposed houae as ataked thereon.
. ~ ~ ~ ~
`~p S /
Dated: March 25, 1985 , ~ ~ i! ~
Revised house location 4-10-85 ioie.s ~/}rY„d% ~ i _
~ ~ ~ ~Q~, MINNESOfA REGISTRATION NO. 8625
~ ti
• ~X,'reit~ui~ ~r~v~~oi~c nvei+nr,c ~~u~~ ~u~•ii~u'rn'riurd
OIJhI[R: .~P , I,~ ' i i ~ ii h~t
SITE ADDRESSi , , , , ~
CONTRAC70R: DATE~~~[ PHONE~~'~- ` ` '
DE7ERMIPIE• WORYIPIG SOUARE FOOTAGE OF ~ 7
EACH `
- . ~ : i . . . Ul 5 V l» I I + ~ ; ~'S~Y i
~~1 ~ , . ' ' ~
~ I . TOTAC EXPOSED blA~l, AREA //~~j ~ ~ ` ` ~ J+y ' y~j
. . . . . '~~'v~O ._•~Sq Ft x~ll~l~ ~ le~7`/~rl t'^ , o
2: ' 70TAL ROOFJCE I L I NG AREA `r S f ~ • ` + ' ~
q t x lJ ~[L~ ~ , ~ ~ ~;.y .
3•' T07AL EXPOSED IdALL AREA CAICULA710NS: j; ;:;a
; . . , ; ( V~ i
- ~ 4 ~ t L ~ :
. ~ , - L~:i A3
Total exposed wall ' ~ f
area above floor , ~ - ~ ' jn ; : t ~'s~~r~~ f'(i , , ~i
~ . i
~ ~ s ft ~ ri J ;E'
q s'~t•; r~~kl~' ~~1~ G~~'~
„
,
a). 7ota1`wall window area. ~ `
~ ~ 'i, ~ ; ~l t'
, ; , , ~ ~
glazad _ i , ,
sq f t..x u~~~ .~,5'~?s
qlazed.:. ~ sq ft x i~~~i
e
b) Total door area sq ft x~~~~i , O.r~' ~ ~,~6..
~ /
c) 7ota1 si idin9 ~glass' door ~area; ' ~ ~ ; i"i rt 't
il V r , :~i} t ~
9lazed~:.... i ',IfU11 i
sqftx ~
. ~ . ~ J~r~~~ . _ . . . r,
9lazed ~n sq ft x ~,i'` .~Q;
r =
d) ~Total fire~lace wall area sq ft x"U"
e). Total wall framing area ' . ~ , , '
~Average 10~;) , . , . - sq ft x u17~~ y ~9 , ° ~ QD'i
' f) Total net wall area above
floor (Insulated)........__p~ ~3~~, _ sq ft x "U" ~ _
4) Total rlm Jolst area...,. _~j sq ft x"U"
. . . . i~~~ p ~.,y~.~~,..
~ ~
Total foundation
area (Exposed);...... .~~L Q sq.ft
~ h) Totai foundatlon
~ wlndow area.. . - sq ft x ~~Un
1) ?'otal net foundation ' . ~
. .
arca ahove,r~r~ideti,....~. ~ sq fC x nU~~ Q .
. ~ . . , . . . . ~ ~ ~
3' 70TA1 a) thru t) _
~ .
( "If'Item (~3 fs the,same as, ar less than item N1, you haye met the intent of
~ . S.B.C. Sectfon 600(, (c) 2' ,
_ .
~`r~_
r
, , ,
;
1~. TOTA~.£XPDSED RQOF/CEILIMG PALCUL~TIDtIS: ' . ,~.r`~~
i . ~ ; t
~ . . ~ T ~ ~f \ ~ ~
~ 'Tota1 exposed ~ : ` , y ,
' area . ~ sq ft ,
roof/cell(nq ~
~ r, ai l" I~1 4~~'f`~~ 1
sq f t x "U"
, '
~ J Total.skyl(ght area . , , „r,,,
~ .tr T ' 1'ii~ ' ,F I ~ ~ y'..~
L ~ r;
k)' 7otal roof/ceilin9~framin9~/~Sq ft x"~" " ~°Z
area ~~veraae .:1~~~ ~:ii it~~~,'~K
~ . , ; . . '~1 ° fii rif~ ~
I 1
1) Total net insulated ~ i'' ~~~."Q
roof/ceillnq area ~ sq;.ft x ~ ,V
_7L""-
~ ~ ~
~ ~ ' '70TAL J)~~thru~l);'`~~
r.. . . ~ 5:,.
i i i ~
. ~ t>~ ?~~i
~ r t
If total, oF "II. Is the same as; ot' less than fr2~ Ydu have met the int~~t'of ~*~;1;
~ , . ;~~w i + ~ t , i
' ' ,r, i
S R C. `Section' G6~6 (c) 1
' _ ~ ~jhl ~ i d A~ S. 1 fl~.~ i i r~ ti ~'i~~ t
~ i ~ ~ p k 'S
, . v.:',.a~ ~ x !i!.ti
" ~ r , .
. ` ~ x - _ i i
. . . , { c l l . . , r ' _
.
, ,
~ , . . , ~ .
. , . ~
, . . ~ . .
i~ ~ - - ' . . ~,~j
~ . . . . . ~ ~ - i
~ ~ ~ ~ ~ ~ ~ ALTERP~ATE;:~6UI~LD~IFIG ENVELOPE bESIGN ~ . ti~
' To uti,lize the total envelope sysfem method,.the val.ues establlshed by:the sum. ,
~of items J~3'and ~~~1 shall not be 9rea[er than the sum of items Nl and ~2 "'d.'`' r
~p~ ~ , ;
~ ,
~ 1• + ; /'~~-S , j~/(j ~ t`r~c ;
~ ~ 'f' ~ ~ ~ ~ ~ ~ ~ ~ / ~ ? ~ ~ ~ ' , ~
i~: 3, J'~ 1~
, ' , , ~ ~ i ,r.`.~~ tia ~ , ~41~
~ ' " ' r
. t , . . ~ . '~i~~ ~::i ir .i
~ . - . . ~ . . ~ ' ~ 1 1 ~ ~r x S s.
I~ ,
~ 1~
. . . . f . . . ' ' , f , 1:' 1
. . . . . . ~ . ~ . . . ~ '
. . I . ' . . . I . ' ' ; t ,
' I , „
. , . . ~.,.I. ~ 1 ' , , '
i
. ' ' . , . . . , . . . . . . ' , ' t F. i ~
' i , ,
. . ~ i . . , . , . ,
i
. . ' . - . . ~ . ' . . ~ . . .
c E R7 I_f,t c AT I o tJ
l ~ ' , .
1 hereby certify~that I have calculated the "U" factors and "R" ~
values herein and [hat the,hu.ilding here descrihed meets or'exceeds the State
Act. .
. ~ion'
at
Conserv ,
f innesota Encr4y
o M
,
~ . nature ~ i
. , . .~~i i ~
~~i . . , . ~ ~ . . . . . . , ~ i ~ i ,
. . . . . . ~ , _ ~,r~,~C ~
, ~1 . . . - ~ ~ . ~7i/ ~...Y~! . , ~ .
(
, ' ' 1`~'\~.
' r~ ~ ' ~ . ~ . , . : ' , . ~ ri.•''.
! 4. 70TAl.EXPOSED RQ~f/CEILING CALCULATIQIIS: ;
i~ ~ i~
, . . ~ i,
1 . ,
. . . ~ . t
I'. Total exposed '
5q f t ' "~~<<; ~i +
roof/celling"area " '
.
~ ft X u~ii o. ~ l; li` ~i~i~ '1:
,
J)'. Total skylfaht area ` ^ s9., `
~
I . + i , , r~ , fi "
r ~ i ~ :
I.)' Total:roof./celllnq framing ' ~
area,(~veraqe 109;) ; Sq:ft x"U" , C7 a
, ~ 't
~ F fl ~ i
. i ~ Y j ~
, , ~ . , ";i 4 ' ~ x R ~
~ 1)i- 7otal net insulated, /y
s~~~~t x"U'~~' o" S 1rs.~ ~,i di.
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IF Cotal ~of fs the same as,>,or less` than /r2, you have met the int8nt of i'~4'/4,
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To uCilize tha total envelope system method,,the val.ues established by the sum;; '
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I here6y certify that ~.have calculated the "U" factors and "R"
values herein and that the bu.ilding here descrihed meets or'exceeds [he State '
' of Hinnesota Enerny f.onservation'Act.
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Evr~x M. ~rrsox ~ SEP I 0 I~~J
4900 Safari Pass ~`i~~
Eagan, Minnesota 55122
Mr. Thomas Hedges
City Administrator
City of Eagan
3830 Pilot Knob Road
Eaqan, Minnesota 55122
Dear Tom:
This letter~is a follow-up to our brief teleghone conversation
yesterday.
We have reason to believe that two pro~erty owners on Safari Trail
have informally "traded" portions of their respective properties
in order to make both parcels more buildable. I am sending this
letter to you as the Eagan City Administrator in order that it can
be forwarded to the proper city o£ficials to address our concerns.
We would appreciate your assistance as follows:
1. we do not believe that a trade of properties can be done
without the property owners applying for and receiving a proper
waiver of plat. Are we correct with this assumption?
2. The property owners at 1952 Safari Trail (Mr./Mrs. Evans)
have gone ahead with building and landscape improvements to the
property they acquired through this trade. Were those improvements
done with the knowledge and compliance with all buildinq codes and
restrictions of the City of Eagan? If no building permits were
issued and/or a waiver of plat granted, what is the course of
action available to us in order that the present improvements be
removed and a waiver of plat denied?
3. The front of the Evans home faces Safari Pass, but the
garage and mailbox are on Safari Trail. We would appreciate the
City's assistaace in detemir.ir.q that th~ house ie properly lecated
on the lot and that this property owner is not in violation of
boundaries, setbacks, multiple driveway restrictions or any other
building restrictions or codes of the City of Eagan.
4. One of the purposes for the .property owners trading
property is to enable the new property owner to construct a
driveway up a strip of land which abuts our property. (That strip
of land has been traded by Evans to the new property owner.) The
City of Eagan is aware that we presently live with an illegal
driveway (20+$ qrade) and are in litigation with our builder. The
incline of the property on the other side of our home will once
again result in another steep, unsafe and illegal driveway and, in
addition, will result in the destruction of many old and expensive
oak trees. While I realize the City can do nothing at the present
, time because no formal driveway plan has been presented, we thought
we should make you aware of our thoughts and intentions. Any
waiver of plat or request for variances to enable construction of
a home on this site will be strongly resisted by us.
As I mentioned to you, I've discussed this matter briefly with Tom
Egan in his capacity as Mayor. A copy of this letter is being sent
to him so that the Eagan City Council is also aware of our posture.
I realize the issues are somewhat abbreviated in this
correspondence. Should you have any questions or require
additional information, please don't hesitate to call me.
Thank you for your assistance.
Re rds,
Ellen M. Hanson
c: Tom Egan, Mayor
Mr. and Mrs. Ed Evans
sity oF ~ege "
3830 DILOT KNOB ROAD 7HOMA5 EGnN
EAGAN, MINNESOTA 5 51 22-7 897 ~Y~~
DHONE: (612) 454-8100 DAVID K GUSTAFSON
fAX: (612) 454-8363 ~~w
. TIM PAWLEMY
THEODORE WACHrER
Council Memb¢r5
TFIQ~M$ HEDGES
November 6~ 1990 C¢yntlmin6tmtcr
EUGENE VAN OVERBEKE
Ciry Clerk
ELLEN M HANSON
4900 SAFARI PASS
EAGAN, MN 55122
~RE: INSPECTIONS AT 4900 SAFARI YASS~
Dear Ms. Hanson:
Enclosed, please find a copy of the building permit issued to the
above address and comments regarding inspections that were made.
In reviewing this building permit, it appears that a temporary
occupancy was issued on 6/28/85 which indicates that there were
some problems with the plumbing. A temporary occupancy is
sometimes issued to obtain financing or keeping a closing date that
has been scheduled. On 7/3/85, a re-inspection of the plumbing was
made at which time the concerns were resolved and a final
Certificate of Occupancy was issued.
Zf you need further information, please contact me.
Sincerely,
Dale Runkle
Community Development Director
DR/js
CC: Tom Hedges, City Administrator
Doug Reid, Chief Building Official
THE LONE OAK TREE...THE SYMBOL OF STRENGTH AND GROWfH IN OUR COMMUNITY
Equal Opportuniiy/Aftirmative AcHon Employer
TR~.NSMITTAL ADMINISTRATION
TOM COLBERT, PUBLIC WORRS HOLLY DUFFY, ADMZN ~
PAT GEAGAN, POLICE RAREN FINNEGAN, ADMIN
DALE RUNRLE, COMMUNITY DEV JON AOHENSTEIN, ADMIN
KEN SOUTfiORN, FIRE KF2ISTI HORAST, IiIS
GENE VANOVERBERE, FINANCE JOHN OLINGER ~ ADMIN
REN VRAA, PARRS MIRE REARDON, CABLE
JIM SHELDON, CITY ATTORNEY KRIS AAGEMAN, RECYCLING
MESSAGE: ~~-Z~O
~
~~,iw. e ~u,i ~ c v-ct c>-. 5=E a.wc
ti~ a-t~~^ 3. p-~.o ~s-~-~~ i~ a~ w~~ @ .
~
~M -
E~~~ ~ ~ ar.~ ~ e~,..~. Sr~,,,,K~
~~''°UU~'~~ - "t14bt~ wws /A~ -t~n.o,7 oa~~.P~...,~ ~"ssosd ~-~8"- ~S-
SO"'L W/L~h~ w:.}'(~ I~~Jw.~ ' ~FaM.rX 'P~yy~.~ ~;,}~~~+dl ~ l~ ~ ~ ,L..
o ~ ~
~ s 6 „ y
- ~ - '~~.a~~ i
s~- tia- ~ W- ~ ~ -i~~. ~p'
~~c~c~od~~
. ~CT 2 5 i.~1a~ ~~i ~
i
Law f~i~c~m~ntsTM
A Division of B.T. CARLSON
October 23, 1990
Thomas Hedges
City Administrator
City of Eagan
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
Dear Tom:
Rather than bothering you with telephone calls, I thought I
would put my request in writing and you can forward it to the
appropriate person.
As you know, we've been involved in litigation with our builder
for the past four years. We are now at a point where we
need to "push" that process and need information from the City--
which should be no problem as it appears any recourse we might
have had against the City has been barred for sometime by
statute.
At your convenience, we would appreciate copies of all inspec-
tion reports, including final inspections which led to the
certificate of occupancy. As soon as photocopies are ready,
you can contact me and we will stop by, pay the photocopying
cha.raes and pick them up.
As always, thank you for your assistance.
S' erely,
len . Hanson
4900 Safari Pass
Eagan, Minnesota 55122
TEMPORARY PROFESSIONALS • PERMANENT PLACEMENTS • DEPO DIGEST • LAW GRAPHIX
9801 DUPONT AVE. SO. • SUITE 410 • BLOOMINGTON, MN 55431 •(612) 881-3100
2000 STORM DAMAGE PERMIT APPLICATION (RESIDENTIAL)
+ ' ~ CITY OF EAGAN
3830 PILOT KNOB RD - 55122
~---~'a?~~ 651-681-4675 ~
Reauiremenfa !1
? 2 copies of plan ~ l l~ ~ v
DATE: ~T ' 2- L'~ CONSTRUCTION COST: ~I 3, U 0 U-~~
DESCRIPTION OF WORK: Q~ ~Z ~o°o ~j'~r`~''`~~ If multl-famlly bldg., how many units4
INDICAiE THE FOLLOWIPIG E6IUIPI~AEM TO BE REPLACED AND BY WHOM:
_ Plumbing _ Homeowner ~r Coniractor Name
_ Mechanical _ Homeowner gl Contractor Name
"Note: If somebody other than the homeowner is performing plumbing or mechanical work, they musTapply forappropriate
permit. Only licensed plumbing contractor or homeowner may complete plumbing work.
STREET ADDRESS: ~l-~ D O S!F r W"L i P f1 S S
LOT: BLOCK: ~ SUBD./P.I.D. ~T1H'L~S
Name: ~C ~?~~~il ~ D Phone ~t: h5 t-~s Z- 2 6
PROPERTY Last F~rst
OWNER p0 Sdt ~R 2 l i' ~sS
Sheet Address:
City ~~C~ A 1~-~ State: Zlp: S$( 22
Company: ~ Phone
(area code)
COMRACTOR
Sheet Address: License # Exp.
CHy Stafe: Zip:
1 hereby acknowledge that I have read this applicafion, state thaf the infomnation is orrect, and agree to comply wilh all applicable State
of Minnesota Statutes and City of Ea~n Ordinances.
Signature of Applicant:
s
AUG 1 $ 2000
i3Y:
OFFICE USE ONLY " ~
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 21 Porch (3-sea.) ? 31 Ext. AR - Multi
? 02 SF Dwelling ? 08 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. AR - SF
? 03 01 of _ plex ? 09 07-plex ? 18 Deck ? 23 Poroh (screened) ? 36 Multi
? 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Storm Damage
? 05 03-plex ? 11 10-plex Plbg _Yor_N ? 25 Miscellaneous
? O6 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg.
WORK TYPE
? 31 New ? 36 Move Bldg. ? 43 Reroof
? 32 Addition ? 37 Demolish (Bldg)* ? 44 Siding
? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair
? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors
* Demolition permit - Give PCA handout to applicant
GENERAL INFORMATION
# of Stories sq.ft.
No. of Units Length sq. ft.
No. of Buildings Width Footprint sq. ft.
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. MC/ES System
UBC Occupancy sq. ft. City Water
Zoning sq. ft. Booster Pump
PRV
.
(,t~D2(L ~ ~3~ __,OcaJ~
i~,~v~~ 4 R~,p(~r Z - S~l--c-~c- 2o~,L ~ ~fisc
~ - - - - --(~-l-2Dc,~tnidoc,(,'~ . ~!b's~vvt~r
fi~ ~ ~
- - - - - - - - -C~t-2P~
~ - -
- - - f l- ' -~2 NL, ~ae~ ~ u~o~o
- - - - - -
- - - - - _ _ - - -
- - - - - - - - - - - -
- - -
r - - - -
I?
. _ _ _ _
. _ _ . _ _ _ _ _ . . . .
_ _ _ ~ . . _ _ _ _ _
I.~ _ _ _ _ _ . _ .
lJ
;
" .
- .
, HAfdSON, David L. and Helen J.
3271-00213 /DLH 38690640-02
CERTIF'ICATION OF BUILDING PERMTT REOUIItEMENT
TO: Local Issuing Authority
of Building Permits
RE: Building Permit Requirements
For property of: David L. Hanson and Helen J. Hanson
Located at: 4900 Safazi Pass. Eagan. Minnesota 55122
Please cerrify below the appropriate status regazding the Building Pernrit requirements for the above referenced
property.
_ A Building Pemut is NOT REQiJIRED for the repair/replacement construction on the above
mentioned residence.
~ A Building Permit is REQUIRED and a copy of said permit is attached hereto.
Seismic Studv
Pursuant to Executive Order 12699 on Seismic Safety of Federal and Federally Assisted or Regulated New Business
Construction, all new building construcrion that is assisted by the Federal Government must meet Seismic Safety
Requirements specified in the National Eazthquake Hazards Reduction Act of 1977.
Please certify below regazding compliance with said requirements when loan funds are to be used for the
construction of a comnletelv new buildine or an addition to an existine buildin2.
_ All new building construction on the above mentioned property meets the "1988 National
Earthquake Hazards Reduction Program Recommended Provisions for the Development of
Seismic Regulations for New Construction."
_ Local building code does not include Seismic Safety Requirements.
DATE: % ~-D/.i SIGNED: .~S_A~~~i~
TITLE: ~ ~ ~
After completion please return to: U.S. SMALL BUSINESS ADMINISTRATION
One Baltimore Place, Suite 300
Adanta, Georgia 30308
~ . ~ ~~~~~L;;
` . ~ ocr 2 s isso
~i _
L~w~~f~i~c~m~ntsTM
t. .
A Division of B.T. CARLSON ' -
October:23{, 1990 ,
Tliom2~~'fiedges`, . _ .
City;Administrator
City,of~Eagan .
3830. •PiYot' Knob Road -
Eagari-~ :~tinnesota 55122-1897' ~ `
Dear'-'Tom: . •
, ,
. ~i°~... ~ . ~ .
Rather than bothering you with telephone calls,, I thought I
would put~'iny request in writing ''and you can hforwaid~ it to the
appropriate person.
As`you know„ we've been involvedrin litigation wiEh'our builder
foi the,past.four years. We are~now~.at a point wtiere we
need.to "push" that process and,need information;from;the City--
whicYi°should be no problem as:it~,a;ppear"s any~recourse we might
have'ha3`-against the City has;:'beeri bai'red for sometime by ,
statute,.. . .
At yodr e~n'venience, we would appreciate copies of all.inspec-
tionwrep,orts, includ3ng final-•inspections which led to`the
certificaf'e of occupancy. As`soon as photbcopies are ready;
you -car[ ~'COntact me and we wilY'.stop by, pay the' ptiotocopying
c.kiarges and,. pick them-: up.. ~ n '
As alway,§',;:thank you for your ssSistance.
S erely, ~
,
len~ : Hanson
4900"Safari Pass `
Eagan;,:Mirinesota 55122
t .
~ ~ ~
~i... _
TEMPORARY. PROFESSIONALS • PERMANENT' PLACEMENTS • DEPO DIGEST • LAW GRAPHIX
',9$0~`,DUPONT AVE. SO. • SUITE 410 • BIAOMINGTnN, MN 55431 •(612) 881-3100
.e ~
~
;
, ~ t~ - ,
,
sity oF eac~an ~i ~
3830 GILOT KNOB ROAD THOroaS EGAN
EAGAN, MINNESOTA 55124~'1897 ~yOf
PHONE: (612) 454-8100 DnVID K. GUSTAFSON
FAX: (612) a5a-8363 - P^r'~~^
, TIM PAWLENfY
September 20, 1990 n ~~«~~Ace~R
' TFIQ`.MS HEDGE$
Ciry P,dmin'st2ror
EUGENE VAN OVfRBEKE
City Ckrk
ELLEN M HANSON
4900 SAFARI PASS
EAGAN, MN 55122
Dear Ms. Hanson:
bi response to your letter to Tom Hedges, I will attempt to address your concems:
1. You are correct tlaat two properry owners on Safari 7Yail have granted easeme~ats to
each otlzer so as to make both lots more attractive to the respective awners. Said
private easemerit agreement was drafted by an attorney, filed with Dakota Counry, arul
therefore is a Cegal agreement thaa does not require platting or waiver of same.
2. Improvemerau done by, or caused to be done by tlae Evaru', have included landscape
materials and a retaining wa11. Landscaping a~ul retaining wall projects do not require
Ciry building permits and in this case, are in compliance with all Ciry Codes.
3. Tlae City of Eagan determines the address of a comer lot, however the prospective
, {zome buyer has the fTexibiliry to determiite his/her prefere~ice provided all setbacks cmi
be met. The site in queskori is not in violation of any building restricaons or Ciry
Codes.
4. In review of driveway requirements, the City tries to &mit drive grades to 10%, however
if a driveway is proposed to exceed 10%, it must be reviewed and approved by tlte City
Engineer. In placing a home on a lot, the Ciry encourages saving as marry trees as
possible. One of the criteria for grandng variances is for saving of dees and topography.
THE LONE OAK TREE...THE SYMBOL OF STRENGTH AND GROWfH IN OUR COMMUNITY
Equal Opportunlty/Affirmatfve Action Employer
r , ~
~ If you have any further questions or concerns, please do not hesitd te to be in contact with me
at 454-8100.
Sincerely,
Dale C. Runkle
Community Development Director
DCRIjs
CC: Tom Hedges, City Adminirtrator
, r - - - .
~ ~~C~i~~ti.l~~,
~
ELLEN M. HANSON SEP I 0199~ i
4900 Safari Pass II
Eagan, Minnesota 55122
Mr. Thomas Hedges
City Administrator
City of Eagan
3830 Pilot Knob Road
Eagan, Minnesota 55122
Dear Tom:
This letter is a follow-up to our brief telephone conversation
yesterday.
We have reascn to bclieve that two prop2rty own2rs on Safari Trail
have informally "traded" portions of their respective properties
in order to make both parcels more buildable. I am sending this
letter to you as the Eagan City Administrator in order that it can
be forwarded to the proper city officials to address our concerns.
We would appreciate your assistance as follows:
1. we do not believe that a trade of properties can be done
without the property owners applying for and receiving a proper
waiver of plat. Are we correct with this assumption?
2. The property owners at 1952 Safari Trail (Mr./Mrs. Evans)
have gone ahead with building and landscape improvements to the
property they acquired through this trade. Were those improvements
done with the knowledge and compliance with all building codes and
restrictions of the City of Eagan? If no building permits were
issued and/or a waiver of plat granted, what is the course of
action available to us in order that the present improvements be
removed and a waiver of plat denied?
3. The front of the Evans home faces Safari Pass, but the
garage and mailbox are on Safari Trail. We would appreciate the
City's assistar.ce in deterraining that tha house i~ pro~crlp lecate~
on the lot and that this property owner is not in violation of
boundaries, setbacks, multiple driveway restrictions or any other
building restrictions or codes of the City of Eagan.
4. One of the purposes for the property owners trading
property is to enable the new property owner to construct a
driveway up a strip of land which abuts our property. (That strip
of land has been traded by Evans to the new property owner.) The
City of Eagan is aware that we presently live with an illegal
driveway (20+$ grade) and are in litigation with our builder. The
incline of the property on the other side of our home will once
again result in another steep, unsafe and illegal driveway and, in
addition, will result in the destruction of many old and expensive
oak trees. While I realize the City can do nothinq at the present
GITY OF EAGAN
CASHIER: JS TERMINAL NO: 718
DATE: 09/22/00 TIME; 11:48:58
ID:
NAME: BURNS~/ILLE HEATING & AIR
3213 9001 4900 SAFARI PS 3D.00
2155 9001 4900~SAFARI PS 0.50
Total Receipt Amount: 30.50
CR137807
USER ID: JAN
5
time because no formal driveway plan has been presented, we thought
we should make you aware of our thoughts and intentions. Any
waiver of plat or request for variances to enable construction of
a home on this site will be strongly resisted by us.
As I mentioned to you, I've discussed this matter briefly with Tom
Egan in his capacity as Mayor. A copy of this letter is being sent
to him so that the Eagan City Council is also aware of our posture.
2 realize the issues are somewhat abbreviated in this
correspondence. Should you have any questions or require
additional information, please don't hesitate to call me.
Thank you for your assistance.
Re rds,
;
Ellen M. Hanson
c: Tom Egan, Mayor
Mr. and Mrs. Ed Evans
\
/ V' ~
~
~
LOT BL ' PERbIIT ~ 2 ~ ~ 3
SUBD. ~1AtQY~ ~S~A~C~C RECEIPT#: .
RECEIP'f DATE:
2000 MECHANICAL PERMIT._(RESIDENTIAL)
czxx os $acaN
3830 PIIAT I4TOS RD
SAGAN lIIT 55122
651-681-a675
Date: `Z'~`7 '~U - d
Complete this section on if you are instatling HV'AC in a single family 3welling, townhome or condo under
construction and not ownedoccuoied.
• HVAC: 0-100 M B T U A,:. S 30.00
ADDITIONAL 50 M BTU , _ - 6.00
_ .
• Gas outlets (minimum of one required @$3.00 ea.)
. .:,t;~ State SutGharge . . . . .50
Total
, ~ .
Complete this section an! if you are remodeline, addin¢ to. or [spairin¢ an existin8 sin8le-family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repaic.
t.
- .
~ew _ Alteration _ Repair _ Other
• ~ Fumace - - ~ Air condidoning
. Air exchanger -
~ - - - -
g~ $ 30.00
~ - State Surcharge 50
Tutal $ ~C.~
Reminder: Call for inspections
SITEADDRESS: Uq~Q S'0. ,f't ~Pr1SS -
OWNERNAME: '~Q.U~U ~'~Gt-n.~SC3Y~~ PHONEM:~_- ~-/L?ro`Z-RO~cCJ
(pREA CODE)
INSTALLERNAME:~,( n i I ~-P ~f ~I- ~I G- PHONE#:(~°
.~_-~'L'~/~'dUOS
STREET ADDRESS: 1 o2~-I FS I'Z I'l~C~S3, 1~~~~rQ ~ 5
CITY: SGLt~GI STATE: f~~ ZIP: jS '7
1 _
SIGN TURE OF PERMITTEE
Q~~S
CITY USE ONLY
L _ BL _ PERMIT#: -
SUBD. - RECEIPT#:
APPROVED BY: , INSPECTOR RECEIPT DATE:
2000 MECHANICAL PERMIT (CO~RCIAL}
CITY OS EAGAN
3830 PILOT ffiQOS RD
BAGAN, I~i. 55122
651-681-4675
Please complete for. all commerciaVndustrial buildings -
multi-family buiidings when separate pertnits are not required for each dwelling unit
. ~.~n .
DATE: `L_:'~__.. . .
WORK TYPE: _ New construcdon Instell U.G. Tank
_ Interior Improvement Remove U.G. Tank
_ :°..~.D:P'S'b .
. . :Ilf!:s_'r'1 i!'": !CS :p. . .
R'hen installing/removing rurderground tank, cd1 651-681-4675 for inspection by frre marsha! and
p/umbing inspector.
Description of work:
Fees: 1% of contraa price OR $30.00 minimum fee, whichever is greater.~ ~6
Undergroundtankremoval/'~astallation=minimumfee ^ _ ~
.J'1'., ~ ::G°fE:!1[ .
Contract price: $ x 1% = S (Base Fee) ~
State surcharge calculate az 5.50 for each 51,000 Base Fee
TOTAL $ :
•
SITE ADDRESS:
OWNER NAME: PHONE
(AREA CODE)
TENANT NAME ([MPROVEMENTS ONLl~:
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAI~: -
INSTALLER: -
ADDRESS: PHONE
(AREA CODE)
CIT'Y: STATE: ZIP:
SIGNATURE OF PERMITTEE
. y
- i
' 2 ~ 8 ~1
i
~ ,
~ w~+ CITY Or EAGAN
I ~~`e`~
5,~~~ f APPLICr'1TIOi1 FOR PERi~IIT
\
~ SEWER AND/OR 6dATER CONNECTIODT
(PIEASE PRINi)
1) PROPER'I'Y ADDP.ESS: 7~!J d Si~-~/FK ! ~i9-T.~
r-Frar, o~..~c-u~rTcv: 4.aIT /E T?~ac ff / S'.~~.aR,~r ~'s%~f-l~~'s
(It~t/Block/S-u:~ivisicn or TaY rarcel I.D. ~Itar,~r)
~ Tr .~^.•:I~='~:C, S?'~,L'C^
:cE. DA'_T? Oz' O~Gi:T,~I, :I~II.^~I.`:
~.=_=S: T_5.:'~~-..`:C:.:
P?WSL.': :II:F:/oT?OPOS~ C•S:: n- Si;GL:". F.`-`u.Tr.Y
(?'.~b L^?ZT~1
? ~ 3 'IC:t1II?~?JcE + L~:ZTS) ( ~~1i;I^_S)
a 2-~} tiA;?"'..TM'`iPiCC:~Ci.LT~:Ii,~1 ( GNI:'Si
? CCi.nl~'.CL-lI./RE:_-'1~TI,~Or^F'I ~
? ~~~s~_>L
? ~sTZ~,-rzo~.u,/~~=e~rn~-.,;2.
2) A~PLSC-2iT iPlras~ ~ntr~~~
NAt'1E: ~~ll~~~~
KS ~-~.0~ ~ l
ADCRESS: ~/0 / ' ~j1~ ~D
cTM~r, sra~, zzP: _~3v~~s vil.~c= 5 3~
PH~~: ~'f~ ~n~~y
3) Pu;,•~HW .l?~S~SE ~HINi) ` FOR CITY USE ONLY
ru~,~: ~-G~.-~i~P-~`E T~t
~ ffi~ r>-,~
` - - - ~ P~;UHBERS LI ~55E:
ADDRESS: ( ~G.Gp ~i/,/ff f'(]) ` ctive
, CZTY, STATE, ZIP: / ~{j ~,4.zf ~ AL"~_.:~i
~~/t~~ Ezpired
f~ u~icr. Q~ Not ecard
~ PHONE:, ~5~.~6,yZ~-: ~-PLQYBER-L'ICE~NSE p_~6 rUa cj'
n tia
tj) ~JnpNp~~~Z,~ (PLEASE Pfllt~i)
t~: /~?f R s. hf E~ l'J~rd~vSa~1
ADDRESS:
CITY, STATE, ZIP:
PHO^IE:
5) INDIG~TE SdHICH PERtiLIT S HEINC; RF~CiESTID;
~ IO~I T'J CITY SETrIF~t
cor~rrEC:re:v ~ro ci~^r ~~raz~a
~ diE~R (PIT'.1'~E DF_SCi~IIIE}
6) I2DIG,.:: C:~: -
~
.
~ PT.E~SE t?OZD r~,PPP.OVE3] pElZ+12T FY7R _PICi:-UP BY ONE. OF RECVE J
? PLFASE D^~IL P.PP_RC}VFI~ PII'.~tIT Z`'J 1, 2, 3. 4 ALWE
(Circle one)
7) SICA'IL~2E: GvO~-~~~ ~ DATE: ~ ~U` ~S~
~ A:i~_-iR}R.iY i i~ Q lY.~4fls ~f ~l I.! ~ • . .
' ~ i~r i iAf Ii iRi~ :i~ a 1t !!!If!lJ~~ ~~~R ~i ~~igY
F 0 R C I T Y U S E O N L Y
pF~"'IT u ISSiIED
FL'~5: $ /v S~:•iER ?~~??~1IT (I~ICL;;^~ SliRC :?,~Gr"..)
$ i. 3 C) W~TER PERftZT (I.ICLvD~ SJ?CJ~,2Gn)
$ y~"-U WATER METER/COPPERHORN/OUTS.D~ RE~DER
$ WATEH TAP (INCLUDE CCRPORnTIO?I STCP?
s SEivER T~P
i
$ .OU --.,...~.'i::.'i ~•S~. - c_.,=?
$ l`s C7U ACCpliNT D~PCISIT - UiA':°_~
$ ~'`v WnC
$ ~cZS-O~~ SPC .
~ TRliVK S~AT°R ASSHSSi?E2iT
S TRlii'dK SE~vER ASSP.55_IE?iT
$ LA:~P,;L SENEFIT/TRU~IK SE:•:E:t
$ L;TERe~.L BENEFIT/TRUiIK ~QAT~q
$ ~ O ' OTHER '
$ TOT~L
S ~G AI~lOU:~'T PAID j RECEI?T # J(`fS~G
. i
DOES UTILZTY CONNECTION REQUIRE EXCAVATION ZN PUSLIC RIGHT OF WAY?
YES,-'' IF YES, THEN r, "PERMIT FOR ;+10RK WITHIN
^ PUBLIC ROADWAY" MUST BE ISSUED BY THE
~`V~ ENGINEERING DIVZSION_ LIST AS A CONDI-
TION.
SUEJECT TO THE FOLLOWING CON?ITIONS: •
APPROVED SY:
~
TZTLE:
DAT_° : ~
.a w s~ w~. ~ ~ s~ ~c ~ ~e ~c++ w~+ w ~ w +~~e w~ Ra w ~
i~~c~ w~~~sew~Ra~rt~ws~ w..
i
_ z/a4
~~i CITY OF EAGAN
~1~"~ APPLICATION FOR PERNIIT
- SEWER AND/OR WAT~R CONNECTION
(PLEASE PRINT)
1) PRO2gzrY pDD~ss: 4900 Safari Pass
r.Fr~I, DES,C"i2IpT'IC:I: LOt 1G, Blk 1 Safari Estates
(Lpt/Block/Si.ibdivision or Tax Parcel I.~. Nim~er)
ic ._~'..{I :='_`_:C S~'RL?CTLTRE~ Del2':.' G~' CRIGi
JF1L ~ii2I,D2"IG P~:~ST ISS~:?VG:
~ Pn.ES~^ ~.•••TI•.~;/F:.~O°CS~ li5~: ? R-1 Su~]GIW FP?~SLY
? R-2 DUPL~EY ('ILiO Wi ITS)
? R-3 TCIvTII-IOUSE (THRE^ + [JNCTS) ( UNITS)
? R-4 PpARZP-~'~;m~CODIDCi•IL~IILtiI ( U~TITS)
? Cq*nMERCIAL/RETAIL,/OFFIC~.'
p 11~7USTRTAL
Q INSTITOTIONAL/GpVII~~Tt
2) APPLICt~V'T (PLEASE PRINT)
Developers Construction, Inc.
Ann~ss: 1101 C1 iff P.oad
CITY, S'rATE, ZIP: Burnsville, hiN 55337 ~
PHO~ :
3~ P~~~~ PLEASE PRINT) FOR CITY USE ONLY
N~: Donahue Plumbing
PLUHBERS LICENSE:
ADDRESS: ~
Active
~ CITY~ STATE, ZIP: Expired
t Q Nat af Record
~ PHO.IE: PLUM9ER LICENSE #
ar initia
4) OCL[IpAl~pr/C}~if.,IER (PLEASE~ PflINT)
NF1ME:
ADDF2ES5:
CITY, STATE, ZIP:
PHO^i~:
5) INDICATE WHICH PERMST IS BEIiVG REQUESTE~:
~ CO.INECtION 'IO CITY S~Tr1II2
conmr~rrzo;v ~ ci~ wr~z~
? OT['.II2 (PLEASE DESCRIBE)
6) ~DIG,
L O`~:
? PLEaSE HOZD APPROVID PER'~lIT FOR PICK-UP BY ONE OF 71BOVE
? PL.~'~.SE ~+AIL APPROVID PERtitIT 'Ih 1, 2, 3. 4 ABC~VE
(Circle one)
~l sz~~~,~: _ ~ r ~l'~ ~ oaz~: y/ a!~/,Fs
,~-T--
~R6~:i~i1#Ja:l~i!lt:taF.l~ . . . . . . . r .C..
R~~~ A iYf i W:i~a t~ 1! E.~t:f~f~:~i f~ SI ~!l~~.'s~4 es
F 0 R C I T Y U 5 E O N L Y
PER^~tIT = ISSUED
F~~S: $ ou:---. ovo~tr~+ ~y';^T. u ar~:1
S.. ,r._. _ _ ~_~JD~ Sli:~C-?.
J:~
$ WATER PERPtIT (INCLUDE SURCHARGE)
$ WATER METER/COPPERHORN/OUTSIDE READER
$ WATE~ TAP (I.;CLUDE CORPORATIC~ S:OP)
$ SE:dER TAD
$ ACCOGNT DEPOSIT - SEiVER
$ ACCOUNT DEPOSIT - WATE~
$ WAC
$ SAC
$ TRUNK ?~ATE~ ASSESSC-lE.dT
$ TRli,IK SE[dER ASSESSMENT
$ LATE°.AL BENEFIT/TRUNK SE;JER
$ LfiTERAL BENEFIT/TRUNK WATER
$ ' OTHER
$ TOTAL
$ A~~10UNT PAID/RECEIPT $
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGi3T OF WAY?
YES IF YES, THEN A"PERMIT FOR WORK WITHIN
PUBLZC ROADWAY" MUST BE ISSUED SY THE
~ NO ENGINEERING DIVISZON. LIST AS A CONDI-
TION.
SUIIJECT TO TEIE FOLLO:QING CONDITIONS:
APPROVED BY;
TITLE:
DaT°:
+ a~ i•~ ~~t~ w s-~ w~ w~d4 w1~ Ra ~t~ w ~wi~ ~!fq ta wt ~ la alw w~a r~c~ la ~d~ w~
City of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #: 1 1 D°1 (dg
Permit Fee: 165' aS
Date Received:
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Z7 ( Site Address: qct 00 .SQ cot PkSS 1 CG Gh MN 5572' Unit #:
Resident/
Owner
Name: Phone:
Address / City / Zip:
Applicant is: Owner Contractor
Description of work: C'C fc.90F
Multi -Family Building: (Yes / No V)
Contractor
Company:
Address:
State: (v\4k) Zip: S-S/'Z Z Phone:
License #: Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x Sri' A Y x
Applicant's Printed Name / Applicant's Signature
Page 1 of 3