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4920 Safari Pass ; ~~7s 1 SEDGWICK EAT NG & AIR C6NDj~lOlSI G CC~:~~~~~ ~ HOUSE HEATING TEST RECORD ADDRESS y9~D ~~FF)~P/ ~A~S CITY OCCUPANT QWNER ti N h~E..L~ o~ HEAT LOSS ~ DATE HTG. INST. SOLD BY INSTALLED BY E Electrical Work By D Tt-+~tZ 5 Gas Line By Tv~: ~C`f~ TYPE OF HEAT GA_ FA 2 HW_ STEAM SPACE HTR. UNIT HTR. OTHER i GAS DESIGN CONVERSION MAKE - ~+tidX MAKE OF BURNER Model _ C-~ { 6~'s. Ll ~S- 1~5 Model Serial ~ g~7 S~(Q7 Max. BTU Rating INPUT 10~5, t>c7c~ MAKE OF FURNACE , Model /~~p CONTROLS THERPJIOSTAT~~_ Heat Plug~"~-` Ve~t Size ~ Valve_ 1C~L'~ 2~5l~iAr~i ~+R~~n1 _ KINDOF LINER ~ S12E NONE Limit ~'-~~I ~-~_T:~: ~~,.I, Draft Hood ~ N O u«c~ Regulator S Limit Setting O F Filters Size Number Fan Setting F Chimney Location Inside Outside Pilot Type c-~c2 ~ o cJt c.. Chimney Construction C~. S~, r~3 Pilot Make ~o c3E~2TC 4~+~~4uv Pilot Model S~ 7 3~ Smoke Bomb Wiring - n K Pilot Timing 1 t.y S`t r`1 n..~T Draft - Test Tag S L.W. Cut Off - Door Pressure Lighting Ins h~ Pressure _ ~ ~ ~ ~ ~ ~?1 ~ ~ ~Perceni CO ~ Date Tested ~ t - ` a? Input CFH s Percent OZ Company Testing S~ ~C W~Lt~ Stack Temp. ~~z Percent COZ Name of Tester ~-oN 214Q , Form 235 . ~ t: ' ~ • • CITY OF EAGAN - ~ , 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT Receipt # To be used for Est Value Date ,19 Site Address OFFICE USE ONLY Lot Block Sec/Sub. On Site Sewage _ Occupancy MWCC System _ Zoning ~ Parcel No. On Site Well _ Type of Const City Water _ (Actual) ~ Name (auowabie) w # of Stories 3 Address Length ~ City Phone Depth S.F. Total , p Nam6 Footprint S.F. ~ 4 Address APPROVAIS FEES ~ City Phone Rssessments _ Permit ¢ Water/3ewer _ Surcharge yVj W Name Police _ Plan Review W _ ~ Address Fire _ SAC, City t~= Engr. _ SAC,MWCC `W City Phone Planner _ WaterConn. Council _ Water Meter I hereby acknowledge that I have read this application and state B~dg. Off. _ Road Unit that the information is correct and agree to comply with all applicable APC _ Treatment P1 State of Minnesota Statutes and City of Eagan Ordinances. Variance _ Parks Copies Signature of Permittee T07AL A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinancea Building Official Permit No. Permit Holder Date Telephone s ~Plumbing ' ~ ' ~ ~l ; ~~:i "~,G~ ~ ; c , H.V.A.C. y . ~ _ 'is/ _ Electric l~i~y`G C~ ~ 9/7/~' s~~ ~ ~ . ~ ~ _ ~ 9 ~~?/f'I' ~ Inspection Date Insp. Comments Footings I / Footings II Foundation Framing N~, ~ ft te~ 4rf,^LG~ /ia..7 ~ ~ r-~~- Roofing Rough Plbg. ~T ~ o l/- Rough Htg. ~ g1 ~ Isul. Firepiace p Final Htg. o ~.A_ j' Q~- ~ Final Plbg. ~ ~ ~ Bldg. Final ;}P F7 t-~• f{ ~ Cert. Occ. , ~ ' ~ t= . Temp. LP Deck Ftg. Deck Frmg. Well Pr. Disp. , ~ . . . _ . _ _ . ~ ' • PERMIT # p . PLUMBING PERMIT RECEIPT IF 7 va CITY ~F EAGAN p. 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: - T'- % CONTRACT PRICE: PHONE: 454-8100 Site Address BLDG. TYPE WORK DESCRIPTION Lot Block SeciSub Res, New _ - _ _ _ - Muit Add-on ~ Name " Comm. Repair ~v Address Other c Ciry Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Name Water Closet - $3.00 E ~?1Bath Tubs - $3.00 3 Address ~avatory - $3.00 p City Phone 5hower - $3.00 Kitchen Sink - $3.00 FEES Urinai/Bidet - 53.00 COMM/IND FEE - 1°ib OF CONTRACT FEE Laundry Tray -$3.0o APT. BLDGS - COMM RATE APPLIES -LFloor Orains -$1.50 TOWNHOUSE & CONDO - RES. RATE APPLIES ` Water Heater -$t 50 MINIMUM - RESIDENTIAL FEE - $12.00 ~_Wh~rlpool - ~,3.00 MINIMUM - COMM/IND FEE -$20.00 Gas Piping Outlets -$1.50 STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIn (ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.Q0 BEYOND $1,000.00) Well - $i0.00 Private Disp. - $10.40 . ; Rough Openings - $1.50 SIGNATURE OF PERMITTEE • FEE: STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL: ' ' . , .~~~~J~~~'~~,~'~';~ ~:~~•ri _ ~ : _ . ~ PERMIT # X~ ~ QAECHANICAL PF~t[~JT RECEIPT # ~~'C • CITY OF'~A«GAN 3830 PILOT KNOB ROAD,-EAGAN, MN 55122 DATE: f'~d CONTRACT PRICE y/ c~ ~ PHONE: 454-8100 Site Address ~ ' ~ gLDG. TYPE ~ WORK DESCRIPTION lot ' Block Sec/Sub ~ Res. ? New ~ Name~ ~ Mult Add-on m • Comm. Repair Address _~_a+ c City MIr~N~oa~~ , r~. , aher 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 PERMIn - 1.50 EA. TYPE OF WORK COMM/IND FEE - 146 OF CONTRACT FEE Forced Air ~ M BTU APT. BLDGS. - GOMM. RATE APPLIES TOWNHOUSE & CQNDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 Vent CFM STATE SURCHARGE PER PERMIT - .50 Gas Piping Oudets # !i BEl'OND $1 p~) PERMIT PRICE GOES Other R FEE: / U _ S/C: U SIGNATURE OF PERMITTEE TOTAL: ~.~U FOR: CITY OF EAGAN ! -v ~ f (~~rtif ir~tp n~ (~rru~ttnr~ ~itp of ~agan ~r#r~~bn~ ~i~r~tding ,~ln,e~r~riinn This Cenificate issued pursuant 1o the requiremenu of Section 306 of the Uniform Building Code certifying ihat at the time of issuwrce thrs st~acture was in compliance with the various ordinances of the Ciry regulating building construction or use. For rhe following.• u+~ c~~o~, ~;.1.~, e~. ~ r~o. 7; ~~~Y ~'P~ ~~.S 7min~ Distri~t ' Type Comr ~ Tn7,. ,.~,r . OwarafBu' i. ,l. ~.i ~:.j _ i f;" , ~~~i`J ~.ii? , i,,- i. ~~diu~ ~w~~~ ~~5..~t~R,-1 i~A.~~ ,~,a, t~17, ~ S1~nART Vs~r ~ Ctf`TCIRF.R 27, I9A7 B~w~ o~~dai - - - POST IN A CONSPICUOUS PLACE ~;..a, ~ ; t F . ~ . . _ -~?n . ..--.r--...~~ 7r..^-:r '.r ~ ~ PERMIT # ' ~ ' PLUMBING PERMIT ! / ~ " CITY OF EAGAN RECEIPT # C' 3830 PILOT KN08 ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE PHONE: 454-8100 ~ ~ ` ~ ~ ~ ' Site Address BLDG. TYPE WORK DESCRIPTION Lot Block Sec~Sub Res. x• New h ' ~ ~ ' • Mult. Add-on ~ Name Comm. Repair ~o Address ' Other c City Phone ' RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. F17(TURES TOTAL Name Water Closet - $3.00 S Bath Tubs - $3.00 ; Address ~ La~atory - $3.Q0 p City Phone ' ~ 1 Shower -$3.00 Ki?chen Sink - $3.00 FEES Urinal~Bidet - ~3.00 COMM/IND FEE - 1% OF CONTRACT FEE Laundry Tray -$3.00 APT. BLDGS - COMM RATE APPLIES Floor Drains -$1.50 TOWNHOUSE & CONDO - RES. RATE APPLIES Water Heater -~~.50 MINIMUM - RESIDENTIAL FEE - $12.00 Wh~rlpool - $3.00 MINIMUM - COMM/IND FEE -$20.00 Gas Piping Outiets -$1.50 STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIn (ADD $.5a S/C IF PERMIT PRICE GOES ` Softener -$5.00 BEYOND $1,000.00) Well - $10.00 Private Disp. - $10.Q0 Rough Openings - $1.50 SIGNATURE OF PERMITTEE FEE: STATE S/G: FOR: CITY OF EAGAN GRAND TOTAI: ~ > , _ ~ ~ ~ CASH RECEIPT ~ , ~CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 . t . • f~A T E ~ _ _ 19 RiGEIV6D - FROM ~ AMOUNT $ . I - & DOI.LARS +oo ? CASH ~ CHECK T- r FOR ' 1.~•-- ~ i j i/_ / f C _ L_ ' i!~~ ~ ' ~ / ' / . - _1 . % FUND CODE qMOUN7 Thank You 6Y -h ' , , White-Payers Copy Yellow-Posting Copy Pink-File Copy BLDG. PERMIT N0. ~ J~U ? , , . ~.t.w.._,C~ • ~ ~ ~ 01-3.210 ' ~R~ldg., Permit ~ ~ "%a~ Scl 01-3422 Plan Check ~ 01-3445 5urch./Adm. / ? ~ 01-3446 SAC/Adm. ~ ~ ~ 01-2155 Surcharge ~ - 17-3860 Road Unit - - ~ zo-22~5 sac ~ 5 % s ZO-3865 Water Conn. S ~ ~ 20-3868 Water Trmt. Y~c-' ~ c-~ 20-3716 Water Meter , ~ ~ ~ • 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-386b Sewer Conn. - 11-3855 Park Ded. TOTAL - ~ . ~ . CASH RECEIP.T , .CITY OF EAGAN ~ 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 • DATE 19 ~ l Rccerveo FROM AMOUNT ~ p / I ~O ~ ~D ~ DOLLARS ioo ? CASM e CHECK FOR ( V~~" -"Z + I/!~ " ~ ,,/-IH ~07L1t~C~.Ge-~,.. .Q2~.f~w/'~ /~-G[/~ ~P1~a~iT ~ o S FUND CODfi AMOUNT o~ 3ai o0 ~ 3~ d3 o ~ a/ / S~~ oZo 3 e o ~0 37~,3 /o ao a o ~za-~ 3 Q o0 Thank You BY ~ N O O v v White-Payers Copy Yellow-Posting Copy Pink-File Copy CITY OF EAGAN Remarks ' Addition SAFARI ESTATES ~ot 17 R~k 1 Parcel n~5R5n i p1 ow~e~,: . _ ~ st~eet 4920 Safari Pass scate Improvement Date Amount Annual Years Payment Receipt Date STREETSURF, j~l~7 19$2 1~3'].~jt~ 1~3.')rj Q STREET RESTOR. 19HZ 1546.63 309.33 ~ GRADING . SANSEW TRUNK ~ 1$2 ~ 1.6~ 0. f SEWER LATERAL 82 . O 14 . j4~i WATERMAIN iF WATER LATERAL 1 ~ WATER AREA i 1 S2 ~F 1(}~ * Service~ 1 82 STORM SEW TRK ~3j h 1$2 866. 1 1~. 38 ~F STORM SEW LAT 1~2 5 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUIIDING PER. SAC PARK CITY OF EA~~AN Permit No; Date: ~-~0-~37 3630 PNot Knob Rosd Meter No: ~~1 / N.4- ~,lD S~Z~ ~ ~r ~ P.O. Box 21199 Reader No: ~ ad 7 a Date: ' ~ Eaqan, MN 55121 j Owner. i~ec Const . - / SiteAddress; 4`~2C Safari Pass L17 ~sI ~afari T[statas I Plumber ~p~ son Pl~~bin Conn. Chg: 5~5• Zoning: 1'S Acct Dep: 15 • ~ - 1 . f Units: Permit Fee: ~ EK, Surcharg~ l, ~ ~o comply with the City o1 Ea~an Tr. Plant ~s. Meter. Misc.; B ~ Y WATER SERVICE PER1~11T ~~,Z,,,~,T . . - ' - ^ CITY OF fAGAN ` Permit Na-~. = 4 ' 3830 Pllot Knob Road ~a~ --~-R7 P.O. Box 21199 • M~er No: Size: Esgan, NfN 55~2~ ReaderNo: Date: Owner. ~~y Const . Site Address: ~'92~ Safari Pass i,27 gl ,,8fari Plumber Th~aon P u~rbin~ ~ st~tes Conn. Chg: ~ 525. OGgd Acct. Dep: d Zoning: ?'1 , Permit Fee: u. OOpd No. of Units: 1 Surcharge: • ~p~ Tr. Plant- SC. ~Opd I agree to comply with the Ctty af Eaga~ Meter. ~7 p~~,~ Ordlnanees. Misc,: ar ' WATER SERVICE PERMIT cmr ~r,:~;?~'~f"' F , 983G Pllot Knob Road SEWER SERVICE PERMIT P.O. Box 21198 • PERMIT NO.: 1 ~ ~~5~~~~ DATE 6-30-87 Zoning: P~ 1 No. of Unib: Owner. Lecy Const. Address: SlteAddresay 49~~ Sa£ari Pass L~7 iI Safari Estates I Plumber: _ • ~^Ason Pluml~inn ~ 1•'- 74 ~?J ; I a~rae to com 1Qfl' i}~~~ ~ , Ph~ wffh fhe City oi Eagan Connectlon Charge: S~ S nnT~ Ordinances. Account Deposit: ~ 4 nn~d Permit Fee: i C) r~~„~ Surcharge: d ~ ~ Mlsa Charges: Date of Insp.: Total: Insp.: Date Paid: CITY OF EAGAN ~J~ 13 7 7 0 r 3830 Pilot Knob Road, P.O. Box 21-i 99, Eagan, MN 55127 PHONE: 454-8100 ~ ~s 93 BI~ILDING PERMIT Receipt# Tobeusedfor SF DWG/GAR Est.Value $ll5,000 Date JONE 12 ~9 87 SiteAddress 4920 SAFARI PASS OFFICE USE ONLY Lot 17 Block 1 Sec/Sub. SAFARI ESTATES OnSiteSewage Occupancy R3 MWCCSystem ~ Zoning R1 Parcel No. On Site well ~ 7ype of Const ~ City Water (ACtuaq rc Name LECY CONSTRIICTION INC (Allowabte) w # of Stories z Address 9308 XYLON CIR Lenqth 77 ~ Ciry BLMGTN phone 944-9499 Depth ~ S.F. Total , p Name SAME Footprint S.f. ~4 Address APPROVALS FEES a 728.50 t City PhOne Aasesamsnts _ Permit ~ Watedsewer _ Surcharge 87.50 ~ 364.25 w W Name Police _ Plan Review Address Fire _ SqC,Cny 100.00 ~ Engr. _ SAC, MWCC 59 S_(1Q aw City PhOne Planner _ WaterGonn _~7~.00 Council _ WaterMeter 67.00 I hereby acknowledge that I heve read this application and state Btdg. OK. - Roed Unit 4!1 S_ 00 thattheinformationisconectandagreetocomplywRhellepplicable A~ - TreatmentPt 1Rn_np State of Minnesota Statutes a d Ci of gan O in Variance _ Parks CoPies Signature of Permitte 70TAL , . 5 A Building Permit is issued to: LEC CONSTRUCTION CO on the express condition that all work shall he done in accordance with all applicabl te of Minne a Statutes and City of Ea9an Ordinances Building Ofticial This reQUes1 ~o~e 9/~/~~ 18 mpn~hs from ~ ~y~ ~/M~ P~ 3 0 0.3 Y i i ~-y.~, Request Oate Fire,No. Rou h.i G Q retl7 nsVer.[ion ~ ~Ready Nu Will Noti~y InsOer.- ~e+ ~NO r When fleatly Licensed Elecvical Cun~rac~or N,~g~ I hereby reQUest inspac~ion of abova alec~rical work instelled at: Stree Adtlress, Box or Route N. City ~ ecuo ~ o. Towns~ip Name or No, qanye No. ~ ou y OccuGen~ ~Pq~NTI one No. Po u pli r ' N s~~ AAdress CF' / Ele rical Cnn a tor ICom any me~ a - r CumraS:tor's Li ense No. Mai p q ress ICo r c o r Owner Makin ~ ~ G ~allationl Q 'E' u[hprize ignature onttadodOwnet Makfng Insta la~i~in~ l/ Ph~~6 ! KJ MINNE Tp STATE BOAp~ OF ELECTHICITY TMIS INSPECTION HEQUEST W~LI NOT C+~~B9s-Midwey Blde. - Nonm N•197 BE ACCEPTEO BY THE STpTE B 1821 Universitv Ava., St. Peul. MN 5510< UNLESS PqOVEN INSPECTION FEE flS '~e (612) 642-0800 ENCLOSED. J REQUEST FOR ELECTRICAL INSPECTION , ee.ooooi-os ~ SBe insUUCtio~s for compleling this form on beck ot vellaw copy. /~/J/~X ~f / / Tel o"~- 7 "X" Belaw Wo~k Covered by 7his Reques7 l.Ad Rep. Type ol Builaing Appliantee Wired Equiumenl WireA Home Range Temporary Service Duplex Wa[er Heater Liyhtinp Fixtures Apt. Buildfnc~ Dryer Electrie Heabn Commercial Bidy. Furnace Silo Unloeder InAustrfal Bidg. Air Conditioner Bulk Milk Tank Farm ~hv~ Pov v O~her ISneqilyl t e,r $uccity Ot er Other ompute lnspectian Fee Below k ee ServiceEnt~ence$ize n Fee Fexders~5ubleede~s M Gircm~s U to 200 qm s 0 to 30 qm s 0 tn 30 t1m ~s Above 200 qmps 31 to 100 qmps 31 to 700 A y Swimming Pool Above 100_Amps Above 100_~mps Transformers Irrigation Boorc~s Partial-~Other Fee Signs Special Inspection Merta r ks ' ' flou8h-in - . ~~1e ~J r Me Elec ' '~d", Inspactoq heraby Final ce~tify [~et ihe above y ~~efQl inspection hae been ~ ~p(~ metle. This repuest voltl 18 monlhs Irom This ruquesl voitl ~1~//~~,~ monihs Irom 7~~ / / / ~ •g~ ~9 9 i i .a,~; -~P~ ~i~ Raquest t •Fire J0 . Rough-in Inspection FeQUi~ed~ eedy Nuw Q Will No~ify. InsDec- ?Ves No ~or When Ready Licensed Electrical Conxactor 1 hereby reques[ inspection ot ebove ? Owner elactrical work inatalled et: Street Atldress, 9ox~flout No. Ci L J6~ ~ le~r$ B~o~ o. Towns~ip Name or No. flan0e o. unlY - Occupant /MiINTI P~one No. . ' 9y~ Pow r 5~/p VI" Addres9 ~~"Y: . Q~~ ~ EI chi ~al ; nt ctor ~Co Oeny ame~ C~ractor's license No. ~3 ail' 0 tlJ're/ss 1 antracto~ ar Owner MakinB nstailationl ~`Y r/r . lli~ ly ' Aut~oriz d Signa ur onttactor Owner Making Installation) Pho NumCer ~ ` it. ~ ~ • MINNESOTA STATE BOARD OF ELECTNICITY TH~S INSPECTION REQUEST WILL NOT Grigpa-Midway Bldq. - Room N•197 BE ACCEPTED eY THE STATE BOARO 1821 Univsraitv Ave.. St. ieul. MN 66704 UNLESS PNOPEP INSPECTION FEE IS Phone(67218420900 , ENCLOSED. ~ ' q~7 p~ ntautST FOR ELECTRICAL INSPECTION te-oui%,ju~ r/~ //O ~ ~ See inetruc~ions lor eompletine this fwm on back of yellow copy. ~~7. . ~ - _ ""x" Below Work Covered by This Request Fdtl Nep. Type ol BuibinB AVP~~e~cea N'irad EquiVmeot Wired Home Range Temporary Service Duplex Water Heater Lightin, Fixtures Apt. Building Dryer Electric He2(in Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tenk Farm ~ om«r oeci y ~her ISner.~Wl i.~ ueci y ot er o~ner ompute lnspection Fee Below # Fee Service EntranceSize I! Fee Feeders~5ubfeade~s k Fee Circuits 0 to 200 Am s 0 to 30 Am s a t~ 30 qm Above 200 qm ~s 31 to 700 qmps 37 to 100 A Swinvnin Pool qbove 700_Am s Abave 700_~+m s Transformers rrigation Booms Partial.'Other F Signs SpeciallnsUection 5 eme.ks TOTAL ~ flouph-in Da~e the Elechical ~ Insoector, ~ereby certily thet tha above Final S~ ins0ection has Eeen ~ (~(J / made. m~s rwuest wm te moMro trom CITY USE ONLY PERMIT ~SS `7 I RECEIPT DATE: ~P ^ l~0 I I ~SID~PTI~L M£Cii~k1VIClkI. ~MTP ~k~~LIC~ETiON crrYoF ~ssniv S$SO ~ILOT KNOB RD ~s~x ~tx ssts~ 651~$1-4675 Please complete for: 9 single family dwellings to nhomes and condos when permits are required for each unit Date: ( Q SITE ADDRESS: 'i f~~ ~C~._.~~' l \ G~SS J ~G`~C.~ C~ OWNER NAME: t-~i~vC"Q~S ~T. ~'~M~v Y\ TELEPHONE ~05 f_~$-2.CG~j (AREA CODE) INSTALLER NAME: ~~~~s 1Vn ~}~Y G.y~ TELEPHONE (05 (~Z~2lo (AREA CODE) STREETADDRESS: ~~Q`p~ I1~~J~~ cS~• C~•. P-V ~~Q7C ~f`~ CITY: ~O~Qt~('jv~f~~ STATE: ~ ZIP: `~SOC4~'~'t.~S Place a check mark next to the ermit wark t e New residential dwelling unit under constructionand not owner/occupied $ 70.00 ~ Add-on, modification or alteration to existin dwelling unit $ 50.00 • furnace replacement • air exchanger • air conditioner • other Nature of work: ~ t State Surchar e $ .50 Total $ Reminder: Call far inspections. SIGN TURE OF PE E Updated t/O] CITY USE ONLY PERMIT RECEIPT DATE: APPROVED BY: , INSPECTOR COMbI~itCl~l. M~C~H~lNIC~I. ~'~EgM1T ~~~LIC~TION C1TY OF ~k6~4N S$30 ~ILOT KNOB fZD ~s~1v, ruv 55 r aE 651-681-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: SITE ADDRESS: OWNERNAME: PHONE#: - (axcn cooa~ TENANT NAME (IMPROVEMENTS ONLY): WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: ADDRESS: PAONE - (AEtEA CODE) C1TY: STATE: ZIP: WORK TYPE: New construction Install U.G. Tank _ Interior Improvement _ Remove U.G. Tank _ Processed Piping SpecifyNature of Work: When installing/removing underground tank, call 651-681-4695 far inspectdon by Fire Marsha! and Plumbing Iinspector. Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater. Underground tank removaUinstallation = minimum fee Contrac[ price: $ x 1% (Base Fee) State surcharge calculate at $.50 for each $1,000 Base Fee TOTAL $ SIGNATURE OF PERMITTEE Updated IlOl PERMIT# RECEIPTDATE: ~~I/ V ~SID~PTI~kL ~PLUM$IftH ~P~iM1T ~F~PPLIC~TION cmtoF~?s~v s8so ~nor xxos ~tu gns,e?iv, auu ssiss ssi-ssi-~s~s Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for irrigation system SITE ADDRESS: ~^I GI U SH'r f~ Y'`[ ~Fr~~ OWNER NAME: : "(~'j(j; il ~cx}P[~~ TELEPHONE (AREA CODE) INSTALLER NAME:~^>t.C~t~)~,z7tn ~Ii.~ ~n hn',~ Z~~ TELEPHONE#:~n/•J_~n/~- S'dS7 ~ ' (AREA CODE) STREETADDRESS: Inl ',p~~c~1-~ r-~ A-L3c=' CITY: ~ ! ~'1?isv~('~ STATE: ~~I~ ZIP: Place a check mark next to the ermit work t e New residential dwelling unit under construction and not owner/occupied $ 90.00 ~ Add-on, modification or alteration to existina dwelling unit, including: $ 50.00 • abandonment of septic system • new installation/repair/rebuild of RPZ • lawn irrigation system • waterturnaround Nature of work: ~j~, r~ y- ~,r, ~~1eX .~`ccc~~c Septic System, new/refurbished - $ 225.00 . includes County & Consulting Insoector fees • requires MPC license State Surcharge - - $ ; .50 i~,'~~ i~ ' 1~ 1 , ~ _ i!:.~ r- ~ 7otal JUN 0 4 20 1~'~i~~l 1 Reminder: Be sure to schedule inspections of alteretions, i.e. water h'eaters, water softeners,~,etc. I hereby acknowledge that I have read ihis application, state that the informalion is correct, and agree~to~com ly wilh e Cityof Ea9an ordinances. It is fhe applicant's responsibility to notiTy the property owner that the City of Eagan assumes no liability for y d d by the Ciry during its normal operational and maintenance activities to the fadlities constructed under this permit within City pro e ent. SIGN E OF PERMITTEE Updated 1/01 . . ~ ~tz+3 • ~su+ 67-~u+ 364•25+ / 625•UU+ tp 525•OU+ 67•OU+ ~ 3U5•00+ ~ 180•OU+ 2>sa~•z5* , ~ ~ ' ~ ~ 1987 BQILDZNG PERMIT APPLICATION - CITY OF SAGAN SINGLE FAMILY DWELLINGS INCLQDE 2 SEfS OF PLANS~ 3 CERTIFIC9SBS OF SQFVEY~ 1 SST OF ENERGY CALCOLATIOHS NOTE: ADDRESSES FOR COHNER LOTS - CONTRACTOR/HOMEOANER HDST DESIGHATB NHICH ADDEESS ' IS DfiSIRED. NO CHANGSS WILL BE ALLOWED ONCE BUILDING PSRMIT IS ISSDED. HOLTIPLE DWELLINGS - RBSIDENTIAL RENTAL D9ITS EOR SALS O~IiS INCLUDE 2 SETS OF PLANS, CERTIFICATS OF SIIRVSY - CHfiCg iiITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COf~IERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS~ 1 SET OF SPECIFICATIONS AND 7 SET OF ENERGY CALCULATIONS, > o $2~000 LANDSCAPE BOND I-7~/DQU l / ~ ~ ~ To Be Used For: ~-n{/G~ Valuation: Date: Site Address ~JA'Ff~l "~s~y~, OFFZCE IISE ONLY Lot ~ Block I On Site Sewage_ Occupancy ~•3 T MWCC System ? Zoning K 1 Pareel/Sub ~/~~G ~ On Site Well Type of Const ~y City iJater ? fActual) ~L Owner L~` ~ ( •A~(~,QG~^~//ON {~vL . (Allowable ) ~ 0 of Stories Address ~/~O/U CIQG~ Length 7 ~ , / Depth 5 S City/Zip Code (,qp/Ltf~jO/~i~~ S.F. Total Footprint S.F. Phone 9Q~ 9PPROYAL4 FSBS Sb Contractor~~~~~ Assessments Permit ~Zc~. Water/Sewer Surcharge ~ Address Police Plan Review 3~04 ''s Fire SAC, City 1~0. City/Zip Code Engr SAC, MWCC S Zj~ Planner Water Conn S7 5~ Phone Council Water Meter (o'~. Bldg Off Road Unit p5. Areh./Engr. APC Treatment P1 If'~(~ Varianee Parks Address Copies TOT6L oZ ~ a" • City/Zip Code ~ ^ Phone ll ~ ~b v ~ 1 Qo~L ~ ~ ~ ~ ~ nD~ _ ~L ~~7 ~ ~ ~ ~ z~ ~ g ~b - ~ ~2~ ~ ~ ~ ~l = Z~ x ~ 1 2LQ~~ ~ os ~ ~ Zz ~ Z2 ~,o~cl ~ ~~2 ~ ~ L ~ oZ _~~~~z~ ;~~~~1 , ` 2 ~i~~ ~ ~ ~ ~Z°~ ~ ~I u ~ ~ N~S:JI PLAT OF SURVEY FOR: LECY CONSTRUCTION LOT 17, BLOCK 1, SAFARI ESTATES ADDITION, DAKOTA COUNTY, MINNESOTA 98S a t M u. / / i / / ~ Q~ ~983-'~ 'C_~ / ~ . i; . C i C_i BENC.HMARK~~ INVERT SP.N. M.U- AT y~ ,5.g~ (99a.2~ 4. 54~~R1 PA55, j (1q r ELEV4TION = 994.14 I \ + ~9Bg \ ~ \ , S , ~ ' ~e ~ ' ~ ~ ~ y ~ ~ 6' - \ ~ ~ h s~= ~~~M.u. ^ tr' ~ a 10 ~ 0~ ~ - a° ~ o° ~q U ~ ~r 0 `m ~ - ~ o x~ 61 ~ ~ S~ l ~o i ~ x l,oi x ~ ~ ~ / x ~ioi4.91 ~ ~ ~ O Y ~ i "(o °o ~ ~ / ~ ~ ~ ~ . , ~l°'~'°~ ~ C~~ i1 ° ~ / ~~otq~ ~ ~ 005 0~ ( p25.61 iot6~l l- ~e ~ al ~ ~ Kll ~o2s.'tslp_zit,]_ ix„`°:s.o--~.,-3s.oo. ~o~Vxl~b.91 " i ~ a< < < •3 27 :6 ~'~----=o~) ~o Z ^ rt o~y D ~ ~ziJE`l~ ~ ~ p30.A) % 12 yEO I a~6 2.5 ~ / C~R61o 4 0l ' ~ m °atiO~sE i ~ M/ ~ N ~ m L ~ ` O x \ ~ N ~.pi 12 I 33 Kl0'!'9~~/~ / ~ J O 1 ~ ~o ~ XSIo~49) H i ' 16 ~0 lo~c~1~0 k x _ 3s_oo _,Q Io~$?,4 S ~ ~ o ,ozs.o ~~oac.el -----:o l 1 ~oa~ a ` ~ m ~ 0 1 33 ~ ~ xNrD f (noz;~) - lot.-r~ ~ ~ - S 87° 49~ 03 E 394. ~3 ~~~36 pb~ I(~az2 -i I I ~ ~ ~ , i ~ ~ ,i iv38°29~57~E_~;~'~ 52 . 78 LEGEND PROPOSED ELEVA710N5 o Iron monuments ~°'8° lowest floor ( iozo.o ) exisling elevatlons ozs.~ garage floor i.:oo Proposed elevatlons ioz .o top of foundaUon ~-~1 direction of proposed surface dralnage Note: Only copies which bear an embossed teal are certified eupies. j Hansen Thorp I herehy certify that this survey was p~epared by me or under my supervision FI185 -104 a~ that I am a duly registered land surveyor under Minnesota Statutes Section ~ Pe~~lnen ~~$~n ~nC. 326.02 to 326.16. - Bank ~ Page ~ ' Consulting Engi~eers & Land Surveyors 4 2 g ~ 75650fficaRidgeCircle ~~~j~% ~ ~ SCale Eden Prairie, MN 55344-3644 /G~ ~G / 16121829-0700 ~ Date: ~~7 Registratioa No. ~36'~7 50~ I'aye 1 uI 4 EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION CJ7ZC0 Z OWNER: DATE: , ~.~'j~.Q>C.Q SITE ADDRESS: !~/~~Yr~O~~ PHONE: CONTRACTOR: ~C~C.~,~ ~ Determine workin9 square footac~e of each . 1. Total exposed wal l area..... ~j(p2?j sq. ft. x.11 _ ~j°I8 •~j 2. Total roof/ceiling area..... 2Z~j~ sq. ft. x.026 = ~g ,I Total exposed wall area above floor=~ 31 a. Total wall window area 7Cp7 b. Total door area.... , c. Total sliding glass door area ~7,.3 d. Total fireplace wall area.......... . . . e. Total wall framing area (average 10%) f. Total rim joist area... . O g. net wall area above floor h. wall area a6ove floor wall area a6ove floor j. frame wall area at foundation Total exposed foundation area= I?~. o :;j , I , ' k. Total foundation window area ~ ; l. Total net foun8ation area above grade d Determine "u" value of each wall segment - (e.g. window, door, each separate wall section) e • 'LCP'I.`~ X , ~.~L-- ~ 2- b. ~,Zd x ~31 = ll•7 ~.3 X ~Q,~ ^ ~ d. X ~ i ' _ e. ~3.I X 2~.7~ : f. ~~Z.o x = 4l . ~ y, ~~,c~ x .D~-- = 7•Cf1 h. ~X _ i. X _ . , x _ If item N3 is the same k._ ~ X"U" ,5.~ = 4~ as , or 1 ess than i tem #1, you have met the 1. ~~~.0 X"U" .~8 ~ _~'T intent of SBC 6006 (c)2. 3 . .................................TOLdI = ~j~~j.~ , . ---~-+~zi--- - - - ~ 1 ~1 1 ~i ~r ~ ~~r ~ Fv: serior ~nvelope Average U' Computal•io~i Page 2 oE_4 ~ ° • ~ ~ ~ ~ - ' I i i; ~ ~ , ' ~ ' jil Tobal exposed roof/cciling area = ZZ~~ l i ~ i i i ~ i ' I ~ i j m. Rbtal skyli.yht area . . . . . . . . . . . . . . . i ~ ~~I ~ ~ ~ I , ; :f , ~ ~ ~ n. Total roof/ceiling framing area (averayc 10~)... ~J27i+~ j' ! i ~ I,' o. Total net insulated roof/ceiling area..:........ Z~Tj: S'!;I~ i ~ ; ' ~ I ~ . . Determine "U" value for each roof/ceiling segment ~ ; i . :ii ~~I : . I ~ i i!I ~ , ~ M. _ v• X u0n 1~i o ~i L{r' I, ~ 1 I II ~ , I i~! . _L1._}- i ~ i i li ~~i ~ I~. i'~ n. 2z S ~ ,o tz_ = 4., ~ ; ~ , , ~ ; i,~ ;I , o. r~o3~s X ,o~ = 38•~ . 4 ~~ax = L~•4- If total of ;14 is tlte scune as, or less t:han N2, you have met the intent of SHC 60Q6 {c) 1. ~ Alternate Suilding EnveJ-ope Design ' Zb uY.ilize tlie total envelope 'system method, the values established by the' s:un of items H3 and #9 shal.l not be greater than the sLUn of items 111 and #2. ~j8.~ + Z. ~8.~ = S~.cp . 3. ~7I3.~ + 4. _ ~'r'1 I'~ ' i 7 ~ . , . ' r . ' ' ~ I ,I ~ , V"i I i, ,Ir! . , ~ ~ , l I, , ~ ; I. I~";! : ~ ; . , ; , ~ ~ ~ ~ ~ ~.,i I~ ~ s~~"u. `ry," SF. . • . r:.'( ~ ' ~a ; ~ . ~ a ~ PLAN : _ ~i~z ~ , ; u_ , ~~s~ , rr Li ~u F~4 L FT, ,~Kpos~D ~tl~4LL _ 24~1 ~LOGI~ I; 4ot--~t 3t7t4ts~4t7~ ¢~z-~~3t/4t~~t~f~zt/~r-~ztsrz~~¢.: iC.~~E- . , W.O. ~ , ~u L L I~~ Z4~ t~" 2`~q" FvLL ~ ; 4stztzz~4~z~-iz.+i3.s+iz~.s-=1z~ ~ tt.~ ~ E ~ ` . _ tZ 1 M:,I, 2¢q-.f 128 Z ~ S~ . ~T, ~f~~oSED WA Ll.. ,~42-EA ~ t3Lac'K: ~ Zc~~ 1C , S = ,i . -`I . . ~ ~ I : . ~ ' . .';.~I~- ~ V - ~ ~ ' " ~ . w.n,::i, - 11 u 1.! ~;Z~-q.- ~ S= I~SZ ~ ~ FuL~~l2 ~ Iza k ~ -1oZq- , ~ _ ' F, , - ~ rz~'M : : 3~~ . ~ 1 = 37z . Tot~L. - ~z3 - - - ~SQ,Ft. _ ~K~05~D GEI LIUC~ ZZ'~-~'~" - , _ . . I. . ~ W DxrS ~ ~ Doo~s ~ Z (i1=~p ~ISo-11-a~~ ~"g~= . 37,8 , _ 44~- 7:~ o : ~.~-1~_I3•~, z4~z-1-N'~=35:0 ~'2a~ 17,8 , ~ 11= l(o.o ~ , . • coo=jkifi' ~ ~so.o `~\~~,C.,= ~ I~i'4~~10 DR.S y_ f,~. o z~ 7.~ I o 7 3 3 { 4 i:-~m=~• ~ A=~ , _ , ~o t ~ ~ :-35~~ ~ . x:,. a~ 1-r~ ~a ~ F35 M-F U IJ t+5 . . r ;~rao=4~rt'~- Leo.o ry~~, p~ ;:u ~ ~ ~ ~ I I - '/~IV ~ ~ . . ..:4' _~'v.l-~r'~: ti _ . Z~-11=18.~~ ..,,,,~m-...,.._...w._, _ . 1~~' . I ~ ' VlAI.L 5TC'1'.ONS . - ~ 'C~.: Ul'.P ~.Ij~~ I~r l~~i~J~~U@ Wi71~ IITQ11 ~~di' SZbIN: CGI1:itrucLiun . , ~ Con::tnir.l inn I('Vn lu~t . ~ ' Se.~..~,~....U l. lllll•1!!; ~~.~Z~J.. ~ i ~m . _ Il_~~:!1 , ~ . . - . z. ~'.y"_1py._~ Y~~. - _ ..45 . 7 3. ~ ~;n,:~i~~ _::~~r. ......(~,?s_'7 . . • r~--Q a, tG#z...6uy'Gz . ....Z.ofi , , 5. ~i.a.Rlt2fo-•----- ..-~aZ IC ' 6. 8r,luriur. nir [iLn - 0.17 , nt.~ -•--,;~~~u~i iRs ~c~.85 ' ~p Uz .o°t FIC. M1 'fOt'VIF:i4 OF FItN18 {iAIJ. 1. Intrrtc~r a ir ! 1 1 m 4. Gti ~ z. ~ii:~yp-h1!__ --...~,45 j , 3• _fe'.'-...1r?5~1~...--.._.._..._._------_L_l.o. ~ • . ' 4• ~~3L._~liTfie._.._-------- -~=°V • 5. ..(vZ ~ ~ _ ~t_._..:~ c~4? no~-.- - - . . . . ~ _w G. Extcrioc air Cilia,-- -'--0.]'1 Ftc. N2 ^roe,i~~ Z2.`IS _._--0 ~ U _ . ~ o~ . . . . --^'-"Q ~ 1. )ntr.rior ~~i.r film _ _O.G!1 ~ z. y:,~-~-?~~i..._....------~--_.__ig.,a ...V~_..~---i~;~ . 3. .3,,,~.1.Q_---1~_~s~_...~2is°k_____ ___~+.kFt ' ,1Y~~..`_ 4, _z5/.3]--.~t[!s_........ z,os, ~SsACt~ ~ . ~..Y ~O 5 ~~-"~~i~.. - _ ! ~e_Z. ti-5.a1 ' -Q 6. F:xtrrior nir I:i1m ~ ~ ~1.1.'! . ! ---7'ot,il~Q,v 24•'42. ~ b~i(~: ` " -_"__-~t~. . , O . r:,: . . u = 9 ~ ;;i i~,~ n ~ _~.....,..:~--Q 1. In~~L~G1Gn 1 r f i l"1- _ 0_GR . ~ ' A .a...i. • 1. _..~3-~. 4.oGIG _ _ ~-~iz ~ iTlCll . ~ ) Y• • 3. i ° ' ' • . , , ~o• ._._......Q n. ~rQkecl~c.__bwr_v~:tic___. .-^r- ~ . U . .,,,[i~nUC 5. - ~ ' Q_l7 !Ji 'R' n ' ~ L.~ 1;:<fut:i~!C,~~u__filr~ - ~ n ' 'eo~:~l (Z c a,~3 ~ ~ U=,~.o47 ~ s~,~u ori ~:i~u~ . , " j ~ - - . . ` ~ ~ (.I~n~F`IIi k . ~ , ~ ` 1 r1 " ~ ~ ~ ` ff1'~R~r ~ ~ rrl~! . ~ • ~ j'.~I . ' • ` • ~ ` a / o`' ' ' ' o' " y ' . f1~ . - y . ~ /r~ ~r~ . . ' ~ m ~ ~ ~ l~r = ~ ~ . ~ ~ : r . FiG. ~4 rn s • ~ , ~ ~ ~ ' ~l J i i. !C/ ~ v ~ __~L _ ~1/`~lP~l C 1- . _ ~ . • d ~~f rrr. _ zx~.P o ~ • ~~r., ~~q~~ valm:~ denLh ~nd ' ~ ' ~ ~ Ill~'1'G: Indicak~ ly • o . ~ ~ ' • _ , . ~ ~ ; pl.icr.n~n[ of ir~sul.ition. . ~..1~~! - 'i ~1't~ ~~~y.i.-: _ . . . _ . ' . - r ~ ~ . - ~J~.~I,Ia~Ci , . . . . . . . . . / M1 l • ' ' ' . ~ I ~5~, ~ ~ ~ ' . . . ~ . ,l~~+~; ' ' ~ Construction , A-Value ~ , • ~ ~ , 1. ~ 2ntcrior ~air^ film ~ 0.6], ' ~T ~ 1 ~ ~7`11'_ ~ ~Q - • . ~ ~ l ~li~l?r+ 1ti,5uL. _ ~4.~ , I 4, Extcri.or air filn (still) ~O.~TiT ~~1~~ I lli. ~~~~l;~l~_.. ~ y To~ R. 4s8o ~ 1 4~ ~ ' ' . . ~ . • V= .OZ • ~ . `~J " ~ . . , . • • . . • • . . . • F~vrm c . . . . Seat flow. " ~ 1• ~s?t~rior air film ' 0.61 ~ t~1tGd. ~ . . • 2. ~ up ' s. C• J,USUL 38.3~ 4. Fxtcr oz a i P3ln sti . . ' • ~ • ' . . . ~ot31 2 q o. ~ S . . PSG. , 05 ~ . . _ . ~ 2.4 . , _ • . . , ~ . ~ ~ . . . . ~ - , 'coa.s~rR.'vcri os~,,,. . • A~..~l • +...rate...r. .,^,,,..~,y>-ti,:~~ i Insida air film ri: . ? ~ ~ ' ' 3. • . • , , • . 4. ' . i' n~ 5. Outsidc air. Eilm ' `0.17 . . :~~~l~~ ~i`~~~~ . To~~ . . • `F.C~lrs E 3 4" f•' 1. inside sir film . 0.61 . ~ . ' • Z. ~ l:eat [lca up • . ~ . , • j YCRttd . ' 3• ' ' " . ~ . . 4. ~ . • : • . . 5. Outsidc air film 0.17. . • • • , : . . , .BSC. i6.: . . . . . . Total . . . _.3 ~ 'S, : _ 'v 1. Insid'c air film 0.61 ..r l~s~ =W ~ 2• ' . • ••~~t,~ i`' • 3. ' • . ~~-';'`.--:'=.~TYj•r'~~'' ~i~ . ' S. Outsidc air Eilm 0.17 w-•:•. ~ Total ~ • ' / . ' . ~ . 1 ~ . . . , . ~ • • . , . . . . . , r~Pt ttotcs Vso additionai sheets if moro 5paco i: . a~ecded fos details and calcu?ations. , ; ~ • $eat • . • , . , ~ , • tlov ~ • ' • ; ~ • t up . , . . . . • ' • • Y7.C. !7 ' . , t• ~ , : ~ . • . _ . . * ~ nn xx xi rx~a ~ fRY*!**}~ ~ - - ~ CITY OF EAGAN * m~ ~ ; ; r~pxavAr, oF P~sr. ~ APP~ICATION FOR PERMIT } ~ ~ * ~ IISTAII1~TiCi~S i+1II.L t~lOrf ffi S(~~- * SEWER ANO/OR WATER CONNECTION ~ ~ ~'a ~T t~s ~ * ~ . . ~ . ~ : nr~aat~. S . ; ~ . * +***t3t*~:****w*~r**ia3*:t3+*3*~rtt,r,i P ase Print i : 1) PROPERTY ADDRESS: l~~' -,/,'%~!'i L/ •7 ~v ~ l LEGAL DESCRIPTION: - - - - _ ; , Lot B ock Su ivision or Tax Parce ID IF E)QSTING SPRL'CIL~RE, DATE OF ORIGINAL BC~II.DING.PER[~~1iT ISSL'ANCE: . ~ PRFSENf ZONING/PROPC)SID LSE: ~ ~ - ~ Q R-1 SINGL,E FAFIIIB . Q~~~~' Q R-2 DRJPI~C (1Wo Lfiits) ?~~.~o~vr~uu~rrr p R-3 Ta,xs3a+sE c~e + ~nirs) c cmirs) • ' R-4 APAR1S+gSJr/CODIDOMINI(AN ( Ihlits) 2) ~ ~ - l~~ -~,'~s ~t ~~1 = - _ __a~s: _ l~'%`,~'-~ ~ii/U~ %1--r G - - - - - - ~~/~"lr/~"~ ~ ~l/l.' _ ~~`-~3f' /j5 ° ~ J~~~ 3) • t~,ME. For City Ose . Pl~ers License: ADDRESS: Active . CI'PY. STATE, ZIP: ~ ~ ~~d Pbt zecoz'ded PfiC~: ' L+ NF~SS~t LICENSE# ~a1 4 ) • • . . • ?Y.T ~ ~n ~ 2- ' _ ADDRFSS: . CITY. SI'ATE~ ZIP: ~ PHOI~: - 'S) ? ~ ~ r • _ • o~ o~ • ~ ODN[~IDCPION 7U CITY SEFffIt CObII~7CPION RO CITY WATIIt ~ pr~~ . 6) • ~ r ~ PLFASE HOID APPRWID PECiNIIT FC~it PIIX-C~P BY ABWE (j~ PLERSE MAIL APPROVID PF3iMIT RO i, 2, ~ 4. ABOVE ' ~ - - ~ ^ - (Circle orne) ' i f 7) ~ ~ ~ j''./~~~ [~',i`ii:~- . - ~ 7- . r ~ • - r • • a ia• i• • a• ~ • • • a~ • ~ ~ • r. • t~ ~ - r:i. •.tla~ • 1 1 1 JP 7- 1 ~ . . FOR CITY US~ ONLY ~ ~ ~ ~ PERMIT # ISSL~ED ' ~ ~ ' Pd w/Bldg. Permit FEES: ~ ~ $ S ~O ' S~ SEWER PERMIT ( INCLL'DE SC'RCHARGE ) s $ %Q ~ WATER PERI~7IT (INCLC~DE.SURCHARGE) ' $ ~ $ WATER METER/COPPERHORN/OL'TSIDE READER $ $ WATER TAP (ZNCLC'DE CORPORATION STOP) $ $ SEF7ER TAP i $ $ ~S ACCOUNT DEPOSIT - SEWER ! I $ S /~6 ~ ACCOPNT DEPOSIT - WATER I $ S z S- ~rD $ . WAC ' ~ $ f0 Z~• c`~U S SAC S - ~-:_3'RCRJK-WATER-ASS$SSMENT • - - - - $ $ TRONK SEWER ASSESSMENT $ $ ` LATERAL BENEFIT/TRLNK SEWER $ $ LATERAL BENEFIT/TRQNK WATER - ~ ~ $ WATER TREATMENT PLANT SC~ACHARGE ~ $ OTHER: - s ~ 9 3 r S 5 j, v ~ ToTai. l3 ~ ~•rr~`- 7S`OA~ RECEIPT RECEIPT ~OES L~TILITY CONNECTION REQUZRE EXCAVATION IN PL~BLIC RIGHT OF WAY? ~ YES IF YES, THEN A"PERMIT FOR NIORK WITHIN PC~BLIC ~ ROADWAY" MUST BE ISSL'ED BY THE ENGINEERZNG- NO DIVISION. LIST AS A CONDITION. iL'BJECT TO THE FOLLOWING CpNDITIONS: 1 1PPROVED BY: 7c~ - - - - - - - - - - - _ _ TITLE: - ~ATE: I/i/.30 ~ . , . ~ ~ ~ 1 X>' ),:9i~~ ~ f . ~y C~o.va~~eu~r~o,~.~. • , , . ~ 96a3r' y9~o ~ ~.~~~~'i ,~,~~s : ~ . . - Cjea. ..Scd~u<cc~i ~ i,~o ~~~yz~~ P`~~, . . i-ienr~osscn~cu~u,norus ' HEATING&AIR Ct~NDITIONING CO: MINNEAPOIIS,MWN. wnntnerstrips A.S.H.V.E. ~ Construction No. Insulation ~Winduws ~oors Guide Out. Wall Int. Wall ~ Ceiling ~ Roof .Floor Kind HowApplicd Reference Yes-~No Yos-NO - ~y_ , fl. ~Room Length 5 Width Height FI. E~ Huom Longlb ~ Width Hoi{~ht~. VJind~ws and Doors-Crackape and Area Windows and Doors-Crackape and Aroa ~ f N~~. WnbA Hniylq Nn, ol l~noW h. Aion ' Nu. Wubl~ H~~~uhl Nn. nl l~nunl fl. Aron ul ~u~w~ ol ima h hle ol du k x9. II. ~ al umi ul onn b h~s ol crnck sq. I~. e?y ~ / L I ~'O !o' 20 ~ COef 8 tu Coof b ~u Inliltrntion ( ~ 7 (a Inliltration ~ ~ 7 ~ ~iess ~ ~ 3 Glass Q7~ e.~s. wan .5~ /bOo - -Exp. wnll Net exp. wnll ~ ~ Int. wnll . . . . . ~ a Net e.p. wall ~~p (o Q'/q7~0 Int. wAll Ceilinp ~ ~ . . . _ . Ceilinp ~ GtT Floor . . s O _n nu Floor Torol 6tu. ~ ~ . ~ ~ ~~~Total Utu. , , - 5~53 Na~urted sy. ft. E.0.R, or sq~ Ins. W.A, Leadei eree ~ RequireJ sy, ft. E.D.R. orsy. ins. W.A. Leador erea ~FI. Room Lenylh ~l Width- ~ Heigh[ ~ FI. _ Roan Length ~7 Width ~ 8 Height _ Windows and Doors-Crackage and Area = Windows and Doors-Crackage n Area No. WiA~~ Hoipht No. ol Lmeol ft. AreA Nu. Wid~h Ho~qht No. of Lineal II. Aru:~ ol ane al xne li h~s of tt ck oa. l~, ol ane ol ann' h hls of crar,k sq. li. a ic. 8 A'3 " ~ o ~o ~c: coer acu - Cool B~u Infil[rp~idl ' t~7 InliltraliUn 5 ~7 ~ cie59 ~ ~73 50 ~is~ ci~5s 5~3 5~ ais~ Exp. wnll . - Exp. wall Net e~p. wall /~p ,~/(o ~p Net exp. wal I 3/7 /9n3 Int. wnll ~ ~ Int. wnll Ceiling ~ Coiling • ~ -p,// ~ ~F~~rn . . ~ -,~J~7_.`r.... 5 F lonr Totel Btu. - 5~ s~ Total Bw. Requ~red sy. 1t. E.D.R, or sy. ins. W.A. Leader area RequireJ sy, ft. E.D.R, or sq. ins. W.A. Leader area PI./Yf, p~ Room Lennth a5! WidtA J Hoi~ht ~ FI.L,~yu,~r~ Room longth Width 7 Hoiplu Y/indows and Doors-Crackaye end Area Windows a d Doors-Crackage an~ea N~. W~d~h 'Ne~pM . Nn. ul L~neol h1. Aran N~. W~d~b Ila~pb[ Nn. ol l.rnenl IL A~en oi nnn ol nne fi hle. of r~~k sa. II. ui ~m~ n ol ~nn~. h hlu ol c~t¢4 en. 11. ~5< lob /G 8 ~ / d 8 ' ~ _L ~ ao / c. ~ ~ iL Q' " Coef B ~u Coel B w In1ilVatiun ~Q 507~ In(illrllion . ~ ,~7 /7`$7 ~~r55 5 y 5o c~~55 so /~=iro Exp, wall - Exp. wall Net axp. will ~ ~ . ~5 ~ ~ ~O _ _ Not exp. will (o (o /~,73~-- . - - _ L~_.. int. w;Nl Int. wnl~ " ::eil~ng ~ ~ t~( Coiiing . ' t~! ° luur . . - -1° I nur ~ ~ S Iuta1 Uh~. ~ ~ ~~,~72/ 7oWl alu. ~ , 6 ~ Ir.~p~irrd 5q, It. E.U.H. or sry. in~. W.A. I.nndnr prnN ~ Rnquiiod sq. IL E.U.R. nr sq. in~;. W.A. Ln,idur +uua . , ~ . ~ ' • .~,iec~u`icl FieAT~ossca~cu~AnoNS HEATING&AIR CQNDITIONING CO. MINN[APOLIS,MWN. We~rtt~ers~iiVS A,S.H.V.E. ~ ~ Construction No. ~ Insulation .Windows paprs Guide Out.Wall InLWoll Ceiling - Roof Flpor Nind HowApplied fleference Ves-~No Ves-No ~y__ - . ~ . . FI. ~ opn Length Q'J~ Width ~j Heipht FI. ~q.~,yRoom Lnngth qJs Width ~ Hei~ht~. Win ows and Doors-Cracka e and Area ~ 9 ,3.j Windo s and Doors-Crackafle nd Area Wnbh /bn41~1 Nn. ol ~l ~oul 11. Ama N^• Nu. Wuli~ H~~~04~ Nn. ol l wnl 11. Arun a~ mnv ul unn h hls ul c~a :k x9. fl. . . ~ ul wre ut unuu 1~ h~s nl trnc4 en. 11. 3 ~ a ~ .L ~ a~ Cco l c.. a ao S ~c, ~ ~ 3~ ~ . ~ coar e a~ c~oi r~ InlillrPtlon ' ' ~ 7 ~ / Inlillrnlion Glass ~ Glass - t,~0 ~950 _Exp. wall ~ ' E~p. wall ~ Net exp. wnll ~ ~ ~ - /o O Net a~p. woll ~ ` ~ Int. wnll ~ ~ Ini. wnll Ceilinp . . . ~ Ceilinp . . . L~.~~QO ~Floor ~ ~ .J! ~ Floor ,5 Totnl Btu. ~~a~5' . Tutnl Utu. , Q4'/3.. ~ Required Sq. ft. E.D.fl, or Sry• Ine. W.A, Leadar e~ee Roquired Sy. (L E.D.H. orsq. ins. W./j, LeaJur area FI, u~~ Ruom Lenyth /5/ ~ Width /3 NeiBht FI. Room Length Width Height VJindows and Doors-Creckage and Area Windows and Doors-Crackage and Area W~hrh /le~ah( No. oi Lineal It. A~ea Nn, oi ~ane ol Pene h hls ol crack a4. ft. No. oWiA~h~ ~H,xiy^~a No.h°s ol C a'ck• sq1eft. ~ ' 3 ~3 . - a i .3 a5 2' - 3 / C~ c. ~ coei ei~~ c~„~i r;;•, Infiltralion . . ~ ~Q fjl /c~,~ Inliitration Gless ~ ' ~ " ~ _~°'~r . -I---_ _ Gloss E.p. wull - . ~ . ~ Exp. wall - - Net exp. wall ~ . .~/(o /o Net exp. wall _ Int. wnll hn. wall ~ C011ing . . . . Ceilin~ ~ ' Flotx~ ~ ~ ~ ~ ~ Floor Total6iu. ~ ~ ~ ~ . TuwlBtu. ~ ~7equired sy. tt. E.D.R. or sq. ins. W.A. Leader area Required 6y. ft. E.D.R, or sq. ins. W.A. Leader area FI: ~~~Ruan ~ Lenqtb a~' Widtb Hoipht g_ FI. ' ~ floom Leoqtb Widih Hoi{~ht Windo and Ooors-Cracka~e an Area Windows ond Doors-Cracka~e and Area N~. W~tl~h Hayhi No. lmenl 1~. Area Wubh Ilmqnt No. ol Lmeal q. Araa ol ann ol ane b hle ol r 6. 11. ~ . . No. u~u~qn ul unnx I~blu ol r ick B0. q. ? /L - Coel 8 tu Coel B tu Inliltratiun ~ Inlild.•nion Glass ~ ~ ~7 " - _ 50 class Ezp. wall Exp. wall Net ex~. wnll (o p7 ~ Nat axn. wall _ _ Int. w:dl Int. wall - - Ceil~ng 3~ ~S(j _Ceiling Fluui~ J/ Plour - - I~~~;~I Ulu. ' ~ Total Otu. ' , nuquirrd sq. li. E.UA. ~a cq. ine:. W.A. I.nndor mon fiwpiiiu.l sq. li. E.D.H. or sy. iiis. W.A. LedUu~ nm,~ . ' • CLAIMVOUCHER-REFUNDREQUEST ~ ~ ~ ~(r-~ CITY OF EAGAN ~ MAKE CHECK PAYABLE TO: GENZ-RYAN ADDRESS: 14745 SO ROBERT TR ROSEMOUNT, MN 55068 LOCATION: 4920 Safari Pass P.I.D./LEGAL: RECEIPT #/DA1'E: 47098, 9/12/Ol VALUATION: REASON FOR REFUND: dOB CANCELLED PERMIT 47098 TYPE OF REFUND: Plumbing Pernut 9001.4087 $ 50.00 Mechanical Pemut 9001.4088 $ BuIlding Perntit Fee 9001.4085 $ Plan Review Fee 9001.4222 $ SAC (MC/WS) 9220.2275 $ SAC (City) 9379.4681 $ SAC (Admin) 9001.4246 $ WaterConnection 92203865 $ Sewer Pemut 9220.4532 $ Water Permit 9220.4507 $ Account Deposit 9220.2252 $ Water Metex 9220.4509 $ Water Treatment 9220.4685 $ Surcharge 9001.2195 $ Overpayment 9001.2250 $ C~rb Box Deposit Refund 9220.2253 $ Construction Meter Dep Refund 9220.2254 $ Other $ TOTAL $ 50.00 I declare under the penalties of law that this account, claim, or demand is just and that no part of it has been paid. ~ 10/26/01 , SIGNATURE DATE 14745 South Robert Trail Rosemount, Minnesota 55068 Area 651 423-1144 s . - TM September 21, 2001 City of Eagan Bidg Inspection Dept 3830 Pilot Knob Rd F2~zn, nrn~ Ss~?2 RE: Permit Refund To Whom It May Concern: We will no longer be installing a water softner for 4920 Safari Pass. If possible we would like a refund in the amount of $50.50 for permit # 47098. If you have any questions please call me at (651) 423-1144. Thank you. Sincerely, GEN ,-RYAN PLUMBING & HEATING CO INC • , I Mary Olson Permits & In ions :i• . i ~ f-~ (r.~ ~ - - . ~ \ . , IIU ~2 ; 4 I ~ !-~,I_.F. ~~V ~ _ i PERMIT # ~1! RECEIPT DATE: ~ 1' ~OI fi£SID$1VTI~FL ~LUM$INfc ~MIT ~~LIC~TION ~ CiN OF ~lFu4N ~~y~~-c~ S$SO ~II.OT KAOB iiD r.asax, Mx ssis2 s5y~8i-a6~5 ~ ~ Please complete for. ? single family dwellings ~/9 , ? townhomes and condos when permits are required for each unit JS ? backflow preventer for irrigation system SITE ADDRESS: ~ ( ~-~yi ~C.~ ~~S ~ OWNER NAME: : ~'t'J ~Q ~Y~ TELEPHONE (oS ( I - /(r,2f~ ~ (AREA CODE) INSTALLER NAME: - TELEPHONE ~D S( ~-I Z~J -I I yL~ (AREA CODE) STREET ADDRESS: I ~ ~ ~ ,~.(]{~/,j"~T I~L L-- CITY: (~~rYl l.(~V1T STATE: f1 ~ - ZIP: SS~fOR Place a check mark next to the ermit work t e New residential dwelling unit under construction and not owner/occupied $ 90.00 ~ Add-on, modification or alteration to exlstin? dwelling unit, including: $ 50.00 • abandonment of septic system • new installation/repaidrebuiid of RPZ • lawn irrigation system • water turnaround Nature of work: .~-NSTL1 C1, LU ~t'P~ S(71'T~'L~/'L. Septic System, new/refurbished - $ 225.00 • includes County & Consulting Inspector fees • requires MPC license State Surcharge $ 50 Total $ SO s~ Reminder: Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc. I hereby acknowledge tnat I have read Ihis application, state that the infortnation is correct, and agree to wmplywith all applicable City of Eagan ordinances. It is ihe applicanYs responsibiliry to noti(y the property owner that the City of Eagan assumes no liability for any damages caused by the City dunng its normal -=rational and maintenance activities [o the facilities constructed under ihis permit within Ciry pr ertylright-of-way/easement ' ~ I~~ SIGNATURE O PERI ITTEE Updated t101 city oF eac~en September 26, 2001 ['ATRICIA E. AWqDA M:ryor MS MARY OLSON PAUL BAKKEN GENZ-RYAN eeccr cniusorr 14745 SOUTH ROBERT TR ROSEMOUNI' MN 55068 CYNDEE FIELDS MECnuev DeazMs.Olson: Co~dt.~t~,txrs pn September 12, 2001, a mechanical pernut to replace a water softener at 4920 Safari Pass was issued to Genz-Ryan. Your letter dated September 21~` requested a refund in the amount of THOMAS HEDGFS $50.50 as you were no longer installing this water softener. Please be advised that the City will refund $50.00 to you under sepazate cover. We are unable to refund the $.50 state surchazge that CiryAdministramr was collected. This letter is also meant to advise you that effective January 1, 2001, the City of Eagan Fee Schedule assesses a$50.00 fee to refund permits that have been processed and receipted. As a Muniupal Center. courtesy, we are informing contractors of this policy via letter and issuing a refund for a cancelled permits on a"one rime only" basis. 3830 Piloc Knob Road Eagan, MN 5 5 1 22-1 897 If you have any quesrions regarding the above, please fee] free to call me at 651-681-4671. Phone: 651.681.4G00 Sincerely, Fax: G51.G81.4612 f ~ " ~ C_ L..~-~ TDD:651.454.8535 - n Severson Office Supervisor Mainrenance Facili[y: ec: Dale Schoeppner, Chief Building Official 3501 Coachman Point Eagan, MN SS122 Phone: 651.681.4300 Fax: G51.G81.43G0 TD~: 651.454.8535 www.cityofeagan.com THE LONE OAKTREE The rymbol of strength and grow[h in our mmmuniry 41,1b. City of Eagan Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink r � For Office Use �( Permit #: 1)1 1 J _ Permit Fee: 4 Dc Z Date Received: l('- 13 Staff: 2 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: Unit #: Resident/' Owner Name: Kr•1/45� i.. n C F'Ce__C rt5 rte, Phone: e(2-CM0- Tic -i / � �An , Address / City / Zip: )LJ e Toss 4...-..9,,,,,,,Jc(`V Applicant is: Owner )4 Contractor J Type of Work Description of work: Reo,(1)(7 Construction Cost: SY) 0 Multi -Family Building: (Yes / No?( ) Contractor Company: injrCelt, COi ?\,o✓l C., Contact: (C\ <2 Address: ^1� �C,��,,c'r' gr--\y_QG► !v L City: ?ei'or LeYe_ ""'� State: MN Zip: ,...53-0... Phone: qS L - Q`7) --70-1g- -]0-7SLicense License#: j3C l )a-t5a5 Lead Certificate #: OAT - I )RriCi 1 _ ' If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, Yes No If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? 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 OJ're,k Applicant's Printed Nae x Applica s Signa Page 1 of 3 City of Eno 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use / Permit #: 1 2,_ LOL Permit Fee: Date Received: Staff: 7 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit #: Resident/ Owner. Name: r C i<V"ifr; Address / City / Zip: // 0 Nit* Applicant is: Owner 54- Contractor Phone: 6,.2 - c/ 86- (ter Type of Work Contractor Description of work: c�� lG'i o' ` , 6> f� .� Construction Costs is,, �C ? C) . Company: Al!) -✓. ' -. / ,n ()AI Tr . c Multi -Family Building: (Yes / No i` ) Contact: /74 C,J; C' Address: a / l ir'r ei,f ,,- �.-1 • /ti' 5 City: j .„ State: ,/'Y' /l) Zip: ,3-=C170 License #: / 1- G '1;, 2 Phone( /.?).29o'- 27/4 Orr t 6/.2) 70 J _ Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) r t, L 't1'1; r, 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: Phone: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public informatir n. Portions o the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the 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.qooherstateonecall.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. Z Com` .�tw c'71,-1/41 Applicant's Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA120518 Date Issued:02/18/2014 Permit Category:ePermit Site Address: 4920 Safari Pass Lot:17 Block: 1 Addition: Safari Estates PID:10-65850-01-170 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. Diane Moyer Home Energy Center Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 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 - Frederick P Johnson 4920 Safari Pass Eagan MN 55122 (612) 986-2537 Home Energy Center 2415 Annapolis Lane N #170 Plymouth MN 55441 (651) 766-6763 Applicant/Permitee: Signature Issued By: Signature . Use BLUE or BLACK Ink r________________� I For Office Use � � � Permit#: � � � �1 � I Clty of ��r� � . . �� _�s � Permit Fee. I 3830 Pilot Knob Road � � Eagan MN 55122 � Date Received: � Phone: (651)675-5675 � � Fax: (651)675-5694 I Staff: � I I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: '�, I Name: �✓�� 'd" ��'ifT�h �b�n�/'o� Phone: � Residentl. J �+ /� Owner ' Address�city�zip: `r �1•Z0 S4 d'�r� /"� J' ,f . L' 4�n S�/,t Applicant is: Owner �C...Contractor Description of work: �eD��C� �X•If f1 n.c G�1 � n GC a w S' Type of Work Construction Cost:� Multi-Family Building: (Yes /No� Company: /�m u„e 1 �.i S 7�'`�v'f��a .� Contact: ��-� Address: �s.2/� l��tV�1nDrT ST•NF City: �4nt �c t� G:ontractor State:�Zip: 5�6.,�U Phone: (s 1?'70�'-5��nai1: ,�f rfe�c�'.�P �J G itn 4, � Con� License#: ��,�'( ��j7 Lead Certificate#: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 0 4s '�f ol i� /eav� COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: 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:thaf would permit the City to conclude fhat the are trade secrefs.' 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.00pherstateonecall.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 / C.� S-f�a,rn C x ApplicanYs Printed Name ApplicanYs Signature Page 1 of 3 . . , � � � c�,�� g NILARVIN�� Windows and Doors Built around you: 2/13j14 Kristin Johnson ' 4920 Safari Pass Eagan, MN 55122-2665 Dear Ms.Johnson, Thank you for getting in touch with us about yaur Integrity Windows. Our Service Tech, Michael Grady, will be contacting you soon to schedule a time to complete the senrice. You spoke to Customer Service Representative,lena Neur�iUer,today and she asked that 1 write you a letter about egress hardware. Some Integrity Casement Windows do meet egress,and come with the correct egress hardware. Windows that are not iarge enough meet egress cannot be modified with egress hardware in order to get them ta meet egress. I hope this answers your question and thank you for choosing Integrity Windows from Marvin. Sincerely, , _._ ,y. '`� °- � Ro y aulrapp Customer Service �"�'�'�� V1/�troad; t�Jlinnest�ta a6763-0100 218-38�-143E� www.marvin.cam fr/ ' r For Office Use /1-rs l3 C 4 'Ø i #: C Permit Fee: I7.3- 3‘e, �1 r Date Received: 5- //' 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 Ti-1 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 MAY 0 2 2019 Staff �'✓ buildinclinspectionscitvofeacian.com I i W BY: 2019 RESIDENTIAL BUILDICITPERMIT APPLICATION Date: Site Address: nn �/ Unit#:,{' Name: 1 /' 'h4#4- �� Tic h} Phone: U' - V 2537 Resident/ G Opine!. Address/City/Zip: / / z() c G k( / ., 0.,/1"4/ �/ `'2 Applicant is: Owner "V Contractor Description of work: P 2 ,' a "- I S 1 ( l I T om" TyPe of-Work p /'' Construction Cost: '3, 7 11 C6) Multi-Family Building: (Yes /No ) 1 , / , r A 3N5 MA Company: �J r i Contact: Contractor Address: /// 7/56 G � (,01- f City: �c ✓/�� State:M A/Zip: / Phone: II Z-q ✓?'Email: 1/0' jc- e744- Col* License#:_26 (ti 75-73 Lead Certificate#: If the project is exempt from lead edification, please explain why: €S 12059— 197 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE: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. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.00pherstateonecall.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 appro I of plans. '11o-c- "fied ,, ,,,,,, /_ / Applicant's Printed Name l'Il scan / ignature � -i"0� � � 331 � DO NOT WRITE BELOW THIS LINE u�Oc SA�� > SUB TYPES Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration (Single Family) Single FamilyGarage Porch(4-Season) Exterior Alteration (Multi) _ _ _ Multi 1►.Deck — Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex _ Lower Level _ Pool _ Accessory Building WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair Egress Window Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION r Valuation 117 W Occupancy f ,, MCES System Plan Review q Code Edition 1, ` ,'-0( ' SAC Units (25%_100% t,) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction ;✓ Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: X Footings (Deck) Final/C.O. Required Footings (Addition) / Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood Roof:_Ice &Water _Final Pool:_Footings _Air/Gas Tests Final y Framing 30 Minutes 1 Hour Drain Tile /` Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan /� Other: Reviewed By: v , Building Inspector RESIDENTIAL FEES p/'Base Fee �„SurchargeP Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge eTeTreatment Plant /99/ 9 "' Xf .� r 7c-05' Radio Meter Read `A Copies TOTAL Page 2 of 3 N'577, f _J PLAT OF SURVEY t/Cxx o1z i EsI FOR: LECY CONSTRUCTION LOT 17, BLOCK 1, SAFARI ESTATES ADDITION, DAKOTA COUNTY, MINNESOTA X9B5�F rnu. / /. i 7 CO 4e. 083 ') •- , / o h I _ BENCHMARKT �/ INVERT SAN. M.N. AT � 9) � 94.2 rt SAFARI PASS, / (,193 Y 9 ELEVATION = 994.14 / \ + (983.1 \ s N o/ \ > / ')i , 5, . u) M.u. ii^ 0 p l'p 1 r') \ . \'b'CL:) \ LP 1/ I , \ .c) l • 1 ( ` C)4.9/ \ x X O / X x\ / / 1 /o`�o) X 101�9� o of (�p25.� 6� b o1 o x(1°11.570-z. — 0z75--Y_________‘_ 1al �J-�� X110 `025 15� 216 L ` .- 35.00 . glia 000.s II II(:.1/ ' AY is °3 27 <'I 26 / X k O� J� Jct `030,A� X 12 SES 2 PLc 2 S � m I fa�pSE co LI M / cu p1q'VI / J I m WY X`1 N O O. I nJ� N / 0 -- / \ N m 12 33 x e-:� `n 1 % a �i to / 103fo101�x `16 ` 11Z1_ •X(1°34.3) a - 35.00. i 3'A s • x 'Q 00'2-". , oar 1) o ,o • (lo3b.l�) 0 U M o NYO / j10o2 ,1o) 77. 33 1 I - - S 87° 49' 03 .. E (o ,o,.,, - - •._-_-_- - 1 394. 03 36,06) - ' I (0z2 , -1 1 1 ) 6 11)' tQe r 1 I I -J � c2� ?1"E , 5 - , 2 �g << ,�, LEGEND PROPOSED ELEVATIONS o Iron monuments 1/0/$0 lowest floor ( /020.o ) existing elevations (iozS.7) garage floor I/'1.0-01 proposed elevations ,o ..o top of foundation --'+►...... direction of proposed surface drainage Note: Only copies which bear an embossed seal are certified copies. 4 I hereby certify that this survey was prepared by me or under my supervision File No. 1 Hansen Thorp 85- 104 and that I am a duly registered land surveyor under Minnesota Statutes Section Pellinen Olson Inc. 326.02 to 326.16.47.) -0 Book-Page i Consulting Engineers& Land Surveyors2 41 - 28 7565 Office Ridge Circle / Eden Prairie,MN 55344-3644 G G- Scale (612)829-0700G' 29-0700Date: ----z, -87 Registration No. G/37 1"-= 50 PERMIT City of Eagan Permit Type:Building Permit Number:EA160021 Date Issued:02/06/2020 Permit Category:ePermit Site Address: 4920 Safari Pass Lot:17 Block: 1 Addition: Safari Estates PID:10-65850-01-170 Use: Description: Sub Type:Fireplace Work Type:Gas Insert Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Frederick P Johnson 4920 Safari Pass Eagan MN 55122 (612) 986-2537 Fireside Hearth & Home 2700 Fairview Ave N Roseville MN 55113 (651) 633-2561 Applicant/Permitee: Signature Issued By: Signature