4960 Safari Pass r
For Office Use
t ;r ::::e:
/ 2 I 0
,,,,,„,,, ,,,, ,, E AG A N
_, ........_
i� 'og
Date Received: C a ✓I 9
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD:(651)454-8535 I FAX: (651)675-5694 Staff:
buildinginspections(c�citvofeagan.com L. 7 J
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: 1 14 0 6a-(2 Z1 r i \ 5 -5 Unit#:
''ice q r�
y,4
Name: °N 2 V`�K"'S v 1-7 Phone: I�p� �Z�57 ( 700
Resi a nt/
wner, 4 Address/City/Zip: AlCJ 504zr`. �� <y
, Applicant is: Owner A Contractor
vat
Description of work: t{pa;^ ifJcca UrJer i a.3 Ai Q5 k .. i �y 6t6<-1^1 -
® or ao yhr°C. r2-epa;✓
Construction Cost: 44'yo� i (QUO �" Multi-Family Building: (Yes /No x)
Company: Gi-O l ,. ye C v Contact: jn i..)-°e r-`r)c
Contractor Address:ca.—AO) ,3() ii (.1 ', City: /V pL.S
yY
State:1.4w Zip: ii TIP Lt Phone:4/3-7d a- 4/c3 Email i t <.)fl U V' S-egcliVerki CO in
v
4 i
M License#: 1..- C 7'/O 3)`7'S` Lead Certificate#: /VAT-El 8'7 7 cf`i'i
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
Er a s andsv `ortr pu !rc 'r atr 4°Portions of thre int``r natio �' ,
lvalPp > 0nts thaw
.
WA ssr re re
, ._,.�....., nonpub►rc rfY dale,�b�'>a ty� �ra � „ft. �����;,.y
_� .cr r�fter�re!t the�► �,�`,.� �e1v�`e#h��'�l���e n .�� .�_r,. ..
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.citvofeaoan.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.ciopherstateonecall.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.
` z..17:#Immo
Applicant's Printed Name icant's Signa ure
Date:
City of Eaan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee: VG V
Date Received:
Staff:
2014 RESIDENTIAL PLUMBING PERMIT APPLICATION
0////1
Site Address:
11% S6fir
J
Tenant: Suite #:
ResidentlOwner
Contractor
Type of Work
Permit Type.
Address: 7 / % ,- P o a ee'�
City: Z6 re4
Phone: (PO
40 / t 6 u
Email -e a s co 91 u yvv bio
New Replacement _ Repair f/— Rebuild _rModdify Space _ Work in R.O.W.
Description of work: " i^'- A ) -z `t l C ' '1 i )<Tu„ a- 3/ 01
RESIDENTIAL
Water Heater
Lawn Irrigation ( RPZ / _ PVB)
Septic System
New
Water Softener
Add Plumbing Fixtures ( Main / — Lower Level)
Water Turnaround
Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $200.00 if a 5/8" meter is required)
$115.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
TOTAL FEES $
CALL BEFORE YOU DIG. Call Gopher State One CaII 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 ordinancesand 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 withou mit; that th ork will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x�r r /777/7 c/
7
Applicants Printed Name
FOR OFFICE USE
Required Inspecti�
Meter Related Item
Mete
Reviewed By: Date:
Under Ground Rough -In ' Air Test Gas Test Final
r Size Radio Read Staff:
City of Eapil
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
L
Use BLUE or BLACK Ink
For Office Use
va 1 965
Permit #:
Permit Fee:
Date Received: Li/DA DA 1 ( y
Staff: l�
2014 MECHANICAL PERMIT APPLICATION
❑ Please submit two (2) sets of plans with all commercial applications.
Date: `S.2///V Site Address: 9'16 6 _5 f)4.+' / Y 55
Tenant:
Name:
Phone:
Suite #:
Address / City / Zip:
Name:
sc� P4 711
Address:
State:
77-41- ?/764t-r-
(14/(}
bionE-r
ice/(% Zip: S..0 3 S 1
Contact: 5 it w
Phone:
License #:
City: Z G r e7/0
to
)2-?
Email: ��fC 7 IU(i k/,4 0 Ct o /- C c✓ -k
New Replacement
Description of work: Add Z- ;4-ro'" s`
and ground mou
Ie Mechanic
RESIDENTIAL
Furnace
Air Conditioner
Air Exchanger
Heat Pump
Other
Additional Alteration
Demolition
>Iechanical equipment is"requtr`ed to b+
actor fpr information n permute
New Construction
Install Piping
Gas
reeved by City
d`screenirg methods.
COMMERCIAL
_ Interior Improvement
Processed
Exterior HVAC Unit
Under/Above ground Tank ( Install / _ Remove)
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit (includes $5.00 State Surcharge)
$100.00 Residential New (includes $5.00 State Surcharge)
COMMERCIAL FEES
$55.00 Permit Fee Minimum
$70.00 Underground tank installation/removal
*If contract value is LESS than $10,010, Surcharge = $5.00
**If contract value is GREATER than $10,010, Surcharge = Contract Value x $0.0005
***If the project valuation is over $1 million, please call for Surcharge
_$ TOTAL FEE
Contract Value $ x .01
$
_$
=$
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start
with the approved plan in the case of work which requires a review and approval of plans.
// 2 �i (/✓r
Applicant's Printed Name
FOR OFFICE USE
Required Inspections:
Underground Rough In
x
h-tfle ordinances
out a permit; that the wor
Permit Fee
Surcharge*
TOTAL FEE
d codes of the City of
will be in accordance
Applica
rice Te
s nature
viewed By:
Jn floor Feet Fetal _ HVAC
creenin
~ . . ' ~ CITY OF EAGAN
, ~ ~ 3830 Pilot Knab Road, P.O. Box 21•199, Eagsn, MN 55121
PHONE: 454-8100
sU1LDtNG 'ERMIT Rec.+a #
T~ M r~ fer Est. Valu~ Data 19
er~t o«?,~~y
Site Addrea Rernodel ? Zoning
Lat Black ~lSub. Repair ? Type of Contt.
PercN No.
Enlerge ? No. Staria
Move ? l.ength 1,
~ Nama ' ' pemoliah ? Depth
Addross Grade ? Sq. Ft.
City Phone ~ i f-~' i'`~ Install ?
, ~ Nama ~`oo'~"Ob ias
~ti A~~ Assessment Permit
~ City ph~ Water a Sew. SurcFwrp~
~W Nsm~ • ~'il,~'~i,`J Finu SAC Review
~W
x,~ Addra[ Enp. WOter Conn.
u= i _
~r. City Phone ~ PlOnn~r Water Meter
Cow~cii Rood Unit
I hercDy ocknowl~dq~ that I haw road fhis oppliwtion and stot~ tlwt 81dg. Off.
tFf~ inlo~mofio~ is torrect and ogree to tomply with oll opplicabl~ APC Total
Stot~ of Minrosoto Stntutes and Gty of Eoqan Ordino~us.
Var. Dats
5lpnofun of PenrittN
A Buildiny Penn41 Is isswd to: on th~ ~zp~st cor~dlflon Iho~
dl work sholl be dorw in otoadanet with oll epplicobl~ StoM of Minr~esofa Statufes ond Gty of Eopan Ordinoncsa.
9uildinp Officid
Pamit No. Pnmit Holdsr D~ T~le hon~ ie
Plumbiny ~ 3.
H.VA.C. ~ r
El~ctrie ~l ~ J~1 ' C`_~ ;
~ C72~
o~~ a ~ ~ ~I ~ s ~ 5v ° ~
Sohsrnr
Impsetion Date I~ap. Otha
Footin~. -y~ ~ ,~9,ia G~
3o-S~ - ~ ~
Foundstion ~o
Fnminq ~ s ~
Roofinq 9'~ ' ~ ` <
Rouqh Pibq.
~ ~ ~ M~ias
ao~~, HvAC ie 3 s~l r~~.~a
- ~~ia -b~
Inwlation ~ y s~/
Firal Plbp. 3 ~ - .
{tuURi{ ` -
n~--. i . ) ~ . ~ _
Fin~l HVAC ~ a~~D'S ille~/~
~u ~
i~L
final '3/+'S~ lL~ %1/~ i .,~yG•icr~c-t-
c.~loa. % wB ` f . • I . ~ . y~
Wmr Wscribs Locstion: ~ /~~yo~~~ w
~t~~/ <
MYsll ~-~''9~[.+~ ~,s Q~t.O~li'
S~r~r , - ~ j ww ~'r~
v' -
'cf*~ ' s rC.d-~
P~. Di~p.
Receipt PLUMBING PERMIT • Permit No. "
CITY OF EAGAN
Fee
FiIJ in numbered spaces S/C -
Type or Prrnt /egib/y .
Tot.
1. Date ~"~'S ~ 2. Installation Cost ~ 7 _
-~..~.1- ~~,c•~1,cr. ~.~5 ~ ~
3.,Job Atldress Lot~Blk. ~ Tract S~"~
, x~ -
4. OwnerL~UE`~ir~;`~.. _ s:l~~~C.L~_~;T(lJ~~~
/ , . ~ )
5. Contractor (~~~J,~_
-_/~'y!
~ Phone - %
~ ' ~
6. Address 1 ` ' ~'l ~>~'f ~T ~/j/L_
7. City ~/~%Y,)T State ~ Zip
8. Building Type: Residential~ Commercial ? Institutional ?
9. Work Description: New~ Add C7 Alter ? Repair ?
10. Describe
11. No. Fixtures No. Fixtures
' Water Closet Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
C~_ Shawer Well
" Kitchen Sink
Urinal/Bidet Other
` Laundry Tray
% - Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the at~ove information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY QF EAGAN 454-8100
Recaipt MECHANICAL PERMI7 Parmit No.
- CITY QF EAGAN ,
~ Fss ~ ~ ^
` fill in numbered spaces S/C
~ . _ TYPe or Print leyiblY ; -
Tot
~
i. Dste ~ " 2. installation Cost
- i ~ ;;~:.J «-t~ ` :
~ ; ~ ' ,
3. Job Address ~ r Lot Blk. ~ Trsct
4. Own~ • ~ ~ - ~ "
'
5. Contractor ~ ~ 1j ~ ~ ~ ~ ~ Phone~ ~ ~
s. ndd~s - , ` ~ J f ,
~ , . ' ~t .
- _ " s~~ 'l z~p
8. Buildiny Typa: Rasidential ~ Commercial ? Institutionel D
9. Work Description: New EE~ Add ? Alter ? Repair O
10. Des<xi be F uel TyPs,i ,
11. No• ~ BTU - M. Ea. No. Eouipment CFM
" Forad Air _ ' Air Hsndling:
Mfg.
Boilers ' ~ Msch. Exhautt
.
• MfO.
Unit Heater
~9• - Other
_ _ Air Cond.
AAfy. ~
Gas, P'iping Outlets ; ' "
.
~
I 12. I hereby certify that the above information is true and correct, and I aQree to
comply with ali ordinancas and codes governing this type of work.
' for
Ro~+ Final
Inspectionc: Date Insp. Data Insp.
This is your parmit when numbered and approvad.
Approved CITY OF EAGAN 464•8100
Rsceipt ` ~ PWMBING PERMIT Permit No.
• CITY OF EAGAN
Fss
~ Fill in numbered spaces S1C
Type or Print legibly Tot.
1. Date 2. Installation Cost !
~
3. Job Address Lot Blk. Tract ~
i
4. Owner ~
{
6. Contractor Phone ~
~
6. Address
3
7. City State Zip
~
8. Building Type: Residential ? Commercial C7 Institutional ?
i
' 9. Work Description: New O Add ? Alter ? Repair ?
;
1
10. Descri6e ;
,
~
11. No. Fixtures No. Fixtures
- -
Water Closet Cesspool/Drainfield ~
( Bath tubs Septic Tank ~
~ Lavatory Softner '
Shower Well ~
Kitchen Sink
~ ~
~ Urinal/Bidet Other
E Laundry Tray
Floor Drains
~
Drinking Ftn.
Slop Sink ~
~ Gas Piping Outlets i
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Final
Inspections: Date Insp. _ Date Insp. '
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
.
CASH RECEIPT
.
, ~ ~ CIfiY OF EAGAN
P. O. BOX 21-199
EAGAN, MINNESpTA 55121
~ ~
DATE f-' 19
iecce~vsc - _
RROM a~i ~ , i ~ ~ '
~ ~ -~~Y~
AMOUNT $ j~
8 DOLLARS
~oo
? CASH ~ CHE~K
1
sow
f,.~, c~;, , ' .
7
/i- ~ t- -
FUNO ~ GOO~C'~ AIAOUNT
! S. i f
..'il
~ ~ -
~1' ~ ,
~ . ~ ~ S.
~I •
t ~
Thank You ,
BY ~
; i^ ,^1
' - ' Y ' YVhite-Payeri CoPY
Yellow-Postinp Copy
Pink-File CopY
CITY OF EAGAN Remarks
Addition SAFARI ESTATES Lot 19 elk 1 Parcel #10 65850 190 01
Ownec~%'-~/. -'screet 4960 Safari Pass State ~~a-
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. ~ ~$2 1Q3']. rjt~ 3. 3 / 6
STREET RESTOR. ],9$2 1546.63 309.33 S p,
GRADING • • 3 e ~ , ~ ~ O / ~.~/t~3 / ( O
SAN SEW TRUNK L 1 H2 ~ Z. C)~ O. 33
1F SEWER LATERAL Z a2 1 .2O 1~{
WATERMAIN
~ WATER LATERAL 1 a2
WATER AREA '~j J 1 H2 ~F 1. O. v`
* services 1 a2
STORM SEW TRK 82 8~6. 1 3. 38
* STORM SEW LAT 19$~ 5
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. n n
~UILDING PER.
SAC
PAR K
,P~~"~
~ CiTY OF EAGAN SEWER SERVICE7pERMIT
~ 3g30 Pilot Knob Ra~d pE~IT NO.:
, P. O. Box 2' 199 5-7-8
. Eagan, MN 551 F i 1
' No. of Units:
ve opers .onstx'uct n
Owner:
' ~
i Site Address• e@! e e •
P~`~'~~ ' • 425.~JOpd
' ~ pr~e to eaevh~ ~ NN Cih? of taYv~ Connactia~ GFwrps: P
' OrdiMees~. AccouM Deposit: 1 .
Pemnit Fae: F S
SurcF?aros:
By Misc. Choroes: .
' Dote of lr+sp.: Sotal:
Date PQid: •
Insp.:
~ -
CITY OF EACAN SEWER SERVECE PERMIT
~p pilot.Knob Road pERhAIT NO.. - 1
_,-i- -
p. a. t,x 21"199 DATE: 1 ~
Eagan; MN 55121~
Zoniny: , c,~~e _ot>ers '•~sr~~~av ~s~ e
pwnsr: _ ~in~ cs.~~ Ltl~itl S
~t
AddreSS: . S _ S
Site /+ddress: ~ et' e . ~ - ~
Plwpber' ~ . , ~y 1 1: ~ ~ . G ca
~ eE lasv C~ction Ghor'Oec p`
1 M e~ A~cAOUM ~P~~ . ~U
Ordin~~' PerrnR Fee: . S
Surcharoe~ ,
Misc. Cha~s~
BY Totot:
p,~e of insP•= p~ Paid:
I~~ - _
; _
~ - .
ITY ~F EAGAM 'YrATCIC Sr~JIG'E F~NIIT
.830 Pilot Knob Road F,15 ~
f 1. Bnx_?7199 PERMIT NO.:
Esgar2, I~iN- 55121 DATE: S
` No, af Units: ~
ZonirgP
- i e.~~:' 7^;'~ C'.I' S'.'s . ~ L f.O T'i
~1M170f: _ ~ ~-r.~ . ,
/~1d~TRSS: i6` ~ P`I~ i' a~i~o V~N
Site I,CWrcss~ ~^F~~'~~1~.z^.~7'~-i~$~S,i' f-~~I i•`i~~~lES~f ~~T'i 1'8t8te~
Plumber: .le ; • a- ~ r_ '.5-enth r~ _ Exc - n
~ _5" D Connection CFwrge: , il
AAeter No.: ~ 5 , i
Size: rr~ ~P. AcwuM De'~OSit:
Reoder No.• n~,Lo Permit Fee: 1`) , Q:l
~ p~ whh tM Cit~r of b w Sur~arge: r
M}sc. Chcr~es: ~ 3 t)0 ~ S
~ Total: ( ^ a3ef ~r
ey - Dote Poid:
Date of Insp . ~^sP•~
-,~sv~,+?1!'.
CITY G!~ ~ACaAN WATEf~ SfRVICE PERMIT
3830 Pilot Knob Road ,
P. O. Box 21799 PERMIT NO.: -
Eay~~, MN i5121 OATE:
~i~:. " No. of Units: 1
Ownsr: Elonere Construetion
Address:
~:^~C' Safar~ ?ass T 1'~ r,~ ~~`~ri I"~tates
Plumber: •'s=;e ~v~.~ "'Xenr.:~in,~ _
Meter No.: Connedion Choroe: " ~
/lccount Deposit: 1 ` . r .
Size: ~ ~ . ~ ~
Reodar No.: Pe?mit Fee:
1.~w. te oo~urh wtll~ tlw Citr ef lay~s Surcha?oe_ . S 0
Misc. G,oroesc 13 . p ~ ~ .
Ordiwe~a~.
Total: f~~ln~ m~er
BY Dota Paid:
Dnte af Insp.:
This repues~ wid ~ OpG ~ C~~ 5
18 mon[hs from 0 j~, ~
A. 16 1 ~ ~ o, vv
Nequesv' ~t Fire No. Houph-in Insuectio ~
. H ui ed7 ~Ready Now II No~ify, Inspec'
es ?NO I br When Neatly
Gcensed Elact~ical ConVacta~ 1 herebY ~a4uesl inapection oi ¢bove
Owner e ectric work installad ar ~
Sv¢ei Atldress, By, or flowe No. (j.L/ (t Citv ~ Ct~ /
~
ecbon o. Township Neme or No. anAe No. County I
Lo S a.~ f Da,t'a~-
Oc unt IPPI ~ ~ Fh~opne N/o'!
~ ~l D U~~ ~9
Po~wa_r
~SuD~O~,p~er / J, Atldress r 'I
-I[L.~$- l~4ko~: ~~GC7 . / T~IUifl7. ~
Elec ri al Cm[ractor IComOa y Namel Convacmi's Li ense No.
- ~ o ~ 3
Ma~linB Address ~Contractor or Ow~r Makine ~~scauatiaN I .
~ 5~ ? S S'a.ve I
Au ized SiB re (C ractar w~r MakinB Insta118tionl Phone NumGe~
0,- 3555
MINNESOTA ST E BOAPD OF F~~ECTflICITV • THIS INSPECTION HEQUEST WILI NOT
Gripps-Midway Idg. - Room N-iB1 - BE ACCEGTED'BY TME STATE BpARD
UNLESS PqOVER INSPECTION FEE IS
1827 University Ave., St. Paul. MN 56104 I
PM.~. ~etZ~ 29~~~~~ ENCLOSED.
~ REQUEST FOR ELECTRICAL INSPECTION
~ See instructions for completing this torm on back of Vellow capl v:~ EB-OOW7-04 ~
/4~ ""X'" Below Work'CovereJ by This Request I ~
d Nep. Type of Building Apo~iances Wirod Eqoioment Wired
Home Range Tempprary Service
Duplex Water Heater Lighting Fix[ures
Apt. BuilAing Dryer Elec$ic Heatin
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm ~~~er Oea v OtherllSUeciryl
~ ue~~ y o~ ~r orn~d
ompa[ r n Fee Below I
nee5iza p Fee Feeders~SUb~eede~s k Fee~ Circuits
Oto30qm 5 ~ Oto30Am
Above 0 Am s 31 to 100 Amps 37 to 100 A
Swimming Pool Above 700-Am s Above 700_Am s
Transiormer5 Irrigation Boort~s j Partial•'Other Fee
Signs Special Inspection S ,$(j
Remarks fQ .i TOTAL E
!a-~
RoupM1-i^ ~~1e I, the Elactricel
soector, hereby
'.a~ certify Nat [he aGOVe
Fina~ ~•yyn insoaction has beon
mBde.
r
tMerepueelwitll8montlreirom . I
1 h ~qn hs ~rom Id ~_J I
0 054974 ~ ~ ~ 5 , ~ ~ ~ ~ a
Request ~ate` Fire No. qouPh-i`n InsOection I
e ired? ~FeaAy Nuw~Will Notity InsPec-
~~s ~y~s ~ryo lor Wh¢n Reatly
icanseA ElecVical Contraclor _ I hereby reuuest insoection oi ebove ' • '
OWner electrical work inatelled ac ~
Streat Atldress, Bax or Rout No CitY
~p ~ y~ , ~G~/ / ~ ~ " /i/
ecllon o. Township Na or No. Hanae No. Couut~~
C(
Occo ' nt (PRI T) 9 ' Phan¢ Na.l
~~i~ g9~ 6
Power Supulie Address I
4 `Go fc~ ~ ~e~~,~ ~p~irruryr I
Electrical Cn tractor ( ompany Namel Conira tor's Li ense No.
~I/la~ ~~~.ue, 6~0 ~S
Mailing Addresy~ConV/actor Or
O~king InslallatiOnl~ II
~ / ~
Au~horized Si ~5ature (C ~fractor/Owne M king Installation) Phone Nu~riber
~ ~ 9a1~3555
MINNESOTA STATE 90 D OF ELECTRICITY THIS INSPECTION NEQUEST WILL NOT
Griggs•Midwey Blde. oom N491 BE ACCEPTEO~BV THE STATE BOAND
1821 UniversitY Ave.. SL Paul, MN 56106 UNLESS PNOP N INSPECTION FEE IS
Phone 1612~ 297-2111 ENCLOSED. ~ ,
~ t-L~ REQUEST FOR ELECTRICAL INSPECTION ~ ee-oooo~.o
' See ins4uclions tor comolating ~his" m on back o~ vellow copy.
~ ~ P ~~~1 Q II
p "'X" Below Work y This Re uest
Adtl Hep. . TyOa af'Builtling AoP~~ancea Wiretl Equioment Wired
Home Range Tempprary Service
Duplex Water Heater Lighti~ny Fixtures
Apt. Building Oryer Electdic Heatin
Commercial Bldg. Fumace Silo Unloader
Industrial BIAg. Air Conditioner Bulk Milk Tank
Fartll Ot~er pen v ~?~her ISnecifyl
ther Suecify thar O~her ~
omnute Inspection Fee Below
p- Fee ServicaEntrancaSize M~ Fee Feeders~5ubteeders N F n ~ Circuits
~to200A s Oto30Ams Oto3QAms
Above 20 mps 31 to 100 qmps 31 to 700 Am ~
Swimming Pool Above 700-Am s , Above 100_/amVs
Transiormers rrigation Booms ' Partial~"Other Fe
Signs Special Inspection ~ 70T FE
emarks S doa
r ;
RouBh-in Date ~ ~ ~he cal
• e~ ~3~
Inspec~oq heroby
ertify that the above
Final ~ O~~e insoeetion has been
made.
a ~
fbie reQU9e1 voitl 76 montlre Imm I
~
This repuest void jI 8!~^
1B months from ~O
0 070925 B i ~ 5v. v ~
Reqaest ~ate / Fire No. Raug ~ Inspection '
equ etll ~Ready Now 11 Nolify. InsOec-
es ?No ~ tur When Ready
~ LicenseA lecvical ConVactor ~ 1 hareby requeat inapec~ion ol ~bove
? Owner ~ alectricel work inslalled at ~
Street Add"r~ess, 6ox ar Route No. . CitY
/ ' ~ ~ "G- CJ~_.
ecteon o. ownshio am ior No. Range o. Countv I
~f G fC
Occupant IPqINT~~ Phon¢ No.~
!a ~ S ~ -r'/(>~'la
Power SuoP~'er - Adtlress
Oq l<0~4 c~ r I
Electn ont r( m anv amel Contrar.~or's Licunse No.
~I.~~: 6
Mailinp AAdress ~Contract or Owner Mak'ne Instaila 'onl I
~ 0 I
w(i Q I
Aut~oriz jS~Bnamre 1 ntrac~or~0 er akf g Inswllation) . Phone Numtler
n ~ ` ~'yo, 3ss
MINNESOTA STATE BO NO OF ELECTRICITY THIS INSPECTION NEQUEST WILL NOT
Grigse-Midwav Blde. Room N-181 " BE ACCEPTED BN THE STATE BOqRD
l1NLES5 PROPER'.INSPECTION FEE IS
1821 University Ave., St Peul, MN 56100 -
Phone 1812~ 297.21t1 ENCLOSED.
5~~~~ REQUEST FOR ELECTRIGAL, INSPECTION I ea-ooooi:o
p O~~~~~ee inatructio~s lor complatb'ly fhis form~ ~ back of ~ Ilow copy.
""X'" Below Work Covered b This Re uest I
Add Nep. ~Typa of BuilEing AOClianms WireO EOUipment Wired
Home Range Tem~iorery Service
Duplex Water Heater LighEiny Fixtures
Apt. Buildinc~ ~ryer Electric He~tin
Commercial Bldy. Furnace Silo Unloader
Industrial Bidg. Air Conditioner Bulk f~Ailk Tank
Fafm Mnr oem y rher~fSn2rlfyl
~ ~ pecify ther Otherl
ompute Inspectian fee Below I
p Fea ServieaEntranceSize p : p¢e Fexders/Subfeeders M Fee I Lircuits
/J OtoZ00Am s~ Oto30qm s i Om30Am s
Above 200 qinps 31 to 700 Amps / i 31 to 100 q 5
Swimmin Pool Above 100-Am s Above 700_Am~s
Transformers Irrigation Booms - Rdrtial,'Other Fee
" Signs Special Inspection S 5
5Q TOTAL~FEE 7.
Rartwrks
Rrri4 DuS~ / / ~C'u"'
Noug~-in e the Elechncal~
~ Ins e
.~9 • ~ o ~,~:-r;ab~
I cartifV ~hat che bove
Final D:~t insoection has baen
• made.
mis raquent void 18 monllq tram I
~
(~3~~g ~
' ~30. So
2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when pemtits aze required for each u~i[
Date ~ / ~ / ~
Site Address lSN , v\S J i U~it #
~
Property Owner ~~r~ ~ ~ 1~ I~ 1~1 ~..u Telephone l~~'~ V ~ o~
~
I
Cantractor ~ `-'~X ~kl T 7 ~
Street Address , 0~~7 ~ ~ City ~
State ' 7 1~1 v Zip 1 Telephone i((/~l'~) Q~
Bond Expires:
The Applicant is _ Owner ~ Contractor Oth~r, II
- _ r` rl
,J , ,
Add-on or alteration to eaisting~ dwelling unit ~E~ ~~~~~4~ $ 30.00
~ + ~ V
_ furnace _Additional " `Replacement i
_ air exchanger ~~%'-~-I~`_~
airwnditioner _New _Replacement I
other ~
I
State Surcharge i $ .50
Tota~ I; $ 3~
I hereby apply for a Residential Mecbanical Pemiit and aclaiowledge that the information is c ~mplete and accurate; that the work will
be in confotrnance with [he ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a
pernvt, but only an applicarion for a pemvt, and work is not to start without a permit; that ttie work will be in accordance with the
approve plan in the case o ork wlnch requires a review and appcoval of pl ~I ~
I
ApplicanYs P Name Applicant' S~ a~ure
2004 RESIDENTIAL MECHAIVICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when permits are required for each unit
Date / /
Site Address Unit #
Property Owner Telephone # ( )
i:o~~tracior
S[reet Address City
State Zip Telephone # ( )
Bond Expires:
The Applicant is _ Owner _ Contractor _ Other
Add-on or alteration to existing dwelling uni[ $ 30.00
furnace _Additional _Replacement
air exchanger
airconditioner _New _Replacement
other
State Sorcharge $ .50
Tatai $
I hereby apply for a Residen6al Mechanical Permit and aclmowledge that the information is wmplete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand Uns is not a
pernut, but only an applicauon for a permit, and work is not to start without a pemut that the work will be in accordance with the
approved plan in the case of work which requires a review and approval of plans.
Applicant's Printed Name Applicant's Signature
#~O~$~ 2000 BUILDINC PERMIT APPLICATION (RES~'IDENTIALI ~ g~
f~. 05
CITY OF EACAN
3830 PILOT NNOB RD - 55122
651-681-4875
New Conahuctlon Reaulremenri ~
? 3 reQlatered alte aurveys fhowlny tq. fl. of bf, sq. ft ol houae 2 coptes ot an
antl g~ roofed areaa (20% mmUmum lot coveraae allowed) t set at ene cdcuMtlons for heafed ~dlMOna
> 2 coplea of plana (ahow beam 8 wlndow slzea; poureC Ind. design; etcJ 1 sife wnrey'for exfedor addiHOna ~ decka
a 1 sef ot energy calculatlona ~ U U Q~~. U(J
a J coplea of hee preservadon plan If lot plalfetl alter 7/1J93
DAlE: J~ C7 ~ CONSfRUCTION COST: ~~''bl~~•~}Ffi'
T
DESCRIPTION Of WORK /~~~e' O~~ ~ es~
STREETADDRESS: ~PO ~Gt-r i Gt 55
LOT: BLOCK: ~L SUBD./P.I.D. ~AtAfi C.STA ~{S
~
I
Name: ~ ~Lr~.r-e-r i ~'z Phone ~vS ~-JS~- ~l ~f t l
PROPERTY LaM Fint \
Ot'NNER gheet Address: GI ~0 0 scc ~ts-r ~ RSS
cty srate: I na: 5~ 5! a/
Company. !^-~'S J 07`u5 1LVV~i~ PhoneN: ~J~ ~~1-~~-F~
(area code)
COMRACTOR Sheet Address: `-7 ~ r . ~ U~ ~ . U lerue # ~~ZExP. 3~3r / Q (
Cly ~OVVtntiAd'0~ Stote: ~ Zip: SS~aC7
t
ARCHITECT/
ENGINEER Company: Name:
Telephone ( )
Sheet Address: Regisfrailon
CiFy State: 2ip:
SewerJwater licensed plumber (ff installina sewerlwaterl: Phone
I hereby acknowledge Ihat I have read this appGcaHon, sfafe Maf Ihe intormaHon is oorrect, anl ee to mpty w)th a plicable Sfate
'of Minnesota Stalutes and City of Eagan Ordlnances.
~ Signature of Applicant i
.
OFFICE USE ONLY
MAY - 8
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 21 Porch (3-sea.) ? 31 Ext Alt - Mutti
? 02 SF Dwelling ? OS O6-plex ? 17 Garage ? 22 PofchfAddn. (4sea.) ? 33 Ext. Aft - SF
? 03 01 of _ plex ? 09 07-plex ? 18 Deck ? 23 Porch (screened) ? 36 Mukf
? 04 02-plex ? 10 OS-plex ? 19 Lower Level ? 24 Storm Damage
? 05 03-plex ? 11 10-plex P~bg Yor_N ? 25 Miscellaneous
? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bidg.
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 Demoiish (Foundation) ? 46 Windows/Doors
• Give PCA handout to applicant for demolition permit
GENERAL INFORMATiON
SAC Code # 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
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVAtS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
5/W Permit
S/W Surcharge
Treatment PI. t
Park Ded. ~
Trails Ded.
Other
Copies
Total:
SAC UnitS
% SAC
,I:F`...n.;;7K~:;, .,...,.„~::i;;::YY,Ci:'i;Y,Cf'li;;:''~i"~°);:)rl:"Y'i:h(:,K~O.::,.:.b:;
.c.r.r~r 0~- (=fll;nli~
CF~Sfi:C!=.I~;C 1lii:Ri'i.7.Nfil.. ldC?:' i'7r
T.!A7E.r, o~.',i0f;~5~9 1:[hiL-c n:?co7::3C)
zo,:
i~r,r~, r.oui:_F~:r ~:i~,~s~Fi_,crr:r.ca~ ~;~c
:~;}:!0 9(:1f1:1. ?~^80 43F?~"ARI F'F'ifi 'iU%.'..t3`i
34'r.'_i_ °nt~:l. 4.`)£ii] S;4!=~1'i'!: F'f~?s .'cE,_E;".i
=:1.::°; 3(1C)1. 4:)SA:I ~~A1"'F1RI !~'A5 1~i~.0C1
~
7~a+:al S'te~c~y;,~;,i; Amai.ervt, c £34~'i . i'0
C,F' l CSf,[] 4• 7
~i~,~--5 rr.~~ i~r,r~~cv
T:B,.,;?"".,.:;<;~ :'r:'.:N.,c~,~:~t,r};t~:ak;:. ~t:~,;ctM,,;lakX;n':':h;;~;?~:k::;~°
/ '
~ 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
cJ CITY OF EAGAN '
3~~ ~ p 3830 PILOT KNOB RD - 55122
651-681 ~h675 I ~ ~ ~
New Construclion Reouirements RemodeVReoair Recuirements
? 3 registered site surveys showing sq. ft o1/04 sq. ft o/house ? 2 eopil s of plan
and all roofed areas (20°~ maximum lot eoveraae allowadl ? 7 set of energy calculations tor heated additions
? 2 copies of plans (show beam 8 window sizes; poureG fnd. design; etc.) • 1 site survey for eMerior additions 8 decks
? 1 set of energy calculations
? 3 copies of tree preservation plan if lot platted aker 7/1/93
DATE: ~/9 ~I CONSTRUCTION COST: l~~? d d~' ~U
DESCRIPTION OF WORK: /~f37-'r ~,~D~~T ON CJj~~~ ~,L}3CF oN~'-,~,~/7Ry S~~s
~q~ p o~a~D cov~r <~~~p ~~v~~s I
STREET ADDRES S!~ F"e9R1 ~'J9S5
LOT: ~ ~~,BLOCK: SUBD./P.I.D. c ~
\ I
Naznr. S7'~l~ ~o M t).~ R Phone
PROPER'fY
OVV~IER
Street Address: yg~6 S~ 1'-'
~}R ~ }~AS 5
Ciry t'~ ~ Stue: _ rn N I Zip:
~
Compan}~ ~O 1~~
R 1 CBGVS l AJC : Phone N I ~~5) )(n 3 1- S`~
CQA"I'RACT'OR
StreetAddress: ~~7~ W~ Co Ra7 J3 license# ~00/~I06~~cp. 3 3~ ~~00
City ~OS.E"1/Jl L~ Srate: _/~N 7~P; S'S'/) ~
~ I
ARCHITECT/ ~,L~ItK~ /?~C~/l J~- •7~~~• Phone '~-°d - g~-f Sv`~
ENGINEER Company:
I~azne: ~l7~fi/~d'~S ~1,J9~G,~' Regisuali In tl: J~ ~/~v
str~~~ naare55: 3~Is -SLIY) /1')1 ! eg Y,~ ~
City ~~UL State: I Zip:
Sewer & water licensed plumber (reauired for new construction onlv): ~
Penalty applies when address Change and lot change is requested once permit is issued. I
i hereby acknowledge that I have read this application, state that the information is coRect, and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
o~
: Signature of Applicant: ~ ~ ~ t/
, OFFICE U5E ONLY ~ ,
_ D ccr~~,
Certificates of Survey Received _ Yes _ No (
i 1 p c-~ ~
Tree Preservation Plan Received _ Yes _ No _ Not Required ~~1 I , ~
J:--- ~ ~I
- - ~
I
1
,
s~"' ,
OFFICE USE ONLY
BUILDING PERMIT TYPE
~ 01 Foundation O O6 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.}
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
O 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool 25 Misceilaneous
WORK TYPE ~./k'~L_
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
~ 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg. ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
GENERAL INFORMATION
Const. (Actual) J•~ Basement sq. ft. Census Code `~3'
(Allowable) S~ 1- Main level sq. ft. SAC Code c?
UBC Occupancy ~.•`3 sq. ft. No. of Units
Zoning ~ sq. ft. No. of B~dgs $
# of Stories sq. ft. MClES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building \ ~ J Engineering Variance
Permit Fee SO'~ .`d"S Valuation: $.v3 ~J °v°
Surcharge I R~ .O C~
Plan Review ~3 a ~ . ~ jl ~
MC/ES SAC ~7S`~ h 5~ ~ e'~
City SAC 5 7s 6= 3~S-~ `
Water Conn. 2 yy
Water Meter ~ I ~
Acct. Deposit ~
S/W Permit
S/W Surcharge 'L
Treatment PI.
Park Ded.
Trails Ded.
Other '
Copies ~
Total: ~6~}r1 r1 L
SAC Units
% SAC
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 696
DATE: OS/09/00 TIME: 11:47:46
ID:
NAME: LES JONES ROOFING, INC.
3210 9001 4960 SAFARI PAS 523.05
- 2155 9001 4960 SAFARI PAS 19.00
i
~k
Total Receipt Amount: 542.05
CR129480
USER ID: JAN
'r~~X -+Tr:'SG~; ~~^t~~'S , , ~ ,y ...,,vr:n~..c.e:..x.. . I . .
~ . .M e ro-'~,.
f. ~ ~ elopment Inc,
' ; ~n View Drlve
a~~~~~'° `siey, MN 55124 43~36
. ~ 7 72/23
~ y;~, ~.r.
DELMAR H. SCHWANZ ~
. ~
fr±~ LANDSUNVHYOP'D~ I~1G~
RpisH~M Untlo L~wa e~ 7M StH~ o~ MtnMaet~
~ 2878 - lA6TH BTNEET W. - BO% M R08EMOUNT, MINNOOTA 580~6 PMONH 67I12~17bY
SURVEVOR'S CERTIfICATE
n a! jQo,o Sd9°~9 ~48 ~E -
" n~ ~ - - - I \
,i 1 ~
~ I
, --Drainage and Utility Easeient l
~
i ~~l n
S
o~' ~ LOt 2O, B10Ck 1
~ ~ ~ ~
~ r o
~ ; ~ ~i y ~ ~
-92 I
1 ~ I r'b I
~ ~ I s I I
_
~ , P.¢oPo5~4b ~a~4C,F ~
I I~ I~ An~o NawsE ~
~ 3 41 ~e Q~.
~r Z
~ ~ ; n
. ~ ~ ;
h~ n ry
~ , ~ ~ib,37 30 ,
~r ~ NB.~ ~
, ~
I ~ ; I
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~ i ~ r ~li ~ ~ ~i ; ~
' I ~ ' I I
~ I ,i--- - "
; . tz i~~~ - 33i; 5¢ - EAST - '
~cale~: i Lnch 6(1 feet
~ Property orner
ii~ Set wood b
F.levationa are existing and on assumed datum.
I hereby certify that thia ia a true and correct ~representation oP a
survey of Lot 24, Block 1, SAFAR2 ESTATES, Dakotal,County, Minnesota.
Also showing the location of a propoaed building ~ataked thereon.
As surveyed by me this 24th day of January, 1984.I
I
I
,1 ~l ~
~i/ ~ ~ ~l
- MINNESOTA NEGISTRATION N0.88~5 .
~i
. i . . . . : . .
e
MEMORANDUM
TO: Mike Ridley, Senior Planner
FROM: Mike Dougherty, City Attorney ~
DATE: February 5, 1999 ~
RE: Chapels and Crypts I
Our File No. 206-4768 I
In response to your request, I have reviewed the letter from Steven G. iRothmeyer, of 4960 Safari
Pass, regarding his desire to add a chapel to his house and to include a crypt in which he wishes to
be buried. Upon review of the laws and regulations which cover these matters, I offer the
following observations: I
With respect to the crypt, our office has contacted the Dakota County Solid Waste Department
and the MoRuary Science Division of the Minnesota State Department of Health. The result of
these discussions is that burials on private property aze governed by Minn. Stat. §307 entitled
"Private Cemeteries". The most significant aspect of Chapter 307i is the requicement under
§307.01 that the land constituting the cemetery must be surveyed and platted. Any plat of the
cemetery would necessarily include a portion of the addition whichi would be attached to the
existing facility. Thus, as a direct result of the creation of the private I,cemetery there would be a
setback violation to the e~cisting structure. Moreover, it is the intent~ behind the creation of the
platted lot that such lot may be conveyed or transferred. A conveyance may result in the cemetery
being owned by somebody other than the owner of the dwelling.
The Health Department expressed concems over decomposition, ve~ntilation and fluid leakage,
and the responsibility and methodology used to ensure compatibility with the dwelling. Moreover,
it was noted that as setttiments may change over time, there could be a~ disinternment of the body.
The other issue has to do with land use and the compatibility of a pnvate cemetery on property
designated for single-family residential dwellings. Presently under, the City Zoning Code, a
cemetery is neither a permitted or a conditional use. The inclusionl of private cemeteries as a
classification for the use of R-1 property would require an amendment to the City's Zoning
Ordinance. I
Adding a chapel to the home would appear to pose less of a concem to the use of the property.
~o long as the chapel is not to be opened for public use, but is rather for the sole use of the- •
~property owner and his invitees and guests; it would appear to be consistent with the intent of the
City Code though nof specifically addressed therein. Any construction of the addition to the home
would of course need to comply with the Building Code adopted by the City.
. If you have any questions regarding the material contained herein, please give me a call.
MGD/wkt I~
~ i~T-. ~
o , MINNESOTA ENERGY OODE .tt, , ,
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MEMORANDUM
TO: Mike Ridley, Senior Planner I
i
FROM: Mike Dougherty, Ciry Attorney I
DATE: February 5, 1999
RE: Chapels and Crypts
Our File No. 206-4768
.
In response to your request, I have reviewed the letter from Steven G. IRothmeyer, of 4960 Safari
Pass, regarding his desire to add a chapel to his house and to include a crypt in which he wishes to
be buried. Upon review of the laws and regulations which cover these matters, I offer the
following observations: ~
With respect to the crypt, our office has contacted the Dakota County SoGd Waste Department
and the Mortuary Science Division of the Minnesota State Department of Health. The result of
these discussions is that burials on private property are governed by Minn. Stat. §307 entitled
"Private Cemeteries". The most significant aspect of Chapter 307i is the requirement under
§307.01 that the land constituting the cemetery must be surveyed and platted. Any plat of the
cemetery would necessarily include a portion of the addition whichl would be attached to the
existing faciGty. Thus, as a direct result of the creation of the private~cemetery there would be a
setback violation to the e~cisting structure. Moreover, it is the intent~ behind the creation of the
platted lot that such lot may be conveyed or transferred. A conveyance may result in the cemetery
being owned by somebody other than the owner of the dwelling.
The Health Department expressed concerns over decompositioq velntilation and fluid leakage,
and the responsibility and methodology used to ensure compatibiGty with the dwelling. Moreover,
it was noted that as sentiments may change over time, there could be ai disintemment of the body.
The other issue has to do with land use and the compatibility of a private cemetery on property
designated for single-family residential dwellings. Presently under the City Zoning Code, a
cemetery is neither a perttitted or a conditional use. The inclusion of private cemeteries as a
classification for the use of R-1 property would require an amendment to the City's Zoning
Ordinance. ;
Adding a chapel to the home would appear to pose less of a concern to the use of the property.
iSo long as the chapel is not to be opened for public use, but is ra'ther for the sole use of the -
property owner and his invitees and guests, if would appear to be consistent with the intent of the
City Code though not specifically addressed therein. Any construction of the addition to the home
would of course need to comply with the Building Code adopted by tfie City.
If you have any questions regarding the material contained herein, please give me a call.
MGD/wkt
I
I
~
. Post-it~ Fax Note 7671 Date Pa ~
ro 6~ ~ F
, ColDapt. ~ Co.
G A E A T N D R T P~ne ~ T Phone p
F~# L i°r ~ I a~~ F~#
STEVEN G. ROTHMFIER '
Ct3nmMnN Arro CEO
December 28, 1998
Mr. Michael Ridley
Senior Planner
City nf Eagan
3830 Pilot Knob Rd.
Eagan, MN 55122
Dear Mr. Ridley,
Both the city attorney and Marilyn suggest that I contact you concerning a specific matter
that may fall under the planning or legal azea or both.
I currently reside at 4960 Safari Pass in Eagan. I intend to add a chapel to my house
including a crypt in which I wish to be buried.
Could you please inform me as to what approvals, acknowledgements, or permissions are
required in order to provide for the construction and use of such a construction?
Thank you very much.
Sincerely,
Steven G. Rothmeier
SGR/sls
` ~ECEIVED DEC 2 9 "s998
[TEL]612 222 6130 [FAX]612 222 6230
332 Minn[sorn 5*.SU~rE W-2940. Si Pnut. MN 55101 OSA
. i
city oF e~c~an ~
~
~ i PATRICIA E. AWADA
MaYar
PAULBAKKEN
i BEA BLOMQUIST
PEGGY A. CARLSON
January 21 ~ 1999 SANDRA A. MASIN
CouncilMembers
I
, THOMAS HEDGES
' CiN Adminisfrator
MR. STEVEN G. ROTHMEIER ~ E. vnrv oveaeerce
332 MINNESOTA STREET cm~cie~k
SLJITE W-2900
ST. PAUL, MN 55101
Deaz Mr. Rothmeier:
I received your letter of December 28, 1998, regarding your desire to add a Chapel to
your home, including a crypt in which you wish to be buried. Tkus is a unique request
that requires me to collaborate with the City Attomey's office as jwell as, our Building
Inspection Department to determine what is required to proceed with your intentions.
I hope to be able to respond to you within the next week or so. I ap'preciate your patience
in this regazd. If you have any questions or would like to speak to me further regazding
this in the interim, please feel free to contact me at (651) 681-4689.i
Thank you.
Sincerely, ~
~ •
~
Michael J. Ridley c~
Senior Planner
MJR/ld
cc: Mike Doherty, City Attorney
Doug Reid, Chief Building O~cial
MUNICIPAI CENTER THE LONE OAK TREE ~ MAINTENANCE FACILRY
3830 PIIOi KNOB ROAD 7HE SYMBOL OF STRENGTH AND GRONRFI IN OUR COMMUNIN 3501 COACHMAN POINT
EAGAN. MINNESOiA 55122-1897 EAGAN. MINNESOiA 55122
PHONE: (651) 681-4600 PHONE: (651) 681-4300
FAX:(651)601-4612 EqualOpportunityEmployer Fqx:(65l)6ai-a36o
TOD:(651)A54-8535 ~ TDD:(651)454-8535
' MEMORANDUM I
TO: Mike Ridley, Senior Planner ,
FROM: Mike Dougherty, City Attorney
DATE: February 5, 1999 '
RE: Chapels and Crypts
Our File No. 206-4768
In response to your ~request, I have reviewed the letter from Steven G. Rothmeyer, of 4960 Safari
Pass, regarding his desire to add a chapel to kus house and to include a crypt in which he wishes to
be buried. Upon review of the laws and regulations which cover these matters, I offer the
following observations:
With respect to the crypt, our offrce has contacted the Dakota County Solid Waste Department
and the Mortuary Science Division of the Minnesota State Department of Health. The result of
these discussions is that burials on private property are governed by~Minn. Stat. §307 entitled
"Private Cemeteries". The most significant aspect of Chapter 307 lis the requirement under
§307.01 that the land constituting the cemetery must be surveyed and platted. Any plat of the
cemetery would necessarily include a portion of the addition which ~,would be attached to the
existing facility. Thus, as a direct result of the creation of the private cemetery there would be a
setback violation to the ea~isting structure. Moreover, it is the intent behind the creation of the
platted lot that such lot may be conveyed or transferred. A conveyance ~may result in the cemetery
being owned by somebody other than the owner of the dwelling. ~
The Health Department expressed concerns over decomposition, ventilation and fluid leakage,
and the responsibility and methodology used to ensure compatibility with the dwelling. Moreover,
it was noted that as sentiments may change over time, there could be a disinternment of the body.
The other issue has to do with land use and the compatibility of a pril ate cemetery on property
designated for single-family residential dwellings. Presently under the City Zoning Code, a
cemetery is neither a pernutted or a conditional use. The inclusion of private cemeteries as a
classification for the use of R-1 property would require an amendment to the City's Zoning
Ordinance.
Adding a chapel to the home would appear to pose less of a concern tlo the use of the property.
So long as the chapel is not to be opened for public use, but is rath~er for the sole use of the
property owner and his invitees and guests, it would appear to be consi'stent with the intent of the
City Code though not specifically addressed therein. Any construction of the addition to the home
would of course need to comply wiffi the Building Code adopted by thelCity.
If you have any questions regarding the material contained herein, please give me a call.
MGD/wkt
I
I
I
Post-it° Fax Note 7671 Dave 2$ pe9~? ~
To C ~TH~C"I Fro
G~
Co./Dept. ~O~
Phone # Phone # ~ ~
Fa~cri ZZZ' Z'R?O Fax#
CITYUSE O~LY
LOT ~ BL RECEIPT ~
SUBD. RECEIPT DATE: ~ ~ ~ • q~
MECHAMCAL PERMIT ~
Y999 M~C~i~NIC~L~~MIT (~S 1.) ~n~,
CITYoFS,4fi,4Pt C /
5830 fILOI' KP08 RD
~ ~46AN MN 551 EE
/ (651) 6$1~4695
Date: 7 •
Complete this section onlv if you aze installing HVAC in a single family dw~lling, townhome or condo under
CvTiSu`uCi:O : s~%j IIu^t ^v ni=A
• HVAC: 0-100 M B T U $ 30.00
ADDITIONAL 50 M BTU 6.00
• Gas oudets (minimum of one requ'ued @$3.00 ea.)
State Surchazge .50
Total $
Complete this section onlv if you are remodeling, adding to, or repairing an existing single family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
~ New ~ Alteration Repair Other
~ eminder: Ca11681-4675 for inspections.
Furnace _ A I conditioning
_ Air exchan¢er ~er . _ ,
$ 30.00
State Surcharge .50
Minunum Tot 1 Due $ 30.50
SITE ADDRESS: ~ ~~E~7 L /~'L S' ~
OWNER NAME: ~G~~ ~ f%u PHONE SZ d l
INSTALLER NAME: ~ PHO I~~ DE) ,
V ~ 9~I GG~ G l.._.~ ~ ~ DE)
STREET ADDRESS: ~
CI71': -7 ~ i' STAT'E: ~..(/7 ZIP: ~
" l ~,~~~~~c7e~c
A OF PERMI `
CITY USE ONLY
L _ BL _ RECEIPT#:
SUBD. RECEIPT DATE:
APPROVED BY: , INSPECTOR MECHANICAL PERMIT
1999 M£CiiRNIGA~I. f~lTP (C0141b3~CI1lL)
CITY OF £A&AP
3$30 ~ILOT KNOB liD
£~46AN, MN 551 EE
tssi) s81-4s75
Please complete for: all commerciallindustrial buildings
~nu~ii-~a~uily uuildi~ ~ys wnen separate permits are not required for each dwelling unit
DATE: CONTRACT PRICE:
WORK T1'PE: New construction Install U.G. Tank
_ Interior Improvement Remove U.G. Tank (Minirnum Fee)
Processed Piping (Minimum Fee)
"*NOTE: When installing/removing underground tank, ca11 65 1-68 1-4675 for inspecNon by fire mazshal
and plumbing inspector.
DESCRiPTION OF WORK:
FEES: 1% of contract price ~R $30.00 minimum fee, whichever is greater.
CONTRACT PIZICE x 1%
PERMIT FEE
STATE SURCHARGE ($.50 per $1,000 of neanit fee due on all permits.)
TQTeT
SITE ADDRESS:
OWNER NAME: PHONE
(AREA CODE)
TENANT NAME (IMPROVEMENTS ONLl~:
INSTALLER:
ADDRESS: PHONE -
. . (AREA CODE)
CITY: STATE: ZIP:
SIGNATURE OF PERMITTEE
. CiTY USE ONLY ~
L ~ BL _L RECEIPT :
SUBD. RECEIPTC~ATE:
~ ~
1997 MECHANICAL PERMIT (RESIDEN IAL)
CITY OF EAGAN
3830 P~LOT KNOB RD
EAGAN, MN SS122
(612) 681-467b
Please complete for. • singie family dwellings
? townhomes and condos when permits are required for each unit
~
New construction Add-on fumace
. • . _ . • #
~ }T1CJU'Oil ilif GGYii~~i~iv~iifl~f.~' .A-"aL~-c.:i n'ii C`i ~'1 -si,-~'~ :iiti.
~ v_ ~
Date: ~ ~ ~~°~j 7
FEES
? Minimum Fee: Add-oNRemodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU 24.OD
Additional 50 M BTU 6.00
• Gas Outiets (minimum of 1 required @$3.00 each) :~L-.
? State Surcharge .50
TOTAL 0. ~
,
SITE ADDRESS: I
OWNER NAME: I HONE#: S~- ~cFr
INSTALLER NAME: ~~~¢~.i~ ~t?~.~ i?l~, C' PHONE ~.~5% ~ C~
STREET ADDRESS: ~ 7 ~ 7 ~`~'s ~
CITY: _~!i/ ~ STATE: PIP:
t 1 11 ~x-s~~ " ~ ~.~~,,G~
f~ 51GNA PE~ TEE
CITY USE ONLY ~
L BL _ RECEIPT#:
SUBD. RECEIPT DATE:
1997 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
383Q PILOT KNOB RD
EAGAN, MN 55122
(B12) 681~675
Please complete for. ? all commerciaUndusuiat buildings.
. multi-famity buildings when separete pertnits are ~ required for each dwelling
unit.
DATE: CANTRACT PRlCE: _
WORK TYPE: _ NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: ~ $25.00 minimum fee gr 1% of contract price, whichever is greater.
. Processed piping - $25.00
~ 5tate surcharge of $.50 per $1,000 of p~B fee due on all permits.
CONTRACT PRICE x 1 %
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME: TELEPHONE#:
TENANT NAME: pMPROVeMEnirs oN~r~
INSTALLER:
ADDRESS:
CITY: STATE: ZIP:
PHONE '
SIGNATURE:
SIGNATURE OF PERMITTEE CITY 1NSPECTOR
" ' ` CITY USE ONLY I
LOT ~ BL ~ RECEIPT#: U /~d"~S
SUBD. ~ RECEIPT DATE: O ~~/7 ~
~M~C~1~l1VICAL ~£~MIT (~S1D~1VTl~L) c~ S~D `~7
/9~ ~ sgso
o ~ ! .5
~ c~ EAHAN MN 551 YY
(61Y)681-4675
Date• i~
I
Complete this section onlv if you aze installing HVAC in single family, townhomes or condos under
construction and not owner foccupied
• HVAC: 0-100 M B T U ~ $ 24.00
r1DDITIONAL 50 M BTU b.QO
• Gas outlets ( minimum of one required @$3.00 ea.) ~
• State Surchazge: i .50
• TOTAL: i
Complete this section onlv if you aze remodeling, adding to, or repairing existing single family dwellings,
townhomes, or condos. Note: Mechanical permit is not required for alt~ration/add-on to ductwork in
existing residential units; but is required for the following:
_ Install furnace ~ Install air conditioning
_ Install air exchanger, i.e. Vanee system, eta _ Ot1~er
Minimum fee applies to all remodel or add-ons of existing residences $ 2C.40
State Surchazge ~
~'otaL• $ 20.50
SITE ADDRESS: Gt ` G-~i~l
OWNERNAME: ,~i1Z-T~-~ /72E?~Gl~~ PHON~#: ySv~'-
INSTALLER NAME: / ~-i~~.~ ~ PHONE /,~L~-- ~ ~Q
STREET ADDRESS: ~ ~~a=-c•-~~I~!r-~C~
C[~ : G~y~~~ti~~ STA1'E: I ZIP: l"~ -J` ~
y , , ~ ,
VC . ~ ' ~
~ 4 I~~~ r1'~G y E yA' S1GI~I I F PERM
1S/FO ~ ~
~
lCH PERMIT (RES) - 1997
~ / V ?
CITY USE ONLY '
L BL RECEIPT#:
SUBD. RECEIPT DATE:
1997 M£CfiAN1CRL ~£RMIT (COMM~iCIRL)
CITY OF ~4fifkN
S$SO ~ILOT KNOB ~iD
~AHAN, MN 551 f8
(61P)6$1-4675
Please complete for: aiI commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE: CONTRACT PRICE:
`h'ORK TYPE: NEW i,ONSTRUCTI•~N INTERIUR IMPROVEMENT
DE3CRIPTION OF WORK:
FEES: 1% of contract price OR $25.00 minimum fee, whichever is greater.
Processed piping - $25.00
CONTRACT PRICE x 1%
PROCE3SED PIPING
PERMIT FEE
STATE SURCHARGE ($.50 per $1,000 of ~emiit fee due on all permits.)
TOTAL
SITE ADDRESS:
OWNER NAME: PHONE
TENANT NAME (IIviPROVENtENTS ON[.Y):
INSTALLER:
ADDRESS: PHONE
CITY: STATE: ZIP:
SIGNATURE OF PERMITTEE CITY INSPECTOR
CITY OF EAGAN (v~ 1014 3
3830 Pilot Krrob Road, P.O. Box 21•199, Eagan, MN 55121
PNONE:454-8100 ; ~
~3(~
BUILDING PERMIT rteceipt #
Te M aad fer SF DWG/GAR ya~~ $497.OOOpOfe APR~IL 24 ~y 85
SittAddreu 4960 SAFARI PASS ~ erece C~ oca~r,ency R
Wt~~sloek 1 sec/Sub.. SAFARI EST Remodei ? zoning Rl
Repeir ? Type of Conrt. V
Pareel No. Enlerge ? No. Stories
Mwe ? Lengeh 1~4
~ Name DEVELOPERS CONSTRUCTION
~ Demolich ? Depth 60
Add~ess 1 1 O1 C~TFF RD Grade ? Sq. Ft.
Cicy RiiRNSVTI.i.F.phone 890-6194 Instau C7 '
~ Nama S~E AVMOrab F~e~
Assessment Permi~50
~ Addl856
~'?4 City Phone Woter 6 Sew. Surchorga ~dR _ S0
Police ~ Plan Review 71 ~ ~S
~'W Name BLANK & FARNAN F~n SqC 525.00
q~~ ~q. 4/18%85 WuterConn. 500-00
Citv Phone 292-1534 plonnar WaterMeter~~00
Councll Rood Unit 280 _ 00
1 herc6y aCknowladpe tFwf 1 haw rcA his opp~ication and state thct g~dg.04f. ~I ~ZZ $S .T. P. 132 . 00
iM Intormatlon is torrect and e fee o comply wiih~6fl opplicable APC ~ 7bwl 53.886. 75
Stota of Minnewro Stotutes a Ci ot Eo~O noncos.
Var. Dne
Sipnoturo of Perminas ~ ~
A Building Permit Is Issusd : E P RS CONSTRUCTION ~ e~~ ~M~~
oll work sholl be dons in awordan[e with all o i le St te atutes ond C7ty of Eapon Ordironces.
Bulldfrp OffiGOl
I
t ~/D/~~ , ~
I
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN ~
~4
NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCl1LATI0NS
~
To Be Used For: ~ g`~ Valua/tJ'ion: ~ p(~D ~ Date: '/(p j! y~
Site Address: ~-Gf (p~ ~~/a,Q.~ 1"~SS OFFICE USE ONLY
Lot: ~ Block Sect/Sub {~~~,6~~ Erect X Occupancy ~•~J
7i ~r'r ~ 5 Remodel Zoning ~
Parcel I! Repair _ Type of Const ~
Enlarge l1 of Stories
Owner ~p~~,pl~PF,f ~i~~,s~ Move _ Length 1~4
~ Demolish Depth Co0
Address Grade Sq Ft
City/Zip Code ~-JD- ~a /ySC
Phone APPROVALS
~
Contractor ln,~, Assessments Permit ~q2~. _
' Water/Sewer Surcharge 248
Address Police Plan Review i 2.`i5
Fire SAC ~2~,
City/Zip Code Engr .~-/f(-RS Water Conn ~-~p,
Planner Water Meter . %
Phone Council ~oad Unit 2.f30.
Bldg Off ,Parks
Arch./Engr. j~j/~~H~lo .~,~1-r/i~i~i?st~ APC Treatment Pl 1~i2 =
Variance p
Address TOTAL ~ d ~~p~7~
City/Zip Code ~j~, ~
Phone 11 ~C~' - /~"3'~
I
~j d~/~
a~
,~do ~-ro~
I
~
i
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~
4'~.~ ~ ~ l~~ ~ ~ qo-~Z i3~qo ~ ~
~ ~ ~ `~'L ~ 4 2~ ~ 2~ 9zs~o ~
I~o 7. 3 2" Sl 2 n 5 4= Z"1(~ 4~ 4 0~~0
2, ~j 2 " ~ x ~ `1 1 4- 4~ ~ ° ° o .
Zc~~ loq- ` 2"1°4 x~~ ~(1~~~~g ~s~2~o ~
10~ ~4 - 2~o K 4-(- ~I 4~,v i~~~ , _
U ~
Zv~ 1~, - ZC~~ I~(~V Z2't~`-' 1r425•~0+ ~
: z4 30 ¢ ; 2~e.oo+
5~.`3U~c~ ~tz•~s+
x 22 " C,~l~t~ K I~= 1 Z~o o.so+
szs•oo+
3~ K2-Z = (9Cr~0 X l( ' ~Z-C~o sao•oo+
63•00+
280 • 00 +
25 x 24 ' ~co ~ < < " ~~OC~ ,32.00+ ~
3r886•75* ~
~
• PE (~r~i I T . _ _
Ic~c~, ow 433
~I~1~1,~~ ~j`~2. ~
I 425 'b 14 Zs ~
' ~~u2cN~CaC-; '
~I ~f - 4~l~ X~ ~ ~~F~'; ~ Zqt~. z' ~
~ ~~!r~,~ ~ . .
~5
se . ~ S -I I Z-
l 4zS~ Z.y ~ 12
- - _
- ~
LertiPicate for: Bk: 79/44
ti Developers Conet. Co.
1101 Cliff Road h
Burnsville, Mn. 55337 ~
r
~
-
DELMAR H. S~HWANZ ~
lANOSUaVEVORS r I1.1~. ~
• RepittM~tl UnON L~W~ of T~~ SGU af Minn~sOb -
2Y78 - 146TH STNEET W. - BOX M qOBEMOUNT, MINNES07A 66068 VHONE 612 423-1768
~
SURVEYOR'S CERTIFICATE '
S',~•~~i~/ ~~~s
r.~. i?o ° ~o '~2~'
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/~roN ' _ _ 300.0 - ~ ,.'t•r~i •
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~ ~
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/ ~aZO '~r n Y
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o a ~ . ~s
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I hereby certily that this ie a true and correct representation of~
i.ot 19, aloak 1, 3AFARI E9?ATF~, according to the recorded plat th~ereof, '
Dakota County, Minnesota. I
Also shoring the location oP a proposad house as etalaed thereon.
Llated: April 8, 1985, G
• ~7 i If / , ~ A^ A
,1/ W~" t ~
~ ~ MINNESOTA REGISTRATION N0.8625
U
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~ ~ ,
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° BLAI~ICK ~ FAR1~A1~ ARCH ITECT S
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~ ' SUITE 007 . ; \ 612-292-1534
r.` ` 79 WESTERN AUENUE NORTH ~ ST PAUL. MN. 55102
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~ f~m= i` i~~ t?} V;, I hereby celrtrfy that #his plan, specificatiqn or
q„~ N'~ ~ report was prepared by me or under mv'dL•ect
~~~a~~j? L: G!.4,~7?~(r~ superv'~ion and !h2t ' am a duiy Rc,=:S~^rotl
~ Architect unclel ihe taws ~t tlie 5ta?e et t.?:.
~
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`s r,, ry ~/•~I/ Date 3` SS Reg. No. ~ 7~:
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.
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aa;~?'x'~~ : _ . -
1
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~ 2/84
j CITY OF EAGAN
~ ~ '~C« /
APPLIC~TION FOR PERI~IIT
SEWER AND/OR WAT~R CONNECTIODT
(PLEASE PRINi)
1) PP.UP~7P~ ADDR.-"_SS : ~ %~L~ d ~ ~t ~ff/~/P i
rFrat. Dr..~tir?CV: J _ I3~a~~ / ,S'~f~+~Pl ~SJA7'Fs
(Lot/B1o~Jc/S~,aivisicn dr Tax rarcel I.D. Nt~r~er)
( ~c' ~{I~:'=i, ST.°.L'~T~., Drli
: OL' C~T_G~Ai, rtili.^.~ :G ~~:5: T_SS~\C~:
!
;t-=_._~., _e=,
PF°S~T ~:^,`II::~:/P~O°GS~ L'S'-.,': ~SL,;GL: ~F`~SLY ~
? R-Z DUPZy.'Y (~•:O L':IITS)
? R-3 TG?~,1i',I-I+~~E ('PF?n~ = L':IITc) ! r'~;_ c}
? t,c.-l.~'~`n-~:i+/CC_`3JG.tr:r.,f ( L1Z=Si
? CC~`nfE~CL~i,/'f2E.^':,II?C:FT-C"
Q ~.'CL'Si'~ ~L
Q L1i5TI:'i,T20:tAI,/GG~~',.~n+~'~'P
2) A~PL.iC=~T iF~EasE vR1r~r~
NF~'~: ~~~4''R L' 6.vS ~ -
AL'C~SS :
CI'I"_'~ ST~,2".::, ZIP: . .
PIiO~ :
3~ p~~~~o ~ IPLEASE P(71NI) --II ` FQA CITY CSE OYLY
~'"~'=~(.~/E~~' ~t~ Ti~r,e,c.,%~,~' ~ E~cc
l ~O.G ~ L ~~f , PLU!!9F. LIC:SSE:
~ p~~~Gs' ~ ~ I Active
CITY~ ST?TE. ZIP': ~~-~~r/FN /j7iv ~.5~/a~ Espire'
o- •
~
~ Haier. I ' Q,~Na-t Retard
~ PHOVE:. f~~~~~,~,a~ PlUMBER IICENSE # (JQ/%,~f~_ !
~ . ~
: i:iai
4) ~~~~pj~~/CryT~ PLEASE PRINI) '
sT~~.~ h o;.s~~g,;~~ ~
ADDRESS: -
CITY, STATE, ZIP:
PFiO`1E :
5) INDIG~TE :VHZCH PEF:•tIT IS BEI.:C; FECUESTED:
~arecriov ~ro cr~^t s~r~
ce~,:~ecrTcs ~ro czTr waz~
~ dP~~FR (PI.G`SE D°.,SCRIBEI •
6) ~:DIG,.:: C:~: -
. ~ _ P*...°_~,SE f?OID_P,PPP,WID_PER'4LLT FOR PICi:--L~r -BY O~VE OF t1~C'VE,'\
Q PLE~SE S?aIL APP?,fll,c"')r PER~IIT 'PJ 1, 2, 3; 4 e'~O~IE
(Circle one)
~y si~a~,-~: ~ D~z`:
~~l a~l~f?.,a y~ ~ sa ~~~~r a na'w ~rasaa r a~ s s:s~s:as ~ ae,l~r.a~+~i ar ~ w~y`(~~~ .
FOR C I TY U S E ON:,Y ~
PE^}tIT ISSUED
r-~ s ~v~~_
S: G SEPiG:: P°B~1ri (I_`ICL'~D:^ SURC::?RGc)
S l~-S`~ WATEcZ PERI4IT (INCi~uDE Sli~CF.ARGn^}
~ ~3. ~"2) WATER METER/COPPERHORN/OUTSID~ RE~,DER
$ WATER TAP (INCLUDE CORPORATION STOP)
S SE:vE~ T~D
. +S / ~G~U "......~J4-:'?~ ....._.^t~1_ -
$ /~-~OC) AC~.OUNT DEP(~SIT - FiAT~R
S .~~7. U-r~ WAC ,
S 5„2 .~U SPC
S TRGNK WATER ASSLSS:!E.1T
$ TRtiidK SELJER aSSE5Sb1::iT
S LP,TERAL BE:IEFIT/TRU:IK SE:dE:~
S LATi,?2r'IL BE:Jc£IT/TRU:~K ZQAT°:t
S WATER TREATMENT PLANT SIIRCHARGE
$ OTHER:
$ TOT?L
$ AI~IOL':vT PAIDj~ECEI?T ,1, YJ~
DOES UTILI:Y CONNECTSON REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
~ YES IF YES, THEN A"PERMIT FOR ~r10RK WITHI~I
PUBLIC ROADWAY" MUST BE ZSSUED BY THE
NO ENGINEERZNG DZV:SION. LIST AS A CONDI-
TION.
SliBJECT TO THE FOLLOWING CONDITIONS: •
APPROVED BY: - ~
TZ:LE: , •
DAT°_c 7 ~ -
~ ~.s~ ws ~ ~ ~ ~a ~c~ E ~tw w ~ w ~-s~ w~+ ~t+ ~t~ w ~w~ ~aa ~ ~ sa ~ir w~.a R~ ~ si+ ~
I
~ ~ z/84
I
~ CITY OF EAGAN
~~V'~' ~ APPLICATZON FOR PERMIT
SEWER AND/OR WATER CONNECTIO.T
(PLEASE PRINT)
1) PROPIIrtY apDRESS: 4960 5afari Pass
T.Frai, DESCRI?~TZC~: Lot 19, Block 1 Safari Estates
(Lot/Block/Subclivision or Tax Parcel I.D.~NLUN~r)
ir .~..tl :G STRL'CT;7;tE, Dr~^_E 0~' ORIGii:AI, ,`-,liILD~IG F~:~ST ISSi.:a~G:
~ P~Sr.'~`.^ ;^`Ti`;~:/F.-.~()PCSc'-J ~5~: ? R-1 S~IGLE r^PNSLY ' - ,
? R-2 DUPL,~{ ('Ih'0 Wi ITS )
? R-3 TGW~I~;SE (THRF." + TJ;~TITS) ( UDTITS)
R-4 ApAR'IP^~^:?'/CO~IDQ'~LPiIIU;l ( Wi ITSi
? CQ'~MEf2CIAL/RETAIL,/OFFI~
p IAT7USTR71'1L
p INSTITGTIONAL/G04'ER~~i'
2) APPI.IG~?+'P IPLEASE PRI4T) .
Develooers Construction, Inc.
ann~ss: 1101 Cliff Road
Cl'rY, ST~'rE, zIP; Burnsville, t1N 55337 •
PHO~ :
3~ P~~,~~ PLEASE PRlNT) FOR CITY USE ONLY
Donahue Plumbin - Genz Ryan
~ PLUHBEAS LICENSE:
ADDRESS: Q Active
~ CITY~ STATE, ZIP; 0 Expired
t ~ Not of Aecord
~ PH~~= PLUMBER LICENSE tf
arr nitia
r}~ ~Jpp,jfr/Cf,,~~ (PLEASE~ PNINT)
NAME:
ADDRESS:
CITY, STATE, ZIP:
PHODIG:
5) INDICATE WHICH PERMIT ZS BEIA~ RDQUESTID;
~ CO;vTiECtION TO CITY SESrTER
mn~rroy ~ro ci~^r wa~z
CJI'Y.II2 (PLEASE DFSCRSBE)
6) ~:DIG,,:: 0:~: '
? PI.~15E f?OID APPROVID PERPIIT FOR PICi:-UP BY ONE OF ABOVE
? PI.~'~SE 61AIL APPROVID PER~LIT 'IO 1, 2, 3, 4 71BOVE
(Circle one)
7) SI~T[.'~E: _ Il~n-.. ~Oo-Q/ DATE: _y dE
I
a:~:a~~s:~ m re E~~~:a~ ~ s rarss:aa ~ si s s:s~a ~ a rt ~e~r_+~:a.'r:y:~ ~ aa s s~rsaav n
F O R C I T Y U S E O N L Y
PERtitIT ISSUED
FC~$: ~ ~i' n nL'A1. T ~ ) ~
S;E 1 T I_IC ,:D~ JU°CHai.GL)
$ WATER PERf1IT (INCLUDE SURCHARGE)
$ WATER METER/COPPERHORN/OUTSIDE REIDER
$ WATEr". TAP (INCi,UDE CORPORATION STOP)
$ SE:•lE.°, m" n
$ ACCOUNT DEPOSIT - SEc:ER
$ ACCOUNT DEPOSIT - [4ATER
S WAC
$ SAC
$ TRUNK ?VATER ASSESSC4E.1T
$ TRliVK SES4ER ASSESSME~T
$ LATEP.AL BENEFIT/TRUNK SEI~ER
$ LATERAL BENEFIT/TRUNK WAT°R
$ ' OTHER
$ TOTAL
~ A:`~IOUNT PAID/RECEIPT ~
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUSLIC RIGiiT OF WAY?
[ ~ YES IF YES, THEN A"PERMIT FOR WORK WITHIN
PUBLIC ROADWAY" MUST BE ISSU~D BY THE
~ NO ENGINEERING DIVISION. I,IST AS A CONDI-
TION.
SUIIJECT TO TFiE FOLL0:9ING CONDITIONS:
APPROVED BY:
TZTLE:
DATE:
a~ ~ ~ in ~ ~c ~ re ~rs~ ~a w ~ w sl~ wf~ R+~ ~t~ w ~i~ ~s~ ~a nt ~ i~ fr ~t~ ~c.~ wt ~ w ~ ~
? -7"7~~ ~ ~a
2007 RESIDENTIAL BUILDING PERMIT AEPLICATION
O.O City Of Eagan
~ 3830 Pilot Knob Road, Eagan MN 55122 '
Telephone # 651-6'75-5675 FAX # 651-675-5694
~NewCo~trudionReauiremeMS RemaddlReoairReauiremems - 91ficeUseOnN
3 registered site surveys showing sq. R of lot sq. ft of has~ and all roofed arees 2 copies of plan showing footings, beems, jdsls Cert
of
Sorvey Reod _ Y_ N
(20%maximum lot caverage allmved) 1 set of Eneigy Calalations for healed sdd~itions Sails Report:~; _ Y_ N
1 Saik Report'rf proposed bu0ding is Oo be pleced on disWibed sdl 1 site survey for additions 8 dedcs i Stee~Pres'Plan'~Recd _ Y_ N.
2 capies of plan shaviig 6eam 8 window sizes; poured faund design, etc. Addil'an - in6cefe ilarsAe sep5c sysferir Tree`P,res'Reqwred Y_ N
laetofEnergyCalculations On~ite.5eptic:Systen _Y _N
~ 3 wpies of Tree Preserlatian Ran if IM pletled aRer 7/1A3
- Rim Jdst Delail Optiais seledion sheet (6uildings wilh 3 ar less unils)
, Minnegasa mechanical ventdaUon form
Plans are considered ublic information unless ou state the are trade secret and the reason.
Date ~/~',~3/ ~C Constmctian Cost .C
SiteAddress '~"I~U(~ L~~'~.,~~ ~IA~J UniUSte #
~c ~~QC~~ ~1 1~~ --*T~-. fa`'
Description of Work ~
Mulu-Family Bldg _ Y`~N Fireplace(s) _ 0 _ 1 _ 2
PropertyOwoer 1p 1~ F~~TC{ WI ~C~~~ Telephone:#~ )'}-1' lUll.J`-Y
CODtI'ACtOr ~~i NP h.. GJ1' `,,~~r ~,,L~~ 1 . `1
Address,~,~, ` C~ ~ ~ 7c ~~U~ City (
i~ V~~'2~ `J-
Sfate \ f HV Zi ' 1 Telephone '~U~ I
COMPLETE TH18 AREA ONLY IF CONSTRUCTING A' NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ ~ Minnesota Rules 7672
Energy Code Category . ResitleMial Ven6lation COtCgOry 1 Worksheet • New Energy COtlB Worksheet
(J submission type) Submitted ~ ~ SubmilYed
• Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a masier plan2
_ Y _ N If yes, date and address of master plan: ~
Licensed Plumber Telephone )
Mechanical Contractor Telephone )
Sewer/Water Contractor Telephone ~
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in confonnance with the ordinances and codes of the City of Eagan and the State of NIN
Statutes, I understand this is not a permit, but only an application for a permif, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the cas of w which requires a review and
approval of plans. ~ ~7 ~ D
r ~ ~ ~,1~ass ~ ~ v
U~S`~~
~ppli t's Printed Name pplicant Si e I M A S
DO NOT WRITE BELOW THIS LINE
Sub Tvaes
0 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 OB-plex ? 16 Fireplace ? 21 Porch (3-sea.) , 0 31 EM. Alt- Multi
O 03 01 of _ plex ? 09 07-plex ? 17 Garage O 22 PorchlAddn. (4aea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OB-plex ? 18 DeGc ? 23 Porch (screenlgazebo/pergola) O 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Stortn Damagej
? O6 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvnes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ~ ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundatlon ? 45 Fire Repair
? 33 Alteration O 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'DemollGon (EMUB Bldg) - Glve PCA hantlout W epplltaM
Descriotfon: waeer~amage_ves
Valuation Occupancy MCES System
Plan Review 100% or 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprink,lered
Type of Const Width
REQUIREDINSPECTIONS
_ Footings (new bldg) _ Sheetrock
_ Footings (deck) _ Final/C.O.
_ Footings (addition) _ FinaVNo C.O.
Founda[ion HVAC
Drain Tile ~e~
Roof Ice & Water Final Pool Ftgs Air/Gas Tests Final
_ Framing _ Siding _ Stucco Lath Stone Lazh _Brick
_ Fireplace R.I. AirTest Final Windows
Insulation _ Retaining Wall
Approved By: , Building Inspector ~
Base Fee '
Surcharge
Plan Review i
MC/ES SAC
City SAC
Utility Connection Charge ~
S&W Permit 8~ Surcharge
Treatment Plant ,
License Search
Copies
Other
Total ~
~ II
' "~u ~.r'~#''~~`-'. ^ f
2345 Rice St Suite 162 `Ws;E NEI.S~N I~ License # 20394184
` ~ i~~ ~
Roseville, MN SSll3 - ~
(763)377-3631 i
~ ~ r ` ~ Date: March 22. 2007
Over 96,000 SATISFIED # ~ C~' ~
CUSTOMERS '
Over 100 Years of Service
Owner: NIr. Rothmeier - attn: Mark Hennen Estimator: JefTrey D. Willett
Address: 4960 Safari Pass Telephone: 612-723-0882
City/Zip: Eagan, MN 55122 ~i
Telephone: 651-341-6104 I
~VE PROPOSE TO:
EI?WQN?S~Entire?
Install new stucco Redash/ Restucco ? Repair ~
If new stucco DD Pa er/ Lath/ Scratch Coat/ Brown CoaU Finish Coat or New ~IFS s stem of choice.
• Notes: South wall inside of courtyard, left of window and below upper twin windows to the fhe comer.
1) Remove approximately 96 sq. fr. of concrete stucco on vertical wall in courryard.
` 2} Perform wall cavity remediation as necessary, i.e., clean cavity - removing all damaged materials and
dispose in waste container.
Note: Property owner is responsible for removal or re-setting of vines. No window work is incduded
All structural, rnsulating and window remediation work wi!! be charged at a rafe of $75.00 per man-hour.
Additional to !he man-hour charge, the contractor will provide materiad receipts to be reimbursed by owner.
3) Install Double-D wallpaper underlayment over remediated area.
4) Insta113.4 galvanized metal lathe over underlayment. ~
5) Apply scratch and brown coat - allow at least 14-days to cure. '
6) Apply color and finish coats with stucco - Color to match as close as possibie.
This estimate includes: scaffold, permits as required, ta~ces, clean up, and debris haul away.
I
t
07/03/2007 74:05 FAX TWIN CITY ROOFIN6 ~ 002J002
~ !
RepoiYName: Clt of Ea 81I ; Printcd: 6l12~2007
Inspcctinn ttemarks y Pa~e: 1
Inspection Remarlcs ~
Permii: ~A077C11 /-~C~GQ ,s9~q~p,f
Permi[ Typr. . t dinfi
06;18/07.1'I'~L' I;jqr ~
»~et care~aker, conr.raunr ~vas rtor Ihere I
- some lrantit~g shpethin_ a»d insidation tv~s replaccd ~vithout a inspecton
conaactor cn submir an afidavi~ and pir.tures tn dtemtine if a pcrmit is required for w~ccr dainage repair
- submit an alt dasign for no wecp screed above ~rade
(2 pictures) i
! ` I
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~ For:Office Us"'~ ~
j ..._.._.._.._.__._.,.~3v7 ~
City of Ea~aIl ~~Pe~~#: ~ .
~ Permit Fee: l/ ~ vV ~
3830 Pilot Knob Road I ~
Eagan MN 55122 ~ Date Received: S' ~
Phone: (651) 675-5675 i, C e i
Fax: (651) 675-5694 i' Staff Ey~- I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ~ ~ 7' d$ Site Address: 7'/ 'O~ /0 s~lr~
Tenant: S~~l-P~ /f~T/~/YI ¢~Q1~ Suite
RESIDENTlOWNER Name: Phone: 6S/-3/S-So/~
Address / Ciry / Zip: / / C~~ ~/,L ~c,SS /~It ~ , ~~/02~
Applicant is: _ Owner ~ Contractor
TYPE OF WORK Description ofwork: ~~TG~.l~t9 ,/~N.{~1~~~ ~
i
Construction Cost: ~~5~• ~ Multi-Family Building: (Yes _ I No.~~
CONTRACTOR Name: .~~it/ /lcr~/e_ y~i~o~G • License SpPL~~/7~/
. Address: ~~:2~ ~-3~~Gr.
Ciry: ~i1~X?~l/~ State: . Zip: ~ Oy
Phone: ~.2-//~O-~~~ Contact Person: ~e_.~OD/~
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
i
Minnesota Rules 7670 Cateqorv t Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
_ Category Submitted Submitted
submission type) • Energy Envelope Calculations Submitted ~
In the last 12 months, has the City of Eagan issued a pertnit for a similar plan based on a master plan?
_Yes _NO If yes, date and address of master plan:
Licensed Plumber: ~ Phone:
Mechanical Contractor: Phonei
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submif are considered to be public information. Portions o€
the information may be classified as non-public
if you providespeci~c reasons that would permit the City to
conclude that the are trade secrets.
~ I hereby acknowledge that this inkrtnation is compiete and accurate; that the work will be in confortnance 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 permd; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans. .
x ~liLrc,~rW ryAC3/~C-- x ~C.~C,~~ t -
ApplicanYs Printed Name Applicant's Signature
Page 1 of 3
From:LES JONES ROOFING 952 881 7009 051a4/2009 10:02 #304 P.002/004
I
I
-I=----------------
I' I
I I
~it~ af ~a~aIl ; ~,rt~ o ;
,
~ F~ . ~
3830 Pllot I(nob Road
Eagan MN 55122 j~ R~'~ I
Phone: (B51) 675-5675 j I
Fax: (B59) 675-5694 J
2009 RESIDENTIAL BUILDING Pe~MiT ~PiiCATioN
Date: 5-"'~ - O~ Site Address: ~"I 1~ O J Gt ~ i 1 u~ S
~~'~f~ ` ~
TenarK- ~9~c,irC~ 172-P-~r D--?~ 8ufte
.
RE$IDENT / OWNER Name: Phone:
AddressfCity/2ip:~~~~ J~-~~~,-; ass 5`~'/~~_
~
ApplicaM is: _ Owner ~ContracEor
TYPE OF WORK ~escrip[ion of wo~P~ ~''a A~
Construction Cast ?J -U~ Multi-Femity 6uilding: (Yes No f-~'~
CONTRACTOR Name: G..~ 5. c.i+~ ~ T.~-• Lkense I#: t0 SZ~O
Address: `I / ~ • g •
CfM U~71+a Stale:~n Zip: ~"J~a-O
Phane~ ! ~ - b ~ CoMeG Person: ~ ( ~
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NE1N BUILDING
Minnesota Rules 7670 Cateaorv'I Minnesota Rules 78T2
Enargy Code . Residential Ventiletion Categary 1 Workshae[ . N~ Ene~gy Cotle Worksheat
Category Submrtted Submmed
submlaslon type) • ~^~9Y ~melope Calculatiore Subrrtitted ,
In the last 12 months, has the Cky of Eagan issued a permit for a similar Wan 6asad on a m Ilaster ptan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phona: I
Mechanical Coirtractor. Phons: I
Sewer & Water Contractor: phone: I
A~7L'~fAlJd.84~1~dDC~k~f1~S"d/Yt~r0Y:d4ibfpl!`~/9COtA8A/lM6id~O~Bpl~~1~60~ :PID/INDl~:~ -
d~e ~ maY L9 +~esB~fJBd aS no~pvb~e N~ou prorAde ~ rBaso/is thetWn~rld.pmm/tme ~q~10 :
caid4x7e lbst are b+~da sec~ts.
1 liereby acknowle0ga that iFUS infortnatlon Is complete am1 ecwrate; that the wark will be in Confqmiance witli fhe ortlinances arM wdea oT iha qty M
Eagan; that I undefstand Nis is nM a pertn8, but ony an eppliwtion for a pertniL arM work is not W start vritlwut k; fhet 1he~wak will be In
accordance with tlte approved plan !n tlie cesa oF work xAiitli requfres s review anA approval of pler~s.
x '1 1 ~~f~--~ x ~yi
Applican£s PNntetl Name ApplicanYs SignaWre .
Page t of 3
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4960 Safari Pass
Lot: 19 Block: 1 Addition: Safari Estates
PID:10- 65850- 190 -01
Use:
Description:
Sub Type: e - Air Conditioner
Work Type: New
Description: Air Conditioner
Comments: Permit closed without required inspection(s). Letter sent to applicant on 12/8/09. (pf)
Fee Summary:
Contractor:
Total Comfort Heating & Cooling
4000 Winnetka Ave. N #100
New Hope MN 55427
(763) 383 -8383
PERMIT
City of Eaan
Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Elec
445 -2840
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
- Applicant -
Owner:
Steven G Rothmeier
4960 Safari Pass
PO BOX 11901
St Paul MN 55111
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$50.00 0801.4088
$0.50 9001.2195
$50.50
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Mechanical
EA089435
06/01/2009
ePermit
cal Inspector, (952)
CityofEaan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Date: SIIIIif
Resident/
Owner
Type of Work
Contractor
RECEIVED
MAY 122013
For Office Use
Permit #: r `�
Permit Fee: 1, (03. 9 9
Date Received: 5/Q3 / i
Staff:
9S7
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Site Address: 4- J �� �laTt,i P(JtSS C(Ce„v. iY)� I it #: l(�
i4 -AdName: 5 1. L Phone: lS I 1-2-C j _( 844 -
Address
dress / City / Zip: 1 L an Pas mN IT/
Applicant is: X Owner Contractor
Description of work: B> C WA -4 Space -6& iii& NVQ Lea voovYV
Construction Cost: 4D lest Iywd-C,4) Multi -Family Building: (Yes / No X )
Company: i - A
Contact:
Address: City:
State:
Zip: Phone:
License #: Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
A 1 q gS (
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 X 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 that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Ceti at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities.
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 nnesota State Building Code m
days of permit issuance.
x ../a i V)G
ttvi
Applicant's Printed Name
be completed within 180
Page 1 of 3
7'6 O Ja i i,i 4�
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation Fireplace
Single Family ^ Garage
Multi _ Deck
01 of _ Plex Lower Level
WORK TYPES
New
Addition
X Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100% X )
Census Code
# of Units
# of Buildings
Type of Construction
_ Porch (3 -Season) _
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola) _
_ Interior Improvement
_ Move Building
Fire Repair
Repair
1/119(.109
V
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Roof: _Ice & Water _Final
Framing
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Fireplace: _Rough In _Air Test _Final
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Reviewed By:
_ Siding
Reroof
Windows
_ Egress Window
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
_ Demolish Building*
_ Demolish Interior
Demolish Foundation
_ Water Damage
*Demolition of entire building - give PCA handout to applicant
t
vtlin.177
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC Gas Service Test
Gas Line Air Test
Pool: Footings Air/Gas Tests _Final
Drain Tile
Siding: _Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall: _ Footings _ Backfill _ Final
Radon Control
Erosion Control
f d�'Other:
, Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
5011(i. y
9)x 575'-x 2-0
6"°`1-111 L lerron 066 -
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1%7
711it17771 tt
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4.117,IE
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Ar.ga Ser -t, ,..16,,, '2.. c! Du4.• S.6.0.... Lit: t',70 Svc,
St 633.41 (..3"-te S>zei VEq tigun 8106 C,'"kl crm
'1 4124.1 1 - 4.4.1 .. .. ,... i• . '4 4;1 21;1 11.11i 1i33
' •11..8 21 61,` .1'.e, '.,:f,1 ''...5.,K '115 :30 73.0
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Too• SI''.i 1 RI.,41. B/44'. Pitur
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( 6
4 }y 1 -
2ozf
117 Union Terrace Lane North
Plymouth, MN 55441
Hours of operation: M-F 8:00 am-6:00 pm
Phone: (612) 655-7612
Email: seth(,iaeseofmn.com
Web: www.aeseofmii.com
Date May 28, 2014
Wagley Resicence .
4960 Safari Pass,
EAGAN, MN 55122 `
Attn: James Wagley
Re: Structural adequacy of a new LVL beam with 3 proposed plumbing holes
4960 Safari Pass,
Eagan, MN 55122
Project No: 2014.01720 fir r
To Whom It May Concern:
The purpose of this letter is to address the structural adequacy of a new LVL support beam with 3 new proposed
plumbing holes. The residence at located 4960 Safari Pass in Eagan Minnesota is in the middle of a proposed
remodel. Seth Chmelik PE of AE Structural Engineers of Minnesota LLC has previously prepared structural
drawings of the proposed remodels last dated May 5, 2014. It is proposed to place 3 holes new holes through a
new (2)13/4X91/4-inch LVL beam. The City Building Inspections Department has questioned the adequacy of the
new LVL beam with the proposed holes.
A structural engineering analysis was completed and the following items were noted:
1) Given a 2 5/8-inch diameter hole starting not closer than 2 1/4-inch from the top and ending 4 3/8-
inch from the bottom of the LVL beam. Located approximately 2-foot lh-inch from the east end
and 3-foot to the west of the point load above.
2) Given a 1-inch diameter hole(s) centered in the depth of the new LVL beam and not closer than 8-
inch from the center of the other holes.
It is our professional structural engineering opinion that the (2)13/4x91/4-inch LVL beam will be structurally
adequate with the (2) 1-inch diameter and (1) 2 5/8-inch diameter holes as noted above.
If you have any questions or comments please contact us.
I hereby certify that this plan, specification or report
Sincerely, was prepared by me or under my direct supervision
and that I am a duly licensed professional engineer
under the laws o th Sq)a~te~of esota.
AE Structural Engineers of Minnesota Seth L. Chme ik
Seth L. Chmelik, PE Date: Mai 28, 2014
Minnesota Registration No.47495
AE Structural Engineers of Minnesota LLC
Email: InfoC 1aeseofmn.com. Web: www.aeseofmn.com
.
,�.
-� . � �
117 Ifnion Teriace Lane NorEh
P1ymQtrth,I3rIN 554�I
Hours of s�peration:IvI-F 8:U0 am=6:00 pm
Phone: (612}b55-7612
Einail: sethcr�aes�;ofmn.ecaz�� .
Web: ��c�u,�esccifmn,ccs�n ;,,�,a;,�
� � ��
� .;
Date�May 28,2014 ��'''� �
� �_ __.��..�_.�._..._.�....__
.f' � ? �
Wagiey Resicence � �,- � .�f� �
4960 Safari Pass, '�_I . ( _. _�_ ,
EAGAN,MN 55122 l� d
Attn: James Wagley
Re: Structural adequacy of a new LVL beam with 3 proposed plumbing holes
49b0 Safari Pass,
Eagan,MN 55122
Project No: 2Q14.01720
To Whom It May Concern:
The purpose of this letter is to address the structural adequacy of a new LVL support beam with 3 new proposed
plumbing holes. The residence at located 4960 Safari Pass in Eagan Minnesota is in the middle of a proposed
remodel. Seth Chmelik PE of AE Structural Engineers of Minnesota LLC has previously prepared structural
drawings of the proposed remodels last dated May 5,2014. It is proposed to place 3 holes new holes through a
new{2}13/vc91/4-inch LVL beam. The City Building Inspections Department has questioned the adequacy of the
new LVL beam with the proposed holes.
A structural engineering analysis was completed and the following items were noted:
1} Given a 2 5/8-inch diameter hole starting not closer than 2 i/4-inch from the top and ending 4 3/8-
mch from the bottom of the LVL bearn. Located approximately 2-foot'/z-inch from the east end
and 3-faot to the west of the point laad above.
2) Given a 1-inch diameter hole(s)centered in the depth of the new LVL beam and not closer than 8-
inch from the center of the other holes.
It is our professional structural engineering opinion that the (2)13/vc9if4-inch LVL beam will be structu.rally
adequate with the(2)1-inch diameter and(1)2 5J8-inch diameter holes as noted above.
I£you have any questians or comments please contact us.
I hereby certify Ehat this plan,specification or report
Sincerely, was prepared by me or under my direct supervision
and Ehat I am a duly licensed professional engineer
wnde the laws o th S ate of esota.
'-�' }
AE Structural Eng�neers of Minnesota Seth L.Chme ik
Seth L.Chrnelik,PE Date:Mav 28,2014
Minnesota Registraiion No.47495
AE Structural Engineers of Minnesota LLC
Email:In£c���aesevfmn.cam Web;���tiv�.aese€3fmn.corn
„ � :
� . . . ; , ”, �: : ,: :
�� : ��i������ ��� ';
217 Union,fi€�rrac�La�e Narth;:
Plyniouth,lvI1�'55441
Hours a�operation.M=�-8:(�Q atxi 6;�prn
Phcine: j612}6a5-7b12
Email: ''" �ethC�aesetii-cr�it.cciiri, !�
Web: v�is�u�.aesec3�n.ec�m ,�
I
Date June 5,2014 I
�
,I
Wagley Resicence �
4960 Safari Pass,
EAGAN,MN 55122
Attn: James Wagiey
Re_ 2na Addendum letter;LVL bearing,new hole in LVL beam&holes in existing floor framing.
4960 Safari Pass,
Eagan,MN 55122 t� ;�
,J' ��'f �
Project No: 2014.61720 ��i���' I�/ � i�,j
�
To Whom It May Concern:
The purpose of this letter is to address end bearing of LVL beam, new hole in LVL beam and holes in existing
floor framing. The residence at located 4960 Safari Pass in Eagan Minnesota is in the middle of a proposed
remodel. Seth Chmelik PE of AE Structural Engineers of Minnesota LLC has previously prepared structural
drawings of the proposed remodels last dated May 5, 2d14. The City Building Inspections Department has
questioned#he adequacy of these issues.
A struchxral engineering analysis was completed and the following items were noted:
1} The east ends of the (2)1 3/4"x9�/a" LVL beams are bearing on a continuous (2)7x4 top piate and bear
within 5i/�"(South beam)and 3�/4'(Narth beam)center-to-center to a(2)?�c4 bearing stud with wall studs
16"on-center beyond.
2) The new hole LVL beam 2 5/8"diameter 2"to the top and 4 5/8"to bottom located 3'-11"from west end.
3) The 3 existing 2x10 joists to the north of the new south LVL beam has beam 2 5/8"diameter 11lz"to the
top and 5 2 JS"to bottom located 2'-0"from west end.
4} The 2 existing 2x10 joists to the south of the new north LVL beam has beam 3 1(4"deep opening z/s'to
the top and 51/z"to bottom located 11°from east end.
It is our professional structural engineering opinion that:
1) The east bearing ends of the(2)13/�"x9'!a"LVLbeams are structurally adequate as mnstructed.
2) The new hole in the south(2)13/a"x9i/a`LVL and 3-(1)?ac10 beams are structurally adequate as constructed.
3) The hole,see above,in the existing?x10 north joists are not structurally adequate and require corrective
measures.(See attached hand sketch for corrective measures}.
If you have any questions or comments please contact us.
I hereby certi�fy fihat this plan,specificatian or reporE
Sincerely, was prepared by me or under my direct supervision
� . and that I arn a duly licensed pmfessional engineer
� la �f#he�tate��o .
�
AE Sttuctural Enginee�rs of Minnesota Seth L.Chmelitc
Setla�..�melik,PE ` Date:june 5,2d14
(Att�hed:Hand Sk�,} Mistinesota Registration No.47495
AE Structural Engineers of Minnesota LLC
��4aiL•Infc�t�?aesec�fmn.com Web:�h cti cv.aeseofnln.cam
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PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA137635
Date Issued:07/13/2016
Permit Category:ePermit
Site Address: 4960 Safari Pass
Lot:19 Block: 1 Addition: Safari Estates
PID:10-65850-01-190
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
James Wagley
4960 Safari Pass
Eagan MN 55122
(612) 669-4464
Total Comfort Heating & Cooling
4000 Winnetka Ave. N #100
Golden Valley MN 55427
(763) 383-8383
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA145494
Date Issued:09/12/2017
Permit Category:ePermit
Site Address: 4960 Safari Pass
Lot:19 Block: 1 Addition: Safari Estates
PID:10-65850-01-190
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
James Wagley
4960 Safari Pass
Eagan MN 55122
Purpose Driven Restoration Llc
325 Main St NW
Elk River MN 55330
(763) 633-4737
Applicant/Permitee: Signature Issued By: Signature
6 RE tJdPk
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA152143
Date Issued:10/01/2018
Permit Category:ePermit
Site Address: 4960 Safari Pass
Lot:19 Block: 1 Addition: Safari Estates
PID:10-65850-01-190
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
James Wagley
4960 Safari Pass
Eagan MN 55122
Premier Installation Llc
6205 University Ave NE
Fridley MN 55432
(763) 614-9548
Applicant/Permitee: Signature Issued By: Signature
)L-4,-- -- . For Office Use I
i
�� yo
... ... .• .0
oc-c 1 d 01� Permit#: 75'023-6/ � a 4
#. E AGA N
�41
..... ....0
A4-h&I-T-1)11V\___ Permit Fee: 3 ` r O 1 76?
Date Received: l�j�w 11
3830 PILOT KNOB ROAD 1 EAGAN, MN 55122-1810 6/ I
(651)675-5675 TDD:(651)454-85351 FAX:(651)675-5694 L Staff. (C1
buildi ngi nspectionsacityofeaoan.com
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
tf/tDate: 10 ( 0 ) I T Site Address: V I f ass Unit#:
Name:(Fa 65 Wa5 iej. Phone(/02)AS/ 071 7
Resident/ /_ • AA 14 5/ ?..-
Owner Address/City/Zip:4//}7 le_ D�� �a Q Gf f
Applicant is: Owner / Contractor U
eescn tion of work: ' /# ))S EP N (..01)A-0-1'*--
-'" h S( cot Vn't fkM1 vv�l
Type of Work S i W- it t 1
„� Construction Cost: . De,.. multi-Family Building:(Yes /No 1
1,,'''::;',-'* 't-- -- ' ;„-C Fr.e,itu 0/ inskt.14.6thervi U-c„naci: Ai //Cik—
' » Address:
60/05 an/1/i/�'t'c5/ 'N�' 1v fi City: ''Clie(j
M_ Zi 79/30_Phor VJ> 7l Erhaii: are tinaidse f?Y11el//ASST(
o ”" '�cense#:C 71 /��/ Lead Certificate#e---T--/.7.78;,?-/6-O/CO 5 O
". - - _ F` '''t from lead certification, please explain why:
t A
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
: has the City of Eagan issued a6:...ft'777:::'''::i751.;,;7'':1"l':;:::-.11.1A1' permit for a similar plan based on a master plan?
, ; - and address of master plan:
Phone:
-
W ,' Phone:
/ d, Phone:
1 , .x` • • Phone:
7 v - " • ,-- yr submit are considered to be public lnformatlon• P°1°°°°of the Information may be
w° . r•reasons bast would permit the City to conclude that they are trade secrets.
g cation from the City of proposed ordinances by signing up for an email update on the City's
�'., : -- Nt •in accordance with the Minnesota State Building Code must be completed within 160
�,. , <y M ,-d « at(651)454-0002 for ection against underground utility damage. Call 48 hours before you
,a & E s'".'�S' 9, ,t "i � X11 !o•hebt.t'onec:prot
+ ; " _ r x, accurate;that the work will be in conformance with the ordinances and codes of the City of
u � g �" fi''' ,{ °a •lication for a permit, and work is not to start without a permit; that he work will be in
, ,P r a, a- uirea a review and approval of dans. /s
it . 1 ./L . /...ii1 t _ .4•
c
,pplicant's Signature
�M
Z---/96D SA(--)'11'-` '
DO NOT WRITE BELOW THIS LINE
SUB TYPES
_ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
Single Family ^ Garage Porch(4-Season) , Exterior Alteration(Mufti)
Multi _ —
Deck _—
Parch(Screen/Gazebo/Pergola) _ Miscellaneous
— 0• 1 of_,.Plex Lower Level _ Poo! 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
___ R• etaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation f ' ' — Occupancy " MCES System
Plan Review Code Edition 5'9 SAC Units
(25%____100% ) Zoning 'q-1.--,;11i.2,
Z-- I City Water
Census Code Stories Booster Pump
o', #snits
.. Square Feet PRV
,Buildit Length Fire Suppression Required
" e :# struction � Width
- rte • TION
•.• (New Building) Meter Size:
• ."4' i:--;{Duck) Final I C.O. Required
• � (Addition) _ Final I No C.O.Required
r ou , ot# Foundation Before Backfill HVAC _,_Gas Service Test Gas Line Air Test Hood
..NR•.• Ice&Water _Final Pool:___Footings Air/Gas Tests Final
�--' u` ram a g"''ih' 30 Minutes 1 Hour Drain Tile
�� r ai h" Rough In ,_Air Test _Final Siding:_Stucco Lath ,Stone Lath __Brick EFTS
3su � ,
_. Windows
41. i3.3 Retaining Wall: Footings_Backfill Final
S% Radon Control
'? , spy Fire Suppression: ,_Rough In_Final
Erosion Control
v w f 4.,;,-r r. f' Other:
' l 1 , Building Inspector
tr. ®ti1fl
^ A
tl+ -t .:::',7`7%=4.-7.aSr'
i
a
Page 3 of 3
a
I—
For Office Use
• Permit#: "IZ EAGAN
Permit Fee:
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff:
buildinginspectionsAcityofeagan.com
j 2019 RESIDENTIAL BUILDING PERMIT APPLICATION
` l5 ! qd S/- t2 ii SS
Date.. Site Address: -' Unit#:
Name: `-c► 4-A/1 ES vi/A-6/ LE Phone: la _a 5 1- d K
Resident/ 6 i4(2 j 7*S S
Owner Address/City/Zip: q
Applicant is: X Owner Contractor
Description of work. / t
�
�'`'/715 h - p- o �Y(0Pgsx v- /9 r l4 C7 (-
Work
of ork
Construction Cost: `� �( ' Multi-Family Building: (Yes /No )
Company: Contact:
Contractor Address: City:
State: Zip: Phone: Email:
License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be
classified as non- ubllc 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.citvofeacgan.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.aopherstateonecall.or•
I hereby acknowledge that this information is complete and accurate;that the work wi •- 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 w• is not • 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 ap• ova • • ns.
JA-i14 FS (44161
Applicant's Printed Name Applicant ignal° - •