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4980 Safari PassPERMIT City of Eagan Permit Type:Mechanical Permit Number:EA127767 Date Issued:10/15/2014 Permit Category:ePermit Site Address: 4980 Safari Pass Lot:20 Block: 1 Addition: Safari Estates PID:10-65850-01-200 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. Tony Boerner 2090 County Road 42 W Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Steven J Mattson 4980 Safari Pass Eagan MN 55122 Tony's Appliance 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 Applicant/Permitee: Signature Issued By: Signature City of Eau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 JN O RECD r Use BLUE or BLACK Ink Permit#: 4'4I6 Permit Fee: .77f7/ Date Received: Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION 10 L -l7-16 Date: 6 - _ / 0 Site Address: `P O ° SA FA RI Pio SS f E /4-4.4-A) Tenant: Suite #: RESIDENT / OWNER Name: (' l ARM 3 CV`i I ) pk-3 Phone: 651 -143 d �57:, 4.5 ---_—''"- Address / City / Zip: 49 30 QA -FA -2.1 k S S f -Cs .1.--0..\ --C-'S7.-------'-- S Applicant is: Owner Contractor ; Applicant /� — 7-e07( l TYPE OF WORK Description of work: l J6C_(c--. ($RIE(LkC_E Construction Cost:A On G_ Multi -Family Building: (Yes / No ) CONTRACTOR `+ Name: -1-- -E kr..1 -14-tTl A.. License #: (12,e7c-AT IN1 ) Address:, -...k.;4:411-2 =---- '--==.- - 1 City: State: Zi. ...5-3 I ' ' : • - : 60 I a - -No- 3 3 6 40 (� Contact: ) Email: COMPLETE In the last 12 months, has Yes No If yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING the City of Eagan issued a permit for a similar plan based on a master plan? date and address of master plan: Licensed Mechanical Sewer & Plumber: Phone: Contractor: Phone: Water Contractor: Phone: NOTE: Plans an super in documents that ror submi are cons rat' reit t tae • ®ftp t o Y the information maybe ctassifled as I n public rfyor pro if` s Z ific reasc t a would perm onclude ;that the, ire trade ` ron c f ty o 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. x 3 iV\A-T" 1 R Applicant's Printed Name x nature Page 1 of 2 Ug Stq-cA-F_i SDO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Single Family Multi 01 of Plex Accessory Building WORK TYPES New X Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25% 100% ) Census Code !! # of Units # of Buildings Type of Construction Fireplace Garage X Deck Lower Level Interior Improvement Move Building Fire Repair Repair 2) 7c7 trij REQUIRED INSPECTIONS Footings (New Building) )( Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Ice & Water Final Framing Fireplace: Rough In Air Test Insulation Meter Size: Reviewed By: Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Siding Reroof Windows Egress Window Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant (I- mps -12 o? MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock Final / C.O. Required Final / No C.O. Required HVAC Other: Pool: Footings Air/Gas Tests Final Siding: _Stucco Lath Stone Lath Brick Final Windows Retaining Wall: Footings Backfill _ Final Radon Control 7 Erosion Control 1- , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies 41X 1 �S /, U V TOTAL P6A)c- c00 X I 0 Page 2 of 2 Survey; For: DbmeStic Development, Inc. 14244 Garden View Drive Apple Valley, MN 55124 0 (i 43/36 72/23 qU 5 DELMAR H. SCHWANZ'9 o (r<S LAND SURVEYOR IS INS. Registered Under Laws of The State of Minnesota 2978 — 145TH STREET W. — BOX M HOSEMOUNT, MINNESOTA 65068 PHONE 812 423-1769 SURVEYOR'S CERTIFICATE /0 M Ii 92 -Drainage and Utility Easement t3 40 4"N 2 11/,3 i 30 y LY rale: 1 Inch 60 feet rale,: orner �= Set wood h b Elevations are existing and on Lot 20, Block 1 PPo +Ep r;A.F'46r, ANo goo6e assumed datum. I 1 hereby certify that this is a true and correct representation of a survey of Lot 20, Block 1, SAFARI ESTATES, Dakota County, Minnesota. Also showing the location of a proposed building staked thereon. As surveyed by me this 24th day of January, 1984. 1/47 MINNESOTA REGISTRATION NO.8625 ( CITY OF EAGAN - K1• r. . ` 3795 ~Ilof Keob Rond Eogon, MN SS122 1~," PHONE: 454-8100 ~ BUILDING PERM t~ r, , „i Rece;pr # ~:I L' ~ L ~f~~ /l ,t~.~ Ti' ' "1 !1 ~ ~ To b~ wad for Est. Volue Date - 14 Site Address ~'F.F?!~T T~P.r',r' ' ` ~ ~ r1 ~ c n r~ T^ T r;- Erect SQ Occupancy Lot Blotk See/5ub. ' ' Alter ? Zoning Parcet # l. n- F S g 5 n-?(1 ~1 l Repol r ? Fire Zone 7 T rc Name T_1f1!~r~'~;^rC '7T'~7"I~l~?''°'~`~r", I.~^ • Movee ? Type of Const. Z . L'. (?F~.DF*1 Z'T.-,~, ? # Stories~, ~ Address Demolish ? Length Ci T~TI'Lr `~71.T~ . Phone n ~ i r Grade p Depth Sq. Ft. ~ Nome _ ~ Approvab Fees Z~ n o~ Address Assessme~t Permit • ~ Water 8 5ew. Surchorge ' ~ Ci Phone Police Plan check ' ' V oe L• ~ _ ~ ~ , ~ WW Name Fire SAC ~z C'^';l, ~ 11 x~ Address ~ Eny. Water Conn. u --•nTT~~~ T r .-i n n+ n iW Ci Z'T, • Phone Plonner Wote~ Meter ' 7r!~ nn Countil Road Unit ' I hereby acknowledge that I have read fhis application and state that g~dg. Off. ~ -r r the informotion Is correct and ogree to tomply with all applitable APC TOt01 ~ Stare of Minnesota Stnfutes ond City of Eogon ~rdinances. Sip~aturo of Permittee .~t,..tj r~T~. ~.,,~~,--~rn•,.,_~„R, A 9uilding Pertnit is issued to: on the expreu condition Ihnr oll work sholl be done in ac `rdance wirh all opplicoble Stqte of Min~esoto Statutes and City of Ea9on Ordinonces. Buildin~ ~ffkiot ~ fF ~ _ ~ Permit No. Permit Holder Misc. Permit No. Holder Plumbing 9 '~f' ~ H.V.A.C. ~[D~ a~ Wall Water Disp. $~wer Electric (~p " ~ ~ 39~ 4nspettion Date Infp. Other Footings ~ Foundation Framinq G ° - 'Y`~ c v ~ .c,~rw ~c ZQ ~ Ra,~, Pir~. , 3-/-s'.3 aJ ~ Rouyh HVA - ~ _ Inaulation ~6.gr~ ' Final Plbg. 7~j_~ Final HVAC •Jl'. C~ Final ~L/_ ~ ~1 W~~ Dascribe Location: 3/~~/~y ,~-µy~'.~.r . 5ewer . Pr. Disp. Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee Fil1 in numbared speces S/C ~ Type or Print /egiWy T~ 1. Date 2. Installation Cost - 3. Job Address Lot Blk. Tract 4. Owner 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential ~ Commercial O Institutional O 9. Work Description: New ? Add ? Alter ~ Repair ? 10. Describe Fuel Type 11. No. Equjpment 9TU - M. Ea. No. Equipment CFM Forced Air Air Handling: Mfg, Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Other Air Cond. Mfg, Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough F inal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 _ - - - . Reoeipt ` - k•LUMBtiNG PERMIT Permit No._ CITY OF EAGAN Fee Fill in numbered spaces S/C ~ Type or Print legib/y Tot. 1. Date ; I ~ ~-I 2. Installation Cost ' " ~ - , - 3. Job Addrest=-~ - Lot Blk. Tract 4. Owner _ ~ ; _ - _ 5. Contractor Phone 6. Address 7. City State _ Zip 8. Building Type: Residential Q~` Commercial ~ Institutional O 9. Work Description: New~C~ Add ? Alter O Repair ~ 10. Describe 11. No, Fixtures No. Fixtures Water Closet CesspooUDrainfield Bath tubs Septic Tank Lavatory ~ Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray ; Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 . 1~ ~ , CASH RECEIPT ~ CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 wecetvsn RRpM AMOUNT $ I ~ DOLLARS ~oo ? CASH ? CHECK F O R FUND CODE AIAOUNT Th n You ~ ~ BY J White-Payers Copy Yellow-Posting Copy Pink-File Copy CITY OF EAGAN Remarks #10 b585Q 200 01 Addition . SAFARI ESTATES ~ot 20 B~k 1 Parcel Owner % Street 4980 Safari Pass State Improvement Date Amount Annual Years Paymeni Receipt Date STREETSURF. ~ lgg2 1037.54 103.75 10 726.29 A013990 6-6-84 STREET RESTOR. ~ 1982 1546.63 309 .33 S 618.67 " " GRADING 1982 6~ . • (422.13 SAN SEW TRUNK Z 19~ k51• 6~ 9a• 33 5 180. 68 A013990 6-6-84 * SEWER LATERAL 19~ 7197•24 ~.~3 2$]$. rr WATERMAIN * WATER LATERAL 19$'2 WATERAREA 1982 ~51.6~} Q.33 1$~.(~$ A013990 6-6-84 * Services 1982 5 STORM SEW TRK 1982 866. gl 173. 38 5 346. 77 A013990 6-6-84 STORM SEW LAT 1~g2 5 CURB & GUTTER SIDEWALK STR~ET LIGHT 2 1 - 4-84 WATER CONN. 4SO.00 " " BUILDING PER. SAC PARK CITY OF EAGAN WATER SERVICE PERMIT ~830 Pilot Knob Road pERMIT NO.: P. O. Box 21199 Eagan, MN 55121 DATE: Zoning: ' :1 No. of Units: i)ome~>tic ileV S~ Address: 9 3'~ S a f ; r i ° as ~ , ~ " ~ - ; Plumbar '~3 , oriu it~e:~ i l1. Connedion Cha~ge: ' ~ Meter No.: Acoount Deposit: Slze: ~ • Reader No.• ~efore d~~7~' ' jBermit Fee: IqrMMoon~p9~-'~~ t~~~Rii~s L"i~.__arge: . o.a~~~... p~ C~ U 1 R~ Q BY I.A`~ai: `~'°~~s: B Date Paid: Y Dote of Insp.: Irap.: CI" v OF EAGAN SEVNER SERVICE PERMIT 38~0 Piloz Knob Road PERMIT NO.: P. O. Box 21199 ~ -2:, Eagan, MN 55121 DATE: Zonirg: ; No. of Units: 1 O.^N°St.1C '_?Cu Address: Site Address• ~'asr' ~3~3T`1 l~35S Lc'.0 ~s! ~~3:ari ;.St3te5 Plumber. P.3 , on d f iae F 1 i~~ 1;: ~ i-~4-iiw •~11:_~ .OD.'. 1 aq~es l~o easpl~r wlei~ tM CiW ef Ea9ae Connectton Chorpe: 4~ r. , r~;,~ ;•,l Ordinenoss. Acoount Deposit: Permit Fee: . ° ~ Surchorye: ` ~ gy Misc. Charges: Dute of Insp.: Totol: I nsp.: Dat~ Paid: ~ CI` OF EAGAN INATER SERVICE PERMIT 3830 Pilot Knob Road pERMIT NO.: F. O. Box 21199 ~ _ ; ; _ , . Eagan, MN 55121 DATE: t z~~~. - No. of Units: Owner. _ _ ~ ) . /~1~dfES3: r, . . : ~ ~o j'], i~ c~ l. _ - 5ite Address: ~ , ~ i : Plumber: :'•.c i ~ ~ - , , Meter No.: Connectio~ Chorge: Sixe: Account Deposit: Reader No.: Pennit Fee: 1 a4rs~ eo oomphr wi14 N~e Ghr ef Eagan Surchnrge: . Mlsc. Choroes: , , Ordl~ana~. Total: BY Dote Paid: Dote of Insp.: cirr oF ~r?~~N ~ ~ 8~°1'78 ~ ' ~7lS Mht Keo? Reed Eogen, MN 5512! PHONl: IS<-e 100 BUILDING PERM~, , Receipt # ~ ~'L~ / ~ ~ , n , •t . r~ n n ~T?'~~TTTJ1.??Y ~ ~ o ~ Te M Yad ie~ Est. Volue Date _ 19 ~ Slts Addrcss ~ F F r T'-Z PT Eroct 1' Occupanty ~n ~ G,~rr~Y rrT_ T'.]. Lot Block Sec/Sub. Alter Q Zoning r Parcel # 1. F r~ r. ? ~ 7. Repair ? Firc Zone 1 n n t~M T Enla~e ? TYpe of Cor+st. ~ ~~':TT't,mTl. ~./1 l~' 1~nr~A~'~]T IT`7~ . W Nome Move ? # Stories z . ('•T nT1T'TT ~'T'-`~~ ?l!? ~J^ n r ~ Addross Demol~sh p Length ~ G * T,n,-,;-. ~irT, . Fha+e 1 ~ Grode ? DepTh ^ f Sq. Ft. ~ Na~ Approvals Fees o cn O~ Address Assessmenf Permit • u Water E~ Sew. Surchorpe ~ Cit Phone '',s'T'~'~ , Police Plon check ' ' _ 1 : G W Nome ' _ . , , . J Fi?e SAC ~ ~ • ~ ~ ~z rT~:~ A ; 1 . . 00 /lddreu _ T_~ T~' T T I 1^', n~ 1 Enq. Water Con~. ~,~n n <W Ci . T r Phone Ptonner Water Meter ?r..~~ Council Road Unit I hercby ocknowledpe that I have reod this application ond state thot g~d9. ~f. ~ ~ r the intormntion is correct ond ogree ta comply with all applicoble T~o~ r-'- > State of Minnesota Stotutes and City of Eagan Ordinonces. Sipnoture of Pertnittee ~~!,•tI c-~-•Tr• ~;i~~'~'T,!~nr.trr3'T' Z?''C. A Building Permit Is issued to: on ths exprcss conditlon tFu~i all worlc sholl be done in oc , rdance with al I opplicoble State of Mlnnesota Stotutes ond City of Eo~an Ordino~ces. Buildin~ Officiol ~ t~ < < ---=i Psrmit No. Pe~mit Holder Misc. Permit No. Holder Plumbing 9 ~ ~ H.V.A.C. ~Q~ a7 w.u Water Disp. Sawer Electrie b~ " ~ J~? 7 39~ Inspaction Date Insp. Other Footinps / ~ Foundation Freminp ~y ~q~ LB .t~.'-! /~4 .~.{Y'?C'~~ ~ Rouyh Plby. , _ -/'~3 Rouph HVA Inwlation ~b-~ ! ~ ` .,2tr~ Final Plb¢ 7~- Final HVAC -Jl~. .fri ~.r Final ~L/, y µJ W~~ Wscribe Location: 3/,3/~y . Sewar . Pr. Di~p. Receipt MECHANICAL PERM17 Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C ~ Type or Print /egib/y Tot. 1. Oate 2. Installation Cost - 3. Job Address Lot Blk. Tract 4. Owner 5. Contractor : Phone 6. Address 7. City State Zip _ 8. Building Type: Residential ? Commercial O Institutional ? 9. Work Description: New ? Add ? Alter ? Repair O 10. Describe Fuel Type 11. No. ,ESuioment STU - M. Ea. No. EQUiament CFM Forced Air Air Handling: Mfg. Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Qutlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough F inal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454,6900 Receipt ~ ' . k•LUMBtrNG PERMIT Permit No~ CITY OF EAGAN Fee Fil! in numbered spaces S/C ~ Type or Print legibly Tot. 1. Date ± ' 2. Installation Cost ' ~ - 3. Job Addresr==r ~ - Lot Blk. Tract 4. Owner c. ~ _ ~ _ 5. Contractor % Phone 6. Address 7. City - State Zip S. Building Type: Residential-~~ Commercial ? Institutional ~ 9. .Work Description: New.O~ Add ? Alter ~ Repair ? 10. Describe 11, No. Fixtures No. Fixtures Water Closet Cesspool/Drainfield Bath tubs Septic Tank Lavatorv ! Sohner ~a~~ Well ~ Kitchen Sink Urinal/Bidet Other Laundry Tray ~ Floor Drains Drinking Ftn. - Slop Sink Gas Piping Outlets ' ' ~ ~ 12. 1 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 454-81~0 , CASH RECEIPT CITY OF EAGAN 3795 PIL~T KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 w¢estvso • FROM AMOUNT $ I & DOlLARS too ~ ? CASH ? CHECK (~j POR _ ~ t _ ' I~w- • ,+---y~Y FUND CODE pMOUNT Th n You ~ ~ BY j White-Payers CAPY Yellow-Posting Copy Pink-File Copy CITY OF EAGAN Remarks #10 65850 200 O1 Addition SAFARI ESTATES ~ot 20 R~k 1 Parcel ow~er screet 4980 Safari Pass stace Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. ~ 1982 1037.54 103.75 10 726.29 A013990 6-6-84 STREET RESTOR. ~ 1982 1546.63 309.33 S 618.67 " " GRADING 1982 603. • 422.13 " SAN SEW TRUNK z 1982 451. 64 90. 33 180. 68 A013990 6-6-84 ~ SEWER LATERAL 1982 719 .2~ ~.~i3 . 4~1 28~8. a8 WATERMAIN * WATER LATERAL 19$2 WATER AREA 1$2 1. Q. 3 1$~. A013990 6-6-84 ~ 3ervices 1982 5 STORM SEW TRK 1982 866. 91 173. 38 5 346. 77 A013990 6-6-84 ~ STORM SEW LAT 19~ 5 CURB & GUTTER SIDEWALK STREET LIGHT - 4-84 WATER CONN. 4SO.OO BUILDING PER. SAC PARK CITY ~F EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road pE~~T NO.: P. O. Box 21199 1-:' t;~1 Eagan, MN 55121 DATE: 1 Z~~~g. `.Z 1 No. of Units: ~e~. UOlT1eSt1C ~eV Address: Saf:ri °ass i,:: v' ~~f~ri r.statcs Site I\ddres:: - i'lt; Plw.~ber: ~'.a on:: i ~ac? Connection Charge: ' ~ 1 . t ~ ) MeMr No.: SiZB~ y Id1OCOU~ ~'~~t: 1~ 4'~ r~ - R~~~ No.: Befere di~~~r~T rali Inral ~~+~t~+~~rmit Fee: ~T~~t ,5~,re :~U ~d 1 e~n~ !o oanY~-~~~~~~'t"~S Ci-G: horge: ` j rt0 ~,5~~r, a.~M"`«. ~ C Q U l P~ D BY LAb°1~~~ ~~s~ ' f~ B ~ar. Pa~d: I Y pote of I nsp.: ~ I CI' V OF EAGAN SEVIIER SERYICE PERMIT 3830 Pila: Knob Roa~d pERMIT NO.• P. fl. Box 21199 ' ~ Eagan, MN 55121 D11TE: I-.' ' I No. of Units: ~ ' Zoni~g: Owner: ~O"s~5t1C ~>CY $~re~ress• ' Safari i'ass L~`.? ;;l =;a:arz ' ~tz`~s Plumber: `~3'~~:n~id !iSCt Plb'* i_~,;_.iG •~l~iv:i J?. ~ I~grs~ to iomol~r wiH~ H~s C~ie~ sf Ee9on Connection Choroe: ~ 2 5. DO pd Ordinanees. Account Deposit: Perrnit Fee: l `J . ~ , ~L Surcharge: ; ~1 BY Misc. Chorges: Dnte of Insp.: ToMI: : Dar~ Paid: ~ CI' OF EAGAN WATER SERVICE PERMIT ' ` 3830 Pilot Knob Ruad pERMIT NO.: F. Box 21199 - . Eagan, MN 5512i DATE: Zoning: No. of Units: Owner: ~ 5 ' _ . /lddress: . ~ . ~ . ~ : SiM /lddrcss: r i i~;~55 L - :i Plumben Meter No.: Connectio~ Chcrge: Siu: Account Deposit: . Reader No.: Permit Fee: 1~yn~ eo ~aeVly wilb !IN Cih oF Eeqen $urchorge: Oe~i~na~. Misc. Chorfles: Totcl: By Dote Paid: pote of Insp.: CITY OF EAGAN WATER SERVICE PERMIT 38"s0 r`i±pt Knob Raad SZ~~ P. O. Box 27199 PERMIT NO.: Eagen, MN 55121 DATE: 1-25-84 z~~~y: Rl No. af unics: 1 a,,,,~,; Domestic Dev Addross: ~ro qearess: 4980 Safari Pass L20 B1 Safax3 Estates , ,,,,,y~~; Ravmond Haer[ Plbrt r No.: ~ 3 7/ / 4 d y Connaction Ct+o.go: 450.00 pd ize: ' •r c AccouM Deposit: der o.: ~ So permit Fae: 10.00 8~_ 1 as~ ~~vb Ciry ef Fagoa Surcharge: . SO ad p~~~~, Miac. Choroes. 6'~ 00 nd meti TMOI: gy , Dme Pold: . Date ot Ins - ~ Insp•: 7his re4uest wid Z..y ig C'(C~nT ~Q •Q y 18 m/~on~hstmm / ,p n Y1~ ~r' 7 Pi L-- c~-~ . Q ~ ~!/C J C~S"~. ~0 5~ Req sf Dai~ Fire No. Nough-in Insucction ~ ReO~ ~ ? ?No ?ReatlY Nuw [~.W~~ NoGfe InsOec- LWBS 1or Nlhen Neaar ~ L~censetl Electrical Conlracto +1 herebv repuast inspecfion of above ? Owner eleetri~al work i~tnlled at: $tree Atltlr s, eax or ~ te No. City Q . - : `~t) ~ ~I. eci~on o. Towns i Nam r No. ~ Range No. Counly~ Occapnnt (PRINT) Pl~o~~~~ ~5 U L ~rJ Pawer u0~~ier AdAress U` EI~[fiTq}~~PL[n'FjIC~ , ~ Cw~trac 's Liccnse No. ~j~} LIJi~ ,ii ij v ~r Mailin9 ~~~~~~Iner ~ i~¢~s~~iy,-y(~aN . si l.l.i kT Auth nzed Sig^ature (Conhactor Owner Making Inslallation) Phone Number MINNESOTA STATE 90AflO OF ELECTNICITY TMIS INSPECTION REQUEST WILL NOT Griggs•Midwey Bldg. - Room N-791 BE ACCEPlED BT iHE STATE BDApD ' 1821 University Ave., St. Paul, MN 56104 UNLESS PROPEN INSPECTION FEE LS Phnnw 18121 28]•2171 ENCLOSED. Z" c~~~~•REQUEST FOR ELECTRICAI INSPECTION Ee'°°°°''TM ~ , See instructions for comple~i'g lhis torm m beck of rellowr copr- / ~f" ""X'" Be/ow Work Coveied by 7his Request y~ 3 6S Add NeD. TVOe ol Builtling Aoo~~u~cea Wired Ep~ipment Ylired Home Range Temporary Service , Duplex Water Heater Lighting Fiatures Api.Buildinc~ Dryer ElectricHeatin Commercial Bidg. Purnace Silo UnloaAer Industrial Bldg. Air Conditioner Bulk Milk Tnnk Farm Oihei pec~ y rherlsuecify~ ~ e~ Geulv Other Oih r~ ompute Inspection Fee Below ~ ~ / p Fee Service EntranceSize N Fee Fee ers Sublaetlers N °Fee Circuits 0 to 2~~ Am s- 0 to 30 qm s 0 tn 30 Am Above 200 qmps 31 to 100 Amps 31 to 700 A Swimmin Pool Above 100_Amps qbove 700_Am ' TransYormers Irtigation Booms Partial- Other Fee Signs Speciallnspection S Nemarks TOTA EE 0• RouBh-in Date ~ Elactrifal Inspactor, heroby Final Uate ~~ih the~the above ~ ir~spec~ion has bean . ~ ~de. ~h1e reQUe6t vo~d 18 monlhs irom ~ This request void ,3 Z3 y 4 5 ~ 1 18 months from ~ / r a,~~ L~ s~ A~e Fs r ya,Y Request Uale Fire N RnuBh-in Inspec~ion flxqw d? ~Ready Now~ll NolifY Inspec- ' ' ~ ~s ?NO tor When fleatly Liwnsed EI¢ctrical ontractor I haraby renuast inspection of above ? Owner ~ electrical work installed et Svee~ d ss, $pz or Route No. , ~ City ~ ~ / ecUO o. Township Name or No. Hange No. Counq Occup~ t(PRINT) ~S I, ~ l~ ~ CL - P`/n~~ C Power Supplier ~ Address t~ ElechicaliPQ[1~jgPy~WWprrp~~~~ Costra or's Lirense No. l1P dL i'.L'L3 ~9~ Mailing Addres r i n, a APP Authorized Signature IConvacmr Owner a ~ng In. I Phone ber MINNESOTA STqTE BOAPO OF ELECTqICITV ' THIS INSPECTION flEQUEST WILL NOT Griggs-Mitlwey Bldg. - Poom N•791 BE ACCEPTE~ BY THE STATE 80AND 1821 Universitv /a~e., 51. Peul, MN 55/04 ' UNLESS PHOPEN INSPECTION FEE IS Pho~re 1612~ 29]-2t11 ENCLOSE~. 3 .L3 ~~/REQUEST FOR ELECTRICAL INSPECTION `,~~i00;9°~ ' See ins[rvc[ions far completinp this form on back of yellow copy. ~i~ ` f`~~ ~ "'X'" Below Work Cove~ed by This Request , ~ r;"l d Nap. Type ot BuilAing APP~ioncea Wi~eA ~ E~uipmant Wired Home Range Temporary Service ~ DupleK Water Heater Lightiny Fiztures ~ Apt. Buildinc~ Dryer Electric Heatin Commercial Bldy. umace Silo Unloader ' Industrial Bldg. Air Conditioner - Bulk Milk Tank Farm Otner 5occ~W ine.ISnecilyl t er Suecily rher Othpr Compute lnspectron fee Beiow # Fee ServiceEntranceSi¢e H Fee Featlers~Svhtentlers N Fee Circuits 0 to 200 qm s 0 to 30 Am s 0 to 30 Am~s Above 200 Amps 37 to 100 qmps 31 to 100 A s Swimmin Pool Above 100_Amps Above 100_P~m)s Transformers Irrigation Booms • P~rtial; Other Fee ~ Signs Specialinspection (,iQ Remerks TOT HouBh-in ~ ~ ~ D, _ ~~7 1, the Inspector, hereby Final 1 - p, e certify that the nbova ~ i ~i inspection ~as been k,~ (o -T-b ~ae. t~la repuest vo~018 monitrs Irom ~I~ 3Z RESIDENTIAL MECHANICAL ~ ~ Permit Apptication City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 a Please complete for. Single Family Dwellings & Townhomes and Condos when permits aze required for each unit ne~ i~~ ~.3 ~ O3 Site Address y g~(/ ~L(_,+( r~~T ~ Unit # , Property Owner y v/~~Y~V G~ .i' J ~i~ Telephone ) L/.~.~ - SL~~ Contractor urnsvi e eating & A/C, Inc. StreetAddress 1248~ Rhode Island Ave. So. City vage, 55378-1122 p/~ State Zip Telephone # (~S~) O % ~/~~C.~~ Band Cif7~~~.~ Expires: The AppGcant is _ Owner ~ Contractor _ Other Add-on, modification or alteration to e~sting dwelling unit $ 30.00 ~ fumace replacement air exchanger air conditioner _ New _ Replacement other State Surc6arge S p ~(~[~~~1~ $ .50 nr~r v~ i 1 1 CUUJ Total $ ~~`sv By I hereby apply for a Residential Mechanical Pemut and aclmowledge that the information is complete 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 this is not a pernut, but only an application for a pemvt, and work is not to start without a pemut; that the work will be in accardance with the appro d plan in the case of work wlrich requires a review and approval of plans. ~~~C ~V/ e.S, /~lCC..JI ~ p Applicant's Printed Name Applicant's Signature COMMERCIAL MECHANICAL Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 p Telephone # 651-675-5675 Please complete for: commercial/indus[rial buildings multi-family buildings when separate pemilts aze not required for each dwelling unit Date / / Site Street Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address City State Zip Telephone # ( ) Bond Expires: The Applicant is Owner Conhactor Other Work Type _ New construction _Install _Remove Underground Tank _ Interior Improvement Schedule inspection during installation or removal of tank Processed Piping Nature of Work: Permit Fee $50.50 M1nLnum Fee (includes Sta[e Surcharge) Contract Value x 1% Permit Fee • If permit fee is $1,000 or less, add $.50 ~ $ State Surcharge If pemut fee is over $1,000, add $.50 per $1,000 Pernvt Fee $ Total Fee I hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conforntance with the ordinances and codes of the City of Eagan and witL the Mechanical Codes; tbat I understand tlus is no[ 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. Applicant's Printed Name ApplicanPs Signature Approved By: , Inspector Date: RESIDENTIAL y ~ BUILDING PERMIT APPLICATION a S CITY OF EAGAN 3830 PILOT KNOB RD, EACAN MN 55122 651-651-4675 New Conshuction Raouirements RamodeilRenair Reauirements . 3 registered site surveys showing sq. ft. of lot sq. ft. of house; and all mofed areas • 2 copies of pian (20 % maximum lot coverage allowed) . 1 set of Energy Calculations for heated additions • 2 copies of pian showing heam 8 window sizes; poured found desgn, etc.J . 1 site survey tor entenor addi6ons & decks • 1 set of Ene~gy Calcuiations • Indicate if home served by septic syslem tor additbns • 3 copies of Tree Preservation Plan if lot platted afler 711l93 • Rim Joist ~etail Optians selection sheet (bltlgs with 3 or less uni[s) DATE ~~~~0~ VALUATION ~ 9a ~3.a.o SITEADDRESS YJRC~, a~i' ~ciss , F MULTI-fAMILYBLDG _Y ?N TYPE OF WORK~~,t FIREPLACE(5) 1_ 2 APPLICANT _lr. h,ti~P , ~X~P/t~?-~S STREETADDRESS ~y I CITY~m~/~,tei+e STATE~/~ZIP,~.~y~/ TELEPHONE # 9~io~-F~'$/-$`~j.P~CEL PHONE # FAX # S?~z~- g'8'~-fJ'J~'~I PROPERTYOWNER ~~7~PU~ ///o.-f~~s~ta1 TELEPHONE# G~~'~/:~ -~3 COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ y(LVNPSO'l~:A RliI.15 7670 CA'CEGOI2Y l ~IINNL•;SOTA RULES 767~ (J su6mission type) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Phone # Pluinhing syslcm includes: ~Vater Soltcncr Iac~m Sprinkler Fee: ~690.00 ~V,ucr Hcatcr No. ot R.L ~ ~ ^ ~ n nn ~ No. of Ba~hs I i L! ~ Mechanical Contractor: Pho #•~lll 0 3 Z~OZ ~[cchauical syslc~n includcs: :1ir Conditionin~ I'ec: . 0.00 - Hcat Rccovcry Syslcm By . ....._._y._ Sewer/Water Contractor: Phone # ° • ° i hereby acknowledge ihat I have read This appiication, state ihat the information is correct, and agree to compiy with all appiicable State of Minnesota Statutes and City of Eagan Ordi nces. SlgnafureofApplica ~ ~.fl/?,lx.~fxK-t~/I~'~ OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ llpdated 4/02 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 O6-plex ~ 16 Fireplace ? 21 Porch (3-sea.) ? 31 Eut. Alt - Multi ? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Eut. Alt - SF ? 04 02-plex ? 10 08-plex ? 78 Deck ? 23 Porch (screened) ? 36 Multi ? DS 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm ~amage ? 06 04•plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addi[ion ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new btdg) _ Final/C.O. _ Foorings (deck) Final/No C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof [ce & Wa[er Final Pool Ftes Air/Gas Tests Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacemen[) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee ~ $ a ~ Surcharge S.OC7 Plan Review MC/ES SAC City SAC W ater Supply & Storage S&W Permit & Surcharge Treatment Plant Plum6ing Permit Mechanical Permit License Search Copies Other Total ~ $(o • a '~J CITY USE ONLY LO'T BL l PERMITM: -I SUBD. JptQfl ~S}aleS RECEIPT RECE[PT DATE: 2000 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN ~ 3830 PIIAT KNOH RD EAGAN DIIi 55122 Q 651-681-4675 Date~ ( Complete this section onlv if you are installing HVAC in a singte family dwelling, townhome or condo ~nder construction and not owner/occuvied. • HVAC: 0-100 M B T U $ 30.00 ADDITIONAL 50 M BTU 6.00 ~ Gas outlets (minimum of one required Q$3.00 ea.) State Surchazge .5Q Total $ Complete this section onlv if you aze remode(ine, addine to, or reoairing an existing single-family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repair. ~ _ New _ Alteration _ Repair _ Other ' Furnace A'v conditioning 3' S~~ _ Air exchanger _ Other Fee $ 30.00 State Surchazge Total 30.5.0 7 Reminder: Call for inspeclions ~ SITE ADDRESS: ~t SQ'K'-~~~ ~Q~S OWNER NAME: ~L~/ ~ (~CA ~ rJ PHONE ~AJI - Ysc~Z~ `SC¢G! S f [AREACODE) `~OOS INSTALLER NAME: Bt 1(Yl~ 1~ ~4 PHONE (AREA CODE) STREET ADDRESS: 1 ~ 'j] Il1pCCQ. ~,6~C1 .r~ S - C[TY: S(1 ,t ~L1CfQ~ STA7'E: ZIP' 37 ~'E'C.E~~~b ~ ' S G ATURE O ERMI'['I'EE - CGJ~ By CITY USE ONLY L _ BL _ PERMIT#: SUBD. RECEIPT#: APPROVED BY: , INSPECTOR RECEIPT DATE: 2000 MECAANICAL PERMIT (CO1~~RCIAI,) CITY OF EAGAN 3830 PILOT FQ~OS RD EAGAN, L~I 55122 651-681-4675 Please complete for. all commercialfindustrial buildings mula-family buildings when separate permits are not required for each dwelling unit DATE: WORK 1'YPE: New construction install U.G. Tank _ interior impr~vement Remove U.G. Tank _ Processed Piping When installing/removing underground tank, cafl 651-681-4675 jor rnspection by ftre marshul and plumLing inspector. Description of work: Fees: 1% of contract price OR $30.00 minimum fee, whichever is greater. iJndergraund tank removaUinsffiIlation = minimum fee Contract price: $ x 1%= $ (Base Fee) State surcharge calculate at 5.50 for each $1,000 Base Fee TOTAL $ ~ SITE ADDRESS: OWhIER NAME: PH0;1E (AREA CODE) TENANT NAME (IMPROVEMENTS ONL1~: WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: ' INSTALLER: ADDRESS: PHONE - (AREA CODE) CITY: STATE: ZIP: SIGNATURE OF PERMITCEE CITY OF EAGAN CASHIER: JS TERMINAL NO: ~~y DATE: 09/13/00 TIME: 11:52:17 ID: NAME: BU~NSVILLE HEATING & AIR 3213 9001 4980 SAFARI PAS 30.00 2155 9001 4980 SAFARI PAS 0.50 Total Receipt Amount: 30.50 CR137265 USER ID: ,7AN cirr oF E,e,c~?N N° 8778 t ` ~795 Pi1M Kno6 Roed Eagan, MN SS1t3 PHONE: 45~-8100 BUILDING PERMIT Rece~pt # ~U SF DWG/GAR $145,000 JANUARY 24 84 Te M uad fer Est. Value Date 19_ Site Addreu 4980 SAFARI PASS Erect R3 20 1 SAFARI EST.~ ~ a~u~~~y Etl Lot Blxk Soc/Sub. ~ Alter ? Zoning pa~~ # 1~-()5$5~-2~~-~1 ~ Repcir Fire Zone N/A Enlarge ? Type of Const. V rc Nome. DOMESTIC DEVELOPMENT INC. Move ? # Stories ~ Address 14244 GARDEN VIEW DRIVE pemo~~sh ~ Length 86 APPLE VAL. ph~ 432-9316 Grade ? Depth 46 Sq. Ft.- o Nome SAME Apvrerols Faa~ Address Assessment permit 545.50 CI Phone Water 8 Sew. Surcharga 7 Z. 5 ~ Police Plun check 2 ~ Z' 7 5 ~w Nome Fire SAC 'S25. q~~e~ CTY. 42 & 11 Enp. WoterConn. 450.00 ~W BURNSVILLE pho~ 422-2044 plonrcer WoterMetar 63.00 Countfl Rood Unit 250.~0 I hereby acknowledge thot I have read this epplication and state ehat Bldg. Off. 24 8 4 the inlormotion is Correct and ogree to wmply with oll oppliceble rj $tote of Minnesota $tatutes ond City of Eaqan Ordirwnces. APC Totol . Sipnoture of Pertnittee A Buiiding Pem+~t Is tssued to: DOMESTIC DEVELOPMENT INC . p~ tha express tondition ihnt oll work shall be done in ac ance with ell plicable State of Minnesota Statutes ond Ciy of Eapan Ordinances. Buildirg Officiol a- ~llee.~.2l.~e/~~'.'rL~""^' . ' ~ -~pr~''~~CITY OF EAGAN Include 2 sets of pl ~~r~"'-`,~,e~ 1 site plan w/el.evations & ~on: d'N X~"" BUILDING PERMST APPLICATI~V , 1 set of enP~~ cal.culations e J . 7~ used For j~ D c~ G/ G F3~ ~'valuation ~,%Ye$, 4~-t7 M~ vate l-~ 3- ~l Site Address: ~++F~2 ~ OFFICE USE ONLY i.ot a0 siocx 1 Sec./Sub.SAFRRI Esr~ Erect ~,occupancy ~?,3 4 ~ Parcel b - ~ S 8 ~t~ "°'2+'0 - o / ~~r Zoni.n _ + ` Regair Fire Zor~ Owner: ~D ~w ~ST ~ L I\~ ~l~ t~S ~ C~d ~ n!F" d~.~~ge of Const. ~ ~'bue # Stories Address: Demolish Fmnt ~Cp £te City/'Gi.p Code• Grade Depth d/. (d it. Phone APP~I,S F'~ Contractor: ~t7m~ST{C ~~~LAPMElIT Th(, Assessments Pernu.t S'S~~ Water/Seaer Surcharge ~ Addresss _~`I-Z~'~{ ~RQA~nS~i~c1~ 1~~IVE Police Plan Check 7~ city/zip c«te: -A fe. ~cx e~~ rylN (L Fire sAC ,s~a-~- Phone L}'3'~+~9~ ~~o ~4• _ Water Conn. h~3 Planner Wat~es Meter ! 3 i~ Council Ro~d Unit _~O Arch./Eri9• ILL I PS i'~.h~~, ~ Bldg. Off. 7address: ~y .~I-Z. ~ ( .~c City/zip code: l#RNSV4~Zi"3. _ Ph~ z~,~zo~ ~ ~r . , ~ . ~1~~~ -,y s• ~ /o~, 1/C3a ~~i ~ y ~a ~-3, 6 y `5 ~r~a~ b .vr~ x ~ ~ ~~/s, 0 / ~ ~ ~,`<R iw x 36 (2 3~l x~~' ~~I'~`~" ~ x 3 a ~ ~ O ~ ` ~9 ~ `-J . rriai.a.ira ru'.av uLnr.~.a. , • . . . . . ' - - . . - . : . ~ r~ . ~ ~ . _ , . - - EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION - ~WNER _ ~ ~ 1- 1 3 G ~ ~ Yw ~-S-F 1 t.: - ~ ~.c7~t,AP ~T' ~n7c . ~ f 3 ' ~~p _ .~'i ~SITE ADDRESS ~-'~'.t '~~S?S `1W - , - - - _ . : .:rt - . _ - _ - _ . . . _ , _ - - ~ ' CONSRACTOR~1o+wGS-r~C-~ _V~~F~~,S6'~fE l-Z.3c:8 PNDNE , - • Determine working square footage of each. 1. Totat exposed wa11 area 3~33~ ~ sq• ft. x .11 ~~~L.~ 2. Total roofl~~~ling area . If~~~ sq, ft. x .oz6 = ~1 O ~ Total exposed wall area above floor = 31 ~1 ~ a. Total wa11 window ar=a 3 Z . b. Totat door area 3 0 ~ c. iotal sliding glass~door area AA ~ d: Total fireplace wall area e. Total wa71 framing area (averaae~ZOA)...:........ Z , . f. Total n~t wall area above floor Z~ZI.lo4 ' g. Total rim jeist area 3 DS Total exposPd foundation area = l~O ~ ~ h. Total foundation window ar=_a i. Taal net foundation area above grade I ~zteraine "U" yatu=_ of ea_n wall s°g-_nt. ~ I3, ~Z n ~~iiu , 33 ° ~Z~r! ~ ; - '~y X ~ = s.ZB ~ ~ x ,~v„ . 5 = ~1 ~f ; ~r~ x = 1~,Z~ d. le. ? 5'?, ~ ta X~~~~~ ,~•=t1a = 2~~~1 Le ~3~,(,~~ X ,a~!`: _ ~9.~~ . ~ x = 2 ~ ' ~ g . , ~ ~ ~ t,~ h. X _ I ~ ii. 1 ~~O X"~" = 25.2 I ~ ~ . . , . ~ _ 3 a. . . , i o _al _ _r'~~ . ~ ~ ' If item .'.3 is tne sam= as, or less tnan item ~1, you P~ave meL t~e in~ent ~f ~3~ c0:5(c)2. I i 1 . , . . • ' ;Total exposed roof/ceiling area = ' 18~`J~ " ~ Total gross roof/ceil inq area = ! F3~ ~ . - I , . J. TotaT; skylight area k. Total, roof/ceiling framing area I F~~ _ 1. Total net insulated roof/ceiling area....... ~to Q ~j, Z ; , Determine "U" value for each roof/ceiling segment. ~ . _ . ` x _ k~ j~~~~ X _,D 2 = 5,~1 ~ ~ I lQ9 ~1 ~ 2 x~~~~~ , o z1 = 3 S, to 8 4. . . . . . . , ~ . . . ?.c.~ C1 ~ . . . . . . . . .7ota1 ' ° I I - ; . If totaT of #4 is the same as, or less than ~2. you have met the intent of SBC GOD6(c}i! i To utiTized tha total envelope system method, the values established by the sum of items ~3 and ~4 shall not be greater than the stm~ of itens #l and ~2. . . 1. t 2. _ ~ 3 I + 4. _ ~ ~ MATERIALS Therm. Resistance "R" Ezterior Air; I ~ Siding MateTial - - , N ~ Sheathi7tg ~ Z,pt+^ Insulation ~ ~ q Sheetrock ~4 Intariox Air Ir 8 $tuds ~ ~ ~ Rim 1 ~ F>:g Conc. 81ks. ~ n,f~ i ~ . . ~I. i' ~~j - l~ S~C So -~,Ua_ O/ ~ /-•-,rt'~"'.^r 'O U ~ ~aty; oF ~~~~n ~ 3930 PILOT KNOB ROAO. P.O. BOX 21199 BEA BLOM4UIST EAGAN. MINNESOTA 55121 ~ rnoycr PHONE: (612) 454-8700 ~ THOrv7nS E6nN ~ JAMES A. $MITH ~ J€RRY iHOMAS THEODORE WACHTER I Councii nnembers ; , iHOMAS HEDGES January 24, 1984 a,~^dm~^~s~~a~o~ ' I EUGENE VAN OVERBEKE ~ City Czru ~ DOMESTIC DEVEI,OPMENT INC. 14244 GARDEN VIET4 DRIVE APPLE VALLEY,iMN. 55124 RE: NEW DWELLING AT 4980 SAFARI PASS Gentlemen: ~ Please be aware that a possibility exists that the referenced dwelling may have low water pressure due_to the topography of the area. If!this should happen, you will have to install a booster pump to provide the water pressure needed for day to day living, ~ i Sincerely, I ~ i ~L ,I al eterson'i Chief Building Inspector DP/js i I I I ~ i i ~ I I ~ ~ i { THE LONE OAK TREE. . 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' - ~ : ~ r , . ~ ~ `~___~~.~,,.~..~.,F-.~ ' , _ i ~ - _.'-.c' ~-st, - -~``^e,-.~.~~ E 3 ~(y y ~ _ , . ry.~ L"~ Ir~ ,IY ~ A 4~ 5 F 1 / J 1' .+af4 ~T ~ U.~ ~ ~ . . . i . ~ . ..:i a " " _ ' ~ . . : . . . ~ . ~ : „ ~ . . . ~ . , , _ . ~ ~ . ' .~~.:a . ~ . . . - . . . . _ i _ . - _ .x,.. . , - . . ~ . . . . - . ' _ - . , . . . _ . _ . ~ ~ a. - x' y<~.. v.Y e . i . . .e a r . . D ,.a . . ~a.: a R:'Cl _.._w~_..:.w.. ...a.~.,-,. -ca_~.~ ...1~ . , . Rl~ fa+' n . _ , > . . ~ _ _ _ _ ~ , ~ _ Surve, For: , ~ ~ome~tic Developmelt, Inc, 14'L44 Garden View Dr1ve Appie Valley, MN 55124 43~36 I 72/23 ~ DELMAR H. SCNWyANZ IJINDSVRVFYOA4~ lA1(.~ - Re9istentl UnO~~ L+ws ot TM SUb o/ Mlnn~wta ~ 2878 - 106TH STREET W. - BOX M R08EMWNY, IYHlMA@SOTA 66988 PH04YE 812 423-1789 - ~ ~ ! SUR V E VOR'S CE RTI F ICATE n ~4o.a Sd3°¢9 `~B - - . . * _ I <a? ~ ~ _ ~ ~ - ~I ~ ~ ~ 1 ~i ! -Drainage and Utility Fa.sement ~ j i I.u io ~ I . ~ I I S\' ~ o~~ Lot 20, Block 1 ~ 0 _ `1`~ I~ `~2 ~ i ~ V1 I I N .'b"~ Y ~ ~ ~ - 92 ~ ~ ~?O ~ t 4~ ~ ! 4 -J- ~ _ _ PR~R'D~J~ 6R~/J.~'~r ~ ! ~ iro pNa NodsE ~ n,'n ~ ~ I Z 1 ~ , 3 ~ ~ ~ ~ i M I ..t ~ 1 ~ I ~i- ` ~~6.37 3~ ~ ro~~ I~ p ~ ~ I ~ ~r ~ ti K N8. ~ i ~ .i ~ ~ a 1 M ~I j' ~ ~ _ / ~ \ v7~---- - ~ ~~'~!k ~c~~ 33/ g~ - E~sT ~ , I acald • 1. inch 9= 60 feet ` <,a P~operty orner = Set wood ' b Elevations ire existing and on assumed datum. Y hereby certify that t.,his ia a true and correet representation of a survey of Lot 20, Block 1, SAEARI FSTATFS, Da.kota County, Minneeota. Also showing the location of a proposed building staked thereon. As surveyed by me this 24th day of January, 1984. ~ ~ ~ . MINNESOTA REGISTRATION NO.882G PERMIT City of Eagan Permit Type:Building Permit Number:EA138543 Date Issued:09/02/2016 Permit Category:ePermit Site Address: 4980 Safari Pass Lot:20 Block: 1 Addition: Safari Estates PID:10-65850-01-200 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - 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: 500.00 Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 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 - Mary J Mattson 4980 Safari Pass Eagan MN 55122 (651) 452-5665 Home Depot At Home Services 6224 Lakeland Avenue N, #102 Booklyn Park MN 55428 (763) 542-8826 Applicant/Permitee: Signature Issued By: Signature