4990 Safari Pass
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CITY OF EAGAN Remarks
Addition SAFARI ESTATES Lot 21 Blk 1 Parcel #10 65850 210 01
Owner Sveet 4990 Safari Pass State
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF, (o 1982 1037.54 103.7,rJ 10
STREET RESTOR. 1982 1546.63 09. S 618.67 " "
GRADING 1982 603.03 60.30 10 422.13
SAN SEW TRUNK 1982 451.64 0. 180.68 A 014254 7 17 84
M SEWER IATERAL ~O 1982 7197.20 1439.44
5 2.878.88
WATERMAIN
• WATER LATERAL 1982
WATER AREA 1 82 451.64 0.33 180,68 014254 7/17/8
• ?SP.2'viC@B 1982
STORM SEW TRK 1982 966.91 173. 38 5 346.77 A 014254 7 17 84
* STORM SEW LAT 1982 5
CURB & GUTTER
SIDEWALK
STREET LIGHT
260.00 2
WATEFI CONN, 470.00 " It
BUILDING PER,
SAC 525-00
PARK
CoINSPECTION RECORD I ntrol No.
GTY OF EAGAN PERMIT TYPE: euILaTNe
3830 Pilot Knob Road Permit Number: •r 1 i 15
Eagan, Minnesota 55123 Date Issued: to/29!92
(612) 681-4675
SITE ADDRESS: Lo T: ; 1 B! QG K a 1 APPLICANT:
499i SAFARI PA9S HENODRICKSON 1'OM
SAFART E87ATES (617) 482-5664 '
PERMIT SUBTYPE: TYPE OF WORK:
firc:r. AOOTTION
INSPECTION .
FOAT (Nd FJNAL
I, ~ ~ "s fl ~ , . r~ u ..tJ ~ ' _ . > ~ 1{ _
~ y - w G.'~. w ~`~2•( I- Y~ .
_ .~n ' _ a ~ F.~_T s~~'7± Ta ~'+f•{~~,rL_7. '
~ ~ • ~ '~'.s~.~~.~ i v . i~~.2;3" _ _
.~t. * • r~ : -.aa.+: AS.' 3_wi~ ` "CS4 'u.6".a~:SLti _ .J(=c.~~Sr F ~
Permn No. wrn?n Hower o.re liNspnorw 0
SlVY
PLUMB{NG
HVAC
ELECTRtC
ELECTRIC
InapecUoe Dab Map. Commenta
Footlngs l
FoiuKktion
Framing
Flaefing
Rough Pibq.
Rough tMA.
W.
Flreplace
Final Fitg.
Orsat Test
F1na1 Plbg. Plbg. inspector - Natify Plumber
CwmR. Meter
EngrJPlen
Bidg. Flnal
Deck Ftg. `~o yz /lGr/
oeck F'mW ~
wen
Pr. Disp.
I T-
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N 01 9?72
PHONE:454-8100
BUILDING PERMIT ReCe!ipt ~qt
Te be wwd fer 'r UWG/GA:< Est. Vclue $13 0,0 0 0 Dnte JfILY 6 , 19 8 4
4990 SAFAiii PASS it3
Site Addrega T 'Erect ~ Occuponty
lot Block Sec/3ub. S~~A~Z~ E5 r Alter ~ Zoning R N/A
Parcel No. ~ Repair 0 Fire Zone
Enlarfle Q Type of Const.
~,:u coNS~r ~Nc
oc Name Move ? # Stories
Z Address EVF.NS C`r DemoNsh p Length 56
~ City 5Tj -ti4 L~ ViLL,6one 4 S-S 32 Grode 44
? Depth Sq. Ft.
Name 5AME Approra Is Feea
~ ~ U ~
Addrest Assessment Permit 65
~ City Phone Woter & Sew. Surchorge
Police Plon check 254.00
525.00
W Name
Firo SAC
Address Eny. Wnter Conn. 470.00
W City Phone Plonner Water Meter 63 . 00
Council Road Unit 260.00
I hereby acknowledge that I hove read this application ond state thaf Bld Off.
the information Is Wrrect ond agree fo comply with all applicoble APC ,i,~a~ r -+.0')
Stote of Minnewta Stotutes ond City of Eagon Ordinances.
Sipnature of Permittee
.
A Building Permit Is issued fo: on the express conditlon 1ha+
oll work shnli be done in accordance with oll applicable State of Minneaoto Statutes ond City of Eapon Ordinonces.
Bulidirq Officiol
Parmit No. Permit Holder Misc. Parmit No. Holder
Plumbing 06j
H.v.ac. 14 17 7 L s M ~ 7 g
w.n
Wstsr
Disp.
S~war
ElM.ic q ol.g,~,31 7
Inspection Date Insp. Other '
Footingt ~~bI~Y ~p4sc or. -YOds in dr~ ~
Foundation
Fnminp L ~
Rouyh Plbp. ~D-
Rouph HVAC J
Inwlation
Final Plbg.
Final HVAC
Final ~ .
wster Describe Location:
Nhll t
Sewer
Pr. Disp. ,
, . CITY OF EAGAN ~T
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 1~ ~ 9272
` PH ON E: 454-8100 ~
BUI1DING PERMIT tteceipt #
To M wwd for SF DWG/GAR Est, Vo1ue $13 0,0 0 0 Dcte JULY 6 ~ 19 8 4
,
4990 SAFARI PASS R3
Site Address Erect ~ Occuponcy
Lot 21 Biock 1 Sec/Sub. SAFARI EST ^Iter ~ Zoning R1
Parcel No. IC) ' L^s4 S-C` 2/C' -0' Repoir ? Fire Zone N/A
Enlar9e ? Type of Const. v
W N~e DENLOU CONST INC ?„bVe p Stories
Z Address 205 STEVENS CT Demolish ? Length_ 56
9 City BURNSVILL$hone 435-5832 Grode p Depth44_Sq. Ft.
Approva Is Faes
o Name SAME
o~ Address Assessment Permit 508•90
u~ City Phone Water & Sew. Surchnrge 65.00
Police Plan check 254.44
~W ~vame Fire SAC 525.00
Address Enp. Water Cann, 4 7 0. d 0
<W City Phone Plonner WaterMefer63,~Q
Coun[il Road Unit 260 _ OQ
I hereby acknowledge fhat I hove reod this applicotion ond state thot gldg. Off.
the information is correct ond agree fo comply with all opplicoble APC Toto~ + •0 0
Srote ot Minnesota Statutes ond Cify of Eogon Ordinonces.
Siflnoturc of Permittee
A Building Permit is issued to: DENLOU CONST INC on the expreu condition thni
all work shall be done in occor nce wl all Qppli le ate of Minnesoto Stotutes and City of Ea9on Ordinances.
Buildinfl Offlcial
\
f
. -•~3~.1'•~r;,o ' . . ~ , . .-v" . ..'.r. • . . .~•`,j,y'~'~.
, CITY OF EAGAN _40 17526
. • 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 -
PHONE: 454-8100
BWLDING PERMIT Receipt # - r
To be used tor REMODEL Est. Value =3 ,Q00 Date FEB 16 ,1 g 90
Site Address 4990 SAFARI PASS OFFICE USE ONIY
Lot 21 Block t Sec/Sub. SAFABI ES'IATL'S
Parcel No. occupanoy B-2 FEES
Zoning
W Name T~ b~~L HEIIDRICKSON (qctual) Consi - Bldg. Permit S4•~
; Address 4~ ~~i p~s (Allowable) - Surchar e 1.50
0 Cit ~H Phone dg2"S~9 # of Slones - 9
Y Length _ Plan Review
=o Name KEITH w JOFlN9M Depth - SAC, City
Address 6550 i1 132ND S.F. Tolal - SAC, MCWCC
~ City APPLE VALI,,BY phone 432-7937 S.F. Footprints -
On Sile Sewage _ Water Conn
yVi W Name On Site well - Water Meter
~ ; Address MwcC syslem
City Phone Ciry Water _ Acct. Oeposit
PRV Required _ S1W Permit
I hereby acknowlege that I have read this application and state that the Booster Pump - g1N/ Surcharge
intormation is correct and agree to comply with all applicable State of
Minnesota Statutes and City ot Eagan Ordinances.Treaiment PI
Signature of Permitee APPROVALS Road Unit
A Building Permit is issued to: KEITH W JOHNSM Planner - park Ded.
on the express condition that all work shall be done m accordance with all Council
applfcable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. _ Copies
Variance - TOTAL s5•~
Buitding Official
Permit No. Permit Holder Date Telephone #
WATER
SE1VkR
PLUMBING
H.V.A.C. YWO1.7
ELECTAIC
c C.
Inspection Date Inap. Comments
Footings I
Foundation
Fran,iny 3 -7-
Rooling
Rough Plbg.
Rough Hig. ~ ww-L
Fsui. AY
Fireptace
Fnal Htg.
s z~ ~
Final Plbg. r -
Consl. Meter Pibg InspeCtor- Notify Plumber
ErgrJPlan
Bidg. Final !
Oeck Ftg.
Deck Final
Well
Pr. Disp.
Cl•, , ~:AGAN SEWER SERVICE PERMR
3830 Pilot Knob Road pERMIT NO.: ~
P. O. Box 21199 7-
Eagan, MN 55121 DA~' 1
No. of Units:
zoniny: Uenlou Coast I7c
pwner:
Aiddress: ~'990 Safari Pass L21 B1 Safari Estates
r.uc:.r.ue er • P ,
Plumber: • - '
7.-:n-.?~ 1~454? 425.00 pc:
1 agm to oanplfr wilh tlw Ci4v of [g9as Connection Cho?qe: P
Ordinancer. Account Deposit: J A
Permit Fee:
Surcharge:
By Misc. CFbroes:
' Dote of Insp.: Totol:
Insp : pats Paid:
~
k . _ - -
ci qGAN WATER SERVICE PERNIJT
3830 Pilot Knob Road ~ PERMIT NO.: _ +
p. O. Ci;x 21199 p^TE:
Eagan, MN, 55121 1
Zo~ing• I:1 No. of Units:
ner: Denl~.,u t-onst Inc
•
x IJSafari Estates
•te Address• 49'90."Sa._ar PAsS
Plumber: • ion CFwr9e: 47-0_.00pd
er No.: unt Depvsit: 15 . 00 pd
~5ize: r c 10.n0 Pd
Permit Fee: .50 pd
Reader No.:
1 a9eer to mnPh1 wuh 1he Citr of Eaqan Surd+orge:
00 pd meter
6~ '
Ordineeas. Misc. Chorpes:
7otaL•
Date Paid:
By
Date of Insp•: Insp.:
5- 613 RESIDENTIAL 171 7S -
~ BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651•681-4675
New ConslrucNon Reauiremenb RamodeUReoalr ReaulrermMa
• 3 registered sfle sunreys shawiig sq, fl, af lat, sq. fl. of house; and all roo(ed areas • 2 copies of plan
(20% mac6num lot coverage ellawed) . 1 set af Energy Calalaliam for heated additbns
• 2 copies of qan shw+iig beam & winCOw skes; pourad tound design, etc.) • 1 site survey For exlerior additlons & decks
• 1 set of Energy CalculaCwrm . IrMicate d home served by septic syslem for addNOns
• 3 copies W Tree Preservation Plan if lot platted aRer 777193
• Rim Jo'st Detail Options selaction sheet (Gdgs vrith 3 or less unMs)
DATE VALUATION tt
SITE ADDRESS ~I6 ~~G~ / ~a 5S MULTI-FAMILY BLDG _ Y _ N
TYPE OF WORK~r,r n op-r FIREPIACE(S) 0_ 1_ 2
:~V'STad N~ ~uti~! jr
APPLICANT SELA ROOPING & REMODELING
4100 EXCELSIOR 8U/D
STREET ADDRESS .RT I nl IIC PARKMN mC+t CITY STATE_ZIP
TELEPHONE #W2'$Z~ tSOV
CROM # FAX #
PROPERTYOWNER N Q Ur-Q/Vl TELEPHONE# /lo -7
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNFSOTA RULFS 7670 CATEGORY I MINNESOTA 1R'&176?~
(d submission type) • Residential VentilaGOn Category 1 Worksheet Submitted • New Energy~~od~g7 Workshee[ Submiiietl . Energy Envelope Calculations Submitted I"CT 0 J Z00? '
~ LI
L ~
Plumbing Contractor: Phone #
Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00
_ Water Heater _ No. of R.I. Baths
_ No. of Baths
Mechanical Conhactor: Phone #
Mcchanical system includes: Air Conditioning Fee: $70.00
_ Heat Recovery System
Sewer/Water Conhactor: Phone #
I hereby acknowledge that I have read ihis application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagon Ordinances.
Signature of Applicant Q~ ~L/~{~
............._~_..._.....r~-------------------
OFFICE USE ONLY
Certificates af Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
O 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex 0 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 72-plex Plbg_Y or_ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Additlon O 36 Move Bldg. O 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolfsh (Bldg)' O 43 Reroof ? 46 Windows/DOOrs
? 34 Replacement "Demolitlon (Entire Bldg oniy) - 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 81dgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bidg) FinallC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ Plumhing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framnig _ Siding Smcco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
PERMIT ~ Control No. ~ n~ 4 g
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: ~ u r ~ o r ra ~
Eagan, Minnesota 55123 Permit Number: m 01 715
(612) 681-4675 Date Issued: 10 ~ z g~ g 2
SITE ADDRESS:
n~~e sflr-~~z r~ass
~ or; z1 ~i~oc,~: i
s~F~~z ~sr~r~s
DESCRIPTION:
/~B~~uilrli;rlq Permit Type DECK
~ ~u~i1d°1ng`^~,Work Type ADDITION
, f Buildinq Le'r~-yth 26
Suililinq Wa,dt~a, 7.~.
r
( ~`j
t31 .
a R
yJ ,
<i
1~ t ~
r-- ~ l.~ _ ,
~1 I ~ r i r ~ R ~ '3 ( Y-~ i [ ~ ( ~
~
~~~~~~f ~%t~:.` ~~~i~~~L~
_
: .~J ~.-.r
REMARKS:
~ 1~-I~-7
FEE SUMMARY:
B a~ e P e e $ 2 5. m m C lJ P T E S ,.,~„.,,._....r,__~:_@
0.
Surcharqe _~~,50 Tntal Fee $25.Sm
Subt~tal ~$:25.50
CONTRACTOR: OWNER: - Appl..icant -
HENDDRICKSON 70M
4990 SAFARI PASS
EAGAN MIV 551'~2
(612)952-556~
~ hereby acknowlecig~ thaC z have read this appiicatipn anti state tNta~ the
infcsrm~tion ~s ~oerect ~nd agree to comp3:y wi,tk~ ~17: applieable St~te nt ~1n,
Statutes and Cit~? oT Eagan Ordinance5.
~ -
~~/LGI~~~~ilA/~"~ ~ uit.~ ~ l~l~,
~~-~A
PLICANTlPERMYfEE SIGNATURE ~ ISSUE 8-I`: SIGNHTU E
PERMIT B CITY OF EAGAN -PZ.~~-,)
REACTIV,4s,_ _ 1992 BUILDING PERMIT APPUCATION
681-4675 JOCT 2 r RECo
SINGLE & MUITI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set af
specifications, I copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date Yaluation of work
Site Address: y%f d SA49,ei i4,qsS
STREET SUITE t'
Tenant Name: (commercial only)
IAT BIACR SUBD. f P.I.D. iF
-CI
Descri tion of work: E ciL
The applicant is: Owner ? Contractor O Other (DesertEe)
Name __//ee7 a 1,e/cXsorl T,., Phorie 51SI--~SS69
Property LAST FIRST '
Owner pddress .s-,30f',4e, Pgss
STREET STE N
City E.9G>4h State iy!/! Zip
Company Phone
Contractor Address License # Exp.
CitY State Zip
Architect/ Company Phone
Engtneer Name - Registration #
Address
City State Zip
Sewer 3 water licensed ptumber ~ Processing time for
sewer 3 water permits is two days once area has been approve .
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.
Signature of Applicant:
OFFICE USE ONLY -
~ .
BUILDING PERMIT TYPE
;
0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging lb B sem~ent Finish
O 02 5F Dwg. 11 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 Sf Addition ? OS 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex 0.14 Fireplace ? 19 Comm./Ind. Misc.
? 05 Sf Misc. ? 10 Multi. Add'1. F~.15 Deck ? 20 Public Facility
~ ? 21 Miscellaneous
WORK TYPE
O 31 New ? 33 Alterations O 35 Tenant Finish ? 37 Demolish
F 32 Addition ? 34 Repair O 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) lst F1. sq. ft. City Water
UBC Occupancy 2nd F1. sq. ft. PRY Required
Zoning Sq. ft. total Booster Pump
M of Stories Footprint Sq. ft. Fire Sprtnkler
Length On-site well Census Code 4{,3y
Depth ~ On-site sewage SAC Code
APPROVALS b~/ c
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
? Site El Footing - ? Framing ? Insulation
? Mallboard ~ Final 13 Draintile ? Fireplace
Permi t Fee ~5 , vo r,imt;,,,: g
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter .
Acct. Deposit
S/N Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
CoPies ,
Other
Total:
SAC %
SAC Units
RIti COnSE.
. DEtMAR H. SCHWANZ
LnNOSUavevoa S, IUC,
- RNiMerW unao u+rs ot Tne staN oe M;nrnsoU
2878 - 146TN STREET W. - Bp% N ROSEMQUWT. MINNE80TA 6608{ PMONE 612 4731709
SURVEYOR'S CERTIFICA7'E
'02~
A ~ - - - - - - _ - ~4~
~.e~ 44 ~ , f o
p~ a 1 0,M j0Z'`i yx,puaJ QeCt 1~
-~,n ca•• , - r d
1-_ , E~4R. S~.A.g ~s °~,/n; 2Z ~ y2 Qeck' Q ~
Dra na utilitY
J
+ I N
2' ,48ovE~ = ~ ~ \ easement 4
~ ~ hT, , nJ 1 4 102~55 IQ
=
i h 1 o1~`h To~ Nur3
q4 ~ 4
1 yo ~89. 9/ ~ N89-~4- 5 c E'
~ I
, I hereby certify that this is a true and correct repreaentation af.
~
Lot .21, Block 1, SAFARI FSTA"'FS, according to the recorded plat
, thereof, Dakota County, Mlnnesota,
Also shoWing the location ot a proposed house as ataked thereon. ~
Dated: June 25, 1984
SCAI.E: 1 inch a 50 feet
, Elevatxons ahown a.re ezisting
Denotes set Nood hub
Propoaed garage floor elevation - °x
.
~ 7
_ .~X~~ir-~', 41
.
. . . . MINNES TA REGISfRATION N0.8625 x 3
• _
. . y. . . . . .
.,z . y.
. .
"__.~_.....~--.r~--~_..__ ' - . _
~1 CITY OF EAGAN Include 2 sets of plans,
v` 1 Gertificate of Survey•'&
' ' BUILDING PERMIT APPLICATION 1 set c£ energy cas.~ui:ations.
, `7.~.R--~(~~~Ca~~ ~13o ncn.°-_ ~ ~
'IU Be Used Far ~ s"_ n- Val~u;ation ~~t~', J Date , i ~
Site Pddress ~~~C% ~/~i~iN ~ ~ /~~9 S~ OFFICE USE ONL
Lot a( Block ~ Sec./Sub. ,~~~~~,'<i, ~
Esect OccupancS'
Parcel A1ter Zoninq ~-1
Repair Fire Zone N /!a
~
Owner: ~%~r~=~~~ ~~~yz~'~ _L.~. . F~l~rge _ Type of Const. Q
Address: ~n S ~»4-.v.r•.~._i L'c~~.~.z,~ ~"1D~ # Stories
~ Demnlish Fzont ft.
City/Zip Code: ~~c,~z=•~v. ~L~~ 7 Grade Depth 44 ft.
Phone S - _ ?
~ APPROVAi.S FEES
Contractor: ~_~,c.~ . Assess.ments Permit Gjpt3. o
Pddress: ;-a~ a ~ ~ ~ , ~4ater/Se,aer Surcharge Co5 , -
~{'f ^ ~ " ~ Police Plan Check ~ ~ q-
A'~
City/Zip Code: ~ c.~.,~..1 r~, Fire SAC • 525,.»
~ Eng. Water Conn. 4 ~ O.°=
Phone ~ ~ ~ Planner Water Meter Co3.
Council Road Unit 2Ca0 . =
Bldg. Off.
Address: APC
City/Zip Code: _
Phone # : ~C]TAL ~ 7 ~ ~ ~i v
5b Z~= I 6c~0 x~~F ~~l,~oc>
7o x~ 4- (4 580
2S F, s4= )S~Z
3~ Z2 "69~?o K zc~o
23 so
qoZ
• O O O p O O
~ . . . . . . , o
Gf u~ ~t ~n U~ O ~n
O YJ ln N ~ `A ~Y
, ul <v N 3 :V ~
N
. Gc-tificste for:
• Ltinald Const.
,
DELMAR H. SCHWANZ
LANDSURVEYOR S, I")C, ~
Registeretl Unaer L+ws of The Stata o1 Minnesota
2978 - 745TH STREET W. - BOX M R0.SEMOUNT, MINNESOTA 56068 PHONE 612 423-1789
1
SURVEYOR'S CERTIFICATE ~
~''1~ p~i (~1 - - - r _ •
, ~ - - ~
bt
~
44 \ ~ f~1
~
Z~ ,uJtly ~ ~ I
, ~`v i'~ Ki,~ ~ 1y ~
IAR. 'iLaB is ~;,;ro3 o~01~;ti\ Drainage & util3ty 4
ea3ement
, ~ . I
• ~ ~ ~T. . a~ ~ ~a7,
j i o\ "7 7nr' Nv~s
~ 0- lZ..Q. n3' -
`
NB9., /
I hereby ::ertify thst tliia is a true and correct repre;.entation nf
L,ot ll, Block 1, SAF'ARI ESTATF_S, accorciini; to thc rocorded plst
thereof, Dakota County, b:innesota,
Also 3how1nf, Lhc location of a proposed house as ataked thercon.
Dated: 3une 2`), 1984
SCALF.: 1 inch = 59 feet
F.lev3tiono Dhown are exl3tin.-r
DenoY.en seY, wood hub
Proposed garage floor elevation
. / ~
MINNESOTA REGISYFATION NO 8625
. i
, . EXTERIOR E2Nfi'LCFL AVERAGE "U " C0PIPUTATIO;I
0'rNER
SITE ADDRESS_ 4`49 9 Q '~F:,,LqE-'l ~.RSS
. CONTRACTOR DATZ PHOtJE
Determine working square footage of each.~1 310.2 x
1. Total exposed wall area Z~Zo sq. ft. x..29' _
.02~0
2. Tot31 roof/ceiling area sq. ft. z re!C- _~S
Total exposed wall area above floo'r = 35' o-7
x
a. Total wall vrindcn area Z yG
b. Total door area Zi
c. Total sliding glass area 3 4~-
d. Total fireplace orall area .
e. Total wall frae~,ing ares (average z~
f. Total net wall area above floor z~T.o
g. Total rim toSst area -z-c_o
Totai exposed Poundation area a /G n
h. Total foun3stion window area
i. Total net foundation area above grade
Determine "U' value of each wall sepn?nt.
a. /9a x„Ul: , w4
b. .'t feUr i3-I ~ G•.S/
C.~~_ R "U" .es" = z~•v = '
D• ~fB X "U' /-ar ~ ~7•s` . ' .
e. LJ'z- X ~.Uu G.~~• o y,.o .
f. >~2e X ,sU`: L4•9 ~ 9/.3
R. z~[.v g n17•. 241 1 1
= 9~
h. ia g :.U~ •sa ° f•6
1. R r.Ui, 7 ze
3 ............................................Tota1 ~ /7 7,
If iten 43 is the sa-r.e as, or less than item N1, you have met the
intent of SBi, 6005(c)2.
, .
.
• 1 , .
- - - - -
Total exposed roof/ceiling area
:otal skylignt area o
k. Total roof/ceiling frar.:ino area(average 10Pvo.~
1. lotal net insulated rooS/ceiling area _,10?. Z
Determine "W value for each roof/ceiling segment.
~ x I,Uir e
k. ,1.D0. 8 X "U" .-F------- - - .-_n
X,: Uf, , 0 3 a 2'I . ZZ . -
4 .........................................Tota1 = 32X
If total of f4 is the same as, or less than F2, you have met the
intent of SBC 6006(c)1.
Alternate Buiiding Envelope Desif,n
To utilize the total envelope systeril method, the values established
by the sum of items #3 and il4 shall not be ereater than the suri.of
items #1 an3 i;2. ~
1. + 2. _
3. + A.
_
~G
5~
y~~~~ rAp, PI~~
HEAT LOSS CALCU[AT10NS DEPARTMENT OF INSPECTION MpiNEApous• MINN•
11'athentrips • Cemftetien Ne. IaWat1O"
Guidc How Applied
ei~
V6 m~_ I Doors ReEermes I Out. Wall Iet. WaII 4ilies RooE Flaot Kind
.jows es- o e~- e 19~.
FI.I Room Length Width Fkyht FI.~ Room Lenith Wideh Hei`ht
Windows and Doon--Cracluge and Aroa R&Ws aod Door.--Cwck.ge aad Area
wiain HUf~~ No. sf L~nul R. AnA wiau H~~~ot Ne. ot L~exllt.
Il.
Ne. ot pan. af e.n~ I~f~~• e[ enck . tl Ne. at NM ef p~n~ IIfFIs e[ eraek M.
C
Coef. Beu
CoeE. Btu
Infiltratioc In6ltntion 0 i Y;L0.
CJau 3 jji~L G' GIaN ~ Z1
ESD• wall Fsp. wall
Nec eap. wall
Na eip. wall Int. wall Int. wall
ceii,ne a ° j ceaina -
Floor - Floor
Toul Btu. Toul Btu.
Requ'ired sq. ft. E.D.R. or tq. int. W.A. Leader area Required sq, ft. E.D.R. ot sq. int. W.A. Leader stea
eight
Fl.1 aaa Room Len=th Width Height Fl.I - tT ~m ~~"~WW,
Win ws and Doon-~raekage ind Ana Windows and Door?-Crackaiaee a.1int ro. ee u...i1. w... wmtn x•k
rht r+o. ot xeer o•.. e o... urht. e r.et w. nee wn• urei. ~
Cosf: Btu eu
lnfi{tntioe -y~ 1n61uation
GlaY V L Gltu '
Eip. wall Ecp. wall
Net etp. wall . a NN eiP .f r y.
Int. wall lnt. wall ~ ef~
CeJmg Ceiling
Floor Floor ~
Totd Btu. Total Bcu. ~
Required sq. ft. E.D.R. or sq. ins. WA Leader aroa Requircd sq. ft. E.D.R. or sq. ios. WA. L.eader area
Fl' Room ILength WAh IfV Height Fl.1 C RoomlLenethPif Width Heiah _
Windows and Doon-Cnckoge and Arca Windom an Doors-Lnckage and Arca ~
widtn X.~fnt No. e no116 An% p'Idtn N~Ifp~ Ho, e! Linwl SL ?r•.n
Ne. et p~n• et p~n~ 11~~4 of ereeM q. ft. ~
No. ef oan• et Owr Ilwhl, ot cracY w .
Cftf. gtu Coef.i Htu
Infiltratioo t In6ltntion G p
CJau L ~ ~ GIA» FsP. wall EiP. wall (
Net eYp. wall Nel e:P. wall ~ G~
Int. wall Inl. wall
Ceifing Ceiling
} im, Floor
rat.i 8tu. Tot.i eiu.
Required W ft. E.D.R. ot sq. ins. W.A. Leadcr area RMuired p. fl. E.D.R. or sq. ins. WA. lladrr ana ~ _
.
U16 '
HFAT LOSS CALCULAT[ONS DEPARTMENT OF INSPECTION MNEAPOLIS• MINN•
Wathentrips . . . CeaMeuetan No. 1°°ulau°°
Guide How Appl;ed
W'indows I eDoon II Referenee I Out. Wall lat. WaII Ceilies Raef Roor Kind
~ 'e~ 1- or o 19_
Fl.l Room Leneth Width F1eight Fl.) Room Leatth Width ~ HeiQht
Windowj and Doon~racluga ond Ana q/in aed Doorr-Cntkand Arca
wialn XeIgnt Na. s Llnol t6 An" IAU HN~~I Ne. ot L1ow1 [t. u~a
na. ef o-n. of oav Iifhi• o[ eraek N. tt. No. at y?M e! Wno IIfbN e[ enuet p. f~.
/
Coef. Btu CoeF. Btu
Infiltratioa In6leration
CJau ? Glau
Fsp. wall ExP. wdl
Net e:p, wall Net e:p. wdl
I^t w+ll lnt. wall
Caling Ceiling
Floor Floor
7ota1 Btu. Total Btu.
Required iq. ft. E.D.R. or sq. ins. W.A. Leader atea Requircd sq. ft. E.D.R. or sq. ins. WA. l.eader srea
Fl.I Room l.ength , Width Height 171.1 Room I Lenath Wideh Height
Win ws and Door~-Cwcluge and Arca Wiedows and Doorr--Crack+eae and Arca
wiace a.~.na He. ee LlnnLf~. An~ wiatn Heyht No. oe Llnul t4 Aru
we. or o•an ar w~• urnu o~ ~.wt No. . et pand ec nan~ usn~. ot enot w. n.
0
Coef: Btu Coef. tu
Infiltntian Infiltration
CJw Glau - i '
Fsp. wall ~ Fnp. wall
Net e:p. wall Net esp. wdl
Int. wall Int. wall
Ca6ng Ceiling r
Floor Floor
Total Btu. Total Btu.
Repuired sq. ft. ED.R. or w. im. WA leader uea Requirod W ft. E.D.R. or sq. ins. W.A. Le~der ~rc+
Fl. Reom I Lenph 16 Wi~h Heicht p.1 Room I Length Vlidch HeieM
Windo" t and Door~~rackage and Aroa Win ws an Doort-Cncka~e ~nd Ama
wiain K.ieht No. a .w n. ?..a wietn M.4sL ero. ef u~..i n. w...
Na. ot y~ea ef Wno IIgM• oi eracR ~i. 14 Ne. ef pan• at ow. lif~to et v~cY q[t.
L
~ Gv
Coef. Btu Coef.i Htu
Infiltntian lnfiltration
CJau CJan ~ -
Eap. wdl Eap. wall K.
Net e:p. wall Net e:p. wdl - U
Int. wall Int. wdl i_
Cnlmg ' O CeilinQ
floor Floor
Totd Btu. tlV Tetel &u. ~
I ReQuired w. ft. E.D.R. or sq, im. WA, leader ana Repuited q, ft. E.D.R. or tq. ins. Q/A. Lesdrr aR¦ ~
- CITY OF EAGAN NO 17526
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE:454-8700 Receipt # - C (Q3(G3
To be used (or REMODEL Est. Value $3 ,000 Date FEB 16 , 1990
Site Address 4990 SAFARI PASS
21 Block 1 Sec/Sub. SAFARI ESTATES OFFICE USE ON~Y
lot
PefCBI NO. Occupancy B-9 FEFS
Zoning -
w Name TOM & LAUREL HENDRICKSON (pcluap Const - 01dq. Permil 54.00
a Address 4990 SAFARI PASS (ailowaole) -
Cit EAGAN Phone 452-5569 polSmnes _ Surcharge 1.50
y Lengih _ Plan Review
o Name KEITH W.TOHNSON Depth - SAC. City
Address--6569 W 132ND S.F.TOtal = snc, MCwcc
City APPLE VALLEY Phone 432-7937 S.F.FOOtprinis
On Sile Sewaga _ Water Conn
~w Name On Site Well - Wacer Meter
AddfeS3 MWCCSyslem - q~t Deposit
aW City Phone CityWater -
PRV Required _ S/N1 Permit
I hereby acknowlege thal I ve re d this applicacion and state that the Booster Pump - SiW Surcharge
inbrmation is correct r to 'comply with all applicable S[ate of
Minnasota Slatutes an ~~t I~a i7. inances. Treatment PI
~
Signature ot Permitee APPROVALS Road Unn
A Building Permil is issued lo: ' ITH W JOHNSON Planner - park Ded.
on the express condition that all work shall be done in accordance with all Council
applica6le State oi Minnesota Statutes and Ciry ol Eagan Ordinances. gid9 pff, _ Copies
8uilding Official ~(~,f~~Apjti, Variance - TOTAL 55.50
~
1990 SUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PL9NS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUGTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLZES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIAED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: Valuation: Date: '9' L~ ~
Site Address Q ` OFFICE USE ONLY
3obc~r
Lot Block FEES
Occupancy
) p ~ Zoning ~1
Parcel/Sub dG~lyria Actual Const B1dg. Permit JrT'c)o
) Allowable Surcharge S'a
Owner,ptt`rLFvq QD C. ~ 1%/13p~lCt(S,OAJ # of stories Plan Review
Length SAC, City
Address Depth SAC, MWCC
S.F. Total Water Conn
City/Zip Code Footprint S.F. Water Meter
II~y( Acct. Deposit
Phone On site sewage_ S/W Permit
f11 ~ On site well 5/W Surcharge
Contractor 'n il) A1WCC System _ Treatment Pl.
C~~ O f'~ WCity water - Road Unit
Address PRV Park Ded.
Booster Pump _ Copies
City/Zip Code r~CQ~-G~Q~u.(~~ SUBTOTAL
APPROVALS - Penalty
Phone Planner TOTAL
Council
Arch./Engr. Bldg. Off.
Addxess '3~ UJ Variance
a
City/Zip Code
~
Phone # "l.c~~- ~~R7
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PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA143794
Date Issued:06/27/2017
Permit Category:ePermit
Site Address: 4990 Safari Pass
Lot:21 Block: 1 Addition: Safari Estates
PID:10-65850-01-210
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Thanh P Nguyen
4990 Safari Pass
Eagan MN 55122
(651) 737-0005
Standard Heating & Air Conditioning
130 Plymouth Ave. N
Minneapolis MN 55411
(612) 824-2656
Applicant/Permitee: Signature Issued By: Signature