1925 Safari TrCASH RECEIPT
j CITY OF EAGAN
• 3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
RKC / /.
AMO NT $ /
& DOLLARS
goo
? CASH ??] CHECK
FOR
FUND CODE AMOUNT
3713
37V3
f
v
=a
Thank You
BY 65557
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
BUILDING PERMIT
Receipt #
To be used for SF DWG/GAR Est. Value $119,000 Date JULY 2 .19__8 6
Site Address 192 5 SAFARI TR Erect I( Occupancy R3
Lot 22 Block 2 SeclSub. SAFARI ESTATES Remodel ? Zoning R1
Parcel No Repair ? Type of Const. VIR
. Addition ? No. Stories
Name MADE12A HOMES INC Move ? Length 60
= F.O. BOX 4064 Demolish 1:1 Depth 48
39
° Address
City I1ASTINGAnone 437-1525 Int. Impr.
Install ? Sq. Ft.
?
o Name 'j!` A pprov als Fees
z0
u ¢ Address
~ City Phone
a
F W Name
Y 0 Address
< W City Phone
1 hereby acknowledge that I have read this application and state thatthe
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee
A Building Permit is issued to: MADERA MES
all work shall be done in accordance with all applicable State;of Minnesc
Building Official / ` '
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
Assessment Permit ,0
Water & Sew. Surcharge
Police
Fire -
Na . 12223
Plan
Eng. Water Conn.
Planner Water Meter
Council Road Unit -
adg. Off. 7/1/86 Tr. PI.
APC Parks
Var. Date 1/86 Copies
Total ' 3404 . 5
on the express condition that
ty of Eagan Ordinances.
'9
Permit No. PermR Molder Date Telephom N
4-
Htg.
Plbg.
Disp.
PERMIT # f
PLUMBING PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE
Site Address " ' `
Lot Block
m Name
Addre
c City !
Name
3 Addre
p City
Phone
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE -$10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
$ HEATING
FOR: CITY OF EAGAN
BLDG. TYPE WORK DESCRIPTION
Res. xx New xx
Mult Add-on
Comm. Repair
Other
?O. FIXTURES TOTAL
Water Closet - $3.00
-
?
,Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00
Urinal/Bidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
=Water Heater - $1.50
Whirlpool - $3.00
-Gas Piping Outlets - $1.50
Softener - $5.00
well - $10.00
Private Disp. - $10.00
=
Rough Openings - $1.50
FEE f l
STATE SIC:
^
GRAND TOTAL '"-??
-7 cl
PERMIT #
MECHANICAL PERMIT RECEIPT # 62 ?v
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE
LCT PRICE: PHONE: 454-8100
Site Address -LY
Lot a c4- Block
m Name
m Addre:
E City
Name
3 Addre
O City -
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
Phone
BLDG. TYPE WORK DESCRIPTION
Res. X New x
Mult Add-on _
Comm. Repair
"' %W' „v,..W FEES
3 RES. HVAC 0-100 M BTU -$24.00
S MN Phone 437- 1110 ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
XaC ADDITIONAL 6 M BTU
GAS OUTLETS - 6.00
- 1.50 EA.
M BTU -? COMM/IND FEE - 1% OF CONTRACT FEE
M BTU MINIMUM - RESIDENTIAL FEE . - 10.00
M BTU MINIMUM - COMM/IND FEE - 20.00
M BTU STATE SURCHARGE PER PERMIT - .50
_ CFM (ADD $50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
/j
FEE:
t SIGNATURE OF PERMITTEE
S/C:
TOTAL
FOR: CITY OF EAGAN
i ?
?'
-`
_._
?'
?+,
INSPECTION RECORD
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
' ,ri Akl !i:
. ? i I i 5 1• I I', I n l l'.
PERMIT SUBTYPE:
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
CJ'?
TYPE OF WORK:
III '.i 1; 11 1 1 IIN
I PAh11 NIA
I I NA1
IM I I to I N6
4111.1010
a.-i/_,(A/11,t
N I I I
N1 iI
( i '.! A'-,0N
F
I__.
I
Permit No. Permit Holder Date Telephone N
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation
Framing F -Z p 9s
Roofing
Rough Plbg.
Rough Htg.
Isul. /D 7a-g3 DS
Fireplace
Final Htg.
Orsat Test
Final Pibg. Plbg. Inspector - Notify Plumber
Const. Meter
EngrJPlan
Bldg. Final 9
Deck Ftg.
IG/•r?? /moo fs v'rn
Deck Final
Well
Pr. Disp.
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
? •nl l(1:i II,
<<i n. 1 ? I ri I I ,
PERMIT SUBTYPE:
1 I
F
L
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
22 R t 0C K : APPLICANT:
( 61 ,' 1 1140 Ii 1 1_, 1
TYPE OF WORK:
i111 1 I I? I rat,
4}.' .' 1 Nt.
I i N I '.11
7
I
Permit No. Permit Holder Date Telephone #
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspeetlon Date Insp. Comments
Footings I
Foundation
Framing
Rooting
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orsat Test
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
EngrJPian
Bldg. Final
Deck Ftg. `, d?1.C>? ? O
Deck Final
Well
Pr. Disp.
CITY OF EAGAN Remarks
Addition SAFARI ESTATES Lot 22 Blk 2 Parcel #10 65850 220 02
Owner Street State
` 1925 Safari Trail
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 1982 1037.54 103.75 10
STREET RESTOR. 198 154b.bJ 3U9 .33
GRADING (p t?' 1982 - -- OT.-073- 60.30
SAN SEW TRUNK .) 1982 451.64 90-33
i SEWER LATERAL Q 3o 1982 71 .7.20
1439,44 5
WATERMAIN
• WATER LATERAL 1982
WATER AREA (p??? 1982 451.64 90.33
Services 182
STORM SEW TRK 1982 866.91 1T3.38
• STORM SEW LAT 1982 5
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pilot Knob Road
P. ('. Box c 1199 PERMIT NO.:
an
MN 55121
Ea DATE:
,
g
Zoning: F Z No, of Units: '
Owner: 1'a0 ar'- Tr c
Address:
Site Address 192 5 <-3, 11'1`ar' '.nt
Plumber:
1 wpm to - I tj wUh 00 City of 4p. Connection Charge: " -flop
w
Ordhamom Account Deposit:
Permit Fee:
Surcharge:
By Misc. Charges:
Date of Insp.: Total:
Insp.: Daft Paid:
3830 Pilot Knob Road
C Box 2 i 199
P PENT NO.:
. DATE
Eager, MN 55121 :
Zoning: _ No. of Units:
Owner:
Address:
Site Address:
1.
Plumber:
Meter No.: Connection Charge:
Size: Account Deposit:
der No.: Permit Fee:
I epee to empty W" the City of Impo Surcharge:
Orrlrrenas. Misc. Charges:
Total:
e Daft Paid:
y
'Date of Insp.: Insp.:
CITY OF EAGAN WATER SERVICE PERMIT
3830 boot Knob Road
P. O. Be 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zoning: _ No. of Units:
Ma era :comes, 11-1c.
Owner.
Address
a, arc rain L-72-77 .:a, ar Est
..
Sift Address:
fir: ,
Plumber.
k„
P
Moor No.: 3
Size:•, P?o?X F`
Reader No.. a; p
1 pree to amply Milli The City of _ retaCl,Rs-ter P T7
Vr ?)3.50Ty",
Dote Paid:
Dote of I nsp.: ,/I F-Z4 -8b
Req est Dan, ?. - ire o. ough-in Inspectio
•- S 9.l ? Re red? ? Ready Now h1?^lill Notify Inspector
dr/ Y
lJ?,
R
?
when
eady
Yes C: No
I ? licensed contractor Owner hereby request inspection of above electrical work at:
Joid Address (Street. Box is IN
Cary
rl r
Section No. Township Name or No. Range No. County
F
(
Occ tIPRINT) q .,
? Phone No.
E A ?I
?I t C_
L
Power Supplier Lill"R Sj- Ff&^S Address
Elacm al C Tractor ICOmpany Name) Contractor$ License No.
orh ;awn er
Mailing Address IOontractor or Owner Making Installation)
ZLI-e ova
Authan a r a racto (Owner Me ing I Ration) Phones Uti?lder
Vl
MINNESOTA TATE BOARD O ELECTRICITY . THIS INSPECTION REOUEST WILL NOT
Griggs-MIA y Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD
1621 University Ave.. St. Paul. MN 55106 UNLESS PROPER INSPECTION FEE IS
Phone (612) 6424M ENCLOSED.
°
REQUEST FOR ELECTRICAL INSPECTION Ee(-00001-0e
See instructions for completing this form on back of yellow copy.
et,
4 3 9 8 4 7 ;y°Below Work Covered by This Request:
New A8d Rap: Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other-(Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Other lspac,vI Contractors Remarks:
Compute Inspection Fee Below. 3 Se4 Sorn O r g k
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps A 100 Amps
Signs Inspectors Use Only: 7
) TOTAL O
Irrigation Booms ?
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
f Rough-in r Dale
certi
y that the above inspection has
been made. F;nal Dale J ?.
OFFICE USE ONLY
This request wb 18 months from
Thrs roooest void
11 Ionths from
03-87 3> -
Revues Oat
/j // Fire No.- I Rouah-/"n Inspection
Req
?adv Now ? Will Notify, Inspeo
-?P b Yes
5;-Yes ?No [or When Ready
Licensed Electrical Contractor I hereby request inspection of above
? Owner electrical work installed at:
Street Address. Be.
or Route No. C ity
Q
yJ / / Q ?a
coon NO. T0waShIP Name or Nu. Range No. County
Occupant (PRINT) Phone No.
M46)SOCA-
Power Supplier A
dress
.' d
/
Electrical Contractor (Company Name) Contractor's License No.
B? 066"-) F e-crXIC, 04(2.1
Ma
Address (Contractor or Owner Making Installation)
ilingg
"
ai?
J
?•
YCe ( t S? W ?rN' 5-1ap
Au
ml Signature ICOn ctor/O no Making Insta Iationl Phone Number
V
v
MINNESOTA STATE BOARD OF ELECTRIQJIR'J THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room N-191 {{// ``?r BE ACCEPTED By THE STATE BOARD
1921 Univeraity Ave.- St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
pt,- IR121 297-2111 ENCLOSED.
a-Y-ff"0 REQUEST FOR ELECTRICAL INSPECTION s-« Bs??a
ITS Z671, See instructions for completing this form on back of yellow copy.
"X" Below Work Covered by This Request
New Add Rep. „-T1ipe of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lighting Fixtures
Apt. Building Dryer Electric Heating
Commercial Bldg. Furnace Silo Unloader
industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Other (Specify) Other JSpocifyl
t for I pacify Other Other
Compute Inspection Fee Below
a Fee Service Entrance size # Fee Feeders/Subfenders b Fee Circuits
0 to 100 Amps 0 to 30 Amps Cb 0 to 30 Amps
/ .ao 101 to 200 Amps 31 to 100 Amps 31 to 100 Amps
Above 20D Amps Above 100-Amps Above 100_Am s
"
Transformers Remote Control Circ. Partial, 7 7 0
r Fee
Signs Special Inspection s
FFr
T A
Remarks 3n 0 _
Hongh-in
Final --
J o
O?ti I, the EI cal
scl certify that the buve
inspection has been
made.
This request void .?- -
18 months from
t?7 6 GS
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
^1T AC CA/±A AI
4?-, /S 5-0
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675 U
J AN P 4 111, ?J
Please complete for modifications to existing residential dwellings.
Date / I U ! y
Site Street Address 1617.145 Sn f0l ?- I Unit #
Property Owner t JA ? f'a? Telephone# (c152) 7O•l 604d
Contractor «P P1 l3e,W 01- I`S Telephone # ( 651) 3 05 i'3 4 D
Address 5b-10 t>Odd 1201 City L Gcl?t State M N Zip S5I-L-5
The Applicant is: _ Owner X Contractor -Other
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures (excludes water softener and/or water heater--complete next
section if installing these appliances).
-Septic System Abandonment
-Water Turnaround (add $125.00 if a 5/8" meter is required)
Other:
_ Water Softener 5/1 Water Heater $ 15.00
_ new replacement
Lawn Irrigation _RPZ _PVB -new -repair -rebuild $ 30.00
State Surcharge $ .50
r7 u
$ 115
Total
I hereby apply for a Residential Plumbing Permit and acknowledge 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 the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
Applicant's Printed Name Applicant's Signature
i5 S7)
! 02 PLUMBING (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please complete for: Single Family Dwellings
Townhomes and Condos when permits are required for each unit
3 0 -s-a
Date
rga5 ?a(? 1lt
? ?l Y()
A
't
i
Add
U
it#
,
te
ress
.
S n
Yf
d h
#
T
l
Property Owner
- one
( )
e
ep
Contractor
Ci
Address ty
?/
State 1 Zip,45_t3? ?
0 Telephone# (?l? C]ll? ?cilD( )
The Applicant is Owner Contractor Other
SepticSystem _ New - Refurbished Submit 2 sets of plans and MPC license $ 100.00
Includes County fee. Additional consultant fees may apply.
Alterations To Existing Dwelling Unit, Including $ 50.00
_ Adding fixtures to lower levels or room additions, excluding water softener and water heater
_ Abandonment of septic system
Water turnaround (+ 5/8" meter if needed - $121.00)
Other.
_ RPZ _ new installation _ repair _ rebuild $ 30.00
Lawn irrigation system
Water softener _ Water heater $ 15.00
_ replacement _ additional
CC ,
JUN i $ .50
State Surcharge
By - I
Total $
t hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the wore: will
be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; 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 hms ?
Applicant's Printed Name Applicant's Signature / y
RESIDENTIAL
p1 ?? BUILDING PERMIT APPLICATION
LS CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651.681-4675
New Construction Reaulremems
• 3 registered site surveys showing sq. ff. of of. sq. d. of house; and all roofed areas
(20% maximum lot coverage allowed)
• 2 copies of plan showing beam & window saes; poured found design, etc.)
• 1 set of Energy Calculations
• 3 copies of Tree Preservation Plan I lot platted after 711/83
• Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
DATE -5 -3U 'O Z
SITE ADDRESS/ 9 2_5- S4 Fa f- r
TYPE OF WORK lee r90P Lint ?')d o
APPLICANT 6t'(_b t r 6Q v1 f? r' r DnU YS
STREETADDRESS'?41(0 t(??SAf.141bn AV-(
TELEPHONE # q52- M- ?23 Z CELL PHONE #
In C STATF
FAX #
53
PROPERTYOWNER TELEPHONE# 33Z-
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672
(?I submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: ____
Plumbing system includes:
Mechanical Contractor: _
Mechanical system includes:
Sewer/Water Contractor:
Phone #
--------------------------------------------------------------------------------
I hereby acknowledge that I have read this application, state that the information is
with all applicable State of Minnesota Statutes and City of Eagan gTd"ces,
Signature of Applicant
OFFICE USE ONLY
Water Softener
Water Heater
No. of Baths
MULTI-FAMILY BLDG _Y /
FIREPLACE(S) _ 0 - 1 - 2
Phone #
Phone #
Lawn Sprinkler
No. of R.I. Baths
Air Conditioning
Heat Recovery System (1
T
y?2y
V D,7S
RemodelRteaair Reauirements
• 2copies of plan
• 1 set of Energy Calculations for heated additions
• 1 site surrey for exterior additions & decks
• Indicate I home served by septic system for additions
VALUATION A2 Ur D
Fee: $90.00
r? a
Certificates of Survey Received _ Tree Preservation Plan Received - Not Required _
Updated 4/02
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of - plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
Valuation
Census Code
SAC Units
Nbr, of Units
Nbr. of Bldgs
Type of Const
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Mufti
? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demolish (Bldg)` ? 43 Reroof ? 46 Windows/Doors
'Demolition (Entire Bldg only) - Give PCA handout to applicant
Occupancy MC/ES System
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
Width
Footings (new bldg)
Footings (deck)
Footings (addition)
_ Foundation
_ Drain Tile
Roof _ Ice & Water _ Final
Framing
Fireplace - R.I. -Air Test _ Final
Insulation
D INSPECTIONS
Final/C.O.
Final/No C.O.
Plumbing
_ t3VAC
Other
Pool _ Ftgs _ Air/Gas Tests -Final
Siding _ Stucco _ Stone
Windows (new/replacement)
Retaining Wall
Approved By
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
? 07 05-plex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex ? 18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex Plbg_y or_ N
Building Inspector
CITY OF EAGAN
3830 Pilot Knob Road P.O. Box 21-199 Eagan MN 55121 N 2 12223
` PHONE: 454-8100
BUILDING PERMIT Receiptp
Tobeusedfor SF DWG/GAR Est. Value $1191000 Date JULY 2 19 86
Site Address 1925 SAFARI TR Erect [16K Occupancy R3
Lot 22 Block 2 Sec/Sub. SAFARI ESTATES Remodel ? Zoning R1
Parcel No Repair ? Type of Const. Vii
. Addition ? No. Stories
MADERA HOMES INC Move ? Length 60
W Name Demolish El Depth 48
o P.O. BOX 4064
Address Int. Impr. ? Sq. Ft
City HASTINGf;hone 437-1525 Install ?
¢ ADDrovals Fees
o Name SAME
z
u a Address
City Phone
w w Name
Address
i W City Phone
I hereby acknowledge that I have read this
information is correct ee to compl
Minnesota Statutes nd City o Eagan Orc
Signature o mittee
A Building Permit is issued to: MADE
all work shall be done in accordance with all
Splicatio and statethatthe
with all pplicable State of
Lance. i,
A ?RDMES
PolicaMe State(of Minnesota
Assessment
Water 8 Sew.
Police
Fire
Eng.
Planner
Council
$Idg. Off. 7/1/86
Var.
of
Permit $ 480.50
Surcharge 59.50
Plan Review 240.25
SAC 575.00
Water Conn. 500.00
Water Meter 63.50
Road Unit 290.00
Tr. PI. 156.00
Copies? 5
Total
on the express condition that
an Ordinances.
Building Official
I. aaa3
1986 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MULTIPLE DWELLINGS - RESIDENTIAL RENTAL UNITS FOR SALE UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
SF DW 6?G flYZ //9C??6
To Be Used For: bu ld-in ,_- luation: t3 Date: 6-16-86
Site Address 1925 Safari Trail
Lot 22 Block 2
Parcel/Sub Safari Estates
Owner Fredrick and Marlyn Dean
Address 3846 Country Creek Way
City/-Zip Code Burnsville
OFFICE USE ONLY
Erect Occupancy 4LS
Remodel Zoning -lei
Repair Type of Const 1Tf/
Addition # of Stories
Move Length
Demolish Depth -L/a-
Int.Impr. Sq Ft
Install
Phone 452-3625
Contractor MADERA HOMES, INC.
Address P.O.B. 4064
City/Zip Code Hastings, MN
Phone 437-1525
Arch./Engr.
Address
City/Zip Code
Phone #
APPROVALS FEES
Assessments Permit
Water/Sewer Surcharge
Police Plan Review 2,lO.
Fire SAC 5 7 S
Eagr Water Conn
Planner Water Meter C, 5, S-0
Council Road Unit
Bldg Off Treatment P1 15Z,
APC Parks
Variance ?(-g6 Copies
TOTAL a. a/.,(/,
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
OVA 3Z = 7l 8 !z,-
z Oat
Z7x?756x 1,5e,?IS
756p x S2313cl
x l SZ A VY- 666'
I/65&V6 00
Energy Conservation Supplement To Building Permit Application
BUILDING AND SAFETY DEPARTMENT
CITY OF DATE: June 29, 1986
This supplement is provided to assist the applicant In computing the EXTERIOR ENVELOPE
AVERAGE ".U" FACTOR INFORMATION. This information is required so the BUILDING
OFFICIAL can determine that the submitted plans comply with the ENERGY CONSERVATION
DESIGN CRITERIA of the STATE BUILDING CODE (Section 6001). It is the APPLICANT'S
responsibility to accurately and completely compute the data; reflect the proper DESIGN
CRITERIA in the plans; submit product specification, as needed to support the ".R" and "U"
factors used; and to assure that construction is accomplished per the approved plans.
JOB LOCATION
OWNER(s) Fred & Marlys Dean PHONE
CONTRACTOR Dave Langenfeld PHONE
A. Determine the Total Exposed Wall Area as follows:
1. Total wall window area
2. Total door area
3. Total KIMKQ(glass door area, a t r i um
4. Total fireplace wall area
5. Total wall framing area (average 10%)
6. Total net wall area above floor
7. Total rim joist area
Subtotal: Total exposed wall area above flow
8. Total foundation window area
9. Total net foundation area above grade
Subtotal: Total exposed foundation area:
GRAND TOTAL EXPOSED WALL AREA
B. Multiply the GRAND TOTAL EXPOSED WALL AREA X .11
C. Determine the Total Exposed Roof/Ceiling Area as follows:
10. Total sx)0tDgtot area , open rafters
11. Total root/ceiling framing area
12. Total net insulated roof/ceiling area
GRAND TOTAL EXPOSED ROOF/CEILING AREA
206 sq. ft.
40
237
1854
215
214 so. ft.
2802 so. ft.
214 sp. ft.
93
837
1144 sq. ft.
2588 so, ft.
214 sq. ft.
Item I
D. Multiply the GRAND TOTAL EXPOSED ROOF/CEILING AREA X .026 Item It 29. 4
E. Determine the ••U" value of each segment (1-9) and multiply by the area as follows:
1, 206 s q. ft. X ?•• .414 = 85.28
2. 40 X .45 18.00
3. 36 X ^U" 46 16.56
4. --- X ---
5. 237 X ••,U•• .103 = 24.41
,6, 1854 X •.u.• .046 = 85.28
7. 215 X „1.1., .024 = 5.16
8. --- X ..U., --- _ ---
g, 214 X ••u•• .108 = 23.11
ADD 1-9 FOR TOTAL WALL SEGMENTS = Item III 25 .80
F. Determine the ••U•' value of each segment (10-12) and multiply by the area as follows:
10. 214 X ,•U . .026 = 5.56
11. 93 X „u„ .022 = 2.05
12. 837 X ,•U., .019 = 15.90
ADD 10-12 FOR TOTAL ROOF/CEILING SEGMENTS
Item IV
G. It item No. 111 is the same as, or less than Item No, 1, you have met the intent of State Building Code 6006(c) 2.
H. It item No. IV is the same as, or less than item No. 11, you have met the intent of State Building Code 6006(c) 1.
1. Add Item No. 1 308.22 t Item No. It 29.74 = 337.96
J. Add Item No. III . 257.80 f Item No. IV
23.51 281.31
K. If the sum of items fit and IV are less then items I and 11, you have not the intent of the code for total envelope
system.
In addition to the above items you may have to add for such items as floors over unheated spaces, such
as cantileverd areas, etc.
To arrive at •'U'• value divide the total of the R values for each segment (as above) into 1,000. Answer
you have is the •'U•• value for that segment.
Example: A total ••R" of 35.08 divided into 1.000 = .028 ••U"
I hereby certify that this plsn,specification or
re-poet was prepared bv. rrt or unac n rv d rrst.t
suptertasr<au anr1 that I rtrn t d l,
!d a'c y..t==. er tbce 6 ?he. c.,z e c *
The undersigned, as applicant for a Building Permit, hereby
affirms the above information has been prepared and submit.
ted by himself or under his direction; hereby acknowledges
the information to be correct and accurate; and hereby pre-
sents the information with required plans in support of the
Building Permit Application
YDate (/' ?Yi Req. T-4o. 10838
Signature
Date
Uext. walls
int. air film R = 0.68
1/2" gypsum bd. = 0.45
5-1/2" F..G, insul. = 19.00
1/2" oxboard shthg. = 0.63
3/4" cedar sdg. = 0.94
ext. air film = 0.17
R = 21.87
U = 1/21.87 = .046
Uext. wall frami
int. air film R = 0.68
1/2" gypsum bd. = 0.45
5-1/2" softwood = 6.88
1/2" oxboard shthg. = 0.63
3/4" cedar sdg. 0.94
ext. air film = 0.17
R = 9.75
U = 1/9.75 = .103
Urim joist
U = 1/42.30 = .024
Uext. found. wall
int. air film R = 0.68
12" F.G. insul. = 38.00
1-1/2" softwood = 1.88
1/2" oxboard shthg. = 0.63
3/4" cedar sdg. = 0.94
ext. air film = 0.17
R = 42.30
int. air film R = 0.68
12" conc. block = 2.40
I" certifoam = 6.00
ext. air film = 0.17
R = 9.25
U = 1/9.25 = .108
Uceiling/roof int. air film R = 0.61
5/8" gypsum bd. = 0.56
15" blown cellulose = 50.00
ext. air film = 0.61
U = 1/51.78 = .019
R = 51.78
Uceiling/roof framing int. air film R = 0.61
5/8" gypsum bd. = 0.56
3-1/2" softwood = 4.38
11-1/2" blown cellulose = 38.30
ext. air film = 0.61
U = 1/44.46 = .022
Uvaulted clg..
int. air film
11" F.G. insul.
5/8" gypsum bd.
ext. air film
U = 1/37.78 = .026
Assigned value Taylor steel walk doors
Assigned value Semco casements, insul. clad
Assigned value Semco insul. patio door
R = 44.46
R = 0.61
= 36.00
= 0.56
0.61
R = 37.78
U = .45
U = .414
U = .46
SURVEY F2R: MADERA HOMES
GALAXIE
? U
NmN14°48'14"E 125.19
g61Q - - - - ° - eF --
0 N M1 N
N 51 NI Igllll'
P--- 24
m ? I
/i2 2PROPOSED N,
ROUSE
20
o Ln'
IC, I d? 8 N
e_
O.IQ 28 ---L
u) L
gyro I N 18°00'06 E 12 5.00
c
c 2_S-F
I hereby certify that this is a true and'
correct representation of a survey of the
boundaries of:
Lot e2 , Block 2 SAFARI ESTATES
according to the recorded plat thereof
Dakota County, Minnesota
and of a proposed building. As surveyed
by me this 3 pp'' day of 1986.
Leland. Smith, Land SurvQey?o
Minnesota Registration No. 14942
AV
61 Easement
F.. ?a??a9e
13.0 l
sC.
a 10
3000 F
W
1 ?
f`
J IN
J_
Q
a
Q
N
Proposed Garage Floor Elev = 177,6.9"o
Proposed Basement Flr Elev = 97/.9o
Proposed First Floor Elev = 80 o
Existing Elevation = 46o.0
Proposed Elevation = 5O
Denotes Surface Drainage -??
Denotes Iron Monument Found 9
Denotes Iron Monument Set o
Denotes Spike Set
Denotes Hub Set o
BEARINGS SHOWN ARE THE SAME AS
SHOWN ON THE RECORDED PLAT
0 20 40 so
SCALE IN FEET
ISRAELSON, REESE, ELLINGSON & PISSOC..INC.
11000 W 76'[7-[ ST., SUITE 220 EDEN PRAIRIE, MW 55344 4612 944.0672
ARCHRECTS ENGRIEERS SLMtVEYORS DESIGNERS
d09
By: : L /SMIP 4 B
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
tUr6: PAYMFW OF FEE AT TIME OF
APPLICATION DOES NOT COTSTIUM
APPROVAL OF PERMIT.
INSPECTION OF SEWER AND/CR WATER
INSTALLATIONS WILL NOT BE SCHED-
ULED Ub= PERMIT. HAS BEEN
APPROVED.
??x?xxxx?xx?---ww--www--ww--www--- w
(Please Print)
1) PROPERTY ADDRESS:
LEGAL DESCRIPTION: -
(Lot/Block/Sub-division or Tax Parcel ID
IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE:
PRESENT ZONING/PROPOSED USE:
(Month/Year)
-
CCMMERCIAL/RETAIL/OFFICE [@-R-1 SINGLE FAMILY
? INDUSTRIAL ? R-2 DUPLEX (Tvm Units)
INSTITUTIONAL/GOVERNMENT ? R-3 TOWNHOUSE (Three + Units) ( Units)
? R-4 APARTMENT/CONDOMINIUM. ( Units)
2)
NAME:
ADDRESS: Q?/F /,
CITY, STATE, ZIP:
y?
PHONE:
3) c: NAME:
ADDRESS:??jJ
CITY, STATE, ZIP: ,, /,'& a j' 7?r_? S ti?
PHONE: S'60 - 1 17 yS? MASTER LICENSE# ?, S? cry `j 7
4) Ke-a-aaw-M57010,
NAME:
' ADDRESS: IYS-/
CITY, STATE, ZIP: A/yy/ '!A :^n r-
-r--PHONE:-
Plurbers License:
Active
Expired
Not recorded
staff teal
CONNECTION TO CITY SEWER ? CONNECTION TO CITY WATER ®IOTHER
6) • (? PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE - " '
PLEASE MAIL APPROVED PERMIT TO 1,? 3, 4, ABOVE
l(circle one)
7) r. r. y..
A"'rr? nom..---?-? _ • ' '1']?
FOR CITY USE ONLY
PERMIT # ISSUED
d?
7e6
Pd w/Bldg. Permit FEES:
$ $ b • 55-v SEWER PERMIT (INCLUDE SURCHARGE)
$ $ /D -7-Z) WATER PERMIT (INCLUDE SURCHARGE)
$ $ WATER METER/COPPERHORN/OUTSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ ?'O O ACCOUNT DEPOSIT - SEWER
$ $ ACCOUNT DEPOSIT - WATER
$ J U d • U ?? $ WAC
$ S 7S-, D ( $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ 'U $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ L TOTAL
RE IP RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
a YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC
Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CbNDITIONS:
APPROVED BY:
TITLE:
DATE:
OF
3830 PILOT KNOB ROAD. P.O. BOX 21199
EAGAN. MINNESOTA 55121
PHONE: (612) 454-8100
JANUARY 2, 1986
J BYRON 14ATSCHKE -
FORTUNE REALITY
4940 VIKING DRIVE
MINNEAPOLIS MN 55435
Re: Safari Estates - Financial Guarantee
Dear Mr. Watschke:
BEA BLOMQUIST
Mw r
THOMAS EGAN
JAMES A. SMRH
VC ELLISON
THEODORE WACHTER '
Council Niem
THOMAS HEDGES
City Mminisftotor
EUGENE VAN OVERBEKE
clv cis
It has recently been brought to my attention that the City of Eagan is not
holding a Financial Guarantee for the Safari Estates Development. I would like
to refer you to Item 8, Page 4 of the Safari Estates Development Contract which
requires the developer to deposit an acceptable Financial Guarantee and states,
"Such bond or collateral agreement shall be approved by the City Attorney and
shall continue to be in full force and effect until released by the City."
Although a Letter of Credit was submitted to the City it no longer remains in
effect since its expiration date. Therefore, I hereby request a new Irrevocable
Letter of Credit in the amount of $8,108.00. Until this Letter of Credit is
submitted and accepted by the City of Eagan, the followi>g lots will not be
issued a building permit: Lots 2, 3, 13, 14, 15, 18, and .27 of Block 1; Lots 1,
2, 3, 4, 5, 6, 8, 10, 12, 13, 14, 20, 22, 23, and 24, of Block 2, Safari Estates.
As of this date these lots show ownership of Fortune Realty, S. Byron and Sandra
Watschke, or Darrel and Vivian Watschke.
Listed below are the items and the amounts to be covered by the new Letter of
Credit.
i
1. Street lights
4 each @ $500.00 (DEA).plus energy cost $240.00 $2,960.00
2. Erosion control (estimated acreage yet to be improved)
2.86 acres at $300.00/acre 858.00
3. Restoration (estimated acreage yet to be improved)
2.86 acres at $1,500.00/acre 4,290.00
Total Revised Financial Guarantee $8,108.00
? If you have any questions please contact me at 454-8100.
Si cerely,
ra>.g E. Knudsen -
Engineering Technician
cc: Tom Colbert, Public Works Director Ed Kirscht, Engineering Technician
Dale Peterson, Chief Building Official
i CEK: 'eh THE LONE OAK TREE...THE SVM60L OF STRENGTH AND GROWTH IN OUR COMMUNITY
CITY OF EAGAN
3830 PiIG1 Knob Road
Eadan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-65850-220-02
PERMIT
1925 SAFARI TR
LOT: 22 BLOCK: 2
SAFARI ESTATES
PERMIT TYPE:
Permit Number:
Date Issued:
G? 1?14C??
BUILDING
022106
10/18/93
DESCRIPTION:
t.' ',
Buildih-g_ Permit Type DECK
building Wo rk Type NEW
,-UBC Occupancy R-3
/'Building Length` 13
/ Building Width 12
REMARKS
FEE SUMMARY-
Base Fee
Surcharge
Subtotal
$25.00 COPY
$.50 Total Fee
$25.50
$26.00
CONTRACTOR: - Applicant - ST. LTC OWNER:
CREATIVE DESIGN & FINISH 18408161 0005557 DEAN FRED
1815 OREGON AVE 1925 SAFARI TR
ST LOUIS PARK MN 55426 EAGAN MN
(612) 840-8161
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 In.
Statutes and City of Eagan Ordinances.
L J
ANTIS RE I ED BY: SIGNATURE '
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS: LOT:
1925 SAFARI TR
SAFARI ESTATES
PERMIT SUBTYPE:
DECK
BUILDING
022106
10/18/93
22 BLOCK: 2 APPLICANT:
CREATIVE DESIGN & FINISH
(612) 840-8161
TYPE OF WORK:
NEW
INSPECTION TYPE „ DATE INSPTR.
FOOTING FINAL
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
- I
REACTIVATE. CITY OF EAGAN
PERMIT # 1993 BUILDING PERMIT APPLICATION $ lie, DO
2 8 1993 681-4675
U0 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I copy of energy
calcs.
COMMERCIAL
I 2 sets of architectural & structural plans, 1 set of
I specifications, I copy of energy calcs.
-
Penalty applies: 1) when permit is typed, but not picked up by last working day of month.
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Valuation of wor
Site Address:
STREET SUITE /
Tenant Name: (commercial only)
LOT BLOCK SUED. P.I.D. N
Description of work: /z'>11'2 "r
The applicant i s : ? Owner 1111 ontractor ? Other (Describe) .
Name -?7 Phone
Property LAST FIRST -
Owner Address /-7'
STREET STE Y
City LG%'7 State - Zip
Company Phone
Contractor Address S`> License # -5 Exp. l?
City SGOV?trO??if State f Zip 3?Y w
Company Phone
Architect!
Name Registration IF
Engineer
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
te of Minnesota Statutes and City of
St
li
bl
a
ca
e
correct and agree to comply with all app
Eagan Ordinances.
Signature of Applicant: ?`-L? -
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
? 02 SF Dwg.
? 03 SF Addition
? 04 SF Porch
? 05 SF Misc.
? 06 Duplex
? 07 4-Plex
? OB B-Plex
? 09 12-Plex
? 10 Multi. Add'l
WORK TYPE
? 11 Apt./Lodging ? I6 ,Sasemerit fl nish
? 12 Multi. Misc. ? 17 Swim Pool
? 13 Garage/Accessory ? 16 Comm./Ind.
? 14 Fireplace ? 19 Comm./Ind. Misc.
15 Deck ? 20 Public Facility
? 21 Miscellaneous
31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
?
32 Addition ? 34 Repair ? .36 Move
GENERAL INF ORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) 1st Fl. sq. ft. City Water
UBC Occupancy 2nd F1, sq. ft. PRY Required
Zoning Sq. Ft. total Booster Pum p
it of Stories Footprint Sq. ft. Fire Sprinkl er
Length 12.76 On-site well Census Code
Depth On-site sewage SAC Code
APPROVALS '
o
Planning Building Assessments
Engineering Variance
REQUIRED IN SPECTIONS
? Site 0& Footing ? Framing ? Insulation
? Wallboard Final 0 Draintile ? Fireplace
Permit Fee L?• ca v.tu.cion: S
Surcharge --
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
•O ip 1bV _?i a ,
o.
-• H
n n o"p SURVEY
t N
0?o sE0
0 0l -
I? J NI
MADERA HOMES
GALAXIE
Nm ._....?. n??C
w i r, 1C- -
w
v e
n 96?
1 q?til 8
•`c
is
E
125-00
2-S-F
1 hereby certify that this is a true and
correct representation of a survey of the
boundaries of:
Lot 22 , Block 2 SAFARI ESTATES
according to the recorded plat thereof
Dakota County, Minnesota
and of a proposed building. As surveyed
by me this 30F day of 1986.
Leland I. mith, Land Surveyor
Minnesota Registration No. 14942
•
0
0
AS
Denotes Surface Drainage
Denotes Iron Monument Found
Denotes Iron Monument Set
Denotes Spike Set
Denotes Hub Set
BEARINGS SHOWN ARE THE SAME
SHOWN ON THE RECORDED PLAT
0 20 40 80
SC4LE 1 N FEET
ISR,NELSON, REESE, ELLINGSON6 Assoc., INC.
11000 W 78TH ST., SUITE 220 EDEN PRAIRIE, MN 55344 (612) 444-0672
ARcHn'ECTS ENGINFFRB SMVEYORS DESIGNERS
125.19
I^? 1
- - - 2a
4 ! "A7
PROPOSED n
HOUSE
zo
4? a
t-
? N ?" i
2e 1
=1D-o0 r -
AV
1
r b4k.
'69e 1
./ ql.
-o- l k 13,0
J
) 8.c
--r-
I
1 0
o ilo g
3000
i
w
v Ct
s
N U
a
N
129 0
Proposed Garage Floor Elev = 179,20
Proposed Basement Flr Elev = 1171,
Proposed First Floor Elev = BO. yo
Existing Elevation
i _ 71660
cizo?
Proposed on
Elevat -
JV tl; L mop o
BY?
,X CITE' OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
BUILDING
022010
09/20/93
SITE ADDRESS:
1925 SAFARI TR
LOT: 22 BLOCK: 2
SAFARI ESTATES
P.I.N.: 10-65850-220-02
DESCRIPTION:
(3-SEASON)
PERMIT TYPE:
Permit Number:
Date Issued:
Bu3ldincg'-Permit Type
Building Work Type
r116C Occupancy
/'Construction Typl
Zoning
Building Length
Building Width
REMARKS:
SF PORCH
NEW
R-3
V-N
R-1
12
12
Ooh v
FEE SUMMARY-
Base Fee
Surcharge
Subtotal
VALUATION
$90.00
$3.50
$93.50
$7,000
COPIES $2.00
Total Fee $95.50
CONTRACTOR:
CREATIVE DESIGN &
1815 OREGON
ST LOUIS PARK
(612) 840-8161
- Applicant - ST. LIC. OWNER:
FINISH 18408161 0005557 DEAN
AVE 1925
MN 55426 EAGAN
FRED
SAFARI TR
MN
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 Mn.
Statutes and City of Eagan Ordinances.
L
APPLICANT/PERMITEE SIGNATURE
ne ? r - 11Th-,t(
IT SUED 1891. SI NATURE IC
.K13?f? I
y-jfcl 13
I
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS: LOT:
1925 SAFARI TR
SAFARI ESTATES
PERMIT SUBTYPE:
SF PORCH
BUILDING
022010
09/20/93
22 BLOCK: 2 APPLICANT-
CREATIVE DESIGN & FINISH
(612) 840-8161
TYPE OF WORK:
NEW
DESCRIPTION (3-SEASON)
INSPECTION TYPE
FOOTING .DATE INSPTR. INSPECTION TYPE
FRAMING DATE INSPTR.
INSULATION FINAL
F
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
REACTIVA
PERMIT #
TE
0993
CITY OF EAGAN
1993 BUILDING PERMIT
681-4675
APPLICATION $q, ZO
SPNGLE & MULTI-FAMILY 2 s is of plans, 3 registered site surveys, I copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, I set of
specifications, I copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month.
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Valuation of work
Site Address: 1y2 S
STREET SUITE C
Tenant Name: (commercial only)
LOT ? BLACK _?_ SUBD.
1 ,
tL-?-t?) P.I.D. N
2
u
Description of work: -3<J??`
The applicant is: ? Owner C'.1 Contractor ? Other (Describe)
Name Phone
Property LAST FIRST
Owner Address
STREET STE 0
City State Zip 5
?/G'L?j'%%?s-- L'C1%?,rif?/kith' /??-• .3`!'?s-35cxo
Company Phone
Contractor Address le,5 s1 License # Ste' 7 Exp 3/?i?qs?
City StateZip ?T12t?
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
1 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
l
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc.
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory
1;04 SF Porch ? 09 12-Plex ? 14 Fireplace
? 05 SF Misc. ? 10 Multi. Add11. ? 15 Deck
WORK TYPE
'131 New ? 33 Alterations ? 35 Tenant Finish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) v- N Basement sq. ft.
(Allowable) y - N 1st F1. sq. ft.
UBC Occupancy 2-3 2nd F1. sq. ft.
Zoning R -1 Sq. Ft. total
# of Stories Footprint Sq. ft.
Length IZ? On-site well
Depth IT On-site sewage
APPROVALS
Planning Building
Engineering Variance
REQUIRED INSPECTIONS
? Site
? Wallboard
5a Footing
JR Final
WFraming
? Draintile
41.3
a
PC Insulation
? Fireplace
Permit Fee 9L), 00
Surcharge 50
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies 4,ua
Other
Total:
Valuotion: $ -7000
I z xiZ_ /Wq )(LIT= (00go
4
V
,I 16 ,Basement: Fi ni sh
? 17 Swim Pool }>
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
MWCC System
City Water
PRY Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Assessments
SAC %
SAC Units -
? r
1 SURVEY F
MADERA
GALAXIE
r.V
?m
14048'14" E
--" q o 0
y
cli
5
i N
I
O
1
I
CP
.
/
A
I 1
22
W
Q i r. ?.
V
r
r` o'Q
L------
,1 N 18°00'06 E
23
12 9.0,
qts z_S-FgT.
=c
i'
I hereby certify that
correct representation
boundaries of:
this is a true and
of a survey of the
Lot e2 , Block 2 SAFARI ESTATES
according to the recorded plat thereof
Dakota County, Minnesota
•
0
C
AS
and of a proposed building. As surveyed
by me this -3pP?day of J ,,,e C 1986.
Leland N. Smith, Land Surveyor
Minnesota Registration No. 14942
W
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Proposed Basement Flr Elev = 1771, 0
Proposed First Floor Elev =
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Denotes Surface Drainage
Denotes Iron Monument Found
Denotes Iron Monument Set
Denotes Spike Set
Denotes Hub Set
BEARINGS SHOWN ARE THE SAME
SHOWN ON THE RECORDED PLAT
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SCALE IN FEET
ISRAELSON, REESE, ELLINGSON & ASSOC.,INC.
11000 W 78TH ST., SUITE 220 EDEN PRAIRIE, MN 55344 4612) 944"0672
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RESIDENTIAL BUILDING
Permit Application
City Of Eagan
y 3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Requirements Remodel/Repair Requirements
3 registered site surveys showing sq. ft. of lot, sq, ft. of house; and all roofed areas 2 copies of plan
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions
2 copies of plan showing beam & window saes; poured found design, etc. 1 site survey for additions & decks
1 set of Energy Calculations Addition - Indicate if on-sde septic system
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Joist Detail Options selection sheet (bldgs with 3 or less units
Date
Site Address ' ?'1 7 1 Construction Cost O , Stu1
{rK [... L Unit/Ste #
Description of Work
Multi-Family Bldg _ Y N Fireplace(s) ±"0 - 1 - 2
Property Owner ?z r0 0ea') Telephone # ((051 ) 45Z- ?07-. S
Contractor . ' i?w" c tJ C1.? J ?-•
Address ..? 6 @O* - -7m o UJ
State AUC ew- City t>-k Ln _,t S 1 A-k
Zip SSQ Ziv Telephone # 05-2) 9 ? - 6-? a
? IC I -ri -
Off se n
_ ert of Survey Reed
Pres Plan Recd
_kApse _ Tree Pres Not Reqd
_ On-site Septic System
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Catecorv I _ Minnesota Rules 7672
Energy Code Category • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber
Telephone # (
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
:1 I JU - 2 z 1rn0
Iu L
I hereby apply for a Residential Building Permit and acknowledge that oenformation is complete and accurate;
that the work will be in conformance with the ordinances and codes ki-City-o-Eagan .-and , the State of MN
Statutes; 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. r-) I
Q _uz? IMXfto
Applic 's Printed Name Ap licant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Parch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg) - 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 bldg) _ Final/C.O.
- Footings (deck) Final/No C.O.
- Footings (addition) _
_ Plumbing
Foundation HVAC
Drain Tile _ Other
Roof - Ice & Water _ Final - Pool
Ftgs
Air/Gas Tests _ Final
_ Framing - _
_
Siding
Stucco
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
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
?_4 6 '
2006 RESIDENTIAL BUILDING PERMIT APPLICATION 1
Ck.?.rolo6?
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX 4 651-675-5694
New Construction Requirements Remodelmeoair Requirements Office Use Only
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan showing footings, beams, joists Ced of Survey Recd _Y _ N
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd _ Y _ N-
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required _ Y _ hl1 set of Energy Calculations Addition - indicate lion-site septic system On-site Septic System _ Y _ N
3 copies of Tree Preservation Plan if lot platted after 711M
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Minnegasco mechanical ventilation form
Date Z l Z'?> / O(o Construction Cost *?3 2 0--> r
Site Address '46 * fih J / !/ rte/ N, Unit/Ste #
Description of Work ??S u 64-5 60M%f_ h?f/,A.J-6-Ly 5i,-221W
Multi-Family Bldg - Y N N Fireplace(s) _ 0 1 - 2
?
Property Owner 1 ? Q
'a) Telephone # (Co'?) kSl
\l
Contractor r L S ibL
?-
f > l
loJ
Jt Cit
5 ?? ?, )1
Address
NW w
s
1 4 y
1
.
State zip Telephone # ( ?`) L' <` b' L
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Category I - Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
(J submission type) Submitted Submitted
. Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
- Y - N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone # (
Telephone # (
I hereby apply for a Residential Building Permit and acknowledge 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 the State of MN
Statutes; I understand this is not a permit, but only an application for a pe tt, and work is not to start without a
permit; that the work will be in accordance with the approved plat in the ?aAof work which requires a review and
approval of Tans.
Applicant's Printed Name
DO NOT WRITE BELOW THIS LINE
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-piex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ?. 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant
Description: Water Damage_Yes
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 Sprinklered
Type of Const Width
REQUIRE D INSPECTIONS
_ Footings (new bldg) _ Sheetrock
_ Footings (deck) _ Final/C.O.
_ Footings (addition) _ Final/No C.O.
_ Foundation _ HVAC
_ Drain Tile Other
Roof - lee & Water _ Final _ Pool _ Figs _ Air/Gas Tests -Final
Framing _ Siding _ Stucco Lath _ Stone Lath -Brick
Fireplace _ R.I. - Air Test _ Final _ Windows
Insulation _ Retaining Wall
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
Date:
City of kap
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
7-5
10
Use BLUE or BLACK Ink
For Office Use
Permit #: /o// <�
Permit Fee: /e /�• 2.5-
Date Received:
Staff:
2012 RESIDENTIAL
r BUILDING PERMIT APPLICATION
1 Site Address: / / 2- ' YQ_(., l
Unit #:
Company:
Address:
State:
License #:
DuBois Conservatories
11825 Point Doug1Aa Drive t
Hastings, MN 55033
Zip:
202.904-5(e
Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Phone:
Phone:
Sewer & Water Contractor: Phone:
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issua ce.
1/171 (CIAOL3
Applicant's Printed Name
x
Applic. nt's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA117011
Date Issued:10/14/2013
Permit Category:ePermit
Site Address: 1925 Safari Tr
Lot:22 Block: 2 Addition: Safari Estates
PID:10-65850-02-220
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.
Stephanie Vought
3451 W Burnsville Parkway Suite 120
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 -
Fredrick M Dean
1925 Safari Tr
Eagan MN 55122
Burnsville Heating & Air Conditioning
3451 West Burnsville Parkway, Ste. 120
Burnsville MN 55337
(952) 894-0005
Applicant/Permitee: Signature Issued By: Signature