1930 Safari Tr3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Date: _ /
RECEIVED
JUN 072011
Use BLUE or BLACK Ink
'For Oilicebse
Permit #:
Permit Fee:,7c7 5
6Date Recei: 7--
I Staff:
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
3o .S :cf i/ f t
$% i{ Site Address:
,„9.1fd. i
r
RESIDENT
OWNER
j
Name: t�l<-12- I.CL4i i t 0- 490 Phone: E' t c '"21 r1 ir
% 1 4 r t .�.,
Address / City / Zip: / r' L� 1
Applicant is: Owner Contractor
TYPE OF WORK
Description of work:.
Construction Cost: 4II, v.. L • C 0 Multi -Family Building: (Yes _ / No )
CONTRACTOR
Company: t b-0-44 f 00 o r Co , Contact: TelLtSeJt i e -t
Address: Ct®0 6 I 37—SEW City: re "veil
_
State:. MEL_ Zip: 5.--1 I 21 Phone: !Ll t a..- 14
License #: 5115 7 Lead Certificate #: MAT -1 18 " L
If the project is exempt
0t t' f
from lead certification, please explain why: (see Page 3 for additional information)
"
C$. e. r ICJ 7
In the last 12 months,
__Yes .No If
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
Phone:
Phone:
Phone: _
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons thatwould permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecalLorg
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 is
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
dans.
X n 'J. -j1 t "ger-
Applicant's Printed Name
SUB TYPES
Foundation
Single Family
Multi
01 of _ Plex
Accessory Building
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%100%tztL)
Census Code
# of Units
# of Buildings
Type of Construction
)q30 L2 T.
DO NOT WRITE BELOW THIS LINE
Fireplace
Garage
s?( Deck
Lower Level
Interior Improvement
Move Building
Fire Repair
Repair
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: __Ice & Water _Final
Framing
Fireplace: __Rough In _Air Test ___Final
Insulation
Sheathing
Sheetrock
Reviewed By:
Siding
Reroof
Windows
Storm Damage
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Demolish Building*
Demolish Interior
Demolish Foundation
Egress Window Water Damage
*Demolition of entire building - give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Meter Size:
Final / C.O. Required
err Final / No C.O. Required
HVAC Gas Service Test Gas Line Air Test
Other:
Pool: _Footings ___Air/Gas Tests __Final
Siding: _Stucco Lath __Stone Lath _Brick
Windows
Retaining Wall: Footings ___ Backfill _ Final
Radon Control
Erosion Control
, Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
1'4 72V
/4-((3 9
-2 ), f
0
Page 2 of 3
ENGINEERING
COMPRNY, INC
i000 EAST 146iz STREET,
CONSULTS * (N0111EE
PLANNSAS and LM
SURNSVILLE . MINNESOTA SS T PH 432-3000
;.t
LOT Z, BLOCK, ;AFAR\ ESTATES)
DAKOTA COUNC, it�tN' .il
t*)ltTE' . Xi5TtW .E° wAT ON
. PRO E,S;), t.' .SIVA-II
'IE}.A: t* .'-iR1R.g..CTio OF
—
C .L.EVA'it41► /41...4.IS c
eac
herby certify- t at' the
—land- as shun and describe-
% ,e. ,,ter 19
8.5
Ai A E A1.4
ILITY EAs INE:
(7:'S', i)
e
ad orra t r�Ipl�e�e11 £ SOI
Aa prepares nIa
T
of a tract of
on this Leday of
CITY OF EAGAN 0
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 13148
PHONE: 454-8100
BUILDING PERMIT Receipt fl'
To be used for SF ADDITION Est Value $20,000 Date JANUARY 29 19 d 7
Site Address 1930 SAFARI TRAIL Erect ® Occupancy
Lott Block -l-Sec/Sub. SAFARI ESTATES Remodel ? Zoning
Parcel No. Repair ? Type of Const.
Addition ? No. Stories
s PAUL DESLY Move ? Length 31
Name 12
= SAME Demolish ? Depth
3o Address Int. Impr. 11 Sq. Ft
City Phone 456-9003 Install ?
= o Name PA111, BYFRS
00
U -c Address 2916 ;1.A _ T .R T
City B' VTT.1.}Phone 894-441.2
F W Name-
_z
a Address
z
i W City -
I hereby acknowledge that I have read this application and statethatthe
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of
PAUL BYERS
A Building Permit is issued to:
all work shall be done in accordance with all aoolicableS
Building
Assessment
Water 8 Sew.
Police
Fire
Planner
Council
Bldg. Off.
Var. Date
Permit v 1"-' • -"'
Surcharge 10.00
Plan Review 81.7 5
SAC
Water Conn.
Water Meter
Road Unit
Tr. PI.
Copies
Total : 255.25
on the express condition that
of Minnesota Statutes and City of Eagan Ordinances.
Permit No. Permit Holder Data Telephone N
Plumbing
H.V.A.C.
Electric
Sullener
Inspection Date Insp. Comments
Footings I 7 4J
Footings II
Foundation
Framing
Rooting
Rough Pibg.
Rough Mg.
Insul.
Fireplace
Final Mg.
Final Plbg.
Bldg. Final
Cert. lkc.
Deck Fig.
Deck Frmg.
well
Pr. Dkrp.
PERMIT #
MECHANICAL PERMIT
CITY OF EAGAN RECEIPT #
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: 3 -c17
Site Address
Lot 1
Name N' ha ]K 1['K til&
Address 4010 Beal
c City 1•'agan
wr"l BLDG.TYPE
Sec/Sub Res X
A C I14C. Mult
Rue D Comm.
.,.,.,? Other
'
i
c Address ](4 Tra
3n Safar
p City Lagan Phone_
TYPE OF WORK
Forced Air M BTU
Boiler M BTU
Unit Heater M BTU
Air Cond. M BTU
Vent. CFM
Gas Piping Outlets #
Other add to ex?s_t -nq duct
S/C:
TOTAL:
WORK DESCRIPTION
New
Add-on
Repair
FEES
RES. HVAC 0-100 M BTU
ADDITIONAL 50 M BTU -
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIT) -
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
$24.00
6.00
1.50 EA.
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
SIGNAT O/ PERMITTEE
FOR: CITY OF EAGAN
CITY OF EAGAN ? 's
3830 Pilot Knob Road, P.O. Box 21.198, Eagan, MN 55121
PHONE: 4614-8100
BUILDING PERMIT Receipt #
Te V nod ice '-j; Esf_ Veluw $ 1 t f? . ?; Dare ;:1'i l 19 J
Site Address .' A I G Erect Ll
13 Occupancy
i
'
k c.r/g
b
t Bl
L Remodel Zoning
u
.
o
oc Repair ? Type of Corot.
Parcel No. Enlarge ? No. Stories
r `r+ .. ; ," ?? C,'n? Move ? Length f
st Name Demolish ? Depth
Address 1 Grade ? Sq. Ft.
City Phone Install ?
Name -. ??aL
Address
f- City Phone
Assessment
Water b Sew.
Police
Fire
Eng.
Ploruier
Bldg. Off . 1-:
APC
Ver. Date
Permit
Surcharge
Plan Review J a
SAC JG
Water Conn. }
Water Meter U()
Road Unit j
Total -70
Name
Address
City Phone
I hereby acknowledge that I have rood this application and state that
the information is correct and agree to comply with all applicable
State of Minnesota Statutes and City of Pgan Ordinances.
Signature of Permitttee
A Building Permit Is issued to:
all work shall be done in accordance with all applicable State of Mil
Building Official
an the express condition thor
Statutes and City of Eagan Ordinances.
Permit No. Pemdt Holder Deft Tel hone s
Plumbing ?) ?la t Z? C_J S
H.VA.C. 14)
Electric 3 1340 V
Softener
Inspection Date Insp. Other
Footings ?? S?js ?- ?,? w P
Foundation 6
Framing O
Roofing
Rough Plbg.
Rough HVAC 1?
Insulation 9
Final Plbg.
Final HVAC -p
rinal -?
CWVOna.
Water Describe Location:
Well
Sower
Pr. Disp.
Receipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fee
Fill in numbered spaces S/C ,
Type or Print legibly Tot.
1. Date _ 2. Installation Cost
3. Job Address ' Lot 814 Tract
4. Owner
5. Contractor Phone = _, t
6. Address
7. City State 2ipy
8. Building Type: Residential ? Commercial ? Institutional ?
f
9. Work Description: New ? Add ? Alter ? Repair ?
' ? ,
10. Describe - ? l Fuel Type A` -l% 1
11.
No. Equipmant BTU - M. Ea.
Forced
Air No. Equipment CFM
Air Handling:
.
Mfg.
Boilers h
M
E
Mfg. ech.
x
aust
Unit Heater
Mfg. Other
Air Coro._ ?
Mfg.
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 464-8100
Receipt r PLUMBING PERMIT
I CITY OF EAGAN
fTl a f ; Fill in numbered spaces
Type or Print legibly
Date 2. Installation Cost
No.T
Fee
S/C
Tot. ") S
3. Job Address Lot -131k. _ Tract
4. Owner
5. Contractor Phone
6. Address
7. City State zip ;i -
8. Building Type: Residential Q
9. Work Description: New\P
Commercial ? Institutional ?
Add ? Alter ? Repair ?
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
Cesspool /Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Well
Kitchen Sink
_Wi"/Bidet Other
i 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 454-8100
PERMIT # C'
PLUMBING PERMIT RECEIPT #
CITY OF EAGAN
EAGAN
MN 55121 DATE: - -
3830 PILOT KNOB ROAD
,
,
( -
<
J
CONTRACT PRICE I
PHONE 154-8100
Site Ad ress BLDG. TYPE WORK DESCRIPTION
Lot Block Sec/S
Res. New
m
Name
Mult Add-on
y Address 7 Comm. Repair
c city t? (Phone /r Other
.f?_ 5 i TOTAL
NO. FIXTURES
Name Water Closet - $3
00 $
3 Addrep 1 G .
Bath Tubs - $3.00
p City 9 Phone ?> ` > o c'3 Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00
FEES
Urinal/Bidet - $3.00
COMM/IND FEE - 1% OF CONTRACT FEE Laundry Tray - $3.00
MINIMUM - RESIDENTIAL FEE _$10.00 Floor Drains - 0
MINIMUM - COMM/IND FEE - 20.00 $ $11..50
Water Heater
STATE SURCHARGE PER PERMIT - .50 .
Whirlpool -
(ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets - $1.50
BEYOND $1,000.00) Softener - $5.00 ? `
Well - $10.00
q`
'
! Private Disp. - $10.00
:
+ , r •
G , Rough Openings - $1.50
SIGNATURE OF PERMITTE FEE
STATE S/C:
CITY OF EAGAN GRAND TOTAL
CITY OF EAGAN Remarks) 77
Addition SAFARI ESTATES Lot 2 Blk 1 Parcel #10 65850 020 01
Owner -' Street 1930 Safari Trail State
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 67q 9 1037.54 103.75
STREET RESTOR.
C?q ?
-19 82
15 46
-73409 -.33-
GRADING ?oR
SAN SEW TRUNK 1982 451.64 0.33 - r-
• SEWER LATERAL (030 1982 7197.20 1439.44
WATERMAIN
• WATER LATERAL 1982
WATER AREA (p 1982 4 1. 4 90-33
* Services 1982
STORM SEW TRK 1982 866.91 173.38 5
# STORM SEW LAT 1982 5
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit $2RO-00 S 1999 5/3 -4 /85
WATER CONN. 500.00
BUILDING PER. 10207
SAC 525.00
PARK
CITY OF EAGAN
3830 PRot Knob Road
P. O Box 21199
Eagan, MN 55121
Zoning: R1
Owner: Landsite Developm
Address
` Site Address: 1930 Safari Tr.
Plumber.
_>
1 agree to - NPIr wkb do Cky of 1""n
0 di seem
By
Dote of Insp.:
Coremwtion Chow: 4-15. as
Account Deposit:
Permit Fee: 1 ^ - J 0x9
Surcharge: . 5CL>.1
Misc. Charges:
Total:
Data Paid: I
CITY OF EAGAN WATER SERVICE P ERMIT
3830 PPvt Knob Road
`
P. O. Box
1199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zoning: No. of Units:
Owner t?e _ relop-a: ,.
Address:
Site Address:
Plumber.
Motor No.: Connection Charge:
Size: Account Deposit:
Reader No.: Permit Fee:
1 agree to so Ph wilt the City of LsNa Surcharge:
Ordlaanees. Misc. Charges: /C
Total: -et et
By Daft Paid:
Date of Insp.: Insp.:
CITY OF E,. GAN
3830 FRot K nob Road
P. O. Box 21 199
Eagan, MN 55121
Zoning: r` 1
Owner: Landsite ,Develo n
I
Address IRFA
Site Address 1930 Safari r.
Plumber. t
Meter No.:. 3 7 S -
WATER SERVICE PERMIT
PERMIT NO.: ;
DATE:
No. of Units: 1
it
1 a• I:st.
Size: ?l
Reader No.-O/ 45 Permit Fee: . ???`?
1 agree to eeegiy v a 00 City of sopm Surcharge:
onvos reel. Misc. Charges: 132 . ? ^ )d S, meter
Total: 63•'?1P
By C - Bate Paid:
Date I Insp.:
SEWER SERVICE PERMIT
c,?.
1
PERMIT NO.:-'
DATE: `
No. of Units: 1
18is req ssMid
0 0191"36 L /gl S - 10.007
Reques R,Date Fire No. Reug, -in Inspection
Req cored? ty Ready N. []will Notify Insuec-
6 / 12 / 8 5 ? yes E'_fJ Nn for When Ready
X Licensed Electrical Contractor I hereby request inspection of above
? Owner electrical work installed at:
Street Address, Box or Route No. City
1930 SAFARI TRAIL EAGAN
ecuon NO. Township Name or No. Ban,a No. County
Occupant (PRINT) Phone No.
DESIGN A HOME
Power Supplier Address
DAKOTA ELECTRIC FARMINGTON
Electrical Contractor (Company Name) Contractor's License No.
LAKEVILLE ELECTRIC, INC. A041802-
Mailing Address (Contractor or Owner Making Installation)
P.O. BOX 428 8960 W. 205TH ST. LAKEVILL?
W- 55044
Authorized Signature (Contractor/Owner Making Installation) ,
Phone Number
469-4939
MINNESOTA STATE BOARD OF ELECTRICITY U O THIS INSPECTION REQUEST WILL NOT
Griggs•Midwey Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone 461121 297,2111 ENCLOSED.
5j -) o REOLIEST FOR ELECTRICAL INSPECTION E&0000`11 44
See instructions for completing this form on back of yel lovn copy. I I y C
3 S-013 b "X" Be/ow Work Covered by This Request 0
Add Rep. Typo 02 Building Appliances Wind Equipment Wired
N Fee Service Entrance Size g Fee FeedersrSubteeders k Fee Circuits
p,p0 0 to 200 Am 0 to 30 Am 0 to 30 Aaws
Above 200 Amps 31 to 100 Amps 31 to 100 ArnM
Swimming Pool Above Anipsi Above 100_A
Transtormer5 Irrigation Booms Pania6`Other Fee
I_ I ISigns Special Inspection '$ yp TRAI
TOTAL
Remarks
Rough-in Date
1, the Electrigl
pact. hereby
certify that the above
Final Date(/
r inspection has been
p medo-
thin inquest void 18 month hem
RESIDENTIAL
22? BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
6S1-681-4675
New Construction Requirements
• 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas
(20% maximum lot coverage allowed)
• 2 copies of plan showing beam & window sizes; poured found design, etc.)
1 set of Energy Calculations
• 3 copies of Tree Preservation Plan if lot platted after 1/1/93
Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
DATE (O ?Z' ,0
Phone #
SITE ADDRESS 511 Ira r/ ? ?A f (- MULTI-FAMILY BLDG -Y XN
TYPE OF WORK )eL.Y00 P - Wl rl dower FIREPLACE(S) _ 0 _ 1 _ 2
APPLICANT
Lfif"?ri vrs
STREET ADDRESS I `7 (0 f0 fiVQ 5" f ttict h
TELEPHONE # q52- 8>/_k32CELL PHONE #
FAX #
PROPERTY OWNER Pain -ek TELEPHONE#
-----------------------------------------------------------------------------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CA'FEGORY I _ MINNIESO"1':1 RULES 7672
(V 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:
Air Conditioning
Heal Recovery System
---------------------------------------------------------------------------
I hereby acknowledge that I have read this application, state that the
with all applicable State of Minnesota Statutes and City of Eagal?c
Signature of
OFFICE USE
Water Softener
Water Heater
-? No. of?Baths
RemodellRepair Requirements
• 2 copies of plan
1 set of Energy Calculations for heated additions
1 site survey for exterior additions & decks
Indicate if home served by septic system for additions
_ Phone #
Iawn Sprinkler
No. of R.I. Balks
VALUATION / 3, 3 U?
ATE
Fee: $90.00
Fee: $70.00
Phone # O ?AU ?l
JUN 2 4 2002
---------------- Q - ---------------
Certificates of Survey Received _ Tree Preservation Plan Received - Not Required _
Updated 4102
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. 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 (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or - N ? 25 Miscellaneous
? 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 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 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
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
Building Inspector
Total
CITY OF EAGAN No 1 0 2 0 7
3830 Pilot Knob Road P O Box 21.199 Eagan MN 55121
PHONE: 4548100 {/ ?7
BUILDING PERMIT Receipt # d r/
SF
$126,000
Site Addess 1930 SAFARI TRAIL
Lot 2 Block 1 ?WSub. SAFARI EST
Parcel No.
W Name FORTUNE REALTY INC
Address 4940 VIKING DR
City EDINA Phone 835-3363
ffi Name DESIGN-A-HOME INC
Address SAME
u
City Phone 835-3363
Name DAN MANSFELDT
Address
City BURNSVILLTphone 894-3208
Erect LX Occupancy K3
Remodel ? Zoning R1
Repair ? Type of Const. V
Enlarge ? No. Stories
Move ? Length 78
Demolish ? Depth 26
Grade ? Sq. Ft.
Install ?
Approwls Fees
Assessment Permit 49b. U U
Water S Sew. Surcharge 63.00
Police Plan Review 249.00
Fire SAC 525.00
Eng. Water Conn. - 50().(10
Planner Water Meter 6 -1- 0 0
Council Road Unit 2RO n0
I hereby acknowledge that 1 haw rood this application and state that Bldg. off, 5/10/81 T . P . 132.00
the Information is correct d agree to comply with all applicable
Stott of Minnesota Stotut and City gan Ordin nus. APC Total ?.2.a 1 O _ 00
Var. Date
Signature of PermiMes t J
A Building Permit Is t to: DESIGN-A-HOME INC on the express condition that
all work shall be do accordance with all applicable Stape-vI% Innewto Statutes and City of Eagan Ordinances.
Building Official
??D2 p7
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
To Be Used For:
Site Address:
INCLUDE T ETS OF PLANS
CERTIFICATES OF SURVEY
T OF ENERGY CALCULATIONS
/1 f/' S/r?cE F9rt it ?/ I Zo W0. w
/fCrn Valuation: 06
Date: ?S
193o -1729,,z
SAr',? /
Lot: Block / Sect/Sub 42s65
Parcel p /D_bS85o-ozo-o/-7
Owner F."00-row REALTY, i.Ju,
Address GIVS/O V1'1G1.1G 4-21L
City/Zip Code ?ii?g _ ?N 5? {3?
OFFICE USE ONLY
Erect Occupancy
Remodel Zoning
Repair Type of Const
Enlarge # of Stories
Move Length
Demolish Depth
Grade Sq Ft
Phone F'3S- ' 33 3 APPROVALS
BSS/(or/ ? -t/dn'7E, /^7G #
Contractor Assessments Permit
Add
G
/
` Water/Sewer Surcharge
ress S195
//c /N
o 1- Police Plan Review
Fire SAC
City/Zip Code e6l& t r /Ma/ 5$cF3; Engr Water Conn
Planner Water Meter
Phone ?? ?3l03 Council Road Unit
Bldg Off /0 S Parks
Arch./Engr. APC Treatment P
Variance
Address
City/Zip Code
jt/?'NS?/Lj?,/j7/??77
Phone # 9 C- 3-2,0e
TOTAL
K-I
Zlo
7-49.21
525, °
500.
L 132.°
?a/0
a
X' 5-3363
2(,x ???? xs4 c?4s?4
41h x 4( - I?os?
2Co X l ?
Za K 3c) 8qo 41 -' ?l 44-40
4
125 2-32
ROSE CONSULTING ENGINEERS
ENGINEERING PLRNN(RS and LAND f11RVE'
COMPRNV, INC.
L 1000 EAST 1461A STREET, BURNSVILLE, MINNESOTA 55337
emu- $ PA&C 56
PH 4323000
Lgggf QWg?-LeZZfgn: L07 2, BLWK 1? SAFARI ESTATES
. DAKOTA COUNT`(, MmmF-S0"Tq
NORTH
SCALE 1° = 4,0
3a FRDNT BUILDI
SET BAGK LONE
-S A
£9
A L
A 94
1'4 ?> se 9 r l
11146-S ' DENOTES EX157INra ELEVATION
Y: f 4s-s-0 t?? a
?44o.o) DENOTES PROPOSED ELEVATI0t4 (?`?5,
/? ?g.? gWa ?Zi 2.p
f INDICATES DIRECTION OF 31
(q37 y 8 ?So
SURFACE bRAIWA6E 3 / ? ?,
FINISHED CAR PLfbR o °
ELEVATION = 9 455 00 p' / i
m N /
N / LOT 2 I o CY
p?
N,
S 7r e Op. Op` ?;
I hereby certify that this is a true and correct
land as shonn'and described hereon.. As prepared
AR°iL , 1985 .
i
i
DRAIWAGE Amo
?,,? UTIUT`( EASEMENT
represen a ion of a tract of
by me on this `? day of
4fz-R Minn. Rea. No. /eas5
p. k
498° +
249 • +
?3 e +
2aQ ° +
132 • +
2310°'
EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
OWNER: Lf/N?/? ??l/El c?Er?7 CfiM??Pl??
SITE ADDRESS: lf3o s Ogva.l Td2.?iL
•?5/C9??-A `rlor+? E, /,rte +?
: 1/?/?r PHONE: f-336 3
CONTRACTOR: 4_,*r6jpS/TL° Gv• DATE ?
DETERMINE WORKING SQUARE FOOTAGE OF EACH:
1. TOTAL EXPOSED WALL AREA „•,,,,, sq ft x "U" '11 = rS???JLP
2. TOTAL ROOF/CEILING AREA,,,,,,,_ If sq ft x "U" •026 = 3?,? 3
3. TOTAL EXPOSED WALL AREA CALCULATIONS-
3
Total exposed wall
area above floor,,,,,,,, 2, ] 1 sq ft
a) Total wall window area:
9)3L-C glazed...... sq ft x 'lull 1I a 051
glazed,,,,.. sq ft x "U" _
b) Total door area 37i sq ft x "U"
c) Total sliding glass door area:
V$Le glazed......
30,0 0
sq
ft
x
"U" 0 2
glazed...... sq ft x "U" _
d) Total fireplace wall area 40 sq ft x "U"
e) Total wall framing area
(A
Z7
verage 10$) .......... 4 sq ft x "ll" , U
f) Total net wall area above
floor (Insulated)....... //11 /
??'V1?
2,
V
sq
ft
x
"U" d y
q) Total rim joist area...... CC
11
Z Z?? sq ft x "U"
Total foundation
area (Exposed)........., sq ft
h) Total foundation
window area ............. 2100 sq ft x "U"
i) Total net foundation
b
"
"
?0
area a
ove grade........ sq ft x U 1 =
T OTAL a) thru 1)
If item #3 is the same as, or less than item #1, you have met the intent of
S.R.C. Section 6006 (c) 2.
,. a
4. TOTAL EXPOSED ROOF/CEILING CALCULATIONS:
Total exposed
'
L
roof/ceiling area........ L 2
i
22 sq ft
j) Total skylight area....... *J . sq ft x "U" t A
k) Total roof/ceiling framing
9
')
1
Z ?-
f
"U"
r
Z
2 7 T
- l T
.,
......
0
area (Average
so
t
x
1) Total net insulated
?
"
" Q -Z
1 2-
Z ?'?
roof/ceiling area....... sq
Q ft x
U =
4. TOTAL j) thru 1 ) 7L
If total of #4 is the same as, or less than #2, you have met the intent of
S.B.C. Section 6006 (c) 1.
ALTERNATE BUILDING, ENVELOPE DESIGN
To utilize the total envelope system method, the values established by the sum
of items N3 and ,e4 shall not be greater than the sum of items N1 and k2.
1. + 2.
-
3. + 4. _
C E R T I F I C A T 1 0 N
I hereby certify that I have calculated the "U" factors and "R"
values herein and that the building here described meets or exceeds the State
of Minnesota Energy Conservation Act.
X (Signature
(Date)
OIISTRUCT I ON
RAMING SECTION:
1 Interior air film
2 _Vl-" 07YwA1(-
3 inches soft
4 2s/52, led, 15iza
5 4-10N6
6 Exterior air film
R VALUE
TOTAL R = 117A
U = 1/R = 16b
WALL SECTION (INSULATED)
ST SECTION:
,4 a
Ca 6 •
re4
ION SECTION:
Interior air film n.68
br" FXP• Pai_Y S-7 Y11F,-S 7 So
0-0 fSLzGcpl
Exterior air film 0.17
TOTAL R = q 403
U = 1/R - 10
SLAB ON GRADE
14 ZL
441
d )9
a4 Q ,
U = 1/R = ,0?
U = 1/R = ,Df
I
CONSTRUCTION R VALUE
CEILING SECTION (INSULATED):
1' Interior air film 0.61
2 vhy 9!-Y1..Au_ 14c;
3 I r 94,OV•N IN SbL .40
4 Exterior air film (still) 0.61
TOTAL R =Z_LZa
U = 1/R = OZ
CEILING FRAMING SECTION:
1 Interior air film 0.
2 Va N t2KYC.,4G'-
3 19x12"BwwN //430L.
4 Interior air film still 0.
5 31/2" inches soft wood 4,
TnTAI R ='kG
U = I/R = -OZ
CEILING, SECTION (INSULATED):
1' Interior air film 0.61
2
3
4 Exterior air film still 5371
TOTAL R =
U = 1/R =
VENTED
CEILING FRAMING SECTION:
I. Interior air film 0.61
2
3
4 Exterior air film still 0.6-1
5 inches soft wood -
TOTAL R =
U= 1/R=
1 Inside air film n.Al
2
3
4
S Outside air film 0.17
TOTAL R =
U = 1/R =
CITY OF EAGAN
N
13148
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 70)
BUILDING PERMIT
Receipt # ,2 1
ADDITION
$20,000 JANUARY 29 87
To beusedfor
Est.yalue
Date 19
Site Address 1930 SAFARI TRAIL Erect 29 Occupancy
Lot 2 Block ----I-Sec/Sub. SAFARI ESTATES Remodel ? Zoning
Repair ?
Parcel No Type of Const
.
Addition ? No. Stories
W Name PAUL DESLY Move ? Length
12
i Demolish 11
SAME Depth
o Address
Int Impr. ?
456-9003
Ci
Ph
? Sq. Ft
ry
one
Install
o Name PAUL BY
ES
ON Address 2916 A TF.R T
City R' VTT.T.Fk hone 894-4412
. Q
F w Name
u a Address
a W City Phone
i
I hereby acknowledge that I he a rAOr ation and
information is correct and agr a tall appli
Minnesota Statutes and City f Eac
Signature of Permittee
A Bui lding Permit is issued to: I?YERS
all work shall be done in accordance with all ap bl tal
Building Official
Assessment
Water & Sew.
Police
Fire
_ Planner
Council
the
t of Bldg. Off.
of Minnesota
Var.
Fees
Permit $ 163.50
Surcharge 10.00
Plan Review - 81.75
Water Conn.
Water Meter
Road Unit
Tr. Pl.
Total $255.25
on the express condition that
of Eagan Ordinances.
9 10R7 RT T.nTNl. PERMIT AP .TC.ATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR /HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS - RESIDENTIAL
INCLUDE 2 SETS OF PLANS, CER
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
RENTAL UNITS FOR SALE UNITS
OF SURVEY - CHECK WITH BLDG. DEPT.,
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
Am)irct,j To
To Be Used For: ("k464\L2 Valuation:
Site Address 1q 3 O iA-L+u +VA-Jr-
Lot 2 Block
Parcel/Sub SA j 1 1?S
Owner
Address I i ? V
City/Zip Code Ei%q A-y"
Phone (O °1 ?
Contractor 2 V
Address G?+
City/Zip Code IJVYAS$ lI ki 51r; 3
Phone 79 Ll
L
- 414,
Arch./Engr. 0 n
0NpL
Address
City/Zip Code
Za,o?
Date: --4r- ZG, ITO
On Site Sewage_
MWCC System `
On Site Well
City Water
APPROVALS
Assessments
Water/Sewer
Police
Fire
Engr
Planner
Council
Bldg Off
APC
Variance
Occupancy
Zoning
Type of Const
(Actual)
(Allowable)
if of Stories
Length
Depth
S.F. Total
Footprint S.F.
FEES
Permit I (o'er
Surcharge (O.
Plan Review bl • ??
SAC, City
SAC, MWCC
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
Copies
TOTAL
Phone #
-7 Z ri ?? _ S 7?
f' }tG6 cCP?;x Ezrs? 8 Aar 5b
- ?r aosE
CONSULTINO ENOINEERS
ENGINEERING PLANNERS and LAND f61"YORS
COMPRNY, INC.
??•???1000 EAST 146th STREET, BURNSVILLE, MINNESOTA 53337 PH 432-3000
cep-?i}Li cac? S`ecr?-ey
j?vat IJkacaLpa?icrE:
:?fo?o` DEN?iTE? EXISTING E'?.EVP?TIQIh
gNPlo) DE tyE T'ES PROPOSE?. -VAT10t,1
4
• ; ??p?ep.Te 5 D+RECTIO1.+ OF
?.
EVATION Q q45.9
V
='I hereby certify that th:,
land, as shove and describe,
z'.'; A?.? ? 1985 .
a.
LOT 2, BLOCK I ;AF'AR1 ESTATES,
DAKOTA COUNT! NNE"_JTI?
O/
93,E
4LL
IL
l` J 9 ? yyy
?p /pD
?v?R„y-ADO / 9y''
4 ,S ?• ?p
a8? fay, .jzZi
J
f
s,
ae
V; -
DKA%t`IAoE Av4D
V ' !LIT ( EASEMENT
X9_9, -/?
e 4 tree and correct repreaen a 4on of a tract of
^erecn. As prepared ')y me on this z2,0 day of
yam/
/..- - Minn. Rat. No.
h
2/84
CITY OF EAGAN
APPLICATION FOR PERMIT
1lNl
SEWER AND/OR WATER CONNECTION
(PLEASE PRINT)
(? p
1) PROPERTY ADDRESS: V:k,7CI
LEGAL DE.RIPTICN: 4o+ c;2 t' ?ja-e '
(Lot/Block/Sccaivisicn or Taff Parcel I.D. NL=Der)
IF EYIS'_::G STRUC=E, DA.- OF OR_IGlI:7EL =LDIC:G :.y_-1T ISS.:r C?:
1 PR2s= :-TrN-/'-pPO?CS= L`SE:
9 R-1 Sz=- FP SLY
R-2 CUPTyr..: (T.:'O LSII':S)
? R-3 TCF.tL\THCL1SE ('??IF=- + L TITS) ( U.TI^_S)
? R-4 APy.R'!T^.TM'^;T/CO_T)C:-,r?, j?' j ( U I_5)
? CCtnib CL-./ 0-rAIL,/OFFIC
? _7-?DUSTRS.=L
? LISTITLTICNAL/GOVEPII•?:T
2) APPLIC = (PLEASE PRINT)
N2V-IE: ??s NYL G?i )Y? ?I_M HIV
ADDRESS:. (? fie- v d? L12 ?r
cIT^Y, STATE, ZIP: (ZieG.Kej MAD 5__5 ?tZ7
PF.ONM: ale- 30 S-]
3) Pir,-PER LEASE PRINT)
NP.ME: S
b
IQ
J&Lik
? FOR CITY USE ONLY
TaL
m
t
i)
4
ADDRESS: (aLe'ka P2rlcl g'L'C cx PLUMBERS ICENSE:
Activ
CITY, STATE, ZIP: RiQ-?Ae(LL IKW 3 E:p- ed
MAa it,.
PHONE: PLUMBER LICENSE N_ of Record
nicia
4) =,•PAUT/CSV•IdER iYLLH?G YH1R1J I ''
NAME: ?VY (OtI iC/YiL
ADDRESS:
CITY, STATE, ZIP:
PHONE:
S) INDICATE WHICH PERUT IS BEING REQUESTED:
CONNECTION TO CITY SEFTER
CON-,'=ION TO CITY STATER
? MER (PLEASE DF_SC.'RSBE)
6) RM1C.,.E 02,2::
? PI-EASE HOLD APPROVED PERNUT FOR PICK-UP BY ONE OF ABOVE
17y PLE7,SE ,U%IL APPROVED PER`LIT TO 1, 2?4 ABOVE
(Circle one)
7) SIG SIT RE: DATE: -?) ??
BRA, ? ,f
'RiR16A ?R i !i li:g?j ! f1 •1t q RRi? N i i iiii:a a ! ! llfsyf? 1n1 i Yt l LR ??y ?
F O R C I T Y U S E O N L Y
PERMIT °- ISSUED
FEES: $ _?G. ?J
$
$ !0 3 Uu
S
S
$ /s?u&
$ /Sou
$
S
S
$ c U'
S
S
$
SE-.%--ER PERMIT (INCLUDE SUR?=ARGE)
WATER PERMIT (INCLUDE SURCHARGE)
WATER METER/COPPERHORN/OUTSIDE READER
WATER TAP (INCLUDE CORPORATION STOP)
SEWER TAP
ACCOUNT DEPOSIT - WATER
WAC
SAC
TRUNK WATER ASSESS:SENT
TRUNK SEWER ASSESSMENT
LATERAL BENEFIT/TRUNK SE:vER
LATERAL BENEFIT/TRUNK WATER
WATER TREATMENT PLANT SURCHARGE
OTHER:
TOTAL
AMOUNT PAID/RECEIPT 4. 5 -
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
YES IF YES, THEN A "PERMIT FOR WORK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
??NO ENGINEERING DIVISION. LIST AS_A CONDI-
TION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE:
R!?i?st i?R4?!ws!!lamW?w!wA f?m OR" wq?w Ri mRAC im wt? AEwi!",ON R40 @*4?4t 01"imi
OF
3830 PILOT KNOB ROAD, P.O. BOX 21190
EAGAN, MINNESOTA 55121
PHONE: (612) 454-8100
JANUARY 2, 1986
J BYRON WATSCHKE -
FORTUNE REALITY
4940 VIKING DRIVE
MINNEAPOLIS MN 55435
Re: Safari Estates - Financial Guarantee
Dear Mr. Watschke:
BEA BLOMQUIST
Marv
THOMAS EGAN
JAMES A SMITH
MC ELLISON
THEODORE WACHTER
caai I Member
THOMAS HEDGES
City ACministr r
EUGENE VAN OVERSEKE
CW Clerk
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 following lots will not be
issued a building permit: Lots 2, 3, 13, 14, 15, 18, and Z? 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.
1. Street lights
4 each Q $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,
4-raig E. Knudsen.
Engineering Technician
cc: Tom Colbert, Public Works Director Ed Kirscht, Engineering Technician
Dale Peterson, Chief Building Official
CEK: ieh THE LONE OAK TREE... THE SYM90L OF STRENGTH AND GROWTH IN OUR COMMUNITY
RESIDENTIAL BUILDING
?#vb Permit Application ?Q
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Requirements Remodel/Repair Requirements Office Use Oniv
3 registered site surveys showing sq. fl. of lot, sq. ft of house; and all roofed areas 2 copies of plan Cert of Survey Reed _Y _N
(20% maximum lot coverage allowed) tset of Energy Calculallons 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 Recd _Y _N
1 set of Energy calculations Addition - indicate ifonsite septic system On-site Septic System _Y _N
3 copies of Tree Preservation Plan if lot platted after 711/93
Rim Joist Detail Options selection sheet (bidgs with 3 or less units
Date -0 / 'J i / C)5
Site Address 1 ,7,30 S>9 Construction Cost 5-PLkD, aJ
'r
f4llP/ Unit/Ste #
Description of Work IA_)5 C S ^/5 Li
Multi-Family Bldg
_
N
Y _ Fireplace(s) - 0 - 1 2
?j
`
Qn
,/,
Property Owner /"/?µ? Telephone#(617
Contractor F1
Address 300) ??
State Hz,
Zip 755);) 7 City
Telephone #(9- -) `J `lrJ 21?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code Category . Residential ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone # (
Telephone #(
N If so, 25% plan review
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 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 w k which requires a review and
approval of plans
??( H j 0 ?? 0? Y,
Applicant's Printed Name Applicant' Sign
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 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01of_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
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
2006 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings R. townhomes/condos when permits are required for each. unit 'Date 7 06
Site Address 1930 ?
( c ? gAtc ? OeaJ
/ Unit #
Property Owner Telephone #( `5/) y-Sy? *3? 97
ANGELL AIRE, INC.
Contractor
Burnsville, MN 55337 I
Street Address nAWA-5-2-446-52011
le hn City
-
Fax: 952-746-52QI Telephone # ( )
State p
q
Bond #: SO 0 5:4:. / Expires: 9 Z? d
The Applicant is Owner Contractor Other
Add-on or alteration to existing dwelling unit $ 30.00
Y furnace /
-Additional Y Replacement New
_ air exchanger
air conditioner n E (C IENE
heat pump LIn?`f
JUL 1 0 2ni
other
.50
$
State Surcharge
$ 30.3--o
Total
I hereby apply for a Residential Mechanical 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 with the Mechanical 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 plans.
'oe
Applicant's Pried Name plic ignature
2006 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: commercial industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
Date
Site Street Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor fuJG? 9tlits"A Inll,, 7 its PP C?
Street Address • City
rl.O.,
State Zip Telephone # ( )
Bond Expires:
The Applicant is Owner Contractor Other
Work Type
_ New Construction - Underground Tank _ Install -Remove **see below
Interior Improvement _ Install Piping -Processed -Gas
Nature of Work:
**When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing Inspector
Permit Fees: 570.50 Underground tank installation/removal
35030 hfinimmin (includes State Surcharge)
or
Contract Value $ x 1% _ $ Permit Fee
$ State Surcharge
If ep rmit fee is less than $1,000, add $.50
If permit fee is more than $1,000, surcharge
is $.50 for every $1,000 owed.
$ 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 conformance with the ordinances and codes of the City of Eagan and with the Mechanical 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 plans.
Printed Name
Approved By:
Required Inspections:
Inspector
U.G. R.I. Air Test
Applicant's Sig
Date:
Gas Service Test
Infloor Heat Final
CASH RECEIPT
CITY OF EAGAN
P. 0. BOX 21-199
EAGAN, MINNESOTA 55121
/DATE 19
FROM
AMOUNT
& DOLLARS
- 100
? CASH p CHECK
FOR
7
FUND CODE A1A CUNT
Thank You
I c.'
a_ 54235
1
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
s6
City of Earn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
APR 2012010
Use BLUE or BLACK Ink
For Office' .0
Permit #: a5
90
Permit Fee:
Date Received:
Staff:
J
2010 RESIDENTIAL}BUILDING PERMIT APPLICATION
Date: 14 —7-- / °Site Address: 19 30 5c 2c, ' l , 1-12- Ecu
Tenant: Suite #:
RESIDENT / OWNER
Name: "! k -e- Lam-/ On Phone: 6 57 — Ysy — 31 T 7
/
Address / City / Zip: I " 13® Se(f Cl. / 2 ga-7151'Al
Applicant is: Owner 1,, Contractor
TYPE OF WORK
Descriptioni� p1 QG €4 /7 (,2/✓t06u-1S
of work: k. �" p -/%'i
Construction Cost: %,, 5.-/..0,00 Multi -Family Building: (Yes / No,
CONTRACTOR
Name: L& (i417-01 CA -44k) License#:
Address: 393' vn ,9(.)brmDk !z City: Ji Loa*5 '4t, MA/
State: /11(1 Zip: ,, r Y 2:6 Phone: 9.`�2 '-'11 J' 3 ' 3 0 v
Contact: a/ vh i4.44.4 --„A-2_5 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 Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor:
Phone:
NOTE: Plans and supporting documents, that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One 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 l 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.
4
vL
wants Signature
x a,I t.4zh1 .-5
Applicants Printed Name
Page 1 of 2
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA139269
Date Issued:10/17/2016
Permit Category:ePermit
Site Address: 1930 Safari Tr
Lot:2 Block: 1 Addition: Safari Estates
PID:10-65850-01-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Michael J Larson
1930 Safari Tr
Eagan MN 55122
(651) 470-0183
Norblom Plumbing
1465 Selby Ave
St Paul MN 55104
(612) 827-4033
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA141325
Date Issued:03/06/2017
Permit Category:ePermit
Site Address: 1930 Safari Tr
Lot:2 Block: 1 Addition: Safari Estates
PID:10-65850-01-020
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
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: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Michael J Larson
1930 Safari Tr
Eagan MN 55122
(651) 470-0183
Home Depot At Home Services
6224 Lakeland Avenue N, #102
Booklyn Park MN 55428
(763) 542-8826
Applicant/Permitee: Signature Issued By: Signature