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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