1973 Safari TrC!ty of Eaaall
3830 Pilot Knob Road
Eagan MN 58122
Phone: (651) 875-5675
Fax (851) 875-5694 LStatSCJ
AUG 18 RECD
Use BLUE or BLACK ink
Permits: 6 Q scl y' %
Permit Fee:
(5''<S -'v
Date Received: P--/e—k)
2010 MECHANICAL PERMIT APPLICATION
Date: Site Address: o""t G ►r
Tenant .b%r-1
l
RESIDENT / OWNER
Sults e:
TYPE OF WORK
PERMIT TYPE
Replacement Additional Alteration Demolition
of work:
RESIDENTIAL
Furnace
Air Conditioner
AirExchemger
Heat Pump
RESIDENTIAL FEES:
555.00 Minimum Add-on or alteration to an existing unit (includes $5,00 State Surcharge)�-
595.00 Fire repair (replace twined out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ • �� TOTAL FEE
COMMERCIAL
New Construction .. Interior improvement
Install Piping , Processed
Gas Exterior HVAC unit
_ Under / Above ground. Tank ( Instep / _ Remove)
**When instaihng/removrng tank(s), caf for inspection by Fire
Marshal and Plumbing inspector
COMMERCIAL FEES;
575.00 Underground tank installation/removal OR Contract Value $, x 1%
555.00 Eitnimurrt (includes State Surcharge)
Permit Fee
- If the E mtit Egg is teas thin $10,010, surcharge Is $ 5.00
if the Permit Ege is > 510,010, surcharge increases by $.50 for each 51,000 Pemdt Fee = $ Surcharge
(i.e. a $10,010-$11,010 Pemrit Fee requires a! $ 5.50. surcharge)
TOTAL FEE
`� E V9U DI . Can Gcphe State One Can at X651) 454-0002 for protection againsta
beforeO�you intend to d to receive locates un damage. Cali 48 hour:
dig � underground utilities. www.sroaherstateonecall.orsr
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, brit 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 Mork which requires a review and approval of p
Applicant's
FOR OFFICE USE
Required Irtsp+ec
APPlIca
Rough In g Air Test ,, G Service°T+
Exterior HVAC Screens
BUILDINGI`PERMIT
To be used for SF D
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
Receipt #
Est. Value
Site Address 1973 SAFARI TR
Lot 4 Block 3 Sec/Sub. SAFARI 3RD
Parcel No.
Name PIETSCH BUILDERS, INC
Address 9543 BIRCH LN
° City LAKEVILLE Phone 461-3381
Name
0
Address
cc City Phone
Name -
Address
City _
Phone
and state that the
applicable State of
A Building Permit is issued to: •..a"v.. a.?aawa?....? aa.v
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
42 17574
u
19 89 _
OFFICE USE ONLY
Occupancy R-3 Mr1 FEES
Zoning R-1
(Actual) Const VV-N Bldg. Permit 204000
(Allowable) Surcharge 73.50
# of Stories
82'
Plan Review
402 •
Length
Depth 28' SAC, City 100.00
S.F.Total SAC, MCWCC 575.00
S.F. Footprints -
M0.00
On Site Sewage Water Conn
On Site Well - Water Meter 90.00
MWCC System
XX
Acct. Deposit ?•?
City Water XX 20.00
PRV Required S/W Permit
Booster Pump S/W Surcharge 1000
228'00
Treatment PI
APPROVAL Road Unit 340.00
Planner
il
C Park Ded
ounc Copies
Sidg. 011. 3.243.50
Variance TOTAL
Permit No. Permit Holder Date Telephone #
WATER
Q i
tc t. L
/D/7l
SEWER
PLUMBING v/ Q?1:zC1 ????/g
H.V.A.C. II c ?a ?//6 q
ELECTRIC
Inspection Date Insp. Comments
Footings I ?l7 ,? /
Foundation
Framing
Roofing
Rough Plbg. - ?. U--.tom
Rough Htg. G
Isul. Z
Fireplace a/' (?!J
Final Htg, Q
Final Plbg.
Const. Meter Plbg. Inspector - Notify Plumber
Engr.IPlan
Bldg. Final
Deck Ftg.
Deck Final
well
Pr. Disp.
mrt? a d
(9rdifirate of (Orruvaury
Citp of Cagan
lopportmmt of Wadbmg Amptrurm
This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building
Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the following..-
Use Clauificatioa SF DWG/GAR Bldg. Pbrmit No. 17174
0-w-y TYv R-3 M-1 Zoning District R-1 Type Caost. V-N
Owner of Building PIETSCH BUILDERS Address 9543 BIRCH LN
Building Address 1973 SAFARI TR Loodity L4, B3, SAFARI 3RD
', JANUARY 29, 1990
" r
Date:
Building Official
POST IN A CONSPICUOUS PLACE
CONTRACT
PRICE
Site
Lot.
Add
c City
Phone
C- I Addres l ?y vI fcn c is
City `{ /it - Phone
FEES
COMMAND. FEE -1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APLLIES
MINIMUM - RESIDENTIAL FEE $12.00
MINIMUM - COMM.IND./FEE $20.00
STATE SURCHARGE PER PERMIT .50
(ADD $.50 SIC PER EACH $1,000 OF PERMIT FEE)
'L.!
FOR:
PLUMBING PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN
454.8100
For C
PERMIT #
55122 RECEIPT#
DATE:
BLDG.TYPE
Res.
MOIL Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Water Closet - $3.00 $ /' -? Bath Tubs - $3.00 J
?- Lavatory - $3.00 / . .
?- Shower - $3.00'r J7
?- I(itchen Sink - $3.00
Urinal/Bidet - $3.00
-? Laundry Tray - $3.OD
?- Floor Drains - $1.50 - 5 3-
-? Water Heater - $1.50
Whirlpool - $3.00 ' .J>
Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
wen - $10.00
Private Disp. - $10.00
-? ---
Openings - $1.50
PERMIT FEE: )
STATES S/C: ?p
GRAND TOTAL:
PERMIT #
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN f
3630 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100 For Office Use Only:
Site Address
BLDG
TYPE WORK DESCRIPTION
Lot Block Sec/ Sub .
N
w
R
e
es.
Name 1 ; ' I Y Mult Add-on
m
Address Comm. Repair
c
City
Phone .? Other
FEES
Name RES. HVAC 0-100 M BTU -$24.00
C Address ADDITIONAL 50 M BTU - 6.00
39 p City Phone (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1
50 EA
.
.
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air
M BTU ` APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMODELS - 1200
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent
i
G
Pi
O
tl
t
# CFM (ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1
000)
p
ng
as
u
e
s - ,
Other
FEE: - ; L
SIGNATURE OF PERMITTEE
S/C:
TOTAL- ` FOR: CITY OF EAGAN
SEWER & WATER PERMIT
CITY OF EAGAN
3830 PikR Knob Rd.
Eagan, MN 55122-1897
DATE
OFFICE USE ONLY
METER # PERMIT DATE 10/17/89_
CHIP #60 ?GD PERMIT # 11034
METER SIZE B.P. RECEIPT # C 4232
ISSUE DATE 6 10 B.P. RECEIPT DATE 10/16/ 89
xx PRV - BOOSTER PUMP
SITE ADDRESS Z Z 5??/ i'z
LOT 'I BLOCK.?-SEC/SUB _ 15s,f 5vlt?bU 3 ?- E)
APPLICANT:
ADDRESS:
CITY, STATE' ZIP
PHONE:
PLUMBER: tier
ADDRESS: !
CITY, STATE nil, f ZIP
PHONE: /i - ? 3 n
OWNER:
ADDRESS:-
CITY, STATE
PHONE: -
ZIP
PERMIT REOUESTED
SEWER .,K WATER _ TAPS
COMMAND --'CRESIDENTIAL
NEW - EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for duct Meters.
1 AGREE T COMPLY WITH CITY OF
EAGAN ORiNNANCES
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT. ?.
SEWER & WATER PERMIT
CITY OF EAGAN -
3830 P*X Khob Rd.
Eagan, MN 55122-1897
DATE
OFFICE USE ONLY
METER # PERMIT DATE 10/ 17/83
CHIP # PERMIT # 11034
METER SIZE B.P. RECEIPT # 42? 21
ISSUE DATE B.P. RECEIPT DATE
'- PRV - BOOSTER PUMP
SITE ADDRESS
LOT '/ BLOCK-? i --SEC/SUB
J
APPLICANT: `/F
TC ?-r
ADDRESS:
CITY, zip
PHONE:
PLUMBER:
ADDRESS:
CITY, STAVE = T_ ZIP
PHONE:
OWNER:
ADDRESS:-
CITY, STATE
PHONE: -
PERMIT REOUESTED
X SEWER - WATER _ TAPS
COMM/IND RESIDENTIAL
,, NEW - EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES
ZIP
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
0 CASH RECEIPT 0
CITY ?OFEAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE / v 19
(d;?/??! 7J 1 ? 7
AMOUNT s & ?D
O CASH
LVCHECK
r
a
C 4232 Copy
Pw*--FOe Copy
& DOLLARS
,OD
Thank You
/? ??
BY
DATE: 10/17/89
RE_ 1973 SAFARI TRAIL, L4, B3, SAFARI 3rd
xx Your Sewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer & Water Permit for the above property cannot be competed for the following
reasons:
l?Your Sewer & Water Permit for the above property has been completed, but the meter cannot
i be issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
DATE:
10/17/89
RE:_ 1973 SAFARI TRAIL. L4. B3, SAFARI 3rd
xx Your Sewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (4545220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer & Water Permit for the above property cannot be completed for the following
reasons:
Your Sewer & Water Permit for the above property has been completed, but the meter cannot
b4 issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: ; t r I [11"(1
3830 Pilot Knob Road Permit Number: t 1 X17
Eagan, Minnesota 55122-1897 Date Issued: i ' 4+' • I ->
(612) 681-4675
SITE ADDRESS: APPLICANT:
f is I
1?{ ::r it dt sii
L v
PERMIT SUBTYPE: TYPE OF WORK:
Permit No. Permit Holder Date Telephone #
ELECTRIC
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE f
AIR TEST FIREPLACE
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
CITY OF EAGAN ND 17174
3830 Pilot Knob Road, P.O. Box 21- 199, Eagan, MN 55121
PHONE: 454-8100
BUIL
N /p
0/r l 2
/?
'3
DI
G PERMIT Receipt # Lr
V
To be used for SF DWG/GAR Est. Value $147,000 Date OCT 13 1989
Site Address 1973 SAFARI TR
Lot 4 Block 3 Sec/Sub. SAFARI 3RD OFFICE USE ONLY
Parcel No. Occupancy R-3 1-1 FEES
RR
1
Zoning =
w Name PIETSCH BUILDERS, INC (Actual) Const V -N Bldg
Permit 804.00
3 Address 9543 BIRCH LN (Allowable) .
O
73
5
o City LAKEVILLE Phone 461-3381 a of Stories Surcharge -
82' Plan Review 402.00
Length
o Name SAME Depth 28' SAC
Cit 100.00
i
u04 Address S.F. Total ,
y
575
SAC, MCWCC .00
City Phone S.F. Footprints
t
r C
W 5$O
00
On Site Sewage e
onn
a -
$ W Name On Site Well W
M
t
t 90
00
X5 Address MWCC System a
er
e
er .
w X7[ Accl.Deposit 30.00
5 City Phone City Water
%X 20
00
PRV Required S/W Permit .
1 hereby acknowlege that I have read this application and state that the Booster Pump SNJ Surcharge 1.00
information is correct and agree to to comply with all applicable State of
Minnesota Statutes and Cif Ea
anc Treatment PI 228.00
Signature of Permitee ../ APPROVALS Road Unit 340.00
'
A Building Permit is issued to: 6PIETSCH BUILDERS, INC Planner Park Ded.
on the express condition that all work shall be done in accordance with all Council
applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Oft. Copies
Building Official--DMA Variance TOTAL 3,243.5
0
9s?7G 3-
Request Date
1 Fir o. Rough-in Inspection
R iretl?
t ?/
Notify InspeGOr
? Ready Now A h
/? Wh
R
?
S / O No en
en
eady
11licensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Street, Box or Route No.) City
Section No. Township Name or No. Range No. County
G
Occupant (PRI Phone No.
Power Supplier
Atltlreas
J
Electrical tractor (Company Name) Co ctor§ License No.
Mailing Add (Contractor W Owner Making Installation)
Author ed Sig re (Contract /Owner ki n1ag,1n) Phone Number
MINNESOTA STATE BOARD OF ELECTRICITY
Otl99gM1Away Side. - Room S173
1811 Uolveraiq Ave., SL Paul, MN 55104
Phone (611) 642-CM
THIS INSPECTION REQUEST WILL NOT
BE ACCEPTED BY THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
[ 74033
REOUEST'FOR ELECTRICAL INSPECTION
0? see instructions lob complet %Lmis form on back of yellow copy.
X' Below Work Covered by This Request
O Ee-00001-07
40 9"/ ??G- =?,-
ew Adtl ep. ' Typeof Building Appliances Wired Equipment Wired
THOME, Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm.Andusb- Furnace
Farm Air Conditioner
Other (speciy) Contractors Remarks:
Compute Inspection Fee Below.,
# Other Fee # Service EntranceSize Fee # Circuits/Feedem Fee
Swimming Pool 0 to 200 Amps ! j 0 to 100 Amps 2.
Transformers Above 200 _ Amps Above 700-Amps
Signs Inspectors Usa Only: TOTAL
Irrigation Booms
Special Inspection ?-
Alarm/Communication 7
??+y / G
Other Fee ,??"?)
I, the Electrical Inspector, hereby
if
h
h
b
i Roughen ate ,-3 may.
at t
cert
y t
e a
ove
nspection has
been made. Final oate/-
<
OFFICE USE ONLY
This request vole 18 manure from
S S9 OL RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651.681-4675
New Construction Requirements
• 3 registered site surveys showing sq. ft. of lot, sq. R. of house; and all mofed 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 711193
• Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
2-
DATE I :D -7 1 C)
15a a-?
Remodel/Repair Requirements
• 2 copies of plan
• 1 set of Energy Calculations for heated additions
• l site survey for exterior additions & decks
• Indicate ft home served by septic system for additions
VALUATION 7(o iQ ;
SITE ADDRESS 19 -73 -Tr . MULTI-FAMILY BLDG
TYPE OF WORK Q-C _ rODA FIREPLACE(S) _
APPLICANT
STREET ADDRESS '7 7 J . UWa,<i50
TELEPHONE # CELL PHONE #
FAX #
PROPERTYOWNER l arl FG??IGn TELEPHONE# 05;1 5.2_11351
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672
(J 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
Heat Recovery System
Phone #
--------------------------------------------------------------------------------------------------------------------------
I hereby acknowledge that I have read this application, 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
Water Softener
Water Heater
No. of Baths
_Y _N
0 - 1 -2
qlU ZI P _55/) -7
_ Phone # -i r`? l
Lawn Sprinkler Jl Fee': I $90.00
No. of R.I. Ba osi 0c, G 1 7007 ' "
?.
Phon
L Fee: $70.00
0
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
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 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 (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_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 Bidgs 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
SINGLE FAMILY DWELLINGS
2 SETS OF PLANS
3 REGISTERED SITE SURVEYS
1 SET OF ENERGY CALCS.
1989 BUILDING PERMIT APPLICATION
CITY OF EAGAN
el f fiMULTIPLE DWELLINGS
2 SETS OF PLANS
REGISTERED SITE SURVEYS -
(CHECK WITH BLDG DIV.)
1 SET OF ENERGY CALCS.
COMMERCIAL
2 SETS OF ARCHITECTURAL
& STRUCTURAL PLANS
1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCS.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED..
SEWER & WATER PERMIT FEES AND ACCOUNT DEPOSIT FEES WILL BE INCLUDED WITH THE BUILDING
PERMIT FEE. PROCESSING TIME FOR SEWER AND WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS
BEEN COMPLETED INDICATING A LICENSED PLUMBER.
PENALTY APPLIES WHEN: PERMIT IS NOT PAID FOR IN SAME MONTH IT IS REQUESTED.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
l5/? om?
To Be Used For:l /rc Valuation: Dri7
Site Address OFFI,
Lot •Y Block 9
Parcel/Sub -7 *1q 7FXrA ! 36ga
Owner T?/{A, ,e&1l 1Urva
Address
City/Zip Code
Phone
Contractor
Address 95Y/? %/'oT- /ANk.
City/Zip Code 1416 A//1. 51/f
Phone y?? 3O
Arch./Engr.
Address
City/Zip Code
P;T 10 1059
Date:
Occupancy ?- 3 IW- / FEES
Zoning 0-1
Actual Const Bldg. Permit 6?r-,4.-
Allowable Surcharge
# of stories Plan Review Z.-
Length SAC, City D
Depth 29- SAC, MWCC
S.F. Total Water Conn 1
Footprint S.F. Water Meter 962
On site sewage
On site well
MWCC System _f
City water ?
PRV required
Booster Pump
APPROVALS
Planner
Council ??Etl 1/
Bldg. Off. z
Variance
Acct. Deposit 2a
S/W Permit -e 0
S/W Surcharge ?-
Treatment P1. -2Z
Road Unit 3?f0
Park Ded.
Copies
SUBTOTAL
Penalty
TOTAL
_
/,- 1
Phone #
QS?.?=r ? ??f
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CornPANM, INC.
CONSULTINO ENGjINEEAS
PLRNNEAS and LAND SURVEYCAS
®j` 2599.0/
IUOU EAST 14STh STREET, BURNSVILLt, MINNESOTA 663ST PN 43Z-3000'%w.,...,,,.,
Certificate Of survey
Legal Description: !_oT 4, BLOCK 3, THE' SgF4R/ *1R,0 ADOITAVA,
LW&07A C,001V7Y, MiA/ti/E5DTi4
(9¢s.-o) DENOTES EXISTING ELEVATION'
(946-5) DENOTES PROPOSED ELEVATION
INUICATES DIRECTION OF SURFACE DRAINAGE
9¢6.83 = FINISHED GARAGE FLUOR ELEVATION
V138. ob . BASEMENT FLOOR ELEVATION
947,16 =.TOP OF BLOCK ELEVATION
SC4L6 : /" = 40'
3o' FRA7?T BtJ/GO/NG
SETB!/C? L /NE -?
i lL AL's
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KAV1 .0
5 (r?. • ,. ? ? ? WATER. E[EY. ? 929.3
05 s'
. aSI?
Z ° ?y 00 e L [-
?? /tR?$ sr$85e'.nR?I'.
v 8
m ?
0
O x 9 5° ° $ 7
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I hereby cattily that this is a Irue and correct represental?t t c l a U R ED
and described hereon, As prepared by me on this'd day of ' OC72PER 19E 9 .
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Minn, Reg. No.
ObR1ER:
SITE ADDRESS:
CONTRACTOR:
DETERMINE WORKING SQUARE FOOTAGE OP EACH:
1. TOTAL EXPOSED WALL AREA.... f ' ,
... sq t x L
LYdQ f l
2. TOTAL ROOF/CEILING AREA,,,,,,,, 7r fq ft x "u" _A
UA ?
3. TOTAL EXPOSED'WALL AREA CALCULATIONS:
Total exposed wall
area above floor,,,,,,,, ?
sq
ft
a)
Total wall window area. (ty
? glazed ....
.:
? sq
ft
x
I'll"
[ 3,0
glazed...... sq ft x "Un .?
b) Total door area ,,,,,, r? sq ft x "U"
,,,
c) Total sliding glass door area :
-?_ glazed...... 1r7/ sq ft x "U" r ¦
.
glazed...... sq ft x "U" ¦
d) Total fireplace wall area sq ft x "U" ?---
e) Total wall framing area
(Average IOR)...... ?j
Z(?dj
f
"
"
.... .
sq t x U
f) Total net wall area above
floor (insulated)....... Cpl 6 r5 sq ft x "U" # L T Ifs S
I
0 Total rim joist area...... Z sq ft x "U" _ 164- 10 ,
Total foundation
area (Exposed)
0
1?5
.......... ,
sq ft
h) Total foundation
window area ...... ........ 21 7 a ft' "U" ?
__
q x r
I) Total net foundatloA
area above grade........ 2 ? sq ft x "U"
TOTAL a) th
1) ¦ r
'
ru .
1:
If item #3 Is the sane as, or le
2 MiCAR 1.16008 A and 0. ss than item Al, you have met the intent of
tea. 7 Z- r D/L
Page 1
EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
4. TOTAL EXPOSED ROWCEILING CALCI,i.itrIONS: <
1
Total exposed
roof/telling area....,... I 7.d sq ft
7) Total skylight area....... sq ft x "U"
Q Total roof/cellinq framing
i.
area (Average MIA)....., 2g,l sq ft x "U" IO . aj
1) Total net Insulated p
roof/ceiling area....... 57/ sq ft x "U" r
4.
If total of 04 Is the same as, or less than d2, you have met the intent of
2 MCAR 1.16008 A and 0.
2 ?1 ? 33,E o?
ALTERNATE BUILDING ENVELOPE DESIGN
To utilize the total envelope system method, the values established by the sum
of Items P3 and R4 shall not be greater than the sum of Items /l and 02.
t. + 2.
3. + 4.
C E R T I Fl C A T I O N
1 hereby certify that I have calculated the "U" factors an "R"
values hereto and that the bulldinn here described meets or excess the State`
Of Mtnnesota,Energy Conservation Act. IJ 1A
S qna ure
(Date)
TOTAL )) thru i) ?.
V.. . ,
v K Studs
CONSTRUCTION
WALL FRAMING SECTION:
At
WALL SECTION (INSULATED)
ua • ,?,
U+ 1/Ra, rm
RIM JOIST SECTION:
--(I Interior
A
FOUNDATION INSULATION REQUIRED:
Min. R-5 on entire wall OR 1/R n4
Min. R-10 down to frost Depth
FOUNDATION SECTION:
1 Interior air film e.6A
2 tyro Insul. 4. U1
3 t; !11 c
4 Exterior air IVIm
(s
(K
TOTAL R w 5.96
U • 1/R a .17
SLAG ON GRADE
LA
C
Unheated Slabs:
Minimum R = 6.2
G
AIMM-W'
G
r
4 5
i 2 3
VENTED'
H
CONS., rl!)l T,IQII
A 4" Wr,.
CEILING SECTION (INIPLAff0 t
1 Interior air film n IS
2 Sr_ .. ,
3 .P:lotn TrMul. 44.0
Exterior air film (still) n,'qg1
TOTAL R 84J. / V
CEILING FRAMING SECTION:
1
2
.56
3 ingulatim :3 L. M
a
Interior air film (stllll ft-
4 Inches
_?tood? 4.35
:U,. , IIA'? 26
-LL
CEILING, SECTION (INSULATED):
1• Interior air-film n,61
2
3
4 Exterior air film (still) 57T
f
TOTAL R
U-1/R-
CEILIM FRAMING SECTION:
I. Interior aWfil
2
3
4 Exterior a r
S nebe se
TOTAL R
i
1 Inside alr.filim O.rl
2 -
3
4
5 Outside air m A-17
TOTAL R
U- I/Rw
CITY OF E:AGAN
CASHIER. JS TERMINAL NOr 351
DATE: 11/06/97 TIME. 14:37,1.3
ID.
NAME:;: ALLIED FIRESIDE INC
3210 9001 4329 L..EX PTE PK. 50.00
205 9001 4329 L.EX PTE PK 0.50
300 9001 1421 REBECCA LN 50.00
205 9001 1.421 REBECCA LN 0.50
300 9001 1973 SAFARI TR 50.00
055 9001 073 SAFARI TR 0.50
Total. Receipt Amount 151.50
CROB2769
USER IDe JAN
;1?yF?+?7/?KC?i yFMYF?1KXt?i 1KA:?Ci M7KYCi >K1K?1?yF>k???'IC>K?*?#1k>k
PERMIT
'-?"jI?Y R EAGAN
3830 plot Knob Road PERMIT TYPE: BUILDING
Eagan, Minnesota 55122-1897 Permit Number: 031079
(612) 681-4675 Date Issued: 11/06/97
SITE ADDRESS:
1973 SAFARI TR
LOT: 4 BLOCK: 3
THE SAFARI 3RD
P.I.N.: 10-75852-040-03
DESCRIPTION:
(GAS)
rmit Type FIREPLACE
Type NEW
434 ALT. RESIDENTIAL
?a
r '
f ,
C3"tv OF ea gan
REMARKS:
FEE SUMMARY-
Base Fee $50.00
Surcharge $.50
Total Fee $50.50
CONTRACTOR: - Applicant - ST. LIC OWNER:
FIRESIDE CORNER'INC 16332561 2009091 RIESLAND DANIEL
2700 N FAIRVIEW AVE 1973 SAFAIR TR
ROSEVILLE MN 55113-0847 EAGAN NN 55122
(612) 633-2561 (612)452-4351
Y
APPLICANT/PERMITEE SIGNATURE
(vIq .Q,A jm?
ISSUED SIGNATURE
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1997 FIREPLACE PERMIT APPLICATION
131 / 681-4675
DATE: 1( - 4 - G, / Z_ -? PERMIT FEE: $50.50
DESCRIPTION OF WORK: CONS CT NEW &P-LAC'
I PAC _ ALTERATIONS TO EXISTING
INSTALL GAS INSERT ONLY
INSTALL GAS LINE ONLY
OTHER:
STREET ADDRESS:/ 273
/1/2 / '/i.0/(-,
LOT rte- BLOCK SUBD./P.I.D. _
APPLICANT: (circle one only) OWNER C014TRACTOR
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.
PROPERTY
OWNER
FIREPLACE
INSTALLER
GAS LINE
INSTALLER
Name: 1? t ES lJ? r 1 p A r.11 ?L
Signature:
Street Address: l 73
Phone #: 4 S-2
/
r ? 2A t?
City: E? Cl State:
Company: zip: 5 : - / G Z
633-Z:
Phone #: 8 90 "O 7S-11
Signature:
Str Address3f5b-,D-k-0-ft o/3 License #: 2-0 C)`,0,9 City. >JY 1 S V1 u-; State: &AZ- Zip: -626
?? 3
Compaq
Name:
Signatu
Street Address:
City:
State:
Zip:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 14 Fireplace
WORK TYPE
? 31 New o 33 Alterations
o 32 Addition ? 34 Repair
GENERAL INFORMATION
Census Code. 434
SAC Code 01
REMARKS
Chimney/flue must be inspected before concealing.
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA112457
Date Issued:08/14/2013
Permit Category:ePermit
Site Address: 1973 Safari Tr
Lot:4 Block: 3 Addition: The Safari 3rd
PID:10-75852-03-040
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.
Tim Johnson
9444 Hames Ave
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 -
Endura Financial Credit Union
820 Lilac Dr
Mpls MN 55422
(507) 398-6681
Tim Johnson Heating & Air
9444 Hames Ave
Cottage Grove MN 55016
(651) 235-7826
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114274
Date Issued:09/13/2013
Permit Category:ePermit
Site Address: 1973 Safari Tr
Lot:4 Block: 3 Addition: The Safari 3rd
PID:10-75852-03-040
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, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
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 -
Endura Financial Credit Union
820 Lilac Dr
Mpls MN 55422
Apex Energy Solutions
1509 Southcross Drive West
Burnsville MN 55306
(651) 688-2739
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA159153
Date Issued:11/25/2019
Permit Category:ePermit
Site Address: 1973 Safari Tr
Lot:4 Block: 3 Addition: The Safari 3rd
PID:10-75852-03-040
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
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: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Chad Dahl
1973 Safari Tr
Eagan MN 55122
Superior Remodeling Inc
1003 Fairway Drive SE
New Prague MN 56071
(952) 292-7267
Applicant/Permitee: Signature Issued By: Signature