1982 Safari TrCITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH ON E: 454-8100
BUILDING PERMIT
To be used for Est. Value 1413.0010
Site Address
Lot Block Sec/Sub.
Parcel No
Name -- --
W
3
Address
o City Phone
a
.o
Name
0 a Address
?m City Phone
-_
Name
Address
City Phone
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee
A Building Permit is issued to: ENTS CO
Receipt #
Date 19
OFFICE USE ONLY
On Site Sewage Occupancy
MWCC System Zoning
On Site Well
Y (Actual) Const
City Water (Allowable)
PRV Required # of Stories
Booster Pump Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit
Planner Surcharge
Council Plan Review
{
Bldg. Off. SAC, City
Variance SAC, MWCC
f?
Water Conn.
Water Meter X.
Road Unit
Treatment Pt
Parks
?'?
TOTAL
Permit No. Permit Holder Date Telephone
Plumbing
H:V.A.C.
Electric
Softener
Inspection Date Insp. Comments
Footings I
Footings II
Foundation
Framing w,
Roofing
Rough Plbg. YT
-? -Y
Rough Htg. .,
Isul.
Fireplace
Final Htg.
Final Plbg.
Bldg. Final
Cert Occ.
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
w `; '-1w,
(Urftfiratir of (Orruvaury
Citp of (Eagan
Erprtmrnt of suatno 3werttnn
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..-
UK Cks cetioo t' IIW/G ews. Permit No. ]46 ; f .
Occup-cy Type 13 Zoning DiaW i Type Cam ya
Oww of Building , ?V? Ihti t;SZIh:3yIS J) . Address 3770 SO. LDIDU l'i, >iMAV
mwdi.g Addrm 1gg2 VY.bFT 'TRAIL Lom6ty i.1, B2, SAFARI ?RD
Den.: MAY 23, 198-1
&nMmg Ofoal - "
POST IN A CONSPICUOUS PLACE
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
?.; ;etc! I I
PERMIT SUBTYPE:
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
t t!1 t1i APPLICANT:
1 1 fTl
t61 ) 4t,4 bI 'i !
TYPE OF WORK:
tilt 114? ! N;?
IAI?/:?4! I ?,
I.I MAkVSt SE VARAIt 1't IY141 1', kV Off I 2t 11 U- OR PL4fMIJIN(i a, f I i I')Rt+:AI
Permit No. Permit Holder Date Telephone #
SNV
PLUMBING ?(> ?e4L 4, 5
HVAC
ELECTRIC co
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg. G13 f
v6?
Rough Htg.
Isul.
Fireplace
Final Htg.
Orsat Test
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
EngrJPlan
Bldg. Final
Deck Fig.
Deck Final
well
. Disp.
P
,,
arr.n
IwM
-*• 61-- . ))J-5p w1g.
RESIDENTIAL
BPA tqs a5q BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
law Construction Requirements
3 registered site surveys showing sq. It of lot, sq. k. 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 7/1193
Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
)ATE 5114/al
JOB SITE ADDRESS
F MULTI-FAMILY BUILDING, HOW MANY UNITS?
'ROPERTY OWN
YPE OF WORK
FIREPLACE(S) _0 _1 _2 _3
4PPLICANT Togs d, fti, " PHONE# (6tz) 965-?r77
WDRESS G r y0 1Ylercca GE ZIPCODE SSY, 9
'AGER #
CELL PHONE #
FAX #
VIEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category
(check one)
Plumbing Contractor: _
Plumbing System Includes:
Mechanical Contractor: _
Mechanical System Includes:
Sewer/Water Contractor.
- Air Conditioning
- Heat Recovery System
Phone #
Phone #
Fee: $90.00
Fee: $70.00
UI above information must be submitted prior to processing of application.
hereby acknowledge that I have read this application, state that the information is correc ,59nd agree to comply
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant
;ertiffcates of Survey Received
_ MINNESOTA RULES 7670 CATEGORY 1
- Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Phone C
Water Softener Lawn Sprinkler
_ Water Heater No. of R.I. Baths
No. of Baths
Tree Preservation Plan Received _ Not Required
?rs ?1
/y a/
5-
RemodegReoair 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
VALUATION 7dY9, o°
f
Updated 1/01
OFFICE USE ONLY
3 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
3 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
3 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
3 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
3 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
3 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
3 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
3 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
3 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
3 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant
faluation Occupancy MC/ES System
,ensus Code Zoning City Water
SAC Units Stories Booster Pump
Jbr. of Units Sq. Ft. PRV
Jbr. of Bldgs Length Fire Sprinklered
ype of Const Width
REQUIRED INSPECTIONS
- Footings (new bldg) Final/C.O.
- Footings (deck) _
_ Final/No C.O.
- Footings (addition) _ Plumbing
_ Foundation FIVAC
_ Drain Tile _
Roof _ Ice & Water _ Final _ Other
Framing _ Pool
Figs
Air/Gas Tests Final
Fireplace _ R.I. - Air Test - Final _ _
_
Siding
Stucco
Stone _
- Insulation _ _
_
Windows (new/replacement)
Approved By
3ase Fee
Surcharge
plan Review
AC/ES SAC
-ity SAC
Hater Supply & Storage
3&W Permit & Surcharge
-reatment Plant
Numbing Permit
Aechanical Permit
-icense Search
:opies
ether
total
Building Inspector
d
3
(l 6
4
.J
o /
?
?
9 3 l
?
Reques ate `v Fie Nc. Rough-in Inspection
Required?
? Ready Now ill Not11y Inspector
R
d
?
! Yes ? No ea
an
y
licensed contractor ? owner hereby request inspection of above electrical work at:
Job Address ((Street. Box or Route No.l
? „
C DAY
J
( O Z. I
SecUOn Nc. Townsdip Name or No. Range No. County
Occupant (PRINT)
42 L &
- L)e S? r
44 - Phone No.
Power Supplier
)o Z-7 0
Addrss;/, L
Electrical Contractor (Company Namel Contraclor's License No,
Mailing Aromas ICOnlractor or Owner Makm
/ ?13 D nstallabom
c- S? s A
Aulhoriieci S,re o ac iOwner Makmg I tat liom Phone Number /
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD
1621 University Ave., St. Paul. MN 55106 UNLESS PROPER INSPECTION FEE IS
Phone(612)642-0800 ENCLOSED.
L A
REQUEST FOR ELECTRICAL INSPECTION
? See instructions for completing this from on back of yellow copy.
' Below Work Covered by This Request
ff=ls, EB-00001
Af.
>y ' S97
e Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt Building Dryer Other (Specify)
Conlin Andustrial Furnace
Farm Air Conditioner
Other lspecilyl Contractor's Remarks'.
Compute Inspection Fee Below.'
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 010 200 Amps 0 to 700 Amps
Transformers Above 200 Amps Above 100 -Amps
Signs Inspectar§ Use Only. TOTAL
-
' Irrigation Booms /G . U-
C 0
?q . 5
Special Inspection (X
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 M2ff
S.
I, the Electrical Inspector, hereby Rough-in oats
certify that the above inspection has
been made. Final
-
y
OFFICE USE ONLY
This request raid 18 months from
?3y X30. so
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when permits are required for each unit
Date 7
Site Address A zAe-j 57G / , Unit #
Property Owner / Jd ??' A7 Telephone # --?.9z-7
Contractor
12255 Nlea?t Avenue Sorb
Street Address N 55337 City
a?ne: 2 T
lbte
State fir 9ip Telephone # ( )
Bond #: Expires: Of
y
The Applicant is - Contractor
Owner -'A Other
Add-on or alteration to existing dwelling unit '? I $ 30.00
X furnace -Additional -Replacement I
_ air exchanger ! i
?„ J I
air conditioner Replacement
New
-
-
other
State Surcharge $ .50
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 ;2A&'C%'070 work which requires a review and approval of plans.
I? '-3 /?!?
Applicant's Print Name Applic is Signature
2005 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 Z1.3ft IMPIA
? 9"A Ifto t cam
Street Address IEE2a 14 ji ftM q
State 1-4 .
Zi
li
(
e
SIlS?J
)
p
jt
?
Q?;
5
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: $70.50 Underground tank installation/mmoval
$50.50 Minimum (includes State Surcharge)
or
Contract Value $ x I % _ $ Permit Fee
• If ermit fee is $1,000 or less, add $.50 => $ State Surcharge
If ermit fee is over $1,000, add $.50 for
every $1,000 nermit fee $ 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.
Applicant's Printed Name Applicant's Signature .
Approved By: , Inspector Date:
VOWS`
• 2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Requirements RemodetrReoair Requirements
3 registered site surveys showing sq. ft of lot, sq. ft of house; and all roofed areas 2 copies of plan
(2D% maximum lot coverage allowed) 1 set of Energy calculations for heated additions
2 copies of plan showing beam & window slzes; poured found design, etc. 1 site survey for additions & decks
1 set of Energy calculations Addition - indicate if on-site sepf/c system
3 copies of Tree Preservation Plan Slot platted after 7/1/93
Rim Joist Detail options selection sheet (bldgs with 3 or less units
Date 8 /1-7 /o4- Construction Cost 1,37wo, do
Site Address / e S-2- `Yi-YQy i 'Trct 1 I Unit/Ste #
Description of Work A®Aix9 644 i0t tG?piJ LA; d* &Q lk-,vu+ JrXIaI 566.k-
Multi-Family Bldg _ Y JKN Fireplace(s) $ 0 - 1 - 2
Property Owner Ro WwL B f ?q t.vt-il- Telephone # ((pc2() ?S Z- 31 ;L -7
Contractor > 1- At ASM"
Address } 3S Ckltson L[4-_ L }r.. city /n
/'t_nuoj4ft1 ,
State A4(foriE-so?) Zip 9'544-7 Telephone#(7103) 404-9794
cy(t (ola' %a4-S33o
AREA ONLY IF
_;Owle _
J Residential ventilation Category 1 Worksheet
Submitted
• Energy Envelope Calculations Submitted
A NEW BUILDING
_ Minnesota Rules 7672
New Energy Code Worksheet
` Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber Telephone #( )
Mechanical Contractor IUU ICJ Telephone #(
Sewer/Water Contractor u?_ I Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a 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 ork which requires a review and
approval of plans.
*9996V
AWO
IVMak- A, Rt Y ? -
Applicant's Printed Name Applicant's Signature
Sub Types
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
x 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.)
? 04 02-plex ? 10 08-plex )? 18 Deck ? 23 .Porch (screen/gazebo)
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbgyour _N ? 25 Miscellaneous
Work Types
? 31 New
x 32 Addition
? 33 Alteration
? 34 Replacement
Valuation 30,';G
i
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
'Demolition (Entire Bldg) - Give PCA handout to applicant
Census Code Y .S`j
SAC Units l
# of Units
# of Bldgs
Type of Const
Occupancy /? - 3 MCES System r
Zoning /? - I City Water
Stories Booster Pump -
Sq. Ft. ' PRV
Length Fire Sprinklered
Width
Footings (new bldg)
- Footings (deck)
Footings (addition)
_ Foundation
_ Drain Tile
Roof _ Ice & Water _ Final
Framing
Fireplace _ R.I. -Air Test -Final
Insulation
Approved By:
Base Fee ? e
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
REQUIRED INSPECTIONS
Final/C.O.
Final/No C.O.
Plumbing
_ I-IVAC
Other
Pool _ Ftgs _ Air/Gas Tests _ Final
Siding _ Stucco _ Stone _ Brick
Windows
Retaining Wall
Building Inspector
vJj
P 34Y
plc, k
/o YO
?G0 L/
e ',Illiams
• Aington Avenue
MN 55123
DELMAR H. SCHWANZ
122/17
LANG SLIRVEYORS INC
Rowsleled Linde, LAwn of The Staff 11 101-111M
14750 SOUTH ROBERT TRAIL ROSEMOUNT, MINNESOTA 55068 PHONE 612 423-1769
SURVEYOR'S CERTIFICATE
TP C.,.c7°
?? ??; 9w?? sq?9??
vi
9yq 7 N7-
T o. ?, o r t za P
9£7?y/ Fr 411 - 33 ie1??°X.,,,,
94ZJ6 xp"q.
/ •"sEp Al ?y ??sr Scale: 1 inch = 30 feet
y ?i ?"s'4 ?P SP,?`. o = Found iron pipe
l, G=iiid ?<I:i.
4 = Set spike
r. S
yw4?'' 3g ;? 946 = Existing elevation
A? (Elio = Proposed elevation
! T Y
N% 00
?I 1S4.oS
f ?
; = d
Lot 1, Block 2, THE SAFARI THIRD ADDITION
according to the recorded plat thereof,
Dakota County, Minnesota.
Drainage & Utility
Easements Also showing the location of a proposed
house as staked thereon.
I
I hereby certify that this survey, plan, or report
was prepared by me or under my direct supervision
and that I am a duly Registered Land Surveyor
?l/670 ?? SB under the laws of the State of Minnesota.
IESOi I TR 71ONNO. 25
02-16- SB
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDING
020785
04/30/93
SITE ADDRESS:
P.I.N.: 10-75852-010-02
DESCRIPTION:
PERMIT
1982 SAFARI TR
LOT: 1 BLOCK: 2
SAFARI 3RD
Building Permit Type
Building Work Type
BASEMENT FINISH
ALTERATION
r
REMARKS:
SEPARATE PERMITS REQUIRED FOR PLUMBING & ELECTRICAL
FEE SUMMARY:
Base Fee $35.00
Surcharge $.50
Total Fee $35.50
CONTRACTOR: - Applicant - ST. LIC. OWNER:
VALLEY INVESTMENTS CONST 14545191 0004241 JENSBY MORRIS
2401 LEXINGTON AVE S 1982 SAFARI TR
MENDOTA HTS MN 55120 EAGAN MN
(612) 454-5191
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State of Mn.
Statutes and City of Eagan Ordinances.
{
APPLICANT/P RMITEE SIGNATURE IS E BY.- NATURE
/17
REACTIVATE--
PERMIT #
c?Q 7ks
CITY OF EAGAN
1993 BUILDING PERMIT
681-4675
APPLICATION
S$
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date 2-Z / 3 Valuation of work /5A, 00o
Site Address: ZZe2 S- i-r* ? /?2)4ii--
STREET SUITE k
Tenant Name: (commercial only)
LOT BLOCK SUED. P.I.D.
Description of work: C?S? F+?/T riI/ S1?
The applicant is: ? Owner Contractor ? Other (Describe)
Name ?`l0 k?-' (S Phone
Property LAST FIRST
Owner `'
x; iL
??? Y?F?
/
-
Address 1
STREET STE r
City F46 -h! State (A/IJ Zip
Company 1/A-c69LO ??STiYI rS 0,1102% Phone
Contractor Address ??0( L?jcinJGF7?A49-S License # 1)?y( Exp.
City 1hF N4*-)D7-'o9- A4-7r6;7:S State M( A10 Zip 5 S-/.,ZC2
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
i
u
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc.
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace
? 05 SF Misc. ? 10 Multi. Add11. ? 15 Deck
WORK TYPE
?31 New ? 33 Alterations ? 35 Tenant Finish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
W y
,X16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) 1st F1. sq. ft. City Water
UBC Occupancy 2-3 2nd F1. sq. ft. PRY Required
Zoning Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code
Depth On-site sewage SAC Cod
APPROVALS
cam_
#u5 o
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
? Site a Footing Framing ? Insulation
? Wallboard .Final ? Draintile ? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
.315', 4>0 I Vahwt;an: s
sb
SAC %
SAC Units
( 5';la(o
2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when permits are required for each unit
Date 60 l a g/ o ?l
n
q s
Site AddressJ
a a t 0Le f r unit #
PropertyOwner ?)pD ? r VA V1 _ Telephone # ( )
Contractor 1,011 elm '
Street Address ql'.w Kehh???C )r• City LaqQr)
State Zip s ue- Telephone# ((p5/ ) 7'd775
Bond #: r?[? 33 C17 Expires: ? ?? ??? S
The Applicant is Owner Contractor Other
Add-on or alteration to existing dwelling unit $ 30.00
furnace -Additional -Replacement
_ air exchanger
air conditioner _New Replacement
other
State Surcharge $ .50
LL' UV Lb U U $so, 5
Total
JUL 0 2 2004 N
V ?-T I
I hereby apply for B ec amca em .t 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; t t the work will be in accordance with the
approved plan in the case of work which requires a review and approval of plans
/PtarliYlA
Applic s Printed N Applicant's gnature
2004 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3530 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
Street Address City
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: $70.50 Underground tank installation/removal
$50.50 Minimum (includes State Surcharge) '
or
Contract Value $ x 1% _ $ Permit Fee
• If permit fee is $1,000 or less, add $.50 $ State Surcharge
If ep rmit fee is over $1,000, add $.50 for
every $1,000 permit fee $ 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.
Applicant's Printed Name Applicant's Signature
Approved By: , Inspector
CITY OF EAGAN N2 14 616
3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454.8100 Receipt # I Z Z
To be used for SF DWG/GAR Est. Value $143,000 Date FEBRUARY 19 g 88
Site Address 1982 SAFARI TRAIL
Lot 1 Block 2 Sec/Sub. SAFARI 3RD
Parcel No.
Name VALLEY INVESTMENTS CO
W Address 3770 SO LEXINGTON
o City EAGAN Phone 454-5191
,o Name SAME
z?
0 a Address
c City Phone
a
m Name_
W
z Address
u
w Clty_
I hereby acknowledge that I have read this application and state that the
information is correct?ab* gree to comply with allapplicable State of
Minnesota Statutes And Cit of Eagan Ordinances. ?.'
Signature of
A Building Permit is iss a to: vtwi,et liv VC.b 1ML'ni?l-V
on the express conditi at all work shall be done in accordance with all
applicable State of Minnesot tatutes and Gyty of Eagan Ordinances.
Building Official
OFFICE USE ONLY
On Site Sewage Occupancy
MWCC System x Zoning
On Site Well (Actual) Const
City Water X (Allowable)
PRV Required x # of Stories
Booster Pump Length
Depth
S.F. Total
Footprint S.F.
APPROVALS
Engr./Assess.
Planner
Council
Bldg. Off.
Variance
FEES
Permit
Surcharge
Plan Review
SAC, City
SAC, M WCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
TOTAL
R3
R1
Vn
Vn
62
33
$ 714.0(
71.5(
357.0(
100.0(
550.0(
550.OC
67.0(
--129 .0C
204.0(
$2,938.50
C
1988 BUILDING PERMIT APPLICATION - 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 RENTAL UNITS FOR SALE UNITS # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS FEB 16 1"
To Be Used For:/ Z Valuation: Date: '-?-;--
Site Address o?
Lot Block
Parcel /Sub J ?'?L1 7-tf(
Owner
Address /K OB//?/?d? /? ?il
City/Zip Code ?.UOp
Phone
Contractor /
O
Address 577o
City/Zip Coda
Phone
Arch./Engr.
Address
City/Zip Code
N 3/ 0040
On site sewage-
MWCC system ?
On site well _
City water
PRV required
Booster Pump _
Occupancy R'3
Zoning K-1
Actual Const V-
Allowable V
# of stories
Length
Depth 13
S.F. Total
Footprint S.F.
APPROVALS
mgr/Assess
planner
Council
Bldg. Off. 2115
Variance
FEES
Permit 2l4.W
Surcharge r1! 50
Plan Review 3 5'2 Q 0
SAC, City IOQ, OD
SAC, MWCC O O
Water Conn O
Water Meter (.J, 00
Road Unit Z25-- 00
Treatment PI 212?L' OC
Parks
Copies
TOTAL
Phone #
VALUATION
GARAG
2Nx3o = XZO
IL ? 008)
SASEME r,,1T
sox36?= 1140 X 13_ 1y?ty
15T FLOOR
3O X U3=
3A4 ZXq=
BALI Z
`? x(12=
I I X10
ly
t?
iy
,1101-1-
1210 X y9= 63z1 o
Sax 38 ? IIUo ,
t 'Ale /0
nq9 = 5G3sc?
L4,z Y K
i
`t
Survey For:
Mr. Jim Williams
3770 Lexington Avenue
Eagan, MN 55123 All
76aY SFr
122/17
PHONE 612 4211769
M ` Y'R? sAF
DELMAR H. SCHWANZ
LAND SLLRVEYOAS WC
FapntrIPM Un0P. LOwS n1 The gh.te OI Mipnp50t3
14750 SOUTH ROBERT TRAIL ROSEMOUNT. MINNESOTA 55068
'!O SURVEYOR'S CERTIFICATE
0
:o TAP
o \ ; \
y5
"Vo / 4&
I,
J 'En ?Y
?r'7r2
5N9 ?(9a.13e / i
QfJTrC
447.1
y
N0 00
T
o-
ti N •?
s \
Drainage & Utility
Easements
- ?.
'V6
V?
1
I
Scale: 1 inch = 30 feet
/ - ?,-fop5hn'" O = Found iron pipe
Set spike
??
\ 946 = Existing elevation
X96 = Proposed elevation
Lot 1, Block 2, THE SAFARI THIRD ADDITION
according to the recorded plat thereof,
J- /
Dakota County, Minnesota.
'Also showing the location of a proposed
house as staked thereon.
I hereby certify that this survey, plan, or report
was prepared by me or under my direct supervision
and that I am a duly Registered Land Surveyor
under the laws of the State of Minnesota.
1 ES071 fR ?ION NO. 8625
02-16-88
re 'Y
..CITY OF EAGAN
EXTERIOR ENVELOPE AVERAGE 'U' COMPUTATION
OWNER: g?no? FM5
SITE ADDRESS: Lp( Cle,? ? ?.?tFAILI T?f11?1
CONTRACTOR: DATE: ?rI DIA7Y1 PHONE:
Determine working square footage of each:
1. Total exposed wall area ... 'ZA(p Q) sq. ft. x .11 = S?Z(o, A+b
2. Total roof/ceiling area ... 17,4b sq. ft. x .026 = 'dz= 415
Total exposed wall area above floor 2q&-b
a. Total wall window area ............................
b. Total door area ...................................
c. Total sliding glass area ..........................
d. Total fireplace wall area .........................
e. Total wall framing area (average 10%) .............
f. Total net wall area above floor ...........•.......
g. Total rim joist area ........ • .....................
Total exposed foundation area = 1011Z.
h. Total foundation window area .......................
i. Total net foundation area above grade ..............
Determine 'U' value of each wall segment:
a • 31' b"L x
b. x
c. x
d. x
e. x
f. Z I x
go x
h. - x
i. x
U' 4g = 3.
rut
10 , _ ?ID DO
'U' -
rut 10,40
= g121gL????
rut
rut
---^ = ZIPS
,u,
I U,
3 . ................................................... Total = 97 t r,? a
If item 83 is the same as or less than item U1, you have met the intent of SBC
6006(c) 2.
Total exposed roof/ceiling area = t2Ab
j. Total skylight area ...............................
k. Total roof/ceiling framing area (average 10%) .....
1. Total net insulated roof/ceiling area .............. l Z
OVER
Determine 'U' value for each roof/ceiling segment:
3. x ,U, _
k. x VU?
p2.? _ 'Z tot.
1. 112?, 2 x f ul 021 = _
4 . ...................................................... Total = &P,ty
If total of 04 is the same as or less than 02, you have met the intent of SBC
6006(01.
Alternate Building Envelope Design
To utilize the total envelope system method, the values established by the sum
of Items U3 and #4 shall not be greater than the sum of Items #1 and #2,
1. + 2.
3. + 4. -
2
SINGLE & DOUBLE FAMILY HOMES
1984 ENERGY CODE REQUIREMENTS
On or about March 1, 1984, the following energy code requirements
should be calculated and included with a building permit application.
1. Roof - ceiling assemblies - R-38 U = 0.025 Average
2. Exterior walls & rim joists - R-20 U = 0.11 Average
3. Floors over unheated spaces - R-20 U = 0.05 Average
4. Exterior overhangs will be considered as exterior wall.
5. Foundations (all exterior walls) - Minimum of R-5 insulation.
6. All insulated areas must be separated from the heated space
by a well-lapped or sealed vapor barrier with a minimum perm
rating of 0.1. A 4 mil. polyethlene sheet or equivalent meets
this requirement.
A Kraft face R-19 type insulation will be accepted in the rim joist
areas. Air chute baffles are to be placed in every rafter space.
GUIDELINE TO (R) FACTORS rnOU AGIIRAE UAt1UAL
OF TY
PICALLY USED
PRODUCTS _
,
(R) (R)
Exterior Air Film (Wails) 0.6II Gypsum or plaster board 3/8" 0
32
Exterior Air Film (Walls) 0.17 Gypsum or plaster board 1/2" ,
0
45
Interior Air Film (Vented Ceiling) 0.61 Gypsum or plaster board 5/8" .
56
0
Extgrh.r Air Film (Vented Ceiling) 0.61 Plywood 3/8" .
47
0
Interior Air Film (Ilcn Vented) 0.61 Plywood 1/2" .
0
62
Exterior Air Film (Ilon Vented) 0.17 Plywood 3/4" .
0.93
Aluminum Siding
0
61 Sheathing, reg. density 1/2" 1.32
Aluminum with Backer .
1
82 Sheathing, req. density 25/32"
-
" 2.06
Aluminum with Backer G foiled .
2.96 Nail
base sheathing 1/Z 1,14
1/2 x 8 Lap Siding (Wood) 0.81 Built-up Roofs 0.;3 -
7/16 x 12 Hardboard Siding 0.67 Asbestos-cement shingl,s 0.21 '
Asbestos Sidings 1/4 Lapped 0.21 Asphalt roil roofing 0.15
Stucco (O rr.:m and Finish Coat) Aspahlt Shingles 0.44
3/4" Wood Subfloor or Sheathing 0.94 Insulation: 2-2 3/4" Fiberglass 7.00
1/2" Plywood -hcathln, 0.62 Insulation: 3 1/2" Fiberglass IKOO
1/2" Particle Board 0.66 Insulation: 6" Fiberglass 19.00
WOODS: BLDWIIIG WOOLS _
Fir, pine G similar soft Woods 1 1/2" 1.89 Approx. 3"' 9.nO
- 2 1/2" 3.12 Approx. 4 1/2" 13 00
3 1/2" 4.35 Approx. 6 1/4" 19.00-..
S 1/2" 6.87 Approx. 7 1/4" 24.00
Approx. 14" 30.00
Approx. IV 40.u0 -
All other insulation materials must be
Filled verified (R Factor) .
(R) Vermiculite
8" Concrete Block (S E G Reg.) I.II 1.93
12" Concrete Block (S 6 G Reg.) 1.28
3.15 _
8" Light Weight 2.18 5,03
13" Light Weigh[ 2.48 5.82
did?dddRAddd dd dtrddddCCd?Rdd
NOTE: (U) x Area Square Feet
9u
All Windows
(w/Stores 1" to 4" Space) .56
Removal Double Glazing (RDG) .55
Thermo or welded 3/16" air space .69
1/4" air space .65
1/2" air space .58
(Other windows specifically tested.can use better ratings)
1 314 Solid core door .46
w/storm, wood .31
w/storm, metal .26
Pease SteelDoor insl/11/GL 7.45R .13
Sllding Glass Door, Wood ,65
Metal .715
13 ??3(O 906 ? RESIDENTIALBUILDINGn
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX 4 651-675-5694
New Construction Requirements
3 registered site surveys showing sq. it of lot, sq. ft of house; and all roofed areas
(200% 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 it lot platted after 7/1193
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Minnegasco mechanical ventilation form
RemodellReoair Requirements
2 copies of plan showing footings, beams, joists
1 set of Energy Calculations for heated additions
1 site survey for additions & decks
Addition - indicate if on-site septic system
I -?D rao
Office Use OnN
Cart of Survey Reed `l _N
Tree Pres Plan Recd ---- _Y _N.
Tree Pros Required _Y _N
On-site Septic System - _Y _N
5fla- Ca uo& "?
Date 05 I d., y ? l O
(o vs1
Construction Cost
?
Site Address 1992- 5AF,9? -M41 t- UniVSte #
Description of Work MW Lt54/L
Multi-Family Bldg _ Y rV N Fireplace(s) _ 0 _ 1 _ 2
Property Owner g=pi5eyar PAR-VA*j-r UG * a°13OelephT?-L}
one#(?fjt) 45a-39a-l
Contractor fUF7K- r pE(L"
Address 15435 (aI/aSOn f Lo 17 fIJt city Tfwm ij:1T
State µlrJ ?ESa ?k Zip 5s'7 Telephone # (,b-;? 404 a7Q4-
c . UIa-auq-
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateizorv I _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
(J submission type) Submitted Submitted
. Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #( )
Teleph`?(??? * G)?
Telephoa0110) a 2006
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 o ork which requires a review and
approval of plans.
N1/? ??y
Applicant's Printed Name plicanfs Signature
DO NOT WRITE BELOW THIS LINE
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-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 EM. Alt - SF
? 04 02-plex ? 10 08-plex 2& 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Types
QP 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant
Description: Water Damage _ Yes
Valuation ')8 CO. l Occupancy 1 - MCES System
Plan Review _ 100% or _ 25%
Census Code
143q
Zoning II??
City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
- Footings (new bldg)
_o Footings (deck)
Footings (addition)
_ Foundation
_ Drain Tile
Roof _ Ice & Water _ Final
Framing
Fireplace _ R.I. -Air Test -Final
Insulation
Approved
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
REQUIRED INSPECTIONS
Sheetrock
Final/C.O.
Final/No C.O.
_ IfVAC
Other
Pool _ Ftgs _ Air/Gas Tests _ Final
Siding _ Stucco Lath _ Stone Lath -Brick
Windows
Retaining Wall
Building Inspector
F147 Fee
l2'u3-2 '(,:?-
Total
il1iams
,cington Avenue
MN 55123
i
DELMAR H. SCHWANZ
LAND SURVEYORS INC
UI,0p1 Laws M Tne Slat, 0 M.nnasM.
14750 SOUTH ROBERT TRAIL ROSEMOUNT. MINNESOTA 55068
the SURVEYOR'S CERTIFICATE
7P C.0
rho 9H9.uS
959 7 Amer.
9sZi
,79 n
soh ?y
/ h 2
%Iq 00
<vL
/Drainage & Utility asements
;dip 00
X67 % , ser
122/17
PHONE 612 423.1769
-AGAN
,'I !:WED
911 100
L -MOMS
77 \ as l
A
P
Scale:
O =
6 = 1 inch = 30 feet
Found iron pipe
Set spike
946 = Existing elevation
?rM ?!6= Proposed elevation
75?GAa
!'M Lot 1, Block 2, THE SAFARI THIRD ADDITION
according to the recorded plat thereof,
Dakota County, Minnesota.
Also showing the location of a proposed'
house as staked thereon.
I hereby certify that this survey, plan, or report
was prepared by me or under my direct supervision
and that I am a duly Registered Land Surveyor
under the laws of the State of Minnesota.
I ` ESOTr I ?'R 110 N NO. 8625
02-16-88 X? ,
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1982 Safari Tr
Lot: 1 Block: 2 Addition: The Safari 3rd
PID:10- 75852- 010 -02
Use:
Description:
Sub Type: e- Reroof
Work Type: Repair
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspec
acceptable in lieu of inspections.
Fee Summary:
Valuation: 3,000.00
Contractor:
Abelard Construction
6200 Shingle Creek Parkway, #545
Brooklyn Center MN 55430
(763) 503 -6610
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
on prior to final, you must meet inspector with ladder and flat bar. Pictures are not
Owner:
Robert C Bryant
1982 Safari Tr
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
$90.00
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Building
EA087366
11/12/2008
ePermit
-z ,-k
CITY : OF EAGAN Permit No'
9395 Date. . , 3-- 15 -S8
: 383Q PIIot Knob Road Meter No: Size:
r T = P,O Box 21199 Reader No Date:
Eagair,, 1N 55121
- Owner'
Talley Investments
i" Site Address: - -1982 Safari Trail - I 112 Safari III"
Pi umber Wet sel lSechanical.
r Conn. Chg 5 `.00prl Zoning:: I
i 15.00pd � No. of Units:
i _ Acc t. ;Dep
P
d.
ermit Fee: 10* OOp
surcharge: .5_0 _pd I agree to comply with the City of Eagan
[ Tr. Plant , 20 4 3 00 Ordinances. r A -
Meter. 67:t#fi pc! "�
Misc P T P. uz� By _a _ $�
WATER SERVICE PERMIT -
CITY OF E 4GAN Permit No: LL 105 4 3 Date: 3 ® "
4 35
3830 pilot Knob Rod ' B/P Na - a ; 2-1
P.O'B
Eagan, MN 55121
Owner: 1741 ey Investments
Site Address: I . _ - ` ' " '° +
Plumber: Went ` Mechanical i 1
MWCC: 550.00j Zoning} RI. "
City C No. of Units:
1 100, O
hg: 5.00 d c
( Acct. Dep: F
Permit Fee: 1 • t t " pd I agree to c ply with. the City of Eagan
' . SOS Ordia s0 4
Surcharge:
M isc.: B,y I 1
SEWER SER E P i 1
3 A
C!tyofEa�au
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #: F �3
Permit Fee: / -✓
Date Received:
Staff:
L
'] 2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ` '� / / e Site Address: /9 e 5 / 721" 7 /L_- Unit#:
Resident/
Owner
Type o
Name: D 3 j ', /,k A
Address / City / Zip: i ^ { /g � Tifyg(L SW ' i / ee._
Phone: 6.57-14-2_-39V
Applicant is: Owner _L/ Contractor
Description of work: We f I4 L.G. Grgit
Construction Cost: % /le, /Q, 07)
Multi -Family Building: (Yes / No h )
Contractor
Company: /Leas IL er ` Of ✓LJ4& Contact: 5%oe ,gethi-ea�',Qr
Address: 5-40. r u .41J(
City:
State:MA/Zip:CY—V.28 Phone9 P ID9mail:
License #: 27/4 65-3.5---08 Lead Certificate #: A Ar 5 73 - ,
If the project is exempt from lead certification, please explain why:
d
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes, date and address of master plan:
Licensed Plumber. Phone:
Phone:
Sewer & Water Contractor. Phone:
Fire Suppression Contractor. Phone:
Mechanical Contractor.
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 the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Cal! 48 hours
before you intend to dig to receive locates of underground utilities. yrsury
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 1 understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minneso te Building Code must be completed within 180
days of permit issuance.
S -Poi° g-r®l1u4 e/x .
Applicant's Printed Name Applicant's Signature
Page 1 of 3
Use BLUE or BLACK Ink
,
OA
. ,
City of Eatall For Office Use
Permit#. /
Y1,11''
Permit Fee: c2c,?q•01:)/ (-1C_
3830 Pilot Knob Road
Eagan MN 55122
F,ZCEIVED Date Received: -7- ..... 7 / -71 '
Phone: (651)675-5675 _ i I
buildinoinspectionsAcitvofeacian.com Staff: irsifi I
JUL 2 1 2017 'W
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: i- Pi'- I' 7 iiffe yfe-na c-)'.04 4 . to d
Site Address: ' - - "'"' ''' Unit#:
i Ib 6s , - ,
' Yc..02 51 7.... ...
I Name: I- o 61,4),k"-1.4.-
Phone: /
Resident( I , i
1 . 91.Seg
,°Miner I Address/City/Zip: it
I i ;
I
Applicant is: Owner Contractor .,
/0,g / -,-
r
-S 6,*dv 4 5 e /1.C 644 t of/CA q4-4- c i
, Type of Work Description of work:I
2
1 Construction Cost: -C 7 7ff 0 Multi-Family Building:(Yes i No A )
„,,........„, _„
1 1
i 1
I Company: " .'.,PA? 44 el/0-13A- Clk-,ite a 6.4'1 Contact:
:.
, ..A.
Address: hoc P. r -J 0 . City:
Contractor
State: :44-v Zip: CC3-5 7 Phone:
t', 1 License#: L..4. Lead Certificate#:
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes, date and address of master plan:
1
Licensed Plumber: Phone:
1 Mechanical Contractor: Phone: , 1
i
t
Sewer&Water Contractor: Phone:
1
I Fire Suppression Contractor: , Phone:
I NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the
1
1 information may be classified as nonpublic if you provide specific reasons that would permit the City to conclude that they
are trade
..._ „....... . _ ......_ . . ...... _„„.., .... .... ,.. _,....... . . .. , . ......,........._„.. ....
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on
the City's website at www.cityofeadan.cotri/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
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. wwvv.clopherstateonecalLorq
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 1 understand this is not a permit, but only an application for a permit, and work is not to at-- 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.SA' /
—, ,-„,m,„.—
1_r Vs, I "I Olt Va 1 e
x -....,_
,
Applicant's Printed Name Applicant's Signature
Page 1 of 3
CLQ •
Invoice
&HIMNEY
DØCT&RS
Bill To: Job Site: www.chimneydoctorsmn.com
Bob Bryant 1982 Safari Trail chimney doctorsmn a®gmail.com
FY
651-452-3927 Eagan,MN 55122 P.O.BOX 240722Apple Valley,MN 55124
952-888-5252
Today's Date Inspection Date Tech. Job Date Prepared By:
8/5/16 7/15/16 James Spring 2017 Lindsay
Item Description Total
Chimney Reline Remove mortar wash and top 3 courses at 12 brick
per course.Relay brick using similar size and col- Liner$4375.00
or.Total new brick to be laid=36.Pour new con-
crete crown with drip edge and expansion joints. Restoration$1040.00
Remove terracotta clay tiles of main floor fireplace — Scaffold$1000.00
from access hole in back of chimney.Install one
new 7x11" insulated Olympia Forever Flex stain- Disposal$250.00
less steel lining system.
Includes:
• ROOF/GROUND PROTECTION 2017 10%discount-$667
• SET UP AND TAKE DOWN SCAFFOLD
a REMOVE OLD MORTAR WASH
• REMOVE DAMAGED BRICK Down Payment-$2000.00
• REBUILD 3 COURSES Check#263
• POUR NEW CONCRETE CROWN AT THE TOP
a REMOVE TERRACOTTA CLAY TILES
• INSTALL STAINLESS STEEL LINING SYSTEM
• PARGE LINER WITH CHAMBER TECH 2000/MESH
BOTTOM PLATE Total Bid $5998.00
• CLEAN UP AND DISPOSAL OF DEMOL-
ISHED MATERIAL Tax N/A
•, PERMIT Total Due $3998.00
Notes: i/s of total is due at acceptance of this estimate and the remainder at the completion ofjob.All credit card charges will have a
3%interest charge.Prices subject to changes.All work is done in compliance with the NFPA Qi 1(7.1.10),AIIJ,IRC as well as any
manufactures warranties.All brick and concrete work comes with a full lifetime warranty.All insulated stainless steel lining system's
come with lifetime warranty which require annual inspections.
h�440110 E OF 4*, m .
Chimney Doctors are Certified,Bonded&Insured.American Family Insurance, '. MEMBER
Y Polis #22-XE6129-12-00$2,000,000 Dollar LiabilityCoverage CHIMNEY
NATIONAL WHI.iiIMN� _�.1.A R9Ri 6 jv�i'h�wE��
SWEEPuiLia
' c `'DON T WRITE BELOW THIS LINE
S1!B'TYPES
Foundation *?4 Fireplace Porch (3-Season) Exterior Alteration (Single Family)
Single Family Garage Porch(4-Season) Exterior Alteration (Multi)
Multi Deck Porch(Screen/Gazebo/Pergola) Miscellaneous
01 of_Plex Lower Level Pool Accessory Building
WORK TYPES
New Interior Improvement Siding Demolish Building*
Addition Move Building Reroof Demolish Interior
Alteration Fire Repair Windows Demolish Foundation
Replace Repair Egress Window Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation $ '3 �, '�'- Occupancy .J ?(- i MCES System
Plan Review Code Edition ilytA zo iS SAC Units
(25%_ 100%X ) Zoning R-1 City Water
Census Code Stories Booster Pump
#of Units Square Feet _ PRV _
#of Buildings Length Fire Suppression Required
Type of Construction V$ Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final I C.O. Required
Footings (Addition) k Final I No C.O. Required
Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test
Roof: Ice &Water Final Pool: _Footings _Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
10 Fireplace: /0 Rough In _Air Test _Final Siding: _Stucco Lath _Stone Lath Brick EFIS
Insulation Windows
Sheathing Retaining Wall: _ Footings_ Backfill_ Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: ) d IM I i Y- !7 A , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit& Surcharge
Treatment Plant
Copies Q t)f/ c A
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA152437
Date Issued:10/15/2018
Permit Category:ePermit
Site Address: 1982 Safari Tr
Lot:1 Block: 2 Addition: The Safari 3rd
PID:10-75852-02-010
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: 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 -
Robert C Bryant
1982 Safari Tr
Eagan MN 55122
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA167733
Date Issued:03/26/2021
Permit Category:ePermit
Site Address: 1982 Safari Tr
Lot:1 Block: 2 Addition: The Safari 3rd
PID:10-75852-02-010
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 -
Robert C Bryant
1982 Safari Trl
Eagan MN 55122
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA173153
Date Issued:11/01/2021
Permit Category:ePermit
Site Address: 1982 Safari Tr
Lot:1 Block: 2 Addition: The Safari 3rd
PID:10-75852-02-010
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
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 -
Robert C Bryant
1982 Safari Trl
Eagan MN 55122
(651) 452-3927
Walker Roofing Company
2270 Capp Rd
St Paul MN 55114
(651) 251-0910
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA178657
Date Issued:08/29/2022
Permit Category:ePermit
Site Address: 1982 Safari Tr
Lot:1 Block: 2 Addition: The Safari 3rd
PID:10-75852-02-010
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:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Robert C Bryant
1982 Safari Trl
Eagan MN 55122
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-7052
Applicant/Permitee: Signature Issued By: Signature