1997 Safari Tr2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
{ ?? 3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date l / 2 l / 0 '-f
Site Street Address I g119 :5A P(-"(z l Tf? I L Unit #
Property Owner (? 1Rb
s EQ-RV4STFW Telephone# (6r() _762 -7690
/
Contractor 1 A?r Abey,, ? Telephone #
( )
Address City State Zip
The Applicant is: X Owner _ Contractor -Other
A
17 tions to existing dwelling
Add fixtures to rooms, excluding water softener and water heater
-Septic System Abandonment
-Water Turnaround (add $121.00 if a 5/8" meter is required)
Other:
$ 50.00
Water Softener Water Heater
_ replacement _ additional $ 15.00
Lawn Irrigation System RPZ_ new _ repair -rebuild $ 30.00
State Surcharge $ .50
Total $ip ] v
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
PaJ-s T?F2Ns rte/ ?? ??
Applicant's Printed Name Applicant's Sig
2004 RESIDENTIAL BUILDING PERMIT APPLICATION `
City Of Eagan %96106
4- 3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694 c? Q ?e 19 S- cf .
New Construction Requirements RemodellReoair Requirements
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan ?` tav aetf ?° „iY
[?CO"?Pr _.-
(20% maximum lot coverage allowed) l set of Energy Calculations for heated additions
2 copies of plan showing beam &window sizes; poured found design, etc. 1 site survey for additions & decks
`rei FI??y
l set of Energy Calculations Addition - indicate if on-site septic system
3 copies of Tree Preservation Plan if lot platted after 7/1193
Rim Joist Detail options selection sheet (bldgs with 3 or less units
Date --q-/ 26 / Q Construction Cost
'
Site Address I "
t t ISA r-APU TR44-t L-- Unit/Ste #
EA6-9 n1 M ?,5? 122
! 4 F d}S
(N 1
Description of Work ,
" f
1
Multi-Family Bldg _ Y0 N Fireplace(s) ® 0 _ 1 _ 2
Property Owner ROSS JS,+RA- SERN-VS/FIN Telephone#( t 5'() 7O2-7(o48
Contractor IS 0 sr Sm ws k f
Address I iq f r) 544R( 7"f?,4lL City EAS*W
State IVI Zip $"5'112. Telephone # ((p,$'() 41 o2 -17 (o y d
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Category 1
Residential ventilation Category 1 Worksheet
(4 submission type) Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar pt
fee applies. ??
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
A NEW BUILDING
_ Minnesota Rules 7672
New Energy Code Worksheet
Submitted
Y _ N If so, 25% plan review
1 ya
(ho en `# ( S
phoneol(
#( / )
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 work which requires a review and
approval of plans.
fzoSs SmN sf-EIN
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 01 of-plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex PIbgv/Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
?, 32 Addition ? 36 Move Building ? 42' Demolish. Foundation. ? 45 Fire Repair
l
S
] 33 Alteration ? 37 Demolish Building' ? 43.., Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation 20y 0 Occupancy IR -3 MCES System
Census Code3 Zoning 6 " ( City Water .
SAC Units r Stories Booster Pump
# of Units 0 Sq. Ft. PRV
# 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) ej Plumbing
Foundation HVAC
Drain Tile Other
Roof - Ice & Water
Final Air/Gas Tests
Ftgs
Pool _ Final
_
Framing _ _
_
Siding _ Stucco - Stone _ Bri ck
Fireplace
R.I.
Air Test Final Windows
_
-
-
Insulation _
_ Retaining Wall
r
h 00 S 3 v 7
A
d B
pprove
y:
Bu ilding Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Address
Zip 5512 2
Lot I Blk 1 Sub Safari Estates 2nd Addition
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: _ Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage) k
Permanent steps (main entry) X
Permanent driveway k
Permanent gas X
Sod/Seeded grass k
Trail/curb damage h
Porch X
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shutoff of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 6814645 before working in fight-of-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
? SO? 07
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construction Reauirements
• 3 registered site surveys showing sq. ff. of lot, sq. ft. of house; and f1U roofed areas
(2D% maximum lot coverage allowed)
• 2 copies of plan showing beam & window saes; poured found design, etc.)
• 1 set of Energy Calculations
• 3 copies of Tree Preservation Plan ti lot platted after 1/1193
• Rim Joist Detail Options selection sheet (begs with 3 or less units)
DATE 5; -2G- 02
Water Softener
Water Heater
No. of Baths
SITE ADDRESS I Cl SA F? l T` L MULTI-FAMILY BLDG Y k N
TYPE OF WORK IJFC K FIREPLACE(S) f 0 _ 1 _ 2
APPLICANT l26 5'r Is F2 N S-+(F I N
STREET ADDRESS q9-1 S AFAP l -r(Z4(L- CITY E/A-6,4-r4 STATE MNyP S5'(z8
TELEPHONE # (6 V)i 6 Z-7(-90 CELL PHONE #C? f z) 32? - 2? f FAX #
PROPERTYOWNER ')7055 t SA-9A T3?Cr,N3k I N TELEPHONE #65-I) ?021702
----------------------------------------------------------------------------------
COMPLETE THIS SECTION FOR ••NEWo 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
I hereby acknowledge that I have read this application, state that
with all applicable State of Minnesota Statutes and City of Eagan
Signature of Applicant
OFFICE USE ONLY
RemodeVReosir Reaulremems
• 2 copies of plan
• l set of Energy Calculations for heated addrlons
• 1 site survey for exterior additions & decks
• Indicate If home served by septic system for additions
VALUATION
Phone #
Lawn Sprinkler
No. of R.I. Baths
Phone #
p MAKoRA2002
Fee: $90.00
Fee: $70.00
agree to comply
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY A
? 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. Aft - 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 X18 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_Yor_ 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 =1° MC/ES System
Census Code -4? 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 _ lee & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding _ Stucco _ Stone
_ Fireplace - R.I. - Air Test - Final _ Windows (new/replacement)
Insulation _ Retaining Wall
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Approved By Building Inspector
------------------- ------------
?JA`a v
.• - 2422 Enterprise Drive
Mendota Heights, MN 55120
(851) 881-1914 FAX-691-9488
„'s ' LAep slmsras • rni aHwaLns E-mail: PIONEEROPRESSENIER.COM
ring we Lwour AkMKCs 625 Highway 10 N.E.
Blaine, MN 55434
(612) 783-1880 FAX-783-1883
E-mail: PIONEER20PRESSENTER.COM
ficate of Survey for: MANLEY BROS. CONST.
199"1 SAFARI TR
S89045'1 5"E 143.42 1924.0)
POIJ10 Ap- 30 11
lvwc 2.0
, p,?M.: 9'26• zo ?'
RE I E POD ; T
S?eE
(95'2.1)
to 54 N79'51'30.,E
v
` 941.0
x
l
37.8q 950.1 0 (1.
? w ?
Ira ? ?
CP '?
ii o t
N
RV. ELEV.=941.0
BENCH MARK
TOP OF PIPE
ELEV.=951.49
f AREA = 23,992 sq.ft.
USE AREA - 2,148 sy.ft.
USE TYPE -2 STORY WO
DEPT. i _ ,
3n.78 / ?
2+x24
DEC K
941
x
_32.71""'M\$ C)\
=92.11 ^4 \ '1.17 CARAT
1 91.5 11.6 6 c
28.03 T.
\o°
1 --L 12 'D __951.0 20.67 ci
, t 95'l3Eg
'I ° R?WA'
5L -----I
i
951.8
SAFARI TRAIL
VERACE =9.0%
TE: PROPOSED GRADES SHOWN PER GRADING PLAN BY: CCST. a?
TE: BUILDING DIMENSIONS SHOWN ARE FOR HORIZONTAL AND VERTICAL LOCATION
OF STRUCTURES ONLY. SEE ARCHITECTUAL PLANS FOR BUILDING AND
FOUNDATION DIMENSIONS.
06
a3
a m
00
q1t
O
N Q
? O
60
!50.0 RR811
F
LU =
?0 C
W alms
51.9
v
951.1
950.7 \
01 BENCH MARK
ETLOEV. 950.93
PROPOSED HO'1's- FVA SON
LOWEST FLOOR ELEVATION: `7y0 6
TOP OF BLOCK ELEVATION: qW, 7
GARAGE SLAB ELEVATION: 950
TE> I,IO: WEgE1f??Oly,S;INVES11GAilON HAS BEEN COMPLETED ON THIS LOT BY THE TOB LOOKOUT ELEVATION
SIIRVEYdH. THE 5 11'ABIIiTY'M'SOICS"TO'SUPPORT..THE•SPEpFlC HOUSE._,,, .?,... r:.. .. .. _.
PROPOSED IS NOT THE RESPONSIBILITY OF THE SURVEYOR. .:
x 000.00 DENOTES EMSTNG ELEVATION
iTE: THIS CERTIFICATE DOES NOT PURPORT TO SHOW EASEMENTS OTHER THAN 1 000,00) DENOTES PROPOSED ELEVATION
THOSE SHOWN ON THE RECORDED PLAT. DENOTES DRAINAGE AND UTILITY EASEMENT
a: CONTRACTOR MUST VERIFY DRIVEWAY DESIGN. DENOTES DRAINAGE FLOW DIRECTION
--}- DENOTES MONUMENT
ITE: BEARINGS SHOWN ARE BASED ON AN ASSUMED DATUM ?. DENOTES OFFSET HUB
E HEREBY CERTIFY TO MANLEY BROS. CONST. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A
URVEY OF THE BOUNDARIES OF:
.OT 1, BLOCK 1, SAFARI ESTATES SECOND ADDITION
AKOTA COUNTY, MINNESOTA
' DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT /AA HOWN, AS SURVEYED E OR
NDER MY DIRECT SUPERVISION THIS 27 DAY OF APRIL, 2000 SIGNED: / IONEER rENGI RIN P.A.
BY.
CALE . 1 INCH = 30 FEET ltcrMSEa S 9•aD CNI, ?` arem f,715
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
OT KNOB RD - 55122 S, U 0
y 0 g? 3830 PIL
851.681-4675 n f1 AUUn
ments
New Construction Reaulremenh at I Im 596 Re /Repair Reauire
S registered site surveys showing sq. R of lot, sq. fl. of house -)-)5-(j0 2 copies of pion
and gQ roofed areas (20% maximum lot coverage allowed) 1 set of energy calculations for heated additions
2 copes of plans (show beam A window sizes: poured (nd. design: etc.) 1 site survey for exterior additions & decks
D 1 set of energy calculations
n 3 copies of tree preservation pan If lot platted alter 7/1/99
DATE: 6(r7 I ?? CONSTRUCTION COST: i i.QD , o0 o , w
WORK:
STREET ADDRESS: ' 211REMP U Lkl V- y I
LOT: _I BLOCK: i SUBD./P.I.D. #:
Name:S?? 6U C f :tj l U? Phone C
PROPERTY Lost firs
OWNER
Sheet Address:
City State: Zip:
Company:, i BMS, l?{2 Yl- 1 _ Phone #: (oI 2 2sp-4(ol 1o
CONTRACTOR 2 C,, (area code) 0313 )
Street Ad?'drresss":, ?;, )(? ^ 1 f m1? Ucense M 9432/ r _n
20 CJp.a
City M Ivggeo t', s State: ? N zip: 55"L b
ARCHITECT/
ENGINEER Company: I KNNI) I YI C . (? Name: I IJ T V ??
Telephone #: (122Y,?((I , , X6-7 2 1 l --
Street Address:( 5420 V?.iI?S I II C2?M ?Vi' . Registration #: -
City e?aI - state: ?_ ? I ZZ
Sewertwater licensed plumber (if Installing r Phone #: 1 l 4 b- ?86 3 l
I hereby acknowledge that I have read this application, state that the infor7correct, and agree to comply with an applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant. JJ!
Certificates of Survey Received
Tree Preservation Plan Received _
OFFICE USE ONLY
Yes No
Yes No V Not Required
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-plea ? 13 16-plex ? 21 Porch (3-sea.)
02 SF Dwelling ? 08 06-piex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
Q 03 01 of_ plex ? 09 07-plex ? 18 Deck ? 23 Porch (screened)
? 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Storrs Damage
? 05 03-plex ? 11 10-plex Plbg Yor_N ? 25 Miscellaneous
? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg.
WORK TYPE
M,-11 New ? 36 Move Bldg. ? 43 Reroof
? 32 Addition ? 37 Demolish (Bldg)' ? 44 Siding
? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair
? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors
` Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
? 31 Ext.Aft-Mull
? 33 Ext. Aft - SF
? 36 Mufti
SAC Code O t # of Stories S- sq. ft.
No. of Units Length 70 sq. ft.
No. of Buildings l Width u IT Footprint sq. ft. 10 ti 7
Const. (Actual) la Basement sq. ft. 12Y,? Census Code
(Allowable) vw Main level sq. ft. ;LL (h MC/ES System
UBC Occupancy 93-/U-1 2..j 1?-4 sq. ft. 101u City Water ors
Zoning E 6 ?,:6Q sq. ft. 9-L(S' Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building 61 Engineering Variance
Permit Fee Valuation : $ 1 S 5000
Surcharge
Plan Review
License
?' u• 1
12 ti k i/ s 15r 7 3s
MC/ES SAC Ma'. 12ghxt/sw b?,yw6
City SAC
Water Conn. 2 ,1 i? 1 /G1?S4 :rslti??
Water Meter &6 %
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total: o O . ZS c7
((
SAC Units
% SAC
ENERGY CODE JRKSHEET FOR 1 & ?. FAb. X DWELLINGS' I "
t° l T `
GD
BITE ADDRESS 2
1 L,
1
CITY
_
_
_
COMPLETED BYI?MLEY _
f PHONE p DATE
QUI1MINQ CUBSIFICATIONI n category 1 (atandard) or category 2 (mu_t include ventilation)
MINIMUM CRITERIA
Foundation Insulation-R10 Walls & Windows Roof Attic -Insulation:
(See table on reverse side
slab on Grade insulation-RIO for allowable pe rcentages) R44-With Attie No [feel
Floor over unheated spaces-R24 R38-With Attic Raised Heel
Foundation Windows 1/2° R38 & R5-Solid Rafters
insulated Glass.
-Hood or Vinyl Frame
STEP 1 Window & Door Area STEP 2 Calculate area as a percent of wall
A. Total Window & Door Area in Sq. Feet
. WINDOWS (Including Foundati on Windows):
WINDOW MANUFACTURE NAME: C. From Step 1 divide box A (Window & Door
Area) by box B (total wall area) time-, 100
WINDOW MAIUFACTURE TYPE: equalu the window and door area as a
percent of wall area (box C1.
WINDOW MANUFACTURE U FACTOR: _
r
Q
?
44-7
R. 0. Quantity sq.ft.Area . _ X 10o C 11
Box h,-
q
/
Dimensions Box U??DO
X STEP 3 Design Features
l' M X O" ASSEMBLY
1,41 X PRANING TYPE:
"(J M X *04 I STANDARD FRAMING _ _studs 16" O.C.
K X ). (( ADVANCED FRAMING rtuds 24" o.c.
I,?1-0h X Sf?R 1 3? CAVITY INSULATION n_ a_
214 X 41 -1? tI ' ------- SHEATHIIH: TYPE:
:O X L IIt LESS THAN < R-5_
X R-5 > OR MORE
'X U-FACTOR U
DOORS; From the table, (reverse side) determine the
maximum percent window & door area for the
l
design options selected and enter the t va
ue
/,Q X in Box D below based on the window mfg. U-
(p
;
R factor:
8 X 61 1 ® D
Total Area of A-Qy?q.ft.
Windows & Doors 11 11
B. Total Wall Area in Sq. Ft. The t val.:e from the table in Box D shall be
equal to :r greater than the t in Box C
Wall Total Height Area
Perimeter
? D
1
10
Total Area of Walls 4FT
Da,_ ?W
e
ONE- & TWO-FAMILY RESIDENML OUfLDJNC PRESI3tIpME (COOK-HOOK)
APPROACFI
MAXIMUM WINDOW AND DOOR AREA AS A PERCENT OF OVERALL WALL
AREA
P24?Mlnn Rules Dart 7670 OC75 + IMI ++rm r
Notes:
Window area equals rough opening minus Installation clearances,
Window U-factor must be determined by either the National Fenestration Rating
Council standard 100.91, or ASHRAE 1993 Handbook of Fundamentals, Chapter 27,
Table 5.
Pod4t• Fox N019 7671
Addtttenal eatcmi-Md v6 m
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PROPERTYLEGAL:
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
,/ ?G?,?? SAF.42r Esnr s ca A6wr"e-a N
DATE OF SURVEY: 4I -27 -O (D
LATEST REVISION: '> • I - 00
DOCUMENT STANDARDS
• Registered Land Surveyor signature and company
• Building Permit Applicant
• Legal description
• Address
• North arrow and scale
• House type (rambler, walkout, split w/o, split entry, lookout, etc.)
• Directional drainage arrows with slopelgradient %
• Proposed/existing sewer and water services & invert elevation
• Street name
• Driveway
• Lot Square Footage
• Lot Coverage
ELEVATIONS
Existing
/? ? Sewer service (or Proposed)
;0 ? Property corners
? ? Top of curb at the driveway
a ? Elevations of any existing adjacent homes
? r ? Adequate footing depth of structures due to adjacent utility trenches
Proposed
1/0 ? Garage floor
? ? First floor
? ? Lowest exposed elevation (walkout/window)
k' ? ? Property corners
W ? ? Front and rear of home at the foundation
PONDING AREA (if applicable)
V( ? ? Easement line
V ? ? NWL
B' ? ? HWL
i" ? ? Pond # designation
? V ? Emergency Overflow Elevation
M/ ? ?
C/? ?
W? ?
W ?
,
C5 ;/b
DIMENSIONS
Lot lineslBearings & dimensions
Right-of-way and street width (to back of curb)
Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all structures requiring permanent footings)
Show all easements of record and any City utilities within those easements
Setbacks of proposed structure and sideyard setback of adjacent existing structures
Retaining wall requirements, if any ,-?J
Reviewed:
Name
5- 0-
March 19M
CRAM,IaLOOPRMr. FM
*PIONEER
* engineering
Blaine, MN 55434
(612) 783-1880 FAX: 783-1883
E-mail: PIONEER 20PRESSENTER.COM
BROS. CONST.
Certificate of Survey for: MANLEY
I qcn SAFARI TR
S89'45'1 5"E
143.42 (qzz 0)
l4zr,n) PoNlo AP_ 30
` NUWC . 9,x 2.0
1 uw!-.. 826.20
2422 Enterprise Drive
Mendota Heights, MN 55120
(651) 681-1914 FAX:681-9488
E-mail: PIONEEROPRESSENTER.COM
W 0 R.WN . LMMCA
RE* EW, D POwD
BY
DEPT. i _ _ ! ,
(,JI. _ _ - ? - - -1
V' T - _
51 N79'51'30 E
l
1
1 941.0
x
1
r
to m
tat ?
N
SERV. ELEV.=941.0
i
i
(952
_3_7_8$ 950.1 9t<s•
948.7 15.00 o 53.00
co
1 r6 PROPOSED
1 2.00 'HOUSE \;
32.71' i n\C, \
E `_ I -12.83`11.86n' 12.17
9$1.5 c
28.03 I c
- ---L-t9? 951._0
1 I
w to
1 0
5L -----M
r) o _ ?
BENCH MARK 952.2
TOP OF PIPE
ELEV.=951.49 951.8
=t_T
FiI CE
)/ ' 1 N
Is m N
30.78 I r
I tp
Of
941.2
x
50.3
(95'/•
0
R=/220?..?83
?ip
LOT AREA = 23,9928 q.ftft SAFARI TRAIL
I
I
I
I J
i5 i
I?
13 00
1 O
! N
M t7
r
5-01
950.0 P??l
Z
Pw
5
(nN
(n
X5
w
151.9
951.1 ys/•0) L
N of 950.7
C?/
BENCH MARK
vi! TOP OF PIPE
ELEV.=950.93
HOUSE AREA = 2, 4 sq. .
HOUSE TYPE =2 STORY WO ''qq'ty
COVERAGE =9.0% PROPOSED HOUSE ET NATION
LOWEST FLOOR ELEVATION: 1114
NOTE: PROPOSED GRADES SHOWN PER GRADING PLAN BY. CCST. ` ?/
NOTE: BUILDING DIMENSIONS SHOWN ARE FOR HORIZONTAL AND VERTICAL LOCATION TOP OF BLOCK ELEVATION: 9sY
OF STRUCTURES ONLY. SEE ARCHITECTUAL PLANS FOR BUILDING AND 9513
FOUNDATION DIMENSIONS. GARAGE SLAB ELEVATION:
NOTE: NO SPECIFIC SOILS INVESTIGATION HAS BEEN COMPLETED ON THIS LOT BY THE TOB 0 LOOKOUT ELEVATION:
SURVEYOR. THE SUITABILITY OF SOILS TO SUPPORT THE SPECIFIC HOUSE
PROPOSED IS NOT THE RESPONSIBILITY OF THE SURVEYOR.
x 000.00 DENOTES EXISTING ELEVATION
NOTE: THIS CERTIFICATE DOES NOT PURPORT TO SHOW EASEMENTS OTHER THAN ( 000.00. ) DENOTES PROPOSED ELEVATION
THOSE SHOWN ON THE RECORDED PLAT. DENOTES DRAINAGE AND UTILITY EASEMENT
NOTE: CONTRACTOR MUST VERIFY DRIVEWAY DESIGN. DENOTES DRAINAGE FLOW DIRECTION
-r- DENOTES MONUMENT
NOTE: BEARINGS SHOWN ARE BASED ON AN ASSUMED DATUM 8- DENOTES OFFSET HUB
WE HEREBY CERTIFY TO MANLEY BROS. CONST. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A
SURVEY OF THE BOUNDARIES OF:
LOT 1, BLOCK 1, SAFARI ESTATES SECOND ADDITION
DAKOTA COUNTY, MINNESOTA
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT ??/??/ HOWN, AS SURVEYED E OR
UNDER MY DIRECT SUPERVISION THIS 27 DAY OF APRIL, 2000 SIG?? IONEER 7ENGI RIN P.A
SCALE : 1 INCH = 30 FEET lPiws£o S 1.00 Gil, fe rarrM "WS
B Y:
n L. Larson,
MAY 1 0 2000
South Mechanical 952492244E p.2
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Part B. DEPRESSURIZATION PROTECTION
Cheek option used: Cl Fuel burning equipment (complete schedules below) D No fuel buming equipment
INSTstucnoNS
Step 1. Complete the Combutrron Equipmem Schealule below. Only equipment
with a Y (Yes) may be selected under the "Category I" alternate.
Step Z Complete Erhaaw/Mokr-up Air Sche4la on the right if director power
vented or solid fuel atmospheric vent space heating equipment is selected.
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: Cl Sealed combustion .i Y: :;k7tirifFF- norisb iit4ile).`;;
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O Direct or power vented . .
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D Direct or power vented . a.,:; ,eatiti&._3otiiFfiYeL`•, ? Atmospherically vented :Y. ,.
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pe iulrlutt :;
Atiik isr f6t eijcftiirdividmitlttixbati'sfdevite whith:c tceetts:ll)O;cuhic' feet.
Part C1. VENTILATION
. .. ' ."' YENTIEAT10WQIJANTITY -' .
„(KIt chanieal.veiAilation must be provided ?ppr the larger quantity caltulated below)
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•".txa'41ei&ea;,;i;'gSUQS&3,'lnNnate w C? olio'' . (. ?,..._._.J ::.li:cimJbtdroom)+ l5.sfm.•.,?? elm
,'t%etgllra of habisebk:ipata;: nuiaber of bedroom,;•.
...:.?.• ?`. •. . :%??. .'VBWTIfyJ??FION'FA SCH6DOLE: .'•'''.;
Gil J.F ?t!(s?' _ `•9.¢.''{: ? Exhaust only D_ 8alanccd (hent recovery ventilator, air exchan cr, ere.
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Statement of Compliantet The proposed building design reprxpented in these documents is consistent with the building plan.
specifications, and other calculations submitted with the permit application. 'File proposed building hai been designed to meet the
requirements of the Minnesota Energy Code.
Applicant (print name) Signature Date Telephone number
(Submit Part C2 upon tomptetioo of system verification))
Part C2. VENTILATION'
---------)-------------'-----,--------------"-------------------------------'---
Job Site Address:-/ / / ?tz-F?'t ` ArsfK r .. _ Permit Number _
Compliance State enl: Installed venli
Applicant (print name)
Energy Code and is sized to provide the design air flow.
y'3.2 ,sryo
Date Telephone number
9524922446 => CITY OF EAGAN ,TEL=6516814612 05/24'01 09:25
Afilb.
C'T?'City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675.5694
JUt 1 12009
I For gfBoe iise?j? ? I
I TJ`Y?O
I Permit#: I
I
??LfJ? I
? Permit Fee:r ?/ / y ' _'" I
/ / ? I
I Date Received: i
i
Staff E?
:
------------------
r' 2008 RESIDENTIAL APPLICATION
Date: ql1l Site Address:
Tenant:
Suite #:
RESIDENT/OWNER Phone:
Name: Lt?? >-1 ?\G
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e
Ari
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?.MTI AY
Address/ City/Zip: l e
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CONTRACTOR Name: s
Address:
F )C 1 l?Z
p:
City: 1 its ?i State: Zi
ip
`
Phone: ?ZTJ?IJ I Contact Person:
TYPE OF WORK _ New ?__ Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W.
Description of work:
PERMITTYPE RESIDENTIAL
Water Heater _ Water Softener
Lawn Irrigation Add Plumbing Fixtures
(_ RPZ /_ PV8) (_ Main _ Lower Level)
Septic System -Water Turnaround
_ New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $.50 State Surcharge)
'Water Turnaround (add $136.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $ ?.?JU
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes or the uty or
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 a in
ac ordance with the approv d plan in the cap of work ich requires a review and appr vat of plans
x x
Applicant's Prin ed Name Applicant's Signature
FOR OFFICE USE Reviewed By Date:
Required Inspections'. Under Ground Rough-in Air Test -Gas Test. -Final
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA137550
Date Issued:07/11/2016
Permit Category:ePermit
Site Address: 1997 Safari Tr
Lot:1 Block: 1 Addition: Safari Estates 2nd
PID:10-65851-01-010
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Todd V Mom
1997 Safari Tr
Eagan MN 55122
Polar Builders Inc
1103 West Burnsville Parkway
Suite 110
Burnsville MN 55337
(763) 370-0074
Applicant/Permitee: Signature Issued By: Signature