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2005 Safari TrINSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITEADDRESS: { it t , , ,I, APPLICANT: lAR) TR } I PERMIT SUBTYPE: TYPE OF WORK: •rr ?,.? INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR. . .. ? I l l t t a i r.r P t t'I. PFMARK S : PRV & AJ PL RR 14I1RR PL FAR Permit No. Permit Holder Date Telephone N ELECTRIC PLUMBING !1 / q t?p73 HVAC ti Inspection Date Insp. Gomments FOOTINGS S'zZ-ci? FOUND 1I'!-7 r/I ? AZ %oZ!/-97 FRAMING °? „Z/ L G??j! •.r.+. - ROOFING a? l Yb( ROUGH PLUMBING -//-` 7 y 11411rIv a-16' 116 j am' PLBG AIR TEST Cc's yu r - ?u ROUGH HEATING ?s°`? Air ???l GAS SVC TEST 4NSUL . d/ `77 l7q VV"P GYP BOARD FIREPLACE FIREPLACE AR TEST FINAL PLBG geV FINAL HTG 7 - G' ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL 4 . ... 1 1 6ftr if irate of Cccnpanc? WitV of W"an Wto- I unt of Zni[bing 3napeetion This Certifcate issued pursuant to the requirements 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 Classifation: SF DWG Bldg. Permit No. 30591 0uPancY Type R-3 U-1 Zoning Dist E Type Cant. Vn owneroteuildin ORBIDAN CONST Address 1160 TOWN CENTRE DR.. EAGAN MN Building Addres 00 SAFARI TR ?gdity L3, B1, SAFARI ESTATES 2ND `. t Due: / Buik ing Of[-wW POST IN A CONSPICUOUS PLACE RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 3 registered site surveys shovyifi6 sq. It. of lot sq. ft of house; and all roofed areas (20% maximum iot cover a allo%ied) 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 Remodel/Repair Requirements 2 copies of plan 1 set of Energy Calculations for heated additions 1 site survey for addigons & decks Addition - indicate Non-s8e septic system 4vr?51 ?a (p Office Use OnN - Can of Surrey Recd -Tree Pres Plan Reod -Tree Pres Not Reqd _ On-site Septic System Date D-3 / N l 0-3 Construction Cost Site Address 2®C.? S A -7A P- ] (TRA y L Unit/Ste # A ,d i'V N A) S'S /Z 2 Description of Work -704! & 65A SOk /FOR d-H AE C° Multi-Family Bldg _ Y X N Fireplace(s) _ 0 _ O_ 2 Property Owner PE TEte 0,,P-,d /4 A AL Telephone # ( 612) 1 Contractor 04-1 6I,DA 5- S f? J `] k-A (L Address 7 7999 City re? kHa? / , State zip Telephone#( 62) y9O•Q11T1 y0 6-v3-77 COMPLETE THIS AREA ONLY IF Energy Code Category Minnesota Rules 7670 Category 1 • Residential Ventilation Category 1 Worksheet (J submission type) Submitted • Energy Envelope Calculations Submitted Licensed Plumber Mechanical Contractor Sewer/Water Contractor A NEW BUILDING _ Minnesota Rules 7672 New Energy Code Worksheet Submitted Telephone #( Telephone # ( ) T li I MAR i 2ce3 ?I I hereby apply for a Residential Building Permit and acknowledge that the inf ation 1 p teaccurate; that the work will be in conformance with the ordinances and codes of the C'v of Eag the St to of MN Statutes; I understand this is not a permit, but only an application for a perm tt, 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. P!5-7_E& 0je6).oAILI D DAD Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 02 SF Dwelling ? 03 01 of_ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex Work Types V 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement in6uvF,S ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. ? 20 Pool ? 21 Porch (3-sea.) ( 22 Porch/Addn. (4-sea.) ? 23 Porch (screen/gazebo) ? 24 Storm Damage ? 25 Miscellaneous r) to C-K ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation 12, C'O0, +? a Census Code a y SAC Units Nbr. of Units Nbr. of Bldgs Type of Const T Occupancy ' MC/ES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered Width _ Footings (new bldg) _ Footings (deck) ?K Footings (addition) _ Foundation _ Drain Tile Roof _ Ice & Water _ Final Framing _ Fireplace _ R.I. - Air Test _ Final Insulation REQUIRED INSPECTIONS _ Final/C.O. Yj Final/No C.O. _ Plumbing HVAC Other Pool _ Ftgs _ Air/Gas Tests _ Final Siding _ Stucco _ Stone Windows (new/replacement) Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ? 07 05-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 08-plex /, 18 Deck ? 11 10-plex ? 19 Lower Level ? 12 12-plex Plbg_Y or _ N Building Inspector Deck' Z/ can O,Oc7 i'0rz??? 16 x S?l.oa w ?o/g -C ATEGORN" I" ALTERNATE FOR ONE & TWO FAMILY DWELLINGS r *?Ctw Of Ct7t? I?ST, RlCT:01;5: This ai[ernadve may be used for one- and two-family dwellins buil[ to meet the Caw;llirv 1 requiretnenrs of ?1lanesota Rules. Chapter 7670. Complc[e Parts A. S. and C. Cicarly mark ;iar.3 v:zh: insu!aticr, R a!czs: 'xiru:•x and -.?zs: s;zz aa? 7,::,: o. Vi?r:.znr, equipment comrols: and iccaron or axr and '.v:n-.ash !ore dr?i:z? -arcn tar, '1: fou d ;n tt Minnesota Energv Code summary shtea avai!acie :iem :hz Mi:r,esc[1 Czca.-: cTr Conuaerc. Part A. BUILDING ENVELOPE C::eck preeesed cnve!cDe joint Sealing option 3 ? Prescriptive (caulking, g1sk::s. e:c.).. --- - ] ?e-or.y,a :a: per ?5-0.2x0 >cbe. '. C.) - took the.'aal -nervy alcaa:ioo option used 4 Z) -Cookbook'(compieto wericshm:'xWw) :] SL:C:-=k me_-cd (arac-, -per.; Perfomvnce (a[ach L'-vaiee caleJaZons) ?] ws;:es A:a:•/ss med:cd (arxh ar?i •Sia) "Cookbook" Worksheet 3fNZ3Rm REQLIRESIE:ti'TS (for '(7ookbook" cation oaly) - Z C:i1Qtg irsularien: %L-.== R-33 xith ?d: i" eae.3y ?cel; or Minimurn 1.44 xith !o-.v rss :tee!; cc }lirtimum R-33 with R-5 steats3'xhea Co a.^..:. ., c,-, Dccm lf1x. !`•:ai_ %0.30 x 11•;' sclidwccd w-- stc^ - ? 2im ;cis: :rst!a:ica?}Lri:am R-i9 7 Ficcrs overanrr&:icrrd scats: `Aci.^: ^ R-24 7 cc.On;rscia::cc: 'D Foucdadon wirdew's: i ' iuu!a:z_' zlu , weed ar'.invl .:.e TART F WIR T)FTFR.NfTrTNr;..Nf A-XTN LIf WT-DOW A.."D DOOR AREA _ e7 ! . Cteck i:emt i) .at de sig.". meets on Sfiaimron Requirements list :e :ct 3^.t list =z , all ::ems :o se "Cookbook" option. lndica:e orcesed wail r.,-P: on able be!cw. ^dica:c'A"icdow and scar:. __ ,.r -,:c _I w. dew, c!_diag area ofail fourdazicawindows) and deer area is e:ui ar!ess than allowable percentage. ?11c:r.,_•-; Ailcwabie Total Window Aral Door AM 11 • ?°°:^aZe J":^OSed W"i! ^ 12% 14°.+a 16'.+e 1 - I$°' I 20°x° I 22°./a I 24% I 26% I 1 28°4 ? -J? T'•-e 1Sardard F7mir'al' • `,flxLmum Average W L9dow L-v1" _ (e:C:_Dt .'cunda:tCr -x ndowsl: i :x, R-! '1iC!1 'Cn. R--ihea ?4n l 1 0.55 0.47 1 0.41 0.36 1 0.33 1 0?') 1 0-17, 0.24 1 O- R-1 : .,.su!a:;cnR-c'^eat z 092 1 0.43 1 0.39 I 0.35 1 0.31 0.33 0.26 1 0.24 1 022 1 = 2x4. R-19 msu!arxm <R-5 sceathin 1 0.48 0.41 0.36 1 0.22 1 0.29 1 0.20 1 0.24 1 0.22 i 0." ZI 2x5. R-19 !nscladcn. R-5 sheathing 0.56 0.48 1 0.42 1 0.3' I 0.34 1 0.3! 013 0.26 124 ? 2x6, R-2I t.sulatcm < R-4 s'^^.ca[hin 0.51 0.43 0.33 0.34 0.3o 1 013 I 0.25 0.23 I 0.'1 7 2s6. R-21 insulation. R-5 sheathin 0.58 0.50 0.44 0.39 0.35 1 0.32 1 0.29 0.27 1 025 Wall Tv:e (Advanced Ftarrunit: ivfaximurr t Avera Window U-value ezc cet foundaitiou •+/indows): < • 2x6, R-19 insulation. <R-5 sheaWn 032 0.45 0.39 0.33 0.31 0.23 O.2fi 014 0?2 ? 0 2x6. R-19 insulation. R-5 sheathing 0.58 0.30 0.44 0.39 0.35 032 029 017 025 O 2x6. R-21 nsula¢oa < R-S sheathing 0.55 0.47 0.41 0.36 0.33 0.30 0.27 025 0.23 . 2x6. R-21 insulation. R-5 sheathing 0.60 032 0.46 0.41 0.36 0.33 0.30 0.28 026 = Window U-value: t? Source: 1 ? NTRC ? AsiiR.i3 1993 Handtuok i 100x1 1 z Fg, 7 _ ?' of < 146 0%1 window & door area gross exposed wall area DESIGN ALLOWA3LE (.`tom able above) MINNESOTA ENERGY CODE -WHICH RULES MAY I USE? TYPE OF PESTDE.YTiAL BUILDING APPLICABLE RULES Detached R-3 occupancy I- and 2-farrWy dweWngs Chapter 7672; or Eearnc!cs: siag!e family, twin homes, duplexes Chacrer 7670 "Cate erv !" with stara:cr, decressur=:icn and venciia:ion :ecuirexeas Attached R-3 occupancy dwellings Chapter 7674: cc " Ex lcs: nicltx :ownheuses and row houses or " Ca:e¢er, 2" ar0vi5icns Chanter 7670 with either "Catcscr, I R-1 occupancy buildings of 3 stories or less I Chapter 7674; or " " E.xamclcs: condomuuums or apartments cr "Cate¢cr, 2 cr•,isfcns Chanter 7670 with either -'Ca:e or, I R-1 occupancy buildings over 3 stories high Chapter 7676 Esamele5: hich rise ,ordcs or aoartmems -.u.-..... .,^..,. ,.-n,.1 Siang:ure :)sir T-•'r.phone yuaSer NEW CONSTRUCTION ONLY Part B. DEPRESSURIZATION PROTECTION ._:1,::< ocr.an used, Fucl burning tq,uiement tcumplete schedules below) :1 No 4.e! -'uMing fSS72::C'Cb5 EXHAUST! MAKE-UP AIR SCHEDULE G:mclzx the Cur:c:c.•r:an =.j:ripmr.a: Sc.ir_ralr be!uw. Only eeiccant E.i:a_st,1es'czs .,•;zr ?LO c.`^ no..v. .?i:h a Y i'i psi may ':z se!ectzd under the "Ca[egpr; !"aitema:e. c$n Comcietz =.:r,: ?,;:: 1fu.ir-<p .tir Sc6ed.ie on the tight if direr: or cn•.vzr j c:a- w.ntcd or solid atmospheric vent space hearing equipment is ? c? t ;eieaed. COMBUSTION EQL'IPNIENT SCHEDULE (check all "es orocosed) Scare heating - nensolid fuel ZI Sealed combustion Y Hearth - nonsolid fuel 0 Seaied'combustien y Direct or power vented Y' I Q Direct or power venred I Y Atmospherically ti Amtoscherca ly vented N tiVater heating - nonsolid fuel ? Sealed combustion Y Space heating - solid fuel Q A:mosphencally vented Y' • Direct or oower vented y Water heatin - solid titer 0 Am osoherically vented Y Atmosohericall vented N Hearth - solid fuel ? Ar osoherical!vvented I Y f: amtosphentally vented solid fuel or direct or power vented noosoiid fuel space heating is installed, then make-up air to match jow is required for each individual exhaust device which exceeds 300 cubic feet ter minute. Part Ci. VENTILATION VENTILATION QL4NTTTY" (Mechanical ventilation must be provided per the larger quaatity calculated below) f'- cubic feet x 0.00583 /minute = tl cfm (i--x 15 efm,'bedroom)+ 15 cfm = F 'J efm voi::r.:e of habitable rooms number of bedrooms Check method(s) proposed 4 VENTILATION F.A-N SCHEMLE j ZExhaus: only Cl Balanced (heat -coverv ventilator. air exchange:, e:cJ Fan descri tion or location 4 I TOTALS 4 cN71LATION Intake cfm cfrn clan cfm cfm AS DESIGNED Exhaust cfm cfm ( cfrn cfm cfm Statement of Compliance: The proposed building design represented in these documents is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Minnesota Energy Code. Applicant (print name) Signature Date Telephone number Part C2. VENTILATION (Submit Pan C'_ upon completion ofsystem verificationt) x --------------------------------------------------------------------- fob Site Address: Permit Number Fan description or location TOTALS N(EASLRED Intake cfm cfm cfrn cfm cfm PERFORNU NCEt Exhaust cfm c.Rn c`m cfm cfm t Ventilation rate must be measured and verified when the performance option is used in lieu of the prescriptive option for the scaling of joints in the building conditioned envelope (from Part A). Compliance Statement: Installed ventilation system is in compliance with NN Energy Code and is sized to provide the design air 0'N. . P:icanr (print narnc) Signature Date Telephone number 0 CERTIFICATE OF SURVEY <'artry Co C&V, A4 ?4 , 8710 DUPONT?AVENUE SOUTH BLOOMINGTON, MIN N. 55420 r 889.2084 LAND SURVEYORS ma ?j Survey for:" PETER ORBIDAN 0/ / \ f N DESCRIPTION: Lot 3, Block 1, SAFARI / ESTATES SECOND ADDITION EAGAN By l03 \ ° SceTe: ? i`_?•='' mc, INSP IOs D'EP'T t- A/ 8 v {11I ?p J V x, w / t,. ? ??or? Ji?p Y'°p J +0 bp+0 I / -J 14 f Proposed Grades: Top of Blocks W!? Garage floor 957- `? Basement floor NOTES: r Circled elevations are proposed, others ar•e existing. Arrows denote direction of drainage. ar antt abcorner of Covington Lane Iral ,94.hNEE ft. P'n 27 9V We hereby cert y that this is a true and correct representation of a survey of the boundaries of the land above described and of the location of all buildings, if any, thereon and all visible encroachments, if,any, fr or on said land. ,Dated this 29th day of duly 91997 . vs?o! d/??? by CI 9??? J 3zz- 16 PERMIT # Lffff 0 ?j RECEIPT DATE: 2002 MIDENTIALPLUMBING PERMIT APPLICATION CITY OF EA GM 3830 PILOT KNOB RD RAGM, MR 55122 651-681-4675 (PI ? HT ,lone 3 0 2002 Please complete for: single family dwellings, townhomes and condos when permits are required for each backflow preventer for irrigation system SITE ADDRESS: 29©-T- 5t4 -T/}411 7-R, - I-- OWNER NAME:: AE -F;Ee QP-BIp.4 A,, TELEPHONE#4G•s/ 7e?13 77 (AREA CODE) INSTALLER NAME: PE7-,--k TELEPHONE #:/(I z y90 9 ej ?'? c 1 REA CODE) STREET ADDRESS: CITY: C STATE: ZIP: J J Z SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00 includes $40.00 County fee Note: Additional consultant fees may apply • MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING: Adding fixtures t ower levels room additions, excluding water softeners and water heaters. $ 50.00 Abandonment of septic system. _ Water turnaround - existing dwelling unit (+ 5l8" meter if needed - $118) Other: _ RPZ: new installation/repair/rebuild $ 30.00 _ lawn irrigation system Replacementladditional: _ watersoftener _ water heater $ 15.00 State Surcharge $ .50 Total $ D 50 I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Fagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Fagan assumes abifl for any damages mused the City during its normal i p arty/righ f-wa I. operational and maintenance activities to the facilities constructed under this permit with SIGNATURE OF PERMITTEE 1102 CITY OF EAGAN CA;SI-1IER JS TERMINAL NO 54'.3 DATET 08/0/97 TIME: L.'ie%'.:Lkj. TD NAM Es FIRST AMERICAN BAW 056 9001 2005 SAFARI TR 4085.96 Tana.:. Receipt Amountu 42305.96 CfiO'ca;i 2 3 LISER TV AN •?•q: •k:h.Y.C:j; 9(, $!?;! )kY 1':"; X?w`X;'k Yn Y6>d: $: YY$YF riC h:>;Sm. i:::?:';:Yn YF.SK m?Y:k>k yr CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: BUILDING 030591 08/11/97 SITE ADDRESS: P.I.N.: 10-65851-030-01 DESCRIPTION: C 2005 SAFARI TR LOT: 3 BLOCK: 1 SAFARI ESTATES 2ND rmit Type w. Type SF DWG NEW R-3 U-1 V-N E 53 40 2 2,006 101 1 - FAM. DETACH 34° ?t REMARKS: PRV S & W PLBR - MURR PLSG FEE SUMMARY: VALUATION Base Fee Plan Review Surcharge SAC SAC SAC Units Lic. Search Fee Subtotal $1,217.25 $791.21 $83.00 $950.00 100 1 $5.00 $3,046.46 $166,000 MISCELLANEOUS $1,539.50 Total Fee $4,585.96 CONTRACTOR: - Applicant - ST. LIC OWNER: ORBIDAN CONST 14051377 2010083 ORBIDAN CONST 1'160 TOWN CENTRE DR 3 1160 TOWN CENTRE DR 3 EAGAN MN 55123 EAGAN MN 55123 (612) 405-1377 (612)405-1377 hFO# X6$1 ack sL_ ATURE ISSUED BY. ^IG TUREJ k 997 BUILDING PERMIT APPLICATION (RESIDENTIAL) 1 i J? L CITY OF EAGAN 3830 PILOT KNOB B RD RD - 3045ql 55122 n ;? ? ? ?? 681-4675 v New Constreetion Requirements RemodellReoair Requirements ? 3 registered site surveys ? 2 copies of plan ? 2 copies of plans (include beam & window sizes; poured Md. design; etc.) ? 2 site surveys (exterior additions & decks) ? 1 energy calculations ? 1 energy calculations for heated additions ? 3 copies of tree preservation plan if lot platted after 7/1193 required: _ Yes _ No DATE: CONSTRUCTION COST: ?3r 9?`QO DESCRIPTION OF WORK - 51.A19 L E V"11-11 PONE STREET ADDRESS: a2D0S SA,F'ARt 7w i i- EAaaA/ MN. Ss 1z2 LOT -3 BLOCK I SUBD./P.I.D.#: S4FaQt 25S7-ATj9.4 JACOND 4,Q17/"0A1 PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER Name: 0f 8i.DAN P,69'EP- Phone #: Z/0'5 J3 - 77 ..? 188 • , R87• Z 1 ro Street Address: I160 To'•/A/ C°P A/7'2c a r: V-g MN Zip: 5-6-4-23 city: (-' A 04 Al State: , 77 Company: OR 131 DAAl c9NS'TRac,9'11 AI Phone #: V05-13 Street Address: 1160 TevyN' 0,,g A/ 1'R /; n1License #: 2 O/ 00 R 3 0 City: cf-f4 gR Al State: M N. Zip: ss 12.a Company:. DR03 I:PAq A/ 7'R -u t 7i afr'Phone #: Name: Registration #: Street Address: City: State: Zip: Sewer & water licensed plumber (new construction only): 1'1-e/NQ / /y !. Penalty applies when address change and lot change are requested once permit is issued. 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. ??? ???%,, I Signature of Applicant eAlc - OFFICE USE ONLY RCertificates of Survey Received Yes No UK 0 Tree Preservation Plan Received Yes No ?ot Required OFFICE USE ONLY ; BUILDING PERMIT TYPE o 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish X 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace n 21 Miscellaneous ? 05 SF Misc. ? 10 = plex o 15 Deck WORK TYPE 31 New ? 33 Alterations o 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) YN Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water --- UBC Occupancy U1 sq. ft. Fire Sprinklered Zoning sq. ft. PRV YES # of Stories 2 sq. ft. Booster Pump - Length 5 sq. ft. Census Code. ?7 Depth Footprint sq. ft. SAC Code ?L Census Bldg Census Unit APPROVALS Planning Building 'e-al Engineering Variance Permit Fee Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Valuation: $ I(o(oT 152(OX 115 =- ZO) -790.00 1st" FL.an2: 13gb X S"7 n 7?, 744, 00 ZfV? r2-: 1694 X 6-4 = sl b-7& , oo Total: % SAG S I (? q SAC Units Izo 00 . 1100.00 CERTIFICATE OF SURVEY I, I Out= LAND. SURVEYORS- - <'a? ? Coutusc, Pua. 8713 DUPONT'AVENVE SOUTH BLOOMINGTON. MINN. 55420 8882084 Survey for: I. PETER ORBIDAN DESCRIPTION: Lot 3, Block 1, SAFARI ESTATES SECOND ADDITION Scale: o 1 11 =30" ), a / d? i y 1 4 o? ? A t 457=- Proposed Grades: Top of Blocks V'<37!? Garage floor 95z 9 Basement floor 9yzsz ? NOTES: Circled elevations are proposed, others are existing. Arrows denote direction of drainage. ar ra N corner of Covington Lane g,? fit. r1VTGl\',.1F, 1?J/jG ME- -?M EAGAlf We hereby cert y that this is a true and correct representation of a survey of the boundaries of the land above described and of the location of all buildings, if any, thereon and all visible encroachments, if,any, fr or on said land. Dated this 29th day of July ,1997 . innes a icense o. t 3zz- i6 LOT SURVEY CHECKLIST FOR RESIDENTIAL ICATION UILDING PERMI 7p PROPERT ; YLEGA DA OF SURVEY: Z > LATEST REVISION: a x '? DOCUMENT STANDARDS ? ? ? • Registered Land Surveyor signature and company P-- ? ? • Building Permit Applicant m--'? ? • Legal description ? ? ? • Address tY ? ? North arrow and scale ra' ? ? House type (rambler, walkout, split w/o, split entry, lookout, etc.) zl?? ? Directional drainage arrows with slope/gradient % ? ? ? - • Proposed/existing sewer and water services & invert elevation t3!? ? • Street name Cd'? ? • Driveway ELEVATIONS Existing ? ? ? • Sewer service (or Proposed) ra, ? ? Property corners 2 ? ? Top of curb at the driveway ? W- -? Elevations of any existing adjacent homes Proposed rd' ? ? • Garage floor l" ? ? First floor M-`0 ? Lowest exposed elevation (walkout/window) ? ? ? • Property corners 1r ? ? • Front and rear of home at the foundation PONDING AREA (if annlicable) ? ra' ? Easement line ? e1'13 ? • NWL ? E5, ? HWL ? • Pond # designation ? • Emergency Overflow Elevation DIMENSIONS a-' ? ? Lot lines/Bearings & dimensions ? ? ? • Right-of-way and street width (to back of curb) [? ? ? Proposed home dimensions including any proposed decks, overhangs greater than 2', / ? porches, etc. (.e. all structures requiring permanent footings) C? ? • Show all easements of record and any City utilities within those easements r? ? ? e Setbacks of proposed structure and sideyard setback of adjacent existing structures ? ? • Retaining wall requirements, if any ! 7 Reviewed: f fame / D e January 1996 CRAIGM&BLOGPRMf.FM A ENERGY CODE 1-2 Family Residential Building RESIDENTIAL "COOKBOOK" WORKSHEET Applicant Name Phone P e ?/ d yOS-/37 Date PE : asp Statement of Compliance: Building Official Use Applicant Address /GO TOWN CE /V TR E Dr. 3 The proposed building design represented in these c M AI C A N /"t AI ?S 2 documents is consistent with the building plans, specifications, and other calculations submitted Banding Address: ?,4 Tlj £S 7-A Tfi,S S? C D N?D fl J7D / TI ID N with the permit application. The proposed F7L f/ `/.e- ^ L ?;? Al 3 building has been designed to mat the v requiremMinnessotay$ nee - 7-R41 2' 9 - S E , -? L7L?Cn t ? 1-- rQY 1 - 005 ) Applicant/Engineer MINIMUM REOUIREMENPS for "Cookbook" Ontion: Entry Doors 1-3/4'r solid wood w/ storm Ceiling with energy truss R-38** Rim joist R-19 door br equivalent (Min. Th" top plate to sheathing) Foundation Windows* Insulated Glass w/1/2" gap in Ceiling with low heel truss R-44** Floor over R-24 wood or vinyl frame unconditioned space *Include square footage in calculation of Window/Door Area Ceiling-no attic R-38 w/ R-5 sheathing to determine above grade Window U-Value. •naiurartsnr rcrturtnancc at wiener vesign uonanions V ?yL L)c?t -? Window and Door Area 1` 100 x fo a 1. 3-08 20. o % WINDOW V-VALUE : As % of Exposed Wall Area Above Grade Window and Gross Wall Areav Window/Door Area Source NFRC or ASHRAE 1993 Handbook FodndationWindow/Door Area t ?I .L MAYiMTfadi TUTIUn Ul it. V AI 1r TWO Cheek Will WALL TYPE: MAXIMUM WINDOW .A N OR AREA % OF EXPOSED WALL AREA Type Used 12% 14% ' 161/9 18% 0° .22% 24% 26% 284/9 30°%a 326A 34% PEA 2x4 framing, R-13 insulation, sheathing R-7 or greater. 0,55 0.47 0.41 0.36 0.33 0.30 .27 0.25 0.23 0.22 0.20 0.19 TYPE B 2x4 framing R-IS insulation, sheathing R-5 or greater. 0.52 0.45 0.39 0.35 0.31 0.28 0.26 0.24 0.22 0.21 0.20 0.18 PE C 2x6 framing R- 19 insulation, sheathing less than R-5. 0.48 0.41 0.36 0.32 0.29 0.26 0.24 0.22 0.21 0.19 0.18 0.17 PE D 2x6 framing, R-I9 insulation, sheathin or greater. 0,56 0.48 0.42 0.37 0. 0.31 0.28 0.26 0.24 722 O.Z I 0.20 TYPE E 2x6 framing, R-21 insulation, shea ng less than R-5. 0,51 0.43 0.38 0.34 0.30 0.28 0.25 0.23 0.22 0.20 0.19 0.18 TYPE F 2x6 framing, R-21 insulation, sh thing R-5 or greater. 0.58 0.50 0.44 0.39 0.35 0.32 0.29 0.27 0.25 0.23 0.22 0.21 rl a=, . - / - -. . This ta ble contains intemolalions of the vatuee in the rnerov P ndn P. i 767n neat C ..6.. 7 This is a summary only. Other requirements may apply. See the Minnesota Energy Code. Questions? Call Department of Public Service Information Center at 612/296-5175 or 1.800/657-3710. 2/5/96 A . I-IA12S Nl nLWO , LNC. 6260 Claude Way East Inver Grove Heighis, MN :5076 • .612-451-w,-, enerpro vinyl window systems PERFORMANCE DATA GLAZING AVERAGE U-VALUE OF UNIT AVERAGE R-VALUE OF UNIT AIR INFILTRATION WATER PENETRATION STC RATING 6200 MGLE HUNG I.G. .494 2.025 05 none 0 522 PSI 29 6200 SINGLE HUNG LOW-E/ .325 3.081 .05 none 0 5.22 psi 29 ARGON 6200 HORIZONTAL S11DER I.G. .494 2.025 .05 none 0 5.22 psi 29 . - > R ZONTAL DEDER LOW-E AR ON .325 3.081 .05 none 0 5.22 psi 29 G MIX CASEMENT I.G. .49 2.04 .06 30 1600 CASEMENT LOW-:z .36 2.78 .06 30 ARGON 1630 PICTURE LG. .501 2.00 .01 30 16W FICTURE LOW-E .38 2.63 .01 30 ARGCN V' and 'R' value testing conducted in accordance with ASTM-101 V-86 & ASTM D-4C99-83 methods Casement and Picture testing method AAMA 1503.1-88 Pccitic Inspection & Research IaCrctory Inc. all dated 11/26/90 PIRL File 090-733 Q LA? rf7 E 3.0-3 .33 Ol2-M>D,w WuwS gDoe-v / t--N wz(y I I i k- 262f? Soho ? `?' Ze 50 2 I; s?3? 1 I ' '?46 o I Z 60 78 - S.G,fl. 1 i 3 G o4o 6o6b _ %•Cn.1. _ I 3obr? 2 Ij r-ra, yL-,?U..fl 2 , S ?'x(e 0+1 Dcrj2- 1 s ? x? 2 boeR -?+ enA,a,q.t„ Ir I ?I ? r <'- 9".3 S w,., .A xt - tfli jf. 'K??-4 6,arj 1x.5 '3a.O 9d. B 175 f-7.5 12.o X9.4 24.0 i 48.0 9{ s- 'b 18,0 3G,o 33.-75 33•^!5 IG-o 18.0 Lvcai=-- fss. T'. R(,w[ /G ?v P14. L4W ert C 9 ?? 13 ? ?/ t.kw wl_ (as, 16 U, j fzrMs. I?8 - Sao 8 '?S3 5 •?• I LOT BL CITY USE ONLY SUBD. RECEIPT #: IJ car RECEIPT DATE: 1997 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3630 PILOT KNOB RD EAGAN MN 55122 I Date: r} r7 (612) 681-4675 , 1 IZi ? Complete this section onfv if you are installing HVAC in single family, townhomes or condos under construction and not owner /occupied • HVAC: 0-100 M B T U $ 24.00 ADDITIONAL 50 M BTU 6.00 • Gas outlets (minimum of one required @ $3.00 ea.)(V 1,2, 00 • State Surcharge: .50 • TOTAL: 3 „` o Complete this section only if you are remodeling, adding to, or repairing existing single family dwellings, townhomes, or condos. Note: Mechanical permit is not required for alteration/add-on to ductwork in existing residential units; but is required for the following: Install furnace Install air exchanger, i.e. Vanee system, etc. _ Minimum fee applies to all remodel or add-ons of existing residences State Surcharge Install air conditioning Other $ 20.00 .50 Total: $ 20.50 SITE ADDRESS: S-kF*9 ( (Z 9-' A-& At -J 5; } ? 2 OWNERNAME: ?T--f-:(Z' 04g(-t tAy") PHONE #: X37/ INSTALLER NAME: 5e (-) PHONE #: STREET ADDRESS: P& O IOU),' 0-k .))r• CITY: ) ,GtgQ n STATE: MA) ZIP:.76Io? d-, SIGNATURE OF PERMITTEE ISIFORMS BLDIMECH PERMIT (RES) - 1997 CITY USE ONLY L SUBD. BL RECEIPT M RECEIPT DATE: 1997 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD E*GAN, MN 55182 (618) 6$1-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: 1% of contract price OR $25.00 minimum fee, whichever is greater. Processed piping - $25.00 CONTRACT PRICE x I% PROCESSED PIPING PERMIT FEE STATESURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TENANT NAME (IMPROVEMENTS ONLY): INSTALLER: ADDRESS: CITY: ($.50 per $1,000 of permit fee due on all permits) PHONE #: PHONE #: STATE: ZIP: SIGNATURE OF PERMITTEE CITY INSPECTOR L o7t BL ! CITY USE ONLY RECEIPT #: t3 a / oZ G? SUBD. 0P1G RECEIPT DATE: ?ZI- q 1997 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: . single family dwellings townhomes and condos when permits are required for each unit backflow preventer for underground sprinkler system FIXTURES EACH N-Q, TOTAL Shower 3.00 x = Water Closet 3.00 x ? . _ Bath Tub 3.00 x Lavatory 3.00 x Kitchen Sink 3.00 x Laundry Tray 3.00 x Hot Tub/Spa 3.00 x = Water Heater 3.00 x _ Floor Drain 3.00 x Gas Piping Outlet ' minimum - t 3.00 x _ Rough Openings 1.50 x _ Water Softener "for dwellings under construction 5.00 x = Water Softener *for existing dwelling 20.00 x = U.G. Sprinkler "fordwelling under const. 3.00 = U.G. Sprinkler ' for existing dwelling 20.00 = Alterations ' to existing residence 20.00 = Water Turn Around 20.00 = Private Disposal System • Dak Cty lic. 75.00 = (new and refurbished systems) Private Disposal Systems • Abandonment 20.00 = STATE SURCHARGE .50 TOTAL I hereby acknowledge that I have read this application, state that the Information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement. SITE ADDRESS: OWNER NAME: INSTALLER NAME: GENZ-RYAN PLUMBING & HEATING STREET ADDRESS: 14745 SO ROBERT TRL CITY: ROSEMOUNT STATE: MN ZIP: 55068 NATUR OF PERMITTEE TELEPHONE #: 423-1144 Address ? 2005 SAFARI TR Lot 3 Blk I Sub SAFARI ESTATES 2ND Zip 5512 02. THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: r? jF' Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass Trail/curb damage Porch x Basement finish x 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 right-of-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy o (J RESIDENTIAL / BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 New construction ReauiremeMS RemodellReoairReauirements . 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; anchll roofed areas . 2 copies of plan (20% maximum lot coverage albwed) . 1 set of Energy calculations for heated additions . 2 copies of plan showing beam & window sizes; poured found design, etc.) . 1 site survey for exterior additions & decks . 1 set of Energy Calculations . Indicate if home served by septic system for additions . 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 D/ - 30 - OZ VALUQION JOB SITE ADDRESS 2005 S/??fJ 4t' If 7R A tL IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY N TYPE OF WORK FI/11SK BA-SEMEMT APPLICANT ADDRESS 200!5;' SA-74 P PAGER # 4) L CELL PHONE Al V FIREPLACE(S) -'0-- _ PHONE#d,/ V05-, 13-71' ZIP CODE 5--'7122 FAX #(Ab 1) '16"1_2 618 - FILL OUT C Energy Code Category _ MINNESOTA RULES 767 CATE (check one) Residential Ventilation Categ 0 ory 1 W rkshe Energy Envelope Calculations Su fitted _ MINN TA RULES 76 - New Ene ode Wor eat Submitted Plumbing Contractor: Phone #: Plumbing System Includes: _ Water Softener _ La Sprinkler _ Water Heater _ No. o I. Baths No. of Batt Mechanical Contractor: Phone # Mechanical System Includes: _ A?vtonditioning eat Recovery System Sewer/Water Contractor: / Phone # All above information must be sujzfnitted prior to processing of application. r-.1'2 ? H Tr b AN 3 0 2002 p 5 Fee: $90.00 Fee: $70.00 I hereby acknowledge that I have read this application, state that the information is correct, /anda ree to comply with all applicable State of Minnesota Statutes and City of Eagan OrdiSignature of Applicant Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 2002 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ccc 111 ttl 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex l \ PIbXY or _ N ? 25 Miscellaneous ? 31 New 1< 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 C" Valuation Occupancy - MC/ES System Census Code ?f3`f Zoning City Water SAC Units - Stories Booster Pump Nbr. of Units I Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const t/- IJ Width REQUIRED INSPECTIONS Footings (new bldg) _ Final/C.O. - Footings (deck) Final/No C.O. - Footings (addition) _ Plumbing _ Foundation X 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) X Insulation _ Retaining Wall Approved By , Building Inspector I it 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 LGW? C pctlNISII jjeIJ ?juG PLUMBING (RESIDENTIAL) S) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit Date 0 (? / 5 A Site Address z?©? Cy 7L 77" Unit # Property Owner IDE/ FP e Ol?O A IL, Telephone # ( ) 6 / ©k C A &I P j Contractor ` - z j?j a Z10-e 5- ?K/ ?(?? " ??- Cit - y Address - hone# 04-q WJ-1377 5-51242 Tele /mar /1" J6 Zi / St t p p a e The Applicant is -X, Owner Contractor Other Septic System _ New - Refurbished Submit 2 sets of plans and MPC license $ 100.00 Includes County fee. Additional consultant fees may apply. Alterations To Existing Dwelling Unit, Including $ 50.00 - Adding fixtures to lower levels or room additions, excluding water softener and water heater - Abandonment of septic system $1 21.00) Water turner and (+518" meter) ne ded - _ `` ?,, Other: O N$W _ i T` C) V- _ RPZ _ new installation _ repair _ rebuild $ 30.00 - Lawn irrigation system - Water softener _ Water heater $ 15.00 replacement _ additional State Surcharge I w ° $ 50 l .? .. T $ ',z ? ota u . , I hereby apply for a Residential Plumbing Permit and acknowledge that the i1tormation is complete and accurate; that the worK will be in conformance with the ordinances and codes of the City of Eagan and w6t the.Plumbing Codes 4141 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 accordanc with the ??? approved plan in the case of work which requires a review and approval of plan P r 5k 4k61-4.4A, Applicant's Printed Name Applicant's Signature NOES: 1 ? ? 2PaoU \?5 Sewer Service Stalioniny is Irom Oownsheem Manhole I I BC < dACM e?elf ! - Serer Service 10 be 1" PVC. SOH 35 Sniped 15' Into tot -- / - Water Service to be P Copper, Type K with Curb Slop PL _ SCALE. 1' 50' 8 15' Tat' in,. Lot D 25 Dp 100 -Sanitary Sewers to bu 8" PVC. SOR 35 With Bedding per Detail / bYU 1 S A F q REMOVE INP R' PLUG. - Manhole. CAlch Basin Slatlons. LOc-l'OnS are from Street Stationing a uY LJX W R / / INSTALL 8'X D' REDUCER - SeePerOent of Grade on Pipe s tree, CL Suucture 10 CL Sl" a Wi.re / 1{) Q It " ? s[n.; ;EE SHI.eiS rvo. vrs a_ ag,a S j S.Br it a fM,•S - CpnJoe Connolly el 454-5220 for City lnapaclion of O r J -- '1 2282U a zzaow 9.-Q- "'-fe•a 'Q•T E g / Se.v'ce Connecuorrs Plifu rior to m eeclrlilrvng P- z _ 1-18 / I -Homes Coequire fPr With Fuel Floor En, vs. Below 888.j O 5 0.85 •+v]r1r w., rw+ O I; - O i /, ` •1\\ 5 0.50 n Will Require Pressure Retlucin Valves. ? \ 1 w<• arxs 1 < f , Q I u' ?,3r I = d \ .. 6" GV 8 BOX I. Ex SiA n 50 q -Inplace ?r Sanitary Sewer Through This Development Spell ?.` 114' BEND NW ~?AQ?' At V- \ \\ (• au/ 5 0.70 I Be Manacled By The City Alto, Gred'n rk and s ----- 121/ ' BEND 3, ¢ 6C WIC, ;, ?MH 5'Li rte. Service Connections Have Been Core Plated en 5 22 1 \ .? i, •ad MH, slit. _ R in p !4 45' BEND fT s r D? -?' ,N Y` 9Z :• `' j d: / / '? J ! 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State: MN Zip.. Phone: Email 55044 6129649906 jaderemodelingllc @gmail.Com License#: BC680971 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: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer tip Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE.Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit tine City to conclude that MM are trade secrets CALL BEFORE YOU DIG. Call Gopher State One Gan at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.000herstateonecall.org 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, 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 th inn ilding t be eted withi 1 days of permit issuance. x L I x Applicant's Printed Name A III ftnatur,6 Page 1 of 3 --° rDO NOT E' N BELOW THIS LINE �?q0 7 SUB TYPES — Foundation _ 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 Z,00D . Occupancy _D7c--1 MCES System Plan Review Code Edition ,win 21J SAC Units (25%_100%_n Zoning _4EL City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction ,, ,, Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final!C.O.Required Footings(Addition) - Final/No C.O.Required Foundation 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 Fireplace:_Rough In Air Test —Final Siding:_Stucco Lath _Stone Lath _Brick X Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_ Final Sheetrock Radon Control Fire Wails Fine Suppression:_Rough In-Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: t 0/)" /�� ���� ,Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 EAGAN 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 I TDD: (651) 454-8535 I FAX: (651) 675-5694 buildinginspections ac citvofeagan.com E For Office Use Permit #: ‘5i31411 � Permit Fee: 12_0 Date Received: Staff: 2019 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit #: J Residenl Owner Name: W0 /lil fr7 7' Phond/2 J - 212 Address / City / Zip: �° Gt' h Applicant is: Owner Contractor Type of Work Description of work: a T Construction 2` r " Multi -Family Building: (Yes / No�4 ) Contractorps Cost: J Company: ('fl 1( F "i/jls ----R7 Contact: Address: 3 Zi C (N Sf G`/ elf' ' City: ,5-4 4/6fi-�-' e3�' Statan'Y Zi!/. Phone: Email: —1L7-eef-iG'h 00, eV SL 0l' License #: 4/ C1 v ,� G ( Lead Certificate #: If the project is exempt from lead certification, please explain why: In the last 12 months, Yes No COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Sewer & Water Contractor: Fire Suppression Contractor: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe classified as non- oblic If you provide specific reasons that would permit the City to conclude that they are trade secrets. 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.citvofeacan.com/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. www.aooherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to sta •thout a permit; that the work will be in accordance with the approve in the case of work which requires a review and approval of plans. U! I( Applicant's Printed ame x Applican