1836 Red Fox RdCity of Eaaali
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
Permit #:
qz/ie/
Permit Fee:
Date Received:
Staff:
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: t40
Tenant:
Site Address:
1,63 ieFax ZI
daq
t/
Suite #:
RESIDENT / OWNER
OG' D-2 /C 657 a ?/- 5)A
Name: (�( � Phone:
� J
Address / City / Zip:
Applicant is: Owner Contractor
TYPE OF WORK
Description of work: Q_E izott
Construction Cost: 78d dQ Multi -Family Building: (Yes / No X )
CONTRACTOR
Name: ec7r 1ct Kw( er03 Wavijr' si-�`�F'r'1License #: 0)0(7006y
Address: / 7593 Faxtva7 cr- City: far -41'1-'4y
State: / lA( Zip: 375-O CL -( Phone: ?�t 69.-e,, ®5-86
Contact: S v� Email: 5 fe @ c- to «rt. 6ceS r C
COMPLETE
In the last 12 months, has
No If yes,
THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
the City of Eagan issued a permit for a similar plan based on a master plan?
date and address of master plan:
_Yes
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor:
Phone:
NOTE: Plans and supporting documents;that you submit are considered to be: public information: Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets. ; s
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; a 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
accord ,j ith the approved plan in the case of work which requires a review and approval of plans.
r-efr( ed' rWtcri
x • , `
Applicant's Printed N a me
Applicant's Signature
Page 1 of 2
INSPECTIDN RECORD
?,'CIT`?'°'OF"EAGAN' PERMITTYPE:
? 3830 Pilot Knob Road r Permit Number:
? Eagan, Minnesota 55122-1$97 Date Issued:
(612) 681-4675
SITEADDRESS: ' `? ? ' ' ,•?``' 4'
? e? r: .„ ?: ???t: n
? ? t 1? F f?} }irl
PERMIT SUBTYPE:
APPLICANT:
TYPE OF WORK:
r;ii I i n 1 r44
N:rl x' l'1
a J /i0 f5/1
INSPECTION .. . D
? I ?•1?+t N? ?????al ! fl?i
Rf MARk%3 i'FtV $& LJ F'l.fii2 - MAT FItFtJ 11l1M If 4': PIN{3
?
?J
? Permit No. Permit Holder Date Telephan's #
ELECTRIC ql?aqo l0 y'? ?
PLUMB - v
HvAC 03 -s`lS'7
Inspection oate Insp. Co ments
FOOTINGS 71/
s
FOUND
FRAMING ?? ?' aD o
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST it
ROUGH
HEATING
GAS SVC
TEST I l ?I rZd J?'f
?L r ?
INSUL
GYP BOARD
FIREPLACE ?? _
?
AIRTEST FIREPLACE
-- ---
-
.FINAL PLBG
?
I --
--
FINAL HTG -- - - - - - --- -- - - - . -
-
ORSAT
TEST
BLDG FINAL 4?.-qY
[ [ (p
BSMT R.I.
I ,
BSMT FINAL
DECK FTG ?-
DECK FINAL ?
+ ..
W-ertificate of cccuvanc?
(A? ? ??
??? ? ??? 3x6pection
Tleis Certifrcate issucd pursrranr to the ncquiremtnts of the Uniform Building Code
cerrifying lhat at tlu time of issuance this srrnctrere was iR compliance with the various
ordinances of the City regulating building constniction or use. For the following:
useCbm;ficat;a,,: SF DfiG/GAR sldg.Nnnit No. 28211
O-Ap-rTYM R-3 U-1 ' Zoning Disk-in R-1 ryaca,st. V-N
Owner of ei,;lffi,,g PIETSCH BLDRS Ad&ess 20830 HOL't AVE., LAKEVILLE MH
1836 RE FOX RD L-argy L26, B2, BLACKHAGT[C FObtEST
POST IN A CONSPICl10US PLACE
? INSPECTI
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
i :. , 1,; u FOx tto
F3L.ACKldA4lk F-[)FtLSfi
4N RECURD
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
t t, I.' ) At,?? ifb•i=i
F
L
11 1 1 ,l rrll
flAl"
'?`?;??;
???-??:?';?:..! ..:.s
-j
PERMIT SUBTYPE: TYPE OF WORK: r;, t f aa t10H
RI uO HE CIkC,oMS f
Permk No. PertnH Holder Dato Telephone N
ELECTRIC y,?aa?,? , (r 9 ?'
PLUMBING M Ci,ll? - 1? f\ n/
HVAC
Inspectlon Date Insp. Comments
FOOTINGS
FOUND
FfiAMING
/Z -ZZ-
ROOFING
ROUGhi
PWMBiNG
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPIACE
FlREPLACE
AIR TEST
FINAL PLBG
O /
FINAI HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
Address _
wt 26
1836 RED
Blk
RD
Sub
Zip 5512_
BLACKHAWK FOREST
'i'HESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION.
Date: Yes No Inspector:
Final grade (6" ftom siding)
Permanent steps (gazage)
Petmanent steps (main entry)
Permanent driveway '
Pertnanent gas
Sod/Seeded grass
TraiUcurb damage
Porch
Basement finisL
Deck
Please verify with the bwlder the removal of roof test caps from the plumbing system and ihe shuboff of water supply to
the outside lawn faucet.tiefore freeze potential exists.
Contact engineering division at 681-4645 before working in righRof-way or installing underground sprinkler system.
WLite - Cit y CoPY. Yellow - Resident Copy Pink - Contractor CoPY w
REQUEST FOR ELECTRICAL INSPECTION G 7
432-2 T?' 6 ? ' 8127 Univ rsity A?ar Rm. S-?ciSt. Paul. MN 55104 -
Phone (612) 642-0800 ?
ome Duplex Apt. Bld. 01her: _ New Addn
Commercial Indushial Farm Remad Re ir
Air Cond. Htg. E uip. Waler Hh. Lood Mgmt. Other:
D er Ronge Elec. Heot Temp. Service
"X" above the work covered by fhis requesf. Enfer remarks in Ihis space and on the back of fhe while copy only.
Calculale Inspeclion Fee - This Inspecfion Request will not be accepfed wif6oW the rortecf (ee:
Other Fee # Service Entmnce Size Fee # Circuits/Feeden Fee
Mobile Hame Park Slall 0 to 200 Amps 0 to 100 Amps 3`%u O
Street Ltg./Traffic Sig. Above 200_Am s - A6ove-1-00_Amps
Transformer/Generator INSPECTOR'S USE ONLV TOTAk
S6
Sign/Oudine lfg. Xfmr. ?
I
? ?`
?'
Alarm/Remote Conhol
$wimming Pool I here mni ihat I ins t alion descri6ed herein an the dares 9atj?
Irrigation Boom RougMn D.k
$
eciallns
edion
p
p
Invesfigative Pee F?al ?k
THIS INSTALLATION MAY BE ORD ED O CTED IF NOT COMPLETED WR 8 M S.
OFFlGE I15E OdLY This requcct wid 18 ironlhs (ran validolion dak prinkd in Ihis 6on.
??
I II I III I I I II II I I II ? I II ?II ? I I I III?(//?r RKUR%/?4A.V7G ?\
* 0 4 3 2 2 8 6 3*
pLEASE PRINT OR TYPE
Req, s Da1e (
?
` 9/ RougV.in inspeaion raqulredz Yes ? No
d Inspeciion Oiher Than RougMn: ? Wwdy Now? Wll Cdl
D
R
d
`
10 (You mun call Ihe inspector when rea
yl ote
ea
y:
licensed conhactar ? owner here6y request inspectian oF the above electrical work oF.
hb Addreu (Sheep Box, or Rwle No.)
t=a,e X04J Cily
46"q A/ Lp Code
Setlion No. Township Name or No. Ronge No. Fire W. Caumy
C) .9 Ko
Phmya No.
Power Suppirer Address
??h ?h
Z!?
__
Elecincol Conrcocmr ?Compony Nome) ?
Conbadw lioense No. Naver Lic. No. (Plam Ekcl. Only)
p.e cZ o n
nba? aa a?,. (Controcbr a O+mer Performing Insmibifonl
1?o YP -.7k o4 c9 Av<: 1.4 t<< c;/; l1?-
naNre (ConhaRd Ownn P ari ' g InsNllorion)
---- ? -? - -- Phoz Na.
322-Y/1
I Idl II III RE?UEST FOR ELECTRICAL INSPECTION
I Iln?.... i i I I? I I II II II II I?I I I I I IIII 121 Uoi ersity Ave.ar , Rm. S- 281C
B St. Paul, MN 55104
* 0 3 1 6 2 9-0 6' * phone (612) eaz-oeoo (o?y ?
ome Duplex Apt. Bldg. Ofher: New Addn
Commer<ial Indushial Farm Remod Re air
Air Cond. Hfg. Equip. Wafer Hir. Load Mgmt. Olhe
D er Ran e Elec. Heat Tem . Service
"X" above the woA; covered by lhis requesf. Enter remorks in this space ond on the back of the white copy only.
Calculote Inspection Pee - ihis InspMion Requesl will nof 6e occepted wiPoout lhe comed fee:
Olher Fce 3k $enice Enfrance Siae Fee O Crcuitr/Feeders Fee
Mo6ile Home Park Stall D to 200 Amps to 100 Amps ?(y/jb
Street Lfg./TraHic Sig. Above 200 Am Abave 0 Amps
Tronsformer/Generoior INSPECTO ? ? TQ
Sign/Outline Lig. Xfmr. ?
Alorcn/Remote Con}rol 7 63
Swimming Pool i nene «rri
1hb, . e d he.,n o? tha dat :ab
046rd.
Ilrigafion Boom Rough-In
ec}ion
$
ecial Ins
p
p
Investigative Fee ?-
(
THIS INSTALLATION MAY BE ORDERE DCONNEC IF NOT COMPLETEO WITHIN 78 ONTHS.
316 - 2 9 0? ?FFlCE USE ONLY This reqvesl void IB mon?s fmm volidonon dare prink ? this? xy a/
_?/-/,? ry e.? !v a
/? 8/9-7
PLEASE PflINT OR TYPE 4p"
Requexf Doro g
???
6 Rough.tn inspeclion required2 Yes ? N. Inspectian OtMr Than Raugh-Irc Q Rendy Now
M R
-r'
ll
h
h
d
Y
` oo must m
f
e inspecbr w
en rm
( y: J
y?
I, gL li<ensed con}ractor 0 owner hereby requesf inspedian of ihe abave ele ical or : I
Job Addvreas R'ree1, Bo(s,9? Rouk No.
?? Ciry
SMion Nn Township Noma o,No. Ronge Na. Fire No. Cou/y?)n V?
1!/?I 1?'? ??•
Occvp t
,cfs?? Pho?<
Power Sopplier//
•. Q. ?lA f R.- Yi ( ?kfZ Addreas
00ehW : !a ?6 4
Elednml onhador ?Comparry Name)
?t,? Za n ,?°l? ?f.1o?c Canhotlor Llanse Na.
o zld?e? Mastar Lic. No. (Plonl Eled. Only)
Mailin9 Addreas (Comndor or Owner PerFarming Inslnilation)
fP(3/,?' ?0-1t,4 auc
AWhopyd $iQyobre (Co ho ?wns? Woi non) Phone Na,
EBOO001A10 6195 ?STATEBOAitDCOPY-SEEINSiBUCilON50NBRCKOFVELLOWCOPY
RESIDEN'I'IAL MECHAIVICAL
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telep6one # 651-675-5675
A21o3g3
Please complete for. Single Family Dwellings & Townhomes and Condos when permits aze required for each unit
Date I I l0 ? l U?
SiteAddress &d 'FOV Dlrpjt--A6{r,J MAJ
i Unit#
Property Owner Q-N Telephone # ( ?1 ??/ ) `YCJ? o /5V
Contractor ?? Azo f)
Street Address ? 1?(J 73? City
State Zip Telephone # (
Bond #• Expires:
'C
ontracror _ Other
The Applicant is _ Owner Le
Add-on, modification or alteration to eristlng dwelling unit $ 30:00
furnace replacement
Jo- air exchanger
air conditioner _ New _ Replacement
other
State Surcharge FO R TRI $ 30
Total
1
I NO V 0 5 2003
Oll $__3a?T
By
E
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will
be in confomiance 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 rnut; t t the w r will be in accordance with the
approved plan in the case of work which requires a review and approval of pl
ApplicanYs Printed Name p lic s Signature
COMMERCIAL MECH.ANICAL
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675
Please comple[e foc commerciaUindustrial buildings
multi-fami ly buiidings when separate permits aze not requked for each dwelling unit
Date
Site Street Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Proper[y Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone # ( )
Bond #: Expires:
The Applicant is _ Owner _ Conhactor _ Other
R'ork Type
New construction _Install _ Remove Underground Tank
Interior Improvement Schedule Inspection during installation or removal of tank
Processed Piping
Nature of Work:
I
Pel'Illit Fee $50.50 iximum Fee (includes State Surcharge)
Contract Value $ x 1% _ $ Pemtit Fee
• If permit fee is $1,000 or less, add $.50 => $ State Surcharge
If pemut fee is over $1,000, add $.50 per
$1,000 Permit Fee
$ Total Fee
I hereby apply for a Commercial Mechanical Permit and aclrnowledge 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 witL ffie 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.
ApplicanYs Printed Name
Signature
Approved By: , Inspector Date:
G?o?oBo?
? CITY OF EAGAN PERMIT
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 028211
(612) 681-4675 Date Issued: 0 7/ 10 / 9 6
SITE ADDRESS:
1836 RED FOX RD
LOT: 26 BLOCK: 2
BLACKHAWK FpRE3T
P.S.N.: 10-14325-260-02 r
DESCRIPTION:
Iffuiitlittg-,Permit Type
; Building W`ark Type
U6C ,Occupanc,y,,r,
Corcstruction Type
,
?? Zoning ?
Buiiding Lengtlh
Bu9,Ssi,ing Ltidth
? B-uiiding,storiee
'?'cj`ur?r a F e e t _.
C4n u's. ; G4-i1 e A
SF DWG
NEW
R-3 U-1
W N
R-1
66
54
1
3,011
101 1 - FAM. DETACH
r
a ., ?.{ . €?_.?.. .
REMARKS:
PRV
FEE SUMMARY:
5& W PLBR - MATTHEW DANIELS PLBG
VALUATION
Base Fee
Plan Review
Surcharge
SAC
3AC %
SAC Units
Subtotal
$1,237.25
$618.63
$85.00
$900.00
100
1
$2,840.88
$170,000
MISCELLANEOUS $1,923.50
7ota1 Fee $4,764.38
CONTRACTOR: - ppplicant - s1'. LIC.OWNER:
PIETSCH BLORS INC 14693044 0002358 PIETSCH BUILDERS
20830 HOLT AVE • 20630 HOLT AVE
LAKEVILLE MN 55044 LAKEVILLE MN 55044
(612) 469-3044 (612)469-3044
I hereby acknowledge that I have read this
information is correct and agree to comply
? Statutes and £ity of Eegan Qrd3na.nces.,
- 4 j.&I Z?Zf -
/ LICANT/PERP.TTEE SIG A iFPII
applieation and stete that the ;
with all applicable State ofi Mn.
I
? ? ak Irnrl
-SSUED BY: GN RE
CITY OF EAGAN
B
1996 BUILDING PERMIS 7P? LIS ATION (RESIDENTIAL)
New Construction Reauiremenls
Remodel/Reoalr Reauirements
? 3 regislered sita surveys ? 2 copies of plan
? 2 wpies of plans (inelude beam f. windaw sizes; poured fnd. design; etc.) ? 2 site surveys (exterior additions 8 decks)
? 7 energy caleulations ? 1 enargy calculations tar heated addilions
? 3 copies of [ree preservation plan if IM platled after 711193
required: _ Yea _ No
DATE: LD ' a 3 "1:7--1 ?° CONSTRUCTION COST: (D
DESCRIPTION OF WORK: K3e-L,,Q QW-N
STREET ADDRESS:
LOT ZlD BLOCK ? SUBD./P.I.D. #:
PROPERTY
OVNNER
CONTRACTOR
Street
City:
%RBT
Phone #:
State: Zip:
Company???sc.? ?4.t` ? Phone #: `<<O5 ? 3
Street Address: ZA%3) 03l"? /kU % License
City: U. \\e- State: ??-3 Zip: Srs U\A?
ARCHfTECT/ Company:
ENGINEER
Name:
Sewer & water licensed plumber.I yxQ-`k?i _1 JcL."\? 5 . 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 corr i-and agree to comply v?t? all
applicable State of Minnesota Statutes and City of Eagan Ordinances-1, n n ??
5ignature of Applicank-\
OFFICE USE ONLY ?
V ? ?6
Certificates of Survey Received _ Yes No
Tree Preservation Plan Received Yes I/ N.
?
Phone
F2egistration
Street Address•
City: State: Zip:
ua.
\
OFFICE U5E ONLY
3UILDING PERMIT TYPE
? 01 Foundation o 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
/'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 ? 21 Miscellaneous
? 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
r31 New ? 33 Alterations ? 36 Move
D 32 Addition ? 34 Repair o 37 Demolition
3ENERAL INFORMATION
3onst. (Actual)
(Allowable)
JBC Occupancy
_oning
= of Stories
_ength
7epth
APPROVALS
°lanning
? Basement sq. ft. Z, Z_?S MC/WS System L
-tpti Main level sq. ft. Z, 315- City Water o?
3 u- sq. ft. Fire 5prinklered
/z-/ sq. ft. PRV - ?f
Sq. ft. Booster Pump
(v!o sq. ft. Census Code.
S/ Footprint sq. ft. 3,0// SAC Code
Census Bldg
r G' Census Unit
_ Building Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SNV Pertnit
S/W 5urcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
Valuation:
?l'1A<N
G z??
lV,K !y
/xb
Co K ?
l?v,?/z•33 ? 07
$ 176e oop
C',...ixrr = G
2, 3?s xss': /ZS,OIo
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???ss) = (??
7T Xll? = 3 y i Zr
?"?G : ??SYZ3
Zo K 3-
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Z x /9.G? ? 3y
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(G ? £7 sc / ? _
,
• 7014 ,,r, ,,s, 16:2? ;!l c12 4F:a .ai?fl
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P?TSe? f3 r? .
PRO.IEG
7 NO. ?
eooK;; ' .
,. rnQer--
PH 43Y^3000
Ct1NfVLTiHg 4NOlINND3UpVfYdBi
`oQe PLqNNlM1S ond A
IGthiEGRiNG
COMPANY, INC.
... 1000 CAST 1461h STflEET, BURN5YILLE, MINNE30TA 65397
ERTIFICATE OF SURVEY
rKUri rr.vra: rrrau•iccr.I"a
Legal Description: L.OT ???LOCK a? BLAGK?
.AWK FpRBST, uAico?ra "i
_MINn1ESOTa A. DENOTES EXI5TING ELEVATION
C 83q-,o) DENUTES PROPOSED ELEVATION.
r..----- INDICATES DIRECTfON OF SURFACE`. D
FINISHED GAFlAQH FLOOR ELEVATION
zs'• 2 = BASEMENT FLOOR ELEVATION '• "
83 . ? TOP OF FOUNDATlON ELEVA710N -,?i`'`?'
B6VC'N AIAKX : 7NH AT CoT Z9, BuG'G.Z.
SCALti : ,•
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POND
WETt11ND No. 2 oF A.P. -27,?s
H.wL = 8ao. ? "?
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/vwL+ 798?0
?
I hereby aertiEy that this'is a true and correct representationu?
land as 5k1UW11 and described hereon. Ae prepared by me thist
JuNE ' ';•
Q e SA . Minn. Rag. 'N
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BIJILDING PERMIT APPUCATION /
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DATE OF SURVEY:
LATEST REVISION:
DOCUMENTSTANDARDS
• Registered Land Surveyor signature and company
• Building Permit Applicant
• Legal description
• Address
• North arrow and scale
• House type (rambler, waikout, split w/o, split eMry, lookout, etc.)
• Directional drainage arzows with slope/gradient %
• Proposed/existing sewer and water services & irrvert elevation
• Street name
• Driveway
f_?1aYLl1uICd.l-I
Edstina
me-'o ? • Sewer senrice (or Proposed)
M,"O ? • Property comers
L9'13 ? • Top of curb at the driveway
?o ? • Elevations of any epstlng adJaceM homes
Proposed
W'? ? • Garage floor
Q?Q ? • First floor
?? ? • Lowest exposed elevation (walkouVwindow)
? • Properiy comers
? ? • Front and rear of home at the foundation
PONDING AREA Cf aoolicablel
? ? • Easement line
?O ? • NWL
[??? ? • HWL
PJ' ? p • Pond # designation
? o? ? • Emergency Overtlow Elevation
DIMENSIONS
?a ? • Lot IinesBearings & dimensions
? ? • Right-of-way and street width (to back of curb)
C+l ? ? • Proposed home dimensioris including any proposed decks, overhangs greater than 2',
porches, etc. (i.e. all structures requiring permaneM footings)
zr-? ? ? • Show all easements of record and any City udlitles wifhin those easemerds
01-?0? ? • Setbacks of proposed structure and sideyard setback of adjacent exasting structures
? ? • Retaining wall requiremenffi, ff any
Reviewed: ? A ?
ame / Date
PROPERTY LEGAL:
January 1996
auIoi eoeiUoovnrer. M
R
oft
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if 45 BEND
7
WYE
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EL822.0
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EL809.95
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%
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/
0000
? MH 11
/ srn a
27
ABANDON EXISTING
SANITARY SEWER
4iii: fei'1° Qi i v??nWiv u
OF
, :?E?'ATIOR'c
PcJT ?U?'.';
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CONNECT TO ?
78
MHl?f2jFYi ROIR
?ONSTRUCTION)
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? 10Q'=g' DIP . ? ? - • ....:..I
? . . . 0• 0.40% . . . . . . I . . . . .260.-? 0.40% .
j . INV (DROP) : 822.00 (N) ; E4V INV 809•5
?INV 808.15: INV 808.55(E dc W)
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OWN
/000
ENGRGY CODE WORKSFiEET i OR 1& 2 I'AMILY DWELLINO.S
SITH ADDRESS
. CITY
COMPLETEU IIY;
pHON$ ? DATE
BUILDILiG CLASSIFICATIOti: ? catagory 1(ntandard) or A category 2(muet includ
e veatilation)
HZHIMUM CRITERIA
Founda[ion I1'sulation-R10 Walln G Windowo Roo£ Attia lnaylatione
iSee Slab on Grade Ineulation-R10 forailowa6le percentages) R99-With Attic No lleel
Floor over anheated epacec-R24 238-IPith Attic Raiaed Heel
Foundatiori Windowe 1/2"
itisUlated Glaso R38 & R5-Solid RaEtere
,
-Wood or Vinyl Frame ,
STBp 1 Window & Aoor Area ST6P 2 Calculate area sa a peraent o£ wall
A. Total Window g Door Area in Sq. ['eet
WIIJOOWS (Including I•'oundation Windowe);
WItiDOW MANC7FACTURL+ 2inH6: 60
AA?? C
F
St
di
, .
rom
ap 1
vide boX A(Window fi Door
WI27DOW MaNt7FACToRB TYPH: Area) 6y box D(total wall area) timen la0
equals [lie window and door area ae a
WIt7DOW MTHIIPACTUR6 U FnCTOR: ?? (G+ percent oE wall area (box C),
R. O. QuanCiCy uq.[C.Atea BOX A
X 100 =
Oimensions C
Box U
S r G /,?
] N
- (?" X
??a "7
r
?J
!
STBP l Daui
n P
t
X 'Qry
lI t g
ea
ureo
P.SSGfdBLY
X PRAMING TYPE:
d?X If
!(U STAPIDARO FRAMING
otude 1611
K
o.c.
'
-
X AUVANCED FRAMING ntude 2¢^
'
_ o.c.
x
CAVITY INSULATION R?
X
9N@ATHIlIa TYPHt
___
X LESS TIIAIJ < R-5
x R-5 > OR F1aR6
X
V-FACTOR ?
,
DOORS: Ftom the ta61e, (reverse eide) determine the
maximum percent window 4 door ar
f
th
y g x
G
? ea
or.
e
deeign optione selected and enler thet valuo
in Box D below b
d
ase
on the window mEg. U-
?
? factor:
X ll,_5? ?
D
'
Po[al Atea oE A /y-1 ? „pq Et
Windowu & Doore
? ,
' •
r
B. To[al Wall Area in Sq. Ft. .
1'he 4 valUe Erom Che Cable in Box D ehall 60
equai to or greatcr than the ! in Box C
Wall Total HeiyhC Atea
YerimeCer
? 9,0 ?vz
? f Z. ?P7 1 I `t /
?? ?r:? ??7 ! 3co(p -
'Ibtal Rrea oE Walls p34S(qn(j, ft .
F. Tlie building must nol exceed lhe inaximum Svindow and door area as a
percentage oE overall exposed svall area lisled below for the combination
of framing technique, It-value of insulation wiihin the insulated cavilv,
' sheathing R-value, and window LI-factor. Other components nuist meet
llie requirements of this subpart.
A4AX1D9UA9 IVINDOIY AIJl717QOR AIIC•A
AS A PI:RCENI' OF OVLI tALL rXPO 5CD WA[.f.
Cavily Windotr l;-Faclor
=Framing • Insulnlion_ Sheathin6- -.=0,49 0.36 0.31_ _0.17
--
STANDARI) R-13 ?R-7 134 6/6 17.0% 21.3% 24.3°e
Sl'ANDARI) R-15 2R-5 12.9°1. 17.1"k 20.1;0 23.916
Sl'ANDAIiD R-10 <It-5 . ll.l% 16.
°0 . .18.8°6 32.00,5
STANDAIip It-18 2R-5 . 13.5°6 ?
18.60e 31.B;o 25.3%
A"DVANCIiD , R-10 <It-5 11.1:5 `17.1% 20.1016 -10"
23
ADVANCL'[) Ii-16 >_R-5 . 13.59b 19.2% 22.501
o .
26.1';.
STANDAKI) 1i-21 <lZ-5 11.8°1. 17.01. 19.94"0 23.10%
STANDAKD It-?I ?k-5 11.0°,I u )9.3°a 22.590 26.10,6
AUVANCCD I.-21 <lt-5 II.B°6 78.1% 21.20,16 bLG°?
ADVAIJCfiD R-21 2k-5 , 14.01a 19.9410 23.2 0.16 26_9"u
SuUp. 3. Perforntance crileria. "flie combined lltermal lransmitlance (IJa)
factors for walls, rooF/ceilings, antl (loors over urtheated spaces [nusl be less Uhan or
equal to:
A. 0.110 13tu/h ft2 °Ffor walls;
B. 0.026 I3lu/h flz °F fnr roof/cellings; and
. C. 0.04 T3hi/h flz °f for (lonrs. .
STATAIiTli: MS § 216C.19
F115T: 18 SR 2361
7670.0480 Nclrenled, 78 SR 2361
.1i .
Minn. liules ChapIcr 7670 26 itinc 1'R) 1
?„ ?.:.. Y,:?{d?4-<._.i,?i;;NV?ivmk,? <;;:?k.;;i,A•leikl;•?? 'zjth..l.,.,,i._
il.i.T!' !.iF ..:;'ir;Anl
C('n,l'?'i.??l::'4j:;i !:? 'f"?1::.:1'1LC??... i.l;i
? ,.,... .. 91,
r?,` ....[:' - _i.. I::P?l...'..,
ur9ii_. 'I.i:..??.I?i?;...!?::irl .i , .".. W2104
1%
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32i.tl 9001 i.ii^G Rir:l:' pi;x Ff:ri '.`ii';..f.ttt
.i? c:c ??i-•:. ...??.).I. 1936 1:",l" ,?(..,t,'I I:fIi".;+. ; ?f,Y'i .?.,ic(.;
..1•_:
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.+ 't .,
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i.?n,....; • ?.. :I..
Wi--Ir' T1.1 I: HF§N1.."•'
J:,oy..?.?yy:.):..i,.?..? i...1... b'b..•e,.t..; .. n.,?:.bP:..b u.y....::.? .
? - PERMIT
?' CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 029311
(612) 681-4675 Date Issued: 12 / 0 4/ 9 6
SITE ADDRESS:
1836 RED FOX RD
LOT: 26 BLOCK: 2
BLACKHAWK FOREST
P.T.N.: 10-14325-260-02
DESCRIPTION:
(TWO BEDROOMS)
BuI:fl3,ng,Permit Type
;Building W3,r,k Type
F Census Code
-,?
j?
Y`\ s?`l 4 ^..h? -.r
BASEMENT FINISH
ALTERATION
434 ALT. RESIDENTIAL
S
REMARKS
FEE SUMMARY:
Base Fee
Surcharge
Total Fee
$50.00
$.50
$50.50
P
CONTRACTOR: - Applicant - sT. Lzc OWNER:
PLETSCH BLDRS INC 14693044 0002358 PIETSCH BLDRS INC
26830 HOLT AVE P 0 BOX 208
LAKEVILLE MN 55044 LAKEVILLE MN 55044
('612) 469-3044 (612)469-3044
I hereby acknowledge that I have read this
information is correct aod agree to comply
SCatute n Ci y bf= Eagtn' Ordirra'hces.
L T
AP LICANT/ ERMITEE SIGNATURE
application and state that the
with all applicabJ.e State of Mn.
Dmw oA 9im2
'UEDIV:S NAT RE
?
I I cinr oF ??GAN
?? 3830 PILOT KNOB RD - 55122
? 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
6$1-4675
Mew Ceintruetien Reeuiremenla RemodeVReoair R auIr m nt•
? 9 registared sRe turveys ? Y eopks al plen
? Z eepka ot plans (tndu0s Dsam d window sites; powW tnd. dssgn; ete.) ? 2 sRe auneys (estertor odditions d decks)
? 1 snergy ealalalioM ? 1 enaryy wlalations fm AeateA aEdilions
4 J mpiea of hse preaenatlon ptan H bl pkCed aRsr 711193
roqufred: _ Yes _ No
DATE: aZn l, I71 l/ CONSTRUCTION COST:
n_ _ . . /) .
DESCRiPTION OF WORK:
STREET ADDRESS:
LOT 1fd BLOCK
a-.
PROPERTY Name: Phone #:
OWNER • W* ?
Street Address•
CftY: State: Zip•
CONTRACTOR Company: Phone #:
Street Address: ,4g&X License #•
City: °?/
f141/I?? State: Zi
ARCHITECT/ Company: Phone #'
ENGINEER
Name: Registration #4
Street Address•
CitY: State:
Zip.
Sewer & weter licensed plumber. Penatty applies when address change and lot
change are roquested once pertnit ia lssued. •
I hereby edcnowledge that I have ?ead lfiis applicetion and state ftt the informaHon is cortect and agree to comply with all
applicable State ot Minnesote Stetutes and Ciry ot Eagan Ordinances.
Signature ot Appiicant:
OFFICE USE ONLY RECEIVED
Certificates of Survey Received _ Yes _ No NOU 2 9 1995
Tree Preservation Plan Received - Yes - No BY. Atg
OFFICE USE ONLY ` - - -• ,
?
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dweiling o 07 4plex
0 03 SF Addition o OS 8-plex
0 04 5F Porch o 09 12-plex
? 05 SF Misc. 0 10 = plex
WORK TYPE
o 31 New b'33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFaRMATION
Const. (Actual)
(Allowab(e)
UBC Occupancy
Zoning
# oi Stories
Length
Depth
? 11 Apt./Lodging .a? 16 Basement Finish
? 12 Multi Repair/Rem. ? 17 Swim Pool
? 13 Garage/Accessory ? 20 Public Facility
? 14 Firepiace o 21 Miscellaneous
0 15 Deck
0 36 Move
0 37 Demolition
8asement sq. ft.
Main level sq. ft.
sq. ft.
sq. R.
sq. ft.
sq. ft.
Footprint sq. ft.
MC/WS System ?
City Water i
Fire Sprinklered
PRV
Booster Pump
Census Code. y 34
SAC Code 01
_
Census Bldg i
Census Unit v
Engineering Variance
APPROVALS
Pfanning Building !AO
Permit Fee
Surcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
5NV Surcharge
Treatment Pi.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
°k SAC
SAC Units
ValuaBon: $
CITY USE ONLY
L 6?69 BL RECEIPT #:
SUBD. ??C2??[U^RYYItc? cV(Vu-j?f DATE: ? Co 9
7996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(672) 681-4675
Piease complete for: ? single family dwellings
? townhomes and condos when permits are required for each uniY
FIXTURES gg?y ?Q. TOTAL
Shower 3.00 x l = 3.00
Water Closet 3.00 X > ?J?
Bath Tub 3.00 x =
Lavatory 3.00 x 3.16
Kitchen Sink 3.00 :c =
Laundry Tray 3.00 :c =
Hot Tub/Spa 3.00 ;c =
Water Heater 3.00 s =
Floor Drain 3.00 :c =
Gas Piping Outlet ' minimum -1 3.00 x =
Rough Openings 1.50 :c =
Water Softener 5.00 r =
Private Disposal ` oakota cry. license 65.00 =
(new and refurbished systems)
U.G. Sprinkler' home under const. 3.00 =
Alterations ` to exisung 20.00 = a?O.OD
Water Tum Around 20.00
STATE SURCHARGE .50
TOTAL ZD. S'0
SITE ADDRESS: 1836 Red Fooc xoad
OWNER NAME: Pi-etsch Builders
INSTALLER NAME' Matthew naniels, Inc.
STREET ADDRESS: 15230 carrousel wav
CITY: xosemount STATE: m ZIP: 55068
PHONE #: ( 612 ) 423-3730
?y -
?! •
OFFICE USE ONLY
L _ Bl _
SUBD.
RECEIPT #:
DATE:
1896 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 6614675
Please compiete for. P all commerciallindustrial buildings.
A required for each dwelling
? multi-tamily buildings when separate permRS are no
unit.
DATE:
WORK 7YF'E: _ NEW CONSTRUCYION
DESCRIPTION OF WORK:
CONTRACT PRICE:
ADD UN _ REPAIR
IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? _ YES _ NO.
FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE.
WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM7 _ YES _ NO.
IF SO, YOU MU5T APPLY FOR A 5EPARATE U.G. SPRINt:LER PERMIT.
FEE: $25.00 minimum fee or 1% of contrad price, whichever is greater. State surcharge of $.50 per
$1,000 of pgMjt fee due on all permHS.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL
SiTE ADDncSS:
TENANT NAME:
OWNER NAME:
INSTALLER:
ADDRESS:
cin:
PHONE #: SIGNATURE:
OFFICE USE ONLY
STE. #
STATE: ZIP:
APPLICANT
METER SIZE: " DATE: INSPECTOR:
CITY USE ONLY
L g? BL o2- RECEIPT #:
SUBD. . (,C7f'?e? . DATE: 7 ??yk
1996 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 whcan permits are required for each unit
FIXTURES EACti tLQ. TOTAL
Shower 3.00 x 3, dd
Water Closet 3.00 x .2. = 6.40
Bain i uo 3.00 x 2. = 6.00
Lavatory 3.00 x Z = 4.00
Kitchen Sink 3.00 :c a. 00
Laundry Tray 3.00 :c _L = 4.46
Hot Tub/Spa 3.00 :c =
Water Heater 3.00 ;c I = .oa
Floor Drain 3.00 3.eo
Gas Piping Outlet ' minimum -1 3.00 .3.00
Rough Openings 1.50 :c 3 = ?•Sb
Water Softener 5.00 x =
Private DispoSal • Dakota Cty. Iicense 65.00 =
(new and refurbished systems)
U.G. Sprinkler' home under const. 3.00 =
Alterations " to edsting 20.00 =
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL
?//. 00
SITE ADDRESS: 1836 Faed Fox Road
OWNER NAME: Pietsc8 Builders
INSTALLER NAME: Matthew Deniels, Inc.
STREET ADDRESS: 15230 carrousel wav
CITY: xosemoiu,t STATE: NQi
ZIp; 55068
PHONE #: ( 612 ) 423-3730
? .
OFFICE USE ONLY
L BL
SUBD.
RECEIPT #:
DATE'
1996 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 687-4675
Please complete for. ? all commerciaUndustriai buildings.
? multi-family buildings when separete pertnits are pQt required for each dwelling
unft.
DATE: CONTRACT PRICE:
WORK TYPF_: ' NEW CONSTRUCTION _ ADD ON REPAIR
DESCRIPTION OF WORK:
IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOMETER;i TO BE INSTALLED? _ YES _ NO.
FAILURE TO PROVIDE THIS INFORMATION WILL RESUL7 IN A DELAY OF METER ISSUANCE.
WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? _ YES _ NO.
IF SO, YOU MU3T APPLY FOR A SEPARATE U.G. SPRINi:LER PERMIT.
FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per
$1,000 of pgjn3.iS fee due on all permits.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL
SITE ADDRESS:
TENANT NAME: STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
CITY: STATE: 21P:
PHONE #: SIGNATURF:
APPIICANT
OFFICE USE ONLY
METER SIZE: " DATE: INSPECTOR:
CITY USE ONLY
L ?_ BL ? RECEIPT #:
SUBD. ??YL DATE: ? ? A60
1996 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 6814675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
i/? New construction Add-on furnace
Add-on air conditioning Add-on airexchanger, i.e. Vanee sysiem, eic.
Date: 2 - ZZ/
? Minimum Fee: Add-on/Remodel (existing residence only)
? FNAC: 0-100 M BTU
Additional 50 M BTU
? Gas Outlets (minimum of 1 required @$3.00 each)
? State Surcharge
TOTAL
SITE
OWNER
INSTALLER
STREET ADDRESS: V `5 /g5
CIIY: G?PHONE #: (
?
FEES
$ 20.00
24.00
6.00
fo•db.
.50
42? SZ
PHONE #: ?????
CITY USE ONLY
L _ BL _
SUBD.
RECEIPT
DATE:
1996 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
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
DESCRIPTION OF WORK:
INTERIOR IMPROVEMENT
FEES: ?$25.00 minimum fee 2 1% of contrect price, whichever is greater.
* Processed piping - $25.00
? State surcharge of $.50 per $1,000 of ermit fee due on all permits.
CONTRACT PRICE x 1%
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME:
TENANT NAME: (innPROVenneNrs oNLv)
INSTALLER:
ADDRESS:_
cin:
PHONE #:
TELEPHONE #:
STATE: ZIP:
SIGNATURE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
Cities Digital
itv Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
SuBD
fE:J RECEIPT ,l &S7d LP
IECZIPT DATE//yI/I
?. .
I ?
MA?
--
JQB
., -
! ?s
QNNER
?LFA58 3E ADVL°cD TF+A2 7NERE IS A7M SHaRTAGc^, OH 2FE ABOVE
II.ZC:RICAL INSTAL:.I:ZON IN niE AMOUNT OF
SHaB'*.AGo-, MtST 3E ?AID wHI'^HIA 14 DA:S.
RFYAR76
.., .
?
-_ i
?
31 _o ?00 amo. c+rcuics=
0 to 100 amo ser•+ice=
` 101 [0 200 amo. service=
70T3L FEi DUE=
LESS
_ TOTai. cgORT4 " DUE
?
PERMIT? ' ?- C?;'r?
ORIG. RECEIPTIf ; - ; ?- (? ?J
RECr'.IPT DATE
RETTIRN A COPY OF THIS FORM WITH REMITTaNCE.
?? & 4e&? ?. i/94-7
Date:
City of Eaan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use /10559
�j
Permit #: ! 10 ✓59
Permit Fee:
Date Received:
5//5/1-3
Staff: (�'► 5
2013 RESIDENTIAL PLUMBING PERMIT APPLICATION
Tenant:
Site Address:
J
Suite #:
DM.me: DC 4 1. P-89 Phone1,45-1-21 1 5111
Address /City / Zip: i U t keel Fox Rd g ("%� . S'5)2_2_
Name: MILBERT COMPANY INC dba CULLIGAN WATER License #: 063031 -WC
Address: 1801 50' STREET EAST City: INVER GROVE HGTS
State: MN Zip: 55077 Phone: 651-451-2241.
Contact: BILL MILBERT Email:
New XReplacement _ Repair Rebuild _ Modify Space __ Work in R.O.W.
Description of work:
RESIDENTIAL
Water Heater
Lawn Irrigation ( RPZ / _ PVB)
Septic System
New
Abandonment
,Vater Softener
Add Plumbing Fixtures ( Main / _ Lower Level)
Water Turnaround
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (Includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $200.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) �y,�r
TOTAL FEES $ 6.1) W
CALL BEFORE YOU DIG. Call Gopher State One CaII at (651) 454-0002 for protection against underground utility damage.
CaII 48 hours before you intend to dig to receive locates of underground utilities. www.00pherstateonecail.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 start without a permit; that the work will be In
accordance with the approved pl in the case of work which requires a review and appr•val -f plans.
'nature
111I////-Pn /?pi1i1Gfe-
t
Applicant's Printed Name
x
Applicant's S
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116400
Date Issued:10/07/2013
Permit Category:ePermit
Site Address: 1836 Red Fox Rd
Lot:26 Block: 2 Addition: Blackhawk Forest
PID:10-14325-02-260
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 by law in ALL single family homes .
Audrey Flattum
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 -
Daniel M Dege
1836 Red Fox Rd
Eagan MN 55122
(651) 271-5722
Storm Guard Restoration
1355 Geneva Avenue North, Suite 201
Oakdale MN 55128
(651) 738-1698
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA121580
Date Issued:04/08/2014
Permit Category:ePermit
Site Address: 1836 Red Fox Rd
Lot:26 Block: 2 Addition: Blackhawk Forest
PID:10-14325-02-260
Use:
Description:
Sub Type:Siding & Windows/Doors
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of house wrap and leave on site for final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
Daniel M Dege
1836 Red Fox Rd
Eagan MN 55122
(651) 271-5722
Storm Guard Restoration
1355 Geneva Avenue North, Suite 201
Oakdale MN 55128
(651) 738-1698
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA127349
Date Issued:09/29/2014
Permit Category:ePermit
Site Address: 1836 Red Fox Rd
Lot:26 Block: 2 Addition: Blackhawk Forest
PID:10-14325-02-260
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Dennis O'brien
12330 Ottawa Avenue
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Daniel M Dege
1836 Red Fox Rd
Eagan MN 55122
(651) 271-5722
Gopher Heating & Sheet Metal
12330 Ottawa Ave
Savage MN 55378
(952) 890-3466
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA166645
Date Issued:01/25/2021
Permit Category:ePermit
Site Address: 1836 Red Fox Rd
Lot:26 Block: 2 Addition: Blackhawk Forest
PID:10-14325-02-260
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Sko Investments Llc
420 Riverbluff Dr Po Box 331
Windom MN 56101
(651) 457-7100
Master Plumbing Services Llc
PO Box 2451
Inver Grove Heights MN 55076
(651) 248-1008
Applicant/Permitee: Signature Issued By: Signature