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1840 Red Fox RdCity of Ea�all 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit#: O 9 c U o Permit Fee: dD, Date Received: -/!D Staff: L 2010 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 611 k fact() Site Address: L 'CrO RSL Rat Pk-A— Tenant: Csro--q Suite #: CI<'+�114q I RESIDENT / OWNER Name: C rr 'L J C Aa Stl t Phone: C.S (— LEsq --t Da y Address / City / Zip: (g Y o FE 7. Re. Ps- c: EAC AO 5512 CONTRACTOR Name: .�4-" (' LA LLQ C c ,r i . - . INSPECTION RECORD CITY QF EAGAN PERMIT TYPE: `'', 3830 Pilot Knob Road Permit Number: 7r'40 Eagan, Minnesota 55122-1897 Date Issucd: (612) 681-4675 SITE ADDRESS: 1 07 :??.;, APPLICANT: 1:i Ft1x RIl I t IIM ti1l'1( kHNt3k !t?f(C`.:T . (r:12 ) A_il 1 rt1 PERMIT SUBTYPE: i i r a TYPE OF WORK: Nf ?1 INSPECTION D• • D• ; E:npI Nit tN .Ul ;11 IilN I l?•i I?1 r?? : F iif11.1I i fJ !{ S:li ?tflll{,It + k?! 11 I ?; I ?r?r?? I•I t??, ? 1Nr?,i 12f h1AR1[!; r'.?'"i E. lJ P! HF! - AEFIZ RYAIM Pl.Lif3 ? J Permit No. Pertnit Holder Dale Telephone M ELECTRIC ??? 3 LP V PLUMBING HVAC Inspection Dafd nsp. Commenta FOOTINGS ? FOUND FRAMING ROQFING ROUGH PLUMBING PLBG AIR TEST /t ROUGH HEATING I cg GAS SVC TEST J&A INSUL GYP BOARD FIREPLACE ? FIREPLACE AIR TES7 FINAL PLBG ? FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FfG DECK FINAL ,. 1a q • ? t?? ei?tificate of Cccupanc? WU4 of Te0arim"t of 13KOing This Certifrcate issued pursuant to the requirements of the Uniform Building Code certifying that at the time of issuance this structure was in compliance wirh the varrous ardinances of the City regttlatirtg bai[ding construction ar use. For the following: use ClusirKatiow. SF DWG/GAR 00-p-r TYre R-3 U-i Zon;ng aw? R-: pM,n" of gwwn6 COLLSGE CITY HOMESypddress_ Bwkfiog Addma 1840 RED FOX RD LAca;y ' oaw. e?um?oefiW 'I.v--- Bldg. Pertmt No. 27540 ryw ca.t. DN SC? 3ALAXIE AVE.? APPLE VALLEY Ig 5, B2, BLACKHAi1[C FOREST POST IN A GONSPICUOUS PLACE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: i i I M r? 3830 Pilot Knob Road Permit Number: "1 0 Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: f APPLICANT: .. • r' ;F i n;',-'i '- I Mt hJ 1'. t41 A r F. It ++l t i t f- (1 N t?!, i ( b 1:,' ) 4 !.. q-- t? a`i 4 PERMIT SUBTYPE: ? TYPE OF W4RK: 01 u Permk No. Permit Holder Date Telephone N ELECTRIC PLUMBING HVAC Inspection Date Insp. Commenta FOOTINGS FdUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FfG f DECK FINAL .? INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 1111 I?! NIr 3830 Pilot Knob Road Permit Number: '' `o '401' Eagan, MinneSOta 55122-1897 Date Issued: (612) 681-4675 , SITE ADDRESS: APPLICANT: >,? .':? Flir,?tF ;+?{•?•,?1ir,l,•) :??,.I 47v;..1 PERMIT SUBTYPE: " TYPE OF WORK: i'ti 1f'RA!'f11N ?;i ,? ?• ti + iii?t PART (At f INi`,11 INSPECTION I_? I ; „ • i ; I „ . ???ii,l? ?F'a f'1 it(? ? 1?.i:";? Permk No. Permit Holder Date Telephene # ELECTRIC PLUMBING HVAC InspecHon Date Insp. Comments FOOTIAIGS FOUND FRAMING Z7 ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FYNAL HTG ORSAT TEST BLDd FINAL BSMT R.I. BSMT FINAL DECK F7G DECK FINAL Q,ddtgss 1840 RED FOX RD Zip 5512_ IAt 25 BIk 2 Sllb BI'P"'KHAWK FOREST THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION. Date: 7 5 rjYv Yes No Inspector: et4 Final grade (6" from siding) 1I" Permanent steps (garage) Permanent steps (main entry) ? Permanent driveway Permanent gas Sod/Seeded grass TraiUcurb damage Porch Basement finish ? r Deck Please verify with the builder the removal of roof test caps from the plumbing system and Ihe shuboff of water supply to tlte outside iawn faucet before freeze potential exists. Contac[ engineering division at 6814645 before working in righ[-of-way or installing underground sprinkler sys[em. White - Ciry Copy Yellow - Resident Copy Pink - Conlractor Copy w ?`H57 REQUEST FOR ELECTRICAL INSPECTION 75 - 4?l_??7 ? 8'27Un?ersiry Ave. Rm. S-?1Pr8,'St. Paui, MN 55104 Prione (612) 642-0800 om e Duplez t. Bldg. 01her: Nw Addn ommerciol Indushial Farm Remod Rair R ir Cond. Htg. E ui . Woter Hh. Lood Mgmt. Other: D ryer Range Elec. Heol Temp. Service "X° a6ove the work corered by fhis requesf. En7er remarks in this space ond on the back of the whife copy only. { a r-e'?? -? n j S k Calculate Inspxfion Fee - This Inspecfion Request will not be occepfed without fhe correct fee: Other Fee # Senice Entrance Size Fee # Circuits/feeden Fee Mobile Home Park Stall 0 ro 200 Amps 0 to 100 Amps Street Ltg./TrafFic Sig. Above 200-Am s Above 100_Amps Transformer/Generotor INSPEAOp'S USE ONLY TOTAL $ign/Oudine Ltg. Xfmr. ? Alarm/Remote Contml I Swimming Pool ?? I l h d h ? l i ?a? d b d h d Irrigafion Boom n on ceM ? m I ins ._ a n 6on ex,i e ere R,,,,??,. ? a otes sime • $pecialln5pectiOn _ Investigative Fee °°jA 7 7 TMIS INSTALLATION MAY BE ORDERE DISCONNECTEO IF NOT COMPLETED WITHIN 18 MONTHS. ?/? /1 ?? OFFICE USE ONLY Thia reqoest void 18 months Gom wlidafion data printed in this?x. ! u A * O 4 7 L 7 5 7 S* PLEASE PRINT OR TYPE ?'r D Rryuan Dore '? ? Ragbin inspecfim requiredE ' es ? N. (Yw muet mll the inspeclor n eao ? Inspecrion Other Than kougMn: ? Ready Now ill Call Doce Reody: 1, ? licensed conhacto wner hereby requesl inspection oF the obove eleclrical work at Job Ad ess 1haet, eo Rwte ? c' M Ii Code 5'on W. Township Nome or No. Range No. Fire No. Couny O?Pa^t Phare No. P PP?i Address im Conpator (Co?y Name) Conhatlor ticense No. AMsler Lfc. No. (%ant Elect OnFy) Mailing Add /or? er Performing Imtalloilan? ry-) t/ Aullwrimd noNre (Cwmoaw rfo i Insmllati Phona yo. (? u I REOUEST FOR ELECTRICAL INSPECTION %5o ? Minnesota State Board of Electricily I III?I I?I 1821 University Ave., Rm. S-128, t. Paul, MN 55104 :-?' -? IIII * 2 8 8.5 6 3 0 s Phone (612) 642-0800 (,pao Home Apf. Bldg. Othv;: ._. , New Addn Commercial Indusfrial Form Remod Re oir Air Cond. Htg. Equip. Water Hfr. Load Mgmt. Other. D er Ran e Elec. Heat Tem . Service "X" a6ove the work covered by this request. Enfer remarks in this space and on the back o/ fhe white copy only. Cal<ulote Inspection Fee - This Inspection Requesf will not 6e accepred wifhout fhe <omecf fee: Olher Fee iT Service Enfrance $ize Fee # Circvih/Feeders Fee Mabile Hame Park Stall 0 la 200 Amps - 0 to 100 Amps „s S}reet Ltg./TraHic Sig. A6ove 200 Amps LA?ove 0 Amps Transformer/Generator INSPECTON'SIISEONLV TOTA S? Sign/Oulline Ltg. Xfmr. . ? Alarm/Remofe Contml f Swimming Pool I here mn1 IhaN im ml on Me da ::w?ed Ir?igafion Boom Rough-In Da y?0 Special Ins ecfian ^ a p Investigative Fee j? Fowl Dare - THIS INSTALLATION MAY BE ORDERED DISCONNE ED IF NOT COMPLETED WITHIN 18 MONTHS. 2 V V° 5 6 3 O?CE USE ONLY This reQVest void 18 monihs Irom wlidanon dare pnNed in ?is bo? d S 8 :` 9 6f7r3l9 G d A 4 ? PLEASE PRINT OR TYPE ' M Reqo t Doie Roogh-in inspeaion required2 Yes ? No Impecnon O'her Than Rovgh-In: [] Ready Now Will Coll (You muet call the inspecmrwhm reody) Date Ready: I, EKlicensed confrador ? owner hereby requesf inspeciion of the above elecfrical work al: Job dress (Slree?, Qoa, or Ra No.) Ciry 2p Cade J 5 an No. Tormship Name or Na. Ronge No. Fm No. aunry ,O,,&? Caupanl Phane Na. PowerS pp??v' q / Pddress Elednc nhaclar (Compony Nam Conl ar License No. Mashr lic. Na (Plom Elecl. Only) O Moilin Pddra, onkvMrorO.merPedoiminglnsklloNan) /wlhon noNre (Canhvdor or a Per(omi g Inswl ano Phane No. 8 EB-DOOOIA-10 6/95 STATEAOARnEOPIf -SEEINS'fXUCTION30NBACKOFVELLOWCOPY k ?+? 200$ Date: ? ?V SiteAdd Tenant: ANICAL L-7 0 i ----------------, i i •?? i j Permit #: ? Permit Fee: ?o `? ' - l" v ? I ? Date Rec I (j I Staff: II ---- ?{?U??8? 11 Suite #: Ph ? ?q 5 - 0 RESIDENT / OWNER one: Name: 1 / Ci Zi SS d ay o A) ry ! p: . A dress - CONTRACTOR License #: Name: AND ST Address: 410 WEST LAKE STREET MINNEAPOLIS, MN 55408-2909 City: A19-924-9656 State: Zip: Phone: Contact Person: TYPEOFWORK -New _Replacement _Additional AAlteration _Demolition Description of work: RESIDENTIAL COMMERCIAL PERMIT TYPE New Construction Interior Improvement _ Furnace _ Air Conditioner _ Install Piping _ Processed Air Exchanger _ Gas _ Exterior HVAC Unit ' _ HVAC units must be screened Heat Pump 1 nder I Above ground Tank L Instali I_ Remove) ? Other ? li" ?f hen installinglremoving tank(s), call lor inspection by Fire Marshal and Plumbin Ins ector RESlDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace bumed out appliances, ductwork, etc.) (includes $.50 State Surcharge) O ? TOTALFEE $ - COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Vaiue $ x i% $50.50 Minimum (includes State Surcharge) _ $ Permit Fee - Ii P rmi Fee is less ihan $1,000, surcharge is $.50. - If Permit Fee is >$1,000, surcharge increases by $.50 for each =$ State Surcharge $1,000 Permit Pee (i.e. a$1,OD1-$2,000 Permit Fee requires a$1.00 surcharge). $ TOTALFEE I hereby acknowledge that ihis information is comple[e and accurate; thai the work will he in contormance wiih the orcfinance 'micod ot the City of Eagan; that I understand this is not a perrnR, but only an application for a permit, and work is not to stad w 7 ermtt; that the 1 e i ccordance with fhe appmved plan in the cas f work which requires a revie approval of plans. X ??RM?cJ x_ ApplicanYs Printed Name ApplicanYs Sign e ? y? 411? City of EapIl 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 ?----------------- i F*?"" ? i ? Permit i Permit Fee: ? ? Date Received: I ? I Staff: I i /2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: SiteAddress: 1'M &FL'%P fU, Tenant: a.pFYIg1 ,gGV"[J64 Suite #: RESIDENT/OWNER Name: C_Q&I 5WA1,56N _ Phone: 6S1'4£q`0&'),Y Address / City I Zip: 1,9?40 ft 17-ov P-b EGe pr" 95 yz Z Applicant is: _ Owner -Y.Contractor TYPE OF WORK Descnption otwork: WLA-C ? 5 <j3C6AGw5 Construdion Cost: Multi-Family Building: (Yes No CONTRACTOR Name: ! f L`t (W1A_W. License #: Address: qa5 1bT6I 5'r AX- . ciry: 1Vt 1LFF<1:- State: Yniv ziP: 5c353 Phone: 3_)_U"fI??v`_3(2uS ContadPerson: 6 etq" COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 . Enel'gy COde . Residential Ventilation Category 1 Worksheet • New Energy Coda Worksheet Cat@gOry Submitted Submitted submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a pertnit 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 E. Water Contractor: Phone: NOTE: Pfans anrf;supporYing.documenfs tha# yoU_subrrrit aPe considered ta be public infnrm`ation. PortFons af ?the mformafron.inay tie?classified as norr-public`if you prbvide specifiC reasons,that woultl permit the C1ty #o canclutla that the aFe trade secrets. -,-I hereby acknowledge that this information is complete and accurate; that the work will be in confortnance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, 6ut only an application for a permR, and work is not to start without a perm@; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x?am?- Y`?r0w44('/ x ? Applica 's Printed Name ApplicanYs Signature Page 1 of 3 ?Y:k'M.3'cY,tgt>kPn>k?X>k:XM%tX<i(9F>X."?KyFR?. 'MY;.Yf.?t::k%t?R?%Xci%:d:X<>k?kakkcYd C7'PY C.1F [_AGtiP.+ l;A:?iH:l'E:Re .?S 7cRMINAI.. N.i1: 62 DA"(E:; 06/24/97 TIi'iF:^ i.Sa:Li:;i.i v I[i , i?!AME? t;Altl'=td I? Rt;t..[?S7'?[i Sct:lO 9003 17340 FiECi (-{]X RD 205 9001 9.84•0 IiE.D FOX RD ::tc?i:l 9001 1840 RG.D t`OX RD 205 9001 i.840 RF:D r CJ% RD 3430 'c?IJ[]:i iFSAO I'trD 1-QX RD 50.00 0.50 40.00 O.:iCI 1.00 r'ota:1 Recrnip+, Amounr,;; 92.00 CF07'.572t3 iJSEI; :I:Ci: ::!AN >'cYFYf.?*5Yn(?X?f :kXt 1FRnXXC:,Yh%Y>KN?k? 'M>k3?>Y%FYd/t9F?'cX<$ckcYdB($tX?X? N?, ?- --?)CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: 8 uILo z rv r Permit Number: 0 3 0 3 0 9 Date Issued: 06/2 4/97 SITE ADDRESS: lsao REo Fox Ro LQT: 25 BLOCK: 2 BLACKHAWK FORESI' P.:C.N.s 10-14325-250-02 DESCRIPTION: Fxr!xsM BFl:s"EhIEIVT FIIVI5H flLTERATSON 434 FlLl". RESIDENTTAL ,,? ::t a"3 2itE a °.rt? ?` 1?, ? 2??-'? ? ra b3'9=? tit `'? e,.? y' ?. ? •,:?t5 C:v REMARKS: SEPARR'fE PERMITS REQU7RED FOR ELECThl'CAL WORK FEE SUAAMARY: 8ase Fee 5urcharge 7uta1 Fee . CONTRACTOR: ? PAf2TTAL L' .3,C1? Permit Type uL,iditt?gk Type ?'"?`?ertJwa CQ4 L. lk okx o Ak k `?". re ? 4 $50.00 $.5o ? $50.50 ?. q ^ 1 hereby < informatkob ?s -t:or-,taot 4iid'-,dgrs*: Statutes '041d c1ty -o'F ? _. _ ? ., . ... 71' - APPLIGANT/PERMITEE SIGNATURE OWNER: - ApPlicant - AKI.ESTFlD KAREN 1640 RED FOX RD EAGAN MN (612)459-0824 ? ta?e wfi Mn. ?,? .,?._ . _ ... . . _ . ? .?.? _ IKUED BY: SIGNATURE 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) cinr oF EAcAN 8830 PILOT KNOB RD - 55122 681-4675 RemodellReoair Reauiremenls g ? 3 registered site surveys ? 2 copies of plan i 2 copies of plans (inGude beam 8 wirWow sizes; poured fid. design; sm.) • 2 site surveys (exterior addidons 8 dedcs) • 1 energy calculetlons • 1 energy calculatlons for healed addidons ? 3 copies of lree preservatlon plan if bt platted after 717193 ? required: _ Yes No DATE: \ dWNll? o? ? . 1997 CONSTRUCTION COST; . '17' i n n , DESCRIPTION OF WORK: STREET ADDRESS: OT a 5' BLOCK 2` SUBDJP.I.O. #: , hklestad, Karen y- PROPERTY OWNER CONTRACTOR Name: Street Phone #: qS 4 -oga y City: State: ?Y Zip: Company: Phone #: 5treet Address: City: State: License #: 'h Sb s-a e-?-? ? Zip: ARCHITECT/ Company: ENGINEER Name: Phone #: Registration #: Street Address: City: State: Zip: Sewer & water licer.sed plumber (new construCtion only): and lot change are iequested once permit is issued. PenaKy applies when address change 1 hereby aclmowleiige that I have read tliis appliraUon and sfate that the information is correct and agree to comply with ail applicable State of Minnesota Statutes and City of Eagan Ordinances. 1 `_ Signature of Applicant: /?4kjs;?&,J OFFICE USE ONLY RECEIVED Certificates of Survey Received _ Yes _ No JUN 27 Tree Preservation Plan Received _ Yes _ No _ Not Required BY' / OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation ? 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish n 02 SF Dwelling o 07 4-plex o 12 Muki Repair/Rem. 0 17 Swim Pool 0 03 SF Addition o 08 &plex n 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 _-plex o 15 Deck WORK TYPE ? 31 New 33 Alterations o 36 Move 0 32 Addition o 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actuai) Basement sq. ft. MC/W5 System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered 2oning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code b 1 - Census Bidg ? Census Unit Q APPROVALS Planning Building FM Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MCNVS 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 Total % SAC SAC Units ? r'L?r nF ii'p,rrp; II A5HT-F J I_:eM MAL a!." 50 iIAm'.P .4/2%'/9r TiMi-, :.° L.3M A W"'tF..: ll,!_L.EY p:cSrp,t t?Tc? r,,,. c'' '?O -. . . 0210091Ji lF'4U n-r Fr7X iL50,np ? ',P_:!:35 JCOi. ':.8fid7 fiI15 ?L:< Rt• p i? ; . l? 50.11 .?c-.n-,•:>R.!_ ? PERMIT -? CITY-OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT TYPE: Permit Number: Date Issued: BUILDING 029790 04/22/97 SITE ADDRESS: 1840 RED FOX ft0 LOTs 25 BLOCK: 2 BLACKNAWK FOftEST P.I.N.: I0-14325-250-02 DESCRIPTION: ermit Type prk Type ? necK NEW 434 ALT. RESSDENTIAL J REMARKS FEE SUMMARY: Bese Fee $50.00 Surcharge $.50 7ota1 Fee $50.50 CONTRACTOR: - Applicant - s-r. LIC OWNER: VALLEY TNVESTMENTS CONST 14545191 0004241 SWANSON CRAT6 2401 LEXIN6TON AVE 5 1840 RED FQX RD MtNDOTA HTS MN 55120 ' EAGAN MN (,612) 454-5191 I" Z .hra'rab,y aekn6v3040:ik 6,Y??? ?nf.carm??xn?a zs `csQr ?^'?c? ,?t??f ?8tatutes ?a-hc6,???:?y. O APPLICANT/PERMITEE SIGNATURE ISSUED ew 51(3pIATUR ` 997 BUILDING PERMIT APPLICATION (RESIDENTIAL) ? ? CITY OF EAGAN 5830 PILOT KNOB RD - 65122 B87-4675 ., • _??•?:- ..-?.- ?- 4?"?• f? J(?R+",¢t,,)Gt; E«;?,?r ? 3 registered sRe surveys ? Y copies of plan • 2 copiea of pians (indude beam 8 window sizes; pouretl fi0. design; etc.) • 2 sfte surveys (exterior addkfons 8 tledca) ? 1 energy calwlations • 1 energy cekuledons for heated atlAftions ? 3 eopies W tree preaervation plan H lot pleltetl Bfter 7/7/93 required: _ Yes _ No DATE: CONSTRUCTION COST: DESCRIPTION OF WORK: STREET ADDRESS: LOT 411) BLOCK X) ? -0 ^ 0 ' PROPERTY Namel KA-r6 C - A-N 8 Phone #: OWNER mn & Q S f ? I Ao Street Address: ?? b r? f City: 62LA: ?-41? State: Zip: CONTRACTOR 0 - A Company: 1, NS Phone#: Street Address: 1 61 nU. Pl.) r)- License #: City: ??,el.ILr1 ?74-- 1 S State: Zip: ARCHITECTI Company: Phone #: ENGINEER Name: Registretion #: Street Address: City: State: Zip: Sewer & water licensed plumber (new construction onty): . Penally applies when address change and lot change are requested once pertnit is issued. I hereby acknowledge that I have read this appiiqtion and state that the info ' n i rrect and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. 5ignature of Applicant: OPFICE USE ONLY RECEIVED CertificatesofSurveyReceived _ Yes , No APR 17 1997 Tree Preservation Plan Received - Yes _ No _ Not Required By: ,I SUBD.lP.I.D. #: 6 LuMA -1016A BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dweiling ? 07 4-plex 0 03 SF Addition o 08 8-plex ? 04 SF Porch ? 09 12-plex ? 05 5F Misc. 0 10 _-plex WORK TYPE j!r'31 New o 33 Alterations ? 32 Addition o 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS OFFICE USE ONLY 0 11 Apt./Lodging o ? 12 Multi Repair/Rem. ? ? 13 Garage/Accessory o ? 14 Fireplace 13 ;,11"15 Deck 0 36 Move 0 37 Demolition Basement sq. ft. Main level sq. ft. sq.ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. . 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous MC/WS 5ystem ? City Water Fire Sprinklered PRV Booster Pump Census Code. tt 3 y SAC Code v I Census Bidg Census Unit tJ Planning Building Mr2 Engineering Permit Fee 5urcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit 5/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units Variance Valuation: $ , Surve,for's Certi,;'zcate SURVEY FOR ; COLLEGE CITY DESCR I BED AS • Lot 25, 81ock 2, BLACKNAYVK FORE5T, City of Eagan, Dakota County, • Minnesota and reervfng easementa of record. EAGAN R E V i -- --? dY ? . . . .... .r , :.. . , 1 N N s2? >?. -L" Ro" 1C t yC.? SI t.?f1c") EAGAN LOT SQ. FOOTAGE = 16, 186 PROPOSED ELEVATIONS ' Top o1 Founslntlon Garaqe Floor - 836.0 = 835•1 6 Basement Floor ? 827-2 Aprox. Sewer SeMce = 82201 Proposed. Elev. _ ," Exlsttng Elev. - Dratnage Dlrectlons = - Denotas Offaet Stake = • G? SCA1£: 1 lneh . 30 fa&t BENCHMARK, TNHdp 2914 Eleu- 828..55 MIN. SETBACK REQUIREMENTS Front - za House Slde - io Rear -"/A Garage Slde-3 .108 N0: ??????? I HEFtEBY CERTIFY TIAT 1HI3 A9 A 1RUE AND CORREICT qEppE$EHTA710N Q6R'l15 OF 1HE BIXMOMtlEg pi TNE /SOYE OC9p11EW PROPCRTY A4 9URki`(fp . BY Nf OR LMOER MT DpPECT 51.IPERVISION ANp DOES NOT PURPOqT N B001C: IPAW- PLANMNV dN6IWRSJlWB SDRYdr"e 9HOW 111PROMEMEHTB OR OlGROAGIMEN-M EXCEPT A 91WYM. 9401 EaH BloomNp(q Fnway YF! 0? d y'? ' 7 P&I? Bf2) 8E6-04420EG DA7E ?{/?? lJ' a+ ?'?•" CAO FIIE: ,r n. uHOM, uN sumcron YIlNE90TA lJCW9E Nl1NBER 14178 ?Cq'O ''.. `N-IiN?31..1T`1I.13 111 IIlIR'?H hh:TT ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: C2p5(e&4(e4 BUILDING 027540 05J14J96 SITE ADDRESS: 1840 RED FOX RD LOT: 25 BLOCK: 2 BLACKWAWK FOREST P.I.N.: 10-14325-250-02 DESCRIPTION: 9tii2-dingi,permit Type 16uilding G1o-q 7ype f, UBG ibccupantcy? Gonstruction Type ° Zoniefg L,?+Building Length (@uil(fing Witfth, Buildinq'stories . 3F DWG NEW R-3 U-1 V-N R-1 71 56 1 2s591 434 ALT. RESIDENTIAL '-Z3 k REMARKS: S& W PLBR - 6ENZ RYAN PLBG FEE SUMMARY: VALUATION Base Fee Plan Rev3ew Surcharge SAC SAC ? SAC Units Lic. Search Fee Subtotal $1,107.25 $553.63 $72.00 $900.00 100 1 $5.00 $2.637.88 $144,000 MISCELLANEOUS $1,923.50 Total Fee $4,561.38 CONTRACTOR: - Applicant - sT. LIC.OWNER: COLLEGE CITY CONSTRUCTION 14311211 0001209 COLIEGE CITY HOMES INC 14750 GALAXIE HVE 100 14750 GALAXIE AVE 100 APPLE VALLEY MN 55124 APPLE VALLEY MN 55124 (612) 43171211 (612)431-1211 Z hereby acknowiedge that I have read this applicatipn and state that the information ts co ract and agree to comply with a11 applicabie StaCe,of Mn. Statut,e and Cit of Eagan Ordinances. -=' -f • ? `/isy??iA j PPLICAN / RMITEE SIGNATURE ISSUED ? G E 0 CITY OF EAGAN 3830 PILOT KNOB RD - 55122 7996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 RemodellRepatr Keauirements ? 3 registered aite surveys ? 2 copies of plans (indude beam 8 window alxes; poured fid. design; etc.) ? 1 energy caiculetbns ? 3 oopies of Uee preservation plan H tM platted after 7/7193 requlred: _ Yes _ No DATE: DESCRIPTION OF WORK: STREET ADDRESS: LOT BLOCK ? StJBD./P.I.D. #.• (Vame: Phone #: .M3. PROPERTY OWNER CONTRACTOR ARCHITECT! ENGINEER Street Address• City: State: Company: G.?cr?.? N08IIES.'NC. 14750 Galaaie Ave. Suite Street Address: ?nnleValleV.MN 55124 ? (612) 431-1Zi1- City: Company: Name: - State: ? 2 copies ot plan ? 2 sNe surveys (exterlor addRions 8 decks) ? 1 energy calaletions tor healed additions tUCTIO?OST: I V1O?OOC J State: Zip: Street Address• City: Sewer & water licensed plumber: change are requested once perm I hereby acknowiedge fhat I have read this application and state that applicahle State of Minnesota Statutes and Ciry of Eagan Ordinances. Signature of Applicant: ?. OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Y° No ? ? Penatty applieO w4n address change and lot is Zip- Phone #: 4z* License #: M 4?,ZGI.33 CpudJ-I? Zip: Phone #• Registration -7 i'`,r {? ? ? 1996 to comply with all OFFICE USE ONLY BUILDING PERMIT TYPE ,.., ... .,. • ,?.? ? 01 Foundation o 06 Duplex ? 11 Apt./Lodging o 16 Basement Finish ? 02 SF Dwetling o 07 4-plex o 12 Multi Repair/Rem. ? 17 Swim Pool 0 03 SF Addition o 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility 0 04 SF Porch o 09 12-plex o 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. 0 10 = piex ? 15 Deck WORK TYPE 0 31 New ? 33 Alterations o 36 Move 0 32 Addition o 34 Repair o 37 Demolftion GENERAL iNFORMATION ConsL (Actual) -^Y APPROVALS (Ailowabie) W UBC Occupancy ?-3 -i Zoning # of Stories ? 465,4- Length ? S? Depth Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. fl. sq. ft. Footprint sq. ft I Planning Building l ? 77_ MCNVS System / f3 City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code ? Census Bldg Census Unit Engineering . Variance o/ o/ ? Permit Fee Surcharge Plan Review License MC1WS SAC City SAG Water Conn. Water Meter Acct. Deposit SIW Permit 5IW Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies rotal: % SAC SAC Units Valuation: $ ?yyiaOo ? ?l?eN sXz,sXZ.r = 3 z 7 s 57 l f8 x`?°, s° ? 5' yx 'Z " ?B cA.r ? x G.7r : 7 yx Z? = ey &x ? z " gG x as s?X s?y ,?- 5 D ? Oy ? C,k ?j.75) = l >> i J--- ? 7?z 5,?,? = yo 7Z ? x y D= = f 677' S9/x/5 = ,?.r. C ?Z7 . )? c rr ` `i 20 ? 3z o 6 4o Zt Zm ? y? ? ,s,-F?? • la OZy (o b 9,c / ° i `Sur,vejor's Certi,;'zcate SURVEY FOR : DESCRI6ED AS : POx ROAD ? ,,. c? SI L. Tr<11) EAGAN REV f .`? 3Y ??? Y 23• Lor sQ. PROPOSED ELEVATIONS Top of Foundatfon - 83c..o Garage noor = 83530 Basement Floor = 527.2 Aprox. Sewer Servtce = 8220= Proposed. Elev. _ Existing Etev. - Drafnage Directions = Denotes Offset Stake = • ]F.AGAId FOOTAGE = 16,186 SCALE: 1 lnch . 36 fut MIN. SETBACK REQUIREMENTS Front - x House Slde - io Rear -N/a Garage Sfde-S ?????TfA I NEREBY CER1K1' 1MAT 7HI3 AS A iRliE AND CORRECT REPRESENTA7lON oF nic sounoNaes a nie Aeove oe?neco vwreian As suRmeo BY NC OR IMO£R Mr DIRECT SUPERNSION AtID DOES NOT PURPORT TO AGNMIVB .?NdYlvA'3F!!ve mV6 9HOY! IMPrtovE7Adrs crt dcROAau?is. ?7 ' stwwn, OROt Eat BloomNpk11 FrwnaY a ' p?, a! ti,,, 81 MN 57410 DATE 1/?f.L77 ?vhan« 812) 668-02E9 . . LINIXiEN. LANIY SURVEYOR I,tlNNESOTA lJ[DSE NUHBER 14178 BENCWMARK, TNHO Zq/t EIW= 828,55 DB N0; 4aoR-??5 DOK: PAOE: ID FILE: CcRto . `S'P'?IrlH COLLEGE CITY Lot 25, Block 2, BLACKNAwK FOREST, City af Eaqon, Dakota County, Minnesota and reerving easements of record. LOT SURVEY CHECKUST FOR RESIDE BUILDING PERMIT APPLICATION PROPERTY LEGAL: <J DATE OF SURVEY: LL.. LATEST REVISION: DOCUMENTSTANDARDS a z ? ? ? • Registered Land Surveyor signature and company ? • Bu7ding Pertnif Appticant e? O ? ? • Legal description 9 0'o o ? • Address • North artow and scale ? 0? ? • House type (rambier, walkout, split w/o, split entry, lookout, etc.) Eo ? • Directional drainage arrows with slope/gradient % [3 ? ? • Proposed/eristing sewer and water services & irnert elevation a?'O ? • Street name B?'C ? • Driveway EVATIONS E1 A? o ? • . Eldstina Sewer service (or Proposed) ? • Property comers 0 0 • Top of curb at fhe driveway gr? C3 ? • Elevations of any exdsting adjaceM homes Prooosed ?0 ?0 ? ? • Garage floor • Frst floor cr--? ? • Lowest exposed elevatlon (walkouUwindow) 21'? ? ? • Property comers K?? ? • Front and rear of home at tlie foundation PONDING AREA (if aoolicable) ?0 13 • Easement line 2r- ? ? ? ? ? • NWL • HWL Eq, ? ? • Pond # designation L3 ?Y 0 • Emergency Overflow Elevation DIMENSIONS a--?u ? • Lot lineslBearings 8 dimensions 0" ? ? • Right-of-way and street width (to back of curb) 6? ? ? • Proposed home dimensions including any proposed decks, overhangs greater than 2', ? porches, etc. (.e. a!I structures requiring permaneM footings) ? ? • Show all easements of record and any City utllNies within those easements ur- [3 [1 • Setbacks of proposed sUucture and sideyard setback of adjacent exlstlng structures ? P-'O • Retaining wall requirey", if any , Reviewed: Name - ' ` f / Date January 199B CRAI61 WBMLIX9PRMf.FM . ? S-o+2S WYE ' WYE EL804,0 5-0+10 . , • 3-0+45 EL810.0 K'YE •L 798.3 S-0+80 ? 22 1 / 8EN SL? .0 V HYpltqryT ? ?? v,v.v£ + WYE S 0+52 -? S-0+35 EL806,0 ?'?l'E ?? EL. 797.4 5-0+70 (DR01 )0 22 EL.814.4 W1'E .9 2 ? S-0+70 23 EL.819.0 ' EX . S,qfy WR WATER ZO "" ERVrCEs 24 AGy?.PL'DOL?'rt?7' OF L7?1.?r+ D:?r,? ? pIT pOSEg p;?toLYrS q??• r,JTNcSHOULn iIr?;;rY T;-{E ?I \ \ ? . . ? CONN \ \ ECT Tp lS71NG NERI? ?pR01R TO CONS7RUC7.ION) is BLOC ? i"? i Ex. MH i ? _?? ? \ \ 18 83o.c WYE S-1+55 EL822.0 25 / L 2 ?.......?. . ?........__,_ : ......;. .....:. .:......... ? ??3 ? : ? ? : I° • ? ? ?-.ao r-IN CO • . .....? ........:........ ' • : ' x • . ....... '.?? . ' ?_ •??•.-`.......: .....:.........:......... ,?. . . . I )IP . ......... ........... ......:... ? .....I 1I .....260'-0". : I''' . . . .- . . . . . . . . lo ? ? •? : ? . ?O ? ; gia . ? ??p • #V ... • =UW . ....:..??v..:. ........:. ? :.........:......... ...... ? . ? ? 14Q'-8" DIP ? 0.40% INV 808.55 •(E dc W) INV 809.59 ' INV (DROP); 822.00 (N) .....I .........:................... ................... :..?......;,........:......... . . . . . . . . . . . . Y 1 ? . C??f ???? 4l? ? ! 1•' i ? ? ? ? ? .. ? ?G7?ah???fdc?° ?'?.?1I ??//':: in . . T,• .. . . . . . . . . . . . . . . . : . . . . . . . . . : . . . . . . . ?: ?.-• ?., .,P.., _; F1ldCY OF U7'IL{IY I._LEVP;1'IOfUS. THI.''s DFlit1 I? ? ._,,._.? . ,ATiOiJ : PURPOSES; OA:LY ,?ftiD • ' : . . . '. i??E USIf?IG IT SHOULD VE{?IF Y.THE ......??,?:rro?u'. ......:. .....:.........: ...........i ...? ........:....... ............... 65' -8" O 0.4( INV 810.16 INV 81 0:4 ,? Q : Z : ? . : ? a • ? . o • x.??? .?! l . ti-• `??? . . . . : . . . I L ?`? ???v e, 0.4, ? rNV ?II 805,39 .... ......... ?I? : i : .: " TERIDR' lELOPE AVERAGE "U" CC UiATIOf U61NEZ GG?: c-77 0 ti SITE ADDRESS l V ?' coNT(tNCTOR docc.FGF G!-rv eeg^idATE PHO I? A2, Determine working square footage of each. 1. Total exposed 4ra11 area ...... Zpot{- sq, f t : x,1I = ZLo, 2. 7ota1 roof/ceiling area ..... l$`70 sq. ft. x,Ozlo ° Total exposed wall area aUove fiour =' a. Total wall tvindotv area........................... 'Z Z 3• b. Total door area ... ........................ . s 5 S _ c. Total sliding glass door area ................... ? O. d. Total fireplace wall area ....... ... .. ......... o ? e. Total Wall framing area (average 10%)...:........ 0 P. Total net wall area a6ove floor ...............?.. 1. GQ, luoo g. Total rim joist area ............................ 1G Z. ' . . ?, Total' exposed foundation area s'(O 4- h. Total foundation window-area ..................... d 1. Toal net foundation area above grade ......'..:... lo? 4-• petermine "U" value of each wall segment. a. ' 'ZZ3p? X ??U" .?A(o = 77.1to ?55 p X vUn -7' Q H- C: ' •x uun ? s b d. O X "U" " e. 1-70 X "U" , 042 b4- f. IZ(vo x „ull .0 43 = g. 2 x iiull .04-I ' 2,01 h. O x „u„ ' o = D i. 10 A- X „uI, , 0'1 e ?.22 3 . ...................................Total If item 93 is the same as, or less tlian item 01, you have met the intent of SaC 6006(c)2. , . f . , . , - , Tatal..expased roof/ceiling area = l7 S.O , . , ?. Total skylight area ..... ........................ 0 k. 7ota1 roof/ceiling framing area(average 10%)... 1-7g ' 7. Total net..insulated roof/ceiling area..:........ petermine "U" value for each roof/ceiling segment. , ?. ? x„uif O k. (18 x Oull' r2 . 1• r1100 z- x 11l1 1111 UZ?Z? z ?la ^ 2l? J 4 .r..... .............Iotal , .. ? . ' lf total of #4 is the same as, or less.than :2, you have met the intent of SUC 600G(c)1. . ' Alternate Duilding Envelope Design To utilize the total enveldpe system mzthod, the values established by the' sum of ltems #3 and 14 shal,l not be greater than the sum of items :1 and CZ. 1• + 2• F 3. ., +q. . . ? ... .,1 ?•/?ND „ L(,'I VA L ll A tJA L Y 515 OF j )ORS. UD CjL AY ED A R,&A S , . - W1NDoW ARP-A : TYF'iE pF WIN-Dow; 7NE \,ViNDpW U.VIY'S qAVL BCCn! mT;j) FDIZ. IQ-VA+-µti? YHlY AiCG Ay 411110 ABoJC yyD 1414y 41 nssi6N6o A 0ca141V [sart) VwL..i.tt oF I9CLND1u4 AM F11.M5, . FCOTAC??z?3 +F,eTq?. - = Zz _ FOUN27AT lON WIN!?OW /`1P-rA: 1yPE OF WlaDPN/ : Tj1P- VViNQOWfJO13/aq?F. (3G" TESTGDFoR'(1^ VAL.k?C?I'HtYARRA; lor7LP ADbVR. AND M4Y 8r ASfI?NILD A(7LSIf?n/[fAPt?D VAWK 6A `jZ"w ?uCS.aeOIAIG/ Al.Q R)L-MS . L?2e I/1?, a I / _? Foors.4+6 ? FaornqC a Q L1D)tIC? LASS DboR ARfiA: 1YPE aa pooFC: Si.iDfjlG Q1- 499 ,DOORS }IHVC pI,R0( 7t.37 1,0' Foa"R=' V.IL-•t+ry TNCY Aa[ '-V t-+t*6P ADO?L qN0 MAy bi NS.SjyNf-p A Vl31G1.NG5AM) ywI-LtG oIL`1Q,"406 I Ij 46JMJ1L' A itl tt?NlS ^ +413 D oo R f1 pu a: TYP e o F DoaR : p150Q UN1Y5 }1qYL P,a.LN TL5T[0 ANp M'oU40 To N/kV& AA/ 'FZ"- VALuJL nf -1.81 1Nc...KOO.,ry AIn ai+„"s, Lid, % '/Rdl = I/?? _ •? Fmrw4 k.?, ?? 5PECIALS : rypE : FbRM f-I ,Onnlvo. _ Ly?r?•.'7'30 L ? BL ? CITY U3E ONLY _ c ?. SUBD. 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 _ RECEIPT #: DATE: 5 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EAC}j ? - ?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 _L = T Hot Tub/Spa 3.00 x = Water Heater 3.00 x Floor Drain 3.00 x _L Gas Piping Outlet ' minimum -1 3.00 x I_ _ Rough Openings 1.50 x Water Softener 5.00 x = Private Disposal ' Dakota Cty. license 50.00 = (new and refurbished systems) U.G. Sprinkler * home under const. 3.00 = Aiterations " to existing 20.00 = Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL ? ?0 SITE ADDRESS: 1840 Red Fox Road OWNER NAME: COLLEGE CITY CONSTRUCTION INSTALLER NAME: GENZ-RYarr PLUMIrrG STREET ADDRESS: 14745 South Robert Trail . CITY: Rosemount STATE: MN ZIP: 55068 PHONE #: ( 612 OFFICE USE ONLY L _ BL _ RECEIPT #: SUBD. DA 1996 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Piease complete for. w all commerciaUindustrial buildings. ? muki-family buildings when separate permits are = required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE:• NEW CONSTRUCTION ADD ON REPAIR DESCRIPTION OF WORK: IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED7 _ 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 SYSTEM? _ YES _ NO. IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT. FEE: $25.00 minimum fee or 1% of contrect price, whichever is greater. State surcharge of $.50 per $1,000 of pg[Md fee due on ail permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: OWNER NAME: INSTALLER: ADDRESS: cIrr: PHONE #: SIGNATURE: OFFICE USE ONLY STE. # STATE: ZIP: APPLICANT METER SIZE: DATE: INSPECTOR: L 45 BL CITY USE ONLY RECEIPT #: gL?'5 SUBD. DATE: `S & 9 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 when permits are required for each unit FIXTURES EACH ? - TOTAL Shower 3.00 x ?v Water Cioset 3.00 x ? Bath Tub 3.00 Lavatory 3.00 x ? _ •? Kitchen Sink 3.00 x Laundry Tray 3.00 x _L = T Hot Tub/Spa 3.00 x = Water Heater 3.40 x I = J Floor Drain 3.00 x I _ Gas Piping Outlet " minimum -1 3.00 x Rough Openings 1.50 x Water Softener 5.00 x = Private Disposal * Dakota Cty. license 50.00 = (new and refurbished systems) U.G. Sprinkler ' home under const. 3.00 = Alterations * to existin9 20.00 = Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL 1?0 SITE ADDRESS: 1840 Red Fox Road OWNER NAME: COLLEGE CITY CONSTRUCTION INSTALLER NAME: GINZ-RYAN PLUMBING STREET ADDRESS: 14745 South Robert Trail CITY: Rosemount STATE: MN ZIP: 55068 PHONE #: ( 612 OFFICE USE ONLY L BL RECEIPT #: ' SUBD. DATE: 1996 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: , all commerciaVindustrial buiidings. p multi-family buildings when separate permits are = required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE:• NEW CONSTRUCTION ADD ON REPAIR DESCRIPTION OF WORK: IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETERS TQ 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 SYSTEM? YES NO. IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT. FEE: $25.00 minimum fee or 19'0 of contract price, whichever is greater. State surcharge of $.50 per $1,000 of pglMA fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: OWNER NAME: INSTALLER: _ ADDRESS: CITY: STATE: ZIP: PHONE #: SIGNATURE: APPLICANT OFFICE USE ONLY METER SIZE: DATE: INSPECTOR: STE. # L a5 BL CITY U5E ONLY RECEIPT SUBD. DATE: 6161f 1996 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55722 (612) 681 -d675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit x New construction Add-on fumace Acld-on air cor.dit+oning Add-on air exchanger, i.e. Vanee system, etc. Date: 5/1 /96 ? Minimum Fee: Add-on/Remodel (existing residence oniy) $ 20.00 • HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @$3.00 each) LP? Ov ? 5tate Surcharge .50 TOTAL ? SITE ADDRESS: 1840 Red Fox Road OWNER NAME: coLLEGE Cz'iy coNST[tuCTroN PHONE #: 411-1?11 INSTALLER NAME: GENZ-xYArr PLimIBING & HEATING Co. INC. STREET ADDRESS: 14745 South Robert Trail CITY: Rosemount STATE: MN ZIP: 55068 PHONE #: ( 612 ) 423-1144 ?Q`s?r??t?. U ?i'CAL'L(C/ V /<l ? FPERMl1"f arr use oNLv 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. ? muiti-family buiidings when separate permits are n4.t required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: ?$25.00 minimum fee 4.C 1% of contract price, whichever is greater. ? Processed piping - $25.00 ? St2te surcharge of $.50 per $1,000 of pgtp,g fee due on all permits. CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE TOTAL $i i E ADDREjS: OWNER NAME: TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS:_ CITY: PHONE #: SIGNATURE: SIGNATURE OF PERMITTEE TELEPHONE #: STATE: ZIP: CITY INSPECTOR X?73 2006 RESIDENTIAL PLUMBING PeRnniT,aPPUCarioN J CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dweliings. Date?l l I I Uv? Site Street Address Unit # Property Owner ?V I Telephone # ( ) Contractor (?/I relnnzI f V? oj-? TIenlephone # ? (?/? iv?-?l Address Citv , ??Y ? IIX_ State PvrN Zip The Appticant is: _ Owner ?Contractor _Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Alterations to existing dwelling $ 50.00 _ Add pfumbing fixtures. This fee includes installation of a water softener andlor water heater at the same time. If you are installing onlv a water softener and/or water heater, do not complete this section; move to the next section and check the appliance(s) you are installing. _Septic System Abandonment % _Water Turnaround (add $130.00 if a 5/8" meter is required) Other: Water Softener r? Water Heater _ new 1,4placement $ 15.00 Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ 50 [Total $ 155-0 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 witho t a permit and work will be in accoroanf e with the approved pl Ir? in the event a plan is requirel to ¢e review?as?and approv. ??6n.,., `? ?n pplicanYS Prlntetl Natne App- r1caffs Signature City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1840 Red Fox Rd Lot: 25 Block: 2 Addition: Blackhawk Forest PID:10- 14325- 250 -02 Use: Description: Sub Type: e- Reroof Work Type: Replace Description: House & Garage Census Code: 434 - Zoning: Square Feet: 0 Comments: If there is no ice protection inspec acceptable in lieu of inspections. Fee Summary: Valuation: 3,000.00 Contractor: Lindus Construction 879 Hwy 63 Baldwin WI 54002 (715) 684 -4647 BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Construction Type: Occupancy: on prior to final, you must meet inspector with ladder and flat bar. Pictures are not Owner: Craig G Swanson 1840 Red Fox Rd Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: $88.50 0801.4085 $1.50 9001.2195 $90.00 Building EA082649 04/21/2008 ePermit I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA114421 Date Issued:09/16/2013 Permit Category:ePermit Site Address: 1840 Red Fox Rd Lot:25 Block: 2 Addition: Blackhawk Forest PID:10-14325-02-250 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. 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 - Craig G Swanson 1840 Red Fox Rd Eagan MN 55122 (612) 616-3856 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:EA123129 Date Issued:05/29/2014 Permit Category:ePermit Site Address: 1840 Red Fox Rd Lot:25 Block: 2 Addition: Blackhawk Forest PID:10-14325-02-250 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 - Craig G Swanson 1840 Red Fox Rd Eagan MN 55122 (612) 616-3856 Storm Guard Restoration 1355 Geneva Avenue North, Suite 201 Oakdale MN 55128 (651) 738-1698 Applicant/Permitee: Signature Issued By: Signature Dec 2216,01:14p Pro Tech Restoration Inc 763-295-0903 p.2 Use BLUE or BLACK Ink For Office Use City of Ia ,au Permit#: OLP?Permit Fee: /09 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone:(651)675-5675 Fax:(651)675-5694: Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: )?/ //4. Sile Address: 1$4O Q.ed. FOC tRd. Unit#: Name: `(" Sc"..ktAA S 01,E Phone: (D 0 — 411251s Resident/ Owner Address 1 City i Zip: 184 O Reck 6y- R "A/ S 51-a4- Applicant is: Owner X, Contractor Type of Work Description of work: Tear off- 4.1^4, R . 'Zoo T CLI a.,( (o S(4) Construction Cost *>11460.fa Multi-Family Building:(Yes I No X ) Company: Pre, Tea., jZcS}ara.f 041 Contact:,v.'[ v. 13ronese Contractor Address: la 'y eotf+DD^S 0" Auk_ AJ #410"City: #410"f l-c.C110 State: ,Zip: 5536 Phone:7C 1'451-65 6—Email: Y1aat.•lorevioef .frtrwun.Caw. License#: 1!C.61g3S"1 Lead Certificate#:4),+T-r I aaaaa-1 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&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 the City to conclude that they are trade secrets. 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 ilocates of underground utilities, www.gopherstateonecait.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 8l be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota Ste' = I.r'• 'ode st be co Med within 180 days of permit issuance.A x ��'t't..� Qfil aM f x Applicant's Printed Name • •licant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA140449 Date Issued:12/20/2016 Permit Category:ePermit Site Address: 1840 Red Fox Rd Lot:25 Block: 2 Addition: Blackhawk Forest PID:10-14325-02-250 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Craig G Swanson 1840 Red Fox Rd Eagan MN 55122 (612) 616-3856 Controlled Air 21210 Eaton Ave Farmington MN 55024 (651) 460-6022 X253 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA179292 Date Issued:09/27/2022 Permit Category:ePermit Site Address: 1840 Red Fox Rd Lot:25 Block: 2 Addition: Blackhawk Forest PID:10-14325-02-250 Use: Description: Sub Type:Water Heater Work Type:Replace Description:Tankless Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after started. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Craig G Swanson 1840 Red Fox Rd Eagan MN 55122--115 Water Heaters Now Inc 6432 Penn Ave S Richfield MN 55423 (952) 688-2222 Applicant/Permitee: Signature Issued By: Signature