1844 Red Fox RdPERMIT
City of Eagan Permit Type:Building
Permit Number:EA128214
Date Issued:10/30/2014
Permit Category:ePermit
Site Address: 1844 Red Fox Rd
Lot:24 Block: 2 Addition: Blackhawk Forest
PID:10-14325-02-240
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Jeff D Schneider
1844 Red Fox Rd
Eagan MN 55122
Property Claim Solutions LLC
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
? ? • ? ?
? y? •
_-7-?-??......?'r?
• ' ? 'R`". , . ? .
?
` '#cate nf cccupano
(W4 o? ?"an
mepartneut vf exu?? ?nooection
This Certifecate issued pursuant to the neqLirements of the Uniform Building Code
cerrifying rhat at the trme of issuance this strrectun was in campliance with the various
ordirtartces of the City regktating building constructivn or use. For the following:
uY cwir?riac SF AJG swg. ?rffiit nro. 26Q50
o,,w,r iYw R3/[l 1 zon;na Diswa R I Tya cono. VA]
ow,wo(aujwj,gMAPLF1M DEVFIMM Addx=3030 C,RANALIA AVE N, QAtMATE
?lding Add,,. 1844 -W) XX ROAD Lowqy L?I+, B2, &Aaww 1oFEST
o„c- "7'1°9'7
eoamft officw ?
POST IN A CANSPIaJOUS PLACE
= - INSPECTION RECORD
CITY OF EAGAN PERIIAIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675 .
SITE ADDRESS: APPLICANT:
. . , M,
PERMiT SUBTYPE: TYPE OF WORK:
. INSPECTION D, . .•
?. ..
JWMNRK. $: F'trV ?? tr W P1 ftli _ l,lrii?I:iltti(?Y mf i}# ( 7I7- 74-l?-A 1
- ?
4
\ : ?
Permit No. Permit Holder Date Telephone A
ELECTRIC
PLUMBING ? ,$ y'(y ??? •?9?Q
MvAC ? ? ,?6 -5??S
Inspection Date Insp. Comments
FOOTINGS JI
FOUND
i
?
FRAMING
?/
7 f?J
RODFING
ROUGH
PLUMBING
? ;Zrg
-S ? I[P? /`t ?t
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TES7 ?` tt ?
INSUL
GYP BOARD '
FIREPLACE
FIRrzPLACE
AIR TEST ?
-
FINAL PLBG
/
FINAL HTG _ lq
C
ORSAT
TEST
BLDG FINAL
7 /,0/??"`?6 Nv S?'w
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
I-..
0
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
_$30 Pilot Knob Road Permit Number:
??Eagan, Minnesota 55122-1897 Date Issued;
(612) 681-4675
SITE ADDRESS: i ro : 10--t 4'?."5-7a?n 0;
1 0 r: 4 rie Or.? I
t) r o>' R n
PERMIT SUBTYPE:
APPLICANT:
St>1?!'++d?'- tt
TYPE OF WORK:
?
?
Permit No. Permit Holder Dete Telephone #
EIECTRIC
PLUMBtNG
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
RQUGH
HEATING
GAS 5VC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLOG FINAI
BSMT R.I.
BSM-f FIiYAL
DECK FfG
y
DECK FlNAL
Address iAt,i, uFn Nrnr rm n Zip 5512_!-S,
I.OC 94 BILC 9 Sllb RT.A!'KFTAWK FYMtRST
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: Yes No Inspector: ?
Final grade (6" from siding) ?
Permanent steps (garage) ?
Permanent steps (main entry)
Permanent driveway V_/
Permanent gas //
Sod/Seeded grass
TraiUcurb damage ?
Porch
Basement finish v
Deck ?
Please verify with the builder the removal of roof [est caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potenlial exists.
Contad engineering divisian at 681-4645 before working in right-0f-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink • Conlractor Copy E)
III I IIII IIII IIIII 821?U?a sState ? ?a dRm. 5-?128ASt.'?M, 04
, 0 2 4 2 6 1 6 3 s Phone (612) 642-0800 RA? _
Home Duplex Ap}. Bld-? ;?.?.!: '" ' ew Addn
Commer<ial Indusfrial Farm Remod Re air
Air Cond. Htg. Equip. Water Hfr. Load Mgmt Other.
D er Ran e Elec. Heat Tem . Service
'k' ubove the work cavered by this request. Enter remarks in this space ond an the back oi the white mpy only.
ZoDArnp S/F--
Cal<ulofe Inspecfion Fee - This Inspection Request will not be accepted withouf Ihe <orred fee:
OlFier Fee # $ervice Enfinnce $ize Fee # Grcuils/Feeders Fee
Mobile Home Park Stoll 0 to 200 Amps d,00 1P 0 to 100 Amps 1 100,00
S}reet Lig./Gaffic $ig. Above 200 Amps o 100 `Amps
Transformer/Generator INSPECTOWSUSEONLV
? TOTAL -
Sign/Oufline Lig. Xfmr.
Alcrm/Remote Con}rol
Swimming Paol
I hereiyy ceni that I iro eded ihe eled' in Ilafion d6Vnbo1heWn ' on the daw sbrod
Irri9ofionBoom Ro?gh-In 1
$pecial Inspection ,
Fee
Investiga}ive Finel r oob?
'
THIS INSTALLATION MAY BE ORDERED DISCONNEC AOT IN 18 MON S.
242_ 6 9 6 31 OFFI USE NLY This reqoest void 78 months irom validofion dale pnnted in ihis baa? J?
Jy? a?
!O
PLEASE PRINT OR TYPE / p
Reqossl Dak Rough-in inspecfion reqoired2 Yas ? No Inapection Olher Than Rou9h.ln: C] Ready Now WII Call
2- -II (1'ou m?st coll ?he inspeclor when ready? Dak Ready:
I, licensed con}racior ? owner hereby request inspection of fhe a6ove elechical work af:
lob Pdd44trM, Box, or Rouk No. m Ciry ?; 1n
W l ZT ??e
Secnon No. Towmhip Name or No. Ranqe Na. Fim No. Caunp ? I
°M' d vdo v1 `?i-7-cp1/ 1,
PaxerSvpplier i!
l/ Pddress - ?
Eleclriml Conhacror (Company Name)
Cc?lii Elec?. 4. Contmrnr limnse No. Moskr Lic No. (Plonl Eled. Only?
CAo???
Mailep /ddress (Conkaaor or O.me, Pedo ' g In
2 amllohon)
`I ? te S? ?-
P M N 55 I o-7
Aurhorixad SigreNro (Conhudor or Ownx Pedor;;ng Insmllabon) Phona No.
-2S 33
EB-OOOOIA-10 6/% G. (??ffiATEbOAROCOPY•SEEINSTRUCTIONSONBACKOFYELLOWCOPY
RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
?3 7,69
1'7CIDO ga ?
ed?"J
New ConsWCtion ReauiremenLS RemodellReoair Reauirements Office Use Onlv
3 registered site surveys showirg sq, ft of lot sq. h, of house; and all ropfeC areas 2 copies of plan Cert of Survey Recd
(20% maximum lot coverage allowed)
1 set of Eneyy CalcuWtlons for heated addiUons Tree Pres Plan Racd
2 copies of plan showing beam & window sizes; poured found design, etc. 1 sNe survey Por addifions & decks _ Tree Pres Not Reqd
t set of Eneryy Cakulations Add?ition - inMicate iforrsRe sepGc sysfem _ On-site SepUc System
3 mpies of Tree P2servation Plan if lot platted aker 711/93 .
Rim Jaist Detail Optlons selec6on sheet (61dgs wilh 3 or less unils
Date _(o / C7 /
Site Address j5Z4 4 0g
A-RA 4? Construction Cost C, CIC)
4 Ci UniUSte #
Description of Work
Multi-Family Bldg _ Y\1P N Fireplace(s) _ 0 _ 1 _ 2
Properry Owner Telephone #
Contractor
Address
State yY\?
Zip City
Telephone #((? )(IkL/ / "JZ39L?, I
?-
COMPLETE THIS AREA ONLY IF
Energy Code Category Minnesota Rules 7670 Cateeorv 1
. Residential Ventllation Category 1 Waksheet
submission type) Submitted ?
• Energy Envelope Calculations Su6mitted
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
A NEW BUILDING
Minnesota Rules 7672
• New Energy Code Worksheet
Submitted
Telephone #(
Telephone #(
Tetephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
b hAnOC Ld TCI oudl 4 C
Applicant's Pnn ed Name ApplicanYs Sign ure
OFFICE USE ONLY
Sub Types ? •
? 01 Foundation ? 07 OS-plex ? 13 16•plex ? 20 Pool ?' 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-piex ? 19 LowerLevel ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundatlon) ? 45 Fire Repair
? 33 Alteretion ? 37 Demolish (Bldg)* '91?- 43 Reroof ? 46 Windows/Doors
? 34 Replacement ? •Demolition (EnUre Bidp) - Give PCA handout to applicaM
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) FinaVNo C.O.
_ Footings (addition) _ Plumbing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Fi nal Pool Ftgs Air/Gas Tests Final
_ Framing Siding Stucco Stone
_ Fireplace _ R.I. _ Au Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit 8 Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
CiT`; OF EFlGAN
CA=;HfF={;: S TERMIPdAI_ NUe i09
DPTER 03/09/96 TIMI::: 13: ;:l.:08
T.D.
0.11 HF ; BERNAfiDO Sr.171:1MAYf.)R
300 9001 044 ftF'C i-4X F'D 50.00
KJJ 9001 044 RE(; FOX RLi 0.50
To+,al. Re.r,ei.rrF, Aincrun+„ 50.50
CFiO(37096
USER ITi: NiiP2[."Y
iy$(YF'U%CX()Y.X?iXYF4d`1n?X??X(J?, Mh'(Y,/.?c?@Y?UY>?:YY?t7i Y,:?YY,'P,.'X:?,:Y,tri!?F1k?k
PERMIT
CI_TY OF EAGAN
3,830 Pilot Knob Road
Eagan,Minnesota 55122-1897
(612) 681-4675
PERMIT TYPE:
Permit Number:
Date Issued:
BUILOTNG
031553
03/09/96
SITE ADDRESS:
1844 RE? FOX RD
LOT: 24 BLOCK: 2
BLACKHAWK FOREST
P.I.N.: 10-14325-240-02
DESCRIPTION:
,,.. ?
;Bu3lding.F,ermit Type
?euilding Wo,rk Type
Census G'ode
l ?
?._.
!.> 1
v@?? Y `) 1dvJG^
5f
DECK
NEW
434 ALT. RESTDENTIAL
f `! il
?
REMARKS:
FEE SUMMARY:
Base Fee
Surcharge
Total Fee
$50.00
$50.50
GONTHACTaR:
OWNER: _
STpTOMAYOR
1844 RE
EAGAN
(612)905-1915
_-
Z hereby acknowkedge that Z have read this
infiarniaCiatits ear:reat,and ?sgree tu comply
Statutes and City of.Eagan Drtlinarices.
,
APPLICANT/P ITEE SIGNATURE
Applicant -
BERNADO
D FQX RD
MN 55122
app7.ication and state that the
w#th all- aPP13,oab1o ztate of Mn_ . ?
hVIQ P
-TSSUED :51 N TU E
? 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
?J CITY OF EA(?iAN
( (
.` - 3830 PII.OT KNOH RD - 68122
681-4675
New Construction Reauirements RamodeURenair Reauiremants
V1
? 3 registered site surveys ? 2 oopiee W plan
? 2 copies of plans (inGutle beam 8 window saes; poured fnd. desipn; etc.) ? 2 ske aurveys (exterior eddkions 6 decks)
? 1 energy calculations ? 7 energy nlculetiona for heated aOdilions
? 3 copies of tree preservation plan ff lot pWtted aRer 711193
required: ? Yes, _ No
DATE:
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT: A q BLOCK:
fz INi
CONSTRUCTION COST;
? SUBD./P.I.D. #: ?cjQiC (ft'?-I.AA Y byzeqr
PROPERTY
OWNER
Name: 10C_r%9 Phone#: 5?9-C-/i/
C.ut First
Street Address: /"
city Siate: /7 dV Zip:
Company:_
CONTRACTOR
Street Address:
City
Phone #:
License #
State: Zip:
ARCHITECT!
ENGINEER Company: Phone
Registration #:
Street Address:
City
Sewer & water licensed piumber (new construction only):
and lot change is requested once permit is issued.
v?37 '-;X o
Zip:
Penalty applies when address chang
I hereby ecknowledge that I have read this appticaGon and sfate that the inTormation is correct and agree to Comply with all applicahl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applipnt:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received - Yes _ No
srau:
OFFICE USE ONLY
BUItDING PERMIT TYPE
O 01 Foundation ? 06 Duplex
0 02 SF Dwelling O 07 4-plex
? 03 SF Addition O 08 8-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 = plex
WORK TYPE
.ji-31 New 0 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
? 36 Move
? 37 Demolition
,-- .
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building ?Vtn?
MC/WS System ?
City Water ?
Fire Sprinklered
PRV
Booster Pump
CensusCode. ?t3c/
SAC Code co
Census Bldg ?
Census Unit
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.
Park Ded.
Trails Ded.
Other
Total:
? 11 Apt./Lodging ?
? 12 Multi RepaidRem. ?
? 13 Garage/Accessory 0
? 14 Fireplace ?
)2`15 Deck
Valuation: $
% SAC'
SAC UnRs
_ _.,.....?.? - -
(/L.y1)
vaawr
I SCHOELL k MADSON, INC.
? ewa¦mes . wmcraas • vurx?crts
soa hsrv?c . c?+'aonYcnrK s?+vices
103?0 N4YUiA BOUlLVMO. SU1iE /
10,NETOMKA ?w 5110:1
WqrfR (su) s.s-?eoI ruas.a-sow
?
8 0 9• °?i fT?wqT
e ?
6 SeWe R SE 19 ??4Q _
3l ° Sf??cf
r?os ry?? ? 0 / ?O?S g3JZ '?04E
t? '//yp CURB
4?/? / R,34Q #8J3
• 38
/ +r
A ?
o P ROP
`O
i
( ?? 8?* •,J
`I/
8 $ 4, / ^i
?o/ ?6 $ SDOa(8,?15, $? J3 83g3JS) ro
'I°' P ?'.? 1 5• x'? `1 J
' $I?a'O.po?o!JS'+" ry-lp?? 5,08 y
r?'OF ?• '7 ?? ti3nu ? / '.
IQO5.... +.?
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+
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7 CL / c
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s gy
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`\ ? ry oto
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t f1 l:. ft !N
RwED
:y ?
I:,TE_
EAG__.;`??
I hereby certify thot this survey was
prepared under my supervision ond thot
'k 1 om o Licensed Lond Surveyor under the
60,, lows of the Stute o(f Minnesoto.
? • Theodore D. Kemnu
Dete: 3 _JAN__1996 - .-License No. 17006
J\. 7 .
DESCRIPTION:
Lot 24, Block 2, BLACKHAWK FOREST
BENCHMARK:
Top ot iron monument as shown.
Eievotion = 834.13 (NGVD-1929)
CENERAI NOTES:
1, e - Oenotes iron monument.
2. z890.0 - Denotes existinq spat eievotion.
3. x(890.0) - Denotes proposad spot eievation.
4. ?- Denotes direction of surfoce droinage.
5. Proposed home is a wolkout.
This drawin4 hos been checked ond ' 6. Proposed gorage floor elevation=834.7
reviewed thas ?_ doy o( 7• Proposed top of foundation elevotionm835.0
- V ?e 19 ? 8. Proposed bosement tloor elevotian=827.2
by Lr.o,y 4?4?
30 0 30 60 90 Feet
CITY OF EAGAN PERMIT
PERMIT TYPE:
? 3830 Pilot Knob Road B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 0 2 6 9 5 0
(612) 681-4675 Date Issued: 01 / 2 3/ 9 6
SITE ADDRESS:
P.I.N.: 10-14325-240-02
1844 RED FOX RD
LOT: 24 BLOCK: 2
BLACKHAWK FOREST
DESCRIPTION:
REMARKS:
PRV
SF DWG
NEW
R-3 U-1
V-N
R-1
70
50
2
2,499
101 1 - FAM. DETACH
Build'ing Permit Type
Building Wo.rk Type
UBC Occupancy,
' Constructian Type
2oning s
8uilding Length
Building Width
Building stories
S.Q!?a;r'e FeeC
Census Gode '
S& W PLBR - WOODBURY MECH (777-7950)
FEE SUMMARY:
VALUATION
Base Fee
Plan Review
Surcharge
SAC
3AC %
SAC Units
Subtotal
$1,457.25
$728.63
$107.00
$850.00
100
$3,142.88
$214,000
MISCELlANE0U8 $1,923.50
Total Fee $5,066.38
CONTRACTOR: - Applicant - ST. Lzc
MAPLEWOOD DEV/CONST INC 17776869 0001011
3036 GRANADA AVE N A
OAKDALE MN 55128
(612) 777-6869
OWNER:
MAPLEWOOD DEVELOPMENT
3030 GRANADA AVE N
OAKDALE MN 55128
(612)777-6869
A
2 hereby acknowledge that I have read this
information is correct and agree to comply
Sta u and Ci of Eagan Ordinances.
?
? -.
APPLI A /PEFMITEE SIGNATU
application and state that the
with all applicable State of Mn.
?? l!1 kp"d flE l?
-j
CITY OF EAGAN
XIQ460 3 830 PILOT KNOB RD - 55122 996 BUILDING PERMIT APPLICATION (RESIDENTIAL) ???
681-4675 ??''.
RemadeVRegair Reouirements
? 3 reghtemd aRe aurveys ? 2 coples ot plan
? 2 copies of plans (include beam & window sizes; poured fid. design; etc.) ? 2 site surveys (exterior add'Rions & decks)
? 1 energy eak:ulalbns ? 1 energy celculations for heated addRions
? 3 cnpies of tree preservation plan ' t platled after 7H193 .
requlred: _ Yea
DATE: f- S- GI? CONSTRUCTION COST
DESCRIPTION OF WORK:
STREET ADDRESS: I n `>"T y ?'v- '?e-7
LOT a? BLOCK ? SUBD./P.I.D.
PROPERTY Name: & :eou ? -m)9 i,-,o C? P h o n e #: -177-
OWNER '"°'
Street Address• -??0 e5;-a v,,:"Zo A'
City: 001-00- State: 11-10(11 Zip:
CONTRACTOR Company: Sfl'm L- Phone #:
Street Address: License #:
City: State:
ARCHITECTI Company:
ENGINEER
Name:
Street
City:
State:
Zip:
Phone
Registration #:
Zip:
Sewer 8 water licensed plumber. ( a )&JA .ldt.s / Le cA ah ) L? Penalty applies when address change and lot
change are requested once permit is issued. 7-77- -7q-?:-O
I hereby acknowiedge that I have read this appiication and state that
applicabie State of Minnesota Statutes and Ciry of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received
Tree Preservation Plan Received
Yes No
Yes " No
the information is rect and agree to comply with all
.
RECENEo
JAr! n 5 ss9s
---------------
OFFICE USE ONLY
?
.. .4 .y., ? .. },.I?'
BUILD ING PERMIT TYPE
? 01 Foundation o 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dweliing ? 07 4-plex o 12 Multi Repair/Rem. ? 17 Swim Pool
0 03 SF Addition o 08 8-plex o 13 Garage/Accessory ? 20 Public Facility
0 04 SF Porch o 09 12-plex o 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. 0 10 = plex ? 15 Deck '
WORK TYPE
,-r&31 New o 33 Alterations ? 36 Move
0 32 Addition o 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Ailowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
e'-N Basement sq. ft. ? MC/WS System c,-?
K Main levei sq. ft. ? City Water -:E?
2" ? sq. ft. Fire Sprinklered
PRV
tJ
t2 - I sq. ft.
z sq. ft. Booster Pump
?o sq. ft. Census Code. AW_
S? Footprint sq. ft. z, yys SAC Code 61
-
,, e
`, Census Bidg /
c(u
vi Sn'
' Census Unit /
0o
_ Building Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SNV Permit
SIW Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
°k SAC
SAC Units
Valuation: $ Z P /,?o ?
Al-r.Ai
2 ? L7,-JS = yS
2 y x 5? = r, 3 vy
id r yo
/ 7 s'S,er`l =
y ?,'yb
?
?i = /, 7y5x /s ?
Z?, z3
-?-s'
Zzx 3L2 ° lv6o
Z F 0 Yo
z
?
Z r 3?- ?7 Z ?yx-33 ??-
??O
11• 371 l. 7s' : z 3
30 xqd =4,6?a
sb
y r /y "
13,Z5
?
SURVEY FOR: MAPLEWOOD DEV.
? ?,? ? ? ? v, 11 ? -?•' ? CURB
0 38 #83J ?
? c• ?• oR
/?834 ? ? ?•?? ? \ 1 \ rBJs
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I SCHOELL dt MADSON, INC.
? c?+r+xmrs . wmcmws . vwmens
? _ _ sow ?s?wc • eNVwonuv?va scx?cEs
?aseo .uttwT. ew?cvN+o. w?rt i
uwxErONNA ?w sSJ05
? \ .I (612) 5?6-7W1 v?:s.e-soes
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VACANT
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GENERAL NOTES:
?
88 62 n
? 5 oe
S tnc
?O? v P?Ce?
e9??
(a?yol
AN
?.
EAGAiV
(7z.92)
E D
DEPT.
1 hereby certify thot this survey was
prepored under my supervision ond that
I om a Licensed Land Surveyor under the
luws oF the State of Minnesota.
Theodore D. Kemna
/ ? Dutep• gLicense- Ma. 17006
/ ?2 {1 olJ ?io Vp`\//o
? DESCRIPTION:
/ Lot 24, Block 2, BLACKHAWK FOREST
•? BENCHAIARK•
Jw Top of iron monument as shown.
/ S Elevotion = 834.13 (NGVD-1929)
rn
?
os
2G o '1
This drowinQ has been checked and s?
reviewed this ? doy of
19!14.
bY g , a.... -%?a.
t. e - penotes iron monument.
2. x890.0 - Oenotes existing spot elevotion.
3. x(890.0) - Denotes proposed spot elevation.
a. - Denotes. direction oF surtoce droinoge.
5. Proposed home is o walkout.
6. Proposed goroge floor elevafion=834.7
7. Proposed top of foundotion elevotion=835.0
8. Proposed basement floor elevotion=827.2
30 0 30 60 90 Feet
tA l;ltA
REVI weo
3Y
IATE / ? T?
u
W
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p?,ip ? •
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QY?O O •
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4Y ? O •
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JLdy 1886
L07 SURVEY CHECKLlST FOR RESlDENTlAL
BUILDING PERMI7 APPL1CATlON ,
PROPERTY LEGAL:
OCUM
Registered Land SuneyorstgnaWra and company
euilding Pertnit Appllcant
Legal descriptlon •
Address North arrow and scale
House type (ramblar, walkout, aplR w/o, splft entry, lookout, ete.)
Dlrectional drainepe arrowa with slope/yradteM %
Proposedleristlng sewar and water services & irnert alevatlon
Street name
Drivaway
ELEVATiONS
Existlna
Sewet service '
PropeAy comera
Top of curb at the drtveway
Elavatlons ot any epstlng ad]acent homes
Prooosed
Garegafloor
FrstRoor
Lowest exposed elevatlon (walkouWrindow)
Property comers
Front and rear of home atthe foundadon
Easement Une •
NIAIL
HWL
, , . ?
Pond # desfpnalton
Emergancy OveAlow Elevation
Lot IineslBearinps 3 dlmansions Rightrof-way and sVeet width (to back of curb) •
Proposed homo dimonsions includinp any propossd decks, overhanps preater fhen 7,
porehes, etc. Q.e. a11 swetures requirinp partnanent footlnps)
Show all easemenb of reco?d and any C'dy utllitles within those essemenls
Semacks of proposed structure and sideyerd sstback of adJacant exdsdnp sbuctures
Retaining wall requirements, if any ?
Reviewad:
\
..
. . . ..W . .
LATEST REVISION:
e" 22 1?L877.0
/ BENDS ?
HYDRqNT
? .?E VALVE
40'-8' O 20.
830.0
•35
7.4
?1
&
tvrcES
?MYE
S-0+52
Ei-806.0
WYE
(DROF
S-0+7p
22 EL.814.4 WYE
S-0+70
23 EL.819.0
24
P,fa
?F V7ILITY
TN?
U1S?3 P.
Su
II
• P ??i t??v'. S?: ' n,
? u?? QfV jHEv??E?
19
. \
,
. \?
\
J S €"0R
F".f'V ??fC
BLOC
? ?? ? ?
EX. MH
_0000
Wl'E
5-1+55
EL822.0
? 26
'
?2
KYE
5-0+70
EL-.809.74
0000,
ABAN
SANI1
iIR TO \ \ 18 \
)N)
\
•? ........:..... ....:.........
:........ :....... .:. ,. .
?? : • ' : : •lo .......... ...'
'? . . . . . . . . . . . . . • ' ?IN ' ; ? ,,,?
.
\
CONNECT TONf4 XISTI
MHATINV78.
(VERIFY PROIR T
CONSTRUCTION)
?
EX. MH ?
_// ?
\ \
........:........ ?... ...:........ :•........;.........:.........:.........:....
K?
. ?.ao • .
........:........? V.. ' _ , • • :
...............? ............ ' • •
, : . ... -?..??..?..
.......:........ ? .yy?........
??.... f
100=8" DIP
..0'0:40% ...... I
....... .........:.........:...?
' 807.75 : I IW 808.15: I INV 808.55 •(E dc W) :
INV (DROP) : 822.00 (N) •
100'=8" DIP
...0.0.40% ......
, - . - EXTIRIOR EtiVEIAPE AVEAACE °U"'COMPUTATION
? .'t.; . . ^
• o?eR GC.lSTOM ?- Sr'Di2Y
SITE ADDRESS
CONTFACTOR
PHONE
Determine wozking aquare footage of each.
1. Total exposed wall area ..... 4-7) 2 1 sq. ft. X.!I -_?_32La
2. Total roof/ceilfnq area ...... ? g7?J sa. ft. X, r3y.(o -
A. Total wall window area .......................... --:229U
H. Total door azea ................................ --:5 g'
C. Total slidinq glass door azea ................... -7 Go
D. Total fireplace wall area .......................
E. Total wall fzaming area (average 10%)............ A
F. Total Rim joist area............. •...•.•••••••.• 46Q-
G: 1bta2 Net wall area above flooz.•••••••••••••• . ZA6 367
Total exposed foundation area -'2 I I
H. 'fotal foundatfon window area ....................
1. Total net foundation area above grade............ 2?(
Determine "U" value ot each wall segment.
d.?? ICL X l'Uw
?
27. ?JR R °0^ 7 '5J
C• I? X?U° I J`?
d. j( "U^
g"U".
t. arGp x..U-- , 01? e 22..
g. X"ti" .04 11. x nU.,
?
?. 'z.X O.U. • ? .J ° 2-71 4- .
3 ...................................Tota1 - 4 ?• a
If item 43 is the same as, or 1¢ss than item 11, you have :net the intent of
SBC 6006(c)2.
,
Total exposed rooF/cefling area - I g2'-6
J. Total skylight area ................................ _
k. Tbtal roof/ceiling fzaming area (avetage 10%)...... L? 7
1. Total net insulated roof/ceiling area .............. ?Z g2
Determine "U" valae for each roof/ceiling segment.
i. • x -o- . 5? •
I k• 1 O? XmUm
1. • t ?o??o % 'U" ? OZZ ? '?7 7r ,2 `
4 ............................ .......... TOta1 ? 'a^ Z.. t 4-
If total of 94 is the same as, or lAss than #2, you have met the intent of
SBC 6006(c)1. '
Alternate Buildinq Envelope Design
To vtilize the total envelope system method, the values established by the
sum of items 13 and 14 shall not be greatex than the sum of items 11 and 12.
1 • 'f 2. ? .
3. + 4. .
ar-
r3'?G?
79 3 -? a-? 4-
0 741 r
' L 4d BL CITY USE ONLY RECEIPT#. S5U/O
?
SUBD. DATE: 60
7996 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 NQ. TOTAL
Shower 3.00 x 3 T
Water Closet 3.00 x ?- _ -TW
Bath Tub 3.00 x .7- _ ?.D
Lavatory 3.00 x 3 =
Kitchen Sink 3.00 x
Laundry Tray 3.00 x
Hot Tub/Spa 3.00 :c =
Water Heater 3.00 x / _
W
Floor Drain 3.00 x U
Gas Piping Outlet " minimum - t 3.00 x / -
Rough Openings 1.50 x 3
Water Softener 5.00 x =
Private Disposal • oakota cty. iicense 65.00 =
(new and refurbished systems)
U.G. Sprinkler ' home under const. 3.00 =
Aiterations • to exristing 20.00 =
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL Xty
SITE ADDRESS: /op y? F d'? f? fl
OWNER NAME:
INSTALLER NAME: J5?? . . STREET ADDRESS: IL2' ?-? 0? •
CITY: -"4e• STATE: ?-°? • ZIP: ?`rjO S
PHONE #: (?? ) 7 7 7 - 79r-d
bIURA QKE"6F-PEKRffTT??
r?;?
OFFICE USE ONLY
L BL
SUBD.
1996 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Piease complete for. . ali commercial/industrial 6u(Idings.
* multi-family buildings when separate permits are pgl required for each dweiling
unit. .
DA7E:
WORK TYPE: , NEW CONSTRUCTION
DESCRIPTION OF WORK:
CONTRACT PRICE:
ADD ON REPAIR
IS WATER METER REOUIRED? _ YES _ N0. IF SO, PLFASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? _ YES _ NO.
FAILURE TO PROVIUE 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. SPRINF(LER PERMIT.
FEE: $25.00 minimum fee or 1% oF contract price, whichever is greater. State surcharge oF $.50 per
$1,000 of pQm]d fee due on ali permits.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL
SITE ADDRESS:
TENANT NAME:
OWNER NAME:
INSTALLER:
ADDRESS:
ciTY:
PHONE #: SIGNATURE:
OFFICE USE ONLY
METER SIZE: DATE:
RECEIPT #:
DATE'
STE. #
STATE: ZIP:
APPLICANT
_ INSPECTOR:
CITY USE ONLY ?j
L ?? BL RECEIPT #: 4?19
SUB . DATE:
1996 MECHANICAL 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
New construction Add-on fumace
_ Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc.
Date:
? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU 24.00 -`r
Additional 50 M BTU 6.00
clie
? Gas Outlets (minimum of 1 required @$3.00 each)
? State Surcharge .50 l
O
TOTAL 3-3 r
SITE ADDRESS: "
OWNER
,eZ2 v PHONE #: LL.L__ 9'0[
NAME:???? ,(J/2 _.4? o
INSTALLER NAME: LC?Slyil S ,&/i"
STREET
CITY: STATE:Afk%-- ZIP:
PHONE #:
S19AfQFtE"bl-'FEKIOfI ?? .
cmr use oNLv
L BL
SUBD.
RECEIPT #:
DATE:
1996 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55722
(672) 681-4675
Please complete for: ? all commercial/industrial buildings.
? multi-family buildings when separate permits are ri!2 required
for each dwelling unit.
DATE:
CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: w $25.00 minimum fee qE 1% of contract price, whichever is greater.
• Processed piping - $25.00
• State surcharge of $.50 per $1,000 of permit fee due on all permits.
CONTRACT PRICE x 1%
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME:
TENANT NAME: (innPROVeMenrrS oNLY)
INSTALLER:
ADDRESS:_
CITY:
PHONE #:
SIGNATURE:
SIGNATURE OF PERMITTEE
TELEPHONE #:
STATE:
21P:
CITY INSPECTOR
733I2-
2006 RESIDENTIAL MECHANICAL rExMiT arrLicnTiorr
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephooe # 651-675-5675
Please complete for. single family dwellings & townhomes?condos when permits are requirod for each unih - -? -9130.Sa
Date
Site Address 1$?l ?i Unit#
Property Owner Telephane #( GS( > 68? -a ?rs o
Contractor ANGEII AIR INC.
5 icollet venue o
Street Address BUmSVIIIe, MN 65337 ? City
f e?952T463
state Fax: 952-746-5202 Zip Telephone #( )
Bond k: -S? Oz::;- c- 7 Expires: R GAl ??
The Applicant is _ Owner L? Contractor _ Other
Add-on or al[eration to existing dwelling unit $ 30.00
? furnace Additional 41"Replacement _ New
air exchanger
? air conditioner ?p
heat pump IJ Il ?ri:?;, 1 6"" ?
otlier
State Surcharge $ .50
Total $ 3D. S O
I hereby apply for a Residential Mechanical Permit and aeknowledge that the information is complete and accurate; that the work will
be in conformaoce with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a
permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the
approved plan in the case of w rk which requires a review and approval of plans.
Applicant's Printed ame Applicant' Signature
2006 COMMERCIAL MECHANICAL rExMiT arrLicnTioN
City OfEagan
3830 Pilot Knob Road, Eagau MN 55122
Telephone # 651-675-5675
Pleate complete foc commercial/industrial buildings
multi-family buildings when sepazate permits aze not required for each dwelling unit
Date
Site Street Address Unit #
Tenant Name (if applicable) Previous Tenanf Name
Property Owner Telephone # ( )
Contractor 71:4;A 117't?"?
t1f_M? etasm'A
Street Address City.?zn,?
?.:
State Zip
Bond #: Expires:
The Applicant is _ Owner _ Conaactor _ Other
i
Wark Type
New Construction _ Underground Tank _ Install _Remove *`see below
Interior Improvement _ Install Piping _Processed _Gas
Nature of Work:
**When installing/removing underground fank, cafl for inspection by Fire Marshal and Plumbing lnspector
Pel'mit Fees: $70.50 Undergmund tank inslallation/removal
550.50 Min'unum (includes SWIe Surcharge)
or
Contract Value $ x 1% _ $ Permit Fee
$ State Surcharge
If ep rmit fee is less than $1,000, add $.SD
If oermit fee is more than $1,000, surchazge
is $.50 for every $ 1,000 owed.
$ Tatal Fee
I hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; that the work
will be in conformance with the ordinances and codes of tRe City of Eagan and with the Mechanical Codes; that I understand this is
not a permit, but only an appiication for a permi[, and work is not ro start without a permit; that the wock will.ba in accordance with
the approved plan in the case of work which requires a review and approval of plans.
Applicant's Printed Name
Approved By: Inspector
Applicant's Signature
Required Inspections: - U.G. - R.I. - Air Test - Gas Service Test - Infloor Heat - Final
� , -�
Use BLUE or BLACK Ink
-----------------�
� For Office Use �
. , J� 7��� �
('r�}� O� n���� I Permit#: �
I
� � J ����,�4`�.� � Permit Fee: � I
3830 Pilot Knob Road � ���,,� � � 1
Eagan MN 55122 r `� � ���� � Date Received: I
Phone:(651)675-5675 ��� � �
Fax: (651)675-5694 1 Staff: � ,
I ,
�-------------- i
,i
2014 RESIDENTIAL BUILDING PERMIT APPLICATION '
� �/// p�— � `�/i ���
Date: � Site Address: ��`7�/ f.�' �� Unit#:
Name:�,��' �SIl1Al , �.(�lA)L°1��� Phone: "/��.'-/7���
�����r� �� ��� J���P.�r� �X dZ�
; ���� Address!City/Zip: o
Applicant is: Owner �Contractor
° J
� ��� Description of work:�_(����� ��d`i�'��(�i �1/V Q
���►e�f�it#)t'1C-� �
Co�struction Cost: � �� Multi-Family Building: (Yes /No�)
� ' u� � � t , . � ���.. ���°�
Company= ���� '��,/dL ��' ,���a..'�.� ��ontact: .
�4fi!TtEt'�`Ct{?i"'� �� Address:�1'h�� �111'�1.f1l�ilr)GT �1/'� � � City: T�j..(��" ���i
i _1 �
State:��Zip: ,�,�7� Phone: � " � — 7�mail: l� t°Nl'� �����IvT!°�QV �S11{�rJ .��
License#:�L����� �r�+ Lead Certificate#:
If the projeet is exempt from lead certification, please explain why: (see Page 3 for additional information)
cQ���YuC� � 0.-�e Y� ! Q7�
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:
'Nl��`E.Plans:��c�s�p��;�t��um�c�#s#fi�t y�zu s��rrr,��r�cc�r��ic���si��r��bl����#`;a�rrafi�. Pcir��arr�i�f
the��rfi�rr�a�i�!n rrray��lass�ec�a��c���ti�if",y�r��sr�ivx�sp��r�st����aa����1��er�a�t����rt�� ,�i
; ; : ; ,�ncl�t�f:f�r� �re t�a�C#e s�'e��:. ;, '
GALL BEFORE YOU D(G. Call Gopher State�ne Call at(651)454-0002 for protection agairist underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. wuvw.qopherstateonecafl.orq
i hereby acknowledge that this information is complete and accurate;that the vu�rk 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 wark is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
X �-�-�Vt°� ��tUeU t�dv� X ��!�.Q..��%��-�'9-�
ApplicanYs Printed Name Applicant's Signa
Page 1 of 3
" � � ' /��� /Z� �� /�'' a 7���
DO NOT WRITE BELOW THIS LINE f
SUB TYPES
Foundation _ Fireplace _ Porch (3�easonj Exterior Alteration(Single Family)
� Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration(Multi)
_ Multi � Deck _ Porch(Screen/GazebolPergola} _ Misceflaneous
_ 01 of_Plex _ lower Level _ Poo1 _ 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 Wal) *Demolition of entire building-give PCA handout to applicant
DESCRIPTION �
Valuation 2�� Occupancy �{�-� MCES System
Plan Review Code Edition �j�!'1 MSg(� SAC Units
(25°!0_100%�) Zoning City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Sprinklers
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 Drain Tile
Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick
I ns ulation W indows
Sheathing Retaining Wall:_Footings_Backfifl_Final
Sheetrock Radon Control
Fire Walls Erosion Control
Braced Walls Other:
Reviewed By: �1 a , Building Inspector
RESIDENTIAL FEES ,�----
Base Fee
g �� ` }(��' = t �7 X � � 2 `�vs-
Surchar e �
Plan Review
MGES SAC
City SAC
Utility Connection Charge
S8�W Permit 8�Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
Use��t��or BLACK Ink (X/
tForOffieeuse---------� 6 .
° j Permit#: ��"'i
���y Q���.��.� � ��� ����
� Permit Fee: �
3830 Pilot Knob Road � �' j
Eagan MN 55122 � Date Received: - ��� �
Phone:(651)675-5675 1 I
Fax:(661)675-5&94 I Staff: I
I ►
2013 RE�1DEfV1'll4L �UILDING PERNiI�'APPLICATlON
Date:�'1��d y Site Address �l�'�' ��-E'�� � T�C �'_e� Unit#:
? ��Name �d.r>"�, ,,,IIWI.�„���y.,_�t �y,,��.Nj�',pyr��.,,.�„�,M,..M.....e_�.�..��,�.,Phone (n°;j,�_,�,t�i,�1�`f.�.�-���`��,
' Cr
� F��9�C�@I7'�' � � � �--
1 (�ilyp�C � Address/City I Zip: C' �1_ '{'?¢..�� - '�'!/��
� � Applicant is: `_Owner �Con cto . Cy'!�._. ,,_,„._.. . _ w . .._.m�.���,�... ..W �....,,.� �
� ,,��r�.,,.�,,�. r, ,, ,,.w�. ,._......u, .�,. '��"'j'���'���, _n. ,.,n, ��r,o,..�..� �_...,m ,� .��. .,� .:;
� TY�P�of'flV�t'k � Descripiion of work '�_ -- .�7,�•; - � �t: t�7" .�"�1��E' .�� �;``E 6'1�,./-� l;'U'i%��1 S �
� l tl
z i Construction Cost: ����r {`C�L.% • �'�-' Multi-Family Building� (Yes_/No v!) �
� .db..._,w,w.v�.,�..,.u..,�._,.,,W.�„��. .,�,��,�,,..,...�.�.,,..,,�.�„�.m..w.�,,,..�.._,.,,,,.._,.w.,..,..y„_w�,�,......,.w,�.m.,..�..M�H.,.,,.�....�..,..,��_.,,.....m..�„„.,.�....,.._4..�...�„w,.,.,_.. ,..a
� � .. � ,�„�
} 4 Com an L��
P Y: .-� (`d t%�1���1%1:�� ��i T ''Y�L-j-;�'`� Contact:�,�L'�!•�t/1 t LY c'.���'('f 4.�
, �
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� CQf'1tpaCtOi 3 Address: L�1 .�� ��`y�1it;4.a�'P.-' .���'v'c� �;�;' Cily: � ;�'i���' t'�!? .yg,cz�c-� �
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� !f the project is exempt from lead certification, please explain why: (see Page 3 for additional information) �
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; COMPLETIE THIS AREA�NL.Y IF CONST�iUCTIIUG A NEW BUILDING �
; �
: In the last 12 months,has the City of Eagan issued a perrnit for a similar plan based on a master plan? �
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F Yes _No li yes,date and address of master plan:
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� L.icensed Plumber:
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; Mechanical Contractor:_.._____,.,..__.,_,__,,,_,____ Phone: �
� Sewer&Water Contractor Phone �
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y MOT� Plgns ant�supporting do�cumel�ts that you submRt are cansidered to be pubf�c��rformet�on: Rvifivns of'���:�
� the'inforrr►ation may be classliied as non pubfie it puu prCvide sp�citic reasons#haE woufd permit th�City fre . �
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CALL BEFORE YOU DIG. Call Gopher State One Call at(651)4540002 for protection against underground utility damage. Ca1148 hours
before you intend to dig to receive locates of underground utilities. �J�!1NIN,{�Q�hE_f518jBU17tDC�ll.Oi'(1
I hereby acknowledge that this information is comptete and accurate;that the work will be in conformance with the ordinances and codes of the City oi
Eagan;that 1 understand this is noi a permit, but only an application for a permit.and work is not to start without a permil;Ihat the work will be in
accordance with the approved plan in the case of worlc which requires a review and approval of plans.
Exterior work authorized by a building perrnit issued in accordance wiih the Minnesota State Building Code must be completed within 180
days of permit issuance. �;�
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Applicanf's Printed Name Ap-�>ltcarft's�Sign ure
� Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA146638
Date Issued:11/03/2017
Permit Category:ePermit
Site Address: 1844 Red Fox Rd
Lot:24 Block: 2 Addition: Blackhawk Forest
PID:10-14325-02-240
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Jeff D Schneider
1844 Red Fox Rd
Eagan MN 55122
(651) 336-8483
Property Claim Solutions LLC
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA147159
Date Issued:12/14/2017
Permit Category:ePermit
Site Address: 1844 Red Fox Rd
Lot:24 Block: 2 Addition: Blackhawk Forest
PID:10-14325-02-240
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Jeff D Schneider
1844 Red Fox Rd
Eagan MN 55122
Angell Aire
12253 Nicollet Ave S
Burnsville MN 55337
(952) 746-5200
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA163309
Date Issued:08/26/2020
Permit Category:ePermit
Site Address: 1844 Red Fox Rd
Lot:24 Block: 2 Addition: Blackhawk Forest
PID:10-14325-02-240
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description: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 -
Jeff D Schneider
1844 Red Fox Rd
Eagan MN 55122
Angell Aire Inc
12253 Nicollet Ave S
Burnsville MN 55337
(952) 746-5200
Applicant/Permitee: Signature Issued By: Signature