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1847 Red Fox Rd. .. INSPECTION RECORD CIT'Yi' OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4875 SITE ADDRESS: APPLICANT: ; nx kri „ . . iN fSt A i ltiPi AW, t€i1il "I I PERMIT SUBTYPE: TYPE OF WORK: INSPECTION .. . D, .. . . ? :,,. RFeeAaCs{- s x' IJ Ni RFt -• 6ENs tlYRN Ptriri _ , . i Permit No. Permit Holder Date Telephone N ELECTRIC PLUMBING ? ?9 ?a?-??ctL HVAC C 3 Inspection Date Insp. Commenta FOOTINGS J FOUND oZ/f?,? ? lY ?^ ?rr?• FRAMING ( ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL ?x GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG TJ lj FINAL HTG ORSAT TEST BLDG FINAL [ BSMT R.I. BSMT FINAL DECK FTG DECK FINAL ?.? ._.o. W-Cl.'dfiCQt¢ Df CCC1tpQ1iCV Witv of C?agan ze#axtmeut of Zuiibacg Zu6pection This Certificate issued pursuant to the r+equirements of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building constructiore or use. For the fallowing: use a?ification: SF DF1G sbg. Pem,;, Na. 31359 oa„P-Y rype R-3 U-1 zoniog oan;ct R-1 Tra conu. Vn VARIETY HOMES 1NC dd 13340 CEDAR AVE., APPLE VALLEY, !!N Owner of Building 1847 RED ress A FOX RD L li ,$1, BLA:;KHAWK FOREST Building Addre55 .oca ry Datt ?/ r Building Official POST IN A CONSPfC1lOUS PLACE Ad*ess 1847 RED FOX RD Lot ' Blk 1 Sub Zip 5512-ZE BLACKHAWK FOREST TfMSE TTEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: Yes No Inspector: Final grade (6" from siding) V?' Permanent steps (garage) Permanent steps (main entry) ? Pecmanent driveway Permanent gas y? Sod/Seeded grass ? TraiUcurb daznage L/ Porch ? Basement finish ? Deck ? Please verify with the builder the removal of roof test caps from the plumbing system and t6e shutoff of water supply to the outside lawn faucet before freeze potential exists. Contact engineering divisioo at 6814645 before working in rightof-way or installing underground sprinkler system. ? W6ite - City Copy Yellow - Resident Copy Pink - ConVactor CoPy CITY DF F..FlGAN CASHIEF't. S lERMINFlL. NOa 763 LiA7Ea 01123/39 T'IMI':.: 33:57:47 T.D c NFlMF_: VARIF:TV FIOhfES 7NC 225G 9001 1847 FED FpX FiD 4,003.96 Tota1 i;eceipi: AmqurvCe 493<33,96 CR08`;688 UEiF'R IDe NFlPlCY --?-- CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-14325-050-01 DESCRIPTION: C PERMIT PfRMITTYPE: euzLosNG Permit Number: 031359 Date Issued: 01f y 2/g g 1847 RED FOX RO LOT: 5 BLOCK: 1 BLACKHAWK FOREST ermit 7ype krt Type SF DWG MEW R'-3 U-1 V-N R-1 58 50 ' 1 2,322 101 1 - FAM. DETACH ? aa?'??? c , n REMARKS: S& W PLBR - GENZ-RYAN PLBG FEE SUMMARY: VALUATION Base Fee Plan Review Surcherge SAC SAC % SAC Units Subtotal $1,017.25 $661.21 $63.00 $1,000.00 100 $2,741.46 $126,000 MISCELLANEOUS t12592.50 ToCal Fee $4,333.96 CONTRACTOR: - ,qpplicant - sT. Lzc OWNER: Vp{RIETY HOMES INC 14545971 2003634 VARIETY HOMES INC 4130 BLACKHAWK RD 114 13340 CEDAR AVE EAGAN MN 55122 APPLE VALLEY MN 55124 (612) 454-5971 (612)454-5971 I FAI?? IC?/?i?? c --ANT/PEFiMITEE SIGNATURE ISSUEO Y.?SICG 998 BUILDING New Conshuction Reauirements PERMIT APPLICATION (RESIDENTIAL)$4,3B ,Q ? CITY OF EACiAN 8830 PII,OT KNOB RD - 65122 ?? j-[G 681-4476 RemodeVReoair Reauirements ? 3 iegishred sde surveys ? 2 copies of plena (InGUde baam & window sizes; pouretl fnd. design; etcJ ? 7 energy plwlatlons ? 3 wpies of tree proservatlon plen H bt platted eRer 7l7/93 required: _Ves x No DATE: ?-6- 9 8 ? 2 coples of plan ? 2 site surveys (exterior adtlkiona 8 dedcs) ? 1 energy nlculations for Iroated edditions 4w CONSTRUCTION COST; I6-V, ooo, ?? DESCRIPTION OF WORK: /i fcs?s /e• r$y7 ' STREET ADDRESS: XX x' X Rto" ?'o,r ,.g/ LOT: s BLOCK: ? SUBD./P.I.D.#: ,Q14CkNa.,!1< f?'esf Name: owD Phone #: PROPERTY 7.est First OWNER d--? L0 Street Address: City State: Zip: Company: V4Y h10.4-7 e.?' Phone #: J/SU S7 ,2/ CONTRACTOR Street Address: 4// 3'0 ,L'T/acE f4v.F R,l S?,'?? /A/ License # 3? 34?,3 City State: 4100e• ARCHITECT/ ENGINEER Company: Name: V 4N4 ? ?,[/!?{ ?ID ..? Zip: "7- Phone #: 17.7 ) - 4 7 '1 'J Registration #: Street Address: City State: Zip: Sewer & water licensed plumber (new construction ony): ?f?Y,en . Penalty applies when address chang and lot change is requested once pertnit is issued. 1 hereby acknowledge that I have read this appiication and state that the infortnation is coRect and agree to compty with all applicabl 5tate of Minnesota Statutes and Cily of Eagan Ordinances. Signature of Applicank OFFICE USE ONLY Certificates of Survey Received _L-'-'Yes _ No Tree Preservation Plan Received - Yes _ No v Npt F OFFICE USE ONLY BIJILDING PERMIT TYPE O 01 Foundation ? 06 Duplex p OZ SF Dweliing ? 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SFPorch ? 09 12-plex ? 05 SF Misc. ? 10 = plex WORK TYPE 1a 31 New ? 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS ? 11 Apt.lLodging ? ? 12 Multi Repair/Rem. ? ? 13 Garage/Accessory ? 0 14 Firepiace ? ? 15 Deck ? 36 Move ? 37 Demolition v ?_ Basement sq. ft. Main level sq. ft. Rz-3.u-1 ? sq. ft. ? sq. ft. sq. ft. ' sq. ft. 7 aI Footprint sq. ft. Planning Building Ma ?;??,+t, •? ? :;;„ i x «w.'":.. 16 Basement Finish 17 Swim Pooi 20 Public Facility 21 Miscellaneous i t.'7z MC/W5 System ? r(.?y City Water / ?SO Fire Sprinklerad PRV Booster Pump Census Code. 2 3 z2 SAC Code ?.a 1 Census Bldg ? Census Unit 1 Engineering Variance Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter ACCt. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Treils Ded. Other Totei: °k SAC ? valuation: $ re Cm, oa o -----"'_ .? Sv X z,? i S! 2 `Se t? R4- Y 1 4? ?? 1 S = 25.? t? '?O , r SL1.W'2 IL7L f? Y S?? ?V, 2.D?r• _ Fa 2,0 ?t zo. 33 ?tc? a a 440 I !• - 1n? ttLb,-?' S -7 L. S?' . -- `. _ T.,?.,...?.-...._.........3 ?. , C2Pr?if ir??P uf §uruP? p r e p a r e d f o r: VA RIET Y H0MES, INC. ADDRESS: 1847 xcD Fox Ro,w LOT 5, BLOCK 1, EAG+^? MINNESOT.9 O BLACKHAWK FOREST R4A !3JlI DER VARlF7f HOMES, INC, 4 7J0 BLACKHAWK ROAD fA GA N, MlNNESOTA PHONE: 454.5971 CONTACT.' MARK occording to the recorded plot thereof. DAKOTA COUNTY, MINNESOTA ?KNA 87,66 S?RFpGE R aL? ' 1 W 7iE V p , _, ?? BITUMINOUS ? GU 5 ? ,g ?uRe 69 R=240L3133„ r ..Z Q::: 11 1? gtib I SCALE : 1 " = 30' ?? (Zi ? W hub elevobon 823. 7 ] ? ? LOT 4 ? NO HOUSE 0 NOTE. ? VER/FY ELEVATIONS & DIMENS/ONS PRIOR TO CONSTRUCfION hub e%votion = U,.a/. 826.20 9?5 821.88 BENCHMARK.' ? ?ap T?c .?xo?? ??.,?,?e ? S? 1 ?y? eo r L:47•57 ? " ? ? ORAlNAGE & UTILITY ?! I fASEMEN7 PER PCAT y ? , LOT 5 ? ? I I I ? ? I r B? r ln1 ? 0 ,?A? . ? BY - A7E V09,11N,6 s'?A 6179 ,8 0 L ?VY . /- iS-,qB >P? ; TIONS DEPT. r,? o? ? LOT 6 ? hub elevofion = aaz ro 00 ? i°? ? ?ti?{ ? L r `/ Tc° 91??/ i 9" = 1 _ < - _ - L -75 CURB & GUI itrc 9o- ,,7J ?(, ?. ? SERV/CE £L£VATIOM 817.0 VfR LlIY / pIlUMlNOUS SURFACE? gh A R-345. 00 ?a FOX y" R ? D 0M1? eM1,? ti ? RED,? o ? o Denotes iron monument L 983.5 x Denotes existing elev. gPSfPriJrFlt $C ASSLTritlfPB, JILI'. (987.0) Denotes proposed elev. ? Denotes Off-Set hub -- LAND SURVEYORS & ENGlNEERS -- ?z?= Top of block elev. _ 8ZS•? = Top of fin. goroge floor?2-c,drop 8500 210TH STREET WEST LAKEVILLE, MINNESOTA 55044 = Top of bosement floor elev. PHONE : 469-1899 FAX: 612 469-1899 6 P (612) ? ? ? ndicales direction of surface drainage ?YcuEe. cca". *w., n.s smcr w.s vrCvu¢o er a w uaa.n W. ? rs wmcc* +a rW Ks' or r.n iaewLco¢ un aicr. w.s crcwIca ..ccanucc ..w 11 cwcx+ "o-.cwco A"ocEaas ran uc w.<I¢c w1ua vmcrxc Aoorico er rrc wcmra sax.r a wa?smu? wmc.oxs. 4w .wr i.u . at. itTrrsco I.w sw.ira. uaa "N$ MTME SIAi[ Of NN(SOfA. llb QPRTA[ E SIMS M tOGiRN C( KL BLICNfrS Aif/.ry(0 fp SM LMO. MD ilE IUCATqM P Ml ?E [H?IO/.M1FNi5, i?M, filpY M W SAO l40 MO llA$RY 5 ASSIA[D EYUCI 10 ThE CIAXi #M '1104 LM SLT'(Y WAT V%PAqEp. M$ MfRS. AAD A5901& AW SAq L4BUTY 6 ASAMD WlY iM \XE AC1Wl Cd51 MTw5 SMVIY. l Book doto colnew No. ?2330 I 23RD OECEMBER pAiEO iMS ?AY OF .99> Mrnnesoto Regrstrotion No. 19790 - • , LOT SURVEY CHECKLIST FOR RESIDENTIAL L/1LDING PERMIT APPLICATI PROPE RTY LEGAL: DATE OF SURVEY: ? > LATEST REVISION: ? DOCUMENTSTANDARDS • Registered Land Surveyor signature and company 0" D o • Building Permft Applicant 6 ? ? • Legaldescriptlon d ? ? • Address 4- 0 0 • North arrow and scale A' a ? • House type (rambier, walkout, splft w/o, split entry, lookout, etc.) 9? 0 13 • Directional dreinage arcows with slope/gradient % • Proposed/existing sewer and water services & inveR elevation • Street name ?2' 13 13 • Driveway ELEVATIONS 0' 0 0 6 13 • Sewer service (or Proposec) ? • Property comers 'd-0 o • Top of curb at the driveway jj-?o 0 • Elevations of any existlng adjacent homes prooosed / a 0 - • Garage floor 0 0 Rr • First flaor 0' 13 0 • Lowest exposed elevation (walkouUwindow) i--? ? ? - • Properly corners C) 0 W-? • Front and rear of home at the foundation PONDING AREA fif aooiicablel / O C7 0 • Easement line ? 0' ? • NWL O Z' ? • HWL o zr [1 • Pond # designation ? P?'0 • Emergency Overflow Elevation / DIMENSIONS /?/' 13 0 • Lot IinesBearings & dimensions ? o 0 • Right-of-way and street width (to back of curb) P" ? O • Proposed home dimensions including any proposad decks, overhangs greater than 2' ' , porches, etc. (.e. ail structures requiring permanent footings) Rr ? ? • Show all easements of record and any Cily utili6es wiihin those easements ¢' ? • Setbacks of proposed sVucture and sideyarcl setback of adjaceM ebsting structures 0 • Retaining wall requirements,Aany _ ,r- Reviewed: January 7998 CRAIG7 BBBIBLDOPRMT.FM srrE ,wnxsss: 14.1 auaZER-- . U,9RVFTY I-}om?-s ? R;m.Ioist; R-19 iautietioc btd: I 1161,78 RooC R-sa wish ecergy wasa or R." vdm IWMM tnwmL • Fwdotton Windows: fstailated glass, 1/Z" ait apxa nvod ot vLvyI ftaaue. STEP 1 WFadmv do Daor krslt S'TEP 3 DqI;O Psstura Total W{ndow a Door Aren ta Sq. Fat WAjDOWS (ladudiag fpundatiom wIodoRS) DialaiMo2t Qniy. Araa .ASSEbffiLY OP'tION FlLAME W°T r• 20 3 ?- t Z ?o 5TAND?.Rb FRAIvff340 ? X4o t lS 29, x 4e- 2- qDVAxcBD FRAUtNC 1 X?` 'z .o ' X 1 cAvrnzxsui.nnox R' ?Gt o x . nooRS: sxFr.TF124c: X Cr? Il^"SS 1IiM R 5 •?$ Z G-w-r f $ R-SORMQRE • lo X ? X WIIWW S(exceW foundatiost windvas); TotaJ Ara or A Windvw dt. Doors ? q S Totaf W211 Area in S4. Ft WaI1 ToW Perimetet Hdght Axa ' U-FACPOR ' : 35 From she tabk, detetmine tha ma)dmvm ptrtcnt wiadoa' 60or azea toc the desi$a op4ons ulecttG aod eata the taEnc in box D 1 Z ° 6368 bdow. f?.ob roW A - no 1368 ? orwal! Step 2 Cskwitte are: u a pereW ot wall . Sor A(wfadow dt doot AM0 dividtd by BoX 8(total waU sta) timas iD0 ectuaLt the windaw &ad doot uea as a pcroent of watl arra (HOx C1. Boq x1oo = $0xs I3b8 BOx C must be kas tban ar equal to Boz D 1q .3 .. . . ... ?'• ^J ??- BL ? CITY USE ONLY RECElPT #: 97Jc-; /9 ? SUBD. .?? RECEIPT DATE: 3 19 1998 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOH RD EAGAN, !M1 55122 (612) 681-4675 Please wmplete for: ? single family dwellings ? townhomes and condos when pertnits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES EACH 9 Shower 3.00 x = Water Cioset 3.00 x = Bath Tuh 3.00 x Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet * minimum -1 3.00 x = Rough Openings 1.50 x = Water Softener "for dwellings under construction 5.00 x = Water Softener ` for existing dwelling 20.00 X = U.G. Sp1 inkler ' for dwelling under const. 3.00 = U.G. Sprinkl2f ' for existing dwelling 20.00 = AItBf2tio11S ` to existing residenca 20.00 = Water Turn Around 20.00 = Private Disposal System ' MPC iic. 75.00 = (new and refurbished systems) Private Disposal Systems " Abandonment 20.00 = STATE SURCHARGE TOTAL TOTAL < 3,oD ?D ? 50 .41a ---- • •----------------- --------- --- --- p---------- ? - ----------- • ----- -----------• - -- -- --- ----• ------------------------ - . - - ordinances - - applicable - City of - Eagan - I hereby adcnowledge that I have read- lhis aplication-, sfste that -the information is- -conect, - and - agree - to compty - wi[h - all - k is the applicanPs responsibility to notify the property owner that the City of Eagan assumes no liability fnr any demages caused hy the City during its nortnal operational and maintenance activities to the faciiities construIXed under this pertnit within City property/right-of-wayleasement. SITE ADDRESS: I 041 -Re(i( --14 / j OWNER NAME: V? INSTALLER NAME ( STREET ADDRESS: CITY: TELEPHONE #: 42??144- ? TE: --)T/ Y ZIP: 6JLI(FJU SIGNATURE QF PERMITTEE JS/FORMS BLDGlPLBG PERMIT (RESIOENTIAL) 1998 L BL CITY USE ONLY p7/D RECEIPT #: 9SUBD.(.?? DATE: ? gI 1996 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 6814675 Piease complete for: ? singie family dwellings ? townhomes and cortdos 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: .3 /o Zge F14?R ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @$3.00 each) __?, ? State Surcharge TOTAL .50 35 ' ?4 SITE OWNER INSTALLER STREET ADDRESS: !--' 10 0 r, ?Lv w CITY: STA Ck PHONE #:'?? ? ZI PHONE #: (? CITY USE ONLY L BL RECEIPT #: SUBD. DATE: 1996 MECHANICAL PERMIT (COMMERCIAL) • CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Piease complete for. ? all commercial/industriai buildings. ? multi-family buildings when separate permits are nQt required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: ?$25.00 minimum fee gr 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: (iMPROVEMeNTS oNLY) INS7ALLER: ADDRESS:. CITY: PHONE #: TELEPHONE #: STATE: ZIP: SIGNATURE: SIGNATURE OF PERMITTEE CITY INSPECTOR r3cJ'b zoas RESIDENTIAL PLUMBING PeRnnir aPPUCarioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. 6-D I Date?_1 2z 1 a(° - ? Site Street Address JPY7 ffnk t?EJI )?;a Unit # _ I Property Owner LOWlmn Telephone #K6 H.P. PIP ORKS - ? Contractor 3670 DOUD ROAD Telephone #( ) Y Address EAGM, City State Zip ' The Applicant is: _ Owner X 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 plumbing fixtures. This fee inciudes installation of a water softener andlor water heater at the same time. If you are installing only a water softenes and/or wafer heater, do noi complete this section; move to the next section and check the I appliance(s) you are installing. _Septic System Abandonment ^ Water Turnaround (add $130.00 if a 5!8" meter is required) Other: - ? Water Softener ? Water Heater $ 15.00 _ new ? replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 i ? State Surcharge $ 50 rl? Total LI iVili? Q Z ???6 $ 15,5 I hereby apply for a Residential Plumbing Permit and acknowledge that the information Is complete ana accurate; [hat 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 it, work is not to start without a permit and work will be in accordance with th approved plan in the event a plan is re uired o be r vi a nd ap e. czam K-?2?1?5 pplicanYs Printed Name ppli nYs Si l5. VAL6 City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1847 Red Fox Rd Lot: 5 Block: 1 Addition: Blackhawk Forest PID:10- 14325- 050 -01 Use: Description: Sub Type: e- Reroof Work Type: Replace Description: House & Garage Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Property Claim Solutions LLC 4655 Nicols Rd, Suite 202 Eagan MN 55122 (651) 994 -2028 PERMIT City of Eaan Construction Type: Occupancy: 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. BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: $90.00 Applicant/Permitee: Signature - Applicant - $88.50 $1.50 Owner: Andrew M Landon 1847 Red Fox Rd Eagan MN 55122- -115 Permit Type: Permit Number: Date Issued: Permit Category: 0801 9001 Issued By: Signature Building EA091313 09/25/2009 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 Use BLUE or BLACK Ink r I For Office Use Permit City of EaWan . ~ S Permit Fee. I 3830 Pilot Knob Road I I Eagan MN 55122 ; Date Received: I~ i ! Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: V/ /11/1 J Site Address: 4-7 14,J ox IM Unit Name: 63dU Lar\hon Phone: Resident/ ` R_ PJ Owner Address /City Zip: 4 Applicant is: Owner Contractor Description of work: 2 5 s +c9 Type of Work ` Construction Cost: 96~Y Multi-Family Building: (Yes / No ) Company: ~ I Contact: r- ti' _L17 n*f-CA Contractor Address: & ~P, 0 City: upo L State: Zip: Z ~ Phone: Z~ Cj (d License#::y~ Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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: NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe 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 locates of underground utilities. www.gopherstateonecall.ory I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State B i C de must be completed within 180 days of permit issuance. x r)M x Applicant's Printed Na Applican ' Signature Page 1 of 3 Use BLUE or BLACK Ink ����__��-_-_���__ � � For Office Use � /� �I I J G t�.-i. r �` � Permit#: /��� / � � ��-i' ��� �` '""��� I Permit Fee: /���`�v � '� I — / — I 3830 Pilot Knob Road ' Eagan MN 55122 ������f�� � DateReceived: � �� ��j Phone:(651)675-5675 I f- � Fax:(651)675-5694 ���� ? � ���� i Staff:,�,C� � `___��___��������J 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: Name: � ��,�j�.0. �qf� V'Glr1 l�4�l �a.(' Phone'���L ' T��'� y��� Address/City/Zip: 1� 1 7� �e-d� ��X le� �� a� .5�I� � Ia- � n�-�-f� S Applicant is: �Owner Contractor �� Description ofwork: 2� � ✓� �P S�E►�� ��SC ✓►'�e✓t'ZL � Construction Cost: ����� Multi-Family Building: (Yes /No� Y Company: Contact: Address: City: State: Zip: Phone: Email: License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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: CALL BEFORE YOU DIG. Call Gopher State One Call at(657)454-0002 for protection against underground utiliry damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aoaherstateonecall.ora � 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 �I 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 I days of permit issuance. 'I X SOd.('jGq��%J�' �aK b C`$�G�rf�' X �I ApplicanYs Printed Name Applic Signature Page 1 of 3 � ��� � -� 1C .� DO NOT WRITE BELOW THIS LINE � �� s� SUB TYPES _ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) _ Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration (Multi) _ Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous _ 01 of_Plex �q Lower Level _ Pool _ Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* _ Addition _ Move Building _ Reroof _ Demolish Interior � Alteration _ Fire Repair _ Windows _ Demolish Foundation _ Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION �9 Valuation `'� f� 9`�� Occupancy LjZ.C- I MCESSystem � Plan Review Code Edition yn/! Zoi,S� SAC Units (25%_ 100%� Zoning jZ^1 City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction � Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Finai/C.O. Required Footings(Addition) � Finai/No C.O. Required Foundation � HVAC_Gas Service Test Gas Line Air Test Roof:_Ice 8�Water _Final Pooi:_Footings _AiNGas Tests _Finai � Framing Drain Tile Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick � Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Erosion Control � Braced Walls Other: Reviewed By: �T c�rY► ✓1rJ%k�y.� , Building Inspector RESIDENTIAL FEES Base Fee I��SeYY1 P.(/1'r ��s -� g ' '��' Surcharge �;.�z � , e o 5-� , `'r Plan Review MCES SAC City SAC Utility Connection Charge S8W Permit�Surcharge Treatment Plant ' Copies TOTAL Page 2 of 3 Use BLUE or BLACK Ink ---------, � For Office Use I • ' f���/ � � (��}� O� nA �� I Permit#: I 1' � U 4 111� � Permit Fee: - � 3830 Pilot Knob Road i � Eagan MN 55122 I Date Received: � Phone: (651)675-5675 � Staff: � Fax: (651)675-5694 i________________� 2015 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: � �� ^/ � Site Address: Tenant: Suite#: ^ �✓ e�` ' � � 5 �� 6�a��- �'�� 6Q0.�-�,�— 6�2 -����- Yso� ����������, a Name: Phone: e n ,�,, : � ,y `. [?��� �eo� ��X � o� � �S! 2 Z Address/City/Zip: `� a� �P f ����y,�A �: ;,p , �7�r l � rn ��' �a Name: License#: � ���� � � �`� � ����,��,��,� � Address: City: ��,� . s � `�,� �i r Y '�: � a` � State: Zip: Phone: "�'f �� `� r,. �. � : ��;r ;`,�� -.-��' Contact: Email: �� , �".-x n''r��a'r'r=�,, 6 7'�+x'i'�1`���""����`� 4 ` ��� _ ���"`� ' y New _Repla^cement _Repair _Rebuild _Modify Space _Work in R.O.W. I ������'����Ty .,� r �' \� i.../ � � � - ° Description of work: (it, � �l�� �./t L� RESIDENTIAL ' s ' � Water Heater s �, � Water Softener ' �� �� �t�: ������� Lawn Irrigation�RPZ/_PVB) r��������� Add Plumbing Fixtures�Main/_Lower Level) �� Septic System 2aX A n�iH�i�" - ,_ ��� �� � ' � � � New Water Turnaround �'�:i �,M�..:= — '�' ,�,�� ;,�. �:; Abandonment 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$210.00 if a 5/8"meter is required) $115.00 Septic System New($10.00 per as built) (includes County fee and$5.00 State Surcharge) TOTAL FEES$ CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Ca1148 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; 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 pl s. X �O d bG���^ (J'�1'� 6CC-LO� �Q� X Applicant's Printed Name Applican s Signature � #+ t � � - s;.� .� i'm k `p��� �� p{ -'rr "�� �k''�°'�'�q ;, k ,��� . ;�������F��� w ' � �'� (1�4'�f�����!�'� � t .���.��' �' ���.�y�rssta : � r _� �, s: � r : �Y c b°�- c. 1 l. F .. 7�;�. �"��.".�++�"} a ' ��y ` _ ��? 4. F <s �!(� � :� - : .e��,., �ti `�s���3'�.'` ��'"���: R�qt��r+�! Insp��ti�in� �� �Jnc�er��r�un� � x� R���i � ������ �ir�-T��� ����� � � f�''��1 �, � ;` : .�.� . : az.«„e„ .+ s ,����,"T^r^t y ii+��^�_ �' .�. ; P ,�� �;��q, i,�� .-�"� c 9�.� :� : . . �,� ��. � � ? �v . : '' s �r�"i`."���;t k ��`�h� �V'N� M�#�r FLe1a�e.d lte�ts #Viet�r a�z�'� -:; ����taci R�ad '�a��r��t�r � �#��#L«r� .__�: ` , ����� " ��' w �� s,,. �� � >> _ �,. --..,.:.�..--.�-_.� , �. _ .. fin • For Office Use ` " ' Permit# 1 (p t. Si ° r •ms°s.. zri- G A »:a .01),.s�� :� � � a ,�: Permit Fee: lip,C e� Date Received: 3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 MAR ®1 9(1W 3 ' 1-1S (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff: buiidindinspections aAcityofeagan.com L _^ 2018 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: L 'te-Slt Address: ' Va. /�(� vt Tenant D 1 Suite#: ;i040 Name:. Phone: �� -,,,,,4,-,...,,,,,,,,,,y_;4:, , .r Address I City/Zip: i i'� '��.v� yi / .„ '44VAI-i- , �-% Name: MILBERT COMPANY dba CULLIGAN WATER License#: WC641376 ' Address: 1801 50TH STREET EAST trt-i",- ;01 City: INVER GROVE HEIGHTS t Te State: MN Zip; 55077 Phone: 651-451-2241 e - x • t• ` 1 ? Contact: BILL MILBERT Email: gloria.abas@culligan4water.com ?▪t p ® _New Replacement Repair^ Rebuild Modify Space Work in R.O.W. ,, 4P'4t , S" Description of work: its ,f �k `4 RESIDENTIAL 4' ° �- —Water Heater .. t 1 4. —Lawn Irrigation( RPZ/_PVB) X Water Softener Permit T; 4 Septic System —Add Plumbing Fixtures(_-_Main/ Lower Level) p dfi �" kk _ _New __ Water Turnaround r r ° N t Abandonment RESIDENTIAL FEES: $60.00 Water Heater,Water Softener,or Water Heater and Softener(includes State-Surcharge) $60.00 Lawn Irrigation(includes State Surcharge) $60.00 Add Plumbing Fixtures,Septic System Abandonment,Water Turnaround*(includes State Surcharge) "Water Turnaround(add$280.00 if a 3/4"meter is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES$ 60'00 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 You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaaan.com/subscribe. Ihereby 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 aJkJr \ ordance the approved p Int ase of wo which requires a review and approval of plans. i Applicant's Printed Name x s' nt ii /1-4/...-4—e;:���yy A.• cants ign.tore A � 1 S � 4.. � S ,4411.1; FOR )FICEUSE � � �� `�, . ,f1/4� ri '� � s � � � fi' x ' • t; �4t4° s07� e :;44:'W/^ $ r °� . w ^'� � � ,A}` I' - Requied kis-417a° s. : �de n' °;',e t " , s ..r ` �fan � wSt , °: gr e�s . x .,.iNeterrRela e•a�msa it0etqi5 ze !�, nZad )iR8a• ; mano�QtBT,0:%.,4,,,'§'t .3 .y PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA149439 Date Issued:05/22/2018 Permit Category:ePermit Site Address: 1847 Red Fox Rd Lot:5 Block: 1 Addition: Blackhawk Forest PID:10-14325-01-050 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. 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 - Marney Halligan 1847 Red Fox Rd Eagan MN 55122 (651) 330-2965 Standard Heating & Air Conditioning 130 Plymouth Ave. N Minneapolis MN 55411 (612) 824-2656 Applicant/Permitee: Signature Issued By: Signature