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