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1848 Red Fox RdINSPECTION RECORD - CiTY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: '`'' •• Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: .. , 1:1 1=Ux ??I? ? ' !'TE-PH AN N11pI'' 17 (bt.^.) 6 Ft1_9 III PERMIT SUBTYPE: TYPE OF WORK: INSPECTION D. . .. 10; , ;:;: PI. MARKKa; !'}tU Permit No. Permit Haldar Date Telephone M ELECTRIC /??/r 3D fl ?7 91=;? 40 PLUMBING HVAC Inapection t-Date Inap. Commenta FOOTINGS FOUND ?.,7 W FRAMING Y711 7 ? ROOFING 00 ROUGH PLUMBING PISG AIR TES7 7'L ?l ROUGH HEATING GAS SVC TEST INSUL 3 rr-i.ry af !.? 4•.e.os?t?K/t?s! , 4 C MrIMJ ? GYPBOARD SpwB Qcee?.v? Ti fs.awfAT1? ' FIREPLACE FIREPLACE AIR TEST •r ?l FINAL PLBG b FINAL HTG '?A ? ?? ? ? ?• l' ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL ? "?`""y NJ nl _ -----T , ??? • • ' W,eL'fifiCQte 0f CCClipQ1iC? Witij of Wagan Mc4oart?ent vf emi[bmg ZnOccrion This Certifrcate essucd pursuant to the requirements of the Uniform Building Code cerYifying that at the time of issuaRCe lhis structure wcrs in camplrarcce wrth the varrous ordinances of the City regularrng building construction or use. For tke following: use cluafiifiww;on: SF JJAG sldg. Pmmi Na ZQ577 oa„P-y rra RI/U 1 za," osu;a Rl Tya comi. VN ownef oof auiwhna SIETH-Atd 1114M Add.. 1754 ?M= MIVE, FACM Budlding Addmss ?v'iv - L.odity ?} r Date: B+ritdiag Olficial / POST IN A CONSPlCUOUS PLACE ? Address 1848 ?tID F'OX ?tonD Zip 5512 2 , F.ot ' 23 Blk 2 Sub stacKIwtc FonESr THESE ITEMS WERE/?VERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: C!91LII? Yes No Inspector: J,(J Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass TraiUcurb damage Porch Basement Snish Deck Please verify with lhe builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze po[ential exists. Contad engineering division at 681-4645 before working in righhof-way or installing underground sprinkler system. ? White - City Copy Yellow - Resident Copy Pink - Contracror CoPY REQUEST FOR ELECTRICAL INSPECTION 70 437-430 21 8'21 UniversRy ABea Rm. &728,ISt. Paul, MN 55104 Phone (612) 642-0800 Home Duplex Apt. Bld . Olher:- . ?- ew Addn Commercial Induslrial Farm Remod Re ir Air Cond. Hlg. Equi . Water Hh. Load mt. Other: Dryer Ran e Elec. Heat Tem . Service "X" above the work covered by this requesG Enler remaiks in Ihis space and on fhe back of Ihe white copy only. Calculofe Inspection Fee - This Inspection Request will nof be accepfed without fhe corree fee: Other Fee # Service Enirance Size Fee g Circvitr/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 0 10 100 Amps Streef Lfg./Tra(fic Sig. Above 200_Am s Above 100_Amps Tmnsformer/Genemfor INSPECTOWSUSEONLY pw& G^? Sign/Oudine Ltg. X(mr. .,.?LJ Alarm/Remote Conhol Swimming Pool . I here6 caefr lhafI in insmllafion dawi6ad herem on Ihe dabs sMted Irrigalion Boom E RooqMn ?? S ecial Ins ecfion N ? p p InveStigaKve Fee Fiiwl TNIS INSTALLATION MAY BE OR6ERED DISCONNECTEO IF NOT COMPLETED WITHIN Y8 M NTHS. ??/ (? ? OFFICE USE ONLY This request wid 18 months han validation dote printed in Ihis 6ox. IIIIIIII?IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIrI?3,??L'i4?' RNt?ulL ? ?k 0 4 3 7 4 3 0 2 * PLEASE PRINT OR TYPE R uest Dat gougf iln inspec?on reqviredE Yas ? No Inspecnon qher Thon RougMn: ? Ready Now Will Call l moamll ihe ?Vou intpeclor when ready Daie Rmdy: licensed confractor 0 owner hereby request inspection of the above eleckicol work al: ? Add.? ? eei, Bw or Rauk No rox dr ? ? T Iciy ?-a?r?N Z??i aa Secnon No. iaxnship Name w No. Range No. Fire No. Cmn*04,??? Occupan ? ? %wne No Power Su ier Addrexi a,q0W7 , rm EkGU //?? onhacror ?Compan NaAme)n Conh r Ltce?ns/erNo?. / AMster lic. Na (Hant EI. Onlyj AMilin Address ?Conhacro?er Perfuimi?g In Ilalion? ' 8 ? INiV 5 ? lJ r, - AoiMrized Siqnowre (Conrc«ror or Ownu Performirg Iwallorionl Phonf No?y. +?y // lV V C1 Y/ / V V EBOOOOIA-11 8/96 yTqTE BOAfiD COPV - SEE IN57A11 NS ON CK OF YELLOW COPY RESIDENTIAL BUILDING Permit Application 7p, 60 City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 NewConsWdionReouiremenLS RemodeUReoairReaulremenis Offce llseOnN 3 registered site surveys showing sq. ft of l04 sq. ft. of house; and ?II roofed areas 2 copies o( plan Gert oF Survey Recd (20% maximum lot caverage allowed) 7 set of Energy Calculations (or heated addifions Trce Pres Plan Recd 2 copies of plan showing beam & window sizes; poured found design, etc. 7 site survey ior additions & decks Tree Pres Nof Reqd 1 set of Energy Cakulatlons Addifion - indicate Honsife sepfic system _ On-sde Septic System 3 capies of Tree P2servalian Plan if lot platted after 711193 Rim Joist Detail Op6ans selectlon shcet (bldgs wtth 3 or less unAs Date 6 / _ZL Construction Cost 9 9(J/)(' - SiteAddress ???rY ko(L10- UniUSte k Description o[ Work Ly 5 7'Y' GC ? 'i v'Fr') LCP fL Y'l.t Ejl'(g?.? C16i " d[re J 1?/jQ 1- 7 Multi-Famil Bld Y? N t 1 0 2 Fire lace(s) y g _ p _ Property Owner a y] Telephone #(? Contractor ?11`?S(`(? P 6I f? l'??? ? ?? 0 Lbt A > Address Hi.u [ ,/I City State m ?l Zip 3 a ' Telephone # (Qo? rIO "O 2S e COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Ca[eeorv 1 Minnesota Rules 7672 Enefgy Code Category . Residential Ventllation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Su6mitted Submitted • Energy Envelope Calculadons Submitted Licensed Plumber Telephone #( Mechanical Contractor 1PY' LS IJe fl e aY-b 01416 Sewer/Water Contractor Telephone #r75(?) K91j` L Telephone #( I hereby apply for a Residential Building Permit and aclrnowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a pernut, and work is not to start without a permit; that the work will be in accardance with the approved plan in the case of work which requires a review and approvai of plans. r r . ApplicanYs Printed Name Applicant's Signature OFFICE USE ONLY Su6 Types ? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Eut. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ex[. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex PI6g_Y or_ N 0 25 MiscellaneOUS Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair; ? 33 AlteraGon ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 WindowslDOOrs ? 34 R6p18Cement •Demalition (Entire Bidg) - Give PCA handout to applicant 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 REQiTIRED INSPECTIONS _ Footings (new bldg) _ FinallC.O. _ Footings(deck) Final/No C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & W ater _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S8W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector F ` RESIDENTIAL BUILDING PERMIT APPLICATION 3830 ?iLOT KN B RD, EAGAN MN 55122 ? 651-681-4675 ? U ? ? New Canstruction Recuirements • 3 regis[erea site surveys showing sq, ft. of !oL sq. ft. of house; anC all roofed areas (20% maximum lot coverage allowed) . 2 mptes of plan showirig beam 3 winGCw sizes: poured found tlesgn, etc.) • 1 3et of Energy Caiculations * 3 copies of Tree Preservation Plan if lot platted after 7i1i93 • Rim Jois[ Oetail Op[ions selecfion shee[ jbldgs with 3 or less unitsJ DATE SITE ADORESS TYPE OF WORI IULTI-FAMILY BLDG _Y X N FIREPLACE(S) _ 0 _ 1 _ 2 APPLICANT STREET ADDRESS IC4?I S' /?CGt ?UX ? CITY LLi^r STATERAJZIP SSllg TELEPHONE # -57D9CELL PHONE # FAX # PROPERTY OWNER 4tkW TELEPHONE# (&SI 'i g 705 ------------------------------------------------------°--------------------------------------- COMPLETE tHIS SECTION POR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MIN\FSO"1':112UI.ES 7670 C:A'C1:G0ItY 1 'vfIt\ESO"I':A RI'LL9 7672 (-i submission rype) . Residential Ventilation Category 1 Worksheet Su6mitted • New Energy Code Worksnezl Sucrnitted • Energy Envelope Calcuiations Su6mitted Piumbing Coniractor: ____ Plum6ing system includes: Mechanical Contractor: Mcch:uiic.il *,tcm includcs: Sewer/Water Conhactor: _ Water Softencr Water Heater N'o. of Badts Air Condiuoning Eicat Rccoccn' Svstrm PllORf # I.awi Spnnkler No. of R.I. Baths Phone # Phone # Fee: 590.00 Fcc: 570.01) --------------•-----------------------------°---°----•--------°...---°-----° •-•-----°--...------°-----------°---° 1 hereby acknowledge that i have read this appiication, state that the information is correct, and agree to comply with oll opplicable State of Minnesota Statutes and City of Eagan Ordinqraces. Signature af Applicanf A OFFICE tiSF, ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ RemodelfRaoair Reuuiraments • ? copies of Olan • 1 set of _nerqy Calculalions for heated additions . I sile survey'cr ezleiicr addi[ions 8 decks I * Indicate if home szrved by septic system for aCditions ??? VALUAiION ??p ? ? d? Not Req + d JV1 12 2002 Updated : _. . { OFFICE USE ONLY O 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg 0 02 SF Dwelling ? 08 06-plex ? 76 Fireplace ? 21 Porch (3-sea.) ? 31Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Ait - SF ? 04 02-plex ? 10 08-plex B?'18 Deck ? 23 Parch (screened) ? 36 Multi ? OS 03-plex ? 11 1 D-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding L9'?32 Atldition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation 2?0d0 Occupancy tZ3 MC/ES System Census Code 434 Zoning f?- _ City Water SAC Units 0 L Stories Booster Pump Nbr. of Units " Sq. Ft. - PRV Nbr. of Bldgs - Length ` Fire Sprinklered Type of Const W idth Footings (new bldg) ? Footings (deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Warer _ Ftaming _ Fireplace _ R.I. _ Insula[ion REQUIRED INSPECTIONS _ Fina1`C.O. ? FinaL?io C.O. _ Plumbing HVAC Other Final _ Pool _ F[gs _ Air;Gas Tzsts _ Final _ Siding Stucco Stone _ Air Test _ Final _ Windows (new+'replarement) _ Retaining Nall Approved By dk?L-e L, , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total PP5u , __JL0J ? D 93da i-. c r----2_? ef?~? 1 `?' En Ss2..3 ' ? --?-. , .? ; 1'--, j.._ '... ? , A PROPOS6D ? 6qQ HousE ? S`Asi ' ? .. , 83og5 sa.r.seav. 5 ? ? r`NV: Et`9?S.a I ao M ? '? ?? /& x33 l ?Ir 1 ?q ,M r1f ? Ma 1 •a . r ., ?~?? ?e '*1 -. s294 ??1._ C0? CMC1?iT ck.? f._ ,,. . .?. . , .. ? r ? i \ ? 1•1?1RP 'l? R5P?S1 ?.! rlwt `f 72, o , ?`Nwt 7*9ra.8' ! e : i A6? P? LOp.Ch 5 L 0'r 23, Bt o cx z, SLACkHRWK FOR657)- DAKOTA COIJNTY, M1NNESpTA l O'l'8 Rep rox RoAp _ Afilg V ify that this suxvey was prepared by me or r ct supexvision and that I am a duly Registered uhder the Laws of the State of Minnesota, l ?.E ?? a e: ? . LeRoy . Bohlen x Bl1iLDING IN,.)PECTlONS 'TPT, _ fiegieterea Land surveyor No, 10795 i ?b / ? ? Ff .. 7? ?•7 9'7 7 ?. - I . ?a ? _Z?Z'•9 No,e rK SCALE 1"=30' Al-I 8,6A91NG5 RSSUM60 o D,ENOTf5 /a0N MONUMENT T40(b I?JLoc/G? ?1r. el)b'Q ZAS%'-- MC?•1?' E l!. S7.7-.7 _._ .--P-rScRIpxioN ?h?6?7 Lb, 5T 93J 1Jd 208 ? L',STY' l7F EAGON CA:iH'_`.E:R: S ? f ' 1'F_R r1NP„_' N`!s 70 "fT_. i.4923x:14 NAt1E. RF MOLL{ZN?; GOM6'NNV 206 ROQ? =40-R`D rOX RD d ; ? +j . ? 57100.96 u #.'^aC'`n` TDa NANt;Y , ? 7K;':['*?K?k,KY<'?fi`k744G??YF?rit nWW.?k y,9.#?'k? Y °::?'{:?';'.xYFn;9i.'?f.Y,4%f94 PERMIT CIT.Y OF EAGAN 3830 Pifot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 2 9 5 2 2 (612) 681-4675 01P Date Issued: g z/2 q/g 7 SITE ADDRESS: 1848 RED FOX RD LOT: 23 BLOCK: 2 BLACKHAWK FORE57 P.I.N.: 10-14325-230-02 DESCRIPTION: ? sF owG NEW R-3 U-1 V-N R-1 63 45 2 2,174 101 1 - FAM. DETACH l 5 t!a`!;?,?f' REMARKS: PRV 5 & W PLBR - - ;' FEE SUMMARY: Base Fee Plan Review Surcharge SAC SRC ? SAC Units Subtotal B`uild'ing'-,.Permit Type f16uilding W'o.r_.k Type UBC Occupancy?11 'CanstrucCss3n 7yja.e Zoning Building Length Building Witlths w' Bui ldin9 stories a?qu?a?t;e Feet C eCI ?.tYQ'e t t 1_. VALUATION $1,377.25 $895.21 $99.00 $950.00 180 1 $3,321.46 $198,000 MISCELLANEOUS $1,979.50 Total Fee $5,300.96 CONTRACTOR: - Applicant - ST. Lzc OWNER: SYEPH-AN HOMES 16819777 0001457 STEPH-AN HOMES 4A30 BLflCKHAWK RD 114 1754 DRAKE DR Eji6AN MN 55122 EAGAN MN 55122 (612) 681-9777 (612)681-9777 I hereby acknowledge that I haue read this application and state that the informa 3on is correct and' agl°ee to comply with all app3icab2e 5tate of Mn. Statut and Cit ot Eagen Ordirrances. L _ _.. _ . ? ???? ?ntin R.?,??,f 1? APLIIANTIPEIMITEE SIGNATURE SSUED 8 SIGN TUR 997 BUILDING PERMITAPPLICATION (RESIDENTIAL) 45,???. lb if CITY OF EAGAN 5830 PILOT KNOB RD - 55122 687-4676 RemodellRenair ReauiremeMs ? 3 registered site surveys ? 2 copies of plae ? 2 coples of pians (inGude beam & wirMow afzes; poured fid. design; etc.) ? 2 stto surveys (exterior adtlitions 6 decks) ? 1 errergy calwlations • 1 energy calculations for heated addttions ? 3 copies of tree preyervaHon plan if lot platted after 711193 required: _Yes _ No a DATE: CONSTRUCTION COST: DESCRIPTtON OF WORK: STREET ADDRESS: LOT .7-3 BLOCK Z SUBO.iP.I.D. C"ge PROPERTY OWNER CONTRACTOR Name: Phone #: ? Street Address: City: State: Zip: Company: Phone #: Street Address: 17?Y License #: 1"152 City: State: MN Zip; Ssi 2 z- ARCHITECT! Gompany: ENGINEER Name: e Phone #: Reg'istration #: Street Address: City: Sewer & water licensed ptumber (new construction onN): and lot change are requested once permit is issued. Penally appiies when address change I hereby acknowledge that I have read this application and state that the infannation is co c d agree t?m ly with all applicable 5tate of Minnesota Statutes and City of Eagan Ordinances. j? d Signature of Appliqnt: ' OFFICE USE ON4Y Certificatesaf Survey Received Yes _ No FE$ 1111997 Tree Preservation Plan Received _ Yes _ No _ ZNot Required State: Zip: BUILDING PERMIT TYPE OFFICE USE ONLY ?F K+ v.??!iu ?Y "?.,? i?'? ? _"`,?, 0 01 T'? Foundation ? 06 Duplex ? 11 Apt./Lodging o 16 Basement Finish . 02 SF Dwelling o 07 4-plex ? 12 Mul6 RepaidRem. ? 17 5wim Pool ? 03 SF Addition ? 08 8-ptex ? 13 Garage/Acoessory ? 20 Public Facility 0 04 SF Porch o 09 12-piex ? 14 Fireplace 0 21 Miscetlaneous 0 05 SF Misc. 0 10 _ plex o 15 Deck WpRK TYPE ,0--?31 New o 33 Alterations 0 36 Move ? 32 Addition o 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) V20 Basement sq. ft. i 4 SG. MCM/S System ? (Allowable) Jd Main level sq. ft. I v rv 8 City Water UBC Occupancy 2-3, u- i 2^' sq. ft. 15, RG Fire Sprinkiered Zoning -2- ! 4a.a?e sq, ft, 170 (o PRV # of Stories - 2- ? sq. ft. Booster Pump Length (02' 6" sq. ft. Census Code. io r Depth °i s' Footprint sq. ft. SAC Code Census Bidg ? Census Unit 1 APPROVALS Planning Building +U+'? Engineering Variance Permit Fee Valuation: $ i606. r Surcharge 8ase.? e.? ?- Plan Review ? License 4 fl 9 i 3 53 MC/WS SAC -i5, u 7 x 3 _ 2` City SAC q s? y Water Conn. Water Meter 20, Acct. Deposit ?,,U...?1 Sp<<o ? S/W Permit S!W Surcharge --' 4. s Treatment PI. Road Unit ? gf Park Ded. Trails Ded. Other Copies -41 s? -,y -2- ?z _ z-a TOtal: °k SAC SAC Units ???{ 5'4 = 8S ?O? .'? iq-G7?`Z & 5 .<1y 2-9.e- -7 T.• D 39so F,,, a o'^33'._.? ? ex ?zt.' ? ;.r saN.?cav. _ _ .1 cr* azz,s ? r w» ? -? ? ? ? ' ?2.?n . ?`? ?`- I?y PKKous E n 6 1 ati ? I ~ ?N ? ? 3 I °o ? ? t% ' r By i . rg I EAG?W E i ( ?r ? ? ?? r/??j.gY A?EA?D \ ?sFMFror ? ? ? Nwt 'r4%2.o ?rHWL 7bJ'?S' Ex Ss.z.'? J / r, ?r A . ? ., . .' ; 4.._ ?._ s , Ob1a3? \ac,A,yh r C+ s`A6E ?.$ _ saa. s f oG m" ,?? / I , ?s/,;. A., 7 ? ? 7 ? ?? % b I ?f '?'? . I ysiO 3 '-, ir, ?3°•e > A a294 7 / , ?•? e 5 2 u?se %??? ?2'• 9 N ? +voRrH _ SCALE I"=30' RLL BEAlC1NG5 ASStIMEO e 05NOTES /RON MONUM&N7'. 'r4Pr4 e%?. 2!?30.a ZAS'M MIe " `C' EL. . Y Z,2. .'r DFSCRrprloN _ t oT' 23, eLo cX 2, BLR CXHAWK FORfi ST, aAKorA couNrY, MtNNESprA i??aa.e45s ( ?'4-L+ R?Q ?e?x Rr?Aq PoL! LLoYm ??'??--•i=?::r'?? _.; u. . _i IV . ify that this sux'vey was prepared by me or '• r ct supervision and that Y am a duly Registered under the Laws of the State of Minnesota. ? 20--?/-7 a e: // LeRoy . Bohlen `-.%BUILDIfVG INSPECTIO_NS nEPT. fiegzstered T,and Surveyor No. 10795; 0h:60 L6, 6L 63J SC1d 208 , LOT SURVEY CHECKLIST FOR RESIDENTIAL ' BU DING PERMIT APPUCATION PROPERTY LEGAL: Z ? ? DATE OF SU VEY: nC diJ t? LATEST REVISION: DOCUMENTSTANDARDS z ? ? • Registered Land Surveyor signature and camparry ? • Building Pe?mit ApplicaM ? ? • Legaldescription g?o 13 • Address e,--[] ? • North arrow and scale 0--'0 o • House type (rambler, walkout, split w/o, split entry, lookout, etc.) a-'o 0 • Directional dreinage arrows with slope/gradierrt % ff-?o ? • Proposed/ebstlng sewer and water services & invert elevation EK?o 11 • SVeet name Er'o ? • Driveway ELEVATIONS F)dstina ?o ? • Sewer service (or Proposed) ??o ? • Property comers Er'O ? • Top of curb at the drNeway 0-'o o • Elevatlons of arry eftting adJacent homes Prooosed ? • Garage floor 13 p? ? 0 • • First floor Lowest eposed elevatlon (walkout/window) / o' ? ? ? • Property comers ? • Front and rear of home at the foundation PONDING AREA frf aoollcablel 0-?o ? • Easement line 0?O ? • NWL er'o ? . HWl o O ? • Pond # designatlon ? $-1o • Emergency Overflow Elevation 0--?o 0 . ET'0 ? • m ---0- ? . ?0 ? • ?? ? • ? ?? • Lot IlnesBeerings 8 dimensrons Right-of-way and street width (to back of curb) Proposed home dimensions including arry proposed decks, overhangs greater than 7, porches, etc. (.e. all structures requiring pertnenent footlngs) Show all easemerrts of record and any Cily utllides within fhose easemeirts Setbacks of proposed structure and sideyard setback of adJacent e)aasting structures Retaining wall Reviewed: JWary1988 CRA127995IBLO(iPRA(f.FM wrE 5-0+45 TNH 826.: ' EL,7'99.3 ?? HTDRANT 2737 Ax i I$ b?.t '? 8.3 ? _ j A1 z 8? TEE 2+80 3+50 a/ 5TA 4+'SO ? STA 1+ 4 8 ??• STA 5+50 WYE (DROP SECTION) 5-0+52 WYE WYE S-0+3S EL808.0 S-0+70 M?YE EL797.4 ??? 5-0+70 WYE ! 22 815.00 0.-B'h9$ S-+- 821.35 EL-9z WYIE 23 .ITY Sr9+9o- 0+85 21 DUIT 0..-7e9-9-790.85 2 4, EX. SAN. WR Ac ??- WrA?TERM/UN ERVICES 25 \ LO - _,?.....`,..._ ?r,f•,r -ti^n1?,?_,......? •? " _. ?.. . . . ?"1 0, F U.l1= ?•.?'if ? ^.?. ..n-.•?e \ : _ .. ...., e.. - _,.. ..l,.liJ.y.) .:! f11{?1`?n 'r r•n ... '"l ? . ..? ; PU' ---.T ? ? ? .. < ? ?:? G?•? "i {?? :.I i ? ?o . R F,? ?? 19 B LOC I? / \ ooo' / EX. MH ' / - \- \ ? / 18 CONNECT T ISTING MH AT INV 78 . R E D ? X IF1f PROIR TO ONSTRUCTION) ? ........................................:. :......... .... .... ......... • v : ?n : : : : : h . - . . . . . • ? ?o ; ,o ? : : : : : ? N . ^ W • ? m, • ' ' ? . a ? x:lp ..........................' : .....:....?. . , ? ......? ?pIP ..n' ? .,11 , 00'-8" DIP ' O • 0:4oX. . . . . . I fNV 90?7 9g: ...;,, L? .......... 100'=8" DIP . . . 0 •Ss40 ?.0.470, Iw ??. 59. : 7.5* M11 ........... i-`TY ?I a6"DIP CL I . . . . .260'-1r, DIP, I?'N 09866- (E ec w) e4 INV (DROP) : 822,00 (N) 'fNVmefte9•....... ........' • I : ' 800:41 ?....... . ( .................. .I .........:........ I ..:.........I ......... ........ . ......... :......... .................. T t?'I: V^i}y nf' L:/'iGY.IV DOL'J '9 r ?•,'r?. . r : L ^l1C'? OF U TILI' ?'Y LOCA7110; t ; • • E,?:. ??-.: I_L'L-VA10€?IS. Th1iS ! fS • r ....,. r ' . .....r.?. ,,:_. . . . . . . . . . . . . . . . . . . . . . . . : . . C?':'?..',' . A:'..:? . ,r,' i fOiV Q;'V T H s SlTE. ,? p :! 8 DI .? I . . ' • • . : + ... .....?I....... +I . ?1 . . . . . . . . . 3+00 .4+00...... ................. + . 5+00 6+Od -'" CERTIFY THAT TMIS PLAN, SPECIFICATION, OR ` WAS PREPARED BY ME QR UNDER MY OIRECT >i0N !Wp 7HqT I AM A DULY REGISTERED PROFESSIONAL ? UNDER THE LAWS OF THE STATE OF MINNESOTA. ,4414a jQaw SCHOELL ENGINEERS s SOIL TESTING • . l1ItI11?SO7'A S?ATFi?t1F+ILri7L C?P_Fi?BLS-i?I,gTloll@ ?J7 I RASGU DII CIIAPTER 5 OF TIIG 1L[2EL-MlFG.YC2[2F - 148j EDITIotI Adoption Effectlve , owner Phone pate L ? Slte Address ?O y?? ? G%a' fl /I Contractor_ Ph C?1- 97?'7 Ouildinq ClacsiElcationt Type A1 (Single Fnmily 6 puplex) on Type A2 (Residentlal, ] stories or lese)_(OVer 3 stoYies) (Other) t1QTELC.QIDp1cte pagaH 3 npd4 firet. gEtlEE3Aia_IliEQEL18Ti4ti 1. Duilding Perimeter 2. {9a11 helqht (ground to have) i1 ft. • ' 3. 1. X 2. (above) gross wall erea eq.ft. 4. Dullding dimenslons (L) x(W) eq,ft.roof 6 floor arae 5. Sq. foot nrea ot rlm jolst - Floor oi ze (2 t? nq X( herime7{ter A • ?`?(.? sq. ft. ... ? 6. poors - Area ? Thickne,e ?n U. kacitit' Type of constructlon Perimeter ft. . lfaliuFucturer_ : 7. Total door'e perimeter Et, e. Wlndows: Flanufacturer 1r09,1i., Lewfl li gtate approved U Eactor . IW4 ,TYPE SIZE AAEA (Bq,Ft.) NU6ID6R OF TpTAL EACII UNI'P9 SQ FEET .. ? 9. Total sq.ft. Glasa J? -? lo. Fireplace area: Wldtli X Ileight A X ? sq.ft. li. Exposed foundation: Ifaight X Parimeter, U X! 0=sq.ft. COt1PLETIOq OF TIII9 FORM I8 REQUIREp FOR AGI. NEW COtiBTRUCTI011, HAJOR AEIloDELI1IG AtID pUILDItIG5 F1EItIG ItOVEp WIIEi2E ElIERGY, OTIIER T1lAT1 TIIE tIINTFIAL CODE ALLOWANCE, IS USEO. 3 -1- . . ' 12. Framliig aren = lot of gros o.wttll araa, iJ. Groes wall prea W!/ ? sq.ft. Window area A ,sq,ft, ll wlndowe = -226 , OxA = Rim joiat area sq.ft. U rim joiet= • ? UxA = Door urea A sq.ft, ' U door aren= ' UxA = 7 Otlier doors area A 1i/ eq,ft. U otheY doore=j*7 UxA Expased fhdli A ? I aq.ft. U foundation=?0 (9 UxA = !D " Framing nren ?. /? sy,ft, U framihq area=+4995 pxA _ a 11et wull araa eq.ft, U Wall- •/?-?? UxA =-?? (13U) TDTAL. . . . . . . . UxA = ?_4 3 14. Gross wall nrea x 0.11 (A-1 einqle family 6 duplex) allowahle UxA/Code" (13. above) x 0.23 (A-2 othor reeldential) • . x .zy (other buildinqe) ` n x .ze (ovnr 3 etariea) ?? NTUiI must be lnrger than or eam A x U Coclo, °F: e ns 13p aUove 15. Celling fratninq orno (Af) oquqle lOt o[ oelling area 15A. Grose celling oron =(L) ? x(W) eq,ft. 15F1, .Toist area (AE) d 10; ceiling nCe4 eq.Et. 15C. Net ce111ng area (A )(15A - 15p) o ?Zeq.ft. ll ceillnq x Ac b5i??0 x?d U framing x A f a H 15D. TOTAL U x A .............. ....i..?.... ..._ 15. Ceillnq oren (15A) x 0.026 (A-1 pingle famlly 6 duplex) = allowable uxn/Code x 0.037 (A-2 other residential) H 0.06 (othe[) ?.7, n'rUli muet be larger A 15A (?PI`T ( 1 x U Code oF than or same _, ? = , as 15p abo ve IIOTEt tlge U anil A vnlues obtalned from pagae-1, 3 and A. GI311'LIFI&nTI4tis i heraby certify thqt I have calculated tbo "Ull "It" valuas hereln nn4 that tho bullding here desc ib d t factors and r e meo a or 9tnte of 1dlnnesA>ta Giiorgy CondorveElon l,at, exceede tlie Dute 91gnaCure -- -2- .... ?q4- -------- G?Qax_??D LIL--------- --- ---- : - -- _ ------- ??,?7 x_?SS?; St4St45) f? _ jq-3q _--- _ -- ?.?'JX Z7-f- ??'o,.? ) 85?? = 7J? - - - - ---- -. ._ - ; ------- ------ --------- Z? S? ---=------- ---- - ---------------- . ?'?. I?(?------- ----- -- -- Lkjti) -- - --- - --- -- - -- -- - , -144_ = ?D x l l-- -M ?-? D ?ZA = ?Z z 1Z - Htr-I ___?,p/vo - -- ---- lOk? --- CPD ------ --- i11. - 32 _-- .?-f?.'N'lI Z?l ? _-` ?Z, Sk 7_ -= ??---------- f I ? ? --- - ? -- ---._ _. ? , ? L Gee B CITY USE ONLY RECEIPT#: p D? V pLn ? SUBD.(.YClI'.[t-?-K?lA.uYl`L RECEIPTDAiE: -3 l? A. 7997 PLUMBING PERMIT (RESIDENTIAL) CI7Y OF EAGAN 3830 PILOT'KNOB RU EAGAN, MN 55122 (812)681-4675 Please complete foF: • single famity dweilings ? townhomes and condos when permits are required for each unit . backflow preventerforundergroWnd sprinkler system FIXTURES EACM N-Q, 70TAL Shower 3:00 x / = 3•00 vVater Closet 3.00 x 3 = 17.00 Bath Tub 3.00 x 1' = 3.av Lavatory 3:00 x 167 ? KitchenSink 3.00 x i oo = 31 Laundry Tray 3.00 x ! = 3.00 Hot TublSpa 3.00 x' 3.ob Water Heater 3:00 x /. = 3:015 Floor Drain 3.00 k 3 Gas Piping Outlet "minimum-1 3'.00 x 3 = 7141 Raugti Openings 1.50 x 3 = 4. W8f2f SOftEflBr"for dwellings underconst[uction . 5.00 X'. - = . _ .. Water Softener "(otexisting dwelling 20,00 X = U.G.Sp[inkler `fordwellinguntlerconst. 3,00 = U.G. Sprinkler * for existing dwelling 20.00 = Alt@feliOqS ` to exisdng residenCe 20.00 = Water Tum Around 20.00 = Private Disposal.5ystem " Dak Cty iic. 75.00" _ (newandrefurbished -systems) . . Private Disposal Systems ` abanaonmenE 20':00 = STA7E SURCHARGE .50 \.\ t , TOTAL 0 • co 1 hereby adcnowledge that I have.read thfs applicetion;:statelhat the iMortnation is mrrt:d, and agree to comply: wkh,all appliccable City of Eagan oNinance6. It Is the:applicanY,s responsibility to nohty the'-property ownerthatthe City of'Eagan.aasumes na lia6illtyTor any damagesqused tiy the Elry during iLa rrortn9l?operetionsl?arM.maiMenanceactivities to the faalites'construc[etlunder this;pertnk wiM?in City property/right-of-way/easement SITEADDRESS:. E b`Fb /CE-L?l- rG OWNER NRME: ?t????-"?? INSTALLERNqME: WaN7.oa. l STREET ADDRESS: 1151 SE1 ciTV: 45?A(> AA-) STATE; TELEPHONE #: - 4SZ - ?S6S .-. . ZIP: 'SIGNATURE OF PERMITTEE :? L C?3 BL oZ CITY USE ONLY SUBD. ?A.el?aAA 1,96A,eJ 1997 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (672) 681-4675 Please complete for. . single family dwellings . townhomes and condos when permits are required for each unit ? Y New construction Add-on furnace Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. ? Date: ? - /cf - 9 7 ?-? /q'h? G ? ? t ?seRSo ?-- '?"' ,4/C- R c9Na. e? F.,?.? -?- \je_t'_?" K &t?- -?' . ? Minimum Fee: Add-on/Remodel (existing residence only) ? HVAC: 0-100 M BTU Additional 50 M BTU ? Gas Outlets (minimum of 1 required @$3.00 each) ? 5tate Surcharge RECEIPT#: RECEIPTDATE: 4?19 FEES $ 20.00 24.00 6.00 ,0 0 .50 TOTAL SITEADDRESS: I Rjq ?/ ?'a FnX Qoc?ct OWNER NAME: ? i?PIti - Anl Hr?rv?S PHONE#: INSTALLERNAME: KIeJe- PHONE#:qa STREETADDRESS: I3U7S ?I" I(?n1eeS ? 6'Cs?l? CITY: ?d P?AJ V5 C?_ ? Sk e STATE: I??! v ZIP: ?S 3kY ?7 CITY USE ONLY L BL RECEIPT#: SUBD. RECEIPT DATE: 1997 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD _ EAGAN, MN 55122 (612) 6814675 Please complete for: DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION DESCRIPTION OF WORK: INTERIOR IMPROVEMENT FEES: * $25.00 minimum fee or 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: (iMPROVeMeNrs oNLv) INSTALLER: ADORESS: CITY: PHONE #: SIGNATURE: STATE: ZIP: SPGNATURE OF PERMITTEE .. CITY INSPECTOR ' - . all commerciaUindustrial buildings. . multi-family buildings when separate permits are no required for each dwelling unit. TELEPHONE #: 41,111 City of kali Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use Permit #: 5(t8 Permit Fee: t 05. ?5 Date Received: Staff: (y�j 2013 RESIDENTIAL BUILDING PERMIT APPLICATION c i 1 Site Address: I k-fc F-1))‹ t Unit #: Name: IC,..S CP( -1 SL S c,,'1 e"i n`b1 (:„ 1 Phone: 6,c I ' Y - 77C l Address / City / Zip: g`(12_,d To< ft Applicant is: Owner Contractor Description of work: I� �' e ti Construction Cost: c S UC'tu Company: (1)r C Cin i`G..C-t,,� Ir L L Address: I (; t,,,o- 1( `31 v' y S i s r-)'1 ' cr City: LO0'C� 6)5/ -?L,4), I>7S Multi -Family Building: (Yes / No X ) Contact: t ./Lit �tif f v State: Zip: 12 Phone: License #: P -)C, 9 (o 3 ) 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: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans and supporting documentsthat you submit are'considered #o be public information F. the information may be classified as non public if you provide specific.reasons'thatwoind permit t 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.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work 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. 0,.) l -. Applicant's Printed Name Applicent's Signature Page 1 of 3 Use BLUE or BLACK Ink l For Office Use /~21 j Permit Q/J / City of Eats. osa Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 j Date Received: /(0 !V 410 j Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: QD I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: I~ I b 20%3 Site Address: I4 L~F ko POK Ric)" Unit Name: -SASw'i Nt WOA Phone: (0 15 Resident! a Owner Address / City / Zip: f-CK R~ E~„N IMN SJr -2- I I Applicant is: Owner Contractor Type of Work s Description of work: WL -61M WIM31 OW S C&~) !J O Cf- N C6 T-a 0tfgl I ' Construction Cost: Multi-Family Building: (Yes / No 0 Company: Contact: Contractor !Address: City: State: Zip: Phone: License Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) wI-jD r on►L - 14NS f- -90 t I-T I/J ! g . 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: NO FEE Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive 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 lans. Exterior work authorized by a building permit issued in accordance with the Minnesota to Building Code must be completed within 180 days of permit issuance. X_ S1CS7 iJ I-f . 14 J MA,J x Applicant's Printed Name Appli ant ignature Page 1 of 3 4111'City otEag,an Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: J 2013 RESIDENTIAL BUILDING PERMIT APPLICATION // 3 Site Address: / 0 ` 0 �eC ► »< e, 2 4 d Name: '-5-ot- S o,n 4- Sue AL1a i'1 Address / City / Zip: ! e Y 4B ICpd FO c d Applicant is: Phone: Unit #: G,s I-?9v-97ay Owner Contractor Description of work: 12.Q S �C.Q VL; ty t-�Construction Cos / 000 Company: Address: State: ,, Zip: G ( Z �-1 C0in-L -7(01 10 Cuvre/l S td► Multi -Family Building: (Yes / No)C Ll _ C_ Contact: , t M of Lf 61" - Su ► WCity: W0061L1 Phone: (i, 1— 2' 1 a 7 ) License #: 3( 6 3 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: Phone: Phone: Mechanical Contractor: Sewer & Water Contractor: CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; 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 - u ding Code must be completed within 180 days f ;mit issuance. 14\ -PA Applicant's Printed Name/ Applic. is Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA126607 Date Issued:09/02/2014 Permit Category:ePermit Site Address: 1848 Red Fox Rd Lot:23 Block: 2 Addition: Blackhawk Forest PID:10-14325-02-230 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Eric Bruckmueller 3992 Pennsylvania Avenue Eagan, MN 55123 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Jason H Newman 1848 Red Fox Rd Eagan MN 55122 Bruckmueller Plumbing Inc 3992 Pennsylvania Ave Eagan MN 55123 (651) 686-6696 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA126607 Date Issued:09/02/2014 Permit Category:ePermit Site Address: 1848 Red Fox Rd Lot:23 Block: 2 Addition: Blackhawk Forest PID:10-14325-02-230 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Eric Bruckmueller 3992 Pennsylvania Avenue Eagan, MN 55123 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Jason H Newman 1848 Red Fox Rd Eagan MN 55122 Bruckmueller Plumbing Inc 3992 Pennsylvania Ave Eagan MN 55123 (651) 686-6696 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA160580 Date Issued:03/23/2020 Permit Category:ePermit Site Address: 1848 Red Fox Rd Lot:23 Block: 2 Addition: Blackhawk Forest PID:10-14325-02-230 Use: Description: Sub Type:Fireplace Work Type:Gas Fireplace (new) Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - Jason H Newman 1848 Red Fox Rd Eagan MN 55122 Fireside Hearth & Home 2700 Fairview Ave N Roseville MN 55113 (651) 633-2561 Applicant/Permitee: Signature Issued By: Signature For Office Use • 10 DC6 , f • Permit#: EAGAN•.�� _.• —�� ` Permit Fee: d"D--. 13 2020 APR Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX: (651)675-5694 L Staff: buildinainspections(c cityofeagan.com -rte 2020 RESIDENTIAL BUILDING PERMIT APPLICATION Date: / ' Site Address: / g"1 g i2e ( ( i" Unit it: Name: 4,6 Oti Aft L(4//rt tt 11 Phone: 651— 202 — 12 9O Resident/ / g g ked Owner Address/City/Zip: Applicant is: Owner K Contractor Description of work: _LMi4Il I)�/ (D MSN S'i 1e decking nd rill l i ti a,' ek ifTl A Type of Work dec� Construction Cost: g 500 Multi-Family Building:(Yes >/No )C ) Company: / /i/ke k 1 ' j Contact: AI/k f'� (d r Contractor Address: (7 645? !/OIC` ,'d City: i A)C/ N/S State:l fl�Zip: n^ 5-Si/ D Phone: 6S) 3J 97/6iail: 4 iA K/e Are 41611 f, (,r41 License#: rJ 21652- Lead Certificate#: If the project is exempt from lead certification, please explain why: ,i‘ ai br 7 g \ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supparbing documents that you submit are considered to be public information. Portions of the information may classified as non-public If you provide specific reasons that would permit the City to conclude that they are trade secrets. 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. Exterior work itthorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permittspuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)464.0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.org I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approv I of plans. (i' i Ice k Ue,U,r x I -L14.„ Applicant's Printed Name Applicant's Signature vv 111V I rrINI I I- u1-a.vrr 1 111•0 �1111 ,/f /1�^ (� SUBTYPES ( t0 d' Ec `` 11 6 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 _ 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 ��yy A Valuation &5 /L Occupancy ',IG- / MCES System Plan Review T- Code Edition ?oogj, IIA1I gG SAC Units (25%_100%j_) Zoning /2.& City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction '(I Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) /( Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood Roof:_Ice&Water _Final Pool:_Footings Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick EFIS Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: , Building Inspector RESIDENTIAL FEES % F.cum 1 of S Tv.5 pc_c-f. a Ai QQ .� t ' Base Fee J Surcharge if QVc(" --3o- ct,6or Plan Review 67 fi ,J L MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3