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1851 Red Fox RdCity of Baan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 137 / JUL 2 2mi if COO' Use BLUE or BLACK Ink For Office Use /� Q Permit #: /0 000 U Permit Fee: ' 3 0l+ 66/ Date Received: Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 7/2 6/2o/f Site Address: /8 0.1 re -40 /:>?c kcdt4? Unit #: 7--dc2-- Name: r /Z -/C-, 6p"/el Phone: bS I "—WY- A/ Address / City / Zip: /O 5I / / � f /i/I Al 557 Z Z Applicant is: C Owner Contractor Description of work: T.,-~2.4., Z.& / 1/myvval-‘ Construction Cost: 5-10X- Multi -Family Building: (Yes / No Y) Company: Contact: 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) 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. Cali 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. x Applicant's Printed Name Applicant's Signature Page 1 of 3 SUB TYPES Foundation Single Family Multi 01 of_ Plex Accessory Building WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%` 100% Census Code # of Units # of Buildings Type of Construction DO NOT WRITE BELOW THIS LINE Fireplace Garage Deck Lower Level Interior Improvement Move Building Fire Repair Repair L34f v6 REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water _Final yFraming Fireplace: _Rough In Air Test Final Insulation Sheathing Sheetrock r�. Porch (3 -Season) Porch (4 -Season) _ Porch (Screen/Gazebo/Pergola) _ Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Reviewed By: Siding Reroof Windows Egress Window 10030? Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* _ Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required –Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Other: Pool: _Footings _Air/Gas Tests _Final Siding: _Stucco Lath Stone Lath Brick Windows Retaining Wall: Footings Backfill — Final Radon Control Erosion Control , Building Inspector RESIDENTIAL FEE'S Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL /9/ 93,0 Page 2 of 3 1NSYL(;'1'lUN KLC;UKlU ? CITY OF EAGAN PERMIT TYPE: - 3a3^-Pilot Knob Road Permit Number. `'•?''04 ' ? Eagan, Minnesota 55122-1897 Date Issued: ? (612) 681-4675 SITE ADDRESS: APPLICANT: ? . . ., . l•F? , , , t. i.' PERMIT SUBTYPE: TYPE OF WORK: INSPECTION D. . .A ?+ .., ? ? , , ,?? . ?: • ?.; . ? Rf'MnRK4, c 5' J6 W 1, 1 tIMRFk - lltl f ToM ltIJW? F'i-14'1N€ 19: 7.2371 . (''1 AM 141=ti1i i' I.FF 0 FiY lt?t VItF {': -1 A Permit Holder Date Telephone # PLUMBING ? V AC hkV /v, Inspection 15ate Insp. Comments FOOTINGS ?o/vr ? FOUND FRAMING [N1C/ 6 7 p 4 ROOFING ROUGH PLUMBING ?-? PLBG AIR TEST ROUGH HEATING - / ? GAS SVC TEST j 317 INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLf3G / ! ? T -- - _-- -- __. FINAL HTG . ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION M1i1ETER FLUSH MAINS coNOUCTivm TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL WtrttfiCRte Df CCC1IpQliCV Witi) of Cf agan Ze,partracut oi ?xi[biug ?u??ectiaa This Certifecate issued pursuant ro rhe requirerrsents of rke Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building canstnrction or use. For the following: uY classirKation: S F I} Lt G ewg. rtm,ii r,a. 32643 (?a.-upancy Typt -R3/ U 1 7aiing Districi {Z I Type Conu. UN Ownet of Huildias MAPIRAM 17?VF7. 1C (TTL?f A"6s 3030 ($i ?jIA-AVET Q"AT?g BuildingAddress 1851 NO FXE RKM looliry iA, RI. RiAMAWK EMSI S\ , 1 [ 1 ?C4? 1 ? ?/'? 1.V 1 Datt: ouikrmsotrww POST IN A CONSPICUOUS PIACE , Address 1851 ueo Fox Roan Zip 5512_2 I.ot 4 Blk I Sub KAr1WWK Fo?Tsr THESE ITEMS WERE / WERE NOT COMPLETE AT TEIE TIME OF THE FINAL INSPECI'ION. Date: Yes o Inspector: d? Final grade (6" from siding) Permanent steps (gazage) Permanent steps (main entry) Peimanent driveway Permanent gas Sod/Seeded grass TraiUcurb damage Porch Basement finis6 Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shutoff of water supply to the outside lawn faucet before freeze potendal exists. Contact engincering division at 6814645 before working in rightof-way or installing underground sprinkler system. ? White - City Copy Yellow - Resident Copy Pink - Contractor Copy 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone 9 651-675-5675 FAX # 651-675-5694 New CrnsWCtion Reauiremenls 3 registered site surveys showmg sq. R of lot sq. R. of house; and aq roofetl areas (20%mazimum lot cwerage allawed) 1 Soils RepoA if proposed building is lo be placed on disWrbed sdl 2 copies of plan showing beam 8 window s¢es; poured found design, elc. 1 sel ot Energy Calculations 3 copies of Tree Preservetion Plan if lot platled after 711193 Rim Jast Detail Options selecfion sheet (buildnqs with 3 w less units) PAinnegascomechanical venUlaOOn form RemodelfReoair Reauiremenfs 2 copies of plan showing fooUngs, 6eams, joists 1 set of Enerqy Calculations far heated addiGons 1 sile survey for addifians 8 decks Adddion • indicafe il on-sife sepfre system Telephone # ( Planc are r.nnsidered nuhlic information unless vou state theV are trade s2cret and the reason. Date yZ_ / ??6 Construction Cost 9 6? 06 Site Address /'9,6/ R Cd lfrOX ,[Q 04 4J UnitlSte # Descriptian of Work Multi-Family B(dg _ Y_ 1V Fireplace(s) _ 0 _ 1 , 2 PropertyOwner Telephone#(9Sc? 00/- _?0494 Contractor '.Address _,V3 ), Svu77! 5v tTo.v State ';?/v L.4k'-F_ 8L(/Q . _ City 4A-J Zip !5??_7$;k Telephone#95Q) Q9 ?Z '-S'88C? O COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Mirmeso[a Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Enefgy Code Category , Residential Ventiiatlon Categary 7 Worksheet • New Enerqy Code Worksheet (J submission type) Submitted Su6mitted . • Energy Envelope Calculadons Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _ Y. _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( w Ofice Use Onlv CeRMSurveyRecd _Y _N So75Repart _Y _N Trce Pre; Plan Recd _ Y _ N. TreePresRequired _Y _N On-slteSepticSystem _Y _N Telephone #( ) I hereby apply for a Residential Building Permit and acknowledge that the information is comptete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to starf 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. O'A501?) Stru?? ApplicanYs Printed Name A tca ' i e DO NOT R'RITE BELOW THIS LIIVE Sub Tvpes ? 01 Foundation ? 07 OS-plex ? 02 SF Dwelling ,? 08 06-plex ? 03 01 of_ plex ? 09 07-piex ? 04 02-plex ? 10 08-plex ? 05 03plex ? 11 i0.plex ? 06 04-plex ? 12 12-plex Work Tvpes ? 31 New ? 32 Addition ? 33 Alteration . ? 34 Replacement ? 13 16-plex ? 16 Fireplace ? 17 Garage ? 18 Deck ? 19 Lower Level ? 20 Pool ? 30 Accessory Bldg ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 22 Porch/Addn. (4-sea.) ? 33 Ext Alt - SF ? 23 Porch (screenlgazebolpergola) ? 36 Multi Misc. ? 24 Storm Damage ? 25 Miscelianeous . ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 36 Move Buiiding ? 42 Demolish Foundation ? 45 Fire Repair. ? 37 Demolish Building' ? 43 Reroof ? 46 . WindowslDoors `DemolRion (Entire Bldg) - Give PCA handout to applicant D8SCY1P1i011: Water Damage _ Yes Valuation Occupancy MCES System Plan Review _ 700°k or _ 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIl2ED JNSPECTIONS ' _ Footings (new bidg) _ Sheeuock _ Footings (deck) _ Final/C.O. _ Footings (addition) . _ Final/No C.O. Foundation HVAC Drain Tile Other Roof Ice & Water _ Final _ Pool Ftgs AidGas Tests Final _ _ Framing _ Siding _ Stucco Lath _ S[one Lath _Brick Fireplace _ RI. _ Air Test _ Final _ Windows _ _ Insulation _ Retaining Wall Approved By: _ Base Fee Surcharge Plan Review MCIES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector 6-7 c9 /4 2004 RESIDENTIAL BUILDING PERMIT APPLICATION ? 7J City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 fficetkeOra New Constmction Reouiremenis RemodeilF2epair Reauiremenis 3 registered site surveys showing sq. it. of lot, sq. fl. of house; and all roofed areas 2 copies of plan Cerk bFSwvey Rer.d .! Y_„Al (20% mazimum lot coverage allowed) i set of Energy Calculalions for heated additions IreePres Plan Recd ?Y _N; 2 copies oi pVan shcwing beam &vrindow sizes; poured found deslgn, eic. 1 sile survey for additions & decks 7ree Pres Re?jmre¢ mm Y ry isetofEnergyCalculations AddRion - indicate"rfon-sitesepficsysfem 9hsilBSepCic?yStertl _X _N 3 copies oF Tree Preservation Plan if lot platted afler 711/93 Rim Joist Detail Options selection sheet (bldgs wAh 3 or less unils Date I ? /? /Lj^ Construction Cost t)cldo ? Site Address ?vJ? I (Li-O ?"J?C IZ-D UnitlSte # OAC,N.1 MN , S SI Description of Work 4::1N1S3-\ Malti-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 PropertyOwner ?iM Myv3 Telephone#kJ' Contractor Address CiTy State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Mimiesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J su6mission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ fee applies. Licensed Plumber Telephone # ( Mechanical Contractor Sewer/Water Controctor Telephone #( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the inforn that the work will be in conformance with the ordinances and codes of the City N If so, 25% plan review ?L is MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. 31T'I'{1,u (,. S )M r-DP?-L Applicant's Printed Name ? Applicant's na ure OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 21 Porch (3sea.) ? 31 Ext. Alt- Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-pleac ? 10 OB-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? Plbg_Y or_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Add'Rion ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 48 WindowslDoors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA hantlout to applicant Valuation Occupancy MCES System Census Code -`7- Zoning City Water SAC Units Stories eooster Pump # of Units Sq. Ft. PRV # of Bidgs Length Fire Sprinklered Type of Const _kzb Width _ Footings(new bldg) _ Footings (deck) _ Foolings(addition) _ Foundarion Drain Tile Roof Ice & Water Final Frattiing Fireplace R.I. Air Tes[ Final ? Insularion REQUIRED INSPECTIONS FinallC.O. ?L FinaUNo C.O. Plumbing HVAC T Other Poo] _ Ftgs _ Air/Gas Tests _ Siding _ Stucco _ Stone _ Brick Windows _ Retaining Wall i Approved By: / ? , Building Inspector Base Fee Surcharge Plan Review MGES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search 4 69G¢'? I 2,D ? Copies Other Total CITY USE ONLY PERMIT #: ?? RECEIPT DATE: 2002 RE.5IDEVTIAL MECHANIC?? ?ER14IYT APPLICAT10N CITY OI' SRfii4N 3830 PILOT KNOB U rD EAfiAN 1HN 55182 I n 651-681-46'75 ii ' nL 19 MAR 14 2G0? Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: 1_0A"ol SITE ADDRESS: 1 851 RFD FOX RD OWNERNAME: DEBBIE & WPiYNE SCHMIDT TELEPHONE#: 651-686-5675 INSTALLERNAME: RON'S MECHANICAL. INC. TELEPHONE#: 952-445-8585 STREETADDRESS: 12010 OLD BRICK YARD RD CITY: SHAKOPEE STATE MN ZIp; 55379 Place a check mark next w the permit work type ?J Add-on, modification or alteration to existin dwelling unit $ 30.00 • furnace replacement • air exchanger • air conditioner • other Nature of work: 0.4? ?QLuCGui,r?a?.e? State Surchar e $ 50 Total s 3p- ? ?? ?M"J? SIGNAT[.JRE OF RMITTEE ? 1io2 CITY USE ONLY PERMIT #: APPROVED BY: INSPECTOR RECEIPT DATE: 2002 COMMEftClAL MECHANICAL PERMIT APPLICAT[ON CITY Of ERfiih1V 3$30 PILOT KNOB gD EAsAv, Miu 551 22 651-6$I-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: SITE ADDRESS: OWNER NAME: PHONE #: TENANTNAME (IMPROVEMENTS ONLY): WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: STREET ADDRESS: CITY: STATE: ZIP TELEPHONE #: WORK TYPE: New construction Install U.G. Tank Interior Improvement _ Remove U.G. Tank _ Processed Piping Specify Nature of Work: When installing/removing underground tank, call 651-681-4675 for inspection by Fire Marshal and Plumbing inspector. Fees: 1°/a of contract price OR $50.00 minimum fee, wluchever is greater. Underground tank removallinstallation = minimum fee Contract price: $ x 1%= $ (Base Fee) State surcharge calculate at $.50 for each $1,000 Base Fee TOTAL $ SIGNAI'URE OF PERMITTEE Updated 1/02 CITY USE ONLY LOT // BL ? RECEIPT #: 9 7??o SUBD. RECEIPT DATE: 4 C! K1C-32-9 s, Date: `5? -ly 1998 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PIIAT IRiOH RD EAGAN I+N 55122 (612) 681-4675 Complete this section onlv if you are installing HVAC in single family, townhomes or condos under construction and not owner /occupied • HVAC: 0-100 M B T U $ .00 A77DiTTONAL 50 M BTU 6.00 • Gas outlets ( minunum of one required @$3.00 ea.) 3,`7V • State Surcharge: .50 • TOTAL: 2-?7, `f Complete this section onlv if you are remodeting, adding to, or repairing existing single family dwellings, townhomes, or condos. Note: Mechanical pernut is not recuired for alteration/add-on to ductwork in existing residential units; but is required for the following: _ Install fumace _ Install air conditioning _ Install air exchanger, i.e. Vanee system, etc. _ Other Pdirimur.i fee sgplies te al1 seme3el or add-ons of existing resEdences $ 20.00 State Sutcharge .50 TotaL• $ 20.50 SITEADDRESS: Jz -?? I " F-n7C P-? OWNER NAME: I YIAPL.Et?30(DN 4? EZX'PNLIE?) f PHONE -?-7-7- (og(o 1 INSTALLER NAME: fdc)Lf.0 ??Iljc? PHONE k: ?70-0h 03 STREETADDRESS: ?i_S?a 1V? 44i4 A o L7LN6• CITY: STATE: fV? ? ZIP: SIGNA O PERMITTEE JS/FORMS BLD/I?CH PElN9T (RES) - 1999 ciTr use oNLv L BL SUBD. RECEIPT #: RECEIPT DATE: MECSANICAL PERMIT (CO1+MRCIAI+) CITY OF EAGAN 3830 PILOT XNOB RD EAGAN, NK 55122 (612) 681-4675 Please complete for: all commerciaUindustrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: CONTRACT PRICE: WORK TYPE: NEW CONS1'RUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: 1% of contract price OR $25.00 minimum fee, whichever is greater. Processed piping - $25.00 CONTRACT PRICE x 1% PROCESSED PIPING PER.MIT FEE STATESURCHARGE TOTAL SI'TE ADDRESS: OWNER NAME: TENANT NAME (uvlPROVEMENTS ONL1): INSTALLER: ($.50 per $1,000 of nermit fee due on all permits.) PHONE #: ADDRESS: PHONE #: CITY: SIGNATURE OF PERMITTEE STATE: ZIP: CITY INSPECTOR / c? CITY USE ONLY /7 L ` BL ' RECEIPT#: `"I ? ?% 3 ? SUBO. ??y? RECEIPT DATE; a-9 O 1998 PLUNlBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3630 PILOT KNOB RD EAGAN, MN 55122 (612) 661-4675 Please complete for: ? single family dwellings , ? townhomes and condos when permits are required for each unit D backflow preventer for underground sprinkler system FIXTURES Shower Water Closet ? Bath Tub ? Lavatory Kitchen Sink Laundry Tray U Hot Tub/Spa Water Heater Floor Drain Gas Piping Outlet ' minimum - 1 Rough Openings Water Softener ` for dwellings under construction Water Softener ` for ezisting dwelling U.G. Sprinkler ' for dwelling under const. U.G. Spfinkler * for existing dwelling AItBf8t10t1S ' to ezisting residence Water Turn Around Private Disposal System * MPC iic. (new and refurbished systems) Private Disposal Systems' abandonmenc RPZ (new installation only) tryI 1? o EACH # TOTAL 3.00 x ? = o0 3.00 x ? = q°o 3.00 x 2 3.00 x 3.00 x 3.00 x ? = 3 00 3.00 x = - 3.00 x = °O 3.00 x 3, 3.00 x . °O 1.50 x 5.00 x = 20.00 x = 3.00 = 20.00 = 20.00 = ? .L 20.00 75.00 20.D0 20.00 = STATE SURCHARGE 50 TOTAL -T F -C) (D -------adcnowledge that -------I -have read-----------------------, state that the ---------------------iscorrect, ------------and---agree----to----comply-----wRh----all--applicableC----------iry ---of-Eagan---------ordinances------ .- I herehy this appliwtion information It is the applicant's responsibilily to notify the property owner that the City of Eagan assumes no lia6ility for any damages caused by the City during its ertnft wHhin City propertylright-of-wayleasement. nortnal uperational and maintenance activities to tfie facil'dle constructed under this. ? 5/ ` I o? SITE ADDRESS: ? ? OWNERNAME: /Vf c{Dleu/oaa( p)2ve- - lo INSTALLER NAME: STREET ADDRESS: 2-- 12- (o - 2-Ave . CITY: TELEPHONE#: `? Z7 - Z 3 Z-I STATE: 1114-1-fl ZIP: 575-??d? SIGNATURE OF PERMITTEE CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1998 CITY USE ONLY ?O ?/3 BL RECEIPTtk: /Dr? L SUBD. RECEIPT DATE: - S FYI PERMIT# ? 1999 nUMSINe PEtMIT (RESIDENTmL) crrYaFEi?srtx 3830 Pu.oT xivos Rn f.AHAcN, MN 5512E (651) 681-4675 Please complete for: ? single family dweilings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas i in outlet ' minimum -1 3.00 x = $ Hot tub/s a 3.00 x = $ Kitchen sink 3.00 x = $ Laund tra 3.00 x = $ Lavator 3.00 x = $ Minimum fee alterations to existin dwellin 30.00 x = $ Private Dis osal S stem new/refurbished ' re uires MPC iic. 75.00 x = $ Private Dis osal S stem abandonment 30.00 x = $ RPZ new installation/re air 30.00 x = $ Rou h o enin 1.50 x = $ Shower 3.00 x = $ Under round s rinkler if dwellin is under construction 3.00 x = $ Under round s rinkler +f existin dweNin 30.00 x ! _ $ 36, - Water closet 3.00 x = $ Water heater 3.00 x = $ Water softener if dwelling under construction 5.00 x = $ Water softener if existin dwellin 30.00 x = $ Water turnaround 30.00 x ---- State Surchar e 50 --> ----> ---> $ .50 rotal --> --> ----> ....> $ 30. - Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. -----------------?-------------------------------------------------------------------------------------------------------- --------- I hereby acknowledge that I have read this appliqtion, sfate fhat ihe information is wrrect, and agree to comply wiN all applicable City of Eagan ordinances. It is the applicanfs responsibility to notity the property owner fhat the City of Eagan assumes no Iiability for any damages caused by the City during its normal operetional and maintenance activities to the facilities constructed under fhis permit within City propertylright-of-way/easement. SITEADDRESS: JB5I -REJ F07< RcJ. OWNER NAME: : c.yiv.LK aR -A R ENJA IP? TELEPHONE #: (AREA CODE) INSTALLER NAME: -y-"'J -4-?owl? TELEPHONE k I ARA 2 42-I -Z?JZ! CODE) STREETADDRESS: ZIZ6 ( 2? A?. C1TY: ?r1DkA STATE: M !J• ZIP: '56303 .?? SIGNATURE F PERMITTEE CITY OF FAGAN CASHT.ER: S TERMINAL NOe 728 DATE: 07/29/3$ TIME: 14:56:10 ID: NAME: MAFLEWOOD LiEVEL & CONST INC 2256 3I301 0651 kED ('OX R Q543.36 t Tota1 Feceip# Amoun+.: 4»,c,43.96 CFA954°i6 USER IIi: NANCY yAk Xs Xc X<Xok X? ?k X? Xc X? %? %? ?k >X ?X ?k ?%W X<X? ? %? X? ? ?X # ?X ?C X? ? # ?X ?k 1R %? %? k: FERMIT ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMITTYPE: %Sj?qJNc Permit Number: Date Issued: 07l z g I 9$ SITE ADDRESS: P.I.N.: 10-14325-040-01 1851 RED_FOX RD LOT: 4 BLOCK: 1 BLRCKHAWK FOREST DESCRIPTION: ermit Type )qrk Type e` Vana rig <x °- 8uild?nt? Lettgth Bu il'd i nq" Wi'd th ` u 0,ufl;c14hft 4st„srrie?. SF OWG NEW R-3/U-1 V-N R-1 64 54 1 2,585 101 1 - FAM. DETACH '' [ 4bd g REMARKS: S& W PLUMBER: HUTTON & ROWE PHONE #427-2321. PLAN REVIEWED BY JOE VOELS. FEE SUMMARY: VALUATIQN Base Fes pLan Review 5urcharge SAC SAC ? 5AC Units 5ubtotal $1,137.25 $739.21 $75.00 $1,000.09 100 $2,951.46 $150,000 MTSC. FEES $1,592.50 Total Fee $4,543.95 CONTRACTOR: - Applicant - sT. l.IC OWNER: MAfP6EWQOp DEV/CONST INC 17776869 0001011 MAPLEWOOD OEV & CON5TR 3030 GRANADA AVE N A 3030 GRANADA AVE N A OAKOALE MN 55128 OAKDALE MN 55128 (612) 777-6869 (612)777-6869 ? "T? her ? ?? ? ?Q:W? ?1 \ LIC RMITEE SIGNATU I ED BY: SIGNATURE 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PII.OT KNOB RD - 65122 681-4675 ?-?-? "- ? New Construetion Reauirements RemodellReoair Reauirements ? LL S?A ? 3 registered site surveys ? 2 eopies of plan ('j1jI Y] 43-3 ? 2 copies of plans (inGutle beam 8 window stzea; poured fid. design; etc.) ? 2 site surveys (extenor addkions & dedcs) ? 1 energy calculatians ? 1 energy calwlations for heated adddions • 3 copies M tree preservation plan H lat platted after 717193 required: _Yes _ No ?t w DATE: 7/9/98 CONSTRUCTION C05T; ? DESCRIPTI N OF WORK: single family residence, new construction STRE T DDRESS: 1851 Red Fox Road LOT: 4 BLOCK: 1 3030 Granada Ave., N., Suite A Name:Mavlewood Development & Construction, Inc. phone#: PROPERTY Lut Firat OWNER Street City Oakdale State: MN- Zip. 55128 Company: Maplewood Development & Construction, Iiftone#: 777-6869 CON'fRACTQR / StreetAddress: 3030 Granada Ave. N., Suite A License# 1011 V City Oakdale State: MN SUBD./P.I.D. #: Blackhawk Forest Zip: 55128 ARCHITECT/ • ENGIAfEER Company: Bruce Fokken IIesigns Phone#: 786-6000 Name: Bruce Fokken Registration #: StreetAddress: 1333 Osborne Rd. NE City Spring.Lake Park gtat6; MN• Sewer & water lioensed plumber (new construcKion only): Hutton & Rowe and lot change is requested once permit is i55ued. I here State il!I. I ei 4?4 Certificates'Sf Surv.ey Received.y a Tree Preservation Pfan Received iis application and state that the Eagan Ordinances. Signature of Applicant: ?E ONLY /b'9 rp? Yes No _ Yes _ No 1-7N (b•S8/v ot Required 777-6 Zlp: 55432 Penalty applies when address chang OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ,0''02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 = piex WORK TYPE ,&-31 New ? 33 Alterations ? 32 Addition 0 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning 0 11 Apt./Lodging ? ? 12 Multi Repair/Rem. ? ? 13 Garage/Accessory ? ? 14 Fireplace ? ? 15 Deck ? 36 Move ? 37 Demolition f P. 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous Basement sq. ft. ? Main level sq. ft. ,, `s'q. ft. LL 444. sq. ft. I_ sq. ft. 61/ sq. ft. S 4' Footprint sq. ft. Building /,So2 MC/WS System 1, Soz City Water Fire Sprinklered ?83 PRV Booster Pump Census Code. i ° / Z, 5-05- SAC Code o ? Census Bfdg ? Census Unit _ Engineering Variance Valuation: $ /Sdc Oau ? Permit Fee 5urcharge Plan Review License MCNVS SAC City 5AC Water Conn. Water Meter Acct. Deposit S/W Permit S!W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Totai: % SAC SAC Units ?qlN y s,? rs' ? /, siz yx (P.YP ' SS' zx ?2.e7 = as ? ? 802 xs-Y ` I? ?G• 'YK 20,? pt.37 ` ZX Z.. 1J = L avc4, (far..r:?) ?s. z?-x ?fo + SY9 ?.. ss r PG s z Ba z.JJxnss = Jr ? gpor/rs ?O Jf2, peo G 5' ? ys 7B3x_!? ° IY?s*vr---- i ?Z c S. ?6?: f . _ - .. __ ...._.. -SURVEY- FOR: MAPLEWOOD DEV. I SCHOELL & MADSON, INC. cxcMURS . suaWeeaRS . vwnaM soa rzstwc . [x+amraivnµ s[mffAs - - ioseo ?a wutEvAM sun[ i Mw+nowuk M aSaoe ' (sis) 5w-7601 rAX545-9015 OA?? ?O EQ(MQN Bi s: CURBJ BY - D 7'7_2- 9B ? BUILDING INSPECTIONS DFPT. BLACKHAWK ROAD ?-115.41 &=z2 7 001 ' S3" A? ? ? ? TOP OF? _ _ - - - _ BERY Z ? ? (9 00 Z r 1 1 i ? ? ? ? ? m N V 8i3S SiO? / / DESCRIPiION: Lot 4, Block 1, BLACKHAWK FOREST BENCHMARK: Top of iron monument as ahown. qevation - 819.78 (NGVD-1929) r JT0E OF\ BERM [_---- ?+ STOOPJ ? o 15.? m? - f o D=? I 0? ? O Cv I° cO ? ?o I N o ? ? cn ?- ? . I o ` ? ?1 .0' I ?i I 1 ? N 17 B.S2 ? P?tOPO$EA ? Oqry[WAY 18.4 ?n>f ` 10.0 T) 4 - _ I ? q? Car.mg28.0 ? y?ipTER? ? '? SPaRAR'Y SE'M?R E? F OX R D?-? r ? ?1-r?' ? 7?j ; -? ? AI , `,•?\ ?- / This drawing has been checked und reviewed thia \6?'?` day of bv GENERAL NOTES: 1, e - Denotea iron monument. I heraby certify that this aurvey was 2. x890.0 - Denotea exiating apot elevation. prepared under my euperviaion and that 3. x(890.0) - Denotea proposed apot elevation. I am a Licenaed Land Surveyor under the 4. ?- - Denotes diroction of surtace dminage. lawa of the State of Min eaota. 5. Propoaed home ie a mmbler. q? 6. Propoaed gam9e floor elevation = 819.0 7. Propoaed top of foundaGon elevation a 819.3 Thaodore D. Kemna 8. Propoaed basement flaor elevatian = 811.0 Date: July 15. 1998 License No. 17008 f ? 30 0 30 60 90 Feet LOT SURVEY CHECKLIST FOR RESIDENTIAL . BUILDING PERMIT APPLICATION , /j , " PROPERTY LEGAL: ?- ' ? ? - DATE OF SURVEY: ?z.-? ?? ? > LATEST REVISION: ? y DOCUMENTSTANDARDS ? e z ? p?Q ? • Registered Land Surveyor signature and company ?' 0 • Building Permit Applicant ? • Legal description Ga,-'p ? • Address p? ? • North arrow and scale ? • House type (rambler, walkout, splR w/o, split entry, lookout, etc) e' ? ? • Directional drainage arrows with slope/gradient % ?p o • Proposed/existing sewer and water services & invert elevation e?p ? • Street name i?? ? 0 • Driveway ELEVATiONS Exdstinn ? ? ? • Sewer service (or Proposed) - E?p ? • Property comers ? ? ? • Top of curb at the drNeway / a O ? • Elevations of any exasting adjacent homes Prooosed 9-??O ? • Garage floor 4a-' ? ? • Firstfloor , Er, ? ? • Lowest exposed elevation (walkouUwindow) ? ? ? • Property corners .a' ? ? • Front and rear of home at the foundation PONDING AREA (if apolicable) ? ?/O • Easement line ? [? o • NWL ? [?? • HWL ? ? ? • Pond # designation ? ? ? • Emergency Overflow Elevation DIMENSiONS ef'?-o ? • Lot Iines/Bearings & dimensions d? ? ? • Right-of-way and sVeet width (to back of curb) n' ? ? • Proposed home dimensions including anY Proposed decks, overhangs greater than 2', porches, etc. (i.e. all structures requiring permanent footings) a'-'0 ? • Show alt easements of record and any Cily utilfies within those easemenTs ? ? ? • Setbacks of proposed sUucture and sideyard setback of adjacent ebsting structures ? e' ? • Retaining wali requiremenfs, ff any ?/' Reviewed: January 1996 CRNG19Yd6LOGPRMT. FM ? ' - •? - . E%TERIOR ENVEIAPE AVERAGE "U" COMPUTATION • OWNER Maplewood Development & Construction, INc. ' SITE ADDRESS 1851 Red Fox Road, Blackhawk Forest, Lot 4, Block 1 OONTRACTORMaplewood Development & Const. DATE 7/9/98 PHONE 777-6869 Determine workinq square footaqe of each. 1. Total exposed wall area ..... 1fSo70 sq. ft. X. II 2. Total roof/ceiling area ..... sq. ft. %, r_>Z.1v - , g A. Total wall window azea .......................... I 44 B. Total door area................................. 3,3 C. Total slidinq glass door area ................... 73A D. Total fireplace wall area ....................... E. Total wail framinq area (average 10E)........... 1 r-J'fi . F. 7bta1 Rim joist area ...............••••••.....•. ld 2 G. Total Net wall area above floor................. ? 3e.MeP Total exposed foundation area - L¢g H. Total foundation window area .................... (v ' 1. Total net foundation area above gzade.......... . I 4 L Detexmine "U" value of each wall segmeat. 8. 14a._ X "II" 79. L b. ,3R x^o^ 17'? = G. Co C.-3a X "U"- _?P_ L.4? _ a. x ^u^ . cW7 a gflu., I i e 1-7, q., X ,.Un y, l 2? X uu,, h. 6p g -U^ t. i 4?Z- x ^v^ 7, ? •-;5 = 3, 3 ...................................Tota1 4- If item N3 is the same as, or less than item #1, you have :net the intent of SBC 6006(c)2. " ? ' -.; ' . . - . . Total exposed roof/ceiling area n 1 311$ ' J. 1bta1 skylight area ................................ k. 1bta1 roof/ceiling framinq area (average 30%)...... ? 3 4. 1. Total net insulated roof/ceilinq area .............. 1 Z d 4- Determine "U" value for each roof/ceiling seqment. i• • x •o• 5? . k. ?fj4- x¦U+ 1•_ •I 20 4 X'0" , d Z Z . 2e,. q- $ 4 ...........................' ?.....Total If total of 64 is the same as, or less tAan i2, you have met the intent of SBC 6006(c)1. Alternate Building Envelope Design 1b utilize the total envelope system method, the values established by the sum of items #3 and $4 shall not be qreater thari the anm of items !1 and #2. ? + z. 49 2 4d _ . s. ze??, a + e. 3l . I . 238 5 _ . `f''C.jv:p tb'Nor?j ?7'-7 Tbr? or- 13r2zqe-v 79 3 9 74( fi3Lt??,J 11'tA) ?: . . . ` w ?tnLL T:ONS x^-'v'• V`^ 15t uf opaquc wall area for frame construction FRAtE FIALL Construction , R-Value 1, 7nterior ir film 0.6fl 47 Z• ;, -Z? inches sofc «OOd L.81? d? ? ^•' _ LTx•. :z.r•a?v 4`1 .L. D.T" h r i?-G 4 5• 0.17 6, Facterior air film Total Ct C.)•= . ?? 1. 2. 3. 4. 5. 6. v= , a44 1. Interior air film 0.69 2 3. . ? ?/ ?.ro?TcJ?c7 1 f$ a. y? 'c J AFe? 5. T?tC LP.V ?1TJING .4?i 6. Exterior air film 0.17 4 4 z+otal .L2, 71 U, ,0 1, Interior air film 0.68 2. ? . • 3. • 4. 13?r? e%v ..Jge,? Ci.4G 5. • 6. Exterior air film 0.17 a'otal -7, 53 l3 . SL)1B ON GRADE . . ? . ? ?? 1 „ ? . •,? ` : ??-?ir ! • •' ? • . `? . '. FIG. 64 /fl t6 O - •? ?[! ? x Y NoTE: Indicate type, "R" value, denth and placenent of insulation. 'IG413_ '. . ?, ?. . ? ? ' .. • ::• ', ,. >? • ROOF/CEILING VE1?if 121 Veaced ? FIG. 45 Construction (Use for Item L) R-valua ) l. Interior air film 0.61 2. ^ f+. Ca 4'F'wz., r? y3 Q 1646 ? 3. _i2' rbtG>cJA:j I ti^hvL. 44•ara „ 4. Extcrior air film (still) O.bT _?. !J?..o22 Total 4.4; .?a ? geat flov up , CLCs. FRAMING(Use fOS Item in 1. Interior Air film, 0.61 z. 51 b GI' hs n . 7& 3. Inches soft aood 3 YZ" 4•38 4. Inches insul above framina 1CJ 5. Air Fiim 0.61 U = • U2lv? ._ . ;'a? 7, ZCc 1. Iaterior sir film ' 0.61 2. 3. 4. Exterior air film (still) 0.61 Total , . veated- ,FIG. 16 . 1. Inside sir film •' 0.61 2. 's. 4. 5. Outside air film 0.17 Total Nele: Use fl3ditional shects if morp cpace is 3:ocded for datails and calculations. _ nu.v-v1N7TED . Heat ? . , flov up ' FTf;, 47 ?, Heat flov up CLAIM VOUCHER - REFUND REQUEST CITY OF EAGAN MAKE CHECK PAYABLE TO: HUTTON & ROWE INC ADDRESS: 2126 2no AVE ANOKA MN 55303 LOCATION: 1851 RED FOX RD P.I.DJLECAL: L4, Bl, BLACKHAWK FOREST ' RECEIPT #/DATE: 97622-09/22/98 VALUATIOIY: REASON FOR REFUND: OVERPAYMENT OF PLBG PRMT PERMIT #: TYPE OF REFiJND: Electrical Permit 321 t-9001 $ Plumbing Permit 3212-9001 $20.00 Mechanical Permit 3213-9001 S Building Permit Fee 3210-9001 $ Plan Review Fee 3422-9001 $ SAC (MC/WS) 2275-9220 $ SAC (Ciry) 3866-9379 $ SAC (Admin) 3446-9001 $ Water Connection 3865-9220 $ Sewer Permit 3743-9220 $ Water Permit 3713-9220 $ Accoun[ Deposit 2252-9220 $ Water Meter 3716-9220 $ Water Treatment 3868-9220 $ Surcharge 2155-9001 $ Utility Acct Overpayment 2250-9220 $ Curb Box Deposit Refund 2253-9220 $ Constcuction Meter Dep Refund 2254-9220 $ Water Usaae Charge 3711-9220 $ Other $ TOTAL $20.00 [ declare under the penalt/ie?s of law that this account, claim, or demand is 'ust and t? part of it has been paid. Date i : 1/ PERMIT City of Eagan Permit Type:Building Permit Number:EA124600 Date Issued:07/07/2014 Permit Category:ePermit Site Address: 1851 Red Fox Rd Lot:4 Block: 1 Addition: Blackhawk Forest PID:10-14325-01-040 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Eric W Gleason 1851 Red Fox Rd Eagan MN 55122--115 Walker Roofing Company 2270 Capp Rd St Paul MN 55114 (651) 251-0910 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA142270 Date Issued:04/24/2017 Permit Category:ePermit Site Address: 1851 Red Fox Rd Lot:4 Block: 1 Addition: Blackhawk Forest PID:10-14325-01-040 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Jampa Gelek 1851 Red Fox Rd Eagan MN 55122 (612) 801-8553 Eagle Siding 1301 East Cliff Road Suite 117 Burnsville MN 55337 (952) 746-3046 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA152138 Date Issued:10/01/2018 Permit Category:ePermit Site Address: 1851 Red Fox Rd Lot:4 Block: 1 Addition: Blackhawk Forest PID:10-14325-01-040 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener 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. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 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 - Jampa Gelek 1851 Red Fox Rd Eagan MN 55122 (612) 801-8553 Blue Sky Mechanical Llc 41531 237th Ave Le Center MN 56057 (612) 756-2255 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA158013 Date Issued:09/23/2019 Permit Category:ePermit Site Address: 1851 Red Fox Rd Lot:4 Block: 1 Addition: Blackhawk Forest PID:10-14325-01-040 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard 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. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 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 - Jampa Gelek 1851 Red Fox Rd Eagan MN 55122 (612) 801-8553 Blue Sky Mechanical LLC 41531 237th Ave Le Center MN 56057 (612) 756-2255 Applicant/Permitee: Signature Issued By: Signature