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??
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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