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1852 Red Fox Rdt'b . •6. ' ? ? l??T ?,.'•°'? . ?_ ._ . '" ? . ' ,. WAvtificate of CccuVanO This Certificate issued purserant to the requirements oj the URiform Building Code certifying that at the time of issuance this structune was in compliance with the various orrlinances of the Crty regulating building constncction or use. For the fo(Lowing: use Ctmificalmn: SF DWG/GAR BWg-rern,;tNQ. 27960 ` 00-P-y TyPC R-3 U-1 Zon;,g p;tr;a R-1 Type consE. Vn Owner of Buildifkg SEASONAL BGDRS Address 4580 SCOTT TR., EAGAN, MN 8,,;kl;,,g Addmw 1$52 RED FOX RD .. „y L22 B2. BLACKHAHK FOREST nau: A0/i /7 - BWWwg Off"isi 'ait" ' POST IN A CONSPICUOUS PLACE • - . INSPECTION RECORD 'CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: ti Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 ? i ? ? a : ? ? ? ?? r?.. • SITE ADDRESS: t APPLICANT: , I.I rli , . ,0r , E W icl ?1? f ilr';?tt i+,Itt 41.•1 !,'1 ' I PERMIT, $,UBTYPE: TYPE OF WORK: Nf 11 NII i 1 11 1 Nlr e:>; •at,H Hf. 04 f'iF, INSPECTION ! 1! i f r.'!, . ., • ? , . DATE INSPTR. I f•'hM I Nir PJoi 1 ti•,??! 6: 1 1??n1 ? I I? f l I r't+ I I:11111,11 !N I I?;?? ? 1 r?it I iI w; , iiF M?,l -' ! T!'f N:,f ii 1'1 tih1il! 1 ? E'l IIMt< tc f 1i11 I 7 ? Permit No. Permit Holder Date Telephone # ELECTRIC PLUMBIN HVAC ?J I Inapectlon Date Insp. Comments FOOTINGS ?o liAd FOUND FRAMING ? ???5'?(c ?ja2_S ?• /1 ? ? 1.? ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS VC ?C !/ rI•?I'9L L Z ? TEST INSUL ( ??r ae, GYP BOAFO FIREPLACE FIREPLACE AIR TEST j1d y? FINALPLBG ` '$-?, 6-? < FINAL HTG - ? r OFSAT TEST ? BLDG FINAL BSMT R.I. ' i - - i ' BSMT FINAL j O DECK FTG ?1 V'PJ DECK FiNnL Address 1852 RED FOx RD LAt" 22 Blk Z Sub BLAMHAWK FOREST '?'HESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECITON. Date: /O g}(,R Yes No Inspector: ? Final grade (6" from siding) ? Permanent steps (gazage) Permanent steps (main entry) Permanent driveway Permanent gas SodlSeeded grass TraiUcurb damage Porch Basement finish 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 potential exists. Conqct engineering division at 681-4645 before working in rightof-way or insqlling underground sprinkler sysrem. Zip Sv12? White - City Copy Yellow - Resident Copy Pink - Contractor Copy 0 I IIII IIII" ` RE?UEST FOR ELECTRICAL INSPECTION Minnesofa State Board of Electricity , -? 1821 University Ave., Rm. S 128, St. Paul, MN 55104 s D 29 6 1 5 6J3 * phone (612) 642-0800 Home Duplex Apt. Bldg. - er:p ew Addn mmerciol Indushial Farm I`- ? Remod Re air Air Cond. Htg. Equip. Water Hfr. Load Mgmt. Other: D er Ran e Elec. Heat Tem . Service "X" obove the work covered by this request. Enter remarks in this space and on the back of the white copy only. Caf<ulate Inspedion Fee - This InspecHOn Request will not be accepted without the correct fee: Olher Fee # Servire Enhancx Srze Fee # Cirtuih/Feeders Fee Mobile Home Park Stall 0 fo 200 Amps 0 to 100 Amps Sheet Ltg./Truffic $ig. Above 200 Amps Above 100 Amps Transformer/Generator INSPECTOP'SUSEONLY TOTAL Sign/Outline Lig. Xfmr. ? ? ? . ? Alarm/Remote Control Swimming Pool i here6 um the:l«m '.wllaeon desm6ed heran on Me daros. Irtigafion Boom Ro?gh-In Da?? J ecial Ins ection S p p Invesfigotive Fee irwl ? Dah ? THIS INSTALLATION MAY BE ORDE D DISCONNECTED IF NOT COMPLETED WITHIN 18 MO THS. 2 J6-15 6 OFFI E US ONLY This request void 18 monMz fmm validafion dvle prinred In this bae. ??-? 77a'3 ?J1? PLEASE PRINT OH TYPE / / Requesi Oore Rough-in inapedion required Yez ? No Inspedion OtherThan Rough-In: R. ill Coll (You must mll the inspedor w n rea 0 dy: I, licensed confmctar ? owner hereby request mspedion of th bave eledri I s kb Addresz (Sheet, Bax, ar RoWe ) Ciry ' C ? SMion No. wnahip Nome or No. Range No. Fre Na. Occupont _ 1 A('?1 .A `?4J ,I?YF? • Phone No. J ! PowsrSv lier ? . Address J m EI Canhaclor Company Nome) uV?l Conha Ano O F V V f t Maskr Li<. No. (%ant Elecf. OnIY) Mailing Addreu lConimtlor ar er Pedorming Insbl fion? . 1, ?V ? aed Si9nmure (Comrador or Owner Perfortning Inamllonon) `pc,o p c %,n i.LLk h nAnn , ha No. EB- A-1 6/95 STATEBbAilO PY-SEEINSTRUCTIONSONBACKOFYELIOWCOPY ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 $3,189.88 PERMIT n.2osqd&o BUILDING 027960 06J24/96 SITE ADDRESS: P.I.N.: 10-14325-220-02 DESCRIPTION: 1852 RED FOX RD LOT: 22 BLOCK: 2 BLACKHAWK FOREST BUil'd''rng Permit Type ,aBuilding`?Wtork Type !"Ct7nstructi'on, 'N'Type Building Leng'th f Building Width Building storaes 5q'uare fieet {Census Code % PERMIT TYPE: Permit Number: Date Issued: SF DWG NEW VN 67 43 2 2,375 101 1 - FAM. DETACH ? ? I m., , ?? . . . . _ , . . REMARIlCZ,SliNSeo PLUMBER = PLUMB RIGHT FEE SUMMARY: Base Fee Plan Review Surcharge SAC 5AC Ns SAC Units Lic. 5earch Fee Subtotal VALUATION $1,452.25 $726.13 $106.50 $900.00 100 1 $5.00 PRV $213,600 MI3C FEES Total Fee $1,923.50 $5,113.38 - HPP11Cdf1L - 51. L1G. ?/NFp CqN ?FI??QC?TO?:DRS INC 14545971 0001652 ?SE'RSDTIAI. BLDRS INC UNH 4580 SCOTT TR 210 4580 SCOT7 TR EAGAN MN 55122 EAGAN MN 55122 (612) 454-5971 (612)454-5971 216 i hereby acknowledge that I have read this application and state that the ' Snforiitatian.is correct and agree to comply w3th all applicable State of Mn. Statutes and City of Eagan Ortlinances. APPLICANT/PER 'I SIGNATURE ISS D BY.. CITY OF EAGAN U 3830 PILOT KNOB RD - 55122 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 eamodelReoair Reauirements C.s" 6?Pq ? 3 registered sile surveys ? 2 capies of plan ? 2 copies of plana (indude beam R window sizes; poured fnd. design; etc.) ? 2 ske surveys (exterior addklons & decks) ? 1 energy eelalaUons ? 7 energy calculatione foi heated addilions ? 3 eopies of tree presarvation plen H lol pletled aHer 717l93 iequired: _ Yes _ No DATE: & -? ? - C/ep GONSTRUCTION COST: W, ( zo" •o DESCRIPTION OF WORK: tY-w CUf1SfTLiC'f70n STREET ADDRESS: I gJa' /?? r-oK o aa eLocK a suBO.iP.i.o.#: 5LQ kfiaa),e. Fmsf PROPERTY Name: Phone OWNER Street Address- City: State: Zip: CONTRACTOR SeQU?1na l 5uc 1,-kt5 Company: .7lle. Phone #: Street Address: 4590 5008. Tf. *a/o License # : 0661lo5a. City: State: JJ` / Zip: ,?5ia a ARCHITECTI Company: Phone #: J3 ?g?O ?? ENGINEER Name: JO{?/1 le? Registratio n #: Street Address• 3131 Fern bro ofiC 1h , '? AL) City: P/ymOLL7'71, State: Mn. Zip: SSyql ?? 1 P?? Sewer 8 water licensed piumber: ILDI s? t Penalty applies when address change and lot change are requested once permit is issued. 1 hereby acknowiedge that I have read this application and state that the information is corcect and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY /Yes Certificates of Survey Received !/ y? J U?I 1 91996 Tree Preservation Plan Received _ Yes i/ Nd"'r? ----------- ____ ??' ? OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? ,0-02 SF Dwelling o 07 4-plex ? 12 Multi Repair/Rem. ? 0 03 SF Addition o 08 8-plex ? 13 Garage/Accessory ? o 04 SF Porch ? 09 12-plex ? 14 Fireplace ? ? 05 SF Misc. a 10 = plex o 15 Deck WORK TYPE 1 New ? 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Aliowable) UBC Occupancy Zoning w' U n f. y 5-3 # of Stories Length Depth 0 36 Move ? 37 Demolition 1Li Basement sq. ft. ?-// ? Main level sq. ft. Z sq, ft. Z ?d sq. ft. ft srr. 2 . sq. ?07?07 sq. ft. y?•%? Footprint sq. ft APPROVALS Planning Building Valuation: $ Z/ 3,0 ao? r -1?T,g, > Z/ 2i5- 7e Permit Fee Surcharge Ptan Review License S ? MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Pertnit S/W Surcharge Treatment Pi. Road Unit Park Ded. Trails Ded. Other Copies Total: % sAc SAC Units l'1/??//v !y n //v = lo `? /?v X 537?' 10?1e?y " (o(v S?> sM MC/WS System ?- /,srG City Water C::;?_ sZo Fire Sprinklered PRV LS Booster Pump Census Code. o? 3 7,1- SAC Code d/ e qp? Census Bldg Census Unit I Engineering ?? ? ? s Y= B ?l,ozy 0-e- 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous Variance Q,T. = l(ox Z! = 331, 2-i - Z73 (?o9Xi> _ ?I3r rGw- °?, 5?6 ?(a o 9= 9'17x ZS'= ra % (o7S yx i? = ? y ?- .33xrz.G7 = y ?7,fx 5 S°9G5 c ?y.s'?c 3 Y:&! 30 2? G7? 33.l07 _ Y3 5- _?(' b ) zx 2- 1 .G7 = z ,SJ,cS-67 ?_I sy- o'?6 --_ 1? ??- CEF271FICA'IE 0F SURVEY for SEASONAL BUILDERS Red Fox_Road -, R = 295.00 B/8,93; 61 L = 99. 1" `ff/.?!• i i / ?. v ? f e/B• 6E•P ?. T-47.58__ _ ? N ? .P O W? ?to cD s& )?Drainage & ? ? utility ? I easement ? ? r i ? i ? i ? ::E Gar slab ' 33.6-1 EI MZ,O I Top ? eik 822,33 L--? Proposed house Bsmt el 814,6 /t1URP NWz`11z. Q L N ?aI Rf VIEVE D ? J scale: 1" _ 30 C3A-S IM ? N.T> r 792. 3 ? \ Ob / ? I hereby certify that this survey, plan, or report was prepared by me or under my direct supervision and that I am a duly Registered Land Surveyor under the Laws of the State of Mlnnesota. Date O / 1 VN 1996 Reg. No. 8140 4t 3 n ? M h vN ? S84-29-96 82 , 9/? ,o o ? &C, ? 1 ' 5 ? ig M >6 v J / ? ? 1 wL -795R q- L ? ? / V I ? ? ? e BRANDT ENGINEERING & 1600 West 143rd Street, Burnsville, MN 55306 (612) 435-1966 EAGAN ?otJ LLo V o L L... .? ; _ DEPT. 1852 Red Fox Road DESCRIPTION Lot 22, Block 2, BLACKHAWK FOREST Dakota County, Minnesota Plat bearings shown o Denotes iron monument ? Existing j Proposed SURVEYING Su ite 206 ` 3? i817 S84-29-96 PROPERTYLEGAL; 'dze ? DATE OF SURVEY: LATEST REVISION: ? m DOCUMENTSTANDARDS ? ? • Registered Land Surveyor signature and company m? ? • Building PertnRApplicant / ? ? ? • Legaldescription t?? ? • Address e?o ? • North arrow and scale ? ? • House type (rambler, walkout, split w/o, split errtry, lookout, etc.) ? • Directional drainage arrows with slope/gradient % ? ? • Proposedlexossting sewer and water services & imert elevation ?? ?0 ? • Streetname G3 ? • Driveway ELEVATIONS Existina / ? O ? • Sewer service (or Proposed) e? ? • Properiy comers ? ?? ? o • Top of cur6 at the driveway • Elevations of arry e)assting adjacent homes Praoosed PT 0 ? • Garage floor ?O ? • First floor ?C ?? ? ? • Lowest exposed elevation (waikouHvuindow) ? • Property comers ? ? • Front and rear of hame at the foundation PONDING AREA frf aoolicablel ? ? • Easement line P?? o • NWL ?? ? • HWL 0? ? ' • Pond # designation ? m ? • Emergency Overflow Elevation DIMENSIONS ?C1 ? • Lot IfneslBearings 8 dimensions ? O ? • Right-of-way and street width (to badc of curb) ?[7 ? • Proposed home dimensions induding any proposed dedcs, overhangs greater than 2', porchas, etc. (i.e. all structures requiring permanent footings) ?? ? • Show all easemenffi of record and any City utilities within those easemeMs ?? o • Setbacks of propased structure and sideyard setback of adjacent e)assting structures ? ?? • ReNaining wali requirements ' any Reviewed: C me /D e LOT SURVEY CHECKLIST FOR RESIDENTIAL 8 ILDING PERMIT APPIICATION iJC January 1996 CRA1G199BI5LOGPRMT.FM 2 6" 22 1 /7 BENDS ? \ \ ? ? BLOCK ? VVYE 5-0+00 EL789.0 r- EX. HYD. VVYE 5-1+50 EL794.0 4,00 +60 . WYE yyyE S-0+52 S-0+35 EI-806•0 CUT IN 8"x6" TEE E1-.797.4 22 2-8' GATE VALVES WYE 5-0+90 2 ? EL789.9 a• Sow. WR & /r WATERMAIN ERVI ? 20 1 11 OVER ;P SAN. SWR. !o jERIFY PRIOR I LANE REEf 41 MIX 1MEARING COURSE 31 MIX BASE COURSE ED) 1ppX 1ARRY STONE ? \ \ '!'; :?; 0'?? ?f Et?,?a?`,N DOES ?!Q i GUf:;?F.? ! i >>_ !. ^??;?'l1CY OF UTILITY LOCATIO? ? I'! c1„^,ilONS. THIS DATA IS +=QR 1.. . .. . ...V:. ' ---'•, pU;?POSES O?.LY l?,D .,_.._....?? I?1G IT SFIOliLD ?JW,-„? Y i r ?c Ov TN? SITE. \ rN \ _ \ \\ j \ CONNECT TO XISTII MH AT INV 78 . (VERIFY PROIR TO CONSTRUCTION) WYE S-0+45 EL798.3 1 WYE S-o+zs EL804.0 ? ELE EX. h ? ... . . ........ ?..... ?_ ............i :........:.......... .........:........ . kvr.rar CbNSI :... .......:....? ...:.........:.?......:.........I?........:......... ?........ • ^ co . . ?? co . \?Ico ? ^ oo . . _ . .=U . =U 2 ............? ...............? ................? H.................;E . ? ? ? . . I . ' • ( ? ............. ................ ................. ................... .... . ..... ADE I : : ? . . . . 100'=8" I PROPOSED ?GRADE. r:C:Er DIP ? .?,p,40°?. ............ . ' 09.... . '?,` . . . . . . . . . . . . . ??P ' 1? .. INV 807.75 : INV 808.15: ? . ? 9v . . • . . . . . . • ......... ,.. .. r..a6:?.g.? .. ..'I'iNV'aoo.aD........ I ..................?.........:... : 0? . EWER of • INV 794.00 • I ? I • I ' . . . . . . . . . . . L ................?.................?................................. • I • • I • I ? I • TB°:L CI i Y OF EA AN DOES Kf,-)i Cl1R9/'„ i HE A;:CURAC I OF U711_!`il' (.Ci?:'.i I0'?? : . . . .....?a[?`.•?i''J,r3, E,1FV?1 (Qi?!5..7F•li ..:=:'.? .......: . . . . . . : . . . .............. : ........ PU5P0?.`"' _.,'. C. . _ ':) . . . . . . ?.?: y.?... ? p' ? c.? • `? ; . . '.'rr.."s ?'.^..?I/V?1.. II . I . . I P2?' . . . V.?l.MYKA?r.J?.... . . ? . . ? . ? . ? . . . . 10. ......... . .L ...............4 .I........ W)I.........?....... .I............. D0 2+00 3+00 4+00 5+00 I HEREBY CERTIfY THAT THIS PLAN, SPECIFICATION, OR ' REPORT WAS PREPARED BY ME OR UNDER MY DIRECT SUPERVISION AND THAT I AM A DULY REGISTERED PROFESSIONAL EXTERIOR ENVELOPE AVERAGE `L!' COMPUTAT[O1V Plan # Owner Concaaor $ltC AdCiG55 Datc 1) Total Exposea wall Area $194 sq. fL .11 ='3t-?o. Z 2) Totai Ezposed Roof/Cciliag IZ(og sq. ft. .026 = 3z.21 watt Calcutarian Total w'indow Area Total Door P,rea Total GLus Door Area Total Fireplea Area Tota3 Wall Framing Area Net Insulated Wall Area Total Rim Joist Area Total Foundation Arca Total Foundarioa Wiadow ? 36 sq. fL 35 = t l S.3 3,g sq. fL .07 = z .'7 _ 4o sq. fL 35 = I4.a NA Sq. fL 36 ? I 2Ie sq.R _09 = IS.q 189o sq. fL .043 = 81. 3 2:jqrn _ sq. fc. .oa @ i I. g Ibz sq. fL .14 = zZ.c„ N-4. Sq. fT. .35 3) Total uo9.(p If item 3 is tbe same as, or las than item 1, you have met the intent of 2 MCAR 1.16008 A and O. Roof/Ceiling Calailauoa 2'otal Skylight Area ;,a.a. sq. fL .35 Total Roof/Ceiliag Framing 1T(e sq. fL .024 Net Insulated Roof Area I 142 sq. fL .022 = z.5• 4) Total 7-8 .3 ff item 4 is tbe same as, or less tban item 2, you have met the inteat of 2 MCAR 1.16048 A and O. Altcrnate Buildmg Eavelope Daign To uu7ize the total envelope sysum method the sum of iteau 1 and 2 sball be greater than the sum of itetat 3 and 4. 1) +2) _ 3) +4) _ I hereby certify that the building here duaibed mcets or taceceds the state ot Minnesota Energy Conservation Act , Sigaed A=ze CITY USE ONLY ?,,? L ? BL ? RECEIPT #: f1?? SUBD. DATE: Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EgCH HQ. TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 ;< _ Lavatory 3.00 x = Kitchen Sink 3.00 :< _ Laundry Tray 3.00 :c = Hot Tub/Spa 3.00 :c = Water Heater 3.00 ;c = Floor Orain 3.00 :c = Gas Piping Outlet' mtnimum -1 3.00 ;< _ Rough Openings 1.50 ;c = Water Softener 5.00 x Private Disposal ' Dekota Cry. license 65.00 = (new and refurbished systems) U.G. Sprinkler' home under const. 3.00 = Alterations ' to existing 20.00 = Water Turn Around 20.00 5TATE SURCHARGE .50 TOTAL ? S? 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 SITE ? OWNER INSTALLER STREET ADDRESS: _tG 112 SX ay CITY: lV? STATE:? ZIP: PHONE #: 3 7517? C-1 !(?ay 4 . OFFICE USE ONLY L BL SUBD. RECEIPT #: DA 1996 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please Complete for: ? all commercial/industrial buildings. & multi-family buildings when separate permits are ppj required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION ADD ON REPAIR DESCRIPTION OF WORK: IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETER:i TO BE INSTALLED9 _ YES _ NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESULI' IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? _ YES _ NO. IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINi:LER PERMIT. FEE: $25.00 minimum fee or 1% of contract price, whicherer is greater. State surcharge of $.50 per $1,000 of permit fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: OWNER NAME: INSTALLER: _ ADDRESS: _ cirr: PHONE #: SIGNATURF: OFFICE USE ONLY METER SIZE: " DATE: S7E. # STATE: ZIP: APPLICANT _ INSPECTOR: CITY USE ONLY 5, L? 2 gL 02 RECEIPT #: !? SUBD. DATE: 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (672) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos whrn permits are required for each unit FIXTURES FACH TOTA Shower 3.00 x a Water Closet 3.00 x Bath Tub 3.00 x ? = 6'0 Lavatory 3.00 x /S eo Kitchen Sink 3.00 :c Laundry Tray 3.00 ;c Hot Tub/Spa 3.00 :t = - Water Heater 3.00 x ?- = 3? Floor Drain 3.00 x Gas Piping Outlet' minimum - t 3.00 x ? = 3•? Rough Openings 1.50 x = Water Softener 5.00 x = Private Disposal ' Dakota Cty, license 65.00 = (new and refurbished systems) U.G. Sprinkler' home under const. 3.00 = Alterations ' M existing 20.00 = Water Tum Around 20.00 STATE SURCHARGE .50 TOTAL S t?? SITE ADDRI OWNER NA INSTALLER STREET AE rr'??e ; ZV?C' 3?6 ? CITY: STATE: 76 PHONE #: ( - '? ? OFFICE USE ONLY L 8L SUBD. RECEIPT #: DATE- 7996 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 687-4675 Please complete for. ? all commerciaVindustrial buildings. ? mufti-famity buildings when separate permits are pgi required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: _ NEW CONSTRUCTION _ ADD ON _ REPAIR DESCRIPTION OF WORK: IS WATER METER REQUIRED? _ YES _ NO. IF SO, PIEASE PROVIDE THE FOLLOVNNG: WATER FLOW: GPM. ARE FLUSHOMETERa TO BE INSTALLEDI _ YES _ NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE. VNLL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? _ YES _ NO. IF SO, YOU MU3T APPLY FOR A SEPARATE U.G. SPRINi:LER PERMIT. FEE: $25.00 minimum fee or 1°k of contract price, whichex-er is greater. State surcharge of $.50 per $1,000 of pglM( fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: OWNER NAME: INSTALLER: _ ADDRESS: - CITY: STATE: PHONE #: SIGNATURE: STE. # OFFICE USE ONLY APPLICANT ZIP: METER SIZE: DATE: INSPECTOR: CITY USE ONLY L ?'? BL RECEIPT #: SUBD. DATE: YlaF 9 ?O 1996 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55722 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit / New construction Add-on furnace _ Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Date: 7 a?* -gCQ FEES ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 24.00 1 Additional 50 M BTU 6.00 / 30' 6)) ? Gas Outlets (minimum of 1 required @$3.00 each) , D?? ? State Surcharge .50 TOTAL ZIA 5 6 SITE OWNER NAME: PHONE #: LIzciC INSTALLER STREET ? cirY: ?d- PHONE #: Z?IGNAT 1 / !/1 STATE:W ?_ ZIP: ?_L UW 6 CITY USE ONLY L BL SUBD. RECEIPT #: DATE: 7996 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (672) 681-4675 Please complete for: ? all commercial/industrial buildings. ? mufti-family buildings when separate permits are nDi required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: ?$25.00 minimum fee Q 1% of contract price, whichever is greater. • Processed piping - $25.00 • State surcharge of $.50 per $1,000 of ermit fee due on all permits. CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS:_ CITY: PHONE #: TELEPHONE #: STATE: ZIP: SIGNATURE: SIGNATURE OF PERMITTEE CITY INSPECTOR BD L,2071 i32, :J RECEIPT 4 ;EIPt DATE ?? IIATS // Z4r ' 1'0 JQB OW NER gC D,PC . PLE15E BE ADVLSED THA^ i1'lERE LS A FEE SHORTACE ON TfE ASOVE Gb II.ECTRICAL I?STALLATSON IN THE AM4UNT OF $ ? l SHOATAGL NtST BE ?AID WHITHIN 14 DAYS. RMRX.S 0 CO 30 3fI1D. C_*Clll*_5= / -Z5 31 to 100 amo. circuirs= 0 co 100 amo service= ? 101 to 1_00 amo. service= 00 RETU?L^I A COPY OF THIS FORM WITH REMITTANCE. 12, 11?q? ?.?- 3 350b 3bon%) ORIG. REC°IPT;! 4ECEIPT DATE CityofEaQali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Date: /d' -(lo APR _1 MO r Use BLUE or BLACK Ink Permit #: (; 3 d- (2/ Permit Fee: /(90?' 69 Date Received: /-- AZ( Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION ect,e4ci 4 -ac Site Address: /I C.2 /eP u yr /i d Tenant: Suite #: RESIDENT / OWNER Name: /V i'Q t /0 CA M 00C/ Phone: it /'' Yer'+ --1-371' Address/City/Zip: (S'ar, r) Applicant is: Owner >4 Contractor TYPE OF WORK Description of work: OF r ( '', C-- Multi -Family Building: (Yes / No ) %O0�Construction Cost: CONTRACTOR Name: /1 4/9, License #: O 6 6 7..r.., Address: 7/ 4 U 4/ 1 n :� (A7A/ City: ( 6Z l State: 4/1 /1/ Zip: _i 5 O 27 Phone: S-5 -, 2 d 6 (,J-/ Contact: { GI ,ci Email: COMPLETE In the last 12 months, has .Yes KNo If yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING the City of Eagan issued a permit for a similar plan based on a master plan? date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: ti Phone: NOTE Plans and supporting e documents that you submit are considered to be public 'nformation� ?ortions of the information maybclassified as non-public�if you 'provide specific reasons that would permit the City to > conclude that they are tradetsecrets..t CALL BEFORE YOU DIG. CaII Gopher State One Call at (651) 454-0002 for protection against underground utility damage. CaII 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. 3 x 1 c Acant's Printed Name x CYG • /al P c4 74. Applican0 Signatyre Page 1 of 2 q YC -.)X DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Fireplace Single Family Garage Multi ,% Deck 01 of _ Plex — Lower Level 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 _ Porch (3 -Season) _ Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Interior Improvement Move Building Fire Repair Repair ztee 137 Siding Reroof Windows Egress Window 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 Occupancy / - l' - Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) .)t Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water _Final Framing Fireplace: Rough In _Air Test Final Insulation Meter Size: Reviewed By: RESIDENTIAL FEE Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL 73 4' 7 2-`---‘ MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock Final / C.O. Required 101 Final / No C.O. Required HVAC 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 1/76 /_Q= /759 Page 2 of 2 CERTIFICATE OF SURVEY 6-) BY: for SEASONAL BUILDERS gai(61-Red_I- oRoad DATE: / v e IONS DIVISION `, A• GA1 RE VIE YE. D 13 1 10 12.00+ 8 18.00 295.00 C//iB:f.L3 Gar slab 12.00 33.67 I TO �Z,Q I Blk822.33 Proposed house Bsmt el 81416 Drainage & utility easement II NURP Scale: 1" = 30' N 792.3~ 2 !4 LSC) / 1852 Red Fox Road /� N N I hereby certify that report was prepared by supervision and that Land Surveyor under of M. nesota. 40.P. Date / "7 this survey, plan, or me or under my direct I am a duly Registered the Laws of the State TUN 1°19. Reg. No. 8140 r*V 1Z Tt)J 9 6 3.40 S84-29-96 ec 2`) EAGAN EN ; INET RING DEPT. DESCRIPTION Lot 22, Block 2, BLACKHAWK FOREST Dakota County, Minnesota Plat bearings shown o Denotes iron monument (Esti)CPropose� BRANDT ENGINEERING & SURVEYING 1600 West 143rd Street, Suite 206 3u rn svil l e, V\ 55306 (612) L35-1966 S84-29-96 CityofEaall 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 #: Permit Fee: 7t9-1 Date Received: Staff: 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 7% 1 D l l 2— Site Address: 12 -CD- Fa)C RA& Unit #: J Name: !U i psi "(ADO Phone: i i- ygd'- 4-13 /) Address / City / Zip: 1i5s.-RgAi 117Du: ROA&,. RSA} � M�-SS t 7 2 Applicant is: Owner ,.2 Contractor Construction Cost: gig/ L i Multi -Family Building: (Yes / No ) Company: SToe vr, Contact: —J OE Address: ) 3SS S u_;,} -E at" City: 0 State: ‘1<\10 Zip: SS L 2(k-- Phone: tos1- ?3 License #:€L2 g t 0 g Lead Certificate #: 1\,)1 ®11''Sa " If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.cioaherstateonecall.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 Building Code must be completed within 180 days of permit issuance. Applicant's Printed Name Applicant's Sighture x Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA119083 Date Issued:11/14/2013 Permit Category:ePermit Site Address: 1852 Red Fox Rd Lot:22 Block: 2 Addition: Blackhawk Forest PID:10-14325-02-220 Use: Description: Sub Type:Siding & Windows/Doors Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of house wrap and leave on site for 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. Valuation: 8,000.00 Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 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 - Niaz Mahmood 1852 Red Fox Rd Eagan MN 55122 (651) 485-5395 Storm Guard Restoration 1355 Geneva Avenue North, Suite 201 Oakdale MN 55128 (651) 738-1698 Applicant/Permitee: Signature Issued By: Signature A Use BLUE or BLACK Ink 1 For Office Use41161° C 1 Permit#: j —I ,/ �j Cay of Eapn Permit Fee: 40' 3830 Pilot Knob Road „ - / - ' Eagan MN 55122 Date Received: l!l Phone: (651) 675-5675 staff: Fax: (651 - 94 L ,, '�y20o17 SIDENTIAL} PLUMBING PERMIT APPLICATION Date: 'c T Site Address: 1 $ O'er--. i-q."-°' U2( .e '� i Tenant: Suite#: Name: \\ iiiWI {h 3 lb-7 i. @SICIe e Phone `r'�-' �-`�J e r a 3 s 4 ( (�, LC 5>1 } - ' Address/City/Zip: T /1 �"�(,.. / > Name: t U lilt I"Vj ca (q- _,i()License w l I - , ;ri li : qD1 �O \ , Cft$ y \,/& C.o(UI �`� � ; � dress: q --5- v.?t,-.1.,0 , trac • 4 cit � G t t Y 1Zip: �� l -�a'l ( State: Phone: e s ts ;? : ; ' : 'gid Contact:LOY\•R. t\ . L• •, 4 Email: - . a ad �.. — _ r� ,, £ , , _� .„ ' , —New —Replacement Repair —Rebuild —ModifySpace —Work in R.O.W. $ 'r rr Description of work: � ;`,1,14cr ,.- , , � � �.�. �� RESIDENTIAL r-A � 4 ' Water Heater x - . - Water Softener '','r Lawn Irrigation( RPZ/—PVB) 'gym / • j.,.. t`a ,. Add Plumbing Fixtures( Main/—Lower Level) '' Septic System _New Water Turnaround xF + s ,v "'ft," —Abandonment -RESIDENTIAL FEES: $60.00 Water Heater,Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation(includes State Surcharge) $60,00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State Surcharge) *Water Turnaround(add$280.00 if a 3/4"meter is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES$ 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.oro 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 o work which equires a review and approval of plans. X 1 'k /4Y \I\ \ ,itk x • Applicant's Printed Name Appli ant's Signature � .,i' ,..,,...iii* c i d'" ,f ps 3.`},t'R�y ' t �' i.,, ..- t,i,' 4G r"+"� , v � w 3 '7,4'41': a + ;4Y41,..„'" ` ,°.c,74,'„."`, r4-;-:-'4414111-': { Weq ire• s•e: •ns 1Uncleraa, ,� � $�1.�` 's "':&wx c�g ; + £ !,,,,-,,,•-::.„ • i t" eyfix� r vgamS,„ M'�e w�eT`Re4.ed tera''s- "',M1eeSiza v t . RR'aio,Rea• a3 � a,Manome9 t ,. 7 � =-? - PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA170883 Date Issued:07/21/2021 Permit Category:ePermit Site Address: 1852 Red Fox Rd Lot:22 Block: 2 Addition: Blackhawk Forest PID:10-14325-02-220 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Niaz & Shehbana Mahmood 1852 Red Fox Rd Eagan MN 55122--115 Homeworks Services Co Dba Homeworks Plumbing Htg 1230 Eagan Industrial Rd, Suite 117 Eagan MN 55121 (612) 400-9020 Applicant/Permitee: Signature Issued By: Signature