1856 Red Fox RdPERMIT
City of Eagan Permit Type:Building
Permit Number:EA128721
Date Issued:12/02/2014
Permit Category:ePermit
Site Address: 1856 Red Fox Rd
Lot:21 Block: 2 Addition: Blackhawk Forest
PID:10-14325-02-210
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.
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 -
Gary W Gillard
1856 Red Fox Rd
Eagan MN 55122
(651) 249-4345
Pro Tech Restoration Inc
1355 Geneva Ave N
Suite 210
Oakdale MN 55128
(651) 776-8324
Applicant/Permitee: Signature Issued By: Signature
4111
City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
Permit #: (0°1qOt
Permit Fee: I V • OD
7 �
Date Received: ‘ k j L tj i
l 0
Staff:
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: //_/2- v Site Address: /85 4' Pc /4>c /2�?
Tenant:
Suite #:
RESIDENT / OWNER
Name: 671/Z L% Chi //#1 -1 -Phone: 1Y 35 ? 2 7
Address / City / Zip: S ifiA4 a
Applicant is: Owner Contractor
TYPE OF WORK
Description of work: 5 ME / C43 472 tt0 C
Construction Cost: Ja.jp — Multi -Family Building: (Yes / No L✓j
CONTRACTOR
Name: 11/14571.1.- r7M License #:
Address: as -V)- --0,--41-4( % City: l/0U• 51. 7i1/1._
State: 1`1 ✓ Zip: GC l 62 Phone: &67 - a 9-e-- 3 6'43
/'r 0& 4 L
Contact: �� ?lie �i c 1'1 G L(,' Email: i'YJYJ,�S'�� t /�5 y
COMPLETE
In the last 12 months, has
Yes 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:
_No
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor:
Phone:
NOTE• Plans and supporting documents that you submit are considered to be publrc information Portions of
the information may be classified as non :public; if you provide specific reasons that would permit the City to
conclude;that they trade, secrets :::3,rr,,,.,
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.dopherstateonecall.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; t - I understand this is n a . rmit, but only an application for a permit, and w• is iot to start without - pert' t he work will be in
accord - ith the appro • pain ;%� of work which requires a review and appro al of plan.. /
.-
Applicant's Printed Name
I
Appli Vs Signature
Page 1 of 3
r
a A
t
Werfificate nf ccc"anc?
CURq of Cfagan
I"Stiii-mt ? SuMbIq ZKMKcaon
This CertiftcaJe issued pursuant to the reqreire?rterers of the Uniform Burldi+tg Code
certifying rhat at rhe time of issuonce fhis structure was in compliarece wrrh the various
ordinances of the City regulating building constrpction or use. For ihe following:
SF DWG/GAR 28392
Usc (]mifxatioo: Bldg. Permit No.
. R-3 U-1 R-1 V-N
OccW-r
n,a 7oWoa D isoid T? Co"
a,,,,,wo(ei,;W* SEASONAL BLDRS 1NC Add.,. 4580 S::OTT TR., EAGAN, MN
1856
"" ?p?_ FQX RD L21, B2, BLACtCHAWK FOEEST
BuiMip
rAddcss - L2jn
J
Daw
?
.
BIII{&Oa ICw j '
POST IN A CONSPICUOUS PLACE
? ? -? • INSPECTI4N RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number.
Eagan, Minnesota 55122-167 Date Issued: '"'
(612) 681-4675
SITE ADDRESS: APPLICANT:
! r.il fClx Itf)
I?1 Ilt4 Ni41.11. 1 l)W:1
PERMIT SUBTYPE:
1!,,.
TYPE OF WORK:
INSPECTION .. . ..
! W:? t N?i
i N',li+ ?; f t r?ra ? ? I i,l 1!:?i f
,Iftl.11 0+14,11 i rj II I?:
? f tr. I 1 I NAI
RF MAkI -::: 1'RV S re W F'! HFt - FN 1IM42 t! f.. PI El?i:,
? • ?
? ?
Permit No. Permit Holder Date Telephone k
ELECTRIC 7
PLUM8ING
HVAC C / J q? !{?'S7 7
Inapecdon firate Insp. 47 Comments
FOOTINGS
wC/
FOUND
FRAMING `S y
ROOFING
ROUGH
PLUMBING -
PLBG
AIR TE5T
ROUGH
HEATING
L6
GAS SVC
resr
-,??1 `
L?
' - 0-?6 ?` ..?+> .??.
INSUL ?D
GYP BOARD
FIREPLACE q ? r?6
FIREPLACE
AIF TEST /
-7t;
FINAL PLBG
FINAL HTG i?
O ST T •t1/71
BLDG FINAL 7/
BSMT H.I.
BSMT FINAL
DECK F7G
DECK FINAL
/
/
??
INSPECTION REC4RD
CITY OF EAGAN ?PERMIT TYPE:
3830 Pilot Knob Road . r,F,? Permit Number:
Eagan, Minnesota 55122-1897 ??pa. Date Issued:
(612) 681-4675 ,
SITE ADDRESS:
,
PERMIT SUBTYPE:
i. n r •. . . . ? ? ? c?? r ? APPLICANT:
TYPE OF WORK:
? ?
Pertnit No. Pertnlt Holder Deta Telephone #
ELECTRIC
PLUMBING
HVAC I i I
Inapectlon Date Inap. Comments
FOOTiNGS
FOUND
FRAMIN(3
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL ??
Pem?it No. Permit Holder Date Talephone k ?
ELECTRIC
PLUMBING
HVAC
Inapection Date Insp. Commenta
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TES7
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TE5T
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG I
DECK FINAL
f INSPECTIDN RECORD
CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITEADDRESS: APPLICANT:
; ?? f't)X. RD , . , .
h3tAtKFIAtJk f•Rkf.ST tt•tt1 4b4--614/1
PERMIT SUBTYPE:
. . I Si
TYPE OF WORK:
??i TFRAI TOM
. _ .4 , I- ! 1 ??+. ? ruO NFt1k0014Sl
INSPECTION .• . ,,
HfMARK!it ASIFPAItAT'E PfRhIJT 143 RF4?tTRF..D FoR ANY Pl.«MRINri aN tLEr,YRIcaI. 1-41IWh?
?
90
,
?
-,4Q
tlddLesS 1856 RED FOX RD Zip 5512_
L.ot 21 Blk
Sub
BLACKHAWK FOREST
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECfION.
Date: ? L? 7 Yes No Inspector. . /
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry) ??
Permanent driveway ?
Permanent gas ?
Sod/Seeded grass
TraiUcurb damage
Parch
Basement 5nish
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shutoff of water supply [o
the oufside lawn faucet before fteeze po[ential exists.
Contac[ engineering division a[ 681-4645 before working in rightof-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contractor Copy Q9
IIIII?I?I I?IIIIIIIIII?IIIIII?IIII 821 QUEST FOR ELECTR A ' P T
Un'rversity ABvoear, Rmo S-1 eSt.PauMN551o4
?` r* 0 3 3 6 4 4 8 6* Pnone (612) saz-oaoo c7/g 7 ? jo ?J?`j¢' y
ome Duplex Apt. Bld . Other: ew Addn
ommercial Industrial Form Remod Re oir
Air Cond. Htg. Equip. Wakr Htr. Lood Mgmt Other:
D er Ran e Elec. Heat Tem . Service
"R" above the work covere`d 6y fhis request. Enter remarks in this spoce ond on the back of ihe whife copy only.
Calculate Inspection This Ins n Requesf will nat be ac<epted without fhe mrrect lee:
OTher Fee # Service Enhanoe Size Fee # Circvih/Feeders Fee
Mobile Home Pork Stall 0 to 200 Amps 0 to 100 Amps
Sheet Ug./Traffic Sig. Above 200 Amps bove 100 Amps
Transformer/Genemtor INSPECTOR'SUSE O ? } TOTAL
Sign/OuNine Lig. Xlma ?
1 ?, .,?
Alorm/Remote CoMrol 1 /
$wimming Pool I 6, «m *a ; n a ?ib<d he?i.onl6do :
IrrigStian Boom Ro?h-In De
S
ecial Ins
edion -
p
p
Investigafive Fea Firwl Daie " `
THIS INSTALLATION MAY BE ORDERE DISCONNE NOT COMPLETED WITH 18 M NTHS.
3 r? C?^ ^ O n??1
5 C7 ?} f? O l]LT
PLEASE PRINT OR TYPE O//F??FICEUSE ONLY Thij re?qu/9?t/ d je mo?s }rom volidaxon dafe printed in fiis box.
? /S? ( V ? /
? 7 7, o 9'4- /a,nM
6J?/q ?" L /?p 1
?5z???ryYCwY
Reqwst DaM
? ? Rough-In inspecNan reqoixd2 Ya ? N.
t1'ou must mll the inspecbr whe reo ) Insyeclion Olher Thon Rough-Ire ? Read ow Wili Call
Dme Ready:
I, licensed contracfor ? owner hereby request inspedion of the above eledrical worlc at:
Jo M sc5heel.Bn uceNo.??
12 ?iry P_ 1
?
8S
Secfion No. Townahip Nome or No. Range Na. Ftre No, ounfy
Ompam ? PhoMNo. ^S
?
Power Sup ' Pddreas
EleUnml C nvocror (Co pony Name? Contmcfar li se No.
U Mask? Lic No. (Plont EIM. Only)
Moiling Pddm? (Conho Owner PeAorming Insbllafion) a
?
qy? rized Sie/na? a(Co cror o^r Own?er nPeAarmirg Insfallatlon)
\J'--AL??,?Jl]LMlI_ _
PMne No.
EB-00001 10 6195 5fATEBOAl104PY-SEEINSfflUCTIONSONBACKOFVELLOWCOPY ?
?CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675. -i
PERMIT cR Ho"
PERMITTYPE: auzLoaNG
Permit Number: 031234
Date Issued: 12 j 0 8/ 9 7
SITE ADDRESS:
1856 RED FOX RD
LOT: 21 BLOCK: Z.
BLACKHAWK fORE5T
P.I.N.: 10-14325-210-02
DESCRIPTION:
r,..?.
B'u ildin¢-Pe
;Buil.di,ng Wo
"Census Cbde
/.
„
i,
§
?. ,
J <<
rmit Type
r?c Type
DECK
NEW
434 A`LT. RESIDENTIflL
:
?REMARKS
FEE SUMMARY:
Base Fee $50.00
Surcharge $.50
Total Fee $50.50
CONTRACTOR: - p,pplicant - sT. Lzc OWNER:
SEASONAL BLDRS INC 14545971 0001652 SEASONAL BUILDERS INC
4580 SCOTT TR 210 4130 BLACKHAWK RD
EAGAN MN 55122 EA6AN MN 55123
(612) 454-5971 (612)454-5971
2 hereby acknouledqe that I have read Cfiis
infnrrt?atinnis eorreot and agreeto, ctamply
Statutes,and City of Eagen Qrdi,nancse.
L .
? PPLICANT/PERMITEE SIGNATURE
a'pplica'tion arrd stste that the
wi•th a1I applicable Sta'Ce o1` Mn,
`ncu . ,?; r? I 1Y? ti
I SUE FIGNATLIREJ
I
CITY OF EAGAN
CA5NTER: MG TEFtMP.NAL N0; 621
T?ATEa 12/08/97 TIME: 15s06%28
Tn:
*AMEri SEASONAL BUILDEfiS INC
321.0 9001. 1856 kE.I, FOX FiD
2155 9001 1856 F:ED F OX fiD
329.0 3401 1$56 FiELI FOX FFIl
2155 9001 1E356 Rt:D FOX RD
Tot,al. F'eceipt Amount e
CR084•088
LlSFR JD: MARLYNN
50.00
(1.50
50.00
0.50
101.00
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(61Z? 681 ..4675
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDING
031222
12/08/97
SITE ADDRESS:
1856 RED FOX RD
LOT: 21 BIOCK: 2
BLACKHAWK FOREST
p.I.N.: 10-14325-210-02
DESCRIPTION:
11-?. (7WD BEDROOMS)
Building=>.:P,ermit Type BASEMENT FINISH
Building Wo-rk, Type ALTERATION
Census Code ,, ? 434 A'LT. RESIDENTIAL
r- -ok.
(
REMARKS:
A SEPARATE PERMIT IS REQUZRED FOR ANY PLUMBING OR ELECTRICAL WORK
FEE SUMMARY:
Base Fee
3urcharge
Total Fee
t
$50.00
$.50
$50.50
CONTRACTOR: - Applicant - sT. ltc OWNER:
SEA50NAL BLORS ZNC 14545971 0001652 SEASONAL BUILOERS INC
4580 SCOTT TR 210 4130 BLACKHAWK RO 114
EAGAN MN 55122 EAGAN MN 55122
(612) 454-5971 (612)454-5971
?
I hVrsby acknowledge that I have read this a{rplicat3on and sCate t-hat thre
infiormatipn is correot aad agree t4 cqmply with a11 applicatila State of Mn. Statutes and Gity of Eagan Ordinances.
APPLIGANT/PERMITEE SIGNATURE ISSUED B SIG ATUR
97 BUILDING PERMIT APPLICATION (RESIDENTIAL)
?9? CITY OF EAGAN
? 8830 PILOT KNOB RD - 55122
881 -4675
?:ES^.[ •i_ ? e ., - .- u: ?.
Ramodeln?enair Reouiremenfs
$-? O • JKO
caUI z4
? 3 registered site surveYa ? 2 copies of plan ? 2 copies oi plana (indude beam B. wintlow aizes; pouretl fid. dealgn; etc.) ? 2 aite aurveys (exteriar addkions 8 tlecka)
? 1 energy calwlations ? t energy eakulatlans for heated addhions
? 8 copies of tree preservation plan ff lot platted after 7/1/93
requfrod: _Yes _ No DATE: + I ' .? tO -G' , _CON3TRQCTION COST:
DESCRIPTION OF WORK:
STREET ADDRESS: J
LOT ? I BLQCK
SUBD./P.I.D. #: 61"l V.{.wI.- FbrQ -c?,+
PROPERTY Name: _ Jx-!.( SuAQJ i3UU7u-t.+ J,\JVPhone #: 454"5771
OWNER Street Address ? ? aalhaw?- pj- ,t?(Iq
City: a<'l?,l.Yl 5tate: Wj) Zip: 95 / 2)1-c). ^
CONTRACTOR Company: ?-a3otaOBiaJd jj), S rJ, ?one #:
Street Address: License #:
City: State: Zip:
ARCHRECTI Company: gal(l ??? Laq Phone #:?.55v?9(c ZU
ENGINEER
Name: Registration #:
Street Address:
City: State: Zip:
Sewer 8 water licer.aed plumber (new construction onry): . Penalty applies when address change
and lot change arc tequested once permit is issued.
I hereby acknowledge that I have read this appliqtion and state that the information is cortect and agree to comply with all applicabie
State of Minnesota Statutes and City of Eagan Ordinances.
OFFICE USE ONLY
Signature af Applicant:
_ Yes _ No
_ Yes _ No
CErtificates of Survey Received
Tree Preservation Plan Received
NOV 2 61997
- Not Required
BUILDING PERMIT TYPE
OFFICE USE ONLY
0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging J6, 16
0 02 SF Dwelling o 07 4-plex ? 12 Multi Repair/Rem. o 17
0 03 SF Addition o 08 8-plex n 13 Garage/Accessory ? 20
? 04 SF Porch a 09 12-plex ? 14 Fireplace ? 21
0 05 SF Misc. 0 10 _-plex o 15 Deck
WORK TYPE
0 31 New )z?' 33 Alterations o 36 Move
0 32 Addition o 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actuai)
(Allowabie)
UBC Occupancy
Zoning
# of 5tories
Length
Depth
APPROVALS
Planning
Basement sq. ft.
Main level sq. ft.
sq.ft.
sq.ft.
sq.ft.
sq. ft.
Footprint sq, ft.
Building
_44AP Engineering
Vaiuation: $
Permit Fee
5urcharge
Plan Review
License
MCNVS SAC
CRy SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total: , , i ,'
_...- . .., =ifE
% $A
SAC U ?3
i
A... r .nrr? ..e'w+
41
,.
? ?uze? ?? .;: :i?w y •..;? ..
Basement Finish
Swim Pool
Public Facility
Miscellaneous
MCiWS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bidg
Census Unit
Variance
?--
i
a/
/
?.
r,:tTV f.IF .F..Ar:,aN
CASH.T..FRc E3 7[_fiMSNAl... NOc 95
DATG:; 08/07,'96 TIME:e 0$t57:28
IIi r
NAMEw LtF I1OLDING CC1
2256 9001 1856 Iil-=Ci F'OX ftX1 4,660.38
7ot.,2:l Feceip+, Amauni;" 4?660.38
CkO61(i?698
LSk=k LD: NANCY
. ' CITY OF EkGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
cuzoi?ea?? .?
BUILDZNG
ezssez
08/@7/96
SITE ADDRESS:
P.S.N.: 10-14325-210-02
1856 RED FOX RD
LOT: 21 BLOCK: 2
BLACKHAWK FOREST
DESCRIPTION:
c?4 114Lni Permit Type SF DWG
Type NEW
R-3 U-1
?Cgns?t`?5?"Otin '1 e V-N
?l- XOn??g R-1
?'r ?lai1$lITC? .??nqtYi .,? 70
?U?g,t1k?3f?- 38
? "?''+'?5 ? ? 2
???s§f?`j ;+je _ePz""' 101 1 - FAM. DETACH
? .? y'T LY
(Y?."} Fz
yvj3 `n!???_?,??'x @t?x^t?
t £F .
REMARKS:
PRV
FEE SUMMARY:
5& W PL6R - PLUMRITE PLBG
Base Fee
Plan Review
Surcharge
SAC
SAC %
SAC Units
Subtotal
VFLUATION
$1,172.25
$586.13
$78.50
$909.00
100
$2,736.88
$157.000
MISCELLANEOUS $1,923.50
Total Fee $4.660.38
CONTRACTOR: - Applicant - ST. LIC.OWNER:
SEASONAL BLORS INC 14545971 0001652 SEA50NAL BLDRS INC
4580 SCOT7 TR 210 4580 SCOTT TR 210
EAGAN MN 55122 EAGAN MN 55122
(612) 454-5971 (612)
I. ' , x= R ?.
S h?r?kay';a?k?s?gu?e?dg? thst, ? t
? statut?:s an?i _???ys..rafi E???Ka Qi
P
??.
GICPPLICANT/PEFMITEE SIGNATURE
?t .
?
115942996 CITY OF EAGAN
3830 PILOT l?NOB RD - 55122 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675 ?lY,?j,,;? 1_2g
men
? 3 registered ske surveys ? 2 copies of plan
? 2 copies of plana (indude beam 8 window afzes; poured fid. design; etc.) ? 2 sRe surveys (ezterior addRions 6 decks)
? 1 energy calculetions ? 1 energy calwlations for heated additions
? 3 wpies of tree preservation plftot plafled after 711193 .
required: _ Yes No
DATE: ' ?? ? CONSTRUCTION COST: // ???0 ? J
DESCRIPTION OF WORK: ?-?-v ??(L?ZY-)
STREET AUDRESS: Ra jD'r les.
LOT °V / BLOCK o? SUBD./P.I.D. #: &W Ct / raw'C
PROPERTY
OWNER
CONTRACTOR
ARCHITECTI
ENGINEER
Name: SeaSGI" a' ?UM-1-?Ir5 , -7n6• Phone #:
ygT ilq6i
Street Address:
City:
State: Zip:
Company: 3eosoY1Ctl Phone #: ' r ill
Street Address: y586 10"a/6 License #: 0,00/& S0?
City: CaState: rnn Zip: 55J ad
Company: 30h11 Phone#: J?53-91o?U
Name: Registration #:
Street Address, 6151 `/? ??CX (AU _
City: Y' Iym0lx?-k State: I)IA Zip: 55-04/
Sewer & water licensed plumber: T) u-ft rt ?e' Penalty applies when address change and lot
change are requeated once permit is issued.
1 hereby acknowledge that I have read this appiication and state that the information is correct and agree to compiy with all
applipbie State oi Minnesota Statutes and Ciry of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes
Tree Preservation Plan Received - Yes
=EE No
?o
---------------
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging o 16 Basement Finish
e-12 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition o 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 5F Misc. 0 10 _-plex ? 15 Deck
WORK TYPE
o"31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Building <l.ts,
1027;? _ MC/WS System X
I. y SS City Water
i
i oy Fire Sprinklered
?
G 7 a PRV ?
Booster Pump
Census Code. to I
,?,3y 0 SAC Code or
Census Bldg I
Census Unit I
Engineering
Permit Fee
Surcharge
Plan Review
License
MC/WS SAC
City 5AC
Water Conn.
Water Meter
Acct. Deposit
SIW Permit
SfW Surcharge
Treatment PI.
Road Unit
Park Ded.
Traiis Ded.
Other
Copies
Total:
°r6 SAC
SAC Units
,iM Basement sq. ft.
?N Main levet sq. ft.
R-3??-? 2..n sq. ft.
2 - i ? sq. ft.
2 sq. ft.
?4 . G co sq. ft.
:5,$.o Footprint sq. ft.
Valuation: $ i S7, oD0
?SCw e?
z
Z9Xqp -
il_ 7sK ID -
Variance
I I 6C? i??IS =1'7"HUO
?---
i?,5n. S
;?x z2.33= F70941(,c ?0,720
211-ly0 = 11ho 0
i).'7sxko = I 11•5 0
10 .
,z??.sC?'?sa = szs
30 . G 6 u tl0 - I Z?-6. ?
?Io3.Ur?A-4=5958?
r-=-
' crl"a? ?Slo,(a2G.5
' LOT SURVEY CHECKLIST FOR RESIDENTIAL
, APPLICATION
BUILDING
PERNIT
?
PROPERTY LEGAL:
? I
DATe O'F SURVEY:
LATEST REVISION: ?
It DOCUMENTSTANDARDS
F
6/ X ?
C?' ? ? • Registered Land Surveyor signature and company
?/? ? • Building PermR ApplicaM
2 13 ? • Legal description
a ? • Address
? ? • North artow and scale
Q o o • House iype (rembler, walkout, split w/o, splft entry, lookout, etc.)
?? ? • Dlrectional drainage arrows wi[h slope/gradient %
?? o • Proposed/exissting sewer and water services & invert elevation
? ? • Streetname
? ? • Driveway
ELEVATIONS
E istln
? ? • Sewer service (or Proposed)
C3 ? • Property comers
Er,? ? • Top oi curb at the driveway
M' ? ? • Elevations of any existing adjacent homes
ro osed
?f ? ? • Garage floor
91"p ? • First floor
c?f ? • Lowest exposed elevation (walkouHwindow)
? ? • Praperty comers
?? ? • Front and rear of home at the foundation
PONDING AREA frf aoolicablel
? O • Easement line
Cf 13 ? • NWL
? ? ? • HWL
t' ? A • pond # designation
? ? ? • Emergency Overtlow Elevation
E5, ? o • Lot IinesBearings 8 dimensions
0"' ? ? • Right-0f-way and street widtti (to back of curb)
? ? ? • Proposed home dimensions including any proposed decks, overhangs greater than 2',
porches, etc. (i.e. all sVuctures requlring permanent footings)
?/? ? • Show ail easements of record and any Cily utilities wifhin those easements
• Setbacks of proposed structure and sideyafd setback of adjacent eristing structures
? 0" ? 0 Retaining wali requiremen4s, if any_ ?
RaviaWea:
Date
G
January 7996
CR/VGtBBBIBLOGPRAR.FM
v?..vv? ?
. ' 3
WYE
S-0+45
EL798.3
I/7 BENDS
+50
Ko
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CUT IN 8"x6' TEE EL797.4
2-e` carE vnLvEs
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s-o+so 21
? EL789.9
/ EX. SAN, R &
WATERMNN ERVI
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5-0+25
EL804.0
CONNECT TO ISTI
MHATINV78,
(VERIFY PROIR TO
CONSTRUCTION)
WYE
S-0+10
EL810.0
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WYE
S-0+70
EL814.4
23
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S-0+80
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BENDS --- 7
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J?'sG IT St'?OULt?
r,,v pl? THE SITE• 19 BLI O C
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18
....:.........lo,........;......... ? ........:................... ......... ......
.
CONE
PROPOSED IGRADE?
........?lP..
1 UU"=0 uir
I . . . 0• 0:40% . . . . _ . I . . . O .0.40?
• :?
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?i SEWER
. ,f INV 794.00
I INV 808.15;
INV 807.75: .
I 'INV'800.BO........ I ......... :.........I.........;..
.................I .................... ...........
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?J. IriVi' it?:.,?. .... . . . .. .... ,
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .: '. . . . . . . . . . . . . . . ., ... .
PURPOSEU
U0IPGG IT SHOU'C 'v 'r
;;:;; ,71aN IN THE SITE.: :
. . . . .
: . . . . . .
........:...
+I. ......±i ...............±i............. +.
00 2+00 3+00 4+00 5+00
I HEREBY CERTIFY THAT THIS PIAN, SPECIFICATION, OR '
REPORT WAS PREPARED BY ME OR UNDER MY DIRECT
SUPERVISION AND THAT I AM A DULY REGISTERED PROFESSIONAL
?....??., I 11.1?1 r. 11 . .,.,c 11 -rur orerr nr kunieircnre
EXTERIOR EiVVELOPE AVERAGE 'U' COMPUTATIOIV
P2an Date : /?1Q5
Owner
Concraaor
Site Address
i) Total Fxposed WaII Area ? s4. n.ii =???- (
2) Total Euposed Roof/Ceiting ? sq. ft. .026 =
Wall Calcutation
Total Window P,rea
Totxl Door Arca
Totat Glass Door Area
Total Fireplace Area
Total Wall Framing Area
Net Insulaud Wall Arca
TOtal Rim Joist Area
Total Foundauon Area
Total Foundation Window
y-3$ sq. fr. 35 = E3-3
-40 sq.it .07 = 2 •7.
e{tj sQ. fL 35 = ?
r.fe sq. fr. 36 = /
• z t 1 sq. ft .09 = 18 •?i
?0?(5 sq. fr. .043 = o1
-;ZCoS s9. ft, .04 = (o.r4=
141 sq. ft. .14 = 11.7
y? sq. ft. 35 =
3) Total 7---4q ,751
If item 3 is the samc as, or less than itcm 1, you have met the iateat of 2
MC.AR 1.16008 A and O.
Roof/Ceffing Caleulation
Toul 5kylight Area
Total Roof/Cet?ing Praming
Net insulated Roof P.sea
t".s.- 5q. fz .35 = /
147-- sq. f[. .026 = 3.-1
1 Z7B sq. fL .022 = 2e3. I
4) Total _ 3 I. S
I[ item 4 is the same as, or less than ium 2, you have met the intent of 2
MC.SR 2.16008 A aad O.
A]temute Building Euve7ope Design
To uulize the cotal envelope system method the sum of items 1 and 2 shall bc
greatez shaa the sum of items 3 and 4.
i +2) _
3) t4) _
I hereby cessify that tbe building here describcd meeu or exeeeds the state of
Minnesow Enerey Coaservarion AcL • •
Signed
,?:
EXTERIOR ENVELOPE AVERAGE •U' COMPUTAT[ON
Plan # ? Date :TIqS
Owner o?y
Convactor
Site Address
1) rocal Expoua wail Area 3? _ SQ. k.11 = 3-jr.3• i
2) Total Ecposed Roof/Cciling J¢,Zrv sq. ft. .026 = 3r,.•Q
Wall Calculation
Total Wiadow Area
Tota] Door Area
Total Giass Door Area
Total Fireplace Area
Tocal Wall Framing Area
Net Insulated WaII Area
Total Rim Joist Area
Total Foundarion Area
Total Foundation Window
Z??S sq. ft 35 = g3-3
? sq. it .07 = 2 -7.
ekj sq. fc. 35 = A-c->
? sq. fc, 36 = /
•-z ? 1 sq. ft .09 - ? g•9
sq. ft .043 = ?{o• 1
rzp sq. ft. .04 = ?a.cm
141 sq. fr. .14
sq. ft.
35 ?
=
3) Total ? .?
If item 3 is tbe same at, or less thaa item 1, you have met the intent of 2
MC.AR 1.16008 A and O.
Roof/Ceffing Calculation
Total Skylighc Arca i..a1r sq. fr. 35 = ?
Total Roof/Ceiliag Framing Sdy sq. R. .025 =75.'l
Net Ibciilaced Roof Area ?z?78 sq. fs. OZZ = pB. I
4) Total 3 I. 8
If item 4 is the same as, or Iess shan iicm 2, you have mst tbe iatent of 2
MCAR 1.16008 A and O.
Alseraate Buildiag Ewelope Design
To utiIize the total envelope system method the sum of item5 1 and 2 shall be
gresur than the sum of items 3 and 4.
1) +2) _
3) +4) _
I herebv eeriify that the buildiag here describcd meeu or exreeds the state of
Minnesow Energy Conservacioa Acc. • •
Sigaed ?
• cERnFicATE oF suRVEY S 8 4= 3 3- 9 6
for SEASONAL BUILDERS '
?ed
L_ <
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=-
/ - box -' ?1p
Scale: 1" = 30'
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1856 Red Fox Road
DESCRIP110N
Lot 21, Block 2,
BLACKHAWK FOREST
Dakoto County, Minnesota
By
A
Piat bearings shown I)a
o Denotes iron monument ?GAN
? Existing j Proposed
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 Minnesota.
Date
BRANDT E
1600 West
Burnsville,
(612) 435
Reg. No. 8140
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NGINEERING & SURVEYING
143rd Street, Su ite 206
MN 55306
-1966 S84-33-96
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CERTIF'ICATE OF SURNEY
for
SEASONAL BUILDERS
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Scale: 1" = 30'
S84-33-96
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1856 Red Fox Road
DESCRIPTION
Lot 21, Block 2,
BLACKHAWK FOREST
Dakota County, Minnesota
Piat bearings shown
o Denotes iron monument
? Existing j Proposed
---
I hereby certify that this survey, plon, 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 Minnesota.
Date 012 TVL 19W Reg. No. 8140
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BRANDT ENGINEERING & SURVEYING
1600 West 143rd `.?treet, Suite 206
. Burnsville, MN 55306
(612) 435-1966
11 '1
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S a ro?seZ ?o?pP:
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P10905 t e? ?
' 65m ??b?ti•?) 1
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? ease ?
? ment
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S84-33-96
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SUBD.
CITY USE ONLY
1999 P1-U1b1B1Ne PEfiMIT (RESIDENTIAW
CffY OF gAfi/4P(
3830 Paor xcroa en
EA6AN, MN 551 24
(857) 681-4875
Please complate for: ? single famlly dwellings
? townhomes and condos when permits are required for each unil
? backtlow preventer for undergro und sprinkler system
. _---------------------------------------------
FIXTURES ------------------
EACH ----- "---- ?------ -----------°--------
# TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
Waler Heater 3.00 x =
Floor Drain 3.00 x =
GaS Piping Outlet • minlmum -1 3.00 x =
Rough Openings 1.50 x =
Water Softener " for dwellings under construction 5.00 x =
Water Softener ' tor existin0 dwelling 30.00 x
U.G. Sprirlkl@r ' for dwelling under const. 3.00 =
U.G. Sprinkler ' lar existinp dwelling 30.00 =
Alteratlons • toexistinpresidence 30.00 =
Water Turn Around 30.00 =
Private Disposal System • MPC uc. 75.00 =
(new and refurbished syslems)
Private Disposal Systems ' Aeandonment 30.00 =
RPZ (new installation/repair) 30.00 =
Reminde r• Ca11 6 81-467 5 for inspections of water heaters, STATE SURCHARGE .50
water softeners, alterationa, etc.
. TOTAI 7 ? 50
-•••-----•-••• ...................•••-----•••----....._.__...-•-infortnation is o?rtect, and agree to mmply --•••------••--...._...------••• •---•--wllh a•--••ll a• •-pp--li.cab...le City of Eaga.............n..---ordinan-•-'ce--s...
I hereby adcnowledpa that I have read this application, state Nat the
It is lhe applipnfs responsfbiliry to notiry the pro0erty owner that Ne City of Eagan assumas no Iiabllity tor any damages caused by the City tlunng Ils nortnal
operatlonal antl maintenan% -- - ?mit within CI
ty property/d8ht-of-way/easemenl.
SITE ADDRESS:
OWNER NAME:
CHAN, KWAI
1656 RED FOX ROAD
EAGAN, MN 55122
(651) 905-9720
INSTALLER NAME: 060015l nf C, TELEPHONE
STREET ADDRESS: 5?#gFlkiLJ? ?? ::?
CIN: STATE: 0 ZIP: S OF?
SIQ;NAW'1&£ OF PERMITTEE
CD/PERMIT FORMS/RPLBG PERMIT (RES) • 1990
CITY USE ONLY ??/?-?
L ? BL ? RECEIPT #: ?5
SUBD.IL.aC`iP?.?1?aw?.!? DATE: 9 /
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: ? I ,? , f g I ?
? Minimum Fee: Add-on/Remodel (existing residence only) $20.00
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required @$3.00 each) -Oo
? State Surcharge .50
TOTAL ?_?
SITE ADDRESS:_
OWNER NAME:
INSTALLER NAM
STREET ADDRE:
cmr: ?
PHONE #: ((,Q(Z
i
PHONE #:
./
CITY USE ONLY
l BL
SUBD.
RECEIPT #:
DATE:
7996 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? all commerciaUindustrial buildings.
? multi-family buildings when separate permits are = required
for each dwelling unit.
DATE:
CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: .$25.00 minimum fee gr 1% of conVact price, whichever is greater.
? Processed piping - $25.00
? State surcharge of $.50 per $1,000 of permit fee due on all permits.
CONTRACT PRICE x 1%
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME:
TENANT NAME: (IMPROVEMENTS ONLY)
INSTALLER:.
ADDRESS: _
CITY:
PHONE #:
SIGNATURE:
TELEPHONE #:
STATE: ZIP:
SIGNATURE OF PERMITTEE
CITY INSPECTOR
• L „_ gL ? CITY USE ONLY RECEIPT
?
SUBD. s/¢/? DATE:
1996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
?
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES EAScEI ?Q. TOTAL
Shower 3.00 x J3 aL
Water Closet 3.00 x 3 = 9T
Bath Tub 3.00 x ?( ?
Lavatory 3.00 x _:a_
Kitchen Sink 3.00 x _J_
Laundry Tray 3.00 x
Hot Tub/Spa 3.00 x =
Water Heater 3.00 :c
Floor Drain 3.00 x 1,
Gas Piping Outlet' minlmum - t 3.00 :c I ?°
?
Rough Openings 1.50 :<
Water Softener 5.00 x 16_ _
Private Disposal ' Dakota Cty. Iicense 65.00 =
(new and refurbished systems)
U.G. Sprinkler ` home under const. 3.00 =
Atterations ' to e)dsting 20.00 =
Water Tum Around 20.00
STATE SURCHARGE .50
TOTAL .5c)
SITE ADDRESS: LbS(? Lj Foy V-00.al
OWNERNAME: ?SPV-O+-l ??-?--
INSTALLER NAME• U " Z `
STREET ADDRESS:-11-0.5 Sn? 'E"'.-T`.
CITY: STATE: /u /V ZIP: -55p 66
PHONE #: ( (??Z) '17-1- U<E`F C&"
blUN'ATl7KE"UFFE ,
L
SUBD,
BL
OFFICE USE ONLY
RECEIPT #:
DATE'
1996 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please oomplete for. . all commercialfindustrial buildings.
w multi-family buildings when separate permits are Il44? required for each dwelling
unik
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION ADD ON REPAIR
DESCRIPTION OF WORK:
IS WATER METER REQUIRED7 _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? _ YES _ NO.
FAILURE TU PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER IS5UANCE.
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. SPRINY.LER PERMIT.
FEE: $25.00 minimum fee or 1% of contract price, whicheveris greater. State surcharge of $.50 per
$1,000 of pglnd fee due on all permits.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL
SITE ADDRESS:
TENANT NAME:
OWNER NAME:
INSTALIER: -
ADDRESS:
cmr:
PHONE #:
STE. #
SIGNATURE:
OFFICE USE ONLY
METER SIZE: DATE:
STATE: ZIP:
APPLICANT
INSPECTOR:
?
e . 997
31
New Con9trudion Reauirements
BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
6814675 ? fcdI??-e9
BflmodeUReoair Reauiroments
? 3 registered ske surveys • 2 eopies of plan
? 2 capfea of plans (Indude 6eam 8 window saes; poured fid. dealgn; etc.) • 2 ske surveys (exterior adtlitiona 8 decks)
? 1 energy calalations * ? 3 oopfes of tree preservaBOn plan if lot pleried eRer 7H/93 ??ergy celwlations tor heffied additions
required: _Yes No -
DATE: CONSTRUCTION COST: ??OOO
DESCRIPTION OF WORK: Ve G k /
STREET ADDRESS: -,r Xrqe*' roJe R?
LOT 2j BLOCK ? SUBD./P.I.D. #: ?/4C ?C ?jlaw: IC h,rt S?
PROPERTY Name: Phone #:
OWNER
Street Address:
City: State: Zip:
coNTw?croR Company: Seasedw/ /`jv. X/erS .?^?. Phone#: 4?(Z'85-S/-S99/
5treet Address: Y/ ?o ,t?/yf/r /4.,k lf? License #: l?S ?
City: r4El" State: /-71hr Zip: S-5-/z7
ARCHITECTI Company: Phone #:
ENGINEER
Name: Registration #:
Street Address:
City: State:
Sewer 8 water licer.aed plumber (new construction only):
and bt change are,Bquested once permit is issued.
Zip:
Penatty applies when address change
I hereby acknowledge that I have read this application and state thet the information is correct and agree to comply with all applicable
Stste of Minnesota Statutes and City of Eagan Ordinances. ?- ?
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received
_ Yes _ No
D
1997
T?ee Preservation Plan Received - Yes _ No _ Not Required
BUILDING PERMIT TYPE
0 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-plex
0 03 SF Addition o 08 8-plex
n 04 SF Porch ? 09 12-plex
? 05 5F Misc. 0 10 = plex
WORK TYPE
,Ef'31 New o 33 Alterations
n 32 Addition o 34 Repair
GENERAL INFORMATION
OFFICE USE ONLY
0 11 Apt./Ladging ?
? 12 Multi Repair/Rem. ?
n 13 GaragelAccessory ?
0 14 Fireplace n
,e15 Deck
0 36 Move
0 37 Demolition
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
Const. (Actual) Basement sq. ft. MC/W5 System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq, ft. Booster Pump
Length sq. ft. Census Code.
Depth Footprint sq. ft. SAC Code
Census Bldg
Census Unit
APPROVALS
Pianning Building MO. Engineering Variance
PermR Fee Valuation: $
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SNV Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
,.
% SAC
SAC tlnits i ? • •:
....,.._.... ....?.?,.5
._.__.....?_,..-- - . _ _._.
i
/
H3H
c? L
v
D &4.,A? ??-
ascairr i
EIM DATE 4/
110
JGO
OYN
aTi
PI&L.93 Dt ADYI3ED T}tAT I7¢ME IS A FEE SHORTAGi, ON Ti? nDOYL
?
EI.DC'1RSCAL It6TALL?TION IN 'i7? AM4UtR OF S b
5}tCBTACt IRST BB PA2D YHI'I7{I21 14 DATS.
NlRAALi' '
C+'? 0 co 30 anv. eireuita- ! z?
31 to 100 amy, circuitnm ?
0 Go 100 aso ferricf-
LESS FEE RECIEYED -71
'i'tfTAL FEE SHARS'AGE 11IfE . m
PEe!lIt/ -
>
ORIG. tlCEIY2/
RECEIlt DA?E
BLNRI/ A COPY OP I}lIS TORl1 HIIH AEMITf1NCE.
t
'o `/,/L? . 111197
?-. ---
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1856 Red Fox Rd
Lot: 21 Block: 2
PID:10- 14325- 210 -02
Use:
Description:
Sub Type: e- Fireplace
Work Type: Gas Fireplace (new)
Description:
Census Code: 434 - Occupancy:
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Fireside Hearth & Home
20802 Kensington Blvd
Lakeville MN 55044
(952) 985 -6675
Addition: Blackhawk Forest
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Construction Type:
PERMIT
City of Eaan
Total: $90.00
Applicant/Permitee: Signature
- Applicant -
Owner:
Gary W Gillard
1856 Red Fox Rd
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
Issued By: Signature
Building
EA086703
10/07/2008
ePermit
Chimney /flue must be inspected prior to concealing. Smoke detectors are required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.
Andrew Hoffman
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.
PERMIT
Permit Type: Building
City of Eagan
Permit Number: EA106094
Date Issued: 08/09/2012
Permit Category: ePermit
Site Address: 1856 Red Fox Rd
Lot: 21 Block: 2 Addition: Blackhawk Forest
PID: 10-14325-02-210
Use:
Description:
Sub Type: e-Reroof
Construction Type:
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Occupancy:
Zoning:
Square Feet: 0
If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are
Comments:
not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes.
BL - Base Fee $4K $103.25 0801.4085
Fee Summary:
Surcharge - Based on Valuation $4K $2.00 9001.2195
Valuation: 4,000.00
Total:
$105.25
Contractor: Owner:
- Applicant -
Storm Guard Restoration Gary W Gillard
1355 Geneva Avenue North, Suite 201 1856 Red Fox Rd
Oakdale MN 55128 Eagan MN 55122
(651) 738-1698
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.
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA123013
Date Issued:05/27/2014
Permit Category:ePermit
Site Address: 1856 Red Fox Rd
Lot:21 Block: 2 Addition: Blackhawk Forest
PID:10-14325-02-210
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
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 -
Gary W Gillard
1856 Red Fox Rd
Eagan MN 55122
(651) 452-5316
Storm Guard Restoration
1355 Geneva Avenue North, Suite 201
Oakdale MN 55128
(651) 738-1698
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
r For Office Use
/,, G
City of
Eaaall Permit Fee: 0 v0
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 Staff:
Fax: (651) 675-5694 L
2017 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: .3 -.22 t 7 Site Address: I — 141r- it 0/04i
i
Tenant: ��e Suite# .,... .o;
Name:
..91 ,--11Z-aa--tPhone: 6 7_4/2— 1
Resident/Owner i ` poi
Address/City/Zip A,l D � / � t
5 Name: .4PLicense#: 45 l3Zp
Address:� � .K.� . City: —7.------(s--A/
Contractor /
State: 714. _Zip:_ �7'7 Phone: 44- `.?. `���'8d7a
i
' Contact c--fr _( Email:
Type Of Work —New _Replacement _Repair _Rebuild Modify Space _Work in R.O.W.
Description of workC` 'e2 cZiL t
RESIDENTIAL 1
t Water Heater
Lawn Irrigation ( RPZ/_PVB) Water Softener
Permit Type 1 1IAdd Plumbing Fixtures( Main/—Lower Level)
Septic System
New ! Water Turnaround
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 $ t
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans. �-
x--7—�t�cG � L'tel ✓` x ,tr...•6 --- — -
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-in Air Test Gas Test Final
Meter Related Items: Meter Size. Radio Read Manometer Staff:
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA144107
Date Issued:07/13/2017
Permit Category:ePermit
Site Address: 1856 Red Fox Rd
Lot:21 Block: 2 Addition: Blackhawk Forest
PID:10-14325-02-210
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Gary W Gillard
1856 Red Fox Rd
Eagan MN 55122
(651) 249-4345
Controlled Air
21210 Eaton Ave
Farmington MN 55024
(651) 460-6022 X253
Applicant/Permitee: Signature Issued By: Signature
=R •
For Office Use 1 )�
0 , /
*:41:
4 + /// RECIEVED ::::::ee
:
: 117
.mow
Date Rea ei„ed: rA
3830 PILOT KNOB ROAD I EAGAN, MN 551 22-1 81 0
(651) 675-5675 I TDD: (651) 454-8535 I FAX: (651) 675-5694 Staff;
um.
1
buiidinginspections�city ofea qa n.com 2018
Ji o.:\
2018 RESIDENTIAL/BUILDING PERMIT APPLICATION �, •
NLtd �
Date: $Ji 1 i Site Address: i g610 /i� FV ►V° ba"- " ►" Unit#: ,6\
e
Nam : ` \ V' •W� \ : S1 ,111 leY5
�J Pnone.
-Resident,' pN >ZZ
Address/City/zip: � 1 G� f n) L�l�
4� Applicant is: Owner Contractor /
Description of work. Vx 4-64;03 EA 14 De ck-
Ty# Of.Wow
Contr coon Cgst: C Multi-FawilyBuilding: (Yes /N. )1 )
Company: Contact:
Address: City:
Contractor�. 7
State: Z,p: Phone: Email.
License#: Lead Certificate#:
If the project is exem pt from lead certification, please explain why,
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
�7 E
Pions and s pporting we nt thit your su nsidtenk# lbikrmat moans of'theinp ori ybe
classified a4t non-public ivypravide 441Hkreasons d perthit itte,city to dude
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaaan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection again=underground =ill=y damage. Call 48 ho rs before you
Intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
hereby acknowledge that this information is complete and accura e,that the work will be in conformance ' h the ordinances and codes ofthe City o£
Eaga , that I understand this ,s not a permit, but only an application for a permit, and ork not to stw thout a mite that the work will be in
acc orda a with the ep, ovetl plan in the case of work which requires a review and uppro/ pl:' s
Applicant rinted Name Appli ant's Sig ature
DO NOT WRITE BELOW THIS LINE
t n.._ . , & t coy . 1111 7� �'
SUB TYPES
_ Foundation _ Fireplace Porch(3-Season) _ Exterior Alteration(Single Family)
Single Family _ Garage — Porch(4-Season) _ Exterior Alteration(Multi)
Multi Deck — Porch(Screen/Gazebo/Pergola) _ Miscellaneous
01 of Plex Lower Level Pool Accessory Building
WORK TYPES
_ New _ Interior Improvement _ Siding _ Demolish Building*
4 Addition _ Move Building _ Reroof _ Demolish Interior
Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation 6 41 D —Yo. Occupancy -4-g c - 1 MCES System
Plan Review Code Edition 02 n Z"r, SAC Units
(25% 100% ') Zoning g -- 1 City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length /(A Fire Suppression Required
Type of Construction V`_45 Width /i
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
t Footings(Deck) Final/C.O. Required
Footings(Addition) Final/No C.O. Required
Foundation Foundation Before Backfill HVAC_Gas Service Tost Gas Line A1r Test
Roof: Ice &Water Final Pool: Footings _Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In _Air Test _Final Siding: Stucco Lath _Stone Lath _Brick — EFIS
Insulation Windows
Sheathing Retaining Wall:_Footings_ Backfill_ Final
-
Sheetrock Radon Control
Fire Walls Fire Suppression: _Rough In _Final
—
Braced Walls Erosion Control
—
Shower PanOther:
Reviewed By: /
��#/I , Building Inspector
RESIDENTIAL FEES
Base Fee Z 7 Z 5?, &—
Surcharge �j,�,��
Plan Review V if is-, v..) S -rT
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
P.ge2or3
C
CERTIFICATE OF SURVEY • S84- 33- 96
for
SEASONAL BUILDERS •
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Scale: 1 " = 30' `•- tDLi‘
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----7
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/ / /
1856 Red Fox Road j ,
DESCRIPTION ! //
I /
N ! /
Lot 21, Block 2, /
BLACKHAWK FOREST N. I /
Dakota County, Minnesota N /
Plat bearings shown N.
I' / /� /...—...\o Denotes iron monument N N. ' '/ I
pa
Existing, op
Prosed •
i/7 N Imo,/
N.
I
hereby certify that this survey, plan, or N
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 NN
of Minnesota. N
N
Date 12 TtiL 1994 Reg. No. 8140
BRANDT ENGINEERING & SURVEYING
1600 West 143rd Street, Suite 206
- Burnsville, N N 55306
( 612) 435 - 1966 S84- 33- 96