1859 Red Fox RdWertificate of Cccu.panc?
wi#g oq Wagan
Me.partmeut of vailbittg 3udocctian
?r
?
This Certijcate issued pursuant to the rrquirurrents of lhe Unifarm Building Code
certifying that at the time of issuance this structure was in co?npliance with the varrous
ordinances of the City regulating building corutruction or ure. For the fo!lowing:
SF DWG 32060
uxcm;rKatim: BIdg.Permil No.
Occopmcy Type R- 3 U-1 7ming pisaict R- 1 Type CaM. V il
VAR1ETii HOMES 41.30 BLA":KHAWK RD, EAGAN MN
ovlw oreuiiding Add,ess
1859 RED FOX RD L2, B1, BL ::KHAWK FOREST
?ildin8Addma ??ry
A CONSPICUOUS PLACE
.. , _ INSPECTI4N RECORD
CITY OF EAGAN PERMIT TYPE: ,.,•?,,,?
3830 Pilot Knob Road Permit Number;
Eagan, Minnesota 55122-1897 Date Issued:'
(612) 681-4675 ? f?
SITE ADDRESS: APPLICANT:
i ? t c? :?, 'tt l:? ,,.y }
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION .• . D.
r e n n 1• , v. r w E. 1r aa 1 11 1 PC- Un {f *: ik
?R1/ ???i?tl!€df ?
?f?W PI 11MiF?FR : t;FM: -I?YAId
Permit No. Permit Holder Date Telephone #
ELECTRIC
v-°71-21
PLUMBING
HVAC 4?,
InapecHon Uate Insp. Comments
FOOTINGS
FOUND
7
FRAMING
ROOFING
ROUGH
PLUMHING
PLBG
AIR TEST ?
ROUGH
HEATING
f d? I?r G
.?
GAS SVC
TEST
., ?
INS,UL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINdL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
N? f
DECK FINAG
lq?
Address 185o ?tIDFOX [tn Zip 5512 2
I.ot 2 Blk 1 Sub moagAw rroREsr
THESE ITEMS WER?/ WERE NOT COMPLETE AT TfE TIME OF THE FINAL INSPECTION.
Date: Yes No Inspector:
Final grade (6" from siding) ?
Permanentsteps (garage) 1/
Permanent steps (main entry) v
Permanent driveway
Permanent gas ?
Sod/Seeded grass ?
TraiUcurb damage ?
Porch ?
Basement finish t?
Deck ?
Please ve n'fy with the builder the removal of roof test caps from the plum6ing syscem and the shutroff of water supply W
the outside Iawn faucet before freeze potential enists.
Contact engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ?
W6ite - City Copy Yellaw - Resident Copy Pink - ConUactor Copy
'6qi10
2005 RESIDENTIAL BiTILDING PERMIT APPLICATION
City df Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX 4 651-675-5694
?W.?
Ck. a . 609/Dl
New Cuastructbn Reauirements Remodelffteoah Reouirements Office UseOnlv
3 registered site surveys showing sq. 8. of lot, sq. ft. of hause; and all rooted areas 2 copies af plan CeK M Survey Recd . _ Y'_ N
(20°k mazimum lot coverage allowed) i set of Enargy Calculatbns for healed additions Tree Pres Plan Recd :
` _ Y_ N,
2 copies of plan showing beam & window sizes; poured found design, elc. i sNe survey for additions 8 decks Tree Pres Required _ Y-_ N
1 set of Energy Calculetions Addifiar -indicate if on-sne septic system Onsite Septic System _ Y_ N
3 copies ot Tree Preservalion Plan if lol platled afler 711193
Rim Joist Detail Optbns selecNon sheet (buildings wifh 3 or less un@s)
Date 05-
ConstrucHan Cost Z? ?
Site Address ali-n i'? A NY UoitlSte #
Description of Work 6 A-5 r/+'G(.SfAf>'LG W J I? ?-??/176?
Multi-Famity Bldg _ YK N Fireplace(s) 1 _ 2
Property Owner ? ?(.?, ?
Wl. ?
Telephone # ( )
? ?? ?
? ?
s ? FL 14
Contractor n ) U
?
?
Address ?1 ?, City fivia
State Zip 1;413 7 le hooe #(j1b_r9a'0??
T
?
IIl!?S ?f? n n?
i11I MAY I RJ?u s11??I
COMPLETE THIS AREA ONLY IF CONSTRU06tING A NE BtJI DING
- Minnesota Rules 7670 Cateeorv I =
EnOrgy Code C2tegory . Residential Ventilation Cafegory 1 Worksheet
(4 submissiontype) Su6mitted
• Energy EnveloDe Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan?
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
• NewEnerm Code Worksheet
Y_ N If so, 25% plan review
Telephone #(
Telephone #(
Telephone #(
I hereby apply for a Residenrial Building Permit and acknowledge that the information is complete and accurate;
that the wark 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 permi and work is not to start without a
permit; that the work will be in accordance with the approved plan ' the case o work which requires a review and
approval of plans.
1140 Applicant's Printed Name App icanYs Signatur
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? OB 06-plex x 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch(screen/gazebo)
? 05 03-plex ? 11 10-plex ? 19 Lower Level O 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_,Y or_ N? 25 Miscellaneous
Work Types
? 31 New
K 32 Addition
? 33 Akeration
? 34 Replacement
Valuation ?2&p-o
Census Code ? Y
SAC Units
# of Units
# of Bldgs
Type of Const __"zj6--,
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
Founda[ion
Drain Tile
Roof Ice & Water Final
Framing
? Fireplace ?/ R.I. Y Air Test f? Final
Insulation ?? ??
Width
REQUIRED INSPECTIONS
_ FinaUC.O.
FinaUNo C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests Final
_ Siding _ Stucco _ Stone _ Brick
_ Windows
_ Retaining Wall
Approved By: / Ci , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
,
? 30 AccessoryBldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation O 45 Fire Repair
? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
"Uemolition (Entire Bldg) - Give PCA handout to applicant
Occupancy MCES System
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
01)0-966
-/- ,D aG-ffmsT
??f?
. ,,. , . .. ... ,
. ?:$:',.. ...... ;'::Y,';;:.",C:X,C. ;;?`Y,;;.... ,;`1ki;;ikiy??:;<),`•.:rY „? ??,
,.... CrTY 0(` E^G: it,:
CAS!:CE1:{: c! ?"': "n'M:'.',, h'_ i'C.1:;
nA"..Q CJ'.=?ic':'i.`'_?;i TIME.' i095209
t<<d`S';'.y '.)ARJ.G..TV V{QTi79 INC.
''c',.._ `.iniJi. :.839 n:f:_S? Pi:iX Rli 4,2£i?i.S6
•
Yo,:::a i ..oms -,i: Ama ,n , i
, c. .,.
r %rl fJ 10i
WR i.V
??a,.,,..;>ii?..,..,.,,, . , ? .......... . ..... .......
???
PERMIT
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
1859 RED FOX RD.
LOT: 2 BLpCK: 1
BLACKHAWK FOREST
SITE ADDRESS:
P.T.N.: 10-14325-020-01
DESCRIPTION:
8 4 1'tl?in,g, Permit T.Ype
BuildingWprk Type
?JBG fFccupa'ri'cy,3
f' Ganstruction Type
; Zo-ning ?
Building storxes
S.quare Peet
Census Cpde ~
4 e` ?
VALUATION
f7A?I4C?i ?? ?t ??r?--? ? ,? "'..=-• r ,3+`?'Y?r^=?`9
., i
REMMW REVIEWED BY MIKE BARGK
PRV REQUIRED
5&W PLUMBER: GENZ-RYAN
FEE SUMMARY:
Base Fae
Plan Review
Surcharge
SAC
SAC %
SAC Units
Subtotal
$987.25
$641.71
$60.00
$1,@00.00
100
1
$2,688.96
PERMITTYPE: suzLoiNs
Permit Number: 0 3 2 0 6 0
Date Issued: 0 5/ 21 J 9 8
SF DWG
NEW
R-3, U-1
VN
R-1
2
1,671
101 1 - FpM. DETACH
$120,000
MISC FEES $19592.50
Total Fee $4,281.46
;AFYIETY'H?MES n??1114548330 2003634 (??/NFR
T/ARIETY HOMES
4130 BLACICHAWK RD 1859 RED FOX RD
EAGAN MN 55122 EAGAN MN
(412) 454-8330
I
T here-by acknowledge`that Z Have read this applicat'ion and staCe that the
information is cowreet and agre-e to comply with a,,11-.appli-c$bJ.e St8te qfi Mru.
StatuCes and City at Eagan Ordinances.
APPLICANT/PERMITEE SIGNATURE
?
' ISSUED BY: SIG TURE
I
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL 2V ? ' 4
CITY OF EAGAN
3830 PII,OT INOB RD - 65122
681-4476
New Construetion Reauirements RemodeVRenair Reauiroments
? 9 registered site surveys
? 2 copies ot plans (inGutle beam d window saea; pourad fid. design; etc.)
? t energy ealculaNOns
? 3 copies ot tree preservation plen if bt plaCed after 717/93
mquired: _ Ves _ No
DATE: Li 8
? 2 wpies of plan
? 2 sRe aurveys (exterior edditions 6 dedcs)
? t energy calculatbns for heated addkions
CONSTRUCTION COST; 1Z I , c on
DESCRIPTION OF WORK: N Ec.J C'ONS-r ??EC-
STREET ADDRESS: _ 1 g S cI I4D GX pd-
LO,f' 2- BLOCK: ? SUBD./P.I.D. Fo+S-ST
V
Name:
ROPERTY List First
OWNER
5Y9m4, Street Address:
City Stste: _
Company: V fj1U?Ty 1/?YrJ?S
6r /I.t e F 515
Phone #: k 5q - 8 33c)
CONTRACTOR
Sueet Address: o( 3 O aLWc ?r- " License # Zl)O 31o 3 y 3
City _ F-I}3 #t'i State: d/ v Zip: 551 Z Z
ARCHITECT/ ? ` '
ENGINEER Company: 0JV PJ`t? Phone#;
Registration #:
Sueet Address:
Ciry
State:
Zip:
.
Sewer 8 water licensed plumber (new construction onty): Penally applies when address chang
and lot change is requested once permit is issued.
I hereby acknowledge that I have read this appliption and state that the infortnation is correct and agree to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Appliqnt Zjjffi.LLm
OFFICE USE ON RECEIVED
Certificates of Survey Received Yes _ No h1AY t 4 15
Tree Preservation Plan Received - Yes _ No Not Required $•
Phone k:
Zip:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01
? Foundation ? 06 Duplex
02
J SF Dweliing ? 07 4-plex
0 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 = plex
WORK TYPE
b-31 New ? 33 Aiterations
O 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
? 11 Apt./Lodging ?
? 12 MuRi RepaidRem. ?
? 13 Garage/Accessory ?
? 14 Fireplace ?
? 15 Deck
? 36 Move
? 37 Demolition
+/sJ Basement sq. ft.
?Z? Main level sq. ft.
Or?,w sq. ft.
sq. ft.
2 sq.ft.
sq.ft.
Footprint sq. ft.
Building /46
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
1088 MGWS System
i oti 7 City Water
&-i?- Fire Sprinklered
s74/ PRV 4E5
Booster Pump
Census Code.
rv -7 l SAC Code o(
Census Bldg ?
Census Unit ?
Engineering
Variance
Permit Fee Valuation:
Surcharge s3?r??w?r
Plan Review ?-
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit L) r--J°5,?rz
5/W Permit
S/W Surcharge
Treatment Pi
.
Park Ded.
Trails Ded
Other
Copies
i?CCtc
TotaL• -
$ l Z[91 cu0. ?
ioBS is = 1(,, 3zo.-
iv9 7 s?/- sy,z38,-
f. 3,
5 '74/ /h? / C- el,rs4.-
I , 2UO.
< <q , zoc,
% SAC
SAC Units
E3TLRIOR E't't'EIApE AN'ERAGE 'L" COh1PL?ATTO.N
LvcNror? Dau /I I
' - Owaer
Coavaao; V I.?T Nomts ?NC.
Site rddr:ss ?Sci {??o Ecx 1"?d
1) TouJ Fr-posed ti'all Area ? s
o?.17 ^
2) Tosa1 E..-pos:d RoofJCeilin.g d s. z. .0216
Wall Calcula5on
Total Window A:ea
TotaI Door Area
Total Gizss Door A: cx
Totsl Fireplace Area
Total Wall Framing ,qrea
Net Insulaud Wz1] Area
Taral Rim Joist Area
Total Foundzuoa Area
Total Fonndadon Winoow
I(gCo sq. fG
_ 38 sq. ft
4o sq. ft.
?+?, sq. ft.
_ 183 sq. it
1ro53 sq. P,
I top sq. ft.
l C04P sq. ft.
Ns.- sq. it
3) Total
35 = -S8 • (
.07 = y •?
35 = 1?} •o
36 = /
.D9 =
.4;3
.G4 =
.14 = Z2•
35 _ - i
a!
If itera 3 3 the sr.nc zs, or lesa .bz.n itern i, you izve Met tbe i:.ieat of 2
.'.;.^.Ai: 1.16M .4 xnZ v^.
Roof/Ceaing Calailztion
?o•.a.l skyLgrt Area }.t e? so. ft. 35 = /
Total Roof/Cciling F: arning ? t a sq. 4t .0'l.b = Z•?_
lvct Insulatcd Roof Area qqtF sq. ft. .022
t) Totsl z4 .-7
If item 4 is tbc saae u, or less than item 2, ;ou have met che intent of 2
MCAR 1.16008 A zad O.
Altcrazte BuDding Eavelope Dcsign
To uu'L'ze shc iocal envdope systeaz method ;he sum of itcros 1 and 2 sLall bc
greascr LLxn the sum of iums 3 and 4,
7) +2) _
=) }<) _
1 LereDy ceni.'y 4;at the biu7ding here desc:ibcd mccu or cxcecds the stz:e of
?vSinncsota Enc:gy Corscrvztioa Act. ,
1
Sibned •?,
a?
EKiaRJOR EN't'ELppE AVERAGE 'L" COhiPliTATTON
DIiII i? S! N ct-k I 2
LItNFORd j2Ie t / /V ?j
O?.?aer F
coAtraro.- V R) £T NOm£5 ?'NC •
Site Adcress _ 1 SS9 iC4.o Fcx !2d
1) ?o:xl Ftposcd 'A'r11 Area s 4 .17
2) Total E..-poscd Roo:/Cciii ? 5
rrig d sc. ft. .02 = Z8 "7
Wall Calculaton
Totat WindowA:ea
Total Door Area
Total Glus Door Arca
Total Firepiace Area
Total Wall Framing ,q1ea
Ntt Ibsulaud W2ll Area
Total R,im Joist Arca
Total Fo.indztioa Area
Total Foundzrion W:ndow
I ioCo sq. ft
_ ?r8 sq. ft
_ c3o sq. ft,
r+i. sq, f2.
_ 183 sq. iL
3 sq. it,
1 (o0 sq. t',.
! CO-CP sq. P,.
N s? sq. ft.
3) Tocal
35 = ?iB • 1
.07 = 2.-7
35 = I? o
35
.D9 = ce fa
.0;3
.G4
.ia = ! • !
=
= yz•
35 - i
14/ •'7r
If item 3is thc srsoe u, or less tban i;em 1, you hzve ma the in.ent of 2
.'•:.^.=.i: 1.160G9 A Lnd O.
RoofJCe'ili*.g Ca1c_laaon
, Total Sxyligrt Aie2 y.y e,- so. ft 35
Total Raof/G-.iling F:a:nin8 ? t o sq. `t .025 = Z•q
Nct Insi:latcd Roof Arca qqt? sq. f:. .022 . s
a ) Tota3 z 4 . -7
Tf item 4 is tbe saae as, or ltss thzn item 2, you have met the inte:.t of 2
MCAR 1.76008 A aad O.
Alterazte BuDding Envelope Design
7o uulize ihe total cnvdope system method the sum of items i and 2 sball bc
greaser thza the sum ot iteas 3 and d,
1) +2) _
3) +<) _
i bereby certify t2;at tbe building bere desc:-ibcd :necu or cxcccds the s:a:c of
Atinnesota Eae:gy Conservztioa Aa. ,
1
5igaed ?
. CERIIFlCATE OF SURVEY V6 - 8- g 8
for
VARIETY ?ES
/
e F
DAT?
. ? ? ?06? t?UILDING INSPECTIONS DEPT.
`p\
O h?-
? ?
°1?°?
ti?56?C?
o?
o 1?'
lo
<\\ ? / O?? ?? v9,j1? ? ?
?' ?°; \\ ` \ ? S ^ oJye
? Al? ,, r o
v/
?
??t?/ .\..
l/
I
I
k)
h?
. \? J
v'1-sc)s
?j? 61
V,
?---i
'1 o
iy°° .o
\ C`jry?$ ? 0? $e?' ? ?'?? ?,p•?'
? VY
,
? ?:, ..? i _ ? ? , !??I
r""`
_ :?::',,??? ?__. _ .
E?oG?o?Io L-er?
Scale: 1" = 30'
?
?
i
?
O(?
/
-) ?
P o?
/
2
?
?
1859.Red Fox Road
DESCRIPTION
I hereby certify that this survey, plan; or Lot 2, Block t,.
report was prepared by me or under my direct gLACKHAWK FOREST
supervision and that I am a duly Registered pakota County, Minnesota
Land 5urveyor under the Laws of the State
of Minnesota. Plot bearings shown
o Denotes iron monument
- ??-?-? -
Date Rea. No. 8140 ? Existing j Proposed
BRANDT ENGINEERING & SURVEYING
1600 West 143rd Street, Su ite 206
Burnsville, MN 55306
(612) 435-1966
I I vb-d-yb
L
?
?
2 acres
. Haximum drainage area
Top of hi21?
r ?
?. ?
"Sil.t fence placed on eontour
/
Tusa mds ttpslope C
pseveat flov bypass
'?;:.:. _ - -•
/
? / .
/
? ' _ .. .
1?iuieal La9oac for Silc- Fmee
-Steel or vood post
1
30° miaimum heighc
Filtar fabrie securelq
? fasteaed co post
Lay fabde ia ehe
Baak£ill ovar che top !
e£ £abri.c-iad'eaapaet
'the soil ?
miaimum?depth
Conscruction of Silc Feaee
?. 5d' po"s dllr: _ .C.i:'?C2 J •e"....
tI'(°11Cn U(li 10Nr .j ?tilir v7e ? 1,^,e
or pos[5.
:,as
6"
I 3. Attach the fiTter fabric to
the wire fence and ex*_end it
into the trench.
?. d01 e 'dI^? `oI1ri 11, .Q
U1l' pCi?..
/
•? ? ?•i
4. Back^il] anc camoac: the
excavated soil.
?i =__?;•??rG ? - ? :;r ? - v x. . ? -? - ?? r..i-ti>.
J'?? ?_'?? `'?3'µ-'-,':?G .? ? s s- ?? ? ?,,, •.:
- .:.........,.. ., t' ` ?? ?c. ??
i
Exte-ision of fabric and
wi re i nta the trench_
FiT
?. CONSTFUC:IOY OF SILi FEYCE SiITH SyPORTI\C S7iRE F°_tiC:
Source: Rdapted from Instaitation of Straw and Faoric
Filter Barriers for Sediment r,ontrol, Sherwood
and Nyant
? ' • CITY USE ONLY
LOT g-2 BL ? RECEIPT #: CT I l 0 u
SUBD RECEIPT DATE: GJ - I
Date:
1998 MECHI,NICAL PERMIT (RESIDENTIAL)
CITY OF &AGAN
3830 PILOT PRQOB RD
EAGAN LIId 55122
(612) 681-6675
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 $ 24.00
PJDITiONs.T., 50 *4 B'I'CJ 5.00
• Gas outlets ( minunum of one required @$3.00 ea.) ' 00
• 3tate Surcharge: .50
• TOTAL: ':?L0 • ?
Complete this section onlv if you are remodeling, adding to, or repairing existing single family dwellings,
townhomes, or condos. Note: Mechanical permit is not required for alterationladd-on to ductwork in
existing residential units; but is required for the following:
_ Install furnace _ Install air conditioning
_ Install sir exchanger, i.e. Vanee system, etc. _ Other
Minimum fee applies to all remodel or add-ons of existing residences $ 20.00
Siate 5urcnarge .50
Total: $ 20.50
SI7'E ADDRESS:
OWNER NAME:
INSTALLER NAME:
CITY:
PHONE ii: '7 S`7 ,"J""/ f
PHONE fi: 4f?5?? /
]SffORMS BLD/MECH PERMIT (RES) • 1998
?
. ,,
CITY USE ONLY
L BL
SUBD.
RECEIPT #. _
RECEIPT DATE:
MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT 1Q10B RD
EAGAN, MN 55122
(612) 681-4675
Please complete for all commerciaUindustrial buildings
mutti-family buildings when separate pertnits are not required for each dwelling unit
DATE: CONTRACT PRICE:
WORK "i YPE: NEW CONS IRUCTiGN iNTERIOR IMl'ROVEMENT
DESCRIPTION OF WORK:
FEES: 1% of contract price OR $25.00 minimum fee, whichever is greater.
Processed piping - $25.00
CONTRACT PRICE x 1 %
PROCESSED PIPING
PERMIT FEE
STATESURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME:
($.50 per $1,000 of emiit fee due on all pemiiu.)
PHONE #:
TENANT NAME (n&xovEmam oNt.Y):
INSTALLER:
ADDRESS: PHONE #:
CITY:
SIGNATURE OF PERMITTEE
STATE:
ZIP:
CITY INSPECTOR
V Lr Z BL I CITY USE ONLY
? SU80.
RECEIPT #. q5511
RECEIPT DATE: ? ?*Ij 9
1998 PLUNBSNG PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOH RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings -
? Mwnhomes and condos when permits are required for each unit
? backflow preveMer for underground sprinkler system
--- - - - ---- - --- - - - ------- - - ----------------- -
FIXTURES - - - ---------
EACH - - --------- - --------- - -
#
Shower 3.00 x k _
Water Closet 3.00 x 3 =
Bath Tub 3.00 x I _
Lavatory 3.00 x -s_ _
Kitchen Sink 3.00 x
Laundry Tray 3.00 x
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x
Floor Drain 3.00 x =
Gas Piping Outlet " minimum - 1 3.00 x 1 =
Rough Openings 1.50 x 3 =
WaterSoftener `fordwellingsunderconstruction 5.00 x =
Water Softener " for existing dwelling 20.00 x =
U.G. Sprinkler * for dwelling under const. 3.00 =
U.G. Sprinkler ' for euisting dwelling 20.00 =
Alterations " to existing residence 20.00 =
Water Tum Around 20.00 =
Private Disposal System ` MPC iic. 75.00 =
(new and refur6ished systems)
Private Disposal Systems * ,at,andonment 20.00 =
RPZ (new installation only) 20.00 =
STATESURCHARGE
TOTAL
TOTAL
's-
4-
1-
q_
3.
&- 3
?
50
- --
I hereliy adcnowledge that I have read ttiis applicetion, state thal the infortnffiion is correct, and ag2e ta comply with ali epplics6fe City of Eagan ocdinances.
It is the appliranPs responsibflity to notify the property awner that the City of Eagan assumes no liability for any damages wused by the Ciry during its
nortnal operational and maintenance activities to the facilkies constructed under this pertnit within Ciry property/rigM-of-way/easement. `
SITE ADDRESS: ` Q S? V?C j ? o 7` -t?, c r
OWNERNAME: Un•?.\y 41... 1
INSTALLER NAME: U^ ? ?•-i P(? ? C • L - . TELEPHONE #: (I`I ) -
STREETADDRESS: 76J 0?^ a-C
Cin: sTa,rE: lr^' ziP: 553Sa
SIGNATURE OF PERMITTEE
CDIPERMIT FORMS/RPLBG PERMIT (RES) - 1998
y 7 CLAIM VOUCHER - REFUND REQUEST
CITY OF EAGAN
MAKE CHECK PAYABLE TO: GENZ-RYAN PLBG & HTG CO
AUDRESS: 14745 SO ROBERT TR
ROSEMOUNT MN 55068
LOCATIOIY: 1859 RED FOX RD P.I.D. #:CL2 Bl BLACICIIAWK FOREST
RECEIPT #/DATE: 94620-07/06/98 VALQATION:
REASOPi FOR REFUND: JOB CANCELLED PERMIT #:
TYPE OF REFUND: Electrical Permit 3211-9001 $
Plumbing Permit 3212-9001 $ 37.50
Mechanical Permit 3213-9001 $
Building Permit Fee 3210-9001 $
Plan Review Fee 3422-9001 $
SAC (MC/WS) 2275-9220 $
SAC (City) 3866-9379 $
SAC (Admin) 3446-9001 $
Water Connection 3865-9220 $
SewerPermit 3743-9220 $
Water Permit 3713-9220 $
AccountDeposit 2252-9220 $
Water Meter 3716-9220 $
Road Unit 3860-9375 $
Water Treaanent 3868-9220 a
Surcharge 2155-9001 $
Utility Acct Overpayment 2250-9220 $
Curb Box Deposit Refund 2253-9220 $
ConsWCtion Meter Dep Refund 2254-9220 $
Water Usage Charge 3711-9220 $
TOTAL $ 37.50
f de lare under the penalties of law that this account, claim, or de mand is just and that no part of it has been paid.
Date: August 5, 1998
CITY USE ONLY
L ? BL _L ^ RECEIPT #: ?
SUBD. ?Yil a ?rs.Y? ?? RECEIPT DATE: ?/??
??,(J\? 1998 PI,LJNIDING PERMIT (RESIDENTIAL)
?.,
\ CITY OF EAGAN
? (? 3830 PIIAT IQi08 RD
\ EAGAN, AIIi 55122
(612) 681-4675
complete for. ? single family dwellings
D townhomes and condos when pertnits are required for each unft
? backflow preventerforunderground sprinklersystem
FIXTURES -.- EACH # TOTAL
Shower 3.00 _ ?
Water Closet 3.00 x ? ??_
Bath 7ub 3.0 x ? _
Lavatory
. 0
x
.? _ ?
Kitchen Sink 3.00 x ! _
Laundry Tray 3.00 x / _ ?
Hot Tub/Spa 3.00 x =
-
Water Heater
3.00
x
? _ ?
Floor Drain 3.00 x ? = T
Gas Piping Outlet ' minimum -1 3.00 x I =
Rough Openings 1.50 x ? _ /•
Water Softener "for dwellings under construd' 5.00 x =
Water Softener ' for existing dwelling 20.00 x =
U.G. Sp?nkle? * for dwening under wn . 3.00 =
U.G.Spflllkfet 'forexistingdwellin 20.00 =
Alterations ` to existing resid ce 20.00 =
Water Tum Around 0.00 =
Private Disposai System ' PC iic. 7.00 =
(new and refurbished syste ?
Private Disposal Syste "Abandonmenl 20. _
STATE SURCHARGE 50
TOTAL .?lJ. DD
---------•----- ---- ---------------------------------------------------- ------•••------- •------------------
I Mreby adcn ? that I have read this application, state that the infortnation is cortect, and agree wmply with all applicable Cily of Eagan orclinances.
N is the applicanCs responsibility to not(fy the property owner that the City of Eagan assumes no liabi r any damages caused by the City during its
normal operational and maintenance activities ta the facilRies constructad under this permi[ within City propertylright-of-way/easement.
SITE ADDRESS:
OWNER NAME:
INSTALLER NAME: GENZ-RYAN TELEPHONE #? 423-1144
STREET ADDRESS: 14745 So Robert Trl
??Ty: Rosemount STATE:
MPI
PERMITTEE
ZIP: 55068
JSIFORMS BLOGlPLBG PERMIT (RESIDENTIAL) 1998
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA118716
Date Issued:11/06/2013
Permit Category:ePermit
Site Address: 1859 Red Fox Rd
Lot:2 Block: 1 Addition: Blackhawk Forest
PID:10-14325-01-020
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments: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.
Carbon monoxide detectors are required by law in ALL single family homes .
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 -
Molly J Mcardle
1859 Red Fox Rd
Eagan MN 55122
All Around Roofing & Renovations
720 Tower Drive
Hamel MN 55340
(763) 447-3944
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA173019
Date Issued:10/25/2021
Permit Category:ePermit
Site Address: 1859 Red Fox Rd
Lot:2 Block: 1 Addition: Blackhawk Forest
PID:10-14325-01-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
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 -
Molly J Mcardle
1859 Red Fox Rd
Eagan MN 55122
(651) 439-5570
Hoffman Refrigeration & Heating
5660 Memorial Ave N, Suite 2
Stillwater MN 55082
(651) 439-5770
Applicant/Permitee: Signature Issued By: Signature