1860 Red Fox Rd. .? - INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number;
Eagan, Minnesota 55122-1897 Date Issued:
. (612) 681-4675
SITE ADDRESS: APPLICANT:
t160 RCD FflX. RU , Kk.Y f RmD NilMI
i! Af FIAWk fiiflF ? i (61 ?) 440-,41
PERMIT SUBTYPE:
TYPE OF WORK:
INSPECTION ., . .•
HfMARK5sS b W Pt BR - fi C MEi:.t1
.
? ...., . ,,, . M..,_ . . . , _ ?
L? J
?w
.
PermR No. Permit Holder Date Telephone #
ELECTRIC
PLUMBING oZQ 7 W-8?
HVAC
Inepectlon Insp. Comments
FOOTINGS
7
!•?
FOUND
!
FFiAMINd
ROOFING
ROUGH
PLUMBING
V
PLBG
AIR TEST
ROUGH
HEATiNG
GAS SVC
TEST
INSUL ?
GYP 60ARD
FIREPLACE JL?
FIREPLACE
AIR TEST
c 6 !
FlNAL PLBG
r
FINAL HTG t ( (/
OASAT
TEST
BLDG FINAL
v a-te
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
. ?6?? ?
CfRL'tif iCRte df CCClipQ1iCV
4Kit4 af Cfagan
Te?arrtmea# of !Sni[bittg 3"pcction
This Cerlifcate issued pursuant ro 1he requiremertts of the Uniform Building Code
certifying tirat at the tirne of issuance this structun was in comptiartce wrrh the varioas
ordirsartces of tl+e Ciry negulating building corutruction or use. For the following:
UYclan;r?cWom SF DWG gmg. Pemit No. 31227
pocupuKy Typc R-3 U-1 R-1 Typc Consi. Vn
DwnerofBuifding Zaiin Distria Addtess
KEYLAND HOME? 17021 FISH PTE RD SE, PR10R LAKE MN
8uilding Addicss 1860 RED FO7C RD l.anlily L20, B2, ?LA:;I{HAWK FOREST
r' r
? D9IC
Building OFficial ; " i POST IN A CONSPICUOUS PLACE
1NSYEU'1'1(}N KEUUKll
CITY OF EAGAN PERMIT TYPE: ,_?8-Pilot Knob Road Permit Number: •' ' ?' ?' -' ??
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
-? , , ?• . kU
Ni r1? 1Ifl1i-.I? 1 1?},i ', 1 t t, L? 1 ttlu- ; t?? c?
PERMIT SUBTYPE:
TYPE OF WORK:
1,41 !. i
F '• ?
L ?
I+F MAI;P",: P! A N hE`JfWt (1 RY NTlr F ?lAf?r'I
Permit Holder Date Telephone #
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
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
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
coNOUCnvirr
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
Addtess , 1860 RED FOX RD
I.ot 20 Blk
Sub
Zip 5512_
BLACKHAWK FOREST
THESE ITEMS WERE / RE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION.
Date: d' `J' Yes No Inspector: 1.
Final grade (6" from siding)
Permanent steps (gazage)
Permanent steps (main entry)
Permanent driveway
Permanent gas ?
Sod/Seeded grass
Trail/curb damage ?
Porch
Basement finish
Deck ?
Please verify with the builder the removal of raof test caps from the plumbing system and the shutvff of water supply to
the outside lawn faucet before fceeze potential exists.
Contad engineering division at 6814645 before working in right-of-way or installing underground sprinkler system. ?
White - Ciq Copy Yellow - Resident Copy Pink - Contraclor Copy
1
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date ?v , I S 1 ?1
Site Street Address Wao ?d 6vX KaoJ Unit #
PropertyOwner Ckun 1 a Telephone# (65j) aRG-l568
Contrector v'^^ Morf 0JMI4i J.rc -. Telephone# (Ie?Q) 45?-?33'?
Address City NewPof State 1'1v?1 . Zip 5c?
The Applicant is: _ Owner 4Z-6ontractor _Other3
?-
AlteLations to existing dwelling
_Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
Water Turnaround (add $121.00 if a 5!8" meter is r quired)
Other: g?aAAA,'Mx'v.?'- $ 50.00
Water Softener Water Heater
_ replacement _ additional. $ 15.00
Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00
State Surcharge $ .50
Total $ SG -5c)
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
Sryw< -l M.; r /
ApplicanYs Printed Name
Signature
o '_' 1
-?- ?-L? ? ?
?? OCT 1 g 2004 I?I
??I
2004 RESIDENTIAL BUII.DING PERNIIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122 ?? ??'? a
-" Telephone # 651-675-5675 FAX # 651-675-5694 o- S
New ConsWction Reouirements RemodeViteoair Reauiremenls Office Use Onlv
3 registered site surveys showing sq. fl of lot, sq. ft of house; and all roofed areas 2 wpies of plan Cert of Surrey Rerd _ Y _ N
(20% mazimum lot coverage allowed) 1 set ot Energy Calculations for heated additions Tree Pres Plan Reod _ Y _ N.
2 capies of plan showing beam 8 windovr sizes; poured found desgn, etc. 1 sde survey fa additions & decks Tree Pres Required Y N
7 set of Energy Calculations Add'rtwn - indicate ilan-site sepfro sysfem On-sile Septic System _ Y _ N
3 copies of Tree Preservation Plan if lot platted after 7/7193
Rim Joist Dehail Options selection sheet (bklgs wilh 3 or lass uni5
Date
Site Address l? G p ?( b t?
?
Fo ?c- Construction Cost
GQ ? UniUSte #
/
DescripGon of Work F' 4r 'rS
Multi-Family Bldg _ YZN Fireplace(s) _ 0 _ 1 _ 2
Property Owner t,4N g ' ]'o P /n o Telephone #
Contractor Zr ?/ .?P s_ Q
h S'
Y^ S"' /?. ?? c•
Address
State
v ?/?
City
Zip SS07?j Telephone #(6?) O o?
re (?/ GS?- avS-6j?
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Cateeorv 1
. Residential Ventilation Category 1 Worksheet
(4 submission type) Submitted
. Energy Envelope Caiculations Submitted
Have you previously constructed a building in Epgan with a similar plan2
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
N If so, 25% plan review
I hereby apply for a Residential Building Perxnit and acknowledge that the ' orxnationi -c`6mplr4and accurate;
that the work will be in conformance with the ordinances and codes of th -en State of MN
Statutes; I understand this is not a pemut, 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.
CIrQt?pPnl//pt, c?(?--
Ap icanYs ted Name
? -//?- -
-? p's ignature
A NEW BUILDING
Minnesota Rules 7672
. New Energy Code Worksheet
5ubmitted
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt- Multi
? 03 01 of _ piex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screeNgazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex If 19 Lower Level ? 24 Storm Damage
? 06 04-pleX 0 12 12-plex Plbg_,Y or _ N ? 25 MiSCellaneOUs
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
- ? 33 Alteration ? 37 Demolish Building• ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement •Demolition (Entire 81dg) - Give PCA handout to applicant
I
Valuation
c eg Occupancy MCES System
Census Code J1?T Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
_ Footings (new bldg)
_ Footings (deck)
_ Footings(addirion)
Foundation
Drain Tile
Roof Ice & Water Final
Franilng -
Fueplace _ R.I. _ Air Test _ Final
Insulation
REQUIRED INSPECTIONS
FinaUC.O.
FinaUNo C.O.
Plumhing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tesu
_ Siding _ Stucco _ Stone _ Brick
_ Windows
_ Retaining Wall
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Piant
License Search
Copies
Other
Total
L1, - 'r) k 4 ?5 / -t ?,/ 690-0
-Zv'
?
• czTV OF EFlrpN
casiixER: s rERnrNaL No; ,19
DATE: 0606J38 TIME. 00906
TD:
NAME. . CUTTIPlG EIH`,E LtLL1fiS SNC
3210 9001 1$£GfiED FOX RU 50.00
2155 3001 1860 fiE.D FOu FU 0,50
s
t
7ot,a1 heceip+, Amour:±; 50.50
GF09.3541
llSEFt TBs NANCY
Mt**tlf?k7k%k ?k?K1k%k?%KNnlt?lt7k%k* ?k?kW.7k%XXc"k??C?s ?c?*sk*>Ink?Klk
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(6f2) 681-44675
51TE ADDRESS:
P.I.N.: 10-14325-200-02
DESCRIPTION:
PERMIT
1860 ' RE? FOX RD
LOT: 20 BLOCK: 2
BLACKHAWK FOREST
Q0ildi#5? Permit Type
„8.?l?;ding"-Wprk Type
`???@YIS":UB 'C Od
x A ? n
?w
PERMITTYPE: suxLpxNG
Permit Number: 032220
Date Issued: 0 6/ 15 / 9 8
DECK
NEW
434 ALT. RESIDENTTAL
?
g;.._3 pmf` r?G u,i+
e?.,, ?u,?'s3
REMARKS:
PLAN REVEWED BY MIKE BARCK
FEE SUMMARY:
Base Fee $50.00
Surcharge $.50
Total Fee $59.50
CONTRACTOR:
CU7TING EDGD BUILDERS
1510 .16 CORNELL TR
ROSEMOUNT MN
(6?2) 386-3364
Flpplicant - 5T. LIC
INC 13863364 2013285
55068
OWNER:
HOUNG
1860
EAGAN
C H U N G
RED FOX RD
MN
I hlorepy„ 4icktiaw1odg;e, t17o-t I bave: rioad 6hYs a{iplioitisaA ajnCl state tMst the I
?.nfcsrmat,??rn is .?enrrect arrd.agree ta cnmpiy with sil ,?plltaF?1!: tate fff Mn. r `m°Statut" ahtl G`ity, $:f 'Eagan' OhdirLanots,
C",.._
APPLICANTlPERMITEE SIGNATURE
? ???998
??
BUILDING PERMIT APPLICATION (RESIDENTIAL) 1 [,i6 c' 0
?
New Construction Reauiremants
RemodeVRecair Reauirements
? 3 registered site surveys ? 2 eopies oT plan
0 2 copies of plans (InGUde beam & window alzes; poured tnd. desipn; etc.) ? 2 stte surveys (exteriar addRions 8 dedcs)
? 1 energy calculations ? 1 energy calalations tor heated etldRions
? 3 eopies of tree preservatian plan 'rf lot platted afler 7/1193
required: _Yea No
??l ew
6II v
DATE: LO I!d I q I CONSTRUCTION COST;
DESCRIPTION OF WORK: btw Hu,k
STREET ADDRESS:
V1L0r I V BLOCK: Z SUBD.lP.I.D. #:
Name: 0 QIA, ?/I Q c?I .n Cj O}- A hLI) Phane #:
PROPERTY Last Firg
OWNER II? 0 ?S?l IoO C.? A
Street Address:
City F-ok C- Stare: wj Zip:
ic 39 tv' 5 3(n?
CONTRACTOR
License# 2 0 1 ?Z??l,
City L1 VLf State: MNJ_ Zip:
ARCHITECT/
ENGINEER Company:
Phone #:
Name: Registradon #:
Street
City State:
Sewer & water licensed plumber (new construction ony):
and lot change is requested once permit is issued.
I hereby acknowledge that I have read this application and sfate that the
SWte of Minnesota Statutes and City of Eagan Ordinances. N
Signature of
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received - Yes - No - Not Required
CITY OF EAGAN
3830 PII,OT KN08 RD - 55122
681-4675
Zip:
Penalty applies when address dhang
is cortect and agree to comply with all applica6l
hll?'°°'
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
O 02 SF Dwelling 0 07 4-plex
? 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 = plex
WORK TYPE
A 31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
? 11 Apt./Lodging ?
? 12 Multi Repair/Rem. ?
? 13 Garage/Accessory ?
? 14 Fireplace ?
;k 15 Deck
? 36 Move
? 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq.ft.
sq. ft.
Footprint sq. ft.
Building
Variance
y3Y
vi
/
?
Permit Fee
Surcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Pertnit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies .2 S ( ?)
Total: .
_ _,..... _ .r ?'
%8AC
SA
0
p ti .
?
C u
ni
s ti
i
.....?.?.....---.- -- .
...?ta1 .
A49 Engineering
Valuation: $
,
?
? +U
16 Basement Finish
17 Swim Pooi
20 Public Facility
21 Miscelianeous
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bidg
Census Unit
1 . _
* *
40i11ElEA
* 4E * rr
2422 Enterprise Drive
Mendota Heighis. MN 55120
(612) 881-1914 FAX:881-9488
???M 625 Highwoy 10 N.E.
Bloine, MN 55434
(812) 783-1880 FAX:783-1883
Certificate of Survey for: KEYLAND HOMES
/'? pp 1860 RED X RDAD 7472-A
E:?HI V
^.a.?VIEWED .
?
O? ?.,BENCH MARK
? 804.7? , .' E?Ey? 807 33
47 7p -- ?Q /% ? 8 '????
?I.DING I?ISPEC110fd?. ? ?Z
?0+802.1 ??.0 ?o ,?y • a ?a7 ?
?p °o
// ? \/?/???yP o ? \ yo U?`n? ?00
5.5
y+aI61?tT / k y $03,3 804.5
,`CbVi ? ? •?L ? , ? P aoa1a 804.1 !/
; 0,
x •
/ 79 80 03.2? Q' oy`v ? 803? ?21
^ ?2.3
\ ?? I ?OaJ? ? ? !
. ?. -?V ? i jQ Z` y7 A, \ \
?802.2
9?
79 M8003 '
\ ? ? s ? d i ? ?-EC
\ f'
BENCH MARK
TOP OF PIPE ? i
ELEV.=801.45 • ? ? ?
? 20 ,
pROPOSED HOUSE ELEYATION
I.OWEST FLOOR ElE`/AnON: _71911
TOP OF BLOCK ELEVATION: &-7'16
GARAGE SLAH ELEVATION:eb(O'C)
?
i ry?1 1
N ?
\
_ .\
L
8 Q- P PS
QE.
NURP BaSiN 1
NWL=792.0
HWL=795.8
OF WETLAND PER PLAT
??.
NOTE: PROPOSEO GRAOES SHOWN PEN GRAOUIG PIAN 8Y: SCHOEIL k MADSON
NOTE: HUILOING OINENSIONS SHOWN ARE FORNORIjONTRL AND VER1ICAL LOCAPON :?
Oi STRUC7URE5 ONIY. SEE qRQiITECNAL PLqNS FOR BURDING ANO
fWMDA710N OINEN90NS
N01E: NO SPELIFlC SOIlS INVESTIGAnpN HAS BEEN COMVlE1E0 ON 7HI5 LOT 8Y T+E
SuRVEVOR. iHE WTABIU7Y OF SOLS TO SVPPpRT TNE SPEQFIC HOUSE
7ROPOSED iS NOT THE RESPpN51BiUT' OF TME SURVEYOR.
_._..._.._ /??.1./
!
I I
F.E.S. iNV.=792.7
? 22 f 23
1 /
\? f /
795.7 1 9
795
f:- '? .4
.8
X 000.00 OEN07:r £XISTING ELEVATION
NOTE: TMIS CERTIFlCATE DOES NOT PURPORT YO ?OW EASEMENI3 O'IHFA 7HAN ?
1HOSE SNOWN ON THE RECOR0E0 PIAt• 000.00 ) DENOTES PFOPOSEO ELEVA710K
pENOTES DRAINPGE ANO U71LIYY EASU+ENT
NOTE: CONIRACTOR NUST VERIFY ORIVEWAV DESIGN. DENOiES ORniNACE FLOW OIRECrON
---r--. OENO'fE5 MONUMEN7
NOIE: BEARiNCS SHOWN ARE BASEO GN AN ASSUNED DANM ? DENOIES OF'f5E7 HUB
WE HEREBY CERTIFY TO KEYLAND HOMES THAT lH1S IS A TRllE AND CORRECT ftEPRESENTATION OF A
SURVEY OF THE 80UNDARIES OF:
LOT 20, BLOCK 2, BLACKHAWK FnRES7
OAKOTA COUNTY, MINNESOTA
IT DOES NOT PURPORT TO SHOw tMPROVEMENTS OR ENCNROACHMEN7S. EXCEPT AS SHOWN, a5 SURVEYED 8Y ME OR
UNOER MY DIRECT SUPERVISION THIS 22N0 OAY OF OCT., 1997•
Si ED: PIONEER ENGjM1 E? C. P.A. ?
SCALE : 1 INCH = 40 FEET ftEVISEO 11-19-97 RESTAKE e e'=t:r.? ?
REWSED 71-18-97 PROP. ElEVS. Q?
C_ Larson, 1..5. Re?. No. 19823
REVISEO 11-75-97 PROP. ELEYS. John
53897441,00 SWK
r0 •.i
?
V L ?C gL GITYUSEONLY CZ ?SI?"y-
RECEIPT #:
SUBDIL?&&Al" ?1? RECEIFT'DATE: 1-??919 7
1997 PLUMBING PERMIT (RESIDENTIAL)
CITY OP EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612)681-4675
Please compiete for. . single family dwellings
? townhomes and contlos when permits,are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES EACH y,Q TO?'AL
Shower 3.00 x ?_ _ ?<Qo
iivaierCloset 3.00 x
Bath Tub 3.00 x ? _ ? • ?
Lavatory 3.00 x -15,
Kitchen Sink 3.00 x
Laundry Tray 3.00 X I = a bb
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x
Floor Drain 3.00 x sa _ 00
Gas Piping Outlet ' minimum - t • 3:00 x T = ?400
Rough Openings 1:50 x 3E O
Water Softener "for dwellings under construdion 5.00 x =
Water Softener ' for existing dwelling 20.00 x =
U.G. Sprinkler • kr dwelting under const. 3.00 =
U.G.SprinklBf 'forexistingdwelling 20.00' _
AlteratiOnS • to existing residence 20.00 =
Water Tum Around 20.00 =
Private Disposal System ' Dak Ctylic. 75.00 =
(new antl re(urbished systems)
Private Disposal Systems'AtiarWonment 20;00 =
STATE SURCHARGE .50 ?
TOTAL ??i?? 'J?Sd 0
I hereby adcnowledge Miat I have readMis applicetion, slate 1hat-Me Iniortnation is correct, and egree to comply with all appiicable Cily
of Eagan ordinances. It is Me applicarrt's responsibility to notifytlle property owner thal theCily of:Eagan assumes no liabilily for any
damages pused by the City dudngits normel operational aM maiMenance ectivities to the fadlitlesconstruc[ed underthig;pertnR within
City property/right-of-way(easement.
SITE ADDRESS: / D b d<??
OWNER NAME:
INSTALLER NAME:
STREET AD
ciTV:
TELEPHONE #:
1
CITY USE ONLY
LOT 40 BL Z RECEIPT#:
SUBD. RECEIPT DATE: Iy??4?97
1997 MECHANICAL PERNIIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
Date• (612) 681-4675
O1\
Complete this seciion onlv if vou are installing HVAC in sin¢le familv, townhome, or condos that are
under construction and are not owner /occupied.
• HVAC: 0-100 M B T U $ 24.00
aDDITION.4i, SG IvI B i u 6.00
• Gas outlets (minimum of one required @$3.00 ea.)
• State Surchazge: .50
• TOTAL:
Complete this section onlv if vou are remodeling adding to, or repairine egisting sin¢le familv
dwellings, townhomes, or condos.
Add-on fumace
_ Add-on air exchanger, i.e. Vanee system, etc.
Minimum fee applies to all remodel or add-ons of existing residences
State Surcharge
Add on air conditioning
Other
$ 20.00
.50
Total: $ 20.50
SITE ADDRESS:
OWNER NAME: `?Y;\\tnti ?lfa \ \ ( ? ^? _\ PHONE I!:
INSTALLER NAME: R_???? . PHONE
STREET ADDRESS:
CITY: STATE: {n r`? ZIP:
, 1 CIA, ? 1?1l ?' .
SIGN.4NRE OF PERMITTEE
CITY USE ONLY
L BL
SUBD.
RECEIPT #:
RECEIPT DATE:
1997 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612)681-4675
Please complete for: ? all commerciaVindustrial buiidings.
? mutti-family buildings when separate pertnits are not required for each dwelling
unit.
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: ?$25.00 minimum fee or 1% of contrect price, whichever is greater.
? Processed piping - $25.00
? State surcharge ot $.50 per $1,000 of pe rmR fee due on all permits.
CONTRACT PRICE x 1%
PROCESSED PIPING
STATE SURCHARGE
TOTAL
gI.TF ADDRESS:
OWNER NAME:
TENANT NAME: (iMPROVeMeNrs oNLv)
INSTALLER:
ADDRESS:
cin:
PHONE #:
TELEPHONE #:
STATE: ZIP:
SIGNATURE:
SIGNATURE OF PERMITTEE CiTY INSPECTOR
C.T.TY ClF EAGAN
CAEiFiIERe MG TERt`fINAL N0: 621
URF.? 12l08/37 1'IMF'; 14:35:11
I
N ME? l'EY-LAND HOMf_S
R2JEr 9001 18160 ftFD FOX fi 47603.4G
Tota7. Fteceip+, Amnunt: 47603.46
CR084C173
L1SER IDs MAfiiLYNN
PERMIT
? CITY OF EAGAN
3830 Filot KnCb Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
1860 RED FOX RD
LOT: 20 BLOCK: 2
BLACHAWK FOREST
P.I.N.: 10-14325-200-02
DESCRIPTION:
6wldinVwPermit Type
iguilding Wo.r.k Type
UBC Occupancy'*y,
' Construction Typ:e
Yoning -?
Build:ing 1-81190 ?.
! Suilding Width
` Bqilding stories
t,?,
? 'Squp.re Peet
?. < z
Ce'hsu?p-d'e
,,?
REMARKS:
S& W PLBR - D C MECH
PERMIT TYPE:
Permit Number:
Date Issued:
5F DW6
NEW
R-3 U-1
V-N
R-1
68
37
2
2,018
101 1 - FAM. DETACH
(D
..? 3 U
?
BUILDING
031227
12/08/97
FEE SUMMARY:
VALUATION
Base Fee
Plan Review
Surcharge
SAC .
SAC %
SAC Units
?Lic. Search Fee
Subtotal
$1,227.25
$797.71
$84.00
$950.00
100
1
$5.00
$3,063.96
$168,000
MISCELLANEOUS $1.539.50
Total Fee $4,603.46
CONTRACTOR: - ,qpplicant - ST. LIC OWNER:
KEY LAN? HOMES 14409400 0001553 KEYLAND HOMES
17021 FISH POIMT RD SE 17021 FISH POINT RO 5E
PRIOR LAKE MN 55372 PRIOR LAKE MN 55372
(612) 440-9400 (612)440-9400
(
I:hereEbyti watknowledye tMat I have read 'this applicatfan antl state' thst tl,*e'
information is carreat and agree to camply wi.th a13 applicable State of Mn.
Statutes and City of Eagan ordfnances.
L
/
-? ??Nla R:u, ?.I_
Y
-APPLICANT/ EE SIGNATURE - SSU D BY SI URE J V
__j
997 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
4551 Uf 3630 PILOT KNOB RD - 55122
681 -4675
RemodeVRaeair ReauiremeMs
1' ? . t
?'ti
4
.>
? ,?
ca-LIki 12-.f
? 3 regiatered ake surveys ? p oppbs p{ plan
? 2 copies oi plana (inGuCe beam 8 window alzes; poured fid. design; etc.) ? 2 site surveys (ezterior aCOkions 8 dedcs)
• 1 energy calculations ? 1 energy calwlations for heatetl edditions
? 3 copies of tree preaervetion plen H lot platted after 7!1 /93
required: _ Yes _ No '
DATE: I I-'Z4-9-1 CONSTRUCTION COST: I S 3
DESCRIPTION OF WORK:
STREETADDRESS ??O REI? ? D
X KOL>b
,
LOT SD BIOCK 2 SUBD./P.I.D. #: :b LAC-V-0 A'`0V, rbT2Z:-?S-T-
PROPERTY
OWNER
CONTRACTOR
Name:
?
mu
Phone #:
Street Address:
City:
State: Zip:
Company: ?jEVL,44.p t+UM'F'S Phone #: 410 -74ob
Street Address: 1-7o Z( ?15k?- i?T- IZo• '? License #:
Ciry: LA4y- State: Mi? • Zip: 553`1 2
ARCHITECT/ Company:
ENGINEER
Name:
Phone #:
Registration #:
Street Address:
City:
State:
Zip:
Sewer & water licensed plumber (new construction onty): D. C. . M126MVILc.4 L . Penalty applies when address change
and lot change are requested once permit is issued.
I hereby acknowiedge that I have read this application and state fhat the information is correct and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: `"'', ?---?
OFFICE USE ONLY I - y
Certificates of Survey Received ? Yes _ No ? 28 ?
Tree Preservation Plan Received - Yes ? No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ?
?K 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ?
? 03 SF Addition ? 08 8-plex n 13 Garage/Accessory o
0 04 SF Porch ? 09 12-plex ? 14 Fireplace o
? 05 SF Misc. 0 10 = plex ? 15 Deck
WORK TYPE
,41' 31 New ? 33 Alterations o 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
VN Basement sq. ft.
_y„p(_ Main level sq, ft.
Z„J sq. ft.
sq. ft.
2 sq.
sq. ft.
ft.
' Footprint sq. ft
Building rV1 F9
*+ ?...., ,?, . ... "
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
r3qt" MC/WS System ?
03 -s'g City Water ?
ffb(? FireSprinklered
&60 PRV
Booster Pump
Census Code. i o I
20 i 8 SAC Code ol_
Census Bldg ?
Census Unit
Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
% SAC
, •;?..
Valuation: $ i (- 4, ooo, -
3a. sen+ e .v?'
3ox38 ??aD
t oxr P `gO
LG,
i3y4 ? S = 20,t4o.-
?
3?vi-.- Plbs ? 3y?
dZ
2 x (?
t 3sP m 41 yY =
z?
3ox 8?
z+? ? 3
27..x $C
I yo
tL
-73, 332. -
y 2'P `i (.y, -
GGo f?l?t<s = Io? Sba, ?
I
?I
BY
* PfoNEER u
* ene neer ng "'"°
,K * yt
*
2422 Entefprise Drive
Mendota Heights. MN 55120
(612) 881-1914 FAX:681-9488
Certificate of Survey for: KEYLAND HOMES
1860 RED X ROAO 3472-/+
l?7LaI1V
[E n BENCH MARK
? fl04.7?,W ?T.OP 0 p PiP?l
LDING
I-Ry -vv /?%
?
?hCb
• $93,3
.
`\ ` / ?
C"879 .' 80 .3 03.2?
/ JQ
C SiGN_?-? ?•? ? • ? a
?802.2
?
8 . B X ?i
\ ??
? 79 S. ?
i
\ ss '
? i.
i
i
/
i
BENCH MARK / .
TOP OF PIPE
ELEV.=801.45 - \
PROPOSED HOu5F ELE n710N
l0`NEST FLODR ELEVATtON: _7q912
70P OF BLOCK fLEVAl10N: 0017•r6
GARAGE SLAB ELEVATION:
lw? ;
sY? tioq ?i -
?o
0
?$J aos.s S?„?
804.5
N
VpQ" 0 804?4 80?,•? ? .
?a
' ? ?.
? ? ry 803N? C 2 1
? 1
.NURP BASIN 1
NWL=792.0
HWL=795.8
800.? 1? i :
?
. ?
\
ti0 ? ?
. \ j
`? ?
+???c?'+ 625 Highwoy 10 N.E.
Bloine, MN 55434
(812) 783-1880 FAX:783--1883
EDGfL'OF WETLANO PER PLAT
/
F.E.S. ?NV.=792.7
? 22I
? I
?
? i
201
?
/
\\ ?
. \
.\
ND7E: PROPOSEO GRADES SHOWN PEN GRAOINC PIAN BY SCMOELL Dc MADSON
NOtE: a BUILDING M?ITEC7UnL PWIS FOR BU?iNGAµLOCA710N I
FWNDATION OIHENSiONS ?
N01E: NO 5PECIFIC SWlS INVESTIGAnpN HAS BEEN COMDLEIED ON THIS LOT 97 7FiE
SURVEI'OR. 1HE WTAHIlI1Y OF 50iIS TO SUPPORT YHE SPEGFIC HOUSE
I5 NOT 114E RESPGNSiB1U1" Of mE-SURV:TOR
795,7
t r ^ '
t'.fi.Ci?l ?`.'1? v-L.4 ..:nilllGDT'JPT.
23/
?
19
795.4
PROPOSED
% 000.00 DwOTES E%iS11NG ELEVATION
NO1E 1M15 CERTIFlCSrE DOES NO7 PURPORT YO `-*OW EASEMEN75 OTMFR 7NAN ? pp0.0o ) OENOTE'S PROPOSED ELEVs710N
1HOSE SMOwN ON THE RECOROEO PLAT• pENOTES ORNNAGE ANO UnWTY EwSE*IENT
N07E: CONTRACTOR MUST VERIFY ORIVEWPY DESIGN- -- OENOTES ORAINACE FLOw OIFECrON
? - OENo7C5 MONUMEN7
NOIE: BEARINCS SMOWN ARE BASEU OR1 AN ASSUNfD DAMA pENOTES OFFSET F1uB
WE HEREBY CER71FV TO KEYVIND HOMES 1HAT 1H15 IS A TRUE AND CORRECT REPRESENTATION OF A
SURVEY OF THE 80UNDARIES OF:
LOT 20, BLOCK 2, BLACKHAWK FORES7
ON(OTA COUNTY, MINNESOTA
IT DOES NOT PURPORT TO SHOW tMPROVEMENTS OR ENCHROACHMENlS. EXCEPT AS SHaWN, a5 SURVEYED BY ME OR
UNDER rtbY OIRECT SUPERVISION TNIS 22N0 DAY OF OCT.. 7997• SiQfJe ??U/
A PIONEER ENG EERSVC. P.A.
SCALE : 1 INCH = 40 FEET REVISED 11-19-97 RESTAKE 0r
RE?SED 11-18-97 PROP. ElEYS.
REVISEO 11-15-87 PROP. ELEYS- John C- Laraon, L5. Reg_ No, 1982£3
V91 97441,00 SWK
T0'd
' LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTY LEGAL: 6? ?Z ?.? Z A/1.L'?fa.lGLtcec,???37? r?
DATE OF SURVEY: /Bz Z 7? 9 ?
LATEST REVISION:
DOCUMENT STANDARDS
°z
[? ? ? • Registered Land Surveyor signature and comparry
? • Building Permit Applicant
B' ? ? • Legal descriptlon
o? ? O • Address
G?11 ? ? • North arrow and scale
0--,? ? • House type (rambier, walkout, split w/o, split enVy, lookout, etc.)
ff, ? O • Dlrectional drainage artows with slope/gradieM %
0--0 ? • Proposed/exissting sewer and water services 8 invert elevation
? ? ? • Streetname
? ? ? • Ddveway
ELEVATIONS
Existina
0"?o ? • Sewer service (or Proposed)
Ef ?
?? ?
? •
• Properiy comers
Top of curb at the driveway
13"/ ? ? + Elevations of any ebsting adjacent homes
Prooosed
/ ?
• Garage floor
? ? • Frst floor
G ? o • Lowest exposed elevation (walkouUwindow)
[??7 ? • Property comers
If ? ? • Front and rear of home at the foundation
PONDING AREA (iaoolicable)
? Or'? ? • Easement line
? 0' ? • NWL
? CY? ? • HWL
? 2' 0 • Pond # designation
? m' ? • Emergency Overflow Elevation
DIMENSIONS
[a?o ? • Lot IinesBearings & dimensions
o'
? ? • Rght-of-way and street width (to back of curb)
/
? ? ? • Proposed home dimensions including any proposed decks, averhangs greater than 2',
?? porches, etc. (.e. all structures requiring permanent footings)
i
i
? • s
Show all easemenis of record and any Cily utilities wiTh
n those easemen
d' ? ?' • Setbacks of proposed sVucture and sideyard setback of adjacent existing structures
? 0-' o • Retaining wall requirements, if any ,
Reviewed:
1?/
January 1996
CRNG1 BBB/BI.DGPRMf.FM
EYTERIOR ENGCLOPE AVf_RAGE "U" C0i`I?^UTATION -
OWNER: ' PnTF:_
SITE ADDRESS: 9ED SOx Rp• PNOVE: 440-9400
CONTRALTOR: ? J LA1?I? P? 9 34?2"-'
Determine working square footage of each
31?o sq.
ea
ll ft. X.11 =
1. Total .:...
ar
exposed,.wa
a sq.
I?JCvt
area
ili
o ft. x.026 = ?JS. S
2, Total .....
.
ng
f/ce
ro
Totai exposed wz;l nrea above,f}oo r= 21 3 Z
:
a. Total wall window area .......................... .............
...
:
.
...
..
b. 7otal door zrea ................................. ...
.......
.
. 3q •Co
c. Total sliding glass door area ................... .................
........
ll .................
d. Total arez ...............
rireplace wa
rea (av°rage lOa) ...........
i
i ................. 2'1 3• Z
e. Total g z
t
wall fram ...:. 3oc?. o
f. Total rim joist area ............................ ............ 2 053 --
g, net wall area a6ove floor ...............:.... ..................
...........
floor
6 .................
h. .........
ove
wall area a
.:....
floor
6 .................
i. . ..............
ove
wail area a .-
.......
eat_o :
=
" .................. ..
j. ..........
oun
rame wall area at
r
Total expcsed foundation area= 1
k. To?al foundation window erea ................... .... -
1. Totzl net founda'Licn area zbcve grade.••••-• •••
Determine "u" v_lue of eacn wall segment
(e,g, window, coor, each separate wail seciion)
' , ?? .33
3oz.o = `f`I,t,• .
z.
X„U„
b 1,9,9
.
3q.?.v _x ?,U,, .33
C.
d. - Y, ltull
e. 2?1?7. 2 ; 11??? , O°l5 = 2S •`?
X ?,u,, , 04l = ?2•3
g. 2t?53 x ?v,
h. f liuil
X IIUII _
i. _
? x liuii _
r x „ull _
1. 10 - X
3 . .................................Total = 2-61?7, S
„??? , O$Z °?-
If item 13 is the sa
as, or less tfian ite
al, you have met the
intent of 5BC 6006 (
',•. TOT:.L EXPOScID nQOF/C:ILIiIG CALCUlATiOtIS:
? • To;zl exposed
• •rrocf/ceilinq zrea... ..... t)tZ7_ sq fc
: j) Total skyliaht area.. ..... -- sq ft x "U" °
k) Total roo`/ceilinq framing
s
???7 1
Pc
1
")
o
ft x
'.U'? 2 .?
.
0
area (Averace q
.
_
....
t
J) Total ne[ insulated
i 122???
s
ft x
"U" ?
nq arez..
roo`/ceil q
.....
TOTAL j) t h ru ,). 29 ? ?
Ic to;zl or =1; is the sar..e zs, cr ?ess chan 1`2, you have ret the inten: of
2 \LC: Z 1. lOOOS _4 zr.d 0.
ALTERN:.T_ 6UILDING ENVELOPE DESIGN
To u.ilize the cotzl enyelcpe sys[em methed, the vzlues es[aSlished 6y ti-l= sum
o. i.er..s -3 =nd snall noc F.e r_.r=zter thzn the sum of items I?l znd -Z.
1 . ...)42 - i = 2. ?JS? S = ?I1 - W
., :? 2(oa .5 2`I-1. (p
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1860 Red Fox Rd
Lot: 20 Block: 2 Addition: Blackhawk Forest
PID:10- 14325- 200 -02
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspec
acceptable in lieu of inspections.
Fee Summary:
Valuation: 3,000.00
Contractor:
VP Construction of Twin Cities
2204 Mcaffee Circle
St. Paul MN 55109
(612) 644 -3866
Applicant/Permitee: Signature
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
PERMIT
City of Eaan
- Applicant -
Construction Type:
Occupancy:
$88.50 0801.4085
$1.50 9001.2195
$90.00
Owner:
Chung D Hoang
1860 Red Fox Rd
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Issued By: Signature
Building
EA083828
06/26/2008
ePermit
on prior to final, you must meet inspector with ladder and flat bar. Pictures are not
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA119265
Date Issued:11/20/2013
Permit Category:ePermit
Site Address: 1860 Red Fox Rd
Lot:20 Block: 2 Addition: Blackhawk Forest
PID:10-14325-02-200
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Jackie Terrell
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 -
Chung D Hoang
1860 Red Fox Rd
Eagan MN 55122
Walker Roofing Company
2274 Capp Rd
St Paul MN 55114
(651) 251-0910
Applicant/Permitee: Signature Issued By: Signature