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4077 Foxmoore Ct ----------------i For Office Use / I I lC/'~~~ I I Permit v I My of Eap I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 i Date Received: I Phone: (651) 675-5675 I Staff. Fax: (651) 675-5694 1------------------' 2012 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 2 JV5 112- Site Address: Nb-1-I !1%&M T) 00 ✓G CT Suite Tenant: I &&J26 Name: at_ rid !'/"San Phone: 4i51-42'✓" 0~(.P2- RESIDENT /OWNER Address / City / Zip: 401:1 Rynagog(A. Name: Appliance InstallOrS Of WIN, 11%. License 91LAS-S- 14105 ~m Address: prier ak , MN 55372 City: CONTRACTOR State: Zip: Phone: %Z • IAUQ • %Zl Contact: MW- • Email: _ New Replacement _ Repair _ Rebuild Modify Space _ Work in R.O.W. TYPE OF WORK Description of work: RESIDENTIAL Water Heater Water Softener Lawn Irrigation RPZ PVB) PERMIT TYPE Septic System Add Plumbing Fixtures C_ Main Lower Level) New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) 'Water Turnaround (add $189.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) D TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.ooi)herstateonecall.org 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 x Applicant' rinted Name Applicant's 9fdhature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-in Air Test Gas Test Final r Use BLUE or BLACK Ink r For Office Use 1 City of Eaoa~ j Permit 10 ~;V '"77 b I Permit Fee: ZOl/. ~ I _ 3830 Pilot Knob Road Eagan MN 55122 L 14 REUD Date Received: Phone: (651) 675-5675 1 staff: /r► Fax: (651) 675-5694 1 _ I 2010 RESIDENTIAL BUILDING PERMIT APPLICATION ~7-ih -/0, Date: 7'11^ Zyo Site Address: 'o7 ~X ~rCJ Tenant: Suite _ RESIDENT/ OWNER Name: 0*t-t k Kd~y l Phone: Address / City / Zip: y0 71 ~Z C-f Applicant is: Owner Jt Contractor TYPE OF WORK Description of work: is,+5e r1f' I%."j c i , Construction Cost: Z S. Zto Multi-Family Building: (Yes / No _L_) CONTRACTOR Name: (~,ce ca~l6~i Co.~.•,it. C~~ c. License LCD 23C Yt- r 4 Y1 'A"(~' i Address: City: G • State: - jk^) Zip: r 076 Phone: C(2-- contact: o X_c V^b Email: 1<0 13e4&4. c( L# r ~ ~+rC . G•+.►~, 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: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. 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.org 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 x Applicant's Printed Name Applicant's Signature Page 1 of 2 OM bl!!~ DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Fireplace Porch (3-Season) T Storm Damage _ Single Family _ Garage Porch (4-Season) _ Exterior Alteration (Single Family) _ Muni _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) - 01 of - Piex Lower Level ` Pool _ Miscellaneous _ Accessory Building WORK TYPES _ New _ Interior Improvement Siding Demolish Building* Addition _ Move Building ` Reroof Demolish Interior Alteration Fire Repair T Windows Demolish Foundation - Replace Repair _ Egress Window _ Water Damage Retaining Wall *DemolMon of entire building - give PCA handout to applicant DESCRIPTION , Valuation !2,~-_= - Occupancy MCES System Plan Review Code Edition SAC Units (25%100% Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction _ Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Drain Tile Other: Roof: -ice & Water -Final Pool: Footings -Air/Gas Tests -Final Framing Siding: Stucco Lath Stone Lath Brick Fireplace: Rough In ,Air Test Final Windows . Insulation Retaining Wail: _ Footings Backfili _ Final Meter Size: Radon Control Erosion Control Reviewed By: . Building Inspector RESIDENTIAL FEES Base Fee $ Surcharge Plan Review _ MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant P14 -r-tg,00 Pyt Copies 0 TOTAL ;46A 2 , tx e4l?? • ? ????? ? ? i? ¦i . ??„ri ? ? 1 , ..? -?,:..--- ??. ? .- _ - BUILDING PERMIT To be used for sF VOGIGM Site Address '" Lot 7 Block Parcel No. Name CENt'EX ? ?ress 5929 BAIMR cfty MINNETONii/1 MN Zp O cr Nafil@ ?nni ? acidress f? Cfty ZP I herehy acknowlege thal 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 Fagan Ordinances. Signature of Permitee A Building Permit is issued to: CENTF-X on the express Condition thal all work shall be done in accordance wilh all applicable State ol Minnesota Statutes and Ciry of Eagan Ordinances. Building Ofticial OFFICE USE ONLY ? Occupancy R-3 M-1 FEES Zoning PD A-1 Bidg. Permit 790*00 (Ac1ual) Const V'f V N Surcharge 71*S4 (aloWable) ' Plar, Review 514.00 # or stories 66' ucense --s. o0 Lengm oep,n 3g' snc, city 10•00 S.F.To1al - $AC,MCWCC im'? S.F. Foofprints On Site Sewage - _ Water Conn 675+? on site wen water Mater 95.00 Mwcc syscem Ci w t X ? ?ct. o?it 30.00 ry er a x 30.00 PRV Required S1W Permit Booster Pump - SMf Surcharge • ? Treatment PI ? t '" • '''? APPROVALS Road Unit 380.00 Planner - park Oed. c°""cu - t . CC? BIdg.Oft. _ Copies Variance - TOTAL 3. b9 . (* Sec/Sub. . _ ... . ? , . .. CITY OF EACAN 20153 Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 681-4675 Receipt # Permk Ho. Parmit Hoider Date Telephone N Sw PuiMBiNG WAC 9 Sa5-?? ELECTRIC 80 EL.E ,C'TR?C, 912 r O ?rD Inspectfon Date Insp. Commwnts Footings I Foundatian /B f ?,?' Framing y? g yz S Roof ing Rough Plbg. 712- 1 Rough Htg. `f??(r Y! i ?u/ J?i?'• isul. FirePlam Final Htg. Orsat Test ?y 2 ? Fnal Pibg. ? Plbg. Inspector - Notify Plumber Consl. Meter EngrJPlan Bldg. Final 42 Dedc Ftg. [ ? ?7 Dedk Final Well Pr. Disp. IN TION RECORD CITY OF EAGAN PERMIT TYPE: ? `1; 1 1, u` I N " 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: , . , . ? ?. ? . ,. ? .. . . ? , ,. . PERMIT SUBTYPE: TYPE OF WORK: : LuS/aA'; t ttar: ) INSPECTION D. . .A ., . , , ? ?. Pertnit No. Permk Molder Data Telsphone # ELECTRIC PLUMBING HVAC Inspectlon Date Insp. Comments FOOTINGS FOUND FHAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAI HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL I ? . 1 Ttx#i#tra#e uf (Orrupanry titp of (tagatt ' ?e#1 rt?t n# iufilding iwrrtinn • This Cernfu:a[e issueid pursuanl to !he m+qieir+entencr of Seoclion 306 of the Unijorm Bu!lding Code cerlf),inB thal at the iime of rssuance thls strudure wes in c»mpliance wttJi the vcrious or+dinancYS of dbe Ciry negudating buidding construclion or use. For !he following: Un CkmT=oo. SF DWG1'GA.R ". ?t N& 20153 OWUP-y'iM PD/R ? T?jm c?m VN o„m of BMW" Ad*= 5Q29 RNM RD, MDtEiGWA ftad;,? Add,n, 4077 FaMORE OOURT Looft L7, B I, HIILS 0F SIWB?RM 2ND n.,C 6/1 1/q2 suaaios officiii „" POST IN A CONSPICUOUS PIJACE ' SEWER & WATER PERMIT ? CITY OF EAGAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 DATE FEB 26, 1992 OFFICE USE ONLY MEf'ER #.46I'7.) 7 D? PERMIT DATE CHIP #Q. 3ID DVSD PERMIT # - METER SIZE Sp? us B.P. RECEIPT # C 017550 ISSUE DATE B.P. RECEIPT DATE 02 27 92 X PRV - BOOSTER PUMP ? SITE ADDRESS 4077 FOXMOORE CT PERMIT REOUESTED LOT 7 BLOCK i SEClSUB HILLS OF STONEBRIDGE 2ND X SEWER X WATER _ T APPLICANT: ? ADdRESS: ' - COMM/IND ._XL RESIDEN' CITY, STATE ZIP ? X NEW _ EXISTING PHONE: j PLUMBER: PLYMOUTH PLBG INC ADDRESS: 9290 ZACHARY LN ; CITY, STATE MAPL_F. CROVF MN ZIp 55369 j PHONE: 493-2474 Lawn Sprinkler Meters are to be In: Ahead o Domestic ters on Water Credit Vy?L NgTide hben for Deduct M 02/28/92 12579 I AGREE TO COMPLY WITH CITY OF OWNER: CENTEX EAGAN ORDINANCES ADDRESS: 5929 BAKER CITY, STATE MiNAn?rnNxa MN ZIP 55345 PHONE: SIG TURE WH N METER ISSUED ' -) a ". , 2G L i ?-? /; PLEASE A OW TWO WORKI G DAYS FOA PRdCESSING. CALI 4?4-5220 FOR INSPECTIONS. FOR Sl SEWER PERMITS, CONTACT ENGINEERING DEPT ; _ . CITYOF.EAGAN f??2?153 3830 Pilot Knob Road, P.O. Box 21-199. Eagan, MN55121 BUILDING PHONE:681-4675 C 0 ' ?? PERMIT Receipt # ? Tobeusedror SF DWG/GAR Est.Value 143,000 Date FEB 26 , 79s2-- Site Address 4077 FOXMOORE CT Lot 7 Block 1 Sec/Sub. HILLS OF Parcel No. STONEBRID ND ' NNI18 CENTEX ? Address 5929 BAKER p Cily MINNETONKA MN Zp 55345 Name SAME ? Address ? ? ?P o Phone ? ucense # 0001333 I hereby acknowlege that I have read Ihi application and state that the intormation is rqrrect an agr eo o y with all applicable State of Minnesota Stamtes antl i of ga Or i ances. Signature of Pertnitee A Building Permit is issued to: CENTEX on tha express condition that all work shall be done in accordance with all applicable State of MinnesotapStatutes and City of Eagan Ordinances. Building Official ?(klTLll P? 11a?(? ?( i OFFICE USE ONLV _ FEES occuoancy R-3 -1 Zoning PD R-1 8k1g. Pertnit 7g0.00 (Anual) Const V-N Sudhhg, 71.50 (nuowable) V-N plan RevieN 514.0 0 X o1 slories - ? ( r License 5.00 Length y Z Depih SAQ City ?OO. 00 S.F. Totel - SAC. MCWCC 7CO_OO S.F. Footprints - On Site Sewage _ Water Conn 0 675.0 On Sile Well - Water Meter 0 95.0 MWCC System X pcct Deposil 30,00 City Water PRV Requiretl S14V Permit 30.00 Boostar Pump - S/W Surcharge 0 .5 Trealment PI 300- nn APPROVALS Road Unit 3RO - n? Planner - patk Ded. Council -- 1 00 BIdg.ON. _ Copies . Variance - TOTAL i16-91•?n ? Request Oale Fire No. Rough-in Inspection -f^-? uiretl? ? Ready N. Will NMity Inspector L G -! ? y¢s G No When Reatly? Ix, icensed contractor 0 owner hereby request inspection of above electrical work at: Jo0 AtlOress (SVceL Bnx or Route No.) /y Clty P 4A C? Section No or No. Renge Na. Counry O.;cupant ( j Phona No. Power Svp qdpress ?? . Elecvcal Cmel ConVactor's License No oni,or Mailing Htl ner Making Installation) ' el./..?1YJ /--? / • N/ - Authori¢etl SignawVonhaclo" wner Making Installatian) mber Phone Nu ( / / MINNESOTA STATE BOAND OF ELECTRICITY THIS WSPECT'ION REOUEST WILL NOT Grigge-Mitlwey Bltlg. - Roam 5-173 BE AGCEPTEO BY THE STATE 60AR0 1821 Universily Ave., SL Paul. MN 55106 UNLESS PFOPER INSPEGTION FEE I$ Flrone(61E) 60241800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION r 0. See inshuctions for completing this form on back of yellow copy. "X" Below Work Covered by This Request #i6?11.1 EB-00001-08 i ? i ?. "L.q.a ew Adtl ap. Typeofeuiltling AppliancesWired EquipmeniWired Home Ranqe Temporary Service Duplez Water Heater Electric Heating Apt. 8uilding Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner O[her (syecily) Cqnlractor5 Remarks: Cpmpufe Inspection Fee Belaw: # . Other Fee # ServiceEntranceSize Fee # Circuits/Faetlers Fee Swimming Pool 0 to 200 Amps 0 to 700 Amps Transiormers Above 200 _ Amps Above 100 _ Amps Signs insveaars use omy: , TO7AL Irrigation Booms ' C;Z 51) Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Otner Fee COMPLETED WITHIN 78 MONTHS. ' I, the Electrical Inspector, hereby ti th th Ri 41 oa?a cer at e above insPection has ry been made. Finai oate OFFICE USE ONLY This reque5t voi0 18 months irom REQUEST FOR ELECTRICAL INSPECTION ? Sae insimcDOns for completing ihis form on back of yellow copy F i' "X" Be/ow Work Covered by This Request ?'"e'•?ee-ooaoi-oe ew Ad0 Rep. Typeof8uilding ApplianceSWired EquipmenlWired Home Ranqe Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specity) Comm./Industrial Furnace ' Farm Air Contlitioner Omer ?syecify) Cqntrecmrk Ramarks: Compute Mspection Fee Below: # .. Other Fee # ServiceEntrancaSize Fee A` Cirtuits/Feedere Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 700 _ Amps ' Signs Inweclor§ use Onry: TOTAL Irrigation Booms Special Inspection AlarmiCommunication TNIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Elecirical Inspector, hereby Rouyn-m oaia certify that the above inspection has been made. F,,,ai oa?e / OFFICE USE ONLY ihis repuest voi0 16 monihs fmm Request Dale Fire No. Rough-in Inspeciron e uiretl? ?Vas ? N. • ? HeaEy Now W I Nolity Inspec[or en Reatly? I censed contractor ? owner hereby request inspection of above electrical work at: Jo0 Atltlress IS eel. Box or Route No.) Ciry SeC1i0n No- TOwn5hi0 Name a! o. R8n9B No. COUnty Occupanl T, Phone No. Power Supplier Atltlress Elechicai Go [ar ?COmpany Na ? 'si Contrna4brS^ License No. 4/1 /D " g tl r s onlratlor or OwnecM Inslallal Z Awhorixetl Sgna iConvacloo wner Makinq Inslallation) Phone Number ? MINNESOTA STATE BOAflD OF ELECTFICITY THIS INSPECTION REOUEST WILL NOT Griggs-MiEway Bltlg. - Room 5493 BE ACCEPTED eV THE STATE BOARD 1821 Unlversiry Ave., SI. Paul. MN 5510C UNLESS PROPER INSPECTION FEE IS Ptwne (612) 863-0800 ENGLOSED. Address: 4077 gpMMORg r,pUgp Lot 7 Blk I Sec/SubfflLS OF SI'ONEgRIDGE 2ND Phese items were/were not complete at the time of the fin i spection. Date: 6/11/92 Yes No Ingpertor, Final grade (6" from siding) Permanent steps - garage Permanent steps - main entry Permanent driveway Permanent gas Sod/seeded grass Trail/curb damage Porch Basement finish Deck Pleasa verify with the builder the removal of roof tast caps from the plumbing system and the shut-off of vater supply to the outside lawn faucet before freeza potential exists. ? PECRFDN[II White - City copy Yellow - Resident copy Pink - Contractor copy X' -7, g / 7? 4?4 s4,v..? 2 1?4 I/ HOU E HEATING TEST RECORD ADDRE55 ?o;77 ? KJ??Jrt APT._FLO9R_ OCCUPANT OWNER (,f SUBURB MEAT LOSS DATE HTG. INST. SOLD BY INSTALLED BY Elechical Mre.L 8y (ias Line By V4 ? TYPE OF HEAT GA _ FA _HW -STEAM _SPACE HTR. -UNIT HTR. -OTHER G?S DESIGN CONVERSION MAKE MAKE OF BURNER Mod.i US o moe.i v. Sxiol .d ? Maa. BTU Ratiny t INPUT MAKE OF FURNACE Model ' t CONTROLS f ? THERMOSTL?T Y / / Msot Plup Vent Size Valva f KIND OF LI SIZE NONE Limit e G'? ? Dreh Hood Repularor Limif SHfiny Fiitars Siie Nu Fon Ssiting Chimner Location Insid Outsida Pilot Type , C_ Chim"y Construction Pilot Maka Pilot Modal Smoke Be Wirinq Pilot Timing ? Draft ? ? Test Tap L.W. Cut OfF Door Pressure Liphtinq Inst. P ?• ?? ' P C `? T tad t rsssure Input CFH srcent O Pereent 0? e es laompany Teating ? $tock Tamp. Psrcent CO ? Name of Test iorm 235 AmhkhL- Clty 0f EapII ? ?d50ffc"e tJse -------- - j Permit vs I PermitFee: i I 2 I ? Date Re ed:??' 2 ? o? ? I Staff: I I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: .j ' -2y-oi Site Address: J-/a 7 7 CJ dC?j-J&? 3 ' ?? Tenant: 4/1A 41,, A4434,-- Suite #: RESIDENT! OWNER Name: Phone: ?Jf/ 6F6-G 17Y Address / City I Zip: /107-7 F'OK0161+ 0- Applicant is: _ Owner k Contractor 44 cP24L PF ^!?u_i, ( tAd ' l TYPEOFWORK fj cg„l.t /CCze Description of work: NcP?O k,'? - Construction Cost: 72 L) Multi-Family Building: (Yes_/ No? CONTRACTOR Name: )3t4"Qa 'r 6,,,: 4-PlC,4y, .Tc License Zo 2 76 424 Address: ?? zo C•s*' Ciry: I?,?U-Q?GL-?._ 1Ay4State: /141d Zip: 3??,,(' Phone: 6/ Z- '?11C' `I Contact Person: &£^rt-ccIA ? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted submission type) • Energy Envelope CalcNations Submitted In the last 12 months, has the City of Eagan issued a pertnit 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 8 Water Contractor: Phone: NOTE: Plans and supporting. documents that you submitare considered to be public'informafion. `Portions of fhe enformation may be classffied as non-public,if you provide specific reasons that would permit the City to -, conclude.ihaf the are trade`secrefs. " 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 stad without a pertnR; that the work will be in accordance with the approved plan in the rase of work which requires a review and approval of pl x 2 Applic?rint Name Ap icanYs Sig ature Page 1 of 3 .? DO NOT WRITE BELOW THIS LINE sus rvPes ? Foundation ? OS-plex ? 16-plex ? Accessory Building ? Pool ? Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ezt. Alt - Multi ? 01 of _ Plex ? 07-plex ? Garage -g Porch (4-season) ? Ext. Alt. - SF ? 02-Plex ? OS-plex ? Deck ? Porch (screenlgazebo/pergola) ? Multi Misc. ? 03-Plex ? 10-plex ? Lower Level ? Storm Damage ? 04-Plex ? 12-plex ? Miscellaneous WORK TYPES ? New ? Interior Improvement ? Siding O Demolish Building* ;K Addition ? Move Building ? Reroof ? Demolish Interior ? Alceration ? Fire Repair ? Windows ? Demolish Foundation ? Replacement ? Egress Window ? Water Damage • Demolition (entire build ing) - give PCA handout to applicant DESCRIPTION: V l ti 7 ? ' Q ../?? t MCES S ua on a l Occupancy ys em Plan Review Code Edition ?j Q 1.1(./ SAC Units (25%_ 100% ? Zoning ? City Water Census Code ?11 Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) Footings (deck) ? Footings (addition) Foundation Drain Tile Roof: Ice & Water Final Framing Fireplace:_R.I. _AirTest _Final ? Insulation Sheetrock Final/C.O. ? Final/No C.O. ? HVAC Other: Pool: _Footings _Air/Gas Tests _Final Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall Reviewed By: Building Inspector RESIDENTIAL FEES: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies Total ?-/, , 23? r e 2? ? ??L ? !Z(? p LLL?- ?(?-??? y 7?d,-7? =/ ?,v 2?,42?( / 3? L9 L9 0 .r' u uD ?f a City of ?apn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax:(657) 675-5694 2008 RESIDENTIAL PLUMBI Date: IL-4--Uz Site Address: Tenant: Suite #: RESIDENT! OWNER Name: !"C-e-d( 'so-1 Phone: ?CJ? C? 6- 6f AddresslCity/Zip: UM'? TUXI"??' C7, CONTRACTOR 14 Name: I ts-icense #: -(> vo Address: ! '??V JY(, /nJJ City: ?6V{'L /O 4?I""7 r State: /"P/L) Zip: ? Phone: ZV 3-5W- V /O 7 Contact Person: - /` IV , l1 o7u.(; -?I-v -?-? TYPE OF WORK _ New Replacement _ Repair _ Rebuild Modify Space _ Work in R.O.W. Descri tionofwork: PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation Add Plumbing Fixtures ? RPZ !_ PVB) ? Main _ Lower Level) Septic System _ Water Tumaround New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $.50 State Surcharge) "Water Turnaround (add $136.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, duclwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ I hereby acknowledge that this information is complete and accurate; that the work will 6e in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an appliwtion for a permit, and work is not to start without a permi[; t at the work will be in accordance with the approved plan in the ase of work which requires a review and approva f p ns. _ x`/`t? t? l? J ? l/ ??S X ApplicanY Printed Name Appli s Signature Required Inspections: UnderGround - Rough In" AqTest GasTest ' Finai - - - - - - - - - - - - FOR OFFICE USE Reviewed By. < Dafe: I For Offi,c`e Use ? ? Pertnit#: ? Permit Fee: ? Date Received i ? I I Staff: `-----------------? PERMIT AP v' Pecmit Number RFScheck Compliance Certiflcate 20001Vfinnesota Energy Code REScheck SoBware Version 3.6 Release 2 Daza Slename: C:\Program Files\ChecklREScheck\Anderson.rclc PROJECT TTTLE: Anderson Kitchen/dining addition COUNTY: Dakota STATE: Minnesota ZONE: 2 CONSTRUCT[ON TYPE: Single Faznity WINDOW / WALL RATIO: 0.18 DATE: 03/21/08 DATE OF PLANS: 3-16-08 COMPLIANCE: Passes Maeimum UA = 449 Your Home UA = 357 20.5% Better Than Code (UA) Ceiling 1: Flat Ceiling or Scissor Tmss W all 1: W ood Framc, 16" o. c. Window 1: Above-Grade:Wood Frmne:Double Pane with Low-E Door 1: Glass Door 2: Solid Basement Wall 1: Solid Concrete or Masonry Wall height: 8.0' Depth below grade: 7.0' Insulation depth: 7.9' Floor 1: All-Wood JoisUTeuss:Over Outside Air Fumace 1: Forced Hot Air, 92 AFUE Air Conditioner 1_ Electric Central Aiy 13 SEER Propased and Maximum U-FactorAverages Above-Grade Windows and Glass Doors includes Foundation Windows > 5.6 12 Checkcd By/Date Cross Glazing Arre or Caviry Cont. or poor Perimeta R-Valile R-V lu e. U-FaaQd IL& 1224 42.0 0.5 34 2460 19.0 0.5 116 382 0.280 107 63 0.320 20 42 0.300 13 988 110 0.0 60 236 30.0 5.0 7 Proposed Avcrage U-Factor 0.286 Mrocimum Allowed U-Factor 0.370 f4 COMPLIANCE STATEMENI': The proposed building design dcscribed hee is consistent with the 6uilding plans, specifications, and other calculations submitted with the permit application. Thc proposed building has been designed to mcet thc 2000 Minnesota Enagy Code requirements in REScheck Vasion 3.6 Release 2(6nnerly MECcheck) and to comply with the manJatory requirements listed in the REScheck Inspection Checklist. Builder/Designa ,4? Date j -11-or RESIDENTIAL 53723 BUILDING PERMIT APPLICATION CI7Y OF EACAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Raauirements • :registerm site surveys showmg ;q. 3. :f:oC sq. fl. of house: anA all mofed areas i20°5 maximum lot coverage allowed) • 2 copies of plan showing beam 3 wintlcw ;izes: poured (ound tlesign, atc.) • 1 set uf Eneyy Calcutations • 3 copies of Tree Preservation Plan if lol platted aRer 711i93 . Rim Jois1 Detail Oplians selection sheet ibldgs with 3 or less units) DATE ( ,? ?lJ ?vZ SITE ADDRESS `tU I ( iYPE OF WORKI1_? r I r '??\ APPLICANT J?_??) STREET ADDRESS TELEPHONE #_?C i- MULTI•FAMILY BLDG Y 'V/N FIREPLACE(S) _ 0 _ 1 _ 2 A PHONE# FAX # PROPERTY OWN ERA-)3 UIC,1 °( CaS-M MV\ ? TELEPHONE#6r `TD-VI`'C 1 COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ M[NN1:501-:1 RCI.ES 7670 C:1"CEGORY 1 >41 ('i submission rype) . Residential Ventilation Category 1 Workshee[ Submitted • • Energy Envelope Calculations Submitted Plumbing Contraetor: Phone 4 Plu[nUing system inc(udes: NVater Softcner _ lawn Sprinkler Water Hcatcr No. of R.I. Baths -- No.oCBatlts -- Mechanical Contractor: Phone # XICch,uiic.d sy,tctn includes: Air Condiuoning Hcat Rccoccrv Svstcm Sewer/Water Contractor: Phone lk .IUL 3 0 2002 ree: y7o.oo ----------------------•----.._..-----------°---------------------------...------•------------_._...-----------°-°------ I hereby acknowledge that I have read this application, state that fhe informatien is correct, a d agree to comply vvith all applicable State of Minnesota Statutes and City of Eag Ordinances. Slgnature of Applica OFFICE USE ONLY KamodeVReoair Recuirements . 2 co0ies ofplan • 1 set cf Erergy Calculations'cr neated additions • 1 site survey br exterior aoditions 8 Cecks . InWicare if home served oy seplic sysrem for additions VALUATION a ? O?)Q Certificates of Survey Received Tree Preservation Plan Received _ Not Required _ updated 4102 CITY USE ONLY ?y L _Z BL ? RECEIPT#: /?4l SUBD. 2- RECEIPTDATE: 1997 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: p single family dwellings . townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES 1?CH NSL• 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 = Water Heater 3.00 x = Floor Drain 3.00 x = - Gas Piping Outlet " minimum - t 3.00 x = Rough Openings 1.50 x = Water Softener `for tlweilings under wnstruction 5.00 x = WaterSoftener `forexistingdwelling 20.00 x = U.G.Sprinkler 'fordwellingunderconst. 3.00 = U G Sprinkler ' for existing dwelling 20.00 ------------ AlterdtiOnS ' to existing residence 20.00 = Water Turn Around 20.00 = Private Disposal System ` Dak Cry iic. 75.00 (new and refurbished systems) Private Disposal Systems `Abandonment 20.00 STATE SURCHARGE TOTAL .50 I hereby acknowletlge that I have read this appllcation, state thet the infortnation is corted, and agree to comply with all appliwble City of Eagan ardinances. tt is the applipnPs responsibiliry to notify ihe property owner that the City of Eagan assumes no liabiliry for any damages caused by the City during ils normel opere6onal and maintenance adivifies to the faciiities constructed urMer this permR within Ciry propertylright-of-way/easement. SITE ADDRESS: 4'0 7 7 Fox m eo,ce C f' OWNER NAME: 1.?A?:? ? ?hbl ?MeE INSTALLERNAME: Sa.LF TELEPHONE#: 63(9-000 ?(? yeS-v/v9o e STREET ADDRESS: y0 99 ?a x rviuoac c f^ CITY: T-A9Ay STATE; M'' ZIP: SSl?3 -2 7-1W L /c I SIGNATURE OF PERMITTEE ???"1 521769 HILLS OF STONEBRIDGE PLAT 2 PRESSURE REDUCING VALVE AGREEMENT r This agreement, made and entered into the /r -day of 1989, by and between the CITY OE EAGAN, a municipality of the State of Minnesota, (hereinafter called the City), and the Owner and the Developer identified herein. The terms "Developer" and "Owner" as used herein refer to UNITED MORTGAGE CORPORATION whose address is 8300 Norman Center Drive, Suite 1000, Bloomington, Minnesota 55437. WHEREAS, the Developer has applied to the City for approval of the plat or subdivision known as HILLS OF STONEBRIDGE PLAT 2, located within the City; and WHEREAS, the Owner and Developer agree to notify potential buyers of all lots within HILLS OF STONEBRIDGE PLAT 2 that Lots 4, 5, 6, 7 and 8, Block 1 and Lot 1, Block 4 are in a high water pressure zone and a pressure reducing valve shall be installed in each home below the elevation of 875 feet. All costs shall be the responsibility of the potential buyer and lot owner when a home is constructed and shall be installed to prevent damage due to high water pressure. NOW, THEREFORE, the City, Owner and Developer agree as follows: 1. Recordinq. This agreement shall be recorded with the Dakota County Recorder so as to provide notice to the owners of Lots 4, 5, 6, 7 and 8, Block 1, and Lot 1, Block 4, HILLS OF P? STONEBRIDGE PLAT 2` The Owner shall provide and execute any and all documents necessary to implement the recording of this agreement. 2. Notice. The recording of this document shall constitute notice to all owners and future owners of property in the HILLS OF STONEBRIDGE PLAT 2 subdivision that Lots 4, 5, 6, 7 and 8, Block 1 and Lot 1, Block 4 are in a high water pressure zone and that a pressure reducing valve shall be installed in each home below the elevation of 875 feet. All costs shall be the responsibility of the potential buyer and lot owner when the home is constructed and shall be installed to prevent damage due to high water pressure. 3. ValiditY. If any portion, section, subsection, sentence, clause, paragraph or phrase of this agreement is for any reason held to be invalid, such decision shall not affect the validity of the remaining portion of this Contract. 4. Binding Agreement. The parties mutually recognize and agree that all terms and conditions of this recordable agreement shall run with the land herein described and shall be binding upon the heirs, successors, administrators and assigns of the Owners and Developers referenced in this Contract. IN WITNESS WHEREOE, we have hereunto set our hands. CITY OF EAGAN OWNER AND DEVELOPER: DATED: . UNITED MORTGAGE CORPORATION By: Victor L. Ellison By: / Its: Mayor Its; " f?? AAO A 16LO u L Attest ? . J. VanOverbeke Its: lerk (SEAL) By: Its: ? STATE OF MINNESOTA ) ) ss. COUNTY OF4)lOT ) On this /Z??day of 1989, before me a Notary Public within and for said County, personally appeared VICTOR L. ELLISON and E. J. VanOVERBEKE to me personally known, who being each by me duly sworn, each did say that they are respectively the Mayor and Clerk of the City of Eagan, the municipality named in the foregoing instrument, and that the seal affixed on behalf of said municipality by authority of its City Council and said Mayor and Clerk acknowledged said instrument to be the free act and deed of said municipality. MARI;YN L WUCHECPFENMIC :. `* ?.;• h..^:AFY Pl'2.I? - M1!:':cS01A , DAY,OTA COUNTY My C(:nn•:¢"cn ExC Frb B. 1223z . dfN]:M?'IN,•.•=:_lJt!!N•!f?' N tary ublic /i ? STATE OF MINNESOTA ) ) ss. CouxTY oF ?/A ) On this to me per say that --and was signed a%d-sealed on behalf its Board of Directors and said -&nd be the free act and deed of the OENISE J. KOENGK ? ?AIR 11RUC. DtlOt! C?:Y. A.1nn M, C"? [wm Fo0 5 M day of 1989, before me a ,}n an5} for said County, personally appeared -ftftd- ho being eae,h by me n of rgeratien, and that said instrument ofsd qo?tpo? ?tion?y authority of U ??K.?S t?EAI acknowledged said instrument to EXHIBIT "A" u 4 J r??$ . ?? •?. '?? ? .3' . ? ? ? ? \. • ?.'? ?. ? A ? ? ~ ? , • 1 Y.. _ 1 ? LC: ?' , c :nu:I. !•v `- ? '?., ?? '?7. _q ...?•. " .? 1.? w ? l • ?'''? !1 ? a? I ? •_ ? , ? rrltr uiW Ja Su : , -. M s ? .?.. ri• ]G? ..??. I -. / . ?- ?. ? F ? .... ' ' ? .:JL Srlra G?L :?r w .? .•..?.r'u?srr ?r w RLSwM?: I . ?iie• y? ? r? ?: I _ . ?... ? .. . _ ? S?.T 2 ec : +JY/?S LOTS ON WHICH HOMES REQUIRE PRESSURE REDUCING VALVES (First Floor Elev. Below 875.0) H1LLS OF STONEBRIDGE PLAT 2 r r r. msaw r _"- - i- r} " ' ? ' r?Li..Y?..?.... .. f `? ;,,1=;• ? "- ?%?-?? APPROVED AS TO FORM: C7y Atto ney' ce ate • (J? APPROVED AS TO CONTENT: " Y I ?? ? "'Cf , •?''{ .3 r ; : 1,-J Public WoYks Department Date: ? I,",. " „=' ; THIS INSTRUMENT WAS DRAFTED BY: ?SEVERSON, WZLCOX & SAELDON, P.A. 7300 West 147th Street P.O. Box 24329 Apple Valley, MN 55124 (612) 432-3136 MGD ) ?-'h 9217G9 OFFICE OF THE COUNTY RECORDER-DAKOTA COUNTY, MN. CERTIFIED THAT THE WITHIN INSTRUMENT WAS FILED FOR RECORD IN THIS OFFICE ON AND AT 1 S os IA IA 31, iB 9 921769 ooc. No JAMES NOUNTY ?R?EC?}QRDER DEPUTY FEE?- HECK)( CHARGE ? CASH O CHARGE WHOM _--- REFUND DO NOT REMOVE -Set l,' c r1 ??3,L` -Q S L C 0 X? S" E cyvri REACTIYATE _ RE(??IVED PERMIT d - ? --------------- SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy o energy calcs. COMMERCIAL 2 sets of architectural 8 structural plans, 1 set of specifications, 1 capy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month. in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date 93 Yaluation of work Site Address:'?a?? ?xmao,e? cr. . EqG,a.? ?ti ssi23 STREET SUITE 1' Tenant Name: (commercial only) IAT 7 BLOCK ? SUBD. /?Lt[5 GK sTau?p¢zD(rE P.I.D. N Descri tion of work: .v E? fc The applicant is: I,?1 Owner ? Contractor ? Other (Deccribe) Name V?^? 1"r1ETCl? GFoec-e Phone Property LAST FIRST aa7 7 s$7C? Owner qddress 077 FoxmaollE CT, STREET ' STE • City ?A619'j 5tate 1?771J Zip s5i23 Company Phone Contractor pddress License # Exp. City State Zip Company Phone Architect/ Engineer Name Registration N Address City State ZiP Sewer & water licensed plumber . Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is appl cable State of Minnesota 5tatutes and City of correct and agree to comply with al / Eagan Ordinances. Signature of A'plicant: d CITY OF EAGAN 1993 BUILDING PERMIT APPLICATION ? 681-4675 OFFICE USE ONLY BUILDING PERMIT TYPE .. . ? . ? Oi Foundation ? 06 0 Duplex O 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwg. ? 07 4-Plex O 12 Multi. Misc. O 17 Swim Pool O 03 SF Additian O 08 8-Plex ? 13 Garage/Accessory O 18 Comm./Ind. 0 04 Sf Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'1. P 15 Deck ? 20 Public Facility 0 21 Miscellaneous WORK TYPE Ff. 31 New 0 33 Alterations ? 35 Tenant Finish ? 31 Demolish ? 32 Addition ? 34 Repair - [3 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. (Allowable) lst F1. sq. ft. UBC Occupancy j? 2nd F1. sq. ft. Zoning Sq. Ft. total i of Stories footprint Sq. ft. Length gi On-site well Depth zo On-site sewage APPROVALS Planning Building Engineering _ Yariance REG1UfRED INSPECTIONS ? Site ER Footing ? Wallboard p Final MWCC System City Water PRV Required Booster Pump Fire Sprinkler Census Code ? SAC Code / 0 Assessments ? Framing ? Insulation 0 Draintile ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC tity SAC Water Conn. Water Meter Acct. Deposit S/W.Permit 5/W Surcharge Treaiment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: Z S? o o I wtua:;a,: g SAC % SAC Units CC'i^I'•i. NG. rlanninc, D-^siqn Ir,c. 16[1 11i „i..w":;y .i.4'1 I`I. :1, ??l:'Ir}?':1?Jr.J,I 1 = 1'?I•? vJJ'Y?.:i•-, 6,y2-, : _ -?O(•-1y^O w... C",:rxnusaCa State Erergy Code Calculalir,n!-z NaeVc cn Chaeter v ot ;h_ I°ledel Eneri;y Coc1e 1983 Editio;, -- Pdaut2d 1i1r34 r;????L 02L90 rnMrr. riFi: ;.? r,:, ???;+.:-?_..:.: . • , . CcNT:_., ".!!Sl- c:+••a„ Al A[ for- ;3.ingl;=r Hamilyfr)uplex R2, residentia1 . _ stories Over " stories Gt.hc.r GENL=kAl_ iNFOuh,e=iTIO!i Note: "fhe seckien designatiens &5ection H", "Section B" etc.i ar-e for :_or':`.°nience :n calci_lations only, and are not related trom une set of Ca7.i_t:lat.zc"=_::olr_v; tC thB rieY.t. 1- Bldg. Walis Ferirneter x Wall neight=, = Area groi.tnd to ea•se Ssct:t,r. A . __. :0.4 = 223.;3 S_,?c.:i.i.c, n c . 1_t: t';.5.3 = -,. ... .'.:,._?;.:.:., 34'C I].l C711 v : 0 . ._ =',. i ?n• Gross Wall Hrea = =755.62 _. Buildinq o:iinEnsians , Fiaor or Ceiling Length :. 4lidth = Area 8esr_tion F; . i0,8 2 = 21.6 Section t: . 13 <. = 26 Sectiun C : 19.8 ._,<^_ = 633,6 Scctx ori i: . __ zr1 = E82 Tota; floor or cei ling are a = 1363.2 3. Rim Joist Fer-ime±er = I5£3 t=lnor jaist 2 by (8" 14" 12" or 16")): 10 , , F.im Joi si Area = 131.66K3 4. Uoors Area: 43.£1 Th ic{;ness (inr_hes): O Rerimeter (feet): i? lylse of canstructic;n: :;. Tetal rfonr's Perirnrl-er: 0 6. 'vlt ndnws ,-Ea n ut r; c i_ uc.. ,._ r: sl_i9tF? 1}':pI"bV3d: 'rvpe r{ShIT. UtdIT UOUBLE fiUNGS R',ii;•dC: TQF. rype `J" • f'''3 t1 O riC0r7 V. ti{:r:U^t: ?7rP_l Sy 'r{. _ i.:l. E;;pc,sed F'oundation I-tei ght area A: ` 5q Ft a-ea A = F_;:posed Foundation Eleight area B: Sq Ft area Ei = 1-, ?. Grasa wall area rr.:i n ur 4Ji ndaw area Patio door area Atrium area R1R1 j015± aroa Door area Fir=clace area E>;poser.i Faund. * Franing area cquzl_ .u{.f..i? fni'" 1!@t SJ.,.il: ..:=FrTH::.!=::i'ti[EL.iJ 1; fctCtOC-. 0,4; rES Hei;'`-:'_ .. Lenych , . i.•.cnber = Total ._r.ch!-s! i.fr,Ches) os g.inss SGFt uni t s 14 27 4 10.3 :'8 16 4 12.44 17 20 4 S.;J9 24 20 4 :5.37, 23 20 8 31.11 _ 2 9 4 ;7.1i. iia ?.?''_B t:'} 130,67 ;r; 32 _ 12.44 24 '6 4 24 SJ SS 2 7.13 C) G 0 0 p i.) p 0 i 1 r,') r) 7. 6dindaw r,la=_s area SSyFI :i = 263.62 Flaigh± , Length „ fdumber = Tota1 .tE'EL; (feet) unit= SyFt (_) i} 0 tl 6.8 _.s 2 _a.c>a 0 " H2I CI h't. ; Ci ri T 0.67 F'e r i meter ar ea A: ' 154 S0.s. 18 0 Ferimeter ar ea L+: Ci G SyFt U factor U x A 2755.68 263,62 0.47 12=.9 0 C? CZ 38.09 0.47 17.9 131.6e666667 0.035 4.61 43.8 0.14 6.13 0 Cl p 10=.18 0.14 14.45 275.568 0.069 19.01 iB99. 7"`:l.'._'.' -ifi. 29 i Iot.,. - V:_7i'" `7:'"Js° l•Jn:i ar@!:4 216,2+y .. Frc:r,iir.y area i= ]C% of 7rvss wall area 13. Gross s;?a.L[ area i; _ factor- 0_1??:•! -- I.t .. F? per -_ncl? ` Faci-'•r -_ .:1 fc•r A-1 sinyle +amily :: d:.ipAe,; .-' cor A-2 anri ather resid2ntial .23 sor cther- bu;idinns .20 fcr ave; _ sLU-rie, F:::iCCor ._-, 0.11 FIrut+ _ 30:_.. i:z:.t0 r•i_!sr rr : nF = ,,, 2 7,?. _. (Cl.}.CI.I.I.B'GFy.) c7L10Y2i 11. 'iirr]r_9 CE'i i.ifi:.1 di Ed . = i Z;'-i._. , . ? 1,?.'. !:67.i1t1CJ f:-dfi:lfig ar ea .i.. . tJ't' ""t'7'iil"1Q dl'Pc:) = t.'6. ..... 16. Joisr Area t10:: al ceilir.q aireal = 136 -3"Ll :i. Met weiliry area t 6rc3=_s c_c-il. arca -:laist areai = 122E.80 19. 4J ce% i a ng a 0. 021 ;. Plet r_ oi i. area =<.;. r b448 11. U rraming: 0.024 >: .Ioist area = 3.27:69 20- Total of icem 1S >: item ly = 29.03616 21. Gross ceiling area x tactor below = U r. A per cude FacLOr i_ .026 for A-1 sinyle family & duple:: ,033 for A-2 and e±ner resic;enEzal .06 for ather bui:tdirias FElCt:01" _s. 0.026 BTUH = :5.4432 M115T PE . OR = 29,03,.;iS (calci.ilated aLove) r ? 1 CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT 0 PERMIT TYPE: Permit Number: Date Issued: BUILDIN6 029036 10/11f96 SITE ADDRESS: P.I.N.: 10-32991-070-01 4077 FOXMOORE CT LOT: 7 BLOCK: 1 HILLS OF STONEBRIDGE PLAT 2 DESCRIPTION: (GAS LOGjGA5 LINE) ermit Type FIREPLACE OLrk Type A1.7ERATION 2.?? 434 ALT. RESIDENTIAL d? ,. , -?.q•r: g`T , . . . vS R(t ?' ?!y" ? 4` fF?±?'?.`J\..`a«"` ?iTQ„,-°?^H? TwiW%.r REMARKS: FEE SUMMARY: Base Fee $25.00 Surcharge $.50 Total Fee $25.50 CONTRACTOR: - Rpplicant - OWNER: WE'LTER HTG, RAY 18256867 MOE DAVE 4637 CHICAGO 4077 FOXMOORE CT M7iNNEAPOLIS MN 55407 EAGAN MN (612) 825-6867 (612)636-1000 , I kter?sby atkriqwLedg:e ?h?t.i h?A ve reack'?,t?€?, s,aa?p11?ati,an ?nd, stat3e Cfiat; tlae m.. ..k_; information is correc;t anff agree t-0 comply with alI appSiodble State of Mn. "Statutes dnd''Cit-y'?o''?'?agan,_Or?iii?anCesr;,. (??n 1Y1.1? APPLICANTlPERMITEE SIGNATURE ISSUED 6: SIG ATURE ? CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1996 F[REPLACE PERMIT APPLICATION 681-4675 DATE: ID -1I `9G DESCRIPT[ON OF WORK: _ CONSTRUCT NEW FIREPLACE: _ WOOD BURNING OTHER: W,JU `<AS ROOM TO BE INSTALLED IN: ?`-'?U7Y1 dl f-a07V? STREET ADDRESS: 'i D?-7 /" c7x n'l t?7-OT °L e?T- LOT ? BLOCK SUBD./P.I.D. #: A,)-ju APPLICANT: (circle one anly) OWNER CONTRACTOR I hereby acknowledge that I have read ihis application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. PROPERTY OWIYER FIREPLACE INSTALLER GAS LINE INSTALLER _ INSTALL GAS INSERT ONLY IN EXISTING FIREPLACE INSTALL GAS LINE QNLY IN EXISTING FIREPLACE Name: Phone #: 43 6?11920 Signature: _ Street Address: City: Company: _ Signature: _ Street Address: City: Company: ? Name: ? Signature: _ Street Address: License #: State: Zip: 7 Phone #: paS °s&-7 -IF.P."9ft City: State: A\r? Zip: State: Zip: Phone #: CITY OF EAGAN 1992 BUILDING PERM17 APPLICATION 681-4675 SINGLE & MULTI-fAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re uest is made or lot chan e is re uested once ermit is issued. Date Z- /7f ? / Valuation of work D Site Location: STREET /E7 F? Tenant Name: LOT BLOCK ? SUBD. P.I.D. # Descri tion of work: The applicant is: 14-owner Contractor ? Other (Destribe) Name L??l Phone Property LAST FIRST Owner Address STREET STE # City State Zip Company C Phone Contractor Address License # City State ? Zip Company Phone ArchitecU Engtneer Name Registration # Address City State Zip Sewer & water licensed plumber ` f?-- _- -!!e- Processing time for sewer & water permits is two days on e rea has been o(pproved. I hereby acknowledge that I have r d thi a pl'ca n and state that the information is correct and agree to comply with 1 appl 1 S e of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: BUILDING PERMIT TYPE ? 01 Foundation ? 02 Single Family ? 03 Two-family D 04 Multi-fam. T.H. ? 05 Apt. Bldg. WORK TYPE 2 90 New ? 91 Addition ? 92 Alterations OFFICE USE ONLY ? 06 Garage/Accessory ? 07 Fireplace ? 08 Deck ? 09 Basement Finish ? 10 Swim Pool O 93 Remodel ? 94 Repair ? 95 Tenant Finish GENERAL INFORMATION ? 11 Res. Add./Parch ? 12 Cortan./Ind. Mew ? 13 Comm./Ind. Add ? 14 Comm./Ind. Rem ? 15 Public Fac. ? 96 Move ? 97 Demalish ? 99 Undefined ? 16 Agricultural 0 17 Building Move ? 18 Demolition ? 20 Miscellaneous z t 1. * Occupancy R3 M-t Basement sq. ft. MWCC System ? Zoning Pn I lst F1. sq. ft. City Water ? Const. (Actual) Y-N 2nd F1. sq. ft. PRV Required ? (Allowable) v-N Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length 6co? On-site well Census Code 101 Depth 39' On-site sewage SAC Code or APPROVALS Planning Building Assesaments ' Engineering Variance REGIUIRED IN SPECTION S ? Site ? Footing ? framing 0 Insul ation ? Wallboard ? Final ? Draintile ? Fireplace y????ion: $ 0 b L? ? Permit Fee '710.00 Surcharge ?? f,so ynonz ??/90 = 139 66 6 Plan Review oo ? 3R0 57•' y License o D .S, G.^.anbC I$l>>f 15C zQJC)S ? MWCC SAC City SAC loo??o0 142 y'73 Water Conn. b-7s,0- Water Meter 95.0a ;?. Road Unit 38o,oo Treatment Pl. 300,00 ;? ?t ?y?f Park Ded. Trails Ded. Copies 1.00 Others?twaTIaz 30,00 SrSw S/L Total: SAC % SAC Units •I + * * * * * PIONEER tu+ownverom•avneeunccm 2422 Emerpdsr DrNe Mendolallcighle,MN551I0 en ineerin ? rt g* g.. Isizlsst.isia Certificate or sUrvey ror: Cen,tex, _Incorporated_ Nousc paa+ns! 4011 Foxwm?.c Co..?, ,rn?„H. Model Name: 2190A - -- -- e ?., ? .. _ ._ ` ? 2a - \ . / .. ._ ... _. . ?OpO? , F oCO r o? ^ N $ I ?\ N I . i? L t A71.IF ? . = 61n M~ ?p sOln \'Y ?3??e1 ? 6 Y adZ.? `,, \ ( ?t' 4a \ r Ho po ` a p O Q \ \ / g ? ? . ?o ?aA zp i ? .?f? ? .F• v '?j ? . .. ya'? _ '• ? y l+ ?._ .?' d??=S . 7r P?^•l Y ? ?.o `?' ??n: [ - .4 ,? '? o ... ? g9 F, z r; ? = Fc?y ?. !r.,,,- \ ??w49 ?W ? • d a ? ?6 'j6y rS ?° S(5, .' 4 ? .., Q \ 6 ? pp X a \ .i. ? s3 '0 ? Q 6 ?5?, ? y, Q'eio.ij<1. . ? ?' 6p , 0 , .. :n ..\ 9 O Jr c o ? O T?c? i • qno.o Denotes Existing Elevation •?."O Denotes Proposed Elevation PRbPO5E0 HOUSE ELEVATION - Denotes Drafnage & Utillty Eosement Lowesl Floor Elevallon: Rxy.it --- Denotes Drolnage Flow Directlon Top of Block Elevotion: A7t.13 -o- Oenates Monument Garage Slab Elevation: Rh.1t - -a- Oenotes Oftset Hub Bearings shown ore a ssumr.d LOT 7 BLOCK 1HILLS OF STONEBRIDGE _ .__., __ DAKOiA f,[11/NTY, IAINNFSOTA P L A T 2 1 I.-pry ennlr Ifim thl, turv.v. n1nn or rrnn.t we1 Nennrnd bv me o/. omler mr dLect xnn^rvbbn nnd IM1m I ?m AWV nnyl'mnd Lnnd Su.v.yar u,.bnhe 4.n nl iM1e Huu ol M?nnoau. Oni<d thl> > I sf deY N??f0 n?o n n. iy'Z . nnaenF n.siKIniLs. ?-T?r+o.1een 11651 90117.19 ? '?' * * * 2422 Enterprise Drive * PIONEER LANDSURVEYDRS•CIVIIENGINEERS ? Mendota Heights, MN 55120 *eng*eering.• LIINOPIhNNERS•LPNDSCAPEI1RCf11TECT5 I'p?Z) 681'1914 * ?C * Certificate of Survey fvr. C_ eflt_e_X,__._I_nco_rporated__. Novse p,ddvess 4011 Foxmcore Coor? , Enga? MirN. Model Name: 2190A ---- I\ , m s'* ? ,. S S ?0 ?O?AO',,, • 00 0 o 00 ? M ? I /6 ?o oS ph o / / . R7(.IF r.?\? P g'N'r3 r Js S6z¢ ? \( - P o 1XI . ? •?P? ? ? ?' ?~° .33 ? ,?s? - ? __ . _ ._•9 \ ? m'\ ,6,) 38 N M:G ? r RU ?.71 gg $, E R??y ? ?rv?;? \ or?vPway ??-'?+2 1O? ? ? S6A • '?q, ? ?F,?. d'_eio.9> Q00 ? ? ?3.y(e ? ?..,r„ \6y9 O? y.o,rq ` ?AT F i 900.o Denotes Existing Elevation PRbPOSED NOUSE ELfVATiON __-- • ? Denotes Proposed Elevation - - - . n: P64,12 Lowest Floor Elevotio _ - Denotes Drainage dc Utility Easement Denotes Drainage Flow Direction Top of Block Elevation:-g7?423 - -c- Denotes Monument Garoge Slab Elevation: 811,1 ---e- Denotes Offset Hub gearings shown are assumed LOT 7 , BLOCK___1 H_ILLS_OFSTO_NEBRIDGE_ DAKOTp COUNTY, MINNESOTA P L A T 2? ? I hrrn6y certlfy Ihal this survey, plan or report wae prepared by me o, unAer my Airect sunervision nnA Ihat 1 am duly RegialereA tanA Surveyor under the la.ve v/ the Stete ol Minnesota. Dnted thy Z(Sf dayef F-,6vvo v'.? n.D. 1912- f? ?1 Scale: 1 - ln- - . ch_30- leet_ TROPFR i 9. SIKICH LS.?F.G. fJ0- ?<B91 051 90117.19 * * * 111( * PIONEER ? engi* eering.. ** T CI V I l ENGINEERS 2422 Enterprise Orive Mendota Heights, MN 55120 LI1Np5C/1OE /1RCHITECT4 Certificate of Survey for. C2n_t_2X,_ I_f1COt"p0.1'qteCl_ HOOit pddve55 4017 FoxwioorE E°ge'^ JA'"'^. Model Name: _219_0_A_ --- - -i- 3 ? . r a ? o0,,. ? Q, r N 1 . ., \Po? y Po ?P ti 3a . A71.Ih • kl?°Ro / . 3R 0 Jr a ?a . r1P? ? 1 ? pr.? y ? ?rv . oP S SSSA cQ L o?OSR' n ? I ` ltlo o0, OZ5?1 • 900.0 Denotes 900o Denotes - Denotes - Denotes '-o-- Denotes ? i? ? ?? ?r' ?ewq 1 ? (612) 681 -1914 SS - - -? ? ? ? 0,>1 F Mw \ \ > ?" \' • . Y 7,,gG5' . ? ?. " ron w ??,' fi? . EAGAN EN DE;f':J. ;?a?1? ??I?4?7°?. l5 au ?e?o R??..,'' -'?? v-' Existing Elevation Praposed Elevation Drainage & Utility EasemLnt Drainage Flow Direction Monument PRbPOSED_HOUSE ELEVATI.ON Lowest Floor Elevation: Fb4,1z Top of Block Elevation: Garage Slab Etevatfan: 870 ---F,3 Denotes Offset Hub Bearings shown are assumed LOT_7 BLOCK_1__ _HILL_S__aF__STONEBRI_DGE_ DAKOTA COUNTY, FAINNESOTA ? ? P L A T 2 I he,eby cer111y Ihal this survey, plan or repnrt waa prepareA by me or unAer nry dir¢ct xupervlslnn anA that I am duly RegislereA lenA Survtyor unAer Ihe Inwe o/ the Staro of Minnesota, Dated Ihis ZISf dzy o/ FP6 VVO V"j-. A.O. 19.32- . SCQIe. 1190._30fea_t_ ROftFRi P. SpVCH LS. ?FG. N?• ?4891 Use BLUE or BLACK Ink r For Office Use Permit O~ e C Win City of EaRd Permit Fee: 122 L 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 i 7 IM I Staff: I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit M Name: fIVd.U~ Phone: h Resident/ / ~ 7 Owner Address / City / Zip: f 'T Applicant is: Owner Contractor ' Description of work: Type of Work Construction Cost: Q 0 = Multi-Family Building: (Yes / No ) Company: Contact: tLUK Contractor Address: r3 (,n-7 City: Co State: Zip: Phone: t15) " 9,< 2-- License x / 2__ Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public 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 are trade secrets. 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.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. J X Cc,~Jn~ 0 U /f x Applicant's Printed Name Appli ant's Signat re Page 1 of 3 DO NOT WRITE BELOW THIS LINE 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* _ 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 OG~ Occupancy MCES System Plan Review Code Edition IM 7 SAC Units - (25% 100% b~) Zoning A City Water _ Census Code 3Y Stories Booster Pump # of Units J Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick It- Fireplace: -Rough In -Air Test -Final Windows Insulation Retaining Wall: Footings _ Backfill _ Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: /117~ , Building Inspector 9 ~d RESIDENTIAL FEES ly Base Fee ?3 ! o~- Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 Use BLUE or BLACK Ink City I For Office Use I I O Ea V I Permit#: dJ I I I Permit Fee: I 3830 Pilot Knob Road I Eagan MN 55122 I Date Received: Phone: (651) 675-5675 I~ I I Staff: I Fax: (651) 675-5694 2013 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: Tenant: Suite M Resident/Owner Name: all Phone: - 4 e--7 Address /City /Zip: d N Name: License ~l Contractor Address: City: ~.1_ State: Zip: Phone: Z ! ) - / 5 J - zob Contact: Email: ct- ra F e Type of Work -New _Replacement _Repair -Rebuild - Modify Space - Work in R.O.W. Description of work: RESIDENTIAL Water Heater Water Softener Lawn Irrigation RPZ PVB) Permit Type Add 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 $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $200.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org 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. Applicant's Pr' ted Name Applicant's Signatur FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final PERMIT City of Eagan Permit Type:Building Permit Number:EA120862 Date Issued:03/04/2014 Permit Category:ePermit Site Address: 4077 Foxmoore Ct Lot:7 Block: 1 Addition: Hills Of Stonebridge Plat 2 PID:10-32991-01-070 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 . 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 - David M Anderson 4077 Foxmoore Ct Eagan MN 55123 Gladstone's Window & Door Store 2475 Maplewood Drive Suite 110 Maplewood MN 55109-0000 (651) 774-8455 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA122067 Date Issued:04/23/2014 Permit Category:ePermit Site Address: 4077 Foxmoore Ct Lot:7 Block: 1 Addition: Hills Of Stonebridge Plat 2 PID:10-32991-01-070 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 - David M Anderson 4077 Foxmoore Ct Eagan MN 55123 (651) 686-6175 Schmidt Roofing Inc 3509 West Highway 13 Burnsville MN 55337 (952) 888-4889 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA143178 Date Issued:06/06/2017 Permit Category:ePermit Site Address: 4077 Foxmoore Ct Lot:7 Block: 1 Addition: Hills Of Stonebridge Plat 2 PID:10-32991-01-070 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - David M Anderson 4077 Foxmoore Ct Eagan MN 55123 (651) 402-3329 Standard Heating & Air Conditioning 130 Plymouth Ave. N Minneapolis MN 55411 (612) 824-2656 Applicant/Permitee: Signature Issued By: Signature For Office Use• + ; + 1:iii,.. RF C EI V Permit#: /57 2 7 r dv\ d1 EAGANAUG 0 2 2019 Permit Fee' C3(9' 6 C� Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: (6 buildinainspectionsecityofeagan.com 2019 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: Name: p Ctv 1 vPctockt'-S ("VI Phone: '5 1- Li"C Resident) / Owner Address/City/Zip: 4 077 FoX ct t q (3 5 t a 3 Applicant is: Owner Contractor Of Work Description of work: WI C i S k x b q'N y -`mol e-t Type Construction Cost: 3 0� 00 Multi-Family Building: (Yes /No /) Company: Contact: Contractor Address: City: State: Zip: Phone: Email: License#: Lead Certificate#: If the project is exempt 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: NOTE:Plans and suppo documents that you submit are considered to be public information. Portions of the information maybe c/atrstlieai a+s nate el►vt+'PrO spec reasons"that woad penrnit the City to conclude that they are trade secrets. 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 against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.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., LO �` Applicant's Printed Name Applicant's Signature • 4 110 77 , oe-f--. / 5-7 -7 r • DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Fireplace Porch(3-Season) Exterior Alteration(Single Family) )[ Single Family Garage Porch(4-Season) Exterior Alteration(Multi) J` Multi Deck Porch(Screen/Gazebo/Pergola) Miscellaneous 01 of—Plex Lower Level Pool Accessory Building WORK TYPES New Interior Improvement _ Siding Demolish Building* 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 910P OccupancyNA MCES System Plan Review Code Edition a O I (SAC Units (25% 100%4J Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction ` //6, Width REQUIRED INSPECTIONS v Footings(New Building) Meter Size: Footings(Deck) Final 1 C.O. Required Footings(Addition) y Final/No C.O.Required Foundation Foundation Before Backfill HVAC Service Test Gas Line Air Test Hood 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 — IN Shower Pan ,7 ______ Other: Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee /' -i' Surcharge en O., Plan Review MCES SAC (L)66:\A/1 City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Radio Meter Read ) .(..2 ‘9 1 Copies TOTALk/A" j (v 17 V (/(/ Page 2 of 3 r For Office Use •�� i i �� Permit#: / S 7677/ wE AGA N w.. Permit Fee: 40 .0b Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinginspectionsecitvofeagan.com 2019 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: H 011 fO? ✓''1 oc(e Ct. , e Tenant: David "' _ ^� An clSG1\ Suite#: Name: OCtA Resident Owner d 't". Cts d CASO Y Phone: 5 t" b Address/City/Zip: G17 b)t t^'1 bare Cfi', .e 5Cn (1/0 5 512,5 Name: License#: Contractor Address: City: State: Zip: Phone: Contact: Email: Type of WorkNew Replacement Repair Rebuild Modify Space Work in R.O.W. Description of work: ("el odt� Tankless Water Heater Lawn Irrigation( RPZ/ PVB) Standard Water Heater DescriptionI/ Add Plumbing Fixtures( Main/ Lower Level) Water Softener Description: he 'i) S I'13114-1/•�-(.tj Septic System New Abandonment Connection to City Water from Well 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 New fixtures, adding or removing piping (includes State Surcharge) $60.00 Septic System Abandonment $100.00 New Residential (fee collected with Building Permit) $115.00 New Septic System (includes County fee and State Surcharge) $60.00 Connecting to City Water from Well*+$290 for Meter and $190 for Radio Read = $540 *Sewer&Water Permit also required for connection charges. TOTAL FEES$ CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aoDherstateonecall.orq 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. 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 Rc , ,Y- irSCnAppli an ' Printed Name Applicant's Signature Page 1 of 2 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: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 TDD: (651)454-8535 FAX: (651)675-5694 buildinginspections( cityofeagan.com Page 2 of 2 PERMIT City of Eagan Permit Type:Building Permit Number:EA169278 Date Issued:05/20/2021 Permit Category:ePermit Site Address: 4077 Foxmoore Ct Lot:7 Block: 1 Addition: Hills Of Stonebridge Plat 2 PID:10-32991-01-070 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of photos until the project passes a final inspection. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - David M & Kathleen M Anderson 4077 Foxmore Ct Eagan MN 55123 (651) 402-3329 Shelter Construction Llc 7040 Lakeland Ave N Brooklyn Park MN 55428 (612) 849-8082 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA174085 Date Issued:12/22/2021 Permit Category:ePermit Site Address: 4077 Foxmoore Ct Lot:7 Block: 1 Addition: Hills Of Stonebridge Plat 2 PID:10-32991-01-070 Use: Description: Sub Type:Fireplace Work Type:Gas Insert Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - David M & Kathleen M Anderson 4077 Foxmore Ct Eagan MN 55123 Glowing Hearth And Home Llc 100 Eldorado Dr. Jordan MN 55352 (952) 492-9276 Applicant/Permitee: Signature Issued By: Signature