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4082 Foxmoore CtCITY OF EAGAN }• '• 3836 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT-Z 's P E: 454-8100 Receipt # Site Address 4082 !'O?? G7 Lot 6 Block I_ Sec/Sub. 1161129 Parcel No. W IName 17tE BO'T?l.ilND Cp IIiC ; Address 5201 IE AIVER RD 0 C11 lRIDLEY y Phone 571-0304 ,o Name S? ?Q Address ? City Phone ?Q ?W WWName ?a Address a W City Phone I hereby acknowlege that I have read this application and state that the informaUOn is correct and agree to comply with all applicable State of Minnesota Statutes and Cty of Eagan Ordirances. - ? Signawre ot Pertnitee E-. '.'_ -ls ,. , A Building Permit is issued ta-" TU ROMUND CO INC on the express condition that all work shall be done in accordance with all applicable State ol Minnesota 5tatutes and City ot Eaqan Ordinances. OFFICE USE ONLY Occupancy R-3 M-1 FEES Zoning PD 2-A (Actual) Const i6B Bldg. Permit 811.00 (Allowable) y-'A Surcharge 74,50 # 01 S1DlI@5 Length 60# Plan Review 327•00 DePth SAC, City 100.00 S.F.Total - SAC.MCWCC 630.00 S.F. Footprints - On Site Sewage _ Water Conn 660•00 On Site Well Water Meter 9S•00 MWCCSystem JIL Acct osit De ??? City Water _X_ . p PRV Required SI1N Permit 30.? Booster Pump - S/W Surcharge • 50 Treatment PI 276.00 APPROVALS Road Unit 370•00 Planner Council - Park Ded. BIdg.Off. _ Copies Variance - TOTAL 3,624. W , ,, ? - Psrmit No. PermR Holder Date Telaphone # WATEH SEWEA PLUMBING llw v few, /07S? 9 G 9? °o H.vAC. ELEcrRic a?fp.ction oats [nsp. commsr+ts Foolings I ?r/ L FoundaGon ? Framing Rooting V Rou gh Pibg. 164 Rough Htg. 112111 9 Isul. Fireplace Final Htg. -9 Orstat Test Final Plbg. ? Plbg. Inspector - Notify Piumber Const. Meter EngrJPlan Bldg. Final 20 Dedc Ftg. Dedc Fnal weli Pr. Disp. INS CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: I : ? ? , ?l ! 011 fti-i 1 11+0 1'1 A1 PERMIT SUBTYPE: I I , ')t iyc? i iriAi ?tuI t1,1 nrr A! t: ? - - - --- - - - - - - - - - - - - - .? 0 iCoRn PERMIT TYPE: Permit Number: Date Issued: rtt APPLICANT: i4) ?+.i. ? ?I'•J 4+;' 1 ? TYPE OF WORK: 14 F « Pertnft No. Permft Holder Date Telephone i ELECTRIC PLUMBING HVAC Inspectlon Date Insp. Commente FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PlBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL I GYP80ARD I FIREPLACE FIAEPLACE AIR TEST FINAL PLBG I FINAL HTG ORSAT TEST ' BLDG FINAL BSMT R.I. DSMT FlNAL ' DECK F-Tr. ? 3142•?! ? DECK FlNAL 4p'-.: : " . . y . . (g.erti#rrate of (Orrupanry Citp of (tagatt Wprhnmi uf 14d[bing 3mpprtimt This Ceruftcate issued pursumr!' 10 !he requirements of Swiiorr 306 of ihe Uniform Building Code cenifying lhal ut the ume of issuance rhisstruclure was in compliance with rhe various ordinances oJ1he GYty regulatiRg bur7ding onnstruaion or use For the fallowirtg. u.a.mr? SF IJWG/GAR 1142% 0-awM-7 TYV- R3/m? Z.,aow?;. PD/ 2-1? TA, 14M VN 2bID POST IN A CONSPICUWS PLACE PERMIT .? DATE ti--1 d-9': METEF # CHIP # METER SIZE ISSUE DATE XX _ PRV _ Y SITE ACDRES? ?L:ix Fux :rnrw C'nt,rt LOT BLOCK 1 SEC/SUB EIi ? 3 s cyf qt nebri c?ge-Z APPUCANT: +hojA.;,???j Go, ADDRESS: '-?n2 E 12imr_Rimad CITY, STATE ?`!-?tlla-p•, M,n ZIP S5d`,,2j PHONE: ?, / 1-036,, PLUMBER: 'J? P1imbira ADDRESS: 610 Creek Lane CITY, STATE 20i eanRMn - ZI P='-` -152 PHONE: --- ----- b125f4?. PERMIT DATE "? - 12U94 PERMiT # B.P. RECEIPT # C14146 B.P.RECEIPTDATE 6/25/91 PERMIT REQUESTED A SEWER X WATER _ - COMM/IND X NEW Lawn Sprinkler Ahead of DomE Credit WILL NO' Y RESIDENTIAL EXISTING ars are to be Installed Meters on Water Line. ; I AGREE TO COMFJLY WITH CITY OF' ? OWNER: 7110 Ratt]tYld?'1p Tnc-- `-EAGAN ORDINANCES j ADDRESS: n'?-'0i E_ Riv r RcwA ? CITY, STATE j-Yidlev, Mn. Zip 55421 ? PHONE: `'? '• °???? SIGNATURE WHEN METER ISSUED +I PLEASE ALIOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM 1 SEWER PERMITS, CONTACT ENGINEERING DEPT. i ? SEWER & WATEA PERMIT CITY OF EAGAN METER # #4 3830 Pifot Knob Rd. 0/c Eagan, MN 55122-1897 cHiP.# METEA SIZE _ noTF ISSUE DATE _ ADDRESS ''?•` %' ??f'? ?.r ?P Cour BLnCK SEC/SUB r7- 1-1s Cf Stcr.ebri c4e ?_ CANT: `ip Rnt-t l,vnrl C'n T T1C . ESS: ` 201 F._ RioFr Rr?r- STATE -'r_;'.1ey, Mn. ZIP 55421 r. i ;71 _rl'znA BER: -'•'a? lev Pltmtbzng ESS: 6,10 Creek Lane STATE ZIP '5352 E: • =R: ' :te EtOtt1t771d D lnc-- IESS: '- %'01 E. River Raacq STATE ' '-i??'?":'1 M?:• ZIP 5?`21 IE: ? . k<e??i _ ??? ?? ,_?•yCe???'? ;i_ 3-I?/ RK 'r-•?-?'Q°...?` - , . , USEONLY 6/25/91 PERMIT DATE PERMIT # 12084 B.P. RECEIPT# "14146 B.P. RECEIPT DATE 6/25I91 XX - flRV - BOOSTER PUMP PERMIT REQUESTED X SEWER X WATER - TAPS _ COMM/IND x RESIDENTIAL ' NEW _ EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. 4 Credit WILL NOT be 9*en for Deduct Meters. ? J ! I AGREE TO COMpLY WITH CITY OF - fAGAN ORDINANCES SIGNATURE WHEN MET SUED SE ALLOW `t'VVO Wo ING DAYS FOR PROCESSING. CALL 454-5220 FQR INSPECTIONS. FOR STORM iR RERMITS, CONTACT ENGINEE'T? : R?N? DEPT. , .. ... t : ?.. . , ,. . . . - ; . = - RE: _ xx Your Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. s 01foua Sewer & Water Permit for the above property cannot be completed for the following ? reastAns: ??. Your Sewer & Water Permit for the above property has been completed, but the meter cannot , be issued or occupancy allowed until further notice. COMMERCIAL PRqJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) befor? issuance. - •- `- JUtiE 25. 1991 DATE: 4062 ppxHppR& CpUeT. L5, Bl, H1LlS OF STOIiBBB1DGS 2l1D WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. A? CITY OF FAGAN' 3830 PILOT KNOB ROAD ' MINNESOTA 55122 EAGAN , CMTE v MAOU NT S t!'? u L! C. L ?y 3 OOILAH: Thank You . BY ?-"` 1 Ll r ? }''C 14146 Whd--P"- CON _ ?? CITY OF EAGAN NO 19290 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT ' PHONE: 454-8100 Receipt # C? y?? S° iobeusedfor _SF DWG/GAR Est.Value $149,000 Date Ji1N 20 , 1g 91 Site Address 4082 FOXMOORE CT Lot 6 Block 1 Sec/Sub. HILLS OF Parcel No. W IName THE ROTTLiJND CO INC o Address 5201 E RIVER RD City FRIDLEY Phone 571-0304 sF Name SAME g? Address City Phone Ww Name 8? Address aw CiTy Phone I hereby acknowlege ihat I have read this application and state that the iniormation is correct and agree to q mgly with all applicable State of Minnesota SWtutes and / rbnces. J Signature ol Permitee A Builtling Permit is issue THE R TTLUND CO INC on the express condition [hat all work shall be tlone in accortlance with all applica6le Slate of Minnesola Sptatutes and Cit?yA of Eagan OrCinances. 8uilding Ofticial ? 1??r ? I?`LI OFFICE USE ONLY Occupanty R-3 M_7 Zoning PD 2=1 (Adual) Const V-N (Allowable) V_N N ofStories Lengih Deprh S.F. Total S.F. Foolpnnis On Sile Sewaga On Si1B Well MWCC Systam City Waler PRV Required Booster Pump APGROVALS Planner Council Bldg. Off. Variance 60' 34' x -? FEES Bldg. Permit 811.00 Surcharge 74.50 Plan Review 527.00 snc, ciry t nn _ no snc,MCwcc hsn_nn Water Conn 660.00 Water Meter 95.00 ncct. Depasit 30.00 SM/ Permit 30.00 SIW Surcharge • 50 7reatmenl PI 276.00 RoadUnit 370.00 Park Ded. Copies TOTAL 3, 624. 00,/ REQUEST FOR ELECTRICAL INSPECTION ?$ee insvuctions (or complenng mis lorn on back o( yellow cocy ? ni,`) k?q X" Below Work Covered by This Request ° °9. Eaooooioe ;Ka.. ew Atld' Rep- " ' TypeoBuiltling AppliancesWired EquipmentWued Home Range Temporery Service Duplex Water Heater Elactric Heating Apt. Building Dryer Other (Specity) Comm.!Industrial Furnace Farm Air Conditioner Other Isueoiry) Conirector's RemaBS: Compute Inspection Fee Below: # Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to i00 Amps Transformer5 Above 200 _ Amps Above 100 _ Amp s igns S inspecmr§useonry. TOTAI, rigafion Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONN ECTED IF NOT Other Pee COMPLETED WITHIN 18 MONTHS:... I, the Electrical Inspector, hereby R°°gh-'" i? D.I. / certify that the above inspection has been made. F;nai Date ef??! OFFICE USE ONLV This repuesl voitl 18 moncns 1mm J y/ s/ 7/ .2 io/? r 1239 0 0 Repuest @alc• -. Fre No. RougM1-in Inspection Required? G Ready Now ?Klll NoLfy InspBCtor 1-Fes C Na When Reetly? I2ficensed contractor ? owner hereby request inspection of above electrical work at: Job Adaress (Straef. M. or Roule No.1 Giry 1 Px • Section No. townshi Name or No. Range No. n?y ? CouL\ L.l Occupa PR?NTi Phone No. POwer opher Atltlress .? ' Elacmc omractor(COmpany Name) Conbector§ Utense No- ^ . {„)(S!? ? MaiFn AtlOress ICONraclor or Ownar 4?ng I nstallallon) Autn r¢etl SiS^awre ICOdVa nOw k?nq Inslallat n Phone Number MINNESOTA STATE BOAqD OF LLECTflICrtYU THIS INSPECTION REQUEST WILL NOT Griggs-Mitlwey Bltlg. - Room 5410 BE ACCEPTED 8Y THE STATE BOARD . 1821 University Ave.. SL Paul. MN.55106 UNLESS PROPER INSPECTION FEE IS Phone(613) 642-0800 ENCLOSED. p?012 4 3 2), ? a? /15 o' Repues, Da?e `? ? Fire No. Rough?in InspeMion FequiretlP ?es C N. ?eady Now ? Will Notify Inspector When Reatly? ? licensed contractor ] owner hereby request inspection of above electrical work at: Joo Aatlress (Slreet Box or /Ro?ute N?o) ? ? ? Gity Section No T shio Name r ND o. Range No. Counp/? ? W Occupant ? Phone No. Power lier^ /? Atltlress Eiecmca omractouCompany Name) Conhactor's Lirense No. fd LA ,3 Maeing Atloress ICOmracmr or 01 Making Installation) Aofior¢eU Slgnalwe IComracror wn kinq Installa?i ? Phone Number 4b 3- 38! o MINNESOTA STATE BOARD OF ELECTRICITY ? -- THIS MSPECTION REQUEST WILL NOT Grlggs-Mitlway BICg. - Foom 54]] BE nCGEPTED BV THE STPTE BOARD 1821 University Ave.. SL Peul. MN 55104 UNLESS PROPER INSPECTION FEE 1S P1wne (612? 642-0800 . ENGLOSED . REQUEST FOR ELECTRICAL INSPECTION 9/6/9/ ji? See insUUCtions la c %apieling this lorm on Gack of yellow cooy ? ?'X" Below Work Covered by This Request /E?8-00j00? 1-O /B ? / V. j y /VO ?l3 p ? ew Add Fep. Typeofeuiltling AppliancesWired EquipmentWlred Home Range Temporary Service Duplex Water Heater Electric Heating Apt 8uiltling Dryer Other (Specify) Comm /Industrial Fumace Farm Air Conditioner OtnerlsUecily) ConVaclors Remarks'. Compute Inspection Fee Below: # Other Fee # ServiceEnlrance Size I Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps e Amps SiynS Inspeccor's Use Only. ? ? TOTA a ^ Irrigation Booms ` J ? Speciallnspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, ihe Electrical Inspector, hereby Rou9n-m certify that ihe above inspection has been made. F;nai oa+e •„ OFFICE USE ONLY This request voitl 18 momhs Gom Address: 4082 FOHIM)ORI; GAIRT Lot 6 Blk I Sec/Sub HILLS OF STONEBRIDGE ZND These items were/were not complete at the time of the final inspection. 9/20/91 Yes No Final grade (6" from siding) Permanent steps - garage ? Permanent steps - main entry Permanent dxiveway Permanent gas Sod/seeded grass Trail/curh damage Porch Basement finish ? Deck Please verify with the builder the removal of coof test caps from the plumbing system and the shut-off o£ water supply to the outsida lawn faucet before fraeze potential exists. ? s ucrcieoruen Wktite - City copy Yellow - Resident copy Pink - Contractor copy ?i RESIDENTIAL S S 7 0 o BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Reouiremenfs • 3 registared sile surveys showing sq. N. of lot, sq. fl ot hause; and all roofed areas (20%ma)imum lat covarage allowed) • 2 copies ot plan showing beam & window sizes; poured found design, etc.) • 1 set of Energy Calculations • 3 copies o( Tree Preservation Plan i( lot platted after 711/93 • Rim Joist Detail Options seleclion sheet (bldgs wNi 3 or less units) DATE I I r'? ? RemodeVRepair Reauirements • 2 copies of plan . 1 set of Energy Calculalions for heated additions . 7 site survey for axterior addiGOns & decks • Indicate if home served by septic systam for additions VALUATION / SITE ADDRESS 4'9Z 1-C%J1eLZ- CT ? MULTI-FAMILY BLDG _Y ?C N TYPE OF WORK 7?;9k'C'F=F S i FIREPLACE(S) _ 0 Xl _ 2 APPLICANT k? 0 % ('r?GU7 - STREET ADDRESS 5 I ?CITY ??,S/WSTATE M-V ZIP .%iL' ?S TELEPHONE # -y?//n C E L L PHONE # GS1'Z43'=Y?01 FAX # PROPERTYOWNER TELEPHONE# 651-- - 0-117 ----------------------------- ----------------------------------------------------°------------ COMPLETE THIS SECTION POR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNrSOTA RULFS 7670 CATEGORY 1 MINNLSO'1'A RULES 7672 (4 submission Type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Workshee[ Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Plumbing system includcs: Mechanical Contractor: Mechanical system includes: Sewer/Water Contractor: ----------------------°-----------------------°-------------°----------- I hereby acknowledge that I have read this application, state that the with all applicable State of Minnesota Statutes and City of Eagan Orc Signature of Applicant Phone # Phone # OFFICE USE ONLY Waler Softener WaCer Heater _ No. of Baths _ Phone # . Lawn Sprinkler No. of R.I. Baths _ Air Conditioning HeaC Rccovery System Fee: $90.00 iF fr FeeL? `$7U.;OOI ScP 2 c 2002 I?'u ? ----- and agree to comply Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 687-4675 SITE ADDRESS: PERMIT PERMITTYPE: BuxLozNs Permit Number: 028290 Date Issued: 07/22/ 9 6 4082 FOXMOQR£ CT LOT: 6 BLOCK: 1 HILLS OF STONEBRIqGE PI.AT 2 P.I.N.: 10-32991-060--01 DESCRIPTION: Permit Type DECK tAork Type NEW de'%- 434 ALT. RESIDENTIAL m ? ,9 m R611 1 ?mu e?. a-. a?, q?° 7s g?C e e! ?i? ?ga-? `?'x` vPi4s t mt ? s srz 4*?a., 36 aI :.^vk' :Y0.+FY REMARKS: FEE SUMMARY: Base Fee Surcharge Total Fee CONTRACTOR: ( ` I he ' inFa SYa-t ? $45.00 $.59 $45.50 APPLICANT/PERMITEE SIGNATURE OWNER: ' Hppticanr. - NORTON DUANE 4082 ' FOXMOORE CT EflGAN MN (612)454-0717 ?otlB-f 1 S? JT??.I Il1./- crnr oF EACAN c , U 3830 PILOT KMOB RD - 55122 1996 BUILDING PERMIT APWLICATION (RESIDENTIAL) ? f ?• 681-4675 New CensWetinn Reouirements RemodeLateoair Reouirements 711 1 ? ? 3 registered afte aurveys ? 2 wpies of plan ? 2 copiee of plans (Mdude beam 5 window sizea; poured ind. design; Mc.) ? 2 site eurveys (exterior addMons 8 decks) ? 1 energy calculationa ? 1 energy plculations for Malad additions ? 9 copies ot trce preservation plen N bl plsHed a8er 7N/93 roquired: _ Yes _ No DATE: 7-17- 5 G. CONSTRUCTION C05T: *2'ovo DESCRIPTION OF WORK: STREETADDRESS: LOT ? BLOCK D'? SUBD./P.I.D. #: PROPERTY Name: t X6 4TZ)"} ? LJ 0-rj f2- Phone #: OWNER '"°. .'"°. 6 L p? 9 q_•r r?? ' Street Address- x^'`oOL?- `? 'J. - City: 6r4:y-Aj State: ? Zip• g-( 23 CONTRAC70R Company: Phone #: Street Address: License #' Ciry: State: Zip• ARCHITECTI Company: Phone #* ENGINEER Name: Registration #' Str,eet Address: City: State: Zip: Sewer & water licensed plumber: change ere requested once permft is issued. PenaPty applies when address change and lot I hereby acknowledge that t have read this application and state that ihe information is correct an to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. i/ Signaiure of Appliqnt: {v? OFFICE USE ONLY Certificates of Survey Received Tree Preservation Plan Received _ Yes No _ Yes , No JUI 9 96 ??.- BUiLDING PERMIT TYPE 0 01 Foundation o 06 DuRlex 0 02 SF Dwelling ? 07 4-plex• 0 03 SF Addition o OS 8-plex 0 04 SF Porch o 09 12-plex 0 05 SF Misc. 0 10 = plex WORK TYPE a 31 New o 33 Alterations 0 32 Addition o 34 Repair GENERAL INFORMATION Const. (Actuai) ,i N (Allowable) _ / 1 UBC Occupancy R .p Zoning 1 2-1 # of Stories Length Aepth APPROVALS Planning Permit Fee Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit 5NU Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: OFFICE USE ONLY 0 11 Apt./Lodging o ? 12 Multi Repair/Rem. ? 0 13 Garage/Accessory o 0 14 Fireplace ' o 0 15 Deck 16 Basement Finish 17 Swim Pool 20 Public Facitity 21 Miscellaneous 0 36 Move 0 37 Demolition•. ° Basement sq. ft. MC/WS System Main level sq, fi. City Water sq, ft. Fire 5prinklered sq, ft. PRV sq. ft. Booster Pump sq. ft. Census Code. , H34 Footprint sq. ft. SAC Code 6_ Census Bidg ? Census Unit O Building -ki^Engineering Variance Valuation: $ % SAC 5AC Units Pion * engin * *?C ? 2422 cnterprise Drive Mendota Heights, MN 55120 el?NOPl4NNEfiS•LANOSC0.PEARCHIT£CTS (6121 681-1914 Certificate of Survey for. TPI ROT T L U/ V D CO.. I 1V? ? e ' s , ? p!` + \ V ? ? ? 0 S '/ / ly M' ? E? ? ?f ^ 4. t71 ? ? O _ a ? ? f0 " 7. e ? z n` d I 32 e-4-- ? 2.0 I rllp N ` a I . \ ti N eo ? ? . J •-t Q:• ? ?c38 ? ? \ $ I ? NoRTH r` s S2 ? . . , . . . . ?, b ?` V?•?,+\ ? ? 0°? ? h 4 ' M O l •?,e 9j ? ? O ^?1. q h Q? ? . gao.o Denofes exfs4;r7 ? £(evafiort P (-? DPrtotes propv`?ed F/evafiaI Llpnol es Orarna iee L`fi/i? Easemenf --? Denofes Drainc? Y?e Flow ,4rrows 0 Denafes monumeraf Bearin`¢s shown are assUmed lIOPOSED OusE LLEVATIdN Lowesf F%or ElevaTon a bs. 3(. Top oF elock Elevafion 973,4-6, Garo eSlab Elevcrl`ron 673.r3 a Deno?s Ottsef f?u6 Su§ecf to Easemerll?5 o,''RPCOrd LoT Iv, Blocu 9ILCS OF STO/1lEBRIDCE PLAT 2 DAkorA CovNrY . I herebVi ceriify that thie is a vue and corr¢ct representation ct a surv¢y of the 6oundaries of the ahove des ihetl lan?t anA of the location of all 6uildings, [hereon, and all visibie encroachments, IF any, from or on taid land. As surveyed 6y me this ? Aay of(LA,D. 19 ? Scale :1 rnch, ?O, eP ? ?, ? ??. }Y% 14 S ? ?G A . ?^ ? ----- -"---'- - 'Fl19EfiT 9. 51 IC?i .5 REG Np. 1a891 (1 v itto 1991 BIIILDING PERMIT APPLICATIDN CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS . . t COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCUTATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES W[iEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. IAT CHANGE IS REQUESTED ONCE PERMIT SS ISSUED. NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MIIST SHOW A LICENSED PLUMBER. To Be llsed For: ?,? .....; ?y Valuation:tj9SA-2'm`W, Date: (o//j&?ql Site Address !U(257- Eimmr,r„Zrr L.,p r Lot Block 1 Parcel/Sub HjIIs cf, Owner Address t?o/ F. ". City/Zip Code G,-?0.4 chyZl Phone S71-eps04-- Contractor c?'?. Address City/2 Phone Arch./ Addres City/Z Phone # /49, ano-? Dccupancy Zoning Actual Const Allowable # of stories Length Depth S.F. Total Footprint S.F. OFFICE USE ONLY ' m- l 910 2 - ( ,/-N 60' 34' On site sewage_ On site well MWCC System ? City water ? PRV Baoster Pump _ APPROVALS Planner Council Bldg. Off. Variance FSES i 0 0 Bldg. Permit ? Surcharge 7 y•SO Plan Review $Z EZ?O SAC, City fJ0 1110 SAC, MWCC J 650,0 Water Conn. ? (o60,0 Water Meter SiDa Acct. Deposit 30,cz) S/w Permit 30.00 S/W Surcharge , 50 Treatment Pl . X/ ,Oo Road Unit 37D.tw Park Ded. Trail Ded. Copies SUBTOTAL Penalty Lot Change TOTAL Ls-L p&-j- agrees that all work shall be done in accordance with ( ignature of Contractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. v? 46? ? 52s x?S= ?9z? f3..r , . 32 = s7- C`6) .?--- I(ryN I ST FL uur2 1? x S3 e 61 5t3v 2 N ys F(- o 0,,,, 3? ? 32' 11 SZ ???z? ?f = a8 1 I?a X53 = ?ZS?o ?ySo62 dre 11-191doo ?? ,. , * P10 * engl * ?C * 2422 Enterprise Drive Mendota Heights, MN 55120 LAND PLHNNEliS • IANDXAPE ARCHITECTS (612) 681-1914 Certificate of Survey for: _ I n L RO I T L U! VD CO•. I C ? ? A°°'O y 91) rq, V ? ? v ? O \\? 0 eN O? ? ?. 004??? 0g'? : , ? ? , . ? S i ? r i i r9-"m Q.o I a?0 - a d M 0 ep , I.e p?= r Op r ?_ ..... a I ? /o ? ?ve ye c, $ t L?? F-`Y _L.L ? 3g I ? r ti? S93 ? ? ,,?r, s?> ?\oO? NOR7N .? s S2. . ?. . L / tp?10 / 0.ry / / / . goo.o Denoies ex'sf;n £levaf%on f-l .?o.o Derrofes prop n.?ed _F/evaliori benvtes Urara e( Ufr(i? Easemenf ---+Denofes Or4in?J¢e ?low ?Irrows 0 Denofes monumenf Bearrn¢s sftown are assumec? ? SE u5E LLEVATION Lowes Floor E eva ion a bs. rp of Black Elevalron 373.5 Garp e Slab E?levcrtion 873.? o Deno?S Orl?Stf Nub Su?ecl to Easemerrls of `9Pcord LoT /p, 8Locu I,14IILS OF STaNE8a1dCE PLA7' 2 DAKOTA COUNTK I herehy certily that this is a Vue and correct represeneation of a survey of the boundaries o! thp ahove dns ihed land anA of the lacatinn gof ?all buildings, Ihereon, and all visible encroachments, iF any, from or on said land. As surveyed by me thisay o1?L?Q_A.D, 19 ?, P- t / ?r:? ' .: , r] ?} 5'cale. l,?h_ ???e : F."•Fr;-ton f:NVFt.ni•t: nvr,t;nrr: "u" c.urtru•rn•rinr+ N09Mf}NDy . . ouN ER S?TE ADDSESS CONTRACTOR 1??TTL UNT,? G?. DATF. PE{t)NE Dete-min vorkini; square 1'ootar;e of ench. 1. Total exposed vall area .. 2r7 7?• ? sR. ft. x O'1l = rL.b7•2 2. Total roof/ceiling area .. N 71 '5 sq. ft_ x 0,0<'.6 Total exposed 4ai1 arca nbovc flocir = a. Total va11 vindov area . ........................ I's 4, 2 , C. ?. b. Total door area ................................... lo.t't2 c. Total sliding glnss door area ..................... -- d. Total fireplece vail area ......................... 2 G e. Total vall Traming area (average lOp) ............. T, f. Total net wall area above floor ................... /r3 9 7. a/ . 6• Total rim joist area ................ ........... , Total exposed foim dation araa = !? ?•?' - " h. Total foundetion windov area ....................... /5•7 5 ' i. Total net foundation area ubove grade ............. ',(i,;r ? . Detennine "U" va1Le o; each vall :,FFment. a. l84.2 X„U„ p,¢2 _ 77,34 . b. ?+Co, ¢2 x 7.78 • . C. - X „u„ •_ _ -- d. X..u„ e, 7-7 X.11UP, f. 1897;01 X ,V. & 1.57 ? . s• 2?701 . o X?I1,,. o, 04 !17.0 5 n. X„U„ 4?:,^•'> _ 7. Zt ?. X,.U„ s. ......... .................. .. .. . ro L^I = 2! 7.?'i- i j ., r. If item k3 is the same as, or les_ :.tvLn iteia N1, e?+i-n3ve met the intent of sBC 6oo6(c)2. 0 p ? .. , Totnl exposed roof/ceilinr, arez ? . . . .. Total gross roof/ceilinp, area _ J. Tote1 skylieht area .......................... _ 7 k. Total roof/ceiling framing areo............... G G/? 5 S, _ 1. Total net insulated roof/ceiling area ........ Determine "U" vnlue for cnch rooC/cci 1 inc. scFment. X ttUn ?• . x: 1i7, 95' X„U„ ?,oZ7 = 3:1$ . . 1_ /o?/.5S X „U„ GZ = 23.-_3_?? . a. . .. ... . . . . . . . ... .... .. .. .:. Total _ Z G.S?. r?- If total oP NL is the sazne rs, or less than N2, you have met tYte intent of SBC 6oo6(c)1. . . To utilize the total envelope system method, the values establi_hed by the stmm of ite¢s H3 and @4 shall not be greater, thxn the swn of iten:s Rl and M2. l. + 2. ? • 3-, ?+ L. r, 0 _ . . .. O ?3 '-?U -VA??--zur?o??-- - -Z?- Os _-- )I IE-T=Pr if?=-FfGM. I -- -?? ?1--- -_Za --- ? .? - 0, 027 _., _ „ _ _ (D G) ---- -- 44.4 ?LZ?4.-5:& 3 D-022 ?,? 3 -(,, IVAI.U? GA 1GULA-fID W-,--, (GoNT)- -rFftMr-- WPtL{. 0- INhqI.AjIoN LOMPON?* N79 ? :v .u ?. ? ? F-zi aa.rri-ADE AIp f9I,M -5%Z INSU?A?IcN? !y` 6,1P. I!;O, tEf519F'5 PoI7- FIL?M. - R-VALUE fq.o ' o.4s - - -- p;Co'o - ?,= 23.0( = U= R?? O_oa3 -FFAM07 WAu. C L.?TUP _ pl.IMN• virW. C c C Cf - C C GoM PONLNTS o_u'(-!7JOE Aig- R.M. -?Z"SIDIN(?. hN?A'(H ? N b . 77 'XD ;C7 'P.IC7 BL-2. ir?iM Miz RL?M. . - F--VALUV: 2,oLr _ - ----: ----- -0=(0?•=._-.. ?T?(?. ?--I ?• I C? ?'1bfAL M - O =?0,12 X o.0?9> t(o,Sb x o.043? '" ! O - IZ9 ? r4_? O ? ? ? 0 ? 0 0 03 C?, t=At 2OAV } jcy = W4 ?"_?t? ?IM aa?ti . /b-Ht?A-(F-? I K( f. ?DINU.--- ?Y_r?t?.- --?vAa.u; -- ---l9 ? o . Z.GC/ .. a --o ?-?---- - j ---s.-o- to -- ___ .?.?---- 1, I CITY OF EAGAN 3830 PILOT ICNOB ROAD EAGAN MN 55122 PHONE: (612) 454-8100 P?BT?6.._?'?X?IT FEES PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNNOMES/CONDOS WtiEN PERMITS ARE REQUIRED FOR EACH UNIT. -----------------°----- -------------------------------------------------------- WORK DESCRIPTION COMPLETE THE FOLLOWING: NEW CONST _ ADQ ON _ REPAIR _ OWNER NAME: J24l6p'6; NC'fC"i,V/J SITE ADDRESS: lf?7K ? ?f f-7f 11 Irl -, LQT: CP BLOCK I SUBD&AAg" '-fl ?- INSTALLER: /Al//?y-l ?d ADDRESS:/e-?O/ fmRJ)e ?VLe. CITY(??" 6r! R"j ZIP: 18 OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. ------------- CONTRACT PRICE: OWNER NAME: SITE ADDRESS: LOT: SLACK _ SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE FOR: CITY OF EAGAN $25.00 MINIMUM FEE. CONTRACT PRICE x 1% $ STATE SURCHARGE $ TOTAL: FOR CITY USE ONLY PERMIT # RECEIPT DATE: / N0. FISTURES EA. TOTAL ADD-ON MINIMUM 15.00 SHOWER 3.00 WATER CLOSET 3.00 BATH TUB 3.00 LAVATORY 3.00 _ KITCHEN SINK 3.00 _ LAUNDRY TRAY 3.00 _ HOT TUB/SPA 3.00 WATER HEATER 3.00 _ FIAOR DRAIN 3.00 GAS PIPING OUT. _ (MINIMUM - 1) 3.00 ROUGH OPENINGS 1.50 OTHER WATER SOFTENER 5.00 5•°" _ PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 SUBTOTAL -0 ST. SURCHARGE .50 TOTAL: S ?' 76 $ ( S I GNATIJRE ) eTTY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 FOR CZTY IISE ONLY PERMIT # RECEIPT # ? DATE: 0 9 R??TAE?;?;# PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION NEW CONST X ADD ON _ REPAIR _ OWNER NAME : -3, okA I+3.J G SITE ADDRESS: yo$ a Ilux r,?? ?? C?,.. i IAT:_& BLOCK -_,L SUBD./ ' INSTALLER: ADDRESS: Cfl l0 C v?. \C L? CITY: 1vrca a_ ZIP: S5_)S) PHONE #: 7 l d - S TTEE COMPLETE THE FOLLOWING: N0. FIXT[IRES EA. TOTAL ADD-ON MINIMUM 15.00 ? SHOWER 3.00 3 _ WATER CLOSET 3.00 g_ 3 BATH TUB 3.00 t` ? LAVATORY 3.00 %A ? KITCHEN SINK 3.00 3 I LAUNDRY TRAY 3.00 3 ? HOT TUB/SPA 3.00 ? WATER HEATER 3.00 '3 ! FLOOR DRAIN 3.00 3 ? GAS ?IPING OIIT_. ? (MINIMUM - 1) 3.00 ? ROUGH OPENINGS 1.50 OTHER WATER SOFTENER 5.00 PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 SUBTOTAL $ LI 1 ST. SURCHARGE .50 TOTAL: $ sU • wd ?D?;l4?RG?aq,Iv,?INDIIST&IA2;:? PLEA5E COMPLETE THIS PORTION FOR ALL COMAIERCIAL/INDUSTAIAL SUILDINGS AND MULTI-FAMILY BUILDINGS WNEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. ------------- CONTRACT PRICE: OWNER NAME: SITE ADDRESS: LOT: BLOCK _ SUBD. INSTALLER: ADDRESS: CI1R: ZIP: PHONE #: FOR: CITY OF EAGAN FEES 18 OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 18 STATE SURCHARGE TOTAL: (SIGNATURE) $ t9`?'tG I 15o+mw- ?,1 CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454 8100 FOR CITY USE ONLY PERMIT # RECEIPT # O ? / DATE: 5 --------------- ---- ------'--------------------------------------------• WDRK DESCRIPTION NEW CONST X ADD ON _ REPAIR _ OWNER NAME: SITE ADDRESS: LOT: LG BLOCK / SUBD./ INSTALLER: nDDRESS : 9303 Pivmouth Ave. No. 6oldea Valiey, MN. 55427 CITY: ZIP: PHONE ADD-ON MINIMUM HVAC 0-100 M BTU ADDITIONAL 50 M BTU GAS OUTLETS - MINIMUM OF 1 PER PERMIT SUBTOTAL: STATE SURCHARGE: TOTAL: DWELLINGS & $15.00 24.00 6.00 3.00 $()v .50 SIGNATtIRE OF PERMITTEE uAMMERCTAT./rNDIIST?ZALP PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS pRF NOT REQUIRED FOR EACH DWELLING UNIT. CONTRAGT PRICE: FEES OWNER NAME: SITE ADDRESS iAT: BIACK SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: $ (SIGNATURE) FOR: PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. FEES n? . 18 OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR EACH $1,000 OF PERMIT FEE. PROCESSED PIPING = $25.00 $25.00 MINIMUM FEE. CONTRACT PRICE x 18 $ STATE SURCHARGE TOTAL: CITY OF EAGAN 5?l 7 6 9 9 HILLS OF STONEBRIDGE PLAT 2 PRESSURE REDUCING VALVE AGREEMENT This agreement, made and entered into the / -day of ?-1989, by and between the CITY OF 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 AILLS 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 hiqh 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? ? 5v S`PONEBRIDGE PLAT 2` The Owner shall provide and execute any and all documents necessary to implement the recording of this aqreement. 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 aqreement is for any reason held to be invalid, such decision shall not affect the validity of the remaining portion of this Contract. 4. Bindina 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 bindinq upon the heirs, successors, administrators and assigns of the Owners and Developers referenced in this Contract. IN WITNESS WHEREOF, 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?'?? ImL'- Attestq4E. J. VanOverbeke Its: lerk (SEAL) By: Its: STATE OF MINI3ESOTA ) ) ss. COiJNTY OF` ,/? LOT ) On this /7?pdday of ?C TD?2?7? 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 the free act and deed of said muricinal;*y_ .!'•? • AIAAIlYN L WUCNECPFENNIG !".,? NO'dHY PU^LIG - 1AIy1:e50TA ? DAY,pTA COUNTY My f.cnu:ncr:an Er.p fzD B. 1293 rosaNaket::: -r?rt?xrr? be STATE OF MINNESOTA ) ) ss. COUNTY OF t..& 1A ) on this /(O'"'day of Wtk3&/' , 1989, before me a N2 ary P li with'n an for said County, personally appeared r.??az., ?. an. -enel- to me person lly k?own, who being ? by me 1 worn ?-did say that ' - ° ` the? I??j?! -and of the Corporation named in the foregoing '''' instrument. _- "-? =`__ ___= a__,?._d __ s_ i ,._,..,,,,,,,. ---- ° "" a' "f - ' d ----- - --, andthat saidinstrument was signed-aed--s? on behalf of said o_r tion?y authority of its Board of Directors and said VI(?" I?.tAi I '&nd acknowledged said instrument to be the free act and deed of the corpQration. oEWIsfl oron Ecw?'".C.K ? ,?c?o.,,,?..?„, ew?,.. fs0 5 ?wo EXHIBIT "A" \ ??s HILLS OF STONEBRIDGE PLAT 2 \ • \ ? ;? Avrx • ?'tit{}' i ' " '-rI+'+4E?.?? ` ? r gILS : ? • _' 1 ? ?1 . r r ?ir ? ? ' •"' e -1s? `pS. .? 4 ?',` ' /j .. ,,: .. N a M•+4?? ?f?? ?? ?•i '-':i::.. - K I, ? ? ` ° ? .? •?, ? - `?ri ^i•e . • ''. ?l"t' ? ? n - ar` ?' 3. Y !s? 1. " :;r:•;.? ?? ? ? . I ? ?. ;'. :i :• . ? +.,, ?`??•,r / ? ? ? ? ?? ; ? ? •"?. ,'L''',.r ? ? '?"'"r?,..1` ??? / " ? w ? ourvr ? 'tyL?• ,? {: • ., ? T`?iOL?..+?`? j,? ?f ? ? r' 1 J 2 Y ? CJTy ,r P ` ??=? y• ???_? i s'y, .-?.. s j / .....?"'"`.v.?...... M ,/ n a? M i?. ti 4? n . ?r « r . ?? A'YlVKC Z ?T:7NEBN'DGE _ ?? n ICLSMN?f: 2' ? _ ' . _... . .. _ _ ?,;.rr++.??ru??Jrsac:s.-r. ? '? _ i 1 . 5,6T 2 x r 51iI15 LOTS ON WHICH HOMES REQUIRE PRESSURE REDUCING VALVES (First Floor Elev. Below 875.0) *, APPROVED A5 TO FORM: e Cy D-L",?- Atto ney' ce ate• APPROVED AS TO CONTENT: , Public WoYks Department Date : r THIS INSTRUMENT WAS DRAFTED BY: ?'SEVERSON, WILCOR & SHELDON, P.A. N 7300 West 147th Street 4' P.O. Box 24329 Apple Valley, MN 55124 (612) 432-3136 MGD) qlh ?. 921769 OFFiCE OF THE COUNTY RECORDER-DAKOTA COUNTY, MN. CERTIFIED THAT TNE WITHIN INSTRUMENT WAS FILED FOR RECORD IN THIS OFFICE ON AND AT i 1al 18 s °skl la 921769 oX. No JAMES NOUNTY?R?E?Cy(?,RDEfl DEPUTY FEE?- HECK)( CHARGE ? CASH ? CHARGE WHOM _---- AEFUND DO NOT REMOVE Q:C L `OX '1. ?...1 " C LiUN PERMIT City of Eagan Permit Type:Building Permit Number:EA169741 Date Issued:06/08/2021 Permit Category:ePermit Site Address: 4082 Foxmoore Ct Lot:6 Block: 1 Addition: Hills Of Stonebridge Plat 2 PID:10-32991-01-060 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 - Duane E Norton 4082 Foxmoore Ct Saint Paul MN 55123--392 (612) 600-3805 2code Exteriors Llc 8206 Jergen Ave S Cottage Grove MN 55016 (651) 261-5009 Applicant/Permitee: Signature Issued By: Signature