4093 Foxmoore Ct?. . INSPECTION REC4RD I C°"tr°' "°. 1196
CITif OF rAGAN PERMIT TYPE: it 4)[1 lti ?H
? 3830 Pilot Knob Road Permit Number: 00 V?y 3
Eagan, Minnesota 55123 Date Issued: (612) 681-467'5
SITE ADDRESS: APPLICANT:
F0XMUORf CT NIL k_ER HOMES .I!!8EPN
HI:1.1_.-, UF `;1'ONEHRI[}QF 2ND (612) 454-4663 .
PERMIT S??JPTYPE:
TYPE OF WORK:
NE W
1 tir) t!W, .A .
f 1?11?1 i .A
I W,111 A I t nN FYNAL
r tt?? !•i ?1+ I
Rf NAIrt •, t :; .s, !J C.nNTRAc TOp -- of.MZ--ltYAM F'1k31i
Pamflt No. PennR Holder Date TeNphoM #
SIW
PlUM81NG .7 - /I/c
HVAC
ELECTRIC D
ELECTRIC
InspecUon 08rbe Insp. Commerrts
Foocings i
wt,v a? f-9Z
Four4ation
F?aming
Roonng
Rough Pibg.
Rough Htp. ??s,9
is,i.
Fimplare
Final Fttg.
OrsBt Test
Fnat Pibg. Plbg, Inspector - NdAy Plumber
Const Meter
EngrJPlan
Bldg.FuiW 1143
s
DeCk Ftg.
Deck Final
Well
Pr. Disp.
/zy
, v
?-- -- - -
k CITY OF EAGAN PERMtT TYPE: 11 i Wl
3830 Pilot Knab Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
f (612) 681-4675
SITEADDRESS: ? , ? ? ?? ;.•?;?? ? - i 1.0 ,> 1
I PERMIT SUBTYPE:
I
? APPLICANT:
( e, { ,• ) ? . ?t { -N i f.,•
TYPE OF WORK:
(Jl `?? i? i f' f 1(aM 4 l b.l!t >
1; „, I i IPj i , . I I S• t?dm
Permtt No. Permlt Hoider Date Telephone #
ELECTRIC
PLUMBfiVG
HVAC
InspecUon Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP 60ARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDO FINAL
85MT R.I.
BSMT FINAt
DECK FTG
DECK FINAL
GK?
INSPECTION RECORD CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS:
, i• i ?• i , ; ? 1' ? ?? i? i i I i
PERMIT SUBTYPE:
liti APPLICANT:
i i t? t r?? ? ?
TYPE OF WORK:
+ifl."F Rtt ?
INSPECTION DA • DA
I i;! 01 :11 I !3 ,: I:. . . t+.? ?? i ?•: I i• I t! 1 i?l; AN'f 1 i I 1 1(? 1 t A1 id?ti'?I
F
L-
¦
Permk No. PKmit Nolder Date Tsiephone i
EIECTRIC
PLUMBING
HVAC
Uspectlon Date Insp. Commsnts
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
QAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
JI
DECK FTG
DECK FINAL
INSPECTIQN RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS:
( PERMIT SUBTYPE:
APPLICANT:
fi ? ()1 k. i ,
l?+ 1.` I t, ?: 1 47 I ?> .
TYPE OF WORK:
Kl, tI if i yc
N?/:'i1A
04 /0 : f9r,
lflf I
At 11 fsl1l I1)N
INSPECTION „ ON TYPE D.
a'
f OF.MAIt?.'.',: A'J I'l1VA1# {•! f;Ml i 1
?
ki
??f t)il1{:1 11 11.+I+ ANY I- 111h1Y1Nl'i (?I, 11 t'1 lkif,Al 140Rk
Parmit No. Permit Holder Date Telephone N
ELECTRIC
PLUMBING ?
HVAC
Inapectlon Date Insp. Comments
FOOTINGS
FOUND
FRAMING y/1U/;v ?jyy
ROOFING
ROUGH
PLUMBING `4?
? ?T ? d C?ia,.?°G `
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST _
INSUL
GYP 80ARD
FIREPIACE
FIREPLACE
AIR TEST
FINAL PL9G
FINAL HTG
ORSAT
TE5T
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FlNAL
d=-:?.? t
Cfertificate nf Cccupancv
Wir? nt Cfa??
toarbaent of 13uiYii»g axocctim
This Certifrcate issued pursuant to the requirements of tiee Uniform Building Code
certifying that at the tirne of issuanee this structure was in compliance wiih the variortc
ordinances of the City regulating building construction or use. For the,faUowing:
use cimihcauoo: S F D W G eMg. eeum, No. I 5Q3
oauw-rTYPx R3 I zo,iing n;smct PDf R ' ryve Co,st. VN
Ownu of Bullding JOB MEUER aaamu 18 133 iEC1Ait AVE S, EA%QIUIC,N
Buildfng Address 4Oq FUIUM r-7 [.ocalltyL", B I , MUS OF MUWMUIM 2M
Dau: ?? ? IM
-? Bwwing official '
POST IN A CONSPICUOUS PLACE
Addrass:4093 F=DORE CT Lot I I Blk I Sec/Sub Hp,I,S OF SIqNEBRIDCE 2ND
These items were/were not complete at the time of the f1na1 inspection.
Date: I/11/93 Yes No
Final grade (6" from siding)
Permanent steps - garaga
Permanent steps - main antry ?
Permanent driveway ?
Permanent gas
Sod/seeded gcass
Trail/curb damage ?
Porch
Basement finish
Deck
Pleasa varify with the builder the removal oP roof test caps from tha plumbing
system and the shut-off of watnr supply to the outaide lawn faucet before
freeze potantial exiats. ?
.
Whita - City copy Yellow - Reaident copy Yink - Cantractor copy
I III?I? II?II REQUEST FOR ELECTRICAL INSPECTION
Minnesota State Board of Elechiciry ?
II I Paul, MN 55104 ?
1821 University Ave., Rm. 28 St.
* 0II7 '3 2 r 9* Phone U,6a2-0800 ,'?(p
Home Duplex Apt. Bldg. r:
? New Addn
Commercial Induslrial Farm ' Remod Re air
9 Air Cond. Htg. Equip. Wa}er HN. Load Mgmf. Other:
1 D er Ran e Elec. Heat Tem $ervice
"k' o6ove ihe work covered by this requesf. Enter remarks in this spoce and on the 6ack of ihe white copy only.
Calculafe Inspecfion Fee - This Inspec6on Request will not be accepted withouf fhe mrted fee:
Olher Fee # Service Enhnnce 5'rze Fee # Ciraiils/Feeders Fee
Mobile Home Park Stoll 0 ta 200 Amps 0 fo 100 Amps
Strexf Ug./TmHic $ig. Above 200 Amps Above 100 Amps
Transformer/Generator MSPECTOR'SUSEONIY
Sign/OWline Lfg. Xfmr.
Alarm/Remote Confrol
$wimming Pool I hereb cern ed the elecMml immll ' 'bad herein on Me doks slored
Imigafion Boom Rough-ln r Daro
$peciol Inspection ??
Invesfigative Fee Fi(wl D
THIS INSTALLATION MAY BE ORDERED DIS NECTED IF NOT COMPLETED WITHIN 8 ON HS.
273-n!? 7 ?
? OFFI E U E ONLY This requat void 18 manlliz Imm mlidafion duh pnmN i ST n lhis box
:%
PLEASE PRINT OR TYPE
Re9uest [?)e
IJ? Rwgh-in inspedion required2 Yes ? Na
I Im ion Other Thon Roogh-In: 0 Read,Na?ill Coll
d
D
R
(Yau must mll the Inspedar en ready) y:
ate
ea
I, ? licensed conhoctoroKowner here6y request inspedion of the a6ove eledricol work af:
Job Bor, ar Na.)
0?ke ?
?
V Ciry Zip Code
o??oov
e
•
Sernon No. Townahtp Name or No. kange No. Fire No.
I
Counry
O ? Phme No.
7oe ersao
Power Supplier Mdrees
EIMri I C nVacro
r
(
Co
mpany Name) ConHanor Ucenu No. Mvsrcr bc No. (Plam Hed. Only)
.,
?
^
Q
Q.?.
? / „`oWh U'
Mai vg Addre o?hacror or Owner P<darming Insrollafon)
ov
/wthanied 1 wre (C nM1rodo r Ow r Perlo ng Inakllafion? Phone No.
ltp/-o7lekk
EB-OJOOIA 6/95 STATEBOARDCOPY-SEEINSTPUMIONSONBACKOPYELLOWCOPY
II 1 REQUEST FOR ELECTRICAL INSPECTION
I III III I II??II II? gi2ne ? 8 SIWht,eABoarRm EI 28cSt. Paul, MN 55104 (00)
11
s 0 2 P47 4 7 ?5 * Pnon?> sa2-oeoo???yG 4
Home Duplex Apt. Bldg. Other: New Addn
Commercial Indushial Farm Remod Re oir
Air Cond. Htg. Equip. Woter Htr. J v?j load Mgmt. Other:
D er Ran e -/ Elec. Heat Tem . Service
"X" above the wark cwered by this request. Enier remarks in this space ond on the back of the whife <opy only.
Col<ulote Inspection Fee - ihis Inspeclion Request will not be accepfed withoN the correct fee:
Olher Fee :F Service EMrorae Sae Fee # Circvits/Feeders Fee
Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps
Sireet Lig./lmffic Sig. Above 200 Amps bv 100 Amps
TransformedGenemtor O
INSPECTOq'SUSEONLV TOTAL
Sign/Outline Lig. Ximr. v
?
r
Alartn/Remote Confrol
$Wlmmin9 Pool I hereb cenN thot I iv ecled Ihe elennml installotion desnbed hereln on Ihe daks rakd
Irrigafion Boom Raugh-In ?ab
Special Inspection
Invesfigofive Fee
Fin.1 4?
??
THIS INSTALLATION MAY BE ORDERED DISCONNECTED NOT COMPLETED WITHIN 18 MONTH .-
247- 4 7 651 OFFIC 'SE 3NLV This reqoest wid 18 months fmm validalion dak pnnied in ihis 6oa
??G
PLEASE PRINT Ofl TYPE
Request Oore
?
Rough-in inspection re quired
Yes ? No Inspedlon Othar Than Rovgh-In?. 0 Reody Now ill Call
O?^
1 b ?Yoo mast mll ihe inspedor when ready) Dote Ready:
I, tAlicensed confraclor ? owner hareby request inspedion of ihe above electrical work al:
1 PAdmns (Sirtet, Brn, or Rooh No.)
Cih
Zip C_oCde
Sactian No. Tawnship Name or No. Ralge Nn Fire No. Coo
O panl Phone ?N^o.
P wer5upplier Pdd ?. ? `
. 'Y. \W? IVVi
leT ml Convacto, (Gompany ame)
,
. , ContmMr limnse No. L
•! Maeter lic No, iYlonl Elen. On u
t
? ,'
l ?
,
Mailin dnss (CIonamcror or Owner Ped rming Imbliat?o ^
,+ 1 1 C ,• ??
" ? L'l?l
\
A?1hon n (Coinratlo a er Performirg?luti ) P ????y ?"
'
? - - VW
ilOOOOIA-106/95/ '- STdIEBOARD COPTSEEIN3TNUCTIONSONBAtKOFYELLOWCOPY
CITY OF EAGAN
, 3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-32991-110-01
PERMIT
PERMIT TYPE:
Permit Numher:
Date Issued:
4993 FOXMOORE C7
LOTe 11 BLOCK: 1
HILL5 pF STONEBRIDGE 2ND
rU20,510eo
BUILDIN6
027200
04(03/96
DESCRIPTION:
ermit Type BA3EMENT FINISH
qj?k Type AL7ERA7IQN
434 ALT. RESIDEPJTIAL
"„M ,s nnf
4i¢ ?.e `a?-1 ?'??„*?t
;v I;x
REMARKS:
A SEPARATE PERMYT S5 REQUIR£0 FqR ANY PLUM6ING OR ELEC7RICAL WORK
FEE SUMMARY:
Base Fee $50.00
Swrcharge $.50
Total Fee $50.50
CONTRACTOR:
OWNER: - Applicant -
ANDERSON JOEL
4093 FOXMOQRE CT
EAGAN MN 55123
(612)681^0762
Nt
--ISSUED BY: SI'N RE
3830 PILOT KNOB RD - 55122
0?996 BUILDING PEaMIT APPLICATION (RESIDENTIAL)
681-4675
New Conslruclion Requirements
RemodeUReoaif Reaairements
450--6 0
wa-O..S-?'I
? 3 registered site surveys ? 2 copies of plan
? 2 coDies of plans (include beam 8 window sizes; poured tnd. design; etc.) ? 2 site surveys (exterior additions & decks)
? 1 energy calCUiations ? i energy calculatians for heated additions
? 3 copies of tree preservaNon plan iF bt platted after 711/93
required: _ Yes _ No
?a9?9?p CONSTRUCTION COST: ?A??°oo
DATE:
ncc?nro?nr??u? nr ?ni?c?v. 1'/?7%5?1 (??-SP142Pn ?
STREET ADDRESS:
LOT BLOCK Y073 -A"MD°rP O-r -7'
SUBD.IP.I.D. #:
PROPER7Y Name: ?nqer.wn T?e? Phone #: ?g?"b76a
OWNER
Street Address, ""°j? ,t
City: 2%94 State : /W Zip:
CONTRACTOR Company: ?f 6e ? ft-ncc.erseri c ow+?t?? Phone #:
Street Address: License #:
City: State: Zip:
ARCHITECT! Company: Nk Phone #:
ENGINEER
Name: Registration
Street Address•
City: State: Zip:
Sewer & water licensed plumber:
change are requested once pertnit is issued.
Penafty applies when address change and lot
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with 2II
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: ? " ?
OFFICE USE QNLY
Certiflcates of 5urvey Received
_ Yes _ No
??? ? ? ?goo
Tree Presenration Plan Received Yes No
BUILDING PERMIT TYPE
urrwc vac VIYL I
' ;.
? 01 Foundation o 06 Duplex ? 11 Apt./Lodging -,6---16 Basement Finish
? 02 SF Dwelling ? 07 4-plex o 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
0 04 5F Porch ? 09 12-plex o 14 Fireplace ? 21 Miscellaneous
? 05 5F Misc. ? 10 _-plex ? 15 Deck
WORK TYPE
? 31 New ,E3?--33 Aiterations o 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMAT ION
Const. (Actual) Basement sq. ft. MC/WS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. ?
Depth Footprint sq. ft. SAC Code o ?
Census Bldg /
Census Unit °
APPROVALS
Planning Building Engineering Variance
Permit Fee
Surcharge
Pian Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
% SAC
SAC Units
CfTY USE ONLY
L 1L BL ? RECEIPT #: %56?90?
SUBD. " DATE:
1996 PLUMBIN(a F'tKMI 1(Ktl1Ut1Y I IALJ
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES EACH ?Q TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 :c =
Laundry Tray 3.00 :c =
Hot Tub/Spa 3.00 ;c =
Water Heater 3.00 :c =
Floor Drain 3.00 x =
Gas Pip'ing Outlet' minimum -1 3.00 :t =
Rough Openings 1.50 :< _
Water Softener 5.00 x =
Private Disposal' Dekota Gty. license 65.00 =
(new and refurbished systems)
U.G. Sprinkler " home under const. 3.00 =
Alterations " to existing 20.00 = aoD?
Water Tum Around 20.00
STATE SURCHARGE
TOTAL
.50
ao- s o
SITE ADDRESS: ??g Ire-'rInaore 6or-t
01NNER NAME: J?el s• Atderf'ori
INSTALLER NAME' J"e I A"his0v\ ?6wh?r?
STREET ADDRESS: `fQ93 74-61/lffoore ?aer?
CITY: STATE: /W ZtP: 3
PHONE #: (G/a- ) G8/-e 7CPa / /?Q
?J . C?-?""
?
-? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
C'KW4
09 ?G
025570
05J11J95
SITE ADDRESS:
P.T.N.: 10-32991-110-01
4093 POXMOORE CT
IQT: 11 BLOCK: 1
HILLS OF 5TpNEBRIOGE 2N0
DESCRIPTION:
" (GAZEBO)
Bildfng'?,p3ermit Type SF (MISC. )
ftuild'ireg War
yJs?TYPe NEW
tr
?s
?FX6 r?"S
?r -
^?yi.& -s sm . ?..n u ?,'*}; ;?? a r U `$@ "? g'??a a ;.s.
`'Rt..a £ 11 i? s?'18N i?? Yv3 fi_ ?'•"' h" ?'' k?.2 a s I?
d:q: nc.a
REMARKS:
A SEPARATE PERMTT TS REQUIRED POR flNY ELECTRICAL WORK
FEE SUMMARY:
VALUATION
Base Fee $54.00
Surcharge $1_50
Total Fee $55.50
$3.000
it14#995 CiTY OF EAGAN ?&, ?0
3830 PILOT KNOB RD - 55122
BUILDING PERMIT APPLICATION (RESIDENTIAL)
6811L675
Naui C,ana uciien Reu uirwmen}s
? 3 registered site surveys ? 2 copies of plan
? 2 copias ot plana (inGude beam 8 window sizea; poured fid. design; ete) ? 2 site suneys (exteriar eddiUom & dedcs)
? t energy calculatiorre ? 1 energy calculetlons fa heated addiUons
? 3 coPies of tree proservation plen if bt Platted at[er 7/1/93
iequired: _ Yes _ Na
DATE: 5I5I q s CONSTRUCTION COST: ? 5000
' w?+h 54eps -}o ro?n?.
DESCRIPTION OF WORK: qaz,--bv
?
STREET ADDRESS: ?09-3 ?ir+?roo?e Courf
L07 BLOCK SUBD./P.I.D. #: ,-4
PROPERTY Name: I?'?dCf5CV1 T?? Phone #: 01-27(va
OWNER
StreetAddress- q-093 -oxMaofe. eaurf
City: ? n State: M N_ zip: 551a3
CoNrw?C7oR Company: Phone
Street Address: License #City: State: Zip•
ARCHITECT/ Company: Krech, 0'Brte?n, Injass phone#• ?'S1`?'?6S
ENGINEER ?
Name: Uarne5 ?. Krec.h Registration #• 13LZ07
Street Address• (.0a00 ve-n ve,
c;ry; lnvec 5tate: MN Z;p. 550-75
Sewer & water licensed plumber
change are requested once pertnit is issued.
Penalty applies when address change and lot
I hereby acknowledge that 1 have read this application and state that the infortnation is correct and agree to comply with all
applipble State of Minnesota Statutes and City of Eagan Ordinances. ??.?. J«rw
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received
?`-`-:T --r;:` •'•?. =? ,
?
_ Yes _ No ? tk &Y 0 5 1995
Tree Preservation Pian Received _ Yes _ No , _ ??: ? •? _- - _y
OFFICE U5E ONLY
BUILDING PERMIT TYPE
?.1.
? 01 Foundation ? 06 Duplex o 11 Apt./Ladging o 18 Basement Finish
? 02 SF Dwelling ? 07 4plex o 12 Muiti RepaidRem. 0 17 Swim Pool
0 03 SF Addition ? 08 8-plex o 13 Garage/Accessory ? 20 Public Facility
0 04 SF Porch o 09 12-plex ? 14 Fireplace o 21 Miscellaneous
l,g'-05 SF Misc. 0 10 -plex ?15 Deck
?j.??-El3o _
WORK TYPE
?u•.rr y
em?- 31 New ? 33 Alterations ? 36 Move
n 32 Addition ? 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Pianning
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S!W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
Basement sq. ft.
Main level sq. ft
sq. fk
sq. ft.
sq. R
sq. ft.
Footprint sq. ft.
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code. q3 y
SAC Code 0/
Census Bldg ?
Census Unit
Building Engineering Variance
Valuation: $
?
? 900
% SAC
SAC Units
.. :
KIZLCH, O'BRIEN,
- YIUELLLR Q WASS, IN(:. PROJECT?? r) PROJECT #
_ ARCHITECTS O?. ENGINEERS
LOCATION ?t0l3 15CXMOo'C C-/.DATE 6111
(612) 451-4605 • FAX: (612) 451-0917 0,F ?A-6
6115 CAHILL AVENUE INVER GROVE HEIGHTS, MN 55076 SHEET # OF CALC. BY J V--
?-
Ps?
1?=(00
0 Il?? ?
i
f
O
\I;;w-WC ?jo• oF
2-Zx
9%
'A
2?'b
/
I?M?gF? : SFF 4Z(f)
I h bp certifp that thia plan, apeciHcation,
oi xep was p=epaied by me oi undar mp
d'uect supervis aad that I am a duip
Registerod Pxofes 'onal n' eex undex
fi-s of the t te of Minnesota
Date JHeq. N
4t)
r -2?Uo
ha
Q
O
0
?
a
m
M
?
22
- Cnx ? Qi?"-r s,-^8?aro
???owN STg-p?p
2X8@1 b
.y .. r ?
f*
,ONEEA
sng?Tneer'
****
2472 Enlaprhe Ddve
Mendola Helqhls, IAN 55120
612) 881-1914•Fax 601-9488
825 Hlqhwoy 10 Norlheosl
Blalne, MN 55154
812) 783-1880•Fox 783-1883
Certificote of Survey for: JOS(;pll M Miller Construction CO.
House Address: 4093 Foxmoore Court Eagan MN
Model Name: Beaumont ?
/
i
4
,.,
iV
/ \ \ ?? •
? \ ry
? J
ojsF
5 1? i
i ?
/ / / F / ?/o \ b\ ? 9??0
< 3 \_ ? . v.., s
? O• a
m • ? ? ; i ? i ?
78 \`?? ng ? zp :? / A n,h/
LLJ ?
a 12f
r_ ?69.5 O
RAC1tN ??1Ci[?NSSnII+IC? DEPT
. aoo.o Denotes Exlsting Elevatlan' PROPOSED HOUSE_ELEVATI_ON I
Denotes Proposed Elevatlon Lowest Floor Elevotion:862:65
Denotes Drainage k Utility Easement Top ot Block Eievatlon:891.46 -
?Denotes Dralnage Flow Oirection ' Garage Slab Elevallon:B91.13 .
---o- Denotes Monument ---
-g- Denotes Offset Hub Bearings shown ara assumed
LOT 11 , BLOCK 1 HILLS OF STONEBRIDGE
OAKOTA COUNTY. MINNESOTA
P?- tlui4 R?OInoM lind Surnvw
I herebr, c?nuy 1nu tnb mrny, o?an or r.pwt we, o,ao?•b bY Me er unEV my dlnc,
undathNovS olMe DUweIMlnnnete.DmEthb?ZN.Q_dqol OCT. p,D.l
• Z
.112I)
CrnlP• 11??h,?(?leet q00EA :S?KI H..5.11EO.NO.I?S91
r
L
:or x._.n
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-32991-110-01
DESCRIPTION:
B
PERMIT
PERMIT TYPE
Permit Number:
Date Issued:
4093 FOXMOORE CT
LOT: 11 BLOCK: 1
HILLS OF STONEBRIDGE 2ND
?.?., (Twn)
n,g`::P,,?ermit Type DECK
ng LJO'r.?„ TYPe NEW
cp'4o44
??r2J??
025569
05J11/95
?
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$ iJ 't
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REMARKS:
FEE SUMMARY:
Base Fee $30.00
Surcharge $.59
Total Fee $30.50
0 CITY OF EAGAN
141; ?I ?? 3830 PILOT KNOB RD - 55122
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
? 3 registered site surveys
? 2 capies of plans (inGude beam 8 window sizes; poured fid. design; etc.)
? 1 energy calailations
? 3 copfes of tree preservation plen ff lot platted after 7l1/93
required: _ Yes _ No
5 5 S
c.O_??:
? 2 copies of plan
? 2 site surveys (erterior additions 8 dedcs)
? 1 energy wlwlations for heated sddRions
DATE: / I-1 CONSTRUCTION COST:
DESCRIPTION OF WORK: Add a Connecfed o(ec?5 ?
STREET ADDRESS: ?9W3 rolfrYioo/e L"ouif 4-qgrrry A//6
LOT I I BLOCK SUBD./P.I.D. #: d/& d ??1"19ln?
-4SOOO
w i+h 5*Ps 4o
PROPERTY Name: Ande+'sao -Tbe-I Phone ( 2'9 1-0-7 (Pa
OWNER °'""
Street Address- q"09 3ox MoorE eDUr-E
City: Ea?n State: MN Z;P; 551a3
CoNTRAcTOR Company: Phone #:
Street Address:
License
Ciry: State: Zip•
ARCHITECTI Company: Krech, b' grieA, Moet6f fi Wass phone#• +51"'f (065
ENGINEER Name: Jarnes 14• Kfech Registration* 11Z07
StreetAddress- (.0a00 oa??to A ve-r\ vL
city: Ir,ver &rom {-(+S . State: M t4 zip: 550`15
Sewer & water licensed plumber:
change are requested once permit is issued.
Penalry applies when address change and lot
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. A(.Yn,.J«?"'?
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received
_ Yes _ No
Tree Preservation Plan Received Yes No
?"??? 0 5 tg95
---------------
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation ? 06 Duplex ? 11
0 02 SF Dwelling o 07 4-plex ? 12
? 03 SF Addition o 08 8-plex ? 13
? 04 SF Porch ? 09 12-plex ? 14
uu 05 SF Misc. ? 10 _-plex 0, f!"15
WORK TYPE
?31 New o 33 Alterations ? 36
? 32 Addition ? 34 Repair o 37
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SNV Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
Apt./Lodging ?
Multi RepaiNRem. o
Garage/Accessory ?
Fireplace o
Deck
Move
Demolition
?. ?
16 Basement Finish
17 Swim Pooi
20 Public Facility
21 Miscelianeous
_ Basement sq. ft. MCNVS System
_ Main Ievel sq. ft. City Water
_ sq. ft. Fire Sprinklered
_ sq. ft. PRV
_ sq. ft. Booster Pump
_ sq. ft. Census Code. gY3
_ Footprint sq. ft. SAC Code a/
Census Bldg ?
Census Unit
Building Engineering Variance
Valuation: $ /,J.vcl
x ?C'?"
1
? qoo
?
% SAC
SAC Units
,
CITY OF EAGAN
?3830 Pilot Knob Road
Eagan, Minnesota 55723
(612) 681-4675
SITE ADDRESS:
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
4093 FOXMOORE CT
LOT": 11 BLOCK: 1
IIILLS OF `.:,70NE"BRTUGE 2N11
6UTLCIING
001593
10(16/92
DESCRIPTION:
; Bulidi[ly Permit Type 5F l7WG
? Building-Work l"ype NEW
. UBC Occupancy R-3 hl-1
Construction7ype 11-N
2oning PD R-1
-
Building Length 69
Building Width ? 40
i
:?
REMARKS: (, ?
0 td
S& W CONTRACTUR - GENZ-RYAN F'L86
FEE SUMMARY:
BasQ Fee
Plan Review
Surcharge
SAC
SflC %
SAC Units
Subtotal
VAL.UA7ION
$563.50
$561.28
$82.em
$700.00
100
$2,206.78
$164,000
MTSCELLAIVEOUS _$,1.610.5@
Total Fee $3,817.28
CONTRACTOR: - AppJicant - sT. Lz.pWNER:
MILLER HOMES JOSEPH 19544663 000243 JOE MILLER HOMES
18133 CGDflR AVE 5 13133 CEDAR AVE 5
FAf2MTNGTON MN 55024 FARMiNGTON MN 85024
(612) 454-4663
?
I hereby acknowledga that I have read this epplioation and state that the
information is correct and agree to comply with all applicable 5tate ot Mn.
Statutes and City of Eagan Ordinances.
4u??? -
ISSUE Y: SIGN RE
Control No. 1196
I
PERMIT t
Re$CTIYA?E _
ISy ?
CITY OF EAGAN
1992 BUILDING PERMIT
681-4675
?? 1 o
$g,f. "(
APPLICATION 0CZ 0 s RECo
coiu, a-l-i
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 i s made or lot chan e is re uested nce ermit is issued.
Date 10 / 45-- Yaluation of work aD00 °
Site Address:
STqEEi SUITE / '-
Tenant Name: (commercial on ly)
IAT -4- SLOCK ? SUBD P.Z.D. IF
Descri tion of work:
The applicant is: ? Owner KContractor D Other (oegorine)
Name Phone
Property LASr r,RS,
Owner
Address
57REET STE I! ?Z6 63
City 5tate Zip
Company Phone -=?
U i LLER HOMES
Contractor Address 18133 CEDAR AVE. S0. License a? a s?3 i EXP. 3-? y
?
, N 55014
City #0002431 State Zip
Company Phone
Architect/
Eng(neer Name Registration ?
Address
City State Zip
Sewer 3 water licensed plumber Processing time for
sewer d water permits is two days onc area h been approved. '
I hereby acknowledge tfiat I have read this application and state that the informatian is
correct and agree to compl.y with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Si
t
f A
li ?
gna
ure o
pp
cant:
?
OFFICE U5E ONLY
BUILDING PERMIT TYPE
? 01 Foundation
X 02 SF Dwg.
? 03 SF Addition
? 04 SF Porch
? 05 SF Misc.
WORK TYPE
9 31 New
? 32 Addition
O 06 Duplex
O 07 4-Plex
O 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'1
? 33 Alterations
El 34 Repair
GENERAL INFORMATION
O Footing
O Final
Const. (Actual) V-hl Basement sq. ft.
(Allowable) U=.r lst F1. sq. ft.
UBC Occupancy .3 M-'1 2nd F1. sq, ft.
Zoning p D R_I Sq. Ft. total
d' of Staries
_ Footprint Sq. ft.
Length 6977 On-site well
Depth 3q 1/21 On-site sewage
APPROVALS
Planning Building
Engineering Yariance
REDUIRED INSPECTIONS
O Site
O Mallboard
Permit.Fee
Surcharge
Plan Review
License
Mwcc sac
City SAC
Nater Conn.
Mater Meter
Acct. Deposit
S/W Permit
S/N Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Cop ies
Other
Total:
SAC % ob
SAC Units
? 11 Apt./Lodging
11 12 Multi. Misc.
? 13 Garage/Accessory
? 14 Fireplace
? 15 Deck
? 35 Tenant Finish
? 36 Move
-0 1-6 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
O 37 Demolish
MWCC System YES
City Water
PRY Required
Booster Pump
Fire Sprinkler
Census Code - TC) _/
SAC Code _0L
Assessments
O Framing . ? Insulation
? Draintile ? Fireplace
vaiLotcm: S /6t pp??_ '
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LOT SIIRVEY
FOR
SOILDING PERMIT APPLICATION
PROPERTY LEGAL•
T, C-r,
Date of Susvey:
DOCIIMENT STANDARDS
Registered Land Surveyor signature and company
Building Permit Applicant
Legal description .
Address
North arrow and bar scale
House type (rambler, walkout, split w/o, split entry,
lookout, etc.)
Directional drainage arrows with slope/gradient ?.
Proposed/existing sewer and water services
street name -
Driveway
ELEVATIONS
Existina
? m!? • Sewer service
wo? ? - ? • Lot corners
V ??/o • Top of curb at the driveway
? C9' ? • Elevations of any existing adjacent homes
Proposed
?EI ? • Garage floor
f??i?/? ? • First floor
B' 0? • Lowest exposed elevation (walkout/window)
? • Property corners
?? ? • Front and rear of home at the foundation
DIMENSIONS
Cf ? ? • Lot lines
?0 ? • Right-of-way and street width (to back of curb)
Cd? ?? • Proposed home dimensions includinq any proposed decks,
overhangs greater than 21, porches, etc. (i.e. all
structures requiring permanent footings)
L9? ?? Show all easements of record and any City utilities within
those easements
G?' 0? • Setbacks of proposed structure and setback of adjacent
existing h
Reviewed: /C7/ 7 /92
August 1992
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RECEIPT #
CITY OF EAGAN
UNDERGROUND SPRIN? SYSTEM PERMIT
1993
Date: g ? ?
_ Commercial pmject
'Id- Residential project
_ Existing residence
Area/addi
Installer:
Street adc
City, stati
Telephone #:
Owner name:
Street address:
City, state & zip:
Phone #: 76-D ,
?
Irrigation rnntractor, if diffemnt: A7
Phone #:
I hereby acknowledge that I have read this application and state that the information is conect and agree
to comply with all applicable City of Eagan ordinances.
?
Signature of ermittee
New service required
Fee due: $ Calculated by:
+lAk? . a?
CITY OF EAGAN
UNDERGROUND SPRINHI.ER SYS'I'EM PROCEDURE
1993
1. Plans must be submitted to the City's engineering department for approval before
installing a lawn sprinkler system. If digging in the boulevard, a right-of-way permit
may be required.
2. Once plan is approved, it will be presented to the City's plumbing inspector for sizing
of the meter.
3. Jerry Wobschall, Finance Department, will calculate permit fees as follows:
a. Commercial 12roiect: $ 25.50 plumbing permit.
$ 50.50 water permit fee onlv if new service is installed.
$100.00 per tap if installed by City. Please consult with
engineering department regarding feasibility of City
installation (City witl only install taps up to 1").
b. Residential project: $ 15.50 plumbing permit.
$ 50.50 water permit fee if new service is installed.
$695.00 per connection - WAC.
$324.00 per connection - water ueatment plant.
c. Existiniz residence: $15.50 plumbing permit -(not required if backflow
preventor previously installed) however plan must stiil be
presented for approval and an application must be filled
out.
4. Once meter size is determined, building inspections c]erk typist will contact utility
billing clerk for cost and notify installer of all costs associated with project. If new
service lines are not reguired, one check may be written for meter and permit costs.
No meter will be sold befam all sewer and water inspections are complete on a new
service--(engineering department will advise utiiiYy billing clerk when meter can be
sold). Receipt will be coded to 20.3716 (meter portion only) with pink copy
forwarded to utility billing clerk.
5. The installer is to contact building inspections division at 681-4675 for inspection of
the inside water line and backflow preventor. The public works department may be
reached at 681-4300 for water tum-on and set and seal of ineter. Inspection, hours are
8:30 AM to 3:30 PM, Monday through Friday. Requesu for AM inspections should
be made on the preceding work day. Requests for PM inspections will be accepted
until 12:00 noon that day.
I
>
4
5
6
2. Nature of
CITY OF EAGAN
PERMIT
TO WORK WITHIN CITY PROPERTY/RIGHT-OF-i7AY/EASEMENTS
3. Indicate below items to be affected and include a sket
Curb & Gutter _
Trail/Sidewalk
Pond/Wetlands _
Traffic Control Devices/Signs _
Drainage
Structures/Buildings Other
Method of Installation or Construction
Page 1 of 5
?
or plan of work to be done.
Street Surface
Trees:
Public
Private
Utilities
Work to start on or after: 0' and shall be completed by:??iYJ LS.? unless an
extension granted to: by:
DATE STAFF/DATE
Will detouring of traffic be necessary7
descrihe suggested route:
DETOURS: The Director of Public Works shall be notified in writing at least-72
hours in advance of any detour heing established, changed or discontinued.
NAME OF APPLICANT ?7nel 0,4-. J,.s t-F/ iCYw tI) PHONE p p1 -676pV
ADDRESS Y/)y'S (5F f"o ./ //J97 I 5bA;4?
STREET
NAME OF PARTY OR
CONTACT PEk60N:
24 HLi. )
STATE
ADDRESS K(), fj? SlImI3Q A/??l"y,ypyi?j DAY PHONE ?
STREET I TY STATE ZIP
The undersigned herewith accepts the terms and conditions of this permit by the City o£ Eagan
as herein contained and agree to fully comply therewith to the satisfaction of the City of
Eagan. ?
Signed: /D/Ii1.u? Title:j? DATE: [! 02
---------------------------------'----------------------------------------' ------------------
FOR CITY USE ONLY
FINANCIAL SECURITY:
AUTHORIZATION OF PERMIT
AMOUNT:
Fee: $ Receipt No
In consideration of agreement to comply in all respects with the regulations of the City of
Eagan covering such operations; and pursuant to authorization duly given by said City of
Eagan; permission is hereby granted for the work to be done as described in the above
appliaation, said work to be done in accordance with special provisions as hereby stated:
If necessary to detour traffic,
BY:
APPROVED BY: DEPT. OF PUBLIC WORKS
TYPE:
(Cash,bond,IAC,etc.)
Permit No.
/DATE
ALL LEGAL REQUIREMENTS SHOWN ON REVERSE SIDE AND ON ALL "SPECIAL PROVISIONS" TO BE COMPLIED
WITH! THE DATE WHEN WORK IS COMPLETED MUST BE REPORTED TO THE EAGAN CITY ENGINEER.
Permit No. Page 2 of 5
\
PERTINENT REGUTATIONS
Safety
1. Traffic shall be allowed to pass and to be protected at all times. If it is not
possible to allow traffic to pass, a suitable detour must be provided and plans
submitted to the Director of Public Works 72 hours in advance.
2. Barricades shall be erected in a manner which will provide suitable visibility in all
directions. All barricades shall be in good condition, and all signs shall be of such
size and legibility to provide adequate warning to oncoming traffic. At least two 7"
flashing amber lights shall be mounted on each end barricade with one on an advance
warning sign.
3. Excavations must be shored or sheeted when necessary to prevent under-mining of
roadway, trailways, utilities, or for safety reasons.
4. Guys or stays shall not be attached to trees on right-of-way or private property
without written permission.
5. Flagmen shall be furnished by the party or organization performing the work whenever
the work being done creates a hazard either to the traffic using said road or the
personnel engaged in the construction, or when directed to do so by the City.
OPERATIONS
1. Permit on Job--Permits or copies shall be kept on the site of the work while it is in
progress in the custody of the individual in charge, and shall be exhibited upon
request made by any City official.
2. Provisions and Specifications--These general provisions, specifications and Std. Plate
P-1 shall be considered as forming an integral part of each and every permit issued for
operations within Eagan. The work authorized by this permit shall be done at such time
and in such manner as shall be consistent with the safety of the public and shall
conform to all requirements and standards of the City. If at any time it shall be
found by the City that the work is not being or has not been properly performed, the
permittee, upon being notified by the City, shall immediately take the necessary steps,
at his own expense, to place the work in condition to conform to said requirements or
standards.
3. Execution--The permittee shall use diligence in the execution of the work authorized
under this permit in order not to endanger or unnecessarily obstruct travel along any
road or trailway. Operations shall be so conducted at all times as to permit safe and
reasonable free travel over the roads and trailways within the limits of the work
herein prescribed. All safety measures for the free movement of traffic shall be
provided by the permittee at his own cost.
4. Conformity to Laws--The installation shall be made in conformity with all applicable
laws, regulations and codes covering said installations. All installations shall be
made in conformity with regulations of governmental agencies for the protection of the
public.
a. The applicant shall furnish a bond or financial guarantee in the amount to be
determined by the City which is required to ensure adequate & timely completion
of repair. This bond or financial guarantee shall remain in effect for 2 years
subsequent to completion of street repair to protect the City from defects in
material, worlmanship or non-compliance with City Standards or specifications.
Permit No. Page 3 of 5
b. The applicant shall furnish evidence of public liability insurance of not less
than $100,000/300,000 and property damage of not less than $25,000 issued by an
insurance company authorized to do business in the State of Minnesota on which
the City is named as an additional insured party.
c. Except for the negligent acts of the City, its agents and its employees, the
permittee shall assume all liability for, and save the City, its agents and its
employees, harmless and defend same at its sole cost and expense from any and all
claims for damages, actions or causes of action arising out of the work to be
done herein and the continuing uses by the permittee, including but not limited
to the placing, constructing, and reconstructing, maintaining, protecting and use
of said facility under this application and permit for construction.
5. Existing Facilities--The utility facility and installations shall not interfere with
any existing utility facility on the City's right-of-way or easements. It is the
responsibility of the applicant to call for necessary locations of existing utilities.
(Gopher One 454-0002)
6. Private Property--The work permit or permit for construction as issued does not in any
way imply an easement on private property.
7. Quality of Work--Finished surface, hase and sub-base of road or trailway upon
completion of work shall be at least equal to or better than specifications of
originally provided road or trailway in accordance with City Standard Specifications.
Surface shall be finished within 48 hours upon completion of backfill
8. Cutting Trees--The permission herein granted does not confer upon the permittee the
right to cut, remove or destroy trees or shrubbery within the legal limits of the
right-of-way, easements that are not specifically identified on the plan attached to
this permit or relieve permittee from obtaining any consent otherwise required from the
owner of the property adjacent thereto.
9. Drainage--All waterways and lines of drainage shall remain operative.
10. Pole Anchors--Pole anchors, anchors, braces or other construction will be permittad
within right-of-way or easements and will be approved on a case by case basis.
11. Driving Limitations.
a. Driving or parking on City trails or sidewalks shall only be permitted for those
operations requiring direct access to the boulevard area.
b. Vehicles operating or parked within the right-of-way area shall utilize their
warning flashers at all times.
c. Vehicles driving on trails or sidewalks shall not operate in excess of 5 miles
per hour. Vehicles shall operate at slower speeds when weather conditions, trail
conditions, poor visibility, obstructed sightlines or other conditions require
special precautions to ensure the safety of trail users and the general public.
d. Driving shall not be permitted within those boulevard areas where damage to turf
trailways or other infrastructure may occur.
e. Vehicles shall not be parked on trails or sidewalks in such a manner as to
unnecessarily impede the safe and efficient use of trailways by the general
public.
t Permit No. Page 4 of 5
12. Vehicles or equipment traversing roads or trailway surfaces shall not utilize studded
or chained tires, caterpillar traction, or any other form of traction which will result
in damage to the surface.
13. C1ean-Up--Street, trailways and affected right-of-way shall be scraped clean at the end
of each work day and swept clean after construction is completed and left in a neat and
presentable condition.
14. Trees and Vegetation-Burning or disking operations and/or the use of chemicals to
control or destroy trees, brush and other vegetation is prohibited without prior
approval from the City.
15. Replacement of Sod--Wherever top-soil and sod are disturbed, they shall be replaced and
maintained satisfactorily until the turf is established.
The undersigned hereby declares he/she has read and will comply with all the PERTINENT
REGULATIDNS as stated above and relevant City Ordinances.
1
DATE: SIGNED
Revised 5/93
LTSyfl -PERMIT.FM
PAGE 5 OF 5
1
PROPERTY LINE ?
I.
SAME AS REMOVED
(3" MINiMU1A)
SAME AS Ri1dOVED
l6" MIKIMUM)
I
TRAILWAY
1. Curb and Gutter shall be removed only after saw cutting at joints and replaced
accordir.g to specifications or Standard Plate.
2. Bituminous pavement area removed shall be saw cut prior to patching.
3. Boulevard sod removed shall be replaced with minimum 4" of topsoil and cultured sod.
4. 2341 bituminous wear course shall be paved between May lst and November 15th for
permanent patch. Temporary cold mix patch should be used November 16th to April 20th
(or as permitted by weather).
5. Class 5, 100% crushed aggregate base.
6. Roadway closures in accordance with Appendix B- Traffic Control for street or highway
work zones - MnDOT/MtiTCD.
7. Bituminous trailway closure requirements same as roadway in #b above.
8. Backfill shall be thoroughly compacted by the "Specified Density Method" of compaction.
All suitable backfill material placed below a depth of five (5) feet below the final
pavement surface shall be placed in maximum lifts of twelve (12) to eighteen (18)
inches and compacted to a minimum ninety-five (95%) percent of ASTM Specification D698-
64T (Standard Proctor Density), method "A". All suitable backfill material placed
within five (5) feet below the final pavement surface shall be placed in lifts not to
exceed twelve (12) inches and compacted to a minimum of one-hundred (100%) percent of
the above ASTM Specification.
c ity of eagan
P U B L I C
1NORKS
? ? DEPARTME
STREET AND BITUMINOUS TRAILWAY
EXCAVATION/PATCN DETAIL
TRAFFIC CONTROL REQUIREMENTS
approved: standard
plate # ;
5/93
P-1
/,L-?_Zl BL f -- CI11' OF EAGAN
' „ / PLUMBING PERMIT
?D• r -? eZ (612) 681-4675
0 RESIDSNTIAL
PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS
WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
i10RK DESCRIPTION
NEW CONST P"e'
ADD ON
REPAIR
OWNER NAMg; JOE MILLII2 CONSTRUCTION C0. INC.
SITE ADDRESS: z6c1 ("V-?
INSTALLER; GINZ-RYAN PI,UMBING
ADDRESS: 14745 South Robert Trail
CITY: Rosemount Zip;
55068
CITY USE ONLY
BECEIPT
DATE fo /3 9 2-?
AI.SO, FOR TOWNHOMES AND CONDOS
COMPLETE THE FOLIAWING:
N0. , FIXTURES EA. TOTAL
REPAIR/ADD ON 15.00
? SHOWER 3.00 2jA2
? WATER CIASET 3.00 Y,"
BATfi TIJB 3.00 la,U7!
? IAVATORY 3.00 ?.?,7, 67?
KITCHEN SINK 3.00 3 .aa
_ IAUNDRY TRAY 3.00 =ap
HOT TUB/SPA 3.00
WATER HEATER 3.00 u?: Ad
L F7A0R DRAIN 3.00 6d
GAS PIPING OUT.
? (MINIMUM - 1) 3.00 v' dZ
.? ROUGH OPENINGS 1.50 O
_ OTHER
_ WATER SOFTENER 5.00
_ PRIVATE DISP. 15.00
_ U.G. SPRINKLER 3.00
_ W. TURNAROUND 15.00
S,TATE SURCHARGE .50
TOTAL: S SO CS
C02IIIERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS: ALSO FOR MULTI-FAMILY
SUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
WORK DESCRIPTION:
OWNER NAMg
SITE ADDRESS:
TENANT NAME;
SUITE $: _
INSTAIJ,Eg:
ADDRE55:
CITY:
PHONE ¢:
FOR:
CITY OF EAGAN
ZIP:
CQtv'TRACT PRICE:
1% OF CONTRACT FEE. .
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1% $
STATE SURCHARGE $
TOTAL:
$
(SIGNATURE)
PHONE #: 423-1144
• - . CTTY OF EAGAN
D B--.L-_ MECHANICAL PERMIT RECEIPT #/O 80
(612) 681-4675 DATE
RESIDEIVZ7AL
PLEASE COMPLETE IIppIIt ppRTION ONLY FOR SINGLE FAMILY DR'ELLINGS. ALSO, COMPLETE FOR
TOR'NHOMES/CONDOS WHEN SEPARATE PERMI7'S pRE gEQUIRED FOR EACH DWELLING UNTf.
OWNER: JOE A7ILLER HOMES g EES
51TE ABDRESS;
D
Ca-c.c2-f ADD ON/REMODEL (EXISTING
CONSTRUCTION ONLl) $ 15.00
INSTALLER: GENZ-RYAN HEATING AVAC: 0.100 M BTU 24.00
PHONE #: 423-1144 ADDiTTONAL 50 M BTU 6.00
ADDRESS' 14745 S u h Robert Trail GAS OUTLEIS - hiWIMUM 1 Q $3 EA. ? ?,?
CITY. Rosemount ZIP: 55068 SURCAARGE: $ 5p
SIGNATURE: ` ? TOTAL:
COMMMERCIAL
kl
v
PLFASE COMPLETE THIS POR77ON FOR ALL COMMERCWJIIYDUSTRIAL BUILDINGS. ALSO COMPLETE FOR
APARTMENT BIIILDINGS OR OTHER MULTI•FAMILY BUILDINGS R'HEN SEPARATE PERMITS ARE NOT REQUIRED FOR
EACH DR'ELLING UNIT.
WORK DESCRIPI'ION: CONTRACT PRICE: FEES
196 OF CONTItACT FF,E.
STATE SURCAARGE IS $.50 FOR EACH
$1,000 OF PERMTf FEE. $
PROCFSSED PIPING • S25•00
S
MINIMUM FEE - $25.00
OWNER: TOTAL: $
SI1'E ADDRFS&
1'ENANT:
SU11'E #:
INSTALLER:
ADDRESS:
CTI'Y: ZIP:.
pgONE#' CITY SIGNATURE
SIGNATURF.
., .
* * *
PIONEER „ND SURVEID
* eng nacr ng LANo P'-"""ER5 .
* * **
2422 Enterprise Orive
Mendota Hefghis. MN 55120
812) 681-7914•Fax 681-9488
625 Highwoy 10 Northeast
Blalne, MN 55434
;812) 783-1880•Fax 783-1883
Certificate of Survey for: JOSEPh M Miller COn5t1`UCtIOCI CO.
House Address: 4093 Foxmoore Court Eagan MN
Model Name: Beaumont
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DEPT ' ° l
. 900,0 Denotes Existing Elevation ' PROPOSED i OUSE _ELEI ti- ?
ATI N
097oo Denotes Proposed Elevation Lowest Floor Elevat(on:882.65
-- Denotes Drainage & Utility Easement Top of Block Elevation:891.46
- Denotes Drainage Flow Direction • --- -
--o-- Denotes Monument Garage Slab Elevat(on:891.13
-ra-- Denotes Offset Hub Beorings shown are assumed
LOT 11 , BLOCK 1 HILLS OF STONEBRIDGE
DAKOTA COUNTY, MINNESOTA L A " -
"SurVeyor
I herehy eenify thst [hb mrvW, plen or report wee prepered hy me or under my dlrectPx" psr?fi s}mrsT duly Rp1stvM larM-
undw !ha Iavn al tha Stala of Mfonetots. Oeted thO'Z1LQ dey o! 0Gr• A.D. 1?.
Inch _
EO. NO.
"M 92443.00
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA117855
Date Issued:10/24/2013
Permit Category:ePermit
Site Address: 4093 Foxmoore Ct
Lot:11 Block: 1 Addition: Hills Of Stonebridge Plat 2
PID:10-32991-01-110
Use:
Description:
Sub Type:Reroof & Windows/Doors
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Windows/Doors: If altering the opening size, a framing inspection is required.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
Joel S Anderson
4093 Foxmoore Ct
Eagan MN 55123
(612) 723-6345
Gates General Contractors, Inc
3500 Vicksburg Lane North, Suite 400-351
Plymouth MN 55447
(763) 550-0043
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA170122
Date Issued:06/21/2021
Permit Category:ePermit
Site Address: 4093 Foxmoore Ct
Lot:11 Block: 1 Addition: Hills Of Stonebridge Plat 2
PID:10-32991-01-110
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 -
Joel S & Susan E Anderson
4093 Foxmore Ct
Saint Paul MN 55123--392
(612) 723-6345
Gates General Contractors, Inc
3500 Vicksburg Lane North, Suite 400-351
Plymouth MN 55447
(763) 550-0043
Applicant/Permitee: Signature Issued By: Signature