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4098 Foxmoore Ct
Use BLUE or BLACK Ink For Office, Us I I 9fr ity ~ of E Ca 4~ I Permit q v Ed ~ Permit Fee: 61 3830 Pilot Knob Road Eagan MN 55122 I Date Received: Phone: (651) 675-5675 AUG J'S REtD AIV Fax: (651) 675-5694 1 Staff: I I I 2010 RESIDENTIAL BUILDING PERMIT APPLICATION 0 Date r Site Address ✓ I Tenant: Suite RESIDENT / OWNER Name: Scc4 /F,\-) ea0_ ' '~~S Phone: &5/ - 09 -7756 Address / City / Zip: T ' Q U RoX Mc)n re Cr t Applicant is: Owner X Contractor TYPE OF WORK Description of work: l h OO Construction Cost: Multi-Family Buil ' g: (Yes No ) CONTRACTOR Name: M PO O 5 License 50 Address: 006) (a 2-->62City: AoPL (1l C State: f ' I Zip`: ~ > T~ Phone: Contact: , L~ O~ I'~ Email: iA &X S Poo , I V-) C ° C) 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.goopherstateonecall.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. x C) V xc~4m Applicant's Printed Name App ant's Signature Page 1 of 2 DO NOT WRITE BELOW THIS LINE q6~&l 7~ SUB TYPES Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) Multi Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) 01 of Plex _ Lower Level Pool _ Miscellaneous 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 (_9 Occupancy MCES System Plan Review Code Edition? SAC Units (25%_ 100%4 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 inal Framing Siding: - IC -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In -Air Test -Final Windows Insulation Retaining Wall: - Footings _ Backfill _ Final Meter Size: Radon Control ~j Erosion Control Reviewed By: 1 , Building Inspector RESIDENTIAL FEES Base Fee n Surcharge 0 Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 2 POOL PERMIT - APPLICATION SUBMITTAL REQUIREMENTS Address: +R9j je0X Mb 0(e-(Zw~ -7V Applicant Name: :!~C© GENERAL INFORMATION U ~C ¢ b o z ;2` ❑ ❑ Applicant name and contact information , T ❑ ❑ Property owner name ❑ ❑ Address of property X ❑ ❑ North arrow, scale (I" = 30' or 40') ~2' ❑ ❑ Site Plan, drawn to scale showing location of house, pool, and other existing or proposed structures, including retaining walls. Zr ❑ ❑ Location and name of all streets adjacent to property ,tl ❑ ❑ Directional drainage arrows (existing and proposed) ELEVATIONS Existing ❑ ❑ House corners ❑ ❑ Property corners f t ❑ ❑ If applicable, ground elevation at each end of retaining walls and at wall's greatest height Proposed J~ ❑ ❑ Finished pool deck corners ❑ ❑ Top of proposed retaining walls (if any) and at each different elevation (if it changes) ❑ ❑ Pool bottom (or max. depth) DIMENSIONS Existing ❑ ❑ All property/lot lines fd' ❑ ❑ All Easements on the property Proposed A ❑ ❑ Pool ❑ ❑ Pool plus integrated deck/patio /Ld ❑ ❑ Shortest distance from outside edge of pool c to lot lines and house Reviewed: 6117110 Name Date GTORMS/Pool Permit Checklist/02-13-07 Z-1o 4- • P i onear En9 i Weer i n9 t> I V 00 4/.7- DO Y~Flz- Enterprise PIONEER I Mendota t-telhu, MN 55120 lArvOSURVEYnriS• ccvtt ENGINEERS 9 engineer-ing.. LAN01LRrvIV=py-L.AftM%CAPWARCHITEttS (6121 Est-1914 Certificate of Survey for: T14f ROTTL U V D 11 C NO PTH ryVl `-IO ~~bb IL! Js ~j0 `7 ~ Stt u O .u ^Y. F J, a aq as i Lo 7f NO o (pI a o ~ ~iw ! H 31.35- ~a, 72. Qt~ ` t Dr plzr,~ I H CSI 'Fo 'r~~c:etf F C v . G ErOUINEERiNG DEPT. l-,Gt~~r v~ V1 SS 13~j _ . .400.0 I • • , Enofes ev:51in fleVQlior? ;E tI E LEV4110 N moo- o Denoles ro ed Qetrams >p f ~ lavP s Fluor leva apt SSr< V _ Oeaofes Drama e IO rY Evsemenf lop of Block Efevafi on~ 9 s . Denofes Orgi ROW ,4r rows Cvr~v Slab Elevation 1 Denoles monur nenl o Dr»a of dt~'s~f flub n,~s shown ore assumed Su J & to Ea_,--menfs of *--cord L OT Z , 8LOCk I J 14IL LS OF STONEBRIDGE PLAT ~ Om4oTA COVNT}' 1 herobv earafy that this is a trt,e and correct moresern~jiorr of a survey of the boundaries o1 tote abowa ibex tend d of 7the location of all buitdings, therdon, and all visible encroachments, if any, from or on said land. As surveyed by ma this of ! A.M. 19-1 Scale! mch _ X 4 of E f d ? .% - - ? CITY OF EA GAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # r N w j s? ?/GAR S135 J 9 .0 To be used for Est. Value U Z Date 1 19 Site Address 4098 ?XHOORE CMt Lot 2 Block I Sec/Sub. RjUJ 4lp OFFICE US E ONLY Parcel No. aTMIRiWA ZND R-3' M-1 Occupancy FE ES ? R?i W Name ??? i? Zoning (Actual) Const ft Bldg Permit i 764.00 AddfeSS - (Allpwable) r1L_ . 6'?? o City IPRIDLIKY Phone 571-0304- a oi scories ?rcharge ?;pp 7? Plan Review o Name SA? length DePth 34 SAC Cit 100000 i , y v? Address S.F. Total - 650000 ~ $AC, MCWCC Cih/ Phone S.F. Footprints t 6?•? ?¢ W? Name On Site Sewage - on site weu Wa er Conn W 93.00 W = ddf@SS MWCC System ? ater Meter ?r? a C y Phone Citywater ? q?t. Deposit 30*00 PRV Required - SNY Permit I hereby acknowlege thal I have read this application and state that the Booster Pump - S/W S h 0 ? information is correct arltl agree to oomply with all applicable 5tate of urc arge 2`7E -Oo Minnesota Statutes and City of Eagan rd" ances. , Treatment PI . Signature ot Permitee APPROVALS Road Unit 370.00 A Building Permit is issued lo, ?E ??? Planner - Park Ded. on the express condition that ail work shali be done in accordance with all Co+ncil -- applicable State of Minnes0ta Statutes and City of EWan Ordinances. , f gldg, pg. _ Copies ? ? ,?. d Building Official ? _ ?° `r- Vanance - TOTAL , Permit No. Permk Holder Date Telephone # wnTEa SEWER PLUMBING H.Y.A.C. `1I11e (/ eLEcTRIc Q/ 7 9 h'/ o? oa k?spection Date Inap. Comments Foolings I ? ,? u/ Foundat+on Framing 7 -Z -? 5 Roolmg Rough Plbg. " Rough Htg. 7 f-3 Isul. Fireplace Jw_ Final Htg. ? ?- Orstat Test N Rnal Pibg. Plbg. Inspector - Notify Plumber Const. Meler EngrJPlan sid9. Fnal ?- 5 = Dedc Ftg. Dec?c Fin2d Well Pr. Disp. ? ? - INSPECTION RECURD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number; Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: n( 11? : 1 APPLICANT: ? 4090 P'UXNOORE CY C)t'CKS 6Y L1EMtlIS HII.LS 0f STONEHRID6L 2ND (617) 561-04J1 PERMIT SUBTYPE: TYPE OF WORK: Control W. 0203 0 0-3 ?a q J:t ?i j??? wE, w - - - - - - - - - - - - - - - - - - - - - - Permft No. Permit Holder Dete TNaphore # S/W PLUMBING HVAC ELECTRIC ELECTRfC Inspsetion Date insp. Commertis Footings I Fowdation Framing Hoo(ing Rough Plbg. Rough Htg. Isul. Flreplace Flnal Htg. Orsat Test Final Pibg. Pibg. Inspector - Not't(y Plumher Const. Meter EngrJPlan Bldg. Final Deck Ftg. Deck Final r ? - Well Pr. Disp. , a ? (grr#t#tr?te .af (Orr??aury Citp of Cagart iorpwfttnd ixf %Qiag -ItcTrrtiM This Cerlifrcate issued pursuant to 1he requirements of Section 306 of !he UniJorm Building Code certifying that at the time ojissuance lhis structure was in compliance with the various ordiRanaes of the Crty regulaiin8 buiJdrng cbnstructian or usc For the following. cSC a.OTIOLaw -SF" ??? sw8- ?e r? 10169 _ O0C1T°cY ?'7P? ??,r?--ZooiqUistrict M.4R.1 Type Cn.w KII`n owna Of Tw RaMiR, ro„?r. Ad*c. 5201 F. RIVE.'F2 R[IATI, F_gl3EY POST M A CONSPICUpU3 PU?CE ?-,.--„ SEWER & WATER PERMIT , OFFlCE USE ONLY CITY OF EAGAN . M? # `? `?? ?U $ ?o ! PERMIT DATE _; 3830 Pilot Knob Rd. cHiP # PERMIT # 12044- Eagan, MN 55122-1897 M -- METER SIZE - B.P. RECEIPT # n13800 , ISSUE DATE ? - B.P. RECEIPT DATE 6/ S/ 91 DATE _ PRV - BOOSTER PUMP SITE ADDRESS Court LOT '?'BLOCK _LSEC/SUB '' il1 g nf lztnna idqQ 2 APPUCANT: 'a'he Rottlund C_c_ Tnc_ ADDRESS: 5201 1E. Ri ver Road CITY, STATE FYICZEVt "-11- ZIP'?-'_-'1 PHONE: 571-0304 PLUMBER: Va] l c->v Plxnh; r,q ADDRESS: r:] 0 CrePk F.anc= CITY, STATE 7uruan, Mn Zip55352 PHONE: 493-2123• M OWNER: 'j'}w Rrt-t7i,nri rn .• PERMIT REQUESTED x SEWER -Z WATER X NEW COMMiIND EXISTING Lawn Sprinkler Meters are to be In: Ahead of Domestic Meters on Water ?Credit WILL NOT be given for Deduct M ? • I AGREE TO COMPLY WITH CITY AQDRESS: 5901 E R;I_vQ;:- kE,<<-- M CITY, STATE F"i dl r-.w -,.1'lti ZIP.? 42, ? ? • t =? ?;?? ?G? <-- PHONE: `;7 1-02Qz S I G N A T U R E W H E N A T E R I S S UE o PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR ? SEWER PERMITS, CONTACT ENGtNEERING DEPT. SEWER & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 ME3ER lf?? CHIP # ` METER SIZE • DATE `'-29-91 ISSUE DATE - w? ?? `? . ' ' U298 e C'curt= SITE ADDP,CSS FOXV00t LOT JLBLOCK ' SEC/SUB Fi i 1 llR (lf $tnas ?xjdoi7 APPL'ICAN'f: `i!e Rrttltuid Cn Irr ADDRESS: ?101 F. Ltiver '20-ad CITY, STATE F'L^idJ.eyr s''lt7. ZIP155421 PHONE: `.?71--03C4 ( ` PLUMBER: ' ADDRESS: CITY, STATE JM1411, firi ZiR`'i5352 PHONE: OWNER: _ ADDRESS USE ONLY PERMIT DATE PERMIT # 2 (J B.P. RECEIPT # L13$00 B.P. RECEIPT DATE f3/g!91 - PRV - BOOSTER PUMP PERMIT REQUESTEQ x SEWER x WATER _ TAPS " - COMM/IND X RESIDENTIAL •1: x NEW _ EXISTING ? ? Lawn Sprinkler Meters are to be Installed. ? Ahead of Domestic Meters on Water Line. , Credit WILL NOT be given for Deduct Meters. •,_ .,: -. ... _ I AGREE TO COMPLY WITH CITY OF ? CITY, STATE k ric3lwr, Mr, ZIp55421 • PHONE_ SIGNATURE WHEN ME*R ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM ; SEWER PERMITS, CONTACT ENGINEERING DEPT. ?i ' CASH RECEIPT CITY OF EQGAN ' ?._ . .4 ; ` ? y? L, • 3830 PILOT KNOB ROAD t ? EAGAN, MINNESOTA 55122 pATE ? 19 J_L. 1 / _...? { `J . ? ,?MOUrrr Fs 2 a DOU.Ms o cAsH ? c14EcK Polk ? ., FUND 06JECT MAOIJNY v r ? .? , i ? • •v -?v ? u -..- :-- ?..?C.?rkt?d i- i Thank You ??,?..? ?,? ?? , } «,,? ? ??? , C. F't 1'l 0 1 "'i BY ? r - . C. ,LA_,L ??. 3> I ? C:t: ? • ? . 138OQ = 4 . . Y ..?_ _ __S_ .. - % CITY OF EAGAN Np .19169 3830 Pilot Knob Road, P.O. Box 21-199, Eagan MN 55121 i PMONE: 454-81 DO BUILDING PERMIT Receipt # G! 3gnd To be used tor "SF DWG/GAR Est. Value $135,000 Date JUNE 5 19 91 Site Address 4098 FOXMOORE COURT Lot z Block 1 Sec/Sub. HILLS OF Parcel No. STONEBRIDGE 2ND w Name THE ROTTLUND CO INC ? Address 5201 E RIVER ROAD ? CitY FRIDLEY Phone 571-0304 ?F Name SAME ?a Address ? City Phone Nzw Name Address City Phone I hereby acknowlege that I have read this application and state that the in(ormation is correct a ree omg,? i II applicahle State ol Minnesola Statutes and Ci o gan r p ances. SignaNre of Permitee A Building Permit is issued t? ? ROTT UND CO on the express condition thpt alrwork shall be done in accordance with all applicable State of Minnfe's9ltJ@ Statutes and ty oi E Ordinances. Building OOicial _ ?""?"`?{' OFFICE l1SE ONLY Occupancy R-3+ M-1 FEES zoning PD R-1 (Adual)Consl utL_ BIdq.Permit $ 762.00 (Allawa6le) Vi Surcharge 67.50 F ol stones 495.00 Lenglh 70 Plan Review Depth 34 SAQCiIy 100•00 S.F.TOtal - SAC,MCWCC 650.00 S.F. Foolprinis - OnSiteSewage _ WaterConn ?fio-00 On Sile Well - water Meter 95.00 MWCCSystem XX_ 30.00 Ciry Watar gX_ Acct Deposil 30•00 PRVRequiretl - SlWPermit Boosler Pump - $ryy SurCharge • 50 276.00 7reatment PI APPHOVALS RoadUnit 370.00 Planner - park Ded. Council BI4g.OH. _ CaPies *3,536.00 Varianca - TOTAL p -_??,1?? //,•pG - ? ?'/S °% fieques? Oa;e Fire No Rougb-in InsOntion Reqmr tl'+ L No ?eatly Now ? Will Notify Inspecror Wnan ReatlV? IZ'licensed coniractor ? owner hereby request inspection ot above electrical work at: Jab Atltlress (StreeL Box or Roi ? CM1y Saciion No. Townsnip me or No- Ranga No. ? Cou --_-_-- Occupa IPRwTi ? -- -__ Phone No. Powae Su i?ar A s?? Atltlress • Q.K_KCi ' ? - __' EI¢Clric3l 3 1[ddo(ICOmpHnyNam01 CoNl8010r5LiC¢n52N0. --- ZL`- a 4?? 3 MeilinG AEess IGOmrdcro( or Owner Mekmg In5lallali0nl Am horrzeo SignrOwn M aNmg Instatl n) ,. . ?----- Phone Numbar MINNESOTA STATE BOARD OF E ECTFICITY ? THIS INSPEQION REQUEST WILL NOT Griggs-Mitlway Bldg. - Room S113 BE ACCEPTED BY THE STATE BOPRD 1821 Unlveralty Ave., SL Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone(612)BGY-0800 ENClOSEO. REQUEST FOR ELECTRICAL INSPECTION ? d ? See insvuctions for compixting this brm on back ol yellow cnpy, ?n 1 "X" Below Work Covered by This Repuest ? ee-ooom-oe ev .ACO.j He;. TypeofBuilding AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Elechic Heating Apt. Building Dryer Other (Specify) Comm.!Industrial Fumace Farm Air Conditioner ? ? Otner 15uecily) Conhector5 RamaMS- Co mpute Inspection Fee 8elow: # Other Fee # ServiceEntrflnceSize Fee # Circuits/Feeders Fee Swimming Poal D ta 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 100 _ Amps SignS Inspector's Use Oniy. TOTAL _ Irrigation Booms ? S4 ?v Special Inspection Alarm/Communication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rouqn-in oaie certify that the above inspection has been made. F;,,ai ? oa?e OFFICE USE ONLV This request voitl i8 monIDS imm p 012 2 9,2 ReQuesl Date q Fire No, ougr-in Inspection ReQUiretl4 CI Reatly Now elWIII Notify Inspector 7 2 7.'4es ? No When Ready? I-2'ricensed conhacfor ] owner hereby request inspection of above electrical work al: Jae HaUrenss ?SV . Box ar Raule No.) ? Clry V Senion No. 7 Na e or No. TOwnship Range No. Goupry LJ Occu N iPRINTj PM1One No. Gower pplier AtltlrESs ?/ Elecln on an Namej Convactor's License No M a4??3 Maion tltl:ess iConlrac;oror Owner Making I e nstallation) Awhonzstl SignaWw iGOnlract Owne? I ki Instailallon, Phone Numper ? 6 -381a MINNESOTA ST11TE BOAND OF ELECTRIGTY A, THIS INSPECTION fiEQUEST WILL NOT Grigqg-Mbway Bltlg. - Poom 5-173 BE ACCEPTED BY THE STATE BOARD 1621 University Ave.. SL Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. '/g/y'/ RE FOR ELECTRICAL INSPECTION 11"i?ee insVUCtions for completing IMS form on baok of yellow copy. Qn ?a ??q "X" Below Work Covered by This Request ".^ EB-OOOD1-08 b ew Atl qgp.. ._,.Typeof6uilding AppliancesWiretl EquipmentWired Home Range Tempoiary Service Duplex Water Heater Electric Heating Apt. 8uilding Dryar Other (Specity) Comm.llndustrial Fumace Farm Air Conditioner Othar (sVecityl Coniremoe5 RamaBS' Compute Inspection Fee Below: n Other Fee # ServiceEntrance5ire Fee ti Circuits/Feetlers Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps 41 Transformers Above 200 _ Amps A6ove 100 _ Amps SignS insvector§UseOnly: ) TOTAL Irrigation Booms ?p?{- ? a Special Inspection AlarmlCommunication THIS INSTALLATION MAY BE OR ERED DIS NNECTED IF NOT Other Fee COMPLETED WITHIN 18 MO f I, the Electrical Inspecror, hereby Roluyn-m r certify that ihe above inspection has been made. F;,,ai OFFICE USE ONLY This :eqaest voia 18 monms imm Address: 4098 FpRYJORE CWRT Lot Z Blk I Sec/Sub HIL,$ pg' SIUWJMUDGE 2M These items were/were not complete at the time of the final inspection. 9/5/91 Yes No y? 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 Please verify with the builder the removal of roof test caps Erom tha plumbing system andthe shut-off of water supply to the outside lawn faucet before freeze potentSal exists. xFC2l[OM1%? White - City copy Ye11ow - Resident copy Pink - Contractor copy ? 2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for. single family dwellings & townhomes/condos when perrrvts are required for each unit Date io / a8 / 0T Site Address y? ??by- mL?-?--, C`t- Unit # Property Owne&C3{"? ? lltaY1R Q.'??-? Telephone #( 05) Contractor ? Wohlers Southside Htg. & Air, Inc. 6950 W. 146?' St., 4106 Street Address _ Apple Valley, MN 55124 C?? State (952) 431-7099 Telephone # ( ) Booa #: h c?v5'-+'7q 8`7 Expires: 8 ??cio The Applicant is _ Owner _),_Contractor _ Other Add-on or alteration to existing dwelling unit $ 30.00 furnace _Additional ?Replacement air exchanger airconditioner _New _Replacement other State Surcharge $ .50 Total I hereby apply for a Residenual Mechanical Pemvt and acknowledge tLat the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanica] Codes; that I understand this is not a pemvt, but only an application for a pemiit, 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 ieview and approval of plans. LG. n?c4--N Applicant' inted Name ApplicanYs Signature ?l NOV 0 1 2004 JlJ Cy_ - .S 33 ?3 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Reauirements • 3 registered si[e surveys showing sq. ft. of lot sq. R. of house; and all roofed areas (20%macimum lot coverage allowed) • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 set of Energy Calculations • 3 copies of Tree Preservation Plan if lot platted after 711193 • Rim Joist Detail Oplions selection sheet (bidgs wAh 3 or less unds) DATE ? IS?-G?, SITE ADDRESS TYPE OF APPLICANT STREETADDRESS / L67KP /N. TELEPHONE # J'? "7o9577oCELL PHONE # MULTI-FAMILY BLDG _ Y AN FIREPLACE(S) _ 0 _ 1 _ 2 ?v-STATOMA/ ZIP.51ay- FAX # {ha ao? 7,g z7 PROPERTYOWNER / &a4i?e- Cn<?? TELEPHONE# Cs0 -LX6 _/_3VZ_3 ----------------------------------------------------------------------------------------------- COMPLETE THIS SECTION fOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ N4IVNI;SO"CA RUI,L:S 7670 CA"l'tiGORP 1 MINNESOTA R[iLF:S 7672 (d submission rype) . Residential Ventlla6on Category 7 Worksheet Su6mitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Piumbing Contractor: _____ PlumUiug systcm includcs: Mechanical Contractor: Vlcch,mical svsIcm includcs: Sewer/Water Coniractor: Phone # Phone # ---------------------°-----------------------------------------------------------------------°--------------°---------- I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ord4/f? inances. Signature of Applicant 1 ?5 - ?? - ----------- -------- --------------------- _--------------- ---------- --------------------------------------- USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 Wa[cr Softener _ Watcr Hcater No. ol' Baths _ Phonc # I.a«1i Sprinklcr \o. oC R.I.13aths Air Couditioning -- Hcal Rccovcry Syslctn / qd -'45.' RemodeVRepair Reouirements • 2 copies of plan • 1 set ot Energy Calculations for heated additions . 1 site survey for exterior additions 8 decks • indicate if home served by septic system for addifions VALUAiION ? ODU. 00 Y , , SINGLE FAMILY DWELLINGS 1991*BIISLDING PERMIT APPLICATION CIT7G OF EAGAN HQLTIPLE DWELLINGS t i IMAr COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTUI2AL 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 WEiEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. IAT CNANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MITST DESIRED. NO CHANGES WILL BE Ai.LOWF.D ONCF. RIIILDING PE! PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE AIfrfT MAY P PERMIT MUST SHOW A LICENSED PLUMBER. To Se Used For " Site Address !Ia?bqfe? Valuation: ? Date Lot 2 Block \ -f e-4- iP r Parcel/Sub /4yk1- p4 owner Address City/Zip Code Phone 4?71- Contra Addres City/Z Phone Arch./ Addres City/Z Phone l3S,oDo- OFFICE USE ONLY Occupancy Q3m-I Zoning F-D I Actual Const \/"' Allowable V-N # of stories Length 2O Depth T 3w_ S.F. Total Footprint S.F On site sewage_ On site well _ MWCC System v City water PRV Booster Pump _ APPROVALS Planner Council Bldg. Off. Variance FEES Bldg. Permit F (9Z1 00 Surcharge r)e SO Plan Review 495,00 SAC, City QO?OJ SAC, MWCC (4250.00 Water Conn. b DlOp Water Meter 95,00 Acct. Deposit 30,00 S/w Permit 30,00 S/W Surcharge ,b`O Treatment P1. /216,00 Road Unit 3r10,? Park Ded. Trail Ded. Copies SIIBTOTAL Penalty Lot Change TOTAL agrees that all work shall be done in accordance with (Signat re of Contractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. i i I?'?-'?-? ?TI o I? ? G-?AR?GtE oq??? ?zX Z ; c? 4h x 15= IIl9? j- 3zx 3?. ?1SZ 1 sr F? oo? . .. ?3sM7; = I1qg aPx-7 xfy? ? a?.,. ?/(vl)< ss= ?l95-17 Z Np 3Z X 36 = 83Z. Z?zxll? ? 86e) x 53 ? ?/558 0 1 t7 ? sj OC)J ° ,. , 'r ** * * * PIONEER * engineering o. * *?[ ? 2422 Enterprise Drive Mendota Heights, MN 55120 LANDVIANNERS•LANDSCHGE ARCHITECTS Certificate of Survey for: TNE POTTL UI VD CO.. I/YC ? NoRTN ? em o a ? U 50 a n ^ V ? I k'o6 ?o N ? . ea•?? ?- ?. 00 ^ti. ? Di f jY.9g, /O( ? ? r ? ? ? jyC2 I I I 1D I - 3f.3s- N i2)3 - ?t U Q ab? ? - a 7 9 Z•o ° o M ? T Z, o o ? NZO.i3 ? ? 0 0 0 0 ^? m y-- --,t S.Tg ?8'pe••_ ` A65.22? ? _, J ? P / ? ? ? oN ! h ? -----_ ? (672) 681-1914 i 72, p4 W. e9 °5a'S3 it! CAM F3C-R wC . soo.o DenoFes exisfino flevafion . ?o.o penafes propdged F/evohori - C7enofes Orainaie(Utrliy Easemenf --? Denotes Orainc ?/ow qrrows 0 Denofes mor?`umenf Beprin(?s 5ftown are assumec/ ?7 ?.. ?-- 3, -- l,vrm;;?.??INt? DEPT PROPOSE __Q u?sE LEVA77CJN Lowes Floor Eleva ion 887.sTop of elock Elevafion 89s.t Garo e Slab f/evafron A9 s'• t o (?eno?s Oft sef f-lub Su?-ed fo Easemenfs o1''Recard LOT 2, BLOCI! l, NILLS aF ST4NEBa1DCE PLAT 2 DAKOTA COUNT?, I hereby certity that ihis is a true and wrrett representa[ion of a survey O( the boundaries 01 [he abopve Aes ihed land d of the locatinn ?of? all buildings, Ihereon, and all visible encroechmenu, if any, /rom or on said land. As surveyed by me thislay of A ? A.D. 19.L' , / ? Sca/e : p inch, 4O{?et RQ I nA L5. REG. NO. 16 91 FC7'F7ti0R F.NVF.MI't: AVI•'KACF•: "U" CuMi'U'fh'1'M!I N09Mf}ND? ONN u'i SZTE ADDSESS LoT Z..?Loc.KI ttlL?? GG S'Tt?NE[3'?YDCY? ?L A? Z CONTRACTOR ?07'TL DhTF. PHQNE Deterain vorkinr; square footai?c o1' cach. 1. Total exposed wall area .. 2r7 /?•? sn. ft. x 0.11 _ rG?3;,2 2. Total roof/ceiling area .. I179•? sq. ft. x e.,026 _ 7jQ,G/? c Total exposed wall area nbove rloor Z a. Total vall vindou area ............................ /?A 7' 2 , b. Total door area ................................... -?14 2, c. Total sliding glass door area ..................... -- d. Total fireplace va11 area ......................... 2 G e. Total wall frzming area (average lOP) ............. ""1 '7 f. Total net wall area above floor ................... /a ? 7,0! g. Total rim joist area ................ ........... a,3j Total exposed frn:ndotion arca h. Total foundetion vindov aree ....................... ? J?7.7 i. Total net foundation area nbove grade ............. • ? . Deter.nine "U" yalue o; each wall c,FFment. ? 8. 154.2 x„Lj„ O,¢2 - 77•34 b. 5+(0, ¢Z X.,U„ D. I 38 - 7. 7g C. - X "u,i ?- _ -- d. X„u„ e.. .7-7 xAlUr. ?,089 = ?8.75 f. 18971 ar x„U,. p,a43 _ 81.57 y . s• 2 2? , o X••t,,? o, D4 I?= q.o S h. l5i7,t7 ? X?tUl, QsvJ 7. zt X„U„ 3. . . .. . .. .. .. .. . . .. ...... .. .. . . .. ?rot.r, 2IJ7• .. ?. If item N3 is the same as, or less '.h:'n itecn ., ga+i-n"e-met-Ehe intent or sBC 6oo6(c)2. f, .. ?. -? Total exposed roof/ceiling arel = I I??? ? y . .. . ? Total gross roof/ceiling are:i = . . ' ?? ?. Total skylight area .......................... k. Total roof/ceiling framing area ..............• 1. Total net insulated roof/ceilinF area ......... 0 (o /• 7 7r _ • Determine "U" value for elch rocet'/cei 1 inl; seb'ment. ?-- , olUll --?" _ N . 3;1$ ' x: 1i7, X „U„ 1. i o?/.5? X„U„ 4R) a . .... ........ ................:. Tocgl o ?- Ii total oP N4 is the sa-ne as, ar less than N2, you have met the intent of sac 6oo6(c)i. . . To utilize the total envelope system method, Lhe values establi_hed by the sum of iteas N3 and 94 shall not be 6reater.thxn the sum of iten:s N1 and N2. 1. + 2. ?+ L. . , ?. U _ . . .. O ° (D f- rc,c?= C n -??'-- 31 -- _29 • _[o _ . ---- - - _ -.o,a-5---- _ ----_- u _?5.b3 ? D, 027 ---.- -- 44.4 I -0•.?1_-- --_. I ?, r = 0,022 ?i?U3 -? :-UAI,U? GAI.?ULATICN? (GaNT). =MAMI?- WAw (-d jN,-5qL6jIoN LoMPo N ?N?i ? 12 u ?4 ? U oVP?DE AIP Ht,M -h? ?olNlr. .._ _ 72u &IP C'aD L51oE PdfL - . F?- VAl-U 5- (q.o ? o, 45 - - --p;Cob - I?-1 _ 0_043 , -FFftMG WRU. C y.vTi.4D _ pI,IkN• yiew. C c C C C L.. LoM PaN?NTh o_uT-sloE Riiz pLl?I. hH?A'rH I N l? • ? x u h P.Ib (F??) Ml?- RLM. . F--VALU5 - O,1'i.--- - 0??2:: -. 2 ,oLi _ --_- o._ _ ?arn?. -- U ?L =G?1NP?. ??Ur= ?0,12 X o.o?y) -f-?o,Sb X o.043? = 4. o?? - , ? ? ? ? O O n2AFOIJA?? :_ 1WTI =fk1p- _9 L.!-M Hl1 r? 6 N?h'fH ?Wv . ?Y _k??- ?(?M • :_-- -?. Co O -- Z,OL , TM NDP??IoN ? -. &Z1 "R ?45?J? ?- O ? {{ z? U 3 - - -- - ?_- -? . ? 3 (?z,?? _?t=(-=-? - = o • ? ? -t = 0.0b: f ., 4 CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT TYPE: Permit Number: Date Issued: suiLoxNG 0@0223 04/10/92 SITE ADDRESS: DESCRIPTION: 4098 FOXMOORE CT LO7: 2 BLOCK: 1 HIIIS 0F STONEBRIDGE 2ND Buil<7ing Permit 7ype DECK 8uilding Work Type NEW Building Leirg,th 8ui.kdimg Wi dttr' , i 16 16 b1 1,3 ?f REMARKS: 12 () I ?a a(p FEE SUMMARY: Base Fee $25.00 Surcharge $.50 ToCal Fee $25.50 CO - Rppiicant - OW113 J?j?RLtY SCQTT I???Tg?i:DEMNIS 16610411 3206 ALDEN POND LN 4098 FOXMOORE EAGAN MN 55121 EAGAN MN 55123 (612) 681-0411 (612)686-9855 I hersby acknowlsdge t•hat E have read this epplication and state that the information is correct and agree to comply with all applicable State af Mn. Statutes and Gity of Eagan Ordinances. ? 4PLINT/PERMITEE SIGNATURE PERMIT ? ,n ?.?a d 117. I SUE BY. SIGNA?fl1R Control No. 0203 I INSPECTION RECORD I C°n ° "°. 0203 CITY OF EAGAN PERMIT TYPE: euiLornG 3830 Pilot Knob Road Permit Number: 000223 Eagan, Minnesota 55123 Date Issued: 0 4 J 10 / 92 (612) 681-4675 SITEADDRESS: Lor: z BLoCK: i APPLICANT: 4098 FOX1900RE C7 DECKS BY DENNZS HXLLS OF STONEBRIDGE 2ND (612) 681-0411 PERRI SUBTYPE: TYPE OF WORK: NEW F- L 1 il l . ?il ilf I' • ? •i?ins; l!':I(.i'il?: f I Siil{?• :i t! i i! 1 I' 7 J i ' i . t2.3 CITY OF EAGAN 1992 BUILDING PERMIT APPLICATION 681-4675 i:PR G? RECo SINGLE & MULTI-FAMILV 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 9n which re uest is made r lot chan e is re uested once ermit is issued. Date Y` 7-9 Z Yal uati on of work Site Location: 11696 F41w?oe°Q cz STREET STE # Tenant Name: LOT 2 BLOCK ? SECT/SUBD.& P.I.D. # Descri tion of work: cz0,4/1 D-e The applicant is: ? Owner Contractor D Other (Deseribe) Name 51111e,e SCd Pho ne ?o b?la - 9S? Property LAST iIRST Owner qddress yd 9 4 AeX1;7oZe C-6 STREEi STE M City State Zip Company 1?oc-Gs ,4/ 4?'w's Phone /QSi-ovi/ Contractor # V}so"?'` Address :?20 0 ?4O67JpfN0 e?/ License T City Ewa,-, State ? Zip 5-5-12! Company Phone Architect/ Engineer Name Registration # 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 carrect and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ? 442n Signature of Applicant: OFFICE U5E ONLY BUILDING PERMIT TYPE 0 01 Residential 0 02 R. Garages 0 03 Two-family 0 04 Townhouses 0 05 Multi. Dwellings WORK TYPE 0 90 New 0 91 Addition 0 92 Alterations TYPE OF STRUCTURE 0 101-01/20 1 FamSly Res. Q 102-03/22 1 Family attached 0 103-02/21 2 family (duplex) 0 304-10/23 3& 4 Family 0 105-10/23 5 or more Family 0 213-30Hotel/Motel 0 06 Cort¢nercial ? 07 Industrial 0 08 Public Works 0 09 Utility 0 10 School 0 93 Remadel 0 94 Repair 0 95 Tenant Finish 0 214-30 Other Shelter/Board 0 318-30 lunusmnent/Rec. 0 319-30 Place of Worship 0 320-40 Industrial 0 321-30 Non-Res. Pk. Gar. 0 322-30 Service Station 11 323-30 Hosp./Institution GENERAL INFORMATION ... 0 11 Other Structure 0 12 Demolish 0 13 Fireplace 0 99 Undefined 0 96 Move 0 99 Undefined 0 324-30 Offlce/Bank 0 325-30 Utilities 0 326-30 Schools/Ed? 0 321-30 Retatl/Rest./Vhse. 0 328-30 Other Nonres./Sheds 0 329 Non bldg. Strueture 0 434 Alt./Add. Residential 0 437 Alt./Add. Non res. 0 438 Alt./Add; Res. Garage 0 645-50 Demo 1-Fam. 0 646-50 Demo 2-Fam. 0 647-50 Demo 3 6 4 Fam. 0 648-50 Deno 5 or more 0 649-50 Deno Other Length IL MWCC System Occupancy Depth City Water Zoning Sq. Ft. PRV Required Const. (Actual) On-site sewage Booster Pump (A17owable) On-site well Sprinklers # of 5tories CehSusCo?e ?? APPROVALS Planning Building Assessments Engineering Variance REtIUiRED INSPECTIONS ? Site ,?n Footing ? Framing ? Insulation ? Wallboard )2 Final ? Draintile ? Fireplace sAC cetculec;ons: Description SAC X X SAC UnftS Piune?r Eneineerine eaavtiao * * ** PIOA ? engin * ? ** c[vIL £NGINEERS o. ?,?r?oa?r.nncas•4wnc6c?VGnHG?+ITECTS 2422 En:erprise Dnve Aiendoa Helghcs, MIN 55120 (612} 68t-1914 CeRificete of 5urvey for: T14F PO + tL v' "' D CO• • r' YC. ? NORTH U 50 > ^ ? J q ^" L2 ? 643•?.r,,. ? n ti 1ipf A- fjjj\\\ ? lu? i y ? ? r \t i ? b? ? ? 1 !, ? t ^ ! 0 gp? ----? ------_ 1 ?.f - ?'1a + Ss S 10 ?3t.13 ? e `? u = ap ? i?o CL x z•a O y; O N Z.0 ? M s???? yG 1 j 1?..7/` ?[? ?D ? L+ f Q ? ? 1 f 1 2 ? ? .'?k. ? aN ? M N ? -- z 89 • ?95. a ( ? l e g'" f 8gz ?- 72• a4 .J•e9°5a'S3'i+(. ?° Q.iz°D3"s?'• CAM f3CzwC L_t.. !.]R'! y?_ . , soa.o Denofes exisfin4 Sevafion Denafes propd?ed Elevahon Uenotes Draina ef Utri+y Fasemenf --? Dena?es Drq, ?aw ,Qrraws ? Denajes monumenf Bedri?c?s .sftown are aSSumed o E N E var ri, L.o+vPS FlDOr • evcx on 967, V Eop at B/ack fJevati on 9 5./ GaroSlab Elevafron 4 ?! s o De»o es 40tlt?''sef YuLa Su?ei4 to Eweemenfs ot qecar?a` LoT 2, BLOCu ? 114tLts aF STonrFBaIDGE PcAr 2 04KOrA COuNrY c Ixetien qof?a1l 1 hereW cerify e{!at this is a srue and camect reprtsemztion of a surv¢y o( ths tounda=SIKI buitdinga, th&repn, and all visible emcrDadi?+enti, if anY, fTom Or 0n sid land- As surwYed A.D. 19 ?•.. Rev, 5-31s91 lk(d?d E?.-? SC?rIe .' 1 rnch, 4O1ee1 , 34 91 ?123;33 CITY OF EAGAN 3830 FIIAT KN6B ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 FOR CITY USE ONLY PERMIT # RECEIPT # 062 '- DATE: / PLEASE COMPLETE DPPER PORTION ONLY FOR SINGLE FAMZLY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION NEW CONST ? ADD ON _ REPAIR _ OWNER NAME:711A ?(J-GGJ 11n A ?..F? • SITE ADDRESS:`lO `1 O ? LOT;of BIACK _L SUBD. INSTALLERFAR • in •.. ADDRESS; 9303 P;ymouth Ave ?No. • Culden a ey, . 7 ciTY: 2IP: PHONE #: 5'? FEES ADD-ON MINIMUM $15.00 HVAC 0-100 M HTU 24,00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 OF 1 PER PERMIT SUBTOTAL: $ 2!?? STATE SURCHARGE: .50 TOTAL: SIGNATURE OF PERMITTEE COkIk4E"MXNDTTST&ZAL::: PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDIISTRIAL SUILDINGS, .. .. APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. ------------ CONTRACT PRICE OWNER NAME: SITE ADDRESS: LOT: BLOCK _ SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FOR: FEES 1% OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR EACH $1,000 OF PERMIT FEE. PROCESSED PIPING a $25.00 $25.00 MINIMUM FEE. CONTRACT PRICE x 18 STATE SURCHARGE TOTAL: $ (SIGNATURE) CITY OF EAGAN uuu (_( MECHANICAL (RESIDENTIAL) Permit Application ? City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for: Single Family Dwellings Townhomes and Condos when permits are required £or each unit Date 0 1 / 08 / 04 SiteAddress 4098 FOXMORE CRT Unit# PeoperryOwner SCOTT & DEANNA HEISE Telephone#( 651 ) 688-7756 Contractor RON' S MECHANICAL, INC. StreetAddress 12010 OLD BRICK YARD IZD City SHAKOPEE State MN ZiP 55379 Telephone# ( 952 ? 445-8585 The Applicant is _ Owner X Contractor Other Add-on, modiGcation or alteraGon to eaisdng dwelling unit $ 30.00 furnace repiacement ? air exchanger air conditioner other State Surcharge $ .50 II?(_b3?? v ? ? Total ! $ ?• , ? I hereby apply for a Residential Mechanical Pernvt and aclmowledge that the info?te??and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagaa and with the Mechanical Codes; 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 wMch requires a review and approval lsyjQ? Llnch ,.SernnrldP,r yae?-? Applicant's Printed Name ApplicanYs Sign re Use BLUE or BLACK Ink I For Office Use I I i I City of Eap ~ 77 r7 "A t ~ : v . t j I Permit I I I MAY 15 2012 Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 j Date Received: 1q.: Phone: (651) 675-5675 I Staff: X 1~-, I Fax: (651) 675-5694 I I 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: S11:5 117- Site Address: 40qB 1:oh m oa re C,,a e- Unit M - 7'1 SIa Name: SC-04 a.►'K DcCgnn1 44ciSa. Phone: 01-485 RESIDENT / OWNER Address / City / Zip: 4,018 FoxMoo 6- k Ensen M tJ SS 1 L3 Applicant is: Owner Contractor S112t'r►1~' S-z cslAovt kottkoA 514Ayr TYPE OF WORK Description of work: We-' m - Construction Cost: 61 ODp' Multi-Family Building: (Yes _ / No X ) 1111 SC1~ l(.~ Company: r -re-J& EX-!r lors , T7y w- Contact: 9'a CONTRACTOR Address: 5-90P ~ g(►cU&SW.rc & -City: -AAU-6 State. rDroJt. N (T M" Zip: 550710 Phone: (PSI - (CBS 40345 License aG 5 a? 2,7 4 Lead Certificate M PAT-1+r35-1 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 the are trade secrets. W 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.org 1 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. x W;1 k1-QM ZIIe4Sc(1 V x~~ - Applicant's Printed Name Applicant's Signature Page 1 of 3 ,Sbrar►ole( cik~ol= e93a►+ • . DO NOT WRITE BELOW THIS LINE/10 " SUB TYPES _ Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) Multi _ Deck _ Porch (Screen/Gazebo/Pergola) Exterior Alteration (Multi) _ 01 of Plex _ Lower Level Pool Miscellaneous 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 Occupancy MCES System IIIAL Plan Review ✓ Code Edition 2-v07 owsgL 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) Meter Size: Footings (Deck) coal / 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 V/ Framing ✓ Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill _ Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: cem r , Building Inspector RESIDENTIAL FEES Base Fee J 32..1 S Surcharge 9j . • O Plan Review $ ~o • Z rj MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Z2Z • b Page 2 of 3 PERMIT City of Eagan Permit Type: Building Permit Number: EA107440 Date Issued: 10/12/2012 of 3 a R Permit Category: ePermit Site Address: 4098 Foxmoore Ct Lot: 2 Block: 1 Addition: Hills of Stonebridge 2nd PID: 10-32991-01-020 Use: Description: Sub Type: e-Siding & Windows/Doors Construction Type: Work Type: Siding & Windows/doors Description: House Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing Fee Summary: BL - Base Fee $8K $162.25 0801.4085 Valuation: 8,000.00 Surcharge - Based on Valuation $8K $4.00 9001.2195 Total: $166.25 Contractor: - Applicant - Owner: Krech Exteriors Inc Scott M Heise 5866 Blackshire Path 4098 Foxmoore Ct Inver Grove Heights MN 55076 Eagan MN 55123 (651) 688-6368 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. Applicant/Permitee: Signature Issued By: Signature i b '� Use BLUE or BLACK ink gg For Office Use a City ofEaffl Permit#: l / 13 v 3830 Pilot Knob Road Permit Fee: 6 Eagan MN 55122 / .f � � Phone:(651)675-5675 Date Received: O Fax:(651)675-5694 0 6 2017 Staff: 2017 MECHANICAL PERMIT APPLICATION ❑ Please submit two(2)sets of plans with all commercial applications. Date: Site Address: 1-40 c1 R.5%!VL ("clef cr pc CsFYU & rV 5Sl 2-3 Tenant: Suite#: • e�240 N Phone: 7&3— �S0_ ?'13'/ ,;,�Restr�errtl0wner ,, Name: TDM €i MkYLj � j Address/City/Zip: KIS iAC-A-V1.f‘i& Ali CoWDf1law1rv&- ;? Name:, (7 Lt M 6! lvFr 1 y\.f C• License# J1s4i3c1 Address: /4-11."1•( City RO Cil tePG T7. ContractorJ State: M 111 Zip SS clO [ Phone: 50-"+- 5(401- 2:7,32, Contact: I I of,l Email: 13QOtAIYVC • COM New A Replacement Additional Alteration Demolition Type of Work Description of work: kr 12Affi de 4 A-C PL A-G e INA eikir NOTE;Roof mounted and ground mounted mechanical equipment Isrequired to be:screened by Cityi, Code Please:contactthe;MechanicallInspectorlor'`Information!on:;permitted screening methods RESIDENTIAL COMMERCIAL { Furnace New Construction Interior Improvement l PerAir Conditioner Install Piping Processed • _..:_. P 9 Air Exchanger Gas _Exterior HVAC Unit —Heat Pump —Under/Above ground Tank L install/—Remove) .w..... : . Other RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit,includes State Surcharge $100.00 Residential New,includes State Surcharge =$ (1,0 •OCA TOTAL FEE COMMERCIAL FEES Contract Value$ x_01 $60.00 Permit Fee Minimum • $75.00 Underground tank installation/removal,includes State Surcharge =$ Permit Fee _$ Surcharge Surcharge=Contract Value x$0.0005 If the project valuation is over$1 million,please call for Surcharge =$ TOTAL FEE 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 U,^i - - x Applicant's Printed Name Applicant's Signature FOR OFFICE USE . r Required inspections a Reviewed By Date -° Underground -Rough,In ' AirTest Gas Service Test' ! -in floor Heat Final HVAC Screening PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA173832 Date Issued:12/07/2021 Permit Category:ePermit Site Address: 4098 Foxmoore Ct Lot:2 Block: 1 Addition: Hills Of Stonebridge Plat 2 PID:10-32991-01-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 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 - Thomas L & Mary M Peterson 4098 Foxmoore Ct Eagan MN 55123 (763) 458-9934 Milbert Company (culligan) 1801 50th St E Inver Grove Heights MN 55077 (651) 451-2241 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA176600 Date Issued:05/24/2022 Permit Category:ePermit Site Address: 4098 Foxmoore Ct Lot:2 Block: 1 Addition: Hills Of Stonebridge Plat 2 PID:10-32991-01-020 Use: Description: Sub Type:Water Heater Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 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 - Thomas L & Mary M Peterson 4098 Foxmoore Ct Eagan MN 55123 (763) 458-9934 Bruckmueller Plumbing Inc 3992 Pennsylvania Ave Eagan MN 55123 (651) 686-6696 Applicant/Permitee: Signature Issued By: Signature