824 Cornwallis CtCITY OF EAGAN Remarks
Addition NORTHVIEW MEADOWS Lot 22 Blk 7 parcel 10-52100-220-07
Owner Street 824 CORNWALLIS COURT State EAGAN MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF, fk3 1984 76.75 7.68 10 69.08 01404 6-12-84
STREET RESTOR.
GRADING
SEWER L T 1981 15.89 .79 20 12.73 A014045 6-12-84
SAN SEW TRUNK 15 1981 13$.48 6.92 20 110.80 ft op
SEWERLATERAL 1984 275.22 18.35 15 256.88 it
-17 1981 22.28 1.11 20 16.36
WATERMAIN 9Y) 1984 70.67 4.71 15 65.96
WATER LATERAL 1981 1$.65 .93 20 13.69 "
WATER AREA ?(('J 1981 138.45 6.92 ZO 110.80
AT R LAT '73 1982 29.52 1.48 20 23.64
STORM SEW TRK 1984 392.32 39.23 10 313.86
S70RM SEW LAT
I A E I 1984 33.97 3.40 10 30.58 A014045 6-12-84
CURB & GUTfER
SIDEWALK
STREET LIGHT
WATER CONN, 450.00 n tr
BUILDING PER. 9796
SAC It
PARK
CITY OF EAGAN
;W 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDINC??ERMIT PHONE:454-8100 Receipt?
To be used for Est. Value Date
Site
1?
e24 t;CER;?kAL3.ACE CA?'l?tT
,
Lot Block Sec/Sub.
Parcel No.
a N8m8
; Address
0 City Phone
,o Name _
U Q Address
? Ciry Phone
Name
City
Phone
OFFICE USE ONLY
On Site Sewage _ OCCUQancy
MWCC System Zoning
On Site Well _' Type of Const
Ciry Water _ (Actuaq
(Allowable)
* of Stories
Length
Qepth
S.F. Total
Footprint S.F.
APPROi/ALS
Assessments
Water/Sewer
Police
Fire
Engr.
Planner
Council
FEES
Permit
_ Plan Review
_ SAC, City
! SAC, MWCC
_ Wattr Conn.
_ Water Metar
_ Roed URlt
_ Treatment P1
_ Parks
Copies
TpTAL
I hereby acknowiedge that I have read this application end state Bld9- Off•
thatthelntormationiscarrrctandagreetacomplywithallapplicable APC
State of Mlnnesota Statutes and City of Eagan Orclinances. Variance
Signature of Permittge
A Building Permit is issued to: `• i."?'. '
all work shall be done in accordance with al
Building Official
State of Minnesota
i4
'
a
?
?
?
?
.??
Permft No. Mrmit Molder Dat* Telsphons ?
Plumbing
H.V.AC.
Electric
Softener
Inspectlon Dats Insp. Commenta
Footings I
Footings II
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Ntg.
Final Plbg.
Bldg. Final
Cert. Occ.
Temp. LP
Deck Ftg.
Deck Frmg.
Well
Pr. Disp.
m- r
, 3830 Pilot Knob Road, P.O. Box 21-199,
PHON E: 454-8100
BUILDING PERMIT
7
z
w
Z
3
0
Date '/-w ?
OFFIC
? Site Sewage _
VCC System _
? Site Weli _
y Water _
Q Address 767 0 138TH ST APPROVALS
CityApple V alley phone 431-7088 qssessments _
Water/Sewer _
t
W Name Police -
W
?
Address Fire
Engr. _
=
W City Phone Planner
-
Council _
I hereby acknowled ge that I have read this application and state Bldg. Off. -
thattheinformation iscorrectandagreetocompty with all applicable APC -
State of Minnesota Statuteslrd Ciry of Eagan Ordinp ces. Variance _
AI
all
all
21 N_ 14565
is 8'K
Meter
24.50
ondition that
CITY OF EAGAN
3830 Pilot Knab Road, P.O. Box 27-199, Eagan, MN 55121 N?
' • PHONE:454-8100
C. ?
BUILDINd PERMIT Receipt ?qt 1
Te be w.d ia 5F Dti3G/(-,7__: Est. vo?ue y `'' -' ?r) r) 0 Dare I'rBRUARY 7 19
SiteAddress COR'LkJ'VP.LLIS CdURT E?ect "J
:? 2 7 ''JORT?-NIEr'T _t?ZJ . ? Occuponcy _
Lot Block sec/Sub. - /11ter ? Zoninp ` --7?
Parcel No. 1 Q' ?`= n'1' 0 Repair ? Fim Zone T1 `
Eniarpe ? Type ot Const. VI"i
oc Name I{.r.Y t(prl^F) Move ? #' Stories?
W
; Address 3 4 7 1 7 3 `- ' ? F r' - Demolish ? Length -' ?
? City ?ORL?-?+ Phone ?`: 94 - 6 6`' (' Grode ? Depth 4 0 Sq. Ft.
°L Name
?a
8u Addre
? City _
Assessmenf
Water & Sew.
Police
Firo
Erq.
Planner
Councfl
Bldg. Off,
APC
Permit a Y'' • 0
Surcharpe L 2. 50
Plon check-130.2 5
SAG ? 0
Water Conn.
Wnter Meter ? O
Rood Unit
Torcl ? y • 5
N&Tle ULaYl'11J i..?ii?viut
Addresa SOUTII "A^?' OFFICE PLIa.ZA
Citv L'LO0MI6iGTONone 331-1$75
I hereby atknowledge that I hove rood this application and stote thet
the informotion is correct ond ogree to comply with nll opplicable
Stete of Minnesota Stotutes and City of Eagon Ordinonces.
Siqnoture of Permittes /1 Building Permit is issued to:
. ? Oi•IST.
oll work shall be done in atcordante with oll oppli le Stote of Mi?
Buitdinp Officinl
on Yhe ezpress condition that
ond City of Eayon Ordinances.
Permit No. Permit Holdsr Misc. Permit No. Holder
Plumbinp I 3 ?v L?
H.V.A.C. S ?I• O i Y aL3
w.n
w.t.?
Disp.
SeNrer
Eleetric ? 9Z ^? 31r Sb
3'/780 ?ncn !5 3S• cT?
Inspection Date Insp. Othar
Footinpt
Faundetion
Freminp
Rough Plbp.
Rough HVA
Inwlation '
Final Plbq.
Fina
Fina
W? T
pose?ibe Location: '
VYel
Ssw
Pr.
CITY OF EAGAN
I 3830 Pilat Knob Road, P.O. Box 21-199, Eapn, MPl 55121
PH ON E : 454-8100
BUfLDING PERMIT
Ts 6a u?ed fer ' SF
Site Address .
Lot 2 2
Parcel No. _
N° 8796
Receipt #
000 Oate FEBRUARY 7 , I 9_ 8 4
oe Name Ar+Y LE',NL riV1v1,C;5 _
W
3 Address 1471 47 173? Rm -
9 City ?TQRDAN Phone 492"' 6ti 4 fi
za Name GLA CON
?? qddreu 6451 E.
? CitV pRTnR T.K _
Name DENNIS HALL UIST _
Address O T$ ('ATF nFFTC`F pj,AZA -
I hereby acknowledge thot I hove read this opplication and state that
fhe information is correct ond ugree to comply with all opplicnble
Sfote of Minnesoto Statutes and City of Eogon Ordinances.
Signature of Pertnittee
frect E) Occupancy R3
Alter ? Zoning R1
Repoir ? Fire Zone N/A
Eniarge p Type of Gonst. Vri
Move ? # Stories
Demoiish p Length 36
Grade p Depth --4-0--Sq. Ft.
Approrals Fees
Assessment
Water & 5ew.
Police
Fi?e
Eng.
Planner
Count(l
81dg. Off.
APC
Permit "j 2b U . nU
Surcharge 22 - 50
Plon check 130.25
sAC 525.00
Woter Conn. -45L-.-II0
Water Meter 63.00
Rond Unit -25Q,20
Totol $17 01. 2 5
A Building Permir is issued to: CLA CQNST , on the exPress Conditlon lhnr
oll work shall be done in ace rd nce wiTh all a tjz-i?.4? le State of Minnesota Stotutes ond Ciry of Ea9en Ordinances.
Buildiny Oificiol ?-,? /
CITY OF FAGAN Include 2 sets of plans,B•p
1 site plan w/elevations ? ?7qb
? BUILDIIVG PE , APPLICATION 1 set of energy calcu7-atiaris.
i ?- To se used r,or Valuation Date
5a.te Address gZ torru r.s?+-l,( 1'5 C.bu ic 7-
IAt 2--0- Blork 7 Sec./Sub. I.Aa:419ZPs
Parcel #: ?'j-'?'- -, I UO ° a a? J? 7
owner: ,&-Li -Z4n,:; r'1 /aLtlYt?c?-s
Address : :3 ? / f•? ? ?.? ? s 7
City/Zip Code: T tW4?J 00?^AJ
Pr,one #:
Contractor: ?? ?fvsr-. ??s 1N?-
P,ddress : ?y5) -? `?? s?=
City/Zip Gode:
Phone
,
Arch./Eng.: P[rh:ivrs 1?94 o,3/-
Address : cc ?--
City/Zip Code:
Phane #: ?-3/ ???s'I5f
?i7?GJr?il4.11 W ?aater f SEwer Surcharge 2 2?
Polioe Plan Check 3 z4
Fire SAC
Eng, WateT.' CoT1t1. D o?
Planner Water Meter a
Council Road Unit ?
Bldg. Off.
APc
TOTAL Irjo ? ? a s'
Receipt
MECHANICAL PERMIT
CITY OF EAGAN
Fi/l in num.b8red spaces
Type or Print legib/y
1. Date 2. Installation Cost
Permit No.
Fee
S/C
Tot.
3. Job Address Lot Blk. Tract
4. Owner •
5, Contractor •Phone
6. Address ' } . k
7. City State ' Zip
8. Building Type: Residential C7 Commercial O Institutional O
9. Work Description: New 0 Add O Alter O Repair O
10. Describe Fuel Type
11
No, Eqlioment STU - M. Ea.
Forced Air No. Equiament CFM
Ai
H
dli
Mfg. an
r
ng:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Othe
Air Cond. r
Mfg.
Gas, Piping Outlets
12. 1 hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed :
for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
PERMIT #
MECHANICAL PERMIT
RECEIPT # J U??
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE Z"
CONTRACT PRICE: PHONE: 454-8100
Site Ad re s ;R
?, $ " I?. ?, , Z. L ? ; - . • ,?
BLOG. TYPE WORK DESCRIPTION
Lot ?s x B ck ? Sec/Sub yE
T ?-? ?
.
??
•
?`
?
: ?
?.
Res. New
;
? , .
,
?
,,,
Nam Mult Add-on
m
?o e
Address 'Z Comm. Repair
c
Ciiy Z
Phone ` Other
?
Name FEES
.-AES. HVAC 0-100 M BTU - $24.00
c Address ? ADDITIONAL 50 M BTU - 6.00
p City •%J ' Phone (RES. HVAC INCLUDES A/C ON NEW '
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PEfiMIT) - 1
50 EA
.
.
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPUES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .56
Vent. CFM (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # BEYOND $1,000)
Other $
FEE:
?
• i , ?,, '? S/C: SIATURE.OF PERMITTEE
n ? , .'
TOTAL:
FOR: CITY OF EAGAN /4E,
?
PERMIT ti
Site
Lot.
? Name _
? Address
c City z
Name
PLUMBING PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: _
City •????? - ? Phone
? FEES
COMM/IND FEE - 196 OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIQENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
I FOR CITY OF EAGAN ?J,Y?y_ ?? 3-?? -
? -D
BLDG. TYPE WORK DESCRIPTION
Res. ? - New ?•?
Muit. Add-On
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
_LWater Closet - $3.00 $
-
Bath Tubs - $3.00
? Lavatory - $3.00
Shower - $3.00 =? • ?
Ki?chen Sink - $3.00
UrinallBidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - 51.50
Whirlpool - $3.00
.?_Gas Piping Outlets - $1.50 • ' ? ?(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE:
STATES/C: GRAND TOTAL• % ?• -'v
Receipt PWMBING PERMIT Permit No. CITY OF EAGAN Fee !ZL: ?
Fill in numbered spaces S/C i. ?
Type or Print legibty
Tot. 1. Date %- Z 3? r? y 2. Installation Cost
3. Job Address ? Lot y--' Blk. Tract
4. Owner
5. Contractor ' 7?% /.-.: •- Phone C/
?
! /? J
6. Address i ?c= /? ??. ,_ f .• - _.E. lr' ? ?
7. City State Zip
8. Building Type: Residential ? Commercial ? Institutional O
9. Work Description: New ? Add ? Alter O Repair ?
10. Describe
11.
No,
Z Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
l Bath tubs Septic Tank
Lavatory Softner
Shower Well
/ Kitchen Sink
Urinal/Bidet Other
Laundry Tray
; Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
. j,
Signed : for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved -? ' CITY OF EAGAN 454-8100
_t .
CITY OF CAGAN SEWER SERVICE PERMIT
3830 Pilot Knob Road pE??T NO.• "'r?g
P. O. Box 21199 ' ^- 71 - i4
Eagan, MN 551?j DATE: _
Z?ing: ` ' No. of Unita:
Owner:
/lddress:
$ite Address:
Plumber:
.( - l - C. u •i1J? !
- a _
t?a . 00
1 prw M omVhr wMh tlw qtp of lafo¦ ConnecHon C]+aroe:
Ordiweeaw Aooount Depoait: ._...?I n ^Permit Fss:
By
Dote of Insp.:
I nsa..
CITY OF EAGAN
3830 Pilot Knqb Road
P. O. Box 21199
Eagan, MN 55127
Zoninp:
Owner
/1dd?ess:
? Sita /lddress: Y 21 t
? Connectior+ Charfle: 4 S u. u v vu
er No.: ? ?
?IUIII `
gy ? .?"'' "'.•? Doro Paid:
?Date of Insp.: ? Ir?p.: _
iu: ?? ?L??S' . : Acoount Depostt:
Read, r?lAn:c?Tb? Fee: li? oo pd
I.?r.e to??l??-?'iif;i??? ,4tjurcho?ge: :eter Tha ou
!•,\,ft Ix. Ch°rqts:
O?dtno E ? ? ?` l .!;, ? ?otal:
.
?-
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
R<CE! V LD
FROM
aMauNT $ I
6 DOL.LARS
,oo
SU?CFIO?UQ: U [] CASH ? CHECK
Misc. ChorOes:
Total:
Dote POid: ?ow •
WATER SERVICE PERMIT
PERMIT NO.: DATE: 1 _
. No, of Units:
BY
/ White-Payers Copy
Yellow-Posting Copy
`?/ Pink-File Copy
REQUEST FOR ELECTRICAL INSPECTION EB'00001'04 -
See instructions lor comOleting [his fam on back of Yallow copy. I^? ?
p 9 ""X" Below Work Covered by This Request ?? y
Hdd Bep. Type oi Bwldin9 APDliancee WvsA Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lighting Fixtures
Apt. Bmlding Dryer ElecVic Heahn
Commercial Bldg. Fumace Silo Unloader
Industnal Bldy. Air Condinoner Buik Milk Tank
F2fm Other Der.i Y ether (SUer.ify)
ther iSyeu y Othe, Othor
M fee ServiceEMranceS¢e tt Fee feeders/SUbfeetlers N Fee Circuits
•(,'c? 0 to 200 qm s 0 to 30 Am s 4 to 30 Am s
A6ove 200 qmps 31 to 100 Amps 31 to 100 Amp,
Swimmin Pool Above 100-Am s Ahove 100_Amps
Transiormers " Irtigation Boorms Partiai: Other Fee
Signs SpeciallnspecLOn
V
TOT
F
?
Hem
a rks
? ?
_^ ??
? ?
?
NOUBh-tn Oate 1. the wal
Inspector, heroby
?? c r1i(y thet Ne aEOVe
Final soection has Oeen
de.
mla reauest voi016 monllu Irom
This request void 2 Y ??• ? ?
18 months from ? a CD rw ` m w r •' 1 /\ ?
A 34
flequest Date Fire No. Rough-;n Inspecbnn
fleqwreA? oNeady Nowril W?11 ??olitY Inspec-
- "?-? - f? 1'es ?No 'T ?or When Ready
Licensed Electncal ConVaclur 1 hereby request ie,Oecuon of abova
xlwetrical wark mstalled aC
I ?...-
S[reet AAAress, Bon or Route No.
City
ecuon n U. TownshiD N;ime or No. Rangn No. Cowuy
Occupant+(P INT) Phune No.
?
l?-
'
Power uppl r'
- ACdress
'?
.
...-
( ..'c 17
v
.
''
EI ctncal Cont actor IComp?y Nart?el
License No.
Conlrac or's
7 /
N ,..J ..-?2
Mail np AdJress (Contractor or Owner MnkingInsxailaLOnl /J
??L? TNC.'i ? • I ?/
Au izxd i n tu ICOn[ractor/Owner Makug InstallaLpnl Phure, Number
? ? ? I?W unr
MINNE50{A STATE BOARD OF ELECTRICITY BE ACGEPTED BY iME STATE BOARD
Gr,ggs•Midway BIdB• - Raom N•791 UNLESS PPOPER INSPECTION FEE IS
1821 Umversrty Ave., SL Paul, MN 55104 ENCLOSED.
Phone 16121 29]-2111
PLUMBING (RESIDEN'TIAL)
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 pemvu aze required for each unit
nate?i_a?r 43
Site Address j4A) Unit #
Property Owner Telephone # 9 ?57?2?
Contractor
Address City Z?L Ge
? 6 7?d
State ? ? Zip ?
Telephone # l, ? ^ ' 9??
The Applicant is _ Owner ? Contractor _ Other
Septic System New Refufbished Submit 2 sets of plans and MPC license $ 100.00
InGudes County fee. Additional consulWnt fees may apply.
Alterations To Existing Dwelling Unit, Including $ 50.00
_ Adding fixtures to lower levels or room additions, excluding water so ftener and water heater
_ Abandonment of septic system
_ Water turnaround (+ 5/8" meter if needed -$121.00)
Other:
_ RPZ _ new installation _ repair _ rebuild $ 30.00
_ Lawn irrigatlon system
1? '1
Water softener _ Water heater `Y 1.??- $ 15.00
4 replacement _ addiUonal
$ .50
State Surcharge
Total $
I hereby apply for a Residential Plumbing Permit and aclrnowledge that the information is complete and accurate; that the work will
6e in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand dris is not a
permit, but only an applicauon for a permit, and work is not to start without a pernut; that the work will be in accordance with the
approved plan in the case, of work wluch requires a review and approval of plans. n
ApplicanYs Piinted Name ' MphcanYs Sig6fte
5? 146
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681•4675
New Constructlon Reauirementa RemodelJReuair Reauiremenls
• 3 registered sile surveys showing sq. ft. of lof, sq. ft. of house; and all roofed areas • 2 copies of plan
(20% maxinum lot coverage allowed) . 1 set of Energy Calculations (or heated additioris
• 2 copies of plan showing beam & window s¢es; poured fouM design, etc.) • 1 site survey for exterior addilians 8 decks
• 1 set of Energy Calculations • Indicate if home served by septic syslem for additions
• 3 copies of Tree Preservallon Plan if lot platted afler 7l1193
. Rim Joist DeWil Options selection sheet (bldgs with 3 or less units)
! O
DATE ?g DZ VALUATION oo a. 3
SITE ADDRESS T? q Gp+lnrlrA l I y S C f MULTI-FAMILY BLDG _Y )?N
TYPE OF WORK I fA20QPQa?F FIREPLACE(S) _ 0_ 1_ 2
APPLICANT
,
STREET ADDRESS 11?147 lVtc. /1pr- ?
TELEPHONE # W)'J07-69-59 CELL PHONE #
S
PROPERTYOWNER ??M't TELEPHONE#6s)-6n-991y
COMPLETE THIS SECTION FOR "NEW'° RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNFSO'1'A RULES 7670 CATEGORY 1 MINNESO"1'A RUI.FS 7672
(4 submission type) . Residential Ventilation Category t Worksheet Submitted • New Energy Code Worksheel Submitled
• Energy Envelope Calculations Submitted
Plumbing Contractor: ____
Plumbing system includes:
Mechanical Contractor:
Mechanical system includes:
Sewer/Water Contractor:
90piq ZIP Aw
FAX # RSZ???r Phone #
Phone #
Fee: $70.00
----------°-----------°--------------------------------------------------------------------------------------°---------
I hereby acknowledge that I have read this application, state that th information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan d nces.?
? //
Signature of Applicanf ?4?
OFFICE USE ONLY
_ Water SoGener
_ Water Heater
_ No. of Baths
?
Phone #
_ Iawn Sprinkler
No. of R.I. Baths
_ Air Conditioning
Hcat Recovery Syslem
?? 3 7s^
Fcc: $90.00
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
pls?.?r
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MfJST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITA BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
CONMERCIAL
INCLUDE 2 SETS OF ARCHITECTUR AL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For: Valuation: ll,?? ? Date: i al- ?R
Site Address Q ?,e] iU9 /?4cr- C' OFFICE USE ONLY ?
Lot a2,-?, Bloek ? On site sewage_ Oceupancy
p M4ICC system _ Zoning
_
Parcel/Sub J??V??' oc? On site well _ Aetual Const
City water Allowable
Owner ??? ?2?,,i,? ?-?,T _ PRV required ? lk of stories
Hooster Pwnp Length
Address _ Depth
S.F. Total
City/Zip Code Footprint S.F.
Phone APPROVALS FEES
?,y?! ?2
Contractor /?t v Engr/Assess
Permit
Planner Surcharge •60
)
Address Council Plan Review
Bldg. Off. SAC, City
City/Zip Code >l" Variance SAC, MWCC
--T Water Conn
Phone -20 S1 Water Meter
Road Unit
Arch./Engr. Treatment P1
Parks
Address Copies
TOTAL
City/Zip Code
Phone li
EAv LOSS-CALCULATIONS
Wlathlpltlpi GWdt
"rnmm I - Daon ? Rcfeunse ? Ont
B/'Ndowk
BUILDIPiG ANU INSPECTION DIVISIIiN Oc7AR7:bItiVT OF
CAMMUNITV DEVELOVMENT, 2215 WE?T OLO SNAKOPEE
t30AD, BIOOMINOTON, MINNESOTA 55631 883•5811
Cooubuction Na INSULATiON
aD lnL Wdl CeBiog Roof Elaor - Kind
-
iw i0?n
ot Mn. NN?h?
of 04n0 ILe. ?t
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ELIE CARRIER LOAO
INFORir1ATlON CENTER
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11 9401 Nermandale r<oad
ErJOL Lake, fv7irnes-3ta 55372
Jsiz) 447-8124 OPTION 1 OPTION Z OPTION 3
, ef
r
... .. ? ? ? ?
90. 95
0 or 115)
100, 905, 19 " `
2 (If 90. 105, 710 or 115. Item 2 N.A
Dailyrange(0°-35°) . . . . . .
? q
N
N
3 WinterAesigndegrees
(Precede a minus number wrth M)
4 Numberofwintlowpanes . .
(1, 2 or 3 If 2 or 3, Item 5 N A)
5 Stormwindows9 (YorN)... . ... . ? ? ?
6 Windowsweathersirippetl?(VOrN)
7 Four window areas starting wrth N or
NEOrientatwn .. .
FNI
(Ez Na25#30X20#25q#. Max per sitle
999 sq It I
71 ?N or NE
72 or SE jO N
73 or SW
74 or NW
, ? C J
8 Shadetlwintlowarea ......
? u
(0 or sq ft Enter 0 rf not apphcable
Max 999 sq R ?
9 Doorarea . . . ...... ........ .. ? N ?
(OOrsq ft Max 9995q tt IfO. ?
Items 70 & 71 N A )
/
10 DoorweathersVipped? (YorN) ... . ?y # ?
11 StormdaorO (YOrN) .. .. . ..... ?j'?S N# ##
12 Frsistorypenmeter . . . ...... .
13 Secondstory penmeter
14 ThicknessofwallinsWation.
(0 2 4 or 6" fiberglas Enter MA for L_.J
masoniy, R values, enter R,then value
Ex R19)
15 Basement r
' ?
lf 0
Do
Items16.17&2BN.A.)
16 Basement heated? (VOr N) ........ N
(If N, Item 17 N A)
17 Percentabovegrade(Ez 5%=5) .. '.?? 0 N
18 Area of roof with exposed beams or
stutliocetling . . #M pg #N
(OOrsq,ft Ifzero,Itemst9,20&21NA )
19 Woodoifiber . .? ? ?
(W for wood. F forfiber If W, Item 20 N A ,
If P, Item 21 N A)
20- Thicknessoffiber . ........... ? q ? O
(1 5, 2 or 3" or R values)
21 Insulallon . ......................... . ??'? # ? ?
(Y, N or R values, Y assumes 1 5")
OPTION 1 OP*ION 1 OPTION 3
22 Area oi ceding untler venied roof or
unconditionetlspace . . . ..?
(0 or sq ft If 0 Item 23 N A)
23 Thicknessoflnsulahon .. .... .
(0, 3, 6, 12 or 18" of fiberglas or R values
Ex R30)
24 Areaof iloorsoverunconditwnedspace ?
(0 or sq ft If 0 Item 25 N A)
25 7hicknessohnsulalion .. . .
........ ?.?,... M
(0. 3 or 6" hbergles, or R values)
26 Area of floors over open or vented space, ?
orgarage . .. ................. aa
(D or sq it If D Item 27 N A.) ?
27 Thicknessofinsulahon.. .... ...? pl
(D, 3 or 6" of fiberglas or R values) ?---?
28. easemen[area
(0 or sq ft If Item 151e 0 skip this entry.)
29 Totalheated area ... . . ......?
(sq ft )
30 Perimeterofconcreteslab
(0 or Imear ft ) (if 0, Item 31 N A)
31 Thicknessofsabmsulahon .?
(0, 1 orY')
32 Desired summer intloor temperature i--?
swing . . . . . ... ?_ '3 $pl
(Value between 1 antl 6 inclusive )
33 DesiredwmtermsidetemperaWre -7a p
34 Ductlocahon . ? p
(AT = attic, BA = basement, SL = slab,
CF7 = crawl space, CO = condmoned
space) (H BA, SL, or CO, Item 35 N A)
35 Thmknessofmsulation . . .....
(0. 1 or 2" Use 2 for 1" nqid )
' REPEAT DATA?" . . .. . ..... . ?S qg
Y or N
"CORRECTIONS?" ........
Ii Ihere are no correcttons reqmred enter sF
If there are corrections to the data, entei
queshon num6er, H, the new data, and ##
Ex 19#WpN # ##
If no furiher correclions. en[erNN only ##
COOLING B.T.U.H. (?'?
EOUALS aS5 pT -I? 'F
HEATING B.T U.H
8.T
0 O
?# #N
## ##
1 4 ?
#k #u
? q NN ? # k#
k# ##
AT °F B.T.U.H. AT °F
?
EQ U A L S 6 3-y q7 71 °F B.T.U.H. AT °F B.T. -4 9 "REPEATTHEANSWERS"(YOrN) .... ?it J;y ## aq
•'SAYEVOUFDATA?" c qq ny
Y or N or YRx9 will save your data and goes
to beginnmg for new Analysis. or NR## will
not save data but goes back to beginning foi
new Analysis
JOBNUMBER-
If you want to save your data CLIC assigns ?
Job Number
"STRUCTURECHANGES"" . .
If there are no changes reqwred enter #N
If there are changes to fhe data enter
questionnumber. 7,ihenewdata ancikl+ # #s p xa
Ez 25aR30kN
If no further changes, enter an only k??- np
,?
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OPPORTUNIN HOME
METRO AIF?
'19401 Normandale Rcad
P_rior Lake, POinresota 553172
(612) 447-8124
3-]8
Prm;ed in U 5 A
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838-039
MODEL 3258
SURVEYOR'S CERTIFICATE KEYLAND HOMES . ?,
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i
PROPOSED fRADES LlERE TAKEN
FROM TH[ DEVELOPNiENT PLAN
FOR NORTHUIEW MEADOLJS BY
SUBURBAN ENGINEERING, LAST
DATED 9-29-83.
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2
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-?- DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMEN7 SET SCALE: 1 INCH = 30 FEET
0 DEPlOTES IRON MONUPIENT FOUND PROPOSED GARA6E FLOOR = c?G,o
943' FEET FEET
X000.0 DEPIOTES EXISTING ELEVATIOF! PROPOSED LOIJEST FLOOR = 3
'' FEET
(000.0) DEtlOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = ?--
I HEREBY CERTIFY TO KEYLAND HOMES THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUPIDARIES OF:
Lot 22, Block 7, NORTHUIEW MEAD06d5, accordina to the recorded plat thereof,
Dakota County, Plinnesota.
AND OF THE LOCATION OF ALL BUILDIN6S, IF ANY, THEREON, ANC ALL VISIBLE ENCROACHMENTS,
IF ANY, FROt1 OR ON SAID LAND. AS SURVEYED 6Y ME THIS 31ST DAY OF JANUARY, 1984.
APPROVED FOR SIENNA
CORPORATION
SIGNED
BY: -
ROBERTS ARCHITECTS BY
DATED THIS _ DAY OF
19
PROJECT PIO.
84523
FILE NO.
FOLDER
BOOK / PAGE
Jp+MES R. HILL, IiVC.
Planners / Engineers / Surveyors
JAMES R. HILL, INC.
?j sc,yJ
HAROLD C. PETERSON, LAND SURVEYOR
MINhIESOTA LICENSE N0. 12294
8200 Humboldt Avenue South
Bbomineton, Mn. 55431 812-884-3020
io
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?g`f?5
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA143716
Date Issued:06/26/2017
Permit Category:ePermit
Site Address: 824 Cornwallis Ct
Lot:22 Block: 7 Addition: Northview Meadows
PID:10-52100-07-220
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Efren S Vintimilla
824 Cornwallis Ct
Eagan MN 55123--196
Castle Remodeling
32 Geranium Ave E
St. Paul MN 55117
(612) 221-1758
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA154635
Date Issued:04/04/2019
Permit Category:ePermit
Site Address: 824 Cornwallis Ct
Lot:22 Block: 7 Addition: Northview Meadows
PID:10-52100-07-220
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Kathryn Heath
824 Cornwallis Ct
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
tfr/.1q
r
For Office Use V
i •i f r F2EC�'`''- ,.--di_ Permit#: /--5. C.:* CC
11 r r
o, E AG A N .
•...... •—.. JUN 12 2019 Permit Fee: is.` bid
Date Received:
(2 I el
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: 61-/
buildinginspections pncitvofeagan.com
2019 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: L `2 I9' Site Address: i 2 _.� _ .� A Unit#:
( I /
Name: k,G�t'��1r"l irZ 7t Phone: 9.-S_2 —517--- S V
C 4
Resident/ . 1 e- i
OWn;TAddress/City/Zip: o J A rAV - 1
Applicant is: Owner Contractor /
Type Of Work Description of work: Vnr D a V,) 6c \r .c,-Pi✓ Gil V\ -e�
,.S�c-lam— w cAe - ( C.i�J-(1.,�— ✓o.-Yx,,,- 1 ,,.rt`e✓ .
Construction Cost: i,(90(2 Multi-Family Building: (Yes /No )
Company: -.. --, C a ,i S Contact:
Contractor Address: City:
State: Zip: Phone: Email:
License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be
classified as non-public If you provide specific reasons that would permit the City to conclude that they are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaaan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.00pherstateonecall.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 tans.
x k4 Y`I, A Pft4N x --'' ''2(44
Applicant's Printed lame Applicant's i ture
DO NOT WRITE BELOW THIS LINE O �ti 7 D n�'�ii C- /5-6.0"D
SUB TYPES
Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration(Single Family)
x Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration (Multi)
_ Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Miscellaneous
01 of_Plex _ Lower Level _ Pool _ Accessory Building
WORK TYPES
New
— Interior Improvement _ Siding _ Demolish Building*
_ Addition Move Building _ Reroof _ Demolish Interior
Alteration _ Fire Repair Windows _ Demolish Foundation
Replace _ Repair Egress Window Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation /1c90 Occupancy "rfzLt MCES System
Plan Review Code Edition aC gciS AA) SAC Units
(25%_ 100% )(') Zoning PO City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction IT Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) X Final/No C.O. Required
Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood
Roof:_Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final
X Framing 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick EFIS
K Insulation Windows
Sheathing Retaining Wall: Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In Final
Braced Walls Erosion Control
Shower PanOther:
Reviewed By: S- C2-_. , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit& Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
Page 2 of 3