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828 Cornwallis Ct PERMIT City of Eagan Permit Type: Building Eagan. Permit Number: EA095785 Date Issued: 09/07/2010 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 828 Cornwallis Ct Lot: 21 Block: 7 Addition: Northview Meadows PID:10-52100-210-07 Use: Description: Sub Type: e-Windows iDoors Construction Type: Work Type: Windows Doors-New ; Replacement Description: House Census Code: 434- Occupancy : Zonin,: Square Feet: 0 Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openin,s, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee S3K $88.50 0801.4085 Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195 Total: $90.00 Contractor: - Applicant - Owner: Renewal Andersen Michael Forkei" 1920 County Road C West 828 Cornwallis Ct Roseville NIN 55113 Eagan NIN 55123 (61)264-4777 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 Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA087378 Eagan, MN 55122 . Date Issued: 11/12/2008 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 828 Cornwallis Ct Lot: 21 Block: 7 Addition: Northview Meadows PID 10-52100-210-07 Use Description: Sub Type: e- Siding & Windows/Doors Construction Type: Work Type: Siding & Windows/doors Description: House & Garage Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: Windows/Doors: A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard-wired detectors are required. Battery operated types are acceptable if the wall/ceiling finish(i.e. sheetrock) has to be removed to install a smoke detector. Fee Summary: BL - Base Fee $6K $132.75 0801.4085 Surcharge - Based on Valuation $6K $3.00 9001.2195 Valuation: 6,000.00 Total: $135.75 Contractor: -Applicant - Owner: Beissel Window Siding Michael Forkey 1635 Oakdale Ave 828 Comwallis Ct W St Paul MN 55118 Eagan MN 55123 (651) 451-6835 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 CITY OF EAGAN Remarks Addition NORTHVIEW MEADOWS Lot 21 elk 7 Parcel 10-52100-210-07 owner Street 828 CORNWALLIS COURT Stace EAGAN MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 1984 76.75 7.68 10 STREET RESTOR. GRADING SEWER LAT 1981 15.89 .79 20 2 SAN SEW TRUNK 15 I981 138.48 6.92 ZO 110.80 7 -Z - 4 SEWERLATERAL TRK 1984 275.22 18.35 15 2 3-22-84 SEWER LAT 5 7 7 1981 22.28 1.11 20 16.36 5 3-22-84 WATERMAIN $qj 1984 70.67 4.71 15 65.96 A 013676 3-22-84 WATERLATERAL 78 1981 18.65 .93 20 13.69 3-22-84 AREA 57(G 1981 138.48 6.92 20 1 S-22-84 WATER LAT 513 1982 29.52 1.48 20 23.64 3-22-84 STORMSEW TRK 5 1984 392.32 39.23 10 313.86 A 013676 -22- 4 STORM SEW LAT DRAINAGE 81 1984 33.97 3.40 --10 30.58 A 013675 3-22-84 CURB & GUTTER SIDEWALK STREET LIGHT 0 40769 1-6-84 WATER CONN. 450.00 9UILDING PER. SAC PARK , r CITY Of EAGAN 3795 PNof Knob Rood Eooae, JYIN 55122 w . PHONEs 4544100 BUILDING PERMIT Receipt # `5G'? Tw Ir uuA i? _ )° i•r Fd Vnl'.. "' ' 0? nnfn 8754 84 Site Addrcss r12'? CORT ?',7'_'?L,I S CT. Eroct -T O h3 cc?poncy. l Lot ' 7 .?IORTIIS?dOOD ?'?.?!.'1. Block Set/5ub. Alter ? R1 Zoning Porcel # 1(1._ 1r1-'7 7 Repalr 0 FI?e Zone "1 F. Enlarfle ? Type of Const. oc Name Move ? # Staries Z /lddres s 3471 V. a.7 3R8 5T . Demotish p Length I1-- `? 9 r,... JORDAIy oM_ 9 9 2- G 64G Grode ? Depth 42 _:1 S4 Ft. ? NUTE ?"'y' ?'vavu a . ?.v • +.a?v.v+•+ v O Address C451 E. 19 171TIr c m. ` u ri?? PRIO': I,I_..l ? PM.,. 17 Neme lJlil'I1I1J :1'i"' u[ raVVVV. • Addross 5Q41 IN. 80TI1 ST., STE. 990 ,... ?.T.CI(IMTNf;Tf,'; ... S 31-1875 I hereby acknowledfle that I hcve the intormation is correct ond a $rate of Minnewto Stotutes ond Sipnnture of Pertnittee A Building Pertnit is issued to: - oli work shoil be done irvaccordai BWldinp Offitiol !IL 1 ; this opplication and state that fo comply with all applitable of Eagon Ordinonces. /lssessment Water & Sew. Pol ice Firo Enp. Planner Council Bldg. Off.L/? APC Fees Pennit .00 Surchorge 2 a • 0 0 Plon check 150.50 SAC .525•OO Water Conn. 5 T. 0 0 Water Meter Road Unit . )'.l Ili Total •1, r 7 b•. 50 - on the expreu condition thn+ Stote of Minnesom Statutes ond City of Eepan Ordinances. Permit No. Permit Holder Misc. Permit No. Holder Plumbin9 Q Q , C,?rG? ? /? H.V.A.C. E a (p ? (? , 1 Weil Water Disp. . 5?wer Electric Irppection Date Insp. Other Footings fz- Foundation Freminp Rouqh Plbp. + Rough HVAC Inwlation Final Plb¢ Final HVAC Final Waftr Describe Location: VWII Sawar ' Pr. Dhp. 5ib Address L,t 21 Parcel # - W. z° o? u ? 5lynoturc of Permittee A Building Permit is Issued to: oll work sholl be done i cco Buifdinp Official , CITY OF EAGAN Np g?54 I?I ' 3795 Pilat Knob Rood Ea9an, MN 51122 PHONE: 454-8100 Receipt # v / ? WG/GAR Est. Value $ 5 6,0 0 0 pate JANUARY 6 1 9 8 4 WALLIS CT. Erect )j Occupancy R3 Sec/Sub. NORTHWOOD MEAD • Alter ? Zoning Rl - 2]_ 0- 0 7 Repolr ? Fire Zone NlA D HOMES Enlarfle ? Type of Const. v Move ? # Stories 17 3 RD S T. Demolish p Length 4 4_ 4 _ Phone 4 9 2-& 6 4 6 Grnde ? De pth A2--4-Sq. Ft. ST . CO. INCORPQRATED Approrols Feas 19 n TH S T_ Assessment Permit $ 301 . 00 4 4 7- 612 8 ph Water & Sew. Surchorge 28.00 _ orke POlice Plon check 150 . 50 LLQUIST & ASSOC. Fire SAC 525.00 80TH ST., STE. 990 Eng. WaterConn. 450.00 liphan. 8 31-18 7 5 Planner Water Meter 60. 00 Council Road Unif 250.40 oe read this applicotion and state thot Bidg. Off.1 6 84 ogree to comply with o I I applicabla id City of Eagon Ordinances. APC Total $1 . 7 6 4. 5 d _ HOME$ w? t a? ha exprest wnditian thar lonce wftJrpll ble State of Mtnnesoto Stotutes ond City of Eapon Ordinances. ,; ?. CITY CF EAC',AN Include 2 sets of plans.e' P ? ? 1 site plan w/elevaticns & 77S ` BUIMING PERMIT APPLICATION 1 set of energy calculations. Zb Be Used x'or Si.v,ce Fhm.z- Valuation Date /?_ ? Site Address 0? 6 Uui'tA+oJ?+!.(.t 5 C-Oq,Ct` ' CFFICE USE 0NLY Iot Z/ slock sec./sub. tkxVu,c%z 111EAJ??!gt occupancy e Paroel # : Alter Zoni.ng ? Repair Fire Zone _ Owner: Enlarge 'Iype of Const. Address: 71 (.? M°ve # st?ories Deelish Front -y ft. City/Zip Dode: -F0r;,0,dj Grade DePth ?2 --y ft. Phone # : 112z Contsactor: 0-/, !9 ?- Address: 6 1/5/ Lr I90 ?' 53?t- City/Zip Code: FX/DY? L-W Z Phone #: 7 ?- L/e /z8 xrch./Fnq. : L??w3 /V0cc-G1,?s? ZO-5-Sa. - 5qUf4 &*rar ajr'?-' srCA 940 Address : C601 eO 9:4v City/Zip Code: PYwrie # : Tqater/Seder Surcharge ?Fs Police Plan Check 2 6`b Fire SAC gnq, Water Conn. .5 D AaF Planner Water Meter l0 190 ['nimk•_i 1 _ RDad Uritt A?S-4 Q TOT , lf 7 ?q?• S-6 Receipt MECHANICAL PERMIT Permit No. ` CITY OF EAGAN Fee Fill in numbered spaces S/C • • Type or Prini legibly Tot 1. Date 2. Installation Cost . 3. Job Address Lot ; Blk. Tract ' 4. Owner 5. Contractor Phone - ? i '•. ?.? 6. Address - ' ' 7. City ? State - • Zip 8. Building Type: Residential C1 Commercial ? Institutional O 9. Work Description: New O Add ? Alter ? Repair ? 10. Describe Fuel Type 11. No. Eauioment BTU - M. Ea. Forced Air p No. Equipment CFM Ai dli H Mfg. r an ng: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. ? 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 Flnal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-6100 Receipt PLUMBING PERMIT Permit No. ? • CITY UF EAGAN Fee Fi!l in numbered spaces S/C Type or Prrni legibly ; (1 Tot. 1. Date 2. Installation Cost ': 7 c.- , , / ,, tt i: L/_ , .- 3. JobAddress LotBlk. 7 Tract A J';?c_? 4. Owner LA+ f? 5. Contractor ^1 F'G h `,,, - c ,vi- Phone ;'J ' - t, G," / 6. Address / 7e- 7. City / t. u-t ?-? State ? Zip 8. Building Type: Residential 6d Commercial ? Institutional ? 9. Work Description: New IJ Add O Alter ? Repair ? I 10. Describe 1 11. No, Z Fixtures Water Closet No. Fixtures Cesspool/Drainfield / Bath tubs Septic Tank Lavatory Softner Z Shower Well Kitehen Sink Urinal/8idet Other - / Laundry Tray ; Floor Drains } Drinking Ftn. ? Slop Sink I Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and 1 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 CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNES07A 55122 ? DATE 19 RECEIV6P AMaUNT K:== f g? DOLLARS 1 oo F-1 CASH ? CHECK FOR f ? ? r{F. ciTY ('' EAGAN 3830 C it Knob Road WqrER SERVICE PERMIT rr. O. Box 21199 Eagan, MN 55121 PERMtT No.: , Zaning: P..1 D^TE: No, of Units: 1 Owner, hPY i n - fj ? ?1Il? ' Addrosr. ------- Site Addrcss: 28 C ornwallis Court L2i i?7 :?')TtilV1eW Plum r. PC ? sEChanical 11 NO : 3 3 7/ 6 . . n oc? f r _ . CO?II1CCt1O11 C10fQR: _ "50. 00 i}(1 a, R Account DepQSit: eo r o.: '; 1?? t0 ? t?( Fr PeM?it F¢@; rM h ' ?? ?` ? Iu.00 S (? d ?U ? ? 11! r Ordiee 1. •?urc orge: ? i f itl ? • x. Chorper. 6. ^. f_?0 nd ?1? t• T B y D Poid: I ; ate of lnsp.: C!TY OF EAGAN 9VWER SERVICE PERMIT ? 3830 Pilot Kr.ob Road -?-? ?.?, P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoninp: ` i No. of Units: I ? Avr+er: .: Y Land tiome5 Addreas: ? Stte Address: ?28 C.ornWlis Cojart L,?:1 •.;-7 ?;ar ihv3ew ';cadojjs Plumber. @C 8II Ca i -c,-aa 40769 1111711 ; , • ;. ? I pne to aano1y wil6 tM Ciyr of Ea'o• Connection Charpe: Ordineeaa. Actqw?t Depoait: ur ? Pennit Fee: i?' rJ? pc2 Surdwrpa: .50 pd By Misc Charoas: . Date of Insp.: Totoi: - Insp.: Date Poid: V White-Payers CopY YelloW-Posting CoPY Pink-File CoPY T k You SY This request void 3-is ?f(f .3 '+ • v O 18 months from w? A -74 n L_ a) , a-7.,?neT 4v i AJ mCUs qJ4 3 ., Request Date - Fire No. - - Rough-in Inspeciion qeayired7 E)Ready Now Will Notify, InsPec- .? J ??` t ??Yes ? Mo S - - r When Ready Q$,Licer(sed E)4ctrical Coniractar 1 bereby request inspection of abuva' f-l n......o, electricai work installed at: Street Address, eox r Raute Na. / ?..-Y? City ection o. Township Name or No. Range o. Count •i??.2. ?/? Occupant (P NT) Phone/No. / Power Supp 'e Address v A Electrical Comractor ompany Name Contr torcr? Ma. G ? Mail n Address { ntractor or Owner Making Inst I i n? ` ? l c? •-ivPp- 5 % o ? A Authorized Sig+??ture (Contractor Owner Making I stallation) Phone Number MINNE.'(OTA STATE BOARp OF ELECTHICITY Griggs-Midway Bldg. - Room N-191 1821 University Ave., St. Paul, MN 55104 Phone (612) 297_2111 3 - (S- "X" 8elow Work MI5 INSYtGI IUrv nttlUtJI TYI LL rvvI BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS ENCLOSED. 'N EB-00001=04 3 y back of VaIlow COPV• q,Lo This Requesi to OO I TO*-AL FEE that the abov ion has been REQUFST FOR ELECTRICAL INSPECTION EB-00om-oa ? ?t ? ?..'' Sre mstrvctions for mmpleting (his form on hack ot yellow copy 'X" Below Work?Covered by This Request mldmg Ap0liances Wved Equipment Wired Range Tomporar y Servme Water Heater LightinG Rxtures MApt. ing Dryer Electnc Heatin l Bldg Rimace Silo Unluader 61dy. Au CondiLOner Bulk Milk Tank v. Othei ?Spocityj .ifY Other Ooher on Fee Below k Fee Serv iceEnhanceS¢e 4 fee Feeders/SUbfeeAars tt Fee Circmts 0 to10QAm s Oto30Am s Uto30am s 101 to 200 qmps 31 To 100 qmps 31 to 100 Am s Above 200 qnips Above 700_Amps Above 100_Ainps Transrormers Remote Control Qm. ParLal%Other Fee Sic?nS Special Inspection 5 Remarks ? , TOT FEE l.," esr RouB?+-in Datn I,Ihe Eler. rical Inspectar, herahy Fnal ? e cerfidty that the ahuve illSpeCt10f1 ha5 1lB¢(1 made. V? lhis renuest wid - R iesY Date ? -- Fir No. - - Rouph-in Inspecr fleyi iredI ?.d .. eadY Now ? Will Notify Inspeo- ? ?Yes No tor When Feady ir.ensed ? Owner lectr"cal Gontnetor I hereby rFquest mspectmn of above elechical wo,k insIalled at Sveet Addrass, enz or Route No. ??0 COrnu?al(?' ?. G'ty ??G? . ecuon Nn. Township Name or No. qflnge No. Cn o n(y ./ ?? np,.? /J^ q W " / l?lJ • 1 Orcupam (PP T) ? Tt_ Phone No. Power Suppliar 11/1-K67-14 Adtlress Elecvical Cnntrnctor (LO pany N?amel/ 2 Contmr,toi's Licene s N. C ? - e ?C Z ? S ? o • Mai?ig ess ?C Va<.tnr or Own Makinq I sta' I rt J?l2 A Siunatur acto wner Making Instollaban) Phane mber y?•? Z (7 V' MINNESOTq STATE 90-APO OF ELECTPICITV THIS INSPECTION qE0UE5T WILL ryOT Gngqs-Mitlwey Bldg. - Ruom M491 ' BE ACCEPTEO BV TME STATE SOAND 11127 University Ave., St Yaul, MN 55104 UNLESS PpOPEB INS'ECTIOM FEE IS Phone 1612) 297-2111 ENCLOSED. a RESIDENTIAI ? BUILDIIIIC PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681•4675 Naw ConaWCtion ReauiremeMe • 3 registered site surveys showing sq. ft o( lol, sq. ft. of house; and all roofed areas (20 % maximum bt coverege allaxed) • 2 copies of plan showing beam & window s¢es; poured found design, etc.) . 1 sel ot Energy Cala9ations . 3 copies of Tree Preservation Plan if IW qatted aRer 711193 • R'un Joisl Depb Options seledion sheet (hldgs wilh 3 or less umts) DATE $•OC'T•OA RemadallReoair Reauirements • 2 cropies of pian • 1 set af Ener9y CalcWations for heated addillons . 1 sfte survay for exterior addifmis 8 decks • Indicate if home served hy septic system for addRbns `I 5? QO VALUATION G?t `{O u ~ SITEADDRESS Sa? COCh???\?S COV(? MULTI-FAMILYBLDG _Y _N TYPE OF APPUCANT iRenewal By Andersen, Inc. STREEf ADDRESS ' 1920 County Rd. "C" West 'Roseville, MN 55113 TELEPHONE # C 651-264-4777 ,License # 20130983 ? -- - FIREPCACE(S) _ 0 _ 1 - 2 STATE ZIP i ' FAX # J 7 I PROPERTYOWNER M%VsL ?-O`(t2,u TELEPHONE#IDS(•?lsy.sag,3 COMPLETE FOR "NEW" RESIDENTIAL BUILOINGS O,NLY Energy Code Category _ MINNESOTA RULES 7670 CA1'EGORY l MINNESOTA RLILES 7672 (J su6mission type) . Residential Ventllation Category 7 Worksheet Submitted • New Energy Code Worksheet Submitted . Energy Envelope Calculalions SubmiUed ' Plumbfng Conhactor: Plumbing system includes: Mechanical Contractor: Mechanical system includes: Sewer/Water Contractor: Air Conditioning _ Hea[ Recovery Systcm Fee: $90.00 Phone #... -"" ?- ' - Fee: $76200 1 Phone # I hereby acknowledge that I have read this applicotion, state that the in?ormation is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Or i ances. SlgnatureotApplicant6 -?A,64 J&m?? - OFFICE USE ONLY _ Water Softener _ _ Water Heater _ _ No. of Baths _ Phone # _ Lawn Sprinkler , No. of R.I. Bafhs Certificates of Survey Received - 7ree Preservation Plan Received _ Not Required _ Updated 4/02 ?.,.?I ,r..•.i iuu i<.oo rm 100 arl+?9tla KidPICIfAL't3Y!!lYUt31(JlSIY 71m0 '7, Z007 (ItY of EaBan 3836 Pilat Snoh Road EaBM MI+I 55122 To Whom It Maq Conoern: Elder Iones is aathodzed W pUtl bnilding permits for Renewal by Mdezsen_ Ptease allow Slder Joncs to provide this ser"vitcc for us in F,agan. '[his amharIzadtm fis vatid for any date bcyond 6/6/01: uAd1 a 16nawal by Andersen manager 04rmdy revokes it in wriHag to the G`tty. I rcquest this autliorization be accepted axpedidously, as to aok delay m the pronassing of ovt buildin8 Pcanita any fuzthcr. Plcasc cari mc if thcm aro my guesctona.. I can he coIItacted at 763-502-4706_ , . Your imm9diate alteation to Wis mattcr 9s appreciated. Sinceiely, ond R Rau dstxtlation Manager Renewal by Anderson Cotporatzcsn ('r.: Karn-F.irie,r 7onea . ??'?..?.e?.. ?•?Ya..z ,?-? =Yt , (,IANIqL, ?ya. naom wUtl z/ U Received Ti'me Jun. 7. 1:0IPM 2004 RESIDEN'PIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 '-I `7 0,0 6 New Construction ReouiremenGs RemodellReoair Reauirements 3 regislered site surveys showing sq. ft. of lot sq. ft, of house; and all roofed areas 2 copies ot pian (20°h maximum lot coverage allaxed) 1 set of Energy Calculations for heated additions 2 copies ot plan showing 6eam & window saes; poured found design, etc. 1 site suney for additions & decks isetofEneyyCalculations Addifion - indicatei(on-srteseptresysfem ? 3 cropies ot Tree Preservatron Plaa i( bt yatted aNer 711193 Rim Jaist Detail Options selection sheet (bldgs with 3 or less units Date 6,_ / t / 5 / C>/ Site Address ?? { +? /1Tl (,tJg?/ [s ? C?onstruction Cost ?l UniUSte # Description of Work Multi-Family Bldg _ Y N Fireplace(s) _ 0 _ 1 _ 2 Property Owner Telephone # Contractor ! ?Ow ?! J/ Address [ G?? State 004/ / D?L ?¢ o. Zip 5 f-7! f- ?j City Telephone # (&S% ) cf&7 ? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone # ( Telephone #( to TE I hereby apply for a Residential Building Permit and acknowledge that the informati n is com°p16t"nd acc ate; that the work will be in conformance with the ordinances and codes of the City of n4N Statutes; I understand this is not a permit, but only an application for a pernut, 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. ? r D/ r6?? ApplicanYs Printed Name Applicant's Signature 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) 113,75 A cmr cF enc?uu C j/ I 2 I Q/? O 3830 PILOT KNOB RD - 55122 '-• J? (JU 851-881•4875 New ConthucHan ReauiremeMa •• Remodel/Reoalr Reaulremenh > 3 refllsleretl alte wrveyf elwwlny aq. M. W lot. sq. fl. of house and ge roofed areas (2Q% maximum tnt cotemae allowed) > 2 coplea of pldna (show bedm & wlntlow aizes: poured Ind. design: etc.) ? 1 set W energy cdculallons > 3 coples of hae preservoflon plan If IW plaMed cilter 7/I/93 DATE: (C? _ f ? <:7-0 DESCRIPTION OP WORK: ?r L f? 2 copiea W plan 1 set of enesgy oalculaIXans fot hected addi9ans 1 site wrvey tor extedor addiflona & deeb CONSTRUCTION C05f: STREET ADDRESS: 06. 1) `-- 0 '°) Wa.l II i) k-?' l LOT: 2- 1 BLOCK: Z_ SUBD./P.I.D.#: M&AV(PUI ryi14?111YtS ' NamA: j Phone #(oW`qs`f - s2Lo S PROPERiY taat ?- Flist OWNER c/p Street Address:?Xjz f U City 62Sc:t?? _ State: 1(r Nf Zlp: SS? `s ?Ij SELAROOFING & REMODELING, INC. . Company: 4100 EXCELSIOR BLVD. Phone #: (P(Z %2 3 - d`f.L $T. LOUiS PARK, MIV 55416 (area code) COMRACTOR A1 00001060 Sheet Addreas: ° ucense u/ D S O_Exp. CNy State: ARCHITECT/ ENGINEER Company: Name: Telephone #: ( Sheet Address: Regisiration t: city S}Q?A: Sewedwater licensed plumber tH installina sewarMrater): Phone'#: Zlp: Zip: I hewbY ackrwwledge ihat I have read lhis apPlkaNon, afate that ihe In(omwtbn is cortect, and agree to canplY wNh a0 apPticable Staif of Minnesola Statufea and City of Eagan Ordinances. Sigrwture of OFF4CE USE ONLY Certiflcates of Survey Received _ Yes _ No Tree Preservation Plan ReCelved _ Yes - No - Not Required - --- 3JILDING ANC iYSCCCTiON -IVISION DEPARTMENT OF oil ..OMMUNITv DEVELC?MENT, 2235 h'dT OL-D SrA1(OPEE ?-- IDSS C.ALCULATIONS AOAD, BLOOMINGTON, MINNE50`A 55431 883-5811 ?x?aacnv,p? _ .a.5. I? CAn3WCIp0 N0. INSULATION [?oornc,gcon Guide Reference ? Out Wall Int. WaH CeSin; RooE E1oor KiIId. How APFW -Y??- -.':o Yc?-!?o Ir 19? !1 - F2oom i:,cngth' /_j" Width 1/?iHeight Q Widtk 'Heigh[ W:?d,?..•. ??d nucrs--Cracta¢e and Arei ?-- . N Wit?down aud Door?--Cr?ekaHa and Area ?'o f ?. .. ?.. No et :,fni• Uneai(t olc ac4 wr<• ?a fL NII " / / J -- - `- Coef. Btu Inhltration 117 2 Glas? Fsp. wall IX / Net acD• wall ( S 'L Iot wall ?- ?e?Goe / s x l l. s /71 ? 6 Floor / . S Bta W !q. ma W.A. !.ladli area '.. Dm Lcntt6 }Q• Wiw -CraeEaaw:wed Am 4 ?. 117? I i C i Infilhatio0 Glau Fsp. wall 7 4 Net e:p. wn Int, wall Ceiling 14V X ? Fi?r /o x 7 Total Btu. =::Requiad sq, ft. E.D.R. or eq inti WA. ?•? - li?r?li Roam ? Lenet6 /.: Windows an Doon--Craekege and ?wieta xeient do oe bm..i ?'O. aI G?n• O( D.n1 11.111• OrQlC B.-a InfilUetion GIOY Em wall . Zu.R. or • ; [iee. CdW .. Eq?, " IW ep. o? Ta.lBca.. ane R,equired+v. fG I ?, ii ??tu I 7??.? Vliednw .nd --T-_i ' _ 1n(tltration l.?z Caef. 7 $tu d _R c T8 L$? - Z . ? 0 , Net ezp. wei{ (nt. waH Cedtpa E!a.r 1.3 X/l. S To;ai 3tu. ?A. L.eader are• u eq. ins. QIJI. Lesder un rm I Length % Widt6 -Cr.ekeae and Ana xo. wmtn ot pan• xmset ot we. No. oe I??nl• em.•? n. et <r.ck wr.. n. K. 6- a4d 3 0 1¢ IS, ?7, Coef. B : u In6ltratioo ------- Ems..w,u:. : ? Nee esp. ar.B - . _ _ AIV 4 Int waQ - ? - Ceiling 49, .S Floor g- Ta.l Bm. ` / I?1?? Reqaired w. h. ED.R a q. ies. WA leader aeea - .... 4VG ySPrG-O•• =?v15104 OED:.PTVE!VT OF - - ?-_ n GMMt?vi'+ Dc?ELCPMCNT, 22:5 ? nT ^LD 5-?%.KOPEE J--J C'J-.aTIlj??5 :^4p, 3LOO'JRVGTON, 'a'YNES:TA 55e31 381-5811 'S'•_?^e:ec::pi j.?.5. . I Construetion No. ? INSU_ . ? ._.Cuide fl Rifereace ?i Out. WaIl ' lnt. Wall Ceilin? Raof 'Floor i YCim - =•..o - Y<s -t?o- ';- L9_ 'l? . y? ' _ - ei ht ??r???.ie?.6?1?-V',dth: S ? s ' Fl,1 - . :itoom I d.:?e n ' fi f?..?is--'rackageand "?rea Windcw? and Door?C _ ?'c _ _r ,t i _ , ? - uf Linr?? i? of cntk ?r.• ?y h . - - - ? -- ? - - CoeE. Btu Inhltration i 4-7 Glaas Fxp. wall (Vet exp. waU InG wau Ceiling Poor Total Btu. ! / ' -?j 3 (p_ Reauired sa. ft. E.D.R. or ea. mm WA leader aea \i indowa and Doon--Cractage and Asea ? ? ?;4 ,-• - I' Na:' wiaen et • xaisei otMeo - _= Ha tltDb a o[eRek aen 40. s .= .., : ?;t ;.. -- •"{k? ? i filtratiou , I n ^ , WZw Ezp. waU / Net e:p. wall Z lat. wall " l i Ceiling / klz ,SQ Floor S Q-O- Total Btu. Required sq. ft. E.D:R.=d'raq: irtZ WA l.esd Ronm ILengt6 W - "'Windowe and DoorrCrackaae and Area F'o W7d t h af Gon• Hep?1pM cf n• Ho ot pt?t? Llne&lf?. of crack Are? p. [t. - - ?' - `- Ccef. Btu :I?iffira??oa.. i'4Q _v:dil Irt[. well CaLr.g FL-_r ? e- -?: a: 3t u I lefil[ratioo Glw ExIL' Itequced +q. h. BD.R. or p. ins. WA I.esder atei- ? ElJ ?- RomI le?eh E, - dt R?? I I wdl `s •? . ; a -• ? Ceiling . Floor . ? Total 3ta ;:.Required aq.'ft EDR or sq: mti W.A: Leaderaces'.: . E1.1 RwmlLeogt6 Wideh Keie?: Windoxn aed Deltn-Crsekax and Area Ho. wi6tn ef pan$ N.Iset ef Daee Na ot Ilghts Llnnl t0. of craeY An& w tt. Coef. E : u Inhltrntion CJan - ? ' Exp. N'a:f NN CZp. MWed . • - - - _ irit Ma9 , CeJing Floor Tota! Bta. Required ro, h. EDR er w. ins. WA Isader area - - -:-?? )N Olocm"sgr,m aod Area eult?. wrw 2006 RESIDENTIAL BUILDING rExnuT arrLicaTrorr City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone 9 651-675-5675 FAX # 651-675-5694 New Constructian ReauiremenLs 3 regisiered site surveys showing sq. R. of lot, sq. ft of house; and ail roofed areas (20% maximum bt coverage allaxed) 7 Soils Report rf proposed building is to be placed on dislurbed soil 2 copies ol pWn showing beam & window sizes; poured found design, etc. 1 set of Energy Calculations 3 copies of Tree Preservation Plan if lot platled after 711193 Rim Joist OeWil Oplions selecl'an sheet (buildings wBh 3 or less unils) Minnegasco mechanicalventilationform RemodellRepair Reauirements 2 copies of plan showing fooUngs, beams, joisls 1 set of Energy Calala6ons for heated addNOns 1 site survey for additions & decks Addifion - inMkate d on-site sepfk sysfem ? p?? OfficeUse?Ori? Cerf Tree?pres.?Pla,'Re ; +°°":,mY"?=` Ttee.Pres Requii; Csl,l? Sep6C?$Y?.??lni;::i.''>.°=?._Y,,; q Da[e 7 Q Construction Cost Site Address (??j ? 1 Unit/S[e # Description of Work Multi-Family Bldg _ Y N/ Fireplace(s) _ 0 _ 1 _ 2 Property Owner Telephone # (6Sr ) Contractor Address ?? 5-- ? • City State zip 6'3-7/ r _ Telepnone # (Gs % ) ys7 - ? ?3? COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesota Rules 7670 Cateeorv 1 • Residential Ventilation Category 1 Worksheet (J submission rype) Submitted • Energy Envelope Calculations Submitted A NEW BUILDING Minnesota Rules 7672 . New Energy Code Worksheet Su6mitted In the last 12 months, hos the City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone # ( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; 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. . rn _? / c Kin e??r_ ApplicanYs Printed Name ApplicanYs Signatur SURVEYOR'S CEFITIFICATE KEYI_A^ID H0t1ES _J / v l N ,,??p? A,?'?. ?R ? • \"?tp?B°'YS/O `J Jti DO0 ? J 0Q'`Y qSti?? \o, Q° Q'? ?J I aq i \ ? 1 2 'r p . vc? . ? 3 ? 1 i. ya o ?'? / \/ 2 SOO' ? p L i?o? //? 9g GE ;_9 00 /- ? - -16-- DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET SCALE: 1 INCH = 30 EEET O DEPlOTES IRON MONUPIENT FOUND PROPOSED GARAGE FLOOR = '?954- ` FEET X000.0 DEPIOTES EXISTING ELEVATIOP! PROPOSED LOIJEST FLOOR = 94 ?,6 FEET (000.0) DEtlOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = 415'5,o FEET I HEREBY CERTIFY TO KEYLANO HOh'ES THAT THIS IS A TRUE AND CORRECT REPRESENTATION Of A SURVEY OF THE BOUNDARIES OF: Lot 21, Block 7, NORTHVIEV P1EAQC',:5, accordinn to the recorded plat thereof, Dakota County, Minnesoi:a. AND OF THE LOCATION OF ALL BUILDINGS, IF ANY, THEREON, ANC ALL VISIBLE ENCROACHMENTS, IF ANY, fROM OR ON SAID LAND. AS SURVEYED BY ME THIS 18TH DAY OFNOVEh?f3ER 1983_ SIGNED: JAMES R. HILL, INC. 0 ??!/•!.? ?;;. ? id'46' BY: . HAROLD C. PETERSON, LAND SURVEYOR MINPJES07A LICENSE N0. 12294 PROJECT NO. BOOK / PAGE JpMES R. HILL, INC. .. 83447 Planners / Engineers / Surveyors FILE NO. • 8200 Humboldt Avenue South FOLDER Bbomington.Ma 55431 e12-884-3029 i For Ofifi_-e Use Cl ty of Eap I Permit I I I 3830 Pilot Knob Road Permit Fee: I Eagan MN 55122 I Date Received: Phone: (651) 675-5675 1 Fax: (651) 675-5694 1 Staff: 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION c Date: Site Address: 3- C0r_P1VyCk_jf (.5 Tenant: Suite r RESIDENT/ OWNER Name: /UtG, /,",.I rl rge Phone: 6J i ~ J%" Address / City / Zip: 1 Y 1 r 2 CONTRACTOR Name: License Ghempien Address: 651-365-1340 36 70 O City: Eagan, MN 55123-1339 State: Zip: Phone: Contact Person: W ' V S a, TYPE OF WORK - New V Replaceme Repair _ Rebuild Modify Space Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation Add Plumbing Fixtures RPZ PVB) Main - Lower Level) Septic System Water Turnaround _ New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $.50 State Surcharge) Water Turnaround (add $165.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances; ductwork, etc.) (includes $.50 State Surcharge) 5) TOTAL FEES $ 0 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 t- x Applicant's Printed Name Applicant's Sig re FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground __Roucdh=ln -Air Test Gas Test -Final 31 PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA075815 Eagan, MN 55122 . Date Issued: 11/08/2006 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 858 Cornwallis Ct Lot: 016 Block: 007 Addition: Northview Meadows PID 10-52100-160-07 Use Description: Sub Type: e-Windows/Doors Construction Type: Work Type: Windows/Doors-New/Replacement Description: House Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: If altering the opening size, a framing inspection is required. Smoke detec tors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard-wired detectors are required Bat tery operated types are acceptable if the wall/ceiling finish (i.e. sheetroc k) has to be removed to install a smoke detector. Ryan Stinson 3732 Qu ebec Ave S St. Louis Park, MN 55426 612-220-4335 ryan@stinsonservices.com Fee Summary: Surcharge - Based on Valuation $2K $1.00 9001.2195 BL - Base Fee $2K $69.00 0801.4085 Valuation: 2,000.00 Total: $70.00 Contractor: -Applicant - Owner: Stinson Services David J Karsrda 3732 Quebec Ave S 858 Cornwallis Ct St Louis Park MN 55426 Eagan MN 55123 (952) 933-4510 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 PERMIT City of Eagan Permit Type: Mechanical Eagan. Permit Number: EA100328 Date Issued: 07/27/2011 OR Permit Category: ePermit 40~ it~ of E3 E Site Address: 828 Cornwallis Ct Lot: 21 Block: 7 Addition: Northview Meadows PID: 10-52100-07-210 Use: Description: Sub Type: e - Furnace & Air Conditioner Work Type: New Description: Furnace & Air Conditioner Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson. State Electrical Inspector. (952) 445-2840 Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 Total: $».00 Contractor: - Applicant - Owner: Angell Aire Michael Forked 1223 Nicollet Ave S 828 Cornwallis Ct Burnsville NIN 55337 Eagan NIN 55123 (952) 746-200 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 Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature � - ' Use BLUE or BLACK Ink : �----------------- �`� � I For Office Use C' � Permit#: /��/ � � ��;5 lty of �a�� -..�� .��-� � ,��. �� Permit Fee: 3830 Pilot Knob Road fi' � , S Eagan MN 55122 �� i5 � Date Received: � Phone:(651)675-5675 I ('� I Fax:(651)675-5694 � Staff: I � I 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ,?�'/'rY' /r�� Site Address: 5�.�� L��IL4J�./�i s �� Unit#: �� a� yf / �'�s�� :'�, ��p�� _� � Name: /��c�i G z � u� G<,�✓ Phone: � /� � �� :: � - Y p� ,�yc� �� f �� L.. ,� � �� Address/Cit /Zi r,� i.. u s � � : Applicant is: Owner �Contractor � _ / / � �� € Description of work: ,�, �� iJ�c...� ��1�� C ��"�"��l'�'�� ,C, � � , ° Construction Cost: � � . l�C�� Multi-Family Building: (Yes /No� � � h� ��7�, / �x � � �� Company: �� , �� ,n✓ Contact: � � / - � � � -- — � � .� Address:�/,�,�7� � > �� City: , l.�o/I C U�// �'r.�t�1'��3C ��I � State:,��Zip:_�� Phone:��1. �/ �'s�GE�ail: 3 � License#:�%�� S�(�c�/S Lead Certificate#: � If the project is exempt from lead certification, please explain why: �1J 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 8�Water Contractor: Phone: Fire Suppression Contractor: � � Phone: �i��l�l�s��►d�cr��t��rou��#��"'�f��►��a�r�r��"��' ��'�t�a��►r��r��s�"'�I'��t-�c��f'��`i+�t�*��:s��#�J�'t p�'�t��C�jr�� , � l ��1 /! ��,� .: l.«, ,�.;;. .�. ".�� , . .�,: ,�...:'... „��. �Mr��9�� •��Yi�i�Rr�',�M l C„ �� - ' - , .e n�. �, _� � - .: , ,� � � - � � - ,,,''.. h �: 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.ora I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Buildi Code must be co leted within 180 days of permi issuance. � i x G'�' x Applicant's Printe ame Applic nt's Signature � Page 1 of 3 �� CQrZV( ��j-��i S �� DO NOT WRITE BELOW THIS LINE f��, SUB TYPES _ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) _ Single Family Garage _ Porch(4-Season) _ Exterior Aiteration(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 _ Repiace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION $ �1c _ Valuation 3Q� Occupancy r � MCES System '-'"� Plan Review Code Edition F�/,� SAC Units � (25%_ 100%� Zoning ��1� City Water " Census Code h�3 y Stories -- Booster Pump " #of Units / Square Feet /G� PRV '� #of Buildings � Length /z. Fire Suppression Required '-" Type of Construction � Width /� REQUIRED INSPECTIONS Footings(New Building) Meter Size: � Footings (Deck) Final/C.O. Required Footings (Addition) � Final/No C.O. Required Foundation HVAC Gas Service Test Gas line Air Test Roof:_Ice &Water _Final Pool:_Footings Air/Gas Tests _Final Framing Drain Tile Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control ,�...�.;�r- " �� Other: Reviewed By: , Building Inspector RESIDENTIAL FEES f�l1r j�j/� ��`=/�l `.�yGU' C=' Base Fee � � Surcharge Plan Review �7 i MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 , � � . SUf3VEYC3R'S► C��TIFICATE ' KEY1_A94D H0�1ES /� ��-f�-��'_ . . , �� I;:� C�;�� - � �� . ��j v�' l 3a ! Q` � „ � . �' �, f��; ,�� J ,�� __ �; �� 4 ,��,y�, , ,��3 �.. ;. V � . � � 9�� f /j`O� ,!O� � !'` � �� i �O� .�Q,� ��*� ��,,'t�' �2� ys J �� , �;" •�y,. �j�� ,�� ,J � � -- . a .�� 00�� . �l ��-�..:� � �' � , ` �� , : - � y �� - : ��*1 '� � �•�' 11�� O �� i� / 3 ` �44 ��''.p ` }i '`� . ��iS . 1'/�' f7 / '�l 1 5/G+ v ra� �`%s .� a�'� '�� dQOJy � ��, �`�.,� o \i ��- ��' QQ'',t• � c�.i°`li- \ r I 4 r � •� �-- 6 ``.' �.. .� ' '� . �< �� ,�• �'.o � � �`�, `� 'b � t" ' \ h `� /,/ 2 �� -�` � � LUT �1 � . �z�' .� �� . `• • � 5�'�� o �� • �� '� ��-�� P/ � �" � � �a`' �/" , `a29 �� oRP��P't/ �� •p� �� Q(�R / t�� '°� � EAF'a�c�{ a � ��a�� . �` RE��!� � BY: ��" `� al �� -.—��---- �� . -.- /:t�f D�T'E:�� l��l y �. �3�.JiLQ��3 ..� �E ' "'��`�"�^I�� DtV'1J�0�`�{ -�---� DEIVOTES PROPO5ED St�RFACE DRAINaGE O UENOTES IRON MONl1MENT SET -SCALE: 1 INCH = 3C? F..EET �1 DEP�UTES iR4N M4NUPIENT �'OUND PROPUSED GARAGE FLOOR = �95�� F�FT X000.0 D�PJOTES EXISTING E�.EVA�tIOP� PROPOSED L�lJEST FLOOR = 9h �'� � �EET (OOQ.q} DE�JOTES PR�POS�Q EL EVATI OF! PROPOS�Q 70P OF SLOCK = q55� o FEET I FlERESY CEitTIFY TO KEYLAP�D H0�'E5 �iAT THIS IS A 7RttE AhiQ C4RRECT R�FRESE�tTATIOM OF A SURUEY QF THE 80UNDARIES OF: Lot 21, �lock 7, NOf;TNVI"t•1� P"EACCl�:S, ac�or�inn to the recar�+ed plat thereof, Dakata County, Minneso�ca. AND OF THE LOCATION OF ALL BUIl�DIHGS, IF ANY, THEREQN, Ai��t ALL VISiBLE ENCRtIACNNlENTS, IF ANY, fROM aR ON SAID LAND. AS SURVEYED BY ME �'NIS 18TH DAY 4F NOU�r�6ER 1983. SIGf�ED: JAME� R. HILL, INC. i 1 81f: � �j1,/(�-:J-r � ,,� ,i'�'--�' HAROLD C. PETERSON, LAND SURYEYOR MINfaES07A IICENSE NQ, 12294 PROJEC'r NQ. BOt3K ! PAGE �Q�� . H��# I N '�.s`. .. .. �� 83447 Ptanners / Enginee�s / Su►veyars � FiLE NC?. • 82t10 Hur»botdt Avenu� 8outb F4 L D ER Bloomin�ton, Mn. 65431 012-884-3029 PERMIT City of Eagan Permit Type:Building Permit Number:EA138453 Date Issued:08/29/2016 Permit Category:ePermit Site Address: 828 Cornwallis Ct Lot:21 Block: 7 Addition: Northview Meadows PID:10-52100-07-210 Use: Description: Sub Type:Reroof 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. 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 - Michael Forkey 828 Cornwallis Ct Eagan MN 55123 (651) 451-6835 Beissel Window & Siding Co 1635 Oakdale Ave W St Paul MN 55118 (651) 451-6835 Applicant/Permitee: Signature Issued By: Signature