838 Cornwallis CtCITY OF EAGAN Fiemarks
,4ddition NQRTHVIEW MEADOWS Lot 19 Blk 7 Parcel 10-52100-190-07
Owner Street 838 CORNWALLIS COURT Scate EAGAN MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 1984 76.75 ?47 1o 61.41 c010431 7-1-85
STREET RESTOR.
GRADING
SEWER LAT 1981 15.89 .79 20 11.94
SAN SEW TRUNK 1981 138.48 6.92 20 103.88
SEWER LATERAL 'j'Rj( 1984 275.22 1834 18.3$ 15 23 • 54
S W R L T '-lf 7 1981 22 . 28 I. -}:-}+ 2L915 14-88
WATERMAIN "SW 1984 70.67 4.71 15 1.25 "
WATER LATERAL lg8j 1$.65 1 ,Q¢ s?.3 -?j1s 2•I-I,5 ?
WATER AREA 1$1 138.4$ 5.92 20 103.88
WATER LAT '313 1982 29.52 1•41 ?$ 20 22.17
STORM SEW TRK 1CJ$t} 392.32 76.4,16 34-.-2263 +e5 235 •40 ?
STORM SEW LAT .
DRAINAGE 1984 33.97 339 3-49 10
CURB & GUTTER '
SIDEWALIC
STREET LIGHT
R
WATER CONN. 500.00
'
BUILDING PER. 10035
t+
SAC
595-00
PARK -
CITY OF EAGAN N_ 14 5 0 3
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454-8100 Receipt# ---? 9
To be used for BASEMENT FINISiHst. Value $1,500 Date DECEMBER 1 187-
?
SiteAddress 0-30 liViCl`1WALLIJ ui
Lot lg Block 7 Sec/Sub. NORTH
Parcel No. MEADO
Q Name THOMAS W. SCHOENECKER
W
z Address SAME
3
° City Phone 452-32
a
.O Name - SAME
z?
0 (J Address
? City Phone
a
yVj W Name
P?
cW I City Phone_
I hereby acknowledge that I have read this s
information is carrect and agree to compl)
Minnesota Statutes and C't of Eagan Or 'i
Signature of Permitte
A euilding Permit is issued to: Tli(1MAS
on the expresscondition that all work shall b
applicable State of Minnes a Statutes and
Building Official
with
OF FICE USE ONLY
W On Slte Sewage Occupancy
MWCC System Zoning
On Site Well (Actuai) Const _
City Water (Allowable)
PRV Required # of Stories
Booster Pump Length
Depth
S.F. Total
Footprint S.F.
A
R
VAL FEES
PP
O
S
Engr.lAssess. Permit :p29 • 00
1
00
Planner
Council Surcharge
Plan Review .
Bldg. Off. SAC
City
state that the
able State of
?
ECKER Variance ,
SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
,
dance with all
)rdinances.
Parks
TOTAL
*30.00
dU1LDING PERMIT
Site
Parcal No.
Name Jku'iz
000
Eract
D Sfiartwdsl ?
Fiapair ?
Enlarpe 0
Move ?
Dwnalish o
crade ?
ASSessrnent _
wotv. a sew.
Polics
N! 10035
ocwpwwr R3
Zoniny R 1
Typs of ConsL ?
No. Stories
L.rqcn 4 6
DePt+ 4 8
Sq. Ft.
?? nda.ess bw-
tW City Phone Planrwr
Council
1 hareby xknowtedye thot I hove read this opplicoti and stote tFwt g?, pf{, 3 2 9
fhe inlwmotion is correct ond ree to com y all opplicabls A?
State of Minnesota Stotutes City of dinonces.
? Ver. Oate
Siqrwture of Permiftee `"
C
Wam Revisw 1 5 9_ S o
SA,c s 25_ n o
wore. Com. s n n_ n p
Woter Metar 6 f10
Rood Unif 0
T.P. 132_00
Totsl $9 009 r-(1
A euildinq Pennit Is tswad ro: CORPORATE CONSTRUCTION IN ????? condition yo
oll work sholl be datie in occordm+te with oll oppjiopble State oNRAmesoto Statutes and City of Eopm Ordinatas.
BuiWiV Of(icial
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eapn. MN 55121
PHON E: 454-8100
# _
ttem+o
t CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
- PH ON E: 454-8100
BUILDING PERMIT Receipt#
To be used for Est. Value Date ,19
Site
OFFICE USE ONLY
On Ske 3ewage Occupancy
MWCC System Zoning
On Site Weil (Actual) Const _
City Water
PRV Required {Allowable}
* of Stories
Booster Pump Length
Depth
S.F. Total
Footprint S.F.
Sec/Sub.
Parcel No.
c rvame
W
; Address
° City Phone
¢
.o Name
? ` Address
c
1- City Phone
Phone
I hereby acknowiedge that I have read this application and state that the
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee
A Building Permit is issued ta
,,.; t ... . ,
APPROVALS FEES
Engr./Assess. Permit
Planner Surcharge
Council Plan Review
Bldg. Off. SAC, City
Variance SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
TOTAL
Psrmit No. Permit Holder Dote Telephona ?
Plumbing
H.V.AC. '
Electric
Softener
Inspsction Date InsR• Comments
Footings I
Footings II
Foundation
`
Framing /l.
1715C?v ysC_
Roofing
-t,C-•- ?/Z -?G??- ? - `r?` 7
Rough Plbg.
Rough Htg. _ Z_
I sul. ST/ c. tr ?c.o ?.r? ti G
Firepiace
Final Htg.
Final Plbg.
Bldg. Final oW-Cc:4-=$ -?
Cert. Occ.
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
i? R.,ACTISlA?f?1 -W.,•
*TITY OF EAGAN
' 3830 Pilot Knob Road, P.O. Box 21-199, Eapn, MN 55121
PHONE: 454-8100
dU1LDING PERMIT aocelat # -
7
$62,000
Site Addren " Erect G] Occupency ?
Lat 81ock ' ?clSub Remodel ? 2oning a y
. Repair ? Type of Const.
Parcei Na.
Enlarpe ? No. Stories
?
Neme Move ?
? Length
h
? Address Dsmolish
d
G ? Dept
F
S
ro
e q.
t.
L 'i • ?1' ?74 r ?-' -u 1-'I
?19 Name
?u
Addreaa
F- City Phone
Name
Assessment
Water d. Sew.
Police
?? ? Addresa Enp.
aW City Phone Plonner
Coundl
I hercby otknowledye thot I hove reod this applicotion and stote that gldg. Off.
tha Information Is wrrect and ogree to comply with oll opplicable
a?
Stota of Minnesoto Stotutes ond City of Eo9an Ordirwncas.
Var. Date
Sipnatu?e of Permittes _
. ,
H Buildlnp Permit Is issued to:
all work sFwll be done, in accordanu with oll applicoble State of Mtnnesoto St<
Buildinp Officicl
10035
- e-'i?
Permit
SurcF?orqt
Plan Review.
SI1C
Wuter Conn.
Woter Meter
Rood Unit
Total
_ on Nu txpress condition Ihoi
City of Eapan Ordinoncea.
Pwmit No. Parmit Holdw Dan TNs hone #
Plumbfng ( ?
y.vr?.c. 5(( 5 3 IC. f-wA -Yi r
Electric ? a5? g? y? - sv
$oitwwr
InWeMion Oa" Insp. Other
Footinqt ?
Foundation
Framin9 ?
Rooflnp
Rouqh Ptbp.
Rouyh NVAC yl ? ?
Inwlation
Find Plbp.
? t
G<J
Final HVAC
Final
c..eioa. ? Z 4
Water Deso?iba Locstion:
1-
IMdI ? ?? IN ?
Sewor
Pr. D'ap.
' S 1* 3y-
e-&nJ,r r' G J0_ ? /eG
Site
Block
m Name Kleve }leatincr
? Address 13075 Pionee
c CityT'der. Prairie
. ... .
?
g
ECHANICAL PERMIT PERMIT #
101 1il
RECEIPT # •
CITY OF EAGAN
3830 PILOT KNOB ROAD, EACAN, MN 55121 DATE: 36
PHONE 454-8100
BLOG. TYPE WORK OESCRIPTION
_ Sec/Sub , ?._..; .
New
Inc. Mult Add-on
• Trail Comm. Repair
'hone 941-4211 pther
Name Thomag Schoenecxe2
?
c Address83R Cornwallis Cot
0 City Faaan.55122 Phone
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlats #
Other
M BTU
M BTU
M BTU
# BTU
CFM
FEE
S/C:
TOTAL•
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS , - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - 10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
V >__J/,1?__ _!?/ ? . . ??.''` -??/
SIGNATURE OF PERMITTEE
FOR CIN OF EAGAN
? ? 1 ? ?? r . r? . . .i. rr.....•. ?'.ee ? 7?r
Fill in numbEred specsa S/C ?
Type or Prin[ legibly ?
Tot _,
??
1. Date 2. Inatallation Cost
3. Job Addreu 'r.,rr,.oary i i- LotBlk. Trsct
4. Owner Cn r;,n1:tri,ct1on
5. Cantractor - ' -•? . Phone
6. Address l :o*S P_`???4?-r
7. City t-,,. State r,:.s4,t-? 2ip A/
8. Buiiding Type: Residential C]` Commarcial O Institutional O
9. Work Description: New Q Add O Alter 0 Repair ?
10. DBSCflbe ,Iri,cr. :s-:z r i nr, FUQI Typ@ j
11.
No, Equioment BTU - M. Ea.
Forced Air No. Equiament CFM
Air Handlin
•
Mfg. ., i : _ , s'.. ?•l0 ?•^ g
Boilers `
Mfg. Mech. Exhaust
- ? - •
Unit Heater
Mf9• Other
Air Cond.
Mf9•
' Gas, Piping Outlats 7 11'
12. I hereby certify tfiat the above information is true and correct, and 1 apree to
oomply with all ordinances and codes governing this type of work.
Signad : for
Rough Final
Inspections: Date Inap. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
Receipt PLUMBING PERMIT Permit No.
CITY OF EAGAN
' Fee •
Fill in numbered spaces S/C
Type or Prrnt legibly _
Tot. --_ > ?
1. Date 2. Installation Cost
• .?'?;_j' - . ?
3. JobAddress . i.'N) 02)?'aLLPO ? Lot I Blk. 1 Tract
4. Owner _: ., ?j
5. Contractor? t - ; ?' ,,;f`?T% ? • %'?Li? ?,Rhone
6. Address ? J C to ''` iCy1 tYc: `?• I
7. City j!; State Zip s. ?
8. Building Type: Residential?? Commercial ? Institutional O
9. Work Description: New?Lf Add ? Alter ? Repair ?
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
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, end I agree to
comply with all ordinances and codes governing this type of work.
Signed :i • ' ' ` - for
Rough „ Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CASH RECEIPT
;ITY OF EAGAN
P. 0. BOX 21-199
EAGAN, MINNESOTA 55121
DATE ?
1--
? 1 9 `J
RtCiIV W --
FROM
AMOUNT' $
E] GASH
:!f ?
? OOLLARS
foa
O F#iECK
flSN'?/
FUND COOE aMOUNT
' -
'
_? • ,?'
BY :CITY OF EAGAN WATER SERVICE PERMIT
ThankYou
0 PiVit Knob Road
21199 PERMIT NO.:
agan, MN 55121 DATE:
inp; ? No. of Units: 1
Cor. or-.t_
' r
:
l`: :. . r. '. ? .v ' I? `r?eu: Nddrcss: C[rr.:tt. U}l!tLgS :! Yt ; v • `,,. Ye adows
umber Ft
.
r No.. a s ,??Q ?arqe:
" ;'1; ? ?l(I Pci
Ktt, : i'? E?- :5..%
u: '
?
Mrt?pOSit:
15.00
Dd
ee. No.: 024 ?a / a b Permir Fee: 10. oo nd
1 prM [e aomphr wifr Hw City ef Eeya¦ Surcharpe: .50 Pd
O.riw.na.. Mtsc. CFarfles: 132.00 pd
Total:
: gy c1L ?? Date Poid:
: Oate of nsp.: Irap.:
? 7
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pilot Knob Road : ?,:
P. O. Sox 21199 pERMIT NO.:
? -- °
- D
Eagan, MN 55;??1 DATE:
Z?ing. No. of Unita:
arporate onst
pwnsr:
Add`ess' 638 cruva e ourt : ort,rv ew . ows
Site Address: y tA@$ $
Plumber:
1 -
-
,
p
425.00 4
wk6 H?s GM of Bayow
I
1 sor.e to emvly
Conntctlon ChOrpe:
?
p
` Ordiaeeeu. Atwunt Deposlt: 10.00 A
Permk Fee: ? i
Surchorye:
?Y Misc. Chorpes:
Date of Insp.. Totol:
?nsp : Dab Paid:
?REQUEST FOR ELECTRICAL INSPECTION Ee-ooooi-os
0 See instructions for completing this torm on beck of yellow coCV. 0 1?/ 9r) &I
D 94167 "X" Below Work Covered by lhis Reouest
Rep. Type of Building Avalianess IMirad Equlpment Wired
Home Range mporary Service
Duplex Water Heater SOCiqhtinq Fixtures
Apt. Bu?iding Dryer Electric Heatni
Commercial Bldg. umace Silo Unloader
Industrial Bldg. Air Conditioner Butk MiIk Tank
# Farm ocn- C' „ ,ner isu.'.,fyi
1 r uCCifv th Otht:r
0/I ?nut e Inc ncrtinn Fae uei,,...
N Fee
ServiceEntrenceSize n
Fee - ?.
Faeders/Suhfeeders
# Fee
Circurts
U to 200 Am s 0 to 30 Am s 0 tn 30 Am s
Above 200 qiiriu. 31 to 100 Amps 31 to 100 A
Swinming Pool Above 100_Am s Am •
Above 100
Transformers Irrigation Booms _
Partial Other Fee
Signs Suecial Inspection
eme?ks ?
TOTA EE
'y
Rough• i n
D?te
. i ??? ? I' th Electric
Inspec ereby
Final rtify that ihe above ,
' Date a spection has been
.. 4-1- 3 ,mde.
Thla rsQueat vold 18 moMhs from
This request void 2?//??dy
18 months irom -3 7?
D 94167/o9
Requ t D.I. ? . Fire No. RouAh-in InsUectwn
Requir d,
Ready Now iIl Nntity Inspec-
t
Wh
?_ ? N. or
en qgady
L/?icensea tiectncai Contractor I hereby request insvechon of above
? Owner electrical work installed at:
Stre Add ox or o te No. ? Ci1y?
ec on o. Township Name or No. Range o. County
J J
CJQ
?P
Occ ant (PRINT)
om 5C.1/a Phone No. A
Power Suppligr AddrB55
?
14540 PENNOCK I,ANE ? C tra 5 License No.
? y
Ma?AtWyt Yl'1Ll.aL?p?a?J1G"tationl
AutAorized Signature (Contractor Owner Making Installation) Phpne Number
MINNESOTA STATE BOARD OF ELECTqICITY TNIS INSPECTION REQUEST WILL NOT
Gri9ea-Midwey Bldq. - Room N-191 BE ACCEPTEO BY TME STATE BOARD
1821 Universitv Ave.. St. Peul, MN 56104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
Tn.s reQUest vond
18 monflhs lrom
Q 5634 C? /? o /?I??ows 7? / o°
Renuest Dale Fire No. RouPh-m InsVecvon
NenwreA,
?Ready Nuw ? Will Nouty Inspec-
, ?Yes ?NO lorWhenflendy
Llii.?cehsed Electncal Con[nctor 1 hereby request insoection of ebova
? Dwner elecVicel wark installad et
Slreet ress, B?or Rgd'q No.
R ? Gty
1?
L?
ettian o. Township Name or No. a ee No. County
Occ Pa RI/NT)
V ?G ? ? Ph ?e No.
?
Power SuuPher Addres ?
EIeQ(HEay?Qf? t r ICLl??Kompany Namel
{a.1:ly ELECTRrr C [ra tor"s
- c? se No.
?
Ma. lmg A14 ?dnWigl? akinp Ins[xilatmnl
v ?iiql?iV K L,4NE
APPI
Authpr¢etl 5?g?? u /{ aE17Qf R? ation)
1Z4 Phone. Number
MlNNFSOTA STATE BOAND Oi ELECTPICITV
Griggs-MiAwav a1'd4.- floum.N-191
1821 Unrvers,ry Ave., St. Paul, MN 55104.
Phone 16121 29]-2t11
THIS INSPECTION flEQUEST WILL NpT
eE ACCEPTEO 9Y THE STATE BOARO
UNLESS PNOPEN INSPECTION FEE IS
ENCLOSED,
REQUEST FOR ELECTRICAL INSPECTION 10 EB-OUW7`-04
See inslruttions lor compleling Ihis lorm on back of yellow copv. 41?y/ Z
4
"X" Below Work Covered by 7hrs Request
Yeti .. ., .. -,
Fdu 1.1 TyDe ot BwldmO
ApPhoncas Wired
Equ?umenl Wired
Home Range Temporary Serv?ce
Duplex Water Heater Lightiny F?ztures
Apt. BwlAmg Dryer Electnc Heaun
Commerc?al Bldy. Fumace Silo Unloader
Industnal Bldg. Au Conditioner Bulk M?Ik Tenk
Farm rnr. axr.? Dmc? Isnc?.??vl
t. Suec? v om anir
..,...
k ,r...., .....
Fee r .......... ..... _""'
Serv¢eEnhence5ae
n ?
Fee
Feeders/SU01eatlers
#
Fce
0 to 200 qm s 0 to 30 qm s 0 tn
Above 200 qmps 31 to 100 Amps 31 to
Swimming ool Above 10 Abo
A
mers Irrigation 8oorcis Pdrti
Signs Special Inspection S ? 7pT
emarks A
Roueh-in ??1e I, the lect el
InsPectoq hereby
certity that the abave
Final inspecbon hee been
mede.
Tn's repuest voia ie mempm ru...
rnis ,eq?es? ..o.a 50 Q o G
Is Motr.s ftom
0,297H ILIa ?-? Nd IJ ;eA?r
flnqucst Date
l
I? ?? Fre No. Rnu9h-in InsOecuon
Pe?-q,?wred>
?6s ?No /.
?Neady Now QWill NotflY ?nspec-
lor When Reatly
Q.Cicensed Electncal Contractor I hereEy raquest insuection ot above
? Owner electricel work ir..talled at
SU t AdAreSL. Bog1o N,a1ute Nu. '
,?.?? Cityi
ectmn o. TownshiD Name or No. R?nge No. Coumy
V
CJOant?Pli1NT)
OC
r
? ' ' '?'
?
??
Phon N
o.
Power upplier AtlOress J /q
Electnwl Conhacmr ICompany Namel
E?,s'DRiCE, ? ;?'i; i ?iiC C ti5ctoi s Licensti No.
CJ ,? ?
Mailjng?tlipy3sy??? C ;eLM?k ?ILStailationl
1 "t '!V r 1 5,J ('?j? •'
ofi i ua?:t IQir? s[alln?ion) Phune Numaer
MINNESOTp STATE BOARO OF ELECTPICITY
Gripgs-Midwev Bidg. - Noom N-787
1821 UnivarsilV Ave., St. Paul, MN 55104
Plqne (612) 2972111
THIS INSPECTION pEQUEST WILL NOT
BE ACCEPTED eY THE SiATE 90ARD
UNLE55 PRDPER INSPECTIDN FEE IS
ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
' See instrucl,o.s tor comolatine this form on back of vellow copy.
M25798 '"X" Below W Covered by This Request EB-OOOU1-w
q(r.s/0
e Aooliancas w?..d Equioment wi.en
Range T mporary Service
Water Heater ? Lighting Fiztures
MApt.Building ?yer Electric Heaun
dy. Furr?ce Silo Unloader
. Av Condrtioner Bulk Milk Tank
O?her ?eufy t?er (SOe?.ilvl
Farm
S
? r>r uer.ify
Other
??h"`
Rough-in D"tP
??? I, the Electncal
h
b
I
t
r
? N? y
or,
e
e
nsoec
erlilY thet the above
D`?? ?? insDection has baen
Fnal
? ?rede.
mb ra0uestwio io man.'o ..-
2000 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
4?bm
New Consfiuclbn ReaulremeMs
fjemodeVRaoalr ReaWremenh
01
1131,6
> 3 regUtereC alte wrveys showMg sq. N, ol bt, sq. fl. of houae 2 coples ol plan
and gLi roofetl areaa /4096 maximum bt coveraae Wlawedl i set w energy cacwanons ror neated aaCUnona
> 2 coples of plans (ahow beam & window sizes; poured Md deslgn; etc.) 1 site wrvey tor exlador addNlona & decks
> 1 59t Of 9nBrgy calCUIONOns
> 7 coplea of hee preservaMOn plan il loi plalted tater 7/1/99
Q
DATE: 1'' ^ G b CON5fRUCT10N COST:
DESCRIPTION OF WORK: Tvard}'t` }5tP04 ProvSG ,A 'F'4aLAe-a &4fqjc=
STREET ADDRESS: OI ir CQ'f 11 IN'Q %16
LOT: 19 BLOCK: -7 SUBD./P.I.D.11: Nafw1ew Meadowt
Name: L Y YbC? •5? ir I C;( phone
PROPERTY Wat Fl
OWNER Sheet Address:T3g e 0 rn wal? ? s C?•
ciy 154„4 acn stare: w? r? xip:
. Company: Phone #: ? ?? Y dFrO 4116
zmAtUDELING
4100 EXCEL,SIOR BLVD. , INC. (area code)
CONTRACTOR Sheet Address: 6T. LOUIS PARI{, MN 55416 llcerise # L& CO Exp.Mfth_2?01
City
State:
ARCHITECT/
EPJGINEER Company: Name:
Telephone #: (
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4875
Sheet Address: RegishaNon #:
City
State:
Sewedwater licensed plumber (N installtna sawer/water): Phone M.
Zip:
Zip:
I hereby acknowledge fhat 1 have read lhis applicafion, state Nw11he IntomwNon is cortect, gree to comply wilh all ppplicable State
of Minnasota Staiutes and Cily of Eagan Ordinances.
Signalure of Applicanh I
OFFICE USE ONLY
Certiflcates of Survey ReCeived _ Yes _ No
Tree Preservation Plan Received _ Yes , No _ Not Required
;
C;r`_ 4
`t
)1? CITY OF EAGAN
..._
APPLICATZON FOR PE&'?IIT
? SEWER AND/OR WATER CONNECTIO.I
(PLEASE PCINi)
1) PP.OP=- ADDRSS : 0M9. U.yQ O?,c o lJc?
r_Fr=,L DFSGRT_°T=C:1: ?'1 ? -.;,, ???
(I0t/31ock/Subc-v2.sic: or Tat Parcel I.D. Ntar?er)
DrlT ;' GF O.4IGi.;aL ::iiIi^,Z`:G r:==_.5••,
? F°ES=- u5=-: 5IN:,'L:, rptitr?.y ' - --• -'" ' -
Q R-2 DLJPL:X ('IZCO T,?NITS)
? R-3 'I01.?NfICUSE (TFR_..F"'-. + L-r\1ITS) ( L7.II^_Q?
p R_d APz?pTn=m/CC2Sa-LITi':i ( U:+i=Si
? C'?
' 4l%L.°.CS1,Li Rr."T1iI,/OFFTC:'
,T
II NSTIT`vTIONAL/GG?-LIr.1E?1T
2) ApPLI= (PLEdSE PRINT)
ADD?2E55:
CTTY, Sm'I'E, ZZ?:
PHOV'E: lF S'? .F•C?(o ?,?
3) pLj7,1gz R ?(PIEASE PRINT) fOR CITY USE OYLY
?
ADDRESS:
CL?'(? c-,O. PLU ERS LILE4SE:
? Attive
CITY, STATE, 2IP: ((J b?? C-u/) AA &) Expired
HS1?'?
PH4?= ?PLUMBER LICENSE q Q Not oi Record
ar.r ;nt[in
4) (CCL=L7I'/Gr,•7ijz^Z NANIE
: (PLEASE PRINT)
ACDRESS:
CITY, STATE, ZIP;
PFK}:IE:
S) INDIG= tAHZCI3 PEFtiLiT IS BEING RDQUESTED;
zloCC.ZIE(`:IO'q 'it7 CIT'i SE?^iER
-?
CC.IDIEX.TZGi1 'I17 CZT`i wATL,IZ
'ET
? OTHEF2 (PLL'ASE DE..CitIBE)
i
6) D:DIiA= C:W.
l
! ? PT..,:'r,SE E:OLD r1PPItOVp PER:4IT FOR PICi:-iJP BY ONE OF ]1BOVE
??IE?,SE ti''?JL APPT.2(}`,c'^J PIIZ•1IT 'ICO 1, 2,<?)-A APOVE
(Circle one)
7) SICAZLiE: DA,I,E: ,e)-be??.
! ?! ?IaFS?A:1? An sal?:t:a ?1 ! ??:asa a ? af sr.?s:a:? ? ? e??-rEl?e? ? a1 ? ??t?='.aav ?
F 0 R C I T Y U S E O N L Y
PERMIT -i ISSUED
FFrS= $_ /d,
$
$
S
$
$
S ?.??--f1 °-d
S
S
$
$
$
°4J
cv,.- ?=trT (:'CL:...? SliRC'"-;-=_)
WATER °ERf4IT (INCLL'DE SURC?:ARGc.)
WATER METEP,/COPPERHORN/OUTSI` RE:,DE3
S4rlTER TAP ( INCiUD° COR?ORAT:OV STC? )
SEWE3 TF.P
ACCCWT DEPOSIT - S?:+ER
ACCOliNT DEDOSIT - L4ATER
WAC
sac
T_°.U:IR WaTER assEss.-:E.am
TRIUVK SEivER ASSESSME:vT
LATEn.AL BENEFIT/TRUNK SE;:'ER
LATE.'ZP.L BE:IEFIT/TRU:Vii WATER
OTHER
TOTAL
A.OUNT PAID/gECEIPT ; 16-o &?l O
DOES UTILIT'I CONNECTION REQUIRE EXCAVATION IN PUBLIC RZGHT OF [JAY?
? YES IF YES, THEN A"PERMIT FOR WORK 6JITHZN
? PUBLIC ROADWAY" MUST BE ISSUED SY THE
NO ENGINEERING DIVISION. LIST AS A CGNDI-
TION.
SUIIJECT TO TfIE FOLiO?•7IDIG CONDITIONSc
APPROVED BY:
TITLE;,?a,? ?
DATE:
24 s w ws MWAIR .kw ocmew fsw wt= w mw w" wm wa stm w mor ?m aa ? w'pe ar+ wa 0c40 Ma MJM w M
?
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED 6IITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
ai
To Be Used For: '-DF•pW(a- taP•2• Valuation: (pZrG1,'b ? Date:
Site Address: ?? 43g co..nti,<lllf 64 OFFICE USE ONLY
Lot: /9
Pareel 41
Block 2 Sect/Sub j}.?v)e+'- Ereet
Re d
?,, s _ moel
Y ' `?Jw-? Repair
?
L Enlarge
Owner ?(}?.po?-F?'t ?'?L,JT: Move
p ?/e/ 1 ? Demolish
Address `L'Kbb lN G..oa01 /k Grade
City/Zfp Code Ldya? *N S-5)j,3
Phone q) Vf -Q ? fLi
Contractor S??
Address
City/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone S
APPROVALS
Occupancy
Zoning
Type of Const
!1 of Stories
Length
Depth
Sq Ft
Assessments Permit
Water/Sewer Surcharge
Police Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Council Road Unit
Bldg Off s z9 5 Parks
APC Treatment P,
Variance
TOTAL
?
7?
40
Jll ?!
'5 L
I S 9 sc?
52 S ?
Z j3o °`
I3z m
a?, s o
2Co n 3?, ?°! Y?8 X 54 ° 5'3352
, . ,
?j x? _?2 ? 4 t= 29 52
22 ?c22 =4?4 ?` IS ? ?3 Z4
?, (Cfl213
041NER
EXTERIOR ENUELOPE AVERAGE "U" COPIPUTATION
.
?
SITE ADpRESS
CON'f12AC70R C??ty?iY°' DA7E J*? S PHONE
Determine working square footage of each.
1. Total exposed wall area ..... /89/ sq. ft. x--,I
.
2. Total roof/ceiling area ..... /17Z sq. ft. x_026
Total exposed wall area a6ove flaor
a. Total wall window area ........................... .
h. Total door area .................... ?2 Z?
c. Total sliding glass door area ............ ....
d. Total fireplace wall area..................:..... -
e. Totai wall framing area (average 1Q%).......
.....
f. Total net wa11 area above floor .................
g. Total rim 3oist area ............................ 1?2 /
Total exposed foundation area = _/pY
Determine "U" value cf each ivall segment.
a. x "u°
b. 37 "' ? ?'
. g toult
,
.
C. x toult -25'2O
d. --? X „uir
e. X ????i of 94
f. 9.:7 X "U" , U
9. r.2; x llUll • Q `u
? _
y??c,/
_
. _ _
.
h. - X Pluit
z "u„
3 .....................................Tota1 = 21?]
lf item N3 is the same as, or less than item kl, ynu have met the intent
of S8C 6006(c)2.
h. Total faundatian window arca .....................
i. Toal net faundation area a6eve grade ............ ?!
wAr.n sEcrzeNA
?
tio7'E: tlce 15• of opaque wall,ares for
? Frame coxistruction
OpnStruckion R-Valuo
1. I? f U•6Q
2. 5'Z ° ZM , v C
3, inches sofr woorl ?. ,
4 . 2rz Ri Tt' , dL
5. ???.eS.;"J'ri?G e ?
6. Exterior air film = 0.17
1bta1 10,91
LJ" . 0
SIeL
Pc=t-?
FRAlfE WA4L
?
1.
2.
3.
4.
5.
6.
.<.a, ., .
1. Interior air film 0.68
2. 6 q .13f.±'C?ZlI /F?oC?
3
.
4.
6. Exte- r_ iir film 0.17
ToCal .2 G',y';9
? _.
. ?
FOa2iBlTICN
k'ALI.
1. Interior air film 0.68
2.
3. 1,2
w
4 . / e ft/Rrr //n'i y.16
5.
G. Exterior air film 0.17
Total -7, 7C?l
SLAB ON GRADE
s • ' r • • ??
?i ?. ?1I?I ?+r? ?'v\\ ??!` f r •
/f( ?? d • ' I11
?. • `' ' • -
I t I ? ' i'" /!!
.-
FIG. #4 ' ? ?( ' ',- • : /I/
Ifl ?t? ` d '
' ? x x- _ jrl
• (c???? _ ?rr ? ii< <
NOTE: Indicate type, "?:" value, denth and
placenent of insulation.
4
' `?
?-,
' IbDUr/CETLING
? Pago Three
Conalruction R-Valua
1. Interior air film 0.61
2. ' a. .o_ .S.Y
3 . .i ClLO,? - ?`!?
4. f.xterior air £ilm (still OiL -
VEtiT
Total .y<5 ?
41"', , d,2z
>
Yen[ed
tii Heac £lox
. up •
FIG. NS
1. Interior a film 0.61
4. `-
3. ? ..?
4. Exteriur Tutal
fIG. N6
3 ?
.
_??OA_ ... .•
N0il-VL+NTp.D . ' \
. Heat
. flov up
FT.r.. 07
1. Inaide 44 ..r film 0.61
- `' - -?'
2.
4.
5. Ontside .ir. lm 0.19
? Y'Otdl'' Note: Use additional sheets if more space is
needed for details and calculations.
.
I Heac flow up ,. vented
...,
.
Total exposed roof/ceiling area = 112J2
1• Total skylight area.............................
--
k. Total roof/ceiling framing area (average 10%).._
1. Total net insulated roof/ceiling area...........
Determine "U" value for each roof/ceiling segment.
f. X [gull _
?
k. 1.;?712 X'lull p.2? = 31
z .,u„ , o.2? = as.i9
a ..................................rotal
If total of #4 is the same as, or less than #2, you have met the intent of
SBC 6006(c)].
Alternate 9uilding Envelope Design
To utilize the total envelope system method, the values established by the
sum of items N3 and d4 shall not be greater than the sum of items !I1 and V.
1. ?BG -9 % + 2. o ? _ I7314' ?49
s. /9q ?b + a. ? b,so = -2.2 7, 7??
???+??+5 , F, ?L'[1 ? ? ?
??;SJ•i <?j?? /?
. ?
1987 HOILDING PERMIT APPLICATION - CITY OF EAG9N
SINGLE FAMILY DWELLINGS
INCLi1DE 2 SETS OF PLANS, 3 CERTIFICATES OF SQRVEY, 1 SET OF ENERGY
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOANER MUST DESIGBiATE WHICH ADDRESS
IS DESIRED. NO CHANGES NILL BE ALLOWED ONCE BQILDING PERMIT IS ISSiTGD.
MULTIPLE DWELLINGS - RESIDENTIAL
INCLUDE 2 SETS OF PLANS, CER
1 SET OF ENERGY CALCULATIONS
RENTgI, U3dITS FOR SALE ONIYS
OF SORVSY - CHECg FTITH BLDG. DEPT.,
INCLUDE 2 SETS OF ARCAITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: FiN15F11t?
A Valuation: ? Date: 17," Al-97
,FA Site Address 139 CLVNwAt,d.13 GT,
Lot ?' Block 7
Pareel/Sub JJDgriq
VIE{N MEADD1Al5
Owner
Address gM CQAeh}Wq"(CJ 4-7"
OFFICE OSE ONLY
/SUu
6n Site Sewage_
MWCC System _
On Site Well
City idater _
City/Zip Code EA?'-?AN 5fD2?j
Phone qrj Z ' 32- APPROVALS
Contraetor CoRPb&'fr- f"Aw r.
Address
City/2ip Code _C-A?.A/J
Phone 4$A{ - Q(o, 7-!?
Arch./Engr.
Address
City/Zip Code
Phone 4
Assessments
Water/Sewer
Police
Fire
Engr
Planner
Council
Bldg Off L ?
APC
Variance
Oecupaney
Zoning
Type of Const
(Actual)
(Allowable)
1! of Stories
Length
Depth
S.F. Total
Footprint S.F.
FEFS
Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
Copies
TOTAL
OA
tJ oD
o ?
0 ?
VI
w
?
INS
I + I
I .
• '.• .. • ° .ti . . . • . - '?. S
D ' .?t ? `?t I y 1
(( I .?
/ m
I^? RI ?R/f? ?C. - PIQo ( L 11
?L 1 ?? -i > .
! z
D n
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?
7 I I T ?Na ? ; u'? ce f t.r0 L: ?.
?
` .?oIstS `eervc I ?v ? 1 I --I
2,.iC Clb'OL. 4- ? ? D f ' tnJG Lufp
txS rscL Ir.x 6 tal rT4 _
?WAr-
? - --,
- ---I? INSTALL SMOKE DG C?;.TOR
tuLSU 4-iCio ? `` '1•2i?1 t? HARD WiRc.D i L"Y" iL
3CaA 3C+LiL Crj4G PTIr
I i-
4J - toiSK ABcwf_
- 2xtC @ IIe o G.
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t LARn??.EL a?R1?r??.S?
? i
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H'' a¢,cx. UEnt?F_ 20? ?uor.w MdtL
f: ?c L.T cMlTi ?E VER.I rt" Jo?sf U?dt, ?
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- =? L
r a? t?l?h?
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? LIuEx4&\/d7LD
? 190
n •+ ?-? '2? t' Addraat _ Plon # Wto
.
_-__._..._.-_
-i' - v " ?
.
/ J I /. ., n.. •,f , ,
=TOtel Btu Input I
?? c? ??, i?: H AT LO85 CALf%ULATI?IS
AEwindows&da'??M°°?+?thxqripqd
?_
R. I Loth. r:?l "YYth. Ir : Kt.
; r?.? .. •i.-:L. .?.__. ......... ?
N. ol ..a.?._?
LmnHt ...
Ane ... ? .... ?,
. . .. ..._ -
Wl ?
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rrn ='
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itlaon eo.e. B
U
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l _
? 38 i
?nqh,n.u.,w?aRw? 3A InlilvnlonWlrWwn y? /
118
..r.p,.i,w, W/Dncn 118 Inllhntmn W/Doa+
` 71
i.:Liv??mn5lDOOn ?/-.>
? 71 .? ?
?
t InIlltrouon5lDoon
l 1 7
F.y w.il ?_- r-?? EKV.Wdi ?:?
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-•
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4 6 y
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eioa -? ? 3?.8
7 ,a -• Fwu 7
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row et.. ,
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R ,
th
' ? ..Wth 3 . .. Ht
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.
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rw ..
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N Width v? No.„ o'Iene4 ?
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,
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?
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? ? Infilvetlon WI?
_ .. 119
, Inlnvm?cnwlOacv. 718 InliMra??anW/DoOn
InfinneonS/Doors 71 InfinntionS/Do
Ew WHI
? ?-
EW Wall
F
*? ,./
? X
: 3"
I G4u b Do«s 1' ? 36'? GHp aDoorl
? ?/ 6 .7 >
N.l ew w.u
? 8'
B" Net EM-W.11 {_
4._ /
ll
C Q 8 S
C+?i?n9
Y ei
n0
3. 3 6
f1. 3
6
7 70 Floor
v
lam
T r
rou1 01v e
.
o
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'
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'
'? ' -FI Room 19th. ?' - • •• WM. " Nt\?
FI oom .;
r
9t . .
, . Wet ??w
,-
-
' Wrcf?n Ne?p?? No.ef Lrt?Wit A?es WidM Nryfit No.ai
' Lln
n[k
l q h
N. ol pnf OI P?n? f la ol crack p, fl No. OI arr OI Pslo 1
tl o
[ ,
° reoan
CM. 91
fooon Coer BTU ltloan
nLfleaoa. Wr?
8
iMows
Inhivetbn
?'
• ?7
38 ?
178
_
w?ooo.s ira wIoml.
InL?iu??cnSfGoars a j 71 °! ) r in?lunt?on5/DOnn 71
? ?..?.
t.n wn?
! C.P. Wa11 ' . i
-•
/"--
1 ?y,. ?
3&48 G1=. S nows ,
? 1 -a'
qn paV. Wa11 .....?..?......?_
? ; "
"_-
6 7 f
' J
Nel Biuo. WNI
{_
4
??
Gdvp o ?
Ficw Y
g F?oor 7 10
]
O _ }.
i•l?/1 AlY ,r 7 TOIe BLU.
W • ?
•
? • r
! !
4
COOI_ING LOAD SHEET Date:
Neme Addrep rk &GS?
Plan # Time: 4PM
Dxsian r?nditiona: Outside ! Drv 9u16 89- Wet 8ulb 76 Inside: Drv Bulb 78; Wet Bul6 88
ITEM
OIMENSIONS AREA
SQ. FT.
U
TO !{EN8i8lE
HEAT IATENY
HEAT
CANDUCTION HEAT GAINS
Extarior wall, gross
-
-
--
--
Exterior glau ' .66 11 --
Exterior wsll, net .OB 11 -`-
Totat pvalls and windows .17 11 "
Floor ---- .08 il --
Ceilinq or root d .08 11 --
EXCE88 SOLAp (iA1N8
INAll8ldfreetfon faeed)
w?
.oe
2e
Rwf d
"
West (iLA38 (direction fxed) -- ?? ? J
- ,
?
Skylighb ? .66 118 --
BODY HEAT GAINS /Sami6le No. of people x 226 ? -- ?
Lscent No. of people x 230 -- d
EOUIPMENT HEAT GAINS
seoo eTU
ElecGic motors J' HP z --ipF-
? --
--
Infiltration - Sansible 1.085 x CFM x 11 --
lofiltration • Latent MF x.87 x 30 -
TOTAL HEAT GAIN (SENSIBLE) ??¢ Q --
TOTAL HEAT GAIN (IATENT) - ?
TOTAL HEA7 GAIN BTU PER?HR
TONNAGE EQUIVALENTOF COOLING LOAD - °f?. o2,?.z Tona
# 102
SURVEYOR'S CERTIFICATE '' cORPORATE CONSTRUCTION
? -40
??-l1.54
?qS R=187.33
GO?R? a= 3°3/'44??
o N? ?,, kto
G R a6 Fa• 6 '/?5 ?,
o ,?`,c?fA,,t, o W /Zg6 tf?
> o . N
O
? N
??
? 2 ? N 3 tn
? PR.
r? N o 12?,`
?
1 -7'
L_ i
y ao ?
m kz-%
\
ZN
\
VO D?tpN 'pG'. P?, 1069
ENt/ .
5 ?PSE?
ooaVJ
'o 00
?
5y6
PROPOSED GRADES WERE TAKEN
FROM THE DEVELOPMENT PLAN
FOR NORTHVIEW MEAD04J5 BY
SUBURBAN ENGINEERING, LAST
DATED 9-29-83.
--*_ DENOTES
O DENOTES
• DENOTES
X000.0 DENOTES
(000.0) DENOTES
/
PROPOSED SURFACE DRAINAGE
IRON MONUMENT SET
IRON MONUMENT FOUND
EXISTING ELEVATION
PROPOSED ELEVATION
BOOK / PAGE
I HEREBY CERTIFY TO CORPORATE CONSTRUCTION THAT THIS IS A TRUE ANO CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 19, Block 7, NORTHVIEtJ MEAD04JS, according to the recorded plat
thereof, Dakota County, Minnesota.
AND OF THE LOCATION OF A PROPOSED BUILDING. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS
OR ENCROACHMENTS, IF ANY, THEREON. AS SURVEYED BY ME, OR UNDER MY DIRECT SUPERVISION,
THIS 26TH DAY OF hU1RCH , 1985.
APRROVED FOR SIENNA
CORPORATION
BY
DATED THIS DAV OF
19
PROJECT NO.
85517
FILE NO.
FOLDER
BY:
SCALE: 1 INCH - FEET
PROPOSED GARAGE FLOOR FEET
PROPOSED LOWEST FLOOR = 9 .g FEET
PROPOSED TOP OF BLOCK = 9 SS",O FEET
'w0
L•s
19
ILL, INC.
/I??? ",
ROLD C. PETERSON, LAND SURVEYOR
MINNESOTA LICENSE N0. 12294
JAMES R. HILL, INC.
Planners / Engineers / Surveyors
8200 Humboldt Avenus South
Bbomington, Mn. 65431 812-884-3029
SIGNED:
,-
L_
. • -
SURVEYOR'S
CORPORATE CONSTRUCTION
' 11.54
a= 3° 31'44"
R=l87.33
ZN
PROPOSED GRADES WERE TAKEN
FROhi THE DEVELOPMENT PLAN
FOR NORTHVIEW MEADOWS BY
SUBURBAN ENGINEERING, LAST
DATED 9-29-83.
z
DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCALE: 1 INCH = 30 FEET
• DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = qy-u,t, FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST fL00R = 96 l,g FEET
(000.0) DENOTES PRaPOSED ELEVATION PROPOSED TOP OF BLOCK' = 9 SS',O FEET
I HEREBY CERTIFY TO CORPORATE CONSTRUCTION THAT THIS IS A TRUE RND CORRECT
REPRESENTATION OF A SIJRVEY OF THE BOUNDARIES OF:
Lot 19, Block 7, NORTHVIEW MEAD04dS, according to the recorded plat
thereof, Oakota County, Minnesota.
AND OF THE LOCATION OF A PROPOSED BUILDING. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS
OR ENCROACHMENTS, IF ANY, THEREON. AS SURVEYED BY ME, OR UNDER MY DIRECT SUPERVISION,
THIS 26TN DAY OF MARCH , 1985.
APRROVED FOR SIENNA
CORPORATION
BY
DATED THIS DAY OF
19
PROJECT NO.
85517
FILE NO.
FOLDER
BY:
F}f1ROLD C. PETERSON, LAND SURVEYOR
MINNESOTA LICENSE N0. 12294
JAMES R. HILL, INC.
Planners / Engineers / Surveyors
8200 Humboldt Avsnus South
Bbomington, Ma 55431 812-884-3029
BOOK / PAGE
FICATE ' '
SIGNED
..
09/1312013 FRI 10:16 FAX 7635060300 0001/002
11(F-.-.
t .
{ Use BLUE or BLACK Ink
- -
For Office Use(-----
fY
yi ,
I Ta`
e City of Evan , Permit p: ~15 21
I 5) 1
~ Permit Fee: 1
3830 Pilot Knob Road l• ,i
Eagan MN 55122 Data
Received: I
Phone: (651) 675-5675
Fax: (651) 675-5694 1 Staff: l
L----------
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 3 13 Site Address: ~3~ L(1 {2N W 14 1 S « Unit
1 ai l;te
n
tad~ati}r~"I ~'4 i ins f r
I Name: UV I I (114tH ~i~t 0 IJ Phone:
l lC~,tNn"eX I Address / City / Zip: ~ 2_ 8 Ir 4 V ~bJ W t0 I i S ,
I: , + s
e
i Atli a ti Pte ;p~ ~,rs- Applicant IS: Owner YV Contractor
1, , It he
Y 1 f' ,-I~fI LEI :l'ril
Description of work:,Ltm D yr=, j Pi rly~
I
t }
a4 `xl ' Construction cost: O Z) 0 Multi-Family Building: (Yes No )
,is>a~"
Company:ILJ1T;)-t itAn it t,(,J r,p a,4 13n 00 Contact: &,Q Oil ~"AQ - 14k ,
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License -)&& b DQ 7 Lead Certificate
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h `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
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In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
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_Yes _No If yes, date and address of master plan:
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licensed Plumber: d_y
Phone:
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Mechanical Contractor: r ais
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Sewer & Water Contractor:
Phone:
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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.oopherstateonecall 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
l accordance with the approved plan in the case of work which requires a review and approval of plans.
ci 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. S
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Applicant's Printed Name
App cant's Signatur „
Page 1 of 3
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA142191
Date Issued:04/19/2017
Permit Category:ePermit
Site Address: 838 Cornwallis Ct
Lot:19 Block: 7 Addition: Northview Meadows
PID:10-52100-07-190
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Insert
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 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 -
William Peterson
838 Cornwallis Ct
Eagan MN 55123
Fireside Hearth & Home
2700 Fairview Ave N
Roseville MN 55113
(952) 985-6675
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA165062
Date Issued:10/15/2020
Permit Category:ePermit
Site Address: 838 Cornwallis Ct
Lot:19 Block: 7 Addition: Northview Meadows
PID:10-52100-07-190
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 -
William & Shirley Peterson
838 Cornwallis Ct
Eagan MN 55123
Haferman Water Conditioning
12142 12th Ave.
Burnsville MN 55337
(952) 894-4040
Applicant/Permitee: Signature Issued By: Signature