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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 ? I- ? 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. ?r3 FRL ? aL SiS t LARn??.EL a?R1?r??.S? ? i . , ? zo l ? ?? ?-----t-----?, _ H'' a¢,cx. UEnt?F_ 20? ?uor.w MdtL f: ?c L.T cMlTi ?E VER.I rt" Jo?sf U?dt, ? O BA?f w»o?u1 ? ? ? (V M ? . i R ' g 1 L r i , ,. r .' .-•,.° 9 -j? 6Cta?R.SC. ?_t'?JC. LlLCM1 GA d cc?SC. FTG 4 . -1 . ? ' ((YJrI ? •, ? sc?ar?eia ecCES?9 , ( w+6nrED ?? i I ? _?? ----- --- - .-? - • - -- -M } ? - - f? ? R. ` ?.? ?,- • , i? Y I? i ? ? -?f - =? L r a? t?l?h? IOLbl?37a ?. ?.p ? 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 ? N?ph? Ne.ul ' U-Wlt. I k m lt - rrn =' .d al pm? Iti nl CIKF IL M N Pf Mte OI W. I « . O a,c q. . i _ . ? , ? -- ? ?aoa+ T n C.O. 67V itlaon eo.e. B U ...'_? " 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 ?:? c:...a ow?? . 1 3s'qo ' C+ S ..'j Glllu S Dow, `!?. 1 -• i i ?., t Nnf.o Weu 6 ? 4 B Q C NetEW.WNI ?(? ? 4 6 y . ^, C.ib.q i P? 6 ?? j Glll?q f ra : 2' 3 eioa -? ? 3?.8 7 ,a -• Fwu 7 , ?T„?.i a?? ? row et.. , _?. i L ' om L R , th ' ? ..Wth 3 . .. Ht ' I ? FI ''? '?;?, Roan LCIfi• • . ..? ?:?. ' ° Nt FL Wetlth H?iphi o No.ol .r . B ?1n?Ml?. . rw .. .. . N Width v? No.„ o'Iene4 ? Ho Of qM OI px?1 I t, OI ttNY ll q o. ?a M o 1 . , . - /eo n ?aoen . o C.O. BTI / Cwl. BTU /y?rl tloon - ? Inla?n?wn W?MOw? , ? ? 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 H h ` ' L • •• Wxh ? Ht ' '? ' -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 , ...Corttr to Address: 1D311 L~ 1Al- {-I £4 'b I ,iC~ C11- City: ~1.~Vy'1 B UI i 1 rf 4 ~ f f Stat_ Zip: _S'C~'3dZ Phone: ~3 Dt f D 6{) t License -)&& b DQ 7 Lead Certificate i 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 I ff' In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? ?s Ila yr• _Yes _No If yes, date and address of master plan: o 1 r licensed Plumber: d_y Phone: i , Mechanical Contractor: r ais i ~ Phone: Sewer & Water Contractor: Phone: j} NOTE Plhs aI» stj~lo~t,fr~+b~tf,iTri' su k~te='i .d ` :.=ri`►~i r - , , , i i : t u , Z s4! :ease ear i a rr>!.~^ t . rt$ i3nui lC . 5.!` + i0 s ,iCr e. ; .''31 ma 3"s"~.'t . r /le r i 4a°p=in.~1: ~ ;.~,....;......s._...l;.e~:,.,...,f,?,.,::i ._,~„~ln~.i~.•RiGI'tl a~,~`flf4 ~ fl~ }'nl.,[~` 'I § 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 x "-,QOL _ &VJ9 . Io 12. X . Applicant's Printed Name App cant's Signatur „ Page 1 of 3 k'P 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