839 Cornwallis CtCITY OF EAGAN N2 13 6 5 6
3830 Pilot Knob Road, P.O. Bax 21-199, Eagan, MN 55121
PHONE:454-8100
BUILDING PERMIT Receipt #
Tobeusedfor SF DWG/GAR Est.Value $68,000 Date MAY zo ,19 87
SiteAddress 839 CORNWALLIS CT
Lot 9 Block 7 Sec/Sub. NORTHVIEW
Parcel
? Name THOMAS FRANK HOMES
z Address 540 ORONO ORCHARD
o City WAYZATA phone 452-5950
o Name SAME 473-8814
?Q Address
i- City Phone
gw City PLYMOUTH phone 553-9670 On Sile Sewage
wW Name JOHN BRADLEY
w
?o Address 3131 FERN BROOK LN
MWCC System
0o sre wen
City Water
APPROVALS
Assessments
water/sewer
Police
Fire
Engr,
Planner
Council
I hereby acknowledge that I have read this application and state BIdg.Off.
thattheinformationisconectanda reetocomplywithallapplice6le I APr-
State of Minnesota Statut n City of Eaga ? Variance
Signature ot Permittee
?
Occupancy
_ Zoning
Type of Const
5r (Actuaq
(Allowable)
n of Stories
Length
Depth
S.F. Total
Faotprint S F.
FEES
_ Permlt
_ Surcherge
_ Plan Revlew
_ snc, cicy
_ SAC, MWCC
_ WaterConn.
_ WaterMeter
_ Road Und
_ Treatment P7
_ Parks
Copies
TOTAL
R3
R1
$ 391.50
T+. 00
195.75
ino_n0
525.00
_595_00
67.00
305.00
18n-?0
5
A Building Permit is issued to: THOMAS F S on the express condition that
all work shall be done in accordance with all app ir 5 ate of Minosota Statutes and City of Eagan Ordinances
Building Official
?
' ' - CITY OF EAGAN
' S830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH O N E: 454-8100
BUILDING PERMIT Receipt#
To be used for ' Est. Value ?6 ?''t?v?' Date
Site Address ? "'' • `' ? ?
Lot Block Sec/Sub. -`'::'!'???' i l?',.; !•;?,4?;? i.. ,
c Name
W
z Address 0
City Phone
°C Narr
=o
1 11i 5 r.
d
,1 9
OFFICE USE ONLY
On Site Sewage _ Occupancy
?-
MWCC System _ Zoning
On Site Well Type of Const
City Water _ (Actual)
(Allowabie) L
# of Storie's
L
th ??
eng
Depth ?
S.F. Total
' Footprint S.F.
'.?
•-.? ..
0Q Address APPROVALS FEES
P. City Phone Assessments _ Permit
WaterySewer Surcharge
-
p W Neme Police _ Plan Review ?
t z
Address Fire SAC, City
? .,
Q W
City Phone ' _
Engr.
Planner
SAC, MWCC
Water Conn.
_
Council _ Water Meter
I hereby acknowledge that I have read this application and state Bidg. Off. _ Road Unit
'
that the information is correct and agree to comply with all applicable APC Treatment P1
State of Minnesot8 Statutes and City of Eagan Ordinances. Variance _ Parks
Signature of Permittee Copies
TOTAL
A Building Permit is issued to: on the express condition that
all work shalt be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinancea
Building Official
_ Permit No. Permit Nolder Dete Telephone ?t
Ptumbing
?
H.V.A.C.
.
v?. ?
?6?j
Electric ' C>?? " ! 1}, ,? ?P? , 0.0
Sof`.ener
InspeLdon Date Insp. Comments
Footings I
Footings II
Foundation '
Framing
Roofing
Rough Pibg
nough Htg.
Isui. ?
Fireplacs
Final iatg. s-
Final Plbg.
Bldg. Final
Cert. Oca 7 ?J? n,
Temp. LP
Deck Ftg.
Deck Frmg.
Well
Pr. Disp.
t , . . .
PLUMBING PERMIT
CITY OF EAGAN
• 3930 PILOT KNOB ROAD, EAGAN, MN 55122
CONTRACT PRICE PHONE: 454-8100
Site Address 3 o
Lot Block Z- Sec/Sub
?' % „ ,6> u
Name '
?o Address
c Ciry Phone VQe
Name `TIo ?-AS +-tt,4,/ k
3 Address
p City Phone ySJ- S9S,
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE 8 CONDO - RES. RATE APPLIES
MINIMUM - REStDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYON , 1,000,00) ?
7PERMIT ?-
SI(3 ATURE OF IT EE
RECEIPT #
DATE:
BLDG. TYPE WORK DESCRIPTION
Res. New
Mult. Add-on
Comm. Repair
Other
RE,S. PLBG. ONLY - COMPIETE THE FOLLOWING:
NO. FIXTURES jgTAL
_,-1 Water Closet - $3.00 $1
,f_Bath Tubs - $3.00 3
_.,J_Lavatory - $3.00
Shower - $3.00
/ Ki?chen Sink - $3.00
Urinal/Bidet - $3.00
-./-Laundry Tray - $3.00 3
?-Floor Drains - $1.50 / sv
-,Z_Water Heater - $1 50 / 5 v
Whiripool - $3.00
_-A_Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
..?_Rough Openings - $1.50 C'V
FEE:
STATE S/C:
FOR: CITY OF EAGAN GRAND TOTAL: -'? jf Sr
COMTRACT
Site Address
Lot ?z
-..-,..P. _ _
74
PERMIT# •:'Sn -` ?
, MECHANICAL PERMIT
CITY OF EAGAN REGEIPT # ?4,
3830 PILOT KN88 ROAD, EAGAN, MN 55122 DATE: ;r7
PHONE: 454•8100 2/L/
m Name ZII L `
? Address `'' ?
c City )1r
? Name ?
c Address
O Cib I
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent.
Gas Piping Outlets #
Other
s
?J?C?c v M BTU
M BTU
M BTU
` M BTU
"CFM
.:
v'
FEE: Y0
5/C:
TOTAL•
a?
BLDG.TYPE
Res.
Mult
Comm.
Other
WORK DESCRIPTIOM
New '
Add-on
Repair
FEES
RES. HVAC 0-100 M 8TU
ADDITIONAL 50 M BTU
-•; j;:, (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIT)
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
- $24.00
- 6.00
• 1.50 EA.
- 12.00
- 20.00
- .50
OF
FOR: CITY OF EAGAN
? .
T.erttf ira#r u# (Orrupttnry
titp o# olagan
Mrpartmmi rrf Suilhmg JWertimT
77us Cenificate issued pursuant to the requirements of Section 306 of the Uniform Builrling
Code certifying that ut the time of issuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the following.•
vse c??ificauon eia& ftrrnit tvo. : 3556
Oocupancy Type Zoning Digtrict L'Iype Coast
L .?.?. ..('. .. "'?.V'•s{i.\
Qrower of Bwlding A(wress X;i,?'? I~?'' , i.?. `r?, . •. - ?
Hwlding Address Locality .
XLY 23, 199;
aW1a;,g otricw
POST IN A CONSPICUOUS PLACE
r
(litr#i#iratit nf Mrrupanry
titp of eagan
Dppal''ttttpltt Af l1tilbtltg JWPtttitri
This Certlficate issued piirsuant to the requirements of Section 306 of the Uniform Building
Code certifying that at the time of issuunce thrs structure was in compliance with the various
ordinances of the City regulating building construction or use. For the following.•
Use QassificaUOn ? ?'?/i?i , gldg, itirnut No. :F:y,
S4
Occupancy Type Zoaing Distria 1 Type Caut v
owner of Bwwine 'ff1QMAS FRAIdC EP. ES, Addre, 54C, CFUU COQil1h'D , WAY7AT;1_
Building Adcreas •,39 00M`iT L?S l`•IT!?I- ?? IA, B7, NOR?V!TT:; P$'1?D'iJo?5
2.4, 19,'7
D.ae:
8wlding 015cial
POST IN A CONSPICUOUS PIACE
CITY OF EAGAN Remarks
Addition NORTHVIEW MEADOWS Lot 9 aik 7 Parcel 10-52100-090-07
Owner Street 839 CORNWALLIS COURT state EAGAN NIN 55123
Improvement Date Amount Annual Years Paymertt Receipt Date
STREET SURF. 1984 76 . 75 ?•(? 7-,.6$ 10
STREET RESTOR.
GRADING
1 15.89 .79 20
SAN SEW TRUNK 5 1981 138.48 6.92 20
SEWER LATERAL TRK
A 1984 275.22 i8.34 18.45 15
SEWER LAT 511 1981 22.28 1.48 1-44 Li91
-
WATERMAIN 1984 70.67 4.71 15
WATER LATERAL 5?$ 1981 18.6$ 1.24 .? -2-6-15
WATER AREA J 1981 138.48 6.92 20
WATER LAT 1982 29.52
?48
1.4'7
20
STORM SEW TRK 150 1984 392.32 g.44-3? 1$$
STORM SEW LAT
DRAINAGE 1984 33.97 3'-4-0
0
CURB & GUTTER
SIOEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
INSPECTION RECORD
' CITY OF EAGAN PERMIT TYPE: rIII r??+
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55 1 22-1 897 Date Issued:
(612) 681-4675
. .: .. .
,
SITE ADDRESS: APPLICANT:
??t;hlLJf?i i ??. ? ?? ; «I i i
?ii.i OW5 ?. .
PERMIT SUB7YPE:
H
TYPE OF WORK:
. • ?. ??F111iufflip!
INSPECTION „ . .•
I ,if1N?:.y
Permit No. Permit Holder Dete Telephone #
ELECTRIC
PLUMBING 5
HVAC
Inspection Dete Insp. Cvmments
FOO7lNGS
FOUND
FRAMING _p
J
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
iNSUL
GYP BOAflD
FIAEPLACE
FIREPLACE
AIR TEST
FINALPLBG
/
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAI
DECK FTG
OECK FINAL
- -- - - ?
CITY 4F EAGAN
3830 PILOT KN08 ROAD
EAGAN, MINNESOTA 55122
?
DATE
*seirvxo
rROM
AMOUNT $ I
? CASN ? CHECK ?
?ow
PUHD CODe AMOYNT
Thank You
BY
• ' White-PaYen CcPY
Yellow-Posting CoPY
Pink-File CopY
CITY OF EAGAN Permit No: ?Date: `
3830 Pllot KnaS Rosd Meter No: Size:
P.O. Box 21199 '
Reader No:D.s 4?? 7S Date: ? n
Eagan, SAN 55121
Owner. Thoums Frsnk Hornes
SiteAddress: '1139 LOn Lwatlis .o u 'l B7 I3urt_hview
Plumber ':e"e i ,`
Chg:
Conn 525. Oop
"1.
c'
m
.
Acct Dep: R ?
tfore di?,a?$
?
?t Ffe:
rCf?Tif ? EG R
Surcharge: •-- ' ?' ia Y t City of Eagan
Tr.Plant 1•?!%•`°??
Meter.
Misc.: BY 2
WATER SERVICE PERMIT
to compiy wRh the Clty of Eayan
SEWER SERVICE PERMIT
Connection Charge:
Account Deposit: -
Permit Fee:
Surcharge:
Misc. Charges: -
Total:
Date Paid:
This requesl void
18 months irom ? ?co /8, 7
D 19403?4
OwnBr
Electrical Contractor
7? 8SG' y
kYes L] No I - •?
I hereby request inspection of above
CO?a.2I8-7 REQUEST FOR ELECTRiCAL INSPECTlON
See instructions for completinq this twm on back of vellow copy.
"X" Below Work Covered by Ihis Request
0 Es-oooo1-os
U
:7? y5U
wfred
N Fee ServiceEntrenceSize ft Fee Feeders/Su6feeders +t Fee Circwts
Z" 0 to 200 Am ps 0 to 30 pm s 0 to 30 Am s
Above 200 qm ps 31 to 100 Amps 31 to 100 A s
Swinuning Pool Above 100_Am s Above 100_Am s
Transformers Irrigation Booms , Partial Other Fee
O11J?? Jpecial InSp2CUOn
emn.ks .,^._. 5,1+ TOTAL
the EI4t4rir-5l
spector, hereby
k
certlly thet the above
insvection has been
mede.
cir? - .•^"'•• •••-.?.M,rtGI JUN REQUEST WILL NOT
9gs-Midway Bldq. - Room N-791 BE ACCEPTED 8Y THE STATE BOARD
1621 Univeraitv Ave., St. Paul, MN 55104
Phone (612) 642-0800 UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
. -- - z ?
CASH RECEIPT
,-
?-- CITY OF EAGAN r
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122 DATE
19
R6GiIV6G
FROM? 1
f ;AMOUNT
g ooL-Lwws
,oo
E] GASH ? CHECK
•oR ,?C ? t l / LL ? !/c-(. C'? -
_ 1Nhite-PayerE CoPY
Yellow-Posting CoPY
Pink-File CoPY
BL
01-3210 B1dg. Permft
01-3422 Plan Check
01-3445 Surch./Adm.
01-3446 SAC/Adm.
01-2155 Surcharge
17-3860 Road Unit
20-2275 5AC
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permi,
20-3743 Sewer Permi
79-3866 Sewer Conn.
11-3855 Park Ded.
TOTAL
Thank You
BY l _
RESIDENTIAL BUILDING
? ??Q? Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
4-7 O a-0
rw.lo
r o1aa/v,3
New Canstruction Reowremenis RercwdaVReoair Reauirements Office Use Onlv
3 registered sRe surveys showing sq ft of lot sq• ft. of house; and all roofed areas 2 copies of plan Cert W Survey Recd
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated addihons Tree Pres Plan Recd
2 copies of plan showing beam & window sizes; pouretl found tlesign, etc. 1 site survey for atldi6ons & decks Tree Pres Not Reqd
isetofEnergyCalculations Addrtion-mdkateAOnsitesepticsystem _On-siteSepticSystem
3 copie.s of Tree Preservation Plan d lot platted after711/93
Rim Joist Dehail Options selecGOn sheet (bldgs wAh 3 or less unifs
Date i 0 1
Site Address p-
M
? 1 Construction Cost
Co?"W At-l>S C-l UniUSte #
r,-,? N.N ss Q- 3
Description of Work t-O?eZ ?-•-"s?- ???t?
Multi-Family Bldg _ Y YN Fireplace(s) _ D _ 1 _ 2
Property Owner ??'? ?-? / K-ZM LEE Telephone #(bS t) Cl ??{ -9(.3 v
Contractor
Address
State City
Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category t Worksheet • New Energy Code Worksheet
(q submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone # ( )_
Teleph 'n # ( I" ?
OCT 1
I hereby apply for a Residential Building Pernut and acknowledge that the formatio'ff-?9?Z6mplete land accurate;
that the work will be in conformance with the ordinances and codes of th ??:?E?=£a?tr_atz?ke, State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and wark is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work wluch requires a review and
approval of plans.
Applicant's Printed Name Applicant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 AccessoryBldg
? 02 SF Dwe lling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garaga ? 22 Porch/Addn. (4-sea.) ? 33 6ct. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex PI6g_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Intlmprovement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition
? ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
11
33 Alteration ? 37 Oemolish (Bldg)` ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg) - Give PCA hantlout to applicant
Valuation :2uv U Occupancy R- 3 MC/ES System
Census Code Zoning r? I City Water
SAC Units Stories Booster Pump
Nbr. of Units ? Sq. Ft. PRV
Nbr. of Bidgs / Length Fire Sprinklered
Type of Const 511y Width
_ Footings (new bldg)
_ Footings (deck)
_ Fooungs(addi6on)
_ Foundarion
_ Drain Tile
Roof Ice & Water Final
' Framing
_ Fireplace _ R.I. _ Air Test _ Final
? Insulation
REQUIRED INSPECTIONS
FinaUC.O.
/ FinaUNo C.O.
Plumbing
/ HVAC
` Other
, Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding Stucco Stone
, Windows (naw/replacement)
_ Rebining Wall
1a,yo--O a/
Approved By yi (? , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
PERMIT # ?? 6 3
RECEIPT DATE:
2008 RnIDERTIihL PLUM$IASE PEEtMIT APPLIC!lTIOR
crrYoP EALsM
saso Pu.or xxos gn
K?en?v, MN 55122
e51-681-4675
Please complete for: single family dwellings, townhomes and condos when permits are required for each unit,
backflow preventer for irrigation system
SITEADDRESS: t? '? 1 ??nvaawt c?;, c-?
OWNER NAME: : TELEPHONE #:
(AREp, CODE)
INSTALLER NAME: TELEPHONE #: ?S •? '??? ??? O
STREET ADDRESS: 0 ? jl U V(b'-h (AREA CoDE)
CITY: 1,WV?/nu? STATE: IVi kj ZIP: M L
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
• MODIFICATIONIALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
_ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
_ Water turnaround - existing dwelling unit (+ 5/8" meter if needed -$118)
Other: _ _-- -- 1
_ RPZ: new installation/repaidrebuild ' 0 ;T Q 9' ? Of':2 $ 30.00
?
_ lawn irrigation system
( „ - - ?
ReplacemenUadditional: ? watersoftener _ waterheater $ 15.00
State Surcharge $ .50
Total $ ? 5 I herebyacknowledge that I have read this appliption, state thatthe infortnation is correct, and a ee t complywith all applicable
is the applicanPs responsibility to notity the property owner that the City of Eagan assumes n abili for an ameges cau d
operatlonal and maintenance aclivities to the facilities constructed under this pertnit ' i rly/it-o ay/e. ?
f Eagan ordinances. It
Ciry during its normal
PERMITTEE ' ? 1l02
/ 49 PERMIT # RECEIPT DATE:
10 , I ?1?40a?.
8008 itE.SIDBPTIAL f'LUM$INB PEiibI1T APPLIClETION
crrY og r.Asm
seso Pn.ar KNos go D ? ? ? ?
$tR6i4N, !!lY 5618E
e31-661-4675 .?aN 2 8 2002
Please complete for: single family dwellings, townhomes and condos when permits are required for ea unit, tJ.' ?
backflow preventer for irrigation sysiem Rv _--?--?
SITE ADDRESS: R??}C rrnk CClt, cj-
OWNERNAME:: TELEPHONE#: Sl G?4- qbZn
(AREA CODE)
INSTALLER NAME: TELEPHONE #: o(Sa, q Z, - 4<0`l tla
NlI J 1_ (AREA CODE)
STREET ADDRESS: 605 i?m a?en?E Sartn
?,.......,.. ?„? ,,
CITY:
STATE:
ZIP:
_ SEPTIC SYSTEM, newlrefurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
+ MODIFICATION/ALTERATION TQ EXISTING DWELLING UNIT, INCLUDING:
_ Adding fixlures W lower levels or room addHions, exduding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
_ Water tumeround - existing dwelling unit (+ 518" meter if needed -$118)
Other:
_ RP2: new instailation/repair/rebuild $ 30.00
_ lawn irrigation system
ReplacemenUadditional: _ watersoftener ? waterheater $ 15.00
State Surcharge .50
l
T
t $ ?
a
o
wilh all applica6la CAyof Eagan ordinances. It
I herebyacknowledge Ihat I have read this application, stete that the informaUon is corted, and a e g
he Ciry during its normal
is the applicaM's reaponsibillty to notify the property owner that the City of Eagan assumes n iabili mages ceused by t
operetional and maintenance aclivities to the tacilities constructed under this permit wdhin ropt-way/ease e.
..f 1;7`z
SIGNATUREfJF PERMITTEE ' 1102
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMITTYPE: auzLozHs
PermitNumber: 031493
Date Issued: 0 2/ 2 5/ 9 8
SITE ADDRESS:
839 CORNWALLIS CT
LOT: 9 BLOCK: 7
NOR7HVIEW MEADOWS
P.I.N.: 10--52100-090-07
DESCRIPTION:
BATWROOM
ermit 7ype BASEMENT FINISH
O-rk Type ALTERATION
434 HLT. RESIDENTIAL
?i.
L? _rm ?
dut.. ,{ ? ?g
?ie,c ? r 1, ?,t Ef•§ s xc?. uy?, ? i .
Ea`?`?'
REMARKS:
CALL 445-2840 REGARDIN6 ELECTRTCAL PERMIT AND INSPECTIONS.
A SEPARATE PERMI7 I5 REQUIRED FOR ANY PLUMBING WORK
PI AN RFV7FWFD BY MIKE BARCK
FEE SUMMARY:
Base Fee $50.00
Surcharge $.50
Total Fee $60.50
CONTRACTOR:
I tieP 6;1by acknowl"
k _ 4A ' 1
AI"Id.f01t1,('-
??.tc
APPLIC TiP ITEE SIGNATl1FiE
OWNER: - Appiicant -
REGSNALp CLARKE
839 CORNWALLIS C7
EAGflN MN 55123
(612)686-6254
zbooa
ISSl1ED EIY NAT RE
_ ',t
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
5830 PILOT KNOH RD - 68122
681-4675
New Construction Requirements RemodeVReoair Reaulremerrts
? 3 repiaterad aite surveys
? 2 copies ot plena (inGude beam & window saea; pouratl fid. design; etc.)
? t energy calwletions
? 3 copies of tree preservation plan if IW platted efter 717/93
required: _ Yes _ No
DATE: 2'0 -lr? q ?J
? 2 copbe of plen
? 2 sile surveys (ezterior atlddions 8 tledcs)
? 1 energy calculetions for heated edditions
CONSTRUCTION COST;
DESCRIPTION OF WORK: '.??hLS?D???n bn? ???i1??E"D'?T ??1? 12-df?t??
STREET ADDRESS:
LOT: BLOCK: ? SUBD./P.I.D. #: ,?kVT41I I-Q_M FA /JOLr) C ?
?
Name: Phone #:
PROPERTY Last First
OWNER
Street Address: ?.q ? W ?IiI/I?7 C4t?l7 p-t-
City kAA1.-1A State: ? bN. Zip:
CONTRACTOR
ARCHIT'ECT/
ENGINEER
Company: ? Phone #:
Street
City
Name:
License #
State: Zip:
Phone #:
Street
Ciry
Sewer & water licensed piumber (new construciion ony):
and lot change is requested once permit is issued.
Sqte:
Registrarion #:
I hereby acknowledge that I have read this applicadon and state that the infortnation is
State of Minnesota Statutes and City of Eagan Ordinances. /-? r
5ignature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not
Zip:
Penairy applies when address chang
and agree to comply with all applicabl
.% _,.....:
s 'N
1987 BDILDIHG PERMTY APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
IPCLIIDE 2 SERS OF PL6NS, 3 CERTIFICATSS OF 5[IRVEY, 1 SET OF ENERGY CALCOLATIONS
NOTE: 9DDRESSES FOE CORHER LOTS - CONTRACTOR/HOMEOANEE MQST DESIGHARfi WHICH ADDRESS
IS DFSIRED. NO CHANGES WILL BB ALLOWED ONCE BUILDING P]ERMIT IS ISSOED.
MIILTIPLE DWELLINGS - R&SIDENTIAL RENTgI. [JNITS FOR SALE 01ITS
INCLUDE 2 SETS OF PLANS, CERTIFICATB OF S[IRUSY - CHECB WITH BLDG. DEPT.,
t SET OF ENERGY CALCULATIONS
C0LM41ERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
?
A.rte!
To He Used For_'?eqij.pµe,4,_ Valuation: 4? Q o-e?o _ Date:
?-
Site Address
Lot ? Block
Pareel/Sub RpP-Ak u.pw M,tQkour!?,
OwnerlklriN iCl `?o blo L. -?,?/v••-?sr-s r=.@.vnEfo•rcc:
Address SYo f>.Ca.ra n.fe,e.e,,.e.
City/Zip Code Gc%/cy Z,
OFFICE USE ONLY
On Site Sewage_
MWCC System ?
On Site Well
?City Water ?
Occupancy [? 3
Zoning 2 1
Type of Canst
(Actual) ?
(Allowable) ?7--
# of Stories
Length ¢Z
Depth 4?
S.F. Total
Footprint S.F.
FEE.S
Phone ?5.2 ' S5 SO I gPPROVAIS
Contractor
Address r
City/Zip Code
Phone
2- S3?So , ,
Arch./Engr.
Address
City/Zip Code
Phone Il SS'3 - fl 7
Assessments
Permit So
Water/Sewer Surcharge 3 4•
Police Plan Review `?q S is
Fire SAC, City •l00
Engr SAC, MWCC 52S
?
Planner Water Conn j 25
.
Council Water Meter (0 1
Bldg Off Road Unit 30 ?
APC Treatment P1 {$p.
Varianee Parks
Copies
TOTAL 3 a 31 aS--,
?.
t
?0?22 = ?-?? x,r2 =
a
.,
;9i•SU+
S4•OU=
625•UU+
527•ou+
67 •oo+
3 0 5 •ou +
1 8 o•ua+
L023•I`i'F
;
.
.,
john vraaiey
? architecturaJ consulta?nts inc.
0006 ld ST. ! E 059EO,YN. 66569 PM. 56121-424-9772
Plan
Date
) -.4 f4 x'U"
sq , ?? -? L(S
I)TOTAL EXPOSED WALL AREA .
2)TOTAL EXPOSED ROOF/tEILINO AREA2O(052 s4.ft.x"U ?
WALL AREA CALCULATIONS:
Ft
x?U??
sq
TOTAL WINDOW AREA .
.
GLA2ED
sq.tt.z.U'. '0-
TOTAL DOOR AREA
TOTAL GLASS DOOR AREA 4to sq.ft.iV' 14Z
Site Address:
vpL.) a L-C_ GLAZED
TOTAL FIREPLACE WALL AREA
?QTAL WALL FRP.frilhG AREA
NET INSULATED WALL AREA
TOTAL RIM JOIST AREA
TO"fAL FOUNOATION AREA (EXPOSED)
TOTAL FOUNDATION WINDOW AREA
Sq.ff.x?U1 P'LA- ?-
C S1 ?sq.ft.x,U"'1 v-
I 41 I 5q.f,.x'u"'_0-_6 sq.ft.x"U"•/_ ) o,s,
NA sq.ft.x'U"
3) TOTAL 1132(01171
J1 item 3 is fhe some as,or /ess iF,an item !, you have mef the lntent of
2 MCAR 1.16008 A ond O.
ROOF/CElLINO CALCULATIONS+
TOTAL SKYLIGHT AREA
TOTAL ROOF/j;,EILING FRAMING AREA
NET INSUlATEO ROOF CEILING AREA
•_-----
-q.ft.a"U"?•'?
C v5 s4.ft.z?U???= v+ G
4) TOTAL
1/ item 4 ts the some os,or Jess ihan item 2, you have mei the intent of
2 MCAR I.16008 A and 0.
ALTERNATE BUILDING ENVELOPE DESION
To utifize the total envelope system meihod, the sum of items 1 ond 2 shall
be flreater than ihe sum of items 3 and 4.
rf +2) -
3) +41 =
I hereby cerHfy that the bulldinp here described meets or e,cceeds the Sfate of Minnesata
Enerpy ConservaNon Act.
Ie n-oA? ?
a
1-4146
ZtiaD '?'i•??'S ?.r// tS,? ?' f'?
1 4., " '.?
FitAYiNO SECTION
y JSincAes of solt wood (sF>l
S ?TP.1L. .P?I
g aateria air film 0.17
TOTAL R
U s I/R
SECTION (INSULATED)
intalor oir film
r 1?2:'s.Q. .4S
s S?'b ?.?s (9 0
{ l??+a??z!-}fc..- Z.o(o
S 'S?(???-? ?
g aaterior ofr film 0.17
T97A,= P ; 1
?...... .
U , :;s
5T 9ECTION
' t ri r ir /!Im 0.68
• ?
D'?ft.4-F o.rs 19
51g?.IL. .?
exrNia oir film 0.17
TOTAL R
U s I/R ?D
f10N SECTiON
Fntertw eir flim
12 t. b?r?' + 1 •?
s' ; •
extedor air film
0.17
TOTAL R_SQa! 3
Y • ..i/R_ • V
. ' •.?-
COMITAICcIl4N ..?.. _?.?
CEfLIMi. -SECT10N (INSULATED)
? (I bNrlor air Iilm 0.61
I' _ ? ?'' s.+?. r? • . s?
,...ts
(4 extpia o1r 1JIm (s8N)
. TOTAL R 415,g
1! = 1/R •Ou
CEILNC FRAMiNG SECTtON .
( L fnfaJa oH ftlm 0.6I
? sib?'s,,? .s?
(3 sc.o,.y...? '..?' 's , o
({ inlulw o1r film 0.61
(S 5glnaAei ol satf reed ¢. ?
.TOTAL R '?'`1 •I
y ¦ i/R •aL(o
CEiL1NG SECTION ( INSULATEDl 0.61
(I fnNilor air film
_ IP
(3 0.6I
{4 Oxttrior air fJlm (sMfl)
TOTAL R
U : I/R
YENTED
CEIUNCa FRAMIHG SECTION ' 0.61
( ?,taMrJa aG tilm
te
(3 0.61
(4 intarla air flim
l5 }n'cMs of aoft rood -
_TOTAL R
y s I /R
EXppSEp BEAM CEILINS SECTION 061
(1 lnfar(at air lllm
(2
t3
(4 O.1'[
(s ' iK .rr rrl•• -
TORAL 11 ??.
L • 1r1t ?
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
DTOTF: PAYWJTP QF FEE AT TIME OF
APPLIcazzoN nM Mr ooNSTzTUTE
APrxovar, oF PM*WT.
xNsrncrioN oF sEM Arro/at MM
nsSrAr.ramrpN,S WIIy NOT gE SCFED--
ULF9 UNTII, PIItMIT AAS BM
ArrPPovID.
P ease Print
1) PROPERTY ADDRESS: 77 LEGAL DESCRIPTION:
sion or
IF E7QSTING STRC'CMME, DATE OF ORIGINAL BUILDING PERMIT ISSL'ANCE:
(Nbn YPar ...
PRFSE67P ZONING/PROPOSID LTSE: ? CONIIEEtCIAL/REfAii,/OFFICE 0?_R-1 SINGLE FAMILY "
Q ZML'STRIAL ? R-2 DOPLEX (Ztvo Units)
INSTIT[JTIONAL/GOVII2NDg,g,NT ? R-3 MWNiOD5E (Three + Units) ( Units)
. [? x-a APaxzrnarr/corroorizrRtM ( vnits)
2) ?
NAME:_
ADDRESS: -I(S?`
CITY, STATE, ZIP: ?AG,vi
. ?
PHONE: s,i s?- 5 r S`J
3) • ,: ?,- For City Use .
NAME:__ G T?v E . Y/c ri Plumbers License:
ADDRESS; Si Active
FCP r's c'•r ? /`?i.?u ? L•!rc ? - Exp1rE'Cl
CITY, STATE, ZIP: Not recorded
rxorE: MAsTEa LxcEvss# 3,55/0 -I-A7 t u,itiai
4) •. • i?-
NAME:
_ ADDRFSS:
CITY, STATE. ZIP:
PxorE:_ 3 s%,_-P
'S) ?? i ? • ?• : a a? ?7a
CONNECPION 1V CITY SEWR ?j CONNDCfION TO CITY NRITER OTfER '. .
i`..`
6) " •' ?? tj PLEASE HOLD APPROVFD PERMIT EY)ft PICK-UP BY ONE OF ABOVE ---'-- -
PLEASE MAIL APPROVID PERMIT 7CJ 1, 2, 3. 4, ABOVE
? ??- (Circle one) '
7) ?- ??/yjZ?-a
.?FOR -CITY USE ONLY
PERMIT # TSSUED
Pd w/Bldg. Permit FEES:
$ $ /d• S? SEWER PERMIT (INCLUDE SURCHARGE)
$ $ % QS_U WATER PERMIT (INCLLDE SURCHARGE)
$ ?U 7•O? $ WATER METER/COPPERHORN/0[JTSIDE READER
$ $ WATER TAP (INCLLDE CORPORATION STOP)
$ $ SEWER TAP
$ $ /.?'• U O ACCOUNT DEPOSIT - SEWER
$ $ ?S C O ACCOLNT DEPOSIT - WATER
$ 5- Z S? ? S wAc
$ Z s' cr? S sAc
$ $ TRUNK WATER ASSESSMENT
$ $ TRONK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ S LATERAL BENEFIT/TRLNK WATER
$ I So0•40 $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ /.V ',O TOTAL
- 737?o0
-7.5- ?2 .
RECEIPT RECEIPT
DOES LTILITY CONNEC TION :2EQOIRE EXCA VATION IN PUBLIC RIGHT OF WAY?
F__j YES IF YgS, THEN A" PERMIT FOR WORK WITHIN PUBLIC
Q
NO ROADWAY" MUST BE
DIVISION
LIST ISSUED BY THE ENGINEERING
AS
. A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE: , / ?p l ?J
CITY USE ONLY p.n
L ?_ BL ? RECEIPT#: ?II.?I UY/
SUBD. I?IHIItY I i 11GI4(HAI? RECEIPT DATE: ?Tf u
1998 PLUMING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT RNOB RD
EAGP.N, MN 55122
(612) 681-4675
Piease complete for: ? single family dwellings
? townhomes and condos when pertnits are required for each unR
? backflow preventer for underground sprinkler system
FIXTURES
Shower
Water Closet
Bath Tub
Lavatory
Kitchen Sink
Laundry Trey
Hot Tub/Spa
Water Heater
Floor Drain
Gas Piping Outlet ' minimum • 1
Rough Openings
Water Softener "tor dwellings under construction
EACH
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
1.50
5.00
20.00
3.00
20.00
20.00
20.00
75.00
#
TOTAL
Water Softener " for existing dwelling
U.G. Spdnkler ' for dwelling under const.
U.G.-aprinkler _ ' fo[existing dwelling
A It?ratiO?c ' to existing residen -?
Water Turn Around ?
Private Disposal System ' MPC iic.
(new and refurbished systems)
Private Disposal Systems ' Abandonment
x t _
x
x =
x
x =
x =
x =
x =
x =
x =
x =
x =
x =
STATE SURCHARGE S,o
??-
TOTAL .
l hereby aGcnowiedge thst I have resd this epplication, state that the inforrnetion ia correct, end agree to comply wRh ell applic2ble City of Eagen ordinances
k is the applicanYS responsibility to notify the property owner that the City of Eagan assumes no liability for any damages ceused by the City during ks
nortnal operatlonal and maintenance activfties to the facilities constructed under this pertnit within City property/right-of-wayleasement.
SITEADDRESS: e-/,?5gq
OWNER NAME: t`tlaC?-T?
INSTALLER NAME: ?LF?I/?r?.l? C(,??Q?GY TELEPHONE #: (-)0& `??
STREETADDRESS:
CITY: ?NA&a STATE: ZIP:
SIGNATURE
20.00
JS/FORMS BLDGIPLBG PERMIT (RESIDENTIAL) 1998
e7- i/'7
TRI-LAND C0.
SURVEYING
SERVICES
1260 YANKEE DOODLE ROAD
EAGAN, MINNESOTA 55122
HO/l!£S
LEGAL DESCRIPTION: LOT 9,BLOCK-2--, HOKTHVI9W /rIEAD00
ACCORDING TO THE RECORDED PLAT
THEREOF DAKDTR COUNTY,MINNE50TA
n? 99r$ D?l/°&° CORNWA Lt /S CUURT
? .s c, y° 3/' y4f" W ?
C`n? ?eO.DO
4 -9
0 r------ -- -?
i ?
;?c? ..i ..:........... ? .? ?
,
•?+ ? i ? N ? \
L' SCAL.I-r: /"-30"
? N•--•--??? ?1 ?' .
iio 60, pp /o4c4
N ?y•3i? ?y?F
LEGEND
o DENOTES IRON MONUMENT
o DENOTES WOOD MUB SET
DENOTES EXISTING SPOT
ELEVATION
DENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE DIRECTION
I Mraby csrtify tAaf this survey,plan or
rsport Nes preparsd by me or under my
direct supervision and fhof I am a duly
Reqistered Land Surveyor under The
Laws of tha State of Minnesota
0
INVERT ELEVATION AT SERVICE EXTENSION= ???
PROPOSED GARAGE FLOOR ELEVATION = lD o,5
PROPOSED FIRST FLOOR ELEVATION = 97.y
PROPOSED BASEMENT FLOOR =
ELEVATION
NOTE VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
8radle . Srenson, Mn. Raq. No. 15235
Date- s/"v/Bl
SITE PLAN FOR:
THO/"IA S FRANk'
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Use BLUE or BLACK Ink
r _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
I For Office Use I
Permit
City of Eap I nc~
I Permit Fee. ~U I
Eag
3830 Pilot Knob Road
Eagan MN 55122 I Date Received: l
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff:
I
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
a
Date:`/ - Site Address: 0 ,J Unit
Name: t-tyt yg Phone: j✓ I ' %'17 9C SO
Resident/
Owner Address / City / Zip: 3 ~r/w~a z-4l~ 40,,lt
Applicant is: Owner Contractor
Type of Work Description of work: ,f Eoy~
Construction Cost: &S-06 Multi-Family Building: (Yes / No
~wIK~
Company: /slssiwL0 C.X44c 6eA1S7X ,F:.70 Ll;C Contact: - 13 C. 6A70 6 t~fl 416
Contractor Address: '72d Vg,~,.a,V YOL City:
State: /llry Zip: ,x'7,2-77~ Phone: &S-1 - 37-3
License #:L t d 8I Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
i
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
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 Building Code must be completed within 180
days of permit issuance.
Applicant's Printed Name Appli tc nana Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA154497
Date Issued:03/26/2019
Permit Category:ePermit
Site Address: 839 Cornwallis Ct
Lot:9 Block: 7 Addition: Northview Meadows
PID:10-52100-07-090
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Peter J Lee
839 Cornwallis Ct
Eagan MN 55123
(651) 994-9630
T J Exteriors Inc
16150 Dutoit Rd
Carver MN 55315
(952) 448-4312
Applicant/Permitee: Signature Issued By: Signature