847 Cornwallis CtCITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Esgan, MN 55121
PHON E: 454-8100
BUILDING PERMIT
To be used for • '''r:!-/ ?- _' '
N Est. Value ? 7 % * 0('?'
Receipt #
Date jVNF 22
is <L6
SiteAddress '447 t:::,"•."?•,:?_,.;l.z:)* i:"`i
Lot 1`; Block 7 Ssc/Sub. 'F.-':Vi x,la .;%:ApClir's
Parcel No.
x Name Y'I,".:;i.
z Address ' . ?+:;, , •,:Ji>V].?_.L}. ,
° Ciity - LLt; Phone
. o a
Name
bANE
? Q ?Vddress
? City Phone
H¢
W W
Name
?
_ ?
Address
Q W City Phone
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.
5ignature of Permittee
A 8a4lding Permit is issued to: ??•?
on theexpress condition that all work shall be done in accordance with all
applicabfe Stale of Minnesota Statutes and City of Eagan Ordinances.
?
BuiVding Officiai
OFFICE USE ONLY
R3/!I1
On Site Sewage Occupancy
MWCC System Zoning PI) P. i
On Site Well (Actual) Canst Vn
Clty Water x (Allowable) V:r
PRV Required # of Stories '
Booster Pump Length
Depth 4
S.F. Total ,
Footprint S.F.
APPROYALS FEES
Engr./Assess. Permit
Planner Surcharge Sa•`'{,
Council Plan Review 231.` •
Bldg. Off. SAG, City
'.
100.
Variance SAC, MWCC 5 So • `"•'
Water Conn. 550• ?
Water Meter 0 7 •'• '-
Road Unit 325• 1'
Treatment P1 ZU4•
Parks
TOTAL I
,
, 1 ,, , CITY OF EAGAN
ti . 3830 Pilot Knob Roed, P.O. Box 21 •199, Esgan, MN 55121
PHO N E: 454-8100
BUILDING PERMIT Receipt#
To be used for Est Value Date Site Address ?-
Lot Block Sec/Sub.
Parcel No.
W Name .
z Address ' ''` •
o rir„ oti.,..o
'3m.i E
P City Phone
?-
?Wa
W
Name
W
Z n Address
?
`W City Phone
Signature of Permittee
A Building Permft is issued to_ K F?,YLA["!!%
on the express condition that al I work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
I r) 24 1
19
OFFIC E USE ONLY
On Ske 5ewaye
Occupancy '
`
MWCCSystem x Zoning
On Site Well (Actual) Conat ? t'
City Water (Alloweble) 'ri
PRV Required of Storiea
Booster Pump Length
Depth '
S.F. Total
Footprint S.F.
APPROVALS FEES I
A Pe
mit ?4f OC) I
Engr./
ssess.
Planner r
Surchar
e Si. . 00 i
` g
Pl
R '3 1 ' W 1
Council an
eview
Bldg. Off. SAC, City
Variance SAC, MWCC ? ?''? • uo
J 50. w
Water Conn.
Water Meter v 7. UO
Road Unit 31 7 • 00 ?
TreatmentPl i04•00',
Parks
TOTAL
. =,•?c•::e ,?? •:. ? .?
Permlt No. Permit Holder Date Telephone #
Plumbing 9
?
H.V.AC.
Electric ,x7/o?
Softener
Inspection Date Insp. Comments
Footings I
Footings II
Foundation
Framing p.S T v. l B 4
Roofing
Rough Pibg.
Rough Htg.
Isul. 411
Fireplace
Finel Htg. r/66
el Plbg.
Fin
Bldg. Final ,
Cert. Occ. ? ?
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
(Iltx#ifiraft n# (Orru?aury
titp of eagan
Drpartatritt uf iuiObng JWprliott
This Certificate issued pursuant to the requirements af Section 306 of rhe Uniform Building
Code certifying lhat at the time of issuance this stsucture was in compliance with tlte variorrs
ordinances of the City regulating building constsucteon or use. For the following:
Use CLM6cuion `=,' DW02GLIi: Bldg. Peimit No. 15249
OocuPanr.Y IYPe R3/MJ Zooio6 piwicy 2"' I?• ! Type Co- ?
Owoer of Bin7ding MaAND [KI`"ii,S Add= : 44- SU WVi U?'S PKW,
e?aa?? naa?? < ?: ' ?4II.I.; ?.'? } -! ??: ?;?y I.10. B7, tfffi1IE+,t t?'1?DOW"
i 7 i q Yn
Oute: -
Buflding 06riil
POST IN A CONSPICUOUS PLACE
CONTRACT PRICE:
PL
(
3830 PILOT KN
P
Site Address `1-1 C v ,? ...., ? + i . s t'
lot ? U Block ? Sec/Sub
.
? Name V .. i
? j
m Address •
c City ? Phone 1 '
Name
3 Address , . . ,
p City Phone
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDD - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
--
SIGNATURE OF PEFiMITTEE
FOR: CITY OF EAGAN
PERMIT #
G PERMIT RECEIPT #
EAGAN
40, EAGAN, MN 55122 DATE: "
054-8100
BLDG. TYPE WORK DESCRIPTION
Res. x- New ?-
Mult Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
I_Water Closet - $3.00 $
I Bath Tubs - $3.00 y 1-Lavatory - $3.00
Shower - $3.00
1 Kitchen Sink - $3.00
Urinal/Bidet - $3.00
Laundry Tray - $3.00 -
J-Floor Drains - $1.50
I_Water Heater - $1.50 -
Whirlpool - $3.00
1--Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIT) ?
Softener - $5.00 ?
Well - $10.00
Private Disp. - $10.00
...3 Rough Openings - $1.50
FEE:
STATE S/C: GRAND TOTAL•
.
-? i
PERMIT # '
" • MECHANICAL PERMIT RECEIPT # • CITY OF EAGAN
. 3830 PIIOT KNOB ROAD, EAGAN, MN 55122 DATE:
oite Haaress -
Lot Biock
Sec/Sub ?' BLDG. TYPE WORK DESCRIPTION
~
New -?
Res.
Name
• Mult Add-on
'Z Comm. Repair
c Addr
(
L
W
k ,r.4
'
iL0 Other
City r
o? a
? Phone 4
;
-? FEES
?. ?
Name
-a "i
RES. HVAC 0-100 M BTU
-$24,00
c Addr H p /3, d AODITIONAL 50 M BTU - 6.00
? City ?v/ r,.r-44, 1 i t,.,, phone 99V ' J 3L (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERiIAIn - 1
50 Ei
.
TYPE OF WORK FE EE
~
T^
FOrCed Air
M BTU AP
BLDGS.
COMM. RA E APPLIES
TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMODELS - 12.00
I Air Cand. M BTU $ MINIMUM COMMERCIAL FEE _ 20.00
STATE SURCHARGE PER PERMIT .50
? Vent T CFM PERMIT PRICE GOES
/
Gas Piping Outlets # ppp)
BEYOND $1
Other P
FEE
o?. - ?7.? r
?
?
?^^`??'
??
?
'
V?
)
!'dJr.? ?
?
S/C: ' SU SIGNATURE OF PERMITTEE
TOTAL:
FOR: CITY OF EAGAN
BUILDING PERf
Ta be used for SF
Receipt #
Est.Value $72,000 Qate JUNE 22 yg 88
Site Address 847
Lot 10 Block 7
Parcel No_
W Name
z Addre
0
City _
¢oName_
.
? Q Address
? City_
OFFICE USE ONLY
:EW MEADOWS On Site Sewage Qccupancy R3 /M1
MWCCSystem X Zoning PD RI
Vn
On Site Well (Actual) Const
Ciry Water X (Allowable) Vn
r PRV Required X # of Stories
16 Booster Pump Length 42
Depth 48
S.F. Total
Foatprint S.F.
W W Name
Address
?Z City Phone
aW
I hereby acknowledge that I have read this application and state that the
in(ormation is correct and agree to comply with all applicable State of
Minnesota Statutes and f?gan,Ordinances.
Signature of Permitte?f
A Building Permit is issued to: K$Yj,AND H(?MFS
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota S utes and City agan inances.
Building Official
-C--*
CITY OF EAGAN Na 1 5 2 4 9
.
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8108
¦T
APPROVALS FEES
Engr./Assess. Permit ? 462.00
Pianner Surcharge 36.00
Council Plan Review 231.00
BIdg.Off. SAC,City 100•00
Variance SAC, MWCC 550.00
Water Conn. 550.00
Water Meter 67.00
RoadUnit 325.00
Treatment P1 904.00
Parks
TOTAL 32,525•00
CITY OF EAGAN
Addition NORTHVIEW MEADOWS
Dwner
Lot 10 Blk ?
Street $47 ?ORNWALLIS COURT
10-52100-100-07
EAGAN MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF, ? 1984 76.75 `7471 -7.'60" 10
STREET RESTOR.
GAADING
5 1981 15.89 .79 20
SAN SEW TRUNK 575 1981 138.48 6.92 20
SEWER LATERAL TgKFqq 1$4 275.22 (83?M-.45- Z$
571 1981 22.28 1 A8 1-- 2t s
WATERMAIN 1984 70.67 4.71 IS
WATER LATERAL S? 1981 18.65 t•Z'+' .? 2015
WATER AREA 5 V 1981 183.48 6.92 20
573 1982 29 , 52 1:4"1 1--+8 20
STORM SEW TRK 1650 1984 392.32 ,4re 39--.?3 1-05
STORM SEW LAT
DRAINAGE 1311 1984 33.97 3.3°13-40 10
CURS & GUT'f'ER '
SIQEWALK
STREET LIGHT
' WATER CQNN.
13UILDING PER.
SAC
PARK
, ,, n 1:.
CITY OF EAGAN Permit No: `?' •-
3830 Pilot Knob Road B/P No:
P.O. Box 21 199
Eegan, MN 55121
Owner. :.CY1;1Uv rcolms
Site Address: ' .` I ?'3rnWaIIis
Plumber:
MWCC: '. `0. rT;lF? e
City Chg: ?r !}t)ivd
Acct. Dep: ' ???' ?
Permit Fee:
. m,
Surcharge:
Zoning• n 1.
No. of Units:
1 agree to comply with the City of Eagan
Ordinances.
Misc.: BY
CITY OF EAGAN
3830. Pilot Knob Road
P.O. Box 21199
Eagan, MN 55121
Site Address:
SEWER SERVICE PERMIT
Permit No: 9p1 i
MeterNo:.4167?6 P7-
Reader No: 0 ERI -1 !U. ul
HomBs
Conn. Chg: !.00v,:
Acct Dep: ' ; • a??' `
Permit Fee:
Zoning: _
No. of Units:
Surcharge: •????a I agree to comply with the Cfiy of Eagan
Tr. Plant 2014. 00pe Ordinan s.
Meter. 67.
MISC.: -- 7.-11"'v' T'.iif711TRil Br '
Date: 7- '?
Date: 6 - f'
WATER SERVICE ERMIT
. ? .-,
Date:
• ? pc
Size:
Date: y'X
?
.., ...,.... ..« , ? ...G.-.: . -.r ..:....:........?_. ..,r,-: . - , - _ . ... ,..?,c.nsw? +«tR
CASH RECEIPT ?
?
CITY 4F EAGAN
3830 PILOT KNOB ROAD •
EAGAN, MINNESOTA 55122
? L
? r I y Ll t9 BLDG. PERMIT NO. ?
DATE
I`
WrENED
FROM 01-3210 Bldg. Permit
a,neouNr 01-3422 Plan Check
01-3445 Surch./Adm.
s, ooLLaRS 01 _3446 SAC/Adm.
? CASH [VCHECK
01-2155 Surcharge
? 75-3860 Road Unit
FM r 20-2275 SAC
_i
20-3865 Water Conn.
20-3868 Water Trmt.
FUND OBJECT AMDUNT ? 20-3716 Water Meter
20-2252 Acct. Dep.
.' Z?z, 20-3713 Water Permit
20-3743 Sewer Permit
. 79-3866 Sewer Conn.
28-3855 Park Ded.
: Thank Yau
• __?_ TOTAL
BY -?-?^
White-Payers Copy
Yellow--Postin9 CoPY +
Pink-File CopY _ - ?
.._ . , z
/ I Oo
co -7 1 00
1-121
REQUEST FOR ELECTRICAL INSPECTION . Ea-ooooi-os
II, See instructions for complating this }orm on back of yetlow copy. ?-2
E 20713 "X" Below Work Covered by Thrs Request L
Add Rep. Type ot BuYlding Appfinnees Wiratl Equfpment WireA
Home Range Temporary Service
DL'Plex Water Heater Lightin
y Fixtures
Apt. B Dryer ,
Electne Heatin
Comm Fumace Silo Unloader
Indust
M Air Conditioner Bulk Milk Tank
Farm [hr.r pe?ti y Oiher {St?er.ifyl
, ar ,ne? ntn(,.
(111 InI1t P Inc nartrnn L,,.. O..l.....
M Fae 5erviceEntrancaSiza H Fee Feaders/Suhfeeders N Foe
Cfrcuits
? QV U t0 2?Q Afll S 0 to 30 Am s 2-7.Q0 0 tn 30 An: s
Above 200 Amps 31 to 100 Amps 31 to 100 Am s
Swimming Paol Above 100_Amps Amin
Ahove 100
Transformers Irrigation Booms f) _
artial Oth
F
Sirmc
c---'-, er
ee
This request void F170E112
18 months from
? 207
Hequesl Date,
0 i77 TR271
aOy Now ill NlffY InSDec-
10? When Ready
?
"censed Electrical Contractor 1 hereby reCuest inspectioa ot above
? Owner electrical work instelled at:
eet ddress, B x or Route No.
0-7 City? ?
ectio o. 7ownship Name or No. Range No. County
cu an (PRINT) ?
Oc
Phon? No. _
Power uppli Address ,
4
Elec ical Cont actor (Company Name)
t_ Contrac icense No.
-
Mailing AdJress (Contractor or Owner Making Instailauon) ? / • ? ?/V , ???/
Authori ' natu (Co tractor Owner ing Installatio one Number
? ?9?-
MINNESOTA STATE _ RD OF ELECTRICITV 7H15 INSPEC710N HE(1Ut51 WILL NUI
Griqgs-Midwey BI Room N-191 BE ACCEPTED BY THE STATE BOARD
1621 Universitv Ave.. St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
2007 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWc6on Reauirements RemodellReoair Reouirements Ofice Use OnN
3 registered site surveys shovnng sq. ft. of lot, sq. ft of house; and all roofed areaz 2 copies N plan shovnng foohngs, beams, 7dsis Ced of Survey Recd _ Y_ N
(20°k maximum lot coverage allowed) 1 set of Energy Calculatlons for heated adCitlons Sdis Repqt _ Y_ N
1 Sals Report if pmpwed 6uildiig is ta be placed on disWr6etl soil 1 site survey for additlons & decks Tree Pres Plan Recd _Y _ N,
2 copies of plan showing beam & vrindow sizes; poured lound design, ek. Add'Non - inMcate ii wnsde sepfk sysfem Tree Pres Required _ Y_ N
1 sM of Energy Cakulatlons On•site $eptic System _ Y_ N
3 copias M Tree Preserva6on Plan if IM pladed after 711193
Pom Joist Delail Opfions selection sheet (butldings with 3 or less unBs)
Mnnegasca mechaniral ven6lalion fortn
Date Construction Cost
Site Address d4/_?f J wr, 1 l> > ? Uniuste #
rn?. ss?3
Description of Work MA"I
Multi-Famity Bldg _ Y x N
r Fireplace(s) _ 0 _ 1 _ 2
Property Owner Telephone#(4S))0 gStL
Contractor
Address 4-74
State rl'7 h• City
Zip ? L Telephone #40) 7 OI-;21i 114,
COMPLETE THIS AREA GNLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category . Residen6al Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submissian type) Submitted Su6mitted
. Energy Envelope Calcula6ons Submitted
In ihe lasT 12 monihs, has the CiTy of Eagan issued a permit for a similar plan based on a masTer pian?
_ Y _ N If yes, daTe and address of masier plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contrpctor
Telephone #(
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the CiTy o Ea an and the State of MN
Statutes; I understand this is not a permit, but only an application for a pennit, an ut a
permit; that the work will be in accordance with the approved plan in dze case of wo ic r u?re a and
approval of plans. FEB 2 6 2008
ApplicanYs Printe Name Applic 's Signat e Y
59 RESIDENTIAL BUILDING
? Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
NewConsWdionReaui2mems RemodeUReoairReuuirements OHice UseOnlv .
3 registered site surveys shaxing sq. ft. of lot, sq. ft. of hause; and all roofed areas 2 copies of plan Cert of Survey Recd
(20 % maximum lol coverage allowed) 1 set of Eneyy Cakulatlons for heated additions Tree Pres Plan ReW
2 copies of plan showing 6eam & windmv srzes; poureA found design, etc. 1 site survey for additions & decks Tree Pres Not Reqd
1 set ot Energy Calculatlons Add'rtion - rndicate i( on-sife sepfk system _ On-site Sep6c System
3 copies of Tree Preservation Plan if bt plaHed afler 717/93
Rim Joist Oetail Op4ons selection sheet'(bldgs with 3 or less units
Date S l?U / D 3 Constructlon Cost ??i gG?a •??'
Site Address
epr/n /'Jn r
l6.$ /421! S?iUSte #
Description ot Work
Multi-Family Bldg _ YXN F}replace(s) L(, 0 _ 1 _ 2
Property Owner r lLf C/ j gry 'op) Telephone #(/e
?ry C
Contractor /Je?
Address L i i /-;? Citv ilrn di'
State Zip !S? Telephone # (c?5a)
??vq?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesoha Rules 7672
Energy Code Category . Residential Ventilation Categ 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Cal?i{IaBQns?S, itted
Licensed Plumber
Telephone #(
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
I hereby apply for a Residential Building Pernut and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the wark will be in accordance with the approved pl ?the cse of work wYrich requires a review and
approval of plans.
Applicarit's Printed Name ' ApflicanYs Signature
? oq'?3 RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 85122
651-681-4675
New Conatructlon Beaulrementa RemodeUReuair Neauirements -
• 3 regislered sMe surveys sfwwing sq. ft o1 lot, sq. ft, ot house; and ? raofed arees • 2 copies of plan
(20% maximum bt coverage allowed) . 1 sef of Enargy Celculations Por heated addmons
. 2 coples ol Ofan showing heam & wkMow sizes; poured lountl design, etc.j • 1 ske suNey for exlerbr add'Alons & dedca
• 1 set of Energy Cakulatbns . Indkete il home servetl by septic system for addttlons
• 3 copies ot Tree Presenatlon Plan il lot platted after 7/10
• Rim Joist Detall Optbns selection sheet (bldgs wRh 3 or Iess untts)
DATE
VALUATION
SITE ADDRESS MULTI-FAMILY BLDG _ Y _ZN
TYPE OF WORK ?A?-OFF ?ke ??raFPIREPLACE(S) LC 0_ 1_ 2
APPLICANT
STREET ADDRESS 70 f y Q?? _r"' ST-6Z? CIN * -N STATE /WnltlP 3*bY
TELEPHONE #L514a• 6l3`I CELL PHONE # &5-1 775? 4lri li FAX #
PROPERTY OWNER
TELEPHONE #
COMPLETE THIS SECTION FOR uNEWN RESIDENTIAL BUILDINGS ONLY
Energy Code Cate9orY _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672
(4 submissian type) . Resldential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submiltetl
Plumbing Conhactor:
Plumbing system includes:
Mechanical Contmctor:
Mechanical system includes:
Sewer/Water ConhaCtor:
_ Air Conditioning
_ Heat Recovery System
Phone #
V 9
Fee: $90.00
JIJUN 1 1 2002
Phone ?
I hereby acknowledge that I have read this application, state that the information is
with all applicable State of Minnesota StaTutes and City of Eagan Ordinances.
Signature of Applicant
OFFICE USE ONLY
_ Water Softener
_ Water Heater
_ No. of Baths
Phone #
Lawn Sprinkler
No. of R.I. Baths
Certificates of Survey ReCeived _ Tree Preservation Plan Received _ Not Required _
Updated 4102
APFLICATION FOR PERMIT
1) PROPIItTSt ADDRESS:
SEWER AND/QR WATER CONNECTION
oF eagan
,
----•------. .
? NDTE: PAYMEI7P OF FEE AT TSME OF
? APPLICATiOV DOES ND'f (.'ON- t
? SPi'lVfE AFPRGS7AL OF PIItFIIT.
?
; xNSeELTIaa oF S3tM nra/ac Vmgx •
;
; irsrnis,n2zcrs wII.[, rrcyr se scEmrED ;
R[!NCIL PIItPQT HAu BEEN APPROVID. :
#f rtelxii+riif Yrwflii !f fff 41r#kR? f MYrxfFel+
rFr:ar DESCRIPTION'
Lot B ock S vision or Tax Parcel I?
IF EXISTING STRL'CTURE, DATE (
PRESENT ZONING/PROPOSID USE:
Q COMME2CIAL/RETAIL/OFFICE
Q INDLSIRIAL
Q INSTIT[:TIONAL/GOVERNMENT
)F ORIGINAL SUILDING PERMIT ISSUANCE:
hY>nt Year
IJ R-1 SINGLE FAMILY
ED R-2 DLiPLEX (Tao Cjnits)
? R-3 TOWNHOL'SE (Three + Onits) ( Lnits)
Q R-4 APARTN]ETTP/CONIDOMINIOM ( L'nits)
2)
CITY, ? NAME:
ADDRFSS:
STATE, ZIP:
PHONE: UYl',i'vil i
`( W? ?Q us'4?
C'
?
3) ' ?:?• NAME:
?,?--- J ,
??v}"?'rw•t'? For City Use
Pl rimense:
ADDRESS: Active
Expired
CITY, STATE, ZIP: Not recordec
PHONE: MASTER LICENSE # Initi
4 ) ?'? ? ?•
NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
5) EWLSHEI
P::J?NNECTION 'IC) CITY SEWER PJ?CONNSCTION TO CITY WATEE2 EDOTI-IER
6)
**?*****.***?**+********?**??**?*********?****??****s***,r**?*??***+++*******:*??*****?*****?**+**?*>
Y
A
* THE GOLD COPY OF TfE PEEtNffT WILL BE SENT DIRECTLY TO PUBLIC WORKS 1O FACILITATE ME.TEkt PICK-OP. ;
* PLEASE ALTAW 740 WORKING DAYS FOR PROCESSING. SONIEONE FROM 7HE CITY WILL COPTrALT YOL IF 74IERE i
Y
'F AR,' 11NY PROBLE21S. i
??* **?****+?,r** ?*t*?+,r*****??f r***,r**?*?*,t*****??? **?,e *,r**te+r**?**+r+r*?**?t*?:+*?,r* *x****?*?++****:*;
FOR CITY USE ONLY
PERMIT # ISSDED
fO /?
Pd w/Bldq, Permit FEES:
$ $ 1C1• S-0 SEWER PERMIT (INCLODE SURCHARGE)
$ $ WATER PERMIT (INCLODE SPRCHARGE)
$ $ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ AJ • ACCOLNT DEPOSIT - SEWER
$ $ ACCOONT DEPOSIT - WATER
S $ WAC
$- ? ?? • 0--o $ SAC
$ $ TRU[VK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERA L BENEFIT/TRLNK SEWER
$ $ LATERA L BENiFIT/TRLiNK WATER
$ •?G? ? ??? $ WATER TREAT
MENT PLANT SDRCHARGE
$ $ OTHER:
$ I Y" 711 OU $
TOTAL
05-DS3 9 5- 97 s
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
F-1 YES IF YES, THEN A"PERMIT FOR WORK WITHIN POBLIC
Q ROADWAY" MLST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWIIVG CONDITIONS:
APPROVED BY:
TITLE:
DATE : ?/Z ?,• ? ?
?
19$$ BU LDING PERMIT APPL CATION - CITY OF, I
i
SINGLE FAMILY DWELLINGS %s i:• U U? '
n ?F,OU+
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SUR EYr 7 SET OF ENEE
- ? ? 2 ? I • t1 ?? ?"
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOA/HOMEOWNER MUSTI ?,sv.,•UUS I
IS DESIRED, NO CHANGES WILL HE ALLOWED ONCfi BUILDING PERM -
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS I ? I INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COM+IERCIAL
... . .,M
?,..
INCLUDE 2 SETS OF ARCAITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCiJLATI0N5 ?
To Be Used For: { uation: ?? Date:
?.! ?A 0
Site Address r? A OFFICE USE ONLY
Lot ZL Block,7 ?
Parcel/Sub'n4Azy?',?'o?? }'11 dL
?
Owner
Address /
City/Zip Code,,-??v?
Phone
Contractor ?42
Address
City/Zip Code
Phone
kreh./Engr.
Addres
City/Z
7? 000 -
On si?e sewage_ Oeeupaney /M' ?
MWCC system 4,,- Zoning PD{ R-I
On aite well Actual Const u_ N
City water 7/' Allowable V- /-!
PRV required ? # of stories
Booster Pump _ Length
Depth S.F. Total
Footprint S.F.
APPROVALS FEES
Engr/Assess Permit
Planner Sureharge 36,00
Council Plan Review i,oo
Bldg. Off. / y z3 SAC, City (e)D, o0
Variance SAC, MWCC SSJ, 00
Water Conn SSU.bJ
Water Meter ') Do
Road Unit 325.4>0
Treatment P1 2 U ,00
Parks
Copies
TOTAL
Phone fl ??/ 1 f4 7--C
VAUuA,??om_
_.._.?...-
CSA
Z7? K90 _
tf_. ?uS?
yya
_..------
?f32?cI?; (,v
Z L X L/O _ IO LIU
- IL
lb5(? ? G2 : ?Sy?2
---.--
r?15 2 0
s\ 1 tl J C 1 V 1 Y I j`
? Ex ntoit GwvUorr nvnanWr. °u" cnMrurn?r.iaN •
; . ?? ?. >? . - -- --,-----_. . ..? .. . . .. . . . _ . . . . ,
_. ?
`owneR: nnrr:
sfit ??Z-
S1TE ADDRESS: 6 6-b`T 10
LM?6?j
_hMW PIIONC:__?
CONTRACTOR:????p??
Determine workiny s(1uare foota(e oF each
• ; 1?
1. Total exposed wall area..... _.°?_ sc f[. x.I1 = z?D•S?'
2. Total roof/ceiliny area..... (Z p sy, fL. x.02G
? ? ?--
Total exposed wall area al)-ovc 1'loor=_--171
lp
ll window area ..........................................
b. Total do
or area . .. .........
c.
Total ....................................
slidin
9 91ass door area ................. .
d. Total fireplace wall area ....... .............
e.
Total ...................
wall framing area (average 10%)
,
f.
Total ............................
rim joist area .. .......
..
.
.
g.
net .
. .
....................
. • r .•
vrall area above floor.L ...............
<„?<
?;
h. ...............
wall area above floor .............
e.. y
R i
???rS ?
i. .
................
wall area above floor.... rix ..............................?
!
4
J. frame wall area uY fowulatiou.," .............
..... ............
Total exposed foundation ai-ea=
Y.,
Total
foundation wlndow area ...................... r: -5;•.^'?;`;."x:
e;::. t "` ?i,'.
`
1. 7ota1 net foundation area above 9rade. . . . . . , ...,
. . . • ?'''?A;c ='' ? ?+r";
' Determ9ne "u" yalue of each wall seyment
(e.g, winJow, (loor, each separale taall secCion)
a.-???--- X "Ul.--=
?
?
??
?
?? -•?•
-
6,_
X „U„ • 3 - --tL•1 ,
. I _
w,
jq•?
C._ qo x .,u„ , _
?
??..
`
X „U,,.-
a.
-
e. t77--- x"U'-
?.?
.I
r._-137,- x „V.
?
_
9 ? ? ?-?x „U„ oS = r?r ? ; rx
.
h. x „u„
; . j, X Oull rA,
;mrn15:..:
r?.,,., ?,.?.,•?;
,
•
??
111
,11 p
?
s.Yk'.?,r;Ye?l4x.
.
?.i.. ?r.f r?..:+?ti
'.?? ?:?i?
t? `
? ? ?
?y
?
'?yM•
!
. •
I1
V ?
y '
if:item 13 is` the sam
, ?
o-
?
k• X "U" = .
as,`or`,less 'than Eitem<
N1, you have metzthe",
. • ?? ?? , ?
1
.___(o(?
Intent'oi-.-SOC .G006',_6"
.
?.?
J . ..... .........
...................7otal ,
. ,
,„
{.a.
i .
.
'
. ?
+r ? ., ._ •vb?,
. invaioPo nverngo "u" CompuL•aL•ion
? „..
,: . .
7'olAl expo:;ed rooL/cetling area = _1?
rA9e 2 oF 4
.. ? ? ;
m. 7btul cl:yli.glit area .... .................... .. •. .
n. 7'otal roof/ceiling•framing area (nveraqe 10!)... ,
o, ToCql nat insulaLed rooC/cciling uren........... 2.?-
UeCermino "I1" vnluo Eoc eacli roof/coiling se9ment
1
?
?
s
i'
i
i
i
n . .......... . ............ ??az = _ Z?•7,L ,
If total of 04 is •l•he stvne us, or less f:hnn 112, you have niet thc: inl•ent of
sbr 6006 (c) l.
, . Alternata Duilding Envel.ope Design
'ib ut3lize the L•otal envelopa'sy'stcvn method, lhe values esl•a6lished by L•he sum oE 3.tens 03 und 49 shall noC be greal•er than tJie swn of itema pl nnd'112. 1• -7-1D.S •r 2.
;,a. . , ,..
3• + 4. Z?•Z ° __.-zt?_ ??r?;w;,,
- , n?5?'?:?ry;?{a.?' .. • A:' •}:?i.Y?4p"•?fr
. . . . r - ??
g V. e
11. x
o. Cl '?X "„.- , OL
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s
a_.
?. a
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Contitructlon
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? 1. Tnslde air £llin 0.61
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Total :t'.
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AWindowf
Yea-No
Windowa and
Reference II Out.
19_
p' Width
anei Area
Coeatruction No. "
Int. W'sll Ceiliog ` Roof Floor
No. {VIEU
o( Oane He16h,
o[ Dene No. ot
Ilghb Llneal fL
o[ eraek Area
p. !l. '
1 o.S 30
Coef. Btu
Iofil<<at;oo yo,s ay a
cjsaa 30,9 ?L'p />Tqs
Fxp. wall a0 t ! ;ZNS
Net exp. wall 17, S O
31
Ceiling Dx I d.20 , S O
-Ffabr-"
1 otal 151u.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader ares
'I'' F1 1 " +" oom Length aD' Width /(e' HeiBht $
Windows and Doers-Craeknw ..vl Ar.w
No. Wlalh
of Di.s Helth<
o( D..a No. ot
tleitm Lfead [l.
o( eraek Ana
M. tt.
i . a 3 / il,S
a3 e
Coef. Beu
Tn6tt?e??on s,a a y 89S
Glau O /
Fap. wall o -#! 6 a 8
Net exp. wall a,Sq 7 1/tv
4M-.w*R- ,m do*16 3 ? /G
CeilinB OX I(a O 00
r?
?-
lotal tSfu.
Required sq. ft. E.D.R. or eq. ine. W.A. l.esder erca
15'F'1.l Room ? Lens?h //d' Width /
Windows an Doore-Gackaae .na A... T
I?o. Wldth
aI pane HNcht
of Dane No.o[
Ilf??? Lln?allt
o[ Mek Are?
p. [l.
1 0 o N y 3.7,
Coef. Bcu
lnfiltrstion yyy ay 106(o
Gl"+' 3.21/
Exp. wsll ' x 1a9
Net e:p. wsU qSG 6?a
l+ie. wa11-. /6 fo 9 6
Ceiling k / 56 ?,S 6
'Niaa?
totaf Wu.
Required sq. ft. E.D.R. or sq. ios. W.A. (,aader arc?
?
40
INSULATION ?
Kiad How
Room
a
" WI IIdOWi ll1O UODfF-l.fttC3 gt sOC Ates
Na W10th
e[ pan* Helght
of Dao? Na et
Ilfbb Llnul fL
eT enek Ana
p. ft.
U.o ? 4o s, y? ,
Coef. Btu
Infileratiae 3 yD
Glus Ya 5b /oo
E:p. wsp t O 2 °8
NNe:p.wall /bb 7 /!6d
-Intwall ,M /lo+iD 6 (e /
Ceiling / D ?10D
f7aor
Total Btu. L-J/o$
Required q. h. E.D.R or q. ins. WA. Leader srea
/S' Fl.I I S• Room ( Leneth /N-lo WK1th /D Hcight F
winaom aoa voon--,,racca ge sna nrea
No. WIOeh
of yawe RUglt
e[ pan. No. o!
IlfAb LIneN fl.
et encle Ana
p. [t.
It
.
tu
1e61tntion Y . 4 $ 01 t
Glaa L, o ? i
Eip. wall iLl- L+/o x I9G.8
NN e=p. wall / 70 / I q
_Int,wall /'-/-(o q 10 4,C. G? ?1
Ceiling I O /4 .2. S
'FFOOI'--
Total &u. $N;
Required sq. $. E.D.R or sq. ins. WA. L,euder arca
5' Fl. Fo e 2 Raom I Lensth D' Qlidth ?K' Height t
Wintbwt snd Deers-Cracksae and Arcs
Ne. WIAt
at pane Nsbt
a[ qee Ne. o[
IIghN Llnnl [0.
et emcY Anm.
M. [t
nma - 6- / /Sf,7 i7 g
o? 3 v - ? ?v. 3 0
CoeF. Btv
In6ltration .911 /o
Gleu 7, $ o !
Exp. wall 6 y
Net ezp. well `
4vit.-wiff 2- m ' 8 6 98
Ceiling 10 Oo O ' O o
Floor
V. Y I lotel tltu.
Required p. k. E.D.R w aq, im. W.A. Leader arca
.
Weatherstrips
Windowt 15a
YerNo Yer
and
19_
Out. Wall I lnt.
ot Width a? (e
snd Area
Conrtruction Na
dl C•eilint RooF
No. WICth
o( Pane Nelsh?
of Pane No. o(
Iliht, y?ne?l [t.
of enck Area
p. It.
I N (o I ,S
a 36 a 4a o,y
yN a aa,-) / 3 '
1 a 4 3 . 0,5 30.9 Coef• Bcu
I0filtfatlOp !lN, a 753
Glasa g? ` So q 390
r?p. wall 44 a+ (o + ya r G x z 1$
Net exp. wall I oDO D o0
-Fne:-wa11-
-etlTing
Floar va X a?
1 OfHI O[U.
Required aq. ft. E.D.R. or eq. ina. W.A. (.eader area
FI.1 Room Lenqth Width
Windows and Doors-Crackaae end A...
No. wlath
e[ pane He1gTt
of Pane Ne. e[
11(ht. Llnaal IL
O[ crack ' Area
M. ft.
Coef. &u
Infiltration
C,lau
Exp. wall
Net exp. wall
]nt. wall
Ceiling
Floor
lotal tltu.
Required sq. ft. E.D.R. or p. ins. W.A. L,eader srea
Fl•1 Ronm I Length Width Heiaht
Windowa a nd Doors -Cracka ge and Area
Ne. WIAth
of Pane Hel?ht
ot D?ne Ne.et
Illrbb Llnulll.
o[ erack Aru
p. fL
Coef. Btu
Infiltration
Clan
Exp. wsll
Net exp. wall
Int. wlll
Ceiling
Floor
Ivca! acu.
Required sq. (t E.D.R. or sq. iaw WJI. l.esder aroa
iNSULATION ?
Kind How
RoomI Leogth VVidt6
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Glan
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WN esp. wall
lnt. waU
Ceiling
Floor
Total Btu.
Rcquind sq. ft. E.D.R. or p. ios. WA Leadet snn '
F7.1 Room I LenRth Width Heiaht
Windows and Doors--Crseks ge end Am a
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Net up. wsll
Int. wall
Ceiling
Floor
1 otal IStu.
Required sq. ft. E.D.R. or eq. ins. WA. Leader arcs
F7.1 Room I Leogeh Width Heiqht
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Ce'rling
Floor
lotsl tftu. -
Requircd q, h. E.D.R or p. ins. WA. Leader arca
SllRVEYOR'S CERTlFICATE
KEYLAND HOMES-
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rAGAN E?iGINI.1,RI1VG DEPT
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me-- DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET
• DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 9S55' FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR -`13rZ•7 FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - 9 sS• 9 FEET
WE HEREBY CEATIFY TO KEYLAND HOMES THAT THIS IS A TRUE AND CORRECT
REPFESENTATION OF A SURVEY OF THE BOUNDARIES OF:
LOT !0, BLOCK 7, NORTHVIEW MEADOWS, ACCORDING TO THE
RECOROED PLAT THEREOF, DAKOTA COUNTY, MINNESOTA
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 13TH DAY OF JUNE , 1988
SIGNED: JA)AErR LL, INC.
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8Y;
HAROLD C. PETERSON, LAND SURVEY R
MINNESOTA LICENSE NUMBER 12294
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James R. Hill, inc.
PLANNERS / ENGINEERS / SURVEYORS
9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 612-884-3029
SURVEYOR'S CERTIFICATE
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9407 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 612-884-3029
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Use BLUE or BLACK Ink
For Office Use
a ` • ITV c/ / I
I Permit I
City of Eajan I
I Permit Fee: / " O I
3830 Pilot Knob Road I I
Eagan MN 66122 Date Received:
Phone: (661) 676-6676 1 i
Fax: (661) 676-6694 1 staff: 1
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: '"i • Site Address: 0_ I~CYI/V It
Tenant: Suite
I
RESIDENT / OWNER Name: I t~r'T~ V V O..v Phone:LDS1- 'So9 - t ( D
Address / City / Zip: S q-7
Applicant is: Owner Contractor
TYPE OF WORK Description of work: - VLU
Q j QD
Construction Cost: 7 r 1 cc • Multi-Family Building: (Yes /No
CONTRACTOR Name: - License 1-74
Address: `i-I `'I bt l~
City: Stater V)' Zip:
Phone: tP~ ~~1 D `-I -02 bglp Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING ANEW 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 speck reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Cali Gopher State One Call at (651) 464-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.ora
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approve plan in the case of work which requires a review and approval plans.
_ U=& vl~k kJ 1 x
Applicant's Printed ame Applicant' ignature
Page 1 of 3
City of Eaan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
•CP
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
)L)7Z3Z
-
dost'
Date Received: >� al- 13
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 3 j ) ( 2)
iden'
lit co
Site Address: Al (C11 I1Vvi Tact, CA -
Unit#:
Name: \L (�-. 1 V F-1ifl1L'n Phon u J () 4 ) - 1101
Address / City / Zip: U -fl `OM v a; l ((IAC V ) CC/ 1‘1(Y) n I a 3
Applicant is: Owner d Contractor
iC�rr
Description of work: �� laCed 1l eY, ISI1 Win9 I ri,'t c
Construction Cost:L) • ( • O`) Multi -Family Building: (Yes / No )
Company: C UStO V` (;1� Contact: �d \1 1 d \ 1-1
V116Address: 1 I Zi PJi I' City: Lino Lat- J
State: t I IN Zip: ` _) Phone: \ Y1 G y C7 `I (0
License #: C'I� 00 I l '"i 0 Lead Certificate #: V 1( 9 I
If the project is exem t from lead certification, please explain why: (see Page 3 for additional information)
ni1 I -t In 101?)_
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a pemtit 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:
OTE: Plans and supporting docum
he i titian may be classified a
not
a
'UL
th
r bmit are considered
yrou provide specific r
the are trade gets
luaus
Ca
CALL BEFORE YOU DIG. can 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.uopherstateonecali.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
• accordance with the approved plan in the case of work which requires a review and approval of 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) )t.t
x .VVW\
Applicant's Printed Name
Page 1 of 3
c.,
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116305
Date Issued:10/04/2013
Permit Category:ePermit
Site Address: 847 Cornwallis Ct
Lot:10 Block: 7 Addition: Northview Meadows
PID:10-52100-07-100
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Barbara Bessent
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Igor V Tokman
847 Cornwallis Ct
Eagan MN 55123
Minnesota Exteriors
8600 Jefferson Hwy
Osseo MN 55369
(763) 391-5514
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA131947
Date Issued:07/15/2015
Permit Category:ePermit
Site Address: 847 Cornwallis Ct
Lot:10 Block: 7 Addition: Northview Meadows
PID:10-52100-07-100
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
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: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Igor V Tokman
847 Cornwallis Ct
Eagan MN 55123
Minnesota Exteriors
8600 Jefferson Hwy
Osseo MN 55369
(763) 391-5514
Applicant/Permitee: Signature Issued By: Signature