852 Cornwallis CtCITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?? 9022
PHONE: 454-8100 c/r yl?7
BUILDING PERMIT keceipt # -"" - ?
To bs wed 1er SF DWG/GAR Esf. Volue $50,000 Date APRIL 30 jq 84
Site Address 852 CORNWALLIS COURT Erect EC Octuponcy R3
Lot 17 Block 7 Sec/Sub. NO VIEW MF. Ai]R qlter p Zoning R1
ParcelNo. 10-52100-170-07 Repair ? FireZone
Enlarge ? Type of Const. _
e Name KEY-LAND HOMES Move p # Stories
z
Address 3471 W 173RD ST
Demolish ?
Length 45
9 city JORDAN pnone 492-6646 Grode ? Depth 36 Sq. Ft.-
rc CLA CONST CO INC Avvrovals Feea
p Name
ot 6451 E 190TH ST Assessment
283-??
Permit s
U§ Address
PRIOR LAKEphone 447-612$
Cit
Water&Sew. -
Surcharge 2r+-0 0
_____
Y 141
50
up
ww Name DENNIS HALLQUIST Police
Fire .
Plan check
SAC 525_?0
i? Address 5001 W 80TH ST Eng, Water Conn. 470.00
<W City BLMTN pheny $31-1$75 planner WaterMeter-61_.90
Council _
I hereby acknowledge that I have read this oppiication and state that gldg. Off. _
the informotion Is carrect and ogree to wmplY with all applicable AP?
$tafe of Minnesoto $tatutes and City of Eogon Ordinonces.
$ipnature of Pertnittee _
A Building Permit Is issued to:
oll work shall be done in acm
8uildinq Official
Road Unir 260 _ Op
Totol $1,767.50
CLA CONST INC on the exprev rnnditlon thni
all op6Fiab,e SJate ot Minnesota Statutes and City of Eagon Ordirwnces.
BUILDING PERMIT A1'PLICATION 1 set cf energy calculations.
?
'Ih Be Used For Valuation Date
Site Prldress
OFFICE USE ONLY
Lot ?_ Block Sec./Sub. ?fjr_'t?r U?ru: ia1?A? '?ect X Cc;citPanCS' ?,.?
Parcel #: /n Alter Zoning
oaner: xG2/ Z.B?C) t' S
Address: 3 ' C.1 5l'
City/Zip Code: -
1012llb,4 %11 A-)
Pnone #: f9lloz - 6C yk/
Contractpr: 0,?4 &i.i3d'. ? 1n,r-
Address: g f & ?
City/Zip Code: Pi2iUN?
Phore #:
Arch./Eng.: 0&^v'S
Address: 5L)O / t.J igbl?- 5v7Ae,ze'('
City/Zip Code: G?;.st,n„'•Nrq4,., /?.tJ
Phone #:
?pair Fire Zone
Ehlarge Type of Const. ??--
Move # Stories
Das[alish Front
Grade Depth ft.
APPROVAI6 FEES
Assesswnts pezmit o?
vqater/Sewer Surcharqe a s 4:0
Police Plan Check / dzu-
Fire SAC ?TaS
En4• Water Conn. y& --0
Planner Water Meter °o
Council Road Unit
Bldg. Off. d 5?
P.PC
'IIOTAL h ' 6 ].. i 0
. . CITY OF EAGAN
r3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121 N 9022
8
PHONE: 454-
100
BUILDING PERMIT % Receipt
To 6e uaed for 'F D43G/GAFi Est. Value ,-,5 Q,0 0 pate P.PR T L 30 , 19 8 4
.
Site Address 852 CORNWALLIS C0LJ1iT
Erect dC
Occuponcy R3
Lot 17 Block 7 Sec/Sub. NO VT FV! MF`A175 qlter ? Zoning
Parcel ?vo. 10-52100--170-07 Repoir ? Fire Zone
r
E
l of C
T
t
kEY-LAND HOMES ge Q
n
a ype
ons
.
Tlame Move ? # Stories
W
= Address 3471 W 173RD ST pe??ish C] Length 45
9 492-5646
JORDAN Ph 36
one
City Grode ? Depth
S4• Ft.
oc CLi? COI?1S'?' CC3 INC Approvals Fees
p
Ou Name
Addre s . '? E TH SZ
Assessment ' . O ?
Permit 2 8 3
u? 44 7-' 612 ?3
T'R I ???? ?'A???' Woter & Sew Surcharge 25.00
Phone
City .
P
li heck 141.56
Pl
Gae DF.1QI?iI; •.i,LQUIS`1' o
ce an c
525.00
W W Name Fi?e SAC
?Z w s,r
Addr 470.00
W
C
_-
?W ess
???1-1875
ph
n
C En
g' onn.
ater
63.OU
o
e
ity Plcnner Woter Meter
Council Rood Wnit 260.00
I hereby acknowledge fhat I have reod rhis applicotian ond stote thot Bidg. Off.
rhe information is correct and agree to comply with oll opplicoble , -lb-t . 50
Stote of Minneaota Statutes ond Cify of Eqgan Ordinonces. APC Total
$ipnature of Pem+ittee
/1 Building Permit Is issued to: C,A COIdST INIC
oll work sholl be done in accor e with oll opplicalbin Stote of Minne!
Bulldinp Official
y
n the express condition tf+at
of Eo9an Ordinances.
Permit iVo. Permit Fiolder Misa Permit IYo. Fiolder
W C n/?
?r
?
?,/y' t f[
?
V
H.V.A.C.
y
? A
?- a x
Eisctric
'3 "c
?•T-.Q /?
(° I 1 D ? ?
? 5 ?
InspeMion Date Insp. Other
?? ?
on
;
bg.
Rough ?
Rough HVAC
Insulation s ,
Final Plbg. sf
Finaf HYAC
Final .. ?? ?
Water Describe Location:
YVell
Sewer ?
Pr, ?isp.
Receipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fee
FiII in numbered spaces S/C '-
Type or Print legibly
T
ot.
1. Date - -? •? y` 2. Installation Cost f? ?? ?^-
3. ? )
JobAddress -°r'Jwckll,'> Lot Blk.
Tract
?)'•.';' ,?
N-?tA
? e1
1
? ?'+n
n
? • I
4. -
4
,
<.
Owner
-
, ,
5. Contractor I? U-A ( Phone
6. Address ?"t y O I k j 6f
7. City r't State ZiP ' 1 I
8_ Building Type: Residential ? Commercial ? I nstitutionai ?
9. Work Description: New P( Add ? Alter ? Repair ?
10. Describe ? 1? Fuel Type ?
11.
No.
? Eauinment BTU - M. Ea.
Forced Air No. Equipment CFM
Ai
H
dli
Mfg. ` a r 1' e I? r
an
ng:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
? Gas, Piping Outlets
12. I hereby certify that the above in ormation is true and correct, and I agree to
comply wifH,all or nano?s an?l des governing this type of work.
Signed : .?,.,... r ir ??? ?,t..t ?•;n,? for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CtTY OF EAGAN 464-8100
' - ?
Receipt
1. Date
PLUMBING PERMIT
CITY OF EAGAN
Fil1 in numbered spaces
Type or Prini legibly
`/ 2. installation Cost
Permit No.
Fee
S/C +
Tot.
3. Job Address -'Lot ? Blk. ' Tract
4. Owner
5. Contractor Phone
6. Address
7. City State Zip
8. Building Type: Residential 0 Commercial O Institutional O
9. Work Description: New 0 Add ? Alter ? Repair ?
10. Describe
11.
l
No.
<= Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
' Bath tubs Septic Tank
71 Lavatory Softner
Shower Well
1 KitChen Sink
Urinal/Bidet
Laundry TraY Other • ? ?'
' Floor Drains
Drinking Ftn.
? Slop 5ink
Gas Piping Outlets
12. I hereby certify that the fbove information is true and correct, and I agree to
comply with all ordinances and codes goyerning this type of work.
Signed: for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY UF EAGAN 454-8100
CITY OF EAGAN Remarks
Addition NORTHVIEW MEADOWS Lot 17 Blk 7 Parcel 10-52I00-I70-0
Owner Sireet 852 CORNWALLIS COURT Stace EAGAN h1N 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 1984 76.75 7.68 10 69.08 014233 18
STREET RESTOR.
GRADING
SEWER LAT $??/ 1981 15.89 .79 20 12.73 A 014232 7 16 84
SAN SEW TRUNK 57s 1981 138.48 6.92 20 110.80 11 '
SEWERLATERAL TRK'g 1984 275.22 18.35 15 256.88 A 014233 "
SEWER LAT 577 1981 22.28 1.11 20 16.36 A 014232 7/1 6 84
WATERMAIN 1984 70.67 4.71 15 65.96 A 014233 "
WATERLATERAL 1981 18.65 .93 20 13.69 A 014232 7/16/84
WATER AREA TI- 1981 138,48 6.92 20 110.80 A 014232 7 16 84
WATER LAT 5? 1982 29.52 1,48 20 23.64 A 014232 7j16/84
STORMSEW TRK Q 1984 392.32 39.23 10 313.86 A 014233 "
STORM SEW LAT
DRAINAGE 91 1984 33.97 3.40 0 30.58 A 014232 7/16/84
CURB & GUTTER
SIDEWALK
STREET LIGHT
ROAD UNIT 260.00 42887 -30-8
WATER CONN. 470.00
BUILDING PER. 9022
sac 525.00
PARK
INSPECTION RECORD
? CITY 4F EAGAN PERMIT TYPE: 'I 3830 Pilot Knflb Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675
I SITE ADDRESS: APPLICANT:
i
PERMIT SUBTYPE:
., , , .
i)o t ? h1iA"
1 ta tl I
? ?ti?:} -, ?•ti E?r?sti??ti ?•t tia#?? r ti
F
L
TYPE OF WORK:
Vp AM 4 r.,, .
ti0s1.t r, l 1) r ON kMY t 1 k?? 11: y r. Al 141"IR?
Permit No. Permft Hoider Date Telephone Ik
ELECTRIC O? .ja
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS ?{' ?tir ?
f
FOUNO
FRAMING
ROOFIN(3
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP 80ARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PIBG
FINAL HTG
ORSAT
TEST
BLDG FINAL y fS? ?
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
& DOLLARS
too
CITY OF EAGAN WATER SERVICE PERMIT
383@ Pilot Knob Road ??•?
P. 0. Box 21199 PERMIT NO.: } 4,32
, _,
5_
[] CASH ? CHECK
Eagan, MN 55121 D/1TE: 1
;:Zpning: nO No. of Units:
O F:e Lar.d C St Co
wMr:
rou:
'
852 Corqwal
• 17 E7 Nort
hview
Site ?rc?
Pl
b
um
ei:
,,.
?,
Ch
470.
AAeter No..
arge:
Con ion
?
7
Size: i4rrr ° ?? nt Deposit: .
'Rea Na • s ° Permit Fee: 1; J.
I
V/i?
FUND C006 - AMOUNT
E
y
,
,
?
Tha k ou
,-. {, :?, i. .
?_ .
.?
/ ? ?G ?. c-'- t
. , , --
B Y
CAPY
r.,n. to ? 1-416 th. ciFr of E.q.a surd,a.ge: . 5u pa
+Ordl110o0M. m- Misc. Chorpes:
Totol: r'3 . 00 Pd-met
B Date Poid:
y
!Dote of Insp.: ; Insp.:
CITY OF EAGAN SEWER SERVICE PERMIT
: 3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
an
MN 551g7
Ea DATE:
,
g
Zoninp: ` No. of Units:
c,V
O
, w
ner.
/Wdress:
Site Addrcss: ur.twa _n .our . _ 70r .v ew . •e^.:
Plumber: ?
f . )rj p.
-f.'25.^u pu
I Mm ta sw* wi16 tM Cihr ef /a/e• Connection U+orpe:
OrdiMnoN. 1lccouM Deposit: p
? By
?'. Date
Permlt Fea:
5urcFwrpr
Misc. Charpea:
of Insp.:
Total:
Dote Pald: _
? ?` "
This request void l, ?/// ? • ?pf ? d I I y
18 months Trom 1 T? M
A,-,?-??)?4 L c ? e? n,o ut? 1?,?./?
a ? .? ? . 3 S. aD
Request Date
?Q
i ? Fire Na. Rough-in Inspectian
Fe,?4u?i?r?ed7
'es ? N
OReadv Now ' olilv. Inspec-
tor Wh
n R
.a, ??
o e
eady
k!T-LicenSeGrElectrical'Contractor I heraby requsst inapection of ebove
? Owner electrical wwk instellsd st:
Street Ad ss, Box or Rout City
cS?•? d/'iv?u /
! <.% ?
ection o. ownship Name or o. ange o. County
Occupant (PRINT) phone No.
Fower Sup r Address
?
Electr'cal n actor ICompany Name1 Contractor's Licens No
Mailin d ress
Cntr or or Owner a ? ng nsta?lati ?I
??/
Au orize igna re actor Owner Ma king ta tion) p??o
^??
?
mlnneaviq S7A7E BOARD OF ELECTRICIT4 ?
Gripps-Midwey Bldp. - Room N.181
7821 Univsreity Ave., St. Peul, MN 56104
Phone (672) 297-2111
I nIs lnSPEGTION REQUEST NIILL NOT
BE ACCEPTED BY THE STATE BOARO
UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
y(?j(ip3 REQUEST FOR ELECTRICAL INSPECTION EB"000101-04
, Sse instrueiions for complatinp this twm an bsck of Wllow cuDY•
A n?iq?4 "X'" Below Work E? ue by This Request
Me4 Addl Reu• Type ot BuilAinp Appliances Nlred Equlpmsni IMlred
Home Range Temporary Service
Duplex Water Heater Lightin, Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg.
Farm
t er uoci y Air Conditioner
the? pea V
t r Bulk Milk Tank
t er ISPeci(yl
Other
ompule nspection Fee Below
M F Service Entranee Size 7i Fse Feeders/3ubieeders i1 Fee Circuits
U to 200 Am 0 to 30 Am s Oto 30 Am
Above 20 _Am 31 to 100 Amps 31 to 100 An4n
Swinvnin Pool
Transformers Above 100-Am '
Irri tion Booms
a Abov 00_AnVs
Pertial•'Other F
Signs Special Inspection S? r TgXAt-Kfp.
emerks ,
/ -s . - . _ \ 1
Rouph-in ?1 'Y, 1 / ? • Elect
1 pa r. Mrsby
rt y elrt tfr sbov?
, ctian h?t bNn
Final s
fhN ropuest voW 18 moMlr from
;A
STATE BOARD OF ELeaI n4u1 I T
my BWq. - Room 5-128
Iry Ava., St. Paul, MN 55104
_.. .ym
J1?REQUEST FOR ELECTRICAL INSPECTION EB-00001-0?9
110 See instructfona For completing this tortn on back of yellow copy.
"X" Below Work Covered by This Request
Inspection Fee Below:
Nm A
7SpBaor s uae v, ily. ?t??c
?V' I ?O f7O
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
rnMPLETED WITHIN 18 M04X4S. _ _
I, the Electrical Inspector, hereby
certify that the above inspection has
been made.
OFFICE USE ONLY
This request vad 18 manlhs trom
_ ,., A o v I
? 5
0
?1
25
-
2
?
Request Date Fire N?. Rough-In Ins bn Required I ection Other Than gh-In
(YOU mus II pector hen ready) Ready Now WIII NotHy InspecMOr
yes No Date Rea
I? licensed contractor 90wner hereby request inspection of above electrical work at:
Job Address (Street. Box or Route No ) cm
FA6An?
Ss? Gv?Nw?4??-?s rt?
G
Saction No. Township Name or No. Range No. County
!?d TA
04
Occupant(PRINT) Phone No
?83-46Y
LoNN Lv V
Powar Supplier Adtlress
ElecMcal Comractpr (Cornpany Namel C
------------
Mailirg Address (Contractor a?wner Making InsiallatioN
v
Phone Number
Authorized g ture (Contractor/Ow Making InstatlaUOn)
?F H
MINNES A STATE B ARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
gE ACCEPTED BY THE STATE BOARD
Grlggs-Mldway eltlg • Room S-128 IIIII I III I IIIII IIII I III II I IIII II I II I I III I IIII II?I
UNLESS PROPER INSPECTION FEE IS
1821 Umversity Ave.. St. Paul, MN 55104 ENCLOSEO,
Phene161215A2-0800
.1
F
oa "-
?
G?,??f1 ?r REQUEST FOR ELECTRiCAL INSPECTION E6-00001
J ?, ?
? See inslruc0ons tor completing this form on back ol yeilow copy.
.??519 5 "X" Below Work Covered by This Request ???r:r_.....,,?...r wirorl
Compute Inspection Fae Below:
F Circuits/Feeders Fee
# Service Entrance Size Fee
ee
# Other 0 to 100 Amps 1 ?
0 to 200 Amps
Swimmin Pool Above 200 Amps Above 100 Amps
Trar+sformers Inspector's Use Only: TOT,AL
Si ns cx
Irrigation Booms
Special Ins ection
INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
AlarmlCommunication THIS
COMPLETED WITHIN 78 MONTHS.
Other Fee oale
I, the Electrical Inspector, hereby
certify that the above inspection has Rough-.n
Ffnel ? ?fl?
been made.
OFFICE USE ONLY w 1
??? ? ??
l
rom
This request vad 1 8 month5 _
cY-o?
?-?l
(?i dc?D1?
MECHANICAL (RESIDENTIAL)
Permit Application
City Of Eagau
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please wmplete £or: Single Family Dwellmgs
Townhomes and Condos when pemuts aze required for each unit
q?? _,5b
Date ??_ / / $ / C3
Site AddressIS ,s a COC !1 I. J 0.? I i 5 C' + Unit #
Property Owner Z e r, A ; P Telephone ti ( 1p51 ) fa
Contractor Lot ,i- V,yi i n a? n
Street Address a ( O 3'? City ` f ',
State (nv- Zip Oa Telephone# ( ?SI ) ? [p3-2Sa-?
The Applicant is _ Owner ? Conhactor _ Other
Add-on, modification or alteration to existing dwelling unit $ 30.00
furnace replacem ent
air exchanger
air conditioner
? other j _5?
c?0.5 p?
? i hP t'e -d?0
?cIc?iwr, a?
? I0.e. o (I ?cera?'e. }t eoNed'
9tate Surcharge .50
? ' 11 ?. ` ZC?? I
Total ?, -
$ so.s0
?a
I hereby apply for a Residential Mecbanical Pemut and acknowledge that the information is complete and awurate; that the work will
be in confonnanee with the ordinances and codes of the City of Eagan and with the Mechanical Codes; 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.
Applicant's Printed Name Applicant's Signahxre
PERMIT cR3f4.?`l2
? CITY OF EAGAN PERMIT TYPE: 4I 19r?
3830 Pilot Knob Road B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 0 2 5 4 0 3
(612) 681-4675 Date Issued: 0 4/ 18 / 9 5
SITE ADDRESS:
852 CORNWALLIS CT
LOT: 17 BLOCK: 7
NORTHVIEW MEROOWS
P.I.N.: 10-52100-170-07
DESCRIPTION:
6uildingPermit Type
9uilding Wark Type
?
,
Y
{ y
'
i
2`d Oq'
? v.
GARAGE/ACCESSORY
ADDITION
REMARKS:
A SEPARATE PERMIT I5 REQUIRED FOR HNY ELECTRICAL WORK
FEE SUMMARY:
VALUATION
Base Fee
Surcharge
Total Fee
$90.00
$3.50
$93.50
$7,000
CONTRACTOR: OWNER: _ Applicant -
SOpOMKA MARGARET
852 CORNWALLIS CT
EAGAN MN 55123
(612)683-0649
?
I hereby acknowledge that I have read this application and state that the
intormation is correct and agree to comply with all applicable State of Mn.
Statutes and Gity of Eagan'ordinances. ;
APPLICANT/PERMITEE SIGNATURE
f? ?n ?o;.r IYh?I
r5UE Y IG URE ?-
)A405 CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
? 3 regiatered si[e surveys
? 2 coples af plans (inGude beam & window sizes; poured fitl. tleaign; eta.)
? 1 enerpy ealaledons
? 3 copln of tree proaervation plan H lot platted aRer 7l1/93
rcquired: _ Yes _ No
.
? 2 copiea of plan
? 2 ske aurveys (e#erior addkiona 8 dedcs)
? t energy eelculations Tor heated addkions
DATE: 4UarnL ?D CONSTRUCTION COST:
CP?-X.JV. QO
DESCRIPTION OF WORK:
STREETADDRESS:
LOT 1'7 BLOCK Hac??no,? ?,,,?o , Pa: o-V C?4rc?o
C-0113 .; ((iS C't' Z
? SUBD./P.I.D. #: ?'MllNDi,y ?I o,nr? f[
QAq9d
t'u J!L
PROPERTY
So 30M ?Ca
Name:
&J-a
Phone #:
OWNER "'°•
b `"°
C-t'
StreetAddress
?GGGrJ
Ciry:
State: M?
Zip: 5? I 2?
CONTFL4CTOR Company: ?Qcv--) e G tS 0-6oue Phone #: -
Street Address: License #•
City: State: Zip:
ARCHITECTI Company: /J0N e - Phone #•
ENGINEER
Name: ^ Registration #'
Street Address• ?
City: ? State: Zip:
Sewer & water licensed plumber:
change are requested once pertnit is issued.
Penalty applies when address change and lot
I hereby acknowledge that I have read this application and state that the information is correct and a ree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
J
Signature of Applicant: ?
OFFICE USE ONLY E;`-?/ sD
Certificates of Survey Received _ Yes _ No ApR 12 1995
Tree Preservation Plan Received _ Yes _ No _______________
. ?
BUILDING PERMIT TYPE
o Oi Foundation ? 06 Duplex
0 02 SF Oweliing ? 07 4-plex
0 03 SF Addition o 08 8-plex
0 04 SF Porch o 09 12-plex
0 05 SF Misc. 0 10 = plex
WORK TYPE
0 31 New o 33 Alterations
?82 Addition o 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
IJBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SNV Permft
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
OFFICE USE ONLY
? 11 Apt./Lodging o
? 12 Multi RepaiNRem. o
c-,Elf- 13 Garage/Accessory ?
0 14 Fireplace ?
0 15 Deck
0 36 Move
0 37 Demolition
I
i? ? ?
? .
.?., . .
OiFM
4 Y. •
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
Basement sc,. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
MC/WS System
City Water
Fire Sprinkiered
PRV
Booster Pump
Census Code. Y76
-
SAC Code °i
Census Bldg
Census Unit o
_ Engineering Variance
Valuation: g ? o 0 0
2 3??? : 35i ,? ?? = G, Zs-?
% SAC
SAC Units
1°?? I
J99VOUILDING
New Construdion Reovirements
PERMIT APPLICATION (RESIDENTIAL) ?
CITY OF EAGAN
3830 PII.OT KN08 RD - 55122
681-4675 7
RemodeVReoair Reauirements
? 3 registercd ske surveys
? 2 copies oT plans (inGude beam 3 window sizes; poured fnd. desgn; etc.)
? 1 energy raleulations
? 3 copies of Vee Dresenation plan if lot platted after 7/7193
required: _ Yes _ No
DATE: 5 lql9g
DESCRIPTION OF W
STREET ADDRESS:
? 2 copies of plan
• 2 site surveys (extenor adGitions & decks)
? 1 energy wlalatlons for heated addkians
CONSTRUCTION COST;
021V00.0°
LOT: l I BLOCK: ? SUBD./P.I.D. #:
T
PROPERTY
OWNER
Name: C59Yl Phone #:
Lasc First
StreetAddress: o CII7MLt.GL,6j ?+ -
City ttCl `JW" State: Zip: JS??
v
Company: Phone#: 6 /Z) !M- '445Se"
CONTRACTOR ' '
StreetAddress: 5014 PARRISH AVE NE License# 'L?155030
GERS, MN 55374-9009
City State: Zip:
ARCHITECT/
ENGINEER
Phone #:
Registration #:
Street
Ciry State:
Sewer 8 water licensed plumber (new construction only):
and lot change is requested once permit is issued.
Zip:
Penaity applies when address chang
? I hereby acknowledge that I have read this application and sfate that the infortnati?s cortect and agree to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances. S
Signature of Applicant: Y
OFFICE USE ONLY RECEIVED
Certificates of Survey Received _ Yes _ No Mpy p F, 1!999
Tree Preservation Plan Received _ Yes _ No _ Not Required BY:
j . .
?
i
,
2/84
% CITY OF EAGAN
APPLICATION FOR PERDIIT
/ SEWER AND/OR WATfiR CONNECTION
(PLEASE PRINi)
1) PROPEEZPY ADDRESS: f? j Z Olornv !(.)/}LG., S e #4 l-
LEGAL DESQ2IPTION: /OT /7 ;?J
(Int/Block/SubclLVision or Tax Parcel I.D. Nw[iber)
IF STRUCIURE , DATE 0° ORIG' NAL 'r_L'ILDLT7G P=--4-IIT ISSJA1vC°:
`?? ---' -=z=
P.2=.5=;. ?? `IPT,/PppPOSED L'S: : OR-1 SIlVGLE FP.M LILY
L] R-2 DUPLE.Y ('IF"J LNITS)
? R-3 'IC)WNHOiJSE (TfiREE + [TNITS) ( UNITS)
? R-4 ApAR2Tg,.'NT/CCAIDOMINIt]Ltii ( Wi ITS)
Q COMMERCIAL/REPASZ,/OFFICE
? IIIMUSmRTnr•
? INSTITUTIONAL/GOVEE2NAEN't
z) AppLICA?,,PS, (PLEASE PRINT)
turE: ?v ?R.vv ?rne<
ADDRESS: ? 3 Sy7/ ?C> /73 h D J'
CITY, STATE, ZIP: ZFch j,,?
PHOiNE: 419Z--?G ze!°
3) PLumBER T? PLEASE PRIHT) FOR CIiY USE ONLY
NAi"IEc Y C /lJeCllAGh1 (- pLUM S LICENSE:
ADDRE55: , /7??9p f?lJ ?Active
CITY, STATE, ZIP_ 1A/i' .G?it! g"S7?`L
? C] Expired
? Q Nat of Record
PHONE: PLIIMBER LICENSE N 00 ?37/-T 7
a3?fF nTitial-
q) OCCUPANT19,,JNER (PLEASE PRINT)
NAME: .$/1/17 G ,Q-S 40rw'.<i G'egik/T
ADDRESS:
CITY, STATE, ZIP:
PHONE:
5)
6) LNDIG1rIE 0NE:
7) SzGNATT.7RE_
DATE: sa y
INIIICATE WHICH PERMIT IS BEING REQUESTID:
p CONAIEC,TION TO CITY Sa7ER
,FxJ CODINEC,Z'ION TO CITY WATER
? 0'I'EIER (PLEASE DFSCF2IBE)
? PI.EASE f10LD APPRCJVID PERMIT FOR PICIi-UP BY ONE OF ABOVE
? PI.FASE r*AIL APPROVED PEIZ`4IT 'IC) l, 2, Q 4 r1BWE
(Circle one)
/J ,. , /J v 'ti
F O R C I T Y U S E 0 N L Y
PERMIT '-` ISSUED
F?.
?'S: $ So..;.;ER pr?2?tr _._T (r.';rC.. -DE SUP.C?ir?2G^,)
$ WATER PERII'lIT (INCLUDE SURCHARGE)
$ WATER METER/COPPERHORN/OUTSIDE READER
$ WATER TAP (INCLUDE CORPORATION STOP)
$ SEWER TP.P
ACCOUNT DEPOSIT - SEWER
ACCOUNT DEPOSIT - WATER
$ ?7Q_ WAC
$ SAC
$ TRUNK ;4ATER ASSESSi4ENT
$ TRUNK SEWER ASSESSMENT
$ LATERAL BENEFIT/TRUNK SEWER
$ LATERAL BENEFIT/TRUNK WATER
$ ' OTHER
$ TOTAL
$ AMOUNT PAID/RECEIPT #
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
C] YES IF YES, THEN A"PERMIT FOR WORK WITHIN
f PUBLIC ROADWAY" MUST BE ISSUED BY THE
m NO ENGINEERZNG DIVISION. LIST AS A CONDI-
TION.
SUBJECT TO TFIE FOLLOWING CONDITIONS:
APPROVED BY:
TZTLE:
DATE: ?fnr..r / -!?!_.
.e sss wt= Mmin W?s icMMa WCw w? ia ? at af4 w? ?+ ?t? ia ?? s?w w_a w[? sa ?? ?ea ?k.? ?e wr ??
SURVEYOR'S CEl
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IFICATE
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PROPOSED ELEVATIONS WERE
TAKEN FROM THE DEVELOPMENT
PLAN FOR NORTHVIEW MEADOWS
BY SUBURBAN ENGINEERING, INC.
LAST DATED 9-29-83.
KEYLAND R
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?-- DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET -SCALE: 1 INCH = 30 FEET
• DEPJOTES IRON MONUPIENT FOUND PROPOSED GARAGE FLOOR = ?SP-0 FEET
XD00.0 DEPIOTES EXISTING ELEVATION PROPOSED LOlJEST FLOOR = 9 SS'0 FEET
(000.0) DErJOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = 9S$.3 FEET
I HEREBY CERTIFY TO KEYLAND HOP4ES THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 17, Block 7, NORTHVIEW MEAD04:S, according to the recorded plat thereof,
Dakota County, Minnesota.
AND OF THE LOCATION OF A PROPOSED BUILDING. IT DOES NOT PURPORT TO SNOW IMPROVEMENTS
OR ENCROACHMENTS, IF ANY, 7HEREON. A5 SURVEYED BY ME, OR UNDER MY DIRECT SUPERVISION,
TNIS 15TH DAY OF MARCH , 1984.
APPROVED FOR SIENNA SIGNED: JAME R. HILL, INC. n
CORPORATIOM
BY: C U
ROBERTS ARCHITECTS gy•
DATED TNIS _ DAY OF HAROLD C. PETERSON. LAND SURYEYOR
19- • MINNESOTA LICENSE N0. 12294
PROJECT HO. BOOK / PAGE JpMES R. HILL, INC.
84584
Ptanners / Engineers / Surveyors
FILE NO. 8200 Humboldt Avsnue South
FOLDER Bbomington. Mn. 55431 612-884-3029
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City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Conshuchon Reoui2menis
3 registered sde surveys shovnrg sq. ft. of lot, sq. ft of house; and all roofed areas
(20%mmmum lotcoverage allowed)
1 Soils Repod if proposed buAding is to 6e placed on dislurbed wil
2 copies of plan showing beam 8 windax saes; pared faund design, etc
i setof Energy Calculatlons
3 wpres of Tree Preservation PWn il lot plaHed atler 711193
RimJaslDetailOptionsselectionsheet (buildinqswih3orlessunits)
Minnegasco mechaniral venhlahon form
Plans are consiaerea puouc mJoMId.IVII
Date `? ? / -_-) 3G // ? ??y???
SiteAddress D?7? '?(.?` n'?^'"(i
Description of Work ° L.LCG?
Multi-FamilyBldg _ Y XN
RemcddlReoair Reuuiremen?
2 copies of plan shaxing foo6ngs, beams, jds6
1 set of Energy Calculafions fa heated addifions
1 site survey for additbns 8 decks
Addifion - indcafe if on-si[e septlc system
trade
Construction
Fireplace(s) _ 0
Property Owner /lWQ?[1L b'< P/ a ?A?V II ? Telephone
Contractor
Address
State
City.
.
Zip Telephone # (
/sv-o?
CM& 7d7
Office Use OnN
Ce1toTSwveyR?cd. =Y -N
SailsRePoA _Y -N
TreePrasPlanReoi _Y -N.
TreePresRequired - _Y _N
On-siteSeptlcSystem _Y -N
po
UniUSte #
--gO
I
) 9 a?;'- 3t??7
-----------------
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7672
Minnesota Rules 7670 Cateeorv 1 New Energy Code Worksheet
Energy Code Category , Residential Venlilation Cate9ory 1 Worksheet Submiried
(J submission type) Submifled
. Energy Envelope Calculations Submitted
In the last 12 months, has ihe City of Eagan issued a permit for a similar plan based on a masier planB
Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the Siate of IvtN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans. -
Jhe ? l0.
Applicant's Printed Name ApplicanYs Signature ? ??? ? s-Z?D? D
aor RESIDENTIAL BITILDING pExMiT ArPLICnTiorr
, VEYOR'S' CERTIFICATE
-OS
N?P
?pRGOUR
D'
o ?t ?8
o'j11 Ak
S6Ak3 600
/
?
/
/
PROPOSED ELEVATIONS WERE
TAKEN FROM THE DEVELOPMENT
PLAN FOR NORTHUIEW MEADOWS
BY SUBURBAN ENGINEERING, INC.
LAST DATED 9-29-83.
N
?-- DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET -SCALE: 1 INCH = 30 FEET
O DEPlOTES IRON MONUPIENT FOUND PROPOSED GARAGE fL00R = 9SP, - O FEET
X000.0 DEPIOTES EXISTING ELEVATIOP! PROPOSED LOIdEST fL00R = 9S5'0 FEET
(000.0) DEIlOTES PROPOSED ELEVATIDN PROPOSED TOP OF BLOCK = 958•3 fEET
I HEREBY CERTIFY TO KEYLAND HOP9ES THAT TNIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 17, Block 7, NORTHVIEW MEADOb;S, according to the recorded plat thereof,
Dakota County, Minnesota.
AND OF 7HE LOCATION OF A PROPOSED BUILDING. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS
OR ENCROACHMENTS, IF ANY, THEREON. AS SURYEYED BY ME, OR UNDER MY DIRECT SUPERYISION,
THIS 15TH DAY OF MARCH , 1984.
APPROVED FOR SIENNA
CORPORATIOPJ
BY:
ROBERTS ARCHITECTS
DATED THIS - DAY OF
19 .
PROJECT NO.
84584
FILE NO,
FOLDER
SIGNED: JAME_S.,R.,HILL, INC.
!.y.?
BY: '` C"(
HAROLD C. PETERSON, LAND SURVEYOR
MINPJESOTA LICENSE N0. 12294
r-
KEYLAND hUMES
MonEL- 7- 3 239
BOOK / PAGE
JAMES R. HiLL, INC.
Planners / Engineers / Surveyors
8200 Humboldt Avenu• South
Bbomington, Mn. 55431 812-884-3020
?'r ;•'11.0
EYOR'S? CEFiTIFQCATE
A3 g0
N?(?Jp??,.? 56 A
60COuR :, ,5s•?? 6?15 w
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KEYLAND hvMES
rtiovEL- 4. 3239
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PROPOSED EIEVATIONS WERE
TAKEN FROM THE DEVELOPMENT
PLAN FOR NORTHVIEW MEADOWS
BY SUBURBAN ENGINEERING, INC.
LAST DATED 9-29-83.
W ?
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$?aQV I
pP???E S 4? ° :
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$ 0?
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yeo °
? -- 5 .
-4- DENOTES PROPOSEO SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET
• DENOTES IRON MONUPIENT FOUND
x000.0 DErIOTE5 ExISTING ELEVATIOrl
(000.0) DETJOTES PROPOSED ELEVATION
/
9.tiN S (? ,
b ,
LI 6 Zo
03
.
,
• 1?5
5
i
•SCALE: 1 INCH = 30 FEET
PROPOSED GARAGE FLOOR = 9S8,0 FEET
PROPOSED LOWEST FLOOR = 9 S5 •0 FEET
PROPOSED TOP OF BLOCK = 958.5 FEET
I HEREBY CERTIFY TO KEYLAND HOMES THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 17, Block 7, NORTHVIEW MEADOk'S, 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 15TH DAY Of MARCH , 1984.
APPROVED FOR SIENNA SI6NED: JAME .R. HIII. INC. n
CORPORATION
BY:
ROBERTS ARCHITECTS gy.
DFlTED THIS _ DAY OF. ? HAROLD C. PETERSON, LAND SURVEYOR
19---- ' MINNESOTA LICENSE N0. 12294
PROJECT NO, eooK / PacE JAMES R. HILL,? 1NC.
84584
Planners / Engineers / Surveyors
FILE NO. '
8200 Numboidt Avenu• 6outh
FOLDER , etoon,tnfltor% Mn. 55431 812-884-3029
N
f - - - - - - - - - - - - - - - -
or Office Use I
joi
ji City of EaQaii Permit l
3830 Pilot Knob Road Permit Fee: t!J
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I
Fax: (651) 675-5694 Staff:
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: v Site Address: g Sc L
Tenant: / Suite
RESIDENT / OWNER Name: Phone: W6 40-3 - 2 cPCf
Address / City / Zip:
Applicant is: Owner Contractor
TYPE OF WORK Description of work:
Construction Cost: Multi-Family Building: (Yes / No'~-/-)
CONTRACTOR Name: License c)QG_ o y
Address:
_~~7~
City:
State: Zip: SS
Phone: V- 77J'-ti 7Yf Contact Person: j2fr7 SL~~ 44 e,
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Category 1 Minnesota Rules 7672
Energy Code • Residential Ventilation Category I Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(1i submission type) • Energy Envelope Calculations Submitted
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 theare trade secrets.
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 ns.
x 1A, - x
Ap icant's Printed Name icants Si ure
Page 1 of 3
flECKS SHALL NOTBE - PORTED BY
qttNtILEVERED I -JOIST OUSE FRAMING00
WITHOUT SPECIFIC ENG ING.
,BUST E ATTR• r[, V/1114
(2) ;3' X 4" . to SCRE�`i
tJ ,��
I IIIS
MASHERS EVERY 6" )e % # _
-�`V4 -
TREATEDWOOD MAY REOUIRE SPECIAL
H Fk WA7i : (;=ASTENERS, HANGERS, AND
FLASFENG). CONTACT YOUR LUMBER
SUPPLIER FOR MORE INFORMATION.
DATE:
BUILDING INS ` ECTI
NS DIVISION
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA128749
Date Issued:12/03/2014
Permit Category:ePermit
Site Address: 852 Cornwallis Ct
Lot:17 Block: 7 Addition: Northview Meadows
PID:10-52100-07-170
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
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 -
Richard T Wylie
852 Cornwallis Ct
Eagan MN 55123
(612) 803-7809
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 355-1300
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA144475
Date Issued:07/27/2017
Permit Category:ePermit
Site Address: 852 Cornwallis Ct
Lot:17 Block: 7 Addition: Northview Meadows
PID:10-52100-07-170
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Richard T Wylie
852 Cornwallis Ct
Eagan MN 55123
Window Store Home Improvements
2924 Anthony Lane #115
St Anthony MN 55418
(612) 353-5780
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA145230
Date Issued:08/29/2017
Permit Category:ePermit
Site Address: 852 Cornwallis Ct
Lot:17 Block: 7 Addition: Northview Meadows
PID:10-52100-07-170
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: 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 -
Richard T Wylie
852 Cornwallis Ct
Eagan MN 55123
(612) 803-7809
Window Store Home Improvements
2924 Anthony Lane #115
St Anthony MN 55418
(612) 353-5780
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA155341
Date Issued:05/10/2019
Permit Category:ePermit
Site Address: 852 Cornwallis Ct
Lot:17 Block: 7 Addition: Northview Meadows
PID:10-52100-07-170
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Richard T Wylie
852 Cornwallis Ct
Eagan MN 55123
(612) 803-7809
Crew2 Inc
2650 Minnehaha Ave
Suite 100
Minneapolis MN 55406
(612) 276-1680
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA157569
Date Issued:08/27/2019
Permit Category:ePermit
Site Address: 852 Cornwallis Ct
Lot:17 Block: 7 Addition: Northview Meadows
PID:10-52100-07-170
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater & Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
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 -
Richard T Wylie
852 Cornwallis Ct
Eagan MN 55123
(612) 670-1974
Benjamin Franklin Plumbing
5718 International Parkway
New Hope MN 55428
(612) 238-9709
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA169283
Date Issued:05/20/2021
Permit Category:ePermit
Site Address: 852 Cornwallis Ct
Lot:17 Block: 7 Addition: Northview Meadows
PID:10-52100-07-170
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
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 -
Richard T & Sheila R Wylie
852 Cornwallis Ct
Eagan MN 55123
(612) 670-1974
Superior Builders Inc
6361 Sunfish Lake Ct Ste 400
Anoka MN 55303
(651) 615-0065
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA169284
Date Issued:05/20/2021
Permit Category:ePermit
Site Address: 852 Cornwallis Ct
Lot:17 Block: 7 Addition: Northview Meadows
PID:10-52100-07-170
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
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 -
Richard T & Sheila R Wylie
852 Cornwallis Ct
Eagan MN 55123
(612) 670-1974
Superior Builders Inc
6361 Sunfish Lake Ct Ste 400
Anoka MN 55303
(651) 615-0065
Applicant/Permitee: Signature Issued By: Signature