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858 Cornwallis Ct 2011-06-2710:08 » 651975 5694 P 113 Us* BLUE or BLACK Ink Uk'' For ovioe Uw I My c4 q -7 of Eatan ,ems ~ Pbtmit Fee- I 36$0 Pilot Knob Road I Eagan MN $5122 i ° R' 10d Phone: (651) 675.6678 I staff: I Fax: (661) 675-694 L a 2011 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: stco Addros=: ZL 51 1. eO -Wa l,S Tenant l!Srrulm / ~ r L~ a '?936 RESIDENT l OWNER Name: Phone: "i W Address I City /Zip, ~ aA4-P1 a_,66 CONTRACTOR Name: Q I License ~ tJ1 Addteas: a 5 S'. s(1 ~ g m Clt ~5i. Ord 4 1 Stater Zlp:',~,5 95,Q Phone: U 11a O LO19 1410;z Contact: 30'so'1 Email: TYPE OF WORK New _ Replacement _ Repair Rebuild _ Modify apace Work in ft.O.w. Deaf on of work: _ aIANA A PERMIT TYPE RESIDENTIAL Water Softener - - Water Heater Lawn Irtigation RPZ I PVB) --Add Plumbing Fwlures L Main Lower Level) Septic System Water Turnaround _ New Abandonment RESIDENTIAL FEES. $55.00 M4nfmum Water Heater, Water Softener, or Water Heat 'an¢ Softener (includes $5.00 State Surcharge) $36.00 Lawn Irrigation (includes $5.00 State Surcharge) $55.00 Add Plumbing fixtures, Septic System Aban nnm Water Turnaround" (Includes $5.00 State Surcharge) 'Water Turnaround (add $188.00 if a 818" meter is required) $105.00 Septic System New ($10.W per as built) (includes County fee and $5.00 State Surcharge) $95.00 Fire Repair (replace burned out appliances, ductwork, ebw) (in (K%$ $5.00 Star Surcharge) TC>TAL FEES $ CALL BEFORE YOU IXG Call Qaphwr Stata One Call at ("I) 46441002 for pptwWn against underground utility damage, Call 48 hours before you Intend to dip to racehre locates of underground utilities. www.aopherstateonecall.org I hereby acknowledge that this Information is compiete and amrats; that to work wNi be in eonb(rnarnoo with the ordinances and codes of the Cory of Eagan; Owl I understand this is not a parmN, but any an applicadon for a permt and work i6 not to start wilhoul a permit: that the work will be in accordance with the approved plan in the lose of work which mK nes a review and approval of pans. x Je x Applicenre Printed Name Appl s ignature FOR OFFICE USE RevWwed By: Daft: Roqubod Inspections: -Under Ground -Rough-In Air Test -Gas Test Final Use BLUE or BLACK Ink For Office Use n City O1 QPermit#: Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: l I 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: j 10 Site Address: rS U 2 w A C -r Tenant: pA V t Q 5 N A Suite RESIDENT / OWNER Name: ~>A u e K ^ R S N t Phone: ('012- Address - 8 35 / City / Zip: S$ a 2 pi W A L L S Applicant is: Owner Contractor TYPE OF WORK Description of work: RE ~ a a P Construction Cost: 00 b Multi-Family Building: (Yes / No X ) CONTRACTOR Name: STIr., ~y /1ljt 2v ~LC5 Zuc License #:,a C) 45-S 3 eo Address: -3732- O K e-c A j' c> city: 5r. PA k State: M N Zip: S 5 i Z 6 Phone: 9 5 2 '-113 Contact: RYR"~ 5I'll NSoti Email: R'taSTtNsom5E-evtct'S. 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. wwwgopherstateonecall.o . I hereby acknowledge that this information is complete and accurate; that the work will be in conformance 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 it; that the work will be in accordance with the approved plan in the case of work which requires a review and app;;T477 X C`( ~Ij S t► N Sep 1V X Applicant's Printed Name pre Page 1 of 2 . ?, BUILDING PERMIT Eagan, MN 55121 11974 Receipt # To be used for SF UWG/GAR Est Value $64,0 U 0 Date rAY 19 , ts AIL 853 CORNWALLIS CT Erect 0( Occupancy Rs Site Address LotI l Block -7_Sec/Sub. N0RTHVTEMi PJiLAD Remodel O Zoning a? Parcel No. Repair ? Type of Const_tt„ Addition ? No. Stories a Name hEYLANQ HOME:S Move O Length 44 = 3471 W 17 3R J Demolish ? Depth 3n ; Address Int. Impr. ? Sq. Ft ° City ` `???DANPhone 435-3323 Install ? = o Name SAME ? ¢ Address ? CiN Phone W Name HALLQUIST z a Address 5305 W $OTH W CiN 131. '7' i Phone +831"'1875 information is Minnesota StF Signature of A Building Permit is issued to: `%lr- 1 all work shall be done in accordance with all Building Oflicial 3830 Pibt Knob Road, P.O. Box 21-194 ' PHONE:454-810Q Minnesota Water & Sew. Surcharge .36 . vv Police Plan Review 162 . 50 Fire SAC 575.00 Eng. Water Conn. 5 0 0. 0 0 Planner Water Meter 63.50 Council Road Unit 290.00 Bldg. Off. 5/ 19/8 Tr. PI. 156.00 APC Parks Var. Date Copies ' Total $2, 1U4 .OU on the express condition thet Statutes and City of Eagan Ordinances. ?J _ - I = PermR No. PKmH Hold*r Date TNephons 1f Plumbfnq H.v&C. ElecMc VII)G. C, SoR?nsr Inapecririon Date Insp. Comments Footlnqa I 66 Lr' 1Y ? Footlnys II Foundatbn I Fnming 7/i r Rooliny ! 4OX Rouqh Plbp. nouyn ?np. W Insul. -44 Flreplac* ? Flnal Hty u, Flnal Plby. Bldy. Final r(? •?-? t( • Cat. Occ. Dsck Ftp. D*ck Frntq. WNI Pr. Diap. CITY OF EAGAN A, 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, M N 55121 I?2 11974 BUILDING PERMIT ` PH ON E: 454-8100 Receipt # ?a 422 used for SF DinIG/GAR 000 Date MAY 19 ,119 8 6 Erect IN Occupancy R3 Site Address Lot I.I Parcel No. - IS Remodel ? 2oning Rl Repair ? Type of Const. jjn Addition ? No. Stories Move ? Length 44 Demolish ? Depth -30 Int Impr. ? Sq. Ft Install ? A pprov als Fees KEYLAND HOMES Phone = o Name SAME ? a Address ~ Cily Phone ¢ HALL4UIST ? W Name ?? Address 5805 W 80TH g W city BLMTN phone 831-1875 I hereby acknowledgethatl iniormation is correct and 4 Minnesota Statutes and Cii 1 Signature of Permittee A Building Permit is issued to: KEYL all work shall be done in accordance with Building Official Assessment Water & Sew. Police Fire Eng. Planner Council pplication and state that the gldg.01 with 9A ap¢J?cable State ot Var. Permit *7 ? ? -' - v" Surcharge 32.00 Plan Review 162. 5 0 sAC 575.00 Water Conn. 500. 0 0 Water Meter 63 . 50 Road Unit 290. ?0 Tr. PI. 156 . 00 Parks Copies Total $2,104.00 - on the express condition that Eagan Ordinances. CITY OF EAGAN Remarks Addition NORTHVIEW NEADOWS Lot 16 aik 7 Parcel M=52100-:160-0W• Owner Street 858 CORNWALLIS COURT State EAGAN MN 55123 improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 26 1984 76.75 7.68 10 69.08 0 8-7-84 STREET RESTOR. ? GRADING SEWER LAT 5 1981 15.89 .79 20 12.73 A014376 8-7-84 SAN SEW TRUNK 575 1981 138 . 48 6.92 20 110.80 A014376 8-7-84 SEWERLATERAL TR 1984 275.22 18.35 15 256.88 A014376 8-7-84 ' SEWER LAT 5 ? 1981 22.28 1.11 20 16.36 A014376 8-7-84 WATERMAIN $y"j 1984 70.67 4.71 15 65.96 A014376 5-7-84 WATERLATERAL 5?9 1981 18.65 .93 20 13.69 A014376 8-7-84 WATER AREA 57? 1981 138.48 6.92 20 110-80 014 76 8-7-84 WATER LAT 533 1982 29.52 1.48 20 23.64 A014376 8-7-84 STORMSEW TRK $50 1984 392.32 39.23 10 313.86 A014376 8-7-84 STORM SEW LAT RAINAGE / 1984 33.97 3.40 10 30.58 A014376 8-7-84 CURB & GUTTER SIDEWALK 5TREET LIGHT ROAD UNIT $260.00 #43622 5-29-84 WATER CONN. 470.00 " BUILDING PER. #9111 SAC 525.00 PARK 7 CITY OF EAGAN Remarks Addition NORTHVIEW MEADOWS Lot 11 elk 7 Parcel 10-52100-110-07 ? Owner Street 853 CORNWALLIS COURT State EAGAN NIN 55123 Improvement Date Amount Annual Years Payment Receipt• Date STREET SURF. Im 1984 76.75 1161 q:66 10 STREET RESTOR. GRADING SEWER LAT 1981 15.89 .79 20 SAN SEW TRUNK S7S 19$1 138.48 6.92 20 SEWEA LATERAL TRK$ 1984 275.22 Ie3+18. 55 15 SEWER LAT 571 1981 22.2$ 1,? +-.-4-1 il6l5 WATERMAIN ooq7 1984 70.67 4.71 15 WATER LATERAL 5-1$ 19$1 18.65 1.24 .4& 2-A I$ WATER AREA SV jJ$j 13$.4$ 6.92 ZO WATER LAT 513 1982 29.52 1.4'I 1-;?8 20 STORM SEW TRK $50 1984 392.32 ,¢6?: -1$5 STORM SEW LAT DRAINAGE 81 1984 33.97 3.,561 3-49 10 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK BUILDING PERMIT To be wed fer SF Site Address 858 ? Lot 16 Bfock 7 Parcel No. 10-521 oWc Name ? Addre City _ ,b Neme ?? Add? r City _ yujW Name ?_ _a Addre v ? W City _ CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?T lr ? 9111 , PHONE: 454-8100 Receipt # 3 ? ? DWG/GAR Ft_ vaj1e $53, 000 Dn,P MAY 25 to 84 I hereby ocknowledge thot I hove read this applicotion ond stote that the informotion is torrecf and ngree to comply wifh ull opplicable Stata of Minnewta Stotutes and City of Eogon Ordirances. Siynoture of Permittce A Building Permit is issued to: oll work sholl be done in aCCOrdante Buildinq Offltiol Erect ? Occupancy R3 /11ter ? Zoning R1 Repai? [3 Firt Zone N A Enlarye E] Type of Const. V Move p # Stories Demol(sh p Length 4 5 Grode p Depth Sq. Ft. Approrals Fees Assessment Permit $ 292.00 Water 6 Sew. Surchorpe 2 .50 Police Plon theck 146.00 Firo SAC 525.00 Enp. Water Conn. 4 7 fl. . 4 0 Plonner Water Meter 6,3 . 00 Councii Rood Unit 760.00 Bldg. Off. APC 782.50 Totol ' on tha express conditlon thnt Statutes ond City of Eayan Ordinances. CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 • PHONE: 454-8100 BUILDING PERMIT. Site Address Lot Parcel No. _ a Name aXr11-LriLYL/ IIVI•Lr.J z Address 3471 Yv 173RD ST ? City ?10RDAIv phone 492-6646 CLA CONST CO INC 98u Name TH ST u? Addres{,' 1 447-6128 ~ Citv Phone City I hereby ecknowledge tFwt I have read this the information is correct ond ogree to c State of Minnewta Stotutes and Ciry of $ipnoturo of Pertnittee /1 Building Pe?mit is issued to: ? oll work shnll be done in occordonte with{ Bufldlnq Officfol ond oll Occuponcy ••,, Zoning Fire Zone N/A Type of Const. # Stories Length 4 S Receipt n,.te 19AY 2 5 84 erect p Alter ? Repoir ? Enlorqe ? Move Q Demolish ? Ft. /lssessment Water 8 Sew. Poliu Fire Erg. Plonner Council 81dg. Off. APC 9111 Permit $ 292.00 Surcharye 26.50 i Plan check 146.00 ?i SAC 525.00 Woter Conn. 4 7 U. 0 0 Wnter Meter 63.00 Rood Unit 26 .00 50 Totol s ? • _ on the exprcss condition thot Clty of Eapun Ordinances. Parmit No. Permit Holder Misc. Permit No. Holder Plumbing ?I d1 ?L lkiL/? H.V.A.C. 9 AkU rv 2 -g wm. w.u Disp. 5ower elM.ic 4q? ??nnt? 4?I?S ?'? ?( 0. cT? Impaction Date Insp. Other Footings Foundation Framinp Rouph Plhy. Rouqh HVAC - f3 "ff/ ?*J Inwlstion C 7/ Final PIbQ Finsl HVAC Final ? Water Describe Lotation: YVell Sowar , Pr. Disp. Receipt MECHAI ,r I a a I? ?/ CITY n Permit No. Fee ? S/C ? U Tot. ?o ? ?J 1. Date 2. Installation Cost ? ? 3. Job Address $5 ?1?ortJwv II , Lot Blk."' 7 Tract 4. Owner +o 5. Contractor LI rU A, iZ Phone L/`/ i 6. Address kQ Cc 7. City t'f State ??' . • ,11 Zip 71 8. Building Type: Residential 4 Commercial O Institutional ? 9. Work Description: New q Add ? Alter ? Repair ? 10. Describe i N J4? ?-C iyA Fuel Type 13 11. No. ? Equipment BTU - M. Ea. Forced Air No. Equiament CFM Ai H I Mfg. (r' r ?c-!"Z r andling: Boilers Mfg, Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply WF all ydinances n codes governing this type of work. Signed: ??-- ?_c..??,: ,v,,.?,.•- for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-6100 F- ,g p 4il/l CITY CF EAGAN BUILDING PERMIT APPLICATION Zb Be Used For Valuation 455yo`? ? Site Address ig --T t3 ('"Y" Lot 14 B1ocJt Sec./Sub. ?td h? v, e.,r .;!gt x Parcel #: I o? s a/ L?p - 1 b o- o" owner: ,vb d40 r Addr@SS : / 0.-500'- City/Zip Code: To .1,?j ?? Pnorie # : Yf z -a yoc Contractor: LT t, 4 &45r GrJ Address: go City/Zip Code: P/CioJf ,l449' /J?* .SiS.3'72 Phone # : "JOY7 -6 1Zp' Arch. /Eng . : _ A,fwv: S M940Lei.S`r - Adclress : ,jT0W (d $01?-54rmr City/Zip Code: &gca4,.:? ^ -?Ct9oj Phane #: 131 - 18'7s Include 2 sets of plans, 1 Gertif icate of Surv :y •& 1 set of energy calc•."apt: ? Date CFFICE USE ONLY OccupancY IZ' 3 oR-1 .I s 2q2•OC+ 26•5G+ 146•OC.+ 525•flCt G70•o0+ b3•OC+ 26 o•oe+ 17E2•50* Bldg. Off. APC . meter Unit n7rxL 22 ? 3?0 =-7 R 2 x 5 4- = 4-2-1 Co g Z2x 2. = 44 x4? ? 18?4 . x 41 = 22x2-g _ I+q o x i t- O}-?>q-o 5o('10 - ?? 52 { S . r r MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: T :E: - r^-'^ PHONE: 454-8100 r ? BLDG. TYPE WORK DESCRIPTION ?lock 7 Sec/Sub Res ? New ? Mult Add-on 'f rD r -, Comm. Repair i ? ?.a???? ? 3 Address ?`; ?i C? ? f Il L• ^ 1 1. ? O Cih+ Phone _ k TYPE OF WORK Foreed Air M BTU Boiler M BTU Unit Heater M BTU an . M BTU ?ti ? CFM Gas Piping Outlets # Other FEES BTU - $24.00 1 - 6.00 A/C ON NEW GAS OUTLETS (MINIMUM - 1 PER PERMIn - 1.50 EA. COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PEFMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000) :. , ,. •? , ? , FEE ? S/C: ? SI I E el?? TOTAL• F R: CITY OF EAGAN -,?`; . ' PERMIT # -? ?- CITY .? ?nr%.nr?rrn RECEIPT # 454 MINIMUM RESIOENT DATE MINIMUM COMMER( 1. Bldg. Type: Res ? Comm Inst ? 3. Total Bid Price 417 60 ! 4. Job Address .t ? Lot ? Block ? Sec 6. Contractor 19 (Name) 7. Contractor Phone # q `I 7 PERMIT FEE - $10.00 + $.50 FEE - S20.00 + $.50 5. FEE J • ?? 50 S/C ? TOTAL (City) RiPI 37t- RESIDENTIAL HEATING - 01-100,000 BTU's -$24.00. Each additional 50,000 BTU's or fraction -$6.00 RESIDENTIAL COOLING - 01-24,000 BTU's -$12.00. Each additional 6,000 BTU's or fraction -$6.00 MOOIFICATIONS/ALTERATIONS -$10.00 minimum fee X HEATING 1< VENTILATING HOT WATER STEAM AIR COND. oIR PIPING PROCESSED PIPING AIR HAND. EQUIP. ReFRIG. "C RES. GAS PIPING OUTLETS - E1.50 TANKS: L.P. UNDERGROUND OTHER COMM./IN ATE - 1Prr)AL ID RICE PLUS $.50 STATE SURCHARGE FOR EACH $1,000 OF FEE. Signed: }or Approved Inspections: Date Rough Insp. Date Final Insp. Add Alter Repair §.?. ' PLUMBING PERMIT ' CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 .11 Site Add?r?j ' Lot_LL_ Block m Name _ m Address .r c City ? ? Name c Addre 0 Cih+ - 3 FEES COMM/1ND FEE - 146 OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - $10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) V.d. FOR CITY OF EAGAN PERMIT # z RECEIPT # ? . ? DATE BLDG. TYPE WORK DESCRIPTION Res. t New ? M ult Add-on Comm. Repair Np. FIXTURES T.OTAL Weter Closet - $3.00 .? Bath Tubs - $3.00 ? _4-L.evatory - $3.00 -? c Shower - $3.00 _,?__Kitchen Sink - $3.00 Urinal/Bidet - $3.00 -_Z-_Laundry Tray - $3.00 ?Floor Drains - $1.50 ?Water Heater - $1.50 Whirlpool - $3.00 __T_ Gas Piping Outlets - $1.50 Softener - $5.00 Well - $10.00 Private Disp. - $10.00 -.A-Rough Openings - $1.50 FEE , STATE S/Q ' GRAND TOTAL• - Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fee ' Fill in numbered spaces S/C Type or Prini legibly ? Tot. 1. Date C, _?5 '? y 2. Installation Cost 3. Job Address Lot Blk. j 4. Owner 5. Contractor / '; ; t '/"" ' ` / ' Phone 6. Address 7. CitY State 8. Building Type: Residential d' 9. Work Description: New n I 10. Describe I 11. Commercial ? Institutional ? Add ? Alter ? Repair ? No, ? Fixtures Water Closet No. Fixtures Cesspool/Orainfield ? Bath tubs Septic Tank Lavatory Softner ? Shower Well Kitchen Sink Urinal/Bidet Other ? Laundry Tray ? Floor Drains Drinking Ftn. Slop Sink ? Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and-codss,governing this tYpe of work. Signed : ' for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 _ Tract .. ? `f I - '? Zip -?? - P _? 11 i 1114 ?J1 L' ? l 11.11\ 1\L' l?lll\L CITY OF EAGAN PERMIT TYPE: i 3830 Pilot Knob Road Permit Number: i Eagan, Minnesota 55122-1897 Date Issued: ? (651) 681-4675 I ? . 4:, : , ,.. SITE ADDRESS:' IrII ?. APPLICANT: .,. 1 1 14;Ni;i;k l ! 1 • ? , ? 1?1-i:, CtAV t U • I tliiIr ! 11U I t t1 plf AI1014:i t W, 1 R 41,4 - 114 1N , PERMIT SUBTYPE: , .;i4 TYPE OF WORK: i i• n i INSPECTION „ . ? , . .. I ? ? i 1t;N RFUIr:Wt1) l{v WAVNr H i i t.t 1: 4,t1'1 RAiF NFRMI1 (09(11RFi) i'f?ft fii 4: A1 I 4 4F+•-2?t4* RI HAlat, I NA f? Fr I R WnRlc ANII 1 ? J Permit Holder Date Telephone Y SEWER/ WATER PLUMBING HVAC Inapectlon Date insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG F DECK FINAL CASH RECEIPT V CITY QF EAGAN ? P. o. aox 21-199 ? EAGAN, MiNNESpTA 55121 DATE 19 . IV6D ROM AMOUIVT $ I ? 4k DOLLAfiS ,oo ? CASH a-?CK .? Tha ev White-Payers Copy Yellow-Posting Copy Pink-File Copy ? ? CITY OF EAGAN 3830 Pilot Knob Ftoad P. o, eox 21199 Eagan, fAN 55127 Zoning: Qwne?: -:4Lv I.s Address: ite Address: 1 L. ? umter: ? WATER SERVICE PERMIT 5_ , _, PERMIT NO.: D11TE: to- 7 - 8[' No. ot Units: Z ? ?1Aeter No.: ;:.:,?,? ; La!"'l`' ' Connection Chorge: 4 / (l . UU nd ize: 'Atcount Deposit: 15 .00 pd Reads rva.- 214 L. G Z 9 8 "i! Fee: 10.00 pa 1 1 agn* to win* with the C i t y of lejjsn. Surchorge: ? .?Q pe OrdinoeaN. Mlsc. Chorges: 63 . C?!'- pci r t- = ` w /? Totul: Br ? Dare Paid: ? . Dote o# Insp.: ? insp .: 7Y OF EAGAN SEWER SERVICE PERMIT 30 Pilot Knob Road r,71 , 0. Box 21189 PERMIT NO.: '" gan, MN 551?j1 oATE: 7 '- . ninp: No. of Unfts; rner: Key Latid Iiomt3s 1 eora M eemplp wtlU !he Cihr oi Ee'on Connection ChonDe: Oedinanon. Account Deposit: _ Permit Fae; 5urcharpe: 8Y Misc. Chcrpet: - Dote of Insp.: Totol: ; Insp•: Dote Paid: L This request void 1 B months from - A n.c'i -i: 4 ? I 1.1 (o(i glty Y6 .od ? . . Re4uest D te fise No. Rouph-+n Inspection R ? I Notify Inspec- ?Ready Now ?' ? equ?r es ? No ?ar Whan Ready Eg_00001 ?W L( t{ l (e 3 REQUEST FOR ELECTRICAL INSPECTION o(o See instructions for co ler? tirq this form on beck of Ysltow coPV- e nr;*iQAj "X" Below Wor ered by This Requesi _ icensed/flect,?ial Contractor I hereby request inspection of above n Ownar electrical work instplled at: RESIDENTIAL BUILDING PERMIT APPLICATION Fr?CITY OF EAGAN 3830 PILOT KNOB RD - 55122 ? 25 651-681-4675 lew Construclion Reauirements RemodellReoair Reouirements 91 3 reg'stered sAe surveys showirg sq. N. of l06 sq. ft. of Irouse; and all roofed areas • 2 copies of plan ,C3y __ .___ .....1 (20%maximumlotcoverageallowed) . 1 setofEnergyCalculationsforheatedaddi6ons j, 2 wpies of plan showing beam & window sizes; poured found desgn, etc.) • 1 site survey for e#erior additions & d( cks j?? h 1 set of Energy Calculalions • Indicate "rf home served by septic syslem for addilions r/43 ?? 3 copies of Tree Preservatbn Plan A lot platted aRer 711/93 Rim Joist Detal Options selection sheet (bldgs with 3 or less units) $70, o0 )ATE VALUATION rILIIt(I IOB SITE ADDRESS S?St4 Arm i &? 7'Oi F MULTI-FAMILY BUILDING, HOW MnANY UNITS? lfm 'ROPERTYOWNER 'YPE OF WO tEPLACE(S) ? _1 _2 _3 aPPLICANT PHONE# ?yry-9v» 4DDRESS Y5-9 e'O rm Gva ??i?c eZ ZIP CODE S- S-/2'3 'AGER # FAX # NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Ener9y Code Category _ MINNESOTA RUI.ES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 New Energy Code Worksheet Submitted Plumbing Contractor: _ Plumbing System Includes: Mechanical Contractor: _ Mechanical System Includes: Sewer/Water Contractor: _ Air Conditioning Hcat Recovery System Phone # Phone # Fee: $90.00 Fec: $70.00 UI above information must be submitted prior to processing of application. hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with 711 applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant ;ertificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ CELL PHONE # _ Water Sofiener Water IIeater No. of Baths Phone #: Lawn Sprinkler No. of R.I. Baths Updated 1101 OFFICE USE ONLY ] 01 Foundation 7 02 SF Dwelling 7 03 01 of _ plex 7 04 02-plex 7 05 03-plex 7 06 04-plex 10 31 New 7 32 Addition 7 33 Alteration ] 34 Replacement ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 6ct. Alt - Multi ? 33 Ext. Alt - SF ? 36 Muiti ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors 'Demolition (Entire Bldg anly) - Give PCA handout to applicant /aluation 9000 Occupancy MCiES System ;ensus Code ?/..9 Zoning r- C' City Water iAC Units Stories Booster Pump Jbr. of Units Sq. Ft. PRV Jbr. of Bldgs ? Length Fire Sprinklered "ype of Const Width _ Footings (new bldg) _ Foo6ngs(deck) _ Footings (addiaon) Foundalion Drain Tile ? Roof _ Ice & Water _ Final Framing Fireplace R.I. Air Test Fina1 ? Insulation REQUIRED INSPECTIONS FinaUC.O. ? FinaUNo C.O. _ Plumbing IIVAC _ Other _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Siding Stucco Stone _ Windows (new/replacement) Approved By UJY , Building Inspector 3ase Fee iurcharge 'lan Review AC/ES SAC ;ity SAC Nater Supply & Storage i&W Permit & Surcharge - reatment Plant Ilumbing Permit dechanical Permit _icense Search ;opies )ther ? 07 05-plex ? 13 16-plex ? OS 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 OS-plex ? 18 Deck ? 11 10-plex 019 Lower Level ? 12 12-plex Plbg_Y or _ N fotal y_. ??/ 13 -:?: 5 1 Soils F 2 copies 1 set of I Minnegasco 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 iing sq. il of lol, sq. R. oi house; and all roofed areas : allowed) Iding is to be placed on disWibed soil n& window s¢es; poumd found desgn, etc. ' Q Plan 'rf lot platted afler 711l93 tion sheet (buildings w(ith 3 or less unAS) RemodeVReoair Reouirements ?2 copies of plan showing footings, beams, joists ?i °cr I 6 2007 ?i 3?5. qo C,q //a // Ofice Use OnN ? CefEofSurveyReed^ _Y _N SoiLs Repod , _Y _ N TreeP2sPmnRecd _Y _N. Tree Pres Requiied- _°Y _ N Orivsite Septlc System N Plans are considered ublic information unless ou state the are trade secret and the reason. Date/y?'-/ /6 _ / 0? Canstruction Cost SiteAddress p ?O1-n Vo•???5 Ldbil't UniUSte # J C /" Description of Work i"b n / t9 Pic?iLaG'[? Multi-Family Bldg _ Y2?N Fireplace(s) 0( 0 _ 1 _ 2 Property Owner ??Vi kAt?n ?a. Telephone #( 61 }) GI b? f23 S Contractor Address CiTy State Zip Telephone # ( ) COMPLETk,THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submissiontype) Submitted Submitted • Energy Envelope Calculatioras Submitted .? In the last 12 monihs, has the CiTy of Eagan issued a permit fory-sie _ Y _ N If yes, date and address of ms3eteFplan: Licensed Plumber Mechanical Contractor Sewer/Water plan based on a master plan? I herebv applv for a Residential BuildinQ Permit and #( Telephone #( Telephone #( that the information is complete and accurat e; 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 pemut, but only an application for a pernvt, 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. DA ? i 2 ?'?5?1,? C:??a' Applicant's Printed Name ApplicanYs Signature ' DO NOT WRITE BELOW THIS LINE Sub Tvpes ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi ? 03 01 of _ plex ? 09 07-plex A 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebolpergola) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Stortn Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvpes ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding )k 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire 61dg) - Give PCA handout to applicant D@SCflpti011: Water Damage _ Yes ' 2 Valuation O V'D Occupancy l - MCES System L Plan Review 100% or _ 25% Code Edition Census Code (4 Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const y-G_ Width REQUIRED INSPECTIONS _ Footings(new bldg) _ Sheeuock Footings(deck) FinaUC.O. ? Footings (addition) FinaUNo C.O. ? Foundation _ HVAC Drain Tile Other Roof Ice & Water F inal Pool Ftgs Au/Gas Tests Final ?G Framing _ Siding _ Stucco Lath _ Stone I,ath _Brick Fireplace R.I. Air Test _ Final _ Windows _ _ _ Insulahon _ Retaining Wall Approved By: , Building Inspector -- ---------------------------- Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatrnent Plant License Search Copies Other Tntal ??, ? ?? x ??0._na 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan NIN 55122 Telephone # 651-675-5675 FAX #1651-675-5694 New ConsWcfion Requ'vemenls 3 registered site surveys shovnng sq. ft N lot, sq. ft. of house, and all roofed areas (20%maximum lotcoverage allowed) 1 Soils Report'rf proposetl building is to be pWced on disWrbed sail 2 copies of plan showinq beam 8 vnndow sizes; poured faund design, etc. 1 set of Energy Calculations 3 capies of Tree Preservahan Plan if lot plaqetl after 711/93 Pom Joist Detail Options selection sheet (6uildings wiN 3 or less unils) Nnnnegascomechamcalverffilahoniorm RemodeVReoair ReuuiremenLs 2 copies of plan showing too6n9s, 6eams, joists 1 set of Energy Calculations for heaied additlaas 1 sde survey for addifions 8 dedcs Addiflnn - indkate ilon-sife sepiic system Mom Pl ans are considered public information unless you state they are trade secret and the reason. Date '0 ? ConstruMion Cost _? TS d- ' -/ yp o SiteAddress ( ( / ?(Jln GBt / ?T .iT Unit/Ste ln d''?W ! DescriptiooofWork O r1 AOlx>O Multi-Family Bidg _ YN Fireplace(s) 0 _ 1 ? 2 Property Owner Telephone # (6/ ;) 1y W3Y Contractor Address City State Zip Telephooe # ( ) COMPLETE THI REA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7470 Cate or 1 Minnesota Rules 7672 Energy Code Category , ResideMial Ventilatio tegory 1 Worksheet • New Energy c? Worksheet (J submission type) Su6mittetl SubmittesL- . Energy Envetope Catculatlons mitted In ihe lasi 12 months, has The City of Eagan issued a permit for a _ Y _ N If yes, dote and address of master p1c Llcensed Plumber Mechanical Contrdctor Sewer/Water Contractor 3sed on a master plan? Tele ne #( J _ 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 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 work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. _ „ DfiviD 1?hgvrl'o I Applicant's Printed Name ApplicanPs Signature `"9UtLDING AND iN5GEC710N'DtVISfOM- DEPATtTMEiVT OR 11-?f L4 rT WMMUNiTV OEVEIOPMENT 2213 WEST OLD SIiAKOPEE , LOSS CALCULATIONS ROAD, BIOOMINOTON, MIN/SESOTA 96031 Bei.seit SO _ .0 ? . ?nt6eruriys Conttn"on Na .INSULATION Guicia ws' ' rs y Re a ? Oot. W+0 Inl. Wa0 . ?' g ?n ?+06 Roof floor -': IGod - . Fkw Applim3 . , ?,`;? ( 19X3 Room Length / Widthj HeigAt II Fl.?l - Length Widt6 10 fieight E7' Windowa and Doon-Crackage and Ana ,,- ..S W' mdows and Dnon-Cratka and Area ` is? " ?'•i Na. WIGth of pans Helahl ot osn< No.of Ilihu LIneaIfL o1 eraek Area p tl. , 3 r y ?? . Coef. Btu F' In6ltratian 'L" Glaes t; ExPwalf ? - t? Ne[ ezp. wall ".?` Ceiline ?? i a-n Y '??, "Floor 0 '" ;s- Total B " P> p" wiete ot pans Halght of Da?e No.o[ IIg SN Llnedlt. ot eraok Ana M. fl N.. Coef. Beu infiltration q' `- Glau ;a F?; cp. wall , ? Net up. wall ^ Int. wail " Ceiling, ^ rC' "? Floor .Totnl Btu. s" Requircd sq. ft. E.D.R. or p. im. WA l.eader aree ?;: Fl.? .•.,, Room ? l.cn?t6 I? m?th ? Windowe and Doore-Cratksge end Atea " Ne. of Di <n'. . ?_ '. io6ltration ?. Glas oaoe ge ? Ne. wmtn af ye" e.lrht Ot ano Mo. o[ IIgbY e•tl t6 M eMY wr.. p. t4 r Coef. Ben Infiltrstion Glau " ti s,'; rl?,• l Eap. wall tVPA esp. w,u G D ?L ?u o? Ceiling c; Q 906 Floor Total &u. W.A. Leader nree ? FI.I Room I Length ,?7h-`Wideh/v'L Heieht Sg s r- _- wmaow a ?won-a.ncea ge ma r?rea 5.0 -- N. WI o! aaltst Ot ysY Naol 11ffltu 1,4oa1[G et eryeY Anst p. t G lfj, e: l ?I Coef. Btu [e6lerstion ? 47 Cdaw - - - - Emp....n Net cip. well r1 t,,r r? '> Int. wnll ceiimg ia F7oor -- - - - Total Btu. .. . Reqaired w. h. EDR or aq. ioa. W.A. leader ua Fl. Itoom l lsagth Widt4 Height WindowF'and Doon--Cracluae aad Ares BIY Glau Eso. wall ' ? v.ft exp. wau 1 7"O 1 FA I .. /X 7// 11 . ? fm oP. ww . . . - _ ' 1 //YCD 1'7s t " ?,='Int.watl "I I I /7"0 '11 ' .Intwap _ I I I ` ?+„"Ceilieg V ,??_ ?•?i:<?+l?leg rr_ti-i' ? . + a' ?. sre' , ? S .. - , +?-V-,W pW± p.?? y?",Z,?.?I. _.. - : .. : ^.._ _ .... D7': _^T_...l,? . :t;:`ze'=.3-. • c?_.:_'.:?" °.-?.:_.,?'-"n.=Y: _? :.7 " -_-.? Jpm a?,",Rawired w ft ED.R. or q. iw. W.A. l.Nder area m:Reqmired-W. R E.D.R or p. ms. a/A ieader. axa --- - 77777 3a ?6 ?.. . ? _ : ?. ? ,D- BUILDIN6 AND INSP?T?ON DIV ION DEPAKTMENT OF CAMMUNITV OEVELOPMENT l Nf QLD SHAKOPEE 4T L SS CALCULA710NS ROAO, BIAOMINOTON, MfW1I?A,431 8111•5611;,... . _ 'WeathcrdriFu .. ? Cra=bue6om Na IN$t7l:ATION -. t _ws ? rs Ref?e ce ? Out: We11 Iat. Wa1l Ce7ioa Raof ._ FIoOi?IGsd Eb •l.( ? 4' i oom l.ength C!' Width J/ Heisht F1.1 Room ? Leogth p!'?dth Windowa and Doors--Cnckage and Area t_ i{ II \V' dpwy pd Dootr-Cracks pd Aie ? No. Wldah Of D61f< Helsht OI D.11! Ne. a[ Ifghl, Llnul [t Ot Ar<a (l. ?vt'. ?? e7. ? ? Q•a ? k?ti: ? ? Coef. • Btu ?z- Infiltration ? ?- C,lass Pi= Fzp. wall ? =. E.::Nec exp. wall ' Ot?r Int, wall ? Ceiling Floor 4i5 7olel f3tLL. ?. Required nq. ft E.D.R. or aq. ins. W.A. Leader area h Fl.Vjh,,L!" Room ( L,engCh _*?&Wideh ? Windows and Doors.-Cnekaae and Ar.a : No. WIAtE of M.s Helght ol Mna No. ot It{!N Lfn"l tt. of eeaok wna tL p. _ / ? p?t d7 i ? ? ?a•. "'.fa6ltra[ion CoeF. Btu 415;, `-Glau j ? Fsp. wall ?1 Net esp. wal3 r- ; Int. wall 47 l?yo ct Ceiling loof f' Btu. red sq. ft E.D.R. or sq. ins. WA I,eader arca Room I Length Width ndowe and Doore-Crackeqe and Area ?o- Exp, wall A!?;. Net exp, wall k-lnGwal! - &u. !!d fp. fL .? o? sq. ms. W,p,ltader arca . rr:= 1 ' N ! gC • a No. wate et Me4 HoIaht ef paae Ha ot Ilgbb 7roe.t t4 st er?ek wrw ?Y. tt . Coe£ Btn . Inftltration - Glasa - Eap. wall Nu esp. wall - - --- - loa wall Ceiling Floar Total Btu. Requirod sq. k. E.D.R. or sq. iw. CV.A. Leader area Fl.I Room I l.ength Widt6 Heisht wwaows am uoen-a.neu ge aaa nrea Na WIGtL M Mee elgtt of pns a of I1fEts Llatl tt. e[ craeY Am p. ft. ' Coef. Btu Infiltution Clw Fsp. wsll Net ezp. wall Iat. wall Ceiliog Floor Tots! &w Required W. k. E.D.R. m p. inr. WA Leader ates - F7.1 Roem I Leceth Width Heis6t , Windows and Doors-Cnekage aod Ares - w1Atn H•I?et Na nw tL w? I?a et pw? et yae? tt?LU ot cestck p. ff. , - ?-a 4VCf ' .O[Y" In5ltration Cdaa - FJCFL ? ?YW{ ??? ++c.Wuw I* ft. j PMR. M q. Oq. VA LsiaJor NN . '? f 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) ? CITY OF EAGAN ` 3830 PII.OT KNOB RD - 55122 ?? ? ? 4 3 OQf ea i-ae7s ? New Canshudion Repuirements RemodeUReoair Reauirements ? 3 registered site surveys ? 2 wpies of plan ? 2 copies of plans (inGUde beam & window sizes: poured fid. design; etc.) ? 2 site surveys (exterior additions & decks) ? 1 energy calculations ? 1 energy calculations for heated addiiions ? 3 wpies of Uee preservation plan it lot platted after 7l1193 required: _ Yes _ No DATE: 1-2,43?IZ57 CONSTRUCTION COST; DESCRIPTION OF WORK: 645 P rn rn`f -1-' Im l S.h STREETADDRESS: ar m e.ie-ZZ S??, r?equn MN a_ LOT: ? BLOCK: 7_ SUBD./P.I.D. #: nr4U! C ?a po 6wS Name: ,O,/4-A 7rl?.- 4v"o, Phone #: PROPERTY Last Firet owxER gs8 ? SueetAddress: 6r7'1Le?C7 / City ?q Gt rI'l State: Zip: ? Company: v 7? v? Phane CONTRACTOR Street Address: License # . City Stare: Zip: ARCHITECT/ ENGINEER Company: / Narne: Street City Stare: Sewer & water licensed plumber (new construction onty): . Penalry applies when address chan, and lot change is requested once permit is issued. I hereby acknowledge that I have read this application and state that the information is cortect and agree to comply with all applicat SWte of Minnesota Statutes and City of Eagan Ordinances. /,1 ?/) , ? Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Phone #: Registration #: _ Zip: -- Tree Preservation Plan Received - Yes - No - Not PERMIT CITY OF EAGAN 3830 Pilot Knob Road •-Eagan, Minnesota 55122-1897 (651)681•4675 PERMITTYPE: B u=L 0 =N G Permit Number: 6 3 4 3 N U Date Issued: 12 / 31 / 9 f; SITE ADDRESS: f, .1.N.: 1?'0-52100--160-0% esa r.0 fzNwnL L is cr tOT: 16 BLor,K: 7 PJORT"HUIEi..I MEFlDCIWS DESCRIPTION: j Sluildinq:Per•miC Tvpe Vu11sJ , nq W0r 4i 7yp Q ?Census code?-? ? ? -? r ? J .- BASEMENT FINISN A 1.rf`?r3FlrIorv 434 HIT. RESIC]FNTIAL ._ ? i . . `. REMARKS: PLAN REVIt=Wt0 t'Y Wf1YNE MIL IFR. SEPERl1TE RERMIT HEWUTRLfI 1=0 R I3NY I>I_UM[':CN(', WURi:.. CflLL 4?15--2840 r2EUHRUING FI_EfTftICAL PtfYMIT Anlp 11@1,PFCT70Pl5. FEE SUMMARY: 6ase Fee " urr.hai'c!e Total F?e 4:S0.4)CA o.6Gi CONTRACTOR: R OWNER: - flpplir..ant - 1- u()r??ra D A ?) rn FlSEt CORNWALLIS CT C.Alil3i?l MN 657.23 (6h?1454-9470 I herebv ritknow.ledqe t'hat I havm road this ipalir.atior, and 4t.?re that; the inYormation is correct and auree to comol.y wiT.h a11 dppltuable State o'Y Mn. Stat':u9:es and CftV o t Eanan Cli^d.rna ncFS. I C t ?- PL16AN6 RMI E SIGNATURE ISSUED BY SIGNAT '"'r• L/H4 CITY OF EAGAN APPLICATZCN FOR PER'4IT SESJER AND/OR WATER CONNECTIO,T I (PLEASE P9INT) ?I 1) P?20PE_7I1' ADDRESS U r.v 1v ,a L L? & I LEG.=.L DESC2I°T_C:1: ? p% 1,(P ?? iVO r Tn ?i (I.nt/31ock/Subdlvisicn or TaY Farcel I.D. ;ILErber) ' r•rC^?' CT^ .j.C-?..4. ?rl.?? DT RICii..AI. T::l:/^wC.°CS- 'L5,-: SuiG'?. rp}t-7.y ? R-2 GiTP= ('?E-0 LNITS) ? R-3 `ICi%NHCYiSE (TIR'cF." + II:1IT5) ( [7?'I=?) ? R'a 'tLp2%.FC=-.':/CC?'T.t,iiT:1L:? ? L'?111TJ/ Q Car,,E:)CI.`yi,/'Rr.^I'r1TL?0F`'?C-E ? 11MUsi:saz ? I::ST=I0.'VAL/G^,V=l??.`^• z) APnrT= ^E:,SE ?Rt,Yi) Nk'E: /? "eY ? /3it/D (?Ol?? P_ ADD?tESS= s? /73rA sT' CZTY, sTA?M , zI2: PxoE: 3) PI.L;M= (PLtdSE PR1AT) FOR CITY USE ONIY NAME: PLUHBER$ LILEYSE: ADDRESS_ /,> a9CI e f{1?? Cl Active CITY, STATE, ZIP: Expired A'Nai;- 4 Q Nat of Fecord PHO:IE: /1/j PLIIMBER LICENSE # ?LLy? 3ir lnt[1? 4) OCCUF'AidT/CL'+ Iz'? (PLEASE PAINT) NANIE: S,4/Ii r° *C ?e -.,/ , ADDRESS: CIT:, STATE, ZIP: PHC}.IG: 5) INDIC=,TC WFIZCIi FERMIT IS BEP:G REQUESTED: ?r CC.ZIF.CT;GN 'IO CITY SE:•IER ? CC:IVECrICN 'Ib CIT1 LJATEFt ? C7S'fER (PLZASE DESC'2IBE) 6) L`:DIG,... C:W: 7) SIG7,,TL zE: DaTE: (p -K& ` ?y ? PLZZE f:OLD APPE?WED PERMiT FOR PIC:K-UP BY ONE CF r1B0`?'E Wnr.-7-M,SE JAIL APPR(71,r"?J. PE7"-lIT 'IC) 1, 2, 40 4 A&TlE ., _ n (Circle one) F 0 R C I T Y U S E O N L Y ? PE2MIT °- ISSUED FErs : $ lo' lV SliRCEi7,RG°) $ _ ID, -5 U WATEP. PERI4IT (INCLliDE SURCH.`vRGE) $ WAT°R METER/COPPERHORN/OUTS= RE'uER $ WATER TaP (I.;CL'uDE CO4?ORAT:ON S:C?) $ SE,'lE:? T"_P $ ?7'(30 ACCOU\T CEPOSIT - SE:'iER +S 15. 00 ACCOUNT DL?OS1T - W(N`yrZ S t/ 70 ? oj wac $ S Z sac $ TIZUJIh WATER ASSESS.-:E:IT $ TRliVK SE:vER ASSES5MENT $ LATEPA L BENEFIT/TRUNK SE,•:ER $ LATEReI L BEivTEFIT/TRII:Ii: WAT_°R $ OTHER $ TOTAL $ ? AMOU:IT PAID/RECEIPT C?3 DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIG:iT OF WAY? L, YES IF YES, THEN A"PERMIT FOR WORK SVITHIN ? PUBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUBJECT TO TFSE FOLLO:JIDIG CONDITIONS: APPROVED BY: TI';LE: DATE : b- -7%g ?aaw0"o MM?sollwEM UK sM wt?w?ws?w?R+?w?w?rs? ?tawt?irta?+w.r?c??awr w? PERMIT # RECEIPT DATE: ?- I" DI PXSII?ENTIAL PLUM$INfi PEiM1T Afi'LICATION crrY oF EAsAv 3830 PILOT KAO$ RD ewsnx, aix ssixE 651-681-4675 Please complete for: SITE ADDRESS: i single family dwellings ? townhomes and condos when pertnits are required for each unit ? backflow preventer for irrigation system lY ('_',?r k7wa ([iS C"J OWNERNAME:: TELEPHONE#:V ?S/•-?fS"y 9 S??/? (AREA COdE) INSTALLER NAME: TELEPHONE #: STREET ADDRESS: (AREA CODE) CITY: Place a check mark next to the aermit work tvae STATE: ZIP: New residential dwelling unit under construction and not ownerloccupied $ 90.00 Add-on, modification or alteration to existin dwelling unit, including: $ 50.00 • abandonment of septic system • new installation/repair/rebuild of RPZ • lawn irrigation system • waterturnaround Nature of work: Septic System, new/refurbished - $ 225.00 • includes County & Consulting Inspector fees • requires MPC license State Surcharge $ 50 Total $ ' , _SV Reminder: Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc. I here6y acknowledge that I have read this application, state that the informa6on is cortect, and agree to complywith all applicable Ciryof Eagan ordmances. It is the applicant's responsibility to notify lhe propeAy owner that the City of Eagan assumes no liability for any damages caused by the City dunng its nortnal operahonal and maintenance ac6vities to the facilities conslructed under Ihis permit withm /CrtJ` oropertylrigh -wayleas ?ent. i SIGNATURE OF PERMITTEE Updaled 1101 b?,a RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Reauirements • 3 registered site surveys shmvmg sq. R. of lot, sq tl of house, and all roofed areas (20°b rtwnimum lot coverage allowed) • 2 copies of plan showing beam 8 vnndax s¢es, poured found design, etc,) • i set of Energy Calculations • 3 copies of Tree Preurvation Plan if lot platted after 1/1l93 • Rim Joist Detail Optioris sHectwn sheet (bldgs wilh 3 or less wi4s) DATE -6 D? RemodeUReoair Reuuirements . 2 coPies of pWn • t set of Eneryy Calculations for healed additions . 1 site survey for extenor additions 8 decks . Indicate A hame served hy sep6c system for atlditions a? VALUATION ss-1 ? SITE ADDRESS MULTI-FAMILY BLDG _ Y _ N TYPE OF WORK?n? FIREPLACE(S) _ 0_ 1_ 2 ga t? SELA ROOFING Yw itFi, , APPLICANT 4100EXCEiq=r? STREET ADDRESS sT. LOUIS PARK,1vl,, CITY STATE_ZIP TELEPHONE # CELL PHONE # FAX # PROPERTYOWNER b('alf i fI Ka,rs?r ? TEIEPHONE#?), 1 ----------------------------------------------------------------------------°----------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNLSO"CA RULES 7670 CATCGORY I MIVNESOTA RULES 7672 (q submission type) • Residential VenUlaGon Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbtng Contractor: Plumbing system includes: Mechanical Confractor: Mechanical system includcs: Sewer/Water Contractor. WaLer Softener _ _ Water Heater _ No. of Baths Air Condilioning Hcat Recovery System Phone # Fce: $90.00 Pee: $70.00 --------------------------------------------°-------------°--------------------°-------- - - - r , --- i . i ? ? r, I hereby acknowledge that I have read this application, state that the information is ? t, ?agree to c?q ply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ' S iiii 0 2 20i7_ U Signature oI Applicant _"-"'""""---_'-'""-°---""-"----"""-"-'"----.. OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4l02 _ Phone # Lawn Sprinkler No. of R.I. Baths Phone # SURVEYOR'SCERTIFICATE APPROVED FOR SIENNA CORPORATION KEYLAND HOMES 858 CORNWALLIS COURT t?ODEL 3239 ? BY: \ ROBERTS ARCHITECTS DATED THIS • DAY OF ` 19 . • r 05 ' ? ` ` ?`Scfl ?. `a `o ? o , r1 \ti "'Nm. • 0 . ?N 250 2$ ?6.19 4.1 ? O? G P 711'0 2•00 ?s6• /. /F? N \O '? ?o Lp I ? . a- .?v?=;.:: S .? 10OOS N E o' ? I ?Rl 0? lS r?,'f;' '3 .N N p?oP sg o / 1 6 H? -? (p Zj ?O °,O =? \ L95v \ w I 10 I ?.r lo \",43-00? t • ?? ?W? `? U + ? 36.42 ?" - - 37.74 ?Q s 2°o7'r6"E 120. ra ? ? -t- DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET -SCALE: 1 INCH = 30 FEET • DENOTES IRON MONUPIENT FOUND PROPOSED GARAGE FLOOR = 959- i fEET FEET X000.0 DEP?OTES EXISTING ELEVATIOti pPROPOSED ROPOSED TOPEOF BLOCK =.9 59??° FEET (000.0) DEpOTES PROPOSED ELEVATION I HEREBY CER7IFY TO KEYLAND HOMES THAT THIS IS A 7RUE AND CORREC7 REPRESENTATION OF A SURUEY OF THE BOUNDARIES OF: Lot 16, Block 7, NORTHVIEW MEADOWS, according to the recorded plat thereof, Dakota County, Minnesota. AND OF THE LOCATION OF A PROPOSED BUIlDIN6. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, IF ANY, THEREON. AS SURYEYED BY ME, OR UNDER MY DIRECT SUPERVISION, THIS 4TH DAY OF APRIL . 1984. 'PROPOSED ELEUATIONS 41ERE TAKEN FROM SIGNED: JAF1E . HILL, INC. THE DEVELOPMENT PLAN FOR NORTHVIEW MEADOWS BY SUBURBAN ENGINEERING, INC. LAST DATED 9-29-83. ?? . . BY• ll'??? / H ROLO C. PETERSON. LAND SURVEYDR MINNESOTA LICENSE N0. 12294 PROJECT NO. 84618 FILE NO. FOLDER BOOK / PAGE JpMES R. H1LL, INC. Ptanners / Engineers / Surveyors 8200 Humboldt Avenu• South Bbominpton. Mn, 55431 012-884-3020 C . • . E?iTIFICATE KEYLAND HOMES 858 CORNWALLIS COURT MODEL 3239 > ? - / APPROVED FOR SIENNA CORPORATION BY : ROBERTS ARCHITECTS DATED THIS DAY OF 19 . . tP 05 , ?jv - ,$1• ?r `° , j,o ?'\Z 0 O? 1 9 ,?Ga \ . ?v 2502 4.1 Q39? ??Sgoo ? • ?` '? ? - ??,;?` .? .?5,., ? O b 5Ep.?-1=: o ?p /1? I v 10.00 RO?o. 16 ? 0 u lS - 30 .-C N P??75 ? ?? • N p? ?Q ?? o\N ?p ? y 5q,,9 io ? Q ?Wc ? 60 0 io ?3.00 ? - 36.42 - - - 37.74 ? ?,pI ? Sz°o7'16°E 120.r2 -f- DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET -SCALE: 1 INCH = 310 FEET • DEPlOTES IRON MDNUPIENT fOUND PROPOSED GARAGE FLOOR = 959-Z FEET 0 X000 DEPIOTES EXISTING ELEVATIOt! PROPOSED L014E57 FLOOR = 95'°" FEET . (000.0) DEtJOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = 959,'- FEET I HEREBY CERTIFY TO KEYLAND HOMES THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 16, Block 7, NORTHVIEW MEADOWS, accordinq to the recorded plat thereof, Dakota County, Minnesota. AND OF THE IOCATION OF A PROPOSED BUILDING. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, IF RNY, TY.c"REOM. RS SURVEYED BY ME, OR UNDER MY DIRECT SUPERYISIOK, 7HI5 4TH DAY OF APRIL , 1984. PROPOSED ELEVATTONS 41ERE TAKEN FROM SIGHED: J? 71,, HILL, INC. ^ THE DEVELOPMENT PLAN FOR NORTHVIEW MEADOWS BY SUBURBAN ENGINEERING, INC. LAST DATED 9-29-83. ? l( a? ?7"-- L' . BY: ? N ROLD C. PETER50N, LAND SURYEYOR MINNESOTA LICENSE N0. 12294 PROJEC7 NO. 84618 FILE NO. FOLDER HOOK / PAGE JAMES R. NILL, 1NC. Planners / Engineers / Surveyors 8200 Humboldt Avenu• South Bbotnlnplon, Mn. 55431 612-884-3029 PERMIT City of Eagan Permit Type:Building Permit Number:EA155540 Date Issued:05/21/2019 Permit Category:ePermit Site Address: 858 Cornwallis Ct Lot:16 Block: 7 Addition: Northview Meadows PID:10-52100-07-160 Use: Description: Sub Type:Fireplace Work Type:Gas Fireplace (new) Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Mathias A Peterson 858 Cornwallis Ct Eagan MN 55123 (309) 840-1137 Glowing Hearth And Home Llc 100 Eldorado Dr. Jordan MN 55352 (952) 492-9276 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA156647 Date Issued:07/11/2019 Permit Category:ePermit Site Address: 858 Cornwallis Ct Lot:16 Block: 7 Addition: Northview Meadows PID:10-52100-07-160 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Mathias A Peterson 858 Cornwallis Ct Eagan MN 55123 Bob Boldt Hvac 4310 Trenton Tr Eagan MN 55123 (651) 454-7760 Applicant/Permitee: Signature Issued By: Signature