859 Cornwallis CtCITY OF EAGAN Remarks
Addition NORTHVIEW MEADOWS Lot 12 Rlk 7 Parcel 10-52100-120-07
Owner Sveet 859 CORNWALLIS COURT State EAGAN hIIV 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. $ 1984 76.75 "*7 ?S 10
STREET RESTOR.
GRADING
SEWER LAT 5114 1981 15.89 .79 20
SAN SEW TRUNK 5 5 1981 138.48 6.92 20
SEWER LATERAL TR 1984 275.22 16,31-187-35 15
SEWER LAT 1981 22.28 I.¢6 -2e'I
WATERMAIN 847 1984 70.67 4.71 15
WATER LATERAL 1981 18.65 (,'24 .? f
WATERAREA 1981 138.48 6.92 ?O
WATER LAT 573 1982 29.52 1.4'1 1-4'8 20
STORM SEW TRK g 1984 392.32 ,4633-2-3 36 S
STORM SEW LAT
DRAINAGE ? 198 3.9 3.3,1 . 0
CURB & GUTTER
SIQEWALK
STFiEET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
CITY OF EAGAN
N-p _ 11519
3830 Pilot Knoh Road, P.O. Box 21-199, Eagan, MN 55121
` PHONE: 450-8100 ??1? f ?
BUILDING PERMIT Receipt # /
To be used tor SF DWG/GAR Est value $ 64 , 00 0 Date FEBRUARY 12 19 86
SiteAddress 859 CORNWALLIS CT Erect N Occupancy R3
?ot 12 Block 7 Sec/Sub. NORTHVIEW MEAD33emodel ? Zoning R1
Parcel No. Repair ? Type of Const v
Addition ? No. Stories
= Name KEYLAND HOMES Move ? Length 46
3471 W 17 3 RD Demolish ? Depth 30
o Address Int. Impr. ? Sq. Ft
City JORDAN pnone 4 3 5- 3 3 2 3 Install ?
o Name SAME Approvals Fees
? a Address AsseS3ment 1
¢
~ ?i*l Phone
F W wame HALLQUIST
_ ??-y Address
? W city BLMTN phone $ 31-18 7 5
I hereby acknowledge that I have read this application and state that the
information is correct an a ree to comply with all applicable 5tate of
Minnesota Statutes an i of E an Or i s.
r
Signature oi Permittee
A Building Permit is issued to: KEYLAND HOMES
atl work shall be done in accordance with all appliejbly?ate of Min sa
Water & Sew
.
Police
Fire
Eng.
Planner
Bidg.
Surcharge J4- v v
Plan Revie-L6 _2 • 50
SAC 575.00
Water Conn. 500.00
Water Meter 63.50
Road Unit 290.00
Tr. PI. 156.00
Var. Date I Copies
Total $2.104.00
on the express condition that
City of Eagan Ordinances.
?....._......
. r
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
, # PHONE:454-810d
BUILDING PERMIT Receipt
To be used for SF UwGf CA.R EsL Value $69 . Ofl0 Date-
N"' 115? 9
19 86
SiteAddress 859 CORNWA.LLIS CT Erect D{
Lot 12 Block 7 Sec/Sub. NORZ'HVIEW MEAD&model ?
Parcel No. Repair ?
Addition ?
W Name KEYLAA]D t14MES nAove ?
3471 W 17 3iZD Demolish ?
o Address I
l
?
City JORDAI?Phone 435-3323 nt.
mpr.
Install ?
F Name Approv;
=
?°, Address Assessment _
Q
? City Phone Water & Sew.
fIALLQUIST Foece
F W ?vame
?
x Address En
,
, g.
gW city BLhTNPnone 831-1875 Planner
Council
I hereby acknowledge that I have read this application and state that the Bldg. Off.?
iniormation is correct and agree to comply with all applicable State of
Minnesota Statutes and Qfty of Eagan Ordfn4?C83. ? APC
{ Var. Date-
Signature of Permittee .?I
KEYLAND HbMES
A Building Permit is issued to:
all work shall be done in accordance with all applicable State of Minnesota Statutes and C?
Building Official
S
Occupancy R 3
Zoning bC,]
Type of Const ?
No. Stories
Length 4 fi
Depth 1 n
Sq. Ft
Fees
Permit $ 3 2 5.00
Surcharge 32.00 _ Plan RevievtF"? . 1"
- sAC 575.001
_ Water Conn. 500 . 00 ,
_ Water Meter 63 . 50 %
_ Road Unit 290.00!
L/B Tr. PI. 156 . 00 1
_ Parks i
- Copies
Total_ i2•104-00j
- on the express condition that '
Eagan Ordinances. ?
Pwmil No. Pomdi Holdw Date TNephone #
Plumbiny 8 a W b
H.v.n.c. ? 71o Cc.lrv ?8l0
elacbic .-
son«»r
Inspectlon Date Imp. Commwnb
Footlnqa 1 ',126/? Lc)
FootlnQs II
Foundatlon
Framiny j
R°oflny -2 6
Rouyh Plbp.
Rough Hty. ?8 - 4,2
Insul. ?p 7
Firaplace
Ffnd Nty.
Final Pibp. 3G JtL ??
Bldg. Final
Cerl. Oec.
Deck Ftq.
Dkic Frmq.
WNI
Pr. Dlsp.
PERMIT #
RECEIPT #
bATE y /8b
1. Bidg. Type:
MINIMUM COMMERCIAL FEE - $20.00 + $.50
FEE
sI, 4/c-
c? ? • dD
TOTAL
Res >( Comm Inst 2. New ? Add Alter
4t Repair
3. Total Bid Price v 4, Job Address ?59
• Lot ^? Block ? Sec ' `- ??`? ? 5. Owner f& "'"'J ?46 yK4"
6. Contractor MG410 A .0. IZ
(Name) (Street) iCity} (Zip)
7. Contractor Phone # y117-
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
MODIFICATIONS/ALTERATIONS -$10.00 minimum fee
HEAFING ? VENTILATING HOT WATER STEAM AfR CQND.
IR PIPING PROCESSED PIPING AIR HAND. EQUIP. REFRIG.
?RES. GAS PIPING OUTLETS -$1.50 TANKS: L.P. UNDERGROUNQ OTHER
COMM./I RAT 19k C)F TO A BID PRICE PLUS $.50 STATE SUFICHARGE FOR EACH $1,000 OF FEE.
Sigr?ed: ??r/ ? for
Approved Inspections: Date Rough Insp. Date Final Insp.
PERMIT #
PLUMBING PERMIT RECEIPT #
qTY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
$It@ Addf83S fl 7 7 c, rA/ (?•?Lot-12--Block Z
m Nsme ? r• .? i c c_
Address
? City S!'fv?9l Phone
? Name
3 Addre
p City
?
FEES
COMM/IND 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)
FOR: CITY OF EAGAN
BLDG. TYPE WORK DESCRIPTION
Res. x New ?
Muit Add-on
Comm. Repair
Other
N?. FIXTURES
c TOTAL
$ 3,60
loset -$3.00
water
ZBath Tubs -$3.00 3• o 0
I Lavatory - $3.00
Shower - $3.00
1 Kitchen Sink - $3,00
Urinal/Bidet - $3.00
_-4-Laundry Tray - $3.00
. C o
_LFloor Drains - $1.50 G
?Water Heater - $1.50 ?• 5
Whirlpool - $3.00
I Gas Piping Outlets - $1.50 f?
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
=
. 5
Rough Openings - $1.50
FEE
STATE S/C:
GRAND TOTAL• - ? /
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
, :?? rai.?n E l. ?
Asi;. I :1 . I i 1; Hii
PERMIT SUBTYPE:
TYPE OF WORK:
U1: 1.t fll1 111 Ct)N
t 1 11 t 14(1
M.• s??t?f,
"!, < O :144
i',.11 I ii
kf?'n1+r
(N1 N()1141 I+f7i'I AI k Mi N 1 1
INSPECTION .. • DA
. . ? t ' I . ' . . . I . ? .
INSPECTION
:CORD
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
f.i 1),1 ;! t ; , , !, I!:iq
( t..l .' i ?i'7 1. 4'1I t.0
PertnR No. Permit Holder Date Telsphone M
SNV
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspectlon Date Insp. Commenta
Footings I
Foundation
Framing
Roo(ing
Rough Pibg.
Rough Htg.
Isul.
Firaplace
Flnal Htg.
Orsat Test
Fnal Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
EngrJPlan
81dg. Final
Deck Ftg.
Deck Final
Wall
Pr. Disp.
/O// r/ - -- - -- - - - J
??
:.,
?
CASH RECEIPT
77.
CITY OF EAGAN ,
P. O. BOX 21-199 ?
EAGAN, MINNESOTA 55121 DATE 19
RtCtIVRD , FROM
AMOUNT $ I
& ooLLwas
I oe
E]CASH ? CHECK
CODIE AMOUNT
FVND
.?
, . J
- Thank You ,
-?? -
BY ?
White-PaVers CopY
Yellow-Posting CopY ?
Pink-File CopY
N WATER SERVICE PERMIT +
CITY OF EAGA
3830 Pilnt Knob Road pERµIT NO.:
P. O. Box 21199 D/?TE:
Etgao, MN 55121
No. of Units:
Zoninp:
Qwner: Addron: ?:?!i f`
rnval is Cot?rt : 1?' ?% i:urthview ?Sdws.
o
51ts Addrass: r, ?? ct:a-i ic a ? (1 nd
00
'
11
11
'
Plun+b?r:
D .
.,
V1111
I
V
0
n a1Orge'
hMter No. untt? 1,, , fl?r?ri
Size:
Reoder
wlll? I V ??
wr % G V riU
t •
? ?. ! 5, ih??ri 1'P
?:? uI..
CITY OF EAGAN
3830 Pilot Knob Road
P. O. Box 71199
Eagan, MN 55121
-
1 Mm tO M"'* "'*b !M G1Y of MNe Coru»cNon Cha'0s
Acoount DePOdt:
QfNMllq?? PeHmIt FM:
SNfdWrgo:
Mtsc. Charoa:
By Totol:
Da. ? lrdP.: Da, Pciw:
Insp.:
'3-? REQUEST FOR ELECTRICAL INSPECTtON EB-°°°°'-a
?! See instructions }or completinp this fwm on beck of yellow copy. 0
? 2 5
"X" Below Work Covered by This Request
New Add Rep. Type of Building Appliancea Wirad Equipment Wired
Home nge Temporary Service
Duplex Water Heater Lightin,y Fixtures
Apt. Building Dryer Electrfc Heatin
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm ther veci v ther (Sner.ffv)
ther pecrfy t er Other
l.Ul/1!)C/LB l(1SD@CIl0f/ tFB !f/?lnW
M ee ServiceEntrenceSize # Fee Feeders/Subfeeders # Fee Circuits
0 to 200 Am s 0 to 30 Am s ?GG 0 to 30 Am
Above 200 qmps 31 to 100 Amps "7fG"f 31 to 100 Arrq)s
Swimmin Pool Above 100_Am s Above 1P0_Am •
Transformers Irrigation Booms .tii Partial- Other Fee
Signs Special Inspection $
Remarks
- ?
?S
?
TOTAL F
.Cd
Rouph-in Date
I, the Electrical
InsDector, hereby
Final
certify thal the abpve
v^?? 1e inspectipn heS Deen
mede.
Thla requeat vold 18 monthn from
This request void t ? u? 2
18 0
rnonths from
q O R 74„95 3?LlaQMue
st D ate
? /
??
Fire No. - ,
Nuw Notifv, InsO
--
tor When Ready
-???--?? `.°`•' "° "?'"•°`'"'? I hereby request inspection o1 above
? Owner eleChical wnrk inatwllwd ar
Street Address, Box or Rou e No. City
ection o. T ownship Name or No. Range o- COUTItNly
Occupant IPRIN Phone No.
Power Supplier Address
Electrical Con r a or ICompany Namel Contractor' Li ense o.
Mailing ess Contractor or Own r Ma king I )Kota
f
r
Authorized 5' ature ( nt or Owner ing I lation) Pho b er
` k
'- i
^"IryryL.VVFA STAT AqD OF EIeMTRICITY 7HIS INSPECTION REQUEST WILL NOT
Griyps-Midwey g. - Room N-181 BE ACCEPTED BY THE STATE BOARD
1821 Urtiveraity Ave., St. Paul, MN 55100 UNIESS PROPER INSPECTION FEE IS
Phone 012j 297_2111 ENCLOSEO.
l?
SI5- 15
NewConeWCtlon Neauhemame
• 3 registeretl sNe surveys showang sq. fl. of bt, sq. ft. af house; and AD roofed areas
(20% maximum bt coverage albwetl)
. 2 copies of plan showing beam & wintlow saes; poured tound Aeslgn, etc,)
. 1 set of Energy Calculatbns
. 3 copies of?ree Preservation Plan R bt pleued after 7/1/93
• Run Joist Detail Optbns selection sheet (bldps witli 3 or less unlls)
DATE
SITE ADC
TYPE OF
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
( Zq, 2?
pemodeVileoelr ReauiremeMs
• 2 copies of plan
. 1 set of Energy Cakulatlons tor heated additions
• 1sAasurveyforexterioraddA'wns&decNs
• Indirate'rf home sened by septlc system br additbns
VALUATION 15U ? S 44
IS
IULTI-FAMILY BLDG _ Y _ N
FIREPLACE(S) _ 0 _ 1 _ 2
APPLICANT CAdar Valley Exteriors, b1C.
STREET ADDRESS Coon Rapids, MN 55498 CITy STATE_ZIP
TELEPHONE #
CELL PHONE #
FAX #
PROPERNOWNER jAaLj2Ljnd ?,_.?? j YAin/ TELEPHONE#? 1 45 a' ?oJ?
--°-------------- -------°--°---------------?--------------------s-°---- -------
COMPLETE THIS SECTION FOR -NEW• RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RLTLES 7670 CATEGORY 1 _ MINN]
(4 submission type) • Residential Ventilation Category 1 Worksheet SubmiKed • New
• Energy Envelope Calculations Submined
Plumbing Conhactor:
Plumbing system includes:
Mechanical Conhactor:
Mechanical system includes:
Sewer/Water Conhactor.
_ Air Conditioning
_ Heat Recovery System
Phone #
Phone #
Fee: $70.00
I hereby acknowledge that I have read this appllcation, state that information is c ect, and 4
with all applicable STate of Minnesota Statutes and City of Eaga Or ina ces.
Signature of Applica t
-----°_._._..-------._.__----.-°------°--_._. ..._.._..._. .r
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
_ Water Softener
_ Water Heater
_ No. of Baths
Phone #
Lawn 3prinkler
No. of R.I. Baths
JUN 0 7 200?
/i/n! ?
L??
to comply
Updaled 4102 IZ
REACTIVATE _
PERMIT N
04t(o
CITY OF EAGAN
1993 BUILDING PERMIT APPLICATION
681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picke(i up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date ?
? ? Valuation of work ?BU • e9D
?
Site Address: C-U?-h w p--d,
STR EET SUITE /
Tenant Name: (commercial o nly)
IAT ? BIACK SUBD. P.I.D. *
Descri tion of.work: 17 fe 4 °' D
The applicant is: ? Owner [3-Contractor ? Other (oes«;be)
Name !rGt 6'W<1(7 ?- 4ake Gr? Phone ?arz. ??iS9S
Property LAS7 FiRST
Owner Address h
STREET SiE A'
City State Zip SsiL3
Company hone ?_yd -f 0
Contractor Address 10825QREENBRIERFOAI) License # 361gO Exp.
MNNETONKA,MINNESOTA5=
City State Zip
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer 6 water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply w'th all applicable State of Minnesota Statutes and City of
Eagan Ordinances. ,..?
Signature of Applicant: 64
r
OFFICE USE ONLY
BUIL DING PERMIT IYPE
?? Foundation ? 06 Duplex ? 11 Apt./Lodging
'?$2 Sf Dwg. ? 07 4-Plex 0 12 Multi. Misc.
0 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory
0 04 SF Porch ? 09 12-Plex 0 14 Fireplace
6't-5 SF Misc. ? 10 Multi. Add'1. ? 15 Deck
WORK TYPE
? 31 New
? 32 Addition
u.;,,Ap, t
? 33 Alterations ? 35 Tenant Finish
U-14 Repair/12c.OZA-%-- ? 36 Move
GENERAL INFORMATION
const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Engineering
Easement sq. ft.
lst Fl. sq. ft.
2nd F1, sq. ft.
Sq. ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
REGIUIRED INSPECTIONS
? Site ? Footing
? Wallboard P Final
? Framing
? Draintile
V-?Y
d/
?-?--
b
? Insulation
? Fireplace
Permit Fee ?
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W 5urcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total: ?
SAC %
SAC Units
valuec;an: $
'.' ?
?16h ase@eri.
? 17 Swim Pool
? 18 Comm./Ind.
? l9 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Uemolish
MIvCG S; stem
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Assessments
"A
• • 1 ' ' m 60 • I we-0) ' s 1 • • I1 ' o1• • N•
•?• s •a? •?? • - •? ? • ? ?? ? • •
CITY OF EAGAN
APPLICATION FOR PERNIIT SEWER ArID/OR WATEEt CONNECTION
1) PROPII2TY P,DDRESS: ?,? } ?irJrc
LFCAL DFSCRIPT'ION:
IF EXISTING STRC'CTI!RE, DATE OF ORIGINAL Bi)ILDING PERNffT ISSL'ANCE: c?- 1S
Month ear)
PRESENT ZONING/PROPOSID USE: R-1 SINGLE FAMILY _
R-2 DL'PLEX ('IWO Onits )
R-3 'IC)WNHO[.'SE (Three + [!nits) ( Units) --
R-4 APARTN]EDfr/CODIDOMINIL'M ( Lnits )
COMMERCIAL/REPAIL/OFFICE
IAIDL'STRIAL
INSTIZS'TIONAL/GOVERAA'fENT
2)
NAME: ? ,? ?.4"' - /?rZ??,>'t ?
ADDRESS:
CITY, STATE. ZIP: _T_p _5Ei' _7172-'
PHONE: `s}4G Yi ?rY?
3) • r.?•
rrarE:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
IIN -4:3 i y0 .4y`
MASTER LICEDISE # .?3
For City Use
Plumbers LicensE
C= ACtiVe
Cr Expired
O Not Recor<
Staff Initial
4) • • i?• _
NAME: S/31y/e sf--s .?-ost.',
?
ADDRESS:
CITY, STATE, ZIP:
PHONE:
5) n ?• • i
/tl CANNIDCfION SD CITY SEWER
Q OTHER (Please Describe)
12 CONNECTION TO CITY WII1TII2
: 'II,IDICATE,ONE:
7)
? PI,EASE HOLD APPROVID PERNIIT FOR PICK-C'P BY ONE OF ABOVE
PJ PLEASE MAIL APPROVID PERMIT TO 1, 2,?V 4, ABOVE
? (Ci;cl?e one)
FOR C I T Y US E ON:,Y
PE?t+iZT °- ISSIJED
FEEs : $ A
$
S
$
$
/5 o Z?
$
$ < 4i /?J ?J • Ci7J
$ el-U
$
$
S
$
$
$
S n7 > D `f a-z?
SEi':E.°. °ERMrT (I.`ICL''uD: SU°C?i?RCc)
WATEc2 PERZ4IT (IrICL'JDE SliRCHARGL)
WATER METER/COPPERHORN/OUTSIDE READER
WATER TAP (INCLlJDE CORPORATION STOP)
SF.:vER TAP
Ar__ci::;•r
ACCOUNT DEPpSIT - FIATER
wac
SP.C
TRliNK i4ATER ASSESS:?E:IT
TRtii7K SES•iER ASSESSbIE:IT
LATEP,aL BENEFZT/TRUNK SEWEB
LATE:2rlL BENEFIT/TRLT:IK [JAT°R
WATER TREATMENT PLANT SURCHARGE
OTHER:
TOTAL
APlOU::T PAID/qECEZ2T
o7?y
DOES UTZLITY CONNECTIO[V REQUIRE EXC.-1VATION IN PUBLIC RIGiiT OF WAY?
Q YES IF YES, THEN A "PERMIT FOR Tr70RK WITHIN
PUBLIC ROADWAY" MUST BE ISS[lED BY THE
? Na ENGINEERING DIVISION. LIST AS A CONDI-
TION.
SUBJECT TO THE FOI•LOtQING CONDITIONS:
APPROVED SY:
TI':LE:
DAT° : ?jZ 94 Ile'll -
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) 460.50
CITY OF EAGAN
3830 PILOT KNOB RD • 55122 Cal(ed 9' iloo
651-681-4675
.0 J? IZ? I'7)C' RemocleUReoalr ReaidremeMa ?
New ConstnicHan ReaulremeMs [ n
n J regfstered slte aurveya ahowing sq. H. of lot, sq. N. of houae O b 2 coples of plan
and ? roofed areas (?X maximum lof coveraae allowedl ? d 1 aef of energy calculaHans lor lieafed atltlHlons
> 2 coples of plans (show beam & wlndow sizes; poured tnd. tleaign; e1cJ 1 alte wrveY tar exteda addnlorn & decW
> 1 aet of energy calcWaHOns
> 3 copies of hee preservadon plan it lof plaMed atfer 7/1 /93
DATE: 7-*1 t- oo CONSTRUCTION COST: LF DO. o v
DESCRIPTION OF WORK: fF,QrQ 4'o ? p L IL It mulH-famity bldg., how many unlis?
STREET ADDRESS: P S q e.s r?'-.2 v !I/ S e-/-
LOT: /07 BLOCK: SUBD./P.I.D. t: !'+2 Y=,Qn e,0S
Name: 4!5.4Xow5 k? A/4RLicr.v0 Phone#:4q-a-[- Sq'Z-
PROPERTI( Wat Finf wr( 4oS-Z<S`71
OWNER
Sfreef Address: 61 ?..,? ?•.? a lli's d-`/-
CBy EA y .0 ? Stute: Lp:
Company: ?? + f Phone a:
(area code)
CONTRACTOR
ARCHITECT/
EN6INEER
S Si a3
Sfreet Address: Ucense 4 Exp.
Ciy
Telephone N: ( )
State: np:
Name:
Sheet Address: Regishaflon #:
CNy
State:
Zip:
Sewerlwater licensed plumber (if installina sewer/waterl: Phone #: L___)_
1 hereby acknowledge Ihat I hwe read lhis applkaffon, sfafe that Me infomwilon is c rrect, and agree to canply
of Minnesota Staiules and City of Eagan Ordlnancea.
Signaiure of Applkanh
OFFICE USE ONLY ?
Certificates of Survey Received ? Yes _ No `& 31 r
Tree Preservation Plan Received _ Yes _ No Not Required l., m
wHh a0 applicable State
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-plex
? 02 SF Dwelling ? 08 06-plex
? 03 01 of plex ? 09 07-plex
? 04 02-plex ? 10 OS-plex
? 05 03-plex ? 11 10-piex
? 06 04-plex ? 12 12-plex
WORK TYPE
? 31 New
l? 32 Addition
C7 33 Alteration
? 34 Repair
p 13 1EpleX ? 21 PorCh (3-see.)
? 17 Garage ? 22 Porch/Addn.(4-sea.)
? 18 Deck ? 23 PorCh (screened)
19 Lower Level ? 24 Stortn Damage
arog V or _ N ? 25 Miscellaneous
O 20 Pool ? 30 Accessory Bldg.
? 36 Move Bidg. ? 43 Reroof
? 37 Demolish (Bldg)' O 44 Siding
? 38 Demolish (Interior) ? 45 Fire Repair
O 42 Demolish (Foundation) ? 46 Windows/Doors
* Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code ?
No. of Units ?
No. of Buildings
Const. (Actual) S -Al
(Allowable) s-,cJ
UBC Occupancy je -3
Zoning R - /
# of Stories
Length
W idth
Basement sq, ft.
Main tevel sq. ft.
sq. ft.
sq. ft.
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning _
Permit Fee
Surcharge
Plan Revlew
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Totai:
sq. ft.
sq. ft.
Footprint sq. ft.
Census Code
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Building l`! Engineering Variance
Valuation: $
? 31 Ext. AIt - Multi
? 33 Ext. AR - SF
? 36 MuRi
SAC Units
% SAC
,
?
?
l ?
1985 BUILDING PERNIT APPLICATION - CITY
NOTE: ALL
0
3z5-00+
32•?p+
7 62 <50 +
=7s ° oo +
?. C-c0+
63*,??0+
e 29C C0+
i56=;0+
2,ica=oo*
a' -(, -e;,"
Lot: IL2)--.Block __2Sect/Sub A/CIJ •rec X Occupancy r.3
Remodel Zoning R.I
Parcel U Repair _ Type of Const Q
+ Enlarge d of Storfes
Owner Move _ Length ?
Address 4 /' 5 Demolish Depth 30
Grade Sq Ft
City/Zip Code ?6(2?AN/ --------------°--------------------
3- S - -3 3 a-
?
Phone
- APPROVALS
Contractor Assessments Permit
? Water/Sewer Surcharge 3 2.
Address Police Plan Review (fl2.5o
Fire SAC 5-75,
City/Zip Code ' Engr Water Conn 500
Planner Water Meter G3-2
Phane Council Road Unit Zq o.
Bldg OFfz. /- Parks
Arch./Engr.?? APC Treatment Pl I S(n'
Address Variance
TOTAL
City/Zip Code
Phone 9 43 /"o /7-,?
AUST BE LICENSED VITH TE
3
1 SET
G`r,?,
To Be Used For• Valuation: < Date:
Site Address: 4(?? ('otm "'LA,,o ()-r-OFFICE USE ONLY
?
Z4 x?I.? - I o5? x 44 ' 4c?
?l
? 2x 2Q- ? 5 Z6 x I4- ? ?3`tZ
22?- x- (4- -2D (SZ)
4-
22 40 -?- x iz _
? 3 ¢ i 4-
rv
„?.._; ,• EXTF.RIOR ENVfLOPI nvriinr,r °11°
?• -
OWNER:' , - ------
51TE AODRESS:
C0NTRACT0R:__:_%6Zq?45
Determine worY.ing square fnota(le of eacli
1. Total exposed walt area....._`l??G?„ Sq, pt. x.11
2. Totel roof/ceitiny area..... fl. x_02G
Total exposeA wall arca aRove 1"loor=__17J._
a.
b. Total
Total wall window area ..................
door a
e ?
c.
Total r
a..
sliding glass door area..
..
.................. `
Total ................
................
flreplace wall area. ....
. .............
D •
e. Totbl ...... ..
wall freming area (average IOw),..,,,,
f.• Total rtm 3oist area.. .????????? " -?Z---
9. net .....................
v?all area a6ove floor . .................•
h•
' ..................
wall area above floor..
????..
??" 3(
/
1. •
- ............
wall area a6ove floor.... ..................
J. fr
a e ? .
all area et fourulation
................. ... ............. •
Total exposed foundation arca=
k. Tota? founddtion window arca •
1. Total .,.,,,
net foundation area a6ove grade .......... ,r
...._t?Lo
Determine "u" value of each wall segment
(e.9. window, cloor, eacli separate wall section) •
a. ? S X?,???
e•- 3-Z_ x 31 n
.
?
C._ 4o x _
,
d, X Mull ?
? .
g
? `?
•
X „?„ q_
Q .
_^
5
g,_ X
h. X
?
1. X ifull
v ? .
J. x „U,.
v , .
k. X "U" If item IJ Is tha sam
us, or less,than Item
O
X
?' ?o Ml, you have met.thc
Inle
t
S
-- n
o? SOC.6006 (o
? . ...... ...........................'Iutol
?
,
rlor L•'nvolopn nverpqo "U" Computnlion rage 2 oF 4 .
.
,.? . . . .
9'ol•nl expoced roof/ceilinry area e 1? . .
m. 7bta1 skyli.qlit areo ............ .{
n.'Tota1 rooE/ceiling•framing area (nver??ga•10?.)... ~ .. .
, o. Total net insulal•ed roof/ceiling nreA.........,. ??
+ Uetermine "U" vnluQ For eacli roof/ceiling seqment
X nUn
(1. isU'i A.?, - a , ?• ? .
X uU?? '07 ? . . .
{i
9 .............:............. 1bL•al
If tola.l 'of 04 is the stune as, or less tlinn 112, you have meC the int•ent of
SHr 60C?G .(a) 1. .
?.
AlternatQ Building F.nveJope Desiqn '
Yb ut.iliza tlie total enyelope'system metliod, lhe values esl•ablished by the a.un of items 13 and 44 ahall not be qreater l•lian the swn of items ql and 12.
1• ?JD. S ?• 2.
3' ..._._.1.?_S? + 4.
'.
.. .
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ilAl.l, f,CC•17hN9 . 1'.u?r, 'Cwu
_ 'G:r Or•r ?yt uf ?pnc?ua ua11 nrcn tor
lrnm- r.omr,trucllun c'car
_. . ;trucllr-u
_. ..
. Ii-Vrilud
?_ ; Y
?.4MLs • •-. ... ..
= . .
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Str . , =.a ?_..---(l? '• •-
j.?.D.l?-(.(c?. ..._ ...... .......... . . ..?oZ
ni.r, ,
j: . ?. F:r.lcrii;r Al4' f 1lil1 0. 17
F
-; f?llilIZ?
, u=,os
7'PVIIII OF INSUL.
• FIIAtCE 1JAI.b 1. Tnfrrlnc ?ii' :Ilm p.Gll
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y
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....--- --._._._.._....._
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t. . .;
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U = 191
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4 ? 114? ' •4 • r? _.? •..
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y.... .'
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PLAk! 4- 332s'
¦ Lr ru E4 L FT, P-xposEO W,4LL
?L.OGk.?1;I '?lvi?9a-?Z??t4o= r3'Z
132
?=ULL (32
=vLL2, •-
= ? P.Ep iO? ?
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WA LL AP.EA
i 3z K , S - er(e
I`.N EE X 5= G&Vo
vv.o. ;
' x g _
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/3z K.
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losCa
Fu LL
1 2 93 =
F. P, .
?I M ; . ! 3L )C ? = 13z
,
?EKpOSE:--D GEl Lf IJC{ LG x9'D alo .
?I,. .
,
, r Vl! D Y115 ?1 ? D o0 25
L?
0 I
38
tqq.q n , ? ,
70(eo r?? 2S U IATro Dft.S. ?
ZBQq ?i -
. ?i ? • ? e F35M4 vui+s ?'j
'- 1100V/CE1LING • , ,
? ' . , . ' ' • ? '
., . . .
Conotructlon 1l^Valuo_ .
?: ? Intcrior air film , 0.61 '
3.
??"',?,?? ?i,•I??I???''(??I ' ? '
?q?,? . .1I I?I,L.,-• ll????ill?l'? 4. ExtarAor yiL Lilia (sTotnl 0.
;;??;-?-?-----?- . • ?- 4s8o
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1. Intorlor nir lilm
:nted Hea[ flov ? 0.61
. up • • ?' ,'- ? .-f3n
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1. Insida air filin 0.61
. ? , 3_
' 4 _.
S. aicsiac .,ir Eilm ? U. 17
T Total
F!C?9?'f E • ?..? .
1. Tnsida aix lilm 0:61 '
' Z_ . .
Y.e?C Llov up • , ? ?•vented • ' 3- ' ' • •
. . • . q_
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• , ,TIC. 16.? . . . ' •.. . . : .. Total
...... .__.. ; _.. . . . .
?ti 1. Ynsid'c air film ,• ,•' ^ 0.61
• , . . ' ?'?!.s:1':; ;'"?•_'.?+ 2. •
•w1 y:;:.?.? f';1L:..?...... .:i • 3. ' ? ? .
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S. outslJc air film 0,17
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. • ? H0:1-V[?;iZp. . . : Notc: vso ndditional sheeCs !.F morc spacc 1
•? •• ' • necdcd foc details and calculations,
~? • ? 2fcaC ? ? • . .
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SURVEYOR'S CERTIFICATE '' KEYLAND f10ME5
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qb43 ?/7 E / n a6° y?o ° •s ? , ?? N0% :
? ` y? ??'$1'?q? IOQ Jy? G4?I O N N
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?p ??3$95?•?i. `
??0 6000 ?V
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G
-eL- UENOTES PROPOSED SURFACE DRAINAGE SCALE: 1 INCI{ ? 30 FEET
O
• UENOTES
DENOTES IRON MONUMENT SET
IRON MONUMENT FOUND
PROPOSED GARAGE
FLOOR
= 958•S
S
FEET
FEET
X000.0 DENOTES EXiSTING ELEVATION . PROPOSEU LOklEST
TOP OF FLOOR
DLOCK = 958•
= 9G1. t0 FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED
1 lIEREBY CERTIFY TO KEYLAND IIOMES THAT Tf1IS IS A TRUE AND CORRECT REPRESENTATION OF
A SURVEY OF TIIE BOUNDARIES OF:
Lot 12, Block 7, HORTIIVIEW MEADOt!S, accordino to the recorded plat thereof,
Oakota County, Piinnesota.
IINU OF TIIE LOCATION OF A PROPOSED BUILDING. IT DOES NOT PURPORT TO SVIDW 1PIPROYEPtENTS
OR ENCROACFIMENTS, IF ANY, Tf1ERE0N. AS SURUEYED-DY P1E. OR UNUER MY DIRECT SUPERVISION,
TlIIS ¢r# pAY OF PEekuRRV, 1966. • .
SIGNED: ,JAMES R. HILL, 1NC.
UY
. IIAROLU C. PETERSON, LANU SURVEYOR
? PROJECT NO. DOOK / PAGE JAMES R. 1-iILL, INC.
86346 ? '
• isi/, 3 Planners / Engineers / Surveyprs
FILE NO. 8200 flumboldt Avenue 8outh,
FOLDER ' nloominpton,?utn. aaast 012-004-3029
+, .
SURVEYOR'S CERTIFICATE ' ' KEYLAND f10MES
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--?- UENOTES PROPOSED SURFACE DRAIPIAGE
O DENOTES IRON MONUMENT SET SCALE: 1 INCff = 30 FEET
• DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = 958•5 FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSEU L04lE5T fLUOR = 9 S 8•S FEET
(000.0) DENOTES PROP05ED ELEVATION PROPOSED TOP OF OLOCK = 9G`?.(? FEET
I lIEREBY CERTIFY TO KEYLAND IIOMES THAT TIIIS IS A TRUE AND CORRECT REPRESENTATION Of
A SURVEY OF TfiE BOUNDARIES OF:
Lot 12, Block 7, NCRTll1'IE4; HEADOl!S, accordina to the recorded plat thereof,
Dakota County, Piinnesota.
ANU OF TfIE LOCATION OF Fl PROPOSED BUILDING. IT DOES NOT PURPDRT TO SfIUIJ IPiPROVEh1ENTS
OR ENCROACFIMENTS, IF ANY, TfIEREON. AS SURVEYEU BY h1E, OR UNDER MY DTRECT SUPERVIS10N,
TIIIS 4-T/f DAY OFcEekupRV, 1986. .,
SIGNED: JAMES R. HILL, INC.
BA?!/?1"
NAROLO C. PETERSON, LANU SURVEYOR
.
; •,
,
.?
PROJECT NO. E300K / PAGE J°qMES R. MILL, INC.
86346 . ,
' isi/, 3 Planners / Engineers / Surveyors
FILE NO. 8200 fiumboldt Avenu• Boulh
FOLDER ' ploominpton,Mn. 55431 012-004-3029
P
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PERMIT «-
? CITY OF EAGAN ?3??}`
3830 Pilot Knob Road PERMIT TYPE: eu LDING
Eagan, Minnesota 55123 Permit Number: 0 2 3 4 8 6
(612) 681-4675 Date Issued: 0 5/ 0 3/ 9 4
SITE ADDRESS:
659 CORNWALLSS CT
LOT: 12 BLOCK: 7
NORTHVZEW MERDOWS
P.I.N.: 10-52100-120-07
DESCRIPTION:
(WTNOOW REPLACEMENT)
Buildingl_Permit Type SF (MISC.)
Building Wo,rk Type REPAIR
.
? .
i
? -.
.;.
„ ???
??
REMARKS:
FEE SUMMARY:
VALUATION $5,000
Base Fe2 $72.00
Surcharge $2.50
Total Fee $74.50
CONTRACTOR: - Applicant - sT. I.IC. OWNER:
TWIN CITY STORM SASH CO 15468160 0003090 SAXOWSLEY HARLAND
10825 6REENBRIER RD 859 CORNWALLIS CT
MINNETONKA MN 55305 EAGAN MN 55123
(612) 546-8160 (612)452-6595
I hereby acknowledge that I have read this application and stete that the
infiormat3an is correct and agree to comply with all applicable State of Mn.
Statutes and City of Eagan Ordinances.
? -
APPLICANTlPERMITEE SIGNATURE --rSSUED Bl SI ATUR
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: surLoxNG
3830 Pilot Knob Road Permit Number: 0 2 3 4 8 6
Eagan, Minnesota 55123 Date Issued: 0 5/ 0 3/ 9 4
(612) 681-4675
SITEADDRESS: LoT: iz BLOCK: 7 APPLICANT:
859 CORNWALLIS C7 TWIN CITY STORM SASH CO
NORTHVIEW MEADOWS (612) 546-8160
PERMIT SUBTYPE:
3F (MISC.)
TYPE OF WORK:
REPAIR
DESCRIPTION (WINDOW REPLACEMENT)
INSPECTION
FRAMING .. .
ROUGH IN PLBG DA
ROUGH IN HTG FINAL
I F-
I L
[ul[-u J-1U MW) » bbl 9 Jb bb94 P 112
use WLUE or BLACK Ink
For OMoe Usa - -
of j PermN P
Ea an I I Cr,-,
Pan , l
38330 Pilot Knob Road
Fagan MN 55122 Date Received:
Phone: (Ml) 67&5675 I I
Fax. (661) 676-6694 15ta1f; I
L __-,I
2012 RESIDENTIAL PLUMBING PERMIT APPLICATION
❑rrt.: IL2 Site Address' C_~Oc Vl/ a ~ Tenant; Sult*
Name: 1 1 Phone: y
Address / C / xi : - ~Cwl
License -
aaarese: o.
v city.
Shit®: Zip, 4;r--A- Phone'
Cordect: ~Mnl Email:
New -Replacement Repair - Rebulld _ Modify Spam _ Wes'
rn R.b.W,
Desch do of wmk: llJ~. I G (Zjl
RESIULNTIAL
Water Hester
Water Softener
. Lawn Irrigation RPZ / PV9]
sepoc System Add Piumbkta Fixtures Mein / Lower Level)
s 'c;►'` -Now -WatorTumaround
Abandonment
RESIDENTIAL POES;
$60.00 MIW= Water Heater, Water Softener, or Water Heater xW Softener (Includes $5,00 State surcharge)
$60.00 Lawn Irrigation (includes $5.00 Mate Surcharge)
$60.00 Add Plumbing Fixtures, Ganda. System Abandonment, Water Turnaround" (Includes $5.00 state Surcharge)
`Water Turnaround (add $168.00 If a SM" meter is required)
$106.00 as yvt@m New ($10.00 per as built) (includes County fee and $8.00 State Surcharge)
TOTAL MES
DIG. Cell Gopher State Ooo Call at (961) 464-0002 for protectlcn against underground utility damage.
Call 48 hours before you Intend to dig to receive locates of underground utPles.
I hereby aoknoWedge that ttus information is axmptete and accurate; that the work will be in conlorrrwnca % ft the ocinanoee and sodas of the city Of
EALOW. dmtI, toay.eu►.Appllcatio~ lH,e-Ire-- -
6ooordetm wlh the appmedd plan niin~t#m case of work whleh requires a review and approval of plans.
x
ApplImt'e Printed Name
Applicant Onaturo •
..,J::J~:iY:::i ~~'~S:; I~^:1.'T'1•.,', „i,
r.d. .dh,. y.; `l:' ;,y, ^",'(,'":Lfi'~ `1a 1•;: ''Ysi~ Pr.: ~;~i'ri
y; ,;~~K.. ..l •J, „q(..,•,.\. .~11fIoW ``,.;"vtd='>^.,J•:,•~;:%ua%:~;'.~, .~Y ~ /l~•.e.~,..V.,,,!4'.;``'
OAt r:'t1 , Und'er.:(~►'ound;'`,; F2p~~tt11Y I T9et' .1~;,~
2M04-3016M 651675%% pace i
Use BLUE or BLACK Ink
-Far- O--ffice- Use I
I 1
I 3
My Of t Eap i Pe►mit#: ~1 `ni I
I Permit Fee. 105"a<
U P
3830 Pilot Knob Road
j
Eagan MN 55122 Date Received: whu 02
Phone: (651) 675-5675 1 I
Fax: (651) 675-5694 I Staff: I
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 10/15/13 Site Address: 859 Cornwallis Court -Unit
Name: Harland Saxowsky Phone., 651 452-6595
Resident/
Owner Address / City / Zip: 859 Cornwallis Court
Applicant is: Owner X Contractor
Description of work: remove and replace 18 square of shingles
Type of Work
Construction Cost: 10850.00 Multi-Family Building: (Yes No
Company: Builders and Remodelers Contact Mary Anderson
Contractor Address: 3517 Hennepin Ave So City: Minneapolis
State: MN Zip: 55408 Phone: 612 827-5481
License CR1100 Lead Certificate NAT-20683-0
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
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 am considered to be public information. Portions of
the information may be classified as non public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gor)herstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x Mary Anderson x
'.1, - ~24a' f
Applicant's Printed Name Appli nits ' na ure
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA172432
Date Issued:09/30/2021
Permit Category:ePermit
Site Address: 859 Cornwallis Ct
Lot:12 Block: 7 Addition: Northview Meadows
PID:10-52100-07-120
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Rachel Preston
859 Cornwallis Ct
Eagan MN 55123
(763) 232-0700
Milbert Company (culligan)
1801 50th St E
Inver Grove Heights MN 55077
(651) 451-2241
Applicant/Permitee: Signature Issued By: Signature