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864 Cornwallis CtCITY OF EAGAN 3830 Pilot Knrob Road, P.O. Box 21-199, Eagan, MN 55121 9800 ° PHONE: 454-8100 ?-.L c47 7 BUILDING PERMIT Receipt # ? ? ? ? Te M taad ior SF DWG/GAR Est. Value $58,000 pate JULY 16 , 1 q 84 Site Address 864 CORNWALLIS CT Erecc [IC Occupancy R3 Lot 15 Block 7 SeclSub. NO VIEW MEAD Remodel ? Zoning Rl. -- Parcel No. Repair ? Type of Const. V Enlarge ? No. Stories W nlame KEY LAND HOMES Pnove ? Lenytn 39 9 Address 3471 W 173RD ST Damolish ? Dapth 48 City JORDAN phone 492-6646 o I Name CLA CONST CO INC m u? Addfe$$ E 90TH ST citv PRIOR LK PhOne 447-6128 Fw I Name DENNIS HALLQUIST x,?-? Address 5001 W 80TH ST ?W ciTy BLMTN phony 831-1875 Grede ? Sq. Ft. Aoororals Feea Assessmenl _ Water 8 Sew. Palice _ Fire Eny. Ptanner _ Council _ Permit ''w••-- Surthorge 79-00 Picn check 153.50 SAC 525.00 Woter Conn. 470.00 WaterMeter 63.00 Rood Unit 260.O0 Parks Total $1.807.50 'I hereby ackrwwledge that I hove read this epplicofion ond sfofe that Bldg. Off. ' the informotion is correct ond agree to comply with oll applicable AP? State of Minnewtu Statutes and City of Eagan Ordirwnces. Var. Date Sipnature of Permiflee A Building Permif is issued oll work shall be done in q 6uildinp Official CLA CONST CO on the express conditlon thal ith all o li bley5taro of Minnewta Statutes ond City of Eaqon Ordinonces. CITY OF EAGAN y , 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PNONE: 454-8104 •- ' 7 ? '7 8UlLDING PERMIT Receipt # % ? : S / Te be wed fee SF D'WG/GAR Est.Volue $58 ,000 Dote JULY 16 , 1 84 864 CORNWALLIS CT R3 SiteAddrss NO VIFW MEAD Erect ? Oecupancy Lot 1 Block ?ec/Sub. Remodel ? Zoning R Parcel No. Repair ? 7ype of Const. V Enlarge ? No. Stories 0! Name KEY LAND HOMES Move ? Length 3 Z Addreess RD S Demolish ? Depth 48 City JORDAN Phone 492-6646 Grade ? Sq. Ft. Name ?? AddreIS 447-6128 1- Citv Fhone Name un1vLV1b riayLLuU151' Fire 5001 w 80TH sT ,? CdYress gLe4TN Phone 31-1875 Ptnnner Council )y acknowledge that 1 hove reod this applicotion and stoie thot gidg. Off. lormation is correct ond agree to comply with oll opplicable APC uf Minnesota Stotutes and Gity of Eagan Ordirbances. Var. Date _ Slqnoture of Permittee 307 . vo Permit Surcha?ge 29.00 Plon check 153.50 SAC 525.00 Water Conn. 470.00 Woter AAeter 6 3. Q Q Road Unit 264.00 Parks Total $1,b07 • ? A Building Permit is issued M:._, ?? V V y vv on the express condition Iha+ oll work sholl be done in qEcordpnce wlth all appligbbleLStote of Minnesota 5tatutes nnd City of Eoflan Ordinances. Bulldinq Offfciot - '?'? l ? _ ? % _ ` ? `• Permit No. Permit Holdar Deta Plumbing t5 6 3 /gy H.V.A.C. ??a ?? ? 't y Electric 5oftenar lnspection Date ?nsp. Other Footings 74 I$ q p ? Faundation .1? Freming Rough Plbg. ? Rough HVAC Inwlation z Final Plbg. Final HVAC IJ? Final Cert/Oce. Water Describe Location: ? Wel l ?? . ?'?^„? C tr?Q ` O?? "`ir^i Cl !l Sewer . Pr. Diap. CITY OF EAGAN NO 18679 ? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 Receipt # i I I CJ ?!_ To be used for FIREPLACE Est. Value $1, 000 Date TAN 31 , 19-91- Site Address 864 CORNWALLIS CT Lot 15 Block 7 Sec/SubNORTHVIEW MEADOW; Parcel No. W Name RICHARD & CINDY MCNARRY ; Address 864 CORNWALLIS CT ° CitY EAGAN Phone 454-3524 ,o Name HEAT-N-GLO ?? Address 3850 W HWY 13 m t- City BURNSVILLE Phone 890-0758 Name _ Address City - Phone I hereby acknowlege Ihat I have read this appiication and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and C?6y i Eagan rdpaane s. Signature ot Permitee ? ? A Building Permit is issued to: HEAT-N-GLO on the express condition that all work shatl be done in accordance with all applicable State of Minnesola Statutes and City of Eagan Ordinances. Building Olficial OFFICE USE ONLY Occupancy - FEES 2oning _ (Actual) Const - Bldq. Permit 25.00 (Allowable) - Surcharge .50 # ot stories - Length _ Plan Review Depth - SAG City S.F. Total - SAC, MCWCC S.F. Footprints - On Site Sewage _ Water Conn On Site Well - Water Meter MWCC System - Acc1. Deposit _ Ciry Water PRV Required _ SNV Permit Boosler Pump - gMl Surcharge Treatment PI APPROYALS qoad Unit Planner - park Ded. Council BIdg.Olf. _ Cowes 25.50 Variance - TOTAL 383 BUILDING.PtRMIT To 6e used for FIRZPLACE Site Adlrg ss $? ??? Lot Block Se, Parcel No. w Name RZCHARD a COM ? Address M64 -EA' y.?? •?*?.??>=?? ?: -.. ; CITY OF EAGAN ?$?79 ' Pilot Knoh Road, P.O. Box 21-199, Eagan, MN 55121 ? PHON E: 454-8100 - Receipt # --? F?r vaii iA $1I000 narp .IAII 31 19 91 ?oName `zw.. , ? ? Addres VILLE 89075 Ucc Citv NS Phone 0- Name _ Address I hereby acknowlege that I have read information is correct and agree to c Minnesota Statutes and 04,61 Eagan i Signatwe o! Permites ? x?a A Building Permit is issued to: on the express condition that all work : t ? , - I Phone that the State of OFFICE USE ONLY Occupancy - FEES Zoning ? 23.00 (Actual) Const - Bldg. Permit (Allowable) • ? - Surcharge # of Stories ? Lenglh ? Plan Review Depth - SAC, City S.F. Total - gAC, MCWCC S.F. Footprints - On Site Sewage - Water Conn On Site Well - Water Meter MWCC System _ cicy water Acct. Deposit ? PAV Required _ S/W Permit Booster Pump - 5rW Surcharge Treatment PI APPR4YALS poad Unit Planner ---- Pyrk Ded. Council 81dg.0(f. ? Copies ? Variante - TOTAL . ? Pemit No. Permit Holder Date Tetephwie # WATER SEWER PLUMBING H.VA.C. ELECTRIC 1nspectlon Date insp. Comments Foolirgs I Foundation Framing Roofing Rough Pibg. Rpugh Htg. Isul. Freplace . ? Final Htg. r - • Finai Plbg. Const. Meter Plbg. Inspector - Notify Plumber Engr./Plan Bldg. Final Deck Fig. Deck Final WeU Pr. Disp. CITY OF EAGAN Remarks Addition NORTHVIEW MEADOWS Lot 15 Rik ' Owner street 864 CORNWALLIS COURT Improvement Date Amount Annuai Years Payment Receipt Date STREET SURF. 'V$' 1984 76.75 7.68 10 10--IL5-94 STREET RESTOR. GRADING SEWER T 5 1981 15,89 .79 20 12.73 4 - 4 SAN SEW TRUNK 575 1981 138.48 6.92 20 110.80 C009641 10-15-84 SEWERLATERAL TRK 1984 275.22 18.35 15 256.88 C 4 1- - 4 SEWER T 513 1981 22.28 1.11 20 16.36 C009 41 10-1 -84 WATERMAIN 1984 70.67 4.71 15 65.96 C009641 10-15-84 WATERLATERAL 7 1981 1$.65 .93 20 13.69 C009641 10-1 -84 WATER AfiEA -1(O iJHl 138.48 6.92 ZO 110.80 C009641 -- 4 WAXER T 51 1982 29.52 1.48 20 23.64 COQ 642 10-1 -84 STORMSEW TRK S 1984 392.32 39.23 10 313.86 C009642 10-15-84 STORM SEW LAT DRAINAGE ? 1984 33.97 3.40 10 30.58 C009642 10-15-84 CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 260.00 #44757 7-17-84 WATER CONN. 470.00 11 " BUILDING PER. iT " SAC >> " PARK Receipt C( l{ ? ? 7 PLUMBING PERMIT CITY OF EAGAN Fil1 in numbered spaces Type or Prini legibly 1. ?ate -"- 2. InstaNation Cost Permit No. Fee .S/C Tot. :. f; ,? - ? ? cv : ? r ? ? /? (_? ?l l r • .3. Jo6 Address l.ot Blk. ? Tract ? i ? 4. Owner A C" Y ?- , 7?;: , ? :, • t 5. Contractor • / ir ? .? i-? ? Phone /,i% 6. Address 96) A' , 5 C A c ? 7. City 17 State Zip 8. Building Type: Residential 0 9. Work Description: New 10. Describe 11. Commercial O Institutional ? Add ? Alter ? Repair ? No, Fixtures Water Closet No. Fixtures Cesspool/Drainfield % Bath tubs Septic Tank Lavatory Softner ? Shower Well / Kitchen Sink Urinal/Bidet Qther ? Laundry Tray _L 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 codes,goyerning this type of work. Signed : ' / for Rough Final Inspections: Date insp. Date Insp. This is your permit when numbered and approved. Approved CtTY aF EAGAN 454-8100 Receipt MECHANICAL PERMIT Permit No. I CITY OF EAGAN F? ,a? Fill in numbered spaces S/C Type or Prin [ legibl y ??? Tot. ??? 1. Date 2. Installation Cost 4 ?/?U ti ?j6q COr N w4I L? Blk. ? Tract 3. Job Address 4. Owner 1?Q-y F-q N4 T? U?'?^C-S 5. Contractor f 1 l 'LirU A 1Z Phone qy7 '?! 6. Address 19 y o? 7. City 1(i Or ?-SKiL State v1 Zip ?S_? 7 L- 8. Building Type: Residential ? Commercial 13 Institutional ? 9. Work Description: NewX Add ? Alter O Repair ?? 10. Describe i?'i ? y S?C n'l Fuel TYPe 11. No. ? Eyufoment BTU - M. Ea. Forced Air 7Sj 000 No. Equipment CFM Ai dli H Mf9• C G T P r E'_ (L an r ng: Boilers Mfg, Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. ? Gas, Piping Outleu 12. I herebl( certify ffihat th"'bove i formation is true and correct, and I agree to comply v1Vjth al 4rdinahce? a odes governing this type of work. Signed :"k? for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 ? . - - - - - - - - - - - - - - - - - - nc u e se of plans, CITY OF EAGAN 3 Certificate af 9uvr" & ? BUILDING PERffT APPLICATION ?. set of_ energy cal.culations. . ? Zb Be Used For Valuation ?u-v Date I1/y / Z 19 Site Address : &rrv ar I4 L[ ''s CO uC f' OFFItE USE ONLY F Lot f s Block 7 sec. /sub. Jtkr%ia•4 /y1c-^d?W,&ct occupancY ?-? Parcel # : Alter Zoning (z - l I Ftepair owner : )6'ev L& yi, Enlarge TYPe of const. ? Nbve # Stories I Address: ,31171 i.l_ 173 5t S? Denqlish Front ft. Grade Depth C? ft. ? city/zip Code: To?c?•,r? /If:N•.? S'S3?L ? Phone # : 99Z - L 6 yG APPPCUAT S FEES Contractor: 0 LM WiSP & AL,- _ Address : 6 Y51 e /5§ t <Sf city/ziP coae: tVRid ?4.4Ce nHN ss'?7 Z. Pnone #: 91917 - 61 Z 91 Arch. /Eng. : bcAlNtS nw%u•S r Address: Ci.ty/2ip Phone #: As5essments Water/Sewer Police Eng. Planner Council Bldg. Off. Aec 4 -0 4 / 4ij 90 15' :5t cade : Xa-r%,' Au Av ?S'Sy?7 Permit ? Surcharge Plan Check SAC 2r=,oo water Conn. 4 2 0.- Water Meter 03 00 Road Unit 2Co0 . TaM / ?0 ? • So .. , - - CASH RECEIPT ? CITY OF EAGAN P. O. 8OX 21-199 EAGAN, MINfdESOTA 55121 DATE 19 ? ? R6CEIVED FROM AMOUNT ? Fs /7? & DOLLARS 1 uo E]CASH aCHECFC i FuND CODE At+70UNT J Than ou ? - e Y YVhite-Payers Copy Yellow-Posting Copy Pink-File CopY CITY OF EAGAN WATER SERVICE PERMIT 3$30 Pilot Knob Road 55 81 PERMIT NO.: 7- ?W 24-8?? DATE: 55121 Eagan i' 1 ? No. of Units: Zonin9: 1 i:ey Land Homes Qwner Addressaa imi-Et 1,15 B7 ':ort ?iv j'lew Neadows ? 6 4 itE Addtiss, • + ---- ? lumber Br Nol Charge: 470 .00 n 1 S. 00 c pd ize: s? Actount Deposit: ? ?.? ??rr?I Qn;; ? -••• • Raoder No.: Fee: 10.00 pd 5u hcr e: E .50 Pd g _ rc apan gsw" eo cmnply w{fh the City of OrdieMisc. Chorges: ?'?.Onp?i ;ur?tez Tofal: 8 Dasa Po{d: y " 3 I^SP•: Dote of Insp. OFEAGAN Pilot Knob Road Box 21199 i, MN 55121 M wa+Pip wi16 !bt GM of maNn SEWER SERVICE PERMIT Connection Chorpe: Account DepoWt: _ Permlt Fee: Surciwrpe: Mise. Chae+pes: - Tatat: Dotr PoFd: ??•?:,r,ss?,` i _..,.L I.?J? ?'? REQUEST FOR ELECTRICAL INSPECTION Ee-oooot=a ? See instructions for comvlating this lorm on 6eck of yellow copy. X" Be/ow Work ered by This Request Now Add Hep. Type ot Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lightiny Fixtures Apt. Building Dryer Electric Heatin Commercial Bidg. Fumace Silo Unloader lndus2rial Bldg. Air Conditioner Bulk Milk Tank Farm Ocner vect y ther (Snerify) t er Suecify Other OYhE;r 4URlut11C 11fSpCC1fDR tP.P fiP.If7W k Fee Service EntranceSize p Fee Faedersf5u6feeders # Fee Circuity OJOL f 2, 0 to 200 qm s 0 ta 30 Am s a ? to 30 Am 5 Above 200 Amps 31 to 100 Amps 31 to 100 A s Swinvnin Pool Above 100_Am s Above 100_Amps Transformers Irrigation Booms Partial- Other Fee Signs Special Inspection ,,., ? S Remarks ? ?? TOT FEE ? ?it ? . Rough-in ? pa ? -_ ? e E ec riCal A spector, hereby c y t tithet the above Finai ? ?? pection has 6een ade. This request void 18 mantha trom This request void //?j`/? V _(_D / 18 months from ?'t ? ? ? ! / ? e?, -? ? ? r? L r ? /? n?.e a -, Request Date ? Fire No. TReou gh-i n Inspection uired? OReady Now Q WiII Notify InsPec Yes ? No tor When Ready U&Licensed Electrical Contractor 1 hereby request inspection of above n n„„nPr efectricaf work installed af: Street Addr ss, Box or Route No. City ection o. Township Name or No. Range No. C -am ?h75?C Occupant IPRINTI ? Phone No. Pow uppl' Address ? ? Ele ical Contractor ICo pany Na ) Contractor's License No. - - Z ? /L- ? ` Mailing Address (Contractor or Owner Ma king I tailat' n) ? 4 Jo 4 k: o;e' r? . Authorized Signature IContract Owner aking Installation) Phone Number ? / -70-? MINNESOTA STATE BOARD QF ELECTRICITY ? n'a nrc?.. ?v,. ? ?,.. Griggs-Midway Bldg, - Ruam N-191 BE ACCwEPTED BY?.TH?+E..STpTE.+..., ?BOARQ.. 1821 University Ave., St. Peul, MN 65104 UNLESS PROPER IN5PECTION FEE IS Phone (812) 297-2111 ENCL6Sf0. W1 3 7 City Of Eagan 3830 Pibt Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWCtion Reqwrements 3 registered site surveys showing sq. fl. of lot, sq. ft. of house, and all roofed areas (20°h mauimum lotcoverage allowed) 1 Soils Report 'rf proposed building is to be placed on disturbed soil 2 copies of plan showing beam & wirtdow sizes{ poured found design, etc. 1 set of Energy Calculations 3 copies of Tree Preserva6on Plan "rf lot platled after 711193 Rim Joist Dehail Options selection sheet (6uildings with 3 or less units) / 76-, 7s RemaleUReoair Reauirements Office Use Qnlv 2 copics of plan showing (oo6ngs, 6eams, joists Cert of SuNey Recd _ Y _ N 1 setof Energy Calculations for heated additions Solls Repori _Y _N i site survey ior additions & decks Tree Pres Plan Recd ' Y _ N. Add'rfion - indicatedon-sifesepticsystem TreePresRequired _Y _N On-siteSepticSystem _ Y _N Minnegasco mechamral venhla6on form Aee&A r(3 b Plane arn r_nncidnrnrl nuhiic infnrmatinn unless vou state thev are trade secret and the reason. Date _-7_ / 3,4 /6-7 ? Construction Cost SiteAddress ?? ? ?o itly Unit/Ste # Description of Work P+if L/fCw Y L- o Multi-Family Bldg _ Y?N Fireplace(s) _ 0 2 Property Owner Telephone # V,f/ Contractor ?/?jz /,7J= C6? ,? /?o o lx C' t/?c, Address G5? U V City?i/???r S[ate N Zip Y Telephone #('?,i y) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category Residential VentilaGon Category 1 Worksheet • New Energy Code Worksheet (4 submissiontype) • Submitted Su6mitted . Energy Envelope Calculations Submitted In the last 12 monThs, has ihe City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address ot master plan: Licensed Plumber Telephone #( JUL 3 0 2007 Telephone # Mechanical Contractor ( 1- Sewer/Water Contractor I herebv annlv for a Residenrial Telephone #( and aclmowledge that 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 oi 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. / . /L% Applicant's Printed Name 2007RESIDENTIAL BUILDING rERMIT arPLicaTioN Applicant's Signature i 2/s4 t_?• ; CITY OF EAGAN I ? APPLZCATION FOR PER'HIT „ ll -' SESdER AND/OR WATLR CONNECTIO:T (PLEASE PAI4T) 1) PPOp= acnREss :_ S'G %@:>± =-=,;. DE.,??p?'IC.7: L l,? '7' ?s ?i i? (Lat/31ock/Subdivisicn or TaK Parcei I.D. NLUn'.erl ? i G Di-? ? G_' CRIG= i.-?L =uli.ZL`::? r?:•i•,• I FP.=S=.- _^:,T,:?:/=.-'C_°CS --• l' ..,-_u? p? R_- ,_ y._ ?,t rv J ? 1 S=?.G7i. Fr '--?- -° --=• ' - ? R-2 DUPI.Ei ('Iti?O U1?ITS ) ? R-3 TC;i11HC{iSE (T?LT'iF." + L?7IT5 ) ? UivI^_s) ? R-a I.'?iITSi p caT=cz-.;,/RErazL?or-F?cE ? rvmcsTpz?L.r, ? NSTI'i'uTIO.'V."-.L/Ga7E1T?;NZ-=?': 2) .;;PnLTC?= IPLEASE PRS?4i) ?"IE: k-e)r i A4-A.., r> /glv-? aDCREss: `3 ?7 ?/73 r v S T crr: , sTa=, zra : ?o PHoNE: 3) PLL:TE--1 ADDP.ESS= (FLEaSE pR1NT) /J090 Sy?VRiSt' v FOR CITY I15E OHLY PLUHgEP$ LIC.tiSE: F7`j Aetive CITY, STATE, 2IP: PkO,?- '1`/7 STG/ PLU,NB.R LICENSE k 33751m;? = Expired 0 Not oi Record ?Ge I rFarr inttia 4) OCC[.?P?3dT/Gr.7iIER (PLtASt PRiNI) ADDRESS: CITY, STATE, ZIP: PHO`+E: S} IAIpIGyTG WHICH PFP.^•lIT IS BEP:C, REQUES`I^.T: CL^J=-14N 'I17 CIT'f SET,•TEF2 CC:I.VEX.TZCDI 'Ib CIT"i tdATER ? CI'FE2 (PLEASE DESCZIBE) bJ C:.: ? PLE.-`SE ?:OLD t1PPRpVFD PER•lIT FOR PZCN-UP BY ONE OF ABC,ti'E ? °TEaSE ?= APPRM^e?J PER'•LLT 'I`.7 1, 2, (o 4 e'1EC,*JE ? „ „ . (Circle one) 7) SICZZATLRE:A /?Q??c?? Di,TE: -W fttlER?m i ! 1! ?! ?fw'lm-m m ! ! t??, ? F O R C I T Y PERMIT " ISSUED FcrS= $ ?o-?S-v $ /O_ sd $ $ S $ i S- rr-d $ S S $ $ $ S $ ???5 d U S E 0 N L Y CF•.?rv nrDtiT1 r • _ • . ? (:'_iC ...... CZ VY?..r•T"?rr.?'JI WATER PERf1IT (INCLUDE SURCf?ARGE) WATER METEF./COPPERHORN/OUTSIDE REauER Wr1Ti3 Ta2 ( INCiGD : CORP03AT=C:1 S^.C? ) r?.vo m*o ...I.._, : ACCOUNT DEPOSIT - SEi•:ER ACCOUNT DEPOSIT - WATER wac sac T?2UNF: WATER ASSESSi-IE:I'?' TR[JNR S:.i1iER ASSESSMENT LATEP.AL BENEF'IT/TRUNK SE?•:ER LATE:2AL BENEFIT/TRU^In WATER OTH: R TOTAL AMOU:1T PAZD/RECEIPT ; 7 DOES UTILITY CONNECTION REQUIRE EXC?.VATION IN PUBLIC RIGHT OF WAY? r_ YES IF YES, THEN A"PERMIT FOR WORK SJITHIN ? PUBLIC ROADWAY" M[1ST BE ISSUED BY THE L1J NO ENGINEERIDIG DIVISION. LIST AS A CONDI- TION. SUIIJECT TO TfIE FOLiO?'1IDIG CONDITIONS: APPROVED BY: TITLE: DATE: 'a ? wk? Na w-me ltw ncmsa sw wt?wwE =w sm wd w4mwtmrowr arm w.moltm se a.i+ wa "cwma qwm wm 1999 BUILDINC New ConshucXon ReauhemeMs PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RC - 55122 ?? 651-681-4675 Remodel/Reoalr ReaulremeMs ? 9 regisfered siFe surveys ahowing sq. k. ol lot, sq. H. ot house and gli rooted areas (20% mmcimum bt eoveroae atlowed) D 2 copies of plana (ahow beam 3 window shes: poured Ind. deaign; etc.) ? 1 sM of energy calculaHons D 3 copies ot hee preservaNon plan tl lof plaHed alter 7/11/93 DATE: DESCRIPTION OF WORK: 2 copies of plan 1 aef W energy calculaHons for heafed addHions 1 aMe survey for exFerior addMtons 3 decks CONSTRUCTION COST: 3 700.e-4' STREETADDRESS: g"'7 C,OQ?&W.A?,eS 0 ??vi ?l,J V r vL a&C1 U_ f-4 - i ? BLOCK: ? SUBD./P.I.D. #: LOT: _ PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER Name: /y7 C1'?0?n fC ? isa ?n Phone #: G 51? 4SL/".?S1H Lasf HM Sheet Address: Ztt'l C e ,,..«'Aks 61 city stare: 14 ,J ziP: '55"/a3 Company: G ZTff Co)?svvLAz n-e?1 Phone#: VI2- 4°l.5--a-Y`l0 (area code) Sheet Address: Ji S g 3 Ucense #(?ILD1L7g Exp. City State: M+`l Zip: 5-5339 Company: Name: Telephone #: area code ( Streel Address: Registraiioa #: City Sewer 3 water Ilcensed plumber (reaulred for new conshuction onlvl: State: PerWlty applies when address change and lo} change Is requested once permM fs iasued. Tip: 1 hereby aeknowledge fhal I hwe read this applicafion, sfate that 1he InformaNon Is coneet, and ee to comply wMh ali appitcabl Sfate of Mlnnesota Statutes and CMy of Eagan Ordlnances. ??.? RECEIVED -? Signafure of Applicard: __??1----- ?lOV 18 ?999 Certificates of ??,._?'°? Tree PreservaGon Plan Received _ OFFICE USE ONLY Yes _ No Yes _ No _ Not Required RECEIVED NOV 10 1999 BY: 1?6 7 ? ? 1990 BIIILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS _# OF RENTAL UNITS _# OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEDWNER MUST DESIGNATE WHICH ADDRE55 IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. , d ?/ To Be Used For: Valuation: Q?• Date: / ? Site Address ? OFFICE USE ONLY Lot ? Block / Parcel/Sub Address City/Zip Code 11A(j?A , ////// _ Phone ?S? - 3sz s? Contractor4d -xi-![1CL?S Address City/Zip Codej&w/i7.[,&J.??3- Phone ?36" Arch./Engr. Address City/Zip Code FEES Occupancy Zoning ^7 ? r ?? Actual Const Bldg. Permit [7f J Allowable Surcharge # of stories Plan Review Length SAC, City Depth SAC, MWCC S.F. Total Water Conn Footprint S.F. Water Meter Acct. Deposit On site sewage_ S/W Permit On site well S/W Surcharge MWCC System Treatment P1. City water _ Road Unit PRV _ Park Ded. Booster Pump _ Copies SUBTOTAL APPROVALS Penalty Planner _ TOTAL Council Bldg. Off. Variance Phone rk EXTERIOR ENUELOPE AVERAGE "U" COMPUTATION ? •' -- --- GWNER:????/????- DATf : .. . . ..._.?r? SI7E ADDRE55:_ PHONE: CONTRACTOR: !2.r2q. Determine workin9 square footaGe of each 1. Total exposed wall area..... sq. ft, x.11 6897 ? 2. Total roof/cei 1 ing area..... B -sq. ft. x.026 Total exposed wall area above floor= ??]/„u, t-.--.- a. Total walt window area ........................................... 1/4p b. Total door area .................................................. 31•74, c. Total sliding glass door area ................................... ,39. 99G d. Total fireplace wail area ........................................ 4,14- e. Total wall framing area (average 10%) ...............'............. /74,6• Izgiv f. Tota1 rim joist area ................................:............ i.?.2•0 °. /,o? g. net walt area above flocr ..................................... ?7 ? 5.d 7 ' S h. wall area above floor ..................................... i. wall area a6ove floor ..................................... j. frame wall area art foundation ................................... Total exposed foundation area= :-,q k. Total foundation window area ....................... PIIA l. Total net foundation area above grade ....... ....... Determine "u" value of each wall segment (e.g, window, door, each separate wall section) a. /(!p X IIUIP . -4-9 = .51c•f?4' b. 37.7LP., x „u„ 11.7 c. 31.994,lll, x ?lUll i9'c9B d. qy4p y "up, _ /UfI• _ e• l761• 8 x"u" 05 = 1-1,144 f. /32.?? X „u„ , 0 4 g. Iz??.?•b7 X "U,l . oS = ?3.28 1. J 8 X itul. 11:4. = D 3 . .................................Total = (7 .?1 B 42,V If item q3 is the same as, or less than item N1, you have met the intent of SBC 6006 (t) ?EXrior Envelope Average "u" Conrlatation .? • " Total exyosed roof/ceiling area = fJrJ'8 ,?¢ m. 7bta1 skylight area ............................ V14- n. Tbtal roof./cciling f+.,-amir:q arca (:^c-r???j- 105.)... B7.g9 o. Total net insulatra roof/cciling ar<-a........... 79/.b5 Uutermine "U" valuc for cach ioof/cciling segricnt M. !Uli4 x .,U" _ /U/4- n. rR7. 89 x *v. OZ¢ z,!/R o. 79/.1) -1) x "U•, .D.'Zj _ /S.r42/ 4 ......................... _'Ibtal = /1,93 `` Page 2 of 9 . 4-. Kt ) loh'? Gons?. If totai of n4 is the same as, or less i:han #'l, you hav,e met the intent of SHC 6005 (c) 1. Alternate Building Envelopc Design To utilize the total envelope'system method, the values established by the s:un of items #3 and #9 shall not be greater than the sum of items #1 and #2. 1. ?,DO•(6897 + z. = a. j 71) .842? + 4. ?7• 93 = lB8.77.2_'? '?',?;;'+x:,?,'•'K-. •i?u^t°;?i. I .. ? Lt maAL FT. Ex.posF-D $LOG k ? ? - - - _ „? ?- 'K.I?I?F? ?.? z,'l._, 4 ;:U L L I e-, f, _ ? . ' T?. I t-\ ? PLAt,i #1? P-- WALL i?,:h•i,i t 4y,'-? = 13z,0 M r=K.POSr=D WA l_C.. 3LocK ? ? ?? X , S = s? x S = sBa x $ ._ W .0 ? - f:U LL I k S= / DSI? • z 4' /?- , ?, - R.1 M: / 3z- °? ?C ?= I 3 z, c3 . AZEA ? W DtirS L+1 D oo e5 ? & ° _ .Czppcl; 7r/1- ? 4 r- ? )l 3? . =? ?ATI O , . ? ? l?' 6 °G 8 - 3 9 ?P6 ?'" ?,x?,:?• ?*? ";Y ' ? • -?: y6?.['.. ; F35 M4 U u ?+5 SQ=?, ?- • 1t007/CEILINC , • . ' • ' ? ' . ? Oonstruction A-Valuc . ? ? . Intcrior air filsn , .0.61 ? s• ' 1?-T IRR IuSut. 4 3' - --- ---- -- - 4 1 r•:?`?t `?I ' ?(+(?j?i?(i?'', ?- j '? _ _ 2 ?ll) 0. 61 I, Extcrin= (st: v?rr `a-i 4sgo C)_ 8eat flo?r 1• Intcrinr nic fi;" 6.61 mted Z, ?? -- _ 3• _?? ?`_ tr.(SuL 38. 3? ' ? . - • 4. ::aLrt; : ir ?!c (_`ili? ? -- ----- =- ---?=---- . ? . . -"'otaL 2. - qo.iS rz?. e3? .' ? ? . . .. .. u-.oz4.. • ~ coa. ?s?tv<rr air 1 ' ' T.? _1 ??_ ? ??JM1l.t1•t..i 0161 ?! ye?1Vp!.1s1? 1--?-- _? =--_y ? 1_ Insidc film ^ 2. 3_ . , • ? 4. ? . 5. c>atsidc ::ir fi2:n 0.17 /z Vn f - TotaT. MMI 110, 0 PIq L 9 ' 1. Insidc aiz Pilm 0.61 2. ] L'ect flov vp • , ? ?-v:nted 3- • ? . . 4_ butsidc aiz filsa 0.17 • . ;TSG. i6. _ -- • '-• . . . . To[al -...... - ----- - ? .. v 2. Inside air film 0.61 •r'? 2. . „. • ????,_.1!?:? . . • s ??.u' •?..'?:::.?i:'r'.r;?-?? 3 4- 0.17 fil:n . TOtal . ? .? . . . . . . ..: _ . . , ?C.t_?.? .• Ttotc: U_:e edditional sheets if more Spaca i: -• . ^? tecdeLl for de[e.i2s and ealeulations. .., • ? , _ • jieat . ' • . • • ; _ ilov up • . . ' . ' tZr. !T ?? • • `' • ; ? ? . ? ? ' . -,.-..-?- ?_._____ • . ?'-_-'.-. - ?-.,... -- x....?._ ..:..?___ .._..... .. I'MIr •Ct:n Cc?+r:tiI ict inn 1:-Valn.: j F?vv? 1. luts'L?_" ,'?! t' ?'• - ----- - ????-?! 4,3.5 ?.Q 6. F:r.tcriur nir i i?ic •? U, t7 ---"------- .. ..- .? - 'P?11d1 eZ, Z7 U= aa INSuL-- G. Extcrior air 1i!ia ? D.17 ----- Tot:al ()=•OS 1t ? M 1. lntciior ai: tilm----- --- 0_6'1 z. 3. _2XLS2---------- ---- --?--1'$?1 a. 5. ---?.(p1N C?- -- - - -- -- •-?(o_Z 6. }:xtrt'1oL niY (ilm '1'ot:il ZZ.?i v=.o9 1. li ? atr fi!?: D.GR 2. 3 . _.. ?? _12L?t?'-- -???•- --- -.. _ /?? 4. __.------ - ?--------...---•-- 5. - - - - ------------ G. l::tlarii,t: ?ir : ilri ___f0_l l T<,Lai y u=. N bLAlt ON ';INUI: A I) . ;. • ? ? . - • `. .•, ? ?`' t, ' • ?? -- ?' ?% •,a . o . . ? .,_ .1 • ? ,• : . • . , • ? ? •• . . . ? ?,????F lii 'F . , , •,? - ? , ; _ Y i rr? `.Y? . . •._ • ----f ?;. /'r ` " , • , ' j?7T "-- -? e .. i? FIG. dd? ffl a - ? ` ^ ., /•?//! ? ir? IlU1'E: Indicntc tync, "R„ vnluu. depth nnd ' placenont of in:.ul.ition. .? p7A1.i. `LCTiON ? G: U:r uf opa,iuo wall arca !or Irnmo r.un:,truci fun zoos RESIDENTIAL PLUMBING PeRMiT aPaucarioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. -11 15.50 Date 0 / /*9 (c, ? ?So Site Street Address 8(01 C.-Cl?h w??S' ?• unit # Property OwnerNar/eS AeUU Telephone#((?fj1) wg"3DW a F-v Telephone #(i1 ),3?5`1?O Coiitractor I 1 f p1 pDilN f AddressC?V??G? /1 Rd City ERState prl Zip'351a3 The Applicant is: _ Owner ?ontractor _Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Alterations to existing dwelling $ 50.00 _ Add plumbing fictures. This fee inGudes installation of a water softener andlor water heater at the same time. !f you are installing onlv a water softener and/or water heater, do not complete this section; move to the next section and check the j appliance(s) you are installing. D _Septic System Abandonment ` Water Turnaround (add $130.00 if a 5/8" meter is required ? ,?Q06 other: ?V? 0 3 Water Softener r/? 7?! V1later Heater $ 15.00 _ new ?eplacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ .50 Total $ l55t? I hereby apply for a Residential Plumbing Permit and acknowledge that the intormation is compiece and accurace; mac me work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordapce with the approved plan in the event a plan is required }o Ve,reviewed and appro,ferl----,?, Applicant's Prin-led Name ApplicanYs 3fgRature /? ? ? qb City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Constructian Reauiements 3 registxed sile surveys showing sq. tt. M lot, sq. ft M Iwuse; antl all rooted areas (20%maximum lat coveraAe allwred) 1 Soils Report if poposed building is to 6e placed on disWr6ed soil 2 copies M plan shaMng beam 8 windax saes; poured found design, etc. 1 sel M Energy CalcuFdtions 3 mples M Tree Preserva6on Plan If IM platled after 71193 RimJasfDetailOp6onsselectionsheet (buildingswith3oNessuniLS) Minnegasco mechanipl ventiWtion form RemodellReoair Reauiremmh 2 copies of plan shomng footlngs, beams, jois4s i sM of Energy Calwla6ons for heatatl addiCOns 1 site survey Mr adailions 8 decks AddiTion -indicate don-srte sephc system Telephone #( Planc are considered nuhlir information unless vou state thev are trade secret and the reason. 6/ D J / t U Construction Cost 1?000 ?? a e ? Site Address ? 44 r[YLv UJ'l + ?? UniUSte # Description of Work -S "'c- MG Multi-Family Bldg _ Y X N Fireplace(s) _ 0 _ 1 _ 2 ? [(-S Le?- Jtl? Telephone#(6SO?? Property Owner . Contractor ? Lq tee- S W),Jcx"? + !? ? J' (p . Address il qb 5-LO 67 tiU D2 . ?§'11C? City State MN Zip ? Telephone#(RSL) a((f3wU COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Enetgy Code Category . ResWeniial Ventliatton Gategory 1 Worksheel • New Energy Cotle Worksheet (J su6mission rype) Submitted Suhmitted . Energy Envelope Calculations Submiped In the last 12 months, has the City of Eagan issued a permit for a similar plon based on a master plan? _ Y - N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor apply for a Residentia{ Building Permit and acknowledge Telephone # ( Telephone #( ?utCG? bt ? information is complete and accurat - -? ?. e; that the work wil) be in conformance with the ordinances and coaes or rne - ?iry oi nagaal allu «l? OLu« ?. ,..N Statutes; I understand this is not a permit, hut only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approv plan in th?se of work which requires a review and approval of plans. 2007 RESIDENTIAL BUILDING PERMIT APPWCATION ? ?, I flav a-L ? ?v-, - Applicant's Printed Name S41RVEYORrS CEPITIFICATE KEYLAND HOt±ES tiODEL 3241 '. 864 CORNWALLIS COURT ? V V \ F O10 ?, oh / /-' i _L?r ? -S 2°OT'16"E i - 36.57 ----??" - ol, _ .? ,o. .,? ? q -?:-•;?: o?e4.0 . .: ,. .. , o ?opo 9\?fe Gl.o? , . ?s S ` ? 0o S? ? s < se ? ti W ? ? ? J ti ? -m ? z 4 O io \ PROPOSED GRADES WERE TAKEN FP,OM THE DEVELOP6IENT PLAN FOR NORTHVIE41 MEADOI•.S BY SUBURBAN ENGINEERING, LAST CATED 9-29-83. 12EV, 1- ( c)-84 •'?.? -?-- DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SE7 • DENOTES IRON MONUPiENT FOUND X000.0 DEPIOTES EXISTIN6 ELEVAT10t; (000.0) DEFlOTES PROPOSED ELEVATION \ \ ? oi ? , ? W 3 _ _1 _T ?i_v (952.0) WESC0TT HlLLS Dlq. 0 ? -? •SCALE: 1 INCH PROPOSED GARAGE FLOOR PROPOSED LOIJEST FLOOR PROPOSED TOP OF BLOCK '3D FEET ? FEET FEET FEET I HEREBY CERTIFY TO KEYLAND HOMES THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 15, Block 7, NORTHVIE41 MEADOh!S, accordino to the recorded plat thereof, Dakot? County, Minnesota. AND OF THE LOCATION OF A PROPOSED BUILUING. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCRDACHMENTS, IF ANY, THEREON. AS SURVEYED BY ME, OR UNDER MY DIRECT SUPERVISION, THIS 11TH DAY OF APP.IL, 1984. APPROVED FOR SIENNA CORPORATION BY: ROBERTS ARCHITECTS DATED THIS DAY OF 19 PROJECY NO. 84632 FILE NO, FOLDER SIGNED: , INC. BY: ?/.U/??? ??rr HA OLD C. PE7ERSON. LAND SURYEYOR MINNESOTA LICENSE N0. 12294 BOOK / PAGE I. JAMES R. HILL, INC. Planners / Engineers / Surveyors •I I 8200 HumDoldt Arenu• SoutA ? Bbominptoi% Mn, 56431 612-684-3020 /20. 12 ? I 0, My? to I ,\ o O 0 ??SF v .. LOT i 15 \ ? ? .2? y OR'S! CERTIFICATE KEYLAND HQt?ES S < O ? o.?. (r- ? -S 2007'16"E 5o.5 , --- ?- ? "o f evr?pSf .,_? ?'r?`1: • \?-? ` ry ? ? sFO\ \ •s? \ 1 ? ?9?r,o? -C o0 ?'9p 0 - < o PRQPOSED GADES 4JERE TAKEfd FP,OM THE DEVELOPPIENT PLAN FOR NORTHVIE4! MEAOOW'S BY SUBURBAN ENGINEERING, LAST CATED 9-29-83. ? I2EV, '1-t0-84 -1----- DENOTES PROPOSED SURFACE DRAINRGE O DENOTES IRON MONUMENT SET • DEPIOTES IRON MONUPtENT FOUND X000.0 DEPIOTES EXISTIN6 ELEVAT10P (000.0) DENDTES PROP05ED ELEVATION ?J V V C ? ? V? V se ?20. r2 / ' . t'ODEL 3241 864 CORNWALLIS COURT I . ?n ? 4 2q ° ? / ? h ?L \ \\ o, fp' W OUS W Lor S Ch 15 Q ? ? \ o LU ? \ G ro ? ? (951,0) _- -? WESCOTT HILLS DR. 0 a , -? SCALE: 1 INCH = 30 FEET PROPOSED GARAGE FLOOR = 9t??,1 ? FEET PROPOSED LDIJEST FLOOR = FEET PROPOSED 70P OF BLOCK FEET I HEREBY CERTIFY TO KEYLAND HOP1E5 THAT 7HI5 IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 15, Block 7, NORTHVIELI MEADC'??!5, accordino to the recorded plat thereof, Dakot? County, Minnesota. AND OF THE LOCATION OF A PROPOSED BUILDING_ IT DOES NOT PURPORT TO SHOW IMPROVEMENTS UR ENCROACHMENTS, IF ANY, THEREON. AS SURYEYED BY ME, OR UNDER MY DIREGT SUPERYISION. THIS 11TH DAY OF APP.IL , 1984. APPROVED FOR SIENNA CORPORATION BY : ROBERTS ARCHITECTS DATED THIS DAY OF 19 _- . SI6NED: , TNC. BY: / J'? (L VXi?"?+,?'?ir HA OLD C. PETERSON, IAND SURYEYOR MINHESOTA LICEHSE N0. 12294 PROJECT NO. BOOK / PAGE JAMES R. HILL, INC. 84632 Planners ! Engineers / Surveyors FILE NO. , 8200 Humbotdt Avenue South FOLDER Bbominpton Mn. 56431 612-e54-3029 ( ORrS. CERTIFIC/1TE ' KEYLAND NONES ? ? V 0- v O? 1A MOOO ? _,?0' h PROP05ED GRADES WERE TAKEfd FROM THE DEVELOPPIENT PLAM FOR NORTHVIE4J MEADOI,S BY SUBURBAht ENGINEERING, LAST CATED 9-29-83. 12EV, 1-fo-84 . .77 . -4- DENOTE5 PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET • DEPJOTES IRON MONUMENT FOUND X000_0 DEP10TE5 ExISTING ELEVAT101{ (000.0) DEtlDTES PROPOSED ELEVATION 0 \ >"1 ? LOT r 15 i? n \ O vS??,F? tIObEL 3241 ' 864 CORNWALLIS COURT ? /O I ? ? h W ? ti J ti ? W ? 2 4 O \ c5? • 2? ?, io ? . \ \ ? 1?^ ?J 11 W ? (952,0) WESC0TT HlL L S DR. 0 ? . •SCALE: 1 INC 30 FEET PROP05E0 GARAGE FLODR = y??,? ? FEET PROPOSED LOIJEST FLOOR FEET PROP05ED TOP OF BIOCK FEET I HEREBY CERTIFY TO KEYLAND HOP1ES THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 15, Block 7, NORTNVIE41 hiEADC't-!S, accordina to the recorded plat thereof, Dakot? County, P1innesota. AND OF 7HE LOCATION OF A PROPOSED BUILDING. IT DOES NOT PURPORT 70 SHOW TMPROVEMENTS OR ENCROACHMENTS, IF ANY, THEREON. AS SURVEYEU BY ME, OR UNDER MY-DIRECT SUPER1fISI0N. THIS 11TH DAY OF APP.IL , 1984. APPROVED FOR SIENNA CORPORATION BY: ROBERTS ARCHITECTS DATED THIS DAY OF 19 _ . PROJECT HO. 84632 FILE NO. FOLDER SIGNED: ILL, INC. v ,, BY : l 1? ? Q, ? ?t.?!ir HA OLD C. PETERSON, LAND SURYEYOR MINNESOTA LICENSE ND. 12294 BOOK / PAGE I JAMES R. H1LL, INC. Planners / Engineers / Surveyors 8200 Humboldt Arenua South .; Bbominptorti Mn, 55431 612-884-3020 1 ? 7- - S 2°07'16"E 120.12 -- n ? 51.50 36.57 -- " /p i ?l4.6B ?y? ' • ? ?, o . \ \ z 'ry\\ ? ?4 3d ._ •-?c-ib, ` 'Oo V' ` R Oo s? ? ? FF? î ýüü ûúûíúþû ùüüî òü á÷øíîúäú á ýü÷ ÿþýüûúù ôø þýü ûøþýüûúù ø÷úùöüõ ô ôóóï üý ò ñ øð õüøîõííõøñ øõøÿøõìëøúúüëøëøõ ü üìôëøëüëøì ôøÿõêøøøñ øÿýúëõýíõì ðèçèææìæ ìóæ öù øíøé èçè ìå ì å é ì õô ÷óò üü öúøôíøÛðÿø åô ýöôûæâóôøúô öîä÷ ä÷ àâ ßâóóááá íøÿýúííîøíüüííëøõøøøõüýúíüüÿ ëä ôýëïøì üüù øõ ø ý ø 4 Use BLUE or BLACK Ink I For Office Use 1 I j Permit City of E*R 1 Permit Fee: 3-1 3830 Pilot Knob Road I I Eagan MN 55122 ~Date Received: Phone: (651) 675-5675 V1 WLY)'A Fax: (651) 675-5694 1 Staff: Y!T_ V 2013 RESIDENTIAL BUILDING, PERMIT APPLICATION Date: ( Site~Address: CI~~ Y1l:l~ ~~~Y Unit Name: \ cis Phone: & , - (cbt Resident/ Owner Address / City / Zip: ~(i r r,~~~ r= ► l\}~ Applicant is: Owner contractor I' Type of Work Description of work: ECG-, ~'~'-VO Construction Cost Multi-Family Building: (Yes ! No ) Company: YLC~~ntac"f: , -e~ Contractor Address: 9- ~t C~~ Y r 1~J City: 4r State: Zip: 47 Phone: 1 * C5 i S 'i License i6l~ L__391 U2? Lead Certificate 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 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. Cali 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.goaherstateonecall.orn 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, a wo 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 proval of plans. Exterior work authorized by a building permit issued in accordance with the Innesota S Building Cod ust be completed within 180 days of permit issuance. / i X 1.\ x Applicant's Printed Na Applica 's VagiKre Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA140739 Date Issued:01/17/2017 Permit Category:ePermit Site Address: 864 Cornwallis Ct Lot:15 Block: 7 Addition: Northview Meadows PID:10-52100-07-150 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Charles J Felber 864 Cornwallis Ct Eagan MN 55123 (651) 688-3078 Drain Pro Plumbing 8815 - 209th Street W Lakeville MN 55044 (952) 469-6999 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA140829 Date Issued:01/25/2017 Permit Category:ePermit Site Address: 864 Cornwallis Ct Lot:15 Block: 7 Addition: Northview Meadows PID:10-52100-07-150 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace 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 - Charles J Felber 864 Cornwallis Ct Eagan MN 55123 Robert Boldt Hvac 4310 Trenton Tr Eagan MN 55123 (651) 454-7760 Applicant/Permitee: Signature Issued By: Signature 01/16/2017 19:49 Hale Built Homes 612.695.2849 P 1 Use BLUE or BLACK Ink For Office Use/t,� p:::: / (0 ` S77City of Eaaau 1 118. AA/ v L.7-L-1-7 3830 Pilot Knob Road Eagan MN 55122 RECEIVED Date Received: . �" Phone:(651)675-5675 ,I / Fax:(651)675-5694 JAN 2 3 2017 staff: ..a. _ J 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 01/16/2017 Site Address: 864 Cornwallis Ct. Unit#: Name: Chuck Felber :Phone: 651-688-3078 Resident/ 864 Cornwallis Court, Eagan, MN 55123 Owner E Address/City/Zip: Applicant is: Owner X Contractor 4412)i t Description of work: Kitchen Remodeling Project-Removing part of a wall to open the room. Type of Work Construction Cost: Multi-Family Building: (Yes /No X ) a Company: Hale Built Homes LLC Contact: Brad or Alicia 1 12550 W Frontage Road, #210 Burnsville Contractor Address: City: 3 I State: MN Zip: 55337 Alicia:612-695-2849 Phone:Arad.q57-715-7845 Email: Halebuilthomesta?gmail,00m License* Lead Lead Certificate#: NAT-F167467-1 If the project is exempt from lead certification, please explain why: 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: Fire Suppression 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 Slate One Call at(651)454-0002 Tor protection against underground utility damage. Call 48 hours before you Intend to dig to receive locates oT underground utilities. www.aooherstateonecall.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 oT Eagan; that I understand this Is not a permit, but only an application Tor 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 or plans. Exterior work authorized by a building permit issued in accordance with the Minnesota Slate B i .ing Co.e must be completed within 180 days of permit issuance. X X Applicant's Printed Name Applicant's Signature Page 1 01 3 01/16/2017 19:49 Hale Built Homes 612.695.2849 P 2 s6), (_/ Co ' Vi i( Cli DO NOT WRITE BELOW THIS LINE AIO / SUB TYPES _ Foundation — Fireplace — Porch(3-Season) _ Exterior Alteration(Single Family) 4 Single Family _ Garage — Porch(4-Season) _ Exterior Alteration(Multi) Multi _ Deck — Porch(Screen/Gazebo/Pergola) _ Miscellaneous _ 01 of_Plex _ Lower Level _ Pool _ Accessory Building WORK TYPES New — Interior Improvement — Siding — Demolish Building* _ Addition — Move Building — Reroof — Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace — Repair _ Egress Window _ Water Damage Retaining Wall •Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation 3004 Occupancy .6,Zc. -/ MCES System Plan Review Code Edition plai j SAC Units (25%_100% .j Zoning PI) City Water Census Code ii 341 Stories -- Booster Pump -- #of Units / Square Feet PRV — #of Buildings / Length — Fire Suppression Required Type of Construction Width REQUIRED INSPECTIONS Footings(New Building) Meter Size;_ Footings(Deck) Final/C.O. Required Footings(Addition) 7 Final/No C.O.Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Roof;— _Iceater _Final Pool; Footings _Air/Gas Tests _Final .4 Framing V 30 Minutes 1 Hour Drain Tile Fireplace;_Rough In _Air Test _Final Siding;_Stucco Lath _Stone Lath _Brick_EFIS Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final — Sheetrock Radon Control Fire Walls Fire Suppression;_Rough In_Final — Braced Walls Erosion Control Shower Pan — Other: _ — Reviewed By; _, Building Inspector RESIDENTIAL FEES / 7 0& &o=" oV,0 j• Base Fee 8`r Surcharge Plan Review -..._4:22,32_7 MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA176385 Date Issued:05/16/2022 Permit Category:ePermit Site Address: 864 Cornwallis Ct Lot:15 Block: 7 Addition: Northview Meadows PID:10-52100-07-150 Use: Description: Sub Type:Air Conditioner Work Type:Replace Description: Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 210-0754. 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 - Lee Norman Sanders 864 Cornwallis Ct Eagan MN 55123 Bonfes Plumbing Heating & Air Service Inc 455 Hardman Ave South St. Paul MN 55075 (651) 228-7140 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA176984 Date Issued:06/09/2022 Permit Category:ePermit Site Address: 864 Cornwallis Ct Lot:15 Block: 7 Addition: Northview Meadows PID:10-52100-07-150 Use: Description: Sub Type:Reroof Work Type:Replace Description:Includes Skylight 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. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the water damage. 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 - Lee Norman Sanders 864 Cornwallis Ct Eagan MN 55123 (763) 400-6452 Masterbuilt Construction Inc. 886 Orange St Circle Pines MN 55014 (612) 393-7229 Applicant/Permitee: Signature Issued By: Signature