569 Coventry Pkwy
" Use BLUE or BLACK Ink
D C C D M~
1 For Office Use
~1UN j 0 2010 1 Permit
C_/
City C11 V1 ~
of Ea ~ I Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I 1
Fax: (651) 675-5694 I Staff: I
I
2010 RESIDENTIAL+ BUILDING PERMIT APPLICATION C~Q~e
Date: 14 ~V ~r/l Site Address:
Tenant: Suite
RESIDENT/ OWNER Name: Phone:
Address / City Zip: ~
Applicant is: Owner """Contractor
TYPE OF WORK Description of work: 0Xlt
Construction Cost: Multi-Family Building: (Yes No ) _44904n - 11A A 14
CONTRACTOR Name: License
Address: (~G44e[1 i A City:
State: Phone: 41a Contact: =D~M1l~ , Email:
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. www.aopherstateonecall.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
accordant wit he approved plan in the case of work which requires a review and approval of tans.
x l0 v [ x
Appl' ant's Printed ame App icant's Sign re
Page 1 of 2
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage
_ Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family)
Multi Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
_ 01 of _ Plex _ Lower Level _ Pool _ Miscellaneous
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 Z Occupancy' G _ MCES System i
Plan Review Code Edition '144,2 SAC Units
(25%_ 100%z Zoning j~ / City Water
Census Code y3Y Stories Booster Pump -
# of Units - Square Feet PRV ^
# of Buildings Length Fire Sprinklers
Type of Construction Width 311
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC
Drain Tile Other:
Roof: -Ice & Water -Final Pool: Footings Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In Air Test -Final Windows
Insulation Retaining Wall: - Footings - Backfill - Final
Meter Size: Radon Control
Erosion Control
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee Ay 7 _7
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
i 2422 Enterprise Drive
Mendota Heights, MN 65120
* P10f1[EER LAND SURV€Y6RS • CIVIL ENGINEMS (612) 6$1-1914-fox 6$1^94$8
engineering LAND PLANNERS . LANDSCAPE ARCRITECTS 625 Highway 10 Northeast
* a(.'k 1(612) e•~83~-1880 Fox 783--1883
Certificate of Survey for: The Rottlund Company. Inc.
House Address: Coventry Parkway. Eagan. MN
Model Name: Expanded Westwood
Customer: Kia~es
(r Ch
CO
>
.07 ~-o
s~ 0
O o G
•~r
t.. 6'87.0
ev rBd7. 79
s 1
o
12
1 nay E
13
EAGA4 -~6 '93
REVI EWEC 1,2; 879 14
Bro. 3
I BY: `
DATE: !'`"~G
BUILDING INSPECTIONS DIVISION PROPOSED HOUSE ELEVATION
X 900.0 Denotes Existing Elevation Lookout Window Elevation: O615-,G
xCoo•o Denotes Proposed Elevation Lowest Floor Elevation: 8 6g:4
Denotes Drainage & Utility Easement Top of Block Elevation: 890,5
Denotes Drainage Flow Direction P
--o, Denotes Monument Garage Slab Elevation-. i .
Denotes Offset Hub Bearings shown are assumed
LOT 13 , BLOCK 3 COVENTRY PASS
DAKOTA COUNTY. MINNESOTA 4TH ADDITION
1 hereby ceitify that this survey, pt en or report wa r/eked by me or under my direct supervision and that 1 am duty Registered Land Surveyor
under the laws of the state of Minnesota. Dated this O, of Lrdasy~- A.D. 19 .
n I p - Inch= -~C) feet
svr~R~Qr R CIK 1'H I QFr: [UA TdlQ1
J ^
at#ificate of cccupanc?
Liit4 of Cfagan
?? ? eviln? an"tdim
This Certifcate issued pursuant to the requiremersts of the Urtiform Buildirsg Code
certifying that at the time of issuance this structure was in rompliance with the various
ordinarsces of the City regulating building constnection or use. For the following:
SF Ik1G
2(Y+74
Ilse Clmsifi?tion: Bldg. Permit No.
, i..? 1.?.-
OccuWocYTyPe?;UWZo9!neDishia ?
1LVC: ?
Owoer af Buildng Addreu
L I, B3, OOVFNII?C PASS 42fl
a?os nam? ?? P Q?AY ?.ty
06/I I/43
n?«
U euilm? oe'
POST IN A CONSPICUOUS PLACE
Address 569 COvFNTRY PA-RKwAY Zip 5512 3
'Ldt' ' 13 Blk 3 Sub rOVENfRY PASS 4IH
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPEGTION.
Date: 06/11/93 Yes No Inspector: IVP
Final grade (6" from siding)
Permanent steps (garage) ?
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
TraiUcurb damage ?
Porch
Basement finish
Deck
Please ver'ffy with the builder the removal of roof test caps from the plumbing system and Ihe shut-off of water supply to
the outside lawn faucet before freeze polential exists.
Contacl engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ?
White - City Copy Yeliow - Resident Copy Pink - Contractor Copy
,
` C('i'Y OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS: i 3 FiE
fl?. Wy
PERMIT SUBTYPE:
PERMIT TYPE: ' ! 1 1+' i N6
Permit Number. ' M4 14
Date Issued: 0 ?3 l 1 2 /'-4 +
tIiNn fn 1Nf
i 0104
TYPE OF WORK:
N r w
INSPECTION ., . .A
f2.FMARKS i S & 14 PI fiF: V AI 1 f Y U.'CI1G
-1
J
Psrmit No. PermR Holder darts TelsQhor?e 1i
S/1N
PLUMBING
HVAC
ELECTRIC Q? .y q 3 4?
ELECTRIC
Inepectlon Date Insp. Commerds
Footings I
CT
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg. ? y
(
Isul. zilzvf
Fireplace
Fnal Htg.
Orsat Test `??
Fnal Plbg. Plbg. Inspector - NotiTy Plumber
CortsL Meter
EngrJPlan
Bldg. Final / ! q 3 f"W
Deck Ftg.
Deck Final
Well
Pr. Disp.
Ae-w
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
r:Uri n7h:5
@3/l"'
SITE ADDRESS:
=.E??; CCi4CP'fRY i'hl,1y
PERMIT SUBTYPE:
?1? ? 14 cs
APPLICANT:
711E R,[7?1 LUN? CO .LNC
( 41 ?) -Jl-(n`;zfl!I
TYPE OF WORK:
ra F w
INSPECTION
() 01 ?i i`d G .. .
i Fi i? h°I ' r! (: .,
.iNS UTATION FIiVP, L
F2 f" h! t1 1 i I: F? ? ?.. 6J I' I_ N R .. 'J 6 ', I C,( I,'. L" 6
F
L
J
REQUEST FOR ELECTRICAL INSPECTION EB-00001-013
yow copy
?p r? $ee insttuctions for comple0ng this form on back oi ell
Is,
L? ?,•?c??,
10228 "X" 8eiow Work Covered by This Request w BUilding AppliancesWired EquipmenlWiretl
Aange Temporary Service
Water Heater Eleciric Heating
it
g Dryer y)
Otheo.(Spec
sVial Fumace
Air Conditioner
l Canlrac!or's RemaBS:
Compute Inspection Fee Below: -
# Other Fee # ServiceEntrenceSize Fee # Circults/Peeders Fee
Swimming Pool 0 to 200 Amps 0 to 700 Amps
Trenslormers Above 200 - Amps Above 100 _ Amps
SignS In%pecbr§ Use Only: TOTAL
Z (/
i
8
ooms
Irrigat
on
Special Inspection
AIarMCommunication THIS INSTALLATI 8E ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 1 NTHS
Rougn-in Datp /' (j
Y? L
I, the Electrical Inspector, hereby
cenifythattheaboveinspectionhas F;nai ? oeie
been made.
OFFICE USE ONLY
Tnis repuest voitl 18 months fmm
?
L -l/O 19
8
Re uest D e
.3- ,213"93 Flre Na. Rou 1 pec?ion
Req Ired?
_ No
CD Peady Now PrIwill Notity Inspedon
When Reatly?
116 licensed contractor ? owner hereby request inspection of above electrical work at:
Job Atltlress (Streat B ar Foule No.
6 °l Cily
Secuan No Township Name or No Range Coyrlip?
yl
Dwupa (PRINT) Phone No.
Power Su e:I4 . ? Atltlress
Elecmcai nlrac or IChompany Neme)
nA ContraQcfo?rS Licenae pN?o.
C?/ O?/,O
Mailin tlress IComrector o? Ow er Meking InslalleGOnI
Authurizetl SignaWre iCanVact,Ow r Making Instai bon, _ Pnoye Number
(J3-3Fe
MINNESOTp STATE BOARD OF ELECTRIpTV THIS INSPECTION REOUEST WILL NOT
Griggs-Mitlway BIEg. - Noom Sl]3 BE ACCEPiEO BV THE STATE BOARD
1821 University Ave., SL Peul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (611) 642-0900 ENCLOSED.
?
5ae? RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OP EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681•4675
New Consduqion Reauirements
• 3 registered site surveys showing sq. 8. af lot, sq. ft. of house; and atl roofed areas
(20°b maximum lat coverage allaxed)
• 2 copies of plan showing beam & window s2es; poured found design, etc.)
• lselotEnergyCalcWations
• 3 copies of Tree Preservation Plan if lot platted after 711/93
• Rim Joisl Detail Options seleclion sheel (bldgs with 3 or less unAS)
DATE (O':2 tn 'C) Z
RemodeVReoair Reauiremenb
• 2 copies of plan
• 1 set ol Energy Calwlations for heated additions
. 1 sde survey for eztedor additionc 8 decks
• Indicale "rf Iwme served by sep6c system for additions
?
1
VALUATION I D 'ct)?D
SITE ADDRESS ',?)LOr1 COU e nik-?^4 1"?.?` lCv.;c?ti ? MULTI-FAMILY BLDG \ Y gN
TYPE OF WORK FIREPLACE(S) _ 0_ 1_ 2
APPUCANT
STREET ADDRESS
TELEPHONE #152 ?`6l ( 503 CELL PHONE #
PROPERTY
?
S
? whCITY l6m. '^?(c - STATE M*- IIP 95 C4 3 I
Z,-ZZ\ -(o3q V FAX#`V Z `d? l gly3Lo
TELEPHONE#losl tALO$34 S
-----------------------------------.------------------------°----------------...--------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNE;SOTA RULES 7670 CATEGORY 1 MI\vESO'CA RtiLLS 7672
(J submission type) • Residential Ventilatlon Ca[egory 1 Worksheet Submitted • New Energy Code Worksheet Su6mitted
• Energy Enveiope Calculations Su6mitted
Plumbing Contractor:
Plumbing system includes:
Mechanical Conhactor:
Mcchanical system includes:
Sewer/Water Contractor:
Phone #
Phone #
Fee: $90.00
Fee: $70.00
----------•-------°--------------------------°---------••--------°--------------°-----°-------------°--------°-----
I hereby acknowledge that I have read ihis application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan ?ance .
Slgnature of Appltcant
OFFICE USE ONLY
Watcr Softener
_ Water Heater
No. of Baths
_ Phone #
_ Lawn Sprinkler
_ No. of R.I. Baths
Air Conditionuig
_ HeaC Recovery System
Certificates of Survey Received Tree Preservation Plan Received _ Not Required _
Updated 4l02
. = PERMIT
CITY OF EAGAN 3r r?j
3830 Pilot Knob Road PERMIT TYPE: E; u 1 i- n: r! c
Eagan, Minnesota 55123 Permit Number.
(612) 681-4675 Date Issued:
SITE ADDRESS:
r
DESCRIPTION:
Buildi`no P trmi.f. 1 y?1) 2 SP U6"IG
"? JA 1.Ir3ir;c; Jorlc f Vp;" Pdf"UJ
" ll9 ('. Uccid p tinOy N 3 PI - t.
. . Con'tur: T.n ?z-1'Nu .' la
? i0ninq
?
Hu?1C i n q L:-i qtlt _ 66
, tJ.' 1d 1.Jidi.h •. ,??
,
_
. ,
. . .. . . ..?: , i ,.. .. . .
REMARKS:
FEE SUMMARY:
iiAC
vnluMrrC,N
nnJ? 9S
, 4 1•?-`??
?' ?u !d . .t? V)
1Pi4)
1
!, t :; :i. , vj 0 0
! ti i'.,, , I' e :•
--- ??'-? ?`?- --?
<I ,1ato r .1
I'JJ
q?.q?
CONTRACTOR: n;:i,I <<:,>,; t ., i. ! , 1,-OWNER:
ri+.F r-.01r1-uNIi cn .LNc 1 ?j °,0 <<?i:,r? 7?if Ror71 _uNo cu znjc
1 15 .1(,)_I r, ao
_1
FR10LFy H[q_ry S'>11
?
l F.?rc, by <'.r_knaw.INd4° i„t..,i: I!:a ve r^at4 T.hj is c3p p lic.,tican t;fi?.4
ir.Ftlrm.-i.io. i: c,orlc-.S. ncl aqr; 4,5t_. ;lf r;.,?1: .,?,.i• ?.: ..
i;i?l?, ?nd Cota cj a n 0 rcI inance•,.
APPLICANT/PERMITE EOIGNATURE ' ISSUED Y: SIGNATURE
REACTIVATE
PERMIT #
cmr oF E,aGaN $3
1993 BUILDING PERMIT APPLICATION f`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 picked 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 J?1 53_ Val uati on of work 75 t S 2 ad °
Site Address: 5(og G0veN4ry ?rV?a,a.f
STREET SUITE #
Tenant Name: (commercial only) "rhe Ke++4oK4 Co •znc.
IAT _j-'2 BLOCK 3
1 SIIBD.
? P.I.D. o
40~44'-l
Descri tion of work: '5*„ le
The applicant is: `I?Uwner fiyContractor ? Other (Describe)
Name '1ika.. fa+44uo%A Lo, r*c• Phone'371'O3v`f'
Property LAST F1RST
Owner pddress 5201 E RiYer 12d • * ?id (
STREET STE !7
City Frrcll+ty State dQr1 • Zip 5542-I
Company Phone
Contractor Address License # 1'i3S Exp.3-31-9
City State Zip
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber U etlley pIvMlwv1q . Processing time for
sewer & water permits is two days once area has been proved.
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.
Signature of Applicant: ? ? 1,144,
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
0 02 Sf Dwg.
? 03 SF Addition
0 04 Sf Porch
? OS SF Misc.
WORK TYPE
br31 New
? 32 Addit9on
? 06 Duplex
? 07 4-Plex
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'l.
? 33 Alterations
? 34 Repair
GENERAL INFORMATION
?
13 11 Apt./Lodging~ " ET16 Basgm?en_t Finish
? 12 Multi. Misc. ? 17 Swim Pool
? 13 Garage/Accessory ? 18 Comm./Ind.
? 14 Fireplace ? 19 Comm./Ind. Misc.
? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
? 35 Tenant Finish ? 37 Demolish
? 36 Move
Const. (Actual) Y- W Basement sq. ft. MWCC System YEs
(Allowable) v -N lst F1. sq. ft. City Water Nffr5
UBC Occupancy R-3 M-I 2nd F1. sq. ft. PRV Required
Zoning R-i Sq. Ft. total Booster PumP
# of Stories Footprint Sq. ft. Fire Sprinkler
Length ?S On-site well Census Code /D/
Depth On-site sewage SAC Code o/
?"sus `?i r
APPROVALS Co'.ti+s.us Ww, ?
Planning Building Assessments
Engineering Variance
REDUIRED INSPECTIONS
? Site ? Footi ng ? Framing 0 Insulation
? Wallboard ? Final ? Draintile ? Fireplace
Permi t Fee v.iuas;on: g 10 1, 000 -
Surcharge
Plan Review 6qR+\GE; 3 ? x,,? = 600
License 2!c lo s(
20
cWty sAC
Bsn, r:
y$ ?
?
58p x 1 b
= 9,2 Sa
Water Conn. x% ' 12ya
Water Meter Zn22= ,,1 y
Acct. Deposit .....?---
5/W Permi t ? 2q 2 X 15c
S/W Surcharge ISTFLOt'TR
Treatment Pl.
Road Unit
Park Ded. Ix 22.x . 22
Trails Ded.
ZX ? r
?
Copies
?ot ? ? 'll
13zloX ?' bOy
al: j
lo°, Z6N
sac % ?oo
t
sac un;ts
•
' LOT /IIROLY C6ECICLSBT 70R ALSIDEIiTIJ1L
sIIILDIIi pER1I2T dkPPLIC7ITI N
?
..T ,f
4ROPLRTY -?tsAr.=
?
aat* or surv.y:
B" 0 0 •
F"p
? Y
0
• Registered Lnnd 8urveyor siqnatur* and company
Building Permit 1lpplicant
?D_ ?D • Leqal descziption '
D B' 0 • 1lddress
P 0 • North arrow and bar acale •
iY0 0 • Hou6e type (ramblar, walkout, spiit w/o, spiit Ontry,
? lookout, etc.) '
6
___0
`
'r ? • Direetioaal drainage arrows vith slope/qraCient i.
?9
H
0" 0 D
0 •
• propoaed/existing setrer and vater services
St
b"0
0
• reet name
Driveway
ff 0 D
i'n
?D D
D?D 0
D ??
D D' p
D ?
0 • Emerqeney Overflov Elevetion
?
o
n • Lot lines
0 • Sever service
0 •
• Lot corners
Top of curb at the drivevay
0 • Elevatiohs of any existing adjacent homes
proDOSeC
• Garage floor
• First floor
• Lowest expoaed elevation (walkout/vindow)
• Property corners
• Front and rear of bome at the lounflation
PONDING AREAB tif aenlieiiol
• Easement line
. ?L -
• HWL
13 • Pond #' desiqnation
D ? • Right-of-vay and street vidth (to back of curb)
Li? 0 p • Proposed home dimeaaions includinq any proposea decks,
ovezAanqs gzeater than 21, porehes, etc. (i.*. all
structures requiring permnnent footings)
? D 0 • Show all easements oi record aad any City utilities within
those easements
D? • Setbacks of propooed atructure and setback of adjacent
D ?D ? existing Aom
Reta r nts, if any
• Revieved- ini zName / Dat
OCLebar teoe
? F?c7'F.tlion f-r+vr•r,nrT nvVr,nr,r! "n" cnr.trmrn•rMN w???7WG0?
otrtuF-; ?'a; rLVN? Go-
SITE ADD5ES5 131 Rl.oLk
?
CONTRACTOF DATF. PHONE
Deterciin vorkint; squnre footai;e of ench.
l. Total exposed wall area sR. ft. x 0 '11 _ 18qI2L
? ??
2. Total roof/ceiling area .. L?? s?1. ft. x 8,0c-O = 77?J.?`.
Total exposed wall area nbove flocir - ??Z 0 - v
a.
Total
v211 Windou area ...
............... ,
-7
? b. Total door area .......... ............... ..........
c. Total sliding lass door area
?' ...........
..........
d. Total fireplece wall erea ............... .......... z o
e. Total wall framing area (average lOp) ... .......... (? L:;,,a7-
f. Total net well area nbove floor ......... .......... ( Z120,
, g. Total rim joist area ..... ............... .......... Z O
Total exoosed foi:ndati on arca =
h.
Total
foundetion vindov a:ea ............ .. --?---
.......... ?
, i. Total net foundation area above grade ... ..........
? . Dete:^r,ine "U" value o; each wall ;Fgnent.
? x '.u,l 0 • ? S
b. ?2,?{ X
? C. 31,q'I X„?„ o3Z = ?Z,?9
d Z rJ XIV.
e., ' .y ? . X ,.Un
X
„lr„
LV
. a• X
h. x
..
X ,lUll +
3.
......
..................... •
.... 'iot.?.t ??_?
=? ? L ?• ?? ?
.. '- - - o/L
If item K3 i . ..
s the same as, or les^ :.h:jn .itera Nl,
you navc met the intent
of SBC 6oo6( c)2.
0
' Totnl exposed roof/ceiling nren
'k ?? . . . . __ -
Total g:oss roof'/ceilinp, are:+ _
?. Total skylight area .............. . . . . ........ ?
R. Total roof/ceiling framing area .............. P 7.
1. Total net insulated roof/ceilinF area ........ ! 1+ -A-D _
Determine "U" value for cach ruof/ceilint; seb•ment.
J. X 'lUli -- _ '_?-
„
.,
I
"l ?
3??r2
k: ?
Z
X -
a .................. .:. Total
. ............
If total of N4 is the same as, or less than N2, you have met the inter.t of
ssc 6oo6(c)i. . .
To utilize the total envelope sys tem method, the values establiahed by the
sum of iteas N 3 and dL shall not be greater.thnn the sum of iten,s N1 and N2.
1. + 2.
- g, +
.
, r ,
0
_ . .. O "
--
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--
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? J
i = O.Oc:
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=I:? .?VPcI•U? GAl.GUTIDW-?7 (GoNT).
-rFAML!?- WAu. G? IH,??QL,ATIaN
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o_1.(r? m RIF- F1 ul?l
-h? hID1NCi. . _
=5%z INSU?A?I???
l?" G?P t?D
L51r7? /tlfy ?ILNI?
VALU E
tq o '
O. 45
Fprk= 23.of -
u:- R.! ? 0_0?3
r?
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- pi-?N. y??k?.
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ir>?105 MP R?-M. -
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DETAiLED F.'cPORT FOF EAITIRE HOUSc
F'repared F-vr: F'repared 'oy:
Fte±tiund M.W. GuErre
F1arE Heating
, Mn JoG PJame: Westwood
**?.'.1.:?.*?:?***',F*?**%?m?%? ?fi%n***.w*?#***?*?**:$?*******iR%?*%f.**?m%r*:??C?'. **:?:?****?Ck;Y.*?*???$
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GLF-S NCRTH
------------------- SOUTH EAST
-- I+JcST P•lE/NSJ SE/SW
---------------
-- HrRZ. TCTAL
----------------
FREti ? 541 --------------
tii oo; ------
-
1141 ir: 01 01 260
COOLING . 0801 ci{ ,9?0; 5,290i 0i 0: GI 10,166:
HEATING : 2,309; 0; S,^op4i 5,0421 OI oI
-------- 01 ii. =5:
----------------
------------------- ---------------- ---------------- HELrW
WALLS PJORTH
-----------
--
- SOUT!-I Er;ST bJEST P•1F_/NW JE/jYI
--------------- rF,ADE TUTnL
----------------
-
-
---
ARcA ? 2581 ----------------
554: 6351 ---------
647{ ii: :t: 0: 2,09Q
COOLING 1 2671 .5761 coU: 673; 0: 0i Ct! 2.177;
HEATIiJ6 I 11102i
------------------- 3,3071 713i
---------------- 7051 0: UI
----------------------- 5,1701 14,1121
---------------
DOORS NLRTH
------------------- SOUTH cAST
---- 41cST NE/i•1W SE: S'vl
------------------ T0; ni
----------------
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1"1 F. C A i C) i ------------
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COOLING f)i 557i lSi (1i _) ; i 5571
HE;,rzris , a; _,; 2,2S9; c,, o; c;;
--------------- ; 2,2S?;
----------------
-------------------
FLOCR
------------------- ----------------
AF.En
---------------- ---------
C.GOLiPJG HcATIPJu
------------------------
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____'_-_____-_" f_) i - ,- 9t)
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CEILII'd6
------------------- AREF
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-------------------
---------------
------------------- -
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-
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----------------- ---
1.176 I ,592
------------------------ .
----------------
. MiSCELLAPJEDUS COOLING LOAD=
----------
F'eGplc Sensiule Loa -----------
d . 15125 ------
Laten± Load 4,796
Lignts R Fppl. Load 657. Lat-nt 9afety PLCIh 240
Ventilation Load 1,255
Duct Neat Gain _
Infilt'rntion LGad 440
Sensiyle SafEtv P+_u h ^c.82
TOTAL SEiJSIcLE LGsiD 1 c,=5.: TOTr+L LATEPIT LOAD `,t%=6
Summer ACH 0.06 Temp.^awing Ptu 1 t. I. C%O
#M? Total Co oling Load 23,= 89 PTUH Or 1.9: Tuns
I"ISCELLANEO
--
-- U.g HEATIhlG LCnDS
-----------
Infiltrrition Load -
-------
=,76:; -----
VFntilation Load 5,Z'5
Duct Heat Loss 0 Snfety Ptuh 2,116
Winter FCH 0.21
r'X'X Totai Nentin g Load 44.857 PTUH ??'k
SUi1i`1ARY REf'ORT
--------------
F'rcparEd For; F'repared P'y:
nottiund M.W. 6uer're
Flare Heating
Mn Job adame. Westwood
05-i0^'7i i
5.1
DESIr,i•1 COiJDITI0PJ5 far
ClL3i"DC?=k
SUMMER l=J I PdTEF
Dry R!!lb SJ -25
bfet Buib 75
1 IYLIJL'ft
SUMMER W I iJTEn
72 72
67
Daily F.ange 20 Daily Swing =.z)
La±i±ud° 44 EZCYcltlJil 322
Safetv Fac+_or (i:) _
Latent FhCtG7 ('1.) 27
*%K$TTTTmrmTmm%K;'d?R?Y.n?* **?n?n:r?."'i.%Xfi*mm* *:?A??'K***%K%K***??%K?-?*??*?%r*X?*%KX:X :?:?*m?**mT%n.*,:Km
jE.'nSlt/LE'
Room Heating Hea±ing Coo?ing Cuoling
PJan'ie RTUH GFii PTUH
------- CFl'i
-------
----
Upper- Rasement -------
10,472 ^------
146 3,264 165
Lawer PasemFn t :, 834 .la' 367 19
C1'ctWl =p.a.C2 =,401 43 21C) il
Pedroam 1 1,895 27 1,S20 _.
BCdfoolll i 2,435 34 1,451 %_
MCtstCf B=drOI:ITi . ylSi4 5:7. 2,193 lil
Living R.oor:i 3,124 44 ','?S • _
Dininq F:aoin 5019 29 1.2SC) 65
K1t-h-C1 10,750 150 4,051 205
Fu'yer ,996 42 1,115 56
44.057
_'bi7
_
18905'
?=r?
HEATiPJG DELTA T 65.0
rrGLIhdG PELTA T iS,O
PJOTE: **# Calculated Airflow is 6nsed upon load requirements.
'JFrify that airflow calculated is compatible with
selccted equipment reGuirements. ***
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNTf.
? NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
DATE
FEES
HVAC: 0.100 M BTU $ 24.00
ADDITIONAL 50 M BTU 6.00
GA$ OLTTLETS (MINIMUM 1@ $3.00 EACH) ?)
ADD-ON/REMODEL (EXISTING CoNS'rctUCITON) $ 15.00
STATE SURCHARGE .50
TOTAL
SITE ADDRESS:
OWNER NAME'?Z'??,??c? TELEPHONE
INSTALLER:
ADDRESS: ???Q??
STATE: ? ZIP CODE:`.?
TELEPHONE #:
SIGNATURE OF PERMITTEE
1Sr93 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIl2ED FOR EACH UNTf.
SITE
NO. FIXTURES EACH TOT?
? SHOWER 3•00
WATER CLCiSET 3•00 (9'
i BATH TUB 3.00 3-
)L LAVATORY 3.00 to_
1 KITCHEN SINK 3.00 3-
LAUNDRY TRAY 3.00 3-
HOT TUB/SPA 3•00
I WATER HEATER ' 3.00 ?-
1 FLOOR DRAIN 3•00
GAS PIPING OiTTLET • minimum - i 3.00 3-
-? ROUGH OPENINGS 1.50
WATER SOFTENER 5•00
PRIVAT'E DISP. • DeiLcty, rc. 15.00
U.G. SPRINKI,ER • home under const. 3.00
ALTERATIONS • to cds[ing 15.00
WATER TURN AROUND 15.00
STATE SURCHARGE .50
TOTAL: ? -
OWNER NAME: ? 10 -of
WST.
ADDRESS: ?( C7 C.-?"' e c Cd L
CTTY: J o e. d?? STATE: V"\ - ZIP CODE:
PHONE #: ( '
?
SIGNATURE OF PERMITTEE
1993 PLUMBING PERbIIT (RESIDENTIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 6814675
7 ? ? 10
zoos RESIDENTIAL PLUMBING PeRnniTaPPUCarioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date
Site Street Address Unit #
Property Owner IF6C0,116( kldSc?? Telephone #(?) ) 1O??r ss
i)(gS Teiephone # (Fj$j). ?
Contractor ftf F'(
,
Address ,3141o Dujd ? City State&_ Zip?la3
The Applicant is: _ Owner /Contractor _Other
Septic System _ New
Refurbished Submit 2 sets of plans and MPC license Includes Counry fee
_ $ 100.00
Per as-built $ 10.00
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures. This fee includes installation of a water softener and/or water
heater at the same time. !i you are insialling on/v a water softener and/or water
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
_Water Turnaround (add $130.00 if a 5/8" meter is required)
Other.
Water Softener f? Water Heater $ 15.00
_ new replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ 50
Total $15- •$U
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that tne
work will be in conformance witn the ordinances and codes of the City of Eagan and the p!umbing 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
accordance with the approved plan in the event a plan is required So be reviewed and approved.
KJIb nfe,vi ? a(SL
ApplicanYS Printed Name Applica iPs Signature
1/ I-?
?03?17
2007 RESIDENTIAL BLTILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan NIN 55122
Telephone # 651-675-5675 FAX 9 651-675-5694
New CoretrucUan Reauirements
3 reg5lered site surveys showing sq. ft. of lot, sq. R N fause; and a9 roofed arem
(20°h mmcimum lat coverage alimxed)
1 Sols RepoA'rf proposed bullding's M be placed on disWrbed sal
2 copies of pan shoxing beam & window sizes; poured found design, efc.
1 setof Energy Cakulations
3 copies of Tree Preservalion Plan'rf Id platted after 711193
Rim Joist Dafail Options sHecGon sheet (bvildings wrfh 3 or less unils)
NGnnegasco mechanical ventilatlon fofm
?o,2r
RemodeVReoair Reouirements Office UseOnH
2 copies Mplan shaving foofings, beams, joisLS Cert of Survey:Recd -.`. _ Y_ N
lsetofEneryyCalwlabonsfaheatedadditions SoilsReport _Y - N
1 sAe surveyfor additlons 8 decks Tree Pres Plan Recd _Y -'.N.
AddiHon-inaicafeNon,tifeseptlcsystem TreePresRequi{ed. _Y _N
Oirsde Sep4c System Y_ N
Plans are considerPd nuhlic information unless vou state thev are trade secret and the reason.
- - -- -
Date ?_ l 1L l6Z
Construction Cost
SiteAddress tLX4 Unit/Ste #
Description of Work ? -
Multi-Family Bldg _ Y_ Fireplace(s) 0 2
PropertyOwner Gt, Telephone#(4??)
Contractor ?
Address oZ
State /
AW4 Zip .rs119 Cit3' zc?
?qq/ !
Telephone # (d) ,?6 !!(?//?
COMPLETE 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 submission type) Submitted Submitted
. Enerqy Envelope Calculations Su6mllted
In ihe lasf 12 months, has the City of Eagan issued a permit for a similar plan based on a masTer plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber Telephone #( )
Mechanical Contractor Telephone #( )
Sewer/WaterContractor 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 fc
permit; that the work will be in accordance with the app ved plan in
approval of plans.
Il ?1
Applicant s rmted Name Applicant S
permit, and work is not to start without a
\case of work which requires a review and
** * *
* PIONEER L&Na 5URWYO
* eng neer ng LMo PLWHCRS.
* * * *
2422 Enferprise Drive
Mendoto Heights, MN 65120 612) 681-1914•Fox 681-9488
625 Highway 10 Northeost ,
51olne, MN 55434 812) 783--1880•FOx 783-1883
Certificate of survey for: The Rottlund Companx, I(1C.
?
12
House Address: Coventry Parkway. Ea.gany MN
Madel iVame: Expanded Westwood
Customer: Klasaes
?
. ?
` C . ` .
O ?
. `
? .2 130' yo c?R ` ` 4 .` .
`14'h'yy?Y \
:>"' ? ? 70 382e' It
90 00
1 Ay ? ?
A? / 4po 8 ?11 ?, °
'>.q?
qgS.4
<WD
r ? 883.9
7
967.
H??',°?.
»
? INs?'
? 13
` EAGN ENc:?,
N? ?93 a?Y` J?/s
342, 8?. 14
F .3 ?
. eoo.o Denotes Exlsting Elevotiqn
kC'?. Denotes Proposed Elevation
Denotes prainage & Utility Eqsement
Denotes Dralnoge Flow Directton
--0--. Denotes Monument
a- Denates Offset Hub Bearings shown
LOT 113, BLOCK3 C(
DAKOTA COUNTY, AIINNESOTA
1 Aereby eertity tnst ihis wrvey, plen a rePa't cd by
undel the 12rra Ot lhe Stete Of Minnpypm_ pa« lhls 9/p? W?? dyy 0}_
•,t{yB7. d
? ?.
\
?
79
}
?
L
.-
T ??F aN ?? L- :: 1?°;
?
?
PROPO5EO HOUSE ELEVAiIOV
Lookout Window Elevation: gg5',(a
R.owest Floor Elevotton: $82 ¢
Top of Biock Eievation: $90,5
Garage Slab Eievction:
are assumed
Rly MfrBCt fupErriiiOn and
am duly Regis[ded Lmnd 5urveyw
SC:(7iP.. iinch_'?jC3? an ?a
PERMIT
City of Eagan Permit Type: Building
Eagan. Permit Number: EA100223
Date Issued: 07/22/2011
OR Permit Category: ePermit
41~ it~ of E3
E
Site Address: 569 Coventry Pkwy
Lot: 13 Block: 3 Addition: Coventrv Pass 4th
PID: 10-18403-03-130
Use:
Description:
Sub Type: e-Windows iDoors Construction Type:
Work Type: Replace
Description:
Census Code: 434- Occupancy :
Zonin,:
Square Feet: 0
Comments: Penny Firkus
2650 Minnehaha Avenue
Minneapolis. MN 55406
612-276-1680
Fee Summary: BL - Base Fee $500 $40.00 0801.4085
Valuation: 500.00 Surcharge - Based on Valuation $500 $0.50 9001.2195
Total: $40.50
Contractor: - Applicant - Owner:
Cre\i'2 Inc Jetfiev W Klasges
260 l\Iinnehaha Ave 569 Coventry Pkwy
Minneapolis NIN 55406 Eagan NIN 55123
(612) 276-1680
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 Cite of Eagan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
PERMIT
City of Eagan Permit Type: Mechanical
Permit Number: EA106560
Date Issued: 08/28/2012
Permit Category: ePermit
Site Address: 569 Coventry Pkwy
Lot: 13 Block: 3 Addition: Coventry Pass 4th
PID: 10-18403-03-130
Use:
Description:
Sub Type: e -Furnace & Air Conditioner
Work Type: New Description: Furnace & Air Conditioner
ConlnlentS: Questions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952)
445-2840
Fee SUn1l11ary: ME -Permit Fee (Replacements) $55.00 0801.4088
Surcharge-Fired $5.00 9001.2195
Total: $60.00
Contractor: -Applicant - Owner:
Pronto Heating & Air Conditioning Jeffrey W Klasges 7588 Washington Avenue South 569 Coventry Pkwy
Eden Prairie MN 55344 Eagan MN 55123
(952) 835-7777
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.
ApplicanvFermltee: Nignature issued tiy: NIgnature
!"
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA142025
Date Issued:04/11/2017
Permit Category:ePermit
Site Address: 569 Coventry Pkwy
Lot:13 Block: 3 Addition: Coventry Pass 4th
PID:10-18403-03-130
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Jeffrey W Klasges
569 Coventry Pkwy
Eagan MN 55123
(651) 353-6068
Wellington Home Improvement
7625 Golden Triangle Dr, Suite N
Eden Prairie MN 55344
(952) 933-6300
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA163801
Date Issued:09/11/2020
Permit Category:ePermit
Site Address: 569 Coventry Pkwy
Lot:13 Block: 3 Addition: Coventry Pass 4th
PID:10-18403-03-130
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Jeffrey W Klasges
569 Coventry Pkwy
Eagan MN 55123
(859) 519-9773
Built Strong Exteriors Llc
2215 Quebec Ave S
Lakeland MN 55043
(651) 702-1300
Applicant/Permitee: Signature Issued By: Signature