593 Coventry Pkwy_.,..,ress 593 !;OVENiRY PARKWAY Zip 5512 3
Lot - , 19 Blk 3 Sub GOVENTRY PASS 41H
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: / 3 Yes No Inspector: ?
Final grade (6" from siding)
Permanent steps (garage) (7
Permanent steps (main entry)
Permanent driveway ?
Permanent gas
Sod/Seeded grass
TtaiUcurb damage
Porch ?
Basement finish
Deck
Please verify with the builder the removal of roof test pps from the plumbing sysrem and the shut-off of wa[er supply to
the outside lawn faucet before freeze potentlal exists.
Contact engineering division a[ 681-4645 before working in right-of-way or installing underground sprinkler system. ?
White = City Copy Yellow - Resident Copy Pink - Comracror Copy
i
? ?" • . ??
?
Wertificate vf ccc"anc?
Wit4 of Wagan
Tontnent of 13uiibing Zaiooection
77tis Certificate issued pursuant to the requirements of the Uniform Building Code
certiJyin,g thal at t/te ti»re of issuarcce this structure was in co»tpliarrce wiih the various
ostfinances of the City regulating building cortstruction or use. For the following:
llx Classification: SF DW Bldg. Permit No. 21016
OccuPaocY Type _ Zoning District ?????
?.r?:
OwR?er of Baildiog Address
Building Address Localiry Lly, s
Date:
BWkiW Offuaal
POST IN A CONSPICUOUS PLACE
\
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R
! CITY OF EAGAN PERMIT TYPE:
? 3830 Pilot Knob Road Permit Number: ;s .• n t? r,
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675 ?
r- , .,
SITE ADDRESS: APPLICANT:
I .
? ,,. .; ;r j ;. . ; . . .. .
PERMIT SUBTYPE: TYPE OF WORK :?? ,
I,: : f r,< <?
INSPECTION DA . ..
..?., . , ?+.. ?
I
Permit No. Permit Hoidx Qete Telephone N
ELECTRIC
PIUMBiNG
HVAC
InspecHon Date Insp. Comments
FOOTINGS
FOUND
FRAMING
flOOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FfG ?
?
DECK FJNAL Q.??, Qr
?/?? 9t1Y1 ? ?
w
_ --_ TE [jRIj
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: ltil ;<
;'11=N1kY PhwY
1.uVl td114'r A'iN
PERMIT SUBTYPE:
I N
; APPLICANT:
( i. ( .' ) •. ??) E! i °.ti
TYPE OF WORK: M 11
iri nt
i }i2k'-; : t:N.lplfiti Y jFt Ill bll9:, f Idf 1 h1i-;V i if ll 14( Flil?I 1:+liVl P Al !NI
icil 1 I(? f rl?:?
i1 f .' `? .' q
tilt/i!/?7tt
Pi . ? . . . ?_? s ? . .
+3 0 R? a? 6 S fi?? { `, f ? 6.' . . .
F? 3K -- E
PermN Holder Date Telephone #
PLUMBING
HVAC
Inspection Date Inap. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIF TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
. INSPECTIUN RECORD ?
' CIT1P OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road PeRnit Number.
Eagan, Minnesota 55123 Date Issued:
(612?681-4675
SITE ADDRESS: APPLICANT:
r ir I f?li . ? It;
!h N( It'x I) AS'i A 111 ??? I ti'• i I HMA . ?
PERMIT SUBTYPE:
TYPE OF WORK:
INSPECTION .. . ..
???_?. ??i t„n, • , ?.;?,?
? ?; ,,? r,? ; .
I iM
KS : 13&IJ l:l1N I I; A4 LiIfi VA I{ I `r' !' 1 IIMFt 1 14(1
? F
Permit No. Permk Holder Date Telephone M
S/W
PLUMBING
HVAC
ELECTRIC G 9p? • ? lf // ?J3 ? ?
ELECTRIC
Inspectlon Date Inap. Commsnts
Footings I
Foundatton . ? ?
Framing
Roofing
Rough Plbg. 7_. b/-g
Rough Htg.
dAr
Isul.
Fi?eplace
Fnal Htg. ^co
Orsat Test ?O
Final Plbg. Pibg. Inspector - Notify Plumber
Const. Meter
EngrJPlan
Bldg. Flnel
Deck Ftg.
Deck Final
Well
Pr. Disp.
<
41C S
I
INSPECTION RECORD
CITYOF EAGAN PERMITTYPE: BuxLoiNG
3830 Pilot Kno6 Road Permit Number: 021016
Eagan, Minnesota 55123 Date Issued: 05/ 2 6/ 9 3
(612) 681-4675
SITEADDRESS: Lor: is BLOCK: 3 APPLICANT:
593 COVENTRY PKWY ROTTLUND CO INC, TNE
COVEN7RY PASS 4TH (612) 571-0304
PEWbN BTYPE: TYPE OF WORK: NEw
INSPECTION
FOOTIN6 .. .
FRAMING D,
INSULATIpN FINAL
FIREPLACE
REMARKS: S&W CONTRACTOR - VAI.IEY pLUMBING
? . .?
-
? _ , i?
REQUEST FOR ELECTRICAL INSPECTION
? See instmclions tor completing ihis form on beck ot yellow cooY7 - R st
'°"'"•? l?e??
???''? ? 00 9 !
X" Below Work Covered by This equ e
ewAdu Rep. Typeof6uiltling AppliencesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Builtling Dryer _ Other(Specity)
Comm.Andustrial Furnace
? Farm Air Conditioner
Otner (syeciry) CoNrectors Remarks:
Compute Inspection Fee Belaw:
# Other Fee # Service Entrance Size Fea # Circuits/Feedere Fee
Swimming Pool O to 200 Amps to 100 Amps
Transiormers Above 200 - Amps Above 100 _ Amps
Signs
?
Inspeciors use oniy: 70TAL
?3
Irri9ation Booms r
??? ?
Special Inspection ```fff
o
1- ?7
OT
Alarm/Communication THIS INSTALLATION MAY BE ORDE D` ISCONIQEC D IF N
Other Fee COMPLETED WITHI ONT
h?ln Date 93
R
?
I, the Electrical Inspector, hereby oug
•
P
certify thai the above inspection has oete 9? j.
been made.
?
OFFICE USE ONLV
Thls request ooitl 1B months imm
L
/!/n a x? Y 5pn //n I
d 6 1D1y/ya-
27
3
?
/?'?
L
,/ -, ?w, _
?
h?
. +
19
lv ir
?-- o-v?
.
.
Fequest DAte
Rough- ection
Pire
No.
Requir ?
?] ReaEy N. VVJiII.Ndity In
_3.`t3
- e= E:N_ . ?e e . /
"
oz•c -
?
I/licensed contractor ? owner hereby request inspection of abov lectrical work a'
JoD Atltlress (SVeet. x or Route No.) ? City
Seclion Na. Township Neme or Noj Aan
PRINT?
Occupa I Phone No.
n
vL?OC
Power S plier Address
Electt al Gomratlqr IGo?ar}y Namei
U
Contrdctor5 Licsnse No.
Mailin AtlOress IGOnVactor or 6wn MaRing Installalion,
AutbOr. eC SiGndNre iCOmrdC10!/ E' k g InStdlldti 1 PM1OnB Number
MINNESOTA STATE BOARD OF ELECTRIpTY THI$ INSPECTIDN REOUEST WIIL NOT
Grigge-Mitlwey Bltlg. - Raom S4]3 BE ACCEPTEO BV THE STATE BOARO
1841 Universlty Ave.. 51. Peul. MN 55106 l1NLE$5 7ROPER INSPECTION FEE IS
Ptwne(61Y) 642-0600 ENCLOSED.
FERMIT
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.Z.N.: 10-18403-190-03
PERMITTYPE: aurLozNG
Permit Number: 032924
Date Issued: 0 8/ 17 / 9 8
593 COVENTRY PKWY
LOT: 19 BLOCK: 3
COVENTRY PASS 4TH
DESCRIPTION:
Buk?ld'iniqa._Permit Type FIREpLACE
&vilding Work Type NEW
Cen5us Gtsde 434 ALT. RESIDENTIAL
? r
?r-
l ?
?? 3y?'.y 1 »
<P
P
7
F G }
iq 1
l ?
? 6 c
REMARKS:EV/FLuE MUST BE INPSECTED BEFORE CUNCEALING.
FEE SUMMARY:
Base Fee $50.00
Surcharge $.50
Total Fee $50.50
CONTRACTOR: -
HEAT-N-GLO FIREPLACES
3680 W HWY 13
BURNSVILLE MN
(612) 890-0758
Applicant - ST. LIC.
18900758 20090911
55337
OWNER:
PLOETZ TIM
593 COVENTRY PKWY
EAGAN MN 55123
(651)452-8519
I hereby acknnwledge that I have read this applzcation and state that ths
information is correct and agree to comply with,all applicable State of Mn.
5tatules and City o'f Eagsn`=0rdinrsnces.
L
APPLICAN7/PERMITEE SIGNATUFE ISSUED BY: SIGNATURE
I
gL ? CTfY OF EAGAN
3830 PII.OT KNOB RD - 55122
1998 FIItEPLACE PERMIT APPLICATION
? 681-1675
DATE:
DESCRIPT'fON O ORK: ? Construct new f?re?lace
a
Install Eas insert On1V _
JOB ADDRESS: _
LOT: ko\
t5o
PERMIT FEE: $50.50
Alterations to existing
Install eas line onlv
Other
/'h , . _L
BLOCK: -5
APPLICANT (circle one only): OWNER CONTRAC?"OR
I hereby aclrnowledge that I have read this application and state that the information is coaect
and agree to comply with all applicable State of Minnesota Statutes and City of Eagan
Ordinances.
r' /?
Name:__ p ) V[L Phone #:
PROPERTY Last First
OWNER
Street Address: 0 (-3 ' ' '\
Ciry ?C{ U(X y\ State: /m iv Zip:
FIREPLACE
INSTALLER
GAS LINE
INSTALLER
Street
City
Street
#: R-C?a-o,?-5W
Address: (,(J[(/f417 License # nC !l?'??/? ??J
6Q{(!/IS[)t p I(? Stafe: ? Zip: - 7
Phone #:
AUG 13 1998
PERMIT
ITY OF EAfAN
830 Pilot Knob Road
agan, Minnesota 55123
(612) 681-4675
VALUATION $128,000
? L)wo'cq- 7L
B ?IL 'J?6
021016
05J26/93
SITE ADDRESS:
593 COVEN7RY
LOT: 19 BLOCK:
CQVENTRY PASS 4TH
P.I.N.: 10-18403-190-03
DESCRIPTION:
r,' ?--,
B.u'slding., Permit Type
Buil:ding LJprk Type
r''UBG Occupan:c1+?,
Canstrnctiun 7q
Zonittg
Building kength
jj Buildfrtg kJidth
?
t ,
E .:.
?? . ,..i ?..:.:.????A r L,?i`.•
$737.50
$479.38
$64.00
$750.00
100
1
REMARKS:
S&W CON7RAC7pR - VALLEY PLUMBIN6
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
SAC
SAC %
3AC Units
Subtotal
PERMIT TYPE:
Permit Number:
Date Issued:
PKWY
3
SF DW6
NEW
R-3 M-1
VN
R-1
50
35
RONTRuNOT?p:
INC, 7HE
6201 E RIV£R RD
FRIDLEY MN
(612) 571-0304
applicanC - ST. LIC OWNER:
15710304 0001335 RO'fTLUNO CO ZNC THE
5201 E RIVER RD
55421 FRIDLEY MN 55421
(612)571-0304
?
Z hereby aaknawledge that' I ltawe read CMis applicaGion #stttt statCe that the I
infarmatian is correct and agres tn camply u%tM a22 Applicab26 State of:Mn.'
StatUtes and City af Eagmn Ord3.naFlCes.
?
APPLICANTIPERMI E SIGNATURE ISSUED BV: EiPNATURE
$2.030.88
MISC FEES $,1,744.60
7ota1 Fee $3,775.38
CITY,OF EAGAN PERMIT Lp- 4 033
3830 Pilot Knob Road PERMIT TYPE:
PermitNumber: BUILDZNG
Eagan, Minnesota 55122-1897 026115
(612) 681-4675 Date Issued: g 7/2 7/9 5
SITE ADDRESS:
593 COVENTRY PKWY
LOT: 19 BLOCK: 3
COVENTRY PASS 4TH
P.I.N.: 10-18403-190-03
DESCRIPTION:
BuildinglPermit Type DECK
puilding War-k, Type NEW
e.
ii
...., , .... , x ',? % . .
REMARKS:
FEE SUMMARY:
Base Fee $30.00 CQPY $.50
Surcharge $.50 Total Fee $31.00
Subtotal $30.50
CONTRACTOR: OWNER: - Applicant -
PLOETZ TIMOTHY
593 COVEN7RY PKWY
EAGAN MN 55123
(612)830-8991
I hereby aoknowledge that'i ha've read'this application ancH state that 'Ghe ,
infiormation is correct and agree to comply with all applicable State of Mrt.
L 5tatutes and Gity of Eagan Ordinancas, ?
APPL ANT/PERMITE IGNATURE ISSUED B: SI 7URE
i-
Afwl4r, CITYOF EAGAN ?',? 1-0O
3830 PILOT KNOB RD - 55122
995 BUILDING PERMIT APPLICATION (RESIDENTIAL)/
681 -4675
? 3 registered $ite surveys ? 2 copies of plen
? 2 eopies oT plans (inGude beam 8 window sizes; poured fitl. design; etc.) ? 2 site surveys (exterior additiona 8 tlecks)
? t energy calwlatans ? t energy cafwlations for heaMd additions
? 3 copies of lree preaervation plan if lot platted after 711193
required: _ Yes _ No
DATE: 7- 20 -9 C CONSTRUCTION COST: ? 3OO?j
DESCRIPTION OF WORK: beGk
STREET ADDRESS: ?? ? ?veN*2 Iar
LOT 1?- BLOCK 3 SUBD./P.I.D. #:
P? « y1
1-1
PROPERTY Name: p16etZ [ m +-I, Phone #: (E12-5W-829I
owNeR Fw,.
Street
City: EA4AO State: M0
CONTRACTOR Company:
ARCHITECTI
ENGINEER
Street Address:
City:
Company: _
Name:
zip: SS «3
Phone #:
License #:
Zip.
Phone #•
Registration #•
State:
Street Address-
City:
Sewer 8 water licensed plumber:
change are requested once permit is issued.
I hereby acknowledge that I have read this application and state
applicable State of Minnesota Statutes and City of Eagan Ordinanc
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received Yes No
State:
Zip:
Penally applies when address change and lot
??????EDD
J U L 2 1 1995
---------------
to comply with all
. ? ?t_ WY,
EX1•er,ion i:wr•.t,rn•t. nvr:i;nr,i: ^u" c.urmu•rrcTiOu
ouN FR ?
SITE ADDSESS LoT 19 60GIC? ? . ? D?/q/ .
CONTRACTOR EOTTL(91..tp Crp p,hTF.
PHQNE
Deter.ain va-Kini; square foota,?e of cach.
l. Total exposed vall area .. ? 7? 4, g sR. ft. x 0.11
2. Total roof/ceiling area .. ? ?
. . 9a sti. rt. X e•026 = 28, ?
c
Total exposed vail aren nbovc floor = 17, 31 p?'j,' p
a. Total vall vindov area
............... ?j? Z ? ?
b. Total door area
c. Total sliding glass doot yrea•......... _- b•7 /
d. Total Sireplece vall area . . . . . . . Lq? f -7
e. Total vall framing area (average lOP) .............
f. Total net vell area nbove floor ,,,_ / S?
. g. Total rim joist area ........ ? ' ? ? ?
....... ........... iVL.
• Total exposed foundotion area P '
h. Total foun3c:ion vindov a:ee ...
.
..
.
i. Total net foundation area nbove
g,rade
._...........
• Deterrnine "U" rzlce o; esch vall ,egment.
. a. rgz,? ? ? 0 'T -L
, - Ve. 77
b.
C. 59, 97 X„U„ o,?Z _ ZS.18
d. - X ?.Jll
x.-.u,,
l G. 7A,
X.,U,, o.of 3
,
. 8.
h. X 01 tZ 57
X .,u„ . a, l?f = /l0 2°0
.
3. ..................... ......... . 'iot.?]
..
If item k3 is the same as,
or ssc 6006(c)2. or les^ !. tian .iLCri //1, yoii have meL the intent
0
Total expased rooC/ceilinG Rre?
? . `
Total gross roof/ceilini, srea = ?-- ' • -
J. Total skylieht area ..........................
R. Total roof/ceiling framing area .............. /?-
1. Total ne{ insulated roof/ceilinF area ........
Detenaine "tJ° value for clch ruof/cci 1 inj; se{,ltccnt.
X 'lUli
.
k: l 0 9 X„u„ o.oz -7 = 2;q '
1. 761 X„U„ p_ozz, = 32$
4 . ...............................:. Total
If total oP N4 is the same as, or less than N2, you have met ttte intent of
SBC 6oo6(c)1.
To utilize the total envelope system method, the values established by the
sum of items N3 and B4 shall not be greater.thnn the sum of iten:s B1 and k2.
1. ± 2, -
' 3'. ?+ 4.
_
.
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Sed:vetyF?.,t: t.t:5 r.
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Fit]Uns I•9au=tinc; Hc+a•ta.nq Goo:t.'kliq I',opl.ins?
L•1 ii,JFl C:F?"I k:?°ft.SF•1 C.FM
C'raNi1 Spc'tCe 12,612 ^ 1'76 1,444
I35v:sc+men t 7o;,36A 145 ,`s4 2 72:3
FCIyeY' 4, `?'lb 59 1,?524 77
K, i.tehL?et 9,--,81 1T,1 5 ,044 255
f_).v.inp/F}S.n.in,y, 2 .6:4 Q :1::,1, °;, 6 70 F3 1
F?c?d i• caom i 2
972 tl .:? 8£36 45
,
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tyeadr•c?c.rn ;:"s 21,29,C)
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v LOT SURVEY CHECRLIST FOR RESIDENTIAL
,
W w°
N BUILDING PERMIT APPLICATI
m
a
m J >
¢
PROPERTY LEGAL:
W < N Date of Survey:
U ]
DOCUMENT STANDARDS
C ? 0 • Registered Land Surveyor signature and company
?
'( 0 • Building Permit Applicant
?
L ? • Legal description
? C1' ? • Address
?? ? • North arrow and bar scale
?? 0 • House type (rambler, walkout, split w/o, split
lookout, etc.)
Q? ? ? • Directional drainage arrows with slope/gradient ?.
C? ? ? • Proposed/existing sewer and water services
? ? ? • Street name
l? ? ? • Driveway
ELEVATIONS
entry,
Existina
? C'I ? • Sewer service
C? ? ? • Lot corners
?? ? Top of curb at the driveway
? :
? Elevations of any existing adjacent homes
Prooosed
fd 0 ? • Garage floor
6? ? ? • First floor
? ?
? ? • Lowest exposed elevation (walkout/window)
JI
0
? 0 • Property corners
8
? 0 • Front and rear of home at the foundation
PONDING AREAS (if applicable)
? 0 ? • Easement line
Er- ? ? • NWL
• HWL
I? ??? • Pond # designation
? ?' ? • Emergency Overflow Elevation
DIMENSIONS
@? ? ? •
? ? ? •
2' 0 ? •
Ey'0 ? •
Q' D 11 '
? 0? .
Lot lines
Right-of-way and street width (to back of curb)
Proposed home dimensions including any proposed decks,
overhangs greater than 21, porches, etc. (i.e. all
structures requiring permanent footings)
Show all easements of record and any City utilities within
those easements
Setbacks of proposed structure and setback of adjacent
exi
Ret
Reviewed;
October 1992
:X'iWAjF
Uu?????V?DD
MAY 2 1 199?
---------------
CITY OF EAGAN
1993 BUILDING PERMIT APPLICATION
681-4675
(?3-77S- 3 t
C'Zc[Ce, ( e"-025 ?'3
SINGLE & MULTI-FAMIIY 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 .?? Valuation of wor
Site Address:51g3 Ge UQl4f?'( k!Y-?y
STREET SUITE M
Tenant Name: (commercial only) ^\'Itit, U?td 0o 2NC-• -
LOT .? SIACK 3 SUBD. ?
r4qgAinj P.I.D. *
Descri tion of work: ??p??? '
The applicant is: Owner Contractor ? Other coeccrtee>
Name TCQ to'I?-lu?vl?? • lw` Phone Sl f-0 30?
Property LAST FIRST
Owner Address 52.01 E. k?vet R{A• 301 _
STREET STE t
ZiP 554u
State MN
I'e
.
y
City r=c
Company SeOAt- Phone
COntf8Ct01' Address License # 1335 Exp
City State Zip
Company k 42 Phone
Architect/
Engineer Name Registration #
Address
City State ZiP
Sewer & water licensed plumber e plt"6*6% . Processing time for
sewer 8 water permits is two days once area has been app ved.
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: ?? ??
OFFICE USE ONLY
BUILDING PERMIT TYPE ? 01`Faundation ? 06 Duplex ? 11 Apt./Lodging
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc.
03 3F Addition ? 08 8-Plex ? 13 Garage/Accessory
0 04 5f Porch ? 09 12-Plex ? 14 Fireplace
O 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck
WORK TYPE
gi 31 New ? 33 Alterations ? 35 Tenant Finish
? 32 Addition O 34 Repair ? 36 Move
GENERAL INFORMATION
{ -4 .
? 16 Basement Finish
0 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
O 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
Const. (Actual) V-N Basement sq. ft. MWCC System
(Allowable) lst fl. sq. ft. City Water -?
UBC Occupancy ?l 2nd F1. sq. ft. PRV Required
Zoning R_i Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. fire Sprinkler
Length ? On-site well Census Code
Depth ? On-site sewage S?C f
Co?dbgr,
U ?
APPROVALS ?
c2wsNScc48Pf.
?! ?
?
Planning Building Assessments
Engineering Var9ance
REGIUIRED INSPECTION S
0 Site ? Footing ? Framing ? Insul ation
? Watlboard ? Final ? Draintile O Fireplace
Permit Fee vewec;on: g 123
oDp
Surcharge
Plan Review ?An
_,?..- r
Zox22= yUo x16= 9040
License
MWCC SAC
7-
. .
?
8 x 219 = 764
City SAC
Water Conn. ;Z .
o X/S c 300
Water Meter IST-F
?aa? 260
/0 8t4 X?S= l6
Acct. Deposit ? ?
S/W Permit
S/W Surcharge g??. _ ??
8y
Treatment P1.
Road Unit
Park Ded.
?YZxo YZ _
I
Trails Ded.
Copies
h
O 0o K.5?/ % S9? Noo
t
er
Total: ---?
2s x2-r2 ='j;?G x s4 =qy
6oy
SAC % pp ,
SAC Units _L
PLEASE CUMPLEI-E FOR SRJC`iLE FfiMILY L'WEL,LII'«TGS. AISO, FOR TUWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT.
NO.
SHOWER
? WATER CLOSET
--? BATH TUB
-?. LAVATORY
? KITCHEN SINK
' LAUNDRY TRAY
HOT TUB/SPA
? WATER HEATER
?- FLOOR DRAIN
--? GAS PIPING OUTLET
3 ROUGH OPENINGS
WATER SOFI'ENER
• minimum - 1
PRIVATE DISP. • DaLCty. lic.
U.G. SPRINKLER - bome under const.
ALTERATIONS • to austing
WATER TURN AROUND
STATE SURCHARGE
TOTAL:
SITE ADDRESS: ? z)
F.ACH TOTAL
3.00 3 _
3.00 c, _
3.00 ?•-
3.t10 g.:
3.00 _..
3.00 3 _
3.00
3.00 Z -
3.00
3.00 3 --
1.50
5.00
15.00
3.00
15.00
15.00
.50
y -7 -.
OWNER NAME:
INST.
ADDRESS: ?J t. v C L
CITY: l u1 d 4- S i r?TE: ZIP CODF; ? J>>
PHONE #: ( ) ?9)- 01 aI
SIGNATURE OF PERMITTEE
lYY3 YLUMIflPlls Yl'.lC1Yll1 kiCL'.71Yr.i-1 iL/s++1
C1TY OF EAGAN
3830 PIIAT KNOB RD
EA?GAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
? NEW CONSTRUCTION
ADD-ON A/C
ADD-QN FURNACE
DATE ?9 -?2---°?"-a
FEES
HVAC: 0.100 M BTU $ 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS (MINIMUM 1 C 53.00 FACH)
ADD-ON/REMODEL (ExISTiNC CoNSTRUCT1oN) $ 15.00
STATE SURCHARGE 50
TOTAL
SITE
OVVNER NAME:TELEPHONE
INSTALLER: ,.. .,.. ..n . ¦ iw lm
ADDRESS: ? =Aw' N&
CTI'Y: STATE: ZIP CODE:
TELEPHONE #:
iyyo mzt,untviL.t?1. Yr.xm11 (xLaitLrrr auu.)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
7 y? ??
2006 RESIDENTIAL BUILDING rExMiT arrLicnTioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Constructian Reouirements
3?registered site surveys showing sq. ft. of lot, sq. ft, of house; and II roofed areas
,40? maximum lot coverage allowed)
c'2,eapl'egof plan showing 6eam 8 windowsizes; poured found design, etc.
L?&f Energy CalculaGOns
3cop65 of Tre&reservation Plan if lotplatted aRer 7/1/93
- :' 'RlmiYo`rst Detail Opfions selection sheet (6uildings wiM 3 or less units)
Mtanegasco mechanical ventilation Form
RemodeilReoair Reauirements
2 copies of plan shovnng foWings, beams joists
1 set of Energy Calculations forheated addihons
1 site survey for addifions & decks
Add'Non - indicate if on-sife sepfic sysfem
7a . 06-
OfficcUse'f7niu
GertntSuNByRech "Y":.::,tJ
Yree P,res P(an ReEtl ,,,,Y ;?2idTreeP[esRequited
On4s8eSepic'SY4le6
Date 7 / Z 3 / 6(
Site Address S67-.3 COxt'ItlP? a? KwF
-q eh n?IN SSlt<3 Construction Cost S0 00
Y Unid5te #
Description of Work Neo/ KOOT O1f(5ylW5/6Jd"f¢/fJ IhSfi/I htW5h)n3/Q{/ j?fotW4ti ;
Multi-Family Bidg _ Y? N Fireplace(s) _ 0 X 1 _ 2 q H
Property Owner 13QV iV ?j- CGY/i re -`/ h,1 RQLQ/ fz Telephone #((, J?) f5,?ill
Contractor SQ?") ) DGVoGt eQbF? - P/oQrc/tz Qu/he?
Address ,I `J??/3 ?U?rc.hf"/' p?/K??'y City [4SFh
State M /V Zip S51-Z2 Telephone#(G,ri)
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
(Jsubmissiontype) Submkted Submitted
. Energy Envelope Calculafions Submitted
In }he last 12 monThs, has the City of Faaan iss! ied a permif for a similar plan based on a master p!an?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telepho
Telephor? (JUL
Telephone #( )
I hereby apply for a Residential Building Permit and aclmowledge 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 NIN
Statutes; I understand this is not a permit, but only an application for a pemut, 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.
LIv4 E. Robe,-ty
Applicant's Printed Name Applicant's Signature
-11 15 50
'\a ,L41
2006 RESIDEN7IAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55922
651-675-5675
Please complete for modifications to exisfing residentiai dwellings.
?
De ??
?
reet AddressUnit #
Z/ Telephone #?
rty Owner
ctor 1 Telephone# %5
[
s? , y 7?5State?
pp lint is: Owner ,?Contractor _Other
System New Refurbished Submit Z sets of pians and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
tions to existing dwelling $ 50.00
Add plumbing fixtures. This fee includes Installation of a wafer softener andlor water
heater at the same time. lf you are insialJing onl a water softener and/or water
heater, do not compiete this section; move to the next section and check the
I appliance(s) you are installing.
_Septic System Abandonment
-Water Tumaround (add $130.00 if a 5!8" meter is required)
?
I
?iii IE.'I": ,
?--
j
Water Soitener ? Water Heater 1 I $ 15.00
_
_ new ? replacement
Lawn trrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ 50
$
?--
Tota! '-
"' s_.:.Y_c.._ t,. ..lo +o nnA ?rrnra}p' tha{ t}7P.
I hereby apply for a Residential t'wmbing rerm¢ ano acKnowieuye tild< <lle 1? r-_ -..- __, .-
work will be in conformance wiih the ordinances and codes of the City of Eagan and the plumbing codes; that I
understand this is not a permit, 6ut only an application for a permit, work is not to start without a permit and work will be in
accorda with the approvlan in the event a plan is required to b reviewed and appr ved.
App ca 's Printed Name App an s Signature
2006 RESIDENTIAL BUILDING rExMnT arrLicaTrorr
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Gonstrupion Requirement5 3 registered site surveys showing sq. ft. of lol, s% ft of house; and all roofed areas
(20% maximum lotcoverage allowed)
2 copies of plan showing beam 8 window sizes; poured found design, etc.
Minnegasco mechanical ventilation form RemodellReoair ReauiremenGs
1 set of Eneyy Calcula6ons 3 copies of Tree Preservation Plan A lot platted after 711193
Rim Joist Detail Options selection sheet (huildirgs with 3 or less units)
2 copies of plan stwwing footings, beams, joists
1 set of Energy Calculations for heated additions
1 sRe survey for addNOns & decks
Adddion - indicafe if on-sde sepfic system
3'v
Dafe ? / H / (? Construction Cast IF?
Site Address AL
Description of Work I 1? 50-
Multi-Family Bldg _ Y y N
Property Owner UL" vvll. 4,vl
Contractor Fireside Hearth & Home
14399 Huntington Avenue
aadress Savage, MN 55378
State _ 952.736.7761
License #20512060
-7v,do
Office.Useoniv
Cert ofSUrveyRecd _Y _,N
Tree Pres. Plan ReW _ Y_ N_
TreePres Required _Y _N
On-sAeSepticSystem _Y _N
UniUSte #
Telephone#(bs? )
City
Telephone # (
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
3 - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code, Category . Residential Ventiiaflon Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype)Submitted Submitted
. • 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 of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approve pl 'n the case f work which requires a review and
approval of plans.
Vl??ln ?"\? U'llnM. S ,
ApplicanYs Printed Name Appli Ys 3ignature
,-) / 6 45 c-?'
Fireplace(s) _ 0 _ 1 _ 2
. ?* **
* P10NEER
* Bi7g ??11 t`I
* * 7} *
?eW Cl?YKVIIRG ? GNL ENGINEERS
Gertific4te of 5urvey for:
2422 En;erprise Orive I
MendoFO Heights, MN 55120
(612) 681-1914•Fax 681-
625 Highway 10 Northeast
Blaine. MN 55434 ?
612) 753-1880•Fax: 783-1883
The Rottlund Company, Inc.
House Address: Coventr !' kwa Euggn, ` MN ;
' Mode! Name: Fairwa y ;
? CovENTRY
"A RkWq y,
i
4? ?, ? ;
?
a?w? _ i
Y
M+ ? "c f i
? , •?. ?? ? ?,
>o
g n.s7 b" -?c
?` M1 •??.
Q? ?•'? ?
F]! . .. .
I V° ' ?? _j t°°ra..
9s4 X ??S ?, '? ? 8? t
s?9, B'??exr /?"'
sj /OaN9
/
? BBa9/ s
18 ? /
I /
3 I 19 ?
rLd
z
s
r ?
i ?
RAG??
?
&
,z
24
;
883. '
LooKO1Yww1l9w Elevat(on: S
, soa.ii., Denotes
.<? Denotes
Denotes
Denotes Existing Elevat
Proposed Ele
Drainage & U
Drainage Flow n ?
tio
li Easement
rection pROP05ED HpUSE ELEVA
Lowest Floor Etevation: S
-
Top of Block Eievation:8
---a- Denotes Monument Garage Slab Elevation:887:33
a-- Denotes pf#set Hub $earings shown are assumed
i
LOT 19, BLOCK 3 COVENTRY PASS
pAKOTA COUNTf, MINNESOTA 4TH A D D I TI 0 N I
! nsrWy certify that ehit swvey, plm q repprt was p+ by me o• ndM my di?vct suo rswn and lhat 1 a..+ dwy Regiutred 4anA Surveyor
undar the tews af ths Stata of Mirmesota. bated Mis AaY of A,D.
?
C...-.1... 1 inrh A (ltee! --- -..._... _ ..?.. ..., ..,..
/90NEER
? Bi1g1 B
CertifiCate
. . , ?
? CovENrF?y
-R` RKK'A
41.
..? ?' ? Z? ?zr? ?„ ??as3•s
^ ?'f -. ? ory? \
i . ` ti ?MEI? ?ry
'j
gg4' x rs.ss / 7 „? ge'?• / BP%r? \
, ?"
se. °'?'knr ? ;
?by9
( e4t ? E la.ey /
? i
' ' ge?• ? S ;
i
18 1 ? '
1 ?
19
. +
r N ? ?
?
. ' ? 4o'20 ?
• ? ? ?. R i
j ? • ? ? ?!?e?:n, ??A ?
.? ?
? ` / . .
?...?r
• ? ? ) ?a?' `?? ,?b. ?; .?=?x ?;1,
S•?1 ?'y??c!
• +004. Denotes Exiat3ng Elevat n Lo0k0WW4V4sw Elevation: 882.:76
----r--
r .<39D Denotes Proposed Ele tio PROpflSEO HpUSE ELEVATION
Denotes Drainage dc Ut li Easement Lowest Floor Efevatian: 879.55
Denotes Droinqge Flow rection Top of Block Elevation:887.66
-4o-- Denotes Manument Garage Slab Elevation:887:33
.--E3..- Denates Offset Hub Beorings, ahown are assumed ?
LOT 19, BLOCK 3 COVENTRY PASS ;
pAKOTA COUNTy, MINNESOTA 4 TH A D D I TI 0 N ?
1 heraby certi}y ti+at ehis furvry. plsn or j req?t ? P. ,;ed by mo o. .der d req ?.y ?? ????i? ?? ?ti?? ? am duly Repieeercd 4a.x1 Surveyor
untlx eho lew? ot the Staig ot Minnenot,. Mted this.?y or
. ` ?A.D.79?, ?
/ I
C^..I^• 11n? Il/lfae! J
2422 Enterprlas Ortve I
Mendoto Heights, MN $5120
orts • ChR En6wEER9 {612} 681-1914•Fax 681-949$
• UNDSCAPE ARan7ECTS 625 Hfghwoy 10 NOrtheast y
Bloins. MN 55434 i
(612) 783-1860•Fax: 783-1883
of Survey for: The Rottlund Company, Inc. ; -
House Address: Coventry Parkwav Eagqp, MN
? Mode! Name: Fajrwav
?'
Aug 15 13 03:42p Jim Murr Plumbing
411S' CityofEaau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
651-457-4256 p.2
Use BLUE or BLACK Ink
L
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
u
2013 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 09(/6-//3
Tenant:
Resident/Owner
Contractor
Type of Work
Permit Type
Site Address: 5-9 3 cc% 7 '! / /P1zi
Name: CVF4A- i e ^ 44-1nh�) C
Suite #:
Phone: /2 9. ?I'S?
Address / City /Zip: 5/3 Com %'7e £1 vf3J AJsva/r 1 6761 z
) Name: ;17 ---rat lIL1 v
3 Address: 78c Ott S i
G
License#: 0'5 9 l24 /I41
,City: 9-il1�Oct'
State:Z4% Zip: j 5 Phone: rPJ(/_ 7 / 3'57
Contact ,:E1114 012 0.27—
New
.27-
New
Email: 3-V 144.04dt i/ -C biPtift. - C'_ ore - rte•
Replacement _ Repair _ Rebuild Modify Space _ Work in R.O.W.
Description of work: RoPlac sC7l (- rx z4 ' Lllor�d rI✓ Gc>F$ jv sr—ova-
RESIDENTIAL
Water Heater
Lawn Irrigation ( RPZ / _ PVB)
Septic System
New
Abandonment
Water Softener
Add Plumbing Fixtures ( )( Main / ,1( Lower Level)
Water Turnaround
RESIDENTIAL FEES
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
0 QQ_Lawn Irrigation (includes $5.00 minimum State Surcharge)
0.d dd Plumbing Fixtures Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $200.00 if a 5/8" meter is required)
$115.00 Septic System New ($10.00 per as bust) (includes County fee and $5.00 State Surcharge)
1 TOTAL FEES $
CALL BEFORE YOU DIG. Call Gopher State One CaII 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.00pherstateonecall.orq
1 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 1 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.
x 41+04E5 144,), t Jt
Applicants Printed Name
x
Applica
's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough -In Air Test Gas Test Final
Meter Related Items: Meter Size Radio Read Staff:
City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #: 1 (a co
1-1 @- 3U
Permit Fee:
Date Received: i5
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 6 s— /3 Site Address: 6-93 Co vi "fra /'%Arik 4 Unit #:
Name: Ci9il-a I 6 4 Aid CAitMJ4 x Phone: CS/ -6 87- "Ser/
Address / City / Zip: S9'3 Co vrzir.rkez 41 K a-4,4
Applicant is: Owner 1.' Contractor
Description of work: Nialii i -I mea,. t c is 24R/or. /?/0v6,6 , = LAwwO/lr1;mo'i 10 L <
Construction Cost:°Ci 470 o Q o Multi -Family Building: (Yes / No )
Company:40✓ NCi AVER. CoiuST4. C, • Contact: /4 Alt 2
Address: C /Y %'i'CL 240 4i CT City: So .51. fa,./ id.
State: /114A Zip: 5:5-0 7 Phone: C/.2 - b) 9- p a l
License #: '7 9 Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
Must wd3s £wZT r.✓ /990
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:
I
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 seoretl;.
CALL BEFORE YOU DIG. CaII Gopher State One Cali at (651) 454-0002 for protection against underground utility damage. Cali 48 hours
before you intend to dig to receive locates of underground utilities. www.00pherstateonecali.orq
1 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 494/2Ewc IQ, elf
Applicant's Printed Name Applicant's Signature
Page 1 of 3
5(43 Co pkwy
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
Nk Single Family
r Multi
01 of _ Plea
Accessory Building
WORK TYPES
New
Addition
)( Alteration
_ Replace
_ Retaining Wall
DESCRIPTION
Valuation
Plan Review
Fireplace
Garage
Deck
Lower Level
Prt
_ Porch (3 -Season)
Porch (4 -Season) _
_ Porch (Screen/Gazebo/Pergola) T
Pool
ti'1'2' �' �'s , L tfotior y
_ Interior Improvement Siding
Move Building
Fire Repair
— Repair
(25% 100% ]0
Census Code a
# of Units
# of Buildings
Type of Construction
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: Ice & Water _Final
7. Framing
Fireplace: _Rough In Air Test _._Final
Insulation
/ - Sheathing
Sheetrock
Reviewed By:
Reroof
Windows
Egress Window
Storm Damage
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Demolish Building'
Demolish Interior
Demolish Foundation
Water Damage
"Demolition of entire building — give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Meter Size:
Final 1 C.O. Required
Final /No C.O. Required
HVAC Gas Service Test Gas Line Air Test
Other:
Pool: Footings Air/Gas Tests _Final
Siding: _Stucco Lath Stone Lath Brick
Windows
Retaining Wall: _ Footings — Backfill ` Final
Radon Control
-^� Erosion Control
Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
icriUtfr)
Oyiltot
0-0 ?(.
o
Page 2of3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA150979
Date Issued:08/01/2018
Permit Category:ePermit
Site Address: 593 Coventry Pkwy
Lot:19 Block: 3 Addition: Coventry Pass 4th
PID:10-18403-03-190
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 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 -
Carrie Ann Canney
593 Coventry Pkwy
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature