601 Coventry PkwyCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 601 Coventry Pkwy
Lot: 021 Block: 003 Addition: Coventry Pass 4th
PID:10- 18403 - 210 -03
Use:
Description:
Sub Type: e - Furnace
Work Type: Replacement
Description: Furnace
Comments: Quesetions regarding electrical permit requirements should be directed to Ma rk Anderson, State Electrical Inspector,
952- 445- 2840Ashley Orman 410 W Lak e St Minneapolis, MN 55408 612 - 824 -2656 ashley @standardheating.com
Fee Summary:
Contractor:
Standard Heating & Air Conditioning
130 Plymouth Ave. N
Minneapolis MN 55411
(612) 824 -2656
Surcharge -Fixed
ME - Permit Fee (Replacements)
Total:
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
$0.50
$50.00
$50.50
Owner:
Mark E Backman
601 Coventry Pkwy
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
9001
0801
Issued By: Signature
Mechanical
EA076490
01/23/2007
ePermit
- We?.?tificate nf cccuvanc4
W44 of Cfagan
mtowdmeut of zKicbing as#o"08
T/:is Certiftcate issued pursuant to the reqyirements of the Uniform Building Code
cenifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulalrng building construction or use. For !he following:
SF I]WG
20738
Use C7assfiotion: Bldg. Permit No.
Oc-V11-c7 TYPe Zon? i? Disuict
11V1: ?
Orvoer oF BuiWing Address
. y? 601 CDVENM PAEKJAY Locality OMWM P TH
naoe:
Baikting OffiCia!
POST IN A COMSPICUOUS PLACE
?.?.
IN
C1TY OF EAGAN
3830 Pilot Knob Road
I Eagan, Mihnesota 55123
(612) 681-4675
I SITE ADDRESS: , ,; ,
:.?:? I ? F ?•? ? i? ? t, ,• t ? ? ??
. t i?+ •?' I f ? 1 ? ? t , . . ? ?I ( 10
? PERMIT SUBTYPE:
:, ,
TION RECORI)
PERM(T TYPE:
Permit Number:
Date Issued:
QPPLICQNT:
TYPE OF WORK:
fli 11 ; F
il+) a 1 11 r rot;
0 11 :.;3 ti4;
04 i ;' 1 I 0-1
PermR No. Permit Holder Data Telephone It
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRiC
Inspeetion Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isui.
Fireplace
Final Htg.
Orsat Test
Fnal Pibg. Plbg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
B4tlg. Fina4
Deck Ftg.
Deck Final
wen
Pr. Disp.
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
;.. ;i,, , ?•k1.14
? 'Ji hl 1 Ii 1' A't `. /1 1}I
PERMIT SUBTYPE:
;, f,,
RECORv
PERMIT TYPE:
Permit Number:
Date Issued: '
APPLICANT:
TYPE OF WORK:
INSPECTION D. . DA
S I I? ? : 1 :'t? ;
I
I A. It l'r k? l; E I' !_ i F t N
INSPECTIUN
b!J 1 clNl l'tAI i r111i, VAI L F Y (ol fici
PermR No. Permk Holder Dste Telephone #
SNV
PLUMBING ?P f - IIIa.
HVAC
ELECTRIC
ELECTRIC
MKQectfon Dab Insp. Commenb
Footings I
Fo,nda«,
Framiny
Roofing
Rough Plbg.
Rough Ftlg.
Isul.
/
Fl?ep1ACe
FnW Mp. jY9.? d .? ?
Orsat Test
Final Plbg.
"`?.?
7VIr
?dk
Plb9. Inspec,'tor- NotifY Plumbe?
Const. Meter
cngr./Plan ?? 9 3 ?S•
?
Bidg. Final j 31r?
Dedc Ftg.
pgck Fnel
Well
Pr. Disp.
4x,.- I
INSPECTION RECURD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
PERMIT SUBTYPE:
kRAM INO
I I ;"iFf 7N F't 1;ll
TYPE OF WORK:
hl TEftA7IO?i
( f1NU HEf117OC1M)
CN':tjl A I t tiP4
F I N(?1
j I,UM/i17K'•yi A'3F1'ANA1'F F'ERNii i T?, Ftt i,}IITKE D 1 nk AlYY P! I)pfHtNt3 nR rI.Fr"tRYCAI Wtlft!
?
-- - - - - - - - - - - - - - -
?
- - - -
Permk No. Parmit Holder Date Telaphone S
ELECTRIC
PLUMBING
HVAC
Inspeetlon Dats Insp. Commants
FOOTINGS
FOUND
FR/IMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUQH
HEATING
?G-
GAS SVC
TEST
INSUL ^ ?.
GYP BOARD
FIREPLACE ?
FIREPLACE
AIF TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLdG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
Addiess 601 fnvFrrr_RY PARKWAY Zlp 5512 3
, , .
I.ot 21 Blk 3 Sub ?VWM PASS 41x
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
- _"X_
Date• 85,5-- Yes No Inspector:
Fina] grad (6" from siding) ?
Permanent steps (gazage)
Permanent steps (main entry)
Permanent driveway
Permanent gas ?
Sod/Seeded grass
TraiUcurb damage ?
Porch ?
Basement finish r/
Deck ?
Please verify with the builder the removal of roof test caps from the plumbing system and the shuboff of warer supply to
the ou4side lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in righlof-way or installing underground sprinkler system.
Whire - City Copy Yellow • Resident CopyPink • Contractor Copy ?
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: euzLorNG
3830 Pilot Knob Road Permit Number: 0 2 3 3 8 0
Eagan, Minnesota 55123 Date Issued: 0 4/ 21 / 94
(612) 681-4675
SITEADDRESS: LoT: 21 6LOCK: 3 APPLICANT:
601 COVENTRY PKWY BACKMAN MARK
COVENTRY PASS 4TH (612) 681-1459
PERMIT SUBTYPE: TYPE OF WORK:
DECK NEW
INSPECTION ., . .A
FOOTINGS F2NAL
? ?
?/i8/-r/?- REQUEST FOR ELECTRICAL INSPECTION
? See instmcli0ns for complecmg tnis form on beck af yelbw copy
d 27185 'X° e'!ow Work Covered by This Ri
Heater
Farm
Compute Inspection Fee Belaw:
.. I nmer I Fee
I, the Electrical Inspector, hereby
certify that the above Inspection has
been made.
OFFICE USE ONLV
TNS requesl voltl 18 monUS lrom
ServiwEntranceSi2e I Foe
to 200 Amps ?
bove 200 _ Amps
THIS INSTALLATION MAY
d Circuiis/Faetlers Pea
to 100 Amps
"-. ? AmPs
.,, aJ TOTAL ?
?-a?-
,R? D,&C9NNECTED IF NOT
? D-D ?
(
to
7 C,-
27185
d
Repues? oate Fire No. Raugl -in 1 spanion
Fe uir - 1
O RBaOy Now VJ Will
?
S?
?j' q 3 . ves =No - tlY?
tion ot above electrical w at:
t i
nspec
I? licensed contractor ? owner hereby reques ?
Job Ftltlre ss (3lreel. Box o, Route No.) Clry
e e No.
Seclioc No. Townsnip Name or NOU'
CpOW\y i?
N
Occup IPRWT PhoneNO.
Powe, plier Adtlress
A _ ?
Elecmcal or?r ctpr ?GOmpany Nama)
EGe , Coniracror§ Llcense No.
c 464D 38(
MaJing Aadress iGOmmctor or OwAer Making Instellation,
Aumorrzetl Signaw:e fConhac? Owner a' ?g Ins?allaLOn)
. Phane Number
_ 38? ?
/
MINNESOTA STATE BOARD OF EL CTRICITY U THIS INSPEGTION REOUEST WII.L NOT
Grigga-Mitlwey Bitl9. - Room 5413 BE ACCEPTED eV THE STATE BOARD
1841 Universlty Ave_. SL Veul. MN 55106 UNLESS PROPER INSPECTION FEE IS
.
ipone S12) 642-0800 ENCLOSED
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
1_l Q, -?b? 3830 PILOT KNOB RD - 55122 ? e
? ? 651-681-4675
New Conatrudion ReoulremeMs
• 3 registered sile surveys showing sq. ft of lol, sq. R. of house; and all raofed a2as
(20%maximum lot coverage allowed)
. 2 copies of plan showing beam & window sizes; poured tound design, etc.)
• 1 set of Energy Calculations
• 3 coples of Tree Presenation Plan if lot Oafled after 711193
• Rim Joisl Detail Options selection sheet (bldgs wiUi 3 or less units)
DATE 2-
JOB SITE ADDRESS ID60/
SCo 00 • ° '
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER 1Y1 q,e K r_?>?- /CHlA-n/
TYPE OF
APPLICA
REPLACE(S) _ 0 _ 1 _ 2
PHONE#
ADDRESS S, 1?117'zz Tff?i- Sr .STJC /79/U ZIPCODE ?SD?Z
PAGER # CELL PHONE # ?Dl? ' ?Co S f 7? Z FAX #
NE1V RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- Naw Energy Code Worksheet Submitted
Plumbing Contractor: _
Plumbing System Includes:
Mechanical Contractor:
Mechanical System Includes:
Sewer/Water Contractor.
_ Air Conditioning
_ Heat Recovery System
All a6ove inforrnation must be submitted prior to processing of application.
Phone #
I hereby acknowledge that I have read this application, state that the inforrr
with all applicable State of Minnesota Statutes and City of Eagan di on
Signature of Applicant
Certificates of Survey Received _ Tree Preservation Plan Received _
_ Water Softencr
_ Water Heater _
No. of Batlis
RemodaVRepalr Requiremenk v ?
. 2 copies of plan
. 1 sel of Energy Calculations for heafed addRions
. 7 site survey for exlerior additions & decks
• Indicate'rf home served 6y septic syslem for adtliGOns
VALUATION
Phone #:
Lawn Sprinkler
No. of R.I. Baths
Fee: $90.00
Fee: $70.00
Not Required _
Updated 2002
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 07 OSplex ? 13 16-plex
O OS 06-plex 6c16 Fireplace
? 09 07-plex O 17 Garage
? 10 08-plex ? 18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex Plbg_Y or _ N
? 30 Accessory Bldg °
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
? 20 Pool
? 21 Porch (3-sea.)
? 22 PorchlAddn. (4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
'K 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bidg)' ? 43 Reroof ? 46 Windows/Doors
O 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation C9`(? Occupancy MC/ES System
Census Code Zoning -? City Water
SAC Units Stories ? Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs ? Length ? Fire Sprinklered
Type of Const N W idth
REQUIRED INSPECTION5
_ Footings (new b]dg) FinaUCA.
_ Footings (deck) y FinaUNo C.O.
_ Footings (addirion) 7 Plumbing
Poundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesu _ Final
Framing Sidmg Stttcco _ Stone
?
-
Fireplace R.I. ?Air Test ? Final Windows (new/replacement)
? Insulation _ Retaining Wall
Approved By
Base Ree
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Building Inspector
L`rZOXVr-?aC
??Y
(3p,r DGr i
Total
2422 Enterpnse Dnve
Mendota He?ghts, MN 55120
* PIONEER (612) sgi_1s14•Fax 681-9488
LAND SURYEYORS •, CIb1L ENGNEERS
y _ " ' - .
LANO PLANNERS • lANOSCAPE _ ?3G91ECT5 625 Highway 10 Northeast
* engineer?ng Blome. MN ssaaa
* * * (612) 783-1880•Fax 783-1883
-?
Certificate of 5urvey for: Th8 Rottlund Companv InC.
House Address: Coventry Parkway, Eaaan. MN
Model Name: Fairwa ? ?,O
Customer:Backma\ SBr? I
( ??`SSj\ Rq ? sfq c
"?? 85N.Sx °r \ ?f N \
I 77 .A?_
? ?-
?
J ?
20
/
/
k
Aii
? 21 ?
? i
e4 ro`? ? / /
22
i i
? i
i
0RAINACF Eq
> SEMENT
?
N ?
?
kA.'D ?
m
.] W/cr
T
o"I??x ' y`a H
?''9 r
dBr.9
$j
BB39 ? \ o ??;
?
xB93.?
1ti
? ?y? ?`?'^ 8829 ?
i'
9 y3'9B
'9AGAIN ErteIMEEa[rrc? DEPr
RESIDENTIAL ? ?S-7 zs
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
New Construdivn RaouiremeMs RemodeUReoair Reauirements
• 3 reg'stered sAe surveys showing sq. R of lol, sq. H. of house; and all roafed areas • 2 copies of plan
(20% mazimum lol coverage allowed) . 1 sel of Energy Calculations for heated additions
• 2 copies ot plan showiig 6eam & winduw s¢es; paured fwmd design, etc.) . 1 sde survey for exlerbr additlans & decks
• 1 set af Energy Calculations . IfMbate'rf home served by septic system for addNons
• 3 copies of Tree Preservetion Plan it lot platted after 711193
• Rim Joist Detail Options seleclion sheet (61dgs with 3 ar less units)
DATE 3 r 3 d Z VALUATION ? a, 00 0
JOB 51TE ADDRESS 601 CO U? !'? 16?G"'?/,
IF MULTI-FAMILY BUILDl?ING, /H-OW MANY UN/ITS?
PROPERTY OWNER N1Cc/-K l???%vt(L?t gQ G,6"Gt vt
TYPE OF WORK ke - SJ 2 PIREPLACE(S) _ 0_ 1_ 2
' w?rD U?2 n?n ? i????GrS, ZllnL. PHONE# ?1Z-8 79-ggOO
APPLICANT _J/IViv I T
ADDRESS ? 161 ?t?Jv1KeDi n/fVe. ZIP CODE SS d S
PAGER# CELLPHONE# CI2-30rl-77?y FAX# C 12 -`79-,O, OSS
NIEV RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy code CateSory _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor. Phone #:
Plumbing System Includes: Water Softener _ Lawn Spi•inkler Fee: $90.00
_ Water Heater No. of R.I. Baths
No. of Baths
Mechanical Contractor. _
Mechanical System Includes:
Sewer/Water Contractor:
Air Condiponing
_ Heat Recovery System
All above infortnation must be submitted prior to processing of application.
m ? U m
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Or in ces/^,-_-_.
Signature of Applicanf
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 2002
Phone #
CITY OF ?EAGAN
x 3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMITTYPE: guiLolrvG /7/
Permit Number: 0 2 0 7 3 8
Date Issued: 0 4/ 2 7/ 9 3
SITE ADDRESS:
P.I.N.: 10-18403-210-03
DESCRIPTION:
Buildzng Width 601 COVENTRY PKWY
Lq7: 21 BLQCK: 9
COVENTRY PASS 4TH
Buildinj__Permit 7ype
,.Building W'qrk Type
' UBC OequpanoY'\.
Constructian 7?pe
Zoning
Building length
SF DWG
NEW
R-3 M-1
VN
R-1
52
35
-- r
,
t? ?'*l!Jt, ::f
REMARKS:
.. RECEIP7 #
FEE SUMMARY:
Base Fee
Plan Review
Swrcharge
SAC
SAC %
SpC Units
Subtotal
S&W CONTRACTDR - VAI.LEY PLBG
VALUATION
$737.50
$479.38
$64.00
$760.00
100
1
$2,030.88
$128,008
MZSC FEES $1.744.50
Total Fee $3,775.38
CONTRACTOR: - Applicant - sT. LIC. OWNER:
R077LUNq Gq ZNC, TWE 15710304 0001335 ROTTLUND CQ INC THE
5201 E RIVER RD 5201 E RTVER RD 301
FRIDLEY MN 55421 FRIDLEY MN 55421
(612) 571-0304 (612)571-0304
I hereby acknowledge that I have read this appizcation and state Chat tha
information is correct and agree to comply with all applieable 5tata pf Mn.
Statutes and City of Eagan Qrdinances.
L
APPLICANT/PEFMITEE GNATURE ISSUED BY SI NATUR
REACTIVATE _ ED CITY OF EAGAN
PERMIT 4' 1993 BUILDING PERMIT
' t___ PAPR 19 1993 681-4675
a, e73 ? -
L
APPLICATION 3
L_6_? 7_/74
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 L /C? 3 Valuation of wark JF `SC)C3 d
ite Address: Cov-e_n-?4?
SiREET ' v SUITE Y
Tenant Name: (commercial only) 7_?A- C-C? • 21A c •
IAT ?- L BIACK ? LSUBD. P.I.D. N
an 4rS
Descri tion of work: Srn (-e_
The appl i cant i s: M44Ae?ntractor ? Other (uee«tbe)
Name ?9- Phone 04
Property LAST F1R5T
Owner pddress 5ZOL Gei4-er 1?-0• ??S
STREET STE M
City State ?A tA- 2ip
?
Company SRv?L Phone
Contractor Address License # 133s Exp
City State ZiP
Company Phone
Architect/
Eng(neer Name Registration M
Address
City State ZiP
Sewer 6 water licensed plumber Q ? ? . Processing time for
sewer & water permits is two days o ce a ea has be approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable $itate of Minnesota Statutes and City of
Eagan Ordinances. r
Signature of Applicant:
OFFICE USE ONLY
BUILalNG PERMIT TYPE '
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
,& 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
0 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
O 04 SF Porch ? 09 12-Plex ? 14 Fireplace O 19 Comn./Ind. Misc.
0 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
A 31 New ? 33 Alterations ? 35 Tenant Finish O 31 Demolish
? 32 Addition ? 34 Repair 0 36 Move .
GENERAL INFORMATION
Const. (Actual) Y- N Basement sq. ft. MWCC System Yrs
(Allowable) V- N lst F1. sq. ft. City Water ys5
UBC Occupancy -3 M-i 2nd F1. sq. ft. PRV Required
Zoning g_i Sq. Ft. total Booster PumP
# of Stories _ Footprint Sq. ft. Fire Sprinkler
Length --fZ-7- On-site well Census Code IO/
Depth 7? On-site sewage 5AC Code
b`
APPROVALS ??
?;:?
„--L--
Planning Building Assessments
Engineering 4ariance
REGIUIRED IN SPECTIONS
? Site ? Footing ? Framing 0 Insu lation
? Wallboard ? Fi nal ? Draintil e O Fire place
Permit Fee veimcl «n: g ? Z?O C? J
Surcharge ?
Pl an Revi ew CaARACsE ?
;?4 x :2.a =4/So +c l6 = 7,6 80
Li cense
MWCC SAC
City SAC
W
C I S x?p = 300
ater
onn.
Water Meter r
IST FLoofi; 109 y x !6 Zbv
Acct. Deposit ?0164
'
S/W Permit
S/W Surcharge
1'ry x g. 12
Treatment Pl. i'/tx 6 %2'
Road Unit p 54 , 59?F)ZL{
Park Ded.
Trails Ded.
s z sx28- ?764
Other I hx J3 - 2
Total : $04 X 5y = 41 '-1 ! 6
SAC Units ? 1•2rJI U?v
Lor snvtx cncn::: scR notaarrzu.
? BQILDIXO njtIIIT AlDL C?TIO
?ROPLRTY **Qxi,t ??
Ouu
?
?
? aite O= s{i"eyt
?.ffi17T tT?V*+?4na
B?D 0
0 •
• Reqistersd iar,d Surveyor siqsaLuse anQ oo?pany
8?D
D
• tuildinq Permit Applicant
0 L?I'' 0
• 7+
aga1 Qeseziptioa '
d
7l
drese
6?o?`O
8? G 0
0 •
• Nortl, arrou+ and bsr soal• •
Nouse type (samblar, valkovt, spiit tr/o, split snlry,
?
D
• lookout? ?tc.)
Q
D??
D
• Dir:ciiona] drainaqe arravs witA •Iope/qradient •.
?Q
n
• proposed/sxistinq sever sr?d vatez sosvicss
t
S
reet name
a?D 0 • Drivevay
tLrvaTiot,•a
3
t3
fl 8"0
? ?Y
s
nc
SeWer serviee
8? D
!'9? 0 D
D •
• Lot cornezs
? Top of euzb at the driveway
0
D D • El:vations of any existiaq adjaeent isom:s
D n
`
D
• lronosea
Garaq: iloor
0
0
? 0 • Fisst iloor
D
? D • Lovest expos:d olovation (vaikout/viadov)
t
fl D • ptoperiy Corners
• Front ar,d sear o? Aoms at the lounQaLion
'
m' D
0
• pOh
DIl:G ARLa8 tit ?n?lie b?.?
Fnsement liae
8" D D • V: L
lr o n . K;L •
0r D D • Pond 1' designation
?
D D' G • Emerqeney Ovsrflov tlevation
DI!!Ll7S SoNS '
UD
0 Ripht-oi-vay aaE strstt vidth (to Daek oi CurD)
• PsoposeC bome dimensions laeluQinq any proposed deeks,
overhnnqs qzeater lhsn 21, porches, stc. (i.*. all
?D strueturss zequizinq permanent tootinqs)
D • Shov all aasemenis ot secord and aay City utilitiss vithin
L? 0 those •asementc
D • Setbacks cf proposed strueturo and setbaek ot sdjacsni
a existfnq homes •
? ] • Retainir+g rall ssquisements, if any
- Revieve' :
.
I
,, • F:cz•Fr;on h'.HVEf,fS{'F. AVh:itnl;r ^u" cuKru•rn•ri,m -
osnv Ex
SZTE ADDfiESS Ln-r 21, $LOCf( 3, u,1{/evf" PA%,. Y" ABD41
CONTRICTOR _?pTZL(1 ND GO DATF. PHpNE
Deterain workini; square tootnr;e oJ' cach.
1. Total exposed vall area . . Ej sq. ft. x 0.11 _ 2U2,3L
2. Total roof/ceiling area x 8,026
sq. ft = 7
7
8
G
• . .
i
,
c
Total exposed vall area nbovc floc+r = G?, !?:` 4'P
a. Total vall vindow area ............................ I13 Z. O ,
b. Total door area ................................... ?
c. Total sliding glnss door area ... ....... ......... .. 5Q, 1 ?
d. Total fireplace vall area ...........
.............. -
e. Total vall framing area (average 10'0) ..... ..... 577 f. Total net vell area above floor ................ ?21 f 5,-
6• Total rim ,joist area ............... ...........
Total exposed foi:ndation arca
h. Total foundetion vindov area .......
................
i. Total net foundation a:ea nbove grade .............
?! G, 3
. • Deter-rr,ine "U" valce o: eech vall ,ec;ment.
, a. x "ul. Q, 42 =- 7(,o. 77
b. x „U,. 0,136 =
- .• C. 59, 97 X „U„ o,?z - ZS.JB
d, - x
e. . xA lU„ d. p? q - l G. 7?
f. X D¢
. s. 2 r G?. ? X ,.1,,, 8,.9?aa
h. .? ?
A, 7
X
,?i???
57
X ,?U??
3. ... .................... ...... .. 'ior.r:7 = zZ,??'it
.. ? r.
If item p3 is the sazne as,
or SBC 6oo6(02.
or
les^.
:.ti:,n .itcia 0.lG.
pl, yoii have met the inter,t
.,
,' . Totnl exposed rooC/ceilinG nren
%A . ? .
Total gross roof/ceiling are:t = ?- J. Total skylieht area ..........................
k. Total roaf/ceiling frzming area .............• /?-
1. Total net insulated roof/ceiling area ........ 9R I _
Determine "U" vnlue for cnch ro<eC/cei I int; .^,e4,'ment.
J. r_ X 1, U??
.
k: 109 X „U„ o.0 z-7 = Z:9 '
o.ozZ
L . ............................... :. Total
If total oY k4 is the same as, or less than N2, you have met ttie intent of
ssc 6oo6(c)i. . .
, To utilize the total envelope system method, the values establi:hed by the
stmm of iteas N3 and 94 shall not be sreater. thKn the swn of iten,s Bl and N2.
3, + 4.
.
0
_ . ... O
:.,
•
.
.-? .= Vk l.U5 GAl?Gi?-ATID 1? ?GoNT?.
--?f AM?
LoMPoN
12
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_.?{?kTH1NL .
- ?%z lNSU?ATIcti?
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. = _=--.o,??. -- . -
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-_----p,CclO -
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a - -
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=l??t P?. ??U =?D,IZ X o.0?9, t?o,Sb X o.043? = O• o?#-7 -
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t?Po?f?4 {h --
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..? ? .?
DE:r•r,zi_.c:p REi=OR°r FOR E;vTIr;E r+r.nU;:,E..
Pi'"E:Fid31"E!d Foi°,: Pe..n:Frai°ocl l+yc
F{CJ.I. f I..UN23 f::I'JI'1F-'FyrIY 'f :[NI l.,AUI)!VE:f'C
1=1..F+FiE: HFi_fl"f:iNGi
Job Idzsmma
F' X PL7 SI.IN<E.
I:iL..F-'i`iiS Ni713T'Fi :3f7E.i1F•I f::e'1',ia( frJEfi1' nik:IfSW ::ifi:/'r3W ViCJFiJ. f'l;l`I"Fll.
. ._._,. __... _...._. ... ,_) ? ? t
?"Y 1 a?f!1 :.1r)j .?j?j 1..'1:14 Z?'? 14l ??i iJii
C::I3(.'31_Tf1El"i. i '3 u":i 69:3i 1,440i sSe2.21 i 4011 5z3i 9: 9,6721
<.Y??.?• ;
FlV.f•ll"Jhl(: t ? l I, t 1'Sa:.'al ? S,6641 .? i .i.. -??';-?i l71 i0e??4•e i
. y........ . . .,
.._ ....... . x?ki:t. CiW
6df;i..LS N(:lR'I"N '.'3i.31J7hi E'h;3WlcSi' IJ6:/hJW GEIE/:s`W CSfZ EanF ri:l"fd=a_
. .. ._.__._......,..........
i aFi9 ,._..,_,._..,,,_,...,._ ..... ........._. _,.. . .
F•y`? .,.. . _ ?;. -, e, ^
1 i 627i f.?t) 3 1 1 O 1 1 C) i tti ? .? n _ ,..?59 i
COOLYNG i „C'J 1 t] i ???S x:i i r.''i9v i :55:' i 9: 9i (): :,r 143 i
Hc:rt'rJNc, t 2,256; 2,111; 214€36; 2.410; 40; ac,; 5,296; 14„649!
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I.IEA'F:I:PJtii I?E(_T'A 'f' 615,0 f:tlClf..IhJQ? 1)E:L`tFl 1- 18.0
PERMIT
CITY OF EAGAN
--)C
"
3830PilotKnobRoad PERMITTYPE: aurLozNS y
Eagan, Minnesota 55123 Permit Number: 0 2 3 3 8 0
(612) 681-4675 Date Issued: 94 /21 /94
SITE ADDRESS:
601 COVENTRY PKWY
LOT: 21 BLOCK: 3
COVENTRY PASS 4TH
P.I.N.: 10-18403-210--03
DESCRIPTION:
'
BmildiynoiPermit Type DECK
Building lJa,rk Type NEW
f "+?7
,-
\
,.
-oo? ??1
REMARKS:
FEE SUMMARY:
Base Fee $30.00
3urcharge $.50
7oCa1 Fee $30.50
CONTRACTOR: OWNER: - Applicant -
BACKMAN MARK
601 COVENTRY PKWY
EAGAN MN 55123 (612)681-1459
I hereby acknqw],edge that I have read this application and state that the
information is corretlt and agree to comply with all appl;it;able Stats ofi Mn.
Statutes and City Qf E'agan Ordinances. -
? J
/ APPLI ANT/PERMITEE SIGNATURE IS UED e? S RE
• • CITY OF EAGAN - -
.
1994 BUILDING PERMIT APPLICATION
681-4675 --- t 5 f>>4
?'
...-----------
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, i 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 og __ Valuation of work
Site AddrESS:
?
STREET SUfTE #
Tenant Name: (commercial only)
LOT z? BLOCK SUSD. CoVC4C"4r1 P?ff 'V? P
.I.D.
T
Descri tion of work: C ti ,
The applicant is: IM Owner ? Contractor ? Other (Describe)
Name nnekn?? A'1*„(C Phone (okl -145-4
Property LAST FIRST
Owner qddress 601 C
o
1
f
t
.
vC4
a
wau
ar
STREET STE #
CitY ?,r?r State MA? Zip ??'l17
Company Phone
Co ntractor Address License # Exp.
City State Zip
Campany Phone
Architect/
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application•?and state that the information is
correct and agree to comply with all applicable State of Minnesota 3tatutes and City of
Eagan Ordinances.
Signature of Applicant:
3068t 97 BUILDING PERMIT APPLICATION (RESIDENTIAL) 4.60aJrO
3830 PILOT KNOB RDN 55722 a•w
681-4675
RemodeVReoair Renuiremen[s
? 3 registered sile surveys ? 2 copies of plan
? 2 coples of plens (fndude beam & windaw sizes; poured fid. design; etcJ ? 2 site suneys (e)teriar addMions & dedcs)
? 7 energy calalaGons • 1 energy celculatlons Mr heated edtli[iona
? 8 copies M tree preservation plan if lot platted efter 7/1/93
required: _Yes _ No D'°`TE: --! I 1d9-7 CONSTRUCTION COST: 9-5,000
DESCRIPTION OF WORK:
STREETADDRESS: -j
LOT I L BLOCK _3 SUBD./P.I.D. #:
PROPERTY Name: ARCkhah /?IQtlk Phone #: ? a 1-1 `ES ?
OWNER I ?-
Street Address:---L I Cnue., ?w ,
City: _/7n a a,., State: M A1 Zip: Sr" 123 ^
CONTRACTOR Company: Phone #:
Street Address: License #:
City: State: Zip:
ARCHITECT! Company: Phone
ENGINEER
Name: Registration #:
Street Address:
City: State:
Zip:
Sewer & water licensed plumber (new construction only): . Penalty applies when atldress change
and lot change are requested once permit is issued.
I hereby acknowledge that 1 have read this appiiqtlon and state that the infomnation is corcect and agree to comply with all applicable
State of Minnesota Statutes and Ciry of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No IKI
Tree PreservaGon Plan Received _ Yes No Not Required
PERMIT
C•ITY OF EAGAN
3830 Pifot iCnob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 030809
(612) 681-4675 Date Issued: 10 ( 0 2/ 9 7
SITE ADDRESS:
601 COVENTRY PKWY
LOT: 21 BIOCK: 3
COVENTRY PASS 4TH
P.I.N.: 10-18403-210-03
DESCRIPTION:
' `--_ (ONE BEDROOM)
Rzfilsling ;-P?srmit Type BA3EMENT FINISH
Building 1.E&r-k 7ype ALTERA7TON
Genaus Code
434 ALT. RESIDENTIAI
?
. z?
REMARKS:
A SEPARflTE PERMIT IS REQUZRED FOR ANY PLUMBING OR ELEC7RICAL WORK
FEE SUMMARY:
Base Fee $50.00
Surcharge $.50
Total Fee $50.50
t
CONTRACTOR: OWNER: - Applicant -
BACKMAN MARK
601 COVENTRY PKWY
EA6AN MN 55123
(612)681-1459
T.here,by aeknow?edge that,.,I have. read th3srappiicat?ion aod stiata Gha,t the
?. .: ?
irifiormatian is ,correct and agree, t'o..cqmplyµw3th al?} aP`pJ icat?5le Stat0`110'F Pkes.
StaCutes arnd City of,Eagan Ordin:ances.` '
I\.?? )ll.l
Am a W
APPLICAN !PR IT SIGNATURE ISSU D EYI SIG ATURL
?
CITY USE ONLY
L?? , BL .? REGEIPT#: O GI& a/
4-- / ?3-
SUBD. ( D1? `?Ctd.L RECEIPT DATE:.
?J
1997 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for. . single family dwellings
? townhomes and condoswhen permits are requi[ed for each unit
? backflow preventer for underground sprinklersystem
FIXTURES EACH hO. TOTAL
Shower 3.00 x _L =
Water Closet 3.00 x l =
Bath Tub 3.00 x -
Lavatory 3.00 x
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet • minimum - 1 3.00 x =
Rough Openings 1:50 x =
Water Softener ' for dwellings under construction 5.00 x =
WaterSoftener ' for existing dwelling 20:00 x =
U.G.Spflnkl2r 'fordwellingunderwnst. 100 =
??SDnW&fPVAN787iieting?,0 h , „;f 2 =
Alterations ' to existing residence 20.0
Water Tum Around 20.00 =
Private Disposal System ' oak cry nc. 65:00 =
(naw and refurtished systems) -
Private Disposal Systems "nbandonment 20.00 =
STATE SURCHARGE .50
TOTAL a o, s 6
I hereDy edcnowledge. that I heve readthis applicatlon, state that Me information is cortect, and agree to camply wkh ali _applicable Eity
of Eagan ordinances. It is the applipnPs responsibility to notity the property owner that the Ciry of Eagan assumes no liabiliryforany .
damages caused by the City during its normal operational and maintenance activities to the fadlitias construGed under;his pertnil within
City propertyhigh4of-wayleasement
SITE ADDRESS: Cn a? C o v e^ ? y
y
OWNER NAME: ._K2 c e Gt ? c G( /-, o?
INSTALLER NAME: HESSIAN PL+dG. SERVICES, INQ TELEPHONE #:
STREET ADDRESS: l0??hts, MN 55677
I
CITY: STATE: ZIP:
SIGNATURE OF PERMITTEE
OFFICE USE ONLY
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIltED FOR EACH UNTT.
NO. FIXTURES EACH TOTAL
? SHOWER 3.00 ? -
-? WATER CLOSET 3•00 9'
a BATH TLTB 3.00 u -
3 LAVATORY 3•00 `i -
? HITCHEN SINK 3.00 3 -
LAUNDRY TRAY 3.00 3 -
HOT TUB/SPA 3.00
I WATER HEATER 3.00 3-
i FLOOR DRAIN 3.00 -3 •
? GAS PIPING OUTLET • minimum - t 3.00
-? ROUGH OPENINGS 1.50 u- 50
WATER SOFTENER 5.00
PRIVATE DISP. • DaLCry. lia 15.00
U.G. SPRINKLER • nome uneec consi. 3.00
ALTERATIONS ' to odsting 15.00
WATER TURN AROUND 15.00
STATESURCHARGE
STTE
OWNER N
INST
TOTAL:
.50
LI-7 ? _
ADDRESS: ? O I!) C
CTTY: ? (GA ? STATE: WI - ZIP CODE: >-L)
PHONE #: ( ) ?-4cl 2 - ar a ,
SIGNATUR OF RMITTEE
1993 PLUMBING YEIiMl'1' (ltEblyE1v"1UU.)
CITY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUII2ED FOR EACH UNTT.
? NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
DATE
FEES
NVAC: 0-100 M BTU $ 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS (MIh'IMUM 1 C 53.00 EACH)
ADD-ON/REMODEL (ExIsTtNG CoNSTxucnoN) $ 15.00
STATE SURCHARGE .50
TOTAL a'1So
SITE
OWNER NAME:??_ TELEPHONE
INST
ADDRES3:?`???
CTTY: C?\? x--, STAT'E.?.?," ZIP CODE. ? a..
TELEPHONE #:
SIGNATURE OF PE MITTEE
1993 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
Amilb.
City of EapIl
? _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ -
I For Offce:_U_s'g ?
? Permit#:
? PennR Fee: l o ?
I I
? Date Received:
I I
? Staff: I
I ----- I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: I/- ILt V O Site Address:
Tenant:
Suite #:
RESIDENT / OWNER Name: Phone: 651 -G g 0 qS 9
Address / City / Zip: s /a? .3
Applicant is: _ Owner ? Contractor
TYPE OF WORK Description of work?'Y2R*-v
on
Construction Cost: ?a 1 rI f"' Multi-Famity Building: (Yes No ?
CONTRACTOR Name:
Address: ?S??Z A. ??P N
??
City: State ?Zip: 1S
Phone: Contad Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Enefgy COd@ . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(4 submission type) • Energy Envelope Calculations Submitted
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 ConVactor: Phone:
NOTEc Plans and supporting documents fhaf you submit are considered to be public information,: PorYions°of"
the informafion may be classified as non-public if you provide specific reasons that would permit the City:fo,,
? conclude ttiat the are tratle secrets. . ?
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and wdes of the City of
Eagan; that I understand this is not a pertnit, but only an application for a permit, a ork is ot to start without a permit; that the work will be in
accordance with the approved plan in the case of viork which requires a review and proval of pla sC?&
x E?T ?.?x?
Applican s Printed Name Appli nYs Signature
Page 1 of 3
? , -
2422 Enterprise Drive
-V Mendota Heights, MN 55720
'k PIONEEF! LAND SIJRVEYDftS • CIV1L ENGINF.ERS (612) 681-1914-Fax 681-9488-
?c --------------
, _.._ __-
__._
eI1gIPIeeI?II1g 6NO PLANNERS • LnNOSCnPE ARCHITECTS 625 Hi9hway 10 NofiheaSl
7? * Bloine. MN 55434
?( * x, (612) 783-1880-fax 783-1883
Certificate of survey for: The Rottlund Companv, IC1C.
House Address: Coventry Parkwav. Eagan. MN
Model Name: Fairwov
Customer:Backma\
' T
8$-!?
i
s /
?
?
/
/
20 ?
i
/
\ o \ '?'Y
BB'•s ?? ?
/?S / \ \ 3s2 ? ? \ J-
a,?
/ db?
?4'tB ?
/
x
BBi 9
?? c?4 ?? 9 j ,p cB
Tq? ?C? t , ?9?\ 882.9
?OO°' °SO h 82N9 % p
6Bj ?M1} `y? 9 U}?yp1
s /y5
?
?y?j? y3.98
A ? g?i.y / /s g
? 21 ?i
/
??? /
2 'y
? i 22
? i
? i
i ?
? `zz' e
; A'NAGE- ?SE14EN
i
'h .
R?
?
{J1 V
r ?
w ??
?
2?
?? ?S? a
N ???AN ER1GTNEERIATG DEPT
. soo.o Denotes Existing Elevaiion
. eoo.o Denotes Proposed Elevation
- Denotes Drainage & Utility Easement
- Denotes Drainage Flow Direction
-o- Denotes Monument
-El Denotes Offset Hub Bearings shown
LOT 21 , BLOCK 3
DAKOTA COUNTY, MINNESOTA
I hereby certify that this survey, plan or report was p ared b,
under the laws of ihe State of Minnesota. Da[ed thisday o/
Scale: 1 ?nch_40feet
PROPOSED HOUSE ELEVATION
Lookout Window Elevation:881.66
Lowest Floor Elevation:878.45
Top of Block Elevation:886.56
Garage Slab Elevation:886.23
are assumed
COVENTRY PASS
4TH ADDITION
o men or under my direCC supervision and Ihat I m duly Registered Land Surveyor
_MG164>?A.D.19-q-)-.
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R06ERT 8. SIKICH L.S. REG. NO. 14891
Fl 5 92526.60
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2422 Enterprise Dtive '
Mendota Heights, MN 55120
612) 681-1914-Fox 681-9488
625 Highway 70 Northeast
Bioine, MN 55434
612) 783-1880•Fax 783-1883
Certificate of survey for: The Rottlund Companv. If1C.
House Address: Coventrv Parkwav. Eaaan. MN
Model Name: Fa??? \ ?'OL
Customer: Backma \ .? ? ?)T
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. 900.0 Denotes Existing Elevation
= oo• Denotes Proposed Elevation
- - - Denotes Drainage & Utility Easement
Denotes Drainage Flow Direction
-cl- Denotes Monument
-a Denotes Offset Hub Bearings shown
LOT 21 , BLOCK 3
DAKOTA COUNTY, MINNESOTA
I hereby certity that thif survey, plan or report was p ared b.
under ths law? a( the State ot Minnesoca. Oated thisday of
SCQle. 1 inch=4Ofre
DEPT
PROPOSED HOUSE ELEVATION
Lookout Window Elevation:881.66
Lowest Floor Elevation:878.45
Top of Block Elevation:886.56
Garage Slab Elevation:886.23
are assumed
COVENTRY PASS
4TH ADDITION
r me or under my direct supervision and that 1 m duly Registered Land Surveyor
A.D.19?. .' ./ ?
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fiOBERT B. SIKICH L.S. REG. NO. 14891
Use BLUE or BLACK Ink
~ For Office Use I
I
'3n
City of EaEd Permit I . - ~ ,
1 Permit Fee: f2
3830 Pilot Knob Road
Eagan MN 55122 RECEIVED 1 Date Received: ✓ j
I
Phone: (661)676-5675
Fax: (651) 675-5694 MAR 13 20.14 I Staff: I
II
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: '-Z'3 Site Address: Unit
Name: M Utr C' ftilrl q 90 a ( YI-M CA 0 Phone:
Resident/
Owner Address/ City /Zip: ! i? C ~'~1~+(~~hM ~G~r i~w (h~l ~ i L-AG C' n M N 55 i Zl
Applicant is: Owner Contractor
Type of Work Description of work: r
Construction a~Cost: Multi-Family Building: (Yes No L
Company: l~hCJj\(y Contact: ~V C), n Se 1\J ti~
V I Q. Ll
Contractor Address: ~ city:
State:_ Zip: Phone:
License V V 2-1 Lead Certificate N "1 \ 1 4
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
~A fl,
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 they 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.aooherstateonecall.ora
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building ode must be completed within 180
days of a it is ance.
X4 o x
Applic is Printed Name Applica is Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LlN
SUB TYPES
_ Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration (Single Family)
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 eTLA f4) n I -ft\
_ 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 Occupancy' MCES System
Plan Review Code Edition SAC Units
(25%_ 100%""Ij) Zoning f City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC _ Gas Service Test Gas Line Air Test
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
Sheathing Radon Control
Sheetrock Erosion Control
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee ~Yv
Surcharge i!^I
Plan Review
MCES SAC
City SAC Op"
Utility Connection Charge
S&W Permit & Surcharge L9
Treatment Plant
Copies
TOTAL
Page 2 of 3
Use BLUE or BLACK Ink
For Office Use [f(~ I
/ l 7 O1 l
i Permit
o~+ Ea
Clay ~
3830 Pilot Knob Road I Permit Fee:
' I
Eagan MN 55122
Phone:. (651) 675-5675 Date Received:
I I
Fax: (651) 675-5694 I I
Staff:
- - - - - - -
2014 MECHANICAL PERMIT APPLICATION
❑ Please submit (2) sets of plans with all commercial applications
Date:- ! 7 Site Address:
Tenant: Suite M,
sidentlOwner _F Name: ~A✓J Phone: (~15J . ~7 7'' cl
Re
Address / City / Zip: [-~ivl ~fJ
Name:. K4 U License
i
Contractor Address: I City: /
State: N Zip: Phone m -
Contact: ? ft I Email:
1 New R placement Additional 1 Alteration Demolition
t( Type of Work Description of work: a) 0,4 oLe= A
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
RESIDENTIAL COMMERCIAL
Furnace New Construction _ Interior Improvement
Permit Type -Air Conditioner Install Piping -Processed
Air Exchanger Gas _ Exterior HVAC Unit
-eat Pump _ Under/Above ground Tank Install Remove)
Other jhYIG t 1~UL
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit (includes $5.00 State Surcharge),
$100.00 Residential New (includes $5.00 State Surcharge) = $ TOTAL FEE
COMMERCIAL FEES Contract Value $ X.01
$55.00 Permit Fee Minimum
$70.00 Underground tank installation/removal Permit Fee
*If contract value is LESS than $10,010, Surcharge = $5.00 Surcharge*
**If contract value is GREATER than $10,010, Surcharge = Contract Value x $0.0005
***If the project valuation is over $1 million, please call for Surcharge TOTAL FEE
I hereby acknowledge that this information is complete and accurate;' that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance
with the,approved plan in the case of work which requires a review and approval of plans.
t 1. h L. ti"~ ~Y141 x
X
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE
Required Inspections: Reviewed By: Date:
- Underground Hough In Air Test Gas Service Test In-floor Heat Final HVAC Screening
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA121419
Date Issued:03/31/2014
Permit Category:ePermit
Site Address: 601 Coventry Pkwy
Lot:21 Block: 3 Addition: Coventry Pass 4th
PID:10-18403-03-210
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures
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.
Fixtures:kitchen sink, kitchen faucet, icemaker line
Theresa Bialon
11473 Kenyon Court
Fee Summary:PL - Permit Fee (miscellaneous)$55.00 0801.4087
Surcharge-Fixed $5.00 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 -
Mark E Backman
601 Coventry Pkwy
Eagan MN 55123
Spring Plumbing Llc
11473 Kenyon Ct
Blaine MN 55449
(763) 614-7963
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA146110
Date Issued:10/09/2017
Permit Category:ePermit
Site Address: 601 Coventry Pkwy
Lot:21 Block: 3 Addition: Coventry Pass 4th
PID:10-18403-03-210
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 -
Mark E Backman
601 Coventry Pkwy
Eagan MN 55123
Scherer Brothers Lumber Company
9401 73rd Ave. N
Suite 400
Brooklyn Park MN 55428
(952) 277-1600
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA175960
Date Issued:04/25/2022
Permit Category:ePermit
Site Address: 601 Coventry Pkwy
Lot:21 Block: 3 Addition: Coventry Pass 4th
PID:10-18403-03-210
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.
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 -
Mark E & Melinda B Backman
601 Coventry Pkwy
Saint Paul MN 55123--396
Summit Construction Group Inc
5325 W 74th Street, Suite 11
Edina MN 55439
(218) 343-8884
Applicant/Permitee: Signature Issued By: Signature