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617 Coventry PkwyWtrtificate nf Cccupanc? wuv o? ??? ???saiakwa 3*60ectim This Certificate issuad pursuant to the nquirements of the Uniform Building Code certifying that at dee wne of issuance thrs stnrcture was ia compliance witb the various ondinances of the City regulatireg building construction or use. For lhe following: Uae L7aesification:SF DWG Bldg_ Pernrit No. 21543 R3 1 R3 VN OCCUP-C7 Type ?? ?8?? ?? ?? S ? E ?V? RD, ? '? o.? ar Bo? PAFd6+lAY ? , ,OUUHNM PASS 4TH a - aaalm ?;ly aaa Drte: ? Buildo? PO6T IN A CONSPICUOUS PLACE ?..»' Wertificate vi Cccupanc? whv of 4pas«x ?? ?f ?? ftd"dim This Certificate issued prirsnant w the rrquirements of the ilniform Building Code certifying thal al the tinre of issuance this structure was in compliance with the various orduemeces of the Cily regulating building corrstruction or use. For the foUowing: U. cwi?.PF M ew$. rennk No. 21543 R3 R3 Vhi ConsL ?r ? lf? I?II? OD ? ? E?ED, FRIIYEY . ovna of suTMng P ^ddnm ? .? PASS 4IS s g nadrm LOCWny nae: , auBding OWmA POST IN A CONSPICUOUS PLACE . --- ?. CITlf OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 INSPECTION RECORD PERMIT TYPE: Permit Number: Date Issued: etll r i u r ni? C' a ?,4 { N7/11'fy3 SITE ADDRESS: , „ [; ; ra :ir'P 1'k Wti ! 1i 1 t' ? 1'!1`.'•, ?! 1 li PERMIT SUBTYPE: APPLICANT: -it I l tz 1: ) }. / 1 kl 2 4i q TYPE OF WORK: ;'- 1 I Ni, ,.,;tbt i rd i I N ilr II I 1 1 f Y .? 408- .. , . - - - _ . . . ._ _. -, . : ? - . . ., ._ _ ''?• - . ? - Permtt No. Permit Holder Date Telephone # S/W PLUMBING HVAC $ J? .?f ELECTR Q G 8/d j ? ? ELECTRIC Inspection Date Insp. Comments Footings I ;7? ? Foundatbn llm 3 h5 Framing Y Roofing Rough Plbg. Rough Htg. ?, G? / ? [5ul. 3 ? Firepl3Ce ??l Htg. 0_7?3 Orsat Test Fnal Plbg. D_7_ dj T ? Plbg. Inspector - Noti(y Plumber COnst. Meter EngrJPlan ew9. Finai /0 3 Deck Ftg. Dsck Final Well Pr. Disp. v INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, MinneSOta 55122-1897 Date Issued: c, ; (612) 681-4675 SITE ADDRESS: i i?! .• ISI IJ? H ? ??i , I ?J M ?• "i 1'? (l'f i , ovr Nrtiv ?>A,.,. ,a ii, APPLICANT: 1/1NtlN I. I . ) i,stt, ii PERMIT SUBTYPE: M ftl? i i riii TYPE OF WORK: I 1 IJ fv i F ?i ` ?? Permft No. Pertnk Holder Date Telsphons f ELECTRIC PLUMBING HVAC Inspectlon Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBCi AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FlREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FfG D ? DECK FINAL ?11 .6 7 INSPECTION RECORD CITYOFEAGAN PERMITTYPE: BuiLoiroe 3830 Pilot Knob Road Permit Number: 021543 Eagan, Minnesota 55123 Date Issued: e 7/Z Z/9 3 (612) 681-4675 SITEADDRESS: LoT: 25 BLOCK: 3 APPLICANT: 617 COVENTRY PKWY ROTTLUND CO INC, THE COVENTRY pASS 4TH (612) 571-0304 PERMI pW UBTYPE: TYPE OF WORK: NEw INSPECTION FOOTING .• . FRAMING ., INSUI.ATION FINAL FZREPLACE REMARKS: S& W PLBR - VALLEY PIBG r.- _ ? Address 617 mvErrrRY PAUxwaY Zip 5512 3 Lot 25 Blk 3 Sub rovQII?tY PASS 4Ttt THESE TI'EMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION. Date: 10/ 1 93 Yes No Inspector: 9 Final grade (6" from siding) ? Permanent steps (garage) ? Permanent steps (main entry) ? Permanent driveway ? Permanent gas 5od/Seeded grass TraiUcurb damage Porch Basement finish j? Deck Please verify with the builder the removal of roof rest caps from the plumbing system and the shutoff of water supply [o the outside lawn faucet before freeze po[ential exists. Contact engineering division at 6814645 before working in rightrof-way or instatling underground sprinkler system. ? White - City Copy, Yellow - Resident Copy Pink • Contractor Copy 1 ?/=9162 ?REOUEST FOR ELECTRICAL INSPECTION See inshvclions or rqmpleting this fortn on back oi yellow copy 'X"f6elow Work Covered by This Request ewAdd Rep. ' TypeofBUildin 9 AppliancesWired Home o„„,,,, Inspection Fee Below: Other Fee ning Pool etherFee T- I, the Electrical inspector. hereby certify that the above inspection has been made. XFFICE IISE ONLY his requesl void 18 monlhs from ? iFumace Canditioner Contractor's Remarks: # ServiceEntranceSize Fee 0 to 200 Amps Above 200 _ qmps nspecror5 Use Only: 93,J-,li Tof?1L THIS WSTALLATION MAY BE OI COMPLETED WITHIN kl EB-0p001-08 /f? ?/ rP 9?2- Clrcuits/Feeders to 100 Amps JOV0100 Am l?3 3:Ez- _ 40 IF NOT r-lf-'yy G-I ,Z -9: ?019 6 2-??r?r?/9?- 5 ?.? ?, D?r ? 3 aU Request Oate Fire No. Rough-in sp ion NOTICE: You Musl Call Eleclrical Inspe R uirea? II A Rough-ln Inspe Ves [1 No Is Required. I? licensed contractor ? owner hereby request inspection of a6ove electrical work aY i Job Atldress (SVeet, x or Route No) Ciiy • ? ? Sec[ion No. Township Name or Nd. Fa e o. Coun Occupant(PRINT) Phone No. Power Su ier ^` /-? I Atltlress Elecvi qrtlraqor (COmpan Name) Conirector's license No. C-R-oo Mailin tlress (COnlractor.pr Owner Making Installation) ANhorizetl Signature (COnVa ori0wne inq Installati n Phone Number MINNESOTA STATE BOAFD OF ELECTqICITV 7HI5 INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - qoom S-113 BE AGCEPTED BV THE STATE BOARD 1821 Ilniversity pva.. SY. Peul, MN 55106 UNLESS PFOPER INSPECTION FEE IS Phone(61P) 642-0B00 ENCLOSED. '-(9 0C)? New Construdion Raouirements • 3 regis[ered site surveys showing sq. fl. of lot, sq. ft. af house; and all roofed areas (20% maximum lot coverage allowed) . 2 copies o(plan showirg heam &window sizes; poured found design, etc.) • 1 sel of Energy Calculations • 3 capies of Tree Preservation Plan if lot platted after 711193 . Rim Joist Detail Oplions selection sheet (bldgs with 3 or less uniGS) DATE JOB SITE IF MULTI-FAMILY BUILDING, HOW MANY PROPERTY OWNER EYZla.S 1? C??R-(QC RESIDENTIAL BUILDINC PERMIT APPLICATION CITY OF EAGAN \ 3830 PILOT KNOB RD - 55122 651-681-4675 1? TYPE OF WORK FIREPLACE(S)T 0_ 1_ 2 APPLICANT e22w,.S i ? ?r-rzYfri7etC? PHONE#/?Sl6w -ooV Z ADDRESS ZIPCODE PAGER # CELL PHONE # - FAX # ? 2 7 2002 ed NEW RESIDENTIAL BUILDING ONLY - FILL OUT COM' Energy Code Category MINNES01'A RiJLES 7670 CATEGORY (check one) - Residential Ventilation Category 1 Worksheet S - Energy Envelope Calculations Submitted MINNF.SOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: _ Plumbing Systcm Includcs: Mechanical Contractor: Mechanical System Includes: Sewer/Water Contractor: _ Air Conditioning _ F-Ieat Recovery 5ysccm Phone # Phone # Fee: $90.00 P'ee: $70.00 All above information must be submitted prior to processing of application. 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 na s. Signature of Appltcant Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 2002 _ Water Softcner Watcr Heatcr _ No. of Ba[hs RemodallReuair Reau'iremen 4^? . 2 copies of plan D. '. --?-?' -U . 1 sef of Energy Calculations for healed additions • 1 site survey for exterior additions 8 decks • Indicate if home served by septic system for additions 4?02-36. fri o 6-2'_-? ( Phone #: Lawn Sprinkler No. of R.I. Batlis OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex X 19 Lower Level ? 24 Storm Damage ? 06 04plex ? 12 12-plex PIbgXY or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move 81dg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bidg only) - Give PCA handout to applicant Valuation G- Occupancy MCIES 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 Width REQUIRED INSPECTIONS _ Footings(new bldg) FinaUC.O. _ Footings(deck) ? FinaUNo C.O. _ Footings (addition) Plumbing _ Foundation ? HVAC Drain Tile Other Roof Ice & Water Final Pool F[gs Air/Gas Tests Final Framing _ Siding Stucco Stone Fireplace _ R.I. _AirTest _ Final _ Windows(new/replacement) ? Insulation _ Retaining Wall Approved ey Base Fee Surcharge Plan Review MC/ES SAC Ciry SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Tota I ????? ? ??,OUO Building Inspector r_r1t/1 S1f V,F}C, L/,4p e-.J ? 1544 1 CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Conatrudion Renuirements RemodeUReoair ReauiremeMs ? 3 regisffired site surveys ? 2 copies of plan ? 2 copies of plana (indude beam & window saes; poured fid. design; etc.) ? 2 site surveys (exterior additions & decks) ? 1 energy wlculations ? 1 energy calculatians tor heated additions ? 3 copies of tree proservation plan it IM platted after 7/1/93 required: Yes No DATE: 1- Q_Q? CONSTRUCTION COST: - 413co•? DESCRIPTION OF WORI STREET ADDRESS: LOT ? BLOCK PROPERTY Name: M_XO d ( 1;.?-?Y Phone#: ??Lo5(Q? OWNER `^i* ^ „ """ (1 Street City: GAC?AM State: CONTRACTOR Company: Street Address: rity: Phone #: License #: State: ARCHITECT/ Company: ENGINEER Name: Street Address: Ciry: Sewer & water licensed plumber. change are requested once pertnit is issued. I hereby acknowledge that I have read this application and state that the applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received Yes No State: Zip: Penalty applies when address change and lot 41'1; 2 4 1995 --------------- Phone Zip. Registration #• is correct and agree to comply with all ??,??? ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: PermitNumber: BUILDIN6 Date Issued: 0 2 5 9 B 7 05/01(95 SITE ADDRESS: P.Z.N.: 10-18403-250-03 DESCRIPTION: 617 COVENTRY PKWY LOT: 25 BLOCK: 3 COVENTRY PASS 4TH Bdildzng`Permit Type 8uild3ng Wo<'ek, Type r W i \ ,.;i.. .. . ,i _,- DECK NEW . '. . . ?". . . ... ?, .•..y Y , . . . . .., . : . - y - - ?'?.: ?" 5„? -?.._ ? REMARKS: FEE SUMMARY: Base Fee $30.00 Surcherge. $,50 Total Fee $30.50 CONTRACTOR: OWNER: - Applicant - HANSON KELLY 617 COVENTRY PKWY EAGAN MN 55123 (612)686-0521 I hereby acknowled e that I have read this application and state that the informatian is carre and agree to comply with all applicable State o'? Mn. L Statutes and City of Eag Ordinances. . J ? ntsn Rtal ,? PL ANT/PERMITEE SIGNATURE ISSUEUT: S ATU E? ? CITY 0F EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT PERMIT TYPE Permit Number: Date Issued: ?? BUILDIMG 021543 07/22/93 SITE ADDRESS: 617 COVENTRY PKWY LOT: 25 BLOCK: 3 COVENTRY PASS 4TH P.I.N.: 10-1$483-250-09 DESCRIPTION: f.., ?1 Building Permit 7ype SF DWG jBuilding?'WQrk Type NEW r°UBC Occupancjn, R-3 M-1 /'Canstruction Type V-N 2oning ? R-3 ? Building Lehgth ; 66 ? Building Width 36 . V, / \ F ? ?=?/? ?? •-r-? / r-' '.? _ ,1 4 c?V,.?.. =:.\ U C..REMARKS: 3& W PLBR - VALLEY PLBG FEE SUMMARY Base Fee Plan Review Surcharge SAC SAC % SAC Units Subtotal VALUATION $870.50 $565.83 $83.00 $750.00 100 1 $2,269.33 ;166,000 MISCELLANEOUS $1.744.50 Total Fee $4.013.83 C$NTRACTOR: - APPlicant - sT. Lsc. OWNER: R TTLUND CO INC, THE 15710304 0001335 THE ROTTLUND CO INC 6201 E RIVER RD 6201 E RTVER RD 301 FRIDLEY MN 55421 FRIDLEY MN 55421 (612) 571-0304 (612)571-0304 I hereby acknawledge Lhat I haue read this appl3cation and staCe thaC the information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. L APPLICANT/PERMITEE SIGNATURE ISSUED B: SI NATUR REACTIVATE _ PERMIT ;? r?3T ?, ???// [D 1993 BUILD NGA ERMIT APPLICATION ?????E-?• ?? ? ' atL ? L 1 4 1993- 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 Valuation of work E08 Site Address: (? (ft7Jft4rn1 - etc_I4 % STREET SUITE N Tenant Name: (commercial only) Ao &444t44 60•1w[_ IAT 2 S BIACK ? SUBD. 40, P.I.D. M ' ?.t?1ltY? kSS Descri tion of work: Sj%le ' The appl i cant i s: yzyner, Contractor ? Other (Deeeribe) Name Tko &2d±1thtj cck SNG• Phone 51?-o3oQ Property LAST FIRST Owner Address SZot E• ej uer fd. *301 STREET S7E it City F C t4dIR/ StateMn Zip s r4Z - Company Phone Contractor Address License # 1335 Exp3^31"'OI City State Zip Company Ail& Phone Architect/ Engineer Name Registration a Address City State Zip Sewer & water licensed plumber V Processing time for sewer & water permits is two days once a ea as been roved. 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 Appl icant: 1 OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 02 5f Dwg. ? 07 4-Plex ? 12 Multi. Misc. 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory `.7 04 SF Porch O 09 12-Plex ? 14 Fireplace .7 OS SF Misc. ? 10 Multi. Add'1. ? 15 Deck 'NORK TYPE ? 31 New ? 33 Alterations ? 35 Tenant Finish J 32 Addition ? 34 Repair O 36 Move :aENERAL INFORMATION ; !'?! T?, ? "t O"?6 ,?em<Fih ?-17 Swim'FooT" ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 'Demol i sh Const. (Actual) y- N Basement sq. ft. MWCC System yGS (Allowable) V- N lst F1. sq. ft. City Water yc _, UBC Occupancy R- 3 M-i Znd fl. sq. ft. PRV Required Zoning R-3 Sq. ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler - Length ? On-site well Census Code 7-0( Depth 36 ' On-site sewage SAC Code o! APPROVALS ? 1 Planning Building Assessments Engineering Variance REDUIRED INSPECTIONS ? Site ? Wallboard Permit Fee 5urcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Copies Other rotal: 'i SAC % ' SAC Units i ? Footing ? Final ? Framing ? Draintile Yetuat;m: s f660o0 - GAp2AGEi ao)ezz= "o ;L K/o? 02.7 &srn?,'- a$kze= -q, 56 b I z X/4 = /6g IzT ?.,?o?c?, rZ32=Xls= y848o -?_ Lsr? i = 1z3?. Ix7? 7 6v2: !2 ? i 2No?'?? ?k6 x3s= ?oby I"z hFi : 12 I"21. 14 c ? 1 v. i2x?4? ?68 ? r? f; L O Insulation ? Fireplace ? LOT SURVEY CHECRLIBT FOR RESIDENTIAL ? BUILDIN ERMIT APPLI N M pROPERTY LEQAL• ? Y Date of Survey: e M-71?C_,?_ pOCUMENT BTANDARDS Cf" O 0 • Registered Land Surveyor signature and company Q-?? D • Building Permit Applicant [3? 0 ? • Legal description ? @?? • Address 0?0 0 • North arrow and bar scale G-?0 ? • House type (rambler, walkout, split wyo, split entry, lookout, etc.) 6'0 ? • Directional drainage arrows with slope/gradient $. 0-'?? 0 • Proposed/existinq sewer and water services 8? ? ? • Street name Qr-?0 ? • Driveway ELEVATIONS 8xistinq ? C3?0 • Sewer service ? ? • Lot corners [3-'?L] 13 • Top of curb at the driveway C]**O? • Elevations of any existing adjacent homes prooosed ?? ? • Garage floor [ /0 ? • First floor - L1' 0 ? • Lowest exposed elevation (walkout/window) 8 1?? ? • Property corners - 4? ? ? • Front and rear of home at the foundation pONDIN6 AREAS (if applicahle) ??? 9 ? • Easement line U O • NWL D r 0 • HWL ?-/ 0 • Pond # designation 0[? 0 • Emergency overflow Elevation AIMENSIONS Er ? ? • Lot lines D? ? 0 • Right-of-way and street width (to back of curb) Q? 0 0 • Proposed home dimensions including any proposed decks, overhangs greater than 21, porches, etc. (i.e., all structures requiring permanent foottngs) 8' 0 0 • Show all easements of record and any City utilities within those easements ?0 ? • Setbacks of pro ed structure and setback of adjacent existing s ? 0/? • Retai ? w get4?ements, if any. Rev Name October 1992 . FxTFr,ier+ F:NVFt,rnPF. nvi•:+;nr,i:,"u" cuMruTn•I'inN ? ' o4rnF-i _ ? c-rmE fu7DSES5 z?; , a?." 3 c,-.?,-?,?, r? ti+?/j o?. h??j CONTRACTOR 12-0 771 (JNO G? . DATF, PryONE Determin uorkinr; squnre footaj;e of ench. 1. iotal exposed ve.ll esea .. 1,O1 7. 2 sq. ft. x 0•i1 = 4 2. Total roof/ceiling area sq. ft. x e.,026 _ 3Z er • • c sotal exposed vail area nbovc flocir = 2? C1 ,7 ? Z a. Total vall vindov area .................... 3'0 7• 5b .... b. Total door area ........................... ? .... ........ (40.4 2 c. Total slidine 6irLs5 Zoor area ............. ........ --? d. Total fireplece vatl area ................. ........ e. Total vall framing area (average lOP) ..... ........ Z'ZCi,?- P. Total net va1Z area nbove Sloor ........... ? ........ z p?j ?, (P . g. Tota2 rim Joist area ......... .. 2r 3 2 . .......... ........ v . Total exposed foundation area h. Total founde;ion vindo4 a:ea ....................... /-0 i. Total net foundaticn area above grade ............. 20, . Detern;ine "U" value o; each vall :,FC;ment. e. 307. 5S Y,.U., 0.¢2 = l2 q, IF b. ?? •?' G.? x??Uii ?? / 3 a = 8 r%? _• C. X uUn _ ??? d. X vUu e._ 22(?O,? xAlUll Q.C)?? r. Z0 37 . Co X.,U,. D, 0 43 - va ?• G f g. x"U" LP;?? h. X'lUll i. i ?. ?. X .,U„ !? .8s 3 . ....................:............. . rof.,i -=- 277, ? ,. If item'N3 is the s2me as, or les: th:,n iteca %!1, yoti nave met the intent of ssc 6006(c)2. ?? _: .- - . . . _ . .. - Total exposed roof/ceiling arel , 'l . ? . .. .. _ Total gross raof'/ceiling are:s = . ' ? ,]. Tote1 skylight area .......................... k. Total roof/ceiling frzming erea. .............. / 2?1• 1. Total net insulated roof/ceilinF area ........ /1 ?YD. toli _ • Detereiine "U" vnlue for cnch roof/cci I ini? seFncnt. --? J. X 'lUn . k: X„U„ o.p27 = 3.42 ' 1, 1r4?, aL X„U„ o.?2z = 2?._,0?-? 4. ....... .... ................:. Total t ? Zf total oP N4 is the same es, or less than N2, you have met the intent of SBC 6oo6(c)1. , . To utilize the total envelooe system- method, the values establiahed by the sum of items A3 and 14 shall not be 6reater.thxn the sum of itev,s N1 and 1/2. 1. + 2. •3•, +4. ? • • ' - • , r, 0 . • . _ . ... O . ° . ?.112?,c7 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIFtED FOR EACH UNTT. NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE DATE _R J FEES HVAC: 0-100 M BTU $ 24.00 ADDITIONAL 50 M B1'U 6.00 GAS OUTLETS (MINIMUM 1 @ $3.00 EACH) 'b ADD-ON/REMODEL (ExisnNG coNSTRvcrtox) $ 15.00 STATE SURCHARGE .50 TOTAL ?SD SITE ? OWNER NAME: TELEPHONE #?1\,-O?7:?A INST CTTY: STATE: ZIP CODE: TELEPHONE #: q= ftrAO Avg. 1770 ivir.a.aaniumu, r••.•c mu ikxr.aumr.n i uw) CITY OF EAGAN 3830 PILOT KNOB RD FAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AL50, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NO. k'IXTURES k SHOWER 3 WATER CLOSET a BATH TUB LAVATORY KITCHEN SINK ? LAUNDRY TRAY HOT TUB/SPA i WATER HEATER ? FLOOR DRAIN GAS PIPING OUTLET • minimum - ? ROUGH OPENINGS WATER SOFTENER PRIVATE DISP. • DaiLCty.lic. U.G. SPRINKLER ' Aome under const. ALTERATIONS • to aoztin8 WATER TURN AROUND STATE SURCHARGE TOTAL: EACH TOTAL 3.00 3 - 3.00 ?+ - 3.00 CP - 3.00 F . 3.00 3 - 3.00 3 - 3.00 3.00 z . 3.00 s- 3.00 3 _ 1.50 5.00 15.00 3.00 15.00 15.00 .50 4-7 ? SITE ADDRESS: GI-I CU s c ?? ?? ?r4'.C?,a i OWNER NAME: RWg-1 J W5T ? ADDRESS: u tv C ? (C L- CITY: Z-oc d a- STATE: M' ZIP CODE: PHONE #: ( ) L-t53, a1a+ SIGNATURE O RMITTEE 1993 PLUMBING YERMIT (RESIDENI7AL) CITY OF EAGAN 3830 PII.OT KNOB RD EAGAN MN 55122 (612) 6814675 PERMIT# ^-Y / l J ` ? RECEIPT DATE: 2002 RUIDEATIlEL PLIJM$INfi PEitM1T APP11ClETION crrY og Eksm 3830 rv.oT xxoa Etu f146AN,1HN 55122 651-6$1-4695 Please complete for: single family dwellings, townhomes and condos when permits are required for each unit, backflow preventer for irrigation system SITE ADDRESS: a ? OWNERNAME;: ?Pccs fli e-F-P-OL ?-rrzPe#7WLEPHONE#: 65e 61% -d?i*F `T (AREA COD ) INSTALLER NAME: TELEPHONE #: (O ft( W 3 -39T/ 3 (AREA CODE) STREET ADDRESS: , CITY: STATE: /k ZIP: _ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) includes $40.00 County fee $ 100.00 Note: Additlonal consultant fees may apply • MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING: !/Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00 _ Abandonment of septic system. _ Water turnaround - existing dwelling unit (+ 5!8" meter if needed -$118) _ otner: ?-.oWe-r Leve ` _ RPZ: new installation/repair/rebuild $ 30.00 _ lawn irrigation system ReplacemenUadditional: _ water softener _ water heater $ 15.00 State Surcharge $ .50 rotal $ 50 S? I herebyacknowledge ihat I have read this application, state ihatthe information is correct, and agree to comply with all applicable Ciryof Eagan ordinances. It is the applicanPS responsibility to notify the propeRy owner that the City of Eagan assumes no liability for any damages caused by the City during its normal ope2tional and maintenance ac[ivities to the haciliEes constmcted under this pertnit wn n p eKy/n _ to way/e ement. < SIGNATl7&Q'OF PERMITTEE 1102 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EACAN 3830 PILOT KNOB RD, EACAN MN 55122 651-681-4675 New Constructlon Reauiremente • 7 regislered site surveys showing sq. R. of IoL sq. ft of house; an0 all roofed areas (20% maYimum lot coverage allowed) • 2 wpies of Dlan showing beam & window s¢es: pouretl found design, etc.) • 1 sel ot Enerqy CalculaGOns • 3 capies of Tree PreservaUon Plan if lot Dlatted after 7/1193 . Rim Joist Oetad Opfians selecGOn sheet (bidgs with 3 or leu units) DATE RemodeVReoair Reuuiremenes • 2 copfes of plan . 1 sel of Energy CaICWaGons for heatetl additions . 1 site survey for extenor additions 8 decks . InGicate if home served by septic system for addilions VALUATION G i SOb SITE ADDRESS -7 60LA-?f?? MULTI-FAMILY BLDG _ Y // N TYPE OF WORK I D• J2?e/'a? FIREPLACE(S) _ 0 _ 1_ 2 APPLICANT 6AkS+Ltrn STREETADDRESS G_?iV5 r /3"/? ? CITY Plu?u?T? STATE?.?ZIP.SS / TELEPHONE # 763-5%/-030? CELL PHONE # <??a-a?a?rass FAX # PROPERTYOWNER 1'4r• TELEPHONE# 6-51-6sG-cna? ------------------------------------------------------• ---------------------------------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ ?II?lNBS(YI'.-? RULFS 7670 G\TEGORF l ?IIV VESO'1':? RL?LL•`S 767? (J submission rype) . Residential Ventilafion Category 1 Worksheet Submitted • New Ener9y Code Worksheet Submit:ed • Energy Envelope Calculations Submitted Plumbing Conhactor: Plumbing system includes: Mechanical Confractor: Mechanical svs[em includes: Sewer/Water Contractor: :1ir Condiuoning Hcat Recovcry Sys[cm Pee: $90.00 ? p ? 0 Cr Cec: 570.00 AKI_i ---------°-----------------------°---°----°-------------------------...-°--------•-------------------------- I hereby acknowledge that I have read this application, state that the informat?? is correct, and agree to comply with ail applicable Sfate of Minnesota Statutes and City of Eagan Ordinances?? - Signature of Applicanf „ - - ------°-------- --------'-_______-._--°--------------------°- -°--°------°------°----------__-_ _ OFFICE USE ONLY Certificates of Survey Received Tree Preservation Plan Received _ Not Required _ Updated 4/02 _ Water Softener _ Water Hea[er No. of Baths _ Phone # Lawn Sprinkler No. of R.I. Baths Phone # RESIDENTIAL BUILDINC PERMIT APPLICATION CITY OF EACAN 3830 PILOT KNOB RD - 55122 651-681-4675 NewConeWetion Reuuiroments RemodeVReoairReauirements • 3 registered site surveys showing sq. @. of lot, sq, fl. N housa; and all roofed areas • 2 copiw of plan (20% mazimum lol coverage allowed) . 1 set of Eneryy Calculatioris for heated additiore • 2 copies M plan showirg beam & windaw str.es; poured found design, etc.) . 1 site survey tor ezterior addNOns 8 decks • 1 set of Energy Calculalions . Indicate if home served by septic system for addillons • 3 caples bf Tree Preservation Plan'rf lot platted after 711193 . Rim Joist Detail Options selection sheet (bldgs with 3 or less unils) DATE VALUATION JOB SITE ADDRESS CQ 17 ? ovev?"I?'y Pd.ie? W?V , IF MULTI-PAMILY BUILDING, HOW MANY UNITS? PROPERTYOWNER Rr'ian i 6rol F?znA,?lGI? TYPE OF WORK K2- Sia4E. FIREPLACE(5) _ 0X 1_ 2 APPLICANT Ufnvl Zwnrevevh.e,w-? ,raokucVS, Z:inc ADDRESS_z101 7IQ,ytNPOi'?, 4ve_ /Ul.{U SSzIDS PAGER # PHONE# 612 -979-$800 ZIPCODE SS?IOS- fAX# &/Z-879`T05-5- 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 Suhmitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: _ Plumbing System Includes: Mechanical Contractor: Mechanical System Includes: Sewer/Water Contractor: _ Air Conditioning _ Heat Recovery System All above informaGon must be submitted prior to processing of application. Phone # I hereby acknowledge that I have read this application, state that the infpnr? with all applicable State of Minnesota Statutes and City of Eagan ppdin- Rdc Signature of Applica f .? Certificates of Survey Received _ Tree Preservation Plan Received _ CELL PHONE # (olZ- 30i- _ Water Softener _ _ Water Heater _ _ No. of Baths Phone Lawn Sprinkler No. of R.I. Baths Fee: $90.00 Fee: $70.00 correct, aAJ . ree to ? Not Required _ Updated 2002 . * 4t * ' * PIONEER * enginee ir * * * ? LANO PLANNERS • 2422 Enterprise Drive Mendota Heights, MN 55120 612) 681-1914•Fax 681-9488 Certificate of Survey for: TI'le ROttIUI'1Cj Compan ,Y Inc. House Add s: Coventrv Parkwav Eagan, MN Model am • ? . ..? oo- ? ? . ?.? 0 ep,???1 ? i PGE ? S?MEN? ?! b I?t ? j7'bl % / ? ? ? ? ? ? ? ap, \\ ay?.o ? ? ? 26 g-8 N, 25 S Ls% ol s ? ? ? ? ? ? ? ? <e-- ? 9\ 625 Highway 70 Northeast Bloine. MN 55434 612) 783-1880•Fax 783-1883 24 e7e.o'+ s,*o`? 8 ? f?` ''? °' \ ?aaz•?e \ 6 P?. A ' 88?, ? ?9e? .+`? ,,•?s?'r vy?° 1 eazi ? r \ sJ' ?? / B2?•S/ $8 i\ . ?%?9P"" C, b$!7 n!'? n A .. ?._ t?}v / 8$O1? ? ? r / °/ 1 * Z EE IlY z'; x 900.0 Denotes Existing Elevatian PROPOSED HOUSE ELEVATION • 9?a Denotes Proposed Elevation Lowest Ffoor Elevation: 87v. ts Denotes Drainage & Utility Easement Denotes Drainage Flow Direction Top of Block Elevation: gfi'1.? - -O- Denotes Monument Garage Slab Elevation: 803.13 --B- Denotes Offset Hub Bearings shown are assumed LOT 25, BLOCK 3 COVENTRY PASS I herebVi certily thp0QT"PHV71 reflOrt•4vat'p4ared Anellie "? ?Q.2,i ^^1U^ *^'t ? am duly Registered Land Surveyor under the laws ol the State of Minnaota, Dated this8211? day oF TOLy A.D. 19qR. ? ?, , ? ?, , R ER7 B. $?KICH 1..5. REC. f10. 1<991 ,?. A t .aNEEFi ? engine * 4 **. Certificate of Survey for: House Ad Model . .?? 4ryh ?h y .°°. ? . ?r ?r E?'SEM'?Nt , ?DR'p?NPGE f b i 5/ws1 / ? ? ? ? ? ? ? •?p \ `? 5\ \ \ ? ? 26 e,e;11 S ?' }m ? ? ? ? ? ? ? ? ? s?, •' ? 24 \8 ? \ \ { 88z.?9 ee?• V / i eea, ?A,?? d*'? ??? •i? P. _ r \ "r ?0 ` • ?/ ?PS? \ 25 . ? 158t." .<4.- ? . 900.0 Denotes . eoo.o Oenotes Denotes - Denotes -;? Denotes -? Denotes ? Existing Elevation Proposed Elevation Oroinage & Utility Easement Drainage Flow Direction Monument Offset Hub Bearings shown are 1'0/ ?$AC?.??' ?{AIEE?T Ll PROPOSED HOUSE ELEVATION Lowest Floor Elevation: 87v fS Top of Block Elevation:BA!?? Garage Slab Elevation: so3,1,3 assumed -J L t T?r ? . LOT 25, BLOCK 3 COVENTRY PASS I hereby certify tA?R?iQ?urvep-p?2n'Or rep0lt'YVdf'plEpared b4 TH . AUZ,I ZQNat I am duly Regisre.ed LanA Surveyor under the lawe ot the Srota of Minnaota. Deted this $--* day of Y?I Ly A.D. 19q-3 Cr`nIP• 11nch=4,0feet a ERTB.SIKICN?.S.AEG.NO.le991 2422 Enterprise Drive Mendota Heights, MN 55120 vo sunveroas 'aNL ENLINEER$ (612) 681-1914-Fax 681_9488 PUNNERS • lANOSCAPE ARGNITECiS 1 625 Highway 10 Norlheast ? Blaine. MN 55434 i(612) 783-1880•Fax 783-1883 The Rottlund Com panv, Inc. ks: Coventry Parkway Eagan. MN am ÿ þ ý ü þýýüûúùûøùúû ÷üüýýöûõôó ÿ þý ûúùø÷ öú õ ô ø÷ ó ò ÷öú õ ñú ý ý ÷ ð ïú ð úù î üû þ ÷ üíìë ý îþ éè è ò÷ ûú ý öç éèìèì ñÿÿð ïó ÷÷ áð þ ý ööä÷ ÷ àâãâ ò þ ý îó íãëâãããâã ù ò ý ÷÷ æ ð ý ð÷ò ÷÷ ù û æî û ú æþ ý å è ÷÷ ß ú ûý ú PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA106783 Date Issued:09/11/2012 Permit Category:ePermit Site Address: 617 Coventry Pkwy Lot:25 Block: 3 Addition: Coventry Pass 4th PID:10-18403-03-250 Use: Description: Sub Type:e - Water Heater & Water Softener Work Type:New Description:Water Heater & Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Josh McGuire 1424 3rd St N Minneapolis, MN 55411 612-604-4285 Fee Summary:PL - Permit Fee (WS &/or WH)$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 - Brian F Fitzpatrick 617 Coventry Pkwy Eagan MN 55123 Benjamin Franklin Plumbing 1424 N 3rd St. Minneapolis MN 55411 (612) 604-4285 X61 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA109265 Date Issued:02/25/2013 Permit Category:ePermit Site Address: 617 Coventry Pkwy Lot:25 Block: 3 Addition: Coventry Pass 4th PID:10-18403-03-250 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, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . 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 - Brian F Fitzpatrick 617 Coventry Pkwy Eagan MN 55123 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA164676 Date Issued:10/05/2020 Permit Category:ePermit Site Address: 617 Coventry Pkwy Lot:25 Block: 3 Addition: Coventry Pass 4th PID:10-18403-03-250 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). 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 - Brian F & Carol A Fitzpatrick 617 Coventry Pkwy Eagan MN 55123--396 Garlock French Roofing 2301 E 25th St Minneapolis MN 55406 (612) 722-7129 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA166462 Date Issued:01/12/2021 Permit Category:ePermit Site Address: 617 Coventry Pkwy Lot:25 Block: 3 Addition: Coventry Pass 4th PID:10-18403-03-250 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater & Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Brian F & Carol A Fitzpatrick 617 Coventry Pkwy Eagan MN 55123--396 (651) 324-3427 One Hour Heating & Air 11825 Point Douglas Rd S Hastings MN 55033 (651) 437-4177 Applicant/Permitee: Signature Issued By: Signature