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620 Coventry Pkwy Cfertiticate of CccuPanc4 Criti) ot Cfagan mtoartmtnt of 13x??? ??otetion This Certiftcate issued pursuant to the reguirements of the UMifarm Buildrng Code certifying that at the time of issuance this sirucrttrn was in cornpliance wilh the various ordinances of the Ciry negulating building construction or use. For the followstg: SF DW 21239 use ciassiscac;on: awg. rei - t rb. OccupancY'fype Zonin Dictcict Tvve Cws?_ Owcer of Building ? ?LM ? ? Addcess f M. Bui ng Address PAMO ?ity ?j SEP 16, 1993 1 nate: ' a?ua;? oa?c POST IN A CONSPICUOUS PLACE CiTY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: i' `' (612) 681-4675 t i c :101 ; t•., s: SITE QDDRESS: , , , , APPLICANT: .?, ???`, t r? 1 F< r {? ? 1•?` 1 t. ?t ; ?? .? t k ii7+l PERMIT SUBTYPE: 1,. , ,1E TYPE OF WORK: i :rR A r r FrAM I Nil I I -di 1 N I•'1 fi(i I i . ! i ?Wll '+ ] N'.Ilf A f 1 ON 1 I NR I 1 fiM !! i'. !;i oil 1 trt 10 1 111•, liNY 1' I11Pqfs 1 N(, fi! I 1 4" ( ft 1?ix! Wrlhl Permit No. Pertnit Holder Date Telephone 8 ELECTRIC 4 (r 9f y?' -OP ? ,o ?g ?j ?85-583' PL?IN / Q ?3 HVAC Inapection Dete Insp. Comments FQOT1NGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING 4] GA5 SVC TEST tiNSUL GYP BDARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BIDG FINAL BSMT A.1. ?y9s vY BSMT FINAL ? i DECK FfG DECK FlNAL T^T? INSPECTIDN RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 . . SITE ADDRESS: APPLICANT: ? ;?i•?': H?; '? ?'!; .?, ! t.ii.Ii t ii PERMIT SUBTYPE: TYPE OF WORK: Ii ? ta SFVRATI f'CftF13 1 1?f'(I1iCRt=i'I 1'tlfd NAY I'i llM6IN('t Wf.itct CAi ! 44F, :'H40 F i){t t1 ?"rrxIr.nt 1 N*;1'F1: f I f!N'"; ANf) ? ?i? Permit No. ParmR Holdor Date Telephone # ELECTRIC PLUMBING HVAC Inspection Date Inap. Comments FOOTINGS FOUND ? FRAMMG (p ROOFING FOUdH PLUMBINQ PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL ZO GYPBOARD FIREPLACE FIflEPLACE A!R TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL ?%7T1? „f? f?J BSMT R.I. BSMT FINAL DECK FTG DECK FINAL . • . 11 ?1 CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: I.I.?`Jf NffiY {'Kl-.IY I .'f"NTRY 1'AS`. 4(H PERMIT SUBTYPE: . 011 . PECTION RECURD PERMIT TYPE: Permit Number: Date Issued: 1t111 I 111:M6 w.> L.? s19 (Afi/1 /1q:1 t t ts ?. n?; K; APPLICANT: i'll I 1 I ?ll,111 I t1 i ( h i:' ) '? i 1 N 34i4 TYPE OF WORK: Nf tJ INSPECTION D • D I td .irl rl l I??r! . I 1 Fd?it 1 ! !. ! i i << 1 I I : t 14 A KI('s : s a I F- ? ? ?. Permk No. Permit Holde? Date Telephone N SNV PLUMBING HVAC 4, ELECTRIC ELECTRIC Inspectbn Date Insp. Commenta Footings I ` FoundaGon V Framing Roofing Rough Plbg. Z01? /v ? _17- ?3 ? Rough Htg. a ' ? IsLA. Fireplace .7 ? Qp?ry ,ys - -712. Final Htg. Orsat Test Final Pibg. .?? Plbg. Inspector - Notily Plumber I Const. Meter I EngrJPlan slag. Fina, Deck Ftg. Dedc Final Weil Pr. Disp. ?7 O Address 620 rnvFnrrev r lUUav Zip 5512 3 Lot 3 i Blk 2 Sub mvFrn'RV vass 4m THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: S E P 16, 1993 Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Pemianent driveway Permanent gas Sod/Seeded gtass TraiUcurb damage Porch ? Basement finish ? Deck Please verify with the builder the removal of roof test caps fmm the plumbing system and the shuhoff of wa[er supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ? While - City Copy Yellow - Resident Copy Pink - Contractor Copy Oo 81 9 4 4 0 ? / ? 3i AQ ?$41 0 Reque t Cate Fire Na. Rough- Inspectinn Req ' Inspeclion Ier Th n oughdn pt 'o S (YOU st call inspec?or n ready) ? Ready Now Will Notily Inspecror Yes ? No Dale Ready I? licensed contractor ?owner hereby request inspection of above electrical work at: JOb Adtlress (SVeet BoM or Roule No.) Ciry '2,::. 7 - l. •-' Section No. Township Name or No. Range No. Couny DALolA Occupant(PRINT) Phone No. --? ,-- lc>" 1 (CJ3 Zi•?? - Z. 3 Power Supplier AtlOress Eleclrical ConVactor (COmpany Name) Conhactor's License No. Maifng Atltlress (COniracbr or Owner Making Installation) Aithorized Si nat re(ConVactodOwner Mekinq Installalion) Phone Number 2 33 MINNE T TATE BOARO OF ELECTHICITY THIS WSPECTION REQUEST WILL NOT Griggs- ' way 91tlg. - Room 5428 BE ACCEPTED BV THE STATE BOARD 1821 UNVerslty Ave., St Paul, MN 55104 UNLE55 PROPEF INSPECTION FEE IS Phone16121fd2-0800 . . . . cur ncvn ? ? ?` REQUEST FOR ELECTRICAL MSPECTION Ihis fonn on back ol yellow copy. letin t r r nm i e-ooooi/-oys? ? l y . p nns o Op See insimct "X".B°low LVork Covered by This Request Ne Add Rep. Type ot Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Building Apt Oryer Load Management Comm.llndustrial Fumace Olher (Specify) Farm Air Conditioner OIM1er (specify) GontracWr's Famarks_ Compute lnspec[ion Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200-Amps bove 100 -Amps TOTAL Si9f1S Inspcctois Use Onlg Irrigation Booms Special Inspection Alarm/COmmunication THIS INSTALLATION MAV ERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Roug?-in Oale certify that the above inspection has Finai oa been made. OFFICE USE ONLV Tnis request void 18 momhs imm p? (l yy?? ?l n? 79??b 2006 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. O rJ Date 9 Site Street Address _? mve Y Unit # Property Owner D1?'? 7r (,f'S? Telephone# ((osj') {Obb" /a33 11 ampron 651-365-1340 Contractor 3?79 E1edd-R Telephone # ( ) . Address Eegan, MN 5512'a-13ast City State Zip The Appllcant is: _ Owner ontractor Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10:00 Alterations to existing dweiling $ 50.00 _ Add plumbing fixtures. This fee includes installation of a water softener and/or water heater at the same time. If you are installing on a water softener and/or water heater, do not complete this section; move to the next section and check the appliance(s) you are installing. _Septic System Abandonment _ Water Turnaround (add $130.00 if a 518" meter is required) \U Other pp1 2 WaterSoftener WaterHeater $ 15.00 new re lacement _ p Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ .50 Total $ J5J0 I hereby apply for a Residentiai Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and cotles of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required, ^to be reviewed and approved. '`7 ? il i 9._ i YJlilI / ?7? ./ ApplidanYs Printed Name U Apblicants STgrYatlure a? ? PERMIT - -GITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMITTYPE: euzLozNe Permit Number: 0 3 2 0 7 5 Date Issued: 0 5/ 2 6 J 9 8 SITE ADDRESS: P.I.N.: 10-18403-310-02 DESCRIPTION: 620 COVENTRY PKWY LOT: 31 BLOCK: 2 COVENTRY PAS5 FOURTH Buflding. Permit Type 64ildirtg'=4dprk Type ;cee;sus co:de --?, % ?. r. ?. ?' . ? v lt 5' SF ADDITION NEW 434 A.LT. RESIDENTIAL i ? fF t ilv 1_ a} REM/W?§: REVZEwEn BY MIKE BARCK SEPRATE PERMIT REQUIRED FOR NAY PLUMBING WORK CALL 445-2840 FOR ELECTRICAi INSPECTIONS AND PERMIT FEE SUMMARY: Base Fee Plan Review Surcharge Total Fee VALUATION $11,000 $174.75 $113.59 $5.50 $293.84 'CARiTS"SNC'; DOUG 14314488 0005552 TR"RZTNSKI 70M 7185 132Nb ST W 620 COVENTRY PKWY APPLE VALLEY MN 55124 EAGAN MN (612) 431-4488 (612)688-9233 Z hereby acknowledge that I have read'this app-lication and state that the information is oprrect end'agree t,n.comp,ly wi'th all:,m,pplicahle $Cate .o;f Mn. 5taCU-tes andC3ty o:f Eagan' Oi^dinaric-`es:=? APPL} NT/PERMITEE SIGNATURE SSUED Y: I NATURE / 1998 BUILDING PERMI'i` APPLICATION (RESIDENTIAL) `?' 1?•° 1 ? ?b 5 CITY OF EAGAN 3830 PII.OT KNOB RD - 66122 681•4675 New Consiruction Reauirertrents RemodeURapeir Reauirements ? 3 registered sde surveys ? 2 capies of plan • 2 copies oT plans (inGutle beam & window saes; poured tnd. design; etc.) ? 2 site surveys (exterior additiona & decks) ? 1 energy celwlatlons ? 1 energy calculations for heated additions • 3 eopies of tree preservetion plan M IM platted aRer 7H/93 required: _ Yes _ No DATE: May t s, 1998 CONSTRUCTION COST; DESCRIPTION OF WORK: 12' x 16' room addition ;STREET DRESS: _ 620 Coventrv Parkwav 31 BLOCK: 2 SUBD./P.I.D. #: Coventry Pass 4th Addition PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER Name:_ Ty-aZincky Tbrt Phone#: 1,act First 688-9233 Street Address: 620 Coventrv Parkwav City _Eagan State: MN Zip: Company: mug Carlson, Inc. Phone #: 431-4488 Street Address: 7185 - 132nd Street West License # 5552 City A17ple Valley State: MN Company: Phone #: Registration #: Street City Sewer & water licensed plumber (new construction only): and lot change is requested once permit is issued. Zip: 55124 Zip: Penally applies when address chang I hereby acknowledge that I have read this application and sTate that the iniortnation is correct and agree to Comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Appiicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received - Yes - No srau: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation [3 06 Duplex ? 02 SF Dwelling ? 07 4-plex ,003 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 = plex WORK TYPE ? 31 New ? 33 Aiterations a 32 Addition El 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. I" a ? 11 Apt./Lodging ? ? 12 Mufti Repair/Rem. O ? 13 Garage/Accessory ? ? 14 Fireplace ? ? 15 Deck ? 36 Move ? 37 Demolition 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscelianeous Basement sq. ft. MC/WS System Main levei sq. ft. City Water sq. ft. Fire Sprinklered sq, ft. PRV sq, ft. Booster Pump sq. ft. Census Code. Footprint sq. ft. SAC Code ?L Census Bldg Gensus Unit U Building Engineering Variance Valuation: $ t ? , vov• - A-dG nl. 12 xev = lejL 3L8. - % SJACI?... --JUk.'! SAq.Units, _? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: C9- BU:GLDTNG 826501 1e/e6/ss SITE ADDRESS: P.I.N.: 10-15403-310-02 620 COVEN'THY PKWY LOTc 31 BLOCKc 2 COVCNiRY PA55 4TH DESCRIPTION: Hta'Y1dsCtg...P2rmit Type ,Building WQrk Typs ,.?. ?i f3A5EMENTFZNISH AI.TERA7ION r? 4 ?Ir r p'r.? ,-.:?•? i > ti REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBING OR ELECTRI(:AL WORK FEE SUMMARY: Base Fee $35.00 Surcharge $.50 Total Fee $35.50 CONTRACTOR: OWNER: - Applicant - TRUSZINSKI TOM 620 CQVENTRY PKWY . EAGAN MN 55123 (612)688-9233 ° I hereby aclennwled:ge that I have read this appZacation and state,that t«he informatian is Gorreqt and agrea to comply with a11 dppl5cable State of Mn. Statutes and City of Eagan Ordinannes. L APPLICANT/PERMITEESIGNATURE ISSUEDB : IG URE- I ? - - - - - - - - - - - - - - - - CITY OF EAGAN J ? 3830 PILOT KNOB RD - 55122 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 Name: ? 2'J52t? Phone #: 6?k"-'?-2-33 usr rMer Street Address• ? ? 3 registercd site turveys ? 2 copies M plan ? 2 copies of plans (indude beam 3 window saes; poured ind. design; etc.) ? 2 slte aurveys (e)terior addiBOna & decks) ? 1 enerpy caleulations ? 1 errergy calalaGons tor heated additions ? 3 oopks of Uee DmseneUon pian if bt platted aRer 7/1/93 tequired: _ Yes _ No DATE: to- t-55 CONSTRUCTION COST: 4 -71 o°s DESCRIPTION OF WORK: T?-i5L' L" STREET ADDRESS: LOT ?g r BLOCK I SUBD.lP.I.D. #: PROPERTY OWNER CONTRACTOR Ciry: State: 0-s-' Zip: <skti't Company: Phone #: Street Address: City: State: License #: •-n Zip• ARCHITECTI Company: ENGINEER Name: Phone #• Registration #• Street Address• City: Sewer 8 water licensed plumber: change are requested once pertnit is issued. State: Zip: Penalty applies when address change and lot I hereby acknowledge that I have read this application and state that the informatiorisoo agree to comply with all and applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes _ No Q : I QA 1995 Tree Preservatlon Plan Received Yes No -' \CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Datelssued: C `,2 & J() 6'/7"5 eui?G 021239 06/17/43 SITE ADDRESS: P.I.M.: 10-18403-310-02 620 COVENTRY PKWY LOT: 31 BIOCK: 2 COVENTRY PASS 4TH DESCRIPTION: &u'ildiriy_Permit Type SF DW6 ?Suilding Work Type NEW i UBC OccupanC`yI-I R-3 M-1 ? Construction Tppe V-N ? Zoning \ R-1 ? euilding Length ; ? Building Width .?? ?K 65 34 REMARKS: S& W PLBR - VALLEY PLBG FEE SUMMARY: Base Fee Plan Review Surcharge 3AC SAC $ SAC Units Subtotal CONTRACTOR: - ROTTLUND CO INC, THE 5201 E RIVER RD FRIDLEY MN (612) 571-0309 VALUATION $832.00 $540.80 $77.50 $750.00 100 $2.200.30 $155,00@ MISCELLANEOUS $1,744.50 Total Fee $3,944.80 Hpp11CaI7t - ST. LiC OWNER: 15710304 0001335 THE ROTTLUND CO INC 6201 E RIVER RD 55421 FRIDLEY MN 55421 (612)571-0304 301 I hereby acknowledge that I have read this appYication and stete that'the information is correct and agree to comply with all applicable StaCe of Mn. Statutes and City of Eagarr ardinances. Jw APPLICANT/PERMITEE NA7URE ISSUED Y: IGNA E- I , REACTIVATE _ ?'cr , PfRMIT W. ?vED ' ? 1 1 1993 CITY OF EAGAN 1993 BUILDING PERMIT 681-4675 APPLICATION $J,9440 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 /_ft1L_ Valuation of work IQ,? ,e7l? Site Address: T?,r jD-Pk?,1Y STREET SUITE i Tenant Name: (commercial only) IAT 3\ BIACK 2... SUBD. 4x(_-14"H?-f PA5c7 `Y P.I.D. k Descri tion of work: WE2o 5 i? outzUiu . The appl icant is: 19 Owner a Contractor ? Other (Describe) Name -TW= 'Po-r-rL_u)ur_-.) /?,. iuc- Phone 'r;?I-o-"56,4 Property LAST rIRST Owner qddress F. 2i (z? POAP STREET STE M City r¢ipr)E? State lrYlR./_ Zip TM421 Company 4f_? Phone C011tfaCt01' Address License # f335 31-14 City State Zip Company 1,( /A Phone Arch(tect/ , 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 Statutes and City of Eagan Ordinances. Signature of Applicant: T? ?? c? OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation 0 06 Duplex ? 11 Apt./Lodging ? 16 Basement+E:i•rta,sh fi"02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. 0' 17 Swim Pool ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Cotren./Ind. 0 04 SF Porch ? 09 12-Plex ? 14 Fireplace 0 19 Comm./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE M 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) V- N Basement sq. ft. MWCC System yGir (Allowable) V- K lst fl. sq. ft. City Water UBC Occupancy _ M-i 2nd F1. sq. ft. PRV Required Zoning R_1 Sq. Ft. total Booster Pum p # of Stories Footprint Sq. ft. Fire Sprink ler Length 65 ' On-site well Census Code /a i Uepth ? On-site sewage SAC Code ? APPROVALS f Planning Building Assessments Engineering Variance REQUIRED IN SPECTIONS ? 5ite ? Footi ng ? Framing ? Insulation ? Wallboard ? Final ? Draintile ? Fireplace Permit Fee veiuacton: S ) rj51 0010 Surcharge xyz; ?Gv Plan Review GRRA4ko,' 30 License z MWCC SAC City SAC Gyb /6 =/bZLl? Water Conn. eSMT" 36x .32-= I152 Water Meter Acct. Deposit 11 x 15= ?r??2Zo S/W Permit S/W Surcharge ?.? Treatment Pl. GSrnT= 1Iy8 Road Unit Park Ded. 2-t I'/z?1 7 Trails Ded. ? Co ,68 ? ?cy: ?3pr?2 pies ? Other ZN rz; Total: IISZ SAC Units =1 y?? 63 20 ?- 1st4.2>"Z < r J S2 8 0'0 0 0' ? 0 Br ? 0 0 LY 0 c" 0 0 0r ? ? LOT BURVEY CHECRLIST FOR RESIDENTIAL SUILDINO PERMIT APPLI PROPERTY LECiAL• Date of Burvey: AOCUMENT BTANDARDS Registered Land Surveyor signature and company Building Permit Applicant Legal description Address North arrow and bar scale House type (rambler, walkout, split w/o, split entry, lookout, etc.) Directional drainage arrows with slope/gradient $. Proposed/existing sewer and water services Street name Driveway W? ? ? • B' 0 ? • Y' 0 ? • C3? ? ? • ELEVATIONB 8xistina 0 0 0 • Sewer service $ 0 0 • Lot corners $? 0 0 : Top of curb at the driveway CI 0 0 Elevations of any existing adjacent homes Proposed Qr ? ? • Garage floor D" 0 0 • First floor 3" ? ? • Lowest exposed elevation (walkout/window) 0' 0 ? • Property corners [3' ? ? • Front and rear of home at the foundation o ?a 0 0' 0 o ey a 0 0 0 T o 0 0' ? 0 ? ? 0 p" ? ? C? ? 0 ? ,?T" 0 4oNDING AREAS (if naolicablel • Easement line • NWL • HWL • Pond # designation • Emerqency Overflow Elevation • Lot lines • Right-of-way and street width (to back of curb) • Proposed home dimensions including any proposed decks, overhangs greater than 2', 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 October 1992 F.?cTE:MOR I'.NVF.Lrn•b: nvt:rnr,r: "tt" comrirrn•I'iMn oWv aa y SITE ADDSESS ?OT Co UC%i CONTR1CTOR ?aTTL vN7? G ? , nnTF NOjOM f}NDY Nn?>) ?j PHONE Deterain vorkinr: squure footar;e of ench. 1. Total exposed vall area sq. ft. x O•1l = 2Z 2. Total roof/ceiling area sq, ft. x e.,026 • • . Total exposed wall arca nbovc floor a. Total va11 vindow area . ........................ b. Total door area ................................... ?,Cr2 c. Total sliding glnss door area ..................... --- d. Total Pireplece wall area ......................... 'Z G e. Total wall framing area (average lOp) ............. 17 ! rJ. -17 f. Total net wall area above floor ................... , g. Total rim joist area ................ ........... 2 2D,1-5 Total exposed foundation araa P. 4' - h. Total foundetion window area ........................ /5' , 7 f i. Total net foundation area nbove grade ............. ? . Determine "U" value o; each wall ,FFment. 8. I 54.2 x,.U„ D,¢2, = 77, 34 b. Co, ¢2 O.13g = -j, 7g . C. ---- X d. X „u„ e., 21rv .7''J X. 1,U„ 0,089 = 18.75 f. 1897;vt X ,tU,. p.o43 =? 8?1.57 . a- 2 2? ,°o X °u" 0. 04 l ?_ ?l.a 5 h. i5,75 X „U„ ?Ij 7. z?- ?. X „U„ . o, iq-, ? .. 3. ..............:...... .. ...... .. .???.?a = 2r-7.?- If item'//3 is the sazne as, or less Lti:,n iteca 01, you ave met the intent or ssc 6006(c)2. 0 • Total exposed roof/ceilina nren - Total gross roof/ceiling area _ ?. Tote1 skylight area .......................... Determine "U" vnlue for cnch roof/cci 1 in?; se?,?mcnt. . ?? X nUn J. ? k: 1i7, X c 5 „u„ ?,cz7 = 3: / -? 23..35 1 ?,/. X a . ............ ................:. Total 'Z G .5 3 ? G !?- If total of A'4 is the same as, or less than N2, you have met tt?e intent of sBC 6oo6(c)i. . . To utilize the total envelope system method, the values establi=hed by the sum of itens N3 and B4 shall not be greater.thHn the sum of iten:s N1 and N2. 1. + 2. . • 3•, ?+ 4. _ - l roof/ceiling framin3 area . . ... . ... . ... .. k. Tota C)lol.r75_ . 1. Total net insulated roof/ceiling area ........ , ., 0 _ . ... O s o . p4-0v -S0 1? . 1 DETAILED REPDRT FOR EM1lTIRE FiOUSE F'repnred For: F'r-epared Fy: Normanc M.W. Guerre F1ar E Heating , Mn Job NamE: Cu storn Hcu se EXF'OSUFE 6LFSS --------- fJC1nTH ------- BOUTH EAST WEST NE/fJW SE/SW HOF.Z. TOTr;L AREA --- ? 67 ; -------- 271 -------- ?i ii.) ; -------- 1 14 I -------- : 8: -------- 28 1 ---- --- 0: -------- 464 1 COOLIN6 ; 11493 f 65S'; 9,2C,',-) ; 5,290; 279; 1,103: <i; 18,:f1(j; HEATING --------- ; 2,9641 ---------- 1,1441 -------- 8,846; -------- 5,042; -------- 1,2v^c; -------- 1,2.'^0: -------- C?: -------- 20,524: --=----- RELOW WALLS --------- R;QF:TH ---------- SOUTH ---- EFST blEST NE/h;W - SE/SW - GRnDE TiJTAL AREA ? 815 0 ---- ^o'S i -------- 760I - ------- 84= : ---- ---- 2p { - ------ 20; -------- O? -------- ._ , 2'3b 1 CvriLiiJG ? 742; 770: 698: 774! 1^01 ISI O: .??27: HEATING -------- ; _,076i ---------- ,lb3i -------- -,858; -- -- =,1821 751 ----- 751 - - 7,422: - ----- 19,^o62: ------ DOORS --------- hdC1RTH ---- - SOUTH -- -- EAST -- °---- WEST --- NE/NW ------ SE/SW - -- TQTAL AREF -- --- I G; -------- 1^0( -------- .^-.ii: -------- 121 -------- O; -------- t); -------- I -------- 561 COOL I PJG f pi 251: 278 I 251 ; C): c): ? 78O: HEATING --------- ---------- 10') 3 -------- 1,1451 ------ 1 ,O30 1 -- - - f>; ------- OI -------- ? -------- 3,2ii5{ -------- FL01R AFcA -- --- - GOOLIPJG - HEATING ---------- 4 --------- -------- -------- -------- -------- -------- -------- -------- --------- ---------- 3439 ----- I 0 ? 227 CEILIFJG --------- ---------- --- ARER -------- -------- ------ -------- COOLIfSG - -------- ---- -------- HEATING -- ----- -------- -------- -------- -------- --------- ---------- 3439 -------- - ; -------- ------- 1.157 -------- - --- ? ------- - .63^c -------- -------- -------- MISCELLAhJE0U5 COOLING LOADS F'eople SensiGle LoaC 1,125 Latcnt Lead :,cC+B Lights F< Appl. Load 1,195 Lntent Safety E+tu?, =75 Uentilation Lond 1,265 Duct Heat Gain Ci Infiltratian Lcad 91i) Sensible Safety Rtuh 1.390 TOTAL SEf•7SIPLE LQAD 29,198 TOTAL LATEPJT LOAD 7,88' Summer ACH U.07 Temp. Swing Mult. 1.00 **? Total Cooling Load ':,032 bTUH 0r 3.09 Tons MiSCELLFNEOUS HEATING LOADS Infiltration Load -------------- 7,679 ------- Ventil ------ ation Load 5,335 Duct Heat Less C) Safety btuh 3 23 Winter ACH n.lv *T* Total Heatinq Lvad 65,54+ RTUH T*% SUMMHRY FiEPORT -------------- F'rep.?.r-Ed For: F'repared Py: fdormandy "A'' M.W. CuarrE . Flar-E Hecting , Mn Job Name: Custom House U4-03-9U _.1 ?mT#M***k$'*#?*TT"####*???:%i:k:S:**?:?%?"i:??W?Ai"dT*TT?i?*?PX #:n"?m#***T*Tk.`m##*?m??Mm:n?c*"? DESI6hJ COfJDITIOhdS for DUTDOOR INDOpR SUiM1iiER 4lINTEFi SUMMER WIN„ER Dry Puib 95 -?S 7^c 72 P1Et Rulb 75 " 67 Dnily Range 20 Daily Swing 3.0 L-atitudE 44 Elevation 822 Safety Factor (%) 5 Latent Fac+_or ('l.) t% ?':Yi??**mX'a.n.m M;r:?:?':n:?T*M?:*?F9F?:??T?m?*******Y**Y'n?'?*****%??:*?MYF*?*?*:?FXC'd.7?C******?*?*? ocnsible ???OF], Heatin9 Hea.ting Cooling Coolin? Name „ ---- bTUH CFht RTUH CFM Rasement ------- 19,24S ------- 278 ------- 1,864 ------- 94 GrEat RGGRi ZJ:15 47 2, 874 145 DinEtte 6,120 Sb 3,491 176 KitchEn 6,792 93 Z7144 159 Dini.ng Room ,245 40 1,995 101 Foyer 5.396 75 .404 172 Office Den 4,422 62 2Z35 118 FEdraum 1 4,660 65 2,717 137 Bcthraom 4.462 62 2,670 1'5 Master PEdrc,om 4,021 Sc 2,401 121 Fedroom 2 ,665 ------- 51 ------- ^,_,__ _ '?`>^ ------- 116 ---- 657593 917 29.1?E --- 1,475 HEATING DEL'fA T 65.0 CCOLINCi DE LTA T:8.0 NOTE: *%I Calculated Airflow is based Upon lead requirements. 'Jerify that airflow cnlculated is compatibie with selecteu Fquipr,ent requirements. **X' cirv use oNLr L ? I BL ? RECEiPT #: ?a SUBD. 29y1. 4? DATE: /° 9 1985 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612)681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES -? EACH NO. TOTAL Shower 3.00 x = Water Closet 3.00 x = 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 5.00 x = Private Disposal * Dakota Cty. license 20.00 = U.G. Sprinkler' home under const. 3.00 - Alterations * to existing 20.00 Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL Zc) SU SITE (,zo OWNER NAM INSTALLER NAME: STREET ADDRESS: r SZ ? C?? Ale CITY: Re?r) W`AAk STATE:M VL-"? ZIP: -22"= PHQNE #: (612 Vk ? /) /?--? ?G?? ?J STGAAT,UKE QfPERMITTEE CLAIM VOUCNEA - REFUND REC)UEST CITY OF EAGAN MAKE CFlECK PAYABLE TO _ TOM TRUSZINSKI AOOHESS : 620 COVENTRY PA?tKWAY EAGAN, MN 55123 _ --- - ------- ----- -------_____' IOCATION RECEIPT # / OATE REASON FOR REflJND TYPE OF REFUND 620 COVENTRY PARKWAY L31. B2. COVENTRY PASS 4TH 48437-10/06/45 HOMEOWNER HIRED A LICENSED PLUMBEB TO DO THE WORK ELECTRICAL PEAMIT PLUMBING PERMR MECHANICAL PEAMIT SURCHAFlGE WATER CONNECTION PERMR SEYVER CONNECTION PERMR ACCOUNTDEPOSR UTiLlTYACGT OVER-PAYMENT CiJR6 BOX DEPOSR REFUND CONSTRUCTIQN METER DEP REFUND WATEA USAGE CHAAGE OTHER: 321Y-9001 $ 3212-9001 $ 20.00 3213-9001 $ 2155-9001 $ 3713-9220 $ 3743-9220 $ 2252-9220 $ 2250- 9220 $ 2253-9220 $ 22sa-s22o $ 3711-9220 $ S a a ror.aL $ 20.00 I declare under the penalties of taw that this account, claim or demand is just and that no part of it has been paid. 10/14195 43igna ? Date y' CITY USE ONLY L BL RECEIPT #: ?S 937 n ? SUBD. ,? lcY'aa?. ?' DATE: ?? (P 7`J`J5 YLUMli11VLa F'tKMIT (KESlDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please compiete for: ? single famity dwellings ? townhomes and condos when permits are required for each unit FIXTURES - EACH Shower .00 Water Closet 3.00 Bath Tub 3.00 Lavatory 3.00 Kitchen Sink 3.00 Laundry Tray 3.00 Hot Tub/Spa 3.00 Water Heater 3.00 Floor Drain 3.00 Gas Piping Outlet " minimum - t 3.00 Rough Openings 1.50 Water Softener 5.00 Private Disposal * oakoca cry. iicense 20.00 U.G. Sprinkler " home under const. 3.00 Alterations ' to existing 20.00 Water Turn Around 20.00 STATE SURCHARGE roraL ? SI1 E zo NO. TOTAL x x x x x x x x x x x x .50 20, SV OWNER NAME: - INSTALLER NAME: STREET ADDRESS: SZ V??- CITY: STATE: ZIp; SS (z 3 PHONE #: (6?2 ) GGt - 12 33 i ?/ _* -1aTbNEEF! f ? 2422 Enterprise Drive Mendota Heights, MN 55120 612) 681-1914•Fax 681-9488 ---- ---- - engineering - --.... - -- . _ .. v -- r-?-- LAND PLANNERS • UNDSCAPE ARCHITECTS 625 Higfiway 70 Northeasf 6laine, MN 55434 * * * * 1612) 783-1880•Fax 783-7883 Certificate of survey for: The Rottlund Compan , Inc, House Address: Coventry Parkway. Eagan, MN Model Normandv \ Cus?o,tiER: TkUSZINS/"/ . ? ' .. ? B-y.3 I 30 ? \ ? ? \ ? a ? e?et1 i ?Qo•? s5?i ? ryo?7 )S' / ?p < ? / Qtp9 q` ? g?c.$ s sr 29 ''P9 ? ? > ti1gc?62 ??? 3? ?? i 9 \Y?9'T9. ?F Y e ? s Z71N? S\ ?ry aP i ? J i i0q b'F s?J c? i} ? A5? ? ? /h` .ge -Py.f Oy / ? Q s6, ? \? •? \ O ?'T.: \ 0?. ? ?? ? ? ?i s \ \ ? ?\ 8726"., ,o ? • ? ??? ? i ? s s?? C. <(`? • `?l0 `?j, 6 \ ?`? \' O22y 7 875. v x \ ??r 8s3\ \ \ 7 y. 70 \ A ? . 900.0 Denotes Existing Elevation . sao.o Denotes Proposed Elevation -- Denotes Drainage & Utility Easement - Denotes Drainage Flow Direction --o- Denotes Monument -s- Denotes Offset Hub Bearings shown are x ? BJG.OS R riy 1?1 A, 7. / \ y.AGAN r•,'i7 i?_... .i? \ L askovr wiiroo? Z;'LL'v, &?7 7' o PROPOSED HOUSE ELEVATION Lowest Floor Elevation:873.85 Top of Block Elevation:881.96 Garage Sl.ab Elevation:881.63 assumed LOT 31 , BLOCK 2 COVENTRY PASS DAKOTA COUNTY, MINNESOTA 4 TH A D D I TI 0 N ., I herebY certi(y that this survey, plan or report was pr? ared by me or under my direct supervision and that I am duly Registered Land Surveyor under the laws ol the State of Minnesota. Dated thisday of ? A,D. 19?. % HOBE1iT 6. SIKICH L.S. REG. NO. I4891 Scale: 1'n-cl -30f8e ;"'.. 11 92526.32 ,. "S . 2422 Enterprise Drive ?L Mendota Heights, MN 55120 **PIGNEER (ei2) ss?-?s,a•FaX sai-saaa y _ LAND SURVEYORS • GVIL ENGINEERS eng? r? g LANO PUNNERS • LAN?SCAPE ARCHITECTS 625 Highway 70 Northeast 7f *, ' Dlaine, MN 55434 (612) 783-1880•Fax 783-1883 Certificate of Survey for: The ROttIUCld Companv, InC. House Address: Coventry Parkway, Eagan. MN Model Normandv \ GlJ57e.nER: TkUSZ/NS??? \ ? 874.9 ? A 29 "P9 30 ' > K A'I ,. i 31 ? i / 0• h / * \ 6 77.9 ? \9 J9' , / ? / ? 879.8 6M / ? ?? q,o. ?? BDp?v ? ?? • 'S7• / OC? C? S ?i77•H / ` ?Co 5 \ cb ?? a ; h 977.0 vSfe ? Q ?` \ S ? } BA.V? 6? g7c. os Q Oj, \ ?X /9• ao . ? ? \ Fayce g?f•P7 9 6 ?O? ?p ? ? \•00 ?2y 7 875. By ? 8)S.3 \ \ \ X . e7y70 SAGJIPI IAI61NEERIIVG rJ?'PT A v ? \ \ ? \ \ La3k04'l W?NOOw?LL-`/! _17 1 1 . 900.0 Denotes Existing Elevation PROPOSED HOUSE ELEVATION . sao.o Denotes Proposed Elevation Lowest Floo'r Elevation:873.85 - - - Denotes Drainage & Utility Easement Denotes Drainage Flow Direction Top of Block Elevation:881.96 -? Denotes Monument Garage 51ab Elevation:881.63 -? Denotes Offset Hub Bearings shown are assumed , LOT 31 , BLOCK 2 COVENTRY PASS DAKOTA COUNTY, MINNESOTA 4 TH A D D I TI 0 N .. I hereby certity (hat this survey, plan Or repor[ was pr ared by me ar under my dirxt supervision and that I am duly Registeretl Land Surveyor untler the laws of the State of Minnesob. Dated thisday Of A.D. 19?. , Scale: 1!Lc-h=30 e8t R08EiiT S. SIKICH L.S. iEEG. NO. 14893 15 92526.32 ..., ,: ,.- _, . . _ ... _ ,...; _...._.._.....,... ..?-.. . Use _BLUE or BLACK Ink For Office Use - I O I I Permit Z I Cfl , of Eagan I .0 I Permit Fee: 6 5s-y I I 3830 Pilot Knob Road I _I Eagan MN 55122 Date Re Ned: Phone: (651) 675-5675 I I I staff: Fax: (651) 675-5694 ► - - - - - - - 2011 MECHANICAL PERMIT APPLICATION Date: Site Address: 6g~0 eeury-A ! TAW /y Tenant: Suite M -3~a- RESIDENT I OWNER Name: +&Y!!E'IV Phone: ~`U~JuT}° ~f J~KIU'~/~j Address / City / Zip: Name: ye ~ License CONTRACTOR Addr ss: 3a lJ~L City: State: Phone: 4cl- w - y Contact. ~ - Email: New )"-Replacement Additional Alteration Demolition TYPE OF WORK Description of work: 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 _ Heat Pump Under / Above ground Tank Install / _ Remove) Other RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) _ $ TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal OR Contract Value $ x1% $55.00 Minimum (includes State Surcharge) Permit Fee - If the Permit Fee is less than $10,010, surcharge is $ 5.00 _ - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee - $ Surcharge (i.e. a $10,010411,010 Permit Fee requires a $ 5.50 surcharge) TOTAL FEE 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.nopherstateonecall.orn I hereby acknowle that this information is complete and accurate; that the work will be in confo ance with the ordinances and codes of the City of Eagan; that I u ers nd this is not a permit, but only an application for a permit, and work is not t without a it; that the work will be in accordance with the ap v an in the case work which requires a review and approval of plans. x x Applicant's Printed Name Applicant's Signature FOR OFFICE USE Required Inspections: Reviewed By: Date: Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening PERMIT City of Eagan Permit Type: Building Permit Number: EA106688 Date Issued: 09/05/2012 Permit Category: ePermit Site Address: 620 Coventry Pkwy Lot: 31 Block: 2 Addition: Coventry Pass 4th PID: 10-18403-02-310 Use: Description: Sub Type: e-Reroof Construction Type: Work Type: Replace Description: House & Garage Census Code: 434 - Occupancy: Zoning: Square Feet: 0 COmmentS: If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL -Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 Valuation: 10,239.00 Total: $105.25 Contractor: -Applicant - Owner: Capstone Bros Contracting Inc Thomas P Truszinski 216 North River Ridge Cirle 620 Coventry Pkwy Burnsville MN 55337 Eagan MN 55123 (952) 882-8888 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances.  ApplicanvFermltee: Nignature issued tiy: NIgnature PERMIT City of Eagan Permit Type:Building Permit Number:EA110208 Date Issued:04/29/2013 Permit Category:ePermit Site Address: 620 Coventry Pkwy Lot:31 Block: 2 Addition: Coventry Pass 4th PID:10-18403-02-310 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Kurt Jusczak 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 - Thomas P Truszinski 620 Coventry Pkwy Eagan MN 55123 (651) 434-0321 Capstone Bros Contracting Inc 216 North River Ridge Cirle Burnsville MN 55337 (952) 882-8888 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA165416 Date Issued:10/30/2020 Permit Category:ePermit Site Address: 620 Coventry Pkwy Lot:31 Block: 2 Addition: Coventry Pass 4th PID:10-18403-02-310 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Christian & Andrea M Werden 620 Coventry Pkwy Eagan MN 55123 Snap Construction 8200 Humboldt Ave S, Suite 120 Bloomington MN 55431 (612) 333-7627 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA166994 Date Issued:02/17/2021 Permit Category:ePermit Site Address: 620 Coventry Pkwy Lot:31 Block: 2 Addition: Coventry Pass 4th PID:10-18403-02-310 Use: Description: Sub Type:Residential Work Type:Replace Description: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 - Christian & Andrea M Werden 620 Coventry Pkwy Eagan MN 55123 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA174269 Date Issued:01/13/2022 Permit Category:ePermit Site Address: 620 Coventry Pkwy Lot:31 Block: 2 Addition: Coventry Pass 4th PID:10-18403-02-310 Use: 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675-5675 www.cityofeagan.com 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 Building Code). You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City’s website at www.cityofeagan.com/subscribe. 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 - Christian & Andrea M Werden 620 Coventry Pkwy Eagan MN 55123 Renewal Andersen 1920 County Road C West Roseville MN 55113 (641) 264-4088 Applicant/Permitee: Signature Issued By: Signature