621 Coventry Pkwy
wa*jicate of cccupanc?
(Fim of (pagan
T"Wrdww oi eum"s anowdift
This Cenificate issued prersuant to the nquirements of tlie Uniform Building Code
certifying thal at tlte twe of issuance this structure was in cornplianre with the varioris
ordinances of the City regulating buildmg constructiort or use. For the following:
SF DWG 21240
use chtss;rwadm: Bw& rermit nO. V-N
O-MP-r'iYpe zOO? °i I N ?V ER
THE D CD 5zo owner of 6u;leina nddress
A
sWMing nmrcss Locslay
Bad(im orrwW
SEP 14, 1993
POST IN A CONSPICl10US PLACE
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: '+II 1 10 1 M6 ,
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued: 1 ?
(612) 681-4675
SITE ADDRESS: APPLICANT:
td 1 ?tF bl`f ? : . • ,? ? I
PERMIT SUBTYPE:
TYPE OF WORK:
INSPECTION .. . ..
. ,
Permk No. Permit Holder Date Telephone #
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspectbn Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Fttg.
Orsat Test
Flnal Pibg. Plbg. Inspector - Notify Plumber
ConsL Meter
EngrJPlan
Bidg. Final
Deck Ftg. ?
Deck Final ?? • •
wau
Pr. Disp.
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
, SiTE ADDRESS:
? I
l , ! 11<?E r? ?1 , f, A .4 111
PERMIT SUBTYPE:
IIi ifiliiNt,
;l Ira',111 Af tuN
? I I ii;rP Inr:f
I f+{ iN+1V Y`;: '.: ,b LJ f'i filt !!A1 i o Y F'I fi?:i
TYPE OF WORK:
NI.w
i U AM 1 I'J 1 i
} I IV Al
lilt 1 1 1+.1 Nfi
06,l ] i' /`43
iF-
?
? --- -._ _ _ - - - - -- - -- ?- --.?__
ECURD
PERMIT TYPE:
Permit Number:
Date Issued:
s H i n,; K: APPLICANT.
;?.?.•? ?,? t c+:????
i
Permit No. Permit Holder Date Telephone #
SNV
PLUMSING
HVAC 11- / ,?.
EIECTRfC ? ? i. o°
ELECTRI D147 ' ? 81W M
Inspection Date Insp. Comments
Footings I
/
t,vS
Foundation 7 b' N G , - ?
Framing
<
Roofing
Rougll Plbg.
Rough Htg. _Z
Isul.
/
dJ
Fireplace 747-7
Final Htg.
?
orsatTest GVd
Final Pibg. c_?/
/-? sgz Plbg. Inspector- Notify Piumber
Consl. Meter
Engr./Plan
Bldg. Final
i
Deck Ftg.
Deck Final
Well
Pr. Oisp.
1 7-2Y-,'21 M
??
INSPECTION RECORD
' CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number;
Ea an, Minnesota 55122-1897 " 9 Date Issued:
(612) 681-4675 -
I f' " „i1 i; . --
SITE ADDRESS: APPLICANT:
„ i
? . 1 I! 1 t.''1
PERMIT SUBTYPE:
TYPE OF WORIC:
M rrRe?ttOa
INSPECTION .. .
. ,, .A
.
i
I ;; oAIRK?-?a '::f.r'ARArr- NE vhl kv'.puipt'n F(,u a?vY Vi.?"Ciftlc AI (10 t"IriNt;it+iil wORr
?
?
?
Permit No. Permit Holder Uate Telephone M
ELECTRIC
P L U M NG " S 'J Ila3
hvac
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING -?/
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
/
GYPBOARD
FIREPLACE 7
?1,41?7
FIREPI,ACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLOG FINAL
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
C _ __---- --
14
AddI8S5 _ 621 COVENTRY PKWY Zip SSLZ_
IAt' ' •26 Blk 3 Sub COVENTRY PASS 4TH
THESE ITEMS WERE / WERE NOT COMPLETE AT THG TIME OF THE FINAL INSPECTION.
Date: SEP 14, 1993 Yes No Inspector: P
Final grade (6" from siding)
Pertnanentsteps (garage)
Permanent steps (main entry) ?`
Permanent driveway ?
Permanent gas ?
Sod/Seeded grass
TraiUcurb damage
Porch ?
Basement finish
Deck
Please verify wjth the builder the removal of roof test caps from the plumbing system and the. shutroff of water supply to
the outside lawn faucet before freeze potential exists. Contad engineering division at 6814645 before working in right-of-way or installing undcrground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Coniracror Copy
S fd /G? REQUEST FOR ELECTRICAL INSPECTION
l? 1, See Ins[mcllons for complefmg this form on baok ot yeltow copy.
, 01[? J 5 5 "X" Below Work Covered by Thrs Request
E8-00001-08
New Add Rep. Typeof9uilding AppliancesWred EquipmentWired
Home Range Temporary Service
Duplex Water Heater EleciridHeating
Apt. Building Dryer Load Management
Comm./Industrial Fumace Other (Specify)
Farm Air Conditioner
Oiher [speeHy) ConVactork Femarka:
Compute Inspection Fee 8elow:
# Other Fee # ServiceEniranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps D to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
Signs Inspeoror9 Use only: TOTAL
IrrigationBooms (J,Q ,Ssa
Special Inspection
Alarm/Communication THIS INSTALLATION MAV BE ORDE NNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, here6y
tit
h Rou9n-m oate
cer
y t
at the above inspection has
been made. Final Loate
OFFICE USE ONLY ?This requesl void 18 mon[hs from
9
5- ?/? 7/
?i 0 1
5
flequesl Liat% Fir No. Rough-in Ins ti NOTICE: Vou Musl Call Eleclrical Inspector
7? - ? Required? If A Rough-In Inspection
I
? Ves ? N. s Required.
I i licensed coniractor ? owner hereby request inspection of above electrical work at:
JJb Address (SVeet, Box Route No.) City
SecCion No-
7
Township Name or No,
Renge N
County ?
n
! l
Occupant PRINT) Phone Na.
Power Suppll Atltlresa
. C^
C
.?.
--
----
aaa
???nnn
ElecYrical C tractor (?ompany) ---------- GonVecrorS Llcense No.
Malling Atltlress (Conhactor or O ner Making Installatlon)
Autnorl etl SlgrmWre (ConKao r/Owner InstallaHon)
? Phona Number
. (o 3- 8?0
MINNESOTA STATE BOAHD OF ELECTRICRY ? THIS INSPECTION REQUEST WILL NOT
GriggaMitlway Bldg - floom 5473 BE ACCEPTED 8Y THE STATE BOARD
1821 Universlty Ave., St Paul, MN 55104 UNLESS PROPEF INSPECTION FEE IS
Phone (612) 692-0800 ENGLOSEO.
?/?/g? ? REQUEST FOR ELECTRICAL INSPECTION ?°i?;
L?. eeooom-oe
p 46941 See insvudions lor rompleting Ihis lorm on back oi yellow copy.
J X" Be/ow Wark Cavered by This Request
ew Add Rep. , Type of Bui ldi ng AppliancesWired EquipmentWired
Home Range Temporary Service
Duplez water Heater Electric Heating
Apt.Building Dryer - Otheo(Specity)
Comm./indus7rial Furnace
Farm Air Conditioner
Otherspeony) Gomractor§ Remarks'.
Campute Inspectron Fee Belaw:
8 Other Fee # ServiceEntranceSize Fee # CircuitsiPeeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above200_Amps Above100-Amps
SIg115 Inspectar§ Use Only: TOTAL f_
Irri ation Booms 9 ?
3'
93 J
Speciai inspection "
a7
Alarm(Communication THIS INSTAILATION MAY BE ORD ISCO ECTED IF NOT
Other Fee COMPLETEO WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rougn-in ate
certifythattheaboveinspectionhas
been made. F;nai omG ??
L
OFPICE USE ONLV •
This request vaia 18 manths irom
d
?/.?J9? / ??4?f'
g •°
?v o ?._ ?
R est Dale Pire No. Roui In pecti00-
Re
uir ? -
C Ready Now /Will Notily 1 -lip
`? ^^
?j q
Ves r? ryp
'.
'"? Wh Y, f
..
r
' ??
I? licensed contractor O owner hereby request inspec ion of above e lrical work ?
Job AOtlress (SIreeL Bo or Raute No.? Gry (yrE.!
I
Secton No. Township Name or No. Range No. CounJ?
(.l
Occupan aRWTI?
l PnoneNO.
Power Su /??
(JJ'C ' ?W Atltlress
Elechic CQn amor iCOmpen ema) ConVaotorE Lloense No.
. ^ ?
c._ 3
Mai? Atld ;ess iCOnVema or O ner Makmg Installation)
Autho:izetl &gnamre IGOnV nOwner ki Instelletion) , ? ee
PM1OO
N
umb
e
/
/
q
?
XU
MINNESOTA STATE BOARD OF ELECTHIqTY THIS INSPECTION REOUEST WILL NOT
Griggs-Mitlway Bltlg. - Roam S-173 8E AGCEPTED BY THE STATE BOARD
1821 University Ave.. SL Gaul. MN 55100 UNLESS PROPER INSPECTION FEE IS
Phane (612) 692-O800 ENCLOSEO.
?.? a,,..,p sk? t .e,,
, .. ., . . _
„ EXTERIOR . h..iv1:l,0YE AVni2AGE "i3" C04tPUTATION
owNER TXJ:?
sZ2e nnnREss L,.:7-T_2_k°y._?(-c,,_K 3._ C??u?F.i?s_f ?S Z1?1 ,?
i • ?
CONTRACTOR ?4 m ;F DATE _ PHONE S7I"
?etermine working square footage of each.
1. Total exposed wall area ... . ZSS& sy. ft. x .?/?
2. Total roof/ceiling area ...... j/80 sy. ft. x.oz6;,
Total exposed wall area above floor =.21f9.7
a
b
c
d
e
L
9
Total wall window area .............................:?
Total door area ....................................
T'otal sliding glass door area ...................... ?-
Total iireylace wall area ........................... 11-?
Total wall framing area (average 10%) ................ "?- ?5,
1bta1 neC wall area above floor ...................../9,3Q
ToCal rim joist area ............................... -'>??„ '
Total exposed foundation area = `] g
h
1
Total foundation window area .................. , ?
......
Total net foundation area above gr.ade ............... ...... :Zj?T
Determine "ll" value of each wall seUment.
a. 253 y. 'lull
b. 3 ? x 'lull
c . r ? X „v„
d X „U„
e. 2 / S g ]lUll
f. /g30 x ]lvll
g, _3/ 2 X IlUll
h. 7 g [lUll
i. 7/ X "U"
rJ / - -1?,62
:07 = 2.(o <v
. V6 = 27. 60
007 = /$.7(
?O,y 2 = I?" •06
. 6?40 _ 12r4 $
r 5..7 = 3 o 6-5-
3 ......................... ............. 'Potal =
2 0.7q
If item # 3 is the same as, or less than item 1l1, you liave met the intent
of SBC 6006(c)2.
iw•Wt?.S?qi ?
Total expoaed rooC/ceilinr pren = I V?
\ . ..
Total gross raolf/ceiling arcri -'-
?. Totel skyliE;ht arza ..........................
k. ?otal roof/ceiling frarnir,,,? area..............
l. Total net insulated roof/ceiling area ........ ,
Geter=ine °U" vnlue for vnch ruoC/cei I ing. seF,'eocnt.
J X ilUn ..?. _ .
.
k: lom,¢ X„U„ o. n 27 = 7'
i. X„u„ p.a2Z = Zl,o? .
a . ...............................:. Total = Z 3 .9
•„?
If to*_al oP N4 is Lhe same es, o; less than N2, you have met the inter.t of
SBC 6oo6(c)1.
To utilize the total envelope syste= method, the values establi=hed by Lhe
su= af iteas N3 end X4 shall not be 6reater.thnn the sum of iten:s 11 and ,Y2.
1. + 2. _
' 3'. ' + h . _
.
U
? °
.? .=`U?cLU5 GAI-G?.?-ATI?Nh (L?oNTl
-t-F?AM?5-
, LohiPoN?r?R
? 1J
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.?
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o.t??GE AI?- ?i?.M
-he ?IDINCi. -?- -
=???r??NL
[??I?7E pdfL ?iLH1,
• - --- a,1 i -- -
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,
I "
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C
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LaMF?N?N j5
INhI05 thiP Fll.hi. -
: -- ?-VAL! a?
-----0,1 ??---?-
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,
_ Q? ?' G. --- -
F-1117 iP4.=--1
U = - I - " . o• °??_,
S•
(o,12 xo.ot9't(o,Sbxo.a43> = ?.0?-7
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--p,1?1.
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C?J_^r!=-?i?M I
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-4 - GFl b-? ---
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__G'?..? _.. ..
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?,? = 00?2
?,? ?
F E B-'L 6- 9 3 F R I 9= 3 8 F L A R E H T G_ u p r C_ P0 2
Ji-1'L-s
U.1
DET'AILED FiEF'CJR7 F'QR ENTIF'E liOllSE
FreP.&re.tl For: PrpparEd Hy:
Ruttluntl Ca. M.W. C;uerre
Fkare l-leating
. Mil Job Name: p1},.n?Sh? ? -
6XF'L7SURE -
Nl7f"ttH 8"' 7U1N Fi-aS7
-°---- WEfSf Nt/NW 8E /s W FiOFt2. TG"i'qL
-------._ _____ _ _ ___ ___
6'tR4?Fl i tii;.' 27; 100 1 '----Y--------------___ _.._ ^
194; 0' t7ll __ -_------------
O? 373:
(.':CliJLFlt:!? 1 73LL1 :i99i 4.42f)i Q.575i D! Oi 01 24.333f
1-iLA'TIMU { 2 ,134 ! 1i1Qs? 4?104E
_ 71 962? 0 { 61
t..
_
.
- 01 15,z0ei
_
____
,.._____..
_ ___.---'----------
BEI.OtS
WA..L ? fVCiF,TH SOU7H EA^oT
_?___....--,•-.._.__
- WCS'T 1VE'/NW SE/SW GR,41)_F.: 7'CITAL'
_
__.-•-------'.____-_--°-°
A?tt?A ; 714! 7371 S,IyC?.?. 1 -----___..___ __°__....._..-_'-_
9631 0i Ui •--'•--...---°-•°----
01 3015;
CDC?L..7: NG ? 58? I 604; 820: 7291 0; ti ; 01 2, lh'Q:
H?A7'INCi i 2,7311 2,922I 3a969I
___ 3.818: 6: 91 6,7981 20,337;
.___ _ __..._--'-----------
ADCSRS lSOF!TH St,flJ'Si-I EqST
__ °.__.. _-------•----
-----
-- ---.__..._.....___-----'------
WEST PfElWW SEf£it+l
- ----'-----_°^_
7UTAL
?
--
AR6R i 18; ' 20 i -------------------..___
d4 p; -._ _ _` -----•.•-----
; ?87
CfllJLINE? i 19i3! Oi 219i 0i 01 C+i ?917i
HEATIkR ; 956; O[ ia4fa2.
--- -----•- --_ _ _._.__.•-------------- OS 4: O:
------- -----_
_--------
_ f2,018:
--°------_ __ _
FLaoR ARSA
- -------_
__ _
_
GOILTNG NEA7'INC
_ _ °_
_.
:23b I
------•-•.._.__-__..- -------°---------}-___
O ! 2 68i _W-?.___---------
------------------ W
CESLIIVti AREA -.._____-- --------_ -_---_°
C(3i7L.iNG HCRTTNG _----------------
:srs i
32
------------------------ - ----------- 420 f ____ 2? 123
------- - ---------------- -----'______--
----------------
MISCELLAhEi]U5 CaOLING LE3ADS
-----------
Peapla Seiry._,able Load 1,576 ----- r...-___-----
Latent Load
6,995
LzghCS & Ap}71. L,pa[F 1}195 Latent Safety £ftuh yyq
Ventilatian Load 1,650
Duct Meat Ciain p
Infiltraticr) Load 429
SensiblE Safety £ztuti i,166
T07FlL Sc:NSIPLE k_UAD 24,483 TQFAI.. Lp7ENT L{}AU 7,345
Summer ACH 6.66 7Emp. Swing Mult. 1.047
A?*?s IokZX C;tiqliny Load :1 re127 FYl1H 6r 2665 Tqr,s *x#
MI9CEI..LANE(?Lt5 HEATING L.OAD3
_
_-•--------
Infi.ltratinn Load 5,154 ----------i-----
Ventildticn Load
9?900
S)uc.t HeaL L.nss p Safety Ptufi 2,878
Winter ACli 4.13
%'X? Total Heatino Load 6t?,s97 H1'UH ##?k
F E B- 2 b- 9 3 F R I S- 3 4 F L A R E H T G.& A? C_ P_ 03
1 •
?l \J
?? ti?
?.1
5UMMARY kEPURT ,
---- ----------
F'repared Fore Prepared Ry:
Fcrattlurid Cci. M.W. Guerre . •
Flav'e HeaYing
p Mt, JGtJ fWr'3(AF: ??/?.? •
?'???*&?M?:*MM"?*?*#??%?W'K??k?#'N•.t?k?#?k????t?'.%?z#??#M*?*#?#?#*?c?K?X?*?7kfKSM(??A?*8?%K??%?
T>ESIt-'Pf CQftiDI'I'xE1M5 fur
6U7'DEli7R
`c'11Mf1c.R WS{+}7k,Fi
Dr••y F3u14 90 -20
WWt FILI Y L] 75
Uz.i1y fiange 22
Latituc'Ie 44
?
I NUOCiR
SUMhfER iv''!"NFEk
75 .T0
67
iJaily fawi17g 3,(;)
Elevation Li22
Safefiy Fa.ctor t'!.? 5
Latei3t Factur tY.) 34)
Sensifrle
Ruam Menting Heating Cacal.inq Cooling
NE,me ST'UH OFM fi i IJH CFM
FJ35E•lf15'{1C
13 ,608 W
v_190 ?
--1 ?2$f?
----b?-
f:rawl Space 3,474 49 186 9
F'oyer S? 907 55 1 s'<'94 65
Living RaQ,n Z,501 49 2,695 186
Uinanq Rpom 2sSE31 26 1 SG29 52
k:itchen 11,542 152 3,886 196
Dinatte e,182 31 1,425 97
Family Roam 5T253 7-7 3,938 }qq
EieUrOam 1 2,465 34 1,:?w £i 63
E3eqrQam 2 2i696 46 1}647 q?.
BecJrcjorn S 2.265 31 1,?'74 SS'
LJpper Bath 1,691 15 627 32
Master Bath l, --,k 15 18 900 45
Master Bedrnnm 5,043 71 21452
------- 124
--
-------
6dp397 -------
845
241483 -----
1,236
HIZ4ITFNG DELFA T hS.Q COflLING DELTA T 18.0
?
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w ?
m
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LOT BIIRVEY CHECRLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTY LEQAL:
DOCUMENT 8TIANDARDB
entry,
Date of Surveye
P ? : Registered Land Surveyor signature and company_
? BulYding Permit Applicant
? ? Legal description
0 0? [] • Address
@r 0 D • North arrow and bar scale
B? 0 0 • House type (rambler, walkout, split w/o, split
lookout, etc.)
D'? ? 0 • Directional drainage arrows with slope/gradient ?.
D"'0 ? • Proposed/existing sewer and water services
P-?0 ? • street name
v? 0 • D"riveway
ELEVATIONB
Ezisting
0 6?CJ. • Sewer service
['r ? D • Lot corners
C? ? 0 • Top of curb at the driveway
C3?? ? • Elevations of any existing adjacent homes
Prooosed
D ? • Garage floor
9r ? ? • First floor
C? ? 0 • Lowest exposed elevation (wa2kout/window)
? ? • Property corners
0/ 0 0 • Front and rear of home at the foundation
pONDINC3 AREAB (if applicable)
Ci ?
? • Easement line
?
L3? ? CJ • NWL
C3o' ? ? • HWL
0'?? ? • Poncl # designation
? v 0 • Emergency Overf2ow Elevation
AIMENSIONB
?o o ?
D" 0 ? •
Q,, ? ? •
6' ? ? •
? c??o •
Rev
Lot lines
Right-of-way and street width (to back of curb)
Proposed home dimensions including any proposed decks,
overhangs greater than 21, porches, etc. (i.e.. all.
structures requiring permanent footings)
Show all easements of record and any City utilities within
those easements
Setbacks of proposed structure and setback of adjacent
existing hpMtpr
Retainird requirements; if any
Name
/
October 1992
REACTIVATE RECE0VED CITY OF EAGAN ?
PERMIT'? ? i993 BUlLDING PERMIT APPLICATION ??,?U•?-3
laN 14 1993 681-4675
t "
^r ^? -?iSINGLE & 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.
Oate '7_ / cil Yaluation of wo 'r'J' $ C7o
5ite Address: (42` Ce?VTL?? +?
STREET SUITE M
Tenant Name: (commercial only)71kt RrrH-Ik_? CC>-ThC-•
IAT ?V BIACR 3 SUBD. 4)& P.I.D. A?
.-
COV6K?
Descri tion of work: S?h ?e `
?•
7he app]icant is: wner Contractor O Other (Describe)
Name 7n?e_ .r-i-Nu,4 C.0 2bnC. Phone 5?l-0
Property LAST F2RST
Owner Address52cl S 2jUejf (2rl• sct) I
STREEI STE Y
City F=JMN State W\ 2ip ??21
Company SAwA_ Phone
Contractor Address License # 133S Exp3?3+
City State Tip
Company Phone
Architect/
Engineer Name Registration #
Address
City 5tate Zip
Sewer & water licensed plumber ?q1lfJ AltM?b??w% Processing time for
sewer & water permits is two days once alrea has bee 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: ? ?
OFFICE USE ONLY
BUIL DING PERMIT TYPE
? Ol Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16,,Qasement Fi,r?i,sh
?
?`02 SF Dwg. ? 07 4-Plex ? 12 Multi: Misc. ? 17 "Swimlool
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
? 04 SF Porch ? 09 12-P1ex ? 14 Fireplace ? 19 Comn./Ind. Misc.
0 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
0,31 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 yc°S
(Allowable) V- N lst F1. sq. ft. City Water 79?
U6C Occupancy 9 _3 M_I 2nd F1. sq. ft. PRY Required
Zoning ?-? Sq. Ft. total Booster Pum P
# of Stories Footprint 5q. ft. Fire Sprink ler
Length Z' On-site well Census Code /oL
Depth ? On-site sewage SAC Code oL
!
APPROVAL$ j~
Planning Building Assessments
Engineering Variance
REQUIRED IN SPECTIONS
0 5ite 0 footing ? Framing ? Insulation
p Wallboard 11 Final ? Draintile ? Fireplace
Permit fee vowBC;w,: $ 1C;70 _O
Surcharge Ci
Plan Review n?E,? 35
?-? ?ZZ-7?p
License
MWCC SAC ZX 12 = (Z1l)
City SAC
Water Conn
P>?d?7Ti `7y6 x
>CQ = II 936
.
Water Meter 7-9 y Zt3 = r?gy
Acct. Deposit 2z ty Z
?e
? 3
S/W Permit
5/W 5urcharge ?
---
/pcf2 X
Treatment Pl.
Road Unit
Park Ded
.
05??` ??,?
Trails Ded. Z g?
Copies
Other
5y ? 60 d4(?
Total: ?Np ?i.?OKs
106 S
?
l°`i2
Units
SAC ?G7
_
2
o
/
a 13r,-f> zo p
Itz6?, s-v= " 1qql
' _?-CITY OF.
_ EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT PERMIT TYPE:
Permit Number:
Date Issued:
e u i D I
021240
06/17/
SITE ADDRESS:
621 COVENTRY PKWV
LOT: 26 BLOCKs 3
COVENTRY PASS 4TH
P.I.N.: 10-18403-260-03
DESCRIPTION:
Btiilding`Permit 7ype
J6uilding WQrk Type
i?UBC Occupancy?
? Constructiop Type
7oning
Building Length
Building Width ?
SF DWG
NEW
R-3 M-1
V-N
R-1
62
36
,? 5?? ? ??_r?' ?SIJ ? ? CSJ?
?
REMARKS
S S W PLBR - VALLEY PLBG
FEE SUMMARY:
VALUATION
Base Fee
Plan Review
Surcharge
SAC
SAC 8
SAC Units
Subtotal
$814.50
$529.43
$75.00
$750.00
100
1
$2,168.93
CONTRACTOR: - Applicant - sr. Lzc OWNER:
ROTTLUND CO INC, THE 15710304 0001395 THE ROTTIUND CO INC
5201 E RIVER RD 5201 E RIVER RD
FRIDLEY MN 55421 FRIOLEY MN 55421
(612) 571-0304 (612)571-0304
I hereby acknow2edge that T have read this applicatian and state that tfie
information is correct and agree to comply with all applicable State af Mn.
Statutes` nd City of Eagan Ordinances.
?
AP LICANT/PERMITEE NATURE
$150,000
MISCEILANEOUS $1,744.50
Total Fee $3,913.43
R? I n-q
-I?S ED B : IGNATURE
J
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SlTE ADDRESS:
P.I.N.: 10-18403--260-03
DESCRIPTION:
PERMIT
PERMIT TYPE
Permit Number:
Date Issued:
Ckj o???7f:?
s ?j
UI pTN?
029722
05/26/94
621 COVENTRY PKWY
LOT: 26 BLOCK: 3
COVENTRY PASS 4TH
pECK
NEW
B:ui3ding`-permit Type
Building Wtir_k 7ype
\
Y
? I
L+'?
??
\? J . ?
REMARKS:
FEE SUMMARY:
Base Fee $30.00 COPIES $1.00
Surcharge .50 Tptal Fee $31.50
Su6total $30.50
CONTRACTOR: OWNER: - Applicant -
KELLER DANIEL
621 COVENTRY PKWY
EAGAN MN 55123
(612)456-5640
I hereby acknow]edg-e that I have read' th3.s a:pplication and sxatis that "the
infivrmation i.s correet and agree to com,ply with all applicable State dfi Mn.
L Statiutes and City of Eegan ordinances. J
APPLICA RMITEE SIGNA RE ISSUED B SI NA7URE
• CITY OF EAGAN
1994 BUILDlNG PERMIT APPLICATION 4_S+
13,124Z 681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys,
ca]cs.
MAY 2 4 1994
COMMERCIAL 2 sets of architectural & structural plans, 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 ar 3) lot change is requested once permit
is issued.
Dat 2?" / / Yal a ion of work
Site Address:
STREET SIIITE il
Tenant Name: (commercial only)
LOT z Iv BLOCK yL SUBD. /`
?
' P.I.D. #
Jn,
LCK)
&i'
Descri tion of work: 4LIf
The applicant is: 4 Owner ? Contractor ? Other (Describe)
Name lollle"- ? Phone 0- r Q
Property
O LAST 1) FIRST /I
wner Address //1'lY
STREET STE N
CityState le? Zip? l J
Company Phone
Co ntractor Address License # Exp.
City State Zip
Company Phone
Architect/
Engineer Name Registratian #
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 w' applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applican ? ?- ?
? L 0? (P BL 3' CITY USE ONLY
SUBD.
1996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 6814675
RECEIPT #:
DATE:
Piease complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES EACH NQ. TaTAL
Shower 3.00 x
Water Closet 3.00 x
Bath Tub 3.00 x =
Lavatory 3.00 x
Kitchen Sink 3.00 ;c =
Laundry Tray 3.00 :c =
Hot Tub/Spa 3.00 :c =
Water Heater 3.00 :c =
Floor Drain 3.00 x =
Gas Piping Outlet ' minimum - t 3.00 x =
Rough Openings 1.50 x =
Water Softener 5.00 x =
Private Disposal ' Dakota Cty. Iicense 65.00 =
(new and refurbished systems)
U.G. Sprinkler • home under const. 3.00 =
Alterations ' to existing 20.00 = ao. ao
Water Turn Around 20.00
STATE SURCHARGE .50
tu rAL ao.s'o
SITE ADDRESS: 402Z ??'??'? Pa
OWNER NAME:_ PeL? -81d??17?'e/Ier'
INSTALLER NAME: ?'????er? ?a.r?ie%s, T„?e .
STREET ADDRESS: 16-.230 e/
CITY: _ /?o.semaun?' STATE: /y/? ZIP: SS??B
PHONE #: ( 6/2 ) ?23- 3730 .
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT•
--- - ------ - -- - ------- - - ----- -- - ---
NO. FIXTURES EACH TOT?
SHOWER 3.00
WATER CIASET 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 • minim„m • 1 3.00
? ROUGH OPENINGS
WATER SOr EN.GR " 1.50
5.00
PRIVATE DISP. • oek.cry. iie. 15.60
U.G. SPRINKLER • eome uneu mui. 3.00
ALTERATIONS • to adsting 15.00
WATER TURN AROUND 15.00
STATE SURCHAE2GE
TOTAL:
.50
?_15?1
STTE ADDRESS: Go?/ e_,vVEj07KLY JO?e"yl
OWNER
WSTALLER: /11 ` 4 `" i5?
JC-,7 % /'t f' 'f! -E ,q1/'4
CfI'Y:. ?o 2 7, /F14-l STATE: ZIP CODE:
PHOIv'E #: (?!?) ';7? I
1443 PLUMBING PERMIT (RESIDENTIAI.)
C1TY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
>.
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AL50, FOR TOWNHOMES .4ND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
NO. FIXTURES ?ACH TOTAL
l SHOWER 3.00
? WATER CLOSET
- 3.00 w -
? BATH TLTB 3.00
?- LAVATORY 3.00
KITCHE?e ?INK 3.00
3 -
t LAUNDRY TRAY 3.00
HOT TUB/SPA 3.00
1_ WATER HEATER 3.00 3-
? FLOOR DRAIN 3.00 3 -
? GAS PIPING OLTTLET • mN??m • i 3.00
ROUGH OPENINGS 1.50 ?4-? J
WATER SOFTENER 5.00
PRIVATE DISP. • Dek.cy. uc. 15.00
U.G. SPRINKLER • tome unaer cansc. 3.00
ALTERATIONS • to eodsung 15.00
WATER TURN AROUND 15.00
STATE SURCHARGE .50
TOTAL:
SITE ADDRESS: 1QA
OWNER NAME: &u ld ? ? -?r
INST
KIl
cl, T., .
ADDRESS: (11 ?? c V,- K L _ -
-,?
CTTY: J o, t) ?? STATE: ZIP CODE: S-?-S a
PHONE #:
SIGNATURE OF PERMI7TEE
1993 PLUMBING PERNIIT (RESIDENIIAL)
C1TY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLET'E FOR SINGLE FAMII.Y DWELLINGS. AISO, FOR TOWNHOMES AND
COND03 WHEN PERMTTS ARE REQUIRED FOR EACH UNTT.
Ya NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
DATE 1`1 C??
HVAC: 0-100 M BTU
ADDITIONAL 50 M BTU
GAS OUTLETS (MINIMUM 1@ 53.00 F_ACH)
ADD-ON/REMODEL (EXISTING CONSTRUCTION)
STATE SURCHARGE
TOTAL
STTE
FEES
$ 24.00
6.00
$ 15.00
.50
a1 So
OWNER NAME: TELEPHONE
WSTALLER: rr ¦? Uww : iryr H!
m:
CITY:
STATE: ZIP CODE:
TELEPHONE #: N,\?k?
1993 MECHANICAL PERMIT (RESIDFJVT7AL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
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2422 Enterpnse (Nive
leendeta Hsighta, MN 65124
?ER (612) 6e1-1814-Fox es1-ssae
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625 Nighway 70 NOrtheoai
gloine. MN 85434
612) 783-1980•Fax 783-1883
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49
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. 900.0 Denotes
x(? Denotas Exlst(ng Elevatlon
Pro
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ed E ?
PROPOS
ED H
OUSE FLEVASION
p
s
levatlon
--- Danotes Drainage k Utility Easemant Lowest Fioor Elevatlort:875.75
- Denotes Drainage Ftow Direction Top of BlockY Elevation:883.86
-a- Denotes Monument Garage Slab Elevatl
on:883.53
-*- Denotas Offset Hub Bearin s sho Z
w d , .
? g
n are ossume ?
LOT 26, BLOCK 3 COVENTRY PASS
oAKOTA couNrr. A1INMESO7A 4 TN A D D I TI O,N
1 hweby crrtify p" this iurvey, plsn or rpprt?y rM 6y ma u ?r my dincl wW klon erd tfiae 1am duly Reystertd Land Survayor
undsr Mi laws af t)?e Swte of Minmeou. Datatl this?? ??dsy of A? Y q,p, 1g??/
Scale: 1inqb=4C}feet
??? ?.. .?..•.... nen un ?IfOf
T ?\
?
26 ?
of Survey for: The Rottlund Compdnv, Inc.
House Address: Coventi
Model Nama: Hompshire B
Customer: Iler
25
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? PfON@EFt
* Bn11'??
-k * * *
Certificate
e
a «\
a ?
?
?
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Pioneer Eneineerine
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F
House Address: Coventry Parkwav. Eaac
Model Name: Hampshire B \
Customer: Keller
i ?
1 gld ' 40
\ M1
/? .
i ?
. ? ? ?? ??/•f ?
5 / k
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/ d y
' \\
\
rt^? ? \
?
x eoa.o Denotes
¦(190 Denotes
- - - Oenotes
-?- Denotes
-o-- Denotes
of Survey for: The Rottlund Compdnv, Inc.
2s
28
7831883
P.02
$422 Enterprise 6rive
Mendoto Heights, MN 55120
;612) 687-1914•Fox 861-9469
625 Highwoy 54 NOrkheost
8loine, MN 55434
(612) 783-1580•Fa): 783-1883
?h
?n. MN
1- \
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BY4 y /
/
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i 86?, 5,
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Existing Elevatfon
Proposed Elavatfon
Drainage de Utility Easement
Qrainage Flpw Direction
Monument
?yB.rr
Hl
i
PROPOSEp HOUSE ELEVATIDN
Lowest Floor Elevatlon:875.75
Top of sloeW Elevation:883.86
Garage Slab Elevatlon:8$:5.53
--$- Denotes pffset Hutr Bearings shown are assumed ?
LOT 26, BLOCK 3 COVENTRY PASS
pAKD7A COt1NTY. MiroNesora 4TH A D D I TI ON
1 hare6y csrcify that thq Iurvry, plsn or npa[ ?wn?r?pata1 4y nx und?r my d(reCf supe uion artd that 1 am dulY AtgiltMd Land S4rveyor
u?Msr the Wwc ol the Spte pf Mlnnsmu. Dated thiys?_ dry of R'Y A.D.
l
SCC1l
e. 1jn;b=4C}fei:t
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA156571
Date Issued:07/08/2019
Permit Category:ePermit
Site Address: 621 Coventry Pkwy
Lot:26 Block: 3 Addition: Coventry Pass 4th
PID:10-18403-03-260
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: 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 -
Wendy L Davidson
621 Coventry Pkwy
Eagan MN 55123
(651) 246-1258
Apex Energy Solutions
9655 Newton Ave S
Bloomington MN 55431
(651) 688-2739
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA163333
Date Issued:08/27/2020
Permit Category:ePermit
Site Address: 621 Coventry Pkwy
Lot:26 Block: 3 Addition: Coventry Pass 4th
PID:10-18403-03-260
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 -
Wendy L Davidson
621 Coventry Pkwy
Eagan MN 55123
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA171332
Date Issued:08/11/2021
Permit Category:ePermit
Site Address: 621 Coventry Pkwy
Lot:26 Block: 3 Addition: Coventry Pass 4th
PID:10-18403-03-260
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Wendy Lynn Davidson
621 Coventry Pkwy
Eagan MN 55123--396
Pronto Heating & Air Conditioning
7415 Cahill Rd
Edina MN 55439
(952) 835-7777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA179703
Date Issued:10/18/2022
Permit Category:ePermit
Site Address: 621 Coventry Pkwy
Lot:26 Block: 3 Addition: Coventry Pass 4th
PID:10-18403-03-260
Use:
Description:
Sub Type:Furnace
Work Type:Replace
Description:
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Kunik Family Trust
621 Coventry Pkwy
Eagan MN 55123
Bonfes Plumbing Heating & Air Service Inc
455 Hardman Ave
South St. Paul MN 55075
(651) 228-7140
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA179704
Date Issued:10/18/2022
Permit Category:ePermit
Site Address: 621 Coventry Pkwy
Lot:26 Block: 3 Addition: Coventry Pass 4th
PID:10-18403-03-260
Use:
Description:
Sub Type:Water Heater
Work Type:Replace
Description:Standard Water Heater
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:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Kunik Family Trust
621 Coventry Pkwy
Eagan MN 55123
Bonfes Plumbing Heating & Air Service Inc
455 Hardman Ave
South St. Paul MN 55075
(651) 228-7140
Applicant/Permitee: Signature Issued By: Signature