624 Coventry Pkwy?_ - •?
Wtrtificate vf Cccqanc4
cfit? of Cfagatt
'Mcourtmettt oF Isailbing aa#pcction
This Certificate issued pursuant to [he requirements of the Uniform Building Code
certifying that at the time of issuance this structure wa.r in compliance with the various
ordinances of the Crty regulating building corrstruction or use. For the following:
SF DWG
Use Classification: Bk1g. Pertnit Na
21072
Occupaocy Type nin District ??oos HRML s )RULIZI
Owner of Building Address
f
Buil ' g Ad?ess C,ocaliry
? Date:
Building Official
POST IN A CONSPICUOUS PLACE
? il \
t
CITY OF EAGAN
L 3830 Pilot Knob Road
1
Eagan, Minnesota 55123
- (612) 681 -4675
SITE ADDRESS:
, , i I! ? ttY F'?:?JY
PERMIT SUBTYPE:
I I; .,,I i N1,
I II ra" iit n 1 r?I ri
IIi 11 i i•i AC1
; ;rtltY?..
W I'I iit, VA1 1 F. `I F'I I<<,
ON RECORD,
PERMIT TYPE:
Permit Number.
Date Issued:
APPLICANT:
I ff, ; 1$11I1 i $1 i rit . I Ilt
t+-,!. ? ',/1 Hsvlq
TYPE OF WORK:
! Ft AM i Ni,
r IHni
1!U t l-f? i Ni
N. (Nl:'
0 t•. / Gl ;' / Sl ;
i?
?
Permit No. Permit Holder Date Telephone A
S/W
PLUMBING
HVAC
.
ELECTRIC do
ELECTRIC
Inapectfon Date Inrp. Commertta
Footings I G ///9A k45-
Foundation
Framing ?p/ 7
! ??
RooHng
Rough Plbg. ?
Rough Htg. ] ,
Isul. ,
Fireplace
Final Htg.
Orsat Test
Final Pibg. Plbg. Inspector - Notify Plumber
Const. Meter
EngrJPlan
Bldg. Finat
c
Dedc Ftg.
Dedc Final
Well
Pr. Disp.
INSPECTIQN RECORD
? CITY OF EAGAN PERMIT TYPE: t?+' I E o t nto
3830 Pilot Knob Road Permit Number: 0 7 60 0
Eagan, Minnesota 55122-1897 Date Issued:
? (612) 681-4675
f SITE ADDRESS: APPLICANT:
? .-? ? ,_?i ?? ? ?? •?t ? ???r ? ,,, , ??::,??,t??, t ?
? ?,•. i FI i i ; I n. , ! r i! ?. ..:: ? ?,.t+..?
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION „ . ,.
?
??
Permit No. Permit Holder Dete Telephone N
ELECTRIC
PLUMBING
HVAC
Inapectlon Date Insp. Comments
FOOTINGS
FDUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLB('i
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSM7 R.I.
BSMT FINAL
DECK FTG - -
DECK F!rJFJ_
- -- I
RESIDENTIAL
BUILDING PERMIT APPLICATION ? M, 5D
CITY OF EAGAN
. ` 3830 PILOT KNOB RD - 55122
651-681-4675 ?L
New Construetlon Reauirements RemodellReoair Reouiremenls
• 3 re3istered site surveysshaxing sq. N. of lol, sq. R. of house; and all mofed areas • 2 copies W plan
(20% mazimum lof coverege allowed) . 7 set of Energy Calculatlons for heated additbns
• 2 copies of plan slwwing beam 6 window saes; poured fouM desgn, etc.) . 1 site survey kr exterior additians 8 decks
• 1 set oi Energy Calculations . Indicate if home served by sepGc system for addNOns
• 3 copies of Tree Preservation Plan if lol platted after 711193
• Rim Joist Oetail Optbns seleclion sheet (61dgs with 3 or less unils)
DATE < <-? -C>) VALUATION I'7 U00 SR--10 JOB SITE ADDRESS i?Z41 Gb V[?tlr(2.`? wNy
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTYOWNER C?NCkZ Y?\6`IL=R--,
TYPE OF WORK SGRc'E-? f/CJRctq aN t5k IS71nX.-, FIREPLACE(S) _ 0_ 1_ 2
APPLICANT L,"46lr4D0fb GaNS k-; PHONE# qSZ'`1?16 '?°? `6 Y
ADDRESS G'A114; CcURT, MN Ss3?? ZIPCODE
PAGER # CELL PHONE # (? I Z S P- GZG 3 FAX # C16- ? ` 90" - 0 3Z
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RUI.ES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
MINNESOTA RULES 7672
New Energy Code Worksheet Submitted
Plumbing Contractor: _
Plumbing Syslem Includes:
Mechanical Contractor:
Mechanical System Includes:
Sewer/Water Contractor:
_ Air Conditioiung
_ Hcat Recovery SysLem
Phone #
Fee: $90.00
Fee: $770.00
Phone #
No
nn avUva mwnuauUn iuuaL vc auvuuuou Nnui tu yiwcaainy vt ayyuI,auVn. ., _
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 OrdinanceA7
Signature of Applicant * (:? Z,/-/ Certificates of Survey Received _ Tree Preservation Plan Received % Not Required _
Updated 1/01
Water Softencr
Waler Heater
No. of Baths
Phone #:
Lawn Sprinkler
No. of R.I. Baths
OFFICE USE ONLY
O 01 Foundation
? 02 SF Dwelling
? 03 Ot of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 07 05-plex ? 13 16-plex
? OS 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex ? 18 Deck
? 11 10-plex ? 19 LowerLevel
? 12 12-plex Plbg_Y or _ N
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn.(4-sea.)
)< 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 EM. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
A 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement `Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation !' o Occupancy ?5 --4- MC/ES System
Census Code Zoning ? City Water
SAC Units (I 1 Stories Booster Pump
Nbr. of Units Sq. Ft. ? PRV
Nbr. of Bldgs ? Length Fire Sprinklered
j
Type of Const -4
- W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) FinallC.O.
Foo ' f,Sjgs '.y??? _ ?(?'r,l
Footings addition t/ v" ???''? ?OY"?V I?J ?
_ FinallNo C.O.
Plumbing
_ Fo ahon ? HVAC
Drain Tile
Roof Ice & Water Final Other
? Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Fueplace _ R.I. _ Air Test _ Final Siding Stucco Stone
_ Insulation _
_ Windows (new/replacement)
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Approved By Building inspector
----------------------------------------------------------------------------
sc??60 ??Vx 9/yyo
10c.`sr2G(¢
?
Address 624 coVEnrrxY PARxwAY Zip 5512 3
1 . -
LAt 32 Blk 2 Sub COVENIRY PASS 4IH
THESE IT'EMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'fON.
Date: g.??3 Yes No Inspector.
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
TraiUcurb damage v
Porch ?
Basement finish
Deck ?
Please verify with the buildet the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exists. Contact engincering division at 651-4645 before working in right-of-way or installing underground sprinkler system. ?
While - City Copy Yellow - Resident Copy Pink - Contractor Copy
n/ _/nn
d
Re est Dal
3 Fire N. Roughin inspectio
Re y ired? -- -"
? Reatly Now"Will Noniy edor
?
"
_ Yes C No Wn A
IKlicensed contrector p owner hereby request inspection ofC4above-electric
Job Atltlress ?SVeet, Box 91 Route NoJ Cit
Section No. Township Name or No. Renge No. V-j
Co
Occupa IPRiNT) Phone No.
PowerSu Address
Eleclricai o`roctor (COmpany Name)
? ConVadors License No.
'
C? CdQ-DO 38
(
M9iling AdtlrBSS)COnVe[ror Or O ar Making In6tallfltion)
Aulhori 6a SgneWre rCOnVact /Owner ' Inslallat?onl Phone Numbe[
.
' .?8ra
MINNESOTA STAiE BOAflD OF EL&TRICITY THIS MSPECTION REQUEST WRL NOT
Grlgga-MlCway Bldg. - Hoom 5-113 ? BE ACCEPTED BY THE STATE BOARD
1821 University Avg.. SC GeuL MN 5510d UNLESS PROPER INSPECTION FEE IS
Phone (612) 662-0800 ENClOSED.
ep/ REQUEST FOR ELECTRICAL INSPECTION Ee-aoom-aa
n/0• ?li, See Mslruclions Ior completing this lotm on back ol yellow copy.
?y -? G Q d q V15#i3`X" Below Work Covered by This Aequest
ew Add Rep TypeoFBUilding .:ppllance,Wired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt.6uilding Dryer (5her-(Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Olherspecily) Conhac(or5 Remarks:
Campute lnspection Fee Below: ?
# Other Fee S ServiceEntmnceSize Fee # Circuits/Feeders Fae
Swimming Pool 0 to 200 Amps 0 to 100.Amps -
Translormers A6ove 200 _ Amps A6ove 100?-Amps
Signs L
inspemorguseonry. TOTA
Irrigation Booms /
?
?
Special Inspection
?Q.?
{^- l
Al
arml Communication THIS INSTALL TIA ON MAY B ?DISCONNE
Other Fee COMPLETED WITHIN` 0N
I, the Electrical Inspecror, here6y Roag°"" ? Dat ?
certify that the above inspection has
been made. Finai
i
OFFICE USE ONLY This repuest voio 18 momhs from
?
?/???-2
443-135
? REQUEST FOR ELECTRICAL INSPECTION
Minnesota State Board ot Electricity
1827 University qve., Rm. 5-728, St. Paul, MN 55104 -
Phone (612) 642-0800
ome Duplex Apt Bldg: Otliec " New Add
Co rcial Indusfrial n
Form
ir Cond. Htg, Equip. Remod Re air
Wofer Hfr. Load Mgmf. Olher
Dryer Ronge .
Elec. Heaf iemp. Service
"X" above Ihe work mvered by fhis requesG Enfer remarks in this space ond on 1he bac whife copy onfy.
Calculote Inspection Fee - This lnspeclion Request will not be accepfed wiihouf the mrrect
Other Fee # Servirn Eni
r.nce ircui
WFeeder5 Fee
Mobile Home Pork Stall 0 to
200 A100 Amps
Street Lfg./imHic Sig. Above 2D0ve Amps
Transf ormer/Generofor 9
INSPECTOR'S OSTOT CT7C
Sign/Oudine Lfg. X{mr. ?X.?
Alarm/Remofe Canhol
Swimming Pool
Irrigolion Boom ceni hhar I ed herel? on the danes itated
Special Inspection eo?ha„
Investigative Fee F'"°? o
T HIS INSTALLATION MA Y ac n wncRE
' C LEfED WITHIN 18 MON H5.
OFFICE USE ONLY This requesf wid 18 momhs 6om validarion dore printed in ihis box.
f/... /Hif
??INNNIN11
iIIIIIiIII?IIIIiIfNllllllllllllll??-?-
4
PLEASE PRINrOR TYPE
?
Reouen Dme Raugh-In Inspenion requbed$ ? Ves . o Inspection Orhe. Than RougMlm
Now Q WIII Coll
?Yo? mu:r coll rhe ?nspenor whe? ready) Dote Reody:
I, ?sed canfrocror 0 owner hereby request inspection of the obove electrical work at
bb Addrass ?Srceer, Poz, or Rwte No.j Ci Ztp Ca3e
/
n,
Sxlio
Towns ip Nome or No. Range No. Fire N., Cauny
Occ P ?
Powar Supplier Address
Elenned C?ror (Co ny Name)
f % Conrcano license ho.
GV / / / `70 Mosrer Lk. IJo. (plant Elecl Oniy)
Address ?Connacmr or Owner P Fo,ming Ins?allmion?
Authorized Sign (C vactw a Owner Pedorm Insiollafion? Fhone`1.??'
?
Fnrnrni e i? o i?? ??/
???
STp1E gppq0 COPY - SEE INSTqpCTIONS ON BACK OF YELLOW COPY
OFFICE USE ONLY This request void 18 monihs Irom valitlation tlate printetlin Ihis bar
?-
353-797 [ 7 ss?-
7
PLEASE PRINT OR TYPE ZJi )M [LLS. ^f ?O
Hequest Date Rmgh-in inspection re0uiretl? V wO Inspection Olher Than Rouyh-In: ? Ready Now 0 WII Call
5- 2 0- 9 7 (Yw musl call the inspectonv Mn reatly) Date Reatly:
I, [X licensed wnlrnc[or ? owner hereby request inspection of the a6ove clectrical work at
JOb Atltlress (SUeet, 80x, or Route No) City Zip Goc'e
624 Coventry Pkwy. Eagan
Seclion No. Township Nnme or No. Iiange No. Fire No. Caunty
Dakota
Occupanl Phone No.
Rick Kryer 688-9534
Power Supylier Atldress
Dakota Electric Farmington
Elecvical Coniraotor (GOmpatry Namnl Conlractor Lioan? No. Master Llc Na (Plant Elnct Only)
Roehning Electric CAO 1557
Malling Adtlmss(Conlraotor or Owner Podomiinylnatellation)
14811 Endicott Way Apple Valley 55124
hulM1wiznf Si ny_ature lCqnhac[or or r Pedo in9hs??ILtlioN PM1One No.
423-4328
EB-00001A-I I 3195 STATE BOARD CODY - SEE INSTRUCfIONS ON BACK OF VELLOW COPV
/
NSPECTION
Q
T
?
A
O L
E
III
I I
IIII
I
III
III
III
II
IIII
III
II I
IIII
IIII lect
cty
E
esota 5 a Boad of
M
n
MN 55104 ??
III
m
Pnone f612) sa2-osoo
G/?3?7 ?
V V J J ( J i "
New
Addn
D
l t
Bidg
A Other:
Home up
ex .
.
p i
R
Commercial Industrial Farm Remod epa
r
Air Cond. Htg. Equip. Other.
Water Htr. Load Mgmt.
Dryer Range e
Elea Heat emp. Servic
abwe thc work coveted by Ihis request. Enter remarks in this space and on Ihe back of the white copy oNy.
Wired A.C. & meter for same
Calculate /nspection Fee - This lnspec[ion Requesf will not be accep(ed without the correc! /ee:
Other Fee * Seroice Entrance Size Fee K Circuits/Feeders Fee
Mobile Home Park Stall 0 to 200 Amps 1 0 to'100 Amps 15.0
Street Ltg./Traffic Sig. Above 200_A Above 10_Amps
TransformeNGenerator INSPECTOR'S1ISEON
/ TOTAL
50
20
Lt
Xfmr
/O
tli
Si .
g.
.
ne
gn
u
Alarm/Remote Control
Swimming Pool I Inmby certify Ihet nspemetl iha a?ec r installation describea harain on ihe dates stetea
Irrigalion Boom aouc,n-i? oare
ecial inspection Finul Dale
stigative Fee
S
? onrocn nic FcTFD I D WITHIN 18 M NT S.
? ??„? ??...?..«...........?. __ _..__"__ _-_ _ _? ,.
S8gL['7
RESIDENTIAL BUII.DING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
4 'Za.6 d
C,0_t? 1-1 1Z4163
New Constructian Reauirements RemadeVReoair Reauirements Ofice Use OnN
3 registered sioa surveys shoviirg sq. ft W bt sq. R ot house; anC gfl roded areas 2 copies of plan CeR of Survey ReW
(2096 meximum lot coverage allowed) 1 set ot Eneqy Calwlatiaw for heafed additior's _Tree Pres Plan Recd
2 copies of plan stpwing beam & wiMm sizes; poured tourid deaign, e0c t site survay far adAitions 8 decks _ Ttee Pres Not Reqd
lsetofEnergyCakwletians Addibon•iMlceteilm-sdesepticsystem _On-ffiIeSepticsystem
3 copias ol Tree Presenetlon Pien if bt plat0ed aPoer 711/93
Rim Joiet Defap Optlrns sMocUOn sheel (Mdgs wdh 3 w Im uniLv
Date / /
SitcAddress lea
Co?e„ i ry Construcdon Cost
3 UniUSte #
Descripdon of Work
Multi-Family Bldg _ 13tise wtn i
Y x N
Fireplace(s) _
0 2
Property Owner (< t G? a r?_ Kf ey.ej- Telephone #( 4-r1 ) Co 88 5'S3 `?
Contractor UW ), e-?
Address ? a
State y CoLi r- 7-i'y pKiL?wc.•/
Zip 5-'57-/ d. 3 City C"?ti ^
Telephone #(4 sl
COMPLETE THIS AREA ONLY IF CON8TRUCTING A NEW BUILDING
Energy Code Category - Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
(J submlasbn rype) ' Residential VenWatlon Category 1 Wwksheet . New Energy Code Wwksheet
Submiked Su6mitted
. Energy Envelope Cakuktlons Submitled
Licensed Plumber
Mechanical Contractor
Sewer/Water ContraCtor
Telephone #(
Telephone # ( ) -- -
Telephone #{
E?l,?)`' I - 'L 'J ?
'nrp -1 n 7rc?.
I hereby apply for a Residential Building Permit and aclrnowledge that the inform(qoD--Lv?coxa?le[e=an" -3-ac6urate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
R??I??rd I?reye? ?
ApplicanYs Printed Name ApplicanYs Signature
OFFICE USE ONLY
Sub Types
O 01 Foundatfon 0 07 05-plex
? 02 SF Dwelling ? 08 06-plex
? 03 01 of _ plex ? 09 07-plex
? 04 02-plex ? 10 08-plex
? 05 03-plex O 77 10-plex
? OB 04-plex O 12 12-plex
Work Types
O 31 New O 35
O 32 Addition ? 38
X 33 Alteration ? 37
? 34 Reptacement
Valuation ?b'!, Z;p
Census Code
-Ta'T
SAC Units
Nbr. of Units
Nbr. of Bidgs
Type of Const _eiz_
O 13 1&plex
? 16 Fireplace
? 17 Garage
? 18 Deck
? 19 LowerLevel
Plbg_Y a _ N
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
? 23 Porch (screeNgazebo)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldc
? 31 Ext. Alt - Mutti
? 33 EM. Alt - SF
? 36 Multi Misc.
Int Improvement O 38 Demolish (Interior) O 44 Siding
Move Bldg. O 42 Demolish (Foundation) O 45 Fire Repair
Demolish (Bldg)• ? 43 Reroof O 46 Windows/Doors
'DamdiUon (EMire Bldp) • Give VCA handout W applipnt
Occupancy ?L MGES System
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
Width
_ Footings (new bldg)
_ Footings(deck)
_ Footings(addition)
Foundation
Drain Tile
Roof Ice & Water Final
? Framing -
_ Fireplace _ R.I. _ Air Test _ Final
Insulation
REQUIRED INSPECTIONS
FinaUC.O.
? FinaVNo C.O.
_ Plumbing
HVAC
Other
_ Pooi _ Ftgs _ Air/Gas Tests _ Fiual
_ Siding Smcco Stone
, Windows (new/replacement)
_ Retaining Wall
Approved By T 2- , Building Inspector
9ase Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
?G Pll? /?
? ?av
?
4
???
141
rLUMBiNC (REsinEivTiai,)
Permit Applicatiou
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for: Single Family Dwellings
Townhomes and Condos when pernvts are required for each unit
,4tSp -SZ
Date?/
Si[e Address _ 6 a-/ ('e7l/ Cm Unit #
Proper[y Owner 2. C?. Telephone # (6 S/ )
i lr r?? ???? l
Contractor
Address City
State Zip Telephone # ( )
The Applican[ is f/ Owner _ Contractor _ Other
Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00
Includes County fee. Additional consultant fees may apply.
Alterations To Existing Dwe ' ' InGuding
? $ 50.00
Adding fixture lower levels room additions, excluding water softener and water heater
_ Abandonment of septic system
_ Water turnaround (+ 5/8" meter if needed -$121.00)
_ Other. t"
_ RPZ _ new installation _ repair _ rebuild $ 30.00
_ Lawn irrigation system
-W
W
t
ft
t
_
a
er so
ener
a
erheater $ 95
00
eplacement
additional .
_
State Surcharge _, - - - " ? $ .50
I 1-- ' I S O
Total !.;?;$ .
1 JI
J
I hereby apply for a Residenrial Plumbing Pernut and aclaiowledge that the infomiafion is complete and acc ? te; that the work will
be in conformance with the ordinances and codes oFthe City of Eagan and with?j Plumbing_Codes; t?iderstand this is not a
pemut, but only an application for a pernflt, and work is not to start without a p?iiit;'that the work will be in accordance with the
approved plan in the case of work wluch requires a review and approval of plans.
IS ?c?.??Z 1?re e?
ApplicanYs Printed ame ApplicanYs Signature
PERMIT ?s7?s7
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesot8 55122-1897 Permit Number: 0 2 7 6 0 0
(612) 681-4675 Date Issued: 0 5/ 2 0/ 9 6
SITE ADDRESS:
624 COVENTRY PKWY
LOT: 32 BLOCK: 2
COVENTRY PASS 4TH
P.I.N.: 10-18403-320-02
DESCRIPTION:
Buil#inr},.,Permit Type DECK
16uilding `'ork Type NEW
"Census Cade 434 ALT. RESIDENTIAL
n
, ?t?
r i t i
a.. i 3:' 41a ? .m??'b ?.a
s.
? A. ? i.??..? .
REMARKS:
FEE SUMMARY:
Base Fee $45.00 COPY $.50
, Surcharge $.50 Total Fee $51.00
Lic. Search Fee $5.00
Subtotal $50.58
CONTRACTOR: - Applicant - ST. LIC.OWNER:
LHKEW00? CONST 18816452 2003775 KREYER RICK
401 LRYMAN LN 624 COVENTRY PKWY
BLOOMIN6TON MN 55420 EAGAN MN.
(612) 881-6452 (612)688-9534
I hereby acknowledge that I harvve read th3s appiication and state that the
information is corr°eot arid agree td comply with a11 appl3cable 'State ofi Mn. -
L Statutes and City of Eagan Ordinances. J
APPLICANT/PERMITE SIGNATURE 'ISSUEDB SIGNATURI!
???
14L 00 CITY OF EAGAN 0 O
3830 PILOT KNOB RD - 55122
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
New ConstruMion ReqWrements
_ i
RemodeUReoair Regulrements
? 3 registered aite surveys ? 2 copies of plan
? 2 eopies of plans (indude beam 8 window sizes; poured Tnd. design; etc.) ? 2 slte surveys (extarior addkions & decks)
? 1 energy plculatfona ? 7 energy celculations tor heated additions
•
? 3 copies af tree preaervafiun plan H IM platted after 7H193 -4 r
required: _ Yes _ No . ? J ?
DATE: J" l s"q6 CONSTRUCTION COST:* 3560
DESCRIPTION OF WORK: c '
STREET ADDRESS: G Zq cDVENT Ri ?Zle-AA/AV EA6AN '
/r` . $ ?
LOT BLOCK ? SUBD./P.I.D. #: L?I-?; ?ApQ '?`i'?n
?
w?
PROPERTY Name: KRC`fE12 Phone #:
OWNER '"`* `I"°T
Street Address• hZq '?OvC-AIrRy QAtz?wA?l
City: e-AGAti State: MN Zip:
coNrwncroR Company: LP.kG?c?D ?N?TP???t?N Phone #: S%1- 62?S-Z
Street Address: y0l L-^,4MAA-? I-AejE License #: 2-OO377Sq
CitY: C3t-ooMwc?T?N State: MN ZiP:S,S?(Zd
ARCHITECTi Company: Phone #:
ENGINEER
Name: Registration #:
Street Address,
City: State: Zip:
Sewer 8 water licensed plumber:
change are requested once permit is issued.
Penalty applies when address change and lot
I hereby acknowledge that I have read this application and state that the information is corcect and agree to comply with all
applicable State of Minnesota Statutes and City oF Eagan Ordinances.
Signature of Applicant:
OFFICE USE 4NLY ???ENED
Certificates of Survey Received _ Yes _ No mqy 159996
Tree Preservation Plan Received _ Yes _ No ____________„
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
d ...
PERMIT
C,C 7-73 /
? -1?2 -9 3
. BUILDING
021072
06/02/93
SITE ADDRESS:
P.I.N.: 10-18403-320-02
VALUATION
DESCRIPTION:
Building,Permit Type SF DWG
Building Wo,rk 7ype NEW
UBC OccupanGy\ R-3 M-1
,
)
Construction Type V-N
Zoning R-1
' Building length )
Building Width \
.-
\?. '
„
68
34
REMARKS:
S& W PLBR - VAIIEY PLBG
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
SAC
sac %
SAC Units
Subtotal
$849.50
$552.18
$80.00
$750.00
iee
1
$2,231.68
624 COVEN7RY PKWY
LOT: 32 BLOCK: 2
COVENTRY PASS 4TH
CONTRACTOR: -
ROTTLUND CO INC, THE
5201 E RZVER RD
FRIDLEY MN
(612) 571-0304
PERMIT TYPE
Permit Number:
Date Issued:
$160,000
MISCELLANEOUS $1,744.50
Total Fee $3,976.18
Rppiicanz - 57. liC OWNER:
15710304 0001335 7HE ROTTLUND CO INC
5201 E RIVER RD
55421 FRIDLEY MN 55921
(612)571-0304
301
I hereby acknowledge that I heve read this
information is correct and agree to comply
Statutes and City of Eagan Ordinances.
/.
APPIICANT/PERMIT SIGNATURE
application and state that the
with a12 applicable 5tate af Mn.
I
LNIA 1149 ?I SUED B: S CI?i JA E
REAC'T:?;fA.TE _ Ir?ECE:1993]
Pt?iI h1AY 1 21?1 CtnoF EaGAM $3 ??G 11
1993 8UIL71NG PEI?MIT APPLICATlVN '
681-4675
AU ?-I
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural 8 structural plans, 1 set of
specificatians, 1 copy of energy calcs.
Penalty applies: 1) :4hen permit is typed, but not picked up 6y last working day of month.
in which request is riiade, 2) address is changed or 3) lot change is requested once permit
is issued.
Date 5 Yaluation af work ? O
Site Address: LnUeh-Fn/ PkG??/
STREET ' SUITE f
Tenant Name: (commercial only) 7-?& 44(uNL4 C4C)•XvlC_
IAT ?Z SLOCK 2 SUBD. .1?
•r ? P.I.D. N
Descri tion of work: IN (? ?o.,r•?') ?
The applicant is: Owner lircontractor O Other (DeacNbe)
Name v CO. =Kc Phone 571 -02 eT_
Property LAST FIRST
Owner Address f'J ZO ? E• 2 i 114Lf I? • ??
STREET StE /
City ?a State. /??. Zip.?J Y?
c
Company Phone -
Ccntractor Address License 033 S Exp?' l-`t
City State Zip
J-Pr Phone
Company A
ArchitecU -
Engineer kame Registration #
Address
City State Zip
Sewer & water licensed plumber ? ?-?A Processing time for
sewer & water permits is two days once ctrea-has been roved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Si
?
qnature of Appiicant:
AFFICE USE ONLY
BUILDING PERMIT TYPE
%
1:1 OI Foundation ? 06 Duplex ? 11 Apt./Lodging h
? 1 Base n?P:.ini?s
"?7'$
;
02 SF Owg. ? 07 4-Plex ? 12 Multi. Misc. 0 w1fi Pool
? 03 SF Additian ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
0 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
O 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
PI 31 New O 33 Alterations ? 35 Tenant Finish ? 37 Demolish
p 32 Addition ? 34 Repair ? 36 Move
GENERAL INF ORMATION
Const. (Actual) V- i.1 Basement sq. ft. MWCC 5ystem yCS
(Allowable) lst F1. sq. ft. City Water YES
U8L Occupancy -R? 2nd F1. sq. ft. PRY Required
Zoning R-S Sq. Ft. tatal Booster PumP
# of Stories Footprint Sq. ft. Fire Sprinkler
Length ? On-site well Census Code
?
Depth 3' On-site sewage 5AC Codg
?
APPROVALS '4^04 _'--
$s
Planning Building Assessments
Engineering Yariance
REQUIRED INSPECTIONS
? Site
? Wallboard
? Footing
? Final
wluec;m: $ 0 000 ?-
?A- Zy X22? SZS ?(o =
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
5/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
sac % 100
SAC Units j_
BSMT ;
IST
? framing
0 Draintile
? Insulation
? Fireplace
?54?lv
x 30 ? /?4 0
?a1< ?= 12D
y x ?a: y?
,?, 13oa Xf$- 19,soo
= 13aa xs?+=
2npn?o2;
3 aX -3g _ I I yOXS (-f -
-7D, zoo
GI 560
1??, ?a8
_ w - LOT SIIRVEY CHECRLIST FOR RESIDENTIAL
¢ Q
m N BDILDING PERMIT APPLICATION
m ? ? PROPERTY LEGAL: ? ??- ??C
K Z
CO??712Y ?? s
? S co .
.
Date of Survey: S- Zs- `l?
< Z 2 DOCUMENT STANDARDS
Q? ? • Registered Land Surveyor signature and company
C? 0 0 • Suilding Permit Applicant
0 D • Legal description
(d? ? ? • Address
C? ? ? • North arrow and bar scale
?? ? • House type (rambler, walkout, split w/o, split entry,
C? ?
? • lookout, etc.)
Directional drainage arrows with slope/gradient 8.
C? ? 0 • Proposed/existing sewer and water services
C?' ? 0 • street name
B ? ? • Driveway
ELEVATZONS
Existina
? ? • Sewer service
Lot corners
m? 0 Top of curb at the driveway
??? • Elevations of any existing adjacent homes
ProDOSeB
l? ? 0 • Garage floor
? ? ? First floor
C?' 0? • Lowest exposed elevation (walkout/window)
0? ? ? • Property corners
? 0 ? • Front and rear of home at the foundation
PONDING AREAS (if anolicable)
0 ? • Easement line
? ? • NWL
? ? • HWL
13 ? • Pond # designation
D ? • Emergency Overflow Elevation
DIMENSIONS
L1?
? ? ? • Lot lines
D ? ? • Right-of-way and street width (to back of curb)
? ? 0 • Proposed home dimensions including any proposed decks,
overhangs qreater than 21, porches, etc. (i.e. all
structures requiring permanent footinqs)
? ? ? • Show all easements of record and any City utilities within
those easements
? ? ? • Setbacks of proposed structure and setback of adjacent
existing homes
? ? ? • Retaining wall requirements, if any
Reviewed•
Name / Date
October 1992
• ? ??
F-X1'Ft;iott F:t{VF.i,Ol'}: AVI•:IfAC;I•: "u" cnKrirCn•1'tOttN
oNN ER
i
ST_TE ADDRESS . LO 3 Z ZI.OCK Z CO PAs& LftjgADA?N •
?
CONTRACTOR LIATF P};oNE
Determin vorkinl; squnre footar;e of cach.
l. Total exposed vall area .. _ z/ ?- 71 ?j sq. ft. x
2. Total roof/ceiling area ., l.3DU • sq. ft. x 8?026
• . - ,
Total exposed vall arca nbovc floar = 7ia 3 7, Li
a• Total uall windov area p
, b. Total door area . ... ?
.
C.
d. Total
Total sliding glass door
fireplace vz11 ar ................
area ..... .
? .
j- 7,-
ea ,,,.,
e. Total vall framin area
8 (
average 10,.) .......
..
Z! O
q
f.
. 8• Total
Total net vall e:-ea nbove
rim joist arec floor ............. ....
,
...... / g-g ,c?
.... ............. .....
. ...... 2 Z
. C?
• Total expo,ed frn:nd¢t inn area
h. Total foundetion vindev a :ee .....•.. ?t
i. Total net foundat3on area hbove grade ._..... ......
? . • Deter.r,ine "U" ralce o; each vall ;ef;men t.
. a. c':,,l, 0,¢2 = g z,31
b. fz,-7f x ..U?, 0,13?2 = Sgq
.' - C. ?? `t, 9 7 X„u,. z, _ l/a, 70
d. - X
e., X-??U cli??C( - ??, -7 7
; ; X ,.U„ . o, o cr 3 - 79. ??
. 8. ZZ-''. L. X,.u„ 9-2¢.
h. ? X ,.ull 0-?-2 = Z.5z
X „Ul.
3 . .... ...... ........................ .( 2N )
..
.. Glc?
If item
or sBC M3 is
6006(c the same as, or lesc: !.h:,n .iCen A'l, yoii
)2. nave met the inter.t
.?
Total expased rooC/ceilinG nrel = ? D d
y. '... .
Total gross roof/ceilinp arc:t =
?. Total skylight arza ..........................
k. Total roof/ceiling frzming area ............... 7-57??
1. Total net insulated roof/ceiling area ........ Determine "U" value for cnch roof/cci i int; SeF,ment.
J -? X uUn ?- _
.
x: ! 3 o X,.U„ 0, D 27 = ?; G? . '
i. 117o X „U„ o,c2z = 2?7? L . ...............................:. Total
Zf toLa1 of #6 is the same as,"or less than N2, you have met ttie intent of
ssc 6oo6(c)i.
, To utilize the total envelope svste= method, the values establi:hed by the
s= of iteas 13 and 94 shall not be greater.thKn the sum of iten;s R1 and X2.
1. + Z, _
' 3'. + L . _ .
.
? ? . f.
:'1 • ,
O
?
?
. _ . ... O . ° ..
Y)E'fAIi..F.'D !?k:F'C1C"t'1' F=t)"r't EiNi:Crik: Iil1l!:=t..
f;>r e,parECl F=cr: tYr°eRaretj By.
rOFTL.UNU r:aMr--F3Nv sNc: TrM LraunNER
FLIIFtE: l•ik-:A TI hlE:i
,7ob Name: 7HF' COLf]NIFiL
,
?1:7
UFrE
F X F
5
?.,'IL_JJ ?tt,tl v`?1
IVh1!l ?'J•??'? F
?I
C? ???F?//
E?^?_1 WG"?. ???W _?{. /Jt/? HG3f;Z •
?:7 I
___.. T!, /?
f ?l•?!'SL
f,t l'1 C:. P'??..._?.?. . ,. _-
. i?..?.?.?....? AL. 1 I............?-1N?ai I -----_.,._._-.._.__.___._._._---...__._.._._..__ .
19tJ i 1.216 1 0! C) f rYC]fJ 1
Cf.IC1l.[iVG 1 2f311 l,wCtq! 839W61 006F]Oi Q; Cli V1 I5y9071
tiEA"C'SNE:?.
-------- ? 49:: 2,134I
------------------- 0,1261 5,171: 0; oi
-------------------------------------- 0:
-- iS54241
--------
Wr:(._L.;3
Af^iEfl i
C:C.1I7l..:lNCi i
EiE:Fi'I' F fVG I
L)C.iIJI'i5
I•aREA i
COI:ILING I
sarRlilVG 1
FI_C7G1Ff
Nf7FfTF{
E?l3F3 i
8=J6 :
?sa?tl I
M1IC1R`fM
281
2191
9561
uCl1J'1"N F'A:aT W[=5T
£374: 941; 977i
7931 204; 287I
;i,46;a1 3,7311 3,i3741
------------------------
at7UTF1 E:FiSl Wc:-S'1'
AREA
:`S1"W 1
AREA
381 ]
CF: Y I..1 NG
r Faop1e ;ienslhlc: l.oad
l,i,gh'k5 & Apwl, Le7ae1
Vmnt.iiat.ion L4ae!
DI.t1At Hee`it'. Civ"-tlfl
[nfil'hl°a't.i6ra I..Gad
Ss:;n5:i,tile £iafe't'y C7ti.tli
TI:.)T(•ll_ SENSIHL.E Lf.lFlU
Suunrrtor• AC:Ii
------------------
oi 201 401
01 2431 4E$61
01 1sClb?,?i 29124:
------------------
C1701_ I IVG's
------------------
i C>
Ivt:lNW SE/5w
....._..._
O:
----------------
NE/!VW :;E/SW
----------------
oI 9i
Cs ; CY ;
r;t; p;
----------------
HC:ATING
--------------------
C:C3UE.I NG
--------------------
; 1,196
--------------------
..,_
-------------
FiFiHT I NG
BE,L.OW
Gr3FaDt_ 'fCiTAL
----------------
O ! . 6sd l
C) ; "3,'4L>f
7,4915 22nA''d'11
----------------
TET'f'AL
----------------
: 7f? <
i 9481
; R.S421
----------------
----------------
----------------
----------------
--------------
; 2.6'.?b
------------------
MISCELLANEC2iJS GfJC7LtNG t_C1FlI)S
-'_
1 , =;07
l.at:ent
i..Wad
l,19; Latte'•;nt. Safr-ty Btuh
955
C
.>
62E1
Iym
26vBti7 'Cl:;1'TAt.. l,.fil"F.:::Nt L.qAD
Qxt:fi Tf;?f11p. :.iW:6flg Ml.tl't.
*??c 1"otral E:ucslini,3 L.oad =4.646 PTl}}i Or 2.09 'F'cris *1*
MISCEL_L.AIVrf]Ll:a FIEFiTIM(3 L.OADS
y
.rzfa Xtr°?-a't:?on t_raad b,64?S _____..___Verlt5.leai::iun t_oad
Duct Heat L.[?5a C'U Safety Htuh
W.intel•' FaCH 0.13
7,410
171
7,789
I . iy!',i
4,959
2.985
*** 1"otal M{r,xahi.r7g L.raad 62,602 F3TI.JH ***
?? .,. li-la-•91
PP-t {yr+red Fur:
Y;flTTf_L3NU GWS'1PANY IIVC;
8Ut`iMf3R`/ F+£F'ORT
PYE?p'etl'wCj F'.«y:
1.1:P'i LAi.1I)PJGi.f'i
1=l_AFik HC=.F;TIIV(a
,7c;b hlcllitCs. rNC-. L:C3{sI.EIV.IAL
C)Ef3TCSN t::C1N1']X'('S(:IPJS fUr
ou7'nOOR
SurtMER wzNTER
I)r'y Bu1b 92 --20
Wek 8ialb 7"5
INDOUr:
SUMrhFR wINrER
7'M 70
6'7
Uail'y Range 22
L.at1t.Lld@ 44
1)Rily Swing 3,0
EleViLiti[afl 822
Sei{'t;:tY r'iNC:'t.QC' A) J
L%ett:f'1t F'ciG:1:oY' I: ) 29
?%K??????7K??ll(1Lfl(??t?*?F8t?71t?t*?*'k?Xt??k??#X(? kBS?N?k?????(W*#????c?k1C??ctlf?f??*WKf*???MML??%k7K?
'aeti<>].L'fle
F:cyum Ht:.ext.ing i-Ir:a'c.i.nq C:ouling f:ooling
}37UH C:1='k"I
..._
.
. BTU3-1
.__
? CFM
qasFroent 20,162 .
y
v
82N 784
1 90
Fnya,r• :;, 34;°? 47 1,9S6 98
liLriing f;orm :.905 41 2»tj94 iqb
L...i.vir3g f:oom 3,916 :i., '',ufaG 124
F.tmi 1y Rc7am 4, hS'a 61- 4 r .hG(7 :?':'-
Dirrette 4,001 56 1,126 17
h' i tc heri
6 .669
.',213
162
(_a4AfldPy/F'DWCaeM' s:?S26 992 50
107
$k?C'?Y'C7GIrt 1 6*72 31 2.120
??cl?.'.hC"C)4111
2,590
.?f? r?
1 n 4Js? ?(?
I3edr-nom ?.' 1,027 27 1,087 55
k+radroom a i.942 27 1,m 55
Bath 468 "r 145 7
E,rc,clr-oaiiti 4 2.61:.' 17 1,516 9zs
wi'ktir7r3•Fare4t 1?190 17
_
817
_--_41-
_ _
6'2 .E,B 2 E77'7 26?£337 1
Fq--Fi'fING llEL'T'F3 T 6,":;.SS C17(JL_IIVS f3El_'1'A 'S 18.1.)
Www 4'"1.-Ma.+anH A'ir"F1PVN 1u". 4'12:H:dfed IAL.i1S17 },W rk1Ca6AlY"f^rflif^f7tS.
3?5953 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN 06 m &) ?
3830 PILOT KNGB RD • 55122 5Lor?j/?
651•681-4675 I
New ConshucNon Reauirements Remodel/Reoalr Reauiremen}s
> 3 registered sffe surveye ahowing sq. fl. of lot, sq. R. ot house 2 coples of plan and all rooted areas (20% mazimum lo} coveraae allowed) 1 set of energy Calculafions tor heated oddHions
> 2 copies of plans (show beam 3 window sizes; poured fnd. design; etc.) 1 sBe survey for exierior addMlons 8 decW .
1 set of energy colculntion3
> 3 copies of tree preservatlon plen N lot plafted atfer 711193 DATE: CONSTRUCTION COST: ? r J Sl ?Z ??
DESCRIPTION OF WORK: 0A ce- 606V
STREET ADDRESS: w a CU J'C Y'1\-f G?'(w
LOT: ? 2- BLOCK: - 2- SUBD./P.I.D. #: ?
PROPERTY
OWNER
CONTRACTOR
Name:_ f`-"`Qir 124 UI ard Phone
la Firsf
Sfreet
City
State:
License# o2Uwl* Exp. 3 aU00
?? ?'-_r lP I 2-
Company: ?ll ?+v\ " ??.1eC?/'n ?" ? ?-r' Phone (area code)
Street Address: 19? / W/ Y.l AIJe /) E,
CitY c4? (i n4 VGc4 rct.C?- State: rY\/J
ARCHITEC7/
ENGINEER Company:,
Telephone #: area code (
Street
City
Sewer 8 water t(censed plumber (reauired for new consiructlon onlv):
State:
Penaity applfes when address change and lot change is requested once permif Is Issued.
Zip:
I hereby acknowledge that I have read this application, state that ihe fnformation is correct, antl agree to comply wifh all applicable
State of Minnesota Statutes and City of Eqgan Ordinances. ?
Signature of Applicant:
OFFICE USE ONLY RREEC E IVFD
Tree Preservation Plan Received _ Yes - No _ Not Required BZip:
Certificates of Survey Received _ Yes _ No MAY 2 5 1999
zip: ss?/3 ?-
Reglstrotion #.
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) (???
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 aRAt
(651) 681-4675
New Cons[ruction Recuirements
? 3 registered site surveys
? 2 copies of plans (inclutle beam & window sizes; poured fnd. design; etc. )
? 1 ener9y ralculations
? 3 copies of tree preservation plan if lot platted after 711193
required: _ Yes _ No DATE: M.hy 2 7, !?l 9%'
??, ?
DESCRIPTION OF WORK:
RemodeVRepair Reauirements
.v a P?%J2. lw c ? .
0 2 copie5 of plan r ? G
? 1 site surveys (exlenor additlons & decks) 7'•&'?? 1 energy ralculations for heated additions
D a
CONSTRUCTION COST; ?o? ?. 3 77
S r a 2 a, I A-.L*A C/=...D C k T+ot cO.P
s- a ?, cpi L. . r...4 c, c 4 y E?- r G_
STREETADDRESS: IQ2!? CovE,jY2,. /4 QJLr%?t,,14y ;,,¢ G?4,J, rN A1 S'S/ 2..3
LOT: BLOCK: ?- SUBD./P.I.D. #:
Name:1]._/Sl.??CL?..----I Phonc
----- - ----? ---
PROPERTY ()4VNL:R ? ?
Streec A<]dre,s:-1s a?--CDUif-'J i! ??-- ! -- -- -----
City _ V-_-A„ GLTN ------------- -------- Stace: -"l??-'-------- l' ?--
Comp:ury: VJ.1'!yC_o-" jk4 TdG Phonc Z?-'P 7 f ' 6o b D
-------------
CO V "1'12:1CCOR ^ ?-y V16
StreetAddress: ?laf ,.J?Jr,.A/r..1/?V/ /oJ I.icenseil Zaa.??g3,?Exp.o.?
Citc M I????q'PC (? L? State: ?---------- "Lip: Ss_ q ?J
ARCHITECT/
ENGINEER
Phoue N:
12egistrauon #:
SLrec[
Cily ------- ------------------------------- S[ate:
Sewer & water licensed piumber (new construction only): _
change and lot change is requested once permit is issued.
Zip:
Penalty applies when address
I hereby acknowledge that I have read this application, state that the intormation is correct, and gree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: OFFICE USE ONLY L&AFA
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No
i -
i ' Ju4'"
Not Required ?
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675•5675
Piease complete for modifications to existing residential dwellings.
Date 3 ! ?3o 1 _c?_
Site Street Address (6a q CO VE0T(? w `j Unit #
PropertyOwner-WlLe t?00_-fze Telephone# (6S/) wlzW`5?3y
Contractor L4??C .041,6 oO?6 Z' /W cG'?JC? Telephone# (4s-1)
AddressL5/Ei 9 Z/,Uo6/F+v Ave City cX4VW,-r State e"C/IJ Zip S15"-i'7C
The Applicant is: _ Owner XContractor _Other
Alterations to existing dwelling $ 50.00
_Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
_WaterTurnaround (add $121.00 if a 5/8" meter is required)
Other.
Water Softener Water Heater $ 15.00
_ replacement _ additional
l Lawn Irrigation System RPZ_ new --rebuild-- $ 30.00
, -5't?.t2 $Le'Cf12reE
i $ -50
L u
l
Total $ 3?•??
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the 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.
e,?, rl /`9iche%j
ApplicanYs Printed Name ApplicanYs Signature
1
i
.i .
* * * .1?
* PIOIVGMR
* angneerl
* 4**
Certtficate
?
Ploneer Ensinearlne 793186E
P.02
- I
2422 £nterPrise Drlve Mendota Heighta MN 95120 ?
(g}z) eel-9488
oas • a? n+a?s
. u?tpser,re ?veanttCTS g25 NlghwOy 10 Norkhpaet
Bloine, MN 55434 '
(612) 783-1880•Fox?783-1883
I
of 5urvey for: The Rottlund Co[Dp any., Inc. :
House Address: , CoYen1r0arkwav Egg°n, MH ,
Colonlgl
?
? ? ? . , • ? `\ i
32 ?` .
\>
4
,
f Tj? _ YJ. T2 \? Y,
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05-28-93 03'06PM P002I#32
Use BLUE or BLACK Ink
I
I Permit
City of Ea Ed~
3830 Pilot Knob Road Permit Fee: j
Eagan MN 55122
j Date Received: I
Phone: (651) 675-5675 I
Fax: (651) 675-5694 Staff:
I
2009 MECHANICAL PERMIT APPLICATION
Date: ?j(,' ( Site Address:(„P2-q r)YA\3 t,,r [ ~ ~1 Ck-( `C-l.J Ca -4
Tenant: Suite
S~~I
RESIDENT/ OWNER Name: Y-% YX A Q.i'- Phone:( f)Ss 1 • `o,%% -
Address / City / Zip: " Qf(~ R V-WCLAA r. his
CONTRACTOR Name-rU~~cJI fyy O License* AddressLA00l) W mfy- fi~c ""~-LOCR
City. wt-Q J \A0 O~ State: MNZip: Phone ~~~~"$3' gSll Contact Person:
TYPE OF WORK New ~ Replacement Additional Alteration Demolition
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.
PERMIT TYPE RESIDENTIAL COMMERCIAL
Furnace New Construction _ Interior Improvement
Air Conditioner Install Piping _ Processed
Air Exchanger Gas _ Exterior HVAC Unit
_ Heat Pump _ Under/ Above ground Tank L_ Install/_ Remove)
When installing/removing tank(s), call for inspection by Fire
Other Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge)
$90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ TOTAL FEE
COMMERCIAL FEES:
$70.50 Underground tank installation/removal OR Contract Value $ x1%
$50.50 Minimum (includes State Surcharge)
= $ Permit Fee
- If Permit Fee is less than $1,000, surcharge is $.50.
If Permit Fee is > $1,000, surcharge increases by $.50 for each = $ Surcharge
$1,000 Permit Fee (i.e. a $1,00142,000 Permit Fee requires a $1.00 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.aopherstateonecall.orn
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance
with the approved plan (inntthe case of work which requires a review and approval of plan
x L SL1J x
Applicant's Printed Name App i ant's Sig ture
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under Ground - Rough In ,Air Test _Gas Service Test -In-floor Heat Final
Exterior HVAC Screening Inspection
Use BLUE or BLACK Ink
For Office Use r I
ll I
of E(3 (]n j Permit
~e
i~
y Ed
Permit Fee: t ! ~r r I
3830 Pilot Knob Road I I
Eagan MN 55122 j Date Received: j
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 i Staff:
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: l.6-1 d Site Address: V C-- e'-J' 0- PA fL ~ u)A Y
Tenant: Suite
RESIDENT/OWNER Name: k ic, 1-)4,an ta, L k- Phone:
Address /City / Zip: jeyii .c.c ` A,,a *_1,,_t Y ^ 4 rV ra )
Applicant is: Owner , Contractor
TYPE OF WORK Description of work: cA w-A 6r A n,> "At
Construction Cost: . 0 o Multi-Family Building: (Yes / No Xj
CONTRACTOR Name: l" 4rAx) L LG Y t if `*f t 44 e License J-84-3
Address:P . City:
State: W1 Zip:)) 2 Phone:''
Contact. 1 v Email:t1 GIT ' t
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes '4,No if yes, date and address of master plan:
Licensed Plumber: A/,w t . c Phone:
Mechanical Contractor: A ' Phone:
Sewer & Water Contractor: " A ' Phone:
NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Ap licanes Printed Nate Appli nt's Signature
' Page 1 of 2
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation Fireplace _ Porch (3-Season) _ Storm Damage
Single Family Garage Porch (4-Season) Exterior Alteration (Single Family)
- Multi Deck Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
_ 01 of Plex Lower Level _ Pool Miscellaneous
_ Accessory Building
WORK TYPES
_ New Interior Improvement _ Siding Demolish Building"
Addition Move Building T Reroof Demolish Interior
- Alteration Fire Repair Windows Demolish Foundation
Replace Repair Egress Window _ Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation Occupancy, MCES System
Plan Review Code Edition $e ' SAC Units
(25%_ 100%-_)) Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final / C.O. Required
Footings (Addition) -K Final'/ No C.O. Required
Foundation HVAC
Drain Tile Other:
Roof: lee & Water Final Pool: Footings Air/Gas Tests _ ---Final
Framing Siding: Stucco Lath Stone Lath Brick
Fireplace: ___-Rough in Air Test Final Windows
Insulation Retaining Wall Footings Backfill Final
Meter Size: Radon Control
Erosion Control
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC _ Q
Utility Connection Charge -l s N
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 2
2422 EnWP098 Drive
Mendota Heights, MN tb512D
d (812) Qg1~ 1914+Ux 681-9d88
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3URVKYORS • aHL !NC
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ers ~
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..an uNO PtaNnER8 • uNOSee ~a11TCCT$ 625 NIyMNoy55434 '
Blame,
o r1aCl1 no (612) 783-1880•Fox1783=1883 1
Cc~m~any,. inc_. s
Certificate of Survey for T e R ott u n
Covet Park _ a Ea ° N
House Address: ;
Ca ~
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: 000.0 Denotes xisting Elevation PhOPOS OUSE AT10N ;
-R(MgRD Denotes Proposed Elevation Loweet Floor Elevotion:98^ 8-? I
Denotes Drainage ~ Utility Easement T, of Block Elavattan:97~•36
Denotes Drainage rf iow 4ireotlan Garage Slob Elevation: 7 7 7.33
..Denotes Monument
Denotes Offset Hub Bearings shown are assumed
W"COVENTRY PASS
LOT 32, BLOC - ADDITION
1 em uty Repistcred Lapd SurvtVar
gAKOTA COUNTY. MINNESOTA 4TH I hereby cartlty that this survey, plan or report was prepared by mi~nS under my hoot supc ion and that
!'0 Y' A.b. t9
under the tam of the Stet. 01 M1nno:ou, Dated this day of i
e' Inch ROME T 8. 91KICH L. EG. NO: I 4691
krrlir•~ IGsr P~aarr.rA'f'
III 1 92526.33
9831883 05-28-93 03:06PM P002 #32
R°95%
_ A
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA123565
Date Issued:06/11/2014
Permit Category:ePermit
Site Address: 624 Coventry Pkwy
Lot:32 Block: 2 Addition: Coventry Pass 4th
PID:10-18403-02-320
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 or installing Bay or Bow
windows, 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 -
Richard R Kreyer
624 Coventry Pkwy
Eagan MN 55123
Apex Energy Solutions
1509 Southcross Drive West
Burnsville MN 55306
(651) 688-2739
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA159716
Date Issued:01/13/2020
Permit Category:ePermit
Site Address: 624 Coventry Pkwy
Lot:32 Block: 2 Addition: Coventry Pass 4th
PID:10-18403-02-320
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Fireplace (new)
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 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 -
Richard R Kreyer
624 Coventry Pkwy
Eagan MN 55123
(651) 724-3266
Fireside Hearth & Home
2700 Fairview Ave N
Roseville MN 55113
(651) 633-2561
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA168564
Date Issued:04/26/2021
Permit Category:ePermit
Site Address: 624 Coventry Pkwy
Lot:32 Block: 2 Addition: Coventry Pass 4th
PID:10-18403-02-320
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. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
*Roof permits issued between December and March will be inspected in the spring or when weather warms up.
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 -
Richard R & Jane M Kreyer
624 Coventry Pkwy
Saint Paul MN 55123--396
(651) 206-8097
Walker Roofing Company
2270 Capp Rd
St Paul MN 55114
(651) 251-0910
Applicant/Permitee: Signature Issued By: Signature