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625 Coventry Pkwya v CtrttftCQ#¢ df cCC1tpQliO 4Fit4 nf Cfagan Zpaftmeut o? Vxi[bntg ?t?recrian This Certificate issued pursuant to the requiremeRts of the Uniform Building Code certifying thaf at the irme of issuance this strzicture was in compliaace with the vurious ordinances of the City regulating building construction or use. For the following: Use Clusifiption:?SE DW Bidg. Permi[ No. 99711 Occupancy'iype M A41_ Zoning District RI Type Consi. VN owner or Buikting I& RMLM 00 IlVC nddrcSC 5201 E RrM RD, FRT17f FY Suilding Address 525 COMUM PARKWAY t.ocalir???t?? ??lPNL'RY PASS 4IlI Date: 03117104 z amwmg orfic?t POST IfJ A CONSPICUOUS PLACE CITY OF EAGAN PERMIT TYPE: " 1 1. 1' 1 "E' ? f 3830 Pilot Knob Road Permit Number: i Q41f> Eagan, Minnesota 55122-1897 Date Issued: ! (651) 681-4675 ; SITE ADDRESS: APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: , I 7 t KA1 r ON ?I1r1lli)E', f IRf:.{'LA(E INSPECTION .. • D• . I ? ? .!•1 r?,i i I A N f t 4 V 1 1 t-11 1 s i t ' , ' (lA'!Nf M 1 1 I 1•F i t) a unI F- 11 F?<M 1 i 1:1 niitui fv rItu F L ? ----------------------- ------------------- Permk Holder Date Telephone # SEWER/ WATER PLUMBIN HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONOUCTIVITY TEST HYDROSTATiC TEST BSMT R.I. BSMT FINAL DECK FfG DECK FINAL I CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS• • I'MY ? PERMIT SUBTYPE: F() O T I N ti F- CTI4N REC4RD PERMIT TYPE: Permit Number: Date Issued: ' '' 0 ? APPLICANT: Ii1 r.ti t > !,1 ! r, 1:' 1 tt Ec !-t. 4 TYPE OF WORK: t ltdAl «ii??.r?t?c, q f, J Gl ?; /'.a B Ni I, Permk No. Permit Holder Uete Telephone 1k ELECTRIC PLUMBING HVAC Inspectfon Oata Insp. Comments FOOTINGS FOUND FRAMING RQOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TES7 INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT F.l. B$MT FINAL - - DECK FTG -? ??/,/^ ! (v - - DECK FINAI - --J?b; ? r -- - - - - . . INSPECTIO * CiTY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT TYPE: Permit Number: Date Issued: SITE ADDRESS: ?'? W l l; ; tI A14 f H ? PERMIT SUBTYPE: tTYPE OF WORK: INSPECTION . . . f!: M I Ni. I;? III i1 f 1 IrN ? i; t F?? ' 1 1 14 i1 I t( fi 4, I t, .041(S t S fs 4! PI [th APPLICANT: -1 1 1 i ilta,: t 11 , fli I Itt ( e. ! :' ) !, / 1 IA "{ 4i N ??-__ _ ___ ??_??__ ? _ _ _ _ __ Pe?mit No. PermR Holder Date Telephone N S11N PLUMBING HVAC ELECTRI ELECT C pll??,7 . Inspeetlon Date Insp. Comments Footings I Foundation Framing .3 lq ? Roofing Rough Plbg. Rough Htg. 4- 441 Isul. Fireplace ?1319t? Flnal Hlg. ?Q /?G' W o?sal Tesc A:10 Final Plbg. ?J Pibg. Inspeclor - Notify Plum6er Const. Meter Engr./Plan Bidg. Final 7 Deck Ftg. DeCk Final Well Pr. Disp. ?- " 0?,,4 Address ezs rnvFNrav P uuwav Zip 5512_3 I.o't 1'7 Blk t Sub mvEvrav pASS 4nH THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION. Date: 03 17 94 Yes No Inspector: Final grade (6" from siding) ? Permanent steps (garage) v Permanent steps (main entry) Pennanent driveway ? Permanent gas ? ? Sod/Seeded grass TraiUcurb damage Porch ? Basement finish ? Deck Please veiify with the buildet the removal of roof test caps from the plumbing system and ihe shutoff of water supply [o the outside iawn faucet before freeze potential exists. I Contact engineering division at 681•4645 before working in rightof-way or installing underground sprinkler system. White - Ciry Copy Yellow - Resident Copy Pink - Contractor Copy I ? INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Kno6 Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: Lo r: 27 6 L 0 C K: 3 APPLICANT: 625 COVENTRY PKWY ROTTLl1ND CO INC, THE ? COVENTRY PASS 4TH (612) 571-0304 ? PERMIT SUBTYPE: TYPE OF WORK: SF DWG NEW i ? BUILDING 022713 12/14/93 INSPECTION FOOTINGS .. . FpUNDATION ,. FRAMING ROOFING IINSULATION FTREPLACE IROUGH IN PLBG ROUGH IN HTG 'FINAL PLBG FIIVAL REMARKS: 5& W PLHR - VALLEY PLBG _ . . . . ..f _ . _ . . ? I . ? ? Request Date re No. iioug n In pection NOTICE: Vou Mus[ Call ElecMcal Inspector ReQ red? If A Rougn-In Inspec(i Is Requir U No I licensed contractor ? owner hereby request inspection of above ele ical wo ? Jab Atldress (Slreep Bo ar RoNe No ) Ciry Coa K cii Section No. Township Nama or No. Range N. Counry 01 Occup IPRINT) PM1One PJa. ? Powe upplie Atldress ElecVioal Conlrector (COmpany Name) Contraotor's Licensa No- rna?r?9 nama w? t^ MN SG024 463-3810 Authorized 5' ir nslallation) Phone Number MINNESOTA STATE BOAPD OF ELECTRICITV THIS INSPECTION FEQUEST WILL NOT Griggs-Midway Bltlg. - Faom S-173 BE ACCEPTED BYTME STATE BOARD t821 Universiy Ave., SL Paul, MN 55104 UNLESS PROPER INSPECTION FEE I$ Phane (612) 642-0600 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ? See insVUClions for completing this form on back ol yellow copy. ?i_,ehe-oaooi ae ?` V pA 1'I 73457 X" Below Work Covered by This Request W3,1aoJ"t/ ew ?.1 Fep. TypeofBUilding AppliancesWired EquipmeniWired Home orery Service DupleX ric Heating e El Apt. Buildin g Ira E Managent Comm/lndustrial t r (Speciry) Fa Othar (speGly) GanVaotor's Remarks- , Campute fnspection Fee 6elaw.' . ` # Other Fee # ServiceEntranceSize F e # Cimuits/Feeders ee Swimming Poal 0 to 200 Amps ? 0 to 100 Amps Transformers Above 200 - Amps Amps Si905 InspectarS llse Only OTAL Irrigation Booms I'pii 1b?•J -d t07, ? Special Inspection ?. ??- ? Alarm/Communication THIS INSTALLATION MAY BE OROERED DISCONNEC ED IP'NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rou h-in / 9 c? Date I' ?'!"F r? certify ihat Ihe above inspection has 6een made. F;,,ai OFFICE USE ONLY Trus requesl voitl 18 manths fmm REQUEST FOR ELECTRICAL INSPECTION ? ? See insVUClions lor completing ihis lorm on Oach of yellow WpyM 7 3 4 5 2 'X" Below Work Covered by This Request !e jAdd nep Typ 118 -Itl' g NppliancesWired ffI Home Range Farm Furnace Air Conditiom actor's Remarks'. Inspecfion Fee 8elow: Other Fee Service EnVance Size D to 200 Amps Above 20D _ AmF uor5 Use Only. Alarm/Communication THIS INSTALLATION MAY BE ORC COMPLETED WITHIN 18 MONTHS. Other Fee I, the Electrical Inspector, hereby Rough-in certify that the above inspection has p,,,ai been made. )FFICE USE ONLV 'nim rmuesl mitl 16 monihs from EB00001-08 mps AL O o 4DISCONNECTED rs Fee TED IF NOT e oatY ??J ' ? nnh7 I •- ? THIS I NSPECTION RWUEST WILL NOT MINNESOTA STATE BOARU OF ELECTflICITY BE ACCEPTED BYTHE STAiE BOARD GriggS-Mitlway Btdg. - Room S-173 UNLESS PROPER INSPECTION FEE IS 1821 University Ave., St. Vaul, MN 55104 ENCLOSED. Phone(612) 642-OBDO ?5,??6 / RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55722 651•681-4675 New Conatruction Beoulrementa • 3 registered stte wrveys showhg sq. fl. of bt, sq. ft. of house; and AR roofed areas (20% maximum bt coverage albwed) . 2 coples of plen showing beam & wlndow slzes; poured founU dasign, etc.) • lsetofEnergyCakulatbns • 3 copies of Tree Preservatbn Plan B Wt platted after 7/1/93 • Rkn Jolst Oeffiil Optbns selectbn sheet (bags wtth 3 or less unils) DATE ?2 SITE AD NPE OF _ Water Softener _ Water Heater _ No. of Baths APPLICANT = STREET ADDRESS TELEPHONE ri 9' &,rnr?F STATE?LP 55,2?? F,e,x# PROPERNOWNERArn.Y? }(yyr ??rV_CY?Y1 TELEPHONE# ? .AI- ?/.S?" /?16 ------° ° ------------° -------------------°-----------------°---------------------- COMPLEiE THIS SECTION FOR nNEW• RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672 (J submission type) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitled • Energy Envelope Calculations Submitted Plumbing Conhactor: Plumbing system includes: Mechanical Conhactor: Mechanical system includes: Sewer/Wafer Conhacfor. Phone # Fee: $90.00 Fee: $70.00 I hereby acknowledge that I have read this application, state thaT The information is corfA,t and agree to wim all applicable State of Minnesota Statutes and City of Eagan Ordina es. Signalure of Appllcar? ('/A,( ?pa ?? OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ DRESS MULTI-FAMILYBLDG _Y ?N WORK ? FIREPLACE(S) ix 0_ 1_ 2 ?A3, 2s HemodeVNeoelr Peauirements • 2 copies ot plan • isetofEnergyCalcul2tionstorheatedadditbns • isltesurveylorextarbradditions&decks • Indicate N homa served by septk system for addtlions VALUATION $ ?U , F?O Phone # _ Lawn Sprinkler _ No. of R.I. Baths _ Air Conditioning _ Heat Recovery System Phone # Updated 4/02 ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (651) 681-4675 SITE ADDRESS: pe1.N.: 10-7840?-270-03 DESCRIPTION: PERMIT PERMIT TYPE: e i.i z L o i N 6 Permit Number: 03 4 9 7 6 Date Issued: 0 2 J0 2 19 9 62S cz?V17.ni rRv Pnwv LOT: 27 fiLOCK: 3 C:OVFN7RY fAs'S 4TH INCLlJOES fsltildinq'_.permit Tvoe Uuildinq Wo,rf< Tvpe. ?'Census Code ? il ? FzREPL_acE BHSEMENT FTNJ:SH ALTFRATI0N 434 FiLT. F2ESIDEtVI`IAL j REMARKS: PI_APd RPVTFUIFD r1 1 S[PERAiE PERmIT KEiJllfkL U F. ANI Y pl l1hIPG WO RK. CFVf.L lr,!S't) a4F. "ss?FV; ?rr.[??^nrndr; rir-rr;rirnr.) f? ,?;rir-r aninrnicPr.r["fnnta FEE SUMMARY: f3ase Fee 0 0 Surcharqe •*.SP? Suhtatal $:64?e6G1 COFIE: ; lota 1 iee CONTRACTOR: 1 i $51 . G10 OWNER: - Flpplicant - A njuivo;,nri MoNi'e 625 COVENTRY PKWY enr.;F,N MN =512 3 i 6 5 1 ; 4S6 -9835 S he re by a ckri4wle dcte that I ha ve rr:ad thi=, appli.ca ti.on rrnrJ c 1'atca tliai: the ini'ormation ts correct and agree L'n cornoly with a11 aopti.cabJ.o Sco'ee ot Mn. S':ai.ui:es and CiCy oi Eanan Ordinancrs. ? "4-? ` APP NTlPERMITEE SIGNATURE I EO BY: SIGNATURE -1 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN r 3830 PII,OT KNOB RD - 55122 ? (651) 681-4675 ? New Construction RequiremenGs ? 3 registered site surveys ? 2?pies of plans (include beam & windaw sizes; poured fnd. design; etc.) ? 1 energy calculations ? 3 copies of tree preservation plan if lot platted after 711/93 required: _ Yes _ No DATE: DESCRIPTION OF WORK: STREET ADDRESS: C Z 5 r LOT: BLOCK: ? SUBD./P.I.D. C O U-2V?? V, ?SS _ m'LbYIAS?? m0?2' Name: T? PROPERTY Last First !,W4 OWNER StreetAddress: b l.. / ?? /?OV?4"? P??• city CONTRACTOR ARCHITEC7/ ENGINEER State: Zip: Company: ?) Phone #: Street Address: License # Ciry d ? ?i - RemodeVReoair Reauirements ? 2 copies of plan • 1 site surveys (exterior addBions 8 decks) ? 1 energy calculations for heated additions CONSTRUCTtONCOST: 45,000 State: ???41-N Phone #: 6 5 1 - ` S 6 ' ! 935' Zip: 55123 Company: A' I? / Phone #: Street City Sewer & water licensed plumber (new construction only): _ change and lot change is requested once permit is issued. I hereby acknowledge that I have read this application, state that the State af Minnesota Statutes and Ciry of Eagan Ordinances. Signature of OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Registration #: _ State: Zip: Penalty applies when address is correct, and agree to comply with all applicable ? , DT; ,?-9 121E? U ' ' ?,(1 J',112 910 Tree Preservation Plan Received - Yes _ No _ Not PERMIT CITY OF E,AGAN 3830 Pilot Knob Road PERMIT TYPE: Eagan, Minnesota 55123 Permit Number: (612) 681-4675 Date Issued: BUILDING 022713 12/74/93 SITE ADDRESS: P.I.N.: 10-18403-270-03 625 CQVENTRY pKWY LOT: 27 BLOCK: 3 COVENTRY PASS 4TH ? DESCRIPTION: u'S.ldirtt Permit Type B SF pWG l puilding?4JO,rk Type NEW UBC Occupanc? R-3 M-1 Canstruation Ty P? V-N Znning i R-1 Building Length ? 62 Building Width ? 40 811,LXd11'Cg 5t47"12S ? 2 c (:?ORV oG zDagan REMARKS S& W PLBR - VALLEY PLBG FEE SUMMARY: Base Fee Plan Review Surcharge 5AC SAC ? SAC Units Subtotal VALUATZON $867.00 $563.55 $82.50 $750.00 100 $2,263.05 $165,000 MISCELLANEOUS $1z744.50 Total Fee $4,007.55 CONTRACTOR: - Applicant - sT. Lzc. OWNER: ROTTLUND CO INC, THE 15710309 0001335 THE ROTTLUNq CO INC 5201 E RIVER RD 5201 E R2VER RD 301 FRIDLEY MN 55921 FRIDLEY MN 55421 (612) 571-0304 (612)571-0304 I hereby ack wLedge t'het I have read this application and state that the infiormatio caprect and agree to comply with all applicable State ot Mn. Statutes an Cityjs of Eagan Drdinances. ? I ?br,a R&k ? rn.N --I 5 D B SIG ATURE ?- CITY OF EAGAN 1993 BUILDING PERMIT 1 0 1993 681-4675 ?????--------- APPUCATION $4, OCrf. ? e rr, OOak 11-A- SINGIE 3 Ml1LTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. , LOMMERCIAL 2 sets of architectural 6 structural plans, 1 set of specifications, 1 cnpy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month• 1n which request is made, 2) address is changed or 3) lot change i.s requested once permit is issued. Date I 2 '3- Yaluation of xork j Site Address: (?VZ? (:!?tfeV\+nA Ckw_.q STREE7 SUITE N Tenant Name: (commercial only) -T?e_ I?4'61AC? ? _r44G ]AT B1ACK ? SUBD. .p P.I.D. N CCsV?VA'rq r?S Descri tion of work: St' (e -ho, ??l The applicant is: 15 wner ontrac or O Other cc.?«see>. Name l u `X_'KC. Phone Property ?.ST FIRST Owner Address SZc> I&_ Ie-i uer y2r,A #-30 ? SiREET STE M City State Zip Company Phone Contraetor c? Address License # Exp3-31-9 ? City State ZiP Company NA- Phone Archttectl Engineer Name RegSstration # Address City State ZiP Sewer & water licensed plumber 1 o WH bf'j!LCj . Processing time for sewer 8 water permits is two days once rea h s been app d. 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. 5ignature of Applicant: OFFICE USE ONLY BUILDiNG PERMIT TYPE ? Oi Foundation 0 02 SF Dwg. ? 03 Sf Additian ? 04 SF Porch ? 05 SF Misc. woRK nrPe 0 31 New ? 32 Addition ? 06 Duplex ? 07 4-Plex ? OB 8-Plex ? 09 12-Plex ? 10 Multi. Add'1 ? 33 Alterations 0 34 Repalr GENERAL INFORMATION ? 11 Apt./Lodging ? 12 Multi. Misc. ? 13 Garage/Accessory ? 14 Fireplace ? 15 Deck ? 35 Tenant Ffnish D 36 Move r. ? '* ff 16 Basem? Wsh ?? s, i?17 Swim Pool ? 18 Loam./Ind. ? 19 Coiom./Ind. Misc. p 20 Public Facility ? 21 Miscellaneous ? 37 Demolish Const. (Actual) I IIV Basement sq. ft. /z Ls MWCC System (Allowable) , 1/y lst F1. sq. ft. 12 y.f tity Mater UBC Occupancy ? 1./ 2nd F1. sq. ft. ? PRV Required Zonin f?-/ 5q. Ft. total Boaster Pump 1? of ?tories ? Footprint Sq. ft. Ffre Sprfnkler Length ? 2. On-site well Census Code Depth 0,3 v On-site sewage 5AC Code APPROVALS Planning Building Assessments Engineering Uariance REQUIRED INSPECTIONS ? Site ? Wallboard 1? Footing 0 Final ;M Framing ? Draintile ? X /'O / - oz ,@"Insulation ? Fireplace 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 % SAC Units _Z yx26,k /6 ?- /'? 3 3,_? 6 ?:_.------ w.Lu.tio,: s 67 y oGca ?- ? ? ,iYar ?z s /?S ? f , .Sx 3 3, 5- / 2 C/? Sc?,?, ? ?pQ ?s 9.39,s ?- 2S-,,?- ?Yx S = ar . ?? . a?o a - 0- o o • ?0 0 • 0 Ca' 0 - 0 D - Td-0 id 0 • @? 0 D • C? ? 0 • E' 0 0 • -B'0 0 • LOT SIIRVEY C8ECICLSST YOR RESIDENTSAL SIIILDING pERMIT 718PLSC7?T 4ROPERTY I.EGAL: ? zzz 3-4 Dat• of Surveps -g? i';? / P/ qo? Registered IanB Surveyor signature and company Buildinq Permit Appiicant ' Legal description Address North arrow and bar ecale House type (rambler, xalkout, cplit W/o, split entry, lookout, etc.) Directional drainage arrows with slope/qradient ?. Proposed/exietinq sewer and water services Street name Driveway D GY 0 • Lxistina sewer service 6, 0 D • i,ot corners 0-'0 D • Top of curb at the driveway 0-`0 0 • Elevations of any existing adjacent homes Proposed IYO D • Garage floor 0'0 0 • First floor D' 0 D • Lowest exposed elevation (walkout/window) II' 13 D • Property corners LY 0 0 • Front and rear of home at the foundation PONDSNG 71REA8 (if aDDl3cable) e 0 D • Easement line Er O 0 • rtwL Fr 13 13 • iiWL 6' 0 13 • Pond # designation D 0--6 • E7nergency Overflow Elevation p 0 • • Lot lines 13 • Right-of-way an8 street width (to bnck of curb) LY? 0 • Proposed home dimensions including any proposed -decks, overhangs greatez than 21, porches, etc. (i.e. all structures reguiring permanent footiags) 0-'0 0 • Show all easements of zecord and any Cfty utilities within those easements B,?_0 0 • Setbacks of propos:dr/elm"ents, tructure and setback of adjacent existinq home 0[?0 • Retaininq if any Reviewed: l'a 1 _ ??/ 9? -f October 1992 F.c7'F.rTOR r:Nvi:i.nPb: nvF.1;nc,t•: "u" cnMrn•rr,•riON our+E; ? SITE ADDSESS CONTRACTOR DATF. PE{OtiE Dete:min vorkini; squnre footar,e of ench. 1. iotal exposed vr11 area .. 14717, 2 s, f, x 0 '1'- • 2. Total roof/ceiling area .. I Z(o 7. 11- sq. ft. X 8,026 • c Totzl exposed vall area nbove flocir = 2/J ??? Z a. Total vall windov area . .............. .......... 3'0 7, 5,87 b. c Total daor area ......... T t l li ................ ? .......... 7- . o a s dine glnss door area ........... .......... ` d. Total fireplace va7.1 area ......... ... .......... -?" e. Total vall framing area ( average 10'.) ... .......... 4o P. Total net crall area above floor ......... .......... Z p 3'?, (P 8• Total rim Joist area .... ............ . .......... 2re'3? 2 Totsl exposed toi:ndat ion araa ? .G! h. Total foundetion uindov a rea ............. .......... i. Total net foundation area 2bove grade ... .......... 2 fl. . Deter.r,ine "U" value o: each Lall sec;ment. ' 8. '3 0 ?. 5 S Y„U„ o. ¢Z l 2 q l? . = . b. Go. &*{-Z X,.U-, 0436 8,33 = . - .• C. - X „u„ d. V X Ilulk , ..._- _ .?. - -ilUt, e. ?.f? O?f 2? • ?4 . x = „ „ r. Zo 37 ,(r p, 0 43 vQ 7• G( U x - 8. 2?3, Z x°u.. O-O-+ . h. X .Ull ?? ?'°L, - ?• Z • i. ??' .s? X l.U., /40 186r s. . ........ ........:............ . .???.^? = 277? ! .. Qle- If item 'N3 is the seme as, or less Lti:,n ztem Ill, you have met the intent or sBC 6oo6(c)2. 0 y = ? ?? / ? Totnl exposed rooC/ceilinG area • ? . • '\ . . . .. . ' Total gross root/ceilinr are:i = ' _ ' - . ?. Totel . skylight area ..................... ? ..... k. -ota? roof/ceiling f: aming area ......... ..... 1. Total net insulated roof/ceilinF area ... ..... 4D+Tv?i _ • Dete-mine "U" vn1Ue for cnch rua f/ccilinj; seb'mcnt. X flUli •-? _ . ' „U„ k: X 2Z 2'00. p? = ? : t l T t . .......... a . o .. , ................ If total oP N4 is the same es , or less than N2, you have met the intent of sac 60o6(01. . . To utilize the total envelope system method, the values establirhed by the simm of items N3 and Bb shall not be 6reater. thnn the suri of iten:s dl and 1I2. 1. + 2. ? • g, + . o ? . _ . ... O ° ?. . 1 DETAILED REF'ORT FOR Eh•lTIRE FiOUSE F'repared For: Prepared Ry: M.W. Guerre Flare Heating . Mn ,7o6 Name: Custom House ***?**??-****X:%***** ***?:*?k:%Y?C******?**#??N??4'4****?*?C?C*%*'F*i'%??'-fm-r'F*T T*m?'??*m ExF•osuRE GLF,5S --------- I'dORTH ---------- SOUTH EAST 41EST PJE/PJW SE:SW 1-iORZ. -- - TOTAL AREH 671 ------------------- ----------------------- 2: { 200: 1141 28 : 281 --- U : -------- 464: COOLING 1 1,0r89; 6511 9.2U'O{ 5,29LiI ^079: I.10=: 0! 18,v1U; HEATING --------- ; 2,3641 ---------- 1.194I 8,S46: 5.042; i. '^c: 1,^<30^! --------------------------------------------- ti; --- 2055241 -------- WALLS AF:EA ; CGO! iiJG 1 HEATIh•SG ; DOORS AF.EA COOLING 7 HEFTIN^u I FLCOR ---------0- CESLINu b=Li_P; PJQRTH SOUTH Er=,ST 41EST h•!E/Pvl=; SElSW GRFiDE TOTAL ------------------------ =-----------=----=---------------------- 815: 838! 760: 843; 201 201 i>: 3,2961 740 770; 642; 774: i^ol 1^0! 0; .027: •'.075; .163: ,868i 3.122. 751 751 7.4221 19.2621 ---------------------------------------------------- P•10F;TH SOUTH EAST 'v1cST NElNW SclSDI TQTFL -- -------------------------------------------- 0: Io; ^ctJ: i81 i)1 0; 561 0: 2511 27^a I 2511 [ 1 i O i i 7601 CII i.VZiJ: 1.1451 I.0=0: O: U: 1 ,205: ------------------------------------------------ AREA COOLING HEATIPJG ---------------------------------------------------------------- =4".' Ci =,^:. 27 - ---------------------------------------------------------------- AREA COOLING HEATIPJG i,4'9 1.197 ? ^,6Z^ --- -- -------------- P1iSCELLA;dcQLtS COOLING LOADS F'eaple 8erisi6lF LGcu' ------------- 1,125 -------------- LrteRt Lodd Liqhts 8 App_. L < oad 1,1^5 Later?t Sa4et'y ctu?? J YCrItSIC.y ISV%I LVCItJ 1,2OJ Duct Heat Gnin i; Znfiltration Lcad 910 St'nS1VIt' Jcl'FCtV FtLl,i 1.39U TOTAC, jGNSI PLE LO.;L1 29 , i 98 TOTAL LATEhJT LOAD Summer ACn 0,07 Temp. Swinq Mult. Total Cuoling Load =:,i;c^2 bTUH Or _.rq ;on=_. MI0CcLLF!VEOUS HEflTING LQADS Infiltration l.oad ------------ 7,679 -------------- Ventilation Lcad nu«t Heat LoEE O SaTBtY stun WintEr FCH 0.13 ?+T Total Hentina Lead 65.5?' bTUH 7,`Go =:° i, oo= 1.00 C _ ` ,123 04-0'-90 3.1 SUMMr;R`f FEF'ORT -------------- F'r-epared. For: F'rEGered P'y: M.W. Guerre . Flare Heatinq , Mn Job Plame: Custom Ha_i=_e *%rT n**-°il*?'Tm?*.r?.*?*??***Tm?:"A::4.*?*?C$ r****?TT*Ti.?C%?***mm'Fk:?n%r??%r?nm7r:***.n***m**?**"? DE6IGhJ CON DITIOPdS for OUTDOGF: INBOOR SUht"icR 4JIt•lTER SUMMcF l.'/iP•1TEn Dry Eult 95 -25 72 72 Wet Rultl 75 ' 17 Daily Ra.nqE <G Daily Swing 3.i) Latitude 44 Elevation 622 SnfE'tY Fnctor ('l.) 5 Latent Fnctar (?? 27 *mm**%nmna.n.x.?!•m'f.**7?mm?.?.?T"F*?-%r%n%n*??(?i:iL ?fn?FTm%n*%n$%nnT*m:??:M:*****:%?:*T-*w.nmn.?r'?*.w**?C?.w%n 8ensihlF Roof-n I-,enting Hea.tina Coolina Coc,ling NaRit' + ---- RTUH CFM RTUH CFit BnSeiTiEn t ------- 19,848 ------- 272 ------- 1,rob=r ------- 94 Great RGGT? ,JJJ 47 2,£+:4 145 DinettG 6, 1^t0 ^oo 3,492 176 KitchEn b,79^o 95 :,144 159 Dining F,oom ,845 40 1,^-.95 101 FayEr ` Z96 75 3,404 172 Office ?en 4.422 62 2,135 I1e Eedreom 1 4,660 65 2,717 137 Bati`it-onRi 4.462 62 .67:: 135 MastEr Fedraem =r,t>^cI 56 2,401 121 R@dt'GoOI 2 ,665 ____"_ 51 _______ "'"'i.i2 ? ------- iS?a ___ ___ 05.59: 917 24.19o ' 1.475 HEATiNr DELTA T e5.0 COOLItJG DELTA T 13.0 PJOTE: ***.Calculated Airflow is ba=_ed upon load requirements. Verify that airflow calculrted is CGiTipatiGie with seiBrtBd -GU].pment requiremEnts. k*T • I PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMITTYPE: BuILoztus Eagan, Minnesota 55122-1897 Permit Number: 0 2 7 7 9 3 (612) 681-4675 Date Issued: 0 6/ 0 6/ 9 6 SITE ADDRESS: 625 COVENTRY PKWY LOT: 27 BLOCK: 3 COVENTRY PA55 4TH P.I.N.: 10-1$403-270-03 DESCRIPTION: r._ ?- Buildingo,Permit Type 'Bui.lding Wor.k Type , Census Code .. , ?.? `,?.. ..,. 3,? f ot" _ _ - ?1` ? t'?. .. 4n w i a e? DECK NEW 434 ALT. RESIDENTIAL . t, REMARKS: FEE SUMMARY: Base Fee Surcharge Subtotal $45.00 COPY $.50 Total Fee $.50 $46.00 $45.50 CONTRACTOR: - Applicant - ST. LZC.OWNER: LAKEWOOD CONST 18816452 2003775 APPEL RANDY 401 LAYMAN lN 625 COVENTRY PKWY BLOOMINGTON MN 55420 EAGAN MN 55123 (612) 881-6452 (612)687-0994 I herehy acknawledge't'hatI Nav-cread tMis applicatiori and s'ta'te that $he informat3on is correet and agree to cbmply witfi all applicable 5tate'of Mn. L 3tatutes anct CitY of Eagan Ortlinaaces. ? PLICAN ERMITEE SIGNATURE ISSUED BY: GNA RE CITY OF EAGAN 3830 PILOT KNOB RD - 55122 ? 1996 BUILDING PEaMIT APPLICATION (RESIDENTIAL) 681-4675 !! a ConsLruclion Reauirements RemodeLReoair Recuirements ? 3 registered site aurveys ? 2 copies of plan ? 2 copies oi plans (Mduda beam 8 windovr sizea; poured fnd. design; etc.) ? 2 sfte surveys (exterior addRions & decks) ? 1 energy calwlations ? 1 energy plwlations for heated additions ? 3 coDies M tree preservetion plan H IW platted efler 717/93 required: _ Yas _ No DATE: S'3I ' R6 CONSTRUCTION COST: -_-? z 7?? ? DESCRIPTION OF WORK: STREET ADDRESS: LOT ? BLOCK ?G K SUBD./P.I.D. #: Phone #: PROPERTY Name: OWNER Street Address 5 `I"`T 'f6U'"-T EY (5 City: E/?G? State: ''?/? Zip: 55-/z 3 CONTRACTOR Company: Phone #: Street Address: qDl L.h`IMrW c.akZ License #: ZOC' 3?7 sQ City: State: WN Zip; SSzI ? ARCHI7ECTl Company: Phone #: ENGINEER Name: Registration #: Street Address, City: State: Zip: Sewer & water licensed plumber: change are requested once permit is issued. Penalty applies when address change and lot 1 hereby acknowledge that I have read this application and state that the information is conect and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Appiicant: ....__ OFFICE USE ONLY P Certificates of Survey Received _ Yes No Tree Preservation Plan Received _ Yes _ No ?MA2_ 33H CITY USE ONLY n / L BL ? RECEIPT#: ?F?a3o'SG SUBD. RECEIPT DATE: S4? 1999 PLUM$INH i'EitMTT (FtESIDENTIAL) crrYoF EasM 3$30 P1LOT KNOB RD $A&AN, MN 551 YE (651)6$1-4675 Please complete for: D single family dwellings ? townhomes and condos when permits are required for each unit D backflow preventer for underground sprinkler system ---- ---'--------- -------???-----???_ FIXTURES _______????-- EACH ---------M?_???? _#_ ? 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 - t 3.00 x = Rough Openings 1.50 x = Water Softener ' for dwellings under construction 5.00 x = Water Softener ' for eacisting dwelling 30.00 x = U.G. Sptinkler ' for dwelling under const. 3.00 = U.G. Sprinkler ` for existing dwelling 30. _ Altefdti0115 ' to existing residence 30. Water Turn Around 3. 0 = Private Disposal System " MPC iic. 75.00 = (new and refurbished systems) Private Disposal Systems ' nbandonment 30.00 = RPZ (new installationlrepair) 30.00 = STATE SURCHARGE .50 Reminder: Call 681-4675 for inspections of water heaters, water softeners, alteretions, etc. TOTAL 30 .? ------------------------- • --• -----------------------------° °--------------•-• • --------------------------------------------------------° I here6y acknowledge that I have read this application, state that the infortnation is corted, and agree to comply with all applipble Cityof Eagan ordinances. It is the applicant's responsibility to notiTy the property owner that the City of Eagan assumes no liability Tor any damages pused by the City during ifs nortnal aperetional and maintenance actlvities to the facilities constructed under this pertnit within City property/right-of-way/easement. SITE ADDRESS: 62,5 L D i) AaCl ?y ??w? OWNERNAME: 11110wFe- INSTALLER NAME: STREETADDRESS: 4, 2, S Lyyt__4 "1. CITY: STATE: SIGNATURE TELEPHONE #: s? '? 1 ?I r 6_y'??? ZIP: IS CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1999 LOVI ,B? ? ? SUBll Gtddi ? ?CEIPr ?E aao59 RECEIPT DATE. To JOB Oti1N V DATE PLEISE EE AIIVISED T}L1: TFM& I5 A FEE SHORTAGE ON THS.- A9OYE oJ II.ECTRICAL ItSTALLATION IN TFE AMOU2iT OF f y' SHORTACE MtST BE PAID ifHITHZR 14 DAYS. REMARI6 J ale ,w _ TOTAL FEE DUE= LESS FEE RECIEVED /Ih J J'VJ'7 TOTAL FRE SHnRTAGR nifR : PE?tM.II! /1 7,;?cf ,J` J OBIG. RECEIPTII 77 ?tECEIPT DATE ? (p 'W RETURN A COPY OF IHIS FO?tM WIIH REMITIANCE. P, . _,,. ** * * PIQNELBR -k * * * . Certificate of Survey for: House Address: cy Modei Name: dI o ? r., .? 2s s iti, ? ? 0a`. 16 ' / 27 / / / 3 r?l . N 835.f f { s dR? ? Bds.9 4 ? .9 ? / '?,` 2 8 / 0 s ? U) ? , ? 8733 / 14? 8h2. { 2422 En NEndota 612) 61 625 kigl 6loine, ? (812) 71 a\. ?4# ? ` ? .. ! , .? If e,ce4''v g EAGAN REVIE.WED BY S Z- p- 3 DATE EA.GAAT = ooao Denotes Existing Etevatlon x<? benotes Proposed Elevatlon --- Denotes Drainage dc Utility Easement - Denates Dralnage F7ow Qirection -v- Denotes Monument --w- Denotes Offset Hub Beartngs shown Loweat Floor Elevation: Top of Block EJevatton: Garoge Slab Elevation: are oasumed LOT27, 13LOCK.3 COVENTRY PASS oAKOrA couNTV. Mm?NESore, 4TH ADDIT'ON 1 AhabY Rrtl(y thst thH survey. Dlan or rppt vat pnportJ py m' y vMa mY Inet zuperviNOn e tMt 1am under tM hwz of tAe Smn o} Minnftpta. pateA tA4 Af daY o(Ae?.emb4 / A.D. 18-13_. rt-a-V3 Rev;?.? nJd.d 4Yta'{:? ele.r .?--? C...YI ^. 1 InM A no..s 6&4? MN 53120 •Fqx 081-9488 10 No 55434 \ A ' ? ? 9y ? ?,? ?o ? "8?3.9Z , T? T?f M1 9 rs ; i ? LiM Surveya ? Pionear Ensinearine 7931893 1 P.06 r y . f ? . 3 T ? ? L * P10111MFt * en a-r'l * * * * 2422 En • ?dEntlota (812) 61 M KAOM • LANDSCAM ARWMM 625 Higl 6laine, ? 1(612) 71 Certificate of Survey for: The R0'House Address: _.c Model IVame: Madison ? 26 a'MelZ +s S4, % Q\. % \ \ \ n•? ? ; ? t?Na \ X ' / / ? ? i / / / ? /? / ? 8a7.ss 2 $te?i i i i i ?404 ", ? EP+GAN2s REdIF.W E D gY S Da? Z - 0' 3 / ? ess9 N ?rzr 41 ?E de. + g?5.9 so O ? \v Efi.GAN : eoaa Denotes Existing Elevatlon pROPOSED HOUSE ELE1 Y<@iO benotes Proposed EJe,rcilon Loweat Floor Elevation: --- Denotes Oratnaga de Utility Easement - Denotes Drainage Fiow pirectlon Top of Biodc Elevation: --o-- Denotee Monumeat Caraga Slab Elevation: --s- Dertotes Offset Hub Beartngs shown are osaumed LOT 27, BLOCK3 C4VENTRY PASS DAKOTA CIXJNTf, MNpESOTA 4TH ADDI 'ON I Mr*y eerttty thai thu wrvey, pyn or nport was prqqrb py rm 4w y,,de, mY dirnt =PWVIan e tl4t I em tluty wbe. tM 4w? of ehe 8ma atNMnraota. oaud tn4 14 t dIVaUoM. mbIi.... A.D. 19-1!._. rz-g-93 Rru?-WS add,d 4+rt>-F:naJ e1,!q .? ! : Dr(va s, 1AN 53120 4•Fox e81-e4e8 10 Ni 55434 . .. ? t? .'?>+Srs ?TEi..t ? , ; i LM SurvaYa C.+..1... 1 InM A n:..# . PERMIT City of Eagan Permit Type:Building Permit Number:EA151508 Date Issued:08/28/2018 Permit Category:ePermit Site Address: 625 Coventry Pkwy Lot:27 Block: 3 Addition: Coventry Pass 4th PID:10-18403-03-270 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Monte J Amundson 625 Coventry Pkwy Eagan MN 55123 (651) 456-9835 Apex Energy Solutions 9655 Newton Ave S Bloomington MN 55431 (651) 688-2739 Applicant/Permitee: Signature Issued By: Signature \ ' \ iy r For Office Use &C, J: iPermit#:.� Permit Fee: /e242 67 flEcEIVE LI Date Received: 5- dl" • / 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 �1 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-56 MAY 0 $ 2019 Staff: !101 buildinginspectionst citvofeagan.com BY: 2019 RESIDENTIAL BUILDING P IT APPLICATION Date: Site Address: Unit#: Name: J i-EFF l'k 1?A Phone: �0 H 7 (03L17 Resident! Owner Address/City/Zip: '.9 S2 C,V l f i D2<<1"IN ('�e� , S-5 1 Z 4 Applicant is: Owner V Contractor ( 'P)91 c Type of YNolrk Description of work: 6A'l \ 1))6NN4)cxt L C M 4 k Mi ,Mttivt� rEeri, t1 Construction Cost: 1,e-W- /L i 3;fiaru i Multi-Family Building: (Yes /No ) �+ a.✓1- bi4l042i6'� Company: Lk( l 1•-)1‘.(\11•-)1‘.(\\ kA) COr�,(S} v/f L &i O Contact: IMcJA. L. UMW-NI 0e Contractor Address: 20(0 SpL L3 , N1,w- City: P&1 PtAelk6 -z State:MN Zip: �Jtn� 1 Phone: (Dc k—Zs3o� Email: fr t. t&A`M1 rool (Jo—, License#: !C 1)37. `14 Lead Certificate#: IA If the project is exempt from lead certification, please explain why: P)‘, , 1* D'ofkz 1 4:1"1'(6 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. 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.citvofeagan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. 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. x M CJ A is , K, X- 7C-7, ./` Applicant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE ‘5 Co Lit2 / e4Ai /6S4' a SUB TYPES _ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) 'D Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Multi) Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex _ Lower Level _ Pool _ Accessory Building WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building* _ Addition _ Move Building _ Reroof _ Demolish Interior yg Alteration _ Fire Repair _ Windows _ Demolish Foundation e Replace Repair Egress Window Water Damage p _ p _ 9 _ 9 Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION _ Valuation jr 7,�"'- Occupancy J- c" ( MCES System Plan Review Code Edition y14 Zn is SAC Units (25%_ 100% '" ) Zoning jL - I City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction U, Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final I C.O. Required Footings (Addition) Final I No C.O. Required Foundation Foundation Before Backfill )' HVAC_Service Test Gas Line Air Test_Hood Roof:_Ice &Water _Final Pool:_Footings Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS y Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By:-7-601 i92 l , Building Inspector RESIDENTIAL FEES o2' cQ (4- i=� 1 ZU•Dv Base Fee J Surcharge Plan Review F/A r r-e,e- (11 Z/v©.° _ MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA158234 Date Issued:10/02/2019 Permit Category:ePermit Site Address: 625 Coventry Pkwy Lot:27 Block: 3 Addition: Coventry Pass 4th PID:10-18403-03-270 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 - Monte J Amundson 625 Coventry Pkwy Eagan MN 55123 (651) 456-9835 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:EA163509 Date Issued:09/02/2020 Permit Category:ePermit Site Address: 625 Coventry Pkwy Lot:27 Block: 3 Addition: Coventry Pass 4th PID:10-18403-03-270 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 - Monte J Amundson 625 Coventry Pkwy Eagan MN 55123 (651) 434-3466 Kat Construction Llc 8833 79th St Annandale MN 55302 (320) 266-3455 Applicant/Permitee: Signature Issued By: Signature