628 Coventry Pkwy. ?r
. ?
Wertificate nf Cccupanc4
Wit4 of Cfagan
, ?cp?eut of ?u?Yb?xg ??CCtioK
This Certi.ficate issued pursuant ta the requirements of the Uniform Building Code
certifying tiiat at the time of issuance this structure was in compliarice with the various
ordinances of the City regulating building construction or use. For the following:
SE DWG 2(X155
Use Clessification: Bldg. Pamit No.
Oocupsocy'lype Zoning Distrid Type Caast.
II? 5201 E RIVIIt BD, FftIftEY
ow?orsuii Il? RDTII1JrID OD nda?
a?
YAKQIAY , .
B ' ng Address ? Lacality
Dau: AUGUST 17, 1993
?
Buildieg Official
POST IN A CONSPICUOUS PLACE
- - INSPECTION RECORD
' CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date !ssued:
(612) 681-4675
SITE ADDRESS:
? <;`%t-"ti, ',' 1 A'' , 41 h1
I PERMIT SUBTYPE:
APPLICANT:
TYPE OF WORK:
I R t u? A Ee r t.
!; 43 N) F3E: VAI 1 I 1' F'I R±,
v A:_':T?? .. . . ?
L- ?
Permit No. Permft Hoider Date Telephone #
SMI
PLUMBING y'3 9.2 -
HVAC
ELECTRIC
ELECTRIC
Inspectlon Dete Insp. Comments
Footfngs I
l
Foundatlon
Framing
Roofing
Rough Plbg.
Raugh Htg.
P? l
ISUI. 91f2 al;)ie
Fireplace
Finai Htg.
Q?sat Test
Final Plbg. ?+!?
!J Plbg. Inspector - Notify Plumber
Const. Meter
EngrlPlan
Bldg. Final S
Deck Ftg. ?p / D7'J S
Deck Final
Well
Pr. Disp.
Address 628 covENrxY raK?Wa5r Zip 5512 3
Lot . a3 Blk 2 Sub OWENTRY rASS 4It1
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: AUGUST 17, 1993 Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage)
Pertnanent steps (main entry)
Permanent driveway
Permanent gas IL/
Sod/Seeded grass
Ttail/curb damage
Porch
Basement finish
Deck
Please verify with the builder the removal of tooftest caps from the plumbing system and the shut-off of water supply [o
the outside lawn faucet before freeze potential exists.
Contact engineering division at 6814645 before working in right-of-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contractor Copy .
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: BuiLozdG
3830 Pilot Knob Road Permit Number: 020955
Eagan, Minnesota 55123 Date Issued: 0 5/ 19 / 9 3
(612) 681-4675
SITE ADDRESS: LoT : 33 B l0 C K: 2 APPLICANT:
628 COVENTRY PKWY ROTTIUND CO INC, THE
COVENTRY PASS 4TH (612) 571-9304
PERMIJ?,UBTYPE: TYPE OF WORK: MEW
INSPECTION
FOOTING ., .
FRAMING .•
INSULATION FINAL
FIREPLACE
REMARKS: S& W PLBR - VALLEY PLBG
?- _ . _?
CITY'OF EAGAN
?3830 Pilot Kno6 Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT ?
PERMIT TYPE:
Permit Number:
Date Issued:
C?I??G?'13z
BUILDING ,
020955
05/19/93
SITE ADDRESS:
P.I.N.: 10-18403-330-02
626 COVEN7RY PKWY
LOT: 33 BLOCK: 2
COVENTftY PASS 4TH
DESCRIPTION:
Bruildiifg? 1permit Type
Buflding `WA-?rk Type
'U8G Oceupsrs6y",,
Constructian l
'Z4ning
Buil;ding, LenSth
Bai,lding Width
\
?
? ' -
._..? l t y>? ? •? ?;-,.
`S
,
SF DWG
NEW
R-3 M-1
V-N
R-1
62
38
.--
r:?l?? ?;'3)
?
REMARKS:
3& W PLBR - VALLEY PLBG
.?
FEE SUMMARY:
8ase Fee
Plan Review
Surcharge
sac
SAC %
SAC Units
5ubtotal
VALUATIpN
$891.50
$579.48
$86.00
$750.00
iee
1
$2,306.98
$172,000
MISCELLANEOUS $1,744.50
7ota1 Fee $4,051.48
CONTRACTOR: - Applicant - 5T. LIC. OWNER:
ROTTLUND GO INC, THE 15710304 0001335 THE ROTTIUND CO INC
5201 E RIVER RD 5201 E RIVER RD 391
FRIDLEY MN 55421 FRIDLEY MN 56421
(612) 571-0304 (612)571-0304
<
I hereby acknawledge that I' have reatt tJa3s Opplication and staCe? that*th* .
infarmatian is carreet and' agree to aomply vith all applicah,le state of Mtt. ,
Statutes and City af Eagan tlrdinahees.
L ?
- APPLICANT/PERMI E SIGNATURE -S6SUED Y: IGNATTUR-EE
REACTIVATE _
. ,
PFRi4I3 4
SINGLE & MULTI-FAMILY
COMMERCIAL
/ %o / 93 Valuation of
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
Date ?
Site Address: (o
State Zip
Phone
00
SUITE M
Tenant Name: (commercial only) 4i. 90?+11rJ C.01-AC• '
LOT BIACK 2 SUBD P.I.D. if
Descri tion of work: S i le ??
The applicant is: Owner ntractor ? Other (oescr;x)
Name ++ku CG.Tlic• Phone 71-O30
Property LAST FIRST
Owner Address 5?c'i t• ?,?er &1.
STREET STE M
City State Mrl Zip rSclZI
Company Sch? Phone
Contractor Address license # 133r Exp:S-SI-94
City
Architect/
Engineer
Company
Name _
Address
City _
State
Zip
aLnces. r licensed plumber V atII? ? Uy? dfi? . Processing time for
r permits is two days once a ea has been a proved:
nowledge that I have read this application and state that the information is
agree to comply with all applicable State of Minnesota Statutes and City of
I , _
CITY OF EAGAN $4, Cg IA
1993 BUILDING PERMIT APPLICATION
681-4675 FR F r - R,n
2 sets of plans, 3 registered site surleys1_1 copy_of ene
calcs.
2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
STREET
Registration #
licant:
OFFICE USE ONLY
. ,
, , .
BUILDING PERMIT TYPE
F
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging 046`Ezsernt
id"h
9 02 Sf Dwg. ? 07 4-Plex ? 12 Multi. Misc. D 17 Swim Pool
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex 0 14 Fireplace O 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
fK 31 New ? 33 Alterations ? 35 Tenant finlsh ? 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INF ORMATION
Const. (Actual) V- N Basement sq. ft. MWCC System YES
_
(Allowable) y-N_ lst F1. sq. ft. City Water TZS
UBC Occupancy 9_3 M_I 2nd F1. sq. ft. PRY Required
Zoning RTI Sq. ft. total Booster Pump
N of Staries Footprint Sq. ft. Fire Sprinkler
Length
D
th -?T{ __ On-site well
it
O Census Code
SQC Co
d /CI
ep ? n-s
e sewage ?l?
??
s ?_
APPROVALS G?rsqs ?, .?
Planning Building Assessments
Engineering Variance
REGlUIRED INSPECTIONS
O Site
? Wallboard
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
5/W Permit
5/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC % 100
SAC Units I_
? Footing ? framing ? Insulation
? Final ? Draintile O Fireplace
Yaluetim:
0
GAaaGE; ayx:2,4=s%,x1?4zle
9Srv1T; 3S x 28 =
72 k/y?
Sxs
3X?=
?ST ?Lout1',
135n'!7'=
1xS= 8
Ozx6Xi = 10
1 3Lf x fy ?
2wo F-i,?2;
(-j5rirT- I 3t y
Xy?
??3s s
io6y
/'G $
4-l0
?
«`•j.? X tS = ?1?? ?fS/-O
76) 9 S(O?
?Zd9o
i ? 02
LOT BURVEY CHECRLIST FOR RESIDENTIAL
? • HUI
? LDINtl ERMIT AP CATIO
? PR
PER
Y
m O
T
D
W ? ? Date of 8uiweys
?
Z 2 DOCUMENT STANDARDB
0'*?0 ? • Registe'red Land Surveyor signature and company
C]/0 ? • Builcling Permit Applicant
?
? Er'0' • Legal description
A
0 • cldress
K'? 0 • North arrow and bar scale
6?0 ? • House type (rambler, walkout, split w/o, split entry;
lookout, etc.)
8'?? ? • Directional drainage arrows with slope/gradient ?.
o e D • Proposed/existing sewer and water services
0
/r ? ? • Street name
?
U ? ? • Driveway
ELEVATIONB
?kistinct
" ?
? 0 ? Sewer service
? 0 • Lot corners
D?
E(' 0
0 • Top of curb at the driveway
? • Elevations of any existing adjacent homes
Piopo§ed
e? ? • Garage floor
61? ? ? • First floor
Er ? ? ? Lowest exposed elevation (walkout/window)
U0,7 ? ? ? Property corners
V? ? • Front and rear of home at the foundation
PONDING AREAB (if dpplicable)
? ?: • Easement line
? ?
? 0 • NWL
? 0 • HWL
? K
? ? Pond # designation
? ? • Emergency Overflow Elevation
DIHENSIONB
?
? 0 • Lot lines
??
? 0 • Right-of=way and street width (to back of curb)
0 ? • Proposed home dimensions including any proposed decks;
overhangs greater than 21, porches, etc. (i.e.. all
structures requiring permanent footings)
l'f ? ? • Show all easements of record and any City utilities within
those easements
f3' ? 0 • Setbacks of proposed structure and setback of adjacent
00/0 existinq hoin
t
i
R
i
i
• e
a
n
n
r ents, if any
?
Reviewed:
OctobeY 1992
F-1'F.IiTOIi F:NVF.f.OPt: nvt:=;ncE "u^ currruTA•rtON 'groa.CkwAore_
our+EF?
ST_TE ADDSESS r..oT 33 ? I.pGEC 7 C.e? ?zlT?rr Aae-s. Y7% /Y AI)1ro .
, CONTRICTOR ,?-v?TL UKD G? • DATF. P}tQNE
Detexmin vorkinr: square footar;e of ench.
1. iotal exposed va11 area .. 20Q S. 2- sq. ft. x 0' 11
2.' Total roof/ceiling area . IZ(e?7• sq. ft. x e?O`6
• • ,
Total exposed wall area nbovc floc+r = 2? C/ ?? Z
a. Tota1 v211 Gindov erea .. ........................ 3'D 7. 5?J 1
b. Totr1 door area ................................... ¢ Z
c. Total sliding gl ass door area ..................... ?
d. Total Sireplece va11 area ......................... --'
e. Total vall framing area (average 10%) ........... ?Z'ZCi
f. Total net vall aree above floor ................... Z 0 5
. 8• Total rim Joisi area ................. ........... 2& 3. Z
Total exnosed foi:ndntion area h. Total foundetion vindov a:ee ...................... ? D
i. TotaZ net foundat;on area above grade ............. Z fJ•
? . Deter,r,ine "U" calce o: each vall .ec;ment.
. a_ 307, 52) c0.¢2
b. Gfl, z?.U?? O,/3a _ 8,33
. - ; C. - X .,Ulj
d. + X ????? , --- _ ?. •
e., x0.0
r. Zo 3 ?. C> X..u,. . o, 0 43 = 8 7• G( ?
. g. ZU3, Z X°u°
h. X??U??
• i. X
3. . ....................:............. .r??.?i . . = 277. /
.. o?
. ?. _.-r--
If item'13 is the same as, or less Lh:,n item dl, you nave met the intent
or SBC 6oo6(6) 2:7
?' . ..
ew?- .. - . . ? ?
' ?, . . . - . . .
c
', . Total exposed roof/ceilinG area _ ?•?? „ ?
'A . . ? . .. .
Total gross roof/ceilinf, are:t =
- - ' r
J. Total skylight area ..........................
k. Total roof/ceiling franin3 area .............. / Z?l• 7
1. Total net insulated roof/ceiling area ........ ?/ S'?, rp G
Betermine "U" value for cacli roof/cci 1 int; seF,mcnt.
r-? X ofUll --- _ •
,
J,
k: 7? xu?? ' 0.?Z? = 3•¢?i • e
1, ll?? G L x„U„ O. p 2Z = Z?, o ,
L . ............ , ................:. Total 40
IS total oP N4 is the sa.me es, or less than N2, you have met the inteat of
ssC 6oo6(c)i. . ,
To utilize the total envelope s;+stea m°thod, the values establi_hed by tte
stm of items N3 a-nd #4 shall not be sreate-. thxn the sura of iten:s Nl e-%d 12.
1_ + 2.
. • j •, . .+ k . _ _ •
, T ? • '
0
. .
_ .._ O •
?:- Vk l.U? GA l-Gi?-ATID t?}? ?LaNT? .
-?FAMr- Wku.
LoMP?N?r4?i -
(If
;`j
:v
?.-
?
?
044AM Aifz F9L.M
"h° hI P Nli. . - -
-?%s lNSUI.A?1cs??
taD,
t?hIDE ?ifL ?ILN1,
??.c •
o, 45 -
-_-----?;Co'c -
wAu. ? ?TLJP
_ 1'LM. UleLa.
C
?
C
?
C
-..%OMPON?N 15
c_uT-t710E Fi? Ft..u.
hN?AjriIN?,
'r X v h jl.lD ?F r?'1M??L'}
?? ? ?( • ?i?• .
i.t?+c? P?? R1-,?1• .
: - F--VAi.! 15
2.GCr _
- -j _-? ? .--- -
?
'----
?0?.---
?T?(?r. '--? ?a CL?-
(,?
?L
U (o.izx o.ot4? t(o,abx0,0
m P?. 43? = o. 04- _
•y`-----
???- -?Olh-I - --- -
O
O
0
0
?
?
?
O
O
G
:-
I?-??.?F???.
?1NU--- -
a -' - (
_.. __? .?,,? i
?= .[._ ,.+ _•t'?.
ZG ;T
CDNIFbf?%NJ? .---
? ?, T=ut?i.
?
?LC4-l?L,?hl.?•
_-- ?.??r!-I ?:
==?°5-T ---
?,?, _ ` = a, ob:
r?? r3
?
= a . i ?
_?---7:.371
722k1P_a?i?
i.?? _
'??'?l•?{??C?: .
_?o,----
I?--k1f?=r?[GM •
=R= v?zl- ra ? --
I = 0??I.-- I
--- . ' Q---- I
?
g-3---
? = o, o2`I
-
, r
i ???~J?'?"
IO ??si? F1.?M :
O :2'6YP-_?o---.
?
-C=!-??------
-_?-¢.? - . :.
--
?--------
-o
0-022
; ,
.. _? ._
ilETA?i ED F.Ec•OGr CLIC: `P':T:KfC NJU%
Pr--^-:rcd Fer: Prepared by:
RGt't2Untl TI'GY Cfit'15"t1Etn5GR
Flnre Heatino
. h1N JoL- Name; broadmare
EXFOSL'F;E
GLrSS
--------- fJCiRTH SOUTH E
------------ A5? WES"f PJE!PJPJ SE!SW HORi. TOTAL
tiRErl -------
, ..ci 30I ------------------------------------
160! i'.._: 141 14i ---
(_!: --------
?5=ri
cooLIr•!G , a-;a; 6921 ,,s;._; ;,'sa; 421; 5331 0; 17s;a;
"?. E Fi 1 I 1? G
--------- ,-,, 1 1
.,;
C ? ,231:
------------------- 6,S951
7,0591 5751 575:
-------------------------------------
I 1i
-- L?
S O n c' •= + i
--------
WFLLS
---------- NOF.TH
--------- SOUTH
-- EAST
RF;EFi i
8481 ------
^082; --------
1,204;
COGLI I+76 ? 7701 SUn ; 1,09sI
HEATIh•iG ,
--- ----- - 3.362I
-- --- 35497; 4,7741
DOORS
---------- ---
NORTH
-------- -- ------
SOUTH -- - -----
EAST
AF.En , -
fo1 --------
C>i --------
20;
COOLIhJG , 2191 0; 24:;
HEFTirac ,
---------- 956;
--------- o;
---- 1.062;
FLOOR
----------
--------- ----
AF,EA
-------- --------
-----
.SJO% ---
i
_____________ _____----_
CEILZI'•1G AF.EA
-----------------------
350j
-----------------------
Feople Ser:=_.iCie Load
Liqht=_. & Appl. Laad
VEll+.lict't1G:'7 LGdd
Duct Heat 6ain
Infiltration Load
Sensible Safety Rtuh
TOTAL SEPlSIBLE LOAD
Summer ACH
!;.E! DW
4JEST hdciN4! SE!SW GRF.DE TOTAL
---------------------------------------
?.C;S6I 161 lol UI 4,0521
9861 151 15: 0I ,6771
4,306! b:l 63: 8,1= 24,1881
---------------------------------------
WEST hJElNW SE/Sl•J TOTAL
lo;
214;
9561
CE!OL I NG
0 i
CrCLiNG
-------------
I,i54
-------------
n: C)I
ir; ft;
O; 0!
HEATINu
2pS2.
HEAT I tJG
j 2,JJ_
M I SCELLAidEOUS
------------- COOL I PdG
-- LDAD,=
1.1257, ------
iatent ------
Load
1 , 195 Latent lnfety Ptuh
9=5
r?
654
1,362
28,600 TOTAL Lr^,1'ENT LOFD
0.66 Temp. Swing Mult.
*'Y* Total Coolina Load 3c.^o44 RTUH ?r 3.07 Ton= K**
MISCELLAD;EOUS HEATI"•1G LOADS
---------------------------
Infiltration Load 6,92= '•ientilation Laad
Duct Heat Loss 0 Safetf Rtuh
Winter r;Cn 0.13
? Sbl
i 681:
I 974 :
7,89g
395
8.??4
l,ryir
4,?Si?
_,f51
Ta.k Total Hertinc Lc7d 61,178 ETUH :k.W.*
F'repared For-:
Rottlund
SUMMAF,`r F.'EF'OF:T
F'rEpnred Py:
Troy Christirn=on
Flare Heatino
MP•F Jot h1amE: ProadmorE
0?-22-Q2
'.1
L?ESIuhl COt•!,:•ITIOPJS for
CUTDOOF:
^_-Ui'!McR ulIPJTcR
Dry Bu1G 92 -20
P1et Nulb ?5
Daily Ranqe 22
Latitude 44
IPJDOOR
SUi'ihtEF: Ldif•iTEF.
75 7:i
b%
Daily Saiing
Elevation
Sa+etY Factor (??
LatEn* Fnctor (%?
_.n
a«
J '
29
Sensible
F:oom Heatinq Heatinq Coolina
? Couiinq
Natiie
---- $TLr CFhI FTUH CFP]
RasemEnt -------
21,211 -------
297 -------
2 .127 -------
107
FoyEr 6,607 ?? 4.187 ?li
Pathroom r) C,
Living Foom 3,792 J= =J.l 119
Dining ROGrI 375 __ 1,554 79
KitchEn e,40a s(,.) 3,161 160
Cinette :.440 48 2,147 106
Family Poum 57611 78 4,341 219
Mud F:GOm 27640 37 1.O27 52
Fedroc,rn 1 2,717 38 1061 44
Peu'raom 2 2,791 '? 1.373 69
Redroam 3 1,s28 26 1,153 52
Master;Beurocrm 47786 67 2.245 I1z-
4Ja14:: In Clc,set 1,909 27 1,067 54
bo , 172 -----
926 -------
2a,600 -------
1,444
FiEAT F NG DELTr^, ? 65.0 COGL I NG UELTA T 18. {:
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 ,? -?S
U ? (651) 681-4675
New Construc[ion Reouirements RemodellReoair Reauirements
? 3 registered site surveys ? 2 copies of plan
? 2 copies of plans (include beam & window sizes; poured fnd. design: etc.) ? t site surveys (exterior addi[ions & decks)
? 1 energy calculations ? t energy calculations for heated additions
? 3 copies of Vee preservation plan if lot platted after 711/93
required: _ Yes _ No DATE: /?!K G,?lp ?T9 7 CONSTRUCTION COST; 7,5,o O. t7ig
DESCRIPTION OF WORK: R?SipE W?1`T?- ?///JYL s'fOrti ?
STREET ADDRESS:
LOT: BLOCK: a SUBD./P.I.D. #: C
N:vnc:_ PhoneSi: ?z? ?2.??------
PROPERTY L?i eir=t
O10V'VP.R //
Su-ect Address:__?_c?Lx?!----!?Ky ----
---------------------------
City _?t??/??-------------- - State:- i?A)----- Lip' ------ -------
Coiiip:un':_ Plinnc ??? ?
COA'1'12ACCOR fiQ
Stree[ Address:OX??eE ___------ Liceiise # _?%/??_E.rp.3?3/ 2ao-D
(;iR' lVif'& IV ------ -- Stat?: ?----- Lip'
ARCHITECT/
ENGINEER Comp.my:-------- ---- Yhone it:
Naznc:------- ------ Regisliatioti Sk: ---
Strcct
City ------ --------------- State: -------- "Lip:
Sewer & water licensed plumber (new construction only): _
change and lot change is requested once permit is issued.
Penalty applies when address
I nereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable
StGte of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes - No - Not Required
PLEASE COMPLET'E FOR SINGLE FAMILY DWELLINGS. AI.SO, FOR TOWNHOMES AND
CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UN1T.
NO. FIXTURES EACH TOT?
? sliowER 3.00 3 -
? WATER CLOSET 3.00 q -
a BATH T'UB 3.00 i.
3 LAVATORY 3.00
I KITCHEN SINK 3.00 's-
1
1
T LAUNDRY TRAY 3.00 3-
HOT TUB/SPA 3.00
? WATER HEATER 3.00
FLOOR DRAIN 3.00
? GAS PIPING OiJTLET • minimum -1 3.00
3 ROUGH OPENINGS 1.50 ? I'"
? WATER SOFfENER 5.00
PRIVATE DISP. • nek.c,y. uc. 15.00
U.G. SPRINKLER - home under const. 3.00
ALTERATIONS • to eostin8 15.00
WATER TURN AROUND 15.00
STATE SURCHARGE .50
TOTAL:
SITE ADD.^.ESS:o?l_ 'Ji-,!
OWNER NAME: 'Kn IWO- c f
INSTALLER: U S ? Li ? llo"1 C- .=, -? -?-
ADDRESS: ? o f -t ) C t,..4. <--- L - /J
CTTY: S.)G t( A --, STATE: M J ZIP CODE: 1 SjJ')
PHONE #: ( ) ``Iq') ' )- j a f
ci?? LIZ-
SIGNATUR'E OF PERMTI'fEE
`J 1993 PLi1MBING PERNIIT (RESIDENT'I?AL)
CTIY OF EAGAN
3830 PIIAT KNOB RD
FAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEh' PERMTTS ARE REQUIRED FOR EACH UNIT.
? NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
DATE
FEES
HVAC: 0-100 M BTU $ 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS (MINIMUM 1@ S3.00 FACH)
ADD-Oti/REMODEL (ExIsTING CoNSTRUCTION) $ 15.00
STATE SURCHARGE .50
TOTAL C SD
SITE
OWNER NAME:S\'\?_ TELEPHONE
INSTALLER: re aee uTP. t 1/C. ML
s3o3 Plyinouth,Ava
CTl'Y: STATE: ZIP CODE:
TELEPHONE
1993 MECHANICAL PERMIT (RESIDENI'lAL)
CITY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 6814675
N -- o --- e
zooc, RESIDENTlAL 1ViFCHANICAI. ?rr.aMi'?- ArvLIcaTioN
ciry of EaQaii
3830 Pilo1Knoh Road, Pegaiz MN 55122
Telepltotte # 651-675-5675
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the ! hr.i? bv .ipply Ibi G Keside,ni.inl Mcchamc9l I eimU and acl.nowled?um l?tvdh ihe Mech;miea?l ?(bdesndlat ijlimdcrstand tltis?is???x i???
f
i,c In cunPhrn+mice ???ilfi tlie nidina»ces and codes uf te. h C iry oi anc
?,rnn'd, hut unly an tipplictition <G permit, and worl< is not tn stait wi[hqul ;i perinit: Ihat the wnil? will he in acan'dance with thr,
for
„ppoveii pd;m m Ihe i rise nf lvoi9< ivhicl7 tcquires 2 nview and apProval nf plim
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2007 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
-
3830 Pilot Knob Road, Eagmi 1VIN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
NewConsrur,tiar Feouiremenis
3 reaistereC.sile surueyg:haxir.g sq. fl. of bt, !?. N. o(hou?: and all rooted acoas
(2096-maximum lot caverege ailoued)
1 Soik Repwl if proposed buidirig is in be placed m dstubed wd -. ... .
2 copies of plen ahowing beam 8 window srzes; powed faund desgn, etc.
iseldEnergYCakulation.. ., .... . ... ... ...
3 copies ot"lree Resavation Plan i M platted after 711193
Rim:JoisfDatail()ptiomselectionsheet(6uildin9swiM3orkssunils) Minnepesm mechanical venblahon fam .
RemodeVRepair Reguirements
2 mpies of {Jan showir.g toofingS, hzams. joels
1 set W Energy Calculetions fa heated sddAions
7 site survey fa adcNtnm 8 decks
pdEfiart - 'uMicate ilarfsiTe sep6c syskm
?o -o 6
OtEice Use Onlv
Certof5icveyRecd- _Y _N
SoilsRepat _Y,N
Ttee Pres Plan Recd. _Y _ N
_
TreePm Requied _Y -N
Onsile Septic Syslem _Y u N
Planr.arn-ennei'larcd nuhlir i.,fr,rmannr, iinfoQq voii ctatP thev are trade secret and the reason.
Date ?/ /
SiteAddress
( 7 _.._._
ZJ I
oq7g ?0U2Y1?` Y _ .. +?
Constraction Cost 000• 00
Q
I ricLoQq UniUSte#
,.
Description ofWork T1 ,/?e -.Y . 00 1 r
?
Multi-FamilyBldg _ Y x N Fireplace(s) 0_ 1
PropertyOwner OQV1(,? ,< G,race 6eSICQ Telephoae#l ) y5a-1o1-3q
Contrac[or- , ,l.?LJh Ke1'1 QQT u0YS5 : ,. rAC .
naare99 .
5tate 9g5-) city u ri ou t"h
Zip Telephone ll 3?33
COMPLETE THIS AREA ONLY IF CONSTA
.:BUILDING
ErrergyCodeCategory_ - MicmesotaRales7670Cateeoivl '
"-(J submission type) '• Residendal Vetrtiletion CaOegory t WorksAeet
Submitted " --. . Ener@Y EmebPa Calculations5ubmiCed
? _.MinnesotaRules9672....
• New Enetgy Code Worksheet
' SuWrritted
In tlie las{ 12 monfhs, has the City of Eagan issued a permii for a similar plan bafed on d master plan2
Y _ N IF yes, date and address of master plan:
Licensed Plumber 7elephone # ( ) _
Mechdnical Contracta
Sewer/Water Conhactor -
"Telephone # ( )
-- Telepfione # ( J
?
I hereby` apply for a Residential Building Pemvt and aclmowledge that the information is complete and accwate;
that the.,w.ork will be in confomiance with the ordinances and codes of the. City of Eagan and the State of MN
Statuies; I understand Yhis is nof a pemrit, but oniy an application foi a pemut; and work is not to start without a
permit: thaf the work will be in accordance with the approved lan in'die case of work which requires a review and
appro? aP'oCp'lans.
. , : .,
??FF?.E? D. 6?igc,?so??J - _
ApplicanYs Printed Name pli
,: ..
L
2 719 6
1?.-
Request Date ve No. Rougn- Inspe tion Require U Ready Now 14(Will Notity Inspeclor
' ?? When Reatl
?
Yes ?= No y
IX licensed contractor ? owner hereby request inspection of above eledrical work at:
Joa Atltlress IS
treel. Box or Rmte No.) Glty
y
D J
Secl
tNo TownsM1ip Name or No. Range N. Count
qkl
(5ccupant(PRWT', Pnone No.
Ppwer Supplier Adtlress
Elecm ' I Comrector iCOmpany Nama) Gonttaotor§ License No.
Mailing AObress (GOnhactor or Owner Making In5lallation)
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t
AoIhorizatl Sig Wr
onirac
onOwner Ma?ing Insy
?la?io
nJ Phone Number
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MINNESOTA STATE 60AflD OF ELECTRICITY TNIS INSPECTION REDUEST WILL NOT
Griggs-MlOway Bldg. - poom 5-173 BE ACCEPTED BV THE STATE 80APD
1821 Ilniversiry Ave_. SL Paul, MN 55106 !??UNLESS PROPER INSPECTION FEE IS
Phone (612) 862-D8D0 S U ENCLOSEC.
REQUEST FOR ELECTRICAL INSPECTION ,? es-ooooi-oe
? See instructons for com0leting Nis lorm on back of yellow copy. ??C#i,
ry y ?G L_7
? 2 7 1 9 6 "X" Below Work Govered by This Reauesi 1?_ oz ii (0/ (D
ew Add Rep. TypeofBUiltling AppliancesWired EquipmeniWired
Home
Duplex Fange
Water Heater Tempaary Service
Electric Heating
? Apt. Building Dryer Other.(Specity)
Comm.!Intlustrial Fumace
Farm Air Conditioner
Olher (specily))
Compute Mspection Fee Below: Gon?rectar's Remaeks'.
# Other Fee # S=rviceEntrence Size Fee x Circuits,'Feeders Fee
Swimmin9 Poat 0 to 200 Amps 0 to 100 Amps
Translormers
Sig05 Above 200 _ Amps
inspecmr5 Use Only: Above 100 _ Amps
T?TA?
Irrigation Booms ?
? ? 5
Speciallnspection ?
iAiarm/COmmunication THIS INSTALLATfON MAY BE ORDERED DISCO
NE
Other Fee
COMPLETED WITHIN 18 MONTHS. N
CTED IF NOT
I, the Electrical Inspector, hereby
certify ihat the a6ove inspection has
heen made.
OFFICE USE ONLV R0O9n"" oaie
oate ?
7U
I i nis request said 18 months imm I
L
REQUEST FOR ELECTRICAL INSPECTION
L27199 ? See Inslmclions for completing Ihis lorm on back ai ye11oW copy
"X" Below Work Covered by This Request
? EB-00001-OB
??,CJ?I (o
ew Atld Rep. TypeoiBuilding AppllancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other..(Specify)
CommJlndueirial Fumace
Farm Air Conditioner
O:her (syecify) Conh¢cmr's Remarks.
Compufe fnspection Fee Below:
# Other Fae # ServiceEniranceSize Fee # Circuits/Feedere Fee
Swimming Pool 0 to 200 Amps ;?. a to 100 Amps
7ransformers Above200-Amps A6ove100-Amps
SignS Inspector's Use Omy: TOTAL
hrigation Booms r
b
y?
Special Inspection
AIarMCommunication THIS INSTALLATION MAY BE ORDER DISCONNECTED IF NOT
Other Fee CDMPLETED WITHIN ONT (
I, the Electrical Inspector, hereby
certif
that the ab
i
ti
h Rooqnnn f
. oate *r *
y
ove
nspec
on
as
been made.
F?nai ?r !. ?
oate
OFFICE USE ONLV
Thls request vota 1B monms hom
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I/? ? O (o/ La
9
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i99
? 2
3
ReQuest Date ire o. Rough-in spe lion
Re iretl
? Reatly Now ?WI?I Nollly Inspecror
7-5 .
Vas - No When Ready?
I? licensed contractor ] owner hereby request inspection of above electrical work at:
Jol,Actlress (SVeet. bxvRoute No ) Cily
Section No. Townshlp Neme or q No. CoyWy ?
UJ
Oco- antIPRINT) Phone No.
?
Pow¢? ? olier /9 Atltl?e55
Elecin ? Co Uotor Gompeny N me) Gon[raalor's Coense No.
o ? 58l
MaJtng Adtlress IGOnVZCroi or Di^{nse akirig Inslailation)
Autnorized Signi tConVeclon ne; Me'on I tallslioni \ Phone Number
¢
?
MINNESOTA STATE BOARD OF EIECTHIGTV U THIS INSPECTION REQUEST WILL NOT
Grlggs•Mitlway Bitlg. - Roam 5-173 BE NCCEPTED BY THE STATE BOARD
1821 Univereity Ave.. St, Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENClOSED.
2422 Enterprise Driva i
* mendota Heights, MN 55120
* P10NEER (siz) 081-1914_FoX 6e1-e468
UNc$URYEWRS • CML ENdNEERS
*englineering L&N0 PLANNCRS • lAMOSCApE hRCHIIECTS 625 Hlghwoy 10 Northqast
* Bfaine. MN 55434 ?
(612) 783-1560•Fox 783-1883
?
Certi = of survey for: The Rottlund Com_pany,. Inc, '
? ?Uv -v House Address: ,r Coventry Parkway, Eagan. MN
??? Z g 1993 Mode{ Name: Broadmo
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~J ?~ 870.6 3t.59 ?, 8? ?°-+0
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. e00.0 Denotes Existing Elevation ne?M PROPOSED HOUSE ElEVA710N
490 Qenotes Proposed Elevation ?"i"' Lowest Floor Elevation:86B.65
Denotes Dratnage & Utfllty Eosemant
Denotes Drainage Flow Oirection Top of 61ock EEevation:874.76
---a- Denotes Monument Garoge Slab Elevation:874.A3
--$- Denotes Offsei Hub Bearings shown are assumed
LOT 33, BL4CK 2 COVENTRY PASS `
DAKO7A COUNTY. MINNESOTA 4TH AD D I TI ON '
1 hereby cCrtiiY that this survay, plan or report was pr red 6y me or und¢r my direct supervislan and tMt f am duly Aeglstered Leixf Surveyar
under (ha 4ws of the Steta of Minnesote, 08ted Shi?day of ? A.D. 18-a
,
?* 2422 Enterprise Drive i
Mendota Heights, MN 55120
* PlONEEi? ? (612) 481-1814•Fax ?81-9488
UND $URHE1TiR5 - GYNL ENGINE[RS __? _I
?.w?+r -.--.. .
er ¦' ineerin ?0 PLANNCR$ • LANOSCAPE ARCHI7ECTS 6',Zrj HI9FIWOy 10 NOCt?1C03t
? • ? * g ? 9loine. MN 55434
}c * x, (612) 783-1880•Fax?783-1883
y The Rottiund Company, Inc.
Certificate af Surve for: i
Ffouse Address: . Coventr Parkwa Ea an MN
Mode{ Name: 8roadm9
COV? f? R ?'?0'G'?j1?? G?R6 b?I
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x 900.0 Denotes Existing Elevotion neKM PROPDSED HOUSE fLEVATION
_(? Denotes Proposed Elevation Lowest Floor EIevation:868.65
Denotes DrdEnage & Utfllty Easement
- Denotes Drainage Ffow Direction Top of Block Elevotivn:874.76
---a- Denotes Monument Garage Slab Elevation:874.43
-e- Denotes Offset Hub Bearings shown are assumed
LOT 33, BLOCK 2 COVENTRY PASS ?
OAKOTA COUNTY, AAINNESOTA 4TH ADDITION '
I herebY certifY tha[ this survay, pian ar ropprt waf pr red by me or urMer my direct supervislon and ihe[ 1 am duly Rephtered La?iut Surveyor
iu
under (ha lew7 pt the $tefe of Minneso(e, Ou(ed tAip day o1A.D. 19-il-,
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA126818
Date Issued:09/11/2014
Permit Category:ePermit
Site Address: 628 Coventry Pkwy
Lot:33 Block: 2 Addition: Coventry Pass 4th
PID:10-18403-02-330
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 -
David E Geske Tste
628 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:EA169212
Date Issued:05/18/2021
Permit Category:ePermit
Site Address: 628 Coventry Pkwy
Lot:33 Block: 2 Addition: Coventry Pass 4th
PID:10-18403-02-330
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.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
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 -
Mona M Riskalla
628 Coventry Pkwy
Eagan MN 55123
(651) 271-3470
Archer Exteriors
820 N Concord St Ste 106
South St. Paul MN 55075
(651) 493-4156
Applicant/Permitee: Signature Issued By: Signature