633 Coventry Pkwy?
Wertifica#e vf Cccupanc4
Witv of Cfagan
?rarhatut o? ?xi[bin? ????ection
\7
Tliis Certificate issued pursuant to the requirements of the Uniform Building Code
certifying th[tt at 1/te time of issuance this structure was in compliance with the various
orrfinances of tfu City regulatireg bueWg coRStruction or use. For the following:
u: cnnrCab= SE EW / swg. aermit ro. 22714
Oc-P-Y TYPe }3.A4 l Zoning 136tria Ri Type Const.
OMeer d Buil6ft IM ? Addess 5201 R-??W RDr,FFJAM
suiw;ng Aaams 633 ?T?t RARKWAX LocaliM-291 83,-9ME@FM FASS-tW
- Due:
B?? offki.1
POST IN A CANSPICUOUS PLACE
ON
+ GITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT TYPE:
Permit Number:
Date Issued:
SITE ADDRESS: APPUCANT:
Wlf
PERMIT SUBTYPE: TYPE OF WORK:
I .• ? 1.. 1 ? • , ' ?I ' k ? .
I I!F
y:•: ! 1 ?4
14 INSPECTION TYPE D• ON TYPE D'
I No,
;: 'fil} ! Nr, M
i'1 11 ( 1 i?1?? i 1 I f t 1 ii? t
i N Ai
' }i 1 14AVK K.ti
F
1.1 kY" NI I , ,
?
?
¦??
Parmtt No. Permit Holder Date Telephone #
Sf1N
PLUMBING
HVAC
ELECTRI '/3j1 00
ELECTRIC
Inspectlon Date Msp. Comments
Footings I X
Fouridati«, J
Framing ?
Roofing
Rough Plbg.
d
Rough Mtg. . J y 15 h
igu,. lel 4?46-
Fireplace
Final Htg.
25
Q
Orsat Test
Final Plbg. Plbg. Inspector - Notify Plumber
ConSt. Meter
EngrJPlan
Bldg. Final 3 nr
W
Deck Ftg.
Deck Fnel
weli
Pr. Disp.
,
Address 633 rnvr?nrraY r[iuuwaY Zip 5512 3
I.ot 2e Blk 3 Sub mvE[vrm rnss anH
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION.
Date: OLIq? Yes No Inspecror.
Final grade (6" from siding) ?
Permanent steps (garage)
Permanent steps (main entry) ?
Permanent driveway ?
Pennanent gas
Sod/Seeded grass
TraiUcurb damage
Porch ?
Basement finish
Deck
Please verify with the builder 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 engineering division at 6814645 before working in right-of-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contracror Copy
glw0l?
d 46950
RE?UEST FOR ELECTRICAL INSPECTION
? See insvvtlions far completing this brm on beck ol yellow copy.
X" Be/ow Work Covered by This Aequest
I b es-
?y?.y . ooooi-oe
?. ..?
eW
Add
FeP
TypeofBuiltling
AppliancesWired ?
EquipmentWiretl
Home Ranqe Temporary Service
Duplex Water Heater Eleciric Heatinq
Apt. Building Dryer
Other-(Specify)
Comm./Intlusirial Fumace
Farm Air Conditioner
Other lspecily) Conlractork Remarks'
Compute fnspec(ion Fee Below:
# Other Fee # ServiceEniranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 700 Amps
Transiormers A6ove 200 _ qmps Above 100
Amps
Signs Inspe ctor's Use Only: _
Irri
ti
B ? TOTAL
ga
on
oomS ?
Special Inspection l,? • d? ? -
Aiarm/Communication THIS INSTALLATION MA
Othe
F Y BE ORDE ISCONNECTED IF NOT
r
ee COMPLETED WITNIN 18 MONTHS.
I, the ElecVical Inspector, hereby RO09h"" oa?e
certify that tha above inspection has
'
Fin01
been made.
OFFICE USE ONLY
IDi5 reGUesl voitl 18 manffis iram
J
Req ot-0ate- _ Fire o. Rough-in Ins 6 n
qeQuirpd? Reatly Now ? Will Notity Inspector
I Yas C N. When Reatiy?
I?licensed contrector ? owner hereby request inspection of a6ove electrical work at:
Job Atltlress (Sheet. or Routa Na.l
3 Clly
Section No. Townshlp Name or No. Rang o. Coun ,,,,
Occ t(PRINT) Phone No. '
Power Suqpper ? Q
l? ?
v Atltlress
Emorclo, pany Name)
?.Qic, Commtlo/s License No.
c a p g f
Mailing qaaress IGOnhactor or Owner Maktng Instenation,
Amnorizetl Signawre iCOmract lOwner a'
I Installa"on)
TA-A
A Phone Numeer
d.6 3? 3E16
MINNESOTA STFTE BOARD OF ELECTRICITY THIS INSPECTION REQUEST W ILL NOT
Gngge-Mitlway Bltlg. - Room S473 BE ACCEPTED BV THE STAiE BOAFD
1821 Universl[y Ave.. 51. Paul. MN 55104 UNLE55 PROPER INSPECTION FEE IS
Gnone(et2)6a2-OB00 ENCLOSEO.
M 734?41
ag Qa
Fequest Date
L Fire No. Ro i In ion
es G No NOTICE You Musl Call ElecVical Inspecbr
Ii A Rougn-In Inspeclion
Is Requiretl.
licensed contractor ? owner hereby request inspection of above electrical work at:
Job Atltlress (Street. Box or Raute Na
l0 33
1?,i{, Cil ?y
Y `Ca
Section No. Townsmip Name or No. qa e No.
ty? /? ?
CounF?
ORINT)
tr
?
-s Phane Ylo
.
.
0 Pa er Sup lier Address
Elecincal Conirador (COmpany Name) ConVador's License No.
Maiiin9 Mtlre
• In mu am
lem
q .+?PwA
AuthorizeE ' tt stalla?ion) PM1One Number
MINNESOTA STATE BOAqD OF ELECTRICITY THIS INSPECTION REpUEST WILL NOT
Griggs-MltlNay Bltly. _ Room 5-173 BE AGCEPTED BV THE STATE BOARO
1821 Universtly Ave., St. Paul, MN 55100 UNLESS PROPER WSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ee-oaom-oe
/ l See inslmdions tor completing ihis brm on back of yellow copy.
p?
Iql 7 3'
5 4
"
+
X
Below Work Covered by This Re quest
New ud Rep. TypeotBuilding AppliancesWired EquipmenlWired
Home ange Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryef Loatl Management
Comm./Induslrial Furnace Other (Speciry)
Farm Air Conditioner
aher (speclfy) ConVador's Remerks:
Compufe Inspection Fee Below:
# Other Fee N ServiceEntranceSize e # CircuitslFeeders ee
Swimming Pool 0 to 200 Amps ktIo io 100 Amps
Transformers Above 200 _ Amps Amps
Signs Inspedore use Oniy: ?O
Irrigation Booms
Special Inspection A ?
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NO7
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
tif
th
tth
i flough-in oate ?
cer
y
a
e above
nspection has
been made. F;nai • Daie
?
OFFICE USE ONLY
This repuest voitl 18 montM1S fmm
RESIDENTIAL
a? BUILDING PERMIT APPLICATION
? CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Constmction Reauirementa
• 7 registered sile surveys showing sq. R. of lot, sq. R. of house; and all roofed areas
(20% maximum tol coverage allowed)
• 2 copies of plan showing heam 8 window s¢es; poured found desgn, atc.)
• 1 set of Eneryy CalcWauons
• 3 copies ol Tree Preservation Poan if iol plattetl after 711193
• Rim Joist DelaJ Options selectlon sheet (bldgs with 3 or less unils)
DATE q- I 3'? 0 Q?'
RemodellRewir Reuuirements
. 2 copies of plan
• 1 5et of Energy Caltula0ons for heated addificns
. 1 si[e survey for extenor additions 8 decks
. Iritlicare if home served by sepfic system ior additions
?
VALUATION oc?
SITE ADC
TYPE OF
APPLICANT
ULTI-fAMILY BLDG _Y ?N
FIREPLACE(S) _ 0 _ 1 _ 2
STREET ADDRESS --? 7C1D YYI?? 1-''l /0-L CITY STATE
TELEPHONE #?Y/???b (o-?SCZ>CELL PHONE # fAa O'Q1 Od='? FAX #
PROPERTYOWNER_ OGYJ d TELEPHONE# In5I-6g7-7
-----------------------------------------------------------------------------------------------
COMPLETE THIS SECTION FOR °NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ y(INNE50'1':1 RCLES 7670 C:1"I'LGORI' I MINYL'SO"C:\ RL:LP:S 7672
(J submission type) . Residential Ventllatlon Category 7 Worksheet Submittetl • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: Phone !#
Plumbing system includes: _ 4Vater Softener Iawn Spdql:le ?a90.00
Water Heater No. oFR.I.13 atk??s
No. or Baths S ?P 1 9 2002 `
Mechanical Conhactor: Pho# ?
N/Icclulnical sys[eai inclucles: _ Air Conditioning ?ee:-=5>r).00
Hcat Rccoven Systcm
Sewer/Water Conhactor: Phone #
.......-----°--------------------------°.......----......._..........-------•----.....---..__...._...._......°---------
I hereby acknowledge ihat 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 Eagqr Ordinances(-,, (N
Signature of Applicanf
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updaled 4l02
?
? CITY Of EAGAN PERMIT
3830 Pilot Knob Road PERMIT TYPE: g uTLp I NG
Eagan, Minnesota 55123 Permit Number: 0 2 2 71 R
(612) 681-4675 Date Issued: 12 / 14 / 9 3
SITE ADDRESS:
P.I.N.: 10-18403-290-03
B?"ildir4? Permit Type SF C1WG
¢?uilrtirtg?`IG'qrk Type NEW
UBG 67ctsupahi'6-9-' R-3 M-1
CpnstrucCiah l'?'yrpe V-N
Zoning R-1
euildin4 Ler#qth ? 74
Build3ng bJidth 95
801,14iiii} st4r,ik? s..? 2
r
/f
.
(
?
{
?.r
? ?co
DESCRIPTION:
i? ,? Wi F a .Y W n
0Z tJ E `4tJ
REMARKS:
PRV S& W PLBR - VALLEY PIBG
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
5AC
SAC &
SAC UnitS
Subtotal
$2,244.23
$162,908
MTSCEL.LANEOUS $1,744.50
Tota7 Fee $3,988.73
qg?.VTRA?T?QR: - Applicant - sT. LIC. OWNER:
TLUN 0 TPdC, THE 15710304 0001335 THE ROTTLUND CO SNC
5201 E RIVER RD 5201 E RIUER RD 301
FRSpLEY MN 55421 FftIf1LEY MN 55421
(612) 571-0304 (612)571-0304
I : . . . . .. . .. . .. . . ?
T hereby acknoalectge that T haue r-ead tkt%s, appS3aatiari arid stote that ttae
xrrformaCian is corP'oct attid' agree tv cartFpZy with all app1i:cabis State oY Mn.
Statuees Ci of rzagar5 Ordin,anc-Iss.
APPLICANT/PERMITEE SIGNATURE IoSUED BA SIGNATUR E
633 COVENTRY PKWY
LOT: 29 BLOCK: 3
COVENTRYPASS 9TH
VALUflTTpN
$856.50
$556,73
$81.00
$750,00
smm
1
REACTIYA7E _
PERMIT ?'. r4c?Ecv??
101993
CITY OF EAGAN
1993 BUILDING PERMIT APPLICATION
681-4675
1 -!
----------
SINGLE & MULTI-fAMILY
se s of plans, 3 registered site surveys, 1 copy of energy
-----
calcs.
COMMERCIAL 2 sets of architectural 8 structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month-
in which request is made, 2) address is changed or 3) lot change i,s requested once permit
is issued.
Date Lz Valuation of work ? ?0c)?
Site Address: CQ33 Gavev??=(
SiAEET CI/17E 0
Tenant Name: (commercial only) `Tke__ (ZcrW%)M, ? 127vic- -
lAT BIAC& SUBD. Y.I.D. N '
Cv4 4s'
Descri tion of work: S• ?-Gb,w?
The applicant is: Owner Contractor ? Other (Deeertbe).
Name ri?kLG?" ?K Phone
Property lAST FIAST
Owner Address `?"lZol C (2<<ver ? *30"
STREET STE /
Lity State 4rt Zip J`??ZI
Company SGN?- Phone
C011tf8CtOf Address License # 1-5 3 5-_ Exp.1-3L-a?
C;ty State ZiP
Company Phone
Arch(tect/
Engineer Name Re9istration N
Address
City State Zip
Sewer 6 water licensed plumber Vg(.?{ VWD1,110 . Processing time for
sewer 8 water permits is two days once a ea has b approved.
I hereby acknowledge that I have read this application and state that the information is
t
f
y o
correct and agree to comply with all applicable State of Hinnesota Statutes and Ci
Eagan Ordinances.
Signature of Applicant: T7:)! C-eC- ??. ..
OFFICE U5E ONLIf
BUILDING PERMIT TYPE
? Ol Foundation ? 06
,?] 02 SF Dwg. O 07
Duplex
4-Plex
0
?
11
12
Apt./Lodging
Multi. Misc. *1' ? •
"? ??iE
Basemen?,.Fi,i,?,sh
?7 Swim Pool
O 03 SF Addition ? OB B-Plex O 13 Garage/Accessory O 18 Comn./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Ftreplace ? 19 Comrn./Ind. Misc.
0 65 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Fecility
13 21 Miscellaneous
woRK rrPe
Z 31 New ? 33 Alteratlons ? 35 Tenant Finish ? 37 Demolish
? 32 Addition O 34 Repair 0 .36 Move
GEIvERAL INF ORMATION
Const. (Actual) ? Basement sq. ft. L3 02 MWCC System ?
(Allowable) V lst F1. sq. ft.
ft
d F1
2 ? O?
? City Water k
PRY Required T
UBC Occupancy .
n
. sq.
Ioning Sq. Ft. total Booster Pum p
i of Stories
length 2
_^ Footprint Sq. ft.
On-site well Fire Sprin k
Census Code ler
77
-
Depth ? On-site sewage SAC Lode 777,
APPROVALS
Planning Building Assessments
Engineering Variance
REOUIRED IN SPECTIONS '
? Site P Footing El framing Ei Insulation
? Wallboard El F inal ? Draintile ? Fireplace
Permit Fee vaiusti«n: 8 Z0 dQ
Surcharge
Plan Review ?S?.td-ISf-i6
P
?3
G
,
= //y0 oy zo,t-30; ?oo
License
MWCC SAL
/7, 6
City SAC
Water Conn. ?o 4- y _ v0
Water Meter
g
??0
?
Acct. Deposit
S/W Permi t ..--? ----'--
5/W Surcharge
2
Treatment Pl. l? /
Road Park Dedt 1/y0 ? ?
Trails Ded. y,e (o : f
Lo ies
Ot?ier
(P/S4C?
Total: ?
SAC %
SAC Units
• LOT BIIRVEY CSECKLIST FOR RESIDENTIAL
SIIILDING pERMIT 71PPLICATION
Y pROPERTY LEGALS
Date of Burvey:
DOCIIMENT BTANDARDS
R? D • Registered Land Surveyor signature and company
R? 13 0 • Suilding Permit Applicant
9'D 0 • Legal description
EI 0-10 • Address
8"D 0 • North arrow and bar ecale
A--0 0 • House type (rambler
split
aplit w/o
valkout
,
,
,
lookout, etc.)
Q--0 D • Directional drninaqe arrows with slope/gradient g.
0?0 0 • Proposed/existing sewer and water services
0' 0 0 • Street name
2--0 0 • Driveway
ELEVATiONB
D Er'?d
• Existinv
5ewer service
E' D D • Lot cozners
? 0 • Top of curb at the 8riveway `
? D • Elevations of any existing adjacent hoaies
Provosed
V?0 0 • Garage floor
ir ? 0 • First floor
C? 0 D • Lowest exposed elevation (walkout/window)
v ? • Property cornezs
D • Front and rear of home at the foun8ation
?ONDING l,REAS (if aDDiicable)
H?0 0 • Easement line
? ? • NWL
? • HWL
/? ? • Pcnd f designation
?
?,, O • Emerqency Overflow Elevation
0111?10
entry,
0 • Lot lines
D • Riqht-of-way and street width (to bnck of curb)
0 D • Proposed home dimensions includfnq any proposed decks,
overhangs greater than 21, porches, etc. (i.e. all
M"' structures requiring permanent footings)
13 0 • show all easements of record and any City utilities within
those easements
O-1D 0 • Setbacks of proposed structure and setback of adjacent
- existing hom
'
D 0,/ D • Retainin a re ir ents, if any
Reviewed• Z G T
OCtobez 2992
. . Got,.ot?; 4pl
FNz'm; -Lon Fc+vFr,ni't' nvEi;nr,t•: ^u" C.uMT'll'PA'f f+i[j
, ,
osry ER
SITE ADDSESS y ?
CONTRACTOn ?(r(J?l.'? Ga DATF.
PHONE
? Determin vorkini; squnre footar,e of each.
1. Tat al exposed vpll area .. Z(, , -7? 0.11 _ Gap jj
i sn. ft. x _
• 2. Total roo
• f]ceiling area ., l 3 D?j • sq, ft. x e?0?6 3 ?
_
.
Total exposed va'!1 arc:, itbpVC` floc+r
a.
b. Totai
Totel vall windov a
door rea ..................... ....... 2„ ?, ?
C. Total area
sliding
la .........................
d
d.
Total g
ss
fireplace vaa oor area ..............
. .
l a
e. Total vall framing rea
area (average lOP) .....
ZIO
o
f.
. 8• Total
Total net vell area
rim joist are ........
,
above floor . ........ ,/ g-g ,S
a
................. ........... 2 2 . L
Total exnosed fnundntion area
h. Total foundetion vindov area .
i.
Tota1 ..,,.
net foundat:on area above grade ............. p
. •
' D=ter,r,ine "U" qalce o; each vall :,erment.
. g. c,:u„ p.¢2 = qz,31
b. q-z,71 x ..u„ o,r3? _ 589 .
.' • C. 3 47,1 7 X„u„ p, ? Z = l?v, 70
d. - X "ul.
e.. Z10. ? XAlU„ 4,77
f. X.,U,. '/ 9. 4-<?
. g. 2z? c. X,.1,,, 9•z¢
h. G X "tr
;. I ? a. g X„U,. _ d, jrr • - I S-
?l
.
3 . .... ..
.... .............. .......... 'Por.al
.,
Tf item
or SBC 1/3 is
6006(c the sesne as,
)2. or lezc !h:,n iLera .N?, you nave met the inter.t
c
??
Tot¢1 exposed roof/ceilinG nrel = I 3 D?
Totel ? ' • --
gross roof/ceilinr are:t =
J. Total skylight area ..........................
k. Tota? roof/ceiling framing ares .............. ? -
1. Total net insulated roof/ceiling area ........ % O ,
Determine "U" vnlue for etich rucif/cci I i nl; se{nent.
J. - = X ?lUll
.
x: ! 3 O X[lu,l 0, p 2-7 _ ?• 51 _ ?
i. //70 x „U,, p,o2z = 2?7? •
4 . ...............................:. Total = ? . L
IS total of N4 is the same as,"or less than N2, you have met ttie intent of
sac 6oo6(c)i.
, To ut3lize the total envelope syste= method, the values establi:hed by the s= of iteas N3 and 94 ehall not be sreater.thxn the sum of iten:s N1 and M2.
1. + 2. _
' 3". + 4. _ •
.
? . ?.
0
.
,•?
r` .
_?itit-aolhT---------
-
O
0
0
?
G
O
I lF---?'I ?.?rrt
0
SH5r1 jri iN?v
??fNls: __
?n..?_ ? ...
-?
--_?_:__?
?
L•? J
" ?-
?=
f? ?.I -? -
0
O
C;
C
?.-r,i
- . .=r.., ?
---
-__?_
r
--[;? --VAl.u5 6AWIt.}I-ATID5;7 ?GcNT?.
LoM?oN ?ri?,
' !J
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u
Q-?,
oIT'Am Al?z FiW
- ?A TH 1 N6,
- 5%Z lNSULATlcr4?
??u
/? G1R C',17
AI(L riLM,
• C',, f? rL -
'
19.0
Ci, 47 -
1
-FFAM;? wAu. &
_ pI.kN. YIrw.
C
?.
C3
Cf -
C
C
LoMPaN?N j5
o_u"(',t2IoE PiZ P'L1d.
hN?ATrI l N [. .
IF?ID? Prlp FLM- .
- F--vALu5
?
--
2
- ?-Ib.-- -
r
-- - G G ?? -- _ - U
?L
=G?2MP?. ??Ur= ?0,12 X o.ot?q)
t(o,?? X o.0?3> = 4. oY? _
I I?C_C_X?:G?t=CCll?7?0?'? --
;
O
G
C
C
C
?-- - ? + ?
--p?\ ? - -
,
?
' ? o, 0 27
O
0
u
(4
?
IZ?GF?.!-
?i? ;•_??? Fjf.P?l ,
--- , ?;•
o. ?s
4
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,0 3
?
t)ETAII..ED Rk:.F't'JF@'?" P=C)Fi Ehe T:Cf;t: HLaU':L.
Pr Eape,arrcl Far: Yr•epar-er+. Ejy:
Ro7'"f1..IJND C:01"IC-'6lhlY INf: 'f'TM l_faUI){VER
FLh1R' S-1E::(11'LN4:Y
, ?7ob NaurrF:: TNF_' C:C3LONIAL
E=XF'E:75URE
1al..idou itiCJFiT'H '3[:llJ'fN•E E:61ST Wk:Sl' hIE/hIW Sf::!SNl Hf3Ftl. "fL]'fAl..
'_ __._..__-- ------',
i;R?:F,_ __ ____..--1<I_........_-:??.._,..- ...1-)...._...F3?._,_.._ 1:?.'b1 C?' 01 ot ;rQQi
Ci101.IiVG 1 2F311 ls•'Ut)I SyCi'26l Op4F3C1i l?I 01 Vi 1S59f371
HE11"C' I N4'? i 49: I 2,1141 001::?k:r ; 5e l'71 I C? : oi 01 15,9241
_..__......_.______._------.--...-_........_„__.__.___._._.. -------.----..-_..._.._.........,.._ ___
M'iEc,L.[JW
WFaLl..:3 Nf]f"f7F1 SC]lJTI-I EAc3T WES'T Nt:/hIW SEISU7 GRRDE "f f:l'fAL
._?..........._.........?...?____- '._.,_.W.... _.__...---- -
.. . ...W,,..,_.., ___ ..._ r ? 1;17 - i p i :_ . 6S0 :
??RE.fd ? E3l'iF3? fl7?FI ?'4i.' . --
i t.)Cll,..:t NC:; 1 B06 ; 7931 8541 887 i 0 i S. 34G> i
HE:ATiNC'7 i 3,21I Jp?65i 3y731i .r'?f"?m 0; 01 7,4911 a'?.2h00l i
----...._._.._.................-_. -...........»... -....._'""'_ "' " ..... .............. _..........._....'__ ,._.._ _ _.._._ _..._._... -.
L`OC71:S hICIRTM ut7U'fH E:AS1' CVES'1' NF_/IVW aE/sW TE3'fAL
.,..._..._...-----..__...,.....,_-- ?.._..?..._,_--U ---......_....nT.,._._....._,.,_....,_..._._..................,
r.F{C:Fa i 1F3 ' i 20i c}C) : Q; ? 781
i;f'JI]LI4VG 1 2191 C; I 243; 4861 UI O; i 94$1
F1E-A'f' I NJf,3 1 9:Jb I 01 1. ClF.??.1 Z, 1"?fi 1 i7 1 ? 4 r 1421
Fl_.S7LlFf AF1EA
------------------------
57;5 f
------------------------
r..c. c LzN? ??EA
.,.._ :s8t1
------------------------
r eoWle SE3'iS.3 bIG` Load
l..i.ytt't5 & F1ppl. Load
Ventiia#.ibn Load
C)oct. Nr?at Gzin
:[nfilt'4ir?2?t..ioYi I..paCiL
?i5'?')?m?.YlA.fG SC}fEty Sbuh
10rsaL ,E:N , i HtE Lnfin
:;uirimer ACIi
nf.. 'C0f7LFIVG HC:A7FIVG
_,.._... __.._... _ -------_... _ _._. _ M _ ,_ _ _.
I 0 ; =;}Z;2b
--.....---. ._._......_... _._._._... _,.,_ _ _.-----
craoLaNU HF_A't'zNG
'._..__..._.._--I. 196 , 2,626
------------------------------
MTSCELLF3PIEC]IJ.i COC7LCNCi k..C}AI)S
1,:`?? A l.<,P:ent Load
1»195 L<<t.ent. SafF.t:Y Stur,
955
Q
62W
' y'if
•.."w2SJ7 TOTr'11. E.fMTEIVI- l..lJAD
(?.n{, fr?mp. Swing MuZt-
?** 7ota1 Gnali.r.r.1 Load 54.646 F.T1.1}i Qr 2.09 Tun5 *T*
7,41i7
;7i
i,Y3v
1 . 0c>
MlSCCI._L.AlVC:.'OU:S WFFii ING t_Oi>iC>:;
.i??t+7.lkr?"i'k:4pn l.,e?a3d h,G?L"cIy.___.__?__...Vtsnt.i.:•at:ion L.o.ad 4,950
_
Uut_t 4-leat Lpsa 0 ar'afert.y £.ttuh 2.485
Wi.ntcr AC;H 0.1:11
*** 1"otaT Wr:aaF.i.rig Load 62,692 F:tTtJH *#*
PreKynred Fur:
„OT'r'i_tstvD COMPFSNY zNC,
.
suMMArv ASPoe??T
Prep,::reiri T'ty:
1 S1•I L.Ai.1I)Pd[',::1;
i-LARE HL.AriNEn
,rai:) ..r.Hr, c:;otxi?EZnl-
uEt7xGN c.nNDz'rzar,iS fc,r
aurDOOR
aL1MMFR WIfJ'lR
Dry Lkta1b 92 --1:0
Wet Bult) 7.'5
D;ui1'y RangP 22
l_atit.ude 44
sr+x?rac?r:
SUMMER wINrER
7 5 71)
6 I
Dn11y Swing "3.C„}
k: [ F?.•v+.i t ,i, cin 822
SafN'hy I"'aG'tor• ("/,) =
1_da te?ri'k f-"<yc:: fic1P ( `/• ) :'9
ak?nz].Q91a
?;aum Heaking Hc.?a'k.inq Coal ing Coo l3rig
sVa:q m.v, B'S'LiW CF"NI
_.
_ B-!UH
_- CFM
7.L,.:'. Q,
? 1,7124 90
FaYe r• '5 ,3 4'+ 4-7 1 ,956 98
T]i.rtiine? Fia.,m ;?.?1C>:^? 41 2,t,i94 106
L.iving Room a,Aib L5 5 2,560 124
F-ami1y RaOm 4,4a9 62 4?EJrJc) 232
UirieCLe 4,Q61 36 1,126 57
H: i tctierc 6,669 V; :S,2i:" 162
t_rat.indry/F'owdEr .:,8='•E, 4() 99a sC)
I'Keclriaom 1 :3„6'72 ':11 2,120 107
k«tPtroom 2,594'1 .?6 10458 74
B?.=dr-oam 2 1,92'7 27 1,1!8I 55
Bc.@room :., 1.942 27 1 t081 55
1,; ,tt, 468 , 145 7
F;?c1r oqfT? 4 2,612 ;37 1, a336 93
c;ittinyFar't??t ].i9C) 1.7
_ 817
r 41
62?682 U77 260E357 1.556
I-iIi?ATING llEL'T'A T Es.i.Cl CE.7CILIIVC7 UEt_TFl 1 18.0
. w WW r^..5, i1-.+en?a 41ir•F1riw ic:, t'i,;ot3ef.:1 lJi.i021 ?f;ieiiCl Yk:'CalA2YF.?tRt??.iYtS.
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
COND05 WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
? NEW CONSTRUCTION
ADD-ON AJC
ADD-ON FURNACE
FIREPLACE INSERT
DATE
HVAC: 0-100 M BTU
ADDITIONAL 50 M BTU
GAS OUTLETS (MINIMUM 1 @ $3.00 EACH)
ADD-ON/REMODEL (EXISTING CoNSTRUCTION)
STATE SURCHARGE
TOTAL
SITE
FEES
$ 24.00
6.00
$ 20.00
.50
'a°1S0
OWNER NAME: TELEPHONE #:
INSTALLER 'tl\c..?. ?.Y?. "i-
?
CITY: STATE: ZIP CODE:-"_?F
TELEPHONE #:
SIGNATURE OF PERMITTEE
iyy(4 mM%_nnNtUai, rhxrvur (Klt?atUErvtu-.L)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT.
NO.
` SHOWER
7- i';Ri'ER CL^SET
?- BATH TUB
?- LAVATORY
? KITCHEN SINK
? LAUNDRY TRAY
HOT TUB/SPA
I WATER HEATER
? FLOOR DRAIN
I GAS PIPING OUTT.ET • minimum • I
ROUGH OPENINGS
WATER SOFTENER
PRIVATE DISP. • DaLCty, lic.
U.G. SPRINKLER ' 6ome under mnst.
ALTERATIONS • to odsting
WATER TURN AROUND
STATE SURCHARGE
TOTAL:
SITE
.,-lr_, 9 nt K<N
C T:Q
3.00 3
3.CxJ ?I -
3.00 t. -
3.00 n _
3.00 3-
3.00 "s _
3.00
3.00 3 -
3.00 3--
3.00 3
1.50 ?- 7? L'
5.00
15.00
3.00
15.00
15.00
.50
?? -
?
OWNER NAME: f> u I °f ?
WST
ADDRESS: (n/ t3 C 4c?iC" l- -
CITY: . )o le?,4 ? STATE: ZIP CODE: S y '' '-,
PHONE #: ( ) yKa ? d I? I SIGNATURE ERMI`17EE
1993 PLUMBIN(: YEKMl"i (xraJMr.rriuu.)
CITY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 681-4675
SITE 50 2uM
2004 RESIDENTIAL BLTELDING PERNIIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
LI S U?? Telephone # 651-675-5675 FAX # 651-675-5694
New ConsW ction Reauiremems RemodeVReoair ReauiremeMs
3 registered site surveys showing sq. ft of lot sq. ft of house; and all roofed areas 2 wpies of plan
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated addNOns
2 copies ot plan showing besm & window sizes; poured found design, etc. 1 sile survey for additions & decks
1 set of Energy Calalations Addition - irMicate ifarsite sepfic system
3 wples of Tree Preservation Pmn if lot platled a(ter 711193
Rim Joist Dehail Options selectlon sheet (bldgs wAh 3 or less unita
-k' `-10 ,c) ?
$.
Date b /9 /- (04-
Site Address 633 C Ol9&'TR24 r I?wy Construction Cost C) dU
? UnitlSte #
Description oF Work t6"D0i.J Q C-Yi 5'P•JG Dt'? ?RkF-Y3uiLD "t"w
Multi-Family Bldg _ Y K N Fireplace(s) 1 _ 2
Property Owner -DAU 1't7 GL/hJ0 Telephone # fLp r2)( 07U '(0?co
Contractor,
.
Address
State City
Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF
Energy Code Category - M'?esota Rules 7670 Cateeorv 1
• Residentlal VenGla6on Category 1 Worksheet
(J submissfon type) Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan?
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
I hereby apply for a Residential Building Permit and acknowledge t#AY the i.
that the work will Ue in conformance with the ordinances and cod pf the
Statutes; I understand this is not a permit, but only an application for a perrx
pernut; that the work will be in accordance with the approved plan in the caF€
approval of plans.
?x-? ??k i"b I c?
Applicant's Printed Name
Y_ N If so, 25% plan review
Telephone #(
Telephone #(
A NEW BUILDING
Minnesota Rules 7672
. New Energy Code Worksheet
Submitted
L'J
)mplete and accurate;
and the State of MN
not to start without a
requires a review and
OFFICE USE ONLY
Su6 Types
. ,
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) O 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex - 18 Deck ? 23 Porch (screen/gazebo) ? 38 Multi Misc.
? DS 03-plex ? 11 10-plex O 19 Lower Level ? 24 Storm Damage
? OB 04-plex ? 12 72-plex Plbg_Y or_ N? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
0_ 32 Addition ? 36 Move Building ? 42 Demolish Founda6on ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 WindowslDoors
)11? 34 ReplBCement 'Demolition (Entire 81dg) - Give PCA handout to applicant
Valuation 00 Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bidgs Length Fire Sprinklered
Type of Const Width
? Footings (new bldg)
Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice Bc Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
_ Insulation
REQUIRED INSPECTIONS
FinaVC.O.
? FinaVNo C.O.
_ Plumbing
HVAC
Other
_ Pool Ftgs _ Air/Gas Tests Final
_ Siding _ Stucco _ Stone _ Brick
_ Windows
_ Retaining Wall
Approved By: ' , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
5&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
0 ?(G
a( U l?-??
?
1-70
65 S S`3
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date '? /?-5 !0 Lf
Site Street Address ?e 3 CU vc4'1 ? R ? w X Unit #
Property Owner Telephone # ( )
?
Contractor ? N2.C r- I? Telephone #(brl q7
Address 790 G'-, t p-? ? City ?` ?7 1T State OAA? Zip M1D
The Applicant is: _ Owner ? Contractor _Other
Aiterations to existing dwelling $ 50.00
tv, Add fixtures to rooms, excluding water softener and water heater f W?^-r
_Septic System Abandonment
_Water Turnaround (add $121.00 if a 5/8" meter is req
u
ired)
p
,?
_Other: '?:' h ?
_ Water Softener ?Water Heater $ 15.00
_ replacement _ additional.
Lawn irrigation System RPZ_ new _ repair _rebuild $ 30.00
State Surcharge $ .50
I ? ^ 1=
?
0
^
Total
i? LUQ4
? UL 2 3 $ s
Q
LII,
I hereby apply for a Resi ential Plum ' it and acknowledge that the information is complete
and accurate; that the w 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 approve
r? i, T
7.3 I?
ApplicanYs Printed Name Applicant qna re ????
,?
2004 RESIDENTIAL BUILDING PERNIIT APPLICATION
City Of Eagan
3830 PHot Knob Road, Eagan MN 55122
-?D Telephone # 651-675-5675 FAX # 651-675-5694
New Constructian Reauiiemenis RemodeUReoair Reau'vements
3 iegislered s"de surveys showing sq. ft of bt, sq. R of house; and II roofed areas 2 capies of pWn
(20% mmanum lot coverage albwed) 7 set of Eneigy Calwlefbns for heated addiUons
2 copies of plan showbg beam & window sizes; poured fouM design, efc. 1 sfte survey for additions 8 decks
1 set ot Eneigy Cakulatiore AddiNon -indicete flortsife septic system
3 copies of Trea P2servatbn Plan H lot platted after 711f93
Run Joist Demil Options seledion sheet (bMgs wilh 3 or less units
? C7 O c> C?
?-
Date 7_ Construcdon Cost ----
Site Address 1?7,33 cy v&;iwx y &Tx?ww Unit/Ste #
Description of Work UtEj-F?/ITT
Mulri-Family Bldg _ Y Y N Fireplace(s) _ 0 2
Property Owuer DAur D $' kAW
W
DOWtO
Telephone # (of'/) lag7` / fpk?,
Contractor ¢C ,p ?
?°O? i?fJ'LT(6N
?I
Address Q Yt Z? IC6cw U 4aEX ZiL 1/6 City ?C?
State Zip 5-5-oo 7 Telephone # ((.5/) - (o& Y - ? ? 7g
COMPLETE THIS AREA ONLY IF
A NEW BUILDING
- 1Llinnesota Rules 7670 Cateeorv I Minnesota Rules 7672
Energy Code Category . Residential Venttlation Category 1 Worksheet • New Energy Code Worksheet
(4 submissiontype) Su6mitted Submitted
• Energy Envelope Calculatlons Submitted
Have you previously constructed a building in Eagan with a similar plan?
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone # (
Telephone # (
N If so, 25% plan review
I hereby apply for a Residential Building Pernut and aclmowledge 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 State of MN
3tatutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
pemut; that the work will be in accordance with the approved plan in the case of work which requires a review and
appro a1 of plans.
"Y FfFA/6E2 A 4)
Applicant's Printed Name Applic t's Si e
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex O 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - MuRi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) O 33 Ext. Alt - SF
O 04 02-plex ? 70 08-plex ? 18 Deck ? 23 Poroh (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex O 11 70-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg Yor_ N ? 25 Miscellaneous
Work Types
O 31 New ? 35
? 32 Addition ? 36
/?r- 33 Alteration ? 37
? 34 Replacement
Valuation ?
Census Code (¢?t?
SAC Units
# of Units
# of Bldgs
Type of Const
Int Improvement ? 38 Demolish Interior ? 44 Siding
Move BuilGing ? 42 Demolish Foundation ? 45 Fire Repair
Demolish Building' ? 43 Reroof ? 46 Windows/Doors
'DemollUon (Entire Bldg) - Give PCA handout to applicant
Occupancy ??- MCES System
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
Width
_ Footings (new bldg)
_ Footings (deck)
_ Foorings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
? Framing
Fireplace _k R.I. yAir Test ,[ Final
? Insulation /`
REQUII2ED INSPECTIONS
FinaVC.O.
FinaVNo C.O.
Plumbing
HVAC
Other
_ Pool Ftgs _ Air/Gas Tesu Final
_ Siding _ Stucco _ Stone _ Brick
_ Windows
_ Retaining Wall
Approved By: :r Z , Building inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
!
? 7°
T T T
* PION!
* * ,?„ *
Pfonear Eneineerine
Certificate of Survey for: Th
Nouse Address:
AAode! Name•,,,_c
.
k
>\ ?
??ary !
Customer:
? ?%
JQ
\
?
29
am
1
, N
` ? ?
, ? ?.
1 ?
11
?
?
`
f %?,1
? ? ? ,?
,???
P.B3
2422 Ent rta(i Or;ve
Mendofa et(jhts, t`1AI 55120
812) 68 191a.Fax 681-
625 High y 10 Northeosi
8loine, A1 55434
812) 7 -1880•Fox 783-
2U
v?,?uoc,,,, ! aw.?e
,t ?kfta aslr ..
_ Z -7
\. ?8nd aL . ?
^p •f Y? pzv ~ ? ? ? ?
. c.? +'?CF '" ?
ftt32 La? Q ?
\ e
\ ^? ? _? ? a .7pOpy1•
R m 250OC
coy -.--? _
?lvrRY ?-
?
?
Denotes ExisYutig Elevctton ?
1190 Denotes Proposed Etevation
Genoiea Drainage ae 't!'tfiity Easement
' Li o oqo
- Denotes Drainoge Flow Qiraction Top of. $`odr( devation:,
--o.. t3enotss trionument Gurage Sfab Elevation: l
.-.-o- Uenotes Offset Hub Beorings shcwn are aasumuf
LOT 29, BLOCK 3 COVENTRY PASS i
4 A T! I A 1"1 C1 1 TI A{ 'aNCOrA couNrr, wNNEsorn ?t I t-1 H U U I I( V!V
I
r
i
5r?
I ??,aa
r r
7831883
t? ?
?
/
fG DEPT.
??---
? Enterprise e
?* **
* PIONEER
* e?g?
N 55120
x 681-9488
iEg
625 Highway 10 Northeast
Blaine, MN 55434
g * ? *
j(512) 783-1880•FaK 783-1883
Certificate of Survey for. Th2 ROttIL1r1d COt't'1PC7nY, lf1C.
House Address: Coventry Parkway Eagan, MN
Model Name: Colonial Customer: Gehl
.?
p? 6M I
?
?. ? .. R'
30
?PS?N
6 \
O
MS
?
?
3 I ??
a N
n ? \
Nt'
o in
N '
N
?
I
I •
I
I /
I_ ? 83.6 4Y ?5'
UY/?ZC W \
iax - ?- - -
? _ 10.0 -?T? _? 1S3
,:
3eMwr
? • ' ie.e Ca eLQl YV
zaa7 o An
=
sras - .- i ` sa ?
g ! 8T.6 oa?otwer ? ?
\ eazs , ?` R `
e?
SERNCE - . /
0
L_1 0.91!
30'00'11' ?
R = 250.00 _ ? \ \ co??NrRr --
?
?
. 900.0 Denotes
= eoo. Denotes
-- Denotes
Denotes
-o- Denotes
13- Denotes
Existing Elevation
Proposed Elevation
Drainage & Utility Easement .
Drainage Flow Direction
Monument
Offset Hub Bearings shown are
,. . ,
pARKWAY
PROPOSED HOUSE ELEVATION
Lowest Floor Elevation:864.15
Top of Block Elevation:872.26
Garage Siab Elevation:871.93
assumed LOT 29, BLOCK 3 COVENTRY PASS
DAKOTA COUNTY, MINNESOTA 4 TH A D D I TI 0 N
I hereby certify thac this survey, plan or reporc was prepared by me or under my direct supervision anE fiac I am duly Repistered Land Surveyor
under the laws of the State ot Mlnnesata. Dated this "' ? L, dey ot NIaV t m?'JPr A.D. 19-4.3-.
Scale: 11-n-c-h =40feet
R08ERT B. SIKICH L.S. REG. N0.?14891
„
51 92526.68
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA150621
Date Issued:07/17/2018
Permit Category:ePermit
Site Address: 633 Coventry Pkwy
Lot:29 Block: 3 Addition: Coventry Pass 4th
PID:10-18403-03-290
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Barbara J Gehl
633 Coventry Pkwy
Eagan MN 55123
Haley Comfort Systems
4320 Hwy 52 N
West Frontage Rd
Rochester MN 55901
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature