665 Coventry Pkwy- •;g;, DATE: 05/16/90
••-•._`_,7 ?
RE: 665 COVENTRY PKWY
?C_ Your Sewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer & Water Permit for the above properry cannot be completed for the following
rVsons:
?1
Wour Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at Ciry Hail. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT UEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept. ,
DATE: 05/16/90
?.
?.-- -
RE: 665 COVEN?xY P[tWY
R Your Sewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer & Water Permit for the above property cannot be completed for the following
reasons:
Ar
I
%rour Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuanCe.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
? CASH RECEIPT
CITY OF*EACAN .
3830 PILOT KNOB ROAD ?
EAGAN, MINNESOTA 55122
DATE 19?
rECe?o Tf ? ? / A?? J '
FIIOb ? ? , ) {/ {"?
` •
AMOUNT s ?11 I r? ? 8 DOIURS
O CASH ?CHECK
PJU---)? cih"7 k . =""--
FUND I O&JECT/I I I I AWUNT
Thank You ?
BY
YVhlle--PaYars CePY
C 7653 YeNOw--Poatin9 CaGY
Pink--Fi1B OoPY . .. ..,?
SEWER & WATER PERMIT OFFICE USE ONLY
CITY OF EAGAN PERMIT DATE i-' '' / ` ri
3830 PIIOt KI10b Rd. WATER PERMI # SEWER PERMIT # 1 i 3 F, ;
P.O. BOX 21199 , METER # °2 B.P. RECEIPT # ? 7 n`,'3
Eagan, MN 55121 ?/ (?t,l Qf?? ? B.P. RECEIPT QATE 05 '/U'-'
METER SIZE ?? Q•?
ISSUE DATE ?-41-9?_ - PRV - BOOSTER PUMP
SITE ADDRESS 665 G0IIENTRY PKWY
LOT -_BLOCK ? SEC/SUB
APPLICAfVT: Gr- . '1kk.C_
ADDRESS: fIZ r UE?7 k? .
CITY, STATE 1E IZ I t' =i ? "o(? ZIP
PHONE: 1-
PLUMBER: U'u 1) ? -+? ? <<-^-+ ? ADDRESS: ? flcD
CITY, STATE 1 121 " . ZIP
PHONE: ?{ °t z-- 2 t 71(
PERMIT REGIUESTED
x SEWER X WATER - TAPS
- COMM/IND X RESIDENTIAL
X NEW - EXISTING
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES:
OWNER:
ADDRESS: L I E. SIG ZE ER ED
CITY, STATE - , t ?'- ZIP PHONE: t? _{ t , 7- 0
PLEASE ALLOW TWCj WORKING DAYS FOR PROCESSING. FOR STORM SEiIER PERMITS, CONTACT
ENGINEERING DEPT. ,' ?-• ' . J .
SEWER 81MATEq PERMIT
CtTY bF EAAN
3830 Pilot Knob Rd.
P.O. Box 21199
Eagan, MN 55121
OFFICE USE ONLY
PERMIT DATE W,ATER PERMIT # SEWER PERMIT # 1138'
METER # ` B.P. RECEIPT # C. 76 ?l
READER # B.P. RECEIPT DATE '0
METER SIZE
ISSUE DATE
- PRV - BOOSTER PUMP
SITE ADDRESS '%? 5 CAuVLN'I'RY pKWn
LOT BLOCK " SEC/SUB <<?J'E-'"?? ; Y " Z
APPLICANT: 1 '-\k V; -T -T IIIL L .
ADDRESS: ???..Z?I
CITY, STATE ZIP ' ?" U ? I
PHONE:
PLUMBER: r ? '?--, 4_ ? F.,••
ADDRESS:
CITY, STATE '. r ?t ,.-• t 1?`, .+- ZIP
PHONE:
OWNER: -_ Q o tl1 ;
ADDRESS: t- d
CITY, STATE ZIP
PHONE:
PERMIT REOUESTED
x SEWER WATER - TAPS
- COMM/IND
x NEW
X_ RESIDENTIAL
EXISTING
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES:
SIGNATURE WHEN METER ISSUED
PIEASE ALLOW TWO WORKING DAYS FQR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT.
,
, CITY OF EAGAN NO 17823 ? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?
BUILDING PERMIT PHONE: 454-8100 Receipt # 0, 1'
tx
To be used lor SF DWG/GAR Est. Value $78,0(
Site Address 665 COVENTRY PKWY
Lot 27 Block 3 Sec/Sub. COVENTRY PASS
Parcel No
.
Name THE ROTTLUND C0. INC
W
? Address 5201 E RIVER RD
City FRIDLEY Phone 571-0304
F Name S?
? Address
U¢
? Clty Phpne
U¢
Name
WW
? ; Address
<W City Phone
I hereby acknowlege that I h???yyye read this application and state that the
information is correct and ayr?e to comply with all applicable State ol
Minnesota Statutes and Ciry ?f?agan Ordipancesk I
Signature of Permitee s`-o?S4« '\
A Building Permit is issued to: THE ROTTLUND C0, INC
on the express condition that all work shatl be done in accordance with all
applicable State of Minnesota Statutes and City ot Eagan Ordinances.
euaaing ott??ial 10 R oi r? !?
OFFICE USE ONLY
Occupancy R-3 )?L-1 FEES
2oning R=1
(Actual) Const V-N Bldg. Permit 541.00
(Alb"'able) V -N Surcharge 39.00
# ot stories ?
4'?,
PlanReview
351.00
Len th
9
Depth 44' SAC, Cily 100. 00
S.F. Total - SAC, MCWCC 600.00
S.F. Pootprints -
Water Conn
6 2 5. 00
On Site Sewage _
On Site Well - Water Meter
0
90.0
MWCC Syslem xx q?t. Deposil 30. 00
City Water X1L
PRV Required _ S!W Permit 30 . 00
Booster Pump - SIW Surcharge .5
0
Treatment PI 2 52 _ 00
APPROVALS Road Unit 355.00
Planner - park Ded.
CounCil -
BIdg.Ofl. _ CoPies
Vanance - TOTAL 3,013.50
' . ? - f ? A,•? .
. ... Q: .. . . .
3830 Pilot Knob F
BUILDING PERMIT
Tn Fw iicori fnr ?? ?/"R Fef Vni
Lot "
Parcel No.
W Nam
? Addr
i
Block
INC
W IW Name
??z-, Address
4 W City Phone
I hereby acknowlege that I have read this application and state that the
information is oorrect and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
)? s ? ??
Signalureof Permitee ^-??` "'? "
_ .... _ = RO3'Z'idtM OQ, It1C
all
Building Official
I
Eagan, MN 55121 17823
.?
Receipt #
Oato MAY 7 . 19 90
OFFICE USE ONLY !
u
Occupancy R-3 !!-1
?.? FEES I
Zoning 54i *00 p
(ACtuaq Const ? Bldg. Permit 39.00
?
(Allowable) - Surcharge '
# o, swrres
Pl
R
i 351.00
:;.
Length
?t an
ev
ew ?
100.00
Dep1h SAC, City .?
APPAOVALS
Planner
Council
Bidg. Off.
Variance
6?. 60 .4
SAC, MCWCC a
625.00 ?
waterConn
90
.
? ;
water Mete? M
?/?
r/?W
Accc Deposit a
30•oo j
S/W Permit
. SO
SIW Surcharge ;
25Z•00
Treatment PI 355,00 i
?
Road Unit ?
Park Ded. ?
Copies '
TOTAI 3,013.50
. Permk No. ermit Holder Date Tekphone 8
WATER
S4WEA
PLUMBING
H.V.A.C.
ElEC7RIC 3?94 ? 5D ??
Inspection Date Insp. Comments
Footings 1
Founda6on (yr/L 44WO?
Framing
Rooling •
Rough Ptbg.
Rough Htg. - • Q
ISUL
Freplace
Fnai Htg.
Final Plbg.
Const. Meter Plbg. Inspector - Notify Plumber
EngrJPlan
Bidg. Final ? z ? ?D QS
Deck Ftg.
DeEk Final
Well '
Pr. Disp.
?.
(gextifiratt af (Orrupttnrit
Citp of (fagan
loppotuPtit 11f I1LIXbtttg 3wPltintt
This Certificate issued pursuant to the requrremenu of Sectian 306 of the Uniform Building
Code certifying that at the time of issuance this strrccture woas in compliance with the various
ordinances of 1he Cety regulating building construchon or use. For the followrng.•
Use Classificatkm SF DWG/CAR gkig. Rmtit No. 17823
o-UP.a.y rya R- 3 M-1 zonint niimm R-1 Type c,onu. V-N
Owm of 8wWing THE ROTTLUND CO ?ren 5201 E RIVER RD
8idd.??pm 665 COVENTRY PKWY LocdkY L27, B3, COVENTRY PASS
,TULY 27, 1990
? Date:
J Bw7ding O1Cxtia1
POST IN A CONSPICUOUS PIACE
. ' •' . ? ?.! c?
( : PERMIT # 7
MECHANICAI PEliMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE
I CONTRACT PRICE: PHONE: 454-8100 For Office Use Only:
Site Address
Lot Block -
SecJSub BLDG. TYPE WORK DESCFiIPTION
Res. New
? Name Mutt. Add-on
d
?
Address Comm. Repair
Oth
r
c City Phone e
?
Name " FEES
RES. HVAC 0-100 M BTU - $24.00
c Addre ` •-- ' ADDITIONAL 50 M BTU - 6.00
p ?
City Phone '- 7 ' '• (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
50 EA
GAS OUTLETS (MINIMUM -1 PER PERMIT) - 1
TYPE OF WORK .
.
COMM/IND FEE - 1% OF CONTRACT FEE
FOrCed Air M BTU ' APT BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMODELS - 12.00
Air Cond
M BTU R "" ' MINIMUM COMMERCIAL FEE - 20.00
.
Vent CFM STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # BEYOND $1,000)
Other $ «
FEE:
SIGNATURE OF PERMITTEE ?
S! C:
TOTAL• '=-' •`- FOR: CITY OF EAGAN ?
.?...._. . . .__. . -- - _. . . _ .__ _ ?._.... - __.._.__. __._...__.??_...?._.
c
•• '• PLUMBING PERMIT For Office Use Only
CITY OF EAGAN PERMIT #
CON7RACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT# ?
PRICE PHONE 4548100 DATE: 5?-? SU
.._. _. ??____ b(pJ w\1 BLDG. TYPE WQRK DESCRIP710N
s? ? u C. ? ? c
Addre
? CRY
Phone
Res. ^ New ^
Mult. Add-on
Comm. Repair
Other
RES. PIBG. ONLY - COMPLETE THE FOLLOWING:
NQ. FIXTU R ES TOTAL
? Water Gloset - $3,00 $ 1?
_?- Bath Tubs : $3 ^OD 3
J
FEES
COMM./IND. FEE -1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APLLIES
MINIMUM - RESIDENTIAL FEE $12.00
MINIMUM - COMM.IND.IFEE $20.a0
STATE SURCHARGE PER PERMIT .50
(ADD $.50 SIC PER EACH $1,400 OF PERMIT FEE)
UrinaVBidet - $3.00
T Laundry Tray - $3.00
T- Floor Drains - $1.50
-? Water Heater - $1.50
Whirlpooi - $3.00
( Gas Piping OuUets - $1.50
(MINIMUM -1 PER PERMIT)
Softener - $5.00
Well - $10_00
Private Disp. -$10.00
?- Rough Openings - $1.50
)
? ; ..
-ar 11 ,??
PERMlT FEE:
STATES S/C:
GRAND TOTAL: ' `? "
INSPECTION RECORD
CITY OF EAGAN - PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued: 0 "- '
(612) 681-4675
SITE ADDREM APPLICANT:
I 4vt ti
. ,? _ .
PERMIT SUBTYPE:
TYPE OF WORK: ?
r) I at f:r vE Mr
INSPECTION .. . ..
.?. ?. ? .. ,
s r
?'r
?
- - - - - - - - - - - - - - - - - - - ---- - -
Permit No. Permit Holdar Data Tetephone #
ELECTRIC
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND '
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE 7l ,?? 7
? ??U
FIREPLACE
AIR TEST ?
7 ? ?b
LUJ
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
IN5PECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued: '
(612) 681-4675
, .
SITE ADDRESS: , _ . APPLICANT: ?
,
• , ; i •? ;1 44118
PERMIT SUBTYPE:
TYPE OF WORK:
('fl+l i i !t(1!'
RFIIAFK"i: ffl AM RF:VIf.-4IE() F1Y M1:KF' HARt:K
F (MA l
F
?
L
Permit No. PermN Holder Date Tebphons #
ELECTRIC
PLUMBING
HVAC
InspecUon Date Insp. Commenta
FOOTINGS
FOUND
FRAMING
ROOFINQ
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLOG FINAL
BSM7 R.I.
BSMT FINAL
DECK FfG !I ?
DECK FINAL ?'c4 yk?fl A
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
303(of 1997 FIItEPLACE PERMIT APPLICATION
681-4675
DATE: ( - / - PERMIT FEE: $50.50
DESCRIPTION OF WORK: _ CONSTRUCT N FIREPLACE >C ALTERATIONS TO EXISTING
_ INSTALL GAS INSERT ONLY
_ INSTALL GA LINE ONLY
)C OTHER: L ( 57l /fcq GeJZv C` C.c?qef-M+lGc?
?IYL?€ #?-?? tr.Ta s'cc? ?-3 ? YLn1 t?tzc ?$'??tlL S
STREET ADDRESS: Ce>
LOT ? BLOCK SUBD./P.1.D. #:
APPLICANT: (circle one only) OWNER CONTRACTOR
I hereby acknowledge that I have read this application and state ihat the information is correct and agree to comply with
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
PROPERTY
OWNER
FIItEPLACE
INSTALLER
GAS LINE
INSTALLER
Name: O Phone #:
Signature:
Street Address: 4 6?
city: t?EAc&?
Company:
E)ITK ?-1 r-NYZ Ec_. "/W
State: •?? ? Zip: -0- /Z' 12>1
r?? ? _o? 673?-?
? Phone #:
svAdaress:3 Bsa -- c? -" 00t-73
City?U,t2.l.55 VState
Company:
Name: _
Signature:
Sueet Ade
City: -
License #: 22"90 P //
zip: 625"?37
Phone #:
State:
Zip:
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT PERMIT TYPE:
Permit Number:
Date Issued:
BUILDING
030361
07/03/97
51TE ADDRESS:
665 COVENTRY PKWY
LOT: 27 BLOCKc 9
COVENTRY PA55
P.I.N.e 10-18400-270-03
DESCRIPTION:
1 n
fi-70?'?i?,???'?,?:±r+
c r t! _.?
REAAARKS:
FEE SUMMARY:
Base Fee $50.00
5urcharge $.50
Total Fee $50.50
CONTRACTOR: - Applicant - ST. LIC QWNER:
FIRESIDE CORNER INC 16332561 2009091 FOSTER MARK
2y00 N FpIRVIEW AVE 665 COVENTRY PKWY
ROSEVIILE MN 55113-0847 EAGAN MN 55123
(1612) 633-2561 (612)452-3580
? . .. . I
I hereby acknowl.edge thetZ -haue -read thi.s_appli.pation ari,d, state that the •
information is correct and agree to comply withall a;pplicable $tate of Mn.
5tatutes and City ofi Eeg`an Ordinenc?es.
APPLICANT/PERMITEE SIGNATURE
•?? (GAS DIRECT VENT)
Building?.,Permit Type FIREPIACE
Building Wb,rk Type ALTERATION
Census;Cod'e " 434 ALT. RESIDENTIAL
._?
t •
/?
. .Z. .s"t? \}>.. ' • f /
i
? '?y , ? x, L? t?...:? ?•;
lbrhn Ro;AIA.A _
ISSUED Y: Sr.NA RE
998 BUILDING PERMIT APPLICATION (RESIDENTIAL) 4ff 3lq6q CITY OF EAGAN
3830 PILOT KNOB RD - 66122
681-4675
New Conswdion Re uirerements RemodeUReoeir Reauiremerrts
? 3 registered site surveys ? 2 copias of plan
? 2 copiea oT plans (inGude beam 8 window sizes; poured fid. deaign; ete.) ? 2 stte suneys (exterior additions & decks)
? 7 energy calalations ? t energy celalations for heated addRions
? 3 copies of tree preservation plan 'rf lot platted aRer 717/93
required: _Yas _ No
DATE: April 2, 1998 CONSTRUCTION COST; $2,500.00
DESCRIPTION OF WORK: Deck replacement with new footings and stairway
STREET ADDRESS: 665 Coventry Parkway
LOT: 27 BLOCK: 3 SUBD./P.I.D. Cbventry Pass
Name: Foster Max'k Phone #:
PROPERTY Lest First
OWNER Street Address: 665 Coventry Parkway
City Eaqan
Company: mug Carlson, Inc.
CONTRACTOR
StreetAddress: 7185 - 132nd Street West
City Apple Valley,
State: MMbII
Phone t1.
State: MN
452-3580
_ Zip: 5512-
431-4488
License # 5552
ARCHI'I'ECT/
ENGINEER Company: Phone
Registradon #:
Street
City State:
Sewer 8 water licensed plumber (new construction only):
and lot change is requested once permit is issued.
ZiP; 55124
Zip:
Penalty applies when address chang
I hereby acknowledge that I have read this application and state that the infortnation is correct and ag2e to compy with all applicabl
State of Minnesota Statutes and Ciry of Eagan Ordinances. ^ „ ^
Signature of Applicant
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No
- Not Required
?ng* eering..
Certiticate of Survey for
IVY&9V1 VI{RisN3NtiY9 elYLe
7185 -132ND $T. WES7
A?? VALI.IE1Po k1Pi 0124
847. 3
I:zl -
9? 29 <
. .
?
.
?
/ i
?s
/
/
-rnc- Qdl'rLrJNJ CoMPs{iv y
'G i
o?
q' ?0,
?• ? ? ?
i ?
p'
? LG9P
89
s
-S)o
/i `.`
/
?
?
0
? ???-/ -•r? ? ?? Y
? ? i
. ?Y? g8 s
0, JY
?
.
N 9? `0 ?iS
S> o j/
,am
?
O
L ?
21f22 Enlcipritn D,ivr.
Mendota Ileights, MPJ 55120
(612) 681-1914
?
NoRrH
g a;. a
\
? , ?
Y??p?? ? ? ?.
n??
? ' 0'
? T • ^
? ?? o a
? ? / Mti
i h'
?c ... `?:, z ..s ..
C. ,_..."' _...
- _. -?_------?-'/-??-f=?--_
..,...?_a _.,-.:rs_.._.?,._ .?a •_
900.0 Denofes existin elevafion ?
.?
900.o Denofes proposed e%vation Lawesf Floor E/evafion s9 s. q
- Denofes brat?qe E Ufili?fy Easemenf Tp of Blark E/evafion 877. y
-?-- Denofes Dralna?Se F"low ?rrows Garole Slob Elevafion 6,37, i
° Deno f es monumen f -
Becrrmis shown are ossumed o Denoles D+1psef Hub
Lor z7 ,BLocK 3, COVENTiQ}' PASS
DqKOrA CouNTY, M1tiINfSOTA Subjecl la PasemPnfs or'recorCf
I herrby tertify that thi5 mrvoy, plan pr rppor} was pre??arr`{ bV mn ?nder my di.act supervisinn nnd (hnt I am
inder Nhe laws o( the Stare o! Minnesota. Dated this ?7 `?%+ AulY Re9istared Land Surv?yo?
-s?_ rlav of A.D. 1- P 19 ? .
T`
rnch :
89102.'1 q _SCQ'?C' = I-40?`?ef f
FnRPRf fl. SIKiCIj I..S. RF/: Nlt. 1,i9n1
i =-
. ,
CITY OF EAGAN
3830 Pifot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDING
031759
04J10/98
51TE ADDRESS:
665 COVENTRY PKWY
IOT: 27 6LOCK: 3
COVENTRY PASS
P.I.N.: 10-18400-270-03
DESCRIPTION:
?e?iL?ling?Permit Type
rBuilding.W`a_rk T y p e
,
? Census •Code `
? . .. , . ?
- ?t. i?,-"t t . ? ?.a
,R,_ _ . ?.._.
>
i.
i?
?S
DECK
NEW
434 RLT. RESIDENTIAL
'`.i ?`?j
[??
?*? 4??` A,? U
t d ::?'
REMARKS:
PLAN REVIEWED BY MIKE BARCK
FEE SUMMARY:
Base Fee
Surcharge
Total Fee
a
$50.00
$.50
$50.50
CONTRACTOR: - Applicant - sr. Lzc OWNER:
CARLSON INC, DOWG 14314488 0005552 FOSTER MARK
7185 132ND ST W 665 COVENTRY PKWY
APPLE VALLEY MN 55124 EA6AN MN
(612) 431-4488 (612)452-3580
I here6'y acknowledge tha,t Z have r'e'ad.this?appl'ication and sta,te that th.e
- informati.on is=correoti-and",agi='ee"_'td cvmP2'y-`-w'ttFt`al.I``agplicab'le, Stafe 6f"Mn;
Statutes and C$ty pf Eagan prdbnenc.es_.
...?_._
? -. ? . 4L '
A P,PLICANTIPERMITEE SIGNATUR ISSUED V: GNA RE
. : 'v
I q 12.3
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
2 SETS OF PLANS
3 REGISTERED SITE SURVEYS
1 SET OF ENERGY CALCULATIONS
MULTIPLE DWELLINGS
2 SETS OF PLANS
REGISTERED SITE SURVEYS -
(CHECK WITH BLDG. DEPT.)
1 SET OF ENERGY CALCULATIONS
_# OF RENTAL UNITS
_# OF FOR SALE UNITS
U•*
S41•UU+
39•00+
351•00?
zj082•50+
32 013•50*+
541•00+
? 39•OOF
S51•00+
2D082•50+
3, 0 13•50*+
?
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICxi??UP BY LAS'1' WOiucl[vc uNx
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
rOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL SE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
?+ p!:
?-q;; ;; ? RECO
To Be Used For: r'jILLLC" FiyM, Valuation: 'eap=12-11 Date: 4mo_
Site Address ? L!6 6"ki ?'???_
Lot 1-7 Block *3
Parcel/SubZ!?,j??
-t
Owner Yf-e 12c?TRL,c?ivi? G5, IxiG
Address C,?O1 E. ?i?L ?CYRW?
City/Zip Code ?-?jb E?V m q ?yJ
Phone
Contra
Addres
City/Z
Phone
Arch./
Addres
City/2
ooo-OFFICE USE ONLY
Occupancy R-3 M-I
Zoning
Actual Const V_N
Allowable V-N
# of stories
Length 43 '
Depth
S.F. Total
Footprint S.F.
On site sewage_
On site well
MWCC System ?
City water
PRV _
Booster Pump _
APPROVALS
Planner
Council /?
Bldg. Off. `Y??" ¢I3?
Variance
FEES
Sldg. Permit SyL oo
Surcharge 3 ,oD
Plan Review 361,00
SAC, City ' 0().00
SAC, MWCC ,00
Water Conn 625000
Water Meter 9D100
Acct. Deposit 30,00
S/[J Permit 36•cb
S/W Surcharge ,SD
Treatment P1. ,uo
Road Unit 355.w
Park Ded.
Copies
SUBTOTAL
Penalty
TOTAL g?.` !?.F.0
Jo?
Yhone #
•.
VALU9?-t?,1.?
2o x Zo = y oo x is _&ooa
L smi-
r-
Zy x's6 = 86y
?2x(?= T2
? 2 nr 2, 5? I c.f ?l
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IUBO Kly? Ijl2o
IST i.,Oo(m.
Q `rrnT ?
!I " „
i? .
?
I?vB X5/= 5G5o8 •
?
* Plon
* engir
?
mo.
I 0
847.3 I
?
+(iT
1(5
' i
'hti ,hp' ?
i ?
.
?
?
v
? n, Gy
/ ?_ P,
? i? h?? 3y ?a
'/ ,\j F?
? ?? 98 ?o
. ?
ji
?
,i, 9r a ?.s
•2, ?
?
\ ??--
'• goo.o Denofes existin¢ elevafion ?
. goo.o Denofes proposed e%vation
? Denofes braina?¢e i Uf;li?ty Easemenf
-= Denafes Draina?e tlow ?Irrows
?I o Denofes monumen f
! Bearin?s shown are ossumed o
i
i
i ?
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\
? m tl
p.
? ,,x \hl ?^
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ll_.C?EW??
BY
LDM
PRQPO.SE__ OUSE ELEVA fONS
Lowesf F1oor Vevafion 89 s. q
Top of Black Elevafion 5s9 -Y
(?arage Slab Elevafion 579.1
Denofes o+sef Hub
LoT z-7,BLocK 3, CovFrvraY PAss
DAKOTA COUNTY, MIAINfSOTA Subjecl lo easemenfs o+ record
I hrreby certity that Ihis survey, plan or report w?a7s cpre?IR/ared by me !q/! ?undeOr my direct SuDervision nnd Ihat 1 am duly Registered Lond SuryeVOr
under the lavn of the State o} Minnezo[a. Dated thiss.?•^ day of _L!I1fd1! _ 7 A.D. 19-;70- .
.
Scal? : irnc_h=-- L? - ?t`?eI
-----
.???+ _
Rf1RFR T B. SIKICH I_.S. IIFG. NO. I4891
2427 Enterprise Drive
Mendota Fleights, MN 55120
(612) 681-1914
Certificate of Survey for: 714 C? QoTr?VI-) aMP'4^iY
\ S9?f•8 s ?
- ?2. NoRTH
c
? 04/M4 r.R 1`p?l
S=TE ADDSF'SS
CONTRACTOF
FX9'F.l;iOR t:r+vr•.t,rn•t: nvi•:r,nr,t: "u" currrmrrrrir)r;
? _-
l_or 27 St_c-c.k ?_?> ,
D:1TF.
PHONE
Dete:min vorkinr; square footnr,c of each.
1. Total exposed vall area .. '?? ?'d sq. ft. x 0.11 _ "a),JC't
2. Total roof/ceiling area sq. ft. x 8,026 _ EZ'., 7Z
•
Tot21 exposed vall area nbovc floor
a. Total w211 vindor: area ............................
b. Totel door area ................................... '7l
c. Total sliding glnss door area ..................... n h
d. Totzl Sireplece wall area ......................... Z o
e. Total vall frazning area (average lOP) .............
f. Total net vall area above Sloor ................... 9, Z/
. g. Total rim joist aree ..............................
Totai exposed foundatinn area =
h. Total foun3etion uindcv area ....................... ~
i. Total net foundation area ?bove grade ............. ?.li
. Deterr.,ine "U" va1Le o: each wall .^,ec;ment.
x,lUll
b. 38,? f X„U„
• C. 35 X„U„ c`? 3 Z = 1 I. 2
a. Z a x., V.
o, r - 2
e. l5`I.6d? XAlut,
r. X
. 8. ll Co ,? x..t,,,
h. x "lJ" _
X.,u„
3. . ...... .... ... ... ...... .. .. .. . . 'ior.-:]
0/L
?
Tf item d3 is the sune as, or less :.h:,n item Nt, yoii h3ve met the intent
or ssc 6oo6(c)2.
.,
,
- - Totnl exposed roof/ceilinc nren
? . .. . ?
Total gross roof/ceiling' are:i =
J. Total skylieht area ...................... ....
k. Totel roof/ceiling framing area .......... ....
l. Total net insulated roof/ceiling area .... .... ?. _ •
Dete*mine "U" value for cnch roof/cci I int; scinent.
J. ?-
X ?lUll -'-
_ ?-_
.
„U., 0. O
?\ O
\
2? -Y? • .
k: X
.
..
4 .....................:. Total
. ........
If total of NG is the same as, or less than N2, you hsve met tYLe intent of
ssc 6oo6(c)i. . .
To utilize the total envelope system method, the values establi_hed by the
sum of iteas N3 and 84 shall not be 6Teater. thKn the swo of iten:s Rl and N2•
1. + 2• -
• 3. • + 4. r ,
u
_ . .. O °
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
P?WT
FOR CITY USE ONLY
PERMIT #
RECEIPT
DATE:
PLEASE COMPLETE UPPER PORTION ONLY FOR SZNGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUZRED FOR EACH UNIT.
------------------- ------?----------?----°------------°------------
WORK DESCRIPTION ? COMPLETE THE FOLLOWING:
NEW CONST _
ADD ON ?
REPAIR _
OWNER NAME: LJ.'e/ ?c ?%40 *Wl ?/??Al
SITE ADDRESS: ? ?'' T •- A"k 7
LST:L-7 I BLOCK J- SUSD. ?Gdd?
INSTALLER: &Lad'- '/'
ADDRESS : L rp
/
CITY: ?/?-t A-i? ZIP:
N0. FIXTURES EA.
ADD-ON MINIMUM 15.00
SHOWER 3.00
WATER CLASET 3.00
BATH TUB 3.00
LAVATORY 3.00
KITCHEN SINK 3.00
LAUNDRY TRAY 3.00
_ HOT TUB/SPA 3.00
WATER HEATER 3.00
_ FLOOR DRAIN 3.00
GAS PIPING OUT.
_ (MINIM[JM - 1) 3.00
_ ROUGH OPENINGS 1.50
OTHER _
? WATER SOFTENER 5.00
_ PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
TOTAL
J
SUBTOTAL $ ? 00
ST. SURCHARGE .50
TOTAL:
..`.
toMMEKo xAI:fII?DUSTRIAl: PLEASE COMPLETE THZS PORTION FOR ALL COhAtERCIAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMILY BUILDINGS WNEN SEPARATE PERMZTS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRICE:
OWNER NAME:
SI?E ADDRESS:
LOT: BIACK _ SUBD.
INSTALLER:
ADDRESS:
CITY:
PHONE #:
FOR:
CITY OF EAGAN
ZIP:
FEES
1% OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $_
STATE SURCHARGE $_
TOTAL:
(SIGNATURE)
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA170442
Date Issued:07/01/2021
Permit Category:ePermit
Site Address: 665 Coventry Pkwy
Lot:27 Block: 3 Addition: Coventry Pass
PID:10-18400-03-270
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
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.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
Valuation: 10,000.00
Fee Summary:BL - Base Fee $10K $191.75 0801.4085
Surcharge - Based on Valuation $10K $5.00 9001.2195
$196.75 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 -
Marilyn B Boros
665 Coventry Pkwy
Eagan MN 55123
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature