611 Eden Cir? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITEADDRESS:`
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1 115,'I I'1 ? 1<'i f!1'', 1'?
? PERMIT SUBTYPE:
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.11 (111 1 YNII;
I
L
;CORD
PERMIT TYPE
Permit Number:
Date Issued:
APPLICANT:
4
i i•: ? I?+? irt i
(i 4:' i I'a F,
TYPE OF WORK:
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fiAV i #)
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N ti ,? 0 ' i`? 5
Permit NO. Ponnit Holder Oate Talephone M
ELECTRIC
PLUMBING
HVAC
Inspection Dats Insp. Commsnts
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPIACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTd
DECK FlNAL
.? .- I
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS: f „ f
PERMIT SUBTYPE:
t ,.. ,
TYPE OF WORK:
INSPECTION .• . .•
I
R 6'14 RI4 }C?IF $ Fe 4-4 F'! NR - VA ! t f.Y I'M Rfi
?
[ON RECORD
` PERMIT TYPE.
Permit Number: . `:' .• cY S 43 ?l
Date Issued: t.? }41 `' r
APPLICANT:
?,r1-ca-,t 414
_
PermR No. Permft Holder Date Telephone M
SNV
PLUMBIPVG
HVAC
ELECTRIC
ELECTRIC 7299110
Inspecttort Dste 1nsF?. Comments
Footings I a?b 3
Foundation Q
Framing 3 5,
Rooflng
Rough Pibg. ID - d/k
Rough Htg. 3 /,3
Isul. O
Fireplace
Fnal Htg. _ ?
Orsat Test << tr
Final Pibg,
/ Wbg. Inspector - Notity Plumber
Congt. Meter
Engr./Plan
Bldg. Fnal
4
DeCk Ftg.
Deck Final
Well
Pr. Disp.
. ? 3 s s?
REQUEST FOR ELECTRICAL INSPECTION '`?`{,a ee-oooo,-oe
K55222 ?e insVUtlions for complaung ihis lorm on Eack ol yeliow copy
/
"X° Blow Work Covered by This Request
a Add Rep. TypeofBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplez Water Heater Elecfric Heating
Apt. 8uilding Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
OtM1er(syeciry) Contractw5 Remerks'.
Compufe Inspection Fee Below:
8 Other Fee S ServiceEntranceSize Fea # CircuitslFaeders Fee
Swimming Pool 0 to 200 Amps o to too Amps
Transiormer5 Above 200 _ Amps Above 100 _ Amps
SignS Inspecror5 Use Only. TOTAL
Irrigation Booms ?
?
Special Inspeclion
niarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical InSpector, hereby R°°gn-m oa?e
certity that the above inspection has
been made. Final • Date
-?
OFFICE USE DNLY
This requesl vob 18 monihs Irom
K 707405/?/??-
Request Date Fire No. / Rovg -in Inspection ?? Ra ui tl?
s C No Reatly Now [/vVill Noti(y Inspwrg_, ,..
l Whe y,
II;( licensed contractor D owner hereby request inspection of above elechical ' rk at: ? a'fl
Job qtltlress (StreeL BOx or Route N¢i ) _
(011
I IA1Vf%4 v/yJ Vi?U ? City ?
? ?/
Seclion No. TownsM1iO Name or No. Ranga No. CayFty?
Occupa PRINT) ? Phone No.
Power u -er? ./nJ
(.C??'C Atltlress
Electdca QIractor lComOan Ngme) - Contreo?or5 Licanse No-
C Do3d1
Mailln tltlress 6onlraclor or Own r Making loetallabon)
Aulhorizetl $IgnaWre IConVacto wne a ing Installali n Phone Number
D
MINNESOTA STATE BOARD OF E?ECTqIQTV Q? THIS INSPEGTION FEQUEST WILL NOT
Griggs-Mitlway Bldg. - Room S173 BE ACCEPTED BY THE STATE BOARD
1821 Univeraity Rve., SI. Peul. MN 55101 UNLESS PROPER INSPECTION FEE IS
Vqona(612)6a2-0900 ENClOSED.
-1REQUEST FOR ELECTRICAL INSPECTION ,; E13-00001-0B
? See insimdions tor completing this form on Oack oi yellow copy.
K
70749 X" Below Work Covered by This Request ? 1''3 Q?
ew Add Rep. Type of Building AppliancesWired EquipmentWiretl
Home Range Temporary Service
Duplex Water Heater Electric Heaiing
Apt. Builtling Dryer Other-(Specify)
Comm./Indusirial Furnace
Farm Air Conditioner
Other(specity) Contracmr's Remarks: ' Compute Inspection Fee Below:
# Other Fee # ServiceEntranceSize Fae # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps 40
Transformers Above 200 _ Amps ACove idQ _ Amps
SignS Inspector5 Use Onry: TOTAL
IrrigationBOOms /
y7'AL gy r? ??...oCl
? ?
Specialln5pection /
- aV lw
AlarmlCommunication THIS INSTALIATION MAY BE OR ISCONNECTED'IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, ihe Electrical Inspector, here6y Rough-in Date
certify that the above inspection has
been made. F??ai e ?
OFFICE USE ONLY ?
This request void 18 monihs Irom
K5?2 9
ReOUest Dat¢
a-? o- 9 3 ry'e No. Ro -i Inspeclion
R qu e?
s G No J
? Reatly Now KJ WIII NaGy Inspector
When Reatly?
I,Z116nsed contractor p owner hereby request inspection of above electrical work at:
JoD Adtlress (Street. Box ar Rome Np)
1,
I c' A _
I ? C.iO?... l Ciry
Section No. Township Neme or No. Rang¢ No. CovrHy?1
6 A ?}-
?•?0.eC.f'fA
Occupa PRINTI Phone Na.
Power uppy/Br?\1? ?
W Adtlress
ElecVw ConlrectorlCOmpQanynName) ConVactor5 License Npo.
Mailing Atltlress (Conlraclor or Orvner Making Installation)
AutM1orizetl SignaWre IGOnVatl iOwne kmg Installalio PM1One Number
MINNESOTA STATE BOAFO OF ELECTNICITY THIS INSPECTION FEOl1E5T WILL NOT
Grlgge-Mitlway Bldp. - Room 5-193 9E ACCEPTEO BV THE STATE BOARD
1821 Univeraity Ave., SL Paul, MN 55104 UNLESS PROPEF INSPECTION FEE IS
Phone(611) 64I-0800 ENGLOSED
.
Address 611 IDar cIW-U Zip 5512 3
L.ot 1 Blk 4 Sub !:ovENIRY FASs
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION.
Date: Yes No Inspector:
Final grade (6" from siding) t/
Permanent steps (garage)
Permanent steps (main entry) ?
Permanent driveway
Permanent gas ?
Sod/Seeded grass /
TraiUcurb damage
Porch ?
Basement finish
Deck
Please verify with the builder [he removal of roof test caps from the plumbing syslem and the shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contracror Copy
l!! I Dr?(o
2005 RESIDENTIAL BUILDING PERNIlT APPLICATION
City Of Eagan
3830 Pilot Knoh Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
v
New Construc6on Reauirements RemadeURenair Reauiremenls ORce Use Oniv
3 registered site surveys showing sq. R. of lot, sq. ft. of house; and all rooted areas 2 copies of plan CeA of Survey Recd _ Y_ N
(20% maximum lof coverage allowed) 7 set of Energy Calculations for heffied addilions Tree Pres Plan Recd _ Y_ N,
2 copies of plan showmg beam & window sizes; poured Pound design, etc. 7 site survey fw adddions & decks Tree Pres Required . _ Y_ N
lsetofEnergyCalculaUOns Add'Aion-indicatei(onsitesep6csystem On-sileSepUcSystem Y._N
3 copies at T2e Preservation Pian i( lol plaBed aHer 111193
Rim Joist Oelail Options selactlon shcet (buildings wNh 3 or less uniLS)
Date J / 20 / G.S Construction Cost
Site Address Wl? e UniUSte #
Descriptioo of Work K.c P41 I' - S•' ? 'A ?
I
Multi-Family Bldg _ Y ? N Fireplace(s) 1 _ 2
Property Owner Iid Telephone # f?,s/ )A:?- 9?/c,,f-
Contractor ? S i V. W?/1 Coq c
Address 7 71 CiTy yMvf<
State ?Lt , j7ne3 oA Zip fs?-/?/ 7 Telephane #( 7l))</ 7f
c 2 0270S951
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilalion Calegory 1 Worksheet • New Energy Code Worksheet
(J su6mission rype) Submitted Su6mitted
• Energy Envelope Calculations Submitled
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone # (
Telephone # (
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of wark which iequires a review and
approval of plans.
1__? ?
j vS ?, L./
ApplicanYs Printed Name ' ant's Signature
RESIDENTIAL
510 BUILDINC PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EACAN MN 55122
651-681-4675
yew Conatn'ction ReaWremants
. 3 registemd site surveys showing sq. ft of lot, sq. R. of house; and all roofed areas
(20% mazimum lot coverage allowed)
. 2 copies ot plan showing beam 8 window s¢es; poure0 found design, e[c.)
• t set of Enertgy Calculations
. 3 copies of Tree Preservation Plan if lol platted after 711/93
. Rim Joat Delail OpGons selection sheet (bldgs with 3 ar less units)
DATE l(, - ' `C ? 0,-)-
SITE ADDRESS 6I1 ?DElliiJ C( rC le
MULTI-FAMILYBLDG _Y _N
TYPE OF WORK SI'0IfIQ FIREPLACE(S) _ 0_ 1_ 2
APPLICANT
Lll (
STREET ADDRESS ( 77/S /a -'?' 8u2 lnJ , CITY A/r+6:f7--
TELEPHONE # CELL PHONE # ?0' Loh-S"6161_ FAX #
ZIP
PROPERTYOWNER ;e_ 0dWAV TELEPHONE#
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ btINNESOTA RULLS 7670 CATI:GORY l
(d submission type) • Residential Ventilation Category 1 Worksheet Su6mitted
• Energy Envefope Calculations Submitted
Plumbing Contractor.
Plumbing system includes:
Mechanical Contractor.
Mcchanic:il system includes:
Sewer/Water Contractor.
Phone #
Phone #
Fee: $70.00
---°--------------------------------------------------------°--------°--......------------------°--------°-----------
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinanci;?5. _
Sfgnature oF Applicant
OFFICI: USL. ONLY
_ Water Saftener
_ Water Heater
No. of Baths
Phane #
Lawn Sprinkler
No. of R.I. Baths
Air Conditioning
_ Hea[ Recovery System
a ? ?? ??
RemodellRewir ReauiremeMs
• 2 copies af plan
• t set of Energy CaIcWa6ons far heafed addifiam
• 1 site surrey for exterior additions 8 decks
• Indicate'rf home served hy septic system for additions
+ e?
VALUATION
MI ??he?t ?
. r o ? itted
JUN 14 ZUUZ
CeRificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updated 4l02
RESIDENTIAL
? BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681•4675
New ConsGUCtion Reouiremenrts
• 3 registered site surveys showirg sq. ft. of lot. sq. R. of house; antl all roofetl areas
(20%maximum lat cove2ge allowed)
• 2 copies of plan showing 6eam 8 window s¢es: poured found design, etc.)
. 1 set o( Energy CalcWakns
• 3 copies of Tree Preservatbn Poan if bt platted atter 7fi193
• Rim Joist Detail Optians selecfion sheet (bldqs with 3 or less units)
DATE S•Ai?Q . ['?5?.
RemodaURenair Reuuirements
. 2 wpies of plan
. t set o( Energy Calcuiations for heated aCditions
. 1 site survey Ior extenor additions & decks
. Intlicate if home served by septic system for additions
/137s--
VALUATION 9 1 (0ItOC9
SITE ADDRESS C4II f`'eX\ Ck 117G,'e... MULiI-FAMILY BLDG _ Y 4 N
TYPE OF WO
APPLICANT
FIREPLACE(S) _ 0 _ 1 _ 2
STREET ADDRE55 I Renewal By Andersen, Inc. I STATE_ZIP
i 1920 County Road "C" Wesi
TELEPHONE #L&-Zo4•41ij- CELL PF Roseville, MN 55113 ?
PROPERTYOWNER NDwounQ.IA TELEPHONE#(_I•IlR?O• ?`i?00
------------------------------------------------------------------°---------------------------
COMPLETE THIS SECTION fOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MIVrESOTA RliLCS 7670 CATEGORY 1 MIV VESO'1':\ RGLl'.S 7672
(d submission [ype) • ftesidential Venfilation Category 1 Worksheet Submilted . New Energy Code Worksheet Submitted
• Energy Envelope CaICWaUOns SubmiKed
Plumbing Contractor:
Plumbing system includes:
Mechanical Contractor:
Mectrunical svsteai inclueles:
Sewer/Water Contractor:
GVater Softener _
_ Water Heater _
No. of Baths
Air Condi[ioning
Hcau Recoven- Svs[cm
Phone #
Fee: $90.00
Fee: J70.00
------------------------°---.......----•-----------------------------._.....--------------------...-------------------...
I hereby acknowledge that I have read this application, state that t e information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan rdinances.
Signafure of Appli a
OFFICE USE ONLY
_ Phone #
Larvn Sprinkler
No. of R.I. Baths
Phone #
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
"?••••• r,.+. auv tA.aa, CA4 !OJ 0/1 4400 L(C1YlSRlI,G.lSYE'T?UtlK'J1S1?1
.TLLil07sZMI ? ' . .
C Ity O'f Eggdp
3836 PiIot Snob Road
&?gan. MN 55122
To Whom It May Conoern:
IIder Jones is authorized to pull bnilding permits for Renawal by Mdersen_ Please allow
F1der Jones to pmvide tbia servioc for us in Esgm. `Ihis muhorizeticrn ic valid for any
date beyond 616/01; uutil a R"enawat by Anclersen maz?am exmsely revokes ft in wridng
to the City-
I request this authorization be accepted axpedidously. as w not delay in the processing of
our baiidinS Paanita any fqxthcr. Plcasc caII mc If thcm u+c nny qucstlona. I can Ue
wntacted at 763-502-4906.
Your immqdtatc aftntiott to tMs maaor is appret.?tsted.
Sinocycely,
ymond R. Rau
nsWlaAion Ma[?ag+er
Renowal by Antierscn CoMoration
C'c: Kmw-F.lde,r Tnne.¢
aH O?ry
?dAMAL
M' n fyp? .», z00,y
Received iime Jun. 7. 1:07PM
WVU2/ Ul
i r ,
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMITO
PERMIT TYPE:
Permit Number:
Date Issued:
MO4lalPS#
S'?8/95
BUILDING
026185
08J07/95
SITE ADDRESS:
611 EpEN CIR
LOT: 1 BLOCK: 4
COVENTRY PASS 1ST
P.I.N.: 10-18400-010-04
DESCRIPTION:
B?p?ilding°U?„ermit Type
?uildzqg W:et`r,,,K 7YPe
=n ?,
c. mr;
tk a
a u
tiM.yya
?.
?
IJ
irz
...:R
#+§?
? ?+w
REMARKS:
FEE SUMRAARY:
+
ip R
k, <?? 3
Base Fee $30.00
Surcharge $.50
Total Fee $30.50
DECK
NEW
TY
N4 ? 3a vn
t??ZR
% j7a ,?f4q€'z" 3Ym `? Nz lv
? 3 a?'a"-"'4
; e?r s4 D ^?a ? r5c?? 3
CONTRACTOR: OWNER: _ qpplicant -
HOLLOWAY DAVID
611 EDEN CIR
EAGAN MN 55123
(612)992-3795
APPLICANTYPERMITEE SIGNATUF
' CITY OF EAGAN
IVIg 38 30 PILOT KNOB RD - 55122 ?? 95 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675 '
New Constnietion Reauirements RemodeVRenair Requirements
? 3 registered site surveys ? 2 copies of plan
? 2 copies of plens (include beam & window sizes; poured fid. design; etc.) ? 2 ske surveys (exterior add'Rions & decks)
? 1 energy plculations ? 1 energy calculations for heated atldkions
? 7 tree preservaUon plan 'rf ht platted after 7l1/93
required: _ Yes No
DATE: qI Z Iq5 CONSTRUCTION COST: ?°2 ?SD 0
DESCRIPTION OF WORK:
STREET ADDRESS: c C? c
LOT ? BLOCK ? SUBD./P.I.D.
'/,f •t
PROPERTY Name: f7???o w a ? 1/l Phone #: 26 -216 ?
OWNFR /
Street Addressa & // ?a ?'1 6'1 yC?? ? ?' ? ? `? s ??W J
Ciry: u G/J state: M4 zip:
61
CONTRACTOR Company: ?JPhone
Street Address: License #-
City:
ARCHITECT/ COmpany: O/1t Phone M
ENGINEER
Name: Registration #Street Address-
City: State: Zip:
Sewer 8 water licensed plumber: N,11T . Pena4y applies when address change and lot
change are requested once permit is issued.
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. (' ? A (/ /1n
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received
_ Yes _ No
Au G D Z 1995
Tree Preservation Plan Received Yes No
CI-rY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
DESCRIPTION:
PERMIT _ 61jelz?
PERMIT TYPE: ?:u a ?, o r ri c
Permit Number:
Date Issued: ?D ? JJ P? 8 J 9 3
6 " i i:c,t:ii t.?R
I_(1?1"? 1 LOrY.. 4C(i'J;-AN?i'R,'Y
Hta?tr?i'rxaa ??rRiit ?y+?t?
ldartg '.lJi?F:. 7
UF?t; E???2t}?anty
<ezrtar7t?
tiuS.lci%ny Lcr?vth .
Build:irag WSdth
Si,7
n p;
REMARKS:
S,x IIl F, i. (_1 R -- V!1 I. i_ L 1 P I. ?; G
• FEE SUMMARY:
Fj a,_ rye
5;urch? r•c?e
? Fl C '3?
3'.?. C I_! n i. i: s
5 tj u,,.ci ].
?i?A i. u(, r 1: (11"?
?I F D W G
pl r U.i
R .. X
aI ca6, ,?7) 0 ?)
M,,,
Q ; ., , sn vr
7 47 r:?
illz,? F t'.L aideous
ro ,i r ,('?
i,.??s7..s2
11 J?
?? ?q?
CONTRACTOR: - sT. ?ACOWNER:
r4t rtorr?. U ivo eo zN r, 1- 5 ' 10 3 0 4 0 0 1,) 1.31 s -rrt(? POTTi_uND co I:Nr.
5?. fA :L ?(d 1. f: Pi T4' Fi 4i R[7 301
FN:HLE'f P4H b5 ?2;L 'I?1:i71.(=.1' P1P,1. 554 21
{ti:l'i?:L 0 3 fi", ln2.71.-..(}?a47:!
I heteby ac!<nawl.edye t;hat I hhave i°eac3 2;nfy eippJ,icatiQn Arid stat,^ that tha
:ni'ormaticrr is s^arrec[: Aarrd acre: t;c s uiiiply wl.ria a11. sppli.^a61g rtate Of P4e7.
? Stat;U1".es rarld Ci.t.y of raq:.ari tlrJa.i7arir.es, ?
? ? -r? -i'{,y ??
APPLICANT/PERMIT ,SIGNATURE ISSUED8l:51GNATU'E?
REACTIVA7E _
PERMI7 fr' '
10-301
.?
CITY OF EAGAN
1993 BUILDING PERMIT APPLICATION `
681-4675
$3, f.3 I,39
FEB a ift
SINGLE 8 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specificatians, 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 is requested once permit
is issued.
Date ? /?/91 *3 Valuation of work tl-
Site Address: MJn Gft.le?
STREET SUlTE #
Tenant Name: (commercial only) -ciwo CC0l4IVnck CC?o T-1C.
IAT BIACK ,i?_ S BD.
k
P.I.D.
Descri tion of work: SI (P'P Mn` \
The appl i cant i s: Owner Q(Contractor ? Other (oK«;ne)
Name71Up Ro?4'Nur;l GO- T-nG Phane 1-030*
Property LAST FIRST
Owner Address SZot G• RWer Rd 4t 30 f
STREET STE #
City ??fi'eollf!/ State rL Zip 654't,1
Company Sawt? ? Phone
C011tf8CtOf Address License # 1335 Exp7'3'_Qq
City State Zip
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber Q i Processing time for
sewer & water permits is two days nce a a has been ap oved.
I hereby acknowtedge 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.
Signature of Applicant: 6V ?,?
BUILDING PERMIT TYPE
O 01 Foundation
;K 02 SF Dwg.
? 03 5F Addition
? 04 SF Porch
? 05 SF Misc.
WORK TYPE
OFFICE USE ONLY
O 06 Duplex
? 07 4-Plex
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'7
? -
.4, ??. :A, ?
O 11 Apt./Lodging .,Finish
0 12 Multi. Misc. ? 17 Swim Pool
? 13 Garage/Accessory ? 38 Comn./Ind.
? 14 Fireplace ? 19 Comm./Ind. Misc.
? 15 Deck ? 20 Public facility
? 21 Miscellaneous
X 31 New O 33 Alteratians ? 35 Tenant Finlsh ? 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INF ORMATION
Const. (Actual) v_N Basement sq. ft. MWCC System `/&*
_
_
(Allowable) v- N lst F1. sq. ft. City Water Y
ZY
UBC Occupancy R_3 rn-? 2nd fl. sq. ft. PRV Required
Zonirtg Sq. Ft. total Booster Pum P
# of Stories Footprint Sq. ft. fire Sprink ler
Length ? On-site well Census Code /of
Depth clq'-B" On-site sewage SAC Code
cQ,,,s.Ls
r
-
?
APPROVALS
i
'
Planning Building z ySs,pS Assessments
Engineering Yariance
REGIUIRED INSPECTIONS
? Site ? Footing ? Framing ? Insulation
? Wallboard ? Final ? Draintile ? Fireplace
Permit Fee veiuac;oo: S I0(0,000'
Surcharge
Plan Review (SARAGE" ZZyC22='?5q x 1f-='"t!144
License
MWCC SAC $SMT; 2o K Zg = 5C?o
City SAC
Water Conn.
y K 9=- ?32)
Water Meter
osit
D
A
t
5Z?' x15
"r?
R2o
ep
cc
. Lowe?^Le.,¢Q ; ?
S/W Permit
S/W Surcharge ?L X24 = b2y K
53 = ?7 2
3
tn? Pl. .
GYr.9}u+Y?+??s?1?o-ryec ' 3
Road Un
d
k D
P 1
(S I Zo)
.
e
ar ?a 6 l X 2?t r??'°to -A 2-0=
Trails Ded. ?
Copies MAIN LEVE(.:
Other
Total: z
b xay = ?Z 14
? ? ?? ` y6o
a
1 LI ti
C
Z?
SAC Units -7
I -/, -7 _
?KINzJl2?? (?2??063
, , • - 10 5j v
f-:(7•Fr,TLoR PrvFr.ort: nvEr,nr,r: "ir" a)Mrirrn•ri,,,r pN .
os,NFR - -
crmE ppD,t-S5 LoT I? F)LOC,k qr COvENTRY PqSS . .
COYT.R?,CTOR GO, DATp PHONc
Dete:min vo-kint;. sqvnre footar.e of ench.
1. lotel expesed v2I1 area sq. ft. x 0' 1i - 2?I?
2. Total roof/ceiling zrea .. ?1 5;( '0, sq. ft. x 8,026 = ,p5
Total expose3 vall erea nbovc floor =
c
s. Total vall vindou erea ............:...............
b. Total door aree .........:......................... a-2.? /
c. Tot21 sliding gless ?'oor area ..................... ?
d. Total Sireplace va-11 erea ......................... ?-
e. Tota1 vall frz-ning z-ea (average lOP) ............. / /Y
f. Total net'vell aree ebove floor ..,...... •
.......... L?,,? ?
: 6. Total rim Joist a-e^ .............................. ./ 7. L
Total exposed foi:ndntion area
h. Total Sounde;ion vindcv z:ea ....................... ?
i. Totzl net fownd=tion zrea above grade ............. Ti o,
• Deterr„ine "U" ca1L= o: eaeh c:all ,Fgment. T-
8. 410Z-
b. 42, -71 X .,U„
,• C. 8Af-. X 237
a. - X .,u„
e.. X-Ulf
r. 1 57,'?, S~JT X„U,.
g. ? 7 /• Z X ..lt,,
h. g X 'lUll
X ,.ull
Q, Dca? t ?59 1?1
O
--
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3 . .................................. iat,::7
fl?
If item N3 is the szme 2s, or less !han iten *1, you nave meL the in.eat
or ssc 6ao6(c)2.
f)
Total exposed roof/ceiling nrea
? . . ? . .. .
Total g;oss roof/ceilinr, are:i =
?. Total skylight arza ..........................
k. Tot a. roof/ceiling f-aning area............... 1. Total net insulated roof/ceiling area ........
Dete-mine "U" vnlue for ench ruc,t/ceilint; segment.
?. x uUn .?? _ .
•
k: J ?% •. Z X Z' _ ?? .Z . •
x„U„ p,o 22 =?1, r.rZ _4 . ............ ......._........:. Total = ?• \
If total oP A is the same es, or less than M2, you have met the intent o''
SBC 6oo6(c)1.
To utilize the total envelope syste_ method, the values establi:hed by the
sum of items 93 a-nd @b shall not be greater, thxn the sum of iten:s #1 and #2.
? 1. Z3z?7 + 2. ?•05 = 2& 2 ,7z .
.
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----------------------------------------------------------------------
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FiREFS f 750I 490: 8181 7601 141 141 01 2.12461
CUf}LING I oY;.i' 40sl 6701 6231 111 111 01 2,332t
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-------------- ------------ ---- - ---
UqQfiS hJfJhYN St)IJ;i: EF1:3'f WESSI' I'JE:/NW SE/^aW TJTAI_
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Duc1: Nr•.aY. Gain C.a
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,5973q
RESI-DElNTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4875
New Canstruction Reauirements
• 3 registered sRe surveys showing sq. ff. of lot, sq. ft, ot house; and all mofed areas
(20%maximum lot coverage allowed)
• 2 copies of plan showing beam 8 window sizes; poured found design, etc.)
• i set of Energy Calculations
• 3 copies of Tree Preservation Plan if lot platted afler 711193
• Rim Joist Detail Optlons selectbn sheet (bldgs wAh 3 or less units)
DATE
$i11.-75
RemodellReoair Reauirements
. 2 copies of plan
• isetofEnergyCalculationsforheatedadditions
• 1 sde survey tor exterior additbns & decks
• Indicate'rfhameservedbysepticsystemtaraddNions
VALUATION $,49-4' ?
51TE ADDRESS LpIt C:Cv2. MULTI-FAMILY BLDG _Y _ N
TYPE OF
APPLICANT 'RMA HOME SERVICES INC.
Home Depot Insralled Sales
STREET ADDRESS 13200 Cobb Galleria Pkwy., Ste. #200
i Atlanta, GA 30339
TELEPHONE # 763-542-8826
...BC_20268257--.- -- - .-
FIREPLACE(S) _ 0 _ 1 - 2
I
CITY STATE ZIP
FAX #
J
PROPERTY OWNER _bCW4 "nlbtA? TELEPHONE#ll V-19 '24(05
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 1:! OTA RULES 7672
(d submission type) . Residential Ventilation Category 7 Worksheet Submitted New Energy c t Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor:
Plumbing system includes:
Mechanical Contractor:
Mechaiucal sysLem includes:
Sewer/Water Contractor:
Eooo
Phane JJ6?2
_ Water SofCener _ Iawn Sprini,???
Water Heater No. of R.I. Baths
No. of Baths
Phone #
Air Conditioning
Heat Recovery 5ystem
Phone #
Fee: $70.00
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan O inances ?
Signature of Applica
a
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
Installed
Siding andI*N&RspOWER OF ATTORNEY
OF COBB
STATE OF GEORGIA
KNOW ALL PEOPLE BY THESE PRESENTS:
THAT I, David N. Katz, a resident of Montgomery County, Pennsylvania
("Principal"), and a licensed contractor of RMA Home Services, Inc., DBA Home
Depot InsYalled Sales located at 664 Mendeissohn Avemse North, roltlen Va!ley, MN
55427, having a license number of BG 20268257, do hereby appoint, nazne and
constitute Elder-Jones Building Permit Service, Ina ("Agent") as my true and lawful
attorney-in-fact and do authorize and grant said attorney-in-fact for me and in my
name, place and stead the power to execute, acknowledge, sign and deliver (in such
form as may be required by the municipality) a permit application, or any other
instiument(s) which may be necessary and appropriate, in order to obtain the proper
permit(s) from the Oity of Eagan, Minnesota for the installation, mainten;r.nce and
repair of windows and siding (the "Work").
The powers conveyed to the Agent by this Limited Power of Attorney are
limited solely to the express powers delineated herein and apply solely to the Work.
This Limited Power of Attorney shall expire and automaticaliy be revoked on the 30I'
day of May, 2003, which date is one year from the execution hereo£ Further, the
powers conveyed by this Limited Power of Attomey may be revoked by Principal at
any time by express revocation and shall also be revoked by the Principal's death,
disability, incapacity or incompetence. {
30
? day cf
M A-1-; , 20122.
David I?-?z
SWORN TO AND SUBSCRIBED BEFORE ME by David N. Katz on this
30`h day of May, ,
Notary blic in for the Stat of eorgia
My Commission Expires: 7anuary 21, 2006
IN WITNESS WIIEREOF this Limited Power of Attomey is executed this
396816.v3
Proudly sold, furnished and installed by RMA Home Services, Inc., a Home Depot authorized contractor.
3200 Cobb Galleria Parkway, Suite 200 • Atlanta, GA 30339 • Pfione (770) 779-1300 • Fax (770) 984-0709 • Toll free (800) 79-DEPOT
-Ta.ol? ?)-
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephane # 651-675-5675 FAX # 651-675-5694
???0.Q0
New Construction Reauiremenfs RemodeUReoair Reauirements OKce Use Onlv
3 registered sAe surveys showing sq. $. of lot, sq. fL of house; and all raofed areas 2 copies of plan CeM1 of Survey Recd _Y _ N
(20°h maximum lot coverage allowed) 1 set of Enefgy Calculations for heated add'Nons Trea Pres PIanRecd . _ Y _ N.
2 copies of plan shawing beam & window s¢es; pou2d found design, etc. 1 site survey for additbns & decks Tree Pres Required _ Y _ N
1 set of Energy Caiculations Additlon - indicate if on-sde septk system On-sHe Sepdc System _Y _ N
3 copies o( Tree Preservation Plan if lot platled after 711193
Rim Jaist Defah Options selecfron sheet (buildings with 3 or less units)
Date Construction Cost •LfO
Site Address ??! ??p.,rl G ?'„Q Unit/Ste #
/
f ?
Description oF Work _ / 4/' - a
f ? - Md <
T -'
Multi-Family Bldg _ Y OC N Fireplace(s) °I-(I _ 1
b
Property Owner
R Telephone # (?J/ ) t?fp • ??C?
Contractor ? ?w,- /Aj • ?'V? j? .pi ? ? .??'7 G
Address City ?,+z,.v
State AA! Zip.s??'%ri` 7 Telephone#(7L3 _C_
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
. Energy Envelope Calculations Submitted
In ihe last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y ^ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Teiephone #(
Telephone #(
Telephone #( ?
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval olans.
/ 174-5 N
Applicant's Printed Nam t's Sigiature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA139916
Date Issued:11/14/2016
Permit Category:ePermit
Site Address: 611 Eden Cir
Lot:1 Block: 4 Addition: Coventry Pass
PID:10-18400-04-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
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 -
David G Holloway
611 Eden Cir
Eagan MN 55123
Lofgren Heating & Air
5708 Upper 147th St W
Suite 106
Apple Valley MN 55124
(952) 431-5811
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA165296
Date Issued:10/27/2020
Permit Category:ePermit
Site Address: 611 Eden Cir
Lot:1 Block: 4 Addition: Coventry Pass
PID:10-18400-04-010
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 house wrap and leave on site.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
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 -
David Glynn & Julie Holloway
611 Eden Cir
Saint Paul MN 55123--390
(651) 955-1655
Walker Roofing Company
2270 Capp Rd
St Paul MN 55114
(651) 251-0910
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA167473
Date Issued:03/17/2021
Permit Category:ePermit
Site Address: 611 Eden Cir
Lot:1 Block: 4 Addition: Coventry Pass
PID:10-18400-04-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
David Glynn & Julie Holloway
611 Eden Cir
Saint Paul MN 55123--390
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature