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509 Severn WayPERMIT City of Eagan Permit Type:Building Permit Number:EA169878 Date Issued:06/14/2021 Permit Category:ePermit Site Address: 509 Severn Way Lot:21 Block: 2 Addition: Coventry Pass 4th PID:10-18403-02-210 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 - James A & Dawn M Thorn 509 Severn Way Saint Paul MN 55123--397 Roofs R Us 941 W 80th St Bloomington MN 55420 (612) 282-8092 Applicant/Permitee: Signature Issued By: Signature . INSPECTIUN REC4RD CI~I( OF EAGAN PERMIT TYPE: . ~ ~ , ~ . ~ ~ . 3830 Pilot Knob Road Permit Number. , Eagan, Minnesota 55123 Date Issued: , . (612) 681-4675 SITE ADDRESS: ~ APPLICANT: . , „ , f,~ , 5pq r, E~:, r i i~;i~~l~ ~ r~ 1 W~ . i ili , ~ , ~ 1 ~ i ~ . ~ s~ si1-1 PERMIT SUBTYPE: TYPE OF WORK: r~, . • • i~i . l , ~ , ~tl~J~lr,i, f I i. E~j ~ t w~, ~ ~ ~~~~f ~ M+, r r~ ,~11 P, 1 I~~N ~ I 1<! t I ~t~ I ~ ~ i;~, i:,~u~~~i ~ ra ii i~~ : rl„i ~ i rc~~ a i r~n~ . ~ ~~:,rrr , t, u i~? t~~ ~ni ~ i~c i~~ ~ ~ ~ ~ ~ , Permlt No. PermR Holder Date Telephone S S/W PLUMBING 7 q~_~~a/ HVAC rf ,~~~G ~ ELECTR I 8a ~ ELECTRf /~l "O In~pectlon Date Insp. Comments Footings I ~~D ~ Foundation 'E~ , j,Q r.~~ Framing ti//~, - t Roofing Rough Pibg. Rough Htg. /i ~ Isul. '~~l G /~r,y / F~~ace y~ Final Htg. Orsat Test Final Plbg. ~ Plbg. lnspector - Notity Plumber Const. Meter Engr./Plan s~. F~ I ~ Dedc Ftg. Dedc Final I I Well Pr. Disp. I I /S- ~ I I -~.n• F ~ - ~ ~ ,y ~ ~ ~ t?,`erh~ca#e o~ ~ccu~anc~ ~ii~ o~ ~agan . ~a~ca~t ~~t~~ ~~~c~ ~ 'e This Certi,frcate issued prrsx~ant [o the requirements of the Uniforrn Building Code certifying that at the time af issr~ance this structune was in campliance with the various o~inances of the City ngulating building construction or use. For the fo!lowing: SF DWG/GAR 228~~ use Classifi~tio¢ 61dg. Pmmit No. °°~'~`Y ~ry'P` ~ . , 5 5 4 21 o~,~« ar B~ naa~ Y , , v ~ H , i Buildiog J?d~eas l.ocaliry . V~,(~.(j.rc.c~ ~ MAY 16, 1994 F-~:~.:;~ Datc: ,,~..~,.4-4- O~ci~l P06T IN A CONSPICUOUS PLACE INSPECTI4N REC~RD CITY OF EAGAN PERMtT TYPE: > ~ ~ 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: , (612) 681-4675 SITE ADDRESS: ` ' ' ' ' ~ ' ' " APPLICANT: E~~ ~ . t fct ~ . ~ nrt Ein , , : ~ „ , ~ i i:i , . ~ • PERMIT SUBTYPE: TYPE OF WORK: . . , ~ ~ ~ ~ ' ~ 1 wm~n Ho. Pe~n Hoi~ oaa r.~,n«,e ~ ELECTRIC PLUMBING HVAC Insp~ction Date Insp. Comm~nts FOOTINGS FOUND FRAMING ROOFING RQUGH PLUMBING PLBG AIR TEST RQUGH HEATING GAS SVC TEST INSUL GYPBOARD FlREPLACE FIREPLACE AIR TEST FINAL PLBG FlNAL HTG ORSAT TEST BLD(3 FINAL BSMT R.I. BSMT FINAL DECK FTG S / DECK FINAL ~ f Address 509 SEVERN WAY Zip 5512_ TAt.. .21 B~k z $Ub COVENTRY PAS 4TH . ~ THESE 11'EMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION. Date: 5/ 16 / 94 Yes No Inspector: Final grade (6" from siding) Permanent steps (gazage) Permanent steps (main entry) Permanent driveway 1~ Permanent gas f 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. Contad engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. ~ White - City Copy Yellow - Resident Copy Pink - Contractor Copy y 5 is e ~?gd?~` l9/~~ . 3 72~~~~ ~ ~8a Reques~ ~ate re No. RougRin I ction ' NOTICE: You Must Call Elecvicai Inspedor Require If A Fough-In Inspedion es No Is Required. ' O~ I , icensed contractor ? owner hereby request inspection of abov~e~el rical work ' Job Atltlress (Street. Box or oute NoJ ~~l Ciry W Section No. Township Name or No. Range . Cou Occupa PRINT) Phone po. Power lier ~ ~ . Mtlress Elecvical Cor~{y~jpLjGymp~nyE^~'C Conirac[or5 License No. ~i1~i~:S L v . INC. CA00381 Mailing AtlCre ontractor or ner Makin Ins •'O I Aut~onzed~5igiw~ire (COntractoriUvner Iting Inslallation) Phone Number _-J ~ MINNESOTA STATE BOANU OF ELECTRICITY THIS INSPECTION REOl1E5T WILL NOT Gri9gs-Mltlway Bltlg. - Roam 51~3 BE ACCEPTEO BY THE STATE eOARD 1821 Universlly Ave., SL Paul, MN 55109 UNLESS PROPER INSPECTION FEE IS P~one(612)662-0900 ENCLOSE~. 9 ~ REQUEST FOR ELECTRICAL INSPECTION ::y°- ea-oooa,-os ~ Sce inshuctions lor completing t~is form on back o~ yallow copy. /~/~v ~7 3 4 7 2~ x" 8elow Work Covered by This Request ~ e~ A d Rep'. TypeoBuilding AppliancesWired EquipmenlWiretl Home Range Temporary Service Duplex Wa~er Hea[er Electric Heatin Apt. Building Dryer Loatl Management Comm./Industrial Furnace Other (Speciry) Farm Air Conditioner OIM1er (specity) Conlraclor5 Remarks: Compute lnspection Fee Below: # Other Fee # ServiceEnlranceSize Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps ~ 0 to i00 Amps Vansformers Above 200 _ Amps A e100 _ Amps SignS Inspec~or§ Use Only: ~ ~ TOT6L L~ d UU.i F'8 Irrigation Booms . I!~ B I SpeCial Inspection 0/~ L!~a ^rO 1 I 3 w nlarmlCommunication THIS INSTALLATION MAV BE ORDERE DISCONN CTED IF NOT Other Fee COMPLETED WITHIN 18 THS ~ I, the Electrical Inspecto5 hereby Rough-in a~ ~ Q certify that the above inspection has F~~ai oa~e. „~.7 ~ been made. OFFlCE USE ONLY This reque6[ wid 18 monOts From ' ~~i578 a ~ao~ Repues~ Oafe ~ Fire o. Reugn-In Inpse ~ n puiretl Inspection Othe i~an h.ln (vou must r wnan ready) ~ qeedy No Wili NotHy InsO~ior Yes No Date ReaE I-' ~ sed contractor ~ owner hereby request inspection of above electrical work at: - . . Job Atltlress IS~reet 8oa or RoNe No.~ Cil ` r~ ~~~~e~v G~J~ ~.9~ ~.cl $eqion No. TownsNO Name or No. Rang No. Counry n~~~~ % O[cupan RINT) Phone Na, . ~ U~ Power pplier AtlGress . ,g.~_ ~Lec~ Elecvical Conuacror ICompany Name~ Convactor5 License No. (~7 1 Mail~ngNatlre~~u~"~i,-0wL~i94MaAj~j~n~'aildip~. ~iV ~'Z4 tiF:J~.`38~0 Aut~oriee~ onb or nstalla4on) ~ PhonB NumOer _ _ MINNESOTA STATE BOARD OF ELECTPICITY THIS INSPECTION FEOUEST WILL NOT Grlggs-Mltlway Bldg. - Noom S1]] BE ACCEPTEO BY THE STATE BOARD i8T1 Univ¢nlly Ave.. SL Peul, MN 5510d UNLES$ PROPER MSPECTION FEE IS Phone~fit2~662-0800 ENCLOSE~. REQUEST FO INSPECTION ?'"'~4' EBA0001-OB S C ? See insVUCtions br c n back of yelbw copy 7Q ~~y.' ~ 1 J ~ "X" Be/o rk ave~ed by This Requesf "~•ws:~ eW - TypeofBuilding AppliancesWiretl EquipmeniWired Home Range emporary Service .f Duplen Watar Heater EleciriC Heating - ApC Building Oryer Load Menegement Comm./Industrial Furnace Other (SpeCify) Farm Air Conditioner Ot~er (sV~ifyl ConVacrorS Remarks: Compute lnspection Fee Below: # Other Fee # ServiceEnirance5ize Fee # Circults/Feetlers Fea Swimming Pool 0 ro 200 Amps a to 100 Amp Trensformers Above 200 _ Amps Above i00 Amps Signs inspecror's Usa Oniy: Q7p~ ~y Irrigation Booms ~G/ C~ af~ Speciallnspection Alarm/Communication THIS INSTALLATION MAY BE ORDE CONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rou~n;~ r ~ oa~e certirythattheaboveinspectionhas F~,nai o been made. ' ~ 7 OFFICE USE ONLY This reques~ vaitl t8 mant~s imm PERMIT i~~~s i~~s~~ ~-~'CIT"i( OF EAGAN pERMIT TYPE: 3830 Pilot Knob Road 6 U I L D I N G Eagan, Minnesota 55123 Permit Number: A 2 2 g 71 (612) 681-4675 Date Issued: 01 / 2 5/ 9 R SITE ADDRESS: 509 SEVERN WAY LOTe 21 BLOCKt 2 COVENTRY PASS 4TH P.S.N.: 10-18q03-210-02 DESCRIPTION: B ild ni g ermit Type SF DWG uilding W 7ype NEW „IJBC Ocaup~ncy R-3 M-1 fvnsCruction Ty ~ V-N Znning R-1 Building Length 68 Euilding Width 38 E3(~ilding stories 2 \\~~1 i v V J~_ REMARKS: S& W PLBR - VAL4EY PLflG FEE SUMMARY: VALUflTION $176,0@0 Base Fee $905.5~ MTSCELLANEOUS ~1,828.50 Plan Review $588.58 Total Fee $4,210.58 Surcharge $88,00 5AC $80@.0~ SAC ~ 100 5AC Units 1 Subtotal ~ $2,382.08 CONTRACTOR: - Appiicant - sT. ~IC. OWNER: ROTTLUND CO INC. THE 15710304 @C~(71335 THE ROTTLUND CO INC 5201 E RIVER RD 5201 E RYVER RD 301 FRIDLEY MN 55421 FRTDLEY MN 55~121 (612) 571-0309 (612)571-0304 I hereby acknqwledge that I have read this application and state thaY ths infarmation is correct and agree to comply with all applic~ble State of Mn. L Statute ~ d C' of Fagan Ordinances. J ~ ~ - ~ 113 1l.Dt/'A. ~ p~_ APPLICANT/PERMITEE SIGNATURE --rS~ED e SI NATUR INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: e u z ~ a x N ~ 3830 Pilot Knob Road Permit Number: 0 2 2 s 71 Eagan, Minnesota 55123 Date Issued: 01 / 2 5 J 9 4 (612) 681-4675 SITE ADDRESS: ~ o T: z 1 B L 0 C K: 2 APPLICANT: 509 SEVERN WAY R07TLUND CO INC. THE CqVENTRY PflSS 4l"N (612) 571-03~4 PERMIT SUBTYPE: TYPE OF WORK: SF DWG NEW . . FOOTINGS FOUNDA'fION FRAMSNG ROOFING SNSULATION FSREPLRCE ROUGH IN PL6G ROUGH IN HTG FINAL PLBG FINAL REMARKS: S& W PLBR - VAL~EY PLBf., . - - . . . . - . . . ~ ~ _ ~ REACTI4ATE _ CITY OF EAGAN PEt~~uT 19~3 BUILDING PERMIT APPLICATION;•~~~;~[~ ~D ~ ' ' 9~ 681-4675 , a~ A 1994 l9 ~ :n " r ' ~J SINGLE & 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 specifications, 1 copy of energy calcs. Penalty appl.ies: 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 ance permit is issued. Date ~ Yaluation of work ~0~ Site Address: ~-9~1 ~Vev~v~ ~Na~ STREET SUITE M Tenant Name: (commercial only) `7~iv_ Qa~-~l~u,~ ('ic~. ~rct'-~ IAT SIACK SDBD. ~,~Iq P.I.D. M Descri tion of work: ~i' The applicant is: Owner ~.Contractor ~ Other co~«in~~ Name '°S"~-~~^4-~~Y~c~ ~i4~-F-qc. Phone . 7/-~3o Property ~~ST FIRST .Owner pddress -r,2<~t 6-(2i'uerl2r~a~7o1 SiREET STE M City ~---~~•4~ State tit.~ Zip `~~f~ Company ~ r~ Phone Contractor Address License l~~S` Exp City State Zip Company ~ Phone ArchttecU Engineer Name Registration ~ Address City State Zip Sewer S water licensed plumber ~ b~ . Processing time for sewer & water permits is two days o ce a a has bee pproved. I hereby acknowledge that I have read this application and state that the information is carrect and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: L2~ .~G~kK-~:, OFFICE USE ONLY . ~ BUILDING PERMIT TYPE . ~.r~ . ? OI Foundation ? 06 Duplex 0 11 Apt./Lodging ~y ? 1fb~6asRD~4~~"finish ~ 02 SF Dwg. ? 07 4-Plex 0 12 Multi. Misc. ~~0 17 Sw1m Pool ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ~ 18 Cortan./Ind. ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comn./Ind. Misc. ~ 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE k7 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) ~ Basement sq. ft. MWCC System ~ (Allowable) Vy lst F1. sq. ft. ~ City Water UBC Occupancy p?-3 ,+•r-/ 2nd F1. sq. ft. PRV Required Zoning R-1 Sq. Ft. total Booster Pump ~Y of Stories ~ Footprint Sq. ft. Fire 5prinkler Length On-site well Census Code ~o / Depth ~,33 On-site sewage SAC Code / APPROVALS % Planning Building Assessments Engineering Variance RE~UIRED INSPECTIONS O Site ~ footing .~'Framing E~J' Insulation ? Wallboard Final ? Draintile ? Fireplace Permi t Fee v.i~scso~: S ~ ~0 Surcharge ~s~-fd~ Plan Review a-3S _ 1336 ~a~• License ~ MWCC SAC /G, S,r 3 = `/j~s5- ~~~f-3o = ~pO City SAC ~o z~ zo Water Conn. ~~o,t- 5 = Water Meter (o~oX/Ga /ozya Acct. Deposit ~ y-~'2 " ~ S/W Permit c 5/W Surcharge ~~g~.s°X~S ~ IDz 63~.s o Treatment P1. ~ . Road Unit z ~ ~~/9 S ~ Park Ded. " p~Z Trails Ded. 38„i-z°/ ' Copies - Other (G k l~, _ ` Tuta~: //~~~,re~.~~ (~3~o?i sac x J SAC Units r .a r~~' * ]f- 2422 Enterprise Drive Mendota Heights, MN 55120 * PIONEEF! W!D SUflVEYOFS • CIY1L ENGINEERS (612) 681-1914•Fax 681-9488 eng~neer~ng UND PLANNERS:• LANDSCME ARCHITECTS s25 Highway 7o Northeost ~ Blaine, MN 55434 * * ~ (612) 783-1880•Fax 783-1883 Certificate af s~r~ey fo~: The Rottlund Companv, ~t1C. House .Address: 509 Severn Way~ Eagan, MN Model Name: Monterrev F.r ~ SV5~4r7~~~~~E ~ ~ 3L, 0~ 913.0 ' ~ _ - _ - - ` ' - - ~ - . S~ ~ - ~ _ _ ~ _ ~ ~ ~ / I W r • 3 ~~9,9.~8 2 ~ i M N ~ l ~ ~ ~ 9 5 a- M VOCQ/1 r ~ ri/ l~j +9~ . I CD O . 2 O ry~~~ / I 5 ~ ~ . , \ I Z C7 4 / / 1~sp ~ 11.41 ~ ~ d `{P ~ ~~ii9\w~•QJ ~ $ ~~o {9i~~6 ~i ~ ~ q~~ ~ / P yh / ~ ~ ~4~ cA m~~s~~ ~y~o1 ~ U ~C ~ °o ~ ~JCA y~~`~~~ ,R`p \s~? ~ i ~ / / oy v / ~ i / 'm ~yFO s~,,oo / c ~~F ~ i / , '"~s '~b ~ / ~ ~ ~ 3 L~ ~ ~ ~ ~ 974.9 ~ ~ \ ao ~i s q'~~~. ,~1 ° ~ ~ ' - ~ ~ ~ °`b eA ~c' Og S~~=~/ ~ S~~ 22~,~GAf~ ~ ~ i ~ s~ak~ RENI~WED 9~''~ . R ~ 6' qn, 2`'~ 9(!•5~ 6.35 QY ~ - ~ 60 49~3 , 9~`•~° - ~F ~ ' ~0 2 916.3 1 ~ qu ~ ~ ^ 9h5~66 ~~.__e- / ' / / /1''/~ i ~ ` ~ ~ ~I ~Y ~ ~ ` ~ ~~~v~ x,zrr ~E~ NOTE: CANTRACiOR MUST VERIFY ALL DI11EN510N5 AND ~RIVEWAY OESICN . eoo.o Denotes Existing Elevation PROPOSED HOUSE ELEVATION Denotes Proposed Elevation Lowest Floor Elevation:91Q.85 Denotes Drainage & Utility Easement - Denotes Drainage Flow Direction Top of Block Elevation:918.96 Denotes Monument Garage Slab Elevation:918.63 Denotes Offset Hub Bearings shown are assumed LOT 21 , DBLOCK MIN~soTA COVENTRY PASS 4TH ADDITION ~ I hereby certify that this survey, plan or repon was prepared by ma or under my direct supervizion and that I am duly Registered Land Surveyor under the laws ot the State of Minnesota. Dated this 1f~ dey of J6^u4~`~ A.D.79~, ( .Al~S~.Y+'K~.~ ` ~ SCGIe. ~i"-ch=30feet ~"~"'x"" ROBERT B. SIKICH ~.5. REG. NO. 16891 1~ 92526.22 ~ ~ 2AT iQRVEY CBECICI.IBT ?OS 1tE6ZDE2TZ'271L ~ sIIILDINO pZRItST SpPLIGTION ~R04ERTY LLG]1Lt ~ ~ ~ ~ . ~ a.c. o: .,u,?.p= ~!s"~L~ 5'______ DDCUMENT BTIINDARDS H~D D • Aegistsree Lsnd surveyor siqr~ature and eompnny 8~D 0 • Suilding permit 1?pplicant , ' @~ 0 0 • Legal description B~~~ 0 • 1?ddr~as 6~ G ~ • North arrov aad bar scale ~ B~0 0 • Iiouae type (ramblar, walkout, aplit .w/o, split antry, lookout, etc.) 9~0 0 ~ Direetional drainage anows vith s2ope/qradiant 6~D D • Proposed/axisting sowar and water services H~~~ 0 • street name G~ D 0 • Driveway ELZ'~?ATIONB Existinc D 0~0 • sewer service , ~ 0~ 0 D • Lot eorners 8~ 0 0 • Top of eurb at the driveway D~ 0 0 • Elevatioas of any exfsting adjacent homes 4ro~osed _ ~0 0 • Garage floor - 0~ 0 0 • First tloor ~ G 0 • Lowest exporad slevation (Walkout/window) 0' D 0 ~ Broperty corners . LYn D • Front and rsnr o! home at the loundetion PONDiN6 I1REa8 ti! anol3eabi~) D ~ D ~ ~Lement line D ~ • ~twL ~ 0 CI 0 • Pond ~ desiqr~etion D ['~0 • Emerqenoy Ovezflow Elevation nirtsxsioxs D D ~ • Lot lines ~ ~ D G • Rfqht-of-way and sts~et width (to beck oi curb) Y~D D • propose9 Aome dimeasions ireiuding aay proposed •d~cks, overhangs qreetez thaa 2', porchsa, etc. (i.s. all stzuctuzes requiring permenent tootinqs) ~ 0 0 • ShoW all sasements of record and any City utilities within thoce sasements 8~0 0 • Setbacks of proposed sLructure and setback oi adjacent existing lsomes D 0 • Retaining requ mentr, i! any R~t+i~aeC: Hame / Da Oetobez 1992 , ' ~r~r;~ort f:rrvr•.t,n~~r: nvt•:r,nrr: ^u" cnrrru•rn•ri~ur ~~r,~,-~rr~; osrv~ 1 . ~ ' . SITE ADDSESS CONTRACTOR ~orTL UNTJ G~, D.qTE PHqNE Determin vorkinr; square footv~e of ench. 1. Total exposed va?1 area 2r'l sn. ft. x 0.11 _~,~7,Zw • 2. Total roof/ceiling area I J~ 9•~ sc~. ft. x e.0?6 _ 3O~ G(~ • • Total exposed vail area nbovc flo~r = 2~~ Z s. Total uall vindow area . 2 , _ b. Total door area (o.G2, c. Total sliding glass floor area -r d. Total fireplace va11 nrea 2 G e. '~otal vall framing a:ea (avera~e lOP) D, i'~ t. Total net vall area above floor /pj q 7,G/ • . 6• Total rim ~oist area ~ ZD,i-~ , Total eaposed frn:ndation arca = ~II 4' ` h. Total foundetion windov area ~J~•7,7 i. Total net foundation area ubove.grade 4,L~ . . Determine "U" value o: each ~all ;FFment. ~ a. I a~.2 „U„ 0,~2 - 77• 34 b. ~7 to. /L x„U„ O, l3g 7g . - . X ,~U„ _ d. 2~ x,~s~~ . o, / 2,g ~ e.. 21~, ~'°J X.~,u„ ~~089 _ l$.75 r. 1~97;at X„U,. /~,~~r3 _ ~ g~).57 J . g. 2 Z~ , o X.•t,,, o, D41 _ q.o S ~ n. I~.75 X„v~, 4«a _ ~ 7. Z~f- 9~. X„~„ : o, iq- _ /3.Zs 3. ~r~r,~~ = 2/7~ 4 . If item'//3 is the same as, or les: :.t~:~n ite:a tll, you have meL the intent or ssc 6oo6(c)2. ~ n ~ , , Total exposed roof/ceilin~ Rre1 = ~ I~~i~'J 'i . . . . _ Total gross roof/ceilin~ are:+ _ . . ' Total skyli~ht area _ k. Tot al roof/ceiling framin3 area !7~ 1. Total net insulated roof/ceiling area ~(p/~ r7 S_ • ~ Determine '~U" vnlue for cnch ruof/cci 1 in~; ~eF,~ncnt. ~ X ~~U~i • _ , k: li7 9~ X„U„ ~ ~,cz7 = 3;1~ ~ ' . 1. / 0!~/.,5~j' x~~~~~ G Z = 2 3..3'? ~ u . Totai =~Z G, 6 3 c~ If total of NL is the sa~ne ~s, or less than N2, you have met tt~e intent of SBC 60o6(~)i. . , To utilize the total envelope system method, the values establi_hed by the ~ s~ of itens H3 and M4 shall not be greater. thxn the swn of iten,s Ill ead 112. 1. + 2. _ _ - ~ . 3. L = . • . . ~ . • , r~ : • 0 _ . O ° . . c>4-i~ :-Si> . 1 DETAILED F;EF'ORT FOR EfJTIRE HOUSE Frepar~d For: F'repared E+y: N~rmnr.r.' h1.W. 6uerre Flar-e Heatir~g , Mn J~b Name: Custom HGUSB ****k.~:***~~.**~*~-******~-***k-%~**~~********~**4C'~'4~*$*~~:Y:Y:~**~:~n%k**n.'~F**~n%n*XC*Tm** EX~'OSUFE GLASS NOnTH SLIUTH EAST WE~T PJE/NW SE/SW HORZ. TOTAL Arr{EA I 6? ~ ~ i~ .^.liry ~ 114 I 28 ~ i2 1 0 I 464 I COOLIPJG ~ 1.6991 6~9~ S.28C11 5,^c~Vl ^o7'~i 1.103~ p~ 18~~1p1 HEATING ~ 2,9641 1,194i 8,°46; 5,04~{ 1,23^c~ 1,2.=+^0! 0~ 20,524~ BELOl+3 WALLS ~,O~TH SOUTH EfiST WcST PJc/D+'4J SEJSSJ 6RADE TOTnL F,F'EA ~ 51~1 2=81 76C>I 94.31 <^i~; ~C.f 4~ ~9b~ CC~JLIN[ ; 742~ 77i>; 698~ 774I 1^c; 18~ U~ 3,i~~71 HEFiTIhd^u ~ ',075~ ,16~.; ~,Eb^c~ _,18^! 7~~ 757 7,4~~~ l~,0'02; QOQRS I'dOF;TH SOUTH EAST P1EST NE/PJW SE/~W TQTAL AREA ; UI i^o~ 2n; la; p; Qi 1 50~ CQGLIP•J6 I i~~ _~1; ?7^0~ 251~ c~1 L~I ~ 7E~~~ HEr^,TIPJG ~ n~ 1,~~3i~~ 1,145~ l,t~:0; q; C>~ , .'_.,?p5~ FL07fi AFE:, COOLING HEFTIPJG 3439 ~ O ~ 3,^~7 CEILIhJG nnEA COOLIPJ~ HEFTING i I.iS'i i ~~b~o MISCELLAPJEQ~~S COOLING LOr;DS F'EG~ilE Sen=_ible LGau' 1,i~5 La.ter~t LC~dd ~ 7~~C~~' Liqt'it= R, t^.~F~pi . Load 1, 195 LntErit SafEty c~tui i =7~ Ventilation Lc~d 1,~E5 Duct Heat 6ain ii Infiltratior~ Load ~'lt> Scnsible S~fety L'tui~ 1,~4~~ TOTAL SEf•lSIBLE LOnD ~9~198 TOTAL LRTEfJT LOAD 7,08_ Summer FCH ii.C~7 Temp. Swing Mult. 1.0:~ Total Co~lir~o Lc,~d ':,~~8? FTUH Or =.0~ Tnr~s T~# MISCELLAPJEQL~S HEATING LOADS Infiltration Load 7,579 :'er~tiln±ior~ Load D~tct He~t Less Safety Rtuh Winter FCH i_~.1~ e.~ne TC~tr.l Heatl~~q LG~d b5.:~~= RTIJH m*+"~ , 04-C> = -9ty , ' _.1 SUMMr^,R'f REF'ORT F'reparEd F~r: F•rEprred Ry: Norm~ndy M.W. G!iErre . Flare Heatir~g , Ptn Job Name: Custom House :r.~kT.~IA~"fi*###~*~.~:***8#BcW.#a~:%#"~~~k:~K ~"~$C%tk~:M"~"~*:r.m~*#*~~"d:n"~F*%n%n$~~*m#~*mm8%n~m~**k#7F DE~SGPJ COP;DITIONS -For DUTDOGR INDOCIR ~VI4IMGR WIP~JTEfi SUMMEF bJiP•aTcR Dry Ru1G -25 :2 7~ Wet Rulb 75 " 67 Daily Range 2~~ paily 5wing '.V LatitudE 44 Elev~ti~n Safety Factor 5 LatFnt Factor "~*m".~.r~e.:nmm:s~iR:**%n~%n,~'r#~:K~~kX~*`r.:r.:r*~~~~.rf$m"~"~*".d*~*.'('+*~~'~:#$$:'~$W.~:"ei"~r*N'.~%nm:r%nyn~`.#~AcT."~c:r 5en=_.ible Fc~om Hcating Heatino Cooiing Cooi~ng IVame , BTUH CFi'i RT! ~H CFi1 R~serr~en t 1~~ a4o ~78 1, 868 94 Great Room 3,:55 47 ~,874 145 Dinettc 6.120 8b =,491 170 k:itchEr~ b,792 9S =,144 154 Dining Rc~orn 2,24~ 4~> 1,?'~5 1~>1 Foyer ~,=?6 75 _.4~~4 i?2 Office Den 4,422 6~ '3~ 118 bedroom 1 -;,bSJ 6~ ~',717 137 Pathr-c~or~ 4.402 b~ .67~: :~S Master Redroom =.,021 Sb ,441 i~i Pedroc~m _ ~,bb`~ 51 =~~2 llo b5.~9= ?17 ~9.198 1,47~ HEF~TING DELTA T oS.i~ C~GLIN6 DELTF T l~.n NOTE: Calculated F,irflc~w is based u~'ion lc,ad requir-ements. Verify that airflc,w calc~ilated is compntit~le with selecteu Fqui~~m~nt rEquirEments. PERMIT ~~q~~~ ~ CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B u r ~ o r N e Eagan, Minnesota 55122-1897 Permit Number: 0 2 6 4 5 8 (612) 681-4675 Date Issued: 0 4/ 2 6/ 9 5 SITE ADDRESS: 509 SEVERN WAY Ltl7: 21 BLOCKe 2 COVENTRY PASS 4TH P.I.N.: 10-16403-210-02 DESCRIPTION: Building'Permit Type DECK Building Wo=~.k,Type NEW ~ti ~ i ~ ~:i; ~ ; zx ~ l, t . , ~ ~ ~ " . 'i ili. ~ . , . ~ _ Y I a.._ REMARKS: FEE SUMMARY: BaSe Fee $30.00 Surcharge ~50 Total Fee $30.50 CONTRACTOR: OWNER: - Applicant - THORN JAMES 5@9 SEVERN WAY EAGAN MN 55123 (612)455-6500 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply ~ith all applicsble Btate o~F Mn. ~ Statu s and City of Eagan Ordinances. J ' ~ru,n ft ~a;(..,~,~ __l~~ A TEE SIGNATURE -~1~D : S G TURE ~ INSPECTION RECORD • CITY OF EAGAN PERMIT TYPE: g u z ~ o i N ~ 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: 0 2 5 4 5 8 (612) 681-4675 0 4/ 2 6/ 9 5 SITEADDRESS:P•I•N.: 1e-seaes-z~0-az APPLICANT: L07: 21 BLOCK: 2 509 SEVERN WAY THORN ,7AMES COVENTRY PASS 4TH (612) 455-6500 PERMIT SUBTYPE: TYPE OF WORK: OECK NEW . . OOTINGS FINAL .r ~ ~ ~ ~ « , CITY OF EAGAN ~ ~ ~ 3830 PILOT KNQB RD - 55122 1895 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Construction Reauirements RemodeVReoair Reouirements ? 3 registered si[e surveys ? 2 copies of plan ? 2 copies of plans (indude beam 8 window sizes; poured fiW. design; etc.) ? 2 slte surveys (exterior addkions & dedcsj ? t energy calailations ? 7 energy calwlatlons for heeted addkions ? 3 copies of tree preservation plan 'rf bt platted after 711193 required: _ Yes No DATE: O~~ CONSTRUCTION COST: - y~~' DESCRIPTION OF WORK: STREET ADDRESS: ~ ~ ~J~~~ LOT a~ BLOCK _Q~ SUBD./P.I.D. J~~'~~`~ ~ L PROPERTY Name: ~d~~ ~~~5 Pnone : ~a " ~~3 OWNER ~~.er ~ ~ YSS - (oS~~ street Address~ 5~ J~ lA /ic-~/ City: ~y ~~i'9 State: ~'~l Zip: ~~~~3 CONTRACTOR Company: Phone Street Address: License City: State: Zip: ARCHITECTI Company: Phone ENGINEER ~ Name: Registration Street Address~ City: State: Zip: Sewer & water licensed plumber: Penalty 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 in ation is corr and agree to comply with atl applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE U3E ~NLY ~'j r~[~~MI~~ Certificates of Survey Received _ Yes _ No pp~ Z 0 t995 Tree Preservation Plan Received _ Yes _ No ~ + . OFPICE USE ONLY °~y " ~ , . BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 46 Basement Finish 0 02 SF Dweliing o 07 4-plex ? 12 Multi RepaiNRem. ? 17 Swim Pool ? 03 5F Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility n 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Misceilaneous ? 05 SF Misc. ? 10 _-plex ~ 15 Deck W~RK TYPE ~ 31 New o 33 Alterations ? 36 Move 0 32 Addition o 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. y3 y Depth Footprint sq. ft. SAC Code oi Census Bldg / Census Unit ~ APPROVALS Planning Building Engineering Variance ~ Permit Fee Valuation: $ ~ 2 ° ° ~ Surcharge Plan Review License MCNVS SAC City 5AC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: 96 SAC SAC Units ; ~ F'.~ • ~:d • ~ S85'47'f8" ; 132.00 ~,3 . J/, ~ 4 __n . ~ ~ ~ I W ~ ~,.~a 2 ~ i ° ° N 3 i ,m / ~.s ~ ~ : . Vocan ~ ~ 40 `6~.~\ q`o ~?g ~ g: 2o N,~~'y ~ t~ ~ 5 . ~ ~ ~ ~ E , . ~ ,i k ~~9 °~~,ei~4~'~ 'A~ s •9~°.t ~ y~ j4~ ~ ~ ~ . , ; ~ ~ - ~o~ i ~ \ ~ i ~ 'bg ~ ' ~ \ ~~e,~ l~?v3 ~ o ~ ~ ~ ~ ~ ~ ¢ ~ i ,~5'S9 rs'~ se. $ \ 4 4~'~~~t, ~-O : . y~ ~ y 22 L~ ' ~ ~ ~o ~ m3' ~ ~s•r ~°'y~~ ~ . SE~ s°•~ :~2' ,e. F,p~ y~,~ r \ I ~ fm1E conTiGC70R IWST KRMY u1 un~NN9oPS ?ND ORM1EwAY DESl6r7 . . . uoo.o penotes Existing Elevatio~ ROPO HOUS~ ATtQN ¦c~ Denotws Proposed EJevation lowest Floor Etevation:910.85 Denotes Orainage dc Utillty Easeme~t - Danotw Drolnoge F7ow Direction Top of Blodc Elevotion, 918.96 -o- Denotes Monument Garag 5iab Elevation; 918.63 -a- Dertotes dffset Hub Bearings ahown are aseumed : LOT 21 , gLOCK 2 C~ TH TR ~T ASS ~ . DAKOTA COUNTY, AIiNNESOTA l ~ -l hrabY nrtMY lhet thh wrwY~ Plan or ra~iart rw~ V~~ee yy me a uMn mY direet Wpsrv4ipn snd tMt I~m duly ReOtmrad lunel BurMY« i ; under tM Wvt o! tM State of 611nnawu. D~tW tAh~_ dry of ~n u.~ a.~ A.D. f9 ' . , . r^ - - ~ - - e n r__a : . ~^~'r~' g',;` d '~r -r~r: - . ~.r~ @y , ~ .:.,.....Y~./,°~;~..~YJ:l;2+:+ .l~~tl{'~~.S.Ifiri.GO..^..~w v..~~.G.+skr~~~rtk.,G~.. ~ . : ..R : .d`.af~a:t3kkf~[I~(~._f.`.'C'n.v~, . ~~y~~ t ~'~~"1~~~~"~ ~ w;sl~ z~s y >ue.µ~~~w~,~~~~`~~~&.~~y~'~~am ~'~'s+c~a~ ~a,~iJ`~_s~""~.. a~~a i x s=~~v~'~. ~<,r ~~jA §~3 ~ F~~,~~5*~°<e`y~'a~~i~3~ a~ a~~i i b r$s~~~ F` ~g' 3'ay.~ z~ 3~, e r ~V~~ '3°y cSz' ~ s s~a~.a~"~s£<~,H~t33s43'~3hYir 3~#vt ~ffR^~e~7~~~+~~..{~~ ~ h-,: n<>.: ~ o-... .....u. ~ 7a ii3..a:...'~~ .zi:,a.:.,b 1.£,~ ' ~:..~~a .~e f..~?.>.: a.. .,.,~.a a~o-. . . ¢ . . 3.,, ~ : 1994 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNIT. ~ NEW CONSTRUCI'ION ADD-ON AJC ADD-ON FURNACE FIREPLACE INSERT DATE ~J~'~c FEES HVAC: 0-100 M BTU $ 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS (MINIMUM 1 @ $3.00 EACH) ADD-ON/REMODEL (ExISTING coNS~tucrION) $ 20.00 STATE SURCHARGE .50 TOTAL c~'1~4 SITE ADDRESS: ~5:~ ~A_ OWNER NAME: Ck~c~,~ TELEPHONE #:5~~-~'~"~~ INSTALLER:~~~_ ~~~c~ Y.S~-- ADDRE35: ~~.~~t-~,_-~.sl~.~ ~.~e_ CITY: C-s- .V . STATE: ~'~n ZIP CODE:~y~1 TELEPHONE ~~.`~--\\~,b ~ SIGNATURE OF PERMITTEE ~'"~7~~ -"E ~x+ ...w -z~,t~&~q fa ~w-i+va a M'x S.o s`r, x c a z)-~~ a ~ ;"sf n.~Y'~~. -'c ^~,P~,'~~T'' 3it~`0`~' g,~ "ia3'g~'~'x~~'.'R~' d< .s. ~,~K °yc e~ r ~'.~t ~ ~ts ~ 4~ ~ 3? x w.°~~rc~~~''~Hy ~'~3~ ~ 3~'~ ~c3 ,yo~°^~`R ~ ~Es r £~`s.3 t~ '~r~ S~~c >3' . : a < ay Y x~'~~`a r S~A~3'~4~A i~ 35e4 ~,~?xw.. s„~£~1 S e s ~29F~*. ~s.~r sYa ~ 3£f s S€ z ~1 i' ~A fx ~ ~asc Y FDF f€ ~~r53 cM.b f~ ~ i~g~ ~~y hht?, ~ C'. F'<T s ~i a~ h&x.~ ~ ~ r~~13S~;'~iys .y,aa~g z y,ir i s.ss3^u £ 3~~`{vr ,s4 x t~LTS~a r x ~c ~E"t~Y~'sR&~~~~ ~$~i:v~niRe~a i~f3;3~. z~. ~33 FA t 9 ,5~ k'FN ~ i . ~F~ ~~x°',~ c.A ~ ~a. ~rz.s~. ~r:~c ~ £s ~ . ....,€.5...>,o-."?H~~ A$~+53~.~,:°'~-~a.'~.,~e~'?.sx`v>>k~'.a< ~<bn~~~&BSd?.Y.ta'~i..w.h~.°SU.Ym~... ~~<Str~~~~ ;'$,2,.`s°.a:.«.~`&?:is~aa '~s 1994 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. DATE: CONTRACf Pr:ICE: $ NEW BUILDING INTERIOR IMPROVEMENT WORK DESCRIPTION: FEES 1% OF ~i~~~G"~ FEE $ PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE $.50 FOR EACH $1,000 OF ~"~MT'~' FEE. TOTAL $ SITE ADDRESS: OWNER NAME: TELEPHONE TENANT NAME: (IMPROVEMENTS ONL1~ INSTALLER: ADDRESS: CITY: STATE: ~ ZIP CODE: TELEPHONE SIGNATURE OF PERMITTEE CTI'Y INSPECTOR y. },w+~y r NLY y~ L',~~°7~,rL Dl!:'- ' ~,~~.f~~' .•'w-"~~„'sic} y?>F F a d ~ ~s s~y £ . ,v a~°°'~ ~.~}~a~ 6UBD ~ A~:~ ° ~ 1994 PLUMBING PERMIT (RESIDENTIAL) C1TY OF EAGAN 3830 PIIAT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WI~iEN PERMTTS ARE REQUIRED FOR EACH UNTT. NO. FIXTURES EACH TOTAL ~ SHOWER 3.00 3 - WATER CLOSET 3.00 ~ a BATH TIJB 3.00 l D- 3~ LAVATORY 3.00 ~ - KITCHEN SINK 3.00 3-- LALJNDRY TRAY 3.00 3 - HOT TUB/SPA 3.00 WATER HEATER 3.00 FLOOR DRAIN 3.00 1 GAS PIPING OUTLET • m~~~m~m • i 3.00 ~ ROUGH OPENINGS 1.50 y ~ ~ ° WATER SOFTENER 5.00 PRIVATE DISP. • DakCTy. lic. ZO.OO U.G. SPRINKLER • nome under oo~i. 3.00 ALTERATIONS • ~o aus~ing 20.00 WATER TURN AROUND 20.00 STATE SURCHARGE .50 TOTAL: SiTEADDRESS:__ ~iOq ~evarJ OWNER NAME:__~~~-l\~-c~ INSTALLER: V ~a c~~ C o a. c• ADDRESS: lnl[) GQer~C L~, CIT'Y: ~0 2 d 4. STi1TE: 9'`` ~ ZIP CODE: s s 3~' PHONE ( ) 4 `l, ~ ala ~ ~ SIGNATURE OF PERMITTEE tF ~ ~ ~ ~ n ~~'~75~ ~z~7~'~~'' yy~~ ,y~L i~ ~ '~.~'~a?-0~'~'~ ~ ~ M~~~L` l~ s a'~'u~'yy 'x`a ` ? ~ 4 p.'~"~ >3~"3s > 3~`S i3.~° a e q,~ Z`t, i h~'F w s~ r K ~ q> ~R.~~C a „ yw~': s ~ ~.Ea ~'a>~r ~y?Y3~~s~, )~~k`r'.tu`o,iq r~a~s' ,2"~, ~:a~'p'#°<a i£~ ..~£k~ ib~4e~ : t . °~~`u~ a~3~ K~` :'f'~' ~ ~ ~e°2;y3~'i F F~ia g~{L`~u¢~ ~,~4ti."°z g9 ~ ¢$g ~as ~i§ y~' U y uo-,~ ~ . ....~.4~"~. .eo.o ~+'~..F+ ax~~ ~.~~n3:~3~'iua<w<auwa~^..tR~~~~.~..\.mw ~~SR.~~ ...F. . w.:4.. 1994 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PII,OT `KNOB RD EAGAN MN 55122 ' (412) 681-4675 PLEASE COMPLETE FOR ALL COMMERCIAL/INDUS .T~2IAL BUILDINGS. ALSO FOR MULTI- FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING ITNIT. _ NEW CONSTRUCfION ADD ON REPAIR WORK DESCRIPTION: , _ . CONTRACT PRIGE: $ ' FGC: t~lc OF CONTRACT FEE. STATC SURCHpRGE: S.SO FOR EACH $1,000 OF ;~~RNI~ FEE. DtINIbiUTi FEE: 35:00 CONTRACT PRICE' X 1% $ STATE°SURCHARGE $ TOTAL $ SITE ADDRESS: s , y: , , x TENANT NAIVIE: STE. # ` . . ' _ OWNER NAME: INSTALLER: ADDRESS: - CITYc STATE: ZIP `CODEa PHUn'E FOR: CITY OF EAGAN APPLTCANT L ~ / B~ ~L ~ SUBD ~ NEW RECEIPT d / RECEIPr DAI'E c(~ /S / ~ . . ~ J~ o ~i ~ ~ . PLF/~SE BE ADVLSED TNpT TF~RE IS A FEE SHORTAGfi ON TF~ ABOVE II.BCTRICAI. IISTALUTION IN TF~ AMOUNT OF 3 O' ~ SHORTAGE MIbT BE PAID YHITHIN 14 DAYS. REMARI6 • /~7 ~ ~ l./ 0 to 30 amn. circuits= V. ~ 31 to 100 amn. d re~its= 0 to 100 amo service~ ~ 301 to 200 amo. service= O~~ arJ TOTAL FEE DUE~ o~ . g c!J LESS FEE RECIEVED IU~ 73 ~ ~OC' TOTAi. FEF. SHORTAGE D[IE e , L~ D FHRMITO I"L 7'~ ' ORIG. RE~EIPPd~QI!,Zd RE~EIYT DATE ~ 7 SENRN A COPY OF TFlIS FORM HIIB BE!!II'fAPCE- ~89y a`~ RESIDENTIAL BUILDING , Permit Applicatiou City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephooe # 651-675-5675 FAX # 651-675-5694 NewConSbuctimReouiremenls RemodeVFieoairReuuiremenb OffzeUse~lv 3 regisle~e0 site surveys shovnng sq. R ol bt sp. fl ol house: anC atl raoletl areaa 2 mpies of plan _ Cert af Survey Recd (2096 mazimum lot mverege albwed) 1 set ol Energy Cakulations for n~ted addilions _ Tree Pres Plan ReN 2 copies ol plan showing beam 8 vrindow sizes; poured fountl design, etc 1 sile survey for additions 8 derks _ Tree Pres Nol ReQd lsetolEneqyCalwWtlons Additlon-irMicatei/onsitese0asystem _OnalteSep6cSystem 3 a0~ of Tree P2servatlan Plan H lol plaCeO aRer 711N3 Rim Joist DelaJ OD~~s se~Ctiui sheel (bidgs wiN 3 ar less unib Date / Construction Cost o~~,Ct'~J' .LO Site Address ~ ~i~P~ GCf / UnitlSte N Description ot Work ~ ' Multl-Family Bldg _ Y x N Fireplace(s) _ 0~ 1 _ 2 r^_ ~ / Property Owner ~ / (NJ ~ (1//j Telephone q ( y - S~7~~ Contractor ' Address City State Zip Telephone ll ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv I Minnesota Rules 7672 Ene~gy COde CategOry . ResldenUal VentilaGon Category 1 Worksheet New~Energy Code~ orksheet (J submission rype) Submittetl D~ I ~ SubmiCeA ~ 2 D • Enerpy Envelope Calalatlons SubmiUed p APR 2 8 Z003 Licensed Plumber Telephone ~ Mechanical Coniractor. Tel~aoas#{=? Sewer/Water Contractor Telephone ) I hereby apply for a Residential Building Permit 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 Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a p that the work will be in accordance with the approved plan in the case of work which requires a review and ppro al lans. J ~ t~?/ /`lU p can s rinted Name Applicant's Signature ' OFFICE USE ONLY Sub Types ? Ot Faundadon ? 07 OS-plex ? 13 1&plex ? 20 Pool 0 30 Accessory Bldg ? 02 SF Dwelling ? 08 O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex O 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazeba) O 36 Multi Misc. ? 05 03-plex O 11 10-plex ? 19 Lower Level ? 24 Stortn Damage ? O6 04-plex ? 12 12-plex Vlbg_Y w_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) O 44 Siding O 32 AddiGOn ? 36 Move Bldg. ? 42 Demolish (Foundation) O 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 WindowslDoors ? 34 Replacem6nt •Demalitlon (EnUre Bldp) - Give PCA handoul to applleant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ FinaVNo C.O. _ Footings (addirion) . _ Plumbing Foundation HVAC Drain Tik Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final . _ Framing _ Siding Smcco Stone F'veplace _ RI. Air Test _ Final _ W indows (new/replacement) _ lnsulation _ Reraining Wall Approved By , Building Inspector Base Fee ^ Surcharge Plan Review ~ MGES SAC City SAC Utility Connection Charge S&W Pertnit 8 Surcharge • Treatment Plant License Search Copies Other Total PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA132170 Date Issued:07/29/2015 Permit Category:ePermit Site Address: 509 Severn Way Lot:21 Block: 2 Addition: Coventry Pass 4th PID:10-18403-02-210 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & 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 - James A Thorn 509 Severn Way Eagan MN 55123 Sedgwick Heating & Air Conditioning 1408 Northland Drive, Suite 310 Mendota Heights MN 55120 (952) 881-9000 Applicant/Permitee: Signature Issued By: Signature SEDGWICK HEATING & AIR CONDITIONING CO. HEATING ,1p8 NO.����L= 1408 NORTHLAND DRIVE,SUITE 310 • MENDOTA HEIGHTS,MN 55120 • (952)881-9000 TEST RECORD ADDRESS � "� C1TY " OCCUPANT OWNER �"�` SOLD BY WSTALLED BY MAKE ��''��L;��."� MODEL �!/��G�4J �-'�lD���.L-� SERIAL NO. ����L ������ INPUT ��� ��/� ��.--- ��t THERMOSTAT •r.�(G���� VENT SIZE - VALVE ���,.I�� �"�1�� TYPE OF LINER `�L�� UMIT�[��T��� LINER SIZE S��� LIMITSETTING � � FILTERS: SI E ��`���X;�— NUMBER FAN SETfING WIRING �, ` PILOT TYPE TEST TAG IGNITION MODEL `'[+�� Sl�r��C� �IGHTING INST. PILOT TIMING '�.������ ��J� � DATE TESTED PRESSURE i � PERCENT COZ �t� INPUT CFH `��g� PERCENT 02 ���I COMPANY TESTING ������ STACK TEMR '.��_ PERCENT CO ��� NAME OF TESTER C `�n FORM 235(REV.10/10) � . FORM DISTHIBUTION: WHITE COPY-JOB FILE YELLOW COPY•CITY