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517 Severn Way ~ ~ . . INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: , , , ; APPLICANT: . ~ ~ ~ ; i1hY , • : . , r r~~ . ~ I~~ i i~ , i.l! i 1. , ; ~t• , i ~ ~ ~ .~r I PERMIT SUBTYPE: TYPE OF WORK: fu~, . r~~ . . :~r ir,~ ~ ,r~~r, , i r, ~ii ~ i y~ni r ~ ri,,~ ~ ~i:t~ in~: ~ ~I I ! rlr:1 t I I I I I,i :,I 1 1 Y i't F:~~ ~ ~ ~ J ^ Permit No. Permit Holder Date Talephone # S/W : PLUMBING ~ l/~ HVAC lf ~j ~ ~rfL'•~%~ ELECTRIC ~ ~ ~ ELECTRIC 3 I • • Y ~ Inspection Dets Insp. , Commsnts Footings I ~ ~0 / ~3 ~J Foundation ? Framing ~ ~3 ~ Roofing Rough Pibg. 7' q L J Rough Htg. ~ /1 is~i. ~ ~ 3~3 ~?~a`~ ~3_ S Flnal Htg. Orsat Test ~ . Final Pibg. ~ Plbg. InspeCtor- NotHy Plumber Const. Meter Engr./Plan Bldg. Fnal ~ ? ~ Deck Ftg. ~ ~~9~A~ Ct(~ ~es~ Dedc Rnal Well Pr. Disp. ~ ;i~ ~ ~ C~~~~ca#e n~ ~ccu~anc~ ~j o~ ~agan ~ This Certificate issued p~rsuant to the nquirements of the Uniform Building Code cenifying that at the teme of issLance this structune was in carhpliance with the various • ordinances of the City negulnting building construction or use. For the foUowing: SF DWG/gar 21118 Use C7assificatiat: BWg. Pert~ No. - n oO~`'y TyP` ;;Q 1N;; . , , RIDLEY Owar oi Building Address TH t t ~ ~ BOI~10g A~IlS6 ~.OCB~ILy / V~~-L` ~ ~ ~ %3''% ~ ~ POST IN A CONSPICUOUS PLACE Address 517 SEVERN WAY ZiP $512_ LAt 19 Blk Z Sub ~OVENTRY PASS 4TH THESE TI'EMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: ,j Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) ~ Pecmanent steps (main entry) ~ Permanent driveway ? Permanent gas Sod/Seeded grass j/ TraiUcurb damage i0 Porch Basement finish ~ Deck Please verify wit6 the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in right-0f-way or inslalling underground sprinkler system. ~ White - City Copy Yellow - Resident Copy Pink - Contracror Copy g8a 9 ~ 9 , ~ ~ Request Date ~ re No. Roug~= ns ction ' ~ ~ ~ ~ ~ Requi ? ? Reatly Now ~Will Nmity InSpacWr Ves ? No When Reetly? I i! licensed contractor ? owner hereby request inspection of above elecirical work at Job Pctlress (SVaet eoa or Roule No.~ ~iry S l Setlion No, Towns~ip Name or No. Peng o. Co OccuDantIPRINT~ P~one No. Po r Supplrer Atldress Elect ~ al Comractor ICompany Name~ ~ Coniractm5license Na. ' G'(~ o a 3 1 Mailing tltlr ss iGanhactor or Owner Making Installationl Autnonzetl Slgn IComracmvOwner ' Ing Ins~anaiion~ P~one umEer " 3- 3 0 MINNESOTA STATE BOAflD OF ELECTRICITY THIS INSPECTION RE~UEST WILL NOT Grigpa-MfEwey Bltlg. - Foom 5~1]3 BE ACCEPTED BV THE STATE BOAFD 1821 UnlversHy AvB.. 31. Feul. MN 55100 UN~ES$ PROPER INSPECTION FEE IS P~one (61Y) 6CY-0800 ENClOSED. ~~(j/9~-- REQUESTFORELECTRICALINSPECTION ~a ~8a~ ( ? See instmcM1Ons br complating rois forcn on ~eck ol ye~low copg ~1~.._'E~, ~ 4~6933 - - - "'X" Befow Work Covered by This Requesf ewAad Aep: ~ TypeofBUiltling AppliancasWired EquipmemWiretl Home Range Temporery Service Duplex Water Heater Elechic Heating Apt. Building Dryer Other-(Specify) Comm./Industrial Furnace Farm Air Contlitioner Otner~syecityl Convacror5 Remarks: Compute Inspection Fee Below: fl Other Fee k ServiceEnlrance5ize Fea # Cirouits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps TranSformers Above 200 _ Amps Abova 100 _ Amps Signs inspeclor5 use onry: TOTAL ~rrigation eooms l J_ a 15 50 Special Inspection Alarm/COmmunication THIS INSTALLATION MAV BE ORDERED CONNECTED IF NOT Other Fee COMPLETE~ WITHIN 18 MONTHS. I, the Elecirical Inspector, hereby Rough~in oece certify thai the above inspection has Final oeie been made. ~ Q pFFICE USE ONLY ~ ' T~is request voitl 18 monihs hom ~ ~ 9~ , 9 Re uest Dete re No, RougR~n ian _ F iretl ? Reetly Now~W~ll NOlity Inspector ' Yes ? No When ReaCy? 1~licensed contrector ? owner he~eby request inspection ot above elecVical work at Jo0 AtlaO~ress IStreel Box Route No.) ~ Ciry ,V / ~ Secfion No. Townsnip Nama or No. enge No. Coupe~ YI~~ Occupan RINT~ P~one No. PowerSypqlie~'~ Atldrass Elecirical Co <tor ICpmpany N ~ Contrecmr§ License No. C fi-DO 3 Maiiinq aress ~Coniractor or Owner aking Insiallation~ Autharizetl Signawre iCOntrecmn0 er Makin I tailatiory Phone Number ~~Q MINNESOTA STATE BOARD OF EIECT CITV THIS INSPECTION REQUEST WILL NOT Gdgye•MlJway BIEg. - RoOm S4]3 BE ACCEPTED BV THE STATE BOAflD 1BY1 UniveraMy'Ava.. St. Ppul. MN SS70C UNLESS PPOPER INSPECTION FEE IS Plrone (612) BIR-0800 ENCLOSED. j~Q/~~-- REQUEST FOR ELECTRICAL INSPECTION ~k'" ~~a ~ ? Sae insVUCtiOrs lor wmplating this brm on back ol yellow copy. ¢ i d 4 6 9 4 5 ~ "X' Below Work Covered by This Request ,~ti ew AtlA, Rep: 7ypeofBuiltling AppiiancesWired EquipmeniWired Home Range Temporery Service Duplex Water Heater Eleciric Heating Apt. Building Dryer Ot~eF(Specify) Comm./Industrial Fumace Parm Air Conditioner Other~6Ve<ify~ Contrector's Remarks: Compute Inspection Fee Be/ow: # Other Fee # ServiceEntrance5ize Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to t00 Amps Trensbrmers Above 200 _ Amps Above 100 _ Amps Signs Inspecwrs Use ony: TOTAL Irrigation 8ooms / ~'r~ Special Inspection , v~~ ~ AlaimlCommunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MON7 I, the- Electrical Inspector, hereby Rough~in oe~e z~3~ certify that the above inspection has Fin81 ~ oeia been made. OiFICE USE ONLY Tbis request wiC 18 months imm Co~a~~ ~o-sv 2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for. single family dwellings & townhomes/condos when permits are required for each unit Date / ~ ~ Site Address ~ / W c~ v Unit # Property Owner ~~G~ ~--0/{~Q )'y~/~y~ Telephone # ( GS L, - ~ Contractor StreetAddress ~~,4~WE3TLAKE3TREErTwfQ C~ty ~i t 114 COOv State 612~24~2856 Zip Telephone # ( ) Bond Expires: The Applicant is _ Owner ~ Contractor _ Other Add-on or alteration to existing dwelling unit $ 30.00 furnace _Additional ~ \Replacement _ air exchanger _ air conditioner _New _Replacement ~ ~ a ~ ~ v _ other S~~y 2p04 1111 BY - $ .50 State Surcharge Total $ ~O • Sc7 I hereby apply for a Residential Mechanical Perxnit and acknowledge that the information is complete and accurate; tLat the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a rnut; [hat the v c' 1 be in accordance with the approve lan in the case of work quires a review nd approval of p s. ~5C-~L~S~ ~k'~~~ Appl cant's Printed Name ApplicanPs Si ture 2004 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complcte for, commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit Date / / Site Street Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Stree[ Address City State Zip Telephone # ( ) Bond Expires: The Applicant is _ Owner _ Contractor _ Other Work Type _ New Construction _ Underground Tank _ Install _Remove'*see below Interior Improvement _ Install Piping _Processed _Gas Nature of Work: '"When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing Inspector P¢1'Itl/f FeeS: 570.SU Undergmund tank iuitallatioi~/rcmaval 550.50 Minlmum (includes Slale Sumharge) or ContractValue $ x 1% _ $ PermitFee • If ermit fee is $1,000 or less, add $.50 ~ $ State Surcharge If eo rmit fee is over 51,000, add $.50 for every $],000 ea rmit fee $ Total Fee I hereby apply for a Commercial Mechanical 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 with the Mechanical Codes; that 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 of plans. ApplicanYs Printed Name ApplicanPs Signature Approved By: , Inspector Uate: ~ RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 ~ 651-681-4675 ~ ~ ~ ~ ~ New ConaWCtion Rwuinmeeb RemodeVRenair Reauiremenb • 3 registered site surveys showing sq. ft. o( bt, sq. tl of house; and all roofed areas • 2 coD~ of plan (20% maximum lot coverage allaxed) • 1 set of Ene~gy CaICUWUOns far heated ~dNOns • 2 capies of plan showing beam & window s¢es; poured found design, etc.) . 1 site survey far eztenor addiY'rons 8 decks • 1 set of Eneyy Calailations . ~ndicate i( hame served by septic system for additiore • 3 copies of T2e Preservation Plan if bl plaUed aRer 711/93 • Rim Joist Detau Opdons selectlon sheel (bidgs with 3 or less unils) DATE ' ~'~Z. VALUATION ~ ~ SITE ADDRESS 7- l~~Ex"~ ~J~B'' MULTI-FAMILY BLDG Y ~ TYPE OF WORK_ FIREPLACE(S) _ 0_ 1_ 2 ~ APPUCANT~ ~ / ~X % STREET ADDRESS `'Jr~2~' ~~LC'.J ~CITY C STATE ZIP S~ L°J TELEPHONE #76_5 ~J?57S~~CELL PHONE # ~~Z ~ ~ ~ .J L FAX # J~ 3 ~'J J ~Z9~ ~S ~ PROPERTYOWNER ~~-+'w~P~So.~ TELEPHONE# .~8~~ ~J'ZSZ. COMPLETE fOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RUI.ES 7670 CATEGORY 1 MINNFSOTA RULES 7672 (J suhmission type) . Residentlal Ventilation Category 7 Worksheet Submitted . New Energy Code Workshcet Submitted • Energy Envelope Caiculations Submitted Plumbing Coniractor: _ _ Phonc # Plumbing system includes: _ Water Softener _ Iawn Sprinkler Fee: $90.00 _ Water Heater _ No. of R.I. Badis _ No. of Baths Mechanical Contractor. Phone # Mechanical system includes: _ Air Conditioning ~ Fr ~i f,$,~~~' _ Heat Recovery• Systcm J~ I I: li, f~d i ~ ~ ~0~2 , OCT , ~ Sewer/Water Contractor: Phone # i~ , ~ ~L L ~ 1 I hereby acknowledge that I have read this application, state that the information is co~rect, and-d e o comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant _.r_.----'-'--°--°.__._...__..._..-°---- OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4l02 OFFICE USE ONLY O Ot FoundaUon ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelting ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) O 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) O 33 Ext. Alt - SF ? 04 02-plex ? 10 OB-plex ? 18 Deck ? 23 Porch (screened) ? 36 Muld ? 05 03-plex O 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? O6 04-plex ? 12 12-piex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 38 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolition (Entire Bldg only) • Give PCA handout to applicant 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 W idth REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Piant Plumbing Permit Mechanical Permit License Search Copies Other Total PERMIT # SS L RECEIPT DATE: Z 200~ R~SID~~V'CI~EL ~PLUM$1N~ ~P~i~IT ~Ff'~LIC~'610N crrY o~ ~s~v s9so ~nor ?civoa gn ~AflAN, MN 557 22 651-B$1-4675 Please complete for: single family dwellings, townhomes and condos when permits are required for each unit, backflow preventer for irrigation system SITEADDRESS: ~ SeVe.~YI L~Q~-I OWNER NAME: T'C~'1 V~ C dt~Q VCISU'"~ TELEPHONE (A S ICODEg ~l ~as INSTALLER NAME: ~ e_ TELEPHONE (AREA CODE) STREET ADDRESS: CITY: STATE: ZI P: SEPTIC SYSTEM, newlrefurbished (requires two sets of plans and MPC license) g 100.00 includes $40.00 County fee Note: Additional consultant fees may apply . MODIFICATION/ALTERATION TO EXISTING ~WELLING l1NIT, INCLUDING: ~ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00 _ Abandonment of septic system. Water tumaro1und,,-, existing dwelling unit 5/8" m,,e~eIr if needed -$118) Other: 1-~J W ~1~ ~~.v`C~ _ RPZ: new installation/repair/rebuild $ 30.00 _ lawn irrigation system ReplacemenUadditional: _ water softener _ water heater $ 15.00 _.~~~~M~n State Surcharge ''SEp 2 5 2002 I U $ 50 ` ~~r-vs~ .v~ Total aY ~v 5v I hereby acknowledge that I have read this application, state thatthe information is correct, and agree to complywith all applicable City of Eagan ordinances. It is the applicanfs responsibilityto notify the property owner that the City of Eagan assumes no liability for any damages caused by the CRy during its normal operational and maintenance activities to the 5cilities constructetl under this permk wthin Ciry property/right-of- ayleasemen . ~ ~~i. 1 /d SIGNATURE OF PERMITTEE 1l02 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OP EAGAN \ 3830 PILOT KNOB RD, EAGAN MN 55122 Q,C~ v J 651-681-4675 NewConstrud(onReouiremeMS RemodellReoalrReauirements • 3 registered site surveys showing sq. R. of lot, sq. ft. of house; and all roofed areas • 2 copies of plan (20°h mazimum lol coverage allowed) . 1 sel of Erie~gy Calculatbns for heated additions G~ (q • 2 copies of plan showi~ beam 8 window s¢es; paured taund design, etc.) . 1 site survey for eMerior addilbns & decks U • 1 set of Ene~gy CalculaNons . Indicale If hame served 6y septic system for addi~ons • 3 copies of Tree Preservation Plan H lot platted after 7/1/~3 . Rim Joist Delail Options selection sheet (bldgs wilh 3 or less units) DATE a~ a`~' ` VALUATION SITE ADDRESS "~J S~~eV h l,V G~ MULTI-FAMILY BLDG ~Y L\N TYPE OF WORK F1 n~,S ,Qb`~'1l on pF IJ4 eme~t FIREPLACE(S) _ 0 Lv _ 2 APPLICANT ~l ~i h n ~ I-l Y~h CCl l1JCl P^dSn Y1 STREET ADDRESS 5 S e. Je rn U..)Ol y CITY ~Q~ a h STATE I~'1 ~ ZIP JS ~o~ TELEPHONE#C~SI~P~I~q~S~CELLPHONE#Cola-~l~1-g&93- FAX# PROPERTYOWNER JUn1'1 °I-~hn ~dl~l~F'Cr50v~ TELEPHONE#~DSI^~4~~~9~5~ COMPLETE FOR ~NEW° RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RiTLES 7672 (~l submission Type) • Residential Ventilatlon Category 1 WoAcsheet Submitted • New Energy Code Worksheet Submitted • Energy Enveiope Calculations Submitted Plumbing Contractor: _ Phone # Plumbing system includes: Water Sohener Lawn Sprinkler Fee: $90.00 _ Water Heater _ No. of R.I. Baths No. of Bafhs Mechanical Contractor. Phone # r' ~ Mechanical system includes: Air Conditioning ' Fee: ~70.0 Heat Recovery System u AUG 2 2 2002 Sewer/Water Contractor: Phone # 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 i nces. Signature of Applicanf ~e~~ OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ? 01 Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ~ 19 Lower Level ? 24 Stortn Damage ? O6 D4-plex ? 12 12-plex PIbg~Y or _ N ? 25 Miscellaneous ? 31 New ~ 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ~ 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation ~ Occupancy MC/ESSystem ~ Census Code ~~7' Zoning City Water - SAC Units - Stories ~ Booster Pump Nbr. of Units - Sq. Ft. PRV - Nbr. of Bldgs " Length - Fire Sprinklered Type of Const ~ W idth ~ REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) ~ FinaUNo C.O. _ Footings (addition) Plumbing _ Foundation ~ HVAC Drain Tile Other Roof Ice & Water Final Pool Ftgs Air/Gas Tests _ Final ~ Franvng _ Siding Stucco Stone ~ Fireplace ,yE R.I. ~ Air Test Final _ Windows (new/replacement) ~ Insularion _ Retaining Wall Approved By , Building Inspector Base Fee ~d ~ ~ ~h4 ~J Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit 8 Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total PERMIT . , ~~f(°~ ~ 1 CITY_O~F EAGAN PERMITTYPE: Bur~oxNU7~y~ X 3830 Pilot Knob Road ~ Eagan, Minnesota 55123 Permit Number: 021118 (612) 681-4675 Date Issued: 0 6/ 0 7/ 9 3 SITE ADDRESS: 517 SEVERN WAY LOT: 19 BLOCK: 2 COVENTRY PASS 4TH p.I.N.: 10-18A@3-190-02 DESCRIPTION: ~ ~ B~ild3rr~',Permit Type SF DWG ~u3lding~'Work 7ype NEW UBC (FceupanCy`~ R-1 M-1 / CStnstructipn T~p,e V-N ~ffrri~tg R-1 8uilBing l~rngth > 62 ~ BUilding Widtla 36 _ ; 4 f ~ r vor \ ~ i ~ ' y ~ ~ ~ t t '`J ~ ~ ~ ~ ~ = =F>-.~ . REMARKS: S& W PLBk - VALLEY PLBG FEE SUMMARY: VALUATION $147,000 Base Fee $804.00 MISCELLANEOUS $1.744.50 Plan Review $522.60 Totel Fee $3,894.60 Surcharge $73.50 SAC $750.00 3AC 8 100 SAC Units 1 Subtotal $2,150.10 CONTRACTOR: - Applicant - ST. IIC. OWNER: ROT7LUND CO INC, THE 15710304 0001335 THE ROTTLUND CO INC 5281 E RIVER RD 5201 E RIVER RD 901 FRIDLEY MN 56421 FRIDLEY MN 55421 (612) 571-0309 (612)571-0304 t i I hereby acknowiedge thart i have read th~s appl3oa~:~art artd s~ta~s xhat ~he information ie correct and agree tq comply wiCh all appiicable State ai' Mn. ' 5tatutes and CiCy o;f Eagan Ordin•ances. L~ _ _ - ~i I APPLICANT/PERMI E SIGNATURE ~ ISSUED BY: SIGNA E INSPECTION RECORD CITY OF EAGAN PERMITTYPE: aut~oiroo 3830 Pilot Knob Road Permit Number: 021118 Eagan, Minnesota 55123 Date Issued: 06 /07 J93 (612)681-4675 SITEADDRESS: ~or: i9 BLOCK: p APPLICANT: 517 SEVERN WAY ROTTIUND CO INC, THE COVENTRY PASS 4TH (612) 571-0304 PERMIT SUBTYPE: TYPE OF WORK: SF DW~ NEW . . FOOTIN~ FRAMING INSULATION FINAI FIREPLACE REMARKS: S& W PLBR - VALLEY PLBG ~ ~ ~ _ ~ RtAL 1 1 YA I t_ 6.~1 1 T V 1' Cf4~:1/~'?19 PER~Z.. 1993 BUILDING PERMITAPPLICATION ~3~q~[~~0 ~~~~5e~ 681-4675 ~ ~G, SINGLE & MULTI-FAMILY 2 sets 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 is requested once permit is issued. Date 5 / ZS Yaluation of wor 1(a~ 300 Site Address: ~ ~7 Sevuv- ~ STREET ~ SUITE / Tenant Name: (commercial only) `~-i~~(2a~u~ ~k~ IAT BLOC& SUBD. ~ P.I.D. * Descri tion of work: St 1~ '~wv~; l The applicant is: ~Owner [~.Contractor ? Dther (Decer3be) ~ Name T~n le-e+-t-(v,~.~( Gv•2NC. Ph~ne 57f-°'io~ Property LAST F1RST Owner qddress SZo~C•Kiuer Y?o~~ ~-30( STREET STE / City ~r,,rl(ev State /NN Zip 554'L.~ Company Saw~.t.- Phone Contractor Address License ~ l33S Exo3-3'- City State Zip Company ,~~r Phone Architect/ Engineer Name Registration Address City State Zip Sewer & water licensed plumber ~0~ h~d Processing time for sewer & water permits is two days once are h s een apprioved. 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. 5ignature of Applicant: ~ ~'N.!~ ~ OFFICE USE ONLY ' _ SUILDING PERMIT TYPE ' f~ ~ ~ ~ ' , " ? 01 Foundation ? Ob Duplex ? 11 Apt./Lodging ? 16 Basement Finish ~02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool ~ 03 5F Addition ? 08 8-Plex O 13 Garage/Actessory ? 18 Comn./Ind. 0 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 14 Camm./Ind. Misc. O 05 SF Misc. ~ 10 Multi. Add'1. ? 15 Deck ? 20 Public Fatility ' 0 21 Miscellaneous WORK TYPE ~31 New ? 33 Alterations ? 35 Tenant Finlsh ? 37 Demolish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATICIN Const. (Actual) y- N Basement sq. ft. MWCC System ~ (Allowable) v" N lst F1. sq. ft. City Mater y~ UBC Occupancy ~-3 2~d F1. sq. ft. PRV Required Zoning A-1 Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length ~j On-site well Census Code /ol i Depth 36, On-site sewage SAC Code ~ APPROVALS --L / Planning Building Assessments Engineering 4ariance REGtUIRED INSPECTIONS ? Site ? Footing ? Framing O Insulation ? Wallboard ? Final ? Draintile ? Fireplace Permit Fee v,i~.c;a,: $ Iy'1, po~ Surcharge Plan Review GAR4lrE; License MWCC SAC City SAC 22X ZZ = `~g`~ Water Conn. ~2 k zv =~~1~ Water Meter y,~ _ 1~ S8 ~I Acct. Deposit S/W Permit S/W Surcharge Treatment Pl . Z~~C 2~ 8~f Park Dedt ZZ X~`~ ` 3d~ Trails Ded. ~pq2 x IS= f`,3~6v Others ~~'~S'~ 2 sra~ I Total: ~sv~'~' ~ oy L.. ~I SAC % I ~ 3 S ~ I! SAC Units ~~i2 Xl'e~ _ ~200~ ` ~yg obo % . , ! ~ * 2422 Enterprtse prlve j * Mendota Heights, MN 55126! ; P1CINEER (fif2) 681-191a-Fo% 681--9488 ~ Jr G _ ' LqNO $UFhEY0R5 ~ CINL ENCINEERS . ' _ ~v ~ Y~n n~~~+.~~ ~auD pLaw~+s . 1.aNpSCpPE ARON~ECIS : 9 g 625 Highway 10 Northeo9t` 7t Blaine, MN 55434 I * x' (672) 783-1980•Fax 7&3-,1883 i i Certificate of 5urvey for. Th~ Rottlund Compari,L Inc ~ ; ~ ~ House Address: 5evern Wcty. Eoqpn MN Mode1 Name: Hampshire CustQmer: Edwardson ~ SQ~ e~ ' ~ ` N$83s pn ~ , / n ~ ` 18 ~ ' s ~ ' ; ~ , - ~ s.y~ / _ n a:o 19 ~ ~4' /~9y,L ~ 1'3~i Q'S ~ x ~a Ar~ n• / ~ Z ~ ~ ~ ~ ~~Qpp.s,~•~'~ p~C K 9p~' 9 ~ 4'( ~ ~ ~ ~ ~ ~ ~ ~~C B ~ ~ . ~I N~ H°u°p~°s~a N' ~ ~'2r ~ os ~ : ~ ,,q y~} I HA~SH6p f' S 9aS~ A,q ~~I+~j 87'' y It,$~ atj3 F~ ~ j2 ~ L~7 ~2, ~ / ^J ry ' l qA'G ~ o ~ ~R~~ .I~ ~V . ~ ~ ~ ha = ~ ~Y~~ C~sn\ z '~8J ~ y2~ ~ _ ~Z~ ~ 1 \ ~ / ~ ~ZJ O ~ _ ~y ~,y ~RiyF-WAy 9 ( yo7,o~ ~ 3E'.ly,}~ _ ~ ~ ; ~ ~ I° ~sa ~ ~ i ~ N s~. ~9~ G~ ''°e' b s S 27 " 5a8•~ ~ _ a s'~ ~ ~ ` ` ~ V R~ \ ~ , ~ ~ B` ~ W ~ ~ ~q , ~ A ! ~ . , t - ~ ~~c~ ~ nt~r~~~.r~c~ x~~~~ _ ~ ~ ~ ~ NOT£~ CONTRACTOR MUST VEREFY ALL DIMENSIONS _ [cbx•r~+-EC~"c = 9a3.86 ' x aoa~ penotas Exfsting Elevatiort PROpOSEO HOUSE ELEVATfON 1! ¦~-9 Denotes Propased Ele~ation Lowest Floor Elevation:90D_65 Denotes Draindge & Utility Easement Top of Siook Elevatian:908.76 =Denotes 17rainage Flow Direction Gara e 51ab Elevatian:9~8.43 --o-- Denotes Monument 4 Denotes Offset Hub Bearings shown are assumed LOT 19 , BLOCK 2 C~VENTRY PASS 4TH AD . DAiCOTA CWNTY, 1AINNESOTA 1 hErWy certify ihet thig SUFYCy, plan or reQOrt waS p e~M hy m-e~,$~ undar RW direct supervifiOn and [hat i am d~~y Rs9isteied Land Surveyor ~~dar tM lewe of thC StatR of Minne~ota, ~etecf thiz~day aN~A,D, 19.~, . / Seaie: 1~^ 7~feet knaCwTA.suun i... r.. n. n~m - v' _ LOT BURVEY CHECRLIST FOR RESIDENTIAL ~u m'w ' BUILDI G PERMIT APPLICATION a "f ~ V ¢ PROPERTY LEGAL: m ~ w w < m Date of Burvey: S/ zr/9-3 V O ~ < Z ~ DOCUMENT STANDARDS L~ • Registered Land Surveyor signature and company ~~E] ~ • Building Permit Applicant 0~ p ? • Legal description ? B~ ? • Address ? • North arrow and bar scale ~ 0 ? • House type (rambler, walkout, split w/o, split entry, lookout, etc.) ? • Directional drainage arrows with slope/gradient ? • Proposed/existing sewer and water services C3~? ~ • Street name Ci~O ? • Driveway ELEVATIONS Existina ~ ? : Sewer service ? ~ Lot corners D' • Top of curb at the driveway j~ • Elevations of any existing adjacent homes Procosed IG ? ? • Garage floor !i~ ? ? • First floor ~ ? ? • Lowest exposed elevation (walkout/window) p~ ? ? • Property corners ? • Front and rear of home at the foundation PONDZNG AREAS (if apDlicable) ? ? ~ • Easement line ? ~ ? • NWL ? ~ ? • HWL ? 0~ ? • Pond ~ designation ? C7~ ? ~ Emergency Overflow Elevation DIMEN3IONS ~0 ? • Lot lines l~ ? ~ Right-of-way and street width (to back of curb) @~ 0? - Proposed home dimensions including any proposed decks, overhangs qreater than 2', porches, etc. ,(i.e. all structures requiring permanent footings) B~ • Show all easements of record and any City utilities within those easements C'~0 ? • Setbacks of proposed structure and setback of adjacent existing home ? 0/ 0 • Retaining i ments, if any Reviewed• ~ ~Na e / Date October 1992 ~'~`Q ~ ~ ~ ~ , ~ , • . , , • ' LXTERIOR . L.~vLLOYE A~a~tAGE "U" CUl•LYUTATION OWNGR ~(~~(,,(~,+:.c~"'YCLX_rC_:a[~d.. CX/~LC_b si1~ anDa~ss ,~-.~_i 1~L~._~~_~-cr-~r~ ~>~~.~~~w-~-5._ ~1 ~ CONTRACTOR ~j ~ /c(~ ~ DATE _ ~ PHONE S 7 . n'.`.~,'~ Determine working square footage of each. 1. Total exposed wall area ZSB~ sq. ft. x .~1~ _~2,,(Q.~~ 2. Total roof/ceiling area //8~f sq. ft. x ~OZ(~ = 30.(0 Total exposed wall area above floor =.Z~~ (p a. Total wall window area ~ b. Total door area c. Total sliding glass door area ~ d. Total fireylace wall area e. Total wall framing area (average 10%) f. Total net wall area above floor .....................~d g. 'fotal rim joist area .-<it~ ' Total exposed foundation area = ~ g . h. Total foundation window area < ~ i. Total net foundation area above gr.ade ?el-ermine "U" value of each wall se~;ment. a. 2.5 ~ X"U" ~S~ J~r.~i2. ~ b. 3~ X „U,~ ,47 = 2.~~ r ~ X „U~~ . S~(~ =..27.60 A Il~n ~ _ ~ / e. S X ~~U~~ ~ D~~ _ ~g~~~ f. /q3o x ~~u~~ ,o`~Z = Ig .06 g. g i~U~i e~~~ Zr~f Q h. ~ X ~~U~~ . S.~ _ ~a~~ i. ~ ~ X iiUi~ ~ _ v ~ 3 ......................................'fotal ° 2 D. ' ~ If item U 3 is the same as, or less than item 111, you have met the intent of SBC 6006(c)2. ~ - {-~~,~s~; • Totnl exposed roof/ceilin~ arel = ~ V~ ' ~ ~ , Total gross roof/ceilin~ arc:i = ,j. Totel skyli~nt arza k. Total roof/ceil?ng frzming area D(n, 1. Total net ?nsuleted roof/c~ilin~: nrea , Detcrmine °U~~ value for cnch r~af~CCl l ln~; ~C6'7GCt1L. ~ - x ~~U~~ _ . k: / 0~n, ¢ X„u„ t~ 2 7 = 2; ~ 7~ . , ~y7 ~ X „U„ p.a22 = z-~T ~ . a . Tota~ _ ~ 3 9 ' • e,~ If total oP N4 is the same ~s, or less than N2, you have met tY~e intent of sac 6oo6(c)i. To utilize the to~al e:~velope syste= method, the values establi;hed by the sun of ite~s N3 and R4 shall not be 6reater.thnn the sum of iten:s A1 and N2. 1. + 2. - '3•. ' ~+4. _ . . . , r. :•i . b _ O ° .~U~l.U~ GA!-GLlL-ATIoI~ ~GoNT~, -~~f~M~ WP~U.- G~ ~ I N~.~ LATI~N ~ toMPo~~N~ . R-~l~u.a~ ~ o1~~G~ Ai~ Fs(.M - D,Ii__ - - r 2 ;2~, -h,~ ~~1h~. - - 0,~2 - `u = ~fi~~rrl~N~ _ 2 ~ o!~ = - ' 3 ~ ~ - -SI~ 1N5uLATIct~1~ I ~j . G ' - ¢ l~" G i P ~ . - 5 [~~ID~ fdfL ~ILbh~ -=----O,Cab - L . 2 ~ . ~ ! ~ - , U~ ! _ ~ 0-0~3 R~~r~~ . :~~M~ w~u. ~ ~T~~ . LdMFoNcN js ~ _ - ~-VAL'-~~ I a_U"r~~oE Rif~ Ft.~U. o.1 - ~ f --~r.` 2 h I~INli. . - G2:: - ti 3 3~ ~NEA'~}-l1N!s. 2.GL~ - a ~ '~XL hP.lt7~F~'`,~1N'r~ - -,.-~b S ~ ~2-~~~ F~D~ . . G~4~ - • ~ C' If>~ID~ P~~ F11-~1. _ __~~C~G:-- . . ~;o;~:---11, l c~ pl.,~N. ~/~~k~. . u ~ r~ o. on9. L r ~ ~ =G11J4i P~. ~~U =~0•12 O.oby~ -~-~0, Sb x 0.043~ = 4. D~r7 - ~ ~ - , ~--=~~~r~~=(~~~ ~ ~~~t. =~o~~. i : - ~I'~~.,.~-'~.__ ._~~/~i-.'~ ~ ~~.v ~ I -~~I~--~.LNi z; c ~ u. _ . ~ I 2 ~_~~.~~uf., __1~•_~ . . ~ Fi~? ~IM ~.~i~~ f _ i ~ ~ = ~ ~ o ~~~Tr-,~~~. _ ~G.~~ ~ -t~ O _.J,.~ ~ ~ ~ .~o; _ 3 0 ~~;:-~Clr.-~~N{. _ j . ~ y.J I ~ . z.-~= rL_=`, C_- GF:. / V ~ ~ + ~ ~ Q, GG- ~ . 'L G :.Ti - : % , ~~~~iDr ~ I~N . _ ~ . j-, ; ~ ~ ; ~ ~ /I C~Ntf~f~!~N ~ --~~~/r;'!1~- I _ ~ - , ' ~ ' ` ~ - , ~ O ~ :,-~1..~a+~1. _-~~-;-t.-..` - ~ . . / C ~ ~ ' ; n ~ 'L~'1 F~f7_•. j ~3j i._ i ~ ~J L , ~ iz c L~- I ~ --~--L ~ - / % ~ j, r,~~_~~=_~Ly1 ~ . ~ i _ ~ , 4: I + I I ~ ~f ~~1j. ' ' . . ~ Q . ; L -7 i r 1 ~ = o, o~: iu" -l2. r: i ~ ~ ~~rrr-~ =-~Ut~~~---- I -~'.~G~~--~ , r~-~ i I ~ 2 . ~ ' ~~P_c~t~~~ v~ ~ ! O -~r~,~~ I I ~ , 2, ~~L=_l fiC~t~,-- -_'~L~ ~ ~Cr^ . _ . I l~l . . _ : C GH~~;~.- I ( I v ~ ~Y?,=,60- - =_c-.~' ~ ~ -~i~-h!f?-r'i-GM,. :9, i 3 4 5 ---I - _ ~ ~ ~-c-~- J----I ~ = G, 027 ~ ~ ~~s:i_1 02 ~r~ , ~ ~=~~G- ~ _ o ~~~FJ~~: ~ 1 ,r}- . . ~ ~ ~'Z_G~:1N.~:~-._ -_~4.~; - . ` , y.b_-P-_~o__=-- =.-a_~s==-_.- ~ O ~ Y - ~ - ~ ~~if -'l~M °:=~1= ~ ~'?=S.~=J-- ~ ; ~ ~ ~ - O 0 G.'Z v/ ? : F E S- 2 6- 9 3 F R I 9: 3 8 F L A R E H T G.~ Fi ! C_ R. p 2 . • r~„ • ra-ir_~ 3.1 DET'pIi.ED Fi'EF'{JR7 F~Qi~ ENTiFiE HDUSE ~'r~{~sxred Fnr: Prepared Py: Rottiund Ca. M.W. Uuerre Flare HeakxT)g , P1n Job mame: Nr}~lpSfrir~ - :u~~~~~~~:~~*#~~~wx~~~~~~xx~t~~**~*~*~x~~#~~~#~*~ix#~~~~~*~~#~s~i:~~a~~~~~~~~~~~~ EXPC):iUFtc - f.iL:1W'~, iyt]F?^FH oti'~L'~7hk F'Le~T WEe3'T RSk::1NW SE:/~iW FiORZ. 7G"FqL - L'iE"t4''fe f 5.^. ! 2~71 1+'~O t 394 1 C~ f l ~ O~----373 [".Cfi3LIA:~z 1 ~3c1 a9ui A>4iC+i ~.57:`'~( f71 Oi 24..~:SySI r~F:-R"11hIG , ~~,130.t S,ipF3: 4~104: 7,967.V C~! t71 C>i 1`~,3001 ~EL.OW WF-1i.i.~; NOF{7H SOEJTH EAS7 WE5'T N£/Nk' SE/SW tiRRI)F T'OTA~ ____T......_-~--°---•--.______...____ Af:[=y ~ 714! 737I S~s}C~.i.l 463~ Oi G~ OI ~~qIS~ C~7llL.1: NG I v(3u 1 6f3/} i 82C1 I 7ci9 i fY i U~ G i 2~~''If:,1 i HERTINCG ~ ?.}8311 2}92.'?I :r9b91 :Zr818~ 0~ 4! 6p%981 2UaS37~ ..w-•-'--•' A~(ii~S NORTFS SC;fIJ'iSi ~AST WEST NEJNt>! SEJ~iW 7U7AL _...__..__-18,--•----~---~---..~ AREA 1 , ~ ~.f~ ~ 8; L~1 7 '~87 CUOLFiVE; ~ 19~3! 0~ 2I9~ 0~ 01 0~ ~ 917~ HEATI4VR ; 956; Ot irt}b2: O1 0~ 6: i 2,018: FLOOf ~REA GOOLtNG HEA7ING _..----~-~4 b------' ....__-a--- ` -------2 r 68 i CESLIfJCi A~EA CE3pL.ING IiCWTING• 32"::e ' 920 i _~__---2~ 123--- -------^--------•-------.._.._..._,..._T__ hkI5CELLAh6pLi5 Cf30LIM6 LOADS Pr-ople 5~+~s,iCt1~ L.nad S~S75 Latent Load 6~99; Lights & 4~~p1 . Loa~ 1%145 L2't.ETit "odfk~ty Btuh 3SV Vti~ntilation l,oad i~t,56 Duct Heat Ciain p Infittraticra Laed 429 6ensiale 8afety EYt~~h i,I6b Tt~TRL SF:N6IPLE LUAD 24,483 TOTAi. LpT6N7 L{}AU 7,345 Su~r~me•r ACN 8.p6 1'gmp. Swing Mu]t. 1.6~7 8*4 7~t~]. Coaliny Lo~d ;~,i~'s7 bYLJH dr 2.65 Tqr~a MYSL'EL.LF~NEOL+S HEfiTiNG L.t]AY)^a ihfi.ltraticm Load S~I54 VenLild#ian Load 9~9pCt I)ttct Heat L.oss Q SafeCy Btuh 2,676 Wint~r fa~4; p,l: 7YYA~ Ta~al Heating L.oad St~,397 8l'L1H F E 8- 2 6- 9 3 F R I 9: 3 9 F L A R E H T G_ L~ A! C_ P_ 0 3 ~ f~ ' . . ' '~1 1.! ~ . ~ ~ . . ~~T- 1 i"~ ~ ~J~1 SUl~IMARY REPUFtT . ~'r~p-~r~ed F~~rc I~repared Py: FcnttitlnG C[i. M.W. C7~:arre , - F1aYe Heattng , Mn Jofa N~mp: • • ~'~~~*~~M~~~kk ##x~#~*AW K~~fc~~*~+k~k#:k:k~~ktk.'~~~ #~~#:k##*#*###~#t~#~~~kc~X&M~~tR'~ K~~A#~~ L)E'SIGlV CONf7I'I'I[)MS ftir' 6k7"f'DC7U'R IlVllUUH ~4,1Mi1cfi WTNT~fi b"UMP4EFt i~TNT~Fi ~r'Y F3u1b 9L~ •'^cG 7.°i 70 Wt~t F3u1l~ I.`i 6'% D;ily kartc~e 22 i)aily fa'wii~g Z,0 Ldtituc:le 4A ~ EZevation 8.R?2 Sa~Fety ~=actor CY.) 5 L-atei3t FBCtur t7.) 34 ~t~~~N~~:kk~*~ ktt*~##~*##~e~#'~MC~~X~~~~~#~~Y~*~#*~##*~k***##i~*~**#~#~~~~~'k~k~*%~t~ Serssibl~ Raom Meating H~ating Eapiing Cdoling N~ime S~'UH C~Ff 1~7'UH CFM Fi~ascrner~t i3,bU~3 14Q 1~284 65~ C,rawl 5pace ~,47R 49 166 9 F'oy~r ~.9t~7 55 1'29~ Livin~ Roo~n ::,Spl 49 `s'~695 136 Di. ni ng RG41~ SIIl ?b 1~ C~29 52 F:itch~n 11,542 16:G 3,E1tib 196 Di.n~~kke ?,181 31 1s425 97 f~amil•y ~ioom ~r^e53 73 3,958 199 ~Ya~JroUm 1 2,465 ~R 1 a~.''~•B 6'a Beqresom 2 ?,89P 40 1~84T gi ElerJrtrom 3 2,245 31 !.1'74 .~,9 Upp~r Bath 1,68i 15 b~7 32 Master Bath l~~f:~ 18 90O 4~ hE~ster LEdroom 5,04a 71 2,452 f24 b4 ~:,97 845 24 , 483 1, 23b E{~~yTING DE~.TFl T h5.9 C~dLING DEL7A 7 I9.0 yi a ':~L ~ ~3s_ a~~id ~t ai3 t'S3 na£°c i~~'~~~~x ..'"~i .~~'A ~~s+,<z3 xy F ~ x 3 x~~''r,~t)"'~w~' 7~. 43' ~"¢~~°Ta~ ~3~ 3a,G;g:. s.~ s~ s3>: a a ~e + ~ i i, u ~ r.~ n~ ,y r x tf c ~'^c tt~ ~ 4 x«. aa Au x~.~ ~k% , £ 3:; ~".~:aS~ a~y~ E ~ . . . _ . g ~ ~ ~ :~y R<~;~, ~£k);.~~'k.'°a~z : .~w~,~€' ` ~ ~ . . c .5 ~ frK:~*eiw~e~5:~4' ..S . . ~ . . . ' . .E ~'...n. : 1993 PLUMBING PERMIT (RESIDEIVIYAL) CITY OF FAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOMES AND CONDOS WHEN PERMTTS ARE REQUIIZED FOR EACH UNTf. 1~0. FIXTURES ~ T~T~ ~ SHOWER 3.00 3- WATER CLOSET 3•~ ~ BATH TUB 3.00 C.- ~ LAVATORY 3.00 ~ ~ i KITCHEN SINK 3.00 a- ~ LAUNDRY TRAY 3.00 3 , I-iOT TUB/SPA 3.00 WATER HEATER 3.00 3 - FLOOR DRAIN 3.00 ~ I GAS PIPING OVTLET • minimum • ~ 3.00 Z_ s ROUGH OPENINGS 1.50 y. s ~ WATER 50FTENER 5.00 , , _ ~ YRIVATE DISP. • Daray. s~. 15.00 U.G. SPRINKLER • nom~ ~oa« 3.00 ALTERATIONS • to eusting 15.00 WATER TURN AROUND 15.00 STATE SURCHARGE .50 TOTAL: ~ ~ SITE ADDRESS: S I-I 5~~~~~ C-v A., OWNERNAIvIE: ~o1~I,, ~ WSTALLER: UA ~ I~ \Y I~< C .i ADDRESS: I r~ 2 < ~ CITY: ~,r ~ n-~ STATE: ZIP CODE: 5 i~'" ~ PHONE ( ) ~`~a ~ a 1 ~ ~ l_~~~"~l' ` SIGNATURE OF PERMITTEE '~7~~1~T."Y ~t ~Te n ~.rsuc ~ x e`~~x „`s.~ "~z r~x s~~ .,mse^~''~z~a~2'~°~;§ s ~ - ~ ~'`$5 ~eK{~~s ~Rr~}3vr°` 1£ S4r A ~~~,~'.~~r'~3 s<$x t r;y s E a~~Y Sz~.•"~ D~ ~~c' x ~.s ''zt n¢te~s~.~~'E..,~~..ra~'~'i,~E. `~Ya~ '~e.~A~..s: r~_.t~~ ~a<;d~a~~ ~ 9 ~ ~ E1' .s' Rx s~ 3^5.~ ~ i'S . F 3~ ~~~~~~~`'s ar a e'~SEe`b."' ees ~~a'~Y ~ s s C' . ~ . k ~ .1: , , a 'x, .>~"E,~'~ ~ .tk:,*„~<~.'~~5~`4„ b s,sg:. ~ ,..~.f.#~;.;;E ~~~~i ss~a < e 1993 PLUMBING PERMIT (COMIVIERCIAL) CITY OF EAGAN 3830 PII.OT KNOB RD EAGAN MN 55122 (5?2; 581-4675 PLEASE COMPLETE FOR ALL COIvII~fERCL4LJII~TDUSTRIAI, BUILDINGS. ALSO FOR MULTI- FAMILY BUI~DINGS WHEN SEPARATE PERMTTS ARE NOT REQUIRED FOR EACH DWELLING Ui:: T. _ NEW CONSTRUC110N ADD ON REPAIR WORK DESCRIPTION: CONTRACT PRICE: $ FEE 1% OF CONTRACT FEE. STeTE &URCu~LR!_:F• S.S4 FOR EACTt S];n00 OF P~RMPf FFE MINIMUM FEE: S 25.00 . CONTRACT PRICE X 1% $ STATESURCHARGE $ TOTAL $ SITE ADDRESS: TENANT NAh4E: STE. # OWIv'ER NAME: INSTALLER: ADDRESS: CITY: STATE: ZIP CODE: PHONE FOR: CITY OF EAGAN APPLICANT ~~~~5 3 'DL a~`" .'!gy`0~`°a ~Yi ~V°~`.."a'~~ ~R"~~ F Fi ~`~~~4iF~~y ~ ~ t~t 3 x~o. . 45~ ~ Y; 3 L~~ f i fi. L. y i~~~k T~f"~` > ¢>S" ~'Adk c5 9'. . ~ ~~°ej 3'~Z 3~xfi'~ b$a,.,3sa ~~+e'~~ 3 ~6-Y h ~ ,3r.rz~~h. ~ ~c Y,a~ w ~ $'G : x Y~- eYf[$<sa 'F..~..< ~ rity,>ag~y a^~'v;~` "i,~;'~~"`~ 2 ~ ~ D s ~ze k . N~ .1.~R'~~`'%u~<c?~~'.;a. ~ . ' ~ ~cs.F's~.~~~^c`w....t..~.; .a.~.. . ~sM~~a$.~'~'i`~..''s,~2$3~8 a . .w.a ..^aA a.§S~ z ~Tss . ~~~a1~1~~~~~~~., 1993 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 383U PII.OT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT. Y _ NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE DATE ~ -~-V-G~ FEES HVAC: 0.100 M BTU ~ $ 24.00 ADDITIONAL 50 M BTU 6•00 GAS OUTLETS (MINIMUM 1 @ $3.00 EACH) ~ ADD-ON/REMODEL (ExISnNG coNS~rxucrtoN) $ 15.00 STATE SURCHARGE .50 TOTAL 3-"1 So SIT'E ADDI2ESS: 5`~ ~~'~n ~~--~~7 OWNER NAME:~'~~~V ~ TELEPHONE #~~~~~y INSTALLER: ADDRESS: . Ci'ty; STATE: ZIP CODE: TELEPHONE 5` ~~--~~o~ °~.~~nT--~ ~`~-~~C1 SIGNATURE OF PERMITTEE s> ~S~' ~t1V~,'~ xctt~ ta a.9#~m r r 8 ~ z ~ r ~Eams"FSa..d~' t~ w, ~ x fK~xAq f . . ~~n~L. ~ 4 x . ~ : E . '3 ~r . N ~C~t £ z {~a "a L ~iy6 ~ ~ ' a E ~ ; ~.,:.h s.~ ~..~~r z ~b ~x ~ ~'K~rT LiE a ~r ~ ~1a i jw € ; ~'si~~r ~ ~f 3b y s s > ~ ? s `4 ~3 ~a~ ^ea 3> ~i'7i" ~s~'~.~v.3 c.''l~ '°ta.v.~ ' F xay ,~c"' a ~ ~ 3F'~.:-v ) ~ s s ? D C~~tr'S Q~HW 3`cu°' 3 . S ~n > ~m: ~ ~ : ~ . 3~.:iz>,~ M.,,,~?:~aw?~%~f8.,a.a~", xw.x . . , . ~aY: ~~~.S.Fi~''§ > ~':1~~§...&~.«~:: ~ 1993 MECHANICAL pIItMIT (COMMERCIAL) C1TY OF EAGAN 3830 PII.OT I~+iOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR ALL CONA~RCIAL!lNDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTI-~ER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNTT. DATE: CONTRACT PRICE: $ NEW BUILDING IN'I'ERIOR IMPROVEMENT WORK DESCRIPTION: FEES 1% OF ~;ON772f1CT FEE $ PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE $.50 FOR EACH $1,000 OF ~'~T#' FEE. TOTAL $ SITE ADDRESS: OWNER NAME: TELEPHONE TENANT NAME: (IMPROVEMENT'S ONLl~ ~ ~ _ ~ ~ INSTALLER: ~ ~ •Y~~ Albtee.'~ ADDRESS: C~'1'~ STATE: ZIP CODE: TELEPHONE SIGNATURE OF PERMITTEE CITY INSPECfOR RESIDENTIAL ~,15~~ BUILDING PERMIT APPLICATION CITY OF EAGAN ~1_ 3830 PILOT KNOB RD, EAGAN MN 55722 651-681-4675 New Construction Reouiramanh RemodeUReoair Reauirements • 3 registered site surveys shawiig sq. R. of lot, sq. ft. of twuse: and all rooted areas . 2 copies of plan (20% masimum lol taverage allowed) . 1 set of Energy Calculations for heated additions • 2 wpies of plan showing 6eam & window s¢es; poured faund desgn, elc.) . 1 sRe survey for exlerior additions & decks • 1 set of Ene~gy Calculalions . Indicate'rf home served 6y sepllc system fw additiom • 3 copies of Tree Preservalion Poan if lot platted aNer 7!tl93 • Rim Joist Detail Optio~ selection sheel (bidgs wi~h 3 or less units) DATE ~~J J OJ VALUATION ~So.~DD. SITE ADDRESS S/~ ,S,/~~ ,F,~,J W s~- MULTI-FAMILY BLDG _ Y ~N TYPE OF WORK ~~s'iDi rtJ G d'~'~Cr`:~,-~ FIREPLACE(S) ~ 0_ 1_ 2 APPLICANT ~~.JYYJ~ 'F-J~SS'e!~ C3~' ~'J~O~ STREET ADDRESS /Dt) ~L.~~E.vc/ ~II~ CITY D+> ~STATE~ZIP-t~.~~~ TELEPHONE #l`,'~Z"~f7// S7/l CELL PHONE #/rS1'ZS`D ~.~~5~3 FAX # PROPERTYOWNERTD/~i(~ ~Gt>1C~DSoN TELEPHONE# ~03/'(0~'/~1rZSL COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ ~INNESOTA RliI.ES 7670 CA"1'LGORY 1 MINNF.SO'fA RULES 7672 (J submission rype) • Residential Ventllation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Caiculations Submitted Plumbing Contractor: Phone # _ Plumbing sys[em includes: Water Softeticr Lawn Sprinkler Fee: $90.00 Water Heater No. oF R.I. Baths No. of Baths Mechanical Contractor: Phone # Meckkv~ical system includes: Air Conditioning Fee: $70.00 Hca[ Rccovcry Syste~n Sewer/Water Contractor: Phone # I hereby acknowledge that I have read this application, state ihat the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan O~rd/inances. SignatureofApplicant _ OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Att- Multi ? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Stortn Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Ooors ? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuatian 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 W idth REQUIRED INSPECTIONS _ Footings (new bldg) FinallC.O. _ Footings (deck) Final/No C.O. _ Footings (addirion) _ pl~~ _ Foundation HVAC _ Drain Tile Other RooF _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Slucco Sto~e _ Fireplace _ R.I. _ Au Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee ~ Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Pertnit Mechanical Permit license Search Copies Other Total ~ ~ ~ ~ RESIDENTIAL MECHANICAL Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 Please comp(ete for: Single Family Dwellings & Townhomes and Condos when pemuts are required for eaoh unit Date~/~~/~ Site Address ~ ~ Unit # Property Owner Vt~/ ~ ` Telephone # (bS ~ ) `s~ ~ -7 ~ contractor STANDARD NEAiING d AIR CON~ITIONING CO -~~0 WEST LAKE STREET StreetAddressM~NNEApOLIS. MN 554tl8-2998 City si2-a2a-~ess State Zip Telephone # ( ) Bond Eapires: The Applicant is _ Owner ~Contractor _ Other Add-on, modiCcation or alterafion to existing dwelling unit $ 30.00 _ furnace replacement ~ ~ ~ ~ ~ 1~ ~ ~ air exchanger $EP ~ 8 kt~ _ air conditioner _ New ~Replacement other - State Surcharge $ .50 Total $ ~ I hereby apply for a Residenrial Mechanical Pemut and clmowledge that the information is comple curate; that the work will be in conformance wfth the ordinances and codes of the ity of Eagan and ' e Mechanical odes; derstand this is not a permit, but only an applicarion a p t, and work is ot to start with t a t work ill be i accordance with the approv plan in the case of rk hich equues a review d approval o plans. ~ Apphcant s Printed Name Applicant's Signatur COMMERCIAL MECHANICAL Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 Please complete for. commerciaVindustrial buildings muki-fami{y buildings when sepazate permits are not required for each dwelling unit Date / / Site Street Address Unit It Tenant Name (iF applicable) Previous Tenant Name Property Owner Telep6ane # ( ) ContraMor Street Address City State Zip Telephone # ( ) Bond Ezpires: The Applicant is ^ Owner _ Contractor _ Other Work Type New construction ^Install _Remove Underground Tank Interior Improvement Schedule inspec6on during installation or removal of tank Processed Piping Nature of Work: Permit Fee $50.50 Minimum Fee (includes S1a[e Sarcharge) Contract Value $ x 1% Permit Fee • If pertnit fee is $1,OD0 or less, add $.50 ~ $ State Surcharge If permit fee is ovel' $1,000, add $.50 per $1,000 Permit Fee $ Total Fee I hereby apply fox a Commercial Mechanical Pemdt and aclrnowledge 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 with the Mechanical Codes; that I undexstand tlus is not a pemut, but only an applicarion for a pernnt, 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 of plans. ApplicanPs Printed Name ApplicanPs Signature Approved By: , Inspector Date: ~-o 200~ RESIDENTIAL PLUMBING PeRnniT aPPUCarioN C1TY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. .Do not combine inside and outside. lumbin on the same a Iication; se arate a lications and ermits are re uired. Date I a J ~Z . Site Street Address 7 e a ~7n~ Unit # Properry Owner ~V~U ~k7.v~. ~dL1.~7~ Telephone # ~ (,n(Z ) ' l7i Contractar ~I ~ a u~ c~ S Telephone u~ ) y/o/-.~S/ Address / fck~- c Cily La~eu~LLe State /r1.i/ Zip~ The Applicant is: _ Owner & Occupant ~ Licensed Plumbing Cantractor Septic System _ New _ Refurbished ~ Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Fire Repair (replace hurned out fixtures, etc.) $ 90.00 This fee a lies when extensive lumbin re airs are made to a buildin . Alter tlons to existing dwelling $ 50.00 Add plumbing fxtures to ~ main level lower level. This fee includes installation of a water softener andlor water heater at the same time. !f you are insfalling onlv a water softener and/or water heater, do not complete this section; move to the next section and place a checkmark next to the appliance(s) you are installing. _Septic System Abandonment _ Water Turnaround (add $136.00 if a 5/8" meter is required) Other: Water Softener Water Heater $ 15.00 _ new _ replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 Sfate Surcharge ~ ~ $ 50 Total $ `Jvp I hereby apply for a Residential Plumbing Permit and acknowledge that the infortnation is complete and accurate; that the work wili be 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 6e in accordance with the approved plan in the event a pian is required to be reviewed and approved. ~/IaR~eS S~P,'~e~ ~~,aY~r.. \L. ~ ApplicanYs Printed ame ApplicanYs Si atur~% ~/o L~`~ j G 7 a O 2007 RESIDENTIAL BUILDING PERMIT APPLICATION C,I~' I~C ~ t I/ City Of Eagan ~I,""' 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New CoreWCtian Reuuvements RemadeVRe~air Reouiremen5 OKce Use Onlv 3 registered sfe wrveys shaxing sq. R of lat, sq. fl. of house; and all roofed areas 2 mpies of plan shaving footings, beams, joisfs CM of Survey_Recd ~ _Y _ N (20%maximum lot coverage allowed) 1 set of Energy Calculafions for heated additions Soils RepoR _ Y_ N 1 So~s RepoA J prapwed 6uilding is W 6e plazed on disW~6ed soil 1 site survey for additions 8 decks Tree Pres Plan Recd _ Y~.:_ N. 2 copies d plan sho~ving heam 8 vnndax saes; poured found design, etc. Addfion-indicafe ilan•sife sep6'c system Tree Pres Reqwred ~ _Y -~N isetofEnergyCalculafions On~siteSepticSystem ~~_Y'_N 3 copies of Tree Preservatlon Plan rf lot platted after 7/1/99 Rim.b'st Deta~l Optlans selection sheet (buadngs vriN 3 or less unils) - Minnegasca mechanicalventilafim fortn Plans are considered ublic information unless ou state the . are trade secret and the reason. , Date~/ Ti l~ ConstructionCost ~~Lb~ ~ ~ Site Address 7 ' N UniUSte # ~'V v Description of Work J'~i~y`.~p1G' lYtil~ ~o Multi-Family Bldg _ Y~N Fireplace(s) ~0 _ 1 _ 2 Property Owner ~nJn t0(,.IGiu'd6~-~ti Telephone #(~~-)1`~~" wi2 Contractar ~~~p~'~~np~~^ri 1'~ Address Q'-~\~ f~7X--~c~ p)~ City N4,GJ ~`G.~~~ State ~A.! Zip Telephone # ( (~IZ) ~~~PI~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 CateGorv 1 _ Minnesota Rules 7672 ~ Energy Code Category . Residential Venlila~on Category 1 Worksheet • New Energy Cotle Worksheet (,I submission type) Submitted ~ Submitted . Energy Envelope Calcula6ons Submitted In the last 12 monfhs, has the City of Eagan issued a permit for a similar plan based on a master plan2 _ Y _ N If yes, date and address of master plan: Licensed Plumber Telephone ~ Mechanical Contractor Telephone ) Sewer/WaterContractor 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 ut a permit; that the work will be in accordance with the approved plan in the c e of wor t~l~~ic~s~r~i nd approval of pla ~f ~ NOV 0 2 2007 ApplicanYs Prin I d Name Applicant's Signature By DO NOT WRITE BELOW TffiS LINE Sub TVpes ? 07 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg 02 SF Dwelling ? OS O6-plex 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi ? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebolpergola) ? 36 Multi Misc. ? 05 03-plex ? 11 10=plex ? 19 Lower Levei ? 24 Storm Damage ?-06 04-plex ? 12 12-plex ? 25 Miscellaneous WorkTVaes r ~ ~2`~'`~o{}~i~' D9~~+~''~ ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ~ 4~ 33 Alteration ? 37 Demolish 8uilding' ? 43 Reroof ? 46 Wndows/Doors 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant D05c~iptlon: Water ~amage _ Yes ~ Valuation ~ Occupancy MCES System Plan Review ~100% or _ 25% Census Code N3 c~ Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length , Fire Sprinklered Type of Const Width REQUIItED INSPECTIONS ' . Footings (new bldg) _ Sheetrock ~ Footings (deck) Final/C.O. Footings (addition) Final/No C.O. _ Foundation ~ HVAC Drain Tile Other Roof Ice & Water Final Pool Ftgs Air/Gas Tests Final Framing ~ _ Siding _ Stucw Lath _ Stone Lath _Brick Fireplace R.I. AirTest Final Windows ~ Insulation _ Retaining Wall _ Approved By: Building Inspector Base Fee Surcharge L , Plan Review " `bl""~/w" MGES SAC ~ ~p,,r~~. ~ f ~ rj City SAC Utility Connection Charge S&W Permit 8 Surcharge Treatment Plant ' License Search Copies Other Total City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 517 Severn Way Lot: 19 Block: 2 Addition: Coventry Pass 4th PID:10- 18403 - 190 -02 Use: Description: Sub Type: Work Type: Description: Census Code: Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Home Depot At Home Services 656 Mendelssolm Ave. N Golden Valley MN 55427 (763) 542 -8826 e- Windows/Doors Windows/Doors-New/Replacement House 434- Applicant/Permitee: Signature PERMIT City of Eaan Construction Type: Occupancy: Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. BL - Base Fee $3K Surcharge - Based on Valuation $3K - Applicant - $88.50 $1.50 Total: $90.00 Owner: John M Edwardson 517 Severn Way Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: 0801 9001 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature Building EA091368 09/29/2009 ePermit PERMIT City of Eagan Permit Type:Building Permit Number:EA129718 Date Issued:03/09/2015 Permit Category:ePermit Site Address: 517 Severn Way Lot:19 Block: 2 Addition: Coventry Pass 4th PID:10-18403-02-190 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - John M Edwardson 517 Severn Way Eagan MN 55123 (800) 873-1451 Lindus Construction 879 Hwy 63 Baldwin WI 54002 (715) 684-4647 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA129949 Date Issued:03/25/2015 Permit Category:ePermit Site Address: 517 Severn Way Lot:19 Block: 2 Addition: Coventry Pass 4th PID:10-18403-02-190 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. 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: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - John M Edwardson 517 Severn Way Eagan MN 55123 (612) 419-5288 Lindus Construction 879 Hwy 63 Baldwin WI 54002 (715) 684-4647 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA132616 Date Issued:08/25/2015 Permit Category:ePermit Site Address: 517 Severn Way Lot:19 Block: 2 Addition: Coventry Pass 4th PID:10-18403-02-190 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - John M Edwardson 517 Severn Way Eagan MN 55123 (651) 681-9252 Lindus Construction 879 Hwy 63 Baldwin WI 54002 (715) 684-4647 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink fr O F E,q For Office Use (/7 -7 .. - oz i i ',0 'fr Permit#: l� / C9 / a� Permit Fee: ecrswe .,rx � ;,, Date Received: / 3830 Pilot Knob Road I Eagan MN 55122 Staff: I Phone:(651)675-5675 I Fax:(651)675-5694 DEC 0 i+ 2017 buildinginspectionsOcityofeagan.com 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: Name: John Edwards Phone: 651.681.9252 Resident/ 517 Severn way Owner Address/City/Zip: Applicant is: Owner X Contractor Type of Work Description of work: Demo/rebuild new deck per attached drawings Construction Cost: 27000 Multi-Family Building:(Yes /No X ) Company: Lindus Construction (crush city) Contact: Danny Kehren Contractor Address: 879 Hwy 63 city: Baldwin State: WI Zip: 54002 Phone: 715.928.3563 Email: Danny.kehren@lindusco.com Lead Certificate#: NAT-58924-2 License#: BC728981 If the project is exempt from lead certification, please explain why: 9 73 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public ff you provide specific reasons that would permit the City to conclude that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.cityofeaoan.com/subscribe. Exterior work authorized by a building permit Issued In accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a per '; that the work will be in accordance with the approved plan in the case of work which requires a review and ap al of plans. XDanny Kehren x Applicant's Printed Name Applicant's Signature Page 1 of 3 _ �~ /z--1-74:17 DO NOT WRITE BELOW THIS LINE -'` I J -UZei'l 1{) - L SUB TYPES Foundation _ Fireplace Porch(3-Season) _ Exterior Alteration(Single Family) Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) — Multi �,G Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex !!_ Lower Level _ Pool _ Accessory Building WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building* i, Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows Demolish Foundation Replace _ Repair _ Egress Window Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation 5 10Occupancy L.t, MCES System Plan Review Code Edition t t, is' SAC Units (25%_100% I" Zoning YL/ City Water Census Code t Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction y((�-, Width REQUIRED INSPECTIONS �\// Footings(New Building) Meter Size: ,C Footings(Deck) Final/C.O. Required Footings(Addition) 7( Final/No C.O. Required Foundation Foundation Before Backfill 1 HVAC_Gas Service Test Gas Line Air Test Roof:_Ice&Water Final Pool:_Footings Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: T\n U , Building Inspector RESIDENTIAL FEES Base Fee ef j Surcharge Plan Review MCES SAC op City SAC Utility Connection Charge S&W Permit&Surcharge )-4 I - 5-, 9 0 Treatment Plant Copies TOTAL Page 2 of 3 : *..,11E 7 vElr2ji L( I 2422 Enterprise ofive • _, ,* Mendota Heights, MN 55120' * 1�iQN��R_ _ �� (612) 681-1914-rax 681--9488 LAND SURVEYORS • CPL ENCINEexs „ lendring LAND azar S • LANDSCAPE ►Rtae s 625 Highway 10 Northeast w� *• Blaine, MN 55434 . ( (512) 783-1880•Fax 783-1883 Certificate of Survey far: The Rottlund Company, Inc. House Address: Severn Way. Eocgn, MN, Model Name: He m ashire Customer. Edwardson ' $Q$•4 N 6 f 648.j 5°4 . QQ / `.. 1 1111 le / f 19 � 20 "4j �9�'� 1 ;) Q/ / xto f s l.7� ��a !I /f c4 Ir Qoo �'":r I• / � ezL �r �o 1 4''L 4/ h ri D 444:49' zr.�, / 4v( : 21 2.6 r i:e l D1rh. f' & WS�;.14 X lb,,g 8v)1 h.so ' ..1 / / � cdh? 77_,, 7` rz.0, , 1 AO ry $f x z ,7 / , i'`4, '�,, z $�' i °b'' / �. _ TZ2j +! o -- ` 0 yz -7* x i v.'? war f 7oT°I X fa et. --.,L.,- , .• .........,, a �` 1. ?" Sod• Se 1 ~ `` i� . sir/i� "/�'y4_,.... ; e 4 l:-." _l ,� . f• i , i1I • - -.w . `� ZAGA r.:GINESAING DEPT NOTE: CONTRACTOR MUST VERIFY ALL DIMENSIONS --` Lexwet r Eck be 903.B$ x solo Denotes Existing Elevation PROPOSED HOUSE ELEVATION xc Denotes Proposed Elevation Lowest Floor Elevation:900_65 =.- Denotes Drainage & Utility Easement Top of Block Elevation:908.76 -Denotes Drainage Flow Direction --o-- Denotes Monument Garage Slab Elevation:908.43 --13— Denotes Offset Hub Bearings shown are assumed LOT 19 , BLOCK � 2 COVENTRY PASS 4TH ADD., DAKOTA COUNTY, MINNESOTA I hereby certify that this survey,plan or report was inpored by me under ry1y direct supervision and that 1 am duly Registered Land Surveyor ender the lows of the Stat!of Minnesota.Dated this Lf day o A.O.t9. ! j . SrCII 4:• ib-4 =3nfeek kAACRT R.SIKH' 1 .. . el LI. 411101 . PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA149591 Date Issued:05/30/2018 Permit Category:ePermit Site Address: 517 Severn Way Lot:19 Block: 2 Addition: Coventry Pass 4th PID:10-18403-02-190 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 - John Tstes M Edwardson 517 Severn Way Eagan MN 55123 (651) 681-9252 Standard Heating & Air Conditioning 130 Plymouth Ave. N Minneapolis MN 55411 (612) 824-2656 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA153707 Date Issued:01/15/2019 Permit Category:ePermit Site Address: 517 Severn Way Lot:19 Block: 2 Addition: Coventry Pass 4th PID:10-18403-02-190 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. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - John Tstes M Edwardson 517 Severn Way Eagan MN 55123 (651) 681-9252 Standard Heating & Air Conditioning 130 Plymouth Ave. N Minneapolis MN 55411 (612) 824-2656 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA166837 Date Issued:02/09/2021 Permit Category:ePermit Site Address: 517 Severn Way Lot:19 Block: 2 Addition: Coventry Pass 4th PID:10-18403-02-190 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. *Roof permits issued between December and March will be inspected in the spring or when weather warms up. 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 - John M & Ann G Tstes Edwardson 517 Severn Way Eagan MN 55123 (651) 681-9252 Lindus Construction 879 Hwy 63 Baldwin WI 54002 (715) 684-4647 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA176146 Date Issued:05/03/2022 Permit Category:ePermit Site Address: 517 Severn Way Lot:19 Block: 2 Addition: Coventry Pass 4th PID:10-18403-02-190 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. 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. When a weather barrier is installed or 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 - John M & Ann G Tstes Edwardson 517 Severn Way Eagan MN 55123 (612) 419-5288 Archer Exteriors 820 N Concord St Ste 106 South St. Paul MN 55075 (651) 493-4156 Applicant/Permitee: Signature Issued By: Signature