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520 Severn Way INSPECTI4N RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: , Eagan, Minnesota 55122-1897 Date Issued: Ej f, ~~?'1 f~, ~ (612} 681-4675 SITE ADDRESS: ` ~ r`` ' " ' " ' ~ APPUCANT• ~ i ic~ ~i, t ' : ~,~i r~:tN llr~1• ~ „f,~ ~ I ~ ~ . . . ' I 11 ~ . ~ 1 ~ PERMIT SUBTYPE: TYPE OF WORK: i~ • „ . ~ ~ i i,:. , , . ~ ~ ~ ~ PermFt No. Pfrtnit Hold~r Dets Tel~phone Y ELECTRIC PLUMBING HVAC Inspection Dste Insp. Comm~nb FOOTINGS ~S/¢ ! FOUND FRAMING ROOFING ROUGH PLUMBIN(3 PLBG AIR TEST ROUGH HEATiNG GAS SVC . TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG F~NAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG / DECK FlNAL y~~ , `~f ~v _ . INSPECTION RECORD ' CITY~ OF EAGAN PERMIT TYPE: ~ 3830 Pilot Knob Road Permit Number: • Eagan, Minnesota 55123 Date Issued: " ~ ~ (612) 681-4675 . SITEADDRESS: i ~ ; f APPLICANT: , . i ~ ri ~ fn r ; , ~ ~ ~ ~~~n n rN~ ~~i~?! M 1 kY 1~liti•, q t II r i. i I t.,a~~ PERMIT SUBTYPE: TYPE OF WORK: . „ . , . , ~ . , . r~. ~ r, . i i~„! , i . o,, nt~.. i~ , ~ I~ '.11 1• t~~ I:~, I ~ ^I _ ' PKmR No. PertnR Holder Date Talsplwne ~ . SMI - PLUMBING 9~ a~~~ HVAC G ELECTRIC ~ ~ ~ ELECTRIC Inspsct~on Date h?sp. comm.rKs Footings I ~ ~savcyo~Z oC..i~ ~ R~~1~C-- Foundation Framing ~ ~1, ~ ~~9 R°~' ~ng- %21 93 '~S tA~ r c~- P. re ~ ~3~~~ ,Ql~ ~ ~,i. lYl~-.~ ~?e~'a`~ ~ Final Htg. , j ~ ~ ~ 6 Orsat Test Fl~I Plbg. ~0 Plbg- ~rmpedor - Notily Plumber (7 Cor?8t. Meter EngrJPlan e~ag. F~ ~ /S 3 Deck Ftg. DeCk Fnal we~i Pr. Diap. • w w . • ~ ~ " ~~ti~cate o~ ~ccu~anc~ ~~tq a~ ~agan ~i Tkis Certif+cate issued pursuant to the requirements of the Uniform Building Code certifying tirat at tJu time of issuance this structure was in complia~rce with tJie various ordirwnces of tire City ~gulating building consnuction or use. For the following: u~ S F D W G s~. 20545 R3 1 R ow~ot ~ Ti-lE ~7TTCitL~Hf ~ ~ ~ ~ s > B~u'lding Addtesa L.ocalily t , ~ _ ~ p6/15/93 s~;~ oe~ POST IN A CONSPICUOUS PLACE ~ INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: ~ 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: ~ ~ ~ ' ` ~ ' (612) 681-4675 i 11 I~I I;, 1~9 < 7; 4~ 4i . SITE ADDRESS: ~ i. i, ,<< t~,i ~ APPLICANT: ~'1 kN 1-!AY ~ ~ ~ ~i .'i rJ i l~ ~ I~;, , ~1 { I~ , , , ~ PERMIT SUBTYPE: TYPE OF WORK: ~i. , ~ it . i ~ . ~ :t4 1('di: i i~'.~il r~ t i~ ' ;.:ir+l~~ll t 1~1 I'I I~li f I hJ~11 ~ ~ ~ I Permft No. Permit Holder Date Telephone M EIECTRIC J / 9 D ~ PLUMBING I HVAC I InspecNon Date Insµ Comments I FOOTINGS I I FOUND I FRAMING '~~fl ` n I I ROOFING I ROUGH I PIUMBING ~ PLBG AIR TEST ROUGH I HEATING I GAS SVC I TEST I INSUL I GYP BOARD ~ I FIREPLACE I FIREPLACE I AIR TEST i FINAL PLBG ' I FlNAL HTG ~ ORSAT TEST I BLDG FINAL BSMT R.1. BSMT FlNAL ~I~` ~ DECK FTG DECK FlNAL Address 520 SEVIItN wAY Zip 5512 3 Lot' ~ Blk 2 Sub ~van'xY rnss 4ni THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: ~~~S~q3 Yes No Inspector: Final grade (6" from siding) L/ Pennanent steps (garage) ~ Pertnanent steps (main entry) ~ Permanent driveway ~ Permanent gas 1/ Sod/Seeded grass ~ TraiUcarb damage ~ Porch Basement finish Deck Please verify with the builder the removal of roof test caps fmm the plumbing system and the shuboff of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division et 651-4645 before working in rightof-way or installing underground sprinkler system. ~ White - City Copy Yellow - Resident Copy Pink • Contractor Copy oD ~ 5.[~ ~3a ~3 R uest ~ e Fira No. RougRin sp ction a_q 3 qa,~;,~ t ? Reetly Now ~j Will Nodty Inspaclor Yes _ o W~en BeatlY? ~ I~ lic~ensed contrador f~ owner hereby request inspection of above electrical work at: Jo~ Adtlress IS~ree~. Bo or Rome No.~ City a ~ Sect~on No. Townsnip Name or No. Renge No. Coyqp~ ~ L\ OccuOa IPRINT~ Phone No. Power $pppiie~ - ~ AECrass Gl f ~ Eleclricay~onV`~~or ~COmOany Name~ Contractor§ Litense No. C,~ ~ti C/~ D 63 ~ Ma~linq AtlCress 1Conlractor or er Making Installalion) Aumor¢e0 SignaWre IComre ~Own M ing Instella~ion Phone Number 3-3~' MINNESOTA STqTE BOARO OF ECTRICITY THIS INSPECTION REQUEST WILL NOT Grigge-Mltlway BIEg. - Hoom S113 BE nCCEPTED BV THE STATE BOAFD 1821 Uniwrelry Ava. . Vaul. MN 55106 UNLESS PROPER INSPECTION FEE IS Plw~w (812) 86]- 0 ENCLOSED. .~j'J/9~ RE~UEST FOR ELECTRICAL INSPECTION ~~y~`~"`~~$ ee-aooo,.oa ?'bee insVUCLVns for completing t~is lorm on beck ot yellow copy _,q~&5! ~j0 ~ p a 'lf~/~ •.1,~ ? J 5 'X" Be/ow Work Covered by This Request ~ ewAdtl Rep. TypeoiBuilding ApPliancesWired EquipmantWiretl Home Range ~ 7 Temporary Service ' Duplex Water Heater Electric Heatinq ApL Building Dryer Othec{Specity) Comm./Industriai Furnace Ferm Air Contlitioner Omer ~syecity~ ComraaorY Remarks~. Compute /nspection Fee 8elow: 8 Other Fee # ServiceEntranceSize Fee # CircuitslFaetlers Fea Swimming Pool 0 fo 200 Amps ( 0 to 100 AmDs Transformers Above 200 _ Amps Abova 100 _ Amps SignS Inspectorg Use ONy: TOTAL 2 ~ Irrigation Booms ~3 V~ ,.,7'~"- Speciai Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 7 THS ~ I, the Electrical Inspector, hereby Rough~in oary /~~:lJ~ certif ~hat the above ins ection has S Y P Finai ~ been made. Q OFFICE OSE aNLY ~ ~ This repuest voitl 18 moniM1S trom ,S'.~00~' Om °~72 ~ ~ ~ y~ Requesl Oale ire No. Roug ~In Inspaction quir tl Inspeclion Other Tnen ough~ln ~ (YOV us~ call inspect r n reatly) ~ Reatly Now WIII No~ily Inspecbr Ves No Date Reatl I 'cgnsed contractor ? owner hereby request inspection of above electrical work at: Job Atldress (S~reel, eoz or Roule No.) Ciry 5`.20 ~~.U~VRiIJ W14 ~/~~~f~J Section o. Township Name or No. Range No. Counry l~/-F~-a i! ' Occupam (PRINT2 ~ sc N u~T Z Phone yy~ - Y~~~ -r,~ ~ ,~o ~ Power $uppller Atltlress Elearical Con[rflctor (Company Name~ Contrectors License No. C~~rc,Ax~r~ ~~~~~e.~e iti~, c~ oo?rs Mailing AOtlress (Conirac~or o~ Owner Making Ins~ella ion) ~-(Z33 r~oc.~ w~~o M/~~~ fFFs~~ YhN 5'3%a~. Aut~orizetl ' nat e(~Va M'ng Ins~sllation) Phone Number . ys z-3z~~ MINNESOTA STATE BOA 0 OF ELECTflICITV II II I~ I II II II II I I II II THIS INSPECTION R WIIEST VJILI NOT Grigga-MlEway Bltlg. ~ Room 5428 BE ACCEPTED BV THE STATE BOARD 1821 University Ave., SC Paul, MN 551P1 UNLESS PROPEF INSPECTION FEE IS Phone (612) 60P-08U0 ENCLOSEO. i~ `~~;E~UEST FOR ELECTRICAL INSPECTION ~ EBOO73 Q / iee instmclions for complating this lorm on back ot yellow copy. p ~~1 ~ 'X" Be/ow Work Covered by This Request Ne Add Rep. Type of Building ppliances Wired Equipment Wired Home Range Temporary Service Du lex Water Heater Electric Heatin Apt. Building Dryer Load Management Comm./Industrial Fumace Other (Speci ) Farm Air Conditioner Otlier (specity) CoMraclor's RemaMS~ ~~Nr r-~N(~• L Compufe Inspection Fee Below_ # Other ~ Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimmin Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200_Amps Above 100 -Am s Si ~ ns ~~soacwrs usa o~iy: S,0 TCyyAL Irrigation Booms (~G p ~D !OZ S ecial Inspedion ~ Alarm/Communication THIS INSTALLATION M RDERED OYSCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 S. ~ I, the Electrical Inspector, hereby AOU9n~m , ~v a, f~ certify that the above inspection has F~~ai ' ai / ~ been made. • ~ ~b OFFICE USE ONLY Thls reques~ voiC 18 months from ~ AL RESIDENTIAL Z73 ZS SS 1 S~ BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EACAN MN 55122 651•881•4675 New ConsUuction Reauiremanta RemodeURaoair Raouiramenh • 3 regislered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas • 2 copies o( plan (20% maximum lol covera~e alloweC) • 1 set of Ene~gy Calculations far heated additions • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 site survey lor exterior additions 8 decks • 1 set of Ene~gy Calculations ~ • IrWicate if home served by septic system Por additions • 3 copies of Tree Preservation Plan if lot platted after 7/i/93 . Rim Joist DetaB Options seleclion sheet (bldgs wiM 3 or less unib) 9/3/0~ (a,ooo DATE VALUATION S- l I~~DDD ~I ~ a~ SITE ADDRESS ~O ~i'1~ MULTI-FAMILY BLDG _Y ~1 TYPE OF WORK IGCQ. i1 FIREPLACE(S) _ 0_ 1_ 2 APPLICANT PX~ 1 L ,f STREETADDRESS CITY bDYYI! STATEMM ZIP~ TELEPHONE #~J~~' 000'O~ CELL PHONE # ~n~'~P~a'79~~~gsa-~9p-~~1~ PROPERTYOWNER~ I-Qf`rQiScn c~U~P.I.~~L, TELEPHONE#~OSI' `Y7clr /70~ COMPLETE FOR KNEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESO"1':1 RULES 7670 C:11'EGORY 1 MI.VNESO"1:~ RULES 7G72 (J submission type) • Residentlal Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Confractor. Phone # ' _ Plu~nbing system includcs: Watcr Sottener _ Lawn Sprinl:ler~ ~SEP O FepOOZ$ l~~ 0 = Water Heater _ No. of R.I. Bat}i b L No. of Baths Mechanical Contractor: Phone # B Mect~viiril system includes: Air Conditioning Fce: $70.00 Hcat Recoverv Svstcm 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 Ordin Signafure ot Applicant `r ° OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ? 01 Foundation ? 07 OS-plex ? 13 16-piex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwefling O 08 O6-piex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex O 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) O 36 Mutti ? OS 03-plex O 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex O 72 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 (Foundatlon) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof O 46 WindowslDOOrs ? 34 Replacement *Demolidon (Entire Bldg onl}~ - 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 _ Franilng _ Siding Smcco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insularion _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply 8 Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total PERMIT ~`'/~v G ~ CITY OF EAGAN ~7 3830 Pilot Knob Road PERMIT TYPE: 3„u i o a~ Eagan, Minnesota 55123 Permit Number. ~ry ~ p~ (612) 681-4675 Date Issued: ~9 3 / ~ p ;j SITE ADDRESS: s,~ r_ r~ r! E.i Fi Li~T~ i,LOf:K, ~ i:01r~:i~,l.f~r.v I,l,`.~`f rtTk; N . 1 e h . . 1 C!1- 't o ,V 3 - t~) 7, - DESCRIPTION: t<ui]dinsi-,fr:~rmi.t f`lI~=. SF CIWr, ~G~u~~l.ciing. ~?q:°f: i~;~;~,.: iAEl~.I %~U~l: tlcc~~a~,nr.y'-., R--3 M~-1 Cc~~~t:r~xet-ia3~~ Y~iwe v+-iV . 2eni:~q Iz-1. E3ualc+znq ler.c~th ~ Ri:tile.'~ixtc] tFJ3.dti~ ' ::6 ~ _ l. ~ f~~~r~" iT tr; - I 1~` ~ ~ _ f~. 1 ~ L~'_iw.~ ~ _ ~ ? _REMARKS: ~ 7a t! .>~;~~3 v~~~~s~,~ . t~a FEE SUMMARY: v.~~_ur:r~.rur,~ ~1c~s,Gne~, I~,~ . F'2R ;;l~1_]. 27ii~ I~ CS[`.t:I_l.lAP~~EOUS ._._..__._..__~i'_.~!_-.='C9 ~'I~~ Rcvi.et,~ $:3','_9.5 i~tia7. f~~~ ?'3„`:'vi7.7!b Sur~ch~~r~e ?7f4. F,i) ~ • v. t1 f: ? 7 6~i Yi G7 r : K; S~1C, -x :1.~Pi r i, . r ~fi~C Un it~~ ~ .i; i~ i, 't. ~i. a 1 i b Z,~. b 1~3~1 CONTRACTOR: - ~a p p 1 ~ c: ~ ri s~, C OWNER: THE i'2t`)'ll"Lllhlll CO 7~.PIC 1.511/):s4~q b~r'%rl i3~i f4iE ^nOTT'LUP!D CO :Ch.!f; EiYTl E R:C',tFR RL !~~~;'G'~1 L i~l.'',iEl~; £"vIl F'p~T[~t ~Y I'+iM 55~2:i. FR,TDLr_Y i~iP,! 5592? . , 5?'L...';:J:,q (61:t)571...(d~~;i? ~~7~1 ~ I;'~arcai y~e'%~nr,Wl~~qa th~t~ I PTerv~ r~~~sc~ t~:~ fa~~i; iccati~;ar't anc~ ~;7..~t.~ f.k:~ t. t~o . . - _ » r i„f~rma~i^r~i i5 ,,t>rrec~~: ~;r~c! a~~s~c~e ev cortpay ~i~Y.ti ~~1, :~,~,~1~~..~.te ~ ,_•f .~i:~ :.t,~rul`es a:id Ciry of ta~~.fi :JrdsYt,'neeM. ~ - / ~~-r~ ~ ~n~iR ~ ~ ~r~ I ~~'~--l- APPLIC~,NTlPERM E SIGNATURE ' 153UE BV. SIGNA vnq, INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: i~ 3830 Pilot Knob Road Permit Number 4) r~ r Eagan, Minnesota 55123 Date Issued: 5:s (612)681-4675 SITE ADDRESS: APPLICANT: ~ o;: s u i n r. 'r~ : S''~ .;E~V~_R7! WAY ~ HF ROTT"I_UNO CO I;d: 'fI:Y ?:',C_. ~I711 (iS~t~, Sr'-P'v75 PERMIT SUBTYPE: TYPE OF WORK: :~F Ui.i~, i4C.bJ . . ~ ~ I~00 fTIVC ~'RFih7"I~:G Ii'dSU{. {;~~~;~ON F ~ I+1Fl1 Plr~f.; (dEI~~AI~NSe :i ~ 4J PI F,~ V~1LLi:Y h'f.BG ~ ~ ' REACTIVATE CITY OF EAGAN ~9~Q 07. PE`RMIT N 1993 BUILDING PERMIT APPLICATION ~ ~ 681-4675 11AR y g ~D P[t,~a 3- 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 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 3 1~ Val uation of work ~ v~ Site Address: 52c~ SeVerr~ w0. STREET SUITE Y Tenant Name: (commercial only) P ~~1-IvHe~ LOT ~ BIACK Z SIIBD. P.I.D. 1~ Cpv e Descri tion of work: Srn ie '~w-~~ The appl i cant i s: wner Contractor ? Other co~«in~> Name ~i-~l~vv~ .:1=vt~ Phone 51 I -03°~ Property -~~ST FIRST Owner Address ~J='l C. 2a ve~ (~l, ~30~ STREET STE N City 1~~~~'~~ State M rt Zip ~542( Company So. w~ Phone Contractor Address License # i3 3S Exp. ~-31 City State Zip Company Phone ArchitecU Engineer Name Registration # Address City State ZiP Set+er & water licensed plumber ~l ~ luu.~rkc Processing time for sewer & water permits is two days once area has been proved. I hereby acknowledge that I have read this a lication and state that the information is correct and agree to comply with all applicagRe State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ~ OFFICE USE ONLY BUILDING PERMIT TYPE ~ . a~~;~ ~ ~ '~1 "~74 ? O1 Foundation ~ 06 Duplex ? 11 Apt./Lodging ~.16 B~'sement Finish 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. f7 ll-SGiim"'Pool$ ? 03 SF Addition ? OS 8-Plex ? 13 Garage/Accessory ? 18 Camm./Ind. ~ 04 SF Porch ? 09 12-Plex O 14 Fireplace ? 19 Comn./Ind. Misc. 0 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE ,'~31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish O 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) y-ry Basement sq. ft., MWCC System ~S (Allowable) V- N lst F1. sq. ft. City Water ~ UBC Occupancy .g 3 M_~ 2nd F1. sq. ft. PRV Required Zoning R-i Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length ~ On-site well Census Code /oi Depth On-site sewage SAC Code n~ APPROVALS C~atirs~s ~ Planning Building Assessments Engineering Variance RE(~UIRED INSPECTIONS ? Site ? Footing ? Framing O Insulation ? Wallboard ? Final ? Draintile O Fireplace Permit Fee vei~si«~: g ~ 49, Ooo Surcharge GqRAGE; Plan Review 3Ux2Z. = 6C~p License Z x io = (20) MWCC SAC ~ y2 k y- o . City SAC Water Conn. RSMT: (,3v K!L 080 Water Meter X ,~g Acct. Deposit ~yx ~ 30~ S/W Permit S/W Surcharge ~pq2X j5= 16 388 Treatment P1. ~ Road Un i t ~ gT ~~;,~y~ Park Ded. Trails Ded. $SmT~ld92 Others 2~/tx~t = I o Total: Zx6KL= Z~_ 5AC Y l~~ Z~p~L,~R ~l2`X5K= /d3oK SAC Units _L :9'sr F~~ori= 112~ • Ix9: I 134 X 54 Z3~ / N S~ So ~ iC ,j~, 2422 Enterprise ~rive Mendota Heights, MN 55120 * PIONEER (s~z~ sa~-~si4•Fax sai-saas y _ LAND SURVEYOftS • CIVIL ENGINEERS ~ ry ~ LAN~ PLANNERS • LANOSCAPE ARCHITECTS * en~~neerin 625 Highway 10 Northeas * Bloine. MN 55434 * * ~ (612) 783-1880•Fax 783-1883 Certificate of Survey for: Th2 RottlUnd Com~anv, ~nC. House Address: 570 Severn Wav. Eagan. MN Model Name: Hampshire zs / ~ Custom : Schuetz / 25 ~ ~ / / S / ~ 895.6 t~,, ~ ~o V r n `?`~8> , ~ /'~Jh~,~ ~ ~tr~~'Z~ 27 h" ~ N ii~~'`~ ~'Qqs.o gU9~X~' ~26;36, //ry~~~~ / a ~ 7p S.. 0 ~ ~c'~P ?~3 ~ U. ~Q O F ~ c~ 4 ~Po o x8y" r~~ yq,2S` / 30 0 o c~(+ ~ / 0'~ 'O,'/ m K eO G~P 'Y~ e9PU`~ t~~1 / ~~e / 8,{5' ~ ~ / ~ ~ \ ti ~ ~ ,y ~h ~ ~,~2 ~ X b~3• g ~ ~ \ % 89~.3 3`T jh~ n1' 3yo pJ~o`~p OPy~ ~ \ M~y~ ~ ~~y ~~p . ~ + ~ 6q1.~ 2g` J 2 ~ x ~ b`io. o~ ~ os\ ~9~ ^ p ~ \ 2 U / / ~ } / \ 8 ~ / 89G,a5 ~ / 1 \ y ~ ~ i srs. ~ ~ ~ F~i~j9 \ ~ / / ~O4j`y C~ ~ ~ ,\n~~L.o~ 29 / ~ ~ /~r , j ?;r.. kr~•~ r \ ~fb ~ t~ S t~-r5 \ / ~ W ~ ~ / ~ ~ ~ ~ ~ r ' (~~G1 ' p,r / ! ~~~.~.aV ~~~SI~~+~,F{I~Ca ~~"..i~l ~ 31 ~ ~ / . eoo.o Denotes Existing Elevation / PROPOSED HOUSE ELEVATION = 9~•o Denotes Proposed Elevation Lowest Floor Elevation:889.15 Oenotes Drainage & Utility Easement Top of Block Elevation:897.26 Denotes Drainage Flow Direction ~ Denotes Monument Garage Slab Elevation:896.93 Denotes Offset Hub Bearings shown are assumed LOT 28, BLOCK 2 COVENTRY PASS DAK~TA COl1NTY, MINNESOTA 4TH A D D I TI 0 N - I here6y cartify that this survey, pla~ or report was p~r~e red by m~e ~o unde~r/^ y direct supervision and that 1 am duly Fegistered La~d Surveyor under the laws of the State oi Minnesota. ~ated this! ~.4~ day of_J~~F~.~. 19~. S c a I e: 1 IfiCf1= ~ O f88t ROBERT 6. SIKICH L.S. REG. IVO. 3489 ~5 92529.29 . _ , . . . . . LOT iIIR~LY CSLCICLtaT t0A ~EBIDLNTIJ?L ~ ~IIILDI lSRI[IT fPD ICLTIO~ pROPLRTY ~.*a~L ~ ~ ~ Dit~ O= /1ili~yi ~T ~ . ~ ~ 4DCV}SLNT aTfvt»4na ~0 D • Registared IanQ 8urveyor siqr~eture aad ~ompany ~ D • Building p~rmit 11pp1icanL • D • I~egal descziption Q~ D • 1lddress ~D 0 • North anow and bar scal~ 9" 0 D • liouse typs (rambler, walkont, split w/o, split aatry, Iookout, ~tc.) ' fd~,0 D • Directional drainaqe arrovs rith slop~/qradient 1~ 0 • Propoced/~xistinq s~wer anQ vat~r s~rvicec ~ ~ • Street name 8~D 0 • Driveway Ls.~va2zoxe ~xistiac 0 C~D • Sewez service 0~ 0 ~ • Lot coraers D[~ D • Top of curb at the drivrwey ~8~ D • Elevatioas of any exi~tinq adjacsnt IIomes 4zoDOSeC ~D D • Garage floor D~~ D • First floor ~0 0 • Lowest exposed elevetion (walkovt/vindowj ~ 0 0 • Pzoperty eorners D~D 0 • Fzont and rear of home at the foundation p0A'DING aREAB [if aeelieaDl~) [3~0 • Enaement line D DD'' D ; xwL ~ , IiWL 0 D • Pond dssiqr~ation D 0 • ~ergeacy Overflow ~l~vation DIISENSIONS ' L? D D • Lot lines PJ~ 0 0 • Right-of-vay and str~et width (to back of ourb) ~ n D • Proposed Aome dimensions includiaq any propos~d d~cks, overhnngs qrenter thnn 2', porches, atc. (i.e. all structures requiring permanent tootings) 'tJr D D • Show all ~asemeats of reeord ar?d any City utilitias within those easement6 0 0 • Setbacks of proposed strueture and setback of adjacent •xiatfng homes • D~ 0 • Retai ' 1 rsqu mentc, S! any • Reviewe . , ame ~ e e..._.__ . , . ~.1~~~,~~~ y •q . ' ' _ 's.~ • ' EXTERIOIt~. LnvliLUYE Avci2AGE "B" C04LYOTATION . OWNER ~.~`ut / /Vt..C.R-~YL[~ C_.C~y ~[/Y~ ~ SIT~ ADD2ESS _LUT Za ~~Loc~ 2~~ouENTRy PASS AAD~N ~ CON'PRACTOR tl~~/e~;E DATE_ ~ PHONE S7I".C~~~~`~ Determine working square footage of each. 1. Total exposed wall area ZSO(~ sq. ft. x .f = 32Q.~'~ 2. Tota1 roof/ceiling area //8O sq. ft. x r02~ = 30.ro . Total exposed wall area above floor a. Total wall window area b. Total door area ~ c. Total sliding glass door area d. Total fireplace wall area ~ e. Total wall framing area (average 1D%) P. Total net wall area above iloor .....................~~Q g. Total rim joist area .-~l~ ~ Total exposed foundation area = g h. Total foundation window area ~ 1. Total net foundation area above gr.ade Delermine "U" value of each wall seUment. a. ~ 2.5'~ X ~~U~~ r.ST .1?/ /'7 ~ sai v " b. 3~ X „U,, ,07 = ~ ~ X ,~U„ . 5~(~ = Z7-6o d. X~~U,~ t/ = i~ e. ~~S X i~Ui~ ~ C~~~ _ ~gr7~ f. /43o x ~~o~~ ~o~f2 = .06 g ~ ~ G X ~iU~~ ~ ~T~ _ ~ ZrT ~ h. 7 X ~~ll~~ ~ S.~ _~ag~ i, 7, X~~U~~ ~ 7• ~ r 3 ......................................Tota1 = O.7 If item 1! 3 is the same as, or less than item lll, you have met the intent of SBC 6006(c)2. ? . - rs-12_~ . 3.1 DE7'pILES F;EFUR7 F~{1f2 ~'PJTiFlE FIOLlSE , F'reE~.xretl Fnr. Prepared Ry: Roitlund Ca. M.W. Guerre Faare Weatxng , Mn Jo6 Namee /lR+nf~~ ~ • ~kY ~~~~~.M~*k#*~~~X~~i ~A~~~R~#~t##~##~~t~~7k#*~~~~*~ffi~~*~k~#~k*~Y#i~&k~~~k#~~~*~'~#M*fi EXPC}:;UhE - f,iLF1W=c~ NC~F'2TH 8t'~U7Fk F:~~~'1' WE'ri'T NE1NW SE:/C-.r~ M~Fc2. TG'fAt_ L';k~41 ~--.-__.._--~~,---~---271..___iU~};---'194_______04 Qt O' 373t l.7C1i3LIhiF~ ~ f~E; ~9u; R,RsfH Q~JIJi 0! O1 0~ 14.3~31 riL:A1xNG ~ ^c.,13a1 1,10E3: ~,104t '7,96s~ Ctil oi Ot 1~~,300t ----•----._._____._------°--____.~_____._.~w~.._~______.._ E~Et_OtJ W~ti,i,c; NaF(TFf SL7ElTH EAST 4fE8'T NE'!Nk' SEISW GRF}~.7E '~'t)Tl~L AFtL.A ~ 714! 737i S~OC~1.1 4631 0~ ' 41 ',~15~ C~llM.l: NG ! S85 ; bpR ; 82G ~ 789 ~ U~ tt ~ d~ 2~ 7`~~ t HEAI'INf~ 7 2}a31I ?~9221 3aG3br~l .~8I8~ 6~ 01 6.7981 2C~~S371 _ DOCSI'iS fS~RTW SUl1YN Efl5T WEbl" NE/NW SEJfiW 7OTAL ------___.._-___-18~ AREF1 I ' ' 2U i 0 i t} ; p f ~ ~81 CUE~LINC~ t 19i3! 4i ~l~i O: Oi ~ A~7f HEF~TIN3 ; 95b; O: irq62: O; 07 S 2~018: FLOOfK AREA COOl.IM6 hIE(iT'TiV6 ----------____°----~2,y----------.___~„_--o---,-------2z681 W CHILING AF.EA CE7f5L.iWG FfEATING ----------------~----•------4~a__ ~z~~ t ~ t2~ MI5CEL4RhEflU3 COOLIN~ LE3AD8 prppla E~n~;iC~l~ Lnad 2~57:i Latent Lpad 6~99~ Lights F< AS'~pl . S.,a~tf 1 r 195 l.ateryt Satcty B'tuf~ 350 VR'nl:ilation L.oad i~65a Duct Meat F3ain 6 Infilirati4r~ Ltvad 429 Sensitrl~ Safety L~tuh F.16b TOTFlL SENSIRLE LpAp 24,483 TOTAi.. LA7EN7 LflAU 7,345 Summer ACki O.dh 1'emp. Swing Mu7.t. 1.6C7 W~~ T~t,zl Conliny Loacl : t ai~27 PYL1H dr 2.65 Tqr,a ##~k MYSCEt,LAIVEOUS HEATI9dG l.flAfl^a ih{iltr~ticat~ Lc+ad 5}I54• tiJentilatian ~oad 9~900 UuCt H~!aL L.r~~s 0 Snfety Btuh 2,876 Wint~r ACN 4.1_~ &:~tM 7ota1 Ne~ting l..oad 66~397 B7'VJH ~k~k# . ' . ' ~ ~ 03-12-~~ 3.1 SUMMARY REPORT , Fr~~pwar~ed F~~re prepared Py: Rnttiund Ca. M.W. Gu~rre , - F1~7re }i~~r3ng . Mn Job N~me: ~~~IYL° • . ~'*~k~k*W~M*~tM~**X~*~~*~~"K~'~kk~#tt%k~k#~k#~~#M'~~x###7k~#~k*#*#*#~FY~~#~%k#~k~~'~C'8#XC~pA(#~~~~ [)ESIGN COPJDI'I'XCJM.~i ft~t" 6U7'DCJf3R ItSUt]UFt 'a'UMhf~.R WIN-fk.R HIJMhEEF2 S~TNTER L)Y"Y DU1b 9C~ "'c^CI 7J TO Wt~t Eluii~ 7,`i 67 Uwily Fi~nge 22 L)aily Liwii~g 3,i~ Latituc:le 4A ~ E:levation b22 Safety Fact4r ('l.) 5 Latei3t Factc~r t7.) St7 ~~~~~~~1kJf~~~Sc#~*~#~~~~#~9~~~A~#~~#~~~'~#~N~7RK~~ffi~#~##:k*#~~~M*~~~~~%~~t7k*81K~*##~~# Seris i t~ l e Ftoom HeaCing Ffeating Coplinq Ceoling Na,me HTLJH CHM iiTUH ~ CFIS FJ~iSE'ftlCtl't 13,bV;3 WvW19Qy ~i~284 6:iA f:rawl 5pa~e 3,47A 49 I86 9 F'oyer S.9C>7 55 1'29A 65 Livin+~ RGOM ;;.,°,G~; 4q 2~6R:; 13b Di.nirsg R~oin 1,8a1 26 1,0~9 52 F:i tc hen 11 , ~`J2 16G 3. fla6 196 lli.Ret'ke 2,182 31 1,92~ 97 F'~amil~y Room ~T25'. 73 3,938 f99 ~ta,J raom 2 2, 465 39 1, 2~ Q 63 E3eqrpom ~ 2~590 40 1~847 g~ Beclr~om 3 2,205 3I 1,:'74 55~ Upp~r Bath 1,081 i6 b27 32 Master Bath 1~~3.°/ 18 90a 4~ Master ~edraom 5,,043 73 2a452 f24 ~{~r397 ~~945 24,483 3.23h E{~pTING DELTFl T bS.Q COOLIN6 DELTA T F8.0 ~ PERMIT ~v ~a~o7 CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: ~J Eagan, Minnesota 55122-1897 Permit Number: 0 2 6 g g g~ G (612) 681-4675 Date Issued: 01 /30 J96 SITE ADDRESS: 520 SEVERN WAY LOT: 28 BLOCK: 2 COVENTRV PASS 4TH P.I.N.: 10-18403-280-02 DESCRIPTION: ~ 6;~iil8.~n~~:_Permit 7ype BASEMENT PINISW ,~uiltliny Wa~.r..k Type ALTERATION CeetsLS Codec ~'s~ 434 AL7. RE3IDENTIAL s ~t ~ ~ ~ • ~ "'z; rv~A , f ' . v'?_A'r j~~ ~ ~ s'.A~ ~.m niiS`''~r.: ~ ~ "e'~'W"~' ~ . w. b ~ ~ ~ 1 P~ -P ~ ti ~ ~ v ~i t ~ 'w ~T_'"`xt x a§,'°~ ' ey +5 ~ +~i ~~,~'~-'~s` : gs {(3`"{_~ ~ ` Tza. .w f t a`>~i ~ i ft.{ `4-~~. ° ,..,.~a ~d~~ 4,~, REMARKS: FEE SUMMARY: Base Fee $50.00 Swrcharge $.50 Total Fee $5@.50 CONTRACTOR: - Applicant - sT. ~IC OWNER: R 0 CONST 14523575 000498$ SCHUETZ JEFF 980 570NY POIN7 RD 520 SEVERN WAY EAGAN MN 55123 EAGAN MN 55123 (612) 452-3575 (612)456-9780 I hereby acknow~edge that T have read this a~plicat3an a~~1 state that the informati~n is`cc,rreet end agree to camply with a11 applicable State afi Mr~:' • `~t,~tut~s and i~,i~p o'F Ea~a~i~~ qrdic~~n~8e. ° ~ ~ . _ _ _ _ ~~r1n R~o~~,~.11~ APPLICANT/PERMITEE SIGNATURE ~ ~SSUED :51 INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: a u z ~ o x N ~ 3830 Pilot Knob Road Permit Number: 026958 Eagan, Min nesota 55122-1897 Date Issued: 01 / 3 0/ 9 6 (612)681-4675 SITE ADDRESS: P' Z• N.: 10-16403-280-02 APPLICANT: LOT: 28 BLOCK: 2 520 SEVERN WAY R 0 CONST COVENTRY PASS 4TH (612) 452-3575 PERMIT SUBTYPE: TYPE OF WORK: BASEMENT FINISH ALTERATION . . FRAMING IN5ULATION ROUGH IN PLBG FINAL ~ ~ t_... _ ~ CITY OF EAGAN J. J~ 3830 PILOT KNOB RD - 55122 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 f~ ' New Construetian Reauirements RemodaVReoair ReaWremenls ? 3 registered site surveys ? 2 eoples of plan ? 2 copies ot plans (indude beam & window sizes; poured fid. design: ete.) ? 2 sile surveys (exterfor addi[ions b decks) ? 1 e~rgy ealculalions ? 1 energy ealculaNons for healed addHions ? 3 apies of tree preservatlon plan if lot plaHed aRer 777193 . requhed: _ Yea _ No - DATE: ~T Z u- i g' 9.6 CONSTRUCTION COST: ~ 2°~ DESCRIPTION OF WORK: F w ~ S~+ ~a S K- STREET ADDRESS: S~ ~ S~u e~ C.2' a LOT ~ BLOCK SUBD./P.I.D. ~~A~'~'~ ^ h~~ ~h PROPERTY Name: s~~e ~i ~e Phone y~~ ~ g7 ~O OWNER w* rner Street Address~ S~ ~ s~ ~ e~" c¢~z City: ~ z~ x w State: ~-~-ti Zip: s`s'i ~ 3 CONTRACTOR Company: i~Q Coksi~~..~`.- Phone ysz - 3s7t' Street Address: 9 gd STo ~ s-,T ~Z` License `t9 City: Gd s~a ~ State: Zip: 2 3 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 information is correct and agree to comply with all applicabte State of Minnesota Statutes and City of Eagan Ordinances. iK^-e~``-.-." Signature of Applicant: f~CC~C~MI~DD OFFICE USE ONLY A~I q~q~y~rv JCdIC .y R7Jli Certificates of Survey Received _ Yes No Tree Preservation Pian Received _ Yes _ No OFFICE USE ONLY . ° BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ~f6 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi RepaiNRem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex , 0 13 GaragelAccessory ? 20 Public Facility 0 04 SF Porch o 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. 0 10 = plex ? 15 Deck WORK TYPE ? 31 New ~~3 Alterations ? 36 Move 0 32 Addition ? 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Adual) 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. Depth Footprint sq. ft. SAC Code oL Census Bldg / Census Unit o APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ ~~~0 V Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S!W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: ` . °k SAC SAC Units ; _ . PERMIT ~ ~ 99 q 3 5 ~ CITY OF EAGAN 3830PilotKnobRoad PERMITTYPE: Buz~arN~ Eagan, Minnesota 55122-1897 Permit Number: m 2 5 4 7 9 (612) 681-4675 Date Issued: 0 S/ 01 / 9 5 SITE ADDRESS: 520 SEVERN WAY LOT: 28 BLOCK: 2 COVENTRY PASS 4TW P.I.N.: 10-18403-280-02 DESCRIPTION: ~4. B~2ldirtg~;Pyermit Type DECK ~aildi,rig_ I,JCi`c.k,~ 7ype NEW ~ ~ P ~ ~ ~ a~' ~ ~ ~ ~ ~ 4.- ' ~ ~.E a' ~ , z . w~": a ~h'y ~ iF f s ~T ~ ~ ;4 't Y ~`y.L, es~ €'i'i ~ i,~js t 9b: ~ fif i3t~` ~i~i"'„y;k ;1 ~*,~p ~+.~e.., ci..~.i ~n ~3 ~ """X,'z%:=rx" , ~ co`';? , , . REMARKS: FEE SUMMARY: Base Fee $30.00 Surcharge $.5p Tota1 Fee $30.50 CONTRACTOR: - Applicant - ST. I.IC. OWNER: JOSEPH CONS7, J 14545002 0006020 SCHUETZ JEFF 4380 MALMO CIR 520 SEVERN WAY EAGAN MN 55123 EA6AN MN 55123 (612) 45A-5002 (612)456-9780 Z hereby ack~cawle~kc~4, tha~ Z hau~ r~~d tt~zs' application c~t~d state "t~tat th~ ~ ,~nfor~a,~.ior~ i~ ersrrF:c~ ~n~F~ egree`~~to cu~plp w,~tYs ail~~applfcable S~~te af. Mn. ~ __S'~atcrtaS ahd ~i~y ~w`f Eagan Ctrdirrahcgs< m _ i ~(~'~(1 ~Dir~.l ~XJ APPLICA T/PERMITEE SIGNATURE ISSU~G~l~51~TkN TUPE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: B u z ~ n i w ~ 3830 Pilot Knob Road Permit Number: Ea an, Minnesota 55122-1897 @ z 5 4 ~ 9 9 Date Issued: 0 5/ 01 / 9 S (612) 681-4675 SITEADDRESS:P•I•N.° a.~-isae~-zea-az APPL1CAIdT: LOT: 28 BLOCK: 2 520 SEVERN WAY JOSEPH CONST, .7 COVENTRY PASS 4TH (612) 454-5002 PERMIT SUBTYPE: TYPE OF WORK: DECK NEW . . OO7INGS FSNFIL . _ _ , . . ~ . _ _ ~ ~ ~ ~ ~ ~ . ~ ~ „ w . . . ~ ~ e. ~ , ~ ~ . z_ . ~ . , ~ CITY OF EAGAN f~.~ 3830 PILOT KNOB RD - 55122 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Construction Reauirements RemodeUReoair Reauiremenfs ? 3 registered site surveys ? 2 mpies of plan ? 2 wpies of plans (InGude beam 8 window sizes; poured fid. design; etc.) ? 2 sfte suroeys (exterior additans 8 aecks) ? 1 energy plculations ? t energy calculatione Por heated additions ? 8~pies of tree preservation plan if lot platted aRer 7/7l93 required: Y s Do - DATE: 2~ Sy-~ CONSTRUCTION C05T: OQ DESCRIPTION ~F WORK: ` ~~'C STREET ADDRESS: SZ ~ ~~~V~~'~ LOT ' ~ BLOCK ~Z. SUBD./P.I.D. l ~+K~' ~J PROPERTY Name: ~~c/!v c-r~ Phone Q 7~ ~ OWNER `~s' l / Street Address• U SZ~~ d`'~`~~ City: ~ G~</ State: ~7-~ Zip: ~s~ CONTRACTOR Company: ~-~.J oS~PN La-~s,~ Phone -S '~oZ Street Address: ~cr-~a License ~a ~ City: ~~-r^i i"`'~ State: i`7°"~ Zip~ -~"'S!? 3 ARCHITECT! 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 i tion is rrect and agree to comply with all applicable State of Minnesota Statutes and City of Eagan OMinances. Signature of Applicant ~ OFFICE USE ONLY Certifiptes of Survey Received _ Yes _ No Tree Preserva6on Plan Received Yes No ~.1 ~ OFFICE USE ONLY ~ BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4-piex ? 12 Muiti Repair/Rem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-piex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fi~eplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 = plex 15 Deck WORK TYPE ~31 New ? 33 Alterations ? 36 Move 0 32 Addition ? 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. ~/1y Depth Footprint sq. ft. SAC Code Census Bldg i Census Unit ~ APPROVAIS Planning Building Engineering Variance Permit Fee Valuation: $ ~Z°~° Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit SNV Permit SNV Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units ~po ~ ~ ?'-;F', / 2422 Enterprise Orive ~ p`~ p~i~! Mendoto Heights, MN 55120 ~~~~~,r~~~ UNU SUHVEYORS ' CML ENpNEERS (612) 681-1974•FO7f 681-9488 V~ ~ UNO PLANNERS • LANDSCME ARqiITECTS neering 625 Highway 1D Northeast ~ n * Bloine. MN 55434 a ~ p, ~ * (612) 783-1880•Fax 783-1883 1~ j. ~ °~c~ ertificate of s~~~ey fo~: ~he Rottlund Compan ,y ~nC• House Address: 570 Severn Way. Eac~an. MN ~ ~ Model Name: Ham~shire ?s / ~ Custom : Schuetz . / ~ ?s / ~ . . _ / ~ ~ U ~ 895.6 /~^C/,, / ~0 . ~ "l ' ~ ~ . ~ r ^3~8~ r ~ / ry \ ~ ~ ~ ^p'~ f~ 'gBqs.a ~as gd`l,4fi N 2636, (L- p O~ 7 \ X ~~8 D SQw / 0~3 ~ 10. x8g"g m°'~ \ F / / ao ,yoe^ ~c'~ ~ ~ ~ ~ ~ r 0'~ ~ B~ ~ '~g9aU`~- \ ~ r~~l / ~ ~y. ~ ~ ~ ~ ` so. Js ro^~ o y``~~r~ 3~ ~ X 6~~ 9 'y~~ ~ 3ry~~ m6P \ ~ x 7~\y~~.7 ~B~ ~ ~ ~ . \ 9`7a. ol ~ ~ •'~a, / ~i°qy,\ 04~~2 p / 2U ~ 8~~.7 BBG.oS \ / ,y ~j ~ ~ / R R?29 ~ ~ ~ \ / ~ e v'j, ~ o`L F \ / A 29 ~ ~ _ ~ ~ r~: ~ ~ ; . u V j:~ N Z,`"j~ , . ~ if ~ ~ \ ~ . / ~ ~ 4~- ~ r 7 ~ ~ SAGr'~N T~NCINEFI~IIdG Li~I3-P ~ 31 ~ ~ / . eoo.o Denotes Existing Elevation / PROPOSED HOUSE ELEVATION x 9~• Denotes Proposed Elevation Lowest Floar Elevotion:889.15 Denotes Drainage & Utility Easement Top of Block Elevotion:897.26 ---Denotes Droinage Flow Direction -a- ~enotes Monument Garage Slab Elevotion:896.93 Denotes Offset Hub Bearings shown are assumed LOT 28, DBLOCK MINNESOTA COVENTRY PASS 4TH ADDITION 1 heraby cartifV that this survey, plan or reDOrc was pre red by m~e/ ~o under y direct supervision arnl that I am duly ReOisterad Land Surveyor under the lawf of t~e State ot Mlnnesota. Detsd thh~ay of ~ v~~ A.D. 19~~. S c a I e: 1~~Cf1 O fE8} ROBERT B. SIKtCH 1.5. AEG. NO. }A69 0 92528.29 . . _ _ _ . _ . ~~"~-~l° ~ri1T~Y a aax+ ~~y ~ f ~b~`~r - r'"¢kk h ~ s~q i~t r_ .Fw Mv,~2~~~f~f_ x xxrz'^ eo` s~. w~ y .~,q~.'^"XG < ~ ?'a A s a °m ~ c 3RS s~ k y$ C~e .w. v~i. x~.°~ f r ~ ~ s~y§ac`~.-„s a Yy, x dc~ ao-~'„ a, t~.~kR+ byz.°L'Q £.;a F` s 4 h ~"s ' . f jj > ~ 3.b ~ ki ~h '.g ~ < C R A. 3 ~>~p ) §3E,[3~ 3 53 3 f ~J a} ~ .,.Y., .~SS%~ ; i~~' ~ 4 §Y~~ 't` Y il~'>^x~~<~M ~Y`~Y ~ ~ SEr.s~f. '3. S Y'~ ~ . %w ~Y ~9 t£ f4~ i ~ x 3€>3 Rip° ~ ta~a. < 9 .1.3 ~ y y t a3'S~.wra,.G 34: _ . m~... ~ S.. . f .L..~c~ a.....:w..ai$. . . a 23. ~ ~.a..~',...^'M.. ~ 1993 MECHANICAL PERMIT (RESIDEIV'IZAL) CITY OF EAGAN 3830 PIIAT KNOB RD FAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNTT. ~ NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE - DATE ~L~~~ FEES HVAC: 0-100 M BTU $ 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS (MINIMUM 1@ 53.00 EACH) ADD-ON/REMODEL (ExisTING CONSTttUCnoN) $ I5.00 STATE SURCHARGE .50 TOTAL "1 S~ SITE ADDRESS: ~'~e5.~ ~~c~.~ OWNER NAME: °I'ELEP~iONE S'~\-0'j~ INSTALLER: ~-\L~ c ~~C ADDRESS: G''~-"~''~ Q~L tr-v ~`h ~ CTTY: ~~~.s~ ~C~..~~ ~ STATE: ~~C~c~ ZIP CODE: ~ TELEPHONE \~~o~ ~~~c,~-eJ..~.X~ SIGNATURE OF PERMITTEE y~ ~"['~'~7~~ ~I~."~ ~~`~pz`x ~31 q ~`~.k ~e''c~`~. s .°sx~~ ~ ~.s~Fb~af1„Lti`i'~?a ~t' ,a~.~T,y X'`£~~~~> ~e7"~. aP ~u x 3' i - 4~ ~ ~ Y A! 2 Clk ~ ~Yh a"NA' ~%n 9'~ak~~'~v~'h `2 Ffi y EW i&j~&<k~ ~4' Y ~ M ~.p~~~s ¢ qe i~.~a~'a~ s~~y..~ s~~a ~Y~•~p~s~e" Y~~~:£a~s1'"°'i~£' u~~s ~~~qh~'a. 3`i~Cwi~~.'~v..~,r~`if ..z~»~~ D r a~ kaF~ r 3 t_ stwE~~,~YE iES a`,~Aa. 3:'"'+";s,?~,~~ k~ 3~ x ~d¢ F ~ .~73.f t a~'e.~~}# }a zs~i, rrfz ~e : . x ..v...: . ',:~..,t.w. £.a -~~ti8^;; x~d~%.w~.~a.c.T°:.s'~i~Al~~ s~s3'~ ~~s~£~ ~ ~ ^ ...a ~ ~,~35:?;x°.~»`~.~..«es~a:iaaw~ 1993 MECHANICAL PIItMIT (COMMEIiCIAL) C1TY OF EAGAN 3830 PIIAT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR ALL COIvIlvIERCIALIINDUSTRIAL BUILDINGS. AISO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMII.Y BUII.DINGS WHEN SEPARATE PERMITS ARE NOT REQUIItED FOR EACH DWELLING UNTT. DATE: CONTRACT PRICE: $ NEW BUILDING INTERIOR IMPROVEMENT WORK DESCRIPTION: FEES 1% OF CONTKt1C.'T FEE $ PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE $.50 FOR EACH $1,000 OF ........."tiT FEE. TOTAL $ SITE ADDRESS: OWNER NAME: TELEPHONE TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS: CITY: STATE: ZIP CODE: TELEPHONE SIGNATURE OF PERMITTEE CITY WSPECTOR. PERMIT# "I 1 1! D RECEIPTDATE: I I~~'~ ~ 1 V~o~4~ ~'7(~ ~ i~S1D~PTl~kL ~LUM$1NH ~EgM1T A~LIC~TIOA /p crr~t oF ~s,~x ' ? 3830 f'Q.OT KAOB i{D ~46AN. bIft 551EE 651-6$1-4678 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backFlow preventer for irrigation system SITEADDRESS: ~n S2~1e.C'C~ ~,d1C~a_! OWNER NAME: ~2~_ ~C-YIV,~.~Z1 TELEPHONE ~ ~'I~^ 9~~ (:.RE CODE) INSTALLER NAME: c~f~,IC TELEPHONE ~~3~- q~o'~~ STREET ADDRESS: BO5 ~ 2tI1 AVefl~e SOUtII (AREA CODE) 0 ~ CITY: STATE: ZIP: Place a check mark next to the ermit work t e New residential dwelling unit under construction and not ownedoccupied $ 90.00 X Add-on, modification or alteration to existinp dwelling unit, including: $ 50.00 • abandonment of septic system • new installation/repair/rebuild of RPZ • lawn irrigation system • water turnaround Nature of work: ~~n e l1,),C~'1rC'r ~~1~ Septic System, new/refurbished - $ 225.00 . includes County 8 Consulting Inspector fees • requires MPC license State Surcharge $ .50 Total $~1s1~ pp~p Reminder: Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc. I heraby acknowledge that I have read this appliption, state lhatthe informa0on is correct, a agree to co a plicable Cityof Eagan ordinances. it is the applicant's responsibility to no6fy the properry owner that the City of Eagan assumes liabili r any d es nused by the City during its normal operaGOnal and maintenance actlvities to the hacilities consWCled under this permil within ity perlyl' sement. SI URE OF RMITTEE ' Updated 1/01 MECHANICAL (RESIDENTIAL) ~ ~ ~y~ 1 Permit Application Jp b~+?- 03~~ ~ 3 City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 ~ 30 Telephone # 651-675-5675 FAX # 651-675-5674 ~s~~~~ n 1 ~ I1 Please complete for: Single Family Dwellings ~f Townhomes and Condos when permits are required for each unit Date~/~~/Q~ Site Address ~ Z~ Se Je r r~ W Q,4 Unit # Property Owner ~.1~'t' ~ SC~ U E. S Z, Telephone #{(er'j I)~ S~c '~o~ ~ Contractor ~ Q ~ Y1 f' d/1 ~1 O'ri Street Address { 3~3 V M~c~ e IV O City ~O 1 I e State ~N Zip SS~j?~ Telephone# (-j~o3) S~'IZ-~ ~~ob The Applicant is _ Owner ~ Conhactor _ Other Add-on, modification or alteration to existing dwelling unit $ 30.00 _ furnace replacement ~ ~ ~1 ~'Z, air exchan er ` ~ ` ~ s , , ~ _ air conditioner ~~1,\~' z'~~~-' 1 ~ ' ~ ~ 51``~... " Oth6f ~ ~J ~J ` State Surcharge ? $ .50 Total $ ~ ~ I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work wil] 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 requ'ues a review and approval of plans. . i ?'~«hQl le I'~1~ ller~ ~ ~ Applicant's Printed Name plicanYs Signatu e MECHANICAL (COMMERCIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please compleYe for. commercial/industrial buildings multi-family buildings when sepazate pemrits are not required for each dwelling unit . Date / / Site Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner _ Tele~~hone # ( ) Contractor Street Address City State Zip Telephone # ( ) The Applieant is _ Owner _ Conhactor Other Work Type New construction Underground Tank _Install _Remove Interior Improvement Call for inspection during installation/removal ot tank Processed Piping Nature of Work: Permit Fee $50.50 Minimum Fee (includes State Sumharge) Contract Value $ x .Ol°/o = $ Permit Fee • If permit fee is $1,000 or less, add $.50 ~ $ State Surcharge If pernvt fee is ovee $1,000, add $.50 per $1,000 Permit Fee $ Total Fee I hereby apply for a Comme:cial Mechanical 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 with the Mechanical Codes; that I uuderstand this is not a permit, but only an application for a permit, and work is not to start without a pemut; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name ApplicanYs Signature 2005 RESIDENTIAL BUILDING PERMIT APPLICATION ~ City Of Eagan D~ 3830 Pilot Knob Road, Eagan MN 55122 a' Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWClion Reauirements RemodeVReoair Reauirements ONioe Use Onlv 3 2gistered site surveys showing sq. ft. of lo[, sq. ft. af house; and all roofed areas 2 capies of plan Cert of Survey Recd _ Y_ N (20% mazimum lot coverage allowed) 1 sel ot Ene~gy Ca~culaGons for heated additions Tiee Pres Plan Recd Y N 2 copies of plan showing beam 8 window s@es; poured found design, etc. 1 sile survey for additions & decks Tree Pres Required Y_ N 1 set o( Ene~gy Calculalions Addifion - Indicate i(on-sde sep6'c sysfem On-site Septic Syslem _ Y_ N 3 copies of Tree Preservation Plan'rf bt platted afler 717193 Rim Joisl Delail Options selection sheet (buBdings with 3 or less uniLS) Date / / 0~ Coostruction Cost ~ Site Address ~ Unit/Ste # Description of Work / N.L ' ~ Multi-Family Bldg _ Y,~ N Fireplace(s) _ 0_ 1 _ 2 Property Owner i ~ Telephone # ( ) / , ~ ~ ; ~ v 'I ~ : . , ~ Contractor Window Goncen~i~ of Minn~,p~ In~;~~ '~'Or, , ~t' n Address 990 Lone Oak Rd ~ yT~~1; ~~.~~tY / ! State Suffe 114 Zip Telephqne #(~DJ~) Ea MN 55121 / `i COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category , Residential Ventilation Category i Worksheet • New Energy Code Worksheel (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 months, 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 J Mechanical Contractor Telephone # ( ) Sewer/Water Contractor Telephone ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approve plan in the case of work w' h requires a review and appro 1 of plans. Applicant's Printed Name ApplicanYs Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 AccesscRy.8ldg ? 02 SF Dweliing ? 08 O6-plex ? 18 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. 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 (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Plan Review 100% or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bidgs Length Fire Sprinklered Type of Const Width REQUIRED IN5PECTIONS _ Footings (new bldg) Final/C.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ Plumbing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AidGas Tests Final _ Framing _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows _ Insulation _ Retaining WaII Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Totai , ~ ~ - ~ _ „ ; . I ~ " /y~1 ~i~I,) 1A~ 6~'~}~- '{~+i4 +~N [ S~~ i'~~h~` Y~~llx'°^S ~ ~ g ~e II'~, ~ I.~,~ ~,r~k q r i ~ u ~ m L + ut n ~ F'1'~~fiW ~ W~i~lk ^~e..~e~~i'i^~-~W ~IY' J~~ ~ 1 y~•. ~r(N I'~ ~ t6ds~ +~~k~~ ~.,,r{{}~4'~.~~N~' in~ ~''~r~ ,u ty3 y IM1~7~fl~ 11~4~`~?:~' k$`f~ . 4°L+ 1.+sU- F! y'~~AV,~ ddSpk~S~~zR.~i ~~~~m~n~~~u~f! 14~~4~•~kii~l~'i~~~4~ yyQ~~r"g/ ~'ry, kr,~tiliol,N~~ ~Iy~~dFY~l~i:l il I , 7~, ~ t" ; a ~~1 j a;~ r c ro x i~ ~ + ~ a ~ ~'41t r~~ ~ J ~ ~ eh ~ 4~a ~ ~F _ t~'~ 7fs,~i1 Id9 ;ih~k~ '~~l~k,~ n~Hi~~~§u~J1lb°1~ ~'~I ~ j ~~~q ~ 5~~,~ k~ ' k~- ~w?d r q~ V ~ ~AF1R ~ ~1? fP ~ ~ ~~~~4~ + ~1> ~ ,I i } 1 ~ 4 S j i ~ ' }I : F~~~'4~~ }I r ~ ~ i ~ ~ ~~J ~ R~ : 1~ { ' yj I ; /}G ~ G~~ ~ ~ ~y~ ~ ~ ~ . . ~ 1N. } ~ ~ r ~Y ik i.i e tr-~Pn fl~~ ~ Q~~~'u~ x ~a~r.~~~l~~r !(5{,~1~A', ~3 ~4 ~47 o i ~ 4 i ~p ~ ~ ~ R t~~ 'v~ ~4~~^~~J _ ~~~K M ~f i~- sT i L 1 B ~~„y~ I~. , , ~ ~~~i'~ S._i ~ ~ Y .a~ ' . i;ei ~.'~k~~ r ~ M~ ~ a~A~~~ ~ {~~5?j ~ . . i . "~Sy . i p b yJ~ l~F~r.:~9 ~ ~ t T~l~y 1~3 y ~a~ rl' Ar. f ~}'ll F~ i , ~ 1 ~ I d'. h~^ I~'V~ , `~j ~ ' ~ n ~ ~I E ~ "r Q~ ~1. ~P k " , ~ r , ~ „ ~ e! ~ r ~ *~ii ri~~kStY~fJ'ri~~ ~';~~',~'''y6 +r}". ~,.~5:~ ti~_~~~~y~~' ~`FV~e~~,, ~ ~~h'~~'~;~~fi¢~~fr~~l:~ i~ g ~ i ~~+h} . . t, v~.Ad~ d ~5 . F~ ~ 4 p ry ~~l ~ t9 ~ M~. ' ,~~y ' 4 .fi~~tM"+~ , . ~ - _ rtr+'P fi1~1~+~~ t {~~SJri 9 h a[t' } f~ ~d 4' ~MI . ~ ~`]~cl )~~~:Tf Ni`I.~j.~§~1 ~k ~~L~L { r~N~~~~n~„~y4, ~ Ff. A ©9O7T/ D / ©U 7 For Office, Use D Permit City of Eap JU 2 ® 2009 Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 I Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 Staff:! 2009 MECHANICAL PERMIT APPLICATION Date: 7-~10-Dg Site Address: 690 P y £thaV 11,4 Tenant: ~~P I 5-CGI u e f-& Suite Name: JQ J fl4 Phone: 16151- % - 97ff RESIDENT /OWNER Address /City/ Zip: o seve" Q 5 CONTRACTOR Name: License 17wa5C2y 3 Addre : nouth Ave. u No. City: ! State: Zip: 5542, Phone: Contact Person: (7/feC-6- 1-/S e TYPE OF WORK New X Replacement Additional Alteration Demolition Description of work: NOTE: Both roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector or one of the Planners for information on permitted screening methods. PERMIT TYPE ? RESIDENTIAL COMMERCIAL Furnace New Construction Interior Improvement Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump Under / Above ground Tank Install / _ Remove) When installing/removing tank(s), call for inspection by Fire Other Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ >"O, 50 TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x 1% $50.50 Minimum (includes State Surcharge) $ Permit Fee - If Permit Fee is less than $1,000, surcharge is $.50. - If Permit Fee is > $1,000, surcharge increases by $.50 for each = $ State Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). $ TOTAL FEE 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 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. x ~~QI?I', ie IT Lj!~ - x Applicant's Printed Name A cant's Signature FOR OFFICE USE Reviewed By: Date: _ Required Inspections: Under Ground Rough in Air Test -Gas Service Test In-tloor Heat -Final Exterior HVAC Screening Inspection City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 520 Severn Way Lot: 28 Block: 2 Addition: Coventry Pass 4th PID:10- 18403 - 280 -02 Use: Description: Sub Type: e- Fireplace Work Type: Gas Fireplace (new) Description: Census Code: 434 - Occupancy: Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Fireside Hearth & Home 20802 Kensington Blvd Lakeville MN 55044 (952) 985 -6675 PERMIT City of Eaan Chimney /flue must be inspected prior to concealing. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector. Andrew Hoffman BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: $90.00 Applicant/Permitee: Signature - Applicant - Construction Type: Owner: Jeffrey D Schuetz 520 Severn Way Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: $88.50 0801.4085 $1.50 9001.2195 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. Issued By: Signature Building EA082087 02/28/2008 ePermit Use B�UE or BLACK Ink �-----------------, � For Office Use I ��� U��� p� j Permit#:'�7 JV�� � � ��l � I 3830 Pilot Knob Road � Permit Fee{�� � � Eagan MN 55122 RECEIV�D � _ _ I Phone:(651)675-5675 � Date Received: � Fax:(651)675-5694 �Q� Q � �Q�� � � i I � Staff _________________J 2015 MECHANICAL PERMIT APPLICATION ❑ Please submit two(2)sets of plans with all commercial applications. Date: ���'z-� � ��J SiteAddress: ��� �j��`���� �AY Tenant: Suite#: �Reside�t�E��er. Name: �s�,�F CJCH�`c.i"� Phone: �o�c��"�-q�J" (c�aL') ����j�� � �` ��� Address/City/Zip: `7Z� ��.,�u-I�) i:�A� iZ .� �,�U;�� M�s. � 3 %����'' ���'��� �� Name: �1.A��, �c,A�inlV} �(� .j.1C. - License#: ���JL�Z-� �iii� ���� ,� � %i��/�� �� , i� �� � % � ` �i%//ii ��,�i����, Address: q3�3 ��Y�aU'f�1 �11�^�.. � . City: l7u�U�C,N ��+l.l.�t�� t ' ��Ct���Q�� o�; i�� �i� ��� M ���������// � 11J Zip: �J��'Z.-�" Phone: �'�3-�t12- 11�tsLt? � State: ���� ���ai� � ��� � ��� ��/� 1 � � � � �,� ` "� � � � � Contact: 6'C�a�L'c. ��O�KS Email: �n o �10.r�,�P��.��n . C.��'"� ,.,�,�;_� � � � � �%�� � � �ii�� �i� ��� � New �Replacement Additional Alteration Demolition i%'i� i% '� ��-�'������Cc��� Description of work: 1Z2�G�c.�c.�v�; c�� �x�`v�i n;i� ��IZ �.�r�t�i i ibrv�'Z._ � � � � � ��%� ` j i : � i� i i �i ii �E i iii//i��i i �� i �/ � ����lf�tttBtlt�E���4f��EFt(11i�)1'�fEtCt��%��������[3F►t��E�� � � � ��� � � � � o �€� ��as�cc���t���a��ica��►s� ���€���c�r���� ��� � �,., ,�� _ ,, ,� ,,.,,.. ,,,,, �..�„ . ,�;, ,,%.� ., . .,, ,�.�� � �„. �.r�� ,�.,,, .�� ��ii � ����i�� ,� � i� ��� � � ��� � �� �� RESIDENTIAL � COMMERCIAL /��� �� ��� % ,/� �� ���� � % � ./ � _Fumace New Construction Interior Improvement ��i�� ��� � — — ii/� i i i � � % j �������j��� �Air Conditioner Install Piping Processed i�i i/� — — ii!� � �����/�� ��%��� ��p � _Air Exchanger Gas E�derior HVAC Unit ���/i�'���%%j�j�� — — �/G/i ��, ���� _Heat Pump Under/Above ground Tank (_Install/_Remove) ������ � �i��%iii — �i �,�� ��, Other � RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge �o $100.00 Residential New, includes State Surcharge =$ �Q� TOTAL FEE COMMERCIAL FEES Contract Value$ x.01 $60.00 Permit Fee Minimum $70.00 Underground tank installation/removal =$ Permit Fee _$ Surcharge Surcharge=Contract Value x$0.0005 If the project valuation is over$1 million,please call for Surcharge =$ TOTAL FEE I hereby acknowledge that this infortnation 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 perrnit;that the work wiii be in accordance with the approved plan in the case of work which requires a review and approval of plans. X 1�.�►Jic� t�ton���� X Applicant's Printed Name Applicant's Signatur � :.i„ - �� � .:i � i/ j// ��: /i/ . O/ � /-,.,-� � �/ /jj !i � ' �i /��%ii / i �.�-� .., ,�✓�r//°" /.> � � � ��� � . � ...���� / i �;; % .: � i � � �: �i�,� i✓�,i..; �i%% i///�� i/� /�% �%//�" ..iiii �i io..�i �.i �/,•.:i�� � /.../i�i�% i. . ii;, . . .. /.,i,� %%/ %�•:� :.i,��/ i�...��i'�// ��/% %/� ...�-i� %�yi �i o � i ��`�`.: � p i/ %��//���%� /i// ✓ �����%/��//.� ��/i � ii/�s�s���� ��" i - ��E�����` ��E,���'>.. . .�,;��� •:� ��xl�i,������ /����`���//%ii� / �i� �� ���� �' �.,,x..r:i i��� `� . ,���<� i.,,,�: PERMIT City of Eagan Permit Type:Building Permit Number:EA145101 Date Issued:08/23/2017 Permit Category:ePermit Site Address: 520 Severn Way Lot:28 Block: 2 Addition: Coventry Pass 4th PID:10-18403-02-280 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Jeffrey D Schuetz 520 Severn Way Eagan MN 55123 (651) 456-9780 Reroof America 10740 Lyndale Ave S Suite 10W Bloomington MN 55420 (952) 888-8440 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA152260 Date Issued:10/05/2018 Permit Category:ePermit Site Address: 520 Severn Way Lot:28 Block: 2 Addition: Coventry Pass 4th PID:10-18403-02-280 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Residential Additions, Alterations 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: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - Jeffrey D Schuetz 520 Severn Way Eagan MN 55123 (651) 456-9780 Crew2 Inc 2650 Minnehaha Ave Suite 100 Minneapolis MN 55406 (612) 276-1680 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA153203 Date Issued:11/30/2018 Permit Category:ePermit Site Address: 520 Severn Way Lot:28 Block: 2 Addition: Coventry Pass 4th PID:10-18403-02-280 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations 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 - Jeffrey D Schuetz 520 Severn Way Eagan MN 55123 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA162282 Date Issued:07/07/2020 Permit Category:ePermit Site Address: 520 Severn Way Lot:28 Block: 2 Addition: Coventry Pass 4th PID:10-18403-02-280 Use: Description: Sub Type:Windows/Doors Work Type:Overhead Garage Door Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments: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 within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - Jeffrey D Schuetz 520 Severn Way Eagan MN 55123 (651) 395-1304 Twin City Garage Door Co 5601 Boone Avenue North Minneapolis MN 55428 (763) 533-3838 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA167383 Date Issued:03/11/2021 Permit Category:ePermit Site Address: 520 Severn Way Lot:28 Block: 2 Addition: Coventry Pass 4th PID:10-18403-02-280 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Jeffrey D & Lynette Schuetz 520 Severn Way Saint Paul MN 55123--397 (651) 295-1304 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA174388 Date Issued:01/21/2022 Permit Category:ePermit Site Address: 520 Severn Way Lot:28 Block: 2 Addition: Coventry Pass 4th PID:10-18403-02-280 Use: Description: Sub Type:Water Softener Work Type:Replace Description: Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Jeffrey D & Lynette Schuetz 520 Severn Way Saint Paul MN 55123--397 Champion Plumbing Llc 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature