521 Severn Way INSPECTION RECORD
~ CITI~'OF EAGAN PERMIT TYPE: ' ' ~
3830 Pilot Knob Road Permit Number: `
Eagan, Minnesota 55123 Date Issued: ~ ~
(612}681-4675
SITE ADDRESS: r APPLICANT:
+ 1 , P~ 41AY •t I I . ~iMi . , , i!i
~ ti~~ . ~i I i ~ I{4 i i, ~ ~ 1 ;4 !
PERMIT SUBTYPE: TYPE OF 1NORK:
, „i r., ii~ i ~
. .
~iir I ~ rf~~ : i+F1lw ~ r!;,
lt~S .III /{I 1~1P! 1 IfJi1i
~ ~ . i f I
F. 1.I I''! I~i 'J/11 1 I ~ I I I.~,
~ ~
~ J
Permit No. Permit Holder ~ate Telephone N
S/W
PLUMBING /O ~ ~y'~-aI~/
.
HVAC I ,s ~ ~
ELECT O/l~~~ f(t 9 ~ 'f~' ~
ELE ~s~ ~O f/ 1¢ 9 `r~
Inspsction Date Insp. Comments
Footings i ~U~ 5~~~ ~ J,f1
LV
Foundation D
Framing
Roofing
Rough Plbg. ~~~j ~i'
Rough Htg. r ~ / ~
E'
IsuL
/oCS
Fireplace
Final Htg. ~ O
o~ T~t s 3o r93 J~
Final Plbg. 3 ~Qr, Plbg. Inspector- Notity Plumber
r^v
Const. Mater
EngrJPlan
Bidg. Rnal ~ ~4 GOr!/ L~~'~ 7~b -
~eck Ftg.
Deck Final
Well
Pr. Disp.
l
/ 3 6l~ ~
~ y : .
~ "
" .
~e~ti~icate o~ ~ccu~anc~
~~t~j v~ ~aga-n
~e~rt~nent o f BN~i~xg ~u~ecriax
Ticis Certificate issued parsuant to the requirerrien~s of the Uniform Building Code
certifying that at the time of issuance this structure was in compliance with the various
os~inances of the City ?~gulating building corestruction or use. For rhe following:
Use Classification: ~i' tLl^_ Bldg. Permit No. 1
~'Y TYP~ R3
~3,-._~ ~~b ~ I 7ype Cons~.
Owner of BuildioS ~~~Q r~~ AddRSS 5~Q ~ E Rj~~g
e,ri~g naa~ 5~ L,~{~v ~,~:.:,Q,y.-82, ~CNII~TgiY PASS1?'~1
. , / ~ - i ~
i ;
POST IN A CONSPICUOUS PLACE
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: ~ ~ ~ ~ ~ ~ ~ ~ ~ ~
3830 Pilot Knob Road Permit Number. ? r<•~
Eagan, Minnesota 55122-1897 Date Issued; ~ i!~+ f~: ~
~612} 681-4675
SITE ADDRESS• ~ ~ r+ ~ ~ ' APPLICANT•
' Iul I~t Nit~~F '
, '?f'RN 6.fA'i i.~ ~ , 111f(~f?d1Y
, r~ I f . ~ ~3 . , ~i i II , , • , ~ i
PERMIT SUBTYPE: TYPE OF WORK:
i , ~ ~ ri;
• .
I ~~r~ I I~1 ~ i ~lf'yl
~ ~
~ J
PermN No. Permft Holder ~Data Telephone t
ELECTRIC
PLUMBING
HVAC
InspecNon Data Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFiNG
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
85MT R.I.
BSMT FINAL
DECK FTG O • ~
O
DECK FlNAL ~T f/nJ(r ~ .S
~ /s r -
Address _ s2 i~N wav Zip 5512_~
I.ot ' 1's Blk 2 Sub rOVEKfRY PASS 4TFi
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECITON.
Date: -~Q - g Yes No Inspector:
Final grade (6" from siding) ~
Permanent steps (gazage)
Permanent steps (main entry)
Permanent driveway ~
Permanent gas ?
Sod/Seeded grass
TraiUcurb damage ~
Porch
Basement 5nish
Deck
Please verify with the builder the removal of roo test caps from the plumbing system and the shutoff of watet supply W
the outside lawn faucet before fteeze potential exists.
ContaM engincering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ~
W6ite - City Copy Yellow • Residenl Copy Pink - Contracror Copy
/~i/j7 ~l Q~ „r~ ~
l~'~~
1
Request Fate ire No. Rough-in I ion NOTCE: Vou Musl Call ElecVical Inspeclor
_ ~ Require . If A Rough-In Inspection
s ? No Is Requiretl.
ficensed contractor ? owner hereby request inspection of above electrical work at:
Job Atltlre55 (SVeet, Box or H te NoJ City
Seclion No. Township Name or No. Ran No. County
Occup nt~PRINT) Phane Na.
~
Power Supplier Adtlress
.
Electrical Coniractor (COmpany Name) Convactor5license No.
Mailing Atldre r ~ns~) (~`A~'~~
sr. w., Fana., ~uN s~
Authorizetl $i Irac~ ~ i ns a a io Phone Number
MINNESOTA STATE 80AH0 OF ELECTRICITV THIS INSPECTION REOUEST WILL NOT
Griggs-0.7itlway Bldg. - Hoom ^r1T3 BE ACCEPTED BYTHE STATE BOAflD
1827 Univerelty Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone~612)802-0800 ENCLOSE~.
y~~ RE~UEST FOR ELECTRICAL INSPECTION saooO~e~ ,
See instmc~ions for completing ihis form on back o~ yellow ropy ~ c~p 6r
~ i.~J
~ 19 7 5 ~X" 8e/ow Work Covered by This Request
e ep. TypeoiBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Neater Electric Heating
ApL Building Dryer Load Management
Comm./InduSirial Furnace Other (Speciry)
Farm Air Conditioner
Olhe~ (specity) ConVactor5 Rema~ks'.
Compute Inspection Fee Below:
# O~her Fee # ServiceEnirenceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps / o to io0 Amps ~
Transfortners Above 200 _ Amps Above 100 _ Amps
Signs Inspeclor§ Use Ony: TOTAL r,O
Irngation Booms ~ ~ e~ s~ `~Y••~
Special Inspeciion
Alarm/Communication THIS INSTALLATION MAY BE O ED OI~NECTED IF NOT
Other Fee COMPLETED WITHIN 18 MO
I, the Electrical Inspector, hereby Rough-in ~
certifythattheaboveinspectionhas F;nai o
been made.
OFFICE USE ONLV
This request voi0 18 monchs ham
5~
~j~~2088 ~~~y~
flequest Dele Fire No. Raug -in Ins ction NOTICE: Vou Must Call Elacincal Inspecfor
i o- a s-q3 eQUi II A Rough-In Inspecfion
~ Yes ? No Is ReQUi~ed.
I~liqensed contractor ? owner hereby request inspection of above electrical work at:
Job Adtlress (SOeaf, Bm ar Raute No.) Ci~
5
Seclion No. Township Nam¢ ar No. e No.
pan~(PRINT) Phone No.
P wer5upplier Atltlress
'
ElecVical Contradar (COmpany Name~ Conirector5 License No.
MailingAdtlress(COmrp(~yy,oc~O~uneLMdYipqluiid~]LOn)'N~.• ^~tiye'
W uea t~c~. n~n. ~•.ww
i~00,~?STM 8T. W.. FOTN.. MN 6l0~
Authonzetl SignaWre ( cyor/Owner king InsWllatio Pnone Number
J
MINNESOTA STATE BOANU OF ELECTPICITY THIS INSPECTION REDUEST WILI NOT
GhggsMidway Bitlg. - floam S7]3 BE ACCEPTED BY THE STATE BOARD
1821 Univenky Ave., SL Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Vhone (612) 6aY~0800 ENCLOSED.
Y j~, rttlQUEST FOR ELECTRICAL INSPECTION es-oooo -oe
l ? See inslructions for crompleting ihis lorm on back ot yellow copg ICQ~ ~
p~jp ?~1 V
Ivll ~ 2 Q p~ X" Below Work Covered by This Request
ew'aad Rep. Typeofeuilding AppliancesWiretl EquipmeniWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
ApL Building Dryer Loatl Management
Comm./Indushial Fumace Other (SpeGty)
Farm qir Conditioner
Oth¢r (specity~ Conhadors Fiemarks'.
Compufe Inspection Fee Below:
# Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps o to ~00 Amps
Transformers Above200-Amps Abov~100-Amps
Signs Inspector's Use Only: " ' TOTAL O
Irrigation Booms 7lQ(/ ' C~ ~
Special Inspection (~v !
Aiartn/Communication THIS INSTALLATION MAY BE ORBERCD DISCONNECTED IF NOT
Other Fee COMPIETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-in Dafe
certitythattheaboveinspectionhas F;nai , oaie
been made. "
OFFICE USE ONLY '
This aques[ void 1B mon~hs f~om
.1.,2-`~'~ ~ RESIDENTIAL
BUILDING PERMIT APPLICATION
~ ~ CITY OF EACAN
3830 PILOT KNOB RD, EACAN MN 55'122 U_~~
65'I•68'I•4675
New ConsW ction Reouirementa RemodeVReoair ReauiremeMs
• 3 ragis~ered Site surveys showing sq. ft. of lot, sq. ft of house; and all roofed areas • 2 wpies of plan
(20% maximum lat coverage allowed) • 1 set af Ene~gy Calculations for heated additions
• 2 copicc of qan showirg beam 8 window s¢es; poured faund design, etc.) • 1 site survey for exterior addilions & decks
• 1 set of Energy Calc~Aations . Indicate if home served by septic system for additions
• 3 copies of Tree Preserva6on Plan it lot plafled after 117/93
• Rim Jo~t DeWil Options selectbn sheet (bldgs wAh 3 or less units)
DATE ~ ~ ~ ( ~ ~ VALUATION ~ ~ ~-I O~ •
SITE A~DRESS ~al J rYl MULTI-FAMILY BLDG Y N
TYPE OF WORK ~Q~~ (1`~(l~Ot I V'P lr FIREPLACE(S) _ 0_ 1_ 2
,~ar ValYey ~xi+e~'io~'s+
APPLICANT ~2~ Z~~Is Sif6et
, .
STREET ADDRESS CITY STATE ZIP
TELEPHONE #~I S~s- a~a'I CELL PHONE # FAX #~S~ - 53q0
PROPERTY OWNER u~Q VI V ef'~ TELEPHONE#~~S`-~ ~O$ I$~ a'
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEC~RY 1 MINNESOTA RULrS 7672
(J submission type) . Residential VenUlation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Coniractor: Phone # _
Plumbing system includcs: Water Softener _ Lawn Sprinkler Fec: $90.00
Water Heater _ No. of R.I. Baths
_ No. of Baths
Mechanical Contractor: Phone #
Mechanical sysLem includes: _ Air Condirioning Fee: $70.00
_ Heat Recovery System n M
~ ~ ~ IJ l'J LS
Sewer/waterContractor. P JUN
-
I hereby acknowledge that I have read this application, state that t e i for tion is c rr t, and ag e to comply
with all applicable State of Minnesota Statutes and City of Eagan r
Signature of Applicant ~ _
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4l02
OFFICE USE ONLY
? 01 Foundation ? 07 O5-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
O 02 SF Dwelling ? 08 06-plex ? 76 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi
O 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4sea.) ? 33 Ext. Alt - SF
~ 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? DS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? OB 04plex ? 12 12-plex Plbg_,Y or _ N ? 25 Miscellaneous
O 31 New ? 35 Int Improvement O 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. O 42 Demolish (FOUndation) ? 45 Fire Repeir
? 33 Alteration ? 37 Demolish (Bldg)" O 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entlre Bldg onty) - Give PCA handout to applfcaM
Valuation Occupancy MC/ES System
Census Code Zoning Clty Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinkiered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Dra'vi Tile pcher
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
S8W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
~ PERMIT ib -~s-93 cR rfss3
~ITY OF EAGAN =
3s3o Pilot Knob Road PERMIT TYPE: B u r ~ o i N e
Eagan, Minnesota 55123 Permit Number: 022221
(612) 681-4675 Date Issued: 10 / 15 / 9 3
SITE ADDRESS:
521 SEVERN WAY
LOT: 18 BLOCK: 2
COVENTRY PASS 4TH
P.I.N.: 10-18403-180-02
DESCRIPTION:
Building,_Permit Type SF DWG
puilding Work 7ype NEW
~-'UBC Occupancy~ R-3 M-1
Construction 7ype V-N
j Zoning R-1
Building Length ? 60
Building Width 38
\ _i
/
~ _ .
~~f.
G / '
/,l~~ ~)i ~1{ r. {~;-~7;
i%/ ~--~1 LL~!
r L..J ~IJ~--~~1~LJ~
c;i
REMARKS:
S& W PLBR - VALLEY PLBG
FEE SUMMARY:
VALUATION $163,000
9ase Fee $860.00 MISCELLANEOUS $1.744.50
Plan Review $559.00 Total Fee $3,995.00
Surcharge $81.50
SAC $750.00
SAC ~ 100
SAC Units 1
Subtotal $2,250.50
CONTRACTOR: - Applicant - ST. ~rc OWNER:
ROTTLUND CO INC, THE 15710304 @0@1335 THE ROTTLUND CO INC
5201 E RIVER Rp 5201 E RIVER RD 301
FRIDLEY MN 55421 FRIDIEY MN 55421
(612) 571-0304 (612)571-0304
S hereby aoknnwledge that I have read this application and sta~e that the
information is correct and agree to comply with all applicable State of Mn.
Statutes and City of Eagan Ordinances.
I- J
~
r°~.: .~l'~~~%
APPLICANT/PERMITEE SIGNATURE I UEO . SIGNATURE
INSPECTION RECORD
CITY OF EAGAN PERMITTYPE: aux~.oxNe
3830 Pilot Knob Road Permit Number: 0 2 z z 21
Eagan, Minnesota 55123 Date Issued: 10 / 15 J 93
(612)681-4675
SITEADDRESS: ~oT: is BLOCK: 2 APPLICANT:
521 SEVERN WAY RDTTLUND CO INC, THE
COVENTRY PASS 47N (612) 571-@304
PERMIT SUBTYPE: TYPE OF WORK:
SF DWG NEW
. .
FOOTING FRHMIN6
INSULATION FINAL
FIREPLACE
REMARKS: S& W PLBR - VALLEY PLBG
r--- ~
: . ~
~ REACTIVATE _ CITY OF EAGAN
PERMI7 993 BUILDING PERMIT APPLICATION ~,3~
OCT 0 5 1993 681-4675
- -
SIN6LE & MULTI-fAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural 6 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 / G 3 Valuation of work ~ n~
Site Address: ~Z~ 52Ue~'w ~a~I
SiREET SUITE N
Tenant Name: (commercial only) ~~~~,u~ ~G
IAT I g BLOCK 2' SUBD. ~ Y.I.D. M
CoV e1
Descri tion of work: S~'~ (2 ~o,u-.~~1~
The applicant is: wner ontractor ? Other <oeao~tx>
Nam ~ CD.~tC. ~ Phone 5~~^'3
~
Property LAST FIRST
Owner Address ~i7-cc~l R~vEr2~ 1
StREET STE M
City ~'~4~~RI State Zip ~
Company S Phone
C011t~8CtOf Address License # l335- Exp.3r~
City State ZiP
Company /U~- Phone
Architect/
Engineer Name Registration N
Address
City State 2ip
Sewer & water licensed plumber . Processing time for
sewer & water permits is twa days once ar a as been a roved.
I hereby acknowledge that I have read this application and state that the 9nformation is
correct and agree to comply with all applica6le State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY 1
BUILDING PERMIT TYPE ~ ~ .~;y ,
? 01 Foundation ? Ob Duplex ? 11 Apt./Lodging C,~.k6.~Basemer?@••Finish
~02 SF Dwg. ? 07 4-P1ex ? 12 Multi. Misc. O 17 Sw1m Pool
? 03 SF Addition ? 08 8-Plex ? 13 6arage/Accessory ? 18 Comn./Ind.
? 04 SF Porch 0 09 12-Plex ? 14 Fireplace ~ 19 Comm./Ind. Misc.
? 05 Sf Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE ,
~31 New O 33 Alterations 0 35 Tenant Finish ? 37 Demolish
O 32 Addition O 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) V- N Basement sq. ft. MWCL System ~Es
(Allowable) v-N lst F1. sq. ft. City Mater yE5
UBC Occupancy 2nd F1. sq. ft. PRV Required
Zoning Sq. Ft. tatal Booster Pump
~V of Stories Footprint Sq. ft. Fire Sprinkler
Length ~ o~ On-site well Census Code /ot
Depth 3 g, On-site sewage SAC Cade ~
APPROVALS ~
r
Planning Building Assessments
Engineering Yariance
RE~UIRED INSPECTIONS
? Site ? Footing ? Framing O Insulation
? Wallboard ? Final ? Draintile O Fireplace
Permit Fee v+i~c;p,: S ~~3r Oap
Surcharge G ARACrE'
Plan Review ~ 2ZxZZ= y8~-( X/L m rl~y~
License
hiwcc sAC 38 X 28 /06 ~l
City SAC ~ r~2lt ~ 2-
Water Conn.
Water Meter I Z=~ /(e g
Acct. Deposit 1~
S/W Permi t Isr F~ooe
S/W Surcharge 1 L4~1 k~S 8~6~0
Treatment Pl. l24~1
Road Unit i w lo
Park Ded. K ~ t-
Trails Ded. I X 7=- ~
Copies 5 ~ GS~ 0~/~l
Other i26f X +J ~
Total : ZNo ~i.~oR~,
SAC % 100
SAC Units 38,~tZ$ = /06Y
12 xi4= 168 .
f~J~~c 5l c 12
I'LX1~I _ 21 G$~/p
126SX 54%
_ 6 2, Sco3
± Plonear Enelneerlne ~dsi~na r na
2422 EntuPrise Drive
~ * a{' * e(,r- }AMtiOtO ~Haights. MN 55~2~ ~
* PIONEEA (s~z) sai-iata•Fox 681-9488
ww wn~*ons . aeu acrt~eRS _
wtp pu,NNERg:
ueiosu~Pe
uia+~TCCrs 625 Hlghwoy t4 NorFheos!
* ~~1Q n~~~'ing 8loina MN 55a34
1 t 1 , (812)~ 783-1880•fax 783-1883
` Certifbat'e of Survey for: Th~ Rot~iund ~ Com~~ r~~•
Ftouse Address: . Severn Wa~ggn>_._1~~.
. Mode{ Name: dlso
' 19 , ' , , . ~
~ ~ . /
,
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~ ~ ~3s
909' ~ , ~ ~
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~ f
~ ~ ~ g4a,y g/- ~ ~q~~ 0+''3 I
yo ~ ~ ~u° ~zg, "{gf+= ~1 °°.S / !
i~ \ ~ '~B> ~y l
o~ \ / ~ n x i
a, . . \ . . ~ ~ ~ y~~ I
~ \ . ~ ,~C$ ~ ~ ao o¢ ~ ~ry ^ i
h '
\y\ q Z ~ k' o ~,.ea`• ' ~ I ~w~.H~ i ;
~ } t~ o,~ . ~
. . . . ~ 6' ~ ~J ! ,b~ I
. ~ Q ~ ~ ~ f = ~ i
~ zQ~ ry ~ / / ~
17 ~ i ~ / 1
~ . / :
~ , ~ ~
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a~,,,,~~`~. m~~° ~i ry. , ~ ~
~ i ;
~
F ~ y o pry~^~? ~ ~
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} .r . ,p~f~' V , / i
~ ~ ~ ~ ~ ~o i
~
/ ~ i
~ , / ~ G .
. H QId `~RI ~ D~PT i
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r I ' ~ Lookout Window 'E~evotion:, 898:b ;
~
x 9ao.o Denates Existinq Etevation pRppOSED HOUS£ El£VATIQN ' i
Denotes Propased Elevation L,owest Floor ElevatEoa: 874~~ ~
_ Denotes Dralnags & Utility Easement q~ of Block Elevation: 9cZ•9 i
Denote~ Qrainnge Flow Direction . ;
-o- Dcnokes MonumenC ' ' Garage Slab Etevation:. 902.~
denotes Offset Hub Bearinqs shown are assumed ~ j
LOT 18 , 81~OCK 2 C4VEN TRY PASS
' ~ ' DAKOTA CDUNFf, 1iINNESOTA 4TN A D~D 1 Ti 0 N ~
1 hi~tObY eeHtTY thst lhis surwy. Pkn or roport wu PraWred W m,e~o~r~'.
~Pr mY dirwt w~viYwl fnd tMi 1 am dufY Reqkiered Lend Su~wYor ~
under Me kvn of Ms Staa of Mlnnwem. DatM thb~(~day of-SL~-aD.19.~~....,- ~
/ 1 ~ i
/ ~
( ~ '
~ ~
I+ 1 w 7n~__~ ~
~ LOT SORVEY CHECRLIST FOR RESIDENTIAL
+i. BIIILDING PERMIT APPLI N
'm
~ S2 PROPERTY LEGAL: .Z ~F
i
~ ~ Date of survey: /~93
~ ~ ~ I29CIIMENT BTANDARDS
~ 0 0 • Reqistered Land Surveyor signature and company
~ 0 ? • Building Permit Applicant
@` 0 0 • Legal description
0 B" ? • Address
? • North arrow and bar scale
@~'D 0 • House type (rambler, walkout, split w/o, split entry,
lookout, etc.)
? • Directional drainage arrows with slope/gradient 8.
p~ D? • Proposed%existing sewer and water services
C~i~~ 0 • Street name
Id~ ? 0 • Driveway
ELEVATIONB
~xistinq
Q B'~? • Sewer service
~'0 ? • Lot corners
E~ ? 0 • Top of curb at the driveway
~ • Elevations of any existing adjacent homes
Prooosed
~D ? • Garage floor
9~ 0 0 • First floor
Q" ? ? • Lowest exposed elevation (walkout/window)
0 ? • Property corners
? • Front and rear of home at the foundation
PONDING AREAS (if avDlicable)
D 0~ ? • Easement line .
? L'I~ 0 • NwL
? ~9" 0 • HwL
? ~ p • Pond # designation
0 ~ ? • Emergency Overflow Elevation
DIMENSIONS
~p ? • Lot lines
~ 0 • Right-of-way and street width (to back of curb)
• Proposed home dimensions including any proposed decks,
overhangs greater than 2', porches, etc. (i.e. all
structures requiring permanent footinqs)
~p ? • Show all easements of record and any City utilities within
those easements
~ p p • Setbacks of pro osed structure and setback of adjacent
existing ho
~~p • Retain'n e rements, if any
Reviewed: 4~
Nam / at
October 1992
, F:c~~e.r,ion t~t+vFr,rn•r: nvi•:~;nr,t•: ^u" CUMPII'f!~'Pi~~:~ ~ ~~,s~!_
osr+~ - _
. . 1 y .
SZTE ADD~ESS t-_cT I ~ RL~cK `Z ~ c ~ . ~ ~ ~ ~b ITI O~
CONTR.'lCTO~ ~?TL UND GD ~ D.4TF. p~{qNg
Deteaain uorkinr; squnre footni;e of ench.
1. Tatal exposed vall erea ZpR~. 2 sq. ft. x ~•1~ = 31Y~.~
. • 2.' Total roof/ceiling erea I Z~o 7~ sq. ft. x e.0?6 _-3Z ej
• • .
Total exposed vail are3 nbove floc~r = 2~ C1 Z
a. Total w211 4indov area 3b 5~ ~
~ b. Total door aree (e~.¢'L
c. Total sliding glciss door area 1
d. Total fireplece vall area
e. Total vall frazning a:ea (aver e 10'0
~G ? ~2ZCr_.~¢
f. Total net vell erea above Sloor Z p 3 •
, g. Total rim ~oist aren 2/v 3, Z
Total exoosed foi:ndation arca = ~ ~rL~ , " ~
' .
h. Total founde~ion vindov a:ea ~ ~
^ i. To~al net fovndation a:-ea above grade
~ . Detex-irine "U" va1Le o; esch vall .eE;ment.
. a. 3 D 7. 5~ Y„U„ D. ¢2 = / 2`l. l8
b. ~0. ~-Z X ,.U„ o,~3a 8,33
. - - X .,U„ _ .
d. ~ X . _ '
e.. 2 Z~O. x.~~~~~ ~.Q ~ q = 20 _
~ r. ~v 37 . Co X~~U,. D, 0 43 = 8 7• la (
. 8. 2c. 3, 2- X"tr, 4- O~ - /O. 7 q .
h. / o X•,U„ sF°L = ' 4, Z
X .,U,. _0-l~ _ lCP.BS
s . . . . 277, / ~
~
If item'N3 is the sa~ne as, or les: th:.n zlen %/1, you have meL the intent
or ssc 6oo6(c)?,:. _ . ..._,F _ .
' „ . ` . , ,
, ' Total exposed roof/ceilin~ Rre~ = 1•G
' '1 . ~ . . -
• ' Total gross rooP/ceilin~ are:t = ~
' ~
Totel skyli~ht arza
k. Total roof/ceiling frzmin3 area / 2~l• 7
1. Total net insuleted roof/ceilinF aree rp G •
Dete:-mine "U" value for ~1c1~ runf/cci I in~: seF,~nent.
X ~~U~i - '
, ' •
x: ~ '`f" X ~~U~~ a •
iZ~a 7 OZ7 = 3.42 ~ •
1, ll~, GC~ X„U,, o.p2Z = Z'~'!,o ~
4 . Total 2 ~ ~ t/~-•
If totai oP ~4 is the same as, or less than N2, you have met tt~e intent of
SBC 6oo6(c)1. . .
To utilize the total envelope system method, the values esta~li;hed by the
sum of items 1/3 and @4 shall not be sreater. thKn the surs of iten:s Rl a-~d A2.
1. + 2. _ _
' - 3~• + L • _ - .
' • . • _
• .
.
o '
. .
• - ~o . • . ~ . . ~
- . , , t~4-i>3-9!i
. . ~ '.1
~
' SUMMt~n`f kEF'C~RT
P~epa.rEd For: F'repared Py:
M.W. ;u~rre .
~ Fl~r~ Heatinq
, Mn Job N~ame: Custc~m Ho~ise
a.%e.*mNC'~:.rm~'mm~i.*W****%K***T%n~~:'?:.i.'~*:R~'X*~C~.*~C~i~;**T~.n****mrt.**Inm~*mmT°n~*mT%nT*~n*%r~m~$:*
?E~FGPd COivDITIOPdS for
QUTDOCF Ih1B0E~F;
S1JMhicR WIPJTc~; SUMMEF '~JiPJTcii
Dry Blti.~i i~ 7c 7c ~
~+iBt ~l! I t~ %:i ~ 67 '
Daily Ra.r~ge 20 Daily Swir~g 3.i~
Lati~ude 4=. Elevation ~2~
Safety Factor 5
LatFnt Fa~tc~r
"~/1i.mmmmmTm~'`'i.m.''r.%n.ic*.nh:`m°~*~:'.'~~"F"A."~"~F%ra..n'F~:~c**$+'".$~n.i~"~F~"'i.:r~"~F"~"~%*%::K**$*~**X9:~i:~A:*.+..nmm%r°dm~',~7,ck:.~%r. ~
~E~~~2t71~
F:oo~s~ F;cnting Hertina C~~c~lina Gooling
Nrme , bTL~H CF~! PTUH C~M
PcseiTieTrlt ~ 1S.rd=ro ~7c 1,cbY 9=r
^vreat RVGI~1 ~JJ 47 2,2:4 14~
Dinette 6,120 86 3,~9i 17b
k:i tc hen 6~ 79^0 95 . 144 1.~9
Dining F:oc~m ~,8-:~ 50 1,?~~ 1~?1
Foyer 5,=~b 75 .4~~4 17~
Clffice Deri 4'~=f~~ E~~ _J i12
Pedroom 1 4,bbi~ 6~ ~,7i: 1=7
Rcsi.hlrGnR~ ~r.=:bc b~ ~.b7:: i.'~
Mrster Pcdroe~n 4,~~~1 Sn ~,4!~1 12i
E~edr-o~=m _ ,cE° ~1 ~.=~~3 116
C~~~~: `~S7 ~S'~lic S~4%~
HEATiPJG DELTr^-~ T 65.~~ COOLING DELTn T lc^.{~
hJ6TE: Calculated Airflc~w is ta=~d u~on laad req!!irc~~~ents.
'Jcrify that nirflow calculated is compatiGiE witr~
selected cqtiipmer~t requirerr~ents.
t ~4-i
~'-qi ~
•
~.1
DETAILED REF'OFT FOR EPJTIRE HOt1SE
F'repared For: F'repared Fy;
M.W. Guerre
Flare Heatinq
, Mn J~G Name: Cttstorr~ HGLlSB
*~~*~:**~~:Y~~~~:~~~~~~~~~~#~~:Mc*~~~:~*~~**~~#T***###~#~~***~~"~*T.~.*~T*~*~#~T*TT#m
EXF'OSUfic
GLASS PJQnTH SOI.~TI-! EAST WEST NE/PJW SE/SW HORZ. T~Tt=~L
AF'EA ~ 671 I ^<~i:~~ 114~ 2'c~~ ^c2~ C~~ 4541
COOLIPdG ~ 1~~~9~~ o5~i 9.26=i1 5.2561 ^o7'~I 1.1Ci.'_~~ 6I 1E~:1~~1
HEATIPJG ~ ,9S4i 1~194; [~+,c!~"rc~ ~.U=r^<~ 1~?.=^ci 1, 'ro~ ~>1 ~-?,5<4~
ScLOGa'
b1ALL5 ~iORTH SOUTFi EAST b1EST NE/NW SE/SW GfiADE TOTAL
FF:EA I S 15 ~ ^038 1 7bC~ i 8~r' ~ ~C~ 1 <p ; 1 296 f
Crri iN~ l 7421 77C>1 6?d~ 774~ 1^cl 181 i~~ ^_.~i~~7;
HEATIh~i6 I ~~~~70~ _,16._'•~ ,86c^~~ ,122~ 7~: 75S 7.422I 19,oc21
DOOfiS PdORTH SOUTH EAST WcST NE/PJW aE/S4J TOTAL
AncA ~ i.~l 181 ~c]~ i8, ~i; i~~ ~ 50;
GOOLIN[' ~ U~ 251; ~70; 251~ QI ~tt ; 78f>1
'r~EnTIh;G I t); i~~1.:_1; 1.145~ 1~0=~11 [I; 01 I
FLGOF, nRcN CnQLING HEATFP+G
---------z-----------------------------------------------------------------
=4.'.~'~ ~ C) ~ ?<7
CEILFN^u AREA COOLIPdr, HEATIPJ6
~4.^9 ~ 1.1-^r7 ~ ~.6~2
MISCELLFDJEO~ES CC~OLING LOr;DS
F'eoF~lc Ser~=_iGle Lend l,i=~ Lrter~t Lnnd 7.~1'>5'
Li4!"~ts n~F~i . Loau 1.195 Latent Srfet'y Bt~s~~
'Jentiiation ~ocd i "'05
Duct Heat Enir~ t~
Infiltratior~ Load ;10
~en=iGlc Safctv Ptuh i.~9i±
TDTF,L ~EP~iSIB~E LO~=;D ?9, 198 T~7TAL Lr~TEP~1T LOAD SBv~
Summer ACH D.U7 TemG. Swir~q M~~lt. 1.C>0
Total Coolir~g Load ~7,02< PTUH Or 3.0'~ Tor~s +#T
MiSCELLAt•]EOUS HEr+TING LOFDS
Infiltration Load 7,S7S Ventiln`ion Lond 5~:5
D~_tct ~ieat Le=_=_ i> S~.Tety Btuh . i~'
Winter FCH i>.1~
~-rm Total Heatir~q Lea~i 65.:~93 P7L~N m*'n
PERMIT
` CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B u r ~ o z N ~
Eagan, Minnesota 55122-1897 Permit Number: 0 2 618 9
(612) 681-4675 Date Issued: 0 8/ 0 8/ 9 5
SITE ADDRESS:
521 SEVERN WAY
LOT: 18 BLOCK: 2
COVENTRY PA5S 4TH
P.I.N.: 10-18403-180-02
DESCRIPTION:
Build'zng R,ermit Type DECK
8~uild'ing Wo~r.k Type NEW
f~ '
€
%
„F, -
,`j
f~F ~ '~:alz,~ ~ , f
REMARKS:
FEE SUMMARY:
Base Fee $30.00 COPIES $1.50
Surcharge ~ 50 Total Fee $32.00
Subtotal $30.50
CONTRACTOR: OWNER: - Applicant -
GERR MURRAY
521 SEVERN WRY
EAGAN MN 55123
(612)992-5384
I hereby acknowledge that T have read this application and state that the
information is correct and agree ta comply with all applicable State of Mn.
~ $tatutps and City of Eagan Ordinarices. J
~~c~ P,o~~ f~_
APPLICANT/PERMITEE.IGNATURE ~SS~ B : GN RE
~ ~ CITY OF EAG.AN ~3Z, OO
3830 PILOT KNOB RD - 65122
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) ~ ;i _ ~
681 aL675
New Conahudien Reauiroments RemodeVReQair Reouirements
? 3 ~egiaterod si0o surveys ? 2 copies of plan
? 2 copiea of plana (indude beam 8 window aizes; pourod fid. deaign; etc.) ? 2 ake surveys (exlerbr addkions & dedcs)
? 1 energy ealeuletions ? 7 enerpy alculations for heated additions
? 3 capiea M hee proservation plan M bi platled eRer 7/1/93 ~
taquited: _ Yes No
DATE: QS CONSTRUCTIONCOST: ~~DO
DESCRIPTION OF WORK: D~~
STREETADDRESS: 5_a~ ~.VeC~U UJRY
LOT ~ BLOCK ' _ SUBD./P.I.D. ~~~"!~'~DB
w_ 99a~sssy
PROPERTY Name: Geri~ ~ Phone ~~~'9~~ c~-
OWNER F•s•
Street Address~ SeVe~cn) ~U Ay
City: ~~4~ State: ~ Zip: 5 51 ~ 3
CoN7w?c7oR Company: Y ~*T Phone
Street Address: License
City: State: Zip•
ARCHITECTI Company: 1~ 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 compty with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY ti u;s:~~D V~~
Certificates of Survey Received _ Yes _ No Q(f~ ~ Z 1Q~~
Tree Preservation Plan Received Yes No
OFFICE USE ONLY ~r
BUILDING PERMIT TYPE P ~ ~
0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging o 16 Basement Finish
0 02 SF Dwelling o 07 4-plex ? 12 Multi.Repair/Rem. 0 17 Swim Pool
0 03 SF Addition o 08 8-plex o 13 Garage/Accessory o 20 Public Facility
0 04. SF Porch o 09 12-plex ? 14 Firepiace o 21 Miscellaneous
a 05 SF Misc. 0 10 =
plex ~5 Deck
WORK TYPE
~3a New o 33 Akerations ? 36 Move
0 32 Addi6on o 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MCMIS System
(Allowabie) 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. 3 Y
Depth Footprint sq. ft. SAC Code o/
Census Bldg i
Census Unit o
APPROVALS
Pianning Building Engineering Variance
Permit Fee Valuation: S ~Z""
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SIW Permk
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies ~so
Total:
% SAC
SAC Units
' • 1 •
1 1422 E~terpr~e Uriva
~Q(~V" . Mendolo .Hai9hia. MN 65120
*P~e77NEER ~„pA,,,,2.0~ ;
,~~,s (s~z) ~B~-~s~a•Fax 681-948a
'K w~D PlN1NCRS
~
uNOS~MRtlR~TS 625 Hlghwoy 10 Norlho0s!
* eng nc~r ng , ~,,~,a MN sses. '
* . , (812)~783-1880•Fax 783-1883
~ ~i~x' , ..,t, ~
' Certifibat'e of `$~urvey'fo~:' The Rottlund ~ Co j~~ f1C• . '
House . Addreas: , Severn Wa~, Eagan. MK :
. - Modet--Name: M9~l~ .
~ .
19 , ' , /
/ , ~ ' . . ~
~ ~ / ;
~ ~ e~b ;
~ o~ ~ i
a.y~~~h ~ . ?7ti . . ~ ~
~ ~ ~ ~39, 9~9' F , ~ j
i ,
i
. N ~ ~ , ~ ge~~" , ~ ;
, y~ : . . `1 . • . : ~
~ ~ 18 4 ~
S ~ x ~i°~Mo ~ . '
y ~ ~ ~ ,r~~Z 8ti ~ ,~~c~' ,r,3 ;
a'p~
j a9 /~~8~ ~?t,~ ~~p+.2 ~ l pe•~ I
A.~ ~ o ~ ~ / i
~ ~O. ~ • \ . . ~ ~ ~ 3 i ~
. . t^ ~ /~7 ~ ~ ao ~ / ~nr / i
~ ^ ~
, . ~ y\ q '~°,~9 ~',ee.~ ~ ~ni ~q~~,n ! , i
. . . . ~ ~ n ~ / ~m~ ' i
~
, \ " ° ~ ~ ~ 2 ~ i
~ ~c ~ ~ / ~
• ~ ~`7 / e~, j
4 ~ ~
~ ~ ~ / ~
• y 1
~ ~
~ /o - ~ . . : .
~ii:~"~.., t ~~,q ~ y~ ~ / '
~~s t' 4~\ ~e~ ~ ~ ~"~~1' / ~ I
~ \\yl / o ory~^
~ ~ ~
~ /
t . r . v~(. . • ' ' i
. I 1 ~ ~ '6~0 ~Q` ~ ~ ~
~ ~ i
~ ae ~ i
~ ~ ' i
. % ~ ~ . ~
/ ~ ~
~
. . ~r f~A7~ S Q ItRII~ UT~pT i
~ / , ' . Lookout YYindow'E~evation:, S98:b ;
~
Denotea Existing Elevatton pROPdSED HOUSE ELEVA7IQN ' i
Denotes Proposed Elevatfon ~re~t Floor ElevatEott: 8p4~~
_ Danotes Orainoge & Utility Easement Z~ af Block Elevution: 9oz.9 i
Denotes Droinage Flow Qirectlon . . . ~
-o-- Dcnotes MonumenC ' . Garage Stob Elevatian:, 9e2.W ~
Genotes Oftset Hub Beartngs shown are a9sumed , i
LOT 18 , BLOCK 2 COVENTRY PASS ~
~ ~ ~ ~ o~o~A ~TM. ~~~TA 4TH AD~DfTiON . ;
1 AN~MI eortlfY Wt thU surv~y. P4n a rpat va~s~ QepvM by ~ my dN~m wporvtNen ~ed that l tm dWY Rapktered l/M Bwv~Yw ~
urW~r tM hw~ of qu Staa of MMnaoro. Oeetd thN.~lf=day o1~/~D.19~... ~
~ ' r ~
,
~ w ~
~ ~ a.__~ ~n.__. _ i
~ , ~pM~ ~ yvy~~ , , >y~~,: ~ f ~ ~ ~ ~ s
k tr Y f YS k}3i~ S A?$~hfJ)~~A A ~~~.tE~~He~ ~5 L ) a~~ '4F• y~>
~ s r a ~ ~~r~.~' m~f~ > $~~s` ~ x<s~ ~ `3~,~'^~~s` s t`.~ ext3~'~°`~'~`a~~~i°• . ~m ~,g~~.~~ f , ~ :
„ 3 ~ ~ : , b ic r . ~ ~ {F33 y' : V " ~ 3 r'~ ~ .
~ . . , "'''a.''
L a :Cw ~ c t . ~~s3~ai~S~ ~ » C
1993 MECHANICAL PERMTT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN NIN 55122
(612) 681~675
PLEASE COMPLETE FOR SINGLE FAMII.Y DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMRS ARE REQUIRED FOR EACH UNIT.
~ NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
DATE
FEES
I-iVAC: 0-100 M BTU $ 24•00
ADDITIONAL SO M BTU 6.00
GA$ OUTLETS (MINIMUM 1 @ $3.00 EACH)
ADD-ON/REMODEL (ExtsTING CONSTRUCI'loN) $ 15.00
STATE SURCHARGE .50
TOTAL a~
SITE ADDRESS: '~a\ ~~e-~-~~
OWNER NAME: TELEPHONE
INSTALLER: `-e_ ~ L-
ADDRESS: ~
C~'y; Cc~~~1C~~, STATE:«~ ZIP CODE~~'~1
TELEPHONb ~~,~o.~
~
SIGNATURE OF PERMITTEE
~y y .v~i~a~ YS'~W f6~
~~A(~~~~ \
,a'X r ~~~33rz "~s a~<4 °~.aa < ~r x~.~~c~~.~'~~<~t~~~ ~~t
~rL~'1F' ~ S`~3.yF ' ( '
+ 4 3 ~°5'~ . 6 & 41 ~'a, `.~i °a'L .zs ..s c?"'~» . ~ ~ z . ,~xr U.r~ s_ r s`r ~ ~ ~ t
:it 3~ „ a sc~ ,n'k g~;. sA~' iee%k' x~ ~;a iY~4'T}"4' a~ x3
. 7~K f 95 d 4T~Yn (;y K h6 t y d 'Y a.ya * e, ~w. 3
: ..n m a w ~ ~C€s~4`Rb.', ~x~':x a~ ~+~~€<a ~zs~x .~~'~a~ ~''t t'~x~' .~t. ~a x s s ~"s
~ t ~rv a '~r w "w~.s .s ~ .~:~w,«. u ~ <ri3?w~, `R,~ '~f, _ , a 3 as ,
. . .>..<u,.:~,'~. ~r„;r a?:S*c4°'s~3~;.ck~E'~~n-d:+F.~~3.~c,D..n..r.w,.'g .Y1`.Y.'a. .Sx...,~ a ~i~< . a~,a...
1993 MECHANICAL PERMTT (COMMERCIAL)
CITY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALI. COMMERCIALlWDUSTRIAL BUII.DII~IGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNTf.
DATE: CON'TRACT PRICE: $
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
1% OF ~T7TRi~1CT FEE $
PROCE35ED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 F~R EACH $1,000 OF t'EI2MTT FEE.
TOTAL $
SITE ADDRESS:
OWNbR NAME: TELEPI-IONE
TENANT NAME: ([MPROVEMENTS ONLY)
INSTALLER:
ADDRESS:
CITY: STATE: ZIP CODE:
TELEPHONE
SIGNATURF OF PERMITTEE ''T'1'Y INSPECTOR
¢ . 7~
s~E ~c .~x, s a :c~*~~r lS~£ ^ y~~Y~x
=~'"~M;F~ . ~ . + ~CF` y'Abm',k,ES~
~ s-F ~ ~Yt ~,xt~'~aYS~~ ~ sd ~~~i $ s ~@ vcn~' y~"s - a,i,:
~~~..n i ,.S gY~ 3.£~F & Y'S~a ) 5 ~at~a '&kx a } a::;> # z
i. ~ 1~;s•~3 5~~ xsi ~k yr~s o c d F ~~ri?~3'~ ~`'~Ku .~sr .
~ ) ~~n~~` 5`5 ~ '~'~•?'t ~,t~, sJ t~g°2. , .~~X :'~~n~c
.'w.~~ ~ .b`~
~~~"$~4~~g~'~~ c P~1 s„~S ~3a:<avx,v' ''E63/ .ta. `,~1Yx'$.*..~ 5;.v" .
1993 PLUMBING PERMTf (RESIDENTlAL)
CITY OF EAGAN
3530 PII.OT KNOB RD
EAGAN MN 55122
(612) 681.4675
PLEASE COMPLETE FOR SINGLE FAMII.Y DWELLINGS. ALSO, FOR TOWNHON~S AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTf.
NO. F'IXTURES ~
~ SHOWER 3.00 3-
3 WA'TEi~ t:LvSE
i ~
BATH TLJB 3.00 ~ -
3 LAVATORY 3•~
1 KITCHEN SINK 3.00 3-
~ LAUNDRY TRAY 3.00 ~ -
HOT TUB(SPA 3•~
i WATER HEATER 3.00 3-
-r FLOOR DRAIN . 3•~ 3 -
GAS PIPING OUTLET • m~~~m~m • i 3•~ 3-
ROUGH OPENINGS 1.50 ; °
WATER SOFTENER 5•~
PRIVATE DISP. ~ ~e~.cry. 15.00
U.G. SPRINKLER ~ nome undcr mnsc. 3.00
ALTERATIONS • to edsting 15.00
WATER TURN AROUND 15.00
STATE SURCHARGE .50
TOTAL: y~ ~
SITE ADDRESS: Sa ~ 5e ~e W 0. 1
OWNER NAME: ~n ( L~
INSTALLER: U (a I ~ ~i ~ ~ ~ ~
ADDRESS: ~ 9 f v C 2 c c fL L
CITY: ~cia G~ R~ STATE: ~M ZIP CODB: SS~
PHONE ( ) ~ ~ ~ ' r~ f a ~
~
SIGNATURE OF PERMITTEE
xr ¢'t
3 ~L r } . "F 3".~y~,~ ~ ~xC r~~~'S:(~~ «oe , r,~,:~xm~'R~., r ~s~.c 4 s 4
` S t . <c ~ ~jc,~ ~ ~>~yt~ ~ x~.~' C~ F Sg. . y s ~l ~ F ~x d&fi
i3sF 3 3~~w33~a Y" ~ ac~ x~~ ~ i w"~xad s~~ca` ss'.,~,,sa"~¢s ~''A'o-F $i a .
~3`~ : > ~ r~a 4£~s'~~,3,y~"~~.~~~Y~~.,~&E* ; ,~«1~ a~iR$~~,~kq~`e. w~a'~3 '~~;q >M ai
~ ~ ~ : ,:,<s>d~~s~<'?:.:~3u.s~~.`~:~.`..~.~,F.b:r?:-~'~.~ '~'.1."'".a~;. , ~:~,k^k ~.~4
r..a?$.:~',:
1993 PLUMBING PERNIIT (COMMERCIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL COMA~,RCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-
FAMILY BUP_~INGS WHEN SEPARATE PERMTfS ARE NOT REQUIRED FOR EACH
DWELLING Ui~:T.
_ NEW CONSTRUCfION
wDD Giv
REPAIR
WORK DESCRIPTION:
CONTRACT PRICE: $
FEE: 1% OF CONTRACf FEE.
STATE SURCHARGE 5.50 FOR E4CA S1,000 OF P£R1V[~' FEE
MIHIMUM FEE: S 25,00
CONTRAGT PRICE X 1% $
STATE SURCHAItGE $
TOTAL $
SITE ADDRESS:
TENANT NAIVIE: STE. #
OWNER NAME:
W STALLER:
ADDRESS:
CITY: STATE: ZIP CODE:
PHONE
FOR:
CITY OF EAGAN APPLICANT
'~L ~~5 ~ 7 ~ l S, s~
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION ~~~~(CU~I~
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date ! / , A/
Site Street Address .Je V e( V Y~ Unit #
Property Owner C{.,~ ~a ~ Telephone #(fp~j b" S(O~-
3870 ~odd Rd. #100
Contractor EAgYn MN 551~3 1358 Telephone }
Address City State Zip
The Applicant is: _ Owner y~Contractor _Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license InGudes County fee
$ 100_00
Per as-built - $ 16.d0
Alteratians to existing dwetling $ 50.00
_ Add plumbing' flxtures. This fee inGudes installation of a water softener andlor water
heater at the same time. ff you are installfng onlv a water softener and/or water
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
_Water Turnaround (add $130.00 if a 5/8" meter is required)
Other:
~WaterSoftener ~WaterHeater $ 15.00
_ new ?replacement
Lawn Irrigatlon ,RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
To~~ $ /550
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the
work will be in conformance with the ordinances and codes of ttie City of Eagan and the plumbing codes; that I
understand this is not a permit, but only an application for a permit, work is nof to staR without a pe '
accordance with the app~oved plan in the event a plan is required to be reviewed and approved. n fE ~n f~ ~ M~
~ r~~_ , U ~5 I S lJ D
ApplicanYs Printed Name Ap IicanYs Signature , A~G g ~ 20~~
i_ i~
~
~;i}'
~ - ' . }~'{'.J
I asgH~
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA124907
Date Issued:07/15/2014
Permit Category:ePermit
Site Address: 521 Severn Way
Lot:18 Block: 2 Addition: Coventry Pass 4th
PID:10-18403-02-180
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 -
Zhigao Yao
521 Severn Way
Eagan MN 55123
(651) 686-5627
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:EA167460
Date Issued:03/16/2021
Permit Category:ePermit
Site Address: 521 Severn Way
Lot:18 Block: 2 Addition: Coventry Pass 4th
PID:10-18403-02-180
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 -
Danny L & Lindsay M Lankford
521 Severn Way
Eagan MN 55123
Highmark Exteriors
8720 Eagle Creek Pkwy
Savage MN 55378
(952) 882-8904
Applicant/Permitee: Signature Issued By: Signature