524 Severn Way ~ - - INSPECTION RECORD ~
' CIT1F OF EAGAN PERMIT TYPE: ' " " '
3830 Pilot Knob Road Permit Number. ~ ~
Eagan, Minnesota 55123 Date Issued: '
{612) 681-4675
SITEADDRESS: ; i , APPLICANT:
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PERMIT SUBTYPE: TYPE OF WORK: ~ - ~ '
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Permk N6. ~ Permit Holder Date Telephone #
SNV
PLUMBING Q ~j~
HVAC . ~ 3 5 -
ELECTRI ~ ~I~~ ~ ~ ~
ELECT 9 /S 9 ~ ~
Inspsction Dete Inap. Commenta
Footings I 5~~~~~ ,C
Foundation
Fram~nq -I ~ ~'.3 b •~l.S 3 ' /~Q
Rooting
Rough Plbg. / 8 p~ ~
Rough Htg. ` g 9 ~
I
Isul. 4
~ ~
Freplace
Fnal Ntg. ~
Orsat Test
Flnel Plbg. O_ _9~ Plbg. Inspector- Notity Plumber
Cons~. Meter
EngrJPlan
Bldg. Final ( ~ ¢ 3 ~ S't„O ~ G+~L ~ ' ~ 6 ~aC ~
~ F~. -o ~ Z~-f
3 ~
Deck Final
Well
Pr. Disp.
a.:. ~ o~ ~ 3
a . • ' ' . , . , P ~ i r Y
. ~ CITY OF EAGAN ~
45~~~A8
DEPT. OF BUILDING INSPEC~IONS - .
° ~
~ _
~ . ~
~ ` ~ •
~ Corr~ct~o~ ~ Not~ce
,
Located at 5~v~= u'~ S'
~
I have this day inspected fhis structure and
_these premises and have found the following
,..~violations of city codes governing same;.
. ~&~~Ls~%! L~ ~cl~ ' / ~ ..~G~ ~Z~.~~ c
/ ,~~.d~lfzr--~7~c. ss- f~N ~f~
~sj -'~1~i1.~4~'~ S-x-c,,~' a~~{ .'~~G~(r L~~v.,~.
C C'~ r G' S 1~1 L~ 1~: /Z A tI// L? LG' ~Yt~ ~
~.J t•./_.= ~ L T u U/ST - 1'~>sr1 T.~1!!s`_-
~G[.li'~-tJ ~f~T t'1~
When corrections have been made, please
call 4~4~-8-~-00 for inspectio~.
~
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Date .z~ r
Inspector City of ~agan
DO NOT REMOVE THIS TAG
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. .cate v~ ~ccu~anc~
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Tlris Ceni,ficate iss~ed p~rs~ant to the nq~innrents of the Uniform Building Code
certifying t/rat at t/re tune af issuanct this stractun was in compliance with the various
ondinances of d~e City sreg~lating buildiirg coastnociion or use. For the foUowing:
u~ a~: sa~ ~ rb. 21682
~y~
~
Owocr d B~ii~ng Addirss
Bmldrg Adbess Svi ~lY s s
~
` ~7 7
\ - , Da6e,
Balds6
POST IN A CONSPICUOUS PLACE
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: ~ ~ ° ~ ~ ~ ~ ~ ~ ~
3830 Pilot Kn~b Road Permit Number.
Eagan, Minnesota 55123 Date Issued: • ~~~E
(612) 681-4675
SITE ADDRESS: ; , ; ~ ~ ~ ~ ~ ~ APPLICANT:
. ~ . ii:~Y i•, , . ~ i
~~~.ir~~~ . ~r•, , ~~~i , i ~ ~
PERMIT SUBTYPE: TYPE OF WORK:
~ , ~
~ , .ti ~ . ~ ~ ; i•,.. . ,
. .
; ~ i r~~, , :,~a i
~ itar;i
t:l W{iii ; ,I I';11:/~ I+ ~ f; i I I" 1 ~ r51 ;'i ISM ~ 1 ~~II I I I!~
~ ~
~ ~
Permit No. Permft Holde~ Date Telephone #
SNV
PLUMBING
HVAC
ELEC7RI ~ ~Jp y'
ELEC7RIC
InspeCtfon Date Insp. Comments
Footings I ~6~y ~j,r,Q
a~!J
Foundation
Framirlg ~
Roofing
Rough Plbg.
Rough Htg.
Isul. ~o ~ Q
Fireplace
Flnal Htg.
Orsat Test
Final Plbg. Pibg. Inspector-Noti(y Plumber
Const. Meter
Engr./Plan
Bldg. Final C~ ~ ~ O
Deck Ftg.
Deck Final
Well
Pr. Disp.
~ ~0
2
0
~,~.~~~a ~
~
Request Oate re o. Rough-i e lion NOTICE: Vou Must Cap ElecVical I ec~o~
S'~ A Requlre If A Rough-In Ins e'
r es ? No Is Fequired.
I liaensed contractor ? owner hereby request inspection of a e electrical wor
Jo~ Adtlress (Siree4 ~x Aoute No.) Clry
,Sa L~
Section No. Township Name or No. Range No. Coyn~
v
j
Occupe (PRINT) Phone No.
Power Sypplier _ . ~ Atldres5
y ~~1.
ElecMCal ConVacror (Company Name) Conirador5 License No.
Mailing Atltlress (Caniractor or Owr~er Malmg Inrialla~ion)
CITIE8 ELECTHIC, INC. CA00381
Authorizetl Signature ~ Vac~orlOwne~ king Ingal a~iori~~'Q Phone Numbe~
MINNESOTA STATE BOARO OF ELECTflICITV TMIS INSPECTION qEOl1E57 WILL NOT
Griggs-MiUway Bldg. - Hoom &1]3 BEACCEPTED BYTHE STATE 80ARD
1821 UnlvanLLy Ave., SL Paul, MN 55109 UNLESS PFOPER INSPECTION FEE IS
P~one(612)662-0800 ENCLOSED.
I G) ~
Jr/f~`~ REQUEST FOR ELECTRICAL INSPECTION ee-ooo ~-oe
~ See iqyfruclions for comple[ing Ihis ~o~m on back oi yellow wpy ~S
Iol 0 2 ~ 7~ 'X" Below Work Covered by This Reques~ ~ i
ew Hdd Rep: TypeoBuilding AppliancesWired EquipmeniWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
~ ApL Building Dryer Load Management
Comm./Industrial Furnace O~her (Spaciry)
Farm Air Conditioner
O~her(specity) CanlraclorS Remarkgt
Compute Inspection Fee Below:
# Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fea
Swimming Pool 0 to 200 Amps a to 700 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
SIgOS Inspector5 Use Only: TOTAL
Irrigation Booms d ~+~a
Speciallnspection ~G~/~~' ~,~''1 7~ ~ 3f r~
Alarm/Communication THIS INSTALLATION MAY BE O DEREO DISCONNECTED IF NOT
OlherFee COMPLETEDWI 18 T
I, the Electrical Inspector, hereby Rough-in ~ Da~e(}~~
certif thattheaboveins ectionhas
Y P Final Date
been made. ~G'oZ
OFFICE USE ONLY
This requeai void 18 monlhs irum '
C~ 0~2
5 6 4~~ a, ~~~i
R¢puest Date / Fire No. Foug InpsecUOn RaQVireE Inspacnon OPoer Tnan ough-In
p (YOU 1 cail inspec~w when reaEy) ~ qea0y Now ~Will NoNy Inspecia
Y Vae ? ~NO OaleReaOy
I ~ licensed contractor ~owner hereby request inspection of above electrical work at:
Job Atldrass ISt al. 6ox or R No.) Ciry
~eV2rn
Section No. Townshi0 Name or No. Ren No. Counry
Occupam IPFINT~ Phone No.
~¢n 'rk1
Power Supplier Atltlress
Elxtrical C nlraclo~ ICOmpany Name~ Cont~acto~5 License N0.
~ vhe,o wner
Mailing Atltlress ICOnVac[or or Owner Makinq Ins~allaban~
~
Aulhonze gna~ore ICOnV ner ' g Insta~lation) Phone mbar
z- r
MINN OTA STATE BORRO OF GTpICI Y THIS INSPECTION REOUEST WILL NOT
Grigg&Mitlwey Bltlg. - Room Sl]3 BE HGCEPTED BV THE STATE BOARD
1831 University Ave_ SL Paul, MN 5510Y UNLE55 PPOPER INSPECTION FEE IS
Phone ~612) 6<]-0800 ENCLOSED.
(o ~~/y,~ REQUEST FOR ELECTRICAL INSPECTION ~6'" ea.ooomae
? See insimc0ans for compleUng Ihis larm on back ol yellow tapy. ~~F~i~., AIY~~1/
r~ 4 LY /
~ 0 L 5 6 4 ~ ~"X" Below Work Covered by This Aequest 'x+
ewAdd Rep. TypeolBUilding AppliancesWired EquipmenlWired
Home aange Temporary Service
~uplex Wa1er Heater Electric HeaNng
Ap1. Building Dryer Load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Condltioner
Ofier~s~ecity7 ConvactorsRemaMS:~ SeC~sO~I O!'C/~..
Compute /nspection Fee Below.'
d Other Fee # ServiceEntranceSize Fee # Circuitsffeeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Trans~ormers Abova 200 _ Amps / trooveJ00 _ Amps
Signs Inspeaor's Use Only: ~ TO A
~ Irrigation Booms ~6 O
Special Inspection
Alarm/Communication THIS INSTALLATION MAY 8E OBDERED C NNECTED IF NOT
~ Other Fee COMPLETED WITHIN 1B MONTNS~
I, the Electrical Inspector, hereby Rough-in . ' ' ~ Date"'
Certify that the above inspection has Final ' Data -
been made. ~ ~ 7 ' y
OFFlCE OSE ONIX ~
This request voitl 18 mon~hs from
~f 019 0 ~ ~ ~~~os
Requesi a~e ire No. Rou In pection. NOTCE: You Mus~ Call Eleclrical Inspec~or
(7 ^ 1^ - epu tl? I( A Faugh-In Inspeclian
y ~ Ves ? No Is flequired.
I I~licensetl contracior ? owner hereby request inspection of above electrical work at:
Job A~2~ e~, Box or Roule No.) ~~ty
Seciion No. Township Name or No. ange No. C
Oc ant (PRIM) Phone No.
P r Supplier Atldress
~
ElecMCal Coniractor (Comparry Name) ContractoYs Licenae No.
Mailing Atldress {Conlractocv~y~VC MaYinaJUCtalla~ical. w~re~~
4111Ca CLC{71l11{7 p/~ V/MI\IW
~ Wq ~V ~ ~
AutM1Onzed SignaNre (Cont OOwner Ma InstallaGOn) Phone Number
MINNESOTA STATE BOAHD91^2CECTPIGRY ' THIS INSPECTION REdUEST WILL NOT
Griggs-Mitlwey Bitlg. - Hoom &1]3 ~~.m P BE AGCEPTED BV THE STATE BOAfl~
1821 University Ave., SL Paul, MN %1D4 11 UNLESS PROPEfl INSPECTIDN FEE IS
Phone~611)604-0800 SyCi' ENCLOSE~.
9/5 9~ REQUEST FOR ELECTRICAL INSPECTION ~3~0~5
~ See inshuctions 2br comple[ing [his form on beck o~ yellow copy.
~ p 19 7 0 • I(" Below Work Covered by This Request
e~ d RS~1 Typeafeuilding AppliancesWired EquipmentWiretl
Home Range Temporary Service
Duplex Wate~ Heate~ Electric Heating
Apt. Building Dryer Load Management
Comm.4ndustrial Furnace Other (speci~y)
Farm Air Conditioner
Other~specify) Contraclor5 Remerks:
Compute Inspecfion Fee Below:
# Other Fee # ServiceEntrance5ize Fee # CircuitsiFeedere Fee
Swimming Pool 0 to 200 Amps 0 10 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
SiJftS Inspec~or's llse Ony: 1 TOTAL
Irrigation Booms r
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORD ISCONNECTED IF NOT
Oiher Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rouqn-~~ oa~e
certify that the above inspection has Fl~a~ oa~e
been made.
OFFICE USE ONLY
This requast voitl 18 monlhs imm
Address 524 sEV~Rx wt~x Zip 5512 3
Lot ' 2q' Blk 2 Sub !:ovINrRY Pnss 41gt
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPEGTION.
Date: ~Q ~~f' Yes No Inspector: S'
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
TraiU~rb damage
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing system'and the shut-off of watec supply ro
the outside lawn faucet before freeze potenpal eacists.
Contad engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. ~
White - Ciry Copy Yellow - Resident Copy Pink - Contractor Copy
58I~ 7 ~s.s~
PLUMBING (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for: Single Family Dwellings
Townhomes and Condos when petmits are required for each unit
ne~e i:~s~ i C13
Site Address ~ ~C~~l~/~ ~~/Tll/ Unit #
Property Owner ~'",~j~ 1~/' I ~ Telephone # ~~I ) yf7 Z ~ ~
Contractor ~ (~I ~7~~~)~~ ~
Address 1~/ IJC~'G~~ I~C1 City LC~~C!/~
State /~h Zip ~ Telephone# 3~+/ /3~/~
The Applicant Is _ Owner Contractor _ Other
Septic System New _ Refurbished Submit 2 sets of plans antl MPC license $ 100.00
InGudes County fee. Additional eonsultaM fees may apply.
Alterations To Existing Dwelling Unit, Including $ 50.00
_ Adding fixtures to lower levels or room additions, excluding water softener and water heater
_ Abandonment of septic system
_ Water turnaround 5/8" mater if needed -$121.00)
Other.
_ RPZ _ new installaGon _ repair _ rebuild ~ s0.00
_ Lawn irrigation system
~
_ Water softener ~ Water heater i' !
~ ~ ~,ar ~ 3 z $ ~ I' ,5.00
~replacement _ additional ~L~~ J
L~
State Surcharge Byl .50
Total $ , (J
I hereby apply for a Residential Plumbing Permit and acl~owledge that the informarion is complete and accurate; tUat the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a
pertnit, but only an application for a pemtit, 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 requues a review and approval of plans. r
1
~,U'Y1\Q Ul1~b~'~~~ "
ApplicanYs Printed N
na~- App ' ant's Signature ~
RESIDENTIAL
BUILDING PERMIT APPLICATION ~
CITY OF EAGAN
I~~ 1 3830 PILOT KNOB RD, EAGAN MN 55122 ~
651-681-4875 ~ ) ~ , a-`S
New Conshuctlon BeaulremeMe pamotleVHeoalr Peaulrements
• 3 registered sile surreys showing sq. tl. of bt, sq. tl. of house; and ~ rooled areas • 2 copies ot plan
(20%maximum btcoverage albwetl) • 1 set of Energy Cakulatbns for heated adtlitions
• 2 capies ol plan showing Deam & window sizes; poured fouM design, etc.) • t s~e survey for exterior atlditions & decks
• 1 set ot Energy Cakulallons . Indicate If home served by septic system for additlons
• 3 copies of Tree Preservation Plan'rf bt plafled atter N1/93
• Rim,bisl Detail Optbns seleCtbn sheet (bldgs wiN 3 or less unils)
DATE lo- -~2 VALUAiION 1 `7~32'S~
SITE ADDRESS vc~r.~ MULTI-FAMILY BLDG Y ~ N
TYPE OF WORK ~'2~~0 FIREPLACE(S) ~-0 _ 1_ 2
APPUCANi Ca-~-.~~~`~~__ ~6ic~ta'~~, 5~~, . `~c- ,
STREET ADDRESS Z'-~~ tckes~~_C~~~ `~a CITY~STATE m~.~ ZIP~.,~_
TELEPHONE # 1o~1-`t3U-9~?
i~ CELL PHONE # FAX # ld~l-~-I,Q?~-O"L19
PROPERTYOWNER ~~'~k--~~ TELEPHONE# 1s5~-~`.7Z 1013~}
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category MINNFSOTA RULFS 7670 CATEGORY 1 MINN "7
(J submission type) • Residenlial VentilaUon Category 1 Worksheet Submitted • Ne ~~y~d e~ ed
• Energy Envelope Calculations Submitted ~UN 0 4 2002
Plumbing Contracfor: _ _ _ Phone # ~
Plumbing system includes: _ Water Softener , Lawn Sprinkler By . .
_ Water Heater _ No. of R.I. Baths
_ No. of Baths
Mechanical Conhactor: Phone ~
Mechanical system includes: _ Air Conditioning Fee: $70.00
_ Heat Recovery System
Sewer/Water Confracfor: Phone #
I hereby acknowledge that I have read ihis application, state that the fna~ation Is correct, d-eg to comply
with all applicable State of Minnesota Statutes and City of Eaga rdinance~
Signafure o
-~rr..__.~_~...~.._..
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4I02
OFFICE USE ONLY
? 01 Foundatan ? 07 OSplex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) O 31 Ext. All - Multi
? 03 01 of _ plex O 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) O 33 Ext. Alt - SF
? 04 02-plex O 10 08-plex O 18 Deck ? 23 Porch (screened) ? 36 Multi
O 05 03plex ? 11 10-plex ? 19 Lower Level O 24 Stortn Damage
? 06 04plex ? 12 12-plex Plbg_Yor_N ? 25 Miscellaneous
O 31 New ? 35 Int Improvement ? 38 Demolish (Interior) 0 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* 0 43 Reroof ? 46 WindowslDoors
? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuatlon 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) _ FinaVC.O.
_ Footings (deck) _ FinaUNo C.O. '
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesu _ Final
_ Framing _ Siding Smcco Stone
_ Fireplace _ R.L _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
-----------------------------------------------------------------~A~--°-----------------,---------------~--
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit.
Mechanical Permit
License Searoh
Copies
Other
Total
PERMIT ~
~ CITY OF EAGAN - ~f/~3
3830 Pilot Knob Road PERMIT TYPE: B u z ~ o i N~
Eagan, Minnesota 55123 Permit Number: 0 216 8 2
(612) 681-4675 Date Issued: 0 8/ 19 / 9 3
SITE ADDRESS:
524 SEVERN WAY
LOT: 29 BIOCK: 2
COVENTRY pASS 4TH
P.I.N.: 10-18403-290-02
DESCRIPTION:
6.uilding:_Permit Type SF OW6
Building Wbrk Type NEW
~USC Occupanc~, R-3 M-1
/ Construction Type VN
/ Zoning L_~ R-1
/ Building Length ~ 68
~ Buildirtg Width ~ 46
~ /
' y/
v\~\' y ~ - -
l~ C~~,~~~(~~\, ~I ~ ~rJ~.' ' -`~i~r.- '1~ ~ti,
~~1 ~7 i~. }~V ~?Lf ~ ~±L~-~~.~~1L~.!~' '.~.1
y--~;: - .
REMARKS:
S&W CONTRACTOR - VAIIEY PLUMBIN6
FEE SUMMARY
VALUATION $124,000
Base Fee $723.50 MISC FEES $1,744.50
Plan Review $470.28 Total Fee $3,750.28
Surcharge $62.00
SAC $750.00
SAC 8 100
SAC Units i
Subtotal $2,005.78
CONTRACTOR: - APPlicant - ST. ~IC. OWNER:
ROTTLUN~ CO INC, THE 15710304 0001335 ROTTLUND CO INC THE
5201 E RIVER RD 5201 E RIVER RD 301
FRIDLEY MN 55421 FRIDLEY MN 55421
(612) 571-0309 (612)571-0304
I hereby acknowledge that I have read this application and state that the
,a.- information is correct and agree to comply with all applicable State of Mn,
Statutes and City of Eagan Ordinances.
~ ~ ~
c-~k~~~
APPLICAt~Y%PEFiMIT SIGNATURE ISSUED : SIGNATURE
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: Bui~oiNe
3830 Pilot Knob Road Permit Number: 6 Z 16 8 2
Eagan, Minnesota 55123 Date Issued: 08 / 19 / 93
(612) 681-4675
SITE ADDRESS: ~ o r: z 9 B L 0 C K: 2 APPLICANT:
524 5EVERN WAY ROTTLUND CO INC, THE
COVENTRY PASS 4TH (612) 571-0904
PERMIT SUBTYPE: TYPE OF WORK:
SF DWG NEW
. .
FOOTING FRAMING
INSULATION FINAL
FIREPLACE
REMRRKS: 3&W CONTRACTOR - VALLEY PLUMBING
~ ~
~ . ~
REAC~rLVATE ' CITY OF EAGAN
PERMI I`~L~-~~I~-~G~I~~ 1993 BUILDING PERMIT APPLICATION a~
` ~ AUG 0 5 1993 681-4675 ~ ~
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 tast working day of month-
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date 1 Valuation of work~ j3g400
Site Address: 52-~{ SPVer-h tAl~~~
STREET SUIiE •
Tensint Name: (commercial only) tl.t Q.ol-~-l~we~ ~.-E-+1G
/
LpT BLAC& 2 SIIBD. ~ P.I.D. N
Descri tion of work: '
The applicant is: Owner Contractor ? Other coeoc~;~>
Name -T-b. ~ Qa1~Iwi.1 C~.2'ylc. Phone ?~l ~o?od
Property ~~St FIRST
Owner Address Cl2~l G 2.•uof ~9 «F3ol
STREET STE 1 •
City ~ri~~/ State~ . Zip C~42.(
Company ~.w-~- Phone
C011t1'BCtOf Address License # 142 r Exp3-3r~9d
l
City State Zip
Company Phone
Architect/
Engineer Name Registration ff
Address
City State Zip
Sewer 8 water licensed plumber ~ b i . Processing time for
sewer & water permits is two days once ar a has been appr .
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.
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE ~ ~ r
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodg9ng ? 16 Basement Finish
~ 02 SF Dwg. ? 07 4-Plex O 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex ~ 14 Fireplace ? 19 Comn./Ind. Misc.
O 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
~ 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 DemolisA
? 32 Addition ? 34 Repair O 36 Move
GENERAL INFORMATION
Const. (Actual) v-r+ Basement sq. ft. MWCC System
(A1lowable) v- N lst F1. sq. ft. tity Water ~ 5
UBC Occupancy R-3 M-~ 2nd F1. sq. ft: PRY Required
Zoning 2-~ Sq. Ft. total Booster PumP
~k of Stories Faotprint Sq. ft. Fire Sprinkler
Length ~ On-site well Census Code !01
Depth Hb' On-site sewage SAC Code
APPROVALS ;
Planning Building Assessments
Engineering Variance
RE('IUIRED INSPECTIONS
? Site ? Foating 0 Framing 0 Insulation
? Wallboard ? Final ? Draintile ? Fireplace
Permit Fee Yalutian: $
Surcharge ~ARA(~',
Plan Review 32 K/g = s~6
License k~~ ~ (y„ '
MWCC SAL
City SAC BSMTt 53~e Xlb° 95'7G.
Water Conn. ~y ,5Z s 12Y8
Water Meter X
Acct. Deposit IZ'~2 x G= C71)
S/W Permit ~ sx ~q = N~S
S/W Surchar e ~y 20
Treatment P~. /dy~ x ~s= ,'1
Road Unit ~SrF~°~~z,
Park Ded. gy„r= ~6ya
Trails Ded. 2x6xis~ /8
Copies ~X4 _ 9 9 0~ ~F5'a
Other ~67s x
Total:
sac % i oo ~ ~ z~~~r ~
SAC Units
! , * 2477 Entr,•rpr~Fe Dr-iv~ .1
~ Mendotc Heights, Fdld 55120
* PIONEER _~ar+DSUrntrorts_phlENpNEERS_ y~^ ~B1z~ sa~-isia•F.ax 681-9h88,
J E~ngII~I~.CR~Ing l~~ UND CCANNCRS • LAND`aCAPE ~RCH~TEC'f3~ 625 Hlghway 10 FJorthenst
T Blaine, MN SSd~34
~c * * (si2) ~s3-tsao-FaX ~s3-iea~
Certificate of su~~ey fo~: The Rottfund Companv, ~nC.
House Address: 52~ Severn Way, Eagan. MN
~ ~ ~~~~L~~~r~-.. •
/ Js B5'~- ~ .e.._._._._.
~ / ~
C~d ~iGiZ~~RIIdC~ D~PT
.r ~ ~ / ~s /
,
/ ~ ,
~ ~
/ `l , i
~
V~` gg9•~ i y
. ~ ~ , s i
~ / ta ,A~~
~ / / 890,~ REVIEWED
~V " r~'~~~~1 1;; ~~;.rT -
G '/Y91, ~/'I'~ TR4.c V
? / ~ ~ '~j ` ,~~a s BY ~ ~
0 1 i
° ; ~ ` . ~gq2'°° 9
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v ~ •~~e~~/ $ ~
i C 8B1.nK ~ u~ .`O~~hSai O ~Y
/ a5.~ ~ >
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~ 4 ~ „~2o~c,P~ ~ oo?- ~68; oS
~ s~` ~ ' 'J, y\ ` 7 ~
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V'~ ° \
~1' ~04 0 ~
fj'B.^./B ~ cy`a GQ ~~`k'l0pc C0~ ~
p ~ 3 99;.
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2
31
x
/ B77,j
/
/
. aoo.o Denotes Existing E!evatlon PROPOSED HOUSE ELEVATION
• 9~o Denotes Proposed Elevation
~enotes Dralnage & Utility Easement Lowest Floor Ele~ation:883.85
Denotes Drainage Flow Direction Top of Block Elevation:891_96
-o- Oenotes Monument Garage Slab Elevation:891.63
Denotes Offset Hub Bearings shown are assumed
LOT 29, BLOCK 2 COVENTRY PASS
OAKOTn COUNTY, AIINNE50Ta 4 TH A D D I TI 0 N
I hereby certiry that this survay, Dlen or report +~+e> prc aro3 by m r u~~le~ my Qirect 5v0e~"~s~on ~nd thdl ~~m duly Regi;tered ~anA SurveYar
~nder ths lews of the State af Minnenota, Dated ~hiz~12.~Ayy oF A,O, t~J ~-}n
i ~
. ROBERT 8. S~KIC1.1 ~ 5. RE f:p. In 91
Scale: 1~^° =30~°~t ~ ~ ~
11 92526.30
LOT BUAVEY CHEC~LIBT FOR RE6IDENTI~L
~ 80ILDINO PERMIT ~PFLICATION
pjtOYERTY LEGAL: LOT Z l BIOG~ 2 ~OV@v~'I~~('~/~
r~C~lSS
~ ~TH lttl01~'10~
~ ~ ~ Date o! survey: 31,1943
DOCUMENT @T~IDARDB
~ p ? • Registered Lend Surveyor signature and compatty
~ Q ? • Building Permit Applicant
~ p ? : Legal description
? Q Address
0 0 North arrow and bar scale
D 0 • House type (rambler, walkout, split w/o, split entry,
lookout, etc.)
~ p ? : Directional drainag~: errows with slope/gradient
D 0 Proposed/existing se:wer and water services
p p Street name
~ ? ? ~ Driveway
EL£VATIOH6
~xis ina
p ? • Sewer service
D ? • Lot corners
~ p 0 • Top of curb at the driveway
0 ~ Elevations of any existing adjacent homes
Proposed
? ? • Garage floor
~ D 0 • First floor
~ D 0 • Lowest exposed elevation (walkout/window)
0 0 • Property corners
? 0 • Front and rear ~f home at the foundation
g,OtiDING AREAB (if a,pplicablel
T] ? • . Easement line
~ ~ 0 • NWL
0 ? • HWL
p ~ ? • Pond N designation
0~ D • Emergency Overflow Elevation
Q~MENBIONB
~ D 0 • Lot lines
{d. • Right-of-way and street width (to back of curb)
p p • proposed Aome dimensions including nny proposed decks,
overhangs greater than 2', porches, etc. (i.e.. all
structures requiring permanent foot~ngs)
'~L 0 0 • Show all ensements of record and any City utilities within
those easements
~ Q p • Setbacks of proposed structure and setback of adjacent
existing homes
?~Q 0 • Retaining wall requirements, if eny
Reviewed• yv r 8 - ~
Nam / Date
October 1992 .
1 +-~E. G'T'°t~~.~+
Fc~~e,;~en ~•:~+vrr,rn~r~ nvi•:i;nr.r: °u^ Cnhff'tlTh'~ i;xi
ou;~ ~ ~
~ ` ~_~L ,~~:~5 L~r ~~1. ~~.~,,-t,.. P~,s~ ~A~o~,~ .
cerrT~;;c~on '(~O"C~(L~UC~ e.~ , e:~T~: PEiON~ ~
Dete^in u~or<in~; squnre foot~r,e of each.
1. ^_c:el er.pcsed, va11 _rea ~u~~'. ~ sq. ft. x = i..~~-""".~C
• 2. Tetal roof/ceiling a--ea ~(Q 7i ~j s;;. f~. X B~0: o _ C~;,~ ( 1'
•
iotal ex~cse~ ::a:1 ere~ nbov~. flo<,r = I C~1~~~ S
s. Total va11 r,.~.o_ erea . . . . . . . . . . . . . . . . . . . . . . j ~i ,
, b. Total doo- a=es G.-^y~-
c. Tota1 slidir.~ 5:e.ss docr area ~
d. Tota1 fire~lace c~l e:ea
e. Total v2~1 ;razzng ares (evera~e lOP) JZ 7.q~(
f. Totzl r.et vell aree above ;loor ~ Z, ~-Z ~
B. Totel rin ,joisi ere^_ ~r1...K~
' ~
Totsl ex~osec foun~a~ion arca = ~,`7.~
h. Totz1 fo•~n3e~zon vindc•- 2:ea ~
. i. To~al net iou.~dac`_on ar=a ^bove grade ~-I~i.7 7
~ - . L?~2:a~ine "J" valce o; each ~•all if.F~fM12[1t.
. , a. i~G.(~ ~ "u„ D,~n' = G~.!'7
b. ~f2,7/ X,.J~, a~~ 3°0 = 5,~~ .
. ~ ~ 3l• 9~ x ~ ¢Z = /1.,7~ .
a. X . _
n
~ 7. ~ n^ Gl 2 A
e. _~~u ~°..''~i = . ~ ~ ,
F 3 ~
f. ~2 ?7 ~ ~ _ ~
? X u J~~ J? 1 i?
' y .
. ! ~ g X .,,t„ 0,0~1 = (~.21,~
h. / i / ~ x „U~~ ~ . ~''L. _ ' ~;~~j
SS~~7 x - ~,1~. _ /Z
~
3 . . 'in~.~] _ ~ 7~.}
r
If item r~3 is the s~ne as, or ies:: '..h:~n .it~~r~ .tll, you n.~ve met tne ir.ter.i
o; s7c 6oo6(c)2.
, Totnl exposed rooficeilin~ nren = ~ W v J
~ ' ~ . . . . ~
Tota1 gross roof/cei2in~ are:i =
Total sk t_
y_~eht erea _
k. Total roof/ceilir.g frzm.in~ area Z.
1. Total net insulated roof/ceiling area _/_Lfl~n,'7 _ ~
Deter~ine "U" value for cnch ru<~f/cci l in~: ~eF,•mcnt.
, _ X ~~L~~ = T-"
.
~
k: ~c~2,3 x d.oz~ _ ~-;3e ~
/~o, 7 X.,U„ 02 z= 3 Z ~ 3 ~
4 . Tocel 3 ~O•~7 ~~L
If total oP N4 is the seme es, o: less than N2, you have met the iateat o;
sac 6oo6(c)~. . .
To utilize the total e.^.velope sjste~ r,nethod, the values establiahed ~y t::e
sun of items d3 e_zd d4 shall not be 5reater. thxn the sum of itev:s il1 ~~d A2•
1, + 2. ° -
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GoMPvN~N j5 ~ . - ~ ~-VAL,U~
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. ~ CY pr~s
• os-~~-^,u
. 1
SUMMnRY REFCitiT
F'repared For: F'repnred Py:
Rottlund C1.W. 6uerre
Flare Heatir~g
, Mn J.r~S ~•lame: Norwood "A"
*:X**~M~*~k##~~~k:X~~~*####*~*t~#~#***#*~~*~~C*~##%~*k~****~~~~~,~*#*#~~k~~8c~~~#~##AC
DESIG~J C~PJDITIONS far
OUTPQ4R, INDOOR
SUMMEi-', WI4JTEn St~{+}~EFi U1TPlTER
Dry bii l b RJ -sJ i2
Wet B~_ilb 75 67
Baily Range ~v D~ily Swing ~.E~
L~cti :udc 44 clcv~,ticr~ 8~?
Safety Factc,r t%> ~
Latent Fa~tor 27
K%%*~~C?K:1:'~~*'K:k:k*~k.r**#~~~*~~~:k**,~*****~~C~~C~*~:ic#*~~:#*:k,~:k'k~*~T~C#**~#~*~
Sen=ible
Room Heating Heating Coaling Co~ling
Name PTIJH CFM E~TJH CFM
~ClSC~TICIIt IJ~~JJ ~1~ 1~J~7 ~1
Laundry F.'aam '',9~8 42 1,433
Great RGOiT ~•,~1~ 45 ~,f7~ ibC~_
Dinette 2,462 y5 2,134 IC~B
F:.itcyen 7.81~ iC~9 ~,^«1. 21'
Dining f:oom 2,045i ~9~1 1,2op11 0l
F111r'E'r ~ ~ JJ 1 JT S~ tJV % QJ
Mnster Fedroom _,t?49 1,73C~ 8:
lJpper Path ~.735 :B 1,4'vl 74
fiEdrG~im 1 ~.6=7 37 _ 1,4.:? 7'
Bedroam _ 2,04_ 29 1,^c72 64
48,.'_.C?8 o7b ~1~56= i,p^o4
V-{EFTIPiC, DELTA T b~.~~ , COOLING DELTA T 13.~~
N~Tc: *~K* Calculated Airflow is Cased upon la~d require~r~ents.
Verify that airflaw cel~ulated is comp~,ti61e with
selectzd equipment req~_iirements.
. . ~ ~-Y{'~'e .sS
- ' _ os-~~-~o
;.i
Dc'-"TAILED REFanT FCP. ENTIRE HQU5E
Prepnred For: Prepared E~y:
kottlund M.W. Guerre
Flare HFating
, Mn Job Name: Norwood "A"
"~~~"~~~"~cT~c##~c~k#~##~~i:K~~#*#*#**##&c~ck**f~Y~"~F*###*#*###~*Ac~~*",~",~##i.#~KMc~c~*~~*#8:~:~
EXFO5URE
6LASS NQRT'r# SOUTH ERST WE5T RiEJNW Sc/SbJ FfCRZ. TOTr^-~L
~=,RE~^-, 14 1 14 ; 1 C>6 1 146 ~ U 1 t~ ; 2201
COOLSN6 1 ~'.U~ '42{ =r,918~ 6.774~ Ot U; 0~ 12,^S4~
HERTIN6 1 61~; b19~ 4,bo9~ 6.452~ t11 F?j SL~~OJi
~ ~ _ _ _ _ _ _ _ _ ~ _ ~ ~ ~
PELOW
WFLLS NOFiTH SOUTIi EFiST PJEST iVE/NW SE/SW GRADE TOTH'L
FFER ; 619; bUl~ 7111 7.'.S~ 0~ G~ U; 2,06'~~
COOLIN6 ~ 6441 625; 7~~9f 707~ 6~ n; ~17751
kEFTIPlG ~ ~,645; ~}568~ 3,c_l.'8; ,154~ 0~ 0; S~b12~ 17,U17~
DOi7f'i5 PJORTH SOUTH EAST 41EST NE/NW 8ElSW TOTAL
AREA ~ C~~ lo: 2t~~ O~ Q~ U~ . .=3~
COOLIhdG ~ U: ~51~ 278t O~ 0~ ~ 529~
HEATING { 0; 1,O~b~ 3,I45f C~: i.~; U~ 1 ,175~
FLO~R ~REA CC4LFN6 HEAFINCi
_ ~~2b ~ C1 1 ~,304
CEILIPJG AF,'EA COOLIh~IG FlEATI~iG
2.~26 ~ 734 I 1, 7~3
MI~CELLFNEOUS CQOLING LQFDS
fieople Sensihle Load 1,1~5 Latent Load 5,5~5
Lights F< Appl. Load 1,195 Latent Safety Etuh 277
Ventilatian Load 1,~65
Duct Hent Gain
Infiltration Load 6Ui.~
Sensitle Safety E~tuh 1,U27
TOTnL SEPJSiFLE LOAD ^<1,Sb.'_• TOTAL LATENT LOAD 5.822
Summer ACH ~~.07 Temp. Swing Mult. 1.GU
Total Cooling Load 27,~85 BTUH Or ~.28 Tar~s ~c*#
MISCELLANEOUS HEATING LOADS
Infiltration Lcad J~ryJ~ Ventilation Load 5,3~.5
Duct Heat l.oss t7 Safety Ptuh 2,ti.~~0
Winter ACH n.13
Tota1 Heating Load 48~~U8 PTUH
PERMIT ~~zq
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: g~TLDING
Eagan, Minnesota 55123 PermitNumber: ~Za684
(612) 681-4675 Date Issued: 0 S/ 2 3/ 9 4
SITE ADDRESS:
524 3EVERN WAY
LOT: 29 BLOCK: 2
COVENTRY PASS 4TW
P.I.N.: 10-18403-290-02
DESCRIPTION:
" . ZNCLUDES OECK
Building-J?ermit 7ype SF PORCH
BWild'ing Wti.rk Type NEW
iJ
~
ti"1
\
'-t :
-
( ; :
~~i rtt
: ~~r
r~ i~ r ,r* ~ `3 ~`1
r ~
~ ~ t ~u`~ ~1.i"
r 4~;~ v,~~ ~
. ~-y ,
REMARKS:
SEPARATE ELECTRICAL PERMIT REQUIRED
FEE SUMMARY:
VALUA7ION $8,000
Base Fee $99.90
Surcharge ~4.00
7otal Fee $109.00
CONTRACTOR: - Applicent - 5T. ~IC. OWNER:
JOSEpH CON87. J 145450~2 0006026 PIRKL KEN
4380 MALMO CIR 524 SEVERN WAY
EAGAN MN 56129 EAGAN MN 55123
(612} q54-5002 (612}452-6137
Z hereby acknouledge that T ha:ve read' this appl3.oatiun an-d state that the
inforrnation is eorrect ~rtd agree t,o comply with a11 applicable ~tate af M'n.
Statutes and City nf Eagan Ordinances.
L ~
APPLICAN ~ EE SIGNATUR ~D BY SIG ATURE
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: euz~ozNs
3830 Pilot Knob Road Permit Number: 0 2 3 6 B 4
Eagan, Minnesota 55123 Date Issued: 0 5/ 2 3/ 9 4
(612)681-4675
SITEADDRESS: ~or: ze BLOCK: 2'~'PPLICANT:
524 SEVERN WAY JOSEPH CONST, J
COVENTRY PASS 4TH (612) 454-5602
PERMIT SUBTYPE: TYPE OF WORK:
SF PORCH NEW
DESCRIPTION INCLUDES DECK
. .
FOOTINGS FRAMING
FINAL
REMARKS: SEPARATE ELECTRZCAL PERMIT REQUIRED
~ ~
~ ~
a~ 0 3-~v
• CITY OF EAGAN I~(~~~~~~~j
` ~ ` / q 1994 BUILDING PERMIT APPLICATION
~ b C~ ~ 681-4675 ~"A~ ~ 9 1994
~ 5~
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 A~ Valuation of work ~ 0 o a
Site Address: SZ~ ~~ERhI /S/a~
STREET SVITE #
Tenant Name: (commercial only)
IAT ~ BIACK~-~ SIIBD. ~µ~,j P.I.D. #
v.._.--~. /
Descri tion of work: 3"~3~~ C12~-i`+` ~2'~
The applicant is: ? Owner Contractor ? Other (Describe)
Name /~~L Eti Phone ySZ-6l37
Property ~nsT F~RST ~ ~
Owner qddress ~Z 5~ ~~veu2-v k~•a y"
STREET STE #
City C~CvC7~? State ~`7'~ Zip Ss/?,.3
Company ~ ~'f/ ~a-vS`~. Phone S -SUa2.~
Contractor Address ~-3~0 ~`7qL~0 C~R License #~0020 Exp.3
City ~ G~v State '7-? Zip ~S~Zs'
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with 1 applicable State of Minnesota Statutes and City of
Eagan Ordinances. ~ .
Signature of Applicant:
OFFICE USE ONLY ~
. ,
BUILDING PERMIT TYPE
? O1 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
O 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
~ 04 SF Porch ? 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 Pare~ Deo~
~ 31 New ? 33 Alterations O 35 Tenant Finish ~ 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) lst F1. sq. ft. City Water
UBC Occupancy 2nd F1. sq. ft. PRV Required
Zoning Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code v
Depth On-site sewage SAC Code a/
APPROVALS eensus Undt ~
Planning Building Assessments
Engineering Variance
REGIUIRED INSPECTIONS
? Site ~ Footing ~ Framing ~ Insulation
~ Wallboard @ Final 0 Draintile ? Fireplace
Permit Fee vawet;a,: S ~ Ooa
Surcharge
Plan Review
License ~`/,F/3 : /~Z~- ~/a = ~z~O
MWCC SAC ~
City 5AC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Oed.
Copies
Other
Total:
SAC %
5AC Units
• . ~ . -":r:_..:,.::::.::.~. _ ,
~ erl Ifl6Ct"Irl LaND PlnHt~[FS • IANOSCApE ARCHITECIS
9 ~ 625 Hlghwoy 10 Norlhcosl
~i! 8loine. MN 55434
~ ~ ~(s~z) ~s3-teao•~ox ~e3-~eas
Certificate of s~~~eY ro~: The Rottlund Companv ~C1C.
House Address: 52~ Severn Way. Eagan. MN
/ ,
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N86.3 `,o ~ .~at 2~ p~ ~ 6 j~ F
~ ~e~~/ \ $ ' ,\9~ SQ `?l~
a' o Q
/ C~esJ C BBi.ot P~~, `6° hva; ~ \ ~y
/ 9\~~;~ j'~20~~'~~ / ~ p'i• ~g8s0$
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> >1 ~d~ gN ..i,o J µ~O/ ~ )49
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N .~I ~ ~ ~ ~ 866./
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\ i ~ 1~~ .p,Ei 59
30 S tig
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. sooo Denotes Existing Elevatlon PROP05ED HOUSE ELEVATION
Denotes Pioposed Elevotion Lowesi Floor Ele~ation:883.85
' - Denotes Dralnage & Uti~ity Eosement -
--Denotes Drainage Flow ~irection Top of 81ock Elevation:891.96
Denotes Monurnent Garage Slab Ele~atio~:891.63
Denotes Offset Nub Bearings shown are assumeG ~
LOT- 29, BLOCK 2 COVE_Nl-RY PASS
DqKOTA COUN TY, IAINNESOTA 4 Tf -I A D D I TI 0 N
1 hereby Ceni1V that tNs suryqy, plen or report a> prc xxJ by nr r un~1¢~ m~ direct ;upervis~an.lnd ~hdl 1 9m July Reyistured ~anA Surveyor
u~der che lawo ol the S~ata of Minneio~a, Daled d~is..~t2~Aay o( ~ p ~ _
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1993 PLUMBING PERMTf (RESIDENI7AL)
CITY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT.
NO. FIXTURES ~ '~'OT~
i SHC~WER 3.00 3 -
~ WATER CLOSET 3.00 1
~ BATH 1'UB 3.00 i~-
~ LAVATORY 3.00 Se-
1 KITCHEN SINK 3•«1 3-
i LALJNDRY TRAY 3.00. 3-
HOT TUB/SPA 3.00
1 WATER HF_ATER 3•00 3-
~ FLOOR DRAIN 3.00
~ GAS PIPING OUTLET • mwm~m • i 3.00
~ ROUGH OPENINGS 1.50 ~ ' "
WATER SOFTENER 5.00
PRIVATE DISP. • oa~.c~y. ~~o. 15.00
U.G. SPRINKI.ER • home under oonsl 3.00
ALTERATIONS • to cusiing LS.OO
WATER TURN AROUND 15.00
STATE SURCHARGE .50
TOTAL: ~ ~ '
STTE ADDRESS: ~a`~ ~2dc r../ ln7 A`+
OWNER NAME:_~n • cr
WSTALI.ER: ~V~It~.r Q~b,
ADDRESS: I 0 Lt~ C- L-
CITY: ~f )r ~ ~ - STATE: ZIP CODE~ r S ~
PHONE ( ) H~~~ a ~a'
SIGNATURE OF PERMITTEE
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1993 PLiJMBING PIIiMIT (CONII~ZIItC7AL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL CONA~RCIAUINDUSTRIAL BUILDINGS. ALSO FOR MULTI-
FAMILY BUP DINGS WHEN SEPARATE PERMTTS ARE NOT REQUIRED FOR EACH
DWELLING Ui: iT.
_ NEW CONSTRUCI70N
R.DD CPI
REPAIR
WORK DESCRIPTION:
CONTRACT PRICE: $
FEE: 19c OF CONTRACf FEE.
STATE SURCIIARGE 5.50 FOR FACH 51,000 OF ~ERM1'ff FEE
MIIV'IMUM FEE: S 25.00 `
CONTRACT PRICE X 1% $
STATESURCHARGE $
TOTAL $
SIT'E ADDRESS:
TENANf NAAZE: S'!'E. #
OWIv'ER NAME:
W STALLER:
ADDRESS:
CITY: STA1'E: ZIP CODE:
PHONE
FOR:
CITY OF EAGAN APPLICANT
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,+US ~~"~'R ll~ fs ~S °J.~+°L>~ i>~ie.~` ~ ~i ~ a~~7.i~ ~ r ~ .k~"A'~~, .
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1993 MECHANICAL PER11-1IT (RESIDEWITAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIltED FOR EACH UNTT.
~ NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
DATE c~.o-~`'J
FEES
HVAC: 0-100 M BTU $ 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS (MINIMUM 1@ 53.00 EACH) 3•~~
ADD-ON/REMODEL (Exls~rtrlG CoNS~ntvcnoN) $ 15.00
STATE SURCHARGE .50
TOTAL a~ ~
SITE ADDRESS:S--`~y ~~e5.~ ~
OWNER NAME:~~.V~ TELEPHONE S1\-~'~~1
IN3TALLER:~\c._Ce- \~~c~. ~~L
ADDRFSS: ~~~c~~~~
CTTY: C~\1e~ v~~~~ STATE: ~ ZIP CODES`~~-l
TELEPHONE ~y'~--\\Lo~n
~
SIGNATURE OF PERMITFEE
. • ~
~t' `~S~ Q~.'Y ~,1~ /
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) ~ ( `C ~ F ~ a$d h S Jt~' : _ 3 Y•
r ~ 3. a~i~'. ~ :~~s. a E~"'O~f xs x£ y.w~~ # i3~3 i~'r~ r r i g£ z$ e '~~`;a s h'
. . - z~ ii~' ~ Mi ha~3 3~i'ESa; s im~~' ~ Lf~ r°~ e f Eas 'a~y ~ S}~ cs aS~..~ ~~tk .i es ~ s
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.q,t:F... ~..,v,.~,3i.taa.«.a.,~.w.m,.,..r.13Fas~z~t..z.3>.a~.w1~}....,.s~z~`abia,~~~~k".~.,,.,~s,.w>.,a,..~s,..f3~'~.~s~as ..,~..F;..<„ r.,.,
1993 MECHANICAL PERMIT (COD~IIVIERCIAL)
CITY OF FAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL COA~IlvIERCIAUINDUSTRIAL BUILDINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTI~R MULTI-FAMILY BUILDINGS WI-IEN SEPARATE
PERMTTS ARE Iv'OT REQUIRED FOR EACH DWELLING UN1T.
DATE: CONTRACT PRICE: $
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
1% OF CONTRAG'T FEE $
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STAT'E SURCHARGE $.50 FOR EACH $1,000 OF ~ERMIT FEE.
TOTAL $
STTE ADDRESS:
OWNER NAME: TELEPHONE
TENANT NAME: (IMPROVEMENTS ONLl~
INSTALLER:
ADDRESS:
CTl'Y: STATE: ZIP CODE:
TELEPHONE
SIGNATURE OF PERMITTEE CITY INSPECTOR
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA164530
Date Issued:10/01/2020
Permit Category:ePermit
Site Address: 524 Severn Way
Lot:29 Block: 2 Addition: Coventry Pass 4th
PID:10-18403-02-290
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Deena M Kalk
524 Severn Way
Eagan MN 55123
(651) 334-6611
Majestic Custom Construction Inc
8800 Royal Ct NW
Anoka MN 55303
(612) 419-2173
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA164780
Date Issued:10/08/2020
Permit Category:ePermit
Site Address: 524 Severn Way
Lot:29 Block: 2 Addition: Coventry Pass 4th
PID:10-18403-02-290
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 -
Deena M Kalk
524 Severn Way
Eagan MN 55123
Adam's On Time Plumbing & Water Heaters Llc
13791 Jonquil Lane N
Dayton MN 55327
(612) 205-6060
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA177956
Date Issued:07/26/2022
Permit Category:ePermit
Site Address: 524 Severn Way
Lot:29 Block: 2 Addition: Coventry Pass 4th
PID:10-18403-02-290
Use:
Description:
Sub Type:Fixtures
Work Type:Replace
Description:Bathroom(s)
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
All tiled shower bases require a water test.
Fee Summary:PL - Permit Fee (miscellaneous)$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 -
Deena M Kalk
524 Severn Way
Eagan MN 55123
(651) 334-6611
Mad City Windows & Baths
5020 Voges Road
Madison WI 53718
(651) 500-0514
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA179303
Date Issued:09/27/2022
Permit Category:ePermit
Site Address: 524 Severn Way
Lot:29 Block: 2 Addition: Coventry Pass 4th
PID:10-18403-02-290
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.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
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:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Deena M Kalk
524 Severn Way
Eagan MN 55123
Garlock French Roofing
2301 E 25th St
Minneapolis MN 55406
(612) 722-7129
Applicant/Permitee: Signature Issued By: Signature