528 Severn Way . ~vsPECTIoN x~coRn
~ITY,OF EAGAN PERMIT TYPE: ' ' ~
3830 Pilot Knob Road PeRnit Number. H`,
Eagan, Minnesota 55123 Date Issued: •
(612) 6$1-4675
SITE ADDRESS: , , , 4i it, , APPLICANT:
.i , tlAY ; ~ ~s~~~ , i i
• • i , , ; , ~ i ~ i ii
PERMIT SUBTYPE: TYPE OF WORK:
, ~ j~,
.
, ~ ~ E i~~, ~ ~
~ ia , i ; ~~~a ~ ~in~
~ i . ~ ~
;'1~;1.; ~ I1 I'~ F;~ rtl I i , 1 1 lii~
- • ~
~
Permk No. Permlt Holder Date Telephone k
. S/VN
PLUMBING / q
HVAC
ELECTR 1[~/~3 . /l/~! ~a~
EIECT D~(~ ~
Inspectlon Date I~sp. Comments
Footings I ~-~36'X3 ~s
Foundetion `D, f3 5
Freming ~ ?
J
Roofing
Rough Plbg. s
Rough Htg. ~"~rt,f 5 ~ I'~G~4~CI /~'~~~N ~ ~
Isul. ~~d~~ ~
F~~~~ ~~~9.~ k~~
Final Nig. j ~
Orset Test ~ ~ ~ •
Fnal Pibg. ,~j ~ Plbg. Inspector - Noti(y Plumber
Corist. Meter
Engr./Plan
Bldg. Flnal ~~a j
Deck Ftg.
DeGc Final
Well
Pr. Disp.
~ .s
~ . - ~
~L`~i~iCQt~ D~ ~CC1t~QZiC~
~~t~j of ~agan
4?e~rartmeat af ~xetbnrg ~a~ectiatt
T/sis Certificate issued pursuant ~o the rtequirements of the Uniform Building Code
certifying that at the time of issuance this structure was in compliance with the various
ort~inances of the City r~gulating building constncctioR or use. For the following:
Use Qassification: Bldg. Pertnit No. ~4
pccupuecy Type R3~`11 Zoning Diwict R I Type co~sc. ~
Owner of Building ~1F' RC1TR Ilf~l ~L.jD~' Addcess
Buildiug Address 5~A ~~.VP'RN WAY _ L.ocalityi 'a(1 R~ ~Tl[7~7i~rr'DV ~~c
(f~~
( ,
Date:
BuiWinB Qlfic~al
POST IN A CONSPICUOUS PLACE
Address 52s sEV~ w[~ ~ Zip 5512 3
Lot ~ Blk 2 Sub !:ovENTRY FASS 41H
Tf~SE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECITON.
Date: ~ a g~~ Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage) ~
Permanent steps (main entry) f
Permanent driveway
Permanent gas ~
Sod/Seeded grass
TraiUc~rb daznage
Porch
Basement finish ~
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shuboff of water supply to
the outside lawn faucet before freeze potential exisis.
Contaa engineering division at 681-4645 before working in rightof-way or installing underground sprinkler syscem. ~
Whi~e - Ciry Copy Yellow - Resident Copy Pink - Contractor Copy
9 3 ~ ~ ~poy ~ a
~
Request a Fire No. R g in inspection NOTICE: You Mus~ Call Eiecirical Inspector
¢ R ? If A Foughin Inspection
~ ~OZ- t~ es ? No Is Requiretl.
I licensed contractor ? owner hereby request inspection oi above electrical work at:
,bb Address (SVee6 Bo r Route No.) Cdy
~'a g -ec~eLs~ C!>
Section No. Township Nama or No. Fange No. Counry
Occup ~~PRINn Phone No.
Suppf r ' Atlaress
EleMrical Contraclor (COmpany Name) ConVactmS License No.
Mailing Ntltlress (C~~~sO~yr~1~I~at~C~ CA~Q~
_~'rt W.. ~ ~ ~
Au~horizetl Signatur a orl r Makin Ins~ella i Phone Number
MINNESOTA STATE BOARD OF ELECTHICITV THIS INSPECTION PEQUEST WILL NOT
Grlggs-MlGway Bldg. - Hoom &1~3 BE ACCEPTEO BY THE STATE BOARD
1821 Unlverelry Ave., SL Peul, MN 55104 UNLESS PROPER INSPECTION FEE IS
P~one (812J 64Y-O800 ENCLOSE~.
,,r ~7 y REQUEST FOR ELECTRICAL INSPECTION '~~e E&00001-OB
? See insVUCnqps for cor~sseting this form on back W yelbw wpy. ~s Q~~
'rt u
M 019 7 3 'X" Below Work Covered by This Request
ev7 dd~rl , TypeofBuiltling AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Healing
Apt. Building Dryer Load Mana9ement
Comm./Industrial Furnace Other (Speciry)
Farm Air Conditioner
O~her(speciry~ Coniractor's Remarks:
Compute Inspeciian Fee Below:
# Other Fee # ServiceEntranceSize Fee # CircuiLS/Feeders Fee
Swimming Pool 0 to 200 Amps $ 0 to 100 Amps
TranSiormers Above 200 _ Amps Above 100 _ Amps
Signs ' InspeMOrS Use Only: TQTAL 5Q
Irrigation Booms ~j
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETEO WITHIN ONT r
I, the Electrical Inspec[or, hereby Ro~qn;~ oa~y-
certirythattheaboveinspectionhas Final ' Da` U~ r
6een made.
OFFICE USE ONLY
This reques[ voitl 18 months fmm
„/i~~086 ~ ~589~-
_
Request Date Fi~e No. Rou -i Inspection NOTICE: Vou Must Call Elecvical Inspecbr
y~ Ra9 ° If A Rough-In Inspectian
V! Ci No Is Requiretl.
I 0 licensed contractor ? owner hereby request inspection o( above electrical work at:
Job Atltlress (Sheet, Boe ar Route ) C' '
8
Section No. Township Name or No. Range N. Counry
~ ~
Occupant PRINn Phane No.
~6 l~r i`~°~~~s
Power Supptier ~ AOtlress
Eleclricel Contracfor (Company Name) Contrac~or5 License No.
Meiling Adtlres~~r ¢~~~isl~~j CA~.~'
~TH 8T. W., FpTN., MN 55Q84
Authorizetl Sign Co Iraqor ne~ Making In n Phone Number
MINNESOTA STATE BOAHU OF ELECTHICITY ~ THIS INSPECTION REpl1E5T WILL NOT
Griggs-Mltlwey Bltlg. - Faom 5473 BE ACCEPTE~ BV THE STATE BOARD
18Y1 Universiry Ave., St. Paul, MN 5510d UNLESS PROPER INSPECTION FEE IS
PhonG(612)662-0900 ENCLOSED.
~ RE~UEST FOR ELECTRICAL INSPECTION 4~~ ea-aoooi- e~{
?~a insVUCAas im romple~ing ~his ~orm on back o~ yellow copy. /5
~ 0 2 0 8 6 'X" Below Work Covered by This Request ~
ew Add Rep. TypeofBuilding AppliancesWired EquipmeniWired
Home Range Temporary Service
Duplex Water Heatei Electric Heafing
Apt. 8uilding Dryer Load Management
Comm./Industrial Furnace Other (Specity)
Farm Air Conditioner
Other fsPecM) Coniractor's Remarks:
Compute Inspection Fee Belaw:
# Other Fee # ServiceEnlrancaSize Fee # Circuits/Feetlers Fee
Swimming Pool O to 200 Amps 0 to 10o Amps
Transformers Above 200 _ Amps Above 700 _ Amps
Signs Inspector§ Use Only: ~ TOTpL
Irrigation Booms / 1lQ t~ ~ $
Special Inspection ~
Alarm/Communication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, ~he Electrical Inspector, hereby Rough-in oa~e
certify that ihe above inspection has F~,nai . oace
been made. -
OFFICE USE ONLY C% ~ ~
This requesl vold 18 maniha from '
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN ~ ~
~~~-7 ~ 3830 PILOT KNOB RD, EAGAN MN 55122 ~ ,
~ 651•681-4675
New Conevuetbn HeaulremeMa HematleVlleoair Peaulrements
. 3 regislared site surveys showing sq. fl. of bt, sp. tt. ol house; and ~II roofeG areas • 2 copies ol plan
(20°~me~umumbtcoveragealbwed) • isetofEnergyCakulatbnsforheatedaOdiM1Ons
. 2 copies o1 phan slwwtrg beam & window s¢es; poured fountl Uesign, etc.) • 1 sRe surrey for exlerar additans & Aecks
. 1 set of Energy Ca~ulations • Indicata il home served by sepf~ system lor aGd'Abns
. 3 coples of Tree Preservation Plan A lot platled atter 7l1/93
• Run Joist De1aJ Optlons selectbn sheet roldgs wit~ 3 or less unils)
DATE ~-~S-O o~ VALUATION ~~Y6 9~ a0
SITE ADDRESS n G,l~, ~ L MULTI-FAMILY BLDG _ Y ~IV
NPE Of WORK ~P~2oc FIREPLACE(S) 1_ 2
APPLICANT ~ ~P Ix m ~Ye~ ~~A' S
STREET ADDRESS ~ `o ~ ~ ( CIN/rlo.,~,~i~, ~h.p STATE ~LP .~,r-~3YY
TELEPHONE # 95~a ~57x/-S'r.23l2CELL P ONE # FAX # 95'~- R'~'S`/-SS/f
PROPERTY OWNER ~o~Y~er i-~ ~'r ~ h n~' P!C TELEPHONE # l.~/-YS y- 5'9SB"
COMPLETE THIS SECTION FOR ~NEW~~ RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672
(J submission type) • Reaidential Ventilation Category 1 Worksheet Submitled • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Conhactor: Phone #
Plumbing system includes: _ Water Softener _ Lzwn Sprinkler Fee: $90.00
Water Heater No. of R.I. Baths
No. of Baths
Mechanical Coniractor: Phone #
Mechanical system includes: _ Air Conditioning Fee: $70.00
_ Heat Recovery System
Sewer/Water Conhactor: Phone #
Y._
~
I hereby acknowledge fhat I have read this application, state that the information is c i ~ ct,~~~d~r~e~~ c ply
wlih all applicable State of Minnesota Statutes and City of Eagan Ordina es. ~
Signcature of Applican _
--___._._~~°--.._.._._._-----°------°--..r..
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
? 01 Foundation ? 07 OSplex O 13 16-plex 2U Pool ? 30 Accessory Bidg
? 02 SF Dwelling O 08 O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Ak- Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garege ? 22 Porch/Addn. (4sea.) ? 33 Ext. Alt- SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 SWrm Damage
? 06 04-plex ? 12 12-plex Plbg_Yor_N O 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) O 45 ` Fire Repair '
? 33 Alteratio~ ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDOOrs
? 34 Replacement "Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftga _ Air/Gas Tesu _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
-
ease Fee /~7• a S
Surcharge ~-c~0 '
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S8W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total ~9, ~_S
~ ~ ` PERMIT C~<~ ~3a3 y
CITY OF EAGAN ~~/,.~~~yj
3830PilotKnobRoad PERMITTYPE: euz~oi
Eagan, Minnesota 55123 Permit Number: 022059
(612) 681-4675 Date Issued: 0 9/ 2 7/ 9 3
SITE ADDRESS:
528 SEVERN WAY
LOT: 30 BLOCK: 2
COVENTRY PASS 4TH
DESCRIPTION:
r
Build3ng.~Permit Type SF DWG
Bu3lding Work Type NEW
~^UBC Occupancy ~ R-3 M-1
/ Gonstructio~n T9r~pe V-N
i Zoning R-1
j Building Length ) 57
Bui.tding Width ~ 40
\
L_.~
.V\;-~
-
.
Y
~1 i~~. ~7 "L, r7
' i /-"J t ~ l, ~ ( ~
~ ~
~~i:!~jJ~u~1~u
~
REMARKS:
S& W PLBR - VALLEY PLBG
FEE SUMMARY
VALUATION $156,@00
Base Fee $835.50 MISCELLANEOUS $1,744.50
Plan Review $543.08 Total Fee $3,951.@8
Surcharge $78.00
SAC $750.00
SAC ~ 100
SAC Units 1
5ubtotal $2,2@6.58
C~gNTRA~TOR: - Applicant - ST. IIC. OWNER:
TTLUN CO INC, THE 15710304 0001335 THE ROTTLUND CO INC
5201 E RIVER RD 5201 E RIVER R~ 301
FRIDLEY MN 55421 FRIDLEY MN 55421
(612) 571-0304 (612)571-0904
' I hereby acknowledge thet T have read this application and state tfiat the
infarmation is correct and agree to comply with all applicable State of Mn.
Statutes and City ofi Eagan Ordinanaes.
~ ~
-`t, ~~C~
APPL T/PER I E SIGNATURE -~SUED B: SI NATUR
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: euz~oiN~
3830 Pilot Knob Road Permit Number: 0 2 z 0 5 9
Eagan, Minnesota 55123 Date Issued: 0 9/ 2 7/ 9 3
(612)681-4675
SITEADDRESS: ~or: se e~ocK: z APPLICANT:
528 SEVERN WAY ROTTLUND CO INC, THE
COVENTRY PASS 4TH (612) 571-0304
PERMIT SUBTYPE: TYPE OF WORK:
SF DWG NEW
. .
FOOTING FRAMIN~
INSULATION FINAL
FIREPLACE
REMARKS: S& W PLBR - VAL~EY PLBG
~ ~
- - -J
REACTIVATE = CITY OF EAGAN
PERMIT N ~ ~u~{C~ c Q~~s~ 993 BUILDING PERMIT APPLICATION $.5,~'~~.!~
~O~ 681-4675
EP~ 1993 ~ ~j - ~
SINGIE & MULTI-FAMILY 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 whicti request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date q Yaluation of wark ~n ~c~r~
Site Address: 5Z~ ~z~~?a~gY
STREET SUITE /
Tenant Name: (commerci'al only)
IAT ~ BIACB SUBD. P.I.D. M
a~~i
Descri tion of work: /e
The applicant is: Owner ~ Contractor ? Other (Qaccriba)
Name ThL ~-r~r~v.~~n 1d~~. Phone ~l~o~~
Property UST F~RST
Owner Address E ~,~x P~
~ STREEi ~ STE R
City ~N~~ State iF/fti1. Zip SS~IlZ
Company ~Am~ Phone
Contractor Address License # ~335 Exp.~r'31-5
~~ty State Z~P
Company Phone
Architect/ Registration #
Engineer Name
Address
~~ty State ZiP
Sewer 8 water licensed plumber b~ . Processing time for
sewer & water permits is two days once area has bee approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree ta comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances. ~
Signature of Applicant: ~ " ~
,
OFFICE USE ONLY ,
BUILDING PERMIT TYPE ~ •
? 01 Foundation ? O6 Duplex ? 11 Apt./Lodging 16' ement nish
~02 5F Dwg. ? 07 4-Plex ? 12 Multi. Misc. CI U-SW1m Pnd'T'~'"~"=
? 03 SF Addition ? OB B-Plex ? 13 Garage/Accessory ? 18 Comn./Ind.
? 04 SF Porch 0 09 12-Plex ? 14 Fireplace ? 19 Cortm./I~d. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facilit.y
? 21 Miscellaneous
WORK TYPE
~31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair . ~ 36 Move
GENERAL INFORMATION
Const. (Actual) ~-nl Basement sq. ft. MWCC System ~
(Allowable) v-~~ lst F1. sq. ft. City Mater `
UBC Occupancy .(~M
-1 2nd F1, sq. ft. PRV Required
2oning 2-i Sq. ft. total Booster PumP
N of Stories Footprint Sq. ft. Fire Sprinkler
Length 5? ' On-site well Census Code /o~
Oepth 4v, On-site sewage SAC Code oi
1
APPROVALS i
Planning Building Assessments
Engineering Variance
RE~UIRED INSPECTIONS
? Site ? Footing ~ Framing ? Insulation
~ Wallboard ? Final ? Draintile ? Fireplace
Permit Fee Valu~tim: $ J5~, D0.^~
Surcharge 3~ kZy - 720 X/6= 11,52D
Plan Review ~A2A~ES
License
MWCC SAC BASE7~1e,1T' ~Q~XZ9= ~8y
city SaC z x32. ~ 6y
Water Conn. ~y x Z2 ~ 308
Water Meter
Acct. Deposit Is~ F~ooa: ~ 1$6 X!5= I'7r 3yo
S/W Permit ps,~*7_ /i,5~
S/W Surcharge
Treatment Pl . 2x ~'/Zx7= Z~
Road Unit
Park Ded. ~ I'?~ X 54.: 63~'S`~
Trails Ded. ZNo F~oa;
CoPies
Other ~~.y~~ r
Total: ~~h~'= f~
5AC % I Oo ~ x 0= 8 6 3~39 ~
SAC Un i t s-~ ~~~x 5N = ~..r~'^"
155~8~ y
, , ,
~ . ~.~~sa~S~°r~
~ , .
• , ' ~ • EXTERIOR h.~vLLUYE Avn~2AGE "U" CU4LPUTATION
o~,~~z T~ ~~t~.~:~.G'c~. ~_o .
SIT~ ADDR~SS ~O=3~f OLGXIC ~ . ._lAVE1J'~?~.~ . ~T~I~~~I
CON'PRACTOR ; DATE _ PHONE 57/' .C~~C~"~
Determine working square footage of each.
1. Total exposed wall area ZSSI~ sq, ft. x _~2Q,~~
2. Total roof/ceiling area J/8(~ sy. ft. x r~~(~ = 3~.(0 _
Total exposed wall area above floor =.ZE}~ (~j
a. Total wall window area
b. Total door area
c. Total sliding glass door area
d. 'fotal fireplace wall area
e. Total wall framing area (average 10~) 2~
t. Total net wall area above floor •
g. Total rim joist area ~51~ '
Total exposed foundation area = t~
h. Total foundatton window area ~
t. Total net foundation area above gr.ade
De~ermine "U" value of each wall se~;ment.
a. 2 5 J ~~U~~ r ST ='.XJ.b
b. 3 ~ X ~,U,, ,07 =
r~ X„U„ , 5~ l~ = 27. 60
a. X ~~U~~ ~ = r~
e. S g ~~U~~ , 087 = /$.7(
f. /g30 x ~~u~~ ,o`f2 = lg .06
g. 3/ ~ X„U„ e~~ta = ~2~~8
h. 7 g ~~U~~ ~ S?~ ~~a~~
i. ~ / g nUn ~ _ ~ ~
3 ......................................Tota1 2 ~.7
If item 11 3 is the same as, or less than item lfl, you have met the intent
of SBC 6006(c)2.
. F~~~,~,~;
Total erposed rooC/ceilin~ nren = I~ ~ y'
'Z ~ . .
Total gross roof/ceilin~ arc:t =
Totel skyliEht arza
k. Total roof/ceiling frzmin~ area• O e,
1. Total net ?nsulated roof/ceilin~; area ,
Dete:~ine "U~~ vnlue for c~ch ro<,C/cci t in~; ~cb~ment.
~ X ...r~ _
.
x; lo~o,¢ x„U„ O. n 2'7 = 2;~7. .
i. ~1'~~~~. X p.a22. = Z),o ~
a . Tota~ ~ 3 .9
• a r~
If to*_al of A4 is the sa.~e as, ar less than N2, you have met tT~e intent of
SBC 6006{c)1.
To utilize the total envelope systec method, the values establi~hed by the
sua of ite~s N3 end dL shall not be sreater.thxn the sum ot iten:s A1 and M2.
1. + 2, -
' 9~. ' L . _ .
. ~ .
~ ,
.
U
~ N10/1@QY ~Y19111BB1 Ili3 ~o:~l..+c+.. I
~ ~
* ~1~ ~ > 'i } 2d22 Enterpr~e Drivc , I
~ ~~G11G'C.~~_ F' t~,,,dota re~ t:, uN ss~2o
* I~tONEEp _ y~~,~s' (fi12) 681°1914•FDx 881-94b8 I
~ 6n~ ~~~r. ~e IAHO PLAHNFA9 •~fHD9CME W11KCi3 828 H~qhwoy 10 Northeasl '
* 7f. * (B12) 783-1B80 ~ax 793-1883
Certificate or s~~~ey ro~: The Rottlund Compan~ . ~IIC. ~
House Address~ Sever~ Way, Eaggn, MN
Modei Name:
/ ~
/
~ ~ , ~-'f ~
J ~ P~t °~~z~; ~ / ~
~ ~ . / / i
` / ~~-,r B9y~ ~ ,
w • I
, S~ ~
2~,~~ ~ ~rrn Syso.oa ,
~ ' I,
~
~ _ ~ e81.~! `i~' ~
~ , ~
' ~ . @gZ•~ o ~~~~''I °~~'k~^ 3
~Jd59•'`+
~ W ob N~ ul1
, d~ ~ ; C. ~ ~ B~~ ~ ~ ~'~r
\ a ~ \ . ~ ~ o~' 1,~ ~ ao.
, ~ `E~,~~ , ~ ~,.,A~~ op~~ !29
\ ~ \ y1 ~ M ~t y I
~ ~j ~86.x '~~j.~,~ ,~69~ ; 5~ ~~•9.~ .
v ~3e> S, ~
0
! ~ ~ 'S1~i~ ~ I
~ ~o~ ~ ~ 9
\ \ ~ ~f'R ^ a J G, ~ \ ~ I
~ ~ ~y ti~ y74.'X ~ I
es~ • \ ~
~ ~G ~,o~ ~e~,~ 30 I
\ ~2j, ~ a.~{t,~.~ sz. ~ ~ . ~ i ~I
\ ~ ~ 'Y7
Q`9. a4 ~ ~~`r• r'J'/'l: 3 I
r / vl~~ \ \ / ~ i
, \ -o ~ ~ ~ ~
~ \ ~ l
\ \4
\
\ \ 9,t~ ~ s
e~~ ~ Ald, IAd(~dYd~' WG D~.~ ~
~ ~
~ ~ ~ i
\ \ ~
~ ~ , ;
, ooo.o penotes ~x,lsting Eievatlon pROP05ED HOUSE ELEVATION
x~ DenoFea Proposed Elavation Lowest Fleor Elevatfon:~ .(5
p~notes Drafnaga dc Utlllty Eosement Tap of Blook devation: B89•~6
- Denotes Oroinage Flow Dlrectlon
Denotes Monument Garage Slab Elevation: g87.93
Denotes Offset Nub g~yaringa showa are. assumed ,
~ ~
L0~ 30, BL~CK 2 CC}VENTRY PASS
DAKOTA COUNPf, MINNESOTA 4 TN A D D 1 TI 0 N ;
l heeebY ceruly qx{ xMa ~unwy, pfan or tepot~ vus pr~atW bV or u ar my net m en.n i.~ .m ~ty Rp1.~er.d L?nd BurvWO~
unda ~ha I.wi o1 u~. e~.~• of Mlnmwl~. D+~ed iMs d~Y e1 ~ C~~ ~ A.D. 18 ~ ~
~.r' j'' ' ` i
~(~('~I(a~ 1 1~=~n~ R08ERTB.SIXiCNL.S.REO.NO.lA~BI
LOT BIIRVEY CSECRLIST FOR RESZDENTIAL
~ ^'r°w~ BIIILDING PERMIT APPLIC TION
m
~ ~ ~ PROPERTY LEGAL: ~6
w
~ ~ N Date of Survey: 9/s?d~9~
~ ~
DOCOMENT STANDARDS
0% ~ • Reqistered Land Surveyor signature and company
8~ ? ? • Building Permit Applicant
.B~ ? 0 • Legal description
p C~ ? • Address
0 • North arrow and bar scale
0 • House type (rambler, walkout, split w/o, split entry,
lookout, etc.)
Ef
0 ~ • Directional drainage arrows with slope/gradient
H~ • Proposed/existing sewer and water services
C7~~ ? • Street name
II ? 0 • Driveway
ELEVATIONS
Existina
i] C~0 • Sewer service
C3~0 ? • Lot corners
? • Top of curb at the driveway
? C~ 0 • Elevations of any existing adjacent homes
Proposed
H~0 ? • Garage floor
0~? ? • First floor
p~ D? • Lowest exposed elevation (walkout/window)
~ ? ? • Property corners
9~ • Front and rear of home at the foundation
PoNDING AREAS (if applicable)
D C~ 0 • Easement line .
? B~0 • NwL
D ~ ? • HwL
? ~ 0 • Pond # desiqnation
p ~p • Emergency Overflow Elevation
DIMENSIONS
~p ? • Lot lines
? ~ Right-of-way and street width (to back of curb)
~'(7 ? • Proposed home dimensions including any proposed decks,
overhangs greater than 2', porches, etc. (i.e. all
f structures requiring permanent footings)
~p p? ~ Show all easements of record and any City utilities within
those easements
? • Setbacks of proposed structure and setback of adjacent
existing
? p • Retai re rements, if any
Reviewe ~ /f~ ~
Name / Date
October 1992
~5~~~.Y
a,~'}K' ~«O °D3?3 a 3 ? a Ye~ rt Y ~ S i 2< ~ . F~y~>~"""" : Ssm : Yi .
"~x `fi 3 t.a~¢ ,4~~'.s~S~xs~a; Ss uo~a ~ . _~7"."' . p,~~E 3
~Fri 4 zr r"~ ,~kxL~x xa>,2 ~a~'z' ~°~3~'3°`'~~ ~ ya~ ~ ,",y'~+,-l~~~a''~'~. .7;~ s f`""
'~.~.~>..v, ~ y a~z'~ $3 `~~r~.,.~rS?` F~ re ~S E F ~i~t . ~ - i
~ . x i~. ~.i ....ae~.... ~R~~r~`C¢s~,e*»..^'~'~u~3~u^'k~.~AiF:u~~ h~ r~u.u.~.~:
1993 PLUMBING PERMIT (RESIDENTIAI.)
CITY OF EAGAN
3830 PII.OT IINOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNTT.
NO. FIXTURES '~'~T~
1 SHOWER 3•a? 3'
~ ~ WATER CLOSET 3.00 a _
a BATH TUB 3.00 -
~ LAVATORY 3•00 a-
I KITCHEN SINK 3,~ s-
~ LAiJNDRY TRAY 3.00 ~ -
HOT TUB/SPA 3.00
~ WATER HEATER 3.Ob ~ -
~ FLOOR DRAIN - 3.00 3'
GAS PIPING OUTLET •~,;m~ - i 3.00 's -
3 ROUGH OPENINGS 1.50 ~
WATER SOFTENER 5.00
PRIVATE DIS~. ~ ne~.c~y. i~~. 15.00
U.G. SPRINKLER • eome uneer eonsi. 3.00
ALTERATIONS • io aosung 15.00
WATER TURN AROUND 15.00
STATE SURCHARGE .50
TOTAL:
STTE ADDRESS: S a. ~ S~1 ~ r N W.s~ ~
OWNER NAME: ~ o N\- c~
INSTALLER: V~ 1~ ~i 1 Sc
ADDRESS: I ~ C~t~ L
CITY: 5~ r r~ _ STATE: - ZIP CODE: s s 5 r~
PHONE ( ~ 4~a-a ~ a ~
C~
SIGNATURE OF PERMITTEE
.r.v^. T Y ~ , - g£~ yv~y~1.~1L~ .Y~ ~cw a, s~x >
: '~F ~ ~ ~L ~ ,~i o, 33~~ ~ i wa~iEb~`'C' a~~3`xa'e^~aesE~` .z' 'fi3 ' ' ! o - ~~Y7?~;.r
~ ~3l~~ E a
, ~,i~o- f ~.h AH d . r £ ~u ~ fx ~ . ar~ * S ~ fw ..uY~„~t ~~r 3x;bqa[~.£.<sT~. ; ~ ~ :
~ ' ~ 9 ~ e5°` ret
: ~c~ i i.<c<2~~3?.~~~~~~;ya5~~~5~~~}~F;F.,~'~xm:,. 63e'''~~F%~kt~,~a.a~,~~,£ ~`~,~~e~y,«~sa~~
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A/ ' ~ '~o~~':. <.d'ih.: i't ~ . 'ax c3a > t
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..'k~..'')'¢-+.u:uw.'°£v`
1993 PLUMBING PERMIT (COD'II~ZERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN NIN 5512Z
(612) 681-4675
PLEASE COMPLETE FOR ALL COIvAgRCIALlINDUSTRIAL BUILDINGS. ALSO FOR MULTI-
FAMILY BUP DINGS WHEN SEPARATE PERMTfS ARE NOT REQUIRED FOR EACH
DWELLING U~::I'.
_ NE.'W CONSTRUCfION
eL ~ ilN
~ REPAIR
WORK DESCRIPT'ION:
CONTRACT PRICE: $
FEE: 19fc OF CONTRACf FEE.
STATE SURCHARGE S.50 FOR FACH 51,000 OF ~ERA3P!' FEE
`::NIH~UM FEE: $ 25.00
CONTRACT PRICE X 1% $
STAT`E SURCHARGE $
TOTAL $
SITE ADDRESS:
TENANT NAME: STE #
OWNER NA117E:
INSTALLER:
ADDRESS:
CITY: STATE: ZIP CODE:
PHONE
FOR:
CITY OF EAGAN APPLICANT
~ 1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL) ~
c~rv oF ~r?caN ~
3830 PILOT KNOB RD - 55122
651-681•4675
New Conshuction Reaukements Remodel/Reocir ReauhemeMs
? 3 regisfered sRe suneys showing fq. tt. ol lof, sq. H. of house 4 copiet of plan
and all roofed areas (2055 maxlmum lof cove~aae allowed) t set of energy calculatlons for Aeated addHions
? 2 coplea ol plans (show beam S wlndow slzes; poured Ind. design; e1c.) 1 sHe ~urvey tor extarlor atldiNOns a decks
D t set of energy calculations
s 3 copies of hee preservaHon plan M lot plaHed atfcr 7/7/93
~ a-~~1 CONSTRUCTION COST: 1~~00~. v o
DATE: ~
DESCRIPTION OF WORK: S ~
t~ ~ ~ 1 ~ / ~LL~ ~ M ~
STREETADDRESS: s o1tY S~~r''^••~ c?~c
LOT: ~ BLOCK: Y SUBD./P.I.D. ~
Name: ll ~ ~ L, ` c<~ ~a j`~- ,/o.~ C~ Phone~k: CS~' ~fSZF "~-E`7S~cY
PROPERTY LOri Fi"~
OWNER
Street Address: ~ a~ 5 E' ~
~ staFe: , zip: S"3- / 3
City
Compeny: I~ ~'c?S~~a.'~-l Fy <~x~s Pnor,a#: l~ r a ~~i 5- 5~~ ~
(area code)
CONTRACTOR
Sheet Addreu: 1~- ~ S! S ~ a J Iicense # ExP•
City c~ State: r- - Zip: S~ 3 3 7
ARCHRECT/
ENGINEER Company: Name:
Telephone area code ( )
Street Address: Registration
C~}y ' State: ~P~
Sewer 3 water Ilcen:ed plumber (reaulred for new eo~shucHon onlvl:
Penolty applles when address change and lot change is requested once permif is issued.
I hereby acknowledge that I have read this application, sfafe that Me informaflon Is conect, and agree to compty wNh all applicabl
State of Minnesota Statutes and Clty of Eagan Ordinances. ~
Signature o( Applica~: ~ ~ ~ ~ ~ ~
~ ~
OFFICE USE ONLY~
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscelianeous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Aiteration ? 37 Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. SAC Code
UBC Occupancy sq. ft. No. of Units
Zoning sq. ft, No. of Bldgs
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MC/ES 5AC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SNV Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units
% SAC
~
=us~ +~r~,~ ~ ,
r x + y > s <r~a Kxe ~a'4 ~ ' a t~ s a S~~'<t x
~L~,^3 .~~e~uk'~5'~ b"~w a~4"~`~k°~MMM~
~ ~
~'~~~`^c~ , '~'z ~\~E.. ~ ~'fi'~k f s s :
S ~ 3f., a y o ~ ~ ~ 2~~<~ { .,SH'~~x"'~`a£~ ,-xl4~i ~H Fa4FY< ~a3'~~n i~i Pv ~i i ~""S~ °L
i P . f n` ~
. : .:a Y" < ~ E? ~ s b E ~ , . .7(5 < at z. 'g
_ T ~ f ~t~~. ~ 3 h ~i w . a~4 Y~~~ ,~c~
~L"G44 a 'a~ ~fid~ d i ; S
1J ~ : . t~.. s s.:x.,ei~«a.<-a':II~~: ..~3£.~~5~.~~.;.... V~.~i~.$,~i v i - ~ ..a>.~.. . f., .
1993 MECHANICAL PERMTf (RESIDENTTAL)
CTIY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS ~VHEN PERMITS ARE REQUIRED FOR EACH UNTT.
~ NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
DATE
FEES
HVAC: 0-100 M BTU $ 24•00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS (MINIMUh9 1@ 53.00 EACH)
ADD-ON/REMODEL (Ex[STING CoNS~rxUCrloN) $ 15.00
STATE SURCHARGE .50
TOTAL a,
SITE ADDRE55: ~
OWNER NAME: TELEPHONE ~J~~.--~'b~~
INSTALLER: ~E'
ADDRESS: ~~j`'~ Q~~-~.~`~
CITY:C~.'~~~ ~ ~ STATE: ~ ZIP CODE:~~~
TELEPHONE ~-\`?r~\ o~ _
~ 9.~ w ~~01~~_~
SIGNATURE OF PERIv1ITTEE
. ~ t~SE '~1~~.Y •
Tu ~ ~ .k ~a y s#'°'° s c an a3aY~r. s FRia~~ ~rs^xxx.~S`~~~x5c~~~~~ `~~~~1`~' o~ . t
BL ~''y ~ ~
. . ~ t o e . ~ a~ '.k`~ s~ a ~`~i : u fiY 3"~{s~ ~ Yt t ~s s
t y
~ ~~x°t£ ^~t~'~¢ m ~C~k'3~i x ?vsY f >
~ 3 ~ r r£~ ~x s~ 4 i ~r ~ "~o- E r a ^3 ~x V~~~`~s e F +~p~ ~ .H.~~ a~'~.,~£~`,F 3 ;
1~ Fa'b x ~3 :~aswA~ 3~.,~# r 3~~E
~e ~"x,.. & ia4`~£'~~1'a `s~ k~ ~ ~ ~ Fr T~ _i x.w~ a
Jl 't~o 4&»w,~.xn<M'C'S.~.?r~.~4~C~'A
, ~..%..~~'¢6~.~:#'.F"3.~'^,~..~?..~?~~~+~ . .o~w' .
....r:. . . . 3~e.c... . a.t -...$..s.
1993 MECHANICAL PERMIT (COMNIERCIAL) ~
C1TY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL COMMERCLALlINDUSTRIAL BUILDWGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
DATE: CONTRACT PRICE: $
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
1% OF Ct~NTItACT FEE $
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF ~~~tMiT FEE.
TOTAL $
STTE ADDRESS:
OWNER NAME: TELEPHONE
TENANI' NAME: ([MPROVEMEN75 OfJLY)
INSTALLER:
ADDRESS:
CITY: STATE: ZIP CODE:
TELEPHONE
SIGNATURE OF PERMITTEE ^rTY INSPECTOR
2005 RESIDENTIAL BUILDING PERMIT APPLICATION ~ ra
~ I~~ Cp City Of Eagan
~ 3830 Pilot Knob Road, Eagan MN 55122
, Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWction Reouiraments RemodeVReoair Reauirements Office Use Onlv
3 registered site surveys showing sq. ft ot lot, sq. ft. of house; and all roofed areas 2 copies ot plan Cert of Survey Recd ~ Y_ N
(20~o maxnnum lotcoverage allowed~ 1 set of Ene~gy Calcula0ons forheated additions Trce Pres Pian Recd ._Y N
2 copies of plan showing beam 8 window sizes; poured fouM design, etc. 1 ske survey for additions & decks Tree Pres Required _ Y_ N
1 set of Ene~gy Calwlations AddiNon - ind~cate 'rfon•site sepHt system Onaite Sep11c System Y_ N
3 copies of Tree Preservadon Plan If lot platted after 7l1/93 ~ /f I p J/
Rim Joist Depa Options selection sheet (bWd'mgs wiN 3 or less unils) Q/
( i
Date Construction Cost 3~ o0 0
Site Address ~j UoiUSte #
1?~RN W f'~~ ~
DescriptionofWark SS ~GCrOSI.I~-~ QC~ ~ < ~
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2
Property Owner r~}TR K '~C~c LE' ~ Telephone ~J~~'
Cootraetar G (~a~ CE ~ ~.S N •
naare5s 7 3 S 1 ~ kwoo c{. c~ry !/Y~,o le ~2o u N~
State r t` Zip ~3~0 Telephoneit(~7.f~ 7~~ ~ Z0~0
/fJ
COMPLETE THtS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv I Minnesota Aules 7672
Energy Code Category . Residential Ventilation Category 1 Workshaet • New Energy Code Worksheet
(~Jsubmissiontype) Submitted Submitted
. Energy Envelope Calcula[ions Submitted .
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan~
_ Y _ N If yes, ddte and address of master plan:
Licensed Plumber ~ ~ ~ Telephone ?
Mechanical Contractor I~~ 0 0 3 2005 I I Telephone )
uu ul
Sewer/Water Contracfor Telephone )
By
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 approved plan in the case of work which requires a review and
approval of plans. O
/1 ~ 5 n te_. ~
Applicant's Printed N e~~~.~a.~ ' Applic Ys S gnature
OFFICE USE ONLY ~ 1
. ~ . ,
Sub Types ;
w
? Ot Foundation ? 07 D5-plex ? 13 7&plex ? 20 Pool ? 30 AccessoryBldg
? 02 SF Dwelling ? 08 D6-plex ? 16 Fireplace ~2] Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex O D9 D7-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 DS-plex ? 18 ~eck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex, ? 19 Lower Level ? 24 Storm Damage
? O6 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 lnt Impro~ement ? 38 Demolish Interior ? 44 Siding
~ 32 Addition ? 36 Move Building ? 42 Demolish FoundaGon ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement - 'Demolitlon (Entire Bldg) - Give PCA handout to applicant
.1
Valuation Occupancy ~'~i MCES System
Plan Review 100% or 25°/a
Census Code ~ Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const , Width
REQUIRED INSPECTIONS
_ Footings(new bldg) FinaUC.O.
Footings(deck) { FinaUNo C.O.
~ Footings (addition) Plumbing
Foundation HVAC
Drain Tile Other
Roof Ice & Water Final Pool Ftgs Air/Gas Tests Final
~ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
l~
Approved By: I , Building Inspector
Base Fee v'iv ~7 r i'c'f/
Surcharge
Plan Review ~ °,yi~'4~ !~j s,
MCIES SAC ~ f'~(',/ V~/1 ~ 2~
City SAC ~J i/
Utility Connection Charge
$&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
~ r' ~ oneu~~ cr~s i i~ae~ ~ I
1
~
~ ~ ~ 2422 Enlerprlae Drive , ~
~ . .~'~~G~1GY'. ~ }Ae~doto Hslghts, ?A~! 95120
- ~IONEEp ' (612) 681--1914•FOx Bai-9489 ~
wie +a~-~ewmta"
~~g ~~~r,,, ~e uem pvu~rrtps - 4u~oec e tt'cn B25 Htqhwoy 10 uortneasl
81ui~a. MN 554J< ,
.k * x,'~ (e~z) ~s3-~eao•~'ax yes-~aa3
Certificate of Survey for: ~~'1~ Rottlund ompan . C C. ~
Houae Addreas: Severn Waw Eagan~_M~l
Mocfel Mame:
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ooo.o Donotes ~xi8ting Elavatlon pR~OSED HOUSE ELEVA1101V
Denotes Proposed FJevation Loweat Flonr Elemtion:$80•!S
Denotes Dra(naqe dt UtiOty Easem~nt Tap of Block Elevatian:988.~6
Denotes DraTnoge Ffow Dlrectlon Gara e Siab devotton: $87.q3
Denotee MOttument 9 -
Denatas Offsei Hub Bearings shown are. ossumed , i
L4T 30, BL4CK 2 CQVENTRY PASS ~ '
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PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA137554
Date Issued:07/11/2016
Permit Category:ePermit
Site Address: 528 Severn Way
Lot:30 Block: 2 Addition: Coventry Pass 4th
PID:10-18403-02-300
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Patrick L Pechacek
528 Severn Way
Eagan MN 55123
(651) 454-4958
Benjamin Franklin Plumbing
5718 International Parkway
New Hope MN 55428
(612) 238-9709
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA156769
Date Issued:07/17/2019
Permit Category:ePermit
Site Address: 528 Severn Way
Lot:30 Block: 2 Addition: Coventry Pass 4th
PID:10-18403-02-300
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: 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 -
Patrick L Pechacek
528 Severn Way
Eagan MN 55123
(651) 454-4985
Kat Construction Llc
8833 79th St
Annandale MN 55302
(320) 266-3455
Applicant/Permitee: Signature Issued By: Signature