500 Waveney Ct .
~ INSPECTION RECURD ,
CITYtOF EAGAN PERIUIIT TYPE:
3830 Pilot Knab Road Permit Number .
Eagan, I+Ainnesota 55123 Date Issued:
(612) 681-4675 ~
SITE ADDRESS: , APPLICANT: . ~ ~
LNf , I!N
PERMIT~SUBTYPE: TYPE OF WORK:
~ . . w
INSPECTION .
I rhhl ~ t.li, ~+itif I k{, .
I lif ('I I?f !
I I lyfli
L~ J
Permft No. Permft Holder Date Telephone N
. S!W
PLUMBiNG
HVAC ot0 93 f~G~
ELECTRI
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation O J R 1 Z 3~
Framing ~ L ?j Cb~7~(,E rT 5
Roofing 3
Rough Plbg. / -Z -
/
19
G
Rougn Hns.
isui. 1 /y
Fireplace
Final Htg. q~/ 19
•r
Orsat Test
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
Engr./Pian
Bldg. Final Z* ~
Deck Ftg.
Deck Final
Well
Pr. Disp.
~
M` 73453
Request De.e ira No. Ro -i Inspeclion NOTICE: You Musl Call Elecirical Inspeclor
Re II A Rou9h-In Inspetlion
es ? No Is Required.
I icensed contractor ? owner hereby request inspecfion of above electrical work at:
Job Atldress (SUeel, Box or Roule NoJ City
600 ~ •
Seclion No. Townsnip Name or No. Ran9e No. Counry ^ ^ - ~
Occup (PRMT) Phone FJO.
Pow upplie 77Add,,,s
ElecUicel Contrector (COmpany Name) ConhactarS License No.
Mailing AG actor or Owner Making Installetion)
a~ ~ ELECTRIC, INC. !~q
Authorizetl Wre (COnV pOwiur Making Installation) 3~~ Phone NUmber
MINNESOTA STATE BOARD OF ELE FICITV THIS INSPECTION REOl1EST Wlll NOi
Griggs-Midway BIGg. - Room S-113 BE AGGEPTED BV THE STAtE BOARD
1821 UnlvBrslty Ave.. SL Paul, MN 55104 UNLE55 PROPEfl INSPEGTION FEE IS
Phone(61R)602-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ~ ea-ooom-oe
pd 73453 ? See instmc[ions ror completing tnis form on back oi yellow wpy.
lil Below Work Covered by Thrs Request
e dd Rep. TypeofBuiltling AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Healel Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Furnace Omer (Speciry)
Farm Air Conditioner
Other (speciy) CoMrador5 Remarks:
Compute Mspection Fee 8elow_
# Other Fee # ServiceEntrenceSize Fee # Circuits/Feeders
Swimming Pool 01o20 0 Amps 5 0 to 100 Amps
Transformers Above200-P.mps AboveWO_Amps
SiqnS InspecNrS Use Only: 1 TAL -
omr
Irrigation Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY 8E ORDERED DISCONNECTEO IF NOT
Other Fee COMPLETED WITHIN 78 MO S.
I, ihe Elecirical Inspector, hereby Rouqn-m oa~ ~ ~~a
certify that the above inspection has F~~ai os~
been made. ~l
OFFICE USE ONLV
This request void 18 monihs irom
Address 500 wnvENY M-r Zip 5512 3
I.ot` 12 Blk 2 Sub COvENfRY Pass 4ItI
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION.
Date: Yes No Inspector:
Final grade (6" from siding)
Permanent steps (gazage)
Permanent steps (main entry) ~
Pertnanent driveway j~
Permanent gas
Sod/Seeded grass
TtaiUwrb damage
Porch
Basement finish ?
Deck
Please verify with the builder the removal of roof test caps from the plumbing sysrem and the shuboff of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering divisiou at 681-4645 before working in righhof-way or installing underground sprinlcler system. ~
White - Ciry Copy Yellow - Resident Copy Pink - Contracror Copy
PERMIT
GITY OF EAGAN PERMIT TYPE: B U I L D I N G
3830 Pilot Knob Road
Eagan, Minnesota 55123 Permit Number: 022601
Daie Issued: 12 / 01 / 9 3
(612)681-4675
SITEADDRESS: 50e wavENEv cr
LOT: 12 BLOCKe 2
COVEN7RY PAS5 4TH q3 .
P.I.N.: 10-18403-120-02
DESCRIPTION;
f.~iYfn g# permit Type SF DWG
zf14ing"bJork Type NEW
,#JBC tlceupan'c.y R-3 M-1
~ Canstru¢tion ~Ye V-N
~Zonittg l R-1
f~ Bui1d'ing length ~ 55
~ BuiSding Width 46
~
~ y l(
y tt
.~'^~j
%r~t ~"s1 p~'~~~~.~ `".I'I~~'I~CS
/
~
REMARKS:
S& W PLBR - VALLEY PLBG
FEESUMMARY: VALUATION $97,eee
Base Fee $626.00 MISCEILANE0U5 $1.744.60
P1an RevYew $406.90 7ota1 Fee $3,575.90
Surcharge $48.50
SAC $750.00
SFlC % 100
SAC Units 1
Subtotal $1,831.40
1FHi`PL'tiNT1T981'INC, THE~ 15710304 0001335 19E"R4TTLUND CO INC
5201 E RIVER RD 5201 E RIVER RD
FRIDLEY MN 55421 FRTDLEY MN 55421
(612) 571-0304 (612)571-0304
~ hereby acknawledge that T haue read this appl3eatian and state that the
fnforrtr,ation is c4rreCt and agree ta compSy w3th all app]icable 5tate of Mn.
5tatutes and City o€ tagan. prdi.nances,
,
L _ . ~
APPLICANT/PERMITEE SIGNATURE SS D BYISIGMATURE
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: BuzLoiNG
3830 Pilot Knob Road Permit Number: 022601
Eagan, Minnesota 55123 Dafe Issued: 12 / 01 J 9 3
(612) 681-4675
SITE ADDRESS: Lo r: 12 B L 0 C K: 2 APPLICANT:
500 WAVENEY CT RQTTLUND CO INC, THE
COVENTRY PASS 4TH (612) 571-0304
PEqMlTAUBTYPE: TYPE OF WORK: NEw
INSPECTION .
FOOTINGS FOUNDATION
FRAMING ROOFING
INSULATION FIREPLACE
ROUGH IN PLBG ROUGH IN HTG
FINAL PLBG FINAL
REMARKS: S& W PLBR - VALLEY PLBG
~
F-
~ ~
P€RMIT`#' R ECEQ`UIEDD IGC
I f'3' CITY OF EAGAN $3, j
9Y~BUILDING PERMIT APPLICATION
681-4675
- .P,,- L
SINGLE & MULTI-FAMItY 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 when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date woue+4igEr / 17 Yaluation of work .4000
Site Address: 5co w,wvcleicY Cn u2'C'
STREET STE 1
Tenant Name:
LoT 12 sLaK PASS P. I.D. r
v o
Descri tion of work:
The applicant is: ? Owner ? Contractor ? Other (Deseribe)
Name +Ne~ P_..v Tl j.-l1N D COMPAP Y r,uC. Phone 5'71 -030¢
Property ust FIRST
Owner Address 52-o1 c-7q-,-r c2~tvr-z_ zot,g,
STREET 8TE iF City State ~ Zip 554z-1
Company SknoiC Phone
C011t1'8Ct0r Address License # Exp.
City State Zip
Architect/ Lompany Stkm z~- Phone
Engineer Name Registration N
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 all applicable State of Minnesota 5tatutes and City of
Eagan Ordinances.
Signature of Applicant: fgY -,I
vrri%.r_ var- vnLr
BUILDING PERMIT TYPE .
? Ol Foundation ? 05 Apt. Bldg ? 09 Basement FinislA, 13 PufticNc.
-~L02 SF Dwg. ? 06 Garage/Accessory ? 10 Swim Pool O 14 AgricuUural
? 03 Two family ? 07 Fireplace ? 11 Res. Add./PorA `~-pltS Mi ceylarieous
? 04 Multi-fam. T.H. ? 08 Deck O 12 Comn./Ind.
WORK TYPE _
-P-31 New ? 34 Repair ? 37 Demolish
? 32 Addition ? 35 Tenant Finish Q 99 Undefined
? 33 Alterations ? 36 Move -
GENERAL INFORMATION
Const. (Actual) V- N Basement sq. ft. MWCC System 'Y~
(Allowable) v-1v lst F1. sq. ft. City Water t-
UBC Occupancy 2nd F1. sq. ft. PRV Required
Zoning R-I Sq. Ft. total Booster Pump
# of Stories Footprint 5q. ft. Fire 5prinkler
Length -177,7- On-site well Census Code
Depth ~ On-site sewage SAC Code C:5/
APPROVALS ~
Planning Building Assessments
Engineering Variance
REGIUIRED INSPECTIONS
? Site ? Footing ? Framing ? Insulation
? Wallboard ? Final ? Draintile 0 Fireplace
Permit Fee v.iu.c;m: $ ~ 006~
Surcharge
Plan Review Gag,o,Ct:
License 2-0 x?-o= clpp x16- - 6q00
.
Mwcc sac BgMT, y8 ~r2~ = /2y~
City SAC y 1-1
Nater Conn. 2 2 X 2
MaterMeter ,Zq~,~~~
Acct. Deposit ~S? Fc,,an ; ~ ~
S/W Permit -L--~
S/W Surcharge SS?titT
Treatment Pl. ~z IL
Road Unit
Park Ded.
Trails Ded. 131(I 5y. '20 IL7 g6
Copies
Totai : 73 6,
sac %
SAC Units ~ • -
Pionear Eneineerin9 7a31~s3 ~•n< ,
2422 Ent prise Drive
Alendota eiqhts, MN 65120
* PIQNEEFI ~~v"= * cw aqNEM (612) 681 1814•Fak 681-8468
* a:ngneerin
g 625 High% oy 70 Northeast
Blairee, M 35434
*
(612) 78 1E$0•Fox 783-5883
Certificate of Survey for: The Rottlun COYTI (]C1 ln. ,
HoUSe Address: Woveney Caurt. Eagan. MN Madel (Vame: Westwood (~xpanded) I
0, N a7*3z'oe*, w Cj 147.02
84o.a3
o .L 39.53
6"Hj~ ~ ~ ~}'75 - -
fV p,?~.
<cI~' a'
~ d ®rj~ ;
e~' ao ~1. 593A
(
~ti .
~~~5 ?Qe 8 4' ~ ~ i
~ ~ ~s>
17.5o
g9e.77 \ ~ y az~ ~q.5 { ,
. ~ ~ , ~ .
w
~ ~o
. Z
s0.,03F 1 2 i : .
~ I
!
~ I
~
B
GAN E GTNEERING DEPT• ~ i
~
~
04 ~ N s *4rja° w
x eao.o Denotes Exlsting Elevot3on pRQPOSED H E EI.EY TiON
DenotE9 Praposed Elevatian . ~,o~,,~ ~~r. Elewticm: ,4 •
Denotes Orainage dc Utility Easement
L- Denotes Drainoge Flnw Direct3on Top of Block Eisva#Pon: 892, 56 :
-a- Denotes Monument Garaga Slab devotion: z.23
,.8..- Denotas Offset Hub Bearings shown are assumed
LOT 12, BLOCK 2 COVENTRY PASS oAcorA c"rr. MINNESOTA 4TH 'ADDETION
1 trorWY certlfy tMt thii ouevey. plan w report wo Dnened by rta w uoMx my direct suparvisian emd that i am dulY Nwtsred Land 8urv~YOr
wMx tAa taws of !M Snn of Mlnnesov, ootrd ehis LTdey of A.D. 18
~ Q
CrnlA1inch_~flteet
LOT SIIRVEY CHECRI.IST FOR RESIDENTIAL
+ _J SIIILDINCi PERMIT APPLICATION
m
~ J2 pROPERTY T,EGAL:
< a m
Date o! survey:
Z 1 DOCIIMENT STANDARDS
V70 0 • Registered Iand Surveyor signature and company
0' 0 0 • Building Permit Applicant
D~ ? 0 • Legal description
0 0~ 0 • Address
e • North arrow and bar scale
C~'"? ~ • House type (rambler, walkout, sp13t w/o, split entry,
lookout, etc.)
0' ? 0 • Directional drainage arrows with slope/gradient t.
9~00 ? • Proposed/existing sewer and water services
0' 0 0 • Street name
L-1- ? 0 • Driveway
BLEVATIONS
Existing
? • Sewer service
B' ? 0 • Lot corners
0--[] m • Top of curb at the driveway
D ? • Elevations of any existing adjacent homes
Proposed
0 • Garage floor
0~ ? ? • First floor •
6~-? ? • Lowest exposed elevation (walkout/window)
9~'0 • Property corners
E' o 0 • Front and rear of home at the foundation
PONDING AREAS (if apDlicable)
0 C'J'~ ? • Easement line
O 0' ? • rrwL
? 0? • H47L
0 'C~ 0 • Pond # designation
• Emergency overflow Elevation
DIMENBIONS
~ 0 0 • Lot lines
jY 0 0 • Right-of-way and street width (to back of curb)
0 • Proposed home dimensions including any proposed decks,
overhangs qreater than 21, porches, etc. (i.e. all
structures requiring permanent footings)
0 • Show all easements of record and any City utilities within
those easements
-6 • Setbacks of proposed structure and setback of adjacent
j existing homes
D d' ~ • Retaining w re e r16, if any
Reviewed• z
Name / ate
October 1992
' ' rii~~"?~?U~/~~
F..(7'F.RiOR n,rr.rnrr: nvra;nr,i•: ^Ir" CUMPiI'P!,'I'Irl!i
os+r,hii 1207-TLVPdo C4ED_
SITE ADD9ESS LC'T ~2 ~ ~jLoc.k 2 C-- uc,n~~- ! ~a ~ ~Qla~'~~ •
CONTR4CTOR D,1TF. PHOttE
Determin varieinr, sqnare footar,e o1' ench.
1. 3ota1 exgosed va11 erea -1 Z0. ' sq_ ft. x
~
• 2. Total roof/ceiling area -7,V sq. ft. x 8,020
•
Tot21 exposed wa11 s>ua sibove riccir =(72r_ :4
a. Total wall Findoc; area 7 ,
~ b. Totzl door area C#7'7
c. Total sliding glnss door area a?,?-~
d. Total fireplace va].'t erea z o
e. Total wall framinP area (average l0p)
f. Total net wall s:•ea above i'loor / Z- q •
, g. Total rim 3oist area .1 C7
Totai exposr•d frn:ndation area = 2
' .
h. Total foundetion vir,dov a:ee .
~
~ i. To'lal net foundation area above grade .
. Detera,ine "U" va1Le o: each wall ,eF;ment.
. a. I 4;t? , 7 X,.U„ D. ~F'Z = o•~ S
b. 47. 1 7 f X.,U„ 5,g1 ~
' •c. 3q,a? x„~~~ D.~Z = IZ,79
~
d. Z XIV„
2, X .u~n ~/i ?r~ _ r+?~..~% ~ .
r. l Z( x,~U,. 0, r~4 ~ = 7 2
~
. g. i~ LV Xo,
n. X ..tl,,
X „U.,
3. 'iot.~]
a/L
If item N3 is the same as, or less !.h:in .itc:a dl, yoti nave met the intent
of sBc 6oo6(c)2.
f~
. . ~ LZ~
Total exposed roof/ceilinG nrel =
Total gross roof/ceilinf, are:i =
Totel skylight area
k. Total roof/ceiling frarnind erea
1. Total net insulated roof/ceiling area Determine "U" value for cnch ruof/ccilin(,. segrucnt.
J. x ',ull
.
~'J',p?,' _ ~j•:t2.
R. 1 Z~ X lu,l
-
I 1 43 X~,Ull o- 0 2 Z = L~'~ f 4
4 . Total
If total oP N4 is the same as, or less than N2, you have met tYie intent of
ssc 6oo6(c)i. . ,
To utilize the total envelope system method, the values establi-hed by the
sum of iteas d3 and #4 ehall not be greater.thKn the sum of iten;s N1 and k2.
1. 2.
' - g', + 4. _
• • -
• .
•
0
' - . O ~
~"3~' i7S~ flriTLY ~1
~
~ ~ 4Y-0' {aC Od „~E~,. W 93b r k6SC~¢Yf rln s t'^^',5 ~SSkk v~""~~'%~ 4
1993 MECHANICAL PIItMIT (RESIDENTIAL)
CTfY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WNEN PERMITS ARE REQUIRED FOR EACH UNIT.
_______~M~w~ .
~ 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 OLTTL.ETS (MINIMUM 1@$3.00 EACH) 3•00
ADD-ON/REMODEL (ExlsTtNG CoNSTxUCnorr) $ 15.00
STATE SURCHARGE .50
TOTAL a 7.~0
ai i F ADDRESS: SZ~
OWNER NAME: TELEPHONE ADDRESS:
.
CTTY: STATE: z~ ZIP CODEf:~~~
TELEPHONE
v '4's~
SIGNATURE OF PERMITPEE
~ z~ € } ~ ~ (s ( s F ~ 37ca € W z~~E? 5 s b ~ s y.,c Y'F ~v~ `F ~ : . ?2.A
r t rt~s F..£s3 s 3 enr~ia y 33 ~s f
. .>•a.w e x.r.. 3 .aa ''°o.,.~.':$.i#.... .a ~
1993 PLUMBING PERMIT (RESIDEIVIZAL)
CITY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIFtED FOR EACH UNIT.
NO. FIXTURES EACH TOT~
I_ SHOWER 3.00 3 -
a 1VAT£R C`,..OSET 3•00 1• -
1 BATH TUB 3.00 3-
_I LAVATORY 3•00 19'
KITCHEN SINK 3•00 3 -
LAUNDRY TRAY 3.00 3 -
HOT TUB/SPA 3•00
i WATER HEATER 3•00
~ FLOOR DRAIN 3•00
I GAS PIPING OUTLET • minimum 3.00
3 ROUGH OPENINGS 1.50 y
WATER SOFTENER 5•00
PRIVATE DISP. • DeiLcty. fic. 15.00
U.G. SPRINKLER • eome under mnst. 3•00
ALTERATIONS ' to adsting 15.00
WATER TURN AROUND 15.00
STATE SURCHARGE .50
TOTAL:
SITE ADDRESS:")ocI LA~AVe.~c.i C -
OWNER NAME: c,1~ 1 ~ cf -
INSTALLER: ~v C~ 1•
ADDRESS:Gf O cc cv
CTTY: STATE: ZIP CODE: S J.3 S a
PHONE ( ) ~lcI l 40-(
l
SIGNAT LJRE OF PERMITTEE
RESIDENTIAL
. BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 Qo~
I 651-681-4675
NawConsWctionReauirements RemodellRe alrRe uiremen
• 3 registered site surveys showing sq. fl. of lot, sq. N. of house; and all roofed areas • 2 copies of plan ~4- I~
(20°,6 maximum lot coverage allowed) • 1 sel ot Energy Calculetbns kr heated addilions
• 2 copies of plan showing beam 8 window s¢es; poured found design, elc.) . 7 sde survey for e#eriar additiora & decks
• 1 set of Energy Calculations . Indicate H home served hy septic system fir addNOns
. 3 capies af Tree Preservation Plan'rf lot plalted aRer 711193
. Rim Joist Deta0 Options selection sheel (61dgs with 3 or less units)
DATE 4-'- o e__ VALUATION
JOB SITE ADDRESS 5CO I.UA-V~NF y LoK2T
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER .400;0f:~
TYPE OF WORK DEck- FIREPLACE(S) _ 0_ 1_ 2
APPLICANT 4VLr PHONE# rcS/-~Sy-o687
ADDRESS (e_70 L,dsYvF^-n/ € Y eo ~X-f" ZIP CODE
PAGER # CELL PHONE # FAX #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMP ~ D
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 APR 1 1 2002
(check one) - Residential Ventilation Category 1 Worksheet Sub d
- Energy Envelope Calculations Submitted ~
MINNESOTA RULES 7672 By
- New Energy Code Worksheet Submitted
Plumbing Contractor. Phone
Plumbing System Includcs: Water SofCener _ Lawn Sprinkler Fee: $90.00
_ Water HeaLer No. of R.I. Baths
No. of Balhs
Mechanical Contracfor: Phone #
Mechanical System Includcs: Air Conditioning Fee: $70.00
Heat Recovery SysLCm
Sewer/Water Contractor: Phone #
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the infor tion is corre t, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordina s.
r
Signature of Applicant
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 2002
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex O 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex J< 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
' O 06 04-plex ? 12 12-plex Plbg_Y or _ N 0 25 Miscellaneous
~ 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
~ 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Ent(re Bldg only) • Give PCA handout ta applicant
o~
Valuation 20w ~ Occupancy ~IZ-)MC/ESSystem
Census Code Y3( Zoning City Water
SAC Units - Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs ~ Length Fire Sprinklered
Type of Const ~-1J W idth
REQUIRED INSPECTIONS
Footings (new bldg) FinallC.O.
~ Footings (deck) ~ FinallNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof Ice & Water Final Pool Ftgs Air/Gas Tests Final
-Framing _ Siding Stucw Stone
Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retauung Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review ~Cri
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
* ~~L°~cU~~f y~; y~.." . • ' 2422 Eot prlse Drive
.~A16:9N6Ef! lAendoto eighls. MN 85120
* wm surtK,w,s . aMtt Enanceas (612) 681 1914•Fax 681-9488
r'ng ~~CT3
625 Ftfgh oy 10 Northeaat * * ~ * 8laine, M 85434
(612) 78 1880•Fox 783-1883
Certificate of Survey fior: The Rottlund Com GCl If1 .
House Address; WQVeney Caurt Eagan MN '
Model Name: Westwoo(i (Expanded)
I :
. ~
?v 87032'ae7 w 107.02
~ Y L 840.33
3953
51.73 .
_n
m h 00~~j)vo~ /
20
f ' V I'
^NAp
V~~~
.ti a a~ 1
,z9o df? i
g9o.71 1~,~
Li
g
~ Z
12
roQ
~ f
~
~ I
B 15 •
~ I
AGArT i; GiNL;T?J?:tN(s DEPT. ~ I
HOUSE* 04 • N w K 900•0 Denotes Exlsting Elevation PROPOSED EI.EV TiON
¦Co"~'o:0 Denotes Proposed Elevation . Lowest Fioor. Elewtion: 68 ,4
Denotes Drainage dc Utility Eosement
Denotas Drafnage Ffow D3rection ToP of Block Elevation•?92, 56 ,
~ -
-o-- Denotes Monument Garoga Siab Elevation: z.23
---a- Denotos Offset Hub gearings ahown are assumed
LOT 12, BLOCK 2 COVENTRY PASS DAI(OTA COUNTY, MINNESOTA 4TH 'ADDlTION 1 hen0y tenlfy tMt ttiif turvey, plwt w rcport wN DKaned by me w unOn my dinet wporvislon end thai tam dNy pishred Laraf Surveyor
under tAs Iwvr of lAe Stau oi Mlnnecou, Ooted this V+14 'day ol-"b~~b+! A.D.19 -11~, pdd.d E+~~ s~~.Kj 61cv. ~,~-LYfi3
~rnlA• 1inche~flteat , f " ~ ~
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD - 55122 U(D
651-681-4675
NewConstructionReauiremeMS RemodellReoairReauiremenU " u
• 3 regislered site suneys showing sq. ft. of bt, sq. tl. of house; and all roofed areas . 2 copies of plan 1•~-~j -U ~
(20%macunum lot coverage allowed) . 1 set of Energy Calculatians for heated additlons
• 2 copies of plan showing beam 8 window sizes; poured found design, etc.) . 1 site survey forextenoradd'Aions & decks
• 1 set of Eneryy Calculations • Indicate if home served 6y septic system for additions
• 3 copies of Tree Preservation Plan if lot platted afler 7/1/93
• Rim Joist Detail Options seleclion sheet (61dgs wBh 3 or less units)
DATE q- 2 t - OZ VALUATION
JOB SITE ADDRESS 500 C.?FwE-+v ~r ra vt ,e 1~
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER pfrv1 c- QOrir-
TYPEOFWORK H P04-i/J6~~'~~~T r ~Qoo~vt's
FIREPLACE(S) _ 0 _ 1 _ 2
APPLICANT I'`~;9,1 C- gOGr- PHONE# foS! - lFSZ - 06 k77
ADDRESS &cd WA-v&-"E Y Gd vi OC- T" ZIP CODE SSl Z 3
PAGER # CELL PHONE # FAX #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor: Phone
P1umUing 5yscem Includcs: _ Water SoGencr Iawn Sprinkler Fee: 590.00
Wa[er HeaCer No. of R.I. Baths
No. of Baths
Mechanical Contractor. Phone #
Meclianical System Includes: Air Conditioning Tee: $70.00
Hcat Recovery System
Sewer/Water Contractor: Phone #
n
All above informatlon must be submitted prior to processing of application. APR 2 2 2002
I hereby acknowledge that I have read this application, state that the inform on is co ect nd agree m
with all applicable State of Minnesota Statutes and City of Eagan Ordinan B
Signature of Appllcant
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 2002
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 6ct. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex -A,19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) E3 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
)K33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/DOOrs
? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout ta applicant
Valuation 2 Occupancy MCIES System
Census Code ~ Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bidgs I Length Fire Sprinklered
T
Type of Const _VA) 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 AirlGas Tests _ Final
~ Framing _ Siding _ Stucco _ Stone
Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
~ Insulation _ Retaining Wall
Approved By~" Z , Building Inspector
Base Fee
Surcharge
Plan Review 16T
MCIES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies 1. o u
Other
Total
PERMIT # q D- RECEIPT DATE:
EOOE liES1DENTIAL PVUM$ING PFiiMiT APPI1ClETION
CITY OF Ek6AN
3930 fILOT KAOB RD
Knnsku, Uv ss1a2
651-6$1-4875
Please complete for: single family dwellings, townhomes and condos when permits are required for each unit,
backflow preventer for irrigation system
SITEADDRESS: 50D W4'V'iI 15' Y CD,-c R'f
OWNER NAME: : }~/9 v+-~- ,epl.,C TELEPHONE 06 97
(AREA CODE)
INSTALLER NAME: P^" L /co Gy-- TELEPHONE G~/ 'Lf~Z 07
(AREA CODE)
STREET ADDRESS: ~O L? R-v~ E'f „L,~-l-
CITY: 15- 6v-& r1rJ STATE: evi AJ ZIP: 5-S~ Z-3
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 Caunry fee
Note: Additional consultant fees may apply
• MODIFICATIONIALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
~ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
_ Water turnarqund - existing dwelling unit 5/8" meter if neneded -$118)
_ Other. ~ ~ «a-k- w,,L 'J,:- Yl v~
_ RPZ: new installation/repairlrebuild $ 30.00
_ lawn irrigation system
Replacement/additional: _ water softener _ water heater $ 15.00
State Surcharge $ .50
7ota1 APR 2 2 2002 $50,S
I hereby acknowiedge thal I have read this application, state that the intormalion is correct, an ree to wmplywith all applicabl City of Eagan ordinances. It
is the applicanYs responsibility to notify the property owner tha[ the City of Eagan assumes n y the City during its normal
operational and maintenance activities to ihe facilities construcled under this permit within City erty/right-of-wa ase nt.
SIGNAT E OF PERMI E1/02
RESlDENTIAL ~3$ ~ 25
BUILDING PERMIT APPLICATION
CITY OF EACAN
Il 3830 PILOT KNOB RD, EACAN MN 55122 -j _IU _
~v O~ I 651-681-4675 Q Z
New Construction Reauirements RemodellReoair Reuuirements
• 3 registered site surveys showing sq. fl. of lot, sq. ft, of hoise; and 311 roofed areas • 2 copies of plan
(20°k mazimum bl wverage allowed) . 1 se( of Energy CalcLAations (ar healed additiom
. 2 apies of plan showirig beam & wiridow sizes; poured found design, etcJ • 7 sile survey for exterior additions & decks
• 1 set of Eneyy Calculations . Indicate If home served by septic system for additions
• 3 copies MTree Preservation Plan'rf lot platted after 711/93
• Rim Joisl Detail Options selecRon sheet (bldgs with 3 or less unils)
DATE 6121691 VALUATION
SITE ADDRESS C.L-`lJ U ~ V CuW L MULTI-FAMILY BLDG _Y %~N
TYPE OF WORK FIREPLACE(S) _ 0_ 1_ 2
APPLICANTT" 1URb41nQ
STREET ADDRESS IR f CrD 61' CISTATEiUN ZIP~.~
TELEPHONE #Q~'~!`"~[~'i`-t)CELL PHONE # FAX # 61'0'Pa' OQQ5
PROPERTYOWNER I"W R lllTll TELEPHONE#&&_%1'OID9q
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RiJI,ES 7670 CATEGORY 1 MINNTSOTA RUI.ES 7672
(d submission type) • Residential Ventilation Gategory 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submltted
Plumbing Contractor; Phone #
Plumbing system includes: _ Watcr Softener I.awn Sprinkler Fee: $90.00
Water Heater _ No. of R.I. Baths
No. of Baths
Mechanical Contractor: Phone
Mechanical system includes: _ Air Conditioning ~ e. $7q:00
Heat Recovery System MAY Q 9 20UL Sewer/Water Contractor. Phone B
Y
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinance
Signature of Applicant
James Geisen, res
OFFICE USE ONLY
Certificates of Survey Received 7ree Preservation Plan Received _ Not Required _
- Updated 4102
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA124651
Date Issued:07/08/2014
Permit Category:ePermit
Site Address: 500 Waveney Ct
Lot:12 Block: 2 Addition: Coventry Pass 4th
PID:10-18403-02-120
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Heather Winn
21210 Eaton Avenue
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 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 -
Elizabeth A Krocheski
500 Waveney Ct
Eagan MN 55123
(612) 703-6093
Controlled Air
21210 Eaton Ave
Farmington MN 55024
(651) 460-6022 X253
Applicant/Permitee: Signature Issued By: Signature