508 Waveney CtPERMIT
City of Eagan Permit Type:Building
Permit Number:EA127539
Date Issued:10/06/2014
Permit Category:ePermit
Site Address: 508 Waveney Ct
Lot:14 Block: 2 Addition: Coventry Pass 4th
PID:10-18403-02-140
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
George S Bergh Iii
508 Waveney Ct
Eagan MN 55123--397
Applicant/Permitee: Signature Issued By: Signature
INSPECTI4N RECORD
.dITY,OF EAGAN PERMIT TYPE: r~ i? ~ oar;
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
• . ~ ~ ; 4• • , ~ , ~ , I N~ C ~IF
PERMIT SUBTYPE: TYPE OF WORK:
,1;::
• rli tl
INSPECTION DA • DA
i r! Aff r: I r+iM ; I P1A I
"i lit+ii ,.I.i • t~P~ i i:ii1 I rol, P I I! `f !'I ~ICqI: I Y•f+.
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Permit No. Permit Holder Date Telephone #
S/W
PLUMBING
HVAC
ELECTR ~~Q
ELECT Q
Inspection Date Insp. CommeMs
Footings I
Foundatian 3 43
Framing
vv
Roofing
Rough Plbg. , ~ IA/~
UL~
Rough Htg.
Isul.
,
FireplaCe 11-7193
Final Htg.
orsat Tesi (~,Z S
Final Pibg. 0~~) ~ Plbg. InspeCtor - Notify Plumber
Const. Meter Engr./Plan
Bldg. Finai /~7 - z
Deck Ftg. •
Deck Final
Weri
Pr. Disp.
yO-4 ?11
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: '
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued: ~
(612) 681-4675
SITE ADDRESS: APPLICANT: -
~ i;•• ~~i . t f" , ~i•~~. i ~ n~~
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION
„ . ,
F
~
L
Permit No. Permit Holder Date Telephone #
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Uate Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Flreplace
Final Htg.
Orsat Test
Final Plbg. Plbg. inspector- Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final
Dedc Ftg. ~
Deck Final leZf/
Well
Pr. Disp.
9M~ 020? ~ 17a/5 f ~ ~.s
Request Dale ire No. Ra h n Inspecfion NOTICE: Vou Mus[ Gall 91
prical i tor
8^ ~ i~ ~ H A Rough-In Ies ? No Is Required.
I~ iicensed contractor ? owner hereby request inspection of above ctrical work cro
Job AdOress (Street, Bo~ROUte No.) l:Tq/LX.... . Ciry qA~ ~ $
Sectian Na. Tawnship Name or No. Renge No. Cou
Occup (PRINT) Phone No.
Power S lie U~L- Atltlress
r
Eledrical ConVaqor (COmpany Name) Conlreclot's Liwnse No.
MailingAtldress(Contffjt&vnEcU&MdoniNC. CA00381
$100-225TH 8T. W., FGTN., MN 55M
Aulhonxed SignaWre ( dor/Owne aki,g Installatio P~one Number
MINNESOTA STATE BORSIDDKECECTIIICT' THIS INSPECTION REQUEST WILL NOT
Gtlggs-Midway Bltlg. - Room 5-173 BE ACCEPTEO eYTHE STATE BOAFD
1821 Onivemity Ave., SL Peul, MN 55104 l1NLESS PROPER INSPECTION FEE IS
Phone (612) 64124800 , ENCLOSEO.
~~5/y.~_
M 02080. ~
Request Date ire No. Roug ~n ection NOTICE: You Must Call Electrical Inspector
~~q _q 3 Requi ? If A Fough-In Inspeqian
Ves ? No Is Racuired.
IAlicensed contractor ? owner hereby request inspection of above electrical work af:
Job Address (Sfiree1, Eaz or Roule No.) Ciy
• a o..v a o'- V,)
Sec[ion No. Township Name or No. Hange No. Counry
OcCU ant (PRINT) Phone Na.
E~
Power Supplier Address
o... a. G ri C.
Electrical Contractor (COmpany Name) Con[reclor5 License No.
Mailing Address (COntractor or Owner Making Installation)
pTIEB ELECTRIC. INC. CAMM
ANhorized SignaWre (CoMradod II r ~ ~aa A!~ Phone Number
•o.rw
MINNESOTA STATE BOAflD O LECTPICITV THIS INSPECTION REQUEST WILL NOT
Grlygs-Midway Bldg. - qoom 5473 poM1 8E AGCEPiEO BV iHE STATE BOARD
1821 University Ave., St. Paul, MN 55/04 ~ nU^ UNLESS PROPER INSPECTION FEE IS
Phone(612)642-0800 J Cr ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION 110awee-ooooioa
? See insUUdions br completing ihis form on back of yellow copy.
p~ n
02080, ~l "X` Be/ow Wark Covered by This Request
ew Add !i p. TypeofBuilding AppliancesWireO EquipmeniWired
Home Range Temporary Service
Duplex Wa[er Hea[er Eledric Heating
Apt. 8uildinq Dryer Load Management
Comm./Industrial Fumace pther (Specify)
Farm Air Conditioner
Other (specity) ConVaclor's Remarks:
Compute Inspection Fee Below:
# Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Pee
Swimming Pool 0 to 200 Amps 0 ta 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
SignS Inspector§ Use Only: TOTAL 50
Irrigation Booms ~ ~
Special Inspection f ~ G
Alarm/Communication THIS INSTALLATION MA OR D DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MO S.
I, the Electrical Inspector, hereby Rough-in oate
certiiythattheaboveinspectionhas f
been made.
OFFICE USE ONLY
This request voitl 18 monms fmm ,
Address 508 WAVENY GO7RT Zip 5512 3
IAt, 14~ Blk 2 Sub CUvENIKY Pf1ss 4nH THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION.
Date: /O o7~ ~ Yes No Inspector:
Final grade (6" from siding)
Pennanent steps (gazage) ?
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seedbd grass
TraiUcurb damage ?
Parch
Basement finish ~ Gd
Deck
Pleaseverify with the builder the removal of roof [est caps from the plumbing system and the shutoff oF water supply to
the outside lawn faucet before freeze potential exists. ContaM engineering division at 681-4645 before working in righhof-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contractor Copy - ~
PERMIT jl /~-3y .
CITY OF EAGAN
3830 Pilot Knob Road PE'RMIT TYPE: Buz uMNIG
Eagan, Minnesota 55123 Permit Number: 021624
(612) 681-4675 Date Issued: 0 8/ 0 3/ 9 3
SITE ADDRESS:
508 WAVENEY CT
1.07: 14 BLOCK: 2
COVENTRY PASS 4TH
P.T.N.: 10-18403-140-02
DESCRIPTIpN:
B,trYlding-,Permit Type SF DWG
Bu~.ld'i.ng [>t~rk 7ype NEW
A BG Dacupartcya R-3 M-i
~ Canstruction '6pe VN
zanirtig R-1
Huild3ng LsngtFi ~ 58
! BuYlding WidtM ~ 35
` r
o-
•--~,~J
`
.
1 {4
REMARKS:
S&W CONTRACTDR - VALLEY PLUMBING
FEE SUMMARY:
VALUATION $129,000
Base Fee $791.80 MISC FEES $1.744.50
Plan Review $4$1.65 Total Fee $3,781.65
Surcharge $64,50
SAC $750.00
SAC % 200
3AC Units 1 -
5ubtotal $2,037.15
CONTRACTOR: - Applicant - ST. I.IC. pyyNER:
ROT7LUND CO INC, THE 15710304 0001335 ROTTLUND CO THE
5201 E RIVER RD 5201 E RIVER RD 301
FRIOLEY MN 55421 FRIDLEY MN 55421
(612) 571-0309 (812)571-0304
X hereby aeknawledge tha•t I have read this applicaCion and state that the
intormatiort is aorrect anci' agree to cam•ply with ali applicabie State af Mn.
, Statwtes and' City af Eagan Qrdinances,
L ~
--x
APPLICAN7/PERMIT IGNA7URE ISSUED B: SIGNA RE
INSPECTION RECORD
CITY OF EAGAN PERMITTYPE: eurLornts
3830 Pilot Knob Road Permit Number: 021624
Eagan, Minnesota 55123 Date Issued: g 8/ 0 3/ 9 3
(612) 681-4675
SITEADDRESS: Lor: in BLOCK: 2 APPLICANT:
508 WAVENEY CT ROTTLUND CO INC, THE
COVENTRY PASS 4TH (612) 571-0304
PERMIT SUBTYPE: TYPE OF WORK:
SF DWG NEW
D• . .A
FOOTING FRAMING
INSULATION FINAL
FIREPLACE
REMARKS: S&W CONTRACTOR - VALLEY PLUMBING
F . - ~
. _ : ~
L
REA&TIVATE _ CITY OF EAGAN PERM[T ~"vJ'EU 993 BUILDING PERMIT APPLICATION
o~ l~(J-. t 1.. 2 8 W3 681-4675 E-4-k1J-uQ -7 7~i ~a S
? f
SINGLE & MULTI- 2 sets of plans, 3 reglstered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of arthitectural 8 structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penaity applies: 1) when permit is typed, but not picked up by last working day of month-
fn which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Yaluation of work qOO
Site Address: S~S cobutr~l G+-
SiREET % SUITE /
Tenant Name: (commercial only) m1*4! KUF±{Cmd Co• xkG .
1~ BLOC&Z S~u~t ~ Y.I.D. M
Descri tion of work: SiM~~G l
The appl i cant i s: OVoner Ccrr5Ttira4tor ? Other (Deacribe)
Name---4 he , r" Ce9 G. Phone 571-o O
Property LAST FIRST
Owner Address M12( E 12~u~r *30/
STREET STE M ~
City State Zip S'.f421
Company Sa.#AA- Phone
Contractor Address License #1.33s Exp.31
City State Zip
ArchitecU Company ~ IA-- Phone
Engtneer Name Registration #
Address
City State Zip
Sewer & water licensed plumber hi-ArA Processing time for
sewer & water permits is two days once ar has been app ved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicabl State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY ,
.
BUILDING PERMiT TYPE
? OI FoundaLion O 06 Duplex ? il Apt:/Lodging ? 16 Basement Finish
2102 Sf Dwg. 0 07 4-Plex ? 12 Multi. Misc, O 17 Swim Pool
O 03 SF Addition 0 08 8-Plex ? 13 Garage/Accessory ? 18 Comn./Ind.
? 04 5F Porch ? 09 12-Plex ? 14 Fireplace ? 19 Cortm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. p 15 Deck ? 20 Public Facility
O 21 Miscellaneous
WORK TYPE
tK31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
O 32 Addition O 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) V- N Basement sq. ft. MWCC System VES
UBL ~Allowable) V- ti lst F1. sq. ft. City Nater YGI~>
ccupancy R-3 rn-~ 2nd F1. sq. ft. PRV Required
Zoning Sq. Ft. total Booster Pump
M of Stories Foatprint 5q. ft. Fire Sprinkler
Length On-site well Census Code ~
Oepth 35' On-site sewage SAC Code 01
t
APPROVALS j
Planning Building Assessments
Engineering Variance
REGIUIRED INSPECTIONS
~
O Site ? Footing ? Framing ? Insulatfon
? Wallboard O Final ? Draintile ? Fireplace
129, c~o o'-
Permi t Fee v.iusc;d+: S
Surcharge , ZNfl ,F~oo,a;
Plan Review C,3ox2p~ 6c~ l-----
License
MWLC SAL z xio.~ (zn) Z~KZf3s 79y
City SAC 58o x<6= ~f Zgp I%2K13~/z~
Water Conn. 'gSMtT:
Water Meter glo y~ Sy'
Acct. Deposit 7-13 h Z-g c'7dy
S/W Permit o~-o x /Sc ,300 ~f 3 Nl ~
S/W Surcharge ~
Treatment Pl. /n8y x is= ab~
Road Unit Park Ded. 064
Trails Ded. gsm?: ~ogU
Copies
Other lyt! 8
Total:
SAC % 10p t~ °2 X 5`I = S`''y
SAC Units _L
* * 2422 Enterprise Orlv-:
~ Mendoto Heights, 61N 55120
* ~(612) 681-1914•Fox 661-9488
y PIONEER LAND SVH~EYaR+ • CM~ L~GINfERS II..__~__-.~-.-_ -=~T^`=
T - ~ UND PWdNERS • UNDSCAPE !Ji(31;TECTS [612) (yz5 Hiqhwop 10 Northcost
engineering sioine, MN 55434
11
* * 7~r 783-t880•Fox 783-7883
4
• Certificate of survey for: The Rottlund Company Inc.
~ Nouse Address: Waveney court Eaaan. MN
Model Name: Fdirwo
OJ ~ ~
G a~ pg a~ ~~L~p64 I
l---~ f 0~ es.s ~
S
e142 03oiW ,
~V CO°
~~7 ~ aso.o bl0.2
Fvo, z 904_0 ~ 3
~ ~ i
~O' y ~ ~ h CD
O ^
cQ<~
}y e M1C' ~
. 891.0
V h / ~
z y
'~~89o./~B`~t \ ~ r
\
4,
Z
p)~iS~
9O
14 i 9
~
15 B
/ y
/ 16
~ ~ GAPi~ ENGIKE
/ ERIIdG DEPT
i \
: 900.0 Denotes Existing Elevation PROP05ED HOUSE ELEVATION
= 9~o Qenotcs Proposed Elevation
- penotes Drainage & Utility Easement Lowest Floor Elevation:884_OS
Denotes Drainage Flow Direction Top of Block Elevation:892.16
--o- Oenotes Monument Garage Slab Elevation:891.83
-a- Denotes Offset Hub gearings shown are assumed
LOT 14, BLOCK 2 COVENTRY PASS
oAKOrA couNn, MINNESOTa 4 TH A D D I TI 0 N
1 hsrobY certily shac tMs survey, plan or report wes pre ed bY m ordirect :uperv(sion anJ lMet I am Euty RapislereA LanA Surwyer
i
Yndcr thG I>.+n of the StOCe of Minnemle, Da[ed Nif ny of A.D. 19
Scale: 1,nh=30't
ERT p. SIKICN L.S. F G, NO. 3<B91
1~ LOT BIIRVEY CBECRLIST FOR RE32DENTIRL
10 ~ BUILDIN PERMIT APPLIC ION
PROPERTY LEOAL: ~
<
~ 4c ~ Date of survey:
DOCUMENT BTANDARDS
0 0 • Registered Land Surveyor signature and company
0 ? • Building Permit Applicant
0-/? • Legal description
? L!' 0 • Address
0--0 0 • North arrow and bar scale
CA-~ 00 • House type (rambler, walkout, split wJo, split entry,
lookout, etc.)
D'~? ? • Directional drainage arrows with slope/gradient 8.
? G1~D • Proposed/existing sewer and water services
0 • Street name
v? • Driveway
ELEVATION6
Existina
0 w' 0 • Sewer service
r 0 0 • Lot corners
0-/0 • Top of curb at the driveway
? Cd ? • Elevations of any existing adjacent homes
~
Prooosed
~ 0 ? • Garage floor
~ ? ? : First floor
0 ? Lowest exposed elevation (walkout/window)
D 0 • Property corners
0 0 • Front and rear of home at the foundation
PONDING AREAS fif acollcablel
D Ca' 0 • Easement line
? 0-~ ? • NwL
0 C~ 13 • HWL
0 C~ 0 • Pond # designation
0 Q~ D • Emergency Overflow Elevation
DIMENSIONB
~ D ? • Lot lines
"r 0 0 • Right-of-way and street width (to back of curb)
? • Proposed home dimensions including nny proposed decks,
overhangs greater than 21, porches, etc. (i.e., all
structures requirfng permanent footings)
~ 0 0 • Show all easements of record and any City utilities within
those easements
$ 0? • Setbacks of proposed structure and setback of adjacent
existing homes
? 6~ ? • Retaining w equ't s , if any
Reviewed• ~
Nam / Elcyte
OCtobei 1992
F!c~er„or+ i•:NVr1,rn•r: nvr:r,nr,r: c.uhrrirrn•riOu _
oNn ER
SrTE ADD4~-5
CoxTRac:o:, KoT7L(J1Jp c-O DnTF. niik)KE
` Determin vorkinr; squnre footni;e of ench.
1. Total exposed wall area sq. ft. x 0111
. • 2. Total roof/ceiling area 9C7 sq, ft. x 8.,026
•
~ Total exposed wall arca nbove floor = G:31 pq,'O
a. Total wall windov area 13 2,
~ b. Total door area ~)e. -7
c. Total sliding 61nss door area 54?,f '7
d. Total fireplace wa.11 area
e. Total wall framing a;ea (average 10l) ~
f. Total net wall area nbove floor (o •
g. Total rim joist are2
Total exposed fm:ndation arr.a h. Total foundetion vindov a:ea a
' i. Total net foundation a:-ea fibove grade ~ • Determine "U" va1Le o; each wall :,Fgnent_
8. l82,'S x ,:u,. 0,42 = 7C~.77
b. 39~p.71 x,.U,. 0,~3~ = 5,3~ ~
C. 59, 47 X„U„ 0,4-7- _ 25.18
d, - x
e., 57 x.l.Ull Q,Q~jq - 74&
f. l~o~i7.QS x.,u,. o_of- 3
. a. z r (o. ~ X .,ij„
h. 451 5 X~.t,ll
X„U„ 2°o
3. .cot.~., = r. doDl
O~-
. If item N3 is.the sarne as, or less :.h:,n .iLCm N1, yoti navc tnet the intent
of SBC 6006(c)2.
'
Totnl exposed roof/ceilinc arez = `D G v
' \ . . ~
Total gross roof/ceilinr, area =
J. Total skylieht area
k. Total roof/ceiling framing area-
1. Total net insulated roof/ce3ling area
Determine "U° vnlue for cnch ruof/ccilint; se{ncnt.
, . olu,i
.
k: I o~l x„u„ o,oz -7 = Z;9df '
1. 9a ~ x„U„ o.ozZ = z~.ss L . Total
If total oP Bk is the same as, or less than N2, you have met ttte intent of
sBC 6oo6(c)i.
. To utilize the total envelope system method, the values establi-rhed by the
sum of items X3 and 94 shall not Le greater.thKn the sum of iten:s ,91 and N2.
1. + 2. -
' 3•. + k. _ _ •
. .
• , r.
• . . . . . .
0
- ° ~
.=UkW~ 6Al-Gi,}t-ATIDW~7 ~GoNT~.
WAl-l, G~ ~IN~ILA11~
LOMPOh{~N~ . ~-~IALUE
i l1 01.((?L-ADE AIfz FiLM
2
- ~U -.i{rkTHIN(,
3
- -~%y lNSUI.A~ict~4• I q . o '
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t -
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p~N• yl~lnt. . u_ r~ o. ob9.
~L
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v ~ I~.-i~~~._~.(.M ~7. Z G-•
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~ - ~ -
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i're:ueti^E:d Forw Pr-Npeai^eacl }s;/:
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f-"l_ARE:: hfFiCH7]:NiCd
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4R~.R i '<?4> ;5C>S :i~?: i:.>E3! fRt 141 41 252:
C:i71;11..T1Vli . abi:; 692i 11 6oE'.22i 421 17 5-Z3 i 4~ 91672i
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1-ff-.:fl7:LEVCi 1 2,2565 2,1111 2,4e3h1 2S4:l-5l Aiil AOI 5,2961 14,,649i
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Vwnti.]at,ian Lacui 935
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In•Fi.1,i'.ratition Laimd
SF?nsible Safety Ett.uti • 4147
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aumtnkaip RCii 4.04 Telnq. tiw:i.ng I'1i.tit. ]..t)0
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Tn•F11trHtian Lc.-jrad .a,Ei:7 ~ Venti3ra`.iGn, i_qad 4,95t?
L14cct Naa•t Loss ia 5a4ety BL•i.ih ~,Slb
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Pr cp~.aP'od FGr C PrE?rsar°ed FJy e
RC7'f'fl..UhJD (.pMP(-1NY T:CM 1..61UI)PdF".f't
FI._F1RE Fil_AT [Nf:y
, :lcst~ Nz~~»»~:
C)EeEiIC7i'.I CE]N1)T'I:CL')itiS foY
Ci}.17T.}f]L'fF: ;I flIbUOR
filiMhllcFi WIP•I7E_R S;L;NIMCf2 WIId7'FR
t?N"y E{tAlk7 92 -20 75 7C>
EJC-•t, BUltt Ta 67
f}<:+ily f;at3S7t? 22 Da.i.'.ly SW.in4
I..ati.tt.ic:e 44 Eleva'L'ion 222
:3:ar}'ety F'ar.. t.C>r- t ) :i;
LaL'enY 1=.stic:tov t'% ) <-i
Srzns.iblc:.
Ftaana I•aaatinc, hloa•ti.ng CnoAfng C.G47.].tlg
Narric? ET±Jf-i C;FW{ ksT'1.3H CFk'l
Ct'eiWl SpcI:CE 12,61:: 176 1,444 7Z
Liaswment 10r364 145 2an42 12Ei
Fc,yer 4,216 :`S~'I i,::a: 4 77
ki.teften 9,381 1l1 :j,OcE4 255
Lxv.inp/Oirt.in9 f3.Eo40 12I, 5,670 ^F31
k~Edi'ncim 1 'Z,~,~'7:2 ~6r? bE36 ~4,°,;
Rcithiroom 4 118 e4
E+EaCI l^C>cirtl 2 y 90£7 27 1,304 66
2Gt4.17 154) 2 71 4
b~.+cJr°r~c~m a 2,290 3:e'. f,:.s~~'O 71J
5<?qe3r9 739 191agz 1,909,
I°IE'ri7:I:kVG DEL"fA 'i" F>a„C) C;C1C!l..TNG i)F:L'f"Fi "1" 18.0
as{~ rc rc c~-.~.aw ck 3'e ` ns ~ 5~ x
g g
lt.
:F39 'ES° 3 o2u£A~ .
~ y~6' Y,~ 3~.zU~~ t &
L kP .x.nS a..b. nei $?3a' , 3'sY.. 'x'Nm ~~.6i'~~~ • ' ~ ~
1993 PLUMBING PERMTf (RESIDENIIAL)
CITY OF EAGAN
3830 PIIAT HIdOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUII2ED FOR EACH UNTf.
NO. FIXTURES . EACH TOT~-
t SHOWER 3•00
3_ WATER CLOSET 3•00 C%, -
BATH TUB 3.00
LAVATORY 3•00
t KITCHEN SINK 3•00
~ LAUNDRY TRAY 3.00 ~ -
HOT TUB/SPA 3•00
~ WATER HEATER 3.00 3 ,
' FLOOR DRAIN 3•00
~ GAS PIPING OU'TI.ET • minimum -1 3•00 "
3 ROUGH OPENINGS 1.50
WATER SOFTENER 5.00
PRIVATE DISP. • Dercry. uc. 15.00
U.G. SPRINKLER - nome uneer owwt. 3.00
ALTERATIONS • to ausung 15.00
WATER TURN AROUND 15.00
STATE SURCHARGE .50
TOTAL:
STTE ADDRESS: S~8 LJa'J(A~-~ C~
OWNER NAME:
INSTALLER: V Q~ 1c Q(~. ~~-•ADDRESS: ~ a l c) C-l2t' ~L U
C1TY: So t d/-• STATE: ZIP CODE:
PHONE
SIGNA PERMITTEE
~N~ L
RECEgy~`
W A
'N~ fs
~fi sey v a e' ~ As3S ~Sy')ES ! $ Si f :E36
b = . i` ~ "'~t~'v~b"~rz TJ,A,'~ .E~ ; 5
~rK~ 1~Hr'~~"~~ . M'~w wa 4 . :.~x.~.w.w <..u... €s':4a..s.~.8k. e..u,r.,«&'~5 ..~.3e~'{a s_aau n .n . a. ,
1993 MECHANICAL PERMIT (RESIDENTIAL)
C1TY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN 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 OLJTLETS (MtNIMUM 1 @ $3.00 EACH) zsl
ADD-ON(REMODEL (EXiSTING CoN57RVCr1ox) $ 15.00
STATE SLJRCHARGE .50
Tara,r_, a~ ~a
STTE ADDRESS:
OWNER NAME: TELEPHONE
INSTALLER: ~\'U`~ ~ %s ~~L--
ADDRES3: q''-~''~ ~\v.~~~N~4N
CITY: STATE: ZIP CODEL~:~__A_
TELEPHONE
SIGNATURE OF PERMITTEE
PERMIT Cl ~ kzi
CIT1F OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: Eagan, Minnesota 55123 Permit Number: 023194
(612) 681-4675 Date Issued: 0 3/ 31 / 9 4
SITE ADDRESS:
508 WAVENEY CT
LOT: 14 BLOCK: 2
COVENTRY PA55 4TH
P.I.N.: 10-18403-140-02
DESCRIPTION:
,
B~ildinq-, Permit Type DECK
Building Wd,rk Type NEW
;'Building Length 12
f Building Width 14
l
REMARKS:
FEE SUMMARY:
Base Fee $30.00
Surcharge $.50
Total Fee $30.50
CONTRACTOR: - flppliaant - sT. Lzc. OWNER:
NEVILLE CONST, R0D 14560260 0005424 GUMINIAK CHUCK
3607 SUNWOOD TR 508 WAVENEY CT
EAGAN MN 55123 EFlGAN MN 55123
(612) 456-0260 (612)681-0651
. I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable 5tate of Mn.
L Statutes and Eity of Eagan prdinances. J
iaAP4P3ji d~~ `r~1A /PERMITEE SI ATURE ~SSUED B: SI NATURE
~
INSFECTION RECORD
CITY OF EAGAN PERMIT TYPE: B U I L D I N G
3830 Pilot Knob Road Permit Number: 923194
Eagan, Minnesota 55123 Date Issued: 0 3/ 31 / 9 4
(612) 681-4675
SITEADDRESS: Lo-r: ia BLOCK: Z APPLICANT:
508 WAVENEY CT NEVILLE CONST, R00
COVENTRY PRSS 4TH (612) 456-0260
PERMIT SUBTYPE: TYPE OF WORK:
DECK NEW
INSPECTION . .A
FOOTIN6S FINAL
I
_ . . . . . . . . . . _ . . ~
~ . . . . . . . . . . . ~
- ' • CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
23194 681-4675 3 0 195#
3~30,~p
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 Val uati on of work o
Site Address: S~ $ G,yJ-at~
STREET SUITE k
Tenant Name: (commercial only)
LOT _J~_ BLOCK SUSD. #
7 fv
Descri tion of work: nlzpk
The applicant is: ? Owner a Contractor ? Other (Uescriba)
Name ~r,A44nA-4,~_ 6kcu~ Phone 6871-065 ~
Property LAST ~ FIRST
Owner Address 50_57
STREE7 STE li
City t-~ State if1a~ ZipSS~.2 3
Company 070 /U Y' Phone el~,2-096 :2-
Contractor Address 3&0 ~ 5~-a~g Tlt , License #00054/,Zy Exp. 3-3r-9S
City fe4z" State Zip ss/~ 3
Architect/ Company Phone
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 all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
h~'
a .
2422 £nterpASe ~rNm
tdendolo Heights, 1dN 55120 (612) 681-191d-Fax 681-9488
-k IAND PLnnNEHS^ tANDSCAPE IJi0717EC75 625 Highwoy 10 Norlhcost
e~g~r~eer~n9 etnioe, MN 55434
* * 1(612) 783-1880•Fox 783-1883
• Certificate of Survey for: TFIe RattIUf1C) COf71pQr1Y In-_c.
House Address: Woveney court Eaaan MN
Model Name: Fnirwo
13 I
G g~ ~g a' 4~Ltfeo I
s<ec,n,-, S 13;3¢4
r- _ ~a. 142.p3 1w I
904A,
?Op o ~\7' / ~ ~ ~n ' CO
98~ Q~ o, ho- < 7
*e~, P~ U)
/ S4\ ~ ~ c ~ J m~'~ ,,r'~ya,p
88.
JS\ ~~I y~. h4t~ y~~ P~'
~ M1 891.0
p) 4O
~ P,) .
r ,
~ Rl~sS! \ ~i~ \ 2wQ Z
Q \
14 19
~
p,
Bv ~
16 n ~
i ~ GAN\ tNGINEERING bEpT
< 900.0 Denotes Existing Elevation PROPOSED HPUSE ELEVATION
,s 9ao.o Denolcs Proposed Elevation Lowes# Floor Elevation:884.05
penotes Drainage & Utility Eusement Top of Block Elevation:892_16
Denotes Drainage Flow Olrection Garage Slab Elevation:891.83
Denotes Monument
penotes Offset Hub Beorings shown are assumed
LOT 14 , BLOCK 2 COVENTRY PASS
OAKOTA COUNlY, MINNESOTa 4 TH A D D I TI 0 N .
1 h¢febY <CrtiW lhat tMs survey, pl8n of repor{ w0e P+e ed by m or ~ der mY direct supervi(on and Lhat I am duly flep7slered LeM Suneyor 11
yodel ehe lawa of [he $[ata of Mlnneeots. Deud tAleay ol --A•D• 19fj
i •
Scal e. 1 t„~t,-30feeF FRTO.SIKICMI..S.PEG.N0.74B'~1
L I~, BL arr use oNLv I~ I 1~
RECEIPT `
SUBD. ~~l 1J P In.~ t~lkS S RECEIPT DATE: I O" r I
PERMIT # -~)g
1999 PLUM$IN6 PERMTP (RESID£NTIihL)
crrYoF gwsaiu
S$SO PILOT KAOB itD
SA?fiAtN, MN 55122
(651) 681-4675
Please complete for: D single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES EACH # TOTAL
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas i in outlet ' minimum - 1 3.00 x = $
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x = $
Laund tra 3.00 x = $
Lavato 3.00 x $
Minimum fee alterations to existin dwellin 30.00 x =
Private Dis osal S stem new/refurbished ' re uires MPC iic. 75.00 x = $
Private Dis osal S stem abandonment 30.00 x = $
RPZ new installationlre air 30.00 x = $
Rou h o enin 1.50 x = $
Shower 3.00 x = $
Under round s rinkler if dwellin is under construction 3.00 x = $
Under round s rinkler if existin dwellin 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener if dwelling under consUUCtion 5.00 x = $
Water softener if existin dwellin 30.00 x = $
Water turnaround 30.00 x _ $
State Surchar e .50 $ .50
TOtal ~
Reminder: Cail for inspections of alterations, i.e. water heaters, water softeners, etc.
I hereby acknowledBe that I have read this appliption, sfate that the infortnation Is correct, and agree to comply with all applicable City of Eagan ordinances.
It is ihe applipnCs responsibiliry to notity the property owner that the City of Eagan assumes no Iiabilily for any damages puseA by the City during ifs
normai ope2Gonal and maintenance activiGes to ttie facilides consWCted under this pertnit within City propertylright-of-wayleasement.
SITE ADDRESS: d A e
OWNERNAME::C4YI'2S GI.~m, v1, C,- TELEPHONE#:
(AREA CODE) .5-U 'a. U U
INSTALLERNAME: I C~ lG ~l ~ 1~ TELEPHONE#: b/2 -?1Y-7y72-
q n p (AREA CODE)
STREETADDRESS: Cn_J- 1Jttfu~Sv:I/p ( I'Ck/JO
CITY: ~4 f ?IS hc~~-P STATE: U4; V" ZIP: SS
SIGNATURE OF PERMITTEE
CTTY USE ONLY
LOT BL RECEIPT#:
SUBD. .Q V& SS RECEII'T DATE:
MECHANICAL PERMIT #
1999 M£CHANICAL PEtMTf (RESIDENTIAIa
crrY of ewsM
3$30 PD.OT KNOB fiD
ensAiv auv ssi 22
~
Date: C19 (e51) 681-4675
Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under
construction and not owner /occunied.
• HVAC: q-1 OOM B T U R 30 00
ADDITIONAL 50 M BTCT 6.00
• Gas outlets (minimum of one required @$3.00 ea.)
State Surchazge .50
Total $
Complete this section onfv if you are remodeling, adding to, or repairing an existing single family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
_ New V Alteration Repau _ Other
Reminder.• Call 681-4675 for irrspections.
_ Fumace _ Air conditioning
_ A'u exchanger ~ Other 1k rnYT+ ~~-dY1Cg~~ J
~~I~es
$ 30.00 I ~
State Surcharge .50
inimum Total Due $ 30.50 U(~~
SITE ADDRESS: v~JQ I~~ O ~
OWNER NAME: PHONE
~ G_ PHONE A Cl Z~
INSTALLER N
STREET RESS: ~GZJ ~l CODEI
CITY- ~ STATE:M f) ZIP: 5533~
SIGNATURE OF PERMITTEE
• I . 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
~ 3830 PIL'OT KNOB RDN 55122 C)- S0
651-681-4675 1 U- 1~- 9
New Confiuctlon ReauhemeMs Remodel/Reoalr Reaulremenb
r 3 regisfered stte surveys showing sq. k. of lot, sq. H. of house 2 copies of plan
and gU roofed areaf (20% maximum lot eoveraae allowed) 1 set of energy calculaHons for heafed addiHons
> 2 coples of plans (show beam 6 window shes; poured Ind. design; efc.) 1 fMe survey for exlerior addMlons a decks
? 1 sef o1 energy cakulWlons
D 3 coplea of hee preservWion plan M lot plaHed aMer 7/1/93
DATE: CONSTRUCTION COST:
DESCRIPTION OF WORK:
STREEf ADDRESS: cz
U ~
LOT: BLOCK: SUBD./P.I.D. C
Name: v vvi i bfi U Phone ~J11
PROPERTY LOst Fi"t
OWNER Sfreet Address:
City StaFe: Zlp:
Company: Q-`hone
(area code)
CONTRACTOR 2-o G /
Street Address: 7D e c-. ~ License # zoo ~f / SzBExpI7^rT0
Ci{y State: Zip: ~
ARCHITECT/
ENGINEER Company: Name:
Telephone area code ( )
Street Address: Registration
City StaFe: Zip:
Sgwer 8 water Ilcensed plumber (reautred for new eonsfrueHon onNl:
Penalty applles when,address change and lot change is requesfed once permH is issued.
I hereby acknowledge thaf I have read lhis appllcaHon, sfate that the infor :lon i oRect a e o comply w applicabl
10
Stafe of Minnesota Statufes and CNy of Eagan Ordinances.
Signature of AppllcaM:
OFFICE USE ONLY
Certificates of Survey Received _ Yes x No OCT I I--
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-piex ? 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 S-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
0 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
~2 Addition ? 36 Move Bldg. 0 40 Gas Insert ? 44 Windows/Doors
,33 Alteration ? 37 Demolish Bidg.' ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
' Give PCA handout to applicant for demofition permit
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code L/ 3y
(Allowable) Main level sq. ft. SAC Code ~ s
UBC Occupancy sq. ft. No. of Units ~
Zoning sq. ft. No. of Bldgs _0
# of Stories sq. ft. MC/ES System
Length sq. ft.
Width Footprint sq. ft. j
~
APPROVALS ~
Planning Building
, c,.rrY c.,
r.1~H:C::f?a ~5 Ip-~<i+ltdr,~_ tar~~ `':~.s:3 I
PermitFee c0.S0 Valuatie
Surcharge ,
Plan Review
License f:r?c;ilG;fl'G= C;QNFil'Gil..)C.°1.if'hr,:I:P!C. I
MC/ES SAC .
CitySAC _oc? ;=~r-r,;r-N E 3 o13 '
. °i..°.iJ 9=.101. ;`iC1ii?
Water Conn. '.-AVLi.il..i.Y ';'1'
Water Meter ~
Acct. Deposit .
S/W Permit S/W Surcharge I Treatment PI: Park Ded. '
Trails Ded. '
Other ;r..:~,i.; . 6•!:~.~a I
Copies
J v.,
TOtaI:
:•,rw, y .-0,~ . . . . i -.v . ~:;n.. I
SAC Units
°k SAC '
I( RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN n
3830 PILOT KNOB RD, EAGAN MN 55122 ~~U!
651-881-4675
Naw ConsWction RenuiremeMs RemodellReoair Reouirements
• 3 registered s@e surveys shovring sq. R. W lot sq. il. of house; and all roofed areas • 2 copies of plan
(20% maximum lot cwerage allowed) • 1 set of Energy Calculatbns for heated additiom
. 2 capies of plan shmving beam & window s¢es; poured found design, etc.) • 1 site survey tnr exlenor addNOns & decks
• 1 set of Energy Calculatbns • Indicate H hame served by septic sys(em for additions
. 3 copies of Tree Preservation Plan'rf lot platted after 711183
. Rim Joist Detail Optioris selec%on sheet (bidgs wilh 3 or less unifs)
DATE 5~ ^0 ~ VALUATION 53LD ~
SITE ADDRESS ~Og 1A)AVGnGy GMULTI-FAMILY BLDG _Y _ N
TYPE OF WORK FIREPLACE(S) _ 0_ 1_ 2
APPLICANT 4#4UllIAc~ G-
STREET ADDRESS ~L~Ob S~~ CITYi(~q $ 40-STATE MN31P SYVZg
-19
TELEPHONE #7:fib3-53 7-1/l' CELL PHONE # FAX #7103-~37- S'D0
PROPERTYOWNERI 1" rtf- 5 l9urNiA;cZL TELEPHONE# 65-I'691`065-1
COMPLETE TH15 SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category MINNFSOTA RUI.FS 7670 CATEGORY 1 MINNESOTA RULtiS 7672
(4 submission qpe) • Residential Ventilation Categoryl Worksheet Su6mitted • New Energy Code Worksheet Submitted
• Energy Envelopa Calculations Su6mitted
Plumbing Contractor: Phone #
Plumbing system includes: Water Softener _ Lawn Sprinkler Tee: $90.00
Water Heater No. of R.I. Baths
_ No. of 13aths
Mechanical Contractor. Phone #
Mechanical system includes: _ Air Conditioning Fee: $70.00
Heat Recovery System
Sewer/Water Contractor: Phone #
ly
I hereby acknowledge that I have read this application, state that the ~ fo m n is orr ct, and 77iN
with all applicable State of Minnesota Statutes and City of Eagan O di c~ c. Signature of Applicant
UDJ
OFFICE USE ONLY
By..__
Certiflcates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
RESIDENTIAL PLUMBING
Permit Application
City Of Eagan
3830 Pilot I{nob Road, Eagan Mn 55122
Telephone # 651-675-5675
Please complete for: Single Fatnily Dwellings
Townhomes and Condos when pemuts are required for each unit
DatecR /'3e /zr
Site Address s~~ z'/ &/U Unit #
Property Owner ~e'v- J p S gam f/jf Telephone #(~~}'lo 0~~f
Contractor zf/ -P,42
i /
4L~
Address ~.~P~~ L.,~ ~ ~ CitY ~,t~~e f~//
State Telephone#
The Applicant is _ Owner _YS' Contractor _ Other
Septic System New Refurbished Submit 2 sefs of plans and MPC license $ 100.00
Includes County fee. Additlonal Consultant fees may apply.
Alterations to eaisting dwelling $ 50.00
Add fixtures ro lower levels or room additions, excluding water softener and water heater
_ Abandonment of septic system
_ Water turnaround 5!8" meter if needed -$121.00)
Other:
_ RPZ _ new _ repair _ rebuild $ 30.00
_ Lawn irrigation system
~ Water softener _ Water heater $ 15.00
-x replacement _ additional
State Surcharge $ .50
Total $
I hereby apply for a Residenrial Pluxnbing Pernrit and aclmowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; tktat I understand tYus is not a
permit, but only an applica6on 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 oFwork wlilch requires a review and approval of plans.
('7~2,P ~Y2YPlP
Applicant's Printed ame' ~AppTicanYs S' ture
~~w;~ 4~ ~
2007 RESIDENTIAL PLUMBING PeRmiT aPPUCaTioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please com lete for modifications to existin residential dwellin s.
i y~
Date A~'.~ / U y~,~9
Site Street Address WP~( V~ I~~~ lr Unit #
Property Owner ~ I~„r 1UB 7elephnne 44 ~ ~
Contractor Telephone #
Addres wdc ' ciTy ~!J Y L L~ (~'+,5~11~ + p~~~~y,/1
State~ Zi ~~1-L~
The Applicant is: Owner & Occupant ?Licensed Plumbing Contractor
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Fire Repair (replace burned out fixtures, etc.) $ 90.00
This fee applies when extensive plumbin repairs are made to a buildin .
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures to main level lower level. This fee includes
installation of a water softener and/or water heater at the same time. !f you are
installing onrv a water softener and/or water heater, do not complete this section;
move to the next section and place a checkmark next to the appliance(s) you are
installing.
_Septic System Abandonment
_Water Turnaround (add $136.00 if a 5/8" meter is required)
MAY 2 9 200
other.
Water Softener Water Heafer $ 15.00
_ new replacement
_ Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total
$
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the
work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I
understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in
accorda ith th appr v d plan in the event a plan is required to e reviewe d a proved.
~
lXpplicanYs rinted Name ApplicanYs Signatu
APR/14/2014ADN 11:39 AM City of Eagan PAX A1o. 651-975-5694 P-001/001
Use BLUE or BLACK Ink
For Office U I
City of Ea an Permit
QD l
3830 Pilot Knob Road I Permit Fee: I
Eaggan MN 55122 l
II
t
Phone: (651) 675.5675 1 bate Received; I
Fait: 1651) 675-5694 I I
~ Staff: ~ A/{
2014 MECHANICAL PERMIT APPLICATION kV) J~
D Please submit two (2) sets of plans with all commercial applications. %r
Date: Site Address: ✓ V
Tenant: 4 .e0 Suite
00,
Resident/Owner Name: ~~iOI^ 4 &M fit,. , Phone:
Address/ City/Zip:
Name:'i'1 License P.
Address: V, < 21 A/ City: tra..ctor ,
C
state: -MA( Zip: Phone:
Contact: Ch !mot
ce- Z;7
Email: L✓7rf hit Q qo ,
New Replacement -Additional Alteration Demolition
Typ6`.611' Work Description of work:
NOTE: Roof rttbuntad aril ground mounted mechanical equipment b requlred to be ecrooned by City
Code. Please contact the Mephtuiica? Inspector for' Information on permitted ecreerting methods.
RESIDENTIAL COMMERCIAL
Y_ Furnace New Construction Interior Improvement
Piermit`Type -Air Conditioner - Install Piping Processed
Air Exchanger
J H _ On -Exterior HVAC Unit
Heat Pump _ UnderlAbove ground Tank Install f _ Remove)
Other
RESIDENTIAL FEES
$60.00-Minimum Acid or alteration to an existing unit (includes $5.00 State Surcharge)
$100.00 Residential New (includes $5.00 State Surcharge) TOTAL FEE
COMMERCIAL FEES
Contract VaWe $ X.01
$55.00 Permit Fee Minimum
$70.00 Underground tank Instal lationlremova 1 Permit l=ee
111 contract value is LESS than $10,010, Surcharge - $5.00 _
"If contract value is GREATER than $10,010, Surcharge - Contract Value x 50.0005 - S Surcharge'
*"If the project valuation is over $1 million, pleasc call for Surcharge
$ TOTAL FEE
I hereby acknowledge that this information Is complete and accurate; that the work will be in conformance with the ordinances and oodes of the City of
Eagan; that I understand this is not a permit, but only an application for a parmlt and work is not to start without a permit. that the work will bo in accordance
with the approved plan in the case of work which requi ea a review and approval of plans.
f
x
cant's Printed Name Applicant's Signature
FOR OFFICE USE
Required Inspections: Revlewed'Byr:.' Date:
Underground 'Rough In T Air Test Gas Service Test ln=ftoor..HeaC _ Final NVAC Screening
I• 96ed 96b998b 699 le:)"E981^1 }3!-S Wd651,1, b 60Z VI, .rdVV
•
�
Use BLUE or BLACK ink
�-----------------
� For Office lJse, �
' j Permit#: '�� � j
Clt� of �a��Il ��� � � ���� ; . . �-�� 3� ;
� Pertnd Fee_ �
3830 Pilot Knob Road ,
Eagan MN 56122 ��� � �� ���� � Date Received: � ��r i
Phone:(651)675-5675 I /� I
Fax:(651)675-5694 1 Staff: �I� I
�-------------�i � �
2014 RESIDENTIAL BUILDING PERMIT APPLICATION ����j'�
G� � �. ob�4 0\
Date: / Site Address: � W'����Y �Ti ��G�'� Unit#: \ Rr>�
/ ��
Name: � ��� G � ���i y ' 1T'�" Phone:C����`7�S'�`�9�
ResidentJ S!p°o G✓�-,i�v�� L? � ��,�v � �S �2 3
Owner address i city i z�p:
Applicant is: Owner Contractor
Type Of WOt'k Description ofiwork_ Nt�/ W�1�d�/l � ��'S� �/c-�� - t�w° "'-�iO�'�S
Construction Cost: �o��b Multi-Family 8uilding:(Yes /tVo��
Company: /��� Ow� DF /2.F;T�IC F �'`��'Cont dM O LE7� T�'(�
COtt'#r"dCtOC �ddress: City:
State: Zip: Phone: Email:
License#: Lead Certificate#_
If the project is exempt from lead certification, please explain why: {see Page 3 for additional infoRnation)
'�" �Y'/l�y'7 n^ l
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUtLD1NG
In the last 12 months,has tt�City of Eagan issued a permit for a similar plan based on a master plan?
Yes _No If yes,date and address of master plan:
Licensed Plumber: phQr�;
Mechanical Contractor: phone:
Sewer&Water Contr�tor: pho�:
NOTE:Flans and sup►porting documents that yt�r subm�t are co�s�red to be pubfic in#oa�rta#�on. Pbrtions t�f ,
the intormation t»ay be ctassified as efonyr�ubllc if yau provfde specific r�sorts i��cwld�erm��City to
conclude that ft�e are frade�ecr+s�s.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 haurs
before you intsnd to dig to receive locates of unde�ground utilities, www.nopherstateonecall.orq
1 hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and woric is not to start without a pertnit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building pennit Issued in aaaordance wlth the Minnesota State Building Code must be completed within 180
days ot permit Issuance.
X G-�/L G �" .�� GLl SL — X ls�"-c�t (�� -�L.
Applicant's Printed Name Applicant's Signa#u
Page 1 of 3
. i �'� �a✓�-� f�y-
�_��
DO NOT WRITE BELOW HIS LINE � ����
SUB TYPES
Foundation Flreplace Poroh(3-Season) _ F�cterior Alteration(Single Family)
� Single Family _ Garage � Porch(4Season) � Exterior Alteration(Multi)
_ Multi _ Deck � Porch(Screen/Gazebo/Pergola) _ Miscellaneous
_ 01 of_Plex _ Lower Level _ Pool _ Accessory Bullding
WORK TYPES
_ New _ Interior Improvement � Siding _ Demolish Building*
Addition _ Move Building _ Reroof _ Demolish interior
� Alteration � Fire Repafr �Alindows � Demolish Foundation
_ Replace _ Repair _ Egress Window _ Water Damage
_ Reteining Wall *Demolition of entire buiiding-give PCA handout to appiicant
DESCRIPTION
Valuation '� Occupancy �-�/ MCES System `"
Plan Review / Code Edition � SAC Units --
(25%_100%� Zoning �—J City Water --
Census Code �7 3�! Stor�es -�" Booster Pump �
#of Units -- Square Feet —" PRV —
K
#of Buildings —� Length _ Fire Sprinklers "
Type of Construction __�� Width --�'
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final/C.O. Required
Footings(Addition) � Finai/No C.O.Required
Foundation HVAC Gas Service Test Gas Line Air Test
Roof:_Ice 8�Water TFinal Pool:_Footings _AirlGas Tests _Final
� Framing Drain Tile
Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath �Stone Lath Brick
Insulation Windows
Sheathing Retaining Wafl:_Footings�Backfill_Final
Sheetrock Radon Control
Fire Walls Erosion Control
Braced Walls Other:
Reviewed By: , Building Inspe�tor
RESIDENTIAL FEES
Base Fee /lt 3 a'i
Surcharge
Plan Review �r � �i
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies
' TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA170990
Date Issued:07/26/2021
Permit Category:ePermit
Site Address: 508 Waveney Ct
Lot:14 Block: 2 Addition: Coventry Pass 4th
PID:10-18403-02-140
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:
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 -
George S Iii Bergh
508 Waveney Ct
Saint Paul MN 55123--397
Msp Exteriors Inc
7491 Dallas Lane N
Maple Grove MN 55311
(612) 208-6635
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA171124
Date Issued:08/02/2021
Permit Category:ePermit
Site Address: 508 Waveney Ct
Lot:14 Block: 2 Addition: Coventry Pass 4th
PID:10-18403-02-140
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation. When a weather barrier is installed or
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 -
George S Iii Bergh
508 Waveney Ct
Saint Paul MN 55123--397
Msp Exteriors Inc
7491 Dallas Lane N
Maple Grove MN 55311
(612) 208-6635
Applicant/Permitee: Signature Issued By: Signature