EA182862 - Building - Single Fam - Issued Date 05/17/2023 PERMIT
City of Eagan Permit": Building
3830 Pilot Knob ,', , ,, E Permit Number: EA182862
Eagan,MN 551222 •-•• •--°
(651)675-5675
www.cityofeagan.com * E R 1 8 2 8 6 2
Date Issued: 5/17/2023
Site Address: 1931 Covington Lane
Lot: 16 Block: 4 Addition: Berkshire Ponds
PID:10-13750-04-160
Use: * 10 — 13750 - 04 — 160 *
Description:
Sub Type: Single Fam Construction Type: V-B
Work Type: Alteration
Description: new shower system and wall surround
Census Code: 434-Residential Additions,Alterations Occupancy: IRC-1
Zoning: PD
Square Feet: 0
Comments: Improvements to the home may require smoke detectors in all bedrooms.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes(Minnesota State
Building Code).
Fee Summary: BL-Base Fee $83.50 0801.4085
Valuation: 2,000.00 BL-Plan Review 65% $54.28 0720.4222
Surcharge-Based on Valuation $1.00 9001.2195
Total: $138.78
Contractor: - Applicant - Owner:
Minnesota Rusco Brian A&Karen M Borchardt
5010 Hwy 169 N 1931 Covington Ln
Brooklyn Park MN 55428 Eagan MN 55122
(952)935-9669
This permit shall be null and void if work does not start within 180 days of issuance,or if work is suspended for 180 days or more after
started.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature ssued B : Signature
-------------i
E.CEWE For Office Use
I
Building Permit#: 182862
AIL
MAY 1 2 X023 I
®®® ® ®®®w I S&WPermit#:
LAG Permit Fee:
I I
Date Received: 5/12/2023
3830 PILOT KNOB ROAD i EAGAN, MN 55122-1810 i
(651)675-5675� FAX: (651)675-5694 I I
Date Issued: I
buildinginspections _cityofeagan.com I----------------------
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 5/12/23 Site Address: 1931 Covington Ln Eagan, MN-55122 Unit#:
Applicant is: ❑ Owner 14 Contractor
Name: Karen Borchardt
Homeowner Address: City:1931 Covington Ln Eagan
State: MN Zi ; 55122 Phone: 507-213-4011 Email: kmborchardt@gmail.com
Demo esisfig.Instep new shower system aM wa0 aorto-d.Mlmmeole Rus-w Insulate.Inele3 mw bsMsr.laps eM seal.Wlell smoke eM CA,alarms b code.Plumbing pwmft to bs puud separately.
Description of work:
Type of 8,105.00 PD Berkshire Ponts
Work Construction Cost:
Type of building: VI Single Family ❑ Townhome, of units ❑ Twin Home
Company: MN Rusco Contact: Kelli Gugisberg
Building Address: 5010 Hwy 169 N City: New Hope
Contractor MN 55428 952-935-9660 kelli@minnesotarusco.com
State: Zip: Phone: Email.
License#: CR805613 Expiration Date: 3/31/25
Sewer& Company: Contact:
Water
Contractor Address: City:
Required for State: Zip: Phone: Email:
new construction
License#: Expiration Date:
14 1 understand that Plumbing, Mechanical, and Fire Suppression work require separate applications.
NOTE: Plans and supporting documents that you submit are considered to be public Information. Portions of the
Information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they
are trade secrets.
CALL BEFORE YOU DIG. Contact Gopher State One Call at(651)454-0002 or www.aooherstateonecall.ora for protection against underground utility
damage. Contact Gopher State One Call 48 hours before you intend to dig to receive locates of underground utilities.
I 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 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.
x Kelli Gugisberg x ,4,& aQg��o&g:
Applicant's Printed Name Applicant's gignAture
FOR OFFICE USE ONLY '^
Site Address: 1931 Covington Ln Eagan, MN 55122 Permit#:
SUB TYPES
✓_ Single Family _ Fireplace _ Lower Level
_ 01 of_Plex _ Foundation _ Porch
_ Deck _ Garage _ Pool
WORK TYPES
_ New _ Repair _ Siding _ Retaining Wall
_ Addition _ Fire Repair _ Reroof _ Move Building
._/Alteration _ Water Damage _ Windows _ Demolish Building*
_ Replace _ Egress Window _ Solar *Demolition of entire building-give PCA
handout to applicant
DESCRIPTION
Calculated Valuation C'0e, Occupancy TP-r-- I MCES System
Plan Review 025%`3100% Code Edition 14Ner--ac), SAC Units
Census Code Zoning 1'�) City Water
#of Units Stories Booster Pump
#of Buildings Square Feet PRV
Type of Construction VK Fire Suppression Required
Separate Stormwater Management Permit Required
REQUIRED INSPECTIONS
Footings: New Addition Deck Meter Size:
Foundation: Before Backfill Poured Wall Siding:_Stucco Lath _Stone Lath _Brick
./ Framing: 1 Hour ./Residential Alteration Roof:_Ice&Water _Final
Braced Wall Framing/Blocking Erosion Control
Braced Wall Sheathing (prior to house wrap) Pool:_Footings —Air/Gas Tests _Final
Interior Braced Wall Panel(s) Retaining Wall:_Footings_Backfill_Final
Firewalls Fire Suppression:_Rough In_Final
Insulation Windows
Radon Control Other:
Drain Tile
Grading ✓ Final/No C.O. Required
Final/C.O. Required
Reviewed By: 5.111/S®, , Building Inspector
FEES
Calculated Valuation Z o0c,
Base Fee
Plan Review
State Surcharge
Met Council SAC
City SAC
Treatment Plant
Water Supply &Storage
S&W Permit&Surcharge
Meter
Radio Read
Other:
TOTAL $ 0.00