4713 Covington CirThisrequestvoidt? --Z t-k-I i 6(°? PvEm_Con ?}i ?? 333 (0 oZ
18 months from q.? Sd
Date of this Request Fire No. S' U5U9U
I, as CR I,icensed Electrical Contractor OOwner, do hereby request inspection of the above electri-
cal wiring installed at:
Street Address or Route No
Section Township
Which is occupied by
?
Is a roughin inspection required on this job? No ?
Power Supplier ?/`/ • ?d. ?
Electrical Contracto?
(COmpany Name)
Mailing Address /U ? p _ A
?5&
City
County
Yes g Ready Now ? ll Ca11,?1„
kddre ? a
I oY ii )
????d 30
ntractor's License No._
(Elec IA Y nt? ar ot Wne? aking Thls Installajlon)
Authorized Signature ? . Phone No.
(Elettrlcal Contr ctor r oer Making Thls Installatlon)
This iiupection request will not be accepied by the
State Board unless praper inspection fee is enelosed.
? .,
Griggs Midway Bidg. - Room N191
7821 University Ave.. St. Paul, Minn. 55104 - Phone 297-2111
REQUEST FOR ELECTRICAL INSPECTION
CHEEK BEEOW WORK COVERED BY THIS REQUEST
EB-40001-02
333(?a
S 65R93
'fype of BuOding New Add. Rep, Check Appliances Wired Foi Check Fquipment W'veQ For
Home ? ? Range u ?emporary Wiring ?
Duplex ? ? Water Heater ? Lighting Futuces ?
ApL Bldg. ? ? ? Dryer ? Electric Hea[ing ?
Commeicial Bldg. ? ? ? Fumace ? Silo Unloader ?
Industrial Bldg. ? ? ? A'u Conditioner El Bulk Mtlk Tank ?
Farm List ) List
Other ? ? ? p
E{eiers}
7 Oehecs?
ti »
COMPUTE INSPECTION FEE BELOW
Secvice Entrance Size: # Fce Feeders&Subfeedera: n Fee Circuits: # Fee
0 to 100 Am s. to 30 Am eres 0 to 30 Am eres 2'1 ,
101 to 200 Amps. to 100 Am eies 31 to 100 Am res 6'O
Above 200_Amps. 7I ove 100 Amps. Above lO_Amps.
Transformers Control Cim.
Remote Par[ial or othe[ fee U
Si ns uial lnspection Minimum fe
Remarks
TOTAL E J?
I, the Electrical Inspector, hereby certify
(Final)
This request void
18 months from
has beenlHadae' 11? C4:2
Pate , • 2, ,jj I?ate
CITY OF EAGAN Remarks
Addition BEACON HILL ADDITION Lot 17 BIk 6 Parcel 10 135Q0 170 06
Owner =! ?:a :.: rQr'.f? street 4713 ('ovi ngton Circle 5tate F.agan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 1982 1848.67 205.41 9 1643.27 A011538 10-12-82
' STREET RESTOR.
GRAQING (p5?? 1952 537.84 59.76 9 478.08 A011538 10-12-82
SANSEWTRUNK 30/ 1976 135.97 9.06 15 72.55 A011538 10-12-82
* SEWER LATERAL (p$ 1982 3182.83 353.65 9 2 8 2 9. 19 11 "
WATERMAIN
WATER LATERAL I982 9
WATER AREA g 1982 202 . 00 22 . 44 9 17 9. 5 6 A011538 10 -12 - 8 2
* Stubs 1982 9
STORMSEWTRK g? 1982 367.77 40.86 9 326.91 A011538 10-12-82
* STORM SEW LAT 1982 9
CURB & GUTTER
SIDEWALK
STREET LIGHT
4
WATERCONN. 420.00
BUILaING PER. 796
SAC
PARK
BUILDING PERMIT
Ts V urd iw
CITY OF EAGAN
1795 Wet Kseb Raed teyaw, MN 55122
PHONE: 454-8100
5its Address '
Lot Blak Sec/Sub.
Parcel #
ac Nome W
; Address
b
? ?`
z,
°u?
?
Nome _
/lddress
Nome _
/lddrtss
1 hereby acknowledge thot I hove read this opplication ond state that
the intormotion is correct ond ogree to comply with oll opplicoble
State of Minnesota Sfatutes and City of Eagan Ordinonces.
Sipnoturo of Permittee
A Building Per?nit is issued to:
ell work shall be done in occordarxe with all applicable Stote of Minn
Bufldlny Officio) I
Receipt #
er 12
P7 r, oG
Erect ? Occupancy
Altar p Zontng
Repoir ? Firc Zone
Entarpe ? Type of Const.
Move ? * $tories
Demolish
Grode ?
? Length
Depth Sq, Ft.
Assessment Permit
Water & Sew. Surchorge
Police Plon check
Firo SI1C
Enp. Water Conn.
Plonner Woter Meter
Council Road Unit
Bidg. ()ff.
APC Taol
on ths exprcss conditlon tFxit
Stntutes ond City of Eupen Ordinances., _
Psrmit No. Permit Holder Misc. Parmit No. Holder
Plumbiny
H.V.A.C. ?j? ? f.1.1? C K (?'2I ?S?Z
w.u
Water
Disp.
Sevwr
Ebctric StcS? 2-7-8"Z
Inspwction Date Insp. Other
Footings
Foundstion
Framiny
-I?-S `
Rouph Pibp.
Rouyh HVA
InwlstiOn
Final Plbg. Z•? ?'1 ey
Final HVAC
Final
Water Dsscribe Location:
YYell
,
Sevwr .
Pr. D'uP.
•
GEO. SEDGWICK HTG. & AIR COND. CO.
HOUSE HEATING TEST RECORD
ADDRESS CITY
OCCUPANT OWNE R
HEAT LOSS DATE HTG. INST.
SOLD BY INSTALLED BY '."jL-
Electrical Wnrk gy fi Gas Line By , v
TYPE OF HEAT GA_ FA_ FiW_ STEAM SPACE HTR. UNIT HTR. OTHER
GA5 DESIGN
MAKE
Model ? `Serial
INPUT
CONTROLS
THERMoSTAT ? Heat Plug
Valve
Limit
Limit Setting ?
Fan Setting = _
Pilot Type -:- (_ &
Pilot Make ?
Pilot Model U "-
Pilot Timing I 1 -J- '.
L.W. Cut Off
Pressure Percent C02
Input CFH ? Percent aZ
Stack Temp. Percent CO -L"__/k
MAKE OF BURNER
CONVERSION
Max. BTU Rating -
MAKE OF FURNACE
Vent Size
KIND OF LINER SIZE NONE
Draft Hood 4?? 2*1. 4i=51L ? Regulator
Filters Size Number
Chimney Location lnside - Outside
Chimney Construction
Smake Bom6 Wiring Y ?
Draft Test Tag
Door Pressure Lighting Inst. ?
Oate Tested A
Company Testing ?-
Name of Tester ;
Receipt
' MECHANICAL PERMIT Permit No.
CITY OF EAGQN
•
Fee
Fill in numbered spaces S/C
Type or Print /egib/y
Tot.
1. Date 2. Installation Cost
t
3. JobAddress Blk.
Lo Tract
4. Owner
5. Contractor Phone
•? -\F OUS, NiN. ?u
6. Address `
&:
16f'
7. City ?
i
State 2ip
8. Buitding Type: Residentiai 0 Commerciat ? tnstitutional ?
9. Work Description: New 11 Add O Alter ? Repair ?
10. Describe Fuel Type
11.
No.
: Eauinment BTU - M. Ea.
Forced Air ? No. Epuipment CFM
Air Handlin
:
Mfg. g
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg,
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed: for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Reqeipt_ PLUMBINGPERMIT PermitNo. ?
i CITY OF EAGAN
I I ? Fse
Fill in numbered spsces S/C
Type or Print leyibly T
t
.
o
1, Date ;'- - 2. Installation Cost
3
Job Address Lot i? Blk
Tract
. .
4. Owner
5. CoMractor 1-, ? a Phone
6. Address
7. City 7``. State Zip
8. Building Type: Residential 13 Commercial ? Institutional ?
9. Work Description: New (11 Add ? Alter O Repair ?
10. Describe
11.
No.
d Fixtures
Water Closet No. Fixtures
Cesspoo1/Drainfield
Bath tubs Septic Tank
? Lavatory Softner
_L Shawer Well
/ Kitchen Sink
Urinal/Bidet Other
? l.aundry Tray .
? Floor Drains -
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed :
_ for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-B700
??
WpTER SERVICE PERMR
?ITY QF ILAGAN PERMIT NO.:
3795 Pilot Knob Roed
Eoyon, MN 55122 p/?TE:
?
No. of Units:
Zoning:
. ?.
Owner.
Address-
Site ross:
Plumber:
Connedion Charge: •-?, `
Meter No.: qccount Deposit:
aSize: Permit Fee:
Reuder No.:
wMl? the City of Eegan
I ayree M w?npl??
SurcF+arge:
Misc. CF+u?'9es:
??°O°? Totol:
Data Daid:
By InsP.:
Dote of I nsp.:
yroe to eomPW wtt6 t6a C*f of Ea9oa
By
Date of Insp.:
SEWER SERVICE PERMIT
"i
con•,ection cr,arge:
Account Deposit:
Permit Fee:
Surcharpe: •
Misc. CF?eroes:
Total:
Date Paid:
CITY OF EAGAN
--• 9795 Pilof Knob Road Feqan, MN 55123
PHONEs 454-8100
BUILDING PERMIT
$F
000
Sire nddress 4713 Covinaton Circle
Lor 17 ei«k 6 kc/suy Beacon Hill
pa,cei # 10 13500 170 06
a Name Sw89eT Bros. Cbnst.
? Address 5898 dIWhB Ave. NOYth
,.,,. Stillwater a.___ 439-7810
x? --7566
Receipt #
Erecf ,Y$
Alter ?
Repa(r ?
Enlnrye ?
Move ?
DemoNsh ?
6rade f'I
Occupancr R-1
Zonirg
Fire Zone NA
Type of Corot. V
# Stories
Leng[h 6?
Depth 25 Sa. Ft.-
o Nome t'wner ^..•-'-"
?
?u Addrea Assessment _
Water 8 Sew.
Cit pyone
Police -
w Name
Fi
re
Addresa Enq
CI Phone .
Vlonner -
Council -
I hereby acknowledge thot I hove read Ihis application ond state thaf Bldg. Off. -
the inlormotion is correct and ogree to comply with ull opplicoble
Stafe of Minnewto $tatutes and City of Eagan Orduances. APC
Sipnoture of PermiMee
A Buliding Permil Is issued to: SWdqEr Brothers CO t.
ble Storo?o ?nne Sfatutea
all work shall be done in accordance with oll nppliw
a
Building Officiol
Permit 307.00
$urcharge 29•00
Plon check 1$3.$0
SAC 525.00
Wo1er Conn. 420.00
Water Meter 60.00
Rood Unit 240.00
Totol $1734.50
on the express Condition Ihnt
and City of Eagan Ordirwnces.
(Irx#ifirtttr n# Orrupttnry
Citp of eagan
lgr}rbrfmrnt nf Builbing ,?Jnspertimt
Tbir CMificatc iuued purtaanr to the nquiremtntt a f Seuion 306 0/ the Uni(mm snildrng
Coda ratif ying that at tlx timt o f isrrutntt ihir ttrutture war in rmnPliancr with the varioru
ordinaxrrs o f the Citr rrgulutirrg buildirog conn+uaion ar utt. For the Jallowrng:
uKci,wauum SF DWG/GAR &d{.hmulNo 7566
o-warTywR3-iYwc?? V eiRz ?NA zdre?mn Rl
a,,,.,,f?&aSwaear gros. Conat.eaa.5299 Omaha AVe. No.,StillWa
R.MWeQAaaaN?i?
ewawotmd 8? -
N
o,,,, December 7, 1982
ti'?t ?M .? <OxM[YW? ?V.4
O.a[. ?a? YTVarn v 5 n.
CITE'. ? EA N, {? ???j?tlude 2 sets of plans,
?- ---??Y 1 site plan w/elevations &
. . ?? ??
BiJILDING PERNIIT APPLICATION 1 set of energy calculations.
Zb Be Used r__ Valuatioi, "` - Date 4
Z
Site Pddress '7'J1 ? Cyz? pFFICE USE ONLX ^
Int _LL Block ? Sec./Sub. PWLCO''l Esect t ^ Occupancy
Parcel #: ' i r,? ter Zoni.ng
!D 13Spp !70 0 ?t?pair Fire Zone
Ocaner: 5 ?U ?' ( t'r< 0 Enlarge 7ype of Const.
Move # Stories
Address: Deirolish Fxnnt (002 ft.
Qty/Zip Code: St/L(w4iVe ff4P:2 /;Vrw?iGrade Depth 62 ft.
Phone # : Y 2!1 -) z/ D
Contractor; ?? -s•?
Pddress:
City/Zip Cociec
Phone #:
Arch./Eh9.:
Address:
City/Zip Code:
Phone #:
APPROVALS FEES
Assessments Permit 707
t4ater/Sewer Surcharge ?
Police Plan C1eck
Fire S1? ?'Z3- sa-
Eng. water Conn. y?a °=
Planner Water Meter
Council Unit .q
?
Bldg. Off.
. ?
?
APC
TL7PAL l2l ? sd
I13L
CITY USE ONLY
L ? BL ? RECEIPT #: .35?
SUBD. &t4t-IL, Z?w DATE: 60A 9?
1995 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTl1RES EACH NO. TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
rWater Heater 3.00 x =
Fioor Drain 3.00 x =
Gas Piping Outlet minimum - 1 3.00 x =
Rough Openings 1.50 x =
Water Softener 5.00 x =
Private Disposal * Dakota Cty. license 20.00 =
U.G. Sprinkler ° home under const. 3.00 _
Alterations " to existing 20.00
Water Turn Around 20.00
STATE SURCHARGE .50
Yu i AL
STEVEhi50M
471^ COVIl+GT4t1 C IRCIE
ERGFIN , 55122
H 454-3923 W
SITE ADDRESS
OWNER NAME:
INSTALLER NAI
STREET ADDRI
CITY:
7 b . S0
t1RRV KPY
STATE:
ZIP:
PHONE #
a
PL A N
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0
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StiLlwater, Minnesota 55082
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OWNER
EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
SITE ADDRESS
CONTRACTOR DATE Ca ?//S?PHONE u
Determine working square footage of each.
1. Total exposed wa71 area .. . sq. ft. x i?!
2. Total roof/ceiling area .... sq. ft, x
Total exposed wall area above floor = 1
a. Total wall window area . . . . . . . . . . . . . . . ?
b. Total door area . . . . . . . . . . . . . . . . . . 3 ?
c. Total sliding glass door area . . . . . . . . . . .
d. Total fireplace wall area . . . . . . . . . . . . .
e. Tota7 wall framing area (average 10%) . . . . . . .
f. Total net wall area above floor . . ... . . . . . .
g. Total rim joist area. . . . . , . . . . , . . .
Total exposed foundation area = 65-?,)
h. Total foundation window area. . . . . . . . . . . .
i. Total net foundation area above grade . . . . . . .
Determine "U" value of each wall segment.
a. X ltuii
e. 3 I x "u"
C. X iiUii
d. ,-.-- X 'lull -"--
e. x ??U" , j3 = 1
f: x l,Ul,
9 X ?lull ? ?7.q
, h. X liUii
X Ilu??
3. .............
.............
....
......Total = ,
t? J , t?
It item #3 is the same as, or less than item #1, you have met the intent
of SBC 6006(c)2
C
R
Total exposed roof/ceiling area =
j. Total skyl i ght area . . _ . . . . . '. . . . . .
k, Total roof/ceiling framing area(average ]DX).
1. Total net insulated roof/ceiling area .... ???
Oetermine "U" value for each roof/ceiling segment,
j. X ,luii
-
k. 106 X 'lull 0 33
. 1. 171 0a X l,u„
,r
4 . ...................................... Total...
If total of #4 is the same as, or less than #2, you have met the intent of
SBC 6006(c)1.
Alternate Building Envelope Design
To utilize the total envelope system method, the values established 6y the
sum of items #3 and #4 sha11 not be greater than the.sum af •items #1 and #2.
,
+z.
3. +4.
ZONING - NOTIFIGITION OF INTENT
Foster Family Homes
Day.Care Homes
T0:
A
VISC
D? 54
YROM: Dakota County Sacial Servicea
357 9th avemie North
So. St. Paul, MN 55075
y
Numbez of Natural Childrea under 18 in home: 0 1Q 3 4 Y'' (circle number)
Number of Foster Chfldrea iacluded ia licease:(Vl 2 3 4 5 6 7
(circle number)
Number of Natural Preschool Children in Homa: 002 3 k 5
(circle mmaber)
Numbar of Day Care Criildren iacluded in Iicense: 0 1 2 3? b 7 8 4 10
(circle -umbar)
DATE OP yOTIrICATION: ? - F ' p 3