4717 Covington CirCITY OF EAGAN _ 3795 'itet Kno? Reo/ Eayen, MN SSI'l2
PHONE: 454-8100
BUILDING PERMIT
Recelpt #
To 6e rwd fer Esf. Value Date _, 19
Site Addrcss Erect ? Occuponcy
Lot Block Sec/5ub. Alter ? Zoning
Paroel # ! Repoir Q Fire Zone
Enlarge D TrPe oF Const.
Nome
Address
o Name
?
?u Address
F r:... e?..,.._
Nome _
/1dd.eu
Move Q # Stories
Demolish ? Length
Grode (-l Depth Sq. Ft.
/lssessment
Water 8 Sew.
Police
Firo
Eny.
Planner
Council
Pertnif
Surchorye
Plon check
SAC
Wcter Conn.
Woter Meter
Rood Unit
1 hereby acknowledge that I have read this opplicotion ond state that gldp. Off.
the informotion is Correct and ogree to comply with oll applicable APC Taol
Stote of Minnesota Statutes and City of Eogon Ordinances.
Slpnaturc of Pertnittca
A Building Permit Is iuued to: on the sxpross cordition thm
oll work sholl be done in accordonce with oll oppliwble Stote of Minnesoto Statutes and City of Eaflan Ordinonces.
Bulldiny Official
Psrmit No. Parmit Holdsr Mise. Permit No. Holder
Plumbfng ac?3 l Br"ckP l LE llt
H.V.A.C.
Well
Weter
Disp.
Sawar
ehectric 7445 a t-k-Tq-,C-k
T79YS )Z-- z---'?'
Inapection Dats Inap. Othar
Footinps ?
Foundation
Framinp
.?
Rouyh Plby.
Rough HVA • ?
Inwlstion
Final Plbp, ?
Final HVAC
Final
Wmr Dhcriba Loution:
YVell
Sewer
, •
Pr. Dhp.
CITY OF EAGAN •
? 3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454-8100
Receipt #
To be used for ' ?• Est. Value Date ?ULY
Site Address ' - ? `•`'?` ? ?`? ?" ? T'` OFFICE USE ONLY
LOt ? BIOCk t' S@C/Sub. ?'? '• i;'. Vi On Ske 3ewaye Occupflncy
MWCC System Zoning
Parcel No.
On Slte Well
(Actual) Const
x Name CltyWater (Allowable)
Z Add?ess PRV Required * of Storfea
? City Phone Lf 2' ?' BoosterPump Length
Depth
a Name • ?'??"' S.F. Tatel
o` Address • FootpriM S.F. I
U ? City Phone APPROVALS FEES
1
Q
?
yj
Name °
Engr./Assess.
Permit • ,',1•
•,
{
W
_= Address Planner Surcharge , ?
? W City PhUne Council Plan Review
Bldg. Off. SAC, Ciry
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC
information is correct and agree to comply with all applicable State of Weter COnn.
Minnesota Statutes and City of Eagan Ordinances.
Water Meter
Signature of Permittee
Road Unit
I, M?n
A Building Permit is issued to:_
Treatment P1
• on the express condition that all work shall be done in accordance with all parks
applicable State of Minnesota Statutes and City of Eagan Ordinances. ---?-_-?-
Building Official TOTAL
Permit No. Permit Holder Date Talaphone ?
Plumbing
H.`V.AC.
Electric
Softener
Inspaction Date Inap. Comments
Footings I
Footings II
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Pibg.
Bidg. Final .
Cert Occ.
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
/i? ? C,
CITY OF EAGAN Remarks
Addition RF.A['nN HTT.T. AnnTTTnN Lot 15 aik b Parcel 10 13500 150 06
Owner -6)Fr`? t_, '. !-'Cl'r;2 A i4j:-42?14 'Screet 4717 Covington Circle stace_ Eagan_ MIlV 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. LJHZ 1848.67 205.41 9
STREET RESTOR.
GRADING 1982 537.84 59.76 9 478.o8 A 0 80 3-17-82
SAN SEW TRUNK ? q 72.55 a -1 -$2
*SEWERLATERAL g 1982 3182.83 353.65 9
WATERMAIN
* WATEA LATERAL 1982 9
WATER AREA t? 19$2 202.00 22.44 9
* Stubs 1982 9
' STORM SEW TRK gZ 1982 367.77 40.86 9 326.91 A010980 -1 -82
* STORM SEW LAT 1982 9
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit 1981 185.00 27607 11-4-81
WATER CONN. 1981 335.00 27607 11-4-81
BUILDING PER.
sAC 1981 525.00 27607 11-4-81
PARK
INSPECTION RECURD
f GITY OF EAGAN PERMIT TYPE:
? 3830 Pilot Knob Road Permit Number.
I Eagan, Minnesota 55122-1897 Date Issued:
; (612) 681-4675
? SITE ADDRESS: APPLICANT:
; i?; .' i ?i?, ! ii4d 1. f I• c.,? ? ?, , L!! Nli??l.3 . • 1 lii
, , i : I f I , , . • ?y t•1 i'1
PERIIAIT SUBTYPE: TYPE DF WORK:
I rrt .`?? 4; l1' ! I+1N , i U f W6? `-t I£ i e f: 1 i:; I r?? J
? I
INSPECTION D• • DA
?
Permit No. Permit Hqider Date 7elephone M
ELECTRIC
PLUMBING
HVAC
Inspection Date Inap. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
A.ITEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
CITY OF EAGAN SEVIIER SERYICE PERMIT
PERMIT NO
:
3795 Pilot Knwb Rood .
Eaqes, MN 55122 DATE:
Zoning: ? No. of Units:
ner:
O
w
IWdress:
Site Address:
Plumber: '
1aym M oowPhr wllh tbe GFy ef Ea9an Conrwction Charge:
Ordinanea. Aocount Deposit:
Pertnit Fee:
Sunclwrpe:
g Miac. CFwrgex
Y
Dote of Insp.: Tatol:
:
Ins Date Poid:
p
No.:
to eomply wifh His City of Eagan
WATER SERVICE PERMIT
Connedion Charfle:
Account Deposlt: _
Permit Fee:
5urchorge:
Misc. Charyes: -
Totai:
Dote Paid:
Insp.:
• CITY OF EAGAN
3795 PIlet Knob Road Eagon, MN 55141 Np 7000
PHON[s 454•5100 ?
BUILDING PERMIT Receipt # dx'o-7
To 6a vsed fer SF DWG/GAR Est.yal,x $60,000 pme November 4 , 19-1L
4717 Covinqton
Site Address Circle
Erect
?j
Occuponcy R-3
Lot 15 Block 6 Sec/Sub. Beacon Hill Alrer C] Zoning R-1
10 13500 150
06
air
Re
?
FlreZone NA
#
Parcel # p
Enlorge ? TYPe of Const. V
s Name Blilie Construction Move p # Scories
? Address 644 Superior Court Demolish ? Length 41
- F.anan ...._.__ dSd_1d'AR Grade fl Depth 48 Sq. Ft.-
? Name Owner
Addross
Name _
Address
I hereby ocknowledge that I hove read this opplicaYLon ond state ihat
the inlormolion is correct und?gree to comply with all opDlitoble
State of Minnewto $tatutea a City of Eogan OrAinances. -
Sipnoture of Pertnittee
A Building Permif Is issued'?• Blllie
all work shall be done in acwrdarxe with all appli
Building Official
Asseument
Woter & Sew.
Police
Fire
Eng.
Plonner
Countll
Bldg. Off.
APC
fCes
Permit 'i'•""
Surchorge 30.00
Plan check 156.50
SAC 525.00
Woter Conn. 335.00
Water Meter 60. 00
Road Unit 185.00
Total $1604.50
on the express condition thnt
$totutes ondAity of Eogan Ordirances.
C??rfi#irttfr of (?rru??nry :::: (Cirp of Caqan :
Brpttrimrttf nrf luilhing InsprQiun
Tbir Cntif icate i.rraed pursxant to rbe t-rquiremrntr of Settion 306 0( tix Unrform Building
Cak urti f yixg tbat ot t!x time of iscuarut tbit ttsuttrnt wat ia tam plianct witb tht vatiatr
ordinarua o/ the City ngulating bxildrng ronnrurtios or un. For tbe foUowixg
wcbM.nm SF MG/GAR 7000 -
«?TYc• R3 ,YV,c. v F , . rIA zOIU,?n Rl
a,,,,d,W,L, Pl_ilie ('.onst. „aa„, 644 Suoeriar Ct.. Far.an
1
? ~- Februarv 24 19R)
m??E,.a. - -- --- -_? --- -- - - ,Ir.[- 0 =a
• CITY OF EAGAN Na
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454•8100
BUILDING PERMIT Receipt#
To be used for POOL Est. Value $12, 000 Date StiLY 8
SiteAddress 4717 COVINGTON CIR
Lot 15 Block 6 Sec/Sub. BEACON HILL
Parcel No,
a Name JIM CULPEPPER I
z Address 4717 COVINGTON CIR ?
o City EAGAN Phone 452-6126 ?
OFFICE USE ONLY
On Site Sewage Occupancy
MWCCSystem _ Zoning
On Site Well _ (Actual) Const
Ciry Water (Allowablef
PRV Required # of Stories
Booster Pump Length
Depth
S F. Total
Footprint S.F.
a Name EAGAN POOL & SPA
0
oa Address 2020 SILVERBELL RD #20
? City EAGAN Phone 688-0860
w
i
a
z
w
Name_
Address
City I hereby acknowledge that 1 have read Ihis applicaUOn and state that the
mformation is correct and agree to comply wrth all apphcable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permrttee ?-
A Building Permit is issued to:_ EAGAN POOL & SPA
on the express contli[ion 1 hat al I work shal I 6e done m accordance wdh al I
apphcable State of.?Minnesota Statutes and City of Eagan Ordinances
Building Oificial J.-BWi fwk 1)'1 L
APPROVALS
Engr./ASSess.
Planner
Counal
Bldg Off
Variance
fEES
Permit
Surcharge
Plan Rewew
SAC, Ciry
SAC, M WCC
Water Conn.
Water Meter
Road Unit
Treatment Pt
Parks
TOTAL
15317
,19 88
122.00
6.00
61.00
189.00
?L ,a,-D s F? aw- e ?ooDcz, oF EwArr
iS7_9z '.G x1&-) c,a s' 4?
y, BiIILDING PERL[T APPLICATION
- Y'-" CL(?
7b Be Used For Valuation d6a,44_
Site Pddress L{ -1 ?`7 Co V i` - Y\ ?
LotBlock _?o;Sec_/Sub, F i
Parcel #: ?O 13500 ( So o(r,
owner:
Address:
City/Zip Cocle:
Phone #: Vs-4/- /?38
Contractor:
Address:
City/Zip Code:
Phone # :
Arch•/IIzg•:
Address:
City/Zip Code:
-Erec£
Alter
Repai r
Bilarge
Nbve
Demnlish
Grade
Include 2 sets of plans,
1 site plan w/elevations &
1 set of enerqy calculations.
Date
OFFICE USE ONLY
Occupancy
z°ning ?
Fire Zone
Type of Const.
# Stories
Front ft.
Depth -ft.
APPId7VAIS FEES
Assessments Pesmit
?4ater/Seaer Surchaxge 30
Police Plan Check-
Fire SAC SaS-?-
IIig. Water Conn. 3 35
Planner Water Meter p ?
Council Road Unit
Bldg. Off.
AFC
Phone #: nYPAL 11p()((? s0
Thi, r„?I??rst void ?JrECLC C?^ s Il C
?1
,R m,,s ?m
79 9 52 ?7 (c-7?
?
Request Uate Fre No. flouuh-?n In>uecuon
HeU ?reJ? DRrddY Nuw WlII NolifY InSpCo
_et ??Yps N. or When Ready
Licensed Electncal Contncro/r? 1 I hereby m4uest ??s0ect?nn of above
,......_. /?? ??1 /.-.: L'•A Q.?-c-. {??elertncnl work installed ac
$hee[ Adtlress, Roa r RoutP No. City
e'tron o. Tnwnshin Name nr No. Rnnge o. C71'-,?
Orc n? hP INT)
ta l?i?
Phm c N
3S
Po t Supplier _ Atltlre s ?
EI ical Conbacmr (Cnnma Y N:in,el
I? se? Ctrurinr's Lio
039.s'S 3
ailinp AAJress (Cnn . ctor or Ownnr Makmp Ins?ailation) ??
M
`
?
'
ai e(CoMrac[ ? O ak y Installat on)
Ao
honz d"S P(hyon?ye! Number y [q
MINNES TATE 60AP0 OF EIECTRICI* ? 8E ACCEPTED BY TME STATE BOARD
Griggs-Midwey dg. - 0.oom N-191 UNLESS PROPER INSPECTION FEE IS
1821 Umversfry Ave., SL Peut, MN 55109 ENCLOSED.
Phono 1612) 297-2111
REQUEST FOR ELECTRICAL INSPECTION EB-00007-03
?
l? 7 ?] 9 5 2' See instructio??s lor cumoleting Ihis form on back of vellow copy. ???- /
?.?
u " o..J... IAI...L h?. Th,c Renuesi . ??
,. __ ._.. . .-. . AUOlmncasWired
ui?tliny
Range EquipmeniWired
Temporary Service
Water Heater Liyh tiny Fixtures
m? Dryer tnc Heatin
U p Silo Unlnader
ul Bldg .e
l Bldg. u ondibn er ? ?I '?k
C , .? ity
Ot r ??c o,ne,
afv ?
?
ute 117sper.II01) ree oeiuw
Fee Se...ceEntrance5ae
0 to 3u
31 to iC
4hnvv 1
C
? 30
to 1
i Special Inspection aTAL F E?•?U
i ?
FhEl?l. hereby
t the bove
hes benn
Thic nmuest voitl
8 manths hom
REQUEST FOR ELECTRICAL INSPECTION ee-oaooi-os
, See jnstmr,bmis for r,omplepng this torm nn bnek nf yellow copv??
"X" Rn1nw Wntk Cnvered bv 7his Rertuest ?
New Add Heu. TVVe of Bwltl,ng Applinnces Wnntl Equnpmant Wved
Hume Range Temporery Service
Duplex Wnter Heater Lighnny Fixtures
F1pt Bwlding Dryer Electnc Heatin
Commerclal Bldg. Fwnace Silo Unluader
Industn2l Bldy. Av CondiLOner Rulk A9ilk Tank
Fa?m o+n, Soe,rvI o?ho? ?suw ?fvi
su',"w oahC, omrir
_....
p .?...._ .._
Fee ?----- - - - .
ServiceEn\ranceSae
t+
Fee
FeaAers /Subfeeders
#
Fee .
Ciwuics
0 [0 700 Am s 0 [0 30 Am s 3C"l ? 0 to 30 Am s
/,Z °6 101 to 200 Am 5 31 to 100 Amps ? U 31 to 100 Am ;
Above ,s nbovt 100 -nmp5 Aiiove 100 _ai„>5
- 7 ar Hemote Conirol Grc. a Partial Other Fee
= Special Inspecvon S TOTAL PE /???
Rmnarks
P
i
Rouyh-in -' y
Dale
the Electrical
Insoector. hereby
cerbty ihat IM1e K.Y.
e
Fn2l ?y
7 ?i
?nspecLOn has been
This (Hquest vinU
18 manths fiom
This ri.tiuest voiA 14 zZ- i?, eDV
?,+18 nw-n7th/s'?G{n?rn /?
II / M`?1 ?Ll
Request Date ? Fi,e No. Hnugh-inis lncuec " ?Y oon ?Reecly Nnw p(? Will Nuuly InsPec
Requ i reA
/? r Wl?rn HeadV
Licensed Etectiical Cu1111,1?tnr k I hereby request mspeohon of above
J Ov<ner ( l[.?V l i?? ?V 7? e i.,.o- ,?. --- a
Street Address, Box c r Fou?e o• ?? ?? CitY
4? ^•
er.uon . Townshin ame or No. flan9c No. Cmm ?
?
OccuU,In PRINDT)? ? Phone Nn.
Power
?,r T Atldress ?
'
Eiecvic I onSrsc[or (Company Nd el
?
'
? : License No.
Comrarror
? J 7
•
- _
Mailinq AdJres mVnctor or Owner Mak in, InsT'lation)
3
Aunhonzed Sig ' re IC"1nt, - or/Owner in Install ionl Phune NumLryr
MINNESOTA STATE BOAFO OF'ELECTRICITY I I gE ACGEPTEO 9Y THE STATE eOAHD
Griggs-Midway BIAg. - Hoom N-191 ? UNLESS PROPEN INSPECTION FEE IS
1821 Univarsity Ave-. SL Paul, MN 65104 ENCLOSED.
Phone (612) 297_2111
RECORD OF COMPLAINT
Date: 7/11/00
Type of Building: X Residential _ Apartment _ Other,
Name: Therese & Tim Liffrig
Address: 4717 Covington Circle
Phone number: 651-405-6612 (h), 651-454-3380 (2"a Number)
Complaint: (2-split) Lower Levels had 3 inches of standing water. Drywall, doors,
sheetrock, frame, etc., is drenched.
Comment:
Action Taken By: Mandy Boudreau
Gl" 741 -6v
41 i6 I? ? 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL)
fl( CITY OF EAGAN
3830 PILOT KNOB RD - 55122 ?/?17
881-4675
nstruclion Reauir
• 3 registered ske surveys ? 2 copiea W plen
• 2 copies of plans (Indutle beam & window sizes; poured tnd. design; etc.) ? 2 site surveys (exterlor aAditions 8 decks)
• 1 energy caiculations ? 1 eneigy celculations Mr heated addkions
? 3 coples of tree preservetion plan k lot plat[ed efter 711/93
required: _ Yes No du
DATE: o? -/') "i ? CONSTRUCTION COST: ? 7,?D
DESCRIPTION OF WORK:
STREETADDRESS: L ?
.
LOT r BLOCK IP_ SUBD./P.I.D.
PROPERTY
OWNER
CONTRACTOR
Name??.?? Phone #:
WL ? RRL?
Street Add
?
City: State: °'Yt?vx Zip: ?; S-7a- a-- '
Company: Ja? Phone #: EW3 Pa
Street Address: license #200 ?L -2
City: State: `?-- Zip:
ARCHITECT! Company:
ENGINEER
Name:
Street Address:
City:
State:
Phone
Registration #:
Zip:
Sewer & water licensed plumber (new construction only): . Penalty applies when address change
and lot change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the infortnation is correct and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
Signature ofApplicant:
OFFICE USE ONLY
:ertificates of Survey Received
ree Preservation Plan Received
_ Yes _ No
_ Yes _ No
- Not Required
A • PElaMIT
CITY OF EAGAN
fi 3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMITTYPE: auzLozNG
Permit Number: 0 2 9 6 2 3
Date Issued: 0 3 J 21 / 9 7
SITE ADDRESS:
4717 COVINGTON CIR
LOT: 15 BIOCK: 6
BEACON HILL
P.S.N.a 10-13500-150-06
DESCRIPTION:
SIDIN6/SOFFET/FACIA
Bu?ilding.<permit Type SF (MISC.)
?Buildingy,W$,rk Type ALTERATION
Census COde 434 ALT. RESIDENTIAL
:
`?.
, r 5 -a y.
e b + ,
?.?J..4 _ .?_?•-i-?_?
_. cv{ 4-7
z,•,t ? ^'
?.--
?? 01
_
REMARKS:
FEE SUMMARY:
VALUATION
Base Fee
Surcharge
Total Fee
$162.25
$5.00
$167.25
$leqVOV
CONTRACTOR: - Flpplicant - sr. Lzc OWNER:
GREAT LAKES WINDOW & SIDE 1$913400 2006042 LIFFRIG TIM
6098 LOWER 161ST ST 4717 COVINGTON CIR
ROSEMOUNT MN 55068 EAGAN MN 55122
(6?2) 891-3400 (612)465-6612
I hereby aoknowledge that Ihave?`read this
information is correct and agree to comply
Statutes_and.G.ity of Eagan .Ordinances,.e;
APPLICANTlPERMI7EE SIGNATURE
applicatio'n ancl state that tht
with all applicable State of Mn.
, t
ISS
D B .
NAT
E
F ?
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS 15 .5 11
INCLUDE 2 SETS OE PLANS, 3 CERTIFICATES OF SURVEY, 7 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BIIILDING PERMIT IS 253UED.
MULTIPLE DWELLINGS RENTAL UNITS FOR S9LE UNITS # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
S W.z/J`/fs>f(6 71, '
To Be Used For: PGG 4 Valuation: 1'21l?lGl?'J Date:
Site Address
Lot ? Block 6-
Parcel/Sub 'g14 iLt,
Owner r.t// C4e G PL?pp??
Address
-.? City/Zip Code EA-6A-N /JA/. s.s1 2 2
a
? Phone
Contractor EAGA/V POGG-eSj0,4
Address
City/Zip Code ?H-GA!{C /7/1! SS/1?
Phone ?/?'o
Arch./Engr.
Address
City/Zip Code
Phone Ik
On site sewage Occupancy
M41CC system _ Zoning
On site well _ Aetual Const
City water _ Allowable
PRV required _ # of stories
Hooster Pump _ Length
Depth
S.F. Total
Footprint S.F.
APPROV9LS FEES
Engr/Assess Permit ? Oa
Planner Sureharge &.oo
' Council Plan Review /, o0
Bldg. Off. SAC, City
Variance SAC, MWCC
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
Copies
I TOT9L lq,ap
45
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PLOT PLAN
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2000 STORM DAMAGE PERMIT APPLICATION
?q -?-60 ?
Reauiremenh
? 2 copiea of plan
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-6814675
--7 -31-a6
i56ua 0
DATE: _ CONSTRUCTION COST:
DESCRIPTION OF WORK: 1(N G P af ????5 l?i [.? 1( ff mu1N-family bldg., how many unifa?
?a?G?T d- ?1n5? ?. .?
IPIDICATE THE FOLLO1AlIPfG EQUIPMEPIi TO @E REPLACED AfdD BY WMORA:
_ Plumbinp _ Homeowner or Contractor Name
_ Mechanical _ Homeowner or Contracfor Name
"Note: If somebody ofher than the homeowner is performing plumbing or mechanical work, they must apply for appropriate
permit. Only licensed plumbing contrador or homeowner may complete plumbing work.
STREETADDRESS: ??? ?V??c1( J7? v? ?•?rLJ? Gt\uh
LOT: I? BLOCK: SUBD./P.I.D. #:
` r ?v?- l0 6/ 2
Name:_ ?J ? (' C TI Ii? Phone #: (??(?
PROPERTY Last ? First
OWNER
StreetAddresa:_ 'Lt-71? 6OVL'vt3'Tl),A 6,'?c-1e-
Ci1y a.( u H Sfate: mW Z{p: ?l7iZ
Phone #:
(area code)
CONTRACTOR
Sheef qddress: License # Facp.
Ci1y
Stale:
(RESIDENTIAL)
Zip:
1 hereby acknowledge ihc} 1 have read fhis applicalion, stafe 1haF 1he InformaHon is conecf, and agree fo comply wMh all
applicable StaFe of Minnesota Sfahrtea and Ciiy of Eagan Ordlnances.
Stgnaiure of plicard: ?
?
?(/? 3
ego MECHANICAL (RESIDENTIAL) ???
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for: Single Family Dwellings
Townhomes and Condos when permi[s are required for each unit
Date C?2 / _,1?9 / _nL
Site Address y7/ 7Coi 1 J? 6 ?_LO Unit #
Property Owner ?_Lyd r j Telephone # 6(o / .)
Coutractor
Street Address City y C7 vi
State Zip O Telephone # ( 6?i ) 'YGn - 66,_'D -.;L
The Applicaut is _ Owner Contractor _ Other
Add-on, modification or alteration to existing dwelling unit $ 30.00
? furnace replacement
air exchanger
i
diti
?
r con
a
oner
other
State Surcharge $ .50
rr-; ?cnn?? I'?'
t
T
l ssc)?
a
o ? FEC }$ 70D3
IJ?
I hereby apply for a Residenrial Mechanical Permit and acknowledge that the it5f01jcmfftion is compleYe=and"Icurate; that the work will
be in conformance with the ordinances and codes of the Ciry oF Eagan and with the Mechanical Codes; that I understand this is not a
permit, but only an application for a pernvt, and work is not to start without a pemut; that the work will be in accordance with the
approved plan in the case of work which requires a review and approval of plans.
Applicant's Printed Name ?ApplicanYs Signature
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION 50
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date ?L / ?- 1 6 6,
Site Street Address h? 7 L? ?Iz?o' / d i11 (? iQ Unit #
PropertyOwner Telephone# ye9,5l to'
r
Contractor /YJ? i/J/'J lffJ ? /2 Telephone #
Address t'/' z .?ir City AxdiLLP Statej?ad/ Zip
The Applicant is: _ Owner X Contractor _Other
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures. This fee includes putting in a water softener and/or water
heater at the same time. !f vou are installina onlv a water softener and/or water
heater, do not complete this section. Move to the next section and check the
appliance(s) you are installing.
N _Septic System Abandonment
_Water Turnaround (add $125.00 if a 5/8" meter is required) FEB 0 3 2006
Other:
? Water Softener _ Water Heater $ 15.00
_ new _X 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 accordance with the approved plan in
the ev t a plan is required to be reviewed and approved.
A plicanYs Printed Nam Applica 's Signature
Y
------------------
? ForOifice,USe I
? ('y l i
j Permit #:
? Permil Fee, j
I ?
? Date Received: j
I ?
I Stan: I
I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
DaSe: `S-75-- O Y Site Address:
Tenant:
Suite #:
RESIDENT/OWNER Name: /iµ? lc,-c54. Phone:
Address ! City / Zip:
Applicant is: V Owner _ Contractor
TYPE OF WORK Description of work: ?ie?oo'F
Construction CosL Mulli-Family Building: (Yes No ?! )
CONTRACTOR Name: License #: ?L" z0??$701
Address: /2.s7 5 "tr?'4 Dr %l-P
City: f{4 ?T?? M/l1 State: Zip5-??3 !
Phone: GSl 3?4f- 5?98Z Contact Person: rC
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Code . Residential Ven41a1ion Category 7 Worksheet • New Energy Gode Worksheet
CalegOfy Submitted Submitled
(4 SUbmission type) • Energy Envelope Calculations Submiped
In the last 12 months, has the City of Eagan issued a permit tor a similar pian based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents ihat you submit are considered to be public information. Port/ons of
the informat/on may be classified as non-public Jf you provlde specT/ic reasons that would permit the City to
conclude that the are trade secrets.
I hereby acknowledge that ihis intormation is complete and accurete; that the work will be in coMormance with Ihe ordinances and codes o1 the City of
Eagan; that I understand Ihis is not a permR, but only an application for a permN, and work is not to sta ithout a permiC that the work will be in
accordance vnth ihe approved plan in the case of work which requires a review and approval ol pla
x??iUFFV ,5,,.•. ,? H x
ApplfcanYs Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA154413
Date Issued:03/20/2019
Permit Category:ePermit
Site Address: 4717 Covington Cir
Lot:15 Block: 6 Addition: Beacon Hill
PID:10-13500-06-150
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
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.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
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 -
Mark A Taylor
4717 Covington Cir
Eagan MN 55121
(651) 262-9860
Tri County Water Conditioning Inc
325 Third Ave NW
P O Box 65
Huchinson MN 55350
(320) 587-2950
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA165041
Date Issued:10/15/2020
Permit Category:ePermit
Site Address: 4717 Covington Cir
Lot:15 Block: 6 Addition: Beacon Hill
PID:10-13500-06-150
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Mark A & Katie J Taylor
4717 Covington Cir
Eagan MN 55122
(651) 262-9860
Total Comfort Heating & Cooling
8818 7th Ave N
Golden Valley MN 55427
(763) 383-8383
Applicant/Permitee: Signature Issued By: Signature