4712 Covington Ct ; \�� � � (
� ' ��e ce
�_�-�� � ,-
��������
David & Sandi Blaeser
4712 Covington Ct .
Eagan, MN 55122
Phone (651) 688-0226
E-mail dwblaeserC�aol.com
�eptember 2, 2014
Hand Delivered
City Clerk, City of Eagan
3830 Pilot Knob Road
Eagan, MN 55122-1810
Re: PID 10-13500-06-020; S/A# 103985
Account# 0011817806; Customer# 00064326
Dear Sir/Madam:
We herein object to the assessment/surcharge that the City of Eagan is alleging we are liable for on
a monthly basis in regard to our water/sewer charges.
The amount of the assessment/surcharge is punitive and intended to intimidate the citizens of
Eagan who allegedly are not in compliance with your rules. The assessment/surcharge bears no
reiationsnip to any alleged increase in cost to the�ity of Eagan. There is na evidence that�here is
an increase in water flow from our residence. These actions and yaur charges are arbitrary and ;
capricious. Moreover, we are in compliance with your rules and have been for some time.
Thank you.
Sincere , �
,
�.��--
avid Blaeser
Sandi Blaeser
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` � City of Eagan
Notice of Special Assessment for
Delinquent Water/Sewer Account Balance
August 8, 2014
Because your water/sewer account balance remains unpaid, the City is taking steps, as permitted by law, to add your
past due balance, plus interest and a$25 fee, to your 2015 property tax bill. The amount to be added, which is called a
special assessment, is shown below. The Eagan City Council will meet at 6:30 p.m. on September 2, 2014, at the
Eagan City Hall, 3830 Pilot Knob Road, Eagan, MN, to approve and adopt the special assessment for the following
address:
Property ID: 10-13500-06-020 Service Address: 4712 COVINGTON CT
David W Blaeser
Sandra S Blaeser
4712 Covington Ct
Eagan, MN 55122
Your current account balance may be greater than the past due balance shown below. Only the amount more than 60
days past due will be added to your property taxes. The balance below reflects payments received through August 4,
2014. If you do not pay, here is what will be added to your taxes:
Past Due Assessment Interest Total
Balance Fee
$451.77 $ 25.00 $ 25.42 $502.18
DO NOT use your bank's online bill pay service to pay this Special Assessment.
If not paid by September 2, the $25 assessment fee will be added to the balance. After September 2, the City will '
accept payment for any portion of this special assessment free of interest charges for a period of 30 days. The I
interest-free period ends on October 2, 2014. If you choose to pay after October 2, 2014, interest at an annual rate of i
4.0% from September 2, 2014 to December 31, 2015, a period of 16 months, will be added to the balance, in
accordance with MN Statutes 429.061 subd. 2. Interest is calculated from the date of the assessment hearing through
December 31 of the following year. Any unpaid balance of the assessment as of December 31, 2014 will be collected
with your 2015 property tax payment to Dakota County; do not send payment to the City after December 31, 2014.
Please note: If making payment to City Hall, it must be received (not postmarked) by the close of business on
December 31, 2014.
(Continued on reverse)
Please make your check payable to City of Eagan. Mail your payment to, or pay in person at the Eagan Municipal
Center(City Hall), Special Assessment Department, 3830 Pilot Knob Road, Eagan, MN 55122-1897. Use the coupon
below when you make your payment.
The proposed assessment roll, which includes all properties in the City to be assessed for past due water/sewer bills, is
on file in the City Clerk's office and is open to inspection by all interested parties. If you wish to be heard with reference
to the proposed assessment roll, you should be present at the hearing. Written or oral abjections will be considered;
no appeal may be taken as to the amount of any assessment unless a signed, written objection is filed with the
Clerk prior to the hearing or presented to the presiding officer at the hearing. An appeal to district court may be
made by serving notice upon the Mayor or City Clerk within 30 days after adoption of the assessment and filing such
notice with the district court within 10 days after service upon the Mayor or Clerk.
If you are a senior, Section 435.193 through 435.195 of Minnesota Statutes provides that a City may at its discretion,
defer any payment of special assessments for homestead property of persons 65 years of age or older, or retired by
virtue of a permanent and total disability for whom it would be a hardship to make payment. Applications may be
obtained from the City. If you wish to make application for deferral of payment of special assessments, the application
will be accepted and considered on an individual basis.
The City of Eagan is committed to the policy that all persons have equal access to its programs, services, activities,
facilities, and employment without regard to race, color, creed, religion, national origin, sex, disability, age, marital
status, or status with regard to public assistance. Auxiliary aids for persons with disabilities will be provided upon
advance notice of at least 96 hours (4 days). If a notice of less than 96 hours is received, the City will attempt to
provide such aid.
Please note: you will not receive an additional notice on this matter. If you have any questions, please call the
Utility Billing Department at 651.675.5030 (TDD: 651.454.8535).
BY ORDER OF THE CITY COUNCIL
/s/Christina M. Scipioni
City Clerk
�s� _._,_._,_._,_._._._,_._._,_._._._,_,_._,_._._._,_._._._._._,_,_._._._._._._._._._._._._._._._._._._._._._._,_._,
Please return this portion with your payment
Make check payable to City of Eagan
Mail payment to: Eagan Municipal Center, Special Assessments, 3830 Pilot Knob Road, Eagan, MN 55122
Pay this amount Pay this amount if paid Pay this amount if paid
PID S/A# on or before between September 3, 2014 between October 3, 2014
September 2, 2014 and October 2, 2014 and December 31, 2014
10-13500-06-020 103985 $451.77 $476.77 $502.18
Service Address: 4712 COVINGTON CT
Account Number: 0011817806
Customer Number: 00064326
CITY OF EAGAN N? ? S 21
3795 Pilet Knob Rmd Eagon, MN S5111
? 'BUILDING PERMIT PHONE: 454•8100 Receipt qj
Te bs wed Mr SF DWG/GAR Est Value $50 000 Date M arch 8 _ 19 83
Sita Mdress 4712 Covington Coutt Erect $i Occupancy R-3
Lot Z Blak 6 Sec/Sub. Beacon Hill Alter ? Zoning R-1
porul # 10 13500 020 06 Repoir ? Pirc zone NA
E
l T
f C V
n
croe p ype o
onst.
c
W Name Joseph M. Miller Const., Inc. Move ? # Scories
; Address 18133 Cedar Ave. So. oerrwu:h ? Length 46
r-; Fa rmington pho„e 454-4753 Grode ? Depth 41 Sq. Ft.-
p Name OWRer AvProvols Fees
?? Address Assessment _
~ Clf Phone Water 8 Sew.
F Police _
?W Name
F
FZ ire
Addrea Enp
<'Z" Ci phone .
Planner _
Council _
I hereby acknowledge thot 1 have read this applicotion and stote thaf Bidg. Off. _
the inlormotion is correct and ugree to comply with ail applicable
Sfnte of Minnetota Statutes and City of Eagan Ordirwnces. APC
$ignofure of Permittee
A Building Permit Is issued to: Joseph M. Miller Const.
ull work shall be done in accordance with all applicable StateJ,bf Minne3
Permit
Surchorge 2$•00
Plan check141.50
SAC 525.00
Water Conn.450. 00
Water Meter 60.00
Road Unit 250.00
Torol $1734.50
-'- on the express conditlon that
Statutes ond Ciity of Eogen Ordinances.
Building Officiol
? '<< (???tifirtt??a# (?9rru?rttrir? ? :;
? Citp of Cagan
?r??rfineni nf ?ixilditu,? Jtcs#rrrtinn
Thu Certi ficate ittutd pnrtuant to the +rqrrinmrntt oJ Section 306 of the Uniform Building
Cadr entifying that at tix time of JI31u11t[L tllJl SffJlLttfl[ iVGt tri COfip11Att[t uAJb the VAflOAJ
adinunrer o( the City +egulating buiJding rorsmruliom or utt. For the fallavrng:
m.ci.mmeW SF DWG/GAR ` ? 1'' • ` ?' '' Ol ? e,.iNo. 7821
omwar'row R3 TrPC?u? V Fmzm NA zo?w,?t Rl
a,,,?rmud„6 Joseph M. Miller 18133 Cedar Ave. So., Fari
4712 Covin2ton Ct. ?,muy10 .B?ock 6$Pa o?, n Hi? 1
k-,nl Q 0 ? P rEL?1-Prr'?. °Y
May 24, 1983
..,.?. "
.o.. ,. . ".,?,ro,,.
7'
BUILDING PERMIT
cirir oF
3795 Pt{ot Knob Rood
PHONE: J
IiAN 33122 V ? Cf ? 1
,
Receipt ?-
gin Addreu 4712 Cov inEton Caurt Erecr 13 OccuPoncy p-3
Lot 2 Black 6 Sec/Sub. Fseacon Iiill Alter ? Zoning "-1
pamel # 10 13500 0 ?.0 OG Repoir ? Fire 2one A
E
l T v
n
arga ? ype of Const.
at
W No„r1e JoseFh M. Aiiller Const., Inc. Move p # Srories
; Address 1$133 C edar Ave. Su. Demolish ? Length 46
?? r':r..Farni Intfnn o*.,...e 454-4751 Grode C1 Depth 41 Sq.Ft.
a Nome QvuBr
??r
Addreu
r ['tt., ati.,.,.
Nome
Assessment -
Woter & Sew.
Police
Fire
Enp.
Planner
Counci I
Bldg. Off. _
APC
Permit
Plan
SAC
Woter Meter vu . IJ v
Rood Unit 250•00
Totpl $1734.50
Sigrwture of Pertnittee I
Joseph M. Miller Consl., Znc.
A Building Permit fs issued to: on the express condition thar
oll work shail be Aone in accordance with all opplicable Sta)e of MinneWo Stotutes and City of Eaqen Ordinonces.
Buildinp Officiai ? t '
Permit Na. Permit Hofder Miw. f'srmit Mo. Halder
I
m :3qq-7 C4nT'??? Qi Ir? 2.? ??
3
-
.
Disp
Sewer
Electric
Inspection Date (nsp. Other
F?tin? -i $3 b
Foundation
Framinp .2? ?
Rouyh Pibq. ?75-?3
Rouyh HVAC
Inaulation •??"? ?
Final Plbp. q
Final HVAC z,f 5? u,,
Final S 5! ?,?
Water Daso?ibe Location:
vVell .
Sewer '
Pr. Dbp. ,
Recefpt : s'-- MECHANICAL PERMIT Permit No. CITY OF EAGAN
Fee
FiII in numbered spaces S/C
Type or Print /egib/y Tot.
1. Date ' 2. Installation Cost
3. Job Address Lot Z. Bik. ? Tract •
4. Owner ' 5. Contractor i Phone
6. Address
7. City i State Zip
8. Building Type: Residential El Commercial ? Institutional O
9. Work Description: New ;? Add ? Alter ? Repair ?
10. Describe Fuel Type
11.
No. Equinment BTU - M. Ea.
Forced Air No. EQUiament CFM
Ai
Mfg. r Handling:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Othe
Air Cond. r
Mtg,
Gas, Piping Outleu
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
Receipt - /' PLUMBING PERMIT Permit No.
CITY OF EAGAN
Fee
? Fill in numbered spaces S/C -
Type or Prini /egib/y To? ?
1. Date < 2. Installation Cost
`. '
3. Job Address '.' ?;' ?•? ••? Lot Blk. Tract : i
,t
4. Owner
5. Contractor Phone
_. , _ .
?
6. Address
7. City - ` State Zip
8. Building Type: Residential C] Commercial ? Institutional ?
9. Work Description: New ? Add ? Alter ? Repair ?
10. Describe
11.
No, Fixtures
Water Closet No.
' Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
/ Shower r- Well
1 Kitchen Sink
Urinal/Bidet pther
Laundry Tray '
' Floor Drains • ?
Drinking Fm.
Slop Sink
Gas Piping Outlets
12. I hereby cert ify th at the above information is true and correct, and I agree to
comply with all ordinanM and?codes goveioning this type of work.
Signed : '? , .1 '1 --
for
Rouyh Final
Inspections: Date Insp. 'Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 45448100
?? ?
CITY OF EAGAN Remarks
Addition BEACON HILL ADDITION Lot Z Blk 6 Parcel 10 13500 020 06
Owner Steet 4712 Covington COUrt State Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 1982 1848.67 205.41 9 1437.87 A012305 6-6-83
STREET RESTOR.
GRADING ,; 1982 537.84 59.76 9 418.32 A 6-6-83
SEW TRUNK 97 135.97 9.06 15 6 3. 49 A012305 6-6-83
*SEWER LATERAL ? 1982 3182.83 353.65 9 2475.55 71 " "
WATERMAIN
WATER LATERAL 1982 9
WATER AREA 1982 2.
44
9
157.12
A012305
6-6-83
* Stubs 1982 9
STORM SEW TRK 2, 1982 367.77 40.86 9 286.05 A012 305 6-6-83
STORM SEW LAT 1982
CURB & GUTTER
SIDEWALK
STREET LIGHT
ROAD UNIT 250.00 34684 3-8-83
WATER CONN. 450.00 tr it
BUILDING PER. 821
SAC 525-00
??
??
PARK
ERVICE PERMIT
GTY OF EAGAN SEVUER S
3745 Pilot Knob Road PERMIT NO.:
Fayan, MN 55122 DATE: ,
No. of Units:
Zoning:
Uwner:
Address:
.,.
Site Address:
.
Plumber: _ :
.. ..
? ,
M eomply wuh t6s Gqr of Eogan Connedion CF?orpe:
1
eg?se Account Deposit:
Ordinaeew. _
Permit Fee:
Surcharge:
Misc. Chorges:
BY
Date of Insp.: TotOl'
Poid:
Insp
.. pote -
OF EAGAN
piiof Knvb Roed
, MN S51 ZZ
WATER SERVICE PERMIT
PERMIT NO.:
DATE:
_ No. of Units:
:ldress: .
te Address:
umber:
?eter No.: Connection Chorge:
AccouM Deposit:
ze: '
perm;t Fee:
eader No.:
ayree M wmpir wilh t1N City of Eaqan Misc.aCharges:
rdinancas. Total:
Date Paid:
By
Dote of Insp.:
?so ( ?
Apt. Bldg.
Commercial Bldg.
Industrial Bldg.
Farm
Unloader
?
TOTAL 1 EED ,d
I, the Electrical Inspector, hereby cer ' hat a?love inspection has been G
(Rough-in) ? . ? Date 3- 3 1p -3
(Final) Date_
This request void 18 months from y?
This request void 18 months from3l3o &-a-C-0 h 3So
41,1 l 37 ?SC)
Date of this Request S 7 511
I, as Wicensed Electrical Contractor 0 Owner, do hereby request inspection of the above electri-
cal wiring installed at:
Street Address or Route No. 77/02 ?OVmg?o/) Ci44on
Section Township Range County.LXlAe.' A.-
Which is occupied by ;r-oer /W, //d" on. s4?vc. ?, ce) 4?5"5e - ey? 0753
Is a roughin inspection required on this job? No ? YesX Ready Now p Vyill Call
..?
?
,?/PcM> c
Contractor's License No'/_/d'/0Z
L.STATE BOARD C4PY
CITY- OF FJOGAN nwwa. Z ..e.'of pl.?..
j'. ; ?•' ? 1 sib p?? ?w_ a__??? ; H[JIIDItx, PE[?P APPLIG0.'D?i Mt o[ ?f ??
,
? •• ' S?D?&?C?? ?,ust3? ? bO?°oo ? 3-s-8?*
Zb He UBed Pbr 'New-Hsme
Site Addressa 4712 CovinRton COt?'?
' " Be^cnn Hi 11 ? ?/
2 BlAdt 6 Sec./Sub•
L TCt
Paroel #: ?6 (3 S c?0 ozo ?r gis+0 aafe
; Et'11a1"v q? o! Q7??
' ??
Q6fIRri Jos2ph M Millet ?? st_ Tnr IbYr ???S ?i 1R133 ('ad e o_ cri ????? ' ?tY/7iP ?: Farmington MN. 55024 1'
Ci
Hhane i: 4 5 -
,tractcr= Same
Addreas: ,
CitY/ZiF Code: ;
Plfmie #:
Atrh. /&?g.
? Addx'ess:
Cods.
# '
?---s°
?"
11PPI?NALS
ASOSSWMAS
,
TP ? ? ?r`T ja r
?'?
P?Oliae ?
rire ?? com•
?J•
:
Flantier
counci
?t ??
gldq. ?
APC ;
?
V;
'
?
'
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD • 55122
651•681-4675
New Conshuction ReauUemeMs Remodel/Reoair Reaulrements
? 3 registered sife surveys showing sq. it. of lot, sq. tt. of house
and go rooied areas (20% maximum lot coveraae allowed)
? 2 copies of plans (show beam i window sizes; poured fnd. design; eTC.)
? 1 sM of energy calculaNons
? 3 copie: ot hee preservallon plan iF lot plaNed aHer 7/1/93
DATE: +
[J i
DESCRIPTION OF WORK: ?v r)-C'?.'e`Lq'c^'e-dd'4
STREET ADDRESS:
LOT: C;I\ BLOCK: (!:?' SUBD./P.I.D. #:
PROPERTY
OWNER
Name: ? 4- "'7 e?- 4p4CiG Phone #:
Last First
Sheet Address: '41We7 r6L-?"n ?,T ?
ciri Z44k, stote: /11h zip: SS
Company. -??s??c CGH57r .'?1.Ac- Phone#: ?.
(area code)
CONTRACTOR SheetAddress:, /6 ??2 ?4 ??s Sucl??C IkL
67
License# AJd/1t(,2 /.3 Exp3 ??d
2 coples of plan
1 set of energy calculafbns for heafed addHlons
1 sHe survey for exiedor addHtona d dec W
CONSTRUCTION COSi: ?'? UUd
Ctty (gc R State: 427`) Zip:
1"991 Q s
?- 21?- q I
ss3 y?
?
?
ARCHITECT/
ENGINEER Company: Name:
Telephone #: area code ( )
Sheet Address: Regishation #:
City
Sewer 8 waTer Ilcensed piumber (reaulred for new conslrucfion onlvl:
r
State:
Zip:
penolty applies when address change and lot change is requested once permR Is Issued.
1 hLreby acknowledge that I have read this appllcaHon, sfate that the fMormation is correct, and agree to comply wBh all apptlcabl
State of Mlnnesota Sfatutes ond Ciy of Eagan Ordinances.
Signature of ApplicaM:
OFFICE USE ONL?4
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes - No _ Not Required
• Certiflcate for:
Centex Homes Midwest Inc.
8601 Darnell Road
Etien Prairie, Mn. 55344
Certificaie for:
Joe Miller Const. Inc. DELMAR H. SCHW?i?ANZ
18133 Cedar Ave. S. LANOSURVEYORy??-
Farmington, Minn. R"istaraA unaor lEwsaf Tne SbtA of MmnMn
55024
2978 - 146TH BTNEET W. - 90X M NOBEMIXMT• hUNNEWTA SIM
SURVEVORB CERTIFICATE
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MIONE 812 47517{Y
SCALE: 1 inoh - 30 feet
• Denotte
r Denotes
q21.0 Denotes
? Dseotes
Denotos
/?s ? dratt?11?L
iron pipe monument
setback monument
Bxiating elevation
prapcsed grade elevation
directi'on ef 4Wface
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{ 9 Zt.O Propoaed garage Ploor elevationF
Z?Proposed top oT block elevation
1?2 Propoaed basement floor elevation
I hereby certify that this is a true and correct representation of
Lot 2, Block E, BEACON HILL, according to the reeorded plat thereof,
DakotaCounty, Mitlnesota.
D3tea: June 18, 1979
Aleo ahowing the location of a proposed house not staked thereon.
Revised this 4 day of February, 1983.
QEJt5E?0 t4ooSE LoLwt-,or.1
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MINNESOTA REdSTRATION NO.8826
..n?e?. _?.. ? _ . . ?id. .'.-I . .1':?.y.? •-. '?? e?'^' i?+?`n`lii
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OMliBR? _ ' » ?.?.- 454-4753 j . ?'?.'?
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6C7
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'lbtAl 07cFO8bd wbll ar_3 aWvt: floor
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SUBD.
CITY USE ONLY
BL l?
c o,
EACH #
PERMIT # l? &:?)
1999 PLt7M$INH PERMiT (RESIDENTIAL)
crrY oF Ensax
S$SO PILOT KNOB RD
f.&HAN, MN 55tEE
(651) B91-4675
Please complete for: ? single family dweilings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinklersystem
FIXTIJRES
TOTAL
Bath tub
$ 3.uU ' ----
x -----
Floor drain 3.00 x = $
Ges 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 installation/re air 30.00 x = $
Rou h o enin 1.50 x = $
Shower 3.00 x = $
Under round s rinkler if dweltin is under construction 3.00 x = $
Under round s rinkler if existin dweilin 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener if dwelling under construction 5.00 x = $
Water softener if existin dwellin 30.00 x = $
Water turnaround 30.00 x ---- _ $
State Surchar e .50 --> ---> ----> $ .50
Total --> --> .__> ...->
34.sa
$
Reminder: Gall for inspections of afterations, i.e. water heaters, water softeners, etc.
---------------------• -------------------------------------------------- •---------------------------------------------------------------
I hereby acknowledge that I have read this application, stale that the infortnation is correct, and agree to comply with all applicable Ciry of Eagan oMinances.
It is the applicanPS responsibility to noUfy the properry owner that the Ciry of Eagan assumes no liability for any damages pused by the City during its
normal operational and maintenance-activities.to_the.faciliGes construcfed under this permit wifhin City property/righbof-way/easement.
?
SITE ADDRESS: BLAESea, DAVID ?
i 4712 COVINGTON COURT
OWNER NAME: : I EAGAN, MN 55122 i TELEPHONE #:
- (651) 688-0226 , (AREA CODE)
INSTALLER NAME: -- -- - - -? TELEPHONE #:
' (AREA CODE)
STREETADDRESS: 12 8?7-4-033 _
CITY: WINNGs1R01?Sg MAI 55405 STATE:
RECEIPT #'
RECEIP7 DATE:
21P:
SIGNA U 06F PERMITTEE
L ? BL (0
SUBD. '] 1)Q.ACw I?1`ll
CITY USE ONLY 3
RECEIPT #:
RECEIPTDATE' AO':In p
/ 1/
PERMIT # 5t533
1999 PLUM$INH PF.f{MIT (fiESIDENTIAL)
crrY oF Ensa?nr
3830 PILOT KNOB RD
E4flRN, b1N 551 EQ
(651) 681-4875
Please complete for: ? single family dwellings
? townhomes and condos when permits are required far 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 = $ i
Minimum fee alterations to existin dwellin 30.00 x = $
Private Dis osal S stem new/refurbished ' re uires MPC iic. 75.00 x = $
Private Disposal System abandonment 30.00 x = $
?:^z new Insc3li3r:u:uraaa;1 3n nn 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 i1 existin dwellin 30.00 x = $
Water closet 3.00 x = $
Water he er 3.00 x = $
e if dwellin under construction 5.00 x = $
ater softener if existin dwellin 30.00 x = $
a nd 30.00 x $
State Surchar e .50 --> ---> ---> $ .50
TOt81 --' --' ----? °--? S .SG?
Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc.
-
-•-ereh---yack-•--nowledge that I h---------------avere-----a d ---------------•--•--._._...--••--•-on-------wrt----, -a-n----agreeto ------ ?--------------------- - - -- -- ---
I h this applipGOn, state that the infortnaE is ectd comply with all applicable City of Eagan ordinances.
It is the applicanPS responsibility to notiTy the property owner that the City of Eagan assumes no liability for any damages caused by the Ciry during its
nortnal operetional and maintenance activiGes to the facilides wnsWCted under this permit within City property/right-of-wayleasement.
SITEADDRESS: y7lZ &0[l/dLIGTc?6J 17-1' ?i57L"-7xJ Ol/ ZZ
OWNER NAME: : ?J,4?liD ?LA?SEl? TELEPHONE #: fIBB - O L?
(AREA CODE)
IN57ALLER NAME: TELEPHONE #:
STREET ADDRESS: 9 - ?i'ur (AR A cooe?-"--
CITY: Z276STATE: ^u ZIP: $5-3?D3
? o
SIGNATURE OF PERM EE
? RESIDENTIAL ??.
BUILDINC PERMIT APPLICATION ?
CITY OP EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New ConatruMian Reauiramend
• 3 registered site surveys showing sq. R. of IoL sq. R. ol haute; and all mofed areas
(20 % mazimum Ia1 coverage aUowed)
• 2 copies of plan shmnng heam 8 window s¢es: poured fouM desgn, etc.)
• 1 set ot Errergy CalculaUOns
• 3 capies of Tree Preserva6on Plan if lot plaCed aRer 711193
• Rim Jaisl De1ad Options sekclion sheet (61dgs mith 3 or less unfts)
DATE _ / _I- QQ
yZA '; L-
SITE ADDRE55 ? 74;t CQjLZN(?_,-M NI C.I MULTI-FAMILY BLDG _Y ?N
TYPE OF
APPLICANT
STREET ADDRESS Jv /d NA?J'*JJ
TELEPHONE #I-OO-l 4703?"ELL PHONE #
ML ZIP
FAX #
PROPERTYOWNER L)qltrf'> e(_A 3S _ TELEPHONE#b?I'?d
----------------- ---------------- ------ ---.... -............ ------------------- --.........
COMPLETE iH15 SECTION FOR "NEW" RESlDENiIAL BUlLDINGS ONLY
Energy Code Category _ MINNESO"CA RiILES 7670 CATEGORY 1 MINNESOTA RLJL.ES 7672
(J su6mission type) • ResidenUal Vantllation Calegory 1 Woitcsheet Submiltetl • New Enerqy Code Worksheet Submitted
• Energy Envelope Calcula6ons SuDmitted
Plumbing Contractor:
Plumhing system includes:
Mechanical Contractor.
Vlcchanical sys[em includes:
Sewer/Water Conhactor.
_ Air Conditioning
_ Heat Recovery System
FIREPLACE(3) _ 0 _ 1 _ 2
Phone #
Phone #
Fee: $90.00
Fee: $70.00
--------•--°-°-------------°-------•------------•--°----------••----------°------°--------------°•-------°--------
I hereby acknowledge that I have read this application, stote that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and Ciry of Eagan Ordinances.
Signature af Applicant ?s
OFFICE USE ONLY
Certificates of Survey Received Tree Preservation Plan Received _ Not Required _
- Updaled 4102
_ Water SoFtener
_ Water Heater
_ No. of Baths
RemodeNtaoair Raauiremanta
• 2 wpies of plan
• 1 set of Energy Caiwlatlore for heated addAians
. 1 sile Survey (a extenor adUitiom 8 decks
. Indicate'rf Iwrtre served hy aepGC system for addipons
.STtrCr??G ol 1 hS'? '?*''?.
VALUATION 0DJM.lS
/
Phone #
_ Lawn Sprinkler
_ No. of R.I. Baths
flpr ll 02 01:39p SNIP PERMITS 4077678536
fo?
, I `1 !?m l q3 p° aR.cc.e ,J?.. ? .
,
, .
Yau
-- - - ---- SK -
p.l
:sL
r> ?i?We?denh'6qt1?
, _ Lk+ea19E??rab0@`.Q
?..
?
i
, Minresota Ceparimant of Commeroe
Licensing Drvision
85 - Tih Place Easi. Suite 604
St. Faui, MN 551073165
??, ir.l?ivlsion
?n6?
{?St???E57397$.
h_,......
q -???:n?•.?nsk?g.can??.mn.us?-,???:?.? ?-
B?Q
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-..ydy: . ..<.. y .ex: .?. ? .. :'3^....? •..,; '
+>t ,
.. - - • ix?_ ?. .... _ ? -: _ .. _.. . , . ... .
I; t . r?te r°L:icensn
-o.?EMENrt:PRoir?i_??s
COFtPARATION'
_ _
90o1r A%
? • - :? ` t"!tW?[?eeat?on 7 Hrs.?E?dus? 3?34/3?Ib'9
, . . ... __ ? . ._ .. . .? ,-. -
?
?`0?,. ? ? ?.S.P65;kGE j
eea-r
a a , ?
CK ' !C If?'K.
a,: `.,NlN •ese??ss .-_--
SEAR3 HOME IMPROVEMENT PRODUCTS INC
1424 FLORiDACENTRAt'1'1CN1Y
LONGWOOD. F! 32750
C:CF-RHMP
I - - - - _
S
NiECHANICAL (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please complete for. Single Family Dwellmgs
Townhomes and Condos when permits are required for each unit
Date / W
Site Address ?U nit #
PropertyOwner Telephone#(Gsii)
C
t
t Wolilers Southside Htg
& Air
Inc
on
rac
or .
,
.
6950 W. 146`" St., #106
Street Address Apple Valley, MN 55124 City
(952) 431-7099
State Telephone # ( )
The Appticant is _ Owner ? Conhactor _ Other
Add-on, modification or alteratiou to existing dwelling unit $ 30.00
furnace replacement
air exchanger
?-- air conditioner
other
State Surcharge $ .50
T
t
l ?
o
a
71
I hereby apply for a Residential Mechanical Permit and aclnowledge that the informatioxi is cosnpletejanfl acentate; that the work will
be in conformance with the ordinances and wdes of the City of Eagan and with the Mechanical Codes; that I undersYand this is not a
pemut, hut only an application for a permit, and work is not to start witLout 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. (? -1
L)Qrl1e-I t? V.2-6-IICfS QCe?cf *?l
Applicant's Printed Name ApplicanYs Signature
For Office Use
I
City of Eapn I Permit
I (,Y3 I
Permit Fee.
3830 Pilot Knob Road
Eagan MN 55122 j Date Received: J 2009
Phone: (651) 675-5675
' I Staff:' I
Fax: (651) 675-5694 CtLC~f I I
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
A
Date: 051t510!3 Site Address: ~ T 2- , 6A Ck
Tenant: Suite
RESIDENT/OWNER Name:'~cl~' r ~C t-r~ (C7lF- r Phone: 65 r W- Q22
Address / City / Zip: Coo C4, a,'1
Applicant is: Owner Contractor
L 6,Yf-30~,
TYPE OF WORK Description of work: -laiLad~ *
Construction Cost: ? 7 Multi-Family Building: (Yes / No
CONT r L~l h "_00 License T
Address: 15
City: Sta e. Zip: 5-50 3 b
one: (D(OX01 Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Category 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
Category Submitted Submitted
(4 submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the 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: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classfed as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
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
Ea that I understand this is not a permit, but only an application for a permit, a is not to sta 'thout a permit; that the work will be in
rda with the approved plan in the case of work which requires a review and proval of ns.
(X,
Ap ant's Printed Name t s signature
Page 1 of 3
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DO NOT WRITE BELOW THIS LINE ~ ~4
SUB TYPES
❑ Foundation ❑ 05-plex ❑ 16-plex ❑ Accessory Building ❑ Pool
❑ Single Family ❑ 06-plex ❑ Fireplace ❑ Porch (3-season) ❑ Ext. Alt. - Multi
❑ 01 of _ Plex ❑ 07-plex ❑ Garage ❑ Porch (4-season) ❑ Ext. Alta- SF
❑ 02-Plex ❑ 08-plex Deck ❑ Porch (screen/gazebo/pergola) ❑ Multi Misc.
❑ 03-Plex ❑ 10-plex ' E ~ Lower Level ❑ Storm Damage
❑ 04-Plex ❑ 12-plex ❑ Miscellaneous
WORK TYPES
❑ New ❑ Interior Improvement ❑ Siding ❑ Demolish Building*
Addition ❑ Move Building ❑ Reroof ❑ Demolish Interior
❑ Alteration ❑ Fire Repair ❑ Windows ❑ Demolish Foundation
❑ Replacement ❑ Egress Window ❑ Water Damage
Demolition (entire building) - give PCA handout to applicant
DESCRIPTION:
Valuation Z&42 Occupancy MCES System
Plan Review Code Edition SAC Units
(25% 100% Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Const. Width
REQUIRED INSPECTIONS
Footings (new bldg) Sheetrock Meter Size:
Footings (deck) Final/C.O.
Footings (addition) Final/No C.O.
Foundation HVAC
Drain Tile Other:
Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace:_R.I. -Air Test -Final Windows
Insulation Retaining Wall
Reviewed By: , Building Inspector
RESIDENTIAL FEES:
Base Fee p
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
Total
Page 2 of 3
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PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA083655
Eagan, MN 55122 . Date Issued: 06/19/2008
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 4712 Covington Ct
Lot: 2 Block: 6 Addition: Beacon Hill
PID 10-13500-020-06
Use
Description:
Sub Type: e-Siding Construction Type:
Work Type: Siding
Description: House
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
Comments: When installing ventilated soffit material, remove existing soffit material (i.e. debris that could block vent openings) and
take steps to ensure maximum ventilation into attic space.
Fee Summary: BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
Valuation: 3,000.00
Total: $90.00
Contractor: -Applicant - Owner:
Gopher Company David W Blaeser
2701 36th Ave S 4712 Covington Ct
Minneapolis MN 55406 Eagan MN 55122
(612) 331-1555
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 Issued By: Signature
PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA083678
Eagan, MN 55122 . Date Issued: 06/19/2008
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 4712 Covington Ct
Lot: 2 Block: 6 Addition: Beacon Hill
PID 10-13500-020-06
Use
Description:
Sub Type: e-Reroof & Windows/Doors Construction Type:
Work Type: Reroof & Windows/doors
Description: House & Garage
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
Comments: Permit closed without required inspection(s). Letter sent to applicant on 8/18/09. (pf)
If there is no ice protection inspection prior to final, you must meet inspector with ladder and flat bar. Pictures are not
acceptable in lieu of inspections.
Fee Summary: BL - Base Fee $6K $132.75 0801.4085
Surcharge - Based on Valuation $6K $3.00 9001.2195
Valuation: 6,000.00
Total: $135.75
Contractor: -Applicant - Owner:
Gopher Company David W Blaeser
2701 36th Ave S 4712 Covington Ct
Minneapolis MN 55406 Eagan MN 55122
(612) 331-1555
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 Issued By: Signature
r-----------------
For Office Use,
City of Evan Permit#:
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 I
Date Recei ed.
Phone: (651) 675-5675 Cto
Fax: (651) 675-5694. 1 Staff: I
L - - - - - ----------I
2009 RESIDENTIAL PLUMBING PERMIT APPLIC ON
Date: < < Site Address: _
David Blaeser
Tenant: 4712 Covington Court Suite
Eagan, MN 55122
RESIDENT / OWNER Name: 6516880226 >ne:
Address / City / Zip: _
CONTRACTOR Name: N-C3[3LOM-PLURIIBINC CCU. LicenseO'5
Address: (612) 827-4033
City: 2905 GARFIELD AVE. SO. State: Zip:
MINNEAPOLIS, MN 55408
Phone: Contact Person:
TYPE OF WORK -New X -Replacement _Repair -Rebuild - Modify Space - Work in R.O.W.
Description of work: Ir y h:
PERMIT TYPE RESIDENTIAL
I Water Heater Water Softener
Lawn Irrigation Add Plumbing Fixtures
RPZ / _ PVB) Main - Lower Level)
Septic System Water Turnaround
_ New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge)
*Water Turnaround (add $165.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $ L-J-
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 inthhsejcase of work which requires a review and approval of plans.
x / Cr No ICdi x -
Applicant's Printe Name A icant's Signal ure
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough In Air Test Gas Test Final-
Design #:84684
* * * Take this sheet to the Building Materials desk to purchase your materials.
You selected a 2 level deck with:
Pressure Treated Framing Material WALIfING strRFACES GREATER 1 N 3UBelow is a section of the railing style and
r. ABOVEARE ,B W UmEG Dl tions you have selected for your deck.
6" Cedar Deck 1 g I'IINIMUM 36" IN HEIGHT AND DISIGNED
SUCH THAT A 4" SPHERE WILL NOT PASS THROUGH
PouredTbotinTube 4' deep
Premium Gold Combo Drive Screws , _ -
Galvanized Framing Fasteners I "R MUST Pr ATrP,44'n
WHSiitftS EVVRY 1fi" :a�d�Clir$
Handrail selections:
36" Shaped Horizontal Handrail Railing
30" Petina Aluminum Spindles
FastBall Aluminum Spindle Fastener System
4" x 4" x 48" Cedar Turned Railing Posts
2" x 4" x 8' Cedar Shaped Hand Rail
You may buy all the materials or any part at low cash and cam prices. Because of the wide variable in codes,
Menards cannot guarantee that materials listed will meet your core requirements. Check with your local municipality
for plan compliance and bolding permit. These plans are suggested designs and material lists only. Some items may vary
from those pictured. We do not guarantee the completeness or pricesyof these structures. Tax, labor and delivery not included.
'TPEATED WOOD MAY P7C"J1RE SPECIAL
iiARovvAR: iANGERS, AND
FLASHING). CONTACT LUMBER 71
`PUER FOR MORE INFORMATION.
Spindle placement is approx. 4" apart depending on style
STAIR TREADS AND RISERS
- 7 $/4 MAXIMUM RISER TREAD
10" MINIMUM TREAD DEPTH
it)
STAIRS SHALL BE PROVIDED WITH ILLUMIN`r
THE IMMEDIATE VICINITY OF THE TOP LANDIN
Illustration intended to show
Some options selected may not
S DIVISION
Today's cost for materials estimated in this design with options: $ 4 214,01
*The basepric
e includes: 40 PSF deck live load, AC2 treated - horizontal 2x6 *(BASE price): $2,080,30
deck boards, 4x4 posts, 2x8 joists and beams, galvanized framing fasteners, ***If purchased today, you save:'82.45***
AC2 treated 36" Vertical handrail to joist without posts, and premium screws. *"'Monthly BIG Card Payment would be: $118.34***
Design #:84684
y
MENARDS
6/10/2009
'mac
* * Take this sheet to the Building Materials desk to purchase your materials.
Level 1: 17' x 20'
6' off the ground
Horizontal Decking
2" x 10" Joists
2 ft cantilever on joists
2" x 10" Beams
1 ft cantilever on beams
40 PSF Deck Live Load
Level 2: 10' x 6'
2' 'off the ground
Horizontal Decking
2" x 10" Joists
2 ft cantilever on joists
2 x 1u Beams
1 ft cantilever on beams
40 PSF Deck Live Load
I'i
Today's cost for materials estimated in this design with o ti ns:$4214,01
*The base price includes;40 PSF deck live load, AC2 treated - horizontal 2x6
deck boards, 4x4 posts, 2x8 joists and beams, galvanized framing fasteners, if purchased today, you save: $182.4r*
AC2 treated 36"Vertical handrail to joist without posts, and premium screws. 'Monthly B1G Card Payment would be: 118.34'`
*(BASE price): $2080.30
sq'(
MaOt 7000
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Layout dimension sheets are intended as a construction aid/ Not all options selected are shown
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\Layot dimension sheets are intended as a constructionaid. \Not .all options selected are shown.
Beam Layout for Your Deck
The Scale is 1/4":1'
Design# 84684
Mark
Description
4-2x10 Micropro Treated
Layout dimension sheets are intended as a construction aid. Not all options selected are shown,
Beam Layout for Your Deck
The Scale is 112":1'
Design# 84684
ark Length Description
10' 4-2x10 Micropro Treated
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Joist; Layout for Your Deck
The Scale is 1/4":1'
Design# 84684
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Mark Length Description Usage
19'9" 12-2x10 Micropro Treated Joist
B 16'9" 1-2x10 Micropro Treated Ledger
C 1910-1 /2" 2-2x10 Micropro Treated Rim joist
17' 1-2x10 Micropro Treated Rim foist
Joists to be on 16" centers.
Joists to be hung from the ledger with joist hangers.
Joists to be toe -nailed to beams with 3-112" (16d) galvanized nails.
Rim
joists to be face -nailed to joists & ledgers with 3-1/2" (16d) galvanized nails:
Y bracing is estimated, but not shown. Blocking and bridging may be required by your local code.
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Layout dimension sheets are intended as a construction aid. Not all options selected are shown.
•
Joist Layout for Your Deck
The Scale is 1/2":1'
Design# 84684
93
Length Description_Usage
5►9" 7-2x10 Micropro TreateJoist
5,9„ L., In: _:__
LrreateU t\l.
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10' 2-2x10` Micropro Treated Rim joist
Joists to be on 16" centers.
Joists to be toe -nailed to beams with 3-1/2" (16d) galvanized nails.
Rim joists to be face -nailed to joists & ledgers with 3-1/2" (16d) galvanized nails.
Layout dimension sheets are intended as a construction aid. Not all options selected are shown.
Use BLUE or BLACK Ink
For Office Use
' Permit#:
City 0f Eai� � Permit Fee: /
3830 Pilot Knob Road /
Eagan MN 55122 RECEIVED Date Received: -l6, - l 7
Phone:(651)675-5675
Fax:(651)675-5694Staff:
AUb 6 T017
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 8/16/17site Address: 4712 Covington Ct. Unit#:
Name: David Blaeser Phone: 651-308-9187
Resident/ 4712 Covington Ct. Eagan, MN 55122
Owner Address/City/Zip: PD
Applicant is: Owner Contractor
Type of Work
Description of work: Install drain tile (56ft) and sump pumps.
Construction Cost: $4,000.00 Multi-Family Building:(Yes /No X )
Company: Innovative Basement Systems Contact: JT
Contractor
Address: 1100 Holstein Drive NE City: Pine City
State: MN Zip: 55063 Phone: (320)629-3990 Email: Gordan@innovativebasementsystems.com
License#: BC524785 Lead Certificate#: NAT-F120801-1
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months,has the 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: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
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. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.000herstateonecall.orq
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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit Issuance.
x Kelsey Damon X
Applicant's Printed Name Appli nt's Signature
Page 1 of 3
0 ' ,.,,4„ o4-
Z/`77 DO`NOT WRITE BELOW THIS LINE i q5/4-1
S B TYPES — —
Foundation — Fireplace Porch(3-Season) Exterior Alteration(Single Family)
_ Single Family _ Garage — Porch(4-Season) _ Exterior Alteration(Multi)
_ Multi — Deck — Porch(Screen/Gazebo/Pergola) _ Miscellaneous
01 ofi Plex — Lower Level _ Pool _ Accessory Building
WORK TYPES
— New _ Interior Improvement _ Siding _ Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
Alteration Fire Repair _ Windows _ Demolish Foundation
— Replace Repair Egress Window _ Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
—
DESCRIPTION
Valuation f IGD Occupancy IA e-i MCES System
Plan Review Code Edition G/j' SAC Units
(25%_100% VI Zoning PD City Water
Census Code 11341 Stories _ Booster Pump —
#of Units / Square Feet PRV
#of Buildings Length _ Fire Suppression Required
Type of Construction Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final/C.O. Required
Footings(Addition) Final/No C.O. Required
Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test
Roof:_Ice&Water Final Pool: Footings Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS
Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression: Rough In_,Final
—
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: ,m , Building Inspector
RESIDENTIAL FEES
Base Fee /0314F
Surcharge
Plan Review ‘711—
MCES
'=MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies I/ Q A51
TOTAL
Page 2 of 3