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4725 Covington Ctcirr oF eaGAN _ 3795 Pilof Kno! Rmd Eagan, MN SSlll N? 7634 PHONE: 454-8100 - BUILDING PERMIT Receipt 7o M uwd fu SF DWG/C+AR est. Value $63,000 pate Novembet 9 . 1 q 82 S+re Addreu 4725 Covington Court Lor 13 Block 6 Sec/Sub. Beacon Hill pa,rol # lU 13500 130 06 w Name Blilie Construction'Co. Z qddre,s 644 Suverior Ct. 9 ..--- -,,.. ... ....., a Name Owne! z'- u? Addreu ?- r:t., oU....e Nome _ Address I hereby ucknowledge that I hove reod ihis applicofion ond ttote that the intormation is correct ond ogree to comply with all opplicable State of Minnewfo $tafutes 9qdASily of Eagan Ordirwpces. `., Slpnoture of Perminee L_/ ' ? A Building Permit Is issued to: nll work sholl be done in otwrda " wilh oll Buildinp Officiol Erect Yj Occuponcy R-3 PD R-1 Alter ? Zoning Repoir ? Fire Zone NA Enlarge ? Type of Const. Vn Move ? # Stories Demolish p Length 41 Grade ? Depth 48 Sq. Ft.- ApPrmala Faes Assessment - Water & Sew. Police - Fire Eng. Plonner - Council _ Bldg. Off. _ APC i : Permit 3LC.UU Surcharqe 31.50 Plan check 161 . 00 5AC 525.00 Water Conn420.00 Water Meter 60.00 Road Unir 240.00 Total S17.?59.50 on fhe express condition thm e of Eayon Ordinonces. BUILDING PERMIT cirir oF EAG?N 37lS Pllef Knob Rood Eogen, M!! 55122 PHOHEs 454-8100 Te be uwd for Est. Value 5its iWdrcss Lot Biock Sec/Sub. Porul # Woc Name c'- ; Address 3 ?C :?d Receipr # .,?_ ... Erect C] Occupancy Niter ? Zoninfl Repoir ? Ffro Zone Enlorpe p Type of Const. Move p # Stories Demolieh ? Length Grade ? Depth Sp, Ft. o Nnme wpprovon rees ?? /?feu ^sseument Permit ~ Ci ph Water $ Sew. SurcFwrge one Police Plon check ?W Nome Fira SAC Address Eng. Woter Conn. <W Ci phor?s Planner Woter Meter Countil Road Unit t hereby acknowledge thot 1 hove reod this applicotion ond state thot Bldp. Off, the informotion ls correct and agree to comply with all applitable ^PC T l t Stnte of Minnesota Statutes ond City of Eogon Ordinonces. o o $ipnoturc of Permittea ? A Building Pe?mit is issued to: on ths express condlt{on tFxii oll work shall be done In accordance wlth nll opplicabla State of Minnesota Statutea ond City of Eopan Ordinances. Bulldiny Officinl ? Permit No. Parmit Holder Mise. Ptrmit No. Holder Plumbing E /Z_7'$-Z H.V.A.C. 33 3 2 S C0.S??ro I Z$ Wsll Watsr Disp. S?vNr e?k w 4o Sg po,.k=j'Eck c z- 7-$ Inspection Data Msp. Othsr Footinas Foundetion Frsminp _ Rouqh Plbp. Fiough HVA Inwlation l. Final Plbp. -? Final HVAC Final Water Describe Location: VYsll Sevwr , . Pr. D'ap. Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print legibly Tot Date ?O 2 Installation Cost .. . _ y 3. Job Address Lot `- Blk. Tract 4. Owner 5. Conuactor 6. Address . ? j C-6 ?4-Z' 13 I t f] 7. City State Zip 8. Building Type: Residential PT Commercial ? Institutional ? 9. Work Description: New ? Add O Alter ? Repair ? 10. Describe Fuel Type I 11. No. ? E.quipment BTU - M. Ea. Farced Air No. Equipment CFM Air Handli : Mfg. ' ng Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. M 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. _ I This is your permit when numbered and approved. Approved CITY OF EAGAN 464$100 ReCeipt .+r ? r 1. Date PLUMBING PERMIT Permit No. -- CITY OF EAGAN Fee - Fi!l in numbered spaces S/C Type or Prini /egiWy Tot. _ 2. Installation Cost 3. Job Address ' Lot /43 Blk. 6 Tract Cr? 4. Owner 5. Contractor 6. Address ? 7. City State Zip 8. Building Type: Residential 13 Commerciat ? Institutional ? 9. Work Description: New C7 Add O Alter O Repair O 10. Describe 11. No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Sh0wer Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to oomply with all ordinances and codes governing this type of work. 5igned : " for Rouph Flnal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Phone CITY OF EAGAN Remarks Addition BEACON HILL ADDITION Lot 13 BIk 6 Parcel 10 13500 130 06 owr,e? eil I ?d (I) ?.t I Street 4725 Covington Court State Eaaan,?MIV 55122 Improvement Date mo unt AA Annual Years Payment Receipt Date STREET SURF. {? 30 19 2 848 6 2 5 41 9 ? STREET RESTOR. F GRADING 71- 1982 37.84 59.76 9 418.32 A011 46 2-2 -8 SAN SEW TRUNK ?j ' '] j 97 9.06 IS 6.4 A01194 E) 2-2 -S *SEWER LATERAL &43 19$2 3182.83 353.65 9 2?} 75.55 WATERMAIN *WATER LATERAL 1982 9 WATER AREA ?i 1982 202 . 00 22.44 9 157.12 A011()46 2-2-1-8 * Stubs 1982 9 STORM SEW TRK 1982 367.77 40.86 9 286.0 A011 1+6 2-2 -8 'xSTORM SEW LAT 1982 g CURB & GUTTER SIDEWALK STREET LIGHT ROAD IT 24 0 32925 11- -9 82 WATER CONN. 420.00 of BUILDING PER. 7634 SAC PARK INS ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: :1tll itiki 1 Ot+i C. f i PERMIT SUBTYPE:, V I I I - f1NFV; I I I :11 TION RECORD PERMIT TYPE: Permit Number: Date Issued: Lfi i_ CI i; K? APPLICANT: , ? , •, i - TYPE OF WORK: FFtAM 1 PI(; I!;f i?IAF:F. •, RARA1'E F'l=RM i i !•f 01I1 ii{"11 F'OIi AMY I'i UMfi'ihlil t-{['lftk I i' Eih17 A(: T?; I'ATF MIqrrit r.sF f 1_17t'7F?Ti;I1'Y €;!; C3A1r!)iNC, t! f t' Ff;:[E A l. flEftM r ? ?b ?? `??o Permlt No. Permk Holder Qate Telephone N ELECTRIC PLUMBING HVAC Inspeciion Date Insp. Commenis FOOTINGS FOUND `1-7 FRAMING l//"??i? 7 ROOFING ROUGH PLUMBING PLBG AIR TEST il ROUGH HEATING I I GAS SVC TEST ? INSUL I GYPBOARD I FIREPLACE FI ?'' ???4CE AI? '?EST FIN.' - PLEG ? I ? FINAL HTG ORSAT TEST BLOG FINAL BSMT R.I. BSMT FINAL DECK FfG DECK FINAL CiTlf OF EAGAN SEWER SERVICE PERMIT 3795 Pilot Knob Roed PERMIT NO.: Edgon, MN 55122 DA7E: `- ?.. . _ . . ,. ZOnin9: No. of Units: O1MY1Cr: " i^ r t j C Arl/i-• YlfRllT tOQ: Surchorge: BY Misc. Charges: Date of Insp.: T l otc : I nsp.: Date Poid: ?l ry OF ':AaaH WATER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Fa9an. MN 55122 DATE: Zoning: _ Na• of Units: _ 1 ' C?wner; ???r•?I?f=s ' nr, Address: .... , srte • ? - Address; . Plumber. . , ,_ • Meter No.: Connection Chorge: " '• Size; Account Deposit: ------------ Reader No.: Permit Fee: ' 1 egree to oomply wtfh the Cily of Ea9vn Surchorge: Ordinenoei, Misc. Charges: Totnl: BY Date of Insp.: Dote Paid: 1rup.: I ? ? 5 8 4 ?EQUEST FOR ELECTRICAL INSPECTION Q EB-00001-03 W 6 See instructions for completing this form pn back of yellow copy, ?Y4 Y "X" Below Work Covered bv Thic Rani,acr Add e p• TVPe of B.ailding APPliances Wired H `~ -D EquiPment Wired ome Duplex Range Water Heat r Temporary Service Apt. Buildinc? e Dryer Lighting Fixtures Commercial Bldg. Furnace Electric Heatin Industrial Bldg. Air Conditioner Silo Unloader Bulk Milk Tank Farm t S Other peci y Other(Suecify) Comput er pecify e lnspection FPP RAlnui Ot er - --- Other Request Date Fire No. .g h -in Inspection [ qu ed? [:]Ready Now ill No ' fy, InsRec- 5 es ?No r w ady licensed Electrical Contractor I hereby request inspection of above El Owner eiectricel work installed at: Street Address, 6ox o Raute No. City ? QA--7 eciinn o. Township Name or W. Range o. C Occupan RIMfI ? ? ? Phone No. Paw r uppfie / ??ca<< C1 Address I !•6?,/IL_ EI ctrical ontractor {Company Namel Co rar.tor's License No. D iD 3 1 SS' 3 Mailmg Address {Co ractor or Owner Making Instaila 'on} Authorized Si (Contract Ow ner aking Ins Ilationl Phone Number _3 11 INNES0TC'b'T1aTrgOAtiD OF ELECTRICITY ? I I Griggs-Midwey Bldg. - Room N-197 1827 University Ave., St. Peul, MN 66104 Pti.,na (617I 297.2111 THIS INSPECT BE ACCEPTEO ION REQUEST WILL NOT BY THE STATE B R UNLESS PROP pQ D ER INSPECTION FEE IS ENCLOSED. This request void Iz/_] L) months ?. ? a , (g.ertifirttfr of (Orrupttnry Citp of (fagan igrpttrtmrttf a# Wuilding Jnsprrtimt Tbir CMificate icrud purtuant to tbt reqniremrnts of Satron 306 of tix Uni for+n Building Cadc artifyirrg that at tix timt oJ irrnanrt thiJ nnururr war in ramPliarat with tbr varioui aAinaaar o f the City rrgu4uing briiJding cmutruuion or un. For tbe followrng: t„a,,,?,m SF DWG/GAR W& nm,No. 7634 o.a.a.rTra R3 Tracm?mft un F;,,>,,... NA zo?4o;,., PD Rl O.,(,m,,Blilie Const. Co. A,,? 644 Superior Ct., Eagan 8,,,dftA,,,w 4725 Covington Ct. ,u,y Lot 13,Block 6,Beacon liill ?? By: kWdftOfF ;,, ?? ?, February 14, 1983 .o.. ,. , ? ..,<. W,e 4 r Loss 6 DG4 ?-- fj ftI6-?>? , S bWaf60. To Be Used For _.. , S,,q? CTTY oF EAGAN J/ - 3 Include 2 sets of plans, BOILDING PERMIT APPLICATION -6-Val tion (?-T (90(J J' 1 site plan w/elevations & 1 set of enesgy calculations. Date // S--?Z Site Pddress: OFFICE USE ONLY r,ot [,J_ slocx ? sec./sub. nT,. ,6,4 Pame7. #: 10 1 3s0 c? r;v o to Oamer: Address: Cit_y/Zip Code: Phone #: Contractor: Address: (ocF`E ?u0-eY,? City/Zip Code: ,e41 d9 'J Phone #: Arch. /IIig. : Acldress: City/Zip Gade: ? PhQne #: x Erect Occupancy Alter Zoning - Repair Fire Zone Enlarge _ _ 'Iype of Const. Move # Stories Dernlish Front ft. Grade Depth £t. APPROVIILS FEES A55essments Perntit 7 z 2 Water/Seceer 3, rr- Surcharye ,3 / Police Plan Check 1 gy-_ Fire SAC X FFhg. Water Conn. 0'- Planner Water Meter Council RAad Unit 2 q- p -- Bldg. Off. ??_?8'i,• APC Z+0'ML 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) lox5v' a? CITY OF EAGAN ? n E_9 Q_? 3830 PILOT KNOB RD - 55122 .Xrt?{,t 681-4675 New Constnretion Reauirements Remodel/Reoair Reauirements • 3 registeretl sde surveys ? Z cppie$ o{ plen ? 2 copies of plans (indude beam 8 window saes, pourad fid. design; etc.) • 2 site surveys (eMerior additions & decks) ? t energy wlculations ? i energy wlculations Por heated additions ? 3 wpies of tree preservation plan A lot piaded after 7/1193 requiretl: _ Yes _ No DATE: 9-/6-17 CONSTRUCTIONCOST: ???vou DESCRIPTION OF WORK: STREETADDRESS: 41725 GoV/rt?4-O/'i Co(i+-f Ea,.gc,n h'j^/ T 1-3 BLOCK 6 SUBD./P.I.D. #: &-aCOr% K1ll Nome 6$6SztZr PROPERTY OWNER COMTRACTOR ARCHITECTI ENGINEER Name: 0ibbs Pno e#: 3y37307 u.. HRSi StreetAddress: LI725 Cvvin94011 G'L CcL94n Mnl, City: Ea a4n State: n'1 N Zip; S!517'L Company: Phone #: Street Address: City: State: Company: Name: License #: Zip: Phone #: Registration #: Street Address: City: Sewer 8 water licer.-ed plumber (new construction only): and lot change arc , equested once permit is issued. Penalty applies when address change I hereby acknowledge that I have read this application and state that the infortnation is correct and agree to comply with all applicabk State of Minnesota Statutes and City of Eagan Ordinances. , Signature of APplicant: N- ? OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required State: Zip: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 5wim Pool ? 03 SF Addition ? 08 8-plex 13 Garage/Accessory ? 20 Public Facility n 04 SF Porch ? 09 12-plex 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 _-plex ? 15 Deck WORK TYPE X 31 New ? 33 Aiterations o 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) ? (Ailowabie) UBC Occupancy tl-I Zoning # of Stories Length Depth APPROVALS Basement sq. ft. Main level sq. ft. sq. ft. . sq. ft. sq. ft. sq. ft. Footprint sq. ft. Planning Building Permit Fee Surcharge Plan Review License MCNVS SAC City 5AC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pi. Road Unit Park Ded. Trails Ded. Other Copies Tatal:`?? `?• = ? ``: . i ?r? . ?%SAG ?,SAC Units . • MC/WS System City Water Fire Sprinktered PRV Booster Pump ? Census Code. ? SAC Code ?L Census Bldg _L Census Unit ? ? Engineering Variance Valuation: $ ? ?57A x / `l `# 11D0 Y.00 I _ . C r?'_fic3te c'or: 9 !,:,-c:c M:.dwest Inc. 'i ---::^:e1l! Foad . ,. ..?:r:e. ?•ir.. 33 34•1 DELMAR H. SCHWANZ L.4N0 SURV EYOR . a.a.a...a U.a.. Uw, a/ Ths SUU al M.nnAmta 2978 - 146TM STREET W. - BOX M ROSEMOUNT, MINNESOTA 56089 SURVEYOH"S CERTIFICATE -e: 1 'nc!-, ?'30 Yeet ' ?-- - . ? _ - - - . ? ---,: -- - \ -?-? _- ? t ; . ' ? llrainage ?.tiTility ??? • easement , , ? . ^ if : `.S . ? -.7 J \' ' . ..-70?•' - ' C:i'' ,,. . . -_ PHONE 873 423-1789 1 I i i i ; .• T_ :^ereby?,,certify thaL tnis Sa a t~ue and correct :epresentation of ? 3, B?ock 5, 3eacon F:ill, ace?:•din„ to 'tne rec?rded olat thereof . _Lct a?coca Co?znt;t, Mir.nesota. - LSted: J I e 19, li'79 . 1 ? .r ; . ; . ?.. , li•:',•i.L'? ?i. ?Jy':',,:;%=1:',.`.? :?J?J, = ' MINNESOTA REGISTRATION 140.8675 _ .: .? PERMIT ? )C.CITY•OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 Base Fee Surcharge 7ota1 Fee SITE ADDRESS: 4725 COVINGTON CT LOT: 13 BLOCK: 6 BEAGON HILL p.I.N.: 10-13500-130-06 DESCRIPTION: PERMITTYPE: BuiLoiNG Permit Number: 030816 Date Issued: 10 / 10 / 9 7 ? Li :-2s C6vd ensus Cotle ??. f ., ; ? ,_.. -w. '?4"f?:{ ? '', ?•?c"?._._ ,+ r? 5. rri? Buildingw,Permit Type Building Flq,rk Type GARAGE/ACCESSORY NEW 434 A'lT. RESIOENTIAL ;,?'•.' ? ?5,._, :.Li/ REMARKS: 3EPARATE CONTACT PERMIT REQUIRED FOR ANY PLUMBING WORK STATE BOARD OF ELECTRICITY REGARDING ELECTRICAL PERMIT - 496-9615 FEE SUMMARY: i VALUATION $9,000 $149_75 $4.50 $154.25 CONTRACTOR: II OWNER: - Applicant - GI885 PAUL 4725 COVIN6TON C7 EAGAN MN (612)343-7307 , I h& reby aoknowledge tli`at I. _fiave` read'`=this,:? 1'?c'?ti;nn aHd' sGa?a t,fta`t t i?6 P Pinformation is correct and agree to comply ui.th all applicable State of Mn. Statutes?_ead City-f Ea,a$n prdinances._ APPLICANT/PERMITEE SIGNATURE I55ULUt3YIZ51URATUFIE ?•a?%-•?'• "•!.• ?2s h+4:?wi'e.vniL.:nM.4?'? .: PLOT PLAN Sc:lir. -1 inr.h - 20 r?t ? ? -,. :•. . :':_ ?r ? ?. . ..`? . ?.` -17 -?.. . _ - ?,7?"? ? : i ? f ?. .?.? : y Ir l, ;, ? ? T. 4 ?? ?!? ? I ;]: ?-? ???. i +L.. _ ? ? ..?_ [____, t . r I.. r? ' 2 ?yT . . I ' ? ? 4 ,! t ? ; s 4 .;: - . ?Tl , ? ?i i. - ., . . ;t?k l . , cri _ t}.C. k 1 u k Ur ' ?li. + Fi ?. " 1. r ? A _. . ' ?T 4 i_?• ?^ c: ? t , r, t,•, Xd..? 11 ?Ni ? 1 L'1? -- - . ? ? 'f ; . j?, ' a1= ' 4 7 y?C? - .'? 1 . ? ?' 21? x_. .:9 ? }i ; 14: i I. ?t? i xe : . ?;.:?r: ? ? •: ? • ? ?? , 1 . • , MIT •-? : i- ? ::'b:•r?ti ? ?_}? T? L .M ~ ? I:7? :j?• '? ?..'?." ?F.. . _. i ? T4Tf 1: }.. ??1 1 : :.?• r . . . .. - , . . : i;t iL. :it ' Y , y • ? ? t ? i,?? ? ?? ? . { . 1 ? .7 .: 'v". '? ? 7 ? ? ' F .?. ? • ° ? t I ti ?-? - • _ 1 ?1'? Il • : ' ?.iiY :t? :j - ' ..?: , i . - .1, ...... i ;':..;.,E.f ' • . ;.,'? ?'._1:^ - :?! iy ? T :?:? r_- , _?t •?`.+p;'.^•, litillitit , . ?• ? ' .I • _ :. •: : : : . .. a: ..I' ' .. _ [ :1;! ? L , .,? ? ; :?.:.. ti:?;arn;??"= •?tt r? :,? ?:• ? ? , ? • •-:.. f ???"y4?.= ' " ?' 1:" ,i« ?•*I ':? ? ??. ? t t { . ? J t `. : ` ?11 •.. ilj? :ti :Y? -'i . '• Tt: :'? i ? ' :?')w:'?4a . . 1 0 , 1 ? i lif ;i: . .: ? - - .? . ... .?. ... . . ... ... . . .... . . . .._ .... . .?. . . .. ._ .. ..1 : ... . -IFT ..? ..i • ? . . .... .. .. ? .. . I:: ... ?.. .... .. . . ? ... . a r t . , + ?? . . . -.. .. ... ... .... "'" .f. . i+ H " i -i- i ? r- f` : i - - •? ? : : ,. t , ., : ' - l ------- - ' ' ? f :?' i".l .tC -? I'x ??I I :»? ?1'rT'fi • fi: " . _:: _' ' ,. i.' .i' : . ? . ? '??j• { - ' ? , It, ' 1 ?i. F . . `•, :? ?. ? t ?- 1 ? ': . .. . ... ... .... . ' ? ' ' . ?"'_;-----= =' -, :? :i. i' . 1 :::: ; I _: ' f. '_ t'q .I :?...-17_ ? ?? -?;•---. 1__ s ?} ? E „1 tur,t F:}l(1VJ o ? rc?t, lot and rn d b ildi EF ' . " ?.. - ,,".r? ROt'? FrC Y fd i' ' „ , , p pose u n ;?rr, tr) i??• st:dk( u i)r.fnrr`p`p7ui ,al i, reryur.stod.) R? s, g Q we o ?mansioi s. (Cot Cnrn?x? ;r:u u•- I•,?rb; ?/??(?Cn i?/ ? AW ..... . . , an.:..,.:,? k...:.... _ _ i----------------i j Permit #: I ? ? Permit Fee: ? I ? Date Received: ? j I I I Staff: I I ! -----------------I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date:71 ' ?q ' 0 P) Site Address: Suite #: RESIDENT / OWNER Name: IlLI a 1ZL lI 1,,? ?) I L (D 1I )I.) ) Phone: 19 ?,) I'(Iic7j7' I _W ? Address / City / Zip: Sl JU I Il. Applicant is: _ Owner -k Contractor TYPE OF WORK Descriptian of work: " J' K+ Construction Cost 0-0 Multi-Family Building: (Yes No A-) CONTRACTOR City: Phone: Contact Person: COMPLETE THIS AREA ONLY 1F CONSTR _ Minnesota Rules 7670 Cateoorv 1 Energy Code . Residential Ventilation Category 1 Worksheet Category submined (4 su6m193i0n type) • Energy Envelope Galculations Submitted #: 2,otil a6 .11. Zip: A NEW BUILDING Minnesota Rules 7672 • New Energy Code Worksheet Submitted In the last 12 months, has the City of Eagan Issued a permit for a slmilar pian based on a master plen? Yes _No If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phane: I hereby acknowtedge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the Cfty of Eagan; that I understand this is not a permit, but onry an application for a permit, and work Is not to start without a permit; lhat the work will be in accorrlance with the approved plan in the case of work which requires a review and approv al of plans. / x 1 l a L 0- w r c { 1c C' xA'\ - " L Applicant's Printed Name Applicani's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA158228 Date Issued:10/02/2019 Permit Category:ePermit Site Address: 4725 Covington Ct Lot:13 Block: 6 Addition: Beacon Hill PID:10-13500-06-130 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Paul A Gibbs 4725 Covington Ct Eagan MN 55122 Kaufman Sheet Metal Roofing 2521 24th Ave S Minneapolis MN 55406 (612) 722-0965 Applicant/Permitee: Signature Issued By: Signature