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4732 Covington Ct Use BLUE or BLACK Ink I For Office Use I I k, Permit 1~97fd_ I City of Ea a~ 700 Permit Fee: 3830 Pilot Knob Road 1 1 Eagan MN 55122 ; Date Recei l j Phone: (651) 675-5675 j Staff: Fax: (651) 675-5694 INFLOW & INFILTRATION PERMIT APPLICATIO Plumbing I - / Sewer & Water Date: Site Address: ~ 7 5 9 / QC l 1 (V r Z Tenant: Suite Name: ~1 1~'I /5 2 f^ Phone: d 3 9 r o 3 RESIDENT / OWNER Address / City / Zip: "OV' C1 ~ E~ r ~V e7 '42 1 Name: License CONTRACTOR Address: City: State: Zip: Phone: Contact: Email: PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope) TYPE OF WORK Sump Pump Repair Repair Other: _ 1::~ .X lact/J Wl oioG , Other: DESCRIPTION Description of work: FEES $55.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $ *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit 1/1 repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.cityofeagan.com/inflow, or City Hall at 3830 Pilot Knob Rd. 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.gopherstateonecall.org 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 re iew and approval of plans. G~ X X Applicant's rinted Na a Applicant's Si ature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground -Rough-In -Final PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA091404 Eagan, MN 55122 . Date Issued: 10/01/2009 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 4732 Covington Ct Lot: 8 Block: 6 Addition: Beacon Hill PID 10-13500-080-06 Use Description: Sub Type: e-Siding Construction Type: Work Type: Siding Description: House & Garage Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 Valuation: 3,000.00 Total: $90.00 Contractor: -Applicant - Owner: Homesure Inc Naum K Shpilsher 9909 S Shore Dr - Suite 250 4732 Covington Ct Plymouth MN 55441 Eagan MN 55122 (763) 412-4286 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature CITY OF EAGAN Remarks Addition BEACON HI LL ADDITION Lot 8 Blk 6 Parcel 10 13500 080 06 Owner street 4732 Covington Court State EaaanT-MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 1982 1848.67 205.41 9 1232.47 C008821 12-19-83 STREET RESTOR. GRADING ? 1982 537,84 59.76 9 358,56 C008821 12-19-83 SAN SEW TRUNK ? 1976 135.97 9.06 15 54.43 C008821 12-19-83 *SEWERLATERAL ? 1982 3182.83 353.65 9 2121.91 C008821 12-19-83 WATERMAIN *WATER LATERAL LJ$Z 9 WATER AREA g 1982 202.00 22.44 9 134.68 C008821 12-19-83 * Stubs 1982 9 STORMSEW TRK 1982 367,77 40.86 9 245.19 C008821 12-19-83 *STORM SEW LAT 1952 9 CURB & GUTTER SIDEWALK STREET LIGHT 240.00 32916 11-9-82 WATER CONN. 420.00 It it BUILDING PER. 7411 SAC SPS-no u n PARK CITY OF EAGAN 3795 Piot Knob Reed Eoyan, MN s5123 PHONE: 454-8100 BUILDING PERMIT Reufpt # To M wed for Esf. Volue Date , 19 Slte Address Erect Q Occupancy Lot Btock Sec/Sub. Alror Q Zoning Porcel # Repoir ? Fire Zone Enlorfle p Type of Const. W Name - - - Move D # Stories ; Address Demolish p Length b [;tv - _____ _ vh? 6rode ? Depth Sca. Ft. ` Name _ o 0? Address f- r:... Nome _ /lddress Assessmenf _ Water & Sew. Police Fire Enp. Planner Counc! I Permit Surchor9e Plon check SAC Woter Conn. Woter Meter Road Unit I hereby acknowledge that I have reod this application ond store thot gldy. Off. fhe intormation is torrect ond agree to comply with oll opplicable APC Totol Stafe of Minnesoto $tatutes and City of Eogan Ordinonces. Sipnature of Permittee A Building Fermit Is issued to: on ths exprcss condition tha+ oll work sholl be done in accordonce with all opplicable Stote of Mlnnesota Statutes ond City of Eoqan Ordirances. Building Officiot Parmit No. Parmit Holder Misc. Permit No. Holder ? Plumbing H.V.A.C. w.u W?br D'acp. Swwr ENctric Inspection Dtte ns Other Footingt Foundetion d Framing .'7 L Rouqh Plbg. .? . Rou9h HVAC Inwtetion Final Plbp. W Finsl HVAC Finel Wour Dacri6a Loeation: YWII , Sewar Pr. Dbp. Receipt PLUMBING PERMIT Permit No, r? ? O CITY OF EAGAN Fee Fill rn numbered spaces S/C Type or Print legibly Tot. 1. Date 2. Installation Cost ,. -- 3. Job Address LptC? .'" Blk. ( Tract 4. Owner ' • , i , , "?-ii• 5. Contractor Phone *ra 6. Address S4?RGE 1?ATER C?''?y?i•1 p,.rl} VY?r'a 7. City Scate --. 3 r.3 Zip 8. Building Type: Residential ? Commercial ? Institutional O 9. Work Description: New ? Add ? Alter O Repair ? 10. Describe 11. No, Fixtures Water Closet No. Fixtures Cess ool/Drainfield Bath tubs p Septic Tank Lavatory - - Softner Shower ? Well Kitchen Sink Urinal/Bidet Other Laundry 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 464-6100 . / Receipt •? ' ? PLUMBING PERMIT Permit No. - CITY OF EAGAN ,.l Fee Fill in numbered spaces S/C Type or Prini legib/y Tot. - n 1. Date 2. Installation Cost ? j; , T'- ? 3. Job Address - -- LotBlk. Tract ? 4. Owner Fj ?'i 5. Contractor /'Z'Phone ? 6. Address ?) 7. City State Zip -: _ 8. Building Type: Residential CJ Commercial ? Institutional El 9. Work Qescription: New ? Add ? Alter O 10. Describe 11. Repair ? No. Fixtures Water Closet No. Fixtures Ceess ool/Drainfield ? L Bath tubs p Se tic Tank - ? Lavatory p Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray ' Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and 1 agree to comply with all ordinances and codes governing this type of work. Signed : Inspections: Date for Rough Final _ Insp. Dete _ Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 .?.: OF EAGAN Pilot Knob Roed , MN 55122 ?iP.E No.: to eomply with !he Citq of Eagan WATER SERVICE PERMIT Connection Chorge: Account Deposit: _ Permit Fee: Surcharge: Misc. Charges: - Total: Dats Poid: 3795 PNof Kwob Read PERMIT NO.: Eaywn, MN 55122 D^7E: Zoning: ' No. of Units: OWI1lr: Address: Site Address: _ ?+) •i•, ,,??•- ? rnn Cni i r?- .. ? c.. ;. Plumber: ? - ? -+ ° • • 1 pnss to oowaPfy wfth tlw Clep oF Eagon Connection Charpe: Ordinanas. Account Deposit• BV _ Dote of I nsp.: I nsp.. Permit Fee: 5urdharye: Misc. CFwryes: Total: DoM Poid: REQUEST FOR ELECTRICAL INSPfCT10N ,?'« 33-°-j°01-o3 yl? u W40585 ? See instruc[ions for completing this iwm on beck ot yellow copy. "X" Be!ou?-ti?ork Cavered bv This Reauest 33 S S-7 Now Add Rap. Type ol &mitding Appliances Wired Equipment Wired Hr?me oiTange Temporar Service Duplex Water Heater Lightin Fixtures Apt. Buiiding ryer Electric Heatin Commercial Bldy. urnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm t er peci v t er lSpecifyl t er peci y t er Other ('mmniNc Incnorfrnn Fan Ralnw k Fee Servlce EntrancsSize k Fee Feeders/Subfeeders Ii Fee Circuits 0 tol00Am s 0 to30 Am s 0to30Am ,cw 101 to 200 ps 31 ta 100 Amps 31 to 100 Amps Ab 00 m Above 100-Am s Above 100 Am - Tr f Remote Control Circ. I'b Partial Other Fee Sig Inspection Special S ? TOT E Remarks ?- ?7 i _ Rough-in • C t h rical , here6y rtify that the ebove Final I . I e'?+ 'napectian hes 6een mede inis request volG 18 nionths from This request void ? Z - Z V B months irom nnrzQi? .4 Vo?.?'L L'S '? ? C ?icensed Electncal Comractor Owner 3S S -7 ?. q-'2 - o c ?uir. ..1. .V_?V•.?.. IQReadv Now es ? No I hereby requeat inspection of ebove electrical work inatalled nt: Sireet Address, Box or te No, 4 nl. T City ec[ion o. Townshlp Name or No. anga o. ty f Occup nt( RINT) Phone No. Por`' ? Addres Ei al Co ractor 1 QZM-RWY Na 1 - Contractor's License No. O3i J f7 / MailinA Address IContractar or r M inp Insta?lation) Authorized Sig e ntract r Owner king I ta tion v Phone Number ? C.' 3 6,-) . LS, B(vt SEacoA 4C( ( Sc? ? O D t MINNESOT STATE BOARD OF ELECTNICITY 10'_/ / rMtS iNSPECTION REQUEST WILL NOT Gripys-Midwa Noom N•181 Y UN? SSEPROPERYINSPECTI N FEERS 1821 University Ave., St. Paul, MN 66104 ENCLOSEO. PAnna (612) 297_2117 C17Y OF EACaAN _ 3795 Pile1 Kno6 Rond Eagan, MN 55142 N? 7633 vHONE: as+-etoo BUILDING PERMIT ReCeipt - To ba med ro. SF DWG/Gar En, yal,M $64, 000 pofe Novembar 9 19 82 Site Address 4732 Cov ineton Court Erect $j( Occupancy R-3 Lot $ Blak 6 $et/Sub. $eaCOA Hj.ll qlter ? Zoning R-1 Portel #- 10 13500 0$0 06 Repoir ? Fire Zone NA v Enlarge ? Type of Const. w Name Wealey Co nstruct ion Mo„e p # Srories z Addrea - 9401 $yl on oemoiish ? Length 66 Ci loominBtOn Phom 944-7092 Grade ? Depth 28 Sq. Ft.- ? OG1neT Aparorals Foea p Neme ?u Address `" Citv Phone Nome _ Addreu I hereby ackrwwledge that I have read rhis apDlicotion ond state thot the inlormotion is corrett and agree to comply with oll applicable State of Minnewta Statutes and7CiN. of Eaaon Ordinonces. Assessment _ Water & Sew. Police _ Fire Enp. Plenner - Council _ Bldg. Off. _ APC Permit ?&a•vv SurcFwrge 32.00 Plan check 162.50 SAC S2S.OO Water Connk20.00 WoterMerer 60. 00 Road Unit 240.00 Toral $1764.50 Sipnafure of Pertnittee :A - XCLlf nI A Buiidinq Permif is issued ro: Weale COIIBCLllCCi _ an }Fy QxpRss corditlon thnt all work sholl be done in ocwrdance with all opplicoble Stotpf?i esoto Statutea ond Gty ot Eopan Ordinances. Bulldinp OfHciol 2 CITy W? F1`GAr7 Include 2 sets of plans, ??? ? 1 site plan w/elevations & gpIIDING PEF;V1IT APPLICATION 1 set of energy calculations. Zb se usea For 5F DwJ' C-0-r' valuation ??y?66 a Dat.e Site Address L=clliu 7,?? e t,L(Z--r OFFICE? USE ODII,Y Lot slocx v sec./sub. B£acDA' N-r ct Erect `'A- occupancY ?-? ?.- Parcel #: r= 13-?cc? o Address: y //0/ Xl"/v 0 Ci.ty/Zip Cocle: ?dlOpyrrI64 %0. Phone #: 70 9?Z Contractor: " S?7?'1 7? Pddress: City/Zip Coc1e: Phone #: Arch./Eng. _ Address: City/Zip Code: Phone #: Alter Zoning zl- /_ Repair Fire Zone AJ-Z IInlarqe _ Zype of Const. 1L Nbve # Stories Demlish Fmnt (n(R ft. Grade Depth ?2$ ft. P,PPI?VAIS FEE'S Assessments Pexmit 3?25` ?4ater/SEwer Surchaxge Police Plan Check Fire SAC giq, Water Conn. 20 Planner Water Meter Go Council Road Unit ?y? Bldg. Off. APC =AL ? -7b ` ?O ....,? _. 1 rL? ??. ??I'v? 7 ? % t ?Ir ?,ry RKWtw'A UqO?+ Uwf o17Mf4?t? s ?? ,? ^? ?? `z? _ 9t?l8 UBTN 4'?ABET YM Epa[ M ?-?'?? i?[i1?'1YE?YA 5608Y• ? PMONQ 1iYR H?47?'. ? ?" p 100 G ? y l ., In : 3 i q Is, ?'1' ".5,._, t.Y . . i .S•\, r , x ?-?', ' vii +AQ , ?12tw ???1l:' , ? , ' • - ??a??SE ' ? `? ?" . .., '!? v-?r kx<?7 ???t?t ??`?5?e.??a"?.^i. rv Ef? ? -t x ? 77. c. " ? . s , t',' a r CS+,? c+ E UP) 5 y ?2 ? ? 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