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
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