1604 Covington Lane_ CITY OP EAGAN
. 3795 Ppef Kwob Rosd Eoyaa, MM 5512=
PNONlt 454-8100
BUILDING PERMIT Receipt #
To 6-a wad far Est. Value Date 19
Site Addreu Erect ? Occupancy
Lct Blotk Set/Sub. Alter ? Zoniny
parcel # Repoir ? Fire Zone
E
nlorpe p Type of Const.
W Nama Mova
O
# Stories
=
? Address Demollsh p Length
Citv pyone = Grode p Depth Sq. Ft.
q? wpproyaN
?O Name
?? Addrest Assessment _
~ Ci ? Phone Water 8 Sew.
? Police
?
Z N°^1Q Fire
?5 /lddress ?p,
<W Ci ph?e Plcnner
Council
I hereby acknowledge that I have read this applicotion ond state that Bldy. Off. _
the inlormation is wrrect and ugree to comply with all applicoble ^PC
5tote of Minnesota Statutes and City of Eagon Ordinonces.
Faas
Permif
Surcha rfle
Plon check
SAC
Water Conn.
Woter AAeter
Road Unit
Totol
Sipnoturo of Pertnittee I
/1 Building Permit Is issued to: on the express Condition thal
oll work sholl be done in etcordonce with all opplicoble Siote of Minnesoto Stotutes and Ciry of Ea9an Ordinonces.
Building Offlcial
Parmit No. Permit Holder Misc. PNmit No. Holder
Plumbing 3o(D? ly-?rc.llAlE, /0 -20-
H.V.A.C.
WNI
w.n.
Disp.
Swwr
EMetric W l{ S 5 $ ` $'Z
Irqpection Date Insp. Othsr
Footirqs D - q -3;-,
Foundation
Framinp J J
RouYh Plbp. p_
Rouph HVAC ?
Inwlation
Final PIb4 _ , ?
Final HVAC
Final I _ ? •
Wsmr Dasc?iba Location:
YYali
S*wrr .
Pr. 0'yp. - '
Receipt MECHANICAL PERMIT Permit No.
- ' CITY OF EAGAN
Fee
Fill in numbered spaces S/C
Type or Prini legibly :
Tot.
1. Date 2. Installation Cost
•-
3. Job Address ?: Lot Blk. ? Tract'
4. Owner
5.
?? -
Phone
6. Address / l:'?` • ? r
? . ,
7. CitY '- State Zip
8. Building Type: Residential FQ Commercial ? Institutional ?
9. Work Description: New Q Add ? Alter ? Repair ?
10. Describe Fuel Type ,j,4r=_ ?
11.
No, Eauipment aYU - M. Ea.
Forced Air P1o. Equipment CFM
:
Air H
dlin
Mfg. g
an
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
- Air Cond.
Mfg.
Gas, Piping Outlets
I
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 : ' A-- for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454$100
Receipt PLUMBING PERMIT Permit No.
' CITY OF EAGAN Fee
Fill in numbered spaces S/C
Type or Print /egib/y ?
Tot.
1. Date 2. Installation Cost ;
?f •. ?.;? . ?'r,?._t ?• ?,
3. Job Address _i L'? Lot -?24? Blk. in Tract r-? I ?
4. Owner ? ? • J
- ?
5. Contracior Phone ?-r=?? ,r . • ??'
6. Address
7. City State Zip "-
8. Building Type: Residential Commercial ? Institutional ?
9. Work Description: New 11 Add ? Alter O Repair O
10. Describe
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Othe{
Laundry Tray
_ Floor Drains
Drinking Ftn.
E Slop Sink
Gas Piping Outlets
12. I 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.
Signed : 1' •' ' `;'?f for
Rough Final
Inspections: Date Insp. Date Insp.
7his is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAN Remarks
Addition BEACON HI LL ADDITION Lot 26 slk 6 Parcel lU 13500 260 06
owner -- screet 1604 Covington Lane state Eagan, hfN 55122
Improvement Date Amourtt Annual Years Payment Receipt Date
STREETSURF. 1982 1806.93 200.77 9 1806.93 C007586 10-1-81
STREET RESTOR.
GRADING - 1982 526.46 58.50 9 526.46 C007586 10-1-81
SANSEW TRUNK C' 1976 135.97 9.06 15 90.67 A008956 3 18 80
*SEWERLATEFIAL ? 1982 3116.46 346.27 9 3116,46 C007586 10-1-81
WATERMAIN
*WATERLATERAL 1982 J
WATER AREA ?qj 1982 198.01 22.00 9 198-01 C007586 10-1-81
* Stubs 1982 9
STaRMSEW TRK 1982 359.82 39,98 9 359.82 C007586 10-1-81
* STORM SEW LAT 19$2 g
CURB & GUTTER
SIDEWALK
STREET LIGHT
ROAD UiQIT 240.00 32376 1D-$-82
WATER CONN. 420.00
BUILDING PER.
SAC 525,00
PARK
OF EAGAN
WATER SERVICE PERMR
Pilot Knob Road PERMIT NO.:
, MN 35122 DATE: t = . '
No. of Units: .
3
Address:
Reader No.:
1 oyree to aomPy wilfi ehe City of Eagnn
Ordiwanaa.
By
Dote of Insp.:
rr,....r.-.,r-R.N"T
Connedion Chorge:
Actount Deposit:
Permit Fee:
$urchorge:
Misc. Chorges:
Total:
Date Paid:
CITY OF EAGAN •?`••?n ?rn..?.? .....,.¦..
8795 P31ot Knob Road PERMIT NO.:
Eagan, MN 55142 DATE:
Zonirq: ' No. of Units:
Owner: - ' ` r ? ,-
, • r. 4. ,
Address:
Site Address: . .
Plumber.
1agros M oon+pip wilb lhs Cify of Eagow Connection Chorge: ?- _ -
Ordinanqs. Ataourrt Deposit:
Permit Fee: '
Surchorpe:
By Misc. Charges:
Date of Ins
: Totol:
p.
Insp.: Date Pcid:
I
- - . ...yt ..-.
CITY OF EAGAN
3795 rWf Kwi Ro?d Eogow,
MN 561M
N? c?
7 5Gd
MIONEs 4S4-a100
BUILDING PERMIT Recefpt ?j ?2 ?14
Te M tnwd for SF DWG/GAR Est. Yalue $70, 000 pote OCfiObet B , 14 82
Site Add,eu 1604 Dovinaton Iane Erect Ij p«„pancy R-3
Sec/Sub. Beacon Hi11
ot 26 Bi«k 6
t ^irer ? Za,i?q R-1
_
.
10 13500 260 06
Parcel # Repoir p Firo Zone NA
V
Enlarqe p Type of Const.
C9 Na,,,a 3unah3 ne Oonstruction Oo . Move D # srorie ?
? ??? 1507 Cl?son Qourt
pemolish p 6
Length
.... vm..... r Si *1 ---- eSd-74A5 Grode ? Depth 48 Sq. Ft.
, Name [fanQr
,o
?? Addross
p- rl...
I hereby acknowledye that I huve reod this application ond state that
fF?e information is torrect and ogree fo tomply with all applicoble
Stote of Minnesota $tatutes ond City of Eagon Ordinances.
Sipnature of Pem+ittee
/1 Building Permit is issued ro: Suni
all worlc sholl be dons in occordance with all
Buildinq Official
^ssessment
Woter 8 Sew.
Pol ice
Fire
E+0•
Plonner
Council
Bldfl. Off.
APC
CO.
Permit +`+a • vv
Surchorpe 35.00
Plon check171.50
SAC 525.00
Water Conr420.00
Woter Meter60.00
Rood Unit 240.00
Total $1794.50
_ on the express ooriditlon thn+
City of Eayon Ordinonces.
? . •?.:rlti!?i,
Citp of (Eagan
arpartmrttf ,af lutldTttg 3nspprttatc
Tbif CMt f tGftl fiSNd plf?JA1i11t W l& fG4MlfmtNtJ 0 f SLdtOR 306 Of JIX U111 f 0111t Bfltldtlla -
Cadr arte f)iag tb,re at tJx tim o f issxaw ebir ~kn was iR complimus svitb tlbc r+svieau
«,drnaxca ef rbc City nd"iaoiv8 bxi'r"'8 L0mt''xaJ01 er xst. Fe? rbr f ollowiag:
cv „r.r1%-/r_su 7563
??
INO: November 29, 1982
p.w so . a."..K,p",. ...=
..? ;
? - - ------
-3q gob
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
crrY oF saaarr
asso ru,oT xiNos xn - 55122 p
(651) 681-4675 ?' f ?
New Construction Reauirements
? 3 registered site surveys
? 2 copies oi plans (include beam & window sizes; poured fid. design; elc.)
? 1 energy calwWtions
? 3 copies of tree preservatlon plan if lot platted after 717193
repuired: _ Yes _ No
DATE: ?3 f a y
DESCRIPTION OF WORK:
Name: -QdAm* RA r/ A hSb itJ Phone #: 65 /- Ll S y -'71 cIS
Last First
STREET ADDRESS:
LOT: BLOCK: ? SUBD./P.I.D. #: ??-?Cn??? ?i I
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Street Address: j(a bq 60E14'e_7C3 iLl Lf}1vC
City
- -) rovvvk
State: /91 /b ° Zip:
Company: Phone#: 9Q6604O
Street Address: u,W ari UE License ti m?D /3Cf lqb Exp. 3 /
Ciry &E'R,S (>r/k State: GYI41 Zip: SS337,
Company: Phone #:
Registration #:
Street Address:
City
Sewer 8 water licensed plumber (new construction only): _
change and lot change is requested once permit is issued.
I hereby acknowledge that I have read this application, state that the
State of Minnesota Statutes and City of Eagan Ordinances.
RemodeUReoeir Reauirements
? 2 copies of plan
? 1 site suneys (e#erior adddions 8 decks)
? 1 energy calculations for heated additions
CONSTRUCTION COST:
State:
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
Zip:
Penalty applies when address
to comply with all applicable
'( ?
OFFICE USE ONLY
BUILDING PERMIT TYPE
01 Foundation ? 06 Duplex ? 11 Apt.lLodging
? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem.
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory
? 04 SF Porch ? 09 12-plex ? 14 Fireplace
? 05 SF Misc. ? 10 _-plex ? 15 Deck
WORK TYPE
? 31 New ? 33 Alterations ? 36 Move
? 32 Addition x 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft.
(Allowable) Main level sq. ft.
UBC Occupancy sq. ft.
Zoning sq. ft.
# of Stories sq. ft.
Length sq. ft.
Width Footprint sq. ft.
APPt20VALS
Planning
Building
Engineering
Variance
Permit Fee
Surcharge
P{an Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
:
Valuation: $-a
? 16 Basement Finish
? 17 Swim Pool
? 20 Public Facility
? 21 Miscellaneous
Census Code
SAC Code
Census Units
Census Bldg
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
% SAC
SAC Units
rlit? / v - - v.
AS.H.V.t:.
Weathcrrtriq' Comtrnctioa No.
Guide
ndowi Doon Rc[erence Out. Vlall Int. V/aN Cciling Roof Floor
F1.1 Room Length e'? Width Fieieht
Winclows nnd Doon-Crackaae and Area
e. WIGIh
0I D??e HN[ht
a! D. 0 . Nu. o:
li!???• Llnul fL
of Clafk h;u
W. IL
IC'
?'.[U
1 I' ?l' L'G 1 l?l l..
Coef. &a
nh?[fetioo Z y0
;Ia?s US rJU 2
sP. walt ? z
4et e:p. wall O
nt. wall
,o., 3 'L
:cci. ?
?
fowl Btu. o
tequired sq. (t. E.D.R. or sq. in3. W.A. Leader area
?•? `\VIN('? RoomI Length Widthl`_? G," Height a'U"
W??dows and Doora-Cracka¢e nnd Arce
Ve. WICth
of pLn• Hellnt
of Na. o(
[?U Llnaal !t.
crack
of Arn
q. fl.
Coef. Btu
In5ltratioa ??"! lA0
ulasi Q
Fsp. wall iz.
Net up. wall Iq 114
Int. w•all
Floor
cea. 2-() s y 1100
iotal Btu.
?
Required sq. [t. E.D.R. or aq. ins. W.A. l.eader aree
Fl.1 ta? Room I Length 1 C; 6? Width 1 O c" Hei6ht_??'O"
W??rl?wa and nnnre-Craclave and Area
Ne. R'iJth
ef p?n• NelpTt
of Dooe Ne. eL
IIitTt• Llno.l IL
et er.ek Ar.
M. fl.
, Coef. Btu
lnfiltration 'Z 40 Z. U
Glau I O zxys O
Fsp. wall I
Net ezp. wa11
lnt. wall
Floor
CeiI. I Ob 2
Totil B;u.
Required s.l. ft. 6D.R. or sq. in+. VVA I.eader area -
A 1\? { 1 j L -- r'' ,3 0-3 1.3-r u 11
(mnlation
Kind How Appl
----
't p` b•
Room lL.ength \?' Q'W idth I
Wi
No,
? ndows and Uoon-
wlate H•1[et
of D.na o[ p".
?? V •? -ii.raere
Ne. ot
IltnV
? ge ana .++
4eu1 fi.
e[ <raek
l ?n
wre.
?a. ft•
1 O
«f. Btn
ration I
, 10
rrall 11 ?..
up. wsll
l
u
wa
c•a.
?3
Total Btu.
Rcquircd sq. ft F.D.R. or sq. im. W.A. Leader area
? Fl.l M A?.l 4thRoom I Lens?h Width I.'!e
m:.,a.,.... ?...1 h.?.,...-Crackaae and Area
...
Ne. ..WIAIh.
o[ D.ee ..Hl16hl
of DwM N0.o[
i1fAU LIn.aIIL
O[ t,.ek AIea
q. ft. .
Coef. tn
InblUation
Cdese
Fsp. wall
Net ezp. well
Int. wall
Floor
T
cea. 4 zzs
Tota1 Blu,
Required aq ft E.D R or aq ins W.A. L.eader aree
Qn•i tt Room I Length ')V Width `>'(o' Eleight
•. "
Ns ?" WIJth
of p.ne
of,v.n. Ne. oI .
11[?t• Llnetl ft.
etullek
Coef. Bm
Infil ltation
C,lass
Erzp. wafl b`
Nee e:p, wall Ld'4
Int, wall
Floor
Cal.
Total Btu. ? ??-
Rcauired sv. ft. E.D.R.,or sq. ins. W.A. [.eader ares ? _
fA 3 CITY pP EA(;AN Include 2 sets of plans, --
1 site pl.an w/elevations &
Sr- "B7uDING PERAIT APPLICATION 1 set of energy calcuiations.
`lY?i B2 US2d FOY ?A-! VdlUdtlOiiL'r ' -
¢La Date
Site Pddress ?z -
Lot .? ?i% Block ? Sec./SUb. ?Eaco? }?+?( OFFICE US?, ONLY
Eect f ? .3
Parcel #: 10 (3 ?DO 2(00 ?j(o Alter Z .
Owner: (.cr?.-'-Zr?-F?..?,`? (..•-
Address:
CitY/Zip Code: _. ?,e.._ 5.?", r•i z.
Phone #:
Contractor:
Address: 4
City/Zip Cpde;
Phone #:
Arch./Eng.: I?A
Acldress: lCie (:
CitY/zip Code: E
Phcne a: y3J =
c
vG ?? aT , .?..?
Ssi1L
Repair oning
Fire Zone ??fj -
??Je - 7'ype of Const. ?`_-
t"bve # Stories J
Denolish Fmnt ? ft.
Grade Depth - ? _ft.
Taater/Sewer Surch ??.• -
?e 3s
Police Plan Check
Fire
SAC
?• Water Conn. 2o ?
Planner Water Meter ?p -g-
Council Road Unit m
Bldg. Off./ _
_
APC
?T? ? 17 q ? ?
WeathcMrepi .c. Coashoction o.
+de
jjPRcGfue1! Dooneua Out. Wall Int WaH feiling Roef
idows
?-Fo- xs-- 0 19_
fl.1 1 S;j lil Q Room Length?ln'6' Width 11'L?' Fkieht 6' 0" II ?F
Windows snd Doon-Crecksae sed Arca W
? W1ath
af 9ano H?f?et
O[ p?n? Ne. e[
Ily?t? LIeW t4
e! enet An?
p. fL
Cocf. &n
ofilU?lion 20
1 SO ?vnn
sp. wall
let exp. wall ? .ba
it. wall
oor
'eil. `
'olal Btu.
teqaired sq. ft. E.D.R. or sq. ins. W:A. Leader ares
F1.1 G1 A` Room Length \'(i' Width 3'
Wiedorn and Doors-Crackaae and Aree
is WIGIA
er e•m He1gM
er o•*• Ne.e(
llrnt, Llnul[t.
ot enek An?
M. R.
Coef. Btu
nfiltrstion
Jau
ip. wall
let e:p. wall
nt. wsll
Floor
:ea. l. ? ?-4 24
otal Btu.
Iequired sq. ft. E.D.R. or sq. ins. WA. l.esder area
Fl.1 ?- ?_ go Room I Lenqth I p'(1" Width??
Wi.rlnvn rnd nnnrs-Crackaae and Area
fl, ? , II
la WIJIr
ef pIn• HeIgTt
Of D..• Ne. e[
lifht• Llnul tL
Of enck Are?
ip..ft.
Z 'o y'o" l c.? 1 t?
Caef. Btu
e6ltration 2-0 t1 b &00
:I.ls 1(? SD
:1p. ,,..u ?
Vet e:p, r+su
nt. well
Fleer
I b 4
rotal B:u. ZU
iequired s?. ft. ED.R. or sq. in+. WA. Le?der aree
]ptnlation
u.,
W Applied
_s
Hei:lttW
.
e
indows am! l)oon-{:rseca 6e ana m?. . . .::?
Ne, wie?e
et qen H;li\t
et Mso Na e1
Ilssu Lewl t4
e[ ettek Arom
M: tl.
T„ 1 D 1 >c
°
.:.H
Coef. Bta
InfJtration
?
yo
Glau
I
SO
;e
El[P. MGll
Net eip. wall
Int. wall "
Floor
TotalBtu.
Required sq fL E.D.R. or tq. ins. W.A. Leader area ? "
? AS' t?(1eN T Ll. Room I 1-??B?h ?I y 0 width?'j'?" Height a'Qu
Windows an d Uoore- a.raera ge ana nrca
N0. wlatn
elDaae Ha1iGt
A[psM Na o[
Ilfb(/ Llnul I6
etCiaek Arm
q.fl.
i
1\ 1 \ ? 1 'F
i\
2_ 1,, N ?0„ L
t
v ,l 161 1 • _,K
r
, " y'p• , --..* cOtf. ro --?t
InLlttation tI y
Glaas
Exp. wall
Net ezp. wall 04 V b
bFt. waII Ex , NiN Sul 3 2 ?5
Floar
Ceil.
'focalBtu. tNC? ?SO tjzuh r1P I i.L?__'101`$
Required aq ft E.D R or sq in?. P/.A. l.eader area ?`+
171.1 Room I Length Width Hught •'
wnri Attd .?.
Na Wldih
ef pane HN[sl
ef,pan, Ne. e(
Ilwhu Lineal ft.
et eraek - ?
I
Coef. Bm
Infiltration
Clau
ExP. wall ,
Nee eap. wal)
Int. wall ?
Floor
cca:
Total Btu.
Reqaired sq. (t. E.D.R.,at sq. int. W.A. Leader srea I
,?s
This reques, void
18 months irom
Ci'L ',5 81
L2?? 6fa? r3?2c?rL ?}-?'I ` 32 -7?(1
?a .n0
nea?? le Fire No. Rough-in Insuection
Re utred,
?FeaAy Now?Will No?ily InsGec-
Yes ? N. ?,?r When ReadV
Licensed Electncal ConLacfor
Owner 1 hereby requast inspection of above
electrical work insta lled at
Sheet Adtlress, Box m Route No. CIIy
ectmn o. Townsbip Ndmn o Np, Rnnge No. Cour
?
Or,cupd 1 (PqINT)
1 Phune Nn.
POw aPUlier Address
Elec nceil Contractor ICom any Namel Cuntrn
r'S L'cense No.
?
Ma?linA Jress (COmractor or Owner Makinp Instailation)
? ?
AuMonzed Stgnature ?C ractor Owner Making InstallaLOnl Pho e Number
`
mrrvrvtsUTp STATE BOAND OF ELECTFIGTY
Gnggs.Midwey Bldg. - qoom N-197
1821 Univergity qve., St. Pau(, MN 55104
Phone (612) 297-2111
THIS INSPECTION REQUEST WILL NOT
BE ACGEPTED BY THE STqTE BOAND
UNLESS PflOVEN INSPECTION FEE IS
ENCLOSED.
q REQUEST FOR ELECTRICAL INSPECTION EB-00001.03
?,4 ? rc8 1' See inshuctwns for complet?n ihis farm on hack of
y yellow copy.
x ?...Jw WoM' Cove/ed 6v 7his Fonuacv ?^>-. I? )
Atld
Rep.
TVPe of Bmltling
Appliances Wired -' ? f 7 1
Equipmant Wired
Home Range Temporary Service
?OD?ex Water Heater Lit?htiny Fixtures
APt. Bwlding Dryer Electnc Heatin
Commercial Bldg. Fumace Silo Unloader
Industnal Bidy. Air C,onditioner Bulk Nlilk Tank
F???l n Other ISpeufy?
t ier Spe?.ify y O S?? ther
O
COm pUt B lns Oarfinn FoA RoL.?.,
4 Fee SarviceEnhanceSize N Fen feaders/SubtoxAarx U Fee C?rcu?cs
? to 100 qm s 0 to 30 Am s /D ?.S,c) p m 30 Am s
101 to 200 q?nps 31 to 700 qmps ? S,op 37 to 700 qm s
?U(? Above 200 qmps Above 100_Am s Above 100
Am?s
Transmrmers Rnmote Control Circ. ? _
Partial-'Oth F e
Siyns SpeciallnspecLOn
Remnrks TqT.4L FEF
Poueh-in
?/ //'
/ / '? !
Date
the E
lectncal
Fnai ?? y •? 7f toq
ac hereby
certdy that the xbove
G mn has haen
This «?auest vnid ? tle.
_
Ia manth, hom
i .
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan 1 `7 0 U c
3830 Pilot Knob Road, Eagan MN 55122
Telep6one # 651-675-5675 FAX # 651-675-5694
New ConsWction Reauiremenls RemodeN2eoair Reauirements Office Use Onlv
3 registered site surveys showirg sq, ft of lot, sq. ft. of house, and all roofed a2as 2 copies of plan CeR of Survey Recd Y N
(20% mazimum lotcoverage allowed) 1 setof Energy CaIwlaOons for heated addifions Tree Pres Plan Read _Y _ N
2 copies of plan showiig beam & window sizes; pouretl found desgn, etc. t site survay for additions 8 deGcs Tree Pres Required _ Y_ N
lsefofEnergyCalcula6ons Add'NOn-irMicafeAon-sitesep6csystem On•sReSepticSystem _Y _N
3 wpies of Tree Preservation Plan if lot platted after 711/93
Rim Joist Detail Op4ans selectlon sheet (bldgs with 3 or less unRs
q ? ta ,
D 01 t 47, vco _
i
C
ate
I 0
) WG Con3truct
o
O
) (
,J os
a
Site Address
(0oy 26L .,
k
T Un,USte #
IP% A.J
Description of Work
GetS ?
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 ? _ 2
Property Owner 1Q / v1'all 5 1151-hj 121)2c7 Telephone # ( VQ 71`1 '5'
?? /1 Q
?
?
? ??-
ff L/ / ?
Contractor ?
? >
Address M4 1? City q?vlLt,4f
State /4^J Zip y 7 317 Telephone #(9SL )?Za'd?T?
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Cateeorv 1 _
(J submission lype) • Residential Ventilatlon Category 1 Worksheet
Submitted
• Energy Envelope Calculations Submitted
A NEW BUILDING
Minnesota Rules 7672
. New Energy Code Worksheet
Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _
fee applies.
Licensed Plumber Telephone #?
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
N If so, 25% plan review
I hereby apply for a Residentiai Building 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 State of MN
Statutes; 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 case work wh" h requires a review and
approval of plans.
ApplicanYs rinted Name ApplicanYs Sign ture
2004 RESIDEN'TIAL BUII,DING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
(p ,4 Telephone # 651-675-5675 FAX # 651-675-5694
New Construcfion Reauirements
3 registeied site surveys shaHing sq. ft. of IN, sq. ft. of house; and all roofed ereas
(20°k maicimum lof coveraqe allowed)
2 copies of plan showing beam 8 wirabw sizes; poured found design, etc.
1 set of Energy Calculations
3 copies of Tree P2seJvation Plan if lol platted after 711/93
Rim Joist Delail Options selection sheet (bldgs wiN 3 or less uniGa
RemadeUFteoair Reauiremenis
2 copies of plan
1 selof Energy Calalations for heated additions
1 site survey for addihons & deCks
Addition - irMicate if ar-sfte septic system
Date "jT l
5iteAddress /0 /
oD
y 0 y
/
C (Nii?7?rt !-" Construction Cost 3or-b -
UniUSte #
Description o( Work J?fR?i"•o.rv ?enl?
Multi-Family Bldg _ Y? N Fireplace(s) _ 0 -Z 1 _ 2
Property Owner T7 ?'LSO?J ??S' Telephone #
Contractor //?K oiP
Address
State/Gr/,/
? 6Z
r,r ? 3674 A\- /U i?'
9k1 City /rl,?4
Zip S?SYl? Telephone #((Q la ) SQ/ 2N?/
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Enefgy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar pian? _ Y _ N If so. 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contracior
Telephone # (
Telephone # (
Telephone # (
I hereby apply for a Residential Building Permit and acknowledge that the informatkg? is comnlPTP an? ?rate;
that the work will be in conformance with the ordinances and codes of the City o aand the State of MN
Statutes; I understand this is not a permit, but only an application for a pexmit, and work is not to start without a
permit; that the work wil] be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
X /Gr ??'?i79
ApplicanYs Printed Name
?-764-
icanYs ign ture
OFFICE USE ONLY
Su6 Types
? 01 Foundation ? 07 05-plex
? 02 SF Dwelling ? 08 06-plex
? 03 01 of _ plex ? 09 07-plex
? 04 02-plex ? 10 OS-plex
? 05 03-plex ? 11 10-plex
? 06 04-plex ? 12 12-plex
Work Types
O 31 New ?
? 32 Addition ?
O 33 Alteretion ?
? 34 Replacement
Valuation
Census Code
SAC Units
# of tlnits
# of Bldgs
Type of Const
z, r?DO, pd
Demolish Interior ? 44 Siding
Demolish Foundation ? 45 Fire Repair
Reroof ? 46 Windows/Doors
;A handout to applicant
MCES System
City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
W idth
Foorings (new bldg)
A Foorings(deck)
_ Foorings(addition)
Foundation
Drain Tile
Roof Ice & Water Final
_ Framing?
_ Fireplace _ R.I. _ Air Test _ Final
Insulation
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
? 13 16-plex ? 20 Pool
? 16 Fireplace ? 21 Porch (3-sea.)
? 17 Garage ? 22 Porch/Addn.(4-sea.)
'A) 18 Deck ? 23 Porch (screen/gazebo)
? 19 Lower Level ? 24 Storm Damage
Plbg_Y or _ N ? 25 Miscellaneous
I-20 (' ,3 Z1.
? 30 Accessory Bldg
? 31 Ex[. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
35 Int Improvement ? 38
36 Move Building ? 42
37 Demolish Building" ? 43
'Demolition (Entire Bldg) - Give P(
Occupancy
Zoning
REQUIRED INSPECTIONS
FinaUC.O.
? FinaUNo C.O.
_ Plumhing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests Final
_ Siding _ Stucco _ Stone _ Brick
_ Windows
_ Retaining Wall
Inspector
De,c*- - 2, oi?o, vep
SURVEYOR'S CERTIFICATE sUNSHINE C014S?RUCTI6N COMPANY
?
'vP GJ?' bgp g3't
Ov ?q0
'?Ca C
: ?. . oa = -??: •., .,
,
?
? ?f o
?s
4.
• •?
?
SCALE: 1 INGH = 30 FEET
PROPOSED GARAGE FLOOR = 9375 FEET
PROPOSED LOWEST FLOOR = 934.6 FEET
PROPOSED TOP OF FOUNDATION = 9378 FEET
O DENOTES IRON MONUMENT SET
• DENOTES IRON MONUMENT FOUND
X000.0 DENOTES EXISTING ELEVA7ION
(000.0) DENOTES PROPOSED ELEVATION
?.
2 ?
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.a
X, ,''4•
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•ID
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?p
bo r16
o ORS???Eµ? ?p oQ,
T J /
-+ N -,
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EV ., ?j, ED
DATE ?-
I HEREBY CERTIFV TO SUNSHINE CONSTRUCTION COMPANY THAT THIS S ,?e ORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: ???iI LO I N6 ,AS??s???? ?` `- Lot 26, Block 6, BEACON HILL, according to the recorded plat thereof,
Dakota County, Minnesota.
AND OF THE LOCATION OF ALL BUILDINGS, TF ANY 7HEREON, AND ALl VISIBLE ENCROACHMENTS,
IF ANY, FROM OR ON SA1D LANO. T7 ALSO SHOWS THE LOCATION OF THE STAKES AS SET FOR
A PROPOSED BUILDING. AS SURVEYED BY P]E THIS 29TH DAY OF SEPTEMBER, 1982.
• SI6NED: JAMES R. HILL, INC.
;,G t
, ?
BY: //'
2
AROLD C. PETERSON, LAND SURVEYOR
MTNNESOTA LICENSE NUMBER 12294
PROJECT NO. BOOK / PAGE JAMES R. HILL, INC.
82216
33/28 Pianners / Engineers / Surveyors
FILE NO.
- 8260 Numboldt Avenus South
FOLDER Bbomington, Mn, 65431 812-864-3029
? 4-7 4?-L-
2004 RESIDENTIAL BUILDING PERNIIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsW ction Reouiremenl5 RemodeVReoair Revuiremenfs blif8ita'dir,
3 registered site surv? shauin9 s9. R of lol, sq. ft of house; and all roofed areas 2 copies o( plan 6
??v
t setof Eoergy Calculatans br heated add'Nons ?g,?
(20%maximumletcovem9eauowed) . ?
2 copies of plan showing 6eam & window slzes; poured found desgn, etc. 1 site survey for addNom & decks ?. .?,.? ?=,'s^1=
i set of Energy Cakulation5 Addifion - Indlcefe il oo-sAe sepfic sysfem
3 copies of Tree Preservafion Plan R lot pWtted aRer 711193 Rim Joist Oetail OpCOns seleNon sheet (bldgs wifh 3 or less unib
Date c2T ( ? d-i ? ? C nshuction Cost
L '
UniUSte #
Site Address ?L0oq C.nU i f\G l?fv
Descriptiou of Work 1?c
2 ?? -- 0
0
1
Multi-Family Bldg _ Y ZC N _
_
Fireplace(s) _
Property Owner g0.v?f A, Telephone # ( )
RENEWAL BY ANDERSEN
Contracror , 1920 COTJNTY RD. "C" WEST
nedress _ ROSEVILLE, MN 55113 Ciry
State 651-264-4777 Telephone tt ( )
LICENSE 020130983
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ven6laUOn Category 1 Worksheet • New Energy Code Worksheet
(4 submission type) Submitted Submitted
. Energy Envalope Caiculations Su6mitted
Have you previously constructed a building in Eagan wiTh a similar plan? - Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone #(
I hereby apply for a Residential Building 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 State of MN
Statutes; I understand this is not a petmit, 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 whi ' eszseu?ie7u?a?
approv 1 of plans.
04
AprlicanYs Printed Name Applicant's Signature "?? y `-
vviva?6vrt 14V d4.JV f? !OJ af1 %460
KtMrr? Uj"MVWW
• ,
r e a?.
?? .
. rune *?, aoar
. ?of Eam
3836 PiIot Snob Road
P-RgM lvN 55122
To whom It Iviay conoesn:
Etder 7ones is authorized to pWI UniIding perniits Par Renewal by pt,d.erseu,_ Picasa a11ow
date bcyond 6I61 a semcc for tts in Ha?*an. 'tTtia muharizetian is vaiid for any
to the Clty_ ' uttb,j 16nawal by Andersen mmam OXPrasIY revokes ft in wiiHng tbh our b ieat Idiag P?? ? afnbe a? ?ed eucpedittously. sa W not delay m the p??irig of
Y.rthcr. Plcaac caII mc If thcm acc nny qneattotus., I can Ixi
contacted at 763-502-4746.
. _ ?.
Yaur immqdiaft attcntlon W this matter is
Siuoeiely,
and R Rau
astxllation Managcr
Ronowal by tlndasen CotPoraticm
rc.: Karn-Wtie.r 7nnea
OH UI
NCX" ?Qq?qAL
wr ?o,*roe"an FqpyJut n. zaox
:
wuV
Received Tiie Jan. 7. IA7PM
R gq5-72?
------------------
; I
j Pertnit #: ? I
I I
? Permit Fee: ?
? Date Received: j
? I
I Staft: I
I
- _ J
2008 RESIDENTIAL BU/IL?DING PERMIT APPLICATION
Date: l /2/06 _ Site Address: ? ?V 4 L4
Tenant: v Sulte ti:
RESIDENT/OWNER Name: ? Phone:
Address / C8y / Zip:
Applicantis: _O.vner ZContractor
?
TYPE OF WORK Oescripiion of work:
Construction Cost: a 40 Multi•Family Building: (Yes_/ No
CONTRACTOR Name: wa?arfcj 017 (dm License#: )0?)P9L19q
Address: 5G11 1 mPmfX'IC'd iCVC I U•
City: ?? 1(.1.?'i1 State: mN ZiP: CJ?508,')
Phone:GJ] "I',;1-?3d.0 ContactPerson: Raren
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 7 Worksheet • New Energy Code Worksheet
Cfli2gOry Submittetl Submitted
(4 submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City af Eagan issued a pertnit tor a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumbar: Phone:
MechanicalContractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: P7ans and su ar?leg???" ?t? ????'?r ?gy te ?J ' tfYt ?'
th?ii?omraf?+'??`??r ? '46 ,9?:?
'v r +J ?L.?
ur? ?+a.sY.t'a'•
I hereby acknowletlge that this information is complete and accurate; that the work will 6e 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 thffi the work will be in
accordance with Ihe approved plan in the case oi work which requires a review and approval of plans,
x? x
ApplicanYs Printed t?ame ApplicanYs Signa e
?/ Page 1 of 3
s-%Q?
City of Ealan
3630 Pilot Knob Road
Eagan MN 55122
Phone:(651)675-5675
Fax:(651) 675-5694
a`43`10f?
?---------------- ;
; Pemit ::
? permit Fee: ?
C?' t
? Date Heceived:
i StaH: ?
I ------'
20D8 REStDENTIAL BUILDING PERMIT APPLICATION
oate: <3 /-I ll Q7? Site Address: Suite
Tenant:
LALl2f1 (??}FZ Pnone:?D??? E{S?" 7lCIS
RESIDENT ! OWNER Name:
Address! Ciry! Zp:
Applicant is: _.Owner _ ConVactor
-------------
TYPE OF WORK Description of work: ?
Conshuction Cost: ??j ?, ab Muki-Eamily Building: (Yes _! No?
CONTRACTOR Name: ? V??e #:
Address: 'M
Ph0
G111wk±Pr. State: MIN Zp: sGJ
Ciry:
ne:tO6l'`I',;9•y9`0 ConiactPerson: Kn?rl
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW Bi11LDlNG
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code • Resldential VenLlation Category 1 Waksheel • New F+ergr coae worksheei
CfltegOry Submitted Su6mitted
(4 submission type) • Energy Envebpe Calculafions Su6miried
In ths last 12 months, hes the Ciry of Esgan issued a permk tor a Similar plen based on e maoter plen7
_Yes _No If yes, date and address of master plan:
Licensed PlumbBr:
Meehaniwl Contractor.
Sewar & Water Contractor:
Phone:
Phone:
. .. . ..
I here6y acknowledge ihat this iMOrtn?on is complete end acurate? thaz m..e w°rk will be in caMortnaxe with the orcJinances and codes ot the City Eagan; Nat I understand this is not
a permiG dut only an applicalbn fa a permit, and work is not to start withou[ a permit that tlre "w? ??l bein
accordance with the apprtoved plan in the case ot worfc which requires a review and approval oi plans.
x M A?'Ct ??-EF M I-I UG} X?.
Applicant's Printed Name '?p???M 3 5ig??re
Page t of 3
pp?
SUR1fEYOR'S.
,
?
i
sJ
FD
CERTIFICATE ''sUNSHINE CONSTRUCTION COMPANY
/
?l
SCALE: _ ___.. __
PROPOSED GARAGE FLDOR = 9375
PROPOSED LOWEST FLOOR = 934.8
PROPOSED TOP OF FOUNDATION = 937.8
O DENOTES IRON MONUMENT SET
• DENOTES IRON MONUMENT fOUND
X000.0 DENOTES EXISTING ELEVATION
(000.0) DENOTES PROPOSED ELEVATION
FEET /
FEET
FEET
I HEREBY CERTIFY TO SUNSHINE CONSTRUCTION COMPANY THl1T THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 26, Block 6, BEACON HILL, according to the recorded plat thereof,
Dakota County, Minnesota.
AND OF THE LOCATIQN OF ALL BUILDINGS, IF ANY THEREON, AND ALL VISIBLE ENCROACHMENTS,
IF ANY; FROM OR ON SAID LANO. IT ALSO SHOWS THE LOCATION OF THE STAKES AS SET FOR
A PROPOSED BUILDING. AS SURVEYED BY ME THIS 201TH DAY OF SEPTEMBER, 1982.
SIGNED: JAPIES R. HILL, INC.
i
BY: ?/?'? /? ? 1???`J .
AROLD C. PETERSON, LAND SURUEYOR
M1IINNESOTA LICENSE NUMBER 12294
PROJECT NO. BOOK / PAGE JqMES R. HILL, INC.
82216
33/28 Ptanners / Engineers / Surveyors
FILE NO. . 8200 Humboldt Avenue South
FOLDER Bioomington, Mn. 55431 812-884-3029
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA132958
Date Issued:09/14/2015
Permit Category:ePermit
Site Address: 1604 Covington Lane
Lot:26 Block: 6 Addition: Beacon Hill
PID:10-13500-06-260
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Ahson Rafi
1604 Covington Lane
Eagan MN 55122--275
Adam's On Time Plumbing & Water Heaters Llc
13791 Jonquil Lane N
Dayton MN 55327
(612) 205-6060
Applicant/Permitee: Signature Issued By: Signature
For Office Use _
� 4 I • Permit#: t
I
E AG N
Permit Fee:
In
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff:
buildinginspectionsci cityofeagan.com
2019 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
Name: CIAA/AN f//�/6) Phone: 6S1 70 3 Z 7 5
Resident!
Owner Address/City/Zip: /h C o c/ G 1-ON L N L 1}6 Rv K N S-s- I -zz
Applicant is: Owner ,Contractor
T a of Work Description of work: (--/?E,1-- S��l N6 LE — 1�� 00 F rDJC. " 2 5 SQS
yp
Construction Cost: 1 2 j DOO Multi-Family Building: (Yes /No )
Company: LoTA E x.vegroKit TI'•X. Contact: 6s (-3? '7 6 9 Si
Contractor Address: 8Z? /714 ,nu0(14 . AU-E �
J City: F. �R uC
State: Mt) Zip:SS /06 Phone: Email:
License#: C7 S q 9 Lead Certificate#: /1 O rS 7 > r I
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.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.com/subscribe.
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.
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.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance wi 4 the ordinances and odes 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 sta ithout a pe r it; tha,he work will be in
accorda/TAdV12
with the approved plan in the case of work which requires a review and approval of•lam n=te 4
� —waft
x 'O �JRlID� x
Applicant's Printed Name Applicant's Sig r �'
DO NOT WRITE BELOW THIS LINE
SUB 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 of_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 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 Suppression Required
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final I C.O. Required
Footings (Addition) Final/No C.O. Required
Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood
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: , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
Page 2 of 3