1637 Covington Lane
Use BLUE or BLACK Ink
r I
I For Office Use
I /
I Permit
City of EaEd
I Permit Fee:
3830 Pilot Knob Road j I
Eagan MN 55122 I Date Received:
Phone: (651) 675-5675
Staff:
Fax: (651) 675-5694 L -----------------I
INFLOW "&IILTRATION PERMIT APPLICATION
Plumbing I Sewer & Water
7'~ ,
Date: /l Site Address: / ~.0yl ku
Tenant: LL, SuiteM
Name: (M,~ Ic }{~,;t _),49o f d?,j Phone:
RESIDENT I OWNER r ~ f ~ , I _
Address / City/zip:/b?')-7 L V l PI(4 ~fi 1_U_A-L
Name: ` 14- 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: Other:
Description of work: ~"c k C t`v Pi k19 ) ~ 4
DESCRIPTION
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.aopherstateonecall.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 ork which requires a review and approval of plans.
01 x
Applicant's Printed Name Applicant's Sign re
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under Ground -Rough-In -Final
CITY OF EAGAN
3795 Pilot Knob Rood Eagan, MN 55124
PHONE: 454-8100
BUILDING PERMIT
Te 6e sised ier
SitB Addf@SS I '.,ll J ! ` f 11,111. f
Lot Block ? Sec/Sub. Porcel # ,
oc IN,,, =I'in thor.ipson Iiames
W
I Address ' 112 iiQi2l:i ns CrGrd.
_ +„ ?c., -- 5/1_71^<Z
o Name
zt
o? Addrcss
u
F-
Nume
I hereby ocknowledge thot I hove read this cpplicotion and stote that
the information is wrrect ond agree to comply with all upplicoble
State of Minnesota Stotutes and City of Eagon Ordinonces.
5ipnature of Pertnittee I
A Building Permit is issued to: on the express condition thot
all work shall be done in accordance with all applicoble Stote of Minnesoto Statutes ond City of Eagan Ordinances.
Receipt #
000
N2 6116
Erect Octuponcy ;13
PT`
Alter p Zoning
Repair ? Fire Zone 3
Enlorge ? Type of Const. "
Move ? # Stories
Demollsh 0 Front ft.
Grade ? Depth ft.
Approvob Fees
A55essm4nt Permit
Water & Sew. Surcharge
Police Plon check
Fire SAC
Eng. Water Conn.
Planner Woter Meter 7 • 00
Council Road Unit ? '-' • r`7
Bldg. Off.
APC , , , .
Totol - ' '
Building Officiol
Puwk # paN 1omw ?WOMMe
Plumbing 7 9- r.s ?o
Mechanicol ,y'
_.L': ylc-t'Jc-
INSPECTIONS DATE INSP. _
h-In Final
Ro
FoOtings up
Date Irup. Dote Inap.
Foundotion Plumbing
Frnme/ins. -??'? •- - S/ Mechanical
Finai
Remarks:
cirY oF E?GAN
? 3795 Pilot Knob Roed
No. Ea9an. Mtnnesofe 55122
Phone: 454-8100
PERMIT
Date:
i
Site Address:
Lot Block Sub/Sec. `
7_0P.?ri$ ?..
Nome New/Alter. / Repoir
r 177 -1
? Address Cost of Instullation
?
?. _ _ ,. ... . , . ,, .
City Phone: Permit Fee
` Name Surcharge
g Address
?
V City Phone: Total
This Permit is issued on the express condition that all work sholl be done in occordonce with cll appliwble State of
Minnesota Stotutes and City of Eagan Ordinances.
Building Officiol
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Receipt No.:
Sirtgle ?
Residential
Multi Res., Comm./Ind. I
, . CITY OF EAGAN
3795 Pilot Knob Road
Eagan, Minnesote 55122
No. P6owe: 454•8100
PERMIT
Dote:
5ite Address:
9-15-80
1637 Covington Ln.
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Receipt No.: ?Or'
Single
Residentiol
Lot - Block Sub/Set. Multi Res., Comm./Ind. I
Nome -= rin ?I:cIT-Lo?' :.07E,3
/Re
New//11ter
oir
.
p
Address "1" IiOt)?.CiIIH CTBI'cl. Cost of Installation
?
City Phone: 7'? 3 3 Permit fee +1
NOme ','?enzpl } C?";ciri
Surthorge
•
?
Addreu
360? KE'1!1e`i.BC ..2'.
?
City . ,.. ? . -..
Phone: 1.?
Totol
This Permit is issued on the exp?ess condition that
Minnesoto Stotutes and City of Eogan Ordinances. all work shall be dorx in actordance with all appllcable Stote of
Building Offitial
CITY OF EAGAN Remarks
Addition JL1#O1NY' CAxE RTDGE hDDTTION Lot 17 Blk Z Parcei 10 39800170 OZ
MN 55122
Owner i?0r? street 1637 Co?t? ?gton i.an_e S?te??8t1,
Improvement Dete Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
5AN SEW TRUNK
* SEWER LATERAL
WATERMAIN
• WATER LATERAL
WATER AAEA ,'52
STORM SEW TfiK ?
* STORM SEW LAT
UTTER
K
IGHT
FL
WATER CONN.
BUILDfNG PER.
SAC 5 5.00 20607 2
PARK
CITY QE EA6AN WATER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.:
Eo9an, MN 55122 DATE:
Zoning: No. of Units:
Qwner, _
Address:
Site Address: - -- ' ? ? ,
Plumber: _
Meter No.: Connectian Charge:
Size: Account Deposit:
Reader tVo.: Permit Fee:
1 egree to comply with the City of Eagon Surcharge:
Ordinanoes. Misc. Chorges: ?
Total:
By Dote Paid:
Date of Insp.: insa.:
Pilot Knob Road
MN 55122
Add
PERMIT NO.:
DATE:
No. of Units:
1 agree to eomplp with the Citr af Ecgan Gonnection Charge
OtdinpnCeS. Account Deposit:
Permit Fee:
Surcharge:
BY Mi
c
Ch
.
s
arges:
Date of Insp.: Total:
Insp.: . Dote Pnid:
12
+ This reguest void
? 18 months from ?
Date of is Request Fire No. S99 314
I, a icensed Electrical ontractor ? Owner, do hereby request inspection of the above electri-
ca1 ri installed at:
Sr*eet Address or Route No. 63-7 (W
L. __ aon Township Range County ? R?
Which is occupied by V /J q?f
(Name ot Occup t)
Is a roughin inspection required on this job? No ? Ready Now D Will Calml;?,
Power 3upplier 1-? Address
Electrical Contractor Contractor's License N&?°6
? IComoanv r??..,m
Authorized SignatureTv-
iElectric
??? B"'"'i
I ?;U
'Icicy
191 p Eg.0p0p1-62 ?
- Phone 297-2111 C. (? d V
dSPECTION
EQUEST S 99314
I, the Electrical Insvector_ herPh.,
(Final)
This request void
18 months from
I Home - -•.".. •-,rr•,•??? nvea Check E4u'
[Pment Wired For
Duplex Range 91" ? ? Water Heater Temporazy Wiring
• t. Bldg. ? ? ? Lighting Fixtures ?
Dryei Electr
ic Heating ?
.nmercial Bldg. ? ? ? Furnace
Industrial Bldg. ?[] ?] S?7o UNoader ?
Air Conditioner Bulk Milk Tank ?
Fazm
? ? ? List ? ?
RESIDENTIAL
*a(04,9-S BUILDING PERMIT APPLICATION
CITY OF EAGAN
? 3830 PILOT KNOB RD, EAGAN MN 55122
J 0 651-681-4675
New Construction Reauiremenh RemodeVReoair Reauiremants
. 7 regsterea site surveys showing sq N of IoC sq fl. of house; and all mofed areas • 2 copies of plan
(20% mazimum lol coverage allowed) . 1 set of Energy Calculahons tor heate0 addrtions
. 2 copies of plan showing beam & winEOw saes, poured found desgn, etc ) . 1 sde survey for extenor addibons & decks
• 1 set o( Energy Calculations . Indicate rf hame served by seplic system tor addihons
• 3 copies of Tree Preservation Plan rf lo[ platted after 711193
• Rim Jomt Detail Opuons selection sheet (bldgs wAh 3 or less units)
L . t Z-6L
DATE l
??-,?' ?
VALUAiION??, ? 1[U •
SITE ADDRESS L^ MULTI-FAMILY BLDG _Y ?, N
TYPE OF
APPLICANT
mt
FIREPLACE(S) _ 0 _ 1 _ 2
STREET ADDRESS ?aay? ?Iic,u??et ktr S ' CITY ?9++501V\2 STATEW ZIP S3S78
TELEPHONE CELL PHONE # FAX #
PROPERTYOWNER TELEPHONE# (CvS?1?T?p
--------------------------------------------------------.-------. - ------.....------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ 'MINNES01'A 12[iLES 7670 C:A"CF.GOI2Y l VIINNGS01':A R['LES 7672
(d submission rype) . Residential Venblation Category t Worksheet Submitted • Naw Energy Code Workshee[ Submitted
. Energy Envelope Calculations Submitted
Plumbing Contractor: _
Plumbing system includes:
Mechanical Contractor:
Mcchmuail scstcm includcs:
Sewer/Water Confractor:
_ Water Softener
Water Heater
No. of Ba[hs
Air Conditioning
Hcal Rccover}• Systcm
Phone #
Phone #
Fce: $90.00
°--------°------------------------------------------------•----------------------------------°-----°----------°•-----
I hereby acknowledge ihai I have read this application, state ihat the information is correct, and agree to comply
with all ppplicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant
----------------------------------- _..°-------------------- ----------------------...-----------°
OFFICE USE OYLY
Certificates ot Survey Received Tree Preservation Plan Receroed _ Not Required _
Updated 4I02
_ Phone #
Lawi Sprinkler
No, of R.I. Baths
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD, EACAN MN 55122
651-681-4675
New Construction ReourtemanU
• 3 registerea site surveys showmg sq, tl ol!ot. sq. ft. of house; and all roafed areas
(20% maximum fot coverage allowed)
. 2 copies of plan showug beam 3 vnndow sizes; poured found desgn, etc.)
• 1 set of Eneyy CalculaUOns
. 7 copies of Tree Preservation Plan if lot platted aRer 711193
. Rim Joist OeWil Options seleChon sheet (bldgs with 3 or less unils)
DATE i'l ' I Ji GZ.
_ Water Softencr
_ Water Hcater
_ No. oFBaths
SITE ADDRESS /./ 6>dL'na _?an 4 n- _ MULTI-FAMILY BLDG _ Y+ N
TYPE OF WORK (10o
APPLICANT
FIREPLACE(S) _ 0 _ 1 _ 2
STREET ADDRESS 1?a 4:7- N?-Pl({? /.Irlt S- _CITY9m?'nsv? ??Z STATE/YAJ ZIP SS33 7-
TELEPHONE #(95%) }0}•695q CELL PHONE # FAX # (15_;0 8'OFf- `tSff`I /-
PROPERTYOWNER /'l?K? .C Linc{4 Soe_h bt?Kd TELEPHONE# (451) YoS- QIf 6
----------------'--------'--'-----'-----.._..--------'----------------'------------------" -'--
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category
_ 4IINVE:SO'C.\ R[iLES 7670 C1'I'EGORY l NIINVLSO"!'.\ Ri "I.1C5 7072
(J submission rype) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet SubmitteC
• Energy Envelope Calculatlons Submitted
Plumbing Contractor: ____
Plumbing systcm includes:
Mechanical Conhactor.
NIcch;uiiril systcm includcs:
Sewer/Water Contractor:
-- Air Conditionin;
I-[cal Rccovcn' Svs[cm
Phone #
Phone #
5I ; I irr??: LI ?so?
? SEP 13 2002 D
------------------ °----------------°-- • -------------° • ----°-------° -----°---°-------------° ° ----°--------------
I hereby acknowledge thaT I have read this application, state Ihat the information is conect, and agree to comply
with oll applicable Siate of Minnesota Statutes and City of Eagan dinance
Signature of Applicant
OFFICE USE Oti I.Y
? 5
15?7
RertrodeUReooir Reauirements
• 2 w0ies of plan
. 1 set ol Eneyy Calculations for heated additions
. 1 srte suney for extenor addihons & decks
. Indicate rf home served by sep6c system for addihons
VALUATION 16 ( In-?
PElOt1C #
Lawn Sprinkler
No. of R.I. Baths
Certificates of Survey Received - Tree Preservation Plan Receroed - Not Required _
Updated 4102
CITY OF EAGAN
3795 Pilot Kno6 Road Eagan, MN 55122
PHONE: 454•8900 '
BUILDING PFRMIT APPLICATION
SF DWG
N° 6116
Receipt .# oz:?&/
, 000 Date _
Site Address -1637 Covin?ton Ln. ( 77DR )
Lot 17 Block 2_ Set/Sub. ?Th115', CakER.Clg .
Parcel # 10 39$00 170 02
s Name Orri hompson Hom
w
Z Address l 712 Hn? ki nc Crerr _
o w.?_,_1 _ .._
p Nome _
N
?Q Address
z
Nome _
Address
I hereby acknowledge that I have read this appli<otion and state that
the information is wrrect and ugree ta comply with all applicable
$tate of Minnesota $tatutes and City of Eagan Ordinances.
Erect xRk Occuponcy R'3
Alter ? Zoning PD
Repair ? Fire Zone 3
Enlorge ? Type of Const. V
Move ? .# Stories _
Demolish [] Front 64 fr.
Grade ? Depth ?+z ft.
Approrals Feea
AssessnzV& H-71 -Sn
Water & Sew.
Police
Fire
Eng.
Planner
caunca
Bldg. Off.
APC
Permit 160 _ 5f]
Surcharge 32 - 00
Plan check $0.25
snc 52s.nn
Woter Conn. 305,00
Woter Meter 6Q..40
Rooa uniT 185 _ M
rorai 1.347.75
Signature of Permittee I
A Building Permit is issued to: (lrri n Tiy,mp.gQ7yljnIileg on the express condition thot
oll work sholl be done in accorda?with aIl appfi,?cabl?te of Minnesota Statutes and City of Eagan Ordinances.
Building Officiol J /
CZTY OF EAGAN Include 2 sets of plans,
1 site pIan w/e]evations &
BUIIDING PERMIT APPLICATION 1 set of energy calculations.
'Ib He Used For A*AroE,rce Valuation ?, `'- °• ? a Date 8" C? ? 1)
Site Pddress: _ ,
I(,? NC;o.J ?0 t770JZ?
OFFICE USE OrII.,Y
TAt ?$IOCk c?- SeC./Silb. SOMNNY CA1tE Er2Ct OCCL1p3T1Gy
Parcel #: 1o E }f1?r
3lfdt' /7D ?^? ZORIMJ
PQ
- gepair Fire Zone
Owner: Enlax'9e _ Type of Const.
bbve # StAries
Pddress: petrolish Front ?y ft.
City/Zip Code:' Grade Depth ft.
Phorie # :
Contractor: f1RRIN THnMPS(1N Nl1MFG
AddteSS: a Division of U. S. Home Corporation
1;z!2 I ienisirIs saeSSRBna-
City/Zip Code: MINNETONKA, MINN. 55343
Phone #: 544-1333
APPROVAIS FEE'S
Assessments Pexmit //06
Water/Se,aer Surcharge 3a ?--'
Police Plan Check 5:-o a"-
-
Fire SAC T
Eng. Water Conn. 3 03
P1annPr Water M2t2T /?D
COUnCil A RoaB Uni.t /$a`
Arch- /En4 • :
Address:
City/Zip Code:
Phone #:
Bldg. Off.
APC
7C7I'AL 12'/317 ?
1637
le ' ' 0/ ol"
For:
U. S. HOME CORPORATSON
C. R. WINDEN 3 ASSOCIATES, INt.
tAND SURVEYORS ToL 845•3648
1981 EUSTIS SL, ST. PAUL$ MINN. 55100
.?-
?B'65 -
O 5cale: 1" = 30'
?_ • O ?- - ?5 O Denotes Iron
?
10
r- ?r i? 1-/
I ' ? \
?
N GQ 3
? NpUSe N '
?
? proPos w
Lot 17, Block 2
Johnny Cake Ridge
Addition, Dakota J'
County, Minnesota
1
lo ?- sa.pQ V
?
- - s,.46 ? LANE
COviN6TON
/ Y
WE HERE6Y CERTIFY THAT TMIS IS A TRUF AND CORRECT REiRESENTATION OF A SURVEY OF THE
60UNDARIES Of THE lANO A90VE DESCR16E0 AND OF TME IOCATION Of ALl lUIIDINGS, If ANY,
TMEREON, AND ALl VI5181E ENCROACMMENTS. IF ANY, FROM OR ON SAID IAND.
Datod this1.?7_p_day of « A.D. 1950 C. R. WINOEN d ASSOGIATES, INC.
zr- CJ
br
Survayor, MieMwro Rapiuration No.77,ZG
PERMIT
City of Eagan Permit Type: Building
Permit Number: EA106962
Date Issued: 09/19/2012
of 3 a R Permit Category: ePermit
Site Address: 1637 Covington Lane
Lot: 17 Block: 2 Addition: Johnny Cake Ridge
PID: 10-39800-02-170
Use:
Description:
Sub Type: e-Reroof Construction Type:
Work Type: Replace
Description: House & Garage
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary: BL - Base Fee $4K $103.25 0801.4085
Valuation: 4,000.00 Surcharge - Based on Valuation $4K $2.00 9001.2195
Total: $105.25
Contractor: - Applicant - Owner:
Sela Roofing Remodeling Michael W Soebbing
4100 Excelsior Blvd 1637 Covington Lane
St. Louis Park MN 55416 Eagan MN 55122
(612) 823-8046
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
Citi of Eavau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use. �^
Permit #: ilD
QTT
D5
ice_ f
Date Received: c ✓I�13
Permit Fee:
Staff:
7
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit #:
Type of Work
Contractor
Name: Ll f61Cn
Address / City / Zip: I ,) `� aVi c)
Phone:
J
l
Applicant is: Owner Contractor
Description of work:
Construction Cost:
EL j
aVSfv
Multi -Family Building: (Yes / No )
Company: Selo PO4lr) (LI ctQPr'%d n/ `>t)oritact: Pc:Lnnrr...
City: �S4• LvLll Pctt lc_
Address: CI) OD X_Cifil <iGr 6i
State: ()(Ib- Zip: Ceti ' Phone: 6 631s- -
License #: U Lead Certificate #: )`' G q — i
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
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 Cal( 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.00pherstateonecall.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.
Applicants Print d Nam
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA141965
Date Issued:04/10/2017
Permit Category:ePermit
Site Address: 1637 Covington Lane
Lot:17 Block: 2 Addition: Johnny Cake Ridge
PID:10-39800-02-170
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
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 -
Linda C Soebbing
1637 Covington Lane
Eagan MN 55122
(651) 334-8543
Benjamin Franklin Plumbing
5718 International Parkway
New Hope MN 55428
(612) 238-9709
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA166540
Date Issued:01/19/2021
Permit Category:ePermit
Site Address: 1637 Covington Lane
Lot:17 Block: 2 Addition: Johnny Cake Ridge
PID:10-39800-02-170
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Linda C Soebbing
1637 Covington Ln
Eagan MN 55122
(651) 405-9116
Blue Ox Heating & Air Llc
5720 International Pkwy
New Hope MN 55428
(612) 238-9709
Applicant/Permitee: Signature Issued By: Signature