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1680 Covington Lane. BUI!.15ING PERMIT . Site /lddress Lot Porcel # - CITY OF EAGAN 3795 Pilat Knob Road Eagan, MN SSl?.Z PHONE: 454-8100 Block Sec/Sub. z Name '3 Address b .-,_ 0023 *? Nome z? s? Address r,.., ati,,.,e Name _ Address Receipt # N2 5514 Repoir ? Fire Zone Enlarge ? Type of Const. Move 0 # Stories Demolish ? Front k. Grode ? Depth ft. Apororols Fees Wnter & Sew. Pol ice Fire Eng. Plonner Council Surcharge Plon check SAC Woter Conn. Water Meter I hereby acknowledge that I have read this opplication and stote that Bldg. Off. the informction is corred and agree to comply with oll applicoble APC Total State of Minnesoto Stotutes and City of Ecgan Ordincnces. Signature of Permittee A Buflding Permit Is issued to: on the express condition thot oll work shcll be done in accordance with all opplicoble State of Minnesoto Stotutes and Ciry of Eagan Ordinonces. Building Officiol Pennit # Dah hn?a p4maMW Plumbing / -7 Z? ? Mechonical ? Cl t 93 INSPECTIONS DATE INSP. RoupMln Final Footings ;j-e-7r Date Insp. Dote Insp. Foundation Plumbing .2 Frome/ins. Mechanical Finol Remarks: cirY oF EA"N ' 3795 Pllot Knob Resd Eagan, Minnasoea 35122 Phone: 454-8100 0 L.? ATING, , PERMIT No. Date: I/25/80 Receipt No.: lni` 77 Single .I Site Address: Residential Lot 1 Biock Sub/Sec. P j n?r; Name Orrin T??son NewlAlter./Repeir e° Address - n, " fTrPlr? n? Cost of Installation .... City Phone: Permit Fee Name N. W?lter i'tr Surchorge . g Address ? ?'•, ?',i c`il?r, A??r? . e City Phone: • , Total : This Permit is issued on the express condition thot all work sholl be done in nccordonte with oll opplicoble State of Minnesoto Stotutes cnd City of Engan Ordinances. Building Offlciaf . Z P1tuIIbinW, Dote: Site Address: Lot . Y e ? CITY OF EAGAN 3795 Pilot Knob Road Eagan, Minneaota 55122 Phone: 454-8100 PERMIT Name 1680 Covington Lane 7. .Tti+?v L'8kl' :Adpc 222C! Block Sub/Sec. _- i?rr.fn ':';lc•??sc?? AAa.o« City drm"tonka, Phone: (`..?nn T?erqr. 1617 Receipt No.: Single I Residentia l Y Multi Res., Comm./Ind. I New/Alter./Repnir Cost of Installation Permit Fee `?n ?, Nome Surthorge • '' . ? ? Address ? Ciry Phone: Totol This Permit is issued on the express condition thot all work sholl be done in occordance with oll applicabla State of Minnesota Stotutes and City of Ea9on Ordinonces. No, Building Officiol CITY OF EAGAN „ 3799 Pilot Knob Road Eogon, MN 65122 N2 5 515 PHONE: 454-8100 • BUILDING PERMIT Receipt # 9 To 6e usad for Est. Value Date , 1 Site Address Erect ? Occuponcy Lot Block Sec/Sub. Alter p Zoninp Parcel .# Repoir ? Fire Zone Entarpe ? Type of Const. o c Nome Move ? # Stnries LU Z Address Demollsh ? Front ft. ? Ci Phone Grode ? Depth ft. o Name Approvals Fees ?? /Wdress Assessment Permit Water & Sew. Surcharge F, ci Phane Police Plon thetk F W W Nnme Fire SAC H ?? Address Eng. Water Conn. aW Ci phone Planner Water Meter Council I hereby ocknowledge that I have read this opplication and state that gldg. Off. the information is correct and agree to comply with all applicable APC To#al Stote of Minnesota Statutes and City of Eagan Ordinances. $iynoture of Permittee I A Building Pennlt is issued to: on the express condiHon that oll work shall be done in accordance with all cpplicable State of Minnesota Statutes ond City of Eagan Ordinances. Building Officiol D ? rKnff ?i Doto lY11 ' rMMH1fM Plumbing . Mechanical L C_i(' ? .ft'il???' ? / O ?> >. ? ? .? f y?.l/' . ? INSPECTIONS DATE INSP. Rough-In final Footings /gr.g?-7cj Date Dcte Insp. Foundotion Plumbing ffIX - Frame/ins. •.? Z• Mechanicol Final f? p0 C f . Remarks: 3 o?V - ?' a ??,? -;,K?rT?^lr;7 <1.Tr CITY OF EAGAN .. 3795 Piloe Knob Roed Eagon, Minneaota 55122 ? Phone: 454-8100 AE',A7ING PERMIT No. 1687 Date: Receipt No.: 5ingle I Site Address: 7 "'1" Residential Lot Block ? Sub/Sec. _•?'?^?? -- '"r'^ ""r'r Multi Res., Comm./Ind. I ? Name ?'i,. r..?-, ?.:: r;r •? ?.,. New/Alter./Repair . ? ? Address Ntmk'[ n R CrnnR-nv^ S ? ? c City Phone: Nome 2V17 !'hiCa^o fv?, Address Cost of I nsta I lotion Permit Fee Surcharge 20.00 .50 S I City Phone: Total ' This Permit is issued on the express condition that all work shall be done in occordance with all applicoble State of Minnesota Statutes and City of Eagon Ordinances. Buiiding Official ,. . PI.i1MBING ? /2. Sl ?`•? Date: IE. 1r No. 1. `W) Receipt No.: • l•n:, ., -;. . ? novir•;, n4.,on I.flTl@ $ingle ti I " Site /lddress: Residential 1 ?u?y C?e ::i d7e 2nd I Lot Blxk Sub/5ec. Multi Res., Comm./Ind. " Name ?"irri t•. "'` ,~???^r h?!?.; - T ']R? ' New/Alter /Re air . p Address Cost of Installotion ? Gty "innEtdziks Phone: Pertnit Fee C•?*tz P.3?tr Name 5r. Surchorge ? Address ? City Phone: Total This Permit is issued on the express condition that all work shall be done in otco?donoe with aU qpplfoobie StaRe of Minnesota Statutes and City of Ea9an Ordinances. cmr oF E?GAN 3795 Pilof Knob Ree/ ioyan, Minn?mN 55122 Pronr I54-8100 PERMIT Bulldirxi Official = cirr oF EAcAN • , 8795 Pilot Kneb Rood Eagan. MN 55122 N2 ` PHONE: 454-8100 BUIL'JING PERMIT Receipt #k Te 6e osed Fer Fet VnhsP ,. 1]nYP ..- Site Addc LAl' BlOCIC Parcel # oc Nome ' ?.n `i'.c)-n::, son :4 c).- ? Address ? _.. . , _. , ? ? . . . at Name ? o 0? Address ~ Cit _ u? W w Name _ I hereby acknowiedge that I have read this application ond stete that the information is correct and agree to compiy with all applicable State of Minnesota Statutes ond City of Eagon Ordirsonces. 5516 E2Ct Q OCCLpOnCy Alter p Zonin9 Repair 0 Fire Zone Enlarge ? Type of Const. Move ? # Stories Demolish ? Front ft. Grade p Depth ft. Approvols Fees Assessment Permit ' Water & Sew. Surcharge Polite Plan check Fire SAC Eng. Water Conn. Plonner Water Meter Councii Bldg Off. . APC Total Signature of Permittee I A Buiiding Permit is issued to: on the express condition that oll work shall be done in accordance with all applicoble State of Minnesotu Stotutes and Ciry of Eagan Ordinances. Building Officiol Pennit .# Dala Im Puslftu? Plumbing Mechanicol I(e 840 / v?_5- (,i fJ • -> ? y y INSPEGTIONS DATE INSP. Rough-In Firal Footings l.z ?-?9 te I? Date Inap. Foundation Plumbing ?_, _?_ •pp ?/ ` Z7- Frome/ins. . s Z. MechaniCal Finpl ? ? Remnrks: 10 HEATII+IG PERMIT Dote: Site Address: Lot CITY OF EAGAN 3795 Pilot Knob Road Eagan, Mlnnesota 55122 Phone: 454-8100 1684 Covington Block Syb/Sec. 'rrtn ?hcr_^:•.:??r? .Thny.Cake Pidge No. 2686 ;•' ?'7 Rece(pt No.: Single '/ Residential - Mew Nome New /Alter / Repair . . 17_? ?Ic:?'r?ci:?a f ?r.?ro?~fi ; Address [oyt of Installotion O ?? • )?. City Phone: Permit Fee , RA?T . wP1t°2` Ltt?. Name Surchurge ' ? ? Address •.- Ciry Phone: Total This Permit is issued on the express condition that all work shall be done in accordance with all opplicable Stote of Minnesota Statutes ond City of Eogan Ordinonces. Building Official ? cirr oF E?GAN A 3795 Pilot Kno6 Resl Eogse, Minnesota 55122 P6onr 4544100 PERMIT pate: Receipt No.: 5ingle 5fte Address: l"?? ??wto=1 Residential Lot Blxk I Sub/Set. 0=• C?e RJLdge- rtAuiti Res., Comm./Ind. ? Nome !'Tin ThC:!i!?:t0T3 H(mx3.1 r-? New/Aiter./Repair. . ; Address Cost of IruMllation . . O '?: r.r'• City "?F?et'?rit?13 , Phone: Permit Fee Ncme Surcha?ye ? ? 1lddreu ` ?.. City Phone: Total This Permit is issued on the express rnndition that all work shall be done ln occordanoe with nl) applivobie State Of Minnesotu Statutes and City of Eagon Ordinances. No. 1 AZ Buiidiny Offfcial CITY OF EAGAN ? 3795 Pifot Knob Raed Eogan, MN 65122 • PHOlIE: 444-8100 BUILDING PERMIT Receipt 4 Ts 6a u"d fm Fc+ Vnlun nn*P SItC /4ddf855 , Lot Parcel $? -? Block Sec/Sub. ce Name " n + W z Address Ci Phone . ' °C Nome 0 ? Address ? ? Ci Phone u? Name FW x? Address I hereby acknowledge thot I have read this application and state that the informution is correct and ogree to comply wiih all applitable Stote of Minnesata Statutes ond City of Eagon Ordinances. Erect ? Alter ? Repair ? En{arge ? Move ? Demolish p Gmde p N2 5517 S OCCUPOnCy Zoning Fire Zone Type of Const. # Stories Front ft. Depth ft. Fee: Woter & Sew. Police Fire Eng. Planner Council Bldg. Off. _ APC Permit Surcharge ? Plan check ? -' SAC ' WcYer Conn. } Water Meter Total Signature of Permittee I A Building Permit is issued to: on the express conditian that oll work shall be done in occordance with oll applicable Stote of Minnesato Statutes und City of Eagan Ordinonces. Buifding Offlciol P«mic # Dal? Iftsue)k P*nniltN Plumbing 4-Z-c 21Z ' Mechoniwl - L=: I/z i ^ - IN57ECTlONS DAFE INSP. Rawh-!n Final Footings Date Insp. Date Insp. Foundotion Plumbing Frame/ins. -?- ? Mechanicol - Final Remorks: ? -,pO -Td? CITY OF EAGAN 3795 PiloF Knob Rood • Eagan, Minnesoto 55122 Phoee: 454-8100 • ?:?;ATII?C PERMIT No. 1688 Dote: 1/25/:;' j -- - I Site Address: Lot Block 5ub/Sec. Receipt No.: 1707 ' Single I Residential Multi Res., Comm./Ind. I Nome ')T?iTl 'ilhOP.TSCm ?P.Y. /Repoir Naw/Alter . 3 Address : 7' 1 ,'?k:Ins Cost of Installation O City Phone: Permit Fee pP." Name Surchorge . ? ? • A _ . „ ? ? ; P Addreu ? V • 5,, ? . , , City Phone: Total ' This Permit is iuued on the express condition that all work sholl be done in xcordance with oll cpplitable State of Minnesoto Statutes ond City of Eagon Ordinunces. Buildiny CiTY OF EAGAN ' 3795 wiot Knob RoW Eeyoe. Mlnwetoft 55142 Mre?: 4544100 PERMIT No. Date: ' ' ? ?/'' ^ Receipt No.: Single Site /lddress: Residentiol Lot Block ? Sub/Sec. '?T?.y . rF4 ?e RitF~ -Multi Res., Comm./Ind. I Name T ' New/Alter./Repair. '' . ? Add?ess Cost of Installation City • r' ?-' J`?n': `PFwne: Permff Fee ' Nome Sursharpe . ? Address City Phone: Totol This Permit is issued on the express condition that all work sholl be done in otCOrdante with pFl applioobls StOft CoF Minnesota Stotutes and City of Eogan Ordinonces. BuildFng Offtdal ? Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN - Fee Fil1 in numbered spaces S/C • Type or Print /egib/y Tat. 1. Date ? 2. Installation Cost ? 3. Job Address Lot Bik. I Tract T? -< ' 4. Owner 5. 6. Address Phone . , n 7. City State Zip 8. Building Type: Residential ? 9. Work Description: New O j 10. Describe ! 11. Commercial ? Institutional ? Add ? Alter ? Repair ? No. Fixtures Water Cfoset No. Fixtures Cesspool/Drainfield Bath tubs 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 Ffnal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CITY OF EAGAN Remarks - 1 #10 39801 010 01 Aldition?og= cAKE RrnaF 2nd Let 1 Blk P Val ownerT,'??.? W 17 street 1680 CoYfn$ton ?e State ff ' VALI 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SUR F. STREET RE5TOR. GRADING SAN SEW TRUNK p 1975 66.79 4.45 15 10 15 80 ? SEWER LATERAI WATERMAIN * WATER LATERAL WATER AREA STORM SEW TRK + STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT Road unit WATER CONN. 270.00 tv to BUILDING PER. It ?t SAC 11 tt PARK { CITY OF ' EAGAN Remarks Addition sn??CAKF Rr,nGE 2nd Lot 2 Blk 1 Parcel #10 39801 020 01 Owner ?V?i}???r? `-1Gv??,{1C31',?Street 1684 Covington La.ne state Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK * SEWER LATERAL OO H13 ZO IS HO WATERMAIN * WATER LATERAL 1981 WATER AREA STORM SEW TRK ,5,79 1981 343.41 68.68 343.41 C006813 10 15 80 * STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT Ro WATER CONN. BUILDING PER. ccif- SAC 00 PARK ? CITY OF EAGAN Remarks I Parcel !l'],.Q RQft(17 040 01- State Fa gan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 30 1975 66.97 4.46 15 * SEWER LATERAL - WATERMAIN * WATER LATERAL WATER AREA STORM SEW TRK * STORM SEW LAT CURB & GUTTER SIOEWAIK STREET LIGHT Road Unit 75.00 16844 11128/79 WATERCONN. 270.00 16844 11 2$ 79 BUILDING PER. SAC PARK CITY OF.EAGAN Remarks Aw:ition f? CAKE RIilGE 2M.d Lot 3 131k ? Parcel #10 39801 030 nl Owner 'j- t.` ' Street 1692 Govington L.ane srace Eagan, NW 55122 ?;[•??Improvement Date Amount Annua( Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK ,O * SEWER LATERAL WATERMAIN * WATER LATERAL 1991 WATER AREA STORM 5EW TRK 3i,7 * STORM SEW LAT 19,91 CURB & GUTTER SIDEWALK STREET LIGHT R WATER CONN. 270.0( 16846 11 28 79 BUILDING PER, SAC PARK ? CITY OF EAGAN ? 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 , (612) 681-4675 . ? ? . ,., SITE ADDRESS: t, , f P1+? 1 ifil , ?.:??i•ii ? i:' S f t! 1_1{1}' .`??4! PERMIT SUBTYPE: ? 61 MARF '-.. F-t AN Fh`JlFijf i't IN t? hA i t fi?;1: +() P t '7. PERMIT TYPE: Permit Number: ?? ' • Date Issued: APPLICANT: TYPE OF WORK: g: . _ r. . - ,,:. . . , , -. .. . , ?CN ? ?3.?-.'? ?r . ? . _, . . .. . .:-.. . ... . J , Permit Holder Date Telephone # PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATWG GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIFI TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOME5TIC METER IRRIGATION METER FLUSH MAINS CONOUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL L - '- - - -- - - - --- -- ` irY oF EaGAN 2795 Pilot Knob Road gan, MN 55122 oning: ner: ? ' - SEWER SERVICE PERMIT NO.: DATE; No. of Units: PERMIT ' ddress: ?Ite Address: ?- Plumber: ? ' ? - -` -- rl', r [j 1 agree to oomply with the Ciey of Eagan Connaction Charge: ;) Ordinances. Account Deposit: _ Permit Fee: _ Surcharge: .- 8Y - - - Misc. Chorges: Date of Insp.: Total: Insp.: . Date Paid: CITY OF EAGAN 3795 Pilot Knob Road Esgan, MN 55122 Zornng: Owner: Address: Site Address: Plumber: Meter No.: Si 7c+. Reoder No.: I agree to eomply with the City of Eogan Ordinanees. By Date of Insp.: WATER SERVICE PERMIT PERMIT NO.: DATE: _ _ No. of Un;rs: Connection Chorge: Accaunt Deposit: _ Permit Fee: Surcharge: Misc. Charges: - Total: Date Paid: CITY OF EA(iAN 3795 Pilot Knob Road Eogan, ju1N 55722 Zoning: OWner; Address: 5ite ikddress: Plumber: agreo fo eomplr with the City of Eagan rdinanees. gv Date of lnsp.: Insp.: f GITY OF EAGAN 3795 Pilot Knob Rood Eagan, MN 55122 Zoning: Owner: Address: Site Address: Plumber: Meter No.: Size: Reader No.: 1 agree to u?mpty with the Cify of Eagan Ordinanees. By Date of Insp.: SEWER SERVICE PERMIT PERMIT NO.: ? DATE: - of Units: No . Connection Charge: Account Deposit: _ Permit Fee: Surcharge: Misc. Charges: - TotaL• Date Poid: ?. .? WATER SERVICE PERMIT PERMIT NO.: DATE: No. of Units: Connection Charge: Account Deposit; _ Permit Fee: - Surcharge: Misc. Charges: Totat: Date Paid: i.ITY OF EAQAN 3795 Pilot Knob Road Eogan, MN 55722 7-i n..,.,e. WATER SERVICE PERMIT PERMIT NO.: DATE: No. of Units: AAA-« Site Address: Plumber: Meter No.: _ Connection Charge: Size: Account Deposit: Reoder Na.: Permit Fee: 1 ogree to compty with the City of Eagon Surcharge: Ordinances. Misc. Charges: ' Total: By Date Poid: Dote of (nsp.: Insp.: C. ? Y OF EAGAN 3795 Pilat Knob Road Eagon, MN 55122 7nninn• Owner• WATER SERVICE PERMIT PERMIT Np.: bATE: No. of Units: Arlrl.occ• ite Address: _ lumber; Meter No.: Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: I dgree to complp with the City of Eagon Surcharge: Ordinanoes, Misc. Charges: Totol: By Date Paid: - Insp C:: Y pF EAGAN SEWER SERVICE PERMIT 8795 Pilot Knob Road PERMIT NO.: Eogan, MN 55722 DATE: Zoning: No. of Units: Owner: Address: - Site Address: `- - --- sE,., d ? ?a ? ' ??a7< a2 r. Plumber: CIYY OF EAGAN SEWER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: ' Eogon, MN 55122 DATE: ; Zaning: No. of Units: - .- Owner: _ ?- - -- A JJ..?- Site Address: Plumber. I agree to eemply with the City of Eagan Ordinanoes. Connection Chorge: _ Account Deposit: Permit Fee: $urcharge: 1 agree fo aompty wit6 Fhe City of Eagon Otdinanees. By 1,;O.Ob Connaction Chorge: , L,:?C3 -.??- Account Deposit: _ Permit Fee: 5urcharge: -- - Misc. Charges: By Misc. Chorges: Date of InsP•= Total: - Date of Insp.: --- Total: Insp.: - Date Poid: Insp.: - Dote Paid: - RESIiJENtIAL BUILDING PERMIT APPLICATION, CITY OF EACAN 3830 PILOT KNOB RD - 55122 651•681•4875 Naw ConsWCtion Reauiremenh RemodellReoalr Reauirements • 3 regislered site surveys showing sq. fl. of lat, sq. fl. of house; anM all roofed areas • 2 copies of plan (20% mau'unum lat coverage allowed) . 1 set of Energy Calculalions far heated additions • 2 copies of plan shovring beam & windmv sizes; poured fouiM desigin, etc ) . 1 site survey for exterior additions & decks • 1 set af Energy CalculaGons . Indicate if home served by septic system for addihons • 3 caples af Tree preservation Plan if IM platted after 711193 • Run Joist Detail Optlons selection sheet (61dgs wilh 3 or less unBs) DATE c?y•PiDC'?•Oa VALUATION S,ORq / JOB SITE ADDRESS I(0006 IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER IOUQ?AD TYPE OF WORKhQia.Ca uinr,80? FIREPLACE(S) _ 0_ 1_ 2 APPLICANT ?,M- Q(1vri?1??1PHONE# ??• `?1 ?'gSo? ADDRESS ?ic?N•CS?9n?n ?.??CfJCiG..'?'f?Lwc?.S?T?'R}Ip11?G? ? ZIPCODE 303351 PAGER # Phone # NEW RESIDENTIAL BUILDING ONLY - FILL OUT CO'MPLETELY Energy Code Category MINNESOTA RULES 7670 CATEGORY 1 !7? (check one) - Residential Ventilation Category t Worksheet Sub UOt - Energy Envelope Calculations Submitted MINNFSOTA RULES 7672 - New Energy Code Worksheet Submitted '? ? Plumbing Contractor: _ Plumhing System Includes: Mechanical Contractor. Mechanical System Includes: Sewer/Water Contractor: FAX # Fee: $90.00 Fee: $70.00 Phone # All a6ove information must be submitted prior to processing ot application. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Or i ances. Signature of Appifcant rV4 &Mao," PHONE _ Water Softener _ _ Water Heater _ No. of Baths Phone #: Iawn Spiinkler No. of R.I. Baths _ Air Condilioning Heat Recovery Systcm Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 2002 JUN-07-2001 15:43 FRON-RMA HONE DEPOT AHS ` `7635428227 T-928 P.001/001 T.IMITEL? PO'WEI2 OF ATTORNEY courrrYoF STATE OF MINNESOTA KNOW ALL PEOPLE BY THESE PRESENTS: F-768 TTTAT I, Todd baniel Lewis, a resident of KArI.?CY County, M'uuiesota ("Principa!"), and a licensed conhactor of RMA Home Services, Inc., DBA Home Depot InstaIled Sales located at 646 Mendelssohn Avenue North, Golden Valley, MN 55427, having a ficense num6er of BC- 20268257, do hereby appoint, name and conscitute Elder-Iones Building Permic Service, Ina ("Agen2") u my aue and (awful attorney-in-fact and do authorize and grant said attorney-in-fact for me and in my name, place and stead the power to execuce, acknowledge, sigri and detiver (in such farm as may he required by the municipality) a permit application, or any orher insmunent(s) wttich may be necessary and appropriate, in order to obtain the pmper permit(s) from the Ciry of Eagan, Minnesota for the installation, maintenance and repair of windows and siding (the "Work"). Tha powers conveyed to the Agent by this Limited Power of A[torney are limited solely to the express powers delineated herein and apply solely to the Work. This Limired Power of Attomey shail expire and automaticalty be revoked on the (L day of1\,h_, 2002, which dace is one year from the execution hereof. Funher, the powers conveyed by this Limited Power of Aaorney may be revoked by Principal at any time by express revocation and shall also be revoked by the Principai's death, disability, incapacicy or incompetence. IN WITNESS WFiEREOF rhis Limited Power of Attomey is executed this L'= day of 2001. ) -Zl Todd Daniel Lewis ChWORN TO AND S[IBSCRIBED BEFORE ME by Todd Daniel Lewis on this day of h?o . 20.(4_. . •NNrwMnr `P7e 19ublic in fo e Stace of Minaeso BURTON T. BROwN I NpTApY PUBUG•fA1NNESOTA My Commission Expires: W??"??"•? . * 796816A Recelved Tlme Juo• 7• 2'56PM C. R. WINDEN 6 ASSOCIATES, INC. IAND SURVEYORS Tol 645'3648 O 1391 EUSTIS ST., ST. PAUI, MINN, 55100 For: U. S. Nome CorPoration "-4 / Scale : 1" = 50' L-L.I z Q ? z ? ti ? ? ? O V n 0 3 n ? ? ? bis dote Johnny Cake Ridge cond Addi1'ion hQS nOf been recorde d. Lots 1 thru 4 inclusive, Block 10 Johnny Cake R;dye Second Addition, Dakota County, Minnesola. (Part of the W%z of the NW * of Sec. 33, r27, R?3 ? M'E MERE6Y CERTIFY THAT TNIS IS A iRUE AND CORRECT REPRfSENTATION OF A SURVEY Of TME 60UNDARiES Of iHE twND AlOVE DfSCR16E0 AND OF THE IOCATiON Of Alt WItDINGS, If ANY TMEREON, AND ALL V1516LE ENCROACHMENTS, IF ANY, fROM OR ON SAID IAND. Ootad rhi. J5th doy oF OCt A.D. 1979 C- R. W DEN 6 ASSOCIATES, INC. Sur.Wor. Minnowta Rayixntioe Ne ?772 ? ' Privnte Drireway PERMIT CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P.I.N.a 19-39801-010-01 PERMIT TYPE: Permit Number. Date Issued: 1680 COVING70N LANE. LQTt 10 BLOCK: 1 JOMNNY CAKE RIp6E 2ND BUILDING 032807 08/07/98 DESCRIPTION: B?01 ld inq,;F'ermit Type l?ua,ldi.ng,'w`b,rk Type E_!1 8' Lt 6='C.6d?$ ?- ?? - ? , °-, ?. , , ,? .ic ' f?r?:,rro ? w DECK ADDI7ION 434 ALT. RESTpENTTAL 8!? T? ,.e.? ,¢im, ?` i°j -`-:.? s?° 5 Y4xA? 6p:° #`R ii§ %I?e'rv: "mea: REMARKS: PLAN REVIEWED BY JOE VOELS. i? FEE SUMMARY: Base Fee $50.00 Surcharge _ --rv?60 Total Fee $50.50 CONTRACTOR: - Flpplicant - s7. L zc. OWNER: SUNDANCE CQNST INC 15377564 0005670 NICOLAY DOUB 6122 42N11 FVVE N 16$0 COVINGTON LANE CRYSTAL MN 55427 EAGAN MN 55122 ,f12) 537-7564 (651)681-0360 Z h4re:t6y acittiowTe-d'ga that_ S have read::th3.s ap{alicat'rt?n= &nxf 'siaC?:- ?ha,t ;?h?e` ' s.: ? ,, , t? , ;-=ar??ar?tiata,an.a;s.:.c,orreat and agrem: td ia'atnp:ly,?aa?'Ch a1=1,;,appia??'s?b2`e ?f tp:t a?d_;Gs?y :o?F E?gan _GirdinanceB,;: APPLICANT/PERMITEE SIGNATURE ISSUED BY: SIGNA URT E\ 1998 BUILDING PERMIT APPLICATION (RE3IDENTIAL) CITY OF EAQAN ' 3830 PII.OT KNOB RD • 55122 ? ?) -)- '?-U '_7 681-4675 It New Construction Reawrements RamodaUReoair Reauirements g- v ? 3 registerad site surveys ? 2 copies of plan ? 2 copies of plans (inUUde beam & window sizes; poured fid. Aesign; etc.) ? 2 site surveys (exterior add'Rions 8 decks) • 1 energy celalations ? 7 energy calculations tor heatad additians ? 3 wpies of tree preservation plan fi lat platted after 717193 required: _ Yes _ No DATE: ___? - 2-:?d - T?? CONSTRUCTION GOST; -5? G DESCRIPTION OF WORK: i? Ck.t'%w ?. I Ux I? G?l Pc{C ?, ? I C X' ??;? [? ?eQ'ct'?C STREETADDRESS: 1 (?Ci?G LOT: BLOCK: ? SUBD./P.I. D. #: Name: Phone #: G c5 I? G3 6 C PROPERTY 1-ast First OWNER ` Saeet Address: CG , k ?yC_ ?-- ?--'-? City State: Zip: ss? Z Z Company: '5v L-&Cc {nCQ Cd Vr?>'1- ? V.C Phone S 3 7--766q CONTRACTOR /?Z? j I Z? i,??'? „? 3-'3 I- 1 ? / Street Address: L9 °? P?I ' License # 5? 7C% ? city Stace: lM ? ARCHITECT/ ENGINEER Company: Phone #: Name: Street City Sewer & water licensed plumber (new construction ony): and lot change is requested once pertnit is issued. Zip: S5-`-I z Zip: Penalty applies when address chang i hereby acknowledge that I have read this applica6on and sTate that the informaGon is correct and agree to comply with all applicabl State of Minnesota Statutes and Ciry of Eagan Ordinances. , Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes - No Statc: Registration #: Tree Preservation Plan Received - Yes - No - Not Required Fli 6198 :5:09 FROM FMDfIC 984-3888 TO 95319698 PqGE.061 August 5, 1998 City oE Eagan RE: Su4lding Paxmir-6ack Johnny Cake Ri.dge e+.saocfation has approved the addition of a deck at the addreas of 1686 CovingtoA 3n oui town.house complex. if you have additional q0estions I can be reachad at (v) 984-3234 or (h) 452-6782. Re ardc, oau C. Lisebarger President SOESN?1Sf WE RIDGE ASSOCIATION ** TOTRL PRCE.001 ** 1999.BUILDING PERMIT APPLICATION (RESIDENTIAL) . ' ' CITY OF EAGAN ? 3830 PILOT KNOB RD - 55122 -),[-D 651-681-4675 New Conshucffon Reaulremenis ? 3 registered sife surveys showing sq. N. W lat aq. fl. of house and all rocfed areas (207 maximum lot coveraae altowed) D 2 coples of plans (show beam & w(ndow s(zes; poured fnd. design; etc.) ? 1 sef o1 energy cakulatlons D 3 copfes of fiee preservaf(on plan M lot platted after 7/1/93 DATE: DESCRIPTION OF WORK: STREET ADDRESS: -404 t? LOT: BLOCK: SUBD./P.I.D. #: PROPERTY dast owNeR Street Address: City Fint Stafe: 55O?- Zip: Company: )?SG vI rX L "??I l.3 Phone #: S 1 y3 )^?? J ? (area code) CONTRACTOR ,,/_ StreetAddress: License# `?0171S1?Exp. 7/eldZSp r - ?- City r%c S State: lr? Zip: SSh,'2 3 ARCHITECT/ ENGINEER Company: Name: Telephone #: area code ( ) Street City i . Sewer 8 water Iicensed plumber (reauired for new construction onlv): Remodel/Reoair Reautrements`O ? `` 2 copies ot plan i set of energy ealculaliom lor heated addiNons i sBe survey for exterlor addRtona 6 decks CONSTRUCTION COST: 1lo So> (f3 State: 4 PenaNy applies when address change and lot ehange is requested once permff Is Issued. Zip: OFFICE USE ONLY Phone #: I hereby acknowledge fhaf I have read thls appllcaflon, state that ihe tnformation it cortect, d ogree to compiy wNh all applicabl State of Minnesota Sfatutes and Cify of Eagan Ordinances. Signoture of Applieant: Registrotio,n #: Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received - Yes _ No _ Not Required JOHNNY CAKE RIDGE 2ND 39801 PERMIT DATE & TYPE LOT BL ADDRESS 11/79 O10 Ol 1680/ COVINGTON LN (4-PLEX) 020 01 1684/ 030 01 1692/ 040 01 1688 121/79 010 02 4697/ RIDGE CLIFFE DR (4-PLEX) 020 02 4699 030 02 1693/ COVINGTON LN 040 02 1689 12/79 010 03 4687/ RIDGE CLIFFE DR (4-PLEX) 020 03 4689/ 030 03 4693/ 040 03 4691 12/79 010 04 4677/ RIDGE CLIFFE DR (4-PLEX) 020 04 4679/ 030 04 4683/ 040 04 4681 12l79 010 OS 4667/ RIDGE CLIFFE DR (4-PLEX) 020 OS 4669/ 030 OS 4673/ 040 OS 4671 12/79 010 06 4657/ RIDGE CLIFFE DR (4-PLE.k) 020 06 4659/ 030 06 4663/ 040 06 4661 12/79 010 07 4676/ RIDGE CLIFFE DR (4PLEX) 020 07 4678/ 030 07 4684/ 040 07 4680 12/79 010 08 4664/ RIDGE CLIFFE DR (4-PLEX) 020 08 4666/ 030 08 4670/ 040 OS 4668 APPROVED 11/79 PAGE 1 OF 2 5 JOHNNY CAKE RIDGE 2ND 39801 APPROVED 11/79 PAGE 2 OF 2 PERMTT DATE & TYPE 12/79 t2179 12/79 LOT BL 010 09 020 09 030 09 040 09 O10 10 020 10 030 10 040 10 010 11 020 11 030 11 040 11 ADDRESS 4656/ RIDGE CLIFFE DR (a-PLex) 4658/ 4662/ 4660 4648/ RIDGE CLIFFE DR (a-rLEX) 4650/ 4654/ ' 4652 4653% PBNKWE WAY (a-PLEx) 4655 4646/RIDGE CLIFFE DR 4644 6 CITY USE ONLY PERMIT #: RECEIPT DATE: RU1DENTlAL MECHA1VICAL PEiiMIT APPIICATION crrY oF gnsax 3950 PDAT KNOB RD $A6i4N MN 551 YE 651-01-4875 Please complete for: i single family dwellings townhomes and condos when permits are required for each unit Date: 1 v ? \ d \" SITE ADDRESS: ` \0?? ?0 \j t OWNER NAME: INSTALLER NAME: TELEPHONE #: S ( - LOC91- 03 (o 8 (AREA CODE) TELEPHONE #: (e) 15 (-tj2_2_-?LZ(p (AREA CODE) STREET ADDRESS: `5?-- CITY: STATE: Place a check mark next to the oermit work tvoe W ' ?) ziP:s,SU -o New residential dwelling unit under constructionand not owner/occupied $ 70.00 Add-on, modification or alteration to existin dwelling unit $ 50.00 • furnace replacement • air exchanger , • air conditioner • other Nature of work: ? State Surohar e 50 ? Toal _ '- - $ G V ,1--- Reittiotder: Call for inspections. l.lpdated I,01 v CITY OF EACAN EARLY UTILITY CONNECTION PERMIT ? --- ---- -- -------- - - - -- - ? --- - --- --- - - ---- -- - - --- ??'? - 1680 COVINGTON JOHNNY CAKE RIDGE C.Jf / Address Subdivision/Parcel I hereby request permission from the City of Eagan to connect to the _.___sani[ary sewer and water lateral line in the public right-of-way. I - -- ----- - - - - - - -- - - - -- -understand that"the City has"not yet completed, inspected and/or accepted --- --- the sewer and/or water lateral. I agree not to use, test, or connect these individual services to any interior plumbing and understand the require- ---- --- ----- ment -to cap the sewer service to prevent any unauthorized use. In accepting this permit, it is agreed.that I will hold the City and its agents harmless from any damage that may occur due to this early connection. It is understoad that no Occupancy Permit will be issued or water allowed to be [urned on until the City u[ility system as been declared operational by the City Engineer. Signed by - Plumber: a Owner: Developer• Builder: ? Dated: a- a ( ? \ ? '+'iYi. 2Gq.?y CITY OF EAFAN EARLY UTILITY CONNECTION PERMIT 168$ COVINGTON JOHNNY CAKE RIDGE ?? ?sJ ? Address Subdivision/Parcel I hereby request permission from ihe City of Eagan to connect to the sanitary sewer and water lateral line in the public right-of-way. I understand that the City has not yet completed, 3nspected and/or accepted the sewer and/or water lateral. I agree nor to use, test, or connect these individual services to any interior plumbing and understand the requirr ment [o cap tha sewer service to prevent any unauthorized use. In accepting this permit, it is agreed that I will hold the City and its agents harmless from any damage that may occur due to this early connection. It is understood that no Occupancy Permit will be issued or water allowed to be turned on until [he City utility system has been declared operational by the City Engineer. Signed by - Plumber: Owner: Developer• Builder: J Dated' --?5 - a -57-- c? CITY OF EACAN " EARLY UTILITY CONNECTION PERMIT ---- --- --- --------- --- -- -- ???' - -- -- - --- -- -- 1692 COVINGTON JOHNNY CAKE RIDGE O? _ Address _ Subdivision/Parcel I hereby request permission from [he City of Eagan to connect to the sanitary sewer and water lateral line in the public right-of-way. I_ - - ---- - - - - --- - - - - - - understand that the City has not yet completed, inspected and/or accepted -- the sewer and/or watez lateral. I agree noL- to use, test, or connect these individual sexvices to any interior plumbing and understand [he require- ---- ment to cap the sewer service-ta prevent any unauthorized use. In accepfing this pexmit, i[ is agreed that I will hold the City and its agents harmless from any damage that may occuz due to this early connection. It is understood that no Occupancy Permit will be issued or water allowed to be turned on until the City utility system has been declared operational by the City Engineer. ? - Plumber: Signei Ly Owner: Developer• Builder: Dated: _-z - 3 _,?' -<F?j CITY USE ONLY L / BL ? RECEIPT #:, 38G / ? ? SUB? K?vt?i C,?' DATE: 1995 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 6814675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit New construction Add-on furnace ? Add-on air condftioning F1dd-on air exchanger, i.e. Vanee system, etc. oate: CFPC ? Minimum Fee: Add-on/Remodel (existing residence only) $20.00 HVAC: 0-100 M BTU Additional 50 M BTU Gas Outlets (minimum of 1 required @$3.00 each) State Surcharge TOTAL SITE ADDRI OWNER NA INSTALLER STREET AO CITY: l? k? C?0?/ i??7'o? NI?4 S. STA PHONE #: ( ) ? ?A Ile 24.00 6.00 .50 PHONE #: ?537l0 r'?Y- C? 5? 2004 RESIDENTIAL BUII,DING PERMIT APPLICATION City Of Eagan 3830 Pilot Knoh Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWdion Reauirements RemodeVReoair Reauirements 3 registered sile surveys showing sq. iL of lof, sq. ft. of house; and all rooted areas 2 copies o( plan (20°k macimum lot coverage allowed) 1 set of Energy Calculations for heated addilions 2 copies of plan slwwing beam 8 wiMow sizes; poured found design, etc. 1 site survey for addiUons 8 decks 1 set of Eneqy Calculatiore Adddlon -indicate ilansite septic system 3 copies of Tree Preservation Plan if lot plaped af(er 711/93 Rim Joist Detail Op6ons selection sheet (bldgs wiih 3 or less unifs Date J? / 04 Construction Cost CJ 0 of ? r 6?Q' Site Address IL1 Qj 0 lc-cU ?? Q UniUSte # Description of Work lA kiw "iQcQ p( Q, O kx? Mu16-Family Bidg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner ~fl0 ,?a tQ.D (?Y. C Telephone #(657 1) A) ^ 6:3(a 0 RMA HOME SERVICES, INC. Contractor Home Deopt Installed Sales Address 3200 Cobb Galleria Pkwy.Ste. #200 City State Atlanta, GA 30339 Telephone # ( ) 763-542-8826 BG20268257 - COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Workshee[ (4 submission lype) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan2 _ 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 3tate 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 the case of work which requires a review and approval of plans. Applicant's Printed Name ApplicanYs Signature Installed - Siding and Windows LIMITED POWER OF ATTORNEY UuuN i Y Or c:OsB STATE OF GEORGIA KNOW ALL PEOPLE BY THESE PRESENTS: THAT I, David N. Katz, a resident of Montgomery County, Pennsylvania ("Principal"), and a licensed contractor of RMA Home Serviccs, Inc., DBA Home Depot Installed Sa1es located at 6E0 Mendelssehn Aver_ue North, Gnlde.: Valley, MN T 55427, having a license number of BG 20268257, do hereby appoint, name and constitute Elder-Jones Building Permit Service, Ina ("Agent") as my true and lawful attorney-in-fact and do authorize and grant said attorney-in-fact for me and in my name, place and stead the power to execute, acknowledge, sign and deliver (in such form as may be required by the municipality) a permit application, or any other instrument(s) which may be necessary and appropriate, in order to obtain the proper permit(s) from the City of Eagan, Minnesota for the installation, maintenance and repair of windows and siding (the "Work"). The powers conveyed to the Agent by this Limited Power of Atto:ney are limited solely to the express powers delineated herein and apply solely to the Work. This Limited Power of Attonley shall expire and automatically be revoked on the 21st day of May, 2004, which date is one year from the execution hereof. Further, the powers conveyed by this Limited Power of Attorney may be revoked by Principal at any time by express revocation and shall also be revoked by the Principal's death, disability, incapacity or incompetence. IN WiTNESS WHEREOF this Limited Power of A±torney is ?xecuted this 21 st day of May, 2003 David N. Katz SWORN TO AND SUBSCRIBED BEFORE ME by David N. Katz on this 21st day of May, 200 ` gg3 Cx_t_r. o Notary Pfiaic in for the State o eorgia b4y Commission Espires: January 21, 2006 396816.v3 Proudly sold, furnished and installed by RMA Home Services, Inc., a Home Depot authorized contractor. 3200 Cobb Galleria Parkway, Suite 200 • Atlanta, GA 30339 • Phone (770) 779-1300 • Fax (770) 984-0709 • Toll free (800) 79-DEPOT ------------------ ? ? Permit #? I ? Pertnit Fee: ? ? Date Received: ? j I Slaff: J I I ----------------- 2008 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: SiteAddress: 1G ?D ??3Urnql?? L?4? "- Tenant:l2 ) 5 0 1nilr??fy? ?4Li I699 'h J611 SulteA`: RESIDENT / OWNER Name: ?J? cll?C,- P-101L. `TJy..n %&!?nePhone: Address / City / Zip: Applicant is: _ Owner _ Contractor TYPE OF WORK Descriphon of work: I e?r Grr- '"f 4e_"',4,Vr- Construction CosY lc?,Mulh-Family Building: (Yes ?/ No ? CONTRACTOR Name:/VU?Lt?'e-S? ?JnT/?-?U?'? L-?lC License #: ao? S? ? 7 3 Address: L7-I 6- "! 7 '?,.?--? i r? ??/l- ?/_? 't-- A.'' City:'Y-1dyl jf u?'vvL State: /'1.1-- Zip: J 53// Phone Contact Person: L?e 477 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUIlDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet CBtByOfy Submitted Su6mitted (4 subYnission type) • Energy Envelope Calculations Submitted In the last 72 months, has the Clty 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: NOTE: Plans and supporting doctrments that-you subroit are.sonsideredto be_pubfic rnformation: `Po'rtinns of the intormatfon may be da srtied as nan pa(;liq if you provrde specifiic reasons that would p enmi1 the Cit}fto , s " .;conclude ttiat.the are trade`§ecrets. ?sW ' ° I hereby acknowledge that ihis irNorma[ion is complete and accurate; that Ihe work will be in conformance Hnth the ordinances and codes of the City of Eagan; that I undersland this is nol a permit, but only an application for a permit, and work is not to stan without a pertnR; Ihat ihe work will be in accordance with the approvetl plan in the case of work which requires a review and approval of ps. , f v? c-! ApplicanYs Printed Name Page 1 of 3 ---------------, ? For Office Use I Permit #?E? j I I /.-n Permil Fee: I ? L.IV ?cu I ? Oare Recerved7 I ? I I Stafl: I _ _________ 2008 MECHANICAL PERMIT APPLICATION oate: /tl ' k 7 - 49 Site Address: TenaM: ludJ?,?.f/jq Suiie #: Phone: 9t`l-' ?f1y" ? ? '?1 Name: / iv "/;? -W" q RESIDENT / OWNER *A41_-- 1 C? . Address / City/ Zip: CONTRACTOR Name: License #: Address: City: _d4ir .v1 State: Zip: i _ .. 2y)W,0/? Phone: 7 Q ContactPerson: ? TYPE OF WORK - New _)rReplacement _ Additional _ Alteration _ Demolition Description of work: NOTE: Both rooi mounted and ground mounted mechanical equipment is required to be screened by City Code. PJease contact the Mechanical Inspecior or one of ihe Planners for Information on ermitted screen)n methods. AESIDENTIAL COMMERCIAL PERMIT TYPE Furnace ? - New Construction - Intenor Improvement Install Piping _ Processed Au Conditwner _ EMerior HVAC Unii Gas _ Air Exchanger _ _ ' HVAC units must be screened _ Heat Pump Under / Above ground Tank L Install ! Femove) Other " When installingfremoving tank(s), call for inspection by Rre - Marshal and Piumbin Ins ector RESIDENTIAL PEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fi1'@ I'Bp8if (replace humed out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ TOTALFEE COMMERClAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x 1% $50.50 Minimum (includes State Surcharge) Permit Fee - If Permil Fee is less than $1,000, surcharge is $.50. - If Permil Fee is >$1,000, surcharge increases by $.501or each =$ Stdte SUrcharge I $1,000 Permit Fee (i.e. a$1,001-$2,000 Permit Fee requires a$7.00 surcharge). $ TOTALFEE I hereby acknowledge that Ihis intormation is complete and accurate: that the work will be in contortnance witn tne orainances ana cooes or me Gny or cayen; triat I understand ihis is not a permd, but onty an appination for a permit, and work is not to staA without a permiF, ihat the work will 6e in accordance with the approved plan m Ihe case of work which reqwres a review antl approval oi plans. i? xo121u1 Zr//eI, X ? Applicant's Printed Name Appli anYs Signature FOR OFFlCE USE By: Date: Required Inspections: _Under Ground _ Rough In _Air Test _Gas Service Test _In-floor Heat _Final o?' ?----------------- i i j Permit#:?? ? I I I Permit Fee ? Date Received. I /? I I Staff: 1 ? -----------------I 2008 f2ESIDENTIAL BUILDING PERMIT APPLICATION Date: 5ite Address: Tenant: RESIDENT 1 OWNER TYPE OF WORK CONTRACTOR Name: . ?.2C-), S)\_C-IY Address / City / Zip: _164 Applicant is: _ Owner Description of work: ? C_ Construction Cost T? Nam Addr City: Phor Phone: Suite #: So? Multi-Family Building (Yes No ? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Cateqory 1 Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet ~ . New Energy Code Worksheet Category Submitted Submitted submission type) • Energy Envelope Calculafions Submitted In the last 12 months, has the City of Eagan issued a permit for a similar pian based on a master plan? Yes _No If yes, date and address of masler plan. Licensed Plumber: Mechan3cal Contractor: Sewer & Water Contractor: Phone: Phone: Phone: I hereby acknowledge fhat this mfprmation is complete and accurate, that the work will be in conformance with lhe ordinances and codes oF the Gity of Eagan; that I understand this is not a permit, but only an apphcalion fca a permit, and work is not to stad witbout a permrt; that the work will be in accordanca with the approved plan in the case of work which reqwres a review and approval of plans. /l _ /1 ? z"7 X',,, l<::?:) F7 n /'7?P 9?`? ApplicanPs Printed, Name p)i ant's Signature S-S-11l Page 1 of 3 This request void 18 months &om /.)r Zv 9-7 Date of this Request I, asAlicensed Electrical cal wiriag installed at: Street Address or Route No Section Township_ ZA?? ? 34965 'ontractor ? Owner, do ereby request inspection of the above electri- v;' 'f ?5 / 911 11 1- ? ?(p8K aU INCz'?ts cuy ???? Range County Which is occupied by ?"AA00 rll*%3 (Name of OccuDanq Is a roughin inspection required on this job? No ? YeC$4_ Ready Now ? Will Call,E!?- Power Supplier F-aN Address '?1af?wiN biUr? Electrical Contractor C4??C??? G Contractor's License No. 37-41g (COmpany Name) ?j MailingAddress «?? ?, GI F? /?-/>'. L'C?/?sUILL-? ?( ?ct al Co ?actor or Ownar Making This Installatlon) ?q Authorized Signature ?' Phone No. n?O (Electrlcal Contractor or Owner Making This Installatlon) ?G???? ????? ????n This inspection request will not he accepted by the u u State Baard unless praper inspection fee is ensiased. Minnesota State 8oard of Electricity 1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703 REQUEST FOR ELECTRICAL INSPECTION 34965 CHECK BELOW WOAK COVERED BY THIS REQUEST s iyPe of Building New Add. Rep. Ch¢ck Applisnces Wimd For Check Equipmeat Wired Frn Home ? ? Rnnge Tempoxary Wiring ? Dvplex ? ? Watex Heater Lighting Fixtuces ? ANt. Bldg. ?? ? Dryer ? ElecVic Heating ? Commercial Bldg. ??? Fumace a.. Silo Unloadei ? (ndustrial Bldg, ? ? ? qit Conditioner ? Bulk M8k Yank ? Fazm ? ? ? pLis[ y) List )} Othef ? ? ? Hehelsl Heiersl COMPUTEINSPECTION FEE BELOW Service Entrance Size: # Fee Feedets&SubPeede=s: # Fee C'vcuits: # Fee 0 to 100 Am s. ? 0[0 30 Am eres 0 l0 30 Am eres 101 to 200 Amps. 100 Amperes 31 [0 100 Am xes Above 200 Amps. Transfotmers + 100 Amps. +RemoteCohit olCirc. Above 100 Amps. Pa[tialo rotherfee Sti Signs 1 1 l Inspection Minimum fee Remarks ?q TOTAL F E ?) V ?QO i, tne Electrical lnspector, liereby ce?t'? thav' ?.?tion has bee?? (Rough-in) Date ? (Final)- Date 7-9 This request void 18 months from 9'"??- This request void 18 months from Date of this Request_ I, asrj Licensed Elec, cal %Liring installed at: Street Address or Route No Section Township Which is occupied by i74?a9-/ s 34963 ion of the above electri- ?/ ??O`?9J ?,i)U tNb'v 9!J citr _ gange County Do-" Is a roughin lnspection required on this job? No ? YegC Ready Now ? Will Ca&a ?-M Address ?irv670tJ Power Supplier Electrical Contractor ?e-L(-" ??-67cr'P-r c- Contractor's License No. S/q (COmpanv Nramre) Ma111ngAddtess 91 e e,.,,,,?,,,aTn?slnstauatl ) Authorized or Phone No. ????? This impection request will not be accepted by the (t? lf State Board unless proper inspection fee is enclosed. - - ?? Minnesota State Board of Electricity 1954 University Ave., St. Pau1, Minn. 55104-Phone 645-7703 REQUEST FOR ELECTRICAL INSPECTION ? ? - ? nurwnRK cnVF.RED BY THIS REQUEST .,,,..,. __......ro ? Range Tempoxary W'ving ? Home ? ? Water Hea[ei ? Lighting Fixtures Duplex Bld ? ? ? Dtyei ? Elecuic Heating ? ? g. Apt. Commercial Bldg, ? ? ? Furnace '? Silo Unloadei ? Industrial Bldg. ? ? ? Au Condi[ione? Bulk Milk Tank List Fazm L?? ) Othexsl Otheis? e f He Other ? _ ? ? He?e 1 r 'nUw tTF iNSPECTION FEE BELOW 0 to Abave Remaxks TOTAL F E ? •?- (?I f I, the Electrical Inspector, here6y th ction has been r Date ?' ?J (Rough•in) (Final) ? Date This iequest void 18 months from " This request void 18 months from /76 j7 Date of this Request 1) 2-4 1w s 3 4 9 6 4 I, a05-Ilcensed Electrical Contractor 0 Owner, do hereby re? ?est inspection oj the above electri- cal wiring installed at: /3 Stceet Address or Route No. (zU City6mw Section Township Range County ? -? Which is occupied by Is a roughin inspection required on thic job? No ? YeC5L__I;eady Now ? Will Calt&, PowerSupplier Address MV-h"MN I Electrical Contractor ?`C"` Contractor's License No. (c mpany Name) MailingAddress (E tr I C c[or or Owner Making TM5 Instdllatlon) Q p Authorized Signature Phone No. V Fd ? S? S (Elxtrl<a ontractor or O ner Making ThIS Installitlon) (?? ??,?j ?? ?j ? ????? ???? This inspection request will nat 6e axepted hy the J State Board unless praper inspeetion fee is enclosed. Minnesota State Board vf Electricity 1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703 REQUEST FOR ELECTRICAL INSPECTION CHECK BELOW WORK COVERED BY THIS REOUEST /7G97 S ?QQP1Q 7ype of Building New Add. Rep. Checl; Appliances W'ved Fo: Check Equipmrnt W'nM Frn , Home ? ? Aange Tempoiary Wiring Duplex ? ? Watet Heater Lighting Fixtures ? Apt. Bldg. ? ? ? Dryer ? Electric Heating ? Commercial Bldg. ? ? ? Fumace ?-- Silo Onloader ? Industrial Bldg. ? ? ? Air Conditioner ? 8ulk Milk Tank Q Fazm LpBt ? L is[ Othei ? ? ? HeierS p Hehe15? COMPtITE INSPECTION FEE BELOW Service Entrance Size: # Fce Feedeis&Subteedexs: # Fee Crtcuits: # Fce 0 to 100 Amps. 0 to 30 Am tes 0 to 30 Am eres 101 to 200 Amps. 31 to IOD Amperes 31 to 100 Am eres Above 200 Amps. Above 100 Amps. Above 300 Amps. Transformers RemoteControlCirc. F-T Partialoro[herfee Signs Special Inspection Minimum fee Remazks / r TOTAL I, the Electncal Inspector, hereby (Final) This request void 18 months has 6een m?e?e./. Date %te ?S `0?7 This request void 18 months from / 7G 9 7 Da this Request__ s 3496 ? M icensed Electrical Contractor ? Owner, do herehy request inspection of the a6ove electri- ginstalledat: C0UIN6I0rJ , Street Address or Route No. Section Township Which is occupied by Range County Is a roughin inspection requiied on this job? No ? Ye6K__Ready Now ? Will CallCR?_ PowerSupplier IeIQ Address '` 1i'1'-h 1h1611/+ -> Eiectdcal Contractor ?' ?CJEe.T?1 G Contractor's License No. =' 57-1¢ ?/ (COmpany Name) Mailing Address l ?T ?? ? / F? ?G-(/2- f??s ?L L-C-C' ?( c[ i al C ractor or Owner Making 7h1z Installatlon)pq Authorized Signature ` Phone No. rJ / O lElectrlcal Contlactot oI Ownel Makln9 Thls Installatlon) . (('?j' ?L=d?? ????? ??(??1J This inspection requast will not be accepted by the eJ lJ ?? U State Board unless praper inspeetion fee is enclosed. Minnesota State Board of Electricity ??? P 7 1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703 REQUEST FOR ELECTRICAL INSPECTION HECK BELOW WORK COVERED BY THIS REOUEST S??.? G. `i Y'1 Pl lype or suudfng Ne Add. Rep. Check Appliances Wired Foi Check Fquipment Waed Home ? Range Temporary Wiring ? Duptex ? [] WaterHeafer ? LighltngFixtutes 09 Apt. Bldg. ? '? ? Dryer ? Electric Heating ? Commercial Bldg. ? ? ? Fumace Z_1 Silo Unloader ? Industrial Bldg, ? ? ? q'v Conditione[ ? Bulk Mi1k Tank ? Farm ? ? ? List L lst ) Other ? ? ? p Hehersy p } Aeher$) COMPUTE INSPECTION FEE BELOW Service Enhance 5ize: # Fee Feedess&Subfcedeis: It Fee Cvcuits: # Fee 0 to 100 Am s. 0 to 30 Am res 0 to 30 Am eres 101 to 200 Amps. Above 200 Amps. 31 to 100 Amperes Above 100 Amps. 31 to 100 Am res Above 100 Amps. Trxnsformcrs RemoteContxolCirc. Partialpiotherfee ?- • " Signs Special lns ection Minimum Fce 55.00 Remarks f TOTAL FEE , i ` i ? ' Ya , tne Eiecmcal lnspector, hereby c,c?rXi?that(tf?7?v ,' s c ion has been made"? (Rough-in) ?? ` 49 n '- . Da2e (Fina2) ; ? '5 il Date ? S ? This request void 18 months £rom ` F'.6.. ,•, ?i?i ???'?t ?•-? -? cirr oF EAc,AN 3795 Pitet Kno6 Rood Fngan, MN 55722 N2 5514 PHONEi 4548100 BUILDING PERMIT APPLICATION keceivr # To 6e und for 1 of 4-plex Est.Value 43, 5$0.00 pote 11127 , 19-29- s;ra ,qddress 1680 Covinaton E,ect pfj occuuoncy PD Lor 1 eiock 1 sec/sub. Johnny Cake Rldcer ? zoning R3 Parcel # Znd Repair ? Fire Zone 3 E^iaree ? d-Frame ryPe or Co?sr. Wo W Orrin Nome Thom son Homes p Move p i # Stories 4? ; Address E 2ri C1YC 0 Demolish [I Front zz fr. b r;,,. Edina 5543k,,__ 929-0023 Gmde r] Death 44 k. p Nnme Same i+ppro.u.. Assessmentl1 19 7 Permit Address ~ Ci Water & Sew. Surchorge 22.00 t Phone Police Plan check 62. 75 Ww Nome Fire SAC 525.00 EZ ?? Address Eng. Water Cor?i?0 _ 00 aw Ci Phone Planner WaterMeteA 0.00 Co,,,,c;l Road Unit 75.00 I hereby ocknowledge that I have read this apPlication ond sfate that gldg. Off. the informotion is correct and agree to comply with all applicuble ' APC 1 F 4 0 _ 2 Totol I State of Minnesota Statutes and City nances. ..a, - - Si9nMUre of Permittee ' A Buildirg Permit is issued to: OYYl ThOICI n Homes on the expreu wndittan that all work sholl be done in accordanc /?Jith all appliw le tate ot Minnesoto atutes ond City of Eagnn Ordinances. ? Building Officiol ?r/ 0 r ^- --CITY pF EAGAN ? Include 2 sets of plans, QSS 1 site plan w/elevations & BUILDING PE FPION 1 set of eneryy calculations. 'Ib Be Used Fbr Dare NOV 15 1979 Site Pddress ? Kn (OI/L A??Q y?__ pFFICE USE ONLY I,ot k Eloclc sec./sut. -,MW&&y cAV--- Erect ? Occupancy ? C?\pG? oZNO Alter /(?_1' Parcel #: Zoning Fire Zone _ Owner: Enlarge Type of Const. Wcon - FFti?C 1ve Address: # stories I Y? Danolish Fmnt a2 ft. City/Zip Ca3e: Grade Depth yy ft. Phone #: Contractor: Addr2SS: 5244 EDEN CIRCLE Clty/Zlp COC12: DINA, MINN. 55436 Phone #: q a, q- O O 23 Arch./Ehg.: Address: APPROVAIS FEES Assessments &? Pesnut /aS - ?aater/Sewer Surcharge - police Plan Check /a? ? Fire SAC S glq. Water Conn. 1 Planner Water Meter Ga Council ? Road Unit )S Bldg. Off. APC City/Zip Code: Phone #: TOTAL //70 - ? ? cirir oF EAcnN 9795 Pilot I(ne6 Road Eagen, MN 55122 N! 5516 PHONE: 454-8100 BUILDING PERMIT APPUCATION Receipt .# _ _161 _ re be ueed fer 1 of 4-Plex Ese.vm„R 43,580.00 nm. 11/28 ,0 79 $iM Alress i••vs ?vviiiyi.?+aa Lot Biock 1 Sec/Sub. ?RilrniY`anrl Parcel # w Nome Orrin mhomnson xnme z Address 5244 Eden Circle c; Edina 55436phore 929-0023 ? Name ame ??0 Address ~ CI Phone ? ww Name _ I hereby acknowledge thot I heva read this application and state that the information is correct and agree to wmply with oll applicable Stute of Minnesota Statutee qnd City of Goaon Drdinonces. ? Signoture of Permittee A Building Permit is issued to: - all work shall be done in accordance Buildinq pfficial Erect $J Occupancy rL Alter ? Zonirg R3 Rapoir ? Fire Zorre II I Enlarge ? Type of ConstWOOd Frame Move ? # Stories 1 z Demolish ? Front 22 ft. Grade ? Depth 44 ft. . . . . Approvals _ Fees 1 AssessmentT1 9r/Water 8 Sew. Police Fire Eng. Plonner Council Bldg. Off. APC ?ermit 1 .29 - g0 Surcharge 27 - (1Q Plan check F 2- 75 SAC F-?r+-np Water Conn..27Q.._Q0 Woter Meter 6.(?.nQ Rij LTnit 75 00 Total 1,140.25 _ on the express condition that ond City of Eogon Ordinonces. - CZTY CF EAGAN ?`> t? Include ? of plans, - 1 site plan w/elavations & BUILDING PERMIT APPL I?I 1 set of exerg?'calculations P;1 vM 'Ib Be Used For KES\IfsCE Valuation 4])y.S80,00 Date Nn?1 1 51914 site Aaaress vA/IN /6Q'4 8 o,?j Ltg ,f"or? OFFICE USE ONI,Y Lot 14- slocx ? sec./sub. guhpWj. uake Erxt Occupancy P4 '?l Dc? ? awD Alter Zoni.ng l?'? Parcel #: oomer: Address: City/Zip Code: Phone #: ORRIN THOMPSON I-lOMES Contractor: 5244 EBEN 61R66€ AddTESS: EDINA, MINN. 55436 City/Zip Code: Phone # : ?aq-a e ?-3 Arch./Eng. : Pcidress: City/Zip Code: Phone #: Repair Fire Zone ESnlarge _ Type of Const. Wewc? -FRJtrmE Move # 5tories I yy Dgrolish Fzont ?a ft. Grade Depth yy ft. APPROVPSS FEE S Asse5sme,ts; I ?i9 PermEt )as . t4ater/Sewer Surcharqe VA_ Police Plan Check & ;z Fire SPC ? 2 ?s ? Eng water Conn. a,',O lanner Water Meter (DO? Council RDad Unit Bldg. Off. P.PC - ?t7PAL / / //6 F ? crrr oF ea"N 3795 Pile1 Knob Rmd Eogae, MN 55124 = PHONEs 454-8100 BUILDING PERMIT APPLICATION Receipt .jk Te ba ond for 1 of 4-Plex Est.volue 43,580.00 Data N2 5515 ___J ?_?? 11/28/ 19 79 Sire ndaresg 1688 Covinqton -- t ^ Erect Oaupancy nn 4 ] .T lnr y C dl?e , Lot Block Sec/Sub. - n•?o.p+d-_ Alter ? Zoning R 4 parcel .jk Repoir ? Fire Zone T T T Enlorge ? Type of ConstUinor7-Frama m Nome Orrin ThomASOn HOril25 Move ? .{{? SMries 1h 3 Address 5244 Ed2ri CiY'C12 Demolish ? Front 22 ft. o Edina 5543 ? 929-0023 Ci Grade ? th 4 4 ft De o ne , p p Nome g,?: APProvola Fees ?? q?mn Assessmenr ' ermit 12 . 50 ~ Ci Phone Water & Sew. Surcharge 22 • 00 Gw Police Plun check 62.75 Name ?w Fire 5AC 525.00 ?? Address Z Erg. Water Conn. 27 0.00 aw Ci Phane Planner Woter Meter 60.00 Council d.Uriit 75.00 I hereby ocknowledge tiwt I hove read this appiication end state thot Bldg. Off. the information is correct and agree to wmply with all applicable 1 14 StaM of Minnesota Statutes a City egaK Ordinances. APC , 0.25 Total - Signeture of Permittee A Building Permit is issued to: OY OIri 5 HOItt2 5 _ on the express condition that all work sholl be done in occordonce with plj-ppplis ble e?f-Minn to tutes and Std? City of Eagan Ordinances. Buildirg Offlciol y[(..??/?L?3=, .? CITY OF EAC,AN 5i BUILDING PERMIT APPLI?TION Inclixie 2 sets of plans, 1 site plan w/elevations & 1 set of eneryy calculations. To Be Used For ??.,nEN?E Valuation Lt3,S80•00 Date NOV 1 5 1979 Site Fddress /6fr" 60 d? ng t? ? pFFICE USE ONLY Lot _L? slocx 1 sec./sub.zz?oNntay c.?ke Erect ? occupancy ` Parcel #: .?,,?a` i/r,...+,rr'.,% Y•1AC, 1.E?ilO Alter Zoni.n9 Repair Fire Zone 3 Ormer: Enlarge 7yne of Const. ?j?,,,n - F'R11mE Address: Move # stories Damnlish Front gt a ft. City/Zip Code: Grade Depth -yv ft. Phone #: Contractor: ORRIN THOMPSON HOMES 5244 EDEfJ CIRCLE AddL'255: EDINA. MINN. 554a6 City/Zip Cbde: Pnore #: q?-poa3 Arch./Eng.: Address: APPROVALS FEFS Assessments ? Perntit T+later/Sewer Surcharge Police Plan Check Fire SAC Eng. Water Conn. g? Planner water Meter LD Council Road Unit 7,6- %_ Bldg. Off. APC City/Zip Code: Phone # : TUTAL // V& ? '? cirr oF EAcAN 3795 Pilof Knob Road Fagan, MN 55124 N2 5 517 PHONF: 454-8100 BUILDING PERMIT APPLICATION Receipt Te 6e wed for 1 0£ 4Plex Est, Value 43,580.00 pat@ 11/28 1 q 79 1692 Covin ton Site Address g O nn a Erect X{?] Occupancy pn Lot 3 BI«k 1 Sec/Su6. Rldc?nd Alter ? Zaning RI Purcel # Repair ? ffre Zone T T T Enlarge ? Type of Const. Wood-Frame w N4me OYS7.A Thn n linmes Move ? # Srories lh Z Address 5244 Eden Circle Demolish ? front 22 N. Ci Edina 55436phane 929-0023 Grade p Depth 44 ft. o Same Approvals Feea Neme 5.50 ot Address Assessmen 19 7 Permit l2 V? Ci Phone Water & Sew. Surcharge 22.00 F Police Plun check 62. 75 ww Nome Fire SAC 525.00 ~z 270.00 ?? Addrew Erg. Water Conn. a W Ci Phone Plonner Water Meter 60.00 Council Rd. Unlt 75.00 1 hereby ackrwwledge that I have reod this npplicotion and stote that gldg. Off. the infarmation is correct and agree to comply with all applicable APC Totol 1,140.25 State of Minnesota Statutes ond\Ciry f gan Or inances. Signofure of Permittee A Building Permit is issued to: on ihe express condition thm all work shall be done in accordance wi ppli e S ate f in oto and City of Eagan Ordinances. Building Offidol -? CITY OF FAGAN Include 2 sets of plans, ?/1 site plan w/elevations & BUII,DING PERMIT APPLIgT/IfN 1 set of energy calculations. ?b Be Used For (Z?s?ovaiuation q-5;s80•00 oate NOY 1 5 1979 ,? z_ Site Pddress % ? ? ? wtrr? ?OFFICE USE ONLY Lot ? Block Sec./Sub. ?UjkaN +ce Exect OccuPancS' Parcel #: amo Alter Zoning Repair Fire Zone ? Owner: Enlarge _ 7ype of Const. bJacp- F'pqrvxr, Address: 1"b? # Stories IY? Demolish Fxont ft. City/Zip Code: Grade Depth y</ ft. Phone #: Contractor: ()RRIN rHnn"pSf)N 4-1f1MFS_ Pddt2S5: 5244 EDEN CIRCLE City/Zip Code: Phone #: Arch./Eng.: Address: City/Zip Code: Phone #: ppPRpVAT,S F'EES Assessments Permit faater/Sewer Surcharge a 'q 92 - Police Plan Check ??? Fire _ SAC Eng. Water Conn. ?,? 0 P1anner Water Meter ? Council Unit Bldg. Off. J(-? ? gr-7? APC ' n7fAL ?_ P - - - - - - - * of Permit 1F. _ 7 {i o f E a Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: . I Phone: (651) 675-5675 I t Fax: (651) 675-5694 1 Staff: i t - .J 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: ' /I `~"l 1 <~`~Z fi~1 ~1i 7 L q Tenant: 27?-L- 5V-0 0,01401 .5 Suite RESIDENT t OWNER Name: 014 '("7Imo' hone: Address I City I Zip: Applicant is: Owner X Contractor TYPE OF WORK Description of work" / cm,- Construction Cost: ! 45 Jac Multi-Family Building: (Yes ! No CONTRACTOR Name. A't)^ C --t; CO t'!r?74 1 E,, License # s Cl 1 ~ . Address: 1 g i - X...-* City: ~f4.t State: Zip: Phone: Contact Person: r J l'~°~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Q*ngry Submitted Submitted I syp[y $Wn type) • Energy Envelope Calculations Submitted 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: s and supporting documents that you subm cvnsidefec o be public>r' formation Portions of . `ation maybe classed as non pab1tc rf yov specific reasorls~ the ould permit the City to conclude hatthe. < de secrets., jl I h reby acknowledge that this information is complete and accurate: thp; 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 1K a parmtf, qpd work is no o start without a permit: that the work will be in accordance with the approved plan in the case of work which requires a rew and riWval of pla x of YYt 9 'L % ~ Applicant's Printed Name: nt s signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES ? Foundation ? 05-plex ? 16-plex ? Accessory Building ? Pool ? Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ext. Alt. - Multi ? 01 of Plex ? 07-plex ? Garage ? Porch (4-season) ? Ext. Alt. - SF ? 02-Plex ? 08-plex ? Deck ? Porch (screen/gazebo/pergola) ? Multi Misc. ? 03-Plex ? 10-plex ? Lower Level ? Storm Damage )ff 04-Plex ? 12-plex ? Miscellaneous WORK TYPES ? New ? Interior Improvement Siding ? Demolish Building" ? Addition ? Move Building ? Reroof ? Demolish Interior ? Alteration ? Fire Repair ? Windows ? Demolish Foundation ? Replacement ? Egress Window ? Water Damage Demolition (entire building) - give PCA handout to applicant DESCRIPTION: Valuation Occupancyc - 3 MCES System Plan Review Code Edition nj /I 2©u "j SAC Units (25%100% Zoning Z"3 City Water Census Code L1 3 N Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Const. Width REQUIRED INSPECTIONS Footings (new bldg) Sheetrock Meter Size: - Footings (deck) Final/C.O. Footings (addition) Final/No C.O. Foundation HVAC Drain Tile Other: Roof: -Ice & Water _Final Pool: -Footings `Air/Gas Tests -Final Framing Siding: -Stucco Lath Stone Lath -Brick Fireplace:-R.I. Air Test -Final Windows Insulation Retaining Wall Reviewed By: , Building Inspector - - - - - - - - - - - - - - - - RESIDENTIAL FEES: sc n z. P 1 An izet eL 12, 66 Base Fee Surcharge D: JtT)v1 WAIA 5 PIowh neJ 1 +e.._ ys"Yv= Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies Total Page 2of3 ' ' . C.R. WINDEN & ASSOCIATES, INC. t7 LAND SURVEYORS Tot 645-3646 1381 EUSTIS ST., ST. PAUL, MINN. 53106 For: u. S. Home Corporation Scale . I = 3D' c C: m r=- czni rnm Private Driveway M MC) O J.. Z Ii¢ F Z 12.33 jco.22 22 22 33 441.33 44 3 t Proposed,., Buildin t° c.i 4 a g3 ^n X2.33 a 22 22 22.33" 5? S7 114 Pr;rote Driveway Note : As of this dote Johnny Coke Ridge Second Addition has not been recorded. Lots I thru 4 inclusive, Block I, Johnny Cake Ridge Second Addition, Dakota County, Minnesota. (Port of the W Yz of the NW* of Sec. 33, r2?, R 2 3 WE HERESY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF THE LAND ABOVE DESCRIBED AND OF THE LOCATION OF ALL BUILDINGS. IF ANY, THEREON, AND ALL VISIBLE ENCROACHMENTS, IF ANY, FROM OR ON SAID LAND. Doted this 15 fh day of Oct A.D. Iv79 C. R. w DEN & ASSOCIATES, INC. br , Svr.tyor, Miewowto R.Ristratiat No � � I C�g�--(, � ���' , l c��Z � � tlse�LUE ar BLACK Int� ! ForC�EiceU�ae--------- f � i Permit# ������ j �� ��t� of�a�a� ; : . � o-�.� � � Pe�,���. . 3 � 3830 Pilot Knob Road ; Eaga�MN 55122 j Date Receiv�d: � Phone:(657)675-5675 I i Fax:(651)675-5694 i Staff: I 1 { . : . . . � � . . . . V��.��.� ��� .���.�J. . 2014 RESIDENTIAL BUILDING PERMIT APPLICATIQN , ��� 16 �a �- Ib�� c���� -��-�� Date: �!'"�!� Site Add�ess: Unit#: f� .� r��'�J� Name: ��?�T"/�i�� ���... !t�e��Gt�i C..� Phone: Residentf ownec add�e�s i c�ty i z��:_��'���- �i� aPPiicant is: (3Hmec � Gontractor --.� Type c�f lAfo�ic; Qescriptionofwbrk: ��'''�''' �?�� � �'G" '���` � t�� �" . Cans#ntction Cost: � � Multi-Family'8uilding`(Yes � /Na_,� �� / P1 G- �{ �' Company:[t/C?YZr��5� G vYi�t�r��'�fh�5 '� Contact c/�'f'�'a'/�G�iJ�f% Cantra�tor Address:Q�1.��'l �✓�'ir��` !�� Lr,�-y�z �s c;�y:���'�'�- �!�t,��� G I''� ) State:�Zip: .��`1 Phone:���''���'"D'rEmail:,lrm�$7�1t3v'L��`7'��v�`�d����r� Liaense#: �� ��� � 7� �s�c�-C.�r�-�. t.eaa certificate#:/V.�a.r°,-r»�t'�3 °I if the project is exempt from Jead eertification, piease exptain why: (see Page 3 for additional infermation) C�MPLETE THtS AREA ONtY fF CON�TRUCTiNG A NEW BUILDING � . 4 � . .. �. . . . . . . . . . . . .. . . . . . . . . � . . . �� In the Fast 12 mont , agt `he Cily of Eagan iss�d a permit€or a similar plan based arr a master ptan? .Yes _No !f yes,date and add f master p(an: Ucensed Piumi�r: Phone: Mechanicai Contractor: . Sewer�Water CaM _ Phone: � -�_` /�F!?TE: s and�u#ipo�r�g dacum►enf�tha#ya���6r��t�re consfdered`tc�be p�blic ir�re�m�#��. ���o�s�t' ; mf�rrrt�ation�ray be�/"a�s►�`ie�if�s non prrhiic if�otr�►ravf�►e spec�c rea�oRS that wqufd�it#�i+s�r�jr'#o � - � �������co»cluc�t� � ' � ��� s�iae�ir`ar,�e s�r�ets. � � ;, � � �;. - � -� CAtL B�EORE YOU DIG. Cali Gophet&ta�One Ca11 at(651}454-0002 for prutectian against underground utiiiity damage_ Cai!-48 hours be#o�e you intend ta dig to recefve locate.s of underground uiilities. www:aooherstateonecatl.ofa I'hereby acknowledge that#his infarmation is c�np[ete and accurate;that the wrorlcc wilt be in�onformance with the ordinance.s ar�cx�des of ihe City af Eagan;that 1 understand fhis is not a permit,but oniy an apptication for a peimit, and v+�rk is not to star#with<wt a permit; that the work wil#be in accorclance with the approved plan in the case of wrortc whiet�requireg a reviewr and approvat of ptans. Exterior work autharized by a buiidir�g permlt issued in acc�dance with the Minn�ota&take Id1ng Cade m�t be compieted with9n 180 days of'p�rmit issuance. '�c �� x it/�1�'�? �G ` l? ` ' '`�i � x ApplicanYs Printed Name ^ anYs Sigrtatute ' ; Page i af 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA156413 Date Issued:06/28/2019 Permit Category:ePermit Site Address: 1680 Covington Lane Lot:1 Block: 01 Addition: Johnny Cake Ridge 2nd PID:10-39801-01-010 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Douglas R Nicolay 1680 Covington Lane Eagan MN 55122 Haley Comfort Systems 4320 Hwy 52 N West Frontage Rd Rochester MN 55901 (507) 281-0138 Applicant/Permitee: Signature Issued By: Signature