1689 Covington Lane= CITY OF EAGAN
< 8795 Pilot Knob Roed Eagen, MN 55122 N2 5529
PHONE: 454-8100
BUILDING PERMIT Receipt #
To 6e uted for Est. Volue Date , 19
Site Address Erect ? Occuponcy
Lot Block Sec/Sub. Alter ? Zoniny
Porcel # Repair ? Firo Zone T T
Enlcrge ? Type of Const.
Na?'+e Move ? # 5sories
W
Z Address
Demolish ?
Front ft.
? ", r,dd-7'1?'2
G d ?
De L.
k
oc
2
°u9
?
?
City Phone fO Q Li 1j, '
Nome _ Acarorols Fees
Address
Ncme _
Address
Water & Sew.
Police
Ff re
Eng.
Planner
Council
Permit '
r?
Surcharge --?
r
Plan check
?
SAC
1
Woter Conn.
Wuter Mefer ' ry
. •,1
I hereby acknowledge that I have read this applicution and state that Bldg. Oft.
the informotion is correct ond ogree to comply with all applitable APC Total
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee
A Building Permit is issued to: on the express wnditfon that
oli work sFwll be done in accordonce with oll applicable State of Minnesoto Stotutes and Clty of Eagan Ordinances.
Building Officiol
Pwmi! # peM bwed PNnlftN
Piumbing 4
Mechanical
INSPECTtONS DATE INSP.
Rouph-In
Find
Footings Date Insp. Date Irap.
Foundation Plumbing ?-?
Frume/ins. S-$U Mechanicol
Final
Remarks:
? CITY OF EAGAN
`• 3795 Pilot Knob Rood
Eogan, Minnesota 55122
Phone: 454-8100
-
PERMIT
Date: _ _ 2/25/80
Site Address:
Lot
4697 Ri.dge Cliffe TJrive
2
Block Sub/Sec.
Sohrmy fAake F.dg.2nc
.L. '3
No. -
Receipt No.:
$ingle x
Residential
Multi Res., Comm./Ind. I
Orrir. "'h.ompsn.. r..??
Name New /Alter./ Repair
0 1712 'r±opkir_s,
3 Address Cost of Installation
O '?iTlfie_ ,•T`_'<fl,`T'? yG.l.. '7? i., . "lr`,
City Pho»e: Permit Fee
- ?. ? ; .-•
` Name Surcharge
y
? Address
e
City Phone; Total
This Permit is rssued on rhe express condition thot oll work sholl be done in accordance with oll opplitable Stote of
Minnesota Statutes ond City of Eagon Ordinonces,
Building
C-W-3US`rION AIR RLQUIRID
HE' 4TI?:r'
21120110
Dute:
5ite Address:
CITY OF EAGAN
3795 PRlot Knob Road
Eagae, Minnesoto 55122
P6one: 454-8100
PERMIT
4697 Ridge GZiff D*ive
• '? ?"_n,V (;kkE' -,.njj
Lat Block Sub/5ec.
NO. 1710
Receipt No.: 179544
Single
Residential r
`.LhCIiT)30r T?,(,? ?r•.,
Name New/Alter./Repair. 10 :x 712 Hopkins
3 Address Cost of Instollution
? _.y. ,±•...?:r.
City Phone: Permit Fee 't'• ?
. . ' . rY£: t' . . ' ..
IVame Surcharge
.
Address
o
V . _
City Phone: Totol
This Permit is issued on the express condition that all work shall be done in accordance with oll cpplicable State af
Jv4innesota Statutes und City of Eagan Ordinances.
Building Official
r
,. CITY OF EA"N
3 3795 Pilot Knob Rood Eagon, MN 55122
PHONE: 454-8100
BUILDING PERMIT Receipt #
-" 4-P 1Px 43. E, 0?l
Parcel # -
W Name
? Addre;
Ci
? Name
0
0
U5 Addre;
?
Ciri _
?W I Name
N2 5530
1?/6
Erect [] Occuponcy _
Alter ? Zoning
Repair ? FIre Zone
Enlorye ? Type of Const.
Move ? # Stories
Demolish p Front ft.
Grade ? Depth ft.
Apv?ovala Fees
Assessment '
Water 8 Sew.
Pol ice
Fire
Eng.
Planner
Council
Permit
Surcharge
Plan check
SAC
Woter Conn.
Woter Meter
I hereby acknowledge that I have read this application and state that gld9 Qff.
the informotion is correct and agree to comply with oll opplicable ?PC Total
Stute of Minnesota Statutes and City of Eogan Ordinances. - ,
Signature of Permittee '
A Building Permit is issued to: on the enpress condition thct
oll work shall be done in cccordance with all applicable State of Minnesota Statutes and City of Eagcn Ordinances.
Building Official i
PamM # OaN 1 PnwNtw
Plumbing t&ZA
? Q
Mechanical
INSPECTIONS DATE INSP.
RoupMln
Finol
Footings 42-2-? ? Dote Insp. Date Insp.
Foundotion Plumbing -$p
Frome/ins. -?8p S=?bO Mechanical ?
Finol -.?S a'f
Remarks:
y-
' CITY OF EAGAN
.
3795 Pilot Knob Road
? Eagan, Minnesoto 95122
Phone: 454-8100
PERMIT No.
2/25PC;
Dote: Receipt No.:
r>,.
??? ' . F :: ? ? 1 • $ingle •• I
Site Address:
Residentiol
• mq. i^R?.??
Lot Block 5ub/Sec. Multi Res., Comm./Ind.
?i:'. (iflT; ...
Name New/Alter. /Repair
? ?. i ? YDkiZ1S , +:It
3 Address Cost of Installation
°
City Phone: Permit Fee
'. •-- .?- .
N ame Surcha rge
?
?
? Address
e
o
V
,
City _ Phone: Total
This Permit is issued on the express condition thot oll work shall be done in accordance with al l applicable State of
Minnesota Statutes and City of Eogon Ordinonces.
Building
'r;?`PUUS'"I^td c,TR '1Er:1TnF7P CITY OF EAGAN
? 8795 Pilof ICnob Road
Eagon, Minwssota 55122
Phona: 454-8100
HEATING
1711
PERMIT
No
2/20/80 1705Z
Date: Receipt No.:
4c?';x' "''irY-e Cliffe Ilrive sirgie ,r I
Site Address: Residential
`' Jiu?y.Cake Ridge tnu I
Lot Block Sub/5ec. Multi Res., Comm./Ind.
No^ne New/Alter. / Repoir
. :712 N:opkins ^mssroeo.
3 Address Cost of Instollation
City Phone: Permit Fee
P?Y '721Lni' -- - ?i^
Name Surcharge
.
g Address
e
? _ ?. . , • , •> -
City Phone: Total
This Permit is issued on the express condition thot oll work sholl be done in occordance with oll opplicable State of
Minnesota Stotutes and City ot Eogan Ordinances.
Building Official
?
'
BUILDING PEIUAIT
To ba uwd fer CITY OF EAGAN
3795 Pilot Knob Rood Eogen, MN 55122 N2 5531
PHONE: 454-8100
Receipt #
Est. Value Dcte 19
Site Address ? Erect p Occuponty
Lot Blxk Sec/Sub. Alter ? Zoninp
parcel # Repair ? Fire Zone
Enlarye ? Type of Const.
C Nome
a Move ? # Stories
W
Z Address DemolFsh ? Front ft.
o
Ci 1
Phone -
Grode q
Depth ft.
? Name
0 Approvols Fees
?u Address Assessment Permit
Woter & Sew. Surchorge
~ Ci Phone Police Plon check
Nome
g Fire SAC
Z
I? llddress Eng. Woter Conn.
? W Ci phone Planner Water Meter
Council
I hereby ocknowledge thot I have read this applicotion and state thot Bldg. Off.
the information is correct and agree to comply with all opplicoble ?C Totol
Stote of Minnesota Statutes ond City of Eagon Ordincnces.
Signoture of Permittee
A Building Permit is issued to: on the express rnndition thot
all work shall be done in accordance with all applicoble State of Minnesota Statutes and City of Eagan Qrdinonces.
Building Officiol
Perwk # GeM Iwued hrwlMM
Plumbing
Mechonical
(NSPEGTIpNS DATE INSP.
Rouph-I»
Flnal
Footings
- ) Date Insp. Dote Irnp.
?
Foundation
_
Plumbing
Frome/ins. -,=$v -J%d'D Mechanico
Finnl ?
Remorks:
CITY OF EAGAN
' 3745 Piiof Kno6 Road
? Ecgon, Minnesota 55122
Phone: 454-8100
PERMIT No.
Date:
Receipt No.•
.
Single I
Site Address:
- - ' Residential
Lot Block Su6/Sec
"- Multi Res., Comm./Ind. I
.
Nome
New/Alter
/Re
air
.
p
Address Cost of fnstofration
3
O
City ` Phone: Permit Fee
Name Surcharge -- - -
.
? Address
a
a
City
Phone:
Total
This Permit is issued on the express condition that ofl work shaff be done in accordance with att opp(icable State of
Minnesota Statutes and City of Eagan Ordinances.
Officicl
CITY OF EAGAN
3795 Pilof Knob Road
Eogen, Mienesota 55122
Phone: 454-8100
PERMIT No.
1713
Date: 2f 20/80 Receipt No.: 17954
1643 Single
Site Address: 3m coviI17ta'1 !ATlf' _ Residential Y I
Lot Block 5ub/Sec. -- •`? '""? ?` ?'^'' Multi Res., Comm./Ind. I
Nome 'q"rtn ThomSOri ht"?afeS
Address 1712 Hopkins Croam-cad
hxlzlz?etonka, '-V'?`
City Phone:
?
?
Nnme ` a.'I ?%UteT i't,"
Address 1 ( A7 Clil CQ7O AVB.
New/Alter./Repair neT
Cost of Installation
? ^
Permit Fee . ? ?_ n ? . ' ' 1
I Surthorge City Phone: Total -
This Permit is issued on the express condition thot all work shall be done in accordcnce with cll applicable Sbate of
Minnesota Stotutes and City of Eagon Ordinances.
Building Offlciol
BUILDING PERMIT
5ite Address
Lot Black
Pcrcel #
nd
Receipt #
Date , 19
Erect ? Occuponty
Alter ? Zoning
Repair ? Fire Zone
Enlarge ? Type of Const.
W Name "?rrir. F t`O"i? SOri ?IOT^P? Move ? # Stories
Address Demoltsh ? Front ft.
3° . . Ci Phone Grade ? Depth ft.
W Name Approvala
o .
?? Address Assessment -
? Ci Phone Water & Sew.
Police
?
W{y W N0^?
Fire
I-?? Address Eng.
Q W City_ Phone Planner
- Councii
I hereby acknowledge thct I have recd this application ond state that gldg. Off. _
the information is correct und agrte to compiy with all applicnbie APC
State of Minnesoto Statutes and City of Eagan Ordinonces.
Signature of Permittee
A Building Permit is issued to:
all work shcll be done in accordance with ol
Building Officiol
Fees
Permit _
Surchcrge
Plan check
SAC
Water Conn.
Water Meter
Total
I
on the express condition that
State of Minnesota Statutes and City of Eogan Ordinances.
CITY OF EAGAN
3795 Pik! Knob Road Eagan, MN 55122 N2 5532
PHONE: 454-8100
4 P1E F.t vn,P '.600
.. --
Penntt # Dete iaoed 9OnnNtee
PI umbing
Mechanical
Ele,C.
INSPECTIONS DATE INSp,
Rough-I n
Find
Footings -? Date Inap. Date Insp.
FoundaYion Plumbin
Frome/ins. v'fN ,SS=y/? dy,r.? Mechonica
Final -df
Remorks:
• CITY OF EAGAN
3795 Pilof Knob Rood
' Eagan, Minnesofa 55122
Phone: 454-8100
PERMIT
Dute: 2 /? 5
Site Address: I,F3Z1@
Lot Block Sub/Sea
Name " -sn ?iflIIR?SC?:1 uOreB
e Address
3
O
City Phone:
r
Name
?
'g
r°Address
e
0
tl ..
City Phone:
This Permit is issued on the express condition that oll work shall be
Minnesota Stotutes and City of Eogan Ordinonces.
No. ' ' I `? T=
Receipt No.:
Single
Residentiol
Multi Res., Comm./Ind. I
New/Alter./Repair
Cost of Installation
Permit Fee Surchorge
Tota I
done in accordonce with cll opplicuble State of
Building Official
I r ?
, t;('1!.BIISTIUN AI.?
ri::ATI;J?
Dote:
Site Address:
Lo
cirY oF ?r?GAN
3795 Pilot Kwob Road
Eoyae, Minnesota 55122
P6one: 454-8100
PERMIT
No. ?"71'
17? 5,
;-,-,,:. . 'ake ?.7.:?Re
t Block ?. Sub/Sec.
,.,.?
.:1Q:'79Ci-i ilm$S
Nome
C1'1?63TOpR
Address
`-i?X&SEW 'f.I'I1Ct.,.>_l.'m, I'ri
City Phone:
Receipt No.:
Single I
Residential ?
Multi Res., Comm./Ind. I
New /Alter./ Repair
Cost of Installat7on
Permit Fee ? . - k- f ? t c?" . ' 1?
` Name Surchorge
? Address • 1
City Phone: Totol This Permit is issued on the express condition that all work shall be done in ntcordance with all applicable Staie of
Minnesota Stotutes ond City of Eagan Ordinances.
Buildirq Official
MECHANICAL PERMIT DATE: 1/23/99
?i RECEIPT: 101126
?SITE ADDRESS 4697 RIDGECL.IFFR DRrvE Unit # Permit # 12756
L ? B 2 SeCtJSub. JOHNNY CAKE RTDGF 2ND
wvnLr.tcb bV UlriJ1Ut L1t A1'1N[i AU 4.i -/U ('HANGF-QNT
INSPECTION INSPECTOR DATE COMMENTS
r II! 1 C ? ? ?
PERMI7 #
MECHANICAL PERMIT
RECEIPT # i
?
CITY OF EAGAN DATE
3830 PILaT KNOB qOAD, EAGAN, MN 55122
CONTRACT PRICE: PHONE: 454-8100 For Office Use Only:
Site Address BLDG. TYPE WORK DESCRIPTI ON
Lot Block - Sec/Sub
Res. Mew
Mult Add-on
Name
m
Z
Address Comm. Repair
c City Phone Other
f ?
Name E
HVAC 0-100 M BTU?
RES
-$24
00 ?
. .
? Address ADDt"fIONAL SQ M 8TU - 6.00 '
p City Phone - (RES. HVAC INCLUDES A/C ON NEW ?
CQNSTRUCTION)
MINIMUM
1 PER PERMIn
GAS OUTLE7S - 1
50 EA
-
( .
.
TYPE OF WOFiK
EE
CONTRACT
Tn
?E -?
? Forced Air M BTU AP
BLDGS
CUMM.
APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES ?
. Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL AQD-ON &
N
Unit Heater M BTU $ REMODELS
M C
C
A
FEE - 12.00
Air Cond. M BTU MINIMU
OMMER
I
L - 20.00
STATE SURCHARGE PER PERMIT - .50 •
Vent CFM $ (ADD $.50 SiC IF PERMIT PRICE GOES
Gas Piping Outlets # BEYOND $1,000)
Other
?
FEE:
?.
S/C: SiG E ITTEE
TOTAL: FOR: ITY OF EAGAN
t
No.
Date:
"?97 ?'.i(lEYerliffe I}r.
Site Address:
r -,
Lot ? Block C::"-) ? Sub/Sec. ?
I Nome _
.
3°c Address
O
City
Phone:
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Receipt No.:
Single
Residentiol
Multi Res., Comm./lnd. I
New/Alter./Repoir
Cost of Instollotion
Permit Fee
nek
00
?
.
Nome Surcharge ? /Wdress
City Phone: ? Total
This Permit is issued on rhe express condition thot all work sholl be done in xcordanoe wiTfi all oppllcable State of
Minnesoto 5totufes ond City of Eogon Ordinonces.
CITY OF EAGAN
9795 Pilot Knob Road
Eo9ae, Minnesota 55122
P6onr 454-6100
PERMIT
Building Officiol
,i . PERMIT #
MECHANICAL PERMIT RECEIPT #
qTY OF EAGAN ? -
? 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
Name
? Addre
c City /
Name
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping OuUet,a #
Other
M BTU
M BTU
? M BTU
M BTU
CFM
FEE
S/C:
TOTAL•
BLDG. TYPE WORK DESCRIPTION
Res. " New __ie
Mult Add-on
Comm. Repair
Other
FEES
RES. HVAC 0-100 M BTU - $24.00
ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - 10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1.000.001
,
n?o. >9
CITY OF EAGAN
3795 Pilot Knob Reod
Eogan, Mlnnesoto 55122
Pbone: 454-8100
PERMIT
Date: ^
Site Addreu:
Lot
Name _
.
3 Address _
O
ciry _
1-- °?oft IY t 0-
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Receipt No.:
Single
Residential
New/Alter. / Repoi r
Cost of Instollation
Permit Fee
nevr
5.00
5()
Name .. ` a
Surchorge
r
g Address
e
Ciry ' Phone: Totol
This Permit is issued on the express condition thot oll work sholl be done in accordante with oll opplitable State of
Minnesoto Stotutes ond City of Eagan Ordinonces.
Building Official
1689 Covizgtan
?
Block ? Sub/Sec.
Charles S?ewart
38Lne
o?.,,,.
CITY OF EACAN Remarks
Addition JOIINNY' CAKE RTDGE LQt 4 eik 2 Parcel #Lp 398nl ndn n?
Owner iStreet 1689 Covington Lane State Eag1i1, NIN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 3ay 1975 66.97 4.46 15
* SEWER LATERAL
WATERMAIN
* WATER LATERAL 1981
WATER AREA 41,R L. I9$0 158.81 10.59 1$ 10
13
5/8
-
.
STORM SEW TRK S 1981
* STORM SEW LAT 1981
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit 75.00 16942 16
12
179
WATER CONN. 270OO It .
.
11
BUILDING PER. 99232 t? +r
SAC
PARK ?
CITY OF EAGAN Remarks
Addition J.OH+TATY CAK-E R,UDGE 2nd Lot 3 Blk Z Parcel #10 39801 030 02
Owner Streec 1_693 Covington L.ane State EagS11, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
5AN SEW TRUNK d
* SEWER LATERAL 3"}8
WATERMAIN
* WATER LATERAL
WATER AREA
STORM SEW TRK -j d 2
* STORM SEW LAT 1981
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit 75, 00 16941 12/ 6/ 79
WATER CONN. 270.00 ?r ti
BUILDING PER.
SAC
59500
PARK
CITY OF EAGAN Remarks
Addition3'E RTIIGP 2n.d Lot I Bik 2 Parcel #10 39801 010 02
Owner Street 4697 R e Cl i f. nrivP State Fagani MN 95122
Improvement Date Amount Annuaf Years Payment Receipt Date
STREET SUR F.
STREET RESTOR.
GRADING
SAN SEW TRUNK p 1975 66.97 4.46 15
• SEWER LATERAL 'a 1
WATERMAIN
* WA7ER tATEfiAL 1981
WATER AREA 1 158.87 10,S9
STORM SEW TRK
1981
343.41
* STORM $EW LAT 1981
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit 75.00 16939 12 6 79
WATER CONN. 270.00 it
BUILDING PER,
SAC
?t
n
PARK
CITY OF EAGAN Remarks
2 131k 2 Parcel #10 39801 020 02
dsre Cliffe Drive State Eagan, M 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK pY 1975 66.97 4.46 15
* SEWER LATERAL ya
WATERMAIN
* WATER LATERAL
WATER AREA 10.59 S 148 93
STORM SEW TRK
* STORM SEW LAT 1981
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit 75.00 16940 1216179
WATER CONN. 270.00 'f 11
BUILDING PER, it
SAC
PARK
?
S]
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
,, i t??t nra ??r?4
I 'llflfJ "?r i i' ! i1(iE ;'?F.?
PERMIT SUBTYPE:
I I t , ,1 I Nc. ?:
:CORD
PERMIT TYPE:
Permit Number:
Date Issued:
f+lr ? I li r "f
03 1 `)!3 4
ar_ 1ur. /cai
APPLICANT:
TYPE OF WORK:
f 1ldfi,1
?
Permit No. PermIt Holder Date Telephons N
ELECTRIC
PLUMBING
HVAC Inspectlon Date Insp. Commenta
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS 5VC
TEST
INSUL
GYP BOARD
FlHEPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FlNAL
DECK FTG
DECK FINAL •
c
CITY OF EAGAN
3795 Pilot Knob Rood
Eagan, MN 55122
Zoning:
pwner:
Address:
Site Address:
PI umber:
I ogree to eomply wit6 the City of Eagan
Ordinanees.
By
Date of Insp.:
II C1 T : 7F EAGAN
$795 Pilot Knob Road
F.agen, MN 55122 '
Zoning:
OWner: ?
Address:
•. Site Address:
Plumber: -
,.?
' Meter No.:
Size:
Reader No.:
? I uyree to comply with the City of Eagan
- Ordinanees.
By
Date of Insp.:
SEWER SERVICE PERMIT
PERMIT NO.:
DATE;
No. of Units:
Connection Charge:
Account Deposit:
Permit Fee:
$urcharge:
Misc. Charges:
Tota(:
Date Poid: e
WATER SERVICE PERMIT
PERMIT NO.:,
DATE:
No. of Units:
'! T n'?lr n Tq
Connection Charge:
Account Deposit: _
Permit Fee:
$urchorge:
Misc. Charges:
7otal :
Dote Paid: _
CITY liF EAGAN
3795 pilot Knob Rood
Eagan, MN 55122
Zoning:
Owner:
Address:
$ite Address:
Plumbar.
1 agree W eomply with the City of Eagon
Ordinancea.
Q..
Dote of Insp.:
Connection Charge:
Account Deposit:
Permit Fee:
Surcharge:
Misc. Chorges:
Total:
Date Poid:
WATER SERVICE PERMIT
uT; OF EAGAN
3795 Pilot Knob Road PERMIT NO.:
DATE:
Eogon, MN 55122
Zoning: No. of Units:
ner:
O
w
Address:
Site Address:
Plumber:
Meter No.: Connection Charge:
$12e: Accounfi Deposit:
Reader No.: Permit Fee:
I agree to eomply with the City oF Edgon Surcharge:
Ordinanees. Misc. Charges:
By
Date of Insp.:
SEWER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units:
Total:
Dote Paid:
GiTY OP EAGAN
3795 Pilot Knob Road
Eagon, MN 55122
Zoning:
Owner: -_-
Address:
5ite Address:
Plumber:
I agr¢e to complr with fhe City of Eagan
Ordinonces.
Q..
Date af lnsp.:
Connection Charge:
Account Deposit:
Permlt Fee:
Surcharge:
Misc. Charges:
Totol •
. y
Date Pcld:
CiTY OF EAGAN
3795 Pilc! Knob Rocd WATER SERVICE PERMIT
PERM4T P10.:
M1N 55122
E DATE:
ogon,
aning: No. of Units:
ner:
Zdress:
Address:
t
e
umber:
eter No.: Connection Charge:
j
Ze; Account Deposit:
eader No.: Permit Fee:
agroe to eomply with the City of Eogan Surchorge:
rdinanees. Misc. Charges:
Total:
y Date Paid:
of Ins
:
t Insp
:
p.
e
a .
SEWER SERVICE PERMIT
PERMIT NO.:
?
DATE:
No. of Units:
CITY OF EAGAN SEWER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.:
Eagah, MN 55122 DATE:
Zoning: No. of Units:
Owner:
Address:
Site Address:
PI umber; ?
1 agree to eomply with the CiEy oF Eagan Connection Charge:
Ordi„ances• Account Deposit:
Permit Fee:
Surchurge:
By Misc. Charges:
Date of Insp.: Totol:
Insp.: Dote Paid:
*$CITY OF EAGAiV WATER SERVICE PERMIT
3795 Pilot Knob Itaad PERMIT NO.:
Eogar,, MN 55122 DATE:
Zoning: No, of Units:
Owner;
Address:
Site Address:
Plumber:
Meter No.:
Size:
Reoder No.:
I agree to eomply with the City of Eagan
O?dinaecea.
R?
Date of Insp.:
Connection Charge:
Account Deposit: _
Permit Fee:
5urcharge:
Misc. Chorges; -
Total:
Dote Paid:
INSPECTION RECO
CITY OF EAGAN PERMIT TYPE: :; it i t b 1Nr,
3830 Pilot Knob Road Permit Number: o;l4t;b4ll Eagan, Minnesota 55122-1897 Date Issued: ??, ;.•?. ;??.
(612) 681-4675
SITE ADDRESS: (1801 o' `i "
I ,{i <« t
PERMIT SUBTYPE:
i i ( ) 14 1
F
L
APPLICANT:
TYPE OF WORK:
r4r 11
I t h0Ai
Permk No. Pom?R Noldsr Oats TWWphone s
ELECTRIC
PLUMBING
HVAC
Inapect(on Date Insp. Commenta
FOOTINGS .
FQUND
FRAMINCi
ROOFING
RGH
PWMBING
e/iS6 c
PLBG
AIR TE5T
ROUGH
HEATING
GAS SVC
TEST ? •
I ?tu
INSUL ?
GYP BOARD ? ..
• .
FlREPLACE ?
FIREPLACE
AIR TEST 4
?
FINAL PIBG
FINAL HTG
ORSAT
TEST
BLDG FiNAL
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FlNAL j11h3-
2004 RESIDENTIAL BUII,DING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675=5675 FAX # 651-675-5694
AVa
?Iye"` LI "
/
New Construction Reouirements RemodeVReoair Reauirements -
3 registe2d ske survays showing sq. ft of lot, sq. R. of house; and all roofed areas 2 copies of plan (200/o maximumlotcoverageallowed) lsetofEnergyCalculalionsforheatedadditions 'a
2 mpies of plan showing beam & window sizes; poured found design, etc 1 site survey foradditions & decks
1 set of Energy Calculatlons Add'dion - indkate iforhsBe septic system
3 copies of Tree Preservatan Plan if bt platted atter 711193
Rim Joist Defail Options seledion sheet (bldgs with 3 or less uniLs 7G'Gt? . ? u
Date Construction Cost Nsc)aQ
.??
Site Address
? UnidSte #
Description of Work
Multi-Famil Bld y C.(.f3l,L?s cJ? l l'1 l,Q,lCI .s'? ?'2 U ?t C
3' g Ftireplace(s)
Property Owner ?[ C Telephone # 65f)-{ a0 I `-(
K1V1A riUMh JtK V 1l;Ea, 1NC;.
Contractar Home Depot Installed Sales
Address 3200 Cobb Galleria Pkwy.Ste. 4200 City
State Atlanta, GA 30339
- 763-542-8826 BC-20268257 ip Telephone # ( )
COMPLETE TNIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Energy Code Category - Minnesota Rules 7670 Categorv I _ Minnesota Rules 7672
• Residential Ventllation Category 1 Worksheet . New Energy Code Worksheet
(Jsubmissiontype) ' Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y
fee ppplies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone
Telephone #
N If so, 25% plan review
I hereby apply, for a Residential Building Permit and aclmowledge that the info ' n is complete and a curate;
that the work will be in conformance with the ordinances and codes of the City agan an e 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
pemut; that the work will be in accordance with the approved lan in the case of work which requires a review and
aofplans. ^
l
\
pplicanYs Printed Name ApplicanYs ignature
Installed - -
Siding and Windows
LIMITED. POWER.OF ATTORNEY
c;uuN i Y 0r c;OBB
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 Services, Inc., DBA Home
Aepot Instalied Sales located at 6E0 Mendelssehn Avenue North, Go:uen Va!!ey, D?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 attomey-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 appiication, or any other
instrument(s) which may be necessary arid appropriate, in order to obtain the proper
permit(s) from the City of Eagan, Minnesota for the installarion, maintenance and
repair of windows and siding (the "Work"). -
The powers conveyed to the Agent by this Limited Power of Attcrr.ey are
limited solely to the express powers delineated herein and. app.1_y solely to the Work.
This Limi*ed Power of AttGrney sha11'e%pire atid 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.
1N WI"I"NESS WHEREQF this Limited Power ofAttorney is e:,:ecirted this
21st day of May, 2003
i .
?V 1
1 '
David . Katz
SWORN TO AND SUBSCRIBED BEFORE ME by David N. Katz on this
21 st day of May, 2003.
Notary P ic in for the Statec oMeorgia
My Commission Expires: January 21, 2006
396816.v3 Proudly sold, furnished and installed by RMA Home Services, Ine., 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
rn?
MECHANICAL (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for: Single Family Dweltings
Townhomes and Condos when permits are required for each unit
,ty.5D
Date 4 / LA
Site Address 44 tD4 -7 / C3
-Fl ?G? C j LP-4p- pr'
Unit #
Property Owner +?CLLY- ?1 Telephone # 4fjn -_5414
Contractor Wohlers Southside Htg. & Air, Inc.
Street Address 6950 W. 146' St., #106 I
MN 55124
Apple Valley
State ,
(952) 431-7099 #
The Applicant is _ Owner ? Contractor _ Other
Add-on, modification or alteration to eaisting dwelting unit
? furnace replacement • - -- -
air exchanger !I
airconditioner
-
other
-
? $ 30.00
?
I
-_
State Surcharge $ .50
Total ? ?
I hereby apply for a Residential Mechanical Pemvt and acknowledge that the informaaon is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with ihe Mechanical Codes; that I understand this is not a
pemilt, but only an application for a pem¢t, 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.
-P.N. LL?`ers ", ncn ?r
ApplicanYs Printed Name rX- Applicant's Signature
1
sC. R. WiNDEN 3 ASSOtIATES, INC.
Qyp LANO SURVEYORS T*1, 646•3648
/ v 1381 EUSTIS ST., ST. PAUL, MIWN. 66109
For:
U. S. Home Corporation I
I
- - - ? ?
R/DGE CLlFFE ORIVE ? Scale: 1" = so1
- W I
- --?- - --? ? ?
?
t5
f222 2133
i
; I I
0
Pr??af I
42 z
j ` Drive a?r I
t32Z m N 0 8.6?
? O
C
? I
sa Q
V
1
Note: As of this date Johnny Cake
Ridge Second Addition has not
been recorded.
Lots 1 thru 4 inclusive, Block 2,
Johnny Cake Ridge Second Addition,
Dakota County, Minnesota.
WE MERF9Y CERTIFY THAT THIS IS A FRUE AND CORRECT REPRESENTATION Of A SUfVEY OF TMf
lOUNDARIFS Of THE LAND ABOVE DFSCRI6EC AND Of TNE IOCATlON Of All lUIIDINGS, IF AN1;
iNEREON, ANO ALL VISIBIE ENCROACHMENTS, If ANY, fROM OR ON SAID tAND.
Dafod thi. z7thdey a{ NoV. A.O. 1979 c• R. W NOEN 6 ASSOCIATES, INC.
Sdrr?ypr, Mi11MSOfa l+iyisfrafiM ?b- 7726
32 32
Walk ouf
?
h
23
a
o3
7].33
Sto? ard
32 32
32
PERMIT
(fITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMITTYPE: BuzLozNs
Permit Number: 031954
Date Issued: g 5 i@ 6 J 9 8
SITE ADDRESS:
1689 COVINGTON LANE
L07: 4 BLOCK: 2
.70HNNY CAKE RIp6E 2ND
P.I.N.: 10-39801-040-02
DESCRIPTION:
6uirdintg-,Permit Type
;Building Wo_r_k Type
Gen$us Ctlae =
?.,.,
DECK
NEW
434 ALT. RESIpENTSAL
alr ' ,
a ?Mew_
? `-w`?
°?. ?.
..`.. x. ? ?•.`y%>`
? x ? ??' t -,?'? ?°'" .* ?'?'? ?'` ?..;•:'S e'?.. ? ^a= ?'"..r 3? a^'?
,? j . t x 1 1` r e.! ? z• (' e i
REMARKS:
FEE SUMMARY:
Base Fee $50.00
Surcharge $,59
Total Fee $50.50
CONTRACTOR: _ ppplicant - sT. LIC.OWNER:
SuNDANCE CONST INC 15377564 0005670 ROOT FORRE3T
6922 42ND AVE N 1689 COVINGTON LANE
CRY3TAL MN 55427 EAGAN MN
(612) 537-7564 (612)686-6650
? i I hereby aqknowledge that'I have
inf`rma,tion:is correct`ancl agree'
Statutes and City of Eagan Ordin.
I-_ ?(/t..t?
APPLICANT/PERMITEE SIGNF E
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
/ CITY OF EAGAN
3830 PII.OT KNOB RD - 65122
681-4675
New Construction Reauirements
? 9 registered site suneys
? 2 copies af plans (indude beam 8 window s@es; poured fitl. tlesign; etc.)
? 7 energy calculations
? 3 copies M tree preservation plan if lot platted after 717193
required: _ Yes _ No
DATE: f`I- 6-4Ry
RemodellReoair Reauirements
? 2 cropias of plan
? 2 site suneys (exterior addRions 6 decks)
? 1 energy calculations for heated add'Aions
CONSIRUCTION COST; 3 oOa -a v
DESCRIPTION OF WORK: reti.nev,P I oxlDCQeck ?,j??,kck 1nXZI
STREET ADDRESS: l 0'y? Cov,,?-?', JVov.
LOT: ? BLOCK: SUBD./P.I.D. #: 4P/?tmmc U1ia, kjGl? .ifil
V Name: ?OCA- fz-C)Vr? Phone #: 160b 6'C94S U
PROPER7Y t,acc F'vsi
OWNER /??
Street Address: 10OGq 1 L.O V%!!5kIP,
City State: n'IN Zip:
Company: 5 V v-. kce CC:?V3 t. ,Lv<-- Phone #: 5 7J -7- 7S444
CONTRA,CTOR I '
Street Address: [q? Z?t y Z? Av e/v License # 5(6-70
City cv-?/F76, State: YM tJ Zip: SSq Z Z
ARCHITECT/
ENGINEER
Sewer 8 water licensed plumber (new construction only):
and bt change is requested once permit is issued.
Penally applies when address chang
I hereby acknowledge that I have read this application and sTate that the infortnation is correct and agree to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances. I
Signatu2 of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received - Yes - No - Not Required
City State: Zip:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-piex
? 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 = plex
WORK TYPE
,P/'31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowa6le)
UBC Occupancy
Zoning
# of Stories
Length
Depth
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
? 11 Apt.lLodging ?
? 12 Multi RepaiNRem. ?
? 13 Garage/Accessory ?
? 14 Fireplace ?
fY15 Deck
? 36 Move
? 37 Demolition
APPROVALS
Planning
Building
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
MC/WS System 1?1-
City Water /
Fire Sprinkiered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg /
Census Unit O
M13 Engineering Variance
Valuation: $"
}? f
Permit Fee
5urcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Traifs Ded.
Other
Copies
Total:
% SAC
SAC Units
,. PERMIT cRttzzA
? CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 025664
(612) 681-4675 Date Issued: 0 5 J 2 5/ 9 5
SITE ADDRESS:
4697 RIDGE CLIPFE DR
LOT: 1 BLOCK: 2
JOHNNY CAKE RIDGE 2ND
P.I.N.: 10-39801-010-02
DESCRIPTION:
Bui,2ding`??$,ermit Type ? DECK
u3lding Wo'r-k_ Type NEW
?
i
?? ? -> • ???
y ?
REMARKS:
FEE SUMMARY:
Base Fee $30.00 COPY
Surcharge $.50 Total Fee
Subtotal $30.50
$31.00
CONTRACTOR: - Applicant - ST. LzC. OWNER:
DAHM CONST C4 INC, K W 14570113 0002536 HURLY JACK
2217 ROGERS CT 4697 RIDGE CLIFFE C]R
MENDOTA HTS MN 55120 EA6AN MN 55123
(612) 457-0113 (612)686-7790
, T here6y ackn.awledge th-at I have read thas
information 's correct and agree to comp2y
L Statutes a ity af gan Ordinances.
A LICA T/ ITEE SIGN?E
application and state that the
with all applicable State of Mn.
j??:r?(1)]7?.?-
ISSUED B : SIG URE
1995
? 3 mgistered aite surveys
? 2 copies of plans (inGude beam & window stzes; poured fitl. design; ete.)
? 1 energy cakulaUons
? 3 copies of tree preaervatien plan N lot plalted after 711193
required: _ Yes _ No
DATE:
DESCRIPTIO OF WORY
STREET ADDRESS: '
LOT I BLOCK ` SUBD.lP.I.D. #: l* 1-nC4,
PROPERTY Name: K- lY? ?? Phone #: -22?
//? ?
OWNER /147
Name: Registration #CITY OF EAGAN
Street Address• ?6 i0"e ?l
City: Z?An.J State: .41A,,, Zip:
CONTRACTOR Company: f?/Jh, 60tis7? Phone #:
Street Address: oZ?/' ogirts 67 License #-
City : e'//,+.?'N,r.U/10 444FF State: Zip•
ARCHITECT! Company: Phone #•
ENGINEER
3830 PILOT KNOB RD - 55122
BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
? 2 copies oi plan
? 2 aite surveys (erterior additions 8 dedcs)
? 1 energy ealwWtions for Aeated add'Rions
Street Address-
Ciry:
State:
Zip:
Sewer & water licensed plumber: Penalty appiies when address change and lot
change are requested once pertnit is issued.
I hereby acknawledge that I have read this application and state that the information ',e?rfe?d ?r¢e to comply with all
appliqble State of Minnesota Statutes and City of Eagan Ordinances. , ??' /
Signature of Applicant
OFFICE USE ONLY ? C? C? ? G VU L? L?
Certificates of Survey Received _ Yes _ No I?AY L221995
---?--------
Tree Preservation Plan Received Yes No
% adv, 0v
CONSTRUCTION COST:
1 NC.
IAND SURVEYORS Tol 945•3846
1381 EUSTIS SL, ST. PAUL, MINN. 8610!
For:
U. S. Home Corporation
I
- - - - ___J
RIDGE CLIFFE DRIVE
?
3
i
i
4
N
?
?
0.
? -f-- --?
a
?. ,
h
7z
out
22.33 2233
n ?
^
m m
V1 ?' P
0.6) a ? Q67
h ? ?t
23 23
h
N
m GI N
n p
0.67 Q q Ob7
2 a 43 ? h
N R
ry
a a
Z 3 ]2.3
3
51en erd
sz 32
W
Z
e
?
1
O
?
?
?
>
64
Privai
- 42 ---
Drive
Note: As of this date Johnny Cake
Ridge Second Addition has not
been recorded.
V
Lots 1 thru 4 inclusive, Block 2,
Johnny Cake Ridge Second Addition,
Dakota County, Minnesota.
?
Scale: 1" = 50'
WE MERElY CERTIfV THAT TMIS IS A TRUE AND CORRECT RE?RESENTATION Of A SURVEY Oi TME
lOUNDARIES OF TME IAND AEOVE OESC11I6ED AND OF THE IOCATION OF All WILOINGS, If AN1;
TMEREON, ANO ALL V151l1E ENCROACMMENTS. IF ANY, /ROM OR ON SAID lANO.
Deted ehi? 271dar .i NoY. A.D. 1979 C. R. W MOEN & ASSOCIATES. INC.
Sen?yw. Minn?w?e R?/iN??i?w Me. 7726
YA5/2311995 18_57 16126887939 KAT{LEFN EMaLp,say PAGF 61
?
imwcwm=nuoarm
SM RWAY dlAf
tlpRN FlIIrwwBf #1f0i7
4.
? r
ya97 ?- ?
?-
c&A
??.
??-
f,?(?,.
f.ff -ct"Al
500@ HR 38VD TVNIdS L8t0 LCY ST9 YY3 W60 98/4Z/90
CLAIM VOUCHER - REFUND REQUEST
CITY OF EAGAN
MAKE CNECK PAYABLE TO : p!tEFEUUED HEnTirrG s nru
ADDRESS : 7643 LoGax aVE S
RICH .LD MN 55423
LOCATION
RECEIPT # / DATE
REASON FOR REFUND
TYPE OF REFUND
=L2. B2 TOHN C . R D . ND ,
4699 RTn .UIFFF. DR
7/12/96 - 60946
DUPLICATE PERMIT - ORIGINAL PERMIT ISSUED 6/26/96
ELECTRICAL PERMIT/f
PLUMBING PERMIT
MECHANICAL PERMIT
SURCHARGE
WATER CONNECTION PERMIT
SEWEA CONNECTION PERMIT
ACCOUNT DEPOSIT
3211-9001 $
3212-9001 $
3213-9001 $ 20.00
2155-9001 $
3713-9220 $
3743-9220 $
2252-9220 $
UTILITYACCT OVEA-PAYMENT 2250-9220 $
CURB BOX DEPOSIT REFUND 2253-9220 $
CONSTRUCTION METER DEP REFUND 2254-9220 $
WATEAUSAGECHARGE 3711-9220 $
OTHEA: g
3
S
TOTAL g 20.00
I deciare under the penalties of law that this account, claim or demand is just and
that no part of it has been paid.
OCTOBE?t I, 1946
SignaiMe Date
%G-% 9L/-
Qk_
L BL
SUBD.
CITY USE ONLY
RECEIPT #:
DATE:
1996 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55722
(612) 681-4675
Please complete for: ?
New construetion
.
f dwellings
and condos when permits are required for each unit
Add-on furnace
air exchanger, i.e. Vanee system, etc.
.
.
n FEES
Minimum Fee: Ad -on/Re oAdiequired sti g Ince only) $ 20.00
HVAC: 0-100 BTU ? 24.00
Additio aI 50 BTU 6.00
Gas Outlets (mini um 1 r@$3.00 each)
State Surcharge
TOTAL
.50
?
SITE
OWNER NAME: ? U6 AS<? PHONE #:
i- --- - --- --
INSTALLER NAME: -, preferred heating & air 1
7643 Logan Avenue South ?
STREET ADDRESS: ? Richfieid, MN 55423
Bus:866-7611 Fax:866-0725 ?
'?---- - - -
CITY: ZIP:
PHONE #: ( Le12)
CZTY OF EAGAN
3830 PIIAT RNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-5100
FOR CITY USE ONLY
PERMIT # /?_7S6
RECEIPT # /O a
DATE: / o? r1/
PLEASE COMPLETE DPPER PORTION ONLY FOR SINGLE FAMILY DWELLZNGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION
NEW CONST
AL1D ON
REPAIR
FEES
OWNER NAME:
SITE ADDRESS:
11 LOT:? BLOCK ? SUB . b2j
rn "
INSTALLERc /'? •G
ADDRESS:,?4?5',??/fl1S? ?l-
CITY: ZIP: T-7122!?/
PHONE #:
ADD-ON MINIMUM 5.0
HVAC 0-100 M BTU 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3.00
OF 1 PER PERMIT
-?
SUBTOTAL: $/5'
STATE SURCHARGE: .50
TOTAL:
SIG ATURE OF PERMITTEE
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRZAL BUILDINGS„
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMIT5 ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
-------------
CONTRACT PRFCE:
OWNER NAME:
SITE ADDRESS:
IAT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
FEES
18 OF CONTRACT FEE.
ST.I.T.E STJRCHF°.GE - $.50 FC.°.
EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING = $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $
STATE SURCHARGE $
TOTAL: $
(SIGNATURE)
CITY OF EAGAN
CITY USE ONLY
LOT '41 BL 1- n RECEIPT/??? Y
SUBD??O&L QL)e?c. RECEIPT DATE:
199$ MECHAIVICAL PE{tMIT (fi£SID£NTIAL)
crnf oF e,e?snx
S$SO PILOT KNOS RD
ERfilkN bIN 55122
Date: (612)6$1-4675
Complete this section onlv if you aze installing HVAC in single family, townhomes or condos under
construction and not owner /occupied '
• HVAC: 0-100 M B T U $ 24.00
ADDITIONAL 50 M BTU 6.00
• Gas outlets (minimum of one required @$3.00 ea.)
• State Surchazge: .50
• TOTAL:
Complete this section onlv if you are remodeling, adding to, or repairing existing single family dwellings,
townhomes, or condos. Note: Mechanical permit is not required for alteration/add-on to ductwork in
existing residential units; but is required for the following:
? Install furnace ? Install air conditioning
_ Install air exchanger, i.e. Vanee system, etc. _ Other
Minimum fee applies to all remodel or add-ons of existing residences $ 20.00
State Surchazge
Total: 20.50
SITEADDRESS: ?(?S?J C'?iI/!hq"?Or Lh
v
OWNERNAME: FC3r'-eS"r R00"f- PHONE#: ?DCPSO
INSTALLER NAME: WD J'1 I,fI'S SaS j c{o Yf -}Gj PHONE #: ? I' ? C9/
?
STREET ADDRESS: I+7?a. Pth f'? O C' 4 ftVlf
CITY: LQ_ VOL I?i1.4 STATE: ZIP: S S??
SIGNANRE OF PERMITTEE
JS/FORMS BLD/MECH PERMIT (RES) - 1998
L BL CITY USE ONLY
suso.
RECEIPT #: I ? V3I ?
RECEIPTDATE:
PERMIT# ?V
1999 PLUM$llvfi PEiiM1T (uSID£N'I7A1.)
crrYoF £aetts
3630 PII.oT KNOB ftD
Ewenw,Mrt 55122
(651)6$1-4675
Please complete for: ? single family dwellings
D townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system •
FIXTURES
EACH #
TOTAL
--- -----°- - - --
Bath tu6
? 3.00 _-,
x -
=
$
Floor drain 3.00 x - $
Gas i in outlet ' minimum -1 3.00 x - $
Hot tub/s a 3.00 x - $
Kitchen sink 3.00 x ' $
Laund tra 3.00 x ' $
Lavato 3.00 x - $
Minimum fee aitexations to existin dwellin 30.00 x ' $
Private Dis osal S stem new/refurbished ' re uires MPC iic. 75.00 x = $
Private Dis osal S stem abandonment 30.00 x = $
RPZ new instaliation/re air 30.00 x ' $
Rou h o enin 1.50 . x ' $
Shower 3.00 x - $
Under round s rinkler if dwellin is under construction 3.00 x = $
Under round s rinkler if existin dwellin 30.00 x - $
Water closet 3.00 x - $
Water heater 3.00 x - $ 0.00
Water softener if dwellin wder construcdon 5.00 x - $
Water softener if existin dwetlin 30.00 x - $
Water turnaround 30.00 x ---- _ $
State Surchar e .50 --> ----> ---> $ 50
Tatal --> -> °--> ----' $ 30 • SO
Reminder: Call for inspections ot' alterations, i.e. water heaters, water softeners, etc.
....----- ------------- -----••----------- ----------------------------------------------------
I hereby acknaMedge that I have read this appliption, State that the information is correct, and agree to comply wifh all applicable City of Eagan ordinances.
It is the applicanYs responsibility to notify the property owner that the City ot Eagan assumes no liability for any damages wused by the Ciry during Its
normal operational and mainte_nance-activities So_Vttelacilities.conswcted-under this permit within City property/nght•of-way/easement.
SITE ADDRESS: , RooT, Foaaesr
1689 COVINGTON LANE
OWNER NAME: : EnGnN, MN 55122 TELEPHONE #:
? (651) 686-6650 - (qREA CODE)
INSTALLER NAME - - -- - TELEPHONE #:
NORBLOM PLUMBINOCO,, (AREA CODE)
STREET ADDRESS:
ciTy: 2905 GARFIELD AVE. SO, srATE: . ziP:
5e ?N 55409,
SIG T OF PERMITTEE
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT.
NEW CONSTRUCTION
ADD-ON A/C
AI3D-ON F'EJRNAr'F;
-4Z,- FIREPLACE INSERT
DATE
FEES
HVAC: 0-100 M BTU
ADDTfIONAL 50 M BTU
GAS OUTLETS (MINIMUM I @ $3.00 EACH)
ADD-ON/REMODEL (EXIS'ruNG CONSTRUCI'ION)
STATE SURCHARGE
TOTAL
SITE
OWNER
$ 24.00
6.00
$ 20.00
.50
?
?
y
TELEPHONE #: qc?D ^ 1 ?9 1;;_
ADDRESS: ??? ? • ? l 'f V ?p w `I?-?J
CTI'Y: .ST'ATE: ZIP CODE:
TELEPHONE #: C7 "n - n S?c>
(f)
/-- ? -rs
05 '?)
? ?--?
SIGNATURE OF PERMITTEE '-
1994 MECHANICAL PERMIT (RE5IDENTIAL)
CITY OF EAGAN
3830 PII,OT KNOB RD
EAGAN MN 55122
(612) 681-4675
L? BL ? CITY USE ONLY
RECEIPT #: ? L L ,
?
?
SUB DATELL_P1(* Co
1996 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4676
Please complete for: ? singie family dweilings ? townhomes and condos when permits are required for each unit
New construction Add-on fumace
?
Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc.
?
Date: ? zd? &
EEE$
? Minimum Fee: Add-on/Remodel (existing residence only) $20.00
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required @$3.00 each)
? State Surcharge 50
TOTAL
SITE ADDRESS: -7 lO G/G/ ( 1l r,:
OWNER NAME: PHONE #: L v ' -za
INSTALLER NAME• IP -??L7? 5z5aV , , ... -
CITY: Lup V1 r- I C? STATE: ZIP: Z.
PHONE #:
JIA
?
/5
?6z,
PERMIT #J1_566,, `CYCLED A/C B& L.`?ELEC.T.1?IC, INC.
BEVERLY GUSTAFSON EDWARD LANGE
1689 COVING'fON LANE 9684 RTDGE CLIFFE DRIVE
EAGAN, 17N EAGAN, tiN
ARN B DE JOHN DETERS
442 ATE ROAD 4423 SLATER ROAD
E AN, EAGAN, t4N
CHARLES SHIRRON BRUCE CROSBY
4714 N. t1IND TRAII, 1761 WALNUT LANE
EAGAN, MN ERGAN, 2•iN
NORIIAN PETERSON F:OY CREELMAN
4337 SEQUOIA DRIVE 1883 BEAR PATH TRAIL
EAGAN, MN EAGAN, MN
JAMES DAHLBERG TERRY DAVIS
1641 MALLARD CIRCLE 4895 SAFARI PASS
EAGAN, tiN EAGAN, MN
*citV oF eagan
Vtay 6, 1998
N[R WILL[ANI WOLF
SUNDANCE CONSTRUCTION
6922 42ND AVE N
CAYSTAL MN 55427
RE: 1689 COVIYGTON LANE
LOT 4, BLOCK 2, JOHNNY CAKE RIDGE 2ND
Dear Mr. Wolf:
iHOMAS EC-AN
Mavor
P:,TRICIA AWADA
BEA BLOMQUIST
SANDRA A. MASIN
THEODORE WACHTER
Coundil Members
THOMAS HEDGES
Clry Adminls;rator
E. J. VAN OVERBEKE
Ciry Clerk
On April 6, 1998 a buildin-, permit application to construct a deck at 1689 Covington Lane was
submitted by your company along with a check for $50.50. In mid-April, a member of our
clerical staff left a recorded telephone message for you regarding renewal of your contractor's
license that expired March 31, 1998. To date, no response has been received from you and a
building permit was never issued for this work.
On Nlay 4th, we attempted to contact you again and upon receiving a telephone recording,
contacted the owner of the property re.-ardin; this situatior.. He informed us that the deck has
been completed and agreed to try and contact you. He called our office this momin-, to state that
he was unable to reach you, but would continue trying.
As a general contractor, it is your responsibility to submit the required papenvork to obtain a
building permit and arrange for the necessary inspections of work being performed. Please
contact me at 681-4679 regarding this situation. Thank you for your anticipated cooperation.
Sincerely,
.? ?
Michael J. Barck
Construction Inspector (Buildin,g)
MJB/js
cc: Charlie Durenburger, MN Dept. of Commerce, 133 E 7th Street, St. Paul, MN 55 101
Doug Reid, Chief Building Official
Dale Schoeppner, Assistant Building Official
MUNICIPAL CENTER
.7870 p!L'if cplf;5 i:OAD
EA6AN. MIiiPIFiGlA 55122 i.9G7
PhONE (61 Li hr, i 4660
Fnx (n i?? na inn Q
fGG(AI:) 45d 8:75
iHE LONE OAK TREE
(HE S`/MBOL OF SiREMGiH AND GROWiH IN OUR COMN11JNIi!
Equal Opportuniry/Afflrmafive Adion Employer
MAINTENANCE FACILIN
3501 CGACuPSAN %Oih?
EAGAPI,MIPdIE3OiA :: -
PHGPIE. (6I2) ^-8',-4°.fG
FAX (612) h8l .136G
TGD-l612j 4.`.4-8535
CITY OF EACASV
EARLY UTILITY CONNECTION PERMIT
1693 COVINGTON SOHNNY CAKE RIDGE ADDN
Address Subdivision/Parcel
I hereby request permission from the City of Eagan [o connect to the
san3tary sewer and water lateral.line in the public right-af-way. I
-- - - --
understand that the City has not yet completed, inspected and/or accepte ---- -
the sewer and/or vater lateral. I agree not to use, test, or connect these
individual services to any interior plumbing and understand the require-
-
-==ment to cap thv sewer service to preSent any unauthoiize use.-.
----- --
In a-c-ce[in tp g -his 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 Pexmit will be issued or water allwed _-
ta be turned on until the City utility syste /has been declared operational
by the City Engineer.
Signed by - Plumber
Owner:
Developer:_
Builder:
Dated: ? - ;;? -5-' Sd
CITY OF EACAN
_ -` --- --_ -- --- - -
EARLY UTILITY CONNECTION PERMIT
4697 Ridgecliff Drive Johnny Cake Ridge Addn?vl / v y
Address Subdivision/Parcel
I hereby request permission from the City of Eagan to connect to the
sanitary sewer and water lateral line in the public righi-of-way. I
understand tha[ the City has no[ yet completed, inspected and/or accepted -
the sewer and/or water lateral. I agree not to use, test, or cannect these
individual services to any interior plumbing and understand the require-
-
-- --_- =- ment to cap [hp sewer.service to prevent any unau[horized use. -----
-- - - ---- -- - -- - -
In accepting [his permit, it is agreed that I will hnld the City and its
agents harmless from any damage that may occur due to this early connection.
--- - It is unders[ood that no Occupancy Permi[ will b/issued or water allowed
to be turned on until the City utility system s been declared operational
by the City Engineer.
Signed by - Plumber
-- - - Owner:
Developer:
Builder•
Dated: _-2
- ? S - ? U
CITY OF EACAN
EARLY'UTILITY CONNECTION PERMIT ?
2 ? ?-
4699 Ridgecliff Drive Johnnv Cake Ridge Addn'-?'z
Address Subdivision/Parcel
I hereby request permission from the City of Eagan to conneci to the
? sanitary sewer and water lateral line in the public right-of-way. I a
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 serv3ces to any interior plumbing and understand the require-
-- ---- --- --= ment to cap Ehe sewer service to preven[ 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 the City utility system tyas been declared operational
by the City Engineer.
Signed by - Plumber:
Owner: - -
Developer•
Builder:
Dated: ?V - <--1' -5- -X:?
(.J Licensad Elec[rical Contractor I hereby mquast insoection of ebove
? Owner elec[ricel work installed ac
56¢et Address, Boz or Route No. CitV
F40ji Eagan
ecLOn o. Township me or o. ange o. County
Occupnnt(PRINT) Phone Nn.
Pow¢r $upplier Adtlre55
Electrical Contraclor (Company Namel
??j?'llVl FVQ
ChLLLC Cffm N '
?/ Conhar.tor's License No.
.
Mailing AdJress IConNacto? ar Tw?M inalla[ion)
6525 E. 174.th Sx., Pn,i.aa Lake, MN 55372
Authorized ' nature (COmra Owne 'ing Ipstailation) Phone Number
447-2490
MINNESOTA STATE BOARO Of ELECTNICITY THIS INSPECTION REQUEST WILL NOT
Grippy-Midwey BIOg. - Noom N•191 BE ACCEPTEO BY THE S7ATE 80AHD
1821 Universifv Ave.. St. Veul, MN 56104 UNLESS PFOPEN INSPECTION FEE IS
Phone(6t2) 642A900 ENCLOSEO.
) REQUEST FOR ELECTRICAL INSPECTION ee-ooooi -os
?. ? ,,
1
See inatructiona lor comalating this form on beck of yellow copy. ?•?
7A r, 7{j ""1(" Below Wark Covered by 7his Request
MewlAAdl Neo.l Tvoe of Buildina I Aooliances WireA I EquiVmant Wired I
Water Heater
Electric
Bul
p Fee Service EnVanceSiza H fee Fexders/Subteadars # Fee Circuits
qm 5 0 to 30 Am 5 0 tn 30 An!
0 qm py 31 to 100 Ainps 31 to 100 A s
Pool
g Above 100-Am s Above 100_Am s
ers
nsform Irri tion Boortis Partial-"Other Fee
Ae6ks ? aigns apeciaiinspection $ 10. 5 TOTAL
I, the Ele ncal
• \. ? Insoector, hereby
r certify that the nbave
inspBCtion hes bean
Thi? st void ,3?? ? ?
18 rt.. '.pm
This request void 18 months from
3 -z?`
Date of this Request 444?r- . s 17987
ectri-
I, aLicensed Electrical Contractor 0 Owner, do hereby request inspection of tl?e ?qve el
cal iringinsta[ledat: ?r% tOUil?s?N d-1'? ?'9" `L:e
-X ?I
Street Address or Route v 'T1, City Gn7?h!"
;,bn Township Range County ? TA
1Vhich is occupied by
Is a roughin inspec[ion required on this job? No ? Yepl§,_ Ready Now ? . Will Ca1Lgf-
PowerSupplier 1ow Address IN?Glol"
Electrical Contractor 6"k- -- Contractor's License Nb! 3V/
_ (COmpany Name) _
Mailing Address
Authorized
Installation)
Phone No.
(ElactrltarCOntracior or Owner Makln9 Tnls Ins[allatlan)
This inspection reqP sPwill nPt 6e accepted by the
Sta[e Board unless ro er ins ectian fee is endosed.
Minnesota State Board of Electricity
1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703 ? 11 ??`'S+
' REQUEST FOR ELECTRICAL INSPECTION
CHECK BELOW WORK COVERED BY THIS REQUEST 5-17 9 R`l
Type of Building New Add. Rep. Check Appliances Wired Fm Check Fquipment W'ved Eoi
Home ? ? Range
In- Tempoiary Wiring ?
Duplex ? ? Water Heater Ligh[ing Fixtures Ilu
Apt. Bldg. D ? ? Dryei ? Electric Heating
I nmercial Bldg. ? ? ? Furnace ? Silo UNoader ?
?us[rial Bldg. ? ? ? Air Conditionex Bulk Milk Tank ?
Faim ? ? ? L
is[
) List )
Other ? ? ? }
p
HeheIS7 HexersF
1
COMPUTE INSPECTION FEE BELOW
Service Entrance Size: n Fee Feeders&Subfeeders: n Fee C'vcuits: # Fee
0[0 100 Amps. 0 to 30 Am eres 0 to 30 Am eres
101 to 200 Amps. 31 to 100 Ampeiea 31 to 100 Am eres
Above 200 Amps. Above 100 Amps. Above 100 Amps.
Transformers Remo[e Conttoi Circ. Partial or othet fee t. ,.
Signs Special Inspection Minimum fee S5.00 1 1
Remazks TQTAL FE SJ
I,the Electrical Inspector, hereby
(Final)
This request void 18 months from
latethe Ofivplinspection has been/??-??tv
? , ` Dpate ?/?/ o
.,n;^, .W'8L0 f?, j•-??(??
? ?l ?]?
---. -?-
Thir request void 18 months from y?';^`? -?i?? f X04's
50688
Date of this Request ???? I? . ?
I, as? Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri-
caliring installed at:
Street Address or Route No,
Sectior, Township Range County
Which is occupied by QPQUd -1-1?mo`r fitt-a
(Name of OccuOant)
Is a roughin inspection required on this job? No ? Yes-J4--- Ready Now ? Will CaH-?-•
PowerSupplier EtJa Address
Electrical Contractor ga,__Contractor's License AM
(COmpany Name) _
Mailing Address 1-iiiiii` '?Ei tr ? ont?r11 a.cto. o Olw Making Tni: inztauauon)
?y
Authorized Signature ` Phone No. 0?0
(Elec rlcal Co actor o1 Ownar Making Thls Installatlon)
This inspection request will not be accepted 6y ffie (o/r RD C@p U
StateBoardunlessproperinspectionfeeisenclosed.
Minnesota Swte Board of Electricity
? O eo
7954 University Ave., St. Paul, Minn. 55104-Phone 645-7703 Q
nr?'j?l
REQUEST FOR ELECTRICAL INSPECTION ? r? 1 Ifl (7
CHE('K RELOW WORK COVERED BY THIS REOUEST "]
Type of Buitding New Add. Rep. Check Appliances Wired Fox Check Fquipment Wired Fox
Home ? ? Range ( S? Temporary Wiring
Duplex
?
?
Watec Heater
?
Lighting Fixtures ?
Apt. Bldg. ? ? ? Dryex Elec[ric Heating
Commercial Bldg. ? ? ? Fumace Silo Unloade[ ?
Industrial Bidg. ? ? ? Av Condi[ioner ? Bulk Milk Tank . ?
Fazm ? ? ? List Lis[
Othex
?
?
? pers
e ? Othexs
Here
COMPUTE INSPECTION FEE BELOW -
Service Endance Size: # Fce Feeders& 5ubfceders: # Fee Cixcu Fee
0 to 30 Am res 0 to 30 A
101 [0 200 Amps. 31 to 100 Am exes 31 to IDO A
A6ove 200 Amps. A6ove ]00 Amps. Above 100
A
Trxnsfocmers
Remote Control Ciic.
Partial ox ot
, _
Signs Special inspection Minimum fe
Remaxks TOTAL FE
f
I, the Electrical Inspector, hereby c?hat ?i?da?t+sg?on has been ma 7
(Rough-in) P Date `
(Final) ??r?o 6! ?? Date (,s r J' - ?'
This request void 18 months from °- -'
/1
//
1?
16 4
V
3
5
Request aCe
l 1 F' No, h-ininspection
R quiretl?
? Reatly Now
p Will Notify Inspector
? ? Yes ? No When Ready?
IA licensed contractor ? owner hereby request inspection of above electrical work at:
Job fW e s(Stre Ba r R o-) n
? o'?Y
? ?. +
Seaion No. Township Name or No. Range No. Coun ?
Occupant(PRINn ? Phone No.
Power Supplier Addr ss
Eleclncai Gon?rac[or (Comparry Namej Con oMr LI n
KENDRICI? ELFG"TRIC ?
Mailing Atlye?6opirppo?A?+?Pati?) A ATL?
1 .J`tl1 li%L J..Cad??+
Aumo C [ Ipn ti
er
Pha N.
MINNESOTA STATE 80AF0 OF ELECTRICITY THIS IMSPECTION REQUEST WILL NOT
Griggs-Mltlway Bltlg. - Room 5173 BE ACCEPTED BYTHE ST.4TE BOARD
1821 UnivenRy Ave., SL Paul, NN 55104 l1NLES5 PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION +? ee-o/oom.,•--__
r See insttuctions for completing lhis form on back of yellow cop)s Fg 1c?1 F 4 "X'Below Work Covered by This Request
Typeot
Furnace
Air Gonditioner
Compute Inspection Fee BeJow:
# Oiher Fee # ServiceEnirance5ize
Swimming Pool 0 l0 200 Amps
Transiormers Above 200 _ AmF
Signs Inspector5 Use Oniy:
Irriaaiion Booms
I 1, the Electrical Inspeccor, hereby
certify that the a6ove inspection has Final
6een made. :
Service
Fee # uircmtsrreeaeis
0 to 100 Amps
Above 100 - Amps
TOT$L?
OFFICE 115E ONLY
This request voitl 15 months fmm
This reG:iest void 18 months hom Y?,l I CcA?E_ k-)4Cy<?, ,;7? r??0 A-IS
C
Date o this Request 90887
? 1, aLicensed Electrical Contractor ? Owner, do hereby request inspection of the above electri-
cal K?frin? installed at:
Street Address or Route No
Section Township
Which is occupied by
q01 fiDb=(c.lft? CRu; c;ty. L4
Range County bhrwn3
Is a roughin inspection required on this job? No ? YesPk Ready Now ? Will CalM
Power Supplier _ R-ap, Address _ %2h wC•.?
Electrical Contractor E-6? rrk:t /Ll `. Contractor's License No? /'n5
i (COmpany Name)
Mailing Address & . ,(,, ff` QD. ?i?l/?N3u?.1?
Authorized
or
Phone No,
7 ??? .?1 {ol ? ?O ?j ?f?] . This inspection request will not 6e eccepted 6y tAe
e'.J Ci1 fi /;a?S t( State Board unless proper inspection fee is endosed.
Minnesota State Board of Electricity
1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703 /,4c,-
REQUEST FOR ELECTRICAL INSPECTION
CHECK BELOW WORK COVERED BY THIS REQUEST S P
T....o ,.f n..:u:.... .,"_. . , . ?
Home
fQ
1
?
?
Range "u?pmrn' nrteU rOl
Duplex
[]`
?
?
Water H
eater
? iempotary Wg ?
A
Pt, didS.
?
?
?
Dryer
Lighting Fixtuxes ?
Commercial gldg,
?
?
?
Fumace ? Electric Heatin
g
?
Industrial Bldg.
?
?
?
p'v Condi[ioncr
'? SBo UNoader ?
Farm
?
0
E]
List I Bulk Milk Tank
I ;,, , ?
COMPUTE INSPECT[ON FEE BELOW
Service Entrance Size: x Fee Feedeis&Subteedeis: # Fee
Circuits: ik
F
0 to 100 Am s.
10t to 200 Amps
0[0 30 Am res
0 to 30 Am eres ee
.
Above 200
Amps 31 to 100 Amperes 31 to ]00 Am res
_
.
Ttansformets Above 100 Amps. A6ove 100 Amps.
S' ns Remo[eControlCirc. Partialorothetfee U
Remarks S ecial Inspection Minimum fee S. ,
TOTAL F
I. the Flrrfnrol I-..e,.?,." L --- 1. . tT.')
... • •.,?.wwa, uwGUy CBI'Tii)'
(Final)
1'his request void 18 months from
been rhede./
e 3 .• (o _ S/a
This req4.st void 18 months &om /7S 8 G
Date of this Request ? I y . 34896
I, as 0 Licensed Electrical Contractor ? Owner, do hereby request inspection ofthe above electri-
cal wiringinstatled at:
Street Address or Route No. City?
Section Township Range County
Which is occupied by
Is a roughin inspection required on this job? N4- Yes ? Ready Now ? WID Call ?
Power Supplier 1C_A Address ?6 RAINV ilO
Electrical Contractor ?LL^' f=LLk4-P-t` Contractoi s License N-3?s?g
(COmpany Name)
Mailing Address
Authorized
oI Owne1 Making Thls
No. I`7J'SSVs
gpV? goaG3D QO?? This inspection reqPesPwill nPt be aecepted 6y ffie
U State Baard unless ro ar ins ection fee is enclosad.
Minnesota State Board of Electricity
1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703 ??? ?
REQUEST FOR ELECTRICAL I?NSPECTION s Home ? ? Ej Range
Duplex ? ? ? K'ater Heater
Apt. Bldg ? ? E3 Dryet
Commercia181dg. ? ? ? Fumace
Industrial Sldg. ? ? ? Air Conditione[
Fazm ? ? ? List
qthers?
-
ere
? Tempotary N''vinB L'
? Lighting Firztures O
? Electric Heating ?
? Silo Unloadec ?
? Bulk Milk Tank
31 to !
Above
Abovc
I, the Electrical inspector, hereby certify that the
I TOTALITEIp' Z 1I?+_J
inspection has been made.
Date ?
(Final)
This request void 18 months from
This request void 18 months from? L y1
Date of this Request 50672
?, aLicensed Electrical Contractor
cal wiring installed at: OOwnep,-do her y r quest?ins ction of the above electri-
??f ?j
- s ?f '-.,. '? . =T-?4Y- 'C-'L?Ir?CrL1,ra>r,.:E .
Street Address or Route
' Section Township =
Range
Which is occupied hy CaiLy4
irvame oi OccuDant)
Is a roughin inspection required on this job? No ? ye?
? Ready Now ? Wifl Cylj?fik
Power Supplier
Address
Electrical Contractor L?Et? 6{-c.fJ2?
(Company Name) Contractor's License NA??
MailingAddress_ . ?`?(l l(_ !`; tc? 0e h I.,.._
cr mr or Owner Making Thls Installatlon)
Authorized Signature
` L
r
(EI tvl 1 C tractor or Owner Making This Inst011atlon??Re NO. U J?Z?
????? ??&L?Lo, C?'j'?,,yj ? . This inspection request will not be accepted by the
\JLi State Board unless proper inspection fee is enclosed.
Minnesota State Board of Electricity - -` -
79F0 University Ave., St. Paul, Minn. 55104-phone 645•7703
REQUEST FOR ELECTRICAL INSPECTION
CHECK BELOW Wp[Zg COVERED BY THIS REQUEST ? l ?'] "]'?
TypeofBuild'v?¢ New enn ne..
Home M- ? ? Rangeµw?vY?
D
l
up
ex ? ? W
ApL Bldg.
? ?
? atet Heater
Commereial g1dg.
? ?
? Dtyer
Fumace
Industnal Bldg. ? ? 0 Air Conditioner
Fazm ? ? ? List ?
Temporary Wiring ?
Lighting Fixtures ?
Electric Heating
Silo UNoader ?
Bulk Mi1k Tank ?
'," .
I, the Electrical Inspector, herebY T cerr,'?? / Y > TOTAL FE
(Rough_;n) P ???I has been ma e.
(Final) < Date
This request void 18 months from c?i b'
cJ4, j?-;e?-7'?i te ,_
fr ?
-
JCounry_ yh-4?1
cirir oF EAcaN
3795 P71et Kne6 Raad Eagan, MN 55122 N2 5532
PHONE: 454-8100
BUILDING PERMIT APPLICATION
Te 6e oted fo. . 1lof 4 Plex Est. Value 43,600
Site Address 1b257 COV1ri tOri LdriPr
Lot 4 BI«k 2 Sec/Sub. Cdk2 rid
Porcal #
z Name nrYin T]1pmp5 0n Hnmog
Z Addrem 1712 Hopkins Crossroad
? M i
k
t
. nne
a
on 55343
c Phone
?
0 Name Same
?? Addreu
??- Ci Phone 544-7333
u?
ww
Name
?
?? Address
<"' Ctty Phone
I hereby acknowledge thot I have reod this npplicotion and state that
the informotion is correct ond ogree to comply with all appliceble
$tote of Minnewfo $tatutesAnd City of; Eogon Ordinances.
SignMure of Permittee e__
A Building Permit is issued to:
oll work shnll be done in acca
Buflding Official d
/Jf
ReceiGt # ?(f y?
Erect El Occupancy x3
Alter ? Zoning PD
Repair ? Fire Zone III
Enlarge ? Type of Const. V
Move ? # $tories
Demolish ? Front 22 ft.
Grcde [] Depth 4 4 ft.
Aoorovala Fees
Assessment 1 L/ h/ 7
Water & Sew.
Police Permit
Surcharge
Plan check ?c ?•Jv
22.00
62 . 7$
Fire 5qC 525.00
Eng. Water Conn. 2 7 0. 0 0
Planner Water Meter 60.00
Council Rd.Unit 75.00
Bldg. Off.
APC Total 1,140.25
isi iu ?)Ujl n?iu sZ on the e xpress condition ihot
??' all ble of M' eatutes and City of Eagan Ordirances
??
., CITY OF EAGAN Include 2 sets of plans.
1 site plan w/elevations s
BUILDING PERhuT APPLICATION 1 set of energy calcvlati-ons-
Zb Be lJsed For RES?oevcE Valuation y3, boo.ao Date fli:C 3 1979
Site Pddress: OFFZCE uSE ONLY
IAt BZOC.k 1. Seciub. %D ETECt ?^ _ OCClIF7dI1Cy
, Alter ZOnuig F?D
Parcel #: Repair Fire Zone .3
Ormer :
Address:
City/Zip Code:
Phone #-
Contractor:
M ES
Addr255: a Division of U. S. f!n?d r,...,,,._.__
1712 HOPKI,S CFO$?ROAD
Cli'y/Zlp COC1E: . MINNf7tltvun h?icJY 553}?
Phone #: sy'i??333
Arch./Eng..
Address:
Fnlarge _ 'Iype of Const
Move # Stories
Demlish EYOnt a?? ft.
Grade Depth yy ft-
APPAOVAL.S FEEi
Assessments ??ermit
Water/Sewer Surcharqe 4Z2 .0
Police Plan check
Fire SAC
gx,j, Wates Conn. 7c92=
Planner Water Meter
-
Council Roacl Uni.t 3?
Bldg. Off.
APC
City/Zip Code:
Phone #: TOTAL
CITY OF EAGAN
3795 Pilaf Knob Rmd Eagaa, MN 55122
PHONE: 4548100
BUILDING PERMIT APPLICATION
ro ee ,n.a te. 1 of 4Plex E
sife naar!fs y.y
Lot Block Sec/Sub.
Parcel #
att aoplia6bje_2?tote of
w Name Orrin Thompson Homes
Z 1712 Hop ins Crossroad
3 Address
° ?._Minnetonka 55343
p Nome _
?
?? Address
r r:...
Name _
Address
I hereby acknowledge that I have read this opplication and state that
the informatian is correct and agree to comply with nll applicable
Stote of Minnewta Statutes and City of . ngon Ordinances.
?/ ?
SignMUre of Permittee
A Bullding Permit is issued ta:
all vrork shall be done in acco
Buildirg Official
12F
13,606
CITY OF EAGAN
'c n
on the eupress condition thot
Stotutes and City of Eagon Ordirwnces.
BUILDTNG PERMI'P APPLICATION
N4 5531
/6 ?1? c //
Include 2 sets of plans,
1 si.te plan w/elevations &
1 set of e.nergy calculations_
Qry q 1979
To Be Used For luation
Fs.?ioEUCe Va 43, boo.oo pate L
Site Pddress: ? OFE'ZCB usE oNLY
IAt 3 B7.OCk
y CAVE
SoNNN
? S2C.ISUb.
R10[ E '?.wD
?
FS
ECt
- pancy
OCcu
Parcel #: Alter Zoning OQ
Repair Fire Zone 3
Enlarle T1'Pe of Const.
Oaner: _
Move # Stori.es
Address: IJerolish Fmnt ft.
City/Zip Code: Grade Depth y5° ft.
Pkione # : APPROUAIS F'EES
Contractor: Assessnents ??/ Pexlnit /a?` AM
MES' Water/Sewer Surcharqe aR?
AddZ'eSS: a Division of U. S. F?-m, r,,.......:__ pOlice 2??-
P1aI1 CheCk 6 v
City/Zip Code: 1712 HOpKINS CROSSROAa
MINNFmvue sY'lldi!
5
'
? Fire _
SAC
Ph? a: sy y 5
d
-? 333 ?4 • water Conn- -°Z ?
Planner Water ^eter 66
. Council Roatl Uni.t jS?
Arch. /Eng. : Bldg. Off.
Pddress: APC
City/Zip Cade:
Phone #: TCTAL
Receipt # -
_ 12/6
79
Erect Occupancy R 3
Alter ? Zoning PD
Repair ? Fire Zorie I I I
Enlarge ? Type of Const. U
MOVE ? # Storie5
Demolish ? Fronf 22 ft.
Grnde ? Depth 44 ft.
Apprornls Fees
Assessment 12/b/ `-permit 1145.9U
Water $ Sew. $urchorge 22.00
Police Plan check 62.75
Fire SAC 525.00
Eng. Woter Conn. 270.00
Plenner Water Meter 60.00
council Rd.Unit 75.00
Bldg. Off.
APC Total $1.140.25
cirr oF EAwN
3794 PiIM Knob Rx.d Fagan, MN 55722 N! 5530
PHONE: 4548100
BUILDING PERMIT APPLICATION Receipt #--
t_ L_ ..r, ?_ 1 of 4-Plex ?_, 43,600.00 „__ 12/6 ,a 79
Site Address _
Lot 2
Porcel # -
w Name _
3 Address
0
Ci -
p Nome _
?
OU Address
~ Ci
Name _
WW
rZ
F,n Addrea
VJJ a?lU C l? 111C L 1VG ErBC} ?c? M111 Q[LU(]OfICY
2 PD
Block Sec/Sub. Ridap 2nd Alter ? Zoning
Repair ? Fire Zone I II
-
Enlarge ? Type of Const.W00
?
-
Orrin ThomASOn Homes mo„e ? # srories ?
1712 Hopkins Crossroad oemaiish ? Front 22 fr.
Minnetonk?
544-7333 Grada ? Depth 44 fc.
a?e
S ame Approrob Feea
Phone
I hereby acknowledge that I have read this application and stute ihat
tM information is correct ond agree to comply with all appiicable
State of Minnesota Statutes ond City of Eogan Ordinances.
Sfgnature of PertniHee Z:?_
A Building Permit is issued to: 0Y1 Y-1?1 T11
all work sMall be done in accordance with all oppli le State of
Buildingpfficiul ,Z-LFc-
AssessmenT _
Water & Sew.
Police -
Fire
Eng.
Planner _
Council _
Bldg. Off. _
APC
I Permit 125. ?0
Surcharge 22, 0 0
Plan check 62. 7 S
SAC 525.00
Woter Conn..27Q_.?0
Water Meter60,Q Q
Rd.Unit 75.00
rorol $1 14 0_ 2 5
on the express condition that
Statutes and City of Eagan Ordirwnces.
'C1TY OF E;:,,:?AN - --- Include 2 sets of plans.
1 site plan w/elevations &
BUILDING PERMIT APPLSCATION 1 set of erergy calculations.
To Be Used For R?sjoEuc Valuation y31 6a0 • oo Date ?L? 3 1979
Site Pddress: /?/&? OFFICE USE OtII,Y
lAt B?.OC?L 'Z SeC. Sllb. oNNNy CPME
2_ ? R10fE ';f+D ??t ? ?CuFanCY ? .
Parcel #: Alter Zoning /? 3'
Repair Fire Zone i
Owner_
Pddress:
City/Zip Code:
Phone #:
Contractor:
AdG1C25S: a Division of U. S. F!-.?,= r'..,,,,..;_ES
1712 HOPHIi:S CnOSSROAD
Ci.ty/Zip Code: MiNNFrntiKn giNi, 55,4zj
Phone s4y-17333
P.rch. /Eng. :
Pddress:
City/Zip Cade:
Phone #:
Enl,axge _ 7]pe of G
Nbve # Stories
Detnlish Eront
Grade Depth _
APPROUALS F?
Assessents Peanit /26s ?
W3t22/S2tvE2' __7 Surcharge aa -?
Police
Fire Plan Check?.
SAC
gng,
plannps Water COnn. 9 ) 0 --
Water Meter 6.0 :'fo
Council Road Unit ?
Bldg. Off.
APC
TOrAL ,? i /vv -?
cirr oF EAGuN
3745 PI(ot Keo6. Road , Eagan, MN 55122 N-0 5529
' PHONE: 454-8100
BUILDING PERMIT APPLICATION
7o be uoed fer 1 of 4-pleX Est. Value
Receipt # k -
43,600.00 pate 12/6 19 79
sire Maress 4697 Ridge Cliff Drive Emct 29
Lor 1 si«k Z sec/Sub.Johnny Cake Ridgg+lmr ?
2rid ddd?Repj, 0
Parcel #
E
????
?
m
Name
Orrin Thompson Homes
Mo"
?
;
I Address 7 2 Hop ins Crossroad Demolish ?
? ,.-. Minnetonka 544-7333 G.ode n
rc
0
Zu
USa
r
Nome _
Address
Name _
Address
1 hereby acknowledge thet I have read this applicotion ond state thot
the informotion is rnrrect ond agree to comply with all applicable
State of Minnesota Statutes and City of Eq9an Ordirwnces.
Signature of Permittee _
A Building Permit is issued
all work shall be done in c
Building Officiol
Water & Sew.
Police _
Fire
En9•
Ptonner -
Council -
Bldg. Off. -
APC
Permit 0
Surcharge 22'00
Plun check 62.75
snc 525.00
Water Conn. 270.00
Water Meter 60.00
Rd.Unit 75.00
Total $1,140.25
)r'rin '-T1,_ mpson HOIROS on ihe express condition thot
h a41?a iwble Stata i ewta Stotutes und Cify of Eagan Ordinonces.
CITY DF EAGAIV Include 2 sets of plarvs,
1 site plan w/elevations &
BUILDING PERMTT APPLICATION 1 set of energy calculations-
To Be Used For Valuation 43, 600 • oo Date DLC 3
Site Pddress: k//o97 ?/aa & OFFICE USE ONLY
Lot slock ?- sec./sub. 'Wo'CeY ?Lfl Erect _
°ccupancy .? '
PalCel #:
Owner:
Address
City/2ip Code:
Phone #:
Contractor -
l MES
AddY25S: a Division of U. S. I-;r.n. _
1712 HOPNINS CROSSROAD
City/2ip Code: MINNFTnn, < i 55
Phone #: sy y -?333
-,-.
Arch./Ehg.:
Address:
City/Zip Cade:
Phone #:
Alter Zoning P??
Repair Fire Zone 3
Enlarge _ Type of Const. d? -
Move # Stories /T -
Lemolish Front ? ft.
Grade Depth ft.
APPROUALS P'EES
Assessnents ?z;72 Pesmit
Wat,er/Se+.er Surcharge a
Police P1an Check G a?
Fire SAC
Eng, Water Conn. a)o
Planner Water.Meter 60 R2.
Council Road Unit ?S CY
Bldg. Off.
APC
acucamv g ?
Zoning PP
Ffre Zone ITT
Type of Const.C^Ioad-frame
.# Stories 1?-
Front 97 ft.
pepth 44 ft.
1979
RO'PAI. ;O? l / YD -5
�����7 y-- ���� i���� � c�.�
� . Use BLUE or BLACK ink
���� � � (�� I Cv�,�, �� ----------- ------
E For Office Use �
. 1..��'�-- E (
� Permit#: ���� �
���� ������� ; P 3�� ;
�� � enn�Fee. �
3830 Pilot Knob Road
Eagan MN 55122 � Date aece�ved: j
Phone:{651)675-5675 I i
Fax:{$51)fi75-5694 i Staff: 1
t [
. . � . . � . . . . . � . � . . . .t���.�....... .�����'��J. .
2014 RESIDENTIAL BU�LDING PERMIT APPL�CATION
�� �b�� .� �� ;�� �.r�y� Gr.��= �-��--
Date• �:l"'�""�� Site Address: 6 f� '�� fi+�Y1�1 (►nit#:
' Name: �C?�i'!Yt Y �'��- /�ta�r��i�i z_ � Phone:
f�@S1d�11t/ �
Owner aadress�city+�z�P:�(���- ��-' �
' APpficant is: Owner � Gontractor
��y � L -- �'
Type Qf Wt3rk Desc,ription of work: � iJ t� � � !'ev�'
Construction Cost:j�'f!�� � Mufti-Famiry Buiiding�(Yes � /No )
Gompany:/V�YZr�+�5� G c�Y1����TlJ�"5 '� Corrkaet i 1 j�� �����%"
�Olit�'8�01' Address:�'�tj�'l �J�1�7�! �� Lr,a-�x ,�e' city:�;��'�'c~ -�.�l�c�)-''�--
G � )
: State:�Zip: f� Phone:����""A'�Emaii:t3�r+r� Jv'L�GS'TG��*J`�d✓{���v —
�y!c.-�r�"�
u�n$�#:�3C l.�`l '~I 73 �aa c����t��:rV:�.�-..-r=�i�t�� -1
if the projeet is�xempt fro►n lead certification, please explain why: (see Page 3 for additionai infQrmation)
CfJMPLETE THIS AREA 4NLY fF CONSTRUCT'!NG A NEW �„UILQING
1n the last 12 mont , the City pf Eagan is�ued a pennit for a similar plan based orr a master ptan7 `
_Yes No If yes, date and a�r f master ptaa:
Ltcensed Plumber: Phone:
Mechanicat Contractor: �
Sewer 8 Water Con# r: Phone:
N4TE'. ant�(supporti�g"do�w�nents ft�at yo�s�bmit are co�tsiderecf td be pr�rc irr�€rrrr��f�atr P�ifi+�tts of t
rr�fcsi?mation may 1�a�lassi�#ied�s nor�pubt�c:if yc�cr p�av�de�pec��rreasc�ns�at t�ould�ermii�#�e C�4p ta: '
- co�clud�tha�tl�e ar±e�cle secrets:
CALL BEfORE YOU DlG. CaH Gapher 8tate Or�Cali at(651�45�F-0002 for protec�ion against untlerground ut�li#y darrs8ge. Call 48 hours
before you irttend to dig to receive locates of underground utilities. wuusnr.aonherstateonecail.ofg
t t�reby acknowledge that this ioformation is c�mpiete and aacurate;that the work wilt be in t�nformance with the ordina�s and c�des af#he Gity of
E�an;fha#1-u�derstand this is not a permit, but only an appfication#or a permit, and u��tc is not#o star#without a perm�t;that the work wi11 be in
accoidance with the approved ptan in the case of vwrtC whic#�r�quices a review and approvat of plans.
Exterior work aukhorized by a iwUdFng perenit Issued i�t accordance w)th the Minn�+�ta$tate ilding Gode m�t be completed within 180
days af'partnit issuance.
� �
x i/' 1� G- ' .
x
AppticanYs Printed Na� ' acrt's 3ignature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA126290
Date Issued:08/20/2014
Permit Category:ePermit
Site Address: 1689 Covington Lane
Lot:4 Block: 02 Addition: Johnny Cake Ridge 2nd
PID:10-39801-02-040
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Timothy Kohnke
1689 Covington Lane
Eagan MN 55122--278
Champion Window Company Of Mpls
5100 HWY 169 N, #B
New Hope MN 55428
(763) 574-2054
Applicant/Permitee: Signature Issued By: Signature