1788 Covington LaneCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1788 Covington Lane
Lot: 3 Block: 14 Addition: Ridgecliffe 5th
PID:10- 63984 - 030 -14
Use:
Description:
Sub Type: e- Fireplace
Work Type: Gas Insert
Description:
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Hearth and Home Technologies
2700 N. Fairview Ave
Roseville MN 55113
(651) 633 -2561
Improvements to the home may requ
concealing.
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
- Applicant -
Construction Type:
Occupancy:
Carbon monoxide detectors are required by law in ALL single family homes.
$90.00
Owner:
Glenn E O'Hearon
1788 Covington Lane
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Building
EA091180
09/17/2009
ePermit
e smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
$88.50 0801.4085
$1.50 9001.2195
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
wr
cirr oF EA"N
, 2795 Pllet Knob Road Eegon, MN 55122
' -
• PHONE: 454-8100
BUILDING PERMIT Receipt #
T.. ?. ....a :.,. . -- ' r? .,-'--- ' ^--- ... ' .,,
S1tQ Addlil55 • • ,. lu t 1? i._ . E?ect Q Occuponcy
Lot Blotk Sec/Sub. Alter 0 Zoning
Parcel # Repoir ? Firo Zone
,. Enlarpe O TYPe of Const.
W Name
Z
• Move
?
# Stories
Addrcss
? DemoHsh ? Length
C;N t a,,,,,. Grode ? Depth Sq. Ft.
p Name
?
?? Address
? r:.,, a,,....
Nome _
Address
I hereby acknowledge that I have read this application and state that
fhe information is correct ond ogree to wmply with oll appliccble
State of Minr?esaro Stotutes and City of Eagon Ordincnces.
Assessrnent _
Water & Sew.
Police
Fire
Enp.
Planner
Caundl
Bldp. Off. _
i1PC
Permit
$urcha rge
Plan check ? -
SAC
Water Conn.
Weter Meter
Rood Unit
Totol
Siynoturo of Permittee ?
/1 Buildin9 Permit Is issued to: on the express condition that
otl work sholl be done in occordarxe with oll opplicable State of Minnesotc Stotutes ond Gty of Ea9an Ordirwnces.
8ufldinq Offitfal
Permit No. Pormit Holder Misc. Parmit No. Holder
Plumbiny
H.V.A.C.
Wall
Wetsr
disp.
SYtNer
Electric 7r77 )?E- I (t C
Inspoetion Deta Insp. Other
Footings
Foundatfon
Framinp
Rouqh Plbp. 1-/ ? O -. j -?% . ? J • - oYi ?, ? ,
Rouqh HVA -, , -
Inwlation
Final Plbg.
Final HVAC
Final - ? _
Water Desuibs Location:
VYell
Sewer ,
Pr. Dbp. '
I
.. _. . , cirY oF EA"N
• 3795 'ilet Knob Rood Eogen, MN 5512!
PHONEs 154-8100
BUILDING PERMIT R?ipt #
TO be Wfd fOe : - I " . . Fd Vnltaw , ) . -. M?n ' c
Site Addrcu
Lot Block Sec/5ub. ' ?th
Porcel *
ac Ncme - .. ? , . _ .. ..
; Addross 1 ?12 .
? !`:w. '3• 5r . DL..-- 544-73?'3
, g N? -
?
?u Addrass
?- ?-?...
Erect 0
/11ter 0
Repair 0
Enlorfle ?
Move ?
Demalish ?
Grode ?
Assessment _
Water 8 Sew.
Police
Fira
Eny.
Planner
Countii
Bldq. Off. _
APC
I hereby ocknowledge thut I huve read this opplication and stote thct
the informution is correct ond ogree to comply with oll opplicoble
Stota of Minnesoto Statutes and City of Eogcn Ordinonces.
Siynoture of Permittee
• -. :,-
ll Buildfng Per?nit is issued M: ,
all worlc shall be done in occordonte wlth oll opplitable State of Mir
Buildinp pfficiol
ond
-, 14
Octupancy
Zoninp
Ffre Zone
,
Type of Const.
# $tories
Length
Depth Sq. Ft.
Fees
Permit
Surcha rfle
Plon check
SAC
Woter Conn.
Water Meter
Rood Unit
Total - ?
_ on the exprzss conditlon thnt
City of Ecyon Ordir?onus.
Permit No. Pormit Holder Misc. Permit No. Holder
Plumbin9
H.V.A.C. wE.t ??
Weil
Wmr
Disp.
Sswer
Electric
Inapection Dete Insp. Other
Footinys
Foundation
Frsminq
Rouqh Plbq. _. . l.JJI d - .i -SI ?r
Rouqh HVAC
Inwlation
Final Plby.
Final HVAC ? i, '• *?
Final ,-
Water EWwibs Location: •
YYsll
Sevier ,
Pr. Disp.
, CITY OF EAGAN
. ' ' 3795 PYef Kwob Roed Ea,an, MN 55112
PHONE: 454-8100
BUILDING PERMIT
Slte /lddrcu
Lot Block Sec/Sub. Pcrcel #
ac I Name
W
; Address iloG '!', ] ('i'o863`Ct??'
b
o Name
-
?? Address
?- rj*,,
Ncme _
Address
I hereby acknowledge fhot I have reod fhis opplicotion ond state that
the informotion is correct and agree to comply with oll opplicable
Stote of Minnesota Stotutes and City of Eogon Ordinonces.
Receipt #
Erect ? Occuponcy
/11ter ? Zoninp
Repair ? Fire Zone
Enlorfle p Type of Const.
Move ? # Stories
QemoHsh
Grode ?
fl Length
Depth Sa. Ft.
/lssessment
Water & Sew.
Police
Firo
Enp.
Plonner
Council
Bldg. Off.
APC
Permif
Plan check ' ' 2 _,
SAC '
Water Conn.
Woter AAeter
Road Unit
Totol
Siqnoture of Permittee ?
/1 Building Pertnit is issued to: on the express tonditlon thn?
oll work shall be done in occordonce with oll opplicable State oF Minnesoto Statutes and City of Eopon Ordinances.
Bulldinp Official
Permit No. Permit Holdsr Misc. Permit No. Halder
Plumbiny ?t L- ? UAA /0-1l0
H.V.A.C. ff-77-25
Wdl
Water
Disp.
S?wer
EleM??c -1-7 $1 q -61
Inapection Dm Insp. Other
Foot,ng•
Foundatfon
Frsminp
Rouph Plba
s- Qf
w H ? c
/O
Rouqh HVA
Inwlation
Final Plbg.
Final HVAC ?
Final ? ? •
Watar Wtcriha Loestion:
YYell
Sawsr _
Pr. Disp.
i
. CITY OF EAGAN
.`3830 Pilot Knob Road, P.O. Box 21-198, Eagan, MN 55121
? PH ON E: 454-8100
BUILD60 PERMIT Receipt#
To be used for Est Value Date '- ' ,19 L•
Site Address 17 r`,`i '.'_,` ' . L's
Lot Block Sec/Sub.
Parcel No.
c Name
3 Address 2 7ti,.: ;;oY'.' , i S)Iv I,!'i
° City Phone 451- `
. o Name . ',.?
? ` Address
? City Phone
?
yVj W
W
Name
F
_ z. Address
` W City Phone
I hereby acknowledge that I have read this appiication and state that the
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee _
A Building Permit is issued to:__-` ' L' ?
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building dfficial-
OFFIC E USE ONLY
On Site Sewage Occupancy
MWCC System Zoning
On Site Well (Actual) Const
City Water (Allowable)
PRV Required # of Stories
Booster Pump Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES 1
Engr./Assess. Permit 0 ?
Planner Surcharge
Council Plan Review
Bldg. Off. SAC. City
Variance SAC, MWCC
Water Conn.
Water Meter
Road Unit '
Treatment P1
Parks i .60
TOTAL ??
Psrmit No. Parmit Holder Date Telephone #
Plumbing
H.V.A.C.
Electric
Softener
Inspactfon Dats Insp. COmments
Footings I
Footings II
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Pibg.
Bidg. Final
Cert. Occ.
Temp. LP
Deck Ftg. ?
Deck Final ?'"(„
Well
Pr. Disp.
cirY oF EAGAN
3795 Pilot Ksob Raed Ea9on, MN 55122
PHONE: 454-8100
BUILDING PERMIT Reteipt #
Te M wwd Fer Est. Value Date , 19
Slte /4ddreu Erect E] Octupanty
Lot Blxk Sec/Sub. Alter ? Zoning
parul Repolr p Fire Zone
T
Enlorpe ? ype of Const.
W Na^'e Move
D
?t Stories
; Addross Demolish p Length
b rcn, . ? v?.,.... Grade ? Depth Sca. Ft.
,o Name
?
ou Addre;
?- ri.,,
Nome _
/lddress
I hereby acknowledge that I have ?ead this application and stote thot
the inlormotion is correct ond agree to comply with oll oppliccble
Stcte of Mlinnesota Stotutes and City ot Eogon Ordinonces.
Sipnoture of Pertnittee
Assessment _
Water 8 Sew.
Police
Firs
Enp.
Plonner
Courx{I
Bldg. Off. _
APC
Pe?mit
Surchnrge
Plon check
S/1C
Water Conn.
Waiter Meter
Road Unit
Totol -
?
A Buildin9 Permit Is issued to: - on tha express condition lhat
oll work shall be done in xcordonce with all opplicable State of Minnesota Statutes and City of Eapon Ordinances.
Buildinp Offitiol
Pormit Na. Permit Holdsr Misc. Permit No. Holder
Plumbinq as$^ ?
H.V.A.C. .Z? v?
Well
Wat?r
Disp.
Seuwr
r
Elsctrie -t'77 37q IZ -Q `-?
Inapsetion Dete Insp. Other
Footingt Q?-ip_s
Foundation
Freminy ?_?/
Rouyh Plbp. -/
Rou? HVA
Inwlation ? - ?
Final Plhp,
Final HVAC - -
Final
Wour Dsseribe Location:
Wsll
Sswwr
Pr. Disp.
Receipt MECHANICAL PERMIT Permi t No.
CITY OF EAGAN
Fee
? FiII in numbered spaces S/C
' TYpe or Prin[ legib/y Tot
1. Date 11- 3-? 1 2, Installation Cost, '' `'?•`'
3. Job Address Lot Blk. Tract '
4. Owner
oMIx THDMI'sox xoW-S
5. Contractor ? - Phone ; .'.5-686r
6. Address
7. City State • Zip = )407
8. Building Type: Residential 13 Commercial ? Institutional ?
9. Work Description: New ? Add ? Alier ? Repair O
10. Descri6e= . - - 1 Fuel Type
I 11.
Na,
? Eauinment BTU - M. Ea.
Forced Air No. Eouinment CFM
Ai
Handli
:
Mfg, r
ng
Boilers
Mfg, Mech. Exhaust
Unit Heater
Mfg. Other
' Air Cond.
Mfg.
1 Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100
Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN
I Fee
f Ffll in numbered spaces S/C ? Type or Prini /egibly
Tot
..:
1. Date ' 1? ?-' -'- • 2. Installation Cost
i . '',n.:.• .
? 3. Job Address 179O (,;vin_'ton Lot Blk. Tract
4. Owner '
5. Contractor Phone P25-6e67
6. Address /.F137 ChiC:xm ?.vc. c,
7. City . State 1 " ziP 554c'
8. Building Type: Residential Q Commercial O Institutional O
9. Work Description: New Q Add O Alter ? Repair O
` 10. Describe fuel TYpe
1 11•
No.
? Equipment STU • M. Ea.
Forced Air No. Enuiament CFM
Ai
H
dli
Mfg. ng:
r
an
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
-L Air Cond. l >n, i?_.V?()(':
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : ? for
Rough Final
Inspections: Date Insp. Dete Insp.
This is your permit when numbered and approved.
Approved CITY QF EAGAN 454-$100
Receipt
MECHANICAL PERMIT
CITY OF EAGAN
Permit No.
Fee
FHl in numbered Veces S/C
Type or Print legiWy Tot. `` -
. ?.
1. Date 2. Installation Cost "? ?" ?^?`' • ,
?
3. Job Address ?Oviri ?:?•S? Lot Blk. Tract
4. Owner ?SN THOMF':iON H0?t1j
5. Contractor - Phonen
6. Address
7. City State Zip
8. Building Type: Residential Cl Commercial ? Institutional O
9. Work Description: New 0 Add ? Alier ? Repair ?
10. Describe 'Fuel Type - ,
1 11.
No.
? Eauioment 9TU - M. Ea.
Forced Air No. Equiqment CFM
Ai
H
dli
Mfg. r
ng:
an
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
? Air Cond. `?`'• 1? ??''?)l'
Mfg.
? Gas, Piping Outleu
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY QF EAGAN 454-8100
Receipt Yl MECHANICAL PERMIT Permit No.
CITY OF EAGAN •
Fee
Fill in numbered spacea S/C
Type or Print /egib/y Tot.
1. Date 2, Installation Cost 16O(D.O('
3. Job Address 1194 'r'"v' l1' ' Lot? l ? Blk. . Tract
4. Owner ,
5. Contractor _ . _ , • Phone
6. Address ?{
7. City j"11'1
- ' State ?? • zip 55r4)7
$. Building Type: Residential ED Commercial ? Institutional ?
9. Work Description: New Q Add ? Alier 13 Repair ?
I 10. Describe Fuel Type . a
1 11•
No.
1 Equinment BTU - M. Ea.
Forced Air OCG No. Equipment CFM
Ai
dli
:
H
Mfg. r
an
ng
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
I AirCond.,iec. lt"GC;
Mfg.
1 Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and 1 agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Finel
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
?
Receipt
. rr_ r r ry I
PLUMBING PERMIT Permit No.
CITY OF EAGAN
Fee ?
Fill in numbered spaces S/C '
Type or Print /egibly
Tot.
1. Date 2. Installation Cost
?
3. Job Address,/2°,?" ?-tot - Blk. ? Tract--??,
?-?
4. Owner
5. Contractor ? Phone ! •,
6. Address ( < /n -1 _ (
7. City State /L j ii ) Zip
8. Building Type: Residential ?L Commercial ? Institutional O
8. Work Description: New El Add ? Alter ? Repair ?
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
Cess
l/D
i
fi
ld
Bath tubs ra
poo
n
e
T
Se
ti
k
Lavatory p
c
an
Softner
Shower Well
? Kitchen Sink
Urinal/Bidet Other
Laundry Tray
i
-? Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed: " for -
i c
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt PLUMBING PERMIT Permit No.
CITY OF EAGAN
Fes
Fill in numbered speces S/C •
Type ar Prin[ legib/y Tot. ` -,'
1. Date 2. Installation Cost
,
3. Job Address Lot Bik. ' yJ Tract
L .
4. Owner
5.
Phone -f ' " / ,% ' /
?
6. Address Y / 1,' - ? l 60 /: - , f: / i<< 1. (
7. City .>,L `i State A 1 il l• Zip r v? .(...;.
8. Building Type: Residential ?$ Commercial O Institutional ?
9. Work Description: New 0 Add ? Alter D Repair ?
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
Cess
ool/Drainfield
Bath tubs p
Septic Tank
_ Lavatory Softner
Sh0wer Wel I
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. 1 hereby certify tfiat the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for - , .
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-6100
Receipt
?
J ' 1\?
PWMBING PERMtT Permit No. - •
CITY OF EAGAN i -
Fee
Fill in numbered spaces S/C
Type or Prinr /egibly ,
Tot.
1. Date 2. Installation Cost
3. Job Address LotBlk. ? -1 Tract ` -?
4. Owner
?
5. Contractor Phone '
6. Address ej
7. City ?? - State Zip
8. Building Type: Residential ? Commercial O Institutional ?
9. Work Description: New ? Add ?
1 10. Describe
1 11.
Alter ? Repair O
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs $eptic 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 Finel
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt PLUMBING PERMIT Permit No.
CITY OF EAGAN •
Fee '
Fi!l in numbered spaces S/C
Type or Print legibly -
Tot.
1. Date?' "AG'- 2. Installation Cost
3. Job Address i i.?. ?'?. = Lot 1 Blk. Tract ,? •
4. Owner ?,, ??? ? 7 tl v?•?i?j c ?[J
5. Contractor • , ; ??„1 Phone ? I z-'
6. Address
7. City State Zip
8. Building Type: Residential ID-- Commercial ? Institutional ?
9. Work Description: New ??,: '' Add ? Alter ? Repair ?
10. Describe
11.
No, Fixtures
Water Closet No. fixtures
Ce
l/D
i
fi
ld
? Bath tubs sspoo
ra
n
e
Septic Tank
Lavatory f
S
Shower tner
o
Well
f Kitchen Sink
Urinal/Bidet Oth
Laundry Tray er
? Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certity that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work,
Signed : for -
?.
Rough Final
Inspections: aate Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY QF EAGAN 454-8100
,
Receipt ,- { ' ! -`
PERMIT Permit No. .??
iAGAN Fee ,?.
?red spaces S/C ? 'r iegioiy I Tot.
n Cost
_-Blk. J ? Tract
T
FiII in nc
TYpe or
1. Date 2.
3. Job Address ?
4. Owner
5. Contractor
_ Phone
6. Address
7. City State Zip 8. Building Type: Residential El Commercial ? Institutional ?
9. Work Description: New ? Add ? Alter ? Repair O
10. Describe
11.
No• Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Se
tic Tank
Lavatory p
Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
---
Slop Sink
Gas Piping Outlets -
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Recaipt -' PWMBING PERMIT Permit No.
CITY OF EAGAN .
• Fee
Fill in numbered spaces S/C i,
Type or Print /egibty Tot. '
?-
1. Date - G e'1 2, Installation Cost
3. Job Address ? LotBik. Tract
4. Owner
5. Contractor l?-'&:A /'-`/ ?'1[LJ Phone
6. Address % ?/ ? ?? ; c. • ?. C i ?+'? , (? ? ? ?
7. City ovr•?~t State ! i l1?) Zip '
8. Building Type: Residential 6' Commercial ? Institutional ?
9. Work Description: New CQ Add O Alter O Repair ?
10. Describe
11.
No.
- Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
? Bath tubs Septic Tank
em.? Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
? Laundry Tray
? Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Final
Inspections: Date Insp. Date lnsp.
This is your permit when numbered and approved.
Approved -- ? C1TY OF EAGAN
454-8100
CITY OF EAGAN Remarks
Addition Ridgecliffe 5th Addn. Loc 3 Rik 14 Parcel 10 63984 030 14
Owner Street 1788 Covington Lane state Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
, STREETSURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK Tr • 19$2 98.12 S 98.12
SEWERLATERAL 19$2 652.71
WATERMAIN
WATERLATERAL 1982 630.40 5 630.40 12-23-81
WATER AREA 1982 9$.12 5 9
Services 1982 637.75 5
STORM 5EW TRK 1982 259.49 5 259.49 C007616 1- -81
STaRM SEW LAT
CURB & GUTTER .
510EWALK
S7REET LIGHT
Road Unit 185.00 26577 9-2-41
WATER CONN. 335.00 ?f "
SUILDING PER.
sAC 525.00
PARK
CITY OF EAGAN Remarks
a,eaicio, Ridgecliffe Sth Addn. Lot 2 Bik ] 4 Parcel 10 63984 020 14
Owne.?,`iUii1?i-?• rl Tb YYIl Street 1161? 5tate
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF,
STREET RESTOF.
GRADING
SANSEWTRUNK ji-V 1982 98.12 5 98.12 C007616 12-23-81
SfWER LATERAL 1982 652.71 Z 1
WATERMAIN
WATERLATERAL 1982 630.40 5 630.40 C007616 12-23-81
WATER AREA 1982 98.12 S 98.12 C007616 12-23-81
1982 637.75 5 637.75 C007616 12- -8
STDRM $EW TRK 1982 259.49 5 259.49 C007616 12-23-81
STOfiM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit 185.00 26577 9-2-81
WATER CONN. 335.00 it tr
BUILDING PER. 6$50
s,ac 525.00
PARK
CITY OF EAGAN Fiemarks
Addition R2dgecliffe St h Addn Lot 4 aik 14 parcel 10 63984 040 14
Owner`-?'?`''f l?•` ?'??iP??l, LUpl;A' Screet 1792 Covington Lane State Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 19$2 98 , 12 5 9
SEWERLATERAL 19$2 652.71
WATERMAIN
WATERLATERAL I9$2 630,40
WATER AREA 1982 9g 12
Services 1982 637.75
STORM SEW TRK 1982 259.49 5 259.49
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STFiEET LIGHT
R
? _
WATER CONN, ir 11
BUILDING PER. 6$52
s,ac 525.00
PARK
CITY OF EAGAN Remarks
Addition Ridgecliffe 5th Addri. Lot 1 sik 14 Parcel 10 63984 010 14
Owner?????0 ??? ',' c` C• ?.? street 1794 Covington La71e State Eagan, MN 55122
improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
5AN SEW TRUNK L')O 1982 98,12 5 98.12 C007616 12-23-81
' SEWERLATERAL 1982 652.71 5 652.71 C007616 12-23-81
I
WATERMAIN
WATERLATERAL 1982 639.40 5 630.40 C007616 12-23-81
WATER AREA 1982 98.12 5 98.12 C007616 12-23-81
Services 1982 637,75 5 637.75 C007616 12-23-81
S70RM SEW TRK 1982 259.49 5 259.49 C007616 12-23-81
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit 185.00 26577 9-2-91
WATER CONN, 335.00
BUILdING PER. 6849
sac 525.00
PARK
CITY OF EAGAN
8795 Pilat Knob Read
Eogan. MN 55122
Zoning: Owner: • '" m 'iliomPse
Address:
Site Address: I 'j ? i t t
Plurrber:
9/2. 51 2F$77
SEINER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units: "
I oqrea M compfy wlth !fie Cify of Eagan Connection Charge:
Oeainancos. Account Deposit: _
Permit Fee.
Surcharge:
By Misc. Charges: -
Date of Insp.: Total:
I nsp.: Dsate Pafd:
..,.. . ...,
425.0C?
pF EAGAN WATER SERVICE PERMIT
Pilat Keob Road PERMIT Np.:
, MM 55122 DATE:
No. of Units:
a:
aaress:
te Address• 1794 ('ovin?°rniz L,.,: L1 z'..14
lumber: . '? `'`?'! •"
leter No.: Connection Charge: - - -
i.ce: AcoouM Deposit:
eoder No.: Permit Fee:
agree to eomply w" lha Ciqr of Eagan Surcharge:
irdinaneas. Misc. Chorges:
Totol:
y Dcte Paid:
?ate of Insp
: InsP•.
.
CF EAGAN SEWER SERVICE PERMIT
P11ot Kne6 Road PERMIT NO.:
MN 55122 DATE:
i. No. of Units:
Site Address.
Plumber:
.:
I egroe to comply wuh Hhe Gfy ef Eagon Connection Chnrge: -
Ordinoneea. Account Deposit:
Permit Fee:
Surcharpe:
By Misc. Chorges:
Dafe of Insp.: Totol:
CITY Q? EAGAN
3795 Pilot Knob Rood
Eagan, MN 55122
Zoning;
Owner, Mhnm, qon
Address:
Site Address:
Piumber.
Meter Na.:
Size:
Reoder No.:
I ayroe to aomply with the City of Eagan
Ordinoncas.
By
Date of I nsp.:
WATER SERVICE PERMIT
PERMIT NO.:
DATE:
- No. of Units: - ''
7.4 BL!i P.if?s-P-cltf
_ Connettion Chorge:
_ Account Deposit:
_ Permit Fee:
Surchorge:
Misc. Charges:
Total:
_ Data Paid:
_ Insp..
4F EAGAN
Pllot Knob Rood
, MN 55122
Address:
No..
WATER SERVICE PERMIT
PERMI7 NO.:
DATE:
No. of Units:
Connection Chorge:
Account Deposit: _
Permit Fee:
Surchorge:
Misc. Charges: -
Total:
Date Paid:
eoder No.:
a9ree to oomply wifh Fhe Citr of Eagan
OF EAGAN SEWER SERVICE PERMIT
Wlot Knob Road PERMIT NO.:
, MN 55122 DATE;
i: No. of Units: . . ` ?
M eomply with the Gitp of Eagon
Connection Charge:
Account Deposit: _
Permit Fee:
Surcharge:
Mise. Charges: -
Total:
Date Poid:
?
aF EAcaN WATER SERVICE PERMIT
Pilo! Knob Roed PERMIT NO.:
, MN 55122 DATE:
y No. of Units:
No.:
eo oomply with the Cily of Eayan
Cf EAGAN
P11ot Knob Rood
, MN 55122
r:
Mcomplr wMh the City of Eagon
Connection c.harge:
Account Deposlt: _
Permit Fee:
Surcharge:
Misc. Chorges: -
Total:
Date Paid:
SEVUER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units:
Connection Charge:
Acwunt Depcsit;
Pertnit Fee:
Surcharpe:
Misc. Charges:
Total:
Dote Pnid:
6 gWNr
2005 RESIDENTIAL BUILDING PERNIIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Teiephone # (
New Construction Reauirements RemodeVReoair Reauirements Office Use Onlv
3 regislered site surveys showing sq. tt. ot lot, sq. R. of house; and all rooted areas 2 copies of plan Ced of Survey Recd . ._ Y_ N
(20% maximum lot coverage allaved) 7 set of Energy Calculatlons for heated addflions Tree Pres Plan Recd - _ Y• _ N,
2 copies of plan showing beam & window s¢es; poured found design, etc. 1 site survey for addilians 8 decks Ttee Ptes Required Y- . N
1 sel ot Energy Calculations AddiTion - indicate itonsite sepNc system On-stte Septlc Systein •_ Y. _ N
3 copies oi Tree Preservation Plan If lot platted after 711193
Rim Joist Detail Options selecfron sheet (buildingswAh 3 or less units)
Date ? /?/
Site Address 17 9 y pn G
6/J Coostruction Cost JJ 7 ??
y J7 2 U ??Vfl L.rto../ UniUSte tt
Description of Work /?_dPJ ?
MuIH-Family Bldg - Y_ N Fireplace(s) _ 0_ 1 _ 2
PropertyOwner CI.7=6 AS9C. Telephone#((o}2? ?'/Z g52-6
Contractor ? L) fH!/ I jvl Ry'Kud w.,.
Address 1"; L( ?' ?o ? , ? //'? !! ?,f ? /? City 1,( p-S
State I?-' Yv Zip S 63 Telephone #( la 7 MLS
9// 3
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residentiai Ventiiation Catagory 1 Worksheet • New Energy Code Worksheet
(d submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previousiy constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
SeweNWater Contractor
Telephone #(
`g / 7/• 7S__
Telephone #( ?
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a 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.
!J 04v/ i-
Applicant's Printed Name Applicant' Sig ature
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
U3L-1' CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
oate 1) / 1 / b`f
-
Site Street Address 17 v Co
V 1 W' Unit #
Property Owner (YOT t' Telephone # (b51 )
Contractor I-& I
v?lOCKS Telepnone# (?I ) 34oc? 13`I0
il2
?
Address ?0 u City ?CL l.t,Y) State?V)(?[ Zip Qs1a3
Ctd
The Appiicant is: _ Owner ? Contractor _Other
Alterations to existing dwelling $ 50.00
_Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
_ Water Turnaround (add $121.00 if a 5/8" meter is required)
Other:
Water Softener k Water Heater $ 15.00
? replacement _ additional
_ Lawn Irrigation System RPZ_ new _ repa?' _rebuild $ 30.00
State Surcharge $ 50
CP 0
?
\ 15. 5?
Total
o $
?
I hereby apply for a Residential Plumbing Permit\and ?@c wledge that the information is complete
and accurate; that the work will be in conformance-wifh the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
l?rl 5 0l?, D?-??
ApplicanYs Printed Name Applican s Signature
1,5. 50
(4! MECHANICAL (RESIDENTIAL)
Permit Applica6on
. City Of Eagan
i 3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for: Single Family Dwellittgs
Townhomes and Condos when pemrits aze requ'ved for each uni[
Date os
Site Address l?? 0 Wirijh:)n IA. Unit #
Property Owuer VVU / I I Qi GDf?- Telephone # ( br)
?
?'?
?
?
!
Contrac[or
fl.
N?
?10
`1? V
Ad
?`? ?' rW m
e
•
Street
dress
J • City Vvv
State ? vi Zip Telephone # ( ??JJ ) '? Z?- 1 I `h
The Appticant is _ Ocvner t Contractor _ Other '
Ad'd-on, modificatio¢ or alteration to existing dwelling unit
? $ 30.00
_ fumace replacement
airexchanger
air conditioner
X
other
-
?
??- ?
State Surcharge $ .50
?
T $ 3 b. 1;5'
ota
I hereby apply for a Residen6al Mechanical 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 with the Mechazrical Codes; that I understand this is not a
permit, but only an application for a pernut, and work is not to start without a permit; tfiat the work wi11 be in accordance with the
approved plan in the case of work which requires a review and approval of plans.
?l?li2,lS?'l ?S
Applicant's Printed Name ApplicanYs Signatura
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN ?
19
SINGLE FAMILY DWELLINGS
'1 v
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTEs ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER M[JST DESIGNATE 4IHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BQILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL ONITS FOR SALE UNITS # OF UNIT3
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
CONIIMERCIAL
INCLODE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For:?,llG-Cr{ Valuation:Date:U7j6 199z9
Site Address /780' t'?av/NGrok3 1,4+VE
Lot a- Block
Parcel/Sub
Ow-ner
Address
City/Zip Code
Phone
Contraetor Sff1?1?
Address
City/Zip Code
Phone
9rch./Engr.
Address
City/Zip Code
Phone !i
On site sewage_
MWCC system _
On site well
City water _
PRV required _
Booster Pump
APPROVALS
Engr/Assess
Planner
Council
Bldg. Off.
Variance
Oceupancy
Zoning
Actual Const
Allowable
Ir oi stories
Length
Depth
S.F. Total
Footprint S.F.
FEES
Permit Zy, va
Sureharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
ftoad Unit
Treatment P1
Parks
Copies l00
TOTAL
CITY OF EAGAN N_ 15 2 8 3
P.O. Box 21-
- ' 3830 Pilot Knob Road 199, Eagan, MN 55121 '
,
PH O N E: 454-51 00
1?"7'7SI
BUILDING PERMIT Receipt# •
To be used for DECK Est. Value $1 , 000 Date JUNE 29 ,19 8$
1788 COVINGTON LN OFFICE USE ONLY
Site Address On Site Sewage _ Occupancy
Lot 3 Block 14 Sec/Sub. RIDGECLIFFE STH MwCC System - Zonin9
ParcelNO OnSlteWell _ (ACtuapConst
.
Ciry Water _ (AllowaGle)
¢ EDWARD JUND
Name PRV Required - # ot Stories
? Address 1788 COVINGTON LN
soosterPump Len th
-
o City EAGAN Phone 452-9697 peptn
S.F. Total
a
o Name SAME
Footprint S.F.
o Q Address
U
?
City Phone
pppROVALS
FEES
.
24.00
Engr./Assess. Permit 50
Fw Name Planner Surcharge .
i?O Addfess Council Plan Review
aW Gity Phone BIdg.Oif. SAC,City
I hereby acknowled9e that I have read this application and state that the
Variance
SAC, MWCC
information is correct and agree to comply with all applble State of Water Conn.
gan Or an , s.
Minnesota Statutes and City Waler Meter
?
Signature of Permittee ?- Road Unit
A Building Permit is issued to: EDWARD .TUND Treatment P1
ontheexpressconditionthatallworkshallbedoneinaccordancewlthall MM Copi e^3 1 00
applicahle State of Minnesota 5tatutes and City of Eagan Ordinances. TO7AL 25.50
BUllding Offlcial_
,
rR 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EACAN
3830 PILOT KNOB RD - 55122
9 651-881-4875
dew Cmifiucflon ReaWremenfs -Remodel/Reoalr Reauireme?h
* J reylatered flte wrveys Ywwinp sq. fL of lot aq. H. ol house 2 copies ol plan
and garoofetl areas (209t, maxlmum bf coveraae allowe? 1 sel of energy cdeWaMona tor healetl addiHans
> 2 copies of plans (ahow beam R wlndow sizes: poured Ind. deslgn; efc.) 1 atte wrvey lor exlarlw additlons & decks
> 1 aef ol energy calculaNOns
> 3 coples ol hee preservaflon plan H lof plattetl aMer 7/1/93
DATE: 21O tiVE`I Oc'> CONSTRUCTION CO5i: UU O
DESCRIPTION OF WORK: ?tiT??e? pi2- ? T??2tar i nti S - S? o i tiau
STREET ADDRESS: 1-4 Cl 'A C cV 1" I-nTO tJ Ljc? (,-l E-
LOT: BLOCK: tiL-I SUBD./P.I.D. #: i?? OLaE (?+ FF r `'?TH
PROPERTY
OWNER
CONfRACTOR
ARCHIiECT/
ENGINEER
Name: Phone N:
Laet Flrst
Sheet
CNy
State:
Zip:
Company. 'F-UGYLUAn;v?k11. NoM?? tti?c Phone#: (o?_ '4 3S - a14g
(area code)
Sfreet Address: l ?IP. a?'Sr--)LL 914 License It 3cm--A Exp.
CHy 'Pv.? i L-Lx State: ?r..l Zip: 6S33 -4
Comparry:.
Telephone t: ( )
Name:
Sheet Addreas: Regishaflon M. _
CHy Sfate: LP:
Sewerhvater licensed plumber (it installina sewer/watarl: PhonB #- (-.--?
I hereby acknowledge lhat I have read this applicoNon, sfate ihat the infortnation is cortect, and agree fo comply wNh a0 applicable Sfate
?.
of Minnesota Stalutes and CNy ol Eagan Ordinances. 9,4
Signature of
Certificates of Survey Received _ Yes
Tree Preservation Plan Received _ Yes
OFFICE USE ONLY
_ No
_ No - Not
???9 ? d u ??
??? DEC 11 2000 IV?
CITY USE ONLY
PERMIT #: RECEIPT DATE: ?-2_.3 -ol
RSIDENTIAL M$CRA1VICAI. PERMIT lkPPLICATIOft
crrstog EAsm
3830 PnoT [uNos Rn
$AeAPMvbbx$z
651-681-9675
Please complete for. ? single family dwellings
townhomes and condos when permits are required for each unit
Date: C) V \ G ?
?-
SITE ADDRESS:
OWNER NAME \.SLSvA. C`1- TELEPIHONE #: CDS I-qSZ-S.3 Z I
, (AREA CODE)
INSTALLER NAME: PQ?D LaA TELEPHONE #: S 1- 32-7- -9'7Zb
(AREA CODE)
STREET ADDRESS:
CITY: 2?
STATE: ZIP: 55U(a?-0W_CZ5
Plaee a cheek mark nPrt M the nwrmif werk tvea
New residential dwelling unit under constructionand not owner/occupied $ 70.00
Add-on, modification or alteration to existinq dwelling unit
• furnace replacement
• er
ai-
• other
Nature of work: $ 50.00
State Surchar e $ .50
Total $50,50
Reminder: Call for inspections.
%
OF PERMITTEE
Upda[ed t/Ot
TniG?rac,:,, -la i`?9 Lr, B/?/r ?'•c, j
?8 „. o7 h7,k1
30 ?G)CD
2?oto '7
Rrq es? Uate Firo No. Rouuh-i Incpecuon ?( ???ype?_?
Rnqui ed? ?RO:iAY Nowf. Will Notitv
? ? ?r When Reatly
Z-3 ?? ? ?N
gaLicx.nsed Electncal Conlriicmr I herebv request inspaction o1 abuva
wnrk 'uistalled al:
-.-
?
?c Atldress, Box oi Ronta No.
O
???v Ir-
` <A,tl
I191 cOQih?;D
r.euon o. Townshlp Nmme ne No. Rnnqa No. Coant,
? ry
OAIIC-6p
Occu a^?1n.jt^;,I?HHINTt Phauc No.
, 1 11? ?•' ??Y? ?V )
Power $uuplie, Atldress
any Namrzl
m
p
Co
i
EI trical C??r?bactor Lmnnse Nn
r
C ac ?S
V -?
7
n,?
T
?
`
(?'
?'V •t?
??'1 1
! I
Mailinp AdJre,,tis IConVactor or Owner Makinfl Ihsmllationl
CU? fLP.
??Itl ?.
?
Au[horized Sip eWre Convac?or/Owner Mnkin9 Installationl Phonc Numbcr
?J- Ssa>
3
? u ocnnccT wu i mnr
MINNESOTA STATE BOAPD OF ELECTRICITV
Griggs-MidweV Bldg. - Room N-'191
1821 UniversityAVe..SL Paul. MN 55104
Phone (612) 297.2111
BE ACCEPTED BY THE STATE gOARD
UNLESS PROPEF INSPECTION FEE IS
ENCLOSED.
q REQUEST FOR ELECTRICAL INSPECTION EB-00001-03
,,.
? ?,7 Q j? 1' See instructions /or complefin9 lhis torin on back of Vellow copV. ? [yr /L?
, .? v i l(J l? 1
..v• n_r__ .?u__i. I ,.? ?,
.,..,..,,, t Tl.l.. Ra.,ec?
n
Ne ..c
A ? .... . ....................? ...
ulltling ._ .__'__.
Aupliancxs Wire?1
en? Wired
Ranye Service
Dulplex Water Heater ixiures
ing
Dryer
atinc
IV
W
l BIAp. Rirnace der
Bldg. AiY Conditinner
Otner l5pecilv, Tenlc
dlvl
cHyl Otncr COIDpU(B !/]S/1P.CllUR reC DCiuw
s/Subiextlers b Fee Circaits
Fee Service EntrancaSize d Fee Feeder
U.k;? 0[0 100 Am s 0 to 30 Am s V•Q- ? to 30 Am>s
101 To 20uPenPS ?,A 31 t?? 100 Amps 31 to 1 DO Am s
nhnve 200 ? 4mn5 1' Above 100-/>mps _ Above 100_Amps
Sic?ns I!\?-? " I I SPFCial Inspec[io?L TOTAL
? Do? :
?
?. If10 E?flCtIICO?
Inspectoq harabv
?1
?' ? ert' at Me ebove
flnal ?'?'
t
? _ Dte/ ? ? specqon hns been
?
?
? Yj made.
? This rcquest voitl
18 nimiths hem
rnis ieo.est ?oia /Dl-j . L T 1 ?I?i I tO,G0
18 nwnths oom ? -71 ? 56996
......ss
p„n1 Fire No. ReV9nred>?nsVaction ?Re1dy NowIIZI Will Noti}y Insne?'?-
? Z? -?` ?Ves o {mr When Readv
I?? Liceosed Elecuical Cuntrrnor . I hereby request inspection af ebove
?_ ulo?triral wnrk installee 9t
Sveet AAdress, Rox or flouie No.
i ? ? ? G' ?-;?---- ?__.._._w?,_ • CitY
?13?A1?
.unn o. . TownsM1ip Namn or N.. Renge Nn. ???"t
bmtr- k
-_`
OccuVanµ T?
Phune No.
??
aa••
POwer? Supplier Addoess
Eler ncal Convxc?or (C....many Name) Cu na 1nr s.License'Nn.
?3°t5zs-z
?
?
=rr2-t`
E?..
.Malline AdJress IConuac[or or Owner Making inswllatioN '
41 ) a . C.ufl` AG
AuMo,izetl Signntu (Co ractodOwner Makinq Installationl ?? Mp^`toe? '-
no
'.M/tlNESOTA STATE BOAIID OF ELECTIIIdTV_ -'' -. {E. ACCEPTlD BY TNE lTATE BOAIID
-- Oriyps-Midrer gIA,: - Ilao- N-197 UNLESS PHOPEH INSI'ECTION FEE. IS 1821 UniversitvAve..SLPauCMN 55104 ENClOSED. -
Phone 16121 297-2111 REQUEST FOR ELECTRICAL INSPECTION „-,;, ee-ooooi-os
G? ?
n9 -6' See inshuctlons im complebn9 t??IS iorm nn back of Yelluw cnOV.
J
"X"' 8elow Work, Cnvered Gy Thrs Reyuest ????P 9(
Nev. Add HeO. TYPe Of 9uiltling AppliaOCes Wired Equippl¢nl Wfr¢tl
Home Range Temporary ServiCe
Duplex Water Heater Llghtinp Fixrures
_ ApL Buildlng Dryer Hectric Hoatin
Commercial Bldg. Fumace Silo lJnloader
IndustrlAl 3419. Air Condi[ioner Bulk Mllk Tanl<
Farm Uini.r sp.,':ft o?hcr ISUe,ov?
t7inr ISVOCl4v 0[nm Oiner
LOO)OlliE l/ISOP171101l YP.F HBIOW
0 Fee Service EnVanceSize tt Fee Faeaera/Subfoetlers 11 Fvrt Circui[s
r" - , 0 to 100'qjn SV? 0 to 30 Am ps 0 tn 30 Am s
}101 to?20Qlqifips J ? 31 to 100 Amps 31 to 100 Am s
r Ab ` 2O 1,m s Above 100_Amps Above 100-Arnps
T nstortners Hemote Control Circ. ._SO Partial.'Othcr Fee
Signs Special Inspection g TOTAL FEE L
.
Rertiaiks O
Roueh.in he Electrical
pBC10I, h2fP.by
tify that the ahove
Final *'ita nspeeticin
ha5 been
de-
Fnis raquest vold
1N...-i6, M1-
C?5 5 7
Requesl ?ate ire No. Rough- Inpsa ReQUiretl
?VOUmu
sical
Speclorwhenready) InsOection Othar Than Roughln
Q qeatlyNOw ? WiIlNOlllylnspector
? eS
?
?,. Na DetB Reatl
I? licensed contractor ? owner hereby request inspection of above electrical work at:
JaD AOtlress (SVeeL Box or R
o
ule No.) Ciy
1
/
?
- ?? \• p\ . L-G?- LC-I
Section Na 70wns7ip Name or No. Range No. n
ry V
Cou
d
\
Occupan
ll
PRI
NT; Phone No-
/
?
,
y
d??la?lr'. _ ?C'YY?--r..pc:?.•
Pow
er 6uppii
er Atlaress
?
/
""
.Vt !'T
Elecmcal Comractor ICOmOany Namei Comradors License Na.
C.FD2Y1& N 07EC_ iZi _ 01eC3?8c?`
Mailing qtltlress
Convacmr or Owner Making Insiailailon,
I
?
!
?C`S'i i'k \ ?' `_J-?I.VC?
P.umonz ignaWra IConnactp^oviner king Insallation) ' Pnone NumOer
??C11 ?wvA `1?3-i13?
MINNESOTA STATE BOAR4E E&CTHICITV ?,/? THIS INSPECTION REOUEST W ILL NOT
Grigga-Mitlwey Bltlg. - Room S-173 /v BE ACCEPTED BY THE STATE BOARD
1821 Universlly Ave., SL Paul, MN 55106 UNLE55 PROPER INSPECTION FEE IS
Ptrom (614) 8424900 ENGLOSED.
REOUEST POR ELECTRICAL INSPECTION ea-oooo, -o
? See Instmctions tcr completing this form on back oi yellaw coOY - ?
sa
"X" Below Work Covered by This Request
? 50567
ew ,-P;d Rep. TypeolBuilding AppliancesWired EquipmenlWired
Home Range Temporary Service
Duplex Wa[er Heater Electric Heating
Apt 8uilding Dryer Load Management
Comm /industrial Furnace Other (SpeCify)
Farm Air Conditioner
Omer,sVecifyi Comractor's Remarcs'
0. ?? `j-')IfVIL.
Compute Inspection Fee Below:
# Other Fee # ServiceEmranceSire Fee # Cimuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Translormers Above 200 _ Amps A6ove 100 _ Amps
SignS , mspector§ Use Oniy. TOTAL
Irrigation Booms
T
Special Inspection , i
Z
Alarm/Communication ERE
D-WSCONNECTED
THIS INSTALLATION MAV BE 0 IF NOT
O?her Fee . d COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
h
i
th
l
b Rouyo-ir. /; - c Date
e a
ove
a
nspection has
o m
ade
bee
OfFICE IlSE ONLY
This re0uesl voitl 18 months Irom
Th.„c4m.,t "„in
?18 monolS im?n ?? ?
71 900 Z$
ft??n?iest lJnte Frte No. ?r°u?rc?1>IO'?Uecbun DfloadY Now ArmWill NotifY. InsPer
N ReaJy
?u r When
Lli.ensed ElerJric:il Cnnvnctor I heroby rnquest insoection ol above
nio?tncal wnrk inslallaA a1:
V?et AtlJress, Box o, Rouje No.
mZ C-3 t) will?+?r? Citv
Chb m
eclmn n. Tawnship N2mn oe No. Nanyrz No. C;uuolv
Occu ? INRINTI
i 1?MPs?r
i
??M?-s Fhone No.
r
iiI
Puwe Suppl7er AtlArN ?
E?Incal Con[rnctor IGompnny Namel
" Co rruatnrs licensn No.
S35SLS -Z
.?-- ?.E:cs
P-?L
Maillnp AdJress (CnnVactor or Owner Making Instailntion)
Iy 11 (:Lift" P-0
Authnrizxtl S nntu e(ConvactodOwner M2king Installallonl Phone Number
MINNESOTA STATE BOARD OFELEGTRICITY
GrigBS-MiAway Bldg. - poom N-191
1821 UniversiiV Ave.. St. Peul, MN 55104
Phone 1612) 297.2111
iu .................?..?__. ...__ __-
BE ACCEPTED BY THE STATE BOARD
UNLESS PFUPEF INSPECTION FEE IS
ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ee-oouui-ua
4 % 79 O n' See instrucliuns tur cumpleting this tunn on back at ynllow eopV. .
d t U
"X" Belnw Wnrk Covered bv 7his Reauest
Ne Add Rep. Type o( Builtlinp Appliances W?red Equipment WiraA
Home Range Temporary Servlce
Uuplex Water He?rter Lic?htiny Fixtures
Apt. Bu{Idinq Dryer Elecinc Heatin
Commercial Bldy. Furnece Silo Unloader
Indus[rial 81Ag. Air Conditioner Bulk Milk Tank
FElnl Ollu:r ISpn,:iYy OIhCr ISVeciiyl
iher Suacily Qthq? Othei
7 Fee Service EntranceSize 3 Fa.e FeedersBubfeeders ? Fee Circuits
2o 10 0 Amps
107 to 209 ql 0 to 30 Amps'
31 to 100 Amps ,? (1 to 30 Am?s
31 to 10Q Am s
Above 200.?..•Arti> Above 100_Amps A6ove 1 W_Am?s
(?. ATran's'ibfm?rs: ?.-?! Remotc Control Circ . J Partinl-Oth
`ti Signs^iJl/ Special Inspection )L,,l
y.3'
•• TOTALF ??
Rennrks ? ._. .. . 7
,
ROVqh-In
fJ-JL..rT (J:iIO [ 1. IhB Elecifltdl
?? ?7
Insuector, heneby
certify that the rihove
FIn21 InspeCti n hys been
" 7 . _ .
.
'
'
i ;?
- .
.
,•
? ,
; Thie repuasi vaitl
1R months hnm
rhi. ,e4,,,,st vo,d jz( k [_.3 , 3l yi 3a ; on
?8 niunths ;r ?.oo ? ?
77 o (a ?
Request pate Fire No. ?ouyh-in InspoaLnn - iune<I? E]BoaAY NowJKWill Notily,InSP??i-
??-?-?? ?NO tor When NeatlY
.icenSeA Eleclrical Contrac[or I M1ereFY reyuest ins0ectlon ol above
M llw„?, elecvical wnrk installed at'.
- e[AAdress, Floc or Route No.
1-ISS$ C0l!?Nt;T0(-1 UkNct Ciiv
010-Af`1
ecuo?? o. iownyhlu Name or No. Rt3nee Nu. C<u tY y ?
? ?
Occu(P?FIN•I1I
li Phonc No.
Power_$upp I i er
?'tcf Atldress?gp??
1 f`P'?-N I? brorii]
Nh,c c.Lil Con(r.irG.tor IComDanY Namel
? G. }N,v7acptnr's l_ICCnae Nn.
5 Z5-Z
1.1.1. Ll.e(:ir(?.i.l. '
+? J ?
Mailin8.4dJress ICOntractor or Owner Makinp Installation)
l?tl ?, CLti?- ?.
Authori>eA Siynastu ICo travtor/Owncr Making Installation) Phune Nwn?er
SruS
MINNESOTA STATE BOARD OF ELECTflICITV
Griggs-Midway Bldg. - Ronm N-191
1821 UnivarsitV Ave., St Paul, MN 55104
Phone 16121 2972111
.
BE ACCEPTEDeY THE STATE•BOARO
UNLESS PFOPEF INSPECTION FEE IS
ENCLOSED.
EB-G0001-03
REQUEST FOR ELECTRICAL INSPECTION ?.?w
? :.
%7 89 See insvoctlons fnr comoleiing tMia torm un back of Vellow copv. J? ...... ..? . .. _J L.. Tl.:n Pn?iuaH V?
/? OC
Ne AAd /UW Y
Rev. 4'l.l.VVCic.u uy ..
Tvoe of 9ailtlin9
Home ..a ....y...._.
Eq
AOPliancfls Wired uipment Wir?tl
Runge Ternporary Service
Duplex
Water Heater
Liyhtinr{ Flxtures
Apt. Buildiny
Dryer
Electric Hea[in
Commercial Bldy. Furn2ce Silo Unloader
IndusV?a? 6?d9? Air Condltlonei Hulk Milk Tanlc
OfhFr l Gnc??Y,o Olhei IS?ed1V)
Fdflil
l
ther lSGecilYl
Othai
Othni
?ute ins pectinn Fee Below
Fee ServiceEnhanceSiEe 4 Fae
FexAms/SunSeeders
N
Fee
Circul[s
0 to 100 Am
s 0 to 3f? Am )s 0 to 30 Am -s
.
101 to 200 Amps , 31 to 100 /?mps 31 m t0U Amps
lQmps
Above 200
- Above 100-nmps Above 700-Amp?
`
,
_
Trans-foCnier$ \ \ 1
Remote Control Circ.
5
.?
Other Fee
Partial.
??.SignS`?.,`, SUecialinspec:tion S-7nf?V TOTALF ?
i ks
I, Ihe Elacvical
ectuq heInb
InsV
re,
,
? ll Lh b v
l
1 q Daic inspeot?nn haa beee
nwd-
fhis rrquest vnid
18 1 onths ham
Tn,z ?eane1i ?', a *6,
'°, 0
18 months from a?? y`
7 77899
Rf:quc+o Datc
Flee No.
R q[utbeetj nspecuen
` a-n
?ReaAV Nowipy
?
N.•ill Nn?ily. inspec-
17
M J ,?g;
. pN ? «orWhenHeaJY
?L.ICensEd EIQCVical CuntraClo1 1 hernbY nP9.est in sPection ut flboee
? Ownei eleetrieal work instal104 et:
----•?t AAdreGss, Box /or Rto1u?mt Nn. ? /???
ll?V1{`?VT6N ?lw"V CiN
?
No. I Rl N I C?n.,n1
Phone No.
OcwGa?ntp I?PRINTI
-
Pow(gr Suulier Atltlr;? {t?" ?(?I--/,?W I
I?i 1'Q ?Z •Y v1?+'
Eln incal GnnV(ra,cm&r (Go?rtip}nn?v Nsimel
"""??~I ?'
ntrar.tur r Jwner Mzkin1j Installationl
Malling AAJross lCo
1
Aulhorized S'?g?n u e I ?nttactur?Owner Makin? Inswlla?ion) Pha^e Numbel
1?9z ,.55Q5
THIS INSPECTION flEQUEST WILL NOT
MINNESOTA STATE BOARD OF ELECTflICITY gE ACCEPTEU gY THE STATE BOARD
Griggs-MidwaV Bltl9. - Noom N-191 UNLE55 PNOPER INSPECTION FEE IS
1821 Unlvarsity Ave.. SL Pnul. MN 55104 ENCLOSED.
Phona (6121 297-2111
?^ EB-OO?C1-03
9EQUEST FOR ELECTRICAL iNSPECTION „
?i ? 7 g 9 g? See inshuctiuns br coniuleting UiIS torm on back ot Yellow copV lxy C/ -?
? 0.... .aC '/ ?L?
n
New UC
Add IVVV 1
Rep. 1VI1 1vvc11u +y ••."'?y"?-'
1yaP ot auildine Anniinnces wi.ea Equinment Wired
?
Home Ranye Temparary Servme
_ Duplex Water Heater Lic 1htin9 Fixtures
Apt Buildiny Dryer Eler.tric Heatin
Ctimmerr.ial Bldg. Rirnace Silo Unlnader
InduStrlal Bldg. Air ConditionPr Bulk Milk Tank
O[harlSPI:1:1FY OHter (SPllrlty)
Farm
ih?r Sneniv
Othcr
Other
LO!! I)IU(C rnJ /?C?.????n i cc uc,v•.
tranceSize
k
ien
FaeAersiSubieeders
tl
Fere -
Circuits
s
Am ?
0 to 30 Am ?5
•?
??n 30 Am )s
0 Anips 31 to 100 Amps 31 ta 160 Ain s
00
Amps
M Above 100-Amps Ahove 100_?^'PS
_
ers\ HemoteControlCirc. a
Parti26Oth
? } ? Special InsPealon TOTAL J0
. ?
?'
Ullte
Elecvlcal
?
, e?eby
Inspeclor h
certity that the ahpve .
Flnal Ume
4- ins ectian has been
dc.
Thie reuuest vuld
18 manths fwm
cirr oF eacaN
9795 Vllef Knob Rmd Eagon, MN 55121
vHONEt ass-eioo
BUILDING PERMIT Receipt #
T. L. d..a fe. 1 of 4 PLEX 11139,900 n,..e `
$it! AddrlSS "7`r W ?+ll? Yvii uaarv %mvuci iv> j
Lar 1 ei«k14 see/sub. Ridgeeliffe 5th
parcet # 10 63984 O10 14
a I Name va-i-iu utwuyavu rnVwea
2
? Addrcss 1712cHopkins Crossroad
?K? _ I I A9f?1
p Name OWiler
?
Address "
oL,."
Nome _
Addrev
1 hereby ocknowledqa thot I hove read this appiicotion and state thot
the informolion is correct nnd ogree to wmply wlth oll opplicable
Stote of Minnesota Stalutes and City of Eagan Ordinonces.
Sipneture of Permittee
A Building Pertnil Is Issued to: OrTin
oll work sholl be done in uccordance with oll
8uildinp Officiat
of
CITY OF EAGAN
N° 6849
w1roS '7 ?
2 1 y 81
Erect Occupancy R'-3
-
Alter ? Zoning ?
Repnir ? Fire Zone NA
Enlarge ? Type of Const. Vn
Move ? .{k Stories
Demolish ? Length 2c)
Grade ? Depth LO Sq. Ft.-
Avvrorols Faes
Assessment _
Water 8 Sew.
Police -
Fire
Enp.
Plonner -
Countil _-
Bldg. Off. -
APC
BUIIDINC PERMIT APPLICATION
Permit L 38.UV
Surchorge 20.00
Plan check 119.00
SnC 525_00
Woter Conn335-0D--
Water Meter 60..-?-
Road Unif IR5 nn
roeai $3482_nn
_ on tM express condition Ihm
Gty of Eogon Ordirwntea.
Include 2 sets of plans,
1 site plan w/elevations b
1 set of erergy calculations.
'Ib Be Used For ?- Valuation?Vq qpp ..Oa Date
site Pddress: 1`7 q ,4 Cov i nt ?TObA L n?JC lo(,)'e`) OFFICE USEn ONLY
--
Sec./Sub.
Bloclc I/A
I,ot I Erect V Occupancy
_
Parcel #= 10 _
r? FlPtN
? 3-l ?? D(0 j _
??r Zoning
0.
gepair Fire Zone
Enlarge '? of Const.
Qaner: Nbve # Stories
AddreSS: a Division of U. S. Hr,me Co,,orit
^ Demolish Front ft.
PKINS C^nOSSPOqp
Grdd2 ft.
D2ptl
C1ty/Z1p COdC7 MINNETONKP. N;INN Sc34,;i
Phone #: 544-1333 APPROVAIS ?
Contractor: ORpIN THf1RADChni unMrS
Pi3dL255: a Division of U, S. Homc Corporation
"vS 'J?U??IIQALJ
City/Zlp COde: MINNETONKA, MINN. 55343
Phone #:
Arch./Eng.:
Pcldress:
City/Zip Code:
Phone #-
Assessrrents
Permit 00
Water/Se.aer Surcharge
Police Plan Check
Fire SAC 4 ? 9; °
s
gg, Water Conn. g 35?
Planner Water Meter 00
Council Road Unit --- --?
Bldg. Off.
APC _
?
CITY OF EAGAN
9793 Pilor Knob Rmd Eaqan. MN 55I22
GHONEt 454-8100
BUILDING PERMIT Receipt #
re he umd fo. _ 1 of 4 PLEX Esf. Value $39,900 Dnee SE
Siee Address 1 iyz moringLOn iane kA9DQel luj /
Lor . 4 eiock 14 5oc/sub. Ridgecliffe 5th
Parcel # 10 63984 040 14
W Name
? nddrexi 1712
_ iliYe S
p Name _
f
0? Address
? n..,
Name _
Address
I hereby acknowledge thnf 1 have read fhis npplication ond state thuf
the inlormation iscorrecf ond agree to wmply witA all opplicoble
$tate of Minnewto Statutes nnd Ciry of Eogan Ordinances.
Sipnnture of PermiMee
A Buildinq Pertnil is Issuee ro: Orrin T'10mp80
ull work sholl be done in occordonce with oll opplicable
Building Offlciai
2_.1919
Erecf [9 Occupancy - 3
R_
Alter ? Zoning D?
Repair ? Fire Zone NA
Enlarge ? Type of Consr. Qn
Move ? # Stories
Demoliah ? Length?2
6rode p Depth-M-Sq. Ft.-
Anororala Fees
Assessment _
Water 8 Sew.
Palice -
Fi.e
Enq.
Plonner _
Council _
Bidg. Ofi. -
APC
Permit 43Z1.VV
Surchorge 20•00
Plan check 119.00
sAC 525.00
Water Conn335.Op
W ater Mefer 60 _ 00
Road Unit18S-(Y)
Torai xi4R2_nn
I on the express conditlon thm
and Ciry of Eagan Ordinances.
CITY OF F.A(',AN
BUILDINC; PERMIT APPLICATION
N° 6852
c:Xs"`% %
Include 2 sets of plans,
1 site plan w/e]evations &
1 set of energy calculations.
'ib Be Used For RrSlD??c-E Valuation O•00 ?? 8'a?-91
Site Pddress: l'1 tIlp OFFICE USE ONLY .?
Lot Lk
Parcel #:
Block IJA Sec./Su}?• g\p EF?1FFfi Erect V Occupanc-v
(0 fP3`(??( d?o fy F?VrN Alter 2oning
Repair Fire Zone
Enlarge _ 'Iype o
Qaner: Nbve # Stor
PLidTess: a Division ol U. S. Hom- C r - Demolish Front
KINS CROSSROAD GS'dd2 Depth
Clty/Zlp COde: MINNETONKA MIPJN ',5,3q2
Phone #: 514- 133 3
Contractor: ORRIN TunrtnornN H8NIES
Addr2S5: a Division of U, S. Home Corporation
Clty/Zip Code: MINNETONKA. MINN. 55343
Phone #:
Arch./Yng.: _
Address:
Gity/Zip Ca3e:
Phone #=
-:?(ci-K u? k4-k
TOTAL
11 0 c.k lL6? ? ?C, S'
APPROUIII.S ' FEFS
Assessments Permit Z3??00
Water/Sewer Surcharge 7-ov
Police Plan Check c00 d
Fire SAC $ZS-ofi
Enq. water Co . 33 S-o 6
plannpx Water Me r 6
Council Rnad Unit ?dp
Blcig. Off.
APC
I't P` Z- c? O
ctrY oF EncaN Nq 6850
3795 Pitet Knob Reod Eagen, MN 55122
PHONE: 454-8100
BUILDING PEItMIT Receipt # eS'l`7
7e ba u.aa fo. 1 0£ L PLF.7f c?# v.d... .?'1a_onn n...e Con+eml,e.. 7 nu,
Sife Addreu 1-MU t:OV1I1QT,0II 18II@ IMOd@1 10 )
Lor 2 eiock14 5ec/s.n. RidgecliPfe 5th
Pa,cei # 10 63984 020 14
z Nome urrin inomuson xomes
Z Address 1712 Hopkins Croasroad
p Nome
0
?? Addre
.-:...
Nome _
Addrev
I hereby ocknowledge thot I have read ihis opplicntion ond stofe ehat
the informofion is corrett ond ogree to comply with oll opplicable
Stole of Minnewta Statutes and City of Eo9an Ordirances.
Signature of Permittee
A Building Pertnit is issued to: OrriII
oll work sholl be done in ocmrdonee with oll <
Buildinp Offlciol i
(p ?-S0
Erect Occupancy
Alter ? Zonirg
Repair ? Fire 2one
-
Enlorga p Type ot Con
Move ? # 5lories
Demolish p Length 29
Gmde ? Depth 3o Sq. Ft.-
ADprorals Fees
Assessment _
Wafer 8 $ew.
Police _
Fira
Eng.
Plonner _
Council _
Bldg. Off. _
APC
Permit G38.UU
Surcharge 20-00
Plon check119-0(]
SAC 525_0(1
water Conn335,.n0-
Woter Meter 60_ f1f1
Road Unit 185 .11l1
Totol $14$2.00
on tha axpress conditlon thnt
Sfatufes and City o4 Eoqon Ordinances.
CITY OF FACr1N
BUILDINC; PERMIT APPLICATION
'lb Be Used For si ENr,F Valuation q 0,00
Site Pddress:
Lot DL. Bloclc _Llt__ Sec./Sub. $\?F?.IFFfi
Parcel #: 10 (,Q 3? ? 1 4Zd (q F?Ft-1t
Qaner:
AdaS'255' a Division of U. S. Home Cor v
/17 PKINS CFOSSROAD
Clty/Zlp CAd2: MhVNETONKA MI^JN 5r342
Phone #: 5`f4-1333
Contractor: ORRIN Tunnnornni HeM-ES
PddT255: a Division of U. S. Home Corporation
. N CRUSSRUAL)
Clty/ZlP COCIE: MINNETDNKR, MINN. 55343
Phone #:
Arch./Ehg.:
Pddress:
City/Zip Ca3e.
Phone #:
?
Include 2 sets of plans,
1 site plan w/elevations &
1 set of erergy calculations.
_ Date $ -0-r?-8 L
OFFICE USE ONLY - ?
EYect Occupancy ?r- 3 ?
Alter Zoning
Repair Fire Zone /
Enlame 'IYpe of Const.
Nbve # Stories
Derrolish Front _?L
Grade Depth 3 O
APPROVAIS FEES
Assessffents
Water/Sewer
Police
Fire
? Planner
Council
Bldg. Off.
APC
Peimit "2 38-, a a
Surcharge 20 b o
Plan Check c o D
SAC ?ZScoO
Water Co .oz
Water ^leter O c p D
Road Unit 1 e S, oG
ZC7IAL 14 fZ . oc?j
cs?-Af `?lar. t4?) ( =1-k Lo4-- 1 1 $lock 1?t Le.,?
?-/
W: ` ? ?r?tt?ir?te af wrrixpttnry
?\ - kA Citp of (Eagan
/ a?'•? ?;? j9rpbr#ucrnt nf iluilbing lnaprrfinn
\? ' I Thii Certifirate ruued purraant to the rtqurremenrr of Sertion 306 of the Uniform Buikling
/? kI Codt ratifying that at the tirru oJ ittuance thit shuttare was in rompliancr with the varioHt
`. ?' adirwnret of tbe City rrgulating buildrng rorsmuction ar sx. For the following:
6849
a
s?aa. h?? No.
U. cjmaafim 1 of 4 PLFY
! o-wMr'hp R3 Tvrc.wc? 'ln e?Rzon YA zoN,wmM M
j?tf' ;?I o.?.oremew (k'rin `r'k1oIMSOn ..171 ') pppkin5 CYSYd.. MtJCa.
1794 cbvin n 7a. ,,,;,,7ot 1 slock 14 Ridqecliffe
• z }? 5th
e?:
n??I' qrNinellT'ial . ? U?M:
ITertifiratr nf Orrupanry
(Citp of Cagan
3Drpttrfmrnf nf +.?uililing Inoperiimc
Tbii Cr+ti ficutc ittutd purltant to the ttquircmtrsu of Sntion 306 of ific Uniform BuiGling
Corlt ttrqfying thqt at the trme of itxuanra tbif rhuclurt wut in romPliuna wetb the variour
ordinartres of thr City ngnlating brdlding ronn+uction or urr. Far t{x fo!lowrng:
uxc?rx.am .l of 4 PI,Ex &dg.RmritNO. FiP52
o-warha R3 TYpc.w?? Vn einz M zO?aa.Na P1)
?we.uame Ch'rin "'homson „aa«d1712 1'opkins ('rsrd., !7t1ca.
B„eai.?1792 (nv?nqton Tg. la,i;,rTot h R1or_r l d,] i?t?.q .re ? i fpE
M:
kIle- Dw: ?7dIlUd2'y 21. 199:?
C.R. WINDEN & ASSOCIATES, INC.
IAND SURVEYORS To1.615-3646
1381 EUSilS $T., ST. PAUI, MINN. 55108
Note: Buildings shown are proposed.
CERTIFICATE OF SURVEY
For:
U. S. HOhIE CORPORATION
\
\O
cp?i
Gora9e
\ Q
? 4 • ?.
/ 6 y4 ?
2 ?
. ?
., \
-,- ,
N
Scale: 1" = 20'
p Denotes Iron
?
\p 22 N ?`? ??f?l??
?
` \/ / •, N?` ? 2g ,
Q ?
., , ?1i?9 ?.•.
`? ? ?• ???t 6 ' ,
X ?
.-
63 w P
,,?e!?'??y Q ? ''?? ? ? ?` ? /J
", •, ?.
?
?
Sx ? O
?' G
o
?
L ? 6 4v
,,Ii? ?, •. „2 i ? \ ??.
'J"` t - j ? . ? ' ,•\ 'x
w 21 j? ?
? Z2 N \
\ b
/? ? ?, ? Gar°9? \o
\ .,-? ?. / / ZZ \? ZZ
X ?. o
G `' ' / . rdge .
?
,X ? Z2 10 ?
Lots 1 through 4 inclusive, Block 14,
Ridgecliffe Fifth Addition, Dakqta
County, Minnesota.
YE HERESY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRE•SENTATION OF A SllRVEY 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.
Dated this 2151 day of t?(J9U5f' D. 1981 C. R. WINDEN S ASSOCIATES, INC.
?
by
Surveyor, Minnesota Registrat
For Otfice lke.
~ I Permit
City of Ea
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 L Staff:
PERMIT APPLICATION
PLUMBING
2009 RESIDENTIAL
Date: Site Address: " 1-7a CO MG1 IJ
Tenant: Suite
RESIDENT / OWNER Name: oo Oman ob earOn Phone: ~3~1 1
Address / City / Zip: 55-G 2
CONTRACTOR Name: License Df 710- . '
Address: cttanwion
City: 3610 000 Rd 0100 State: Zip:
16 IAN SO 1230 339
Phone: Contact Person: Y 5 l ~
TYPE OF WORK New t- eplac ent Repair -Rebuild - Modify Space Work in R.O.W.
Description of work: A)ajp
PERMIT TYPE RESIDENTIAL
Water Heater Water Softener
Lawn Irrigation Add Plumbing Fixtures
RPZ PVB) Main _ Lower Level)
Septic System Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge)
"Water Turnaround (add $165.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
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Apph nt's Printed Name pplic Si
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FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground -Rough-In Air Test __Gas Test Final
3 25/
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA148284
Date Issued:03/19/2018
Permit Category:ePermit
Site Address: 1788 Covington Lane
Lot:3 Block: 14 Addition: Ridgecliffe 5th
PID:10-63984-14-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Glenn E O'hearon
1788 Covington Lane
Eagan MN 55122
(612) 757-1176
One Hour Heating & Air
11825 Point Douglas Rd S
Hastings MN 55033
(651) 437-4177
Applicant/Permitee: Signature Issued By: Signature