1866 Covington Lane
.?. -- .? . cirY oF EaGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
- PH O N E: 454-8100
BUILDING PERMIT Receipt #
To be used for Est. Value Date ,19
Site Address OFFICE USE ONLY
Lot BloCk Sec/Sub. ' On Sfte Sewage Occupancy
MWCC System Zoning
Parcel No. On Site Well (Actual) Const
a Name City water (Allowable)
z Address PRV Required * of Stories
;
°
City Phone Boaster Pump Length
Depth
, 4 Name S.F. Total
? ? Address Footprint S.F.
P City Phone APPROVALS FEES
? W
" Engr./Assess. Permit
? = Name
Planner
Surcharge
_ a Address
Council
Ptan Review '
i W City Phone Bldg. Off. SAC, City
I hereby acknowledge that I have read this application and state that ihe Variance SAC, MWCC
information is correct and agree to comply with all applicable State of Water Conn. i
Minnesota Statutes and City of Eagan Ordinances. Water Meter '
Signature of Permittee - --- Road Unit '
A Building Permit is issued to: ___ Treatment P1 I
on the express condition that all work shall be done in accordancewith all
Park$
applicable State o( Minnesota Statutes and City of Eagan Ordinances. --
Building Official TOTAL
I
_ Permit No. Psrmit Holder Date TNsphone ?
Plumbing ;; . C.
H.V.A.C.
EI9C[rIC ? ?-
L
Softener
Inspsct{on oate insP. Comments
Footings I
Footings 11
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul. l,y? ?• .
Fireplace
Final Htg.
Final Plbg.
Bldg. Final
(?+AfL OCC. Ob 7-4
5
Temp. LP 1
Deck Ftg.
Deck Final
Well
Pr. Disp.
. . ; CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 _
? PHONE:454-8100
BUILDING PERMIT Receipt ?# ? r r
Te be wed fer SF DWG/GAI2 Esr_vel„p $56,000 nnrP (j{.."?O6i-:c' 4 "84
SiteAddress 1uvu V\/VylVV1Vl1 i,iv
Lot 6 Block 2 Sec/Sub. PARK RIDGE 2
Parcel No.
cc Name RUSCON HOMES INC
? Address 1000 E
City BURNSVILL 146TH
EphQne ST. , #140
432-1433
o Name
?
?u
Address
? r.irU Phnna
?ec +-Jcucn iveyl?r,L/ rnvnr? P+??Vte
FW Name
_? Addresg,
?W c.'ILy ri i i S Phone
edge that I have read fhis opplicotion and state that
is eorrect ond ogree to wmply with all upplicoble
Slynoturc of Pertnitfee -[LC
A Bullding Permit is issued to:
nll work shall be done in acco
Build{np Offlciol
all epplicable St
Erect LJ" Occupancy
Remodel ? Zoning
Repair ? Type of Const.
Enlarge
Move ?
? No. Stories
Length 3
demolish ? pepth 47
Grade ? Sq. Ft.
Woter & Sew.
Police
Fire
Erp.
Planner
Coundl
Bldg. Off. 10 4 s 4
APC
Var. Date
Permit Jul ' iQ
Surchnrpe 2 8• 00
Plan check 150.50
sAC 525.00
Woter Conn. 470.00
Water Meter 63.60
Road Unit 260•00
Parks
Total $1, 797 . 50
on the express candition thoi
y of Ea9on Ordinonces.
Psrmit No. Permit Holdar Date
Plumbing
H.V.A.C. T`t'd -l g-g V Ysa--lsb 67
Elaetrie
Softener
inapettion Date Insp. Other
Footing.
Foundation
Framing a
Roug?+ Plbg. p / -
Rough HVAC
Inwlation e
Final Plbg. , ?9
Final HVAC ?
Final
Cert/occ.
Water Describe Location: '
Wel) A
Sewer
Pr. Disp.
Receipt MECHANICAL PERMIT Permit No.
0 rI ' CITY OF EAGAN
Fee
Fill in numbered spaces S/C ?
Type or Piint legib/y - ?
Tot.
1. Date 2. Installation Cost U
3. Job Address l^--ke Lot Blk. ?- Tract
4. Owner 1_u ?; ? ? .--? r ??,Ni--S
5. Contractor\,t--L ( Phone
6. Address? GCx_` T- ;ti-
7. CitY L- State Zip
8. Building Type: Residential Commercial ? Institutional O
9. Work Description: New Q-- Add ? Alter ? Repair ?
10. Describe ' -, '? 'l-/ Fuel TYPe l-'f- r-/ -? 'il
11.
No.
? Equioment BTU - M. Ea.
Forced Air i r K No. Equipment CFM
Ai
H
li
Mfg. ng:
r
and
Boilers ?
Mfg. Mech. Exhaust ; -
Unit Heater
Mfg. Othe
Air Cond. r
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 : L
for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-6100
+--?Ul-o,t-
PERMIT f1
PWMBING PERMIT RECEIPT # ?
CITY OF EAGAN ,
? 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ! !
'RACT PRICE: PHONE: 454-8100
Site Address _
Lot
y Name _
? Address
c City _
.. Name _
3 Address
p C'tY -
FEES
COMM/1ND FEE - 1%OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNATURE
FOR: CITY OF EAGAN
BLDG. TYPE WORK DESCHiPT10N
Res. ? New
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Water Closet - $3.00 $
Bath Tubs - $3.00
_X-Lavatory - $3.00
_?ZShower - $3.00 -
Ki!chen Sink - $3.00
_,< UrinaVBidet - $3.00
Laundry Tray - $3.00
Floor Drains - 51.50
Water Neater - $1.50
Whirlpool - $3.00
Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
So(tener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE:
STATE S/C:
GRAND TOTAI: '
Receipt PLUMBING PERMIT • Permit No.
CITY OF EAGAN ,? ....
Fee
fill in numbered spaces S/C
Type or Print legibly Tot
1. Date: ?? ?•- 2. Installation Cost
, ` A.. , !?_ ?• C
3. JobAddress Lot ? Blk. Tract
4. Owner
5. Contractor L- ,. :ii. Phone
- ?
6. Address
7. City State v Zip
8. Building Type: Residential ea Commercial ? Institutional ?
9. Work Description: New 0" Add ? Alter ? Repair O
I 10. Describe
I 11•
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
- Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray •
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
? X,.
Signed: for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAN Remarks blU "4 /
Addition PARK RIDGE 2nd Lot 6 Blk 2 Parcel 10 56751 060 02
Owner Street ?866 yAviA.-toR. Lane State F.agan , MN 451 22
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 1982 161.46 16.15 10 96.86 C009957 12-4-84
STREET RESTOR. 218 1985 492.00 32.80 15 459.20
GRADING
SAN SEW TRUNK 7 1982 159. 37 10.62 15 116.89 C009957 12-4-84
SEWERLATERAL 1985 626.16 41.74 15 584.42 C009957 12-4-84
WATERMAIN 1985 642.54 64.25 10 578.29 C009957 12-4-84
WATER LATERAL i
WATER AREA 1982 159.37 10.62 15 116.89 C009957 12-4-84
STORMSEW TRK ? 1985 370.93 24.73 15 346.20 C009957 12-4-84
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit 260.00
WATER CONN. 470.00 11
BUILDING PER. #9565 IT t?
SAC 995-00
n
?r
PAR K
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS•
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
Hu I I Ilt mt,
40 .' t..,?at+
an ; :", /t?4
ti t APPLICANT:
l ?? t . ? ?I'?'1 s?l ''•
• i?,?.
?-; ????; i ?i?, i,?r? i ?t?tf
PERMIT SUBTYPE:
,. .
1 P) C? .•;
1NAI ?
,
OtA lr1- '?
L?
hiA I I
TYPE OF WORK:
II! '.i +r I I' 1 I"Ia
N I 4)
t I Nt. I UlIt '; DI:CY )
! 1. l1M i haii
I 1l6il?F
7
-j
PartnR No. Permit Hotder Date Telephone #
S/W
PLUMBING
HVAC
ELECTR a ?'S o?,/ ?Q °v
ELECTRIC
Inspection Date insp. Comments
Footings I
Foundation
Framing S )l?j q y G?
Roofing
Rough Plbg.
Rough Htg. I
Isul. I
Fireplace
Ffnal Htg.
Orsat Test
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
81dg. Finai
Dedc Ftp.
Deck Final n
Well
Pr. Disp.
CITY OF EAGAN SEWER SERVICE PERNUT T
3830 Pilot Knoh Raad 6943
P. O. BoY 21199 PERMIT NO.:
Eagan, MN 55121 DATE: - -
Zonin0: No. of Unlts:
pwner. Auscon liomes
Add?ess:
Site Addi
Plumber:
I .g.« fo eeiePy w+fh elw caer ef !yo¦
"S.Aa..
By
Dote of Insp.:
Insp..
Na.: /J 3 c. ' r / / 'v
to emPhr wI& HN Citr eF Eaqen
Corenctio„ Char"; 425.00 d?
Acoount Depoar: - 15. 00 pd
PeRnit F": 10.00 Dd
Surcharpia: .50 pd
Misc. Charpes:
Tohol:
WATER SERVICE PERMIT
PERMfT
DATE:
No. of Units:
10--5-84
ICo'? ?fit???ii Charge: . 00 pd
'A posit; 1 S . 00 pd
Perm 10.00 pd
Surcharpe:
Misc. Chorfles:
Totcl:
Mt. Pnirl•
CITY OF EAGAN M 9565
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 S
BUILDING ?ERMIT RK?ipt *
Te w w"d fer SF DWG/GAR Est, Vulue $ 56 ,000 pme OCTOBER 4 1984
SiteAddreu 1866 COVINGTON LN Erect J? Occu R3
pancy
Lot 6 Block 2 Sec/sue. PARK RIDGE 2 Remodel ? 2oning I(I
Pereel No. Repair ? Type of Const.
? Name RUSCON HOMES INC
W Enlarge ?
Move 0 No. Stories
Lenytn 39
? qddrm 1000 E 146TH ST., #100 Dernoliah ? Depth 47
City BURNSVILLEphone • 432-1433 Grade 11 sq. Ft.
Name SAME APProvals Fees
Addres6 Assessment Permit iu-L • ??
1- City Phone Woter & Sew. Surtho?ye 28.00
?W
MARK NAGEL/PROBE ENGR PO11e P1O^ ?ck--?50
N?e
z
1000 E 14fsTH ST Fl '° sAC 5
25.Oa
x,?
Address
u
BURNSVILLE
432-2044
tW Cit ?+
0•
Water Conn. 470.00
y
phone Plonner Woter Meter 63s U U
432-3000 ?uncil Road Unit 2fio-00
1 hercby ocknowlsdge tlwt I hove reod thls opplicotion ond sfote that
the information Is torrect ond ogree to wmply with all oppliccble gldy, Off. 10 /4 /84 Parks
State of Minnesotc Stnt ond City
APC ',?.rjQ
Total $1,']9
i ;M??
Var. Date
Sipnaturo of Permittee
A Buttding Permtr Is iss„ed ro: / INC- on the express conditbn 1hot
011 woric sholl be dont in xcordonte cli ppli ?Minnesoto Stafutea ond City of Eaflon Ordinances.
Buildino Offlcial
? ... ?
•
F PLANS,
CALCULATIONS
•
. (?- 3
onst: ??
?_
Cvntractor:_Ruscon Homes Inc.
Address:lQpQ E. 146th St . ?=100
City/zip Code: Burnsville. MN 55337
Phone #: l?32_143?
Arch./Eng;;?ark Nagel/Probe Engineering
Address:_ 1000 E. lu6th C
City/zip Code: Burnsville, 1;'IPi, 37
Phone#• 432-2o44/432-3000
13VOA9ql?
? ALL CONTRACTOR MUST BE LICENSED WITH THE CITY OF EAGAN
INCLUDE ? SETS O
?k? 0 CERTIFICATES F SURVEY
O
'S,F Q SET aF ENERGY
To Be Used For: Valuation: ?4? ??,r Date:
?-?.-....
Site Addre ? g? ?- .
ss:??Covin?tr,n Lanp ??ODp_? ?
Lot: 6 B1ock:? Sec?/Sub:p?.k Rid?e Erect: X Occupancy
Parcel #: ?r? Remodel R -i
: Zoning:
Repair: Type Of C
Owner: Richard Ba m,a.,r Enlarg?: # Stories
Address: 2095 Silver Bell Rd. #53 Move: Length:
Demvlish: Depth:
City/Zip Code: Eagan, MN 55122 Grade: Sq. Ft.:
Phone ?: 454-3495
APPROVALS
Assessments:
Water/Sewer:
Police:
Fire:
Engr..
Planner:
Council:
Bldg. Off.:
APC:
Variance:
?0- I
Permit:
Surcharge:
Plan Rev.:
SAC:
Water Conn:
Water Meter
ad Unit:
rks:
525 ='
a-7o .
2coo. ?'
??
6? qS?-2_
2005 RESIDENTIAL BUILDING PERNII'T APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
-# 99. 25
New Conshuction Reauiremenis RemodeVReoair Reauiremenls OHice Use OnN
3 registered sile survays showing sq. ft. of lot, sq. f4 of house; and ell roafed areas 2 copies of plan CeR of Survey Recd _ Y_ N
(20% mazimum lof coverage allowed) 1 set of Energy Calcuiatbns for heated addNons Tree Pres Plan Recd Y"N
2 copies of plan showing beam & vnndow sizes; poured found design, etc. 7 site survey for addftbns & decks Tree P2s Required , - _ Y _N
t set of Energy Calcula6ons Addttion - indicete if on-sne septlc system On-sfte Septic Systein _Y _ N
3 copies of Tree Preservation PWn if lot pWtted aRer 71153
Rim Joist Detall Optlons selection sheet (buildings with 3 or less unlGa)
Date ?O l za
Site Address Construction Cost e?T /Z ?. GY
Unit/Ste #
Description of Work
Multi-Famiiy Bldg _ YYN Fireplace(s) ? 0 _ 1 _ 2
Property Owner /G /1i¢,QD ?Al Lx9xN .Al Telephone # ('5( ) '51sy -3V47S
Contractor
Address
State
Zip City
Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rutes 7672
Energy Code Category . 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 _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #1
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a 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 Z-ase of work which, requir8s•a-reuew-xid
approval of lans. r ?/?ce ,9?.?? ?..? Ii,J:,?? ? 4 ?CCF
Applicant's Printed Name
b%ST'?
2005 RESIDENTIAL BUILDING PERNII'f APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone 4 651-675-5675 FAX # 651-675-5694
New ConsWCtion ReauiremenLs
3 registered site surveys showing sq. 8. of bt, sq. R. of house; and all roofed areas
(20% manimum lot coverege allowed)
2 copies of plan slrovring beam 8 window sizes; poured found design, etc.
1 set of Energy Calculations
3 copies of Tree Preservatlon Plan'rf lot platted eRer 717193
Run Joisl Defag Options selection sheet (butld'ugs with 3 or less uniLS)
$}o 00
RemodellReoair Reaulremenis Office Use OnN
2 copies of plan CedotSurveyRecd ', _Y _N
7 set of Energy CalcuWtiaks Por heated additions Tree Pres Plan Recd _ Y_ N
1 sflesurveyforaddillons8decks TraeP2sRequired -_Y _N
Addifron-indiceteilon-sHesepticsystem On-sReSepticSystein _Y _N
Date ? l Z3 /
Site Address IX?p
Z?6 OS/J
i GO///NGT7?ir/
,J ? Construction Cost Za;- '? ?S?• ?
Z9NLC UniVSte #
Description of Work f 91 A/7 G??NG C(//?CL /JN7l7 la.??liL?
Multi-Family Bldg _ Y-N Fireplace(s) g 0_ l _ 2
PropertyOwner Gl,4X4O ,lJ.?Ll?9,9 N? Telephone#((?S() ?S?jl-3?{9S
Contractor
Address
State CitY
Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Enefgy Code Category , Residential Ventilation 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 _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone #(
Telephone # (
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a 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 e of work which requires a review and
approval of lans.
? ? JL;n 2 4 2 05 D)
ApplicanYs Printed Name Applicant s Signature
I
? ---_
4 aosE '
NGINEEAING
? COMPANY, INC.
L .1000 [A3T Mh 3TRECT,
S B9° 3S'34"E
75.00 .6.7
}' cac,? su,-?,e y
?aat OW - r4/° p • LOT 6, BLOCA' Z, PARK 'R/OGE 2N0 ADD/T/ON
DAkOTA COUNTY, M/NNESOTA.
NORTN'
SCALE: / "= 30'
COHfUlTIH6 tNOlHttllf PIfIHHtAi nnd IAHD iUAViYOIIS
EUItHSVILIC, 41NNCSOTA 5533T PH 471-3000
ORA/NAGE
?UTi[ iTY SEMENT
- ?l1
?
N?
N*
. ? .. .. ?
i93e.o) DENOTES ST/NG 41EY97701Y * \
(9? •o ) L?ENOrES PROPO.SEL7 EtEY.9T/oN ?
....? /N?/CATES .01REC7101Y OF
SURFACE D?PA/NAGE
F/N/SHED GARAGE FLODR
ELEI?AT/?N = 930 33 Cli
L OT 6
I
In??
I ;V
?h
? \Ha
27.e
r 93ee? ?e.e
@a9
d? ? • 33 -
a o
7S 00
' S B9° 3s'?34"E?
. . ; .r .
•? /i r'?
I ?u
N
I ?
M?
I c*1 R?N
.30 FR T
BU/L D/NC
SETBACt'
L /NE
m
C9?CD?/N(', TON L.9NE "
isr+by ctMily that thi• is a true and corrtct rtpresentation ot a tract ot
id as tho+rn' and descriDed hereon.. An pr.pared by me on this i3TA dar ot
?-
?',g?'?/?°`J
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
c k 22U 2
4IWO
BUILDING
023396
04/25/99
SITE ADDRESS:
1866 COVINGTON LANE
LOTa 6 BLOCKs 2
PARK RIp6E 2N?
P.I.N.: 10-56751-060-02
DESCRIPTION:
(TNCL.UDES
Bu'ildinqPermit Type
6uilda'ng W'ork Type
.\
? .,. ?
tf ??
f f
l
t
DECK)
5F ppRCN
NEW
}. 'y{ /` "?
f%'f _ 4?":? 4:J ? ?`7 ???, ?•.`.?..'?..?, 7 ? F Zr ??? `5-9 ('``` `?.? k,
a t _u`
^V--•".?_?-.
REMARKS:
A SEPARNTE PERMI7 IS REQUTRED FOR ANY ELECTRTCAL WORK
FEE SUMMARY
VflLUATION $6,000
Base Fee $81.00 COPIES $1.50
Surcharge $3.00 Total Fee $85.50
Subtotal $84.00
CONTRACTOR:
OWNER: - Applicant --
BAUMANN RICK
1866 COVINGTON LN
=AGRN MN 55122
(612)454-3495
I hereby acknowledge that I have head th,is application a:nd' stats that the
infarmation is carrect and agree to cnmply with all applicabla State af Mn.
5tatubes antl' City of Eagan Ordinances.
? .
APPLICANT/PERMITEE SIGNATURE
n n R.?a C I?
?ED B '. SI NATURE
I
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
681-4675
-sb.j0
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of.energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy uf energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Valuation of work
Site Address: Ze?? GoviyGTd.r/
SiREET 5UITE #
Tenant Name: (commercial only)
LOT 4 BLOCK L SUBD. P.I.D. #
Descri tion of work: A
The applicant is: [Z Owner 0 Contractor El Other (Describe)
Name E?AG??l.v.d,r/ ?cK Phone 4S4 345'S
Property LAST FIRST
Owner ?
IA66
LpUiy6rO.v G,q?.?
Address
STREET STE M
City State Zip S5/?Z
Company ?'r?9E fyys 42l-16- Phone
Contractor Address License # Exp.
City State Zip
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have re this pplication and state that the information is
correct and agree to comply with app able State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant: `?"'"!
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc.
? 03 SF Addition ? OS 8-Plex ? 13 Garage/Accessory
P 04 SF Porch ? 09 12-Plex ? 14 Fireplace
? 05 SF Misc. ? 10 Multi. Add'1. 0 15 Deck
WORK TYPE
0 31 New
? 32 Addition
?o rC,k 6„L2 deek
? 33 Alterations ? 35 Tenant Finish
? 34 Repair ? 36 Move
GENERAL INFORMATION
.
? 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Camm./Ind. Misc.
? 20 Pu61ic Facility
? 21 Miscellaneous
0 37 Demolish
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) lst F1. sq. ft. City Water
UBC Occupancy 2nd F1. sq. ft. PRV Required
Zoning Sq. Ft. total Booster Pump
# of Stories Footprint 5q. ft. Fire Sprinkler
Length On-site well Census Code
Uepth On-site sewage SAC Code ?
Census Bldg
APPROVALS Census unit
Planning Building Assessments
Engineering Variance
REGIUIRED INSP ECTIONS
? .Site q Footing 0 Framing E[ Insulation
? WaTlboard 12 Final ? Qraintile ? Fireplace
Permit Fee vaiuac;an: $ ? Qao
Surcharge
Plan Review ?
d
License ,
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies ;?73-0
Total:
SAC %
SAC Units
? ..
aosE • ENGINEEAING
C4MPANY, INC.
? ^11000 LA3T Nith 3TRECT,
S B9° 3S' 34"E
75.00 .6.:.
Cer?z' caI
6, BLOC,C 2, PARK R/oGE 2N0 ADD/T/ON,
DA.COTA CDUNTY, M/NNESOTA,
NoRrH'
SCALE: / "= 3a'
CONSUI,TIHd lNOIH"Ilf ' I
PllIHNEIIt and LAHD iUIIVtYOIIS
EUfIHiVtLL[l M111NCSOTA 43337 PH 431-3000
ORA/NAG
. UTi[ I TY EEMENT
(930.0? DENOTES EX/ST/NG FCEti.9T?0/y
(43s.o ) ZXFNOTES pROPO.SEO EtEY•4T/9N
/ND/CATES D/RECT/ON OF
SURFACE DRA/NAGE
W
?
N n?
N?
o \
?
;t
EL Eli.9T/D N= 150.33 LOT 6
F/N/SHEQ GARAGE FLODR
r.i
-? ?
t/
?
?
1 ,r
?l ro`? (? Zgv
o? 4 ? C93e ?
ne
? - ; -T- -
W
?o
N
.
?
N
N ?fW.?E N ? ?? ?
/et o N r'°?
1 •?g @ r-- -
I ??v ii33 1 ? r .
33 ?
N ?3 .3OFRONT
` N BU/l D/NG
? 930e') 7e.e SE'TBAC.C
ciNdr
0 o t?.s)
918.0 .
75. DO
33"i34" •
?°ROPoSEO GURB ?
M •
,nA? .
Le cov?ivGroN LAivE?
Ihereby certify that thir Sr a true and correct rspresentation of a tract ot
land at •Aown'Rnd deiicribad hereort.. Ar prepared by me on.this --tsW d4r ot
?
.
.__.
3 ? b-2 S/
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 -7 S
651-681-4675 qUj
New Conshuctlon ReautremeMs
* 3 req4siered sMe surveys showing sq. H. of lot, sq. tt. of house
and 211 rooted areas (20% maximum lot coveraae allowed)
> 2 coples of plans (show beam 6 window slzes; pouted fnd, deslgn; etc.)
? 1 set of energy calculaNons
* 3 copies of free presorvaHon plan H Iot platfed after 7/1/93
DATE: Ga / / / la ??
DESCRIPTION OF WORK: F hm?? ..?e =-?-? c4
4TREET ADDRESS:
LOT: ?
PROPERTY
OWNER
BLOCK:
SUBD./P.I.D. #:
RemcdellReoa4 Reaukements
2 coPies of plan
1 set of energy cakulatbm lor heated addRions
1 sRa survey for exterior addHions L decks
CONSTRUCTION COST:
Name: ./? 4? m oAL'6c K Phone #:
Last Flrst
Street Address: G
City F,-t/ State: AMIZip:
k: 6'?-Z 63Z
(area code)
CONTRACTOR
ARCHITECT/
ENGINEER
SfreetAddress: License#-200 ExP•
? J7?1 9 oJ ?
City vrsPn,? State: Ma. Zip: ??-3?
?
Company: Name:
Street
City
Sewer 8 water licensed plumber (new construction only):
hnd lot change is requested once permit is i5sued.
Zip:
Penalty applies when address chang
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicabl
?State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Appiicant: -?
OFFICE USE ONLY
Certficates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
State:
V84
CITY OF EAGAN
APPLICATION FOR PERMIT
SESVER AND/OR WATER CONNECTIODT
L (PLEASE PRINi)
1) PP,OPERTY ADDRFSS:
r.Frai, DESG4InT'ICN: Lot 6, Block• 2, Park Ridge
(Lot/Slock/Sut?division or Tax Parcel I.D. Niunber)
lc EXI:72:G STf2IICT7tE, Dr1T?.' G= ORZG^dAL niiILDL;G PEF_-?IT ISSa?,NC°:
PPE54-' U5=-: 13 R-1 SZIGL-v rPYSLY
? R-2 GUPS,E,`{ ('IS,Cp UNIT5)
0 R-3 ZC'fvMC{JSE (TfIRFT' +[iNITS) ( Wi ITS)
? R-4 ApAR'IP^E:`:T/CODIDQMNi ICP1 ( Wi ITSi
? CCNMg..'?'tCIAL/R£TAII,/OFFICE p LZUSTRIAL
? INSTITUTIONAL/GOVE(MPr
2) pp?LIG»,r (PIEASE PRlNi)
IVAME: Ruscon Homes, Inc.
ADDRESS: 1000 Fa.st 146th St Suite /f100
CITY, STATE, ZIP: - gurnsvii i e. MN 55337 '
PHON'E: 432-14'33
3) pIue1gER NAhtE
: Star Plumbixtg PIEASE PRiNi) FOR CITY USE ONLY
ADDRESS: 1018 Mound S ri
p rigS Ter. vLU. ERS LICExSE:
Active
CITY, STATE, ZIP: Bloomington, MN 554zo C] Expired
. P??;
8?1-4149 PLIIMBER IICENSE N 3329M Q N t ecord
. arr n.+,
4) ocCtmprrr/cxaNeFt (rLease reixr)
rAME= Richard Bmumann
ADDRESS: 2095•Silver Bell Road #53
CITY, STA'i'E, ZIP: Eaa n MN 5122
PHG`1?: 454-3495
5) INpICF,TE WHICH PEP,h1IT IS BEIt,'G gEQUESTFD:
? CO:aTECl'ION 'IC) CITY SETrJIIi
M C00.fiIECTICDI TO CITY WATER
? OTFM (PLL•'ASE DESCRIBE)
6) 1?,DZG?.:.
E] PL :ASE f?OID APPRWEU PIIZtitIT FOR PICK-UP BY ONE OF FtBOVE
°IFaSE PTAIL PRWFD pgZMIT 'iO 1, 2,(D 4 ABOVE
(Circle one)
7) SI=?t.?E_ Da,PE: Aug. 30, 1984
?e ?e Aa:a??ssa? ???r ?? r.?rasra s oi ?r:ss?:? i a?efa,r?:?? ? a r? u???t?c'?saa,rw
.
F 0 R- C I T Y U S E 0 N L Y
PERMTT °- ISSUED
Fcrs: $ /C.?S`D S°_u:ED DoAMTy (INC:.'.:D:1. JUPCHt1f..raC.)
$ WATER PEM1IT (INCLUDE SURCHARGE)
$ WATER METER/COPPERHORN/OU'fSIDE REAdER
$ WATEP. TAP (IDICLUDE CORPORATION S;OP)
$ SE:1ER TAn
$ ACCOUNT GEPOSIT - SES9ER
$ ACCOUNT DEPOSIT - WATER
$ -417p, o--e WAC
$ SAC
$ T?ZUNK ?JAT£R ASSESSP4E:IT
$ TRUDIK SELVER ASSESSMENT
$ LATE°.ALBENEFIT/TRUNK SEWER
$ LATERAI; BENEFIT/TRUNK WATER
$ ' OTHER
$ TOTAL
Ai`10UNT PAID/RECEIpT #
DOES UTILITY CONNECTIO[V REQUIRE EXCAVATION IN PUBLIC RZGiIT OF WAY?
? YES IF YES, THEN A"PERMIT FOR WORK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
NO ENGINFLERING DIVISION. LIST AS A CONDI-
TION.
SIIBJECT TO TFIE FOLLO?9ING CONDITIONS:
APPROVED BY:
TITLE:
DATE. ?
.
?
SINGLE FAMILY DWELLINGS
T BUILDING PERMIT APPLICATION - CITY OF EAGAN
[,l 6D
INCLIIDE 2 SETS OF PL6NS, 3 CERTIFICATES OF SQROEY, 1 SET OF ENERGY CALCOLATIONS
HOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOdNER HOST DESIGNAYE AHICH ADDRESS
IS DFSIRED. NO CH9NGES WILL BE ALLOWED aNCE BIIILDING PEAMIT IS ISSi1SD.
HIILTIPLE DWELLINGS - RESIDENTI9L
INCLUDE 2 SETS OF PLANS, CER
1 SET OF ENERGY CALCULATIONS
COMM.°P.CT?AS.
RENTAL UAITS FOR SALE ITNZTS
OF SORVEY - CHECg WITH BLDG. DEPT.,
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
aEr, o 'Nov 5 Iber
,7-o f'i.v?s.?? ?
To Be Used For: T?E ?SE?E.r/T Valuation: Date: 1?6(/ .?' ?987
Site Address 46) l[?
Lot LD Block a` I
Parcel/Sub Ali
y C
Owner ?C.e' J?iYU.?!/qi?/,!/
Acldress /?66 C.wE
City/Zip Code ?Al'?y 55/Z Z
Phone A?14Ft'e ?.? Contractor
Address
City/Zip Code
Phone
Areh./Engr.
Address
City/Zip Code
Phone ll
On Site Sewage
MWCC System `
On Site Well _
City Slater _
APPROVALS
Assessments
Water/Sewer
Police
Fire
Engr
Planner
Couneil
Bldg Off ? 5
APC
Variance
Occupancy _ R' J
Zoning
Type of Const
(Actual)
(Allowable)
IO of Stories
Length
Depth
S.F. Total
Footprint S.F.
FEES
Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
Copies
TOTAL
,ao
4, DD
30, Lb
1
• CITY OF EAGAN N_ 14 3 9 5
3830 Pilot Knob Road, P.O. Box 21 -199, Eagan, M N 55121
BUILDING PERMIT PHONE:454-8 100
!
Receipt #
Tobeusedfor RASEMENT FIN. Est.Value $1,500 Date NOVEMBER 6 19 87
Site Address 1866 COVINGTON LANE OFFICE USE ONLY
Lot 6 Block Z SeGSub. PARK RIDGE 2ND On Site Sewage _ Occupancy
Parcel No.
MWCC Syatem
_ Zoning
On Site Well _ (ACtuaq Const
a Name RICK BAGMANN Cirywater _ (Allowable)
3 Addr2S5 SAME PRV Requiied _ # of Stories
0 CitY Phone 631-3175 (W) 8oosterPump _ Length
D
epih
io Name S r?r 454 3495 (H) s.F.rotai
?Q AddreSS FootprintS.F.
? City Phone
pppROVALS FEES
¢
F W
Name
Engr./ASSess.
Permit
$29.00
x i AddfeSS Planner Surcharge 1.00
a
w
a=
CitY Phone
Council
PlanReview
Bld
Off SAC
C
g.
. ,
ity
I hereby acknowledge that I have rea is applica[ion and state that the Variance SAC. M WCC
iNOrmation is correct and agree mply all applicable State of
Minnesota Statutes anA City of a Or Water Conn.
ces.
Signature of Permittee Water Meter
A Building Permit is issued to: RICK BAUMANN Road Unit
on the express condilion that all work shall be tlone in accordance with all Treatment P1
applicable State of Minnesot Statutes and C/itof Eagan Ordinances. Parks
BuildingOHicial
? TOTAL $30.00
IR4BE
ENGINEEAING.
COMPANY, ING.
.^1000 [A3T 1461A 3TRC[7,
COHSUITiHb lNOIHttBf ? PIRNNEAi and IAHD iUAVtY011f
EU11NiVILLC, YIHNCSOTA 45337 PH 432-3000
Ce7'?Zf CC=z
?O?I ?*?r/p??p? • LOT 6, BLOC.t' 2., PARK R/DGE 2ND ADD/T/ON
DA,t'OTA COUNTY, 1'I11VNESOTA,
NDiPTH'
SCALE: / "= 36'
S 89° 3S' 34"E L
7CJ.QD /9f9.
y-
?_., ; .?
ORA/NfIG
,UricirY EsEMENr
?
N?
N?
i 930. o? DENOTES EX/Sr/NG ELEl?.9T/Oiy ??
QcNOTES PROPO.SEO ELEU.9rWN ?
/ND/CATES A/RECT/ON OF
SURFACE DRA/NAGE
F/N/SHED GARAGE FLODR
ELEl?.4T/ON = -r'l3o33 cn
L OT 6 ' , ? ; -T- -
?o
l ?Zq,v
"3" ? M
v.e I ` N .
.9?. . ??
? itlrR 4 ~ - I
I IMv i L..j 133 y? r` -
V
4 ? ,30' FRONT
? N ?sBU/L O/NG
? 93ea] Te.e . SFTBAC?!'
750,33 ° L/NE
O a t7 S)
qPg',m
75, DO
S B9° 35,13
4"
PROmSEO CVRB ?
i S.e? 927;5?
cod?ivG roN L,9NE
I hereby certity that this ie a true and cosnvet repratentation ot a tnet ot
land as sho+m'and deicribad hereon,. Ae pr.pared by Mt on thi? ?,=,.aar ot
??renace , 1 ?s¢ . •
Ninn. 1tec.. 110.. /9185'
?: -' -
EXTERIDR ENVELOPE AVERAGE "U" COMPUTATION
?..? •,
• Determine working square footage of each.
1. Tatal exposed wa11 area ...... 19??.OS ? sq. ft. x sl I ? 2 s
2. Total roof/ceiling area .... 9101 sq. ft."x aZb
Total exposed wall area a6ove floor = ??2
1?\'1
a. Total walt window area ...... ......... .............
b. Total door area .................................
c. Total sliding glass door area .................... .?
• d: Total Fireplace wall area ........... ......:..... -
e. Total wall framing area (average lOp)...:........ 190
: f. Total net wall area above floor ................. I315-3
g. Total rim joist area ............................ lI2.
Total exposed foundation area = 13D
•
h. Total foundation window area..................... -
t. Toal net foundation area above grade ............ 130
Detemine "U" value of eazn wal] s=g::=nt.
?
a. .. IIU,I
., . 33 _= q? 5
•
n. 3 S x'lu" .13 = A.<
c 8'1 x$lUll ? SS = A1
d. ? X "U"
e. Igo XnUff
f. ?353 X "U" , 043 = 15 f) g. IIZ g „U" .04
h. ? X „U11 _-
i. ?3D XBlu"
3 . . . . ... . . . . . .. ... . .. . . .. .: . . . .... . . . .Tatal = 91-k
If it=m R3 is tfie same as, or less than item rl, you have met the intent
of 53C 60C5(c)2.
I
C 4 - , . .. ' ; . . . - . ,
4
hL 1. I .. .
Total` exposed roof/ceiling area 9(ll •
Total gross roof/ceiling area
?.. j. Total skylight area ........................
• k. Tota1 roof/ceiling framing area ..
1. Total net insulated roof/ceiling area.......
Determine "U" value far each roof/ceiling segment. .
_.. • •.... >. . .. , . .
. . / . x nun
??--- ---------- . .. k. X IiUq r 0 LQ a L ZJ2' GHeen, IZ i32, lUS?l OVER.
?. S5?q9 x „u„ t-),Z, .2,,$6 ,?•?e3.?? .
, .
. ,. 4......... ..........................Tota1 ? ? ?
If total of #4 is the same as, or less than #2, you have met the lntent of
SBC G006(c)1. . • -
A
To utilfzed the total envelope system method, the values.established by the
sum of items #3 and 04 shall not be greater than the sum of itens 91 and #2.
1. + 2. ' _ .
3. + 4. _
MATERIALS Therm. Resistance "R"
Ezterior Air .10S
Siding Material 1(.5 "I+%uMe,
SheathiYig Z•?
Insulation -- 14_ sIrv"
SheetTOCk .95 Mi'
Interiox Air .17
stues Ees e;I ruA
Rim I.5 Conc. Blks. 1,2B s?r.• ?s.xt
.. . 1 . ? ..
_ --I
rra -r?
d ?
C?294 5 ' n' ?Q9
Request Oate Fire No. RaughIn ttion Repuire0
(VOU must call inspedor when ready) lns0enion OIM1er Tnan Rough-In
? qeetly Now ? Will Notity Inspector
? 7 J ? yes ? No Oale Read
I?!, licensed contractor ? owner hereby request inspection of above electrical work at:
Job Adtlress (Streel. Bor ? Route No )
? City
,?
E
4
-c N?
r .?
^ "
,
..
Section No. Townsnip
Name or No. Range No. County
D
13l X C '01
Occu ni(PRINT) J? Phone No.
I?/+u,nrr v `f5'N-3k`iS
Power uopiier naeress
1-c0' ,-,e f -A,e n i N C. rO ?L'
Elecin I Conlrecmr (COmpeny Neme)
Z ConVectar5 Lioense No.
1 j
?!`f3Z
n--c
fi/15c' L?LLT?Pi?
/
MeAing tlress rCo vacior or Owner Mexing Insiailellonp
' S'
?-G 6/¢LLC Y ?JI z
/ ?P =
a& i
2
:
/
AuVIDr Si raWre ?GonlracloY w er Making Inslalialion,
/?,?o c Phone Number
y5-3-?116?
MINNESOTA STATE 80ARD OF ELECTHICITV \ ? THIS iNSPECTION REOUEST WILL NOT
Griggs-Mitlway BiEg. - Noom S-n0 c? ???n BE NCCEPTED BV THE STATE BO/ RD 1821 University Ave.. SL Paul. MN 55100 IINLE55 PROPER INSPECTION FEE IS
PhOne(61Y)6<Y-OB00 ENCLOSED.
6M ?q. EB-00001-08
REDUEST FOR ELECTRICAL INSPECTION }* t?-?,z; a8a?'S
op See Insuuctions lor completing tM1is lorm on back ol yellow boPYy?;
1 6
N2 9 L4 H 5 "X" Below Work Covered by This Request ??•
A fa ce W'ed EqmpmemWired
EdTAdd Reo. TypeotBuiltlin9 PP
Water Heater
Remarks I"?llCLN
Compute Mspection Fee Below:
p Ocher Fee
Swimmina Pool ?
eooms
L the Electrical Inspector, hereby
certity ihat the above inspection has
been made.
JFFICE IlSE ONLY
fhis re0uasl voltl 18 months Irom
# Service Entrance Size Fee # CircuitslFeeders Fee
D to 200 Amps 0 to 100 Amps
Above 200 _ Amps Above 100 _ Amps
TOTA
S?
nspectors Use Only. ?? C? Z,
THIS INSTALLATION MAY B DISCONNECTEDIF NOT
COMPLETED WITHIN 1 NTH . ? ?./
aou9n-in n . D ? ( ' C ?
rni, ,rnuest voia
18 mpmhs from .
/
oD 6 615 0 ??? ? - /?.?, ?.;? ,?? <? . ?, ?? ?';?,
Request Uate ' Kire No. Rnuph-,
n Inguzr,tion
Aequired? ElHeadY Nuw Q W, II Nnlrty Inspec-
?Yes ?NO [or Whnn Reatly
? Lice.nsed Elecuical Conlrectut 1 hereb
y repues[ inspection of ebove
? OW,ef elecvical work insialled aY
Shee[ Address, Boa or Raute No. City
ecbon o. rownsnio Namn or No. Ranye No. county
Or.cuuant IPflINTI Phone No.
Pawer $upplier Adtlress
Elec[rical Cnnvar.tnr (COmpanY Name) Contrar,mr's License No.
MailinB AdJress (Convaclor or Owner MakinU InstailanoN
AuMorizcd Sign;nure IConvactodOwner Making Instauatinnl Phune Number
MINNESOTA STATE BOARD OF ELECTNICITY
Griggs-Midwey Bltle. - Aoom N-197
7821 Uoiversitv Ave.. St. Paul, MN 55104
Phone(612)642-0800
THIS INSPECTION HEQIJEST WILL NOT
BE ACCEPTED 8Y THE STATE BOARD
UNLE55 PHOPEH INSPECTION FEE IS
ENCLOSED.
/?."-?7 REQUEST FOR ELECTRICAL INSPECTION ea-ooooi-os
, See instrvcbons for completine this form on back ot yellow copy. JVI'3G?
Do 6 615 0"x' g-loW Work Covered by 7hrs Request
anit Adrl Rep. Tyoe of BwlCing Aoulim<ee wine Equpmenc Wire!1
Home Range Temporary Service
Duplax Water Heater Liqhting Fixtures
Apt. euilding Dryer Electric Heabn
Commercinl Bldy. Fumace Silo Unloader
InAustrial didg. Air Conditioner Bulk Milk Tank
Fann otner Soeci v .inerlSnerityl
t nr ISUCCifVi the, piho'
(.ompute lnspectron Pee Below
p Fee Service EnfranceSize b Fee Feeders/5ubteeders b Fce Circuits
0 to 200 qm 5 0 to 30 qm 5 0 tn 30 An s
Above 200 q??,py 31 [0 100 Amps 31 to 100 Am s
Swimminy Pool Above 100-Amps Above 100-nmps
Trans(ormers Irrigaticn Booms Partial.Other Fee
Signs Special Insectiun
a
?
Re ?rks /
%
? ???
"
' TOTAL 5EE
//
?/.?f
?/?
/?JT
7-iG/
Poueh-in
? ?,?tv
e
I, t?e Elec
?tosohe.ahv
certify thet the a0ove
i ection has been
dB.
This repuest voia 1B mOntRS Irom
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA138393
Date Issued:08/24/2016
Permit Category:ePermit
Site Address: 1866 Covington Lane
Lot:6 Block: 2 Addition: Park Ridge 2nd
PID:10-56751-02-060
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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Brian K Kohl Weiss
1866 Covington Lane
Eagan MN 55122
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
!"
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-Of
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Date Received:
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff:
buildinginspectionst cityofeagan.com L
2020 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: / Unit#:nn n/'/'
Name: j3IA� J f'CtLL ' f& L( rss) Phone:�Ql 3l��l - `o
Resident/
Owner Address/City/Zip: ig(er0 rte;taitte- A✓• L,Ciu�sr � Gtb2,Mk -CS l22-
Applicant is: Owner Contractor V[Jill y`IeA�S me .CD t + 1
Type of Work Description of work: Iv(ALJ 1/
Construction Cost: /5, LIZ • dr6 Multi-Family Building:(Yes /No )
Company: Contact:
Contractor Address: City:
State: Zip: Phone: Email:
License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why: L--X77,, p wp n m
A .10 Lt;1.4,-n
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor. Phone:
Fire Suppression Contractor. Phone:
NOTE:Plans and supporting documents that you submit we considered to be pub*information. Portions of the Information may be
classified as non-public If you provide specific reasons that would permit the City to conclude that they are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.com/subscribe.
Exterior work authorized by a building permit issued In accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance 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. A
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Applicant's Printed Name Applica 's Signature
Ig 6' Couny4 Lnv / &/ 67-
Dp NOT WRITE BELOW THIS LINE
SUB TYPES
— Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
_ Single Family Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
_ Multi Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
_ 01 of_Plex Lower Level — Pool — Accessory Building
WORK TYPES
_ New _ Interior Improvement _ Siding _ Demolish Building*
_ Addition _ Move Building _ Reroof _ Demolish Interior
_ Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace _ Repair _ Egress Window _ Water Damage
_ Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation s,;_opc, Occupancy -1-R-c - 1 MCES System
Plan Review Code Edition ao c,1c SAC Units
(25%_ 100%_) Zoning ;'D City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction c a3 Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
/ Footings(Deck) Final/C.O. Required
Footings(Addition) j( Final/No C.O. Required
Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood
Roof:_Ice&Water _Final Pool:_Footings _Air/Gas Tests _Final
X Framing 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS
Insulation Windows
Sheathing Retaining Wall:_Footings Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
—
Braced Walls Erosion Control
—
Shower Pan Other:
Reviewed By: •M.JSo- , Building Inspector
RESIDENTIAL FEES \ ec K. Aad '4:e
Base Fee (3 18 circ k ,. 1a x /2
Surcharge
Plan Review New 4 ec K = /d x oko
MCES SAC
City SAC 4( Us`�• ex 7 -1.:ne. Fcx-,4`'SS
Utility Connection Charge i(**-c,— 0 Jec k
S&W Permit&Surcharge �{�1 d 1
/'f' :-1 ��...�.e,,.5 j?efor cs p4
Treatment Plant J
Radio Meter Read
Copies 05)x 0 x v2C _ z/6
TOTAL
Page 2 of 3
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And described hereon,.
As prepared by lee on .this is*FI •dayof
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA172969
Date Issued:10/25/2021
Permit Category:ePermit
Site Address: 1866 Covington Lane
Lot:6 Block: 2 Addition: Park Ridge 2nd
PID:10-56751-02-060
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Brian K Kohlweiss
1866 Covington Ln
Eagan MN 55122
Roof Time, Inc.
18928 Katrine Ct
Lakeville MN 55044
(952) 447-7663
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA178922
Date Issued:09/09/2022
Permit Category:ePermit
Site Address: 1866 Covington Lane
Lot:6 Block: 2 Addition: Park Ridge 2nd
PID:10-56751-02-060
Use:
Description:
Sub Type:Water Softener
Work Type:Replace
Description:
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Brian K Kohlweiss
1866 Covington Ln
Eagan MN 55122
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA179078
Date Issued:09/19/2022
Permit Category:ePermit
Site Address: 1866 Covington Lane
Lot:6 Block: 2 Addition: Park Ridge 2nd
PID:10-56751-02-060
Use:
Description:
Sub Type:Furnace & Air Conditioner
Work Type:Replace
Description:
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Brian K Kohlweiss
1866 Covington Ln
Eagan MN 55122
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature