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1871 Covington Lane PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA077622 Eagan, MN 55122 . Date Issued: 05/04/2007 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 1871 Covington Lane Lot: 8 Block: 1 Addition: Park Ridge 2nd PID 10-56751-080-01 Use Description: Sub Type: e-Reroof Construction Type: Work Type: Replace Description: House & Garage Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: Pictures are not acceptable in lieu of inspections. Fee Summary: BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 Valuation: 3,000.00 Total: $90.00 Contractor: Owner: - Applicant - Jon H Akslen 1871 Covington Lane Eagan MN 55122 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N2 12 000 BUILDING PERMIT PHONE: 454-8100 Receipt k ?/ ??75 Tobeusedtor. SF DWG/GAR EstValue $70,000 Date MAY Zz 19 86 SiteAddress 1871 COVINGTON LN Erect LN Occupancy R3 Lot $ _ Block 1 Sec/Sub. PARK RIDGE 2 Remodel 0 Zoning Rl Parcel No. Repair ? Type of Const Il7n, Adtlition ? No. Stories W Name RUSCON HOMES Move ? Length 47 3 nddress 14530 PENNOCK AVE Demolish ? Depth 47 ° ci A.V. 432-1433 b Phone Int.lmpr. ? I l ? Sq.Ft. nstal o . Name S-NM Approvals Fees $ a Address ? City Phone W W Name pRnRF. F.N(?R/ ARK NAGPI, ?Z Address 1000 F. 146TH aw a Ciry n V Phone 432-2044 IherebyacknowledgethaNhavereadthisapplicationandstatethatthe information is correct and agree to comply with all applicable State of Minnesota Statutes and C" of Eag rdi a c s. Signature ot Permittee &1 A euilding Permit is issued to: RUSC all work shall be done in accordance with all Buitding ORicial Assessment _ Water & Sew. Police - Fire Eng. Planner_ Council _ Bldg. Ofi. ?/ cvloc APC Permit $ 343.00 Surcharge 35.00 Plan Review 171.50 SAC 575.00 Water Conn. 500.00 Water Meter63.50 Road Unit 290.00 Tr. PI. 156.00 Var. Date I Copie Total 2.13 .00 on the express condition that atu[es d?'.iquli Eagan Ordinances. CITY OF EAGAN . , 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, M N 55121 12000 .. BUILDING PERMIT PHONE: 454-8100 Receipt # - To be uaad 1or ' 5F iawG/GAK Est. Value J 7 0r0 a U Date MAY 22 , 19 Site Address 1871 COV I IJ :;TUiV Liy Erect Qt Occupancy YZ 3 Lot8 Block 1 Sec/Sub. PARn :dIDGE 2 Remodel ? Zoning jA 3 - Parcel No Repair ? Type of Const. . AddiUon ? No. Stories Name RUSCON HONIES D Move ? Demolish ? Length 47 Depth 4 7 3 o ENNOCK Address 1,1530 " AVE Int Impr. ? Sq. Ft Ciry A•V. Phone 432 -1433 Install ? o Name SAM Approvab Faes ?°, Q Address Assessment Permit 5 343 _ 00 - I Ciry Phone Water & Sew. Surcharge 3 5- Q a Police Plan Review 171 _ 50' F= Name Pkf1Ft}: F_NC:R / ARK PJA,F.r. Fire SAC 575 _ 00 U= Address 100(l ? 14 6TH. 'Eng. Water Conn. 5 UQ -? 0 i W City a v Phone 4 3 2- 2i14..4 Planner Water Meter 64- S 0 Council RoadUnit 291n-?0 I hereby acknowledge that l have read this application and state that the Bldg. Off. 5/2 0/8 Tr. PI. 1 S fi _ t1 Q information is correct and agree to comply with all applicable State oi Minnesota Statutes and Citv of Eagan Ordinahces. APC Parks Var. Date Copies Signature of Permittee' .- , 1 (???' J?? -- Total $2,134.00 A Building Permit is issued to: RUSCON HOMES on the express conditlon that all work shall be done in accordance with all applicable State gtMinnesota Statutes and City o( Eagan Ordinances. I I P•?mk Na I w.mn Haa.. I Dn. I T.Iophoa. A 1 Date Plby. m9• Ht9• Plby. Final Ftq. Frmg. Dhp. ? CONTRACT PRICE I Site Address -L° ? Lot ' Block ? Name t`L;Sc 2 145 s Address c City V ? Name c Addre O CrtY - I TYPE OF WORK ? Forced Air ? Air Cond. Vent , Gas Piping Outlets # Other : .•- .. i..i' .1..,. . .:a. . . _ N ' , . : -• .. . .•'z- .?. . . PERMIT # / MECHANICAL PERMIT RECEIPT # C` ? / GTY OF EAGAN ? /,O 8 ti 3830 PILOT KN08 ROAD, EAGAN, MN 55121 DATE • ??'_? PHONE• 454-8100 15 :BLDG.TYPE Res. ? Mult Comm. Other 5U t1U M BTU M BTU M BTU CFM i FEE S/C: TOTAL• WORK DESCRIPTION New ? Add-on Repair FEES RES. HVAC 0-100 M BTU -$24.00 5 2•-15 6 ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 :4. UU ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA. COMMIIND FEE - 1% OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - 10.00 MINIMUM -COMM/IND FEE - X00-_. . ..:.? STATE SURCHARGE PER PERMIT - .50 (ADD $50 S1C IF PERMIT PRICE GOES ? BEYOND $1,000.00) i 25:50 I SU SIGNATURE OF PERMfTTEE FOR: CITY OF EAGAN --r c.?+ . _. .. _.. . .. MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ? y Name _ m Address c City ? ? Name _ Address ' p City e Boiler Unit Heater Piping Outlets # M BTU $_ M BTU $_ M BTU $? M BTU CFM FEE: S/C: T07AL: BLDG. T1f? Res, -,_ Mult Comm. Other HVAC WORK DESCRIPTION New Add-on ?- Repair 1 PER PERM17) VV.v.iv.i..YL 1 L4' 17V V{ -VVIlIiVlV1 - APT. BLDGS. - COMM. RAl`E APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & REMODELS $24.00 6.00 - 1.50 EA. ? ..__. '? ? - 12.00 PLUMBING PERMIT CITY OF EAGAN v 3839 PILOT KNOB ROAD, EAGAN, MN $5121 PHONE: 454-8100 PERMIT # ?3°Z / RECEIPT # DATE: ?? Site Address?t?'// <<'y**'TQ'? ?I BLOG. TYPE Block I Name O'' . . Multi Addroqs "' /`5 Comm. City `-c Phone 4z ? 11,1`4 Other ? Name 3 Addre 0 CiN ? FEES COMM/IND FEE - 196 OF CONTRACT FEE MINIMi1M - RESIDENTIAL FEE - $10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) FOR: CITY QF EAGAN WORK DESCRIPTION Add-on Repair N . FlXTURES Water Closet - $3.00 Bath Tubs - $3.00 ? Lavatory - $3.00 Shower - $3.00 ZKitchen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 Whiripool - $3.00 ?Gas Piping Outlets - $1.50 ?Softener - $5.00 - k = Well - $10.00 Private Disp. - $10.00 =Rough Openings - $1.50 FEE TOTAL Co C) G; 300 6UU ov ;?v ? STATE S/C: Sv GRAND TOTAL• ?-? Cv CITY OF EAGAN Remarks ??/,!? 74 7??/g i- Addition PARK RIDGE 2nd Lot 8 Bik 1 Parcel 10 56751 080 01 owne? Street 1871 Govi ngton L.ane State Eagan, MN 55122 Improvement Oate ount Annual Years Payment Receipt Date STREET SURF. 1982 161-46 16-15 10 STREETRESTOR. 1985 P492.00 32.80 15 GRADING SANSEW TRUNK ' 1982 159.37 10.62 15 SEWER LATERAL 1985 626.16 41.74 15 WATERMAIN C i 1985 642.54 64.25 10 WATER LATERAL WATER AREA 1982 159.37 10.62 15 STORMSEW TRK / 1985 370.93 24.73 15 STORM 5EW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER, SAC PARK CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 ? (612) 681-4675 ? SITE ADDRESS: ? 10..' i Ni, iiirr i rkNt f'!1PERMIT SUBTYPE: iiF l: 11 liff 1 I IM11'' F- L ?i )N RECORD PERMIT TYPE: Permit Number: Date Issued: ? APPLICANT: TYPE OF WORK: t f CJ A I liui 1.D 1 r1t; 41,14 sN.• ? Permit No. Permit Ho{der Date Telephone # S/IN PLUMBING HVAC ELECTRIC ELECTRIC Inspsction Dete Insp. Commerrts Footings I Foundation Framing Roofing Rough Plbg. Fough Htg. Isul. Freplace Final Htg. Orsat Test Final plbg. Pibg. Inspector - Notify Plumber Conat. Meter Engr./Plan Bldg. Final Deck Ftg. S Deck Final G ? )7- Well Pr. Disp. . INSPECTION CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: PERMIT SUBTYPE: ,. ,1 I:1 N I I i rl i,!I TYPE OF WORK: ? ? - - - INSPECTION ., O . i , ? . .? .. ? ? rI!?•,i ? HI--P1Af:KS: SEP ARA'if 1 111 f1r11.A1 ;;• I'I IlfqfilNil I'l F'•MT 1. S<F t)itfJtf- f) JCORD PERMIT TYPE: Permit Number: Date Issued: APPLICANT: i;i 1, ?. I?s?i ? ? i ; t .' 1 +I 40 61? Permft No. Permit Holder Date Telephone # S/W PLUMBING HVAC ELECTRIC 1 0`5 ELECTRIC Inspectlon Date Insp. Comments Footings I Foundation Framing Roofing Rough Plbg. Fough Htg. Isul. Rrepiace y ?v Final Htg. Orsat Test Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter Engr.lPlan , Bidg. Final s?/w 'y/ ? Oeck Ftg. Deck Final Well Pc Disp. ? CITY OF EAGAN WATER SERVICE PBtMR ' 3830 Pilot Knob Raad P. O. Box 21199 PERMIT NO.: ' Eagan, MN 55121 DATE: ? ZoninD: No. of Units: Ownwr: 'u scor. ic?r Address: Site Addross: Plumbar. hAeter No. • O o2 Charge; Reo. No.! /j '"- Sim ? Is/me te eae* wMh ty ordtmmo... O?E Husc.eAi.,?.?? ?•?? hi,- 0, ?? .^t•. t _ BY Dota Paid: Dote of IrKp.: Insp.: ?? ?'?? CITY OF EAGAN SEWDt SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: - Eagan, MN 55121 DATE: ZO^i^o: No. of Units: Owner. Address: Site Addn Plumber. 1 ym te eawply wRr fM C*r ef Emp¦ OrdINwew. 8y Oote of I nsp.: Connetttan Charge: M.count Depaif: - - ?" Pom-Jt Fes: Surciw?pe: Misc. Chorqes; Totol: Doh Poid: uest D te i Fire No Rough-i InSpecti Require ? Ready NoW ?Will Notity Inspector Wh R 7 tl Ves r No en ea y I)(licensed contractor ? owner hereby request inspection of above electrical work at: Job Address (Sireet. B or Route No.l Gry I ? 6141iN6 N ?19N? c??/f-N Sect?on No Townsnip Name or No. Range No CAD14 / C OT-4 Occu PRINTI Phone No. ?.J O /-rN (j Power pppe. ?'f:'orH Z .4 4crA°.c Adtlress IEieclncal Conhacto, iCompany Namer CoMracta5 Laense No. ' HWsjC ("A 01,Y32- Md1lin AtltlrB55 orcracior or pwner Making installatwn) o 1ti 5 ? A z . . ch Px« / Yo6b/ s? y Authon Sigrawre iCOmraao OwnEr Maamg Inslatlahon, Phone Number ' t?..:? 95 3 !? C MINNESOTA STATE BOARD OF EIECTiiIC17V Grlgga•Midwey Bldy. - qoom 5-173 1821 Universlty Aye., St. Peul. MN 55104 Phone (612) 842-0800 THIS INSPECTION REQUEST WILL NOT BE ACGEPTED Bv THE STATE BOAf70 UNLESS PROPER INSPECTION FEE IS ENCLOSED REOUEST FOR ELECTRICAL INSPECTIOM ea-00001-08Q ,,.. ? ? See instructions for comPletmg mis lorm on back of yelrow capy, ? L 65597 "X" Below Wcrk Covered by This Request '?_?•?? ew A ep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Quplex Water Heater Electric Heating Apt. Buildmg Dryer Other (Specify) Comm./Industrial Fumace Farm Air Conditioner Other ispecityi Contractor§ RemarKS: L!//rP/1v 6 d F L OCca? ?F' LA -UL L Compute fnspection Fee 8elow. # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee ! Swimming Pool 0 ro 200 Amps 0 ro 100 Amps Transformers Above 200 Amps Aboue t00 Amps SignS Inspec?a's Use Oniy TOTAL S Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE OROE DISCONNEC7ED iF NOT Other Fee COMPLETED WITHIN 18 MONTHS. i, the Electrical Inspector, hereby Rough"n ,? ? certi that the above ins ection has ? p been made. Final Date,? d? OFFICE USE ONLY This request void 18 months hom CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 INSPECTION RECORD PERMIT TYPE Permit Number: Date Issued: SITE ADDRESS: LOT: 8 BIOCK: 1871 COVINGTON LANE PARK RIDGE 2ND PERMIT SUBTYPE: DECK 1 APPLICANT: AK3LEN JON (612) 733-4160 TYPE OF WORK: NEW BUILDING 024302 08/04J94 INSPECTION D. • .• FOOTINGS FINAL L . ? .hi5 ,e4uas, vo,d ` L r I 18 months Irom i Q ?;49P Request Date Fire No. Rovph-in Insvecuon Requ r ? l ' Featly Now ?II Notity InsOec- El ! Wh R d ?/??? es ?No or en ea y er-LIcensed Elec[rical Conlractor I hereby request insPection ol aCove ? Owner electrical work inatelled aC Street Address, 9ox or Route No. Ci1y e uon o. Township Name or Ranye o. County Occupa IPftINTI Phone No. 4 3 -/ P. r upplier ' Address Electrical Convactor Company Namel CnMra No. L icense ?s ? r / ? Mailing AdOress (Cont ctor or Owner Ma in9 Imsla?lat N Authorized a nva od r Making InstallaY n) ornerre Nu mbe =? ? ? MiNNESOTA STA,4E uOARD Of ELECTPIGITY GrigB=-Midwav g?dg. - Baom Nd91 1821 University Ava., SI. Paul, MN 55704 Phone (612) 297-2111 IHIS IIVJYtl:11UN KtLLULJ1 WILL IYUI BE ACCEPTED eY THE STATE 90AN0 UNLESS PHOVEN INSPECTIDN FEE IS ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ee-oowi-a , ?? See imtrvctions br camoleti?q tnis torm on beck ol Yellow coPV. 6 rT C A Q S2 "X" Below Work Covered by 7his Request AAa V Reo. Z J V Type of euilEine -? AOOleoncea WkeO - Equiumant Wired Home Range Temporary Service Duplex Water Heater Lightiny Fixtures Apt. Building Dryer Electrie Heatin Commercial Bldy. Fumace Silo UnloaAer. InAustrial Bldg. Fyrm Air Conditioner O[ner Feu y Bulk Milk Tank 1he, ISnecityl t er Suecify the, 01h.' ....,, p ,r...., .,... Fee r ............... _.,..,.. ServicaEntmnceSize k Fee Fexders/Subfeeders Circuits !"L 0o U to 200 Am 3s 0 to 30 Am s 0 to 30 Nn s Above 200 qmn 31 to 100 Amps E 31 to lU0 Am l Above 100Amps Above 100_Amps " Trniormers Irrigation Booms -3 Other Fee Partial. Signs Special Inspection g 70TAVFEE flemarks ? ?1 '5?i v-c,- flouBh-in D?, I. the Ffectrica Inspector. hereby cerlily that the abova Final insoeccion has eeen D?I.L% ?t/tGJ matla. inis mnuesl voitl 18 monihe Irom ThiS reauest vaitl 18 nnnths Imm 0 40079 /-F al Hequest Daie - p^ Fire NO. RpuPh-in tNSUeCjiOn rteAY A fleatlY Now OWiII Notify Inspec- ? _ 0 ? O Ves ?JO «r When Reatly Licensetl Electrical ConV:ictor I herebV repaast inspaction oi ebova ? Owner electrical work installed at: Street Atldress, Box or Route No 'fl ?Lon Lan2 ??l C CitY ? avl _. I a an ecuon o. Townshlp N e or No. flange No. Cnunty OccuuantlPFINTI iiii /i Phone No. Pow¢r SupDlier Atldress Eiectrical Cory?pr?yp?M??;)'N?' VUJ f\ Contrdr,tar's License No. I 4555 Co. Rd. 1d0 ? a- ? Mailin0 AdJress (H king InstailatioN Phone 448-6819 Authorizetl SiBnature lCon[raclor?Owner Mnkinp Installationl D Phnne Number a.h ?s y y e- [,?l q MINNESOTA STpTE BOAPD OF ELECTRIGITV Griqgs-Midway Bltle. - Room N•191 1871 U... THIS INSPECTION REQUEST WILL NOT 8E ACCEPTED BY THE STqTE BpppD UNLESS PXOPEX INSPECTION FEE IS ENCLOSEO. ? ; SQUEST POR EL ? EC ?TR?IGA rL?1NSP ?m o lON ck ot venow ?oav. EB-00001-06 " 77U 7? 10 400 7q "X" Below Work Covered by This Request Ada Nap. y 1 BuilCine Apoluancna WireC Equipment Wired Home Range Teniporary Service up ex Water Heater Liyhtiny Fixtures Apt. Building Dryer Electrii: Heatui Commercial Bldy. Furnace Silo UnloaAer Industrial BIAg. Air Conditioner Bulk Milk 7ank Faml other n,,:i v olnorl5urr!tyI t nr SuccifY? Orne, Oihi, ?omPUte ni?uecuan ree QCIOW p Fee Service EnvencaSixa b Fee Feetlers/Subteeders b Fee Cimuits 0 to 200 qm s 0 to 30 Am s 0 tn 30 Am s Above 200 qinps 31 to 100 qmps 31 to 1?? Am Swimming Pool Above 100._Am>s Above 100_Am s Trans?ormers Irrigation Boort?s Pdrtial-Other Fee Signs SUecial Inspection S ertNrks R /Q 70TAL F? / /.._? Rough-in Uate I, tha Elech Inspector, hereby Final cesrlify that Iha above ?'?e ' pec[ian has beBn C7.?/J da. (hls reGUesl vo1E 18 montlea fram PERMIT "---?:'CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Eagan, Minnesota 55123 Permit Number: (672) 681-4675 Date Issued: auzLorNc 022802 d1J11/94 SITE ADDRESS: 1871 COVIMG70N LANF Lql": 8 BLOCKs 1 PflRK RIDGE 2ND P.I.N.: 10-56751-080-01 (f4 j g,21° lk)ql DESCRIPTION: ldlng'-.permit Type I.d'ing W`610: TYPe BflSEMENT F7NISH RLTE:RfTSON REMARKS: SERARflTE ELECTftSCFlL & PLUMBTIVG PERMT.TS REQUIftED FEE SUMMARY Base Fee $35.C90 Surcharge Total Fee $35.50 CONTRACTOR: - Fl p p 1 i can t- s I. Ly c. OWNER: MILLER COhlSTo IQSEPH R 14405625 0005170 AALHNp ,70N 17900 VERGRS flVE 1871 COVSNGTQN LANE JORDAN MN 58352 EAGAN MN (siz) 440-6625 (61.2)452-0248 1 hAerehy ac'•knvwledge that I hav.e road th3q applxoatsnn anci' stato that ttrs znfarmatian is caFrect aad agree tn oo:mp}y with ali applicabSa State nfi Mn. L 5tAtutes and Gity d.f Eagan Ordznarice$. ? ?? ??? APPLICANT/PERMITEE SIGNATURE ISSUED : S GNA UE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: LOT. 8 1871 CpVINGTON LANE PARK RIQGE 2Nq PERMIT SUBTYPE: E3fl5EMENT FINiSH APPLICANT: BLOCK: 1 M1IILLER CONST, JOSEf'hi R (612) 440-6675 TYPE OF WORK: Hu,r.i.oI nie 022802 ezlziln?4 AL7ERATION INSPECTION FRA'MZNC .. . INSULATSDN ,. ROUGH IN PL.BG FINAL I ? ftEMARK5: SEpARRTE ELFCTftICAL & PLUMBING PERMITS REQUIREll F. L.? CITY OF EAGAN BUILDING PERMITAPPLICATION 681-4675 C-r,Q.ftr( 1-1 ?7 3S. S o SINGLE & MULTI-FAM 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 of energy calcs. Penalty applies: i) when permit is typed, but not picked up by last working day af month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date 116f III_ Valuation of work --??? 5ite pddress:_? ??/ C'?v?Fod? STREET SU1TE # Tenant Name: (commercial only) IAT ? BLOCK ? SUBDi%"(,L z'Y-` P.I.D. # Descri tion of work: 414? 'Ig ?/ ltz, °i? The applicant is: ? Owner Contractor ? Other (Describe) Name &Ld cTbh Phone y57- aZ Property lAST FiRST OWn2P qddress ?SS 7/ Crlr+'?Pt57"? Lwirc? STREET STE # City jPn°IP,*j State AIL Zip Company (TOS? ??? CcFH r CO Phone Yo°ti ZS Contractor Address s?e.-3 License # 5770 Exp. / 5 City _ ?0 ?21,.ti. ? State/b'I_/V Zip ??J?3? 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 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. l Signature of App icant: ?? PERMIT 0 ? ? CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55123 Permit Number: 0 2 9 3 0 2 (612) 681-4675 Date Issued: 0 8/ 0 4/ 9 4 SITE ADDRESS: 1871 COVINGTON LANE LO7: 8 81.OCK: 1 PARK RIDGE 2ND P.I.N.: 10-56751-080-01 DESCRIPTION: Building„-permit Type ?ECK EiuiZdir?g Wva?-Jc Type NEW r' l REMARKS: FEE SUMMARY: Base Fee $3e.e0 Surcharge $.50 Total Fee $30.50 GUN I FiAG IUH: OWNER: - Applicent - AKSLEN J0N 1871 COVINGTON LN EAGAN MN 55122 (612)733-4160 Z hereby acknawledge that I have read this ap{t7icat3ori and state that the information is carrect and agree to comply with all appllcable State of Mn. Stattates and City of Eagan Ordanances, I ??,? "? ?.?ylI ?! ? APPLICANT/PERIVIIR IGNATURE ISSUED BY: IGNA RE , k ?! - ' CITY OF EAGAN 1001 1994BUILDIN 68E4615APPLICATION ??o nrrfiSl ?7, SINGLE & MULTI-FAMILY Z sets of plans, 3 registered site surveys, 1 co y o energy calcs. ?11]f COMMERCIAL 2 sets of architectural & structur 1_pl?ns,..l-set specifications, 1 copy of energy c . 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: 4106 Q Zv. STREET SUITE N Tenant Name: (commercial only) LOT SLOCK SUBD,?Zj-,n P.I.D. # Descri tion of work: .LJ,pg The applicant is: JE Owner ? Contractor ? Other (oes«;be) Name Ak?kd WN Phone ?{S? -dg7'ef Property LAST FIRST CW? S j"L7-(P l0q X l Owner pddress ? 71 ? c/ ru N L,U C"? 73s -'WoU STREET STE # City _ ?-? State ?? Zip Company Phone Contractor Address License # Exp. City 5tate 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. : 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. Si t f A l ? gna ure o pp icant: lvL?.Y??/ , , E/a0ae ENG1NEERING COMPANY, 1000 EA57 146th Celrzz COHSUlilNO EH61HEfft5 - plp}1NEAS ond LAHD ?llftYEYOllS INC. S7REE7, BUflN5V1LLE, YINHESOTA 5:337 PH 432-3000 d207L• LOT 8, ELDCK /, PARK R/DGc' 2N0 .4001TiOlvi pAKO7A CCUNTY, MINAIct-:J1`A CoVtN6TOIJ LANE `tvF•?. 8 m NORTH 5 89° 35? 34"E" SCALE: 36' '70.00 . ?4z.z. ? _ ?I = 9z-F•7? 5 ?[? ? ? .•? ^ ? 5?0' F,?ONT BUILCtNC- ?c'%BACK L/AIE ' I ? V 11v2s o) LaJ v dc.c c ? u V ti "` ?4A71&E LEIVaTc ; EXISTiNG- Ei.EVA7iON I ? F..o z Cyz2.o) DE:VoTE= ELEVATlG,U n? ? rs'OF S.)RFACc" f??? ?E ?!! q N??' ? CkA1NAG? 9ZS.o = FINISHED GaR.qGc FLOJK E:.: VATIC,V ?' ?? ? I?g $?" ?zg•s/ I ? ? ?? ? ,? ° ?5 (9?+.1) 2 C? ?J ? I I I ? LOT ? DR.qiNA6E AN?? 5I I5 u7Iirrr easer,aEur -,?...- N e-2 z,_o, 70.00 (yyz,o) S 89° 35' 34" E I her*by cartify that thia ia n t:ue and carrect rnpreeentztion of & tract of lond as aho+m' and deacr3bed hereon.• Ae prepernd by mn on thiy un/ day ot irrA,e?f1 ? 19 se, . Hinn. ltes. Ho. /GcSS- ooo 1986 BUILDING PEMT APPLICATION - CITY OF EAG9N BOTE: ALL CONTRACTORS MUST HE LICENSED iIITH THE CITY OF EAGAN SINGLE FAMIILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OE ENERGY CALCULATIONS MOLTIPL6 DWELLIHGS - RE5IDENTIAL RENTAL QNZT3 FOR SALE IINITS INCLUDE Z SETS OF PLANS, CERTIFICATE OF SORVSY - CHIiCB flITH BLDG. DfiPT.9 1 SET OF ENERGY CALCULATIONS COPMERCLAL INCLUDE 2 SETS OE ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OE SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For:? JL Valua Si.te Aadress A/ &j/MN)OW Lot 97 Block L_ 7/r? Parcel/Sub Owner Kbq Address /bo-7 . /40'4 S'? City/Zip Code???j??, Phone 014 Contraetor vr-.e manjE?') r,k)c Address ??5?? ??a15[_([? City/Zip Code kV, -scrZ`Y Phone Arch. Addre City/ Phone 7-6ziA ? !:?Z- 3QQ!? 1 tion: 70000 nate: Erect X Oecupaney Remodel Zoning X / Bepair _ Type of Const"A.7 Addition # of Stories Move Length . ? Demolish Depth Int.Impr. Sq Ft Install APPROYAIS FEES Assessments Permit 3 Water/Sewer Surcharge Police Plan Review , Fire SAC Engr Water Conn ? O - Planner Water Meter le , Council Road Unit 2 D Bldg Off u QG Treatment P1 7SET APC Parks Variance Copies TOT6L .J / 3 (L NOTE: ADDRESSES FOR COANER LOTS - CONTRACTOR/HOMEOiiNER MDST DESIGNATE WHICH ADDRESS IS DESIEfiD. NO C9ANGES IiILL HE ALLOWED ONCE BOILDING PEAMIT IS ISSUED. 1 ? l /D O v? 7 7 ? 'C ? z " ? • ` , _.. . . ? RO-a ` CDHSUlTINO EH6iHEEA1 PICNGiNEEf?iNG PIANHEflS and IAHD fUflVEYOlIS COMPANY, INC. < 1000 EAST 1461h STREET, BUANSVILLE, YIkH£SOSA 5?337 PH ?.'.2-5000 CeT?Z?Z CtZ?E S?.L.7"7TS L? Le„lal lJe.t cr1o2i a n: NORTH SCALE - i" = 30' LOT 8, &LOCK J, PARK RlDroc' 2ND ADD/T1QN, PAKOTA counrrr, MINAlE407A C10 VlAf6T01.! LANE 9vt?. g ?4zz. 30' FRoNT SUILD11J6 SETSRCK L/NE ` :4zz o? GENOTtS EXISTlNG ECEVATiON C92z,6) DE.VOTE<_ PROFC>SEu" ELE?ATlW n\ tu 1 . t- l1JDIC.4TZ-5- DIRECTIOjt[ OF SuRFACE ? O DRAlNAGE I ? p 9z5.o = FiNISNED 6AR,4G-E FLCOR FLe %AT/Ck ? a r? r-? i_ DRAqNAGC ANA - uTrLirr 6A5EMErVT 5 89° 35, 34" E 70.0 0 ? ?. ? `?. Si ?Cy?.7) v ?`GqJd6E ,y Jo.o- ??.o rl.o ? ? ? ? ,? P2ePO5ED - ? M o i y I ?E I ?V T ? (? a / I ? p? ?l :, ?'3•s .LJa , ?L? I I?'•_S? r' ? p t I-- ? ?J ? LOT l? C) i 5?I IS ?423.0? uN j ? 3,OJ 70.00 (qyt,o) S 89° 35' 34" E I her*by ceMify that thia ia a t:ve and correct rapreeeatition ot a tracL of land as aho+m'and deacribed heraan.. Ae prepared by me on this day ot 19 V? . : --- - - EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION ., .••-" " - _ . -_ . . .. OWNER _-- . - _ z = SITE ADORE55 ?s TE ? ' PHONE` 1,9b3 TRACTOR ??>?cb? tla OA ,?.¢s CON . . _. .. , . _ .. , . - . - _ •• Determine working square footage of each. Total exposed wall area ... 1 .. sq. ft. x el1 . ? Total roaf/ceiling area ... 2 1 ZFd . sq. ft. z ?? 4, "x .oZ6 . , Total exposed wail area abave floor = 1'14c? a. Total wail window area ..................:........ 6. Total door area ................................. ?r. ' . c. Total s]iding glass door area .................... nFAD _ - fKdmf (L' . d: Total firepiace wa71 area ........................ e. Total wall framing area (average 10A)............ i L4_• f. Total net wall area above flnor ................. 1 S o= ' g. Total rim jeist area ........................... Total exposed foundation area = 97 h. Total foundation window area ..................... (i y i. Toal net foundation area abave grade ............ Ueternine "U" value af eacn wal] seg-ent. a. I a? „ ., . '33 x „u„ 13_ = A t<? - c. ?? g „ ull d. - X ..Ult e. I?9 X ??U" 1 = 2L f. I5 03 X ,,u,l - o- rf y. 12v X „u„ 05 X „U„ '. 33 ° I' 96 ,. 9 LI X ,,U„ a go = 7.52 . . = ? 3 ..................... ........_......Total . If it_m 13 is the same as, or less than item 911, yo? have m_t the intent of 53C 6005(c)2. ? ,. { ! . Yr• L _ . . ' . . .. ? 1 . . . .,_ - • ' , . . ? ?. Totai?exposed. roof/ceiling area = ' ? A. ; Tota] gross roof/ce9ling area = ' - -- - . ... , J. Total skylight area ........................ •- .. k. Total raaf/ceiling framing area ............ J? r. 1. Total net insuTated roaf/ceiiing area....... , l?_o " Determine "U" value for each roof/ceiling segment. . _.. ' _. ?:. . .. . J .. .. x 11V lIN k. • 12C XttUii . OZ4' ?"°`°, 1. I Cc-G X lfuli .. , 4 ...:...............................Total = 4? If total of #4 is the same as, or less than #2, you have met the intent of SSC G006(c)i. ? Ta utiiized the total envelope system method, the va]ues-estabtished 6y the sum of items #3 and #4 shall not be greater than tfie sum of itens 91 and /2. . 1. - _ + 2. - 3. + 4. _ MATERIALS Ezterior Air Siding Material SheathiYig Iasulation - SheetraCk Interior Ai.r Studs Rim Conc. Sl.lcs. Therrn. &esistance "R" •LB . (os T?4 cea.P. 11 - 51C . .95 !'i, _.slr7 5.5 QtPu I,5 " I. 2B +IL : ts?zf . , _ _ ? .. ?.. - _ -- 2/44 CITY OF EAGAN APPLICATION FOR PERMTT SETPER AND/OR WATER CONNECTIODT (PLEASE PSINT) 1) PF.OPEk7PY ApDRFSS: r.FraS, DESCSZI_°TICN: 1871 Covinaton Lane L8-61 or u titl?=_ :G S-TRL`CP'RE, DAT' 0=' QRIGidAL 'c+JILDL-`IG P=-,:?!IT T_5??,?NC°.: ? R-1 SILNGLEE r11;41LY ? R-2 DUPLE{ ('Ih'p Wi ITS ) [3 R-3 TGSv'NIIIOL'SE (THI2C + [J^7ITS) ( INITS) ? R-4 ApARTl^.E`"P/CONIDCiy .Ti7IU.tii ( Wi ITS) ? CCMMERCIAL/RF.TAII,/OFFICE . ? LMUSTRIlL q INSTITUTIONAL/GOV'EpNMI27P 2) APPLICaN-T (PLEASE PRINi) NA[•1E: Ruscon Homes, Inc. ADDRESS: 14530 PennoCk Ave. CTTY, STATE, ZI?: App2e Vallev MN 55124 PHONE: 432-1433 3) pj,GmgER (PLEASE PR1N1) N1?ME: Star Plumbing P,DDRESS: 1018 Mound Springs Ter. CITY, STATE, 2IP: Hloomington, MN 55420 PHONE: 8$4-4149 PLUnBEN LICENSE q 3329M 4) pCC[JpAL'i`/U,q,,TER NA['tE (PLEASEPR1Ni) • FOR CITY USE 04LY FLl1NBERS LICENSE: Q Active Q Ezpired Q Hot of Record arr nitia • .7on Akslen ADDRESS: 1607 W. 140th St. CITY, STA'PE, ZIP: Burn vi lle Mn 55337 PHp:IG: 894-8236 5) INpIG,TE WHIC(i PEPh1IT IS SEIhG REQUESTEU: ? CC:ZIECI'ION M CITY SET;IER ? Ca.NECI'ICV 'ICJ CITY WATER ? OTF'.ER (PLEASE DE.CRIBE) 6) I:,DIG;i.'T'?. 0::E: v ? P=E NOLD APPRqVM PERtitIT FOR PICF:-UP BY ONE OF ABCnlE ? PI.E1SE A*AIL PRWID PERItIT M 1, 2,3 4 1?BQV£ ? A (Circle one) 7) sICaTLRE: _=? 7? ?z DATE: ,-? !/ilOlal:?ilAtli"alNR,?litC??.??.-.. .. •.• . . . ,. ? . .. ... :ms w i r:saa:ar ir a ft wa?r?:rirsi? r r r? s?.?ssrrw F 0 R C I T Y U S E O N L Y - PER*tIT ISSUED F°ES: $ lC) S () s . j ; s-o S $ $ AS-? $ $ $ C' !?-.L? `_i 7 S'• G`"Z) $ $ $ $ $ / ?? • tf-?? S s f,3 c?.S? ,?c 5°;9En nVR,%1T_; (I:]C:,liDE SUP.CH.?RG:.) WATER PEI2r1IT (INCLUDE SURCHARGE) WATER METER/COPPERHORN/OUTSIDE READER WATEP. TAP (I:ICiUDE CORPORATION S;OP) SE;4ER TAn ACCOUNT GEPOSIT - SEWER ACCOUNT DEPOSIT - WATER WAC SAC TRUNK SdATER ASSESSMENT TRUNK SES4ER ASSESSMENT LATERAL BENEFIT/TRUNK SEWER LATERAI; BENEFIT/TRUNK WATER OTHER 7_20 TOTAL AMOUNT PAID/RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGiiT OF WAY? C] YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ZSSUED BY THE C] [VO ENGINFERING DIVISION. LIST AS A CONDI- TION. . SUBJECT TO TfiE FOLL7:9ING CONDITIONS: APPE20VED BY: TITLE: DATE : ma sON ORLON OR 111s4 wffs Mc" Na sr w,Rm wRN w s? w" w.aw wwalp w?? wis rtr w* m sa a,%+ "c+e mamp aa w w?? 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3530 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Consiruction Reauiremenis 3 ragistered site surveys showing Sq. ft. of lot, sq. R. of house; and all roofed areas (20% maaimum bt coverage allowed) 1 Soils Repod if pmposed building is to be placed on disturbed soil 2 copiesof plan showing 6eam & Wintlow sizes; poured found design, etc. 1 sel of Energy Calculations 3 copies of Tree PreservaUon Plan if lot platled after 711/93 Rim Joist Detail Options selection sheei (buildings with 3 or less unds) Minnegasco mechanicalvenfilation form 13- s. 76 - RemodeUReoair Requirements 9HICe Use Only 2 capies ot plan showing tootings, beams, joists CeR of Survey Recd Y_N isetotEner9yCalculationsforheatedadditions SoilsRepod Y_N 1 site survey foradditions 8 decks Tree Pres Plan Recd Y_N, Add'Rion - indicafe r( on-sife septk system Tree Pres Required Y_ N On-site Sepfo System _ Y_ N Date "'7 / v i o-7 Site Address ?o _ Construction Cost ? di y _I oq }'?L an c, UniUSte # J Description of Work wif"1a pw 1 Q.QIQ,t-I-m'eiR;T'/rr- siCi e Multi-Family Rldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 PropeHy Owner J o h n 4/? I'e,L{J Telephone #( > L,s ?- Nsa - oa ?g Contractor Lamaa FX7L%1orJ Address _ 2 -7,56 V State m/V: Frii I r l/1 eLCJ' City Zip S S/ /' '?,' Tel'ephone #(-(pSh t o r'1 S- 3? ?.P-0 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateaorv I Minnesota Rules 7672 Energy Code Category , Residentiai Ventilation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissiantype) Su6mitted Su6mitted • Energy Envelope Calculations Submitted in the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan8 _ Y _ N If yes, date and address of master plan: _ Licensed Plumber C? i7? Fp? Telephone #( Mechanical Contractor L I n oA 4 ? Telephone #( Sewer/Water Contractor Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the infonnation is,wmplete and accurate; that'the work wi]I be in conformanee with the ordinances aud codes of the City of Bagan and the State of MN Statutes; I understand this is not a permit, but only an application for a pennit, 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. nl,l 1i,(y-l.e ( l? n 1?1J C? ??-??- 1)('?,U.C1 v (?? Gt/ L? 9i?-e?2 Applicant's Printed Name 61 Applicant's Signature 05/05/2010 WED 16:59 FAX 6514378831 Q002/002 Use BLUE or BLACK Ink i Permit ~ Eakan ~ty of I Permit Fee: 3830 Pilot Knob Road I I I i Eagan MN 55122 I Date Received: Phone: (651) 675-5675 I i Fax: (651) 675-5694 1 Staff: i ~ 2010 MECHANI A~LtPER IT APPLICATION Date~ o Site Address: 5 Tenant: 1E~„Q.f'1GFti 1 S Suite RESIDENT/ OWNER Name: be e\ Phone: L4 5a OCI*4? Address/ City / Zlp: l 1 V !ILCn t--4CA_k ..C CONTRACTOR Name: T(.'{ npk P1 way 10{1nG £ WC't~t, cense L4 -7 Address:1 0Y Vt°V h (1..n a City: State: hho- Zip: Phone: Contact: blf6Lt) Email: ' TYPE OF WORK New X_ Replacement Additional Alteration molition Description of work: )C.U - t i PERMIT TYPE RESIDEMTIAL COMMERCIAL 1~ Furnace - New Construction Interior Improvement Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump Under I Above ground Tank install I _ Remove) Other when installingfremoving tank(s), call for inspection by Fire arshal and Plumbin Inspector RESlDENTlAL FEES: A7 $50.50 M in mum Add-on or alteration to an existing unit (includes $40 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ -56- TOTAL FEE COMMERCIAL FEES: $70.50 underground tank installation/removal OR Contract Value $ x1% $50.50 Minimum (includes State Surcharge) - If Per, r i ee is less than $1,000, surcharge is $.50. Permit Fee - If Permit Fee is > $1,000, surcharge increases by $.50 for each Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit flee requires a $1.00 surcharge). _ $ TOTAL FEE 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.cjoyhMtaj I .o ! Fhe acknowl edge that ' nforms omplete and accurate; that the work will I conformance with rdinances and codes of the City of hat I understand i t a permt only an application for a permit, and work no to start without a p r tthat the ll bae approved pla th a e of work h uires a review and approval of plans. A X Apply ant's Printed Nam Apply ant's Signature '~i,~y,~~`>~~i~%,tiM ,~r~ y'~~~'~'§'4 k~rrh'~"'~k~" `dzSS '[r~~! y ~y'l'y •z~~_~a f.:~3~w~~LJ ',=%6~ 5'A,lc^#~'~ . ar `~.7 x"r1a J z- ~ 7Z :x • 'yeia 'w "r. : .+F. z y `Pr m r k ; r rak # r . :'r.: gs..~rS r~ r, z- - INS Use BLUE or BLACK Ink r--- For Office Use ! fry 1 I Permit / \ City of Eq, I #:T 11 I Permit Fee:' 3830 Pilot Knob Road Eagan MN 55122 Date Received: j Phone: (651) 675-5675 I i Fax: (651) 675-5694 I Staff: 1 INFLOW & NFILTRATION PERMIT APPLICATION Plumbing / Sewer & Water Date: Site Address: ! L/V A d R j4 6-j lg~ Tenant: Suite Name: (°1V S P ! Phone: RESIDENT I OWNER Address / City / Zip: 7 ( (v I Name: License CONTRACTOR Address: City: State: Zip: Phone: Contact: Email 7PLU BI NG (Within the building envelope) SEWER & WATER (Outside the building envelope) TYPE OF WORK mp Pump Repair Repair Other: Other: Description of work: ~0 ,(~Q ( 4 n1 DESCRIPTION FEES $55.001 Each (includes $5.00 State Surcharge) TOTAL FEE $ *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit III repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.citvofeagan.com/inflow, or City Hall at 3830 Pilot Knob Rd. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.or-q 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. x- &OVk5 Lq x e0lej Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground -Rough-In -Final 03/16/2015 14:54 FAX 651 451 7740 CULLIGAN 1�0001/0001 ,� �� -- d,� � �.��e�e Q,� � ��« ��(��fi� .�1 rlLCi < �`� --- Use BLUE or BLACK ink _� ! � For OHice Use � I / � I � �s% �� I Permit#: � � I Clty of � �� C� � � Permit Fee: I 3830 Pilot Knob Ro d i � Eagan MN 55122 I Date Received: � Phone: (651) 675-5 75 � i Fax: (fi51 j 675-5694 � Statf: ��_�___J 2015 R SIDENTIAL PLUMBING PERMIT APPLICATION � Date: Si e Address: ��'t— �G�–�' Tenant: Sutte#: ttrh � S i � ��'y� :� c i �-k1� Alq,r�.,y r .�,65� .l /- � `` '� �� ° � ,� $ Nam / Pho�e:�ZII��!"5– ��T �R�sid�ntfdw r>';: � �' �� `'a t S.L�`.. s;��'��'�'.`�x.x`��, �"4�?' Add� SS/City I Zip: �� 1! 1_ '�' < �. �� '�°��'�xa ��'�s�� Milbert Co an Inc dba C an Water WC641376 � r License#' �,��xp?y��a�°�GS � ��r} Name: �1�. Y g �IF`��R�a� h�vv� R`Y i ��c�"r�� `� " "r � Addre s: �1SOI SO`h SL EaS� c�ty: Inver Grove Hgts. t,�C��1 r ��'r��: � � °°�' Mn 55077 651-451-2241' ��r}� ��,��'� , ;° State: Zip: Phone: �4�s`�� ` �,�� William R Milbert , �, � .,.��y� �j>,, Conta t: Emaii: �`�� T�'�' f�,�v,, ��3�t: ,��x�y'��a�5��' New �Replacement _Repair _Rebuild _Modify Space ,Work in R.O.W. i i �A� �.�Y�ifi ��,rfi'�'�'•. s ��aa:; ��,,x�.;�� r' ,=? Desc iption of work: t ; ; i } ;� � RESI ENTIAL } ?��,�a � � �i ;r, �`��.i, � � �a�-� ` �t�� ,r�� `'��;� _ ater Heater ;�'�'�K�;:�.�� ` �Water Softener ��' -�"�, �a :� .� _ awn Irrigation(_RPZ/_PVB) �r��'�rf��T�+ � ,� — — A,,�� i yM : Add Plumbing Fixfures(_Main/ Lower Level) �� ; �r 4' _ eptic System k�i'Y�r�i° 3 . � � �� ;'' Wafer Turnaround r�'�,;�� r > New — a ap �� '� � '� ' ' Abandonment t41c`° x �° •:..:t:. .._..�. i RESIDENTIAL FEES: $60.00 Water Heater,Water oftener, or Water Heater and Softener(indudes$5.00 State Surcharge) $60.00 Lawn Irrigation(includ s$5.00 minimum State Surcharge) $60.00 Add Plumbing Fixture , Septic Svstem Abandonment,Water Turnaround"(inciudes$5.00 State Surcharge) "Water Turnaround(add$200.00 if a 5/8"meter is required) $115.00 Seotic System New $10.00 per as buiit)(includes County fee and$5.00 State Surcharge) / iQ � TOTAL FEES$J"n�l� CALL BEFORE YOU DIG Call Gopher State One Call at(661)464-0002 for protection against underground utility damage. Call 48 hours before you intend o dig to receive locates of underground utilities. www.aooherstateonecall.ord I hereby acknowledge that this infor atlon Is complete and accurate;thal the work will be In conformance wlth the ordinances and codes of lhe City oi ; Eagan;ihat I undersfand lhis is not a permit,buf only an applicetion for a permit, and work is no!to start wlthout a permlt;that the work will be in , accordance with the approved plan I the case of work which requl►es a review and approval af plans. ' X ll - AppUcanYs Printed Name pplicant's Slgnature I 4�"�>�`'�r. �t � `� � � ' �� z 3,�y�. F�I�` Q� I y� : �� ;� * � ,� �s,x ��47�� ` �F� i� �� . � . *� � � L ' ; +' C .. �{�8 . �:" �'' A � Y� � d�,L J'�� f 1 ��. � b�.^,�,� �Y .: F I � r "��, s Lh ,j "'I £� , = 4¢� x ' + g kxi -,. , ; : , t ; '., �` i..a . �ee:t: , �..:�� s;i:�,. ..,n+iNy-. .,. :.' :�s' ::e. ' . .'' �.�.�.�� :�?, � v.. � c. � :�.... . PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA164540 Date Issued:10/01/2020 Permit Category:ePermit Site Address: 1871 Covington Lane Lot:8 Block: 1 Addition: Park Ridge 2nd PID:10-56751-01-080 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater 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: 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 - Thomas & Kristen Root 1871 Covington Ln Eagan MN 55122--268 (612) 965-1179 One Hour Heating & Air 11825 Point Douglas Rd S Hastings MN 55033 (651) 437-4177 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA169720 Date Issued:06/08/2021 Permit Category:ePermit Site Address: 1871 Covington Lane Lot:8 Block: 1 Addition: Park Ridge 2nd PID:10-56751-01-080 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. We encourage you to retain an electronic copy of photos until the project passes a final inspection. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any 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 - Thomas & Kristen Root 1871 Covington Ln Eagan MN 55122--268 Roof Time, Inc. 18928 Katrine Ct Lakeville MN 55044 (952) 447-7663 Applicant/Permitee: Signature Issued By: Signature