1875 Covington LaneCITY OF EAGAN N p
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55127
PHONE: 454-8100 / C
BUILDING PERN@IT Receipt# ?
Tobeusedlor SF DWG/GAR Est.value $66•000 Date mARCH 27 116 9 7
9 86
$iteAddress 1875 COVINGTON LN Erect Occupancy R3
Lot 7 eloc k 1 Sec/Sub. PARK RIDGE 2ND Remodel ? Zoning Rl
Parcel No Repair ? Type oi ConsL 17
. Addition ? No.Stories
a Name RUSCON HOMES Move ? Length 42
3 14530 PENNOCK AVE Demolish ? Depth dR
Address
' ° A 432-1433 Inllmpr. ?
V Sq.Ft
.
City .
Phone Install ?
o Name SAME Approvals Feea
? i
¢ Address ASSeSSfil2nt Permit O
?
City
Phone Water & Sew
. Surcharge 33.00
50
GW
_ w
Name PROBE ENGR
I Address SAME
i W Ciry Phone
. 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 iry of Eag?pOrdinances.
f Signature of Permittee
A!Building Permit is issued to: RUSCDIV HONiES
all'work shall be done in accordance with all applicable Stzt Minnes
Building OHicial
Police _
Fire -
Eng. _
Planner
Council
Bldg. Of
APC-
Plan Review 165.
SAC 575_00
Water Conn..500. 0
Water Meter 63.5 0
Road Unit 290.00
Tr. PI. 156.00
Var. Date Copies 2, 1 . 00
-1 Total
on the express condition that
City of Eagan Ordinances.
Y
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-195
BUILDING PERMIY PHONE: 454-8100
SF Dir?G/GA13 Est value $ 66+
:agan, MN 55121 liC ^ 7
Recefpt # `
F5 6
Date m"C f' 2 7 19
SiteAddress 187$ COVZNGTON LN Erect ? occupancy R 3
Lot 7 Block 1 secisub. Pp}ZK RIDG_F , 2YyD Remodel ? Zoning R1
Parcef No Repair ? Type of Const -V
. Addition ? No. Stories
cc RUSCON f:Qh1ES Move ? Length 42
W Name
1-4 30 ??'t4???K NVE Demolish ? Depth .9
4
o Address
A
43 2-- i 4 3 3
V' Intimpr. ? Sq.Ft
City
'
Phone Install ?
?
= o Na
? ¢ Ad
r r•;.
u a
Name PI2QBE ENGR
F W
= a Address SP'ML
u
< W Citv Phone
Assessment
Water & 5e4v.
Police
Fire
Eng.
P{anner
.?
Permit '? '' '' A. . •, "
Surcharge 3 s - 0 U .?
Plan Review
SAC S25-G0 '
Water Conn.5pfl 00
Water Meter 5 U
• Cound Road Unit ? 9?- t3 0
I hereby acknowledge that I have read this application and state that the gld . Off. 3/2 7/8 Tr. PI. I 5 h- O O ?
information is correct and agree to comply with all applicable State of 9 ?
Minnesota Statutes and City of EaganOrdinances. APC Parks ,
Signature of Permittee k--- i- ?? <-- Var. Date Co ies
p
Total ' 2 114 . U0
•
..C?7N iiQhi?.;
A 8uiiding Permit is issued to: F{U on the express condition that j
a!1 work sha!l be done in accordance with all applicable StateM Minnesota Statute? and City of Eagan Ordinances.
I . I P.rmn Na I P.mW Haae. I on. I rokqno- 0 1
.f
PERMIT #
MECHANICAL PERMIT RECEIPT # ~~ S 3
cmr oF eacAN 4, j , t?b
$.1750. Q0 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
IJTRAf`T PRIf_F• ounue• eew_ninn
Site Addreps y-"
Lot Block
m Name _
? Address
c City _
L Name
c Addre
O CitY -
Phone
TYPE OF WORK
Forced Air
Boiter
Unit Heater
Air Cond.
6U,OOOM BTU
M BTU
M BTU
M BTU
Gas Piping OuUets #
Other
FEE
S/C:
TOTAL•
G
OR
DESCRIPTION
. TYPE W
BLD
K
xx
xx
? Res.
New
Mult Add-on
C
-1565 omm. Repair
Other
FEES
RES. HVAC 0-100 M BTU - $24.00
2-1433 ADDITIOMAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
24.00 ADDITIONAL 6 M BTU -
GAS OUTLETS -
COMM/IND FEE - 196 OF CONTRACT FEE 6.00
1.50 EA.
MINIMUM - RESIDENTIAL FEE - 10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
24.00
?Q SIGNATURE OF PERMITTEE
$24.50
FOR: C1TY OF EAGAN
?
PERMIT # CITY OF EAGAN FEE 7??? v
, ??? 3 3 PLUMBING PERMIT ??
RECEIPT # 454-8100 S/C
? • MINIMUM RESIDENTIAL FEE -;10.00 + $.SO TOTAL C2?J ? 61
DATE !' -'s MINIMUM COMMERCIAL FEE - $20.00 +;.50 -
1. Bldg. Type: Res _>?- Comm Inst 2. New XL_ Add Alter Repair
v e
3. Total Bid Price ? 4. Job Address
, ,.r.
Lot Z Block ? Sec ? i??? r l< C- 5. Owner vl LJ !? <zr"/V
c ?,.:,,e.....• /-.?'.Cli/7i --? r:v'. 4 , i :!!l, i A /
7. Contractor Phone
NO. FIXTURES NO. FIXTUBES NO. FIXTURES
LWater Closet - $3.00 --/-Laundry Tray - $3.00 -Well - $10,00
1-Bath Tubs -$3.00 1 Floor Drains -$1.50 Private Disp Syst -$10.00
?LavatorK -$3.00 __LWater Heater -$1,50 -3--Rough Openings w/o
-Shower - $3.00 Whiripool - $3.00 Fixtures - $1.50
LKitchen Sink - $3.00 ?Gas Piping Outlets - $1.50
-Urinal/Bidet - $3.00 ?Softener - $5.00
COMM./IND. RATE - 14 OF TOTAL, BID PRICE PLUS $.50 STATE SURCHARGE FOR EACH $1,000 OF FEE.
Signed: z2t?7z ?f 1 G2+?li l/ for
Approved Inspections: Date Rough Insp, Date Finai Insp.
PERMIT #
PLUMBING PERMIT RECEIPT #
GTY OF EAGAN ,
3830 PILaT KNOB ROAD, EAGAN, MN 55121 DATE:
CONTRACT PRICE PHONE 154-8100
Site Address ?'' " ~ - - t -? BLDG. TYPE WORK DESCRIPTION
Lot ? B*k Sec/Sub
- es. New
? Name "" ult Add-on
? Address< = Comm. Repair
c Citynu^^? ? '-'-? v•?, _ 'Phone ' ? Other
- NO. FIXTURES TOTAL
- ?? , ?
.. ,?. ?,/.. ? ,?,_
Name Water Clos
t - $3
00 $
3 Address `/ .
e
Bath Tubs - $3.00
p Phone Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00
FEES Urinal/Bidet -$3.00
COMM/IND FEE - 1% OF CONTRACT FEE L.sundry Tray -$3.00
MINIMUM - RESIDENTIAL FEE _$10_00 Floor Drains -$1.50
MINIMUM - COMM/IND FEE _ 20.00 Water Heater - $1.50
STATE SURCHARGE PER PERMIT - .50 Whirlpool -$3.00
(ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets - $1.50
BEYOND $1,000.00), / Softener - $5.00
? Well - $10
00
.
Private Disp. - $10.00
Rough Openings - $1.50
SIGNATURE OF P MITTEE FE
E
STATE S/C:
FOR CITY OF EAGAN GRAND TOTAL• ? J?
CITY OF EAGAN Remarks 'bly -// /=rr4
Addition PARK RIbGE 2nd Lot 7 gik 1 Parcel 10 56751 070 Ol
Owner $treet 1875 Covington Lane state Eagan, MN 55122
Improvemeni Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREETRESTOR. 1985 492.00 32.$0 15
GRAOING
SAN SEW TRUNK „ 1982 159.37 10.62 15
SEWER LATERAL 2/6 ik 1985 626.16 41.74 15
WATERMAIN QQ 1985 642.54 64.25 10
WATER LATERAL
WATER AREA ; 1 82 159.37 10.62 1
STORM SEW TRK f 1985 370.93 24.73 15
STQRM SEW LAT
CUF18 & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER,
5AC
PARK
IN5PECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number.
Eagan, Minnesota 55122 -1897 Date Issued:
(612) 681-4675
SITE ADDRESS:
APPLICANT:
' I it'J t i-art I Ilf+! r/1Nt ii',r !?,, .! fd6 •?+i! . l . i I II
? ??k? ? E; 1 t? , fdii ? . I ? ?1 ?! „ . ?
PERMIT SUBTYPE: TYPE OF WORK:
r:i ?. ! 11, 1 r „l!
INSPECTION .. . DA
I, t i?tr?r i?. 1;i ', I i rJl? ??1 i?i i t Hf:•, f 1 F? •. I, 1:1? t?Jii I U t Il?,t I-l ' I. ' I +?l ? II
r.'4" DrnMI it I: ? nWNI i: I nMa rf R I M f F kMf !t II?
..
I
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.. .,.. . ? .... . .. .. ....
.. . . ...: .
..? . ? .
il•.
,::.:? 5.
I ? . . .
..
... ??. . .
--------.?? ?
?._??r
---- ?
Permk No. Permit Holder ' Date ' Telaphone #t
ELECTRIC
PLUMBING
HVAC
Inspection Date Irop. Comments
FOOTINGS
FOUND
FRAMINQ
ROOFING
RDUGH
PLUMBING
PLBG
AIR TEST
ROUGfi
HEATING
GAS SVC
TEST
INSUL .
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
_
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG Z 9 ?
/
DECK FINAL ?? ? ??
CITY OF EAGAN WATER SERVICE PERMIT
R ad
3830 Pdot Knob o
P. O. Box 21199
Eagan, MN 55121
Zaninp:
• pwnor:
Address' ov n? or: ?z
,$ih /lddreas: . ? _ _ ...., ., ? .P
plumnber. _
Meter No. • '
Size: ?
Reodsr No..
VERMIT NO.:
DATE:
No. of Units: '
1 qrM to eowph' !w C? ?t ' -xtraw? , - , , I , p 1
?i:
By pote Poid:
Date of Insp.: Imp.:
ILr - ly -(0
CITY OF EAGAN SEWER SERViCE PERMR
3830 Pilot Knob Road pERMIT NO.:
P. O. Box 21199 ?,?:
Esgan, MN 55121
Zon1n0: No. of Units:
Owrwr.
Add?ess:
Sita /lddross:
plumber.
1alm N " "Vif? V*b tlw Cil1? 00 M"a C°n'wct{°n aorpe'
/1c=inf DsPosW-
??. Penr?it Fw:
Sunl+arpr
Mlsc. Chorom
By
Doh of Imp.: Totol:
- - _
Doh Pold:
s request void L`'?/? , / _bI
months from ? O
dl
021 L7. ?I
?ICensed Electrical Contractor
? Ownar
Street Address, Box or qoute No.
7.s ?A :
ugh-in?InsPection
?Ready Nuw ill Notlfy Inspec-
es ? No tor When Ready
1 hereby request inspection of abo?e
elactrical work instelled at:
409.-
,.P
+? SIgl BOARD OF ELECTRICIT
Gri9es-MidweY'?Id9. - Room N-191
1827 University Ava„ St. Paul, MN 55104
Phone 16121 297_2111
REQUEST FOR ELECTRICAL INSPECTION
- ? ?ee ..._.
B ??? ------ .. -???w?•,? ?ms iorm on back oi vellow copy,
"X" B
U?
e/ow Work Covered by 7his R equest
7
Add Rep. TvPe ol Building
Home
aPPliaoCes Wired
Equipmenl Wired
Duplex Range Temporary Service
Apt. Building Water Heater
Dryer Lightin,y Fixtures
Commercial Bldy.
Fumace Electnc Heatm
Industrial Bldg.
Air Conditioner Silo Unloader
Farm
Otner veci y Bulk Milk Tank
ther
/ ninf,, ISUer.ity)
uer.i
y Other --
O/AD[/IP lnc nprtin., C,.,. D,.l..... -
M Fee SarviceEntranceSise
200
U t p Fee Feeders/Suhfeeders u Fee
circuies
o
Am s
Above 200 ?
Am s 0 to 30 Am s
31 to 100 Amps 'Z Qt 0 tO 30 Am S
31
Swinmin Pool to 100 Am s
Transformers Above 100_Am s
-
i
Above 100_Am?s
Signs rrigation Booms Partial Other Fee
Special
I A9y -
THIS INSPECTION HEQUEST WILL NQT
BE ACCEPTED BV THE STqTE gOARD
UNLESS PROPER INSPECTION FEE IS
ENCLOSEO.
Ee-00001_04
- ,
RESIDENTIAL BUILDING
Permit Application
City Of Eagaa
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
?.Vo:-?6
New ConsWd'wn Reauirements RemodellRepalr Reauiremenis OfFlCe Use OnN
3 registered sile surveys shaxing sq. tl. of lot, sq. ft of houu; and all roofed areas 2 copies of plan Cert of Survey Recd
(20% manimum lot coverage allowed) 1 set of Energy Calculations for heated additlons Tree Pres Plan Recd
2 copies of plan shaxing beam 8 window sizes; poured found design, etc. 1 site survey tor additions & decks Tree Pres Not Reqd
isetofEnergyCalculations AddlUon-indicateifon-sifesepticsystem _OnslleSepBcSystem
3 copies of Tree Preservation Plan K bl platted after 717/93
Rim Joist Dehail Oplions seleclion shcet (61dgs with 3 or less uniLs
Date "1 / oZI / 03
- Construction Cost ? p V o
Site Address ?
? y? N L1 1 0?' I f ,,
?--?`?h e Unit/Ste #
Description of Work ewla-e-Q_ ??) I n
K
MuIU-FamilyBldg _ YI
N Fireplace(s) _ 0_ 1 _ 2
Property Owner J- &tJ Telephone #(1505 O (p g( O-?"(
Otqt iakp Window 3 Sidhip
Contractor 146M aM..o pri"
Address AppbV??? 11111114 55?? City
State MN LJe. N 20080427 Zip Telephone #( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Enefgy CAde Category . Residential VenUlatlon Category 1 Worksheet • New Energy Code Worksheet
(4 submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber
Telepl'ionE #j
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone
I hereby apply for a Residential Building Pemut and acknowledge that the informWion is complete and aecurate;
that the work will be in conformance with the ordinances and codes of the City ?of Eagan°an3'the State of MN
Statutes; I understand this is not a permit, but only an application for a pernut, 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.
LLE &•naNS ? CA_-t??
Applicant's Printed Name App t's ignature
?CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERMIT
1875 COVINGTpN LANE
LOT: 7 BLOCK: 1
PARK RIDGE 2ND
P.I.N.: 10-56751-070-01
CK ??I193
BUILDING
026393
08/29/95
DESCRIPTION:
, (FU7URE PORCH)
Building,.Permit Type DECK
Building Wa,rk Type NEW
?
f
-
i
.'-,?
,
? ._ . _
. ,
REMARKS:
WEST END OF DECK HFlS FT6S SIZEO FOR FUTURE 14'x 12' PORCH
(24" DIAMETER CORNER & 27" DIAMETER INTERMEDIATE)
FEE SUMMARY:
Base Fee $30.00
5urcharge $.50
Tota1 Fee $30.50
CONTRACTOR: -
HflRTGERINK CONST, FRED
16450 WEBSTER CT
PRIOR LAKE MN
(612) 447-3733
Applicant - ST. LIC
14473733 0006420
55372
OWNER:
DEVINE
1875
EA6AN
PERMIT TYPE:
Permit Number:
Date Issued:
I
I hereby ecknowledge that T have read this
informetion is correct and agree to camply
Statutes and Gity of E'agan Ordinances.
L ?-(Ll- -
M E SIGNATURE
application and state that the
with all appliGable Stpte of Mn.
TONY
COVINGTON LN
MN
issueo av siuaE
INSPECTION RECORD
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
$?1.EA??RE$$: P.T.N.: 10-56751-070-07
LoT: 7 sLocK:
1875 COVINGTON LANE
PARK RIDGE 2ND
PERMIT SUBTYPE:
DECK
PERMITTYPE: auiLozNs
Permit Number: 0 2 6 3 0 3
Date Issued: 0 8/ 2 9/ 9 5
? APPLICANT:
HAR7GERINK CONST, FRED
(612) 447-3733
TYPE OF WORK:
NEW
DESCRIPTION (FUTURE PORCH)
?
I?. . -. . . . , . . .. ?? . . . ._. .. ? . ._ . .
?
REMARKS: WEST END OF DECK NA5 FTGS SIZED FOR FUTURE 14'x 12' PORCH
(24" DIAMETER CORNER & 27" DIAMETER INTERMEDSATE)
4
- CITY OF
N01Ts: ALL COPTRACTOES MOST BE LICENSID VITH THE CIYY OF E6G9H
COlRIERCIAL SIAIGLS FAI+IILY DiIE[.LINGS
INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS
& STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY
SPECIFZCATIONS AND 1 SET OF 1 SET OF ENERGY CALCULATIONS
ENERGY CALCULATIONS
$2,000 LANDSCAPE BOND
(o(oQbO
To Be Used For: Sinale,_Fam,ily Valuation: ?7 Date:
Site Address 1£375 f'ov;nQtnn I ang, OFFICE USS ONLY
Lot 7_ Block 1_ Erect ? Occupancy : l3
Nn Remodel Zoning fZ- l
Parcel/Sub park Ririne Z' Repair _ Type of Const _2r-
Addition # of Stories
Owner DEUINE, Tonv Move Length 47-
Demolish _ Depth
Address 141 19th AvP. 5_ Int.Impr. Sq Ft
Install
City/Zip Code St_ Paiil S5f1 75 ---------- - ----°--------- ------
Phone 450-1988 APPROVAIS FEES
Contraetor RUSCON HOmES. INC.
Address 14530 PENNOCK AVE.
CiEy/Zip Code APPLE UALLEY, 55124
Phone 432-1433
MARK NAGEL/
Arch./Engr. PROBE ENGINEERING
14530 PENNOCK AUE.
Address1000 E. 146TH
RPPLE VALLEY, 55124
City/Zip Code BURNSUILLE, 55337
Phone # 432-2044/432-3000
Assessments Permit 33 1,
Water/Sewer Surcharge 33.
Police Plan Review I[?S,S-°
Fire SAC 575 •
Engr Water Conn 5D0•
Planner Water Meter (93.?!!
Couneil Road Unit
9 ZPo'
Bldg Of( 0 reatmenE Pl
2
T
6PC Parks
Variance Copies
TOTAL
.
HOTE: ADDRESSES FOR CORPER LOTS - COHTEACTOR/HOMEOiiNER HIIST DESIGNATE WHICH
ADDRFSS IS DFSIRID. NO CH9NGFS WILL BS ALLOiiED ONCE BDILDING PERMTT
IS ISSII6D.
ms?
Prc ao sE
NGINEEAtNG
COMPANY, INC,
t ?1000 fAST 1461n 57REFT,
Ce
CONSUtTiHO ENGINE6AS "
PtAHNEAS nnd tAHD ftIRVEYO!!S
BURNSVILLE, YINNfSOTA 53337 PH 132-3000
LgCal l2wcrlp2i0rt • LOT 7, BLOCK /, P,4.PK R/OGE 2ND
ADD /T/ON, DAKOrA COUNTl', M/it/NESOTA,
NORTH
SCALE: /"=30'
_ ? ?io??? C01//NG'TON_ ?9zi 67 LfINE
DPA/N.9GE ? ?9-
?ri? ?ry EAS?E
30'FiPONT 8(//LO/iYG
SETP_,9CK L /NE ?
?
(9zio_ DENOTES EX/ST/NG
EL EY.9 r/ON N
?`TZ?•O) DENOTES P.??DSED ?,a
ELEtG9T/ON `? O
_i? /ND/CATE? D/RE_ T/ON p?
OF SU/c'F,9CE OP,9/NAGc' ?
. „-r- -
F/N/SHED GARAGE
FLooR El-E?47-101'V = qZ3,8^
z21_12
S 89° 35?'34"E
70. DO
0
a ?
I
I N Gn 2. N
? ?
V?.31 1 n N
I
I (923.5) _1 z.3 vi
s¢.1 - -
3 ?
m
l
n
I
M
?
I M PROPOSE9
NauS6 ?
N? ?
N
-4O,o _j
??(9Z3,5)
? Lp% 7 I
?I
LF7 ? ?/,
?
a?
o q,
? N
O
?
0
cn
70, DO
S (99° 35134"E <9zq,o.)
I her:by cert3fy thdt thia ia a true and correct representation ot a traet of
land as •hown'and deaeriDed hereon.. Ae prepared by me an this awr+t day ot .
/dL•<•-k _ Ninn. 1lea. 110. ?G?
• Beterniine working square footaae of each.
7. Total exposed 4ra11 area ...... sq. ft. xell T'` .?
• :.
2. Total roor/c=i7ing area ..... i04D sq. fit. x.oZb
Total exposed wall area above floor
a. Total wall wiridow area ..................:........
b. Total door area ................................. 3? .
c. Total sliding glassdoor araa .............. ..... ?
?
• d: Total fireplace wall area .........................
e. Tota1 wall framing area (averagelOA)........... f. Total n=t wa71 area abave floor ................. G 3n.!0
'
g. Total rim joist ar°a ............................
7ota1 exposed foundation area = .
h. Tota] foundation window area ..................... -
1. Toa7 net foundation area above arade ,........... l?•(??
Ueterrine "U" value of eacn wall seg'°_nt. '
a. v 31L11
'33_
b. 3C-11 X „U„ ,1-3 = 4.94
c. x JIU„ ,33 = _ ?(0
a. - x „U„
x ??U" .12 = I7.41 '
I
x „u„ ? n5q °
g.? X "U'l s 0c = !o
h. --?_' X IVI
;. 09. ['v3 x „U„ , o, C-0 = B.'1'1
3 ........:.................:...........Total = 1 4 - .
if it=m n3 is the same as, or less than item r21, you have met tile intent
af 53C 6005(c)2.
? *t
1'? ' f S L 1 • I F_ ... . .
• '.' :?Y . . • ' .u. . f'. .
Totali exposed.roofJcei'ting area 04L
,? - ` • . `, ; `•? Total grass roof/ce9lir,g area
_.. ;j. Total skylight area ........................ "-
k. 7ota1 raof/ceiling framing area ..........,.
1. Total net insulated roof/ceiiing area....... . Gr':?-'k?. Oetermine "U" value for e=ch roof/ceiling segment. .
_.. ,...... ?. ... .. X ilum ? ,? •? .
. . ' k. •x 11U11 . 0??1• C4 ?? zXAGN?to'2..32"IU3ULOVG2.
1. G61 (7 x4lull
4 ..................................Tota1 '
'. If totai of #4 is the same as, or 1=ss than fl2, you have met the intent of, 5BC G006(01. . - • : : . ..?
To utilfized the total envelope systa method, the values.established 6y the
sum of items 13 and $4 shall not he areater than the sum of itens 81 and #2. .
. ?. ' .. + 2. a .
3
+ 4
MATERIALS Therm. Eesisbamca "R"
Ezterior Air
Siding 1lateria2
SheathiYig
Ineulation -
SheetroCk
Interior Aix
studa
Rim
Conc. Blks.
.9S Yi
? ¢;I eu
1,28+Is. ?s,zt
a/4a
CITY OF EAGAN
APPLICATION FOR PERMIT
SEIQER AND/OR WATER CONNECTIOTI
(PLEASE PRINT)
1) PP.OPII7PY ADDRESS : _ 1 A 7S oi i n g t o n L a n e
IFGAL DESCRIP`I'ICN: L7-B1 •
(L0t7Slock/Subdivision or Tax Parcel I.D. NLuber)
u EtiS':'= :G STRCCP^:2E, DATE OF ORIGIVAL HiiILDl*IG P=---',ST ISSU?ING:
PR?.Sc : 00 R-1 Su11GLW c^PmaLY
? R-2 CUPLE.`{ (ZTn-0 Wi ITS)
? R-3 7CXJMO(JSE (THRF" + iJNITS) ( Wi ITS)
? R-4 ApAR'iP^?'`;T/CO-DMMNi IU.,l ( Wi ITS)
p CCP?..'TtCIAL/REI'AIL?OFFICE p LMUSTRIAL
Q INSTI7UTIONAL/GOVERIZIENPr
2) APPLIGm?N'P (PLEASE PA1H1)
NAbfE: Ruscon Homes, Inc.
ADDRESS: 14530 Pennock Ave.
CTTY, ST?TE, ZIP: Apple Vallev MN. 55124
PHONE: 432-1433
3) PLC,^4BER
NF4titE:
ADDRESS:
CITY, STATE, ZIP;
PHOiVE:
tPLEASE PRiNI)
Star Plumbing
1018 Mound Springa Ter.
Bloomington, MN 55420
884-4149 PLUMBER LICENSE p 33z9M
Q) QcC[JPpj?1Cr,,7NER NA(PIEASEPRINT)
"?= Tonv De?ine
ADDRESS: 141 19th Ave. S.
CITY, STATG, ZIP: St. Paul, Mn. 55075
PH(?:IE: ac;n_lqaA
fOR CITY USE ONLY
PLUN.BERS IICENSE:
Q Active
Q Ezpired
Q Not aF Pecard
arr nstia
5) INpICATE WHICH PEPMIT IS BEIM RDQ[JESTID:
? CCl`.TIECI'ION 'IO CITY SD7F32
CO"]EcPIO.I 'Ib CITY S,iATER
? 0'I'Em (PLGASE DESCF2IBE)
6) D;pIG;M 0:E:
? PLE\SE FiOID APPRpVEp PER`4IT FOR PICF:-UP BY ONE OF 11BO1.'E
p°LEaSE :*AII, 1)PPRWID PFRNLIT ''0 1. 2.3 4 ABWE
? A ?n (Circle one)
» s??,ATLRE: ?$e? 7???? DATE:
. :..
F 0 R C I T Y U S E O N L Y
PERMIT ° ISSUED
y? F°ES: $ /e, - 5 G
$
/G S Z:
$
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$
$
$
J ?S', ?• ;•
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$
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$ /? S C. • C?'
$
$
Sr;•;E°, n?a?1ri (I;IC:.i;D? SUP.CHARCE)
WATER PERD1IT (INCLUDE SURCHARGE)
WATER METER/COPPERHORN/OUTSIDE READER
WATEP, TAP (INCiCiDE CORPORATION S;OP)
SE;+IE4 T.qP
ACCOUNT DEPOSIT - SEWER
ACCOUNT DE°OSIT - WATER
WAC
SAC
TRUNK :VATE.°. ASSESSMENT
TRUNK SE[4ER ASSESSMENT
LATERALBENEFZT/TRUNK SEWER
LATERAI; BENEFIT/TRUNK WATER
OTHER Tr?
TOTAL
AMOUNT PAID/RECEIPT # L`3
DOES UTILITY CONNECTION REQUZRE EXCAVATION IN PUBLIC RIGiIT OF WAY?
C? YES IF YES, THEN A""PERMiT FOR WORK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
? NO ENGZNF?ERING DIVISZON. LIST AS A CONDI-
TION. .
SUBJECT TO TfIE FOLLOS•IING CONDITIONS:
APPROVED BY:
TITLE:
DATE. - , .
RESIDENTIAL
BUILDING PERMIT APPLICATION
S? S v? CITY OF EACAN /
3830 PILOT KNOB RD, EAGAN MN 55122 C?IGl ?r?
651•681-4675
New CaneW ction Reauirementa RemodeVRewir Reauirementa
• 3 regislered sile surveys showing sq. fi. of lot, sq. fi. of hrouse; and all mofed areas • 2 copies of plan
(20% macimum lot coverage allowed) • 1 set of Energy CalcWations for heated addi(ions
• 2 copies ol plan showing beam 8 window saes; poured found desgn, elc.) • t sRe survey for exterior additions 8 decks
• i set of Eneryy Calculations . IMipte rf home served 6y sepHc system for addifions
• 3 cropies of Tree Preservalion Plan if lot platted after 711/93
• Rim Joist Detail Options selectlon sheet (61dgs wiih 3 or less unils)
DATE ') '<) ? VALUATION 4 '1'300
SITE ADDRESS tg75 (3:?v'4°iti 1-yl MULTI-PAMILY BLDG _Y ?
TYPE Of WORK R400?)4Q FIREPLACE(S) -'0 _ i_ 2
1 -
APPUCANT ??
;o
STREETADDRESS fq`I tvof- cin ???fle- G?TATE MWZIP 55 11
TELEPHONE # 65f ?76S-fSS CELL PHONE # C,! (7 qq64I1ZS FAX # b5 1 76-5 266?2
PROPERTYOWNER TEIEPHONE# 4-'S
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RliLFS 7670 CATEGORY 1 MINIVESO"GA RULES 7672
(4 submission type) • Residential Ventilafion Category 1 Worksheet Submitted • New Energy Code Worksheel Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor:
Plumbing system includes:
Mechanical Confractor:
McchanicalsysCein includcs:
Sewer/Water Contractor:
_ Air Conditioning
Heat Recovery System
Phone #
"'-"""--"--"'--"'--"'-'--'-"----"--' •--"'--"""""-'-""
I hereby acknowledge that I have read this application, state ihat the inforrr
with all applicable State of Minnesota Statutes and City of Eagan O' anc
Signafure of Appltcant
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _
_ Water Softener _
_ Water Heater _
_ No. of Baths
_ Phone #
Lawn Sprinkler
No. of R.I. Baths
Fee: $90.00
Fee: $70.00
J-tUVe-- D ------
and agr comply
Not Required _
Updated 4/02
? ?? ?,t?
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
11 /?s, -Fa
Date Z'?' / 9 /
Site Street Address Zz7,5-??r6/ / Al? ?? f?/9 AJC Unit #
Property Owner Telephone # {?j ) /?-7? ?f9
Contractor ? 4,t'7/D?/L! Telephone # V-5-A
Address_f?'=-,??? Stateh Zip ?" 3
The Applicant is: _ Owner k/Contractor _Other
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures (excludes water softener and/or water heater--complete next
section if installing these appliances).
_Septic System Abandonment
_WaterTumaround (add $125.00 if a 518" meleris required)
Other:
L
? Water Softener ? Water Heater $ 15.00
_ new ? replacement
{
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total $
I hereby apply for a Residential Plumbing 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 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 eve t a plan is quired to be reviewed and approved. ,
A plicanYs [?t N ffpplicanYs Si ature
------------------
i Fo[ORice,Use I
j Permil#:
? Permit Fee:
? Date Received: j
I ?
I Staft: ?
I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ?I Z1-! 0 " Site Address:
Tenant:
,6 Y-kA 0 14r
? ?v rw
v, La ng-
sune n:
RESIOENT/OWNER Name:?Qw1 (0 E-Y,? ig LZ? _Phone:
Li-7
19 ? S C
V
L
f'
I n*
0 t,'
Address / City / Zip:
Applicant is: _ Owner _ Contractor
TYPE OF WORK Description otwork: f_- - ?&z
Construction Cost: 9, O ? O Multi-Family Building: (Yes _ I No ?
CONTRACTOR Name: N-F VL yk-a yi License_#:
Address: 9 ? Y Y- Q?C? ?Idf?tC? h?J L?/ v-tl/J
/
City:lt-?? /? lD '? 5 a[e: Zip: ?? ? 7.1?
Phone: (0 6S J - 0'? o Contact Person: U
COMPLETE THIS AREA ONLY IF CONSTRIJCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residential Venlilation Category 1 Worksheet • New Energy Code Worksheel
Category Submitled Submitted
(4 submission type) • Energy Envelope Calculations Submitted
In the last 12 monihs, has ihe City of Eagan issued a permiY for a simllar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: - Phone:
Sewer & Water Contrector: Phone:
NOTE: Plans and supporting documenfs that you submit are considered to be publec information. Portions of
the information may be classified as non-public if you provfde specific reasons that would permrt the Ciry to
aoncfude that the are trade secrets.
I hereby acknowledge that ihis intormation is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that 1 understand Ihis is not a permit, but only an application for a permit, and work is not to start withom a permiL that the work will be in
accofrdajnce with the approved plan in the case of work which requires a review and appro I o ns.
x U-?l &'?! C? 4 I`i-E-11 i1 x
ApplicanYS Printed Name Ap IicanYs Signature
Page 1 of 3
Use BLUE or BLACK Ink
I For Office Use
-
j
Permit
OM 1 ~0
I
~
Eajan
1 Permit Fee59 ~~.-~~T
1
3830 Pilot Knob Road
Eagan MN 55122 OCT - ! %q i Date R j
Phone: (651) 675-5675 I
Fax: (651) 675-5694 staff
L F
INFLOW & INFILTRATION PERMIT APPLICATION
C Plumbing 1 -Sewer & Water
Date: Site Address: 7S Co y tA) &-TO N ~,A N
Tenant• ~uu errs Q ~-c Z -4 \fQC w'1 k s - Suite #
4 Name: Qo.~\ ~e..~u Qar~ y~rvt~~ Phone: r„~ 1 (obi -$301
RESIDENT ! OWNER i
(VI N
S ? a
S
Address / City ! Zip: 4175 C01 ,1 0,1 Q--
Name: ty A- License
Address: City:
CONTRACTOR
State: Zip: Phone:
r
Contact Email:
PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope)
TYPE OF WORK s~'Sump Pump Repair Repair
Other. Other:
DESCRIPTION Description of work: RQ e l~csi 1~.x ~b b 4~ P n~ tns idsi. 10 •\c -14l~ -
pvC-
FEES
355.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $ 11~5•
*Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit Ill repair costs for
reimbursement, two quotes from qualified contractors must accompany this awn. A list of contractors
can be found by visiting www.cityofeacian.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.om
1 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 th/ework will be in accordance with the approved plan in the case of workwhich requires a review and approval of plans.
Applicants Printed Name Appi cant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections; _,_„Urrder Ground _Rough-In Final
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116756
Date Issued:10/10/2013
Permit Category:ePermit
Site Address: 1875 Covington Lane
Lot:7 Block: 1 Addition: Park Ridge 2nd
PID:10-56751-01-070
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
Paul W Gempler
1875 Covington Lane
Eagan MN 55122--268
(651) 681-8309
Storm Guard Restoration
1355 Geneva Avenue North, Suite 201
Oakdale MN 55128
(651) 738-1698
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA146528
Date Issued:10/30/2017
Permit Category:ePermit
Site Address: 1875 Covington Lane
Lot:7 Block: 1 Addition: Park Ridge 2nd
PID:10-56751-01-070
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Paul W Gempler
1875 Covington Lane
Eagan MN 55122--268
(651) 332-3749
Apple Lake Heating & Air Conditioning
207 150th Street West
Apple Valley MN 55124
(952) 431-4328
Applicant/Permitee: Signature Issued By: Signature