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1891 Covington Lane PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA085885 Eagan, MN 55122 . Date Issued: 09/08/2008 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 1891 Covington Lane Lot: 4 Block: 1 Addition: Park Ridge 2nd PID 10-56751-040-01 Use Description: Sub Type: e-Reroof Construction Type: Work Type: Replace Description: House & Garage Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: If there is no ice protection inspection prior to final, you must meet inspector with ladder and flat bar. 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: -Applicant - Owner: Barton Design & Build, James Lori Lucke 5920 - 148th St W #100 1891 Covington Lane Apple Valley MN 55124 Eagan MN 55122 (952) 431-1670 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 N-0 107O 3 3830 PiIM Knob Road, P.O. Box 21-799, Eagan, MN 55 127 PHONE: 4548100 BU ILDING PERMIT rteceipt # Te b, wJ Isr SF DWG/GAR Est, Volue $58,000 pate AUGUST 1, I q 85 Siffi Addreu 1891 COVINGTON LN Erect iD Ocwpancy R3 Lot 4 Block 1 Sec/Sub. P RK RTD +F. Remodei ? Zonin9 RZ Percel No Repair ? Type of Conat. V . AddNion ? No. Stories N m RUSCON HOMES INC Move ? Lenqtn 40 W z e e 14530 PENNOCK AVE Demolish ? Oepth 47 ? Address Int.impr. ? Sq.Ft. city A•V- Pnone 432-1433 Install ? ? o Name $AME ApPrevals Feat u? A??SS Assessmenf Permit $ 307.00 ? City Phone Wafer d Sew. Surcherge 29.00 19 3 50 Police - PlanRevlew .- ?W Name PROBE ENGR. /MARR NAGEL Firs SqC 525.00 4Z-,u Address 14530 PENNOCK AVE Erq. Water Conn. 500.00 ?W Citv A.V. Phona 432-2044 Plonner WaterMeter 63.00 I hereby ackrawladge that 1 haw read this applicotion ond staro that fhe inlormofion is eorrecf and ogree fo wmply wilh oll opplicobla Stafe of Minrrosota Statutes and City of Ea9r Ordinoncas. Sipnaturo of PermiMaa Council Bldg. Off. 8 /1 /8 $ APC Ver. Date RoadUnit 2 80 . 00 rc Pi. 132.00 Parka Gopies 989. 50 A Buildlnq Permit is Issued M: n?o?vir nvriaa liv on the expmn condiMOn tlwt dl work shall be dans in aaordance A a pplimbla State of MI ?qta utas ond Cih oi Eapcn Ordinances. Buildirq Offic{al ,?{ i ? _ CITY OF EAGAN 10703 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 4548100 eU1LDING 'ERMIT Recelpt # To w wed fer Es!_ Velue ri,t. ?':;::"s lo ESS Site Addren Lot Block Percel No. lm Name W :. 4 ?? ._? ., _ ? ? .? !'•. ? ?, ? Addross r:. ?V City Phone ' IJ1R: Erect Lx7 Occupancy Remodel ? Zoning ?. Repair ? Type of Const. Addition ? No. Stories Move ? Length ?. J Demolish ? Oepth •:7 Int. Impr. ? $q, Ft. Install O Apororals FNs _ Pf??)PH r - GW Name = Add?esa tW City ' Phone I hercby ocknowledpe that I hove rood ti?is opplicotion ond stcre thot the inlormation is correct and agree to tomply with oll opplicable Srote of Minnesoro Statutes and City of EoQan Ordinonus. Sipnature of PermiKai A Buildinq Petmit is issued to: • '`_ all work sholl be done in acaordance with all opplicable Stota of IWr Buildinp Offitfal Assessment Permit -' -3TT-. O Q Woter 6 Sew. Surcharge 29.00 Police Plan Review 13 •50 Fin SAC ) [J -' ? ? Eny. Water Conn "« J Plonner Water Meter U CouncH Road Unit . Bldg. Off. Tc Pl. 1.32 , 0 0 j APC Parks Ver. Date ? Cop?es Total an tM expeess cadition that and City oF Eoqon Ordinonces. ? Pwmk Mo. Pormk Holdw Deb TeIsphone Plumbinp ? 1 H.,,A.C. 9 ? ?sb Ea" sofe.n.. Irppoetion DsM Insp. Othw Footings 1 Footings 11 Fou ndation Frsming y RooHny Rouyh Plbp. 7 - Rough Htp. Insul. Fireplea Final Htg. Finat Pibg. Final C?rt/Occ. W?? Wiai6e Locstion: WNI E Sswsr Pr. Dlsp. Radipt MECHANICAL PERMIT Parmit No. ,- ! ?_1 rN;; CITY OF EA(3AN FN 20. v?? :,"1 F!ll /n numbemd Waces S/C Type or Arini legfbly Tot = p• 1. Date 0??'-? 2. Installation Cost _ro C ?vin? tv;; ' 3. Job Addresa1 9 1 `tifte:: 4 Blk. ? Tract • + 4. Owner .:Lzicoa HUn;es 5. Contrsctor :t,_?.;: ::.: .?•? . Phone 6. Address 360C' Kenutbec 7. Citv State ? Zip 8. Building Type: Residential Ml? Commercial O Institutional ? 9. Work Description: New Add O Alter ? Repair ? ? `?? i 1 10. Describe FuelType I 11. No• Equipmsnt STU - M. Ea. Forced Air No. Equipment CFM Air Handlin : Mfg, g Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gaa, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to oomply with all ordinances and codes governing this type of work. Signed : • - 4 ' ' for Rough Finel Inspertions: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 : .: ; 3 G.? slb CONTRACT PRICE Site Address i ?,5c, Lot _-Z? Block _ ? ? Name ?r Address c City Name L ^? ; Address p Cily TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent Gas Piping Oudets # Other MgCHANICAL PERM CITY OF EAGAN 3830 PILOT KNOB ROAD_ EAG, Phone M BTU M BTU M BTU M BTU CFM FEE: S/C: TOTAL• 7 _, RECEIPT # ? 2 ' 5S122 DATE b?d 7 BLDG. TYPE WORK DESCRIPTION Res. v New Mult Add-on Comm. Repair Other FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. COMM/IND FEE - 19/o OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE 8 CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYONO $1,000) / . , FOR: CITY OF EAGAN - / r Receipt PLUMBING PERMIT Permit No. ' CITY OF EAGAN FN l /Iri ?fill in numbered spacea S/C Type or Print legibly Tot 1. Date ??2. Installation Cost 7..;ii..' 3. Job Address Lot ' Blk. ' Tract _ ??• 4. Owner 5. ContractorZzPhone s. ?y ? 8. Building Type: Residential(.13-- Commercial ? Institutional O 9. Work Description: New d`_ Add ? Alter ? Repair ? I 10. Describe I 11. No. r Fixtures Water Closet No. Fixtures Cesspool/Drainfield _ Bath tubs Septic Tank L.avatOry Softner , Shower Kitchen Sink Urinal/Bidet Laundry Tray Well Other Floor Drains Drinking Ftn. 4__ Slop Sink Gas Piping Outlets 'I 12. I hereby certify that the above information is true and correct, and I agree to ? Comply with all ordinances and codes governing this type of work. / Signed : for Rough Final _ ? ! Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CITY OF EAGAN Remarks _4/? ? l"?`?? / 1?8? Addition PARK RIDGE 2IId Lot 4 Rlk 1 Parcel 10 56751 040 01 Owner Street 189 1 Covington Lane State Eag an, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. ? 1982 16.15 10 gO. - I I U` STREET RESTOR. 9/3 1985 4 2 ?? 32.80 15 ?a?O, yc) ? ? GRADING SANSEWTRUNK 1982 159.37 10.62 15 10&.d 7 - / /U-p7 - SEWER LATERAL 916 1995 696-16 41.74 15 29 1, 9 ? WATERMAIN 1985 642.54 64.25 10 5 WATER LATERAL C ? WATER AREA 1982 159-37 6 15 ,a? STORM SEW TRK 1985 370.93 24.73 15 ,,-. STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 00 n n BUILDING PER. 10703 n n SAC n n PARK ? INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number. "• `4 1 i Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITEADDRESS: APPLICANT: ????, i Ni? i I?N i nr?i i ii? i i ! ???• t I PERMIT SUBTYPE: TYPE OF WORK: It I t fiH I I r1Pt INSPECTION DATE INSPTR. INSPECTION TYPE D• I fl I I i:I. { 1 f4i?I r i, I MAKKti : ;,1 I'AI:A I i Pl-tt M I I : , ARI I, i U111 1{1 U i Ofi nN Y I'I 11MI4 1 Ni, lif; k I f i. 1 R f i. A! Wullk ? ??U ?? I Permit No. Permtt Molder Date Telephone N S/1N PLUMBING HVAC E L E C T ELECTRIC Inspectlon Date Insp. Commentt Footings I Foundation Framing Roofing Hough Pibg. Rough Htg. _ -, _? C? 1 Isul. z -z3-?s a Fireplace 19 F-T ru ? d' S o w?K L g' Final Htg. Orsat Test Final Pibg. Plbg. Inspector - Notify Piumber Const. Meter EngrJPlan Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. .? $/? CITY OF EAGAN WATER SERVICE PERMIT ` 3830 Pilot Knob Road P. O. Box 21199 pERMtT NO.: . : Esgan, MN 55121,, DNTE: Z?ing, i No. of Units: Owner R +% . v Rddre Address: umber: L71 : ?-•" er No.: :??i? ?r?? ?t: f ? .Reode No.: Q,3 ? Fee: P it x '1 prN !e amply wh6 IIw Ciry of Eovon Surchorgs: :OrJiwgnaM. Misc. Chc Wes: - - . y ? - Total: ? ; B r . , Date Poid: Y ; Dcte of Irup.: F Insp.: CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Rcad pERMIT NO.: P. O. Box 21199 DATE: - Eagan, MN 55121 - Zoninp: ^- No. of Units: pwnsr. /lddress: . . -i : ? _ ?=? -- • - Site /lddrcss: Plumber: ! U`.. . . . - 1agw to eweVh wiNb Nw Cft of Eave _ Ca+nection Chargo: ; it ' Ordhwear. : Acoount DepoS i Permit Fee: Surcharqe: By Misc. Q+a?Oest Date of insp.: Totol: - - - Dab Paid: This request void irom ` ?0nths 54517 L?l<?? Ready Now % ilI Notify, Inspec- ? Requir . ;icensed uest Date Tire No. Rough-in Inspection ??? N. ? No tor When Ready Elertrical Contractor I hereby request inspection of above rl n.....,.. electrical work instalied at: Street Address, Bo or Route No. ?afie CitY ? ection o. Township ame No. Range No. County Occupant (PRI ) ,(-) Phone No. Power Supplier , Address , Electrical ontractor Co QL mpany Name) ntractor License No. y ..J ? Mailing Add ess (Contractor or Owner Makin Instailation) • Q Authorized ,ignature ract0 Owne Making Installatio on Number 09 y MINNESOTA STATE tscy?nD OF ELECTRICITY Griggs-Midway Bldp," Room N-191 7821 University Ave., St. Paul, MN 55104 Phone (612) 297-2111 nio • BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION es-ooooi_oo See instructions for comple4ing this form on baek of yellow copy. ""X" " Below Work Covered b This Re uest g 7 y Q ° Now d Rep. yType of Building Appliancea Wirsd Equipment Wired Home Range Temporary Service Duplex Water Heater Lightiny Fixtures Apt. Building Dryer Electric Heatin Commercial 81dg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other Specify .cher lSoer_ifyl t er SUecrfy Other Other (_nl/Il7l/rP lI7.SnBC1InR FPB KPMw p Fea ServiceEMrenceSize k Pee Feeders/Subfeeders # Fee Circuits U to 200 Am s 0 to 30 Am s Z. 1-,00 0 to 30 Am s Above 200 qmps 31 to 100 Amps 31 to 100 Am s Swinuning Pool Above 100_Amps Above 100-Am s Transiormers Irrigation Booms Partial. Other Fee Si9ns Special Inspection g O` TOTAL /?EE 7 Remarks , ' )"' I Rough-in Date 1, the EIeZMtieB'I . Inspector, hereby etify that the above Final '? ?? inspection has heen ' made. This reauesl void 18 months from INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: B U I L D I N G 3830 Pilot Knob Road Permit Number: 024135 Eagan, Minnesota 55123 Date Issued: 0 7/ 15 / 9 4 (612) 681-4675 SITE ADDRESS: LoT : a 8 L 0 C K: 1 APPLICANT: 1891 COVINGTON LANE LUCKE LORI PARK RIDGE 2ND (612) 454-7293 PERMIT SUBTYPE: TYPE OF WORK: BASEMENT fINISH ALTERATION iNSPECTION FRAMING .. . INSULATZON .• RDU6H IN PLBG FINAL REMARKS: SEPARATE PERMITS ARE REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK h-in Rou 1n g a- Flre No. pe n-in psenbn aequireo inso??io? O.her (Yau must wll inspec1or when reatlyl ? Ready Now 19qWiil Nolily Inspecla 9e0uesl Date q -7 r JEL Ve5 ? No OaleFeaOy?- I 7! licensed contrector pilkwner hereby request inspection ol above electrical work at: Job Aatlress IStreet Bov or Roule No.l cny Senion Na. Township Name or N County Range No. OccuPdntIPRINTI Phone/No. :?c?? ? Lo,,; Lu ck e_ ? Powei SuDOLer AdOress Gontrecmr5 Lmense No. Eietlncal Gomractor ICOmpany Name) S'a me_ Mailmg Aao;ess ICOnVactor o, Owner MakinG Installai y J_J t 8 2 ne Number Pn nlracIDV Ow ng In lion, Wre II AulIo:izec 5?g o , MINNESOTA STATE BOAPO OF ELECTRICITY THIS INSPECTION PEOUEST WILL NOi V( BE ACCEPTEO BV THE STATE BOARD Gtlggs-MlAway BI09- pe°m 5473 UNLESS PAOPER INSPEGTION FEE IS 1621 Univeral\y Ave.. 51. Vaul, MN 5510E ENGLOSED. PAOne S1]) 642-0800 Rm???°p E6-00001-0 REDUEST FOR ELECTRICAL INSPECTION ?a 1, See InsVUclions foe canpletng mis lorrn on Oack ol yeliow copy ? 6y "X" Below Work Covered by This Request ew Atld Rep. TypeolBuiiding A IiancesWired PP EquipmenlWired orary Service m T i ? HOme Fange p e Electric Heating Duplex Water Heater Load Managemeot Apt. Building Dryer Other (Specify) CommJlndustrial Furnace ? Farm Air Conditioner plner (spenlyi Comracmrs Femarks'. Compute fnspection Fee Below: Fee ? Other Fee # Service EntranceSize Fee # CircuitslFeeders Swimming Pool 0[0 200 Amps 0 to 100 Amps TranSformers Ahove 200 _ Amps Above 100 _ Fmps Si905 Irspechors Use Only. TOTAL ? ? Irrigation Booms Special Inspection i DISCONNECTED IF NOT NSTALLATION MAY 8E ORDERED on AlarmlCommunicat THIS I ` Other Fee COMPLETED WITHIN 1 THS D t I, the Electrical Inspector, hereby Ro°9nm a e , '? G Cj certify that the above inspection has F;,,ai ? Date 7 6een made. OFFICE USE ONIY ThiS rBquB51 witl 18 manlhs irom ??-,(Jk- S e- jh -t 04- .(\?N% V1 i ? I_. . I ? . ??, Fequest? ale / Fire No. qough-in Inapecti a Requiretl? ? Yes No NOTICE: Vou MuSi Call Electrical Inspedor If A Rough-In Inspectlon Is Requiretl- Ready Now I licensed contractor ? owner hereby request inspection of above electrical work at: Jab Address ( sat, Box or R ule No.l 1 ??L LA CI - QV? Seclion Na Township Name or No. Ranqe No. Caunt Occupant INT) ?/? ,Q ( \ N C? C l_v Phone No. Pawer Supplier Addresa Eleclrical Contractor cOmpany Name) Coniradors License No. Harrison Electric Inc. CA00808 Mailing Atltlress (ConVacror or Ownar Meking Installation) 2525 Nevada Ave. N.!/301 Golden Valle AWM1Onzetl Si re (C c o np Installation) Phone Number 554-3300 MINNESOTA STpTE BOAPD OF ELECTPIQTV THIS INSPECTION REOUEST WILL NOT Gtlggs-MiEway Bltlg. - Noom 5473 BE ACCEPTED 6YTHE STATE BOARD 1821 University Ave., St Paul, MN 55104 UNLESS PqOPER INSPECTION FEE IS Phane(612)642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION eeooomoe . ? See inslmctions br completing this torm on pack ot yellow cnpy, ? J 'X` 6elnw Work Covered by This Request ew dd Rep. Typeof BUilding ApplianceSWiretl EquipmeniWired Home Range Temporary Service Duplex Wa[er Heater Electric Heating Apt. euilding Dryer oad Management Comm./Industrial Fumace Other (Specify) Farm Air Conditioner Other(spectiy) Conlraclor's Remarks- Compute /nspection Fee Below // .? ( ? / # Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above i W_ Amps Signs Inspecurs Use anly: TOTAL ? Irriga[ion 6ooms 5 Special Inspection AIarMCommunication THIS INSTALLATION MpY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 78 MONTHS. I, ihe Electrical Inspector, hereby certif that the b i ti h Rou9n-in Dale y a ove nspec on as been made. F??ai oaie OFFICE USE ONLY - - This reyuest void 18 months from Thus request voitl 18 nwnths fmm Pequast Date Flve No. flooBh-in InsGecbon R quired? ReaAV Nuw Q W?? IN °I'+Y ?nsCer 1?N G1 ? ? ` c^? IQ 1 ? ? ?Y ??1 lor Whe.n Peadv ?'Llcensed ElecVical ConVactor I hereby requast ms pection of above t electrical work insta lled a : ? Owner CItY S[reet AAAress . 9ox ar Raute No. ?JaGF1N I 6 '! yrr 1 ?V v r . i??+ • v.?+ LA?U E - t . ecnnn o. Towns?ip Name or No. Range No. Coun v _ ?U_1el( S' L/ ?.7 ?.3 1iE ki Zk f -'--- aan,ess Cantrecto?s License No. Elecvical Contractor lCompanY Namel C' 1 O rn ??3'??'Z- £Z c'c. -?'? I q (? '-r b i Malling Adtlross IContrectnr or Owner Makinp Insi ilationl ?? ?? q - - ?Ly rr,?? r) r mber N Ins allationl AuMorized Siqnamre IContrac[o??Owner Making Phone u C ?/?rjT W TH IS INSPECTION REQUEST WIIL NOT MINNESOTq STATE BOAPD OF EIEGTNI TY 19 BE ACCEPTED BY THE STATE BOARD UNLESS PFOPER INSPECTION FEE IS 1 Griggs•Midwev 81Cg. - 0.oom N• 1821 Universitv Avx.. SL Paul. MN 55104 ENCLOSED. Phone 16121 642-0800 REQUEST FOR ELECTRICAL INSPECTION es-ooooi-as ? See instrvctlons 1or com0leting thls tofm on back at v8110++ copv -.., Below Work Covered 6y Th is kequesf Aavliancas Wlred HAd R.P. TYPe al 6ullcling EquiOment Wire.1 TeiTlpOfafY $ENiC2 ? Home Range Water Heater Lightiny Fixtunes Duplex Buildinq Apt Dryer Hecvic HeaLn . Commercial Bldg. Furnace Sllo Unloader Industr?al Bldg. Afr Condf[ioner , . _ ..,.. Budk Milk Tank .mel isi,acitvl e lnspecuon ree aeruw re ServiceEnVancaSi=e It Fee Faedere 0 to 200 qmps D to 30 Above 200 Amps31 to 1( Swlmmina Pool Above 1 R) n c?,??<z 0 l0 30 Amus 31 to 100 An S r6?? TOTAL FEE D,n? fhe E1e01ica1 Inspector, heraby certitV that tne a0ove nMe?_J ins0action has baen (y - T? made. This repuest voiE 18 ? 1C??77?1 c ?Z ??? A 2 ? Requesl Date Fire No. ? Rough-in lnspection R ?? ' Reatly Now ? edor NWify ?I cJ ? W hn Pe?Y? Yes O I licensed contractor ? owner hereby request inspection of above electrical work at: Job AEtlress IStr2e1. Box or Route No.) City y? ? (?6.1 L,/% R' 6 Aon Section No. Township Name or No. Range No. Couny Ocmpant (PRINT) Phona No. ?Ni•?? G<'?.? ,?7' Power Supplia r pdtlress ? .j fY Elecvicai Gon[raclor ICOmOany Name, actor's lic . C o , o Ma Ing qooress i nvactor or owner Making Inslallation, Aumor Ig amre [CqnVa wner stellation) Phone Number ? MINNESOTA STATE BOAHE(OF ELECTFIdTV THIS INSPECTION REQUEST WILL NOT GuIgga-Mbway Bldg. - qppm 5473 BE FGGEPTED BV TNE STATE 80ARD 1821 University pve., SL Paul, MN 55100 UNLESS PROPER INSPECTION FEE IS Phone(612) 642-0B00 ENCIOSED. REQUEST FOR ELECTRICAL INSPECTION Jr".µ 4 ee-00001-0e ? S(a insimqions for oompleting thls torm on baclt of y¢Ilow copy l°?E! //,, ?J ?? r0?? X" Below Work Covered by This Request D` ew Adtl Rep, TypeofBuiltling AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt Buildinq Dryer Other.(Specify) Comm./Industrial Fmnace Farm Air ContlNioner Omer (specry) Gontredor's Remarks: ? Compufe Inspeciion Fee Below: # Other - Fee # Service Entrance5ize Fee S Circuits/Feeders Fee Swimming Pool D to 200 Amps 0 to 100 Amps Trensformers A6ove 200 _ Amps Above 100 Amps Si9nS insDector5 Use Onry. TOTAL Irrigation Booms Speciallnspection Alarm/Communication THIS INSTALLATION MAV BE ORDERED DISCONNECTECI IF NOT Other Fee CQMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby c rtif ih t [h b i i h Rouyn-io oate e y a e a ove nspect as on been made. F;,,ai < </ OFFICE USE ONLY 'TM1is request voitl 18 months irom ? / 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATGS OF SURVEY 1 SET OF ENERGY CALCULATIONS ' SB,oco. ` To Be Used For: Si,Dgle Family Valuation; Az?ate: Site Address: l071 (-{)VIWL 61c,jC OFFICE USE ONLY Lot: 4 Block ? Sect/SubParlcRitoe Parcel li Owner?F Address ?15 City/Zip Code 'r) 'S ?) i Phone -4 Contractor RUSCON k{OP1ES LINC. Address 14530 Pennock Avenue City/Zip Cade Aople Valley, NIIV 55124 Phone 432-1433 Mark Nagel Arch./Engr, probe EneineerinQ 14530 Pennock Ave Address 1000 E. 146th St. Apple Va].ley, hiN 55124 City/Zip Code Burnsville LMN 55337 Phone I! 432-3500 Erect X Occupancy Remodel ? Zoning R-I Repair _ Type of Const z Addition ? tt of Stories _ Move Length o_ Dernolish _ Depth 4-1_ Int.Impr, Sq Ft Install APPROVIILS FEES Assessments Permit Water/Sewer ? ? Surcharge ? °-° Police Plan Review 77 3. s-° Fire SAC 525. °-° Engr Water Conn 500. °-' Planner Water Meter (03. ° Council Road Unit 7ET. Bldg Of'f Treatment P1 ? 32. = APC Parks Variance Copies TOTAL a ? . S ? V ?. ? "? '0? 4qo x 20K'Z2 - ???3? AOBE PkpNNEaS end6lAND SfUflVEY0115 NGINEEAING COIIS COMf?ANY, INC. 1000 EAST 146M STREET, BUHNSVILLE, LIINNESOTA 53337 PH 432-3000 Cer?i}'z ccz? Sus?-ir-e y jgact IJie.s _ f•;,p2fo,c . LOT 4, BLOCK I, PARK RID6E 2ND ADDiT1dtV) DAKO?A COUNTY, MINNE?--OTA -30'FRONfT BUILDIN6 SESBACK LINE q 9 e` ?, `Q `SeoQ °/g•,s„ _? :9ZE-- ;? DENOTES EXISTING ELEVATION OW-0) DENOTES PRpPpSEG ELEVATION INDICATES DIRECTION OF SURFACE bRAINAGE FINISHED GARAGE FLOOR ELEVATIOht = 921.S?j AIORTH $CAIE: 1u' 30' , -J DRAINAGE AND -.:Z UT 1 L ITY EASEtv1ENT 14 •o ? 36 ?i mI Q?9 r' ? ? '4 e d h? ?, pa ?o ? l/ ?,• f " n ? m / hm LOT 4 y ?--- - - -, ? ,- , ?Ln 'ui ?4az.5i '7) .i i , 9zz.L? 5 89° 35' 34" E I hereby certity thaL this ia a true and ccrrect repreeentation of a tract of land as •hown"and described hereon.. As preparad by ma on this Z¢na dar ot 19 r5 , e-"? xinn. R.a. Ho. v v 1. TotaT exposed wa'i1 area ..... ??"1 9• S? sq. ft. x.11 ¦ l'I 2. Total roofJceiling area .... lQoo sq. ft. 'x OZ6 • °? Total exposed wall area above floor = a. Total wall window area .......................... ?(e z b. Total door area ................................. -;h_ • c. Total sliding glass door area .................... .4q ' d: Total 4ireplace wall area ........ .. .....'.:..... - . e. Total wall framing area (average 1DA)...:........ IHZ- O : f. Total net wall area above floor ................. 1Z?+S? • g. Total rim joist area ............................ 1'1,0 Total exposed foundation area h. Total foundation window area ..................... - t. Taal net Foundation area a6ove grade ............ Deternine "U" value of eazh wal] seg:;_nt. • a. 11?y ? lbUti .3353, b. S( X "U„ .13 c. ' qA glluel .33 = 14, 57i d. - X louii e. xnull . J o = ?1, Z f. ?21 g X„U„ . 043 = 5y .?1 S g. 1Z0 X"U" . 64 = S??? h. - X „ull .- _ I i. X ° u" . O'! _ _LO_ 3 . ......:.................:...........Total = IS 3,2 If item °3 is the same as, or less than item fl, you have met the intent of 56C 6005(c)2. ?_. . _ , - - ?--- - - 2 I {? 1 !i. a r'. t ft1 . ?: . ? ? • ???• ? ' ?? ? ?'.: •. . ? ly ? . ?.l. . . .. . . ' ... . . .. ' • • . 7ota1 exposed roof/ceiling area `? ` • Total gross roof/ceiling area = • . ? _ J. Total skylight area ........................ k. Tota1 roof/ceiling framing area ............ 1. Total.net insulated roof/ceiiing area....... Determine "U" value for each roof/ceiling segment. _.. ?. .._ , . '?, x „uu ?- • k. ?Qb . . X"U14 . 0 7-4' 1. x Uull ° ?. 4........ .......................TOidl a 0? zm'c"°"' 12.3i'"10504- ovT.¢: ,(ZS6 Ie 3.IV . . . . If total of #4 is the same as, or less than #2, you have met the intent of SBC G006(01. - • . • ? To utitfized the total envelope system method, the values.established 6y the sum of items 93 and #4 shall not be greater than the sum oP itens 01 and 12. l. + 2. 3. + 4. MATERIALS Exterior Air 5iding Naterial Sheathing InBulation - sneetxock Interiox dix 5tuds Rim Coac. $lks, Therm. 8esistance "R" .LS . fa5 ?I1:4wp? .11 _ 54? • I? S.,S I Pu i" " 1.5 I, 2.5 +is 8 ? .. I -: i ..- . .. i , (PIEASE PRIBT) PROPERTY ADDRESS: rMM nESAMItiricN: u EXIS:= :i, S-71RUCTC.itE, Dr1Tz- 0? ORIGIidAL cUILD`;G P- R•ST 2SS,2?NCr: US ;: El R-1 =GLW rP'4iLY Q R-2 DUPL?E.Y ('iSN"O Wi ITS ) . 13 R-3 TG4vmoruSE (TI-IP,EE + uNiT5) ( Up1IT5) ? R-4 APART!AD:T/CC;NDaMPi1IU.v1 ( W ITS) ? CCMD'ERCIAL/REi14II?OFFICE R L%DUSTRLAL ? INSTITUTIONAL/GOVER`NMEZTr 2) APPLIG?LNT (PLEASE PRiNi) . NAP1E: Ruscon Homes, Inc. ADDRESS: 14530 Pennock Ave. CTTY, STATE, ZI?: Apple Vallev MIIV 55124 PHONE:: '. - --432-1493 3), PLL';I6ER PPINT) ' FDR CITY USE OHLY NAi: y ADDRESS: PLUHBERS LICENSE: , i . . . . _ ? ._ .. a...- ... ,.?,. • ve Q • CITY, STATE, ZIP: , Bl? o • ., , ? 'i ,? . Ext irsd D PHONE: _ ? 'LiiCENSnE ?} ? ` ? N 4n ecord r itia 41 2CC[1pp,NT/("J,,,NQ2 NRME: EASE PPINIJ ' ? a,DoRess: 5 CI11'. STATE, 2IP: ' z4 PH(}:I?: ? " ! 7 .. 5) INDICF,T'E WHICIi PEP,h1IT IS HEIM ItEQUESTEp; ? CO:rTVECrION 7U CITY SEY7ER . ,. . . .. ? CO:.TIEcfZO.I 'io CITY MTER ' .. , ' ? O'PFEEt (PLFASE DESCftIBE) ? PL°?ISE HOID APPRWID PER.+IIT FOR PICI:-UP' BY ONE ' FIHOVE y - -- --°. , 7)" SICC?TCRE: .. DATE: CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTIOAI ft 10 ?t M?:?:MM ?! Y[1JINM 1r f? ?M,imR:=1Filt w F O R C I T Y U S E 0 N L Y PERMIT it ISSUED I F°ES: $ zb"S ° SEP7E.°1 n?p?tr; (I`;CL:;D? SUP.CHr?P.Gc) WATER PERP4IT (INCLUDE SURCHARGE) $ WATER METER/COPPERHORN/OUTSZDE READER $ WATEP. TAP (I.ICLUDE CORPORATION STOP) $ SE;dEB TAP $ ?S Ud ACCOUNT DEPOSIT - SEWER $ /S c:u ACCOUNT DEPOSIT - WATER $ WAC $ SAC $ TRU.IK ?JATE° ASSESSbtE:1T $ TRUNK SEL9ER ASSESSMENT $ LATERALBENEFZT/TRUNK SEWER $ LATERAI; BENEFIT/TRUNK WATER $ OTHER $ TOTAL $ _ .-2o6-S (- AM0UNT PAID/RECEIPT ,y DOES UTILZTY CONNECTION REQUIRE EXCAVATION IN PUBLZC RIGiiT OF WAY? YES IF YES, THEN A"'PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED SY THE ??NO ENGINFERING DIVISZON. LIST AS A CONDZ- TION. SUIIJECT TO TfiE FOLLOtHING CONDITIONS: APPROVED BY: TITLE: DATE: ?5L-1 c0 2004 RESIDENTIAL BUII.DING PERNIIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 39 g,-V16 -7 / New Gonstructian Reauiremenls RemodeVReoair Reauirements INfce Use Onlv 3 registered site surveys showing sq. ft: of lot, sq. ft. oF house; and all roofed areas 2 copies o( plan CeA ot Survey Reoi _ Y _ N (20°h mazimum lot coverage allowed) . 1 set of Energy Calculatlons for heated addNOns Tree Pres PWn Reoi _Y _N. 2 copies of plan showing beam 8 window sizes; poured found design, etc. 1 site survey for additions & decks Tree Rres Required _ Y _ N 1 set of Eneqy CalculaGons Addftion - indicefe iton-sfte septic system On-site SepOc System _ Y _ N 3 copies of Tm Preservatlon Plan iF lot platted afler 711193 Rim Joist Detail Options selection sheet (61dgs with 3 or less units Date a7? 07 Construction Cost Doo SiteAddress ?r?vin5'?n La +i t? Unit/Ste # Description of Work Multi-Family Bldg _ YXN Fireplace(s) 0 _ 1 _ 2 Property Owner Lri G h J IqA?r / L. k c Ke Telephone #(?? ? ySs? 7a 93 ? ? ? :a Contractor ra. ? ??a -' Address i/A-?je ` City viop State ? ? Zip Telephone # ( g? ) ?? j /6 ?O rV- r? a sa a?y 9 cr,K ? COMPLETE THIS AREA ONLY IF CONBTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential VentilaUon 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 plan2 fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Y_ N If so, 25% plan review Telephone #( Telephone # ( Telephone #( I hereby apply for a Residential Building Permit and aclaiowledge that the informatinrn is compT€fe aud?cd.urate; that the work will 6e in conformance with the ordinances and codes of the City o?`Cagdn u Siaie of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ? h i^4S L ,z ? 1 ? ? Applicant's PriName pplican gn e OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg 1?f 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex pibg_Yor_N ? 25 Miscellaneous WorkTypes q-5$12;j-SU-f1) Pft4,0'1 5??-'? r?? ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation 0 45 Fire Repair ? 33 Alteration ? 37 Demalish Building• ? 43 Reroof ? 46 Windows/Doors ? 34 ReplaCement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation l Occupancy MCES System Census Code ? Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const ? Width REQUIRED INSPECTIONS Footings (new bldg) FinaUC.O. 1?( Footings (deck) ? FinaUNo C.O. ? Footings (addition) Plumbing _ Foundation ? HVAC _ Drain Tile Other Roof _ Ice & Water _ Final Pool Ftgs Au/Gas Tests Final ? Framing Si mg Stucco Stone Brick Fireplace _ R.I. _ Air Test _ Final µ,s ->e Insulation _ Retaining Wall Approved By: Building Inspector ----- --------------------------------------- ----------- ------- --------------- ------- ----------- ------------ ----------- ----------- ---------------------- Base Fee Surcharge Plan Review {// i ?»•vl?, 2S 1? g ?ab MC/ES SAC / City SAC Utility Connection Charge C9-p S&W Permit 8 Surcharge Treatment Plant C) V c> License Search ?-.-- Copies Other Total r . AO W E CONSUITiNf3 ENOINEfAS EPIGINEEAIPIG PIANNE85 end LAND fURYEY08S ? COMPAPlY, INC. ? 1000 EAST 146M STREET, BUANSVILLE, LIINNESOTA 55337 PH 432-5000 Z CGLL jgoat tk.:cri?n: LQT 4, BLOCK I, PARK RID6E 2ND ADDiT10N) DAKOTA COUN7Y1 MINNESOTA ?DENOTES EXISTING ELEVATION '=a'0) CENCT`S PRCppSEC ELEVATiON °- INDfCATES DIRECTION OF SURFACE bRA1NAG-E INISHE? 6ARAGE LEVATiON = 921.8'j WCRTH SCALE: J,r- 30, ?'FRCNT BuiwiNG SETBACK LWE r? / ? F1.00R + / n ? / o T (Q e m ? a ,vj _ 4 rv ao ,. 4 A NE 'so; • <. 4 ?. SB?Q i 'R ? • - 9,9.7? ! i ° (9?_8? NrJ ? ?5?r, ? ? n 2°•o r /?9` ` Mm ? ? ? ? Il.3t ?o v ?SCe ? c Z5 LoT 4 i , DRAINAC-E AND -? UTlL1TY EASEtv1ENT o: ?---, , -- - , ,? ? - -- •i_ ?n f ?tz.5i '7z.:? : 96. 09 ?9z 2, s) sz,z 5 89° 35' 34" E I heMby csrtify that thia ie a true and carrect reprneentation of a traet of land as sham'and deacribed hereon.. Ae prepared by me on thia 0¢77{ day of 19 8'S ? CITY OF EAGAN 3810 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: C'2 ?Yy s BULDI?G? 024135 07/15/94 SITE ADDRESS: 1891 COVING70N LANE LpT: 4 BLOCK: 1 PARK RIDGE 2ND p.Z.N.: 10-56751-040-01 DESCRIPTION: lltllrViz,Permit 7ype BASEMENT FINI3H u?ilblttg i.F?a,r?c Type flLTERA7TON ..,t ?i. REMARKS: EG;??? W (aacjan SEPARATE pERMITS ARE REQUIREp FOR ANY PLUMBING OR ELECTRICAL WORK FEE SUMMARY Base Fee $35.00 COPY $.50 Surcharge $.50 Total Fee $36.90 Subtotal $35.50 CONTRACTQR: pWNER: - Applicant - LUCKE LpRS 1891 COVZNGTON LN EAGAN MN 65122 (612)454-7293 , ? .... . . . . . . .. .. .... . r . . . . ? I heretiy acknavle;dge that r taaue wead th14 appYiaat>ioh awc) *?ta.te' tYtaC Lhe infa.rmation is cttarreet ttnd agraa tQ camlsly with alX arpplioataIa "i$"Gato.xaf Mrr. ; L 5tatuCes iand City af Eaqan' lirdimanc", &atl m2 APPLICANT/PERMITEE SIGNA URE ISSUED B SIG ATUR E 14im CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site s , f energy calcs. I I COMMERCIAL 2 sets of architectural & structur 1 plans, 1 set of 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: 1S"O!f C,?,na lah 1-a?L STREET SUITE q Tenant Name: (commercial only) LOT ? BIACK ? SUBD.?? IJ? 1? I d? P.I.D. # Descri tion of work: "tt1i5h (3as2wna,a?,? The applicant is: ? Owner ? Contractor ? Other (Describe) Name Lu c- ke- Lor-,' Phone `FSLf ??a 93 Property LasT FIRST 6:,t? _?{S?zs Owner Address 18 q 1 Co vtn?4 fo n l-a ri e STREET STE tt City E41 aV'l State M Zip Company sa. rvi_? Phone Co ntra ctor Address License # Exp. City 5tate Zip Company Phone Architect/ Engtneer Mame 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. Signature of Applicant: 73 (,36? 2006 RESIDENTIAL MECHANICAL rExMiT arrLicaTiorr City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for. single family dweltings. & townhomes/condos when permits are required for each unit 30-6D Date -5- / 30 / () (1:1 Si[e Address Co 4, L L.i - Unit # Property Owner Telephone # ( 65 l ) L(,C- c/ ? 7a9 3 Contractor Street Address INC. AMSELL 72253 NiC0llet AVBIWe SOU111 City Burnsville, ? State T8l8 11 : 84h? _ 520&p Telephone #( ) F2X 952-746-5202 Bond #: ,?-30 S G 7 Expires: L i 13 V The Applicant is _ Owner U__&nhactor _ Other Add-on or alteration [o existing dwelling unit $ 30.00 ? furnace _Additional Replacement _ New air exchanger air conditioner ? heat pump ottter State Surcharge -.- ---- -" $ .50 ,?? JUN O ? C?JG I Uj S Total _ ? LI ? J $ [ hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; Ihat the work wil] be in accordance with the approved p(an in [he case of work which requires a review and approval of plans. G? ?fk??i7Rm.? ? ?? Applicant's Printed Name ApplicanYs Signature , IOU1 41elm 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 lJi" Telephone 9 651-675-5675 FAX # 651-675-5694 New Construction ReauiremenGS RemodeilReoair Reauirements Office Use Onlv 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan showing footings, 6eams, joisls Cert M Survey Recd Y_ N (20 % mmimum lot coverage allowed) 1 set of Energy Calcuiations for heated additlons Shcs RepoM1 Y_ N 1 Soils Report if proposed building is to be placed on disturbed soil 1 site survey for additions 8 decks Trce Pres Plan RecdY_ - N 2 copies of plan showing beam 8 windav sizes; pouretl found design, etc. Addifion - indicafe i(on-sife sepfic sysfem Trce Pres Required _ Y N lsetofEnergyCalculations On-siteSeptic.System._ _Y _ N 3 wpies otTree Preservalion Plan if lot platted after 71153 Rim Joist Detail Options seledion sheet (buildings with 3 or less units) Minnegasco mechanical ventila6on form Date •"-, l? t7 Construction Cost s7y?, 0c.- Site Address ???? ? v ??Y? ? ?.. ,4 7\ , UniUSte # Description of Work ??-?`d y T Multi-Family Qldg _ Y/Y N Fireplace(s) _ 0 _ 1 _ 2 PropertyOwner ZCZc-1<?P Telephone#e1JJ ' 7;2- Contractor ?>^?f O5*-?f? ?- 12eJ 9?? 494-'1_4:-0';; G? Address City State Zip ??/,?/ Telephone # COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category , Residential Ventilation Category i Worksheel • New Energy Code Worksheet (d submission type) Su6mitled Su6mitted • Energy Envelope Calculations Submitted In the last 12 months, has ihe City of Eagan issued a permit for a similar plan based on a master plan2 _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone #( Telephone #( I herebv annlv for a Residential Ruilding Permit and acknnwledge that the informa[ion is comDlete and e; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; 1 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. lz_? 11-71ki Yr Applicant's Printed Name J ? Applicant's Signature 35 95 ? 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 (651) 681-4675 ?-?-?-Q / New Construction Reauirements RemotleUReoair Requirements ? 3 regisfered site surveys ? 2 copies of plans (include beam & window sizes; poured tnd. design; etc.) ? t energy calculations ? 3 copies of tree preservation plan'rf lot platted aRer 7/1l93 mquired: _ Yes SNo DATE: 111I9 9 J DESCRIPTION OF WORK: STREET ADDRESS: I ?/ l;OVrNC6`Tan) ? 2 copies of plan ? 7 ske surveys (exterior addkions 8 dedcs) ? ? 1 energy calculations for heated additions CONSTRUCTtON COST: $.336n LOT: BLOCK: I SUBD./P.I.D. #: (3CaX PROPERTY OWNER Lue,r<E , Bos ? Lo2 r Last First Phone #: &T/45V-7093 Saeet Address: 1 g9l C:OVI 11D6TOm (.-Aj City EA(7AAJ State: Prv Zip: J'rjr/aa Company: &KEK ?-U71{STT2f1eT1 pN , .?? • Phone #: 613- g S 4"5SO 3 CONTRACTOR II ?j?jp Street Address: I y'Q 7 V'?1 • 77E ?r. License #2l-V(?o Exp. ?( City P_)LmM1/V6-MN State: 1"l (V Zip: 56V31-0 ARCHI'IECT/ ENGINEER Company: Phone #: Regishation #: Street City State: Sewer 8 water licensed plumber (new construction only): _ change and lot change is requested once permit is issued. Zip: Penalty applies when address I hi reby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes antl City of Eagan Ordinances. , Signature of OFFICE USE ONLY Certificafes of Survey Received _ Yes _ No 4l Tree Preservation Plan Received - Yes - No - Not Required 1999 BUILDING PERMIT APPLICATION (RE3IDENTIAL) CITY qF EAGAN ? T ?? c/? 3830 PII.OT KNOB RD - 55122 ?9? 'f' (651) 681-4675 New Construction Reauirements ? 3 registered ske surveys ? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ? 1 energy wlculations ? 3 copies of tree preservation pian if bt platted after 711193 required: _ Yes _ No DATE: 51111 gg DESCRIPTION OF WORK: STREET ADDRESS: Name: LucxE , po,B ? Cok( Phone#: bSI- 05 - 14 - 73 -9 ? Lazt -? First StreetAddress: 1p91 &1196MN LN RemodeVReoair Reauirements • 2 copies of plan ? 1 site surveys (exterior additions 8 decks) • 1 energy calculations for heatetl additions CONSTRUCTION COST: LOT: ? BLOCK: ? SUBD./P.I.D. 0 0 -?,-Kjj a PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER City C A-GfE N State: MA) $?00 Zip: 55-IaGit Companyj-'4f?Kk lDNsTR.lQnQNPhone#: ??a-SSZI"SS?3 Sueet Address: /7'V Ul/• 78Tff ST• License #c2p05,3QQ7 Exp. ?131/OCJ T?- ciry 13t.ookw6-rnn, state: F-(N zip: ?54-? Company: Phone #: Registration #: Street City State: Sewer 8 water licensed plumber (new construction only): _ change and lot change is requested once permit is issued. Zip: Penalty applies when address I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable Stete of Minnesota Statutes and City of Eagan Ordinances. Signature af Appli t: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No l c. -,g-99 Tree Preservation Plan Received - Yes _ No _ Not Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - - - For Office Us I City of Eapn I Permit Permit Fee: I ~s od 3830 Pilot Knob Road CL I 1 1 Date Re ived: Eagan MN 55122 Phone: (651) 675-5675 1 Fax: (651) 675-5694 L Staff: -----------1 INFLOW & NFILTRATION PERMIT APPLICATION Plumbing / Sewer & Water Date: Site Address: Tenant: Suite RESIDENT /OWNER Name: Phone: 74G - 14F,~/ Address/ City/ Zip: J7 4,, Cyr zL,t,,R l~ ~ t I l et Name: License CONTRACTOR Address: City: State: Zip: Phone: Contact: Email: PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope) TYPE OF WORK X Sump Pump Repair Repair Other: Other: Description of work: DESCRIPTION T l y'~e"9a) Dim iIv Si A, 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 1/1 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.org 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 K7 jY~nrtP.. x Applica is Printed Name A ca s Signature FOR OFFICE USE Reviewed `By: Dater Required Inspections: -Under Ground -Rough-In -Final'' City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink r 1 For Office Use Permit #: 1 O 32-1 Permit Fee: Staff: Lot - Date Received: 1 ( 11 - --1 2012 SEWER AND WATER REPAIR / DISCONNECT PERMIT Date: // 30- / a - Description Of Work: yCity Sewer City WaterRepair Disconnect 2.0pe---; Fee: $60.00 Street Address for Proposed Work Name: OWNER Name: (au �-v� L Address / City / Zip: Applicant is: Licensed Pipelayer %\ Owner ) Contractor Phone: Master Plumber Property Owner S Uo ft 00 l Co /Is r c r Address / City / Zip: 3 O 7 4 g Es- 4c, t,.) Phone: --o7 _ � - _ /c2 Pipelayer Training Certification Card #: PC3 (- 1/6 ) a3 or Master Plumber License #: I acknowledge that the information is complete and accurate and 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. Applicant (Print Name) Applicant's Signature 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.org PERMIT City of Eagan Permit Type:Building Permit Number:EA138017 Date Issued:08/03/2016 Permit Category:ePermit Site Address: 1891 Covington Lane Lot:4 Block: 1 Addition: Park Ridge 2nd PID:10-56751-01-040 Use: Description: Sub Type:Siding & Windows/Doors Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of house wrap and leave on site for final inspection. 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. Valuation: 8,000.00 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 - Kyle A Hinkkanen 1891 Covington Lane Eagan MN 55122 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA142242 Date Issued:04/21/2017 Permit Category:ePermit Site Address: 1891 Covington Lane Lot:4 Block: 1 Addition: Park Ridge 2nd PID:10-56751-01-040 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Andrea Fish 1891 Covington Lane Eagan MN 55122 Adam's On Time Plumbing & Water Heaters Llc 13791 Jonquil Lane N Dayton MN 55327 (612) 205-6060 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA171125 Date Issued:08/02/2021 Permit Category:ePermit Site Address: 1891 Covington Lane Lot:4 Block: 1 Addition: Park Ridge 2nd PID:10-56751-01-040 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations 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: 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 - Scott & Andrea Fish 1891 Covington Ln Eagan MN 55122 Legacy Contracting Inc PO Box 722 Elk River MN 55330 (763) 631-4277 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA179437 Date Issued:10/05/2022 Permit Category:ePermit Site Address: 1891 Covington Lane Lot:4 Block: 1 Addition: Park Ridge 2nd PID:10-56751-01-040 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: 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 - Scott & Andrea Fish 1891 Covington Ln Eagan MN 55122 Legacy Restoration Llc 15350 25th Ave N, Suite 114 Plymouth MN 55447 (763) 354-7660 Applicant/Permitee: Signature Issued By: Signature