1903 Covington Lane
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CITY OF EAGAN N?
' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 '
PHONE: 454-8700
BUILDING PERMIT Receiptu p-?
7obeusedfor SF DWG/GAR Est.value $73,000 Date SEPTEMB RE 12553
?
2 1986
SiteAddress 1903 COVINGTON LN Erect l? ,?( y
OccupanC R3
Lot 1 eloc k 1 Sec/Sub. PARR RIDGE 2NDRemodel ? Zoning PD
Parcel No Repair ? Type of Const. Vn
. Additian ? No. Stories
= Name RUSCON HOMES Move ? Length 45
? 14530 PENNOCK AVE Demolish ? Depth 48
; Address
A.
° ci Int.lmPr ?
432-1433
V.
? S F+
Q
ry Phone
Insiall
o Name SAME Approvale Fees
$¢ Address Assessment Permit 3 . 0 C
? Ciry Phone Water & Sew. Surcha rge - 36.5(
ua
W W
F
() ?
ai
aw
Police
Name PROBE ENGR Fire _
Address $AME Fnn
Phone
Planner_
Council _
readthisapplicationandstatethatthe B?dg.Off.
to comply with all epplicable State of
I hereby acknowle?
information is corre
Minnesota Statutes
Signature of Permin
AHuilding Permit is is
all work shall be don?
Buildinq Official i
Var. Date
Plan Review 176.0(
Sa.C 575.0(
Water Conn.50.0 0(
Water tvteter 63. 5(
Road Unit 290. O(
Tr.PI. 156_0I
Parks
Copies
14y?_ 0 (
Tnfol ?L?
id to\ l n???-var nv.•?o on the express condition that
accordance with all applicable StAtF?bf Minnesota Statuteg+apd City of Eagan Ordinances.
' CITY OF EAGAN R 0
3830 Pibt Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
SF
$73,000
12553
2 .,, 86
SiteAddress 1903 COVI[iGTON LN Erect 13Y* Occupancy x3
Lot 1 Block 1 Sec/Sub. PARK RIDGE 2NDRemodel ? Zoning PD
Parcel No. Repair ? Type of Const. Vn
Addition ? No. Stories
¢
Nam illlSCON HOMES
e
Move
?
Length 4`J
i
3
l
Address 14530 PFNNOCR AVE Demolish
I
t l ?
? Depth a$
S Ft
0 city p?•V• Phone 432-1433 n
mpr.
Install ? Q
.o
11
o?
¢
?
Address
City Phone
? W Name PROBE ENGR
? p Address 5AI''1E
< z
W City Phone
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all appiicable State oi
Minnesota Statutes and City oT-rzagan prdjnances.
Signature of Permittee
Assessment
Water 8 Sew.
Police
Fire
Eng.
Planner
Bldg.
Var. Date
Permit ' 01?
Surcharge 36.
Plan Review 176.
SAC 575.
.
Water Conn. 500
Water Meter 63.
Road UnIt 290
•
Tr. PI. 156.
Parks
Total Y?'+??
A Building Permit is issued to: rtUS`UN ?umzb on the express condition that
all work shall be done in accordance with aIl applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Ofticial _
Wrn?ft No. oonNl Holdsr Dab TNephone #
Plumbiny
I -7
H.V.A.C. `7 "q 9 /
lElectric ? > > fr'? ?+ ? IO// -l 8 t- -j, y- cc
san :».
Inspectlon Date Irap. Commmnb
Footlnys I
FooUnysll
Foundation
Fremloy
Rooflny
Rouyh Plbp.
Rouyh Htq. F /w
Ingul.
Flnplace
Find Hty.
Flnal Plbg. S,jj•? /?
Bldy. Final 41
CaN.Occ.
Deck Fty.
D*ck Frmy.
Wsll
Pr. Dfsp.
- PERMIT #
MECHANICAL PERMIT RECEIPT #
CtTY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
0U PHANE: 454-9104
SiteAddress ?'oviiigcon i?:<<•:
Lot ' Block i Sec/Sub
BLDG.TYPE
WORK DESCRIP'TION
m Name
? Addre
c City
-
? Name
3 Address
O CitY '
TYPE OF WORK
Forced Air 80,000 M BTU
Boiler M BTU
Unit Heater M BTU
Air Cond. M BTU
Vent CFM
Gas Piping Outlets #
Other
FEE
S/C:
TOTAL•
Res.
Mult
Comm.
Other
New . "
Add-on _
Repair
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMUM - 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)
. 5U f ? . ? r.? . . ?._.?.
. 5?
SIGNATURE OF PERMITTEE
$26.00
FOR: CITY OF EAGAN
i T PERMIT #
• - PLUM&NG PERMIT RECEIPT #
CITY OF EAGAN _ 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: ?_?? L-
CONTRACT PRICE: PHONE: 454-8100
Site Address L
Lot
? Name
S Address.
c City ?
? Name _
(D
Adds?s :
O C1tY -f-,:r=
BLDG. TYPE ' . WORK DESCRIPTION
3w -
Res. (---New
Mult ? Add-on
Gomm. ' Repair
? f OthAf
FEES
COMM/INO FEE - 156 OF CONTRACT FEE
MINIMJM - RESIDENTIAL FEE
MINIMUM - COMM/IND FEE
STATE SURCHARGE PER PERMIT
BEYOND $1,000.00) - $10.00
(ADD $.50 S/C IF PERMIT PRICE GOES
- 20.00
- .50
OF PERMITTEE
FOR CITY OF EAGAN
1 Shower - $3.00
-/-Whirlpool - $3.00
4-Gas Piping OuUets - $1.50
L / Softener - $5.00
NO. FIXTURES
2
W
Cl
$3
00 TOTAL
S
ater
oset -
.
-
?Bath Tubs - $3.00
?-- Lavatory - $3.00
? Kitchen Sink - $3.00
Urinal/Bidet - $3.00
L-Laundry Tray - $3.00
Floor Drains - $1.50 i `-
?-
Water Heater - $1-50 ? ?
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE
STATE S/C:
GRAND TOTAL• - ? ?' ?
CITY OF EAGAN
Addition PARK RIDGE 2nd Ltit 1 131 k 1 Parcel 10 56751 010 01
owner street 1903 Covington Lane State Eagan. MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 982 161.35 16.13 10
S7REETRESTOR. 1985 491.56 32.77 15 '
GRADING
5AN SEW TRUNK 1482 159.19 10.61 15
SEWER LRTERAL ? 16 fc 19$5 626.17 41. 74 15
WATERMAIN yQ? 19$5 642.38 64 . 23 10
WATER LATERAL k
WATER AREA r- 23 19$2 159.19 10.61 15
STORM SEW TRK / 1985 370.93 24.73 15 '
STORM SEW I.AT
CURB & GIJTTER
510EWALK
STREET LIGHT
WATER CONN.
BUILDING PER,
SAC
PARK ?
V I7Y OF EAGAN
a Pilot Knob Road
'P. O. Box 21199
?Eagan, MN 55121
;Zanlrq: _
' Owner:
F . Addeess:
S1te /?ddross: -
Plumber.
Meror No.: -3c7a- /.S",:29,-
Size: ? ; , R o c- !'{
R,ader No.: 0 5A/ y? Sd
I gOm !o oanply wm fh. City of ?
?+rlneaae. '
By
Dote of Insp.;
? ?o
?' .
ft semvir w1e6 eiu Cig ef L.vo,¦
DoM Poid:
IMp.; ?
CmnnwcHon Chorpa;
Accourk Deposit: - •
Pennit Fee:
SurtFwrge:
Misc. Chorpes:
Totoi;
DaM Paid:
TY OF EAGAN
130 Pilot Kno6 Road
0. Box 21199
gan, Mfl! 55121
WATER SERYICE PERMIT
PERMIT NO.:
DATE:
No. of Units:
9=
REQUEST FOR ELECTRICAL INSPECTlON EB-00001-04
See instructions tor co
? mpletinq thic form on back of vellow eopv, ?
?/
CV;f? 7 7 "'X"' Below Work Covered by This Request
INew4AAdl Rep.1 Type oi Building I Appliances Wired I Equipment Wired I
k Fea ServiceEntrancaSize B Fee Feeders/Subfeeders # Fee Circuits
i 2 b 0 to200Am s 0 to30Am s 2 QO 0 to30Am
Above 200 Am )s 31 to 100 Amps 31 to 100 A mps
Swimming Pool Above 100_Amps Above 1 00-Am •
Transtormers Irrigation Booms Sa Partial-"Other Fee
I I I"9^S I I I Suecial Ir,spection ? S?? Sp I
Remarks ?
This request void /e?/?-l
1$ rranths trom .
C 35877I-
Request Oate Fire Mo. Roughin Inspe ion
Requi-re ? ~ ?
44eady Now C3AVrf`lntify Inspec-
'? ? ? ryo tor When Ready
Lc}-cicensed tiectrical Contractor I hereby request insDection of above
? Owner electrical work instalied at:
Street Address, Box or Route No. _ City
ection o. Township Name o. Range No. County
Occ ent (PRINT? Phone No.
S -- ?
Power Supplier
(7) Tddress
4
Eiectrical Contractor (Company Namel C actor's License No.
?_ J
iling Address (Contractor or Owner Making Instailation)
uthorized Si atur tractgr/Owner aking Insta tion) Phon Number
?9?-
1++iryNt507A 5TATE POARD OF ELECTRICITV TFi15 IMSPECTION REQUEST WILI. MOT
Griggs-Midway Bld .- Room N-191 BE ACCEPTED BY THE STATE BOANO
1821 University Ave., St. Peul, MN 56104 UNLESS PflOPEfl INSPECTION FEE IS
Phone f8121 297-2111 ENCLOSEO.
1986 BOILDING PEAMIT APPLICATION - CITY OF E6G9N
AOTE: ALL CONTRACTORS MOST BS LICENS6D iiITEi THE CIT][ OE EAGAN
SIIiGLS FAMILY DHELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MOLTIPLE DiiELLINGS - RESIDENTIAL
INCLUDE 2 SETS OF PLANS, CSR
1 SET OF BNERGY CALCULATIONS
RMAL ONITS FOR SALS IINTTS
OF SORVSY - CHECB SiITH HLDG. DEPT.,
INCLUDE 2 SETS OE ARCHITECTURAL & 3TRUCTURAL PLANS,
1 SET OE SPECIFICATIONS AND t SET OF
ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND
? 73cX?
To Be Used For: Sinqle Family Valuation: Date: E5nLq /qs'=)
Site Address 1903 Covington Lane
Lot 1 Block 1
Parcel/Sub park Ririga (?nd aridit?ian)
Owner K$,v Foss
Addre99 7517 m.r on Av , 4.
City/Zip Code Richfield, 55423
Phone 8662226
ContraCtoP Ruscon Homag, Tnr..
Address 14530 Pennock Ave.
City/Zip Code pp21a ua>>Py 59194
Phone 432-1433
Mark Nagel
Arch./Engr. Probe Engineering
14530 Pennock Ave.
Address 1000 E. 146th
Apple Valley, 55124
City/Zip Code Burnsville,_55337
Phone # 432-2044/432-3000
Ereet ? Oecupancy 1??
Remodel Zoning 'PA-&1
Repair _ Type of Const -?Sz
Additlon # of Stories
_
Move Length . <}Fa
Demolish ! Depth 4 u
Int.Impr. _ Sq Ft
Install
APPROYAIS FEES
Assessments Permit 33Z
Water/Sewer Surcharge !3?•5°
-
Police Plan Review I-7U
Fire SAC ?
Engr Water Conn 500
Planner Water Meter L..,31
SD
Council Road Unit - qO
Bldg Off?(. Treatment Pl 56
APC TP?? Parks
Varianee Copies
-
TOT9L '-T I L 1, 117
NOTE: ADDRESSES FOR CORNER LOTS - CDNTRACTOR/HOMEOANER MDST DESIGNATS WHICH ADDRESS
IS DESIRED. NO CH9NGES AILL BE ALLOiiED ONCE BOILIIING PERMIT IS ISSUE[1.
tv:50 X .37705'
25xro =(:
/8 x Z? ; .??? 5g = 271?/,f/
141- 98X58 =
7oX? -?a
t . ..
'? -r z 7 1 Z. °=
'?.
c
... r_ _,.\?` •?'. .
s w
04JP1ER
EXTERIOR ENVELOPE FiVERAGE "U" COMPUTATION
_ I . .. , . ,. _. , n.
SITE ADDRE55
PiIILLIPS PLAN SERVICE
10700 Lgndale Ave. So.
Bloomington, MN 55420
Suite # 306 '
CONTRACTOR ?7,Gl?.?yw I?Ur? DATE PHONE ?Y?I3 Z- /Y 3S _
Determine working square footage of each.
. .. , , _ :, . ,.. , ? : .. ; .: , . ?. ...: r.:,, ..
1. Total exposed wall area ...... 7 I 9 I sq. .ft. x.I? 2. Tota1 roof/cei l i ng area ...... 1 1 40 sq. ft. x,
Total exposed wall area above floor = Zo7 t
a. Total wall window area ..................:........
b. Total door area ................................. 'S S
c. Total sliding ylass door area ................... 35
d: Total fireptace walt area........................ -
e. Tota] wall framing area (average 10%)........ ..... _ZjL_7?_i
f. 7otal net wall area above floor ................. 5 - ?_
g. Total rim joist area ............................ 1/9.s i
Total exposed foundation area = 9 5
h. Total foundation window area.....................
1. Toal net foundation area abpve grade ............ ?
Determine "U" value of each wall segment.
a. 'LD I, S7 Xliu" , 33 = lIti.S 1
6. -IX' x liU" A, 55
c. 3S X "U"?3?_ = ( I +S
d. -
X "U" ?
e. 7.0-?k 1 X l'U'l Io = V.'ll
f. 1592,33 x liuii . LN0 = 6.H
s. x„u„ , oH = A,'f $
n. - x ?lull -
.
;. qs? X liu„ .0-7 = 1?,?5
3 ......................................Tota1 = ?
If item k3 is the sanie as, or less than item #1, you have met the intent
vf SBC 6006(c)2.
__.. ., .._ , . .
.;
Total exposed roof/ceilin9 area
Total gross roof/ceiling area
?
j. ToCal skylight area ........................
k. Total roof/ceiling framing area ............ 119
1. Total net insuiated roof/ceiling area....... 192y1
Determine "U" value for each roof/ceiling segment.
r
jx ,4u„
.. -
k. 119 X"u„
1. Ib? 1 xiluli ? o z.,
a ..................................Total
If total of #4 is the same as, or less than #2, you have met the intent af
SBC G006(01.
To utilized the total envelope system method, the values established 6y the
sum of items H3 and H4 shall not be greater than the sum of itens #1 and q2.
l. + 2. -
3. + 4. _
., .
?.so
L CITY USE ONLY
L I V 8L
SUBO. ParK i
RECEIPT #:
RECEIPT DATE: I o .m-on
PERMIT #
2000 PLUMIDING PERMIT (RESIDENTIAL)
C2TY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
651-681-4675
Please compiete for: ? single family dwellings
D townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES
EACH #
TOTAL
Alteretions to existing dwelling - minimum fee
Describe: $ 30.00
Bath tub $ 3.00 x = $
Floor drain 3.00 x = S
Gas piping outlet ' minimum -1 3.00 x = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $
Laundry tray 3.00 x = $
Lavatory 3.00 x = $
Septic System rrew/refurbished ' requlres MPC lie. 75.00 x = $
SeptiC System abandonment 30.00 x = $
RPZ new installation/repaidrebuild 30.00 X = $
Rou h opening 1.50 x = $
Shower 3.00 x = $
Underground sprinkler if dwelling is under construction 3.00 x = $
Under round sprinkler if existing dwelling 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener if dwelling under construction 5.00 x = $
Water softener if existang dwaliing 30.00 x = $
Waterturnaround 30.00 x $
State Surchar e ,50 -> -> _-> $ .50
TOtal -> -> -> _-> $ O•SO
Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc.
I hereby acknowledge Uizt I hsve read this applicatfon, stzte lhat the infortnation is corred. end agree to comply wRh all spplicahle Ciry of Eagan ordinznces.
It is the appiidnPs responsibility to notify the proDerty owner that the City of Eagan assumes no liability for any damages caused by the City dudng its
normal operational and maintenance adivities to the facilities construded under this pertnit wdhin City property/rightof-way/easement.
SITEADDRESS: Iq03 CQD(NCZD/J LI+,,Df- -
OWNER NAME: : V'-Iry) J1Tl CK?`G2 TELEPHONE #:
(AREA CODE)
INSTALLER NAME: AVGTELEPHONE #: '763 -S?F%-0.5-S7r-
(AREA CODE)
STREETADDRESS: o vA "^.-^1.'?,5 :" Kv
CITY: ( r'\ ??`E??TFD STATE: ZIP: S?)
L
-,e
Y:_____ SIGNATURE OF PERMITTEE
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
NCYlPE: PAYMF.NP OF FEE AT TIME OE'
APPLIcATIoN noFS riom ooNSr==
APPROVAL OF PER14TP.
Irrsencr2oN oF sEWM r,rm/offt WA3ER
nETar.raMpNS Wn,L NCYr gg SCHED-
DI,ID UNTIL PEEtMT HAS BFM
APPROVID.
P ease Print
?1) PROPERTY ADDRESS: 1903 Covinqton Lane .••
LEGAL DESCRIPTION: L1-81 Park Rid e 2nd Addition
_ Lot Block Subdivision or Tax Parcel ID )
IE EXISTING STRL'CiSJRE, DATE OF ORIGZNAL BL'ILDING PERMLT ISSL'ANCE: .
(Mon Yearl .
PRFSENf ZONING/PROPOSr'D C'SE:
? CQ%MFZC?A.A?FTAILi=F"iW 17X R-1 SINGL,E FAMILY '
0 IISJC'STRIAL r-i R-2 DL'PLEX (Zt.o Units)
? INSTIZSJTIONAL/GOVEEtIZIENT ? R-3 1DTi9NiO05E (Three + Units) ( Onits)
. ? R-4 APARTMENT/CObIDOMI1VIDM ( Units)
2) ?
NAME: Ruscon Homes, Inc.
ADDRESS: 14530 Pennock Ave. ..-
CITY, STATE, ZIP: Apple Ualley, Mn. 55124
PHONE: 432-1433
3) • u r?• C1 ? For City C?se ..
?ME: `-? Plwibers License:
Aoo?ss: .?ctive
CITY, STATE, ZIP:
` Jr? 2 0 Expired
IVot recorded
PHONE: - y ? 1"IASTII2 LICENSE# 3
q
? Sta?Initial
41 uru•e.i ?,_qia?:
NAi`TE: Kav Foss
_ ADDRFSS: 7517 Emerson Ave. S.
'
CITY. STATE, ZIP: Richfield, P1n. 55423
PAONE: 866-2226
5) n r• ? r •?• : o • a? - a? .
? NNE(.'TION 10 CITSC SEG?T2 ??,?ION TO CITY WATER 13 OTHER '. .'
6) n • •? [3 PLEA.iE HOLD ApPROVFD pII2MLT FOR PICK-UP BY ONE OF ABOVE -...__._._....--
k ASE MUL APPROVID PERMIT 1q 1
PLE . 2. 3. 4. ABOVE ,
(Circle one)
7) r. r: +y: ?Jtro r_e,-?..
F'OR -CITY USE ONLY
PERMIT # ISSOED
7fj,2
Pd w/Bldg. Permit FEES:
$ /O - S? $
$ /O - ?;-D $
$ ?3- $
$ $
$ $
$ $
$ ??-? ?? $
$ ?DO•Od $ $ S7Sdc? s
$ $
$ $
$ $ '
S $
$
??S?a • d ? S
$ $
$ LF 1(L 3 ? $
?RECE PT RECEIPT
SEWER PERMIT (INCLLDE SDRCHARGE)
WATER PERMIT (INCLUDE SDRCHARGE)
WATER METER/COPPERHORN/0[.'TSIDE READER
WATER TAP (INCLL'DE CORPORATION STOP)
SEWER TAP
ACCOONT DEPOSIT - SEWER
ACCOONT DEPOSIT - WATER
WAC
SAC
TRUNK WATER ASSESSMENT
TRUNK SEWER ASSESSMENT
LATERAL BENEFIT/TRUNK SEWER
LATERAL BENEFIT/TRLNK WATER
WATER TREATMENT PLANT SLRCHARGE
OTHER:
TOTAL
DOES UTILITY CO[VNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PLBLIC
ROADWAY" MUST BE ISSLED BY THE ENGINEERING
? NO DIVISION. LIST AS A CONDITION.
SDBJECT TO THE FOLLOWING CpNDITIONS:
APPROVED BY:
TITLE: ?
DATE:
?
Ae
-7 2006
?7404'RESIDENTIAL BUILDING PERMIT APPLICATION b0
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Cons W clion Reauiremenis RemodeVReaeir Requirements
3 regislered site surveys showing sq. H. of lot, sq. ft. of house; and zll roofed areas 2 copies of plan
(20%meximum lot coverage allow4 7 sel of Energy Cakulalions for heated additions
2 copies of plan showirg beam 8 window sizes; poured found desi9n, elc. . 1 site suNey for addfions & decks
isetofEnergyCakulalions Addrtron-indicateifon-sifesepficsysfem Ofice?Jse bniu
3'r¢eI?r6SPfB(f.:ReCd
#2B.Pres Rec9uved
OirsileSEpt?e?qslem
Y N
?'? ?N
_Y ?N.
3 wpies of Tree Presenalion Plan "rflol platted aftx 7/7/93
Rim Jmst Detail Options selecfion sheet (bld9s wtlh 3 or less unNs
Date ?/ / l U ConstrucGon Cost
Site Address ? La?n? ' Unit/Ste #
Description of Work rpfa?o e G
Multi-Family Bldg _ Y,/N Fireplace(s) \.,/ 0 _ 2
Property Owner i
?
Ull Telephone #l.?[?'--y)? ? 21
Contractor U / / I ft oo li EWeri 6 rs I c' Lc •
Addresa
State HvAlnk&VL)? CitY
Zip ? Telephone #
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code CategOry . Residen6al Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submissian type) Submitted Submitted
. Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Telephone #(
Mechanical Conhactor
Sewer/Water Contractor
Telephone # (
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a pernut, 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
appr val f plans. ,
Applicant's Printed Name Ap icant's Signature
/aosE RuscoN HoMES
`PiANHeA:° ondO?AND s?URVEYOIIf
ENGINEEAING
COMPANY, INC. .
1000 EA57 146N STREET, EURNSVILLEe YINNElOTA 5033T PH 432-5000
ce?-?z}'z ?Q? su?-Ye y
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA141653
Date Issued:03/23/2017
Permit Category:ePermit
Site Address: 1903 Covington Lane
Lot:1 Block: 1 Addition: Park Ridge 2nd
PID:10-56751-01-010
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Scott M Rajala
1903 Covington Lane
Eagan MN 55122
(651) 900-5920
Window World Twin Cities
2211 11th Ave E, #130
N St. Paul MN 55109
(651) 770-5570
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA168740
Date Issued:04/30/2021
Permit Category:ePermit
Site Address: 1903 Covington Lane
Lot:1 Block: 1 Addition: Park Ridge 2nd
PID:10-56751-01-010
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
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: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Scott M & Susan A Rajala
1903 Covington Ln
Eagan MN 55122--268
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 745-1400
Applicant/Permitee: Signature Issued By: Signature