1916 Covington Lane
\A
QUILDING PERMIT
Receipt *
Site Addreas Erect C:l Occupancy
, Remodel ? Zoning
Lot Block Sec7Sub. ` Repair ? Type of Const. ?.;
Parcel No.
Enlarge ? No. Stories
Move ? Length
? Name ' 4 v
Z . Demolish ? Depth
? Address Grade ? Sq. Ft.
City Phone Install _ ?
' .?
ApProvals Fut
? Nane
o? Addresa _ Asseument Permit ,
u?- City Phone Woter d? Sew. Surcfwrya 0
Police Plan Review 1 U
?,?W„ Name Firo S/1C 4
i? Address Erp. Watei Conn. •#
UW City Phone Plonner Wotar Meter
Council Rood Unit '
I hereby acknowledfle thot I have reod this opplication ond srote that gld9. p{{.
the inlormation is correct ond agree to comply with oll applicable APC Total
Stata of Minnesoto Stotutes and City of Eaqan Ordinances.
Var. Date
Sipnofum of Permittee
A Building Permit Is issued to: or+ the exprem condition ihat
all work sholl be done in atcordante with all opplicable State of Minnesota Statutes ond City of Eapan Ordinances.
Buildirp Officiol
CITY OF EAGAN ` !I
3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 .--/
PHONE: 454-8100 "
PKmk No. Psrmit Holder Dete Telephone #
P?uffibi,g e-,
H.VA.C. 39 ?j ij ?{(? ? ?5 r5
Electric 6SOI-). 45 f L
Softansr
Inspection Date Insp. Other
Footinqt 5
Foundation
Framinq ?
Roofing
Rough Plby.
Rouyh HVAC
Inwlation !r
Finsl Plbp.
Final HVAC
Final `
Cprt/Ooe.
Water F DosC?ibe Location:
YYell
Sewar
Pr. D'ap. l
? Site Address
PERMIT # !s 11 ! ?
MECHANICAL PERMIT RECEIPT # 4J ?7
CITY OF EAGAN
3630 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
PRICE PHONE: 454-8100
m Name
m Address tzi ° '
c City i?i ; ELwi?'_ Phone
Name ' 4 ?
3 Address i'l • <
?
O CitY It? ? - Phone 0-4-q?L
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent.
Gas Piping Outlets #
Other
M BTU
M BTU
M BTU
'?, .. MBTU
CFM
FEE
S/C:
TOTAL:
BLDG.TYPE
Res. t
Other
WORK DESCRIPTION
New
Add-on '
Repeir
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 - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDOS - RES. RATE APPLIES .
MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 s
REMODELS - 12.00 ?
- MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - ,50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
i ?
SIGN E I E '
FOR: CITY OF EAGAN
Rocsipt MECHANICAL PERMIT Parm?t No.
CITY OF EAGAN
FiII in numberied spaces S/C -Type or Prini /egib/y To` ' _ .
1. Date 2. Installation Cost '
3. Job Address l'" "":? ?! nntnr, i_6otF Blk. Tract
1 4. Owner
5. Contractor n,- pl Mpchan ical Phone ?
6. AdCIf@St :r ,c•.l?.t.r,, rir i .r.,
1 7. City
State
8. Building Type: Residential (3 Commercial O tnstitutional ?
9. Work Description: New G7 Add O Alter O Repair ?
10. Describe " . ` { Fuel Type
I 11.
No. Eauinment B TU - M. Ea.
Forced Air No. Equipment CFM
Mfg. Air Handling:
Boilers r ?
Mfg. Mech. Exhaust
?
Unit Heater
Mfg. : O
Air Cond. ther
Mfg,
Gas, Piping Outlets
12. I hereby certify
comply with al
Signed :
Inspectiona:
This is your I
Approved
the above information is true and correct, and I agree to
ianas and codes governing this type of work.
for
fiouph Final
Inap. Dete Insp.
ien numbered and approved.
CITY OF EAGAN 454-6100
Receipt ' PLUMBING PERMIT Permit No.
CITY OF EAGAN : . ,
Fee
Fill rn numbered spaces S/C
Type or Print legibly Tot. - :-
1. Date ? 2. Instailation Cost
t_ - 1?.;; , • , r 1 c
3. Job Address Lot Blk. Tract
4. Owner
5. Contractor ` ? ' ' •i ?- % j?_-% Phone
6. Address ``
7. City •,_ . State Zip ?
8. Building Type: Residential 0 Commercial ? Institutional ?
9. Work Description: New b- - Add ? Alter ? Repair O
I 10. Describe
I 11.
No,
- Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
? Bath tubs
5eptic Tank
Lavatory Softner
Shower Well
Kitchen Sink
! Urinal/Bidet
Laundry Tray Other
? Floor Drains
Drinking Ftn.
? Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
oomply wifh all ordinances a?nd codes governing this type of work.
Signed . .? ? for -??l'
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
Addition PAEtK RIDGE IST ADDN Lot 14 Blk 3 Parcel 10-56750-140-03
owner street 1916 COVINGTON LANE state EaGAN NIN 55122
Improvement e Amount Annual Years Payment Receipt Date
STREETSURF, 2
19 149 .13 14 91 10 89•4 C010 6 - 1-$
STREET RESTOR. h ?1
GRADING
SAN SEW TRUNK 611 1982 147.21 9.81 1$ 107 • 97
* SEWER LATERAL 626.16 41.74 5 4• 42
-
WATERMAIN
* WATER LATERAL 1985
?
WATER AREA 1952 147.21 9.81 IS 1O .
STORM SEW TRK 1985 370.93 24.73 15 34 , 21
:k STORM SEW LAT 198r) -
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road nl $280.00 50108 3 13 85
WATER CONN. 500.00 11 "
BUILDING PER. 9960 n n
sa,c 525.00
PARK
HOUSE HEATING TEST RECORD
ADDRESS_f 9I1? /_ c)JIH? 7YI?v ?fi? APT. LOOR CITY?13'd_?'11SUBURB
OCCUPANT OWNER ?? S OI'r/
HEAT LOSS DATE HTG. INST.
-
SOLD 8Y 4
1ii INSTALLED BY
Elsetricol Work BY Gcs Lins By
TYPE OF HEAT GA FA X' HW STEAM SPACE HTR. UNIT HTR,-?<__OTHER
GAS DESIGN CONVERSION
MAKE MAKE OF BURNER
Model Model
Sw
10I
Mox. B7U Ratinq
_?EU ?
(NPUT ld TQ-o MAKE OF FURNACE V?
Model 0 /
ONTROLS
THERMOSTAT Hear Plug
Volve
Vsnt Size _
KIND OF LINE
Limit Draft Hood Qw?
Limit SoMiny Filhrs Size Numbsr
FO^ Set+i^9 Chimney Location Inside Outaida ?
Pilot Type '72 ?'? ? ???? Chimns
Construction
y
Pilot Make
Pilot Model
Smoke Bomb ?
Wiring
Pilot Timin9 Draft Tsst Toy ,
L.W. Cut OFf Door Prssaurs ? Lightiny Inst. ?
?3 • 5' r/01) /C° p
P
e
? - ` / - ?
?
r
ssure
ercent CO
? Dote Tested
Input CFH _le $
Peresnf 02? ??_
Company Testing I
Stack Temp. - 57C/"Z2 Percent C0 Nams of Tsster
Form 235
.
SPECTION RECORD
I CITY OF EAGAN PERMIT TYPE: r?11 i
? 3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued: ? • ?' ??' ' ! '' `?
(612) 681-4675
SITE ADDRESS: APPLICANT:
-i' li% '{ Ilfd 1A1VI ;!s !. ri i? i'to I {
{-i?l•? ?? ??Ilr? I i ? i. i_ ? 1: 't) ??I.,..? ?+
3
PERMIT SUBTYPE:
I I 1 411 1 ttJ!.
TYPE OF WORK:
(I -iij oI II I Ifl.f f'(IItC.i! )
i I IV 111
,.
------ --- ---- -- -- -- - -- - ----------
Permk No. Permit Holder Date 'Telephone Y
ELECTRIC
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
HOUGH
PLUMBING
PLBG
AIR TEST -
AOUGH
MEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FlFEPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FfG
C ? ' ?? q Oc!/ y? '?
?
DECK FlNAL
Cli"Y Ot tAGAN
3830 Pilot Knob Road
P. O. Box 21199
Eagan, MN 55121
Zonirg: :
Pwner,
roas:
SH! Addrcss: ?
?Plumber: ?
4
Meter No. • `?1 ? I ?
Size:
No..
WAT'ER SEItVIC E PERMf'P
PERMIT NO.:
DATE:
No. of Units:
?
; .;.
' 1,14 ;3 7 e. t L,
Connedion Chorge: _ ??? ?• ?? p C.
A«cunr Deposit: 15.00 pd
Permit Fee: 10.00 Dd
1 prw h eomply wok tM Cihr of Eegen Surcharge: . 5 0 ;
Gdineea?. Mlac. Chorpes: 132• 0'
Total:
BY Date Poid:
Dote of Insp.:
Irap.
SEWER SERVICE PERMIT
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 p,,?: G -.'-S3
Zoninp: ?
:iuscon 0s No. of Units:
Owner.
Addrcss:
Site Addi
Plumber:
1 yrw to eanolp wkb H» Ghr oi taoom
OrdiMeosr.
By
Dote of Insp,:
Connooton Chorge: 425.00 pd
Aocount Deposit; P
Permit Fee: 1(? . 00 a:?
Sur+dwrpe: . 3
Misc. Chonpe:;
Total:
Dote Pald:
/?/QQ
This request void C)
16 months from v /
D 8 4749,/-i
9c? 88-?
4?n p-p
Request Date ' Fird No. Rouph-in mspa¢[wn
Reqwred? C]Ready Now ? WilI Notify Inspec-
tor When Ready
- ?Yes ?No
0 L,censed Electncal Conlractor I hereby request inspection of above
f-'1 electrical work installed at:
o.
StreetV dAress, 8o r Route N Ci
?
?.
,
ectlOn o. Townshfp Nam r No. Range No. County
Occupant (PRI Phone No.
-
3 ?Y
3Z
o
Power Supplier --- Address
E I Contra or (Company Name) Contractors License No.
6 0 a /l
/? a •?
ailing Address (Co tractor or Owner Making Instailation)
A th riz d Si at e( trac /Owner Making Installatipn) J 76
eri
1 1 tUllT
MINNESOTA STAT.E OOARD OF ELECTRICITV BE ACCEPTED BY THE STATE BOARD
Griggs-Midway BW. Room N-191 UNLESS PROPE R INSPECTION FEE IS
1621 Universitv Ave.. St. Peul, MN 55104 ENCLOSED.
Phone (612) 642-0800
;EQUEST FOR ELECTRICAL INSPECTION
See instructions for completing this form on back o1 Vellow coCV• E??? 1- s
?
n 84799 "X" Below Work Covered by This Request
dd Type of Building Appliancea Wirod Equipment Wired
Home Range Temporary Servic:e
Duplex Water Heater Lightiny Fixtures
Apt. Building Dryer Electri- Heatin
F Commercial 81dg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Ocnrr peci v Other lsuecitvl
t ,r Suecify Other Other
(:nmnrjlv In.cnPrIinn tna Ka/nw
M Fee ServiceEntranceSize p Fee Feeders/Subfeeders ? Fee Circuits
0 to 200 Am s 0 to 30 Am s 0 tn 30 Am s
Above 200 Amps 31 to 100 Amps 31 to 1 UO Am s
Swimming Pool Above 100_Amps bove 100_Amps
Transformers Irrigation Boorcis U artial- Other Fee
Signs Speciallnspection OTAL F
RQL,kS ?7 1_ ?n.at?
--??c L. --
Rough-in Oate ?. the Elec ?
? ? Inspector, hereby
certffy that the above
Final D?? " spection has been
de.
This request v0id 18 months from
BUILDING PERMIT
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Boz 21•199, Eagen, MN 55121
PHONE: 4548100
Recelpt
$70i000
SiteAddresn 1916 COVINGTON LN
Lat 14 elock 3 Sec/Suh. PARK RIDGE
Partel No.
Name RUSCON HOMES INC
Addreas 14530 PENNOCK AVE
city APPLE VAL phone 432-1433
z;
uu Neme SAME
Addreu
? City Phone
Name MARK NAGEL/PROBE ENGR
Add,ess 1000 E 146TH ST
city BURNSVILLFphone 432-2044
Erect IX Occupancy R.f
Remodel ? Zoning RZ
Repeir ? Type of Const. V
Enlarge ? No. Stories
Move ? Length 46
Demolish ? Depth 48
Grede ? Sq. Ft.
Install ?
AoYrovala Faes
Assessment
Water 8 Sew.
Police
Firc
Enp.
Vlanner
Councfl
Permit '? J4_].VV
Surchorye 35.00
Plan Review 171. 5 0
yqC 525.00
Water Conn. 500.60
WoterMeter 63.00
Road Unif 280, 00
I hereby atknowtedge thot I hove reod this application and stote fFwf gld9, pry. 3/8/85 I T...P. 132 . 00
fhe inlormation is corre[t and ogree to wmply wilh all applicoble
Stata o+ Minnesota 5lotutes n Ciry ( Ea anU irwnces. APC Ver. Date Total $2,049.50
Sipnoturc of Permittes
A Buiiding Permif Is issued to. RU ON HOMES INC on the express cordltlan Ihat
all work sholl be done in aecordance with all app}i`abls Stote/6P'Mllnnewro_Stotufes ond City of Eaqan Ordinoncea.
N_ 9960
_!!?';lp v
Buildiriq Offlcial
EFUMUME . .
NM? ALL CONTRACTORS UST BE LICENSED WITH THE CITY OF EAGAN •?
.? /? INCLUDE Q SETS OF PLANS,
CERTIFICATES OF SURVEY
11 SET OF ENERGY CALCULATIONS
To Se Used For: cingle Family Valuation: $s^ 4w Date:
Site Address: 191 6 Gov?ngton r.anP ?p,?, o? • •
Lot:14 B1ock:3 Sect/Sub:park Ridge Erect: X Occupancy: ?-3
Remodel•
Parcel #:
Owner: MikP ivatrn
Address: 7957 U sner 167th
City/Zip Code: LakPV;lla, MN
Phone #:__ 432-0043
Contractor: Ruscon Homes Inc.
Addiess:145-3() Pannnrk Ava
City/Zip Code: Apple Vallev, MN 54124
Phone #: 432-1433
Arch./ang:dark Nagel/Probe Engineering
Address: 1000 E. 146th Ct.
city/zip coae:Burnsville, D.4N. 55337
Phone#: 432-2o44/432-3000
Repair:
Enlarge:
Move : 4c-,5,
Demolish o• * _4-e'?'j_
Grade:
543• }
35• +
? 171•5+
125 • +
?43
?
Assessme 500•+ F
water/Se 63• +
Police:
2so• +
Fire:
Engr.: 132•+ 1: 5co
Planner: 2j049•5* ,r b3.?
Council: : 260.
Bldg. Off.: 3?'rBa?: TPC- 13Z.=
APC: T`T?T .2 U ?9: $ Q
Variance: ?
? ?
. Z?x
K 22 o x
.
(0? 424
•? .
?? .
?
??.
.,
- INSYECrI'lUN KE(:UKll
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITEADDRESS: P•=•N.: 10-56750-140-03 pppLICANT:
LOT: 14 BLOCK: 3
1916 COVIN6TON LANE GIU5T0
PARK RIDGE 1ST (612) 894-0688
?
?
euzLortiG
025767
06/07/95
MICHAEL
?
PERMIT SUBTYPE: TYPE OF WORK:
DECK NEW
DESCRIPTION (FUTURE PORCH)
This request void y V? l? g S
18 ? ??If T7 L i q 6 3 P?x. 3 a .5o
Request Date Fire No. Rooeh-in InsVecL Rep ed? E]Reatly Now U?41 Nolity InsOec-
._/ es ?No lor When NeadY
licensed Elgc[rica! Cmvar.YOr 1 here4y repuest inspection of above
? Owner
Street Atltlress, eox or Poute No. City
e?von Townshio Name or No. qanBe No. Countf?
?ccu t jWi1NT1 Phorie Nn.
Power Supoli m
fD ??
A/d/d 2ess??
?
Elcv:hical Con actar (Company Co
nt
racto's Licen
r
se No.
7
? /
L
T//
V '
O
I?Jkiling Atldress (COn[racmr or Owner Making hastailatioN
/--I y a,5;1
AuMoIr' iBnaN C hacto Owner aking InstallaGon) ph?n N b
Z?
nnwuIp STATE BQARD OF ELECTRICITI [HIS INSPECTION flEQUEST WILL NaT
Griggg_MiJway Bltlg, - qoom N-191 BE ACCEPTED 8Y THE STATE BOABU
1827 Universiry Ave., St Pau1. MN 55104 UNLE55 PROPER WSPECTION FEE IS
PM. (612) 297-2117 ENCLOSED,
?f 0?04 ? REQUEST FOR ELECTRiCAL INSPECTION es-ooooi-w AV% ?18017 ' See i-tructions for compietirvg ihia torm on bgek of yellow copy.
0 ?c[r?
? "%" Below Work Covered bv This ReauPSt
a weo. Tvae or aruiah" anoHaoca, wo-,e eauiufrumc w;.ed
L? Home R
ange Temporary Service
Duplex Water Heater Ligbtiny Fiztures
Apt Buildinc? Dryer Electnc Heatin
Commercial Bldg. Fumace Silo Unloader
Industrial eldg. Air Conditioner Bulk Milk Tank
Farm ome. uec?fy o?he? 15ue??fy
W1her [Spedlv other oih?r
nm md a lnc nuroJ.,.. c..,. o,.i,,...
ServiceEntrance5ize 4 Fae
0 m 100 Am-
Pool
0 to30Ams ' O[o:
31 [07 Q0qinps - 31 to
Above 100 Am? n.......
rtcuits
pemarks $ 3-Y9 TOTALFEE ? U
J
Roueb-?n ? ? ?
Date /
?? . the ElecMregl`
i?sueoxo., ne.eey
Final rLty that the abova
.. . Jy'?, e insoection has been
-lG ? ?ae.
im. ree?e ?a
?CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-56750-140-03
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
1916 COVINGTON LANE
LOT: 14 BLOCK: 3
PARK RT17GE 1ST
CR. ?3I 11
BUILDSNG
025767
06/07/95
DESCRIPTION:
(FUTURE PORCW)
ermit Type DECK
qr,k Type NEW
''` ? ?
• ??
= Q?,
k.?•n .. . 6i??d?.. ???X .? k, a?r????
'S`Y ?^EI 'd? v j
R m q-
?° f t 3h.
lm?
?a?• ,.,
A4
?, %x
REMARKS:
FEE SUMMARY:
Base Fee $30.00 COPY $.50
Surcharge $.50 Total Fee $31.00
Subtotal $30.50
CONTRACTOR: OWNER: - Applicent -
GIU5T0 MICHAEL
1916 COVINGTpN LN
EA6AN MN 55122
(612)894-0688
` CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
?-o?,
? 3 regis[erod sf0e surveys ? 2 eopies of plan
? 2 copies of plens (inWude beam S window sizes; poured ind. design; etc.) ? 2 site surveys (exterior addRions 8 deeke)
? 1 energy eakuletlons ? 1 energy calwladons tor heated additions
? 3 copies of tree preservation plan if IM plaked after 7/1/93
sequired: Yes _ No
DATE: CONSTRUCTION COST:
DESCRIPTION OF WORK:
STREET ADDRESS: ?)L/iA/ az//a ?
LOT ? BLOCK SUBD./P.I.D.
City: ?.?rra-,J State: /q"I Zip: -?Kzl/
Company: L/lCIGS Phone #:
,A ?rv ?/ertc. ?I ? DG
PROPER7Y Name: (?ilE.ST? % IiCNldf.L? Phone #:
OWNEft ""' ?r `"" / ?
Street Address, 1116 L',t/1,I?T'?? ?-^? •
CONTRACTOR
ARCHITECT/
ENGINEER
Street Address:
?L4 l"D2.C- If -
City: S /Zvtp - I / .J(Ti/h.l State: ? Zip:
Company: Alr /l-
Name:
State: Zip:
Street Address•
City:
Sewer 8 water licensed plumber:
change are requested once permit is issued.
I hereby acknowledge that i have read this application and state that the
applicable State ot Minnesota Statutes and City of Eagan Ordinances.
OFFICE USE ONLY
Certificates of Survey Received
Tree Preservation Plan Received
Signature of Appiicant:
_ Yes _ No
_ Yes _ No
Penalty applies when address change and lot
License #•
Phone #-
Registration #,
is correct and astree to corp*/with ail
JUNDt 1995
------- ------
... ....... :... .. . . , . .....::.,-.,;,..:,..,.,.,,......-
, ..., ,.: . . , . .
,. ,
PjG t PRNHlAf ondo lAND
ENGINEEAI f,U11VtYORf
jCOMPRNY, 066 r :
' INC. ' .
L ,1000 CA]T 1461h STRCCT, EUfINSVILIC, MINNCSOTA 53137 PM 43I'3000
Cer-??}? Cac?` y . .
LOT (4, BLOGK 3. PAZK RIDC+E DArOTA GoJ?.!
, TY?Mi1JUESoTA
NOZTH
Sv,uE.W.30'
?.S 8???'?'i?•?
p 4-
??
i
?
•
PVOPO%D
HouSE
r '.•?IO \
?
5S. a
rJ 89 °44'
i=
?
W
1 1 .
[0v14v7t7n1 I ^ • •
AartDy ceMify thAt th.ts io +t trua and corroct npraoontation'of a tract of
nd at Bhoxn'and darcribad hereon.. As prepared by m? on thit
.
_zanl dar o!
' . . '_ '
ltinn. xec. :?foI ?/Gos5 ;
s?
I ? .
?
I ' i.._C1 _i
I ?Y
?ui
??Z0.0 I P?OTES D(?STNts ?tEV,?To
Ib; I w C 9zo.o )?n'rES ftrowsEO q,EV?To,,
? n in ?` wl?t?aTe5 DitcEC.TaJ nF
? I ?Na ?P.FAL? DRnIhIAlrE
2
I -"
I AW 15µ? OR
f CLEvnTia.?=.473.0
? ?O^?T gvl?Dlnlb
\?K 4tilE _
I N
P N
?
.
? _, i.
al44
CITY OF EAGAN
APPLICATION FOR PERiMIT
SEIdER AND/OR WATER CONNECTIODT
(PLEASE PRINi)
PROP= ADDRESS: 1916 Covinqton Lane
t.Fral, DESG4IaPICN: 14 - 3, Park'Ridge
%?vDlcxac/.'?uocuvision or Tax Parcel I.D. Nunt
ir E:tlS :_ :G ST.RC;CI?,':2E, DAT' GF ORIGi dAL BiiILDI.`]G PEF:1T ISSUANC°:
13 R-1 SDiGZE cP?4ILY
? R-2 CUP= ('ILCp Wi ITS)
? R-3 ZGivTII-IIX;SE (TEfftE." + MTS) ( Wi ITS)
? R-? ApAR'IP^.E_`:T/CONIDQ%1ri1IUb1 ( Wi ITSi
? caAMERciat,/RErazr/or-FZCE
? ZUUSTftTr1L
Q INSTINPIONAL/GOVE,qTIMEPpr
2) APPLZCANT (PLEASE PflINi)
NAhtE: Ruscon Homes, Inc.
ADDRESS: 1453U Pennock Ave.
CITY, STaTE, 2I?: _ ppple ValleV MN 55124
PHOLNE: 432-1433
3) PLL^.•iBER PLEASE PR1NI)
NAME: Star Plumbirtg
ADDRESS: 1018 Mound Sprirtgs Ter.
CITY, STATE, ZIP: Hloomington, MN 55+20
PHONE: $$4-1}149 PLUMBER LICENSE q 3329M
4) OLC.'UPPI9T/(7q,,IER NAhIE(PLEASE PNINf)
: Mike Giustro
ADDFtE55: 7957 Uoper 167th
CITY, STA'I'E, ZIP: Lakeville, MN
PHO:IG:
5) INpIG;TE WHICIi PERtiLIT IS BEING REQUESTEa:
6) INUIG=" 0:E:
7) SICA'I[,;E:
? 0'I'f'.ER (PLEASE DESCRIIIE)
E] CWNE?.?I'ION 'IO CITY SES^IER
El CO:I,IEJCfIC:I 'IO CITY UA'1'ER
FOR CITY USE ONLY
PERS LILEHSE:
0 Active
C= Expired
Q Nat of Record
arr tnitia
? PLvISE f?OID APPROVID PERAiT FOR PICFC-UP BY ONE OF ABOVE
PERNLLT 'IO 1,
?d 4 ABpVE
one)
DATE:
i r?l
F 0 R C I T Y U S E O N L Y
PERMIT °- ISSUED
/o. •.5-- 6
F°ES: $
$ S
$
$
$
$
S
S
$
S
$ Sr;•:Ea ACp\lTy (I:ICu::DE SUP.CHARG::)
WATER PEM1IT (INCLUDE SURCHARGE)
WATER METER/COPPERHORN/O[JTSIDE READER
Wt1TE° TA? ( I.]CiUDE CORPORATION STOP )
SEWER TnP
ACCOUNT GEPOSIT - SEWER
ACCOUNT DEPOSIT - WATER
WAC
SAC
TRUNK !VAT°..°. ASSESSP4E:IT
TRUNK SEWER ASSESSMENT
LATERAL BENEFIT/TRUNK SEWER
LATERAI: BENEFIT/TRUNK WATER
OTHER
$ -_2 e5l TOTAL
$ AA1` OUNT PAID/RECEIPT '? ?
??_
DOES UTILITY CONNECTION REQUIRE EXCAVATION ZN PUBLIC RIGHT OF WAY?
YES IF YES, THEN A'"PERMIT FOR WORK WITHIIV
PUBLZC ROADWAY" MUST BE ISSUED BY THE
? NO ENGINFERING DIVISION. LIST AS A CONDI-
TION.
SUIIJECT TO TIIE FOLLO!4ING CONDZTIONS:
APPROVED BY:
TITLE:
DaTE : ?•? - /?- ??
. \
Oa s:M a+m w=Amu&M ocm ra wm?m mcm ww
CITY USE ONLY
L B`
7 RECEIPT #: 7
SUBDRECEIPT DATE: S? V/ S
MAY 12 15?8
BY
?
?
1998 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, FP7 55122
(612) 681-4675
single family dwellings
townhomes and condos when permits are required for each unit
backflow preventer for underground sprinkler system
FIXTURES EACH # TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
Water Heaterf: 3.00 x ?- _
Floor Drain 3.00 x =
Gas Piping Outlet * minimum - 7 3.00 x =
Rough Openings 1.50 x =
WaterSoftener `fordwellingsunderconstruction 5.00 x =
Water Softener ` for existing dwelling 20.00 x =
U.G. Sprinklef ` for dwelling under const 3.00 =
U.G.Sprinklef "forexistingdwelling 20.00 =
Alterations " to existing residence 20.00 =
Water Turn Around 20.00 =
Private Disposal System ` MPC iic. 75.00 =
(new and refurbished systems)
Private Disposal Systems'Abandonment 20.00 =
RPZ (new installation only) 20.00 =
STATE SURCHARGE 50
TOTAL 2O--50
---------------------------- --- -
------------------- ----- -------------------------------
- . -
I hereby acknowledge that I have read this application, state that the informetion is corred, and agree to compy with - all -
- applicable - City of -
- Eagan - ordinances -
It is the applicanYs responsibility to notify the property owner that the City of Eagan assumes no liabilky for any damages caused by the City during its
normal operational and maintenance activities to the facilities constructed under this permit within City propertylright-of-wayleasement.
SITE ADDRESS:
OWNER NAME:
INSTALLER NAME:
GIUSTO, PAMELA
1916 COVINGTON LANE
EAGAN, MN 55122
(612) 454-1750
CO.
STREET ADDRESS:
CITY:
CD/PERMIT FORMS/RPIBG PERMIT (RES) - 1998
TELEPHONE #:
STATE: ZIP:
6
AmO'QI _*rr+/-oEraL022L-• LoT I4 BLOUG 3 PA,?K
? ? ¢ID(yE, DAY.9TA GcJ*ITy?MINUESa'fA
. ce?-z??f
:.<
_ . . . . _. N ! ' .n
. . ?S .
' ' . . . ?...\ • ..
A08E '
coHsuLTiHO ino1Hcin: `
ENGINEEAING PInN?ten: ana IAND dunviYOns ?? COMPAN4', INC. •
._?IOOtl [A]T ItiEh STIIE[T, EUfINSVILIC, MINN[SOTA 6573T PH 432-7000
uoIF-TH
SCALEt I"_3o'
1-?
I?
1.S Qi?e3.r?'S!e"E 4fl???
f J ? .
?
Lo-r 14
i? ?.. 1 ?.:
'_? ? '-?
?-
/
I?,..? ?.? ? ` I d Y
4ZO.o ) DEU0TE5 FROWSED Ef.E1/A-nan
C. Z.O.OI l 19•9/ I M ?' ?? IWpl[ATES DIKEL?1qJ +nF
?? b.W.O. ?ZO:O I N M SaP1e4Cc DRAl1.lAb_:
?.e 4b.o ? V+ N
M FkOP05ED ? I 2 '
NOUSE AA115NEG (oE OR
0.o za,c. a ' f ?va-r?a? = 5i3.c
I 4z33) ?.0 I
z4o 30' i?orJT g?11LD?rJ6
(71H ?qz3.0) LJi.IE
I ? 1
+- ? a. ?? ? 55.00 ?0.0 ' •
N $9°44'I W ?n=z'oZ'3z•?
? P
/ ?
' rersby ceMify that this is a true and correct ropraientation..ot.a tr,aet.ot. I
and 4t shoxn' and daicribad hersons. As prepared by ma on thi• daJ? ol,,,: ;R,B4aay ? 1999
>v,;
,
lfinn, xtts:Xo,
-z?--- - -- - - --------? -_
. ..
". • .
-?- . . ?
?.;- :,_'
_
'
:
, -?_ _..?
? ' ' •--- - '
EXTERIOR ENYELOPE
HVERAGE "U" COMPUTATION :
- -.
__. . . • .. . _. , .
.
'
:,- _ r, .. - • .
:. LL' . -
?
.._, .
UWNER _ .. . . . .
~SITE ADURESS: _ -
rr=_.;
'
" DATE ' `- PHONE? j43Z- 1933
CONTRACTOR
•- Determine working square footage of each. 1. Tatal exposed wall area .... 201 S sq. ft. x ell
2. Total roof/ceiling area .... I7ibb sq. •ft.x ,OZ6 I71
7ata1 exposed wall area, a6ove floor
a. Total wall window area ............... ............. lo?_
b. Total door area ................................. 3? ' •
c. Tota1 sliding glass door area .................... . 7?
'• ?' d: Total fireplace wall area .................'.:..... - reaM? (?w•'?)
e. Total wall framing area (average iDA)...:........ 119
. ?
: f. Total net v+all area above floor ................. IsoS •
. ?
g. Total rim joist area .:.......................... I 22 "
Total exposed foundatioo area
?
h. Total foundation window area.....................
i. Taal net foundation area abvve grade ..........
Detenaine "U" value af ea_h wal] sea:;ant.
a. 106 x °U°
X "u" .13
= c• -7$ X liuii
a. - X
e._ 119 x"u" , 16
= 1?.9
f. 15 v3 X„u„ J 043 g. ? 22 R°UH . 04
h. L, X,.U,? ' a !13 ° I, q g
;. x ,IU„ _ o17 = t„sg
3 . ......:.................:... __.....Total = I. 9Z .
If item n3 is the same as, or less than item W,21, you have met the intent
of 53C 60105(c)2.
! ? ` wb' 1 ,1 . s • ' . . ' . . 1 . .
Y ./ .. .. 4 . L . 1' . . . .. . . . .
,. .. . - '? ' . . .
Totalexposed roof/ceiling area = ` . .
? ? .; .
Total gross roof/celling area = •
:. j. Total skylight area ........................ ?
.. k. Total roof/ceiling framing area ............ I 2a
1. 7otal net insulated roof/ceiling area........ t,:?5 8o '
Uetermine "U" value far each roof/ceiling segment. .
_.. ,:..... . .'... X liuu
: k. 120 X nU" zA cg°-- Iz.3z"Ju5u1- ovaz:
., .
X uUn ?QZ ,rLSO (c.e 3.I6
4 ..................................TOtdl ' EIEM `
? If total af #4 is the same as, or less than #2, you have met the intent of
SBC G006(01, . • , .
h, . . . . '. . . To utiitzed the total envelope system method, the values-established by the
sum of items $3 and #4 shall not be greater than the sum af itens 01 and #2.
. 1-. -. + 2. - , .
+ 4. _
MATERIALS
EzteTior Air
5lding Haterial
Sheathing
InBUlation -
sceetrcctc
InteTioT Aix
Stude
Rim
Conc. 81ks.
Therm. 8esistance "R"
-LS
2•oc.
J9_ S?ft .
17
1.5 "
1.2.5 13.2r
?
. . . . ? ..
ÿ
ÿþþ ýüûýüû
úþþù ø÷
ÿþö
þýüûúù
ò
ýûúù
÷
ûúù
þø÷öõ
ôý
øó
ò
ýò
îýùú
ñ
þðý
ï
֒
ì
ëëê
ÿ
êì
éê
èç
ç
ü
íýüì
æ
ù
þ
ý
êéêýêì
çòë
ëù
ë
ç
êù
ì
ê
í
íê
ðý
ê
ü
êç ë
ööù
ÿë
ë
ê
ï
äâçáçá
õú
þý
í
äçàçâà
åýÿç
ôóòýó
öñð
ùù
Ý
ëøþ ô
íýê
Üíþ
àòì
ôê
ßÞââà
èæâàáââ
í
üúö
í íì
íùù
íí
ë
ê
êùúöíùùü
þ
ëß
þý
òúë î
ç
ùùõ
ê
þý
ý
úþý
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA108674
Date Issued:12/31/2012
Permit Category:ePermit
Site Address: 1916 Covington Lane
Lot:14 Block: 3 Addition: Park Ridge
PID:10-56750-03-140
Use:
Description:
Sub Type:e-Windows/Doors
Work Type:Windows/Doors
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Perry Firkus
2650 Minnehaha Avenue
Minneapolis, MN 55406
612-276-1680
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Heath B Baumgard
1916 Covington Lane
Eagan MN 55123--269
Crew2 Inc
2650 Minnehaha Ave
Suite 100
Minneapolis MN 55406
(612) 276-1680
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114003
Date Issued:09/10/2013
Permit Category:ePermit
Site Address: 1916 Covington Lane
Lot:14 Block: 3 Addition: Park Ridge
PID:10-56750-03-140
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Kim Moore
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 -
Heath B Baumgard
1916 Covington Lane
Eagan MN 55123--269
Bulldog Contractors Llc
3300 Edinborough Way
Suite 201
Edina MN 55435
(952) 253-3350
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA129855
Date Issued:03/19/2015
Permit Category:ePermit
Site Address: 1916 Covington Lane
Lot:14 Block: 3 Addition: Park Ridge
PID:10-56750-03-140
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the 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: 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 -
Heath B Baumgard
1916 Covington Lane
Eagan MN 55123--269
Rick's Roofing & Siding Inc
13736 Johnson Street NE
Ham Lake MN 55304
(356) 763-2698 X022
Applicant/Permitee: Signature Issued By: Signature
4,I1
City of Eau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Date: 1/1000
Use BLUE or BLACK Ink A
For Office Use
��� ✓��/
Permit #: ( l/
Permit Fee: //.%;c:2- ' `
Date Received:
Staff:
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Site Address:
1' i'( Cook.•S+%. L f6517-2 Unit #:
sidd�
OWtier �
Name: -P.Q-te... LZdk wool at...k Phone: 651 -434-41t7
J
Address /+•
City//�� �/
/ Zip: 1 `'f1�(� C�Qidi(�l•�� [ / �� Z4�C.,.,ii rc.i
j'`Sf2'Z
Applicant is: Owner Contractor
{
e
Description of work: rOa c kTiNe'S / Rdk('� -FID
Construction Cost: 2 CU" Multi -Family Building: (Yes
/ No
J( )
x M
ntraor>
Company: Contact:
Address: City:
State: Zip: Phone: Email:
License #: Lead Certificate #:
If the project is exempt
from lead certification, please explain why:
In the last 12 months,
Yes No
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
If yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Fire Suppression Contractor:
Phone:
Phone:
Phone:
Phone:
E 1 s and • @ Prong documents jai It you submit a con eyed a public info
fhe information classified as non-pu li if you proshat wouldy
conclude thatthey Are "+ad ' secrets. �. x
•
1
to
v
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.
Exterior work authorized by a building permit issued in accordance with the Minnesota Stat Building Code must be completed within 180
days of permit issuance.
Applicant's Printed Name
x
x
Applicant's Signature
Page 1 of 3
c)ito
SUB TYPES
Foundation
Single Family
Multi
01 of Plex
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25% 100%7
Census Code
# of Units
# of Buildings
Type of Construction
U ATI(' -I(' h / �} DO NOT WRITE BELOW THIS LINE
Fireplace
Garage
Deck c%4;!
Lower Level
Interior Improvement
Move Building
Fire Repair
Repair
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
) , Footings (Deck)
Footings (Addition)
Foundation
Roof: _Ice & Water Final
Framing
Fireplace: _Rough In Air Test Final
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Reviewed By: T ''
Siding
Reroof
Windows
Egress Window
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
_ Demolish Building*
Demolish Interior
_ Demolish Foundation
Water Damage
*Demolition of entire building — give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC _ Gas Service Test Gas Line Air Test
Pool: _Footings Air/Gas Tests _Final
Drain Tile
Siding: _Stucco Lath _Stone Lath Brick
Windows
Retaining Wall: _ Footings _ Backfill Final
Radon Control
Fire Suppression: _Rough In _Final
Erosion Control
Other:
, Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
/1 %
/'
Page 2 of 3
OD
CDCD
—
10'{-O"
w
J
5'-0"I
L
71.35
PROPERl LINE
M
GARDEN
SHED
15'-0"
PROPOSED
STAIR
32'-0"
I
ETBACK
1 12'-
EXISTING DECK
20' X 12'
EXISTING HOUSE
1 4 STORY FRAME
SETBACK
1
GARAGE
2 CAR
CURB
55.00'
DRIVEWAY
(
-J
196
Co uwq
PROPOSED STAIR
SITE PLAN
HEATH BAUMOARD
1916 COVINGTON LANE, EAGAN, MINNESOTA 55122
651A34.4187
hbeungerd@dunwoody.edu
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA151826
Date Issued:09/14/2018
Permit Category:ePermit
Site Address: 1916 Covington Lane
Lot:14 Block: 3 Addition: Park Ridge
PID:10-56750-03-140
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Fireplace (new)
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 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 -
Heath B Baumgard
1916 Covington Lane
Eagan MN 55123--269
Fireside Hearth & Home
2700 Fairview Ave N
Roseville MN 55113
(651) 633-2561
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA176767
Date Issued:06/01/2022
Permit Category:ePermit
Site Address: 1916 Covington Lane
Lot:14 Block: 3 Addition: Park Ridge
PID:10-56750-03-140
Use:
Description:
Sub Type:Water Heater & Water Softener
Work Type:Replace
Description:Standard Water Heater & Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Nicholas Joseph Murad
1916 Covington Ln
Eagan MN 55122
Champion Plumbing Llc
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA177078
Date Issued:06/15/2022
Permit Category:ePermit
Site Address: 1916 Covington Lane
Lot:14 Block: 3 Addition: Park Ridge
PID:10-56750-03-140
Use:
Description:
Sub Type:Water Softener
Work Type:Replace
Description:
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
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 -
Nicholas Joseph Murad
1916 Covington Ln
Eagan MN 55122
Champion Plumbing Llc
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature