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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     úþþ ù ø÷        ÿþö  þýüûúù ò ýûúù  ÷ ûúù þ ø÷öõ   ôý øó  ò ýò îýùú ñ  þðý ï  ÷í  ì  ëëê ÿ êì  é ê 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 ö ñð ùù Ý ë øþ  ô íýê   Üíþ àòì  ôê  ßÞââà èæâàáââ í üúö  í íì  íùù íí ë ê  êùúöíùùü þ  ëß þý òúë  î  ç ùùõ ê þ ý ý úþ ý 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