1919 Covington Lane,s .
,. . . CITY 4F EAGAN 11812
.3830 Pilot Kno6 Road, P.O. Box 21-199, Eagan, M N 55121 PHONE: 454-8100 ; -? S>
BUILDING PEFIMIT Receipt # ` ,
To be used tor SF DYdG/GAR Est Value $6 6, 0 0 0 Date APR I L 22 , 1g B 6
Site Address 1919 COV ZNG'TON L N
Erect IN i
Occupancy R 3
Lot 4 Block 1 Sec/Sub. Remodel ? Zoning R I
Parcel No. Repair ? Type of Cons? IV
Addition ? No. Stories
a Name RU$COid cfC3i*lES Move ? Length d?- -
z 145? ?3 Pc;N1VUCK AV$
Address Demolish ?
I
t
I
? Depth 46
Fr
S
a
Ciry A•`?' • phone 4 3 2-14 3 3 n
.
mpr.
Install 0 q-
o Name Approvals Fees
?? Address
~ Cit Assessment
Water & Sew Per.mit 4 ' 00
Surcharge ???? ?
y Phone .
P
li view 165.50
Plan R
0 ¢ .'hUf3E E:dC?i? . /:iAGE;i
W Name hiA?? o
ce e
C 575. OQ
F
S EL
E
? Fire SA
500
00
?
Address
f
< W Ciry Phone .
Eng. Water Conn.
Planner Water Meter 63 • 50
290.00
f hereby acknowledge that 1 have read this application and state that the Council Road Unit
Bldg. Off. 4 2 ? ? 6 Tr. PI. I 5 6. 0 V 1
information is correct and agree to comply with all applicable State of ?
Minnesota Statutes and Ci of Eagan Ordinances. APC Parks ?
?
Signature of PermiKee Var. Date Copies
Total ? ? ?
_2USC:7i`a =;i_:?
A Building Permit is issued to: on the express condition that
all work shall be done in accordance with aIl applicable State of Minnesota Statutes and City of Eagan Ordinances.
Suitding Ofiicial '
I I Permk No. I PermR Holder I Date I Telephone # I
s
lElectr?c 1 CY (a yX44 I )K?) )- oX It2,/S/Xt, IX d-5, r I
Fmai
om
Fty.
PEFiMIT #
RECEIPT # ?
CITY OF EAGAN
PLUMBING PERMIT
454-8100
MINIMUM RESIDENTIAL FEE - $10.00 +:.50
f;
(Name) {Sheeq
7. Contractor Phone #
FEE
S/C
TOTAL
Alter Repalr
Z I lA/ 6
r '
?',?•L I`' -?? •lYl? ?? I
'CttY) V (ZiP)
NO. FIXTURES NO. FIXTURES NO. FIXTURES
?" Water Closet - $3.00 ? Laundry Tray - $3.00 -Well - $10,00
TBath Tubs -$3.00 ?Floor Drains -$1.50 Private Disp Syst -$10.00
?.Lavatory - $3.00 TWater Heater - $1.50 ?Rough Openings w/o
?Shower - $3.00 Whirlpool - $3.00 Fixtures - $1.50
Kitchen Sink - $3.00 ?Gas Piping Outlets - $1.50
-Urinal/Bidet - $3.00 ; ?Softener - $5.00
COMM./IND. RA7E - 146 OF TOT BI PRICE PLUS $•SO STAT 'SURCHARGE FQR EACH =1,000 OF FEE.
? ?/)'? LQ? - /
Signed: for
Approved Inspections: Date Rough Insp. Da Final Insp.
1. Bldg. Type: Res \ Comm Inst ?ew
Add _
/
?l/' l ?L; V.t/??'
DATE 6. Contracto? ?r??• ???l'yirr? _ MINIMUM COMMERCIAL ? rl • FEE - $20?.h00 ? + ? $.50
3. Totel Bid Price 4
Lot ? Block - - Sec - . JobAddress /? l
Owner
5.
PERMIT #
MECHANICAL PERMIT RECEIPT #
CITY OF EACAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: 5; &86
Name _
Address
City _
? Name _
c Address
O CitY -
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Vent
Gas Piping Outlet,s #
Other
80, OOOM BTU
M BTU
M BTU
M BTU
CFM
X
BLDG. TYPE WORK DESCRIPTION
Res. xx New x`
Mult Add-on
Comm. Repair
Other
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.
COMMlIND FEE - 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - 10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/G IF PERMIT PRICE GOES
BEYOND $1,000.00)
FEE ??•??
S/C: .50 SIGNATURE OF PERMITTEE
TOTAL• $26.00
FOR: CITY OF EAGAN
CONTRACT PRICE:
Site Address C
Lot Block ' Sec/Sub
?
-
Name
a?
c
g Address
,
c Ciry Phone
Name
3 Address ^ r' ? ; ? • -? , , ??
"
O 4zl,, . L?
Ciry Phone -
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
_
?
SIGNJTURE OF PEFMITTEE
PLUMBING PERMIT
CITY OF EAGAN
3830 PILOT KMOB ROAD, EAGAN, MN 55122
PHaNE: 454-8140
PERMIT #
RECEIPT #
DATE: /`?V-95o BLDG. TYPE WORK DESCRIPTION
Res. New
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Water Closet - $3.00 $
Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00
Urinal/Bidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.50
Whirlpool - $3.00
Gas Piping Outlets - $1.50
(MINIMUM • 1 PER PERMIn
??Softener - $5.00 '
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE:
STATE S/C:
FOR: CITY OF EAGAN GRAND TOTAL:
CITY Of EAGAN Remarks
Addition PARK RIDGE 1ST ADDN Lot 4 aIk 1 Parcel 10-56750-040-01
Owner Street 1919 COVINGTON LANE state EAGAN MIN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. (pV 1982 149.13 14.91 10
STREET RESTOR. --
GRADING
SAN SEW TRUNK 7 1982 147.21 9.81 is
? SEWER LATERAL ? 19,85 16
6 9 6 41 74
.
-
WATERMAIN
*WATER LATERAL 1995
WATER AREA ?- 19
$2 j47.21 9.$1 15
STORM SEW TRK ? 1989 370.9 ?4. ?
-ATORM SEW LAT 1985
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
5AC
PAR K
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
TION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
SITE ADDRESS: LcaT ? a st.oCK ?
I ., t •A :"OVING'Pr)ti LAlit3
1?.', k Fi R 1 U:? f?
` PERMIT;SUBTYP.?:
i I i -;IFINC?
11-
t APPLICANT:
=i - 1: t ?.? N kEiOFING
it,1.') 890-3900
TYPE OF WORK:
f t•::'?'Fi I i 'i'! ?N
- - - --- ----
BuYLnrHc
0?R948
10/04l96
REPXIR
Fd EItf?UF
Permit No. Permit Holder Date Talephone 1t
ELECTRIC
PLUMBING
HVAC
Inapectlon Dete insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROU('iH
HEATING
GAS SVC
TEST
INSUL
GYP60ARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAI
f CITY OF EAGAN WATER SERVICE PERMIT.
3830 Pilot Knob Road 7 361
P. O. Box 21199 PERMIT NO.: ,__:J E,
Eagan, MN 55121 DATE-
?
Zminy: No. of Units: `
i Fuscor. =101:'eF
.....-..
AddfES5:
Site Address: '? -",,1: i? t o r ' •'
? ??_, ,#3<„ Star „
Plumber:
MeMr No.:
stze: ,?R"
?Raader No.: S O O K-wiffmw
;i prw h aowiply wuh 11N CirY?.'MJ?q mr
Totol:
Date Paid:
Date of Insp.:
-1 (- l- t(p
TY OF EAGAN SEWER SERVICE PERMIT
meter
30 Pibt Knob Road 6512
0. Box 21199 PERMIT NO.:
gan, MN 55121 D^TE:
ni?a: rs No. of unirs: ?
Ada?ess:
[? ... ? 2' •. .. r ;_ ? [ r.
I yme to aa+e* wNh i1M Gly oF Eoom¦
OraINeop.
ey
Date of Irup.:
10o.oopri
Cannection Chorge: 674 _ finpd,_ Acooimt DepOSif: 00.^•'
Pennit Fee: ' 0
SurcFwrge:
- Misc. Chorpew _ Totot:
- Date Poid:
This request void S? S??` 6ais?
18 mortths Trom
C 6484 z- :;-4
Request Date
_
?I
? Fire No. Rough-in Inspection
Requir?xd?
E]Ready Now
ill Notify, insPec-
tor Wh
R
d
? & ?
(?'?es No en
y
ea
iXicensed Electrical Contractor I here6y request inspection of above
? Owner electrical work installed at:
Street Address, Box or Route No. C ity? ?
ecuon Ncr. Township Nargt or No. Range No. County
OccuGant (PRINT) Phone No.
? ? ? ? ??
Power upplier Address . / .,
Electrical Contr ctor (Aompany Name) Con ctor's License No.
Mai ine Ad ess (Contractor or Owner Making nstailati 1
2
? ? ??• ?"?3 7?'
Authorized Si M actor Owner king Installati ) one Number
9 - 5 iU2
MINNESOTA STATE W<RD OF ELECTRICITV
Griggs_Midwey Bldg. - Room N-191
7821 University Ave., St. Paul, MN 65104
Phone (612) 297-2111
THIS INSPECTION REQUEST WILL NOT
8E ACCEPTED BY THE STATE BOARO
UNLE5S PROPER INSPECTION FEE IS
ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION Ee-00001_04
1 See instructions for completinq thia form on 6ack of yellow copy.
?o
r G 48 4 "X" Below Work Covered by Thrs Request
AAd Rep. TVPe ol Bullding Appliances Wired Equipment Wired
Home Range Temporary Service
Ouplex Water Heater Lightin,y Fixtures
Apt. Buflding Dryer Electric Heatin
Commercial Bldg. Furnace Silo Unloader.
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Otne. Pecl v 1nef
^-
-"'
- f- t.r SpecifY
---'--. ? ,. . Ot er Other
JI Fee ServiceEntranceSixe Jt Fee Feeders/5ubfeeders p Fee Circults
f Z-00 U to 200 qm s 0 to 30 ,qm s $.7 d0 0 tn 30 Am s
Above 200 Amps 31 to 106 qmps 31 to 100 A rnps
Swimming Pool Above 100_Am s Ahove 100_Amps
Transformers Irrigation Boorrs ? Partial-'Ot
Si gns Spec ia l I nspect ion
$
emarks ? TOT
A
RauBh-in Date --of
[ I. the ctri
C? ??? jj InSpeClor, Breby
Final certify that the above
' e inspectton hes been
made.
Thla request vofd 1B months from
CITY OF EAGAN
_ 11832
. 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55j21 Np
BUILDING RERMIT PHONE:454-8100 Receiptp ?;'s!?'
7obeusedfor SF DWG/GAR Estvawe $66,000 pate APRIL 22 ,19 86
SiteAddress 1919 COVINGTON LN Erect Z7 Occupancy R3
4 Block 1 Sec/SUG. PARK RIDGE Remodel ? Zoning R1
Lot
Parcel No.
o Name SAME
$ c Address
x
? Ciry Phone
Name PROBE ENGR./MARK NAGEL
Address GAMF
Phone
RUSCON HOMES rv?ove
Name Demolish
Address 14530 PENNOCK AVE Intlmpr.
City A.V. Phane 432-1433 Install
I hereby acknowledgethat I have read this application and statethatthe
intormation is correct and agree to comply with all applicable State of
Minnesota Statutes and C,'?ry of Eagan Qrdinances.
Signature of Permittee Jti-i- LJm^"tii! .?
A Building Permit is issued to:
all work shatl be done in acco
Building Official
ROSCON HOMES
Repair
Additian
? Type of Const14-
? No. Stories
? Length 42
? Depth46
? Sq. Ft.
?
Feea
Assessment
Water & Sew.
Police
Fire
Planner
Council
Bldg. Off. 4/21/86
Var. Date
Permit ' '"'"- ' °'"
Surcharg 33.00
Plan Review 165.50
SAC 575.00
Water Conn. 500.00
WaterMeter 63.50
Road Unit 290.00
rr. PI. 156.00
Copi
Total es?aL11„?,?2f,-U„ o
on the express condition that
jwith all ap,p i ble State of Minnesota Statutes and City of Eagan Ordinances.
thi, 'equesi void g-5- a 6 ? ?? , ?j
18 nwnths tmm a
p? 054525 __ -; o i r, t-(,?„?
Reqves[ Da[e Fire No. Rough-in Insper.tion
?? aQ? Requi ?1 J?Readv Now ill Notifv Insper.-
?' ?N [ Wh R dy
14Licensetl Electrical ContracWr ? Own¢r I hareby repuest insOection ofabove
electncal work installetl at:
S[r¢ec Address, 9ox or Route No. Citv
ecuon a. Township N?mn or N. Range No. Count
Y
?
Occupn (PRINT) Phune No.
y? - ? ? ?
Powe? uppli¢? ?i[?f?lESS ?
'
ElY.[: fll:2I COIILfdC( (COmpany NOmel ? 11fA(:l(]f?5 LICCl15e No.
M
? ? S
ailiny Add
/ss 1 ontrac or or Owner Makin
nstailation)
Autho iy- re onV? tor nc Makmg Ins[alla[ion Phu umbpr
u ?r utc?n??i?r
Gri9gs-Midwey el Noom N.791
1821 University Ave., St. Peul, MN 55104
Phone (612) 297.2171
ms irvsrtc i ION qEQUEST W I LL NOT
BE ACCEPTED BY THE STq7E BOARD
UNLESS PqOPEN INSPECTION FEE IS
ENCLOSED.
515 a()} REQUEST FOR ELECTRICAL INSPEC710N ee-ooooi-oa
' See instructions for completing this form on beck e} ye„ow coPV.
J Be/ow Wnrk CnvnrAd ht. 7ti;c aa,.,,e..,
i Builtlin9
APPliancea Wired • -- r / - 9)
?
E
nuiament Wiea 1
ange
empo
rary Servic
ldinc? Water Heater
D Lic?htiny Fixtwes
P R
cial 81dg.
ryer
Fumace
Electric Heatin
Silo Unloader
l BIAg. qir Conditioner Bulk Milk Tank
other ISnenltyl
eci?y
frqS OPCtinn Fuu Rn/nu,
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMIT TYPE: 028998NG
Permit Number: 10 / 04 / 96
Date Issued:
SITE ADDRESS:
P.I.N.: 10-56750-040-01
1919 COVINGTON LANE
LOT: 4 BLOCK: 1
PARK RIDGE
DESCRIPTION: REROOF
B,u?:lding Permit Type
,, STORM DAMAGE
?3uil;ding`Work Type
Census Gode -?Y
REPAIR
434 ALT. RESIDENTIAL
?r
i
J
REMARKS:
FEE SUMMARY: ?a?
t1UKWlCV? ETZq?R RICK
ING 18903900 2001279 7
1333 LARC INDUSTRIAL BLVD 1919 COVINGTON LANE
BURNSVILLE MN 55337 EAGAN MN
(612) 890-3900 (612)452-7245
?
I trereby acknowledge that' I' Yiave read'"thts epplication and `statie that the ?
information is"correct and agree to'comply'Nith aT1 applioable`State of Mn.
Statutes anaCfty of Eagan Drdia$n`ces?
APPLICANT/PERMITEE SIGNATURE ISSUED BV: SIGNATURE
New Conslruction Reauirements
?
?
?
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681 -4675
Remodel/Repair Reauiremenls
3 registered aite surveys
2 copfes of plans (include beam 8 window sizes; poured fnd, design; ele.)
1 energy calculations
3 copies of tree preservation plan H lol platled after 7N193
requlred: _ Yes _ No
DATE: /0"3/96
DESCRIPTION OF WORK: 42STREET ADDRESS:
LOT ? BLOCK
PROPERTY
OWNER
CONTRACTOR
ARCHITECTf
ENGINEER
CONSTRUCTION COST: ) 000 • ?
19/9 L,-,-/U?-
? SUBD./P.I.D. #:
Name: -eI4 (r0Q- -7',2- k ' Phone #:
UBT 1IA91
Street Ad
City: L- q,9G'? State:
Company: 14Oei2?
Zip: 5S/ J 3
Phone #: ??(? 3?QU
Street Address: /333 ?e?- I-SZ V4icense #: ???/2)795
City: 6 LWOsO ) Ile State
Company:
Name:
7?66 zP: ss"s7
Phone
Registration
Street Address•
City:
Sewer 8 water licensed plumber:
change are requested once permit is issued.
--S-TOerc.7
'Da4 ?f
Zip:
Penalty applies when address change and lot
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:
OFFICE USE ONLY
Certificates of Survey Received
_ Yes
Tree Preservation Plan Received Yes
No
No
State:
? 2 copies of plan
? 2 slte surveys (exterior additions 8 decks)
? 1 anergy ealculations (or heated addilions
.
1986 BOII.DING PERMIT APPLICATIOH - CITY OF.fiAG6N
NOTE: ALL CONTRACTORS MffST HE LICEHSED WITH THE CITY OF EAG9N
COl41LIiCIAL SINGLE F9NIILY DiifiLLINGS
INCLUDE 2 SETS OF ARCHITECTIIRAL INCLIIDE 2 SETS OF PLANS
& STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY
SPECIFICATIONS AND 1 SET OF 1 SET OF ENERGY CALCULATIONS
ENERGY CALCULATIONS
$2,000 LANDSCAPE BOND
(o(o,aOo
To Be Used For: SinLQLle FamLjy Valuation: $#f??" Date:
Site Address 1919 Covinqton Lane OFFICE IISE OHLY
Lot IL_ Block 1
Parcel/Sub Park Ridge
Owner Ruscon Homes
AddDB9S 1aS'ifl Pannnek Ava_
City/Zip Code Apple Valley 55124
Erect X Occupancy - R 3
Remodel _ Zoning R,I
Repair _ Type of Const
Addition # of Stories
_
Move Length 42
Demolish Depth 4Ce
_
Int.Impr. Sq Ft
Install
Phone 432-1433 APPROVALS FRFS
Contractor RUSCON HOMES. INC.
Address 14530 PENNOCK RUE.
City/Zip Code FIPPLE VALLEY, 55124
Phone 432-1433
MARK NNGEL/
Arch./Engr. PROBE ENGINEERING
14530 PENNOCK AVE.
Address1000 E. 146TH
APPLE VALLEY, 55124
City/Zip Code BURNSUILLE, 55337
Phone # 432-2044/432-3000
Assessments Permit ?J 31 -
Water/Sewer Surcharge 33.
Police Plan Revieri 1 (05. $0
Fire SAC 5"1 S ,
Engr Water Conn 5 p0.
Planner Water Meter 63.g'
Council Road Unit 2°(O.
Hldg Off Treatment Pl f S(o,
APC Parks
Variance Copies
TOT9L
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGHATE WHICH
ADDRFSS IS DFSZRED. NO CHANGES TdII.L BE ALLOfiED OHCE BQILDING PERMTT
IS ISSQED.
? .
IZZ4
s8 4- Co 4
^ 4 - 36 x 44- ' IS84- . ,
Q x ?
-
2o,c22 " 44o x 12 " s28 c?)
(?S 32?
? .
ROBE CONSUlTINO EN61HEflfS
S
PtANHEAS nnd LAHD iURVEYO!!S
PrCNGINCERING
COMPANY? INC.
? 1000 EAST 1461h STAEE7, BURNSVILLE, 41HHE567A 55337 p!i 432'3000
cerZij'`i cczZ 4,
?--Ye y
Zavai .I7?ar„???2iort:
N O RTH
SCAIE 30'
LOT .4, B[OCK
DAKOTA CDU,UTY,
P<1WC 906E,
MlAI NESOTA
C0V/A16T4AL (.f}AIE
- k?-
?
0
0
,V 89° 99' /7'W (9zi. ?
62.00 r4.z i- ()
30' FRoNT 60LDrN6
SfTBqCK LlNE ?
i
(Iz9,Y,? DEAIOTES EX/6TIA16 ELEVAT/OA!
?
C 9 za,? DEAIGT? 5 PROPOSED ECEV.ATIOk' ? o
f` Q Q.
?-' lNDICATcS DIRECTlON OF
SURFACf DRA/NAGe
9218,;= F/NlSJ-IED 6ARA6E FLDOR
ELEVA'J"lOIJ
DR.41NA6E AND
UTILiTY EASEMEPIT
(925iw
r42 ?'. f?)
i
.o.u zo.o ?,I ? .I
II V ,
II I GqR. A
«?a
I - -?a.oa ?oz9.?? I
O? h i3.o
I ?p PkoposEA mr I
HouSE ' ?
m
o.o .fZ.oo -
?.ai SEwo 9???J I .
I (Q?i. ? ?4zr.5J
?
I ?: \ I
I r)
I ! ? L_
?I I5
?-----J
62.00
N 89° 49"/7" W
O •
8 ?1
U? -J
a
i
1
I her:by cartify that thia in a t:ue and correct rapraeentstion of a tract of
land as sho+m'and deacribed hereon.• Aa prapared by me on this /?e rd,- day of
. 19 g- .
A liinn. lea. No. /6O?s'
* 47o L'?7Lr x t.l
j =(02 ? ? 7 frT+-1
•wLNiEL MECHANICAL
•9heet of 3600 Kenne6ec Drive
nu ' addreeas tot?( sp_&a,tr Eagan. MN 55122 ..
HEAT LOSS CALCULATIONS DEPARTMENT OF INSPECTION
Weatheretrips AS•H.
Guide Gnstruction No. lmulation
Windows I Doon I Reference I Out. Wall lnt. Wall Ceilieg Raof floor I I Kied How Applied
Yee-No a- 0 19_ -? T ? -( -
and
Width
Ares
171.1 M IbfZ Room I Length 14'° w
.. 1 -' "---
I4:
No. 11 'i111
a, p.ne HeIgnt
o! vnr No. ot
?sn4 Lmul ft.
et cn<t An?
Q. fl.
'
/ b
1 ° 8 S O 3Z 4b °
y ay
?
I 1° e nor 20
CoeF. Btu
In6ltration 1 3.3 O 41$3Z
Glaas p, 5 LO
Exp. wall 454a
Ne[ exp. wall
Int, wall
Ceiling ?{00 ? Z c?G
Floor
Total 8tu.
Required sq. {t. E.D.R. or sq. ins. W.A. Leader area
I Fl.I l4 t-r Raom Length 12 4° Width i
Windows and Doon-Crackave and Area
No. ww?n
ot p?n? a.??ni
ot D?n? Ho. ac
Ilf??? Li?..i n.
of er?ek w...
q. tl.
20 0 ?Z n, ?yn
i?-
Coef. Btu
In611ratioe 80, O 22.
CJaa. R. 6b 7-4410
Exp. wall (
Net c:p. wall 1 ".? (p
lnt. wall
Ceding 70 `J ?'Z?
Floor
Total Btu.
Rcquired sq. (t. E.D.R. or eq. im. W.A. L.tader area I
T FI.I Cx,iL Room I Lenath 1--?, Width 1 o Height f3
No. Wletn
et o?n• HeIght
of o?n? No. et
11[hb Llnaal ft.
of cnak Art.
.a.
3
2
? ?
1
g
?b
Coef. Btu
In6ltration 461 1050
C.laa 1.E)•
Ecp. wall 190
Net e:p. wall 169. G f O/(o
lnt. wall
Ceil;ns 140 ' 700
f loor
Total Btu.
Reouired sv. ft. E.D.R. or sq. iro. W.A. Leader ares I
?I V?Ww. a 4Y VVV "'rv.o bc rur ra
No.
wiaan
oe o•.•
HNgCa
a( pan.
Na. ol
It?nl.
Llo0.l tt.
ot eraeY
Ana
w. tt. ?
l?
2 2? Z 7
`'
rs
Coef. &u
1n6itntion 27 Wa O O
Glas 2t9.(o 'j? . p } p
Exp. wall 22
Net e:p. wall ' Ll Ql A 2 0
Int. wdl
Ceilin8
Floor
TatalBtu. 1 5??- J'
Required sq. ft. E.D.R. or aq. ins. W.A. Lesder srea I
I Fl.I p71.G Room ILeneth I I° Width 5?He? iehc 3 °
W mdowe and Uoon-Craere ge ana nrea
Ne.
w?a?n
of D?n?
x•lgni
at mne
ne. ea
Ilghts
Lla.&l ft•
at cr?eh
An.
q. tt. I
?
Cftf. tu
In5ltration
Glau -
E:p. wsll
Net e:p. wall Nb 27ta
lnt. wsll
Ceiling ln ? 3
Floor
7
Total Bta
Required sq Et E.D R or aq. ius. W.A. l.eader ares
?I ( F1•I P" C„ 2 Room I Leneth ° Width L( Height._ °
Vl?.A,.. .nd Deera-CrackaQe and Area
'
Ne. Wldt?
e! ou?a HUfnt
at Oon. No.ot
II(hto Llnul lt.
o! cr. ek
N. !t.
2 3° D ZO
y°
Coef. Btu
In6ltration I 9 ? 41O
Glasa 2U 67V t OOC)
Eacp. wall
Net exp. wall
lnt. wsll
Ceiling 7 ?O - ? C7
Floor
J
I Total Bw. i ?Zl { (v
Required cq. (t. E.D.R. or sq. ins. RfA. Leader ?rea
I ?
. ? ?
• ?z ? z
LOSS CALCt1LAT10NS
Doon II Reference II Out.
Nams I?sc? (lc-'w-r'
tddreeei y.aoDL?L_ 1CD 7/ SP, b?i.
DEPARTMENT OF INSPECTtON
Comtruction No.
II-
lnt. Wsll Ceilina Roof Floor Kind
•• Wiath
o! D.n, Heigni
Of D.n• Na. ot
IIff?I• ?LInql ft
of ct.cY Ate,
q. fl.
J
'?3
b
8
Ib
3('0 1 a
° g ?-GD iIO Z?y
20 3
Coef. Btu
n6ltration lyt1, ? ??,`>!o??
Cla» 1f5? ? c7lo0
Ecp. wall 57
Net e:p. wall N,j88 (o 2-
7 `^ 2
Int. wall
Ceiling
Floor
Total Btu.
Required sq. ft. E.D.R. or eq. ine. W.A. L.eader ares
?.?FI.`Fls C,,,,,,j2oom Length Width Height
av:_j__" j nr_L"__ __A w'__ 2i'
No. WIGI?
af D?n• NHf?I
et o?n? MO. of
Il??t? Lln.. l fl.
ot erack A,..
p. n.
J 16`
1 3 38
27Y
4
z,
zw. Y
Coef. Btu
Infiltration
Glus
E[p. wall
Net exp, wall ?J . 87C7
lnt. wall
Ceiling
Floor lp)f ?j? „'?j?.7
TotalBtu. I ,RZZS
Reauired sa. ft. E.D.R. or sa. ins. W.A. C.eader area I
and Doon-Craekaee and Area
No. w?a?n
o( D??? H?I??t
of p?ne No. e[
?f?l• Llned it.
Ot c??ck Area
?G. ft.
Coef. Beu
Infiltration
Glau
Esp. wsll
Net e:p. wall
Int. wsll
Ceiling
Floor
Total Btu. ?
Required sq. ft. E.D.R. or sq. ins. W.A. L.eader area
`wEN?EL MECHANICAL
3600 Kennebee Drive
Eagan. MN 55122
Iniulation
How
aad Area
Ne, WlAtll
of pano NeIfht
e! Dano No. a[
11(ht• Lleul ft
of cracY AHm
sq. ft.
Coef. Btu
lnfiltntion
Glau
Exp. wall
Net exp. wall ?
Int. wdl
Ceiling
Flaar
Total Bcu.
Required aq• ft. E.D.R. or sq. ini. W.A. L.eader sres
FI,1 Raom I Leneth V/idth Heig6t
WI IIdOW7 a6 4 VOOft-l.raC[i sG dRO ffrCC
No. WIJth
ef D?n? HUfrt
Of p?m Ne.ot
IIf?N Lln??ll0.
o[ vKY A?o
q. [l.
tY
Infiltration
Glau
Eap. wall
Net e:p. wall
Int. wall
Ceiling
Floor
Total Btu.
Required sq Et ED R or sq. ins. W.A. l.esdet area
F7.1 RoomlLength Width Heieht
vlt.,.1.,.. ....1 t1...-Craekaee snd Aree
No. wlatn
oi D?u? H•Irnt
ot Na. et
II[hts Llnr.l «.
ot cr?eY wr•.
w. ft
Coef. Btu
lnfil[ration
Glsu
Fsp. well
Net exp. wall
Int. wall
Ceiling
Floor
Toul Bw. '
Required sq It E D.R. or sq. ins. KrA. Leader s'ea 1_ _
i II • '
• ?
I I` 2/04
?
^
CITY OF EAGAN
APPLICATICN FOR PER.+IIT
SETvER AND/OR WATER CONNECTIOPi
(PLEASE PSINT)
1) PROPFRTY ADDRESS: 1919 Covington Lane
r.Fr=,L DE..I_°TIC:1: L 4- B 1
(IAt/BlOC}C/SL1bd1v].sion Or TdX PdL'c21 l.D_ NUCbEr)
ir EXI::'= :G STRtiCPT?E, DA'I?.' GF CRIGi SAL .=.iiIIr^L".G P=-_•S"• ?cZ-'?%C?.:
? P°_°5=.- Z:.^.?T2F:/P.?0°OS-_-D USn: B R-1 =?G,i,P, cp;A74
? R-2 CJP= ('??;0 LNITS)
? R-3 'ICI,v1IHCYiSE (?=ER= + U*7IT5) ( UDIITS)
? R-4 Popg7=;m/CC?:i?C.1???VILi:l ( LiII^tSi
? CC1-ME.4CIAI,/E2EPAI:,/OFFICE
? LNML'ST=
Q ICdST?'ILTIONAL/C:;V EEV.mIEN'I'
2) APPLICAV'P IPIFASE PRIVj
NP,ME: Ruscon Homes, Inc.
ADDRESS_ 14530 Pennock Rve.
CTTY, STF+TE, ZIP: Apple Valley, Mn. 55124
PHO\TE: 432-1433
3) P??ME111 (PLEASE PR1Ni) . FOR CITY I1SE ONIY
NP1?IE: Star Plumbing
PLU!!BERS LILE4SE:
ADDRESS: 1018 Mound Sprinqs Ter. aetive
CITY, STATE, ZIP: Bloominqton Mn. 55420 ? Expired
!cw ? Not of Record
3329M
PHOiVE: 884-4149 PLUMBER LICENSE N
arr initia
4) ??.PpuN7r/a,R,ER (PLEASE PNIN!)
r1A[•SE= Ruscon Homes (Spec Mode1)
ADDF2ESS: 14530 Pennock Rve.
CITY, STATE, ZIP: Apple Valley, Mn. 55124
PF3CkNE; 432-1433
5) INpICATE WHICIi PEPhfIT IS SEING RECIUESTID:
? CCD=ION 'Ib CITY SETrIER
? CO:TNECPIG:I 'IO CITY WATER
? C7IHE2 (PLFIASE DESCRIBE)
1
6)
'11C=1 O? ly
PI,ELE f?OID APPROVID PERMLIT FOR PICR-I7P BY O[vE OF ABGZ'E
nTF]SE :*AIL APP?2M1ED PER-tIT 'LO 1, 2, 3, 4 e'1P.OVE
(?i? ?
? n (Circle one)
) n
71 Sm?m?r. ?l
Ut.LL:
! ?! w.:l:a1?EJ0 ? ? !ll?:l-?? ! ?'.! ii???i i ii ? ?:?Fi:i:? ? 1! !!JIl:lf i'?i 1? S !l?fi??C• 6
F
PERMIT ° ISSUED
. Tz / 7 73/T ?` J
C 2 T Y U S E O N L Y
F°ES: $ /1!'.. ,} Z)
$ /(J • S Z)
$ ?? Sl .
S
$
$ % .5
$
$
$
? 7 S'
v L
S
$
$
$
I
$.EJ:^:=? nnOllTy ?i'_;C.T..:?? .?.?.iJk??:-tt]^r
WATE : PERU4IT (INCLUDE SURCE?ARGE )
WATER METER/COPPERHORN/OUTSZDE REn0E3
W?T:R TaP (Zi;CiJDE CO°?ORATZCV ST02)
SETNEn man
ACCOUNT DEPOSIT - SEi•:ER
ACCOliNT DEPOSIT - WATER
WAC
sac
TRUNn WATER ASSESSME;:T
TRL'NK SET.dER ASSr.SSi•SE?IT
LATE°AL BENEFIT/TRU`K SE?e'ER
LATE4AL SENEFIT/TRUNR WATER
OTHER ? /n
?
$ TOTAL
$ I 3Y ?' S j? AMOUNT PAID/RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGriT OF WAY?
C YES IF YES, THEN A"PERMIT FOR WORK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
? NO ENGZNEERING DIVISION. LIST AS A CONDI-
TION.
SUBJECT TO TFIE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DrIT°:
-
ORaA
zb RESIDENTIAL BUILDING
Permit Apptication
City Of Eagan
3830 Pilot I{nob Road, Eagan Mn 55122
Telephone ii 651-675-5675 FAX # 651-675-5694
601,115-
NewConsWCtionReouirements RemodeVReoairReauiremen4s OHice UseOnN
3 registered sile surveys shaxing sq. ft o( lot sq. ft ot house; and all mofed areas 2 capies ot plan Cert o( Survey Reod
(20% maximum lotcnverage allowed) 1 set of Energy Calculations for heated addNOns Tree Pres Plan Recd
2 copies of plan showing beam & window sizes; poured found design, etc. i site survey for addifions & decks Tree Pres Not Reqd
1 set of Energy CalcuWtlons Additlon -indicate ifpn,sifa 5eptic System _ On-site Septic Sysfem
3 capies of Tree PreservaGon Pian if lot plaried after 711193
Rim Joist Defeil Options selection sheet (bldgs witlh 3 or less unifs
Date 0-3 Constructio¢ Cost q(?0Q -? D
Site Address _/ q( 9 Ctl'?% O 40
q VI c_C, he- UniUSte #
? a ?v SS( Z Z
Description of Work ivi d? c) (J
?
Multi-Family Bldg _ YN Firepiace(s) ? 0 _ 1 _, 2
Property Owner _RiWutrA 60e??2 Telephone #(CQS a' L?r
5.ei1
cuntracrur
Address ?yN (_ _ City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cate¢orv 1 Minnesota Rules 7672
Enefgy Code Category • Residential VenUlation Category 7 Worksheet • New Energy Code Worksheet
(d submission type) Submitted Su6mitted
• Energy Envelope Calculatlons. ,Subinni,ted
Licensed Plumber Telephone #( )
Mechanical Contractor t il MA Telephone #( J
Sewer/Water Contractor Telephone # ( )
I hereby apply for a Residenrial 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 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.
Applicant's Printed Name A s Signature
Use B�UE or BLACK Ink
---------, ` ,
� For Office Use / /
• � � � I V
Cl� af �a a� I Permit#: �
� � � a� ,
� Permit Fee: 0 1
3830 Pilot Knob Road �',� k '�:` 3��;w � . �*- i
Eagan MN 55122 f�"� � j Date Received: �J �
Phone: (651) 675-5675 ���. ta� �,;;W; i Staff: �
Fax: (651) 675-5694 �
L-------- -------�
2015 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date:��,�Site Address: ' � � � �U V � h v I �h �—�/l.C.�
Tenant: Suite#:
: � � � /
` Name: � '� � Y�4C Phone: '��� " �l � �� �
���r��� � AA '711 .�_
� ,�
` '._. Address/City/Zip: I"1 I C�►�I t� 0��► 1� s LZ
;�_
�_
;t
Name: License#:
, _�
„�� �.. ,��° � ' Address: City:
����
State: Zip: Phone:
�' _- ; Contact: Email:
_,_
�
�
� _New _Replacement _Repair Rebuild Modity Space Work in R.O.W.
� = �' — — —
� _' ' Description of work:
� °, _ - RESIDENTIAL
,
�
, . �t ,..:,
Water Heater
a Water Softener
� Lawn Irrigation(_RPZ/_PVB)
� Septic System � Add Plumbing Fixtures(_Main/ ✓Lower Level)
4 i
" � � New Water Tumaround
�,
�� —
x ' _Abandonment
RESIDENTIAL FEES:
a60.00 Water Heater,Water Softener, or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation (includes State Surcharge)
$60.00 Add Plumbing Fixtures, Septic Svstem Abandonment,Water Turnaround*(includes State Surcharge)
"Water Turnaround(add$210.00 if a 5/8"meter is required)
$115.00 SeptiC Svstem New(includes County fee and State Surcharge)
TOTAL FEES$
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. uvww.gopherstateonecall.orq
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 lJ��
x �
ApplicanYs Printed Name Applica 's Signature
, k p
' ��":�`��t Y:�-'�r�- ���€ f"' ��t�y�' ira�. y��' €.. -n, ,�; r1� c- o � �!�ih,. � �- '
. � rv� � 3� - ��y n 1 S��� $,'�
� .£ '� # '�-�-r--'� �, � �`'�t` :�"�` �-� �- � t �7�3`� ��r�-� ��a — "�'.� � ���s� � -��-��'�� �`� �-2"'.�'�s�-
��� . � EI : I ��: � �� �"`'1�i9�'� � � '�{fi� Y"3-i2"T, I�".� .
� F� � S -''�+# E?� 5�"",g . .<ik � �'3{ '�: t � � � fi`���
u{.a I �I: �`,���.,���� �tfhm ��= tn�P{t��� 3 �- -a.n ` ,� �. � i '� ..- __
#� s { ` � f � i�i��.�'��`�'� i � � ��1�s �.{� �:' �i"�-a�����, � �..; 1 €E�� "�.. :�?��, ���P
��� �a 7t -�" � t � a � t �,�� � 6 3�...€fi � �---� .��
- -�' - ' ��, �d ry� � � �_, �:'ce`. �i t'`�, ,�. ��� y �''° �t�-:�.��� �� `�� �,��*I �.E�--� � � `ti����u
- � -�3� �-t � (�- g"` " ",�'`'�y �: � �`��;r -t�}i �-•� �'�� r ?,° - -�}" � i§ .-�.�
= F
._ �. ._s `' . �t . � -' ��. ,_:_� �_ �a � _ � Y y�`-�_�=1�. _ �^�--- _ :.0 . _
.. 5.-. � _..:� -: ,.� .,�-� ,,.. t , 1�"": � — _
..:. -... ..: :._ .,:-... -, • = - `-'._ ._ .,`�-. -_.
. �.� ,:� :� "�. , .
� Use BLUE or BLACK Ink
�----------------
� For Office Use � '
I I � �
��� O� n� �� i Permit#: � �� i �
� l� � ��, I �
� Permit Fee:
3830 Pilot Knob Road � �/ �
Eagan MN 55122 � `m�, '' ���' ��� � Date Received: / '' � �
�E ,�,r;...,� I �
Phone:(651)675-5675 I i
Fax:(651)675-5694 �[�t� ;j� ����� I Staff: i
I
�����������������J
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: L Site Address: � I � C I Unit#:
:G Name:�l Y1'�� �9., �l� C Phone: _=/�� " �(p�" � �
� � � s
�'' Address/City/Zip:
4 .�y Applicant is: �Owner Contractor
, :;
' � Description of work: 1 S� �U��1— �y1 L��C�" lX.tlL� ���'�
�������`� -
,
,., = :z Construction Cost: Multi-Family Building: (Yes /No�
F
�..� ;
� Company: Contact:
t� :
������� ; Address: City:
F State: Zip: Phone: Email:
3 {
License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer 8�Water Contractor: Phone:
Fire Suppression Contractor: Phone:
�
�. ,� a � _ _
� : � c� { � ,� � � � _
r �
���� �t��+�, _ '°
i - :i � s� , `�� �:._ ,��#� �, '� � �:
� ` •L�•��_ ����r ��,t4 �` ��H"'�'4',����.�� �=�4 ����"` �;�..�� .i'
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.gapherstateonecall.ora
I hereby acknowledge that this information is complete and accurate;that the work will be in confortnance 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 accoMance with the Minnesota State Building Code must be completed within 780
days of permit issuance.
x�\Y�fi� ���(� x � ��L
ApplicanYs Printed Name Applic t's Signat re
Page 1 of 3
DO NOT WRITE BELOW THIS LINE �,,3� � �'
SUB TYPES [ ��� �`"�fi°`` �°�-
Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
� Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
_ Multi _ Deck _ Porch(ScreeNGazebo/Pergola) _ Miscellaneous
_ 01 of_Plex _ Lower Level _ Pool _ Accessory Building
WORK TYPES
_ New � Interior Improvement _ Siding _ Demolish Building*
_ Addition _ Move Building _ Reroof _ Demolish Interior
_ Alteration _ Fire Repair _ Windows _ Demolish Foundation
_ Replace _ Repair _ Egress Window _ Water Damage
RetBining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation � `Z� 0�4 Fa� Occupancy .� C �! MCES System
Plan Review Code Edition tv�v�2��'" SAC Units
(25%_ 100%� Zoning �..� City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length wJ Fire Suppression Required
Type of Construction �� Width S�
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings(Deck) Final/C.O. Required
Footings (Addition) � Final/No C.O. Required
Foundation � HVAC_Gas Service Test Gas Line Air Test
Roof: _Ice &Water _Final Pool: _Footings _Air/Gas Tests _Final
�4 Framing Drain Tile
Fireplace: _Rough in Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick
� insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression: _Rough In_Final
Braced Walls Erosion Control
Other:
Reviewed By: � � ✓� m• ���� , Building Inspector
RESIDENTIAL FEES �
Base Fee �'S 5� ' �'fi" x Z c� "�c.� f�. ��
Surcharge
Plan Review
`Z,��fl .�s� �L � � mU.�
MCES SAC
City SAC
Utility Connection Charge
SB�W Permit 8�Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA150321
Date Issued:07/02/2018
Permit Category:ePermit
Site Address: 1919 Covington Lane
Lot:4 Block: 1 Addition: Park Ridge
PID:10-56750-01-040
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.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
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 -
Timothy J Lang
1919 Covington Lane
Eagan MN 55122
(320) 894-1090
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA158489
Date Issued:10/17/2019
Permit Category:ePermit
Site Address: 1919 Covington Lane
Lot:4 Block: 1 Addition: Park Ridge
PID:10-56750-01-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Alexandra Wanless
1919 Covington Lane
Eagan MN 55122
Hero Plumbing Heating & Cooling
3110 Washington Ave N, Suite 100
Minneapolis MN 55411
(612) 827-4674
Applicant/Permitee: Signature Issued By: Signature