1924 Covington LaneCITY OF EAGAN
N_ 10024
. 3830 Pilot Kirob Road, P.O. Box 21-199, Eagan, MN 55721
PFIONE: 4548100 50S'?
BUILDING PERMIT Re,oe+vt # ,
SF DWG/GAR
$61, 000 r,,,, APRIL 2
SiteAddress 1924 COVINGTON LN
wt 16 siock 3 cec/su6. PARK RIDGE
Percel No.
g Name FRONTIER MIDWEST HOMES CORP
Z ndd.ess 3920 BEAU D'RUE DR
? City EAGAN Php„B 454-0433
o Name SAME
Z
su
Address
? City Phone
?W Na,,,e RICHARD CHARLIER
_? A?,?s 14103 GARDEN VIEW CT
?W City APPLE VAL phpne 432-5492
Erect LX Occupency R3 ?
Remodel ? 2oning RL
Repair ? Type of Conet. V
Enlarge ? No.Storiec
Move ? Length 40
Demolish ? Depth 46
Grade ? Sq. Ft.
In9Lell ?
Approvoif Faes
Assesunent _
Woter & Sew.
Police -
Fire
Eno•
Plonner _
Pefmit Y y"•?"
Surcharqe 30.50
Plan Review 158.00
S,e,C 525.00
Water Cann. 5 0 0. 0 0
Wafer Meter 63,9 0
Road Unit 98()- 0
yjANT.P_ 132.00
7aal $2.004_50
Council
1 hercby acknowledye thot I hove reod rhis application ond stare thot eidg. ott. 3/29/$5
fhe inlormation is corrett and egree fo comply wify oll aOGlicable AP?
Stata of Minnesoto Stotutes d Ciry f E an O(dfnance
, I !? / var. Date
Sipnoture of PermiMM I
w Buildinfl Pem,tt is iuued eo: FRONTIER MIDWEST HOMES CORP m ths express caiditlon thot
all work shcll be done In cccordunce with all pppliwble,,Stot of Mi newto Stafutes ond City of Eapon Ordirancas.
Bufldinp Official
CITY OF EAGAN N2 13 5 21
3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454-8100 aeceipt # -? ,;? ? ? G,
To be used tor DECK/PORCH Est Value $1,950 Date APRIL 27 1987
Site Address 1924 COVINGTON LN
Lot 16 Block 3 Sec/Sub. PARK RIDGE
Parcel No.
a Name SIDNEY HEGSETH
= Address S?
? City Phone 452-8123
.o Name SAME
?a Address
? City Phone
a
W w Name
iF za Address
aw City phooe
I hereby acknowledge that 1 have read this application and state
thattheinformetianiscorrectan ag ree to co mply with allapplicable
State of Minnesota Statutes d 6ity of Eagan
Signature of Permittee -PC /
A Building Permit is issued to: S NEY
all work shall be done in accordance with all aF
Building Official
State of M
OFFICE USE ONLY
OnSiteSewage _ Occupency
MWCCSystem _ 2oning
On Site Well _ Type W Const
Ciry Water _ (Actueq
(Allowable)
# of Stories
Length
Oepth
S.F. Total
Footprlnt S.F.
APPROVALS FEES
Assessments _ Permit 37.50
water/sewer _ surcnarge 7 nn
Police Plan Review
Fire _ SAG City
Engr. _ SAC, MWCC
Planner _ WaterConn.
Council _ Water Meter
BId9. O%. _ Road Unit
APC _ Treatment Pt
Variance _ Parks
Copies
TOTAL V36. 50
on the express condition that
Mesota Statutes and City of Eagan Ordinances.
J
5
,? ?u s HOUSE HEATING TEST RECORD
ADDRESS l-OUi h q ?-eYl 1919? ppT. _FLOOR _
OCCUPANT d '(fff OWNER _
HEAT LOSS DATE HTG. INST. ?_-
SOLD 8Y
INSTALLED
Elechical Work By Gas Line 8y
TYPEOFHEAT GA_FA !t'HW_STEAM-SPACEHTR._
GAS DESIGN
MAKE ' MAKE OF
Model ?-L> o?SO
o7 Model -
Serial a? Max. BTU
INPUT
t,D,3D
?0
MAKE OF
Model _
CONTROLS
THERMOSTAT Heat Plug
i,-,.?r5 m, d B(o C8
vai.e f.cA1
r?
Limit .JC ?OtIP?u/2?? L yO&q
Limit $etting
Fan Setting / ?O
PilotType h
PilotMake Wh?? Se?
Pilot Model ?-
Pilot Timing P? PC
L.W. Cur Off
; Pressure Pereent COZ
InpuiCFH
¢O C
Parcent OZ ?J
$tack Temp. aZ50 Percent CO ?
BY
i
Vant $ize L_? `
KIND OF LINER 'S? SIZE ??? NONE
Drok Hood Noyl Regularor hon e
Filters Siza 1(& 05 K? Num6er /
Chimney Loeation Inside l? Outside
ChimneyCanstruction / l:11ys5 .6 -4(u?+1
Smoke Bomb
Draft -
Door Prossui
DaTe Teated -
Company TesTing
Name o{ Teseer _
CITYEQ ? SUBURB
UNIT HTR. -OTHER
CONV SION
BURNER ?
Rati n9 -
FURNACE
'Form 235
' CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
? PH O N E: 454-8100
BUILDING PEAMIT Receipt #
To be used for Est. Value ' Date 7 ,19 SiteAddress `'Lot Block Sec/5ub.
Parcel No.
ic Name '
W
; Address
° City Phone
¢ Name
_ . 2 -
0 ? Address _ i
?¢- City Phone I
Name _
Address
City
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 Permittee
OFFI CE USE ONLY
On Site Sewage _ Occupancy
MWCC System _ Zoning
On Site Well _ Type of Const
City Water _ (Actuaq
All
bl
(
owa
e)
* of Stories
Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Assessments Permit ..37. S(
WatedSewer _ Surcharge ?
Police _ Plan Review
Fire _ SAC, City
Engc _ SAC. MWCC
Planner _ Water Conn.
Council _ Water Meter
Bidg. Off. _ Road Unit
APC Treatment P1
Variance Parks
TOTAL
A Building Permit is issued to: on the express condition that
ail work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinancea
Building
Permit No. Permlt Holdsr Date Talephono it
Plumbing
H.V.A.C.
E ElectriC
Softener
Inspaction Oate Insp. Commants
Footings I
Footings II
Foundation
Framing
Roofing
Rough Plbg.
Rough Ntg.
Isul.
Firepl2ce
Final N/g.
Final Pibg.
Bldg. Final
Cert Occ.
Temp. LP
Deck Ftg. ; -t'-'r, i ~= ' "- •
Deck Frmg.
WBII +?O ,? •v S - N T? ?'
Pr. Disp. -i,,,qe- - - , uv? ?.,cnv?o
Lp ELBG.%gTg
'
' ITY OF EAGAN 10 0 24
• 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH ON E: 454-8100
dU1LD1NG PERMIT Receipt #
Te 'w w"d fer Est. Value Date _1_9
Site Addrets ' Erect Occupancy
Lot Block Remodel
•^+ac/Sub ? Zoning
. Repair ? Type of Const.
Parcel No.
Enlarge ? No. Stories
?
Name Move
h ?
? Langth
h
? Address Oemolit
G ? Dept
F
S
rade q.
t. -
City Phone ' -' Install O
? Name
Addre
u
?- rGrv
StL'91:
? Name =?i•?1+'
W
x? Address u •
? Z. City Phone 43.c - `' 4
Assessment
Water b Sew.
Polite
Fin
Eny.
Planner
Caixicil
I hercby ocknowfedfle that 1 how reod this opplicofion and stote thet glde, pff.
the inlormotion is torred and agree to comply with all applicobl*
Sfate of Minnesola Statutes ond City pf Eogon Ordinonces,•O APC
9uHdirq Offidol Per?nit
Var. Date
Sipnoturo of Permrtt"
A Butldinfl Pertnit Is issued to:
dl wwk shalt be done in occo.donce.with otl oppliooble State of Minnesota 5'
iees
Plan Reriew '
SAC I
Water Conn.
Woter Meter .
Rood Unit
PBFIcs '
Total
..-
on Nhe expraa cwditfon that
tutes ond City of Ecgon Ordinances.
PKmit No. Permit HoldK Dab TNephons ?t
P?umb;ng Z j
H.VA.C.
El:ctric r?'R ?c.?.. ? b r yv.
So(tsnir
Inweetion Dato Insp. Othe?
Footinqs r
Foundation
Fnminp S?
RooHng
Rouyh Plby.
i
Rouan Hvn s,?,
inwlstion ?
FinN Plbp.
Finsl HVAC ?
?
Final S f /dr G
G?t/Ooe. !.u
wa?r F Wscribe Location:
YWII
Sowsr
Pr. Disp. l
Rapipt MECHANICAL PERMIT Psrmit No.
CITY OF EAGAN Fee 0. (Y)
ff/l in numbened spaces S/C _ 5nType or Prini /eyiblY To? •,,.;
1. Date 2, Instellation Cost 1 i..?!. 0, .
, 3. Job Address 1174 ('oy inatan ; Wt•° Blk. Tract
4. Owner
5. Contractor
6. Address
,w • - . .
Phone 452-1 Sh?, .
7. Ciiy ra 17 aftEe _"?'N Zlp
8. Building Type: Rasidential W? Commercial ? Institutional 0
9. Work Description: New ? <1dd ? Alter ? Repair 0
10. OssQibe he:?t`ng c,y•.. _Fuel Type !jr; z
Fquipm?ni B TU - PA. Ea.
Forced Ai r
Mf9•
Boi lers
Mfg.
Unit Heater
Mfg, :
Air Cond.
Mfg.
Gas, Piping Outlets
Equiament CFM
Air Handling:
Mech. Exhaust
?'aT.h fa -
Other
I 12. I here6y certify that the above, information is true and correct, and I agree to
comply with all ordinances a;nd codes governing this type of work.
Signed :
Inspections: Date
This is your permil
Approved
• -??- for
RouQh ` Flnal
_ Insp. Date Insp.
numbered and approved.
CITY OF EAGAN 454-6100
Raceipt
?
PLUMBING PERMIT Permit No.
CITY OF EAGAN
F!!
Fi!l in numbered spaces S/C =, r
Type or Prini /egialy Tat . , ?
.
1. Date 2. Installation Cost ?
3. Job Address ?ot?Blk. -!r_ Trac ?
4. Owner
? _ .
5. Contractor Phone
6. Address
7. City - State i;;t ? Zip
8. Building Type: Fiesidential 0
9. Work Description: New O
1 10. Describe
I 11•
Commercial O Institutional D
Add O Alter O Repair O
No.
' Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs $eptic Tank
?Z. Lavatory Softner
, Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray 1 ?
I Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
camply with all ordinances and codes governing this type of work.
Signed : for
,. ,
, Rough Final
Inspectioni:' Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAN
Addition pARK RIDGE 1ST ADDN
Owner street 1924 COVINGTON I,ANE OT state EAGAN 14QN 55122
Improvement Date Amount Annual Years j! Payment Receipt Date
STREET SURF. 7 1982 149.13 14.91 10
STREET RESTOR. 459.20 C0102 1 --8
GRADING
SAN SEW TRUNK ?qj 1982 147.21 9.81 j$ 1,?7
* SEWER LATERAL - 626.16 41.74 . 584.42 C0102 1 - -
WATERMAIN
* WATER LATERAL
WATER AREA 198 2 147.21 9.81 SS
STORM SEW TRK . 346.21 C0102 1 -85
* STORM SEW LAT 1985 _ . 1
CURB & GUTTER
SIDEWALK
STREET LIGHT
n,i 280.00 50597 4
WATER CONN. 500.00 11 to
BUILDING PER. 10024 it
SAC
PARK
JF LA"AN WA7ER SERViCE I?RAiT
ilot Knob Road G
ox 21199 PERMIT NO.:
MN 55121 DATE: `
i
No. af Units: `
. Q? E a d? i+x'
tar No.. p U Connec,Hop
rge: 500.00 PL!
?; ?' ? - ti: ? ? •: _ w .
Aitc?bUril+'`Qe? ? T: i n :-,
r ,
;der No.: Permit Fee:
Ime to comPh? wuh IM Ciffr oE leson Surchorge: '
Inanas. Misc. Charpes: _ 1. 32. 00 nd
Ta#ol:
Date Paid:
e af Insp.: Insp.:
-IZ' S
TY OF EAGAN SEVYER SERVICE PERMIT
30 Pilot Knob Road
0. Bor. 21199 PERMIT NO.: '
gan, MN 55121 pwTE;
^'^fl: r.; 1 No. of Units: 1
Addrcss:
to esmpy wkh Mis CiFy ef Eagow
By
Dcte of Insp.:
?ion Charge: 425.00 pd
AcoourK Deposit: 15.0 pd
PennR Faa:
SurtFwrpe:
Misc. Chorpes:
Totoi:
Dote Paid: _
Th:S mq ?t ,?;d
??
trom
LI l, b P" A L f o, o?
Regoust Dat Fire No. Rough-in Inspection
, n ?? if J\ Requir ? Ready Now ?II Nolify InsPec-
?
X a? es No [or Nflen Ready
?
6censed Electrical CoMractor I hereby request inspection of above
? Owner electrical work installed at:
Sireet Address. Bo?or Route No. •
C
1 4-47-t-?t--7L City
sectoun . Township Name or No.' Range No. County
.
Oc nt ?RINTI
/ J
LD Phone o ,
?-
?r Sypplia AddVes.
.
EI
!ncMsi C.'``!'?tIC tracF or's License No.
Yailinp r a lationl
APPI.E VA,I,L- EY MN 512 ? '
Altlharized SiBnature IContractor Owner Making Installation) Phone Number
YI1iMESOTA STATE BOARO OF ELECTRICITY
GriMs-Yidrray Bldy. - Room N.191
1827 Univarsity Ave., St. Paul, MN 55104
Pro?r {612) 297-2111
THIS IHSPECTION REDUEST wlLl NOT
BE ACCEPTEU 6Y THE STA7E 80ARD
UNLES.S PROPER INSPECTION FEE IS
ENCLOSED.
REQUEST FOR ELECTRICAL IAISPECTION EB'00001-04
, See instructions for completing this form on baclc of yetlow copy. 0
10?9 "X" Below Work Covered by 7his Request 1 ?
Add ReD- TYpe of Buifding Applianess Mired Equipmarit ylired
Hane Range Temporary 5ervice
Duplex Water Heater v Lightin,y Fixtures
Apt. Building Dryer Electric Heatin
Cortrnercial Bldg. G. urnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Mi?k Tank
Fafm Other Spec? y Other (Specify)
t r SVecify Other Other
---
a °?--- ----
Fee r'-----'- - °- --
---
Service Entrance Size
#
Fee
Feeders/Subfeeders
#
Fee
Circuits
0 to 200 Am s 0 to 30 A s ;,Z.[f, 0 to 30 Amps
Above 200 Am s 31 to 100 Amps / rp 31 to 100 Anips
Swimming Pool Above 100-Amps Above 100-AMPS
Transiormers Irrigation Booms -
Partial.'O
1'? " JI?IS J}?CC?e? ?na cu?n /
TOTAL ?F1
?? L1, (?9(7
? ??
..--, / .
PAxogh~i^ ate the Elacafcal
1
, /
(?./i(? .
I?pector. hare6y
? L ifr thai the a6ovs
Finnl inspection has been
??? L/? ?.-? `? mede_
.
tKs wq??sst voio ie momns rrom
RESIDENTIAL ?
BUILDING PERMIT APPLICATION
CITY OP EAGAN
?/
??I5 q 7 5 3830 PILOT KNOB RD - 55122 ?„,?, (
657-681-4675 U{
New ConsW clion Reauirements
• 3 registered slte wrveys showirig sq. il. af lat, sq. ft. of hause; and all roofed areas
(20% maximum lot coverage allowed)
• 2 copies of plan showing beam & window saes; poured found design, etc.)
• 1 set of Energy Celculatians
• 3 copies of Tree Preservation Plan if lot platted after 717193
• Rim Joist Delail Options selection sheH (bidgs with 3 or less unifs)
DATE -7 I 31 Z-00 1 VALUATION
? r V
?"! i:yo
_J
JOB SITE ADDRESS_ tC? 2t4 Cs? ??a?o.,S L/a-•? ? t(,?4t?
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER 91 P.1 C--R-oST
TYPE OF WORK Po?L. - Pr('?'W_ Cl-o,rr?U FIREPLACE(S) _ 0_ 1_ 2
APPUCANT - T-1 A--+ V-fPHONE#
ADDRESS (°l-Z-4 ZIPCODE SS?Z-2?
PAGER # CELL PHONE #_ L9' 'S?3 jl S`? 4 FAX #
NE1V RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Su6mitted
- Energy Envelope Calcufations Submitted
_ MINNESOTA RULES 7672
New Energy Code Worksheet Submitted
Plumbing Contractor:
Plumbing System Includes:
Mechanical Contractor:
Mechanical System Includes:
Sewer/Water Contractor:
Phone #
Phone #
Fee: $90.00
Fee: $70.00
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to compiy
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant :517.1--r__L.?
Water Softener _
Water Heater _
No. of Baths
RemodellReoair Reauirements
• 2 caples of plan
. 1 set of Energy Calculatians for heated additions
• 1 sfte survey for exterior additions & decks
• Indicate'rf home served by septic system for additions
Phone #:
L.awn Sprinkler
No. of R.I. Baths
_ Air Conditioning
_ Heat Recovery System
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated VO1
-i ?? ?
? , ??=
i i
? CITY OF E?:G-.N
?T
I APPLICATION FOR PER`4IT
SEWE R AND/OR WATER CONNECTIO,i
(PLEASE P9IHT) .,
1) PP.OPER'I'Y ADDRFSS_ 192-4 Cao?r,U ?n (onL
-- -
TFr.,L DESGRI°TiC:i_ C n+ lc o t-'l ?0lrkP ` F 6 SP T--
(Lot/Block/Subdivision or Tax P e1 I.D. Nu[nber)
iSTRt='E, :;a^ G° DRIGii:AI. EiiILTJIPIG ".=1S' TcS!:?.NG:
-
I FRZS:' ? ?:7;Ii_i;/^pC)°CS=:., US: R-1 SI.NGLE cp-X=.T.Y " ,
-- --• -_
? R-2 DUPT?,"Y (?4?'0 UNITS)
? R-3 T(PvTIIRCi',SE ('I'FffiF." + CJNITS) ( tJAIITS)
? R-4 ApAR'I"''F'`:T/CC:M',LLNI[r'M ( II.]ITSi
? COf4SL.F'4C7AL/RE.'Pr1IZ/OFFICE
? LMliSTRI?L
Q INSTITUTIONP.L/G0VE??.TMIENT
2) AF?LIC.:?NT (PLEASE PR 4T)
NAh1E : ?
ADDRESS: ? - '
CTTY, ST?TE, ZIP: = S
PHONE: - p
3) pu„.'I$ER i LEASE PR1NT) - FOR CITY 115E ONLY
?y?•
- `
?
L
? PIUY.BE ICE45E:
ADDRESS: Q •
i
T+ Active
CI'TY, STATE, ZZP: zlat Expir d
PHO?IE: ? ?
- j _ - ?pLUMBER
LICENSE ii ?,?? Q H oi Record
'
4) OCCCPAiv'T/CS'7i`IF?.'R I (PLEASE PI7INT)
?"E;
Sid,o G? qLoc?i e7;rti,mPr
AnDREss: ll09l )crI PKwS(
czTr, szATE, zrP: mh 55111e
P??: ? toq9- ??3
5)
INUICATG WHICH PERbffT IS BEI1G RD;2UE5TE7:
0 CC:?."dEC:IOV 'Ib CITY SEwER
14 CC:I"c'X.'TZC:V 'Ib CITY [JP.TER
? 0I'F'.EE2 (P:,EASE DE.SC°SPE)
6) r.'DIG?:: C^:-?;
? pl-=Qc f:OLD A.pPRUVED PEF.yIIT FOR PI UP BY O:vTE OF t'1BC)C'::
P=L '•?L't?pT.l?t'?'?1 t??'?TT r?i Lr & 4 F1??/L
cCi? ? ore>
7) SICZ.:L';c.:
?oQ a?aa? ?av- ?c- ,c:, c_ c c:s7sa s ae ? ass?a:? a? ??s r.s::a :?. ? s? .e fa:.re io-wi-w ?e sr ? s e?a?a• c
" H C I T Y U S E O N L Y
PL.7..tTm _ - ?D
$ l(, S O
$ • ??-,
-?/?
f
$_ C? "j.s?EJ
>
$
$
L ? . UU
$ ??UU
$ !?""bU
$
S
$
S
$
61ATE.°. PE?2:1IT (Ii1CLliDE SURC:iARGc,)
WATER METER/COPPERHORN/OUTSIDE READER
WATiR TiaP (1\'CLi1DE CO'.?PJRH^tiC'i.V STC't')
SE:•iE.°. ':P.?
ACCOUVT DEPOSIT - SET::2R
ACCOUNT DE?OSIT - WAT°R
WAC
sac
TBUNK WATE.°, ASSESSMENT
TRti.iK SE'WEP, ASSESSMEN`S
LATE°AL BE:.EFIT/TRlitTK SE-:? -P.R
LATERAL BE*7EFIT/TRU:Ii; WAT°R
OTHER
$ TOTaL
$ ?1 v2?lc-?j .'AMOUNT PAID/RECEIPT
DOES L'TI:.ITY CONNECTION REQUIRE EXC:sVATION IN PUBLIC RIGnT OF WAY?
C YES ZF YES, THEN A"PE3MIT FOR WORK WITHILd
C RG:;DWAY" N1UST BE ISSUED 3Y THE
0 ENGIN ZRIVG DZVISION. LIST A5 A CONDI-
TION.
SUEJEC'i' TO TIIE FOLLO:,IING CO:IpITIO^:S:
;;PP30VED BY:
mT^,--.
D,7?? _-
-..
?@?P:l?:Ri?a le4 ?B i?a stPB 6r.m.0? El? t- i! 0 i4 -1W !4!0 §.li r4iA I* ifi il# ok ?If4 i.fm lkm. /k? 14 YA P r
19-3en7-el fy`,,p_ClKca,v.? ZZ
l :•
s
/ Ovc;%M,'
NOTE: ALL CONTRACTORS NUST BE LICENSED WITH TFIE CITY OF EAGAN
k `a 'v`
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF
ENERGY CALCULATIONS
w
iot,eT7CJ-
To Be Used For; _Sin°le FamilyValuation: 61,-948-. Date: 3-26-85
Site Address: l/oZ?COl?
N6TON ^N • ? OFFICE USE
H
i O
LY
Lot: 1 r,! Block 3 Sect/Sub 1?????_ Erect X Occupancy ?-3
I ?L) 6-E Remodel Zoning ?-?
Parcel # Repair , Type of Const CC
Enlarge li of Stories
Owner Sid Hepseth. Norrie Zimmer Move _ Length 4-0
Demolish Depth 410
Address 1 696. Ford PkwV. Grade _ Sq Ft
City/2ip Code _ St. Paul, MN 55116 --__--__.
ContractorFrontier Midwest Homes CorpAPPROVALS
Address 3920 Beau D' Rue Dr.
City/Zip Code Eaqan, MN 55122
Phone /I 612-454-0433
Arch,/EngrctRschard Charlier
Address 14103 GardenView Ct.
Apple Va ey, M
Phone # 432-5492
Assessments Permit
Water/Sewer Surcharge
Police Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Council Road Unit
Bldg Dff? Parks
APC Treatment P1
Variance
i0iA1.
Do
3 I cC. -
?a
I 5g. ?+
2S. =
(0 3 . OP
Z0C7. °-°
I 32. °D
Z4 =9 l2 x Sq - 492,?8
12e, x 54 ?°? r22
Z? 1C ?L'L. ? ?-?O rC f f 1 q'g ?°
. , , ?.
•..
.r
(O[oQO
.. . . . . . . .. : s?
Y x -},p "it} A ?h ry.y
. C 1ROSG COHSUCTIN6 ENGINEERS.
l?EYOflS
pe17?±I?t??AING PLRHNEAS and Li1ND SURY
I?
COMPRN4, 9idC.
` 1000 EAST 146M STREET, BURNSVtLLE, IAINNESOTA 55337 PM 432'3000
Certificate of Survey
LEGAL DESCRIP710N: LOT16,BLOCK3 PAf<K' RIDGE, ?DAk47-A COUNTY
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PROPOSED ra
ti NOGSE A1 -?I 0? r`.
? [ANCASTE/l" ? Q ?; '
1?? 2D DO I Q -
GAR/WE
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37.to+i7 z5.?? •3D8(J/LD/1/G ,
` ?9t?L? SEraACK
t.
_? ? - 5 DiZA%NAGE E x :
- • o o , y?VT/LITY
• ` ?EASENlE NT,?'
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. ¢'?GOV/NGTON L- 74-
'?rES :E?CasTl? ?n? ?-? 1aDic.ai?S D?RCC?oa ?c? 5?.I2Fdc.E C;,
?9z?a.o? ?'?6rC5 'PR? Et?N4?O? Fi?s?}E? (?AF?AGE ?'sa?2 ^?JP?/'lTfu?l ;`?2L •93
I hereby certify [hat this is a true and correct representatioii of a,tract of land{„ :_ ,
e r 5? Y • `
as shown and described hereon. As prepared bp.me on Ehis day:.of?,4i2eE??19.
Minnesota Registration No 'rO-
, , . .. . . .,. ..:
. .. ' .. - _.._..?_ ..r..»1'._ . . .
k?i? x I• I = Lt9?3 ?
?eet ? o! ?` .
6f6 .
HEA'C LOSS CALCULATIONS
WeatherNripr A' '
Cuidc
Windowi Doon Refereace 11 Out. Waq
Yer oI Y- erRo 19_.,
1 ?•I?? i.l /I_ir Room Length I 1I Width
Window? and Doon-Craekage and Area
Nms i I' pxt., n ?.'2 14,r-+w-s
tddresa: LA tJc-^s 7j---n- '
DEPARTMENT OF INSPECTlON
Construdion No.
Int Wa11 C.eiling Roof Floor
6
?e. if'IOtb
otpan? H?ItM
ofD?ee Ne. o!
Ilt?t, Llnnl t0.
atertck Area.
pp.t0. 9 . I
'?+ ... ?Za?
° I 3Z lld .
.s
Cuf. Btu
Inbltwtion U$ p I :)-
Glast yW -4-;o a..,3 l? 0
Exp. wall ZdV
Nee t:P. w.l1 153 b `t 1
lnt. wall
Ceiling 3`/O ?1 00
Floor
Total Btu.
Required sq. ft. E.Q.R. or eq, ina. W.A. Lsader ira (a (o '? Q
IF1•1lxD Room Leneth IZ Width ? S Heieht
q
Ifo
Btu
Gleu
c:..
ivee e:p.
Inl. wall
Floor
tt. t.U.K. or sq. ms. W.A. L.esAer erca
Room (Lensth r V Width l•
and Doon-CrackaRe end Area
Na. WIA[h
of p.M Hpipl
of p?n? No. ot
Ilf?l. 61nea1 f[.
o/ cr.ek AffR
?0. ft.
?
Coe(. Btu
lnfiltration ZS•(i o 1 Ua '?
Gla?I 0 o
Fsp. wall 212
Net exp. wall (p l Is- $
Int. wsll
Ceiling t7"j ,7 $ 5
Ffoor
Total Btw
Required sq. Ft. E.D.R. or sq. ins. W.A. l.eader arcs
`WENLEL MECNMIICAL
3600. Kennebeq..Drive
Eagan..,MQk;
Iowl?tion
I Ftow Acplied .
Lengt6 I O ?flideh ,5 NeieAt .
--T-
wl nOOws e nC uoorM -+.rscu ?a ana M c. ...
No. Widts
of 0... NdgOL
et wn0 No.4
tlghn Unwl[4
et en<Y AtY
. h. '
' .
?
' Cocf. Btu
In6ltntion
Glus
Exp. wall
Net exp. wau ? q a-?
Int. waU
Cailing
Ftoor .+?U J a 7 S
Total Btu.
Required W ft. E.D.R. or aq• in+• W.A. Leader area $
I Fl.IFoYt,:?t. Room [i..eneth g Width 4 Height
Wmdowe an a uoon -4.racea ae ana nre.
Nn. wmte
at Dan, Hdrnt
oe M. No. at
urnt• w?.•? e?.
nex
oe
e An•
w- n.
?
/
u
InGlual'wa 19' U 7 a--
Glau i.0 't} 0 O
Exp. wall Z
Ntt ezp. wall
IOt. WGII
Ceiline 32 1 ? 0
Floor
Towl Btu.
I Required iq ft ED R or sq. ins. W.A. Lea:der arts t 9 3 o?L
? Fl ? Liv Room I L.eneth 1$ ° Wulth Ifo° Hete6t 8°
__] A__.
wu
'
Ne. ?uava r
WIGt?
o! o?n? v ?w.
HaIghI
at Dans ...__?_
No-ot
??nt• e_ _.._ "_
Llnulff.
of nack __
Arw
q. fL
?
41 11 l3
[.j 2a / t .8 #
Caef. _ j3tu
Infiltration 1f0• 4 4?+?"I (o
Glaa 7$? '2,3
EsP, wall 272.
Net e:p. wall ? rf 11 lo '?}?
In[. wall
Ceilin8 Z 8PJ :7 1 '?-'-4-0-
Floor ?
Total Btu. " I
Required aq. ft. E.D.R. ar s4. ins. W.A• Leader Arca I 1 U,9'1-O
a
? :;
EAT LOSS CALCULATIONS
Weathentrips A"""-Y'L
CiY1dC
Windows
Door
T0_I Rekreace
es-o 4
19_
{
Namst
JXdd=tise: l,n N cr. Z7L-IL
DEPARTMENT OF INSPECTION :
. . CDIIIWCtIOA NO. - I . 0
a
1:e. N'IOtn
of van* Hr'/?t
e! p?w Na. ef
Ilf?u Llneratul ft.
et Y An?
w. [L
' .. .
zK i 8, 0 3a 2s
s.
, w
- CoeE. - Bm
ln6ltntion (o q O L'7 (n 0
cJ.,s y 6 a. 4a
fip. wall 9wb
N« <:P. w.ll 0 2n 55a.6
Int. wall
Ceiling
Floor ? 2? a (o p$ O
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. L.eader srca
177.1 Room Length Width
Windows and Doon-Cracka¢e end Arcs
No. wmm
of D?n1 li.?snt
of Dan? He. et
Ilf?t? Lln.N [t.
ot et?CY wn•
N. tl.
Coef. &u
1n61tration
Glass
Fsp. wall
Net e:p. wall
Int. wall
CeJing
Floor
Total Btu. ?
Required sq. ft. E.D.R. or sq. im. W.A. Leader ares
FI.I Room I Length Width
Windows and Doors-Creckage and Area
No. WIJtp
ol p?n? H-IffhI
o! o.n. No.o[
?thl. Llnull4
of crack An•
?V. ft.
Coef. Bm
Inhltration
Glus
Esp. wall
Net exp. wall
Int. wsll
Ceiling
Floor
7ou1 Btu.
Reauircd sq. ft. E.D.R. or sq. ini. W.A. l.eader area I _
I .. . II -.
,. . F7.1 •. - -- - Room ? Lci
`NENZEL MECHANICAL
3600 Kenne6ec_Drive
Eagan, MN;.55122.-
lwdation i _
How Appfied. ; _ .
Width '..:c,- Heiaht .
. ... W wtloM7 aRO YOOrF-a.raua ga awa n?c.-.
?
' N0. W latq
a[ anf ' BNg6t
af yaN Na o!
11[bu Llenl et.
et eraeY wnA
M? fL
'. -
Coef. _ Bm
? IO6lIta1100 -. _.. _._ ... ...._ _. ...? ., :.. .
Gt...
Esp. wall
Net e:p. wdl •
_.. . .....
nL wa -._._._..._.
. ,.
_ . ?.
CeJing
Floor
7ou18tu.
Requircd sq ft E.D.R. or aq. ins. W.A• Le+der arca
F1.) Room I Lensth Width HeiBhe
W mdows en d 1.16011-4-raees ge saa n.c¦
Ne. wmae
at y?R? x•?rn?
e[ pw? Na et
Ilisb .laol f4
e! eneY An6
qf4
.
I cAef.1
tu
ln6ltration
Glau
Ezp. wall
Net e:p. wall
Int. wall
Ceiling
Floor
Total Btu.
Required sq ft E.D R or fq. in?. W.A. I-esder ares
p Room I Leneth Width Heieht
W.A. ..d Deer?--Coeksae and Arcs
No. Wlath
et pu?? H.lirt
ot O?P? No. et
IItAIs Lln.d ft.
o[ er.eY Ang
N, ft.
CAlF. , B1Y
IPUltf8h011
Glsu
Exp. wall
Net exp. wall
lot. wall ?
? Ceiling
Floor
iI Total Btu.
Reqvired sq. ft. f.D.R. or sq. ins. ?A. Leader are?
Paye 1 of 4
? EXTERIOR ENYELOPE IIVf.RAGF. "U" COMPIITATION C.p1.„pco9:k.sTeT. ?
-- - ?CGWta+i.?? ;
OWNER: nnrr: . ,?
S1TE ADDRESS: PFIOr7E:
CONTRACTOR: FIZpf?"CtG3??
Determine working square footage of each
1. Total exposed wal i area. .. .. sq. ft. x .11 = ZZ7Cj8
2. Total roof/ceiling area..... ( O1 ' sq. ft. x.026 = Ze• .! 7
Total exposed wall arca above floor=_A440
3
a. Total wall window area ............................
...............
b. Total door area .................
c. Total slid9ng glass door area....................................
d. Total fireplace wall area ............................
............
e. otal wall framing area (average 10%) ..............
..............
f. Total rim joist area............
9• net wall area above floor.'E!44
.....
..........................
h• wall area above floor ..................
...................
i• wall area a6ove floor ..................
...................
j. frame wall area at foundation .............
7ota1 exposed foundation ai°ea=
( 2O.
k, Total foundation window area .................
l. Total net foundation area above grade ..............
Determine "u" value of each wall segment
(e,g. window, cloor, each separate wall section)
a. ?ZCO.? X
b • 3?.?i ? X
c. 4z x
d. ?j X
e .------CJG. 3 - x
f._ M Z X
9.1(ova03 x
h. _ X
1.
?•
,lull • 35= q t.
?1V___?_?
.
llu„_
.
'lul, .?•.? _ ??. ?
„u,. .0 3 = • Z.(A
„u„ 4L4
.
lUl. _
X "U" _
x ,iui, _
X "U"
lul, , IS = to, q&
3 . ................................. 7ota1 ' 4S• ?
:
.. i:.:.. JL•??.'..k'
If item #3 is the"same
as, or less then°'item';;
#i, you have met;;,th@
intent of SBC, 600 ?
„? ?°` ,
19
r Envalopo Avorugp "U" Computat:zon
Tol•a1 oxponed rnoi/coiling area A_ 10,71
m. Total skylight areA ............................
n. Total roof/ceiling framing area (avcraye 108).... a,
o. Total net insulated roof/ceilinq <irea...........
. Determine "U" value for each roof/ceiling segment
Pago 2 of.4
M. ?r $
?r
n. a ??U?? ? ?,Z4 e Z• ?w Z
o. L?X t 1t 10 .
4 ........ ................. .. ToL•al m ? . 3 6
if total of $4 is tha same as, or less than R2, you have met the intent of
SriC 6006 .(c) 1:
Alternate Building Envelo e Desiqn
To utilize the total enyelope'system method, the values established by the s;urc of
items #3 and #9 shall not be greater than the swn oi items $1 and #2. i
i. Z'j. ci8 + a. i
Z
---gS g? S • ? ' ;;i
+ 4. _ ?>;'?
? -- 7cum.U ral' r11a11d1? w?t11 nrcA fur
lti4ructlun C??n.?iur?i??i? 1: Vilu•, ,
• . .»,? ._.
. rp ?M
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?' , ? o , . ?r '' c? .y. .p.... .R't? . . . _ . .. . .. .. .4. -
? ', 3???'??; t?, ,. ..??, ,.,,.,i q. 38
_aMlin?i'41f _7:. W ?
-" - --
a , • ?? s. T..tU?? --.A1.w?ll• --. ... ?.?a ?
.
?:C •' .?.`" . f?. F:r.li•rii,Y .111 lilin » p%1f?
? ____ .._ ...... . .. ....__._..._...."'..._"....
fo t?i l 13:
y s
FIU. pl '1'OME3V OF
, ---.-----' - 0. GIi . .
, . FIWtL IJALL it? r. _111111
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9
c 3
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Intrilo[ nlr fll?:? .. O.GR
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)\2ICI1 :'. pA t\.• • -?? Y • 3. _.. 1? T!.Lx.?!R ... .. ._.. ?.r..?.. ----?--
1. : ' • •..---- •-- A .
P?sctfm tlkC... 9^-6?uc P_...""^
---
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0-11
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? =' ?r 1((?-- . • ' ? C -=.i
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1110
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fcr ? ` _?? / s (ll
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' ??1.n:rnd?.iT. nf ir?:•.i1.tCir.?n. -
= r
. .. ' ? Cbnst?ruction R-ValaQ
r
•? ?? r, l. Intcrior air film .0.611 ? r,
2. F3 U
.J
?
Extcrior air filn (sti11)?0. 61
Tota-L 2 457- 8o..
VEIT .
=: \?.'?Y? . ? . : ?. • ? • ? = . 02 • °`*?
. . . . . . s
. • ' F?m 6;7 ' • . ? ;
' 1. Intorlor nir f31m ? 0.61 . f
znted Hea[ flocr .. ': !
2.
uP
b-L
? , • • 4. F.xtcrioz air filn (stzl •
' , - . • . ? , TotaL 2 _
. FZC. I5* ? . . • . . ? . ' U ? .OZ?' ..
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. ' ' ' •?tn.-.,-f.^•r?n?.t:a:e. . 0.61.,,r.?,?-?-.v,=^'z__''?--= Insidc air film _
- - - r-?---Y- 2 _
---------------
3. ' . .
Outsidc air. filin Total
f SMo. i7
???
: ? ? ^ 7 . - ? . : ,r,r?•-. ? . . ? - . ;. • :
J 4"' ?• y. Tnside air Pilm 061
2. • - .
.vented 3.
; L'ecc flav up • . . ? . . 4_
• •? . • 5, Outsidc ais Eilin 0.17
• ' . FIG_ l6.?. _. . . ' ' '•-. . . : . Tota1
? 3 ? I V 'u 1. Ynsidc air filrn
. ? • ? .?..5'•t°'l"=a? 2 '
' ?y,o? !:1',??r: •? : .. ' 3- .
' ? ,- 9. ?e1t;•%-. :.. . : ? 4 . 0.17
• ., r. ,_--. .._ , . ,-,-. ?.. ?;?
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¢l._'1-?";'i• :::; ;•.':'.
er.:;..:,•;:• ? ? Total
. ? ? ' . ..
? ? ? : .:; ?:-? - ? •
. ?a,?_?.??? : Flotc: Usc+ additional sheets if morc rpaca i:
-• • . pecctcJ for detaiJ.s and wlculaticros.
"' ' ' •
, , . flov up • ' . .
' $I ,. f7 ` . .. e' . • ,
ja,.J.3 .. . . ? .rv.
ni,u
,?.,» . ..,....
'£ 1b1:roC ?+?iallua wall"nren Lur
., IYQ Cylltll UGI;I?11
i 1?I??. ??` YI?HµI l 1.?' ,. l w? • . .. . ?. ?? I.SSi#,YY . ,
r
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IC 6 }:r,Lunrii,r_nfi. (tLu . -' U.l'1 ?,a v
I ? , I?:' ^ uf ??;s
AI'L
+t 1 Aro
fs{?1 Ary:
1 1,.' i ti,¢ ? i'rG
TGI'VIY7IV-OF?,
? IiI` 'i iFIV?IfE iQA47,j 1. int?tl.nr itC m,-------'-, (D G!I .Mt,n
4. ----•----..__... .-----?--- --- 44.?
r ?? ?a 5 f ?, k
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G. Eatcrior aii_film.?
FIG tA2' ».b,
I` Iu tnl??; ?u
I f I ?? V i . . ?? h
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t
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v, z
? f`??1C Cndllt O? m;tll.dl'lt]P
? . - PLA&J *i?
. ? ....
? Uru E.4 c,.. FT, .E.+CposED WALL
Bl._o?k.; ; . '?Lfiza t3z tZa.s #-8•ZS = ?3?• ?S ;
;; _ ? .... .. .
, _--:
I:ULL 38t2. 17? ??4 = t4L
?r 1 FZ.Ef? ???GE ? u? o?t Do.??.ti) Zo?e4,S -= 1G
-
SaL. ;rT, ski?'05eD WA L.l., A2.EA __ .._ .._:...,:`.
t3Loc?C'? ?31.?S K, S = 6?.? ? -....
EE ; 4 Z. 5 SC S= 4(ot.5
? '.
?F v LL. I; l'tZ- k S- tt
= 48
FZ i M'' 14 z. >C += 14 Z
To-tAL..
.
06
sQ,Ft . eKpoSa:.D GE1 Llijq 9tZ4- «
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'j"+'f
1NDwS L? DootzS t? ?_'A
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LOT ? BLOCK ? SUBD. laA ?
RECEIPT #Ov DATE D? 7 r
}'T41?,?
S}/dt/ 1996 CITY OF EAGAN
IRRIGATION PERMIT (FOR BACKFLOW PREVENTER)
COMMERCIAL NST LLATIONS: FORM MUST BE COMPLETED BY LICEN5ED PLUMBER
Date: q6 Commercial
? Residential (boulevards)
_ Existing residential
Area/address to be irrigated:
Installer: Owner ? Plumber?
Street address: /'?
GPM
GPM
City, state & zip code: %?k?2_°?J?GLn7i 1221V ??o #:
Owner Name•
Street address: J
City, state & zip code: Qaa/7 Phone #:
? . . .? ,
Irrigation contractor, if different than installer:
?
Telephone #: '
I hereby acknowledge that I have read this application, state that the information is correct, and agree to
comply with all applicable City of Eagan ordinances. It is the applicanYs responsibility to notify the property
owner that the City of Eagan assumes no liability for any damages caused by the City during its normal
operatianal and maintenance acYivities to the facilities constructed under this permit within City
property/right-of-way/easement.
CopDpllicaeWs JCsigna?ture Title
Approved by: Date:
PRV ? Yes ? No New service ? Yes ? No
Meter Size & Cost
Fees due:
/6 -l- ?G
w a/t4s
pve
Calculated by:
ga0 ?
???
PROCEDURE FOR IRRIGATION SYSTEMS - 1996
An irrigation permit j$ required - please contact Protective Inspections at 681-4675.
Fees
Commercial project: $25.50 irrigation permit to cover installation of backflow preventer.
$50.50 water permit fee only if new service is installed.
$300.00 per tap if installed by City.
Residential project: $20.50 irrigation permit to cover instaltation of backflow preventer.
$50.50 water permit fee if new service is installed.
$760.00 per conngr?'?Q,n - Vb'r;C.
$396.00 12er connection - water treatment facility.
Existing residence: $20.50 irrigation permit to cover installation of backflow preventer -(not
required if backflow preventer previously installed).
Meter charge: If gallons per minute are less than 25, a 1" meter will be required at a cost of
$182.00. If gallons per minute are more than 25, a 2" turbo with strainer will
be required at a cost of $822.00. This information is to be supplied by the
designer of the system.
No meter will 6e sold before all sewer and water inspections are complete on a new service. If new
service lines are not required, one check may be written for meter and permit costs. Receipt will be coded
to 20-3716 (meter portion only) with pink copy forwarded to Utility Billing Clerk.
The installer is to contact Protective Inspections at 681-4675 for inspection of the inside water line and
backflow preventer. The Public Works Department may be reached at 681-4300 for water turn-on and set
and ssal of tye meter. inspectio-ii hrurs are 8:30 a.rri. 40 3:30 p.m. Monday ihrough Friday. Requests for
A.M. inspections should be rnade on the precsding work tlay. Requests for PM inspecfians will ue accepted
until 12:00 noan.
Z
SINGLE FAMILY DWELLINGS
IBCLODE 2 SETS OF PLANS, 3 CEETIFICATES OF S17ROSY, 1 SST OF ENERGY CALCOLA2IOH5
HOTE: ADDRESSES FOR CORNSH LOYS - COHTR6CTOR/HONEOWNER HIIST DESIGAAr6 WHICH ADDRESS
IS DESIRED. NO CHANGBS WILL SE 9LLOWSD ONCS BDILDIHG PERMIT IS ISSiJGD.
tiOLTIPLE DiiELLINGS - RESIDENlIAL RENTAL ONITS FOR SAL6 DYISS
INCLUDE 2 SETS OF PLANS, CfiRTIFIC9TS OF SDRVEY - CHECS WITH BLDG. DfiPT.v
1 SET OF ENERGY CALCULATIONS -
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE SOND
sc24???-0 ? qS?Y
To Be Used For: 1?' c Valuation: 'i °"q
Site Address CpU<lv?-, pe.-411 LN
Lot ? Bloek ?
Pareel/Sub
Owner hkgIc-tS?
Address Call°'JCzTU?d LA
City/Zip Code
Phone 4 15-??
Contractor 5 ?L ?
Address
City/2ip Code
Phone -"
Arch./Engr.
_ ?-
Address
City/Zip Code
Phone #
Date: lI' a-?!
On Site Sewage_ Dccupancy
MWCC System Zoning
On Site Well ? Type of Const
City Water _ (Actual)
(Allowable)
0 of Stories
Length
Depth
S.F. Total
Footprint S.F.
9PPROVALS FEBS
Assessments Permit '=?-7 SC
Water/Sewer Surcharge ??
Police Plan Review
Fire SAC, City
Engr SAC, MWCC
Planner Water Conn
Council Water Meter
Bldg Off Road Unit
APC Treatment P1
Variance Parks
Copies
TOTAL
:1
??AoBE
CONSUlTIN6 EHGINEEBS.
ENGINEEtilidG PLpNHEtiS and IpND SUHYEYOBS
? CQIU1f'i71,Y, INC.
1000 EAST 146q? STREET, BURNSVILLE, 4tNNE50TA 5:337 PH 432-3000
Certificate of SurveY C^f''(2-c-
?---
LEGAL OESCRIPTION: 1-07-16,BLOCK3 PAl2K"RIDGE, pqX0;WC0Uii/7Y
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. ... .., . .: .Flwi{S? ,6APA4gE ?f7?
hereby certify Ehat this is a true and correct representatiori of a;tract,,of
shown and described hereon. As prepared by me on„fhis ?+'L4 daI
3'of .?
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`-Minnesota Registration No 41
. . .. . . . '.. . . • '?v?*s7
S-476 RESIDENTIAL
BUILDING PERMIT APPLICATION
CiTY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construction ReaufremenM
• 3 registered site surveys shoxirg sq. ft. W lot sq, ft. of house; and all roofed areas
(20% rnaximum lot ccverege allowed)
. 2 copies of plan showing 6eam & window s¢es; poured found design, etc.)
• 1 set of Energy Calculations
• 3 coples of Tree Presenation Plan if lot platted aNer 711193
• Rim Joist OetaB Optians seletUon sheet (Mdgs with 3 or less unNs)
DATE a -b ' Z
?
SITE ADDRESS 1101
TYPE OF WORK _ Rcoi
APPLICANT
W
9
06
MULTI-FAMILY BLDG _Y XN
FIREPLACE(5) _ 0 _ 1 _ 2
STREET ADDRESS aSl ( kAW ? `) , CITY &ccLbt?c STATE MfJ ZIP J_f 33 k
TELEPHONE# 9S2 '47o-4403 CELLPHONE# 6si SZ144 FAX# gs"Z- y7u -4Fq/3
PROPERTYOWNER -' t96 f-AD 5`r
TELEPHONE# 61-1-64-7J974
---------------------------------------------------------------------°------------------------
COMPLETE THIS SECTION FOR °NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOT:1 RULrS 7670 CATEGORY 1 MINNESO'1'r1 RLZLS 7672
(J submission Type) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Conhactor:
Plumbing system includes:
Mechanical Contractor:
Mechanical system includes:
Sewer/Water Conhactor:
_ Water Softener
_ Water Heater
_ No. of Baths
Phone #
_ Lawn Sprinkler
No. of R.I. Baths
_ .'lir Conditioning
_ Heat Recovery System
Phone
Phone #
Fee: $90.00
D
p uG 19 2002 ? I? Fee: $70. G
--------------------------------------------------°------°--°--------------------------------°----------°------------
I hereby acknowledge that I have read this application, state that the irmation is correct nd agree to comply
with all applicable State of Minnesota Statutes and City of Eagan G ances.
Stgnature of Ap
OFF'ICE USE ONLY
?
RemodellReoair Recuirements
• 2 co0ies of plan
• 1 sel of Eneqy Calculations for heated additions
• 1 site survey for extenor addi6ons & decks
."Intlicate if home served by septic system for additions
VALUATION
bUl ?l G'i
,a S 1, i
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
lJpdated 4/02
?-
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I
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA129130
Date Issued:01/13/2015
Permit Category:ePermit
Site Address: 1924 Covington Lane
Lot:16 Block: 3 Addition: Park Ridge
PID:10-56750-03-160
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.
Ashley Orman
130 Plymouth Ave N
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 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 -
Martin G Fox
1924 Covington Lane
Eagan MN 55122
(651) 235-3775
Standard Heating & Air Conditioning
130 Plymouth Ave. N
Minneapolis MN 55411
(612) 824-2656
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA152338
Date Issued:10/10/2018
Permit Category:ePermit
Site Address: 1924 Covington Lane
Lot:16 Block: 3 Addition: Park Ridge
PID:10-56750-03-160
Use:
Description:
Sub Type:Reroof & Siding & Windows/Doors
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and house wrap and leave on site.
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: 12,000.00
Fee Summary:BL - Base Fee $12K $221.25 0801.4085
Surcharge - Based on Valuation $12K $6.00 9001.2195
$227.25 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 -
Martin G Fox
1924 Covington Lane
Eagan MN 55122
Capstone Bros Contracting
216 North River Ridge Cirle
Burnsville MN 55337
(952) 882-8888
Applicant/Permitee: Signature Issued By: Signature