1940 Covington LaneBUILDING PERMIT
Receipt N
N2 11432
SF DWG/GAR
$62.000 86
JANUARY 9
iobeusedtor
Est.value Date 19
1940 COVINGTON LN R3
Site Address Erect Occupancy
Lot 13 Block 3 Sec/Sub. BERKSHIRE PONDSRemodel ? Zoni Rl
ng
Parcel No Repair ? Type of Const V
. Additian ? No. Stories
RSM HOMES Move ? Length
W
z
o Name
18308 MURPHY LAKE BLVD
Address Demolish
I
t
I ?
? Depth 46
S
Ff
432-2440
PRIOR Lj?h
Ci n
.
mpr. ? q.
ry
one Install
a $AML'' App10v818 FBBS
=o Name-
$ Q Atldres5
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
Phone
`a A.P.S. HOME DESIGN
w W nlame
Address 2779 75TH ST E
<W Ciry I.G.H.Phone 450-0867
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 Ordinances.
. Signature of Permitte
' RSM HO WS
A!BuildingPermit is issued to:
all.work shall be done in accordance with all applic,s6Te Stata4f Minneso
Assessment _
Water & Sew.
Police -
Fire
Eng.
Planner_
Council _
Bldg. Off. 12
APC
Var. Date-
Permit '? ??7•v"
Surcharge 31.00
Plan Review 159 . 50
SAC 575.00
Water Conn. 500.00
Water Meter 63 . 50
RoadUnit 280.00
Tr. PI. 132.00
Parks
7otal $2.060.00
- on the express condition that
of Eagan Ordinances.
Building Official )R
... ,. . . .
CITY OF EAGAN .
11412
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 •
PHONE: 454-8100
• BUILDING PERMIT R
i
pt #
ece
To be used for SI' DWG/GAR Est. value $62,000 Date JAr2JI-d2Y 9 19 86
SiteAddress 1940 COVINC;`1.'ON LIV Erect C? Occupancy 'Z3
Lot 13BIock 3 Sec/Sub. grlti{:iHIRE P():7Dgemodei ? Zoning R 1
Parcel No. Repair ?
Addition ? Type oi Const. %j
No; Stories
Nfove ? Len
th
gr Name !<?i'i 1iflf?ILS
li
h ?
= D g
D
th
s
emo
3 Address 1830E IJURPHSC LAKE BLVD Int. Impi. ?
° ep
46
Sq. Ft
city PRIOR I0rone 432-2440 Install ?
o Name SAME Appro vals Fees
=
?? Address Assessment Permit .? 319 . 00
'- Ciry Phone Water 8 Sew. Surcharge 31.00
? Police
F W Name ?'s. F' •=?• IiUi>!E DSSIGN Fire Plan Review 159.50
SAC 575.00
?? Address 2779 755'11 ST E
Eng.
Water Conn. ? 0 0. 0 U
< W Ciry ?•?•?? f?hone 4 5 0- U 8 6 7 Planner Water Meter ? 3. 5 0
Council Road Unit U
I hereby acknowledge that I have read this application and state that the Bldg. Off. 1
f 2
• cl 0
Tr. PI.
in
ormation is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. APC Parks ?
Var. Date Copies
Signature of Permittee Totel Y?. iJ f? .I . 0 G
sa?
R
A Building Permit is issued to: on
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan the express condition that
Ordinances.
Building Official - ` ' <
I ' I PermR No. I PomIk Mddw I Dtb I TNeph- # I
Ax
HW
Plby.
Disp.
PERMIT # CITY OF EAGAN FEE
k 01 MECHANICAL PERMIT
RECEIPT # 454-8100 S/C ?
? y,? MINIMUM RESIDENTiAL FEE - $10.00 + $•50 TOTAL
DATE MINIMUM COMMERCIAL FEE - s20.00 + $.50
/
1. Bldg. Type: Res Comm Inst 2. New '? dd Alter Repair
3. Total Bid Price 4.
Job Address
Lot Block . Sec 5. Owner i1??l? /tI?IG?.J
6. Contractor /-1 N, WL4 /GI?, !i 9- -'Z? /(.:tIrCl&A? /14/U-
(Name) (Stree? (City)
7. Contractor Phone #
? RESIDENTIAL HEATING - 01-100,000 BTU's -$24.00. Each additional 50,000 BTU's or fraction -$6.00
RESIDENTIAL COOLING - 01-24,000 BTU's -$12.00. Each additional 6,000 BTU's or fraction -$6.00
,r.r MODIFI,eATIONS/ALTERATIONS -$10.00 minimum fee
; . /
•? 'HEATING " ? VENTILATING HOT WATER STEAM AIR COND.
`pfR PtPING PROCESSED PIPING AIR HAND. EQUIP. RtFRIG.
? RES. GAS PIPING OUTLETS -$1.50 TANKS: LP. UNDERGROUND OTHER
COMM./IND. RATE - 1% OF TO. AL BlD PRICE PLUS $-50 STATE SURCHARGE FOR EACH S1,000 OF FEE.
Signed: far
Approved Inspections: Date Rough Insp. Date Final Insp.
PERMIT # CITY OF EItGAN FEE
PLUMBING PERMIT
RECEIPT # 454-8100 S/C ? v
MINIMUM RESIDENTIAL FEE - $70.00 +=.50 TOTAL
DATE MINIMUM COMMERCiAL FEE -$20.00 + $•SO
1. Bidg. Type: Res ? Comm Inst 2. New _2C_ Add Alter Repair
3. Total Bid Price 7,7' ' ` ' 4. Job Address
Lot Zy Block 2_ Sec ?K r??'K ' ??•? '? ? 5. Owner
6. Contractor 2% .C.o -, il?C .; c,
(Name) ,?? ,l (Street) (City) (Zlp)
7, Contr?ctor Phone # °
NO. FIXTURES
/ Water Closet - $3.00
TBath Tubs - $3.00
i Lavatory - $3.00
Shower - $3.00
./-Kitchen Sink - $3.00
-Urinal/Bidet - $3.00
NO. FIXTURES
__LLaundry Tray - $3.00
! Floor Drains - $1.50
?Water Neater - $1.50
-Whiripool - $3.00
?Gas Piping Outlets - $1.50
-Softener - $5.00
NO. FIXTURES
-Well - $10.00
Private Disp Syst - $10.00
--aRough Openings w!o
Fixtures - $1.50
COMM./IND. RATE - 1°Y6 OF OTAL BtD PRICE PLUS $.50 STATEJ3SURCHARGE FOR EACH s1,000 OF FEE.
Signed: .?*?? w ? ? for A&s
Approved Inspections: Date Rough Insp. Date Finel Insp.
CITY OF EAGAN Remarks
Addition BERKSHIRE PONDS Lot 13 Rik 3 Parcel 10 13750 130 03
Owner Street- 1940 CoVirigtotl LSne State ??/21
Improvement Oate Amount Annual Years Payment Receipt Date
STREET SURF, 7 19$2 239.09 23.91 10 =, ICOII 7 / -
STREET RESTOR. 0 3
GRADING
SAN SEW TRUNK 7 1982 176.04 11.74 15
I O 7 1-31
SEWER LATERAL qoV 1982 57.24 3.82 15 ?
8• t4o
?3?
* -)J 1985 42%.83 20.53 15 -17,0 11
WATERMAIN 7o.5 1982 46.09 3.07 15 3 7
? WATER LATERAL 1999
WATER AREA 19$2 1]6.0(+ 11.74 15 O l/ 7 -/`
STORM SEW TR K 1985 385-01 25-67 19 333
."
STORM SEW LAT
CURB & GUTTER '
SIDEWALK
STREET LIGHT
Road Ui $280.00 58952 1
WATER CONN. 500.00
BUILDING PER. 1143
sAC 525.00
PAR K
CITY OF EAGAN WATER SERVI
3830 Pilot Knob Road CE PERM
P. O. Box 21199 PERMfT NO.:
Eagan, MN 55121 DATE:
Zoninp: - No. of Units:
• OWf1ory
AddfoiS:
Sit! /,ddfESS:
Pitxnber.
MeMr No•: Connection Chorge: .
Size: Account Deposit:
Reoder No.: Permit Fee:
1 Nme ft ?oiq wuh IiN Ci1y of byNw Surcharge:
Oronener. Mlsc. Charyes:
Totcl:
By Date Poid:
Date of insp.: (rop.:
CITY Cs' EAGAN WqUR SERVICE PERM
3830 Pilot Knob Road
P. 0. Box 21199 PERMIT NO.: .^ s
Eagan, MN 55121 D/1TE: - ` ` - '
Zontnp: _ ' - No. of Units:
Owner: Homes
Addresx
Sits Md?ess• 1940 Covi.n`t?? ?,.cl,_" ire I'o:
Plumber. _Lakesi e P?s• ---,a? '
Metsr No.: 36 7,Sr..S'6
o'? .•???t ?`
Stu:
Reodsr No.: ?'/N (o'/SI ???t?"•-
1 pn? to aee? ?
Ofj?M/Ip?, ?
^ I -
By
Date of Insp.:
3
s
Mist. Choryes:
Totol:
Date Paid: _
er
1985 BUILDING PERMIT APPtICATION - CITY OF EAGAN
NOTE: ALL CONTEACTORS MUST BE LICENSED NITH THE CITY OF EAGAN
. COl41ERCIAL SINGLE FAMILY DNELLINCS
INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS
& STRUCT'URAL PLANS, 1 SET OF 3 CERTIF'ICATES OF SUftVEY
SPECIFICATIONS AND 1 SE1' OF 1 SET OF ENERGY CALCULATIONS
ENERGY CALCULATIONS! ?
$2,000 LANDSCAPE BOND
To Be Used For: 5?•dWCa ?GA(Z, Valuation: (pZ?p?p Date:
Site Address ? c._dr -:'??? ? OFFICE USE ONL '
Lot Block ? Ereet X Occupancy
P
l/S Remodel Zoning
arce
ub Repair ? Type of Const
Addition # of Stories
Owner _ RSM Homesz Inc. Move ? Length
Demolish Depth
Address 18308 Murphy lake Blvd, Znt.Impr. ? Sq Ft
Install
City/Zip Gode Prior Iake, hm 55372 - ____-_- - ______
Phone 435-8868 or 435-8846 I AppROYALS FEES
Contractor same
Address
City/Zip Code
Phone
Arch./Engr, A.P.S Hane Design
Address 2779 75th St E.
City/Zip Code Inver Grove Heights, Nhi 55
Phone Ii 450-0867
Assessments permit
Water/Sewer Surcharge
Police Plan Revieu
Fire SAC
Engr Water Conn
Planner Water Meter
Council Ro Unit
Bldg Off ?? Treatment P1
APC Parks
Variance Copfes
TOTAL
d6'b.
1! PLEASE N(7PE: TFE CITY WILL PROVIDE OIVE COPY OF SE47ER AND -4VATER' PERMITS.
PERSONS REQC'IRING ADDITIQNAL COPIES WILL BE CHARGED A$20.00 FrE TO COVER
CITY OF EAGAN
APPLICATION FOR PERMIT SEWER ANIJ/OR WATER CONNECTION
l) PROPER`PY ADDRE$$:
T•FGAT. DESCRIPTION: - ? i
k1AL/t410CK/JUDO1V1510R OT 'L'dX YdT'C21 l.ll. Nt1IfIfJ2TJ
IF EXISTING STRL'CTORE, DATE OF.ORIGINAL &LIILDING PERMIT ISSL?ANCE:
(Nbnth Year)
PRESENT ZONING/PROPOSID USE: R-1 SINGLE FAMILY
R-2 DUPLEX (Trro Lnits)
R-3 ROWNHOL'SE (Three + Lnits) ( Units)
R-4 APARTMENT/CONIDOMINIL'M ( Lnits)
COMN]EEEtCIAL/RETAIL/OFFICE
INIDL'STRIAL
INSTITU'PIONAL/GOVERIVVIENT
2) ? NAME: C!_
T
ADDRE$$: /r, 4 (?9 CITY, STATE, ZIP: ; ;i}G fi`;f /?Ii? ? ? .5`l'L
PHONE: ?s '% `7 ' -% 4, oc3) NAME:
ADDRESS:
? CITY, STATE, ZIP:
PHONE: '? ?. '/ /%? c• MASTER LICENSE
For Citv Use
Plumbe icense:
Activ '
C7 ed
Recorde<
Staff iti
4 ) • , ? a• NAME:
ADDRFSS: U?1?tc?kF?k? Ih<,? f u?;f?1?
CITY, STATE, ZIP: 2 t.?rL ?,?-(L?,, j j.l t:" ? i:S -7 i
-----
PHONE: _.:2 , I LIzU
5) i? • a• • • ?M
JE( CODRWTION TO CITY SEWER v(,ONNECTION TC) CITY WATII2
Q OTfER (Please Describe)
6) ? ?40 I
? PLEASE HOLD APPROVID PERNIIT FOR PICK-OP BY ONE OF ABOVE
d PI,EASE MAIL APPROVID PERNffT TO 1, 2, j3, 4, ABOVE
(Circle one)
7)
?? ? ? _
FOR C I TY U S E ON;,Y
PERMIT '-` ISSUED
FEZS:
$ 41 5U
$
5
+S
$
` JU JO
$
5
$
$
S
$
$
$ Z5?.OU
SSiic..°. PEB>tT_T (I?ICL;;DE SURC'i?RGc)
WATER PER:lI:' (INCL'uDE SLiRCHARGi.)
WATER METER/COPPEBHORN/OUTSIDE READER
WATER TAP {INCLUDE CORPORATION STOP)
SE:vER Ta?
ACCOUNT DE?OSIT - T•lATER
wac
SPC
TRliNK SPATER ASSESS??E::T
TRli:1K SEWER ASSESSt?°:IT
LATERIL BENEFIT/TRU`]K SE:• TER
LA;^cRrlL BEVEFIT/TRU:IK WATYR
WATER TREATMEfiT PLANT SURCHARGE
OTHER:
TOTAL
AMOUNT PAID;'q,r,C°I2T : ?,5?,?% •
DOES UTILITY CONNECTION REQUIRE EXCaVATION I:V PUBLIC RIGHT OF WAY?
L YES IF YES, THEN A"PERhIIT FOR W0RK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED SY THE
F-7 NO ENGINEERING DIVISZON. LIST AS A CONDI-
TION.
SUBJECT TO THE FOLLO6VING CONDITIONS:
APPROVED BY:
TZ:LE:
DATr :
i
;
1?, _RA 3
2007 RESIDENTIAL MECHANICAL rERMiT aPri,rcaTiorr
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete For. single fami[y dwellings & townhomes/oondos when pemiits are required for each uni[
sn, aJ
?Date -? / 3
Site Address Unit #
Property Owner (? ?? (z)/ Telephone I/L
Contractor 64 ?j7 (,?? Ullv" ? 6
Street Address City ///m
State Zip SS?-JQ Telephone N(?/4 ) 0l?J?°t76 ? ?
sond #: ?I ?O(7C? ?`? Expires: QJ /) •?124-
'fhe Applicant is _ Owner _1zConfracWr Other
Fire repair (replace burned out appiiances, ductwork, etc.) $ 90.00
This fee applies when extensive mechanica l repairs are made to a buildfng.
Adtl-on or alteration to existing dwelling unit $ 50.00
? furnace _Additional ?Replacement _ New
air exchanger
_ air conditioner rn'' ?"L C?'\V/1
heat pump U
?
o t h e r J A N 0 4 2007
State Surcharge $ .50
Total $
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; tliat the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanica] Codes, that I understand this is not a
permit, but only an application for a permit, and work is not to start withou[ a permit; that the work will be in accordance with the
7 approv d plan in the case of work which requires a review and approval of p1an?.?J
'? ? kx Va?? -Sa Applicant's Printed Name i Appli anYs Signature
RESIDENTIAI. BUILDING
Permit Application
U City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122 23?1
Telephone # 651-675-5675 FAX # 651-675-5674
New ConsWCtion Reauirements RemodeVReoair Reauirements Office Use Onlv
3 registered site surveys shaxing sq. R of lot, sq. ft of house; and all mofed areas 2 copies of plan Cert of Survey Rectl
(20% maximum lot coverage allaved) t set o( Energy Calculations for heated additions Tree Pres Plan Recd
2 copies of plan showing beem & window sizes; poured found design, etc. 7 site survey for add'N'ons & decks Tree Pres Not Reqd
lsetofEnergyCalculaUOns Addifion - indicate'rfonsitesepficsystem _On-siteSepficSystem
3 copies of Tree Preserva6on Plan'rf lot platted afler 7/1193
RimJoistDelailOpfionsselectionsheet (bldgs with 3 or less units
Date ? /1-? - /?/? O?
Site Address `? ? L.QUI n
Lka(?., ConstrucTion CosY 4I I 15?6?
Unit/Ste #
Description of Work
Multi-Family Bldg _ Y? N Fireplace(s) _ 0 _ 1 _ 2
Property Owner Dam-a1Y w shl Telephone i! (?J?
Contractor ? -DY? .
Addresl U.y,?7?
State n ' ° 41? f?UQi?_?(.V. ?.?i 1 City ExArym ??
Zip 553--3:7 Telephone # (?? --70-7 -?69
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet . New Energy Code Worksheet
(J submission type) Submitted Submitted
. Energy Envelope Calculations Submitted
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone #(
[e -Rp??? ( m
I hereby apply for a Residential Building Permit and acknowled that the information ii complete and accurate;
that the work will be in conformance with the ordinances and c?-s=of-the'City o?"an 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.
ApplicanYs Printed Name
Applicant's Signature
? .-REStDENT1AL ?
- BUILDING PERMIT APPLICATION ?a&
7 3830 PILOT CIOM RD, WGAN MN 65122
861-881-4875
•. areostereeeAeauMerselwxaigeq.nabt,ean.aname;enagroaeaarou • scaplaaplan
(TO%mefdmum Id 00rBrape eAOwsM . 18M OI EneiOYCBkuYtlme/wheMed eddXOrre
. 200pb60fplenllqxYqbmnl3wkWOweUM Daue0lourWdeeqn,ek) . 1NtewMbr6iQ9AMeddqbne&d9ft
. 1 tN d FirorpyCabuleqons • IMkab M lame eerve0 by eepda syebm lor eAEdiorro
• 300pb6dTtMPrAB6natbnPl?ttlblpleqedalGMNt/B3
. r1YnJdetDmaeOpuaroeebctlanehaettbWp wmi8aruunne)
oATE 5 r 3; I ?`
81TE ADDRESS /2 Y? C ov ????'
TYPE OF WORKMLIY bW 6.4LtP ?S2'fi•
a a/
vawAnoN S, Z° ) '
MULTI-FAMILY BLD6 _ Y `''I I?
_ FIREPLACE(S) _ 0 2
APPLICANT ? ^''?"'`^- ??.C_..f.•-? G,...?. fi?•-
STREETADDREBS 12, 2 q ?7 {i, ?oC Ltiq.r? s, C,JTy STATE LP
TELEPHONE N15'1 r7 - jo*0044 CELL PHONE N FpJ( N 9f2 --Ii7-19z!S 3 7
'70') -Lyf"?
PROPERTY OWNER C) sT, ? S/?? , TEIEPHONE #
-----------------------------------------------------------------------------------------------
?-COMPLETE THIS SECTION fOR "M" RESIDENTIAL BUILDING8 ONLY
Energy Code Category _ MIIVNFSOTA RULES 7670 CATECORY 1 I MINNESOTA RULE4 7672
(+1 submieeion tyqe) . ResIdentM VeMiledon Catepory t Workeheet Bubmttled . Nsw Enarpy Code Worksheet 8ubmitted
• Enerpy Erwelo49 Cebuledom SuMndlted
PItl111bi11g COflhaCtOf: PhOI1C #
Plumbing system iucludes: ? Water 3oftener _ Lawn 3prinkler Fee: $90.00
? Water Heater _ No. of RL Batha
? No. of Baths
Naehaqead Confractor:
, Mechanical systcm includes: _ Air Conditioning
- Heat Recovery System
"war/YVCifar Cont?actor.
Phono N
Fee: $70.00
ihone M
........... .............................................................................................................. -
I hereby acknowledpe fhar I have read fhis applicctlon, stcte that the information Is correct and agree to comply
wMh all applbable State of Minnesota Stafutes and City of Eagan Ordigorces.
oFFIcE usE oivi,Y
CeNficetes of Survey Recelved _ Tree Preeervadon Plan Received _ Not Required _
uodated 4102
:
CONSUITIHb EM(iIHEEA3
PIANNEAS ond IAND iURVEYO115
" PIENGINCERCOMPRNY11,ING aosE
INt.
.
? IOQO EAST 146M STREET, BUflN5V1LL£, YfHNESOTA 55137 Pf1 4j2-3000
G'eTt7 ?7 !?!T ;rP /St aS7L7+7rP_ /f
kg4a1 Qe.scr14MLosZ: LOT 13, BLOCK 3, 8fRK5HIRE PONOS?,
DAKOTA COUIJTY, MINNE50'1"A
054-°' DEN07f5 EXl5TIN6 ELEVAT/DAI
(95e.0) DEI,lOTES P90PO5ED EI.EVATloN
o?
aar?
vP
W
'0
q??6
?
- INDICqTES p!lZEGTlOA! OF SURFRCE DRA1NA6E
95o•a?= F?NisHE? '6ARAGE FL'OO2 ELEVq710,t/
?r
o?
?
B,??v 3g3
o ?
b ,o
\ > o ?
\\`_ \Zc
30' FRo1.rT Bu1f.DUJ6
SETB.qCI( L/NE
i
"'1-
,.
s r,
`r6o ?
\ o 0o aa„
\\ ?c
1 \a?
? ? / ?
O
ORAiNA6E `A+?D
UTIIITY EASEMENT
?yyt'°3
0
o!°
NORTN
$CqLE: 1" = 30'
f?H, i C?
I her*Dy cartify that this ia e true and correcr?ep?resentation of a tract ot
land an sham'and deacribed hereon.- Aa preparad by me on this zz-o day o[
n?fwFi?.eEt , 19 85 .
?..,f liinn. 1le?. No. /?obs
?
lD'
- - - - - - - - - - - - - - - - -
i Vz' f I For Office Use ;
f A u G I Permit City of 122009 ;
3830 Pilot Knob Road i Permit Fee.
Eagan MN 55122 I Date Received:
1
Phone: (651) 675-5675
Fax: (651) 675-5694 I Staff:
2009 RESIDENTIAL PLUMBING PRRMIT APPLICATION
Date: Site Address:- ~ l~l t _
Tenant:__---01_~_~~1-- Suite#:
sj-
RESIDENT /OWNER Name: Phone:
Address / City / Zip:
t
CONTRACTOR Name: License
Address:
City: Ct - - State: J~11 N_ Zip: -
Phone: ~7£ 7 < JU t~ ` , -
Contact Person:
TYPE OF WORK New Replacement Repair Rebuild _ Modify Space _Work in R.O.W.
Description of work:
PERMIT TYPE RESIDENTIAL
Water Heater -.Water Softener
Lawn Irrigation -Add Plumbing Fixtures
( RPZ / T PVB) Main - Lower Level)
Septic System Water Turnaround
_ New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround'` (includes $.50 State Surcharge)
'Water Turnaround (add $165.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $
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 wit t 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 phns.
X. ~ )Mes--b Meju ew" 'T
App tcant's Printed Name r Applicant'stfgnature
FOR OFFICE USE Reviewed By: Date: _
Required Inspections: Under Ground Rough-In Air Test Gas Test ___Final t,
60
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA110766
Date Issued:05/28/2013
Permit Category:ePermit
Site Address: 1940 Covington Lane
Lot:13 Block: 3 Addition: Berkshire Ponds
PID:10-13750-03-130
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Insert
Description:
Census Code:434 -
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 by law in ALL single family homes .
Jocina Hammer
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 -
David L Ostrowski
1940 Covington Lane
Eagan MN 55122
Hearth and Home Technologies
2700 N. Fairview Ave
Roseville MN 55113
(651) 638-3309
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA158885
Date Issued:11/06/2019
Permit Category:ePermit
Site Address: 1940 Covington Lane
Lot:13 Block: 3 Addition: Berkshire Ponds
PID:10-13750-03-130
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Joshua J Freeman
1940 Covington Lane
Eagan MN 55122
Universal Windows Direct Twin Cities
150 88th St W #205
Bloomington MN 55420
(612) 866-2888
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA162706
Date Issued:07/24/2020
Permit Category:ePermit
Site Address: 1940 Covington Lane
Lot:13 Block: 3 Addition: Berkshire Ponds
PID:10-13750-03-130
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
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 -
Joshua J Freeman
1940 Covington Lane
Eagan MN 55122
Angell Aire Inc
12253 Nicollet Ave S
Burnsville MN 55337
(952) 746-5200
Applicant/Permitee: Signature Issued By: Signature