1942 Covington Lane
BUILDING PERMIT
CITY OF EAGAN
3830 Pilot Kno6 Road, P.O. Box 21•199, Eagan, MN 55121
PHONE: 454-8100
ReceiDf #
Te M YNA IM SF DWG/GAR Esr. Vaiue $56, 000
SiteAddress 1942 COVINGTON LN
Lot 12 elock 3 sec/sue. BERKSHIRE PONDS
rarcel No. 10-13750-120-03
rc Name JOS. MILLER CONST
Z Address 18133 CEDAR AVE
? City FARMINGTON phone 454-4753
o Name SAME
?
?U Addresa
? City Phone
tw Name
_o Address
'Z
<W City Phone
I hereby ocknowledge ihot 1 hove reod this applicotion ond state that
fhe inlormafion is correct ond ogree to comply with oll applicoble
State of Minnewta Statutes and City of Eogan Ordinances.
Signmure of Pertnittee
A Building Permit is iwued to: JOS MILLER CONST
oll work sholl be done in accordance ?w^-lt?hy/? op?p?lic?able $ o ..M?in?r
8ulldirg Officicl u ?'?-"'v - ?y
4
Erect Occupancy - ??
Alter ? Zoning
Repair ? Fire Zone N?A
Enlarge ? Type of Const. V
Move ? # Stories
Demolish ? Leng[h_4 1_
Gmde ? Depth --3-9--Sq. FL-
Approrab Fees
Assessment permit 301.00
Water 8$ew. Surcharge 28.00
Police Plon check 150.50
Fire SAC 525.00
Eng. Water Conn. 470.00
Planner WoterMeter -63?0
Councll Road Unit 2 6 D- n 0
Bldg. Otf.
APC Total ?;_L '79TSO
on the expreu candition ihni
Statutes ond Ciry of Eagan Ordinances.
N° 9172
??a?
, ? X-? ?ida lu?as«t?sVeo! pliovats?css.? i
u?
? ? ' mlail,act?.ce??.
. ??-?IIDINC: PFld+QT APPLtCJ'1PYQQ .? !? o?' s?Y
• ?t? Sb' ? D°d° --
1b He Oeed Fbr valua Y'
Site A3dres8: crrTCB LSE a"iLy
(L - 3
Lct 1,A_ sl«.* sOC./Sub ? x°°°"p""`'y Fz_ i
Pa=oel 4 s fi ?? ) S 20 -_? ter?ir wt v+n Aons
63 Oon?-?
? .
G1?nor: -- r-.----- a i_ •
7160raM? ?`i '
city/yip pode; : u t• o o+
Ph0[1B #: ? i? e +
2 3
1 50 0 0 r ao
c?l.LU ?stt 30
acx?traeeor• 4 2 5' C, ?' _ etad?uc9? '?
]1?I+CS80 4 7 G. 0;+ pLTI CtiG?C
' gw
Csi}??? C,OCIe' 6 j•`y' J+
z a o• ? o+ - itaba
Yl?rne lllsb?r Mater
17 9 7• ibd mit
Atah./81q. -
)Iddtessa _
CLty/Zip Code: r ? .
• T0771i.
phaie 4: ?= t
^ ..;
. .
"'.qlR?•n?'-. , . .. . . . . . ..
, CITY OF EAGAN ?i?2
• 3830 Pilot Knob Road. P.O. 8ox 2'l-199, Eagan, MN 55727 1.?7
PHONE: 454-8700
BUILDING PERMIT Receipt #
To be wed Mr Est. Volue $'i G, ii i) tJ Dat e ?.' Ui! t: 15 1 9 f3 4
Site Address 1942 CGVI Erect ?] (}ccuponq 113
Lot L `= Block 3 Sec/Sub. Pn ti OS ^Iter ? Zoning
Parcel No. 10- i_? 12 (1- U 3 Repoi? ? Flre Zone ?' 1?
V
"`'? • ??''R CdNST Enlorge ? Type of Const.
?
W
Z Name
Address ?=?;i %1;R AVE Move
pernolish p
p # Stories
Length 4 Z
? Citv Phone 4 5 4- 4 7 S 3 Grode ? De pth 39 Sq. Ft.
, E Name _
?? Addreas
F CitV -
I hereby otknowledge thot I hcve reod fhis application and state thot
the inlormoYion is correct and agree to comply with all applicoble
State of Minnesoto Stotutes and City of Eagon Ordinonces.
5ipnoturc of Permittee
A 8uilding Permit is issued M: JOS MTLLER CONS'I`
all work sholl be done in accordance with qilPapplicable State 61 Mii
?
Buildinp Official <<_ ? , - : '- " .
Assessment -
Water & Sew.
Pol ice
Fire
Eny.
Plonner
Councii
Bldg. Off, _
APC
Statutes ond
Faes
Permit . 0
Surchorge G ? .00
Pian check -15G . 5 o
SAC 52, 5. UO
Water Conn. 7(i . 0 0
Woter Meter ? V
Road Unir ? 0
Total $ ' - . 4
on tha expreu canditian thm
y ot Eagcn Ordinonces.
Permit No. Permit Ho?der Misc. Permit No. Holder
Plumbing V !
H. V.A.C.
V
Well
Water
pisp.
Sewer
Electric i-d
Inspection Date insp. bther
Footings _&y
Foundation
Freminq $'??/ ? ?7 ,•
Rouph Plbq.
Rouyh HVAC
Ingulation
Final Plb9.
Final HVAC
Ffnal
Weter Describe Location:
A
?
vueu ene_ ?o ? ??JY f
? /s./?r? ???c.?j
??•s
Sewer .
'
Pr. Disp.
Receipt IVrECHANICAL PERMIT Permit No. ??-`• ?
CITY OF EAGAN
Y F«
? Fi!l in numbered spaces S/C
Type or Print legib/y Tot. C;J U.?
1. Date ( l !.? ?? ? I 2. Installation Cost
,±
3. Job Address `w, I<<,ILot Blk. Tract
4. Owner
I ( I N I
5. Contractor? O Y Phone
6. Address
??1 J
i`_ ` ^I r
?
7. City State Zip
8. Building Type: Residential rE?? Commercial ? Institutional ?
9. Work Description: New 14- Add ? Alter ? Repair ?
10. Describe r Fuel Type,
11.
No. Eauioment STU - M. Ea.
Forced Air ' - ! No. Epuiqment CFM
Air Handlin
:
Mfg. g
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg, Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above informetion is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Finel
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454•8100
Receipt 7PLUMBING PERMIT Permit Na
CITY OF EAGAN Fee
r.- .
FiJI in numbered spaces S/C
Type or Prini legibly Tot. c4), S 4
1. Date 2. Installation Cost
3. Job dddress ?-GV :.la"k V Lot Bik. ? Tract
4. Owner
5. Contractor Phone 7 5/ 56. Address
7. City
State
Zip
8. Building Type: Residential El' Commercial ? Institutional ?
9. Work Description: New (a-" Add ? Alter ? Repair O
10. Describe
11.
No.
&;Z Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
? Bath tubs Septic Tank
Lavatory Softner
? Shower Well
? Kitchen Sink
Urinal/Bidet
Qther
L Laundry Tray
? 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
comply witip a.il ordinances and codes governing this type of work.
Signed :; ll•- c`3--?.-=' ?' ` ?'r?.... for
j .
Rough Final
Inspections: Date Insp. Date Insp.
7his is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAN Remarks
Addition BERKSHIRE PONDS Lot 12 Blk 3 Parcel 10 13750 120 03
Owner Street 1942 Covington Lane State
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. . ?' 1982 239.09 ? 1 LO 10-11-94
STREET RESTOR.
GRADING
SAN SEW TRUNK 1982 176.04 ? 11.74 15 14
SEWER LATERAL 111 1982 57.24 3.82 1 et +?
T.ntpr * ' 427.88 ? 28.53
WATERMAIN NiA , 1982 46.09 ? 3.07 15 36 10-11-84
WATER LATERAL 1985
WATER AREA 1982 176.04 11.74 lrj 10-11-94
STORM SEUV TRK
STORM 5EW LAT
CURB & GUTTER '
SIDEWALK
STREET LIGHT
ROAD UNIT $260.00 44106 6-15-84
WATER CONN. 1+70.00
BUILDING PER. #91
sAC 525.00 "
PARK
?ITY OF EAGAN
383Q Pilot Knob Raad
P. O.•Box 21199
Eegan, MN 55121
Zoning: Ri
` /Owner:
.?/Addrcss-
U Ita AddrqW
?Plumber. • Yuu? f k? ? 31 ,.
Meter No.'
Sixe:
WATER SERVICE PERMIT
PERMIT NO.: i
DATE:
_ No. of Unin: 1
ic,S -12 R? Berkshire Poida
?nnecfion Charye: `' 1U• vv y..
Account Deposit: 15.00 pd
Permit Fee: 10.00 pu _
Surchorge: .50
Misc. Chorpes: _ 63.00 pd meter
REOdif No.: ? ?!?i L,/n a( U p? _
1 yeM to eanply vrilh iiN Cky of Eawn
Ordinesee&
`
Octe of I nsp.: r'
Totol:
Dcte Paid:
Insp..
CITY OF EAGAN SEyNER SQlVICE PERMIT
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.: Eagan, MN 5512? DATf: -{
Zaning: No. of Unlts: 1
Owrmr: .Toseph '111Ier
Address:
Site Addi
PI umber:
u roe. -
Misc. Charfles:
I eorN to oawPip wkh eha CIFy of Esyon Connaction Chorpa: -I?5. ??
Ordinenea. AowuM Deposit:
Permit Fae: ' J ' 30 p
5 rcha ? .50 p
tnm -eq„esc w,e ? ?
I6 .r. ..ns r.a„
A 066170 Lia
Now
g Licensed Electncal Contraciw " I 1 Asrsby reqtwst insp.cEion ot abdre
Owner slectrical wak inatsllsd at_
A X" Be/ow Work Covere+d by This Request
Add ROP. Tvm of Buildinq APPliancsa wireA Eqripsent wired
Ho?ne Ran
9e Temporary Service
Uuplex Water Neater ti Fixtures
Apt Building Dryer Etectrie Heattrou
Commercial Bldg. oPdrna 5ito Uciloader
Industrial Bldg. Air Conditioner Bulk IlAilk Tank
Farm t e. ISPecify) heg rsnefityr
Other (Spiicf Y t r a?
o mpute lns pection Fee Below
N fse ServicaEatrfqceSizs A Fae Fsadsra/SnMeedsrs a fee Circuita
o 0 cozoo oto Anvs t,30 AniDs
Above 20Q-Arnps 31 to 100 Amps 31 to 100 Anvs
Swimmi Pool Above 100_ A
,4,bove tpp
Transtomierg Irri tion Booms , _
rtial• OtF?ef Fee
Si gis Spec ia l I nspection
emerks $ ?7 T /?L F?
7 y
??-in
D3ffi -
v-
`` ? I?Cblql
?tOr? MNSby
Final
D ?h thre e1» aeovs
a on lrs besw
,.._ r..Y..?. .. ._
IREQVEST FOR QE .CTRIC,AL O.?C.TWN ? EB-00001-04
~ 1??.? ?l r7 ? Ses i?rtlwetians fer en.ssV?? ..? r?? r'-'._ ----
ON. C. BENNETT LUMBER COMPANY 4-a,? /??
. 2828 Fifth Avenue South
MINNEAPOLIS, MINNESOTA 55408
' DATE
TO ? (612) $70-0801 SUB?ECT ?j
S/GNED
? PLEASE REPLY ? NO REPLY NfCESSARY
eW heWd TEC H N EWS
n
- --- ? -- -
ND
waf erboard DEVELOPM NT SECTION
f
4 TECH
EW
-BUL-L-?ETIN:
I N
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Notice ! -to-Northwoocl-Norkiord-custome
rs.
Nortliwoo
d
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has
now
secured
ap
ptoval?com U
'S
?
uild
ing
Qode .
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? _
_
_
_
.
._
B
?AutFiori?tie's forjl/2 inch Norbohd {Wafe;rboard,
certifi?toNSI ad special-1C6O rquire em Te
ts,? coJ'`'
ffor ? j?-
? ^ ?
? ? , ? ? ? ? ?
, ,
se-over-suppo.rts?-up-to 2;4-incfieson-center;
o n-r oof
ppli,ca?ions?-and 1-6,inches-on_center?n?u6?fl oo ?
a ?lical ions.l
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Specs-as-foll ows:
-O
D
A
S
- oof •-Live--
? 40-YP-SF
? Total 5_0_P8F?
Subfloor -'all owable un ifo lm'lo ad 0 0 PSF i
4 - I I
MOR 1
i 50011
(after A8TM agin 4 50 PSF
I I ? ? I ?
?MOE
50
-RSI
U00
;
;
a?ter T gin ) - 40 0,0 O?P$ I
?
? -ROO;FS?
H= Clips-no4
requi
rec
l
? I SUBFLOO
Edge sup .RS
porj
t rrot
regui
red
. Cov
er
1/
2"j
No
rbord
s
ubf
lo
or
?with?ap,pr oved'und erlay,ment:
-- -
-
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r -- - -- ---..E..??__? ?.---- . - -. __ -- -- - - - -- --
PrinIBO in Can808 SALES - NoAhwood Mills LtA. 55 Yonge Street, 7th Floor, Toronto, Ontario, Canada MSE 1S4 navnea group
l
I
?
2/84
? CITY OF EAGAN
% APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTIODT
(PLEASE PRINT)
1) PROP= ADDRESS : ? 9`f .2 ?°tJ U i R.K Ao ? X rf.V C
T•FfAT, DESCRIPTION:
(Lot/Block/Subclivision or Tax Parcel I.D. NLUnber)
IF WLIS G STRUCI"„c?E , DAi" 0F ORIGINAL nlii:.?L` G ISSjAl;C'::
_>.ri
PRESLrT `IIPir:/P?20POS'D USE: m R-1 S"`7GLE r^a?tT; y
? R-2 DUPT= (T:dO UN'ITS)
? R-3 'ICYrTTkIOLTSE ('I'?RIREE"' + UNITS) ( UNITS)
? R-4 APARZP=/CQNDCNLTNICM ( UNZTS)
p C0MMEf2CIAL/RETAII/OFFICE
? iTJL'STRIAL
p INSTITUTIONAL/GOUERI1v=
2) APpISC1N'r (PLEASE PRINT)
NAME= !!e k-
ADDRESS:
CITY. STATE, ZIP: -
PAONE:
3? PLU^'1BEft (PLEASE PRINT) FOR CITY USE ONLY
NAME: (31..irna"4-4 Pfu•,,btYr,
ADDRESSc
23h0 Avc l/, PLU RS IICENSE:
? Active
CITY, STATE, ZIP_ (J?1rnQU.E?, MA1 9-6-4`f( E=
P1r
d
PHONE:
,rS-j- 36p 73 PLIIMBER LICENSE # ao(pS Ho
f
Re rd
e a nitia
4) 0CC[J'pANT/C7.nNEE2 NAME: (PLEASE PRINT)
ADDRESS:
CITY, STATE, ZIP:
PFIONE:
5)
b I 1ND1G,`:7: ONE :
? PIEASE HOLD APPROVID PIIRMIT FOR PICK-UP BY ONE OF ABOVE
? PL,EA.SE MAIL APPROVED PE.'RNLiT TO 1, 2, 3, 4 ABOVE
(Circle one)
7) SIGVA'IURE: ?//la?1T/? DATE: /41U
INDICIITE WHICH PERMIT IS BEING REQUESTID:
0 CODNE7CPION 'Ib CITY 5E*r7E.R
tgl COtSNECrIOi3 TO CITY WATEF2
E] C7I'HII2 (PLFd1SE DESCFtIBE)
•E lew;wAwA* w i+ar WM;XK:?a? go irt rs?+++??;ira? a? int ?rs,a:a ?w a r? ?err;?r!:??? r:: at??er•?r s?.
r +
F 0 R C I T Y U S E O N L Y
PERMIT '? ISSUED
I I
F°ES: $ --o
$ : .? .S ev
$
$
$
$
$
S
$
$
$
$ .
SETrlE.°. PET.tMI; (Z.dCLliD: SUP.C?-?ARGc)
WATER PERP4IT (INCL'JDE SIIRCHARGE)
WATER METER/COPPERHORN/OUTSIDE READER
WATER TAP (INCLUDE CORPORATION STOP)
SE:VER TAP
ACCOUNT DEPOSIT - S°WER
ACCOUNT ?EPOSIT - WATER
WAC
SAC
TRUNK WATER ASSESSPIENT
TRUNK SEWER ASSESSMENT
LATERAL BENEFIT/TRUNK SEWER
LATERAL BENEFIT/TRUNK WATER
OTHER
$
TOTAL
AMOUNT PAID/RECEIPT # 144zii?;_ 7 i -;?
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
YES IF YES, THEN A"PERMIT FOR WORK WITHIN
? PUBLIC ROADWAY" MUST BE ISSUED BY THE
NO ENGINEERING DIVISION. LIST AS A CDNDI-
TION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE:
?
10 wzm 0u0 rt ?tr w-m r*=sE woo
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-467y?5?
New ConstnicMon Reaulremenh ? N"I? "bV RartwdaVReoalr Reailr0M9n15
? 3 reqisf9red sit9 surveys 71Wwing Sq. if. of lot, sq. R. of IwuE6 -?1 2 COWea OI plan
cnd g?? roofed areas (20% maximum lot covemae allowedl G? 1 set of energy calculaHOns ta heated atldiflons
2 coplea of plans (ahow beam & window slzes; pouretl fid. tl"gn; eTC.) 1 site wrvey lor exfedor adtlinons & tlecks
> 7 Eet of enbrgy cCdWlOflons
> 3 coples W tree preservallon plan if lot plMtetl aNer 7/1193 .
b CONSTRUCTION COST: S,°O
oATE:
DESCRIPTION OF WORK: I???FF fiIi multl-famHy bldg., how many unlts9
STREET ADDRESS: /t?z-/ 2 CaVF?dfoA/ k1/
IOT: I BLOCK: ? SUBD./PJ.D. #: ??Y?hare? I Gnot?---
Name: ;;& KELLEY J54w P10119 #: 657 ZOS- I7Z3 -
PROPERiY tast Fini
OWNER
StreetAddress: 19`l-2 C'OVtTO-? I-A?
Clty EAGA.? S}a}e: MAI Zlp:
Company: f;k/Z SF.srSa?s QaoFi,?G ??'E?noOEz?? Phone #: ar2 8go r89 g
(area code)
COMRACTOR
Sheet Address: ylD GarE wA Y S LtO LiCensa #2am?p•
Cliy ?42NSVyGLE State: 01^/ Zip: SS33 ?'
ARCHtTECT/
ENGINEER Compuny: Name:
Telephone #: (
Sheet Address: ReglshaHon C
CNy
State:
Sewer/water licensed plumber (if Installinn sewerlwaterl: Phone #:
Zip:
I hereby acknowledge that I have read fhis applicatbn, sfate thaf the information is correcf, and agree fo comply wilh all appUcable State
of Minnesota Stafutes and CNy of Bagan Ordinances.
Signature of ApplicanY. Dirvno-- t
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
+AOB6 ' coNsutitNO iHOiHCins ?
ENGINEEAING PLaNNeAs and LAHD iueviroRs
COMPANY, INC. .
1000 CA3T 1461A STRECT, EUfINSVILLC, MIMHCSOTA 55337 rN 43i'5000
I.tQ'aI .12C. -r4p4{os[ • LOT 12, BGOCK 3, BERKSHJRE PaNUS, DH.F'077,9
CDUNTy? M/NA/E50rA,
\ /?' inP ? ?E
i
?n?o
30'FR6NT BU/LO/NG SE78HCK L/A/E
Go??' ,q? ?p0 h
NORTH
SCf/LE•'/"=30' o_
..
y? \? ad -36
? q9Yyo ? "'h ?3 /? \ r y?
yhqv/ \ L??1 0 oWp fl?d° '? _I
APA/NAGE ,f5' Uriurv j,p >
EASEMENT . 3 yo i ??1O? ?b o Ah?l/ p) ? ^ ?\-_
V? yv?? \ 1/ tY / r ?47.e ?
?
..,
(950.0 ? pENOTES EX/ST/N(?' -= . ?_ \ /,' h\ ?p ? ?'EGEfUlT/ON ? ? ` ?. ? ??°
(950,0 ? DENOTE.S P?f'OSED ? \ / qo a
E'L E{?,qT/ON
?-? /NpiC?qTES O/.PECT/ON t?F \ /
SUkFACE DRA1N,90E
.?
.+
, (95Z.o) ?'• ? ?,?
F/N/SHE'D GARAGE FLOOR ELEYAT/DN- 95?,33Z herebr certity thit this is A true and correet npreeentation o[ a tract ot
land ar thavn'and describad hereon,. Ai prepared by me on this s_ dar ot
Sur.?E ? 19 $4
?L'?l°`? / ?""'? lfinn. lt?r. Mo. ?•
I
2004 RESIDENTIAL BUII,DING PERNIIT APPLICAITON
City Of Eagan
?S 3830 Pilot Knob Road, Eagan MN 55122 ????? ?
- Telephone # 651-675-5675 - FAX # 651-675-5694
New Construclion Reguirements RemodeUReoair Reauirements
9 registered sNe surveys showing sq. R. of lot, sq. ft. of house; and all roofed areas 2 copies of plan
20
(
% marimum lot coverege allowed) i set of Energy Calculations for heated additions
2 mDi? of plan showing beam & window sizes; poured found desgn
etc
' ? Rlan
"
,
. 1 s
rfe survey for addifions & decks
i set of Eneyy Calculalions 4
I
3 copies of Tree Preservation Pian if lot plaried after 7/1193 AddBion - indicate if oo-sde septic system
Rim Joist Defail Opfions selection sheet (bldgs wifh 3 or less units Date o1 / S V UlA
Site Address I9 L
Constructlon Cost o . 3?4 0 -
Unit/Ste #
Description of Work
Multi-Family Bldg
ProperTy Owner ? UGti4. ?.>c7'Fllf a ? ?I. Telephone # (LS l ) K 5L( - q $ -?$
Contractor RENER'AL BY ANDERSEN
1920 COIJNTy RD, ,C,, ?,V
Address ROSEVILLE
, MN 55113
State 651-264-4777
LICENSE #20130983
Telephone # (
COMPLETE TNIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Energy Code Category - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
(4 submission type) • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan?
fee applies _ Y _ N If so, 25% plan review
. ___?,
Licensed Plu{pber ' i,
??? ?II(' 0 2004
M e c h a n i c a I 2
I?Ib? 1?'c'fi o r
Telephone #(
Telephone #(
Telephone #(
I hereby apply, for a Residential 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 far a permit, and work is not to start without a
pernut; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval ofplans.
'hGro , ?aJ? 0
ApphcanYs Pnnted Name ApplicanYs Signature ?
City
- Y- n' Fireplace(s) _ 0 _ 1 _ 2
vv?ve. sn•.?. tuV ta.oV 11f6 !OJ O11 'i+180 1(L?(rtillAla lSYdq//t1tf2}KR? re ai
m.um?a?,• . ? ?
7une 2007 .
. CRYof Ee$au
3836 Pilcrt Knob Rosd Eft90% MN 55112
To Whotn It Nlay Canoern:
s
Elder 7ones is authofmed to pUn
Elder b?n8 F?its for Renewal by Ande:sen_ Piease allow
Joncs to pmvide this service far ns in EaM. `titia eudtatl2eticm iS veiid for any
date boyoud 616101; uutg aP?newal by Andemn mimager 04mdy revokes it in wiiHng
to the City-
I rcquest this auttiozization be accePt. ed - '
oar baildinS Pcanit, aafn ??donsly, as to not dnlay in rhe pro?esamg of
Y.xdtcr. Elcasc caII mc If
contaR:ted at 763-5024706. tficto arc nny qnesctons.. I can Ue
Your immpdiate attcation to maticr #s
Sincerolyl
yiaand R Rau
ostxLlation Managar
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Receive? Ti?e Jun. ]. 1:01Pld
• "y a 5
RESIDENTIAL ?
BUILDINC PERMIT APPLICATION ?
CITY OF EACAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Canstruction Reuuirements
• 7 registered site surveys sAaxing sq. R. of iot, sq. ft. ot howe; and all rcofed areas
(20%maximum bt coverage allowed)
• 2 copies af plan showing beam 8 windaw s¢es; poured (ounA design, elc.)
• 7 set of Energy Calculabans
• 3 copies of Trea Preservation Plan if lot plattea afler 711l93
• Rim Joist DeWJ Optlons selection sheet (bldgs vnth 3 ar less units)
DATE C) a.
• ResidenGal Ventllalion Ca[egory 1 Worksheet Submitted
. Energy Envelope Calculations Submitted
SITE ADDRESS MULTI-FAMILY BLDG
TYPE OF WORR?o (9 fIREPLACE(S) _
APPLICANT ?
STREET ADDRESS ? [tENEwn1. BY nvnFRSEN, uvC.
? 1920 COUNTY ROAD "C" WEST
TELEPHONE #(aSl•a104•yT?-+ CELL ROSEVILLF:, MN 55113
? -
4Va[er Softener
_ WaCer Heater
No. of Baths
? 0
PROPERTY OWNER WQJ'S`R. '?)UACst0.G TELEPHONE#05I •494 - 43
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MIVNLS01':1 RC[.ES 7670 CATECORY l MINNG50"1'.\ RliLES 7672
(J submission type)
Plumbing Contractor: _
Plumbing system includes:
Mechanieai Contractor:
Mccti unical svstcnt inclu(les:
.•1ir Conditioninn
Hcat Rccover} Systcm
Fee: Si0.00
r r-?r??jl?iP
Sewer/Water Contractor. Phone # '1?
----------------•--------------...--------------._...---------------------------------------------'--SEP.1 3_1002 _ -:_ I
I hereby acknowledge ihat I have read this application, state that the infor ation is rrect, and agree to comply,
with all applicable State of Minnesofa Statutes and City of Eagan Ordin ces.
Signature of Applicanf
OFFICE USE ONLY
RamodellRewir Reauirementa
• 2 wpies of plan
. 1 set o! Energy CalculaVOns for neated additions
• 1 sitesurveyforeztenoradditions3decks
. Indicate if home served by seplic system foradditicns
VALUATION C)r avD?
Phone #
_ Y tA?ZN
0_1_2
_STATE _ ZIP
#
• New Energy Code Worksheet Submitted
? Iawn Sprinkler
No. of R.I. Baths
Phone #
Fee: $90.00
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updated 4102
?? ? J,5 ? q
RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
?O OV
New Conswdion Reauirements RemodeUReoair Reaui2ments . OHice Use Oniv
3 registered site surveys showing sq. fL of bt, sq. ft. of house; and all roofed areas 2 copies of plan Cert of Survey Recd
(20°k manimum lol coverage aliowed) 7 set of Energy CaIwlaUda iw heated addNOns Tree Pres Plan Recd
2 wpies of plan showing 6eam & window sizes; paured tound desgn, etc. t site survey for additlons & decks Tree Pres Not Reqd
1 set oi Energy CaiculaFwns AddNon - indicate d onsde septic system _ On-site SepUC System
3 copies of Tree Preservatlon Plan rf lot platted after 711193
Rim Joist Defail Options selection sheet (61dgs with 3 or less units
Date -q-/ I / Z? Construction Cost 300?2 •W
Site Address L p?, VV&4A UniUSte #
Description of Work ly)s-hj? T I WM 1Vu,n VIQS nU Q
DYiulti-Family Bldg _ Y/N Fireplace(s) _ 0YV 1 _ 2
P
t
O Tele
hone #(??I )`?? ?- ? a, V
roper
wner
y p
P
Contractor "Ir
-? t W
p*+h 44 b -L
W Ci
BLLV(G
I a
Addres
s • Ty
_
1
State l'4 Zip Telephone k ? L
(Q?.71 C'iC???
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 Calcuiations Submitted
Licensed Plumber
Mechanical Contractor
Sewer/Water Controctor
Telephone #(
Telephone # (
I Telephone #(
I hereby apply for a Residential 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 i ot to start without a
permit; that the work will be in accordance with the approved plan in the cas"Awork w ch requires a review and
approval of plans. "anVs Applicant's Printed Name ppl Sigr
Use BLUE or BLACK Ink
I For Office Use /
. I
' j Permit -7
City of Eajan I Permit Fee.
3830 Pilot Knob Road j
Eagan MN 55122 I Date Received: I
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 S 0 z fts~ Staff:
I
2011 MECHANICAL PERMIT APPLICATION
Date: S ( Site Address: '-t 2 L' 141~~ h, vi Liui t,,,
Tenant: Suite ' I (1
Name: °I Jul OL _ 1L DV-aC Phone: (w `J ~t5~ `C 3 7 b
RESIDENT I OWNER ?
Address / City / Zip: ( 2 ~I t I tC C
_ C
Name: I ~~~Wl.l 4(1'1 Nfl tt t1~i "f ~li G1c'en e #
-bi
ONTRACTOR Address: S City: d CJ Vn t n C([) Vl
C
Ili
State: Zip: 56 42.() Phone:
Contact: JC.et~ 1 vQ l QQrel Email:
New Replacement Additional Alteration Demolition
TYPE OF WORK Description of work:
aa~.. _ e aw.......
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
RESIDENTIAL COMMERCIAL
Furnace New Construction Interior Improvement
PERMIT TYPE Air Conditioner Install Piping - Processed
y Air Exchanger Gas Exterior HVAC Unit
Heat Pump _ Under / Above ground Tank Install Remove)
Other
RESIDENTIAL FEES:
$55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge)
$95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) _ $ -515, QQ TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground tank installation/removal OR Contract Value $ x1%
$55.00 Minimum (includes State Surcharge) Permit Fee
- If the Permit Fee is less than $10,010, surcharge is $ 5.00 = $ Surcharge
- If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee
(i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) = $ TOTAL FEE
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.siooherstateonecall.ora
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.
o
x " ° 'YLl 1 lttb 1 -i Aw, &YAL -mr x
Applicant's Print Name Applicant's Signature-
FOR OFFICE USE
Required Inspections: Reviewed By: Date:
Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA143710
Date Issued:06/23/2017
Permit Category:ePermit
Site Address: 1942 Covington Lane
Lot:12 Block: 3 Addition: Berkshire Ponds
PID:10-13750-03-120
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
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: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Duane G Butorac
1942 Covington Lane
Eagan MN 55122
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature