1948 Covington Lane.. CITY OF EAGAN
, 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100
BUILDING PERMIT rteceiPt #
Te M u"d fe. SE DWG/GAR Et. Vulue $82.000 pate JULY 23 19 84
SiteAddress 1948 COVINGTON LN erect CX occuPancy R3
Lot 9 Block 3 Sec/Sub. BERKSHIRE PONDS Remodel ? Zoning Rl
Parcel No. Repair ? Type of Const. V
Enlarge ? No. Stories
W Name JOS MILLER CONST Move ? Len9th 44
Z bemolish ? Depth 34
Address Grade ? Sq, Ft.
? City FARMINGTONphome 454-4753
Avvrorols Fees
? Name
Z
s Address
?
`- City Phane
?rc
uW Name '
?
_ Address
0
?W City Phone
I hereby ackrrowledge thot 1 have reod this epplicotion and stote thot
Ihe informofion is correcf and agree to comply wiih all applicable
-SMte of Minnewto Rofutes and City of Eagan Ordirwnces.
Sipnoture of Permittee
A Building Permit is issued ta: JOS MILLER
all'work shdl 6e donein accord6rKe witVy fy ? pplimbL
Assessment
Water & Sew.
Police
Fira
Eng.
Plonner
Council
Bldg. Off.
APC
Var. Date
Permit %? 3/ y. U U
Surchorga 41 . 00
Plon chetk 1$ 9. 5 0
snC 525.00
Water Conn. 470.00
Wafer Meter 63.00
Rood Unit 2Ln-110
Parks
ToWI $1.927.50
on fhe express cordltlon that
Statutes and City of Eogon Ordirwnce:.
Building Officipl
Owner/Agent
Ordinance No#. and Cqfrections - Correct By
?
For .einspectian
Eagan Dep[.of Inspettion InSpBCtOr:
3795 Pilot Knob Rd.
Eagan, Minnesota 55722
4548100 DeoL:-
1b He t)sed fUr -?
rs!r?f OF ?'7 ACludo 2 ? of P1+aYt.
1 dts pTss a?elwaticm i
ecrn)nz: rMr+rr Asersclazaa
% Valua ? ' Q!'LCS D8E 0lIIa[
site Aaaress: L?y • , R- 3
? 9 s? 3 s?•is,? ? -?-
raroei ri:. aan
?alarge oE
Q+rrrs ! w/?oeias
o?.e? '"_ D+Pe??
a8d:'eut
City/yip Oode:
Phone #:
Oontsaeec
Addreas:
CitY/ZiP
Phcne t:
Azch. /Fhq. .
f
Axgmosmmnb ?t
Neter/8wAr ?- p
P?
oliae
rize a
Nater -? ?
,.o.+.. .
Planrier fiond Q?it _. 2Co? • ?
APC
CYtY/ZiP Cbft°
.
Ptone 1: bA,
1,? x 24- _? Y 4 x5¢= z07
4- 5 28S4 = Z?
2ox21 = 42(D x (l - 4(-(220
24 x Zb _(0-7 z )< 4( = 273c Z
g{4 za
CITY OF EAGAN -3830 P'I K b R ad P E MN 5121
n
? ot o o,.O. Box 21-199, agan, 5
PHONE: 454-8100 BUILDING PERMIT Receipt
Sr DWG/GAR ?., .,_.._ $82.000 JULY 23 ,., 84
Site Addrea 17'2U ?.vv t.•?v 1
Lot 9 Block 3 Sec/Sub.
Parcel No.
hV W
Z9
Siynature of Permittee
.705 r1ILLER CONST
A Building Pertnit is issued to:
all work shall be done in cccordonce with oll applicoble Stc" Mi
Assessment
Water & Sew.
Poliet
Picnner ?
Council
Bldg. Off,
APC
Var. Date
Parks
Total $ 1 , 9 2 7 • `? t
express tondltion thai
pon Ordinantes.
?
Plumbing '-( c '1(2 p
H.VA.C. 41,46 ?'?'1Ybl ' Y
ei.ct.ic A ?5?9 M; jL.
914
Softenar
Inspection Date Insp• Other
Footings
Foundation
Framing
Rough P1bg•
Rough HVAC B? Z, LI ?? ? ? r?' lL
Inwlation '
k .1f /K d
Final Plby.
Location:
watii
Sewer
CITY QF EAGAN Remarks
Addition BERKSHIRE PONDS Lot 9 Rlk 3 Parcel ?-13750 090 03 -
owr,er street _ 1948 Covington Lane State
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 7, '( 1982 2239.09 0 23.91 10 167.39 A014746 10-17-84
STREET RESTOR. 1985 123.80 ? 8.25 15 123.80 C009662 10-15-84
GRADING
SAN SEW TRUNK 1 1982 176.04 11.74 15 140.85 A014746 10-17-84
SEWER LATERAL 57.2LF 3.$2 15 45.81 IV It
4 27 3.62 15 54.27 C009662 10-15-84
WATERMAIN 105 1982 46.09 .J3.07 15 36.88 A014746 10-17-84
WATER LATERAL 1' ' y
WATER AREA 1982 176.0 11.7 S 014746 10-17-84
STORM 5EW TRK? ? 1985 385.03 ? 25.67 15 385.03 C009662 10-15-84
STORM SEW LAT
CURB & GUTTER "
SIDEWALK
STREET LIGHT
Road Unit 7-23-84
WATER CONN.
470.00
"
"
BUILDING PER. iMlll it n
SAC 525 rr V
PARK
? CITY aF
1. Datei `. '? ' l? 2. Installatiqn
3. Job Address X ? Lot
4. Owner
Permit No.
Fee
s/c
Toe.
.5.?- TVa ct ?-
,
f
5. Contractoe, ? L.; ? ?! ( u ? '? • ` ?' Phone
6. Address
7. City State Zip
.
8. Building Type: Residential (3' Commercial ? Institutional ?
9. Work Description: NewtiD Add ? Altec ? Repair ?
10. Describe
11.
?
?
?
Ty?e??
No.
? F.quinment 8TU - M. Ea.
Forced Air No. Equipment CFM
Ai
H
dli
:
,
Mfg. r
an
ng
Boilers '
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
? Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed ' for
Rough Final
Inspections: Date Insp. _ Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt PLUMBING PERMIT - Permit No.
CITY UF EAGAN
Fee
Fill in numbered spaces S/C
Type or Print IegiWy Tot.
1. Date 2. Installation Cost
3. Job Address •' ;'?.???= ?4-ot Blk. . Tract
4. Owner
5. Contractor Phone • '
6. Address ?
7. City State
'I 8. Building Type: Residential El Commercial O
9. Work Description: New ? Add El After ?
10. Describe
I 11.
Zip -
Institutional O
Repair ?
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory i Sottner
Shower Well
Kitchen Sink
Urinal/Bidet Other
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 with all ordinances and codes governing this type of work.
Signed : for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt PLUMBING PERMIT Permit No.
CITY OF EAGAN
/ Fee gwU ? SCJ
1 I? I b? I FiII in numbered spaces S/C
Type or Piint legibly Tot.
1. Date 2. Installation Cost
3. Job Address LotBlk. Tract ?
?
4. Owner
v
5. Contractor Phone
6. Address
7. City State Zip _
8. Building Type: Residential Cl--?' Commercial ? Institutional O
9. Work Description: New I!_ Add ? Alter ? Repair ?
10. Describe
11.
No.
? Fixtures
Water Closet'7?'" No. Fixtures
Cesspool/Drainfield
? Bath tubs Septic Tank
Lavatory Softner
Shower J1y Well
? ,
Kitchen Sink
UrinaUBidet
Laundry Tray Other(Tf
j??
? 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 with 71, inances and.cF s governing this type of work. .
Signed: - .'• y... ? !' .!.s. for/?",?`
.?
Rough Final
InspeCtions: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-6100
INS
CITY OF EAGAN
3830 Pilot Knob Road
, Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS: ' i ? ? '' ' "' ;„; ?????zr•:
! ? r.. iN I F?N7
t:l { t- •ti t t• i i i?fJl'PERMIT SUBTYPE:
., 1 .
ON RECORD
PERAAIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
{ e, lfa 0:? R 7 17
TYPE OF WORK:
Itf 10 k!pl lf?M
? ?? s ?d.,k.. r-
L
\ 4' ur4
E?tir?nrM11
f 1!/0!1/ql
P F- rAYR
(l,JFNfltlb! HFh! ACFRIF
?
J
PermR Ho. Pormk Holder Date Telephone It
ELECTRIC
PLUMBING
HVAC
Inspectlon Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
- -? I
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: I I?'
i
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
I W4' 1 Nlr 1 IIN l ANi I
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTIOtJ .. . .,
. .. .d ,'^"F.. I `.f,?-?.. .. .
? . .. : . , . t., ._. - ? ? .? . _ . ? . : ?. . ? . ?
Partnit No. Permit Holder Dab 7Nephone It
ELECTRIC
PLUMBING
HVAC
Inspection Dab Insp. Commenb
FOOTiNGS
FOUND
FRAMING
ROOFlNG
ROUGH
PLUMBING
PLB(i
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL ?Q•r?
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FlNAL
CITY OF EAGAN
' 3830 Pilot Knob Road WATER SERVICE PERMIT
P. O. Box 21199 PERMIT NO
:
Eagan, MN 55121 .
DATE: 7-2 °- F, +
Zoninp: No. of Units: 1
Owner: ": -
Address:!
S
94
`
ite Addrc?
-
' L9 t,
?,etks?i rE: l' nd
J
?'Yh
?J`Mete?r
r N
'' ?? i•?
!
o.:
S1te: A p Connedton Cho?9e;
Depostt !' 7 ?'
1 5 - C' PL
Reader No.: :
Permit Fee: 10. 0 p
1ogrw Io oowplv wifh 1ie Cihr oi Eaqoe Surthorge: • 5- Pd
Ordlnanaa. Mlac. Clwrpss: 63.00 d rZ'>tej
? Totol:
ey
D Date Paid:
ate of Insp.:
Irup.:
CITY OF EAGAN WyyR SBlVlCE PERMIT
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 551pATE; -- ?
Zonlnp: No. of Units:
pw,ner: icr Const
Address:
Site Addi
Plianber.
I a-rN M oomply Mrilh !6e Cihr ef Ea"s
Ondinaneas.
By
Dote of Irup.:
Ca,nectlon Charype: +25.00 pd
AccouM Deposit: 1:). uu pa
PermR Fee: p
Surchet+pe: . pd
Misc. Choryes
Total:
Dote Paid:
CASH RECEIPT
CITY pF
EAGAN
P. 0. BOX 21-199
EAGAN, MINNESOTA 55121 -
? ? .: •?
D?TE
19
wecerven --_ -? ° -
FROM
AMOUNT $ I
$ DOLLARS
too
? CASH 0 CHECK
White-Payers Copy I
Yellow-posting Copy
Pink-File Copy i
aw
# qm?
New Conslruction Reauiremenls
• 3 registered slte surveys showing sq. ft. of lot, sq. R. of house; and all roofed areas
(20%a maximum lot coverage allowed) .. . . 2 copies of plan showing beam ffi window sizes; poured found design, etc.)
• 1 set of Energy Caiculations
• 3 copies of Tree Preservation Plan if lot platted after 711193 .
• Rim Joist DeWil Op6ons selecUOn sheet (bldgs wiN 3 or less uniGS)
DATE '?5j
JOB SITE
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWP
TYPE OF WORK
APPLICANT ?
PAGER #
•WIvIqy3
RESIDENTIAL 1 2Q01 ?,/ G ??
BUILDING PERMIT APPLICATION ? CITY OF EACAN
3830 PILOT KN06 RD • 55122
651•681-4675
RemodellRepairReauirements • 2 topies of plan -
. i set"of Energy Calculaoons idr heated addNOns
• 1 site survey for ezterior additians 8 decks
-i7
VALUATION (EXCLUDING LAND)
. i C' .?. ...- . - -
'6?itA I,S'&IV 4' FIREPLACE(S) _ YES _ NO
CELL PHONE #
FAX #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Ener9y Code Cate9ory _ MINNE50TA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor:
Plumbing System Includes:
Mechonical Contractor:
Vlcchanical Systcm Includes:
Sewer/Water Contractor:
Air Conditioning
Hea[ Recovery System
Phone #
Fee
90.00
Fee: $70.00
All above information must be submitted prior to processing of application.
I hereby acknowtedge that I have read this applicafion, state that ihe information is correct, and agree to comply with
all applicable State of Minnesota Statutes and City of Eagan Ordinan
c
Signature of Applicant
Certificates of Survey Received
_ Water Softener
Water Heacer
No. of 13aths
Phone #:
Lawn Sprinkler
No. of R.I. Baths
Phone #
Tree Preservation Plan Received _ Not Required _
- 8gW- .4C /!ID u.?,O,?HONE# 7?3-r0.r-ZZ27
Updaled 1lOt
taiffisfromid ltk ? v
g
A (1R?.?79 Lq83
Recjuest Date Fire No. Rou h-in Inspectinn
?
? / Re ireA? ?ReadY Now Will Notify Inspeo-
•
/ ?es ?Nn [or When Ready
iseo ueeVwai ConVactor I herab
y request inspection of abaoB
Owner elncvical worh installed at
oooovw
1 REQUEST FOR ELECTRICAL INSPECTION 9fEe-??g?
??A? ?
? ? S?e1e ins<ructions tor eompletieg this twm on backbf yellow copy.
q W+?
New AAtl Nep• Type oi Buiitling a1P0liences Wired EquiUment Wired
Home nge Temporary Service
Duplex Water Meatar htiny Fixtures
Apt. Building ryer Electric Heatin
Commercial Bidg. Fumace Sllu Unloader
Industrial Bldg. ie -Air Conditioner Bulk Milk Tank
Farm Other pea v OthPr Ispecityl
t er Spocify Ot ar 6°B n Q?? 7y "'X" Below Work.Covered by This Request 0
Othar
p Fee Service EnVancaSiie # Fea e?s/Subteeders i? Fee Clrcuits
0 to 200 Am s 0 Am s o 2Dto 30 Am ?
Above 200 qmps 100 Amps
E 31 To 100 A s
l 00_Amps
Abovel Above 100-AmPs
Transiormer5 ion Booms Pertial'
Signs Speciallnspection $
? `?
TOT L FEE
Remerks
_.r ?ate the Elactrical
I spacbq hereby
? certifv that xhe above
Final ie?j y
r inspectian has been
l?/r. m
ade.
This reauast voltl 18 monlha trom
Grig9s-Midwey Bldg. - Poom N-191 BE ACCEPTED BV THE STATE BOARO
1821 Universi[Y Ave., Si. Peul, MN 55104 UNLESS PflOPEN INSPECTION FEE IS
Phone (812) 297.21117 ENCIOSED.
Tnis roquest vo10 f ?
18 mon(hs (rom .
e dfl'l R1; L.
fiequest Date' - Fire. No. ? Rough-in Insper.tinn
?
Re
uiretl ?,,/ I I Nntif Inspec-
Y
?ReaAY Nowl[I???
"7 q
?Ves o t T 'or When FeatlY
-? L/icensed ElecUiwl ConVactnr I hereby request ins0ec<ion ol above
elactricel work installed al:
Sheet Address, Boa or Roate Na ?
?`3? • h?t ? ?N City
ectmn o. TownshiD Name o? No. Range No. Coon?ty
X 4 ,k-V ?
OccuOant T) Phone No.
?' .4.-e.5? - ?.?,S?J ? -?ii?a?,
Power Supplier Address
?
...?. /"f'Gi G
(.
Electrical Convactm (COmpany Name) Convactor's License No.
Mailing AdJress (COntractor ot Owner Making Installation)
Au?h d$ignaw n[ractor/Owner MakinB Installalion) Phone Number
3Z;Lc
MINNESOTA15Tq E BOAPO OF ELECTPIGITY ??...+?o.L^? o^
Griggs-Midw dg. - Noom N-191 BE ACCEPTED eV THE ST.AT.E
1821 University Ave., St. Paul, MN 55704 UNLESS PFOPEA INSPECTION FEE?IS
Phone (812) 297-2111 ENCLOSED.
p REQUEST FOR ELECTRICAL INSPECTION Ee-00??01-0?4//
?% ?JiI.9 7 , See insvvctions tor comDleting this torm on beck of yellow copY• ?? i
Fr' A A 7 O C 'X'Ralnw Wnrk Covered by 7hi5 Request
`?
'- J
oiiaing Apalioncea Wired -
Equiu??ent Wi.eA
Range ary Service
Water Heater y Fixtures
inc? Dryer c Heatin
al Bldy.
WCommercial Fumace loader
fi
BIAg. Air Conditioner lk Tank
BUlk
o[ner pea y
C1(y ???lpf Rou9h-in ( Date , I.the E enl
Inspectoq hereby
c ertifV that the above
final
- D'?1e r? - Vection has been
- 1 J de.
This reQuest voiE 18 months trom
PERMIT ?pm0l
ClTY-OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 026113
(612) 681-4675 Date Issued: 0 7/ 2 6 J 9 5
SITE ADDRESS:
1948 COVINGTON LANE
LOT: 9 BLOCK: 3
BERKSHIRE PONDS
P.I.N.: 10-13750-090-03
DESCRIPTION:
(EGRE55 WINDOWS)
B.iildxng?,Permit Type SF (MISC.)
B'ua.3.tla,rrg €.?`4,,r?k Type ALTERATION
. ? ° . .. . a.4.r?.
< z ,'
? a
s ' rzi4.$; .,,.-
ery
.. _w:
a?R
iefm_a $i; x& .?,i m a;1Ea A ?t;crgj;S?4se'm'
REMARKS:
FEE SUMMARY:
VALUflTTON
Base Fee
Surcharge
Total Fee
$74.75
$1.60
$76.25
$3,000
CONTRACTOR: - Applicant - 5T. LIC< OWNER:
LEE CONST 18907830 0002695 CflRR ANpREW
12921 MENMEN RD 1948 COVIN670N LN
BURMSVILLE MN 55337 EAGAN MN
(612) 890-7830 (612)686-6236
0
I hereby ackrrowledge that I haverecad `t his applicatiqft arecf- stati ;th4t„tyhe infarmation is cor:roct andagree,-to cam#pIy uiitli;'s11-,mpPX,ic,able,,Std?? 4? Mri?
? $tatutes and City of Eagan. crrdsnances.
APPLICAN7/PEiiMiTEE S7GNATURE ISSUED B: SIG? 7URE
??
CITY OF EAGAN
O3830 ' PILOT KNOB RD - 55122
? 3 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
Mew Conswdion Reouirements RemodeVRaoair Reauiremenfs
? 3 regiatered aile surveys ? 2 copiea of plan
? 2 copies af plens (indude beam & window sizes; poured ind. design; etc.) ? 2 ske surveys (exterior addkions 8 deeks)
? 7 eneryy calwladons ? 1 energy calculetions Tor heated addRions
? 3 copbs M bee prcaenation ptan if bt plalted aRer 7I1KJ3
required: _ Yes _ No
DATE: '1 -a &-`)'3- CONSTRUCTION COST:
I
DESCRIPTION OF WORK: ??? s s wn,va,,,) cx, w?c.LL /Al 3t.sw1.a,r.vY. ! J'xa 00,-co-
STREETADDRESS:
LOT --Q - BLOCK ? SUBD./P.I.D.#:, 1?Dx??1 ba'ka, ?0'nl??
PROPERTY NamB: 6x?. Phone #:
OWNER '"" "'°'
Street Address' 1948 14-iL
City: rE A, m.j State: V• Zip:
CoNTRACTOrt Company: ).*,,e (?--2Phone #:
5treet Address: la9a i N.CAw.=..+ -r-D. License #:
City: State: .?6'w. Zip• Xa'33 7
ARCHITECT/ Company: Phone #ENGINEER
? Name: Registration #•
Street Address
City: State: Zip:
Sewer 8 water licensed plumber:
change are requested once permit is issued.
Penalty appiies when address change and lot
I hereby acknowiedge that I have read this application and state that the information is correct and agree to comply with all
applicable State of Minnesota Sfatutes and City of Eagan Ordinances.
Signature of Applicant:
77
OFFICE USE ONLY
Certificates of Survey Received
_ No
_ Yes
Tree Preservation Plan Received Yes No
PIE A OBE
NGINEEAING
COMPRNY, INC.
L ?1000 CA3T 146IA 3TI1E[T,
lA0'?it r.1? frr+ [PG?LL
CONSUlTIHO [H61N44flf I
PINNNtAi ond IRND IU11VEY0lIS
EUftHSVILL[, IIINNfSOTA 35337 !'H 432'3000
CczA?
Lor ?1, gLce.w- 3
cxh1+J t`/ I
4?
? 954.s ?953'•S?
SPS'i°35"aX'c I I _
T.14?4) -a-e ?95N.o?
--? ?? SI
30' r-rzo.+? Suu.D,aa ? I
N ? dd.0 10?6
o ? i ?951.e? IB" u^'r?(.157.6
I I? I
? r
t"44W.-- .?°
uriL,rv E.a*.?E,?
54,b? GS,oo (
'`f89o 35'34" vv ?
O ?
o ?
'O
h
F?",DS , D4,z-ejr4
/VORTLI
6ZAi.E I " _ -56
<155A'- Ic-!4'ES ExtSri.iv FiEJbna.-1
&Sr'J,O) DEwIC1r'CS f'F+'CPo`.:GD ELNMl104
?-- /^;Didr-AiM ArREtf?c•1 GF SJRFi?C,Ct „y
Fi"lSNED UARKaE
J?
?
?
w/
I hsr?sby ceMify that this i¦ a true and correct repnsentation of a Lract ot
land a: shoxn'and describad hereon.. As pr.pared by me on this 'FtD dar ot
JLY ? 19 56-
957.33?I I
? •33 I L?e.RK-f I ?
55=k V-5441 zZ
M i•J•lE•_,["n .
Jlinn,
Rer. xo.
? I
i 2/84
I? CITY OF EAGAN
APPLICATION FOR PERMIT
;
SEWER AND/OR WATER CONNECTIOrI
(PLEASE PRINT)
1) PROPEI7I'Y ADDF2FSS: lqi4 CC) vi
r.Fr,ar, DESCRIPTION:
(Lot/Block Subclivision or Tax Parcel I.D. NLmiber)
2F E{IS :G STRI:C= , DA-1E 05' ORIGINAI, nliIj;L`r' F='-' ISSJ.=+1;C::
? .
PRES?i `IS?i?;/P??OPOS? L'SE• ty/?t-1 5'r`1GLE rP",r7,T,y
? R-2 DUP= ( i v0 CNITS)
p R-3 TON7NHOUSE (THREs. + UNITS) ( UNITS)
? R-4 [1PAR'IIMENT/CObIDCmINIU:4 ( UNITS)
? C.IONM.RCIAL/REI'AIL,/OFFIC°
Q INDL'STRTAL
Q INSTITUTIONAL/GOVER?
2) AppLICAN!' (PLEASE PRINT)
rrAME: uc /yI? l/cr
ADDRESS:
CITY, STATE, ZIP: -
PHONE:
3? ?nSER
. rurE: PLERSE PRINT)
/ .nou?ti ti,br,J FON CITY USE ONLY
PLUM ERS LICENSE:
' ADDRESS: _ ly?,2,rQ ?13`,(1 2QU? [? Active
CITY, STATE, ZIP_ ?./(? ?5-cjci/? Q Ezpired
TEF, Not of Record
PHO?_ JrS?"3(o7,? PLIIMBER LICENSE /i o7pG5-
zw t i a
4) OCGUpAV'I`/aqNM NAME: (PLEASE PRINT)
ADDRESS:
CITY, STATE, ZIP:
PIIONE:
5} INpICATE WHICFI PERMIT IS BEING gEQ[JESTID:
0. CONNGCI'ION 'It7 CITY SELdEft
Q CONNF7CSION 'IO CSTY WATER
? OTfigt (PLFASE DESCEtIBE)
6) INDICATE ONE:
? PLFIISE HOLD APPROIED PII2MIT FOR PICK-UP BY OrIE OF ABOVE
? PLEASE MSIL APPR()VPD PERMIT TO 1, 2, 3, 4 ABOVE
(Ciscle one)
7) SIGNATURE: DATE: u „2
?
,
•...?t:wi?f?i.i.,.?e..:ae:?:?.akl?:+t?;..a?..?.?... ? . .t.n:..,.i+?.??„?l.l,ia?assa...
. . . . . . . . . . ?f?r'•?::?:7rai lrk WL . . . . , . .
F 0 R
PERMIT " ISSUED
I
I T Y U S E O N L Y
FEES: $
$ _ •'--?? .
$
$
$ i-5-, ?--n
$
$
$
S
$
$
$
$ .
0 ' . i
SE`r7E.°. P°RMIT (I`ZCLli= SUP.CHARGE)
WATER PERh1IT (INCLUDE SURCHARGE)
WATER METER/COPPERHORN/OUTSIDE READER
WATER TAP (INCLUDE CORPORATZON STOP)
SEWER TAP
AC:,CUDIT DEPQSIT - SESdER
ACCOUNT DEPOSIT - WATER
WAC
SAC
TRUNK WATER ASSESSPAENT
TRUNK SEPIER ASSESSMENT
LATERAL BENEFIT/TRUNK SEWER
LATERAL BENEFIT/TRUNK WATER
OTHER
$ TOTAL
$ ? ° ? • "?' AiMOUNT PAID/RECEIPT #
?
5 7?? ?
DOES UTILITY CO[VNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
[-? YES IF YES, THEN A"PERMIT FOR WORK WITHIN
/ PUBLIC ROADWAY" MUST BE ZSSUED BY THE
I v NO ENGINEERING ?IVISION. LIST AS A CONDI-
TION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TSTLE:
DATE:
Me ss?DW-M wwAlm .km ocwia
` CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDINfi
030886
10f02/97
Sli'E ADDRESS:
1948 COVINGTON LANE
LOT: 9 6LOCK: 3
BERKSHIRE PONOS
P.I.N.: 10-13750-090-03
DESCRIPTION:
(WINOOW REPLACEMENT)
rmit Type SF (MTSC.)
r? Type REPAIR
;?';?"??. 434 ALT. RESIDENTIAI
?t x ei? a'ai
a ,x a- ?
?
c-?:??e ?
c±?mr
REMARKS:
FEE SUMMARY:
VALUATION
Base Fee
Surcharge
Tota1 Fee
?
$112.25
$3.00
$115.25
$6,000
CONTRACTOR: - Applicent - ST. LIC OWNER:
RENEWAL BY ANOERSEN 15024777 2004063 CARR ANDREW
350 73RD AVE NE 1948 COVINGTON LN
FRIDLEY MN 55432 EAGAN MN 55122
(612) 502-4777 (612)586-6236
PERMIT ?
, hNA4
APPLICANTlPERMITEE SIGNATURE - ISSUED B SI TURE
0997 BUILDING PERMIT APPLICATION (RESIDENTIAL)
cirr oF eaGaN
13069 3830 PILOT KNOB RD - 55122
667-4675
RemadeilReoair Reauinemenfs
? 3 registered site surveys ? 2 copies of plan
? 2 coPies of pisns (inGude beam 8 window saes; poured frM. deaign: etc.) • 2 aRe surveys (exterior atldifions 8 dedcs)
• t energy calwlations • 1 ene
• 3 eopies of tree preservatfan plan'rf lot platted after 7/1/93 ?9Y ????ations kr heated additions
required: _Yes _ No - (Z
DATE: ?I •2? -a? CONSTRUCTION COST: ?? G ?) "
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT QBLOCK
ri
/1?Lw
1R4$ - C0V1r4GTO'J ( a_.-t"
? SUBD./P.I.D. #:
PROPERTY Name: CA22 Atf0(C?c.?J . Phone#:'0?6' bEL'
OWNER
StreetAddress:_lq4B • COV ?.??(,'rO.J (./Si-JE '
City: E A- State: cn "j Zip: 'SSI Z2 .
CONTRACTOR Company: 6q Ar400LSetJ Phone#: SbZ' LEI
Street Address:?Sb '73 ?044C rJe License #: zOUq0630
City: vP I Ol.t? State: mr./ Zip: SS4? 2
ARCHITECTI Company: ?1n . Phone
ENGINEER
Name: Registration #:
Street Address:
CitY: State:
Sewer 8 water licer.ned plumber (new construction onty):
and lot change arn , equested once permit is issued.
Zip:
Penalty applies when address change
I here6y 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 Ciry of Eagan Ordinances.
?
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received - Yes - No - Not Required
I
zoos RESIDENTIAL PLUMBING PeRmir apPLicaTioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Q-UJ-oD
? t5 ?
0 (
,
o
9
ia
5
ate
,
,
Site Street Address Unit #
?
Property Owner Telephone # ( )
Contracto
QY S Talephone #0)..1CJ-
?
?
1?
?
Address ? e1J, City Statel?II?tNt r
-
?
Zip
The Applicant is: _ Owner _?qontrector _Other
Septic System ' New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures. This fee includes installation of a water softener andlor water
heater at the same time. !f you are insfalling onlv a wafer softener and/or water
heater, do not complete this section; move to the next section and check the
app(fance(s) you are insfalling.
_Septic System Abandonment
_ Water Turnaround (add $130.00 if a 5!8" meter is required)
Other:
i_ iNater Softener ?Water Heater $ 15.00
_ new Y? replacement
_ Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ 50
Total
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the
work will be in conformance with the ordiFlances an s of the Ciry of Eagan and the plumbing codes; that I
understand this is not a permit, but ly? ?pp??pA?mit, work is not to start without a permit and work will be in
accor e with the approveci pian ip h? v?t µan is req d/t/o be reviewed and approved.
qan 5 EP 2 5 2006 /`?/??j&,i`,
ApplicanYs Printed Name Applic nYs Signature
0
S p S? ? Q RESIDENTIAL
BUILDING PERMIT APPLICATION
. CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651•881-4875
New ConsVUCtlon HeouhemeMe
. 3 registered stte surveys showing sq. n. of bt, sq. R ol house; antl II roofed ereas
(20% maxtnum bt coverage albwed)
. 2 coples of plan showing beam 8 wintlax sizes; pouretl fountl tlesign, atc.)
. 7 set ot Enargy CalculaTrons
• 3 coples M Tree Preservation Plen d bt plattetl alter 7M/93
. Rim Joist Detail Options selectlon sheet (bldgs wBh 3 or less unfts)
DATE 'A P^" 0 7-
! ?E ?"S_
RemodeVHeoah penulrements
. 2 caples af plan
• 15etofEnergyCakulatbnsforheatedaddttbns
• 1 sRe surveyfir eMerioradditlons 8 decks
. Indicete if home servetl by septic systgm for additions
VALUATION ?S2?O ' e 0
SITE ADDRESS i`l 'oi C""" ^S '+??'' MULTI-FAMILY BLD6 _ Y _N
TYPE OF WORK -'T<PA- aPF t- A-zYL°O r` FIREPLACE(S) _ 0_ 1 _ 2
APPUCANT 9?_c ,
STREET ADDRESS `Fb 4 o ki ^-< <w< c z w !? GN tiY M. STAtE "xw ZIP ?3-YY L
TELEPHONE # P?63) 5-5-0 -0orz CELL PHONE #&?;3bg- iOgN FAX #
PROPERTYOWNER d1vL`1 l CowT?KI? TELEPHONE#
---_'__---'_-----_-_'__------'-'-----'---'-'_-'-_-_-------'_'_---°---'_'_-__'_--'-'-____'____--
COMPLEiE iHIS SECTION FOR "NEWM RESIDENTIAL BUILDINGS ONLY
Energy Cade Category _ MINNES01'A RUI.ES 7670 CATEGORY 1 MINNESOTA RULFS 7672
(4 submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Conhactor.
Plumbing system includes:
Mechanlcal Conhactor.
Mechanical system includes:
Sewer/Water Contracfa:
_ Water Softener ?
_ Water Heater _
No. of Baths
_ Air Conditioning
_ Heat Recovery System
I hereby acknowledge That I have read this application, state that the informatfon is
with all applicable StqTe of Minnesota Statutes and C'rfy of Eagan Ordinancqs.
Signafure of Applicant
OFFICE USE ONLY
G w
Fee: $90.00
Fee: $70.00
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ _ Phone #
Iawn Sprinkler
No. of R.I. Baths
_ Phone #
Phone #
ae Tocomply
? W'T nl
Updated 4I02
4!
City of Eau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
SE - 7 21116
r
Use BLUE or BLACK Ink
For Office Use
Permit#: 38'40/3
Permit Fee: / 9 1. 2 0
Date Received: 0A-7-/42
Staff: NiMI
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit #:
Ae e�41 £'
Owner
Name: r3"—CTS 014 re) tvL+ Phone:
' rt�
Address / City / Zip: CIa Covit,k.
I!—vt.
Applicant is: Owner DIN Contractor
1Y
To
yles f W
Description of work: f� A4 (...,L 1 ,.tea..)._ eXts �t � c s i4 s � 4.4
�
Construction Cost: 0 Ut' Multi -Family Building: (Yes / No )
Contractor
Company: 50 rn; ` 'Pt IA 2 -6 lel, t U �1.S Contact: 1 r t L A. t..ke. t `-Q-
c%
Address: ?b \o- 1 Z� (e City: 'Ro �-2-✓\
, j `�, q Q (, t �j,
State: ' !Ad' ip: 4°73 Phone: �OSI'� � 8--(f7 ®Email: re1'r `-lt Q 4 Pt►� lJ - i (
License #: 3 C tO 9r- 77' f Lead Certificate #:
If the project is exempt
J t-
fromlead certification, please explain why:
ot-P • tt-e r ' c r g
COMPLETE THIS AREA ONLY IF CONSTRUCTING
In the last 12 months, has the City of Eagan issued a permit for a similar
Yes No If yes, date and address of master plan:
A NEW BUILDING
plan based on a master plan?
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Fire Suppression Contractor:
Phone:
Phone:
Phone:
Phone:
s
COTE 'ans and supportin tocumxentsn that you submit are consip be i utr ic�inform tion e �
the information may be ssi ed as no -public if you provide specr-asons, that wouldpermit the City to
conclude that'tr ey are trade sic
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a perm a the wo will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must kje completed wi in 180
days of permit issuance.
ro,J{; lam(
Applicant's Printed Name
x
Applicant's Signat re
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
(3 (013
SUB TYPES
Foundation
Single Family
Multi
01 of _ Plex
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25% 100% lq )
Census Code
# of Units
# of Buildings
Type of Construction
Fireplace
Garage
lC. Deck
Lower Level
Interior Improvement
Move Building
Fire Repair
Repair
/ yo ,v
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Siding
Reroof
Windows
Egress Window
Exterpr Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building — give PCA handout to applicant
Occupancy I
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation Foundation Before Backfill
Final
1 Hour
Air Test Final
Roof: Ice & Water
Framing 30 Minutes
Fireplace: _Rough In
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Reviewed By: ( C
V7/ V -I(4
A '4 ?‘'( 5-
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC Gas Service Test Gas Line Air Test
Pool: _Footings _Air/Gas Tests _Final
Drain Tile
Siding: _Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall: _ Footings _ Backfill _ Final
Radon Control
Fire Suppression: _Rough In Final
Erosion Control
Other:
, Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
2S2 s2,/7-
:r.)64fvpS S.74',g- S2.fr
Page 2 of 3
ROE
ENGINEERING
COMPANY, INC.
iOOO CAST I4IIA STREET,
CONSULTING ENGINEERS
PLANNERS and LAND ENGINEERS,
EURHSVILLE , WIIHHCSOTA 33337
PH 43Z-3000
Cier•ZtAcoEle
4 C.o�IJ.-46Tb'4 1�
"'Ii- I -•
tee
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C_ciusl ry , M t •��E cma
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Pops 144401-4
Nokrti
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Ft284 r BuLZ
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Were Ake
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23,33 i 6ARAM
LOT' IC)
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DIRa_rIclai 6F SORCEPr
•
Ft.J16NeD &ARMaE FtooR. eLB/.
LOCK
52.0` 65,66
SP.oi AIM° 35' 341' w
3 4 a)
957
hereby certify that . this ,is a true and correct representation of a tract of
and as shown'and described hereon.. As prepared by me on this BRB- day of
...,....e",
Kinn. /ay. Va. 4D8S
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA154626
Date Issued:04/03/2019
Permit Category:ePermit
Site Address: 1948 Covington Lane
Lot:9 Block: 3 Addition: Berkshire Ponds
PID:10-13750-03-090
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (miscellaneous)$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 -
Jared Brogni
1948 Covington Lane
Eagan MN 55122
Sieben Plumbing
18605 Fischer Ave
Hastings MN 55033
(651) 343-6298
Applicant/Permitee: Signature Issued By: Signature
r ,ria,G(,
For Office Use _ 1/47/9
I , i
aw t I ,,s :::t: c
EAGAN
r'
.0.=.1::: E C E I V E1) Date Received: -/O /`
3830 PILOT KNOB ROAD EAGAN, MN 55122-1810
I
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 ' i APR 1 0 2019 Staff:
buildinoinspectionsc cityofeagan.com E li J
2019 RESIDENTIAL BUILDIN APPLICATION
Date: Site Address: ` Unit#:
Name: J U•('G a "., SI, I ( , /.3f U �jN , Phone:
Resident!
Owner Address/City/Zip: /�1 _f `Z 0V i -, (3v Lc, v,-- _
Applicant is: Owner Contractorpn ige466 1( E r'ortSS
Type of Work
Description of work: L J\,---, >- 1
Construction Cost: �')\ O 3 Multi-Family Building: (Yes /
Company: Ca 1 1 e 5 z G.4 l i S iO4-s,i�n j3' .(3 Contact: l Pa`V.2.,
Contractor Address: /-Ai0 L-.tom% dL- 0 (I-ci City: LA. 14-, -- N L
Stater'` ZiR(53 g`1- Phone:LI Z CCS3 ),13Email: ae.1<-1) -4-ail--)v c 4 / 3,; ,..\s (P..\ .a ,/y,\
License#: 1-) 4. A 3 I —2 / 3 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&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE:Plano and support documents.that you submit are considered to be public information. Portions of the information may be
classified as non-public If you provide specific reasons that would permit the City to conclude that they are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaaan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
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.aopherstateonecall.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 i t to start wit t a permit; that the work will be in
accordance with the approv plan in the case of work which requires a review and approval f plan .
x f<'-,t �,V 1C x
Applicant's Printed Name Applicant's Signature
DO NOT WRITE BELOW THIS LINE / 5/4f edi/i/J *9
SUB TYPES
— Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration (Single Family)
Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
_ Multi _ Deck _ Porch(Screen/Gazebo/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
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation i esa` Occupancy RCI - I MCES System
Plan Review Code Edition yp/i 20/S SAC Units
(25%_ 100% ) Zoning .P,.7> City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
/
Type of Construction V 3 Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings(Addition) Final/No C.O. Required
Foundation Foundation Before Backfill >0 HVAC_Service Test Gas Line Air Test_Hood
Roof:_Ice &Water _Final Pool:_Footings _Air/Gas Tests Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS
yP Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: J✓YI /f/ y/9- , Building Inspector
RESIDENTIAL FEES I/0 5`j . f--1- L /- . /-)-,/;S i e b
Base Fee
Surcharge • 1--ft L'. 14.i Dec % h*--, i-11-2- 0°' „"—
Plan Review
MCES SAC S2d v ' 5�j
City SAC
Utility Connection Charge
S&W Permit& Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA156753
Date Issued:07/17/2019
Permit Category:ePermit
Site Address: 1948 Covington Lane
Lot:9 Block: 3 Addition: Berkshire Ponds
PID:10-13750-03-090
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 -
Jared Brogni
1948 Covington Lane
Eagan MN 55122
(651) 434-9199
Home Depot Usa Dba The Home Depot
2455 Paces Ferry Rd
Atlanta GA 30339
(763) 852-1044
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA161979
Date Issued:06/22/2020
Permit Category:ePermit
Site Address: 1948 Covington Lane
Lot:9 Block: 3 Addition: Berkshire Ponds
PID:10-13750-03-090
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Jared Brogni
1948 Covington Lane
Eagan MN 55122
(612) 723-6345
Gates General Contractors, Inc
3500 Vicksburg Lane North, Suite 400-351
Plymouth MN 55447
(763) 550-0043
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA161979
Date Issued:06/22/2020
Permit Category:ePermit
Site Address: 1948 Covington Lane
Lot:9 Block: 3 Addition: Berkshire Ponds
PID:10-13750-03-090
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Jared Brogni
1948 Covington Lane
Eagan MN 55122
(612) 723-6345
Gates General Contractors, Inc
3500 Vicksburg Lane North, Suite 400-351
Plymouth MN 55447
(763) 550-0043
Applicant/Permitee: Signature Issued By: Signature