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1956 Covington Lane .1►' Use BLUE or BLACK Ink I For Office Use I I I (~~a I Perm it i City U an S4- Permit Fee: Z 3830 Pilot Knob Road Eagan MN 55122 j Date Received: j Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 1 LA Site Address: 1ISi IS& G_ ~aJ 1~ 7 Tenant: Suite RESIDENT / OWNER Name: Ot z- Phone: (~f Address / City / Zip: (-AA, Applicant is: Owner Contractor TYPE OF WORK Description of work: W13 C.t> Construction Cost: - i l~t.X3 Multi-Family Building: (Yes / No CONTRACTOR Name: License LOn D~ Address: l 1l5 City: ~AJ State: .A,4,-) Zip: !~-01 1~ Phone: - z Contact: Email: 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: License Plumber: Phone: Mechanical Contractor: Phone: Sewer Mater Contractor: Phone: NOTE: Plans and supporting 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 the are trade secrets. 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.orci I hereby acknowledge that this information is complete and accurate; that the work will be in conform ce 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 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 approv I o x } x Applicant's 'Printed Name Applic 's Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) _ 01 of _ Plex _ Lower Level _ Pool _ Miscellaneous 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 A~0~a &.0 Occupancy MCES System Plan Review Code Edition J.'"? SAC Units - (25%_ 100%_0' Zoning PD City Water Census Code 391 Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In -Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill _ Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: 7,47- , Building Inspector dy Z0'* 3 q Lb RESIDENTIAL FE / -70 ~ 64) Base Fee Surcharge Plan Review ? MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 WOW VI OLMVI~ 1111% For Office Use I non Permit City of EaRa I _ 1 Permit 3830 Pilot Knob Road Q r I Fee. Eagan MN 55122 I 1 I Date Received: 1 Phone: (651) 675-5675 1 Fax: (651) 675-5694 i staff: - I 2011 MECHANICAL PERMIT APPLICATION Date: Site Address: Z~FS 6 t4O y n j1 m 611-1 Tenant: Suite RESIDENT / OWNER Name: Phone: Address /City /Zip: /MSG Co 1/,'Il 4, L N CONTRACTOR Name: r0 hz_s 5 i o~1 l~l-/ ~~r141~r'c~t- &_-fVt-5 License Address: City:D K h l / o State: ' `I Zip: S S 3 L d Phone: Cs Q_ 66-Y--1101 Contact: Email: TYPE OF WORK New Replacement -C Additional Alteration Demolition Description of work: Neil 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. PERMIT TYPE RESIDENTIAL COMMERCIAL Furnace New Construction Interior Improvement Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit _ Heat Pump _ Under / Above ground Tank Install / _ Remove) " When installing/removing tank(s), call for inspection by Fire Other Marshal and Plumbing Inspector 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) $ 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 - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee Surcharge (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. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and odes 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 rm.t; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x l Po YJ X_ Applicants Printed Name Ap ~ffs S nature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground _ Rough In Air Test -Gas Service Test -in-floor Heat -Final Exterior HVAC Screening Inspection vac a~ v1 12 JivIn 111n `For Office Use I 1 I ¢ I Permit C-"~ X 25 l City of Eapn i Permit Fee: I 3830 Pilot Knob Road l Eagan MN 55122 I Date Received: Phone: (651) 675-5675 1 Staff: Fax: (651) 675-5694 2011 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: SiteAddress• / ~S~y LDf%/gig ~S1a GN Tenant: Suite RESIDENT / OWNER Name: ~i Phone: Address /City / Zip: c'v/!fi`n Al CONTRACTOR Name: sSiavrrrl 'k c~Ijj&/gdd License Address: 490 L W, y 4.1 a City: ,*'a - " is State: Zip: J2 L>- Phone: 64 ~i S~-1lo / Contact: Email: TYPE OF WORK New JO Replacement - Repair Rebuild Modify Space Work in R.O.W. Description of work: tA-P-e- lit'- o 46 L~ fb~ PERMIT TYPE RESIDENTIAL I aXj +1.1 b, Vc~a Water Heater Water Softener Lawn Irrigation RPZ / PVB) 7X- Add Plumbing Fixtures Main Lower Level) Septic System ( Water Turnaround _ New Abandonment RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation (includes $5.00 State Surcharge) $55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Tumaround* (includes $5.00 State Surcharge) *Water Tumaround (add $166.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) $95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. 1 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 l 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 aprot plan in the case of work which requires a review and approval ox~ .J x Applicants Printed Name A ant's `gn ure FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground .Rough-In -Air Test _ Gas Test Final CITY OF EAGAN N2 10232 3830 Pilot Krrob Road, P.O. Box 21-199, Eagan, MN 55121 PNONE: 4548100 OAe?6 i BUILDING PERMIT Receipt # T. ba „"d fm SF DWG/GAR Est. Volue $57,000 Date MAY 16 ly SS SiteAddren 1956 COVINGTON LN Lo< 5 ei«k 3 S1c/Sub. BERKSAIRE PONDS Parcel No. Ereet EX occupency R3 Remodal ? Zoning RI Repelr ? Type of Cons[. CJ Enlerge ? No. Stories Move 0 Lengtn 36 Oemolish 11 Depth 46 Grade ? SQ. Ft. Install O Aoorovols fon W nlame RSM HOMES ? Addrms 6 UPPER GUTHRIE CT City APPLE VAL phone 435-8868 p Name SAME ?u Addreu ? City Phone Neme _ Addresa City _ Phone I hercby xknowledps tMt 1 Mw rey?s ov ication and stare that tha inlormotion is correct and lr to c I ith o?17a0plicable Stcro of Minnesota Statutes ? Ordin cas. Slpmtun of PermiM A Buildlnq Permit ia issuad to: RSM HOMES all work thall be done in ettordonce with all oppll la State of i? Buildtrq Offieiol Assessment Water 3 Sew. Police fIro En0• Planner Countll BIdg.Off. S 13 85 APC rVar. Date Permit +ti 304 _ 00 Surchorqa 28 _ S Q Plan Review 1 57 !10 ,AC 525_00 WaterConn. 5 .a0 Wmer Meter 6-4- ? 0 Road Unir 28n nQ T.P. 132.00 Copy .50 Total $1,985.0 _ on the axproq conditlon thoi cnd City of Eapan Ordironeas. ? ,- - CITY OF EAGAN • ri 3830 Pilot Knob Rosd, P O Box 21-199 Esgan, MN 55121 PHONE:454-8100 BUILDING rERMIT Receipf # ? r. L. .ud ie. Esr_ value ' 5 7, u i: '; pare L , 19 „4 6 '``. 1 V (liN Eroct 12, OCCUpsnCy ' - Site Addr6n l R d ? ri Zonin Lot Block ? " /Sub ema e g , i ` . Rspair ? T ype of Const. Pareel No. ? Enla?ge No.5torias Move ? Length W Name Demolish ? Depth ? Addrss s ' Grede ? Sq. Ft. City ,. . 1 Phone Inatall ? i here6y acknowiedpe thot I hove road this opplication and state thot the informofion is corcect ond ogree to comply with oll opplicaW Stott of Minnesoto Statutas,ond City of EoQan Ordinonus. Sipnoturc of Pemwtta • . . ; A 8ulldinq P•nnit Is iuued ro: oll work sholl be dorn in oaordanct with oll oppliopble State of Mir Buildinp Ofllcfol Assessment Water & Srw. Poliu Fin En0• Bldg. Off. APC Var. Date Permit - Surchorya Plmi Review SAC Wuter Conn. Water Meter ? Rocd Unit -- ? -t v an fM sxpnss canditlon thot tutas and Gty of Eoqan Ordinonces. ' Pamk No. Pwmlt Holdw Dab T?1? hons ? Plumbiny q-? ("66 H.VA.C. ENetrie , 7 ^? cJ ??? 17 I -` i4- 7 ? (? ? ? • I r'• v Soiteeer Inwection Date Insp. Oehe? Footinyt Foundation Fnminy Roofinq Rouyh Plbp. Rouyh HVAC Inwlstion ? A"l .111$7 -4 F{nal Plbp. T_ <.! Final HVAC Fin.l 7.?P Grt/Ooc. C-o wanr Dowibe Location: MIIeII SewAr Pr. Difp. MECHANICAL PERMIT CITY OF EAGAN 3830 PILOT KN08 ROAD, EAGAN, MN 55121 PERMIT # FiECEIPT # DATE: Site Address " gLDG. TYPE WORK DESCRIPTION Lot Block ? _ Sec/Sub ' - Res. ? New ;i5 Name Mult Add-on ?% ^ ? Address `? ? ,' - ? Comm. Repair c City Phone ' Other Name T & ? FEES ? 3 Address RES. HVAC 0-100 M BTU - $24.00 p City PhOne A B U I 6DQ ?- ADD ON A R COND. O 24 BTU - 12 .00 ADDITIONAL 6 M BTU - 6.00 TYPE OF WORK GAS OUTLETS - 1.50 EA. Forced Air M BTU COMM/IND FEE - 196 OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater M BTU .?u MINIMUM - COMM/IND FEE - 20.00 Air Cond. M BTU STATE SURCHAFiGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES Vent CFM BEYOND $1,000.00) Gas Piping Outtets # Other FEE ? ? SIU`NATURE OF PERMITTEE S/C: , TOTAL• '' • -'` FOR: CITY OF EAGAN ?__ Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN "O.OC' • Fee FrN in numbered spaces S/C .50 Type or Prini legibly Tot. 20. 50 , 1. Date 2. Instaliation Cost 0r. (;r• 3. Job Address 10$6 CoviriFtOn Lot ? Blk. ? TFect 9> 4. Owner A -- ? ? - 5. Contractor - Y ??• .,._:LT Phone -"5-F1-67 6. Address /-(?37 Chica??0 7. City . "?Z"'• State Zip 8. Building Type: Residential 0 Commercial ? Institutional ? 9. Work Description: New Q Add ? Alter ? Repair ? 10. Describe in:- '1 .1 gas forced eir ft1Ame1 Type ?t g^s 11. No. 1 Equipment 8TU - M. Ea. Forced Air 75,OGC- No. Equipment CFM H Ai dli Mfg. r an ng: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. ? Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Ffnal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt PLUMBING PERMIT Pennit No. CITY OF EAGAN ' , Fee . Fill in numbered spaces S/C - Type or Print /egiWy TcvL . 1. Date 2. Installation Cost 3. Job Address Lot Blk. Tract 4. Owner '? r• 3'? j/? 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential L? Commercial O Institutional O 9. Work Description: New Cl Add ? Alter O Repair 0 10. Describe I 11. No. ? Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank / Lavatory Softner ` Shower Well Kitchen Sink Urinal/Bidet Other " ? Laundry Tray ? Floor Drains Drinking Ftn. / Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to Comply with all ordinances and codes governing this type of work. Signed : for Rouph Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CITY OF EAGAN Remarks Addition BERKSHIRE PONDS Lot Owner Street 1956 CovingtQn L.ane 10 13750 050 03 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. ?L-sq 1982 239.09 23.91 10 143-49 Ci010 8- -$ STREETRESTQR. B 1 115.55 U010 43 8-5-85 GRADIfVG SANSEWTRUNK E57 1982 176.04 11.74 15 129.12 C010543 8~5-85 SEWER LATERAL ,; 1982 57,24 3.82 15 42.00 C010 -5- 5 * Sewer Lateral 9,13 1985 7,88 28.5 399.36 CO10 3 8-5-85 WATERMAIN 1982 46.09 _ 3.07 15 33.81 C010543 $-5-$5 * WATER LATERAL WATER AREA 1982 176.04 11.74 1 15 12 .12 C010 8- -$ ST4RM5EWTRK 1985 385-03 95 35 359•37 C010543 8-5-85 STORM SEW LAT ClJRB & GlJTTER ' SIDEWALK STREET LIGHT WATER CONN. 500OO rr u BUILDING PER. 5AC PARK CITY OF E:>GAN WArER SERVICE PERMIT 3830 Pilot Knob Roed P.'O. Box 27199 PERMIT NO.: Eagan, MN 55121 Zoninp: No. it; ts: Owrwr: Address: 51te llddrcss: ].`.%56 Cc fnntnr• Lane [:5 13 3''r'?r Plumber: Meter No.: S ? Connection Chor Siu: ?'? ?? .? IY) Acoount Deposit: Reader No.: ? Permit Fee: 1 pne fo oomPlf !w Cih *F gegon Su?cha?ye: . i,j Misc. Chorfles: 132. OOrd ?? CTotal: eY Dote Poid: Date of Insp.: , f/.-3 1 Q' - I.m, • CITY OF EAGAN • SEyyER SERVICE PERMR 3830 Pilot Knob Road -,, 'I P. 0. Box 21199 PERMIT NO.: '' Eegan, MN 55121 p,,TE; 377 ` Zoninp: I` 1 No. of Units: Owner R5M 1?omes Address: Slte Addr Plumber. I M- !o eMwplj wa 1Mt CNq of 16pm Ordinenaa. Connection Charge: 425.00pd Aaco,x,t pepowe; 15.00 nd permit Fee; _ 10.00 od SurcFwrpe: .50 nd Mise. Choe+pax Totol; Bv DcM of Insp.: This refyuest void 16 months Irom . t 3 8 5 3 2 ? ?-- Request1 Date q 7 - ? ? Fire No. Rouph-in Inspecnon Required? _ TC leady Now pwi ii Notify Insqec- -G 1 t 1 1 ?Yes [?Mo [or When Ready ? xcensed Electrical Contractor I hereby request inspection of above ? Owner electrical wwk installed at: Street Address, Box or Route No. 1956 Ca .in a n CitV E=aa ection o. 7ownship Name or No. Ranpe o. Cour y OccuGant (PRINT) Rabeh,t S.twcbucfz Phone No. Power Supplier Address Electrical Contractor (Company Name) EClJStoYI E?[., l'?'11.(C f'nmwrN!! Contracmr's Lfcense No. Mailine Address IContractor or Q ner aking Instailationl 6525 E. 170th S Aut rized Signature Contract Owner Making nstallationl T ho;ne Number 47-2440 MINNESOTA STATE 80ARD Of ELECTRICITY THIS INSPECTION REQUEST WILI NOt Gripps-Midwey Bldg. - Room N-191 BE ACCEPTED BV THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (672) 297-2117 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION Ee-°u°°'-°' . 0 See instruetions for complelinp thia fpm on Aack of ysllow copy. 5s- %? C 3 8 5 3 2 "X" Below Work Covered by This Request kdd Rep.T TyOe ol Buildina ? Aoolinncws Wir.d Eauioment Wirari 1 FX M Fee Servica EntranceSixe eeders/Subleeders p Fee Circuits U to 200 Am s o 30 Am s 0 to 30 Am Above 200 Am» [ a to 100 Amps 31 to 100 Aml)s Swimming Pool Above 100_Am s Above 100_Am TransPormers gation Booms Partfal- Other Fee emerks a?gns apeciai inspection g TOTAI,FEr~ ? ? , Thb roquest . - - • ? CASH RECEIPT ? f CITY OF EAGAN P. 0. BOX 21-199 ? EAGAN, MINNESOTA 55121 ? _--, ? DATE ' 19 ? R<CtIVtD ?-/ PROMr^ AMOUNT $ %(.cf???'? i T? --= ?---- C) CASH ? CHECK rOR . ' FVND CODE AMDUNT ..' (,r r ... - .? i - ? ' ? ? ,.i .. . .. ?- i 1 Thank Yau P BY ,. ' . . White-PaYers COPY Yellow-Postinp CoPY Pink-File CoPY wid ?.. ('o ? ? ??-,f - Street Address, Box w RouDe No. t Cihr ? Lr ,1 Seinion . Township Hane p No_ Range No. Coun[y R Occup (PRINT) P1?one No. ?,C,LCI S Power Supplier Address fs C , p : Electrical CoMgactor ICompamr Namel Cootractor s License No. .J G , D --70 - ?' ilinp Address (Contractof or Owner Yating Insm tipnl ?r Z).e ?E MAL) Author' Sigre (C or Yakiny Installation) Phone Numbe? TM -?/ '_ 3 / C./ YINIfFSOTA STATE WA1JD OF EIECTRICITY Cxiqas-Yid?reV Bldy- -Moo? M-191 1E21 Univsrsiq Ave.. SL Paul. 1111111 56104 Phons (672) 297-2171 THIS INSPECTION REQUEST 1AlILL NOT BE ACCEPTED 81f THE STATE BOARO UNLESS PROPER INSPECTION FEE IS ENCLOSED. Y.f?QIIEST FOR ELE''7T.N. II?PECTION ? EB-00001-W s.e :-ln.elioms For coompletin0 [hia forw m 6e11 of ytl luw covr- n n 'X" &-low Work Covered by 7his Request . • .r., ., Fee ,,,. ServiceEntrancsSiz• a Faa Faeders?u6feeders # Fee Circuits ( ? 0 tp200 AnVs 0 to30A Oto30An? Abore 200 A? 31 t,? 100 Amps 31 to 100 Anips Swimming Pool Above 100_Ai??ps Above 100-A? Transfomters Irrigation Boorrs S Partial• Other F , I I I Signs ? I Special inspection g TOTRL F Re?re.ks /G1 • '?'C' /Q - I, the Electrical eccor, hereby rtZpify that the above inspection has been inside. ?W-uw 1 hsrs6Y reqLMSt inSPectiOn of abOye ? Owner elscdiml wort irafallsd at_ 1his reqAeu void . ? ___. _ ___ 5 6'C?Yf,{! 5 Sveet AdJress, Box or Route No. 17 L City 4 j E 0 1 ?t n) - , .4?i, ection o. Township Namr or No. Raoge No. County DA Occuoaiii (PRWT) Pnone No. y S:2 o Pow r SuDP?ier Address ? M? ' tu;. n Electrical Convactor ICompany Namel Contractur s License No. ac - '7'/ _ "??JG . G1 "'7? •- a Mailing Address (COntra tor or Owne? Makin Instailationl C ,.! Z ? 6T-'J ? ?. L'? JJI M Authoriz igna[ure (ConNac r/ w r aking Installation) Pho? Number M ? O MINNESOTA STpTE BOARD EIECTflICI Griggs-Midwsy Bldg. - Room N-181 1821 University Ava., SL Pai MN 55104 Phane (812129]Q111 TMIS IfiSPECTION flEIIUEST WLLL NOT BE ACCEPTED 8`/ THE STATE BOAND UNlE55 PAOPER IN51'ECTION FEE IS ENCLOSED. ?'kIUEST FOR ELECTRICAL INSPECTION EB-o°°°' °a AV% See inat?uctions tor completing Mis fnm an back of Vellow copy. 925090 "X" 8e/ow Work Covered by This Request ana neu. Tvoe ot aunat"s nooliancas we.ea Equitment WireA Home Range Temowrary Service Duplex Water Heater Lighting Fixtures Apl. Buildiny Dryer Electric Heaiin Commercial 81dg. Furnace Silo Unloader InduSttial Bldg. qir Conditioner Ralk Milk Tank Parm ome. Soeufy otne. f5nedivl [Mr (SUtTdfy pthor Othcr ompute Inspectron Fee Below N Fee Service Entrance5ize # Pee Faeders?Sabteeders k Pne Circnits Q, zO 0 tp 200 qmps 0 to 30 qm ?s !7 ' 0 to 30 Am ?s Above 200 qm?u 31 to 100 Amps 31 to 100 A Swimming Pool Above 100_Amps Abovr. 100_AmEn Transformers Irrigation &?oms g? Partial-'Other Fee Special Inspection Bemarks TOTAL!FEE y Roueh-in DF,t^ j ?!/ ?_ ?? I, the Elecviwl J 1(j ?C Inspecior, hereby Final . ce??ify "hat rhe abova pectipn has been ?ea. NrLicensed ElecVical Con[ractor I nereby request insoeclion ot aCOVe ? Owner elactncal work installed at .s Aq1514 6 aZ114.3 ?` 2 5_ 6s ? ?a?? RaOUest Ire No. Rough-In Inpsection qequired InsOectian OtM1ar ihan Rough-In (VOU must call inspactm when reatly) 0 qeady Now ill Notly Inspector ? Ves n o Oale ReaCy I ensed contractor ? owner here6y request inspection of above electrical work at Job N 5 IStreet Box ar R ute No., , /? • u fun ?-'1 Ci? -- Sedion No. Townshlp Name or No. Range No. Coonty Or????=... ?oolNTi PhoOe Na. o uppier ? Atldres '^^ I Connactor LCOmpany C. ct 5 icense No. Addres5 (GctOr or OlwBr Makm Inst Iq? ? Add ur fCo iori erMakiglnst ation) mwryESOTA STATE BOARD OFyWCTRICITY ? Griggs-Miaway Bldg. - qoo THIS INSPECTION REOl1EST WILL NOT 1e21 Univeni[y qve.. SL Pa.?5510d BE ACGEPTEO BV THE STATE BOARD Phone (61116E2-080U UNLE55 PRpPEF 1NSPECTION FEE IS ENCLOSEO. REQUEST FOR ELECTRICAL INSPECTIDN * 6'"?`??r E8-00p01-08 8 ? ? ^ ? See In9hnc1ion5 ta! com0leting Mi6 (orm on beck of yellOw copy ? 26? "X" Balow Work Covered hv Thi.s Ra ew ? Typaof6uilding AppllencesWlred EquipmentWired v ` Home Range 7emporary Service Duplex Water Heater Electric Heating Apt. 8uilding Dryer Load Management Comm./Indusirial Fumace Other (5pecify) Farm Air Contlitioner Oner ?spacity? Contreoror§ Remarks' Compute Inspection Fee Below: # Other Swimming Pool Fee # ServiceEnlranceSize F # Cimuits/Feeders Fee Transformers 0 to 200 Amps O to 100 Amps Si nS Above 200 _ qmps Above 100 qmps _ g Inspeclor's Uee Only ? trrigation 8ooms TO Special Inspection Alarm/COmmunica}ion THIS INSTALLATION MAY BE ORDERED DISCONN ED IF NOT Other Fee COMPLETED WITHIN 18 MONTFIS. 1. the Electrical Inspector, hereby Rou9n-;,, Dare certify that the above inspection has e - been made. Finai / oate 6A?, , T_ „ F?FFiCE USE ONLY B ? inis request witl 18 monms Iram ? i 2/84 ? CITY OF EAGAN ? ? !?.? (14 APPLICATI^vN FOR PE?2MZT • SEWER AND/OR WATER CONNECTIODT (PLEASE PRINT) 1) PROPII2TY ADDRESS: -0 rFrar DESCFtIPTICN: S ? (Lo t/Block/Subdivision or Tax arcel I.D. NtmtDer) S'S:?i.'C'?'-T:Z°., DA'I :' 0° ORIGurtli, riiII.DI::G ?=--:•1: ISFL:?'.%G.: P°WSLi':' C'S-r.-• ?R-1 Si?;GLLL FP"?SLY . R-2 DUPLE{ (2:tiD L^tIT5) ? R-3 'ICSv1II?CY?SE (`I".'-F•..' ?' + L^IITS) ( Wi I'"S) ? R-4 AP?m1E?7T/CO.IDGrS`IIL?l ( CTiVITSJ ? CCii'?'?ff..'4CLAL/F2E:AIL,/OFFICE ? i'DL'ST.'L ? I?'?ISTI'S[,'TIONAL/GGVE.RrT,%E.^?-P Z) APPLIQ?NT-] (PLE E PRIN J . N ADDRESS: ? CITY, STATE, ZIP: 7p PHO'KE: 3) pLu-IBER . PLEASE PRI4T) F4R CITY;USE aNLY ?- : ADDRESS Pff " CZTY, STATE, ZIP: cL PHOiVE: i[ PLUMBER LICENSE NQ6??,y7M 4) OCCUpANT/('J,17NER P EASE PRINi) NAhfE: ??? ADDRESS: CITY, STATE, ZIP: L ? , -?G /? ?S `rs? PHONE: 5) INpICI1'Pr- iVHICEf PERMIT IS SEING RFQLTESTI:D: CbDRVECP20N T"J CITY SE,Ti7ER ? CONNFC'TION TO CiTY WATEft ? diE!ER (PLFIISE DESCRIBE) 6) Ifa'DICA.1. C;+Ec ? PZ,ENSE HOID APPR= PER.'?tIT FOR PICFi-L'P BY ONE OF IIBOVE / ? PIFASE. r*AIL APPROVED PERbLiT 'IO _ 3, "4 &1B(7VE? (Cirle one) 7) SI?TGRE: DATE: 1? F? - O`.S- .,, .. MIR 2! OI:Rillf6.? i? Y? QlY:O?s?'.? fM S r!s ?'aii#A i is af ?'.s?i :aa lw! ft ?!f!??tl?? f?l a111R ?RiAC?aY ? ? .. . . .. .. . . . . .. ? . FOR C I TY U 5 E ON;,Y PERMIT " ISSUED E ^? $ $ $ S $ /S-? $ _ l 1. UzJ. $ $ S $ $ $ 1,?,?,u • SE:^iER nrqMr'i (I`_ICLD: SU°CHARGE) WATER PERt'[ZT (INCL'JDE SliRCHARGE) WATER METER/COPPERHORN/OUTSIDE REFDER WATER TAP (INCLUDE CORPORATION STOP) SE;VER TAP =.r:0i."_i'I' ,._?GSI= - .._.,=R ACCOUNT DFPOSIT - GIATER wac SP.C TRliNK SVATER ASSESSi-SENT TRtiDIK SESdER ASSESS:IENT LATEr'LAL BENEFIT/TRUNK SE:•7ER LATERrIL BENEFIT/TRUNK WATER OTHER ' $ TOTF.L , $ AI?IOU:vT PAID; RECEI?T # DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGiiT OF WAY? YES IF YES, THEN F•. "PERMIT FOR *nTORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGINEERING DIVZSION. LIST AS A CONDI- TION. SUBJECT TO TfiE FOLLOWING CONDZTIONS: APPROVED BY; TITLE: DAT° : ? 7 /Fl? . , k P" s rr\ 1985 BUILDING PERMIT APPLICATION - CITIf OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED {fliH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERCY CALCULATIONS To Be Used For: NC b.i Cn ivS1• Valuation: 5?,? ? Date: Site Address: OFFICE USE ONLY Lot: S- Block ? Sect/SUb pON,pf Erect X Occupancy (L3 Parcel !! ?A v? I ??NpS Remodel Zoning Iz- I Repair ? Type of Const Owner J ??? ?i/o'?r;,z?, Enlarge Move 1! of Stories _ Length 3? Address Demolish d _ Depth 4(0 e ka _ Sq Ft City/Zip Code C7 - ---°---- ---------------°------- Contractor s/'??`? ? pppROYALS Address City/Zip Code ' 5;?3 S- Phone # Tg-? p - Assessments Permit Water/Sewer ? Surcharge Police plan Review %Z 3 y ?Te n,gr sac Water Conn P1 nn a er Areh./Engr Council Address Bldg Off APC Phone p_ ?-Sl) cfiF6 7 yariance Water Meter Road Unit Parks Treatment P ? Lc" roru. -?04- S-- z8. -:p s2s, ? (0 3. ? 22b.? I 3 z. °? 'esk - S'?-? t 9 PArc CeZ COHSUlTIN3 ENGINEEAS PIpNNEflS and IAND 3UpVEYORS Bt7HNSVILIE, A1INHESOTA 55337 PM 432'3000 AgCs;l .Iae.vcr4p2{ort: LQT S, BLOCK 3, BEiPKSH/Rf ?ONOS, , DAKOrA co??vT; MINNESOTA. i y' rL. C0V1NGTD1V LN. O 99 ° 3S' 3 "!V "T ?o.e 65.D0 DRA/N,S'G E? UT!L /T y O p ?a3. ?? EASEMENT ?9??i0? 30 ' FRONT BC//G D/iYG RT ?1 ` ? 71 S 3D SETB.9CK L/NE sca?o a ?? ? $za.oo ? m ^ o I? `9?0.0; DENOTES EX/ST/NG \ S I L--?? - ? EL E!/f1 T/ON ?9 ? I M PROPoSED? I $ ? ° ( 9?fo•? ) DENOTES Ph'Of'?SED ? o M NousE N J, r , ? o ELElG97-101V N a 19 IZ ? O R7?1 34.60 ? ° OF SURFACE ?RAlN,9?r' ? S.E,wGo. nn I?( a??? 1:?`? o , u1 LrL_1?, ? l// tJ I LOT 5 f/N/SNEl? G'AR.4GE FG QOR EYEV,97-1ON= 944. S3 .5 L N 69° 35' 34"W (93I.c? I hereby certify that thia ie a true and correct reprnsenta,43oa of a tract of land as shawn'and deecribed hereon.. Aa prepared by me on thia SN day of /rJA-i . 19 ?5 . ? Hinn. 1teg. e.._.._ RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EACAN 3830 PILOT KPIO6 RD, @ACAN MPI 55122 651•881-4875 Naw Conekuctlon ReauhameMs • 3 registereG sge surveys showing sq. tl. oi bt, sq. R af house; enA all roafed areas (20% marhnum lot coverege albwed) • 2 coples of plan showing beam & window sizes; poured found desipn, etc.) . 1 set of Energy Calculetbns • 3 coples M Tree Preservatbn Plan tt lot platled afler 711l93 • Rim Joist Delail Options seleclion shaet (bltlgs with 3 or less un8s) DATE `-t' D 2 SITE ADC NPE OF APPLICANTl'f I IIeyiH r v ? ?eAl.C- ?"- IULTI-FAMILY BLDG _ Y _ N FIREPLACE(S) _ 0 _ 1 _ 2 STREET ADDRESS 2 o S8 9 CIiYGLSTATE /4,VZIP TELEPHONE # 9S -2- 95'3ELL PHONE #f?2/.'` 71-25 FAX # PROPERTYOWNER ir;e. /UQ%S'o D TELEPHONE# f?S^( 65T 35-3`T ----°-------------------------------------------- -------------- --------- °--------------°--- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ n (?l submission type) • Residential Ventilation Category 1 Worksheet Submitted • • Energy Envelope Calculations Submitted Plumbing Conirqcfor: ___ Plumbing system includes: Mechanlcal Conhactor: Mechanical system includes: Sewer/Water Conhactor. Phone # Phone # as 47V i 1; NjorJ??U h@?t S,ubmitted 4 LU ? Fee: $90.00 Fee: $70.00 I hereby acknowledge fhat I hpve read ihis application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of AppBcanf _/.°` "" ...-°--•------°----•-•--------------.r.r .............__..r..?.?.r.-•----._..._.?_---r............. . OFFICE USE ONLY ? Certlficates of Survey Received _ Tree Preservation Plan Received _ Not Required _ updaied aoz BemodaVRaoelr ReauiremeMa / / '" ?? . 2 copies ot plan • 15etofEnergyCalculationslorheatedadd'Abns • isAesurveyfarezterbradd'arons&tlecks • Indirate M home served by septic syslem for atlAilbns VALUATION '4176 5 O Water Softener Water Heater No. of Baths _ Phone # Lawn Sprinkler No. of R.I. Baths _ Air Conditioning Heat Recovery System 3u-?r U ILI suso. Be.rkshire, ponS CITY USE ONLY RECEIPT #: RECEIPT DATE: 10-mo0 PERMIT # 2000 PLUMSING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, D4I 55122 651-681-6675 Piease cromplete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Aiterations to existing dwelling - minimum fee Describe: $ 30.00 Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas piping outlet * minimum -1 3.00 x = $ Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x = $ Laundry tray 3.00 x = $ Lavatory 3.00 x = $ Septic System newlrefurbished ' requires MPC lic. 75.00 X = $ Septic System abandonment 30.00 x = $ RPZ new installationlrepaidrebuild 30.00 X = $ Rou h openin 1.50 x = $ Shower 3.00 x = $ Underground sprinkler if dwelling is under construction 3.00 x = $ ? Underground sprinkler if existing dwelling 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ Water softener if dwelling under construction 5.00 x = $ Water softener if existing dwelling 30.00 x = $ Water tumaround 30.00 x $ i State Surcha e 50 -> -> -> $ .50 TOtai _' g 30'sp ? Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. ---------------------------- •--------------------------------------- •------- • -------- • ---------------------------------------------------- I here6y adcnowledge that I have read this application, state that Me informaGon is cortect, and agree to compy with alt appliwble Ciry of Eagan ordinances. It is the applicanPs responsibility to notify the property owner that the City of Eagan assumes no liabiliry for any damages caused by the City during its nortnal operational and maintenance activities to the facililies construded under this permit within Cily propertylright-of-way/easement. SITEADDRESS: ('1!S76 Cbl>IIP--?pti) 1JAJ->L OWNER NAME: : 9&G IJ £LSO/,-) TELEPHONE (AREA CODE) , INSTALLER NAME: LEPHONE #: 7b3_ -iSJ'OS SS 1 y ?. ? f (AREA CODE) STREETADDRESS: k /?`LG 02 ciTV: l r+'to S ATE: {?N • ZiP: SS4?I 1 SIGNATURE OF PERMITTEE PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA147287 Date Issued:12/22/2017 Permit Category:ePermit Site Address: 1956 Covington Lane Lot:5 Block: 3 Addition: Berkshire Ponds PID:10-13750-03-050 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Eric J Nelson 1956 Covington Lane Eagan MN 55122 (612) 875-2690 Tri County Water Conditioning Inc 325 Third Ave NW P O Box 65 Huchinson MN 55350 (320) 587-2950 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA158104 Date Issued:09/25/2019 Permit Category:ePermit Site Address: 1956 Covington Lane Lot:5 Block: 3 Addition: Berkshire Ponds PID:10-13750-03-050 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Eric J Nelson 1956 Covington Lane Eagan MN 55122 Haley Comfort Systems 4320 Hwy 52 N West Frontage Rd Rochester MN 55901 (507) 281-0138 Applicant/Permitee: Signature Issued By: Signature