1962 Covington LaneCITY OF EAGAN N° 10 4 7 6
3830 Pilot Kno6 Raad, P.O. Box 21-199, Eagan, MN 55121 ?/?
PHON@: 4648100
BUILDING PERMIT Receipf fj :2
Ts 6e urd Far SF DWG/qdT Esf_Velue $57,000 p?tp JUNE 27 tq 85
SiteAddreu 1962 COVINGTON LN Erect IX Occupencv R3
Lot Z BERKSHIRE
Block 3 SelSub PONDS Remodel ? zoning Rl
. Repair ? TypeofConst. V
Percel No.
AdAition ? No. Stories
JOE MILLER CONST Move ? Langth 50
0 Name Oemolish ? Depth 37
Address 18133 CEDAR AVE Int Impr. ? Sq, Ft.
City FARMINGTONPhone 431-2001 mstall ?
Q Name SAME
Addreef
r.h? DFnne
Name
Addresc
City Phone
I hercby acknowledQe tFat I how reod this applicotion and stota thot
tM inlormation is Nrcect and ogree fo comply with oll opplic
SfaM of Minnesola Statufs a d Cily f Eoq Ordironces.
Siynoturo o4 PenniM
A Buaecr,g Per?.?ir i: issued ro: JOE MIL R CONST
oll work shnll be dorro in otcordanee wilh le Stote of MYi
Azsesunent Permit $ 304.00
Water 8 Sew. Surcherge 28.50
VoliCe PlenReview 152.O0
Firo SAC 525.00
Erq. weterConn. 500.00
plonner waterrneter 63.00
CAUncil ` - RoadUnit 280 .00
amy.osr.6/26/85 Tr.P4 132.00
APC parka
Var. Date Coplea
Totei $1,984.50
on N+e expreu cordieion tMl
w?tohfet-o4d Ciy o7 Enpon Ordinante1.
Buildinq Official
CITY OF EAGAN
, :.
3830 Pilot Knob Rosd, P.Q. Box 21-199. Eagan, MN 55121
PHONE: 454-8100
QUIIDING rERMIT Receipt
Ts V re" iew ,'-:Gi! FN Vnl'u J. 1)nf• 10
Slte Addrets -
Lot Block Sec/Sab.
Parcel No.
? Narne :....?..? GJ:•, ?7.'
Z Address
? •' .f_ ?Ir?la
City ? Phone
it- Name ?. ' .
sI u Addres:
1- City Phone
bar
NemB
Erect L.} Occupancy
Remodel ? Zoning
Repair ? Type of Const.
Addition ? No. Stories
Move ? Length .
Demolish ? Depth J
Int Impr. ?
ASSlssmfnl
Wote? d. Sew.
Poliu
Fin
Permit ? u 4. U u
Surcharge 28.50
Plan Review 15 2 • 0 '?-
SAC J2S.CjG
S(,,i, dtir,
? 2 o Address Enq, 1Nater Conn. ?W City Phone Plonnwr Water Meter ''11 i`
Councfl Road Unil `
I hereby acknowlodya thot I hove reod this opplicotion ond state fhat Bldg. Off. Tr. PI. f!
fht inlormation is torrect cnd ogree to Comply with oll applicoble A? parks
Stott of Minnesoto Statutes and City of Eaqon Ordinances.
Var. Dete Copies
Sipnoture of PenniftN Total • . ? _ ' ?
A Buildiny Permit is iuued to: on the *xpress condiNon Ihat
dl work shotl be dorw in acoo"dance with all cppliooble $tote of Minnewto Sta"es and City of Eaqon Ordinanns.
Buildinp Officiol ,
Pe?mft Mo. Pwmit Holda Dow TNephone *
PlumbinY /
H.VA.C. ?? ? ? If I( L.IC l' (O ` UZ
Ehoetric
Softwmr
InWection Dats Insp. Other
Footings I
Footinys II
r
Fou ndatlon
Frsming
RooHny
Rouyh Plby. ?-J
Rouyh Htg.
Insul. 7 T
Firoplace
Flnal Htg.
Flnal Plby.
Final S?
Cw-t/Occ.
Water Wscri4e Location:
Well
Sewer
Pr. Dlsp.
Rmaipt MECHANICAI. PERMIT Pannit No.
CITY OF EAGAN FM
Fill in numbsnd spsces 8/C
Type ar Print /egldy TOL
1. Date 2. Installation Cost
3. Job Adclress Lbt 81k. Tract
4. Owner - -
5. Conuactor Phone
6. Address
7. City State Zip
8. Building Type: Residential O Commercial ? Institutional ?
9. Work Description: New E)` Add ? Alter O Repair O
? 10. Desaibe
I 11.
Tyae
No, FqujpIDepi 8TU - M. Ea.
Forced Air No, Eouiament CFM
Ai
li
H
Mfg. r
and
ng:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mf9• Other
Air Cond.
Mfg.
Gas, Piping Dutlets
12. I hereby oertify that the above information is true and correct, and I agree to
comply with all ordinanaes end codes governing this type of work.
Signad : . - _ " J for
Rouph Final
Inspections: Date Insp. Dete Insp.
This is Your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
Roaipt PLUMBING PERM17 Permit No.
CITY OF EAGAN FN
Fill in numbensd spacet S/C
_ TYPB w Prlnt leglbly Tot
4
1. Date 2. Installation Cost
3. JOb Add?ess •"''- _ LOt 81k. TrecL
4. Owner • - '
5. Contractor "- - "• ?- - Phone
6. Addreu - 7-
7. City - State Zip
8. Building Type: Residential O Commercial ? Institutional ?
9. Work Description: New ? Add ? Alter ? Fiepair ?
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
Ces
ol/Dr
i
field
Bath tuha spo
a
n
Se
nk
tic T
Lavatory p
s
$oftner
Shower Well
ICitchen Sink
Urinal/Bidet Other
laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. 1 hereby cartify that the above information is true and correct, and t agree to
oomply with all ordinanas and codes governing this type of work.
Siyned :
for
Rouqh f inal
Inspections: Date Insp. Uate Insp.
This is your permit wfien numbered and approved.
Approvad CITY OF EAQAN 4644100
CITY OF EAGAN Remarks
Addition BERKSHIRE PONDS Lot 2 Blk 3 Parcel 10 13750 020 03
Owner Street 1962 Covington Lane 5tate
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. (oS `] 1982 239.09 23.91 10 / 3,? / ` 9" US
STREET RESTOR. 1985 123.80 8.25 O 1 8 Cl- -
GRADING
SAN SEW TRUNK 07 1982 176.04 11.74 ZS ,/?. A /(o OSt r'I- -
SEWER LATERAL r7 1982 57.24 3.82 1 rj , p p r v
* Sewer La eral a3 1985 427.8E - 28.53 39 ,3
WATERMAIN OS 19$2 46.09 3.?? 15 , g/
* WATER LATERAL 1985
WATERAREA 1982 176,04 11.14 15 / ./a, 0 0
STORMSEWTRK 1985 385.03 25.67 15 537 / 8 51'9'OS
S70RM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road LTrilt. $280.100 53133 6727785
WATER CONN. 500.00
6UILDING PER.
SAC
PARK
CITY OF EAGAN
3830 Pilot Y.nob Road WATEIt SERVI CE PERJIAIT
P. n. Box ?7199
Eagan, MN 55121 PERMIT NO.:
Zonirg: D/1TE:
:?-
Owner,
- - No. of Units:
1
/lddrass:
Sih Address: 'rrt, °, Ponds
Pltunber. •j-
?
AAeMr No.:
S1ze: Connection Chorfle:
Account DeposJt:
?
Reader No.: 11 ?
I pm M oomplp nM6 !I
Ck
f Permit Fee:
w
y?s
y o Surcharge:
Ordime°0w Misc. Chorges: 13 ? . ?, `; ., d
B TO1Cl: . 3•-1f? ri; r,?r`t: ?'r
y
Date of Insp.: /6 , gs Date Poid:
Inae_-_
CITY OF EAGAN
3$30 Pitot Y.•wb Road
P. 0. Box 21199
Eagan, MN 55121
Zonlnp: ?'+I
Ownar: Jae 'fil
Addrp«•
Site
Plumber:
SEMIER SERVICE PERMIT
PERMIT NO.: ' ' -
AATE:
Rta, of Units:
t
# MFM f0 00111* M111b !V City ef agpn eonnOCt(OIf (h0rge: 425.00 Ud
Accour?t Deposit: j -' ? .
Pem,R Fae: 10.
Surchcrpe: • '=`?
oY Misc. CF?orpes:
of Insp.: Totad:
'
ti Dots Paid:
53 b (eg
to !ar iS5'
?/licensetl tiecincal Contracto? I hereby request inspection of above
?j?Owner electrical work installed at:
Street Address, Boz or Route No. City
ec"on o. Township am e or No. Range No. C
ty
T V 4n
l
Oc u nt (PRINT)
? lu +'I)fr
ConS-? ru 6 -1?0 1) Phone No.
3J - Zcc ?
r $upplier Addr 5S
`?
;
/?
? G . rr?
n .I n p
? ?
Electrical Co tractor ( Rroa nv Name) , Contrector's License No.
IV
? l G / tj _
-
Mailing Address (C actor
1 or Owner Ma ng. Instailation
?) ??
d Signature onya
Authori ctor/Ow er Making I Ilatioo hone Number
r
ri /
-
MINNESpTA STATE BOARD OF ELECTRICITY
Grigqs-MidwaY Bldg- - Room N-791
7821 Uhiversity Ave., Si_ Paul, MN 55704
Phone (612) 297_2771
THIS INSPECTION REQUEST WILL N07
BE ACCEPTED BY THE STATE 80ARD
UNIESS PROPEH INSPECTION FEE IS
ENCLOSED.
53 o G? REQUEST FOR BUCTWCAL INSPECTION EB-00001-04
' See instructions tor comp.etirg tAis form on back of yellow copY.
B 419 3 9 "X" Below Work Covered by This Request
M r fee `ServiceEntranceSize p Fee Feeders/Suhfeeders # Fee Circuits
/D 0 to200 Amps 0 to30A s e?.1•6' 0to30Am s
Above 200 Ampy 31 to 100 Amps pp 31 to 100 A
SHrinming Pool Above 100-Amps Above 00--AMI)s
Transformers Irrigation Boorrs SO Partial.'Other
- f985°BUILdING?:PETUQT, APPI3CA7ION =-`CIlY':0
MDTE: ALC ;C011'1'RACIOR4 MUST BE tICEN3m" fRiH:?HE
57,om. =
To Be Used For: Valuation: Date: lv
, Site Address: OFFICE USE OHLY
Lote o? Block .? Sect/Sub??Erect . X Occupancy IZ-3
Parcel # Remodel ` Zoning R-I
Repair Type of Const Y
Enlarge # of Stories
Owner Move. Length ?
Demolish . Depth ?
Address Grade- _ Sq Ft
City/Zip
Contracto?%j,? APPROVALS
U
Address.4 f Assessments Permit
- Water/Sewet - Surcharge Z[3:5b
City/ZipCode Police . ` Plan Review
, Fire SAC' 525?•?
Phcne Engr . Yfater Conn 500; °°
Planner Water Meter (o? °=
Arch./Engr Council Road Unit 2ao.° .
Bldg Off = Parks
Address APC Treatment P1 I3 z.°=
Phone # Variance TOTAL
?
l ? 5 l?
?
P ?-
ACBE
ENGINEEAING
COMPANY, INC.
L 1000 EAgT 146IA SiREET,
CONSULTIN6 EN6INEERS
PIRNMEBS ond IAND fURYEYONS
BURNSVILLE, MIHNESOTA 55?3T PH 432'3000
?OCit .?C.tcriP??Or=; LOT 2, Bl.ACK 3, SERK51itRE FoNDS,
. DAKOTA COUh1TY, MINNES01A.
t CovINGTOU LA
NORTH
StALE 1"= 30
0
M
IH 89 ' 35' 34'W
6'S.00
? O
10
1? !?93zz?
??437•.IZl
-K
'A ?RONT BUIID?NG
SETBACfC LINE
;935;9:' DEWOTES EXISTlN6 ELEVATION
?935.0? 1DEh4p7ES PROPOSED ELEVAi-1Qhi
?-- INDICATES pIRECTION OF
SURFACE DRAWA&E
FINISHEL? C-ARqGE FiAOR
ELEVA71ON = 4437•5o
i 37.5) 0 24.0 ?ae
Srof 2t.o ° ° ?
o ?
R2oRM5ED 0
? N GAP14G L I ?}oeK..? /?
w
.o i 83 ies •
m
?9 O 437.? _? o io..
N
N m I ?9'?7•?-? ?43'7. r
'0 I ?- ?`S3ur5? ?
t I
?
i i LoT 2
B 16C
bRAINA6E AND SI
UTILITY EASEMENT
?-------?
? -A!1
?ayo; 6 5. o0
Cg3?o? N 89° 35' 34 W
c-e-re.
? ?9
0.
? N
m
N
; -,
.3
YYV_a;
9?•r. o)
I her*by certify thnt thia is a true and correct rapreeentatioa of a tract ot
laad as shown'and deecribed hereon.. As prepered by me on thia 2orw_ day ot
]iinn. ltea. No. A?-'?5
U {/
. ?. .,
?
?: ?
u I 2/sa
L CITY Or EAGAN
?{11l APPLICATIODI FOR PE2MIT
SESPER AND/OR WATER CONVECTION
. (PLEASE PRIHT)
1) PRCPFTY?"f ACDcZESS:
r Fr:,r, cy..?sPrTcv:
(LocBlock/SL:aivisicn or Ta;c rarcei I.D. LvJL:,--e_)
? ?' .W:I:='=i:, Dai.: OF Ci2T_GI,Ai, c`UIL.^.L:G
pcrc-?...
L. ,,..T.:?:? _ ?OcG..? L' . ? ?-1 SL:?i : Fr?ffL'?
? R-2 DL: _-T`..{ (T;a L7.iT5)
_ ?
r2-3 TCit1i='SE ('r= - [==cy ? T:?;,-c) .
f?
L.1 .: 4 U:Vi_:./
? CCiTM1E;CL?.L/?2E.T_^-.IL?Cr^_`'IC :
? ?'T1?:.S1.?L.:L
? L`.STI'?',:T'ICn:%I./G:=n=
2} A7pT,T?---,7p (PLEFS? PRf:i!)
tL?'?: ?ec A?Il/eh
annuEss: 18133 Cn.Por• Avc
CIT"_', S=:T--, ZIP: fi0O-r?t1 403 'ferJ /°1d) C/
PFcNE: q31- aco I
j) pj,j,;.7,z?
?tE
ru? (PLEASE PNINi)
'?- (
/ FdR CITY USE OtiLY
1
: ?
y .Hn
PDDzESS: ?
J PlU°9ERS LIC:tiSE:
,t ? actiYe
CITY'.STA'i"E, ZIP; ?A) Ezpired
. PHOVE:
,S,6 q- 34 75 PLUHBEF LILiNSE NOU?' t; Not af Record
= :niit3l
ftI Ae-I? %YLLNJC Y111NiIJ
14ra1?:
ADDRESS: CSd? 4+7 .2 ?
CI;'Y, STATE, 2IP:
PI:O`IE:
5} INplC,M 1.1HICH PEFL"•lIT IS BEItiG REQUESTID:
1?11'CC.`;.IEC:SOV 'In CITY SES•jEt
['rCO:!:VfCLIC:I 'Ib CIT1' :;'ATE:t
? C1i'iER (PLP1'LE DfSCRIBE)
• Q PmmSE f?OID APPRWEp PIIZti+ST FOR PICii-Ur SY C:IE OF r1fiCVE ,
?°7.ES .•IAIL APPRWED P=•tIT 'PJ 1, 2. 3, 4AFOGE
(Circle one)
7) siczATLR:._ vJ,?..Q.? k9r?-? D??: . S'3'
??l E?+li4AtAi? Y? ??a:afta a at r+ro a?:aa a? rs s?ssi:a a ?! Yalfr.a?Aar? +? a relaac?gy?
F O R
PE?MI'" °- ISSUED
C I T Y U S E O N L Y
rrES:
$
LO' S?
S iQ.S"a
C / GL?
$
5
-,!
$
s
$
$
$
S
$
7
SE:':L.n. nr-,., T'^ (I_
'f ?: ?.:.:i? $U.....
..1.: .i L !
SVATt'P, PFRuSTi (I1:CLUDL .?.-.VRCt:piZGL%
Wr1TER MET:R/COPPERHORN/OUTSID: REn^u:.R
WATER TAP (INCLUDE CORPORATIQ;I STOP)
S?:?c? T??
AC^OiiD:T DS?C'SIT - ShcmER
waC
sac
TBli?IK P:A'i'b'R ASSESS:^:--2iT
TF[iNK SE:iER -?SSZSS: 7-=T
LATE?Ai: SE:IEFIT/TBti:1{ SESiE?
LATERaL BE:IEFIT/TP.U`:K t•7AT°R
WATER TREAT"E?v'T PLANT ST7RCHARGE
OTHER:
TOTP,L
Ab10IINT PAID/REC°IPT 4m ,g j' /y
DOES UTILITY CONNECTION REQUZP.E EXCaVATION IN PUSLIC RIGHT OF LJAY?
L YES IF YES, THE:7 H"PERb1IT FOR WOR?: WITHZN
- PUSLIC ROADWAY" MUST BE ZSSUED BY THE
[NO ENGINEERING DIVISION. LIST AS A CONDI-
TION.
Sli2JECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TI:LE:
*Z--"
DAT°:
t116-s411Eammtw-'00 OW,?mmmwaiEwwotill Rampaopiig ss .
me Ra ?e wsa amps
w±? wt? wi aw ??
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
FOR CITY USE ONLY
PERMIT #
RECEIPT # /O O
DATE:
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNFi0ME5/CONDOS WHEN PERMITS ARE REQIIIRED FOR EACH UNIT.
WORK DESCRIPTION COMPLETE THE FOLLOWING:
N0. FIXTURES EA.
NEW CONST _ ADD-ON HINIMUM 15.00
ADD ON SHOWER 3.00
REPAIR WATER CLOSET 3.00
BATH TUB 3.00
- LAVATORY 3.00
OWNER NAME: _DRISCQLL Toli _ KITCHEN SINK 3.00
1952 GOVINC+TON LiWE LAUNDRY TRAY 3.00
SITE ADDRES S:_ EMRn ,rii 0 HOT TUB/SPA 3.00
H?? U 1542-8513 ? WATER HEATER 3.00
LOT : BIACF I-olj dd, ?f?Y?BLC,nc.t??pycoQ(? _ FLODR DRAIN 3.00
- - - - - - -- - GAS PIPING OUT.
INSTALLER: _ (MINIMUM - 1) 3.00
ROIIGH OPENINGS 1.50
ADDRESS: 2'V-Oj AbENUL SC:Ui'i
_ OTHER
lVili+li'lEhl?C3Cf5, MOPIPIESOYA 5:i1/9.3 WATER SOFTENER 5.00
CITY: 8274033 SI$274.479 _ PRIVATE DISP. 15.00
_ U.G. SPRINKLER 3.00
PHONE
TOTAL
?
SUBTOTAL $ 15 • 06
ST. SURCHARGE .SD
S IGNAT[1RE
PERMITTEE
TOTAL: s ?S 3Z?
YLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMZLY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRICE:
UW'L3EEt NAME:
SITE ADDRESS:
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY:
PHONE
FOR:
ZIP:
FEES
18 OF CONTRACT FEE.
STAT_E SU°CFARGE _ $.SQ FCF
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $
STATE SURCHARGE $
TOTAL:
(SIGNATURE)
CITY OF EAGAN
'0? City of EapIl
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
------------------
, ,
j Pem,au: a"( ?_?j i
? Permd Fee: ?C V?oz, I
j Date Received:
1 ? I
I Staff: I
?----------------?
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
nata: sua aaaras8:19&& (^ ?'nv nl
Tenant
Suite #:
RESIDENT/OWNER Name. 112(frYYaS ?r15lfi?? Phone:?,?j1-?O?S-?tt45
Address / City/ Zip: l?-l(po`Z LW 1 rlp?-( Yl D?13
Applicant is: _ Owner -/_ Contractor
TYPE OF WORK Description of work:?.{[[Y
Construction Cost: Y[y qIB? •gq Multi-Family Building: (Yes _/ No `)
CONTRACTOR Name:`rk9S liltiF;f'S ??m'v?_P1Y.fs License#:c?W-3?141
Address: gt?(A d(YIbPJYa C_? -
City('[3?hfiW. ?°?tt7u2_ State: ?+J.!w± Zip: ?1lD
?3
Phone: b5I'tlSP- Contact Person:_21YIy?Pr
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672
Energy Code . Residential Venfilation Cafegory 1 Worksheet • New Energy Code Worksheet
CBtBgOPy Submined Su6mitted
(4 submission type) • Energy Envelope Calculatlons Submitted
In the last 12 moMhs, has the City of Eagan issued a permit for a slmilar plan based on a master plan?
_Yes _No If yes, date and address af master plan:
Licensed Plumber: Phane:
Mechanical Contrector: Phone:
Sewer & Weter Contractor: Phone:
N T'E: Plans aird Berpport ngVocuments that yau subm7Enra consJderW ta be pub? W_" rr»atfon. Partiarti4f
the Informatlon may be clsssffled as non pwbllc !f you proWde speclflc reaao?ns that wauld perr?rlt the Clty ll
?. corrclwde that fhe are trade seCrets.
I hereby acknowledge that lhis information is complete and accurale; that the work will be in conformance wlth ihe ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an applicalion for a permR, and work is not to starl without a permit; that Ihe work will be in
accordance with the approved plan in the case of work which requires a review and aquoval ot plans.
x 1 r1,,!t ?sT` GT'7 C_ ?
x
ApplicanCs Printed Name App Ican Siga`aCure
Page 1 of 3
09/06/2013 WED 12:06
Date:
FAX 612 922 54013 Al'e Master P1umpimg
0-0 1773YG6 1) rs1 �J7 I
Use BLUE or BLACK Ink
City of Eaau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Tenant:
1002/002
For Office Use
Permit #
Permit Fee:
Date Received:
Staff:
2013 RESIDENTIAL PLUMBING PERMIT APPLICATION
( 3 Site Address: I �cr/ CO (/ I AS 77 'n Lin
,r-5 (ca suite #;
Name: T° r 1 V;J f (� G G
ei)cle.fiti wner.�,�,
Address / City / Zip: J [ 6o `-d 1/1. Y J�71-6
Phone:
.1
111:,1
° : Contact: Email:
Name: /46ck!'tC_C(1,651+'Y J/{P,/Nral+%d'i` Lce�r e#: OS -90W- M
II°0jI"l Address:1 if3fd V city: /A p1J
State:/rcC`I/
Phone: (a---FezX� q01
Type of Work — New V Replacement Repair _ Rebuild _ Modify Space _ Work in R.O.W.
°l; i. Description of work:
ti?l;' RESIDENTIAL
iltl(1C11�"`P'1^�i'r iir!� Water Heater
,,11
Lawn Irrigation ( RPZ / PVB)
Permit, Type
Septic System
New
Abandonment
Water Softener
Add Plumbing Fixtures ( Main / Lower Level)
Water Turnaround
I RESIDENTIAL FEES:
1 $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $200.00 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)
TOTAL FEES $ 60
CALL BEFORE YOU DIG. CaII 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_clopherstateonecall.oro
hereby acknowledge that this information is complete and accurate; That the work will be in confo • : 'th 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 re startewithout a permit; that the work will be in
accordance with the approvedprroplan in,thhe caase�of work which requires a review and approve n .�
X
�/`G l
Applicant's Printed Naln
;F,OFFICE USE.. ±;�?
'02equtred' Inpections
�llnder Groun:':I
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PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA129844
Date Issued:03/18/2015
Permit Category:ePermit
Site Address: 1962 Covington Lane
Lot:2 Block: 3 Addition: Berkshire Ponds
PID:10-13750-03-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
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.
Applicant: Jennie Wood
5720 International Pkwy
New Hope, MN 55428
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Thomas A Driscoll
1962 Covington Lane
Eagan MN 55122--361
(651) 307-8356
Benjamin Franklin Plumbing
5720 International Parkway
New Hope MN 55428
(612) 604-4285 X61
Applicant/Permitee: Signature Issued By: Signature
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For Office Use C�
•-.y EAGAN :::ee: '�
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3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 Date Received; 4''I b'� 1 v ll
(651)675-56751 TDD:(651)454-8535 I FAX:(651)675-5694 JUN 10 2019 staff:
buildinginsAections oOcitwofeagan.com L _-.
2018 RESIDENTIAL BUILDING PERMIT APPLICATION /i71>
Date: J( / Site Address: / v{ ii,-,
Il/5Y Y) L-' Unit#:
Name: _2/1(_' `i / • l-. ,f ' A. /_� Phone:(OSI 3 /_/f <r 1
Resident!
-----0;•ft; - I Address 1 pity/,Zip: �C- /ice, /`'l, 4 t✓ c 1ZZ.
I
( Applicant is: _Owner Contractor _
Type of Work ' Description of work 9? ' II' II i►I CJ (Lcf)h k. 7 !Cry ..d Let. • �(1' i
Construction Cost Multi-Family Building:(Yes_/No )
• s
. :iCompan l%g.,&), 44(, 2 Contact i
1 Address:/od33S Lis A4 /A City: /X,t .l`ell.�17 3
Contractor 0 �tc� p7 O 1
State ,Zp:.53?i3 Phone:394. /✓O/2/Email 1 &'SCI _6714'eel Carr-) i
• 5 License*g Ci Y7 o 919 Lead Certificate t./v44'T766AD47 1
If the project is exempt from lead certification, please explain why:
•
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUI • • =
•
In the last 1 • • - w-s the City of Eagan issued a permit for a similar plan base. - master plan?
' Yes _No If yes,date and a•• - - ••- ter plan: •
Licensed Plumber: Phone:
I
Mechanical Contractor Phone:
1
Sewer 8.Water Con•- •r: Phone:
•
Fire - •pression Contractor: Phone: i
'-NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the Information may•
classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. I
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.cityofeaoan.comisubscribe.
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.00aherstateonecall.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;mat 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
Qplans.
Applicant's Printed Name Applicant's Signature
•
S/ti 'd 699E 'AN WdtiS:E 6l@Z 'Ol 'unr
DO NOT WRITE BELOW THIS LINE /9'(Q Co J,',t,1,)? L,, fzi ls 6 *r
SUB TYRES
_,Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
79 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
r 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 Jr 2, 000,•- Occupancy i P( - I MCES System
Plan Review Code Edition Uh A Zio t SAC Units
(25%_ 100% 10) Zoning _-P4 _ City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction U Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) X. Final/No C.O. Required
Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood
Roof:_Ice &Water _Final Pool:_Footings Air/Gas Tests _Final
Framing 30 Minutes 1 Hour )4. Drain Tile
Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS
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: ) D Y1A 11) '( ) /A , Building Inspector
RESIDENTIAL FEES .-
Base Fee r_ 1,7- �-� e
Surcharge
Plan Review
MCES SAC
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:Plumbing
Permit Number:EA169108
Date Issued:05/14/2021
Permit Category:ePermit
Site Address: 1962 Covington Lane
Lot:2 Block: 3 Addition: Berkshire Ponds
PID:10-13750-03-020
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 -
Emory David Dively
1962 Covington Ln
Eagan MN 55122
(612) 341-1845
Ungerman Inc
14000 21st Ave N
Plymouth MN 55447
(612) 825-2800
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA169359
Date Issued:05/24/2021
Permit Category:ePermit
Site Address: 1962 Covington Lane
Lot:2 Block: 3 Addition: Berkshire Ponds
PID:10-13750-03-020
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. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
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 -
Emory David Dively
1962 Covington Ln
Eagan MN 55122
Estate Claim Services Llc
6701 Penn Ave S, Suite 201B
Richfield MN 55423
(651) 309-1114
Applicant/Permitee: Signature Issued By: Signature