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1966 Covington Lane 1 CITY OF EAGAN , 3630 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 PHONE: 454-8100 BUII:DING PERMIT Receipt # Te 6s wed for SF DWG/GAR ?t, Value $64,00 0 DOfe JULY 23 , 19 84 SiteAddreu -1-466-,COVIN6TON__LANE =- Erect xl Oaupancy R3 - Lot_1'._Block_3_Sec/Sub. BERKSHIRE PONDS Remodel ? Zoning ? Parcel No. Repair ? Type of Conrt. V Eniarge ? No. Stories w Name JOS MILLER CONST Move ? Length 36 ; Address CEDAR AVE Demolish ? Depth 48 b City FARMINGTONpho.e 454-4753 Grade ? Sq. Ft. Approvals Faes o Name SAME u Assessment Permit S 325.01 ? A?fe$g - Woter 8 Sew. Surcharpe 32 . 01 ?- City Phone Police Plon check 162.51 Neme Fira $AC 525.01 x? Address Eng. Water Conn. 470.01 - <W City Phone Plonner Warer Meter63.- 01 Council Rood Unit 26 f) - 01 I hereby acknowledge fhat I have reod this npplicotion ond stote that gldg. Off. Parks fhe Information is correct and agree to comply with all opplicable APC Total State of Minnewto Statutes and City of Eogan Ordirwnces. Var. Dete Sipnoture of Pertnittee A Building Permir is issued to: JOS MILLER CONST on the expreas condition thal all work sholl be dorre in occordance with oll li ble StaM of Soto $totufea and City of Eagon Ordinances. Building Officiol _O 2tz nr ?'?p ) . ? 1 CITY OF EAGAN N2 198 i 3 ? 3830 Pflot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:454-8100 BUILDING PERMIT Receipt # l l To be used for FIREPLACE EsL Value Date mIOBE R 17 1991 Site Address 1966 COVING1YltI LANE Lot -1- Block _3 Sec/Sub. ??M ?S OFFICE USE ONLV PBfCBI NO. Occupancy _ FEES 2oning _ w Name SANF'ORD J. SAGTE.R (ACtual) Cons[ Bldg Permil 25.00 o Address SAME _ (Allowable) - . '50 Surcharge City Far=AN Phone 454-0666 x af smries - Plan Review Length _ F Name SAhE Deplh SAQ Cit i Ou Address _ S.F.7otal _ y . ? (?i ltY Phone S.F. Footpnnis _ SAC, MCWCC W On Site Sewaga _ ater Conn F ?w Name oo sle wen ?w - WaterMeter Address MWCCSyslem _ a W City Phone Ciy Waler _ Acct. Deposit PRV Required _ SPN Permii I hereby acknowleqe that I have read this application and s[ate that Ihe Booster Pump - ShV Surcharge intormalion is correct and agree to comply with all plica6le State oi Minnesota Stawtes and CC?iIyq(1?agan Ordinan Treatmant PI Signature oi Permitee ?..] APPROVaLS Road Unit A Building Permit is issued lo: Planner - park Oed. on the express condilion that all work s Itbaone in accordance with all ? Council applicable State of ma StaWt and ?y ot E n Ordinances. Bldg. ON. _ Copies 8uilding Oilicial ?-O l Variance - T07AL 25.50 CITYOFEAGAN N_ 13892 3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55121 PHONE:454•8100 ---7 5LI 4-9 BUILDING PERMIT Receipt # To be used for 3-SEA PORCH Est. Value $1, 000 Date JULY 13 1y 87 Site Address 1966 COVINGTON LN OFFICE USE ONIY Lot 1 Block 3 Sec/Sub. BERKSHIRE PONDS On Site Sewege _ Occupancy MWCCSystem _ Zoning ParcelNo. OnSiteWell _ 7ypeofCOns1 City Water (Actuaq a Name SANFORD SACKTER _ (Allowable) w z Address 5AME # of Storias Length ? City Phone 454-0666 Deptn S.F. Total p Name SAME Footprint S.F. , oQ Address APPROVALS FEES " m? City PhOne Assessments _ Permit $2O.50 50 I-M water/Sewer Surcnarge . ww NamO Police _ PlanReview ?z x- Address Fire _ SAC,City plf Engc _ SAC,MWCC aW CityPhone Plenner _ WaterConn. Council _ WaterMater I hereby acknowletlge that I h8ve read this application and state Bldg. Of/. _ Road Unit thattheinformationiscortectandagreetocomplywithallepplicable APC _ 7reatmentPl State of Minnesota Statutes d City of gan O nancps. Veriance _ Parks ? Cooies r• 5ignature of Permittee ` TOTAL ? ? A Building Permit is issued to: °A•"ORD SACKTER on the expresscondition that all work shall be done in accordance with all applicable tate of M innesoutes and Clty of Eagan Ordinances Building Official sQ 1 a o r 4 ? ? C? a'' ? Includ? wta o! plana. 1 d!a p?n M/e??tics?s s `iFDW(a ?aA?. ?DING PP3= WI.ICA7Cl1 Mt o2' warw oalojl?- Qe 'L .. ? pats ?b ? ?°a F10iL Valtat3on oms a?ar sir.c ?l+adresa • ? Blodc sec•/51?• yot ? " ft -?- ? CZ- I _ ? , W Parcel f: AepeLir nre scra .? 1?IPm ? EnlsZ9e Oi+ntr: .? ?? 1?+w c9 . . -_ Ix? Iddt?esss is" ' DrD? ?- ? City/zip aode: ? Yhrne aoncraccor: Nater/'8Mr ?' PLn Q?ecl? Addrpsa: City/ZiP Code: 4 Police giiC S 25 ? lfabas . 4'io 5w? rt?se t: ?fSv HeAr rlanner . ?1 ??? AT'Ch./a]g. Hldg. Of ? ?? ? CYtY/ZiP Oude' Ylxrie '1: ? , : ? L? ? Q . ., a Q N ? r? N ? GJ ? n N 1• ?? Q' = l)1 ?y _A U r j O V RESIDENTIAL BUILDING PERMIT APPLICATION ? I i 715) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 NewConsWCtion Reouirements • 3 registered sfle surveys showirg sq, ft of bt sq. R of house; and all rocteC areas (20% mazimum bt ooverege albwetl) • 2 copies of plan slwrirg beam & window s'izes; poured found design, etc J • lsetotErieryyCalaaLons • 3 copies oi Tree Preservation Plan H bt platled after 711/93 • Rim Joist Detail Optlons selection sheel (Cldgs wilh 3 w less unils) DATE '?I,Il &A ?JB SITE IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER 4)A1_LNP_f i fPE Oi' WORn I Y'?f OEy APPLICANT ADDRESS Il?be?? 021" d .I Nn . D I PAGER # FIREPLACE(5) _0 _1 _2 _3 _ PHONE # ZIP CODE :5?O_ _ FAX # NE1V RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULFS 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 Indudes: Mechonical Contraetor: Dlechanical Sqstem Includes: Sewer/Water Conhactor. Phone # Phone # Fee: $90.00 Fee: $70.00 All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signcture of Appiicant ??44(}Z& Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ CELL PHONE # _ Water Softener _ Water Heater _ No. of Baths Phone I.awn Sprinkler No. of R.I. Baths _ Air Conditioning Heat Recovery System $ I?3,15 RemodellReoairReauiremeMS . 2 capies ot plan . t set of Energy Cakulatim for heated add?tions . 7 site suney fa eMerivr additions 8 decks VALUATION (EXCLUDING LAND) ??loo Updated 1101 i?? ?:, CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ' PH O N E: 454-8100 9.2 BUILDING PERMIT Receipt # To be used for Est. Value ' I ' "oo Date ,19 Lot elock ' Sec/Sub. $'r.EtKSN iRE PONUS Parcel No. a Name . , , ..,,...._ W z Address o r.in, j '..- .- o:;k; a Name ,o 0 ? Address i City Phone City Phone I hereby acknowledge that I have read this application and state that the information is coRect and agree to complywith all applicable State of Minnesota Statutes and City of Eagan Ordinancer? ti' Signature of Permittee A Building Permit is issued to: all work shall be done in accordance with all applicable State of M Building Official OFFICE USE ONLY On Site Sewage _ Occupancy MWCC System _ Zoning On Site Well _ Type of Const City Water _ (ActuaQ (Allowable) # of Stories Length Depth S.F. Total Footprint S.F. APPROVALS Assessments Water/Sewer Police Fire Engr. Planner Council Bldg. Off. APC Variance FEES Permit Plan Review _ SAC, City _ SAC, MWCC _ Water Conn. _ Water Meter _ Road Unit _ Treatment P1 _ Parks Copfes TOTAL 3ndition that Permlt No. Permit Holder Dste Tslephone s Plumbing H.V.AC. Electric 8/Sp Softener Inapectfon Date Insp. Commenta Footings I w Footings II Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Bldg. Final cert occ. Temp. LP Deck Ftg. Deck Frmg. Well Pr. DisP- C f ?G. -. ?+st BUILDING PERMIT CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PFiONE: 454-8100 Site Address 1Q6Ei Lot _.1- Block _I Sec/Sub. USKSME PMM Parcel No. W Name 1G?1?. SAA(?FR ; Address AMW ' 0 City LJ?['?luu Phone 4?A-- . o Name SAW OU Q Address c City Phone o W Name ?W 0 Address i W City Phone I hereby acknowlege that I have read information is correct and aqree to G Signature A Building On the exF Building Official and state that the ipplicable Slate of Receipt # OFFICE USE ONLY Occupancy - FEES Zoning _ (Actual) Const _ Bldg. Permil 2S_M (Nlowable) - Surcharge .50 ;Y ot Stories _ Length _ Pian Review Depth _ SAC, City S.F. Total _ SAC, MCWCC S.F. Footprinis - On Site Sewage _ Water Conn On Site Well - 1Nater Meter MWCC Syslem _ _ Ciry Water Acci. Deposit PRV Required _ SNV Permit Booster Pump - S/W Surcharge Treatment PI APPROVALS Road Unit Planner - park Ded. Council ? &? Off. _ Copies Variance - TOTAL ;2_ Permk No. Pemdt Holder Data Telephone ? WATER SEWER PLUMBING H.V.A.C. ELECTRIC Inspsction Date Insp. Commerts Footings I Foundation . Framing Roofing Rough Pibg. Rough Htg. Isul. Freplace Z.2 Ffnal Htg. Orstat Test Final Plbg• Plbg. Inspector - Notily Plumber Const. Meler En9rJPlan Bldg. Final Dedc Ftg. U9dc F(nal Well Pr. Disp. QUILDING PERMIT - ?- -- - •- SF Lot -1 Parcel No. ? Name = Addre ? City _ ,- Name ?? Addre Ciri _ ? CITY OF EAGAN v 3830 Pilot Knob Roed, P.O. Box 21-139, Eagan, MN 55121 PHONE: 454-8100 ? ReceipR # DWG,/GA'; Est Volue $64,000 Date JULY 23 , 19 ?4 )VIE?'rM I.AliB I Erect n Occupancy R3 -- -Sec/Sub. BLRIiSHIRE PQNDS Remodel ? Zoning • Repair ? Type of Conat. Eniarge ? No. Stories LLER CONST Move ? Length 36 I Demolish ? Depth 46 N-Grade ? Sq. Ft. `t3l - aoo I hereby acknowledge that 1 hcve reod fhis api the intormofion is torred ond pgree to tomi Stote of Minnesota Statutes and City of Eag State Approvob Fees /Rsseument Percnit ? • u 0 Woter & Sew. SurcFarga 3 2. 0 G ? Police Plon check 162. 5(1 - Fire SAC 525.OG . E„q. wore? conn. 4 7 0. 0 C; - Pfannbr _ Water Meter h 3. 0 G r'AUncil Rood Unit 260.00 1Ot Bldg. Off, ble , Parks l ?'T,33 7 .5C? APC Tota Var. Date >?r on the express conditlon tlw+ Minnesota Sfatutes ond City of Eaflan Ordinonces. Permit No. Permk Holder Data Plumbinp ?- HMA.C. l,( r Ekmtric ? 35 ?5 1'h..' d Softenar inspection Date Insp. Othar Footings Foundation Framing Rough Plbp. Rough HVAC insulation ? Final Pib¢ Final HVAC Final •T? f C?rt/Ooc. Water Describe Loeation: YVell Sewsr Pr. Oisp. CITY OF EAGAN Remarks Addition BERKSHIRE PONDS Lot 1 BIk 3 Parcel 10 13750 010 03 owner street 1966 Covington Lane State Improvement Date Amouni Annual Years Payment Receipt Date STREETSURF. 1982 239.09 23.91 10 143.49 A014934 12-7-84 STFiEET RESTOR. 49 1985 123.80 8.25 15 115.55 A014981 12-20-81 GRADING 5AN SEW TRUNK 01 1982 176.04 11.74 15 129.12 A014934 12-7-84 SEWERLATERAL 1982 97-24 3.82 15 42.00 11 " * Sewer Lat. fjj 1985 427.88 28.53 15 399.36 A014981 12-20-8, WATERMRIN 1982 46.09 3.07 15 33.81 A014934 12-7-84 * WATER LATERAL WATERAREA 1482 176.04 11.74 15 129.12 A014934 12-7-84 STORMSEW TRK ° 1985 385.03 25.67 15 359.37 A014981 12-20-8 STORM SEW LAT CURB & GUTTER ' SIDEWALK STREET UGHT WATER CONN. BUILDING PER. SAC PARK MECHANICAL CITY OF EA FiII in nc Tvne or 1. Date ? 1- ?)G -?? 2. Installation Cost 3. Job Address Lot 4. Owner 5. Permit No. Fee s/e Tot. x. v ? -l.,n-, o 6. Address ,v ('.' 1 . i 7. City - ? State Zip . 8. Building Type: Residential 0' Commercial ? Institutional ? 9. Work Description: New L1 " Add O Alter O Repair ? ? 10. Describe Fuel TypeHG, i 11• No. ? Equioment 8TU - M. Ea. Forced Air No. Equipment CFM Ai H dli Mfg. . .- ng: r an 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, alk ordinances and codes governing this type of work. i Signed : ?- for ? Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and appraved. Approved CITY OF EAGAN 464-6100 Receipt '( 1 Y`)(,- PLUMBING PERMIT CITY OF EAGAN Fi!l in numbered spaces Type or Print legibly ' 1. Dat(y 2. Installation Cost c- ? v 3. JobAddress, t LotBlk, 4. Owner Permit Na Fee s/c , ,; i Tot. v i ' - - ^Tract • -c-? 5. Contractor Phone ? 6. Address 7. City 8. Building Type: Residential ,Ia- 9. Work Description: New ? I 10. Describe I 11. State Zip Commercial ? Institutional 0 Add ? Alter 0 Repair O No, - '` Fixtures ; Water Closet No. - Fixtures Cesspool/Drainfield ? Bath tubs Septic Tank Lavatory Softner Shower Well ? Kitchen Sink Urinal/Bidet Other _L Laundry Tray Floor Drains Drinking Ftn. ? Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. i• Signed : for ,'I.. Rough Final Inspections: Date Insp. Oate Insp. This is your permit when numbered and approved. Approved CITY QF EAGAN 454-8100 WATER SERVICE PERMIT NO.: DATE: PERMIT No. of Units: 1 r. No.: I e'rw to oomplp wilr the Cily of lagan OrdIMn?r, x? ? ? ' ? -• ?•,.. ay Dote of I risp.: knnection Charpe: 'Amunt Deposit: _ Permit Fee: 5urcharge: Mlsc. Cho?yes: - Totcl: Dote Paid: CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 211569 PERMIT NO.: Eagan, MN 55121 DATE: " Zoninp: No. of Units: Owner oBep 1 MIller CQI18L Address: Site Address: BE:C s iire ott e Plumber: Plymoutil g _ 7-23--84 7 • M eo?ply wtlh 69 Gty of Lesss Corinecdon Charfle: 425.04 pd Ordinaneea. Accourrt Oeposih 15.00 pd By _ Dote of ?-- - Parmk Fe.: - 0.00 pd Surcharpe: • 5 n Mtsc. d+a?pes: I nsp.. Total: Dote Pald: _ P. o. aox 21-199 EAGAN, MINNESOTA 55121 I DATE teec eiveo AMOUNT . _ .. .? 19 J !f' FUND CODE AIAOUNT /' •?. 1 'l - -ky y ? - G d 1 . ' I ? ? i? ?, [ •_C ._ Thank ? ou , BY c CASH RECEIPT CITY OF EAGAN I /V ' v ?o. G•z? White-Payers CoPY Yellow-Posting CopY Pink-Fila Copy & DOLLARS too []CASH ? CHECK This request voi.o 3??7g??? 18 mon[hs from /` v D 6 618 7 .??1- .t. rj.. _10'_(' a-? ? a s fl va Request Date r v ire No. c.y w?ir 1TYW Rough- inInspection R 7 ?.?L/ a c ? eq ?red ?Readv Now?Will Nnufv insoe?:- 1'es ONo tor Whrn ?Owne+ I nereby request inspection of above o i..,.. Sireet Address, Box or Route No. I1 ?' ?P Co i City `-C??A-tu ect on o. Township Name or No. Range Mo. Count Y T? ? OccuGant (PRINT) '5A&J 6 P-(J ? , ? ?G?('f fZ Pho No, `-1 S `i Power Supplier Address ?. V'? ? • Electncal Contractor (Company Namel ?j I ?k_ Contractor's License No. Mailmg qddress IContractor or Owner Makina Instaitationl Authorized Sign ture /O ner aking Installation) Phone Number - ?1 '5 0??V - \ - -- ovNnV Vr CL[1.1111C.111 Griggs-Midwey Bidg. - Room N.191 1821 Universitv Ave.. St. Paul, MN 55104 Phone 1612) 642-0800 -w -rvartcI iurv 1tEQUEST WILL NOT 8E ACCEPTED BY THE STATE 80qqD UNLESS PRflPER INSPECTION FEE IS ENC LOSED. REQUEST FOR ELECTRICAL lNSPECTIQN « Ee-00001-063 , See insiructions (or comoleGng this form on back of yellow copy. vo D 6,6187 "X'- Be1ow Work Covered bv This Reociest 40. AAd ReP. Type of 6uYltling Appliancea Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lightin,y Fixtures Apt. Building Dryer ElecVic Heatin Commercial Bldy. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tenk Farm Othr.r peci y other (SPnrify) t er Suecify Other Othur ? _mm ?t?? o Inc no.-r- C,... D._I.._. _ # Fee Service Entrance Size p F..o ° TdTAL FEE 511 ??.? .._ A -A ?. Rough-in '-' -v?t psv>>' ? ?-???V/ Da e r Ihe Electrical 4 nspectot, her$by Final e - r the above 7 sPection ha en ?h11? ronuocf vniA 1 A mn.Je.e e...... f- Th- request vold ?/??/? df 18 months (rom O EQR1An,-1?) f:, Phone ?.artL??pry REQUEST WILL NOT BE ACCEPTED BY THE STqTE BppRD UNLESS PROPER INSPECTION FEE IS ENCLOSED, • f????? REQUEST FOR ELECTRICAL INSPECTION ? See instreoctions for completinp this form • EB-00001-06 E 48180 on back of yellow copy. "x'' Below Work CnvprPrl ht, 7h- tt,,,,..,.... ?, the ?nspector, hereby certify thet the above insPection hes been on o above electrical work irkStalled at: I I Kequired? "-?. ?.. I?Fteady Now Q WiII Notily Inspec-I , ? ?Ye5 ?YNo [or WhPn Read ? I ic n o.? ci l. y +'!' al ?,OI1trACt01 ? Owner I hereby request inspecti } ? nougrl-in I ( (/ - ) This request void 16 mpnthS trom A 5 4 7 5 Lc 3? ? P?,? ? o Request DBte , Fire No. Rough-in Inspection / L A ) Re ired7 ?Ready Nuw Will Notify InsPec- - z t ? Yes ?No tor When Ready Licensed Electrical Contractor I hereby request inspection ot above 9 Owner elactrical work installed at: Stree3f dr ss Box pr% Route No. C ft ectio o. Township Name or ? Range o. Co y Occupant (PRINT) Phon No. : ec" P 9dd , n -, Electrical Contractqr? ( ompa 71 Cont ctor's License No. Mai ing Address (Contractor or wn r Making Instail o" j Authoriz d Sipnature ( r or/Owner _,king Instaltation) C%?" ? r:. ! 1 Phone Number ` MINNESOTA STATE BOARD OF ECE@TRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midwey Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 66104 UNLESS PROPER INSPECTION FEE IS Phone (612) 297-2117 ENCLOSED. REQUEST FOR ELECTf CAL INSPECTION . ,?. See instructions }or completinp this torm on back of vallow capy. II ?.{ A? ??47'? ""X" " Below Work Covered by This Request ?? '-, iyew Add Rep. Type of Building Appliaoces Wirsd Equipment Wired Home Range Temporary Service Duplex Water Heater ghtin,y Fixtures Apt. Building o?Dryer Electric Heatin Commercial Bldy. oPb mace Silo Unloader Industrial Bidg. Air Conditioner Bulk Milk Tank Farm Othe7 5,777 Oiher {Sper,ifyl ther SpecrfY Oiher Oth(-rr tlBlnW M Fee Service Entrance Size a Fee Feeders/Subfeeders # Fee Circuits / C 0 to 200 Am s 0 to 30 Am s ,?2.5'0 0 to 30 Am s Above 200 Amps 31 to 100 Amps 31 to 100 Am s Swinunin Pool Above 100_Am s Above 100_AmpS Transtormers Irrigation Booms Pariial Signs Special Inspection ?y $ Remarks E / Rough-in Oate V ? ? ? ? I, rical InSDBCtOf, hBreby Final certify that the above ? Date ? inspection has been / ? , J made. TAIs requeat void 18 months from i. , . - ..- ? ? 4.. ? . ., . . 2/84 ? I "i . CITY OF EAGAN J lll APPLICATION ,FOR PERMIT , , .? «.+.•,. ..? • SEWER AND/OR WATER`•CONNECTIO?N ., ...,..M .. _«,:?., ._ .., (PLEASE PRINT) 1) PROPERTY ADDRESS: ? C'gUi ,LJ p.1:I . r.FrAr• DESCRIPTICV: /0 7t" (Lot/Block/SLilxlivision or Tax_Parcel..I. ...N IF S'?'P.[.'CP'RE , Dt1TE OF ORIGuIAL 'cuILDL`:G P7:•ST.ISSuA:G._. ' . ...;.. ?...._ ?..?:1 . PRESL:: --1M`II.r,/P?0POSED C'S_ Cd R-1 Si?;Q.;?FPtiLII.Y 4L . ? R-2 DUPL..Y-(ZWO`UNITS)° - ? R.-3 ZCSRNFCUSE_ (TH.4EE .+ UD]ITS) ( . : Wi ITS) L1 R-4 APAx2U 1L?/CMMQ%?L`72IIb1 UDIITS) ? CamiMERCLAi,/RETAIL,/OFFICs: ? L1'DL'STRIAL _ [j PNSTITC,'TIO:VAL/GGVERi1Mt.'\T . 2.) p,ppucTyrr (PLEASE AflINi) NANIE: ?e A'/i!/e1- aDDtzESS: . . _. __... . .. ,. l8/33 Ce.J4., A?? S CITY, STAT;', ZIP: M1w Pxo`L?E: 4131- .2o0 ! ?. 3) PLL;•IDE.4 PLEASE PRt?Ts ... _; 1 FOR CITY tISE ONLY , ., 7 *O4?c P/u»,6 • ? rDDREss: ,.) /Y.22P aaP.CQ ,4QC . PLUF}eEFS LICENSE: ` ' , Ac[ive CITY, STATE, ZIP; ??v MoWN. h'I?J - Expired PH??: ? . -'FiliSic7 3L1J PLUMBER.LICENSE N??p/,5/f'J.3?"'''''' ,?]Not af etor a nitia q) O(..,'?JPAN'1`/(JZTER ' ". IYICAD[ YN , 1N . 1) ... . . . . [?"?: .. . .. , . . ADDRESS: ° 77 CITY, STATE, ZIP: SI?/m c Ts ? ,. .,. .. . ' . .. . -, ??.i,. ... . , PHONE: 5) INpIC11TE SVFIICEI, PF.FtMIT IS BEING RFQUESTID: ? CODINF..GTION TO CITY SLTdIIt ..... ...... . . . . ? CONNF7CTZON 'i0 CITY SVATEft _ _.. , . ._._ . , _ .... _ _._. . [3 O"'[Tt (PI.EASE DFSCFtIBE) o? uautc:?.:: U.L: ' . .. . ? PLEdSSE F?Dii] RPPR(7Vm PERMIT FOR PICF:-UP SY ONE OF AHWE ? PL£e1SE IMAIL APPROVm PF?L%IIT M 1. 2. 3. .4 .ABOVE.._ . . _ (Ci.rcle one) ` . 7) SI^?r17G'RE: ??? _•, , DATE ac7/3/ !p y ? ; - , ? ! C z/aa 1r-_ CITY Oc EAGAN APPLICATION FOR PERIMIT • -' SEWER AND/OR WATER CONNECTIODI (PLEASE PRINT) 1) PP.OPEFrP'_' ACDRESS: r.Fr.+L DESGIIPTTCJI: (IOt/$IOC)C/SlibC.1V151CR OS `raX Y3LC21 l.D. NL-m2'_') i u_;r?__:c s?::c^T?, DaTE os oRIcLU?L E:;I-_^r.:C _-_1T ??. PDFCL?T C'SE: ? R-1 Si= c?MffL`r ---- ? RZ C[JP7-.7 (7.%'0 L^;I^5) ? R-3 'IC?:1i,Zrrv,cg (m?7=- 1. L`]I:S) ! II.I2_-) ?:?l.i.7T;r?.1 ? ? _c-? y:_.T? :T ? TJ?::I`:J/ /? .. ?. ? CCi':1SE°.C?.3L/ :u%+?il?C?^?.'I'•?••?• ? INSTI:L'PIC::AI./G:j=?:?`z'`7. 2) APp?iG:1^' ;PLEaSE Paltir) NAf•tE: ACDRESS: C=. STXI'--, ZIP: - , PHO.IE : 3) Pc=-, tPLcASE rHlNI) FOR CITY USE ONLY NP ? : PLUHBERS LIC:NSE: PDDRESS: ? Active CITY, STATE, ZIP_ Q E:pired ' PHONE= N?I:n ? Not of Record PLUPIBER IICENSE N af ntiid 4) OCCZ+??/Cr,'ITTER NAME: ADDF2E55: CTTY, STA'I'E, ZIP: PFIO*]E: tYLLRJt YNltll) 5) INDICATE WFIICIi PEMIT IS BEING RECUESTID: ? CC.`.'DIEC:I0:1 TJ CITY SEYIER ? CO[VNDCrIO;] 'Io CITY 1'7A'I'ER ? diEER (PL?`,SE DFSCRIIIE) bl 1t:DiG,'1Z G.Z: [] PL: 1SE I?OID APPP,CJVID PEf2.'?LLT FOR PZCi:-(iP BY ONE GF tl&CVE ? PI.EASE :*'.?1IL APP.+VED PER:-LIT 'P'J 1, 2, 3, 4 AE(JVE (Circle one) 7) SIC.%T[.'RE: ? , - DA'Ir: MR we aau?s FC]R C PEBMIT " ISSUED Fz'ES: S 1il `? C $ $ S $ $ i S $ $ $ $ . S U S E O[V;,Y S°L-iER ncp5?TT (I`ICI,;:7E Sli?C::.3Gc} SdAT_°'Z PERi1T^' (Z_:CiUDc S;iRC :ARGi) WATER METEP./COPPE3HORN/OUTSID : REnD: 3 WATER TAP (INCLL'DE CORPORATIODI S'^C?) Sc;6EQ TAP ACCdUNT DcPOSIT - PiAS'E^ whC SPC TRGVK IQaT°R ASS: Sc;1r::T TRu2i:{ SE:dER ASSESS:i°,iT LA:cR:,L BE:iEFIT/TRUNiC =,•iE^ I.aTr".:3AL BENc.FZT/TRUtiK Z•7AT°R OTAER ' TOT,,L Ai".OUNT PAIDjRECE.?T ?/ J DOES UTILITY CONNECTZO:I REQUIRE EXCaVATION IN PUBLIC RIGHT OF WAY? ? YES IF YES, THEN A"PERMIT FOR ;QOR?: WITHZ:1 PUBLIC ROADWAY" MUST BE ZSSU£D BY THE ? NO ENGINEERID]G DIVISION. LIST AS A CONDI- TION. SUEJECT TO THE FOLLOWING CONDITIONS: • :.' APPROVED SY: TITLE: DATE: ?JeT:+ S.c+M 06 M ?M N.PE Mt+&* M 06 M J"@ w40 RfO SaWw?.? 1987 BDILDING PERMIY APPLICATION - CITY OF BAGAN SINGLE FAMILY DWELLINGS INC[.QDE 2 SETS OF PLANS, 3 CERTIFIC9T&S OF SIIRVEY, 1 SBT OF ENERGY CALCOLATIONS NOTE: ADDRESSES FOR CORNEH LOTS - CONTRACTOR/HOMfiOiiNER MQST DESIGHATS WHICH ADDRESS IS DESIRED. NO CHANGES WILL BB gI.LOWED ONCE BQILDZNG PERMIT IS ISSOED. MOLTIPLE DiiELLINGS - RESIDSN?IAL INCLUDE 2 SETS OF PLANS, CfiR 1 SET OF ENERGY CALCULATIONS COMhILBCIAL RSNT9L i1NIT5 FOR SAGE t1BTITS OF SIIRYEY - CHECB WITH BLDG. DEPT., INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND 2 ?JeeV, PC3 v'c?\ ? To Be Used For: ]'?-`?2q,gar-• Valuation? ? U U o Site Address ? fLL' ? ?dv ivo & Co y" OFFIi Lot ? Block ? On Site Sewage` MWCC System Parcel/Sub On Site Well _ I Owner C jot Y`jC? ` r 7G. City Water C.J Address ( 0-' 1 m Gi6-y'f ?-? City/Zip Code k) Phone 'l J ! - 0 &(?O Contraetor V,-le Addres City/Z Phone Arch./ Addres City/Z Phone S APPROV9IS Assessments Water/Sewer Police Fire Engr Planner Council Bldg Off APC Variance Date: l o2v Oecupaney Zoning Type of Const (Aetual) (Allowable) ik of Stories Length Depth S.F. Total Footprint S.F. FEES Permit a(.). SG? Surcharge Plan Review SAC, City SAC, M4lCC Water Conn Water Meter ftoad Unit Treatment P1 Parks Copies TOTAL oT ? ?= COHSUtTIHO tHO Nfl11f ENGINCEAtNG PLRNHeAs and LflND iUAY[YOfif InF ? COMPANY, INC. ,?.. 1000 GUT 1441R STR[CT, EUIlN3VILl[, MINMC30TA S5317 PH 472-3000 l"L.d4?t'a'7t • LOT % BLOCK 3, BER.?'SH//2E DA.faT9 COUNTY, M/NNESOTA, J? DENOTES ?ROPOSEp: ? rt ' . ELE!/,qT/ON; s + "-?? %' %ND/CATES D/RECT!ON / r ? } OF SURFACE Df7.9?N,4GE r ; ? , , ? l? ? ry l ? 41 ? . . y.?. . 1 ?J? / ? ,SNED GARRGE fL 0OR ??? ?' µ? Z E,44 7'101v ? o PONOS, t L ANE ,,? y_ 3 S' :DO a a? •, ? uwaw?G I?e7?? ?" f ( I ° F?doRx..@ 3d ? ? ?? W I ;?e ? ?. Af N ? O . o ? ? -- ? _ ? ? - - - -? a' ?lg's. ? 30 I? 99p 3`S'j4"!T/ " ?j^ ,. ? . ? . ``? . ., ? L T ?cn ? L'? : z: . , ?30 FRONT BU/LD/NG ? SETBACK C /NE ? ON M ? N " 0 . ? N _ . ? I ? , h _ I .. ht="eby caMity that thii i• A trua ind correct r+preientation o! A tract ot and at sho+m'and detcribed hereon.. Am prspared by me on this:ri`?_ dar ot {'i ? , ,... k' . ' .. . . . ? . ? ? , , ? . .! f i . . . /'?. . ' ? _ . . ? _E?wY-_?.? ? f i ,aOBE CONSUlTINO !HO Ht!!fS ? ENGINEEAING PLRNNlAS ond ?AND ,UIIVtYOlIS COMPRNY, INC. ?1000 WT 1461K ST1lCCT, CtxINSVILL[, 111NNClOTA 55337 PH 432-3000 cef-? ? ?ar su.?=z.-e y on • GOT /, BLo CK 3, BER.t'Sf/iRE PONDS, DAKOTA COUNTY, M/NNESOTi9, ? ? ? GANE ?- _ M_ INB9°35' 34"?.ti ?'?D j 93r.c? SCAL ORT/?r 30' , v OO ?% =,e )9.?) o Zs.o I ie 30'FRON7 P ? b?r.wsG N I •SG'K 4ENO7-ES lble L ELE!/AT/ON (93a?o) DENDTES PROPosED ? 9;?1 ? ? FP8> - ?, OqN EL EY/IT/ON ? I N.I m. ?? /ND/CATES' D/RECT?Oy ? I ?34._ o,e ? N OF SURFACE DR,9nv,4?E ?,°„ ',° ,??° C?eAJ ?a?; o W o ? )?/?? o) O 1 125 L _ v ? I GOT / ? -,-.- ? ? a Z7 F?N/SHEA GARh'G?' FLOOR ?U _ ?s FcE?Arian? = 939,33 ? ?, h • ti ?q39.o 85. DD 3o N99°35"?34"!1/ 1 30'F.R?NT 9U/LO/NG SETd/yC:t' UT/L/TYEASE+NEiY ' hereby ceMify that thii ir a trua and cormct ropresentatlon of a tract ot and as iho+m'and.deecribed herion,. As pr.pared by fie on thit i7*/ der ot ?.e? ? 19 ;B4--. ' . -- f?_.. .4? 1991 BIIILDING PERMIT APPLICATION 1 ? CITY OF EAGAN SINGLE FAMILY DWELLINGS MJLTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PI.ANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - 6 STRUCTURAL PLANS 1 SET OF ENERGY CALCUTATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCUTATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APYLIES STEiEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY IAST WORKING DAY OF HONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER IATS - CDNTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRfiD. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: -E` It Site Address, Lot ? Block 3 )1?(<L Valuation: Date: ? O( olq' Parcel/Sub BEHY ??'? ?"'DtS Owner Sr?vXav [T J• J Rc L?? 1i Address q 5 City/2ip Code e)tbo ue Phone --? Contractor .5? T- Address City/Zip Code Phone Arch./Engr. Address City/Zip Code Phone # OFFICE USE ONLY Occupancy Zoning Actual Const Allowable # of stories Length Depth S.F. Total Footprint S.F. On site sewage_ On site well _ MWCC System _ City water _ PRV _ Booster Pump _ APYROVALS _ Planner Council Bldg. off. Variance FEES Sldg. Permit p? rJ,O ? Surcharge - 5? Plan Review SAC, City SAC, MWCC Water Conn. Water Meter Acct. Deposit S/w Permit 5/W Surcharge Treatment P1. Road Unit Park Ded. Trail Ded. Copies SIIBTOTAL Penalty Lot Change TOTAL c? =14? Sewer/Water agreea that all woik shall he done in accordance with of Contractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. Use BLUE or BLACK Ink f I For Office Use I I I I I I Permit City of Eap Permit Fee: 4P6';5- 00 1 I 3830 Pilot Knob Road (ry I Date Received: Eagan MN 55122 Phone: (651) 675-5675 I Staff: 51) 675-5694 C~' ! Fax: (6 I INFLOW 1 II LTRATION PERMIT APPLICATION lumbing I Sewer & Water Date: Site Address: -I Ub C6i Tenant: UW o,- Suite Name: re Phone: RESIDENT/ OWNER Address / City / Zip: ck rye 64-o S y~e Name: License Address: City: CONTRACTOR State: Zip: Phone: Contact: Email: u PLUM13ING (Within the building envelope) I SEWER & WATER (Outside the building envelope) TYPE OF WORK ~mp Pump Repair Repair Other: Other: Description of work: LA,cf i u #w C C~ p' f DESCRIPTION I $55.00 / Each (includes $5.00 State Surcharge) TOTAL FEE *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit Ill repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.citvofeagan.com/inflow, or City Hall at 3830 Pilot Knob Rd. 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 agan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; t e work 'I be in accordance with the approved plan in the case o wfib res a review and approval of plans. x x Name I L",' - A - - A icanYs Si A nted ir FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground -Rough-In -Final PERMIT City of Eagan Permit Type:Building Permit Number:EA110669 Date Issued:05/21/2013 Permit Category:ePermit Site Address: 1966 Covington Lane Lot:1 Block: 3 Addition: Berkshire Ponds PID:10-13750-03-010 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Window or Door:window Chelsea Laughlin Valuation: 500.00 Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 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 - Jeffrey R Lee 1966 Covington Lane Eagan MN 55122 (651) 707-6205 Window World AKA Probuilt America 2211 11th Ave E, #130 N St. Paul MN 55109 (651) 770-5570 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA128265 Date Issued:11/03/2014 Permit Category:ePermit Site Address: 1966 Covington Lane Lot:1 Block: 3 Addition: Berkshire Ponds PID:10-13750-03-010 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Jeffrey R Lee 1966 Covington Lane Eagan MN 55122 (651) 707-6205 Home Depot At Home Services 656 Mendelssohn Ave N Golden Valley MN 55427 (763) 542-8826 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA138024 Date Issued:08/04/2016 Permit Category:ePermit Site Address: 1966 Covington Lane Lot:1 Block: 3 Addition: Berkshire Ponds PID:10-13750-03-010 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - 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: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Jeffrey R Lee 1966 Covington Lane Eagan MN 55122 Polar Builders Inc 1103 West Burnsville Parkway Suite 110 Burnsville MN 55337 (763) 370-0074 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA174366 Date Issued:01/20/2022 Permit Category:ePermit Site Address: 1966 Covington Lane Lot:1 Block: 3 Addition: Berkshire Ponds PID:10-13750-03-010 Use: Description: Sub Type:Furnace Work Type:Replace Description: Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 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 - Jeffrey R & Shannon Lee 1966 Covington Ln Eagan MN 55122 (651) 707-6205 North State Mechanical 1444 14th Street W Hastings MN 55033 (612) 207-0345 Applicant/Permitee: Signature Issued By: Signature