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
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,
W
Parcel f: AepeLir nre scra .?
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Iddt?esss is"
' DrD? ?-
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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
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_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._. '
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PRESL:: --1M`II.r,/P?0POSED C'S_ Cd R-1 Si?;Q.;?FPtiLII.Y 4L .
? R-2 DUPL..Y-(ZWO`UNITS)°
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? L1'DL'STRIAL _
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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
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3) PLL;•IDE.4 PLEASE PRt?Ts
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1 FOR CITY tISE ONLY
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. PLUF}eEFS LICENSE:
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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
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ADDRESS: ° 77
CITY, STATE, ZIP: SI?/m c Ts ?
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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)
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7) SI^?r17G'RE: ??? _•, , DATE ac7/3/ !p y
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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'_')
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2) APp?iG:1^' ;PLEaSE Paltir)
NAf•tE:
ACDRESS:
C=. STXI'--, ZIP: -
, PHO.IE :
3) Pc=-, tPLcASE rHlNI) FOR CITY USE ONLY
NP
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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
+
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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
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,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 ?- _
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INB9°35' 34"?.ti
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SCAL ORT/?r 30'
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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 ? )?/??
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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