1967 Covington Lane
íü
øð
þýýüûú ú ÿ
ùüüýýÿûøìî
ó
ã
þý
ÿþýüû êåúÿýüû
ùýüûêû
ûÿßÜ
úÿúîî äÿûü
Þ
ôÿë
åóûûûåóõÿõóû÷àåþè
ý
ÿûþÿåûè
úþõçôÿþü÷åõüóõè
ëéâéííè
í
èî
í
öù
ÿó Ýÿéâéè
ð
èð
Ýÿ
è
õó
òñ
ûû
ûüúõ ÿúâõþüò
îáøê ÿ
ðáãúæ
òøòø á
ñáïððî
í
óþü÷ó
óæóûûóóåõõûü÷óûûþ
åò ÿúüåäè
ûûà
õ ÿ
ÿü ÿ
INSPECTION RECORD
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITEADDRESS: Lor: 21 BLOCK:
1967 COVINGTON IANE
BERKSHIRE PONDS
PERMIT SUBTYPE:
BA3EMENT FINISH
PERMIT TYPE:
Permit Number:
Date Issued:
2 APPLICANT:
WH2TE
(612) 686-8522
TYPE OF WORK:
DESCRTPTION
BUILDING
021041
05/28/93
JEFF
ALTERATION
TOILET ROOM
? _ , .._ -- - - - --?
_
L „
.
- -_ .. ._.. _
_.._. --- --
?
------- ?
REMARKS: SEPARATE PLUMBING & ELECTRICAI PERMITS REQUIRED
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: euxLoiNG
3830 Pilot Knob Road Permit Number: 025655
Eagan, Minnesota 55122-1897 Date Issued: 0 5/ 2 4/ 9 5
(612) 681-4675
SITEADDRESS:P•z•N.: 1e-13750-210-e2 APPLICANT:
LOT: 21 BLOCK: 2
1967 COVINGTON LANE MCDONALD STEVE
BERKSHIRE PONDS (612) 454-0707
PERMIT SUBTYPE: TYPE OF WORK:
DECK NEW
F ,
L
?
?
eUILDING PERMIT
T_ ?- -J 8-'
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagen, MN 55121
PHONE: 454-8100
582?OQO
Receipt #
Site Address Erect 13 Occupancy
Lot Block Sec/Sub. ` Remodel ? toning
Parcel No Repair ? Type of Const.
. Addition ? No. Stories
N Move ? Length ,
W
? ?e
Address
'. Demolish
Int. Impr. ?
? Depth
Sq. Ft.
City Phone Install ?
? O N811'le
Addre
?- Citv _
Neme _
Address
Phone
I hereby acknowlmdga thot 1 have reod this opplicotion and stote that
the inlormation Is correct ond egree to comply with oll applicoble
State of Minrxsoto Statutes ond City of En9on Ordinances.
Slpnaturo of Pertnittea
A Buildinp Permit fs issued to:
all work shall be done in accordance with oll opplicable State of Mir
Bulldinp Officiol "
Phone
/lssesunent Permit
Woter & Sew. Surcharge
Police Plan Review
Fire SAG
Erq. Water Conn.
Plonner Water Meter •
Council Road Unit
Bldg. Off. Tr. PI.
Q
APC Perks
Var. Date Coples
Taai - J
on the express tonditlon ihot
mota Statutes ond City o# Eopcn Ordinonces.
PKmit No. Psrmit Holdsr Dste Telsphone ?k
r???ing
H.YA.C. l?e f C ll??L? ? / 0 i ?o? 5y(C?
Ebctrie
8ohww
Irupeetion Dats Insp. Othar
Footings 1 / O 3
Footings 11
Foundatlon
Framfng
Rooflny d _
Rouyh Plbg• ?j. .
Rouqh Hty. - ? - ' ?
fi .
InsuL
Flroplaw
Final Htg.
Final Plbg.
Final
ce.voca
Wat.f Describe Location:
Well
Sewsr
Pr. Dlsp.
Reaipt MECHANICAL PERMIT Ptrmit No.
CITY OF EAGAN • r. ?,
Fe.
FI!l /n numbered spaca S/C ? •; :
Type es Prin[ leyib/y ToL 20.
1. Date 2. Irntallation Cost k.
• ., ,,,e
3. Job Address' , r7.^-; l.ot Blk. Tract
4. Owner R `.
5. Contractor - ' •
6, Address
Phone
7. City • State ? '?" • Zip
8. Building Type: Residential 13 Commercial ? Institutional O
9. Work Desaiption: New El Add 0 Alter ? Repair ?
10. Desrxibe T=.: .1 11 ?T g???? .,.- .` i=? ' " Fve1 TYPe
11.
No, EsiujGment 8TU - M. Ea.
Forced Air No. EQUipment CFM
Air Handlin
:
Mfg. g
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
? Gas, P"iping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
oomply 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
PERMIT #
PLUMBING PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE
PHONE: 454-8100
Site A dre s v? ?'? • /
Lot?
BIOCk Sec/SU ?
_
L ? r . ' - ?•
?
!"' (
Name 42,
m
?o
Address
c City XIS`' Phone ? L'
Name
3 Address C ?? f,,,, j„
p City Phone
FEES
COMMIIND FEE - 196 OF CONTRACT FEE
MINIMJM - RESIDENTIAL FEE - $10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - ,50
(ADD $30 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNATURE OF PERMITTEE
FOR CITY OF EAGAN
BLDG. TYPE WORK DESCRIPTION
Res. New
Mult Add-on
Comm. Repair
Other
NO. FIXTURES TOTAL
Water Closet - $3.00 $
Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00
Urinal/Bidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.50
Whirlpool - $3.00
Gas Piping OuUets - $1.50
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE ? •
STATE S/C:
GRAND TOTAL:
Roaipt
PLUMBING PERMIT
cinr oF EAGow
fill !n numbened woon
Typs or Print /syiWY
Date -e - ?_ ? 2. Installstion Cost
Pernnit No. '
FM 'i
S/C
Tot
3. Job Addreu Lot -? Blk. Tract "
4.Owner
5. Contractor X - .• ? ? ? "? Phone B. Address 7. CitY -- `?-'? State 2ip -
8. Building Type: Residential 9
9. Work Description: New 9
10. Describe
11.
Commercial ? Institutional O
Add ? Alter ? Repair ?
No.
/ Fixtures
Water Closet No. Fixtures
l/D
i
fi
ld
Ce
/ Bath tubs sspoo
ra
e
n
S
ti
T
k
/ Lavatory ep
c
an
ft
S
1
Shower ner
o
Well
Kitchen Sink
Urinal/Bidet h
O
%
Laundry Tray er
t
/ Floor Drains
Drinkiny Ftn.
Slop Sink
Gas Piping Outlets
12. 1 hereby oertify that the above information is true and oorrect, and I agree to
comply wiM all ordinances and codea governing this type of work.
Signed : /" a for ' . ., ., .
Rouyh Finsl
Inspections: Date Inap. Date Insp.
This is your permit when numberod and approved.
Approvcd CITY OF EAGAN 464$100
CITY OF EAGAN Remarks
Addition BERKSHIRE PQNDS Lot 21 aik 2 Parcel 10 13750 210 02
Owr,er Street 1967 Covington Lane State
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. c!? 1982 239.09 23.91 10 / '06 d- ?-oZ3 -,o-
STREET RESTOR. 1_ 4-4
GRADING
SAN SEW TRUNK 1982 176.04 11.74 iS I7, ;2? - G
SEWEA LATERAL qbi 19$2 57.24 3.82 15 , 116 :2..
* ,13 1985 27
8 53 0. 8 c?o/i oz,.
WATEFiMAIN / 1982 .
46.09 ,
.
3.07 15
* WATER LATERAL 19
WATER AREA 1982 176.04 11.74 15 ? L 1_1?2
STORM SEW TRK 1$5 385.03 3r
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. oo-no
BUILDING PER. 11026
sac
' PARK
INSPECTION RECORD
CITY OF EAGAN PERIIAIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
? SITE ADDRESS:
•? ?? 1 0- 1 ON 1 nrJl
tti I,t :,li f !ti i'ury1i' ,
PERMIT SUBTYPE:
' i, h) I I ii 1'.11
I I t kAM i tdli
I'
?
?
1 141 n4 r
APPLICANT:
TYPE OF WORK:
1rl ,i ; 1, ! : i'1'1
I i N111
1,1 r'ai.nti i'iilrrHinl, r, ltrt iliil Ai 111- I:Mr i': kt(11)] Vi
\1 Il frf1I I f1N
I t) 1 I f- i t.F?i1M
-1
?
Permit No. Permit Holder Date Telephone b
SlW
PLUMBING
HVAC
ELECT
ELECT j 9
Inspectlon Oete Inap. Commems
Footings I
Foundatron
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Ffnal Htg.
Orsat Test
Final Plbg. •_?f , Plbg. Inspector - Noti(y Plumber
Const. Meter
EngrJPlan
Bldg. Final ,2
Deck Ftg.
Deck Fnel
Well
Pr. Disp.
ir, I
_-?-_.- ?..?._.?........?....___. ._ ?,
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675 ??? I
SITE ADDRESS: 10 ? W)16 . *1" u , '
??? f .• ? ft ? r,?. F
? ?iV I hll? f ijN 1 ANt
1.';N1FtF F't1N{t
PERMIT SUBTYPE:
I I , -i + I r4w
APPLICANT:
pl? ????iI1?1 ??
1.' t V, ?1 H f0
TYPE OF WORK:
I 1 Nil!
?
?
?r?
Permk No. Permk Holder Data TebphoM t
ELECTRIC
PLUMBING
HVAC
Inspsctlon Daoe Insp. Commertts
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FlNAL
BSMT R.I.
BSMT FINAL
UECK Ff(3
DECK FlIVAL ?G
CITY OF EAGAN
3830 Pilot Knob Road
p. O> Box 21199
Eagan, MN 55'??11
Zoning: omes
Ownef:
Add"ra , „?. nrt?n n
DATE:
No. of Units:
Site Address:
PlUmbBr: -
MltQf NO.:
rr
i Size:
Reodsr No.: '
I Nme eo o"Ply wo eM Cit1r of E+qew
OrdINnw.
By
paM of I nsp.: p f?
? r p r v Y/
?"uW bepo@t. OD-p-d
Permit Fee: • P?
Surchorye: , p
Misc. Choroes: b 3, 00 d met er
Totol:
pate Pafd:
I CITY OF EAGAN
3830 Pilat Knob Rosd
P. O. Box 21199
Eagan, MN 55121
Zonirg.
M :?O`??2a
QWner:
/4ddrcss:
Site Addreu: i'' 67 CC?vin•'tGn T x'i
1.aEteS i dp O'Lii'tt7b
Plurnber:
: I Nm te ewPt! V40 !Iw C? of BMeM
; QWi?enen.
By
Dote of Irup.:
WATER SERVICE _PERMIT
PERMIT NO.:
SEVIIER SERVICE PERMIT
PERINIT NO.: ,
DATE:
_ No, of Units: -. 1 t1l? . DUp?
Cor,r,ection Oarqe:
? ?t ? ppsit: ? }v c?'
!nc
Surchor0e:
_ Misc. CMrpss.
_ Totd:
_ DoM Paid:
-, -1
-
' y
_5
1
1
7
e0
4
4/
Request Date F' e No. Rough-in Inspection
Requiretl? NOTICE: You Must Call Electrical Inspector
If A Rough-In Inspection
? ? 7 es ? No Is Required.
I icensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Sireet, 64z or Route No.) City ?????
/'3 (? C-OViA& TprQ CA//C
Sectlon No. Township Name or No. Range No. County J94?Lo TA
Occupant (PRWT
? Phonello.
?L?
Power Supplier Address
Electrical Contractor (Company Name)
C? ?t.r4 K? ?Et,JG
M?C 1Av C, Contrador's License No.
G4 0 Q I.S_
Mailing Adtlress (Coniracior or Owner Making Insiallaiion) Cr,
Y? ???0 7?,?.?( EA b.??VfA? ?J r
Authorized Si 1ure ontr or/ n in tallation}
?
Phone Number
-MINNESOTA STATE BOAROF ELECTRICffY THIS IN5PECTION REQUEST WILL NOT
Grlggs-Midway Bldg. - Room 5-173 BE ACCEPTED BV THE STATE BOAFD
1821 Unlversity Ave., St. Paul, MN 557D4 UNLESS PROPER INSPECTION FEE IS
Phone i612J 642-0800 ENCLOSED.
REOUEST FOR ELECTRICAL INSPECTION Ee-oooo,-oa
/ / 7 ? See instructions for complettng this Form on back of yellow copy.
c? ?r
M 04761 "X" 8elow Work Covered by This Requesf ??.,,?.•,
ew Pxld Rep. - Type of Building AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
Other (specify) Contracror's Remarks: a.r ? QQ'? J=`Aj ls(.,? ? /) /'(s'
r+
Compute lnspection Fee Below:
# Other Fee # Service Entrance Size Fee # CirCUits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps Above 100 Amps
SignS Inspector's Use Onry: TOTIZ#
Irrigation Booms (?j• G Q,.3O
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
certify that the above inspection has
been made. Rough-in t
Final . Datl
(
a?
OFFICE USE ONLY ?
This request void 18 months from ?
? , -
f-iRS T lYJO({ 7(0 /
oVA?'?
?
O•
Request Date
3 y? Fire No- Rough-in Inspection
Required? NOTICE: Vou Must Call Electrical Inspector
11 A Rough-In Inspection
? Yes L No Is Requiretl.
I 'censed contractor ? owner hereby request inspection ot above electrical work at:
Job Addre
s
s (
S
treet, B. or Raute No.) Clty
(
?
r
-
??
?VfAiCI'V1J ?rVI{ G? ?/?? /?
G./Yt?/?A)
Section No. TownsM1ip Name or No. Range Na County
DA?-
Ocwpent (PRINT
? t?,lttiNL Phons Na.
?O?'6-3.5:?.?
PowerSUpplier Atltlress
Eletlrical Contractor (COmpany Name) Conhador's License No.
ca4(44X0L f L,#-C?,ecIli_ iAec. Q/1 tio?/s
Mailing Atldress (Cootractor or Owner Meking Ins Iletion)
j , ?'1C?f1?c 1.vioVjA 'TM6t? F444GAPl A10
Authorize - natw (CO ctor ne stallation) Phone Numbar
y
MINNESOTA STATE BOAqp OF ELECTPICITY THIS INSPECTION REQUEST WILL NOT
Grigqs-Mitlway Bltlg. - Poom S473 BE ACCEPTED BY THE STATE BOARD
1821 University pve., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE I$
Phone (612) 642-08pO ENCLOSEO.
REQUEST FOR ELECTRICAL INSPECTION ee-ooooi-oa
3e 0{
0- See Insimciions for campleting Ihis lorm on back oi yellow copy ? .' ?J?O? ?
7 6 j ?X" Below Work Covered bv This Reauest
ew Adtl Rep. TypeofBUilding AppliancesWiretl mentWired
Home Range ervice
Duplex Watef Heater
ing
Apt 8uilding Dryer ment
Comm./lndustdal
Furnace M
y)
Farm pir Condtioner
Olh¢I (6GBCify) OO11tT ?"
,?`?' e/
CamputelnspectionFeeBelow: ?k ?? 0Q1e.+v ir?l. ^-?C?,,
e
# Other Fee # SeroiceEntranceSize Fee # CircuiGS/Feeders Fee
Swimming Pool 0 to 200 Amps 0 ta 100 Amps
Transtormers Above 200 _ Amps DD _ Amps
SicJns Inspeaor5 Use Only TOTAL
Irrigation Booms uA aiz 3?,
Special Inspection '
Alarm/Communication THIS INSTALLATION MAY BE ORDEREO DISCONNECTED IF NOT
O[her Fee COMPLETED WITHIN 18 MONTNS.
I, the Electrical Inspector, hereby
certiFythat thea6oveinspectionhas
been made.
-'"
Ro°91
F??ai ?
?-r!
re
OFFICE USE ONLV
This request void 18 months from
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
PERMIT c? 7sy77
-93
PERMITTYPE: aurLoiNG
Permit Number: 021041
Date Issued: 0 5/ 2 B/ 9 3
1967 COVINGTON LANE
LO7: 21 BLOCK: 2
BERKSHIRE PONDS
P.Z.N.: 10-13750-210-02
DESCRIPTION:
TOILET ROOM
B.tfild ni g? Permit Type BASEMENT FINISH
Building~W0.rk Type ALTERATION
\<
\
?
Y \J`
REMARKS:
SEPARATE PLUMBING & ELECTRICAL PERMIT3 REQUIRED
FEE SUMMARY:
Base Fee $35.00
Surcharge i.50
Total Fee $35.50
CONTRACTOR:
L
OWNER: - APPlioant -
WHITE JEFF
1967 COVINGTON LANE
EAGAN MN
(612)686-8522
I hereby acknowledge that I have read this application and state that the
information is correct and agree to oomply with all applicable State of Mn. '
Statutes and City of Eegan Ordinances.
. _ --- - J
?? ?
A PLICANT/PERMI7EE SIGNATURE
?s
ISSUED B. GNATURE
nVnY??In?V ?
PERMIT #
A-1 oV/
V• VrI'1Ml??
1993 BUILDING PERMIT APPLICATION
ss1-as7s 5
?t ?°
SINGLE & MUITI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural 8 structura7 pians, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month-
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date An.-<1 / -Z_ Valuation of work
Site Address: 19 G7 C o??hgion
SiREET SUITE /
ienant Name: (commerciai on7y)
IAT?l SIACK SIIBD. P.I.D. 0
Descri tion of work: ?-Z i 4Arao m
The applicant is: 0 Owner ? Contractor ? Otfier coes«sbe>
Name [,J h;+? -TeP4 Phone 66 ia? C.stc. -8'sa-A
Property LAST FIRST
Owner
qddT'e55 M67 C0„'nf, Ion LGwP _
STREET STE M
5sraa.
City State /u,ti Z i p
Company Phone
C011tY8CtOf Address License # Exp.
City State Zip
Company Phone
Archltect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
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. y
5i
gnature of Applicant:
L
OFFICE USE ONLY
BUILDING PERMlT TYPE ' t• ?, a ?,?
? °`
?
j
,
[1 Oi Foundation O 06 Duptex ? 11 Apt./Lodging ?16 Basement Finish
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? OS 8-Plex ? 13 Garage/Accessory O 18 Comn./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
O 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Pubiic Facillty
? 21 Miscellaneous
WORK TYPE
? 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
32 Addition
? O 34 Repair 0 36 Move
GENERAL INF ORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowabte) Ist fl. :;q. ft. City Water
UBC Occupancy M5 2nd F1. sq. ft.
-- PRY Required
Zoning Sq. Ft. total Booster Pump
N of Stories Footprint Sq. ft. Fire Sprinkler
length
On-site well ?
Census Code
Depth On-site sewage SAC Code
APPRUVALS
Planning Building Assessments
Engirteering Variance
REGIUIRED IN SPECTIONS 3 ?D/LET fbbbPl
? Site ? Footing X framing ? Insulation
? IVallboard 4R Final ? Draintile ? fireplace
Permit Fee
Surcharge
Plan Review
Lic2nse
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Ueposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Tota1:
Yalwtim7
O
s
SAC %
SAC Urtits
1994 PLUMBING PERMI'I' (RESIDENTIAL)
CITY' OF EAGAN
3830 PILOT KNOB RD
EAGAN Mlv 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNfiO2ufES ''AND
CONDOS WHEN PERMTTS ARE REQ[7IRED FOR EACFi UNTr.
- ------- --- - --
NO. FIXTURES
SHOWER
'NATER. CL,aSET
BATH TIJB
LAVATORY
KTTCHEN SINK
LAUNDRY TRA7'
HOT TUB/SP.A
WATER HEATER
FLOOR DRt1IN
GAS PIPING OiTTLET •minimm_,
ROUGH OPENINGS
WATER SOFTENER
PRIVAT'E DISP. • natety: iic
U.G. SPRINIQ..ER • nome uudff mou.
ALTERATIONS • ,o ?tin8
WATER TURN AROUIVD
STATESURGHARGE
TOTAL:
:STI'E
OWIV
EACH TOTAI:
3:00
3.00
3.00
3:U0
3.00
3.00
3.00
3:U0
3.00
3.(f0
1.50
5.00
20:QU _
3.00 _
20;00 ° U. irtn
20.00
.50
IIVSTALLERs-?9fv! H€?SIJIJ?J PLllthll?[('1 'Uq_
721 REDWOOD DRIVE '
.4;DDRFSSs APPLE VALLEY, MN 55124
CITY: STATEt ZIP CODEa `
PHONE #: ( )
5IGNATURE OF PERMITTEE`
J
NOTE:
Mc?- L. A
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
ALL CONTRACTORS MUST BE LICENSED IiITH THE CITY OF EAGAN
COlVtERCIAG
INCLUDE 2 SETS OF ARCHITECTURAL
& STRUCTURAL PLANS, 7 SET OF
SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS
$2,000 LANDSCAPE BOND To Be Used For: "7•ff Valuat
Site Address
Lot ? Block p-
Parcel/Sub d'vl,ao
Owner _ igJm [ TQrCC&?s
Address
City/Zip Code r(l \p.r ?? }?'(V •
Phone
Contractor
Address ?
City/Zip Code
Phone
Arch./Engr.
Address
SINGLE FANILY UiiELLINGS
City/Zip Code
i. :
INCLUDE 2 SETS OF PLANS
3 CERTIFZCATES OF SURVEY
'1 SET OF ENERGY CALCULATIONS
. CoZ,c?'00 Date: 91-tf S
Erect X Occupancy
Remodel Zoning
Repair ? Type of Const
Addition 1l of Stories
Move ? Length
Demolish Depth
Int,Impr. Sq Ft
Install
APPROVALS FEES
Assessments Permit
Water/Sewer Surcharge
Police T Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Council Road Unit
Bldg Off s,l ?f Treatment P1
APC Parks
Variance Copies
TOTAL
?
? 5 C)
Phone #
1
2/84
?• . ?,? :
CITY OP EAGi1N
AP PLICATZ^vDI FOR PERMIT
S£t•IER ANDJOR WATER CONNECTIODI
(PLEASE PFIHi)
1) PP.OPEP'?'Y ACDP.ESS: i"1l b? CoU 111cV( yin
T Fr-1,L D?.?PTTCN: _?.-oT a 1 Ul a. - ?i?
(IotBlocx/.. u.^,aivisicn or Tati ?arcel I.D.
? Tr' S?^LC^LMr DAi:. O_° CRIG'?.` lr?,' uiI_.P.L`:G T_=;;4=:
PDFCy7
L• y':
IK R-1 SL=
? R-? DUr= {'1!•:0 L'::i'I'S)
Q i2-3 :CSl\.zrr.cr (T"'_°r - L=^.S) ( W
? R'4 E:?
:
?:?.i.1T;?.1`i
?
?.-
.r.
n
? CCi•',?IE:C?=1L/:tG:."fil.?OF__=
Q mcL'S=LL
? P7STIT•I•TC?IAI,/GG4z-t Z N nrclm
2) APP7.Ii-7-2.7T (PIEASE PRitiT)
rU%'L•:E:: LCU:c 5 ,rte; ar,x-r ?(..cZltcr
Ir'K, .
? ADDREss: ,
crT^r, s=-ATE, zzP: (Yln 5531 c55
PfiONE: ?zS ?F--I Cp UC?
3) pu,;.iBzp, (PLE„SE PR1Hi) FOfl CITY LSc OY(.Y
ADD?ESS: I CC"1 4?fjIYY"io111za Ai EC'611 f1l l' .
Zi NV2J?l/v Al?? , '?
PLUHeE L:tiSE:
Active
CIT'!...ST?TE. ZIP. i
' E,p' ed
PHO?_
' ??I--7( ?
pGY? PLU,^tBEA LILE;JSE Jf 0O0B? (7 /1?)U f
oRecard
' arr :nitiat
4) OCC?Jppy'P/Cr,,z;E'?i (P EASE PR1N1J
N
FfE-
ADDRESS: lL(
CITY. STATB, ZIP• n L--
PhoNE: ?- ?`?Cob
5) II`1DIG".TE %aFiICH PER;UTT IS SEIi:G RFOUESTID:
? CC.INECPIOV 'IC7 CITY SMER
? CC:•"NECTZC,I TO CITY [;71TL 2
? a-.,TR (PI,GSE DESCi2IHE) ?
' 6) U:DIG,::
• ? PL: ;SE f?OID r1PPP(NF.L) PERm.IT FbR PICi:-V'P SY C:IE CF AFCl7E
? P?.E,SE :•^1SL APPROVID PEIF.•LLT 'P'J 1. 2Q 3, 4 AFi(7VE
(Circle one)
7) SZC:,?TL:R=.;
f? DAT=':
??l ?1-?_a4f?FJ0 f? Yr !i la:g?'1? f? f A ia? i?a ?!?f I?i rFSii :a? a i f! ?lfFfi yi? f1 S Yt ? Ta Oc?y
FOR C I T Y U S E ON:,Y
PEPMIT " ISSUED
p°E5: $
?G1 U
$
IG. S?$
$
S
$
$ ?
i C-oU
s
S
$
$
$ - Z 3-L, . `'`_
S
$
$ p u
C?
S :.':LR PE3ii7-
I_ ?_......_. SU.,?..._
{JAT..?.R PERvl?T (1:iCLl.LE :.VRC ::1RCiL)
WATER METER/COPPER:?OR,i/CUTS_TD° REi,DE?
WATE.°. TAP ( INCLL'DE CORPCRF,TICN STOP )
S: Wc2 TA?
..:.rc? 5=_
AC^Oli\T DrPnSIT - S•i;,T?^
wac
sac
TRliVK WFTER ASSESS;tE::T
TBli?IK S?;'iER ASSESS:•:EiiT
LATER:,L BcivEFIT/TRLi:IK' 5E:??'
Lai r.?2.aL BEVe.r IT/TP.U:Iii :•7A: ER
SdATER TREAT*tENT PLANT SL'RLT?ARGE
OTHER:
TOTaL
P,MOL'::T °r;i'J;'R,^,C°y_
n
i
D0E5 UTILITY CON.IECTION REQUIP.E EXCAVATION IN PU&LIC RIGriT OF SQAY?
L, YES IF YES, THE:7 A "PERP]IT FOR :dORS WITHID7
PUBLIC ROrIDWAY" MUST BE ZSSUED BY TEE
[" NO ENGINEERIDIG DIVISION, LIST AS A CONDI-
TION.
SUE7ECT TO THE FOLLOL•7ING CONDITIONS:
APPROVED BY:
TZTLE:
i
DAT°_ : ?C///?
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITEADDRESS:
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
1967 CQVINGTON LANE
LpT: 21 BLtlCKc 2
BERKSHIRE PONpS
i'.I.N.: 10-13750-210-02
G?.?2z39
s ?PL Ne
025655
05/2A/95
DESCRIPTION:
6jriI d, ing?.P?ermiC Type pECK
,BUild3ng' Wet,rk? TYPe NEW
F Z.,
. . . . ' ???5.
A
di
e?'E?
y `? ry-r ?Y 1?S Vd S.6 ?# iYs' .
? w"ra
REMARKS:
FEE SUMMARY:
Base Fee $30.00
Surcharge $,50
Total Fes $30.50
DAnP?T/PERMI EE SIGNATUF? 'ISSUEEI A?TURE / ??
144M1995 CITY OF EAGAN
3830 PILOT KNOB RD - 55122
BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
State:
? 3 regiatered site surveys ? 2 wpies of plan
? 2 mpies ot plans pncluda 6eam 8 window sizes; poured Md. tlesign; etc.) ? 2 site surveys (exlerior additana & decks)
? 1 energy ealwletians ? 1 energy calculaGOns for heated additlons
? 3 copies of tree pisservation plan ff lot platted after 7l1193
required: Yas _ No
DATE: SI a J!I yS CONSTRUCTION COST )??n •?u
DESCRIPTION OF WORK:
STREET ADDRE$S: '
LOT a? BLOCK
PROPERTY
OWNER '
2 SUBD./P.I.D.#: i??c?'S?'rrc 126nl5
Name: /Ul C, Pdfv4 uO ST?rrr= Phone #: `15y - 1176 -7
yyi /MST
Street Address- 1`11c.2 Cculn?-Foh L,q.,v,?
City: ie46 qn1 State: IlIN Zip: 5S-122
CoNTRACTOrt Company: N/,4 Phone #:
Street Address: License City: State: Zip•
ARCHITECT! Company: /u /.n Phone #,
ENGINEER!'
Name: Registration #Street Address•
; City:
Sewer & water licensed plumber:
change are requested once permit is issued.
f@
Zip:
Penaliy applies when address change and lot
I hereby acknowledge that I have read this application and state that the inioJJJTTT???''??ation is rted and agree to comply with all
applicahle State of Minnesota Statutes and City of Eagan Ordinances. f?? ?J?
?,?
l! ?'??I
Signature of Applicant: 1J
OFFICE USE ONLY
Gertificates of Survey Received
Tree Preservation Plan Received
RECEMD
_ Yes _ No MAl' 2 3 1995
_ Yes _, No ---------------
?\?N ' 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: , single family dwellings & townhomes/condos when permits are required for each unit
Date
6
' ?`-O r
h
? U
it #
Site Address ,
- y
1
h n
Property Owner rt.t Telephone # ( )
Conhactor
StreetAddress ' ?(/_L/ ?vv?CJV i r o? L? City
State /"n v- Zip Telephone # ( yS,Z )?1 y c? y? d 5'
Bond #: ' Expires;
The Applicant is _ Owner ? Conhacmr _ Other
Add-on or alteration to existing dweiling unit $ 30.00
? furnace _ Additional Replacement _ New
air exchanger
air conditioner
heat pump
other
State Surcharge $ '50
Total $
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will
be in conformance:with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that 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
ap ved plan in the case of work which requires a review and approval of plans.
J/D?
Applicant's Printed Name ApplicanYs Signature
PIE ROBE CONSUlTIN3 ENOINEEpS
NGiNEEA1NG PLANNEAS ond LAND iUflVEYORS
COMPANY, INC.
? 1000 EAST 1461A STREET, BURNSVILLE, MINNESOTA 55337 PH 432'3000
Lgqa1 IaGtcrL iort: LOT Zl? BLUCK Z, f3ERK5H1RE PoNDS,
_ DqKOTQ COUNTY, MINNESOTA
NoR7N
SCAtE: /" _ 40'
oRqhvAeE A,VD '
UTIL/N EqSEMMT
/8;9t- OT 2
W
/
u
36,?
w` \!
34' 59" W
J I
??DA/
+ ," ;-T- - ; •-;
L_?.
. iq4o.opEq/DTES EXIST/N6
E LEVAT IOAI.
(940-0)DENOTES PROA75ED
ELEVATION.
`?--? INDICATLS DIRECTlON OF
SURFqCE pRA1NA6E-.
F/IVlSHED 6qRA6E F400R ELEVATION= 44o-a3
30' FRUNT BU/Cp/NG
SETgACK L/NE -
/o1
LANE
1N?-S0
?
I hereby cartity that thia ie a true and corract rapresentati V, of a tract ot
land as tho+m'and described hereon.. Ae preparad by me on this z4,TM day ot
So #A E , 19 85.
?. ?? Hinn. 1te6. 110. /?a8'S
?
\
\
J'6 _ \
?"-• I / '..1
_? ? ? ?__..
z
?l w
, N
5
1 ?=
?
1
`
. ?
~ ~
~
,
! ~
\
t ~ I
' ` ~
~
t l.
M,~;;.~:;~:.~r,~, ~i;~~~
~ ~ ~ . ~ ~ ~ t ~ R.• y . (1"G=, h, G,T . ""~?;,~r~"" L~k~~'+i
{ 1 ~,rt ~ " u .~t' ( 4 - U , ~ ~:.P."'/' lr ~ %i { 1 ~
, \ / ~ 1 ;^~VI"'"11 ~j7~ ~~~ir~'' ~~~JF~L~ti . ~ ~ i,
, . ~ . ~ i . . . 7 ~ ~ '~j" X ~.:I.~. ii . , ~rt i f~ : iW 0
t i ,
~ I „ ~ ~ r~~c.~u r z;~ 2 ~ ~c - ~
i . ~ h^' ' , r' < % ' - ' L f L~ P7 . ~ ~ ~
hT~Y'`~ I(~ 2-X1n ~~~a„ ~ . ~ .
, ~ ' ~ ~'j~~( I :>7 C, ~~';;'`s~ I'L~ z ~
' ~ ~ r~~l l`:~ f:: { ~ 2-x " ~I':. Q~' , . , 13 , T , (o l~ ~ ' ~i~~r.ir~>i~~.~ l.~F' I ;~x~> 15'~p~~ ,S 2~t~ ~3~,0~+
,
, ti ~~,t*I~,., ~ 1 Z x`~ 15', p~~ . , .a , r_ _ _ , . . i. _ . . ~ _ _ , , 3 Z ~ q ~3'•0'''
~ ~
1' ~ . ~n
. . . . . . . . ~ . C, . . . t~: y
~p R~~ . !~1 . ~
, ~ , i.
~Zt;~~ ~~'ti. ,.~,'r . ~ ~
' ~ ~ `
, r ~ ,
, ~ ,
~ ~
~~~~~r~;;,~,',' ~ i ~ \ ~
n~~~a ~ y, `jl, .10 %A
1~' ~
1~ / ~
i ` > 1 ! > s
`
~..~'I~'"'~,- ~~'~=,{~^1 ~7'i~'i~ 1;~.~'~ ~~z. `
, LUT 2~ r~ I,OG.~C- 2, 1"j,~EKtc.~.,NtZG- ('~r ~i,=.~, ' ~ i `
~I~t":,~. Gt~c,iA.l`~7• M;ti~~N~:~oTa ~ 1
~ ,
\ , ~ , • ~ ~ ; ~ a ~E,v1~,~^,., , ' ~ ~ '
' ~
~ lG'
~ - C~~.~~~~ NaC"~.~ ;a , ~
....~.~..~..,w . . .~._...._.w~._. . ~ ~ . ~ `
T4~15 ~y;*,'G. C~'w~p.3 1Gj,~}'a5~:t~, u~"~' -t'~iE f.~"+i' i`,~:iti:~-. G~
~,,i~,'Jg;~:. ~.t W.~Cr ~~.+IItiF~'c'.,}:r':. ~C~'~ I?~.~t'C=,~:~ CAfF~,t~y ~~r' 7
.v' p,(f~~"~~f (.A~til~ ~:'~:G~'t
I qlo"~ Gl, I,. r. 4. ~ . n, ' ~ k~' ~:M ~ ~i..~.l
« APPROVEO BY: a scacE: ~5 ~.(U'i'~~ DRAWN BY T«JM
a ~,,Y~ti f: y't:.~,~, ,
DATE : 4 r M`~~ I~~J REVISED
; ~ ~ t. c.
~ ~ ~ ~ ti ~:~~a ~ ~ ~~'•li-•~ ~;l ~ ~ ~ '
DRAWING NUMBERi
~
n
18 % 2~ PNINTED ON N0. t000N CLEARPRIM •
PERMIT
Permit Type: Building
City of Eagan
Permit Number: EA105766
Date Issued: 07/27/2012
Permit Category: ePermit
Site Address: 1967 Covington Lane
Lot: 21 Block: 2 Addition: Berkshire Ponds
PID: 10-13750-02-210
Use:
Description:
Sub Type: e-Windows/Doors
Construction Type:
Work Type: Windows/Doors-New/Replacement
Description: House
Census Code: 434 -
Occupancy:
Zoning:
Square Feet: 0
Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection.
Comments:
Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
BL - Base Fee $4K $103.25 0801.4085
Fee Summary:
Surcharge - Based on Valuation $4K $2.00 9001.2195
Valuation: 4,000.00
Total:
$105.25
Contractor: Owner:
- Applicant -
Home Depot At Home Services Kimberly D McDonald
656 Mendelssohn Ave. N 1967 Covington Lane
Golden Valley MN 55427 Eagan MN 55122--361
(763) 542-8826
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.
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA109395
Date Issued:03/04/2013
Permit Category:ePermit
Site Address: 1967 Covington Lane
Lot:21 Block: 2 Addition: Berkshire Ponds
PID:10-13750-02-210
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, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
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 -
Richard A Clark
1967 Covington Lane
Eagan MN 55122
(612) 581-5082
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:Plumbing
Permit Number:EA173599
Date Issued:11/19/2021
Permit Category:ePermit
Site Address: 1967 Covington Lane
Lot:21 Block: 2 Addition: Berkshire Ponds
PID:10-13750-02-210
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Gregory Jr Resendez
1967 Covington Ln
Eagan MN 55122
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature