1973 Covington LaneCITY OF EAGAN N ? 11742
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
. PHONE: 454-8100 /
BUILDING PERMIT
Receiptp ?z ? 5
-6 ?
SF DWG/GAR $7$•000 86
APRIL 7
7obeusedtor Est.value
Date 19
1973 COVINGTON LN
Sit
A QX R3
O
e
ddr
p s
? Erect ccupancy
Lat L
Block Sec/Sub. BERK HIR D^?emodel ? Zoning
Parcel No Repair ? Type of Const. V
. Addition ? No. Stories
W
Name GENE ELDEEN
CONST nnove
? 41
Length
3 Address 17920 ITALY PATH oemolish ?
? Depth 48
F
S
° LAKEVIPT
A mpr.
435-2148 q.
t
d
Cih, nsta ?
:
i o Name-
? a Address
?
City -
? W Name_
Address
z
a w CiN -
SAME
Phone
Phone
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 CiIry of Eagan Ordinances.
Signature of Permitte ?.
a/-?^- Z-0/QO "
A euilding Permit is issued to: GENE ELDEEN CONST
all work shall be done in accordance with all appli l e e ol Minnestl
8uilding Official ?
Assessment _
Water & Sew.
Police -
Fire
Eng.
Planner
Council
aid9.on. 4/2/86
APC
Var. Date
Permit "-J3?00
Surcharge
Plan Review 183.50
SAC 575.00
Water Conn. 50 0. 0 0
Water Meter 63.50
RoadUnit 290.00
Tr. PI. 156.00
Parks
Copies
$-2 ?'- OO
-
on the express condition thet
Ciry of Eagan Ordinances.
BWLDING PERMIT
Tn h.u.ad fn. SP D,r JV/G!'lR
a 5/28/8'CITY OF EAGAN
. ,?
Knob Road, P.O. Box 21-198, Eagan, MN 55121 --
PHONE: 454-8100
Receipt #
$78,000 ,,,,.,,
11742
APl2IL 7 86
.1s
19?3 COVIi1GT
Sit
Add OIt3 LN
E
t X
? A3
an
O
e
r sg
?4
BERKS(iiRE POPJ rec
D$qemadel
? ccup
cy
Zoning
?ot
61ock Sec/sub.
Parcel No. Repair ? Type of Const V
Addition ? No. Stories
¢ Name Gt','!?. FLDx;E:1 CO:diT Move
Demolish ?
? Length ?
Depth 48
= 17 9 2 U i TAL Y
Address PAT[i I
I ? F
S
o
city LAKEV:p?",:
435-214$ nt.
mpr.
Install
? q.
t.
Z o Name " S`°"'F' ApprovA
? < Address Assessment _
? ciri Phone water & Sew.
ta
F W Name -
_z
Address
z
s W City _
,.
Police
Fire
Eng.
Planner
I hereby acknowledge that I have read this application and state thatthe
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee ' ?- G1:`:F. ELJEEN CUAST
A Building Permit is issued to:
all work shall be done in accordance with all applicable State of Minneso
Bldg,
Var. Date
Permit ?3E7-.00-
Surcharge 39.00
Plan Review 183 .50
SAC 575.00
Water Conn. 5 0 0. 0 U
Water Meter 63.50
Road Unit 290• UO
Tr. PI. 156.00
Parks
Copie
T,,,, 1 $ • . U U
on the express condition that
Building
?')Q C C
Pr+mN No. PwmY1 Hdde? o.W TW.vno. a
• PERMIT # ?
• ' MECHANICAL PERMIT RECEIPT # b ?
CIT11 OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
5ite Address 1 y
Lot -2 V Block
?
m
?
c
m
c
3
O
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
o M BTU
M BTU
M BTU
M BTU
CFM
FEE
S/C:
TOTAL•
BLDG.TYPE
Res. ?
Mult
Comm.
Other
WORK DESCRIPTION
New' • ?
Add-on
Repair
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 8TU - 12.00
ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA.
0 COMM/IND FEE - 1% OF CONTRACT FEE
- MINIMUM - RESIDENTIAL FEE - 10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
?v SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
.? •
PLUMBING PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121
PERMIT #
RECEIPT #
DATE; _
? Name QrNC.K0l%A e
m Address
c City P
? Name
3 Addre
0 City ?
.
FEES ? -.
COMM/IND FEE - 1%OF CONTRACT FEE
MINIMiJM - RESIDENTIAL FEE - $10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00) ,
FOR: CITY OF EAGAN
BLDG. TYPE WORK DESCRIPTION
,
/
Res. ? New ?
Mult Add-on
Comm. Repair
Othef ,
N . FIXTURES TQTAL
Water Closet - $3.00 ••? ? Bath Tubs - $3.00 n -%
Lavatory - $3.00
Shower - $3.00
ZKitchen Sink - $3.00 • ? "
Urinal/Bidet - $3.00
Laundry Tray - $3.00
Floor Orains - $1.50
Water Heater - $1.50 l Whirlpool - $3.00 ,
7-Gas Piping Outlets - $1.50 -? ?
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
=Rough Openings - $1.50
FEE .? L . CZ7
STATE S/C:
j fi--
GRAND TOTAL• `
CITY OF EAGAN Remarks
Addition BERRSHIRE PONDS Lot 24 Blk 2 Parcel 10 13750 240 02
Owner Street 1973 Covington Lane State
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF, 239.09 23.91 10
STREET RESTOR.
GRADING
SAN SEW TRUNK 1 1982 176.04 11.74 15
SEWERLATERAL 964 1982 57.24 3.82 15
* Se ?.3 427.85 28.53
WATERMAIN ' L5 19$2 /+G.09 3.07 LS
* WATER LATERAL
WATER AREA 1982 176.04 11 ?4 15
STORM SEW TRK 6
7 15
STORM SEW LAT -
-
CURB & GUTTER '
51DEWALK
STREET LIGHT
WATER CONN.
6UILDING PER.
SAC
PARK
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
INSPECTIUN RECORD
PERMIT TYPE:
Permit Number:
Date Issued: ?, ? . -' ti? ?, , `, ,?
I ti I
PERMIT SUBTYPE:
i i„ APPLICANT:
? ?, 1 .' I ?i?i 1
TYPE OF WORK:
I11 .1 1; t F i 1 oiV
: f f !t 1 ?1k5a
NI W
h f 1 M f10 4 !-• ? VAH ! AN[ I.
INSPECTION DA • •A
I I tr?; I
I fiF.'KS t St f'AI+A I f I I ii I{; I E!t i 1'1 4? N I I i. to It I It t 1I
IF-
?
?
Pertnit No. Permk Holder Dets Telephona x
SNV
PLUMBING
HVAG
ELECT r, 9 ?Q
ELECTRIC
Inspection Date Inap. Comments
Footings I
`77 ?t C- ?
Foundation
Framing ?
RooNng
Rough Plbg.
Rough Htg.
ISUI.
Fireplace
Final Htg.
Orsat Test
Flnel Plbg. Plbg. Inspector - Notify Plumber
Consi. Meter
Engr./Plan
Bldg. Fnal
1
C?c. - c
Deck Ftg. C04-
Deck Final
Well
Pr. Disp.
I
L
? CITY OF E AGAN WATER SERVICE PERMIT
3&?A Pitot X nob Road
, P. O. Box 29199 PERMIT NO.:
' Eagan, MN 55121 DATE:
Zoninp: No. of Units: ?
' Owner_ ueen ConsL.
llddress:
.G73
Site /lddrcas: 1
1
PlUrT1blf:
? Metar No.
? 51u:
1 Nrw ro eompll wHb !IM Ckq of Eiqii '.- Surchorge:
oah..a... REQ U lfwD
ToML• -
i By ? Date Paid:
Date of Ir?sp.: Insp.:
ro om.l, Wx& w. ck, of s..o.
SEWER SERVICE PERMR
PERM(T NO.:
DATE:
No. of Units:
conrorla, aarge:
Acco,nc asposi:: _
Pannn Fee:
Surchorpe:
Misc. Charqes: -
Total:
Dote Paid:
Th1s request void '?
1B months from ?"
C 15278 A p nL1.k
„QQu Vate
?
• F uph-in Inspeciion v
ired? Ready Now Q Will Notify. Inspec-
es ?No [or When Ready
?icensed ectric
Co??tractor I hereby request inspection o/ above
"U Own
er
electrical work installed at:
Street Address, Box or Rou[e No, City
1 r 3 ' a
ecuon o. Township Mame or No.' Range o. Count?
Occupant (PRI T)
Phone No
,
Powec Supplier ? . Address
v ?CJ .^ C
Elec[rical Co tractor (Compa me)
, G 1 k?'rc.} Contrartor License No.
??
_
Mailing Address (Contractor or Owner Ma ing Instailation)
Authori d n Signa r(Contr or/ ner Maki g Instailation) Phone Number
? ? ? ? V 17-
MINNESOTA STATE BOARD OF EIECTRICITY
Griggg-Midwey Bldp. - qoom N-191
7821 University Ave., St. Paul, MN 55704
Phona 46121 297-2111
THIS INSPECTION REQUEST WILL NOT
BE ACCEPTED BY THE S7ATE BOARD
UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
c-- REQUEST FOR ELECTRICAL INSPECTtON „ Es•00001.04
?-? _? ? See inatructions for completioq this form oa back of yellow co ?
PY•
f 1,9270 "X" 8elow Work Covered by Thrs Request ?
Nom Add Rep. Type of Building
H Appllanees Wired Equipment Wired
ome Range Temporary $ervice
Duplex Water Heater Lightfny Fixtures
Apt. Building Dryer Electric Heatui
Commercial Bldy. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
l
i Farm O[her peci y 75thvr (SPer,ifyl
E t er Succify t er
6ther
o m
peci ion Fee Below
M Fes ServiceEntranceSize !t Fee Feeders/Su6feeders p Fee Circuits
?to200Am s Oto30Am s
Oto30Am
Above 200 qmp5 31 to 100 Amps s 31 to 100 A
s
Swimming Pool Above 100_Am s Am s
Above 100
Transformers Irrigation Booms _
Partial- Other Fee-
Signs Special Inspection ^ ---,-?_
Remarks r
?) C? ??(7'F h' C? lyv l._ I - -,
S
r?
TOT L FEE
, - 7?CG
Rough-in - - v • ur--
Date ?
4
?-.
a
??'i ,. _
e?t
Inspector, hereby
Final
Date certify that the abov6
inspection has been
;made.
fAb reQueat void 18 months from
?-- .
. CASH RECEIPT
ro-1 I
'=--' CITY OF EAGAN 3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
I -,
DATE
RECEIV60 FROW
AMOUN7
?_.
f
i
r-I CqSH
9-151?1ecK
?
E
i
i
s
i
?
r ?
FOR ? -^
FUND CODE AMOUNT
? y?? -
<
rr?
0
Thank You
sv
62132
White-Payers CoPY
Yellow-Posting Capy
Pink-File Copy
& pOLLARS
1oo
_ . . ?T
?/?/g ?7?? Ot7
N 0 2 61
7 ?
Request
n Required
re No. Fiough-In I7s-
(VOU must peclor w?en ready)
Inspection Other Th Rough-In
ll NOtity Inspector
? qeady Now W
? No Date Read
IEl licensed contractor Q?,,owner hereby request inspection of above electrical work at:
Job Aotlress iStree[. Boz or ute No.i
3 ?
r ICiry
o
7
11 n
-
Secuon No. Township Name or No . Range No. Counry
pccup iPFINTI
??
kjtow5 k Phone No.
Power Supptie' A ress
Electrcal Cohtrac or (Company Name) Contractor5 License No.
IA C-o W/1
Matling Add ess !Contractor or Owner Making Instauation)
0v
Authorize Sig n re (Contractor? wner =- _ nst?li o 1 . /'A ?111.n. ?Number '/ ?-/?
•f Z
MI SOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT
Grigqa-Mldway BICg. - Room 5-173 8E RCCEPTED 8Y THE STATE BQARD
1821 University Ave., St. Paul. MN 55104 UNLESS PFOPER INSPECTION FEE IS
Phone (612) 642-0800 ENGLOSEO.
(?/?'IC REQUEST FOR ELECTRICAL IMSPECTION ea•oooo,-o`a? Poo See instructions for compieting Ihis 1orm on back ol yeilow copy
"X" Below Work Covered by This Request ???•?'?
N 02561
ew Add Rep. Type of Buiiding Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Bullding Dryer Load Management
Comm.llndustrial Furnace Other (Specify)
Farm Air Conditioner
Other ispecdyi Contractor5 Remarks
3 Se?sen or
Compute fnspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 10? Amps
Transformers Above 200 Amps 100 Amps
Si9f1S . Inspector's Use Only TOTAL _
Irrigation Booms ?
/ ( v `
??< ? r%
Special Inspection ?
' l
Alarm/Communication THIS INSTALLATION MAY BE O DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 Yqi[THS.ep
1. the Electrical Inspector, hereby Rough-in ace
certify that the above inspection has
been made. F;,,al
L
OFFlCB USE DNLY ?
This request voa 18 months irom
/ -
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
*K)T5': PAYMFTTC OF F.F.E AT TIME pF
APrLIcAzorr noFS Nom aoNRzTUTE
APPROVAL OF PEEbffT.
iNSPncrzox oF sEWx Arro/? VMM
nNSTALLATTONs wwnr. xar sE saHEn-
ULID UNPIL PERMIT HAS B?F,ENN
APPROVFD.
. x,?,?xxxxxxxxxxxxx,?x,.,.xxxxx=xx=xx,.x,.x
P ease Print
1) PROPERTY ADDRESS: f q7'? CO V/N ?N ?f'oMQ/ •••
LEGAL DESCRIPTION: LOT 2?. ? L r Z
_
. LoY Blo k Subdivision or Tax Parcel ID )
IF EXISTING S'IRC'CT[JRE, DATE OF ORIGINAL BL'ILDING PERMTT ISSC'ANCE: .
?
PRFSE?Tf ZONING/pROPOSID IISE: P7on Year)
? CM2`'ID2CIAL/REfAiL/0FFZCE
F7 IPIDC'STRIAI,
n INSTIT[JTIONAL/GpVF.RNMEW
2) ,
R-1 SINGLE FAMILY
? R-2 DLPLEX (7wv Units)
? R-3 7OWNiODSE (Three + Units) ( Pnits)
q R-4 APARTMEN't'/CONIDOMINIDM ( Units)
UArE: L=LVZZ'N
_ ADDRESS: ? -7yzo iT,? ?- pArA7t ---
• czxY, sraTE. zir:_
PxoNE:_ SL3S Z
,
3) • ?:"• For City Use
NAME:?gRVCi?mvt=? PlunterS ?cense:
ADDRESS:- 680Active
; ciTr, srATE, ziP: jI?-CV/ .t?oi,,? /Y//1/, ?5D1 V ? r?t?ecoraea
PxorE:7 /Sd' rRsna LzcEvsE# .3236
---
Staff initial
4). •• ??..iu?•
NAME:
_ ADDRESS: ,
CITSt, STATE, ZIP: .
PHONE: .
.
'5? '? a: • ?• : ? • ai pa
ff;?'CONNE(.`i'ION 1l7 CITY SEWEEEtt Ea-?CONNt]C.TION 1U CITY WATER ? pZ'fM . .
6) ?? • ?? ? PLEASE HOLD APPROVID pII2taT FOg PICK-C?P BY ONE OF ABOVE
Ca"PZEASE MAIL APPROVID PERMIT TO 1, 2,0 4. ABQVE
? 2 (Circle one)
7) ?? ?_? '
r,. .? -z
- - ?u - ?
F4R CITY USE ONLY
,
PERMIT # ISSUED
Pd w/Bldg. Permit FEES:
$ $ ,/p SEWER PERMIT (INCLUDE SURCHARGE)
$ $ ` /D WATER PERMIT (INCLUDE SURCHARGE)
$ 5-0 $ WATER METER/COPPERHORN/OUTSIDE READER
$ $ ' WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ t7 ACCOUNT DEPOSIT - SEWER
$ $ b ACCOONT DEPOSIT - WATER
$ ?5 O G) $ WAC
$ S 7S. (9-d $ SAC
$ $ TRLNK WATER ASSESSMENT
$ $ TRLNK SEWER ASSESSMENT •
$ $ • LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRCNK WATER
$ $ WATER TREATMENT PLANT SLRCHARGE
$ $ OTHER:
$ AV- 7 Y` S?o $ 5 I• l) (') TOTAL
5 1:3 Z
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q ROADWAY" ML?ST BE ISSLED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION,
SUBJECT TO THE FOLLOWING CbNDITI0N5:
APPROVED BY:
TITLE:
DATE: ??? ???
4 3r
??-2 Vc=?p
1986 HQILDING PERKLT APPLICATION - CITY OF EAGAN
90YS: Aid.
MOST 9E LICENSED NITH THS CITY OF EAG9N
SI6GLE F9MIILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MOLTIPLE DiiEI,LINGS _ gESIDgNTIAI,
INCLUDE 2 SETS OF PLANS, CER
1 SET OF ENERGY CALCULATIONS
CONMERCIAI:
RfiMfAL DBITS FO& SALB pNlTS
OF SQR9EY - CHECB fiITH BLDG. DEPT.,
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLAPIS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: Valuation: ?c, zu Date:
Site Addr ss
Lot ? B1 k 21 p ?
Pareel/Sub
Owner S'C S c_ ti' c o?j S'?t '
Address
City/Zip Code
Phone
Contractor Cic,,,2e_ CC,pe e.J
Address
City/2ip Code
Phone
Areh./Engr.
Address
City/Zip Code
Phone #
OFFICE USE ONLY
Erect X Occupaney
Remodel Zoning 12 ?
Repair _ Type of Const ?-7
Addition # of Staries
Move Length ?L
_
Demolish _ Depth ?
int.Impr. Sq Ft
Install
APPROVALS FEFS
Assessments Permit
Water/Sewer Surcharge 35,
Police Plan Review 63, ?
Fire SAC 5"751
Engr Water Conn Soo.
Planner Water Meter (p3.?
Council Road Unit 290
Bldg Off Treatment P1 {S(o. _
APC Parks
Varianee Copies
TOTAL r=-,.
NOTE: ADDHESSES FOR CORNEB LOTS - CONTRACTOR/HOMEOWNEB MOST DESIGNATE AHICH ADDRESS
IS DESI9ED. NO CHANGFS pIL,L HE ALLOiiED OHCE BQILDING PERMIT IS ISSUSD.
?? x 38 =??? x S""'o = 5?7 30 4-
- l 4 c? ? co
(Zk2i
f
2n K 2 2- _
? . Zs2 x ?
44v x (2 F ?S2C5 v
.& a
1 ?72oU
1271
1261Interior• Air ............... .68
.
1291Ff0sh F2oorsng. e w.........
1.23
130 I Under,layriient. . . . . , . , „ . „ . . „ . .82
1311P1ywood,..,.,..,........... .62
1321 Insu1at ion . . . . . . . . . . . . . „ , . „ 30
1331Shea+.hing...?,.......,.e... 2.06
13415offit,.,,. ................. .78
135IExtcrior• Air..,..e..,...,,.. .27
1361
1371Tc,ta1 "f2" Value,........e.e 3E.36
I3$ I P; R = "U................... e 0274028
611
621Tota1 "R" Value..........., 15.13
6311lR - "U................... .O6E0939
641
ESI
G61THRU RIM JOIST
671
E81 Tnter•ir_,r Air ............... .6$
E9 i Irisi.tlat ion . . . . . . . . . . . . . . . . . 19
70! Rirn .Toist . . . . . . . . . . . . . . . . . 1.89
7115heatninge................. 2.06
72I5idi.ng .............,,e .81
731Exterior Air........ ?...... .17
741
751Tc,ta1 "R" Va1ue............ c4e 61
7611tR - "U................... .0406339
771
781
79I "U" value for^ window. .. e.,. .42
801 "U" valtte for donrs........ .06
811"U" value for Patio Drs..,. .39
821
831
841THRU CANT. @ MEMPFR (Enclose d)
851
861Interinr Rir^ ............... .6$
871 Finish Flooring. . . . . . . n . . . , 1.23
881Underlayrnent ............... .82
89IPlywaod .................... .52
90I,7o1st..s.e..a.......n...... 11.56
91 I SheB'? R_?ck.. . . . . . . „ . . . . . . . . . .58
98ISti11 Air ..................?. .61
931
941Total "R" Value....e.....,. 16.1
9511/R = iiU................... .O6c:1118
961
971
981THRlJ CRNT. Ca INSULRTION (Enc losed)
991
1001 Inter•irr Air• ....... . . .. . . . . .68
101IFinish Floor^ing............ 1.23
102 f Underlsynient. . .. . . . . . . . . . . . .82
1031P1ywood .................... Ec'
1041Insulation.......o..,...,.. „-;Qi
105I Sheet Rock. . o . . . . . . . . . . . . . . .58
10615ti11 Air .................o. .61
1071
1081Total "R" Value............ 34.54
10911/R = "U"........e.e....,.. .0289519
1121
ilii
ii:'ITHRU CANT. itl MEMPER (F_xposed )
1131
1141Iriterinr• Air^ ............... .68
1151 Finish Flooring............ 1.23
tlEllJnderlayment ............... enc
1171P1ywood .................... .62
1181Joist...................... 11.56
11915heathing...,,....,......... c:.oE,
1201Soffit ..................... .78
121 I Exterior R:ir^ . . . . . . . . . . . . . . e .17
122fTotal "R" 'Jalue............ 17.92
123,111R, _ "U................... . 055803E
1241
1251
! PG !I PB II LjC il ED i
Z ! °DETERMIPdE "iJ" VRLiJES"
217HRU STUD WI7H SI71ING & S.R.
I
J
41 Interior• Air .. . ......... . . . .68
SlSheet Rock .............„,.. .45
EiThermo-Break.......... ?.... 0
71Stud....................... E,.ESw,
815hea+.hing .e.e.......o„..,., 2.06
91Siding ..................... .81
1OI Exter-ior Air . . . . . . . . . . . . . .. .17
i i I Total „R" Vali_te............ 10.83
12I 1/R = "tJ" Ualue . . . . . . . . . . . . . 092,.3361
231
141
151THRU ]:IVSLILA'TI0N WIT'H STDING R S.R.
161
1711nterior• Air^ ............... E,B
18fSheet ftock.e,, .............. .LtS
1917hermn-Preak . . . . . . . . . . . . . . . 0
C'0IInSl11cZt1iin .....ee...e...... 19
21lsheatning..............,... 2.0E
221Siding ..................... .bi
231Exter-ior• Ri.r .. .... ...... o .. .17
241
25ITota1 "R" Value............ 23.17
2611tR = "U" Ua1ue..,........,, .043159,:
271
281
291THRU CEILING MEMPER
30!
311Inter,ior Rir.........,.„... .66
32I5heet Rock...a ............. .58
331 Cei 1 irig Mernber .. . . . . . . . . . . . . 4.35
3411nsuta±ion .e..,,.....,..... 45.65
351Sti11 Rir• .................. .61
3E1
371Tota1 "R" Value........... . 51.87
3811IR - "U" ..............,.... .0192790
391
4@I
411
42ITliidU CEILING IhISLlLRTION
431
4411nter^iryr^ Air .. . .... . ........ .68
4515heet Roek ................. a58
461Znsulatiar, ................. so
471sti11 Air.,..,o............ .61.
461
491Tota1 "R" Value............ 5 1.87
5011{R - "U".e..,....e...,,.... .0192790
511
521
531
54 I THRU C0IJCRETE RLOCF;
JJI
561Tnter^ior^ Aira.,........,.e. .68
571Gof'ic. Hlk .................. 1.:=8
58 I I ns i_i 1 at i on . . . . . . . . . . . . . . . . 13
5915heat Rk, ippt.>.....,..... 0
6'c' I TC
EJI
641 a.
651 k.
EEI 1.
TAL EXP05ED ROOF;CEILING ARER
Total skylight area .......................
Total flat roof/ceilinq rrarainq area......
Totai net flat roof/ceilirig ar•ea..........
E71
681
691
701 Determine "U" value frr each
711 i. 0x "U"
72I k..
1i9.3
Y7x "U"
731 {
p
1
la 07ueOJJX "U"
74!
751
761
771
7817 ...... .............................Tota1
791
801If item #7 is the same as nr less than itern
81 I ener•gy code 2 MCRR 1.16008 A AND 0.
AGI
931 TOTAL FLOOR CAIVT. RRER (Qnclosed)
841
851 o. 7otal floor cant. frarning area
8E1 p. Total net insulated floorlcant.
871
L3v Y,0JYJQ
#c you have rnet the
(ave. i@X)
ar-ea.....
13.5
1.35
12.15
5egmerit
, .0&3850'3
.3517661
881 Determine "U" value fnr each
891 0. 1.35K ??U"
901 p. 12.15x "U"
911
9c18...... .... .. ....................Trtal
931
941If itern #8 is tne same as or• less than item
951energy code 2 MCAR 1.16008 A pND Ow
961
971 TO TAL FLO?R/CANT. AREA (exposed)
981
991 q, Total floor/cant. frarning srea
100I r. Total net insulated f1oor^/cant.
imii
4356170
#3 you have rnet the
7.125
(ave. 10%). .7125
area...... 6.4125
i
0
2l Deterrnir?e "U" val?_ie fc?r each flc?or,/cant. segrnent
?
n
1W.5 1 q. . 712JX ??u?? , I?JJS0:16= .??ui97Er00
1041 r•. 6. 412Sx "U" . 0^c75028= .1763614
1051
10619 ...................................To tai .21E1214
1071
1061If itern #9 is the same as or less than itern #4 you have rne@ the
1091ener•gy code. c MCAR 1.16008 A AND 0.
11Q?1
1111
11211 HEREBY CERTIFY THAT I HpVE CRLCULAT THE
i 13 1 VRLLIES HERE I N AND THAT THE RU I LD I NG h? D
1141THE STRTE OF MN ENERGY CONSERVATION t? .'??
1 1 J 1 ? r
1161
1171 t 35n t
iiai
U" FGCTORS AND "R"
RTBED MEET5'OF EXCEEDS
- -----------------
?
urT
1193.17
119.317
1073.853
rorf/clg. segrnent
@_ 0
.D I??{119'?790= 21.? 30(0?Lj.308(?
• ?L.,9G790= G?L.1.7Y?7O
f 1 oor• / ca rit
. 0621118=
.0289519=
1191
120 i
1211 (date)--- ---
i A i I P I I C I I D I I E I I F I I 6 I I H I
11
21 EXTERIOR ENVELOPE AVERAGE "U" COMPUTA TION 0
31
41DWNER
---
-------- ?'-T-==?!
-
--
---
---
51SITE ADD ----------------------------
RES5
--------------------
-----
-------------- ----
--
--------- --
--------
61CONTRRCT ---
-
OR GENE ELDEEN CONST.DRTE 3-'?6-BE P
-------- ----- HONE
-----
--------
71
81 DETERMINE WORI;ING SQURRE FOOTRGE
91
1011. Total exposed wall ar,ea 1676.494sq. ft. x. 11 184.4143
li lc. Total raoflceiling area 1193. i7sq. ft. x.026 31.02242
1213. Total floor cant.area 13.5sq.ft. x.iTB 1.08
131 (over unheated enclnsed areas)
1414. Total floor carit. area 7. 125sq. ft. x.02C] .18525
151 over unheated.exposed areas)
161
1715. Total exposed wall area abnve the floor.----------- 1431.394
iai
191 a, Total waJ l window ar-ea .......... ......... . 205.7895
201 b. rotcll donr area. . . . a . . . . . . . . . . . s . . . • . . s . . . 37.6956
c'll c. Total sliding g1ass door ar^ea ............. 33.3
221 d. Total fireplace ar^ea ......................
23f e. Total wall framing area (ave. 10X)........ 143.1394
24I f, Total net wall area above the flaot-.....,. 1011.470
251 g. Total rim joist area ...................... 158
261
271 TOTRL EXROSED FOUNDATION RREA ................ 87.1
GOI
291 h. Total foundat ion vaindow area . . . . . . . . . . . . . . 0
301 i. Total net foundation ar^ea ................. 87.1
311
321 Determine "U" value of each wall segrn ent
331 cl. 205.7EI95X "U" .42= 86.43153
341 b. 37.E956x "U" .06
= c.26173
5
JJI !?
C. JJ.JX 11U" • ilJ= p
ZL.p JO7
36' 41Ja fTx 1111J111 T=
?4? 4? !A
Y'
371 e. 143.1394m "U" .0923361= 13. 21693
381 f. 1011. 470x "IJ" . 0431..°i93= 43.65427
391 9. 158x "U" .4406339= 6.420154
401 he 0x "U" .42= 0
411 1. 87. iX "U" .0E60939= 5.756775
421
4316 ....... ................................Total 170.7285
441If item #E is the 5E1h72 as or- less than itern #1 you have met the cur•rent
45I ener^gy c ode. 4 MCAR 1.16008 R AIVD 0.
461
471
481
491
•
501
511
521
531
541
551
561
57!
581
591
601
--1?-CITY__0f EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
OrZ
u?L AX
023677
06/@2/94
SITE ADDRESS:
P.I.N.: 10-13750-240-02
DESCRIPTION:
1973 COVINGTON LANE
LOT: 24 BLOCK: 2
BERKSHTRE PONp5
S/16/94
Biiilding'-Permit Type
Suilding W&rk 7ype
\
?.. .. ' - j'
t
? P
\"\ i L
li Y Y .
,l
5' VARIANCE
SF PORCH
NEW
,
I? ?
? ? I (
Deti- ?'?5 ?J????.??Li iJ
REMARKS:
SEPARATE ELECTRICAL PERMIT REQUIRED
FEE SUMMARY:
VALUATION $6,000
Base Fee $81_00
Plan Review $52.65
Surcharge $3.00
Total Fee $136.65
CONTRACTOR: - Flpplicant - S7. 1.7[C. OWNER:
TWIN 70WM EXTERIORS 18813949 0005724 SHIKOW5KY SCOTT
9301 BRYANT AVE S 1973 CtlVINGTON LANE
BLOOMINGTtlN MN 55420 EHGAN MN
(612) 881-3949 (612)454-1290
I hereby;ackflowledge that T havs read this applicataon and state thet thz
infozwISSUED ' ree ta camply with al.l applicable SLate qf Mn.
Sta diaances.
L ED B SIG A RET
-j
-, ?'/3?• ?
CITY OF EAGAN F__1 1994 BUILDING PERMIT APPLICATION
a 3-7 7 ss,-4675 , 9,4q4
=%?p ---- ----
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of archltectural & structural plans, 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 Valuation of work lli ?Oa- ??
Sit Address: 6'2??.,?,,?,.--
STREET SUfTE #
Tenant Name: (commercial only)
LOT 2 dl BLOCK z SUBD. P.I.D. #
Descri tion of work: „e",
The applicant is: O Owner Contractor ? Other (Describe)
Name ?li?G'ca?',?r./ 7'?'oTTe? IAU,P.4 Phone
Property LaST FtRsT
Owner Address ti '41
STREET STE #
City State /ti//&I Zip
Company ?Lv???OGc?ti GGz drJ Phone ?V'395ey
Contractor Address ??711eClIC 5. License # Exp.
City ?J???ry1i??T4n/ State Zip S? ?d
Company Phone
Architect/
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 re this applicat' n and state that the information is
correct and agree to comply wi a 1 pplicable ta e of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging
? 02 SF Dwg. ? 07 4-Plex ? 12 Mu1ti. Misc.
? 03 SF Addition O 08 8-Plex ? 13 Garage/Accessory
,ff 04 SF Porch ? 09 12-Plex ? 14 Fireplace
El 05 SF Misc. 13 10 Multi. Add'1. ? 15 Deck
WORK TYPE
p`31 New ? 33 Alterations ? 35 Tenant Finish
O 32 Addition 0 34 Repair ? 36 Move
GENERAL 1NFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Engineering
REGIUIRED INSPECTIONS
? Site
? Wallboard
? 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demalish
Basement sq. ft. MWCC System
lst F1. sq. ft. City Water
2nd F1. sq. ft. PRV Required
Sq. Ft. total Booster Pump
Footprint Sq. ft. Fire Sprinkler
On-site well Census Code va v
On-site sewage SAC Code v/
Census Bldg ?
Census Unit
Building
Variance zL 1?-.9y
S ` ? r, -..?a
b Footing
JQ Final
0 Framing
? Draintile
E7 Insulation
0 Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W ?ermit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
vaLueetm: g o Oob
Assessments
SAC %
SAC Units
?
V ?
?, Go V 1?J 4'Yp {J ?..p,?.??
",?'.. -,.v.:.,..e
s
2?' 2(o.. E n
Sr
•
\ 1 i? n„ Ir:
?
2o.i3
??A2A6E:u =e.?l°' lAb?
y? AB '?=---
99e.o
Nz?puc?n ?
Nr?Jy?c.
• ?i......
V
-.
1o UTIUi I Ft•?E. I
IAF?7f W1C? II.'..?'7I
4•7i
f..?
..-
i ?.,
f`J
°
°
A[ ?
?
- --?t? ?
?
T I
s:..3,1 ?
-?.... _ . o }?
En?C
s;F! .n
F? I
S ? v3 L?J 9O' ?
?.. _ I S
,? - - .-
^ 70.60
c?
40 ?
N {p 64aLH 1"? 3v'
7 ?l.t- 6EAwu44 AAiUMED
opE)(o765 tR04! MDNUMENT
e,.?; D?/iG?tPTICIJ
t-cT 24 , Bl.oe.K- fL, .
` BE¢KStl1R6 Po1SVS,
DA.Y..eTA GcIl1,lT'f,
M1ti1u6?jo?, .
I hqreby certify tttat thls survey was prepared by me or
under my direct supervSslon and that I am a duly RegieLered
Land Surveyor under the lawe of tlie StaEe of MSnnesota.
Dates Ab.,/, 3i., 1, 9.+,6. .t .!l 4-!=I?
Le oy 1 I Bohlen
Regiatered Land Surveyor Tlo. 10795
C---?z? ?CJf1=ti
*dtV oF eagen
PAT GEAGAN
Mayor
PEGGY CARLSON
CYNDEE FIPLDS
MIKE MAGUIRE
MEG T(LLEY
Council Members
THOMAS HEDGES
Ciry Adminis[raror
Municipal Cenrer.
3830 Pibt Knob Road
Fagan, MN 55122-1897
Phone: 651.675.5000
Faz: 651.675.5012
TDD: 651.454.8535
Main[enance Facility:
3501 Coachman Poin[
Eagan, MN 55122
Phone:G51.675.5300
Faz: 651.6755360
TDD: 651.454.5535
www.ciryoFeagan.com
THE LONE OAK TREE
The symbof of strengch ..
and growch in our
mmmuniry
October 7, 2003
MR PATRICK D TIETJEN
1973 COVINGTON LANE
EAGAN MN 55122
( G
RE: REFUND OF BUILDING PERMIT #61381
TO WHOM IT MAY CONCERN:
This letter is to advise you that Building Permit #61381 has been cancelled and a refund
in the amount of $779.04 will be sent to you under separate cover.
If you have any questions, please feel free to give me a call at 651-675-5671.
Sincerely, ?
ice D. Severson
Office Supervisor
cc: Dale Schoeppner, Chief Building Official
Terry Zelenka, Building Inspector
' CLAIM VOUCHER - REFUND REQUEST
CITY OF EAGAN
MAKE CHECK PAYABLE TO: PATRICK D TIETJEN
ADDRESS: 1973 COVINGTON LANE
EAGAN MN 55122
PERMIT # 61381
RECEIPT #/DATE: 54581 9/23/03 VALUATION: $32,000
REASON FOR REFUND: PERMIT CANCELLED
TYPE OF REFUND:
Plumbing Permit 9001.4087 $
Mechanical Permit 9001.4088 $
IIuilding Permit Fee 9001.4085 $ 462.45
Plan Review Fee 9001.4222 $ 300.59
SAC (MC/WS) 9220.2275 $
SAC (City) 9379.4681 $
SAC (Admin) 9001.4246 $
Water Connecrion 92203865 $
Sewer Permit 9220.4532 $
Watei Permit 92204507 $
Account Deposit 9220.2252 $
WaterMetei 9220.4509 $
WaterTreahnent 9220.4685 $
Water Supply & Storage 9220.4680 $
Surcharge 9001.2195 $ 16.00
Oveipayment 9001.2250 $
Curb Box Deposit Refund 9220.2253 $
Construction Meter Dep Refund 9220.2254 $
Other - Fire Permit 9001.4096 $
TOTAL $ 779.04
I are under the penalues o1 law that this account, claim, or demand is just and that no part of it has been paid.
10/07/03
SIG ATURE DATE
i
? Clty Of 2ag81'1
MEMO
TO: DALE SCHOEPPNER, CHIEF BUILDING OFFICIAL
FROM: TERRY ZELENKA, COMBINATION INSPECTOR
DATE: SEPTEMBER 30, 2003
SUBJECT: 1973 COVINGTON LANE
I am asking that we refund permit 461381 for $779.04, issued September 23, 2003 for 1973
Covington Lane. The proposed room addition is in the easement.
Terry Zele a
Combination Inspector
TZ/ld
?
???
1 DI -7 ??? ? ?N?w? ?!- - --?-- • ? c r"
:. ? u
.
RESIDENTIAL BUILDING
J n Permit Application
LO City Of Eagan
,5?' / 3830 Pilot Knob Road, Eagan MIV 55122 Z f?
\ Telephone # 651-675-5675 FAX # 651-675-5694
3 reg'steied site surveys showing sq. R lof, sq. ft. of house; and all roofed areas
(20% manimum lot coverege allowed)
2 copies of plan showing beam & window si ; poured found design, etc.
1 set of Energy Calculations
3 copips of Tree Preservation Plan 'rf bt platted a 711193
Rim Joist Defail Opllons selecUon sheet (bldgs wi 3 or less units
RemodeVReoairReouirements Office Use Onlv
2 wpies of plan /ert of Survey Recd _Y„N
1 set of Eneyy CalculaUons for h?ted addifiPres Plan Recd Y N
1 site survey for additions & decks Pres Reqd Y_ N
Addfi'on - irMkate if on-sde sep6c system ite Septic System _ Y_ N
Date Construction Cost ?
Site Address ?73 UnitlSte #
Description of Work
Multi-Family Bldg _ Y Z( N Fireplace(s) 1L 0 1 _ 2
Property Owner W? ?{' • Telephone #(?i
?
•
Contractor
??
Address City
State Zip TelOptione # ( )
1-
co
Energy Code Category
(4 submission type)
03 AREI
Minnesota Ri
• Residential
Submitted
• Energy W,
Have you previously constructed
fee applies. /
Licensed Plumber
Mechanical Contractor
Sewer/Water Contracto
IF
Category 1 Worksheet
Calculations Submitted
in Eagan with a similar plan2
SC71 12 200; ?
T
Telephone
#(
I hereby apply f9{a Residential Building Permit and aclrnowledge that the informatio is complete and accurate;
that the work kili be in conformance with the ordinances and codes of the City of Ea and the State of MN
Statutes; I understand this is not a permit, but only an application for a pemvt, and wark is not to start without a
perxnit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
ApplicanYs Printed Na6b Applicant's Signa
A NEW BUILDING
Minnesota Rules 7672
. New Energy Code Worksheet
Submitted
f?
Y_ N If so, 25% plan review
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of_ plex ? 09 07-plex ? 17 Garage X 22 Porch/Addn. (4-sea.)
? OA 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo)
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
r rr'
? 30 Accessory Bidg
? 31 Ent. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
`'It `' .i,7} ."? ..i
_
? 31 New .
? Gl ,35 Int Impravement ? 38 Demolish (Interior) , Q. 44 Siding
32Addition ? 36 MoveBldg. O,,f?IP?Derjyo?isd(Fopndaton)'O?','?5? FireRepair
? 33 Alteratlon O 37 Demolish (81dg)' ? 43 Reroof • ? 46 WindowslDoors
+E,7.,,,..34; R@placemeqt.t, ?_ ,y, - ' .,+ •. `? ?.D1i?rnoliti4n jEntire p1q9) iGidg,P RCA hapr, ut to. aPP4 czln t_
Valuation . ?)-gOccupency MC/ES 5`ystem
Census Code ? Zoning City Water
SACUnits,«, ; ??_• ;.,?. Stories •.,Yt.`R . ?oostefPump.?,? .` 1
n \' u 1 i tqt ' \ ?
Nbr. of Units? ? Sq. Ft. PRV
Nbr. of Bldgs Length • Fire Sprifiklered,
Type of Const W idth
REQUIRED INSPECTIONS
_ Foorings (new bldg) FinaUC O ? • i ? •, .
Footings (deck) • : ? ? ?' i ' ? ? , i ? s r 'F ` ?+ 1/Iiiv GW' ` ? ' : - ? s ?i:'?`? _ 4 , ? •
? Foorings (addition) '- '. • r4 -_„ ?r ? Rh?yi]?ing
.c.? ? ., . r.,
7X Foundation • , . • • , ?.ti:*>' _ HVAC " ? . .
Drain Tile Other
Roof _ Ice & Watez _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
? Framing _ Siding Stucco _ Stone
Fireplace _ R.I. _ Air Test _ Final _ Wlndows (new/replacement) ,
Insulation _ Retaining Wall
?
Approved By Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
3q4 x
:`?'`;'.` . •.'.
9i?o0
Nxs'??-
/I co/
?
. ? ?
, .?•, ?"..?! ? `, . , ?:?
,
F.J
3
- - .?-
='
?
- - 41
1q
?
- - - - 1
U 4'YoN 9.A41%
? ... . ..... .??a . .,. ?
, 0ip
-MR?
7o.re
N o• 19'o4"W
t-oT 24 1 6IaG+c. !C,
BE2KS1hRE Po?JO+,
casLoTa e.oo?irY,
MIfJU6go7p,
I hOreby certify that thie eurvey wc
under my dSrect supervision_and:thsl
Land Surveyor under tha laivs of the
Date,,?Jue? Lf? 11: B
oy ol
zRegSBEer@d
E •?' '.?.?
?..r ri?...
??oRTN
? sc e 1"+ 30'
1u eEe.a,Nws e44uH,en
b pe?(OT64 IRDIJ MDN1JMEI1T
G6lcICiPTlol.1
e prepared by iee or
I.:am a duly Regieterad
Statie of MlnnaeoLa
i en .
and 3urveyor Iio 10795 >
?..:W ?. ? •. ..? ,.. <;
.. ,,., , .. . .. _. ?
? 'w.. . V . . . . . . . .
? RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
gBZ. 43
??,,,,, _ f 2.g •D3
New Construclion Reauirements RemodeVReoair Reauirements OfFice Use Onlv
3 registered site surveys showing sq. fl, of lot, sq. ft. of house; and all roofed areas 2 caples of plan Cert of Survey Recd Y_ N
(20°h maximum lot coverage allowed) 7 set of Energy Calculallons for heated additions Tree Pres Plan Recd Y N
2 copies of plan showing beam 6 window s¢es; poured found design, etc. 7 site survay foradditions & decks Tree Pres Reqd _Y _ N
1 set of Energy Calculalions Addifion - iiMicate il on-sife sepfic sysfem On-site Sepfic Syslem _ Y_ N
3 copies of Tree Preservation Plan if lot platted afler7l1193
Rim Joist Detail Options selection sheet (bldgs wilh 3 or less uniGs
Date ?0 / 0-3 ConstructionCost
Site Address ?j
V , UniUSte #
"
604-h
y)
Description of Work 'k
c
POWiSi,SYI ? ?vl ? ??
Multi-Family Bldg _ Y V N Fireplace(s) V 0 _ 1 _ 2 ,
Property Owner 1I Telephone # (Ctel) 4CJ4 - l(i ? ?Z
Cont c[
drp Ss City
/
S af te Zip Telephone #( )
COMPCETE THIS
IF
Energy Code Category - Minnesota Rules 7670 Cateeorv 1
. Residential Ventilation Category 1 Worksheet
(J submission rype) Submitted
• Energy Envelope Caiculations Submitted
Have you previously constructed a building in Eagan with a similar plan?
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water ContracTor
A NEW BUILDING
Minnesota Rules 7672
. New Energy Code Warksheet
Submitted
Y_ N If so, 25% plan review
Telephone # (
Telephone # D
Telephone
I hereby apply for a Residential Building Permit and acknowledge that the inforn
that the work will be in conformance with the ordinances and codes of the City
of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to statt without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
Applicant s rmted Name ApplicanYs Signature'
OFFICE USE ONLY
Sub Types
? 07 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? -21 Porch (3-sea.)
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screeNgazebo)
? 05 03-plex ? 11 10-ptex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types a K
? 31 New ? 35
? 32 Addition ? 36
8, 33 Alteration ? 37
? 34 Replacement
Valuation e OL;7 V
Census Code
SAC Units
Nbr. of Units
Nbr. of Bldgs
Type of Const Vp?
.._
-- . .I .,
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ex[. Alt - SF
? 36 Multi Misc.
(!??'317. ? 14i'JN 6F'e. 4/mj tzil>, Dlc)l? L /;
t'.)
Int Improvement ? 38 Demolish (Interior) ? 44 Siding
Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
•Demolition (Entire 81dg) - Glva PCA handout to applicant
Occupancy 5- (41 MC/ES System
Zoning ?.? CityWater
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
W idth
Footings (new bldg)
Footings (deck)
? Footings (addirion)
?c Foundation
Drain Tile
Roof Ice & Water _ Final
?C Framing
Fireplace _ R.I. _ Air Test _ Final
? Insulation
REQUIRED INSPECTIONS
FinaUC.O.
?C FinallNo C.O.
Plumbing
HVAC
Other
Pool _ Ftgs _ Air/Gas Tests _ Final
Siding Stucco _ Stone
Windows (new/replacement)
Retaining Wall
Approved By , Building Inspector
--------------
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge _
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
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"CATEGORY 1" ALTER.NATE FOR #CtV oF ?n??
ONE & T`ti 0 FAl1ILY DWELLINGS
INSTRCCTIONS: This alternarive may be used Cor ane- and two-fomily dwellin;s built to meet the Cau;ary ! requiremencs of
Minnesota Rules. Chapter 7670. Complt:: ?3rts.a, 8, ond C. Clearly mark plans with: msc!an.on R-vafuts: «indow and skyfight [J.
-•aluzs; siz: and rypa of aquigmanr, aquipman[ controls: and lotation uf vacor retardz: and w;ndu'ash bacners. N(ore detailed
infurtnanon czr, be Cound in ha .4(innrsora Energy Cadn ,ummary sheect avaitablt irom the ti[:lnesou Deoarsnenc of Commerce.
Part A. BUILDING ENVELOPE
Check pmpouC envelopejoint seWing optiou 4 ? Prescapn.e (cautl¢ng, gukecs.:m.) j?P_romunc: l:es: per 7670.0470 subp. 7.CJ
Check :hermal -:ergy ealailacou option vsed 4 O.•Cookbook" (complr.e workshr.e'xlow) C) N(n0KE RSCd?OC (lIL7C}I ftpOR)
. O Performance (a¢ach L'.vatue calculadofu) O Systems Analysis mechod (aztuh anatyiis)
"Cookboak" `Z'orksheet
C\STiCCTfON5
S;r? i. Chacz :tem(s) ;fut desip mr_s on.itinimum Rrquiremenec iisc
:o :he igh.c.Vsc .-r_: at! ::rms :o cse'Cookbook" opboa
S::p :. InGica:e preeosed wul 7.7t un solr Se;ew.
5=o ?. L^.diax R'irdow C-cal_: 1r.d ioc:e.
i:ep .. Ver.^; :031 wL^Cew , rc!cding area oi ill `ounCacicn windows)
ar.d .'.eor ar:a s eoul or :ess rhan allewaoie petcmrage.
}uNntiMM xsQcMLNfEN-rs .
(tor °Coaicboak^ o dao ooiv)
C:iling Insulation: Mnimem R-33 wi:h 7h" mergy heek or
Ntinimum R44 •.vith low Tais he:l; ar
Minimurt: R•33 wic4 R•: shwLhine wtea no aaie.
] Encv Doors: \,(ax. U-v3lur ui 0.30 or 11:'salid wood with scorm
7 Ffco[s sver •::.c_r.c(:ior.tC icar_5: SLci:.sr.. R•?I k
Z r'au:Gacon [rt;_:a:icn: `fininum 2• 10
'7 Focldaaon w°scows: :_' irs:lacedzass. wT d or vinvl ?ne w
T.JLBLE FOR DETERNtI`?Z`G ALa.(IN[L'N[ WIXDOW.jLN'D DOOR AREA '
Macr.i;:m Allowabia Tod WinZow and Doar Atea ss
a?=rc:Inae of Excosed W3ll
12%
14'./a I
16"i +
18% I
?
I"%
?J%
2$X -
2$% .
`H"iI! T•-vY (Sru:Clyd F:amin¢): Mavmu m Aven¢e R'indaw L`-v al-ze (ex:-t ?ounda:ion wiec'aws):
'. .
]sL R•13 ir.;aia:ion. R•" sheiduaa
_ I 0.:5 0.47 0.41 1 036 I 0.33 0.:0 1 0.17 015 023
]?x1. R•li ir.;;:!ar.cn. R-: shzatlhin 0.52 0.45 I 0.39 1 0.35 I 0.31 I 0.23 I 0?6 0.24 022
2?6. R-I9 irsulanon, < R-i shraa5in ? I 0.38 O.al 0.36 I 03? 3 I 0.?6 0.?a 0 .2? 0.21
2c6. R-19 insuladon. R•5 shea[hin
4
0.56
0.48
? O.J2 ?
03'
030
O.i l
018
0.26
034
Q 2x6, R-? 1 insuiarioa < R-5 shcacbin 0.51 0.33 033 0.34 O.iO 0.28 0.25 0.23 0.22 .
ZI 2a6. R•21 wulapoa R•3 shn[hitt 0.58 0.50 0.44 ? 039 035 ? 032 019 021 015
Wall Type Advuiced Framin¢ : Maxionat s Avm Window (T-value exc:oe fouadadoo windaws):
Q 2x6. R-l9 insuladoa < R-5 sheadin 032 0.45 039 0.35 031 0.28 026 024 012 -'
O?6, R• 19 insuladoa R-5 sheathia 0.58 O30 0.44 039 033 032 019 0.27 015 =
O 2x6, R-2t insuladon. <R-S sheathin 0.55 0.47 0.41 0.36 033 OJO 017 013 013 _
O 2x6. R•21 iasulauoa R•5 theathin 0.60 032 0A6 0.41 0.36 033 030 018 026 '
Windnw U_valuc rVVJ91 _ 'I Q* Souxce: YFEtC O ASERE 1997 H?n ?ook ?.
---- - ---- ?-'6$F? - d? ° -
100 x, _ lo'7q s? = o,? °<
window dc door area poss aposed wall un DESIGN ALLOWABLE (@om nhk 2bave)
MINNESOFA ENERGY CODE - WNlCH RULES MAY I USE ?
TYPE OF RESIDEY['[.4L BUILDING APPL(CABLE RULES
De[aehed R-3 xcupaocy I- aod :-lamlly dweWnqt Chapter 7672; or
Exun Its: sin !e fami( , twin hames, du kxes CIsa r 7670 "Cate orv I" with 3tatutorv deoressufin[ion md ventilation r uiremenLs
Attached RJ xeupancy dwellinei Ctupmr 7674; or -
Esam tcs: trilez cownhauses and row houus C ar 7670 with either "Cacc¢arv I" or "Cace orv ?" rovisions
R-l occupaocy EW(dlnya of 7 etorla or lesf Chapmr 1674; or -
E les: condominiumsar u4nenn Chapter 7670 wiiheithet"Gm trv f" or "Cate orv2" rovisions
R-I xeupaocy bul(dfny over 3 ttorla hlab Chapter 7676 .
Exam ter. hi h rise eondm or a aranenn
tf4.
Summary of April 15, 2000 Cncrgy Codc Itcquiremcnls for Uctachcd 1&2 Family Rcsidcnlial liuildings
le rcquiremnrt Op11oa A- CAapltr 7670 CaItgory I rs amended Ly Laws u( MN 200U, Ch. 407 qptiua B- Mhmesola Rules Chaplcr 7672
Plans snd Nlsns and specificetions must show design criteria, exteriox envelupe Same except with addiii<>nal required items: locaiiou uf wirnor air barnet,
specifications componenl malcrials, U-values of the envelopn sysienu, R-values uf insulaling vapar rolardcr, and wind wash barrier; idenlilicatiun uf air saaling rryuucJ;
materials, size and type of apparalus and equipmenl, and equipmeni aud U•values uf windows, Jours anJ skylights and otlirr iufurmaiion nerded to
s slems controls. detemiine com liance (such as reyuired vrntilatiun svstrm & makn„n ,;,%
off
for R-5, N-10, ur R-19. "Iladr-ufi
with
nnrvctleck M1u[ not less ihan R-5.
Protedion ot Exlerior insulation from lop of foundation wall l0 6' elow gradc must bc Same.
exterior insulation rotecled a ainsl UV and h sical abuse
0. ... .e.:..??: ?.i
?-. .,? ieeior ihoisiure oarrier requireu belween iroulalion and foundalion wall from Iluor lo Sanu.
--'-
IS
wash
2 x 4 or 2 x 6 walls, und o(hn Gaming optiuns such Same.
Wall fuming: Extrrior wall corners anQ intersections of inlerior aniiiun wulls wiih IVIIIIIIIIU"I °°tel uuss trom uu?side ed •e o! 141)[1 >laie w rouf shea1hin .
f!' Lxlerior wall cornep auJ iwersecliuns of inmriur pariilion walls wiih
Exterior and interior exlerior walls are not addressed. Exterior joinls in ihe building that may be exterior walls are framed so Ihat insulation can be insialleJ a(ter ohe
sources of air leakage must be nealed. cxterior shealhing is installcd. Whenever imeriur Gaming meas an
insulate4 ceiling or exterior wall, a con?inuuus inierior air bartier musi Ae
--••-- --•••••a ?w.???.. uptiun gcquIres x-sa oetween tiaming plus It-5 slieathing. Cuokbook oplion requires 2-38 between liaming, no insulated shrathing
Aaic nccess panels No[ addrnssed, re uireA.
R-38 for ceiling panels and R-19 for wall panels, and nwst be weather-
stri ed.
Floors over Recommend R-30.
unheated s sces Mnximum U-0.031 or minimum R•30 sprcifieJ (traJe-otl may nm be lrss
slrin enl t4at these velues . Window themial Rating must be National Frnastretion Reling Counc i(NFRC) or ASIIItAI; Rating must be NFRC or Jafault table in tlie cade. WinJows musibc
_perfonnance Hendbook ofFundamentals. No meximum U-v l labeled. _Meximum evereee U-value for windn,.,e :a n i7 ..
Page 1 of 4-- SoUrce of sumntary: Minnesota Department ofCanmerce Energy Information Crnmr 651-296_5175 or 800-657-3710, www.commercaslalanm.as.
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2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
15.SD
Date 1 -V I
Site Street Address ,?77 3 G' Unit #
Property Owner ???' Telephone # ( ?S? ' ?
Contractor Telephone # ?v??'-X? S?- ?c3E
Address _4?i'` ??_?L/'? State? Zip
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The Applicant is: _ Owner xContractor _Other
Alterations to existing dwelling $ 50.00
_Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
_ Water Turnaround (add $121.00 if a 5/8" meter is required)
Other:
X Water Softener _ Water Heater $ 15.00
TT
replacement additional
Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00
State Surcharge 1? ? , ? C 11 " ? $ 50
'? ?} UCT ? 4
Total
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I hereby apply for a Res'i8ential Plumbing 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 the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a,pjpn is fe
, quired to be reyiewed and approved. ?
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ApWanYs P int ame Appli6ant's Signature
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I hereby certify that this survey was prepared by me or
under my direct supervision and that I am a duly Registered
Land Surveyor under the laws of the State of Minnesota.
Dates /17o.,? 3l?„19d°( ?
LeRoy H. Bohlen
Registered Land Surveyor No. 10795
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?I
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA143014
Date Issued:05/30/2017
Permit Category:ePermit
Site Address: 1973 Covington Lane
Lot:24 Block: 2 Addition: Berkshire Ponds
PID:10-13750-02-240
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
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 -
Patrick D Tietjen
1973 Covington Lane
Eagan MN 55122
Polar Builders Inc
1103 West Burnsville Parkway
Suite 110
Burnsville MN 55337
(612) 432-1597
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA144045
Date Issued:07/10/2017
Permit Category:ePermit
Site Address: 1973 Covington Lane
Lot:24 Block: 2 Addition: Berkshire Ponds
PID:10-13750-02-240
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 or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Patrick D Tietjen
1973 Covington Lane
Eagan MN 55122
Polar Builders Inc
1103 West Burnsville Parkway
Suite 110
Burnsville MN 55337
(612) 432-1597
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA157347
Date Issued:08/15/2019
Permit Category:ePermit
Site Address: 1973 Covington Lane
Lot:24 Block: 2 Addition: Berkshire Ponds
PID:10-13750-02-240
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Patrick D Tietjen
1973 Covington Lane
Eagan MN 55122
Angell Aire Inc
12253 Nicollet Ave S
Burnsville MN 55337
(952) 746-5200
Applicant/Permitee: Signature Issued By: Signature