1975 Covington Lane
?
.?.
. f;
E
wertificate of ccc"anc?
%it4 of Cfagan
??y?e?r ? ??? ?,??¢??
Tkis Certifecate issued pursuant to the requrrements of the Unifarm Building Code
certifying tiwt at the time of issuance this stn/cfure was in campliartce with the variaus
oRiinances of rhe City regulatirsg buildtrtg constiuction or use. For-the following:
um a=iea? siag- ama No. 22578
O-P-YTyPe R3'M °L1 ZwtingDiwict RI TypeConsi. VN
Owrcro(Building ?. 1AM B31.$ pddesy 14450 8'VMIZ P[W, B'VMTZ
Bwa;,,g Aan? 1975 OUVLMM LAM L?W;,Y LI, BI, IHE SAFARI 3RD
.
01?28/(V4 ?
U Buimingl? '
POST IN A CONSPICUOUS PLACE ?
d'
Address 1975 GDvrrtGmrr LANE Zip 55122
Lot, 1 Blk. I SUU SAF r 3RD
THESE ITEMS WERE J WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: 0 1 28 q4 Yes No Inspector:
Final grade (6" from siding)
Petmanent steps (gazage)
Permanent steps (main entry)
Permanentdriveway
Permanent gas
Sod/Seeded gtass ?
TraiUcurb damage
Porch V/
Basement 5nish LIl
Deck V?
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off o£ water supply to
the ou4side lawn faucet before freeze potcntial exists.
Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system.
White - City Copy Yeliow - Resident Copy Pink - Contractor Copy ?
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDING
022578
12f@1J93
SITE ADDRESS: Lo r : i B L 0 C K a
1975 COVINGTON LANE
7HE 5AFARI 3RD
PEqMIa,%UBTYPE:
?. APPLICANT:
KEY LAND NOMES
(612) 894-2636
TYPE OF WORK: NEW
INSPECTION
F007TNG5 .. .
FQUNDATXqN „
FRAMING ROOFING
INSULATION FIREPLACE
ROUGH IN PI.BG ROUGH IN HTG
FINAL PLBG FTNflL
REMARKS: PRV S& W PLBR - D C MECH
I-'- ?------ . . .. .. , ...... __ .. .. . .. . .,. _... .._.. ? .._. ..._ - ? ???
I
J
` 'ficate of rccupanc?
Wtt? ? ?"an
I ent v? sai[biug anoectian
This Certificete issued pursuant to the requirements of the Uniform Building Code
certi,fying that at the tinre of issuance this structure was in ca?npliance with the various
ordinances of the City reguluting building construction or use. For the following:
Use Classificatioa: SF DC Bldg. Pemnit No. 22578
O-P-Y T57? R3/M1 Zioning District RI TYpe Const. VN
ownw oteuilaing I'?PND HMS Adjr,. 14450 $'VII.LE PKLJY, B'VIIIE
B,,m;,,g Add,,. 11975 WVII+aG*!10[J IANE Lac"ty L1, B!, TF1E SAFARI 3HID
01/28/q4
, ??¢`y
8111b/06 an{n'? -
POST IN A CONSPICl10US PIACE
t"
T
44:?
?
4 CI i Y OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
? I Nli 1 1 1 ta i nidt
jl l,i. I .1:11
PERMIT SUBTYPE:
PERMIT TYPE:
Permit Number:
Date Issued:
? APPLICANT:
4- 1,' 1 ;s'14 ?i.
TYPE OF WORK:
.
??
flll I I 11 i 1,46
41 ,F.'1, , H
1 :1 10 1 / `+ .1
INSPECTION ..
. D,
f+,.
1 N I! i i.
?I t l Itt, I ?
! itf h}A Itk.', f F'H
'tr ll 1•) !s{; 1? i F11 f
7 I
L?
¦?
PermR No. Pernit Holder Date Telephone ?
SNV
PLUMBING
HVAC
ELECT
ELECTRIC
{nspectlon Dsb Insp. Commerda
Footings I 1?/,?4-3 ?
Foundation / 7 ? 3 ? V /LyT Q?.QC,, 6-rl?
si
Framing ?
Roofing
Rough Plbg.
/ ?- .
Rough Htg. e
I5ul. -- 7-q?l n c,j
F?replace I Asl9y
Final Htg.
?
OrsatTest
Final Plbg. r
Plbg. Inspector - Notify Plumber
Const. Meter
EngrlPlan
Bldg. Final
oeck Ftg. 121-719_7 z i /2 -
Deck Final ?a 8+ ,Py
Well
Pr. Disp.
If
9093 Z? 81
J.?s.T.2-
_ eo
3equesl0ata 1Fre No. " Rou In inspecnon naymi- -
I (y ?usl call Inspector, wben reatly) Feetly Now [] Will Noilty Inspedor
q 64 W v ? N o a ay
I µu licensed contractor ?owner here6y request inspection ot above electrical work at:
city"
Job Atltlress (Street. Bax or RaNe Na.)
? Caunry
Seclion No. Townsnip Name or Range No.
Phone Na.
Occupant (PRINT)
Power Supplier Atltlress
EI¢cVicfal Gon?[ractor (Company Name)
I?C?IYi' LAe-Mailin Atltlrese (Co clor or Owne[ Meking Inseellatlon) ?
Pnone Numoar
Autho tl SignaWre ?Comract 'Owner a Ing Installalion) *
? 4a3--
THIS W
kINNESOTA STATE BOAR E ECTRICITY 9E ACC
Griggs-Midway 61tlg. - H S. 28 UNLES!
1821 Universlty Ave., St. Paul, MN 55104 ENCLO:
Phone (612) 642-0800
o? ? REQUEST FOR ELECTRICAL INSPECTION
?r
lJ J G 2 2 O See'mstmclions ior compleling tnis form on back ot yellow copy.
„x" i3Plow Work Covered by This Request
REQUEST WILL NOT
THE STATE BOARD
INSPECTION FEE IS
q!g
`? "ki,ol E8-00001-09
????a552-
New Add Rep. Type of Building Appliances Wlred Equipment Wired
Home Range Temporary Service
Duplex Water Heater Eleciric Heating
Api. Building Dryer Load Mana ement
CommJlndustrial Furnace Other S eci
Farm Air Conditioner
Other (speciiy) Gonvactor's Remarks'.
Compule Inspection Fee 6elow:
# Other Fee # Seivice Entrance Size Fee # esders Fee
f
Swimming Pool D to 200 Amps Am
0 to 100
Transformers Above 200_Amps Above 100 _Am s
TOTAL
Si ns msoactors usa omy. Sa
Irrigation 8ooms
Special Ins ection
i
INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
on
Alarm/Communicat THIS
? COMPLETED WITHIN 18 MONTHS.
Other Fee oeca
the Electrioal Inspector, hereby
I Aougn-m
,
certify that the above inspection has F;nai L/ '
been made.
OPFICE USE ONLY
This requed voitl 18 months irom
REQUEST FOR ELECTRICAL INSPECTION
lQ ?/ p, See Instmclions for completing this torm on back of yellow copy.
I'I 7 1 3 g 1 "X" balow Work Covered by This Aequest
ew Atltl Hep. TypeofBUilding AppliancesWlred
Home Range ?Tempoi Electric
?
Furnace
THIS INSPECTION REOUEST WILL NOT
BE ACCEPTED BV THE STATE BOARD
UNLESS PflOPEF INSPEGTION FEE IS
ENCLOSED.
Farm
Other(specify)
lnspectian Fee Below:
Otner Fee
ning Paol _
Service Enirance Size
0 ta 200 Amps
Above 200 _ AmF
ctar's Use Dnly:
EBO?OOb00 I
jkC,ncu,s1FeTe ders Fee
OTALSS N5 5
?
Booms
IOther Fee I i-??
I, the Electrical Inspecror, hereby
certity that the above inspection has
6een made.
]FFICE USE ONLV
fhis raquesl ni0 18 months Imm
THIS INSTALLATION MAV BE ORDERED OISCONNECTED IF NOT
COMPLETED WITHIN 18 MOAHS. I ?
MINNESOTA STATE BOARaomFS- ?3 ELECTRICITY
Griggs-Mltlway Bltlg-
St Paul
Phone (812) 6 2-0BOD, MN 55104
? ClTY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMITTYPE: BuxLozNG
Permit Number: 0 2 2 5 7 B
Date Issued: 12 / 01 / 9 3
SITE ADDRESS:
P.T.N.: 10-75852-010-01
Bu.ildinglPermit Type
Building-Wark Type
UBC occupan?cy?\
Construction T'ype
Zoning `
Bu3lding Length ?
Building Wzdth ?
, ff '`!f I.
C?' 1?,?q3
DESCRIPTION:
. ,. -i
SF pWG
NEW
R-3 M-1
V-N
R-1
58
36
?C?V C0 c?)(?Ocgc???
REMARKS:
PRV S& W PLBR - D C MECH
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
SAC
SAC $
SAC Units
Subtotal
1975 COVINGTON LANE
LoT: i BLOCK: 1
THE SAFARI 3RD
VAIUATION
$744.50
$983.93
$65.00
$750.00
100
1
$2,043.43
$130,000
MXSCELLANEOUS $1,744.50
Total Fee $3,787.93
qCVTLHIYUT f'1?ES - H?.1(J111:df1L - 51 . lll.
18942636 0 001553
14450 BURNSVILLE PKWY
BURNSVILLE MN 55337
(612) 894-2636
KEY'C"RNb HOMES
14450 BURNSVILLE PKWY
EAGAN MN 55306
(612)894-2636
I herebq acknowledge that T have read this applieatian and state that the
inYormation is cvrrect and agree to comply with a],1 ap,plicable State of Mn
Statutes and City ofi Eagen prdinances.
?
Z,
------A C TIP EESIQ, ATURE
?
?
ISSUED BY: SI NATU - --- -
REACTIii RE 6?ED CITY OF EAGAN
PERMIT 1 93 BUILDING PERMIT APPLICATION
I ? 2 1993 681-4675
t3, ??? ?. q?
Ci ,l,Qy] 11 -24
SINGLE MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & 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 ( O5.4ov
Site Address: lq75 COUigC-mTo?4 LA4E-
STREET SUITE 0
Tenant Name: (commercial only)
IAT ? BIACK ( SIIBD TA'E SAFRV-1 'ARp P.I.D. k
?GDi Ti 01?1
Descri tion of work: Os*/ SrI,ICarLt r-F4MiLy ? F6m F
The applicant is: ? Owner ?Contractor ? Other (om«tne)
Name Phone
Property LAST F1RST
Owner
Address
STREET STE M
City State Zip
Company 'K'E'-,, LA"D ttnrt'IF S Phone b94-Z(o-2ilo
COI1tf8Ct0r Address 141,ri0 5UVt-1SVtLLa KvvY. License # 1553 Exp.3-31-
City EA6,PrtA State Mtj. ZipSS-3U(o
Company Phone
Architect/
Englneer ' Na'"e Registration #
Address
City State 2ip
Sewer & water licensed plumber D•C- ME[.A4I..lirs3L . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this a plication and state that the information is
correct and agree to comply with all applica le State of Minnesota Statutes and City of
Eagan Ordinances.
3
Signature of Applicant: C
?
OFFICE USE ONLY
BUILDING PERMIT TYPE
,. •
+
4 ?
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Ba eent,Finish
X02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? 08 S-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex O 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'l. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WOR K TYPE -
M31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) V- N Basement sq. ft. MWCC System ygs_
(Allowable) \j - tz lst F1. sq. ft. City Water yi35_
UBC Occupancy -3 Ni-? 2nd F1, sq. ft. PRY Required
Zoning R-l 5q. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length .s? On-site well Census Code • Ioi
Depth 3 6" On-site sewage SAC Code oi
I
APPROVALS -
Planning Building Assessments
Engineering Yariance
REGIUIRED INSPECTIONS
? Site
? Wallboard
? footing
? Final
? Framing
? Draintile
? Insulation
? Fireplace
Permit Fee veimc+on:.. g 13v"O0a ?
Surcharge
Plan Review G.?ru?.bet 30 )<y= j20
License y xlo_ y?
MWCC SAC
City SAC y'rt K X=(3(? ,
Water Conn.
Water Meter
C?-SN1T ? ?? ?y •
Acct. Deposit -
S/W Permit ZKX ?? I?Zg ZNr> (?L
S/W Surcharge
Treatment Pl.
Iy X2,0= z?c> 26 X zg =
?Zb?
Road Unit y'rZy 6? 36 --zKiL1= 2y
Park Ded. I5G60 l?XtN= 25
Trails Ded. /? _
- ?
Copies /OU ?
Other CsT ?i.?vr?. 5 ?J 432?
Total: _----
C % I 0o Li?m i. = f o S '
SA
SAC Units = 370
?X
'l29`? J IZq
,;
9
j
L=
5
?
`"' /
-
10 411 9 su=
a
?
? p
J W
m ?
WJm ?
? W
a m
?
0-?0 ?
0?d ?
13
0-?0
13 11
8' ? ?
0 8'0
Ci?- ? ?
D- ? ?
LOT SURVEY CHECRLIST FOR
Date
DOCIIMENT STANDARDS
• Registered Land Surveyor signature and company
• Buildinq Permit Applicant • Legal description
• Address
• North arrow and bar scale
• House type (rambler, walkout, split w/o, split entry,
lookout, etc.)
• Directional drainage arrows with slope/gradient $.
• Proposed/existing sewer and water services
• Street name
• Driveway
Existina
LI C3'?? • Sewer service
M` ? ? • Lot corners
8- 0 0 • Top of curb at the driveway
0- ? ? • Elevations of any existing adjacent homes
Froposed
D?0 ? • Garage floor
0r ? ? • First floor
B-- 0 11 • Lowest exposed elevation (walkout/window)
? ? 0 • Property corners
B' ? ? • Front and rear of home at the foundation
PONDING AREAS (if aDplicable)
8' a 0 • Easement line
2--'0 ? • rrwL
Br ? D • HwL
0' D ? • Pond # designation
? ?i? • Emergency overflow Elevation
DIMEN6ION6
?0
?? 0 • Lot lines
? • Right-of-way and street width (to back of curb)
?? ? • Proposed home dimensions including any proposed decks,
overhangs greater than 21, porches, etc. (i.e. all
i f structures requiring permanent footings)
II 0 0 • Show all easements of record and any City utilities within
those easements
0? 0 13 • Setbacks of proposed st ture and setback of adjacent
existing
?me
?
0
• 9
, y
Retainin a r nts if an
Reviewed:
October 1992
vwn.ER: ? --------?------- nnrr:_? I?,-43
? Ph:ONE: `?4?Zro?iC?
L
•
S?TE ADDRESS:
? ? 3?Cp2
."?? PLAN °
?-/
?'?l1??T
R
?
7
p
:
O
CONT2l+C
T Determine wot•king square foota9e of each
45 sq. •ft. x .11 =
174?
ll
1. Totzl -
area.....
exposed wa
2. Total roof/ceiling area....- 1,7740 sq. ft. x.026 = 3?,?Z
Total exposed wall area a6ove,floor= L?Lo
........................
e
a.
' Totzl a ...................
wzll window ar
.......................
'
b. Totzl rea ............................
door a
.......................
• area
d
c. .............
oor
Total sliding glass
.....................
.
ll
d. .
area .................
Total fireplace rra
.......................
oe lOK)
err
(a 7?Lv
e. .....
.
v
Total wall framing area
.. ...............
f. Totzl rim joist area .....................
:......................
r
fl
6 141'7lv
g. ..............
oo
ove
net wall area a
........................
..
floor
ab
h. .
..........
ove
wall area
....:.....................
floor
6
i. ...........
ove
, wall zrea a
.........................
.
,ndzt_on
f
j. ........
.
oL_
rrzme wall area at
Total exposed foundation area=
k.
1. Total
Totzl toundation window area ....................... ?
net.'foundation zrea above grade .............. /:S'/r
Determine "u" value of each wall segment
(e.g. window, (loor, each separate wail section) ?
•
= 3,
z. x7 S
, b. x „U„
? c. x V ? _ /°?,l?
d. - X „ull - _ - ,
e. ?7v x „V
?
T. Z?i9 X „ul,
X U??
h. X Stull _
x u„ _
i.
X u??
If item f3 is tl-.
r, ? X"U" as, or less th2n
il, you havE me=
X„U„ intent of SBC cC 3 . .................................Total = Z?"3' a7i . . .
----- -°--_.-.-.._.._..._?c.._._...-._.r.J..-.,?J_.._.__..._,_?. •-
4. TOTAL EXPOSED RQOF/CEfLItIG CAICULATIOtIS:
C.? ? • L: r Y?
^ } ?
•Total exposed r ??
roof/ceilinc? area...... .. ?[.0 O sq ft
: j) 7otal skylioht area........ - sq fC x"U" --.. ° ---
k) Tocat roof/ceilinq framing
area (Averaoe lOry)...... .`? ?sq ft x"U" iGAL'=
1) Totzl net insulated
roof/cei 1 ing area.......?`?? T J19 sq ft x"U" ?v? •%?? GZZ i-
L_ TOTAL j) thru 1)
I` tocal o` '4 is the same as, or less chan /2, you have met the intent o`
2 ?!G2 1.1600S :4 zr_d 0.
. ALTERNATE 6UIlDihlG EPIVELOPE
To utilize the total envelope system meihod, the val
of itens .'3 and :=4 shall no[ he nrea[er than the sum
t. ?'v?•1?? + z. 31?R?
+ 4.
DESIGN
jes established by the sum
of items .Nl znd •`•`Z.
frar•'? ?:Yurracc o? wnJlxu?11V? - rtchN7ln, -
• ? Co 1. INTERIOR AIP. FIII? 0.58
2. 2 GYPBD .4
? 3. 5 1 2 SOFT wbOD 6.57_
4. .?A" (?ICalp ?F1?rrl1^tr ?JSitl1 S•'Q
? 5. SIDING .a
6. EXTERIOR AIR FILM 0.17
tu.?.l... T -a'.- R= )4. ? U= .o-7
? IY
c-G. rl TU(??ExJ Gf' ?.I,
pR=,r? N,?LL -,-
i..
1. IN'i'Ef2I0R AIR FILM 0.68
3. ' i 2 ' GYPBD .45
EL 3. Zrr , . x., .
,.? UCF-
4. ?3 5.4
L? 5. SIDING .62
?. » 3 6. _! R A_R IM _
1 1 - aZCa 30:
G .a
?
U 5
1. INTER?OR AIR FILN 0.68
2. 6 INSUL. 19.00 '
5 3. 1 10 R JO
-_ -• _
/ t rl 4. i"..1*15t11:- G-
? 5. IDITfG . 6?
"fo? 6. EXTERIOR AIR FI?"1 0. 7 O? U= c?,
-?
,
?.1+Dh t?C?l t n BLOCK
3
1. INT'F'rRIOR AIk FILM 0_ 68
2. .'_
3. 0 • o
•/?" y ? . 4. PROT'ECTIVE 6P.RRIER
? 5.
6. t IOR P. !
TO'J+L R= 7.13
U=
?? -
SLAB ON GRA.DE
/l( . ? ? . ?•? , ?= J
. ?
, P ?? ? ?,,. ??I = ? ? • ?
.` - "?, -; ? lrl?_ ?? • v ? , D a r `? ?<<.
! D' "" ??' /E I p . ? -.. ?
. ! .? ?
5:rG. 43
1' -7
?
N(YI'E: IMDICATE TYPE, ??R" V??IZ. I7? --ri T21
?LACIIYFNi' OF INNLF??O?i.
i?
'T ' R-VAITJE
3
n 2.
3.
4. ?.rr.rv t.? -AttL ?lLr-t ?cal
1V!t? ?1. ?
VFM' u
l? Q
VEYr_'F;_, I Z\ I-??'AT FLOti]
UP
FIG. #5
k?-ArnA?,
2.
s.
4. YxT?'Ll> >? ??c., ?y r-? , t?L
3?.?
U +°
1.
' I F+FAT FI1JW lJP
u
FIG_ k6
N6N-VEN'I'ED
2.
3.
4.
5.
?.. TTt1-4W.
U =
2.
3.
4. "
s.
•
1. U =
2.
3.
4.
5.
Tl7'?'A.L
U =
NOTE: USE PDDTTZOiV.L SiIEEI'S IF M?2E S°PL =-`
NEIDED FOR Df.TAILS P*D C1alLtTLf'TT-0NS•
FIG. r7
FEAT FUJW
? 17P
?
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIItED FOR EACH UNIT.
------- - - - - - ------ - ----------------- - - - - - ---- - - - -
NEW CONSTRUCTION
7/ADD-ON A/C
ADD-ON FURNACB
FIl2EPLACE INSERT
DATE ?/J ' ao ' ?V
FEES
HVAC: 0.100 M BTU
ADDTTIONAL 50 M BTU
$ 24.00
6.00
GAS OUTLETS (MINIMUM 1 @ $3.00 EACH)
ADD-ON/REMODEL (ExisTuNG CoNS'rRUCTION)
STATESURCHARGE
t $ 20.00 ?
.50?
TOTAL
sfg2Q• ,5-0
SITE
V l1m\Lri
TEi:ccriviv'E #: 00,5 /-
V
Burnsville Heating & A/C, Inc.
CITY: _ 12481 Rhod . Icl ZIP CODE:
Savage, MN 55378-1122
TELEPHONE #: 894-0005
SI ATURE P M11TEE
1r.4 Mr;l;riA1V1l:AL YEKMl'1' (KP:J1llr:1V'17AL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
/o;3a
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT.
NEW CO?rNSTRUCTION
? A D L viY Cf/'l.
ADD-ON FURNACE
FIREPLACE INSERT
DATE
FEES
HVAC: 0-100 M BTU $ 24,00
ADDITIONAL 50 M BTU (,pp
GAS OUTLET$ (MINIMUM 1 @ $3.00 EACH)
ADD-ON/REMODEL (EXIsTIvG CoNSTttUC[zoN) $ 20.00
STATE SURCHARGE .50
TOTAL ,, Sz)
SITE
/,? ?)5- &
OWNER NAME: TELEPHONE #:
ADDREss:.L?% S iti
CITI'. S v r?G? r? STATE: ZIP CODE: ?LS- ?
TELEPHONE #:
SI TU OF PERMTITEE
411-
1994 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMII,Y DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT.
NO. FIX1'URES EACH TOT?
I ' SHOWER 3.00
?- WATER CLOSET 3.00 lo•dU
BATH TUB 3.00 3. a1J
.? LAVATORY 3.00 (o. OU
_
1" KTI'CHEN SINK 3•00 3- av
1 LAUNDRY TRAY 3.00 3, ua
HOT TUB/SPA 3.00
WATER HEATER 3.00 ?
1' FLOOR DRAIN 3.00 3• dv
i GAS PIPING OUTLET • m+nimum • i 3.00 Oa
ROUGH OPENINGS 1.50 • SO
WATER SOFTENER 5.00
' PRIVATE DISP. • DakCty. lic. 15.00
U.G. SPRINKI.ER • nome under mnat. 3•00
ALTERATIONS • to odsting 15.00
WATER TURN AROUND 15.00
STTE
OWN
INSTALLER: ?? M C C?'1Q Yt.l. n? S?
ADDRESS:
VA `C4- V
CITY: C??1,l) ILa c. STATE: M A) ZIP CODE: -7P,
PHONE #: (bf,a- ) Mf7 " C'-)--R'?
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SIGNATURE OF PERMITTEE
lYYS YLUMlflPllr YL2Civ111 (icGJiilr.iNa?y
CTTY OF EAGAN
3830 PILOT IQVOB RD
EAGAN MN 55122
(612) 6814675
STATE SURCHARGE
$
TnTAi ? ?
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT.
? NEW CONSTRUCTION
_ ABD-Chi AIC
_ ADD-ON FURNACE
DA7"E //L3 A3
FEES
HVAC: 0.100 M BTU $ 24.00
ADDITIONAL 50 M BTU 6.00
GAS OLJTLETS (MINIMUM 1 C$3.00 EACH) I• oo
ADD-ON/REMODEL ?ExISTiNG CoNS7RUCTION) $ 15.00
STATE SURCHARGE .50
TOTAL (* 20•56
SITE
OWNER
INSTALLER:
TELEPHONE #: Yq ?-f - d 6 3 6
6 9 ?''a CcLI t? Q,_
CITY: ? ? STATE: ?1??- • ZIP CODE: ?53 7?--
TELEPHONE #: ?? - 9I .'? ?
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SIG ATURE OF PE MITTE
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C1TY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 6814675
DAY/DATE ??? ??•
ADDRESS
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FOUNDATION
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RECORD OF COMPLAINT
Date
Complaint taken by Rj'? eZen c e
Type of building
Name kAk ?N sc??2 Y
Address ? 915-I.egal description
Phone number
Complaint L?-ASe rh ea f F/ nov
C' ?A-C !( ! yn - /a-?•CX' (N? v e p iz CY2v? . r' f? ?t t'? /? A-tr ?j? h Gt'ecov
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Action taken -l,c?? ? ?'+L-? la o ?e? k'? ?? ?? ??•
Comments
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Signature
1?26/93 66:54 0e4
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SURVEYOR'S CERTlFICATE KEYLAND HOMES
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SCALE: I30COVI-NOTOi?1 LAd11E
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N Z 2600 W. CTY. RD. 42 9 BURNSVILLE, MN. 55337 • 612-890-6044
10i26i93 06:53
ees
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SURVEYOR'3 CERTMICATE
K£YLAND HOME3
NO SI6CFlC SOILS INVFB7i6ATiON HAS WF, ?0
ON TNIBLOT BY T11fi. SURV6YOR. Tlf?SOILS TD SUPPORT TNE SpE.dR'IC N? NOTE- BYLDIN6 DIMQ181pN3 SHOWN ARE PDR iqR?7.ONTA?NOT TNE REBPtlNSIBILITY OF TNE 99 VCtTICAL LOtAYION GR. gTR1iCTURE
oNLY. BEE
t- DENOTES PROPOSED SURFACE DRAINAGE ??ppg ??$ ? aviLo??ro e FoUNOATIW
O DENOTES IRON MONUMENT SET SCALE: 1 INCH = 30 FEET
• DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = 992 Z FEET
X000.0 DENOTES EXISTiNG ELEVATION PROPOSED LOWEST FLOOR -93'9-S FEET
(000.0) DENOTES PROPOSED ELEVATION PFiOPOSED TOP OF BI.OCK - 942• L FEE7
WE HEREBY CERTIFY TO KEYLAND HONIBS TFiAT THIS IS A TRUE AND CORRECT
HEPRESENTATION OF A SURVEY Of THE BOUNDARIES OF:
Lot I Block 1,. THE SAFARI THIRD;AOOITION, accorainp to the
rocordsb piat theraof, Dokoto , CMt?t 0#1061111.
IT DOES NOT PURPORT TO SNOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME.OR UNDER MY pIRECT`SUBSMLISION THIS 13TH DAY OF OCTOBER . 1983.
HILL,INC.
PROPp9ED 9RADES 9MDWN W6q E'
?AKFi1 FROhI THE GqAQ?1¢,?!}?N
FOR 7HE 3AFA1il 1'NIRb'ADDIiIAN
PRF.PAFfD Btf OTNERS.
P
JOHN C. LARSON, LAND SURVEYOR
MINNESOTA LICENSE NUMBER 19828
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James R
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PLANNERS / ENGINEERS / SURVEYORS
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m y W Z i 2500 W. CTY. RD. 42 *BURNSVILLE, MN. 56337 o 612•890•8044
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA148436
Date Issued:03/28/2018
Permit Category:ePermit
Site Address: 1975 Covington Lane
Lot:1 Block: 1 Addition: The Safari 3rd
PID:10-75852-01-010
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
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 -
Jennifer Webber
1975 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:EA150377
Date Issued:07/05/2018
Permit Category:ePermit
Site Address: 1975 Covington Lane
Lot:1 Block: 1 Addition: The Safari 3rd
PID:10-75852-01-010
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
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 -
Jennifer Webber
1975 Covington Lane
Eagan MN 55122
(612) 432-3160
Polar Builders Inc
1103 West Burnsville Parkway
Suite 110
Burnsville MN 55337
(612) 432-1597
Applicant/Permitee: Signature Issued By: Signature