858 Ivy Lane
Oct 02 13 03:48p Meschke 7637548901 p.1
Use BLUE or BLACK Ink
I For Office Use I
Pr•.imit!!: I
City of Eap I g,~-,~
I Permit Fee:
I 2
3830 Pilot Knob Road
Eagan MN 55122 Date Received: 1 101_~.h3...___ 11
Phone: (651) 675.5675 1 1
Fax: (651) 675-5694 I Staff: I
1 I
2013 RESIDENTIAL BUILDING :PERMIT APPLICATION i~ l3
ur40j
, & LI ~6Tr 1'26,83
~
Date: Site Address: ?i~l?~✓;' G1~. Unit
` JJ J`A•ILA I `L..
Phone: 63--Z3 1,(o7z f
Name: F.1)Q?pI AN~ •.~D~)~~'izy /M~ `~J hll~ s` ~
Resident/ 54-q
Sig a!
Owner Address / City / Zip: 3 y ,7-0, e r, a A rv~ ~J s.~ rZC
Applicant is: Owner X_ Contractor
Doscription of work: I ``Gt~AI ROOF-
Type of Work
Construction Cost: .J~r Multi-Family Building: (Yesx _ / No
Company: Mrs C P CON -'5rn t1 C: r DvV DX_ Contact: yrVZ ; f...alkf
Address:
Contractor Nth City: /n1fi~0i/~c~i
$tate: Zip: Phonc: 7~ 7S y^ Z-7 77
License Lead Certificate
If the project is exempt from lead certification, please explain why; (sec Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
:Yes _No If yes, (late and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Ceti Gopher State One Call at (651) 454-0002 for protection against undt3rground utility damage. Call 48 hours
boforo you intend In dig Ib receive locates of underground utilities. www.ooor or_~_it~~~ni+fall_~xg
I hereby acknowlodgo that this information is complete and accurate: that tnF work will be. in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an :applirrilion for a permit, and work is not to start without a permit: that tho work will bo in
accordance with the approved plan in the ease of work which requires a review and approval of pl:9ro;,
Exterior work authorized by a building permit issued in accordance with the Minnesota Stato Building Code must be a ted within 180
days of pormit issuance. ~r
r
Applicant's Printed Name Applicant Signature
Page 1 of 3
Oct 02 13 03:48p Meschke 7637548901 p.4
Ir ~p
491 U I yy`
J11 POMW
s - F
7 rtl 1
Y. ~ E J+
%
a v 44
wY!W w"L O ~1~ rDai j Y~
lclhHPno_wR,Ginc 7'la~ S• l1
oo
w m elpie
ft- ~~4A ws~ ,W ~'7y ~ •p R~ y g W
n:o~~c. •"+Y i,l spe
114.1-
'aow
p:
'~~n~a4rW ~Z~Y•9Yf~~ry~na M,f.~~ ~;M~ n ,
vi tore "~vlo►r
EwrLu
`~S Now,.n f eN x7ln
n• ay 1• 4"73 If,
tzA-
ns VL y
Mwiy "yo ~ ~y~J• ' w ~ti 59~OV l," !1 . ~ ~ ~
ay/yL W/n„ /M ~ ~ H''F~~ N~''.e •.,yrt- i
atyn yl~ ^ ~ ~ ~ ~'C~` ~~p~ ' { ~R lghe
r10 7 ~~y~„•cn ~
1114 : ~yau w ~rd~~,y`.~
jL
n
genie ,
49
v
y i'Zoe Jrd y!C~r`~
pY1Ctl W~I~ T
Oct 02 13 03:48p Meschke 7637548901 p.5
77-
W VGA ~I i,1 ~ ~
V y l~
a.r I:
- a.
1
Oct 02 13 03:48p Meschke 7637548901 p.6
c ~
r
,rte I
IIJ3
1\ ,
1
j
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA143251
Date Issued:06/08/2017
Permit Category:ePermit
Site Address: 858 Ivy Lane
Lot:14 Block: 02 Addition: The Woodlands North 3rd
PID:10-75892-02-140
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 -
Nancy J Peterson
858 Ivy Lane
Eagan MN 55123
Allstar Construction Commercial Llc
5145 Industrial Street, Suite 103
Maple Plain MN 55359
(763) 479-8700
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type: Plumbing
4 ' Permit Number: EA160174
3 Eagan,830 MNt Knob 55122R '•-
- -- � Date Issued: 02/20/2020
(651)675-5675 .- Permit Category:ePermit
www.ci.eagan.mn.us
Site Address: 858 Ivy Lane
Lot: 14 Block: 02 Addition: The Woodlands North 3rd
PID: 10-75892-02-140
Use:
Description:
Sub Type: Residential
Work Type: Replace
Description: Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments: Please call Building Inspections at(651)675-5675 to schedule a final inspection.
Allow an 18"minimum radius clearance to the water meter from all appliances(i.e. furnace,water heater,water softener).
Fee Summary: PL-Permit Fee(WS&/or WH) $59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
Total: $60.00
Contractor: - Applicant - Owner:
One Hour Heating&Air Nancy J Peterson
11825 Point Douglas Rd S 858 Ivy Lane
Hastings MN 55033 Eagan MN 55123
(651)437-4177 (651)357-8944
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