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866 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:EA143253 Date Issued:06/08/2017 Permit Category:ePermit Site Address: 866 Ivy Lane Lot:18 Block: 02 Addition: The Woodlands North 3rd PID:10-75892-02-180 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 - Janine M Dehn 866 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:Building Permit Number:EA151679 Date Issued:09/06/2018 Permit Category:ePermit Site Address: 866 Ivy Lane Lot:18 Block: 02 Addition: The Woodlands North 3rd PID:10-75892-02-180 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 - John Tstes Hackley 866 Ivy Lane Eagan MN 55123 Restoral & Allstar Construction 5145 Industrial Street, Suite 103 Maple Plain MN 55359 (763) 479-8700 Applicant/Permitee: Signature Issued By: Signature