816 Ivy LaneSEWER ATER PERMIT
CITI? OF?GAN
383C Pilot Knab Rd.
P.O. Box 21192
Eagan, MN 5?121
OFFICE USE ONLY
PERMIT DATE "` !'} 1
WATER PERMIT #
METER #
READER #
METER SIZE
ISSUE DATE
SEWER PERMIT # 11911
B.P. RECEIPT # ' 12806
B.P. RECEIPT DATE '', 28791
PRV _ BOOSTER PUMP
SITE ADDRESS
LOT_BLOCK SEClSUB APPLICANT: .'ondlaiid Countryi.: 1:1c .
I' ADDRESS: ?' 46 Ru 3 t iC Rd, a.
.t
CITY, STATE _'r'- U : a : r , , : ZIP '• ? ? 1 '
PHONE:
PLUMBER: ven?-Ky. [i iz?
ADDRESS: 14+7 w 5 Sc?,
CITY, STATE ZIP
PHONE: -
OWNER: %?ntr•:':.?,,?;, ? .
ADDRESS:
u`-ir?i Z.t?lii' ,
CITY, STATE ? .? ZIP
PHONE: ? `? ` '
PERMIT REQUESTED
SEWER - WATER - TAPS
COMM/1ND - RESIDENTIAL
- NEW - EXISTING
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES:
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT.
SEWER & WATER PERMIT OFFICE USE OMLY
CITY OF EAGAN PERMIT DATE
3830 Pilot Knob Rd. WATER PERMIT 4 _ SEWER PERMIT # 11911
P.O. Box 21199 . METER # C 12 806
Eagan, MN 55121 B.P. FiECEIPT # p410<: l91
REABE?? 0 fT?? ? 5' B.P. RECEIPT DATE
METER SIZE 5-1x'?Rok
ISSUE DATE PRV - BOOSTER PUMP
SITE ADDRESS Latl e
LOT `'BLOCK ' SEC/SUB '^jo?diands Nior t ii
APPUCANT: tqoodlatld Countrvilomes, L_i;; .
ADDRESS: `•''??* $Ru s t 1c Kd. S. L.
CITY,STATE Dr10r L3ke, MN ZIP 5 J' 7?
PHONE:
PLUMBER: 3Qnz-Ryan Piunibing & EieatinFy
ADDRESS: 1';745 SoutYt Rci?iert Trail
CITY,STATE '•:FOseatoti?t, ,?i? ZIP 550K'
PHONE:
PERMIT REGIUESTED
SEWER - WATER - TAPS
- COMM/IND - RESIDENTIAL
- NEW _ EXISTING
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES:
OWNER: `oodland Goontr ,71lo!71e:: , : ?. .
ADDRESS:
CITY. STATE '-`':? .
`_° i o r ? S.
ZIP 51 TURE WHEN ME R ISSUED
PHON E:
. . i ? 4r• ". , .
N TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
DEPT.
CASH RECEIPT .
CITY OF EAGAN •
3830 PILOT KNOB ROAD r
EAGAN, MINNESOTA 55122
OATE `+ F 19 ??//
flECArveo ,
FAD.
,uNOUNr
?
? CASH
F}'6ECK
, /
?, l" '; /,?,.?'s ?1 ? / ., r_' ? rs? j /.,
sv 71, C12806 vvnne--P+r- cooy
Yelbw--POStlnp Copy
Pink?Ns CopY ,....` Y
R WLI.AR5
im
Thank You
SEWFH 81 WqTER PERMIT
CITY OF EAGAN METER # -
3830 Pilot Knob Rd.
Eagan, MN 55122-1897 CHIP # _
METER SIZE
DATE ISSUE DATE
SITE ADDRESS -
LOT _BLOCK SEC/SUB
OFFICE USE ONLY
PERMITDATE 0410a/?l
PERMIT# t1910
B.P. RECEIPT # ?? 14 titl c.
B.P.RECEIPTDATE
_ PRV _ BOOSTER PUMP
PERMIT REQUESTED
•? SEWER - WATER - TAPS
APPLICANT:
ADDRESS: ? ' • ' - `' - COMM/IND _ RESIDENTIAL
CITY, STATE - ZIP NEW - EXISTING
PHONE:
Lawn Sprinkler Meters are to be Installed
PLUMBER: Ahead of Domestic Meters on Water Line.
ADDRESS: Credit WILL NOT be given for Deduct Meters.
CITY, S7ATE ZIp ?
PHONE: '
OWNER: ";
ADDRESS:
CITY, STATE ZIP - ? =
PHONE: _
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
SEWER & WATER PERMIT
CITY OF EACAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE -1. _ :; i ; ,
OFFlCE USE ONLY
METER #-y ?y y?Z 3 SJ PERMIT DATE 04%08/ 91
CHIP # 0 /lc0 /D 3? pERMIT # 11910
METER SIZE B.P. RECEIPT # C 12805
ISSUE DATE B.P. RECEIPT DATE04 C8/91
_ PRV _ BOOSTER PUMP
SITE ADDRESS i
LOT _BLOCK SEC/SUR" APPLICANT: 70 n di a ri,: c,ttn 17 rv1'0111 s
ADDRESS: ILu
CITY, STATE ' Zip _ j r ?
PHONE: -
PERMIT REOUESTED
;_SEWER _L-WATER _ TAPS
- COMM/IND
.- NEW
`r RESIDENTIAL
EXISTING
Lawn Sprinkler Meters are to be installed
PLUMB?R: Ahead of Domestic Meters on Water Line.
ADDRESS: -?i pb Credit WILL NOT be given for Qeduct Meters.
CITY, STATE Orl?c u 1 . ZIP -' ' PHONE: 42 3 - i 1- • ? -
I AGREE TO COMPLY WITH CITY OF
OWNER: EAGAN ORDIN CES
ADDRESS:
CITY, STATE ZIP
PHONE: SIGNATURE HEN MiftER ISSUED
PLEASE ALLOW TWO WORKINO DAYS FOR PROCESSING. CALL 4545220 FOR INSPECTIONS. FOR STORM
SEWER PfRMI'TS, CONTACT ENGINEERING DEPT.
-i-----a-- INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(fi 12) 681-4675
i ?• SITE ADDRESS:
. , ,'Yt AMF
:` i' WOfl[l l. A NC1 ?.i rl t) R TH
APPLICANT:
.,;.
(611 1 b 7?? ?,.: A N f!
i PERMIT SUBTYPE:
? I '• 1 TNoi'".
I I i r1t
TYPE OF WORK:
Fi+AM iNfi
I -1ARKS:?'A Sl1'ARA1"L- WEFrMI1' R[q1)tHl'n fQp RNY IEl.VCTRJIrAl. tJtlRk
I nf
v'
Permit No. Permit Holder Dete Telaphone #t
ELECTRIC
PLUMBING
HVAC
Inspecdon Date insp. Commente
FOOTINGS AA8
FOUND
?
-
FRAMING - -
ROOFING
ROUGH
PLUMBING
PLBG
AIR TES7
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIFEPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
? 41 r lik
' "
. (9tr#tfira#t uf (Orrupanry
-
(Citp of (tagan
Brpwtatrttz a# Wuiidhtg jnwntinrc
Tlds Cert1J'uate i?sued pursuan[ 10 the requrrannents ojSection 306 of the Unijorm Building
Code cerGifldn8lhat ct the tinie of issuariw lhis sYrurlurr wrrs in can}pfianoe with llre tarious
ordiirances of d,e City regulating 6uilding oonstruc[ion ar use Fsor Ore following.?
the aasifiaeon I[YR ixTW Fx e10& t4+mic Ato. 1 RW1)
O-w" 'ripc R3/M 1 zoaw Dia;a Pfl Tya V,na. VN
Owmad&dd'qG1?11Nf1 r711PTITtYUIWR M.w.... 6648 R[lmr RTl qp- PRTCA2 i.AKF.
Bw,um Am. 818 IVY LA1VE ? L10. B3. Wl'XU,ANID6 Ni0BIl3
Ruadiag oMcW .?;
,.
POST IN A COWSPICUOUS PUCE
W lit?iQ?? a ? v
CITY OF EAGAN
3930 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING,PERMIT Receipt #
Tn ha iiRvd fnr l QF DtIPLEX . Fsf va,ua $119?000 flatw APR 8
Site Address °io avi f.n
Lot 10 Block Sec/Sub.
Parcel No.
W Name -...._ .., ...,,... ...........
? Addres
City Phone ' `
Name _
Address
WW Name
L) ; Address
i W Clty
I hereby acknowlege that I
information is correct and
Minnesota Statutes and Cih
Phone
the
? of
MRMW"w
18860
19 91
OFFICE USE ONLY
R-3 1
Occupancy .7 FEES
Zoning
706.00
(Actual) Consf
(Albwable) y? Bldg. Permit s?. so
Surcharge
# 01 siories .?? riS9.00
Length Plan Review
1?loo
Depth SAC. City
S.F. Total - 650*00
SAC, MCWCC
S.F. Footprints - 60.00
On Site Sewage _ Water Conn 9s' 00
On 5ite Well ?- Water Meter
MWCC System
Acct. Deposft 30.00
City Water 30.00
PRV Required _ SNV Permit ?
Booster Pump
S/VY Surcharge
APPROVALS
on me express condition tnat all
applicable State of Minnesota Si
Building Official
y of
Planner
Council
Bidg. Ott.
Variance
276.00
Treatment PI
17??? `
Road Unit
Park Ded. _
-
Copies NO
•
?
s •
TOTAL
• PennR No. Pennit Holder Date Telephone #
WATER
SEWEPi •
PIUMBING
H.v.a.c. ? ?f 3? ?10- ,30
ELEcrRIc 5 e ,g pO
Inspection Date Insp. Commenls
FooungS i ry9i ,Us ?z ?-
Foundation
Freming S 7 ?
Fioofing
Rouc,h Plb9.
Rou,h Ht9.
lsui.
Freplace
Fnal HIg.
Fnal Plbg. 2 -
Const. Meler Plbg. Inspectw - Nofify Plumber
Engr.IPlan
Bldg. Final
Deck Ftg.
Declc Final
Well
Pr. Disp.
• 'r, - .+r.r
i
r'
` (Err#t#xra#r uf (Orr?part?y
(Litp of tagatt
]grpwdttPttt uf Wui1d'utg Atimpprtinn
This Certifwate issueod pursuant w the requinements of Saclion 306 of ihe Uniform Building
Code certillin8 lhat at 1he trnte ojtssuarrce tlris stracwre ims in compliance with the various
ordincxces of llre City regulating building oonmuction or use For 1he jollowing.
use c3aucmd„ t CF DUPLETC B94 Paukk NcL 18859
poapancy Type R3/Ml Zcaiog Disuia PD Type c'Acr VN
M? 6648 RgSrIC RMD SE, PRIOR LANE
Owner of BuZd.W mmsm ammHm Dr
s.ei,aAaa? 816 IVY IAW, ;- L,«Wr-_L9, B3, WOM.E" NOM
POST dJ A CONSPICUOUS PLACE
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
i Ol QtfPLS]C
Site Ad4 @$S vav a v a aWn
Lot Block Sec/Sub.
Parcel No.
W Name
? Addres ^ _
Name
0.g Address
9 City Phone
W W Name
?? Address
<W City Phone
I hereby acknowlege that I have read this application and state that the
iniormation is correct and agree to comply wjNS all,&pplicable State of
Minnasota Statutes and City,;of.Eagan OAinancfes,
hal ali work shall be done in accordance with all
sota Slatutes and City of Eagan Ordinances.
? .
N 2 18855
Receipt # `
.. . AYB $ 91
OFFIC E USE ONLY
A-3 M.-I
Occupancy FEE S
Zoning
6a9 *00
(Actual) Const
(Airowable) .? Bldg. Permit S7 • ?
# of Stories _ Surcharge
(0
"8
Length ?y
? Plan Review 4
100000
oep,n snc. city
S.F. Total - 63o.oo
SAC, MCWCC
S.F.Footprints - 664.00
On Site Sewage _ 1Nater Conn
95100
on site well Water Meter
ntwcc system
?
Accl. deposit 30.00
Ciry Water 00
30
PRV Required _ S/W Permit .
Booster Pump _
SNV Surcharge • ?
276.00
Treatment PI
?70??
APPROVALS Road Unit
Planner - Park Ded.
-
Council - ?
BIdg.Oft. _ Copies
Variance
-
TOTAL ? •
' peRmit No. Pormit Holder Oate Telephona ?
WATER ? Cf I ? //00
SEWtR
PLUM8ING
H_V.A.C.
ELECTRIC
Inspection Date Insp. Comments
Foot;ng5 i
Foundation
Framirg
Rooting
Rwo Plbg s tt
pougn Htg . (
Isul. % " ?
Freplace
Final Htg. 6
Final Plbg.
- -? ,
'
Const. Meter Pibg. Inspector - Notify Plumber
Engr./Plan
Bldg. Fnal Cj ?S
Deck Ftg.
Deck Final
Well
Pr. Disp.
?
/oo&'?
?
5 (905
a
? ;63.11 0 ?Oo
Request Date
`
: ire o Rough-i Inspeai0n ?
Reqmietl4 ? Reatly Now p will NoLty Inspacror
3 ?s ? No When Featly?
V?iicensed contractor ? owner hereby request inspection of above electrical work at:
.b0 Address (SVeet, 8ox or Route N Gry
Section No. Township Neme or No Renge No CouMy
Q?
upan PFMT) ? Phone No.
Pawe u L r Adtlress .
ElecVwa actor (COmpany Name) r COnhactor§ Lma No
J
MaiLng AOEr/ess (C` ?nV2clor or O.vner MaNing Insteila0on) -//
! GfC / ? 6
Aulhor¢etl S naWre (ConhaclorOwner Makinq Installation) Phone Number
9a-?-
MINNESOTA STATE RD OF ELEGTPICRY THIS INSPECTION REOUEST WILL NOT
Gtlggs-MlEwey Bldg. - Room S113 BE ACCEPTED BY THE STATE BOARD
1821 Univerni[y pve., St Peul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Plro. (812) 602-0800 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION ee-aaooi-os?
SeeinsVUCtions lor completing ihis form on pack ol yellow copy ?
0-
M
IN 579(? u5 X" Below Work Covered by This Request
e Add Rep. TypeolBwlding AppliancesWued EquipmentWired
Home Range Temporary Service
Duplex Water Hea[er Electnc Heating
Apt Building Dryer Other (Speciry)
Comm./Industrial ' FUrnace
Farm Air Conditioner
Olher (spectly) Controctor's Remarks'
Compute fnspectian Fee Below.
# Other Fee # ServiceEnlranceSae Fee # CvcwtslFeeders Fee
Swimming Pool 0 to 200 Amps ? 0 to 100 Amps
Transformers Above 200 _ Amps boved00 _ Amps
SIyf15 Inspactor§ llse Only ? TOTAL
v
Irrigation Booms i G'
Special Inspection
Alarm/Communication THI5 INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
Other Fee - COMPLETED WITHIN 18 TH .
I, the Electncal Inspector, hereby Rouqn-in - .u?
? oaie ?
certif that the above ins ection has
Y P
been made. Fnal Date
OFFICE USE ONLY
Tnis request voi0 18 manths irom
(r?/y? :EQUESTc FOR EP ECTRI?CA?L bINSPECTION
q nu,q1- "X" Below Work Covered by This Request
E&0000
1-08
'
2 ry
i ?4bA
?
e A,ia qep Typeof8uilding ApphancesWired EqwpmentWired
Home Range Temporary Service
Duplex Water Heater Elecmc Heating
Apt. Bwldmg Dryer Other (Specify)
Comm/Industnal Furnace
Farm Air COndi6oner
Otherispeafyy GonvactorE qemerks
Compute Inspechon Fee Below:
x Other Fee # Service Enirance Sae Fee # Qrcmis/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps -
Transtormers Above 200 _ Amps Above Amps
Signs inspecmr's Use Only ?
? OTAL ??
uon Booms
Irriga O
? ---
Speaal InSpection
' Alarm/Commumcation THIS INSTALLATION MAV BE ORD NNECTED IF NOT
Other Fee ? D COMPLETED WITHIN 18 MONTHS. •
I, the Electrical Inspector, hereby R°°9""'" -o? 'r (
Jr. Dale ?
?
certify ihat ihe above inspection has
been made. Fhnai
+
OFFICE OSE 9NLY
Tlll6 rBqIlB9t VOId 18 TOf1Il16 fIOT
(? 51y/ /O/ (s 7 f<
p 0 2 41 ?
' ,?Ooo
Requecl Date
? Fre No Rough-in Inspection
Fequrt ?
?
L7 Re2tly No?ll Nohfy Inspecmr
n ReaC
Wh
?
? C N. y
e
I>hcensed contractor ?-D owner hereby request inspection of above elecirical work at.
Job AOCress (SVeet Box or qoute Qry '
S (se?C_
Section N. Townsnip Name or No Fange No, County ...y
C [
Occu nllP TI ? Phone N.
Powee W Atltlress '
l
Elecincal vacbriCOmpeny Name)) / GonVacYOPS cens9 N.
D?/ S ?
MaLno Atloress ICo actor or Owner Makmg InslallaVOn1
-
? r 3
AumonzeC S, amre cOnvaqo,.Owner Makin/y?/ siaila?io ,
. -`_!__.?_ Phone Num?er
MINNESOTA STATE BOPflD OF ELECTflICITY J THIS INSPECTION FEOUEST WILL NOT
Griggs-Mitlway BIOg - Poom Sd73 r BE AGCEPTEO BY THE STATE BOARD
1821 Unrversiry Ave., St Paul. MN 551p0 UNLESS PPOPER INSPEQION FEE IS
Phane(6t3) 862-0800 ENCLOSEO
;
OM?`s red;_
RE:
DATE: _
816 8 818 &VY. LN (NDODI.ANDj
APR 8, 1991
UNTRYtiOMES. ENC)_
x- • Yoyr Sewer & Water Permit for ihe above property has been completed. It will be held at the
' Publ1'c Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
GCLL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
-^, YQur Sewer & Water Permit for the above property cannot be completed for the following
reasons:
Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issu\ or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, 8uilding Inspections Dept.
Address: 818 IVy I,AM Lot 10 Blk g Sec/Sub WOpqLANpg NpgIH
These items were/were not complete at the time of the £inal inspection.
5/31/91
Date: Yes No
yFinal grade (6" from siding)
Permanent steps - garage ?
Permanent steps - main entry 41-/
Permanent driveway
Permanent gas
Sod/seeded grass
Trail/curb damage ?ZL
Porch
Basemant finish
Deck
Please varify vith the builder the removal o£ roof test caps from the plvmbing
system and the shut-off of vater supply to the outside lavn faucet before
freeze potential exists. ?
moum ruu
White - City copy Yellow - Reaident copy Pink - Contractor copy
Address; 816 IVy LqE Lot q Blk g Sec/Sub W? Npgg1
These items were/were not complete at the time of the final inspection.
$/19/91 Yes No ? Tnspector,
Fina1 grade (6" from siding) ?
Permanent steps - garage
Permanent steps • main entry
Permanent driveway ?
Permanent gas
Sod/seeded grass ?
Trail/curb damage
Porch ?
Basement finish ?
Deck
Please verify vith the builder the removal of roof test caps from the plumbing
system and the shut-off of vater supply to the outside lawn faucet before
freeze potential exists. ?
xonEOxnn
White - City copy Yellow - Resident copy Pink - Contractor copy
FOR-SALE UNITS
LoTS 9'&10 CITY OF EAGAN NO 18860
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE:454-8100 Aeceipt # c ' Z1?&?
To be used lor" 1 OF DUPLEX Est. Value $119,000 Date APR 8
Site Rddress $18 IVY LN
Lot 10 BIOCk -3 SeGSub. WOO?I.ANDS NORTH OFFICE USE ONLY
PBfCeI No. Occupancy R-3 r1-1 FEES
PD
Zoning
w Name WOODLAND COUNTRYHOMES INC (qcmaqconst V-N BIdg.Permrt 706-00
o Address 6648 RUSTIC RD SE (nnowable) Y--N Su
ha 59.50
City PRIOR LAKE Phone 447-2424 sorsrories - rge
ro
459
78 ' Plan Review _ 00
Lenglh
a Name SAME Depth 39, SAG City 100.00
,
ga Address S.F.Tolel - 650
00
? CISy Phone S.F. Footprints - SAC,MCWCC
water Conn .
60,00
On site Sewage _
UQ
w
Name
OnSiteWell
-
WaterMerer
95.00
??
Address MWCCS stem
Y X
30
00
,
aW City Phone atywater ? nca.oeposit _
S/W Pertnit 30.00
PRV Required -
I hareby acknow ge that I v reatl this ap 'catio nd st that Ihe Booster Pump - SM! Surcnarge • 50
mlormation is rrect and a e compty rth a applic e Slate of
Minnesota5tat esandCity , r i TrealmenlPl 276-00
Signalure ofPermi APPROVALS RoadUrnt 370.00
A Building Permit is Is Io: WOODLAND COUNTRYHOMES Planner - Park Oed.
on Ihe express condi6 thal all work shall be done in accordance wilh all Councd -- 50
applicable State of Min
n
esola S
tatutes and City of Eaqan Ordinances. gyg, pry, _ Copies ,
/
?
p
BuildmgOflicial Variance - TOTAL 3.436.50
FOR-SALE UNITS
1.OT5 9&•10 CITY OF EAGAN ND 18859
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT aeceipt #
To be used for' 1 OF DUPLEX Est. Value $114,000 Date APR 8 , ?9 91
Site Address $16 IVY LN
Lol 9 Block 3 Sec/Sub. WOODLANDS NORTI
Parcel No.
w Name WOODLAND COUNTRYHOMES INC
Q Address 6648 RIISTIC RD SE
Citv PRIOR LAKE Phone 447-2424
Name _
Address
Clty _
Name _
Address
Phone
Phone
I hereby ackno ge th I have read this appliqption d state that Ihe
intormatwn is orrect arv qree lo cort?ply w' fS all plicable Slate of
Mmnesola Stat tes an a a tlin
?
Signature ot Permit
A euiiding Permit s is ed lo: WOODLAND COUNTRYHOMES
on Ihe express c ' ion thal all work shall be done in accordance wnh all
apphca6le State oi Minnesota Statutesay?nda,City ot Eagan Ordmances.
BuildmgOflicial 4? ?-Pjl?1 y I'Iy
OFFICE USE ONLV
Occupancy R-3 M.1 FEES
Zoning PD
(AClual) Const V-N Bldg. Permit 689.00
(Allowable) V=N Surchar9e 57.00
N of Stories -
?
Plan Review 448.00
Length
oepth 32' SAC, aty 100.00
S.F.TOtal - SAC,MCWCC 650.00
5 F. Footprints -
On Site Sewage _ Water Conn 660.00
On Site Well Water Meler 95.00
MWCCSystem x 3
0
City Water
? patDeposit 0.
0
PRV Raqwred _ S/N Permil 30.00
BoosterPump - 5lWSurcharge .50
Treatment PI 276.00
RVPHOVALS qoad Umt 370 _ 00
Planner - park Ded.
Council - 50
BIdq.011. _ Copies .
Variance - TOTAL 3.406.00
• .? s
'? * * * I 2422 Enterpiise Orive
* PIONEEF LANOSUNVEVORS•CIVILENGINEERS Mendota Heights, MN 55120
y en?y?I?eeP(! ing • L1INDPLANNEftS•LIINOSCqPEl1RCH1TECi5 (612) 661-1914
J
Tl
T1 7a
lf v ?r
Certificateof Survey for: WWLlLAND COUNTWY9011K9,1K
1=00.4f, -
o:i'Itl?3t" ??.$8
52.75 .? .
e
----
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-___-
. .... ?.' ..... '_a 1DJUi.
1 1 .. ;
?------- -- --?
N49• 1y•
R 900.0 Denotes Exislin Elevalion PROPOSEO HouSE ELfVAT10N
0 oo.o benotes Propo ed Eleva/ion Lo 7oor Elevo ior?
------- Denofes droino¢ei Ulilify rvsemenf Top ot''BloekElevalion
--*----- Denoles Dnaind??e F/o?J'Direelion Garnle Slab Elevafioi?
o lJlono¢es MonPnl BPQr•ings shown are assumEd oDeiro es oj lj?e fbb
Lors 9 ANO i0 e10cn// TNE wooo[AN05 NoRTy
DAKOrA COUNTY ,I M1NNE50Tq ? SUB.7ECT 1'o EqSEME/VT3" OF RECbRD
I hereby cvrtity that this is a true and corrrct repreeeatation ol a Survey ol Uir houndmiea OI dle ahovP dn ri ihml hny?lA, o??d nf,r locition ?of /all
buildings. ihrneon, and all visible pncroachmants, il any, Irom or on aaid Innd. As turveyed bV r??e this_??dvy nlA/1 A.D. 19..?.J_.
?ndi, 30j-- eel ^
Sca'
e ? ?- -- -
QIO55.Ol
1991 BUI LICATION
CITY OF EAGAN MAR 2 ?
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCUTATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
-1 o?f??#`OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, SiTT NOT PICKED UP BY LASS WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: Residential Valuation: 4-1- '^v? Date: March 19. 1991
Site Address 816 IvV Lane
Lot 9 Block 3
Parcel/Sub Woodlands North
owner Woodland CountrvHomes, Iac
Address 6648 Rustic Rd. S. E.
City/Zip CodePrior Lake. MN 55372
Phone 447-2424
Contractor Woodland CountryHomes, I
Address 6648 Rustic Rd. S. E
City/Zip Code Prior Lake, MN 55372
Phone 447-242
Arch./Engr. _
Address
City/Zip Code _
Phone #
11
? Q?? ?
I' 4'J00? OFFICE USE ONLY
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
R-3 M-I
PD
V- N
V-N
`7?-
32'
On site sewage_
On site well
MWCC System 7?
City water 7
PRV
Booster Pump _
FEES
Bldg. Permit (18F,
Surcharge
Plan Review ,00
SAC, City /00,00
SAC, MWCC 650,00
water Conn. 6601 ao
Water Meter qAov
Acct. Deposit 30,Do
S/w Permit O,Oo
S/W Surcharge y3
Treatment P1. 2 6,,oo
Road Unit 300.0o
Park Ded.
Trail Ded.
Copies .50
SUBTOTAL
APPROVALS Penalty
Plannex Lot Change
Council TOTAL ,-TO..O?
/
Bldg, Off. 0 3-zs4
Variance
agrees that all work shall be done in accordance with
Signature of ContTactor
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
1991 BULIGIE?ITOPLICATION
CITY OF EAGAN
SINGLE FA1fILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
1 of 2# OF FOR SALE UNITS
PENALTY AYPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY IAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: Residential
Site Address 818 Ivy Lane
Lot 10 Block 3
Parcel/Sub Woodlands North
Owner Woodland CountryHomes, Inc.
Address 6648.Rustic Rd. S. E
City/Zip CodePrior Lake, MN 55372
Phone 447-2424
Contractor Woodland CountryHomes
Address 6648 Rustic Rd. S.E
City/Zip CodePrior Lake, MN 55372
Phone 447-2424
Arch./Engr. _
Address
City/Zip Code _
Phone #
II?N J)j)J? OFFICE DSE ONLY
Occupancy
Zoning PD
Actual Const Y-4
Allowable
# of stories
Length
-
Depth 3
T
S.F. Total
Footprint S.F.
On site sewage_
On site well
MWCC System ?
City water ?
PRV
Booster Pump _
APPROVALS
Planner _
Council
Bldg. Off. ?5 3-219/
Variance
FEES
Bldg. Permit Q06,1hD
Surcharge 59,SJ
Plan Review 14517,00
SAC, City IDD, DJ
SAC, MGTCC Ei ,0D
Water Conn. 42LIL .00
Water Meter 96 0 c7
Acct. Deposit ga)A?O
S/w Permit 0,00
S/W Surcharge . S0
Treatment P1. ,UO
Road Unit RD,vD
Park Ded. _
Trail Ded.
Copies , S"D
SIIBTOTAL
Penalty
Lot Change
TOTAL ? n
agrees that all work shall be done in accordance with
ignature of Contractor)
Valuation: Date: March 19,1991
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
; iY.;k:ithiW, 01 ..".r;4:V:Pd*M*x<%krtg<p'8:?%?:t:,<.*
(]:f:T'v LP fcA,r.,AN
CA£?i-I.T.? I?:r JS i'::Rt?:Ct•!F!. i?il: :3',
10120197 'T'Fhft,:: l2c'7eC3
iD .
NA*+c: nnVlNr,E r,nMr>An:rE, W:
220 9001. eJ8 lvv !_fi,N.r:. 87.25
205 C'GS]:I. S±N I1JY I_f-iNE ':?.00
3430 9007 #?i.fl :fVY ;_.ANF
Tor:.'_ Rc?t_aXot AnrAunte B9.50
CRaSE2cr'
t.iS'=.R ir,: ,f>N
Y,?:;t3;;:Y.rY,::':'/n9?:!?:t:.!:ktY,.Y,C: , ?"fk>n'M7?:k:?%Y•%'xYr:)k;?:m?(:k?cYk#:'T'? ?r`°
C!TY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
BUILpING
030976
10/20/97
SITE ADDRESS:
818 IVY LANE
LOT: 10 BIpCK: 3
7HE WOODLANDS NOR7H
P.I.N.: 10-75890-100-03
DESCRIPTION:
-
Rv4arac>? -
rmit Type GARAGEJACCESSORY
Type AODITION
437 ALT. NONRE5.
? n
OW -` C ?? ?; ?p?? _ .
.???",'? -`.,g ?-3' ?? '?aa 31s ?? t _ss .?€ _ .
mmrdt
REMARKS:
A SEPflRATE PERMIT REQUIRED Fpii ANY ELECTRICAL WORK
FEE SUMMARY:
VALUA7ZpN $4,000
Base Fee $87.25 COPY $•25
Surcharge $2.00 Total Fee $89.50
Subtotal $64.25 .
CONTRACTOR: _ qpplicant - 5T. LTC OWNER:
ApVANCE COMPANSES INC 15722000 0004423 UMPHRESS WILLIAM
6400 CENTRAL AVE NE 818 IVY LN
FRIDLEY MN 55492 EAGAN MN 55123
(612) 572-2006 (612)291-4425
? F ?F - Y 49A? . .£ FFI ? . &Pt ? ..v? "^ i?a' 9 ?"t .a?$¢$AIS ?C' FAI?'{'y y£°5 tG^j+?I
% a,o?icrtawl sdve
s ?o471
:?c4
eZyKbN?4J5p ?b'y?,? ?• ?? i°? ? ? P? ,G?
? ????? ? ^
APPLICANT/PERMITEE SIGNATURE ISSU Y: SIGNATURE
soqqc997 BUILDING PERMIT APPLICATION (RESIDENTIAL)
cinr oF e,oGnN U
3830 PILOT KNOB RD - 55122 ? 1jY p// ? r iq
681-4675
New Construction Reauirements RemodeVReoair Reauiremen
? 3 registered sde surveys ? 2 copies af plan
? 2 copies of plans (indude beam 8 windaw saes; poured fid. design; etc.) ? 2 site surveys (exterior addkiona 8 Cecks)
• 1 energy wlwlations ? 1 enargy calculationa for heated addkions
? 3 e0pies of tree preservation pfan if lat platted aRer 7l1193
requlred: _Yes No
DATE: , L- CONSTRUCTION COST:
DESCRIPTION OF WORK: 1 U C, L L. (--21 UL?\ l_"F- '\! kG( L h -Y-`GZ?C? l (. f 21?U
STREETADDRESS: La?L
LOT ? BLOCK 3_ SUBD./P.I.D. fu?A??/??? nrn?
PROPERTY Name: ? ?- ZL(4-M Phone #: ' zS
OWNER ?M.n .
Street Address: -Lf?/ Le
CONTRACTOR
ARCHITECT!
ENGINEER
City: State: v? 1 Zip? ??2:-`5
Company: Co. Phone #:
Street Address: L42SL (fg? L kk-License #:
City: ?t lf pLr--\/ State: Zip.
Company:
Name:
Phone
Registration #:
Street Address:
City:
Sewer 8 water licer.ped plumber (new construction only):
and lot change are i equested once permit is issued.
I hereby acknowledge that I have read this application and state that the
State of Minnesota SWtutes and City of Eagan Ordinances.
Signature of App?icant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received - Yes _, No
State: Zip:
Penaity applies when address change
and agree?q comply with all applicable
1
I
- Not Required
OCT 8 4 MgT
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
0 02 SF Dwelling o 07 4-plex
? 03 SF Addition ? 08 S-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 _ piex
WORK TYPE
? 31 New ? 33 Aiterations
jz( 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
OFFICE USE ONLY
0 11 Apt./Lodging ?
? 12 Multi Repair/Rem. o
? 13 Garage/Accessory ?
? 14 Fireplace ?
? 15 Deck
? 36 Move
? 37 Demoiition
Basement sq. ft.
Main level sq. ft.
sq.ft.
sq. ft.
sq.ft.
sq. ft.
Footprint sq. ft.
APPROVALS
Pfanning
Building
?'?, ?•,?
pb, f36
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
MC/WS System i
City Water i
Fire Sprinklered
PRV
Booster Pump
Census Code. y 37
SAC Code ni
Census Bldg i
Census Unit 0
Engineering Variance
PermR Fee Valuation:
Surcharge
Plan Review
License
MC/WS SAC zc°" `o =
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies 0) .25
?` ??Y
TotaL < < ?
?i
% SAG
SAC Units
$
.:?* **
* pion
* engin
** **
LANOSURVErOH3•CIVILENGINEERS
2422 Entcipiise Drive
Mendota Hei9hls, MN 55120
(612) 681-1914
Certilicate oi Survey forMwdLAND COUNTRY S),( NC
- -
ti
V`
V
e ^
55 • 28
5'Pt• 0 7
N.48• ,9• 7-7'E.
- 9oU.a Dwvtes Exislin Elevafiorl Prrpt?osEO HousE ELEVATI4N
P.7 Uei?ofes Propo?Ed fleva/ior? Lowes %or Elevo ior?
-------- UPnotes Draina e1 Ufilil Cvsemenl 7op c?,?'BloekEleva>ion
--?------ Denoles Dr?rinQp Flo?Direelion Gai•ale Slnb Elevcrtioi?
o Oenofes Monuffimf gFViings showr? vre ussuma+ dUeikie?/T. P f;6b
LoTS 9 ANe i0 1e1ock , TuE wooDLANDS NoRTN
DAKO»a CoUNTY , MiNNf507-A S//BJ£CT TO EqSfME'NTT Of fZEC27RU
I hrrvbV rm 111Y Ihal IhiS it x I, Ur and forroCl rpprPCrntalion nl n aUrvny nl 1hn hnunrlniirc nf Ihn -hnw d(?.•yriiLr, l land. ?rnl nl Nm Inrntinn pl all
buildinql, t6n?eon. and all visible vnciavhmrnlt, il nny, ftnm rn nn anid I:?nd. As cnivrywl hV 1^'. OhF,_ ??•7.'.d:iV nJ_ ? A fl. 17 _C7_y / _.
?
Q I 0'fj ? 0? SCQ?e_J?nch.?
l'lo'3L„
? -
? Js_?
iu"nrnt rF an irii ? e. ierr. riri 14anI
CITY OF EAGAN FOR CITY USE ONLY
3830 PILOT RNOB ROAD
EAGAN, 14N 55122 PERMIT #
PHONE: (612) 454-8100 RECEIPT
..
'.' B??'?.......;:. DATE: /a .
.:?.<y:,.?<??
PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMZLY DWELLZNGS S
%O.Mw \qMiwNT'vumW.W%TOWNHOMES/CONDOS WHEN PERMZTS ARE REQQIRED FOR EACH IIN2T.
•e
RK DESCRIPTION
NS
iiCO
R
EPAIR _
owrrEx NnrcE: 4?GY?c./L? aTA&? ?
SITE ADDRESS: 0I6 _ZYY Ll??
IAT :-- BLOCK -3 SUBD. W d tr??
INSTALLER: GENZ-RYAN PLUMBING & HEATING C0.
ADDRESS: 14745 South Robert Trail
COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
ADD-ON MINIMUM 15.00
1 sxowEx 3.00 577)
9
,.V? WATER CIASET 3.00 Z, 00
1 sAxH zva 3.00 3ov
2 IAVATORY 3.00 G ?
KITCHEN SINK 3.00 n tJ
? IAUNDRY TRAY 3.00 ,3_Qf2
HOT T[TB/SPA 3.00
? WATER HEATER 3.00
FLAOR DRAIN 3.00
GAS PIPING OUT.
? (MINIMUM - 1) 3.00 r3?
_ ROUGH OPENINGS 1.50
_ oTHER
WATER SOFfENER 5.00
PRIVATE DZSP. 15.00
U.G. SPRINKLER 3.00
SUBTOTAL $ 3300
ST. SURCHARGE .50
TOTAL: S 33 5 D
G0?1EItG??AT3,??UST?`L:'. PLEASE COMPLETE TFiIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS ANI
MULTI-FAMZLY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACF
DWELLING UNIT.
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
IAT: SLOCK SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE
FOR:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMOM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE
TOTAL:
$
$
(SIGNATURE)
CITY OF EAGAN
CITY: Rosemount, MN ZIP: 55068
MEMO=
CITY OF EAGAN
3830 PILOT RNOB ROAD
EAGAN, 14d 55122
PHONE: (612) 454-8100
MCTM."M
FOR CITY USE ONLY
YERHIT #
RECEIPT #
DATE:
PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS 6
TOWNHOMES/CONDOS WHEN PERMITS ARE &EQUIRED FOR EACH UNIT.
WORK DESCRIPTION
NEW CONST _
ADD ON _
REPAIR _
owrrm NnrE:
SITE ADDRESS: ao_
IAT: I? BLOCK J SUBD. (/t?4D''O fio
INSTALI.ER: GENZ-RYAN PLUMBING & HEATING C0.
aDDRESS: 14745 South Robert Trail
COMPLETE THE FOLIAWING:
N0. FIXTURES EA. TOTAL
? ADD-ON MINIMUM 15.00
SHOWER 3.00 ZQo
? WATER CLOSET 3.00 _40 d
BATH TUB 3.00 3ov
IAVATORY 3.00 r200
? KITCHEN SINK 3.00
LAUNDRY TRAY 3.00 ?t)0
HOT TUB/SPA 3.00
? WATER HEATER 3.00 3oD
FIAOR DRAIN 3.00 .3vD
GliS : ZFiNG J'JT.
L (MINIMUM - 1) 3.00
ROUGH OPENINGS 1.50 1,,5-6)
? oTxEtt gra"J)r,t, 3rL 904
WATER SOFTENER 5.00
PRIVATE DISP. 15.00
_ U.G. SPRINKLER 3.00
SUBTOTAL
ST. SURCHARGE .50
TOTAL: S `3 T ?OO
PLEASE COMPLETE THIS PORTION FOR ALL COZfMERCIAL/INDUSTRIAL BIIILDINGS AND
M[TI.TI-FAMILY SUILDINGS WHEN SEPARATE PERMITS ARE NOT REQIIIRED FOR EACN
DWELLING UNIT.
CONTRACT PRICE:
OWNER NAME: _
SITE ADDRESS:
LOT: BLOCK SUBD.
INSTALLER:
ADDRESS:
CITY: 2IP:
PHONE
FOR:
CITY OF EAGAN
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $
STATE SURCNARGE $
TOTAL:
$
(SIGNATURE)
cI1y; Rosemount, MN ZIP: 55068
- ' CITY OF EAGAN
3830 PIIAT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
. ... ........... .
?G
ADD-ON MINIMUM $15.00
HVAC 0-100 M BTU 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTI.ETS - MINIMUM 3.00
OF 1 PER PERMIT
116S???TT?A?3; PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLI
.:.:..... ..,,. :........ ... .
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
------------------------ ---------------------------------------------°--------
WORK DESCRIPTION ? FEES
NEW CONST ?
ADD ON _
REPAIR _
OWNER NAME: C-???-.._?I-Fc7??.,. (.???c?`-C '?N` •
SITE ADDRESS:
LOT: / BLOCK ? SUBD. ?O???c/•?4+?ti0"
k
INSTALLER:
ADDRESS: rim
CITY: ZIP:
PHONE #:
SUBTOTAL: $ __aB I _(Y:l
STATE SURCHARGE: .50
TOTAL: Srz???J
SIGNATURE OF PERMITT E
FOR CITY USE ONLY
PERMZT
RECEIPT #
DATE: S 3/
CpM??U5:1'KTA3:°t; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMZLY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
---° ---___-_-________
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP: _
PHONE #:
FOR:
CITY OF EAGAN
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING - $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE
TOTAL:
(SIGNATURE)
CITY OF EAGAN FOR CITY USE ONLY
3830 PIIAT KNOB ROAD ? p -7
EAGAN, MN 55122 PERMIT # d
PHONE: (612) 454-8100 RECEIPT #
DATE : S /
.a...:.:.. x?.?,,.........M.:..
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
r a: .. ...: .. .::..:.... ..: <: :: . . .. ,.
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION
NEW CONST
ADD ON _
REPAIR _
OWNER NAME: N?-
•-?- -
SITE ADDRESS: %l Fi
IAT:_,?o BIACK .3 SUBD. ?
INSTALLER: A?r.¢ '?_,
ADDRESS : ? \ ?? ? ?aCs4Li C?
CITY: -S ZIP: 8L?ln2
PHONE #:
-----°°---------------°-----
FEES
ADD-ON MINIMUM $15.00
HVAC 0-100 M BTU 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3.00
OF 1 PER PERMIT
SUBTOTAL:
STATE SURCHARGE: .50
TOTAL: $';zvr)Q
d'•t..,?
SIGNATURE OF PERMIT EE
?O?ETiC2AT.fTN'DU5TRTA'I:,: PLEASE COMPLETE THZS PORTION FOR ALL COMMERCIAL/INDIISTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
-------------
CONTRACT PRICE:
OWNER NAME: _
SITE ADDRESS:
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE a $.50 FOR
EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING - $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE
TOTAL:
(SIGNATURE)
CITY OF EAGAN
f2go9' 7 ?
?-----------------
I F6r`Cji'f(ce_Use
? Pertnit #: v 1V
I i
I Permit Fee: i 00
I 1? ?
? Date Received:
I ?
? Staff: I
I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: _2h ° ? 0 $ Site Address: 714' / vY L ANZ-
Tenant:
Suite #:
RESIDENT/OWNER Name:Lo pt-, MAa,n6r7rrex?7_ Phone: 71o3-5-43 -y770
Address ! City ! Zip: 962' QE6A71t r2 ,9-?£ lVo • -1?t "? --z /} 7
?ve-/JFN C-'•4-t [,?Yi NJry,
Applicant is: _ Owner x Contractor
TYPE OF WORK Description of work:
Construdion Cost: Multi-Family Building: (Yes L--(No
CONTRACTOR Name: aC_J FY-"1 FW_[vIZ__ jf'/4-//t%i; 64501, License#. ?liPa /,?3P
Address: VPS L!J• &6O -11'7 s"/
City: ??/NNC?IT'OL-lJ State: IV/I? Zip: Si 9
Phone: 84'1' 62t/-3 Contact Person: ?RUL /vi Ll LLLr7V
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category t Worksheet • New Energy Code Worksheet
CBtegol'y Submitted Submitted
(4 submission type) • Energy Envelope Calculations Submitted
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, date and address of master plan:
Licensed Plumber: Phone:
MechanicalCanVacWr: Phone:
Sewer & Water Contrector: Phone:
NOTE: Plans and supporting documents that you submit are considered"to be public information. Portions of ;
the information may be Gassified as non-public ii you provide specific,reasons that woufd permit the City to =
conclude fhat-the are trade secrefs...
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the Ciry of
Eagan; that I understand this is not a permit, but only an application for a percnit, and work is not to start 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 ns.
X C'ff/2!J ?jV'/J?7ZS?1/ x
ApplicanYs Printed Name ApplicanYs Signature
Page 1 of 3
yooF 7S-
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
?-----------------
? Pertntt #: j
I Permit Fee.
I ?
? Date Received:,?? ?
I Staff:? I
i
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 7ZIO hy Site Address: g/fl /v y L ffN'c
Tenant:
Suite #:
RESIDENT / OWNER Name: yo 14C-T 1V1-//1/9617wEi117_ Phone:
Address / City / Zip: Y?d /iE(f}Zl,e *NC/U ? 2,4
Applicant is: _ Owner X Contrector
TYPE OF WORK Description of work: ?E 'eOP`
Construction Cost: Multi-Family Building: (Yes 41'?! No
CONTRACTOR 7
Name: a-TZ_12(04 1ItR1/V7 License #:
Address: `10s W. l04 ft, k
City: /Nye?X76;'Y' State: /L? Zip: 33-111,
Phone: 6ta7-3 ContactPerson:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Cade . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Cdt6gory SuGmitted Submitted
(4 submission type) • Energy Envelope Calculations Submitted
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, date and address ot master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer 8 Water Contractor: Phone:
NOTE: Plans and supporting documents thaf you submit aie consideretl to be public informafion. Portions of
'
the information may be class?ed as non-public if you provide.specific reasons fhaf would permit the City to,
condude that the are trade secrets. ..-
I hereby acknowledge that this information is complete and accurate; that the work will be in confortnance with the ordinances and codes of the City of
Eagan; 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 6e in
accordance wdh the approved plan in the case of work which requires a review and approval of .
x ????f ?/????f?? '!?
ApplicanYs Printed Name ApplicanYs Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA174350
Date Issued:01/19/2022
Permit Category:ePermit
Site Address: 816 Ivy Lane
Lot:9 Block: 03 Addition: The Woodlands North
PID:10-75890-03-090
Use:
Description:
Sub Type:Water Heater & Water Softener
Work Type:Replace
Description:Standard Water Heater & Water Softener
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 -
Mary E Engel
816 Ivy Lane
Saint Paul MN 55123--242
Champion Plumbing LLC
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature