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817 Ivy Lanea. .• " A of COrrupattry of Q 'eagan Nwaitto iwPtttm nrIs ce?rtfmre t=«t purswW w rhe,equr„e»,encr ofsecr;on 306 of rlie u,iform auiWng I Code cendjying that at du tirne of iuumcoe thisorucaur was tn oomplicnce with the Huiour I °?din°nars of r1ie CF[}' regudada bu4din8 consoucdon or use Fvr !he followi?ig. I ' uKck=Tmd,. A pF Mrpr.r?x BM& ,?I,,o, 372 I OocuP-C7 T5'P- -?L 3 M- I pn Tne cooa v-N ownwo[wAI&MJ,[MenaD rnWRVFINx Aft= 6648 BUSTIC BD SE ade;n,wm= agi Tw r_k L6. B4. T1iE WOODLANDS N i, y?,??-I JUNB 29. 1992 POST IN A OONSPICWIJS PU1CE . ? INSPECTI4N RECURD CITY OF EAGAN RFACITVA'IED FOR BSMI' FINISH 04J22!93 pERMIT TYPE: 3830 Pilot Knob Road SIE JIMENGEL 452-7555 permit Number: Eagan, Minnesota 55123 • Date Issued: (612) 681-4675 SITE ADDRESS: in t= a 6?A IVY LIINE T'Nt 414OqLAN#]S NilRT'll PE"lTMYTYPE: cont?.. n.?? ?J tillll ll1NH •Ar:il:' ?Ww.. otoG K ; q APPLICANT: :?IFkMAMN C:4NS7 (612) 447-2+124 TYPE OF WORK: NFw f PrrakrSt Hf:???jp-r r 1.0rs b X 6. etOcK 4. tHt Wt1hU1.A1403 Konr" Permi! No. PermM F1okMr Drfs 7eNphons • SNV PLUMBING HVAC .. ? ELEGTAIC ELEC7RIC Inspection Da6a Inep. ComRUrns Faotings ! S_ o r` ?? a cs ? Foundelion FtBming O !4 Gv V P-00" R°"9n Plbg. co,sh Hts- Zl!/ ?1--04si??. FirepiaCg Flnal Fftg. Oiiat 7est Finel PIbD- ?-V- 72 A Pft. irspecto? - Notify Plumber Conei. Meter Eng`JP'a' eag, FinW peCk Fig. Deck F7nal Well Pt Disp. ? . ? ?e?tifica#e of cccupanc4 (Fhj of Cftgan zcpiatmmt iq 13IMMiS aKdoectioa This Certificate issued pursuant to the r+eqetireinents of the Uniform Buelding Code certifyeng that at the time of rssuance tius stnrcrwe was in compliance with the various ordinances of the City regulating buiLding consnuction or use_ For the foUowing: use ci?ifipnow '1w FAtGLY-PBJ awB. emn? No. 373 o-a-r Tyw R3/)4I zoning aavia PD Tyre c?c. VN owner of suuaing WOCEMID ODUNTRY H!IrFS Il" 6648 RUSTIC I?.IAD SE, PRIQt LAKE IVY T?AI? ??LS, B4, ? G??11?g16 1a7R1H 817 e?? aaa? Dam 01/07/93 , -,ding ofr P06T IN A CONSPICUOUS PU1CE `CITI?' 4F EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: E, o T ri LI IVY I..ANE rHE WpptlLAMdS Ii0RTH PEMITMYTYPE: INSPECTION RECORD PERMIT TYPE: Pennit Number. Date Issued: 96 a? OCKt 04 APPLICANT: SEkKMAMM CONST (612) 441-7424 TYPE OF WORK: Control No. Q 3 ? ? p9!0;#?:3 A6/fll /92 MEu INSPECTION „ . FoorlMO .. "AMiNb IMSUI.A'I"?ON rIMA1. FIREPLACE teFMAkif4: f+'f t[ l i'1 ?F 4 1 S ? ? . i .u_ ?? s ..t..- l0i' S i 6. BLQCK 4, NOUpIANQS 140RTti m . Permit Na Rermft Holdar Date TNephone # S/VJ PLUMBING ?j- I . !7 HVAC ELECTRIQ '`- ELECTRIC lnspectbn Date Insp. Comments Footings I Foundation Framing ? Roofing Rough Plbg. ??. ? I± I Rough FPtg. Isul. Fireplace Fnal Htg. orsat Test 1r743 4 Fnal Pibg. Plbg. Inspector - fYotlfy Plumber Const. Meter EngrJPlan Bldg. Fnal ! Deck Ftg. Deck Final Well ' Pr. Disp. 10 6' 7 FOR ,IIIII IIIIII III IIII I II IIIIIIII III ?II eP1QUni ersin/ ate Ave., Rm SRI2a Ani'Pau PMNT55io4v ?b * 4 0 7 ? Phone (612) 842-0800 g?j7?9 6y si, 0 3 2 9 6 ? ? Home Duplex Apt. Bldg. 0001111i-+ New Addn Co mercial Indusirial Farm Remod Re air ir Cond. Hfg. Equip. Water Hir. Load Mgmf. Other: D er Ran e Elec. Heot Tem $ervice "X' above the work covered by this request. Enter remarks in this space and on fhe back of fhe white copy only. t Calwlate Inspection Fee - Tha Inspedion Requesi wJl nof be accepfed wifhouf the corred fee: Olfier Fee # $ervice Entrance Size Fee # Circuik/Fceders Fee Mo6ile Home Park Stall 0 to 200 Amps 0 a 100 Amps Streef Ltg./Traffic $ig. Above 200 ps ove 700 Amps Tfons{olmer/Cieneraiof INSPECTOWSUSEO LY ^ ^ TOT/1L S7/? Sign/Oufline Ltg. Xfmr. / ( ( ( % r ?? Alarm/Remote Control ?" j j?i Swimming Pool ? hare «ni M I ms eaed ih? insMllaLan descnbed her<in an ihe dares smted Irfigation Boom Rough-In Dok S ecial Inspeclion p Inves}igatrve Fee F???? ooie THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS. 3 2 9 e 640 ? n / V PLEAS?RINT OR TYPE OF}lCE USE OONLY This requesl void 18 months Irom vaLdotion dme pnnkd in ihis bo??O ?/?7// ? l' T ? Requeat DaM 7 Ro?gh-in inspanon rtquired2 ? Yes (Yoa muH mll ?he mspetlor when reody? Inspecnon OtherThan Rough-Irc eady Naw ? Will Call Doro Ready. I, 02<c'ensed contrador ? owner hereby request mspedion of ihe above eledricol work at: lob Mdres 5heet, Box, ar Raule z u L aai r Gty :jd .?..? Lp Code 5«lion No Township Nome or No Range N. Fire No Covn ? I ?Q p_(?? OmPant uv ,- ?.? Phane N. Power Supplier r Mdress EI«1n I Canha iCompany Nome) ? ra Cankacror brense No Mmbr Gc N. (Plom Elen Only) Mailing Pddrees ?d?Iy? or Owner P ?ng Inzlailchon? .Ce/ , 0 2.? T/ ? ?c ?ct ed + U ro !q Authonud i onlncror Owner <d?g 1 ?ollai Phone N. ' ?2cf EB-00001k715'6/9) / STATEB6AHCOOPI INSTNUCTIONSONeACKOFYELLOWCOPY I? 55 ?o s Reques Date ? Fire No Rougn-m Inspecnon q G tl? ' W ? Reedy Now ill N Inspeclor , h R I ? No . r . en eatly I?I?censed contractor ? owner hereby request inspection of above electrical work at: 's Joo Aeoress ISireet Bax or Route No ) ` :; Qty a t vY Or+ve g Section N. Townstup Name or No Fanga No Co Q f r/ Occupant IPRMT? Phone No ? ?,P.?NGE L Power suoalier aatlress Eleclncv Comraclor (GOmpany Name7 EeT/uc l?L F d ConttaNOr Lmensa No ?4 o/a3 7 C. • r MaiLng Atltlrass IGonV o? Owner krno Instellatio??? ? ae?s? ? ?o ? ?t s5 rai Am?onzed Signature (COnVac!or+Owner Mabng Ins Ilalion) P?ona Number - sa 9 MINNESOKFATE 80AR0 OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT Grigga-Mitlway BIEg. - Hoom 5-113 n 5& BE nCCEPTED BY THE STaTE BOARD 1021 Universiry Ave, 51, paul. MN 55104 \7 UNLESS PROPER INSPECTION FEE I$ Vhone(61]) 642-0600 ENCLOSED REQUEST FOR ELECTRICAL INSPECTION ??-??A esooooi.oe ? See mstmmiqns 1or comq26ng Ihis brm on beck of yellow topy pq ?+ ,,LaY L? ? O 1 7 C7 "X" Be/ow Work Covered by This Request aw dd Rep Typeof8wltling ApphancasWired EqulpmeniWired T V T Home ange Temporary Service Duplex ater Heater Electnc Heating Apt Bwlding yer t Other (Specify) Comm.llndusirial Furnace Farm Air Conditioner Olner [sVecoYI Contractor's Remarks. 3 -'a b0 N(? Compute Inspection Fee Below. # Other Fee # ServiceEnlranceSize Fee X ClrcuitslFeeders Fea Swimming Pool 0 to 200 AmpS 021, 0 to 100 Amps /?. Translormers Above 200 _ Amps Above 100 _ Amps SgnS Inspecmr§ Use only 7pTp{, Irrigation Booms 30 . S U Special Inspection . Alarm/Communicahon THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical InspeGOr, hereby R°°qn,n - 14 ? oareS cerhfy that the above inspec4on has been made. F,rai oace OFFICE USE JNLV Tnis reduest voiE 18 monlhs Imm REOUEST FOR ELECTRICAL INSPECTION 1. See insimcuons lor compleung this lortn on back ol yellow copy J509 yJ 6 "X"$eloiv lXIork Covered by This Request ?nn ?"Pg, EB-00001-08 ?'?. /OlP3G 9 ew Aad Nep '` TypeolBuildmg AppliancesWired EqmpmentWired Home Range Temporary Service Duplex Water Heater Electnc Heating Apt Buiitling Dryer Other (Specity) Comm./lndustrral Furnace Farm Air Conditioner Other(syeciNl Conhacfor's Remerks Compute fnspection Fee Below.' r Other Pee # ServiceEntranceSize F # Circmts/Feedere Fee Swimming Pool 0 ta 200 Amps 0 ro 100 Amps Transformers Above 200 _ Amps Above 700 _ Amps Slgns Mspedor§ use Onty TGTAL ? Irrigatwn Booms 70 SpeaallnspecLOn AlarmlCommunication THIS INSTALLATION MAY BE OR DISCONNECTED IF NOT Other Fee ? COMPLETED WITHIN 18 MONT S. I, the Electncal Inspector, hereby 6f th th Rough-m - Date cer y at e above inspeclion has been made F,,,e, (y??+?•- 142 oaie OFFICE USE DNLV Tnis reQUest voia 18 monMS Irom .i Ya- !/J/a. 4/?'f I ,150936 ?o°° Request Date ? ?Pe No Pough-in Insv?ion qeq a' V Reatly Naw ilI Nohfy Inspec[or ?Yes ? No When Reatly? I/licensed contractor p owner hereby request inspection of above electrical work at: doe Atloress (streeL Box or Ro No ) W/crc-/ Cay? Z ?Crl'?CS SeMmn N. = Name or No Ranqe NO Coun OccupantiP INTf I ? PM1One No Po S 9pliRr Aadress ^ Elennc onlraclor ICompany Name) ('qn or'S 4cense No Mai n AtlGre IGOnhaclor or Owner Makrng InslallalVN ? Authorrzeo ignalure IGonlracto Owner MaRin Inslalla '? ??7? - PM1OneI vmDer l6-ro.?lo ' MINNESOTA STATE BOARD OF ELECTqICITY Griggs-Mitlway BItl9, - R.O. 5-173 1821 Univmty Ave., SL Paul, MN 55104 Phone(612)6G2-0800 THIS INSPEGTION FEOUEST WILL NOT BE AGGEPTED BY THE STATE BOARD UNLESS PROPER MSPECTION FEE IS ENClOSEO , y d- /0?34P y f 65404 °° Request Dale Fre Np." Rop?-in Inspeclion Requiretl? eatly Now .[3qJIIfNOtiy Inspec[or ? No When Reatly? 4c'"1icensed contracbr D owner hereby request mspection of above eiectrical work ai. Jo0 Adg,,Ips (SVaet Box or R No ) CM1y , Section No Township Name or No qenge No Coun Occupam (P NT) Phom W. upo wer S iier Aetlress Elecvkal ConVacbr (COmpany Name) ' ? / CaMraclork li se No. ?f / _ `? ?S6!`?? ? _ Maihn g Atl tlres iCOmraqor or Owner Making Insl alla t io qq? J ? f / - / ) ? . / / _/ / -- Authonzed naWue ICOnvaclorOw er Making Installau n) -u Rwne Number ?A?n?'???, MINNESOTA STATE BOAflD OF ELECTRICITY Gngga-Muway Bltlg - Room S-113 1811 UNV¢mity Ave.. 51 Paul, MN SS10C PMna (611) 602-0800 THIS INSPECTION REQUEST WILL NOT BE ACCEPTED BV TME STATE BOARO UNI,ESS PROPEF INSPECTION FEE IS ENCLOSED 0/i?1sA- J 65404 REQUEST FOR ELECTRICAL INSPECTION ? See insVUCtions lor complating this form on pack of yelbw copy. "X" Below.Work Covered by This Request .t,,.'KneNQ' EB-00001-08 /0l 9 e Adtl Rep. TypeoBuJding AppliancesWired EquipmentWiretl Home Range Temporary Service Duplex Watei Heater Electric Heating Apt. Bwiding Dryer Other (Specity) Comm /Industrial Furnace 4 Farm Air Contlrtioner O rner Isuearyl Contractor's Remarks Compute lnspecfion Fee Below: # . Other Pee d ServiceEnlranceSrze Fee 8 Circuita/Feetlars Fee Swimming Pool 0 to 200 Amps - o to 700 Amps '- Transtormers Above 200 _ Amps Above 100 _ Amps SignS Inspecmr§ Use Onty ? TOTAL Irngaiion Booms 7o?Vd ? ? Speaal Inspection r AlarmlCommunication THIS INSTALLATION MAY BE ORDE DISCONNECTED IF NOT Othei Fee ) COMPLETED WITHIN 18 M S. I, [he Electrical Inspector, hereby certity that the above inspection has been made. Rouqn-m Finai oate oa?e ? ^ OFFIGE USE ONLY Th4 reQUesl vaid 18 monlns imm Address:' gZl IVY LN Lotb Blk 4 Sec/SubTHE WOODLANDS NORTH These items were/were not complete at the time of the final inspection. t: JUNE 29 1992 Yes No Final grade (6" from siding) Permanent steps - garage ? Permanent steps - main entry Permanent driveway ? Permanent gas ? Sod/seeded grass L? 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 water supply to the outside lavn faucet before freeze potential exists. ?j ? xecramnwn White - City copy Yellow - Resident copy Pink - Contractor copy Addresa: 817 Ny t.an7F. Lot 5 Blk 4 Sec/Sub TqE NOODj,ANpS ppUH These items were/were not complete at the time of the £inal inapection. Date: 01/47/93 Yes No Final grade (6" from siding) if Permanent stepa - garage r/ Permanent staps - main entry ? Permanent drivaway V Permanent gas ? Sod/aeeded grass Trail/curb damage ? Porch Basement finiah L/ Deck Please verify vith the builder ihe removal of roof test caps from the plumbing systam and the shut-off of vater supply to the outside lawn faucet before fxeeze potential exists. ? ?M. White - CSty copy Yellow - Resident copy Pink - Contractor copy 2007 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knoh Road, Eagan NIN 55122 Telephone # 651-675-5675 Please complete for. single family dwellings & townhomes/condos when pertnits are required for each unit 60 . S6 Date "?_ / / d / 0 -7 Site Address ? 17 / q (?CLl•1.P Unit # Proper[y Owner ? ??i? ld??f.? ,[.! Telephone #((? S? ) A-L "- y9 3? Con[ractor _ a?, .. ? StrcetAddress HEA1riG8C Cit3' 1904 Vermillion Sneet Telephone # ( ?P? ? S[ t `l ) ?? ?' 7l ? ? a e Hastings, MN 55033 ?DO E i res: xp ( Bond #: The Appiicant is _ Owner V Contractor _ Other Fire repair (replace burned out appliances, ductwork, etc.) $ 90.00 This fee applies when extensive mechanical repairs are made to a building. Add-on or alteration to existing dwelling unit $ 50.00 furnace _Additional ? Replacement _ New air exchanger ? air conditioner heat pumo other State Surcharge n I? r? ? n nn ? $ .50 " AY i 4 '2007 T t l $ o a I hereby apply for a Residential Mechanical Permi[ and acknowledge that the infortnation is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, atid work is no[ to stazt without a pennit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of platp? ,/? ? 11?,R•SU 116U,c) Applican 's Printed Name Appli anYs gnature ?? * 41 * PION *@? ? ?t # z 2422 Entrrprise Drive Mendota Helghts, MN 55120 LlINO PLI1NN[R! • LAND4C Af [ (612) 681-1914 Certificnte ot Survey for: ??/OdLANd COUNTW_Y 90ME9,11K. ? NoRrH H .`v ?? ?b ? ? $q2,b N sou.o Denotes Exislin Elevafion ? 00.0 Uenodes Propo?Qd E?lfVO'l/oIl - -- Dienotes dnair?o e i Urili.ly fosemen -?---- Denolrs Dr?ri ?'Flo?J'Diree/ion o Upna?es Monu!`3Pnf ?vrin?s ENGIN'EE?4IATG Pr?iovosED Hou56 EL£VATI UN f 9ot,s-LfG Garajt S/abElevalivr) .showr7 ar-e assun*d n Laertn es qjl?P fbb LOTS 5 AND 6,BLOCI! 4, rHE woooLANDS NoRTH nAKOrn LbUNTV , MrNNESOTq 5t14.ftCT 10 EASEM£/V73" Of RfCt7R(J I MCtPIIV Cf.f\IIv ihPl ihlS N e ifU! IIOA C[IlRCI ICQfC1lntR(IOO OI e SIII Vi!V OI INP I1O111nIlrIPl OI lIIP OIIOVe fIPSCIIIlP1I MOwI, BI\fI OI tM1I IOfA1S0p? }pyI nll bu0dinge, ihereen, end all vfSlhle encrMChmenli. 11 enV. from or on snid Innd. AS aUrvnyrd hV ?nn thit? ? ?d.ry of? ? L--A.D. 19.1?. inch. SC ?-_,30 1o0nrre I NO,AAq A'nrr M 2004 RESIDENTIAL BUILDING PERNIIT APPLICATION City Of Eagan ??t 12? ? 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reauirercents RemodeliReoair Reauiremenis ONice Use OnN 3 registered site surveys shwving sq. R. of bt, sq. ft ot house; and all mofed areas 2 copies of plan Cert of Survey Recd _ Y _ N (20°bmazimumbtcoverageallowed) lsetofEnergyCalculationsforheatedaddillons TreePresPlanRecd _Y _N. 2 copies of plan showing beam & window sizes; poured found dasign, etc. 1 site survey (or addNOns 8 decks Trce Pres Required Y N 1 set o( Eneigy Cakulalions Addifion - indicate i(onsife septic sysfem On-site Septk System _Y _ N 3 copies of Tree P2servation Plan N lot platled after 7/1193 RimJoistDelailOptionsseleclionshcel (6ldgswiN3orlessunits Date ?_ / ? / 0 ? Construction Cast <f /z-', a , Site Address :-?L I T( / -) iAl ?-, UniUSte # Description of Work kL,r 014 k 1,6U T Multi-Family Bldg ?:4 Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner T?` 1 e G?sin IM8 v?T Telephone #q?Q-) Contractor Rn?f do i ? Address OG City L//1 State In4 [ J Zip S'SI /o Telephone # (65'( ) yu ? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672 Enefgy Code Category , Residential Ventllation Category 1 Worksheet • New Energy Code Worlcsheet (?Isubmissionrype) Submitted Submitted . Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone # ( Telephone # ( I hereby apply for a Residential Building 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 State of MN Statutes; I understand this is not a pernut, but only an application for a permit, and work is not to start without a permit; tttat the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. 7CJ( ?i4??.5?? Applicant's Printed Name ApplicanYs Signature OFFICE USE ONLY Sub Types O 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Yor _N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvemant ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 Windows/Doors ? 34 ReplaCement •Demolition (Entire Bldg) - G (ve PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const _ Width _ Footings (new bldg) _ Footings(deck) _ Footings(addition) Foundation Drain Tile Roof Ice & Water Final _ Framing _ Fireplace _ R.I. _ Air Test _ Final Insularion Approved By: Base Fee Surcharge Plan Review MGES SAC City SAC Utility'Connection Charge 5&W Permit & Surcharge Treatment Plant License Search Copies Other ToWI REQUIRED INSPECTIONS FinaUC.O. FinallNo C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ A'u/Gas Tesu Final _ Siding _ Stucco _ Stone _ Brick _ Windows _ Retaining Wall Building Inspector PERMIT " , ? CI-TY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: 821 IVY LANE LOT: 6 BLOCK: 4 THE WOODLANDS NORTN PERMIT TYPE: Permit Number: Date Issued: euxLoiNG 000372 05/01/92 DESCRIPTION: Building„Perm3t Type Building I:lork 7ype -'UBC Occupancy,, Construction Type Zoning - Building Length Building Width %i VALUATION REMARKS: RECEIPT M ?p ?; FEE SUMMARY: Base Fee Plan Review Surcharge SAC SAC $ SAC Units Subtotal ?J sTv LOTS 5& 6, BLOCK 4, THE WOODLANOS NORTH ;672.00 E371.80 ;42.50 $700.00 100 1 $1,686.30 TWO FAMILY NEW R-8 M-1 VN PD 64 30 $85.000 IAISC FEE3 $1,610.50 LATE PENALTY $20.00 Total Fee $3,316.80 CONTRACTOR: - APPlicant - ST. I.IC. OWNER: SIEKP4ANN CONST 14472424 0001436 WOODLAND COUNTRYHOMES INC 6648 RUSTIC RD SE 6648 RUSTIC RD SE PRIOR LAKE MN 55372 PRIOR LAKE NN 55372 (612) 447-2424 (612)447-2424 2 hereby acknowledge that I have read this application and state that the information is correct end agree to comply with all applicable State of Mn. Statutes and City ofi Eagan Ordinances. ? APPLICANTlPERMITEE SIGNATURE ISSUE Y: SIGNAT URE Control No. 0357 PERMIT #, , .. .. CITY OF EAGAN 1992 BUILDING PERMIT APPLICATION 681-4675 ? •t d l RE.GG 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 af energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re uest is made or lot chan e is re uested once ermit is issued. Date 04 / 15 ? 92 Valuation of work $$4,949.60 ite Location• 1s1^^a' -^A ° "T^-*k - 821 Ivy Lane STREET STE ! Tenant Name• Woodland CluntryHomes Inc. Lor 6 sLocK 4 suBp, Woodlands North P.I.D. # 10 75390 060 04 Descri tion of work: a. U9 L 4- The applicant is: In Owner L] Contractor ? Other (Describe) Name Woodland CountryHomes, Inc. Pho ne 447-2424 Property LAST FIRST Owner qddress 6648 Rustic Rd. S.E. STREET STE # City Prior Lake State MN Zip 55372 Company Same Phone Contractor Address License # Exp. City State ZiP Company Phone Architect/ Engineer Name Registration # Address City State ZiP Sewer & water licensed plumber Genz-RVan PlubinQ & Heating . Processing time for sewer & water permits is two days once area has been approved. 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. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation 02 SF Dwg. ? 03 Two family ? 04 Multi-fam. T.H. ? 05 Apt. Bldg. WORK TYPE )9?31 New ? 32 Addition ? 33 Alterations ? 06 6arage/Accessory ? 07 Fireplace ? 08 Deck ? 09 Basement Finish ? 10 Swim Pool ? 34 Remodel ? 35 Repair ? 36 Tenant Finish ? 11 Res. Add./Porch ? 12 Camm./Ind. New ? 13 Comm./Ind. Add ? 14 Comm./Ind. Rem. ? 15 Public Fac. 0 37 Move ? 38 Demolish ? 99 Undefined GENERAL INFORMATION Occupancy Zoning Const. Actual) (A1 owable) # of Stories Length Depth APPROVALS Planning Engineering R-3 M-l ? ?- 7;W- (v ?119' 30' REGIUIRED INSPECTIONS ? Site 0 Wallboard Basement sq. ft. lst F1. sq. ft. 2nd F1. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Building JS '/-z2 gz Variance ? Footing ? Final ? Framing ? Draintile `Ce s ya-s az a Z ? Insulation ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: 57 2, oo I VeLuat;on: N2.5d 3?)l,sv 0D,oo loa .a• 67s.o,P 9s,o c 3o,ofl 3a,oo ..s-a 1YJ. D ? 3 a, o0 --??- 5, ooa °' ?`- ? 16 Agricultural 0 17 Building Move ? IS Demolitian ? 20 Miscellaneous MWCC System City Water PRV Required Booster Pump Fire Sprinkler Census Code SAC Code Assessments SAC % /oo SAC Units _? :.? :i H ? ?. .; . .,:?..:.;?.. ?:?..,,?,.a..?. . . ..v... ' ?• : 1 :.;. ? li.:'..• . .:'. . ^ . . , EXTF MTOR.ENVELOPE AV1?RqCE "U" COMPUTATxON ' ' . • oY1NEi2., WOODLANDS COUNTYHOME, INC. • , , SxTE'AbDss ,gLoCk y (?f'8D . •?,:,:;h..,.? ..:_= Dc_,4NDS Na971-f ? ;:.•, ..., : ,. , . • CONTRACTOH'SIEKMANN CONSTRUCTZON,INCbATE pNONE . I:IC. 40001 Determine working square footage of each. • 1. Total exposed wail area..... cAn C? sq, ft. x•?( a 2. Total roof/eeilinb area .... ?y?,E aq, ft. x'02.J6-= Total exposed waJ.l area above floor = 3nC,p a. Tota1 vrall window area.. b':`Tota1'd0'0'r area. c, Total sliding glass'door area........ d. Total firep7.ace wall area., ...... .. e. Total wa11 framing area (average 10%)....... f, motal net wall area above floor ............., b. Total rim ,joist area.....' ................... 'Potal exposed £oundation area = h; Total foundation w3ndow area ............ .... ' i. Total•net foundation area above grade........_e? A - Determine '"U" value of each wall segment. ! 9i?J l a.• k?? X v0u t._ X ,iull ----- c. L-F? d. x ,fUll C' • X ttU t, f. :.?:,???`••? x nU,l ?`• l:i??. X uUn h. ?.? t. X ltUlt X tlU H C. ? ?3L?_ ?? '? N R^ • ? 3••'••••••• • ••.• .T01:a1 • a Zf item N3 is the sameas, i'htent oT SDC 6006 (??2. + or les:z than item /!2, yoU have inet the , ,-.. j.. .. .' - . ? • : ^:i3.... •.:> .+. . . .. .. . . . ? . .... CY T ... . . .... ? . .... . . ? _ ... ... .r,:i:?' ,.. _ z ` . ' . . ?, . ? ,. . V , . i Total expo;,ed roof/ceillne zrca ? ?y3? • . bei•:?,.•?Total. slcylight arca .... ........ ......... _ Total'roof/ceiling Tramin6 area (aver.age 10%) A..? :.i:: '?.....; Total' net. insulated roof/ceiling area......... Determine "U" value for each roof/ceilinb segment. xnUn . ? }C • ?`-? 7-..a ?`?'' x I I U 11 C39 .... i. C, k ..=; X „Ull • oa?l = 30, 4 .......... ......................:......Total , If total of: fl4 is the same as, or ].ess than 1l2, you have met the . intent of sBC 6006(c)1. ' Alternate Building Envelope Design To utili'ze the total envelope system method, the values established by the sum of items 113 and f!4 shall not be greater th_an the sum of items 'fl and /}2, ?. . 4 2. • 3: + 4. _ 4 PERMIT ? CITY-OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT TYPE: Permit Number. Date Issued: BUILDING 000373 05/01/92 SITE ADDRESS: 817 IVY LAIIE LOT: 05 BLOCK: 04 THE WOODLANDS NORTH DESCRIPTION: Bnilding Permit Type Building Work 7ype , UBC Occupancy,. Construction Type Zaning . Building Length Building Width : TWO FpPIILY NEW R-3 M-1 VN PD 74 28 ?'?'J? F' i_ i?L.l? •( ? ???? ??,,. j;'?=11u u V?11,'_I1.7 REMARKS: RECEIPT 9 FEE SUMMARY: Base Fee Plan Review Surcharge SAC SAC 8 SAC Units Subtotal LOT 5 S 6, BLOCK 4, WOODLAND5 NORTH 6 vnLuarioro $572.00 $371.8@ $42.50 $700.00 100 1 ;1.686.30 ;as,eee PII5C FEE3 $1,610.50 LATE PENALTY E20.00 Total Fee $3,316.80 CONTRACTOR: - pPPlicant - sr. LiU. OWNER: SIEKPIANN CONST 14472424 0081436 WOODLAND COUNTRYHOOVES INC 6648 RUSTIC RD SE 6648 RUSTIC RD SE PRIOR LAKE P9N 55372 PRIOR LAKE I9N 55372 (612) 447-2424 (612)447-2424 I 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 Mn. Stetutes and City of Eagan Ordinances. APPLICANT/PERMITEE E SIGNATURE 0" " - I55 D BY: SIGNATUFE Control No. 0358 PERMI ?? # -.° CITY OF EAGAN 1992 BUILDING PERMIT APPLICATION 3? 3 681-4675 ? r `b?, SIN6LE & 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 when typing of permit is equested, but not picked up by last working day r chan e is re uested once ermit is issued. of month in which re uest is made o lot Date 04 ? 15 ? 92 Valuation of work $84 949.60 Site Location: 817 Iv?? Lane ---- ? STREET STE Y Tenant Name• Woodland CountryHomes, Inc. LoT S BLOCK 4 sueo. Woodlands North p,I,D. # 10 75890 050 04 Descri tion of work: ? a U Lt The applicant is: 0 Owner 0 Contractor ? Other (Describe) Name Woodland CountryHomes, Inc. Phone 447-2424 Property LAST FIRST Owner pddress 6648 Rustic Ra. S.E. STREET STE # City Prior Lake State MN Zip 55372 Company Same Phone Contractor Address License # Exp. City State Zip Company Phone Architect/ Engineer Name Registration # Address City State ZiP Sewer & water licensed plumber Genz-Ryan Plumbing & Heating , Processing time for sewer & water permits is two days once area has been approved. I hereby acknawledge 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. Signature of Applicant: ? OFFICE USE ONLY BUILDING PERMIT TYPE 13 01 Foundation ? 06 Garage/Accessary ? 11 Res. Add./Porch ? 02 SF Dwg. O 07 Fireplace ? 12 Comm./Ind. New ? 03 Two family ? 08 Deck ? 13 Comm./Ind. Add O 04 Multi-fam. T.H. ? 09 Basement Finish ? 14 Comm./Ind. Rem 0 05 Apt. Bldg. ? 10 Swim Pool ? 15 Public Fac. ? 16 Agricultural ? 17 Building Move ? 18 Demolition O 20 Miscellaneous WORK TYPE 31 New ? 34 Remodel ? 37 Move ? 32 Addition ? 35 Repair ? 38 Demolish ? 33 Alterations ? 36 Tenant Finish ? 99 Undefined GENERAL INFORMATION Occupancy Basement sq. ft. MWCC System YF 5 Zoning p D lst F1. sq. ft. City Water ?s Canst. (Actual) v-? 2nd F1. sq. ft. PRV Required (Allowable) v- N Sq. Ft. total Booster Pump # of Stories Footprint 5q. ft. Fire Sprinkler Length Iff ,7H ' On-site well Census Code 70 Depth s' On-site sewage SAC Code --5-71 APPROVALS Planning Building ?S %z2 92 Assessments Engineering Variance REQUIRED IN SPECTION S ? Site ? Fo oting ? Framing ? Insul ation ? Wallboard ? Fi nal ? Draintile ? Fireplace Permit Fee 6172 -Do veitae;d,: s g?a?c? r Surcharge So Plan Review ,3 r? t? License MWCC SAC 100,00 City SAC ? oo, o0 Water Conn. 6'75,ofl Water Meter ,po Acct. Deposit 0c09 S/W Permit 0,oo S/W Surcharge 16y Treatment Pl. 3qp, %)o Road Unit 38fl.ao Park Ded. Trails Ded. Copies Other Total: I SAC % LOD SAC Units ( fY, , ; ,.?„ .? ' '. •. ." ??` f ? • , C1ArNRyC G ?i ? :. i ' :Yfil,l':?" . . .. . ^ ' ? •kt ./ ? M..r'. . :' \. • . : ! .; ? '? ; . •' ,EXTLRTOR.T3NVELOPE AVI:RAGE "U" COMPUTATION . • • ' oY1NEft., •W06DLANDS COUNTYHOME,INC. • • , . ' ' . STTE-`AbDI} • SS . ? .,,.. ';•; " (-/ •!.?/o o ? [ ? ,sw " "3 / T XT y - < . , +.:.?> ?,: • ... i CONTRf iCTOR'?IEKMANN CONSTRUCTION,INCDATE ? ? . 0001 pHONE - .y • . Determine working square footage of each. • j 1. Total exposed wall area.,... cAn ? $q. ft. X•IL a •??-; . ? :.? . 2. Total roof/ceiling area .... ?y?? aq, ft. x . 3T73 ? t, . , ? ] H •. Total exposed wall area above floor a Q?Ca ., a.;Total wall window area., ' .. ........... b:"Totial?'door area.. .? ???? " c..Total slidin ' ... .""""""' replaee l wall d area area ............... d, Total fi e. Totzl wall framin area . . ........ f. Total. net ti•rall area aboveafloore • 10?? ) : : : , , , , 9. Total ri,m ,joist area............................ . Total_exposed foundation area h; Total foundation window area............. ' • . . P ra.- i. Total,net foundation area sbove grade..,..... f,hN. Determine "U" value of each wall segment. . ? . . a,• X ifUtt , L.S 3 Q b._ X nUu •0,7 . X liull d. X n U n ??c? • e._ ltpti . ° ?1. a.t-? f. .n???'••? X irUti C.4 9• !.i/?. . X nUII • O 3?-? . h. X 11 U 11 ?` . y` ------___ 1a ?e- • . ------? 3............. ......;.......•........T01:$1 • a ? ••SS item N3 is the same as,or less than item N? , 'ihtenti oS SDC 6006 (C)2, , you have met the ? „ . . ;.,: „•.,.. . , : ,?? . . .' „v,,. _ . .? ?-cr.r,.•q.......:se. .. . . ' V ? i ' . Total exposed roof/cciling arca \. , •;;nl.,,'..?. XTotal„ s)cylight arca.... ........ .?...... • 'k.9 Totafroof/ceiling framin6 area(aver.age?10%) \a?? ? .::. •A..,.;.Total' net, insulated rdof/ceiling area........ia?? Determine "U" value for each roof/deilSng segment. ? ? . • J. X nUit }C • X II U II ? C) . 1. ? a <{ ? . ., X itU„ • oa?? _ -3o,y' 4 .........................................Tota1 ? - Tf total of !14 is the same as, or lc:,s than 112, you have met the ; . inten8 of SBC 6006(c)1. ' . , ' Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum of items f13 and tf4 shall not be greater than the sum of items 'l1 and #2, ?? . ... . + 2. ? 3 i' . ... ;°.r''i.;?:ve.';•j}:1f. ..... , , ? •.j? :: ? . ? + 4_ Y .. ' - . PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY TOWNHOMES/CONDOS WHEN PERMZTS ARE REQUIRED FOR EACH UNIT. ------------------- - -- -----------------------------' 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT # ;?5:?£SB?i!TG`;P$?LT DATE: .„. x?sxp??rzaz.:? WORK DESCRIPTION NEW CONST ? ADD ON _ REPAIR _ OWNER NAME: SITE ADDRESS: L1G [ ^ LOT: .J BLOCK W INSTALLER: ADDRESS:_ CITY: /z, SUBD. ,5Ja 6 CJ TOTAL ? ? 3, ua ? 3 pr 7T ? 3 :3 50 TOTAL: $3 3•sU ??pMt?(EAGIAI.fiNDUST&IAI:c. PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. ------------- CONTRACT PRICE: OWNER NAME: SITE ADDRESS:_ LOT: SLOCK , INSTALLER: ADDRESS: CITY: PHONE FOR: CITY OF EAGAN FOR CITY USE ONLY SUSTOTAL ST. SURCHARGE FEES 18 OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 18 $ STATE SURCHARGE ZIP: TOTAL: DWELLINGS 6 COMPLETE THE FOLLOWING: N0. FIXTURES EA. / ADD-ON MINIMUM 15.00 / SHOWER 3.00 ? WATER CLOSET 3.00 BATH TUB 3.00 LAVATORY 3.00 ? KITCHEN SINK 3.00 LAUNDRY TRAY 3.00 HOT TUB/SPA 3.00 ? WATER HEATER 3.00 4- FLOQR DRAIN 3.00 GAS PIPING OUT. L (MINIMUM - 1) 3.00 _ ROUGH OPENZNGS 1.50 _ OTHER WATER SOFTENER 5.00 PRIVATE DISP. 15.00 _ U.G. SPRINKLER 3.00 (SIGNATURE) L-.CP ---el ? CITY OF EAGAN SUBD. i// j 02ht&6Ya.i+nl'.l, pLUMBING PERMIT (612) 681-4675 PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS WHEN PERMITS ARE REQUIRED FDR EACH UNIT. CITY USE ONLY RECEIPT 7P- DATE ? ALSO, FOR TOWNHOMES AND CONDOS WORK DESCRIPTION NEW CONST +'? ADD ON _ REPAIR _ owrisx xaME: SITE ADDRESS: ?- ? f/Iia L2? INSTALLER: K- ADDRESS: CITY: 4'/< ZIP: cSJ? c?k?- ? PHONE #: COMPLETE THE FOLLOWING: N0. FIXTURES EA. TOTAL ? REPAIR/ADD ON 15.00 SHOWER 3.00 30U ? WATER CLOSET 3.00 a U ? BATH TUB 3.00 5 0 0 LAVATORY 3.00 =42 ? KITCHEN SINK 3.00 LFO C' _ LAUNDRY TRAY 3.00 HOT TUB/SPA 3.00 ? WATER HEATER 3.00 ??O v ? FIAOR DRAIN 3.00 40 v GAS PIPING OUT, L (MINIMUM - 1) 3.00 4 7 O ? ROUGH OPENINGS 1.50 / ?C? _ OTHER WATER SOFfENER 5.00 _ PRIVATE DISP. 15.00 _ U.G. SPRINKT.ER 3.00 _ W. TURNAROUND 15.00 STATE SURCHARGE .50 TOTAL: S ?J z.--G ? PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BIIILDINGS. ALSO FOR MIJLTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: OWNER NAME: SITE ADDRESS: _ TENANT NAME: _ SUITE #: INSTALLER: ADDRESS: CITY: PHONE jj: FOR: CITY OF EAGAN ZIP: CONTRACT PRICE: 1% OF CONTRACT FEE. STATE SURCHARGE m $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL: $ (SIGNATURE) REACTIVATE ? PERMIT N ?EC?I??NII?? APR 14 1993 CITY OF EAGAN 1993 BUILDING PERMIT APPLICATION 681-4675 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 thange is requested once permit is issued. Date Valuatian of work Site Address: r?J -A a ?A STREET SU17E # Tenant Name: (commercial only) IAT BIACK ? SIIBDNUtD6(9kJd-^-?4? Nit, P.I.D. N ' ?'.i9iJ,n,?'? ?t9-??'tk 5 Descri tion of work: The applicant is: 0 Owner ? Contractor ? Other <o.sortx> Name dl , M(4Pj "-x)'z'_ Phone Property «5T FIRST ?+55 Owner -T Ll La M e Address STREET STE / City State Zip Company Phone Contra ctor Address License # Exp. _ City State Zip Company Phone ArChiteCt/ Englneer Name Registration ?f - Address City State ZiP Sewer 8 water licensed plumber . Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is f t y o correct and agree to comply with all applicable State of Minnesota Statutes and Ci Eagan Ordinances. ? . 5ignature of Applicant: , OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 02 SF Dwg. O 07 4-Plex ? 12 Multi. Misc. ? 03 SF Addition p 08 8-Plex ? 13 Garage/Accessory 0 04 Sf Porch E3 09 12-Plex O 14 fireplace ? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck WORK TYPE ? 31 New ? 33 Alterations ? 35 Tenant Finish 32 Addition 0 34 Repair ? 36 Move GENERAL INFORMATiON ? Y , X16 Basement f-iriisfi O 17 Swim`Pool 0 18 Comn./Ind. ? 19 Comn./Ind. Misc. ? 20 Public Fatility O 21 Miscellaneous ? 37 Demolish Const. (Actual) Basement sq. ft. MWCC System ip (Allowable) lst F1. sq. ft. City Water UBC Occupancy 2- 3 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Booster PumP ? # of Stories Footprint Sq. ft. Fire Sprinkler ? Length On-site well Census Code Depth On-site sewage SAC Code APPROVALS 6o"gks bl?? ? Planning Building Assessments Engineering Variance . REQUIRFU INSPECTIONS FINISN SSMT. $EDatxoM ? Rg• (Zoanrk t) Site ? Footing I?'Framing O Insulation f-i Wallboard Ed, Final O Draint9le ? Fireplace Pormit Fee Surchar9e V'i an Revi ew Lir.ense NiWI'C SAC ?"- i ty SAC k,ater Conn. ±later Meter Actt. Deposit S/W Fermit S/W SLircharge 7reatment P1. ;2oad Unit Park Ded. Trr.ils Ded. Copies Other Total: ' .490- vetust;on: $ ? SAC % SAC Units CTI'Y OF EAGAN L 5 B'S? MECHANICAL PERMIT SUBD. (612) 681-4675 RESIDENI7AL RECEIPT # ?natoS() DATE ff 4 A-- PLEASE COMPI,ETE UPPER pORTION ONLY FOR SINGLE FAMII Y DR'ELLINGS. ALSO, COMPLETE FOR TOWNHOMES/CONDOS WHEN SEPARATE PERMITS ARE REQUIRED FOR FACH DWELLING UNIT. OR'NER: ? gEES SITE ADDRFSS: ADD ON/REMODEL (E)ISTIING CONS1'RUCI'ION ONLI) $ I5.00 INSTALLER: HVAC: 0.100 M BTU 24.00 PHONE #t: , p c3 ADDITIONAL 50 M BTU 6.00 ADDRFSS: ./ (,.) GAS OiTfLE'fS - bIINIMUM 1@ $3 EA. C-Q, crrx: - a zrn: 7g suxca,utcF-: a so SIGNATU • TOTAL: COMMERCIAL PLEASE COMPLEI'E THIS PORTTON FOR ALL COMMERCW/INDUSTRIAL BUII.DINGS. ALSO COMPLEfE FOR APARTMENT BUILDINGS OR OTHER MULTI•FAMILY BUILDINGS R'HEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. VYORK DFSCRIPTION: CON1'RACI' PRICE: 1% OF CONTRACT FEE. FEES STATE SURCIIARGE IS $.50 FOR EACH $1,000 OF PERMIT FEE. $ PROCESSED PIPING • $25.00 MINIMUM FEE -'j25.00 $ OWNER: TOTAL: " $ SITE ADDRFSS: TENANT: SUI1'E #: INSTALLE& ° ' : ADDRFSS: CI1'Y: ZIP: , PHONE #: CITY SIGNATURE SIGNATURE. L? B ME HANICAL PERMIT RECEIPT # D 630 SUBD. e es?? (612) 681-4675 DATE -5 8 9'd- RESIDENTIAL PLEASE COMPLEi'E UpPER PORTION ONLY FOR SINGLE FAIIIIIY DWELLINGS. ALSO, COMPLEI'E FOR TOWNHOMES/CONDOS R'HEN SEPARATE pERMI15 ARE REQUIRED FOR EACH DWELLING UNTf. OR'NER: FEFS SITE ADDRFSS: ADD ON/REMODEL (EXISTIIdG CONSTRUCI'ION ONLI) $ 15.00 INSTALLER: AVAC: 0-100 M BTU .00 PHONE #: ADDT170NAL 50 M BTU 6.00 ADDRFSS: TtJ\\ l-O GAS OUTLETS - MWIMUM 1@ $3 EA. '-3 mo CITP: ZIP:?'vz SURCHARGE: $ .SO SIGNATU4E,_. TOTAL: COMMERCIAL PLF.ASE COMPLETE THIS PORTION FOR ALL COMMERCLWINDUSTRIAL BUILDINGS. ALSO COMPLEI'E FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUII.DINGS WfIEN SEPARATE PERMT!'S ARE NOT REQUIRED FOR EACH DR'ELLING UNTf. WORK DESCRIPTION: CONTRACf PRICE 196 OF CONTRACT FEE. FEES STATE SURCHARGE IS $.50 FOR EACH $1,000 OF PERMTl' FEE. $ PROCFSSED PIPING - $25.00 MINAiUM FEE • $25.00 $ 0Vt'NER: TOTAL: $ STTE ADDRESS: TENAN'P: r' _.. SUITE #: '. ; `:' - ' ' `• INSTALLER: ADDRFSS: ,. CTfY: ZIP: PHONE #: Cl'11' SIGNATURE: SIGNATURE ?----------------- ? ORMAN Mi FEB 0 5 2009 i Pertnit #. ? y ? ? Permi[ Fee: I /? I ? Date Received: I C- ?? I I Staff: _ ?-----------------I 2008 RESIDENTIAL PLUMBING PERMIT.APPLICATION Date: ( 12 r 1 Site Address: RESIDENT / OWNER CONTRACTOR Name: Address / City / Zip: Earl Ram;ey 817 Ivy Lane Eagan, MN155123 6514569231 hone: Suite #: License #: Ol!/ I ? !4 State: f P! Zip: 5540(T Contact Person: JPis S TYPE OF WORK PERMtT TYPE _ New _ Replacement scripfion ofwork: REYS/DENTIAL % Water Heater Lawn Irtigation ? RPZ 1 _ PVB) Septic System New Abandonment RESlDENTIAL FEES: Repair _ Rebuild _ Modify Space _ Work in R.O.W. _ Water Softener Add Plumbing Fixtures (_ Main _ Lower Level) _ Water Turnaround $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) `Water Turnaround (add $136.00 if a 5/8" meter Is required) $100.50 Septic System New ($10.00 per as 6uilt) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace bumed out appliances, duchvork, etc.) (includes $.50 State Surcharge) 50 TOTAL FEES $ SO , ? I hereby acknowledge that this InformaGon is complete and accurate; that the woric wili be in conf ance with the ordinances and mdes of the City o1 Eagan; that I understand this is not a pertnit, but only an applicatfon for a permit, and uro s not to staK wipqtat a permiF, that the work wili be in accordance with the approved plan in fhe case of work which requires a review and apprw of pl L, /J x?)a?m L. N. orbl m-rt. ApplicanYs Printed me Appl anYs Signature Use BLUE or BLACK Ink �----------------- I For Office Use � I � I • � Pertnit ii, � I City of Ea��� � � I Permit Fee; � 3830 Pilot Knob Road � ] ,, iC I Eagao MN 5512� � Date Received:lV`��— i �✓ � Phone:(651)875�695 �'"���" �'� �Staff�� � � �,�( FaX:(651)675-5694 t L - � � �V�'j 1 7 a�'tJ _____________�\� '�' . 2015 RESIDENTIAL BUILD�NG PERMIT APPLICATION �,..�� ���' �� L�1aubca�J � L'���,�r2Y �/Y+�n zS � � �� Date: -�'^�� ��' ��� 5ite Address: ��7 a'v y G�1 Unit#: V�' � ' Name: ���' �C T /��tNr4C4 t.�I�.�'r Phone: Residen�l �` � �At:�tN �fr�u.��' �l� s"s'�'�.7 OWne� Address/City/Zip: g•S� �E C�ru�L A4• .v ��t � Applicant is: Owner � Conlractor Description of�nrork: !���"�{ d- �£' �''�F Typ�of Work Construction CosE: �,f 4� � Multi-Fgmlly Building: (Yes f No T� Company: �E l �X•r�.2.0 2 /17 a��.S;. �'ci2� Contact: D N v � Q•:�z T�i 5 Gontractor �dress: ��U�� �a ���•f=` s'r, cicy: ���� s• State: ma Zip; S.�`�/� Phone; G�.t-��,�-L,xYS Email: ,��•JF� � �E�K�"t .. �..��,�� Lice�s�#: �C x W��� � Lead Certificat�#: If the project is exempt from lead cartification, please explain why: ��%�L.� 1���5/� !7 � 7 � NCsT GJ/?�y'�IJ�•f�'���i0 ��Ih:����� Ji.:�2 /=�L' E..S . COMPLETE THIS AR�A Oh1LY IF CONSTRUCTING A NEW BUILQING In the last 12 months,has the Clty of Eagan issu�d a permlt for a simflar plan bas�d on a master plen? Yes No If yes,date and address of master plan: Licensed Plumb�r. Phon�: Mechanical Contractor: Phone: Sewer 8�Water Contractor: Phone: Fi�e Suppression Contractor: Phone: NOTE:Ptans and supportln�dacuFn�a►ts that you,subnru#are consldered M,be public;info�a�ion:.�Part�oiis o! , the Informatlon may�6e classi�fied as�ron-publia if yoa provide specl�lc reasons t�iat,•would pe�i.t�the CJty to' cbr�cfude th.at the are�rade secFets. � ' � CALL BEFORE YOU DIG, Call Gopher S�at�One Call at(6S1)454-0002 for prolEetion against underground utility damage, Call 48 haurs befare you Intend to dlg to recelve locates of underground utilities, www.gooherst�leonecall.orsa I hereDy acKnowledg3 that thls Ir�fom+ation is complete and accurata;that the work will b�s in conformance wlth the ordinances and codes ot the Clty of Eagan; thet I understand this is not a permit, but onry an applicatlan for a pe�mif, and work is noS to StaA without a permit;that the work wlll be In accordance with the approved plan in Ihe case of work whiCh requires a review and approval of plsns. Exterior work authorized by a�ullding pemnit lasued In accordanee�wlth eh�Mlnnesota State Bu ' g Code must be completed withi�180 days of perrnit IssUance. X l��A✓. :� ��/�r2/,� x � • Appllcant's Printed Name Applicant's Signe�ture Page 1 of S ZZ/ZZ 3JG'd 1NICW 1X3 I3S L9�9Z98ZZ9 ES�EZ 5Z0Z/9T/90 Use BLUE or BLACK Ink r----------------- For Office Use Permit#: City of Eap I I Permit Fee:ee 3830 Pilot Knob Road I 1f(I tk Eagan MN 55122 1 V ID Date Received: I / Phone: (651)675-5675 I Fax: (651)675-5694 I Staff: �/I FEB U 8 2016 i----------------- 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: ! -7 `t'vy iAI j z- Unit#: r Name: R`Gt< so N Phone:60, aOO 4 S� Address/City/Zip: (� V 4 A'N`A Pt G � Applicant is: Owner Contractor W Description of work: e o n pttY')P.W& ✓ Construction Cost: Multi-Family Building: (Yes /No s Company: ` Contact: C©itrar Address: City: State: Zip: Phone: Email: License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: 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,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer S Water Contractor: Phone: Fire Suppression Contractor: Phone: rfo# i+ to cias�t, � CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate;that the 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 application for a permit, 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 of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x PNOW }iv-f,�ir`LC:K.L� ?Q x Applicant's Printed Name Applicant's Signature Page 1 of 3 ti DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous _ 01 of_Plex _ Lower Level _ Pool _ Accessory Building WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION lei Valuation 0 Occupancy MCES System Plan Review Code Edition SAC Units (25%_10001. J Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings (Addition) )c Final/No C.O. Required Foundation L HVAC_Gas Service Test Gas Line Air Test Roof:_Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final Framing Drain Tile Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Other: Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge � t " Plan Review � r MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 4111 City of Evan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: ip3'I (oO09 Date Received: Staff: 2015 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 1/1/11.-l/4 Site Address: 37 Tenant: Suite #: R+i Ow e Name: Phone: ac.7"—e%2616--Vg5r Address / City / Zip: / 7 e -o(4., ctor `.: Name: eCel C 4.401-a _ License #: es 'i 7.g./?.5- Address: /?'? /.�/< C°j� >o ZZa / City: State: Zip: 0 ,r 77 '� Phone: ‘1/47--? 3 v ` Contact: t/Yc:WI Email: AC, /-1144 f > ' , It C #10 New Replacement Repair Modify Space Work in R.O.W. _Rebuild 7/(t f/l-e Izzygyeavid Description of work: a7/71.477 £. RESIDENTIAL Water Heater Water Softener Lawn Irrigation (_ RPZ / PVB) 4 Add Plumbing Fixtures E Main / Lower Level) _ Septic System _ Water Turnaround New Abandonment 7-14 vows , 57ih s- ©ik / l / RESIDENTIAL FEES: $60.00 Water Heater, $60.00 Lawn Irrigation $60.00 Add Plumbing *Water Tumaround $115.00 Septic System Water Softener, or Water Heater and Softener (includes State Surcharge) Turnaround* (includes State Surcharge) TOTAL FEES $ (includes State Surcharge) Fixtures, Septic System Abandonment, Water (add $280.00 if a 3/4" meter is required) New (includes County fee and State Surcharge) CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the 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 application for a permit, 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 of plans. Applicant's Printed Name x Applant's Sig attire