820 Ivy Lane
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(Itr#'ift.raft of Mrrupanry
Citp ot eagan
igpm'fuPliY Af TliTidtm jwPlfwtt
This Certificate issued pursuant to the requirements of Section 306 of the Urriform Butlding
Cade certijying thal at tJre tilne of issuance dris slructure was in campliance with the ftrious
ordinancrs of the City regulaAing buildrng corrstrudion or use For the following:
um a.aaac. 1xiPLIIX eiea• *nnit xo. 704
0-4-rTM R39MI Zoninc obWa PD - Tya cWsr VN
ownm oremwieg G17mL1Wn O[IlNMYWS IWma.... 6648 RUSi'TC R= SE, P1Z(lR WE
ma&ft Ai&m 822 IVY LANE LwyLi2. B3. TNE WClOCB.APIDS PDtIli
? 9/4/92
n.?
POST IN A CONSPICUOU5 PLACE
INSPECTION RECORD
' CITY OF EAGAN PERMIT TYPE:
? 3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
` SITE ADDRESS: L01. 11;. i; loc h .: t APPLICANT:
s+.•:' 1VY 1_ANf SIEkMANM caMBX
164E WQUDlANDS 140"'fH (612) 447-••2424
PERMIT SUBTYPE:
D1,11 ' Y i .
TYPE OF WORK:
Control No. 0630
1?16A%iA
m
MSPECTiON D A • rA
I Ml-.EI I fl f I rl rIMAI.
PIRf r1ArF
1tVMiARK.:;; Ett:CF IhT •
-ftV
' . .-? ,? . C.... . _
Sfi,W pl fiR . R arN7--14VAN VL B(3 & 1I7'a
V
-j
??
Pen+tR No. Perm[t Ftoldsr Oab Tebphone #
SIVH
PLUMBING
HVAC ,17
z7
ELEerRiC
,
ELECTRIC
inspmctlon Date inap. Commsnis
Footings I
9Z.
Foundalbn
Framing r?
Roofing
Rough Plbg. Z 7_ 1 ,Z
R°u',"N. ?,?7/• ? 7-?I`?? aC A !
isd. 7-ya-o,2
8 S- .Z
V46-
Fireplace
Fnal Mg.
Orsat Test
Final Plbg. ? Plbg. Inepeetor - Mofrfy Plumber
ConsK. Meler
EnprlPlan
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
/ - j I- 7,17
/ l G?-Z
,
?• ? ?:-?`?r
wemficate of CccuPanc?
?it4 of c???
2"artmrnr o? ouim" a«oad"
This Certificate issued pursuanr to the requirements of the Uniform Building Code
certifying that at the time af issuance this structurie was in compliance with the various
orrlinances of the City regulating building construction or use. For the jollowing:
703
use ca?ifkafimL ewg. rffmit rb.
Occopd.y'lype Zoning Disuict lypc Canst
Owoer af BuildingWOCULM (uLtilinimEs iw Address ? ?Iv R.D $E, MQt IWE
Burildi? A,dbess i.ocality ?WWMAMS NMM
i2/z/q2
Dae:
- auilaiog ofFicial
P06T IN A CONSPICUOUS PLACE
INSPECTION RECURD 7°ntr°' "°.- 0629
= CITY OF EAGAN PERMIT TYPE: .3830 Pilot Knob Road Permit Number.
Eagan Minnesota 55123 Date Issued: 06 ? t 5 f97 ,
(612) 681-4675
SITE ADDRESS: toY , 11 $ LoIC9t .j APPLICANT:
fsl* IVY lflNf t:fkKMAMM COMSfi
THE 140001,AltlJ9 MURTH (62?) 447-2424
PERNIIT SUBTYPE:
1.)llPL! R
TYPE OF WORK:
NEw
Y? L c?,? y,[
i? ?-T 1 +??F? Z `?..?l?"?C+??
ftf MAfiF'+ cit lt iPT # 351J VIigR. - AEMZ--IiYAM PI.BH t+ HT9
PMmk No. PMn1R Holder Oib TsNphorM t
S11N
PLUM8ING •. ? „_ ?/'?7? A?, ,?C?„? -?? ?
HVAC
ELECTFi
ELECTRIC
Inqa.tion Drte Insp. Comnwnb
Footlnga I ?al f?, 1,4
Foundadon
Framing
Roofr?0
Rough Ptbg.
R°u9f' M9•
IS"I.
Rrepa°e /
Flnel Htp.
•i
Oreat Teei 2 /9L
Flnel Plbp.
!` 7 PIbO• fiepector - NotitY Phxhbet
COnst. Meler
Enpr.IPlen
Bldg. Fk16! /-'/J, /
Dedc Ftg.
Deck Final
VYell
Pr. Disp.
r3cS??it-?/ ? /D
.
/0 70Co r
16 5396,? ?
PeQuest oate ^?
'
?? ? pve No Fough-in Inspecbon
-
Re9U
'
? Reatly Npw tll No0(y InspeCtor
v
Wh
R
fJ?
. ?
i
s
No en
eaM
licensed contraclor ? owner hereby request inspection of above electrical work at:
Job Atltlress (Sireet 0ax or Route
No C
i
a
0 ?. ?
Setlmn N. Township Name or No Fange No County
OccuOantIPRINT • o e No.
PowuPP r Atltlress `
Elecv¢al ConVacror (Gompany Namg)
/ ConVa 5 L¢ense No V
1
M. Nng A ress ICOniracl0r Or ne(MdNmg Install on? ?
awhonzed Sy Wre ICOnlractor.Owner Makmg Installation)
?
- Phone Number?? /l
i U'6 ?w
MINNESOTA STATE BOARO OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT
Grlggs-Mitlway Bldg - qoom S-073 BE ACCEPTEO BV THE STATE BOARD
1821 University Ave., St Paul. MN 55106 UNLE55 PqOPEH INSPECTION FEE IS
Plrone (612) 602-D80 ENCLOSEO_
REQUEST FOR ELECTRICAL INSPECTION 'f""='? ee-00001-08
8 9? ?
J 65396 See insV XUCtions for compleling this form on back oi yellow copy ?~
, ??
?P
" Be/ow Work Covered by This Request ?
e Atl6' Rep, - TypeofBmldmg AppliancesWrted EquipmentWvetl
Home Range Temporary Service
Duplex water Heater Electnc Heating
Apt Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Av Condihoner
Olherfsyecity) ConVactorls Remarks
Compute Mspection Fee Below.
A Olher Fee # Service EntranceSize Fee k Cirouits/Feeders Fee
Swimming Pool 0 to 200 Amps '? 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
Signs inspectorSlJSeOnly: TOTAL ?O
irrigahon Booms 7(5?? O --
Special Inspection
Alarm/Communicanon THIS INSTALLATION MAY BE OyQERED IS00I?dECTED IF NOT
Other Fee COMPLETED WITHIN 18 MO ?H$ y
I, the Electncal Inspector, here6y Rouqn-,a 'l
7
certity that the above inspection has
been made
"
..9
OFFICE USE ONLV
This reQUest voitl 18 momhs Imm
?539 ? ?
?? ?
63
Fequest Date Fre No Rough-in Inspechon
Ri
R tly Now,?B1PIrNOMy Inspeqor
?
?? - ? ?
No When Aeady7
1011&sed contractor ? owner hereby request inspechon of above electrical work at:
Job Atltlress (Street. Box ar qo
) Qty
a
Z
SecLOn N. Town5ln0 Name or No Range No Counry
Occupant(PRl ) Phona No
lier AOtlress •
EIecVical actor ICompany Name) ConVacto icensa No
Ma?ing ress ILO ractv or Owner Making InstallaM1On)
(p S 1
Aulnonzetl Si alure ICOMradorlOwner aking Installa[ionl
_ ?? Phon m0er
MINNESOTA STRTE BOAPO OF ELECTRICITY V ? THIS INSPECTION REOUEST WILL NOT
Grigge-Metlway Bltlg. - Room S-179 BE AGGEPTEO 6V THE STATE 80ARD
18I1 Univeteity Ave., SL Paul. MN 55106 l1NLE55 PROPEP INSPECTION FEE IS
Plwne(612) 642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION '""`•?'?,` /EB-00001-Oa ?./
?y?!? Q?v100
?65397 ? See insimcoons for-ompleling ihis form on back W yellow ropy
"X" Below Work Covered by This Request
e Add Rep. Typeoi8widmg AOPliancesWired EqwpmentWiretl
Home Range Temporary Service
Duplex Water Heater Eledric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Olner (sVecitY) Conhactor's Remarks
Compute Inspechon Fee 8elow:
M Olher Fee # ServiceEnhenceSae Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps - to 100 Amps -
Transformer5 Above 200 _ Amps Above 100 _ Amps
Signs insPector's Use only? TOTAL ?!
IrrigaUOn Booms ??
Q • ???
?
Special Inspechon
nlarm/Communiration THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITMIN 18 MONTHS.
I, the Electrical Inspector, hereby
certify that the above inspechon has
been made. Rouyn,o
F??ai oa? X
a e
OFFlCE USE'JNLY •
Tlns request wd 10 monilis from
Addrssa: 822 IVY IANE Lot 12 Blk 3 Sec/Sub7HE [d70D(AIIDg NOR1H
These items were/were not complete at the time of the fLnal inapection.
Yes No
Final grade (6" from siding) ?
Parmanent steps - gatage
Permanent stepa - main entry ?
Parmanant driveway
Permanent gas
Sod/seeded grass ?
Tra11/curb damage j?
Porch f
Sasemant finish
Deck
Please verify vith the builder the removal of roof test caps Yrom the plumbing
system and tha shut-off of vatar supply to the outaide lawn faucet bafore
freeze potential exista. m
VX9
.x.>mwia
White - City copy Yellow - Reaident copy P1nk - Contractor copy
Address: 820 IVy I,ANE Lot I I Blk g Sac/Sub IM WOODLAlyps NORIH
These items were/were not complete at the time of the final inspection.
Date: 12/2/92 Yes No
Final grade (6" from siding) t?_
Permanent steps - garage ?
Permanent ateps - main entry ;.?
Permanent driveway L?
Permanent gas
Sod/seedad grass L?
Trail/curb damage
Porch ?
Basement finish
Dack
4101-
Please verify vith the buildar the ramoval of roof test caps from tha plwobing
system and the shut-off of vater supply to the outaide lawn faucet hefore
freeze potential exists. ?
Whita - City copy Yellow - Resident copy Pink - Contractor copy
RESIDENTIAL BUILDING
Permit Application
City Of Eagan '
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Consbvctlon Reouiremenfs RemodeVReoairReauirements Office Use Onlv
3 registered site suNeys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cert of Survey Recd _ Y_ N
(20%maximum lotcoverage allowed) 1 set of Energy CalculaGons for heated additions Trce Pres PI2n Recd _Y _ N
2 mpies of plan shaxing beam & window sizes; poured found design, etc. 1 sile suney for addNons & dedcs Tree Pres Reqd _Y _ N
isetofEnergyCalwWtions Adddion-indicetedon-sitesephcsystem On-siteSeptic5ystem _Y _N
3 copies of Tree Preservation Plan if lot platted afler 711193
Rim Joist Detail Optlons selecUon sheet (bidgs wiN 3 or less units
Date 7 l U3 Construction Cost
Site Address ? a o l ZU 16, vl e Unit/Ste #
Descriptlon of Work (Z C7-F
Multi-Family Bldg ? Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner /
lr "ttlC ?$Tctvl Sol?"y??v?
Telephone # (
Contractor ,(- r U p-?.? N? Ar- 7-c r?fc, rvi C
Address ? (li/CI CJA/G?cinc,l l 0 L City ?v?n??< ?ir.r l4?«
State un A/ Zip ?('C (( U Telephone #((?'?)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Miunesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
. Energy Envelope Calculations Su6mitted
Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Telephone #(
Mechanical Contractor
Sewer/Water Contractor
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 ordinauces and codes of the City of Eagan and the State of MN
Statutes; 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.
U.I,M.T-t t'???ILi•I•.SG?\ Id? tL ro??
ApplicanYs Printed Name ApplicanYs Signature
* •PIONg?ER
* en??ering •.
?t ,K *ic
111rv0 SVR V EYOI14 • CI V IL CI4GINC.11119
VO PI-AFNCRS • LI111pSf AfE NICIII I fC
2422 Bitclplisr. Otive
MenJaln Iicightt, MN 55170
(612) 681-1914
Certificate o( Survcy lor: WWdLAND COUNNY n0M6,! NC
- - u
NORTN
\
\V
Q
?
1
0
Ow
n d`
?
• 9oU.o Dei7vles Exislin Elevaliom
• oo.o UenolesPropo?E,o?£leva/ia[1
?
-------- UenoresUrrrinpoerUli/i/V[(YSPn7Pr)
-?--- Denoles OrYrinoyQe Fla?'Drreclion
0 OPr]c?1`es MonuiYiPnf L?earir?s
Pr?vvsEO Hou56 Et_fvqr
lowes lUO!"f/£VO !Or)
f 7op 01"glod{Elevalion
Gara?e Slab Eleva/ioi7 __gos,3 _
sl iowll crr e assumEd ? Deix?fes oJi sPf fLb
Lors 11 ANa rz ,B1oc« 3, 7NE woooLANDS NoRTN
tlAKOTA COUNTY , M/NNf50TA SUBJ£C/ 1'0 fl7SEti1f.NTS Of !Z?'CtJI?D
I herelry cri111v thnt iLis Is n Imr nnd rnnrcl irp?ncrnialinn M a auvqy nl Ihr h"t und.nica nl Ihr abnve J?•ani6rd i.?nd. nod nl Ihn Iprnlinn ppl ?AII
1>uildinps, Ihc.r,m", nnd nll vixibin nnmmr.hn. crqs. II nny, limn ni nn aaid I»ud. Ac awvrVvd Ly mr
ri
INSPECTION RECORD I C°nt ° N°. 0629
CITYOFEAGAN PERMITTYPE: BuiLDtNG?.,
3830 Pilot Knob Road Permit Number: 000703
Eagan, Minnesota 55123 Date Issued: 06 / 15 / 92
(612) 681-4675
SITEADDRESS: Lor: ii BLOCK: 3 APPLICANT:
820 IVY IANE SIEKMANN CONST
THE WODDLANDS NORTH (612) 447-2424
PERMIT SUBTYPE:
DUPLEX
TYPE OF WORK:
NEW
INSPECTION
FOOTIN6 „ .
FRAMING D.
INSULATION FZNAL
FIREPIACE
.w...REMARKS: RECETPT •
?
?
S&W PLBR. = GENZ-RYAH PLBG & HTG
-1
I
• - - , PERMIT ? V
? CITYOF EAGAN ?
3830 Pilot Knob Road PERMIT TYPE:
Eagan, Minnesota 55123 Permit Number:
(612) 681-4675 Date Issued:
I Control No. 0UG 2(]
J
BUIIDING
000703
96/15/92
SITE ADDRESS:
620 IVY LANE
LOT: 11 BLOCK: 3
THE WOODIANDS NORTH
DESCRIPTION:
"Building Permit Type DUPLEX
Build3ng`Work Type NEW
U8C Occupanoy R-3 M-1
Construction Type VN
2oning - PD
Building length 78
Building Width ` 32
?.
REMARKS:
RECEIPT 0 C uci /.l,W S&W PLBR. m GENZ-RYAN PLBG & HT6
FEE SUMMARY:
VALUATION
Base Fee
Plan Review
Surcharge
SAC
SAC %
SAC Units
Subtotal
$621.50
E403.96
E48.00
$700.00
100
;1.773.48
$96,000
MI3C FEE3 $1,610.50
COPIES 41.00
Total Fee $3,384.98
CONTRACTOR: - Applicant - ST. LI OWNER:
SIEKMANN CONST 14972424 000143 WOODLAND COUNTRYHOMES INC
6648 RUS7IC RD SE 6648 RUSTIC ROAD S E
PRIOR LAKE pIN 55372 PRIOR LAKE P1N 55372
\ (612) 447-2424 (612)447-2424
I hereby acknowledge that I have read this application and state that the
information 3s correct and agree to comply with all applicable State of Mn.
Statutes and City of Eagan Ordinances.
? J
APPLICANTlPERMITEE SIGNATURE 155UE0 Y: IGNA UR
? " •? .? , . CITY OF EAGAN
1992 BUILDING PERMIT APPLICATION
763 681-4675
?33Sy. ?e
,.
4AY l' ?
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 when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lat chan e is re uested once ermit is issued.
Date 5 / 20 / 92 Valuation of work $95,805.40
Site Location: 820 Ivy Lane
STREET STE Y
Tenant Name:Woodland CountrvHomes Inc.
LOT 11 BLOCK 3 SUBD. Woodlands North P.I.D. #
Descri tion af work:
The applicant is: ? Owner CJ Contractor ? Other coescrtne>
Name Woodland CountryHomes, Inc. Phone 447-2424
Property LasT FIRST
Ow11@1' Address 6648 Rustic Road S. E.
STREET STE #
Ctty Prior Lake, State MN Zip 55372
Company Same Phone
Contractor Address License #
City State Zip •
Company Phone
ArchitecU
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 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.
5ignature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
OF02 Single Family
? 03 Two-family
0 04 Multi-fam. T.H
? 05 Apt. Bldg.
WORK TYPE
pf 90 New
0 91 Addition
? 92 Alteratiorts
W06 6arage/Accessory
? 07 Fireplace
? 08 Deck
? 09 Basement Finish
? 10 Swim Pool
? 93 Remodel
? 94 Repair
? 95 Tenant Finish
GENERAL INFORMATION
? 11 Res. Add./Parch
? 12 Comm./Ind. New
? 13 Comm./Ind. Add
0 14 Comm./Ind. Rem
? 15 Public Fac.
? 96 Move
? 97 Demolish
? 99 Undefined
Occupancy R 3 M-t Basement sq. ft.
Zoning _F71:_5 lst F1. sq. ft.
Const. (Actual) v-tq 2nd F1. sq. ft.
(Allowable) v-r.l Sq. Ft. total
# of Stories Footprin t Sq. ft.
Length ? On-site well
Depth 32 On-site sewage
APPROVALS
Planning Building
Engineering Variance
REQUIRED INSPECTIONS
? Site
? Wallboard
? Footing
? final
? framing
? Draintile
\(?Cs
`CES
-4ww-+e&7? Io'G
oi
? Insulation
? Fireplace
Permit Fee C2 (, $o
Surcharge HB.oo
Plan Review c103.9g
'License
MWCC SAC '76o,ao
C9ty SAC 100.00
Water Conn. 6ns,oo
Water Meter q5,0C)
Road Unit ,310.00
Treatment P1. 300,00
Rsad-41r+.i-t5/w p,?Y 30.00
Park Ded.N?+.oap• .30,00
Trai 1 s Ded.sps/c , so
Copies r.Uo
Other
Total: 5 -3T,q
/
YeiLmt;o,: $ y?{ ooo:-
?ee XTACNfeO
. ? ?
? 16 Agricultural
? 17 Building Move
? 18 Demolition
? 20 Miscellaneous
MWCC System
City Water
PRY Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Assessments
SAC % IOU
SAC Units - t
I
EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
owNErt: WOODLAND COLTNTRYHOMES, INC.
SITE ADDRESS• LO-f 11- 4>[.,OcK 3r W007XLAnJ'QS I TOIe..7-H PHONE:
I
CONTRACTOR: SIEKMANN CONSTRUCTION INC. - LIC. #0001436 DATE:
DETERMINE WORKING SQUARE FOOTAGE OF EACH:
1. TOTAL EXPOSED WALL AREA .............. 1,804.00 sq ft x"U" 0.110 = 798.44
2. TOTAL ROOFlCEILING AREA :................ 7,435.00 sq ft x"U" 0.026 = 37.31
3. TOTAL EXPOSED WALL AREA CALCULATIONS:
Total exposed wall area above floor........ 1,804.00 sq ft
a) Total window area:
Double glazed ........... ............. 134.00 sq ft x"U" 0.430 57.62
g I a ze d ... ...... .. .. . .. . . . ... . .
sq ft x "U"
= 0.00
bl Total door area :.................................... 38.00 sq ft x"U" 0.070 = 2.66
c) Total sliding door area:
Double glazed ........... ............. 80.00 sq ft x"U" 0.430 = 34.40
d) Total fireplace wall area :.......... .............
sq ft x "U" = 0.00
sq ft x"U" 0.370 = 0.00
e) Total wall framing area
(AVERAGE 10°k) .......... 780.40 sq ft x"U" 0.095 =
17.14
f) Total net wall area
above floor (insulated) ........................... 1,279.60 sq ft x"U" 0.043 = 55.02
gl Total rim joist area :............................... 92.00 . sq ft x"U" 0.034 = 3.13
Total foundation area (exposed) ..............NA sq ft
h) Total foundation window area .. ............. NA sq ft x"U" 0.430 = 0.00
i) Total net foundation area above grade..... 0.00 sq ft x"U" 0.045 = 0.00
3, Total ai thru i) 169.97
If item #3 is the same as, or less than item #1 you have met the intent of 2 MCAR 1.16008 A and 0.
Page -1-
4. TOTAL EXPOSED ROOFICEILING CALCULATIONS:
Total exposed roof/ceiling area . ............. 1,435.00 sq ft
j) Total skylight area ................... ............. 0.00 sq ft x"U" = 0.00
Total rooflceiling framing area
k) (Average 10% ............. 143.50 sq ft x"U" 0.039 = 5.60
d) Total netinsulated
roof/ceiling area .................................... 1,291.50 sq ft x"U" 0.024 = 31.00
q, Total a) thru i) 36.59
If item #4 is the same as, or less than item #2 you have met the intent of 2 MCAR 7.16008 A and 0.
ALTERNATE BUILDING ENVELOPE DESIGN
To utilize the total evelope system method, the values established by the sum of Items #3 and Item tf4
shall not be greater than the sum of Items Il1 and #2.
1. 198.44 + 2
3. 169.97 + 4
CERTIFICATION
37.31 = 235.75
36.59 = 206.56
I hereby certify that I have calculated the "U" factors and "R" values herein and that the building here
in described meets or exceeds the state of Minnesota Energy Conservation Act.
(signamre)
(Date)
Page -2-
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55723 Date Issued:
(612) 681-4675
SITE ADDRESS: LoT : 12 B l O C K: 3 APPLICANT:
822 IVY LANE SIEKMANN CONST
THE WOODLANDS NORTH (612) 447-2424
PERMIT SUBTYPE:
DUPLEX
TYPE OF WORK:
Control No. 0 6 3 0-'qq
BUILDING
800704
06/15/92
NEW
INSPECTION
f00TING .. .
FRAMING ..
IN3ULATIOM FINAL
FIREPIACE
,_,REMARKSs RECEIPT N
?
S&W PLBR. = GEN2-RYAN PLBG & HTO ..,..;,...,
7
J
? CITY OF EAGAN
3830 Pilot K%D Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
PERMIT ?
PERMIT TYPE:
Permit Number:
Date Issued:
822 IVY LANE
LOT.: 12 BLUCK: 3
THE WOODLANDS NORTH -
BUZLDING
000704
06/15/92
DESCRIPTION:
;'BUildi:ng Permit Type
Building'Work Type
UBC OccupanCy
Gonstruction Ttype .
' Zonirtg. . ...... : ?-,,
Building Length ;
Building WidCh . ?
OUPLEX; •...
NEW
R-3 M-1.
VN
PD ,
.. ..TB. , .
.. 3Z'..,.' -
_'?
A?-N L
, tl _l , Zl • ? V I ?
\+-_1: L' ?'r Otl ?.i
REMARKS:
RECEIPT N S&W PIBR. = 6EN2-RYAN PLBG & HTD
FEE SUMMARY:
4kh,
Base Fee
Plan Review
Surcharge
SAC
SAC 8
SAC Units
SubtoCal
VAIUATION
=660.50
$429.33
=63.00
;700.@0
100
$1,842.83
$106,000
MISC FEES $1,610.50
COPIES il.@0
Total Fee $3.454.33
CONTRACTOR: - Applicant - ST. lI OWNER:
SIEKMANN CONST 14472424 000143 WOODLAItlO COUNTRYH019ES INC
6648 RUSTIC RD SE 6648 RUSTIC ROAD S E
PRIOR LAKE MN 55372 PRIOR LAKE MN 65372
(612) 447-2424 (612)447-2429
S hereby acknowledge that I have read this application and state that the
information is correcC and agree to comply with all applicable State of Mn.
Statutes and City of Eagan Ordinances.
APPLIGANT/PEAMITEE SIGNATURE ISSUED Y: GNAT RE ?
Control No. 0630
Y
e7() ?
CITY OF EAGAN
1992 BUILDING PERMIT APPLICATION
681-4675
ysy33
M?Ay 9 n ,
, ,E?:
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 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 5/ 20 / 92 Valuation of work $105,980.40
Site LoCation: $22 Ivy Lane
STREET STE M
Tenant Name• Woodland CountrvHomes Inc.
LOT 12 BLOCK 3 SUBD. Woodlands North P.I.D. #
Descri tion of work:
The applicant is: ? Owner [3 Contractor ? Other (Describe)
Ndme Woodland CountryHomes, Inc. Phone 447-2424
Property LASr FIRSi
Owner aadress 6648 Rustic Road S.E.
STREET STE !I
City Prior Lake Stdte MN Z9p 55372
Company Same Phone
Contractor Address License #
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 acknowledge that I have read this application and state that the information is
correct and agree to comply with all applica6le State of Minnesota Statutes and City af
Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
O 01 Foundatian
CO 02 Single family
? 03 Two-family
? 04 Multi-fam. T.H.
? 05 Apt. Bldg.
WORK TYPE
ID 90 New
? 91 Addition
? 92 Alterations
)K06 Garage/Accessory
D 07 Fireplace
? 08 Deck
? 09 Basement Finish
? 10 Swim Pool
? 93 Remodel
? 94 Repair
? 95 Tenant Finish
? 11 Res. Add./Parch
? 12 Comm./Ind. New
? 13 Comm./Ind. Add
? 14 Comm./Ind. Rem
? 15 Public Fac.
? 96 Move
? 97 Demolish
? 99 Undefined
GENERAL INFORMATION
Occupancy
Zoning
Const. (Actual
(A1Towable
# of Stories
Length
Depth
APPROVALS
Planning
Engineering
R-3 M-I
PD
V-N
V- N
78'
32'
REQUIRED INSPECTIONS
? Site
? Wallboard
Basement sq. ft.
ist F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
? Footing
? Final
? Framing
? Draintile
? Insulation
? Fireplace
Yaluatim: $ IDa,oOO
Permit Fee
Surcharge p
Plan Review
ya ?
License
MWCC SAC 100.00
City SAC /oo,o?
Water Conn. 696-,00
Water Meter 15,ao
Road Unit 3sso.e0
Treatment P1. -?00,10
??-b'nftSiw perMrt 30,00
ft4-Ded.A??'' 3J.0o
T-+-?-:rs-Ge=.af,, s/o , 50
Copies ? , vo
Other
Total
? 16 Agricultural
? 17 Building Move
? 18 Demolition
? 20 Miscellaneous
MWCC System YF-g
City Water Gs
PRY Required
Booster Pump
Fire Sprinkler
Census Code =?f?QZ
SAC Code o t
Assessments
SAC X tDO
SAC Units i
,. EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
OWNER: WOODLAND COUNTRYHOMES INC
SITE ADDRESS: L O-{' 12 Lc7 x 3 W DO c?l./.?niDS ??c PHONE:
CONTRACTOR• SIEKMANN CONSTRUCTION INC - LIC. #0001436 DATE:
DETERMINE WORKING SQUARE FOOTAGE OF EACH:
1. TOTAL EXPOSED WALL AREA .............. 1,804.00 sq ft x"U" 0.110 = 198.44
2. TOTAL ROOF/CEILING AREA :................ 1,435.00 sq ft x"U" 0.026 = 37.31
3. TOTAL EXPOSED WALL AREA CALCULATIONS:
Total exposed wall area above floor........ 1,804.00 sq ft
a1 Total window area:
Double glazed ........................ 134.00 sq ft x"U" 0.430
sq ft x "U"
57.62
- 0.00
b) Total door area :.................................... 38.00 sq ft x"U" 0.070 = 2.66
c) Total sliding door area:
Double glazed ........... ............. 80.00 sq ft x"U" 0.430 = 34.40
sq ft x "U"
- 0.00
d) Total fireplace wall area :....................... NA sq ft x"U" 0.370 = 0.00
e) Total wall framing area
(AVERAGE 10%) .......... 180.40 sq ft x"U" 0.095 = 17.14
f) Total net wall area
above floor (insulated) ........................... 1,279.60 sq ft x"U" 0.043 = 55.02
g) Total rim joist area :............................... 92.00 sq ft x"U" 0.034 = 3.13
Total foundation area (exposed) ..............NA sq ft
h) Total foundation window area .. ............. NA sq ft x"U" 0.430 = 0.00
il Total net foundation area above grade..... 0.00 sq ft x"U" 0.045 = 0.00
g. Total a) thru i) 169.97
If item tl3 is the same as, or less than item #1 you have met the intent of 2 MCAR 1.7 6008 A and O.
Page -1-
r.
1
4. TOTAL EXPOSED ROOF/CEILING CALCULATIONS:
Total exposed roof/ceiling area . ............. 1,435.00 sq ft
j) Total skylight area ................... ............. 0.00 sq ft x"U"
- 0.00
Total roof/ceiling framing area
k) (Average 10°k ............. 143.50 sq ft x"U" 0.039 = 5.60
d) Total net insulated
roof/ceiling area .................................... 1,291.50 sq ft x"U" 0.024 = 31.00
q, Total a) thru i) 36.59
If item Jt4 is the same as, or less than item #2 you have met the intent of 2 MCAR 1.16008 A and O.
ALTERNATE BUILDING ENVELOPE DESIGN
To utilize the total evelope system method, the values established by the sum of Items #3 and Item #4
shall not be greater than the sum of Items #1 and #2.
1. 198.44 + 2 37.31 = 235.75
3. 169.97 + 4 36.59 = 206.5
CERTIFICATION
I herehy certify that I have calculated the "U" factors and "R" values herein and that the buiiding here
in described meets or exceeds the state of Minnesota Energy Conservation Act.
(Signaturc)
(Da[e)
Page -2-
BL 17? CITY OF EAGAN
PI3J4lBING PERMIT
(612) 681-4675
n$sXnsrrrZAL
PLEASE COMPLETE IIPPE& pORTION ONLY FOR SINGLE FAHILY DWELLINGS
WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
?---- ----- ----- ------------- -------------- ----
WORK PESCBIPTION
NEW CONST ?
ADD ON ?
REPAIR _
OWNER NAME:
SITE ADDRESS: hA0
¦
INSTALLIIt: GENZ-RYAN PLUMBING
ADDRESS: 14745 South Robert 7.Yai1
CITY: Rosenount Zip; 55068
E #: 423-1144
CITY IISS O1QLY
RECEIPT ? 0 D 3
DATE
AL50, FDR TOWNHOMES AND CONDOS
COMPLETE THE FOLLOWING:
N0. FIRTURES EA. TOTAL
REPAIR/ADD ON 15.00
? SHOWER 3.00 :1,6)L)
WATER CIASET 3.00
BATH TtTB 3.00
? IAVATORY 3.00
KITCHEN SINK 3.00 '90 t)
? IAUNDRY TRAY 3.00 r)
HOT TUB/SYA 3.00
L WATEEc HEATER 3.00 C?
? FlAOR DRAIN , 3.00
t?D (J
L GAS PIPING OUT.
(MINIMUM - 1)
3.00
?
ROUGH OPENINGS 1.50
? OTHER
WATER SObTENER
5.00
?(Z,v
_ PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
W. TURNAROUND 15.00
STATE SURCHARGE .50
TOTAL: S Lf 7 !? d
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY
BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
WORK DESCRIPTION:
OWNER NAME:
SITE ADDRESS: _
TENANT NAME: _
SUITE J:
INSTALI.ER:
ADDRESS:
CITY:
PHONE #:
FOR: -
ZIP:
CONTRACT PRICE:
1% OF CONTRACT FEE. .
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1% $
STATE SURCFiARGE $
TOTAL:
$
(SIGNATURE)
CITY OF EAGAN
^ • /J ^ ?
L? BL
..,,....., .... .. .. . . .. .. .... . .. ...... _... . ..>.,.?..'1.t\.'.
CITY OF EAGAN CITY USE ONLY
PLUMBIbTG PERMIT'
(612) 681-4675 BECEIPT ? O 9 S
. DATS ao 9?
R88ID8NTIAL
PLEASE COMPLETE IIppER p0RTI0N ONLY FOR SINGLE FAtiILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONppS
WHEN PERMITS ARE REQUIRED F6R EACH UNIT.
WORK
NEW CONST X,
ADD ON _
REPAIR _
OWNER NAME:
SITE ADDRESS:
INSTAIS.ER: GENZ-RYAN PLUMBING
ADDRESS: 14745 South Robert Trail
CITY: Rosemount ziP: 55068
`PHONE 423-1144
OF PERMITTEE
CONTRACT PRICE:
1% OF CONIRACT FEE. .
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
PLEASE COMPLETE TfiIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY
BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
WORK DESCRIPTION;
OWNER NAME:
SITE ADDRESS:
TENANT NAME:
SUITE $:
INSTALI.ER:
IADDRESS:
CITT:
PHONE
FOR:
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1% $
STATE SURCHARGE $
ZIP:
COMPLETE THE FOLIAWING:
N0. . FI}LTORES EA.
REPAIR/ADD ON 15.00
? SHOWER 3.00
? WATER CIASET 3.00
? BATH TUB 3.00
:;S 7AVATORY 3.00
KITCHEN SINK 3.00
,L IAUNDRY TRAY 3.00
HOT TUB/SYA 3.00
? WATIIt HEATER 3.00
? FLAOR DRAZN 3.00
GAS PIPZNG OUT.
? (MINIMUM - 1) 3.00
_ ROUGH OPENINGS
' 1.50
_ O1
HER
WATER SOFfENER
5.00
PRIVATE DISP. 15.00
D.G. SPRINKI.IIt 3.00
W. TURNAROUND 15.00
TOTAL:
TOTAI.
ff-od
?v
6ro
C>
?
3
ov
IsO e5l
37a
?d C)
3? d
STATE SURCHARGE .50
TOTAL: S vI 7,:?a
$
(SIGNATIJRE)
CITY OF EAGAN
r
!! 3 CTI'I' OF EAGAN
SZTBD. ?
B ME(C 612I 681-467
RESIDENI7AL
RECEIPT #
DATE 9'
PLEASE COMPLEI'E UPPER PORTION ONLY FOR SINGLE FAMII Y DWF.LLINGS. AISO, COMPI.ETE FOR
TOWNHOhiES/CONDOS WHEN SEPARATE PERMITS ARE REQUIRED FOR EACS DR'ELLING UNTf.
OWNER: CC7 A1v vwn. L ` r FEES
SITE ADDRESS:
Q ADD ON/REMODEL (EIIISTING
CONSTRUCI'ION ONM $ 15.00
'
WSTALLER: HVAC: 0-100 M BTU 24•00
PHONE #: a? ADDTPIONAL SO M BTU 6.00
eLDDRESS: GAS OUTLETS - MINIIMUM 1@ $3 F.A.
CITY: ZIP: -7 SURCHARGE $ SO
SIGNATURE: TOTAL: _L110-CL
COMMERCIAL
PLEASE COMPLEI'E THIS PORTION FOR ALL COMMERCWJ[NDUSTRW. BUILDINGS. ALSO C(D'.4PLETE FOR
APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRID FOR
EACH DR'ELLING UNTf.
WORK DFSCRIPTTON: CONTRACf PRICE I FEES
1% OF CONTRAGT FEE. I
STATE SURCAARGE IS $.50 FOR EACH r
S1,000 OF PERMIT FEE. ?$
PROCESSED PIPING - $25.00
NIMUM FEE - 523.00
hII Fs
CITY OF EAGAN
L-LL B 3 MECHANICAL PERMIT
suBn. (612) 681-4675
RESIDENTTAL
RECEIPT #C"'- O I ?1 BOO
DATE 7/? 9a-
PLEASE COMPLKTE UPPER PORTION ONLY FOR SINGLE FAMILY DR'ELLiNGS. ALRO, COMPLECE FOR
TOWNHOMFSICONDOS WHEN SEPARATE PERMITS ARE REQUIRED FOR EACH DWELIdNG UNTI'.
OWNER: 4 ,e ' Uave, P'EFS
STfE ADDRESS:
Z v ? ADD ON/REMODII. (F.IiQSTING
CONSTRUCTION ONLY) $ 15.00
INSTAI,LER: AVAC: 0-100 M BTU 24.00
PHONE #: ?q0- y} 3p J ADDITIONAL SO M BTU 6.00
ADDRFSS: I i kh GAS OUTLEfS • MIIdIMUM 1@ $3 EA• 3,00
CI'I'Y: v ZIP: SS 3-7 SURCAARGE $ .50
SIGNATURE: TOTAL: S 2`7. 5 O
i"
COMMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCWJINDUSTRIAL BUtLDINCS. ALSO COMPLEfE FOR
APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS R'fIEN SEPARATE PERMTI'S ARE NOT REQUIRED FOR
EACA DR'ELLING UNTT.
WORK DFSCRIPTION: CONTRAGT PRICE
1% OF CONTRACf FEE. FRFC
STATE SURCHARGE LS $.50 FOR EACH
$1,000 OF PERMIT FEE.
$
PROCFSSED PIPING - $25•00
MIIHIMUM FEE - $25.00 $
pWNER: TOTAL: $
SITE ADDRESS:
TENANT:
SUITE #:
. , , ,-.-
INSTALLER:
ADDRESS:
CI1'Y: ZIP:
PHONE #: CI1'Y SIGNATURE:
SIGNATURE:
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA177744
Date Issued:07/15/2022
Permit Category:ePermit
Site Address: 820 Ivy Lane
Lot:11 Block: 03 Addition: The Woodlands North
PID:10-75890-03-110
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Insert
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 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 -
Cory & Jaci Nyman
820 Ivy Ln
Eagan MN 55123
Fireside Hearth & Home
2700 Fairview Ave N
Roseville MN 55113
(651) 633-2561
Applicant/Permitee: Signature Issued By: Signature