824 Ivy Lane?_SEVUER i .?IVATER PERMIT
CIY?f (51P EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE '
METER #
CHIP #
PERMR DATE 03/2;'/92
PERMIT # 12650
B.P. RECEIPT # C 017993
B.P.RECEIPTDATE 03J27/92
_ PRV - BOOSTER PUMP
OFFICE USE ONLY
METER SI2E
ISSUE DATE
SITE ADdRESS ?.?1 n •.'
LOT BLOCK SEC/SUB
APPLICANT: x? '= U
ADDRESS: • - ?
CITY, STATE ZIP
PHONE:
PLUMBER:
ADDRESS:
CITY. STATE ' .' _ . ZIP 5 : -+ o o
PHONE:
OWNER:
ADDRESS: • - - -
CITY, STATE ZIP ' - -
PHONE: '
iarch 24, 1992
PERMIT REOUESTED
- SEWER _ WATER _ TAPS
- COMM/IND
- NEW
-. RESIDENTIAL
EXISTING
lawn Sprinkier Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
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 3 WATER PERIIAIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1697
DATE " 1 ;_ `-
OFFI USE ONLY
METER ? ? ? q - PERMIT DATE (,31'27/92
CHIP # 01 PERMIT # 12650
METER SIZE 0 B.P. RECEIPT # C 017943
ISSUE DATE Ik- B.P. RECEIPT DATE 03 2 7/92
- PRV - BOOSTER PUMP
S1TE ADDRESS 626 IVy = L - PERMiT REOUESTED
LOT - BLOCK 3 SEC/SUB '- = ;J 00 _ ?;> i; o
- SEWER - WATER - TAPS
APPLICANT: n t ry itorne s. I n? .
ADQRESS: 0 COMM/IND _ RESIDENTIAL
CITY, STATE ;' 1= o r rZip NEW
EXISTING
PFiONE: - .? - 2 ?? 2; _
Lawn Sprinkler Meters are to be Installed
PLUMBER: ???l z -kv azi P 1.: i,.? :. ..?i t?L : Ahead of Domestic Meters on Water Line.
ADDRESS: ?- ? 14 S S ? u t rt i: o i? ? ? i. Credit WILL NOT be given for Deduct Meters.
CIIY, STATE o t , ?''Iiv ZIP
PHONE: ' -
I AGREE TO COMPLY WITH CITY OF
OWNER: EAGAN ORDINANCES
ADDRESS: i' .::, t i C [he ? " - - -
CITY. STATE p r i o r La k e ... ? `' ZIP :? :-
PHONE: ''??: ' - ' a - `; SIGNATURE WHEN METER ISSUED
PLEASE ALLONf TWO WORKING DAYS FOR PROCESSiNG. CALL 4545220 FOR INSPECTIONS. FOR STORAA
SEYVER PERMITS, CONTACT EN(31NEERING DEPT. .
CASH RECEIPT
? .
CITY OF EAGAR,
3830 PILOT KNOB ROAD t?
EAGAN, MINNESOTA 55122
DATE ` ?? ? 19 / .?
AMOUNT I $ - --7 / U
8 DOLLAfiS
,oo
? CASH f? CHECK
i
! ? ? J?. ?`Y? h 1 ?l ? ? ? ? ) ?? Q'S •/ Lj /
?" f-• -+ ?flj .? ..??1 ? ?i?
FUND OBJECT AMOUNT
Thank You
BY_
C 017993
U
Whne-Pay«a Copy ?i
YeUOw-1?bsting Copy
PHJc-File Copy
SEVJER & WATER PERMIT
CITY OP •E11GAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
l"
DATE
OFFlCE USE ONLY
METER jl` PERMIT DATE 03 /27/ 92
CHIP # PERMIT # 12649
MEfER SIZE B. P. RECEIPT # ?: 017 ? 9 3
ISSUE DATE B.P. RECEIPT DATE G 3/ 27/02
_ PRV - BOOSTER PUMP
SITE ADDRESS '
LOT . BLOCK SEClSUB ? v '; , .:• , , .' , _
APPLICANT: CoW_?' , r1oittes
ADDRESS: a . ?: .
CITY, STATE ZIP
PHONE: . -``PLUMBER:
ADDRESS: t-
CITY, STATE ZIP U b tS
PHONE: - 1-
OwNER: -Idland CoLIII* -y:iofues , ± nc .
ADDRESS: ? Ku s L
CITY, STATE f • 7 :;? 21P
PHQNE: '
PERMIT REQUESTED
SEWER - WATER - TAPS
COMM/IND - RESIDENTIAL
_ NEW _ EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
I AGREE TO COMPLY WITH CITY QF
EAGAN ORDINANCES
SIGNATURE WHEN METER ISSUED
PLEASE ALLQW__73N0 WORKING DAYS FOR PRQCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
SEWER & iNATER PERMIT
CITYbF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE '' ' r.?i 24 , 199 2
OFFlCE USE ONLY
METER? 415-97143 9 pERMITDATE 03/27/92
CHIP #,aV?,9J_,Q Z04? PERMIT # 12649
METER SI2E fie+??5 B.P. RECEIPT # C 017993
ISSUE DATE /S -/.:Z B.P. RECEIPT DATE 03 / 2 7/ 92
- PRV _ BOOSTER PUMP
SITE ADORESS ? 2 4 I ?'
LOT RLOCK -' SEC/SUB yv cud1 a -at's iv q r Ln
APPUCANT: YJOGd - and Cou.iLryHomes, Inc.
ADDRESS: '104 8 R u s L i c _,?d.
CITY, STATE = 1 o r La ;c ZIP ' S 3 7 l
PHONE: 44 ` ti 11- : f
PLUMBER: Genz-RYan YiumLitiz & Heatin?
ADDRESS: 14/47 SoLith Kobert 1`rail
CITY, STATE ZIP 55r,l ov
PHONE: , . -
PERMR REQUESTED
-- SEWER - WATER _ TAPS
COMM/IND
NEW
RESIDENTIAL
EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
I AGREE TO COMPLY WfTH CITY OF
OWNER: 4oodlatld CountrvHomES EAGANORDINANCES
ADDRESS: 6o48 Ru s t i c &d• S E.
CIIY, STATE P r 1 c) A 1 ?a?c e , -'- :+ ZIP
PHONE: ' - SIGNATURE EN METER ISSUED ?
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 4545220 FOR INSPECTIONS. FOR STORM
SEWER PERMI'TS, CONTACT ENGINEERIN(i DEPT. ?;? ?
--? ` ?
» "_„• - ?
(gtr#i#irafe uf (Orrupanry
Citp of (talla»
ior}wtmrnt of %aing Jnmerttm
T?rls C&dfuau fssreed pursuart !o tlu nquinanarls of Scrdon 306 of !he Udrdjorrn Bullding
Code cerllfyheg tJrar at rhe gme ojtssuanae lhis s&ucurre was tR rnnpHance wkh !he karious
ordfncnccs of 1he GYty negrdating building onnstnwtion or use. For the following.
un ch,;mmd, 1YW FAMILY sk im - Pim 114
? oa„p.a, TM F48 /"? I zown nwria PD np cmm vDt
n.w 6/25/92
?-?- ? -
POST IN A
? - ? INSPECTION REC4RD
CIT'Y OF EAGAN REAcrrvam Fox DEm Frc o7/29lc)3 PERMIT TYPE:
3830 Pilcrt Knob Road IfLVIN L,At3G 487-1796 Permit Number.
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: LO7 r14 yLaCk: i APPLICANT:
s:h cvY tANE siUK"aMM cvNST
'1"HF 4dflOpt AND9 NORTH (612) 447--2424
PERMIT SUBTYPE:
iI iot F nrt1 i'r
TYPE OF WORK:
Cantrol No. 0117
N i? + 1oti l Nu
Aq{!! t A
?
INSPECTION
r••n?? t t Hu D. .
r F: nn i N FA ..
1M`;Ul AT I(1M FI1fA1.
FTRFx'I Al;l"
RFMARK Sz
b 41 CON7RACIUR - [iUNZ li1fAl1 11I.86
. ? . S i M ? ? ? 1 . ? . . . . . . _
l' M? i' - j _• , '.,.? L ? _ ' ' t. . _ . . .
1
iL
? ^.? _ C _•f ? r.. ` "? ?I `- - ? ` ` . , _ . .- .
Pormk Plo. PKmIt tioldsr O4tY 'fbiophorN f
PIUMBINa
49
HVAE
ELECTRI
EIECTRIC
Inspectlon Detia lns?. Camments
Footinge 1
Foundation
F,afWng S•lS-9? ?
Roofing
Rnugh Plbg. ra' ?
Rnugh ?itg. ?
W. ?
Fireoace s? .z L?J N ?
Final Htq.
Ortat Tesf
Flnel Plbg. Plbg, lnepector - Notity Plumber
Const. Meter
Engr.lPlan
Bldg, Final • ? Z .S
Deck Ftg.
D917K Fh18l
weli
Pr. Disp.
2
?
;?09
I CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 6$1-4675
SITE ADDRESS:
.. 1 ,
FI i I iI ii1 0tiH ti
? PERMIT SUBTYPE:
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
, 1?'' i ;,i ;j
)+ 7.3 . i 1.04
TYPE OF WORK:
I 01 i
iI 1 14 . I r1 I I I frJ
Permit No. Permlt Holder Date Telephone #
S/W
PLUMBING
NVAC
ELECTRIC
ELECTRIC
Inspectfon Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Pibg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orsat Test
Final Pibg. Plbg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final
Deck Ftg.
Deck Final
wen
Pr. Disp.
? •
(gexti#iratt of (Orru?aury
Citp of eagan
?r?rttrA! mV 11941 nf -Sulbwg 3wrrtum
Thls Ca7lficate fssuerl pursuant to llee requirensents ojSection 306 of 11re Uniform Buildrng
Code cernfYlnB dia1 ar rhe tixee of issuance this saucture xas i?r rnmpliance with !he ?arious
orrli?rances of the City regulaft buildrng construcdon or use- For rhe foUowing.
umcw.w.d. IWO FA2ffI.X-W Mk Pamit No, 115
O=UpMM-T TYve R3/M! Zft aw;a PI) 94 Type c..... VN
o.roeratamumLJOQAIIPID a)UNLRYFYI$S IlUAd&o. 6648 1$ISfIC RD SE, PRIOR LAKE
?•i4?s Aaa= 824 IVY LANE L 13, B3. IlE WOM[.ArID6 N'JM
i?
--i Daic 6/4/04
Doming Officid
POST tN A CONSPICUOUS PUCE
. ?? INSPECTION RECORD
`.. CtTY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Raad Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: I. Qr l 1,3
$s,A IVY LANE
TNi_ WOqUi. AMIIS MORTN
I PERMIT SUBTYPE:
fblt3 FAIRitY
APPLICANT:
SIEKMANM C[?M$T
(612) 447-2+I24
TYPE OF WORK:
Control Na 0118
oiEIl,piNli
#081 I %
9:3 /2 r' j,.4 :
"fu
FUUIINO FRAMIN6
xMSUT AitEIN FINAI
FiaUPi acF
1' I;F MRri '; ? s 1. W COti'f RW, TUR - t3t NZ,-RYAN PI BO
I
L
.arn
I
i??
wrmn nw. wrmn ?+ower o.ca Td"pnom #
S/W
PLUM8ING
HVAC ?' • ' c?D? ?D/
ELECTRIQf?
ELECTRIC
Irtspmbn Dow Inrp. Commsnb
FooWW I
Foundetion
Framing
Roofng
Flough Ptbg.
Rou9h Fk9• ? ?iP ? ^
ISUI.
F'Replace
Rne1 Htg.
Orsat Test
Fnal Pibg. Pibg. InSpedar-frOtlly Plumber
Const RAeter
EngrJPlan
81dg. Final _ ti 9.Z
' `5
(J
Dedc Fty.
DeCk Finel
Well
Pr. Diep.
0
? 6 3
,1 ?
Reqvest Date Fie No Roughan InspecM1On
Reqw? tl'
eatly NowWill Nohty Inspector
- ?'Ye5 ? No When Ready?
I licensed contractor ? owner hereby request inspechon of above electrical work at:
J?D Atldr ss IStreet Box or R ule No 1 • ? ? Cit
SecUOn Na Township Name or - Range No Coun
OccupanllP NTI, „/ P?one No
??(//? l.N ?
l
Power Sup r ? Atltlress - ?
?
Elecmcal Co dor ( Company Name) ConVacror's i nse No -
Matling Atltlress (Conl clor or Owner Making Ingtallation)
S
Au9?or,zetl Sign ?ore ?COntracror/Owner M king Inslallali t Q,? Phone Number
o
MINNESOTA STATE BOARD OF ELECTHICITV THIS WSPECTION REOUEST WILL NOT
Gnggs-MlEway BIOg - Room &173 6E ACCEPTED BY THE STATE BOAFO
1821 Umvenlry Ave. St Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone(612) 6424B00 ENCLOSEO
REQUEST FOR ELECTRICAL INSPECTION °""`•g`'z ee-ooom oa
ll? See msVUCtions lor com0ieting this lorm on back of yellow copy
"X" Below Work Covered by This Request j.°,?
50963
ew Aoo Rep ` TypeofBmltlmg ApphancesWnetl EquipmentWiretl
Home Aange Temporary Service
Duplex Waler Heater Electnc Heating
- A t. Bwlding Dryer Other (Specify)
+ Comm.llndusinai Fumace
Farm Air Condihoner
Other(spenly) ConVadorS Remarks'
Compute Inspechon Fee 8elow:
# Other Fee # ServiceEntrenceSrze F e # Crtcuits/Feetlers Fee
Swimming Pool 0 to 200 AmpS ' 0 to 100 Amps
TranSformers Above 200 _ Amps A e 100 _ Amps
Siqns Inspector3 U. Onry TOTAL C/?
Irriganon Booms 7!? 'C ?Q ?
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE O DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 M HS.
I, the Electncal Inspector, hereby Rough-in
n /-?? at
certify that the above inspection has
been made. F,nai
( oete
OFFICE USE 3NLY ? )
This request voitl 18 months from
ya-
J. 50 62,cj"` -
? iasyly.
Repuest Oata Frte No Rough-in InspeMian
Reqmretl? ?
?l Reatly Now??.vill NotRy InspeCtor
- s - ?'!es L No When Reaay?
I ? licensed coniractor O owner hereby request inspection of above electrical work at:
Jo0 Atltlress (Street. 9ox or Fo No ? Cily
Section No TownsM1ip ame or No Range No County L
LN'?L
' ?+V
Occupant(PRI ) Phone No
/
Po r Su p
? Atltlress
'?
Electricy-Gonnaclor ?ComOany N x)
/ ? ConVactor's U se No
Mdiling AtlC
res ContldCfOrOr Ownpr M2kinq Install9LOnJ
/
•? S / ?
NNho xed Si nall e ICon;razto wner Making Inst IlaLOn,
n / /
` Phone Num[?ber
?1LL/p /
l!/
MINNESOTA STATE BOANO OF ELECTPICITV ? THIS INSPECTION PEOllEST WILL NOT
Gnggs-MlOway 61tlg. - Room S173 BE AGGEPTED BV TNE STATE BOAPD
1821 Ilniversity Ave, St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phane(612)6<2-0800 ENCLOSED
,f'//A.-/jr'A_ REOUEST FOR ELECTRICAL INSPECTION ??`a? EB-p00p1-OB
0 9.62 ? See insumceons tor com0reung tnis form on back ol yellow copy
'X° Below Work Covered by This Request
,J5 ay?
ew Atltl Rep. TypeofBmldmg ApphancesWved EqmpmeniWired
Home Range Temporary Service
Duplex Water Heater Electric Hea4ng
Apt Bwlding Dryer Other (Specity)
Comm /Industnal Furnace
Farm Air Conditioner
Otner (spectry) Contredors Remerks.
Compute lnspecfion Fee Below
fl . Other Fee # ServiceEmrance5ize F e # Circuns/Feeders Fee
Swimming Pool 0 to 200 Amps 0 l0 100 Amps
67-
Transformers Above 200 _ Amps Above 100 _ Amps
Sgns Inspenor5 use ony TOTAL
Irngation Booms
Speaal Inspection
Alarm/Communication THIS INSTALLATION MAY BE O SCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 S.
I, the Elecirical Inspector, hereby Rougn-in f eJ
cerlify that the above inspection has
been made. Final oa?e
OFFICE USE ONLY P o . ..?
TNS rPGuP51 wid 18 mp01h611pM11
CA§li RECEIP,T
%
?..,CITY;?OF EAGAN.. ?.- ;....r,:,
-,. ..,.
,a.. ,.. ...,ti ...• ,
- - ?- 3830 PlLOT KN08 ROAD - ?. ; ~ '• ?
,.--?-
?'. ..
? - - -? - - - EAGAN, MINNESOTAS5722 -? ?--- ?> ? - '
? ` - °- - - - -? - ?S - _ - -
_ . ... . _ : . " OATE
? i
.. ' AAAOUNT S ? 7 -7/
/
8 DOLIARS
, OCASH-?. ?.PCHECK'_ . ' .
{ f?_??4 }_ <.I ?
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DESIGNED CMECKED i HEREBV
P
W
P UNDER MV
iE0UE5T
. .
.
. ED PROFE:
DFAWN APPROVEO MINNESOT
2-3, 5 ?
? R.C. -
DATE COMM.
I ?-3Q'88 DATE "
v- 11 cc.i im nr.ln u ciw_oi, n•, 'CNl1R Li IfINrS IAfln!] RI
DATE: MAR 27, 1992
RE: $24 & 826 IVY LN (SIEKMANN CONST
-xL Your $ewer & Water Permit for the above property has been completed. It will be held at the
Public'Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLiC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
- Your Sewer & Water Permit tor [he above property cannot be completed for the follo.wing
reasons:
Your Sewer & Water Permit for ihe above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meier at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REOUIRED BV LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
Address: Lot Blk Sec/Sub 14
T$ese items wera/were not complete at the time of the final inspection.
Date: 6/25/92 Yes No
Final grade (6" from siding)
Permanent steps - garage 11--4
Permanent steps - main entry we,
Permanene driveway
Permanent gas
Sod/seeded grass
Trail/curb damage
Porch
Basement finish
Deck
Please verify with the buildaz tha 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. ?
r?nam»...
White - City copy Yellow - Resident copy Pink - Contractor copy
Add¢ess':124 n7y UAM Lot 13 Blk 3 Sec/SubIM
These items were/were not complete at the time of the f1na1 inspection.
Date: 6/4/92 Yes No
Final grade (6" from siding) '
Permanent steps - garage
Permanent steps - main entry
Permanent driveway
Permanent gas
Sod/seeded grass
Trail/curb damage
Parch ?
Basement finish
Deck ?
Pleasa varify with the huilder the removal of roof test caps from the plumbing
system and the shut-off of water supply to the outside lawn faucet before
freeze potential exists. ?
xanm«n.
White - City copy Ye11ow - Resident copy Pink - Conttactor copy
2006 RESIDENTIAL PLUMBING PERMI7APPLICATION
CITY OF EAGAN
3830 PILdT KNOB ROAD, EAGAN MN 55122
651-675-5675
'lease compiete for modifications to existing residential dwellings.
1 3 <y ? e:n6
iate '7
?
_
? /
y,
<ii'C/ 5???1nit #
'?ite Street Address
???? Telephone#
'ropertyOwner?
?
gejinl iCPS ICTelephone# - 3=7e?
;ontractor
? ?yState_2W Zip<S"37
kddres
-he Applicant is: _ Owner XContractor _Other
Refu?bished Submit Z sets of plans and MPC license
Nev?
tic System
ie fee
County
Include$
_
_
p 00. O
1
Per as-built $ 10.00
alterations to existing dweiling $ 50.00
Add plumbing fixtures. This fee indudes installaUon of a water softener andlor water
heater at the same time. lf you are insfalling onl a water softener and/or wptqr
ove to the next section and chec
ti
on; m
afer, do not complete this sec
he
appliance(s) you are installing. V
Septic System Abandonment ----- 2006
WaterTurnaround (add $130.00 if a 5/8" meter is requirad)
-
Other:
f? Water Softener _ Water Heater ? $ 15.00
r-?
new ? replacement
_
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
.50
?
StaYe Surcharge
$jS.Sd
Total
I hereby apply for a Residential Plumbing Permit and acknowledge ihat the information is comptete and accurate; that Yhe
work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that 1
understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in
accordance with the approp in the event a plan is required to be?eappro d
6111142 l
Appl'ca t's Printed Name Applica Ys ignature
A)
(o 8 0??`Ct
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Piease complete for modifications to existing residential dwellings.
Date
Site Street Address Unit #
Propeity Owner Telephone # ( )
H.P. PIPEWORKS
Contractor .n nnnn ROAn Telephone # ( )
Address GI?N, MN 55123 City State Zip
J
?
The Applicant is: _ Owner _ Contractor _Other
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures (excludes water softener and/or water heater--complete next
section if installing these appliances).
_Septic System Abandonment
_Water Turnaround (add $125.00 if a 5I8" meter is required)
Other:
Water Softener ? Water Heater $ 15.00
_ new _ replacement
Lawn Irrigation _RPZ PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total $
I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
1. ,
ApplicanYs Printed Name
ApplicanYs Signature II ? ?I-) Iti 11 ? ?ylHY ". 6 2005
J
L - - __
RESIDENTIAL BUILDING
Permit Application 4.1 ? to
City Of Eagan ?
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWCtlon Reauirements RemodeVReoair Reauirements Office Use Onlv
3 regisiered site surveys showing sq. ft. of lol, sq. ft. of house; and all roofed areas 2 copies of plan CeR of Survey Recd _Y _ N
(20% maximum bt coverage allawed) 1 set of Energy Calculations for heated addiEons Tree Pres Plan Recd _ Y_ N
2 copies of plan stwwiig beam & window sizes; poured found design, etc. 1 site survey for additbns & decks Tree Pres Reqd _ Y_ N
lsetofEnergyCalculations Addition-indrcateifon-sifesepticsystem On-si[eSepticSystem _Y _N
3 copies of Tree Preservation Plan rf lot platted after 7/1193
Rim Joist Dehail Oplions selecGOn sheet (bldgs wiN 3 or less units
Date -2-_ lo oG
Construction Cost
?
Site Address vt P Unit/Ste #
?
Description of R'ork ?-C rUC) ?
Multi-Family Bldg ? Y_ N Fireplace(s) _ 0 _ 1 _ 2
^
Property Owner (ST<<.. Sc!(<r5.rrVn
Telephone #(
Contractor ?o u -? d K c?
Address D..U0u tL
kUXu1 /?
l City wL'?+e IJetif (c,ICP
State ti/v% Y / Zip (( G Telepho¢e #( G6- t) L /0 7-/ 6/ ?)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Su6mitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with .similar plan? _ Y _
fee applies. r n T Licensed Plumber ,1111w n . nn? 11' Telephone #(
Mechanical Contractor Uul 1 Telephone #(
Sewer/Water Contractor Telephone #(
N If so, 25% plan review
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 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.
RrY -a p Y1 ?ll I L4tiSG an ,( ;'tt"
ApphcanYs Printed Name Applicant's Signature
? * ** 2422 Enrerprisr Diive
PIONEER L11ND SURVEYORS- CIVILENGINEERS Mendota Heights, MN 55120
,Qn91n'G?'ering. LANDPLIINNERS•LANDSCAPE0.Nf,HtTECTS ? ?M12) 681-191w
y 9
1 ?T
7? V
T
Certilicate oi Survey for: WO/dLAND CDUNTWKl-{OMESjNl.. G. .?
LJ
NORTH
IV1' GANL /
\ ? QJ65p 4bs
R° bs,oo ?'- ZZ
-27°OG'31 p'? ar'/
\ 0.75 L" 909,8
o .
?
5 ?? ? ?+
9 ?'SQ v?
9d°3 Zap 040
I ZZ ? ?' ° Qf'
o ?j4I5. 4.0 \ s'1
`r0 J'9
'0 ?
s ! A '?' c?`
d b?
t? ? 9p6,S N? 0 o p 3 0? v
3?? S ? 3'33 0
? N G ? b
? W 56y o I ? y N \
w 333 P y,o
6 p Q, y
S,a o
o ZS.o
cr+
- ?
N ?
(4 yn o Oq ? v?
0k'
r? ?Q
A ? ? W
4??r
7¢ 6 E
75OZ4
,1zN ? --..... _
?e
E ---,.? a
t'"kt%A tV'
?.talHd
x.9oO.o Denoles Exislin? Eleva/ion Pr?ovvsEO NousE EGEVATIQN
r oo.o bennfesPropo ed£/eva?ian Lowes 7oorElevaron -
------- DenatesDrnino¢eiUfili?ly fasement Topo''Bloc!{£levation 907,?3
-- _---- Denoles Drtirinc3'4e' F/o?J'DirPClion Garao t Slab Elevafion o7 o
0 Oana}es MonuAPnf Bevrrn?s shown are assumfd oDeno es o+j sP Mb
LOTS 13 AND 14 e10cW 3 THE woooLANDS NoRTy
DAKOrp CoUNTY I MlNNE50Tq ? SUB?ECT 7b EA9fM4'N73' Of QEMRD
I MB,PIIy fP,l11IV 1hA1 [h13 IS A[fUP, and mrrect repre5entaiion O{ H SUryCy OI H1Q hOlltl(Ifll IFS OI 1I1P.lI)OVp.{{lrvrrihrrl land, aiid nf ihr bcalinn ol all
huildingc, tlirreon, and all viSiblP. P,nCrOadhments, if any, from or on said land As surveyed bY me thic?? `=dny o(_?Q°C?" A.D. 19 Z.
/ a7d7, p [P?
/?
-?----?;- -n??nerai "sJ ic aer..NO.ineal
?(0?j7?.08 ?CQrie V
2an 1
CtTY OFaEAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued.
BUILDIN6
000115
03/27/92
SITE ADDRESS:
824 IVY LANE
LOT: 13 9LOCK: 3
THE WOODLANDS NORTH
DESCRIPTION:
9uilding Permit 7ype
Building Gork Type
UBC Qccupancjr..,
Constructicn 7ype
2aning
Building Length r
Buildirtg Width
7W0 FAMILY
NEW
R-3 M-1
V-N
PD
32
80
REMARKS: U)l`194a
S& W CON7RACTOR - 6ENZ-RYAN PLBG
FEE SUMMARY:
Base Fes
Plan Review
Surcharge
5AC
SAC $
SAC Units
Subtotal
VflLUATION
$626.00
$406.90
$48.50
$700.00
100
1
$1,781.40
$97,000
MISCEILANEOU$ $1.610.50
COPYES $1.00
Total Fee $3,392.90
CONTRACTOR; - Applicant - ST. UyNER:
9IEKMANN CONST 14472424 0001 36 WOOpLAND COUNTRYHOMES INC
6648 RUSTIC RD SE 6648 RUSTTC RD SE
PRIOR LAKE MN 55372 PRIOR LAKE MN 55372
(612) 447-2424 (612)997-2424
?
I hereby aeknawledqe tttat I have read Chis applieatiori and state that ths
informatton is carrect and agree to camply with all applicahle State o'f Mn.
Statutes snd City of Eagan 4rdinarroes.
, -
Xad?u'?-? ?w f 7tt.1f
A_ ICANT/PERMITEE SIGNATURE -?SUED B?IGNAT RE?-
Control No. 0118
" cmr oF EAcaN
1,15 1992 BUILDING PERMIT APPLICATION
681-4675
?? ?9.2,g a
MAR 2 4 RECP
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.
ate 3/ 24 ? 92 Valuation of work? 0 0?
v
ite Location: 824 Ivv lane
STREET STE f
Tenant Name• Woodland CountryHomes, Inc.
LOT 13 BLOCK 3 SUBD. Woodlands North P.I.D. #10 75890 130 03
Descri tion of work: - ?1,4' C) 0 r LE
The applicant is: 13 Owner 0 Contractor ? OtN2Y' (Deseribe)
Name Woodland CountryHomes, Inc. Phone 447-2424
Property LAST FIRST
OWner
Address 6648 Rus ic Rd S E
STREEi SiE #
City Prior Lake State MN Z;p 55372
Company ?f C /d? Phone
d
o
?r
s
^
Contractor ,y
Gtn
A6
e #
Address Licen
City State /17//1Z Zip
Company Phone
Architect/
Engineer Name Registration #
Address
City State Z1p
Sewer & water licensed plumber Genz-Ryan PlumbinQ & HeatinQ . 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 5tatutes and City of
Eagan Ordinances.
/
ignature of Applicant,
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation
F 02 Single Family
O 03 Two-family
? 04 Multi-fam. T.H.
0 05 Apt. Bldg.
WORK TYPE
10 90 New
? 91 Addition
? 92 Alterations
? 06 Garage/Accessory
0 07 Fireplace
? 08 Deck
? 09 Basement Finish
? 10 Swim Pool
? 93 Remodel
? 94 Repair
? 95 Tenant Finish
GENERAL INFORMATION
? 11 Res. Add./Porch
? 12 Comm./Ind. New
? 13 Comm./Ind. Add
? 14 Comm./Ind. Rem.
O 15 Public Fac.
? 96 Move
? 97 Demolish
? 99 Undefined
Occupancy R-3 M-I
_
_ Basement sq. ft.
Zoning 7F lst F1. sq. ft.
Const. (Actual) v-N 2nd F1. sq. ft.
(Allowable) v_N Sq. Ft. total
# of Stories Footprint Sq. ft.
Length 3 Z On-site well
Depth 80 On-site sewage
APPROVALS
Planning Building
Engineering Variance
REGIUIRED INSPECTIONS
? Site
? Wallboard
0 Footing
El Final
? Framing
O Draintile
? Insulation
? Fireplace
Permit Fee 626.00
Surcharge yB.so
Plan Review L/06.90
License
MWCC SAC ?oo.oo
City SAC loo,oo
Water Conn. 615,00
Water Meter 95.00
Road Unit 380.00
Treatment Pl. 300.00
RB3d-Urti'tAr?-rDep. D, oa
Park Ded.slwPero;, 3
Trails Deds/wsk , y-o
Copies ?
Other
7ota1: 3 3 ?,x -?[
Yaluatim: S 97 oOO
? .
? 16 Agricultural
? 17 Building Move
O 18 Demolition
O 20 Miscellaneous
MWCC System `(C5
City Water ?rc-s
PRV Required
Booster PumP
Fire Sprinkler
Census Code o 2
SAC Code . oz
Assessments
sac % lo 0
SAC Units j
v , . .
: ;.,.;.:? ? ? ? ?.,: . : . . . . . . .
? ;: . :•..,,;, ;. , ... . . . . . ^ , . . . .
z ' . ,,.,•,„" , EXTERIOR. I,NVET,OPE AV1?RAGE "U" COMPUTATYON
` : ot•?N?it.; WOODLANDS COUNTYHOME,INC. • • , . -
, .. . ., .,
STTE;.'l1DDR SS L1OT ? $LOC ?t
? , ;>,,.,,,v,?;.,..._?• . .:_:, ? r KTH-E WOopLAXDS !`???TH •
??! 'CONTRACTORSIEKM?INN CONSTRUCT'ION,INCDATE ' •
LIC. #00014 PHONE _
?i DeLermine wor]cing square footage of each. •
;j 1. Total exposed wall area .... cAYA C-p sq, ft. x`<< _?--
2. Total roof/ceiling area .... sq, ft. x'02.?'=
1
fi
Total exposed wall area above floor
>
a. Total wall window area.... ,,,,,,,,,,,,, '
ta
; b'.'`Tol'•door area. ""
" c. Total slidin ...........•.....•.••• l '-.-
•d, Total fireplaceaall darea area .. .... ?
......... ..... -
e. Total wall framin area ??? ??
f • Total net wall area aboveafloore, ???, , , , , , . .. . '
[5. Tota1 rim ,joist area..........................
.
Total exposed foundat-ion area
h. Total foundat3on iaindoor area,,,,,,,,,,,;,,,?
i. Total: net foundation area above grade,.,,,,,, ,A,
. Determine "U" value of each wall segment.
?
<. ' • a.' X nUu l.` 3 ???l
b. .01? - 1,
C. ?_- x liu„ , I-,13 _
\-?Z
d. ?? oY X u U n
X ifUli
, - ------ = ?l,?.?
' r. ",X [lUll
9• X ilU,r ?
h. X ?lUll _ L4 -1?
X n U n
? • . -______ ^' l?l?
•? ............. ?
, ...... .......... 2'oL-al ?
•If item /!3 is the same ?
i'fiterit of SDC 6006 as, or les:; than item
(c)2. , Yo? have met the
LI
..y.. .. _ .. ':::C::: i . .... ._ ??.
V
A
Total exposed roof/ccili.ng arca
. ;To,tal, sl<ylighL arca ............ ....... .
..? `k: Total roof/ce111ng framin6 area (aver.age 10%) t?-\?>.!5"
.: .''Y.... Total net insulated roof/ceiling area......... \'a?l ,•?
Determine "U'l value for each roof/ceiling segment.
?
. J. X trUti ?
k. 7{ nUti C"j 3c? = y'???"t _
X „U,t 3o,yy .
4........ .............................Total
Tf total of ff4 is the same as, or ].ess t-han 112, you have met the
. intent of 5BC 6006(c)1.
' Alternate
To utillze the total envel
by the sum of items 113 and
items N.1 and #2.
1? . . .
• 3:'
Buildi.ng L'nvelope Design
?pe system method, the values established
#u shall not be greater than the sum of
+ 2. _
. ?
C1TY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
PERMIT PERMIT TYPE:
Permit Number:
Date Issued:
826 ZVY LANE
LOT: 14 BLOCK: 3
THE WOODLANDS NORTH
auxLoxNG
000114
03/27/92
DESCRIPTION:
Buildir5'g Permit Type
Building O1ork Type
UBC Qaaupancj.
Construction Fype
Zoning
Building Length
Building Width
TWO FAMILY
NEW
R-3 M-1
V-N
PD
32
80
., t, -1'• ' ?`l?t ?t'; ?t.F`?? (~''?,?;:,' '-(~ ``,"-,lF:?ft
L:.
REMARKS: C017443
S& W CONTRACTOR - CaENZ RYAN PLBG
FEE SUMMARY:
Base Fee
Plan Rev3ew
Surcharge
5AC
SAC %
SAC Units
3ubtatal
VALUATION
$621.50
$403.98
$48.00
$708.00
100
1
$1,773.48
$96.000
MISCELLANEDUS $1,610.50
7ota1 Fee $3,383.98
CONTRACTOR: - Applicant - sr. OWNER:
SIEKMANN CON9T 14472424 0001 36 WOODLAND COl7NTRYHOMES ZNC
6648 RUSTIC RD SE 6648 RUS7IC RD SE
pRIOR LAKE MN 55372 PRIOR LAKE MN 55372
(612) 447-2424 (612)947-2424
I hereby acknowledg.e that I haye read this applicatiort and ataZe that the
inPormation is oorrent ahd agree to cOmply with al1 applicable Stete of Mn.
Statutes and City of Eagan Ordin.anaes.
? -
'L(??
aG ??? ?'??? .'q
AP, ICANT/PE EE SIGNATURE 5 ED . SGN T RE
Control No. 0117
\
, CITY OF EAGAN
I 1992 BUILDING PERMIT APPLICATION
? 681-4675
f- 3383. C? g
YAR 2 4 RECO'
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 3/ 24 / 92 Valuation of work 5 .80 '9 Od c)
Site Location: 826 Ivv Lane
STREET STE M
Tendnt Name: Woodland CountrvHomes Inc.
OT 14 BLOCK 3 SUBDeWoodlan4sNorth P.I.D. # 10 75890 140 03
Descri tion of work: `/z U PL- C
The applicant is: El Owner B Contractor ? Other (Deseribe)
Woodl c"m&ountryHomes, Inc. Phone 447-2424
Property LAST FIRST
Owner
qddress 6648 Rustic Rd S E
STREET STE #
City prior Lake, MN Stdte MN Zip 55372
Company Phone
Contractor Address ?Lt Licen? #t,51elO
City State Ol?li z;P 5-3-37-7-
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 applicable State of Minnesota Statutes and City of
Eagan_Or-?inattces
Signature of Applican?.
/
BUILDING PERMIT TYPE
OFFICE USE ONLY
? f
.,.?.a.. ?
? 01 Foundation
? 02 Single Family
03 Two-family
? 04 Multi-fam. T.H.
? 05 Apt. Bldg.
WORK TYPE
9 90 New
O 91 Addition
? 92 Alterations
? O6 6arage/Accessory
? 07 Fireplace
? 08 Deck
? 09 Basement Finish
? 10 Swim Pool
? 93 Remodel
? 94 Repair
? 95 Tenant Finish
GENERAL INFORMATION
? 11 Res. Add./Porch
0 12 Comm./Ind. New
0 13 Comm./Ind. Add
? 14 Comm./Ind. Rem.
? 15 Public Fac.
O 96 Move
? 97 Demolish
? 99 Undefined
? 16 Agricultural
? 17 Building Move
? 18 Demolition
? 20 Miscellaneous
Occupancy R-3 M-4 Basement sq. ft.
Zoning nD lst F1. sq. ft.
Const. (Actual) v-N 2nd F1. sq. ft.
(Allowable) V- N Sq. Ft. total
# of Stories Footprint Sq. ft.
Length 3 2.' On-site well
Depth So ' On-site sewage
APPROVALS
Planning Building
Engineering Variance
REQUIRED INSPECTIONS
? Site
? Wallboard
? Footing
? Final
MWCC System YE5
City Water Ye s
PRV Required
Booster Pump
Fire Sprinkler
Census Code oz
SAC Code o z
Assessments
? Framing ? Insulation
? Draintile ? Fireplace
Permit Fee 62?.50
Surcharge y8. 00
Plan Review y03.9e
License
MWCC SAC '100,00
C i ty SAC t o o, 00
Water Conn. _Gn5,co
Water Meter q f5,oo
Road Unit ?,gp,oo
Treatment Pl. 300,00
-Road-tfrrft AtiT Dep 30 ,o0
PBMk-B2t}: SbwRrnvt 30.Oo
Tr2a-la-Ded. sl w sk 15c,
Copies
Other
7ota1: 3 3 8-3 • W
vatuet;an:
SAC % ? o 0
SAC Units ?
-..?.-,.?.?,.v . ..
?Y.f . . '?.I.'..•,.. . . .. •. . ' ' .
y,: . , •' '. EXTERTOR.IsNVnLOPE nvi;RncE "U" COMPU2ATTON '
ob)NrR.; WOODLANDS COUNTYHOME,INC. ,?' • . .
. r ,::t•..,':.,, . .
STT,???ADDR•SS..,Lo714 ],3?K3 'rhe • '
. ,• ,? Wn?uuL?wa? Flo?e
CONTRIiCTOR'SIEKMANN CONSTRUCT'ION,INCbAq,E pHONE
I:IC. #00014 -
c?
Determine wor)cing square footage of each. -; 1. Total exposed wall area, .... c-V-1C-.e
'i
sq, ft, x611' -
2. Total roof/ceiling area .... k 1-4 sq. ft. x'Oa.?'=
t
i+ .
:' '• . Total expose(i wall area above floor =_??Co
i
a, .Total wall wi.ndow area. , . , ......
b.'Totial'door area.... ? ??????
c. Total slidin
..............••'
% U glass 'door area. ........
•d. Total fireplace wall area.. ? ? ?
e , To tal wall frarnin area ?
f. Total net wall area above afloore 10'?)::::::,, e???,,y{
g. Tota1 rim Joist area ........................ .
Total,exposed foundation area
h. Total foundation window area.',,,,,,,,,,;,,,,,
i. Total,net foundation area above grade........ F?.
.• Determine "U" value of each wall segment.
• ?
a.• ?L\ g ?,U-, +?13 ? i-I1'I,T1?a b. X uUn •0'7 _ (m?
x uU n 3'-
-
d. ?\a- y uUn . ?) v-1
.y
r
e. (,; X "Us,
' f. X uUi,
9. ?•,,?.?, X elUt,
c)-?
_py3
= 4.? A-
= q,ah
= 7C?
--?-' '=--4-
"- O L f
--------.?
' h. 0 r XI I UI I 4 ? 3_ .
a U ? -
3. ; uUn • CJ g
3.......
.................. ........7.'otal ? - OCo?
If item /13 is the same a.s, or les:; L-han item N1
1'fiterit
of S?C 6006 Cc)2
??ha e met the
? .. ^.',' ??. ., , . ? ?` ..r.^ . •C:C.::1 .-..n
V
Total exposed roof/cc'iling arca
, . ••;;\,
, ,...J...,?Tot'al 31cyJ.16hL arca ............ ....... ...
Total` roof/ceiling framinb area (average lOx)
.::., '?... Total net insulated roof/ceiling area........ l'arA l ,•?'",?'
betermine "U" value tor each roof/ceiling segment.
k
?. X nUn =
k. x IIU,I , o 'tg
X ,lUit • oa?l = 3?,?,y?
4......... .............................Total =? -Z" Y?
`
?
If total of:114 3s the same as, or 7.css than /12, you have met the
. intent of SBC 6006(c)1.
Alternate Building Envelope Design
To utiliz'e the total envelope system method, the values established
by'the sum of items ff3 and #4 shall not be greater than the sum of
items #l and f12,
1. . + 2 _
• 3: + 4, _
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: BurLozNG
3830 Pilot Knob Road Permit Number: 024997
Eagan, Minnesota 55123 Date Issued: 12 / 2 9/ 9 4
(612) 681-4675
SITE ADDRESS: Lor : 13 B L 0 C K: 3 APPLICANT:
824 IVY LANE FIRESIDE CORNER INC
THE WOOpLANDS NORTH (612) 633-1042
PERMIT SUBTYPE: TYPE OF WORK:
FIREPLACE NEW
DESCRIPTION (GAS)
INSPECTION .. . .A
ROUGH-IN FINAL
I ?
L
?
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-75890-130-03
824 IVY LANE
L07: 13 BLOCK: 3
THE WOODLANDS NORTH
ccwfl
PERMITTYPE: euiLozNG
Permit Number: 0 2 4 9 9 7
Date Issued: 12 / 2 9/ 9 4
DESCRIPTION:
,\
FIREPLflCE
NEW
\?'j L ? llu~i?
REMARKS:
FEE SUMMARY:
Base Fee $25.00
Surcharge $.50
Total Fee $25.50
CONTRACTOR: - Applicant - sT. LrC. pWNER:
FIRESIDE CORNER INC 16331042 000106$ BROLSMAN
2700 N FAIRVIEW 824
ROSEVILLE MN 55113 EAGAN
(612) 633-1042
JOHN
IVY LN
MN
I hereby acknowledge that I have read this application end state that the
in'formation is correct and agree to comply with all applicable State of Mn.
Statutes and City af Eagan Ordinances.
?
APPLICANT/PERMITEE SIGNATURE
-? ? (cAS)
Building'.Permit Type
Building W3rk: Type
_-?
i
l
1
11
PERMIT
, ild
IS D 8 - SI FATURE'-
I
iiqql
CITY'OF EAGAN
1994 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, Z) address is changed or 3) lot change is requested once permit
is issued.
Date Valuation of work 1GDCDO CL
Site Address:??? ?pt,4-Q_
STREET SU:TE iC
Tenant Name: (commercial only)
LOT t S_ BLOCK SUBD. rf(
?..I ?? W UCIUXU4U/ i ?1+?i
#
P.I.D.
Descri tion of work:
The applicant is: ? Owner I;Mntractor ? Other (Describe)
Name Phone
Property LAST FIRST
Owner 24
?
pddress
,,?-°--
)
STREET STE ti
City EQ?oo-ti State Zip
Company \??_.fd v ? ? -?-?-61b Phone 890 -?S?
Contractor Address D-ro License # Qlo Exp.
City state Z;p S5113
Company Phone
Arch itect/
Engineer Name Registration #
Address '
City State Zip
Sewer & 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
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
1?
L 1!_ [,,?r BL CITY USE ONLY
?
SUBD. rr"-c W ? i "z`-
RECEIPT#:
RECEIPT DATE:
flllv? 1999 PLUM$INC PERMFT (RE.SIDENTIAL)
3 f1a, V` crrY oF EAs,vu
3830 Puor xivo$ ftn
EM,4ta, eua 55122
(651)6$1-4675
Please complete tor: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
------------------------------------------------'°---------
Alterations to existina residence -----'----------
30.00 -----'------'---'--'---------------'-------------------
Water Turn Around 30.00 =
Private Disposal System " MPC iic. 75.00 =
(new and refurbished systems)
Private Disposal Systems ' Abandonment 30.00 =
RPZ (new installation/repair) 30.00 =
FIXTURES EACH #_ TOTAL
Shower 3.00 x I_ _
Water Closet 3.00 x
Bath Tub 3.00 x =
Lavatory 3.00 x / _
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet * minimum - 1 3.00 x =
Rough Openings 1.50 x =
W8t0f SOftener ` for dwellings under construction 5.00 X =
U.G. Spfinkler ' tor dwelling under const. 3.00 =
STATE SURCHARGE 50
Reminder. Call 681-4675 for inspections of water heaters,
water softeners, alterations, etc.
TOTAL
30,5 b
----------------------------------------------------------------------------=------• -----------------------------------------------
I hereby acknowledge that I have read this appliption, state that the information is cortect, and agree to comply with all applicable Qty of Eagan ordinances.
It is the applicant's responsibdiry to notify the property owner that the Ciry of Eagan assumes no liability for any damages caused by lhe City dunng its
normal operational and maintenance activities to the facilities constructed under this permit within Ciry property/right-of-way/easement.
SITE ADDRESS: gale --C7',Y Z4NE'
OWNER NAME: T NE L CFFRlfT&NJEAI
INSTALLERNAME: SELF TELEPHONE#: 4017'64-9S`12
STREET ADDRESS: ?ale =?Y 41NF
CITY: Ei}00iN / STATE: /k'1lNiVEYa779 ziP: S-1-ta3
%tu -/ K G.
TURE OF PERMITTEE
COlPERMIT FORMSIRPLBG PERMIT (RES) - 1999
CITY OF EPiC:AN
CASHIFfi: 5 TE:F;M:[NAI_ N0: 935
rIATE;; 03/1E/39 l'IMI=: i5e58:08
ir., -
NAMEr JANF I.. CHF:.T.51'ENSEN
3?1.0 3001 826 IVY I_FlNF 60.00
2155 9001. 026 IVY t_ANE ]..UCJ
321.2 91701. 826 IUY L.f•tNE 30.00
Tota1 Receipt, Amnuni:: 91.(]0
CF10400r,
USI2:fi SDa NANCY
,
-yl~
City of Eagan
3830 PILO'C KNOB RD
EAGAN, MN 55122
(651) 681-4675
Permit Type: Building
Permit Number: EA034681
Date Issued: 03/16/1999
Site Address:
826 Ivy Lane
Lot: 14 Block: 3
PERMIT
Addition: THE WOODLANDS NORTH
Description
Sub Type: Lower Level
Work Type: Alteration
Description:
Census Code:
Zoning:
Squ,aze Feet:?N
.?-
?r?
L ?
-? 9 .,_
Remarks: Plan reviewed by W2yn? Miller.
Seperate permit required for any plumbing work.
Call (612) 445-2840 regarding electrical permit and inspectious.
Fee Summary:
UBC Occupancy:
Construction Type:
State Surcharge - Fixed
Permit Fee - Fixed
0.50
60.00
$60.50
Contractor: Owner: - Applicant -
St Lic.: Jane Christensen
826 Ivy Lane
MN 55123 651-686-9592
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 Stamtes and Ciry of Eagan Ordinances.
!
ApplicanUPermitee: Signature ued By: Signazure
• ' 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD - 55122
(651) 681-4675
Naw Construction Reauiraments
? 3 registered site surveys
? 2 copies of plans (include beam 8 window sizes; poured fnd. design; etc.)
? 1 energy calculations
? 3 capies of tree preservation plan if lot planed after 7/1193
required: _ Yes _ No
DATE: o /LR/tek 12-, lf99
RemodeuRenair Reauirements
? 2 copies of plan
? 1 sde surveys (eMerior addkions 8 dedcs)
? 1 energy calculations for heated add'Rions
CONSTRUCTION COST: ?1Z, 000
DESCRIPTION OF WORK: XAlevnen-l
STREETADDRESS: -Ekj 4, /)1n• s-5433
LOT: 1f4 BLOCK: 2> SUBD./P.I.D. #: -Tl`A? WO(1 l IV -IL
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Phone #:
Registration !k:
Name: 60YR[,l7EW61k? JAw Phone #: 4SI- 6df(o `9S-f 2
Last First
Street Address: BaCo 1 v)e LAN&
Ciry E746aN _ State: M/NN. Zip: sS /a 3
Company:
Street Address:
city State:
Sheet
City State:
Sewer & water licensed plumber (new construction only): _
change and fot change is requested once permit is issued.
Penalty applies when address
I I hereby acknowledge that I have read this application, state that the infortnation is correct, and agree to comply with ail applicable
State of Minnesota Statutes and City of Eagan Ordinances.
OFFICE USE ONLY
Certificates of Survey Received _ Yes
Signature of Applicant:
???- -- -
_ No
Tree Preservation Plan Received - Yes - No - Not Required
Phone #:
License # Exp.
Zip:
Zip:
OFFICE USE ONLY
3UILDING PERMIT TYPE
-1 01 Foundation ? 06 Duplex ? 11 Apt./Lodging 16
7 02 SF Dwelling ? 07 4-piex ? 12 Multi Repair/Rem. ? 17
7 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20
1 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21
:1 05 SF Misc. ? 10 = plex ? 15 Deck
NORK TYPE
31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
3ENERAL INFORMATION
I
,onst. (Actual)
(Allowable)
1BC Occupancy
'oning
t of Stories
.ength
Vidth
1PPROVALS
'lanning
Basement sq. ft.
? Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building v V Engineering
Census Code
SAC Code
Census Units
Census Bldg
MC/ES System
Ciry Water
Booster Pump
PRV
Fire Sprinklered
Variance
?401-1341
o/
d
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SIW Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation:
Basement Finish
Swim Pool
Public Facility
Miscellaneous
% SAC
SAC Units
CITY OF EAGAN
L? B? ?MECHANICAL PERMIT RECEIPT # C (n O
SUBD. (612) 6814675 DATE -5 ? q?--
RESIDENTTAL
PLEASE COMPLEI'E UPPER PORTION ONLY FOR SIIVGLE FAMIIY DWEIJ.INGS. AISO, COMPLEfE FOR
TORNHOMFS/CONDOS WHEN SEPARATE PERMITS ARE REQUIRID FOR EACH DR'ELLING UNIT.
OR'NER: FEFS
SITE ADDRESS:
87-?-I
=v L-a.r.?cZ ADD ON/REMODEL (FJQSTING
CONSfRUC1'ION ONW $ 15.00
IIVSTAI,I.ER: HVAC: 0.100 M BTU 24.00
PHONE ilt: ADDiTIONAL SO M BTU 6.00
ADDRFSS: • ,?? ?j ? ??-i,? CJ?" GAS OUTLEPS • MINIMUM 1@ $3 EA. ?3, oiz2b
CT1T: ?? ? ZIP?'lg SURCHARGE: $ .SU
SIGNA • TOTAL:
COMMERCIAL
PLEASE COMPLETE THIS PORTTON FOR ALL COMMF.RCLWINDUSTRLIL BUILDINGS. ALSO COMPLEfE FOR
APARTMENT BUILDINGS OR OTfIER MULTI•FAMILY BUILDINGS R'HEN SEPARATE PERMITS ARE NOT REQUIRED FOR
EACH DWELLING UNIT.
WORK DFSCRIPTION:
CONTRACf PRICE I FEES
196 OF CONTRACT FEE. ?
STATE SURCHARGE IS $.50 FOR EACH
$1,000 OF PERMTf FEE $
PROCFSSED PIPING - $25.00 Fs
hIINIMUM FEE - $25.00
CITY OF EAGAN
L-41 B MECHANICAL PERMIT
SUBD. 3rGt/oao? (612) 681-4675
RESIDENTIAL
RECEIPT # C ?$ $ d
DATE 9a-
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMII Y DWELLINGS. ALSO, COMPLETE FOR
TOWNHOMFS/CONDOS WHEN SEPARATE PERMITS ARE REQUIRID FOR EACH DWELLING UNIT.
OWNER:
SITE ADDRESS: ADD ?1'tION O?STING
CONSTRUC $ 15.00
INSTALLER: AVAC: 0-100 M BTU .0?
PAONE #: g p L. 3? ADDTl'IONAL SO M BTU 6.00
ADDRFSS: '-l < GAS OU1'LE15 • MINIIKUM 1@ S3 EA. 3. o`,-
CITP: ZIPQ?SnF3, SURCHARGE: $ .50
SIGNATURE: ' TOTAL:
COMMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCLAIIINDUSI'RIAL BUII.DINGS. ALSO COMPLECE FOR
APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS R'HEN SEPARATE PERMITS ARE NOT REQUIRED FOR
EACH DWELLING UNIT.
R'ORK DESCRIPTION: CONTRACf PRICE
196 OF CONfRACf FEE. FEFS
STATE SURCHARGE IS $•50 FOR EACH
$1,000 OF PERMTf FEE.
$
PROCFSSED PIPING - $25.00
hIINIMiTM FEE - $25.00 $
OWNER: TOTAL: $
SI1'E ADDRFSS:
TENANT: . . .
SUITE #:
INSTALLER:
ADDRESS:
CTl'P: ZIP:,
PHONE #: CI'I'Y SIGNATURE:
SIGNATURE:
! S'
I. eL CITY OF EAGAN
PLUMBING PERMIT
SUSD. (612) 681-4675
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS
WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
CITY USE ONLY r/
RECEIPT #_ /d `SS3 d
DATE !5;e4 -/6L`?i Z
ALSO, FOR TOWNHOMES AND CONDOS
WORK DESCRIPTION
NEW CONST ?
ADD ON _
REPAIR _
OWNER NAME:
SITE ADDRESS
INSTALLER: _
ADDRESS ? `14
CITY:/ 111W
ZIP: J JQ60
. COMPLETE THE FOLIAWING:
N0. FIXTURES EA. TOTAL
REPAIR/ADD ON 15.00
SHOWER 3.00
? WATER CIASET 3.00 300
BATH TUB 3.00 3O4'
IAVATORY 3.00 .3 00
KITCHEN SINK 3.00 ,?Od
? LAUNDRY TRAY 3.00 ,30D
HOT TUB/SPA 3.00
? WATER HEATER 3.00 3fLD
? FLOOR DRAIN 3.00
GAS PIPiNG GuZ.
? (MINIMUM - 1) 3.00
? ROUGH OPENINGS 1.50 ?
_ OTHER _
WATER SOFTENER 5.00
_ PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
_ W. TURNAROUND 15.00
STATE SURCHARGE .50
TOTAL: C)
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 #:
INSTALLER:
ADDRESS:
CITY:
PHONE 1j:
FOR:
CITY OF EAGAN
ZIP:
CGNTR:+CT PRlCE:
1% OF CONTRACT FEE. .
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1% $
STATE SURCHARGE
TOTAL:
(SIGNATURE)
PHONE
X
?
?
K
REACTIVATE ?
PERMIT #
, . ?
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 arehitectural 8 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 change is requested once permit
is issued.
Date Valuation of work
Site Address: _Z_U/ "mwr:
SiREEi SUtTE N
Tenant Name: (commercial only)
IAT SIAC& SUBDT? WJOt??.q-6??5 P.I.D. N
lv?U ?
Descri tion of work: P0si FOdr1w49 izoeir f-, ;ai2r 6L;!
The appl icant i s: ? Owner ? Contractor ? Other coe.or;be>
Name CMf'_3j?w.;Eu Phone
Property LAST FIR:T
Owner Address .i= v y
STREET STE f
City ?^r?w $tdiB Zjp a 3
'I
Company ./7?FL?,w ?,•1- ? Phone 4-'477
COt7tf8CtOt' Address QP6 License # Exp. 1?45
City S l• ??) ?, Z State Zjp 7
Company Phone
ArchitecU
Engtneer Name Registration N
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer 8 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 Stat of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex 0 11 Apt./Lodging
02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc.
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory
? 04 SF Porch 13 09 12-Plex ? 14 Fireplace
? 05 SF Misc. 0 10 Multi. Add'1. ? 15 Deck
WORK TYPE
El 31 New ? 33 Alterations ? 35 Tenant Finish
? 32 Addition 13 34 Repair O 36 Move
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
N of Stories
length
Depth
APPROVALS
Planning
Engineering
Basement sq. ft.
lst F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
?.
,0 16 8asement Finish
'0 '17YSwim Pool
? 18 Cortun./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
0 37 Demolish
MWCC System
City Water
PRY Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Assessments
REOUIRED INSPECTIONS
O Site Pr4 o o t i n g ? Framing
? Wallboard O Final O Draintile
? 1/
0
. --
v
? Insulation
? Fireplace
I 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.
Lopies
Other
Total:
v.luse;on: g
SAC %
SAC Units
'??* 41
# PION
* engin
T Y *?
T
2422 Enteiprise Diive
LI1ND 4VR V EYOR! • CI V IL ENGINEERS Mendota Heigh ts, MN 55120
LANDiLANNER3- L11NO5CApE11RCNITECIS ? (612) 681-1914
Certificate of Survey for: WOWLAND COUNTWYHOM6?`lYV. G ?
u
N017tH
IVY
\ ?
P= 65,? r
0
\ =z7°a63r
0.75
%Oli
w ?
?
11
9o6.S I LL T
1.ANr- /
„
Q;b o?9 55
QZ5
? • ., ?-?
u?
N
i \
i
i
:r e
Q Q V y q ?. 4.0
/:
??
J
Y
y A "'
0
io ? F p
N
o-
3,0 ? .N
Y f
? c,
?:'a3 P
,o
2 0,0
-F_
1 14 2
/_ I
P
Za.0
s
/ ?ISe
2
.,y s'o s9
q5 ?.
N ?
O s"? ??Y
31°
?
3'33 ?„o
J
Z ?
Q \
0
?
...?
N ?
s ?
m
7¢ 6 `
S 75•,12NE ..??q
/
:. -?'4.
- :?
?w
• 9oU.o Denotes Exislin Elevalion PROPOSEO HOUSE ELfVA
• oo•o UenolesPropoee'Eleva/ion Lowes loorElevo ioo -
"'----- DenotesDrtyir?o¢eEUfi/ify£asement Topof''B/oekElPVVlion 907,33
-?- -- Denoles DrYrind7? F/o?J'DirPClron Gai a0e Slab Nevatior? o? o
o Dena/es Monu?ipnl Beorin?s shown we assumed oDe?x? es o, J se f?ib
L.OTS 13 ANa 14 BLOCI! 3 Tr?E woooLANDS NoRTN
OAKOrn CoUNTV ,?M1NNESOT/? ? SUB?ECT Tb EqS1MEN73' Of l7ECt7RD
I hPrrFY rortify thpt this is n Ini¢ xnrl correct rPpresentatinn ol a Survey pf Ihe boundanrc ol Ibr abov- {1l?nsnih?.1 land. m,d nl tho Inraiinn qol' all
huildinqc. thrrnnn, nnd all visiLlr rncrOachmrnta. il any, frmn p, pn said land. Ac vurvrypd h4 mr ?hisZ'y?^ rlnY oLMav<l^ A.D. 19L.
,5'C(71e : 1±nq1. 'V i tel
91055. os
/
n if'h, cipicN 1< ii[r.. ron. InAnl
3R» ? -- -
50.50
Clty of EapIl
3830 Pilot Knob Road
Eagan MN 55122
Phane: (651) 675-5675
Fax:(65i)675-5594
- - - - - - - - -
1
j Pertnit #:
? Permd Fee: ?YtJ ' ?C? j
I ?
? Date Received: ?
S[aff: ??
I ---- ?
2008 MECHANICAL PERMIT APPLICATION
Date: 4 /0 5 Site Address:
Tenant:
AUG 2 0 2008 ?
RESIDENT / OWNER Name: NN E?I?.P/STCN 5 EN Phone: ( R6- 9S9 2-
?s??3
MN
.
Address / City / Zip.
CONTRACTOR Name: ?NF s?oc?Q c=4T?N? F A/2 License #?SSSt462_
Address://Oy (]GPa1?l/GUO[AJ ST
Ciry: ?,A 5 zi , 45 State: IAJ Zip: 5szt--?
Phone: 6S1- 4,13 /Z ?1/77 Con[act Person: ?•
X
TYPEOFWORK -Replacement _Additional _Alteration _Demolition
_New (
Descrfption af work: ? G al 5lri P e°
fr; N.DTEcBoth;roaf.mnun[ed aiidground:moun€ed mectia"nic'aNequipmenf.is,reqolFed ta''
?- ?ie'screeried?by City Code: =Pfease conlacf;fhe.Meshanical fnspecfbrvr.one ot ll?e _?.
• Planners.far iriformatiori orn ermitted screenin mettiods.
RESIDENTIAL COMMERClAL
PERMITTYPE Interior Improvemen[
New Construction
XFumace _
_
?.,Air Conditioner _ Install Piping _ Processed
_ Air Exchanger _ Gas _ Exte(or HVAC Un@
' HVAC units must be screened
_ Heat Pump Under / Above ground Tank (_ install /_ qemove)
Other " When installing/removing tank(s), call for inspection by Fire
Marshal and Plumbin Ins ector
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge)
$90.50 Fif@ fep8if (replaca bumed out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEE
COMMERCIAL FEES:
$70.50 Underground tank installation/removal OR Contract Value $ x 1%
$50.50 Minimum (includes State Surcharge)
- $ Permit Fee
- If Pertni Fpg is less than $1,000, surcharge is $.50.
- If Perrnil Feg is >$1.000, surcharge increases by $.50 for each =$ Sta[e SUrCh2rge
31,OC0'=rtntl Fee (i.e a$7,C01-$2,OC0 Permit Fee reqwres a 5? 00 surcnargej.
1 g TOTAL FEE
1 M1CfEby aGknOWlEtlge tnd[ Itu5 mfORn2tlon i5 CompiCte antl dCCUfdte; Ilta[ tnC WOfk Wtli bC In C011t01'rt120Ge Wlin [nC oralnances ana Goaes oi me ?ny w Cayau, iiiaL
I understand this is not a permR, bu1 only an applicanon for a permrt, antl work is not to start wrthom a permrt; that the work will be in accordance with the approved
plan in the case of rrork which requires a review and approval of plans.
X ?2 k15--.Vo a-&.c- X??
AppiicanYs Printed Name ApplicanYs Signature
FOR OFFICE-MSE'`,'? - , - RBviewed'By: Date.'
Requiredlnspections: r,?_UnderGround' . : :Rough fn `_Air Tes[ ,_Gas Servica Se§t' _In=floor Heat "_Fnal :, ' "•` ` ' ?