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833 Ivy Lane... ., ? .. - Y- Wemlica#e of cccupanc? " ? ??? ??? ? a*" 3«owd" t -a lN This Certifuate issued pursuant to tlti"ftquirements of the Uniform Building Code certifying t/tat at ihe tbne af rssmnce thu structure was in compliance with the variolrs ordinances of dee City regulating building construction or use. For the following rxlPi.FX 1224 I Use Classificaoioo: R3 1 Bldg. Permit No. ? ,? ? PD _ ?°'?°? vt? ? PRIOR • ?o+?. ar e? naa?s Bu? ?m 837 IVY IA? ? ?Ty L 'l/' ? 10/22/Q2 ? n: POST IN A CONSPICUOUS PLACE - INSPECTION RECORD I C°"t`°' "°. 0939 Gf7Y OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: ABf 12 /AZ' (612) 681-4675 - SITE ADDRESS: 101: 10 IRLnc K; A APPLICANT: tt:If IVY I ANE SIE.KMAMN CQNST t Nf 4Ji1001. ANQS IiIURTH 4612) 4* T-247., PERMIT,SU,BTYPE: TYPE OF WORK: ? MEW ' i- M s• `v??i. '_r?:.''??_°C. =*i ¦ Nk.MAEt0.`3: At(:k IPt # S541 PlCIR -- 1iENl--RYAN PLUII611706 PtrmR Na. Permit Motdar Dt1s Tibphona 0 S/1M1l PLUMBING 41731 .. ? HVAC ELECTRIC °v ELECTRIC Inspectlon DNe Insp. Canrtmft Footinps 1 f 71.2 ? ' /6! Q?- ? Foundation FmfrOrig lD_ ? R°ugh Pbg. RoUg,Hig• ISU. ?replace -as Fnel Htg. A?.Z es orsat resc Fnal Plbp. Plbg. InspecDOr - No1Hy Plurrdber Conet. Meter EnptJPiBn Bidg. Finel 2 /? ? 08dc Ftg. Deck Fnal we+ Pr. Disp. f?a%G! C.Qi.'1 "" ? -/ G7 ??v-- ?•L r-.?--? Wei.?tificate of Cccupanc? ?" of ftegm jj?j?p ?4 Oi SamIt" ALUdoetfim Thu Ceriiftcate issued pursLaret to the requirements of the Uniform Building Code cernfying ihat at rhe tinre of issuance this structune was in compliance with rhe variores -- ordinances of the City negulatireg barlding construction or use. For tiie following: IUPIEX I?25 use cbLsdficafim: sidg_ rL-rmh ro. 0--P-IY Type R3/M I zoning Dhaict PD Ty? CortsL VN o.ner or BWJding WOA]LANID OOUNl._RY IiWS Address 6648 IMMC RD SE, PRIOR IAKE , . - a?g na? - ?Ky Daw Baildiug Official P06T IN A CONSPICUOUS PLACE INSPECTIUN RECORD ? CITY OF EAGAN PERMIT TYPE: 3830 Pilot i(nob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: 1, OT ? I OCK : 4 >'+"; s IVY LAME ; I Nt 41t1(1f)k AMDS PlOR I H PERMIT SUBTYPE: [l uFrt I .: APPLICANT: lalE"KMANN CqMST (131:' ) 147-2420 TYPE OF WORK: Conirol No. 0940 aur?a?N? ?rri??? s e/iz/ya rFW FOQT tNF Fit#111#IQ TN`3111 Ai !f?M FINAL f'IRI;f'I ACt t Hf.MARY'S Rt(:E:IPT # 5i41 PLBR - dfN7.-RYAN P1O6. - Psrmk Na. a.rmR HowK cate 7iel"hom • S/IN PLUMBING HVRC a'X.??`-?' C900 " ELECTRIC Q 2/ ?i,x ELECTRIC Irnapodion Da" Insp. Oomme.ts F°°dn? ? r/, 7 " G!,,. Foundatlon Frnming ?. J a 'U Z -?y Fioofing I Peugh Plbg. Rot*??re- - - 2'z I5W. TIAM Fl? 4. ?'_ s A/*.i9 t ; Fnel Hty. ^7 / Orsa1 Teef 4 ?• I FinalPfbA- l PbB.Inspector - NotiryPlmnber Const. Meter EngrJPlen Bldp. Firtal Dedc Ftg. Dedc Flnal weli Pr. Disp. K30643 /0 7?7Y •? G? ? 7D U" Request Date Fre No Rough-inlnspectron Reqmretl'+ ? edy Now ?II NotiN Inspector "? L No When Re2tly'/ 1?2'f?ensed contractor ;] owner hereby request inspection of above electrical work at: Job Ftl@ess sheet 6ox or Foule I Ciry 8 ?...! Seqion No Townsnip Name or No . Range No Coun /f l?./ Oca0an11P Tj WN Phone No. Power Su i?¢r Atlaress ' Eleclncal C ctor ICOmpany Nam ? Convac?or5 Li se No Mdilin9 Atltlf255(C0. rat10r or OwnEf Making I nstBllallOn) , c / 3 Avtnorrzetl ignature IConvaclou0wner M. ing Installa ? n 41 \/ _ ? Phone Number MINNESOTA STATE BOAflD OF ELECiNICRY THIS INSPECTION REOUEST WILL NOT Gri9gs'Mldwey BIE9, - Raam S173 BE ACCEPTED BY THE STATE BOARO 1821 Universlly qve., St Peul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone(612) 692-0800 ENCLOSED K REQUEST FOR ELECTRICAL INSPECTION ? See m%{ructions b4complanng ihis form on bdck oi yellow copy "X" Be/ow Work Covered by This Request g 10???` /O7r/rf / ew Adtl Rep. TypeofBwltling AppliancesWired EqmpmentWVed Home Range Temporery Service Duplex Water Heater Eleciric Heating Apt. Bmlding Dryer Othec-(Speaty) Comm.llndustnal Furnace Farm Air Condihoner Other (spealyl Contrador's Remarks Compute Inspection Fee 8efow. # Other Fee # ServiceEmranceSize Fee # Grarts/Feeders Fee Swimming Pool 0 l0 200 Amps ? 0 ro 100 Amps Transformers Above 200 _ Amps Above WO _ Amps Siyns Inspecior's Use Only TOTAL ? Irri9ation Booms 2 Speaallnspecuon 0 Alarm/Communication TNIS INSTALLATION MAY 8E ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby certity fhat the above inspeciion has been made. R°°9n-m ( oare l oate OFFICE USE ONIV This request wi0 18 months 1rom C?? 9 30641 9?9.A- ReQUe.t Dete rte No pough-in Inspeclron Reqmred? ? Reatly Now AI NoLly Inspeclor ? rr.-s G N. When Reatly7 I, icensed contractor ? owner hereby request inspection of above electrical work at : Job AtlEress t Bax or Route No Qly n ? n SMion No Township Name or No Range No County "'? Occupan? (P T? Phone No PowerS Ler AtltlRSs Eleclncai Conttac[or ICOmpany Name? ConVactor5l e No Mailinq AOtlRSS 1 ontrac?or or Owner MaWng InslallaLOn) I / Authanze0 Si aWre IGom wner kin g Inslallat n) r Phone Number ? ? MINNESOTp STATE BOAPO OF EIECTpICITY THIS INSPECTION REDUEST WILL NOT Griggs-Midway BIAg - Room S-173 BE ACGEPTED BV THE STATE BOARD 1821 Ilnrversity qve, SL Paul. MN 55100 UNLES$ PROPER INSPEGTION FEE IS Phone(61]) 602A800 ENCLOSEO s/a?/y? REQUEST FOR ELECTRICAL INSPECTION °7`?N" EB-00001-08 ? See msimdions for co, delinq ?h?s fortn an back ol yellow cnpy K ?30641 ?"X" Below Work Covered by This Request ''?•?:y? ? ew Add Re . 7ypeofBmldmg AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heatmg Apt.6uilding Dryer Other-(Specify) CommJlndustrial Furnace Farm Air CondiOoner Olher (syecity) Conhactor§ RemaMs Compute Inspedion Fee Below. # 01her Fee # ServiceEntranceSize Fee # Circuds/Feetlers Fee Swimming Pool 0 to 200 Amps ' 0 to 100 Amps - Transformers Above 200 _ AmpS A6ove 700 _ Amps Signs Inspenors usa only OTAL ?O Irrigation Booms D . D4 Special Inspection Alarm/Commumcation THIS INSTALLATION MAY BE ORDERED DI ONNECTED IF NOT Other Fee COMPLETED WITHIN 18 M S. ( I, the Elecirical Inspedor, hereby Rough+n vY certify that the above inspection has been made. Finai OFFICE USE ONLY This request witl 18 monUS irom Address: 837 IVY IRE I.ot ]p Blk 4 Sec/SubnE WppDLANpg [JORTH Thase items were/were not complete at the time of the final lnspection. pate: 10/22/92 Yes No ? Final grade (6" from siding) vl?' Permanent steps • garage Permanent steps - main entry ? Permanent driveway Permanent gas Sod/seeded grass Trail/curb damage Porch Basement finish ? Deck Please varify vith the builder the removal of roof test caps from the plumbing system and the shut-off of vater supply to the outsida lawn faucet befora freeza potantial exists. ? PEMA[4 W!P White - City copy Yellow - Resident copy Pink - Contractor copy Address: 833 IVy I,ANE Lot 9 Blk q Sec/Sub THE WppDL9NIDg Npg1H These items wera/wera not complate at the time of the final inspection. Date: 10/8/92 Yes No Final grade (6" from siding) ? Permanent steps - garage Permanent steps - main entry Permanent driveway Permanent gas /.? Sod/seeded grass ? Trail/curb damage (./ Porch ? Basemant finish V7 Deck Please verify vith the builder tha removal of roo£ test caps £rom the plumbing system and the shut-off of watar supply to the outside lavn faucat befoze freeze potantial exists. N?I IIK1ClFON1fR White - City copy Yellow - Resident copy Pink - Contractor copy i - - -- - - - - ---------i I Permit #: I I j Permit Fee, ? Date Received: ?(?(p, ? I t? I ? StaH: -----------------' 2008 COMMERCIAL PLUMBING PERMIT APPLICATION Date: Site Address: la.-Y) G Tenant: ?j 0 dC; I J) I p`)?D, t)? 4 ' Suite PROPERTV OWNER Name: Phone: CONTRACTOR Name_ limen,A)IJ , icenseJt: ? ,? ..- _ . Address: 3 I??D ? L 11E"r4 : St Au?Zi 553? y - ate: p. Phone???) ;, Contact Person: , i S)Qq TYPE OF WORK -New Replacement Repair xRebuild Modify Space - Work in R.O.W. - ? ? n 6 ('' ? Description of work: 77t?V?-t(L{ ? /'C I 7 PERMIT 7YPE COMMERCIAL _ New Construction _ Modity Space _ Irrigation System (_ yes I__ no) (_ RPZ PVSJ • Ram sensors required on irrigation systems • Avg. GPM _(2^ turbo required anless smalkr size allowetl by Public Works) _ Meters Call (651) 675-5646 to verity that tests passed orior to nickuw ua meter. Uomestic: Size & Type __,_ Fire: Size & Price 3/4" meter 183.00 Avg. GPM _, High demand devices? _Yes ._ No Flushometers Yes _No PRV Required _Yes No COMMERClAL FEES: $50.50 Minimum (includes State Surcharge) OR contract vaiue $ , DD x 7% _ $ Fermii Fee Required on ALL new 6uildings and 6oulevard irrigation systems 4 _$ Radio Meter Read - It Permit EM is less then $1,000, surcharge is $.50 =$ Meter(si - If ermit Fee is >$1,000, surcharge mcreases by $.50 tw each $7,000 G? $1 000 Permit Fee ( e $7 001 $2 000 ? O , . a i. , - , Permn Fee reqmres a$1.00 surcharge). _$ `1 Sfate Surcharge Foilowing fees apply when instaliing a new lawn irrigation system. $ water Permrt Call the Citys Engineering DepaAment, (651) 675-5646, for required fee amounts. $ Treatment Plam $Water Suppty & Storage $ State Surcharge TOTAt FEES $ hereby acknowledge that this inlormanon is complete and accurate'that the work vnll 6e m conlormanCe wRh the ortlmances and codes ol ihe Cdy ot Eagan'that I untltvstand Ni: is not a permrt, buc only an application br a permrt, and work ?s not ro stan wnhout a permrt, lhat ihe woM will be in acwrdance with [he appmvetl plan m Ihe case ai work wh?ch repmre view antl approv3l of pla s. X ;-'t XOe/ .f,?fPS?7W,9,._I ApplicanYs Printed Name pplicanYs Signature FOR OFFICE USE qpproved By: Date: ; Required Inspectfons: Under Ground Rough-In Air Test Gas Test Final ? Page 1 of 3 73313 RESIDENTIALBUILDINGo City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone 9 651-675-5675 FAX 4 651-675-5694 New Construd'an ReauiremenLs 3 registered si@ surveys showirg sq. R of lot, sq. ft. of house; and all roofed areas (20°k maximum lot wverage allowed) 2 copies of plan showing beam & window sizes; poured found desgn, etc. 1 set of Energy CalculaUOns 3 copies of Tree P2serva6on Plan rf bl platted aHer 711l93 Rim Joisl Detail Options selection sheet (buildirgs with 3 or less units) Minnegasco mechanical ventilation fortn RemodeVReoair Reouiremen4s 2 mp"es o( plan showing tootings, beams, joists 1 set of Energy Calculations for heated addihons 1 site survey for additions & decks Add'rtion - mdicate rf on-sRe septk system 99 2s Office Use Onlv CedofSurveyRecd _Y _N Tree Pres Plan Recd __ Y_ N. TreePresRequired - _Y _N On3ReSep6cSystem, _Y _N Date Construction Cost ? / y (? ' SiteAddress qcc,,,,a ?37 Zv?, a UniuSte # ^ Description of Work f e, '- po T Multi-Family Bldg /X Y_ N ? Fireplace(s) '?( 0 _ 1 _ 2• Property Owner ' nci ")j-- Telephone #Q 103 ) s l? 37 70 Contractor ? L? Cft?-"•a^ / `u.4? 6U4 ? Address ('(U.S W(P0tl- $I City Z12 S State / iA," Zip SSt'( t5 Telephone # ((plZ) t? ?_L1Z V(3 COMPLETE THIS AREA ONLY IF Energy Code Category Minnesota Rules 7670 Cateeorv 1 • Residential Ventilation Category 1 Worksheet (Jsubmissiontype) Submitted • Energy Envelope Calculations Su6mitted A NEW BUILDING Minnesota Rules 7672 • New Energy Code Worksheet Submitted In the last 12 monihs, has The City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: 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 permit, but only an application for a permit, and work is not to start without a pemvt; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plan"s. ? /1) KEPc;?,.y? ? - i ApplicanY's Printed Name ? App icant's Signature • ? * * ?[ 2422 Enterptise DrivB 'f PIONEER MenAote Neights, MN 55120 y 111N0 SURV EYOPS • CI V I L ENGINEEAY ?enC?Ineerin9 • LANOPLANNERS. LIINDSCAPERRtMITECTS (612) 681-1914 * * ** Certiticate oi Survey for: WooL)LNrvDCoUlvT!? 1 g0/1''ES,,1' g ? NORTH ?, ?? 01 S84'45'S4"?I ,?y61 X 894.5 M 35.45 OD aa5a? $X f I.JT {0 ?gqq.4Ar?°, , N a w 4 J ? qoo, By?.(0 `n C? b14.O{ 150y o .l? 0 I ?? r a SP 06.1 aA I* N ? ? CP %A ° p bJa.o ?D o6,9 w ? ?q ? 907.9 5 `b0 ? p o Qa?, O 9?p.? s 22.0 4 q" ? ?`4a6,qsw a?F ???? qo3.b? s?v?`?a9o6.5 (D°.3q ,?25 ?O qo,.? qos.zn . ? 13 a=?' N E ? 90 ;p,z-r 3 Q.ira?,? .3z B N =VY ? By _ -' ?AGA14 ? INEEFiI14C DE * 900.o Denotes fxislin Elevafion PraoaosEO HovsE EL£ • oo.o Uervfes Pro po?ed Elevo'fian - -- Denotes Dr,ahna e r Ufil?ly Easement (p e514'G Oevclllon 90-1. S- Lo4 9 --}---.- Deno%s DrYrin? 'f(o?+?'Oireclion ?crr?t S/ab E/eva>ioti 906.0 - LoF fo o Denales Monuffienl &ar1n1s shown are vssun*d oD?roes 45P flib LOTS 9 ANO lo BLOCI? 4 TNE wooo?,4NOS NoRTH DAKOrp CoUNTY , M?INNESOTA ? SUB?fC1' To ENSfM£1V13' Of i7EmRp 1 herehy cerlify Ihat Ihis is e truo end cotrrct representntion of a survey of Ihe 6ounrlmieRnl th? aM1nvr d?snihr?l In? d, nnA ni 1hr lornlinn of nll builAings, therron, anA qll visihle encroaChmenM, if any, from or on said Iand, As eurveyrd by me thie S? Any af l),Z__ n .n, ies2. p ??,,?`.`!'°? - ? Scale 0.? ,nf _l^ StOrTJ .U - RnPERI 1 1 S_ qFa Nn 14891 K- f INSPECTION RECORD C°n °"°. 0940 CITY OF EAGAN PERMIT TYPE: euiLoiNG 3830 Pilot Knob Road Permit Number: 001225 Eagan, M innesota 55123 Date Issued: 0 8/ 12 / 9 2 (612) 681-4675 SITEADDRESS: LoT: e 833 IVY LANE THE WOODLANDS NORTH PERMIT SUBTYPE: DUPIEX BIOCK: 4 APPLICANT: SIEKMANN CONST (612) 447-2424 TYPE OF WORK: NEW INSPECTION FOOTING D. . FRAMING D. INSULATION FINAL FIREPLAGE REMARKS: RECEIPT p S&W PLBR = GEN2-RYAN PLBG. F- PERMIT 'C," CITY'OF'EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: PERMIT TYPE: Permit Number: Date Issued: 833 IVY LANE LO7: 9 BLOCK: 4 . 7HE Wp00LANOS NORTH BUILDING 001226 08/12/92 DESCRIPTION: rBuildi;ng Permit 7ype $.uilding`Work Tqpe i t18C..ecCUpertcy Construation'F.YPe 2oning ? Building LengtFt Buiidzng, Width _., `-- ? DUPLEX NEW R-3 M-1 VN PD 78 29 t': r, F K ?C:.:`,tv`if _ _. REMARKS: RECEIPT R C) S&W PLBR = GEN2-RYAN P.LBG. FEE SUMMARY Base Fee Plan Review Surcharge SAC 5AC % SAC Units Subtotal VALURTZON $617.00 $401.05 $47.59 $700.00 100 $1.765.55 ;9S,Bee MISC FEES $1,610.50 COPIES $1.50 Total Fee $3,377.55 CONTRACTOR: - Rpplicant - sT. Lz pWNER: SZEKMANN CONST 14472929 000143 WOOOLAND COUNTRY HOMES 6648 RUSTIG RD SE 6696 RUSTZC ROAD S E PRIOR LAKE MN 55372 PRIOR LAKE MN 55312 (612) 497-2424 (612)447-2424 I hereby acknowledge th.at Y Ft-eve resd this applicatfan and st,ate t'hat •tha.._ informatian is carreaz an,d agree to comply wfth all applicabYe Stste of Mra. Statutes and City of Eagatt Ordinances.. ..,._.., ? Control No. 0940 ? I APPLICANT/PERMITEE SIGNATURE 'ISSUED'ElY S NATU E PERMIT ?. . REACTIVATt; laC? )_ s CITY OF EAGAN 1992 BUILDING PERMIT 681-4675 APPLICATION ?.?37? ?44-e" ?rl? SS 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 whlch re uest is made or lot chan e is re uested once ermit is issued. Date Aueust ? 5 ? 1992 Valuation af work 94 569.60 Site Address: 833 Ivy Lane SiREET SUI7E k Tenant Name: (commercial anly) IAT 9 SIACR 4 SUSD. Woodlands North * P.I.D. Descri tion of work: wle! ? The applicant is: ? Owner 0 Contractor ? Other (ooscr;ne) Name Woodland Country Homes Phone 447-2424 Property LAST FIRST Owner Address 6648 xustic Road S.E. ' . STREET STE N City Prior Lake State Minn. Z;P 55372 Company Siekmann Construction, Inc. Phone 720-2424 ??f7Z5L Contractor Address 6648 Rustic Road S.E. License N 0001436 Exp,1994 City Prior Lake State Minn. Zip 55372 Company Phone ArchitecU Englneer Name Registration # Address City State Zip Sewer 3 water licensed plumber nz-R an Plumbin MO-1849 . Processing time for sewer 6 water permits is two days once area as een approve . 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. n Signature of Applica t: ? OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation 19 02 SF Dwg. ? 03 SF Addition ? 04 5F Porch ? 05 Sf Misc. WORK TYPE P(31 New O 32 Addition ? 06 Duplex ? 07 4-Plex ? 08 8-Plex ? 09 12-Plex ? 10 Multi. Add'1 ? 33 Alterations ? 34 Repair O 11 Apt./Lodging 0 12 Multi. Misc. 0 13 Garage/Accessory ? 14 Fireplace ? 15 Deck ? 35 Tenant Finish ? 36 Move .. ^. w .. ? 16 Basement Finish ? 17 Swim Pool O 18 Comm./Ind. O 19 Comm./Ind. Misc. 0 20 Public Facility ? 21 Miscellaneous O 31 Demolish GENERAL INFORMATfON Const. (Actual) (Allowable) UBC Occupancy Zoning 8 of 5tories Length Depth APPROVALS V- N Basement sq. ft. 'V-N lst Fl. sq. ft. ?-I 2nd F1. sq. ft. pg_ Sq. Ft. total Footprint Sq. ft. ? On-site well On-site sewage Planning Building Engineering _ Yariance REG1UtRED INSPECTIONS ? Site ? liallboard ? 0 Footing ? Final MWCC System `(ES City Water rtzs PRY Required Booster Pump Fire Sprinkler Census Code ? 5AC Code p Z Assessments ? Framing ? Insulation ? Draintile ? Fireplace Permlt Fee Surcharge Plan Review License MWCC SAC City SAC Water Cunn. Water Meter Atct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. g es er Total: ratuotia,: $ OOJ ' 5AC % 100 SAC Units _? EX7ERIOR ENVELOPE AVERAGE "U" COMAUTATION OWNER: WOODLAND COUNTRYHOMES INC. (?' ? ? SITE ADDRESS: C•' ?)-1-??1'`{ [_ A N E PHONE: CONTRACTOR: SIEKMANN CONSTRUCTION INC. - LIC, l10001436 DATE: DETERMINE WORKING SQUARE FOOTAGE OF EACH: t. TOTAL EXPOSED WALL AREA .............. 976.00 sq ft x"U" 0.710 = 107.36 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......... 976.00 sq ft al Total window area: Double glazed ........................ 117.00 sq ft x"U" 0.430 47.73 gl azed ........... ............. sq ft x "U" = 0.00 b) Total door area :.................................... 38.00 sq ft x"U" 0.070 = 2.66 c) Total sliding door area: _ Double glazed ........... ............. 40.00 sq ft x"U" 0.430 = 17.20 glazed ........... ............. 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°k) .......,,. 97.60 sq ft x"U" 0.095 = 9.27 f) Total net wall area above floor (insulated) ........................... 689.40 sq ft x"U" 0.043 = 29,64 g) Total rim joist area :............................... NA sq ft x"U" 0.034 = 0.00 Total foundation area (exposed) ..............NA sq ft hy Total foundation window area .. ............. NA sq ft x"U" 0.430 = 0.00 i) Total net foundation area ahove grede..... 0.00 sq ft x"U" 0.045 = 0.00 3• Total a} thru il 106.51 If item #3 is the same as, or less than item !11 you have met the intent of 2 MCAR 1.16008 A and 0. Page -1- 4. TOTAL EXPOSED ROOF/CEILING CALCULATIONS: Total exposed rooflceiling 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% ............. 143.50 sq ft x"U" 0.039 = 5.60 d) Total net insulated roof/ceiiing area .................................... 1,297.50 sq ft x"U" 0.024 = 31.00 4• Total a) thru i) 36.59 If item /J4 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 J{2. 1. 107.36 + 2 37.31 = 144.67 3. 106.51 + 4 36.59 = ,r4?1 tT ?-? CERTIFICATION 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. (signaare) (Datc) Page -2- ? INSPECTION RECORD Control No. 0939 CITY OF EAGAN PERMITTYPE: euiLoxNG 3830 Pilot Knob Road Permit Number 001224 Eagan, Minnesota 55123 Date Issued: 6 B/ 12 / 92 (672) 681-4675 SITEADDRESS: LoT: se sLocK: 4 APPLICANT: 897 ZVY LANE 3IEKMANtV CONST THE WOODIANOS NORTH (612) 447-2424 PERMIT SUBTYPE: DUPLEX TYPE OF WORK: NEW INSPECTION FOOTING „ . FRAMING .. INSULATIpN FIfVAL FIREPLACE .. REMARKS: RECEIPT N S&W PL6R - GENZ-RYAN PLUMBINfa ? ? -. PERMIT C°"t °"°. 0939 ? dITY OF EAGAN PERMITTYPE: BuILoING 3830 Pilot Knob Road Eagan, Minnesota 55123 Permit Number: 001224 (612) 681-4675 Date Issued: 08 / 12 / 9 2 SITE ADDRESS: 837 IVY LANE LOT: 10 BLOCK: 4 THE WOODLANOS NORTH DESCRIPTION: %8uilding Permit Type DUPLEX Building Work Type NEW U8C Oceupancy R-3 M-1 Construct3on T.ype VN 2oning PD Building Length . 74 Building Width 30 >. r. ? .. . ,, ?? _.__..- = T%t' REMARKS: GENZ-RYAN PLU RECEIPT # C??^v ?? I S&W PLBR MBING - FEE SUMMARY: VALUATION $95,000 6ase Fee $617.00 MISC FEES $1,610.50 Plan Review $401.05 COPIES $2.00 Surcharge $47.58 Total Fes $3,378.05 SAC $700.00 SAC % 100 SAC Units 1 SubtoYal $1,765.55 CONTRACTOR: - Applicant - ST. LI OWNER: SIEKMANN CONST 14472424 000143 WOODLAND COUNTRY HOMES 6648 RUS7IC RD SE 6648 RUSTIC ROAD SE PRIOR LAKE MN 55972 PRIOR LAKE IqN 55372 (612) 447-2424 (612)447-2424 I hereby acknowledge that I have read this application and state that the intormaCion is correct and agree to comply with all applicable 5tate of Mn. Statutes and City ofi Eagan Qrdinances. L G'G1 ?-Iy1y1?d APPLICANTlPERMITEE SIGNATURE ISSUED V: IGNATURE . , PE42MI;r CITY OF EAGAN / ? Y 1992 BUILDING PERMIT APPLICATION ( 681-4675 4f `3 3 77. O.s SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COIMIERCIAL 2 sets of architectural 8 structural plans, 1 set of specifications, 1 copy of eriergy 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 Auzust / S / 1992 Yaluation of work $94,569.60 Site Address• 837 Ivy Lane STREET STE / Tenant Name: 10 e?aK 4 'BDT?oodlands North P'I.D. IF Descri tion of work: u/! .1' The applicant is: ? Owner El Contractor ? Other (Deseribe) Name Woodland Country Homes Phone 447-2424 Property LAST FIRST Owner Address 6648 Rustic Road S.E. STREET ' STE # City Prior Lake State Minn. ZiP 55372 COmpdny Siekmann Construction, Inc. PhOne 720-2424 #q72 Contractor Address 6648 Rustic Road S.E. License # 0001436 EXP, 1994 . City Prior Lake State Minn. Zip 55372 Company Phone ArchitecU Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Genz-Ryan Plumbing MO-1849 , 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 State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: 0 BUILDING PERMIT TYPE 13 01 Foundation ? 05 Apt. Bldg XL 02 SF Dwg. ? 06 Garage/Accessory ? 03 Two family ? 07 Fireplace 13 04 Multi-fam. T.H. ? 08 Deck WORK TYPE X 31 New ? 32 Addition ? 33 Alterations ? 34 Repair ? 35 Tenant Finish ? 36 Move GENERAL INFORMATION L7 09 Basement Finish ? 10 Swim Pool ? 11 Res. Add./Porch O 12 Comn./Ind. ? 37 Demolish ? 99 Undefined ? 13 Public Fac. ? 14 Agricultural ? 15 Miscellaneous Const. (Actual 3 V-u Basement sq. ft. MWCC System vL-5 (A1Towable ,j-N Ist F1. sq. ft. City Water y? UBC Occupancy P_-_? rn-i 2nd F1. sq. ft. PRV Required Zoning PD 5q. Ft. total Booster PumP i of Stories Footprint Sq. ft. Fire Sprinkler Length ? On-site well Census Code /07 Depth 3 b On-site sewage - SAC Code APPROVALS Planning Building Assessments Engineering Yariance RELlUIRED IN SPECTIONS ? Site ? Footing ? Framing ? Insulation ? Wallboard ? Final ? Draintile ? 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. Coples ,po Other Total: SAC % ? 0') vetmston: : 95 , 0c)0 SAC Units EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION DETERMINE WORKING SQUARE FOOTAGE OF EACH: 1. TOTAL EXPOSED WALL AREA .............. 976.00 sq ft x"U" 0.110 = 107.36 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........ 976.00 sq ft a) Total window area: Double glazed ........... ............. 111.00 sq ft x"U" 0.430 47.73 glazed ........... ............. sq ft x"U" = 0.00 b) Total door area :.................................... 38.00 sq ft x"U" 0.070 = 2.66 cl Total sliding door area: _ Double glazed ........................ 40.00 sq ft x"U" 0.430 = 17.20 glazed ........... ............. 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%).......... 97.60 sq ft x"U" 0.095 = 9.27 fl Total net wall area above floor linsulatedl ........................... 689.40 sq ft x"U" 0.043 = 29.64 g) Total rim joist area :............................... NA sq ft x"U" 0.034 = 0.00 Total foundation area (exposed) ............ sq ft h) Total foundation window area .. ............. NA sq ft x"U" 0.430 = 0.00 i) Total net foundation area above grede..... 0.00 sq ft x"U" 0.045 = 0.00 3. Total a) thru i) 106.51 If item k3 is the same as, or less than item /t1 you have met the intent of 2 MCAR 1.16008 A and 0. Page -1- OwNER: WOODLAND CO[JNTRYHOMES, INC. ?- , 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............. 743.50 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 4. 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 1.16008 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 #4 shall not 6e greater than the sum of Items #1 and #2. 1. 107.36 + 2 37.31 = 144.67 3. 106.51 + 4 36.59 = r143.10 ` CERTIFICATION 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. (signawce) (Date) Page -2- IV B I susD. ? o APPROVED BY: CITY USE ONLY 3 65?3 INSPECTOR xECSIPra: / RECEIPT DATE G p PLUMBING PERMIT # ? _ ..A 2000 PLVNIDING PERM=.48WO CITY OF EAGAN 3830 PILOT iQdOB RD EAGAN, lYffl 55122 651-681-4675 Please complete for. ali commercial/'mdustrial buildings mul[i-family buildings when separete building permits ere not required for each dwelling unit installation of backflow preventer in commercial areas or residentiat boulevards Date: Work Type: _ New Bldg. _ Add-on _ Repair _ U.G. Sprinkler Description ?_ RPZ To inquire if Pressure Reducing Valve is required on new service, cs11 651-6 81-4 646. FEES qa 1% of wntract price or 530.00 minimum Contract Price: $ x]% _ $ ? O COMPLETE THIS AREA ONLY IF INSTALLING UNDERGROL Base Fee - Water Meter: 2" Turbo - $897.00 unless plan approved for smaller size 1-1Y1" Turbo - S 726.00 Service: _ existing (if coming off domestic line) OR _ new \ $ 30.00 $ $ er. DionrDOwns, UbIJryBilUng -undagroundsprinklnpnmiLs If "new service ". contact Jerrv Wobschall. Finance Consultant, to conrrm addin¢ fees for: Water Permit & Surcharge - $ 50.50 Water Supply & Storage - $ 840.00 Water Treatrnent Plant Charge - $ 492.00 State Surcharee S.50 minimum; calculate at $.50 for each $1,000 Base Fee Base Fee $ lo 6' State Surcharge S . S O TotslFee S 30• SO I hereby acknowledge that I have resd this application, state that the information is wcrect, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that t6e Ciry of Eagan assumu no liability for any dsmages caused by the City during iu nortnal operational and meintrnance activities to the facilities eonsVUCted under this pertnit within City property/right-of-way/easement. SITE ADDRESS: ES 3 7 -CV 1 Lh-N c? ` TENANTNAME:? W?tS? QGOT'7 SCUhlLr TELEPHONE#: An Y 7 (ueEn cone) WAS'fHERE A PREVIOUS TENANT IN THIS SPACE? Y N NAME: INSTALLER NAME: M'M C TELEPHONE #: (AREA CODE) ? ? STREET ADDRESS: 13 ?10 WlrS ??IJ 1. ?u.i•l A?Ih_ ?O , crrY: Szb?,.l 0.,? STATE: MnI zEP: 3s'3gy _ ?-Li , CITY USE ONLY DOMEST[C METER SIZE: COMPOUND TURBO • Contact Utility Billing Division for price: 651- 6814631. IRRIGATION METER SIZE: • 2"t turbo unless approval for smaller meter granted by Public Works. •. Contact Utility Billing Division for price: 651-681-4631. PRV: Yes No PRIOR TO SELLING A METER: • On Permit EnRy screen, enter site address to look up sewer and water permit #. Select S&W Permit and check that hydrostaric and conductivity tesu have been approved. If not, do not issue meter. Miscellaneous • Meter lazger than 5/8" - ask plumber ro wait while you call Central Maintenance (ext. 300) and verify that one is in stock. • To schedule inspection of the inside water line and backflow preventer, ca11 65 1-68 1-4675. ? • To schedule water turn-on, call 651-681-4300. ' CD/Permit forma/plbg permit (comm) 2000 /0 CITY USE OA'LY • B UBD. APPROVED BY: INSPECTOR 1999 fLUId$INCY PEIvtIT (COMMEtCtAL) CITY Of F-AfiAN 8$30 PILOT KNO$ $D EAE,4N. MN 55122 (651)6$1-4675 Pleasc complece tor. all commerciaVindustrial buildings multiSamily buildings when separate building permits are not required for each dwelling unit installation of backflow preventer in commercial areas or residential boulevards Date:---?? Work Type: _ New Bldg. _ Add-on _ Repair X U.G. Sprinkler ? RPZ Description of Work: ?-/l ?? To inquire if Pressure Reducing Va ve is required on new service, ca11 68 1-464 . FEES I% of contract price or $30.00 minimum _ Contrac[ Price: $ x 1% COMPLETE THIS AREA ONLY IF INSZALLING LiNDERGROUND SPRINKLER SYSTEM Backilow Preventer Permit Fee - $ 30.00 Qf n $ 30, Oo -1 R'a[er Meter: 2" Turbo - $ 889.00 uess plan appr?o v d for smaller size Service: _ exis[ing (if coming off domes[ic line) OR _ new !f'Saerv servrce". contac! Jer+v Wabschall Finmnce Consultant to confi+•m nddine fees for- W ater Permit & Surcharge - $ 50.50 $ -,C7- Water Supply & Storage - S 825.00 $ -@ Water Treatment Plant Charge - S 468.00 $ ? Permit Fee $ Stace surcharge is calculated from Pemut Fee at nght -SkkrLJA f b State Sul'charge $ $.50 for each $1.000 with a minimum of $.50 due Total Fee $ L L I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicanYs responsibiliry to notify the proper[y owner that the City of Eagan assumes no liability for any damages caused by the Ciry during its normal operational and maintenance activities to the facilihes constructed under this peirnit within Ciry property,'right-of-wayJeasement. 937 SITE ADDRESS TENANT NAME: b IIVSTALLER NAME: STRL-ET ADDRESS: CITY: 6R 610s, RECEIPT #: RECEIPT DATE ' -Q PLUMBING PERMIT # F?766 a: &/,;)- d''3S - (AREn CODE) TELEPHONE k: SIGN'A'CURE OF PERMITTEE [N? -O(Lm L/0 ( CASH RECEIPT CITY OF EAGAN 3830 PILOT KN08 ROAD EAGAN, MINNESOTA 55122 OwTE 19 ? AMOUNT a ooLuns ? ? CASH pi?CHECK ? ?I i -'?? C?f? cLvV FUND OBJECT AMOUNT 3 ?O TTT Thank You ? u- BY /`r (,°t O l,? ? ? ?I-e-4k ? 6 ?/c-? La V'L P6..k C021453 ?? 7-X9 ; Pw.-mc? Qvt s-s-? ?- ?--. - ?f' S a ,.. CITY OF EAGAN Page 1 of 4 PERMIT ..._.- .d WORK WITHIN CITY ROADWAYS 1. Location (,(,fpp bf_AnJh (loun/T2-/ /'/onnCSlt., A? t. An/c-' ?AC?RiJ ?39 i V Y Lfr)q / oo l?L-a,df Q(Ob7G, 2. Nature of Work 3. A construction sketch or plan shall show the location of the proposed work. A copy of the sketch or plan sha11 be provided with permit application. 4. Method of Installation or Construction TL-'.?GN/nl( ANA b/6 2/97,72V 5. Work to start on or after8-20-qZand shall be completed by approximately f?_7n_9y 6. Will detouring of traffic beTnecessary? 11,ill If ne cessary to detour [Araffic, describe suggested route: DETOURS: The Director of Public Works shall be notifi ed in writing at least 72 hours in advance of any detour being established, changed or discontinued. NAME OF APPLICANT ?jOnJ?E2 Mi7?WE5T- I.JG &IEa?I EcAI- ' - ' e?)PHONE ADDRESS AA IE1fSE T P ? oUC; .r??n/ NAME OF PARTY OR ORGANIZATION PERFORMING WORK ?e?w&-r-rL. /VI rN. • ZIP- ??cT ?.? f ADDRESS ;AAPL? ??jC- AA/ S-?ZZ ll PHONE eIL 6 - .E q (s I The undersigned herewith accepts the terms City of Eagan as herein contained and agree to of the Eagan City Council. For: VIO,v_ ?p CS i 6j L . Signed:?? and conditions of the regulations by the fully comply therewith to the satisfaction Title: Date: Q - / ?- -9 Z IFOR CITY USE ONLYI AUTHORIZATION OF PERMIT Fee: $?? Receipt No. Ir?? Permi[ No? In consideration of agreement to comply in all respects with Che regulations of the City of Eagan covering such operations, and pursuant to authorization duly given by said Eagan City Council; permission is hereby granted for the work to be done as described in the above application, said work to be done in accordance with special provisions as hereby stated: ALL LEGAL REQUIREMENTS SHOWN ON REVERSE WITH! THE DATE WHEN WORK IS COMPLETED APPROVED BY: DEPT. OF PUSLIC WORKS BY: DATE: -?, SIDE AND ON "SPECIAL PROVISIONS" TO BE COMPLIED MUST BE REPORTED T0, THE EAGAN CITY ENGINEER. - ,,.,, . ^•, •^? .? ' - • CITY OF EAGAN Page 1 af 4 PERMIT . WORK WITAIN CITY ROADWAYS ? ? ?/ 1. Location ((??nhi AnJL? (I,hrJn/T2`/ Hnnn(=C11SLlg?4 L./-in/r- r? A 0 V Y N C ULliri.I S GL TG 2. Nature of Work lJ....-??n...,.n. L„.._i Sucr:= ,. 3. A construction sketch or plan shall show the location o£ the proposed work. A copy of the sketch or plan shall be provided with permit application. 4. Method of Installation or Construction 5. Work to start on or after8-2p4zand shall be comple[ed by approximately46_7n,1?c/ DATE DpTE 6. Will detouring of traffic be necessary? /t-Jn If necessary to detour traffic, describe suggested route: DETOURS: The Director of Public Works shall be no[ified in writing at least 72 hours in advance of any detour being established, changed or discontinued. NAME OF APPLICANT Q?n.iSE_R Mi??wFS?p C_ . !'Tc'fati Euf? F?J PHONE yZo .r,caRr ADDRESS C'C2/I NAME OF PARTY OR ORGANIZATION PERFORMING WORK ADDRESS PHONE L/Z u- R q k 1 The undersigned herewith accepts the Cerms and conditions of the regulations by the City of Eagan as herein contained and agree to fully comply therewith to the satisfaction of the Eagan City Council. For: Trris,<-r-R AlCINr , Title: Signed: Date: Q-/ k- _Gf Z IFOR CITY USE ONLYI AUTHORIZATION OF PERMIT Fee: s J+? ? Receipt No. fi Ifh Permit No? In consideration of agreement to comply in all respects with the regulations of the City of Eagan covering such operations, and pursuant to authorization duly given by said Eagan City Council; permission is hereby granted for the work to be done as described in the above application, said work to be done in accordance with special provisions as hereby stated: j APPROVED BY: DEPT. OF PUBLIC WORKS DATE : `". ,• )? I ?; Z V I ALL LEGAL REQUIREMENTS SHOWN ON REVERSE SIDE AND ON "SPECIAL PROVISIONS" TO BE COMPLIED i1ITH! THE DATE WHEN WORK IS COMPLETE? MUST BE REPORTED TO THE EAGAN CITY ENGINEER. , Page 3 of 4 c. Except for the negligent acts of the City, its agents and its employees, [he permittee shall assume all liability for, and save the City, its agents and its employees, harmless from any and all claims for damages, actions or causes of action arising out of the work to be done herein and the continuing uses by the permittee, including but not limited to the placing, constructing, and recons[ruc[ing, maintaining and using of said utility under this application and permit for construction. 5. Existing Facilities--The utility facility and installations shall not interfere with any existing utility facility on the City's right-of-way. 6. Private Property--The work permit or permit for construction as issued does not in any way imply an easement on pri.vate property. 7. Quality of Work--Finished surface, base and sub-base of road upon completion of work shall be at least equal to or better than specifications of original road in accordance with City Standard Specifications. Surface shall be finished within 48 hours upon completion of backfill. 8. Cutting Trees--The permission herein granted does not confer upon the permittee the right to cut, remove or destroy trees or shrubbery within the legal limits of the roadway or relieve permittee from obtaining any consent otherwise required from the owner of the property adjacent thereto. 9. Drainage--All waterways and lines of drainage shall remain operative. 10. Pole Anchors--No pole anchors, anchors, braces or other construction to be put on roadway shoulder, except by permit authorization. 11. Driving Limitations--No driving onto highway from ditch or driving on shoulders or over curbs where damage wi11 occur. 12. Lugs on Equipment--No lugs shall be used on equipment traversing road which wi11 damage the road surface. 13. Clean-Up--Street surface and roadside shall be cleaned after construction is completed and left in a neat and presentable condition. 14. Trees and Vegetations--Burning or di.sking operations and/or the use of chemicals to control or kill trees, brush and other vegetation is prohibited without prior approval from the City. 15. Replacemen[ of Sod--Wherever top-soil and sod are disturbed, they shall be replaced and maintained satisfactorily until the turf is established. The undersigned hereby declares he/she has read and will comply with all the PERTINENT REGULATIONS as stated above. DATE: ?'j-/g-gZ. SIGNED: Z<_ I ccz'16 ? • ' ? >. -•'`?% • ? "s + ' Page 3 of 4 c. Except for the negligent acts of the City, its agents and its employees, the permittee shall assume all liability for, and save the City, its agents and its employees, harmless from any.'and all,.,claims for damages, actions or causes oE action arising otit-of-the-"wo'rTc='t6'-be done herein and the continuing uses 6y the permitte), including but not limited to the placing, constructing, and reconstructing; vmaip"hning and using of said utility under this application and permit for construction.; /c 5. Existing Facilities--'Che utility facility and installations sha11 not interfere with`any existing utility facility on the City's right-of-way. i• 6. Private Psoperty--The work permit or permit for construction as issued does not in any way imply an easement on private property. 7. Quality of Work--Finished surface, base and sub-base of road upon completion of work sha11 be at least equal to or better than specifications of original road in accordance with City Standard Specifications. Surface shall be finished within 48 hours upon completion of backfill. S, Cutting Trees--The permission herein granted does not confer upon the permittee the right [o cut, remove or destroy trees or shrubbery within the legal limits of the roadway or relieve permittee from obtaining any consent otherwise required from the owner of the property adjacent there[o. 9. Drainage--All waterways and lines of drainage shall remain operative. 10. Pole Anchors--No pole anchors, anchors, braces or other construction to be put on roadway shoulder, except by permit authorization. 11. Driving Limitations--No driving onto highway from ditch or driving on shoulders or over curbs where damage wi11 occur; 12. Lugs on Equipment--No lugs shall be used on equipment traversing road which will damage the road surface. 13. Clean-Up--Sireet surface and roadside sha11 be cleaned after construction is completed and Left in a neat and presentable condition. 14. Trees and Vegetations--Burning or disking operations and/or the use of chemicals to control or kill trees, brush and other vegetation is prohibited without prior approval from the City. 15. Replacement of Sod--Wherever top-soil and sod are disturbed, they sha11 be replaced and maintained satisfactorily until the turf is established. The undersigned hereUy declares he/she has read and will comply with all the PERTINENT REGULATIONS as stated above. ' DATE: 2_? ._[jy SIGNED:_' ? ?. , ? )i cirr use oNLr L BL J/ suso. MC WUOGlffYhLfg NUY}k RECEIPT#: RECEIPT DATE: '3- a S''Od PERMIT# 6?10.I13_ 2000 PLUIMING PERMIT (RESIDEIVTIAL) CITY O& EAGAN 3830 PILOT KNOB RD EAC,AN, tID7 55122 651-681-4675 Please camplete for. ? single family dwellings ? townhomes and condos when permits are required for each unit D 6ackflow prevenier for underground sprinkler system FIXTURES EACH # TOTAI Alteretions to existing dwelli inimum fee Describe: (,??rr ?h.? r $ 30.00 Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas piping outlet ' minimum - 7 100 x = $ Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x = $ Laundry tray 3.00 x = $ Lavatory 3.00 x = $ Septic S stem new/refurnosned "requires MPC lic. 75.00 x = $ SeptiC System abandonment 30.00 x = $ RPZ new installationlrepaidrebuild 30.00 X = $ Rou h openin 1.50 x = $ . Shower 3.00 x = $ Underground sprinkler rfdwelling is under cunstruction 3.00 x = $ Under round sprinkler if existing dwelling 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ Water softener If dwelling under construction ' 5 .00 x = $ Water softener if existing dwelling 30.OD x = $ 30 .cxD Waterturnaround 30.00 x $ State Surcharge 50 -> -> ---> $ .50 TOt01 -> -> -> ---> $ 36. Sc> Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. --------------••-----------------------....--------------------------------------------------------°------.. _._ _....---°--..._..._... °--- I Fiereby adcnowledge that I have read this appliption, state that the infortnation is cortad, and agree W compty with all appliwble C8y of Eagan ordinances. It is the applicaM's responsibility M noMy the property owner that the City oF Eagan assumes no liability for any damages caused by the City during its normal operational end maintenance adivities to the facilities construded under this pertnit within City propertylright-of-way/easement. SITE ADDRESS: OWNER NAME: : xGT& ?? rz34? V TELEPHONE #: ? ?SZ -S?d 9L / (AREA CODE) INSTALLER NAME:. J;4112O" 1UA125e 110. TELEPHONE #: fy1L / STREETADDRESS: 7VP //v/o44 4?L,. lg?11I (aaEa cooe) . CITY: ?s?yYl STATE: ,?9/!/ ZIP: SIGNATURE OF PERMITTEE t 6L CITSt OF EAGAN SUBD. (PLUMBIN681-?46 5 R88IDENTIAL PLEASB COMPLETE IIPPER YDRTION ONLY FOR SINGLE FAtiILY DWELLINGS WHEN PERMITS ARH REQZTIRED FOR EACH UNIT. LIORK DESCBIPTION NEW CONST ? ADD ON REPAIB OWNER NAME: SIxE nnDxESS: u SNSTALLER: GENZ-RYAN PL[JMBING ADDiZESS: 14745 South Robert Trail CITY: Rosemount Zip; 55068 .. . ': ..?\... CITY USE ONLY D6 ?/2- RECEIPT # DATE ?-- ALSO, FOR TOWNHOMES AND CONDOS COMPI.ETfi THE FOLLOWING: N0, , FIXTURES fiA. TOTAL RHPAIR/ADD OIQ 15.00 SHOWER 3.00 WATER CLASET 3.00 =6 ? BATH TUB 3.00 ? O o°L IAVATORY 3.00 Z KITCHEN SINK 3.00 -j6.2[.) _ IAUNDRY TRAY 3.00 HOT TUB/SPA 3.00 ? WATER HEATER 3.00 oLd FLOOR DRAIN 3.00 3 G?(? GAS PIPZNG OUT. ? (MINIMUM - 1) 3.00 ROUGH OPENINGS 1.50 ? pTHER U' a17e( ? ` WATER SOFTENER 5.00 _ PRIVATE DISP. 15.00 _ U.G. SPRIPIKKLER 3.00 _ W. TURNAROUND 15.00 STATE SLTRCHARGE .50 TOTAL: S a 3-Sc) PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. AISO FOR MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQIIIRED FOR EACH DWELLING UNIT. WORK DESCRZPTION: OWNER NAME: SITE ADDRESS: TENANT NAME: SUITE #: INSTALLER: ADDRESS: CITY: PHONE J: 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 SURCHARGE TOTAL: (S IGNAT[IRE) $ $ CITY OF EAGAN PHONE #; 423-1144 t ?? - BL CITY OF EAGAN 9 PLUMBING PERMIT SUBD. (612) 681-4675 R88IDSNTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ?WORK'?DESCRIPTION /EW C?N9T N ADD ON _ REYAIR _ OWNER NAME: SITE ADDRESS: ? ?')"/- INSTALLER: ADDRESS:? ?ITY:45 3756 6 NO ? ? ? CITY USE ONLY RECEIPT # ?? 5Sv DATE q ALSO, FOR TOWNHOMES AND CONDOS COMPLETE THE FOLIAWING: FIXTURES EA. REPAIR/ADD ON 15.00 SHOWER 3.00 WATER CIASET 3.00 BATH TUB 3.00 IAVATORY 3.00 KITCHEN SINK 3.00 IAUNDRY TRAY 3.00 HOT TUB/SPA 3.00 WATER HEATER 3.00 FIAuR DRAIN 3.00 GAS PIPING OUT. (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 TOTAL ft 7 U? STATE SURCHARGE .50 ~ TOTAL: $ 'Y J .?J 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 #: FOR: CITY OF EAGAN 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 SURCHARGE TOTAL: $ $ (SIGNATURE) PHONE #: 17?s - l??S?T L 9 B CCHAIVICAL PIItMIT SUBD. aa9 ?O ? (612) 6814675 RESIDENIUL xECEtrr # CO2O1u3 ! DATE? ka 4 C4 PLEASE COMPLEl'E UPPER PORTION ONLY FOR SWGLE FAMIIY DWELIINGS. AiSO, COMPLETE FOA TOR'NHOMFS/CONDOS WHEN 3EPARATE PERM11'S ARE REQUIRID FOR EACH DR'ELI,IIdG UNIT. ORNER: ? FEFS SITE ADDRFSS ADD ON/REMODEL (F.IiQSTING CONS1'RUCl'ION ONM $ 15•00 INSTALLIIt: HVAC: 9-100 M BTU 24.00 PHONE #: v 0 ADDITIONAL SO M BTU 6.00 ADDRFSS: TA l ( S GAS OUTT.E15 - hiIIVIMiTM 1@ $3 EA. 3. o J CITP: ?v cr ? ZIP: r) ? SURCHARGE $ .50 SIGNA TOTAL: COMMERCIAL PLEASE COMPLEfE THIS PORTION FOR ALL COMMERCIAIJINDUSTRIAL BUII,DINGS. AISO COMPLEI'E FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS V1'HEN SEPARATE PERMTI'S ARE NOT REQUIRED FOR EACH DWELLING UNTf. WORK DFSCRIPTION: CONTRACI' PRICE: I FEFS 1% OF CONTRACf FEE. ? STATE SURCHARGE LS $.50 FOR EACH $1,000 OF PERMTT FEE. S PROCESSID PIPING - $25.00 $ MINIMUM FEE - $25.00 CTTY OF EAGAN L_/_Q L4 ? MECHANICAL PERMIT RECEIPI' #CCJ zU(a3 ( SUBD. (612) 681-4675 DATE U/?? " RESIDENTIAL - - -- PLF.ASE COMPLEfE UPPER PORTION ONLY FOR SWGLE FAMIIY DWEId.INGS. ALSO, COMYLETE FOR TOWNHOMFS/CONDOS WHIIN SEPARATE PERMPlS ARE REQUIRID FOR EACH DWELLiNG UN1T. OWNER: • FEES SITE ADDRFSS: ADD ON/REMODII. (EIQSTIIVG CONS7'RUCTION ONLl) $ 15.00 INSTALLER: HVAC: 0.100 M BTU 24. PHONE c?. ADDTI'IONAL 50 M BTU 6.00 ADDRFSS: 5'"1 l L 1 ??-.Ca? T GAS OU1'i.El'S - MINIMUM 1@ $3 EA. -3•103 crrY: zrn: suxcanRCE: $ so SIGNATURE: TOTAL: $ L:? V COMMERCIAL PLEASE COMPLEI'E THIS PORTION FOR ALL COMMERCIAIJINDUSTRIAL BUII,DINGS. ALSO COMPLEfE FOR APARTMENT BUILDINGS OR OTHER MUI.TI-FAMILY BUII.DINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNTT. WORK DFSCRIPI'fON: CONTRACf PRICE I FEFS 196 OF CONTRACT FEE. ? STATE SURCHARGE IS $.SO'FOR EACH $1,000 OF PERMTf FEE $ PROCFSSED PIPING - $25•00 MIIVIMUM FEE • S25.oo Fs PLUMBING (RESIDENTIAL) Permit Application / O 4? ?j City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-"k75-5675 FAX # 651-675-5694 ? Please complete for: Si e Family Dwellings ownhomes and Condos when permiu are required for each unit Date -I / Z I / pJ Site Address Unit # ProperTy Owner Telephone tl ( ) Contractor Address ??JL1 ?••?? VV\v?. City L..t.+A L?ks State 1 y-3 Zip 5'50kq Teiephone #(4S() Z$!o • Z? SS?S The Applicant is _ Owner ?L"Contractor _ Other Sep[ic Sys[em New _ Refurbished Submd 2 sets of plans and MPC license $ 100.00 Includes County fee. Additional consultant fees may apply. Alterations To Existing Dwelling Unit, Including $ 50.00 _ Adding fiMures to lower levels or room additions, excluding water soRener and water heater _ Abandonment of septic system _ Water turnaround (+ 5/8" meter if needed -$121.00) Other: ? RPZ _ new installation _ repair li--rebuild $ 30.00 _ Lawn irrigatimi system _ Water softener _ Water 6eater $ 15.00 _ replacement _ additional State Surcharge n J11' ? L? ZCC? , i? $ .50 ' ' Total $ ? i 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 with the Plumbing Codes, that 1 understand this is not a permit, but only an application for a permit, and work is not to start without a pe that the work w' be in ac ance with the appr ved plan in the case of work which requires a review and approval of plans. 112 v r?l l7?av1,va, ? ? Applicant's Printed Name Appjicanffi Signatu"re PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA176712 Date Issued:05/27/2022 Permit Category:ePermit Site Address: 833 Ivy Lane Lot:9 Block: 04 Addition: The Woodlands North PID:10-75890-04-090 Use: Description: Sub Type:Water Heater Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Francine Linhart 833 Ivy Ln Eagan MN 55123 Champion Plumbing Llc 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature