844 Ivy Lanee •? 't? ?
KeL`tij iCQfe df CCCIipQIiC?
Witiq of Cfagan
Tc4artaa[t oF'8niliing audpectiaa
This Cenificate issued pursuant to the requirements of rhe Uniform Building Code
certifying that at the time of issuance this struclure was iR compfiance with the various
ordinances of rhe City regulnting building construction or use. For the following:
Use C{assificatiao: DUFM I I ?'' 2UNM) Bldg. PertnN No. 21868
Oc-p-Y TyPe -$3A11 Tonina Disuic= PD Type Ccnst. VLl
Owrci of 8uildirtg QaWn? BLJIR.S Addnss 6648 ELEIr ? ? , FRZRE 1.MM
Buiwing namar 846 IVY LANE Locd;rj$sj2s 1HE WOOiANIDS NCM 3RD
/ r oue: ',
- ? auiwos dt?wt ,
POST IN A CONSPICUOUS PLACE
INSP,E
CITY"OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
CTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
I of c 8 t3i u1;1:1
f VY I. ANt
? . ? nNitI. rynkfN Aafl ?
.., . a?t,.•?,..>:..f?,. ??? `:'?`?`;fi!1
PERMIT SUBTYPE:
I 141 WI E1 PP
IF
!+ IJ f' l N!,
III N: I3Yf{N I'111
APPLICANT:
I t? ) .? ) q 4 1
TYPE OF WORK:
!iF ';i 1411,11 1 ; , i.
ttUtI11 INll
Gi .' 1 tt r. ii
W t. t v?'r 1<1 n
rar ??
t i r) i .? I.I N i i'? )
?
J
Permit No. Permft Holder DaGe Telephone 8
SNV
PLUMBING
HVAC
ELECTRI
ELECTRIC
Inspectlon Date Insp. Comments
Footings I
71f ??
Foundation
?
Framing G
v
Roofing
Rough Plbg. /ZZ7?' ?
Rough Htg. - v?,
Q
/J 71e- 9 '-'! G ?
ls,l.
Freplace
[..)
Final Htg.
l
Orsal Test
Final Pibg.
ar Plbg. Inspector - Notify Plumber
Const. MBter
EngrJPlan
Bidg. Final 9 ?,Si9
!
Deck Ftg.
Deck Final
Well
Pr. Oisp.
e
1-7
f?-
1
. t
INSPECTION REC4RD
I CITY OF EAGAN PERM(T TYPE: tt j i r? r r+I, ?
3830 Pilot Knob Road Permit Number.
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLtCANT:
;lyd{?., t+i(it; i)t 531140 PERMIT SUBTYPE:
i:
TYPE OF WORK:
?5rnW 1
I I iaos , rj I I I: rwAl
Permit No. Permit Holtler Date Telephone #
ELECTRIC
PLUMBING
HVAC
Inspectlon Date Inap. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
Alfi TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD •
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
OftSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAI
el r ?'"?
Wertificate of cccuvanc?
Wit4 of Wagan
Teo artm 1 eut oF Zadtbing ani3pectian
This Certificate issued pursuant ta the requirerrients oj the Uniforrn Building Code
certifying lhat at the time of issuance thrs structure was in compliarece wrrh the various
o?dinarices of the City regulating building construction or use. For the following:
Ux Ctassificaaon: ?? ( I OF 2UtIM) Bldg. Pcrmit No. 21867
. Occupurcy Type ON Zeoing Disaict PD Type Const. VN
Owner of BuiJdina WJNIRYIM $IA2.S IlVC Address 664$ RLISTIC RD SE, PRIat 1.AKE
sksiaing naam 844 IVY IANE ?nyL7. B2, IlHE WDOMAt+DS N7RM ?tD
r Date. z
sniWing otFic;a? _
POST IM A CONSPICUaUS PLACE
"CITY OF EAGAN
-3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 661-4675
SITE ADDRESS:
i ! ,hlk
liii?l!f I1iYU'• NI!it l N
PERMIT SUBTYPE:
TYPE OF WORK:
1?!:'?I 111I'1 I I )N
INSPE
ON RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
N. lt?h?06 r09 /14
APIPLICY?NT:
Ru ???_,,?? aa/ .
Fit 1I1<';
12 4
Mt L1
( l t)t• .' I?N1 i•.1
I ; ;; ;?J.t.I ;, .. a; ta i-a tirz fif.H.• WrnN
PermR No. PermH Holder Date Telephone M
S/W
PLUMBING
HVAC
ELECT
ELECTRIC
Inspectlon Date Insp. Comments
Footings i
'^V
!,/lQy ?
Foundation 4;?
?lv Q
??7
Framing
!
Foofing
Rough Plbg.
Rough Htg.
l5ul. lQ
Freplace
Final Htg.
- ??
O?sat Test
Finai Pi6g. _? . Plbg. Inspeccor - Nolify Plumber
Consi. Meter
Engr./Ptan
Bldg. Final ._??0?/-fj?
7 / ?6?
Deck Ftg.
Deck Final
wen
Pr. Disp.
v v
CITY OF EAGAN PERMIT TYPE: ''''' N' ?
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued: '
(612) 681-4675 ?
SITE ADDRESS: F' APPLICANT:
? • ;',%i 1 r1r4 f
i 71i IJiiitl?i l?tt4i , ril111! f?? 'if1?3''?. ' (?• i-' 1 ^I•1 I ?l ::;?i
PERMIT SUBTYPE:
TYPE OF 1NORK:
I t 1aA i r c,N
INSPECTION „ • rA
77
- ? ?
I
? ; : _ ?1
Permit No. Permft Holder Date Telephone N
ELECTRIC
PLUMBING
HVAC
Inepection Date Insp. Cbmments
FOOTINGS
FOUND
FAAMING
?
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
_
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
? J3
FINAL PLBG
FINAL HTG
ORSRT
TEST
BLDG FINAL
t ?
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
81/?REQUEST FOR ELECTRICAL INSPECTION
?? See instrudions Ior com0leting this torm on back ot yellow o?py
M
W" 9 5 4 5 X° Below Work Covered by This Request
EB-00001-08
? ?c-?????`' o? ?-??a
e ?A6B Fap TypeoiBmiding App6anaesWired EquipmentWired
Home Range Temporary Service
ouplex Water Heater Electric Heating
Apt Bmldmg oryer Load Management
Comm./tndustrial Furnace Other (Specify)
Farm Av Contlitioner
plnertsVecdy) Conhactork Remerks
Compute Inspection Fee Be7ow.
# Orher Fee # ServiceEntranceS¢e Pee # CircmGS/Feeders Fee
Swimming Pool 0 to 200 Amps 0 ta 100 Amps
Tiansformers Above 200 _ Amps oue t00 _ mps
$IgnS , Inspector's U. Only, ? TO L
Irrigation 6ooms f 7? 1. CL>
?? ? ?s
Speaal Inspection
Alarm/Communication THIS INSTALLATION MAV 8E 0 ED CONNECTEO IF NOT
Other Fee ? COMPLETED WITHIN 16 MONTHS.
I, the Electrical Inspector, hereby
if R°u9n-in oa,a
`f
cert
y that the above inspection has
been made. F,nai ? oaie Z
OFFICE USE ONLV
'Tnis requast vad 18 montns trom
69
0
4 5 8`/?
Y
ReWe%? Date Frta Na RouBI^ I^PSecliOn ReQwretl
r?u usf cell inspeclorwlen reatly) Ins
ernon Other Ttan jiou-In
qeady Now ?o? WiII Noti1y Inspecbr
Vec ? No Date ReaCy
I?<licensed contractor D owner hereby request inspection ot above electrical work at:
Job Adtlress ISlreel. Box or Route No City? ?
Sac4on No Township Name or No Ranga No Couny
Ocmoant (PRINT) P?one No
Power S lier Atltlress ?
Electncal Convact mpany Namel ? Con ctor5l?cense No
w
MaJinq Atltl'ess IGonVaclor or Owner Makmq InstallaLOn)
&-,7S
Autnonz tl na!ure ICom:acbrOwner Maung Ins;allatwn) ` p
1?-- ?i. Phone Number
3 7i?2 -!'0 3
MINNESOTA STATE BOAqO OF ELECTHICITV THIS INSPECTION REOUEST WIIL NOT
Grlqgs-Mbway Bltlg. - Roam 5193 BE ACCEPTEp BV THE $TATE BOHRD
1821 Unrverslty Ave.. S1 Paul. MN 551114 UNLESS PROPER INSPECTION FEE IS
PMne(612) 66E-OB00 ENCLOSED
op-g/?/CJ? REOUEST FOR ELECTRICAL INSPECTION ee.ooom as
? See inslmceons Yor comple[ing this form on back oi yellow copy .?n .Z ?i&
0- 6954 4 , 3'?Z?,S ! c?'" U .. `x" 8elow Work Covered by This Request ?•?,•
ew TypeofBUilding AppliancesWired EquipmentWired
Home Range TempOrery SeNiCe
Duplez Water Heater Electric Heating
Apt Building Dryer Loatl Menagement
Comm./Industrial Fumace Other (Specify)
Farm Air Condihoner
Olher lauectly) Contrdctor's Remarks
Compufe Inspection Fee Below.
8 Other Fee # Service Entrance Size Fee # CirCwts/Feeders Fee
Swimming Poal 0 to 200 Amps - 0 to 100 Amps -
hansformers Above 200 _ Amps Above 100 _ Amps
Signs Inspedors Use only TOTAL
Irriqanon Booms
Special InspecM1On ?
Alarm/Communicanon THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 78 MONTHS.
t, the Electncal Inspector, hereby
lif
th
i th
b Rough-m //?
??t? os?e ?
cer
y
a
e a
ove inspecLon has
been made. Final ete
• w7
OFFICE USE ONLY
This requesl voi0 t8 monins trom
C? 9 5 4 4
RequBSt Date L
S- a- 9? ' Flle No. Faugh-In InpSectiOn Reqwretl
(Yau mua II mspedor when rea y)
?ee ? Na I?spedion Other ihouBhln
? qeatly Now Will NoUty InepeopOr
Da?e Feaa
I'yElicensed contractor O owner hereby request inspechon of above electrical work at:
Job Atltlress (SVeel. Box or Roure No )
? Ciry
Section No Township Name or No Range No Coun ?
Occupam (PRINT? ? Phone N.
Pow Suppber Adtlress `
ElecVical Co tor (COmpany Name) ConVedor's L¢ense No
C_1 1/17-D?? 95?
Matling adaress tCOn acror or Owner Making InstaliaLOn?
7fo ?5 ,
Au[horizee nawre ICOmractonOwnar Making Inslalla ;
n
I %? Nui..I Phona'u?
CJ J _
V CO
MINNESOTA STAiE BOARp OF ELECTflICITV 1 THIS INSPECTION FEOUEST WILL NOT
Grigga-Midway Bltlg. - Room S-173 BE ACCEPTED BV THE STATE 80ARD
1821 Unrverelty Ave. 51. Paul. MN 55104 l1NLESS PROPEP INSPECTION FEE IS
Vhone(612)6CY-0800 ENCLOSED
RE9UEST FOR ELECTRICAL INSPECTION n;es IIIII I II II II III I II I II II II II I IIII IIII 8f21 Unoiv sState ity AvearRmf 3e BIC?. Paul, MN 55104
s 0 2 4 1 0 7 6 9 * Pnone (siz) 642-0800 ?(p
Home Duplex Apt. Bldg. Naw Addn
Commercial Industrial Farm Remod Re air
Air Cond. H}g, Equip. Water H}r. Load Mgmf. Ofher:
D er Ran e Elec. Heat Tem . Service
"k' above ffie work covered by fhis requesf Enter remarks in this space and on the back of the whife copy only.
Calculate Inspechon Fee - This Inspechon Request will not be accepied wiNiouf fhe corcecf fee:
OHher Fee S $ervice Enfrance $ae fee # Circuih/Feeders Fee
Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps
Streef Li911'raffic Sig. Above 200 Amps Above 100 Amps
Trans{ormer/C?ienemfor INSPECTOR'SUSEONLY TOTfL
Sign/Ou}line Ltg. Xfmr
•
Alarm/Remote Conirol ?O
$Wimming Pool
I hareb am Mat I ms ened the ele
ol sMllab x al hOrin an Ihe dvks smted
Inigotion Boom Ro.gh-I.
Special Inspedion ?
Inveshgative Fee Fewl
ak4 ?
THIS INSTALLATION MAY BE ORDERED DISCONNECT I T COM LETE WI HIN 78 MONTHS.
2 a??q1_ 0?/? ?
b OFFICE SE O LY This requeet vaid 18 manihs hom wlidalion dme pnnted m ihi Jrf ??
?.2??9?v • /
PLEASE PRINT OR TYPE
•
Raquesf Daro
??( ( Rouqh i? ?nspenion mqmred2 ,?lea ? N. Inzpechan Other Than Rooghin '?ReadY Now ? Will Call
k R
d
D
'
a?. J
+j eo
y.
o
0o mas? call ?he inspeeur whm reodYl
(1
I, 9?licensed con}ractor 0 owner hereby requesf inspection of the above elecfrical work af:
Job Address SVeel, Bm, or Rouh Na J
$`f' 2 v Co, h? Gry
?`?'? Zip Code
S5
Section N.
- Townsh,p Name o? No
-?-- Ranga No Flrc No
r- Counry j. .
?14 i1 B f T
OccuPont
T-el-,c- Phone N.
a63 /ooo
Povrer Supplier Addren
A[J !?
Eleckical Conhador (Camvany Name)
-5'.2CS'?jSoas! Conimaor Ganse No. Mornr 4c No (Plan? Elecl Only)
'-
Mailing Address (Canbanor or O»ner Per(o n9 Inamllaoon)
/1',,1
Ff 331-/ S/ 5?c-,7 3-ec
,
,
Aothonzed ?Signaw?ie (C/onhotlo? orOwner Pedo rg InsMllabon?
? Phan,e ? /No. ?? ??
?I
?
/O?' i !
EB-00001A.10 6/95 STATEBORRDCOPY-SEEINBTRUCTIONSONBIICNOFYELLOWCOPY
Address 846 IVY LAM Zip 5512 3
. , .
Lot R Blk 2 Sub 11E wooDI.Arms rOunt 31m
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'fON.
Date: 02 9 Yes No Inspector: W,
Final grade (6" from siding)
Permanent steps (garage)
Petmanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
TraiUcurb damage
Porch t?
Basement finish
Deck.
Please verify with the builder 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 exisis.
Contact engineering division at 6814645 before working in rightof-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contracar Copy
Address 844 1vY IANE Zip 55123_
Lo't '' 7 Blk 2 Sub 1HE woonurms NoRrH 3un
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION.
Date: q7? 4( q Yes No InspeMOr:
Final grade (6" from siding)
Permanent steps (garage)
Pecmanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
TraiUcurb damage
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and [he shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Contaa engineering division at 6814645 before working in righ[oF-way or installing underground sprinkler system. ?
White • Ciry Copy Yellow - Resident Copy Pink - Contraclor Copy
d2ESIDENTIALBUILDINGo
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Consiruclion Reauiremenis
3 reqiste2d sde surveys showing sq ft of lot, sq. tt, of house; and all roofed areas
(ZOqo masimum bt coverage allowed)
2 copies of plan showing beam 8 window sizes; poured found design, etc.
1 set of Energy Calculations
3 copies of Trce Preservalion Plan'rf bt platted aRer 711193
Rim Joist Detail Options selecfan sheet (buildings wAh 3 or less unifs)
Minnegasco mechanical ventilation form
RemodeVReoair Reoui2menls
2 copies of plan showing footings, beams, joists
1 set of Eneqy Calala4ons for heated addiGons
1 site survey for additions & decks
Adddion - indreate i(an-site septic sysfem
'W-wo,
Office Use OnN
CedoiSurveyRecd - _Y _N
TreeP2sPlanRecd . _Y _ly
Tree Pres Required _Y _N
Oo-sAe Septic System _ Y_ N
Da[e /7 / &)6 Construction Cost f:;?
SiteAddress 427C,-CZ UnidSte #
l (?
Description of Work f''4 ?o
Multi-Faroily Bidg xY _ N Fireplace(s) _ 0 _ 1 _ 2
Property OwnerA?/..L 4i??6- ZPu V ti(;G -'c i' / Z Telephone #o? ) YSZ -?S 2 7
Contractor
Address City
State Zip S?f l Telephone #&2) g6? ?i 2 YT
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 CateQOrv I _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(+1 submission type) Submitted SubmiNed
. Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ 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
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.
???? ????'•??
ApplicanYs Printed Name
pA?p?c?'s Signature
PERMIT #: CITY USE ONLY
RECEIPT DATE:
?
8008 RESIDERTiAL liECHkPICAI. PEgMIT lEPPLICATIOA
b crrYoF EneAx
? s8so Pnor [uvoe Rn
EA6RA MA 55122
651-6$1-4675
Please complete for:
Date:
SITE ADDRESS:
? single family dwellings
townhomes and condos when permits are required for each unit
?fp- f? 1117 IVO;
APk 1 ? ;• ?-;
11 \
OWNER NAME: _ 'S TELEPHONE #:
McGIIERE & SONs
INSTALLER NAME: t? 19s1l averiut 5Utttb TELEPHONE #: Q?a
Hopkias, Mii 55343
STREET ADDRESS:
CITY:
STATE:
Place a checlc mark next to the permic work type
ZIP:
? Add-on, modification or alteration to existina dwelling unit $ 30.00
• fumace replacement
• air exchanger
• air conditioner
• other
Nature of work: -" ?l l TLLS 0_' ,( f,c
State Surchar e $ .50
?sreD ?v
Total $
SIGNA OF P TTEE
1102
r ?
;
;
Pianeer Ensineerins 7831883
1 '
? ?.
C8tl,ry?
^ :"?Q
?o`?
z
? ?( ?, 2422 Enterprise Drive
* MendOto Heights, MA 55120
* PIOIVEE?t (612) 681-1914•Ftix 881-9488
y LAN?_SURV?`IOHS • CIVII ENPWEEHSr?-?..-_ ...? _,,. ._... ,,?,,,....?_=a??..:.-,.-..-- •?
T ryT.
? eng .wteer ng LXN0 PLiYfNERS • LAN6SCAPC ARCHIlECTS 825 Highway 10 Norlhoast
5laine. MN 95434
* * ? * 1(812) 783--1960•Pax 783-1883
Certificate of Survey for: WOOdICICId COUnt1'y HO1'1'125
House Address: - Ivy Lane. Eagan. MN
R ? ?4 Q2 ?, /
?
J
/
10.11
\ N.
'Vo
gs8'o?F 6
2 .
\? \ ?cP e yS2 ?
-s1 ^?cPi2 1, 'G `
<b
44
%
\ ?'? ? o ?3 '•
\ 4? 2$ ?C ?61 y ?
v ?n
C?\\ TO??Plvb???? x My •yn /`•
V \
s\\ ti?"??e°` 4' ? so,<$+5?.
Cv
8
9
,
? ,• ?
NOTE: CONTRACTOR MUST VERIFY ALL DIMENSIpNS ANk DRIVEWAY
. eoo.o Denotes Exlsting Elevation '
. oo. Denotes Propcsed Elevotion
- Qenotes Drainage & Utility Easement
Denotes Drainage Flow Direction
-?Q- Denotes Monumenf '
ig- DCnotes Offset FIu6 Bearinga shown
P.03
?
--•"Jvu .tjrP7,
PROPOSED HOUSE EI.EVAYION
Walkout Elevation; 891.3
Garage Slab Elevation:899.3
are assumed
LOT 7.a BLOCK 2 THE WOODLANDS NORTH
DAKOTA COUN7Y, MINNESOTA ? R D A D D 1 TI 0 N
I AerebY certlfy thet this survev, plan ar report was cr ered bv me or under^}y direct suoeDrvi?slon and thai I am Jufy Roglscered LanJ 3urvevor
under ths Iews of the Stata ot Mlnneaota. Dated this??dev of ?i".E1.??? AA.
Scale. 1 iD ---h a?O e6 RO6ER7B.SIKICH4.S.REC,N0.14091
N^p3?
?V
h?.h
?O
?
LOT SURVEY CHECRLIST FOR RESIDENTIAL
W N BIIILDING PERMIT APPLICATION
m
< / ?y
?
?
?
cc ?,.?w/ !/Z?
PROPERTY LEGAL:
2
??
m< m Date of Burvey: ?
U
S
< 2 DOCUMENT STANDARDS
I.I p ? • Registered Land Surveyor signature and company
? ? ? • Building Permit Applicant
?
p1? ? • Legal description
? CK? • Address
Cr' ? 0 • North arrow and bar scale
O'? ? • House type (rambler, walkout, split w/o, split entry,
lookout, etc.)
?? ? • Directional drainage arrows with slope/gradient ?.
?0,00? • Proposed/existing sewer and water services
???7 ? street name
o' ? :
? Driveway
ELEVATIONS
Existina
? C"'? • Sewer service
C}r ? ? • Lot corners
p C? ? • Top of curb at the driveway
??? • Elevations of any existing adjacent homes
Prooosed
Or"'? ? • Garage floor
y ? ? • First floor
0,0' ? p • Lowest exposed elevation (walkout/window)
11- ? ? • Property corners
Q"' ? ? • Front and rear of home at the foundation
PONDING AREAS (if aAOlicable)
? ol ? • Easement line
? C( ? • NWL
? p' ? • HWL
? ? • Pond # designation
? l}? 0 • Emergency Overflow Elevation
DIMEN3ION5
9 ? ? • Lot lines
p? ? ? • Right-of-way and street width (to back of curb)
? ? • Proposed home dimensions including any proposed decks,
overhangs qreater than 21, porches, etc. (i.e. all
structures requiring permanent footings)
e' ? ? • Show all easements of record and any City utilities within
those easements
17 ? ? • Setbacks of proposed structure and setback of adjacent
C? ? 11 •
Reviei
October 1992
?
ICITY OF'EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-75892-070-02
PERMIT a a:7w4 o
PERMIT TYPE:
Permit Number:
Date Issued:
844 IVY LANE
LOT: 7 BLOCK: 2
THE WOODLANDS NORTN 3RD
BUILDING
021867
06/09/94
DESCRIPTION:
(1 OF 2 UNI7S)
Building-Permit Type DUPLEX
+8uilding Wo.rk Type NEW
? UBC Occupancy`, ) R-3 M-1
; Constructian Typ,e V-N
i? Zoning PD
Building Length C 78
? Building Width ? 32
?
?•• '. i `ii
,-
._
Oo 1"??,?JL??Jrvij
REMARKS:
S & W PLBR - GEN2-RYAN
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
SAC
SAC %
SAC Units
Lic. Search Fee
Subtotal
$2,029.40
$119,000
MISCELLANEOUS $1,828.50
Total Fee $3,857.90
CONTRACTOR:
COUNTRYHOME BLORS
6648 RUSTTC
PRIOR LAKE
(612) 447-2424
VALUATION
$706.00
$458.90
$59.50
$800.00
1@@
1
$5.00
- Applicant - ST. LIC
14472424 0008508
RD SE
MN 55372
OWNER:
COUNTRYHOME BLDRS
6648 RUSTIC
PRIOR LAKE
(612)447-2424
(o `I o -9 `Y
INC
RD SE
MN 55372
I hereby acknowledge that I have read this
information is correct and agree to comply
5tatutes and City of Eagan Ordinances.
L
_ c
i
AP Lf ANT/PERMI7EB IGNATUR
application and state that the
with all applicable State ofi Mn.
?
ISSU : SI9A UR' T E
, REACTIVA7E OF EAGAN
BUILDING PERMIT APPLICATION
P??1: i # •
J14 ti 1993 681-4675
.. $.?,IF 1.9 -?
SINGLE 8 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural 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 Z52 Yaluation of work 9,g
O-?Z
_ ?'
"u
Site Address: c
Y
/
?
I STREET SUITE N
Tenant Name: (cormnercial only)
n
IAT SIACK SUBD. P.I.D. M
-21 ?
Descri tion of work:
The applicant is: ? Owner ontractor ? Other (Deocribe)
Name Phone
Property LAST FIRST
Owner
Address
STREET ' STE /
City State ZiP
Company r Phone
p
?
PO&
Contractor Ex
Address License #
-
City ytoState Zip ??37Z
Company Phone
Architect/
Engineer Name Registration M
Address
City State Zip
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once a ha een approved.
I hereby acknowledge that I have read this applicatian and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances. ,
?'U? ?
5ignature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
O 01 Foundation
?02 SF Dwg.
03 Sf Addition
? 04 SF Porch
0 OS SF Misc.
O 06 Ouplex
? 07 4-P1ex
? OS S-Plex
? 09 12-Plex
? 10 Multi. Add'1.
WORK TYPE
`I?r 31 New
13 32 Addition
? 33 Alterations
O 34 Repair
GENERAL INFORMATION
? 11 Apt./Lodging
? 12 Multi. Misc.
? 13 Garage/Accessary
? 14 Fireplace
? 15 Deck
O 35 Tenant Finish
O 36 Move
? 31 Demolish
Const. (Actual) v- u Basement sq. ft. MWCC System ?
(Allowable) v- " ist F1. sq. ft. City Water ?
UBC Occupancy R-3 M-1 2nd F1. sq. ft: PRV Required
Zoning pD Sq. Ft. total Booster Pump
#? of Stories Footprint Sq. ft. Fire Sprinkler
Length g- On-site well Census Code /OZ
Depth 37-1 On-site sewage SAC Code 401
/
APPROVALS I
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
? Site
0 Wallboard
0 Footing
O Final
? Framing
? Draintile
? Insulation
? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
5/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
Yslustim: $ k 19, o O O
GAY2exi5, 44A4 /(, = r? 04 D
m??N ?won; ?s?s x S?j = 823?
--°_---+
35M7, I5'i LZ O7J
Po I y W'?x 4.!r-- 6Lt wo
119 74sr
? „ ..
... ..
.. ?
.-[3 16 Basement"sFinish
O 17 Swim Pool
? 18 Corren./Ind.
O 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
SAC % loo
SAC Units i
.??
EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
PHONE:
CONTRACTOR: COUNTRYHOME BUILDERS, INC. DATE:
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:
Douhle glazed ........... ............. 111.00 sq ft x"U" _ 0.430 47.73
........... ............. 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
g I a z e d . ... ... ... . .... ... ... ...
d) Total fireplace wall area :....................... NA
sq ft x "U" 0.00
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
f1 Total net wall area
above floor (insulated) ........................... 689.40 sq ft x"U" 0.043 = 29.64
g) Total rim joist area :............................... NA
Total foundation area (exposed) .............
sq ft x"U" _ 0.034 = 0.00
sq ft
h) Total foundation window area .. ............. NA sq ft x"U" 0.430 = 0.00
i) Total net foundation area above grade..... 0.00 sq ft x"U" _ 0.045 = 0.00
3. otal a) thru i) 106.51
If item #3 is the same as, or less than item #1 you have met the intent of 2 fV. :AR 1.16008 A and O.
Page -1-
K ?-
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 rooflceiling freming area
k) (Average 10% ............. 143.50 sq ft x"U" 0.039 = 5.60
d) Total nat insulated
roof/ceiling area .................................... 1,291.50 sq ft x"U" _ 0.024 31.00
4. Tot31 a) thru i) 36.59
If item tl4 is the same as, or less than item 112 you have met the intent of 2 MC< R 1.16008 A and O.
ALTERNATE BUILDING ENVELOPE DESIGIV
To utilize the total evelope system method, the values estabiished by the sum of Item•> #3 and Item #4
shall not be greater than the sum of Items #1 and J12.
1. 107.36 + 2 37.31 = 74
3. 106.51 + 4 36.59 = 143.70
CERTIFICATION
I hereby certify that I have calculated the "U" factors and "R" values herein and th:,t the building here
in described meets or exceeds the state of Minnesota Energy Conservation Act.
?f???-'
.gmwre)
-,2 -93
cnete>
Page -2-
CITY.OF EAGAN
38S0 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT cr-?Pq412
PERMIT TYPE:
Permit Number:
Date Issued:
(e I o -W
BWILDING
021868
06/09/94
SITE ADDRESS:
846 IVY LANE
IOT: 8 BI.OCK: 2
THE WOODLANDS NORTH 3R0
P.I.N.: 10-75892-080-02
DESCRIPTION:
REMARKS:
- '. (1 OF 2 UNITS)
Building-_Permit Type DUPLEX
'Building Wn_r_k Type NEW
; UBC Occupancy-? R-3 M-1
Construction Typ,e V-N
Zoning - PD
Building Length sz
Building Width ` 32
\
. G;l
? ; ? jr? a s\ ?, i? i (.-)?-,
? ,? `SL1 V) LI J
S& W PLBR - GENZ-RYAN PLBG
FEE SUMMARY:
VALUA7ZON
Base Fee
Plan Review
5urcharge
SAC
SAC %
SAC Units
Subtotal
$720.00
$468.00
$61.50
$800.00
1@0
1
$2.049.50
$123,00@
MISCELLANEOUS $1,828.50
Total Fee $3.878.00
CONTRACTOR: - Applicant - ST. I.IC. OWNER:
COUN7RYHOME BLORS 14472424 0008508 COUNTRYHOME BLDRS
6648 RUSTIC RD SE 6648 RUSTIC RD SE
PRIOR LAKE MN 55372 PRIOR LAKE MN 55372
(612) 447-2424 (612)447-2424
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State of Mn.
Statutes and City of Eagan Ordinances.
L -
i
APPLICANT PERMIT SIGNAT RE ? ?SSUEDNBX SI$16ATURE
y? s
REAGTIYAIE ?r ?_, I I T Vr C/itiA1Y
PF•RMd7 ? ?? ? ?? BUILDING PERMIT APPLICATIO N
ARS 2' ? '4' 681-4675
, ;.
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty, applies: 1) when permit is typed, but nat picked up by last working day of month-
in which request is made., 2) address ts changed or 3) lot change is requested once permit
is issued.
Date 0?7- Yaluation of work eo
Site Address:
STREET SUITE 1
Tenant Name: (commercial only)
IAT ? SIACK ? SIIBD P.I.D. M
Descri tion of work: ,
The applicant is: ? Owner J8Gontractor ? Other (Deseribe)
Name Phone .
Property LAST FIRST
Owner
Address
STREET STE N
City Staice Zip _
Company Phone
Contractor 7ZL7 -074U
Address ?? ?p _-EE License #6oa?,s'a9' Exp.?_
City ?'??ZZ State Zip ?s37?
Company Phone
Architect/
Engineer Name Registration M
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area h been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to com 1 with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
-a"-'4')
Signature of Applicant:
?
OFFICE USE ONLY
BUILDING PERMIT TYP E
? bi Foundation ? 06 Duplex ? 11 Apt./Lodging . ? 16 Basement finish
($ 02 SF Dv+g. ? 07 4-Ptex E3 12 Multi. Misc. ? 17 Swim Pool
0 03 SF Addition O 08 8-Plex ? 13 Garage/Accessory ? 18 Comn./Ind.
0 04 SF Porch 0 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. O 15 Deck 13 20 Public Facility
? 21 Miscellaneous
WORK TYPE
P 31 New ? 33 Alterations ? 35 Tenant Finish O 37 Demolish
? 32 Addition ? 34 Repalr ? 36 Move
GF_NERAL INF ORMATION
Const. (Actual) V-N Basement sq, ft. MWCC System yES
(Allowable) V- N lst F1. sq. ft. C1ty Water ?/
UBL 6ccupancy TZ?3 M_f 2nd F1. sq. ft. PRY Required
Zoning ? Sq. Ft. total Booster PumD
# of Stories Footprint Sq. ft. Fire Sprinkl er
Length ? On-site well Census Code 70
Depth ,32 On-site sewage SAC Code _r?/
APPROVALS ?
Planning Building Assessments
Engineering, Variance
REQUIRED INSPECTIONS
? Site
? Wallboard
? Footing
? Final
0 Framing
0 Draintile
O Insulation
? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
v.iLioe;o,: g (2 3, olo a
UARA?e" y410`tx 16 = r7040
?s - isgv? X /5 = z
lsTrzoor> 158? XSu = 05,320
-?---- ?
ly??
SAC % ?
SAC Units _?
?
EXTERIOR ENVELOPE AVERAGE "U" COMF'UTATION
PHONE:
CONTRACTOR: COUNTRYHOME BUILDERS, INC. DATE:
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
......... ............. sq ft x „U" = 0.00
b) Totai door area :.................................... 38.00 sq ft x"U" 0.070 = 2.66
c) Total sliding door area:
Double glazed ........... ............. 40.00 sq fi x"U" 0.430 = 17.20
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%)......
.60 sq ft x"U" __ 0.095 = 9.27
f) Total net wall area
above floar (insulated) ........................... 689.40 sq ft x"U" 0.043 = 29.64
g) Total rim joist area :............................... NA
Total foundation area {exposed) ..............
h) Total foundation window area .. ............. NA
sq ft x"U" _ 0.034 = 0.00
sq ft
sq ft x"U" _ 0.430 = 0.00
i) Total net foundation area above grade..... 0.00 sq ft x"U" _ 0.045 = 0.00
3, otal a) thru i) 106.51
If item #3 is the same as, or tess than item Jf1 you have met the intent of 2 M;AR 1.1600$ A and 0.
Page -1-
.
4, , TOTAL EXPOSED ROOFlCEILING 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°k ............. 143.50 sq ft x"U" _ 0.039 = 5.60
d) Total net insulated
roof/ceiling area .................................... 1,291.50 sq ft x"U" 0.024 =31.00
4. Total a ) thru i) 36.59
If item N4 is the same as, or less than item #2 y ou have met th e intent of 2 MCAR 1 .16008 A and O.
ALTERNATE BUILDING ENVELOPE DESIGIV
To utilize the total evelope system method, the values established by the sum of Item; #3 and Item !f4
shall not be greater than the sum of Items #1 and t12.
1. 107.36 + 2 37.31 = 144.67
?
3. 106.51 + 4 _ 36.59 = ? 143.10
CERTIFICATION
I hereby certify that 1 have calculated the "U" factors and "R" values herein and th„t the building here
in described meets or exceeds the state of Minnesota Energy Conservation Act.
9-g?re)
P- a- "?;?
mate
Page -2-
F?G?,AN
f:ASHTf.R: :IS 7ERMINAL NQa 544
DATE: 1'IMt-" 1.3:50=01
IDe
MAME" AI_f._IFU FTkGSIDE INC
321.0 3001 844 IVV LN 50.00
2155 9009. 844 SVY LN 0.50
3210 9001 4288 LYRA CT 50.00
F
21.r5 3001 4c8Ci LYFiA ti7 0•?'
7oi:a1 f;ecaip+ Amol.ent:: 101.00
CFi0829:1.8
1.151_f; IU-. JAN
PERMIT
(/?CI ?Y OF EAGAN
-( 3830 Pilot Knob Road
\Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT TYPE:
Permit Number:
Date issued:
BUII.DING
031119
11/13/97
SITE ADDRESS:
844 IVY LANE
LOTc 7 BLOCK: 2
THE WOOOLANDS NORTH 3R0
P.I.N.: 10-75892-070-02
DESCRIPTION:
(STOVE)
6'uilding'rRxermit Type
?uilding ?lo-r-}c,.Type
?P Certsus Code-
i! b
j ~ 'ffi
l
?!.
.?i. _ ??l..n?? . u t?5 ?"m•s'
?i
FIREPLACE
NEW
434 ALT. RESIDENTIAL
+. ;£l
?? '•.?a ? vi? ?r?
`?
py?.€_'r ???'. ?'T_.i?(,?.....?i2?}
= ?t
REMARKS:
FEE SUMMARY:
Base Fee
Surcharge
Totel Fee
$50.00
$.50
$50.50
CONTRACTOR: - ,qpplicant - sT. LZC OWNER:
FIRESIDE CORNER INC 16332561 2009091 STEIN JEFF
2700 N FAIRVIEW AVE 844 IVY LN
ROSEVILLE MN 55113-0847 EAGAN MN 55123
(612) 633-2561 (612)686-7368
I hergby aoknowledge that I, kka" re,?d, this a?ppliq atitrn far?d sGate that xhe : .
informaC3on is corrent arrd,agCee ta?complwith al? appl3cabl?e State 4f Mn.
? 5tatuties end City of Eagan Ordinances.
, .;
APPLICANTiPERMITEE SIGNATURE
flN RSAi M
--IS ED B SIG ATUR
. .
DATE:
DESCRIPTION OF WORK
STREET ADDRESS: v
LOT _j BLOCK
CITY OF EAGAN .
3830 PILOT KNOB RD - 55122
1997 FIItEPLACE PERMIT APPLICATION ?D•..??D
681-4675
PERMIT FEE: $50.50
_ CONSTRUCT NEW, FIREPLACE _ ALTERATIONS TO EXISTING
INSTALL GAS INSERT ONLY
_ INSTALL GAS LINE ONLY
OTHER:
? IV
?A ?j (,5?-
j SUBD./P.I.D. #:
APPLICANT: (circle one only) OWNER
I hereby acknowledge that I have read this appiication and state that the information is correct and agree to comply with
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
PROPERTY
OWNER
FIItEPLACE
INSTALLER
GAS LINE
INSTALLER
Name: ?! l_. Phone #: 6 S 6' 73 ?$
Signature:
Sveet Address:
ftir.,• /-Zi4 T, k Ctata• M N 7in-
Comnanv/clLt_.lkEb 112?/ad /?I?L?S?/P? ?C- Phone #:
Signature:
Street
- uJ -14'y -Ok
License #: 2-0090 9 `/
Zip: QS 2 3 7_
Cit?-s UAf-%f?,Vf L,L.C- State
Company: _
Name:
Signature: _
Street Address:
City:
Phone #:
State:
Zip:
;. . ,
, ..... .;
r? • .t :; ,, ,
?.,
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 14 Fireplace
WORK TYPE
0 31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Census Code. 434
SAC Code Ol
REMARKS
Chimney/flue must be inspected before concealing.
, i
- 1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL) U(, C
/ ciTV oF eacaN ? ?I
3 1Q 1 1 ? 3830 PILOT KNOB RD - 55122
651-881•4675
New ConshucNon Reauhemenb Remodel/Reoatr Reauhements
> 3 registered sBe surveys show(ng sq. N, ot lot, sq. fl. of house
and Q roofed areas f2017, maximum bf coveraae albwed)
D 2 coples of plans (show 6eam 3 window sizes; poured fnd. design; Mc.)
> 1 set of energy calculaflons
> 3 copies o( hee preservalion plan H lot platled a(fer 7/1 /93
DATE: ?aL?J
A. n
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT: Z_
BLOCK: Z SUBD./P.I.D.
2 coPies of Plan
1 fet of energy calculaNons tor heafed addHions
i sMe survey fw exferlor addBlons 3 decW
Name: 44-7, 4 ? Phone#• Iv?? ?Ioa?o " 77q I
PROPERTY Last / Fi`st
OWNER
Street Address• `?q & -1-V
City t--VAGo 4LiV?? Stale: `?M oj' Zlp:
Company: vlr lk-?YV11t? ?rnl!-aLrv?' Phone#: JIFSL?
(area code)
CONTRACTOR
Street Address:J?? ?Iq° Ucense #??FxP• 5 z?40
cffy l!o h? state:1MYU . zip: ??
ARCHITECT/
ENGINEER Company: Name:
Telephone #: area code ( )
Sheet Address: Regishation #:
City State: Zip:
Sewer 8 water Ileensed plumber (reauired for new conslrucHon onlvl:
PenaHy applies when address change and lot ehange is requesfed once permR
1 hereby acknowledge thaf I have read this applicaflon, state thaf ttfe
Stafe of Minnesofa Stalutes and Cify of Eagan Ordinonces.
Signafure of AppllcaM:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
and
?
JLJN
compty wRh ar appllcabi
Tree Preservation Plan Received _ Yes _ No _ Not Required
CONSTRUCTION COST:
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITEADDRESS: P'I•N.s 10-75892-070-02 pppLICANT:
LOT: 7 BLOCK: 2
844 IVY LANE SPRINGER BLORS INC
THE WOODLANDS NORTH 3RD (612) 441-4380
PERMIT SUBTYPE:
BASEMENT FINISH
TYPE OF WORK:
BUILDING
027039
02/12j96
AL.TERATION
INSPECTION
FRAMING D. .
INSULATION .•
ROUGH IN PLBG FTNAL
1-
L?
?
J
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675 •
SITE ADDRESS:
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
844 IVY LANE
LOT: 7 BLOCK: 2
THE WOODLANDS NORTH 3R0
P.I.N.: 10-75892-070-02
04'e0.?'zu4
BUILDING
027039
02/12/96
DESCRIPTION:
Building..Permit 7ype
-,BUild3ng Work Type
Census Code
BASEMENT FINISH
ALTERATION
434 ALT. RESIDENTIAL
p .c
?. . ?.? .
REMARKS:
FEE SUMMARY:
Base Fee
Surcharge
Lic. Search Fee
Total Fee
$50.00
$.50
$5.00
$55.50
CONTRACTOR: - Applicant - sT. LIC.OWNER:
SPRINGER BLDRS INC 14444380 0003518 STEIN JEFF
441 JEFFER50N BLVD 844 IVY LN
BI6 LAKE MN 55309 EAGAN MN 55122
(612) 441-4380
I I
I hersby aGknowledge that I have read this application and state t,hat the
information is correct and agree to comply with all applicable State of Mn.
Statutes and Gity afi Eagan Ordir+ances.
.. APPLI /P 611TEE IGNA RE ISSUE : IGNFRE ?-
?
11039 CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1996 BUILDING PEftMIT APPLICATION (RESIDENTIAL) Y-A
681-4675 L
RemodaVReoair Reavirements
? 3 registered site surveys ? 2 copies of plan
? 2 copies of plens (include beam 8 window s@es: poured tnd. design; etc.) ? 2 site surveys (exterior add'Rions & decks)
? 1 energy celculatlons ? 1 energy calculalions /or heated eddilions
? 3 copiee ot tree preservetfon plan if bt platled after 717183
requtred: _ Yes _ No
DATE: 2 CONSTRUCTION COST: ? 7e9loo
-? _ -?
DESCRIPTION OF WORK: ? ^l 1',< ? ??`Ktel"e"'t
STREET ADDRESS:
LOT r BLOCK ??2;X-_Z41
? SUBD.IP.I.D. #:
PROPERTY Name: SfeiN PhOne#:
OWNER `"`T MST
Street Address
?? T
Cl}?y:
State: /i/1 N Zip. :?'
22
CONTRACTOR Company: ?j J/ 1,,e?' TNG Phone #:
Street Address: G
'?0?"? yLlcense #
:
R', Z?•?
City: State: A//.v Zip: SSS=73ay
,
ARCHITECTI Company: Phone #:
ENGINEER
Name: Registration
Street Address-
City: State: Zip:
Sewer 8 water licensed plumber: Bj!/ Penalty applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that I have tead this application and state that the
applipbte State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
is correct and agree to comply with all
? ?
Certfiicates of Survey Received _ Yes _ No ' ?I •?g
Tree Preservatlon Plan Received _ Yes _ No ---- -------
OFFICE USE ONLY
BUILDING PERMIT TYPE
r? ..'?;.. ?.
,
..
0 01 Foundation ? 06 Dupiex ? 11 Apt./Lodging ?6 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool ?
0 03 SF Addition ? 08 8-plex o 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace o 21 Miscellaneous
0 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
? 31 New dar-33 Alterations ? 36 Move
0 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code.
Depth Footprint sq. ft. SAC Code
- Census Bldg
? Census Unit °
?_T??:Z?I?L[?:
Planning Building Engineering ' Variance
?
PermitFee Valuation: $ ?S6Q ?
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SIW Surcharge
Treatment PI.
Road Unit
Park Ded. Trails Ded.
Other ,
Copies
Total:
% SAC
SAC Units
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNTf.
?C NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
DATE -7 A20 /rOl,+
FEES
NVAC: 0-100 M BTU $ 24•00
ADDITIONAL 50 M BTU 6•00
GAS OUTLETS (MINIMUM !@ S3.00 EACH) S. &0
ADD-ON/REMODEL (ExisTING CoNSrftvcnoN) $ 15.00
STATE SURCHARGE .50
TOTAL 27 150
SITE ADDRESS: ?44 1-^
OWNER NAME: TELEPHONE #: 4 47- 242A
INSTALLER: 0
ADDRESS: '7 i? l u.? 1 :2?'?"``
CTI'Y: S STATE: M fl) ZIP CODE: SS 17 57
TELEPHONE #: '3qO -430I
SIti'i ATURE OB ERMI7TEE
194f MECHANICAL PERMiT (RESIDENTTAL)
CITY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55112
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT.
- -- - ------- ------------------ -- -- - --- - ------
? NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
DATE '7( 20 /Ot 4
ES
HVAC: 0-100 M BTU $ 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS (Mi:vIMUM 1 C 53.00 EACH) 3,00
ADD-ON/REMODEL (ExlsriNC CoNSrxucnoN) $ 15.00
STATE SURCHARGE •$0
TOTAL
SITE
OWNER NAME: Cot?{-Iow. p_ D LIlQS TELEPHONE #: 447 - 2-4 24
/ .,
INST
ADDRESS: 04''^ +
CTTY:,4:3 A. 2?.a-r.ia STATE: dV? IV ZIP CODE: _55371
TELEPHONE #: 2n U '4,3 I
/ JlUJ 1
SI N TURE OF ERMITTEE
1991 MECHANICAI. PERMIT (RESIDEIVI7AL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTf.
NO.
?
?
T
SITE ADDR:
OWNER NA
INSTALLER
ADDRESS:
SHOWER
WATER CLOSET
BATH TUB
LAVATORY
KTTCHEN SINK
LAUNDRY TRAY
HOT TUB/SPA
WATER HEATER
FLOOR DRAIN
GAS PIPING OiTTLET • minimmn •
ROUGH OPENINGS
WATER SOFTENER
PRIVATE DISP. • nei.ay. u?
U.G. SPRINKLER • nome unaer coast.
ALTERATIONS • to adsting
WATER TURN AROUND
STATE SURCHARGE
TOTAL:
EACH TOTAL
,!?7c)
?
?
?
?UO
?
CTI'Y:-4
PHONE #: (
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
1.50
5.00
20.00
3.00
20.00
20.00
.50
yz, sc)
?rLk? STATE: 757? ZIP COQE: 5-
V • ?
S OF PERMnI'EE
,_
1994 PLUMBING PERMTT (RESIDENTJAL)
CITY OF EAGAN
' 3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNI=IOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
NO. FIXTIJRES EACH TOTAL
SHOWER 3.00
?3 WATER CLOSET 3.00 O ?- -
BATH TUB 3.00 =,-s
? LAVATORY 3.00
_L KTTCHEN SINK 3.00 D O _
,•/ LAUNDRY TRAY 3.00 --3 C9 O,
HOT TUB/SPA 3.00 _
--77 WATER HEATER 3.00 3 00
? FLOOR DRAIN 3.00
GAS PIPING OUTT,ET • mwmum - i 3.00 ..v J
ROUGH OPENINGS 1.50
WATER SOFI'ENER 5.00
PRIVATE DISP. • nak.Cry. tia 20.00
U.G. SPRINKL,ER • nome uneer wosi. 3.00
?
ALTERATIONS • to adsting 20.00
WATER TURN AROUND 20.00
STA'I'E SURCHARGE .50
TOTAL: --d-l- ' -
SITE ADDR:
OWNER NA
INSTALLER
ADDRESS:
CITY:?
PHONE #: (
STATE: '/4W c ZIP CODE:" c? ???
) !6?- ,//!?K
1994 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
L N?L ? CITY USE ONLY RECEIPT #: 5999
/
SUBD. DATE
? / 9Cv
1996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES EAC_F1 NQ.
Shower 3.00 x
Water Closet 3.00 x\ 3-
Bath Tub 3.00 x
Lavatory 3.00 x
Kitchen Sink 3.00 :c =
Laundry Tray 3.00 :c =
Hot TubiSpa 3.00 :c =
Water Heater 3.00 :c =
Floor Drain 3.00 :c =
Gas Piping Outlet " minfmum -1 3.00 x 3-
Rough Openings 1.50 :c =
Water Softener 5.00 .c =
Private Disposal ' Dakota Cty. license 65.00 =
(new and refurbished systems)
U.G. Sprinkler' nome under const. 3.00
Alterations ` to exdstiny 20.00
Water Turn Around 20.00
STATE SURCHARGE .50
S?
TOTAL
SITE
OWNER
INSTALLER
STREET ADDRESS: -Z10 ?l ? / vr/Q-C
CITY:? I •Af?c2( STATE:
PHONE #: (I. (
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA130121
Date Issued:04/06/2015
Permit Category:ePermit
Site Address: 844 Ivy Lane
Lot:7 Block: 02 Addition: The Woodlands North 3rd
PID:10-75892-02-070
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Applicant: Heather Winn
21210 Eaton Avenue
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 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 -
Thomas M Olson
844 Ivy Lane
Eagan MN 55123
(651) 686-0141
Controlled Air
21210 Eaton Ave
Farmington MN 55024
(651) 460-6022 X253
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA145543
Date Issued:09/14/2017
Permit Category:ePermit
Site Address: 844 Ivy Lane
Lot:7 Block: 02 Addition: The Woodlands North 3rd
PID:10-75892-02-070
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Thomas M Olson
844 Ivy Lane
Eagan MN 55123
Above & Beyond Construction Inc
7601 Washington Ave S
Minneapolis MN 55439
(612) 226-3965
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA158532
Date Issued:10/18/2019
Permit Category:ePermit
Site Address: 844 Ivy Lane
Lot:7 Block: 02 Addition: The Woodlands North 3rd
PID:10-75892-02-070
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Thomas M Olson
844 Ivy Lane
Eagan MN 55123
Above & Beyond Construction Inc
7601 Washington Ave S
Minneapolis MN 55439
(612) 226-3965
Applicant/Permitee: Signature Issued By: Signature