845 Ivy Lane1
Wertifica#e nf C"anc?
6ftv of Cfa??
??? ? ?? ?otmm
This Cenificate issued pursuant to the requirements of the Uniform Building Code
certifying that at the time of issrwnce this suucture was in canplimice with the various
ordinances of rhe City regulating buelding corrstruction or use. For the following:
uu chss;rcmim: Daum (1 TR1IT) sw rt,i rim 2 I 586
OC-P-Cr TYae R3 I Zon* Dim? PD 7?w CzwL VN
owwr of sOa;ng OUJNIRYHM H[TIIUIERS IlC Addma 8i68 BiJSITC ?tD SE, PRIOR IAKE
"i]]]ding ??845 IVY IA? ?.? , BI, ? FU?ID6 NO?Ili 3RD
n
//
1- -' Ugw
Bwwft Official
POST IN A CONSPICUOUS PLACE
? CI7Y OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(fi 12) 681-4675
SITE ADDRESS:
, W00111 AIiLI', NI1R 1 ti
? PERMIT SUBTYPE:
INSPE
ON REC4RD
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
! ? Plrl ill! ? i!:i .
` TYPE OF WORK:
fit ',( 11 1!, i 1 0+0
r<?? I t 1) 1 r,I
NEIJ
t 1 nf .' IINTr`
INSPECTION .• • .A
i
f ' .
-1
IL
Permit No. Permk Holder Date Telephone #
SnN
PLUMBING
HVAC
ELECTRIC Q??',?
ELECTRIC
Inspectlon Date Insp. Commsnta
Footings I !,,, 1
f?
,Y15-117.3 Z,,?4
Foundation 47
Framing "of.J?.?
Roofing
Rough Pibg.
Rough Htg. gI9 '13 ? 9 9 3
Isul. ?
?A..) ?
Fireplace
Final Htg. //o . 7y /
Orsat Test
Final Pibg. ?C,. Plbg. Inspector - Notify Plumber
Const. Meter
Engr.IPlan
Bldg. Final
Dedc Ftg.
Deck Final
Well
Pr. Disp.
.
ZZ?gl .7 s0 /Alf 9
yr? y?- /33?s
417
Request Date Fire No. Rough-in Inspeclmn NOTICE: Vou Mus[ Call Elecincal Inspecbr
9- / ? Reqwred9
_?Rlf.s ? No II A Rough-In inspection
Is Reqwretl
licensed contractor ? owner hereby request inspection of above elecirical work at:
Jab Address (5[reel, S. ar Roule Na )
?-/P
? Q?y
Sedion N. Township Name or No. Range No. Couny
Ocw ri1(PRINT) n
L Phane Na
Power Suppl Atltlress
Electncal S?pyactor (Company Name) , ConVactor's ' ense No
Maibn qCtlress (
or or Owner Making Installat n)
?
/
l C?
?
Authonzed naWre (CorrcracrodOw Making Instsllation) Phone Number
-l
S
3l'
l * o
p
o
MINNESOTA STATE BOAHD OF ELECTRICRY THIS INSPECTION REQUEST WILL NOT
Grigga-Mitlway Bltlg. - floom 5-173 BE ACCEPTED BV THE STATE BOARO
1821 Universiry Ave., SC Paul, MN 55709 UNLESS PROPER INSPECTION FEE IS
Phone(612)842-0800 ENCLOSED.
REQUEST? OR ELECTRICAL INSPECTION ee-oaom-oe
?
? See insirudi s for completmg this tortn on back af yellow copy / 73 ?S
M 04171
^ X" Ji Work Covered by This Request
w Add" Rep. . TypeoiButlding AppliancesWired EqwpmentWired
Home Range Temporary Service
Duplex Water Hea[er Electnc Heanng
Apt. Bwlding Dryer Load Management
COmm./Industnai FurnaCe Other (Specdy)
Farm Air Conditioner
Olher(specify) Conlractor§ Femarks:
Compute lnspechon Fee Below
# Other Fee # Service EntrenceSize Fee # Circmts/Feedere Fee
Swimming Pool 0 to 200 Amps to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
SIg05 Inspecmr's Use Only TOTAL
Irrigation Booms OC?
C7a (' r
Special Inspec4on
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee ? COMPLETED WITHIN 18 MON S.
I, the Electncal Inspector, hereby Aouyn-,o
f
certity that the above inspection has
been made. Final
DK-i DateG????
OFFICE USE ONLY
This request voitl 18 months tmm
Address 845 NY IANE Zip 5512 3
I.dt • 2- Blk 1 Sub iHE r=rn.nrIDS NotiH 3un
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: O'L f? Yes No Inspector:
Final grade (6" from siding) ?
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway ?
Permanent gas ?
Sod/Seeded grass
TraiUcutb damage
Porch
Basement finish V
Deck
Please verify wit6 the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the ouuide lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in righ[-of-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contractor Copy w
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITEADDRESS: LoT: 2 BLOCK: 1 APPLICANT:
845 IVY LANE SIEKMANN CON3T
THE WOODLANDS NORTH 3Rp (612) 447-2424
PERMIT SUBTYPE:
DUPLEX
TYPE OF WORK:
DESCRIPTION
BUILDING
021586
07/29/93
NEW
(1 OF 2 UNITS)
INSPECTION
FOOTING D. .
FRAMING .•
INSULATION FINAL
FIREPLACE
REMARKS: S& W PLBR - GEN2-RYAN PLBG
1-
L
-1
-1
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
VALUATION
rw ?ri?,?
'?LO ?
BUILDING
021586
07/29J93
SITE ADDRESS:
DESCRIPTION:
845 IVY LANE
LOT: 2 BLOCK: 1
THE WOODLANOS NpRTH 3R0
?._ (i oF z
Bu`ildin`g,Permit Type
Building ?Work Type
'-JUBC Occupancy?
% Construction T?pe
rZanin9 ?-?
?Building Length l
Building Width
? -?
$635.00
$412.75
$49.50
$750.00
100
1
?U D {l?i - \_/ ? ??? \:, Li ?- J'v` L L1 tJ
2
REMARKS:
S 6 W PL6R - GENZ-RYAN PLBG
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
SAC
sac %
SAC Units
Subtotal
$1,847.25
uNZrs)
PERMIT TYPE:
Permit Number:
Datelssued:
OUPLEX
NEW
R-3 M-1
V-N
PD
66
30
$99,000
MISCELLANEOUS $1,744.50
Total Fee $3.591.75
CONTRACTOR: - Rppilcant - sT. Lic. OWNER:
SIEKMANN CONST 14472424 0001436 COUNTRYHOME BLDRS INC
6648 RUSTIC RO SE 6648 RUSTIC RD SE
PRIOR LAKE MN 55372 PRIOR LAKE MN 55372
(612) 447-2424 (612)447-2424
Z hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all appliaable Stete nf Mn.
StatuCes and City ofi Eagan Ordinances.
L
APPLI ANTlPERMITEE STGNATURE
PERMIT
?.kub fl?;r? I m?t(
ISSUED B: SI NATU E
REACTIYATE ?GIIY OF EAGAN
PERMI7 # 1993 BUILDING PERMIT APPLICATION
•?? ifj? 1 3 1993 681-4675
SIN6LE & 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.
?
2
771
l
9
01
7
y ?
?
3 Valuation of work
Date Ju
Site Address: 845 Ivy 4eetr-I? LANE
STREET SU17E t
Tenant Name: (commercial only)
IAT??ti BLOCRr_,J!_'0 pgDWoodlands North
'
1 P.I.D. *
-&rP9 Addition
0AV
Descri tion of work:
The applicant is: O Owner [n Contractor ? Other (Deccribe)
Name Phone
Property LAST FIRST
Owner
Address
SiREET STE Y
City State ZiP
Company COUNTRYHOME BUZLDERS, INC. Phone 447-2424
Contractor Address 6648 Rustic Road S.E. License # 8508 Exp. 3 1 5
City Prior Lake State M;nn - Zip 55179
Company Phone
Architect/
Engineer Name Registration #
Address
City State ZiP
Sewer & water licensed plumber GENZ-xYAN . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances. t)
?
Si9nature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
O 01 Foundation ? 06 Duplex ? 11 Apt./Lodging
& 02 SF Dwg. ? 07 4-Plex 0 12 Multi. Misc.
? 03 Sf Addition ? OS 8-Plex ? 13 Garage/Accessory
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck
WORK TYPE
? 31 New O 33 Alterations ? 35 Tenant Finish
? 32 Addition O 34 Repair ? 36 Move
GENERAL INFORMATION
? 16 fl?asem t Fintsh
O 17 Swim- rooi'p'
? 18 Comn./Ind.
O 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
Const. (Actual) Y- N Basement sq. ft. MWCC System yFS
(Allowable) V-N lst fl. sq. ft. City ?later YES
UBC 6ccupancy p 3 M_? 2nd F1. sq. ft. PRV Required
Zoning pp Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire 5prinkler
Length -17 --- 7- On-site well Census Code !oZ
Depth On-site sewage SAC Code ol
APPROVALS I )
Planning Building Assessments
Engineering Yariance
REQUIRED INSPECTIONS
O Site
? Wallboard
? Footing
? Final
? Framing
? Draintile
? Insulation
? Fireplace
Permit Fee v.iuac;m: g?'( q, ad0 ?'
-?
Surcharge Gt
'
Plan Review aA,&E
`?`+a u 16 = -lrb y o
License ?_ ??-? 22 S x l? 37 j
City SAC mAlN r-ca:IL; ?
Water Conn. 1354KSy? 73 ??(o
Water Meter ?
Acct. Deposit
S/W Permit ?g 53?
?
5/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Lopies
Other
Total:
SAC % )00
SAC Units I
P.aa
* p10NEER
* ?11gIt7G6?1'I
* * *
?
Certificate of 5urvey
2G22 EnterpYise Drivo
Mendoto Helqhts, MN 55120
• ERS (612) 681 _1914tiFox 681-9468
CENL ENGINE
;uoscaPe Ant?irct5 F62 Highwoy 1 D Northeast ne. MN 55434
) 793-1880•Fax 763-1883
fRr: Waodland Country Homes
House Address: !vy Lane Eaq.any.N
`
?
tiy
__ -,
N7J65$
0,43yNr
N89°45'S4"E
35.84
?
O M
LO ?
.-- ?
N
n )
AW
01E: CaN7F2AC70R MVST VERIFY ALl fN1AEN51ON5 AN?+ DRIVFMAY DE?GN
N
ni1S CERnFtcAlE DOES NOT PuR70RT TO SHaW EASEMENTS OrilER TViAN TH956 SHOYM ON T41E RECOflOED PLAi.
EAGPaRi ENGfRiETFIRIG DEPT
. aoao Denotes Existing Elevation
. soo.o Denotes Proposed Efevation
_ .-- = Denotes Drainage & Utility Easement
? Denotes Drainage Flow Direction
--o- Denotes Monurnent
a- Denotes Offset Hub Beorings shown
PftOP05ED H Q, SJ?E EL.EVATION
Walkout Elevatlort:897_00
Garage SIa6 Elevation:905.00
are assumed
LOT 1.2, BLOCK 1 THE WOODLANDS NOR`fH
DAKOTA COUNTY, MINNESOTA 3R D AD D I TI ON
I herety eartlfy that ehle survev, vla? o, renorR wav prapared bY ma ol under my direct 1uD eion 0ntl that I Bm du1Y Reqittefod Lend Surveyor
u.dsr the law. ol lha Stice ef Minneaote. pited NIC? Z-r 11 day of A.D. 19.
Scale: 1in?:-h=30Tg°°
REG.
an 9.3169.00
? --- Q = 11°4t'S3"
/VY ? R - 325.0a
L4 NE7
LOT BDRVEY CHECRLZST FOR RESIDENTIA°,
• ? ? BUILDING PERMIT APPLICATION
W 52 ? YROPERTY LEGAL:
m T
?
Date of Burvey: ??
? DOCUMENT BTANDARDS
Er?/0 0 • Registered Land Surveyor signature and company
0' 0 ? • Building Permit Applicant
D-?0 0 • Legal description
0 0"' 0 • Address
6- ? 0 • North arrow and bar scale
0- 0 0 • House type (rambler, walkout, split w/o, split entry,
lookout, etc.)
el-0 0 • Directional drainage arrows with slope/gradient $.
? CY ? • Proposed/existing sewer and water services
Cr 0 0 • Street name
E` 0 ? • Driveway
ELEVATIONB
Existinq
0 R? 0 • Sewer service
0 ? • Lot corners
?Er 0 • Top of curb at the driveway
D Q' D • Elevations of any existing adjacent homes
pro.posed
[r ? ? • Garage floor
9- ? ? • First floor
(r ? 0 • Lowest exposed elevation (walkout/window)
Q'0 0 • Property corners
V'? ? • Front and rear of home at the foundation
PONDIN(i AREAS (if apolicable
? ? ? • Easement line
O C? 0 • NWL
? B'" ? • HWL
0 B" 0 • Pond # designation
0 B- 0 • Emergency Overflow Elevation
DIMENSIONB
B- 0 ? • Lot lines
0-- 0 0 • Right-of-way and street width (to back of curb)
6- 0 0 • Proposed home dimensions including any proposed decks,
overhangs greater than 21, porches, etc. (i.e., all
structures requiring permanent footings)
0? • show all easements of record and any City utilities within
those easements
a p? • Setbacks of proposed structure and setback of adjacent
? existing homes
C1? lY? • Retaining wall ire ents, if any
Reviewed:
Name / Dat
October 1992
?- - - -
EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
OWNER: WOODLAND COUNTRYHOMES, INC.
SITE ADDRESS: 845 Ivy Court PHONE: 447-2424
CONTRACTOR: COUNTRYHOME BUILDERS, INC. DATE: July 1, 1993
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:
Dou61e glazed ........................ 111.00 sq ft x"U" 0.430
sq ft x "U"
7
- 0.00
b1 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%).......... 97.60 sq ft x"U" 0.095 = 9.27
f) Total net w,all area
a6ove 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
h) Total foundation window area .. ............. NA sq ft x"U" 0.430 = 0.00
i) Total net foundation area above grade..... 0.00 sq ft x"U" 0.045 = 0.00
3. Total a) thru i) 106.5
If item #3 is the same as, or less than item #1 you have met the intent of 2 MCAR 1.16008 A and 0.
Page -1-
? ., - --- -
4. TOTAL EXPOSED ROOFICEILING CALCULATIONS:
Total exposed roof/ceiling area . ............. 1,435.00 sq ft
j) Total skylight area ................................ _ 0.00 sq ft x"U" = 0.00
Total roof/ceiling freming area
kl (Average 10% ............. 143.50 sq ft x"U" 0.039 = 5.60
d) Total net insulated ,
rooflceiling area .................................... 1,291.50 sq ft x"U" 0.024 = 31.00
4, Total a) thru i) 36.59
If item k4 is the same as, or less than item k2 you have met the intent of 2 MCAR 7.16008 A and O.
ALTERNATE BUILDING ENVELOPE DESIGN
To utilize the total evelope system method, the values established 6y the sum of Items #3 and Item #4
shall not be greater than the sum of Items #1 and k2.
1. 707.36 + 2 37.31 = 144.67
3. 106.51 + 4 36.59 = 743.1
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.
Julv 1. 1993
c• ,ec.re> Jam s Siekmann
(Date)
Page -2-
NAME:
ADDRESS:
LOT:
BLOCK:
WOODLAND COUNTRYHOMES, INC.
845 IVY LANE
PRICE
YES SQ. FT SQ. FT. TOTAL
GARAGE 1 440 $i.P@*}9
THIRD GARAGE $14.36 200 $0.00
1
MAIN 13
54 n ?._
/(W
SLAB MAIN FLOOR $53.68 1463 $0.00
SECOND FLOOR $38.94 625 $0.00 n`v
UNFINISHED BASEMENT 1 $iO!? IS7?1225 $?V U? /v7
FINISHED BRSEMENT $13.00 1525 $0.00
BATH BASE/2ND FLOOR $1,000.00 1 $0.00
FIREPLACE $1,000.00 1 $0.00
GLASS PORCH $25.00 144 $0.00
SCREEN PORCH $20.00 144 $0.00
DECK $8.00 120 $0.00
==c'? ?? s 43 1
PLEASE COMPLETE FOR SINGLE FAMII.Y DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE .REQUIRED FOR EACH UNTT.
NO. 14IX1'URES
Cu0ur=R
? WATER CLOSET
BATH TUB
? LAVATORY
KITCHEN SINK
LAUNDRY TRAY
HOT TUB/SPA
/ WATER HEATER
J FLOOR DRAIN
GAS PIPING OUTLET • ?? .
? ROUGH OPENINGS
? WATERSOFTENER
PRIVATE DISP. • DatCty. lie
U.G. SPRINKI.ER ' home under cansL
ALTERATIONS • to adsemg
WATER TURN AROUND
STATE SURCHARGE
TOTAL:
EACH TOTAL
3.03
3.00 ?
3.00 ?
3.00
3.00
3.00
3.(?0 ?
3.00
3.00
3.00 ?
1.50
5.00
15.00
3.00
15.00
15.00
.50
?23. 5o
S?'TE P.UL'RESS• All,? =vy zaj?G
OWNER NAME: woonLAND CoUNTKnIOMEs
INSTALI,ER: GINZ-RYAN PLUMBING & HEATING C0.
ADDRESS' 14745 South Robert Trail
CTT'y; Rosemount STATE: MN ZIP CODE: 55068
PHONE #: (612 ) 423-1144
PLUMBING PERNIIT (RESIDENT7AL)
CTIY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 6814675
AICAL PERMIT (RESIDEN'I7AL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
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 CA ?
ES
HVAC: 0-100 M STU $ 4.00
ADDITIONAL 50 M BTU
GAS OUTLETS (MINIMUM 1 CC $3.00 EACH)
ADD-ON/REMODEL (EXISnNG CoNSTxUCnoN) $ 15.00
STATE SURCHARGE .50
TOTAL -)-`1 •??
SITE
L...
OWNER NAME: C_o ,.rS'?/ ???? ???r S TELEPHONE #:
INSTALLER: ' (, l \Io . .
ADDRESS: Yl 1? 1 Q? `ZC? -??-. S;r-
CI1'1': STATE: )4\ k3? ZIP CODE:
TELEPHONE #:
RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Tetephone # 651-675-5675 FAX # 651-675-5694
New Construction ReouiremenGS RemodelrReoair Reauirements
3 registered site surveys shaxing sq fl, of lof, sq. h of house; and all roofed areas 2 wpies of plan
(20°/a maximum lot coverege allowed) 1 set of Energy CalcuWdons for heated additions
2 copies of plan showing beam & window sizes, poured found desgn, etc. 1 site survey for additions 8 decks
1 set ol Energy Calculations Addrtion - indicate d on-sife sepfk system
3 copies of Tree Preservation Plan if lot platted aker 711/93
Rim Joist Detail Options selection sheet (bldgs with 3 or less uniLs
? oK use on? ?
Cert of Survey Recd
Tree Pres Plan Recd
Tree Pres Not Reqd
_ On-site Septic System
Date
SiteAddress ??f
SI /t' ?i4/ Constructioa Cost A717510"
?? UniUSte #
Description of Work Ii
Multi-FamilyBldg ?L/Y _ N Fireplace(s) /0 _ 1 _ 2
Property Owner kq+r- 49-< <C *C4 Eft? Telephone #( 6 S# ) Vf__0"- SYfI
Contractor ? t/? 0ei4¢' ?d,.?,Sf/r.?7'suV? __S.??? ?lN ?''?4E ad13S/$9
Address -hr-4
State A C City S.;Z?F
Zip S S3? b Telephane #( 9'Sy)
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Cateeorv l
• Residential Ventilation Category 1 Worksheet
(J submission rype) Submitted
• Energy Envelope Calculations SubmitteA
Licensed Plumber ? ?"e?
Mechanical Contractor
Sewer/Water Contractor
I?., „
A NEW BUILDING
Minnesota Rules 7672
. New Energy Code Worksheet
Submitted
Telephone # -063 &
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 t e of work which requires a review and
approval of plans.
? l.?lE ?-?qSS?N??
Applicant's Printed Name Appli ant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Firepiace ? 21 Porch (3-sea.) ? 31 E#. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazeho) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex (B' 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_Y or _ N O 25 Miscellaneous
Work Types q 47H RQp yv,,,
? 31 New 11 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 AddiGOn ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteradon ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 WindowslDoors
? 34 ReplaCement 'Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation 2) Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) ZO FinaUNo C.O.
_ Foo[ings (addition) _ Plumbing
_ Foundation HVAC
_ Drain Tile Other
Roof Ice & Warer Final Pool Ftgs Air/Gas Tests Final
}4 Framing _ Siding Stucco Stone
Fireplace _ R.I. _ Air Test _ Final _ Windows (newlreplacement)
? Insulation _ Retaining Wall
Approved By Building Inspector
Base Fee
Surcharge
Plan Review -
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatrnent Plant
License Search
Copies
Other
Total
PLUMBING (RESIDENTTAL) 4(?-D -S?
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX 9 651-675-5694
Please complete for: Single Family Dwellings
Townhomes and Condos when perxnits aze required for each unit
?o / 3 c5 ? 3 .
Date
Site Address ? c{ S7- Unit #
Property Owner Telephone # ( )
Contractor Ec'c4. I'1'11?? u M h 16
Address 2 1`e ? Y,Lp r?1 City ]To (7? ?(j
State YVl(14 Zip S'S'O(?g Telephone#
The Applicant is _ Owner Conhactor _ Other
Septic System NeW Refurbished Submit 2 seLS 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 softener and water heater
_ Abandonment of septic system
_ Water turnaround (+ 5/8" meter if needed -$121.00)
Other.
_ RPZ _ new inst211aGon _ repair _ rebuild $ 30.00
Lawn irrigation system
?•_^??
?' ? ?
I i1
J
_ Water softener _ Water heater /
$
15.00
_ replacement _ additional ?
?., - -
$ .50
State Surcharge
15Z ?
Total $
I hereby apply for a Residenrial Plumbing Pemtit and acknowledge that the information is complete and accurate; that the work will
be in o nce with the ordinances and codes of the City of Eagan and with the bing Codes; that I understand this is not a
pe t, b only an application for a permit, and work is not to start without a pe ,prffit; t4Ot the work will be in accordance with the
?6proye'd plan ine ?ase oFwork wlych requires a review and approval ofplans.
X?c e.,--- Aork '' ?
Applicans Pnnted Name Applicant's ignatu
4111? City of Eapn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
-r- 0 p42V
--------------,
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?
Pem,lta:
Permit Fee: I
^? I
Date Received:
I
Statl: ( I
----------------
2008 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: /-21-U9 SiteAddress:
iff
Suite #:
RESIDENT / OWNER
Phone: lDS I - +_,?(/j -5 ?
Name: I`oA 6y),P MaL, eaC I I Vl y)
Address / City / Zip: l-5
CONTRACTOR Name: Chempion License #: ?q V
551-365-1340
address: 3870 DOdd Rd #100
Eagan, MN 55123-1339
Ciry: State: Zip:
Phone: Contact Person: ? ?? w
TYPE OF WORK _ New `•? Replaceme?ntD Repair _ Rebuitd _ Modify Space _ Work in R.O.W.
Descri tionolwork: Tvr
PERMIT TYPE RESIDENTIAL
XWater Heater _ Water Sottener
Lawn Irrigation Add Plumbing Fixtures
C_ RPZ /_ PVB) (_ Main _ Lower Level)
Septic System _ Water Turnaround
New
Abandonment
RESlDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $.50 State Surcharge)
'bVater Turnaround (add $136.00 if a 5/8" meter is required)
$100.50 Septic System New ($10 00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire R2pair (replace 6urned out appliances, duclwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES
di and codes ot Ihe Clly of
1 hereby acknowledge that this information is complete and accurate; that the work vnll be in conformance xnth the or nances
Eagan; [hat I undersland ihis is not a pertnit, but only an application tor a permit, and work is not to starl without a permit; ihat the work will be in
accordance with Ihe approved plan in ihe case ol work which requires a review and approval of plans.
x, m i?
ApplicanYS Printed Name ApplicanYs Si
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA126649
Date Issued:09/04/2014
Permit Category:ePermit
Site Address: 845 Ivy Lane
Lot:2 Block: 01 Addition: The Woodlands North 3rd
PID:10-75892-01-020
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Barbara Bessent
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 -
Katherine Maceachern
845 Ivy Lane
Eagan MN 55123
Minnesota Exteriors
8600 Jefferson Hwy
Osseo MN 55369
(763) 391-5514
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA159794
Date Issued:01/21/2020
Permit Category:ePermit
Site Address: 845 Ivy Lane
Lot:2 Block: 01 Addition: The Woodlands North 3rd
PID:10-75892-01-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Katherine Maceachern
845 Ivy Lane
Eagan MN 55123
Ed's Heating And Air
1099 Pelto Path
Woodbury MN 55129
(651) 775-7490
Applicant/Permitee: Signature Issued By: Signature