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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 --------------, ?? ? ? 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