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849 Ivy LaneMCITY.4F EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 5PECTION RECORD PERMIT TYPE: " Ii t' r m' Permit Number: N't; A1a Date Issued: t•;: / 14 !`i SITE ADDRESS: ' • "' : ' w - ' t Or i ? .'Y i ANF PERMIT SUBTYPE: • q (K K APPLICANT. [a ; . . ?. . TYPE OF WORK: ,•I ., ? . ?''. f : ?f 9i.TF'FrAI'l nN R f: NF" I-! ?F 's: P ! N f' t) F' f k M'1 1 INSPECTION D• • D• • , ; i BFNz RYAN P113G -1 L -,--------- - Permk No. Permlt Holder Date Talephona M ELECTRiC PLUMBING .F' ? . ??A7 14-2, IIV HVAC i ,? 8yD- T OI Ir?spectlon Date Inep. Comments FOOTINGS FOUND FRAMING ? ROOFING ROUGN PLUMEiiNG 91 ,7 y `f PLBG AIR TEST ROUGH HEATING ?O/$/? DN ??SIq?S Id/?eI LI•G• GAS SVC TEST INSUL f7 GYP BOARD FIREPLACE r FIREPLACE AIR TEST ? FINAL PLBG S/,! S /a FINAL HTG -?/ loL/ ? ORSAT TEST BLDG FiNAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL s? ?19 ? ON CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PERMIT SUBTYPE: PERMIT TYPE: ?? i rt ? ra?? Permit Number: ? • •± t Date Issued: ?l11? TYPE OF WORK: 1?t •.? 14 1 11 1 1111v 4 .'1 r, i, 1 11 1 t I N1- ) INSPECTION .. . .• - ? ,. ?r- •, !t LJ !' I iik G rM? 1ey11 N F L J 1 t; 1 01 Permit No. Pern?it Holdar , Date Telephone #t ELECTRIC PLUMBING HVAC Inspsctlon Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING - -G GAS SVC TEST INSUL GYP BOARD FIREPLACE , FIREPLACE AIR TEST I 1 FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FfG DECK FINAL LVV TP 13 D S s+P. L496. ir'sr pv?3? W I `. .? . ? _: ;.. ?, r? - .? ' ? •,? ' '> , C?:?ffcate nf eccu'vancv ? . (AM of ftean `zqwtment .? ??? 340ted" This Cenificate issued pursuant to the reqairements of the Uniform Building Code certifying that at the time of issuance this structure was in compliarece with the various orriinances af the City regulating building construction or use. For the following: j Use Classfiption: SF M1^ Bldg. Permit No. 752Q 1 j O-w-r TYae RL '?/!i 1 Zonin District R j Type Coast. VN ? o.vmar su;wios ?eLX'LE.MM M .S TN^, weasrcss 7625 MKM ffiM,EDTQA 3RD euildins AdMess lootiry i 4. B 1, . G?YX?111? rrH Dace• -? BwldiaE tTiciat POS7 IN A CONSPICUOUS PLACE -_.;L I I e ; -+?t C?'ruificate of Cccupanc? 6014 of Cftgan *contMc-nt of gaia? anoectiou This Certifrcare issued pursuant ro tlu reqWinments of the Uniform Building Code certifying that at the tinu of issuance tJri.s structurc was in conepliarrce with the various orWnonces of the City rcgulating building constructiori or use. For the following: ux cassircatim SF DWG sUg. Pennn No. 25290 ocaipriq• rype R3/41 zaou6 ouaiu R I rype coiw. VN ownwocswwfinzWCIOfdArID OOINIRY ACrFS uWAddicss 7625 AHdIR ffi.VD- IDINA su" Aaama 84R IVY IANE LowHy 13, B I, 1HE WCICQAND6 NMM 3ID o.w. eudmos otr'c;.d POST IN A CANSPICUOUS PLACE i ' CITYOF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT TYPE: s k 11 I t?}a Permit Number: • + r 4> Date Issued: SITE ADDRESS: PERMIT SUBTYPE: 1 11 1 ? ara? APPLICANT: TYPE OF WORK: ItI '.I P I I* iI lirf I) i 'I i I I oi INSPECTION D. . D• ! 1'lF3ic (it N.' 6;Yr304 k'I 0 r; I F- -? L Pertnit No. Permit Holder Date Totephone M ELECTRIC PLUMBING Jg, j g ja, 109-//W HVAC ? 06&* 1 g %_ InspecHon Date Inap. Commenis FOOTINGS y$. FOUND FRAMING ?s ROOFING ROUGH PLUMBING ? S PLBG AIR TEST ROUGH HEA7ING GAS SVC TES7 ? zuA INSUL ?M• GYP BOARD FIREPLACE FIREPLACE AIR TEST ? FINALPLBG C.oF FINAL HTG ORSAT TEST te BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL L REQUEST FOR ELECTRICAL INSPECTION ee.ooooi'os ? { 1* See inslmctions lor ccmpleting this form on back of yellow copy "X" 8elow Work Covered by This Request ? ? S'?S 7' New Atld Rep. Type of Building Appliances Wired Eqwpment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Indusirial Furnace Other Specity) Farm Air Contlitioner Olher(spacity) Gonhac[or's Remarks Compufe Inspecfion Fee Below, # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Am s ? 0 to 100 Amps ? Transformers Above 200_Amps o DO -Amps $I fIS Inspector's Use Only 60 • TOTAL D S Irrigatwn Booms l ?v g? Special Ins ection Alarm/Communication THIS INSTALLATION MAY 8E ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 19 MONTH . I, the Electrical Inspector, herehy ROp9n'" os ^ cedity that the a6ove mspection has baen made. F??ai oa?e OFFICE USE ONLY This request voi7 18 moMhs from yco? 7s a'' s5 9 7 0 J d i4 ?? s s ??? G ? Request Oala Frte No. R ughln Inapection Reqmretl ispeclmn Other Than ougM1-In Q ?J ? - / ? / ? (YOU u 1 call inspector nhen reatly) ? Ves ? No ? Reatly Now WJI Notdy Inspeclo? pate Paetl IKlicensed contractor ? owner here6y request inspection of above electrical work at: JoC AtlOress (Slrael. Box ar Poute No ) Ciry Sectlon No. Township Name or No Range No Coumy ? Occupanl PRINT) Phone No Power Suppl r Adtlress ? ? Elecinc omtactor (Company Na e) / Conlraclor's Lice No, ? A ? Meiling Atldress (onttaqor or Ownar Making Installation) f AutlIDnzetl Signatu (ConUactodOwner Meking InstallaM1On) Phone Number 1Aj.12 x <75%) - 3 MINNESOTA STATE BOARD OF EIECTflICITV THIS MSPECTION REOIIEST WILL NOT Grigge-Mltlwey Bldg. - floom &128 BE ACCEPTEO 8Y THE STATE BOAFO 1821 Onivenlty Ave., SL Peul, MN 55106 UNLESS PROPER INSPECTION FEE IS Phona(812)842-0800 ? ENCLOSED ?p REQUEST FOR ELECTRICAL INSPECTION ee.aoIoo?i-os ? 0- See mstmclions br complet[ng this lortn on back of yellow copy. c 9' ? ?Qf? / e7 "X" BElow VVoPk Covered by This Request ''????`•? 41eyj Rep. Type of 6uilding Appliances Wired Equipment Wired Home Range Temporary Service . Duplex Water Heater Electnc Heating Apt. Budding Dryer Load Management Comm.llndustrial Furnace Other (S ecrty) Farm Av Conditioner OIM1er (speafy) Conlrador s RemaMs Campute Inspection Fee Below: # Ofher Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps 11 100 -Amps SI nS Inspectar's Use Only. TDT L ? Irrigation Booms ? Speciai Inspection Alarm/Communication TMIS INSTALLATION MAY 8E ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Elecirical Inspector, hereby flou9n-in oa1q 1 ? -QJ ? certify that the above inspection has been made. F'na, oate 7 .J OFFICE USE ONLV This request voitl t8 monlhs trom ? U6 . ? 1s s 9?96 . 3?' 8? °" ReQUes Date Frte No Rough-In Inspection ReqWretl (YOU mu I call ms ector wnan reatl ) Ins ecbon Othar Than oughin eclor qeatl Now WJI NoOf Ins ` - y p y p y J Yes ? No pefe Read I'`?§Jicensed contractor ? owner hereby request inspection ot above electncal work at Job AtlOress (Sireef, Box ar Route No Qry S??f 9 Secbon No Township Name or No Range No Count Occupan? /( n A Pbone No Power Supp4 r . Atltlress Elecincal Contractor (Company Name) Conhactor's L se No. Metlin g A ress (Conll ot or Ownet Making Installatwn) tld / ? / ! W W I ? Authorrzetl Sgnat re ?ComractodOwne. Makmg Ins allaUOnt , ? / Phone NumOer 8 6 0 MINNESOTA STATE BOAFD OF ELECTPiCITY I I I ' THIS WSPEGTION REOUEST WILL NOT Criggs-MlEway BIEg. - Raom 5428 (I ? I I I I I? (I III I II I N II I I III? BE ACCEPTED BY THE STATE BOFRD 1821 Univerelty Ave.. St. Paul, MN 55100 UNLESS PROPER INSPECTION PEE IS Chnnw 16121 fiC0.OP00 N eNa.nacn Addiess 849 zvsr LaM Zip 5512 3 Lot I Blk i Sub nw wmrn.nrms rrozm 3rm THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECITON. Date: Yes No Inspector: ?j Final grade (6" from siding) Permanent steps (garage) Permanent 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 ihe shuboff of water supply to the outside lawn faucet before freeze po[ential exists. ContaM engineering division at 681-4645 before working in right-of-way oc installing underground sprinkler system. ? White - Ciry Copy Yellow - Resident Copy Pink - Contractor Copy ? i* pICIR1EER L1ND SIIRVEYOR3 , GNL ENphF.E? e?ng?eelring LFNP PUNNfRS . UNOSC,we MCMIEGTS i Certificate of Survey for: CoU??i , . Hoase Address; House Modelr Jr . ?? ?'ll4:• ' . • ` ,?. ? . _LL._?-• -- ` By, 4 5 N ?•? 6ey ? 1 I b `v . ? r wV6?a ? ?. l r- - I i , ; ? i ? ? ? 893.9 2422 Enteryrice OtWe E MenEOta Helqhte, MN 55120 ; (612) 881-1914 FAX:681-9488 ; ' 625 Hiohway 10 H.E. Bfaine, lAN 55434 i (612) 783-1880 FNf:783-1883 . r B UI.??RS 14t ? ? ? c• v9•0 4 O' y ? 4 ? 895•'SZ 89S•G ? w 'r, _7 aqs .. V ? a 4 Fr° v???°° ? , ? 9oa.43 o v ` . .?\ . .? S. I EAGIA24 ENGlNL:ERIt3G DEFT. ? ?-?.YN?y • : Ra? 3,rV9S , r?ad ? ; ' ??,?„d d.:?e cn I.i 3 1e S•d r' ; r¢v?s,d '?.?dPr P.. R•ss G?Q ?/.f.? ?YyL? 0 I?Y Lq . i ? aaao Denotas FxtsNng Elewtfon Lbuu} T7m, davG{;? $g5.9 . L.o t Floor Eltrit0tfon- ns.•? ; 4?E-n> Denotes f'roposed Efewtlon elewi:«. 9o4.0 7bpof B(ock Elevotfm: 9°;3-3 ' - Denotes OraGroge r7aw Dh'eetlon P ? ?.. slab F?r,d?Y a. 9?a, 5 ca ya slab ?ev?otron: ?$ ? -- Denotes DraMoga Ac UtAlty Eosemant NOTE pmpo, y,yy„g ,h* yrwr^y b b xt«danw W111, w• i ._Q.. Qenotes Alonument y+ean9!vlan• aPProv°d bY lhe cltY M9n"r. ? d ? ?...?a-• enotes 0lfsat Hub Bearfitys s?+aW^ ?e a?med ?Te: ca,iter m? wnY al d1mwa?°^° k`?i"°"y deoiyn L . pTS 3-4 BLOC,K I' W ODLANDS 012TI-? 3RD ? ; DAKaTA CDUfV7Y> M?NHFSOTA lan o? report was prepcv'ed by me or undet my d Ft Su 9ion Ond thol I am dutY 11cen i d' ' W? hereby cortlty khnt this aurveY, P ?? day a RidG t-l p`D. 19s Lond SwYeMr under tha lawe of the Stota nf AlinnesOla. Dated this ?-? ING, P.A. i Signe : PIONEER E IN , Ra? 3-19-95 Addcd 5e.u 4(x-4t- ? . . a eet B? I SGale. ?h_ . Robe t S. Siklch, 1.5. Reg. a 14891 or : Terre ce E. Ro4henbach¢r. L.S. Req, No. 20595 69.10 ? c0 8L2 ecu i saau ! sLi3 aaauo i d ??? .. i.? .•_-=L--?•??r??.?.:^ I ? . ' LOT BIIRVEY CHECRLIBT FOR RESIDENTIAL BIIILDZNG PERMIT APPLICATION 4ROPERTY LEDALS / -2? Dat• of eurvsy: DOCIIMENT BTANDARna Ero?l 0 - Registered Land Surveyor signature and company ? 0 • Building Permit Applicant B? 0 0 • Legal deccription D D 0 • Address 80' D D • North arrow and .bax, scale lYD D ' ambler, walkout, split v/o, 6plit entry, ? lookou t etc j 0 • Directioaal drainage arrows wlth alope/gradfent 4. ? F • • Proposed/existing never and water rervices - 0 PR • Street name 3 0 • Driveway ELEVATIOl18 IYF'l ? • Lxietina Sewer eerviee p 0 • Lot corners ? • Top of curb at the driveway n n 0 • Elevations of any existing adjacent homes 2 1D 0 • pronoeed Garage floor 0 0 • First floor ar?A C) • Lowest exposed elevation (walkout/window) ? • Property cornezs $? D • Front and rear of home at the foundation 0 ?0 • pqNDING 7?REAB tif anfllicable) Easement line 0 B'' D • NwL 0 H? D • HwL ? Q' ? '1 • Pond N designation D H D • Emergency overflow Elevation ? 0 • 0 0 • 0 0 - -C'D o - G/n o • o e--,r3 • Loe lines Riqht-of-way and street width (to back of curb) Proposed home dlmenaions including any pzoposed decks, overhangs greater than 21, porches, etc. (i.e. all structures requiring permanent footinqs) Show all easements of record and any City utilities within those easemants Setbacks of proposed structure and setback of adjacent existinq homes Ret Reviewed; OCtobei 1992 YA 1ttt \ , .. . ?? ? - ' ? \ . .W i 4S5 •??. 6l.1 ? m• '' ?', i? % MH ?-- ? : . % ? g918 ? 89 . 1• 6'?-9c B ' b g9? 6 ?6 \ 6 - I I BEN ' C?'45`BEND H 6 - ' ' i ;43 , 9otiti \ 4 S a W 0r75 INV. 882.00 S&W 0+40 S 8i W 1+35 -? `•„- ? ? ? / \ ? C.O. INV. 888.00 C.O. 887.00 INV . W 0+25 S 8?W Ii10 C O ° . . INV. 890.00 C.O. INV. 890.00 ` / S&W 0.90 ? ' C:O. INV.891.4 Y?iE CITY 0F EAGRN DO[S C.QT GUARAPy i y? THE ACG!!RACY OF UTILITY LOCATI0NS Aie9p/09 ELEVATIONS. THIS DATA 15 F0-R ? !RlFOR'iljaATfOPJ PURPOSE3 ONLV M,D -- r??r PERSUt?iS USING IT SHOULD Vcr=,:i'Y TNc INIFORMATIOiV ON THE SITE. d w R o IY LANE ..9.,? ...................... .............................. . -.SE,E'..R,E.GA.(?A.P[.?lAl.l.V(01.?2 ...................... ......:............................. ............................. ........................................... , . . .. ........ . . . . . .... .. . . .................................... . ......... . ........ . ........ . .... ... . . . . ..... ..... .....................; . . ................... . . . . ........... : ............................. : . . • ......:....................... .......................... . ...... .. ... .... ... . . .. ............. , . . ...., ............................. : ......... ... ................ . . . . ........ . .................. . ............................. : ........ PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIltED FOR EACH UNTI'. X NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE FII2EPLACE INSERT DATE 4I24 FEES HVAC: 0.100 M BTU $ 24.00 ADDITIONAL 50 M BT[J 6.00 GAS OLTTLETS (MINIMUM 1@$3.00 EACH) 3,00 ADD-ON/REMODEL (ExISr[rrG CoxsTRUCr[oN) $ 20.00 STATE SURCHARGE .50 TOTAL 2-1. 1?C7 STTE ADDRESS: 2t) 1?H OWNERNAME: Couw1-?..? How.¢ b (des TELEPHONE#: 44 7-2-4 2!{ INSTALLER: ADDxESS: 7111 w17 G f'? S+ CITY: Stiv&a g STATE:_?? rl? ZIP CODE: S 3 J TELEPHONE #: F?'Jo"q3Dl ? SI N? TURE OF P M E 1994 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PII,OT KNOB RD EAGAN MN 55122 (612) 681-4675 ? CTTY USE ONLY ^ LOT ? BL L_ RECEIPT #: SUBD. RECEIPT DATE: 14)1-715P7 1997 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 Date: I/a7 (612) 681-4675 ? /? / 3 Complete tlus section onlv if you are installing HVAC in sinele familv, townhome, or condos that are under construction and are not owner /occupied. • HVAC: 0-100 M B T U $ 24.00 ADDITIONAL 50 M BTU 6.00 • Gas outleu (minimum of one required @$3.00 ea.) 3. vo • State Surcharge: .50 • TOTAL: K-D Complete this section onlv if vou are remodeling, addin¢ to, or reoairing eaistine sinele familv dwellines, townhomes, or condos. Add-on furnace _ Add-on air exchanger, i.e. Vanee system, etc. Minunum fee applies to all remodel or add-ons of eacisting residences State Suicharge Add on air conditioning Other $ 20.00 .50 Total: $ 20.50 SIT'E ADDRESS: 75 53 T.fq L. n OWNER NAME: GUvJN'}?-l 00r.n. aldrS PHONE #: !?35' 4a(o INSTALLER NAME: VG1 ? l e.? H i rt 1^ ? PHONE tt: Q?'! C7' 4 3O r STREET ADDRESS: ? II I L.+J C[TY: Savu', R STATE: M t)_ ZIP: SS 3,7 GI}ATURE OF PF?v1IT7'EE ? CITY USE ONLY L _ BL _ SUBD. RECEIPT#. RECEIPTDATE: 1997 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please oomplMe for. . ali oommerciaUndusfial buildings. ? muld-famiy buildings when separdte permits are no required for each dweliing unit DATE: WORK TYPE: CONTRACT PRICE: _ ?. NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: . $25.00 minimum fee Qr 1°k of contract price, whichever is greater. • Processed piping - $25.00 1 State surcharge of $.50 per $1,000 of oermit fee due on all pertnits. CONTRACT PRICE x 1 % PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TELEPHONE #: TENANT NAME: (IMPROVEMErtrS oNL1) INSTALLER: AODRESS: crrr: PHONE #: ? STATE: Z1p; SIGNATURE: SIGNATURE OF PERMITTEE CITY INSPECTOR PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR T'OWNHOMES AND CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNTT. 4 NO. FIXTURES EACH TOTAL / SHOWER 3.00 ? ? WATER CLOSET 3.00 BATH TUB 3.00 .? LAVATORY 3.00 A0 ! KITCHEN SINK 3.00 :00 ? LALJNDRY TRAY 3.00 ' HOT TUB/SPA 3.00 T - WA'TER HEATER 3.00 T FLOOR DRAIN 3.00 T -- GAS PIPING OUTLET • minimum - i 3.00 . 7;?? ROUGH OPENINGS 1.50 WATER SOFTENER 5.00 PRIVATE DISP. • nat.Cry. tia 20.00 U.G. SPRINKLER • nome unea ?nu. 3.00 ALTERATIONS • w adsung 20.00 WATER TURN AROUND 20.00 STATE SURCHARGE .50 TOTAL: Svg SITE ADDRESS: 4 i' ?I-t OWNER ADDRFSS: CITY: ??adL42aG'4t-;r-- ^ STATE: //Zw ZIP CODE: rJ ?r ? PHONE #: ( ) ?y 1994 PLUMBING PERMIT '(RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 • L `t BL ? suao-4/1( CITY USE ONLY ry p 3/ RECEIPT#: . ? ? ? RECEIPT DATE: 1997 PLUMBING PERMIT (RESIDENTIAL) cirr oF encaN 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 . backflow preventer for underground sprinkler system FIXTURES E&QH ? TOTAL Shower 3.00 x = Water Closet 3.00 x 2 = 00 Bs!h Tub 3.00 x (4-0 C) Lavatory Kitchen Sink 3.00 x = 13.6 D Laundry Tray 3.00 x 1?3 0 Hot TublSpa 3.00 x = ??nn???5 Water Heater 3.00 x Floor Drain 3.00 x = Gas Piping Outlet ' minimum - 1 3.00 x Rough Openings 1.50 x = Water Softener ' for dwellings under wnsUUCtion 5.00 x Water Softener ' Tor existing dwelling 20.00 x = U.G. Sprinkler ' tor dwelling under const. 3.00 = U.G. SpfinklBr 'torexistingdwelling 20.00 = Alterations ' W existing residence 20.00 = Water Tum Around 20.00 = Private Disposal System ' Dak Cty lic. 75.00 = (new and refurbished systems) Private Disposal Systems"Abandonment 20.00 = STATE SURCHARGE .50 TOTAL `4.J o I here6y adcnowledge that I have read thrs epplication, sta[e that the infomiation is correG, and agrea to comply with all applicable City of Eagan ordinenoes. It is the applicanYa responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the Cily during ds nOrtnel operationel and mairRenanca adivlCres to the fadl'itias construGed under this pertnd wkhin City propertylrightcf-way/easement. SITE ADDRESS: `Y"? 5 ?,D ` v OWNER NAME: INSTALLERNAME: GENZ-RYAN PLUMBING & HEATING T LEPHONE#: 423-1144 STREET ADDRESS: 14745 SO ROBERT TRL CITY: ROSEMOUNT STATE: MN ZIp:55068 SIGN TURE OF PERMITTE ' ClTY OF EAGAN PERMIT mc3grlq? , 3830 Pilot Knob Road PERMITTYPE: BurLorHG Eag2n, Minnesota 55122-1897 Permit Number: 025291 (612) 681-4675 Date Issued. 0 q/ 0 3/ 9 5 SITE ADDRESS: P.I.N.: 10-75892-040-01 853 IVY LANE LOT: 4 BLOCK: 1 THE WOODLANOS NORTH 3R0 DESCRIPTION: (ZERD-LOT-LINE) 6jiding°.?Permit 7ype SF pWG , ?uiiding", W1e-r-l<, Type NEW ?-?-UB°G 1]-ac&pancy?,?-- R-3 M-1 ? CbristrU°GtiQn TYpg V-N ZonYng R-1 Buiidi n-g. Llprng`Gh 86 30 2,234 a? n r?- a?p?> ?;ea ?:.a,'i . REMARKS: S& W PLBR - GEMZ RYAN PLBG FEE SUMMARY: VALUA7ION 8ase Fee Plan Review Surcharge 5AC SAC % SAC Units Subtotel $723.50 $470.28 $62.00 $850.00 100 $2,105.78 $124,000 MISCELLANEOUS $1a892.50 Total Fee $3,998.28 CONTRACTOR: - Applicant - sT. Lzc. OWNER: COUNTRYHOME BLDRS 18354126 0008508 WpODLAND COUNTRYNOMES INC 7844 150TH ST W 7625 ME7R0 BIVD 145 PRIOR LRKE MN 55372 EpINA MN 55439 (612) 447-2424 (612)835--4126 I het'eby acknowledge th6f? ? ha6e. J-e`3d ?mk$ .O'pp,lfc,?tlon an-;d st,4Ce- t6at ? infQrmaticsn.3s- cqr?rect? amd ? s_gPae .to c6mply ?wi?h aYl ,ao.p.kltsab,.?.?8,???e A7ra: ' " . Statutes artd Clty _of Eagdn .QrdinBriess. ? ,. _. _ ? _. ? ,.. ?. ... ..? R- . .. _ . . ._ ?._„ ?? _._ . ? A l PPLICANT/PEflM1T? ' ISS? EDr! S? DT?1 r rn, 14191 1? CITY OF EAGAN BUILDING PERMIT APPLI ? i 681-4675 ??,,,, ? 4 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered si - --?-c of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date 3 ? 15 ? 95 Valuation of work $96,805.00 $lte Addres5' 853 Ivy Lane Eagan, MN 55123 STREET SUITE ft Tenant Name: (commercial only) 4ao..sx "/ C» 3 4 1 The Woo an s LOT SLOCK SIIBD. North, 3rd Add. P•I•D• ? 10-75892-040-01 Descri tion of work: Coui;tryHome The applicant is: FKI Owner 9:Contractor ? Other (Describe) Ndme Woodland CountryHomes Inc. Phone $35-4126 Property LaST FIRST Owner Address 7625 Metro Biva. #145 STREET STE # City Edina State rIN ZjP 55439 COmpany CountryHome Builders Inc. Phone $35-4126 Contractor Address 7625 Metro Blvd. #145 License # 0008502XP 4/95 City Edina State MN Zjp 55439 Company Phone Architect/ Engineer Name Registration # Address ' City State Zip Sewer & water licensed plumber Genz xyan Plumbing , 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 comp with all licable State of Minnesota 5tatutes and City of Eagan Ordinances. 5ignature of Applicant: OFFICE USE ONLY T .,. BUILDING PERMIT TYPE ?., ? 01 Foundation O 06 Duplex ? 11 Apt./Lodging 0,162aseaient Fitt7slt X-02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. E3 17 Swim Pool ? 03 Sf Addition ? OS 8-Plex ? 13 Garage/Accessary ? 18 Comm./Ind. ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'1. 0 15 Deck O 20 Public Facility ? 21 Miscellaneous WORK TYPE P61 New 1-1 33 Alterations O 35 Tenant Finish ? 37 Demolish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) 17-M Basement sq. ft. ? MWCC System _0<? (Allowable) N lst F1. sq. ft. ?,SSb City Water ? UBC Occupancy ? 2nd F1. sq. ft. PRY Required #oofnStories Sq. Ft. tatal „?f.?•??,pBooster PumP Len th -1=1? Footprint Sq. ft. so.l- Fire Sprinkler 9 9_(? On-site well agn Census Code oi Depth ? On-site sewage z,zsN e ? e SAC Code al APPROVALS Census Bldg i• iqSm ?o Census Unit f Planning - Building X ? .Agsessments Engineering Variance ? P 1 r REQUIRED INSPECTIONS ? O.Site ? Footing ? Framing ? Insulatian ? Wallboard ? Final ? Draintile ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. C0pleS Other Total: SAC % SAC Units vewec;m: $? ,s9zn ?0.?3 = ?6y 25'-9a x ie - 2519 2 7.zs x ir ' yos Z.G? x iz.93 ? 33 Z.s SY f s v ? 30 27.9Zx /Y {u, /N, 2s n H d?y-'" > 3si % s7 ? ' ZS.St ? /0.47 = 777 7 XiT " /oS s yz , 13fs.r FN. _/?5/43 - SY2 . 90/ s 2s ! ? ?yo /, S8(o,cS?l? Cia.,,at ?5,(,qy z?.9zx ?s.?? ° 1101 ,1J ?rla y ? = /Z3, 227 ,l33x <<° 9ag ?SS...T. <3 5 EX7ERIOR ENVEl.CPE AVERAGE "U" COMPUTATION owNea: WOODLAhD CGiJNTRYHOMES, INC. SITE ADDRESS; 853 Ivy Lane 835-4126 PHONE: CONTRACTOR: COUNTRYH(1,?iF. ;l'JILDERS,- INC. - oATE: 3115 95 DETERMINE WORKING SQUARE FOOTAGE OF EACH: 1 2. 3. a. 70TAL EXPOSED WALL AREA,,,,,,,,,,,,,, 1,$04.00 sq ft x"U" 0.110 = 198.44 TOTAL ROOFlCEILING AflEA;,,,,,,,,,,,,,,,, 1,435.00 sq ft x"U" 0,026 = 37.31 TOTAL EXPOSED WALL AREA CALCULATIONS: Total exposed wall area a6ova floor........ 1,804.00 sq ft 0 Total window area: Double glazed ........................ 134,00 sq ft x"U" 0.430 57.62 glazed ........... ............. sq ft x "U" - 0.00 b) Total door area;,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, 38.00 sq ft x"U" 0.070 = 2.66 c) 7otal sliding door area: Double glazed ........................ 80.00 sq ft x"U" 0.430 = 34.40 sq ft x "U" = 0.00 d) Totai fireplace wall area :....................... Nq sq ft x"U" 0.370 = 0.00 e} Total wall framing area {qVERAGE 10%}.,,....... 180.40 sq ft x"U" _ 0.095 = 17.14 f) Total net wail area above tioor (insutated) ........................... 1,279,60 sq ft x"U" 0.043 = 55.02 g) Totai rim joist area :............................... 92,00 sq ft x"U" 0.034 = 3.13 Total foundation area (exposed) ..............NA sq ft h) Total foundation window area .. ............. NA sq ft x"U" 0.430 = 0.00 i) Total nat foundation area above grade..,.. 0.00 sq ft x"U" _ 0.045 = 0.00 Total a) thru i) 169.97 If item I/3 is the same as, or less than item q1 you have met the intent of 2 MCAR 1.16008 A and 0. Page -1- 26:49 _ P _ 04 4. 7'OTAL EXPOSED ROOF/CEILING CALCULATIONS: Total e?posed roof/ceiling area . ............. 1,435.00 sq ft 1) Tota _ kylight erea........... , ....... ............ ..?0.0 sq ft x "U^ Total roof/ceiling framing area ?? k? (Average 10%............. --- 143,5? sq ft x"U" ? 0.039 = d) Totai net insulated --- 4. `?•60 roof/ceiling area .................................... - 1---,291 •56 sq ft x"U" _ 0.024 = _?,?0 If item #4 is the same as, or less than item #2 yau hava met the intent of 2 MC Total AR 1)1 t 6008 A and p 36.59 ALTERNATE BUILDING ENVELOPE DESlGN To utilize the total evelope system method, the values established by the sum of Items shall not be greater than the sum of Items 111 and #2. N3 and Item #4 1. -44 + 2 _ 37.37 = ? 235.75 3. _ 189 97 + 4 36.59 - -- 206.56 CERTIFICATION I hereby certify that I have calculated the "U" factors and "R" values herein and that the building here in describad meets or exceeds the stata of Minnesota Ener 9y Conservation Act. ( ?gnaturo) 3/15/95 (Dale) Page -2- ti ? , PERMIT cR 0 3 -3 cl y ca CITY OF EAGAN - 3830 Pilot Knob Road PERMITTYPE: Bu=Lp=NG Eagan, Minnesota 55122-1897 Permit Number: 025290 (612) 681-4675 Date Issued: 8 q/0 3/ 9 5 SITE ADDRESS: 849 IVY LANE LOT: 3 BLOCK: 1 THE WOODLANDS NORTH 3RD P.I.N.: 10-75892-030-01 DESCRIPTION: (ZERO-LOT-LINE) B'uilding`-Fermit Type SF DWG Building Wo°rk Type NEW ` UBC Occupancy`R-3 hl-1 Construction 7ype V-N ? Xoni.ng '-` R-1 Building LengCh 78 Building Width 30 Building stories 1 -5q ayr,e Peet _. 2,091 ''d n REMARKS: 5& W PLBR - GENZ RYAN PLBG FEE SUMMARY: VALUATION Base Fee Plan Review Surcharge SAC SAC % SAC Units 5ubtotal $664.00 $431.60 $53.50 $850.00 100 $1,999.10 $107,000 MISCELLANEOUS $1.892.50 Total Fee $3,891.60 CONTRACTOR: - ppplicant - sT. I.IC. OWNER: COUNTRYHOME BLDRS 18354126 0008508 WOOOLAND COUNTRYHOMES INC 7844 150TH ST W 7625 ME7R0 BLVq 145 PRIOR LAKE MN 55372 EDINA MN 55439 (612) 447-2424 (612)835-4126 I hereby ecknvwledge tMat T haue read this `application and stata that the information is correct arnd agree to comply with all applzcable State of Mn. L Statutes and City of Eagan Ordinances. - on ?? ?? rn APPLICANT/PERMTEE E ISSUED SIG TURE-??? ?- q? CITY OF EAGAN ? q ? O . 199# BUILDING PERMIT APPLICATION ?3i l, 681-4675 fi-EC E oVEE D SINGLE & MULTI-FAMILY ???;, < 4 to4; 2 sets of plans, 3 regis ered ite surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specificatians, 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 ance permit is issued. Date 3 ? 15 ? 95 Valuation of work $ 96.805.00 Site Address: 849 Ivy Lane Eagan, MN 55123 STREET SUITE # Tenant Name: (commercial only) LOT 3 BLOCK 1 SUBD, The Woodlands 3rd Add. North P.I.D. # 10-75892-030-01 , Descri tlon of work: Countr Home The applicant is: 19 Owner 0 Contractor ? Other (Deseribe) Name Woodland CountryHomes Inc. Phone $35-4126 Property IAST FIRST Owner pddress 7625 Pietro siva. #145 STREET STE II City Edina Stdte MN ZjP 55439 Compdny CountryHOme Builders phOne 835-4126 Contractor Address 7625 P4etro Blvd. #145 License # 0008508 Exp 4/95 City Edina $tate MN ZjP 55439 Company Phone Architect/ Engineer Name Registration # Address ' City State Zip Sewer & water licensed plumber Genz xyan Plumbing , processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that have read this application and state that the information is correct and agree to compl ith all p icable State of Minnesota Statutes and City of Eagan Ordinances. . Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation k02 SF Dwg. ? 03 SF Addition 13 04 SF Porch ? 05 SF Misc. ? 06 Duplex ? 07 4-Plex 0 08 8-Ptex ? 09 12-Plex ? 10 Multi. Add'1. ? 11 Apt./Lodging 13 12 Multi. Misc. 13 13 Garage/Accessory ? 14 Fireplace ? 15 Deck ?_ ?rzo - zo T - G/,v9- WORK TYPE Q8(31 New El 32 Addition ? 33 Alterations ? 34 Repair GENERAL INFORMATION veimt;«n: g /D 7, o 0 0 ? 35 Tenant Finish 0 36 Move Const. (Actual) Basement sq. ft. l.HN1 MWCC System K (Al?owable) lst F1. sq. ft. I.?N3 City Water 44_ UBC Occupancy 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. a i w?o Fire Sprinkler Length ?g On-site well Census Cade oi Depth 30_ On-site sewage ? Z SAC Code ci APPROVALS ffl(lo s `??"AV Census Unit ? Cesus Planning Building Assessments Engineering Variance REGIUIRED INSPECTIONS ? Site ? Foating ? Framing ? Insulation 11 Wallboard ? Final ? Draintile ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units ---- z? zs, s? F •? 27.zrc/S Z.67 ? ia.9? ys. s z R r ?7,Sz Ri/ F v : ,6y ' yoq = 33 = 39? = s7 _?- /, Hy3 z sy - 77,?Z2 ? ... ,?. •? s . 11 0 16"Basement'Ti'n?istlh ? 17 Swim Pool O 18 Comm./Ind. 0 19 Comm./Ind. Misc. ? 20 Public facility ? 21 Miscellaneous ? 37 Uemalish Z/3? x/b° (o, 10 --.- -- ? y y'S_ ! --- - -- /3 s.n f- ?-- l 6'a = /'lH3S% Z/ ?Ys?.? z/7 24. Z/.S2,c19.1(7 = Ys' .33 x? " Z •;, EXTERIOR EN'VELOPE AVERAGE "U" COMPUTATION ' OwrvER: WOODLAhD CGiJNTRYHOMES, INC. SITEADDRESS: $49 Ivy Lane 835-4126 PHONE• CONl'RACTOR: COUNTRYHO?,,i'P ;??)ILDERS,- ING. DATE: 3/15/95 ' DETERMINr- tn10sIKING SQUARE FOOTAGE OF EACH: 1. TOTAL EXPOSED WALL AREA,,,,,,,,,,,,,, 1,804.00 sq ft x"U" 0.110 = 198 44 . 2. TOTAL ROOF/CEILING AREA;,,,,,,,,,,,,,,,, __ 1 ,435.00 sq ft x"U" 0,026 = 37.31 3. 70TAL EXPOSED WALL AREA CALCULATIONS: Total exposed walf area ahove floor.......... 1,804.00 sq ft a) Total window area: Double glazed ........................ 134,00 sq ft x"U" 0.430 57 62 , glazed ........................ sq ft x"U" = 0 00 . bl Total door area :....................... 38.00 sq ft x"U" 0.070 = 2.66 cy Total sliding door area; Double glazed ........................ 80.00 sq ft x"U" 0.430 = 34 40 . 9lazed ........................ sq ft x"U" 0.00 dl Total fireplace wall area;,,,,,,,,,, ,,,,,,,,,,,,. Nq sq ft x"U" 0.370 = 0 00 . e1 Totai wall framing area (AVERAG£ 10°l01......,.,. 180.40 Sq ft x"U" 0.095 = 17 14 . f) Total net wail area above floor (insulated) ........................... 1,279.60 sq ft x"U" 0.043 = 55.02 gl Total rim joist area :............................... 92.00 sq ft x"U" 0.034 = 3 13 , Total foundation area {exposed},,,,,,,,,,,,,,Nq sq ft h) Total Foundation window area .. ............. NA sq ft x"U" 0.430 = 0.00 i1 Total net foundation area above grede...., 0.00 sq ft x"U" _ 0.045 = 0.00 37otal a) thru i) 169.97 If item #3 is the same as, or less than item N1 you have met the intent of 2 MCAR 1.76008 A and 0. Page -1- Mu N 1 6: 4 9 'Fd'°n° 4 % ~ a P. 04 4, TOTAL EXPOSED R40F/CElLING CALCULATIONS: Total eYposed roof/ceilina area .............. -- 1485_0o sq ft 1) Tota :.kylight area,,,,,,,,,,,,,,,, ... ............. --- 0_00_ sq ft x "U" Total roof/ceiling framing area ---- 0'?? k) (Average 10%............. ? ---- 43_50_ sq ft x"U" .___ p 039 = d) Total net insulated -----5•6? roof/ceiling area.................................... 1,291.50 s ft x^ 4. ---- 9 U" __-_ 0.024 = --31 00 Total a) thru i) If item tJ4 is the same as, or less than item #Z 36.59 You have met the intent of 2 MCAR 7.16008 A and 0. ALTERNATE BUILDING ENVELOPE DEStGN To utilize the shall not be total evelope system method, the values established greater than the sum of ltems #1 and #2 by the sum of Items /t3 and Item #4 , 7. 198.44 + 2 _ 37.31 = -235•75 3. -? 169.97 + 4 --- 20658 CERTIF(CATION 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. (Signaturo) ? r-? 3/15/95 (oe?e) _ I i ? ! Pa 9e -2- ! t ? ? ? ? Tj , ,%'.?iWA";:0 %;cAYd"m'>'F Wk 4:KjfAk#**jwM'M.tl: ;;*:,;n:*TK:*>;. CI'1"Y Of-" I':hGf-}N C;A`iPiiFF'.:i S f?;":r1]:i?!AL Nt]: 52 EAfE:l 08/14,97 .T"!'ME'.,, Ke'.32;,W Tui ; 1?ionDi.?,ra., ct;uNrr-:Y'uOMe:?, INr_ ;;i.di(J ntJi1; 8:':i3 'I.VY 1..Fdli;_ :Li,'r.?.i?S 2+`:;; ?),lnl. H:.'i,:i J'JY Lf-r4E. 5,00 Ttil,.iil f:iC'ryiypl; AinCun'i'.:: 167.25 C1"t0 i'.`3r',C.;i !J3;:'ia TD;: IJAM1'W OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PERMIT TYPE: Permit Number: Date Issued: 853 IVY LANE LOT: 4 BLOCK: 1 THE WbODLANOS NORTH 3RD P.I.N.: 10-75892-049-01 DESCRIPTION: BUILDING 030608 08/14/97 RENEW EXPIRED PERMIT - Bu;tldi.ng?Permit Type SF (MISC.) Ouilding Wd,rk Type ALTERATION Car4strction?rT V?p e V-N Census Cbde 434 ALT. RESIDENTIAL g L ?-??i??a 1? t+ 2?lry ??i:«..s??„^-? ? 1? 5 J ir?0 §i.Ct r,. x4 j ???t-?a ?4'?'? ?a REMARKS: S& W PLBR - GENZ RYAN P16G FEE SUMMARY: VALU'ATION Base Fee Surcharge Total Fee $ 1 0 9 0 0 0 $162.25 $5.00 $167.25 CONTRACTOR: - Applicant - ST. Lzc OWNER: COUNTRYHOME BLqRS 183541260008508 WOODLAND COUNTRYHOMES INC f625 METRO BLVD 145 7625 METRO BLVD 145 EDINA MN 55499 EDINA MN 55439 (612) 835-4126 (612)835-4126 IL I her'ebj+ acknawledge that,I;`havb r?e&d this information ie correct and agree to camply &taCnteo' and Gityo^Ff agan"bxdim?arra45Ps.`` _ 1 APPLICA T1PE MITEE SIGNATURE PERMIT ap`pl`f'c''at3.on 'antf' tt6?te '-°Chat tPi4 '- with a11 applicable State of Mn. : SI ATUR ?F - I? D B? I 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) w/6 7' aS cirv oF E,ncnN 5830 PILOT KNOB RD - 65122 881-4675 New Construdion Reauirements RemodeUReoeir Reauirements V ? 3 registered site surveys ? 2 copiea W plan ? 2 copies of plans (indutle beam & window saes; poured fid. design; etc.) ? 2 site surveys (exterior addftions 8 dedca) % ? 1 energy calwlations ? 1 energy calculationa for heated addkions ? 3 copies of tree prexrvetfon plan if lot platted efter 7/7193 repulred: _ Yes _ No ' DATE: 8' 1'11 CONSTRUCTION COST: I D, 000. o0 DESCRIPTION OF WORK: Q^,?M 113Yemop- AuMIN(j OWNQL lWMI'T # Z r'?2,9l STREETADDRESS: 853 iVy L41-jE LOT 4 BLOCK i SueD./P.i.o. #: W?ODLr?aD?P "74 3? dbp?Tie?J PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER Name: w0:'DL&tjI) G?? ?oMEG? Phone #: 8s5" 412C40 ?..? ?... StreetAddress:7?25 MElRv $WD *LIiYE *145 City: F-DINp State: MtJ Zip:,5S431 Company: GocJN? 40M"E INUJIt,DDERS Phone #: 8515 414v Street Address: ?&25 P'1ETRV 51-VD License #: City: YDINA State: MQ Zip: Company: N, f A Name: Phone #: Registration #: Street City: State: Zip: Sewer & water licer,;ed plumber (new construction onty): Penalty applies when address change and lot change arc iequested once permit is issued. I hereby acknowledge that I have read this application and state that the infortnat rrect and agree to comply with all applicable State of Minnesota Stawtes and City of Eagan Ordinances. Signature of Applicant: 3? ¢?O X /05 OFFICE USE ONLY =Ej CertificatesofSurveyReceived _ Yes _ No Tree Preservation Plan Received Yes No Not Required OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation o 06 Duplex o 11 Apt./Lodging o 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex o 12 Multi Repair/Rem. 0 17 Swim Pool 03 SF Addition o 08 &plex n 13 Garage/Accessory o 20 Public Facility 0 04 SF Porch ? 09 12-piex ? 14 Fireplace ? 21 Miscellaneous 0 05 SF Misc. ? 10 = plex ? 15 Deck WORK TYPE ar i ?V4 Pun a(- 4,aYi /d Y? 25 2 y/ ? 2C' /O Zo t L Phe P' 31 New o 33 Alteretions o 36 Move - 0 32 Addition o 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length . Depth APPROVALS Planning Basement sq. ft. Main levei sq. ft. sq. ft. sq. ft. sq.ft. sq. ft. Footprint sq. ft. Building Engineering MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Variance 6z az / ? PermR Fee Surcharge Plan Review License MCNVS SAC --- City SAC VVater Conr,. - - Water Meter ---' ? Acct. Deposit --- S/W Permit S/W Surcharge -- Treatment PI. Road Unit Park Ded. Trails Ded. ? Other Copies Total: Valuation: $ J ? a2? ?d• ?. m? y?. „ % SAC SAC Urrits *City of Eaiall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 6755694 RECEIVED FEB 0 2 2011 Use BLUE or BLACK Ink For Office Use Permits r . l D.2' l' Permit Fee: Oats Received: Staff: /7r 2012 RESIDENTIAL BUILDING PERMIT APPLICATION IJooJ.hy A/4.rl£S Date, A- Z ) - Site Address: $ Y 9v ' 14-1 E a y .ter S -s- /2.3 Unit it: Name:% Ae7"lrl4.Jrfyt/1..,,r / prwA) Nt.0'J),Al Phone: 743-S s3- F770 Address / City / Zip: 7S0 t s e A min- 4 A) .1r: A aoLo t dl 00 A -e. s r M.J .�3-Z/R % Applicant ie: Owner Contractor Description of work: f CM o✓ E a 2 E Pc 4 Cf y �.-? G G. t: 40 v' Construction Cost Multi -Family Building: (Yes , ?C / No �) Company: a E / G:rrelr'c/ - .JT, coo__ Contact eu/ZA)5 address: tJ a Sr. City: fiPC $ . State: ,9?A.) Zip: -S-S41' F Phone: o i.t - Y G ./ - e 2 L/ 3 License #: C v/ / / 3 / Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 's A go D. " - .�i o Pel -/-17" tic; bei ( q COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the Clty of Eagan issued a pennR for a similar plan basad on a master pian? _ Yes No If yea, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: rd.�.J,Nt e / WM7Ry o }-r..,. lit,!:: 1 � C ,.k ... ;, .fi,r e .. `H. _. _ .Seib .'.,t . •.�•- . ' i:�." � �_ , �'n. +` ra G rH r:3�'t'•:: CA BEFORE YOUQIG. Call Gopher Stats One Call at (651) 464-0002 for protection against underground utility damage_ Call 48 hours before you Intend to dip to receive locates of underground Wiles. www.9opf)erstateonecall,org I hereby adtnor4edge that this information is complete and accurate: that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this Is not a permit, but only an application fora permit, and work is not to start without a permit; that the work will be in accordance nun the approved plan in tna case arm* which requires a review and approval of plans. Exterior work authorized by a building petmI Issued In accordance with the Minnesota State Guild pCode musk be completed within 180 days of permit Issuance. x bAv/O R. Applicants Printed Name VO 39wd Applicant's Signature Page 1 of 3 INIbW 'OIi'131X3 IBS L9Z9T98Zt9 ST :ET ZIOZ/Z0/Z0