852 Ivy Lane
06/08/2011 14:37 6128616267 BEI EXTERIOR MAINT PAGE 02
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City of EaRn I Permit V v I
1
Permit Fee. i
3830 Pilot Knob'Road
Eagan MN 65122 j Date Received:....-..... j
Phone: (651)67,"675 i I
Fax: (65i) 675-5694 staff: I
J
2011~•:RESIDENTIAL BUILDING PERMIT APPLICATION; ~
Date: `2 X111 Site Address: z /ivy 4'4m
Tenant: suite
RESIDENT I OWNER Name; AGE /dLAN fCN i Phone: 70.- !~23- 1770
Address 1 City I Zip: V5_6 ae:-A-MC AYE 4) 4-6-64 m! -IR AN SW 2
Applicant Is: t7wrrerGontractor
TYPE OF WORK Description of twark: k M0b'Le- '41VP zeye gc r~F
i
Construction Cost 25-00 Mufti-Family Building: (Yes No
I
CONTRACTOR Name: I 0c4&2-.ors ,,A17-, aA-17 License Aaoi //.3/ j
Address, 4105 m ,Sr-46z r-
City I rNrl/ A Pv e-'( s
State: AL~ Zip: S5,54/7 Phone, - $6/ r Vg
Contact: A*ae_ Entail; _1C~ o Cr /rG/YI.Gl7/1'r
COMMETE THIS AREA IF CONSTRUCTING A NE~{1 BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor Phone,
Sewer S Water Contractor; Phone:
NOTE: I?lans`;~nd suppvrting~`dt~cumeriii thart.yt~u•submit.'are cdfirsld6r0d,.4G: hi~-* ubllC. irtfacam tic ; l rtibitl
the Information, i6iW be classlflied as:ftiait-aubllc ff you" irq%ddeisp .fk- r+~ason at Would•:per ft the pity lIv
conclude at Ure :arre trade: secrets:
1,6. BEFORE; YOU DIG. Call Gopher State One! Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you s intend to dig to receive Ibcates of underground utilities, gw_,.stopheMMteonecalt.orsl
I hereby acknowledge that this information is complete and accurate; that the work will be in Conformance with the ordinances and CMes of the City of
Eagan; that I understand thie+ is not a permit, but only an application for a permit, and work to net to start wffh~xrt a permit; that the work will be In
aocofdance with the approved plan in the case of work which requirea a review and approval of plant.,
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Applicant's Printed Name Appllcanrs isignattt
Page t of 2
' CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
_(612) 661-4675
SITEADDRESS: 110
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PERMIT SUBTYPE:
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TYPE OF WORK:
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(%fRi1 lUt t [Nf )
INSPECTION D.
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?. PERMIT TYPE:
Permit Number:
Date Issued:
p?l I 1 l? I M(i
olF.It?,Iq6
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?1 t? APPLICANT:
i t?it?d i,. ,?{,rl•i! i:) 1)
• ? h 1:p 1 8:3f? A 1 26
PertnR No. Permk Holder Date 7elephone 3
ELECTRIC
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
/ V
FOUND
FRAMING ?
ROOFING
ROUGH
P UMBING
G -'
?
6 S y` ?
PIBG
AIR TEST ?
ROUGH
HEATiNG
o?''?7
GAS SVC
TEST Gr
INSUL
??..,
GYP80ARD
FIREPLACE
FIfiEPLACE
AIR TES7
FINAL PLBG
/
FINAL HTG
ORSAT
TEST
BLDG FiNAL ?
BSMT R i.
BSMT FINAL
DECK FTG
DECK FlNAI
. INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS:
'. ?t IVY ! AWE
+!E W(ltYi)LAM[I`,i N1JR1Fi 3Rq
I PERMIT SUBTYPE:
{
VY'e + j ;.'. "°` APPLICANT:
i:' ?I ni'Y i
TYPE OF WORK:
ri : .I i: ti G it I N
e. 9 N 14
H5/H8/97
NF W
INSPECTION .. . DA
? t IJ ll l,
FlIAttK5e 5E?pARA1'F.. f'ERIIITS ItEQIIIRF!) !'OR ANY PlIfM1;IN(3 Oi? flP_t:TR i(: A1. WllfiK
Permit No. Pertnk Holdar Date Telaphone #
ELECTRIC
PLUMBING
HVAC
Inspectlon Deta In4p. Comments
FOO7INGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
C3AS SVC
TEST
.
INSUL
GYP BOARD
FIREPLACE '
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
,
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number. ' 3?? •''' ?
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
,
? 'r t,.ino1)t.ANW-3 MORTH 3Fttl ? (6]2) H3f+-41:16
PERMIT SUBTYPE: TYPE OF WORK:
, :,j 'rr:Rprr0a
(iiNf" RcpkOOM')
INSPECTION .. . .•
. .. , ? r; ,.
Permk No. Pertnit Holder Dete Telephoae •
ELECTRIC
PLUMBING
HVAC
Inepectlon Dats Inap. Comments
FOOTINGS
FOUND
FRAMING ?i
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIAEPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
? t ? ? ? 1111?YL1. 11V1r KLI..VK1J
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road ky :'?I
Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675 '
SITE ADDRESS: APPLICANT:
1 VY, 1ANt: :??F?h+ 1 1 (ittiML k31.1°t<•'
? - I?? i ?;?,.; ? ;tira+,5 Nt?R t?l _?f?D ?- . , i ?, ? . ? ri 3h ?I i :r6 • ;
PERMlT SUBTYPE:
j i,: h.
TYPE OF WORK:
(Zt.kQ ltil' I iNF)
INSPECTION .A • DA
a C f;tnlM; iN++
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;:hll??}i t 1# i' I i:i? f;1i11??11 !?? 1; {?:
1 I M/41 I'I H?? f 1 NA!
t+i= MAti('ti : Ullf' l F K W t i'N t164 l'JY I tl E 1 0T 12)
s & w nC H11111 r tO.,3h,.,1,a r."',11F1) 5 /94
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Permit No. Permft Holder Date Telephone N
ELECTR?C
PLUMBING
HVAC
66
Inspectton Date Insp. Cammenta
FpOTINGS %7 S? ?) /Q ??/
d !
FOUND ?
FRAMING
ROOFING
ROUGH
PLUM8ING •
PLBG
AIR TEST
ROUGH
HEATING -/?
GAS SVC
TEST
?'IGJ
INSUL E 9 S ? /
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
1.?
FINAL PLBG
FINAL HT:
ORSAT
TEST
.
BLDG FINAL
a
BSMT R.I.
BSMT FINAL
DECK FfG
DFCK FINAL
a:
2 6 5? O?? ? OFFICE SE ONLY This request void 18 monMs (mm wLdanon dak pnnted in fiis box
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E PRINT OR TYPE
PLEAS
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Re uea? Date Raughin inspecNOn reqwred2 Ves ? N. ther Thon Rovghdn. ? Ready Now W?11 Coll
Inepedi
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( (Vou mvsl call the impedar when rmdYl Da?e Ready.
I, &icensed confracfor ? owner hereby request inspedion of the above electrical work ai.
Jab Pddress (51rae1, Box, or auk N. )
gq tv L*15 CiN
E* Lp Cade
Se tion No. Township Name or No Range No. Fire No. Cou/nry
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uric Phone N.
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Elecmml Conkacror tCompany Name? v?L ??i ?? Convaaor lirense No. Maslar La No. (PIon1 EIM Only)
M=O -w?
Mailing Addass (Coni
mnor or Own r Pedomine Insmllorvan) ??/?
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TZ)b E8-OOOOIA\4-J6/tj - \ 5fATEBOAROCOPY-4EEIN5fRUCTION50NBACKOFYELLOWCOPY
III'I I? W02 gill II REQUEST FOR ELECTRICAL INSPECTION CP? _,?
) II Mmnesota SWte Board of Elec[ricity
1821 Unrversity Ave., R?-J? 8 Sj. Paul, MN 55104 -?* 2 6* Pbone (812) 642-0800 ?r•„/? ?
Home Duplex Apf. Bldg. Other:- New Addn
Commercial Industrial Farm Remod Re oir
Air Cond. Htg. Equip. Water FNr. Load Mgmt. Ofher:
D er Ran e Elec. Heaf Tem . Service
"X" above fFe work covered by fhis request. Enter remarks in this space and on ihe back of the white copy on .
-7- WS? tSD AW 6MACE; &Wl-
.l?htl?(C(J• ?G9`l'Gl31-? 01' ?
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Colculate Inspecfion Fee - ihis Inspection R est wJ?e cepted without fhE c?rect fee:
Other Fee # Service EMranoe $ae Fee # Circvifs/Feeders Fee
Mobile Home Park Sfoll 0 fo 200 Amps 0 to 100 Amps
Street Lig./TroHi< Sig. Above 200 Amps Above 1 0 Amps
Transformer/Generotor INSPECTOR'SUSEONLV TOTAL 7n
o{f!
$ign/Outline Lig. Xfmr. JL7g
O
Alarm/Remote Confrol
Swimming Pool 11yre6 cem r I im ened el«fiml i von e cnbed hemn on Me darea af
Irrigation Boom 2oo9h-In D.??II
Special Ins
edion G Z
6
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Invesiigafive Fee Fmci Dole ' ?
THIS INSTALLATION MAV BE ORDERED DISCONNECTJED IF NOT MPLETED WITHIN 18 MO HS.
Address 854 IVY LANE
LOt 12 Blk 2 SUb THE WOODLANDS NORTH 3RD
Zlp $$12_
THESE IT'EMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: Yes No Inspector:
Final grade (6" from siding) v-
Permanent steps (garage) ?
Permanent steps (main entry) q/
Permanent driveway
Permanent gas
?
Sod/Seeded grass ?
TraiUcur6 damage
Porch
Basement finish ?
Deck
Please verify with [he 6uilder the removal of roof test caps from the plumbing system and the shuboff of water supply lo
the outside lawn faucet before freeze potential exists.
Contac[ engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
Addrejs 852 ivY LANE Zip 5512_
I.ot 11 Blk
Sub
THE WOODLANDS NORTH 3RD
THESE 11'EMS WERE / WERE NOT COMPLETE AT TI-IE TIME OF THE FINAL INSPECTION.
Date: Yes No Inspector: ?
Final grade (6" from siding) ?
Permanent steps (garage) V/
Permanent steps (main entry) ?
Permanent driveway ?
Permanent gas ?
Sod/Seeded grass
TraiUcurb damage ?
Porch ?
Basement finish /?
Deck
Please ve[ify with [he 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 exists.
ContaM engineering division at 681-4645 bcfore working in right-of-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contractor Copy (9
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2006 RESIDENTIAL MECHANICAL pEFUVUT arrLicATioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. single family dwellings & townhomes/wndos when perntits are required for each unit
Date 0$ / Z Z / O lo
Site Address SJ-l Z\l n LCt-Y1 ?2., Unit #
ZS
Property Owner Y1'I an n (i r-+ Telephone #( __75
Contractor SEDGWICK HEATING 8 AIR CONDITIONING LLC
8910 eWentworth ve.
Street Address Minneapolis, MN 55420 City
(952) 881-9000
State Zip Telephone # ( )
Bond #• IO"1-CI) & A? Expires: (? oL ,?5 'D(O
<
The Applicant is _ Owner )
Contracror _ Other
Add-on or alteration to existing dwelling unit $ 30.00
?
furnace Replacement
_Additional _ New
air exchanger
i
diti I? ?, ? n??0
?'`6? (C)-
oner
a
r con
heat
pump
other
State Surcharge $ .50
p C LE D $ 3c.50
Total
MAY 2 5 2006
I here6y apply For a Residential Mechanical Permit and acknowledge that the infortnaNon is complete and accura[e; that the work will
be in conformance with the ordinances and codes of [he Ciry of Eagan and with the Mechanical Codes; that I understand this is not a
permit, but only an application for a permi[, 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 ApplicanYs Signature ClI,
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* PION¦ER
* enp neer
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V. 8 F-F WRB
893.3
893.8 ? S•
13 93, k&. iL
19 ?
VACANT ? 'r
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69
?$?• ? i 897.8?i 61b\
Certificate of Survey for:
House Address:
House Model:
2422 Enterprlae Ddve
Mendota Halghtc, MN 55120
(812) 881-1914 FAX:881-9488
$4rea'f 4a.cA'1b
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PUNNERS • UNDSCAPE ARCHIlEC75
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VACANT
EN,3E.?1
PROPOSSD J:LSVA770N IAT 11
• eao.o Denotes Exfatlnq Elevotlon Lowest Floor Etevrotlon: 851.0
oo.? Denotes Propoaed Elewtton Top of Block Elevation: 899.3
Denotes Dra(noge Flow DUect(on Garage SIa6 Elewtlon: $99.0
Di: x'..
Stsp Gorags 1 Stsp
PROPOSED =9VA7I0N I.OT 12
_GWS92 r(DOY EiBYfltiOi.: °n;.
Top o1 Block Efevation: 899.3
Garage Slab Elewtfon: 898.3
- Denotes Dralnage ec Utility Eaeement
-o- Denotes Monument NOIE: PrapoeM bundtng aile gro0ing Is In oeea0anee wllh !ho
? Denotes ONset Hub Bearln ahown are osaumed ??a p1O?s opprovW 6y Ue city anqlnssr.
9s NO7E: Cantraetor must verlfy op olmandone 4 drlwwoy dssiqn.
LOTS 11-12 . BLOCK 2 WOODLANDS NORTH 3rd
DAK07A COUNTY. MINNESOTA
We hereby certify thot thia survey, plan or report was prepored by me or under my direct 9UPKVI9IOf1 and that 1 am duly Iicenced
' Land Surveyor under the lawa of the State of Minnesota. Dated thla Zb'TU day ot Aer, 'l A.D. 19%.
Signed: PIONEER ENGIN ING, P.
Scale: 1imh=40feet BY
Robert B. Sikich, L.S. Reg. No. 14891 or
334 93169.11 Terrence E. Rothenbachar, L.S. Reg. No. 20595
II(812) 783-1880 FAX:783-1883
LOT SURVEY CFiECKL1ST FOR RESIDENTIAL
B111LDING PERMIT APPIICATION
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PROPERTY LEGAL:O? //'+``
DATE OF SURVEY:
LATEST REVISION:
• Registered Land Surveyor signature and company
• Building Pertnit Applicant
• Legal description
• Address
• North aROw and scaie
• House type (rambler, waikout, split w/o, spiit entry, lookout, etc.)
• Directional drainage arrows with slopelgradient %
• Proposed/exdstlng sewer and water services & irnert elevation
• Street name
• Dmreway
ELEVATIONS
?
EasG'na
e% ? • Sewer service (or Proposed)
Mr?p ? • Property comers
Cf ?C ? • Top of cutb at the driveway
?? ? • E3evations of any eAssting adjacerrt homes
Progosed
/
ef ? ? • G
arage floor
? 0 ? • First floor
? ? • Lowest exposed elevation (walkouUwindow)
? ? • Properly comers
? ? 0 Front and rear of home at the foundatlon
PONDING AREA fif aoolica6le)
Z'C3 ? • Easement line
131"O ? • NWL
?? ? • HWL
e]?a ? • Pond # designation
? • Emergency Overflow Elewation
DIMENSIONS
d--?o ? • Lot IinesBearings & dimensions
Er' ? ? • Right-of-way and street width (to back of curb)
Er' ? ? • Proposed home dimensions including any proposed decks, overhangs greater than 2',
porches, etc. (i.e. all structures requiring permanent footings)
Y? ? • Show all easements of record and any Cfty utilides within those easements
0'' ? ? • Setbacks of proposed strucYure and sideyard seffiack of adjacent eristing structures
? Cl,, ? / • Retaining wall requirements, ff y
Reviewed:
N e ate
January 1996
caA1G19ere1.ocaa?rt.FM
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CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
l (ZERO L0T LINE)
?'uil,dingPermit Type SF DWG
rk Type
1$uilding,Wo, NEW
?
?UHC Occupanc?f R-3 U-1
-Cd°nstructiGn'?9,pe V-N
Zo;nj:ng R-1
euil;di.?y G€n9th.. ? 9e
Bu3lding'Width ? 32
But+ltli'?s'tories
a?n, s?u s C`'€i c#";?< 102 1- F A M. A 7 T A C H
PERMIT TYPE:
Permit Number:
Date Issued:
crLOS(o 7,VS-
BUILDING
027544
05/15/96
SITE ADDRESS:
854 IVY LANE
LOT: 12 BLOCK: 2
THE WOODLANDS NORTH 3Rp
P.I.N.: 10-75892-120-02
DESCRIPTION:
REMARKS:
DUPLEX WSTH 852 IVY LN (LOT 11)
S& W PERMIT (#23560) ISSUED 5/94
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
SAC
SAC ?
SAC Units
Lic. Search Fee
Subtotal
$2.485.88
$125.000
MISCELLANEOUS $1.823.00
Total Fee $4,308.88
CONTRACTOR: -
COUNTRYHOME BLDRS
7625 METRO BLVD
EDINA MN
(612) 835-4126
PERMIT
VALUA7ION
$1,012.25
$506.13
$62.50
$400.00
10@
1
$5.00
Applicant - ST. LIC.OWNER:
18354126 0008508 WOODLAND COUNTRYHOMES INC
7625 METRO BLVD
55439 EDINA MN 55439
(612)835-4126
145
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I hereby acknowledge that T have read this,appl.ication and state that the
informationis borrectand a`greero compiy witk all applicable 8tate_of Mn.
Statutes arrd City' of Eagati 0rd3nance`s.`
° - - -- ] ? o -
APPLIG NT/PERMItE TURE
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ISS D B. SI ATURE
1 CITY OF EAGAN ?:4)„3 A
4444 3830 PILOT KNOB RD - 55122
1895 BUILDING PERMIT APPLICATION (RESIDENTIAL) ?./p 1' f11 'i -
B81-4675
? 3 rsghterod site surveys ? 2 copies of pien
? 2 copien oi plans (kitlude beam 8 window sizes; poured fid, design; etcJ ? 2 elte surveys (exterbr a0dkions 8 dedcs)
? 7 energy eWeulationa ? 1 energy celwWUons Por heated additions
? 3 wpim ot Uee pretervation plan H bt platted after 711193
mquired: _ Yes _ No
pqTE; 5/2/96 CONSTRUCTION COST: $154,300.00
DESCRIPTION OF WORK: CountrYxome
STREETADDRESS: 854 Ivy Lane
LOT 12 BLOCK CiUBD./P.I.D. 10 75892 iio-oz
PROPERTY Name:
OWNER
Woodland CountryHomes ino. phone #:
...,
835-4126
Street Address- 7625 Mecro siva. #ias
CIty: Edina, State: MN ZIp: 55439
CONTRACTOR C0mPeny: CountrvHome Builders Inc. PF10(1@ #: 835-4126
Street Address: 7625 Metro siva. #ias License #• ooossos
CIty: Edina. St2tB: MN ZIP' 55439
ARCHITECT! Company: Phone #ENGINEER
Name: Registration #•
Street Address,
City: State: Zip:
Sewer 8 water licensed plumber: Genz Rvan PlumbinQ _ Penalty applies when address change and lot
change are requested once pertnit is issued.
I hereby acknowiedge that I have read this application and sNate that the iniortnation is correct end agree to comply wRh all
applicable Stete of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: Q-1c" C,
OFFICE USE ONLY /
=? Yes No ?
Certificates of Survey Received i,i AY U??9yE
Tree Preservation Pian Reoeived _ Yes ?No _ A? _--
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation ? 06 Duplex o 11 Apt./Lodging
,zf-02 SF Dwelling o 07 4-piex o 12 Multi Repair/Rem.
? 03 SF Addition o 08 8-plex o 13 Garage/Accessory
0 04 SF Porch o 09 12-plex o 14 Fireplace
a 05 SF Misc. 0 10 -plex 15 Deck
WORK(T'YPE
,0(?1 ?
New
o 33 Akerations
o
36
Move
a 32 Addition o 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Adual) Basement sq. ft.
(Aliowable) zr Main level sq. ft.
UBC Occupancy n-s l,?r-/ sq. ft.
Zoning 9--/ sq. ft.
# of Stories / 45?- sq. ft.
Length ?-02 gq.ff.
Depth _-7 z- Footprint sq. ft.
APPROVALS
Planning Building
. ?
?.. ...... . . . .
? ». " .
0 16 Basement Finish
? 17 Swim Pool
0 20 Public Facility
0 21 Miscellaneous
S G MCNVS System ?-
2L City Water ?
Fire Sprinklered
PRV
Booster Pump
Census Code. /p y
SAC Code D /
Census Bldg _L
Census Unit
Engineering
Permit Fee
Surcharge
Pian Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposft
SNV Pertnit
SIW Surcharge
Treatment PI.
Road Unit
Park Ded.
Treils Ded.
Other
Copies -
Total:
? •?-? ;'1" !
. ?
Valuation:
?G1?9/N
2?x /Z ' 3iz
29. ?3 x /s = Y3Y
Z,?o7xlZ•33' ?z
Variance
Zrbao
2 fi? -7 _ /ffZ
z?x ?y =39z
2 ? X Y : !o'f
> g?
(Ll? ? l-
? 7zZ
% sac
7
SAC Units Lflo? /Z6yd
13s.,-.
]2Z
?ii•r? iz? ;??s?s?
s-
/,S??n
CjlZli- _
?-
ZZ,?
?-
yy7xi(o=
27-5-
EX7ERlOR ENY;ELCPE AVERAGE "U" COMPUTATION
,
owNea: WOODLAKU CC3I.INTRYHOMES, INC.
SITE ADDRESS: 854 Ivy Lane PHONE: $35-4126
CONTRACTOR: COUNTRYHC.:?T. S;JILDERS, - INC, DATE: 5/2/96
___
DETERMINE 4rJ0IKING 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. TOTAL EXPOSED WALI AREA CALCULATIONS:
Total exposed wali area above 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
c) 7otal sliding door area:
Doubie glazed,,,,,,,,,,, ,,,,,,,,,,,,, 80.00 sq ft x"U" 0.430 = 34.40
- 9lazed ........................ sq ft x"U" = 0.00
d) Total firepiace wall area :....................... NA sq ft x"U" 0.370 = 0.00
e1 Total wall framing area
(AVERAGE 10%) ,,,.,.,.,, 1$0.40 sq ft x"U" _ 0.095 = 17.14
f) Total net wall area
above floor (insulated) ........................... 1,279,60 sq ft x"U" 0.043 = 55.02
g) Total rim joist a r e a ; , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , 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 net foundation area above grade..... 0.00 sq ft x"U" _ 0.045 = 0.00
3' Total a} thru i) 169.97
If item t13 is the same as, or less than item ftt you have met the intent of 2 MCAR 1 .16008 A and 0.
Page -1-
,, . .
. • { - . j?o
4. TOTAL EXPOSED ROOFlCE1LIryG CALCULATIONS:
P. 04
Total e+cposed roof/ceiiing area, .....,.,,,,
--=-,43b•00 sq ft
1) Tota :.kylight area................... ............. 0_00_ sq ft x "U^ --__-_. _
Totai roof/ceiling framing area --?
k) (Average 10% .............
-- 743•50 sq ft x"U" _ 0.039 _
d) Totai net insulated ?60
roof/ceilinA area .................................
4 '--1,291•50 Sq ft x"U" ? 0.Q24 =
-?37 •?0
If item #4 is the same as, or less than itam 1!2 you have met the intent of 2 MCAR 1)1 t 6ppg q and p 36.59
ALTERNATE BUILDING ENVELOPE DESIGN
To utilize the total evelopa system
shall not be greater than method, the vaiues established by the sum of Items 113 and ltem ?J4
the sum of Items M1 and 1lZ,
i._ 1yg44 +2
_ 37,31 = 238.75
3.169.97 +4 36.59 =
206_56
CERTIFICATION
I hereby certify that I have calculated the "U" factors and "R" values herein and that the buiiding here
in described meets or exceeds the state of Minnesota Energy Conservation Act.
??
(Signaluro)
5/2/96
(Dale)
y
Page -2.
? CItY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
Base Fee
Plan Review
Surcharge
SAC
SAC ?
SAC Units
Lic. Search Fee
Subtotal
PERMIT
W5?7FS3-
BUILDZNG
027543
05/15/96
SITE ADDRESS:
852 IVY LANE
LOT: 11 BLOCK: 2
TNE WOODLANDS NORTH 3R0
P.I.N.: 10-75892-110-02
DESCRIPTION:
f? "?? ? (ZERO LOT LINE)
uildin?Permit Type SF DWG
l?grk Type
?Buzldint? NEW
,
UBC Occupawc?. R-3 U-1
Go,nstrwatior `S^Re V-N
Zoning R-1
build'ing' Langth 9e
Buildin9,,?W:?dtfi .,? ?? 32
Ruild'ing'stories?;''
r L
102 1- FAM. ATTACH
,:?,?-?,?? ? ,,=? i ? "T 3`:`?- -: r; ?;'. ??-.= -, , :, •..
yj
'• , l,.: ? 1?"' ta,`j'.
REMARKS:
DUPLEX WIYH 854 IVY LN (LOT 12)
S & W PERMIT (#23559)'-r?r 5/94
- -- -- ? . oaid.
FEE SUMMARY:
VALUATION
$1,097.25
• $523.63
$66.0@
$900.0@
100
1
$5.00
$2.541.88
$132,000
MISCELLANEOUS $1,823.00
Total Fee $4,364.88
PERMIT TYPE:
Permit Number:
Date Issued:
CONTRACTOR: - Applicant - sT. LIC.OWNER:
COUNTRYHOME BLDRS 18354126 0008508 WOODLAND COUNTRYHOMES INC
7625 ME7R0 BLVD 7625 ME7R0 BLVD 145
EDINA MN 55439 EOINA MN 55439
(612) 835-4126 (612)835-4126
1
I hereb.y a,cknoute,dge that„I 'hado read tfiis
information zs corrept and_ agres to oomply
Statutes and'City l'of `Eagen''0rdinarices.` "
_. _...___v .... ...;° .?,r.._ .:? _ .• . __._= .. ._.
, J
APPLICANT/PERMIT TURE -
appl-icatien end state that the-
with all applicable State of Mn.
I5`?ro anS?N Tr?.2?
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1995 BUILDING PERMIT APPUCATION (RFSIDENTIAL)
681-4675 New Conshurlinn Reauirements RemodeVReoelr Reauirementa
? 3 regisfered efte surveYs ? 2 copies of plan
? 2 mpiea of plarre (indude beam 8 window saes; poured fid. deslgn; etc.) ? 2 site surveya (ex[erior add'Rions 8 deeks)
? t energy caleulationa ? 1 energy caiwWtions for heated add'rtions
? 3 copiea of trsa pfaservation plan iF IM platted efter 711/93
tequired: _ Yes _ No
DATE: s/?/96 CONSTRUCTION COST: $154,300.00
DE5CRIPTION OF WORK: - Countryxome
STREET ADDRESS: 852 Ivv Lane
LOT 11 BLOCK SUBD.IP.I.D. #: 10 75892 l 10-02
hKPccx w/ Cor-/a 'IA n 1i faA 0 nnr.,IJ 11na`?"{, 4xA.
PROPERTY Name:
OWNER
Woodlaad CountryHomes Inc.
urt
rws7
PhOflB #: 835-4126
Street Address• 7625 rietro siva. #ias
Cjry: Edina, State: MN ZIp: 55439
CONTRACTOR COmpBny: CountrvHome Builders PhOne #: 935-4126
Street Address: 7625 Metro siva. li145 License #: oooasos
CIty: Edina $tatg: MN ZjP• 55439
ARCHITECTI Company: Phone #ENGINEER
Name: Registration #Street Address,
City: State: Zip:
Sewer 8 water licensed plumber: Genz xvan PlumbinQ Penalty applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the in"tion is co? and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: ?` 1 1
OFFICE USE ONLY i"
IIAY n 3 1996
Certificates of Survey Received _ Yes No
Tree Preservation Plan Received _ Yes 2-"No ??"? ---- -
OFFICE USE ONLY
.?
.?.. :? ,
.,.
,i,,A? * ±?q • ??; .
^Y '
BUILDING PERMIT TYPE
? 01 Foundation o 06 Duplex o 11 Apt./Lodging o
02 SF Dwelling ? 07 4-plex o 12 Mutti RepaidRem. a
0 03 5F Addition ? 08 8-plex a 13 Garage/Accessory o
0 04 SF Porch ? 09 12-plex o 14 Fireplace o
a 05 SF Misc. 0 10 =-plex=----0-15_ Deck
WORK TYP ? p-
-'
X-31 New o 33 Alterations o 36 Move
? 32 Addition o 34 Repair o 37 Demolition
GENERAL iNFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Building
Engineering
16 Basement Finish
17 Swim Pool
20 Public Faciliry
21 Miscellaneous
Variance
u
Permit Fee Valuation: $ /3L, 6cx?
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
AcCt. Deposit
S/NV P@RTIIt
SNV Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
<N
66,o /zx? ?
Ze Fiy= 3sz
y(o )r 7 = ?`G L
z9.1j X ,s = y1s
Z ??,? iz •s3 = 3 z
Z?O X /L ` S(L
/to ,cM.S3 ' /br
?6(0lo x s?/=
Total:
% SAC
SAC Units
-i' Basement sq. ft. Saz MC/WS System ?
.07- A Main level sq, ft. / G&lo City Water
sq. ft. Fire Sprinklered
sq. ft. PRV
?.wr• sq. ft. Booster Pump
FO sq. ft. Census Code. /Oy
-32- Footprint sq. ft. SAC Code
Census Bldg ?
Census Unit _L
zbX Iz = 3iz.
y7-7x's
li•v. s'zz- 4177 : /,Hsnas':
Z?, ? zS
??-
yaKt9.G?= Y3y
Yy7,?l? " 7, ?°Sz
?. •~'EXTERIOR ENI.ELQPE AVERAGE "U" COMPUTATION
owNeR: WOODLAhD CGIJNTRYHOMES, INC.
SITE ADDRESS: 852 Ivy Lane
PHONE: 835-4126
CONTRACTOR: COUNTRYNpHTIF: ;sJILDERS,- INC, DATE: 5/2/96
DETERMINE +,p?OBIKING SQUARE FOOTAGE OF EACH:
1. TOTAL EXPOSED WALL AREA . ............. 1,804.00 sq ft x"U" 0.110 = 198.44
2. TOTAL ROOFlCEILING AREA :................ 1,435.00 sq tt x"U" 0,026 = 37.31
3. TOTAL EXPOSED WALL AREA CALCULATIONS:
Totaf exposed wall area above floor.......... 1,804.00 sq ft
a) Totai window area:
Double giazed ........................ 134.00 sq ft x"U" 0.430 57,62
sq ft x "U"
- 0,00
6) Total door area;,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, 38.00 sq ft x"U" 0.070 = 2.66
c) Total sliding door area:
Double glazed ........... ............. 80.00 sq ft x"U" 0.430 = 34.40
glazed ........................ sq ft x"U" - 0.00
d) Total fireplace wall area :.......................
sq ft x"U" 0.370 = 0.00
e) Total wall framing area
(AVERAGE 10%).,,,,.,,,, 180.40 sq ft x"U" _ 0.095 = 17.14
f) Total net wall area
above floor (insulated) ........................... 1,279.60 sq ft x"U" 0.043 = 55.02
g) 7otai rim joist area :............................... 92.00 sq ft x"U" 0,034 = 3.13
Total foundation area (exposed) ..............NA sq ft
hl 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) th(u i) 169.97
If item N3 is the same as, or less than item p1 you have met the intent of 2 MCAR 1.16008 A and O.
Page -1-
r .
..
? ?
4. TOTAL EXPOSED ROOF/CEILING CALCULATIONS:
P- 04
Total exposed roof/ceiling area . .............
1,435.00 sq ft
1) Tota : kylight area .....................
.........., -- 0.00 sq ft x"U" ._.___ _
7otal roof/ceiling framing area --- '-??
k) (Average 10% .............
-----143,50
sq ft x"U" __ p g39 =
d) Total netinsulated ---- 5,Q .0
roof/ceiling area .............................
..""' 1.291.5o sq ft x "U"
4. --_ 0•024 = --------- 37
Tptal a) thru i) 0
If item #4 is the same as, or less than item ?y2 36.59
You have met the intent of 2 MCAR 7.16008 A and 0.
ALTERNATE BUILDING ENVELOPE DESIGN
To utiiize the totaf evelope system method, the values estabtished by the sum of Items I!3 and item JJ4
shatl not be greater than the sum of Items I/1 and tJ2.
7. 198.44 + 2
_ 37.31 = 235.75
3-__ 168.97 + 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 described meets or exceeds the state of Minnesota Ener
gy Conservation Act.
---4-?--
5/2/96
Page -2-
(Date)
y
!
r
?
?
?
?
<i
4
CTTY OF EAGAN
CASHIEFie JS TEt2MINAl._ N[l, 61S
DAjE,: •L'r?/13/37 TIME: 13e32449
IIi e
NAME: W00L4_FlNL COI,.1tyTFYHOME5 .T.NC
32:10 9001 854 IVY 1_N 50.00
21.55 3001 834 IVY l.N 0.50
Tota7. I;er_ei.pt, Amoilnt: 50.50
Cf:O8+1 b3'i
U6Efi TD: 7AN
PERMIT
-y CATY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDING
031260
12(19/97
SITE ADDRESS:
854 IVY LANE
LOT: 12 BLOCK: 2
THE WOODLANDS NOR7H 3RD
P.S.N.: 10-75892-120-02
DESCRIPTION:
1 ? (ONE BEDROOM)
Building;,;Permit Type
Buiiding Wtt,rk Type
? Census CQde 434
m.- °p°
F
Y
_[ g?'
BASEMENT FINISH
ALTERATION
A'LT. RESIDENTIAL
??1 4U? ??{,,.,-0 !?
REMARKS:
FEE SUMMARY:
Base Fee $50.00
Surcherge $.50
Total Fee $50.50
t
CONTRACTOR: - Applicant - S7. LTC OWNER:
COUNTRYHOME BLDRS 18354126 0008508 COUNTRYHOME BUTLDERS
7625 METRO BLVD 145 7625 METRO BLVO 145
EDSNA MN 55439 EDINA MN 55435
(612) 835-4126 (612)835-4126
I her-e4y ac•knowledge that S,- h.aye-- rvad, th?s, ap°}?lits'tioM °errd 5tate' Ghst° L`h& °
informatiQn is cor.rect and agree,to=comply w3:thia11"applicable'9tata of 01M".
Statutes,, and C3ty of °Eagan' Cirdfnanc6s.
?..
. . ?.? P ? A? /PE SIGNATURE ISSUED ?B? S??AT R I ?
'/
1 897 BUILDING PERMIT AFPLICATION (RESIDENTIAL) INSD
6 It# arr oF E?caN
3850 PILOT KNOB RD - 55122
p„ ? 0.??-? i z_ d2
681-4675 U,t 9 I
? 3 registered afte surveys • 2 copies of plan
• 2 copies of plans (indude beam 8 window s¢es; poured fid. design; etc.) ? 2 aite surveys (exterior addRrons 8 dedcs)
? 7 energy celaleGOns ? 1 eneigy calalationa for heated adtlRions
? 3 topies of tree preservetlon plan 'rf lol platted efter 7N/93
required: _Yes _ No DATE: I l- 18 •0'7 CONSTRUCTION COST: *ft'P /O, So 0
DESCRIPTION OF WORK:
STREET ADDRESS: y
LOT BLOCK
FlNiSH BATH , BED RLb?-t 9Fpm16Y Rmm & 15ASEMEn1T
- 2- SUBD.IP.I.D.
PROPERTY Name: Phone #:
OWNER ..r ?.,
Street Addres's:
City: State: Zip:
CONTRACTOR Company: Couu-r&v NoHESuiLoEeS luC. phone#:83S-4i2(a x ios
Street Address: 7,25 SuiTE
MET? SLva. 145 850?
License #:
City: EDi?JA State:M ?? • Zip: 55435
ARCHITECTI Company: Phone
ENGINEER
Name: Registration #:
Street Address:
Ciry: State: Zip:
Sewer & water licermed piumber (new oonstruction only): . Penalty applies when address change
and lot change arc iequested once pertnit is issued.
I hereby acknowledge that I have read this application and state that the iMormadon is correct and agree to comply with all applicable
State of Minnesota 5tatutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received
_ Yes _ No
Tree Preservation Plan Received Yes No
BUILDING PERMIT TYPE
0 01 Foundation ? 06 Duplex
0 02 SF Dwelling ? 07 4-plex
0 03 SF Addition o 08 8-plex
0 04 SF Porch ? 09 12-plex
? 05 SF Misc. 0 90 = plex
WORK TYPE
0 31 New fil('33 Alterations
0 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
-qqqppl
OFFICE USE ONLY
0 11 Apt./Lodging .,e' 16 Basement Finish
? 12 Multi Repair/Rem. 0 17 Swim Pool
? 13 Garage/Accessory o 20 Public Facility
? 14 Fireplace n 21 Miscellaneous
0 15 Deck
? 36 Move
? 37 Demolition
Basement sq. ft.
Main level sq. ft.'
' sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
MC/WS System /
City Water
Fire Sprinklered
' PRV
E )oster Pump
_ Census Code. -t/ 3-
SAC Code ol
Census Bldg /
` Census Unit t?
Planning Building ? Engineering Variance
Pertnit Fee
Surcharge
Plan Review
License
MCNVS SAC
Ciry SAC
Water Conn,
WaterMeter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
??1
.
Total:
R6 SAC
SAC Units '
Valuation: $
CIT'Y OF EAGAN
CASHICR: iS T.-.kMSNAL MOs 345
L1A'tEe 05/08/97 TIMt-:e 13:47c47
t
ID ?
NAMEe 144C1DLAN1] COUN'1'FiYNQMES INL'
lk
210 9001 854 TVY LM 112.25
2155 9001 854 IVY 4.N 3.00
Tv+.a:L Receipt Amount: ii5.25
CRp7335L?
U3F.F. :[I:+a tAN
ITY
C-f7F EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.T.N.: 10-75892-120-02
DESCRIPTION:
?
.3y.
' "?Aii I`.?11(r=T
i .
RENiARKS:
SEPARATE PEf21hI7S REQUIRED FOft HNY PLUMBING OR ELGCTRICAL WORK
PERMIT
854 IVY LANE
IOTc 12 BLOCK: 2
THE WOODLANUS NORTH 3ftD
µ 5?
l'r
f
?r
>.? _ r?4h ;,,. ? ,? ,. - '
- 3-SEASON PORCH '
lauild.in§,.,.,Permit Type SF PORCH
IBuil,diflcy WV?1,4: Type NEW
'Gensus?Cnde-?= 434 ALT. RESTDENTZAL
PERMITTYPE: BurLoINc
Permit Number: 029874
Date Issued: 0 5/ 0 8/ 9 7
FEE SUMMARY:
Bdse Fee
Surchai-ge
Totel Fae
i
5
VALUA7ION
$112.25
_ $3.00
$115.25
$6,00@
CONTRACTOR: - Rpplicant - sT. LIC.OWNER:
COUNTRYHOME QLDRS 15354126 8008508 WOODLANDS COUNTRYHOMES
7525 M[TRO BLVD 145 7625 METRO BLVD 10.5
EDSNA MN 55439 EDSNA MN 55439
(612) 835-4126 (612)835-4126
I hereby acknawledgo Chat T haver?ead this a'PPl°.t6aCinn artd statE thaC the*
anfinrmaticrn is carrec`C`cnd agrae'?o cotnply w3th`cl11aPplS'cab2e 5tate ofi Mn,
9 'A?,CUtes and Cftq of E'aqari Drdihanoes. ,
??' 1?
1 APPLICANT/PER EESIGNA7URE - SSUE?? fGNA ?
„ CITY OF EAGAN
? ? (7 7 / ? 3830 PILOT KNOB RD - 55122
?f ?r? 1996 BUILDING PERMIT APPLICATiON (RESiDENTIAL)
681-4675
RemodeUReoalr Reauirements
?
? 3 registered site surveys ? 2 copies of plan
? 2 Copies of plans (incWde beam 8 window sizes; poured fnd, design; ele.) ? 2 site surveys (exterior add'Aions & tlecks)
? 1 energy calculations ? i energy calculations for healed adOitions
? 3 Copies of iree preservalion plan it lo[ platled after 7/1/93
required: _ Yes No
DATE: 14-"11 CONSTRUCTION COST: :0 7000'00
DESCRIPTION OF WORK: 400 PMGN
STREET ADDRESS: 51314 /V y 1106NE
LOT BLOCK Z SUBD./P.I.D. # ?OL-0N? Nar-TH 3'
PROPERTY Name: /NC6 phone
OWNER
Street Address:2&? ME,7-(20 i531_v/7. 5U17E lV-?
City: J-PDINp frnAj State: MA) Zip: S5¢39
CoNTRacroR Company: &Q&*A?E 9??1&DE95 Phone #: °?- 41 Z4-
-
Street Address: '2Co2s M67'916 B4-V0, License #:0003S06
City: EDINA 5tate: gv zip:
ARCHITECT/ Company: CGI/r?Y?r?1? ?/???2=' Phone #:636PWO
ENGINEER
Name: - Registration #: '
Street Address, 1;STQe P-Y'UD' SU"E 1¢5
City: 4DIN4 State: /V.A) Zip:2537Z-
Sewer 8 water licensed piumber:
change are requested once permit is issued.
Penalty applies when address change and lot
1 hereby acknowledge that 1 have read this application and state that the i ormation is correct and agree to comply with all
applicable State of Minnesota Statutes antl Ciry of Eagan Ordinances.
i'
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received
Yes No
Tree Preservation Plan Received Yes No
RECEIVED
A R 2 41997
BY-.
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
0 02 SF Dwelling ? 07 4-plex
? 03 SF Addition o 08 8-plex
x 04 SF Porch ? 09 12-plex
0 05 SF Misc. ? 10 = plex
WORK TYPE 3 SFqSO?J
X? 31 New o 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPf20VALS
Planning
? 11 Apt./Lodging ? 16 Basement Finish
0 12 Multi RepairiRem. ? 17 Swim Pool
0 13 Garage/Accessory o 20 Public Facility
0 14 Firepiace ? 21 Miscellaneous
? 15 Deck
? 36 Move
0 37 Demolition
_ Basement sq. ft. MC/WS System
_ Main Ievei sq. ft. City Water
_ sq. ft. Fire Sprinklered
_ sq. ft. PRV
_ sq. ft. Booster Pump
_ sq. ft. Census Code.
_ Footprint sq. ft. SAC Code oI
Census Bidg ?
Census Unit o
Building PM Engineering Variance
„
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Oepos+t
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Totai:
Valuation: $ (o OW, 00
/2 )( /2 = /il? X ?lo G- i57100. OD
°k SAC
SAC Units
• CITY USE ONLY
L BL _21 RECEIPT #: (0 U ?a
SUBD. ,/, (.t,,)ODATE: 7ZI2' ICF
1996 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? singte family dwellings
? townhomes and condos when permits are required for each unit
New construction Add-on furnace
Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc.
Date: -//?- /qb
FEES
? Minimum Fee: Add-on/Remodel (existing residence only) $20.00
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required @$3.00 each) po
? State Surcharge .50
TOTAL 27?
SITE ADDRESS: S"72- --rjJ L? -
OWNER
INSTALLER
PHONE #: SL3<_Z41-2?
STREET ADDRESS: :2 41 / W,? 12LL' 51
CITY: ? a STATE: W-&) ZIP: SC3??
PHONE #: ( ) ?f£iD - LI3d (
? ,
CITY USE ONLY
LOT BL ? RECEIPT #:
SUBD. ,Z ?? • ? ?d RECEIPT DATE:
1997 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
Z 9 (612)681-475
Date•
Complete ttris section only if vou are installin¢ HVAC in sinLIe familv, townhome, or condos that are
under constructioa and are not owner /occuuied.
• HVAC: 0-100 M B T U $ 24.00
ADDITIONAL 50 M BTU -6.00-
• Gas outlets (minimum of one required @$3.00 ea.) ? 90b
• State Surchazge: .50
• TOTAL: 33`?v
Complete this section only if you are remodeline adding to, or repairinE ezistin¢ sinele familv
dwellinps, townhomes. or condos.
_ Add-on fiamace _ Add on air conditioning
Add-on air exchanger, i.e. Vanee system, etc. _ Other
Minimum fee applies to all remodel or add-ons of existing residences $ 20.00
State Surcharge .50
Total: $ 20.50
SITE ADDRESS:
OWNERNAME: PxorrE a: 83S-y/z ?
INSTALLERNAME: PHONE
STREET ADDRESS: 2<- 711-
CIT'Y: c ? STATE:,?,-? ZIP:
SI ANRE OF ITTEE
i ..
CITY USE ONLY
L //_ BL A-
SUBD. ,?1,& GLlw'"`Y7v. ?
1996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
RECEIPT #:
DATE: `? 9 (o
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES EACH bSL TOTAL
Shower 3.00 x 3
Water Closet 3.00 x 6-_
3ath T::b 3.30 x L = 3
Lavatory 3.00 x _ ?
Kitchen Sink 3.00 x / = 3
Laundry Tray 3.00 x
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x I =
Floor Drain
3.00
x ?
Gas Piping Outlet * minimum -1 3.00 x
Rough Openings 1.50 x
Water Softener 5.00 x =
Private Disposal * Dakota Cty. license 50.00 =
(new and refurbished systems)
U.G. Spfinkler * home under const. 3.00 =
Alterations ' to existing 20.00 =
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL
SITE ADI
OWNER
INSTALLER NAME: GENZ-RYAN PLi]M1NG
STREET ADDRESS: 14745 Soubh Robert Trail
CITY: Rosemount STATE: MN Zip: 55068
PHONE #: (
CITYUSEONLY
gL RECEIPT#: /'Y9Z;4-
SUBD..i/.1r1. W?Jt??6x?r?tta d, o'?? RECEIPT DATE: ?'S`
1997 PLUMBING PERMIT (RESIDENTIAL)
aTr oF eacaN
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
. hackflow preventer for underground sprinkler system
FIXTURES fAC,H N?( TOIAL
Shower 3.00 x
Water Closet 3.00 x =
Bath Tub 3.00 x _L =
Lavatory 3.00 x
Kitchen Sink 3.00 x
Laundry Tray 3.00 x
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x _L = ?r
Floor Drain 3.00 x
Gas Piping OuUet ' minimum- 7 • 3.00 x =
Rough Openings 1.50 x
Water Softener `for dwellings under construcfion 5.00 x =
Water Softener ` for existing dwelling 20.00 x =
U.G. Sprinkler "fordwallingunderconst. 3.00 =
U.G. Sprinkler ' for existing dwalling 20.00 =
Alterations ` to existing residence 20.00 =
Water Turn 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
I hereby acknowledge that I have read lhis appliption, steta that the intormetion is correct, and egree M compty wkh all applicable City
of Eagan ordinances. k is the applicenPs reaponsibility lo notify the property owner that the City of Eagan assumes no liabiliry Tor any
damages caused by the Cily during its nortnal operedonal and mainlenance activities to the fedlities construdad under this pertnit wifhin
CAy properlylrightof-way/easement.
SITE ADDRESS:
OWNER NAME:
INSTALLER NAME: GENZ-RYAN PLUNIDING TELEPHONE #: 423-1144
STREETADDRESS: 14745 So Robert Trl
CITY: Rosemolmt STATE: MPI7 ZIp; 55068
'SidNATUF9 OF PERMIT7EE
Al5-?P
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PIL.OT 3CfdOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for mudiflratiens to e-isting residential owe!lings.
?--
Date 1 23 ? ee( ' GANNON, MAR
Y
I
Site Street Address ? 8541W LANE Unit #
- EAGAN, MN 55123 i
? (651) 454-7525
Property Owner ? Telephone # ( )
.
Contractor. 612 827-4033 Telephone # ( )
a,ddress2905 GARFlELDAVE. SO. State__ Zin
P0EIS-,htWrJ5408_--
The Applicant is: _ Owner ^ Contractor _Other
- ?
Alterations to exis,4ng dweiliiig I
$ 50.00
_Add fix;ures ?o rooms, exc;u&ig watFr softener and water heater
_ Septic System Abandonmer,t
_Water Turnarouhd ;add 5121.00 if a 5/8" meter is required)
Other: ?
Water Softener X Water Heater $ 15.00
X replacement auditional
_ Lawn Irrigation Sys±sm RPZ_ new _ repair _rebuild
- $ 30.00
? - -
;
° S!a!s °::rchr.rcc
? Total
-- - 4
y .50 I^'
I hereby apply for a Residential Piumbing Permit and acknowledge that the information is complete
and accurate; that the work tivill be in conformance with the ordinances and codes of the City of
Eagan and the plumbing cndes; t'-;a? I understand this is noi a permit, but only an application for a
permit, work ;s not to start witix,ut a,.parmit and work will be in accordance with the approved plan in
the event a plan is reciuired to be reviewed and approved.
ApplicanYs Printed Name ? A i s i nature
r - - --
-------------i
For Office Use
~ ~ C
Permit /
City of Eap ,50
J ~QQg Permit Fee
3830 Pilot Knob Road 1 11,
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff:
2009 RESIDENTIAL PLUMBING PERMIT APPLICATION
7 Site Address:) -/..L L/)l✓f-
Date:
Suite
Tenant:
i /X2 L L~%~ Ci v.7Z5E Phone:/-~?Y~'
RESIDENT / OWNER Name:
Address / City ! Zip: ✓ CONTRACTOR Name: LA? Li ~ = License
Address: ~~~~J f J
City: /V/✓State!?LV Zip:
Contact Person:
Phone:~-
TYPE OF WORK _ New /y, Replacement _Repair _Rebuild Modify Space _ Work in R.O.W.
Description of work:
PERMIT TYPE RESIDENTIAL
N Water Heater Water Softener
Lawn Irrigation Add Plumbing Fixtures
RPZ / - PVB) Main _ Lower Level)
Septic System Water Turnaround
_ New
Abandonment
RESIDENTIAL 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)
"Water Turnaround (add $165.00 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 Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharg
TOTAL e) FEES $
1 hereby acknowledge 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 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.
A2
ture
Applicant's Printed Name Applicants Sig
Reviewed By: Date:
FOR OFFICE USE
Required Inspections: -,Under Ground -Rough-In -Air Test ____Gas Test -Final
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1
CityofIa
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
tto
iUM'i31Vo'f
RECEIVED
AUG 1 2016
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee: ea 0.0 0
Date Received: 119
Staff:
2016 MECHANICAL PERMIT APPLICATION
0 Please submit two (2)
(2) sets of plans with all commercial�applications.
Date: (0 11
Y) t kJ, Site
Address: 66111 t Y ` 110 f 6I c1 1Y 1 ( N
Tenant: A 'VItl. 1 00V -fir Suite #:
Name: N 11i& I CAI V i •,e- Phone:
Address / City / Zip: ?) 7 I ir'ci rie
, h %)2_:/—.
Name:
Ong HbtAr 11tt rh9 It /jr License ##�t1BLO�21
Address: I' I Q Vermilli on Si-• City: Ttash rigs
State: _ ltSL Zip: 55033 Phone: 6251 131- y 1
Contact: l f t ! ��iU' it11 Email: 1' -'►'111U' h6LJ1cDDhii rhe SGYV iCe Pros Low,
r�
J
Replacement Additional
Alteration Demolition
Description of work:
RESIDENTIAL
Fumace
Air Conditioner
_ Air Exchanger
_ Heat Pump
Other
COMMERCIAL
New Construction _ Interior Improvement
_ Install Piping _ Processed
Gas Exterior HVAC Unit
Under/Above ground Tank ( Install / _ Remove)
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit, includes State Surcharge
$100.00 Residential New, includes State Surcharge
TOTAL FEE
COMMERCIAL FEES
$60.00 Permit Fee Minimum
$70.00 Underground tank installation/removal
Surcharge = Contract Value x $0.0005
If the project valuation is over $1 million, please call for Surcharge
Contract Value $ x .01
_$
=$
_$
Permit Fee
Surcharge
TOTAL FEE
I hereby acknowledge 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 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.
x IiasseiA IVIG Khrki I
Applicant's Printed Name
x
Applicant's Sign
)4itiose
FOR OFFICE OSE
Required tnsgections-
Underground Rough In Air.Te€
Reviewed By
Service Test , In -floor H6aft' Final HVAC Screedn