865 Ivy Lane
Wertificate nf Ccc"anc?
(Fit4 of Cfagan
?eat of 1SK"* attiioectian
Thu Certificate issued pursuant to the requiremerets of rhe Uniform Building Code
certifying that ai the time af issuance this srntcture was in compliance with the various
ordinances of the City regulating building construction or use. For the following:
um c,,?&,,doo:DUPIEx 0 CF 2 UNM) i Bbg. Pe,,,,;, No. 22583
OCCUP-Y T)'P? ?ilAl I Zooing DistriG . PD Type Const. VN
Owner oF Suilding M1N7RYFY1*1F5Ri ]7RS TN': Ad&e.ss 6648 RI1$TIC BU $E , PUOR IME
a?ikuoB ndem 865 IVY LANE ?.ocwity L7, B l, IlM WDUANIDS NOKIH 3RD
DWe:
BWkfing Officul
POST IN A CONSPICUOUS PLACE
v ? `.!, '4
Wertificate af Cccupanc4
W" of cpagan
mepIaenr o( eNi[iucg aa6pection
This Cenificate issued pursuant to the requirernents of the Uniform Building Cade
certifying that at thc time of issuance this structure was rn compliance wrth the various
orifinances of the City negulcrting building construction or use. For the fo!lowing:
Uu Qassificuion: DUPM (I [aNIIO Bldg. Permit No. 225M
Oc-p-Y TYPe R3/M-I Zoning Disvict PD Type Const. VN
Owner af BuildiMM.5 w Addcess 6648 mmc -RD .SF'?., PRT.(R T.A1tF.
Bmlld'ing Addrea86) IW I1M Locali
i.
Da?e-
BmldmB Officu! , - - -
P0.ST IN A CONSPICWUS PLACE
. . ..
CITY OF EAGAN
3830 Pilot Knob Road
= Eagan, Minnesota 55123
I kqIL) 00 1-40 /5
f SITE ADDRESS:
?
I wr;
dl+k? t 1{ +i. i
PERMIT SUBTYPE:
i
hr I11. rl 4 'K ; ?
-'jCORD
PERMIT TYPE:
Permit Number:
Date Issued:
] ! k MFINN 1 1?
„ i . ' ) .14 / .'
TYPE OF 1NORK: .
t?; ?. i. ? i C; ? 1 1???. '?? ttrl l I•?'?,?.
s4 .
INSPECTION DATE INSPTR- INSPECTIO ¦A
•i ! rd I : ? ,, . ?i!; ;? ! ?! ? +.
[ f, tM A Ft K ':,* o S J% WP! t+ {; 14t• N.' It Y ADI II! k if
? _- -°----------- -»?---?------------????`??---??.____?4.?....._ - _ ?-
Permk No. Permit Holder Date Telephone M
SNV
+4!WMBlN@ 14 vAC
ELECTR
ELECTRIC
Inspection Dete Insp. Comments
Footings I
Foundation
Framing GJG
Rooting
?
0/ Z
Rough Plbg. !-/5-9 9 ?
Rough Htg. Af4l
l5ul.
Fireplace ?
f
Final Htg. _ ?-
Orsat Test
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
EngrJPlan
Bldg. Final
Deck Ftg.
Deck Final
Weil
Pr. Disp.
-
b?
" ' " 0,,4 2OW-0 s-W .3/? f/fy
`C!TY OF EAGAN
3830 mlot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT TYPE: •"'
Permit Number: N'
Date Issued: 1 ?
SITE ADDRESS:
?
PERMIT SUBTYPE:
TYPE OF WORK:
.
N11
INSPECTION DA • .A
, ? I?r.f ;! li?. f 1 Nt1f
r-
L
APPLICANT:
I nNf
I?
Nr1Ii 1 li <1,11 ' c t. I.• i 4 4 ,.4.
6IF NZ KVf1N ('i M13
-1
J
if
Permit No_ PermR Holder Date Telephone t
S/W
PLUMBING ? /? p 9 ?l3.•??
HVAC
•
ELECT /,k6 ??[? ? 4m
ELECTRIC '
Inspectfon Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg.
NI3-9e
??rv
Rough Htg.
cruu
Isul.
Fireplace
Fnal Hlg. 1f
Orsat Test
Finel Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
EngrJPlan
Bldg. Final v
Deck Ftg.
Decfc Final
Well
Pr. Disp.
_?-!?? X
?lf ? R EQUEST FOR ELECTRICAL INSPECTION
? See inslructio's for compleYng ihis form on back oi yellow copy
4 0 5 ? `X" Be/ow Work Covered by This Request
E13A0001-08
? f833?-
e Add' Rap. " Typeofewldmg AppliancesWired EqwpmentWired
Home Range Temporary Service
- Duplex Water Heater Electric Heanng
Apt Building Dryer Load Management
Comm.llndustrial Furnace Other (Speciry)
Farm Av Conditioner
Other (specdy) Comracmr5 Remarks-
Compute Inspection Fee Below:
# Other Fee # Service EntmnceSize Fee # Circmts/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 20D _ Amps Amps
SIg05 Inspector5 Use Only ITOTAL
eooms v Q
Speaal Inspection
AlarmlCommunication THIS INSTALLATION MAY jaF,0RDE DISCONNECTED IF NOT
O[her Fee COMPIETED WITHIN 1 ON _YHS.
I, the Electncal Inspector, hereby
certify ihat the above inspection has
been made. Rough-in
Final ' oei
aL- L
OFFICE USE ONLY
This request witl IB manUs trom
?
Request Dete Fire No Fiough-in Inspeclion
Requiretl?
es ? No OTICE: Vau Must Cail Elecincal Inspecor
II A Rough-In InspecLOn
Is fleqwred
licensed contractor ? owner here6y request inspection of above electrical work at:
Job Adtlress (Street, Bav or Fa ) Ciry! ?
Section No Township Name or No afge No. Cou
Occu nl (PRI ? ? hone No.
PowerSu ier PLtlress
Electn ntrac[Or (Company Nam
i Contract License No
giv
Marling Atltlress (C Vector or Owner Mekrtig Installatio'n)
' a)
AinhOnzed Sign re(COntrac[or/O?vner Making inatllon Phone Number
??eq--
MINNESOTA STATE BOAfiU OF ELECTRICRY V ? THIS INSPECTION REQUEST WILL NOT
GriggsMldway Bldg. - Poom &1T3 BE ACCEPTED BVTHE STATE BOARD
1821 Unlvereity Ave., Si. Paul, MN 55104 UNLES$ PROPER INSPECTION FEE IS
Phone (612) 642-0800 ? ENCLOSED.
RE?UESTFORELECTRICALINSPECTION
7' ? T ? See in"mchons for com2leting this form on back of yellow copy
M.71406 X" Below Work Covered by This Request
? EB-00001-08
1833?-
?
e Adtl Rep Typeoi6wldmg AppliancesWired EquipmentWVed
Home Range Temporary Service
Duplex Water Heater Electnc Heaung
Apt Budding Dryer Load Management
Comm.llntlustrial Fumace Otner (Specify)
Farm Air Condnioner
Other(soeary) ConVacrorS Remarks
Compute Inspection Fee Below:
# Olher Fee # ServiceEnlrance5rze Fee # Qrcuns/Feeders Fee
Swimming Pool 0 to 200 Amps to 10o Amps
Transformers Above 200 _ Amps Above 700 _ Amps
Slgns Inspedor5 Use Only TOTAL ?
S
Irngation Booms ?-
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee ? COMPLETED WITHIN 18 MO S.
I, the Elechical Inspector, hereby Ro?9n-?n Date
7
certify that the above inspection has
been made.
OFFICE USE ONLV
This request void 18 months trom
? 7?45
p
Fequest Da[e Fire No Rough-in Inspecoon ry0 GE: You Must Call Electncal Inspector
Feqw tl'+ It A Faugh-In Inspedion
? Yes ? N. Is ReQUVed
1.01Q'nsed coniractor ? owner hereby request inspection of above electrical work at:
Job Address (Sireet, Box or Route No I
•
WK?
?'?i `-c Qry
Sec4on No TownShip rliame or No Faige No Counry
?
Occup nt (PFI ) Phone 190.
? i
Power Supplier
('" Atltlress ?
a
?F?L ?(_/
Electncal Conhador(COmpany Name) ContrectoruL ense No
o g
MaAinq Adtlress (COnb to, or Ownar Makmg InsWllation
?
?
Authonzetl ign re (COnVacbr/Owner Meking Insta lalion) Phona Number
3(
B
o
o-
MINNESOTA STATE BOAfiD OF ELECTflICITY ? THIS INSPECTION REQUEST WILL NOT
GriggsMlOwey Bldg. - Noom S-1TJ BE ACCEPTED BV THE STATE BOARD
1821 University Ave., St. Paul, MN 55104 UNLESS PFOPER INSPECTION FEE IS
Plione (612) 6412-0800 ENCLOSED.
Address 869 Ivst taM Zip 5512 3
Lot a Blk i Sub M "131.4ros riouDi 3RD
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: Yes No Inspectot:
Final grade (6" from siding) ?
Petmanent steps (garage) j?
Permanent steps (main entry) vl?
Permanent driveway
Permanent gas
Sod/Seeded grass
TraiUcurb damage L,/
Porch ?
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 6814645 before working in rightof-wsy or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - ContracWr Copy
Address 865 IvY LANE Zip 5512 3
L.ot J Blk 1 Sub TilE woon[.aNDs xoxnt 3tm
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: Yes No Inspector:
Fina} grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
TraiUcutb damage
Porch ?
Basement finish
Deck
Please verify with the builder the removal of roof test caps from lhe plumbing system and the shut-off of water supply to
Ihe outside lawn faucet before freeze potential exists.
Contact engineering division at 6814645 before working in righFOf-way or installing underground sprinkler systero. ?
White - City Copy Yetlow - Resident Copy Pink - Contrector Copy
C0d? ?D
RESIDENTIALBUILDINGs
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWction ReauiremenLs
3 reg'steied site surveys showing sq. ft of lot, sq ft. of house; and ell ruofed aieas
(20% mezimum lot coverage allowed)
2 copies of plan showing beam 8 window sizes; poured found design, etc.
1 set ol EneFgy Calwlations
3 mpies of Tree Preservation Plan if lot platted after 711193
Rim Joat Detad Options selection sheet (buildirgs with 3 or less units)
Minnegasco mechanical ventilaUon foim
RemodeUReoair Reauirements
2 copies of plan showing footings, beems, joz5
1 set of Energy CaLulations for heated additions
1 site survey iw addNOns & decks
Addifion -indicate ifwisfte sep6c system
CD
-? 7e I 9's4 C
?
? eks `'v?-
Ofrm Use Onlv
Cert ofSurveyRecd'- _Y _N
Tree P2s Plan Recd _ Y_ N,
Tree Pres Required - _Y _N
On-siteSepticSysfem _Y _N
Date a60 7
SiteAddress $LS SVL/ L?J Construction Cost i/ ?, ?? • ?Q
UniUSte#
Description of Work 7'&>f2 O-G'P_ / *17?16 P-E,-- 00 F
Multi-Family Bldg .? Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owoer PkIt-LiP /4 m e-Xu X ?7.1 Telephone # 6,717
Contractor Fi kXmRIDR M a-II1 17: enp-P
Address NpS l/UE?)T u)" STRE
State M ( M1dFS}'jA ET' city?UINNEMUS
Zip Telephone 1! (61) ) 8lo 1- 62 y 3
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
submission type) Submitted Submitted
• Energy Envelope Catculations 5ubmitted
In the last 12 months, has the City of Eagan issued o permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of pians.
t??tcx c._ 1+???I ff;J
ApplicanYs Printed Name
,?? J /G'Lccc?
ApplicanPs Signature
?_ AOV-24-93 WED L0:01
Plen+epr En11n**rln•
*_?
* PIONI
* anA
* j$ * *
•
P-02
THE19B3 P.01
2422 Enl prfse DAvt
Mendota aighla, MN'55120
(612) 681 1914•eox 681-94
626 Hioh y 10 Norkheast
Certtficate of Survey for: WOOtIIOfla %-.oun tr y n
House Addresa: IKv Lane. Eaaon. MN
880•FaK 783-1
?.
?
- Oenatee Drolnage Flow DTrec an
.-p- Denotes Monument
.-a-. Denotes Offfet Hub 9ecringa shown ore assumed
LOT,.7,$_ BLK __1._ T WO
bAKOTA CDUNTY. MNNESOTA
1 hveby qrHfr tMt th111UMy, p1en M IepOrt NO? hY ? W mW dhMt wps
urdp dN Iaw10! lh1 BtaM ol MInnMOU. a+.a *w I9, a.v er.NAYS3L A.D.19,
aaa.a - E?:,i:Ily ¢ia rt-z4-13 ? ` \ %? *o99.1 ? I
G?
IEAGL4N EI*TCsI]V?ERYI?TG IDEPT.
w157e, aot+rnA" uuft ?m?r"r ?u o??aHS nro aavFwer oEaaa
. ooa,o Denotes Exlazing Elovntton
. o? Denote9 Proposed Elevation PR0P0SEQ,L0IJ9E El
-- = Denotes Dralnage te Ukitity Eaeement
ti Garage Slab Elavott'
ftj v {? ? g%y? gq
989.; e.S¢ qA, *
?? ,?'?,a? •ga3 9 ?????i
?s r 3 •1 J"i
\ ? .
G a
V
9
? s?9'Sy, 48 • .
'? 15y• 0 1 - - '
? ?f~
. ` (? ? ? a 1A ° tlo 0 ?
ir
\%n PBo.?
11nch.
R-9
eAI
: u
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j3.
16
, J
6 1 ,O y ??
i :
6
1 an "
Und RurwYa
II-24-93 89:08PM P002 #04
. ? :.
J ?
j
? s
W
m
c ?
?
C3?0 ? •
?
? ? •
? @I'0 •
D? ? o •
0--0 ? •
6" 0 ? •
0? ? ? •
?0 0 •
O"EI ? •
LOT SIIRVEY CSECRLIBT FOR
BIII;
PROPERTY LEC3AL•
Date of Survey: l///
DOCIIMENT BTANDARDB
Registered Land Surveyor signature and company
Building Permit Applicant '
Legal description
Address
North arrow and bar scale
House type (rambler, walkout, split w/o, split entry,
lookout, etc.)
Directional drainage arrows with slope/gradient $.
Proposed/existing sewer and water services
Street name
Driveway
ELEVATZON6
Sxistina
? ff'*?? • Sewer service
? 0 0 • Lot corners
$? 0 • Top of curb at the driveway
[i-Ik"? • Elevations of any existing adjacent homes
ProDOSed
? ? 0 • Garage floor
0' ? ? • First floor
CI? ? ? • Lowest exposed elevation (walkout/window)
? ? 0 • Property corners
p? ? ? • Front and rear of home at the foundation
PONDING AREAS (ff apDlicab e
i] 6-? ? • Easement line
? 2,-0 • NwL
? e"? • HwL
0 0? ? • Pond # designation
p 0' ? • Emergency Overflow Elevation
DIMEN6ION6
B? D 0 •
?0 ? •
d, ? ? •
pr? [I ?
D J" ? •
Lot lines
Right-of-way and street width (to back of curb)
Proposed home dimensions including any proposed decks,
overhangs greater than 21, porches, etc. (i.e. all
structures requiring permanent footings)
Show all easements of record and any City utilities within
those easements
Setbacks of proposed structure and setback of adjacent
exi
Ret
Reviewed:
October 1992
PERMIT
?C CITYOF EAGAN PERMITTYPE: gusLorHs
3830 Pilot Knob Road 0 2 2 5 9 3
Eagari,Minnesota55123 PermitNumber: 11 29 93
(612) 681-4675 Date Issued: ? ?
SITE ADDRESS:
865 IVY LANE l 36B
LOT: 7 BLOCK e 1 (?? I?
THE WOODLANDS NORTH 3RD ?1?
P.I.N.: 10-75892-070-01
DESCRIPTION:
,_? (1 OF 2 UNITS)
Bu3ld3ng{ Permit Type DUPLEX
B?uilding'-GJork Type NEW
/UBC Occupan'o'y? R-3 M-1
/ Construction T?qe V-N
j Zoning ? PD
/ Building Length ? 92
C Building Width `-? 32
.
t
Cu?,/ Z)ir a??JL];??
??.
REMARKS:
S& W PLBR - GENZ-RYAN PLBG
FEESUMMARY: VALUATION $1ee,000
Base Fee $639.50 MISCELLANEOUS $1f744.50
Plan Review $415.68 Total Fee $3,599.68
Surcharge $50.00
5AC $750.00
SAC ? 100
5AC Units 1
Subtotal $1,855.18
?±f? f1R? - ^NNai?011L - oi. ?a?. nW??p
`54P?T4TC01V5T 14472424 0001436 C'OUT1l?tYHOME BLDRS INC
6648 RU5TIC RD SE 6648 RUSTIC Rp SE
PRIOR LAKE MN 55372 PRIQR LAKE MN 55372
(612) 447-2424 (612)447-2424
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with ell applicable State of Mn.
Statutes and City of Eagan Ordinances.
?
APPLICANT! ER ITEE SIGNATURE
-hy, ? ?v;,?. ?1r{,?
"ISSUED SI ATURE
REACTIYATE.,
PERMI-T
CITY OF EAGAN
1993 BUILDING PERMIT APPLICATION $345 ? ?, ??
681-4675
SINGLE LTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy celcs.
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 / / i9 / 5? Valuation of work
? Of /
5ite Address: ? , {o S ?=?
STREET SU1TF f
Tenant Name: (commercial only)
IAT / BIACR ? SUBD.??? Z P.I.D. N
Descri tion of work:
The applicant is: ? Owner MContractor ? Other (Deseribe)
Name Phone
Property LAST FIRST
Owner
Address
STREET STE M
City State ZiP
Company Phone
Contractor Address 64 License #Exp. 9S
City ?-?1-C.? State ??? Zip ?s?>y
Company Phone
Architect/
Engineer Name Registration N
Address
City State Zip
Sewer & water licensed plumber 2 a? . Processing time for
sewer & water permits is two days once q(rea h s 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. ?"
?'?'!J
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 Sf Dwg. ? 07 4-Plex ? 12 Multi. Misc. [3 17 Swim Pool
? 03 SF Addition 13 08 8-Plex ? 13 Garage/Accessory ? 18 Coimn./Ind.
? 04 SF Porch 0 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? OS SF Misc. ? 10 Multi. Add'1. 0 15 Deck O 20 Public Facility
? 21 Miscellaneous
WORK TYPE
W31 New ? 33 Aiterations ? 35 Tenant Finish ? 37 Demolish
? 32 Additian ? 34 Repair 0 36 Move
GENERAL INF ORMATION
?. _
Const. (Actual) V- N Basement sq. ft. MWCL System yEj
(Allowable) V- lst F1. sq. ft. City Water ?
UBC Occupancy U-bi--i 2nd F1. sq. ft: PRY Required
Zoning Pn Sq. Ft. total Booster Pump
#? of Stories Footprint Sq. ft. F1re Sprinkl er
Length __UZ On-site well Census Code /b Z
Depth 3 2• On-site sewage SAC Code 0/
APPROVALS -
I
Planning Building Assessments
Engineering Yariance
REQUIRED INSPECTIONS
? Site
? Wallboard
13 footing
? Final
? Framing
? Draintlle
O Insulation
? Fireplace
Permit fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
vstuatiar $ ? bp OOD
GARn,(-jE : Sol?x l6 = Sf,O/!o
#+ousT_-c 1,114 n sy = 9'6, I aV
P0& ; 1y?f x ys? (p4?6o
r
`tq, Go°
SAC % ? UO
SAC Units ?
K,
. r
EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
DETERMINE WORKING SQUARE FOOTAGE OF EACH:
1. FOTAL 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:
Totai exposed wall area above floor........ 976.00 sq ft
a) Total window area:
Double glazed ........... ............. 111.00 sq ft x"U' 0.430 47.73
sq ft x "U"
- 0.00
b) 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
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°k) .......... 97.60 sq ft x"U" 0.095 = 9.27
f) Total net wall area
above floor (insulated) ........................... 689.40 sq ft x"U" 0.043 = 29.64
g) Total rim joist area :...............................
Total foundation area (exposed) ..............NA
sq ft x"U" 0.034 = 0.00
sq ft
h) Total foundation window area .. ............. NA sq ft x"U" 0.430 = 0.00
i) Total net foundation area above grade..... 0.00 sq ft x"U" 0.045 = 0.00
3• Total a) thru i) 106.51
If item Il3 is the same as, or less than item N1 you have met the intent of 2 MCAR 1.16008 A and O.
Page -1-
CONTRACTOR: COUNTRYHOME BUILDERS, INC. DATE: j1-19 lia?3
4. TOTAL EXPOSED ROOF/CEILING CALCULATIONS:
Total exposed roof/ceiling area . ............. 1,435.00 sq ft
j) Total skylight area ................................ 0.00 sq ft x"U" = 0.00
Total roof/ceiling framing area
k) (Average 10°h ............. 143.50 sq ft x"U" 0.039 = 5.60
d) Total net insulated
roof/ceiling area .................................... 1,291.50 sq ft x"U' 0.024 =31.00
4. Total a) thru i) 36.59
If item !14 is the same as, or less than item #2 you have met the intent of 2 MCAR 1,16008 A and O.
ALTERNATE BUILDING ENVELOPE DESIGN
To utilize the total evelope system method, the values established by the sum of Items ff3 and Item J14
shall not be greater than the sum of Items #1 and 1f2.
7. 707.36 + 2 37.31 = 144.67
3. 106.51 + 4 36.59 = i 143.10
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.
(signawro)
(Date)
Page -2-
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMITTYPE: BuzLozNs
Permit Number: 0 2 2 5 8 4
Date Issued. 11 / 2 9/ 9 3
SITE ADDRESS:
P.I.N.: 10-75892-080-01
869 IVY IANE
LQT: 8 BLOCK: 1
7NE WQQDLANOS NORTH 3RD
kko ?0?
DESCRIPTION:
(1 OF 2 UNITS)
B'Iurfidi?rq,, Permit Type DUPLEX
BuildirJg kQrk Type NEW
A,1BC paquparc''cy., R-3 M-1
Gons.tructa,on '?rpe V-N
r? Z'oning PD
9u$.Eding SZengtFr ? l
f Buxrding w,iatt,
t? t
102
32
REMARKS:
3& W PLBR - GENZ-RYRN PLBG
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
SAC
3AC ?
SAC Units
Su6total
VALUATZtlN
$621.50
$403.98
$48.00
$750.00
100
$1,823.48
$96,000
MISCELLANEOUS $1,744.50
Total Fee $3,567.98
NT{??r np ` HPpiicanu - 5i. Lt?
?±
`SQEICMR1719TLONST 14472424 0001436
6648 RUSTIC RD SE
PRIOR LAKE MN 55372
(612) 447-2424
CMWWIHOME BLDRS INC
6648 RUSTIC RD SE
PRIOR LAKE MN 55872
(612)447-2424
I hereb}+ aaknawlattqe that I Mave read thls ai7Plicati4n• and state that the
3nfnrrtiation is correcC and a.gre,e ta comlzZy with a22 applieabl,e Stzito of Mn.
5tatutes and Clty bf Eagarr Ord3.nances.
L 4 ?
cl? APPLICANT/PERMITEE SIGNATURE
I ED B: SI NATUIi
I
REACTIVATE ,g ..: ... „ CITY OF EAGAN ?
PERMiT 4 d3' ?1993 BUILDING PERMIT APPUCATION $3 ?,
681 ? -4675
?
SINGLE 8 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specif.ications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of manth.
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date -_5 Valuation of work
Site Address: lovU
STREET SUITE /
Tenant Name: (commercial only)
IAT ? BIACK ? SUBD. P.I.D. M '
Descri tion of work:
The applicant is: ? Owner Contractor ? Other coesor;be>
Name Phane
Property LAST FIRST
Owner
Address
STREET STE k
City State Zip
Company Phone
Contractor Address W/&c?z& /WCr1e__ L i c e n s e #4D ?f Exp.?
City 1State ? Zip ?537A
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber . ??J . Processing time for
sewer & water permits is two days once rea as been approved.
I hereby acknowledge that I have read this applicatinn and state that the infarmation 9s
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
B UILDING PERMIT TYP E
- ?.?
.. ?. -
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging [3 16 Basement Finish
? 02 Sf Dwg. ? 07 4-Plex ? 12 Multi. Misc. 0 17 Swim Pool
? 03 SF Addition ? 08 8-Plex O 13 Garage/Accessory ? 18 Comm./Ind.
? 04 SF Porch 13 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
?31 New 13 33 Alterations ? 35 Tenant Finish ? 37 Demolish
32 Addition E3 34 Repair 0 36 Move
GENERAL INF ORMATION
Const. (Actual) ?4-Kj Basement sq. ft. MWCC System ?
(Allowable) V- N lst F1. sq. ft. City Water ?
UBC Occupancy 9-3 N1 2nd F1. sq. ft. PRV Required
Zoning pp Sq. Ft. total Booster PumP
M of Stories Footprint Sq. ft. Fire Sprinkl er
Length ? On-site well Census Code O Z
Depth 32, On-site sewage SAC Code
APPROVALS r I
Planning Building Assessments
Engineering Yariance
REQUIRED INSPECTIONS
? Site
? Wallbaard
? Footing
0 Final
? Framing
? Draintile
? Insulation
0 Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAL
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W 5urcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
V.Lmt;o,: s I b , aoa ?
v
6•a+2"Q; 6 yo x%?
Ho,, u5E ,' /S76 x sy = S S? / o?l
95 3yy
/
SAC % ?
SAC Units
1?1 _
:
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:
DETERMINE WORKING SQUARE FOOTAGE OF EACH:
EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
Total exposed wall area above floor........ 976.00 sq ft
a) Total window area:
Double glazed ........... ............. 171.00 sq ft x"U" 0.430 47.73
sq ft x "U"
- 0.00
bl 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
fl Total net wall area
above floor (insulated) ........................... 689.40 sq ft x"ll" 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
il Total net foundation area above grade..... 0.00 sq ft x"U" 0.045 = 0.00
3' Total al thru i) 706.51
If item !l3 is the same as, or less than item #t you have met the intent of 2 MCAR 116008 A and O.
Page -1-
CONTRAC70R: COUNTRYHOME BUILDERS, INC. DATE• ?? ?? /?
? .
4. TOTAL EXPOSED ROOF/CEILING CALCULATIONS:
Total exposed rooflceiling area .............. 1,435.00 sq ft
j) Total skylight area ................... ............. 0.00 sq ft x"U" = 0.00
Total roof/ceiling framing area
k) (Average 10% ............. 143.50 sq ft x"U" 0.039 = 5.60
d) Total net insulated
roof/ceiling area .................................... 1,291.50 sq ft x"U" 0.024 =31.00
4. Total a) thru i) 36.59
If item #4 is the same as, or less than item N2 you have met the intent of 2 MCAR 1. 16008 A and O.
ALTERNATE BUILDING ENVELOPE DESIGN
To utilize the total evelope system method, the values established by the sum of items !t3 and Item #4
shall not be greater than the sum of Items #7 and lt2,
7. 107.36 + 2 37.31 = 144.67
3. 106.57 + 4 36.59 = 1143.1
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.
(Signature)
(Dato)
Page -2-
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PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
------------- - - ----- - - ----- -
NO. FIXTURES
SHOWER
WATER CL05ET
BATH TUB
LAVATORY
KITCHEN SINK
LAUNDRY TRAY
HOT TUB/SPA
WATER HEATER
FLOOR DRAIN
GAS PIPING OUTLET mwmum -
ROUGH OPENINGS
?., WATER SOFTENER
PRIVA'TE D1SP. • Dercy. lio.
U.G. SPRINKLER • eome under const.
ALTERATIONS • to austing
WATER TURN AROUND
STATE SURCHARGE
TOTAL:
SITE
OWNER
WST.
CITY: _sO_ s ¢ ? i%?/
EACH TOTAL
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
1.50
O _ <- v 3
S.Q/?/?
iJ.W
3.00
15.00
15.00
.50
STATE:?dh . ZIP CODE: -6-clzf
PHONE #: ( yS'I ) 2 ? ti /
1993 PLUMBING PERMIT (RESIDEIVI'IAL)
CTIY OF EAGAN
3830 PIIAT KNOB RD
' EAGAN MN 55122
(612) 681-4675
4?,03i
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT.
NO. FIXTURES EACH TUTAL
? SHOWER
WATER CLOSET
? BATH TUB
LAVATORY
KITCHEN SINK
? LAUNDRY TRAY
HOT TUB/SPA
? WATER HEATER
FLOOR DRAIN
? GAS PIPING OUTLET • minimum - i
ROUGH OPENINGS
WATER SOFTENER
PRIVATE DISP. • nak.ccy. uG
U.G. SPRINKLER - AOmE UOAW COOBL
ALTERATIONS • w exisiing
WATER TURN AROUND
STATE SURCHARGE
TOTAL:
SITE ADDR
OWNER NA
INSTALLER
ADDRESS:
CITY:-fA
PHONE #: (
3.0(?
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
1.50
5.00
20.00
3.00
20.00
20.00
?
.50
?
ZIP CODE: ??e45 8
? v
SIGNATURE OF PERMITI'EE
1994 PLLTMBING PERMIT (RESIDEIVR7AL)
CTPY OF EAGAN
3830 PILOT KNOB RD
EAGAN NIN 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UN1T. ?
NO. kJXTURES EACH
_I SHOWER 3.00 '700
'JVA t,^. CL.^•SET 3.90
BATH TUB 3.00
? LAVATORY 3•00
KITCHEN SINK 3•00
LAUNDRY TftAY 3.00 30
HOT TUB/SPA 3•00
? WATER HEATER 3•00
?
FLOOR DRAIN 3•?
GAS PIPING OUTLET • minimum - 1 3.00 ?3 O
ROUGH OPENINGS 1.50
WATER SOFTENER 5•00
PRIVATE DISP. • DaLcty. iic. 15.00
U.G. SPRINKI,ER • eomc unan oonst. 3•00
ALTERATIONS • to austing 15.00
WATER TURN AROUND 15.00
STATE SURCHARGE .50
TOTAL:
SITE
.7`VN
CTi"Y: ? .. -,1-,ir. ?,? / STATE: YI? ` ZIP CODE: V5526 49
PHONE #: ( ) `/,-,Zz -/1V?/
1993 PLUMBING PERNIIT (RESIDENI7AL)
CITY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(611) 681-4675
g
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
COND05 WHEN PERMTTS ARE REQUIl2ED FOR EACH UNIT.
? NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
FIl2EPLACE INSERT
DATE _]O /3 I / 614
FEES
HVAC: 0-100 M BTU $ 24.00
ADDTTIONAL 50 M BTU 6.00
GAS OLTTLETS (MINIMUM 1@$3.00 EACH) 3, 0o
ADD-ON/REMODEL (ExIS'I'u•tG CoNSTRUCi'tox) $ 20.00
STATE SURCHARGE .50
TOTAL 27.50
SITE
owrEx rrAME:_ Ca.j, ?f4 li w.< L; i d.As ?TELErxorE#: 441 Z42-4
ADDRESS: ?2 j/ 1 uj l 26 f'^ Sfi
CITY: Su v& ?„ 1. STATE: IV i l'U ZIP CODE: SS 37V
?
TFi.FPHONE #: ??D -4301
*ATURE O ERMIT'TEE
1994 MECHANICAL PERNIIT (RESIDEIVTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
?:?..
D:
PLEASE COMPLETE FOR SINGLE FAMII.Y DWELLINGS. ALSO, FOR TOWNTHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT.
NEW CONSTRUCTION
_ ADD-ON A/C
ADD-ON FURNACE
DATE l 2/ 2-1 I``c3
FEES
NVAC: 0-100 M BTU $ 24•00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS (MINIMUM 1 C' $3.00 EACH) 300
ADD-ON/REMODEL (EXlsr[NG CoNSrftUCriox) $ 15.00
STATE SURCHARGE .50
TOTAL 2 7 -S-0
SITE ADDRESS: ?GGI .Z? v1 L.-
OWNERIL'A?vfE: 6uh.?-?,.n B.)Agker?, TELi:PHO'.SIE#: i4-7 -2424
INST
ADDRESS: -7 i i l ln l! 26+~ S+-
CITY: S??ac Q STATE: IN? ? ZIP CODE: SS3 7f?
TELEPHONE #: ?yU' 930I
r
S TURE OF R I EE
1993 MECHANICAL PERIVIIT (RESIDEN'ITAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA141016
Date Issued:02/08/2017
Permit Category:ePermit
Site Address: 865 Ivy Lane
Lot:7 Block: 01 Addition: The Woodlands North 3rd
PID:10-75892-01-070
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Phillip J Ameluxen
865 Ivy Lane
Eagan MN 55123
(651) 452-6717
Benjamin Franklin Plumbing
5718 International Parkway
New Hope MN 55428
(612) 238-9709
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA155328
Date Issued:05/09/2019
Permit Category:ePermit
Site Address: 865 Ivy Lane
Lot:7 Block: 01 Addition: The Woodlands North 3rd
PID:10-75892-01-070
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
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 -
Phillip J Ameluxen
865 Ivy Lane
Eagan MN 55123
(651) 452-6717
Pronto Heating & Air Conditioning
7415 Cahill Rd
Edina MN 55439
(952) 835-7777
Applicant/Permitee: Signature Issued By: Signature