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3436 Ivy Ct. .• -_ ? WerfifiCQte nf cCC"Q1iC? Wit4 vf Cfagan Teo artbteat of isamarg 38i?vcction This Certifcale issaed pursuaat to the requirements of the Uniform Building Code certifying that at the ti»te of issuance this structure was in compliartce wrth the various ordinances of the City regulating 6uildrng consrrrrction or use. For the following: U. CFtuificuion.'2 DUPM Bldg. Pcrtnit No. 2150I OC-PI-Y TYP? ROM Zoitmg Distria PD Type Consc. VN Ownu otBuildinWnDM$ 1W- pda,. 6648 WIMC T_D SE, MM 1ME gyildiog pddress 3436 ?W OART Ucalqj.5 , B ? , IM UDOOLANDS ?; W Dow BuildiM Oliieial POST IN A CONSPICUOUS PLACE , INSPECTION RECORD CITY OF EAGAN PERMIT TYP'E: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: '''? f?'`'' '• ? SITE ADDRESS: i I lit ?1?,?+1?1 r?lal? PERMIT SUBTYPE: TYPE OF WORK: Il ,1;. 1 t I 1:!i; .s N F 4! I./.' I)F IIIIF'! E? • rA • DA I r.i IIi n ilfir, . , i II I: I?1?4 ota : ??FN: -saYAt? PI ?!Iai:?tar? i ? t • , • , ? ? ??{ ? : . : APPLICANT: I F -1 Permit No. Permk Holde? Date Telephone p S/1N PLUMBING S 9? ?? ??L HVAC f90- 5401 ELECTRI ELECTRIC Inspsetion Date Insp. Commeiris Footings I Foundation Framing ?Q 1'?' ?z ? !n 1-' Roofing ? Rough Plbg. /OiO- k Rough Htg. y?s yI93 ? ? s?/ ,? uG . is,i. lC . zv >j Fi?eplece ?•?Y?; o ?y Fnal Htg. Orsat Test )( Final Plbg. / frca Plbg. Inspector - Notity Plumber Const. Meter Engr./Plan Bidg. Fnal Deck Ftg. Deck Final wen Pr. Disp. - ?? ,2 Address 3436 IW cwxr Zip 5512 3 I.ot 5 Blk 1 Sub IW wooni.nrros NDPJx 2ND THESE IT'EMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION. Date: Yas No Inspedor: Final grade (6" from siding) ? ? Permanent steps (garage) ? Permanent steps (main entry) Permanent driveway ? Permanent gas Sod/Seeded grass V? TraiUcurb damage ? 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 exisCS. Contact engineering division at 681-4645 before working in righbof-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contracror Copy ?'J ? M 4 3 0 41 Reques ate ira No Roughan Inspec0an Reqwretl? II4QTICE: You Must Call Elecfical Inspector II A Rough-In Inspecnon ? No Is Reqwre d, lier icensed contractor ? owner hereby request inspection of above electrical work at: Job Address (54ae1, Boa of RoNe No.) Qry u Sedion N. TavnsNp Name or No Range No County ? Q- OccuOant(PRINT) Phone No. PowerSup ?? Atldress ' Eledncal CqnVa ompany Name) \ U ; ConVactor5 Li e No. Mailing Ad ress (Coniractor or Ownar Makmg Installanon) - l0 7.5 Z,? ? 3 Au[honzed Sig re(COn4aclor/Owner akng Install M1on) Phone umber MINNESOTA STATE BOAPD OF ELECTPICRV v I THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bltlg. - Room 5473 BE ACCEPTED BV THE STATE BOARD 1827 UnivGrsity Ave., St Veal, MN 55106 UNLESS PROPEfl INSPECTION FEE I$ Phone (612) 602-0800 ENCLOSED. ?Q?REQUEST FOR ELECTRICAL INSPECTION 7` / i See insVUct' ons for uMpletmg Ihis form on back oi yBllrnv copy 43041 "X" Below Work Covered by This Request `°?°?•- ee-00001-0e e Add Rep , TypeofBwlding AppliancesWired EqwpmentWrted Home Range Temporary Service Duplex Water Heater Elactric Heating Apt. Buildmg Dryer Loatl Management Comm./Industnal Furnace Other (Speciry) Farm Air CondRioner Other(specAy) ConVector's Remarks Compute Inspection Fee Below: ' # Other Fae # ServiceEmranceSize Fee # Circmts/Feeders Fee Swimming Paol 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 100 _ Amps Si9n5 Inspectar5 Use Only. TOTAL CF. ?J Irrigation Booms `? ? Special Inspecflon V Alarm/Communication THIS INSTALLATION MAV RDE ISQONN ECTED IF NOT Other Fee COMPLETED WITHIN 18 HS. I, the Electncal Inspector, hereby Rough-m r ate certifythatiheaboveinspectionhas been made. F1f1ei ` /r-C/Z OFFICE USE ONIY This request voitl 18 months Irom ?o?? ? d2ESIDENTIALBUILDINGim City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWc6on Reuuiremenls 9 registered site surveys shaxng sq ft. of lof, sq. ft of house; and A roofed areas (20% mazimum bt coverage allowed) 2 wpes of plan showing beam 8 window sizes; pouied found design, etc. 1 set ol Energy Calculations 3 copies of Tree Preservation Plan rf lot plaried after 7/1193 Rim Joisl DetaA Oplions selection shee[ (6uildiigs wAh 3 or less uniLS) Minnegasco meChanical veMilation form RemotleVReoair Reauirements 2 coDies of plan showing fooUngs, beams, joists 1 set ot Eneigy Calalalions for heated atlaitions 1 sHe survey for addifions 8 decks Adddion - iMicate H on-site septic system iy -zei 91 t Office Use Onlv CeAo(SurveyRecd _Y _ry TreePresPlanReM -- _Y _N, Tree pres Required _Y _N On-site Septic System - __Y _N Date /O / / 9 /;?Op 7 SiteAddress 3,93(c SV[.? CpuP-;' Construction Cost _,# ? i IOtoQ.CIo UniUSte # Description of Work /*,J- k P-E z pd F Multi-Family Bldg ? Y_ N Fireplace(s) _ D 2 Property Owner A??mer?1 Telephone #((oS I) g S`r?- S 3 SO Contractor (3E( kXl-F-f2loR M(}Itilr ('l?RP Address 4(}5 wE5T ?'M Slate M I NOcsr rA City 4? f f?/?/G??(.j5 Telephone 9 (61)) Q% r' 6Zq3 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cate?orv 1 Minnesota Rules 7672 Enefgy Code Category , . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submittetl Submitted • Energy Envelope Calculations Su6mitted In ihe last 12 monThs, has the City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Telephone #( ) Mechanical Contractor Telephone #( ) Sewer/Water Contractor 7elephone #( ) i hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; tUat the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN $tatutes; 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. t??+uL_ /??t1_0.J Applicant's Printed Name Applicant's Signature v INSPECTION RECORD CITYOFEAGAN PERMITTYPE; BuiLorNe 3830 Pilot Knob Road Permit Number: 021501 Eagan, Minnesota 55123 Date Issued: 0 B/ 17 / 9 3 (612) 681-4675 SITE ADDRESS: Lor : 5 B L 0 C K: 1 APPLICANT: 3436 IVY CT SIEKMANN CON3T THE WOODLANDS NORTH 2N0 (612) 447-2424 PERMIT SUBTYPE: DUPLEX TYPE OF WORK: NEW DESCRIPTIDN 112 OF DUPLEX INSPECTION FOOTIN6 .. . FRAMING .A INSUlATION FINAL FIREPLACE REMARKS: S&W CONTRACTOR - GEN2-RYAN PLUMBING ? L 7 ? . • k"CiTY OF EAGAN 3830 Pilot Kno6 Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT xn,/'7-? 3 ? BUILDING 021501 08/17/93 SITE ADDRESS: 3436 IVY CT LOT: 5 BLOCK: 1 THE WOOOLANDS NOR7H 2N0 DESCRIPTION: REMARKS: 1/2 OF DUPLEX B.uildingr',Permit Type Building Work Type r?UBC Occupanc+?\\ Construction Type / Zoning ?.? I 8uilding Length 1 ? Building Width ? /? S&W CON7RACTOR - GENZ-RYAN PLUMBIN6 FEE SUMMARY: 8ase Fee Plan Review Surcharge SAC SAC % SAC Un3ts Subtotal CONTRACTOR: SIEKMANN CONST 6648 RUSTIC PRIOR LAKE (612) 447-2424 - App RO se MN 55372 VALUATION $727.00 $472.55 $62.5@ $750.00 100 $2,012.05 PERMIT TYPE: Permit Number: Date Issued: DUPLEX NEW R-3 M-1 VN PO 94 30 $125,000 MISC FEES $1.744.50 7ota1 Fee $3,756.55 cant - ST. LSG 14972424 0001436 COUNTRYHOME BUILDERS 6648 RUSTIC RD PRIOR LAKE MN (612)447-2424 znc 5E 55372 I hereby acknowledge that I have read this information is correcC and agree ta comply Statutes and City of Eagan Ordinanees. L APPLICANT/PER TEE SIG ATURE application and state that the with all applicable State of Mn. ? ' "`-"-'v ISSUED B SIGNATURE REACTIVATE _ "U V_E? 993 UILDNGAPERMIT APPUCATION PERMIT # J U L 0 7 1993 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 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 Ju1y ? 11 ? 93 Valuation of work Site Address: 3436 Ivy Court STREEi SUITE ? Tenant Name: (commercial only) 5 IAT 1 BIACK I'rh" Woodlands North SU . P.I.D. * 2nd Addition Descri tion of work: The applicant is: ? Owner 1E Contractor ? Other (Deeeribe) Name Phone Property LAST FIRST Owner Address STREET STE If City State Zip Company COUNTRYHOME BUILDERS, INC. Phone 447-2424 Contractor Address 6648 Rustic Road S.E. License # 8508 Exp.3/31/95 City Prior Lake State Minn. Zip 55372 Company Phone Architect/ Engineer Name Registration # Address City State ZiP Sewer & water licensed plumber GENZ-RYAN . Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE O 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck WORK TYPE ? 31 New ? 33 Alterations 0 35 Tenant Finish 32 Addition ? 34 Repair O 36 Move GENERAL INFORMATION ? 16 Basement Finish ? 17 Swim Pool ? 18 Comn./Ind. ? 19 Comm./Ind. Misc. ? 20 Pubtic Facility ? 21 Miscellaneous ? 37 Demolish Const. (Actual) ? V-P Basement sq. ft. MWCC System yt3 (Allowable) v-N lst F1. sq. ft. City Water ytS UBC Occupancy _ 2_3 M_i 2nd F1. sq. ft. PRY Required Zoning ?_ Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. F9re Sprinkler Length 9 y, On-site well Census Code /d -e Depth 30, On-site sewage • SAC Code c?i ARPROVALS •- I Planning Building Assessments Engineering _ Variance REGIUIRED INSPECTIONS ? Site ? Wallboard ? Footing ? Final ? Framing ? Draintile 0 Insulation ? Fireplace Permit Fee veiuac;on: g 1251000 Surcharge Plan Review ?Art,?y.?: G?l? X l6 ? /o2Vo License MWCC SAC 137o k,Sq Ci ty SAC Lr a rz`n; -6z?rx,Sy c 33.7? D Water Conn. ? _ Water Meter illy x vj = ? ,6 yhv ° Acct. Deposit --- ? S/W Permit y,s0 / S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % 100 SAC Units _, P.04 * * ** . * p10NEE?Rr? tAND suftJEYOI * 8??1'A6Bf uNO vLu+Ners • 2422 Enterprise Drive NenEoto Helghts, MN 55120 612) 681-1914•Fax 681-9485 625 Hlghway 10 Nortneast Blaine. MN 55434 612) 783-1680•Pox 783-1$S3 Certificote of Survay for: WOOCiIC11"1CI COt?irltC Nomes House Address: Ivv Caurt Eggan N R --t 65• 00 4 ? 2S°15'3? sz ,r?•v _ ' t I S9S0 % - g4. M ?.2. Q9 x 6'95.7 S7 23.58 ? 47.71 N 89°45'54" E NOTE: CON7RACTOR MUST VERIFY ALL DIMENStONS AND RRIVEWAY ;i._-• . eoo.o Denotes Existing Ekevation j?(IW 1 GIkp=XIFSG 1DEPT 490 Denotes Proposed Elevatian PROPOSED HO UELEVATION _-- ? Denotes Drainage & UEifity Easement Top of Block Elevotion:896.10 Denotes Dra(nage Flaw Direction •--- -?- Denotes Monument GaYage S{ab EIevation:895.?F0 s- Denotes Offset Hub Qearings shown are assumed LOY 5,C BLOCK 1 THE WOC7DLANDS NORTH OpKOTA COIJNTY. MINNE50TA ZNL?,,.A,UDI '7"/p?/_ I hare6y aartity thoe this owvey, plon or report wasr?p?rQ?'pared l)y M? or undar mv diract suaerviaton and that I am dwv Raqlscered Land Survevor undee :ho laws ot aha 5eate of Minnaou. Dated thic-q.2?n dav of V V'? A.D. 191-1-. // ../^Z' . ?>'? .1'a I (nch_ fee 7 RqBERTB. IRI fL.S.?R?.c , Scale_ 1-- , ? Revi«./ G? dz_?3 M?,.e /SL/?Gf?w,.?n ro ss? s•,?e...x r., ,?.?.? ? 91055.15 Dnw?.J b.7_?/-aT .ambd' T3L06. .E"?wartn Yv 3? 5.,?/>xek sv4 ?C'/Caa,T' 1VY CQURT - -rSG ` EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION OWNER: WOODLAND COUNTRYHOMES INC. SITE ADDRESS: 3436 Ivy Court PHONE: 447-2424 CONTRACTOR: COUNTRYHOME BUILDERS, INC. DATE: July 1 1993 DETERMINE WORKING SQUARE FOOTAGE OF EACH: 1. TOTAL EXPOSED WALL AREA .............. 1,804.00 sq ft x"U" 0.110 = 198.44 2. TOTAL ROOFICEILING AREA :................ 1,435.00 sq ft x"U" 0.026 = 37.31 3. TOTAL EXPOSED WALL AREA CALCULATIONS: Total exposed wall area a6ove floor........ 1,804.00 sq ft a) Total window area: Double glazed ........... ............. 134.00 sq ft x"U" 0.430 gl azed ........... ......... 62 - 0.00 b) Total door area :.................................... 38.00 sq ft x"U" 0.070 = c) Total sliding door area: _ Double glazed ........................ gla zed ........... ............. - 0.00 dl Total fireplace wall area :....................... NA sq ft x"U" 0.370 = 0.00 e) Total wall framing area (AVERAGE 70%).......... 780.40 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 area :............................... 92.00 sq ft x"U" 0.034 = 3.7 Total foundation area (exposed)........... hE Total foundation window area .. ............. NA sq ft x "U" 5qft x„u° sq ft sq ft x"U" 0.430 = 0.00 i) Total net foundation area above grede..... 0.00 sq ft x"U" 0.045 = 0.00 3. Total a) thru i) 169 If item #3 is the same as, or less than item #1 you have met the intent of 2 MCAR 1.16008 A and 0. 2.66 80.00 sq ft x"U" 0.430 = 34.40 Page -1- ? ,'• • 4. TOTAL EXPOSED ROOFICEILING CALCULATIONS: Total exposed roof/ceiling area . ............. 1,435.00 sq ft j) Total skylight area ................................ 0.00 sq ft x"U" = 0.00 ___ Total rooflceiling framing area kl (Average 10% ............. 143.50 sq ft x"U" 0.039 = 5.60 d) Total net insulated rooflceiling area .................................... 1,291.50 sq ft x"U" 0.024 =' 31.00 q, Total a) thru i) ? If item #4 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 k3 and Item 1l4 shall not be greater than the sum of Items 111 and k2. 7. 198.44 + 2 37.31 = 235.75 3. _ 169.97 + 4 36.59 = 20 , 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. (sig„awm) james bieKmann July 1, 1993 (Dete) Page -2- , P. 04 Z422 Enterprlse Drive ?? 7f Mendota Helqhls, MN 55120 * 11(r,12) 691-1914•Fax 681-9489 * PIQNEER SLRIT"IS • ???? EN%N% 762way --7 * an ??e1„ ?g uNO ?-w+?eas • uNOSCfrc ????eTS 10 Northeayt N 55434 3-1eaa•Fax 783-18a3 i? Certificate of Survey for: WOOdIQf1d COIJtitr OmOs House Address: Ivv Couft aaan. MN ?vy eouRT R%:t 65.00 ? 65 a? 11? A? B 89 8.66 L=212 F ? x P93.0 gq;.3 ?sc-.e..io r t f??t 1 ? \ g9N.6 X?y 7 a saoa a \ f ? o g4NG noo ?? // ?+ S ?47 ss.a 200 ,h ? ? 73 ? ?.? s o \ 5.87 3.67 M? 4?? ,? ! m o ? ? ? a? ? d'?" ? d ? aoo ? aaoo .? iA ? S ? '•? m k.?aS.00 ? P ^ o X00 r ? ob N 1.33 y' / 281 $ 7 4 y / ?'? g ` 896.1 896.7 1.67 0° 14.87 ? g5s5 414.15 o 1.33 ? ?,s•s N $ R 1 f2.oRvL i5 sQ ? _-- '_ -- ?.2 0 x b'9S7 ? . 9 W 23.58 99. 47.71 , N 89°45'54" E ? S ?,P, s I& e \ g \\ 1 f ? i i . I / CC410 UEPT mA? NOTE; CONTRACTOR MUST VERIFY ALL DIMENSIONS AND DRtVEWAY DE519W x eoo.o Danotea Existing Eievation '? . soo. Denolea Proposed Elevation PROPOSED HO E ELEVATION --? Denotes Drainoge & Utility Easement Top of Block Elevation:896_10 -----Denotes Drainage Flow Direction - -c-- Denotes Monument Garage S{ab Elevation:895.40 -o-- Denotes affset Hub Qearings shown are assumed LOT 5.C BLOCK 1 THE WOODLANDS NORTH DAKOTA GOLINTY. MINNESOTA 2N1? .?.aD! 01V. I here6v c¢rtify thae thio cu•vav, Pian or report w.,. pr¢ppred hv M or under mv direct waterviston and that l am dWy Reqlstered Lond 5urvWOr under che Ipws of the Snte of MinrOtoie. Dated thia ?? dey of ? U U-' 19-2 ?• eh-_30fe e 7 ROBERT 8, SIIYIC 'L.S,R G. NO. 14891 Sca e: 1tn- _ /ZPb/ts.? (o• a??9j /s'nrip /SLNG• GPa•?•N/h TU TS' S+qLrr4 !« F'.e-,F Q 91055.75 y..w.?d G- 7_?/-v7 .u?fik 1SL06. /-'?warti? rz. j? 5.+?/rak u'? ,Cican?r' LOT BORVEY CHECHLIBT FOR RESID£`::.AL ? BUILDINl3 YERMIT APPLICATION m S=? ,. pROPERTY LEGAL: ? m Date of Burvey: ? X?a ge-4 § AOCUMENT BTANDARDS ?1 0 0 • Registered Land Surveyor signature and company ?I ? 0 • Building Permit Applicant Q--p ? • Legal description 0 0-?' 0 • Address ? • North arrow and bar scale ?? ? • House type (rambler, walkout, split w/o, split entry, J CI 0 0 • lookout, etc.) Directional drainage arrows with slope/gradient $. H-,? ? • Proposed/existing sewer and water services 0' 0 0 • Street name B0? 0 ? • Driveway ELEVATION6 Existina 0 0-?0 • Sewer service @l- ? 0 • Lot corners E2.- ri ? • Top of curb at the driveway ? ? ? Elevations of any existing adjacent homes Prooosed H" 0 0 • Garage floor ? ? ? • First floor I?- 0 13 • Lowest exposed elevation (walkout/window) e' 0 0 • Property corners D--0 ? • Front and rear of home at the foundation PONDINC3 AREAB tif applicablel D Q? ? • Easement line D Q? 0 • NWL O C? O • HWL 0 0? 0 ? Pond N designation ? [Y d • Emergency Overflow Elevation pIMEN8ION8 ? 0 ? • Lot lines 0 0 Right-of-way.and street width (to back of curb) ?Y' 0 : 0 Pzoposed home dimensions including any proposed decks, overhangs greater than 21, porches, etc. (i.e.. all structures requiring permanent footings) 9? 0 ? • show all easements of record and any City utilities within those easements ? 0 • Setbacks of propbsed structure and setback of adjacent existing hom s 0 ? • Retaining?ll requirements, if any , Reviewed: I October 1992 ? PLUMBING PERMIT (RESIDENITAL) CITY OF EAGAN 3830 PIIAT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMTTS ARE.REQUIItED FOR EACH UNTT. r1 L.J NO. FIXT[TRES EACH TOTAL ? SHUWEK 3.00 ? WATER CLOSET 3.00 BATH TUB 3.00 G ? LAVATORY 3.00 f? KITCHEN SINK 3.00 ? LAUNDRY TRAY ? 3.00 HOT TUB/SPA 3.00 _L WATER HEATER 3.00 ?3 / FLOOR DRAIN 3.00 / GAS PIPING OLJTT.ET •minimum - i 3.00 ROUGH OPENINGS 1.50 WATER SOFTENER 5.00 PRIVATE DISP. • n?.ay. HQ 15.00 U.G. SPRINKLER • nome uoaer conSL 3.00 ALTERATIONS -a muiog 15.00 WATER TURN AROUND 15.00 STATE SURCHARGE TOTAL: cr= Jl l L OWNER .50 9z , _.' 5 -o INSTALLER: GENZ-RYAN PLUMBING & HEATING C0. ADDRESS: 14745 South Robert Trail Cj7'y; Rosemount STATE: MN ZIP CODE: 55068 PHONE #: (612 ) 423-1144 C? ANICAL PERMI1' (RESIDEIVT7AL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMII.Y DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMTTS ARE REQUIltED FOR EACH UNIT. ? NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE DATE Sl - 23 - I ? FEES HVAC: 0-100 M BTU $ 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS (MINIMUM 1 L` $3.00 EACH) 3,00 ADD-O?QJREMODEL (EXISTING CONSTRUCTION) $ 15.00 STATE SURCHARGE .50 TOTAL 2,?.?D SI7'E ADDRESS: ? 4 x 1-111 Lt OWNER NAME: G0uri?vW f??,e.. ?j? U<s s TELEPHONE #: 441 ` 24U INST. : r? ADDRESS: r] l( l ( AJ 7(? ?? - CTTY: Savu,w4 Wa STATE: I04) ZIP CODE: TELEPHONE#: %%,v" 4 3c) l , dJ d/ 4 SI TURE OF P MITTEE PERMIT Permit Type: Plumbing City of Eagan Permit Number: EA104986 Date Issued: 06/19/2012 Permit Category: ePermit Site Address: 3436 Ivy Ct Lot: 5 Block: 01 Addition: The Woodlands North 2nd PID: 10-75891-01-050 Use: Description: Sub Type: e - Water Heater Work Type: New Description: Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size dean Kamrath Comments: 13791 jonquil ln n dayton, mn 55327 612-205-6060 PL - Permit Fee (WS &/or WH) $55.00 0801.4087 Fee Summary: Surcharge-Fixed $5.00 9001.2195 Total: $60.00 Contractor: Owner: - Applicant - Adam's On Time Plumbing & Water Heaters LLC Norman D Greenberg 13791 Jonquil Lane N 3436 Ivy Ct Dayton MN 55327 Eagan MN 55123 (612) 205-6060 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. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA123196 Date Issued:06/02/2014 Permit Category:ePermit Site Address: 3436 Ivy Ct Lot:5 Block: 01 Addition: The Woodlands North 2nd PID:10-75891-01-050 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 500.00 Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 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 - Clufford J Morris 3436 Ivy Ct Eagan MN 55123 (651) 303-4757 Crew2 Inc 2650 Minnehaha Ave Suite 100 Minneapolis MN 55406 (612) 276-1680 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA144628 Date Issued:08/02/2017 Permit Category:ePermit Site Address: 3436 Ivy Ct Lot:5 Block: 01 Addition: The Woodlands North 2nd PID:10-75891-01-050 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 - Clufford J Morris 3436 Ivy Ct Eagan MN 55123 Robert Boldt Hvac 4310 Trenton Tr Eagan MN 55123 (651) 454-7760 Applicant/Permitee: Signature Issued By: Signature EAW`162� 1?s 1 * 2E vf',%ot,e._ ,sl (( 017 BOL6T HVAC oc 651-454-7760 DATE 08/19/17 �3(, ivy CT d TIME 02:45:21 FUEL Nat Gas COMBUSTION 02 4 CO2 %14.8 ` CO ppm 14 FLUE 'F 274.1 INLET 'F' 75.0 NETT 'F 199.0 EFF C 81.1 LOSSXAIREX 145.0 CO/CO2 0.0002 CO AIR FREE 34 PRS InHZO 2.01 Appiianc ` .. ...... . . . Ref. r r ; ,,x, G 1 5 5 AC 1 . 2 BOLT HV 15 651-454-?760 DATE 00/19/17 TIME 02:5227 FUEL Nat Gas COMBUSTION .l... 02 % 9,1 CO2 % 6.7 co ppm 15 FLUE 'F' 313.? INLET 'F 75.0 NETT 'F 238.6 EFF C 82.0 LOSSES 77,1 CO/CO2 0.0002 CO AIR FREE 26 PRS InH203.49 t.-1,7 ij . .. ...... .. ..... Appliance ...... Ref. .7‘4_,/ /,)(//��ff A