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.
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ADDRESS: r] l( l ( AJ 7(? ?? -
CTTY: Savu,w4 Wa STATE: I04) ZIP CODE:
TELEPHONE#: %%,v" 4 3c) l
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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 `
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Ref. r
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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 ......
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