3452 Ivy Ct? • • ~?
rl •
WertIf1.CQtC df CCC"Q1iC4
IKit4 o f Cfagan
zeofttmexr of 13x0* 3860ectioa
This Ceriiftcate issued pursrrant to the reqairements of the Uniform Building Code
certifying that at tl+e time of issuance this structure was in corripliance wrth the various
ordinances of the Ciry riegulating bui[ding construction or use. For the following:
Use(.lassifioiio rtllllllDL-(-L CE 2 jRE['['$) Bidg. P=it Na. 21870
Oa-pncy Type R3IM I 7neinE District Pfl Typc Consi. VN
OwnerofBuilding:MMYME MM 12C Adbess6648 EtUSTIr. . ? ?, PRIOR 1AZ
suiwhng naems 3452 IVY UOIlAT t'm= in LQ. Bl, IlE WQa3AtM NDM
omc
Buikfitg OffiCial
POST IN A CONSPICUOUS PLACE
' CiTY OF EAGAN
I 3830 Pilot Knob Road
Eagan, Minnesota 55123
? (612) 681-4675
' SITE ADDRESS:
I
34sz
?;Iil iif"i
i PERMIT SUBTYPE:
INSPECTION REC4RD
t. (
141.14; I fl .'N 11
'. . .
PERMIT TYPE:
Permit Number:
Date Issued:
?%I f` r M4 A t3N R c? N, fi
i ;. , i r ?? ? 11
TYPE OF"WORK:
iii i I f, , ,;,l
i 1 ?;I? l. I1?b1 1', 1
INSPECTION .. .
,. .. ? i
I : iilE; K t: t •`) Pii w F' le
M: - fiYaiN 1'I ki?i
7
Permit No. Permit Holder Date Telephone #
SM?
PLUMBING
HVAC *
ELECTRIC J7 ??? ? S D ?
r7
ELECTRIC
Inspectlon Date Insp. Commenta
Footin9s I 7lQ:?
GIJPS?
Foundation
`t?? S.4' ? ?
Framing
Roofing
Rough Plbg. 9 -7,S
Rough Htg. `U- `3 I S 3 i
Isul.
/
Fireplace ? l
Final Htg.
Orsat Test 1''
Final plbg. ?. 5
l Plbg. Inspector - Notify Plumber
Const. Meier
Engr.IPlan
Bldg. Final ` 2y
/
Deck Ftg.
Deck Final
Well
Pr. Disp.
91-1111-C
?? "?
?
0"i- a/ 2.04/9 ;r - _"0 -? V . n/ n'? ._.wal 1?_ 7:lCJ I
'4 88 1 7 . d7 74
Request Date
?_
? Flre No. Rough-in Inspection
Reqmred?
, es N.
? NOTICE: You Mvst Call Elecincal Inspector
If A Rough-In Inspedwn
IS Reqwred
Ll;?-rcensed contractor ? ownar hereby request mspection of above electrical work at:
Job Atltlress (Stree!l Box ar Raute
3 p4
OV- Qry
Seceon No Townsthip Name or No Range No Caunry
Occupanl (PRINn Phona No
PowerSU 'r dress '
Eleclncal nt r (COmpeny Name) ? ConVactorb 4c No
/?) Yd??!
MaAing?ress (COn4a or or Owner Making Installahon) /
Author¢ed nature (Convecfod ar Makm InStallaGOn) Phone Number
MINNESOTA STATE BOARO OF ELECTNICITV ? THIS INSPECTION REOUEST WILL NOT
GriggsMiEway Bltlg. - floom S473 BE ACCEPTED BY THE STATE BOAFD
1821 UnivarslTy Ave., SL Paul. MN 55106 UNLESS PROPER INSPECTION FEE IS
Phone(812)662?0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
??? See inshucbons to? tnnmplepng ihis form on back ai yellav copy
M ?
`X" Be(ow Work Covered by This Request
??. es-ooooioe
? 9
el! Atld Frep '• Typeof8uilding AppliancesWired EqmpmentWired
Home Range Temporary Service
Duplex Water Hea[er Elednc Hea6ng
Apt. Bwlding Dryer Load Management
Comm.llntlustrial Fumace Omer (Speciry)
Farm Air Contlitwner
Olher(specily) Comracmr5 Ramarks.
Compute Inspechon Fee Below,
# Other Fee # ServiceEntranceSize fee # Circuns/Feedere Fee
Swimming Pool 0 to 200 Amps o fo 100 Amps
TranSformers A6ove 200 _ Amps Above 100 _ Amps
SignS Inspedorh Use Only. 7p? /?1
Irtigation Booms
??`?
D
Speciallnspection
Alarm/COmmunication THIS INSTALLATION MAY 8E ORDER DISCONNECTED IF NOT
Other Fee 4-5 COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
if Rough-in
. Date
1.7
?
cert
y that the above inspection has
been made. Final
' ? , ? , ., are °
„7( •Q
OFFICE USE ONLY t, ' ?• -, -•. ?
This requesl vaW 18 monihs Irom
Address 3452 IvY !'.oUtu' Zip 5512 3
Lot 9 Blk I Sub THE WOorn,nrros Noxrx uID
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: kag 4 j Yes No Inspector: 82
Final grade (6" from siding)
Percnanent steps (garage)
Permanent steps (main entry) Lll
Pecmanent driveway
Permanent gas
Sod/Seeded grass
Trail/curb 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 wacer supply to
the outside lawn faucet before freeze potential exists.
Contact engiaeering division at 681-4645 before working in right-0f-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contractor Copy 0
2004 RESIDENTIAL BUII.DING PERMIT APPLICATION
?
City OfEagan 70 a 0
3830 Pilot Kuob Road, Eagan MN 55122
5694 "Pgs-. ?_y-?
,v Telephone # 651-675-5675 FAX # 651-675-
New Construction Reauirements RemodeUReoair ReoulremenLa Office Use Onlv
3 registered site surveys showing sq. N. o( lot, sq. fl. of house; and all roofed areas 2 copias of plan Cerl of 5urvey Recd _ Y_ N
(20% maximum lot coverage allowed) 1 set of Energy Calculations (or heated additions Tree Pres Plan Recd _ Y_ N,
2 copies o( plan showing beam 8 window sizes; poured found design, etc. 1 site survey for additions 8 decks Tree Pres Required, _ Y_ N
lsetofEnergyCalalaUOns AddlGon - indicete'rfonsResepficsystem On-sileSepficSyslem _ Y _N
3 copies of Tree Preservafion Plan if lot platled afler 717193
RimJoistDetailOptionsseleclionsheet (bldgs with 3 or less units
Date 2 /
Site Address C4-4 Construction Cost
UniUSte #
0
Description of Work 'jf4 (-
P?'O ?
Multi-Family Bldg ? Y _ N Fireplace(s) _ 0 _ 1 _ 2
Praperty Owner (?j?t{-I ( e rn.A ,A (M5 (nn-( Telephone #( CAL ) a? -??G6
Contractor &ft.,{? t .,u ? • h? ? ??TCl? JU Or S
Address f,, _?vo
State Y"LY/
0qjG??
?j 1 (Q?'
Zip U ?1
City ?/ . F' <<
Telephone #C.&I ) 5b71y
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
(Jsubmissiontype) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Telephone #(
Mechanical Contractor
Sewer/Water Contractor
Telephone #
Telephone #
I hereby apply for a Residential Building Permit and acknowledge that the inform?lyon is comnlete a_nd a?curate;
that the work will be in conformance with the ordinances and codes of the City o agan 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 plans.
ApplicanYs Printed Name
&L4?
ApplicanYs Signature
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: LoT : s e Lo c K: 1 APPLICANT:
3452 ZVY CT SIEKMANN CONS7
THE WOODLANOS NORTH 2ND (612) 447-2424
PE?Wj PYBTYPE:
TYPE OF WORK:
DESCRIPTION
BUILDING
021870
09/10/93
NEW
(1 OF 2 UNITS)
INSPECTION
FOOTING ., .
FRAMING ..
INSULATION FINAL
FIREPLACE
REMARKS: S& W pLBR - GENZ-RYAN PLBG
?
7
? .. " . _ . . _ _ . . _ _ . Y \ . _ . J
FA C1TY OF EAGAN
" 38,
0 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-75891-090-01
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
3452 IVY CT
LOT: 9 BLOCK: 1
THE WOODLAND3 NORTH 2N0
y ?3 -s
surLozG
021870
09/10/93
DESCRIPTION:
(1 OF 2 UNITS)
Burfld3i'ig• Permit Type DUPLEx
8uilding Ginrk Type NEW
?-'UBC OccupBnby" R-3 M-1
Construction 7ppe V-N
/ Zoning PD
? Building Length )
Building Width ?
?
78
30
?t1rr?v W
REMARKS:
S& W PLBR - C,ENZ-RYAN PLBG
FEE SUMMARY:
Base Fee
Plan Review
5urcharge
SAC
SAC %
SAC Units
Subtotal
Q,4?TA&S4T9Ns t
6648 RUSTIC
PRIOR LAKE
(612) 447-2424
RD SE
MN 55372
MISCEILANEOUS $1.744.50
Total Fee $3,750.28
canz - ai. Li?
14472424 0001436
C9UN1"ft'YHOME BLDRS
6648 RUSTIC
PRIOR IAKE
(612)447-2424
INC
RD SE
MN 55372
S hereby acknowledge that I have rea•d this appYiaation and state that the
information is correct and agree Yo comply with all applicable State of Mn.
Statutes and City ofi Eagan prdinances.
L
(;?-
IITEE SIGNATUPE
VALUATION
$124,000
$723.50
$470.28
$62.00
$750.00
100
$2,005.78
ISSUED BY: GNATI}
U;?aCfs;`?I?D REACTIVATE _ CITY OF EAGAN
PERMIT• d ' JUL 0 9 1993 1993 BUILDING PERMIT APPLICATION
681-4675 ?
- --
SINGLE & 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 July ? 01 ? 93 Valuation of work ? M ?
Site Address: 3452 Ivv Court
STREET SUITE N
Tenant Name: (commercial only)
IAT 9 BLOCK 1 SUBD. Woodlands North F.I.D. *
2nd Addition
Descri tion of work: ?)'?'
The applicant is: ? Owner Contractor ? Other (Oeseribe)
Name Phone
Property LAST FIRST
Owner
Address
STREET SiE /
City State ZiP
Company COUNTRYHOME BUILDERS, INC. Phone 447-2424
COntf8Ct0r Address 6648 Rustic Road S.E. _ License # 8508 Exp.3 /1i /95
City Prior Lake Stdt2 Minn. Zip 55172
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 compl with all applicable State of Minnesota Statutes and City of
Eagan Ordinances. GG??
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging
1[1 02 SF Dwg. ? 07 4-Plex O 12 Multi. Misc.
? 03 SF Addition O 08 8-Plex ? 13 Garage/Accessory
? 04 SF Porch 0 09 12-Plex ? 14 Fireplace
? 05 Sf Misc. ? 10 Multi. Add'1. ? 15 Deck
WORK TYPE
. *
? 16 Basemerit Fin9,?sh
0 1i Swim PooT
? 18 Comm./Ind.
O 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 31 New ? 33 Alterations 0 35 Tenant finish ? 37 Demolish
32 Addition ? 34 Repair O 36 Move
GENERAL INFORMATION
Const. (Actual) v-ly Basement sq. ft. MWCL System y=-s
(Allowable) hf lst F1. sq. ft. City Water ?
UBC Occupancy ? 2nd F1. sq. ft. PRV Required
Zoning p Sq. ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length ? On-site well Census Code /026
Depth 3 o On-site sewage SAC Code 01
APPROVALS
1
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
? Site
? Wallboard
? Footing
? Final
O Framing
? Draintile
? Insulation
O Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
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:
Vatmt;m: s 12yFooo
Gr '?Rv.E aSe)"C. k/G s 3 2-
2 it,?i?? L?Lt"2; /Sax 5Y = X z bqJ
•tMA Fi?a<,; G?.s )i'S"Y= 3391T
,.r---?--- ,
l23? ?6-2.
SAC % /D0
SAC Units ::::r:::
t
* -1K * .y(
* p10WEEF! LAN0 5URWY0]
- ?=1}P'-?-' ?•? LAND PUFINER$ •
* erigineering
1
Certificate of Survey for: W90CIIQCId COUntr Home
House Address: Iv Court Ea a MN
-47
IVY COURT
R
N 00°18'05" E 0 ?
e99 . ,
aea
4
?N
l..L
?
Z
W
J
Q
?
1--
!tJ
LO
LO
m
' ai
rn?
co
cn
W89,.
DRIVEWAY W100
P.02
'2422 Enterprise Drive
Mendota Heights, MN 55120
(612) 681-1914-Fox 681-9488
625 Highway 10 Nortfieost
9lpine, MN 55434
(612) 793-188(}•Fox 783-1883
? 65.OQ „
07':57 43
ahi,oy
?5 ? ..-,
?o
?
?
Y2.a0 b4.0
N
N 4, `
J0?.
8,00 V ? ? Y
g z ?
, S NM3.00 ? ? ? y,l
V! . ? q?1.33 a ?.
`? x.o r a
I p
1.8?
I ? oo g91.
? 14.67
m ? T.S3
I g S
I ?12-q° tis?
L - - - - - - - - - -
0
8 s„ ? \ :
3.W ??*S `?vi?\ ?
??? y\\
8 \
tfiy$ \5
a9t. ? \
28.00
= _-- a f
87. 15.oD J
73.41
N 00°1S'71" E B ?
41 890?
NOTE: CDN7RAC?OR MLiST VERIFY ALL OIMENSIONS AND DRIVEWAY DE53G?? Em I? ?F
. ax.o Denotes Existing Elevation
k?? deno4es Propased Elevdtion
_---= Denotes Drainage & Utility Easement PROPOS?D H0,?19E ?LEVATIQN
Denotes Drainage Flow Direction Top of Block Elevation:892.03
-o- Denotes Monument Garoge Siab E3evatfon:891.70
a- Denotes Offset Hub Qearings shown are assumed
DFPT
LOT 9,1,0 BLOCK 1 THE WQODLANDS NORTH
DAKOTA COIJNTY, MINNESOTA ?2-AID A DD1T/pN
I harehy cartify that thlf Wrwy, plBn ot report was prepared by 7e or undor my direce au 1910n ond Shat I am dUIV Rcgistprcd LBnd SurveyOr
.+-de, the Imw? of ihe Snte of Mlnnaeota. Detad thia ? dey o+ U L'y? A.D.
18?.
Scale: 1tah =30fe8
I rci
REQ, fYO.
? sta5s,+s
? . .
EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
OWNER: WOODLAND COUNTRYHOMFS, INC.
SITE ADDRESS: 3452 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 = 798.44
2. TOTAL ROOF/CEILING AREA :................ 1,435.00 sq ft x"U" 0.026 = 37.31
3. TOTAL EXPOSED WALL AREA CALCULATIONS:
Total exposed wall area above floor........ 1,804.00 sq fi
al Total window area:
Double glazed ........... ............. 734.00 sq ft x"U" 0.430 57.62
gl azed ........... .............
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 ........... ............. 80.00 sq ft x"U" 0.430 = 34.40
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%) .... ...... 180.40 sq ft x"U" 0.095 = 77.14
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 = 3.13
Total foundation area (exposed).........
hl Total foundation window area .. .............
sq ft
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) 769.97
If item #3 is the same as, or less than item #1 you have met the intent of 2 MCAR 7.76008 A and 0.
Page -1-
?5 . - . .
? , . . , .
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 roof/ceiling framing area
kl (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) 36759
If item #4 is the same as, or less than item #2 you have met the intent of 2 MCAR 1.16008 A and 0.
ALTERNATE BUILDING ENVELOPE DESIGN
To utilize the total evelope system method, the values established by the sum of Items #3 and Item #4
shall not be greater than the sum of Items lt1 and #2.
1. 198.44 + 2
3. 169.97 + 4
CERTIFICATION
37.31 = 235.75
36.59 = 206.56
I hereby certify that I have calculated the "U" factors and "R" values herein and that the 6uilding here
in described meets or exceeds the state of Minnesota Energy Conservation Act.
6'W'?
gs,g.ei„?r? James ie cmann
(Dnte)
July 1, 1993
Page -2-
P.02
* * **
* p1QNEER wJO SuR,roi
.? -a ?s,-. -- LANO PLANNFRS •
* engineering
?ag•?z
CertiFicate of Survey for: WO dland Countr HO ES
House Address: lv Court Ed an N
?
IVY COURT
F2
N 00°18'05" E
Q
l..L
0
?
?
?
?
aee.
w
u)
? oi
co
I/7
13
4
DRIVEWAY
zz' ? 5.87 =
w ?
N 15??
pi21YEWAY
2.f? E
za,ao
22.0? Bgl.
891.
11-2422 Enterprisa Oriva
M¢ndota Heights, MN 55120
f625 7814•Fox 1948?1?gway 70 ortqlne, MN SSASt2) 783-1880•Fox 763-1883
? 65•QQ „
?7'37 43
99i,a9
?5 -?
i ?
?
6N4•
?b
J
? ? f.7t (7
u, ? y+ o.
OD e.oo N V? ? ICP
0.
` a % 2.Oi .
I ? 0 91.
a t??
?o ? T.35
L _.,_..-_ _ - _---
0
0
0 L
aoo 5 ifl '?' q ?(??\
? p S w3.W ? ? OD- yx ?43 "1
? t? mhry ? b j 3};? !7 ?
I V • °' ??t 33 0 ?. ?
167? ?\
l? .-- ?• ? ??
B7. 15.00 ? ?
7141
N 00°16'71" E
NOTE: CONTfiACTOR MUST VERIFY ALL DIMENSIONS AND DR!VEWAY
. 900.0 Denotes Existing Elevation
Y(aO Denotes Propossd Elevation
--- Denotes Drainage & Utility Easement
Denotes Drainage Flow Direction
-o- Denotea Monument
--a- Denotes Offset Hub Bearings shown
?
9AG" k9GI14g;#ktfC DEPT
1i.nrn 1 1^1 1c:17 rf r
Top of Block Elevatlon:892.03
Garoge Slab Elevation:891.70
qre assumad
LOT 9.190 BLOCK 1 THE WOODLANQS NORTH
DAKBTA COUNTY. MINNESOTA ZAID A D O17'-I o,t/
I harehy certity ehat [his 7urvcy, vlen or report -w7a.s?p,repered bY ?e or undar my direcc supC lelon and tha! I am du1V ReqistorW Land Surveyor
ande?lhelawsofthoStateofMlnnawte,Datadthis_J!-deyof A.?.1B?.
Scafe: 1Inc;ha30'88
90.
489!
C7 stoss,rs
? LOT BORVEY CBECRLI6T FOR RESID£:'::AL
BOILDING.PERMIT APPLIfy'ATION? _
ul • ? ;
PROYERTY LEGAL: / ?-?O.?rGL/?lZZ
< r Date of Burveys 7!?749' Z
J?OCUMENT STANDARD6
0-'0 0 • Registered Land Surveyor siqnature and company
C?0 0 • Building Permit Applicant
p • Leqal description
?' ? 0 • Address
0??1 ? • North arrow and bar scale
Q' ? ? • House type (rambler, walkout, split w/o, split entry,
lookout, etc.)
0 : Directional drainage arrows with slope/gzadient $.
? Proposed/existing sewer and water services
P .
0 Street name
? . Driveway
ELEVATION6
Existina
? ?0 • Sewer service
0 • Lot corners
r?Ll • Top of eurb at the driveway
Del? • Elevations of any existinq adjacent homes
Yrocosed
Q"?0 ? • Garage floor
X? ?0 0 : First floor
? Lowest exposed elevation (walkout/window)
0 • Property corners
?? 0 • Front and rear of home at the foundation
PONDZNC3 AREA9 (if applieablel
0 0 • Easement line
O f 0 • NwL
0 CJ ? • HWL
p ? ? • Pond # designation
? ? • Emergency overflow Elevation
pIMEN8ION8
? Lot lines
v :
? Right-of-way and street width (to back of curb)
•
0 Proposed home dimensions including any proposed decks,
overhangs greater than 21, porches, etc. (i.e., all
` structures requirinq permanent foottngs)
i
0
0 ? • Show all easements of record and any City n
utilities with
those easements -
Qi'D 0 • Setbacks of propbsed structure and setback of adjacent
? 0?? • existing homr?
Retaining yu ire ts, if any
Reviewed:
/
OCtobe7r 1992
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHON3ES APdD
COND05 WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
4?
NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
DATE I I 14 /q3
FEES
HVAC: 0-100 M BTU $ 24•00
ADDITIONAL 50 M BTU 6•00
GAS OLJ'1'LETS (MINIMUM 1@$3.00 EACH) S, 00
ADD-0Ir'/REMODEL (EXISTING CoNS'rxucTtoN) $ 15.00
STATE SURCHARGE .50
TOTAL Z71JI?__0
SITE ADDRESS:
ORrNER NAME: Cov "1-?.. '?vjjt?`S TELEPHONE #: 447-Z42.1
F
INST
ADDRESS::?111 1"1' Gi+'^ ?5a-
CTTY: ?!nv?r STATE ^ljeA ?^'J ZIP CODE: S 3
TELEPHO?vTE#: Q'Q3D I
?
AIAI
S ATURE PE MITTEE
1993 MECHANICAL PERMTf (RESIDEIVT'IAL)
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 PERMTI'S ARE REQUIl2ED FOR EACH UNTT.
NO. FIXTURES EACH TOTAL
I SHOWER 3.00
? WATF.R CLOSET 3.00 6 9
ci BrSTH TUB 3.00 600
?-, LAVATORY 3.00
LAUNDRY TRAY 3.00
HOT TUB/SPA 3.00
WATER HEATER 3.00 773-77'?--
FLOOR DRAIN 3.00 O O
GAS PIPING OUTLET •?u. - ? 3.00 U
ROUGH OPENINGS 1.50
WATER SOFTENER 5.00
PRIVATE DISP. • naLay. uc. 15.00
U.G. SPRINKI.ER • home under cona[. 3.00
ALTERATIONS • ta existiog 15.00
WATER TURN AROLJND 15.00
STATE SURCHARGE
TOTAL:
STI'E
OWNER
L -'-./ - L a
.50
3GSo
ADDRESS: `?2=&2? 2a °O
CITY:STATE: ZIP CODE:
PHONE #:
PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 6814675