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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