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889 Ivy Lane1° City of Eap Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink 1 or Office Use Permit #: Permit Fee: `"'"! .9e ` Date Received: Staff: 2009 RESIDENTIAL BUILDING PERMIT APPLICATION 7 .31Thvy 8;cl J // g`1 Tenant: Site Address: Suite #: RESIDENT / OWNER Name: Phone: Address / City / Zip: Applicant is: Owner Contractor TYPE OF WORK - �" (--1-f" . ""/L� X ' Pc -F Description of work: 1, Construction Cost: 10, -99 ‘ 4S_ Multi -Family Building: (Yes / No ) , CONTRACTOR Name: %-ir i—t—iCKjc),v 1,6--5 -.At License #: ?O.)i,t6,//'7' Lt ) .� Address: 1 :7.c:2 e Cir et B (-- via City: (- .Cde)L lic) 6 State: 2714f Zip: 5. 5u 7. ` Phone: ti., S% - )-C.L.).)- C 2--- Contact Person:o(r L COMPLETE In the last 12 months, has No If yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING the City of Eagan issued a permit for a similar plan based on a master plan? date and address of master plan: _Yes Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One CaII at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that 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. X- J tc. (--G. t- t C lit oma__ x Applicant's Printed Name Applican s ignature Page 1 of 3 SEWER & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 DATE FEB 11, 1991 SITE ADDRESS 889 IVY LN LOT 3 BLOCK 2 SEC/SUB OFFICE USE ONLY METER # PERMIT DATE 02/20/91 CHIP # PERMIT # 11820 METER SIZE B P RECEIPT # C 12069 ISSUE DATE B. P RECEIPT DATE 02/11/91 PRV BOOSTER PUMP WESCOTT SQUARE APPLICANT ADDRESS: CITY, STATE ZIP PHONE: PLUMBER: ADDRESS: CITY, STATE PHONE. OWNER: ADDRESS: CITY, STATE PHO PLYMOUTH PLUMBING INC 9290 ZACHARY LN MAPLE GROVE MN ZIP 55369 493-2474 PERMIT REQUESTED AL_ SEWER COMM/IND X RESIDENTIAL X NEW EXISTING X WATER TAPS Lawn Sprinkler Meters are to be installed Ahead of Domestic Meters on Water Line. Credit WIjJ L NOT be given for Deduct Meters. NEW HORIZON HOMES INC 12201 MINNETONKA BLVD MINNETONKA MN AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCES ZIP 55341 913_25 1 SIGNATURE WHEN METER ISSUED P�E,SEAtLICAVCiaWIFiK1gG4A441106164SIeG (CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. 4417 Date: City of Eau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 AP 1 2016 r Use BLUE or BLACK Ink For Office Use Permit #: /' 9/ Permit Fee: 6C- CCS Date Received: Staff: 2016 RESIDENTIAL PLUMBING PERMIT APPLICATION (0////, Site Address: 3301 3 -- Tenant: Suite #: Resident/Owner Contractor Type of Work Permit Type Name: (ade)V- Phone: LP SI -4514-183/ Address / City / Zip: 8 c\ J Name: C"O.A CAA/ Address: 3 4 O !y,L� State: VV ( Zip: S 40I (p Phone: MN 55i; - License #: `i qa q w City: x115 -309-e6667 Contact: 3-11A, 6 & YZ Email: eya Llp CA? -L) a th • r)e/1- _ New 9 Replacement Repair _ Rebuild _ Modify Space Work in R.O.W. Description of work: &, - &1 1/IW ,s'OP RESIDENTIAL Water Heater Water Softener Lawn Irrigation ( RPZ / PVB) Septic System Add Plumbing Fixtures ( Main / Lower Level) New Water Tumaround _ Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes State Surcharge) $60.00 Lawn Irrigation (includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes State Surcharge) *Water Turnaround (add $280.00 if a 3/4" meter is required) $115.00 Septic System New (includes County fee and State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One CaII at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that 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. Sill SCAO SER. Applicant's Printed Name x Applicant's Signature StheAbsuL co FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough -In Air Test Gas Test Final Meter Related Items: Meter Size Radio Read Manometer Staff: PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA165130 Date Issued:10/19/2020 Permit Category:ePermit Site Address: 889 Ivy Lane Lot:003 Block: 002 Addition: Wescott Square PID:10-83730-02-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 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 - John J & Karen L Jensen 889 Ivy Ln Eagan MN 55123 Haley Comfort Systems 3708 Broadway Ave N Rochester MN 55906 (507) 281-0138 Applicant/Permitee: Signature Issued By: Signature