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