891 Ivy LaneRESIDENT OWNER
Name: Phone:
Address City Zip:
Applicant is: Owner Contractor
TYPE OF WORK
Description of work: f. f X Pc -F
99 4S_
Construction Cost: Multi- Family Building: (Yes No
,10,--1
CONTRACTOR
Name: 6-i 1.-!GK c) ,v /-/-e)-01 License ?+:5i,t6 Lt cgs
Address: 1 :7.c:2 e Cdr et B via
7
City: 7Cde /i(.r e"" State: 2 714f Zip: 5 5 u 7.
Phone: ti., S% )Q 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.
1° City of Eaall
Date:
Tenant:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
r
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Site Address:
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.
Applicant's Printed Name Applican s ignature
1 or Office Use
Permit
Staff:
Use BLUE or BLACK Ink
Li
Permit Fee: 7
Date Received:
Suite
Page 1 of 3
SEWER & WATER PERMIT OFFICE USE ONLY
CITY OF EAGAN METER # PERMIT DATE 02/20/91
3830 Pilot Knob Rd. 11819
Eagan, MN 55122 -1897 CHIP # PERMIT #
METER SIZE B.P. RECEIPT # C 12069
DATE
FEB 11, 1991 ISSUE DATE B.P. RECEIPT DATE 02 /11/91
PRV ^ BOOSTER PUMP
SITE ADDRESS 891 IVY LN PERMIT REQUESTED
LOT 2 BLOCK 2 SEC /SUB WESCOTT SQUARE
• X SEWER X WATER TAPS
APPLICANT:
ADDRESS: COMM /IND RESIDENTIAL
CITY, STATE ZIP X NEW EXISTING
PHONE:
Lawn Sprinkler Meters are to be Installed
PLUMBER: PLYMOUTH PLUMBING INC Ahead of Domestic Meters on Water Line.
ADDRESS: 9290 ZACHARY LN Credit WILL OT be given for D duct Meters.
CITY, STATE MAPLE GROVE MN ZIP 55369
PHONE: 493 -2474
I REE TO COMPLY WIT CITY OF
OWNER: NEW HORIZON HOMES "INC EAGAN ORDINANCES
ADDRESS: 12201 MINNETONKA BLVD
CITY, STATE MINNETONKA MN ZIP 55343
PHO : 933 -2521 SIGNATURE WHEN METER ISSUED
` F OR
PL AS W O ORKING A S FOR PROCESSING. CALL 454 -5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT. (SP
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA110673
Date Issued:05/21/2013
Permit Category:ePermit
Site Address: 891 Ivy Lane
Lot:002 Block: 002 Addition: Wescott Square
PID:10-83730-02-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Brian Nerison
430 E. County Road D
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 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 -
Tammy Seas
891 Ivy Lane
Eagan MN 55123
Kb Service Company
430 E. County Rd. D
Little Canada MN 55117
(651) 748-4933
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA117060
Date Issued:10/15/2013
Permit Category:ePermit
Site Address: 891 Ivy Lane
Lot:002 Block: 002 Addition: Wescott Square
PID:10-83730-02-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Brian Nerison
430 E. County Road D
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 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 -
Tammy Seas
891 Ivy Lane
Eagan MN 55123
Kb Service Company
430 E. County Rd. D
Little Canada MN 55117
(651) 748-4933
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
----------------,
� For Office Use I
I �
C�� o� �a �n � Fermit#: �
� � � 1
I p� �
� Permit Fee: V . I
3830 Piiot Knob Road � ��
Eagan MN 55122 i Date Received:� — �`� 1�I
�/ i
Phone: (651) 675-5675 � Staff: �
Fax: (651)675-5694 JUL 13 2015 �------------�--��'
2015 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Site Address: $g1 �Vy �afl@
Tenant: �,,.�,��.���.wwy��u,,,��m„�,�.����.,r,,,��„��.� ,.�.d Suite#�,��.,,�..�,,�».n�.�R
,,�.�..,�...�,.�„�.,w,,,�„v . ��
�� � � Name: Tammy Seas Pr,one: 652-807-8772
� ResidentfQwner �„�, ,,,,"
, address i city i zip: �g1 Ivy Lane
�w., �.�,. �.��....a.,,�.� ,�,.,.e�,����....�,,m„�„�,,A..��,,..�a.�,�, �, �
� Name: larson Plumbina Inc �icense#: PC643733
� ` address: 3095 162nd Lane NW c�ty: An�o�� r
� Contractor �
� � State:�QN zip: 55304 Phone: 763-427-768Q
�
��Contact: KeISV ������,� � Email: ��,���,�
Typ� df WQI'k ' —New X Replacement _Repair �Rebuild _Modify Space _Work in R.O.W.
s �
� Description of work�yr,���,u� ,� �,q„����
�
� RESIDENTIAL
X Water Heater
Water Softener
Lawn Irrigation�RPZ/_PVB}
� P@Ct»It Type � Add Plumbing Fixtures(_Main/�Lower Level}
Septic System
� _New � Water Turnaround
�� ��„�,.�.rr�,..,�,��. ,� —Abandonment�,��,,,�...aa�a�,,�,�„4M.��,.�. ..,.�.,,,�....,�,.,�,�n ��
RESIDENTIAL FEES: � � �
� $60.00 Water Heater, Water Softener, or Water Neat�r and Softener(includes$5.00 State Surcharge) �
� $60.00 Lawn Irrigation{includes$5.00 minimum State Surcharge)
� $60.00 Add Pfumbing Fixtures, Septic Svstem Abandonment,Water Turnaround*(includes$5.00 State Surcharge)
*Water Turnaround(add$200.00 if a 5/8"meter is required)
$115.00 SeptiC System New($10.00 per as built)(includes County fee and$5.00 State Surcharge)
�. ��r.�.�.���.,,�,,,,M�,�N,�,,,�, ,,��,,.,M�� TOTAL FEES$ 60.00 �,�.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. 4vww.qopherstateonecaU.orp
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with or inances 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 sta �tho a per it; that the work wili be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
X Kelsy Larson X
Applicant's Printed Name ApplicanYs Si re i
F4R QFFIGE t�SE ' Reviewed By: �at�:'
Required Inspections: 'Under Graund Rough-In ' Air Test Gas Test :Fina! '
Meter Refated Iterns: Meter Size Radio Read: 'Manometer Staff:
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA173091
Date Issued:10/27/2021
Permit Category:ePermit
Site Address: 891 Ivy Lane
Lot:002 Block: 002 Addition: Wescott Square
PID:10-83730-02-020
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
All tiled shower bases require a water test.
Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087
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 -
Thomas Tste Fitzgibbon
891 Ivy Ln
Eagan MN 55123
(651) 454-9297
Janecky Plumbing Service
720 Pontiac Place
Mendota Heights MN 55120
(651) 454-9297
Applicant/Permitee: Signature Issued By: Signature