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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