893 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.
Eagan, MN 55122 -1897 CHIP # PERMIT # 11818
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 - - - - 893 IVY LN PERMIT REQUESTED
LOT 1 BLOCK 2 SEC /SUB WESCOTT SQUARE
X SEWER X WATER TAPS
APPLICANT:
ADDRESS: COMM /IND X RESIDENTIAL
CITY, STATE ZIP X NEW EXISTING
PHONE:
PLYMOUTH PLUMBING INC Lawn Sprinkler Meters are to be Installed
PLUMBER: Ahead of Domestic Meters on Water Line.
ADDRESS: 9290 ZACHARY LN Credit WILL OT be given for uct Meters.
CITY, STATE MAPLE GROVE MN Zip 55369 Gz %z 4
PHONE: 493 -2474
A EE TO COMPLY WITH ITY OF
OWNER. NEW HORIZON HOMES INC EAGAN ORDINANCES
ADDRESS: 12201 MINNETONKA BLVD
CI , , STATE MINNETONKA MN ZIP 55343
PH•. 933-2521 SIGNATURE WHEN METER ISSUED
P A O WO K S1OR PROCESSING. CALL 454 -5220 FOR INSPECTIONS. FOR STORM
SEWS PERMITS, CONTACT ENGINEERING DEPT.
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA139368
Date Issued:10/20/2016
Permit Category:ePermit
Site Address: 893 Ivy Lane
Lot:001 Block: 002 Addition: Wescott Square
PID:10-83730-02-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Nina Frost
893 Ivy Lane
Eagan MN 55123
(651) 269-4106
Bonfe's Plumbing & Heating
505 Randolph Ave
St Paul MN 55102
(651) 228-9071
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA141139
Date Issued:02/22/2017
Permit Category:ePermit
Site Address: 893 Ivy Lane
Lot:001 Block: 002 Addition: Wescott Square
PID:10-83730-02-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (WS &/or WH)$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 -
Nina Frost
893 Ivy Lane
Eagan MN 55123
Bonfe's Plumbing & Heating
505 Randolph Ave
St Paul MN 55102
(651) 228-9071
Applicant/Permitee: Signature Issued By: Signature