3432 Ivy Ct*City ofEta!
Date:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Jhoor,
+ tiy2D1-
Use BLUE or BLACK Ink
Permit #: 76 j Cj
Permit Fee: ' 0
Date Received:
Staff:
INFLOW & INFILTRATION PERMIT APPLICATION
Plumbing I V2Sewer & Water
/�l Z B 42 Site Address: 39,2-- 41
3
Tenant: Suite #:
RESIDENT / OWNER
Name: ! Cr,, J41/ Phone: C S/T65 `ot) I
�
�/
Address / City I Zip: 3C7/ gZ_ (Ulf Cr4
CONTRACTOR
Name: I.✓tld. *4.4 /4 4,d,/-7,_. License #: 6 z I
1
Address: /92 l � rro� sl V City: livh-ram%) AA/
n�
State: yl 4% Zip: C-5-0 Phone: 6./z 'erZ L — S-2 rt—
'LContact'
,�
Contact:L. AL�vfNr- c.— Email:
TYPE OF WORK
PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope)
Sump Pump Repair Repair
`/ /n//
Other: Other: / le.4- (Zez.,,,,, I C
/
DESCRIPTION
Description of work: p/ t PL..) / v) e', 01 411/ A.
rf4
FEES
$55.00 / Each (includes
$5.00 State Surcharge) TOTAL FEE $ . r ov
*Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit I/1 repair costs for
reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors
can be found by visiting www.citvofeaaan.com/inflow, or City Hall at 3830 Pilot Knob Rd.
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. 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; th. he work will,be in accordance with the approved plan in the case of wo f is - . uires a review and approval of plans.
x //I J4>
pplicanyE's Printed Name
I lr_______________
I For Office Use
City Permit
of < D ~
I Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 ~ Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 Staff:
- - - - - - - - - - - - - - -
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: '-/J/409 Site Address: 3'/3L IVY Gour27'
Tenant: 4 ,vv ? L Vsa,e U <S'ro i c SdE/Y 6s/- 6 8'<3 - D 58/ Suite
RESIDENT / OWNER Name: /o ,4 r ln,4 y.46CJ 71/7 Phone: 26 573 - 9~~G~
Address / City/ Zip: 5V P6647-Li E ,4 VC 41 Lac oe V 14a6/ A/N 0_-;/2 7
Applicant is: Owner X Contractor
TYPE OF WORK Description of work: ~ 1 - 1 4 6 14 / V '6 / 7 L,4 CE IQO
Construction Cost: 12, p Multi Family Building: (Yes / No
x
CONTRACTOR Name: 86/x'/17// CL///' License
a- y
Address: Yw I( 5712 _2b
City: 141-1-?"A001-/S State: Zip:
Phone: Contact Person: f ,4-L L .
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category I _ Minnesota Rules 7672
Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
('I submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
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.
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 ns.
x C is sv~/ F.~ . x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
7
CITYOF EAGAN ?
3830 Pibt Knob Road Eagan, Minnesota 55123
(612) 681-4675
PERMIT TYPE: ` "' I "'
Permit Number.
Date Issued:
I SITE ADDRESS: i 01
?
f !!i 1.iu1110 At1L 1 1., . N ; 1t I .'Nl
4 l{ t 60?. , APPLICANT:
i i r rarl ? 1 1 14 . f
i l, l.? ? NQ 7 14.'4
? PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION ..
• ? ? rai, ,. ri ??.
tit .1111A I INAI
II(fI•'1Al.f
? i:: H iift Y':: '3 F;1J 1:t)NfitA1-T0 i< tif`H7-RYI'eN (•IOMH 101ri
Psrmn No. Pem,n Holder Daie Telepnon. A
SNV
PLUMBING
HVAC !U ? o°
ELECTRI
ELECTRIC
Inspection Date Inap. Com ments
Footings I
Fountlation ?
Framing
Roofing
Rough Plbg.
Rough Htg.
LC??T
Isul.
Fireplace
Fnal Htg.
Orsat Test
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter I
EngrJPlan I
Bldg_ Fnal
t
Deck Ftg.
Deck Final
Well
Pr. Disp.
°l?lO-
Address 3434 zvY covRr Zip 5512 s
IAt' "4 ' Blk I Sub THE WOODLANDS NORTH 2ND
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: Yes No Inspector:
Final grade (6" from siding) ?
Permanent steps (garage) ?
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
TraiUcurb damage ?
Porch
Basement finish
Deck
Please verify wi[h the builder the removal of roof test caps from the plumbing system and the shut-o$' of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in righPOf-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Convactor Copy (9
M4 3 0 5 34,? -,Qc'?J , c?"- r ?°
Requesl Date
Q ? Fre No. Rough-m Inspection
Feqm 7
es ? No NOiICE: Vou Must Call Eleclncal Inspeclor
If A Rough-In Inspenion
is Require
G.
I licensed contractor ? owner hereby request inspection of above electrical work at:
yob Address (SVeet, Boz or Raute No. ? Qry
Secoon No Township Name or No Rarge No. Coun .?
Occ pant(Pp/INT) Phone No
PawerSu ? ? Atltlress '
?
ElecUical Contrac (COmpany Name) CoMrector5 Lice o
IAI 0 0
MaiLng ess (COntra or Owner Makmg InMallaLOn)
S / ?
Au[honze SI ature (COntrdctor/Own aking Installation) ?
c? ? Phone Number
90-103e
MINNESOTA STATE BOAHD OF ELECTFICRY THIS INSPECTION REQUEST WILL NOT
Gtlggs-Midway 61Cg. - Room 5-093 BE ACCEPTEO BY THE STATE BOAHD
1821 Univeralty Ave., St. Paul, MN 55100 UNLE55 PROPEP INSPECTION FEE IS
Phone (612) 662-0800 ENCLOSED.
Lp/g/93 REQUEST FOR ELECTRICAI INSPECTION
pa ? See mstructians forFOmpleiinythis form on back ol yellow copy
I?I 4 3 0 5 3 "X" Below Work Covered by This Request
W `ee-ooooi-ag
iI ?G
?
e Add Rep. Typeof8wlding AppliencesWired EquipmentWued
Home Range Temporary Senice
Ouplex Water Heater Elechic Heatirg
Apt. Bwlding Dryer Load Managemem
Comm./Industrial Furnace Other (Speafy)
Farm Aif CondRioner
Olher (speafy) Cantracror5 Remarks
4
Compute Inspechon Fee 8elow:
# Other Fee # ServiceEnirance5rze Fee # Crtcuits/feedars Fee
Swimming Pool 0 to 200 Amps - O to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
SIgf15 Inspector5llse Onty 1 TOTAL Q
Irrigation Booms 7?j W
Speaal Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORD ISCONNECTED IF NOT
Other Fee ?
50 COMPLETED WITHIN 18 MONTHS.
.
I, the Electrical Inspector, hereby
certify that ihe above inspection has
been made. Rouqh-in (
F,,,ai . Date ?
a
J
OFFICE USE ONLY
This request vaid 18 moMhs imm
?C./
6g IZz
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when permits are required for each unit
NB4iS
Date y25_
Site Address?3?
U ' v5n? Unit #
Property Owner IG(.XIA LI,? D1 pyt. S lm Telephone # ( (PS'j
Contractor ??c7 'Plu(V"YYy1 i klu(1],J11 Cfl +A ( slwat ?-
Street Address ?
????Pl /?? U
f-Rc
CitY .?,?{?,,,??,
J,?u
State Zip cc">S j C) 2 Telephone #(
Bond #: D Expires:
The Applicant is _ Owner 41- Contractor _ Other
Add-on or alteration to existing dwelling unit $ 30.00
?L furnace _Additional ?Replacement
' air exchanger
air conditioner _New _Replacement
other
State Surcharge $ .50
$ W.?-po
Totat
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and acwrate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that [ 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.
.. c .. . . X. 4 h a A .. . ?1
,?_ ?; ?
Applicant's Printed Name Applicant's Signature F
? ? 123
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
?(S, SO
Ck.ku.v1qs
Date ?_l_ / 2. / 05
Site Street Address Unit #
Property Owner w zd? ?,QSbQjm Telephone # 0` )
Contractor EMQ l a' 1?, e ephone # ( pe??)??D'?-bv 1 ?
Address City ?n?L State_PAA Zip aA03
The Applicant is: _ Owner ? Contractor _ Other
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures (excludes water softener and/or water heater--complete next
section if installing these appliances).
_Septic System Abandonment
_ Water Turnaround (add $125.00 if a 5/8" meter is required)
Other:
_ Water Softener ? Water Heater $ 15.00
_ new ? replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
$ 15'SE)
Total
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be.in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
,, a?r;? ?. ?-
ApplicanYs Printed Name ApplicanYs Signature I•, ?s Ilfl
li ?i ? fv1AR 1 12009
I?
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS: Lor :
3432 IVY CT
7HE WOODLANDS NO 2N0
PERMIT SUBTYPE:
pUPLEX
4 B L 0 C K: 1 APPLICANT:
SZEKMAMM CDNST
(612) 447-2424
TYPE OF WORK:
pESCRIPTION
BUILDING
021502
08/06J9s
NEW
1/2 OF DUPIEX
INSPECTION
FOOTING i- .
FRAMIN6 .A
IM3ULATIQN FINAL
FIREPLACE
REMARKS: 3&W CONTRAC"fDR - GENZ-RYAN PLUMBING
? - - -
?
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
7
---- ?
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
PERMIT
PERMIT TYPE:
Permit Number:
Datelssued:
3432 IVY CT
LOT: 4 BLOCK: 1
THE WOODLANDS NO 2N0
BUILiIN(G
021502
08/06/93
DESCRIPTION:
VALUATION
REMARKS:
S&W CONTRACTOR - GENZ-RYAN PLUMBING
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
SAC
SAC %
SAC Units
Subtotal
DUPLEX
NEW'
R-3 M-1
VN
PD
$133,000
$755.00
$490.75
$66.50
$750.00
100
1
$2,062.25
CONTRACTOR:
SIEKMANN COMST
6648 RUS7IC
PRIOR LAKE
(612) 447-2424
- APP
MISC FEES $1.744.50
Total Fee $9,806.75
cant - sT. LIC. OWNER:
14472924 0001436 COUNTRYHOME
RD SE 6648
MN 55372
PRIOR LAKE
(612)447-2424
INC
SE
55372
I hereby aaknowledge that I have read this application and state that the
information is correct and agree to comply with all applicahle State ot Mn.
Statutes and City of Eagan Ordinances.
?
APPLICANT/PERMITEE SirNATURE
110
32
? c
?
Bui.lding, Permit Type
¢u3lding W'qrk Type
'UBC Occupancy,.,
? Cpnstruotion Type
/ Zoning
f? Building Length ?
\\ Building Width
\ ry
?i
1/2 OF DUPLEX
N?A AQ,ll Q7A -
-ri ED V: IGNA RE?
BUILDERS
RUSTIC RD
MN
REACTIVATE
PERMIT #
CITY OF EAGAN
993 BUILDING PERMIT APPLICATION
J U L 0 7 1993 681-4675 7???,??,/ ,,?? ?,
rs p6
7S
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date July ? 01 / 93 Valuation of work
Site Address: 3432 Ivy Court
STREEi SUITE X
Tenant Name: (commercial only)
LOT 4 BIACK 1 SUBgh'& Woodlands North P I D *
2nd Addition
Descri tion of work: ?
The applicant is: 0 Owner M Contractor ? OLI12T' (Deseribe)
Name Phone
Property LAST FIRST
Owner
Address
STREET STE Y
City State ZiP
Company COUNTRYHOME BUILDERS, INC. Phone 447-2424
Contractor Address 6648 Rustic Road S.E. License # 8508 Exp.3/31/95
City Prior Lake State Minn. Zip 55372
Company Phane
ArchitecU
Engineer Name Registration #
Address
City State Zip
Sewer 6 water licensed plumber GENZ-RYAN . Processing time for
sewer & water permits is two days once area has been approved.
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.
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE I
11 01 Foundation O 06 Duplex ? 11 Apt./Lodging
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc.
? 03 Sf Addition ? 08 8-Plex ? 13 Garage/Accessory
? 04 4F Porch ? 09 12-Plex ? 14 Fireplace
? 05 SF Misc. ? 10 Multi. Add'l. ? 15 Deck
WORK TYPE
0 31 New ? 33 Alterations 0 35 Tenant finish
? 32 Addition ? 34 Repair 0 36 Move
GENERAL INFORMATION
? 16 Basement Finish
O 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
O 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
Const. (Actual)
(Atlowable) y-?J
? Basement sq. ft.
lst F1
s
ft MWCC System
City Water
.
q.
.
UBC Occupancy It 2nd Fl. sq. ft. PRV Required
Zoning D77
-'?" Sq. Ft. total Booster Pump
# of Stories Footprint 5q. ft. Fire Sprinkler
Length p 1 On-site well Census Code /D Z
Depth 321 On-site sewage SAC Code -04
APPROVALS =
J
Planning Building Assessments
Engineering _ Yariance
REGIUIRED INSPECTIONS
11 Site
0 Wallboard
0 Footing
O Final
? Framing
? Draintile
? Insulation
? Fireplace
Permit fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
V•luat;«n: s 133, Ca> '
1V1A?^''F`?; 1S2o.,?gy? $2 pgn
Z?p (o2SXS?= 33??5?
3 s&ns?J T?4Gm ;
'lyy xys': 6?
J 3 21 5°5-11
SAC % /oO
SAC Units I
- - ------------- --
-l
EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
WOODLAND COUNTRYHOMES. INC.
SITEADDRESS: 3432 Ivy Court PHONE: 447-2424
CONTRACTOR: COUNTRYHOME BUILDERS, INC. DATE: July 1, 1993
DETERMINE WORKING SQUARE FOOTAGE OF EACH:
1. TOTAL EXPOSED WALL AREA .............. 1,804.00 sq ft x"U" 0.110 = 198.44
2. TOTAL ROOF/CEILING AREA :................ 1,435.00 sq ft x"U" 0.026 = 37.31
3. TOTAL EXPOSED WALL AREA CALCULATIONS:
Total exposed wall area above floor........ 1,804.00 sq ft
a) Total window area:
Double glazed ........... ............. 134.00 sq ft x"U" 0.430 57.62
sq ft x "U"
- 0.00
b) Total door area :.................................... 38.00 sq ft x"U" 0.070 = 2.66
c) Total sliding door area:
Double glazed ........... ............. 80.00 sq ft x"U" 0.430 = 34.40
d), Total fireplace wali area :.......................
sq ft x "U"
sq ft x "U"
e) Total wall freming area
(AVERAGE 10%).......... 180.40 sq ft x"U"
- 0.00
0.370 = 0.00
0.095 = 17.14
f) Total net wall area
above floor Iinsulatedl ........................... 7,279.60 sq ft x"U" 0.043 = 55.02
g) Total rim joist area :............................... 92.00 sq ft x"U" 0.034 =
Total foundation area (exposed) ..............NA
h) Total foundation window area .. ............. NA
sq ft
3.13
sq ft x"U" 0.430 = 0.00
i) Total net foundation area above grade..... 0.00 sq ft x"U" 0.045 = 0.00
3. Total a) thru i) 169.97]
If item #3 is the same as, or less than item tt1 you have met the intent of 2 MCAR 1.16008 A and 0.
Page -1-
(S
4. TOTAL EXPOSED ROOF/CEILING CALCULATIONS:
Total exposed roof/ceiling area . ............ . 1,435.00 sq ft
j) Total skylight area ............................... . 0.00 sq ft x"U" = 0.00
Total roof/ceiling freming area
k) (Average 10% ............ . 143.50 sq ft x"U" 0.039 = 5.60
d) Total netinsulated
roof/ceiling area ................................... . 1,291.50 sq ft x"U" 0.024 =' 31.00
4. Total a) thru i) 36.59
If item #4 is the same as, or less than item !t2 you have met the intent of 2 MCAR 1.16008 A and 0.
ALTERNATE BUILDING ENVELOPE DESIGN
To utilize the total evelope system method, the values established by the sum of Items #3 and Item #4
shall not be greater than the sum of Items #1 and #2.
1. 198.44 + 2 37.31 = 235.75
3. 169.97 + 4 36.59 = 206.5
CERTIFICATION
I hereby certify that I have calculated the "U" factors and "R" values herein and that the building here
in described meets or exceeds the state of Minnesota Energy Conservation Act.
(Signature) James Siekmann
Juiy l, 1993
(Da«)
Page -2-
LOT BURVEY CHECRLI6T FOR RESID£I:;_AL
? ?i.. BVILDIN6TRMIT AYP CATION
w 52 ? PROPERTY LEGAL:
Date of Survey:
? DOCUMENT BTANDARDB
2"'00 0 • Registered Land Surveyor signature and company
B" 0 0 • Building Permit Applicant
p ? • Legal description
0 Q-? 0 • Address
B'l? 0 • North arrow and bar scale
60 0 • House type (rambler, walkout, split w/o, split entry,
lookout, etc.)
PJ'O 0 • Directional drainage arrows with slope/gradient $.
D-? 0 • Proposed/existinq sewer and water services
01? p ? • Street name
f'0 ? • Driveway
Sxistinc
? C'1o?0 • Sewez service
6? ? ? • Lot corners
p 0 : Top of curb at the driveway
0 Elevations of any existing adjacent homes
Yrooosed
e 0 ? • Garage floor
Lr ? ? • First floor
$ p 0 • Lowest exposed elevatfon (walkout/window)
Cf
- 0 0 • Property corners
e 0 ? • Front and rear of home at the foundation
PONDINO AREAS (if aQplicnble)
0 e 0 • Easement line
O Er 0 • NWL
O -0' 0 • HWL
0 ? D • Pond # designation
0 0? ? • Emergency overflow Elevation
DIMENSIONS
0 0 ? •
fl" 0 0 •
a" 0 0 •
a' 0 0 •
? ? 0 •
? -C( ? •
Lot lines
Right-of-way and street width (to back of curb)
Proposed home dimensions including any proposed decks,
overhangs greater than 2', porches, etc. (i.e.. all
structures requiring permanent footings)
Show all easements of record end any City utilities within
those easements
Setbacks of proposed structure and setback of adjacent
exi
Ret
Reviewed:
October 1992
1:' T
w.wo.....y
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMTTS ARE REQUII2ED FOR EACH UNIT.
V NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
DATE 9- I l
FEES
HVAC: 0-100 M BTU $ 24•00
ADDITIONAL 50 M BT'U 6•00
GAS OUTLETS (MINIMUM 1 C S3.00 EACH) .3,00
ADD-Oti/REMODEL (EXISTING CONSTRUCi'ION) $ 15.00
STATE SURCHARGE .50
TOTAL ? 2• 20
SITE ADDRESS: -343 2 1-J`l (,'t
OWNER NAME: . Je, balA.ers TELEPNONE #: -7' Z4z4
INST.
ADDRESS: '? l l;1 W l"L(s 4"h
CITY: STATE: PA ?J ZIP CODE: .%R
TELEPHONE #: RI,O 430 ?
/L 114, ?
SIGNATURE gfF P MITTEE
1993 MECHAIVICAL PERMIT (RESIDEIVTIAL)
CITY OF EAGAN
? 3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
?----------------
?
j Permd#: ?v ?? ? I
? PermR Fee:
I I
? Date Received: ?
I I
? Staff: I
I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: uho1o5 SiteAddress: .?q32 /lry COU27'
Tenant: ANa s EawA2D 5'7-OrE5BE2Y 6s1- 653- d58i suicen:
RESIDENT / OWNER Name: ?o 46T 1Y/Ra.44-tMEN7_ Phone: 21-3' S93 - 9'JJD
Address/CitylZip: 9S0 DECATLiR /7VE /v GpGDEW ? /L1N .?53`127
Applicant is: _ Owner 1< Contractor
TYPE OF WORK Description ofwork: fCEMOVE /fn/p /IEFtAGE ?oof'
a
ConstructionCost: ?12 ?;00-= Multi-FamilyBuilding:(YesNo-X)
CONTRAGTOR Name: e.?TE?2-lo2 /d/A/yT. CG/ZP License ?A6??? ?/?io
Address: yd,S ?(J !vp 711 $T12 ccr
City: 1111fu/ExPaus State: _IYAI Zip: 5 S7/Y
Phone: /ka -9,?/' eVq3 Contact Person: JOkGtL A
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
CBtegOry Submitted Submitted
(4 Submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed, PI um ber: Phone:
MechanicalContractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents ihat you submit are considered fo be public information. Portions of '
s eafrc rea"sons that would permit the City to
the informatron maYbe classified as non- ublic if ou,prov?de
P, Y
ude `thatthe are trad secrefs..
conc%
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the Cdy ot
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permR; that the work xrill be in
accordance with the approved plan in the case of work which requires a rewew and approval s.
C?rRrs ????s?,? ? F?l ?.CC?? X ?
X
ApplicanYs Printed Name ApplicanYs Signature ?-
Page 1 of 3
PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681A675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AL50, FOR TOWNHOMES AND
CONDOS WHEN PERMTI'S ARE .REQUIEtED FOR EACH UNIT.
NO. FIX1'URES EACH TOTAL
•
? SHOWFR 3,00
? WAT'ER CLOSET 3.00
BATH TUB 3.00
? LAVATORY 3.00
_L KTTCHEN SINK 3.00
/ LALJNDRY TRAY 3.00
- HOT
R H
T EATER
WATE 3.00
/ FLOOR DRAIN 3.00
! GAS PIPING OUTLET • minimum - i 3.00
ROUGH OPENINGS 1.50
/ WATER SOFTENER 5.00
PRIVATE DISP. • D'akCty. lic. 15.00
U.G. SPRINKLER •! nome tmaer conaL 3.00
ALT'ERATIONS • tolexistiog 15.00
WAT'ER TURN AROUND 15.00
I
STATESURCHARGE
TOTAL:
ST:'E
?
?
.50
-71";1 v
I
OWNER NAME: wOODLAND COUNTRMOMES
I
INSTALLER: GINZ-RYAN PLUMBING & HEATING C0.
I
ADDRESS: 14745 South Robert Trail
CITY: Rosemount ? STATE: M ZIP CODE: 55068
PHONE #: (612 ) 423-1144 I
I ?
• I
I SIGNA RE OF PERMITTEE
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA158804
Date Issued:11/01/2019
Permit Category:ePermit
Site Address: 3432 Ivy Ct
Lot:4 Block: 01 Addition: The Woodlands North 2nd
PID:10-75891-01-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard 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.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
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 -
Larry Tste J Peterson
3432 Ivy Ct
Eagan MN 55123
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA159799
Date Issued:01/21/2020
Permit Category:ePermit
Site Address: 3432 Ivy Ct
Lot:4 Block: 01 Addition: The Woodlands North 2nd
PID:10-75891-01-040
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.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Larry Tste J Peterson
3432 Ivy Ct
Eagan MN 55123
(651) 303-6251
Homeworks Services Co Dba Homeworks Plumbing Htg
1230 Eagan Industrial Rd, Suite 117
Eagan MN 55121
(612) 400-9020
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA170237
Date Issued:06/24/2021
Permit Category:ePermit
Site Address: 3432 Ivy Ct
Lot:4 Block: 01 Addition: The Woodlands North 2nd
PID:10-75891-01-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
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 -
Larry J Tste Peterson
3432 Ivy Ct
Eagan MN 55123
Homeworks Services Co Dba Homeworks Plumbing Htg
1230 Eagan Industrial Rd, Suite 117
Eagan MN 55121
(612) 400-9020
Applicant/Permitee: Signature Issued By: Signature