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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