805 Ivy Lane?
itt??Ib'ENTIAL:;
Y
---------------°--
WORK DESCRIPTION
NEW CONST
ADD ON _
REPAIR
OWNER NAME:
SITE ADDRESS
LOT:? B
INSTALLER: /C?/)L/ ?.-?
ADDRESS : ? ? /v//,??/ll?
CITY:? ?IP: "r_)()6_2
DWELLINGS &
COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
ADD-ON MINIMUM 15.00
? SHOWER 3.00 C1
WATER CLOSET 3.00
?, BATH TUB 3.00
? LAVATORY 3.00
? KITCHEN SINK 3.00 ?,7[ZC?
' LAUNDRY TRAY 3.00
HOT TUB/SPA 3.00
WATER HEATER 3.00 ?(1
?
? FLOOR DRAIN 3.00 ggLo
GAS PIPING OUT.
? (MINIMUM - 1) 3.00 13 r,r)
ROUGH OPENINGS 1.50
_ OTHER
WATER SOFTENER 5.00
_ PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
SUBTOTAL $ '5
ST. SURCHARGE .50
TOTAL: S 3 '"L
?-
Cb24MERGIAI./INDUSTRIALi PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
.:.... .. ...... .. ..
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
-------------
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK _ SUBD
INSTALLER:
ADDRESS:
CITY:
PHONE #:
FOR:
CITY OF EAGAN
ZIP:
CITY OF EAGAN FOR CITY USE ONLY
3830 PILOT KNOB ROAD
EAGAN, MN 55122 PERMIT #
PHONE: (612) 454-8100 RECEIPT #
PS;U?tI€?NG;;????SST DATE:
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
-----"--------------------°----------------------'
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE _ $.SO FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE
TOTAL:
( S IGNAT[JRE )
?/ CITY OF EAGAN
L? B'f? CHANICAL PERNIIT RECEIPT # C O f?? ? O
SUBD. ??? wY.?ME (612) 6814675 DATE s? 9?---
RESIDENTIAL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMII Y DR'ELLINGS. ALSO, COMPLEI'E FOR
TOR'NHOMES/CONDOS WHEN SEPARATE PIItMT15 ARE REQUIRED FOR EACH DR'ELLING UNIT.
OR'NER: c - ? FEES
SITE ADDRESS:
80 's T.v ADD ON/REMODEL (FJCISTING
CONSTRUCfION ONLl) $ 15.00
INSTALLER: l AVAC: 0-100 M BTU 24.00
PHONE #: 9v ADDiTIONAL SO M BTU 6.00
annxFSS: S i cas ovTT,Ezs • rmvn?suM i@ $3 En. o0
Crty: ZIP??n g SURCHARGE $ .50
r
SIGNA
TOTAL:
COMMERCIAL
PLFASE COMPLETE THIS PORTION FOR ALL COMMERCWJIldDUS1'RL?L BiTILDINGS. AISO COMPLEI'E FOR
APARTMENT BUILDINGS OR OTHER MULTI•FAMILY BUII.DINGS R'HEN SEPARATE PERMITS ARE NOT REQUIRED FOR
EACH DWELLING UNTf.
WORK DFSCRIPTION: CONTRAGT PRICE:
1% OF CONTRACf FEE. FEES
STATE SURCAARGE IS $.50 FOR EACH
$1,000 OF PERMIT FEE.
a
PROCFSSED PIPING - $25.00
MINIMiJM FEE - $25.00
$
ORNER: TOTAL: $
SI1'E ADDRFSS:
1'ENANT:
SUI1'E #:
INSTALLER: .
ADDRESS:
CITY: ZIP:
PHONE #: CT11' SIGNATURE
SIGNATURE:
' CITY OF EAGAN
? 3830 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
4E"TCA?. T
FOR CITY USE ONLY
PERMIT #
RECEIPT
DATE:
PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE 7
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
----------------------
WORK DESCRIPTION
NEW CONST V
ADD ON
REPAIR ?
OwflFR NAME:
SITE ADDRESS:
f/ ?-`
IfJT : ? BLOCK 'Y SUBD ?
<
INSTALLER:
ADDRESS : \ ? W ? ???-1n S(
CITY: 2IP:
PHONE #:
DWELLZNGS &
- ° ----------° ------------ -----
FEES
ADD-ON MINIMUM
HVAC 0-100 M BTU
ADDITIONAL 50 M BTU
GAS OUTLETS - MINIMUM
OF 1 PER PERMIT
SUBTOTAL:
STATE SURCHARGE:
$15.00
24.00
6.0
00 '
.50
TOTAL:
s_ 9? 1.ll- a`'1 w o1 ?
SIGNATURE OF PERMITTE
?AHMERCTAT.J?NT3?S1'KTAI.:: PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
-------------
CONTRACT PRICE:
OWNER NAME: _
SITE ADDRESS:_
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR: _
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING - $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE
TOTAL:
(SIGNATURE)
CITY OF EAGAN
,-----
'.`
!
??
EXTERTOR };NVELOPZ AVI?RAGE "UCOMPU
,
TpTTON
:,:'ot4N?R. ' WppDLANDS COUNTRYIIOMC
INC.
,
,-„.. ? .
: SITE;`
.AbDR , SS
'A.? •? .
'
?
i ,
?•i
CONTRACTOR'SIEKMANN CONSTRUCTION, INT)ATE
: ?IC. # .0001436 PHONE
--
---
Determine vrorking square foot-age of each,
1. Total exposed wall area .,,, sq
ft
x`?
,
.
2. Total roof/ceili
ng area ... , ?y?.? sq, ft, x'02.?'= (?*?' I
Total exposed wall ar•ea aUove floor = ? w
`?-L `
a. Total wall windoor area.....:..
b'.''Tot'a1 door
. . . . . . . . .
. . . • • ` \3~
area.
' c, Total sliding glass?'door . .
area.
.
d. Total fireplace wall area
..
e• Total wall framing area (averag .
e 10?) ... . .
..
f . Total net ural.l area aUove floor, ...... 1
, , , ,
g.•Total rim joist area.
.
.
....
.............. ......
.
Total.exposed foundation area,= A?:
h. Total foundation ti-iindow area......... '
i
Tot
l
?r~
.
a
, net foundabion area above ¢rade........
? ?. r-
• Determine "U" value of each wall segment.
. a• x liUll . ?I 3 ? ?; t•?'a._.
b. X ttull
d. „Pa... X ?lUll
- +-1 t+?-, .
e._ l;.?•, ? t.,? X[fUll
..,, c,1 <s x IfUll
---,-- °
?? .
9 • ? ?. x IfUll
i ?
h• h.s x, X nUii
' ?. . t..,.i k:. X u I
U? C, •
__`?
'
3..'. .... .
.....
...........:........ .' i'otal
=
•Tf item il
3 i
Ly--?
i"htent
s the same as, or 10 ;:; Lh'In i.Lem /11
of S}3C 60oG (c)z
o
. ,
y
u have met l.he
, . :..._...
.. ...,,...... . .?... .... c?,::=,:.,..,::??....
. ? ,
.
, Total exposcd roof/cciling arca a ?y3?
, ,,..'.?...?To,1;a1 slcyll¢ht arca ............ .'...... .
.?? k. Total roof/ceiling framing area (aver,a?re*10i) v.-\"s,-5
.... ?.... _ Total' net, insulated roof/ceiling area........ ?'?.?1 .•? _
Determine "U" value for each roof/ceiling segment.
?
J. X uUn °
. k.- gltUv , O 39
X ,tUlt • oa??
, 4 .........................................Total = L?J
If total of:114 is the same as, or 7.ess than i12, you have met the
intent of SBC 6006(c)1.
Alternate Building Envelope Design
To utilize the total envelope system method, the values established
by the sum of items 1/3 and #4 sha11 not be greater th,an the sum of
items #l and ff2.
1.
+ 2. _
_
3 :' + 4.
,
92 10142
19NbxBUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
M[JLTIPLE DWELLINGS
COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL lINITS
1 of 2# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRE?. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
r? 2/a 2 nC\ ,T7 f? •,?
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE
PERMZT MUST SHOW A LICENSED PLUMBER.
To Be Used For: Residential Valuation:
5ite Address 805 Ivy Lane
Lot 2 Block 4
Parcel/Sub The Woodlands North
Owner Woodland CountryHomes, In
Address 6648 Rustic Rd. S. E.
City/Zip Code Prior Lake, MN 55372
Phone 447-2424
Contractor Same
Address Same
City/Zip Code Same
Phone Same . ?
Arch./Engr.
Address
103 DOU ? OFFICE US
Occupancy
Zoning AP
Actual Const V-N
Allowable V - N
# of stories
Length ?
Depth 32'
S.F. Total
Footprint S.F.
Dn site sewage_
On site well
MWCC System ?
City water
PRV _
Booster Pump _
APPROVALS
PlanneY
Council
Bldg. Off
Variance
MAR 3 1992
I ??)
FEES
B1dg. Permit 6$6.Uo
Surcharge 51.5-0
Plan Review 1? z2,,Sb
SAC, City luu,ou
SAC, MWCC 700,oo
Water Conn 6r)S.0 0
Water Meter 95•0a
Acct. Deposit ,ae.os
5/W Permit 30,00
5/W Surcharge •So
Treatment Pl. 300.00
Road Unit' $D.oo
Park Ded.
Copies
SUBTOTAL
Penalty
TOTAL
City/Zip Code
Phone # _ ?????
2005 RESIDENTIAL BUII.DING PERNIIT APPLICAITON
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
?r Zr. zs
New Construction Reouirements RemodeVReoair Reauirements Offka Use Onlv
3 registe2d site surveys showiig sq. fl. of lot, sq. ft. of hause; and all roofed areas 2 copies of plan CeR of Survey Reoi _ Y_ N
(20% maximum lot coverage allovred) 1 set of Energy CalcuMations for heated eddNOre Tree P2s Plan Recd _ Y_ N,
2 copies of plan showing beam & window s¢es; poured found design, etc. 1 site survey for addHions 8 decks Tree Pres Required _ Y_ N
1 set of Energy Caiculations Addition • irMkate d onsRe sepGc sysfem On4rte Septic System _ Y_ N
3 copies of Tree Preservation Plan'rflot platted afler7/1/93
Rim Joist Detail Optbns selecfion sheet (buildmgs with 3 orless un(ts)
Date Construction Cost
Site Address 1 ?i
f U??- Unit(Ste #
Description of Work InL, ? U 41C 0 S
Multi-Family Bldg _ Y _ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner CA 1'711 elM?? L/1^5 rn.? 7 Telephooe #(?s? UG
Contractor iL^?,
1Lu J?,
Address / C<<Y
5tate ? C/??, ?Lx Zip -Ix%? Telephone # (C;S l) V_G_?
.S?SI l c?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BU{LDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Enefgy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submissiontype) Submitted Submitted
• Energy Envelope Calculations Su6mitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
licensed Pfumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone # (
Telephone #(
I hereby apply for a Residential Building 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 State of MN
Statutes; 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.
V\
ApplicanYs Printed Name Applicant's Signature
IALS 1 & 2
BUI[LDING PERMIT
To be used for ]i
CITY OF EAGAN ?? ,? 9,?
3830 Pilot Knob Road; P.O. Box 21-199, Eagan, MN 55121
PHONE: 681-4675 Q ? O
Receipt # S
OF DUPLEX Est. Value $103, 000
Site Address M IVY I19 Lot Z_ Block 4 Sec/Sub. THE WOODLANDS
Parcel No. NORTH
Nazpg S1EIQIANN CONST INC
Z AddreSS 6648 RUSTIC RD SE
? City PRIOR LAKE MN Z'ip
cc Name sarre
? Address
pg Cfi/ ZP
Z Phone
g License # 0001436
I hereby acknowlege t SI have read this app'?qation and slate that the
informa6on is corre anc?agree to comply ??A1 all lica6le State of
Minnesota Statute and G l? Ea9an Or m, c?s.
Si9nature of Per itee
A Building Parmit is i ed to: SIEKMNDII4 CONST TNf:
on the express con on thal all work shall be done in accortlance with all
apphcable Slate of mnesola StaNtes andriC,ity ?/of Eagan Ordinances.
Builtling Ofhcial 1,?mdQ??l_I I i.L I
OFFICE USE ONLY
FEES
Oaupancy R-3 M=1
Zonin9 pD Bltlg Pertnd 650.00
(ACWap Const V-N Surdiarge 51.50
(Aliowable) V-N P?116M8W 422.$0
# ol Slones - .
Lenglh 7+' License
Depth 3-Z! SAQ Ci1y 100.00
S.F.Total - SAC,MCWCC 700•00
S.F. Footprmis -
OnSneSewage _ WaterConn 675.00
On Si1e well - Water Meter 95.00
MWCC System X
Cily Water _$_ Accl Daposit 30.00
PRV Required _ ShV Permil 30 _ 00
Booster Pump - g/yJ Suroharge - 5f1
Treatment PI 300 _ 00
APPflOVALS Road Unit 380.00
Planner - park DeU.
Council
eldg.Ofl. _ Copies
variance - TOTnL 3 ,434.50
Address: 805 Ny LANE Lot z Blk q Sec/SubTHE WppDLAMg NpgTli
These items were/were not complete at the time of the final inspection.
Date: 5 20 92 Yes No
Final grade (6" from siding)
Permanant steps - garage ?
Permanent steps - main antry
Permanent diiveway
Permanent gas
Sod/seeded grass
Trail/curb damage
Porch ?
Basement finish
Deck
Please verify with the buildex the removal of roof test caps from the plumbing
system and the shut-off of wataY supply to the outside lavn faucet befora
freeze potential exists. ?
.a,a?...E.
White - City copy Yellow - Resident copy Pink - Contractor copy
y'? ya-- /055??%
J 4 338,c? ?rz, aJ
Request Oate Fre N. Rough-in Inspedion
ReqwreO? ' D Reetly Now?l Nati/y Inspec(or
? Zefes ? No When Reetly7
I ?ensed contrector El owner hereby request inspection of above electrical work at
JoD Aatlress (Street. Box or Ro o ? Ciry
Sachon No Township me or No an9e No Coun
Oc paM IPRINT7 Plrona N.
Power Sap ier q?
(VWL?Y /W u `
Elaclrd pmrector (Company Name) / Contrdct License No.
L
Maeng adoress 1 onVacror or Owner Making Installanon)
/
Z
/
AutWnamre IGOmraclonOwner MaRing Insta? Phone Num
P -4"?
MINNESOTA STATE BDARO OF ELECTRICITV V? THIS INSPECTION REOUEST WILL NOT
Griggs-Mbway BIOg - Hoom S473 BE ACCEPTEO 6YTHE STATE BOARD
1821 Unlversity Ave., SI Faul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Ghone (612) 642-OB00 ENCLOSED
?
REQUEST FOR ELECTRICAL INSPECTION
? See inslrucL a Ons lor comi this fortn on back ol yellow copy
"X" Be/ow Work Covered by This Request
??;, EB 1-08
;rr
e AW Rep f? TypeofBmlding AppliancesWrted EqmpmenlWiretl
? Home Range Temporary Service
Duplez Water Heater Elec[nc Heatinq
Apt. Building Dryer Other (Specify)
Comm./Indusirial Furnace
farm Av Conditioner
O[her(syemty) Contractor5 Remarks
Compute Inspection Fee Below:
# Other Fee # ServiceEntranceSrze Fee # Circmts/Feeders Fee
Swimmmg Pool 0 to 200 Amps ? 0 to 0 Amps
Transiormers Above 200 _ Amps Above 00 _ Amps
Sg05 Inscecmr5 Use Only: TOTAL
?
Irrigation Booms 7Q
?
70
Special Inspection
Alarm/COmmunicanon THIS INSTALLATION MAY BE ORDERED SCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 HS.
I, the Eledncal Inspector, hereby Rough-in
• ?- ?
certify ihat the above inspection has
been made. p;,,ai oate L
OPFICE USE JNLY •
Thb fQqp851 VOid 18 fO0I11h5tlOT
ow = DATE: MAR 9, 1992
RE: 801 & 805 IVY LN (SIEKMANN CONST INC)
X Your Sewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
_ Your Sewer & Water Permit for the above property cannot be completed for the following
reasons:
Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed untii further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8700) betore issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Bwlding Inspections Oept.
., -. ; ..?.:, ..:
' ? '±T:?:????=i;='y .->;,.. .?._. .. . '`S-::..y`'?'?",. ...e'ik?v5a:: !
•' .?.,.:',9;i. .t.'?? ? . ?? . ...A _ - -, i h •?2-?,:.°o?-.: ...
- ?' ?EAGAN. MINN?ESOT 55122^,: --
,
`1 ?j? 'F,3:.-.?':: '<tri4 ?L:
^.,ye r_ '.'.,•` ?n. "yRE?^ ? ? ? ? ,. ' ?.`. ".4-i9 ???"'
AMOUKr.
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.
?-'" 8'^ OOI:LARSP
•: - _p;CASfI..? O'CHECkw"?' :a.:^%a• ti.;.
-.:;h?:' '412?=-
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:BY. ,
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urv•<?...
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.
7685. - ? `_`+`?
PERMIT OFFICE USE ONLY
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE ` - - 2. L _)y L
METER #
CHIP # -
METER SIZE
ISSUE DATE
PERMIT DATE i"/06I92
PERMIT # 125,98
B.P. RECEIPT # c 017685
B.P. RECEIPT DATE 03/46/92
- PRV _ BOOSTER PUMP
SITE ADDRESS'? ?? ? , V <+ (- -
LOT _BLOCK SEC/S 66 "1 u 1 i d:-
APPLICANT: =-adiand CountrvHomes. Inc.
ADDRESS: Rus t ic i;"'
CITY, STATE . i `". " . ,; , , ' 1. ZIP
PHONE:
PLUMBER:
ADDRESS: t '? .<o U c C -
CITY, STATE ZIP
PHONE:
OWNER: Cou:itr. ,.• , - . .
ADDRESS:
CITY, STATE ZIP
PHONE:
PERMIT REQUESTED
? SEWER _ WATER _ TAPS
? COMM/IND _ RESIDENTIAL
- NEW _ EXISTING
Sprinkler Meters are to be Installed
of Domestic tdleters on Water Line.
WILL NOT be:+given fbr Deduct Meters.
1 AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
SEWER & WAT?R PER1111T
CITY OF EAGAN -
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE
OFFICE USE ONLY
I METER # S 3 a PERMfT DATE
CHIP #6 , g E3 PERMIT # i253?
METER 512E K B.P. RECEIPT #
ISSUE DATE B.P. RECEIPT DATE
- PRV = BOOSTER PUMP
SITE ADDRESS
LOT -BLOCK SECISUB el
APPUCANT:
ADDRESS:
CITY, STATE ZIP 72
PHONE:
PLUMBER: --1j P 1 u:n b i az&. '_ i clg
ADDFiESS: lo u t iz n o b e r I _
CITY, STATE ZIP .. ? ? i 1
PHONE:
PERMIT REQUESTED
- SEWER 0 WATER _ TAPS
- COMM/IND
- NEW
A RESIDENTIAL
- EXISTING
,l.awn Sprinkler Meters are to be Installed
`1 Ahead of Domestic Meters on Water Line.
Cr?dit WILL NOT be,given for Deduct Meters.
v
j AGREE TO COMPLY WITH CITY OF
OWNER: -d+'ind 6,jur+ r r`-H: - L'EAGAN ORDINANCES
ADORESS: u s
CITY, STATE 1 r
ZIP
PHONE: SIGNATURE MEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SENIER PERMfTS, CONTACT ENGINEERING DEPT.
0 CASH RECEIPT
CITY OF EAGAN
3830 PILOT KNOB ROAD
r
t
EAGAN, MINNESOTA 55122
-' OATE 19
i:
RECErvFO FROM
AMOUNT $
?S Cf r? ...-
& DOLLARS
loo
p CASH ? CHECK
FM
j
FUNU OBJECT AMOUNT
?, f? ? ??
Thank You
BY
C 917685
va,ne--Payers cooy -M
velirnw-ro5cine Covr
viMc-File coPy
,
6
LOM I & 2
CITY OF EAGAN
1
r
38
Pi
2
?? ?G
,
30
lot Knob Road, P.O. Box 21- 99, Eagan, MN 551
1
PHONE: 681-4675
Bl?4LDING PERMIT Receipt # r / j
?
To be used for OP UUPI.EX Est. value $103 +000 Date M" S , 199Z
Site Address ms rw L4
LOt 2 BIOCk ?' Sec/Sub. ??DLANDS OFFICE U SE ONLY FEES
PSrCeI N0. IMR Occupancy R-3 l3-1
650
00
? ?Pem-d .
Zoning
Name SIEKMANK CWiST INC (Actual)c«,S, Y-N swtww 51.50
? qddress 664$ RUS'FIC RIf SL (Albwable) V=" pM Paview 422,50
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On site well _ water Meter 95.00
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LkkW # 0401436 City Water x • 30.00
PRV Required - ? Pe?d
I hereby acknowlege Ihat I have read this application and state that the Booste? Pump - S/yy Surcharge •50
iniortnation is corre¢t and agree to comply with all applicable State of
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ty ol Eagan Ordinarices. Treatment PI .
Signature of Permitee APPROYALS qoad Unit 380•00
A Building Permit is issued to: S t iKHANN COti$T IIiC par1ef - Park Ded.
on the express condition that all work shall be done in accordance with all Council
applicable State of Minnesota Statutes and Ci1y of Eagan Ordinances. gldg, pg, _ CoPias
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Building Official
Variance
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Hvac 890- ?301
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PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA171274
Date Issued:08/09/2021
Permit Category:ePermit
Site Address: 805 Ivy Lane
Lot:2 Block: 04 Addition: The Woodlands North
PID:10-75890-04-020
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.
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 (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 -
Duane L Craker
805 Ivy Ln
Eagan MN 55123
Johnson Plumbing & Heating
9825 170th St E
Lakeville MN 55044
(612) 243-3965
Applicant/Permitee: Signature Issued By: Signature