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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. ? .?. . ?-'" 8'^ OOI:LARSP •: - _p;CASfI..? O'CHECkw"?' :a.:^%a• ti.;. -.:;h?:' '412?=- ,? • d?z?J ?•.tic-.? :.t. i ° L?t..,,_,. r J . ? _ ?UIV?3 • QQJEC?,_ . .m ; ? F ` -GANOUP1Ti?. _ . . • ?:.F,.a"?" t'+?, `.-. .- ...r x.',a`"? ?,<;`-'??r': ??+,-.a? ? <i`.!}? : ?m ? - .! .i ' tA1'g.:?V 2',i{ : '.'a?y".'?'„? ??i".:.i ?.iv'... • .*«:,?", w:''??" : ss?Jf?S?,?c'-°,?`'?':- ?.a?i.?M?? i , ? . ??. ? i? }1; k,t ' ? . ?? +'Y" 4' .L . _e. ? r' ay?l????ti?:U.. :'•'?Yi.??N .. ' ? s ![I?/?F`¦, }; ??.?`??. )?A f ?.? .??'2?k?J 21y?' fY3 pF.e+? K :• :?" ,? _ 4 ' ?S e- ?..L1.i _7 J . s?6y- /t ??.?'•?;?? '4.,?.?kyiSPY'"i?+5? ot?f, *? ' K'? -' . :BY. , , urv•<?... /w . 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 c4ty rRIQR I.AKB !!IY ZP 55372 # oi Stories L th 74' ucer?se o Phone w+7-2424 eng o?tn snc. city 100.00 s? Na?l1? S.F. To1al - SAC, MCWCC 7? •? O ? Add?,SS S.F. footprints on s+te s w - water Conn 6T 5.00 (',jg/ ?jP e age On site well _ water Meter 95.00 P?fone wcc syst?, M ? ?Posit ? 30.00 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 Mi St t i 3? ? nnesota a utes and C 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 ' Building Official Variance - TOTAL 3.434. S?) PsrmN No. Permit Nokkr 0o1e Telsphone # s+W 5 9? ?? 3 ???-- PLUMBINCi Hvac 890- ?301 ELECTRIC r?spsctla+ Date uap. commeMs Foo6ngs I Foundation Framin9 Floofing Rougn Png. Rou9n Ht9. / isul. ? ?re*w FhW Htg. I _9 2 Orsat Test Final Plbg• - Plbg. Inspector - Notiy Plumber COnBL Meter EngrJPlan 81dy. Final 'S?ZaI?.r2 L?l? Dedc Ftg. Oedc Final WsM Pr. Dlsp. Al _ ?.1 0 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