806 Ivy LaneROSS FEFERCORN TEL: 6128353190 Jul 23.91 15=55 No.002 P.01
. ' PAX Tp; 454-8363
: City of Eagazt . • , , .
$uilding Permits pepartment
3830 Pilot Knob Road
Fagan.. MN 55122 , . . . ' . , ,
Attn: Date Runkle, Director, Community Develppment
RE: • FDiTNDATION PkRMITS, Thc Woodlands Noith
; LATS 3& a, BLOCK 3, W04DLANDS NORTH • .
Dear lvfr. Runkle, ' . . . : Per our past discussions with Ihe City of Fagan, we understaad that foundation perinits would
be available W'us at a cbst of $35.00 -$t50.00 pcr building at the Wpodland CountryHomes.
We understand that with a, foundation permit the scope of construcdon would be limited to .. .;
' footinga, toundation walls, ahd backflling, and that we, specifically wbuld nof make
, connections to city services including sewer and water. Wa also 'undersfand that we could
complete the building pcrmit application and pay the remaining fees'within 40 days of.
bacicfilluig the foundation. , At this tirne we have begun excavation !or A building on Ipts 3
and 4, Block 3, the Woodlands Noittt,based an this understanding and as such we are ' . presendy seeking foundation pzrmits. . , , . •
, '' Yvur ezpedidqus attendon to this xequest is appreciated. •. ; ,
, Respectfulty yours,
Rosa M. Fefercorn
Principat ,, . ., . _ .
Woodland Count,ryI#omes, ina. , .
cc:.Tim Siekmann ' . ' . . .
, M?,wW,.?.... i otrk•e
, ona5 Melm Eoukm.ra, suftc l+e ' . . . , • ' . . . . , , . .
Mlnnn.ymNW,Mlnnnr:oRn 0119 ' .1672J8754126 . ' . . ' . . . . ' . . . . ' '
. .' `Lnnst.ruf4Hm?fflW . , ' . . • . , , .
, 9lMIN IIUa1.4:14uaA S.Ndhr.mt ' . .. . r . ' , ' .. .. . . . .• .
i}Wr I.eckrMiniM.auku SgS7G' , ' . . . . . . , ..
, . (612) 447-24A6 . , 'r . . . , . . . . . .' . ; . .
? . .. . . . .. , . . , , .. ' ' .
. 6f finx vwrxfree hoinuR ' ' . ; . . . . . . ' . ,
oF
3830 71L0T KNOB ROAD THCV.wS EGAN
EAGAN, MINNESOTA 55144-1897 htayor
PHONE: (614) 454-8100 DAVID K GUSTAFSON
FAX: (612) 454-8363 PAMELA M=CREA
TIM PAWLENN
JUl24
1991
y TMEODORE WACHTER
, Councl n^zmbers
THOMAS HEDGES
Crty Adminstrator
EUGENE vAN OVERBEKE
Gty Clerk
MR ROSS M FEFERCORN
WOODLAND COUNTRYHOMES INC
7625 METRO BLVD STE 145
MINNEAPOLIS MN 55439
RE: FOUNDATION PERMITS
LOTS 3& 4, BLOCK 3
THE WOODLANDS NORTH
Dear Mr. Fefercorn:
Per our agreement, foundation permits will be issued at a cost of $75 per building for Lots
3 and 4, Block 3, of The Woodlands North addition. The scope of construction allowed
with these permits will be limited to footings, foundation walls, and backfilling and no
connections to City services, i.e. sewer and water, will be allowed. You wili be
responsible for paying the remainder of the fees within 90 days of foundation permit
issuance.
If you have any further questions, please feel free to contact me.
lincerely,
Dale C. Runkle
Community Development Director
DCR/js
THE LONE OAK TREE...THE SYMBOL OF STRENGTH AND GROWfH iN OUR COMMUNIN
Equal Opportunity/Affirmative Action Employer
RDSS FEFERCDRN TEL: 6128353190 Jul 23.91 15:55 No.002 P.01
FAX'f0; 454-8363
City of Eagan . , ; . . ? : . . ; , . ,
BuildSng Permlts Uepartmenf . . . .
3830 Pilot Knob Road ,. , .
FaBan, MN 55122 , , . .
•' Atm: Dale Runkle, Director, Communi'ty Develppment 1
RE: FOUNDATION PEItMIT5, Thc Woodlends Noith
; LOTS 3& 4, BLACK 3, WOODLANDS NORTH • , ,
Dear Mr. Runkle, ' , . : .
Per our past discussions with lhe City of Fagan, we uniterstanq that foundation pcrinits wvuld
be available Wus at a cbst of $35.00 -$150.00 per building aE the Woodland CountryHomes. '
We understand that with a, foundation permit the scope of construcdon would be limited to .. .;
footings, foundation walls, ahd backfilling, and that we specifically ?vould not maloe
, connections W city serviccs including sewer and water. We atso understand that we could "
compleke the building pamit epplication and pay thc rtmaining fees'within 90 days of,
backfillirig thc foundation. At this titne we have begun ezpavadon for a building an lots 3
and 4, Block 3, The Woodlands North based an this underst9nding and as such.we 8Te
presentIy,seEking foundation pzrmits. . , ,
Your expedidqus attentioq to this tequest is appreciated.
Respectfulty yourS, . - •
1???-•.7/lJ,v,?Kb'Z?? . ' , . . , .. ' . •
Rosa M. Fefercarn ?? .
Princip0l ' ' • . - ,
' Woudland Count ,ry2fomes, Inc. ' , . ' .
oe: Wim 5iekmann , • , . .
Dewtipmnn60ffkti
_ Tfi?SMnlrn Bou]r.vxrd, Suttc 143 , " ` . . , • • .
Mbmxry.nha,Mlnnrtkota!'eRARG .. .. . . • . , . .
, ' . ' : ` . . . ' . . . . , ' . . . „ ' , . , ' G!nnbninWon ptrb:tl ' ' . . . , . ' . • . •
. . IG12J 417-0I?4 . . . 'i• . . . . . , ; . .
' BuiE7ini MitunuiliLLx • . ? . . • , . ' , : . . ' . . . I . . •
(if flnu nwrutrax M?imet ' ' . ; • • . ' . . , . ' . • .
?? ?V?
2006 RESIDENTIAL PLUMBING PeRnnir aPPLicarioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
?';' 15-56
?
Date /V
Site Street Address 30(z, ?' Ln Unit #
Property Owner Jar " S6 Telephone# fo51
Contractor 7Jf 1 Telephone# (bSl? ?IoS_(3L{ ?j
Address 3b? (? ?Gf - City etu?a__r-' State Vi4 jv Zip s-5
The Applicant is: _ Owner /_ Contractor _Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
i
I Alterations to existing dwelling
$ 50.00
_ Add plumbing fixtures. This fee includes installation of a water softener and/or water
heater at the same time. lf you are installing on(v a water softener and/or water
heafer, do not complete this section; move to the next section and check the
appiiance(s) you are installing.
_Septic System Abandonment
_Water Turnaround (add $130.00 if a 518" meter is required)
Other:
Water Softener ' Water Heater $ 15.00
_ new replacement
Lawn Irrigatlon _RPZ _PVB _new _repair _rebuild $ 30.00
? State Surcharge $ 50
Total $ (15 . qb
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 be ewed and approved.
t I _-, ,,,, _ TI 7i - n _ .
Appli anYs Printed Name ApplicanY ignature ? n[E C?? ?W [E
I?l
IJ LI OCT 2 6 2006
?0
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
`s °( °(, -as
NewConsWC6onReawremenis RemodeVFteoairReauirements
3 registered site surveys showing sq ft. of lot, sq. k, of house, and all mofed areas 2 copies of plan ?R"?!S _; ?_
(20°h maximum lot coversge allowed) 1 set of Energy Calculalions (ar healed additions =s _1?_
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for addi6ons & decks
1 set of Energy Calculations AddBion - indlcate if on-aite sepfic system ?#3 '
3 copies of Tree P2servation Plan'rf lot platted after 7/1/93
Rim Joisl Delail Oplions selection sheei (61dgs with 3 or less units
Date 2z
Site Address Construction Cost
?
?7 Q'7 "' ?11 G ??J? I I) UniUSte ti
Description of Work {1e Y?-luLf?e- e'' c eP&c-e
Multi-Family Bldg ? Y _ N Fireplace(s) ? 0 _ 1 _ 2
Property Owner w6,4 ??("A, CcnV t1 rt ,('.? Telephone #( )
ConUactor (3 -e,(- ('uZ?-cr?h5 d" ??7tr?'GrS
Address
State O„ ULII[A91.rl i ?City LA-/. /S, L.
Zip ;5?5)1 !i Telephone # (6{?- ) 424?-/- Ri2,16?
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Cateeorv 1
. Residential Ventilatlon Category 1 Waksheet
(J submission type) Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan?
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone
N If so, 25% plan review
Telephone #? ?) [?M ?
I hereby apply for a Residential Building Permit and acknowledge that the info ation is complete and curate;
that the work will be in conformance with the ordinances and codes of the City 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.
?`g -y- P Aw& - h Sai*n
Applicant's Printed Name
?
Applicant's Signature
A NEW BUILDING
Minnesota Rules 7672
• New Energy Code Worksheet
Submitted
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gaze6o) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demalish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
? 34 Replecement •Demolition (Entire Bidg) - Give PCA handout to applicant
Valuation Occupancy MCES System
Census Code Zoning Ciry Water
SAC Units Stories Booster Pump
# of Units Sq Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Canst Width
REQUIRED INSPECTIONS
_ Footings (new bldg) Final/C.O.
_ Footings (deck) FinaVNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile O[her
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas T ests Final
_ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Tnsulation _ Retaining Wall
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC -
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
.L
L'// B? MECHANICAL PIItMIT RECEIPT # C Co D
SUBD. ,/?ae Gt.?m-o ca osr.l;? (612) 6814675 DATE ?` 8 9a--
RESIDENTIAL
PLEASE COMPLEI'E UPPER PORTION ONLY FOR SINGLE FAMILY DWELI.INGS. AISO, COMPI,ETE FOR
TOR'NHOMFSlCONDOS R'HEN SEPARATE PERMITS ARE REQUIRED FOR EACH DWELLING UNTf.
OWNER:
?. FEES
STI'E ADDRFSS:
SV co -?" ADD ON/REhtODEL (EaIISTING
CONSTRUCI'iON ONW $ 15.00
IIVSTALLER: '-? c%` HVAC: 0.100 M BTU 24.00
PHONE #: p p ADDITIONAL 50 M BTU 6.00
ADDRFSS: T-\ GAS OU1'LEfS - biIlVIMITM 1@ $3 EA.
CTfP: SURCHARGE $ .SO
SIGNA TOTAL: $7N:r;U
COMMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAIJINDUSTRIAL BUILDINGS. AISO COMPLEfE FOR
APARThfIIVT BUILDINGS OR OTHER MULTI-FAMILY BUII.DINGS WHEN SEPARATE PERhIITS ARE NOT REQUIRED FOR
EACH DWELLING UNTP.
WORK DESCRIPTION: CONTRACT PRICE:
1% OF CON1'RACf FEE. FEES
STATE SURCHARGE IS $.SO FOR EACH
$1,000 OF PERMTT FEE.
$
PROCFSSED PIPING - $25.00
MWIMUM FEE - $25.00
$
ORNER: TOTAL: $
STl'E ADDRFSS:
1'ENANT:
SUI1'E #: ;.-
INSTALLER: ,
ADDRFSS: . _ _ ' .
CI1'1': ZIP:
PHONE #: CITY SIGNATURE
SIGNATURE:
IT I l( OF EAGAN PERMIT Control No. 1195
3 30bPiiot Knob Road PERMIT TYPE: B u z Lo.r. N G
Eagan, Minnesota 55123 Permit Number: 001 6A 7
(612) 681-4675 Date Issued: 10 ! 16 / 9 2
SITE ADDRESS:
806 IVY LflNE
LIJT: 4 BLOCK: 3
THF WOODLANDS NORTH
DESCRIPTION:
-Building Permit Type DUPLEX
Building'•Work Type NEW
, UBC Oecupan"'ay k-3 M-1
, Construction Type VN
Zoning PU
BiAilding Length 78
Building Width 32
o,
C ?
REMARKS:
RECEzPr # C,
S&W PLBR - GENZ-RYAN
FEE SUMMARY:
VALUATTON
Base Fee
Plan Review
Surchiargo
Subtotal
$567.50
$368.Ei8
n_2 . 0 0
v m$978.38
$84,000
AUD. PLAN REVIFW $14.62
7ota1 Fee $993.00
CONTRACTOR: - Applicant - sT. L'I.OWNER:
SIEKMANN CONST INC 17202424 000143 WOODLAND COUNTRYHOMES INC
66?8 RU5TIC RG 5E 6648 RU5TIG RD SE
PftIOR LRKE MN 55372 PRIOR LAKE MN 55372
(612) 720-2424 (612)720-2424
?
I hereby acknowledge that I have read this application and state that Che
information is correct and agree to comply with all applicable State ofi Mn.
St'ati?tes and Gity aF Eagan Ordinancas.
r n [ p.i a/
APPLICANT/PERMITEE SIGNATURE ISSU BV: SIGNATURE
PERMIT #•
REACTIVA7E
CITY OF EAGAN
1992 BUILDING PERMIT
681-4675
APPLICATION? / ? 3 v U
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
specificatians, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but nat picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date Yaluation of work
Site Address:
STREET SU17E 1
Tenant Name: (commercial only)
LOT BIACiC SUB P.I.D. *
Descri tion of work: - ?
The applicant is: O Owner Contractor p Other (oeecriue)
Name Phone
Property GAST F?RS,
Owner
pddress
STREET STE M
City State Zip
Company . Phone
Limtractor Address ?fp ?? 4940? License #,W/0rd Exp.
, City S t a t e ? Z i p
Company Phane
Archttect/
Engtneer Name Registration # ,
Address
City State Zip
Sewer 6 water licensed plumber ?? . Processing time for
sewer & Nater permits is twa days once ea ha een approved.
I hereby acknowledge that I have read this application and state that the information is
cor'rect and agree to comply with all applicable State of Minnesota Statutes and City of ?
Eagan Ordinances.
Signature of Appllcant:7`?'Q.f?' ??izJ .
BUILDING PERMIT TYPE
? 01 Foundation
? 03 Sf Addition
? 04 5F Porch
? 05 SF Misc.
WORK TYPE
W-31 New
? 32 Addition
OFFICE USE ONLY
W06 Duplex
? 07 4-Plex
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'1
? 33 Alterations
? 34 Repair
GENERAL INFORMATION
? 11 Apt./Lodging
? 12 Multi. Misc.
? 13 Garage/Accessory
? 14 Fireplace
0 15 Deck
? 35 Tenant Finish
O 36 Move
Const. (Actual) V_ N Basement sq. ft.
(Allowable) v_N lst Ft. sq. ft.
UBC Occupancy P-.3 M-1 2nd Fl . sq. f.t.
Zoning _? Sq. Ft. tatal
# of Stories Footprin t Sq. ft.
Lengtb ^zk ? On-site well
Depth sz" On-site sewage
APPROVALS
Planniog Building
Engineering Variance
REQUIRED INSPECTIONS
C7 5ite
13 Nallboard
O Footing
? Final
O Framing
? Draintile
? Insulation
O Fireplace .
Permit Fee 56?,50
Surcharge cr7,co
Plan Review ,- F g,g g
license -
MWCC SAC
Ci14y SAC
Mater Conn.
Nater Meter
Acct. Deposit
S/W Permit
S/W Surchdrge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded. Copies AM14
oh?
Other P ILL6 f eJi&e1 '??.r?Z
Total: ?
SAC %
SAC Units
I' l(I,C- L
vatuec;on: $ P y, Goo'
?.tJ?Yt ?? 8`?,? F ?t•?? lG? i vl t/ ?Cj nom?
.1--
?y o00
??zzr,-'nc-S PAtD 12,_ J30[0(1
Assessments
QCc,er7T=A 016o,?
plcz?. C' `blc,LV 3"S
Pfcx,.j
? 16 Basement Finish
? 17 Swim Pool
? IS Comm./Ind.
? 19 Comm./Ind. Misc.
0 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
MWCC System YC7?
City Water y4EZI
PRY Required.
Booster Pump
F•ire Sprinkler
Census Code ?
SAC Code ?± _
. - i
. - '
1991 BUILDING P IT PPLICATION
CITY DF EAGAN
SINGLE FAMILY DWELLINGS
MULTIPLE DWELLINGS
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STHUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SES OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
1 of 2# OF FOR SALE UNITS
PENALTY APPLIES WNEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: ae?, 1 Valuation: S?---4{?_ Date: 7-16-91
Site Address 806 Ivy Lane
Lot 4 slock 3
Parcel/Sub Woodlands North
OwnerWoodland CountrvHom
Address 6648 Rustic Road S_ E_
City/Zip Code prior T.akP, MN 55379
Phone 447-2424
Contractor Same
Address Same
City/Zip Code Same
Phone Same
Arch./Engr.
Address
City/Zip Code
Phone #
ONLY
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
On site sewage
On site well
MWCC System
City water
PRV
Booster Pump
APPROVALS
Planner
Council
Bldg. Off.
Variance
COMMERCIAL
FEES
Bldg. Permit
Surcharge _1?2 - S 0
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Acct. Deposit
5/w Permit
S/W Surcharge
_ Treatment P1.
_ Road Unit
_ Park Ded.
Trai1 Ded.
Copies , 5 t7
SUBTOTAL
Penalty
Lot Change
_ TOTAL '7 X , G`U
agrees that all work shall be done in accordance with
(Signature of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
? 1WiN!(ME FCR-SME UNIT
iorS 3& 4 CITY OF EAGAN .
°
? ' N2 19479
'
3830 Pilot Knob Road, P.O. Box 21-1 99, Eagan, MN 55121
PHONE: 454•8100 & C016E
BUILDING PERMIT Receipt #
To be used for FOIJNDATION Est Value $5 ,000 Date JUL 24 1991
Site Address $06 IVY LN
4 Block 3 Sec/Sub THE WOODLANDS NOR
Lot . H OFFICE uSE ONLY
Parcel No. occupancy - Fees
zoning -
W NBme WOODLAND COUNTRYHOMES INC (Actuap Const - Bidg. Permit 72 • 00
AddreSS 6648 RUSTIC RD SE (Allowable) -
2
50
o .
Surcharge
City PR70R i.AKR PhOne 447_2424 x o1 Slories -
Plan Review
Lengih _
o Name SAME Depth - SAQ City 100.00
i
?a Address S.F. Total -
650
00
.
SAC, MCWCC
? City Phone S F Foolprims -
water Conn 660. 00
On Site Sewaga _
Name OnStleWell - WaterMeler 95.00
Address Mwccsystem - 30
00
U?
<w
City PhOne
Ciry water .
ACCI OB OS1t
- P
30. 00
S/YV P
t
PRV Required ermi
_
I hereby acknowleqe ihat I have read this application and state [hal the Booster Pump - SNJ Surcharga .50
information is correct and agree to comply with all applicable State ot
Minnesota Statutes and City of E dlnan
? 7reatment PI 27fi.00
Si9naWre of Permitee _1? APPROVAIS Road Unit 370.00
A Building Permit is issued to: WOODLAND COUNTRYEIOMES Pla^^ef - Park Ded.
on the ezpress condition thal all work shall 6e done in accortlance with all Council -- 50
applicable State of Minnesota StaWtes and Gry of Eagan Ordinances. Bldg. Off. _ ?Pies .
Building Official Variance - TOTAL 2,286.50
---
RIECE+P,r* Urric:
trwi.t.4R
Occupancy _
Zoning _
Actual Const
, Allowable -
# of stories
I Length _
Depth _
' E%F. Total
? Footprint S.F. _
Un-site sewage
On-site well
MWCC System
City water
PRV
Booster Pump
APPROVALS
Planner
Council
Bldg. Off. .
Bldg Permit
Surcharge
Plan Review
License Fee
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Acc[. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trail Ded.
Copies
SUBTOTAL
Penafty
Lot Change
TOTAL
FEE
vanance A0&M o F
DcrEI?A-7--) f-&-a' Now DuG Fc•e
BP # /9q']rl ---` 80L1 =YY L
Rliz«PT4i VFFIGE U
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Fotitprint S.F.
On-site sewage
On-site weli
MWCC System
City water
PRV
eooster Pump
APPROVALS
Planner
Council
Bldg. Off.
Variance
Bldg Permit
Surcharge
Plan Review
License Fee
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trail Ded.
Copies
SUBTOTAL
Penalty
Lot Change
TOTAL
FEES
AMOUNT oF f>c`FERg'p
FeErm. Now I)tAE oN BP4 194'19
806 T-Vy LANE
Address 806 IvY LN
Ldt • 4- Blk 3 Sub
Zip 5512_
THE WOODLANDS NORTH
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION.
Date: 1/28/93 Yes No Inspector: ?
Final grade (6" from siding) ?
Permanent steps (gazage) ?
Permanent steps (main entry)
Permanent driveway
Permanent gas ?
Sod/Seeded grass
Trail/curb damage
Porc6
Basement finish v
Deck f
Please verify wi[h the builder the removal of roof test caps from [he plumbing system and the shuboff of watet supply to
the ouLSide lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contraclor Copy @
DATE: JAN 6, 1992
RE: 804 & 806 IVY LN (WOODLAND COUNTRYHOMES INC)
x Your Sewer &%ffiter Permit for the above property has been completed. It will he 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 lor the follo.wing
reasons:
Your Sewer 8 Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay (or meter at City Hall. Meter size musf be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
CASH RECEIPT ".
.." • ;` i Fl', ? % , ,.C•
- - -- ': CITY OF EAGAN
3830PICOTKNOBROAD
;? .
', EAGAN„MINNESOTA 55122 -
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REQUEST FOR ELECTRICAL INSPECTION
? See instrudions lor ffimpleting rtFS form on back of yellow copy
"X" Be/ow Work Covered by This Request
?i EB-00001-08
?'?`
?k•i?
e Add Rep. TypeotBwlding ApplianceSWired EquipmenlWirad
Home Ranqe Temporary Service
Duplex Water Heater Electnc Heating
ApL Building Dryer OtheF-(Specity)
Comm./Induslnal Furnace
Farm Air Conditioner
Olher?specily) Conhacbr§ Remarks
Compute Inspechon Fee Below:
# Other Fee # ServiceEntrenceSize Fee # Circuils/Faeders Fee
Swimming Pool D to 200 Amps 0 to 100 Amps
Trensformers Above 200 _ Amps bove _ Amps
SignS Inspectark Use Only TOTAL ?O
Irrigadon Booms ,? • ?f,/ Gl s
Speaal Inspechon
Aiarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONT
I, the Electncal Inspector, hereby Rough-in ?? > ( oaie G- 4 q Q
certify that the above inspection has
been made.
OFFICE USE 3NLY ?
This requast witl 18 montns Irom "
R 3 5$2 ?otr?3a
Requesl Date Fre No Rough-in Inspedion
Reqmretl, ? Ready Now 0 Will NoLty Inspector
? Ves u No When Feady?
10 liT sed contractor ?] owner hereby request inspection of above electrical work at :
Job Atldress (Sireet Box or Rou I City
?
(DC
iF.
?J
Section No Township Nema or No Range No County
Occupant(P T) Phone N.
Po uppher Atltlre ?
Ei¢nn I GonVador iCOmpany me) ? ConV 5 L¢ense N.
A
MaJin Atldress IComractor or Owner Makmg Install bo
?
4
?
Aulhonzea i
ner Making Instai ti , P
1.. Num er
= o- 36
MINNESOTR STATE BOARO OF ELECTRICITY ? THIS INSPECTION REOUEST WILL NOT
GrIqgsMidwey BIEg - Room S173 BE ACCEPTED BY THE STATE BOARD
1821 linlverslly Ave.. St. Peul. MN 55104 UNLES$ PROPER INSPECTION FEE IS
Phone (612) 6,12-0800 ENCLOSED
INSPECTION REC4RD I Control No.
CI1'Y OF EAGAN PERMIT TYPE: ?i? 1 t??r at?:
f 3830 Pilot Knob Road Permit Number: A01647
! Eagan, Minnesota 55123 Date Issued: to / 16 / 9 2
(612) 681-4675
SITE ADORESS: tO1, q
806 rvv LANE
rNE 61t70QtANUS NaprK
APPLICANT:
SiL-KMANa cONST rrrc
(612) 1:7'0--2424
PERYIT SUBTYPE:
TYPE OF WORK:
m
INSPECTION
F ni, 1 1 I•?!i .. .
FRAIlIN6 ..
1MS111 A11.0N 1r Tl1A1.
1 11, i I't !11 l
REMARr.st REcUxPr #
s&a wteR - afpr.--KYAN
4E. 01A
?,
:1?'iR', -._ . ? ?
PennR No. PertnR HoWer Date Talephone f
S/W
PLUMBING
;
NVRC
?. ?
A
EI.ECTR iC
/ •
? •`1 ? v ?-, r
/
?I ,? 7
?. ;
` ? ? _.? ?- l r .', : ?
!? .. ! .
;;
'?.•.: 44
,s` ? =.: ,.???
-
ELECTRiC
InspscKlan Deta IneP. Commiemis
Footings I
Founciation
Fm,,,ft
Roofing
Rouglh Plbg. ?12 /7 r"?'2
Rough Hlg. 9.W,? ff b?
law. ?ij?q l1-?-7ZG1G
Fi`e*ce ? AUtp
Fina,HV.
Ois8t TesS /- ? (P %.? G? ?? ?„ ?Y ? ?
Final Plbg. J? PIGg. Inspector - NotPty Plumber II
Canst. FAster I
Engr./Plan
Bfdp. Fnel
Deck Fig.
Deck Final
wen
Pr. Dlsp.
I- - Z ?
?
?
?
Permit No. PKmit Holder Date Tekphone ?
WATER
SEVYEFi
PLUMBING
H.V.A.C.
ELECTRIC
Inspsction Uate Insp. Comments
Footings I 7 ?
Foundation .
Framing
Rooling
Rough Pibg.
Rough Htg.
Isul.
Freplace
Final Htg.
Orstat Test
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final
Dedc Ftg.
Dedc Final
weu
Pr_ Disp.
"? . . . .,.: . . . .
Vit?? I?GR-SAIE Z?ITT
D[8 3 8 4 CITY OF EAGAN ??? '? J?•, 3
! 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
?PHONE: 454-8100 ,? 8? C016637
BUt?GING PERMIT t Receipt #
To Ge used (or FOUIIDATI01i Est. Value ; s. Q0fl Date 3UL 24 ,19 91
Site Address 5
Lot 4 Biock
Parcel No.
W Name -?iIiDOD1.AliD COUK?8YHDMS I11C
? Address 664d gUSTIC EtD SE
0 City PRIOR I.AKE Phone 447-2424
=o Name 5?
ou a Address
m
,-- City Phone
Name _
Address
I< W I City Phone
I hereby acknowlege that I have read this application and state that the
intormation is correct and agree to comply with all applicable Stafe of
Minnesota Statutes and City of Eagan Or,Minances.
--
Signature of Permitee ?
A Building Permit is issued to: W?DLAND COUl1TRYNfIlMS
on the express condition that all work shall be done in accordance with all
OFFICE USE ONLY
Occupancy - FEES
Zoning
(Aclual) Const - BIdg.Permit 72•00
(Albwable) - SurCharge 2.50
M ol5tories -
length _ Plan Review
DePt?+ - SAC, City 100. 00
S.F. Tofal - SAC, MCWCC 650.00
S.F. Footprints
On Site Sewage -
_ water Conn
660.00
On Site Well - Water Meter 95.00
MWCC System - 30
0
City Water
_ ?- ?Posit .
0
PRV Required _ S!W Permit 30.00
Booster Pump - S/W Surcharge .50
Treatmenl PI 276.00
_
APPROVALS Road Unit 370.00
Pianner - Park Ded.
Council -
C
i .50
BIdg.Off. op
es
_
Variance - TOTAL 2,286.50
SEWER & WATER PERMI7
cmr vF EaGAN
3830 Pilot Knob Rd.
Eagan, MN 66122-1897
DATE
OFFICE USE ONLY
METER#?6a7PERMITDATE???/06/9L
CMIP # lJ 3 ?? 4/6 ? d PERMIT # 1 248 7
METER SIZE S&ZV-41-1" B.P. RECEIPT #
ISSUE DATEP?.06 - 2 B.P. REGEIPT DATE
- PRV - BOOSTER PUMP
SITE ADDRESS
LCJT _BLOCK SEC/SUB
APPLICANT:
ADpRESS: s? . 5 . ?. .
CITY, STATE 21P .
PHONE:
PLUMBER: ' ? ei-r?h',-? :,.?g• `,1,?-'.
ADDRESS:
CITY, STATE ZIP
PHONE:
OWNER:
ADDRESS:
CI7Y, S7A7E. ' Z1P
PHONE:
PERMIT REQUESTED
- SEWER - WATER ` TAPS
COMM/IND _ RESIDENTIAL
NEW _ EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
I AGREE TO COMPLY WITH CITY UF
EAGAN ORDINANCES
SiGNATURE WHEWMETER ISSUED
PLEASE ALLOW TWO WORKING QAYS FOR PROGESSING. CALL 454-5220 FOR INSPEC710NS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
FrSEWER & WATER PERMIT
CITY OF ?,?AN '
3830`?1ot?Kriob Rd.
Eagah, MN 56122-1897
DATE
'.4 ]_1
OFFICE USE ONLY
MEfER # _
CHIP # _
METER SIZE
ISSUE DATE
PERMITDATE `;1/06/42
PERMIT # 12487
B.P. RECEIPT# C 016637
B.P. RECEIPTDATE 1'?/30/91
_ PRV - BOOSTER PUMP
SITE ADDRESS '" 7- -• i? PERMIT RE
LOT-BLOCK SEC/SUB ?AO0"3Ci46 QUESTED
- SEWER ? WATER _ TAPS
APPLICANT: t r?
ADDRESS: - COMM/1ND _ RESIDENTIAL
CITY, STATE ZIP '
PHONE: _ NEyy _ EXISTING
PLUMBER: Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line
ADDRESS: .
Credit WILL NOT be given for Deduct Meters
.
CITY, STATE - ZIP -' .
PHONE: i
; I AGREE TO COMPLY WITH CITY OF
aWNER: .} ri E;;-10. r- EAGAN ORDINANCES
ADDRESS: =:'-148 Rtis ;_ J. .? 'Zc
CITY, STATE ZIP
PHONE: - t SIGNATURE WHEN METER ISSUED -
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
kLEWER PERMITS, CONTACT ENGINEERING DEPT.
? CASH RECEIPT
f
CITY OF EAGAN .
3830 P1LOT KNOB ROAD `
EAGAN, MINNESOTA 55122
DATE 11 - 19 "[n?0?;
AMOUNT $ 1 "
? CASH >(CHECK
DOLLARS
?ro
M4-79 L - 4
S
i~14 77 ?`v"\I rsrr? ?ra
FUND 08JECT AMOUNT
'i??_ ,,,a , it. ?l•? L.?-I I , : ? I? l. '-1 I (?' ??: ?t' i.
Thank You
BY
C 14654
?te-Payers Copy ?
YeIW*--N)swg Copy
Pink-FX6 CoPY
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA169606
Date Issued:06/02/2021
Permit Category:ePermit
Site Address: 806 Ivy Lane
Lot:4 Block: 03 Addition: The Woodlands North
PID:10-75890-03-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Janet M Jorgenson
806 Ivy Ln
Eagan MN 55123
(651) 343-3620
Milbert Company (culligan)
1801 50th St E
Inver Grove Heights MN 55077
(651) 451-2241
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA172944
Date Issued:10/22/2021
Permit Category:ePermit
Site Address: 806 Ivy Lane
Lot:4 Block: 03 Addition: The Woodlands North
PID:10-75890-03-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
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 -
Janet M Jorgenson
806 Ivy Ln
Eagan MN 55123
(651) 343-3620
North State Mechanical
1444 14th Street W
Hastings MN 55033
(612) 207-0345
Applicant/Permitee: Signature Issued By: Signature