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810 Ivy Lane?? ?g2- 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWcfion Reauirements RemodellReoairReauiremenls 3 registered site surveys showing sq, fl, of lot, sq. N. of house; and all roofed areas 2 copies of plan (20% maximum lot coverage allowetl) 1 setof Energy Calculations for heated additlons 2 oopies of plan showing beam 8 window sizes; poured found design, etc. 1 site survey for addilions 8 decks 1 sel of Energy Calculahons Add'rtion - mdicafe 'rf ortsife septic system 3 copies of Tree Preservation Plan d lot platted afler 711193 Rim Joist Detail Op6ons selecGOn sheet (bldgs wiN 3 or less umts OtficeUse`onl Ced6CSurvgyRea(.? --- Y =11 7're8 Pes PI?fiReW ' t1 TraePrC,SReuired, ?.,Yy bnsif:'SejiB'cSysJem_ N Date Y SiteAddress Construction Cost lv -j ?l UniUSte # Description of Work l e I/'nc ;r? cr J:[ ? 1 C L???V Multi-Family Bldg ? Y _ N Fireplace(s) y/ 0 _ 1 _ 2 Property Owner W60-91 4in ,j C?vvI-N /=J ??^^C S Telephone # ( ) Contractor f-el U"^FJkS ? 4,-A?6c5- Address d ni State L ?? ?, ( ? ? {1 • City Zip Telephone # 32g? ? COMPLETE THIS AREA ONLY IF Energy Code Category Minnesota Rules 7670 Cateeorv 1 _ . Residential Ventila6on Category 1 Worksheet (J submission type) Submitted . Energy Envelope CalculaGOns Submitted Have you previously constructed a building in Eagan with a similar plan2 _ Y fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone # ( N If so, 25% plan review Telephone #( Q) v H " ? I hereby apply for a Residential Building Permit and acknowledge that the informat on is complete and acc rate; that the wark will be in conformance with the ordinances and codes of the City o 43 1VIN 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. A NEW BUILDING Mmnesota Rules 7672 • New Energy Code Worksheel Submitted Ii1ct tr iU L?v11 4tiS4-i1 /;I ApplicanYs Printed Name Applicant's Signature , r -- CITY OF EAGAN L-&-- B ??? /? ? MECHAATICAL PERMIT RECEIPT # SUBA ?/? d'?'f?d/1 ? (612) 681-4675 DATE 3(_t(r cVx-?, - ItESIDENI7AL - - - Ap - PLEASE COMPLEI'E UPPER PORTION ONLY FOR SINGLE FAMIIY DR'ELLING3. AISO, COMPI.ETE FOR TOR'NHOMFS/CONDOS R'HEN SEPARATE PERMTIS ARE REQUIRED FOR EACH DWELI.ING UNIT. OWNER: FEFS SITE ADDRESS: ADD ON/REMODEL (FJ?7STING CONSTRUCI'ION ONLI) S 13.00 INSTALLER HVAC: 0.100 M BTU 24.00 PHONE #: ADDITIONAL SO M BTU 6.00 ADDRESS: ? l l\ t 1.' ?? S ? GAS OU1'LEfS - MWIMUM 1@$3 FA. crrr: "? ,Q_ zrn:?.?3?8 suxcanxcE: $ .so SIGNA TOTAL: S l COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAIJIrTDUSfRL1L BUII.DINGS. ALSO COMPLEfE FOR APARTMENT BUILDINGS OR OTHER MULTI•FAMILY BUILDINGS WHEN SEPARATE PERMIIS ARE NOT REQUIRED FOR EACA DVVELLING UNIT. WORK DESCRIPTION: CONTRACI' PRICE: I FEFS 1% OF CONTRAGT FEE. STATE SURCfiARGE IS $.50'FOR EACH $1,000 OF PIIiMIT FEE. $ PROCESSED PIPING - $25.00 Fs MIlViMUM FEE - S25.oo PLEASE COMPLETE FOR SINGLE FAMII.Y DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE .REQUIRED FOR EACH UNIT. NO. FIXfiURE5 ? SHvWEi'c WATER CLQSET BATH TUB _? LAVATORY _L KITCHEN SINK LAUNDRY TRAY HOT TUB/SPA WATER HEATER _11 FLOOR DRAIN _L GA5 PIPING OLJTLET • minimum - ? ROUGH OPENINGS WATER SOFTENER PRIVATE DISP. • Dak.cxy. li? U.G. SPRINKLER • home under mnsL ALTERATIONS • to ?tmg WATER TURN AROUND STATESURCHARGE STTF AT)DR; OWNER NA INSTALLER ADDRESS: CITY:_L PHONE #: ( TOTAL: / 21 7?S- EACH TOTAL 's.00 3.00 C) 3.00 3.00 3.00 300 3.00 G;, 3.00 3.00 3.00 ac?lcs 0 3.00 o v 1.50 5.00 r' 15.00 3.00 15.00 15.00 .50 L?) STATE: % ? - ZIP CODE: UG ) Y2--s -/l `fv PLUMBING PERMIT (RESIDENI7AL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 { ?. . - EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION OwNErt: WOODLAND COUNTRYHOMES, INC. SITEADDRESS: Lb7 (.10 BbbGK3 TME WOOPLANIx NOQrNPHONE: CONTRACTOR: SIEKMANN CONSTRUCTION, INC. - LIC. k0001436 DATE: DETERMINE WORKING SQUARE FOOTAGE OF EACH: 1. TOTAL EXPOSED WALL AREA .............. 976.00 sq ft x"U" 0.110 = 107.36 2. TOTAL ROOFlCEILING AREA :................ 1,435.00 sq ft x"U" 0.026 = 37.31 ? 3. TOTAL EXPOSED WALL AREA CALCULATIONS: Total exposed wall area above floor........ 976.00 sq ft a) Total window area: Double glazed ........... ............. 111.00 sq ft x"U" 0.430 47.73 gl a zed ........... ............. b) Total door area :.................................... c) Total sliding door area: sq ft x "U" 38.00 sq ft x"U" 0.070 = 2.66 Double glazed ........... ............. 40.00 sq ft x"U" 0.430 = 17.?0 gl azed ........... ............. dl Total fireplace wall area :....................... sq ft x "U" - 0.00 - 0.00 sq ft x"U" 0.370 = 0.00 e) Total wall framing area (AVERAGE 10°k) .......... 97.60 sq ft x"U" 0.095 = 9.27 f) Total net wall area above floor, (insulated) ........................... 689.40 sq ft x"U" 0.043 = 29.64 g) Total rim joist area :............................... NA sq ft x"U" 0.034 = 0.00 Total foundation area (exposed) ..............NA sq ft h) Total foundation window area .. ............. NA 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) 106.51 If item #3 is the same as, or less than item #1 you have met the intent of 2 MCAR 1.16008 A and 0. Page -1- 4. TOTAL EXPOSED ROOF/CEILING CALCULATIONS: 4. Total exposed roof/ceiling area . ............. 7,435.00 sq ft j) Total skylight area ................................ 0.00 sq ft x"U" = 0.00 Total rooflceiling framing area k) (Average 10°k ............. 143.50 sq ft x"U" 0.039 = 5.60 d) Total net insulated roof/ceiling area .................................... 1,291.50 sq ft x"U" 0.024 = 31.00 Total a) thru il 36.59 If item #4 is the same as, or less than item k2 you have met the intent of 2 MCAR 1.16008 A and O. ALTERNATE BUILDING ENVELOPE DESIGN To utilize the total evelope system method, the values established 6y the sum of Items #3 and Item #4 shall not he greater than the sum of Items Jl1 and tt2. 1. 107.36 + 2 37.31 = 144.67 3. 106.51 + 4 36.59 = 143.1 CERTIFICATI ON 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. (Signawre) (Date) Page -2- INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: ?.Lr?) r.vv I A11E Siei<mESNra COrasr TIiF I„1000LAND.'S iVORTH (612) 914 7-2 921 PERMIT SUBTYPE: OIIPI EX TYPE OF WORK: NEW B Ul"LfI7IV6 Gi41f320 1i/3a/9z INSPECTION F6q f.fP'C; ., • FftAM.CNG ., J.NSUf.R.TION F1N 611_ FfF.FPI A1,F` ftGPIAftKti: ft?CE1Pi 4f C 021817 ? 7? W CC1h!TiiRC'fOh( - GCIVZ-i?YftlV PLiiG ? ? ' CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: ?u1I,otnir 47fA18?0 11J30/J2 SITE ADDRESS: f, .1.IV.: 141-7 5 t390-050-0 3 "r.,1V1 IVY I APIc LOTe 6 P, LOCKe :3 THF. I40 0 0 LAN0 S D!Oii1M DESCRIPTION: E3uild"i'ri cj I'ei°mit. '1yp? Bui J.dirig Wni'Ic l")rfir UBC OcGnpaney ConEtruction 1"yre ZQtll(lg 8u;lding LEngth Building Wi.dth DUf>lEX Nf`.W F?-3 h1--1 i/ - PI U () 68 94 -? REMARKS: Rl_cL7FT !F c 021817 s aJ w cn1v'rRHCTo 1? - (I EN l-PvRN P L 8 G FEE SUMMARY: v,4i.UATlnN r,r,?s, Fc:c ?' ? d f I i, _: i ?; W tiLll-cilPiP'r?P, it) C 5AC ? 5Ai' Unit9 Suij toial f?pJ(ji.:lN i 0 G] . 0 0 100 1 713. 00 t.as,0m0 I6 13LE LLANF OUS °'6.L8.5(4 I'oLal Fce $ 'i,:3"L8.S47 CONTRACTOR: -A pp i . i ca nr - s r. i_ iXOWNER: 51"FI<PilaPllV CbNS'f 14472424 0001136 WUOULANp CDUNTRYHOhfES INC 6i54.^. RU3?'7(, ;<i) .,_ &6 'IS RU;T'IC t<U SE PRItIP i_AItf P4P! 55377 PRJOR l_NKE P41Y 55372 ?6 i;-; n<,,7 __2 /12 1 (c,.;T)aar-<nun Z hereby acknowlzdga that L have read this application and state that the infiorma t:ion is cnr•rer.t and sgree to coiuply witf, ali applir.rbln 5t_?te o'i PiriStatutes and CiLy oi' Eagan Ordinanr:es. ? - ?n+?n fi ?; rl I T1L,? APPLICANT/PERMITEE SIGNATURE ? ISSUED BV. SIGNA UR PERMI7,# REaCTIYhTt it?o CITY OF EAGAN 1992 BUILDING PERMIT 681-4675 APPLICATION 43,3?'? .no SINGLE & MULTI-fAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAI 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not 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 pTev. LG- /q.g Valuation of work $88.180.40 Site Address: 810 Ivy Lane STREET SUItE X Tenant Name: (commercial only) IAT,6_ 8LOCK 3 LUBD.The Woodlands Nort P.I.D. * 10 75890 060 03 Oescri tion of work: The applicant is: O Owner U Contractor ? Other coes«iee> Name Woodland CountryHomes, Inc. Phone447-2424 Property LAST F,RST OW(1@f qddress 6648 Rustic Road S. E. STREET STE N City prinr T.ake , State MN Zjp 55372 Company Siek mann Construction, Inc. Phone447-2424 Contractor Address 6648 R„-r;c Road s e License # 0001436 ExP,3/31/93 City Prior Lake, State MN ZjP 55372 Company Phone Architect/ Engtneer Name Registration 8 Address City State Zip Seaer 6 Nater licensed plumber Genz-R an Plumbin . Processing time for sewer 6 water permits is two days once area as been approved. I hereby acknoaledge that I have read this application and state that the information is correct and agree to comply w' h all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE O 01 Foundation ? 03 SF Addition ? 04 SF Porch ? 05 SF Misc. WORK TYPE -4 31 New ? 32 Addition ;0;06,6 Du 4-Plex 0 08 8-Plex ? 09 12-Plex ? 10 Multi. Add'1 ? 33 Alterations ? 34 Repair ? 11 Apt./Lodging ? 12 Multi. Misc. ? 13 Garage/Accessory ? 14 Fireplace ? 15 Deck 13 35 Tenant Finish ? 36 Move GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy i Zoning # of Stories Length Depth APPROVALS Planning Engineertng Y-P! ;•3 ? -? _PD 6C3 :q (4 REGIUIRED INSPECTIONS ? Site ? Wallboard Basement sq. ft. lst fl. sq. ft. 2nd Fl. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Building 01I-/Z9z Yariance I ? Footing ? Final ? Framing 11 Draintile ? Insulation ? Fireplace Permit fee v,nmt;q,: Surcharge Plan Review License MWCC SAC City SAC Mater Conn. Water Meter , Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: S-0r Ovo - f . ? ? t 16?wBasement Finish ? 17 Swim Paol 0 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public facility ? 21 Miscellaneous ? 37 Demolish MWCC System ` c 5 City Mater -Ye3, PRY Required Booster Pump Fire Sprinkler Census Code _/oz SAC Code ?L C:eMS us • .t WWY?{dS G M If I Assessments SAC % too SAC Units I , LOT BIIRVEY CSEC1[LIST FOA REBIDENTIAL ? BOILDING PBRMIT IiPPLICIITS PROPERTY LECiALS Date o! survop: z?- CIIMENT ¦T71N1 RD / 9 A Er A ? : Registered Land Surveyor signature and company 0 ? Building Permit Applicant Q ?- /0 • Leqal description 0 [?' ? ? • Address ?? 0 • North arrow and bar scale fY 0 0 • House type (rambler, walkout, eplit w/o, split entry, 6'0 0 lookout, etc.) • Directional drainage arrows with slope/qradient !. 0?0 • Proposed/existinq sewer and vater services D' ? • Street name 0 0 • Driveway L"LEVATIONS Existina D 0 '/? • Sewer service - -?/C?" 0 • Lot corners H' 0? • Top of curb at the driveway 0? 0 • Elevations of any existing adjacent homes ProDOSed ? 0 • Garage floor ? First floor ? : Lowest exposed elevation (walkout/window) ? F . Property corners ? • Front and rear of home at the foundation PONDING AREAB (if applicable) 0 B/Q • Ea ement line 0" / • ? L 0 6 ? • HwL 0 C? • Pond # desiqnation D B 0 • Emergency Overflow Elevation rurarawv?aia?a l9" 0 0 • Lot lines ??0 • Right-of-way and street width (to back of curb) [q" 0 0 • Proposed home dimensions iacluding any proposed decks, overhangs greater than 21, porches, etc. (i.e. all ? structures requiring permanent footings) L9" ?? • Show all easements of record and any City utilities within those easements 0? • Setbacks of proposed structure and setback of adjacent existing homes D 0 • Retaining ??ements, if any - Reviewed: 7 OCtober 1992 Address 810 IW I,ANE Zip 5?14= L.ot ' '6 Blk 3 Sub UE WOOMANDs xoM THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPEGTION. Date: pb/pg/gg Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) V" Permanent steps (main entry) ? Permanent driveway Permanent gas LI/ Sod/Seeded grass ? Trail/curb damage ?' Porch Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and ihe shut-off of water supply to the ouiside 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 - Contractor Copy d f17:?,qp REQUEST FOR ELECTHICAL INSPECTION ? See instmctions lor compieting tnis lorm on beck oi yellow copy 'X' Be/ow Work Covered by This Request ??gi•',, ew Acf? e. V TypeofBwlding AppliancesWVed EquipmenlWired Home Range Temporary Service Dupiex Water Heater Electric Heahng Apt. Building Dryer Other-(Specliy) Comm./Indushial Furnace Farm Air Conddwner Olher(specAy) Conhacmr's Remerks' Compute Inspection Fee Below: # ! Other Fee # ServroeEntranceSize Fee # Circuits/Feeders Fee - l -- Sw imming Pool 0 ro 200 Amps 0 to 100 Amps Trensformers Above 200 _ Amps Above 100 _ Amps Sgns InspetmrsUSaOnry OTAL Irngatwn Booms ?( ? ?- Special Inspecti0n ?v Alarm/Communication THIS INSTALLATION MAY BE ORDE ONNECTED IF NOT Other Fee I COMPLETED WITHIN 18 MO S. I, the Electrical Inspector, heteby Rough-in r oefe .?? certify that the above inspection has been made. F,nei oete y3 OFFICE USE ONLY Thrs request voitl 18 monihs lrom g d flequest 0?a ' Fne No Rough- Inapacnon ulremd9 Re ? Reatly Now ill Notdy Inspedor q - s ? No W hen Reatly+ I-Xricensed contractor :] owner hereby request inspection of above electrical work at. Job AOtlress (SVeet. Box or Rome No I ' C,-? Pry i+ G C Sedion No Townsnip Name or NIT - Range No Counry 4 Occu antI PRINT) hone No ' Power awpplier j qdtlrpy ' Eiecfnca ractor (COmpany Name) Contrecror icense No. Mailmg AOtlress (C Vactor or Owner Making Inslallabon) / Authonz Si emre ICOmraclonOwner Makmg Inslallation? _ Phone Number 3 5z 4 ~ W , MINNESOTA STATE BOARD OF ELECTPICITY? I THIS INSPECTION REQUEST WILL NOT Grigge-Mlaway Bldg - Room 5-173 BE ACCEPTED 8Y THE $TATE BOARO 1821 Univ¢rstly Ave., St PeW. MN 5510G IINLESS PROPEF INSPECTION PEE IS Phone (612) 865-0800 ENCLOSED CITY OF .EAGAN . , 454-8100 DEPT. OF BUILDING INSPECTIONS • Correction Notice Located at ?1 O/ v y 1???? I have this day inspected this structure and these premises and have found the following violations of city codes governing same: r'?.. /_1 ZT T,f .?? r?,.LF cT '? ? ? l- 1_ When corrections have been made, please call 404wfM0 for jnspection. -, _ . Y - ? .. Date ` -`? Inspector City oi Eagan DO NOT REMOVE THIS TAG ,_ .. ? e" OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) ss i -as7s SITE ADDRESS: ,. , .,N E7 . PERMIT SUBTYPE: ? O :CORD PERMIT TYPE: Permit Number: Date Issued: Elt IICd : APPLICANT: " pl?.taia : I , i TYPE OF WORK: Fti1 I t li 1 N1; AtlI8:N tv r ?a . ? •? . i(i?l I T f•1!? ; Vr"iMl I'11, . I r1',I?? r', ? I??Pa ; 1 I+tt+ : ' i ; ;?I r,t r I RfP4ARK'; hFf.r Tf'1 m C 021817 & W CtIN'lftAC ltiR . OENl-fiVAN 1'1 H[j ? ? PermN No. Permft Fio kler Dabe Telephons t S!W PLUMBING ,1G?3 // HVAC ? rv 3 ?• D ELECTRIC 8 /? ^ GriJ ELECTRIC y Inspectfon Dete Insp. Co mments F°ontgs I I io l wt FDUrdabon Framing Roofing Rough Pibg. Rough Htg' ? ?/ ? ?1'• C is,i. ?s'r? ? i'?"?S- ? a ?f s ra Fireplace A3 /f3,- Fnai Htg. Orsat Test Xdii Final Plbg. Pibg. InspeCtor - Notify Plumber Const. Meter Engr./Plan Bldg. Final /( ?v P r Deck Ftg. Deck Final Well Pr. Disp. PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA176247 Date Issued:05/09/2022 Permit Category:ePermit Site Address: 810 Ivy Lane Lot:6 Block: 03 Addition: The Woodlands North PID:10-75890-03-060 Use: Description: Sub Type:Water Heater Work Type:Replace Description:Standard Water Heater 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 - Sandra K Borsheim 810 Ivy Ln Eagan MN 55123 Champion Plumbing Llc 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature