3906 Mersey Pt - Zoning Permits & Plans Use BLUE or BLACK Ink id'
For Office Use �-
OILY O as Permit#:
�� Permit Fee: /117
3830 Pilot Knob Road
Eagan MN 55122 Date Received: S'.11-r)
Phone:(651)675-5675
Fax:(651)675-5694 Staff: /IC
� J
�i 2017xRESIDENTIAL BUILDING PERMIT APPLICATION
Date: / t 1 / Site Address: MO6 / l f S 1✓1t S 7 2...3 Unit#:
Name: gaAl..kel
1J C it Phone: koS 1 Z..7 0S (�
Resident/ yy� ✓'
Owner Address/City/Zip: 39 /i/
06 e e i-?i,n ` Ql. a?sir
Applicant is: Owner 2( Contractor
"J `f f 4147
;if id{446
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Description of work: e,(7.51f f (' S fvrL'1 (Cc(.)t�'-tje'Je) $ etars
Construction Cost: Multi-Family Building: (Yes /No )
Company: iVNUV JSe LI-CF Contact:
��VSeOl n ajLte,je(Y)
6-66 S �/�
Address: JI { / f`6
Cbrltr�iCtQ#? � /// City: 5/-,
State:gA Zip: c37o7 Phone:.S/26O S" 7'Email: pr seam 02grail.corn
License#: FL-7252_72- Lead Certificate#:
If the project is exempt from lead certification, please explain why:
qq3 qr. Avo6aelare.,
COMPLETE THIS AREA ONLY IF N R IN A NEW BUILDING
CO S U G U LDING
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:
Fire Suppression Contractor: Phone:
NOTE:.Plans and supporting documents that you submit are considered to be"public information. Portions of
the information maybe classified as nonpublic if you provide speCific reasonsihat would permit the Cityto.
conclude that they are trade
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; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
5CAIb- 6(16 4) x 7
Applicant's Printed Name Applicant's Signature
Page 1 of 3
,. 1 °C�~ l/ d�� u
S — DO NOT WRITE BELOW THIS LINE > r ` ��
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SUB TYPES
Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
Single Family Garage — Porch(4-Season) _ Exterior Alteration(Multi)
Multi xDeck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
01 of_Plex _ Lower Level — Pool _ Accessory Building
WORK TYPES
New — Interior Improvement _ Siding _ Demolish Building*
_ Addition _ Move Building _ Reroof _ Demolish Interior
Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace Repair Egress Window _ Water Damage
staining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation 3f ''1°- Occupancy .7 J . -/ MCES System —
Plan Review Code Edition la,o- SAC Units 1
(25% 100% //) Zoning A - , City Water
Census Code 'y 3W Stories Booster Pump
#of Units I Square Feet PRV
#of Buildings / Length Fire Suppression Required
Type of Construction Z Width ...-
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final/C.O. Required
Footings(Addition) Final/No C.O. Required
Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test
Roof: Ice&Water _Final Pool:_Footings Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS
Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: '%' — , Building Inspector
RESIDENTIAL FEE "
e- in id @ /d a / j ama ev
Base Fee " �f"
Surcharge
Plan Review /5 • ��
MCES SAC
City SAC
Utility Connection Charge
S&W Permit& Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
• ` f * Mendota Heights, MN mai cv
• * PIONEER 1(612) 681-1914-Fax 681-9488
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_ LAND SURVEYORS•CIVIL EMClNEERi .��,
'F* engineering CARO PLANNERS• LANDSCAPE 01011TEC TS 1• 625 Highway 10 Northeast
81oine. MN 55434
* ;(812) 783-1880•Fax 783-188.3
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Certificate of Survey for: The Rottlund Company. Inc. .
House Address: Mersey Point, Eagan, MN /Z/..---
Mode! Name: Aooieton
Customer: me c.AO'"
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a soo.o Denotes Existing Elevation PROPOSED HOUSE ELEVATION
•CgD) Denotes Proposed Elevation Lowest Floor Elevation:876.45
-..=-.7. Denotes Drainage & Utility Easement Top of Block Elevation•884.56
Denotes Drainage Flow Direction
--o-- Denotes Monument Garage Slab Elevation:884.23
—9-- Denotes Offset Hub Bearings shown are assumed
LOT 6 , BLOCK 3 COVENTRY PASS
DAKOTA COUNTY, MINNESOTA 4TH ADDITION
1 hMaby tinily that this surrey.Dian or roomy ryas pr Bred by Ana or/pndar my Qum;liberationth
peration ono at I amdusy Regiutared Load Summar
the!arra of the State of Minnesoes.Dated this. fl"r div 8f �(/4.&t A.O.19 7;.1 I» ///J////�/
Scale: 3Q tssi ROBCRT B.SIK t.3. CL NO.c
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1tiT51 92.578.45