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3903 Mersey PtCITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: I „ I m1 W.1 Y I' 1 i ?IVE M I I• i I ri':':, 4 1 ki INSPECTION RECORD PERMIT TYPE: PeRnit Number: Date Issued: 0 7 1,10 / 44 i APPLICANT: - ; , . i• UrN 1: ) 4h4 :iti t3 PERMIT SUBTYPE: TYPE OF WORK: , I ;,- i, i , , r? i.It 14 i 1.1 4- ? . ? J kkM/ihk';: `.EYAItAft VtRMI l'. AkF 13fU111KF1i Ft)k HMY f'111Mi3JNto Uk E.If?Clk li - Al W t?P K Y Permit No. Parmit Holder Date Telephone N SNV PLUMBING HVAC ELECTR G9?f? ELECTRIC Inapectlon Date Inep. Commente Footings I Foundation Framing Roofing Rough Plbg. Rough Htg. yy ' Isul. ?.' y Fireplace Rnai Htg. Orsat Test Final Plbg. Pibg. Inspector - Notity Plumber Const. Meter EngrJPlan Bidg. Final C ? Deck Ftg. Deck Final Well Pr. Disp. INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: .<, . M? f<•F ? I?1 Ct#Vt NTRY PA5S 9111 11.3403 030-0 ' APPLICANT: 3 Ft 1_ ot r Fli?f-PIAt 1 •:.f'1ClAI V-1 4 t?! 1910 ??,i t ? i? i w??? ? ? PERMIT SUBTYPE: TYPE OF WORK: Parmit No. Parmit Holdsr Dats Telaphons N ELECTRIC PLUMBING HVAC Inspection Dat* Insp. Comments FOOTINGS FOUND FRAMING ROOFiNG ROUGH PLUM8ING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL CiYP 80ARD FIREPLACE FIREPLACE AIR TEST ?? t! FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG OECK FINAL , ,. CIl'Y OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: 6 4 1 V 1 ht 1!1 'V 4' il h:•: d 1 t 1 PERMIT SUBTYPE: TYPE OF WORK: isI? i i 111t41; 0 r0 9>??.s 04 /N.' /'a i INSPECTION .A . .. • +? . , ? i1? f INSPECTION RECURD PERMIT TYPE: Permit Number: Date Issued: APPUCANT: -.ri 0404 RFMAFtY.Ss S'K W I'i,fiR - Vlil. l l. Y Nltlfi PermR No. Permk Holder Date Telephone M S/1N PLUMBING HVAC ELECTRIC ? Q 3 ELECTRIC Inapectfon Dab Map. Commsnts F?ings 1 4? Foundadon l Framing ? Roofing Ro'gh Prog. Rougli FIt9- Isul. Flreplaoe Rnel Htg. X% Orsat Test Finel Plbg. Plbg. InspeClor - NotilY PiWnber Const. Meter EngrJPlan Bkig. Final ` Deck Ftg. Deck Final Well Pr. Disp. v?-93 ,' INSPECTION RECORD ? "CIT1F OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: SITE ADDRESS: r- , ??v?-t? ? a??r ???t°;?: M ? ?r PERMIT SUBTYPE: , 3 N? ur a. APPLICANT: TYPE OF WORK: N A/-l A 1 tt 'i INSPECTION .. . ?- .A ! PermR No. Permn Holder Qate Telephone # SJW PLUMBING HVAC ?J f` ?"YGr l?fi fP ELECTRIC ELECTRIC InspscNon Date Inap. Commerris Footings I ?Xl 51q2 ? FOUndatbn Framing Ropfing Rough Plbg. I? ?1 H°"9n "'9• -/G Lsui. Fireplece u,? r=? ? ?5 y3 SG s L%7 Ou' -rULQ f'a0 Final Htg. Orsat Test t. Final Pibg. 6 Plbg. Inspector - Notity Piumber Const. Meter EngrJPlan Bidg. Fnal '1.2?/Q-? ! . . 1 C!I Deck Ftg. Deck Final Well Pr. Disp. • +-??? ?? - C??`,ei.?i?icate nf cccuvanc4 of ftegm This Certificate issued pwsuaRt ta the requirements of the Unifarm Building Code certifying r/wt at dte tbne of isserance this structim was in complimice with the various ordinances of dre City irgrrlating buildiag coristruction or use. For the following: uwclmswwadm SF DWG swg. P07ok r*o. 20653 R3 1 VN ConsL aor ? Il? RDFTIIIINID ?? a? 5200 E?FiD, FRID[EY B'_ Addkm= 3$"- M PT i3, B3, OOVQ+TM PASS 4Ili ? Daw. 06J25f'+g 1 sommarcw POST IN A CONSPICUOUS PLACE .M .a-. Wertificate uf Ccrupanc? VU4 of Cfagan wcoartmrut of 131ti[i* audoectiaK i? This Certificate issued pursuaret to the requirements af the Urtiform Building Code certifying that at the tinte of issuance this structure was in compliance with tire various ordinances of the Ciry regulating bailding construction or use. For the followirig: 5F TW 20593 Use Classification: Bldg. Pemut No. Occupancy Type Zoning District T?ix Can.W. Owner of Building ???m co DC Addrm FM'RD, FRMM 3903 MERSEY PT OUMM P Bag Address i l.ocality ..?/ ? ! ? ,21/q3 ?- Date: Building Official POST IN A CONSPICUOUS PLACE ?aI?95- /o s.3 ?' s?9/ L 1 m ? ?? .s Fepues oate • ?- a,? -93 n No. FouBh? nsp ctian R ire J Nofify Ipbpect ? Reetly Now yJ Willh n O 9? ? W Yes ? No e Y I/licensed contractor ? owner hereby request inspection-ofabove electri I work at ? Job AOOress (StreeL Bax or Route No.I pry , Seclion No. Township Name or No. Range No. Cou? Occup t IPRWT? Pharie No. Powar'.jopplier AOtlress . ? P/ ?C ElacVic on?ra m? }COmpany Ne er Contractork License No. ? oa3? MaiLn Adoress ?Conlrac?o? or ner Making Installation) Autnorrzea Slgnamre fCOnh IouOwn ing Instaliauon) - Phone Number N 3 I 6 - MINNESOTA STATE 80ARD OF ELECTflICITY r THIS INSPECTION REOUEST WILL NOT Gtlggs-MiAwey Bldg. - Room S113 BE ACCEPTED 8Y THE STATE BOARD 1821 Unlversity pve., St. Peul, MN 55106 UNLE55 PROPER INSPECTION FEE IS Phone(611) 6<Y-O800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ?iEE,00///0:::01 qe / 1? See insVUCtions lor completing thls iorm on Dack of yellow Copy _ 1 O.2 5 O "X" Below Work Covered by rhis Request ew Add Rep. TypeolBuiltling AppliancesWiretl EquipmemWired Home Fange . Temporary Service Duplex Water Heater Electric Heating Apt. Buiiding Dryer Othec.(Specify) Comm./Industrial Furnace Farm Air Conditioner Other(speclfy) ConV9ctars RemarkS'. ? Compute lnspecfion Fee Below: # ONer? Fee # ServiceEntranceSize Fee # circuits/Feeders Fee Swimming Pool 0[0 200 Amps mps Transformers ? Above 200 _ Amps l _ Amps Abo? Si9nS b Inspecror5 Use Only: TOTA Irrigation Booms AL 6 Special Inspectlon f tD ?L r ? co Alarm/Communlcation THIS INSTALLATION MAV BE OR flED DISCONNECT D IP NOT Other Fee I COMPLETED WITHIN 18 MONT I, the Electrical Inspector, hereby tit th t th i b R°°9n-in oate ?-?' Y cer y a e a oie nspection has been made. F;nai L OFFICE USE 3NLY This re quesl voi0 18 monl s imm L s Request Dat Flre Nµ„ R h? InapecUOn " .. . tl? ?7 Raetly Now Will Notiry Inspactor ? Wh R a \ ? .,?s r? No en ee y IW licensed wntractor ? owner here6y request inspection of above electrical work et: Job Atltlress (Slreet. Box or Roule No.) Giy 9 cs? 'k Section No. Township Name o, No. R9nga No. Co cupant (PRINT) , Phone No. P erSupplier Atltlraes Elec ncal Comractor ?GOnpany Namel Contraciw5 Licensa No. ? ? G(?oo 3 I Mailln ress IComrector or Ownar Making Ingallation? Amnorizetl ra IConVactorlOwner ' ing Installationl Phone Number 3-38?a MINNESOTA STATE BOAPD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Grlggs-MlOwey Bltlg. - Room 5-173 BE ACCEPTED BV THE STATE BOARD 1821 Univarslly Ave., 5\. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone(612)6C2-0800 ENCLOSEO. "51 V ??- LI .0242 REQUEST FOR ELECTRICAL INSPECTION ? Sae insimctions lor completing ihis lorm on back al yellow copy. "X" Be/ow,Work Covered by This Request EB-00007 .08 ew AUa Rep. 7ypeofBuilding AppliancesWiretl EquipmentWiretl Home Range Temporary Service Duplez Water Heater Electric Heating Apt. Building Dryer Othec{Speciry) Comm./Industrial Fumace Farm Air Conditioner Other(syecNy) Contraaor5 Remarks'. Compute Inspection Fee Be/ow: # Other Fee S ServiceEnirenceSize Fee # Cirouits/Feeders Fee Swimminq Pool 0 to 200 Amps o to io0 Amps Transtormers Above 200 _ Amps Above 100 _ Amps Signs Insoactor5 Use Only: pL 50 Irrigation 8ooms /, =G ? C? Special Inspection Alarm/COmmunication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT Other Fee CpMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby certify that [he above inspection has been made. R°°9"-'" F;nei oaie oata • ?[ OFFICE USE ONLV This requesl voitl 18 months Irom Requ st D e (} ?-(JQ'"l-3 Ire No. Ro = InspecNion R ui ? . s ?NO 1 ? Reetly Now ? Will Notily InSpgp(¢ CYhe EyY? '. I? licensed contrector ? owner hereby request inspectionrofatiove elec al wor - Go ? Job Atldress (SVeet BoK or Roule No.) 3 6 3 0,? City Sec[ion No. Townshi0 Name or No. Range No. Cou!ipp /"?' 1. \ ? Occupa IPRINT, Phone No. Power Suppyar? v % ? Aatlre55 Elecincal o IraC, (?mOany NamE? (JGX??? I ConVactor5 License No0 C o 0 3 8 Mailing AtlCress IComractor or Own Making Instailation) AulM1Orizeo Signetura iGonVact iOwner Insialtalion . Phone Number MINNESOTA STATE BOAHD OF EfLECTRICIT'Y THIS INSPECTION REOUEST WILL NOT Grlqge-Mltlway BIOq. - Room 5.1]] BE ACCEPTED BV THE STATE BOARD 1821 Univers0y Ave., St. Paul. MN 55104 UNLE55 PROPER INSPECTION FEE I$ Phone(612?89]-0800 ENCLOSEO. 5/C?L ?'? ;EQUESTo FORoE?LECTIRI?CA?L ?NSPECTI?ON ?*?N=I ee-ooooi-oe 00? 1+,? /? ? n ? ?i- O "X" Below Work Covered by This Request ?? ew Add Rep. Typeoi8uilding AppliancesWired EquipmenlWired Home Range Temporary Service Duplex Water Heater Electric Heatinq ApL Building Dryer Other-(Specify) Comm./Induslrial Furnace Farm Air Conditloner Otherlsyecity) GonVacrorS Remarks: Compute Inspection Fee Be/ow: # Other Fee 8 ServiceEniranceSize Fee # Circuits/Feetlers Fee Swimming Pool 0 l0 200 Amps 1 1,4 0 l0 100 Amps Transformers Above 200 _ Amps Above 100 _ Amps Signs Inspacmr5 Use Only: TOTAL Irrigation Booms ?/ 3 • ° ' 73 ? ? . Special Inspection ?07?' ` L p..a? AlarmiCommunication THIS INSTALLATION MAV BE ORDERED DISCONtEC F NQTj Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby tif th t th b i i ftough-in oate cer y a e a ove nspect on has been made. F;,,ei u OFFlCE USE ONLY This request void 1B moMhs Irom 2 31-15 6 ? OFFlCE USE ONLY Thiz request void 18 momhs Imm .olidafian date pdnted in Ihis boF? a!, ,?/3(j?y(? 5DC v PLEASE PRINT OR TYPE Request qOl` r N? / j p.A?gh-in inspecNOn reqoire dd ? es No Inspection Olher Thon Rough-In: 0 Ready Naw 0 W81 Coll x R d h d D ll h e inspecror w e (You muat co t ea y n rea y? o I,glicensed contrador ? owner hereby request inspedion of }he obove eledrical work at: lob lddress ISlreet, Bax, ar Ro k No.) 3?1C.? ??-s?e Cih ? ocz.I Zip Cade ssi 3 Section Na. Township Nama or Na. Range Na. Fre Na. Counry C! D CQ_ Oaupam ? G Phor?e No. ?fis?-3833 . dm _ , Power p ier ? Pddress ? EI Contm (Com?any Nome) ? - Conkacror lians . !55 Mamr Lic Na (Planl Elect.Only) ??r?1h' Mollirg Pddress (ConVaWr Performiig InsMllafion) LO?nar S !l l.?! dO: Ga/ e 'Ot-, ?cpt ?ccc ,e /??lh, 5"53? S?" ANhon (Conrvvaoror r Perfa ing Insrollotion Pho. No. ?'<r?-?6? EB-0O00lA-10 6/95 STATEBOARUC9Pr-5EE1N3TPUCTIONSONBACKOFYEILOWCOPV I II II ?I I'I REOUEST FOR ELECTRICAL INSPECTION3°?y*„ e s- s N Minnesota State Board of ElecVicity * 0 112 M15 1 sl Phone (612) 642-0800 ??,?t7?(?aul, MN 55704 Home Duple: Apf. Bidg. 01her: New Addn Commercial Indushial Form Remod Re air Air Cond. Htg. Equip. 1 1 Water Htr. Load Mgmf. Ofher. D er Ran e- Elec. Heat Tem . Service "X" above the wark covered by this request. Enter remarks in ihis space and on fhe 6ack of the white copy only. Calculote Inspection Fee - ihis Inspedion Request will not 6e accepted without the correct fee: Olher Fce #t $ervice Entrarwe Sae fee # Circuils/Feeders Fee Mobile Home Park Stoll 0 to 200 Amps 0 to 100 Amps $iree} L}g./Traific $ig. Above 200 Amps A6ove 700 Amps Transfortner/Generotor INSPECTOR'S USE ONLY TOTA-L ? Sign/OuTline Ltg. Xfmr. O Almm/Remo}e Confrol L 2 $wimmin9 POOl . I hereb m hot I Ins etled the InsMllhthlae smtad d Irri9tifion BoOm Roogh-In ' Daie $pecial Inspedion Investigafive Fee F,ral i MONTHS. THIS INSTALLATION MAY BE OROERED DISCONNECTED IF NOT COMPLEfED WITHIN 11 ? C?C950'S'L#a? ? ? Repuesi Date Fire No. R mu In Inpseclion ReQuiretl call inspactor when reaCy) Ins enion Other T?augh-ln ? il I N ? ? qeady y nspi ow Will Nat Ves No Date ReaE Ilicensed conirector ? owner hereby request in5pection of above electrical work at: Job Atltlress (SVaeL Box or RoWe No.) ? Ciry f ? i 3 - . A Section No. Township Name or No. Rang No. Co Ocoopent(P ) Phone Na, Power Suppli r Pdtlress Elecmcal Con clor (Compa?ny Namet ) / C 1/7 onVactor's ?Lice?nsqe No. 22 ? e/ / Mailing rltlaress ICOnvatlor ar Ownee Makmq (v7S s Ilation) 1/.?- ? Amnonze< SiSnature ICOntratlor.q? ner Maxing Insiallalio Phone N er Q? O- MINNESOTA STATE BOAPp OF ELECTRICITY Grigga-Mltlwey Bltlg. - Raom S-173 1821 Univeraity Ave., SL Veul. MN 55106 Phone 017? 6624800 i THIS INSPECTION REOUEST WILL NOT BE ACGEPTED BV THE STATE 60AR0 UNLESS PROPER INSPECTION FEE IS ENCLOSED. NII REQUEST FOR ELECTRICAL INSPECTION ? See Inslruclions 1or completing tM1is lorm on back ol yellow copy C? 6 9 5 0-8 . "X" Below Work Covered by This Request '°1C?ga ee/-o?o/oo-i-!oe_ ew Add Rep 7ypeof8uilding AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Fumace Other (SpeciTy) Farm Air Conditioner Omar (spenfy) Conirectors FemaBs Co mpute Inspection Fee Below: # Other Fee # ServiceEntranceSize Fee # CircuitslFeeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 100 _ Amps SignS Inspedor's Use Onry: O 7p7pI. ' Irrigation 8ooms OZ> Special Inspection L? ? AlarmlCommunication TNIS INSTALLATION MAY B RDERED ISCO ECTED IF NOT Other Fee COMPLETED WITHIN 18 T I, the Electrical Inspeclor, hereby h if h Rough,in ? ete cert y t at t e above inspection has bean made. F;,,ai ? . .oete OFFlCE U9E ONLY i Ati-''? -`V4 P! IThiS repuest voitl 18 monihs Irom Address 3903 M= FP Lot 4 Zip 5512 3 Blk 3 Sub GOVENTRY PASS 41H THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION. Date: 06/21/93 Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) ? Permanent steps (main entry) ? Permanent driveway v Permanent gas ? Sod/Seeded grass ? TraiUcurb damage Porch v Basement finish ? Deck Please verify wi[h the builde[ the removal of roof tes[ caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division a[ 681-4645 befoce working in right-of-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy @ Address 3899 MEPM POINT Zip 5512 3 I.ot 3 Blk 3 Sub OovEri?tY PASS 41H THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: 3 Yes No Inspector: Final grade (6" from siding) ? Permanent steps (garage) ? Permanent steps (main entry) ,/ Permanent driveway tZ Permanent gas Sod/Seeded grass ? TraiUcurb damage ? Porch ? IIasement finish V Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in righbof-way or installing underground sprinkler system. ? White - City Copy Yellow - Resident Copy Pink - Contractor Copy ? 0?' D ?A ?D ? ? ? 10 0 0 0 ? IAT /QROLY CaLC]CLIdT !OR 3Lti2DL1iTIAL IROFLRTY .W.G++ _ aite O= d • Reqistared Iena Burveyor siqrrsture and eompany • Suilding Permit 1lpplicant • Legal Gescriptioa ` • 11daross • North arrow and bar scale • • House type (rambisr, raikout, spiit tr/c, split anLry, Iookout, eta.) ' • Direetional drainaqe arravs riLh siope/qradient •. • Prcpoced/axistinq sever and vater servioss • Street name • Drivevay D • Sevez service 0 0 • 0 • Lot corners Top cf eurb at the drivevay D D • Elevniiona of any existing adjacent homec pzoaesed ?D ? 0 D • D Garnge floor . • First floor .?0 ? D • Lowest exposed elevatioa (walkout/window) .8_? EJ 0 • Pzoperty eornezs ? D D • Front and rear of home at tlse toundation PON'DING f1REA9 lif annlieiLla1 fl ? D • Easement 13ne D ," 0 ; - L , FtWL G 0??D • Pond # desiqr,ation D ? 0 • Lmergeacy Overtlov E1evaLion DZXLN620NB ' ?D D • Lot lin:s ? D 0 ? Riqht-of-vay and streeL width (to baek of Curb) ? G D • Proposed bome aimensions inclnQing tny proposeQ decks, ovezhangs qreeter than 21, porches, eto. (i.e. all structures requiring permanent footings) ? D D • Shou all •asemenii oi raoord and any City utilities vithin those easements ?' 0 G • betbncks oi proposed Lrueture and setback of adjaeent .,/ •xisting hom 0;r D • Retainin ments, it any • Revieved- ? --- - N me / Aat . N . . PERMIT ?603M CITY OF EAGAN ? 3830 Pilot Knob Road PERMIT TYPE: Eagan, Minnesota 55123 Permit Number: (612) 681-4675 Date Issued: SITE ADDRE55: ,-?7., Pit.. . ? ,r•-: L f! . . . i; I ? ? ;.. ... ., .., ? ,Vr_iV,IItY I"(1`;'.. 1i i .I ..... 1.'r ,t'1IP?f4-N'Ifl9-0 .3 DESCRIPTION: .iil.?;i.n?;.,'erm.i'. fyn?^ .,? Lll„1G +i`.ilt;i:it DiIW -?C. .. Dccu?rrc} F: 3 iv! 1 ' C?.??:-t?uct.i^(yN." k,uuy It?I tyi.:1 5n Witith ?':' i REMARKS & ,, . „? v:, v ,,i,r, FEE SUMMARY: V nL uni 1, uN . , :i . , vI : U ? . r s A ,_, . 1-.0 ,,:b^t.Sh(?i a -- ,? 1.tz?2,?i rr0 CONTRACTOR: A:> i> > OWNER: i;e ao?,?ui,!u C n zN c PoiWun.P R r V ?.. ie sa ,l ?i2i.,1•_1:Y Pii,! I?RfOLFY '''.N '.?'a T 'n-:oz-iie..•r, .. ?.n• ? .??.i_ . . . , _. ?...? ?:uir, iV a ? I? , ? ???,1 ?c. ? : , . -. . ? ?. .a.1.vi.w :.?. . '.? ni 1 .10,111 tl1'0 i.ilafl?°?:. L APPLI ANTlPERMITEE SIGNATURE I ED 8V: SIGNA R1E -- ?- INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: • , r? . . r;,.,. ?? i ?? PERMIT SUBTYPE: . n;.uTYPE OF WORK: ;.! f: s; INSPECTION .. . ,. y i,i ,,C APPLICANT: rf,? Porruir,c ro ?_nc ? ? REACTIVATE _ PERMIT ?4Zftq3 cirr oF eac,aN 1993 BUILDING PERMIT 681-4675 Sel?etler APPLICATION Z31111m ? cc.F6.?r.1?- I .? ?' ?; RFCD 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 specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date 3._ /?/ q3 Valuation of work ? ?aZQn Site Address: "yq03 Me{`S2./ QC"vI+ STREET SUITE 0 Tenant Name: (commercial only) ? c& zo-c` - IAT SLOCK ? Sy$v .? C_o Fp-I. D. ik Descri tion of work: ` w??C The applicant is: IQ/owner 10 Contractor ? Other (Deccribe) Name ?T.sL_f-"=' 'E-Ft up& Co. Phone S ro3 Q Property LAST FIRST a ? wp?L Owner ? °1 Address s2e>l S STREET STE N L9ty qFr'?_'cke4? 5tate V1/A Zip 55qZ/ Company s-kwe_ _ Phone Contractor Address License # (33S? Exp.3-31 City State Zip Company Phone Architect/ Engineer Name Registration # Address City State ZiP 5ewer & water licensed plumber e Uv_%)OO . Processing time for sewer & water permits is two days once ar a has been a ed. 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. , Signature of Applicant: - OFFICE USE ONLY BUILDING PERMIT TYPE 11 01 Foundation 9 02 SF Dwg. 11 03 SF Addition ? 04 SF Porch ? 05 SF Misc. ? 06 Duplex ? 07 4-Plex ? 08 8-Plex ? 09 12-Plex ? 10 Multi. Add'1 WORK TYPE 'M 31 New ? 32 Addition ? 33 Alterations ? 34 Repair GENERAL INFORMATION ? 11 Apt./Lodging ? 12 Multi. Misc. ? 13 Garage/Acces: ? 14 Fireplace O 15 Deck ? ri "". "•? ` ,. Q .. t Finish O 17 Swim Pool ;ory ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 35 Tenant Finish ? 37 Demolish ? 36 Move Const..(Actual) N Basement sq. ft. MWCC System ` S (Allowable) lst fl. sq. ft. City Water YBS UBC Occupancy -3 M-1 2nd F1. sq. ft. PRV Required Zoning R-I Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. fire Sprinkler Length 5 On-site well Census Code Depth 3 e, On-site sewage SAC Code o/ ? ?'?'? 5j APPROVALS C7 ?it,5us u?w? 1-- Planning Building Assessments Engineering Variance REGIUIRED IN SPECTION S ? Site ? Footing O Framing 0 Insul ation ? Wallboard ? Final ? Draintile O Fireplace Permit fee v.iurecion: $ IIK?OJD Surcharge Plan Review ?A2AGE: 2ox20 X16= 6yoo Li cense MWCC SAC f3SMT; 34 X 32 - Ib s8 City SAC Water Conn. $ X Zi= ?/68) Water Meter sYZ 7'12 ? 2? x Acct. Deposit y. b )c IST F L 9 ?5 = /N )go s/w Permit LooY -; i S/W Surcharge Treatment Pl. - 6SMT= 544, K 5y _ 5 I? 0 8 y Road Unit Park Ded. Trails Ded. ? Copies Other x?7?3t¢ S1G = ' Total : 2 SAC % 11)0 .;.?f42? S?f= ?-IS?(6g SAC Units ) J?I,lyy ouy F-R . _ . ? • _ ? i ? T . . . . SITL'. A7D5?55 CONTR1CTOR f?TT?-CJNI? GO. D,qTp, PfiONc', Dete-=in vortinr; square footar;e of c ach. 1. To:al expased ve.ll erea sq. it. x °•1'- - 2 51.(0 2. Total roof/ceiling area . . 3?•8 sq. tt. x 8.,026 a. b. c. d. e. P. : 6• Total exposed vail area nbove floc+r = ZZgG . , ' Total vall 4indoc a-ea . ...................... Totel door area ................................... Totzl sliding glass door area ..................... Totzl Sireplece vall area .......................... Total wall framing area (average lOP) ............. Total net vell area above floor ................... Total rim joist area .:.............. ........... = I/ ?•? ' Total exposed foi:nd2tion area h. Total foundetion vindcv.a:ee .......... ............ i. Total net foundation 2-e:. above grade . ............ . Deterine "U" valce o: eech wall ;r,r,ment. g. 15+•5Z x U„ G5.o2 ? D. ?3.71 x ",,,? 4,I38 = G•03. . C. 3q, 1-7 x ,.U„ 0.122 a. 24' X „u„ . 04 e. , X .1lU„ Orp?? _ ?(?.l] r 1535':'75 .,U,. D,a?3 _ .70,33 ? . X g_ Zo ? X •1t,1, O.O'`rl - 8.5,2 h. 0,4(0 i. 9?r ? 5 X ,.U„ . a. l+ 3. ................................ . ror.,l = 2 0!,7 S i` .. ? If itea N3 is the saTe as, or lesa Lti:.n iCe:a N1, yo? n?ve met the intent or SBC 6oo6(c)2. , 0 ' ;otal exposed rooC/ceiling arel `l .?.... . .-_ Total gross zoof/ceilinf, are:ti = ....•• - 9 ? 1. Total skylieht area .................... k. Total roof/ceiling freming area . .............. 1. Total net ir.sulated roof/ceiling area ........ r444'+17--_ ' Dete:eiine "U" value for cnch ruc>f/cci 1 int; seb'metit. ?- _?- X ?,Ulf -?- _ , J. • k: 93.88 X??„??o,a2"1 = 2:53 1. ??,?t? x 4 . ...... ... .. . . . .. ..... .. .. .. .:. Totai = 'L1 • 1 ? . 6 ;?- If total oP N4 is the sa-ne es, or less than N2, you have met the intent of SBC 6006(c)i. . . To utilize the total eavelope system method, the values establi:hed by the sum of items N3 and Bb shall not be greater.thxn the surl af iten:s 11 and N2• 1, + 2. - - ' - g•, + 4. . 1:', r. o ? . _ . ... o .? - Vk LU? GA I.GU1-Aj"lo N- ?GoNT? . =,rFAMr-- WkL1. G? I N?I ?A?I? ? LoMPoN?N-Fi u ;U ? ? ? a1(r?DE AIfz Fii,M -h" hlDIN[.. ... _ _ 5%t INSU?A?i?rl? - %?" G'?R ('?'D tEt5iP6 Np?- -.. F2 -YAU-l5- ----.-- D,I'i _ - Iq.o ? 0.45 - 23.oI _ ? j'v(A L -f:F-AMG wftU. ? s?L!17 _ PI.MN• vlew. GoM PvN ?N"?5 oUT,?710F, A+? P?A. h PIN(e. ,?H5R1F1 IN 60. hllav (FP:Am ?) DD• M? A?M - C c C Cf - C C - F--VALU55 --- --0.11?---?- - - -?.-i g .--- -- ? -- ---_ p,4'? ----_ - - -?_???----- ? Id CE:- U: i ? D.D89. =?1m P?. o•043? = O• 04-7 ?- , _=- 0 0 ? 0 ? 0 ? ? 30 C r,?54f[? ... H( op' . _?VkLU% •-.- -T'J• Co G - - -_-1-9?-° . 7 Z.O c. ? - i 2?} :a UN I _ _o •?_._ _.--- _ ; ._ __ . .. ._._ . . - ,? ?-- j , I ? ?I Z,?%I ? _t? ? ? = o • I ? .! = o, ob: /2.1 3 (D C -a? 17---- C C C -_Z?i --- -? '-a ---- _ -o. a-? - ---- _ _- u 0, 027 ??-??'? 2?=e-45 ?Iio?a•_ =?o--- I?Pc I (?--FlGM .. r ?r.--- lO o O _-- -3?Au.1G'-. o %?1------ --.q-4.g- --O.-4S- --- -- _O:=?L .-.- ?-?-5:?-_3- ------ ? r D-022 C??U 3 1993 PLUMBING PERMIT (RESI C1TY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 71 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOMES AND CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNTT. NO. FIXTURES EACH TOT? ? SHGWER 3•00 3 WATER CLOSET 3•00 a- d BATH TUB 3.00 f01 3 LAVATORY 3•00 I KTTCHEN SINK 3•00 3- I LAUNDRY TRAY 3.00 3 - HOT TUB/SPA 3•00 T WATER HEATER 3.00 3- ? FLOOR DRAIN 3.00 a - GAS PIPING OUTLET • minimum - 1 3•00 3 ? ROUGH OPENINGS 1.50 y • ? ° WATER SOFTENER 5•00 PRIVAT'E DISP. • DeILcry. iic. 15.00 U.G. SPRINKI..ER • home under const. 3•00 ALTERATIONS • to adsting 15.00 WATER TURN AROUND 15.00 STATE SURCHARGE .50 TOTAL: STTEADDRESS: 3?O'J ? 1ers?? ?'?S OWNER NAME:?n INSTALLER: U N11 r Q ? L'? C'0 ? ? - ADDRESS: Ce (? C e,x, c C.. _ CrTy: STATE: fM - ZIP CODE: PHONE #: ( ) qG'J- 4Qki SIGNATU E OF PERMITTEE ? PLEASE COMPLETE FOR ALL COMNIERCIAI/INDUSTRIAL BUII.DINGS. ALSO FOR MULTI- FAMILY BUILDINGS WHEN SEPARATE PERMTTS ARE NOT REQUIRED FOR EACH DWELLING UNTT. Y P _ NEW CONSTRUCI'ION II ' h ADD ON _ REPAIR il li WORK DESCRIPT'ION: CONTRACT PRICE: $ ? II FEE 196 OF CONTRACf FEE. II ISTATE SURCIIARGE $SO FOR EACH $1,000 OF FEE. MINIMUM FEE $ 25.00 II ` I CONTRACI' PRICE X 1% $ II ? STATESURCHARGE $ li il TOTAL $ SI1'E ADDRESS: TENANT NAME: II V STE. # OWNER NAME: INSTALLER: ADDRESS: ? i CIT'I': STATE: ZIP CODE: PHOA'E #: I i ? FOR: CITY OF EAGAN 1993 PLUMBING PERMIT (CUMMERCIAL) C1TY OF FAGAN 3830 PII,OT KNOB RD? EAGAN MN 35122 (612) 681-4675 ? PLEASE COMPLETE FOR SINGLE FAMII.Y DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIltED FOR EACH UNTf. ? NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE DATE FEES HVAC: 0-100 M BTU $ 24.00 ADDITIONAL 50 M BTU 6.00 GAS OLTTLETS (MINIMUM 1@$3.00 EACH) ADD-ON/REMODEL (ExisTING CoNSTRUGT1oN) $ 15.00 STATE SURCHARGE .50 TOTAL a? ?O SITE ADDRESS: &?,<Z? OWNER NAME: TELEFHONE INST ? ADDRESS: CITY: STATE:?c? ZII' CODE: ? TELEPHONE #: ? 1993 MECHANICAL PERMII' (RESIDEIVTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 1993 MECHANICAL PERMIT (COMIMERC7AL) CITY OF EAGAN 'I' 3830 PIIAT KNOB RD EAGAN NN 551221? (612) 681=4675 II ?? PLEASE COMPLETE FOR ALL COMMERCIALJINDUSTRIAL BUILDINGS. AISO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAIv1II.Y BUILDINGS WHEN SEPARATE PERMTTS ARE NOT REQUII2ED FOR EACH DWELLING UNTT. DATE: CONTRACT PRICE: $ NEW BUILDING INTERIOR IMPROVEMENT II WORK DESCRIPTION: II III ; l? 6 1% OF FEE FEES II " I4 $ ll ? ? $25.0(? $25.00 I, !N $.50 FOR EACH $1,OOOI OF FEE. $ I? IG PROCESSED PIPING: MINIMUM FEE: STATE SURCHARGE TOTAL STTE OWNER TENANT NAME: (IMPROVEMENTS ONL1) INSTALLER CITY: ST #• ZIP CODE: TELEPHONE #: ' II ? II i? SIGNATURE OF PERMITTEE CI'iiY INSPECTOR 1993 PLUMBING PERMTf (RESII CITY OF EAGAN 3830 PII.OT KNOB RD FAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMII.Y DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMTTS ARE REQUIltED FOR EACH UNTf. T?O, FIX1'URES EACH TO SHOWER 3•00 WA'I'ER CLOSET 3•00 BAT'H 1'UB 3.00 LAVATORY 3•00 KTTCHEN SINK 3.00 LAUNDRY TRAY 3.00 HOT TUB/SPA 3•00 WATER HEATER 3•00 FLOOR DRAIN 3•00 GAS PIPING OUTLET • minimum - 1 3.00 ROUGH OPENINGS 1.50 7 _ ? WAcsR SOF'i'c;lEit S.Cn? 7 PRIVATE DISP. • oeticry. uc. 15.00 U.G. SPRINKLER • eome under const. 3•00 ALTERATIONS • to austing 15.00 WATER TURN AROUND 15.00 STATE SURCHARGE .50 TOTAL: SITE OWN IN5T ADDRESS: ?ad / /w IAu' So CITY: ?.J.., _5'O Sr ?? ? STATE: A7 ZIP CODE• SSo ?f PHONE #: (VSS ) ?-1 `?l SIGNATURE OF PERMITTEE C' ?71 AT i FR- !l-i , /o ? L ell, C?2 1993 PLUMBING PERMIT (COAMRCIAL) CTTY OF EAGAN '? 3830 PII.OT KNOB RD EAGAN MNl55122 p (612) 68175 PLEASE COMPLETE FOR ALL COMIvvfEERCL4LlINDUS ITRIAL BUILDINGS. ALSO FOR MULTI- FAMILY BUIl.DINGS WHEN SEPARATE PERMTTS ARE NOT REQUIItED FOR EACH DWELLING UNIT. _ NEW CONS1'RUCI70N ADD ON REPAIR WORK DESCRIPTION: p COA'TRACf PRICE: $ II N FEE: 1% OF CONTRACf FEE i STATE SlJRCH.lRGE SSO k'OR FACH $1,000 OF PERNiI"[' FEIE MINIMUM FEE S 25.00 CONTRACT PRICE X 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NA114E: OWNER NA117E: INSTALLER: ADDRESS: CIT'Y: STATE: I 'n ZIP CODE: PHONE #: FOR: iI u CITY OF EAGAN APPLICANT ` I p $ $ s I 'P STE # ? CI'FY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: P.l.N.: 10-18403-040-03 DESCRIPTION: PERMIT 3903 MERSEY P'I" LOT: 4 BLOCK: 3 COVEN'IftY PHSB 4'1H ttuiltling-.Nermit 'iype ;buildYng Wo.rk rype , / ?' •? PERMIT TYPE: Permit Number: Date Issued: BASEMENT FSNSSH NEW ??,Lj L ?U , REMARKS ,.. .. . , . ..... ,_ ... .... ... .. ._ _.... . ... .._ ._ .... .. . . _ . . oLr?,. rUn nivr rLvi-iollVU Utt CLCI.IKll.fll WUNK FEE SUMMARY: .,uoe r'ee ,poo.YlY1 SUYCt7til"f3L y...?? Total F'ee $35.5@ CONTRACTOR: OWNER: - Applicant SCHELLER DAN 3903 MERSEY P7 EAGAN MN (612)454-3833 024191 / 0712019A 55123 I hereby acknowledge that I have read this information is correct and agree to comply Statutes and Ci fi Eagan Ordinancee. ? ? ITEE SIGNATURE APFIVICANT/PEfD application and state that the with all applicable State of Mn. ? i IS UE :SIGNATURE ? INSPECTION RECORD CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: LOT: 3993 MERSEY PT COVENTRY PASS 4TH PERMIT SUBTYPE: BASEMENT FINISH PERMITTYPE: suiLozNG Permit Number: 024191 Date Issued: 0 7/ 2 0 J 9 4 4 BLOCK: 3 APPLICANT: SCHELLER DAN (612) 454-3833 TYPE OF WORK: NEW INSPECTION FRAMING .. . INSULATION ,. ROU6H IN PLBG FINAL REMARKS: SEPARATE PERMI7S ARE REQUIRED FOR ANY PIUMBING OR ELECTRICAL WORK , ?„ 141ql CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION 681-4675 tmrraran?nr?t?l, SINGLE & MULTI-FAMILY s of plans, 3 registered site urviys,tl5c;?x? f nergy calcs y COMMERCIAL 2 sets of architectural & structura -p7aas -b?-e?- specifications, 1 copy of energy ca cs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date 'Z 9¢ Valuation of work to'lr`7leJOa Site Address: ?9U7>' dffl?S?Gi ? 4¢,?,AA-) S?123 ? 3TREEi SUITE lf Tenant Name: (commercial only) LOT U. T BLOCK .?_ ,(-}-( , SUBD. .U`? Y P.I.D. # Descri tion of work: N7- /A,>/ The applicant is: LvOwner . 0 Contractor ? Other (Oescribe) Name ,?? Phone Property 1 LAST FIRST Owner qddress STREET STE # Ci ty 5'9?'?4w State ?N Zi p?123 Company Phone Co ntractor Address License # Exp. City State Zip Company Phone Architect/ Engineer Name Registration p Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. 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. Signature of Applicant: x (a ? OFFICE USE ONL,Y ; BUILDING PERMIT TYPE O 01 Foundation ? 02 SF Dwg. ? 03 SF Addition E] 04 SF Porch ? 05 SF Misc. ? 06 Duplex O 07 4-Plex ? OS 8-Plex ? 09:12-Plex ? 10 Multi. Add'1. WORK TYPE ;r7 31 New ? 32 Addition ? 33 Alterations ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Engineering d !p O 11 Apt./Lodging 13 12 Multi. Misc. 0 13 iGalage/Accessory 0 14 Fireplace O 15 De?k II 13 35 Tenant Finish 0 36; Moye ? 16 Basement Finish ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. O 20 Public Facility O 21 Miscellaneous ? 37 Demolish Basement sq. ft.' ' MWCC System lst F1. sq. ft. City Water 2nd F1. sq. ft. PRV Required Sq. Ft. total li f Booster Pump Footprint Sq. ft. 'f Fire Sprinkler On-site well Census Code On-site sewage SAC Code ? Census Bldg Census Unit Building Variance REQUIRED INSPECTIONS ? Site O Wallboard Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: ? Footing P Final vatumc;m: II i? Assessments Framing II? Draintile bL U U Zi Insulation ? Fireplace SAC % SAC Units C17'Y OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT ?'K-4134l BUILDING 026434 09J25/95 SITE ADDRESS: P.I.N.: 10-18403-030-03 3899 mERSEY PT LOT: 3 BLOCK: 3 COVENTftY PASS 4TH DESCRIPTION: (6AS) Builda,ng-Permit Type Building Work,Type ! f t O r ? . f 3 ? REMARKS PERMIT TYPE: Permit Number: Date Issued: FIREPLACE NEW Y FEE SUMMARY: Base Fee $25.00 Surcharge $.50 Total Fee $25.50 CONTRACTOR: FIREPLACE SPECIALIST 1200 9TH AVE S ST PAUL mN (612) 451-1970 - Applicant - 5T. LIC 14511970 0063924 55075 OWNER: MCGRATH KEVIN 3899 MER5EY PT EAGAN MN (612)452-9785 2 hereby acknowled'ge that 7 have read this information is correct and agree to oamply Statutes and City #if Eagar% Ordz'narices. APPLI NT/PERMITEE SIr ATURE applioation and state that the with aa:J: appli:cab],e SLate of Mri. fi(}1', ? 9 p.u,? I ISSUED BY: IG TURE ? CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1995 FIREPLACE PERMIT APPLICATION 681 -4675 DATE: 41J .n DESCRIPTION OF WORK: ?INSTALL NEW FIREPLACE: _ WOOD BURNING INSTALL GAS LOG ONLY IN EXISTING FIREPLACE _ INSTALL GAS LINE ONLY IN EXISTING FIREPLACE OTHER: XIGAS AREA TO BE INSTALLED IN: Rg S e V'o ev? STREET ADDRESS: ? 15 7 :7 ? ? ? 4 j-=' LOT BLOCK SUBD./P.I.D. APPLICANT: (circle one only) OWNER 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. PROPER7Y Name: 10c 6? Q4 r? H'e v 14-11 Phone #: 7?S OWNER ""* """ Signature: Street Address-3 $`'j S 1'?1 e i'- S eV ??t - City: aeL n/ State: Y'll? Zip: FIREPLACE Company: f 'Re Za c S e c:'r- I ia Phone #: INSTALLER - Signature: Street Address: License #: City: State: GAS uNE Company: S?Phone #: INSTALLER Name: Signature: Street Address• City; State: Zip: OFFICE USE ONLY BUILDING PERMIT TYPE 0 14 Fireplace WORK TYPE 0 31 New ? 32 Addition ? 33 Alterations 0 34 Repair GENERAL INFORMATION Census Code. SAC Code REMARKS: Chimney/flue must be inspected before concealing. _ °*v ._? ; ? ? Sw FEES Permit Fee Suroharge Other Copies Total: RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 NewConstructfan Reouirements • 3 registered sRe surveys showing sq. ft. of l04 sq. fl. of house; and all roofed areas (20% maximum lol coverage allowed) • 2 wpies of plan showing beam 8 window slzes; poured found design, etc.) • 7setofEnergyCalculations • 3 copies of Tree Preservation Plan if lol platted afler 717193 • Rim Joist Detail Options selection sheet (bldgs wAh 3 or less units) DATE / JOB SITE IF MULTI-FAMILY BUILDING, HOW MANY UNITS? _ PROPERTYOWNER D6ih SCv/tI/-e TYPE OF ic FIREPLACE(S) _ 0 _ 1 _ 2 APPLICANT I_(7?P L1(lQ, C_,[??a?UG'I)Ovi ADDRESS ?db L?)• °\?- 8k - Suk. lSO a?dt>rn, PAGER # 41 PHONE # PHONE# _ZIPCODE FAX # W 3) l4--7 NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential VentilaGon Category 1 Worksheet - - Energy Envelope Calculations Submitted I MINNESOTA RUI.ES 7672 II I I 0 2 2002 - New Energy Code Worksheet Submitted N Plumbing Contractor: _ Plumbing SysLem Includes: Mechanicai Contractor: _ Meclianical Systcm Includcs: Sewer/Water Contractor: WaLer Softener Water Hcater _ No. of Baths Air Condiuoning Heat Recovery System Phone #: I?Y Lawn Sprinkler ?^ Fee: $90.00 i1TO. of R.I. Baths _ Phone # Fee: $70.00 Phone # All above infortnation must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the information is correct, and agree to compiy with all applicable State of Minnesota Statutes and City of Eagan Z:? q / Signature of Appllcant Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 2002 / 4 d .-7 5 RemodeUReoalr Recuiremenb • 2 copies of plan • 1 set ot Energy Calculations for heated additions • 7 sile survey for exlerioradditions & decks . Indicate if home served hy septic system for additions ,L? O VALUATION z ? ?Cl . ? ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex ? 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement Valuation Census Code SAC Units Nbr. of Units Nbr. of Bldgs Type of Const w OFFICE USE ONLY ? 07 OS-plex ? 13 16-plex I? ? 20 Y Pool ? O 08 06-plex ? 16 Fireplace II ?, 21 C Porch (3-sea.) ? ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? ? 10 08-plex ? 18 Deck II ? 23 p Porch (screened) ? ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 12 12-plex Plbg_Y or _ N II ? 25 Miscellaneous ? 35 Int Improvement ?'I 38 Delmolish (Interiar) ? 44 ? 36 Move Bldg. ?'il 42,1 Demolish (FOUndation) ? 45 ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 'Demolition (Entire Bidg ol nly) - Give PCA handout to applicant _ Occupancy N MC/ES System _ Zoning 11 h City Water 30 Accessory Bldg 31 Ext. Alt - Multi 33 6R. Alt - SF 36 Multi Siding Fire Repair Windows/Doors Stories p Booster Pump Sq. Ft. PRV _ Length !! ? Fire Sprinklered _ W idth N REQUIRED INSP,ECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ Pinal/No C'.O. _ Footings (addi6on) _ Plumbing ? _ Foundation _ HVpC ? _ Drain Tile Other Roof Ice & Water Final Pool F[gs Au/Gas Tests _ Final _ FIantinB _ Siding ? Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall , i Approved By Base Fee Surcharge Plan Review MClES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector 5L? 50B' RESIDENTIAL ar BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 New Construclion Reauirementa RemadellReoair Reauirements • 3 registered site surveys showing sq. h. of lot, sq. ft. o( house; and all roofed areas • 2 wpies of plan (20% mazimum lot coverage allmved) • 1 set of Energy Calculations for heated additions • 2 copies of plan showing beam & window sizes; poured found design, elc.) . 1 site surrey for exterior addilions 8 decks • 1 set of Energy Calculatiore • Indicate if home served 6y septic syslem kr additions • 9 capies of Tree Preservatbn Plan if lot platted after 711/93 • Rim Joist Detail Options selection sheel (Wdgs vrith 3 or less units) DATE 7j ? ? L JOB SITE ADDRESS 57103 CO& A ZQLA ? IF MULTI-FAMILY BUILDING, HOW MANY UNIT.0 6a ? PROPERTYOWNERA? LVi1eANej- TYPE OF WORK7?,CL-_,?)\ A.? FIREPLACE(S) _ 0_ 1_ 2 APPLICANT PHONE# qcSa -(3&1 " Z))?? ADDRESS ?CX? 1.?? • -\(?? <???. SUI? ?, I`7C7 ??m? ZIPCODE PAGER # CELL PHONE # FAX # qS;l ' S&) NEN' RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculadons Submitted _ MINNESOTA RULES 7672 New Energy Code Worksheet Submitted Plumbing Contractor: Plumbuig Systcm Includes: Mechanical Contractor: Mechanical System Includes: Sewer/Water Contractor: Water Softener _ _ Water Hcater _ _ No. of Baths Air Conditioning Heat Recovery System Phone # Phone # Fee: $90.00 ree: $70.00 All above information must be su6mitted prior to processing of application. I hereby acknowledge that I have read this application, state that the information is correct, qnd agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applican2eived Certificates of Survey Received _ Tree Preservation Plan _ Not Required _ lJpdaled 2002 Phone Lawn Sprinkler No. of R.I. Baths OFFICE USE OMLY ? 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 01 of _ plex ? 09 07-ptex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. O 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement "Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTiONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector i S I 5 20 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 Llow ConNrucdon ReaulremeMa • 3 registered sile surreys sliaxing sq. R of Im, sq. fl. of house; and aJ( roofetl arees (20% maxlmum bt coveraga albwed) • 2 capies of plan showing 6eam & wiidow sizes; poured found design, etc.) . 7 set of Energy Calculations • 3 copies of Tree Preservatqn Plan N lot platted atter 711/93 • R6n Joi51 DeNail Opibns selection sheet (61tlgs wAh 3 or leas uniGS) ? DATE ? ? ? SITE ADD TYPE OF WOkKLQ? APPLICANT ? STREET ADDRESS _ TELEPHONE #? PROPERTY OWNER ----°------°-- FIREPLACE(S) _ 0 _ 1 _ 2 STATE LP FAX #E?? b' L? TELEPHONE # l n9 "?Sa `178 S' ? COMPLETE THIS SECTION FOR -NEW,, RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (d submission type) • Residentlal Ventilation Category 1 Worksheet Submitted • Energy Envelope Calculations Su6mHted Plumbing Conhactor: Plumbing system includes: Mechanical Conhactor: _ Mechanical system inciudes: Sewer/Water Coniractor: _ Air Conditioning _ Heat Recovery System -----°-----------------------------------°----------------------°-° I hereby acknowledge That I have read this application, state that wlth all applicable State of Minnesota Statutes and City of Eagan Signalure of ApplicaM OFFICE USE ONLY CELL PHONE # _ Water Softener _ Water Heater _ No. of Baths Phone # Lawn Sprinkle No. of R.I. Baths qULTI-FAMILY BIDG Y N 9emotleUReoelr ReauhemeMa . 2 copies of plan • 1 set ot Energy Calculatlons tor heated adtlilbns • 1 31te 5urvey for exlerlor additiais & decks . Indicate N home served by septic system for adtliUOns VALUATION I15 5`-[ I, 13 Phone 1k Phone # 2--7 ?•2S Fee: $70.00 is corre¢Y)and agree to comply Certiflcates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool [3 30 AccessOry Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) O 31 Exl. Alt- Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garege ? 22 PorohlAddn. (4-sea.) O 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous ? 31 New O 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding 13 32 Addition ? 36 Move Bidg. 0 42 Demolish (FOUndation) ? 45 Fire Repair 0 33 Alteration ? 37 Demolish (Bldg)' O 43 Reroof ? 46 Windows/Doore 0 34 Replacement •Demolitlon (Entire Bldg only) • Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. ot Bidgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC DrAin Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco _ Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC Cky SAC Water Suppy & Storege S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector 2004 RESIDENTIAL BLf1ILDING PERMIT APPLICATION , City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX 4 651-675-5694 New ConsWction Reaui2meMS Rem air Re uiremeMs 3 registered site surveys showing sq. ft. of IW, sq. ft. of house; and (20%maximum lot c»verage alhwed) CelcuYations for heated addifions 2 oDpies ot plan showing beam & window saes; poured fourid desi 1 si[e su r additions 8 decks 1 set of Energy Calculatiorrs S E P 172?`4°" ate NonsRe sepfic sysfem 3 copies of Tree Preservation PI2n if lot platted a8er 7l1/93 Rim Joist Detail Options selecGon sheet (bldgs with 3 a less units C?,9..?e?) i O -1`t -0? O(fce l1se?OnN Cert of Survey ReW ,<. K?•_ N TreePresPlanReoi _Y,N. TreePres,Required _Y _N On-siteSeptidSystem ...,..: -Y, _N. akL /a 7;1,( Date 0( / 1 2 / 0 ?F By ConstrucGon Cost SiteAddress 2'6? ? I rS ?IY?4 }- UniUSte # Description of Work J S P LN6n Sil nrI JUIY? rt 61d?, L Multi-Family Bldg _ Y _ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner ?l,Vl VL i l f1i Telephone #((p57 )4S y- 3 g 3 3 Contractor I ?Y110 U( VlfU(UfYt? 6? /UVl • ? I Address jQ? 3 ?%)A Aj PlCl LG # I!? City toU,U)OD State N . Zip 5$? i ] Telephone # fP COMPLETE THIS AREA ONLY IF A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code CategOry , Residentlal Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted 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 Y_ N If so, 25% plan review Telephone # ( Telephone #( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will 6e in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a pernut, 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 appro ed p in the cas work which requires a review and appmval of plans. C #' In,QX 1 (u, N l (?? ApplicanYs Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plax ? 16 Fireplace A 27 Porch (3-sea.) ? 31 6ct Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Mutti Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04plex ? 12 12-plex Pibg_Y or _ N ? 25 MiSCellaneous WorkTypes ???? ??,?,(G ? 31 New / ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding x 32 Addition ? ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building* ? 43 Remof ? 46 WindowsfDoors ? 34 Replacement 'Demolition (Entire Bldg) - G ive PCA handout to applicant Valuation _ a r, DL' fl Occupancy MCES System Census Code L. ;y Zoning Ciry Water SAC Units Sfories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const v _ Width _ Footings (new bldg) Footings (deck) ?C Footings (addition) Foundarion Drain Tile Roof Ice & Water Final ?C Framing Fireplace _ R.I. _ Air Test _ Final Insulation REQUIRED INSPECTIONS Final/C.O. FinaUNo C.O. T Plumbing HVAC Other Pool Ftgs _ AirlGas Tests Final Siding _ Stucco _ Stone _ Brick _ Windows Retaining Wall Approved By: Building Inspector --°-------------------------------------------? Base Fee Surcharge Plan Review MC/ES SAC city sac Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total X ? a : I od X.??-= orvOc_ ?/ jv0 7/ L/O v PI.ANB FEVMUED dtID APPROVEC d6 HARKED DA1G PIK)JEGT 1'4N14GER. oOM er+urua, PYPR 610"1LIE, R0011 9PE C8 wan caan wire wtL emM r asee 4 acPM eomr cai.aa n4tw coetea rnecu `am waa exietra ceaw rww aM N.mw+ eartoN mw. Rm?s uxte awoeowo i 61TEPLAN A1 SGALE : I" . 30'-0• . 1 •? \ \ `. 25?{??? \ ?1 hroncofi ? \ DMit16 AW I '°m , . A. , N \?J m1 \ 4 ? , i l 1 1 N+ ? JOB NUIBER : TBD GUSTOMER9 NAME DAN / GMDY 6GNELlfiR ADDRE88: 9903 MER9E71°OMT GTT ! SiATE / ZIp : EAGAN, MN 55113 NONIE PNOME : 651-454•3833 WOrdC PVIONE + 952-448-4848: WORK PHONE :TBD CELL PHONE : iBD 0ALE8 REP : BOB MAIEttA DRAlUIMS DATE : 9r!/04 REvISION DATE : 9/I4104 LUILD9NG INSPE6YION§ DEFT PLiJMBING (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Please complete for: Single Family Dwelliags Townhomes and Condos when permiu are required for each unit Date ? l '61 463 a - - - Site Address Unit # Pro ert Owner t?jf hone #65i) Tele p y p Contractor Address 3670 DODD ROAD City 55123 State (651) 365 1340 Zip Tetephone #( ) The Applicant is _ Owner Y Contractor _ Other Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00 Includes County fee. Additional consultant fees may apply. Alterations To Exisdng Dwelling Urtit, Including $ 50.00 _ Adding fixtures to lower levels or room additions, excluding water softener and water heater _ Abandonment of septic system _ Water tumaround (+ 5/8" meter if needed -$121.00) Other: _ RPZ _ new installation _ repair _ re6uild \1 $ 30.00 _ Lawn irrigation system Tb r U Water softener t Water heater _ $ 15.00 ? replacement _ additiOnal $ 50 State Surcharge Tatal $ J?, I hereby apply for a Residential Plumbing Permit and aclmowledge that the informarion is complete and accurate; that the work will be in conformance with ihe ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a pernvt, but only an application for a permit, and work is not to start without a pernvt that the work will be in accordance with the approved plan in the case of worksvluch requues a review and approval of lans. ApplicanYs Printed Name Applicant's Signature 2006 RESIDENTIAL BUILDING rExnziT ArrLicaTiorr City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Consiruction ReouiremenGs 3 registered site suneys showing sq. ft. of lot, sq. k. of house; and all roofed areas (20°h maximum bt coverage aliowed) 1 Soils RepoR if proposed building is to be placed on distur6ed soil 2 copies of plan showing beam & wintlowsizes; poured found design, etc. Minnegasoa mechaniral ventilation fortn RemodellReoair Reouirements 7 set of Energy Calculations 3 cropies of Tree Preservation Plan'rf lot platted a8er 711/93 - Rim Joist Detail Options selection sheet (buildings wiM 3 or less uniks) 2 copies of plan showing foo6ngs, beams, joisCs 1 set of Energy Calculatlons for heated addifions 1 site survey foraddAions & decks AddiGan - indicate ilan-site sepfic sysfem ??' " 0466 Use On daSyNeyi????T?-? >M`?kJ e .2?a..a?'r???a?"? P ??e',?te???i Date Z? / Uo Construction Cost ?3?J J 'nq/J li?y l SiteAddress P Unifl5[e # Description of Work 05 Multi-Family Bldg _ Y KN Fireplace(s) _ 0 X1 _ 2 Property Owner AV/ J 7t Telephone #(?a?J )? Z'97G?r Contractor ::arth&HOnNT?MIC. dba Flteside N?uM i Address censs 205t20l0 2700 N. faUWew Ja?a. City State ?61?9 2?FAM t ?1 is Zip Telephone # ( COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEYY BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission rype) Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 monihs, has the City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber 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 ap roved in the ase of work which requires a review and approval of plans. ApplicanYs rinted Name pplicant's Signature DO NOT WRITE BELOW THIS LINE Su6 Tvpes ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo/perola) ? 36 Multi Misc. , ? 05 03•plex 13 11 10-plex ? 19 LowerLevel ? 24 Storm Damage ? 06 04-piex ? 12 12-plex ? 25 Miscellaneous Work Tvpes ? 31 New ? 35 Int Improvement ? 38 Demolish 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 ReplaCement "Demolition (Entire Bldg) - Give PCA handout to applicant DesCriptian: WaterDamage_Yes Valuation Occupancy MCES System Plan Review 100% or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. .em .ooillill amu)R'• xft 1Cifp}1 m tlh6bH 04:0719 f,., _ # of Bldgs Length Fire SrRIFi??ieans;i; Type of Const Width to t???m ail "amlool Fan-mfaO REQUIRE D INSPECTIONS _ Footings (new bldg) Sheetrock _ Footings (deck) FinaUC.O. _ Footings (addition) FinaUNo C.O. Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool Ftgs Air/Gas Tests Final _ Framing Siding _ Stucco Lath _ Stone Lath Brick _ Fireplace _ R.I. Air Test _ Final _ Windows _ _ Insulation _ _ _ 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 . ?* ** * PIONEER LAND SURVEVORS - CINL * engineerrng LAND PLANNERS • lANOSCAI * * ? * Q ? Certificate of Survey for: Th2 ROttIUnd Companv. InC. House Address: 3903 Mersek Wav, Eagan. MN Model Name: Appleton Customer: Scheller 4? C 4p 695'I R ? N391.6 ? 981.9 y}; ? ? ' ? fj6Z Z 03 W N ? ?N m 3 \ \ (661 z/ ?r ?BZZ / 30 0 2422 Enterprise Drive Mendota Heights, MN 55120 612) 681-1914•Fax 681-9488 F y>g. N/ 625 Highway 10 Northeast Blaine, MN 55434 612) 783-1880•Fax 783-1883 5 ?\ 2os? \ QR°v? ea?' d7i.7 ? ? ?'cyoi? tk ri p,G6 ? GOJ? ?n;S? 9 V? \ W,? a a S \ ? ? ? 87Y• -7s.7 ' II 29 ??/ ? ? 1 7g.72 x ? 1 8?s•? I 1 1 1 5' 341.18 -? ?-1 s os•OS'2s° w . 900.0 Denotes Existing Elevation PROPOSED HOUSE ELEVATION • ? Denotes Proposed Elevation Lowest Floor Elevation:876.45 --- Denotes Drainage & Utility Easement - Denotes Drainage Flow Direction Top of Block Elevation:884.56 -o- Denotes Monument Garage Slab Elevation:884.23 -e Denotes Offset Hub gearings shown are assumed ?: . LOT 4, BLOCK 3 COVENTRY PASS DAKOTA COUNTY, MINNESOTA 4TH A D D I TI 0 N I here6y certify that this survey, plan or report was prepared by me ?orunde/r?ny direct supervision and that 1 am duly Registered Land Surveyor under the laws of ihe State of Minnesota. Datetl this77-lql day of A.D. 19 ch _ 30 feet Sca l e: 1in- ROBERT B. S?KICH LS. REG. N0. 34091 N 33' 313ir, 4 A \ ? 3s ' ?•s? ? ? 115 92528.43 Use BLUE or BLACK Ink I----------------- i For Office Use I 1/7-~ nri" I Permit t 5/ City of f Eapfl RECEIVED ; 110 1 Permit Fee: 1 3830 Pilot Knob Road APR 1 8 1 i`Q) I Eagan MN 55122 1 Date Received: l o I I Phone: (651) 675-5675 1 1 Staff: 1 Fax: (651),675-5694 1 I 204 RESIDENTIAL PLUMBING PERMIT APPLICATION Dater Site Address: Z:t~~ K" Tenant: V) A Ai,, °r Suite Name: J C Phone: Resiciell 'vrieI Address + City /Zip: 0-3 Milbert Company Inc O ullign Water Name: ucense WC643176 address: 180150th Street East City: Inver Grove Hgts. Contractor state.:MA N zip: 55077 Phone: 651-451-2241 Contact: William RWilbert Email: Type of Work - - New Replacement _Repair -Rebuild - Modify Space - Work in R.O.W. Description of work: RESIDENTIAL Water Heater Water Softener Lawn Irrigation RPZ PVB) Perm it Type Septic System Add Plumbing Fixtures L_ Main Lower Level) New Water Turnaround _ Abandonment RESIDENTIAL FEES: - .$60.00 Water Heater, :Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) .$60..00 Lawn' Irrigation (includes $5.00 minimum State Surcharge) $60.00 Add Plumbing` Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) Water Turnaround (add $200.00 if a 5/8" meter is required) $115M, Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ ' ' 0 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.aopherstateonecall.ora 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. x if x App icant's Printed.Name Applicant's Signat re FOR OFFICE USE ~Revlewed By Date Required Inspections: Under,Ground Rough-1h Air Testy :-Gas Test Final Meter Related Items Meter Size Radio Read`n" Staff. PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA175328 Date Issued:03/28/2022 Permit Category:ePermit Site Address: 3903 Mersey Pt Lot:4 Block: 3 Addition: Coventry Pass 4th PID:10-18403-03-040 Use: Description: Sub Type:Furnace Work Type:Replace Description: 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 - Daniel G & Cynthia B Scheller 3903 Mersey Pt Saint Paul MN 55123--396 Haley Comfort Systems 3708 Broadway Ave N Rochester MN 55906 (507) 281-0138 Applicant/Permitee: Signature Issued By: Signature