3855 Mersey Way
Use BLUE or BLACK Ink
For Offrce Use ;
Permit c- - I
t'r
City of EaEdD %5. C,
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 i Date Received
Phone: (651) 675-5675
Fax: (651) 675-5694 ; Staff:
- - -
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: _ ~S WcLLhw. M+~ SSl'L3
Tenant: C 3 C a Suite
RESIDENT / OWNER Name: V*A- an Ci t'~Sht~✓ Phone: &S-I-q42.--244a f
1 5w. /~tN
Address / City / Zip: V25- 6kM4
Applicant is: Owner Contractor
TYPE OF WORK Description of work: Q lJ ke~L ~(3 r~ ~ v5V i-r. J-t an 6}u' r).
C ^ ~
Construction Cost: Multi-Family Building: (Yes No
CONTRACTOR Name:t License
Address: City:
State: Zip: Phone:
Contact: Email:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes kNo If yes, date and address of master plan:
Licensed Plumber: NA Phone:
Mechanical Contractor: 1`f +T Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information maybe classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
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.org
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 sta wit t 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 ns.
x x
Applicant's Printed Name Ap i nt's Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
_ Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage
Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family)
Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
_ 01 of Plex _ Lower Level _ Pool _ Miscellaneous
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
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation Ci'Ol7 Occupancy MCES System
Plan Review Code Edition lj~y? SAC Units
(25%_ 100%z Zoning ~-I City Water
Census Code Stories Booster Pump
# of Units Square Feet `r PRV
# of Buildings Length Fire Sprinklers
Type of Construction M Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC
Drain Tile Other:
Roof: -Ice & Water -Final Pool: -Footings Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In Air Test -Final Windows
Insulation Retaining Wall: _ Footings _ Backfill _ Final
Sheathing Radon Control
Sheetrock Erosion Control
Reviewed By: , Building Inspector
RESIDENTIAL F S
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
?S1.y.:.;_. ?.?..p?.-?.rnTs!.•w?rywf^Sn?:.--^"..?r......??.'?'??...i .. , _ .. . „r?-..` __ .. A???f? :?TR?f
CITY OF EAGAN
?- ?• 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ri?99(11j0
PHONE: 681-4675 -
BUILDING PERMIT Receipt # -
To be used for SF DWC/CAR Est. value s-79.000 oate DEC 18 19 91
Site Address '°" 0"
Lot 12 Block .2-
Parcel No.
Name Taa avrrLU"u 16u im
w Add,ess szot t Rivaa Rn
? Cfty nIDLEY Mfi ZP
Address
City _
Phone _
Zp
I hereby acknowlege that I hawe read this application and stale that the
information is correct and agree to comftwith all applicable State of
Minnesota Statutes and CiN of Eagan OrdNfances. , 0
Signeture of Permitee • ' c - ' `" "
A euilding Permit is issued lo: TICE ROTTLLINtD CO INC
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
YAY
OFFICE USE ONLY
O R-3 I': t FEES
ccupancy ?
R1 ?. ?h 545f
Zoning
(nctual) Const Y-IN Surr.harge 39.
(Allowable) V N pm R&Aew 354,
OQ
r ot stories 43-r
??
Length
Depth ?f SAC, Ciry 100•00
S.F. Total - SAC, MCWCC 650'00
S.F. Footprints - b?
?
On Site Sewage _ Water Conn .
on site wau ? weter Meier 95.00
MWCC System 3o•oo
X Acct. Deposit
Gty Water _
• ?
30
PRV Required _ S/W Permit
Boosler Pump - S/yry Surcharge • 50
276.00
Treatment PI
APPROVALS Road Unit 3 70• 00
Planner - park Ded.
CounCil -- i • ?
BIdg.Off. _ ?pies
3,151.00
Variance - TOTAL
' Permk No. Permit Holdef Oate Teiephone #
PLUIABING
HvAC /d 9a? - GG
ELECTRic ?' I y c? Vr
ELECTRC 9 ? U so? ?
Inspection Date Insp. Comments
Footings I ?? ?,, 6,?K
Foundation „a''i_ 5 el, 106c,/
Framing ?- 2 Z s
Roofing
Rough Plbg.
Rough Htg.
Isul. (J ?r AeQU
Fireplace
Final Hig.
------------ -? All
Orsat Test r
Final Pibg. Plbg. Inspector - oGty Plumber
Const. Meter
EngrlPian
Bidg. Final -I ?-
Dedc Ftg.
Dedc Final
weii
Pr. Disp.
/ _ ? L, :?Z TJ ? .??. •'-:t /?? ? ? ? ' _? U
C_ _ INSPECTION RECCIRD
CITY OF EQGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: ? cf
Eagan, Minnesota 55122-1897 Date Issued: ? ? i + ? ? • :
(612) 681-4675
SITE ADDRESS: ?' - 1 . H. : 10-- t 84011- t."e -02
tOT" t:' Ei l O l; iC a
MERSF_Y WAY
COVE'Ni'kY t''RSS 9RIl
APPLICANT:
13(JtHNSO1d 1 11f1I1
(61;') 4F-4..14: l
PERMIT SUBTYPE: TYPE OF WQRK:
? . . ;?: ?,, .?..,? ?; ? ??,?? E?f??'k: tQiql fNc,?? ??r?? ?,?
Permit No. Permit Holder Date Telephone #
ELECTRIC
PLUMBING
HVAC
Inspectlon Dste Insp. Commenta
FOOTINGS
FOUNO
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FfG ?
DECK FINAL
INSPECTION RECaRD
? CI TY OF EAGAN PERMIT TYPE: "' 1 0 1 H6
3830 Pilot Knob Road Permit Number: ??•`)f•W)
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SiTE ADDRESS' • APPLIGANT?
, [,I i,t ' be-0, 71 c
??±
yyo_9ot1
tPT lON
(hNAMlNti ?1Mt.Yf
? ? . .. ?
PERMIT SUBTYPE: TYPE OF WORK:
t: , I M b,i
Permit No. Permit Holder Date Telephpne M
ELECTRIC
PLUMBING
HVAC
Inspection Date Insp. Commenta
F007lNGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL '
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.1.
BSMT FINAL
DECK FfG
'
DECK FINAI ALI
Ttx#tftraft uf (Orru?aury
Citp o# (gagart
]gPpatnnd Qf Wt[O1tg JitSpPttlDlt
This Certificate issued pursuant to the requiremmft of Sectiox 306of the Unijorm Building
Code cerlill'inS lhat at thelime of issuance this s&urtune sQSin compliance witlt ihe various ordincnres of the Ci1y regulaAing building cons7ructiox or use For the jollowing. i
use Cbmdkidw SF DGIG/GAR m& T=mh Nm 1qw
R3/M) RI VN Dis? ?a?aa? IlE RoJ.?I)l? OD INC ? 5201 E RIV?R??RD, FRmiEY
BmVn Add= 3855 MERM WAY E-gq L 2, 132, OOV?TI._?C EASS
Due 03/ 16142
POST IN A COPtSPICUOUS PLACE
SEWER it WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE 11-12-91
METER
tE ONLY
PERMITDATE -12/20/(`1
CHIP #gO/ 7(p .4111 PERMIT # 12 4 -5 4 METER SIZE r B.P. RECEIPT # C 01 6570
ISSUE DATE B.P. RECEIPT DATE 12f L9I81
_ PRV - BOOSTER PUMP
SITE ADDRESS 3855 MersQy Way
LOT -1 sLOCK 2 SECISUB COvlr?try Pags 3
APPLICANT: T;'1e . Rottlund CO. IAC.
ADDRESS: 5201 E. River Raad
CITY, STATEFr1dle4?r Mn. ZIP 55•?2?
PHONE: ` 71-0304
PERMIT REOUESTED
ri;
X SEWER 7C WATER TAP.
_ COMMI{ND ?L. RESIDENTIA?:?
x NEW
EXISTING
±Lawn Spr' r Meters are to be Installed
? PLUMBER: _va1ie'Y Pxm!Cnq Ahead D mestic eters on Water Line.
given f Deduct Meters.
ADDRESS: ?10 C?'eek Latie CreZ?=
? CITY, STATEJorc3an, ?. ZIP 55 325 ? PHONE: 492-21212
1 AGREE TO COMPLY WITH CITY OF
AN
? OWNER: The Rattlund Co. Inc. zz
I ADDRESS: 5201 B. River Road
i CITY, STATEF`r'laley, 1'u"+. Zip 55421 ' PHONE: 5 ?' GNATURE WHEN METEA ISSUED
t. PLEASE ALLOW TWO WORKING "DA;iS OOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT. -
' ..?
-- - - -- ! . .'' I'Li
? ..
BUILDING PERMIT
CITY OF EAGAN ? 1 9980
3830 Pilot Knob Road,? P.O. Box 21-199, Eagan, MN 55727
PHONE: 681-4675
To be used for SF DWG/GAR Est. value $79, 000
Site Address 3855 MERSEY WAY
Lot _19 Block 2_._ SeGSub,C.OVFNTRY PASS 3RD
Parcel No.
N21pe THE %OTTLUNll CO 1NG
Z Address 5201 E RIVER RD
? C'dy FRIDLEY MN Zip 55421
Phone 571-0304
? Name SAME
? Address
? c4ty Zp
g Phone
License #
1 hereby acknowlege that I ha re ihis appli alion and state that the
intormalion is correct and ree co h aIl applicable State of
Minnesota Statutes and Ci ? Ord? nces.
Signature of Permitee 40e
A Buiiding Permit is issued to: THE AOTTLUND CD INC
on the express condHion that all work shall be done in accordance with all
applicable Slate of Minnesota Statutes and Ci1y of Eaqan Ordinances.
,, ?Q_ y?,, ??
BuildingOlficial i? ?.???1? ??.u? 11LC1
? ?
Receipt #
` DEC 18 , 1g91
OFFICE USE ONLY
FEES
Occupancy R-3 i}=1
Zoning R_1 Bldg. Permd 545.00
(Aclual) Const V-N Surcharge 39 _ SO
(Allowa6le) V_N'
Plan Revierr
7 Sla_ (1f1
# nf Stories
Length 43 ? licerse .
Depth 44' SAC, City 100.00
S.F.Total - SAC,MCWCC 6$0.0?
S.F. Footprinis _
OnSifeSewage _ WaterConn 660.00
On Sile Welt Water Meter _ 95.00
MWCC System X
]{
AccL Deposit
0
30.0
City Waler
PRV Required _ S/W Permil 30.00
Booster Pump - g/yy SurCharge .5
?
Treatmeni PI
0
276.0
APPROVALS RoadUnit 370.00
Planner - park Ded.
Council --
CoPies 1.00
BIdg.0f1. _
Variance - T07AL 3,151.0
n
Address: 3855 ME.RSEY WAY 1.ot 12 Blk z Sac/Sub !'pVENI$y pASS 3RD
These items were/were not complete at the time of tha final inspection.
Date: 03/16/ 92 Yes No S lynqnprtnr!
Fina1 grade (6" from siding)
Permanent steps - garage
Permanent steps - main entry
Permanent dtiveway
Permanent gas
Sod/seeded gtass ?
Trail/cuzb damage
Porch
Basement finish
Deck
Please ver3Ey with tha builder the removal oF roof test caps from the plumbing
system and the shut-off of watar supply to the outside lavn faucat before
freeze potential exists. ?
urmeoe?xx
White - City copy Yellow - Resident copy Pink.- Contractor copy
1991 BUI LDINIPTIAPPLICATION
' CITY OF EAGAN
SINGLE FAMILY DWELLINGS
2 SETS OF PLANS
3 REGISTERED SITE SURVEYS
1 SET OF ENERGY CALCULATIONS
MULTIPLE DWELLINGS
COMlff:RCIAL
3 SETS OF PLANS 2 SETS OF ARCHITECTURAL
REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
(CHECK WITH SLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALC5
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
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 PLUMSER.
To Be Used For: e&jj,*44? 12=4 Valuation: fikZZMW Date: /Lxlql
Site Address ?jR?' eonr-? g-w-
Lot 'L Block 2
Parcel/Sub 49yE}/Yg/ 3
Owner -FffE QerrR_u-t1lJ
Address ?l 1E, QKyz
City/Zip Code ??'In L6y ? it35c{2l
Phone F,71-0T?0'-/
Contractor
Addres
City/2
Phone
Arch./
Addres
City/2
Phone
t7 41 OFFICE USE ONLY
/
Occupancy 1Z 3 M-I
Zoning R- 1
Actual Const V-!?f
Allowable v-N
# of stories
Length ?
Depth
S.F. Total
Footprint S.F.
On site sewage_
On site well
MWCC System
City water L
PRV _
Booster Pump _
AYPROVALS
Planner _
Council
Bldg. Off. JZ•/
Variance
FEES
Bldg. Permit s4-15,00
Surcharge ?b
Plan Review ,OD .35
SAC, City /00000
SAC, MWCC (oSD,00
Water Conn. 4 OA0
Water Meter $ 00
Acct. Deposi t 30.0
o
S/w Permit 3a.00
S/W Surcharge i Sa
Treatment P1 . ,a a
Road Unit DtOo
Park Ded.
Trail Ded.
Copies I. UU
SUBTOTAL
Penalty
Lot Change
TOTAL
i, ?-L ?eagrees that all work shall be done in accordance with
(Sign ture of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
GIARAGE'
_.------?._
?'O x`oZA=. (400 X I S= ?oOoD -
t3S i7t T 3 6 X zy=86u
12X??= )32
7 X I2= Sy
?---
8o X I?I : 1s?12o
IsT FLOpIZ
SSMT: 1C?`?a
( X l1-
1051 ??3= S'7?23 _
? 3 y ??3 on
?
'7 9, avv r
i,a
# IONE R M.ndasHelOl4em56izo
.+wn ra..s. ?rwc.ic s?m.+scn
* e?? ^9" IetZl6as-?9ia
*?*
Certi£cate of Survey fvr. T'1e Rottlund Comoanv. IIIC.
? Modef Name: Foirfax
I ?
, ,. .
p ? .
f ? ? `•, ??,
:?o• R
oq
p ,?,• ?, , • ? a?„ . ? O
Ov
A /'` ? [+3 ?3• ?-
! . ? ?` Z8 I
/
/6 A",
?
A? Q-
??
i
k \?? / rl• ?^ .// - 'v ?ti . ? ?
! -
/ !. . /. . : -. . . _
/ _ .? .' " .:`?• ? ? /
/ ! !
•M.o Denatee Ezisting Elewtion PROPOSED HOUSF EIEVATON
•cE?) benoics Prapoxd qeva4lon Lowest Floor EJavntion:868.36
- Denotes Drainage & lltil{ty Eoamnent Top of 61odt Elavation:89t_56
--Denotes Droinaye Flow Direriim Coro9e Slub E??ion:841.23
-o- Denokes Monument . ,
-$-Denvtea O[iset Hu6 8??g8 ?? are amwtted
LOT12, BLOCK 2 COVENTRY PASS 3RD ADD.
OAKOTA COINITY, MNNESOTA .
I rb?pY uN1Y dul tlW ?WN1'. WM? b ilYa! wv M urW? dr?Sfpreyon W tIW I Is WIY b?+?1a
?wl?reMlwnWer9apMlMrmw.0.sd?M?e??0.D.tOf?i.?. /
SCQle. I?aJ?? nn?casa.s?w wcn.ro.uMl
FM 91I9i.i8
.,FYTF.1iiQTt F:NVF.Id'tl•r. nvi•:i;nr.e: °u" cuntr1Yrrlri,>fl FP1????`.
oww Ex ? o"t
1 -
SZTE ADDRESS ?OT I? ..DL?.K Zt CavE.r-rrpy SRb A)DiTja,/
CONTRACTOR DATF. PHONE
Determin vorkinr, square footai;e of each.
1. Total exposed wall area sR. ft• x 0.11 _ 2isj?Ofk
• 2. Total roof/ceiling area sq. ft. x 8..026 _ , 2
Total exposed wall area abnvo flocv = ?41,p
a. Total va11 4indov arez ... ................. ........ I7 ¢'+44 ,
? b. Total door area ........................... ........ "-3 A 1 11 (-
c. Total sliding glnss door area ............. ........ zj b'
d. Total fireplace wall area ................. ........ 7,0
e. Total wall framing a:ea (average lOP) ..... ........ °J , Loe
f. Total net wall area nbove Yloor ..,••..--•. -.......
/,Z
6. Total rim joist area ..... ........... ... .
......_. P r0.
Total exposed foundntion arca
h.
Total
foun3etion vindow a:ea .............. ..
........ ?
, i. Total net foundation a-ea above grade ._... ...... . . 7. 4
.
. •
Deterxr.ine "U" value
o; each vall sern
ent.
a „
„
15
. . U
X
b X .lUll
.
- • C „U„ Gb3Z = ll. 2
. x
d. 2- a X nun
e .??U,?
157?ra0
, x
l.
? 41 9. 2 ?
..
.
o Z.
f. U
x
llf?,? -7 b'
. g. X
h. ?
x "U" _
- -
i. 97, [, X„U„ - 0. (+ _
3. .................................. 'Por.?]
If item N3 is the same as, or lesr. '.h:,n .iLem Nl,
or sac 6ao6(c)2.
,G
/7?/, 4z.
O/L
7?e met the intent
.)
' Total exposed roof/ceilinG ATe1 = ('?? (
? .. . . . ?
Total gross roof/ceiling are:i =
J. Total skylight area .......................... _ . O.
0,
k. Total roof/ceiling framing area-..............
l. Total net insulated roof/ceiling area ........ _
Determine "U" value for clch roaf/cci i int,. seg9ment.
.?•
11 n
, X U .
„U„ o. o z'I
k: ?\ ?.? x
2Z ='Z i,.? `1 .
X„U„ 0-0
?.
k . ............ . ................:. Totgi
If total of N4 is the same as, or less than N2, you have met tYLe intent of
sBC 60o6(c)i. . •
To utilize the total envelope systea method, the values establi:hed by the
sum of itetns N3 and Bk shall not be greater.than the swo of items N1 sad 12.
1. + 2.
3•. ?+
o .
_ . ... o
,-
. ?
?'h:',' ?;'!.\tyk'M%k?((K<W?R8<kc7kN",`X,>X7#sk?8?:m>kXtk!kKX(;3 #W.#i"'mxc? ?kW , '
rI1'Y fic Ef:GAN
c,•.t???::-., , . .
;"!i:P:M.LNAI._ Nt..1;1 62
-
i'iTEl 04/08/97 rTiyr'e :!4fl42.:.i3 .
Tny
PiArtf:^ YFIF: T.IEF§ftS I.ISY' (:Q?JST!i!.!CT:f.lJC:
?, ,?: v8??..., ? NcF?s.':: ' ?q ?r? ,
3210
...r:,_... AV ;n,Qp
2't55 "11If:1:. 9855 MEr;c;Ery 1,1(-lY 0.30
,r;..,,.. 9901 3E355 Mc.Rc,c:V I+:,FtY ?
t
?
6
?010 I:1,,3CSd].[:i1; AIIioi.;.ISi; s 50„75, ,
Q;ri:i .D.. NANr"{
I
?"'CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERIVIIT
PERMITTYPE:
guzLorNG
Permit Number: 0 2 9 6 8 9
Date Issued: 04f07/g 7
SITE ADDRESS:
3855 MERSEY WAY
LOT: 12 BLOCK: 2
COVENTRY PA5S 3RD
P.I.N.: 10-18402-120-02
DESCRIPTION:
(FRAMING ONLY)
g Permit Typs DECK
4,Work Type NEW
Cd&e 434 ALT• RESIOENTIAL
?'? 31 ?°"?
??.?' ?
REMARKS:
FEE SUMMARY:
Base Fee $50.90
5urcharge $.50
Subtotal $50.50
CONTRACTOR:
' TSENTER, QEAN 19407011
• 6412 83RD CT N
BROOKLYN PARK MN 55495
i
i. _. .: .? . . : .;., : ?.:
ho.Y°eby
inFt?`k'rrt,?'ka?rt, ?s°'°cazrr?cC' a?i
I ? _ St?LU?es` aad G,i?"X e'ag?
APPLICANT/PERMITEE SIGNATURE
COPY t•25
Total Fee $50.75
OWNER: - Applicant -
JOHNSON 70DD
3855 MERSEY WAY
EAGAN MN 55123
(612)454-1427
f ) tx 6 k a}? ?14 r?
?UED Y:5 N T RE
1997 BUILDING PERMIT APPLICATION (RtSIDENTIAL) 4,?O.'S
19cm CITY OF EAGAN
3830 PILOT KNOB RD - 35722
6814675 Ul,(.4.Gt 7
RemodeUReoair Reauiremente
? 3 regiatered site aurveya ? 2 copies M plan
? 2 coples of plans (indWe beam 8 wlndow saes; poured fid. deaign; eta) ? 2 site suneys (ex[efior adCftiona 8 decks) ? 1 energy calculaUone ? 1 energy wlculatlons Mr heated eddkbne
? 3 copies of tree preservadon plan ii lot platted after 711/93
rcyuired: _Yes _ No - ' .
DATE: 0? IA L (q "a CONSTRUCTION COST:
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT _L? BLOCK
S
SUBD./P.I.D. #:
PROPERTY Name: "sO', J1 Phone #: ?y°77
OWNER u.* ?*
Street Address:
City: L, GState: tttZip:
coNTw?croR Compahy: 2??r ,`?L: f. 5 b`°ho e#: ?O' 7?
/
2'? ' Tt, License #:
St
t Add
? 3
ree
ress:
,
l, ?/ ? Zoa6/?38
City: ? ? a ?? State: Zip: . S3 ?S
ARCHITECTI Company: Phone #:
ENGINEER
Name: Registration #:
Street Address:
City: State: Zip:
Sewer & water licensed plumber (new construction only):
and lot change are requested once permit is issued.
Penalty applies when address change
I hereby acknowledge that I have read this application and state that the infortnatlon is correct and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan O?dinances.
Signature of Appiicant: "
OFFICE USE ONLY 77CEIVED
Certificates of Survey Received _ Yes _ No 1997
??_
Tree Preservation Plan Received _ Yes _ No _ Not Required L13Y.
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation ? 06 Duplex o 11 Apt./Lodging
? 02 SF Dwelling o 07 4-plex ? 12 Multi RepaidRem.
? 03 SF Addition ? 08 8-plex n 13 Garage/Accessory
? 04 SF Porch ? 09 12-plex ? 14 Fireplace
? 05 SF Misc. ? 10 _-plex p' 15 Deck
WORK TYPE
4>- c14
ew, 1 , OKty
J
0 36 Move
0 37 Demolition
9'31 New o 33 Afterations
? 32 Addition a 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowabfe)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
?
o ' 16
? I' 17
? i' 20
oI?21
V
,
MGWS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bidg
Census Unit
Basement Finish
Swim Pool
Public Facility
Miscellaneous
i
.1
N 34
?
?
Planning Buiiding Mr3_ Engineering Variance ?
Pertnit Fee Valuation: $
5urcharge
Plan Review
License
MCNVS SAC
City SAC I?
Water Conn. I;
Water Meter
Acct. Deposit '
S/W Permit
S/W Surcharge I
Treatment PI.
Road Unit
Park Ded. .
Trails Ded. II
Other
Copies (y) /. o0
Total:
% SAC
SAC Units
* 2471 EnMyrbe diw
IONE Fi ...?.?.?.e...n..?..e.. ?."emaM" $5120
:.??.r.Y ...e...?s. .?e.?...o.,me
?i,??• *8???ing" 48T2)681-1914
CertiFcate of Survey for. The Rottlund Comoanv. If1C.
? Mode! Name: F irfax
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-cOHD) Denotes Propoeed 4eroatlon Lowest Floar Elavotion:888.36
- Denotes Oraincge 8 Uttltty Eaemnent Top of Blotk Elavation:897•56
-Denoiea Oroinoga Flow Direetion Cara9e $job E??ion.841.23
o- Denotes Monummt
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PERMIT
CiTY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDING
029740
0q/14/97
SITE ADDRESS:
3555 MERSEY WAY
LOT: 12 BLOCK: 2
COVENTRY PASS 3RD
P.T.N.: 10-18402-120-02
DESCRIPTION:
DECK FOOTTNGS ONLY
Suild3n6°P,?ermit 7yps DECK
?`BUilding Wi?;m,k Type NEW
z?CensusCode 434 ALT. RESTDENTIAL
?
't
REMARKS
FEE SUMMARY:
Base Fee $21.00
Surcharge $.50
Total Fee $21.50
CONTRACTOR:
OWNER: _
JOHNSpN
3855 ME
GAGAN
(612)454-1427
Applicant -
TODD
RSEY WAY
MN 55123
? . . . . . . , . ..
I hersby acjCt3owle8ge Chat I FraVB Pead 'Chiis
infiormat,ion is correct and, agree to Comply
? Statutes and Gity @f Eagan Orslinancer.,
_.. ? ? .
APPIICANT/PERMITEE SIGNA7URE
appl3cation antl state that the
wiCh ati'epplicable 5tate ofi Mn.
?
ISSUED Y: SIG URE
-j
997 BUILDING PERMIT APPLICATION (RESIDENTIAL)
#0740 CITY OF EAGAN
3830 PILOT KNOB RD - 65122
681-4675
? 3 registered sRe surveys
• 2 coDies of plans (Indude beam & window sizes; poured fnd, design; etcJ
? 1 energy celculetiona
? 3 copies of tree preservetlon pWn H lot platted after 7/1193
required: _ Yes /_/flo
i
? 2 copies of ptan
• 2 sfte surveys (exterior etlditbna 8 decks)
• 1 er?ergy calculations kr heatetl addftions
DATE: - I ? CONSTRUCTION COST:
DESCRIPTION OF 1NORK: de ck
STREET ADDRESS: ? ??
LOT BLOCK a SUBD./P.I.D. #.
PROPERTY Name: Phone
OWNER ?
3() /Y76,/1 SP<I LJ
L'
Street Address:- ,
vV Y v
City: State: Zip;
CONTRACTOR Company: Phone #:
Street Address: License #:
City: State: Zip:
ARCHITECTf Company: Phone #:
ENGINEER
Name: Registration #:
Street Address:
City: State: Zip:
Sewer 8 water licensed plumber (new construction only): . Penalry applies when address change
and lot change are requested once permit is issued.
I hereby acknowledge that I have read this application and stat
Scate of Minnesota StaWtes and City of Eagan Ordinances.
Signature of
OFFICE USE ONLY
Certificates of Survey Received
_ Yes _ No
Tree Preservation Plan Received - Yes - No - Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation o 06 Duptex ? 11 Apt./Lodging o 16 Basement Finish
0 02 SF Dwelling o 07 4-plex o 12 Multi Repair/Rem. ? 17 Swim Pooi
? 03 SF Addition o 08 &plex n 13 Garage/Accessory o 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace n 21 Miscellaneous
0 05 SF Misc. 0 10 = plex a 15 Deck
WORK TYPE 0.,,J4
.zr'31 New o 33 ARerations o 36 Move
a 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System ?
(Allowable) Main level sq. ft. City Water ?
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. ?434
Depth Footprint sq. ft. SAC Code
Census Bldg i
Census UnR ?
APPROVALS
Planning Building htiS Engineering Variance
Permit Fee Valuation: $ a/ 5 v
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permft
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
City o+ Eaqan
Cash kec?ipt
fieceipt Date 1019160
Tiae Frinted 11:5$:13
Receipt Nun6er 1232
TQTAL COPiFt7RT
3855 MERSEY GiflY
4181.2195 .58
NF 43195
9161.40$8 38.11
MF 43145
? ?=al keceipt Aoourat 30.58
=`ses' HetC?DAW.
CITY USE ONLY
LOT BL hPERMIT SUBD. ', ,! Yr'nfl'V PQ _?C, ? td RECEIPT
.
RECEIPT DATE:
Date:
Complete this section on1 if you are installing HVAC in a single family dwelling, townhome or condo under
construction and not owner/occuvied.
• HVAC: 0-100 M B T U
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required @$3.00 ea.)
$ 30.00
6.00
State Surchazge .50
Total $
Complete this section onlv if you aze remodeline, addin?to, or re airin an existing single-family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
_ New _ Alteration Other
X Furnace
Air exchanger
Reminder: Call for inspeclions
t'
srrEADDxESS:
OWNER NAME:
INSTALLER NAME:
STREET ADDRESS:
CI7'Y:
2000 MECHANICAL PERMIT (RESIDENTIAL)
rxorrga:&S j - loE(
(AREA CODE)
Pxorrsu: ?[?? _ 3T 3-? 3k?3
(AREA CODE)
CITY OF EAGAN
3830 PIIAT IINOH RD
EAGAN hN 55122
651-681-4675
_ A'v conditioning
Other
Fee $ 30.00
Statz S-archarge .50
Total $ 30.50
STATE: ? ZIP: SSy? /
h
SIGNATURE OF PE ITfEE
L _ BL _
SUBD.
APPROVED BY:
CITY USE ONLY 11
PERMIT #:
RECEIPT#: S
INSPECTOR RECEIPT DATE;,
2000 MECHANICAI. PERMIT (CObII+ICRCIAL)
CITY OF EAGAN ii
3830 PILOT EQiOB RD
EAGAN, MN 55122
651-681-4675
Please complete for. all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE: I,
WORK TYPE: _ New consGuction Install U.Gi Tank
_ Interior Improvement Remove U.G. Tank
_ Rocessed Piping i
When instalfing/removing underground tank, call 651-68I-4675 for inspection by fre marshal and
plumbing inspector.
I
Description of work
Fees: 1% of contract price OR $30.00 minimum fee, whichever is gteater.
Underground tank removaVinstallation = minimum fee g
i,
Contract price: $ x 1%= $ (Base Fee) i
State surchazge calculate at $.50 for each $1,000 Base Fee
1
TOTAL $
SITE ADDRESS:
OWNER NAME: PHONE #:
(AREA CODE)
TENANT NAME (A4PROVEMENTS ONLl):
?
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
ADDRESS: PHONE #: -
(AREA CODE)
CITY: STATE: ?i ZIP:
SIGNATURE OF PERMITTEE
I
CITY USE ONLY
PERMIT #: 4?;?B RECEIPT DATE: ? 1 I? U I
C" oF EAsax
3830 Pu.or [cxos Rn
EjaetkN bav 55122
651-681-46'75
Please complete for: ? single family dwellings
townhomes and condos when permits are required for each unit
Date:
5!TE Ai)DRESu:
USIDEPTIAL 11+IECH"CA1. PEiiMIT APPLICATION
OWNERNAME:?kSeYI Ll(qC'_- /? V1°.(S TELEPHONE#: 5 I & -/ -Pl/6
L I (AREA CODE)
INSTALLER NAME: Tp1?G TELEPHONE #:
(aRea. cooe)
STREET ADDRESS: (c?1 L1 1Ci
CITY:
STATIE: m9 ZIP: 55`7 (I f
Place a check mark next to the permit work type
New residential dwelling unit under constructionand not owner/occupied $ 70.00
? Add-on, modification or alteration to existina dwelling unit $ 50.00
• furnace replacement
• air exchanger
• air conditioner ?7 1
. otner - Ne0+
Nature of work:
.?
5tate surchar e mAY 1 0 2005 g .50
Tota I
L C?
$ JrO. S
Reminder: Call for inspections.
A ? /
TURE OF PE IT E
Updated 1/O1
CITY USE ONLY
PERMIT #:
APPROVED BY:
INSPECTOR
RECEIPT DATE:
COMbIERCIAL M£CELA1vlCAI. PFJtMIT
CPfY oFEA6t41V
S$SO PILOT KNOB RD
ER&M, MN 55122
651-6$1-4675
Please complete for: all commercial/industrial buildings
multi-family buiidings when separate permits are not require,d for each dwelling unit
Dr?TE: II
SITE ADDRESS:
OWNER NAME: PHONE #: I -
(AaEr. conE)
TENANT NAME (IMPROVEMENTS ONLY): I
i
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER
ADDRESS:
CITY:
WORK TYPE:
Spec'rfy ivature of Work
New conshuckon
Interior Improvement
Processed Piping
PHONE #: I
(AREA CODE)
STATE: I ZIP:
_ Install U.G. Tank
Remove U.G.i Tank
I
When installing/removing underground tank, calf 651-681-4675 for inspection? by Fire Marshaf and
Plumbing linspecton I
Fees: 1% of conhact price OR $50.00 minimum fee, wkuchever is greater.
Underground tank removal/installation = miniuwm fee
Contractprice: $ x 1%= $
State surcharge
TOTAL
$
(Base Fee)
calculate at $.50 foi each $1,000 Base Fee
SIGNATURE OF PERMITTEE
Updated 1/Ol
2005 RESIDENTIAL BUILDING PERNIIT APPLICATION
City Of Eagan
3530 Pilot Knob Road, Eagan MN 55122
Telephone 9 651-675-5675 FAX # 651-675-5694
New Conshuction Reauirements RemodelRieoair Reauirements Olfice Use Onlv
3 registered slte surveys shmving sq. R. of lot, sq. fL of house; and all moted areas 2 aples of plan CeR of Survey Recd Y N
(20% mazimum lotcoverage albwed) 7 setof Energy Calwlalions forheated addflions Tree Pres Plan Recd _Y _ N,
2 copies of plan showing beam & window s¢es; poured fourM design, etc. 1 sHe suney for additions 8 decks Tree Pres Required . _ Y_ N
lseto(EnergyCalculalions Add'd'ron-indicatedaissifesepticsysfem On-sReSep6cSysfem _Y _N
3 copies of Tree Preservation Plan R lot platted afler 711193
Rim Joist Detad Options seledion sheet (6uildings wifh 3 or less units)
Date? / G` / 05 ConstructionCost 165z) ' 60
Site Address 3p_Z,5 Ms::LUF? 4 UniuSte #
Description o[ Work
Multi-Family Bldg _ Y? N Fireplace(s) _ 0 _ 1 _ 2
PropertyOwner .3ASoYJ /dC t'1/?1Q-Jr- Telephone#O«??_Z-,C)Ti
GJF
Contractor
>
Address City ?id?7rv?i
State pl/? Zip 5537P-) Telephone #((p/L) ?90 '.3 j?3
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672
Enefgy Code Category . Residential Ventilafion Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submifled
• Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan2
_ Y _ N If yes, date and address of master plan: •
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Teiephone #(
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved y?lan case of work which requires a review and
approval of plans. ? ?
Cov? 'BC,-,ks2
Applicant's P inted Name
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 18 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 33 Ext.Alt-SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage
? 06 04-plex O 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addkion O 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteratian ? 37 Demolish Building ?43 Reroof ? 46 Windows/Doors
? 34 Replacement `Demolitian (Entire Bldg) - Give PCA handout to applieant
Valuation Occupancy MCES System
Plan Review 100% or 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bidgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Final/C.O.
_ Footings (deck) _ Final/No C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas T ests Final
_ Framing _ Siding _ Stucco _ Stone _ 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
Use BLUE or BLACK Ink
r Y, r
I-or virll - Us~
Permit
City of Ea~a~ FF
3830 Pilot Knob Road i Permit Fee: ~JJ
Eagan MN 55122 Date Received: h-31 to
I
Phone: (651) 675-5675
Fax: (651) 675-5694 I Staff: I
L-----------------I
2010 MECHANICAL PERMIT APPLICATION
Date: Flt,?I~ale5 Site Address: J5 /VjejeS0V,- W
Tenant: f e Suite M
RESIDENT / OWNER Name: GL 5 ~ P' ~ f7/lo , Phone: y q(0 Address / City / Zip:
CONTRACTOR Name: G7- License
Address: city: ~~/1~- JC S
State: AI Zip: Phone: 4,t-- ~-Lz
c
Contact: Email: G4✓i G/( ^r- 114 /tom C
TYPE OF WORK New Replacement Additional Alteration Demolition
Description of work:
NOTE: Roof mounted and ground mounted echanical eq 1pment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
PERMIT TYPE RESIDENTIAL COMMERCIAL
Furnace New Construction Interior Improvement
Air Conditioner Install Piping Processed
Air Exchanger Gas Exterior HVAC Unit
Heat Pump Under / Above ground Tank Install / _ Remove)
- When installing/removing tank(s), call for inspection by Fire
Other ~ Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge)
$95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground tank installation/removal OR Contract Value $ x1%
$55.00 Minimum (includes State Surcharge)
Permit Fee
- If the Permit Fee is less than $10,010, surcharge is $ 5.00
- If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee Surcharge
(i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) r- C2
TOTAL FEE
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.org
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 014y `o 411 A ~eG/Ui= x
Applicant's Printed Name App i n 'Signature
FOR OFFICE USE Reviewed By: Date:
- Required Inspections: Un~1er Ground Rau,lh In Air Te-,t CIS Service -l est- n-floor He,-it Final
F ~eriur H"a( S 1 =?r,ninr~ Insl>ectinir
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA111432
Date Issued:06/24/2013
Permit Category:ePermit
Site Address: 3855 Mersey Way
Lot:12 Block: 2 Addition: Coventry Pass 3rd
PID:10-18402-02-120
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater & Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Justin Peskar
3855 Mersey Way
Eagan, MN 55123
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 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 -
Cheryl A Kotan
3855 Mersey Way
Eagan MN 55123--395
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA112100
Date Issued:07/29/2013
Permit Category:ePermit
Site Address: 3855 Mersey Way
Lot:12 Block: 2 Addition: Coventry Pass 3rd
PID:10-18402-02-120
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Window or Door:window
Joanne Burr
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Cheryl A Kotan
3855 Mersey Way
Eagan MN 55123--395
Window Concepts MN
291 Eva St
St Paul MN 55107
(651) 905-0105
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA148099
Date Issued:03/06/2018
Permit Category:ePermit
Site Address: 3855 Mersey Way
Lot:12 Block: 2 Addition: Coventry Pass 3rd
PID:10-18402-02-120
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Justin K Hellickson
3855 Mersey Way
Eagan MN 55123
(507) 696-5178
Window Concepts Mn
291 Eva St
St Paul MN 55107
(651) 905-0105
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA150376
Date Issued:07/05/2018
Permit Category:ePermit
Site Address: 3855 Mersey Way
Lot:12 Block: 2 Addition: Coventry Pass 3rd
PID:10-18402-02-120
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
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 -
Justin K Hellickson
3855 Mersey Way
Eagan MN 55123
Mnp Mechanical Llc
452 8th Ave SW
Lonsdale MN 55046
(952) 292-9238
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA150931
Date Issued:07/31/2018
Permit Category:ePermit
Site Address: 3855 Mersey Way
Lot:12 Block: 2 Addition: Coventry Pass 3rd
PID:10-18402-02-120
Use:
Description:
Sub Type:Residential
Work Type:Underground Sprinkler System
Description:PVB
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - RPZ/PVB/Lawn Irrigation $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 -
Justin K Hellickson
3855 Mersey Way
Eagan MN 55123
Jay's Plumbing
25 South Sutton Lake Blvd.
Jordan MN 55352
(612) 868-4102
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA170008
Date Issued:06/17/2021
Permit Category:ePermit
Site Address: 3855 Mersey Way
Lot:12 Block: 2 Addition: Coventry Pass 3rd
PID:10-18402-02-120
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Roger Amlee
3855 Mersey Way
Eagan MN 55123
(651) 592-2255
Walker Roofing Company
2270 Capp Rd
St Paul MN 55114
(651) 251-0910
Applicant/Permitee: Signature Issued By: Signature