3858 Mersey Way; *CIT'Y OF EAGAN
383U Pitot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
aNLti Itf 1ttiEY 4tAY
COVT'NTRY 1+ASS .;ttp
PERMIT SUBTYPE:
, t IavIl;
INSPECTION RECORD
PERMIT TMPE:
Permit Number:
Date Issued:
? Control No. 0132
ou 11 APPLICANT:
114E k01YlUND CO INC
4612) h71-0344
TYPE OF WORK:
Nt41
kt F1A 141 ', . it E 4 i lt'1 t VAIItY PI.UMNIp6
Pern,it rro. P.rmit r+old.r om relophons s
S/W
PLUA+IBING
HVAC
ELECTRI
ELECTRI W30
Inspsction Date hnp. Commsnts
FooWW I
Foundation it-e
Framing d
Roofing
Rough Plbg,
R°"?' ?g' I-9a Z O s
la,l. o
Fireplacs
Final Htg. 4 /S ? ??6 • i
Orsat Test
Final Ptbg. 4!!s! S }??/ Plbp. Inspedor - NoRHY Plumber
Const. Meter
EngrJPlen
e?dg. Fina?
oed` Ft9.
- •S ?c t ai-
r-1,01-
DeCk F{nel COht letfi satS (O - 2 3 2
Well
Pr. Dlsp.
?L/
-& ?400a P3 r
IN5PECTI4N RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS:
++?? ?t t;t ?,i.f
1,1I tlAY
C;ItVI NIF:Y I'N:.'; 3f!tIl
APPLICANT:
PERMIT SUBTYPE:
TYPE OF WORK:
,_ .
?
? _ ?
----------------------- -------------
Permk No. Permit Holtlw Oab Tekphone #
ELECTRIC
PLUMBING
HVAC
Inspsctian Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PIBCi
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOAFD
FlREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FiNAL
DECK FTG
u
?
DECK FlNAL O ?
(ger#iftrafie of (Or.r?pauxn
Cirp of Cagan
iorprbnrit# of luoatg impertinn
T713s Certificate iuuM pursuant 1o the requir~nts of Section 306 ojthe Unijorrn BuMng
Code ceni)ing that ar eke time ojissuance tlris suucture ms in compliance wiih the Narious
ordinances of the C:ity regulating building construction or use For tlce following.
usecindficidw SF I7WG/GA.R DWS. Fo . No. 113
OOMr-r TYa R3/M 1 Zoning DbOW R 1 Typ cAm VN
oww of e.%eL- 1HE RfJITUM 00 II' Add= 5201 E RIVER RD, FRIDLEY
?a? 3858 ? WAY ?I/?, B3, ?'FNIRY PASS 3!?D
?yDmc 6f 1q/92
PQST IN A CONSPICUOUS PLACE
it-
VER & WATER PERMIT OFFICE USE ONLY
fOF EAGAN METER #4/6°2 311 Z0 PERMIT DATE 0/31 /92
J Pilot Knob Rd.
cHiP # 0 3// o77_4 PERMIT # 12654
an, MN 55 122-1897 METER SIZE SenJSk B.P. RECEIPT # C(11103
ISSUE DATE "L Z a B.P. RECEIPT DATE 031301?2
E HAR 30, 1992
_ PRV _ BOOSTER PUMP
: ADDRESS 3$58 1vfFRSFY vAv PERMIT REQUESTED
4_BLOCK _I SEC/SUB GO .NTRY PASS 3RD _
-X-SEWER __X_WATER - TAPS
STATE
ZIP
COMM!IND X RESIDENTIAL
X NEW - EXISTING
BER: V LLEY P -BG --
ESS: 610 C FLK L.N '
STATE TORDAN MN ZIP 55352
IE: 492- 121
:R: THE ROTTLUND CO INC
ESS: 5201 E RIVER RD
STATE FRIDLEY MN ZlP 55421
F. 571-0304
SEWER PERMITS, C,
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
I AGREE TO COMPLY WITH CITY OF
EAGAN OROINANCES
2 ?._
$ NATURE WHEN MET ISSUED
<,- - /q-_ ya
CI G DAYS FOR PROCESSING. CAIL 454-5220 FOR INSPECTIONS. FOR STOR
ENGINEERING DEPT. ???/%
LQSS'D?
- 3 0 51 ?.? aa - _ ?? . '?a ? a°
3
Repues[ Oste Fire No. Ra h= Inspection
R ?
? RaeGY Now J^dll Nolity Inapector
` ? -? Z ? N. When ReaM?
I C?licensed contractor ? owner hereby request inspection ot above electrical work at ,
Job Adtlre(ssy (SVeet. Box w Raule No.?
- City
D S8 (N
Sedion No; 1ownsibi0 Name w Ntl/
Range No.
Couplx?
L_l
Occupa [PPINT?? Phone No.
PowerSUpp? ? Atltlress
Eleclrical ootractryr ?Compa ame) CqmracrorS License No.
e ?4 DO 38
Maifng A ress IContracMrgr Ownef,Making Installationj
Authorized SignaWre iCOnv on er Maki Install'dtlon? Phorie Number
__ 141p3-3?10
MINNESOTA STATE 60ARD OF ELECiRICITV THIS INSPECTION FEOUEST WIIL NOT
Grlggs-MlOwey Bkig. - Hoom S173 BE AGGEPTEO BY THE STATE BOARp
1821 flniversity Ave., SL Paul, MN 5510C UNLESS PROPER MSPECTION FEE IS
Phone(612)602-0800 ENGLOSED.
REQUEST FOR ELECTRICAL INSPECTION ?0-?! I N4., ee-00001 -08 ,
See insimchons lor complefing Inis lorm on pack ol yellow copg x/DS
6 ?
"X`Below Work Cavered by This Request R??`+?
43051
e Adel pap. , TypeofBuilding AppliancesWred EquipmentWired
Home Ftange Temporary Service
Duplex Water Heater Elearic Heating
Apt. Buildinq Dryer Other (Specify)
Comm./IndusVial Furnace
Farm Air Conditioner
Olher (sVecify) CqMraqor§ pemarks:
Compute lnspection Fee Below:
# .. Othar Fee # ServiceEntranceSize Fee # Cirwits/Feedere Fee
Swimming Pool 0 to 200 Amps /.j 0 to 700 Amps
4to
Transformers Above 200 _ Amps 00 _ Amps
Sig05 Inspector§ Use Only:
Irrigation 8ooms
Special Inspection
Alarm/Communicafion THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 S.
?
I, the Electrical Inspector, hereby ?,.
?ugh-in l,
,,.?% :1•? ?e
? -3n-S
cenify that the above inspection has
been made. Final ? Date ?,C
OFFICE USE ONLY r
TM1is request witl 18 monlhs fiom
J 4306 0,
Request Date Flre No. ou -in InspeCtion
e iretl?
eady Now ? Will Notity InepecWr
Ves G Na When fleetlY?
I7ricensed contractor ? owner hereby request inspection of above electncal work at:
Job Atltlresy (SlraeS Box or Rmte No.) ` Clfy
3855 w
Seclion No. Township Name or ! Renge No. Cou
Occup t?PRIN ? Phone No.
Power Supplier^J? n
? ?L . L(.)'<../ AtlOress
Eleclric Comracta?mpany Namel
uici Coniracror's License No.
e,4 d o 3 9)
Mailing Aotlress ICOnvaclor or Own Making Installa[ian)
Au;honietl Slgnawre iGOmracror, ner b g Instailation? Phone Number
` 4L3-3?iv
MINNESOTA STATE BOPRO OF ELECTRICITY THIS WSPECTION REOUESi WILL NOT
Griggs-MiOway Bldg. - Poom 5413 V BE ACCEPTED BV THE STATE BOARD
1821 Universiry Ave., SL PaW, MN 55106 UNLESS PROPER INSPECTION FEE IS
PMne (611) 642-0800 ENCLOSEO.
REQUEST FOR ELECTRICAL INSPECTION ?ea-00001-08
? S„ „ ? i,,. C„m,.n,h,s 1,..m,.., ? „F „e11„w - 4.s2E?/?t S'^ ?
J430 60 - --- _._ ___ _ _ 'X __ _ --_ _ _ __..
" Be/ow Work Covered by This Request ?'???'m;v
ew A9{f Rep. _ TypeofBuildinq AppliancesWired EquipmenlWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt Building Oryer Other (Speci(y)
Comm./Industrial Fumace
Farm Air Conditioner
Other (speciry) Comreamr's Remeeks.
Campwe Inspection Fee Below:
# Other Fee # ServiceEntranceSize Fee # CircuitslFeedars Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
TOansformers Above 200 _ Amps Above 700 _ Amps
Signs lnspector's use Only: TOTAL
Irrigation Booms /
? j SJ
Special Inspection L?
Aiarm/Communication TNIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
f, the Electrical Inspector, hereby R°°9n-m os?e
certify that the above inspection has
been made. F;nai
OFFICE USE ONLY
This request voitl 18 months irom
AddreSs: 3858 MM?V WAY Lot4 Blk 3 Sec/Sub pASS M
These items were/were not complete at the time of the final inspection.
Dat : 6/'19/92 ' Yes No bs Tnqnpntnr-
Final grade (6" from siding)
Permanent steps - garaga .
Permanent steps - main entry
Permanent drivaway k?
Yermanent gas ?
Sod/seeded grass
Trail/curb damage
Porch
Easement finish ?
Dack
Pleasa varify with the builder the removal o£ roof test caps from the plumbing
system and the shut-off of water supply to the outside lawn faucet before
freeze potential exiats. ?
ucaEOwrtn
White - City copy Yellow - Resident copy Pink.- Contractor copy
PERMIT ? C°"t °"°. 0132
CITY 10F EAGAN
3830 Pilot Knob Road PERMIT TYPE: suiLoiNG
Permit
Eagan, Minnesota 55123 Number: 000113
(612) 687 -4675 Date Issued: 0 3/ 3 0/ 9 2
SITE ADDRESS:
3858 MER3EY WAY
LOT: 4 BIOCK: 3
COVENTRY PA3S 3RD
DESCRIPTION:
Build3ng Permit Type
BuildingWork Type
UBC Occupancy,,
Construction Type
Zoning
Building Length
8uilding Width
I
SF OWG
NEW
R-3 M-1
VN
R-1
43
44
_1 .i
REMARKS:
RECEIPT # C,C11?0'?3 ?????z VALLEY PLUMBING
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
SAC
SAC 8
SAC Units
Subtotal
VALUATION
$513.50
$333.78
$36.00
$790.00
100
$1,583.28
$72,000
MISC FEES $1,610.50
Total Fee $3,193.76
CONTRACTOR: - applicant - sT. OWNER:
THE ROTTLUND CO INC 15710304 0001 35 ROTTLUND CO THE
5201 E RIVER RD 5201 E RIVER RD
FRIDLEY MN 55421 FRIDLEY MN 55425
(612) 571-0304 (612)571-0304
I hereby acknowledge that I have read Chis application and staCe that the
informatian is correct and agree to comply with all applicable State of Mn.
Statutes and City of Eagan Ordinances.
I
?
APPLICAN / RMITEE SIGNATURE ISSUED BY: SIGNATURE
- INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: Lor: a
3858 MERSEY WAY
COVENTRY PASS 3RD
PERMIT SUBTYPE:
sF owG
Contral No. 0132
BUILDING
000113 03/30/92
BLOCK: 3 APPLICANT:
THE ROTTLUHO CO INC
(612) 571-0304
TYPE OF WORK:
NEW
INSPECTION
SITE .. .
F007ING „
FRAMING INSULATION
WALLBOARD FINAI
FIREPLACE
:.REMARKS: RECEIPT M
7
?
.. ? ?. , ? • :? i . .,
in?? ?,. ,?., „?.?.•?, ?r„
l • J :;I ?`'I'
VALLEY PLUMBING
I
nl,
PERMIT #
CITY OF EAGAN
1992 BUILDING PERMIT APPLICATION
681-4675
r3. 78"
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 when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date 3 /Z-s / 9 ?,- Valuation of work
ite Location: 3gs SI Mfr<!E_V Wr,4?aa titn
-
I STE R
STREE
Tenant Name:ill- V;e???? ? C:Tw-
LOT BLOCK SUBD. P.I.D. M
uQN
Descri tion of work: 5?r
The applicant is: Owner Contractor ? OLhE1' (Deseribe)
Name ? ? (0_70? Phone 0!'036q
Property LAST f1RST
Owner pddress 5zo1 &, FQ`Ircr Ro( • ??'
STREET ? STE N
City _F=224/pSl State /'IK Zip SsyZt--
Company Phone
Contractor Address License # Exp.
City State Zip
S'A we- Phone
Company
Architect/ _ ?
Engineer Name Registration
??3
# 060
Address
City State Zip
Sewer & water licensed plumber e P_fUv1A'N9_. Processing time for
sewer & water permits is two days nce %rea ha 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:
v
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
t% 02 SF Dwg.
? 03 Two famity
O 04 Multi-fam. T.H
? 05 Apt. Bldg.
WORK TYPE
'pr 31 New
? 32 Addition
? 33 Alterations
? O6 Garage/Accessory
? 07 Fireplace
? 08 Deck
? 09 Basement Finish
? 10 Swim Pool
? 34 Remodel
? 35 Repair
? 36 Tenant
GENERAL INFORMATION
? 11 Res. Add./Porch
? 12 Comn./Ind. New
? 13 Comm./Ind. Add
O 14 Comm./Ind. Rem.
? 15 Public Fac.
? 37 Move
? 38 Demolish
Finish ? 99 Undefined
Occupancy 1Z 3 M-1 Basement sq. ft. ?
Zoning -?-I lst F1. sq. ft. S
Const. (Actual) V-N 2nd F1. sq. ft.
(Allowable) V- N Sq. Ft. total
8 of Stories footprint Sq. ft.
Length y3, On-site well
Depth tiy1 On-site sewage
APPROVALS
Planning Building
Engineering Variance
REQUIRED INSPECTIONS
Site
`Wallboard
? Footing
? Final
;IlFraming
? Draintile
Insulation
Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
5/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
aoo -
513.5D vatLac;an: : ? 21
36 • oo GA AGE:
333.78 °xao= y0oxr6= (?400
BSMT? 7700,00
I00.00 ?y X36 = g64
695, 00 $X1o=%0
Ssoo 9yy x 15= ?4,Ibo
. a.do r5,- ?woR:
30,00
'
,SD $SMT= 94y X
300100 ? ?13= 1
3
3sa.no _
957 x-43= 5ojT7zI
r7 1, ?8
? 16 Agricultural
O ll Building Move
? 18 Demolition
? 20 Miscellaneous
MWCC System YEs
City Water Yes
PRV Required
Booster Pump
Fire Sprinkler
Census Code JO/
SAC Code o i
Assessments
SAC % 00
SAC Units I
F.7•Fr,ILon r:taVF.i,rn•r: nvEr,nr,i: ^u" cnMru•rn•riOn
otiN zR
c
sTTt aDDsESs
CONTR;C^10R 907`?ILLJii(/D Ga ? D.ATF.
111k
?-/Z?-
PHONE
Deter.ain w•orxing square footar;e of each.
. '
l. iotal exposed v?l area .. ????. sq. ft. x 0'1'-
2. Total roof/ceiling e-ea sy. ft. x 8-,02b _ 4 G 7
• .
a^otal exposed vall erc3 nbovc flocir = /?'7'-3 ?
a. Total cz11 Findov erea ............................ IICo.? ,
b. Total door area ...................................
c. Tot22 slidir.g gless door area ..................... q,?J
d. Total fire?lace uall area ......................... ---
e. Total vz_1 ;raming a:ea (average lOP) .............
P. Total net well area above floor .. :................ 710 3141L
. 8• Total rim Joist area ................ ........... ?q??
Total exposed foi:ndotion araa
h. Total foundet:on vindov a:ee
i. Totzl net fa?;ndat:on area tLbove grede ._........... ¢j .(i
. Detz:-.ine "U" r-alce o; esch vall ,ex;ment.
a. !I (0.8 -'C „U„ 6),¢2 _ ??.fl 5
b.
.? C. X,.U„ O. ¢2 = lC?,"?8
d. X u I _ _ - -
e., ?ZL x."U" D.e7z3`? _
r. /!o :•I?G X
g. ? ! I ?O X ..urt 4( ? - _
(J 1
h. X ?,Ull
i. ts x„U??
3. .. . ..................:............. To 1.al
If item'N3 is the sasne zs, or les= Lti:in itera A'1, you n ve--me the intect
or ssc 6oo6(c)2. .
!0, f/
7?'S ,
1,
Total exposed roofJceiling nrea
. ' `i . . .. .. • Total gross roof/cei2ing are:t
?. Total skyl;ent e-ea ..........................
k. Total roof/ceiling framir.g area ..............• ?
1. Total net insulated roof/ceiling area ........ _ •
Determ?ne "U" value for clch roof/ceilinj,. seb'mcnt.
? X flUll - _ ,
,
I,uto' o.o7.-7 = Z,54 '
k: x
aZZ =!7
? . ............ , ................:. Total ,3 ok-
Ii total of N4 is the sa-ie es, o: less than N2, you have met the inteat of
ssc 6006(c)i. . ,
To utilize the total e.^.velooe sysLe= method, the values establi;hed by the
sum of items H3 azd 94 shall not be greater.thxn the sum of itexs 91 e-nd M2.
l. + 2.
' •g•, ?+4.
r .
' ' ... O . °
.? .-UPcI.U? GAI-GUTIDN-,-7 (GoNT).
-rFRML hlkU. G? IN?-1?A i?
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i ???
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o4,C-AM AIfz RL.M
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=5%z lNSU?A?i?rl?
I?SID? Po? ?ILM,
- . R-VAI.UE
fq.o '
- _- --- p: Co b -
U= R= ? 0_063
tPia
-FFAM5 wAu. ? ?TuP
vie-W.
LoMPoN?NTh
o_U'T?I?E Ai? Rt,ru.
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?x? hrav(F??)
DD•
Aip R?-M. .
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. -0=?p•---- .
? fvf'?;?_-I I• ? C?
?L
=G11?1 P?. ° U? _?0,12 X D.ot9> -f-?o, Sb X o.043> = ?. o?- -
?
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O,OZ?
r CItY OF EAGAN
? 3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
c: R.3qs0 x
BUILDIN6
025399
04/17/95
SITE ADDRESS:
P.I.N.: 10-18402-040-03
3858 MERSEY WAY
L07: 4 BLOCK: 3
COVENTRY PASS 3RD
DESCRIPTION:
B!uilding? F.,ermit Type DECK
Buiiding Wark Type NEW
?r
i'
i
? i .
i . ._, .y .. ? .. . ... _ i ?.t,?... ..
.: . . ? .. ?. ?...
;.
REMARKS:
FEE SUMMARY:
Base Fee
Surcharge
7ota1 Fee
$30.00
$30.50
CONTRACTOR: OWNER: _ Applicant -
FRANKENFELD ANDY
3858 MERSEY WAY
EAGAN MN 55123
(612)797-8054
I hereby acknowledge that I have read this
infarmation is aorrect and agree to compl,y
L 5tatutes and City of Eagan Ordinances.
t
APPLICANTrPERM1T SIGN RE
application and state thaC t'he
with all dpptiicable Stata of Mri.
fi rx n t cA I 1 I% k ---
SI ATUREI I,
INSPECTION RECORD
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
LOT:
3858 MERSEY WIiY
COVENTRY PASS 3RD
I PERMIT SUBTYPE:
DECK
PERMITTYPE: guzLoiNc
Permit Number: 0 2 S 3 9 9
Date Issued: 0 4/ 17 / 9 5
APPLICANT:
4 BLOCKs 3
FRANKENFELD ANDY
(612) 797-8054
TYPE OF WORK:
NEW
-7
CITY OF EAGAN k30? Sv
3830 PILOT KNOB RD - 55122
iff3q91995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
? 3 registered site surveys
? 2 copies oT pians (Include beam & window sizes; poured fntl. design; etc.)
? 7 energy wlculaUons
? 3 coples W trea preservaGon plan if bt platted aRer 7l1193
required: _ Yes _ No
DATE:
Street Address:
City:
Company: _
Name:
t
h?
DESCRIPTION OF WORK: b c- e
STREETADDRESS: 3g5? MEQSg`{ WA_Y
LOT BLO(:K SIJBD./P.I.D. #: E TR Y PA s S 3R'p ? Q D?
PROPERTY Name: FRIANt4.ENFEL-b, A N n Y Phone#:14 tp F? 3",,`l-3
OWNER ?• °i^a• tJ 7 a-7- 8o S
StreetAddress• M558 ME?ZsF_Y ?X)A-Y
City: 'E, A-csArJ State: V+k N Zip: ?S( Z 3
CONTRACTOR Company: O C? 140-r-- Phone
ARCHITECTI
ENGINEER
? 2 capfes of plan
? 2 slle surveys (ezterior additiona 8 decks)
? 1 energy calculations Por heated atld'Rions
CONSTRUCTION COST:
License #:
State:
Phone #:
State:
Straet Adc'ress• ..--
City:
Sewer & water licensed plumber:
change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that
applicable State of Minnesota Statutes and City of Eagan Ordinances.
OFFICE USE ONLY
Certifiqtes of Survey Received
Tree Preservatlon Plan Received
Signature of Applicant:
_ Yes _ No
_ Yes _ No
Zip:
Registration #•
Zip:
Penalty applies when address change and lot
the info rmation is Correct d agree to comply with all
REC?ENED
APR 12 t995
---------------
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation ? 06 Duplex
0 02 SF Dwelling ? 07 4-plex
? 03 SF Addition ? 08 8-plex
0 04 SF Porch o 09 12-plex
? 05 SF Misc. 0 10 = plex
? 11 Apt./Lodging ?
? 12 Multi Repair/Rem. ?
? 13 Garage/Accessory o
? 14 Fireplace o
? 15 Deck
WORK TYPE
0 31 New ? 33 Afterations
0 32 Addition ? 34 Repair
c?rna?o.r.e I?.IC,?'1411?+A41P1ls
Const. (Actuai) Basement sq. ft.
(Allowable) Main level sq, ft.
UBC Occupancy sq. ft.
Zoning sq. ft.
# of Stories sq. ft.
Length sq. ft.
Depth Footprint sq. ft.
APPROVALS
Planning Buitding
? 36 Move
0 37 Demolition
, .
A.
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Misceilaneous
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
Engineering
Variance
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
ToWI:
Valuation: $
°k SAC
SAC Units
CZTY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
$90?IAN?r.Ax.,
FOR CITY USE ONLY
PERMIT #
RECEIPT # / S
DATE: S
"Spg1?7x`TAT.:'; PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY
? TOWNHOMES/CONDOS WHEN PERMITS ARE REQIIIRED FOR EACH UNIT.
---------------------
WQRK DESCRIPTION
NEW CONST ?
ADD ON _
REPAIR _
OWNER NAME:
SITE ADDRESS: `? ? ? °• ??C, ?
i
?
LOT: BLOCK
SUBD,
INSTALLER:
NO
FLARE . e a
.
ADDRESS : 9303 Pl PnQUtl1 AYB. N0.
Galden Yaliey, MN. 5542/
CITY: ZIP:
PHONE #: "'t
FEES
DWELLINGS &
ADD-ON MINIMUM $15.00
-- k3VAC 0-100 M BTU 24. D?;
ADDITIONAL 50 M BTU 6_00
?- GAS OUTLETS - MINIMUM .00
OF 1 PER PERMIT
SUBTOTAL: $.SIV (_?
STATE SURCHARGE: .50
TOTAL:
SIGNATURE OF PERM TTEE
GqMMET.tCIA2,'1T!7AA5TRTAV' PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
APARTMENT BT]ILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQVIRED FOR EACH UWELLING UNIT.
CONTRACT PRICE: _ FEES
OWNER NAME: _
SITE ADDRESS:
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR;
18 OF CONTRACT FEE:
STATE SURCHARGE _ $.SO FOR
EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING = $25.00
$25.00 MINIMUM FEE.
CONTRACT PRIGE x 18 $
STATE SURCHARGE $
TOTAL: $
(SIGNATURE)
CITY OF EAGAN
L? BL ?
SUBD. CITY OF EAGAN
PLUMBING PERMIT
(612) 681-4675
RESIDBNTIAL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS
WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
-------------°____--------------°_-__------------__'
CITY USE ONLY
RECEIPT # 0 S S? v
DATE Z
ALSO, FOR TOWNHOMES AN? CONDOS
WORK DESCRIPTION COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
NEW CONST _ REPAIR/ADD ON 15.00
ADD ON _ SHOWER 3.00
REPAIR _ i WATER CIASET 3.00
I BATH TUS 3.00
6 1
d
IAVATORY
3.00 ?
a1/
OWNER NAME: 6 KITCHEN SINK 3.00
IAUNDRY TRAY 3.00
SITE ADDRESS: HOT TUB/SPA 3.00
T WATER HEATER 3.00 ?
F FIAOR DRAIN 3.00 3 '
GAS PIPING OUT.
INSTAI.LER: ad r ?C L (MINIMUM - 1) 3.00 -??
ROUGH OPENINGS 1.50 47 3?
ADDRESS: OTHER
CITY: ZIP:
,
WATER IVATE DISP?
PR
5.00
15.00
U.G. SPRINKLER
OUND 3.00
00
15
PHONE W. TURNAR .
? ?
a?_ - STATE SURCHARGE .SO
/J
.c
;?? %
e O
SIGNATURE OF PERMITTEE TOTAL:
COMMERCIAL
PLEASE COHPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MUI.TI-FAMILY
BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
WORK DESCRIPTION:
OWNER NAME:
SITE ADDRESS: _
TENANT NAME: _
SUITE $:
INSTALLER:
ADDRESS:
CITY:
PHONE
FOR:
CITY OF EAGAN
CONTRACT PRICE;
1% OF CONTRACT FEE. .
5TATE SURCNARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIM[JM FEE.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL:
$
(SIGNATURE)
S 3 31i° I RESIDENTIAL
BUtLDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
? New ConsWCNon Reuuirements -
• 3 registered site surveys sMwing sq. R. of lot, sq. (t ot house; and all roofed areas
(20% maximum lot coverage allowed) -
• 2 copies of plan showing 6eam 8 window sizes; poured found design, etc.)
. 1 set of Ener9y CaicWaYrons
• 3 mpies of Tree Preservalion Plan if lot platted afler 711193
• Rim Joist Defail Options selection sheel (61dgs with 3 or less units)
DATE -OZ/a2
?, t?\ 1
TELEPHONE# (6s) 6- 'Y
SITE ADDRESS 3?5? t1??s4? W"Jj, MULTI-FAMILY BLDG _ Y---?d N
TYPE OF WORK ??L? FIREPLACE(S) _ 0 _ 1_ 2
APPLICANT K (4 J- Ex i6rz:vx- S
STREET ADDRESS 9?5 g'?i? k Jc 5? ? ?R Z-4-i-? CITY Ll?it STATE ft" "j ZIP 550?6
TELEPHONE # CEII PHONE #(,(-S) avo3 FAX # ?9q - "3 7`2
PROPERTY OWNER
------------ ------- m ------ -....................................................................
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNFSOT.9 RLJLES 7670 CATEGORY 1 MINNESOTA RULPS 7672
(J submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: _
Plumbing system includes:
Mechanical Confractor:
Mechanical system includes:
Sewer/Water Contractor:
_ Air Conditioning
Heat Recovery System
Phone #
I 13.-1 5J
Fee: $90.00
P'ee: $70.00
Phone #
-°--•----- -- ----------° °----------°-------°--°------------•--------°--° °-° °---- ------------°-----------
i hereby acknowledge that I have read this application, state fihat the information is correct, and agree to c
with all applicable State of Minnesota Statutes and City of Eagan Ordinances. 1 ni?
? I -, n?E
Signafure of Applicant
OFFICE U5E ONLY
Certificates of Survey Received - Tree Preservation Plan Received _ Not
_ Water 5oftener
_ Water Heater
No. of Baths
RemodellReoair Reauirameats
. 2 copies of plan
• 1 set of Energy CalculaAons for heated additions
. 7 site survey Por e#anor additions 8 decks
. Indicate A home served by septic system far addi6ons
_ Phone #
Iawn Sprinkler
No. of R.I. Baths
VALUATION S_
Updated 4l02
OFFICE USE ONl.Y
O Ot Foundation O 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling O OS 06-plex ? 76 Fireplace ? 21 Porch (3-sea.) ? 31 Eut. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. 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_Yor_ N ? 25 Miscellaneous
? 31 New ? 35 Int Impravement ? 38 Demolish (Interior) ? 44 Siding
? 32 Add'Rion ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Altera6on 0 37 pemolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 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 IN SPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Foorings (addition) _ plumbing
_ Foundation HVAC
_ Drain Tile Other
Koof _ Ice & Water _ FinaI _ Pool Ftgs
AulGas Tests Final
_ Framing _ _
Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MCIES SAC
City SAC
Water Supply & Storage
S&W Permit 8 Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
(a M (P? 9 LUMBiNe; (REsinENaiAL) ??S3v
Permit Application
City Of Eagan
3,»3if FiIot Kno6 Road, Eagan 119[u 55122
Telephoio,e# E51-675-5675 FAX # 651-675-5674
Please complete for: Single Family Dwellings ?
Townhomec. and ?'ondos when pemuts are required Fcii zact imit
Date CHALUPNIK, KAY ;
I 3858 MERSEY WAY
Site Address ' EAGAN, MN 55123 I Unit #
(651) 330-8811 ?
?
Property Owner I
Telephone p( )
Contractor NKMLOM PLLMBQNG CO,
(612)'32740323
Address cicy
•
State 554Wip _ Telephone # ( )
The Applicant is Owner Ce,rtractor _
--. Other
. i ..
,
Septic System New •" Refur6isi'ied. submit 2 sets ,
of plans and-MPC license
$
100.00
IncludesCountyfee. Additional?u?onsulta`R2`.??s`m"ay'jpply. ' - . . •
Alterations To Existiog i;nwe(tia)g Utlel, Inclu¢iezg
_ Adding fixtures ta lower leve!s or rocm additions, excluding water softener and water heater $ 50.00
_ Abandonment of septic system
_ Water turnaround (+ 5/8" meter iP reeded -$121.04)
Other:
_ RPZ _ new installation rrpair _ rebuild $ 30
00
L
i
i
;i ????? .
_
awn
rr
ga
on system D IS
,.,.
I ? ?? LU
Water softener X Water hPater
_ $ 15.00
x replacement _ adtli!ional BY
State Surcharge $ .50
Total . . . ." - .. ._ . .. _ $ ?Jr. ??
1 hereby apply tor i? Res;dendal .-:g P<mr,i; ar:.d actrnowledge that the information is complete and accura[e; that the work will
be in conformance with the ordinanie< .?:a..:6dt;s of'the City oFEagan and with-the Ylumbing Codes; that I understand this is not a
perntit, but only an application :or aand wark rs not tn start withouC a permit; that the work will be in accordance with the
approved plan in the case nf work w;+i7k, reqc:ir,s a rev;ew aaid approval ofplans.
?Je-? I?ocblc?,n ?
Applicant's Printed Name Apg1-4&,',; S?ilTnafEre
2422 Enterprise Drive
'K Mendota Heights, MN 55120
* PIONEER IpNU SURV[YqtS • CINL ENQNEERS (612) 681-1914•F4X 681-94$8
* engineering UW PLANNERS • LANDSCAPE-ARLHIlEC7-
---5 625 Highway 10 Northeost
* * * * (612) 783-1880 Fax 783-1883
Certificate of survey for: The Rottlund Companv
? House Address: Mersev Way, Eagan, MN '
? Model Name: Ashiey
? ? -
-'-------- --
TyNE
LANE
\? ? ` ---------- -?_
I \ \ ? ? /// ??10 R
? = 09°56 05"
' o
(b
L=40.80 , - ?
ss7.g
L- .23
A??
?Q7vd?v 3P /? %?888,31 \;
/
. .?
? ?80, \ E87.4`/ .?
O
^?„, (
3
4?
0
^ ? ?Srrv:tP / 2J6? y \ ?f?o
/ ? r4? 2 ?P ?j-
a
Gi ,6,>
? 8ai,os 70
AD s
0O1 % ?268 ? ,??ryo," 8g8?'N 33N "4b \\
ea7.3 / +x* ? ?"/
o /, r586.3Z \
?40
/ 8'• ?? ? i v %, ?.. 87'(
?t c 3 ,n (0
Y hg P??
? ?? " . •
_ a'•. A':'n .F..' d\ i.?..?9' ?• n . ^"'
? Z ;G)'Y /.i •"_'.i i
• 900.0 Denotes Existing Elevation PROPOSED HOUSE ELEVATION
• eoo. Denotes Proposed Elevation Lowest Floor Elevation:866.85
- Denotes Drainage & Utility Easement
- Denotes Drainage Flow Direction Top of Block Elevation:890.06
-o- Denotes Monument Garage Slab Elevation:889.73
-e Denotes Offset Hub Bearings shawn are assumed
LOT 4, BLOCK 3 COVENTRY PASS
DAKOTA COl1NTY, MINNESOTA 3R D A D D I TI 0 N
I hereby certity that thi5 Survey, plen or report was prepared by me orvnde C1-? am u y Registerad Land Surveyor
under the laws ol the State of Minnesote. Oared this day of A.O. 191lG .
rceo. a-2o-9z Add E)e? EIOJ$1 .
Rev Lowas? f loor eleV, /?`.. /. .. ? .
A. I L. . REG. NO. 19891
S/?!"l (?. ? 1nCf1_?OfB@t RnBER?.'SV
l.la
15 91194.19
• ' - ? 3C?,.50 ;
2422 Enterprise Drive
??IC'iVEEI? Mendata Heights, MN 5512?
w+o suavEroes CINL EHqNEERS
(612) 661-1914-Fax 681-9488
? engme jt1 g IANU PLANNERS . uuosctiae aea+iTEcn -.---
625 Highway 10 Northeosl
[612) lai e, MN 55434
783-1880•Fax 783-1883
Certificate of survey for: The Rottlund Companv
? House Address: Mersev Way Eagan MN '
Model Name: Ashiey
---------
? Ty
,
' NE
LANE °
\?? ? ? ' R = 235.32------
) ?? ???• ? = 09°56'05" o
os?L=40.80
? o
L .23
? ?? /,??, •a i- - - -?- ?
tb vi' / o ry \\?s
?,. Q
/ 3 \
? ? 3 r
°e 30 988?? ? ,
yj,, 2p6' 388?1 \` 987.4y "
.70 j?? / $ 8 h? ?P . 1 \ ^O J1
? k
? ?? ?'? ~/SPYV??P 9 2,T^ ti
/ ?3ej
? ?7 a,?• / ? M w ? ? 2 ? ? ??•
/
0 7103 10
?
/ 30 1b ?` dr4o? ?,`° n^ , ?
? /
B07.3
A
,
? NOT TO 886.3z \
scALE s
/ s8 • Sp ? ?
? i
/ ` ... ^['.?• `(?7„
BBsZ;?'L. ;..
y -
• 900.0 Denotes Existing Elevotion
• soo. Denotes Proposed Elevation PROPOSED HOUSE ELEVATION
-- Denotes Drainage & Utility Easement Lowest Floor Elevation:886.85
-- Denotes Drainage Flow Direction ToP of Block Elevation:890.06
---o- Denotes Monument Garage Slab Elevation:889.73
--9- Denotes Offset Hub Bearings shown are assumed
LOT 4, BLOCK 3 COVENTRY PASS
DAKOTA COUNTY, MINNESOTA 3 R D A D D I TI 0 N
I hereby cartlly that this survey, plan or report was preper¢d by mo orvrbp?rrTyVryp«-gpQp"tunder ihe laws of ehe Stale af Mlnnesote. Dn1ed thls? 8A q-2???gT?T-?-??Y Regislered Land Surveyo.
daY ol 111- A.D. 19JL.
Keo. 3-20_?? + Add E?1 Elo,s
Qev 6owp4 f ioor piPJ
S?nIP• 1inan_-? n+aBt -•l/'. j??
um s1isa.1s
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA130285
Date Issued:04/15/2015
Permit Category:ePermit
Site Address: 3858 Mersey Way
Lot:4 Block: 3 Addition: Coventry Pass 3rd
PID:10-18402-03-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
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.
Applicant: Dean Kamrath
13791 Jonquil Ln N
Dayton, MN 55327
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 -
John B Scrivner
3858 Mersey Way
Eagan MN 55123--395
Adam's On Time Plumbing & Water Heaters Llc
13791 Jonquil Lane N
Dayton MN 55327
(612) 205-6060
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA147655
Date Issued:01/24/2018
Permit Category:ePermit
Site Address: 3858 Mersey Way
Lot:4 Block: 3 Addition: Coventry Pass 3rd
PID:10-18402-03-040
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Basement Fixtures
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 - Permit Fee (miscellaneous)$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 -
John B Scrivner
3858 Mersey Way
Eagan MN 55123--395
(612) 306-9683
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:Mechanical
Permit Number:EA171216
Date Issued:08/05/2021
Permit Category:ePermit
Site Address: 3858 Mersey Way
Lot:4 Block: 3 Addition: Coventry Pass 3rd
PID:10-18402-03-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
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 -
Cotter Charles Kelly
3858 Mersey Way
Eagan MN 55123
Pronto Heating & Air Conditioning
7415 Cahill Rd
Edina MN 55439
(952) 835-7777
Applicant/Permitee: Signature Issued By: Signature