3862 Mersey Way?
' CIT'Y OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS•
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
• ? I n! ?
R; t Y 1Jq N
i ?=•?: Ii {; ? f ?t ,'?(?!l
PERMIT SUBTYPE:
!!1 1,
TYPE OF WORK:
i:ll li 11 1 W.
4S .' N 1 0i9
44t{/'.'I /`i i
INSPECTION . . .
APPLICANT:
i 030 tl _
kf MARI S n S 4 W ! ' t , P t F r A VA1 I C Y Pi R(i
Pannk No. PermR Holdw Daft TelephorM 0
Sl{N
PLUMBING
HVAC
ELECTRIC 9'7/129/
ELECTRI 8 "
&Gd
Wapectlon Dste Msp. Commans
Footings I 11-n_ y3 ? S
Foundetion
Framing ul C/ f' 3 r
Roofing
R-0 PI)9. . ? ?
Rough Hty. a?? ? rCt t
J ?
[S,l. S z?S'3 ? S
Fimpkice b.S
F+nai kc9. 7 ,
Orsat Test
? ?
Fnal Pbg. Plbg. Inspec,tor- Notity Plumber
Const. Meter
EngrJPlan
Bldg. Final Z 1912
DeCk Ftg.
Deck Final
Well
Pr. Disp.
.
a?, . 3 Q??t S 3A4"/
s i+ •
V • . ??' •
-?y.-
we?.?tilicate nf cccupanc?
WUV o? ???
?? ? ?? uoutim
Tfiis Certificaie issued pursuant ta the requirements of the Urtiform BuildiRg Cvde
certifying thai at the time of issuance ihis strucrwe was in compliance with the various
ordircances of the City regulating building construehon or use. Far the following:
Use Clacsification: SF IW BW& Pc mit Na 20M0
Oc4.?upancy'[ype R3 , Zaoin Distria ?U? ??-
Owner of Baitding ? ? ? ? AddieAs K
?
B g Address ?
eumngomcw
POST IN A CONSPICUOUS PLACE
/? j93 REQUEST FOR ELECTRICAL INSPECTION
? S?e Inslructiens lor cromplating this torm on back ol yellow cOPY.
? 27184 "X" Below Work Covered by This Request
EBA0001-08
?`VV" to G g3
ew Add' h',?ep. '.?.TypeofBUilding AppliancesWiretl EquipmantWiretl
Hpme Range Temporary Service
Duplez Water Heater Electric Heatinq
Apt Building Dryer Other.(Specity)
Comm./Indusfrial Furnace ?
Farm Air Conditioner
Other (syecify) Comracmr5 Remarks!
Compute Inspection Fee @elow:
# Other Fee # ServiceEnirenceSize Fee N Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps ? O l0 100 Amps a
Transtormers Above 200 _ Amps 100 _ Amps
Si905 Inspedor5 Use Only: TOTAL
'
' SO
Irrigalion Booms Y
L
"'
Speciallnspection
3p(- w
Y•
to TAL Y JY'
Alarm/GOmmunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MO HS.
I, the Electrical Inspector, hereby Rough-in / Data
certify that ihe above inspection has
been made. F,,,ai
' oa?e 7?' 4
L
OfFiCE USE ONLV
Tnis request voitl 18 months Irom
7ai/
d'OW?
ti
Reduest Date Fre No, oug ?in Inspection
- etl7 l
? Reatly Now /J 'u Natiry In ?rJ'?
- a q -93 vea ? 0 ? h ¢ 'i
Ilicensed contrector p owner hereby request inspection ot abov
% ?.
lectrical work 9-9
i;
Jo0 Atltlress IStreel Box or Raule NoJ
-
?
.
Ciry ?
Y
3Sba d
Secuon No. Township Name or N. Range No. Coupy
i..i
Occvp t IPRMTi Phone No.
PawerSu er
^ Atltlress
L ' ?
It?
?
Elecv¢al omractor ICOmp
-any
Namei Conlractor5 License
No.
rn
_
(? x
G? 0 Q ?V ^?
Maiitnq Atltlress (CO,tracfor or O er Meking Installetion)
AutM1Oru ? Signamr¢ ?COntrect !pwne: stallation Phone NumOer
hj -?P(a
MINNESOTA STATE BOAPD OF EL CTRICITY THIS INSPECTION REOUEST WILL NOT
Grigga-MiOway BICg. - Room Sh73 BE ACCEPTED BYTHE STATE BOARD
1821 Univer¢Ity Ave., Sl Vaul. MN 55100 UNLE55 PROPER INSPECTION FEE IS
Pbone(612)64Y-O800 ENCLOSEO.
519-5-
d 27178
REQUEST FOR ELECTRICAL INSPECTION
? See Insiructions lar completing tpis lorm on DBCk oi yellow cropy.
"X" Below Work Covered by This Request
.f''"`N E?o
,-
,?
?1)?,
N" ,•.
ew AM. Re' Typeof8uiiding AppliancesWired EquipmentWired
? Home Range Temporary Service
Dupiex Water Heater Electric Heating
Apt. Building Dryer O[her (Specity)
Comm./Industrial Fumace
Farm Air Conditioner
Other (syecily) Confrector5 Remarks:
Compufe /nspection Fee Befow:
# Other Fee /i SarviceEntranceSize fee a CircuitsiFeeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Ahove 100 _ Amps
Signs Inspecta5 Use Only: TOTAL C
'
- Irri ation Booms ?? OJ d
?
Speciallnspection
Aiarm/Communication THIS INSTALLATION MAV BE 0 - ED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
c
rtif
th
t th
b
i
i Ro?qnm oa?a
y
e
a
e a
ove
nspect
on has
been made. F;,,ai Dare ?_ L j f
OFFICE IISE ONLY
Tnis repuast voitl 18 months Imm
? 7 8 ?.3 0
Req est Oat . Fire No. Ro ? n I spection
iretl?
?? Yes G No
? ReeOy Now Will Notily Inapector
W?en Reatly?
I• licensed contracror ? owner hereby raquest inspection of ebove electrical work at:
Job Atltlress (SireeL BoM ar FaNe No.)
38 a Cly
?
Section No. Town5hi0 Neme or No. Reng No. Coyppt ?
O%?t1
Occu antiPRWT) Phona No.
Po Olier ? AEtlress
Elean I Comracror (COmpany Name)
' Coniractor5 License No.
O 0
Matling Atltlress iCONractor or Owner Making Installation)
Hulhol6ea $IqraWl21 raC1aN?WnBf Mdking Ip51d tiOnJ PI10n@ NuTbE!
MINNESOTA STATE BOARD Of ELECTPICITV Q THIS INSPECTION REQLIEST WILL NOT
Gripgs-Mitlway BIAg. - Raom 5-113 BE ACCEPTED BY THE STPTE BOARD
1821 University Ave., SG Paul. MN 55100 UNLESS PROPEq INSPECTION FEE IS
Phona(8/]) 6024800 ENCLOSED.
Address 3862 MKtM WaY Zip 55123_
L.ot - , 'S Blk 3 Sub !OvnvrRY rnss 3zn
THESE MS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
-
Dat . Yes No Inspector:
Final gr e(6" om siding)
Permanent steps (garage) ?
Permanent steps (main entry) ?
Permanent driveway
Pettnanent gas
Sod/Seeded grass Ll i
TraiUcurb damage
Porch
Basement finish l ?
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shuboff of water supply to
the outside lawn faucet before freeze potential exists.
Contad engineering division at 681A645 before working in rightof-way or installing underground sprinkler system.
White - Ciry Copy Yellow - Resident Copy Pi`ilc - Contracror Copy 0
2AT /OAPLY CaLCLL1sT lOit usIDL1iR'I71L
? 2IIILDIII RXIT a?PLI IbN ?11
:1tOPLRTY "-GA+.S
?
wrweyi
bocQxzl7T lT?I?DL4n•
??
B?D D
0 •
• R*qistez*a SenQ suzveyer siqnatuse and oompany
Duildin
P
it
q
erm
1lpplicsnt
• Lagal descri
tion
e D • p
Addzess
? D • North anor and baz aaale
8
D 0 • House type (rambiez, vaikout, spiit v/o, split sntry,
lookout, *tc.)
0 0
0 •
• Directional draina4e arrows rith •lope/qraeiant •.
8?
0
• pzoposed/existinp aevez and vster sarvices
6t
? roet name
0 • Dziveway
sLrvarioNs
O B?0
?
• LY3st;ao
Sewer service
D
D 0 • Lot corners
D^ D 0 • Top of eusb at the drivtvay
D? 0 0 • Elevationc of any sxistinq adjaeent homss
fzoaesta
Gezsge ilooz
D
r 0 . First floor
!
0
Lr 0 D
D • Lovest exposed •levation (valkout/vindew)
8? D
D • pzoperty corners
• Front and saaz oi Aeme at the loundation
n B?
D
• pOFDitiG ARLAB (if tnnlle bt.1
Easement line
D j' D • rn;L -
O .8' O
ID •
• tts+L
Pond 1 desiqnation
D,? 0 • Tmerpeney Overflov Elevation
?t!tNS2oxs •
V-100'D D •
? 0 0 •
?0 D •
0 0 •
D D ,D •
Lot lines
Riqht-oi-vay and stseet vidth (to baek ei eu=b)
Proposed bome aimensions ineluGiaq any propossa decki,
oveznnngs qzeater than 2', porehes, ote. (i.*. all
structura: requirinq permanent iootinqs)
Shov all easements of tecozd and any City ntilities vithin
those •esements
Seibecks oi proposed structuse and sttback of adjacent
existinq h
Retain=andiremeats, ii anv
Revieved:
. i
Cities Digita.l
ity Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
? CITY'OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Datelssued:
? I•.
,i
SITE ADDRESS:
, !
v ,
DESCRIPTION:
REMARKS:
FEE SUMMARY:
-,,-;-
CONT.RACTOR: OWNER: "
` ? .
,
y- ,
` -
APPLICANT/PEFMITEE SIGNATURE ISSUED B I NATURE
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
51TE ADDRESS:
PERMIT SUBTYPE:
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
, APPLICANT:
TYPE OF WORK:
L
REACTIVATE '
PERMIT I??C[?ON/f?DD
?O? PR 1 3 1993
CITY OF EAGAN
1993 BUILDING PERMIT APPLICATION ?3?G0•?'?
681-4675
W" 4-lq
SIN6LE & MULTI-FAMILY se s 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 - ?/ 'I / `l3 Valuation of wor 13`1 oUo
Site Address: 3Y62 2- wtl'se./ Wa,,(
STREET , SU1TE #
Tenant Name: (commercial only) Go -nc-•
IAT ?C BLOCK 3 BD. 2 y-?
S
II P.I.D. M
`
_
?
7
Descri tion of work: geK (e
The applicant is: wner ntractor ? Other (Deseribe)
NameJF4+44'jU?- co r,nr- Phone S-7f-o3o?i
Property LAST FIRST
Owner pddress 52-c?k e•e4v-e-i a 3a ?
STREEt StE #
City `F+`k•XeY State Zip SS?(2(
Company Sau?- Phone
COntYaCtOC Address License # 137-5- Exp. I -3_ '9c/
/
City State Zip
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber ?e4 Q w,b, Processing tlme for
sewer & water permits is two days nce ar a has been a roved.
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: 'ce
OFFICE USE ONLY
BUILDING PERMIT TYPE `
;
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? ;?5r
16se?e
.? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Qccessory ? 18 Comn./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
E3 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
? 31 New ? 33 Alterations ? 35 Tenant Finish O 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Canst. (Actual) V- N Basement sq. ft. MWCC System YES
(Allowable) V-N lst Fl. sq. ft. City Water YU _
UBC Occupancy 2nd Fl. sq. ft. PRV Required
Zoning ry?-I Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length ? On-site well Census Code
Depth On-site sewage SAC Code o?
eao5us b f d
=4 t.
APPROVALS . ?? ?
Planning Building N5-9zos Assessments
Engineering Variance
REDUIRED INSPECTIONS
? Site
? Wallboard
? Footing
? Final
? Framing
? Draintile
O Insulation
? Fireplace
Permi t Fee veiuac;on:
Surcharge
Plan Review ?A??? ,
rxa2c= ycn xI 6; LYoc'
License
MWCC SAC
' i
y4 x 2?-
f 232
City
SAC
Water Conn.
23q
Water Meter 1`f k y= (54)
Acct. Deposit
5/W Permi t
IX L 4)
$/W Surcharge :2X
L
?- L '
Treatment Pl. .
I
Road Unit
' !y ?$X.5 q
Park Ded. f3?m i
Trails Ded.
Copies
29?`2? °?B4x ??`? II`760
Other '
Total :
SAC %
SAC Units ?
s_mL A:)nR-Ls5 Lo`P 15.0 BLoCK 3 .
r.
c02vTR,•lCio7 T,?t Lu}Jp
?
Dete^iin wor'r,inr; square foot_,;c of cach.
l. Total er.pcs=d •:a11 ere3 .. ZO00. -7 x 0.11 - zZa•07
2• Total roof/ceiling area ,. ? Q-O0,020 _
X
iot2.1 exrased eil e^e1 lbovc ,: oc•,r = Zr:OD. ? .
2. _otel va11 •.:;nco:: e rea
..
. ........... ? .?
............. Itj ?, ?
? b. ^_etel coor ?-ea
' ...
......
......
. .
c.
Total sl:dir.g 61css
qoor .
.....
area ........ ....... . . . .
.....
........
j
d. Total fi;eplece va,l l e:ea ............ _1 ..
.
..
e.
Total ?zll :r2ming
2:ea (
average lOp) .
.........
............. /r
? ?-
f. Total net vc'_1 eree above :loor . .. ?LT
......
4 G/,za
B• Total rim ,joist ere 2 .... ............. .
............. .3
Total eaposed f oi:ndnt ion araa = f 3!'
h. Total :ounde;.:on vi ndc,. a ; ee . . . . . ?-?
- i.
- Total net fo,,:.-?datio n ar>a ebove grzdc ............. 3 L
- ?
. ? D=ter,cine "U" v21ue o; eech ca11 ;eF;nent.
a• 7,
b. „Ul,
? C. -7 X„U„ ?. 4-2- 7b
d. x ?1-cl, . _ .?
e. f?7. v j X"U" ??
?
°' ?`'?
,
t
i 1 =
x u„
. g. i ? ...?- x „11 j
? '?i i
, ,
h. X
I•?. ?,/
? . . .. . . . . . .. . . . ... . . . . . . .. . . . . . . .«?.,, -
; i}?em #3 is the sz-ne as, or t.h:,n ;tra ti•ou navQ met tne inter,t
o: s3C 6006(c)2. -
??
Totel exposed roof/ceilinG area = /? ? !
Totel gross roo;'/ce_,in/; erea
Totel skYlient z.-ea ..........................
k. ^_otel roof/ceSlir.g frz,.irg ar=a. ..............
1, Total net _nsulated roof/ceiling area ........
Gete^=ine "U" vnlue for cnch ruoC/cci 1 ini; scF;Ment.
? - x 'lLl, _
.
k: x IlJll 7? .
?j
.
?
/2
60 I,
„
.
, U
u . ........................ .......:. .--tal
75:
_
I: te:al of K4 is the s?.,e as, or less than ,4`2, Jou have met tt,e i^.tent of
sac 6o05(c)1.
To u:il;ze the total envelooe system method, the values establiahed by the
sum. o; :temsH3 and M4 shall not be sreater.thxn the sun of iten:s N1 and N2.
1. + 2. _
+ 4. _
.
, r.
1
U
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=(0,12 x o.0t9? t(o,Sb x 0.043> = o• o?-7 ?-
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RECEIVED
,-'- _'_"?'; ?:?':_`._;r ,_ JAN 2 3 1992
P} C,LI.Y.' G... FiJr: Pr"_'pCIr`_:i L'i i
ROT 1 L__..l.i.' C_N('Ai4Y TI.. :-tL'JNC^.
r ._l-:^.G ^:GATI{Y G
. jJL N_imY: :';..11?:f': 4:^.D
DE_I_.. _U.,DITION;'? fo'r
' riUTY:r;iv1G,
_UI1Ni • L'!I•l =:l
Dry "n'V.i- 9: -X-i
t Bu1 b _
I _:O:JR
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17
Daily Rar,ce __
-a_iti.ue :R
Dai!y =wir.g -' -
Sa-,`rt"v Fa;'_''C;Y" .";1
La-8i:t'. . S;Cto'r ..., 2,
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-------- Cr'l
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C'r a'..J i _ ,- ', ce ---
12,112 --
176 1,442, _,
`___"::9T:eni i -.Y lY_ 2,541 12_
-. - _ ilh CQ 1,524 77
K i 'Fc ..CIf 381 .L4S 5,044 i
: yny' L'.,. .i.:g c640 121 5,570 29?:
yipd:'oL.I : t 2,972 4t 896 4.^
._. a' F. }} f o=„T - - , -1 -4 11 S _
i'.Cl:r_ _p! i ._ _. ._. w _.?
i _. _ h ` L 71
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B=',tf i._.JIII 290 9() 0_
• -------
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707 -------
10,991 -------
1,005
. .G:yT.L NG _L r!S 1 =5.0
_____..NG Dr1L!A . .r._,.
PJQTE: :k:k* Cal:itlated A.it-flow is tased ;;.pGn load Y'cquir=ments.
.eY'1f% tric't'F .=ilY'LioW C_nlcliia'Ced 15 Coi:ipdtlbie iNith
ScclcCtBd eqLlipiTiBiii. rPqlli'r-BIi<n'h5. *.w.r
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H HiIl`AV : 9901
------------------- ln__.1. 013;
------ ---- ------- 5,1641 5751 ._..._;
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1993 PLUMBING PERMIT (RESI
CITY OF EAGAN
3830 PIIAT INOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
COND05 WHEN PERMTTS ARE REQUIRED FOR EACH UNTf.
NO. FIXTURES LACE
l SHOWER 3•00 3 '
WATER CLOSET 3•00
t'
a BATH TUB 3.00 L-
a LAVATORY 3.00 l. ,
? KITCHEN SINK 3•00
3 -
LAUNDRY TRAY 3.00 3 '
HOT TUB/SPA 3.00
? WATER HEATER 3.00
3 -
? FLOOR DRAIN 3•00 3 `
i GAS PIPING OUTLET • minimum -1 3.00 ?-
? ROUGH OPENINGS 1.50
WATER SOFTENER 5.00
PRI VATE DISP. • DaILCry. lic. 15.00
U.G. SPRINKLER • home uneer oonsi. 3.00
ALTERATIONS • to cdsting 15.00
WATER TURN AROUND 15.00
STATE SURCHARGE .50
y+
TOTAL:
SITE ADDRES3: ?J? to a1 M e rse.r t,J A •.l,
OWNER NAME:
WST
ADDRESS: Lio Ce ceic (
CTTY: Ju (8A ..? STATE: ZIP CODE:
PHONE #: (
SIGNATURE OF PERMITTEE
1993 PLUMBING PIItMTf (COMIIIZERC7AL)
C1TY OF FAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 681.4675
PLEASE COMPLETE FOR ALL COMMgRCIALlINDUSTRIAL BUILDINGS. ALSO FOR MULTI-
FAMILY BUP DINGS WHEN SEPARATE PERMTTS ARE NOT REQUIRED FOR EACH
DWELLING U?,-.T.
NEW CONSTRUCfION
^ ADD ON
? REPAIR
wotuc nESCRuPTIox:
CONTRACT PRICE: $
FEE: 19E OF CONTRACT FEE.
STATE SURCHARGE $.50 FOR EACH $1,000 OF p£RJtiiY!' FEE
MINIMUM FEE: $ 25.00
CONTRACT PRICE X 1%
STATESURCHARGE
TOTAL
SITE ADDRESS:
$
$
$
TENANT NwAiE: 5Tr- #
OWNER NAME:
INSTALLER:
ADDRESS:
CITY:
PHONE #:
FOR:
CITY OF EAGAN
STA1'E:
ZIP CODE:
APPLICANT
PLEASE COMPLETE FOR SINGLE FAMII,Y DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
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 OLJTLETS (MINIMUM 1 @ $3.00 EACH) '?) '-'z)
ADD-ON/REMODEL (ExISTING CONS7RUC17I0N) $ 15.00
STATE SURCHARGE .50
TOTAL a1 ?
STTE ADDRESS:
OWNER NAME: TELEPHONE
IN5T
ADDRESS: N?A-
CTI'I':C-?;K?e STATE: ZIP CODE.`?W_\
TELEPHONE #:
SIGNATURE OF PERMITTEE
iyrj mr,%_natvia:ai, rr.xnu i ticr.awrw'4
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
1993 MECHANICAI. PERMTf (COb0IERCIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTFER MULTI-FAMILY BUILDINGS WHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
DATE: CONTRACT PRICE: $
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
1% OF G(OIVT'RAL`j" FEE $
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF P'ERMI'T FEE.
TOTAL $
STI'E ADDRESS:
OWNER NAME: TELEPHONE #:
TENANT NAME: (IMPROVEMENTS ONLI)
INSTALLER:
ADDRESS:
CIT1': STATE: ZIP CODE:
TELEPHONE #:
SIGNATURE OF PERMITTEE CITY INSPECTOR
. ?bl RESIDENTIAL
.?l BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-881-4675
NewConatruetlon Reauiremanh
• 3 registered si[e surveys showing sq. 8. of Int, sq. fl. of house; and all roofed areas
(20°b maximum lot coverage allowed)
• 2 copies of plan showing beam 8 window sizes; poured tound design, etc.)
• 1 set of Energy Calculations
• 3 copies of 7ree Preservatiun Plan if lol platted after 711193
• Rim Joist Deteil Opfions seleclian sheet (hldgs wiUi 3 or less units)
DATE Wr
RemodaUReualr Reauirements I q
? ?
. 2 copies af plan
• i set of Energy Caiculations lor heated addilions
. i sRe survey for euterior additions & decks
. Indicate if home served by sepfic system for additions
VALUATION `?'a4'5 '-?* I
SITE ADDRESS Sl-x MULTI-FAMILY BLDG _Y _ N
TYPE OF WORK._Q FIREPLACE(S) _ 0_ 1_ 2
CBd81' V81* EXW01'8, kIC.
APPLICANT_ 99202i118$tti9@I _
coon Rapitls, MN 95498
STREETADDRESS CITY STATE_ZIP
TELEPHONE CELL PHONE # FAX #L
PROPERTY OWNER fn u? ?& L ' j j TELEPHONE#10SI 1403-74
-----------------------------------------------------------------------------------------------
COMPLETE THIS SECTION FOR "NEW°" RESIDENTIAL BUILDINGS ONLY
Energy Code Category MINNESOTA RT_iI.FS 7670 CATEGORY 1 M f
(d submission type) • Residendal Ventilation Category 1 Worksheet Submitted • ?1i e m??:s14
• Energy Envelope Calculadons Submitted
JUN 0 4 [uut
Plumbing Conhactor: __ Phone #
Plumbing system includes: _ Water Softener Lawn Sprinkler y e?: •-$?
Water Heater _ No. of R.I. Baths
No. of Baths
Mechanical Contractor:
Mechanical system includes:
Sewer/Water Contractor:
Air Conditioning
Heat Recovery System
---------°---°-----------------------------------°------------------
I hereby acknowledge that I have read this application, state that
with all applicable State of Minnesota Statutes and City of Eagan
Signafure of Applicant
OFFICE USE ONLY
Phone #
Phone #
Fee: $70.00
is corr?, and agree to comply
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
? 01 Foundation O 07 05-plex ? 13 16-plex O 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi
0 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Poroh/Addn. (4sea.) ? 33 Ext. Alt - SF
0 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Paroh (screaned) ? 36 Multi
? 05 03-plex ? 71 70.plex ? 19 Lower Leve! ? 24 Storm Damage
? OB D4-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundatian) O 45 Fire Repair
? 33 Alteretion O 37 Demolish (Bidg)' ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement *Demolltion (Entire Bldg only) - Give PCA hendout to applicant
Valuatlon 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 Sprinklared
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) Final/No C.O.
_ Footings (addition) _ Plum6ing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesu _ Final
_ Framing _ Siding Stucco SWne
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wa71
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Pertnit
Mechanical Permit
License Search
Copies
Other
Building Inspector
Total
h?q('
2006 RESIDENTIAL PLUMBING PeRnniraPPUCArioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dweliings.
/5, 60
Date ??I
_ VENKATASUBRAHANIAN,BALA
SItO Street AddfBSS . 3862 MERSEY WAY
' Utllt #
EAGAN, MN 55123
(651) 406-9274
Property Owner Telephone # ( )
Contractor_N 0 rbI u'Yl P(J(,{,m bf o Gj Telephone# ((a12-)
Address 2qD5 E-70,1--fl et.d SD_ City fflD iS State 1?y7Rl Zip rC940?
I
The Applicant is: Owner V Contractor Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
' Per as-huilt $ 10.00
Alterations to existing dweiling $ 50.00
_ Add ptumbing fixtures. This fee includes instaAation of a water softener and/or water
heater at the same time. If you are insialling onlv a wafer soitener and/or
heater, do not com lete this section; move to the next section
a
ii
i
t
lli and cheok raw
?`s `? np "1
pp
ance(s) you are
ns
a
ng. ?
_ Sept ic System Abandonment M L04
006
_Water Tumaround (add $130.00 if a 5!8" meter is required) Er
Other: -?
_ Water Softener
YWater Heater $ 15.00
/
_ new V replacement
_ Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
7ota1 g
i nereoy appry ror a rtesidentiat Piumbing Permit antl acknowledge tha[ the information is complete and accurate; thai the
work wiil be in conformance with the ordinances and codes of the City' of Eagan and the plum6ing codes; that I
understand this is not a permit, but only an application for a permit, w to?start without a permit and work will be in
accordance with the approved plan in the event a plan is requid t? re+? L. ApplicanYs Prin d Name Applicanignature
?/
?J9 (D 21? o
2oo7 RESIDENTIAL BUILDING rExMiT arrLicnTiorr
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWction Reauiremenls
3 regislesed site arveys showing sq. ft. of l04 Sq. K of hase; aM II rookd areas
(20%maximwn lot cwerage albwed)
1 Soils Repart if propoud building is to be placed on disWrbed spl
2 copies of plan shovrin9 beam 8 window sizes; poured found design, etc.
1 set of Enerqy Calwlations
3 capies ofTree Preservation Plan'rf bt plaGed aRer 711193
Rim Joist DeAil Options selection sheet (6uildiigs with 3 or less units)
PAinnegasco mechamcal ventilaUon fonn
1
D Gk?L&X?
RemodeVReoa'v Reuuiremenis - Oifice Use OnN
2 wpies of plan showing tao6igs, beams, Joisfs Cert of Survey ReW _"Y. _ N
i set of Energy Calalafions for heakd ad0ilions Sals Report ': . _ Y _ N
1 site survey kr addidms 8 deds Tree Pres:Flan ReeE `-Y. _ N,
Addrtron-Wkafei(on5dasepticsysfem TreePresRequired;',. _Y... _N
Oo-slte Septic System - -_ Y _ N
Plans are considered public information unless vou state they are trade secret and the reason.
da
Date j0 ?
ConstructionCost
SiteAddress 3X(?oL I?I /? ' Q( S tj IIniUSte #
R
c
4
e
/s6
Description of Work
?
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner f[: 4 A Gl Telephooe N((QS 1) 9o
Contractor
Address 9 7/o (o FAPrm 4e City
/"LOrt frCr?/u0
State Zip S'S 3? 7 Telephone #(76j) 2'7/ - 76r, R
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minneso[a Rules 7670 Cateaorv 1 _ Minnesota Rules 7672
Enefgy Code Category ,., Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J su6mission type) Su6mitted - Submitted
. . Energy Envelope CalculaUons Su6mitted
In ihe 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 Contracior
Sewer/Water Contractor
I hereby apply for a Residential Buiiding
Telephone #( ?
Telephone #? J
Telephone # ( )
iat the information is complete and accurat
e;
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 stsrt without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approv of plans.
Appl'canYs 'rinted Name Appli nt's Signature
DO NOT WRITE BELOW THIS LINE .
Sub Tvqes
? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool . ? 30 AccessoryBldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Poroh (3-sea.) ? 31 Ext. Aft- Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) O 33 Ext. Ak - SF
? 04 02-plex ? 10 OB-plex ? 18 Dedc ? 23 Porch (screer?gazebolpergola) ? 36 MutUMisc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level . ? 24 Storm Damage .
? 06 04-plex ? 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 AReration ? 37 Demolish Building" Ik 43 Reroof ? 46 WindowstDoors
? 34 Replacement 'Damolition (Entlre Bldg) - Give PCA handout to applfcaM .
DBSCI'IptlOfl: Water Damage _ Yes
Valuation Occupancy MCES System
Plan Review 100°k or 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings(new bldg) _ Sheetrock
_ Fbotings(deck) _ FinaUC.O.
_ Footings (addition) _ FinaVNo C.O.
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool Ftgs _ Air/Gas Tests Final
_ Frnming _ Siding _ Stucco Lath _ Stone Lath _Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall Approved By: Building Inspector
Base Fee
Surcharge
Plan Review
MGES SAC
City SAC
Utility Connection Charge
S&W Permit & Suroharge
Treatment Plant
License Search
Copies
Other
Total
'k PIONEER LAND
? eng'neer'n^ . LAND PL
7
?
oRS • aML ENCinttHy
? LANDSCAPE ARCHITECTS
625 Highway 10 Northeast
Blaine, MN 55434
612) 783-1880•Fax 783-1883
Certificate of Survey for. TI'1C ROttIUnCI Company, InC.
House Address: Mersey Way, Eagan, MN
Model Name: Stafford
Customer: Fritz
3p / / /
30
?e7.' /
/ ? 687.3
5z,
S•e/^V 71"
?-'J / IA?
? lb?
QP
? Op G
n ? ?a` <drlry ??
/ ?3:"r•?0 p p P?,`"o?? ?? eaa.o
SO? ? o y`?oo ? '\\??y?0
886.9 0? \?/a 9g7. y 3j h Q? "tih q /
/ HB? yy p? X JYt ? ?
a 4? /
?
5829; ?3 ?%??? COh .e.N
- ?
?
ea,., x
By B8z' 9
D /
BAGAN ENGINEERINC DEP1` ?
NOTE: CONiRACTOR MUST VERIFY ALL DIMENSIONS
. 900.0 Denotes Existing Elevation PROPOSED HOUSE ELEVATION
. eoo.a Denotes Proposed Elevation Lowest Floor Elevation:886.45
Denotes Drainage & Utility Easement
- Denotes Drainage Flow Direction Top of Block Elevation:889.66
--o- Denotes Monument Garage Slab Elevation:889.33
-s- Denotes Offset Hub Bearings shown are assumed
LOT 5, BLOCK 3 COVENTRY PASS 3RD ADD.
DAKOTA COUNTY, MINNESOTA
I hereby certify that this survey, plan or report was'prepared by me or untler my direct supernvis2ion and tha[ 1 am duly Regis[ered Land Surveyor
under the laws of the State of Minnesota. Oated this p'?
_c.?.? day of T 0 A.D. 19_.?.c. ` ,; 11
- ? lzz J
S c a I e: 1 InCh= 3Ofeet ROBEAT B. SIKICM L5. REG. NO. 1<891
2422 Enterprise Drive
Mendoto Heights, MN 55120
612) 681-1914•Fax 681-9488
79 91194.20
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA108354
Date Issued:12/03/2012
Permit Category:ePermit
Site Address: 3862 Mersey Way
Lot:5 Block: 3 Addition: Coventry Pass 3rd
PID:10-18402-03-050
Use:
Description:
Sub Type:e-Windows/Doors
Work Type:Windows/Doors
Description:House
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.
Carbon monoxide detectors are required by law in ALL single family homes .
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 -
Michael S Ivory
3862 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