3863 Mersey WayCITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
PI t F: • . ; ';
PERMIT SUBTYPE:
IN5PECTIUN RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
i4i I. io t;I t,k t. APPLICANT:
WAY flilptri ?
TYPE OF WORK:
`- t•tI ti
0 j(7f
0411
? ._ _ .?,
?
Pormk No. Permk Holde? Date Telaphone #
SNV
PLUMBING
HVAC
ELECTRIC
ELECTRIC
fnopecKion Dsb Msp. Commenta
Footings I
Foundation
Framing '
Rooting
RDUgh PIDQ. F
Rough Htg.
j
+
.
Isul. ?
?
Freplace ?
Rnal Htg.
Orsat Teat
Fnel Plbg. Plbg. Inepector - Notifyr Plumber
Const. Meter
EngrJPlen
Bidg. Final
Dock Ft9. y?s 9? u??S
Deck Fnal
l
Well
Pr. Disp.
^ INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675
SITE ADDRESS: APPLICANT•
.
•?Ntl Ii',F"Y 4lAII ??ii?•?? i t? ??I ! iJ!'1
? IIVF iV I N Y NA'; ;:ik;) ( fa'li' ? l??YtR-0E?t3A
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PERMIT SUBTYPE: TYPE OF WORK:
Mrw
f 6 AS
)
Permlt No. Pertnit Holder Date Telephone #
ELF-CTRIC
PLUMBING
HVAC
Inspsetion Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
FiOUGH
HEAtING
GAS SVC
TES7
INSUL
GYP BOARD
FIREPLACE
7,(P
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FlNAL
..?, . . ..? . -. , .. . . .. . . : . . .:: _ •-e- ? A.,.;..+.-••4-'S. -p..T -.
"_i?r «? F+NIS?i 11/17/92 CITY OF EAGAN
??
' ?+?,
?9 ?
Q
' 3830 Pilot Knob Road
P.O. Box 21-199
MN 55121
Eagan . ... `"
,
,
,
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for $F aiiG/GAR Est. Value j92,000 Date SEP 1 7 , 1991_
Site Address 3M3 M8RSEY WAY
LOt 10 BIOCk .2- Seo/Sub. OFFICE USE ONLY
Parcel No. RD Occupancp it-3 !fe1 FE ES
?
Zoning ?
Name ?'? ROTn-IMD CO INC (nctuai) Const ?N Bldg. Permit b04.00
W
; Address 5201 E gI VLB BD (Allowabie) ?-?
"
?
o Surcharge •
City Phone 571-0304 * of stories _
Plan Review 39Z.?
Length
o Name SAME Depth SAC
Ciry 100.00
= .
U Address S.F. Total
? City Phone S.F. Footprints _ SAC, Mcwcc 639-m
Water Co 6?.00
• On Site Sewage _ nn
?
?
? W
W Name on sae weli
W
t
M
95.
00
~
W
Address
MWCC System ? a
er
eter
u
a W
Clty PhOf1G'
Ciry Water
.?_ Acct. Deposi? 30,00
3o
op
PFiV Required _ S/W Permit •
I hereby acknowlege that I have read this application and state that the Booster Pump - S/W Surcharge
information is correct and agree to comply with all applicable State of
Minnesota Statutes and Ciry, oi Eagan Qrdinlar?.
; ' 7reaiment PI 276,00
Signature of Permitee APPROVALS Road Unit 370,?
A Buiiding Permit is issupd to: ?M IMj.M CO ZM Planner - park ped.
on the express condition that all work shall be done in accordanCe with all Council
applicable State of Minnesota Statutes and City of Eagan Ordinances. gldg, pfi, Copies
Building Oificial -? ?' Va^ance - TOTAI 3,253.50
Permit No. Penmit Holder Orie Tekphone X
WATER qp
9 5
?. 5 y
V-
PLUMBING q;1
!?6 ya- /. 0, /
?' fi?? lk
H.v.n.c. ° y / 5 - /G lo
E?CTRIC ?% 91
Inspection Date Insp. Comments
Footings I &?
Foundation 1v '
Framing
Roofing
Rough Plbg. ? v Z
Rough Htg. 7-l. `9
I5ul.
Freplace
Fnsi Ht9• Z. 1.7 -17
Orsfat Test _/ 7_
Final Pibg. ? Plbg. Inspector - Notify Plumber
ConsL Meter
Engr./Plan
Bbdg. Final
Dedc Ftg.
Dedc Final • ?
Well
Pr. Dfsp.
. . .. .. ?. . . .. .. . _ .: .- : v,?.• „ _
?. ? .
? ?. ?f?? •
. ?
T.erfifiratt of (Orrupancy
(Citp of Cagan
Erparbuntt irf wuioittg jmwertiun
This Certificate issued pursuanl m 17ie requiranents ojSection 306 oJlhe uniforne Building
Carle c+erlifjing lhai at tJre linae of rssuairce thisslruclure ww in camplimrce wilh the variaus
ordinances oj[he City regulaA'vrg building constr:ution or use For the foUowing.
-
uK a.siscation qF M/r.au ak ea rrm t9690
0-v-7 TyM R3/M I z,,jm pu;u R 1 TNmC,..g ?
Ownrf o( 9mwie6 THE R(7TII1M M TNl^. Ad&.. 57(1 I R RIVFR RD ' b= SY
ma?A&I,v
.. 3863 I',R.SEY WAY LCffiq i.10- R2_ !YWFMrav paR.S Wn
POS71N A CONSPIGUOUS PLACE
?
lot Knob Rd. ?
MN 55122-1897 . '
DATE -?-
MF-TER #"IJKVyO?7
7 PERMIT DATE 09/19 f 9].
G
CHIP # ?I7? ?a / l PERMIT # 12294
METER SIZE ^ fe'f) H B.P, RECEIPT # C 15419
ISSUE DATE r 2?I?o B.P. RECEIPT DATE 09 11 % 91
^ PRV _ BOOS7ER PUMP
SITE ADDRESS MeL se? ?qaY- _
PHONE: ' +'--????
PLUMBER: U?l] ?,?
LOT1u-BLOCK % SEClSUB ?,4?y0ht??Y
APPLICANT: C?Ir??
ADDRESS: 52Q 1
CITY, S7ATE ZIP '
S7A7'E .:c,r<<an, Mn. Z!P
E: =?:2-Ll<1
STATE
ZIP
PERMIT REQUESTED
SEWER X WATER TAPS
- COMM/IND X RESIDENTIAL
X NEW - EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credi V}11?L bl6?-be given for Deduct Meters.
?.
1 A¢REE''TO COMPLY WITH CITY OF
WHEN METER fSSUED
PROEESSING. CALL 54-5220 FOR INSPECTIONS. FOR STORM
EPT.
,vr
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
? 3830 PILOT KNOB RD - 55122
651-681-4675
New ConsfructSn ReauiremeMs
• 3 registered site surveys showiig sq. ft. of lot, sq. N. of house; and all roofed areas
(20% maximum lot coverage allaxed)
• 2 copies of plan showing beam & window saes; poured found design, etc.)
• 1 set of Energy Calculatlons
• 3 copies of Tree Presenation Plan if bt platted after 717/93
• Rim Joist Detail Options selection sheel (bldgs with 3 or less units)
RemodellRenalr Reauirements
PJ5
Calld y-fl-b
• 2 copies of plan y r
• 7 set of Energy Calculations for heated additions ?H''n, ?
• 1 site survey for exterior addiFmns 8 decks
• Indicate H home served 6y septic system for additions
DATE VALUATION (EXCLUDING LAND) A5? ZOQ OO
JOB SITE ADDRESS???3
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER CYlev.r. 1? • Qc,rd, c.k
TYPE OF WORK /-tbpoe lrrpuj Poo I FIREPLACE(S) _0 _1 _2 _3
APPLICANT C.]NQAv? u.6wl A PHONE # Co51 -698 -0(08Y
ADDRESS 3e63 rA QcSQV ? ZIPCODE ?23
PAGER #
FAX #
NE1Y RE3IDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category MINNESOTA RULFS 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet S?i'
- Energy Envelope Calculations Submitted /? !2
?s
_ MINNESOTA RUI.ES 7672
- New Energy Code Worksheet Submitted By_ /
Plumbing Contractor: _
Plumbing Systcin Includes:
Mechanical Contractor:
Mechanical Syslem Includes:
Sewer/Water Contractor:
CELL PHONE #
_ Watcr Softener _
Watcr Heater
No. of Baths
Air Conditioning
Heat Rccovery Syslem
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to complywith
all applicabie State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Phone #: \\
Iawn Sprinkler Fee: $90.00
No. of R.I. Batlis
_ Phone #
Fee: $70.00
_ Phone #
Updated 1101
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
O 05 03-plex
? 06 04-plex
yx 31 New
?
? 32 Additian
? 33 Alteration
? 34 R ent
20 Paol
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF.
? 36 Multi '
? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bldg. 0 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demolish (Bldg)` O 43 Reroof ? 46 Windows/Doors
'Demolition (Entire 81dg only) - Give PCA handout to applicant
Val Occupancy MC/ES System _
ensus Cod Zoning City Water _
SAC Units Stories Booster Pump _
Nbr. of Units Sq. Ft. PRV _
Nbr. of Bldgs Length Fire Sprinklered _
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings(new bldg) FinaUC.O.
_ Footings (deck) ? FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile
Roof Ice & Water Final Other
_ Framing ? Pool ? Ftgs _y Air/Gas Tests Final
_ Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone
_ Insulation _ Windows (new/xeplacement)
Approved By:j?2-, Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
Ciry sac
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
? 07 05-plex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex ? 18 Deck
? 11 10-plex ? 19 LowerLevel
? 12 12-plex Plbg_Y or_ N
lt?c?z?Z S?? °
Total
, • ' CITY OF EAGAN Ng _ 1 g690
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 /? A71
BUILDING PERMIT
To be used tor SF DWG/GAR
Receipt # 'j
2,000 Date SEP 17 .1991
Site Address 3863 MERSEY WAY
Lot 10 Btock Z Sec/Sub. COVENTRY PASS
Parcel No. 3RD
W I Name THE ROTTLIJND CO INC
o Address 5201 E RIVER RD
City FRIDLEY Phone 571-0304
zF IName SAME
g? Address
City Phone
?
Ow Name
?,?-? Address
a W City Phone
I hereby acknowlege that I have read this application and state that the
inlormation is correct and a ree to comply with all applicable State of
Minnesota Statutes and City ) Eaqa rdina
Signature of Permitee / - ?
A Builtling Permit is issu to: THE ROTTLIIND CO INC
oo the ezpress condition ihal all work shall be done in accordance with all
applicable State of Minnesota StaWtes and City of Eagan Ordinances.
Building OHicial
OFFICE USE ONLY
Otcupanty R- 3 -1-?. FEES
zoning R-1
(AcNaq Const V-N Bidg. Permil 604.00
(Allowable) V-N
Surcnarge 46.00
M of Stories -
392
00
Length 55' .
Plan Review
DBPIh 46 '
0
SAQ City 100.0
S.F. Total -
0
SAC. MCWCC 650.0
S.F. FaolOrints -
On Site Sewaqe _ Water Conn 660 _ 00
On Site Well - Water Meter 95.00
MWCC System X
City Water x ?. Deposil 30.00
PRVRequired _ SMlPermit 30-0
n
Booster Pump - SMf Surcharge - 50
Trealment PI 976_ nn
APPROVAIS Road Unit 'A 7n _ nn
Planner - Park Detl.
Council ' -
Bldg, ON. _ Copies
Variance -
O
TOTAL 3,253.5
N 02505'
REQUEST FOR ELECTRICAL INSPECTION
? See insimctions lor completing fiis form on pack ot yellow copy,
"X" Be/ow Work Covered by This Requesf
`? ?y Ee-oowi-0a
ew TypeofBuilding AppliancesWiretl EquipmentWired
Home Range Temporery Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Menagement
Comm./Intlustrial Furnace Other (Specifij)
Farm Air Conditioner
Olher (syetity) Conlrector's RemaMS'.
Compute lnspection Fee Below:
n Othar Fea # ServiceEntrence5ize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ AmpS A Amps
Signs , Inspecrors Use Only: 11 TOT S?
Irrigation Booms / ??j . G U
-
Special Inspeclion ?
alarmiCommunication THIS INSTALLATION MAY B D DISCONNECTED IF NOT
Other Fee COMPLETEO WITHI MON S r
I, the Electrical Inspector, hereby
ti
th
t th
b
i Rough,in oate
cer
ry
a
e a
ove
nspection has
been made. F;nai o?te .
? -
OFFICE USE ONIY e \
This reqvest voitl 16 months irom ii, ?)
/ /7
/1, n /.l ..,4 / 1 p Sj's/ I
002505 ?/o 6a ,? D °"
Requpst Date
S ,/
`
" F' e No. - Poughln In un ReqoneE
(VOUmust inspCMrwhenreatly) Inspettion Other Than Roughln
? Rae4Y?w WIIINOtHylnspector
f Ves ? N. DetaReaO
I] licensed contractor xwner hereby request inspection of above electrical work at:
Job Atltlress (Slreet Box or Route No) City
3 C
?
?
w ?
?
I
??e
w. a ?.
Secuon No. Township Name or o, nge No. Counry
D' k6i
Occupant (PiiWT, Phone No.
) G i2 (.88 l
Pawer Suppiier
? AtlOress
Eie ??
ss
Eleancai Comractw (Gompany Name) Contrector5 License No.
Mailing Atltlre
ss (Conpactor Or Owner Making Instailetion)
n
'5 W Y-n e--
Autborrzetl Signawre i
CO
nrc
a
c
!onOwner Makmg Installetion? Pbone Numoer
^
?
,?
^
/
MINNESOTA STATE BOARO OF ELECTPICITY
Gdgga-Mitlway Bltlg. - Foom S173
1821 Universiry Ave., 51. Paul. MN 55100
Phone 161]) 6024800
THIS WSPECTION REOUEST WILL NOT
BE ACGEPTED BV THE STATE BOARD
UNLESS PROPEii INSPECTION FEE IS
ENCLOSEO.
3863 MQSEY WAY Lot 1? Blk 2 Sec/Sub COVENTRy pAS5 3RD
These items were/were not complete at the time of the final inspection.
12 I$ 91 Yes No
Final grade (6" from siding) ?
Permanent steps - garage
Permanent steps - main entry y
Permanent driveway ?
Permanent gas
Sod/seeded grass
Trail/curb damage
Porch
Basement finish ?
Deck ?
Please verify with the builder the removal of roof test caps from the plumbing
system and the shut-off of water supply to the outside lawn faucet before
freeze potential exists. J,?k
?
ucxieovuen
White - City copy Yellow - Resident copy Pink.- Contractor copy
• , S , -1991 BIIILDICR?ZAPCATION
CITY OF EAGAN
?
BINGLE FAMILY DWELLINGS MULTIPLE DWELLTNGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL\?
3 REGISTERED SITE SIIRVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PIANS
1 SET OF ENERGY CALCUTATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCUTATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
_# OF FOR SALE UNITS
PENALTY APPLIES LiHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY IAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - 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 PLUMBER.
To Be Used For: ' Q Valuation: E
Site Address mz? Aq2eef a2ky
Lot _JI!:> Slock "I_
Parcel/Sub
P ?
Owner
Address S7C--p] E. 1?/UFt A!'44
City/Zip Code 73401 cx 4121
Phone cl
Contractor,
4??j1rE.
Addres
City/Z
Phone
Arch./
Addres
City/Z
Phone
Sewer/Water Licensed Contr.
n i init
OFFICB U S+ LY
FEES
Occupancy R-3 M? B g, erm
Zoning Surcharge 6.00
Actual Const V-N Plan Review
00
392,
Allowable V-N SAC, City 00,0O
# of stories SAC, MWCC ,SO.PJ
Length $,$", Water Conn. (p(oO.OQ
Depth HG' Water Meter 95,00
S.F. Total Acct. Deposit 30,00
Footprint S.F. S/w Permit 30.00
S/W Surcharge .SU
On site sewage _ Treatment P1. 2176,00
On site well Road Unit 3'70100
MWCC System ? Park Ded.
City water ? Trail Ded.
PRV _ Copies
Booster Pump _
SIIBTOTAL
APPROVALS Penalty
Planner
Council Lot Change
TOTAL ??
.°??lr ) ."5.
Bldg. Off.
Variance
?i??lao agrees that all woTk shall be done in accordance with
c Signatur of Contractor)
V
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
. ?. A Ll.t R'C'I,s'?
GA
z? x2o, yoo ?ei? ,? gooo
&SNIT',
___--.---
?ie
,
I-I nu s? -
?----
HSM?r .-
Ix1ti =
17-48
1(
Z?
12 S i x 03 = (,','7, et3
7)/ 36 S' C 1c
\
\
;
g21po0 ?
,
J
?? ** Me dota t f it1hts?MN551
* PIONEER ?nnownvcrom. DSCciv.Pl,tcnciHecrr? 9
h ?er n/~ • L20
? eh/y ANOOLl1NNfpS?LANFR?1111[Ci5
J* J {612168tet9i4
? 4t ?
/
Certificate oi Survey for, r141 k9OrTLUND QqPA• -/ , 1 NC_ /??
?v
?
• 9ov.o Deno%s ExiVin Elevafion PROPUS£O HouSb EL£VA
- oo.o Ucrx?es Prnpo?ed Eleva/ron Lowes loor Elevv ior? a s I.qL
-?------ Dennfes Urv;ncr e r Ulili/ fvsement Top of''Block ElFVafion S 8?i. Uc,
-f---- Denvlrs Drrri ?e F/oDirPClion Garo?t Slab flevafivi? ss9.ai
0 Dpno"es Monu?3en1 BParils 5hown are assun76d o pe,oes oj e f4i6
LoT io 131 ocA/ 2, COVENTRY F'495 31;20 AflDI TION
DAKoT,9 [bf/NTj'I MINNfSOTA
1 herebv eerllfy Ihnt Ible farveY. Plnn or reporl ef Dr reA hY 7X2
n or mY dl.ect eunervislon nild Ihnl 1 am dulv nP9iVereA Lend SUrvlYUr
unAer 1he Iawe of the State ol Mlnnnote. Oaled thbw? ! ev nl q,0, 1g.-.gL. 17 ?
Scale:1??40f 'I --'rtr 1tFRIP 51 Vr', IIn FnPIcI'IA11l
4
NORTH
qy? _ 94.0
I
? w?sTwcoc
. , . • ?1'Frrion i-:r+vr•.t,rn't: nvi?rncr: °u" c.urrru,rn•riom
oWrnFR P-077ZvNZ) ca?
sTTE ??Rr-s5 LQ,- 10 , 8L6 r- k 2, Co ??,.,T,ey '.aSs 3 na Av-0 ' Av.
CONT-R,1CTOn DATF. PHQNE
Dete:-min uorkinr; squnre footaite of ench.
l. Tatal expesed vall area scl. ft. x 0'?'- _ I8q
2. Total roof/ceiling area sq. ft. x 0,026 _ 1510 2.
•
Total exposed vall arca above floor =(-7ZLJ•C4
a. Totsl ua12 srindov area ..........................
.. .
b. Total door area ...................................
c. Total sliding glass door area .....................
d. Total fireplace vall erea .........................
e. Total wall framing area (average lOp) .............
t3'? , 4-
P. Total net crell area above floor . .......... . Z ?17
g. Total rim joist arec ................ .........,. ? D
Total eaposed fai:ndntion arca 2-
„ •---
h. Tot21 foundetion uindov zrea ...................... ?
i. Total net foundation area above grade ............. c
? . Deterrr,ine "U" value o; esch vall ;rc;ment.
e. ( ld-,;? I "J X „U„ a , ? S
b.
? -c . 3q,R' X,,,,,, a?,Z = IZ,?9
d. ?- C X
?
e.. J ?? x .?,U?, ?. C?? 1 = . ; -P
r. 1 zt ?, 7? x„U,.
. e. i 2v a,?t,,. 4-?
-?-
h. X 'lUll
X .,U„
3. ............................... 'Cota] ? L ?O•?a
.. a/L
_ ?.
If item H3 is the same as, or lesa t.ti:,n item Nl, you nave meL the intent
or sBc 6oo6(c)2.
f,
• Total exposed roof/ceiling aren = I L??
--
Total gross roof/ceiling area _
?. Totel skylight area ..........................
k. Total roof/cei2ing framing area.............. r Z?-
1. Total net insulated roof/ceilinF area ........ (/?'? _ •
Determine "U" value for cnch ruuf/ccilint,. seb•ment.
, x "Ult
.
k: r Z1 X„U„
1, ? f 4-3 X„U,, u . ............ ................:. Total
If total of N4 is the same as, or less than N2, you have met the intent of
sac 6oo6(c)1. . .
To utili2e the total envelope system method, the values establi:hed by the
sum of iteas d3 and dk shall not be greater.thxn the sum of items Nl and N2.
1. + 2.
- . 3. '+ L =
.
, r.
U
_ . .. ? . ° . . .
PERMIT #
REACTIYATE )C
14491)
CITY OF EAGAN
1992 BUILDING PERMIT APPLICATION
68f -4675
SINGLE 6 Ml1LTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets af architectural & structural plans, 1 set of
specifications, 1 capy 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 than e is re uested once ermit is issued.
Date Kio., /'I (' / 144Z Valuation of work
Site Address:?S8L3 NleUL„
SiREET SUITE f
Tenant Name: (comnercial only)
LQT ? BIAC% SUBD. ^ At
Descri tion of work:
The applicant is: 0 Owner ? Contractor ? OtllE?' (Deaeri6e)
Name &„«3A GlO„ Phoi-ke l?W -nGAV
Praperty L.sT FIRST
Owner Address 38G3 Mer
WC
;
?
&c
?
. STREET STE A
City State Zip 551ZS
Company Phone
Contractor Address License # Exp.
City State Zip
Company Phone
ArchltecU
Engineer Name Registration #
Address
City State Zip
Sewer 3 water licensed plumber . Processing time for
sewer & water permits is two days once area as een approved.
I hereby acknowledge that I have read this application and state that the informatian is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordfnances.
S
ignature of Applicant:
OFFICE USE ONLY
BU1LDlNG PERMIT TYPE
0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc.
? 03 SF Addition ? 08 8-Plex ? 13 6arage/Accessory
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace
? 05 SF Misc. ? 10 Multi. Add'1. O 15 Deck
WORK TYPE
;d 31 New ? 33 Alterations ? 35 Tenant Finish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft.
(Allowable) lst F1. sq. ft.
UBC Occupancy P. _0>_ 2nd F1, sq. ft.
Zoning Sq. Ft. totai
# af Stories Foatprint Sq. ft.
Length On-site well
Depth On-site sewage
APPROVALS
Planning Building
Engineering Yariance
REQUIRED INSPECTIONS
? Site ? Footing ? framing
O Mallboard ? Final O Draintile
'1?16'iaseme.nt Flnish
? 17 Swim Pool
? 18 Camm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
O 21 Miscellaneous
? 37 Demolish
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
/C?a«??t4s b fs
?'+?4%t`6/ Kw,Assessments
..-d?- -
? Insulation
? Fireplace
Permi t Fee N (?
Surcharge
Plan Review
License
MWCC SAC
City SAC
Nater Conn.
Mater Meter .
Acct. Deposit
5/W Permit
S/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Copies ,So
Other
Total: '
SAC 96
SAC Units
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55723
(612) 681-4675
SITE ADDRESS:
; . ? . . . 1 .? _ j y., .1 u: ` 1 ?n ?.i . ia ?,
PERMIT
???? r- ??a t's t_ o??:? i•: :
0 1?
PERMITTYPE: ,;,? ?, ,? ?,,•
Permit Number.
Date Issued:
DESCRIPTION:
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REMARK$
FEE SUMMARY:
??••; ?:?,.?ra?? ____ . _. .?,? ..r,?
CONTRACTOR: OWNER:
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?Ot1A ??zi I Yh.?
-
APPUCANT/PERMITEE SIGNATUfl&,, ISSUED Y: IGNA UTRq
RencTtva?T _ CITY OF EAGAN ?
PERFiIi # '' W?????ETD 1993 BUILDING PERMIT APPLICATION
?/!??q APR 0 9 1993 681-4675
??
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural 8 structural plans, 1 set of
specifications, 1 copy of energy ca7cs.
Penalty applies: 1) when permit is typed, but not picked up by last rorking day of month.
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date A2'<? Yaluation af work 'W?_?Sc??
Site Address: 7 eC3 Mrr?5y c,i/r/
STREET SUITE 0
Tenant Name: (commercial only)
i.OT 10 BIACK ? SUBD. Cw , P.I.D. *
Descri tion of work: zyc '
The applicant is: ? Owner 0 Contractor ? Other (o.s«;be)
Name _9"46ccr C'LWk) Phone -tD6B`(
Property LAST F[RST
Owner Address 3S?(?3 ??05?< kiti;
STREET STE N
City State ? Zip 5572 ?
Company Phone
Contractor -. ?.
Address o te'A,<. License # noc-ayW Exp.3 W
City "-&k State `^^^}Zip SSZc?
Company Phone
Architect/
Englneer Name Registratian M
Address
City State 2ip
Sewer 8 water licensed plumber ' . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this app1lcation 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: --?? J
e
a:%Kk Ok:'M:r.
j'V ( . •?1?
?.?,;::;{..i!IiF:;• ' 7iii:Iii1:ifJR;l... NO,. 8, 8
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...'?:?:i.'... .`.9!.)C):!. ,:':`•.:ri::?`i f9k_,t???:i!::?'r' i;J?fi4' t:`f)
it,50
r5 ?1!'50
R:3:' .
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. CITY OF EAGAN
3830 Pilot Kno6 Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERMIT
3863 MERSEY WAY
LOT: 10 BLOCK: 2
COVENTRY PASS 3RD
p.T.N.: 10-18402-100-02
PERMITTYPE: euzLnxNG
Permit Number: 028847
Date Issued: 0 9/ 17 / 9 6
DESCRIPTIaN:
(6AS)
ermit Type FIREPLACE
o,r,k 7ype NEW
434 ALT. RESIpENTIAL
?
?a 3 n m `l
s?? ?0 VJL r
"wr "71'
REMARKS:
FEE SUMMARY:
Base Fee
Swrcharge
Total Fee
CONTRACTOR:
$25.00
$.50
$25.50
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Y:
T hergd,y, ackidcrUi`e4,g?&
infarrtl-AtaisSn,ie?,?:Crfi.?Gt and aax
s-tatur-e,s aa&, c?a.?y af ? mga? R'I
_9n
A LI ANT/PERMITEE SIGNATURE
OWNER: - Applicant -
BURDICK GLENN
3863 MER5EY WAY
EAGAN MN 55123
(612)688-0684
4. ?
th2t ..-1:i{3?, .
b5.ee ??aste ?'?r Mn. _
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-- R:e I'd I?
?SSti YISIGNATUFTE `
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 ?
1996 FIREPLACE PERMIT APPLICATION
681-4675
Da,TE: 5ep?- l 7 ?J44 C?
DESCRIPTION OF WORK: v' CONSTRUCT NEW FIREPLACE: _ WOOD BURNING L,---GAS
_ INSTALL GAS INSERT ONLY IN EXISTING FIREPLACE
_ INSTALL GAS LINE ONLY IN EXISTING FIREPLACE
OTI-ER:
ROOM TO BE INSTALLED IN:
STREET ADDAESS: ?Z"lli? 1 lers?i v-r Q??/
LOT 10 BLOCK ? SUBD./P.I.D. #: } '
APPLICANT: (cirole one only) OWNER CONTRACTOR
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.
PROPER7'Y Name: Vi.ey.n Phone #: L8 ?C&4
OWNER
Signature: --?• ?" &Aj
3treet Address:
City: State: Zip: 55123
FIREPLACE
INSTALLER
Company: _
Signature: -
Street Address:
City:
GAS LWE Company:
INSTALLER
Name:
Signature: -
Street Address:
City:
Phone #:
Phone #:
License #:
State: Zip:
State:
Zip:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 14 F'veplace
WORK TYPE
? 31 New
? 32 Addition
? 33 Alterations
? 34 Repair
GENERAL INFORMATION
Census Code.
SAC Code
REMARKS
Chimney/flue must be inspected before concealing.
* t?tONEEF?
* er?g ne r ng
.
Cer " cat
11
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•?us
21
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Lu.o.LAMMM.
?
,
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I BQa?.s
2421 Entertnise Drive
S M.nAota lleights, MN 55120
-- ---- 1612l681-1914
" Tl?f CoMPA?,_INC. ?
SurireX, tor : QorrcvN,o
--
NORTH
Ok y?
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`• 900.o Denotes EXiVin? E/evafion PRbPUSEO NouSE ELfVATION
? oo.o Uux?fes Propo Ed Eleva/ian Lowes /oor Elevalror7 s s 1. sL
-------- Oiennles Caitimer l/fili1y £asemeni Top o,?'B/oekE/Fvalion
--*----- Denolrs Dizri FIo?J'DirFCfion Garoy?t SIaG E/eva>ivil 8 s9.;3
o Lknades iVf onu enf Bearings shown arp ossunx-d o pP,oes g7e hEib
? LOT 10 , BL OCAI 2, COVENTRY PQSS' 31;'0 ADDI TION
Df7K0T/-1 CbfJNTY, MINNfSOTA
1 hrn6v eeitlly Ibet thh survev. pIen cn reporl 10 rM AY m nn er my di.eel mpavision ei?d Ihn1 I nm eluiY npgialnnA LenA Sur.lYd
?er the I*vn ef Iha Sts1e of Mlnnnate. DeleA Ihttey nf n n. 19-IL
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Scale : j?.o?: -?a-?-
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,
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i
_ ..
RESIDENTIAL
BUILDING PERMIT APPLICATION
? CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New ConsCUCtbn Raoulremenm
• 3 reglstered sMe suneys showing sq. ft of bt, sq. fl. of hause; antl II roofed areas
(20% maAmum bt Gnverege ellowed)
• 2 copies ot ptan stwwing beam & window sizes; poured toun0 desgn, etc.)
• 1 set o1 Energy Cakulations
• 3 copies ol Trea Preservation Plan if bi plapetl after 7l1/93
• Rlm Jolst Deteil Option5 selectron She6t (61dgs wiN 3 or less units)
DATE Ild /-
SITE ADC
TYPE OF
APPLICANT
STREET ADDRESS
21P yl
TELEPHONE # CELL PHONE # 6fz-371FAX #
PROPERTY OWNER . 1,, TELEPHONE # 6-??-1-097OE8!
----°---------------------------------------------°---------°°°-------------------°------
COMPLETE THIS SECTION FOR ••NEW° RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672
(J submisaion type) • Resitlential Ventilation Category 1 Worksheet Submined • New Enargy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Conhactor:
Plumbing system includes:
Mechanical Conhactor:
Mechanical system includes:
Sewer/Water Conhactor:
_ Water Softener _
_ Water Heater _
No. of Baths
Air Conditioning
Heat Recovery System
Phone #
Lawn Sprinkler
No. of R.I. Baths
I hereby acknowledge that I have read this applicatlon, state fhat the
with all applicable State of Minnesota Statutes and City of Eagan Org
Signalure of Applkxmt
OFFICE USE ONLY
AULTI-PAMILY BLDG _ Y ? N
nemoaeuneoxir nwwromwns
. 2 copies of plan
• 1 set oi Energy Calculatbns for heated addltWns
. 1 sAe surrey tor exterior add'Abns 8 decks
• Indkate'rf home servetl 6y septic system for atlditions
VALUATION i-5t z?- `
FIREPLACE(S) _ 0 _ 1 ,_ 2
I a-R .
Fee: $90.00
MAY 3 1 2002
is correct, and agree to comply
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updeted 4/02
OFFICE USE ONLY
? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplaca ? 21 Porch (3-sea.) ? 31 Ext. Alt - Muki
? 03 01 of _ plex ? 09 07-plex ? 17 Garage [3 22 PorchlAddn. (4sea.) O 33 EM. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) O 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-pVex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement O 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. 0 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 Atteration ? 37 Demolish (Bldg)" O 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicaM
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bidgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings(new bldg) _ FinaVC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
.
Building InspecWr
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122 ?
651-681-4675
New Conatruetion Reouirements
. 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all rooted areas
(20% mazimum lot coverage allowed)
• 2 wpies of plan showing 6eam & windav sizes; poured found design, etc.)
• 1 set of Energy Calculations
• 3 copies ol Tree Preservation Plan if lot platted afler 711193
. RimJoistDetailOptionsselectionsheel(bldgswilh3orlessunits)
DATE ?/7/ Z
SITE ADC
TYPE OF
APPLICANT
iULTI-FAMILY BLDG _Y ?N
FIREPLACE(S) _ 0 _ 1 _ 2
STREET ADDRESS `17.2 //Lt.V zrrfi? CITY ??i"LQJd?
TELEPHONE #?i/Z'331-L??S CELL PHONE # 61Z-3?'? /Z19 FAX #
PROPERTY
TEJZIP ?-I
TELEPHONE#0I- 68b'66B '7
--------------------------------------------°°----------------------------------------°-----
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNGSOTA RLJLES 7670 CATEGORY 1 MINNFSOTA Ri.JI,ES 7672
(4 submission type) . Residential Ventila6on Category t Worksheet Submitted • New Energy Code Worksheet Su6mitted
• Energy Envelope Calculations Su6mitted
Plumbing Contractor: ____
Plumbing syslem includes:
Mechanical Contractor.
Mechanical system includes:
Sewer/Water Contractor:
_ Air Conditioning
Heat Recovery System
---------------------------------------------------------------------------
I hereby acknowledge that I have read this application, state that the
with all applicable State of Minnesota Statutes ond City of Eagan Or?
Signature of Applicant
Phone #
Phone #
Fee: $90.00
l n JUN D 7`t002
----- ?-"_-p-- _-----°-----
y°--
is co ct, c?uud agree to comply
?L2?a?
-------- - - ---------------------
OFFICE USE ONLY
WaCer Softener _
_ Water Hcater _
_ No. of Baths
_ Phone # .
Lawn Sprinkler
No. of R.I. Ballis
RemodeVReoair Reauirementa
• 2 copies of plan
• 1 set ol Energy Calculafrons for heated additions
• 1 site survey for exterior addilions & decks
• Indicate'rfhomeservedbysepticsystem(oradditions
VALUATION ?I3CQ. ?
?
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
O 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (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 W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Final/C.O.
_ Footings (deck) _ FinaVNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AidGas Tesu _ 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
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA112389
Date Issued:08/12/2013
Permit Category:ePermit
Site Address: 3863 Mersey Way
Lot:10 Block: 2 Addition: Coventry Pass 3rd
PID:10-18402-02-100
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
John Bolte
22050 Redwood St Nw
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
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 -
Glenn H Burdick
3863 Mersey Way
Eagan MN 55123
(651) 688-0684
John Bolte Residential Heating And Cooling
22050 Redwood St NW
Cedar MN 55011
(763) 234-8000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA112350
Date Issued:08/08/2013
Permit Category:ePermit
Site Address: 3863 Mersey Way
Lot:10 Block: 2 Addition: Coventry Pass 3rd
PID:10-18402-02-100
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.
Glenn Burdick
3863 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 -
Glenn H Burdick
3863 Mersey Way
Eagan MN 55123
Applicant/Permitee: Signature Issued By: Signature