3866 Mersey Way-INSPECTI4N RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesata 55123 Date Issued:
(612) 681-4675
Control No.
?
aurit?r?o
*el4 :3t
as/16 /!iz
SITE ADDRESS: 4 p?• g,;
NERSEY WAY
ff.1vfN1NY pA55 3
PERMIT SUBTYPE:
' • 1 Ublfr
Ht ur r ? -s APPLICANT:
fWf_ 11101Tt,UMf3 Cfl rNC
(612) fi71-0384
TYPE OF WORK:
NFW
0
INSPECTION D• •
f ItAMING DA
IN`i+tI Af 1f1M FINpL
fal?i'PI_RG?
NFMAJtKSt iti!4EIPT • 4tiW HLOR -- VAI LEY PLO6.
Permft No. Permlt Hold.r Dete 7elephone t
S/1N
PLUMBING ? W
HVAC
ELECtRIq
ELEGTRIC
U»pection Dete Irtsp. CommeMs
??ings I
Foundation ?
Framing
RoofFn9
Rough Plbg. ?z Z. I
Rough Ht8• 04r3/?s.. ?
Isul.
Fireplece
Final Htg. /
Orsat Test ft r t
Hnal Plbg. ,? Plbg. Inspector - Notity Plumber
Conet. Meier
EngrJF'lan
Bidg. Final
Dedc Ftg.
Deck Final
Well
Pc Disp.
?d??319f-2Gl-Cs.? a a'- fu/
r , • w
• . r ?
W.ertificate nf Cccupanc4
Wit4 of ?agatt
?cpartatext af ?aili? ??
This Certificate issued pursuant to the requirements of ihe Uniform Building Code
certifying rhat at the time of issuance this structure wns in compliance with t/ee variores
orrlinances of the City negulating building constructeon or use. For lhe following:
SF DWG 1432
use ciamiscauon: er? r? r?
uP-Y ? ZQning,o ct - 7ypelCa?st -
? FD t: R
Owner of Building A'
L , , COVMqM A
Building Address L.acaliry
DEC 8, 1992
Dse:
suuaing ofr,?ial
POST IN A CONSP{CUOUS PLACE
55176 JV.;r-
,
i
Request Date Fire Na /
? ough-in Inspeclian
equiratl?
0 Reatly N. ,?1M1?ill Notiy Inspector
q
O^ ? GNa WhenRe6tly/
I2-ricensed contractor ? owner hereby request inspection of above electrical work aC
Joo Atltlress (Street. Box or Route No.) Ciry
3 &10
Seclion No. Township Nama w No Range No, Cou
Aet?k
Occ
IPFINT? Phone No.
L
PawerSIer Adtlress
Elecvical nVactor ICOmOany N mel Convector5 License No.
C DO3U?
Mailing Mtlress ICOnVactor or qvnar Makmg Installatim)
AuIDOrizeO SignaWre IConV onOwn¢ M ing Installati I POOne Number
VW- ? -3n
40
MINNESOTA STATE BOARD OF E4iCTHiCITY ? O TMI$ INSPECTION FEpUEST WILL NOT
Grigga-MlOwey B1tlg. - Room 5•173 BE ACCEPTED BV THE STATE BOARD
1821 Univenity Ave., SL Paul. MN 55101 UNLESS PPOPER INSPECTION FEE IS
Vhone (612) 64I-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION e-ooom-0e
J?/Ve
/
See insuuc?ioriSior comple7mq this brm on Dack ol yellow capy /Q?
K 5 ,
._ 5"X" Below Work Covered by This Request e Add Rep. TypeoBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric HeaNng
ApL Buildinq Dryer Otheo-(Specify)
CommJlndustrial Fumace
Farm Air Conditioner
Omer (specity) Convactor5 RemerNS:
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fea # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps ?$ i 1 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
Signs mspecror9 Use only TOTAL
' Irrigation Booms Q?
Special InspeCtion `!ra a
AlarmlCommunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Olher Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspectoc hereby Roogh-in oare U?
certify that the above inspection has
been made.
,/
OPFICE USE ONLY
This request voitl 18 monihs fmm ,?
i / S%&--
,164 0 8
Fequest Oata Fir¢ No.
??Q p
R ?+ ? l Z o gh-in Inspection
uiretl9
? Yes ? No
?ea0y Now [) Will Nobiy Inspecror
? When Reetly?
Ii ficensed contractor O owner hereby request inspection of above elecirical work at
Job Atltlress (SVeeL BoF or Route NaJ
? &t
V4 r l.L/ Ciry
Section No.
I
Townffiip Name or No. Range No.
CounL);144
OOccupan RINT) ?
Z Phone No.
Power SupPlie ? ?
' AOdres
s
Electncal C acro ?CCZmpany?r^?
IXe?_ ppnVatlor§ license No
C?oo3P
---
Mailing Atl s ?COnnactor or flwner ak, ng In ianation)
Autnonzea SgnaNre IGOntractor ner Maki 1 stall Iron? Phone NumOer
L-- 4?3- ?3 J'o
MINNESOTA STATE BOAPO Of ELEC HICITV THIS INSPECTION REQUEST WILL NOT
Griggn-Mitlway 81dg. - Room S173 BE ACGEPTEO BY THE STATE BOARp
1821 Universlly Ave., 5t. Paul. MN 55106 UNLESS PROPER INSPECTION fEE IS
Phone (612) 6G2-0800 ENGLOSED.
REQUEST FOR ELECTRICAL INSPECTION
0, See InsVVdions for compla1inq Ihis form on beck oi yellav mpy.
JH0:92 "X" Below Work Covered by This Request
Ee.ooooi-ryoe
ew 4d Re'p> J TypeoBuiltling AppliancesWiretl EquipmeMWiretl
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt Building Dryer Other (Specity) -
Comm./Induslrial Furnace
Farm Air Conditioner
ome, Iw?iiyl Conhacror5 Remarks:
Compute Inspectian Fee Below:
# . Other Pee # Service EntranceSize Fee N Circui4slFeeders - Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Abo 1 Amps
$ignS inspector5 Use Only: TAL
Irrigation 8ooms
Special Inspection
Aiarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
if Rough-in oata
cert
y that the above inspection has
been made. F,nai
? oate ?
OFFICE USE ONLV ?
Tnis requesl voi0 16 months Irom
Address: 3866 MERSEY WAY Lot 6 Slk 3 Sec/Sub COVENTRY PASS 3RD
These items were/weYe not complete at the time of the flnal inspection.
Date, DEC 8 1992 Yes No
Final grade (6" from siding) ?
Permanent staps - garage ?
Permanent eteps - main entry ?
Permanent driveway ?
Permanent gas
Sod/seaded grass ?
TYail/cuzb damaga
Pozch
Basemant finish ?
Deck
Please varify with the builder the removal of rooP test caps from the plumbing
syscem and tha shut-off of vater supply to the outside lawn faucet before ?
freeze potential ezists.
,xmv.o
White - City copy Yellow - Reaident copy Pink.- Contractor copy
PERMIT
CIT-Y OF EAGAN
? 3830 Pilot Kno6 Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDING
001432
04/16/92
SITE ADDRESS:
3866 MERSEY WflY
LOT: 6 BLOCK: 3
COVENTRY PASS 3
DESCRIPTION:
,?BcrildiSJ_g Permit 7ype SF DWG
Building'Work Type NEW
U6G dccupancx R-3 M-1
Canstructian Type VN
Zani.ng .?..:-.? R-1
Buildin-g Lengt'-h 55
' Building WaidtFr 47
'i
. °Y
r?,-.-??? tp ;
? `-`ti ? f ?;?t? `_-^'<°j ? .=vL??-'}[ Ll i? E?
REMARKS:
RECEIPT # C6,-?6?JS S&W PLBR - VflLLEY PLBG,
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
SAC
SHC %
SAC Units
Subtotal
VALUATION
$581.60
$377.65
$43.50
$7@@.00
100
$1,702.15
$$7,000
MISC FEES $1,610.50
CQPY $.50
7ota1 Fee $3,313.15
CONTRACTOR: - APpzzcant - 5T. LI OWNER:
THE ROTTLUND CO INC 15710304 080133 ROTTLUND CO TNE
6201 E RIVER RCl 5201 E RIVER i2D
FRIDLEY MN 55421 FRIDLEY MN 55421
(612) 571-0304 (612)571-0304
I hereby acknowlgdqe that I have reatl this applicat.ion and state that the
i.nformatinn is cprrect and agree t? comply wi.th all applicable State af Mn:
Statutes a-nd Cityo'f Eagan O:rdinances.
L
Yb
PPLICANT/PERMITEE SIGNATl1RE
? btul A.2a lI u
-?SSUED :51 NATU E .
Control No. 1OUC6
J
INSPECTION RECORD Control No. 10 6 5)
CITYOF EAGAN PERMITTYPE: BulL ozNG
3830 Pilot Knob Road Permit Number: 001432
Eagan, Minnesota 55123 Date Issued: 0 9/ 16 / 4 2
(612) 681-4675
SITEADDRESS: Lor: s sLncK: s APPLICANT:
3866 MERSEY WAY THE ROTTLUND CO INC
COVENTRY PASS 3 (612) 571-0304
PERMIT SUBTYPE:
sF ows
TYPE OF WORK:
NEW
INSPECTION
FpOTING „ .
FRAMTNG DA
INSULATION FINA4
FIREPI.ACE
REMARKSa RECEIPT #
S&W PLBR - VALLEY PLBG.
-1
?
?
t
PERMIT N
cinr oF EacaN
1992 BUILDING PERMIT APPLICATION
681-4675
S E P 09 REEe
Cli". g-?'?
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural 5 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 q / I /9 ? Valuation of work
5ite Address: 380f¢ nAerse.l Wq'?1
STREET STE / -
Tenant Name:-Me j?ofl-AvKJ Gb ..?v?c-•
? BLOCK 3
i SUBD. ' P.I.D. N
c-ev'6\+Tj
Descri tion of work: S? Ngie ?v,,"l
The applicant is: Owner Contractor ? Other (DeBCr16e)
Name Phone 6'7 (-03_ oT
Property LAST FIRST
Owner Address J?ZoI E9;jer Rd 3of
STREET " STE M
City ?r.d?e,? State MV1 Zip
Company Phone
COt1tl'BCtOr Address License #oeo133s- Exp. 31
City State Zip
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber t W br . Processing time for
sewer & water permits is two days once rea has een approved.
I hereby acknowledge that.I have read this applicat.ion and state that the information is
correct and agree to comply with all applicable State af Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant: I?
L,
urri" uat vrvLr
BUILDING PERMIT TYPE
? 01 Foundation ? 05 Apt. Bldg ? 09 Basement Finish
Xr02 SF Dwg. ? 06 Garage/Accessory ? 10 Swim Pool
? 03 Two family ? 07 Fireplace ? 11 Res. Add./Porch
? 04 Multi-fam: T.H. ? 08 Deck 0 12 Comm./Ind.
? £T• .
13~DutA* Fac.
b41&gri'?ul tural
E3 15 Miscellaneous
woRic rrPE
0 31 New
? 32 Addition
? 33 Alterations
? 34 Repair
? 35 Tenant Finish
? 36 Move
? 37 Demolish
? 99 Undefined
GENERAL INFORMATION
Const. Actual) v-N Basement sq. ft.
(Al?owable) ?- lst F1. sq. ft.
UBC Occupancy ? 2nd F1. sq. ft.
Zoning Sq. Ft. total
# of Staries Footprint Sq. ft.
Length _9y? On-site well
Depth vT On-site sewage
APPROVALS
Planning Building
Engineering Yariance
MWCC System '
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Assessments
REQUIRED INSPECTIONS
? Site
? Wallboard
? Footing
? Final
? Framing
? Draintile
,
._.LL
o?
? Insulation
O Fireplace
Permi t. Fee v.imc;m: s 8?? oo(z)'` .
Surcharge
Plan Review GARA6E; 20 *AZo-40ox??,s oo
License
MWCC SAC
3'cmm 2?f 74 zeYxx .8v
City SAC z x 2 s &v
Mater Conn. -----r?
Water Meter
?sr F?
oR: ?c/S= la2o?
Acct. Deposit o
5/W Permit
S/W Surcharge
Treatment Pl . 3 Y. 22= 64
Raad Unit
Park Ded
1314 X53 -(O`1 64t
.
Trails Ded.
Copies ?rv g(,Zt{ 2
Other '
Total:
sac % L
5AC Units 1
' w?57wccc?
FcTeriott FAvr•.r.ni•F. nvi:r;nr,r: "u" curtru•rnTiOn
osrnER
SITE AD??iESS LO'C (o ?'BL,OGK CpvENTRY PASS ERD A 17Di-nptil
CONTRACTOF DATF. PNONE
Dete-min workinr; square footar,e of ench.
1. Ta'al exposed vall area .. {-17* ll sR. ft. x C' 1! _
2. Total roof/ceiling area .. ?1 -7 a s,. ft. x 8,026 _??????
+
Total esposed vall area nbove f'lonr = i?Z?. c.r
a. Total wall vindov area ............................
c b. Total door ares ................................... c. Total sliding glass door area ..................... a,;-
d. Total fireplece vall area ......................... z.o
e. Total wall framing area (averag= lOp) .............
f. Total net 4e11 erea above floor ..,...... ? Z_? S jq
..........
. g. Total rim ,joist area ..............................
Total ezposed foundation araa
_ ?-?---
h. Total foundetion vindov z:ea ....................... , i. ^total net foundation area above grade
? - Deterrr.ine "U" value o; eech vall ,egment.
_ a. x,.u.,
b. 4?.,?( x C. 3 q, a ? x„Ult D 3 Z- = 1 Z.-1 9
d. ? J x'lull
? .. , , .G
e.. X .,,??? !i. `%? ?. _ ; ?^?? ?
f. x
. g.
X
h.
X
3. . ... ... . . .............. .. .... .. .r??.?.?
fl?
Tf item il3 is the sar.ie as, or lesr; :.h:,n .ite:a .d:, you n-ave met the intent
of SBC 6006(c)2.
n
.? Total exposed roof/ceilinG nren = f L??
Total gross roof/ceiling are:i =
J. Total skyliFht area ..........................
k• Tota_l roof/ceiling framina srea ............... ? Z?-
1. Total net insulated roof/ceiling area ........ (/¢? _ •
Determine "U° value for c:tch ruaf/ccilini: seFncnt-
, X
.
x: I 2-"1 X,TU„ O.r?? 7 = 3•yt'2-'
4-3. o- 0 2 2 = Z.?'- ( 4 a . ...............................:. Total
If total oP NL is the same as, or less than N2, you have met the inte^.t of
sac 6oo6(c)1. . .
To utilize the total er.velope system method, the values establi;hed by the
sum o: itens N3 and d+L shali not be greater.thnn the sum of itens Nl and N2.
1. + 2.
?+ L.
.
, ?.
0
_ . .. o e
+
?-
?
?
vn!???-
? .----
c =-
3c
O
-- a _--
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-
0
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?,---
l.?l=? -?- -'l?M=---
??
-o _-._-
--?4•?'r
--?=45-- --
-p
??-5.? _--
? .- ? O•D22
? ;,? ?
- - - - - ql???- - -
0
C
C.
C
C
, ?-- ? --?Y?'?
Z?;? Pci(?_-F(GM..
- --F '-? .----
- ,, .
- -d? ?- ----
-
_-
. 0. 027
?r ....--
-
lO ???cl? Ff.c1?1:
O
?
a _-
-O%i'I----- -
- 0.=45-----
-a.??= ------
_ -?---
? -_----
?.= = 0.022
445,U -b
? n2kP21Ia7j'?; :--
(D
O
O
0
O
?
?j•-k1?.-?I(.M-
?.-?G . --?I
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30
G'
o?MFvN?N'?
'?- - ??•- ??
?--
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t
.? -Ukl.u5 6Ai.,IUTjnW-?, (coNT).
-t-f AMr-- WAu. G? lN?I?ATI?N
LoMPo ri ?r??
u
,v
- --------------
.LJ
?.
o41?im RIF- Fi?M
V '7lq H(/.
_?. ?{???-?I N?
L??(?? R1fy ?ILNI- . R-vAWE
'
19.0
o, 45 -
??,= 23.0( =
,
Rr??
-FFA0 wAu. (&
_ pLPkN. vlew.
C
C?
C
c
C
C&
GoMPaNr, NTS
o_u'rl?;PE Rtp FiL+u.
hN?A'j}-1 I N b .
LO h'P.I D (F-P?mVJlr?
If-?ID? {!i? F1LM. .
- - F--VALU5
--
2 ,GLr _
- -j.•?g.--?--
-- --:-_ D;4'? ----_ _ -
Q - -
Q,?
r ---
u = --'- z 0,
F-ro%?
-
=(0.12 x o.obq) t(o, Sb X o•043) = O• 04-7
:-
?jDINCi--
? j : -l?i?. ?j L? •
?-
-?V?!-. ?-?--
?.
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-. -?,.??L.. ..
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? 1 I'? ?f Z11lI
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_-?=? = o • I ?
"?? r,
l(P sL CITY OF EAGAN
PLUMBING PERMIT
SUBD. Od9i (612) 681-4675
RBSID&NT2AL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS
WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION
NEW CONST ?
ADD ON
REPAIR ?
CITY USE ONLY
&ECEIPT # ? `S
DATE /CJ 5 /r?E
ALSO, FOR TOWNHOMES AND CONmS
owxEx xnKE:
SITE ADDRESS:_ MLP L??'l
IN5TALLER:
ADDRESS
CITY:
PHONE #
ZIP:
OF PERMITTEE
STATE SURCHARGE .50
TOTAL: S 3%
COMMERCIAL
YLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-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
ZIP:
COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
REPAIR/ADD ON 15.00
7 ?
J_ SHOWER 3.00
WATER CLOSET 3.00 1_.
1 SATH TUB 3.00
? IAVATORY 3.00
? KITCHEN SINK 3.00 g-
? LAUNDRY TRAY 3.00 3 "
L HOT TUB/SPA 3.00
WATER HEATER 3.00
FLOOR DRAIN 3.00 3
GAS PIPING OUT.
? (MINIM[TM - 1) 3.00 3
? ROUGH OPENINGS 1.50 'J•
_ OTHER
WATER SOFTENER 5.00
PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
W. TU1tNAR0UND 15.00
CONTRACT PRICE:
1X OF CONTRACT FEE. .
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL:
(SIGNATURE)
CITY OF EAGAN
L?P B ?,f MECHANICAL PERMIT RECEIPT #/O
SUBD. ? (612) 681-4675 DATE /1?7/ T 93-
REsmExTUL
PLEe,SE COMPLETE UPPER PORT[ON ONLY FOR SINGLE FAMII Y DWELLINGS. ALSO, COMPLETE FOR
TORNHOMES/CONDOS WHEN SEPARATE PERMTfS ARE REQUIRED FOR EACH DWELIdNG UNTf.
OR'NER: ADD-ON A/C ADD-ON FURNACE ?
SITE ADDRFSS:
Ml ADD ONlREMODEL (EJIISTING
CONS1'RUCTION ONLI) $ 15.00
WSTALLER: AVAC: 0.100 M BTU 24.00 '
PHONE #: s dt - j/ ADDITTONAL 50 M BTU 6.00
ADDRESS: &03 /?G /Yttv f>Y? ? GAS OU1'I,E15 • hIINIMUM 1@ $3 EA (?
CITY: ?j ? ZIP: SURCHARGE:
SIGNATU • TOTAL: 7.SU
J
?
?i
? .w..r ? ..? ..s? / I30 PEHMIT BEOiIIRE? FOk DUCTWOkK ONLY!
? MMM Am NiL COMMERCTAI.
PLEASE C9iIPLETE TfiIS PORTION FOR ALLjCOMMERCIAIIINDUSTRIAL BIIILDINGS. AISO COMPLETE FOR
APARTMENT BUILDINGS OR OTHER MULTI•FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR
EACH DFYELLING IINTT.
R'ORK DESCRIPTION: CONTRACI' PRIC& FEES
1'ifo OF CONTRACI' FEE.
STATE 9URCHARGE IS $.50 FOR EACS
$1,000 OF PERMIT FEE. $
PROCESSED PIPING - $25.00
$
MINIMUM FEE • $25.00
OWNER: TOTAL: $
SI1'E ADDRFSS:
1'ENANT:
SUITE #:
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #: CT1T SIGNATURE:
SIGNATURE:
,5'3 3 RESIDENTIAL
BUILDINC PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New ConstrucUon Reuuiremants
• 3 regslered site surveys showing sq. R. of lol, sq. R. of hause; and all ro0led areas
(20%maxunum lot covemge allowed)
. 2 copies of plan sMwing beam & window sizes; poured tound desgn, etc.)
. 1 set of Energy Calculations
• 3 copies af Tree Preservation Poan if lot platled after 711193
. Rim doist Detail Optans selec6on sheet (bidgs with 3 w less unils)
DATE 7//
SITE ADDRESS _
TYPE OF WORK
APPLICANT _
STREET ADDRESS
TELEPHONE # 1
CELL PHONE #
FAx # `fDL - 60,1- ?
PROPERTYOWNER ! 1`PVIYIIIS (?D?°?',??fl tL TELEPHONE# W- 456-00
------°---------------------------------------------------------------------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category MINNESOTA RLJLES 7670 CATEGORY l M1.N u'
(J suhmission type) • Residentlal Ventilalion Calegory 7 Worksheet Submitted • N ri?pr?e?
u
• Enargy Envelope Calwlations Submitted
Ul l 18 2002
Plumbing Confractor: Phone #
Plumbing system includes: _ Water Softener _ L,awn Sprinkler By?cc'?S4
Water Heater _ No. of R.I. Baths
No. oF Baths
Mechanical Contractor:
Mechanical system includes
Sewer/Water Contractor:
rlir Conditioning
Heat Recovery System
--------°---------------------------------------°-------------
I hereby acknowledge that I have read this application, state that
with ail applicable State of Minnesoto Statutes and City of Eagan
Signature of
Phone #
`T? v S
??ya
Fee: $70.00
------j - ----°- ----------------
n'forr?ation is correGF, a agrq+e to c
OFFICE USE ONLY
Phone #
RemodellReoair Reuuiramants
• :2 copies of plan
• 1 set of Energy Calculations for heated additions
• 1 site survey tor extenor addifions & decks
• Indicate if home served by septic syslem for additions
VALUATION " - '
?MULTI-FAMILY BLDG _Y kN
FIREPLACE(S) _ 0 _ 1 _ 2
Certificates of Survey Received - Tree Preservation Plan Received - Not Required _
Updat
OFFICE USE ONLY
? Ot Foundation ? 07 OS-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
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-piex 0 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 oniy) • 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 bidg) FinaUC.O.
_ Footings (deck) FinallNo C.O.
_ Footings (addition) _ Plumbing
_ Foundarion FIVAC
_ Dnin Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesu _ Final
_ Framing Siding Stucco Stone
_ Fueplace _ 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
5&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
Ory
71?77
znor, RVSI.l)I!;1VTIA A,IUIP-MA.]aICAI., rviz!vxrr,irprAcATtoN
?'ity Of L;a;,?aii
3830 Pilof knob Itnad, 1;`sigan iblN 55172
Faleplaone #? C51-675-5675
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f har6v ?qpply I:>r a Itesidr.niinl Mr<,hanical Po.ii»ii md n-.Ionuwlerlqc ihm ihc. iulornltitirni i; cumplr?te and ?lwwate; thaC tlu• woii< ?vill I• i?i ???» ili:ii? ??,e ???ilh I.h?,.irc?inal ius ,ind cndc nl ih<<'it) of I? igan and ?vllh ih< Vcchauical Lndts:lhni I unAer.atrmd tliiv Ls nn1 >i
??rrwli, hw onii' m:i?iphi?ninn [nr i ge.rmil, an<! uot iu st,uS withinii :1 prin!n: Ilini ilw lvnik will he in acr,nrdamr.e witli thc
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2007 RESIDENTIAL PLUMBING PERMir aPPLicArioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existinq residential dwellinps.
Date_f?(_I_IV 1__4_?7
Site Street Address Unit #
Property Ownef 2?4),4/ .4;S Telephone #?S? ) h?f/,'-7?l
Contractor 4??
4 1P/2 G2 `/lr2 Telephone #- S2R'/>
?
Addres /,.;I (0City'd[?Jl:? ? State_.2/2Z Zip __-C_s"?f;?7,
The Applicant is: _ Owner 8 Occupant ?Licensed Plumbing Contractor
Septic System _ New _ Refurbished Suhmit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Fire Repair (replace burned out fixtures, etc.) $ 90.00
This fee a lies when extensive plumbin re airs are made to a buildin .
Al:eretions to existing dwelling $ 50.00
_ Add plumbing fixtures to main level lower level. This fee includes
installation of a water softener and/or water heater at the same time. If you are
installing only a water sofrener and/or water heater, do not complete this section;
move to the next section and place a checkmark next to the appliance(s) you are
installing.
_Septic System Abandonment
Water Turnaround (add $136.00 if a 5/8" meter is required)
? c
=
Other.
? Water Softener _ Water Heater $ 15.00
_ new ? replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total $
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the
work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I
understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in
accordan with the appro d plan in the event a plan is required to be reviewed and a, proved.
?
Ap ic Ys Printed Name Ap ica Ys Signature
?????
4d?w?' 2007 RESIDENTiAL MECHANICAL rExMiT nrPr.ICATiorr
City Of Eagan
3530 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
,.,_.,_.?.
5I ?i';'1,;..; .
I ?
Plcase coinplelc for: single family dweVlings & townhi>mes/c?idos when Peemits are required far each unit V??.{
n„re ?L _ I oU l ? 7
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Strect Address ? City
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'fhc Applicant is _ Owner _ C?ntractor _ Ot her
I?ire repair (replace hurned out appliances, ductwork, etc.)
This fee applies when extensive mechanical repairs are made to a 6uilding. $ 90.00
or alterxtinn to existing dwelling unit
$ 50.00
furnace _Additional ? Replacement _ New
air exchanger
air conditioner
heat pump
other
D L? ?CI LS L\v? '=IIIII
State Surcharge U
n
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g .50
on
------?-v -m ?
$ ?
Total
I Iiareby apply For n Residential Mechanical Pennit and acknowledge that the inforaiation is complete and accura[e; that the work will
bc in conformancc with the ordinances and codes of the Ciry of Eagan and wixh the Mechanical Codes; that I understand this is not a
permit, birt only an application for a permit, and work is not to start without a permit; that the work wifl e in accordance with the
appi rvecl plan in the case of work which requires a review anA approval of lan
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ppiicant's Pi-mted Name Applicaait's Signature
P.02
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* PIONEER UND SIIRVEMN9 •
*e17g 17ee1' A1g uxo rtsnNEas • un
2422 Entarprise Arive
Mendolo Hetghts, MN 85120
(612) 881-1914•Fux 661-9488
825 Htghway IO Northeaet
8loine, MN 55434
(872) 783-1880•Fox 783-1883
Certificate of Survey for: Th@ Rottlund Company. IfIC.
? House Address: Mersey Wcay. Eaadn, MN
Model Name: Expanded Westwood
?r ?• .; , ? Customer: Goedken
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. aoo.o Denotes Exleting Elevation - PROPOSED H0.W$E ELEVATION
??? Denotes Proposed Elevation Lowest Floor Elevatfon:886.05
-- Usnotea Orainage & Utility Ensement Top of Block Elevatlon: 889.26
Denotea Drainage Flow Dlrectlon
-o--- Oenotes Monument Garage Slab Elavation:888.93
-e-- Denotes Offset Hub Bearings ahown are assumed
LOT 6, BLOCK 3 COVENTRY PASS
DAIfOTA COUNTV, IAINNESOTA 3RD ADDITION
1 hereby tertlty thet thN suryey, plsn or repon wat praparad by me or urder mY direce supervisbn and thsl 1 em dNy Reyhtersd Lwd Surueyar
under tha laws of tha Suu af Minnawta. Mted thlsACM day M Au 6• A,p, tg L'
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA157911
Date Issued:09/16/2019
Permit Category:ePermit
Site Address: 3866 Mersey Way
Lot:6 Block: 3 Addition: Coventry Pass 3rd
PID:10-18402-03-060
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Dennis W Goedken
3866 Mersey Way
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
t: OOP.,,., �i}y ;2 ,c,zo " s f4,44-104--.
r
ft-gc For Office Use
/.:citoCer'6-
$,¢ $ :::::ee
...4 E AG A N JAN 312020 I.D _sem
Date Received,
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694
Staff:
buildinginspections(e cityofeagan.com L
2020 RESIDENTIAL BUILDING PERMIT APPLICATION
IDate: _ * 2 0 Site Address: CMt(
�v0 Q _, .___ 4.. /t,)� Unit#:
Name: 'L kry n 1 5 63 0 kit 1t--(c)r- Phone: tag I 44`Y1Q 00-1
Resident/
Owner Address/City/zip: ;p !� PA,t✓ 9' L _ t.'"a (\At. ,) 5S 12,,3
C j
,, /
Applicant is: Owner 4 Contractor
Description of work: co. Lt; / QC. .0-1:- c&,..„--�� i t.c.a:`,. rip,,,) i Y,c�, mw)1_.
Type of Work j
Construction Cost: 1-1Li0 O. -- Multi-FamilyBuilding: (Yes /No '`� )
Company: � , 1A.�fc ti at, t.....0.'.ST r t�Com' o"y.�..r►G. Contact: --'. `� td36/10.,
�/� ct
Address: 5L 7-0 i"+l��rv.0f%.::,.! . N. . "Li_ Cit I"~
Contractor i y= �_�- 4 �,
State:�/� Zip: SO$ Phone:
COOS -ta i
1Q�Q" l 1d �r�j�' mall: J 1 ),� LA-) LA, C 0-^-,
License#: C
AJ 'fl LiLead Certificate#. NA--) �' C2 $(Dr( 3
If the project is exempt from lead certification, please explain why:
i COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING �.
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes, date and address of master plan:
t
Licensed Plumber:
Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: _ Phone:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be,..._
classified as non-public Ifo yide s ectflc reasons that wouldrmit the vi to conclude that the are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaoan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.gopherstatoonccall.orq
I hereby acknowledge that this information is complete and accurate, that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
\ .
X ► 1 1` kdO(Gl Ci,h x ----` .0 LC.�/...."-
Applicant's Printed Name Applicj ignature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA165726
Date Issued:11/17/2020
Permit Category:ePermit
Site Address: 3866 Mersey Way
Lot:6 Block: 3 Addition: Coventry Pass 3rd
PID:10-18402-03-060
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Dennis W Goedken
3866 Mersey Way
Saint Paul MN 55123--395
(651) 470-8133
Elysian Construction Inc
301 Thomas Ave N
Minneapolis MN 55405
(651) 895-2137
Applicant/Permitee: Signature Issued By: Signature