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3867 Mersey Way... CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: . .. , M?.r,t ? I OIuUN i t. Y F>asf; 3Ri) PERMIT SUBTYPE: TYPE OF WORK: htf ( I H r Nc; 0,'.N!,1T 40 3 / , 1 rq I INSPECTION DA • DA ' . . ..,i I .i? ? -, ? INSPECTION RECORD PERMIT TYPE: Permit Number: Date Issued: ? ? ? ? •? 6 t III , APPUCANT: ldFtY Ilhilt !{i I 10 l A:1 0 4 ` ( ` ti&W PI RR VAI I f Y FI llh{CiING Psrmk No. Permit Holdsr Dats Telsphons i S/IN PLUMBING HVAC 9 S? - ELECTRIC ev ELECTRIC Inspsction Dats Msp. Commsnts Footings I -y3 n? IJ FOUfIdatl0ll Ff8R11ng Roofing R«,gh Plbg. 3 -F3 Rougn ?its- Isul. F'eplace 3? 5 3 Flnal Htg. ? Orsat Test Final Plbg. Pibg. Inspector - Notify Plwriber Const. Me4er Engr./Plan 81dg. Final Deck Ftg. Deck Flnal wex Pr. asp. ? o Ps ` '??e 4A4qq . S ? • !? - . 'n? Wcrtiticate of cccupanc? wftv of cFa.ga? ???OWN* 3"Givection This Cenificate issued pursuant to the nequirements of tlu Uniform Building Code certifying that at the tii?u of issuance this structnre was in compliance weth the various ordinances of the City regulating building construction or use. For the following: SF DWG 20577 use closificaum- ewg. eft„m r?a. R-43 M- R - - O-W-y Type THE ROTTLUN? 0 E RiVER RD Owrer of BuildiuE Address Building Addness a , l.odity JUNE 17, 1993 Dam H.ilklim officia POST IN A CONSP16 US PLACE Requesl Dete Fire No. i g1-In Inspection 1 epu 01 0 Reatly Now ?Will Na?ity InsO?tor 4-?- Ves C No WhBn Ready? licensed contractor ? owner hereby request inspection of above electrical work at: Job Atltlress (Street. Box or Route No.) . City 3%l0 Sactmn No. Township Name or No, ange No. GourRy Occupam (PqINT) Phone No. Power Supplier AdOress Eleqrical Comrecmr ?COmpany Name) Comracmr's License No. ? 3 Mailing AtlOress ICOnVactor or Owner Making Instailation) Am?orizetl Sig ture ?COnuaMOr/pwner MaRing Install8tionl Phona Number • , ? ? 32?- MINNESOTA STATE BOAqD OF ELECTFICITY ? THIS INSPECTION REOUEST WILL NOT Grlgga•Mitlway Bltlg. - flo0m $-173 8E ACCEPTEO BY THE STATE BOARD 1821 Univaniry Ave., 51. Paul. MN 55700 UNLESS PROPER INSPECTION FEE IS Phane(812)843-OB00 ENCLOSED. . d 10238 REQUEST FOR ELECTRICAL INSPECTION ? See insVUCbOns IOr completing this krm on beck of yellow copy "JF' Be/ow-VYork Covered by This Request EB-00001?08 ew F60 Rep: ' TypeoBUilding AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Otheo-(Specity) Comm./Industrial Furnace Parm Air Conditioner Othar(sUecify) Convactor5 Remarks: Compute Inspection Fee Be/ow: # Other Fee # ServiceEntrenceSize Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Trensformers A6ove 200 _ Amps Above 100 _ Amps Signs Inspenor§ Use Onry: - 7p7qL 5 0 Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDER ISCONNECTED IF NOT Other Fee COMPLETED WITHIN 16 MONTHS. I, the Electrical InspeCtor, hereby Rouqn-m oata certify that ihe above inspection has been made. F;nai ? . oete F?q i OFFICE USE JNLY ? ? . This requesl void 18 mOnths Irom ? ?a? y 7 ? '= s?'?? R puesl Date re No. Ro ? InsOectim ? qeq tl? ? Reaay Now ? ill Notitylns or - s ' Ve GNO )0 I licensed contrector ? ow ner hereby request inspection ot'above electn wor L JoD Adtlrew (Streec 0ox or Route Na.) (0 7 Clry ?&_2 i $ection No, Township Name or No. Range No. Cour)t/, . i/ L1 i O<mpan IPRINT) Phone No. Pawer Su lie? AGtlress . V?- Eletlricpany Name) C ContraCOrS License No. o. U? V-1u, ?d 3 8/ Mei6ng qtltlress IConVaNOr or pw er Meking Installetion) AulhoriEetl Signature ICOnlracto Owner aking In9lalletion? Phone Numb¢r ? MINNESOTA STATE BOARD OF ELECTRICITV THIS INSPECTION REOUEST WII.L NOT Grlgge-MlEway BIOg. - Room S193 y/ BE FCCEPTED BY THE STFTE BOFRD 1821 Univarelly Ave., SL Peul. MN S610C UNLESS PROPER INSPECTION FEE I$ VWne (612) 642-0800 ENCLOSEO. r'.y/? REQUEST FOR ELECTRICAL INSPECTION ee00001-0e ? See insrcuciions lar completing tpis form on beck oi yellow copy ?'I d 10 2 3 7 - x" Below Work Covered by This Request e tld Rep. TypeafBUiltling AppliancesWired EquipmenlWired Home Range '7 Temporary Service Duplex Water Heater Electric Heatinq Apt Building Dryer Olhec{Specify) • Comm./Industrial Fumace Farm Air Condiiioner Other(syeciry) conhector's Remerks: j . . Compute Inspection Fee Below: 8 Other Fee # ServiceEniranceSize Fee # Circuits/Faeders Fee Swimming Pool 0 to 200 Amps 1.21 0 l0 100 Amps Transformers Above 200 _ Amps bove 100 _ Amps SignS Inspecmr Use Onry: TOTAL Irtigation Booms / / a Special inspection v ? Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONN Other Fee COMPLETED WITHIN 7 TH f ?.J u I, the Electrical Inspactor, hereby certify that the above inspection has been made: Rough-in ? F;nai oata ? D OFFICE USE JNLY Thls requ9st voitl 18 monfis from Address 3867 MERSEY WAY Zip 5512 Lot 9 Blk 2 Sub COVENTRY PASS 3RD THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION. Date: JUNE 17, 1993 Yes No Inspector: 12 Final grade (6" from siding) ? Pemtanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass TraiUcurb damage ? Porch ? Basement tinish ? Deck Please verify with the builder the removal of roof test caps fmm the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exisis. Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. Whice - City Copy Yellow - Resident Copy Pink - Contrector Copy ? , tAS /OitOLY CnCKI,IlT ?OA 2282D211 Z71L ? SIIILDIII nA1IIT At?LIC11T?i PRDPlRTY Ma±±.t ? nate o! sumsys ?@SENT fTLND ena G?0 0?'? D 0 • • Reqist:rod IanC 8urveyor siqnatnre atid eompany B p' D D • uilding Permit Jlpplicaat Legal desctiption V0 0 • Jlddress fl 0 ? 0 ? • • North azrotia ar,d bar scale HOUBG ?lar, vaikont, split w/o, split ? B'D 0 • I j ookout itc 13 201 00 • Directional dra3naqe arrova vith slope/qradient •. + i soposeC/oxistinq sewer and vatez sarvieas D'D D , Street name Dzivevay tLsvATioxs ? aatsy, D 8'0 • Sever service E' D D • Lot corners D ? D D • Top of eurb at the drivtway D D ? • Elevations of any existing adjacont homer 4roaosed t9? 0 0 • Garage iloor r D ? • Fisst iloor U Lr 0 D D D • Lowest exposed slevation (walkout/vindov) ? • Property cczners I D D • Front and reaz of Aome at the loundation ' fl L'I' 0 • P02. DSN0 KREa6 tif apalieaDlel Easemeni line D 9' 0 • WsaL D a 0 • Hs,•L D E' D • Aond t desiqrration 13 D? L1 • Emergency Overllow Flsvation 0 D • ?I?!£N620N6 ' Lot iines G 0 • Right-of-vay and street vldth (to bsek ef eurb) P' G D • Proposed Aome dimensions iaeinning any proposea docks, overhnnqs qzeater than 21, pozehes, etc. (i.e. all structures requisinq permanent iootir,qa) ?' D D • Show all •asements of reeozd and any City utilitias vithin ? those snsements 0 0 • Setbacks of pzoposed s eture and setback of adjaesnt n t ? existing hom d D • RQtainia mtnts, 1t any - RQVieved- cJ Ham / Date : Cities Diaital 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 i J PERMIT TYPE: 3??. Permit Number: Date Issued: SITE ADDRESS: DESCRIPTION: _Y ISLailciin4. 1 ri• r. l yn^ t3u1 ld in `v 6J? ? ?. !?v , {or!atrnc4.inrt T?,';J,r•' £ Q il .t ..r.? e3 ... .E?l!ils;?,ren f.vr1?,T,#"t ` t3 ;,' f 1, d d, T: fa 4.t S d 07 SP ?4?G _ i,. i:?' , ? .,1Jf"t??,• f ? ?i (ati ??i CONTRACTOR: OWNER: MIrJ 35 q'71 1 :;:, c..!;nu,ri.r,.:?- LP.4;j, t Yja vc- e:.ad P.:z+=, a opJrc,I t.i0 r?i a rtci=:t?a?e J nic,rruc,t,i? rc??_,. ,.? oi,v 1y uii_h ?7? r-,p p l,ic,z#x1? .,;«7i.:• «-' ti. ? - ?. ? .? A ,, o x??. I I? ? APPLICANT/PERMITEE SIGNATURE -f ISSUED B: SI NATU E INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Num6er: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: PERMIT SUBTYPE: ? ? APPLICANT: ?,. ..... =t?. , TYPE OF WORK: ,.. REACTIYATE _ PERMIT '# : r(???) CITY OF EAGAN 1993 BUILDING PERMIT 681-4675 APPLICATION MAR 2 4 REG03 D -S 6. 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 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 Yaluation of work Site Address: (u2Ls?/ L___1°d SiREE % SU1TE N Tenant Name: (commerc'ial only) IAT ? BLOCK 2' IMD P PA ea 4?? Descri tion of work: 7?` (e?<< The applicant is: Owner 14Contractor ? Other <oescribe> Name 'T"t2- j2,pf-#-tuwA CD. `tfnC-, Phone S V-b34 Property LAST FIRST Owner Address s&? E -?-[kpo_f STREET STE # City State M$6 Zip Company 501"L Phone Contractor Address License # f 3 Exp.'5-31 ! City State Zip Company Phone Architect/ Engtneer Name Registration # Address City State Zip Sewer & water licensed plumber e u vu\b 'r\ . Processing time for sewer & water permits is two days once area h s been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applica6le State of Minnesota Statutes and City of Eagan Ordinances. ? Signature of Applicant: ?? ? OFFICE USE ONLY BUILDING PERMIT TYPE El 01 Foundation ? 06 Duplex 0 11 Apt./Lodging ,9(02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory 0 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? OS SF Misc. 0 10 Multi. Add'1. ? 15 Deck WORK TYPE ?(31 New ? 32 Addition O 33 Alterations O 34 Repair ? 35 Tenant Finish O 36 Move ? 16 Basement Finish ? 17 Swim Pool° ? IS Corten./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish GENERAL INFORMATION Const. (Actual) N Basement sq. ft. MWCC System `(es (Allowable) lst F1. sq. ft. City Water Ta?5 UBC Occupancy R-3 M_f 2nd F1. sq. ft. PRY Required Zoning R-i Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length S8' On-site well Census Code 1°7 Depth ? On-site sewage SAC Code APPROVALS Planning Building Assessments Engineering Variance REQUIRED IN SPECTION S O 5ite ? Footing ? framing ? Insulation ? Waliboard ? Final ? Draintile ? Fireplace Permit fee v.tuoc;on: g Surcharge Plan Review GRrZqGE, ?p Xzo= 600 . License ;2 u rv = ( MWCC SAC City SAC (3sMT; _ S50 X?6=?Zgp Water Conn. 2S k2s = 78N Water Meter !y x 20 = 28o Acct. Deposit S/W Permit /oby x /5= !S"960 S/W Surcharge ? Treatment P1. Isr IFL_,on; Road Unit gs,?T: 1oGy Park Ded. Trails Ded. ?2x?=r others 107N x S`y= 7ota1: Zu 0 FL.DvYL- SAC % SAC Units i_/oGc/ xS?1 =??ys6 IN0?692 • • 7-HE HkMPToN EXTFriott t?UVF.LM'Y, AVh:l;nr,E "u" r.nMru•rrrri,,);i o?_, 1 W? - ------------ ?_m?. ?DF?s LO -r ?? ;R??;?k ?tiz4 ?,?" ?rt? CGI1T?U'' „^,0: ;RDT!L(Jl?o G'U . DATF. ?_ PHQNc Determin vorkini; Squnre footai;c of cach. 1. io:al er.pcs=d va21 arez ., 2(P-75r, 2 sR. ft. x 0.11 _ 2Cr4, Z 2. To'al rcof/cei2ing area „ /s,?, ft. X 6?0.'.6 _ 27 ? ? iotal exposed w•a11 arca nbovc flonr = 26 ? 5 •? s. Totel vall vindow area .............. Z I/• / b. Tota1 door a-ea . ... ..... ... .... •...•... C. Total slidine S1¢ss door ...... area ;. .. . .... ........ d. Total fireplace vall area . ........... ............ ? .-. e• f Total vail :raming a rea ( , average lOP) ............. ....,... 2 ? . • g. Total Total net vEll area rim Joist area above .... floor ...... ..,. ............. Z Z.O ' Tctal exposed f0 i:nclat ion arca = f ZI?? h. Total foun3c,+_on vin dov a :ec .....•,. ' i• Tota1 n_t foundstion a-ea above grade ._........... ? • Detz^r,ine "U" calue o: eech vall ;ef;ment. . a. 2r7, -7 x 9 b. 3P7,-7I. X..U„ O,i 3 b = 5. 3?. . ? C. 3R.91 U. a. X IV, . _ ? e. ' 13. SC'a ',ull L.og q ?0 fq x = , r. r 9zz,o? X U. t?,o¢3 = $z,?i?f' . ?. Z 43, Z X„1,,, p,D? 9 ? - ?' • h. x ..ti„ i. ? 2.?. 3 . ... ...... , ............... ..... • ..... . «?.,, ------- If item M3 i or sac 6006( s the same as, c)2. or ie sa Lh:.n ile:•m rYl, yrou nnvc met the intent f , , Totnl exposed roof/ceiling aren = ICl ? ? . .. , Total gross roof/ceiling, arc:t = -" J. Totel skylieht arza .......................... k. Tota1 roof/ceiling framing area............... 70 e?. - l. ToLal net insulated root/ceiling area ........ . Cetcrmine "U" vnlue for czcli runf/cci 1 inj; scFncnt. ? -- x liUll , k: X t1ull C?• C? ?7 - ?i? -7 • ? 1. '?J?"?7??/ X ?lU„ u . ...............................:. Totei = Z 3 .`1 If total oP NG is the same as, or less than N2, you have met ttie intent of ssc 6006(c)1. To utilize the total envelope system method, the values establi:hed by the sun of ite=s d3 and AL sha11 not be sreater.thxn the sum of iten:s A'1 and N2. 1. + 2. _ 3•. ? ?+ 4 . . - r . U ? ? ° .-u .-?JPc?U? GAI.GI.?I-ATlot? ?GcN?j;). -?FAM?- W?u. G I N?I LR`??N GoMPoN?rl? u i, ? ? alq??M AIF- Fi1.M h" ?71C1hi(/ - - - =-/?%1 lNSU?A"??i GIP, C.?'.D - . F?- VALu y- ----- O,IZ - - fq.o ' -:- -- p; Cc b - -fFAM;r WAU. ? 6,111D - pl.hN, ylrw. C c C C C C& LoMPoN?N j5 czuT??oE R?g- FtA -Z X? h1IJ D (FF-Am eo. . . in,12iM MP R?-M. . - ?. F--Vat,u5 2.oU - ,---- -- _-- _ I ? = O. o ?- -G?14tP?. ??U =(01)2 X 0.01-9) t(o,Sb X 0•043) _? - ro;t,tPrz??tTs -- _?v,=5.,u? :_- ? ? O 0 0 ? (D 0 03 C` J_= . I.?? ,Z?. -a? _ coMR?k-10 N?Pj ---- __??.?/P,'! __.._....- , - , -? -- - ; -rt=?.?---- ? ?-? ( I I??1 Z,! J I I O• O. 0&: ? 10 c c O O ''z?L- -_I '?#?-r.??-o_??,.- rZ..-FTE,... @ _-- ? - o, 027 ? 0 022 79s7P - 2-93 T LJ E 9 : E Ei FL R ft E HT G_ F_ 02 ? :$ . 1 Dl_"11iILCI') RE=F'C7R1' FUn ENl"IkE FiCIU:iE:. F wepcvre:cl I°sar-: Prepared H/: t1. W . 13uFa rr-c? F1are. Heatiny , Mn 7ob NE,Rme: H'r.mptar, 'F,' *W.**** MUMM I* ***M,*I4 #*:6:*7%;kM L X POriUfiC ti>[..AES; ranfzrH S,Cli.l'M =:FtS., l 4fI:F+'f i+lFS:/tJW SE:/EW . . .?. ...__-_....._......_ l-1OFtZ. ?r?_."'_. "' "PO"fRt_ __._- ........ ....t.,if'L'F:.f°I ...,...__.- ?.....??.,._ -_._.- ._s.,.... v ?? _._. _ .? .._?_._-:??.=.' . (}i p r??? .._._.._?..' !,: .}J:?i 4, 42Q i tii n w.) i ?V i L,l i (.} 1 14v J.jJ i Fat:r.r7114c; ; 2,1:s41 1,10S; 4 ,t.0n; yb:?? 0; ----------------- 0? ------- --- -------- WHi_i..:5 NC152T1d fattr:.(1 i 7 14 1 UIC7i.TIVC: 1 iRE l 'riE?VlN[i i :..?yf3'1 i . DE3LRi3 NC1F7lE.. _ AF2f':R I ti::UUI. J NG ; WEAT31JEi I FI_UI]Fc CE:ILIfJCr 3CtE1'f!-4 EAST WI':.^,7 NEElNW a£:/SW 7371 1, n;; l; 96:a 1 0 I Y) I nCIR i 820i 7(39 S Q '-7 2 ^<; ,v&,9 ; s,ara, c>, 5f]L1.'fH •-•_'EF1S1. __._ .4J6?? ? _._.. _N! :/tVid^__>[:_/SW S6i }y8; 956 ; ARF'A ARFi:Fa 32:56 0 1 :'.iyl t31 a 1 Ot 01 lr062f ---------_W eJt 01 ?7! CUOLTN(i HEA7"TN(3 .. _..___ .. ___.__....__..... ._._.?.---..._...._._...-• -__.__ .. 2,681 ------.-•----- 'Cu:Ul.Ih3C .., .,. _. - hiE'cAl"T4SG ,? ? __._.??'- ) ' , BF:1. t7iV G(1FlDk i'U'fAL --._.,.....t'.' _...3„415 _ 01 2,7981 6,7921 20,3371 .?... _---- -7 0'iAL _-____.-i ____.-_3t31 ; 417: 1 2,018; i"IEiCFL.L.RNE':FJiJS Ct:it);, 1'f3t:i LCIAi)c:! Pracsple. Ee?ns.illr: _mts:ril.. t..alti L:i.ght,y; & FkpFa:L. Lc:,Gad Sx1w La'Eent Mety Ptuir VC±ti1-ilaiiL^n l_o2Ci Dtm't. HenIL Q31!'i Yn+il'kratir.n Loac! 429 sensiLr2e SafvtY 8tutt 1,166 IL)1"daL, nEIVa YPtE. t_qf3iJ 24 ,4£:':i 1 R'3 Rl_ tA1"F NT l.UN1 SummFtr• RL'!-! Ct.{;b l'emp. aWiny Muli.. l'r.)t:.jl coelir g Load S1,827 BcTi.1H Lir 2.6,5 Tc,r's MISCELI_ANE_i]t.15 HEf37!'IVG L.CrAL>3 7nfi.l.lr'atinn L.c.ac3 5,154 VentilatS.an Lnad f,oc:: t Meat Lase. 4 safe ty Btuhi Wi.ntF:r (1GH 0.7:: 'Yoia;. Heating L.oacl 60.3,97 FafU'i M b.99?r 3:'.iU 7,345 k.UCr 9.9U0 2,erf.] ns-i2-g; 3.1 Si_?I`'f?'fF7F;Y F?['-F'E]Fv'I` l=reparfzd F'oi^: F'ro?pared I'aye M.W. L;c.ie.,.l„N, F'larx: Heat1nQ . Mrr Joti sJar?m.-,: Hampt.uir 'R !]E:SiGI'J f':UN:iY"I'Et7N:i iur 17U..I..UG1L1R Si,JMIwF=-R WIN'fER Ury Ptllb S"IJ WvSt tL.1.Lti /:! ]'.NUC117f; SUMC'iEFf W1 fJl"EI=2 "i:i 7s> 6/ llaz ].'y ltnngm 22 LeatituClFe 44 S)a11Y ]W].(lg ?', .() E:7eVati.ort 822 'o;af'ety Fac•t[3r S"l.) 5- Latt?ni. Fac:'c.r.i' 01S 'y+J Rorar.i }ieat.irica F+Wt,ting i31"t1(i t:FP'f !Kasepmfiin$ 11 d("15S 190 Crawl upzar_a 3,474 4`i F='crve r 3 .9V 7 55 L.ivi.r;ra Roc,rn °,.',ui 49 O.i n.i ; ic} F'tacrrn 1. m %'S H',iLr:hEri 1.1,542 162 I?wt-t&A '?,r.1E32 57 F'arc;i.Fy F?r.??r•oa?n 9 2,a65 :Srb teai-com 1 2,t390 40 5;-adrr,,c,m 3 :.,20a .rl UPGE=r L<ot't1 7, 084 1;? r•I.:,s.•P.:E•r E1xt.PZ 1:51Li 3s M.:•s,•1-.r•r Br.+dr•onm l,040 7;. 60,397 S ens:i b 1e? Goeling Cooling F3i'LSH CFrf 1 a i eA b:i 18C, 9 1,294 c,e.; 2,69M 1 aEa .1 r 0.f. I We 3,aafz 15'6 x,9n? n;7 3 S99 i ,'z_+e4 63 3 ,0q'J 9'a S . l l4 :!9 627 32 900 45 y ( ;?y 4Ji:] 124 i4r4EI:i l e1:a6 H[:f:l"ING 17EI._'T'R T 61.I] L`dOLTNG DELTFl 1 I8.0 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIIZED FOR EACH UNTT. NO. FIXTURES i SHOWER ?3_ WATER CLCiSET BATH TUB 3 LAVATORY I KITCHEN SINK i LAUNDRY TRAY HOT TUB/5PA 1 WATER HEATER ? FLOOR DRAIN ? GAS PIPING OUTLET • minimum • 1 ? ROUGH OPENINGS WATER SOFTENER PRIVATE DISP. • nat.cry. uc. U.G. SPRINKLER • home under const. ALTERATIONS • io odstin8 WATER TURN AROUND STATE SURCHARGE TOTAL: EACH TOTAL 3.00 3- 3.00 G - 3.00 t _ 3.00 `l - 3.00 3 - 3.00 3.00 3.00 z - 3.00 3 - 3.00 } - 1.50 W - 5.00 15.00 3.00 15.00 15.00 .50 4-1 _ STTE ADDRESS: o?`?Zo? ? cs..F L.l a. , OWNER NAME: INSTALL.ER: V/? t l c. ? t S co 77- K• ADDRESS: Cc 'cc C. - CITY: STATE: V"` ' ZIP CODE: > > 3 ' ' PHONE #: ( ) 44 ?- a ca 1 C? SIGNATURE OF PERMITTEE 1993 PLUMBING PERMIT (RESIDE1V174L) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 1993 PLUMBING PERMIT (CONIII4ERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR ALL COMIVIERCL4LJINDUSTRLAI. BUII.DINGS. ALSO FOR MULTI- FAMILY BUILDINGS WHEN SEPARATE PERMTTS ARE NOT REQUIl2ED FOR EACH DWELLING UNIT. _ NEW CONSTRUGTION ADD ON REPAIR WORK DESCRIPTION: CONTRACI' PRICE: $ FEE: 1% OF CONTRACT FEE. STATE SURCAARGE $.50 FOR EACH $1,000 OF ?'?I`?' FEE. MINIMUM FEE: $ 25.00 „??.? " CONTRACT PRICE X 1% STATESURCHARGE TOTAL SITE ADDRESS: $ $ TENANT NAME: STE. # OWNER NA11E: W STALLER: ADDRESS: CITY: PHONE #: CITY OF EAGAN STATE: ZIP CODE: APFLICANT PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND COND05 WHEN PERMITS ARE REQUIItED FOR EACN UNTf. ? NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE DATE V FEES HVAC: 0-100 M BTU $ 24.00 ADDITIONAL 50 M BT'U 6.00 GAS OUTLETS (MINIMUM 1 @ $3.00 EACH) 1-ts ADD-OIv'/REMODEL (EXISTING CoNSTRUCTION) $ 15.00 STATE SURCHARGE .50 TOTAL SITE ADDRESS: ?,.,\? OWNER NAME: 3???.U? TELEPHONE INSTALLER: 'b ADDRESS: CTfY:C-?"?? STATE: C? ZIP CODE:-?'- TELEPHONE #: 1993 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PII.OT KNOB RD EAGAN MN 55122 (612) 6814675 1993 MECHANICAL PERMIT (COMMERCIAL) CTIY OF EAGAN 3830 PILOT KNOB RD FAGAN NIN 55122 (612) 6814675 PLEASE COMPLETE FOR ALL COMHgRCIALlINDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUII.DINGS WHEN SEPARATE PERMTTS ARE NOT REQUIFtED FOR EACH DWELLING UNTT. DR'TE: C3NTRACT PRICE: NEW BUILDING INTERIOR IMPROVEMENT WORK DESCRIPTION: FEES 1% OF CpNI'Rt1G'1 FEE $ PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE $50 FOR EACH $1,000 OF fgRM FEE. TOTAL $ SITE ADDRESS: OWNER NAME: TELEPHONE #: TENANT NAME: (IMPROVEMENTS ONLY) INSTALL.ER: ADDRESS: CITY: STATE: ZIP CODE: TELEPHONE #: SIGNATURE OF PERMITTEE CITY INSPECTOR 1993 PLUMBING PERMIT (RESI] CITY OF EAGAN 3830 PIIAT KNOB RD EAGAN MN 55122 (612) 6811467S PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOMES AND CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNTf. NO. FIXTLIRES EACH SHOWER 3.00 WATER CLOSET 3.00 BATH TUB 3.00 LAVATORY 3•00 KITCNEN SINK 3•00 LAUNDRY TRAY 3.00 HOT TUB(SPA 3•00 WATER HEATER 3•00 FLOOR DRAIN 3•00 GAS PIPING OLTTLET • minimum • t 3.00 ROUGH OPENINGS 1.50 ? iVATER SOFTENER 5•00 -C, PRIVATE DISP. • DatCty. dc. 15.00 U.G. SPRINKLER • eome unaer oonst. 3•00 ALTERATIONS • to edsting 15•00 WATER TURN AROUND 15.60 STATE SURCHARGE .50 TOTAL: STTE ADDRESS: -3 9 8l OWNER INST. ? ADDRESS: 19? l /1?.er2, .v La CITY: j8 , S ?' • !"?2, ? STATE: 1'Z71?v"91 ZIP CODE:-? PHONE #: ( ) SIGNATURE OF PERMITTEE 1993 PLUMBING PII2MIT (CONIIVIERCIAL) C1TY OF EAGAN 3830 PIIAT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR ALL COMAZERCIALJINDUSTRIAL BUII DINGS. ALSO FOR MULTI- FAMILY BLJILDINGS WHEN SEPARATE PERMTTS ARE NOT REQUIRED FOR EACH DWELLING UN:T. _ NEW CONSTRUCTiON ADD ON REPAIR WORK DESCRIPTION: CONTRACT PRICE: $ FEE 1% OF CONTRACT FEE. STA'1'E SLP.CfLSRGE: SSQ FOR EACH S1,0OD OF PERMYI' FEE MINIMUM FEE: S 23.00 ... . _ " CONTRAGT PRICE X 1% STATESURCHARGE TOTAL SITE ADDRESS: S $ TENANT NA11'IE: - STE. # OWNER NAAZE: INSTALLER: ADDRESS: CTI'1': PHONE #: STATE: ZIP CODE: FOR: CITY OF EAGAN APPLICANT RESIDENTIAL BUILDING Permit Application City Of Eagan --??y y. 2 5 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 New Conshudion ReauiremenLS RemodeVReoair Reauiremems OiFice llse Onlv 3 registered site surveys showing sq. R of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cert of Survey Recd (20% maximum lot coverage allaved) t set d Energy Cakulations fa heated additions 7ree Pres plan Rea1 2 mpies of plan showing beam & window sizes; poured found design, etc. i site survey tor additlons & dedcg Tree Pres Not Reqd isetofEnergyCalalations AddiUon-indlcafeifonsitesepticsystem _OnsiteSepticSystem 3 copies of Tree Preservabon Plan 'rf lot platted a(ler 7l1193 RimJoistDetailOpfionsseleclionsheet (bldgswith3orlessunil5 Date --4- / `i / 03 Construction Cost / :3. 1 o !. 3 9 Site Address rrr{, Y? (A) ?'? Unit/S[e # , Description of Work , 5 ? #f/ Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner _ bAf, j AA401 1/ifa• -D eQj Telephone #(? ) y$'y. 7I32- Contractor , Address /Vkaa? AU City State Zip ?,32 Telephone ky COMPLETE TNIS AREA ONLY iF Energy Code Category - Minnesota Rules 7670 Categorv I • Residenfial Ventilation Category 1 Worksheet (J submission rype) Submiked • Energy Envelope Calculations Su6mitted Licensed Plumber Mechanical Contractor Sewer/Water Contractor A NEW BUILDING Minnesota Rules 7672 • New Energy Code Worksheet Submitted Telephone # ( Telephone #( - ? - ?. Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the informa',' n? is com lete_and?rate; that the work will be in conformance with the ordinances and codes of the City of Eagu ? the State of MN Statutes; I understand this is not a permit, but only an appIication for a permit, and work is not to start wifhout a permit; that the wark will be in accordance with the approved plan in the case of work which requires a review and approval of plans. CCs Gi1 'A .?R?c? e' h• e??- emtL_? A Applicant's Printed Name ApplicanYs Signature OFFICE USE ONLY Sub Types ? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 27 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex O 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Eut. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New • ?- 35 Int Improvement ? 38 Demolish (Interior) 17 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ' ? 46 WindowslDoors ? 34 Replacement `Demolition (Entire Bidg) - Gfve PCA handout to applicant , ?. . Valuation Occupancy MCIES'System Census Code Zoning City W ater SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const W idth .' , . : ; , • . . REQUIRED INSPECTIONS . , _ Foorings (new bldg) y _ FinaUC.O. _ Footings(deck) _ FinaUNo C.O. _ Footings (addifion) _ Plumhing Foundation HVAC Ihain Tile Other Roof _ Ice & W ater _ Final Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ _ Siding Stucco S[one _ 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 Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Searcti Copies Other ; ' _ . , . . ' . . . _ . . .. Total . RESIDENTIAL BUILDING Permit Application City OfEagan ? ?L4 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 NewConsWCtionRenuiremenLS RemodeVReuairReauiremenls OfficeUSeOnlv 3 registered stte surveys shaxing sq. ft oF lot, sq. ft of house; and all roofed areas 2 copies of plan Cert of Suney Recd (20% meximum lot cove2ge allaved) 1 set of Energy Calculafions for heated additions Tree Pres Plan ReW 2copies of plan shaxing beam 8, window slzes; poured found design, etc. 1 site survey for additions & decks Tree Pres Not Reqd 15etafEnergyCalculations Add'Mon - indkateNOnsitesepticsystem _ On-sileSepticSystem 3 copies of Tree Preservatlon Plan if lot platted aRer 711/93 Rim Joist Detail Options selection sheet (bldgs with 3 or less un%s Date q / q Si[eAddress ? / d1j Construction Cost 166, 0 pi (p aOYfiJCiy Wp.y UniUSte # Description of Work /_.d Multi-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2 Property Owner _ Noll tBa tw)qGN/ Telephone # ((Po 143-11• ?5-Zi- Contractor vi ds0 Address State O ? City Zip S?S3? 2 Telephone # (d{n 'r(/!! • COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesota Rules 7670 Cateeorv 1 • Residential Ventilation Category 1 Worksheet (J submission rype) Submitted • Energy Envelope Calculations Submitted Licensed Plumber Mechanical Contractor Sewer/Water Contractor A NEW BUILDING Minnesota Rules 7672 • New Energy Code Worksheet Submitted Telephone #( Teiephone Telephone #i(,1 ,pn- I hereby apply for a Residential Building Pertnit and acknowledge that the infor?iplete-?ccurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. C c -c 11. 1a 1?610k4%j e.fe_ 6A;? OCA4? ApplicanYs Printed Name ApplicanYs Signature ? OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-piex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace O 21 Porch (3-sea.) ? 31 Ext. Alt - Multi O 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 (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) • ? 44 Siding ? 32 Addition O`36 Move Bidg. ? 42 Demolish (FOUndation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof - ? 46 WindowslDoors ? 34 Replacement "Demolition (Entire Bldg) - 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 INSPECTIONS _ Footings (new bidg) ' ' • ` FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain TIle Other Roof _ Ice & W ater _ Final _ Pool _ Ftgs _ Air/Gas 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 Utility Connection Charge S&W Permit & Surcharge TreaVnent Plant License Search Copies Other Total . . ,;? ??...,' ' . 4; ' .. . 2422 Enterpris¢ Orlv3 * PIONEER Mendoto Flcights. MN 55120 .? vNo suq_VErats . cIaL ENaNEExs _ (612) 681-1814•i'ax 8$1-9488 °- .------r?- *engilineer-nng UNO PLM81ER4 . uuoscaae nRC?p'recTS - 625 HIghway 10 Northoast ---- Blaine. MN 55434 (612) 783-1880-Fax 783-1883 Certificate of survey for: The Rottlund Companv ItlC House Address; 3867 Mersey yVav Eaqan MN Madel Name: Nampton Custamer: Rg,vid & Cristine Saldineer ?0 3: O ?!} ;n W 4 cd ? 8s'r- I h. <F!??D ! `- - ? '- - r ? f ? x 1 1 9 eaa, s? I ?yF L N - -.gr- - - i"- A( I zs o?g" ?v 1 7.9 ? '•3 K'ff?Yw? g a67 / ., 200 _ I I z ? i 1 o m l.. ? za? ,I 38; ss 125.63 1 S 89'36'44" W ? ' . ' I I? n ? 1" ?l I V ? ,o ? ?I f a ?. 1 asao _j K a?Y6.7r ? fly RAGM N01E' cpMTRACTOR MUST VERIFY AL! DIMENSEONS v? x O Q 4^ ?r u 4 `- gg, 9 ? / '° 1 1 Q ?f t0 I ` ? f I ? W ( ln? 1 , W , / DEPT = soo.o Denotes ExisLing Eleva#iun PROPOSED HO USE ELEVATION . soo Denates Proposed Elevation Lowest Floor Elevation:881.15 _-- Denotes Droinage & Utility Easement Denotes Drainage Ffow Direction Top of 81ock Elevation•889.26 -o-- Qenotes Monument Garage Slab Elevatian:888.93 ..-E3- Denotes Offset Ftub 9earings shown ore assumed LOT 9, BLOCK 2 COVENTRY PASS 3RD ADD. DAKOra CtlUN7Y, MINMESOTA 1 hereby eartlfy that tbi7 eumy, plan or repUn WBS pr Bd bY me or under dirltt wpOrviaion end tFUt 1 am duly Registsrsd Land Surveyor tt undet ehe Iaws aF me Stste af MirMeson. OetsQ ehia day of A.D. tg OBGRT p. SIKIf.M 1.A. NK?:. Nf1. 11A0 ' Scale: 11ash=3012d Use BLUE or BLACK Ink For Office-Use / Permit City of Eafflin ' Permit Fee: 3830 Pilot Knob Road ,,i I r I I Eagan MN 55122 ' ` } I Date Received: I Phone: (651) 675-5675 I I Fax: (651) 675-5694 J J L t 6 201L Staff: 2012 MECHANICAL PERMIT APPLICATION Date: Site Address: 3 p / a -7 Tenant: Suite 111.,2 - PZne. ~ t~`y - 713a RESIDENT OWNER Name: Address / City/ Zip: Name: License CONTRACTOR Address: ~r(I,r City: f~~- /oC State: ' Zip: Phone: Contact: € t Y~~ Email: ! New Replacemment Additional Alteration Demolition TYPE OF WORK Description of work: 1 L NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical inspector for information on permitted screening methods. RESIDENTIAL COMMERCIAL Furnace _ New Construction _ Interior Improvement PERMIT TYPE ✓Air Conditioner _ Install Piping Processed Air Exchanger Gas _ Exterior HVAC Unit _ Heat Pump _ Under/ Above ground Tank L_ Install/- Remove) Other RESIDENTIAL FEES: $60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) = $ (1?~ TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal (includes $5.00 State Surcharge) OR Contract Value $ x1% $60.00 Minimum (includes State Surcharge) Permit Fee - If the Permit Fee is less than $10,010, surcharge is $ 5.00 - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee - $ Surcharge (i.e. a $10,010-$11,010 Permit Fee requires a$ 5.50 surcharge) TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you Intend to dig to receive locates of underground utilities. www.gopherstateonecall.orp 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 wit he approved plan in the case of work which requires a review and approval of plans. X~. x Applicant's Printed Name Applicant's Signature FOR OFFICE USE Required Inspections: Reviewed By: _ Date: Underground Rough In Air Test Gas Service Test In-floor Ifeat Final HVAC Screening PERMIT City of Eagan Permit Type:Building Permit Number:EA149603 Date Issued:05/30/2018 Permit Category:ePermit Site Address: 3867 Mersey Way Lot:9 Block: 2 Addition: Coventry Pass 3rd PID:10-18402-02-090 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - David A Baldinger 3867 Mersey Way Eagan MN 55123 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature 1,0 _le For Office Use Permit#: 4 E AGA N Permit Fee: / 2' RECIEVED Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Ai)G 14 2016 Staff: buildinginspectionsacityofeagan.com L 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 8/14/2018 Site Address: 3867 Mersey Way Unit#: Name: David and Christy Baldinger Phone: 651-269-8527 iQilkRaidertttAaet _Ori, Address/City/Zip: 3867 Mersey Way, Eagan, MN 55123 Applicant is: Owner X Contractor Typo of WQ k Description of work: Rot repair around 2 windows lip somaiminimiF4A Construction Cost: $4,500.00 Multi-Family Building: (Yes /No X ) Company: HHC Inc Contact: Hartley Huber 11100 West River Road Champlin ractor Address: City: MN : 55316 763-422-8958 . hhc@hhcadditions.com State: Zip. Phone: Email. License#: BC452069 Lead Certificate#: NAT-108595-2 If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: .Play sand 00000-d'ocume .s }'m : , l^id # ® {t r nfor i$ti n.r °.a;<on ' " 4n:e 1-7 el t i is i' €: 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.citvofeaqan.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.gopherstateonecall.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 Hartley Huber Applicant's Printed Name Applicant's Signature TOTAL Page 2 of 3 DO NOT WRITE BELOW THIS LINE .fC & 7 Meg<yc /.---c-/ -7e tU SIB TYPES Foundation Fireplace Porch (3-Season) Exterior Alteration(Single Family) Single Family Garage Porch (4-Season) _ Exterior Alteration(Multi) Multi Deck Porch(Screen/Gazebo/Pergola) X'Miscellaneous 01 of_Plex _ Lower Level _ Pool _ Accessory Building WORK TYPES New — Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows Demolish Foundation Replace Repair Egress Window Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation Od 0 Occupancy , ; MCES System Plan Review Code Edition , t , ! "` SAC Units (25% 100% Y) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction til` Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) y Final/No C.O. Required Foundation Foundation Before Backfill I HVAC_Gas Service Test Gas Line Air Test Hood Roof: _Ice &Water Final Pool:_Footings _Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace: Rough In _Air Test _Final Siding: Stucco Lath _Stone Lath _Brick_ EFIS 4, Insulation Windows Sheathing Retaining Wall:_Footings_ Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: _Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge (LgiPlan Review MCES SAC0 fife" City SAC Utility Connection Charge L S&W Permit& Surcharge I Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA171946 Date Issued:09/08/2021 Permit Category:ePermit Site Address: 3867 Mersey Way Lot:9 Block: 2 Addition: Coventry Pass 3rd PID:10-18402-02-090 Use: Description: Sub Type:Fireplace Work Type:Gas Fireplace (new) Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - David A & Christine Baldinger 3867 Mersey Way Saint Paul MN 55123--395 Glowing Hearth And Home Llc 100 Eldorado Dr. Jordan MN 55352 (952) 492-9276 Applicant/Permitee: Signature Issued By: Signature