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