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3874 Mersey Wayg r,..a 3.':. CASH RECE(PT ? CITY OF EAGAN V ; 3830 PILOT KNOB ROAD EAGAN, MtfViVESOTA 55122 ? DATE 19 ? • C." ?--- AMOUNT $ ? 5 CJ ? CASN -D CHECK FM 4r?, - / X 15 3 rw_;rl-r???-c.?? ? . --, , ? . ;? / I 1' ? ?,t ' u Ll %r'?.ct • ?.r i ?LV? ,-}?? ' j;'77 ?<•r???.yr('.. I r? - FUND OB.IECT ANfOUNT Thank You , er a ?? 0 ?1?? caar ? c, Yello?ng Copy Pink--Fie Copy & DOLLARS ,on ,- , . . . .. :.,: . . ; _ .. -.-.?,..,..-. _ -, ?..?,..?-«.. ; CITY OF EAGAN .#? 201 ' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?,,,i ?iV ' PHONE: 681-4675 NG PERMIT BUILD Receipt # j To b6 used for SF ?/C" Est. Value $79,OW Date FEB 2 S , 1992-- Site Address 3874 MERSBY NAY 3 8 'CO OFFICE USE ONLY Lot Block Sec/Sub. VEMM pASS FEES ParCel N0. Occupancy R"3 K-'t 2oning R-1 B1dg. Pemt 545'O? Narne TfiE RO'1TI.UIdD CO INC (Aclual) Const V-R 5utnar0e 39, SQ W Address 5201 E RIVEx RD l?uloWawel H pen RweW 354.00 ? city FRIDI.EY t!N Zjp 53421 ?htories L W `?? s•? Phone 571-03U6 e oapm ? snc. cay 100.00 Name s?E S.F, Total S F P ot rint - SAC, MCWCC 700•? . 0 . . o p s - ? Addrem On Site Sewage _ 675,00 Water Conn ? 6y Zp on site wen ? wacer Maier 93 • 00 Fnone MWCC Syslem Citr water x ??? ncct. o?os?? 8 0001335 ?? # 30.00 S/1 P PRV Required _ ermit N I hereby acknowlege lhat I have read this application and stale Ihat the Boaster Pump - SMf Surcharge •50 information is correcl and agree to comply with all applicable State of ?? ? Minnesota Statutes and.?ity of Eagan Ordinances. • Treatment PI Slgnature of Permitee APPROVAIS Road Unit 380•00 A Building Permil is issued to: TYtLE ??TLUND CO INC P1enner - Park Ded. on the express condltion that all wak shall be done in accordance with all Council - applicable State ot Minnesota Stalutes and City of Eagan Ordinances. gby. pry, _ Copies 3 254.00 Building OffiCial ' Variance - , TOTAL Permit No. Parmit Holder Oate Telephone #t S/W PWMBiNG HvAC ELECTRIC ? G ? •ov ELEC'TRIC Mspwtion Date Insp. Comments Footings I ,11 ? Foundation Framing &/ Roof ing Rough Pibg. Fiough Htg. Isul. Freplace Final Htg. - 7-7 Orsat Tesi Final Plbg. Pibg. Inspector - Noti(y Plumber Const. Meter EngrJPlan Bldg. Final /. Dedc Ftg. Dedc Fnai Well Pr. Disp. - ? ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: PERMIT SUBTYPE: INSPECTION RECORD PERMIT TYPE: Permit Number: Date Issued: APPLICANT: TYPE OF WORK: tttl 1 I li ! P4i, 0 .•.cyitirc OF, 10 i 11.) I! .. . .. ? -1 ? ? Permit No. Permft Holdw Dete Talephone # S/W PLUMBING HVAC ELECTRIC ELECTRIC Inapectbn Data Insp. Comments Footings I Foundation Framing Rooflng Rough Pibg. Rough Htg. Isul. Flreplace Fnal Htg. Orsat Test Fnel Plbg. Plbg. Inspecta - Not'rfy Plumber Const. Meter Engr./Plan Bidg. Final Deck Ftg. 7 G?/ Deck Final a7 Well Pr. Disp. . y ? I ` (gtr#iftrate a# (Orxupanry titp of (tagan of lluaing 3wrrtim ?7ds Certifiaaie icsuad pursuant to ihe requlnements of Sertion 306 of !he Urrlfonn Brellding Code cemffitng tbat a1 the tine ojissuance lhis suuctwe wcs !x compliauae wfih the rnriou,s ordinances ol the CYty reSuladnB building rnnsouciion or rcm For tbe following: uk a.:rmm. SF I7WG/GAR SW Awm. r& 20146 0-wa-7 R3/M1 zedins nea;a R 1 Tm c.,o. VN o.w d euaa:- IHE ROIIIlJrID CO Il+C Addm 5201 E RIVFR RD, FSIDlEY Bwlding Ad&= 3874 MERSE! WAY L-sk LB, B39 OWF3NL'RY PASS 3ItD / D,, 5/18/A2 BuMM OTodd POST IN A CONSPICUOUS PLACE SEWER & WATER PERMfT OFFICE USE ONLY CiTY OF EAGAN ' 6PERMIT DATE METER #?L5. 3830 Pilot Knob Rd. Eagan, MN 55122-1897 , cHiP # ?? ? g0 PERMiT # 12577 METER SIZE S {A?54e 5 B.P. RECEIPT # C[lt 7540 DATE 2-18-92 ISSUE DATE B.P. RECEIPT DATE 02z7 9Z ? PRV - BOOSTER PUMP ? SITE ADDRESS 3874 Nlersey Way PERMIT REQUESTED LOT _A BLOCK 1-SEC/SUB Cnvnntx:?z Pactfi 2 X SEWER X WATER - TAPS APPLICANT: ThA R011-1 t1nc3 Co Inc. ', ADDRESS: 5201 E. River Road CITY, STATE Frialev, N1n. ZIp 55421 PHONE: '5710304 T COMM/IND X_ NEW 7{ PLUMBER: Va 7lP= P7 imbi ng ADDRESS: 610 ('rePk .ane - GITY, STATE Jordan, Mn. ZIP 55252 : PHONE: 492-2121 OWNER: '1'ha gnf-t-1»r?d Cn Tnc- ADDRESS: 5201,F_-RitrPr Roati GITY, STATE Fric91Py, Mn. ZIP 55421 _ EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit WILL NOT be given for Deduct Meters. I AGREE TO COMPCY WITH CITY OF EAGAN ORDINANCES 4'?l - ONATURE WHEN MET ISSUED 454-5220 FOR STORM /?` CITY OF EAGAN N0201 4 6 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:687-4675 BUILDING PERMIT Peceipt q G?? ? 7<2/0 7o be used for SF DWG/GAR Est. Value $79, 000 Date FF.R 25 , 19_42_ Site Address 3874 MERSEY WAY Lot $ Block 3 Sec/SUb. COVENTRY PASS OFFICE USE ONLY FEES ParCel No. . 3RD Occupancy R-3 M-1 i R-1 Bldg. Pertnh 545 _ O(1 Zon ng NNfle THE ROTTLUND CO INC (ACNa1) Cansl V-N Surcharge 39.50 cc: W Address 5201 E RIVER RD (Allowable) ?!-N plan RevieW 354.00 Qjhr FRIDLEY MN Zp 55421 8 01 Stories th L n 45' ucerse n 5.0 0 g e Phone 571-0304 Depth 44? snc,cry 100-0? ? Name SAME S.F.Total - SAC,MCWCC 700-nn S.F. Footprints O Address Sit Se a O WalerConn 675.00 w ge n e - C•Ily Zlp On Site well - water Meter 95.0 0 ? Phone MWCCSystem X Acct Deposil 0 30.0 8 nSe # 0001335 Li atywater ?L 0 30 0 ce PRV Required - S/N Permit . I hereby acknowlege Ihat 1 have read this application and state that the Booster Pump - SnN Surcharge .5 n information is correct and agree to comply with all applicable Slate of Minnesota SfaNtes and ot Ee ances. ?din? ? Trealment PI 300. nn Siqnature of Permitee ?? 9 APPROVALS Road Unit 3Rn _ nn THE ROTTLUND CO INC A Building Permit is issued to: Planner - Park Ded. on the ezpress condition that all work shall be done in accordance with all Council applicable State of Minnesota Stawtes and City of Eagan Ordinances. gld9. pff. _ Coples Building Otficial ?D04 616,A I m Y _? Varianca - 70TAL . 3,254.00 J ???'rlj Request Oale ?- )7- Fire No. Fo h-in Insp¢clion iretl? r es ? No ? Beatly Now ?iMlll Noliy Inspeclor '?'hen Peatly7 I? censed contractor D owner hereby request inspection of above elearical work at: JM Atltlress (StreeL Box or Roule No.) 3 g7 ? Ciry Section No. Township Name or No Range No. ry Occup t (PRINT) Phone Na. Powe S er? //t? ?r ?KK' "'?c AtlGress Eleclric ConV Uor (CO? ny Name) ConVactor§ License No. ? Z - Mailing Atl ress lCOnVactor or Owner Making Installafonl Autnonzetl Slgnafure IConha" Own M Ing Installation Phone Number ? MINNESOTA STATE BOARD OF Iii(ECTRICITY ? THIS INSPECTION REOUEST WILL NOT Gtlggs-MlOway BIOg. - Boom S173 BE ACCEPTED 8Y THE STATE 90ARD 1821 Universlry Ave., SL Peul, MN 55104 UNLESS PROPER MSPECTION FEE IS PMne (612) 662-p800 ENCLOSED. 43 5881 REQUEST FOR ELECTRICAL INSPECTION ? See instmclions fOf completing thts form on back oi yellow Copy. "X" Below Work Govered by This Request es.oow,.ue ?•?,??-'?! ?OJr?3 ??z ?.?,. -ew A$b Rep ' TypeoiBuilding AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heatinq Apl. Building Dryer Other (Specity) Comm./Indusllial Furnace Farm Air Conditioner Omer (sVeciry) ConvacHOr's Remarks: Compufe Inspection Fee Below: # O[har Fee # Service Entrance Size Fee # Cirouits/Feeders Fee Swimminq Pool 0 to 200 Amps 0 to 100 Amps Q Translormers Above 200 _ Amps Apov _ Amps 5 $I Inspectar5 Use Only: ? 7O7p 9 Irri ation Booms 6g O ? O Special Inspection AfarmlCommunication THIS INSTALLATION MAY BE ORDE ISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby R°°9n-'" certify that the above inspection has been made. Flnal OFFICE USE JNLV This r¢quest Witl 18 mOMb6lfOm 3 & /9.;?- ?oo / p 3975 Request Oata flre No- augh-1 Inspeclion uir ? ?/ `?'neatly Now ? Will Notity Inspeclor et - a S? Z _ Yes _ o Wnen Reatly? I-licensed contractor D owner hereby request inspection of above electrical work at: Job Acdress iS?ree?.? g/ox or Route No., Ciry U? 1 VAa t? &L Section No. Townshl0 Name or No, qange No. Counry Occup t(PRWT) Phona No. PowerSUp pyQr Aaaress ? ? Y 1 N"' Ei¢ IGOmpany Namel Conlradors license No. i 11 i - 3 Matling A! ss iCOmreclor or Own?r Maiing Inwellatii Autnonzec SiynaNre iCOnlrecio,Owner aking In la o?l Phone NumOer MINNESOTA STATE 60APD OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT Griggs-MlCwey Bleg. - qoom 5413 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. SL Peul. MN 55104 , . UNLESS PFOPER WSPEGTION FEE IS Phone (611) 662-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION li? See nsvuclons for completing this lorm on baok ot yellow oopy- ? 7 3 9 7 5 'X" Below Work Covered by This Aequest EB-OODOt-08 ew N'dd Rep. ' Type of Building AppliancesWiretl Equ7pmentWlred Home Range ' Temporary Service Duplex Water Hea[er Elec[ric Heating Apt Building Dryer Oiher(Specify) Comm.llndus[rial Fumace Farm Air Conditioner Otheryspecilyl Cantradork Remarks. Compute Inspection Fee Below: k Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee Swimming Pool O to 200 Amps 0 to 100 Amps 7ransformers Above 200 Amps P.bove 100 Amps Signs Inspecmrs Use onlg TOTAL Vrigation eooms (J, a? ,? Special Inspection . Alarm/Communication THIS INSTALLATION MAY BE ORDEREO DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. 1. the Electrical Inspector, hereby RO°9n-10 oate certify that the above inspection has been made. Finai 7 oatp - OFFICE USE ONLV TM1IS request voitl t0 monms Irom Address: 3574 MERSEY WAY Lot g Hlk 3 Sec/Subr,OVENTRy pASS 3RD These 'items were/were not complete at the time of the final inspection. gate; 5/18/92 Yes No "/ Final grade (6" from siding) Permanent steps - garage Permanent steps - main entry ? Permanent driveway ? Permanent gas ? Sod/seeded grass Trail/curb damage ? Porch Basement finish j? ?eck Pleasa verify with the buildex the removal o£ rooE test caps fxom tha plvmbing system and the shut-off of watflr supply to the outside lawn faucet before? freeze potential exists. qCIYIFOWAR White - City copy Yellow - Resident copy Pink - Contractor copy 2014C v? ? • v. ?•Mr?. 1992 BUILDING PERMIT APPLICATION 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered s9te surveys, l copy af energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of ener9y calcs. Penalty applies when typing of permit is requested, but n,ot 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 Yaluation of work g Site Location: RAI-eAa&e. lAozt STREET STE Y Tenant Name: -The- K-9fflL4,a r? /nn LOT I B LOCK L?L_ SECT/SUBO.CF/7P?,.,(?1, I P.I.D. # Descri tion of work: •t , The applicant is: [5?Owner 'Q-Contractor ? Other (Describe) v Phone Name -7-ke c'-- Property LAST FIRST Owner Address 4ue4 - STREEi STE N City State ??. Zip 1:3?4Zl Company 11&...d G.?. /W_. Phone , Contractor Address E. Xird License # 6c:r?3?>> Ok State Uf9o• City ai'-I=e Z i p t?G42J! Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once a ea as been approved. I hereby acknowledge that I have read this application and state that th e information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ur Signat e of Applicant: 43, ? OFFICE USE ONLY BUILDING PERMIT TYPE 19, 03- Residential l0 02 R. Garages 0 03 Two-family ? 04 Townhouses 0 05 Multi. Dwellings WORK TYPE ? 90 New 91 Addition 0 92 Alterations 0 06 Commercial 0 07 Industrial 0 08 Public Works 0 09 Utility ? 10 School 0 93 Remodel 0 94 Repair 0 95 Tenant Finish TYPE OF STRUCTURE A 301-01/20 1 Family Res. ' 0 214-30 Other Shelter/Board 102-03/22 1 Family attached 0 318-30 Amusement/Rec. 0 303-02/21 2 family (duplex) 0 319-30 Piaee of Vorship 0 104-30/23 3& 4 Family ? 320-40 Industrial 0 105-10123 5 or more Family 0 321-30 Non-Res. Pk. Gar. 0 213-30 Hotel/Motel 0 322-30 Service Station 0 323-30 Hosp./Institutian !?! $•t^ ,p '•ko. t. ..., `?; 0 11 Other Structure 0 12 Demolish 0 13 Fireplace 0 99 Undefined ? 96 Move 0 99 Undefined 0 324-30 Office/Bank 0 325-30 Utilities 0 326-30 ScFrools/Ed. 0 327-30 Retail/Rest./Whse. ? 328-30 Other Nonres./Sheds 0 329 Non bldg. Structure 0 434 Alt./Add. Residential 0 437 Alt./Add. Non res. 0 438 Alt./Add. Res. Garage 0 645-50 Demo 1-Fam. 0 646-50 Demo 2-Fam. 0 647-50 Dam 3 8 4 Fam. 0 648-50 De'ro 5 or more 0 649-50 Demo Other GENERAL INFORMATION Length Y5 MWCC System ? Occupancy Depth YN.3,! City Water i/ Zoning Sq. Ft. PRV Required Const. (Actual:) ? On-site sewage Booster Pump (Allowable) V&_ On-site well Sprinklers # of Stories •_ APPROVALS` ?.•,; Planning Building Assessments Engineering ' Variance REGIUIRED INSPECTIONS ? Site ? Footing ? Framing ? Insulation ? Wallboard 13 Final El Draintile ? Fireplace SAC Calculatims: L?'4' ?wr - - (6 Deseription ree zY?,?y =96G z?Jk z0.?- lS . 2 Zoo SAC X n0 ?ie. Coa„- -- e. S3 ( ?vOOQ/ ; X ?2_T0 ce DCj. 3? ?erw?:t Fre S yS \ (a ?/ ??e0 ? _? SAC Units f'1a#c sve39,570 ? - ?S-?o, P?? ?? 3sy ? F..e,0 s?? - 5v M M I ` F.x7'EIiTOR i•'NVF.1,rn•r' nvr:r,ncr: ^u° aOrrrirrn•rif,ti : oW'i ER IZ) cA . ? - SITE ADDRESS CONTRACTOB D.4TF. PHONE Determin workinr; square footar,e of each. 1. Total exposed vall area .. ?g Zb sn. ft. x 0.11 _ Z0 1-0 g 2. Total roof/ceiling area s'. ft. x e,026 = Z, 3?f, • Total exposed ua11 area nbove f loor = / '? ZX a. b. Total Total Wa11 windou area .. door area ......... ................ ................ .......... ? ?!?• C( , .......... -;71J.71 c. d. e. f. Total Total Total Total sliding glass door area ........... fireplace wall erea ............... vall framing area (average l0p) ... net vall area above floor ......... .......... 3 Q.97 .......... Z o .......... .......... Z( , g. Total rim joist are2 .... ................ P .......... T otal expo,ed fw:ndrat ion area = (q 2.? h. i. Total Tota1 foundetion vindov a net foundation area ;ea ............ above grade ... .......... " .......... Ce:, -r- ? . Detzrcr,ine "U" value o; eech vall ,e p;ment. S. Y „u„ E7. 7' b. -71 X (3 i?7 c. 3?,?t7 X,,,,,, ?2, ? Z = I2,77 a, 2 D X„u„ e.. X 'lUll X,,,,,. . a• h. ? X i. 6o 2,4- X g,73 3 . .... ..... .................... ..... .???.?, = l7o,zy- ? Zf item N3 i of SBC 6oo6( s the same as, or ie c)2. ss :.h:Ln .ite:n N1, you nave met the intent s n Total exposed roof/ceilinG Rrea Total gross roof/ceiling area = ,]. Total skylight area .......................... _ k. Total roof/ceiling frarning area .............. /?- 1. Total net insulated roof/ceilinF area ........ // • _ • Determine "[1" vnlue for clch rouf/cci I i ni; seipmcnt. , X uUn ? „ „ k: U X ( 04 0 „ „ o. o2z = z4,? 3 . , . 1. U X 4 : Total = Z 7 .? ??` . ............ ........ . ........ If total of N4 is the same as, or less than N2, you have met tkte intent of ssc 6oo6(c)i. . . To utilize the total envelope system method, the values establi:hed by the sum of itens #3 and N4 shall not be greater.thxn the sum of iten:s Nl and N2. l. + 2. g , ?+ r, b _ . . .. O .-? -.-V?tI.U? GAI.G?k-ATlot? ?GcNT?. ??/?M? WP?U. @ I N?ll LA?I?N t,oM Po hI ?N?, -fFAW wAu. & -,6,TOD - p1.tmN. v?e w . 'u ? ? ? L AIP Aw "h° h! D1 h?4li. - ? - ?}??}??H? =?5%L INSU?A?1?ti? (?51?? ?tlfL ?iLN}? LoMPONr,NYs o_u'rhloE A* ? u hH?A1H?N?i. iNhIM PciP f9l-A. . C L C Cf C C - . ?? - VAU.J E? 0.45 " D.Cc b 23.of - U RT?? 0.0?3 - F--VALUL ...D,1? - -- - - ?•?IS . -- -- _"_": ??r?.=--? U ? ?` - ro, oa9. ¢,,?i?I_ ? AL y =G?MP?. ??U+= (0,12 X o.0k9) t6o,Sb X 0.043> = O• 04-7 - 1? _ Polft.- .-- _ ? ? 0 O 0 ? 0 0 0 C r22MP2-bf5l4ih l?C(-??? --Fl ?Nt p. ?-r- ltil?ul,. -?_.... r. C. G --- --- 13 . ?.?? ?;{ 1?0WND? iGN GaMFb?N'? ..--- =-?-Ui-'!-I ?- ?? ?l. ??-?`'"- - -??• ?? --?_-?-? --_ ---5.-?- ;o? --?'?- ? ---- ? -?_-G-c- _ I ?=f = O• ?d t =0.0? ,/t'L -/ ?, r: IT - ????T ? Q C ?.((?- C C. C ??. '?.?#-??hat-r?• r??•=?if2--Fl?M. _??t?'RT4 -- _ 0 t= F.i L?m . o -???? ?N??. 6fl?_ P?o: Zq • CP ( - .o-4?5 - - o,-?t--- R= 35:8 3 - ?-- -0. co:.l---- - -- . . ? 7,- 0,02 . ?,? ? --?C` CITY OF' EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT PERMIT TYPE: Permit Numher: Date Issued: CA 23341 -6131 W BUILDIN6 023468 05J03/94 SITE ADDRESS: P.I.N.: 10-18402-080-83 DESCRIPTION: 3874 MERSEY WAY LOT: S BLOCK: 3 COVENTRY PASS 3RD Bytf3ldirrg'dPermit Type puil.ding Wo,,rk Type ? , ` i , ?r ... . . , ff_' "i DECK NEW • ? : -?:?1%? r -x t . REMARKS: FEE SUMMARY: Base fee $30.00 Surcharge $.50 Lic. SearcM Fee $5.00 Total Fee $35.50 CONTRACTOR: - Applacant - ST. I.IC. QWNER: CEpAR CONCEPTS 17714566 0005652 SULLLIVAN TIM 1530 ENGLISH ST 3874 MERSEY WAY ST PAUL MN 65106 EAGAN MN (612) 771-4566 (612)683-9906 ?.. ._ ... . _ . .. . .. . . . . I hereby aaknowledge Chat I have read this applieation and state that the irrformation is c rect d agrae Co comply with all applicable State of Mn, Statutes NC, of ga rdinances. ? APP ANT/PERMITEE S GNATURE LIP I55 ED eY: IGNATURE -i INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: B U I L D I N G 3830 Pilot Knob Road Permit Number: 023468 Eagan, Minnesota 55123 Date Issued: 0 5/ 0 3/ 9 4 (612) 681-4675 SITEADDRESS: LnTe ? BLocK: 3 APPLICANT: 3874 hIERSEY WAY CEDAR CONCEP7S COVENTRY PASS 3RD (612) 771-4566 PERMIT SUBTYPE: TYPE OF WORK: DECK NEW INSPECTION D. . „ FOOTINGS FINAL F ? L ? R ?• 1 ? ' CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION 681-4675 , rP I n,( „_ I $3?,50 Pt??EWED 2 ;, 1'?° , SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy af 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 Valuation of work Site Address: E7`' STREET SUITE p Tenant Name: (commercial only) LOT BLOCK .J SUBD. P.I.D. # Descri tion of work: ? The applicant is: ? Owner Contractor ? Other (Describe) Name _S?' /?",? /. ;.,. ? Phone?W?--9qGc Property LAST FIRST Owner qddress _207` STREET STE'N City G l? ? State '°lAIX Zip Company Cr's??, ,? ?a?c??' ?, Phone 77/- `1.rr?o C Contractor Address License #5? - Z Exp. ?-9 City 3tate Zip Company Phone Architect/ Engineer Name Registration # Address ' City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read thi plication and state that the information is f Minnesota tatutes an?ity of correct and agree to comply with all p"O' able Stat Eagan Ordinances. / ? ? ? I Signature of A % pplicant: -- BUILDING PERMIT TYPE ? 01 Foundation O 02 SF Dwg. ? 03 SF Addition ? 04 SF Porch ? 05 SF Misc. WORK TYPE E1 31 New ? 32 Addition OFFICE USE ONLY ? 06 Duplex ? 07 4-Plex ? 08 8-Plex ? 09 12-Plex O 10 Multi. Add'1. ? 33 Alterations ? 34 Repair ? 11 Apt./Lodging ? 12 Multi. Misc. ? 13 Garage/Accessory O 14 Fireplace p 15 Deck ? 35 Tenant Finish ? 36 Move GENERAL INFORMATION Const. (Actual) SAllowable) UBC ccupancy Zoning # of Stories Length Depth APPROVALS Planning Engineering REGIUIRED INSPECTIONS ?.Site O Wallboard Basement sq. ft. lst F1. sq. ft. 2nd F1. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Building Variance El Footing 0 Final ? Framing ? Draintile ? Insulation El Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies OtherTotal: v.w.t;p,_ ?Y ? a?.- ? ? .. .,e....? ? 16 Basement Finish ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. O 20 Public Facility ? 21 M9scellaneous ? 37 Demolish MWCC System City Water PRV Required Booster Pump Fire Sprinkler Census Code ? SAC Code Census Bldg ? Census Unit Assessments SAC % SAC Units CITY OF EAGAN 3830 PILOT KNOS ROAD r - EAGAN. MN 55122 PHONE: (612) 454-8100 I:T?&?I+7t; ,i<?'mm FOR CITY USE ONLY PERMZT # RECEIPT # 2 DATE : PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUZRED FOR EACH UNIT. ----------------°- WORK DESCRIPTION NEW CONST X ADD ON _ P.E°AIR _ OWNER NAME: ?n A`, . cI SITE ADDRESS: ?)R1 q I?i rsL ?? W'A? ? IAT: U BLACK -=L SUBD. INSTALLER: C VT?c • ADDRESS:- ? I n C?<<V L.. CITY: ')7L)t6A,.J ZIP: SJ 3 ) ? PHONE Ya? X"L ` C SIGNATURE OF ------------------------------- COMPLETE THE FOLLOWING: N0. FIXTURES EA. TOTAL ADD-ON MINIMUM 15.00 ? SHOWER 3.00 3-_ ? WATER CLASET 3.00 3 ^ I $ATri IUn 3.00 l LAVATORY 3.00 3 ? KITCHEN SINK 3.00 -3 ? LAUNDRY TRAY 3.00 3- HOT TUB/SPA 3.00 L WATER HEATER 3.00 3- ? FLOOR DRAIN 3.00 z - l GAS PIPING OUT. (MINIMUM - 1) 3.00 ? ? 3 ROUGH OPENINGS 1.50 _ OTHER WATER SOFTENER 5.00 _ PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 SUBTOTAL ST. SURCHARGE .50 1 v? TOTAL: COMMER?xIAL/3?IDi75T8IA1; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS ANA MITLTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACN DWELLING UNIT. CONTRACT PRICE: OWNER NAME: _ SITE ADDRESS: LOT: BIACK _ SUBD. INSTALLER: AD?RESS: CITY: ZIP: . PHONE #: FOR: CITY OF EAGAN FEES 18 OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 18 $_ STATE SURCHARGE $_ TOTAL: (SIGNATURE) CITY OF EAGAN 3830 FILOT KNOS ROAD EAGAN, MN 55122 PHONE: (612) 454 8100 .. _ - ? .. $2E?rvA t?IGA? I FOR CITY USE ONLY PERMIT # RECEIPT # / DATE: 3 &' J'- PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WNEN PERMITS ARE REQUIRED FOR EACH IINIT. WORK DESCRIPTION NEW CONST ? ADD ON _ REPAIR FEES OWNER NAME: SITE ADDRES LCT; D BLOCK INSTALLER: ADDRESS : 9M PlYmouth AYB' NO. Ggde-n e , CITY: ZIP: PHONE #: n`'tQ ` I I (n Ln ADD-ON MINIMUM $15.00 HVAC 0-100 M BTU 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 OF 1 PER PERMIT SUBTOTAL: Q1f? STATS SURCHARGE: .50 TOTAL: ?D5 0 SIGNATURE PE TTEE PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL SUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. -----------------° ____-___---------------°-_________-__-__---°---------------- CONTRACT PRICE: FEES OWNER NAME: SITE ADDRESS LOT: BLOCK _ SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FOR: CITY OF EAGAN 18 OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR EACH $1,000 OF PERMIT FEE. PROCESSED PIPING = $25.00 $25.00 MINIMUM FEE. CONTRACT PRICE x 18 STATE SURCHARGE TOTAL: $ $ ( S IGNAT[TRE ) 1999 BUtLDING PERMIT APPLICATION (RESIDENTfAL) New Conshuction ReauhemeMs CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 ? 3 registered stte suneys ahowing sq. tt. of lot, sq. M. of house and cll roofed areas f20% maximum lof coveraae allowed) ? 2 cop(es of plans (show beam a window slzes; poured fnd. design; etc.) D i sef W energy calculations Y 3 copies of hee preservafion plan H loi ploNed affer 7/1 /93 RemodellReoair Reaukements , . r? l, a-? 2 coples of plan 1 sef of energy caleulafions for heafed addRions i sile survey lor exterior addlHOns 3 decks DATE: ?I/g 1?'9 CONSTRUCTION COST: DESCRIPTION OF WORK: aRUk 422i 4n1 STREETADDRESS: 347Y 1'IerscV (nlt x LOT: V BLOCK: 3 SUBD./P.I.D. #: PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER Name: DE554eT Oevi4kd7ssA Phone#: C(o51? ??1?'Y33S Lasf Firsf StreetAddress: 3g7 `f }?? se,4 IAIt(/ City ?? , State: /0 /J Z(p: 5S l23 Company: Sfl-ME Phone #: (area code) Sfreet Address: License # ciy State: Company: ?NLE Name: Telephone #: area code ( Streefi City State: Sewer 8 water licensed plumber (reauired for new conslruetton onlvl: Fenalty applies when address chonge and lot chenge Is requested once permiF fs fssued. Zip: Zip: ! hereby acknowledge that I have reod ttiis application, state fhaf the informatlon corte and agree to omply wifh all appllcabi SFafe of Minnesofa Stafufes and CNy of Eagan Ordinances, Slgnature of Applicant / OFFICE USE ONLY Certificates of Survey Received _ Yes _ No RegistraNon #: Tree Preservation Ptan Received - Yes - No , Not Required OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea. ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ;< 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE ? 31 New ? 35 ? 32 Addition ? 36 g 33 Alteration ? 37 ? 34 Repair ? 38 GENERAL INFORMATION Const. (Actual) ?-h (Allowable) 45-1 U8C Occupancy .f-- Zoning i? • I # of Stories Length Width APPROVALS Alanning Building r Census Code 437 SAC Code o / No. of Units No. of Bidgs _ (L MC/ES System City Water Booster Pump PRV Fire Sprinklered Engineering Variance Permit Fee 5urcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded: Other Copies TotaL• Tenant impr ? 39 Gas Line Only ? 43 Siding/SoffitslFascia Move Bidg. ? 40 Gas Insert ? 44 VVindows/Doors Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair Demolish (Interior) ? 42 Reroof " Give PCA handout fo applicant for demolition permit Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Valuation: $ fzoU?f r SAC Units % SAC RESIDENTIAL BUILDING PERMIT APPLICATION ? CITY OP EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Reauirements . 7 registereo site surveys showmg sq. tt. at!oC sq. fl, of house, and all mofed areas i 20016 mazimLm io[ wverage allcwed) . 2 cccies of plan showinq beam 3 window vzes; poure0 found desgn, etc.) . 1 azt of Enertgy Calculations • 3 copies otTree Preservation Plan if lot platted after 711193 . Rim Joist Cetail Options selection sheet (hldgs wdh 3 or less units) DATE IC419 RemodellReoair Reouiremenls • 2 co0ies of plan • 1 set of Energy Calalations for heated additions • lsitesurveytorex[enoradtlitions&decks • Indicate If home served by septic system for additions VALUATION S DBJ ?a SITE ADDRESS 397Y /??/SPy WAy MULTI-FAMILY BLDG _ Y N iYPE OF WORK % D• /.leieb-F FIREPLACE(S) _ 0 _ 1_ 2 APPLICANT STREET ADDRE55 97Ln /?^i* 'Z? CITY pSTATE ZIP ?'f'I' TEIEPHONE # CELL PHONE #??a 2S?-?I?S FAX # PROPERTYOWNER 11r1?. n wti? TELEPHONE# "-51-`/93-&;7Q -------------------------- ?------------ -....................................................... COMPLETE THIS SECTION POR "NEW" RE5IDENTIAL BUILDINGS ONLY Energy Code Category _ MI`cNI:SOT:1 RCL@:S 7670 C.A"CHGORY ( ?[IN\C•50"C:A RI "LL'.S 7672 (v su6mission type) . Residential Ventilation Category 1 Worksheet Su6mitted • New Energy CoCe Worksheet Submitted • Ener9Y Envebpe Catcufations Submitted Plumbing Contractor: ___ Plumbing system includes: Mechanical Coniractor. 'Mcchauiic;il scstcm includes Sewer/Water Contractor: _ Water Sof[ener WaCer Hcater No. of Baths Air Condiuoniii; Heat Rccovcn Svstcm Phone # ------------------------------------------------------------------------------------- I hereby acknowledge that I have read this application, state that the information with all appiicabie State of Minnesota Statutes and City of Eagan Ordinances. Slgnature of Applicant OFF[CE USE ONLY _ Phone # Lawn Sprinkler No. of R.I. Baths Phone # Fee: $90.00 Fcc: S7Q00 ------------------- rreffjlajd(p?Mtc Certificates of Survey Received - Tree Preservation Ptan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Owelling ? 08 06-plez ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 Ot of _ plex 13 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex Q 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-piex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous 0 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding Cl 32 Addition ? 36 Move 81dg. 0 42 Demolish (FOUndation) ? 45 Fire Repair ? 33 Alteration p 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of 81dgs Length Fire Sprinklered Type of Const W'rdth REQUIRED INSPECTIONS _ Footings (new bldg) FinaliC.O. _ Footings (deck) FinaWi o C.O. _ Footings (addition) _ Plumbing _ Founda[ion HVAC _ Drain Tile Other Roof _ Ice & Warer _ F inal _ Pool _ Ftgs _ Air/Gas Tzsts _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ W indows (new/replacement) _ Insulation _ Rataining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Suppiy & Storage S&W Permit 8 Surcharge Treatment Plant Plumbing Permit Mechanical Permit l,icense Search Copies Other Total Building Inspector Wsb 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please comple[e for: single family dwellings & townhomesJcondos when pertnits are required for each unit ?3(), so Date Site Address Wu s4 ? ? L&? IInit # Praperty Owner ?kt(1,(?p?G Ai?1P ?l Telephone#( )(-IS2'L-IOXI Cootractor , INC. Street Address 3451 W. Bumsville Parkway c;ty we 120 State Bumsvllle, MN 55337 Zip ????^ Telephone #?jZ) ?GU-t?.-L?-?> Bond #: Expires: The Applicant is _ Owner ? Contractor _ Other Add-on or alteration to existing dwelling unit $ 30.00 furnace _Additional _Replacement air exchanger ? airconditioner _New )C_Replacement ` other State Surcharge $ .50 $ ? "xJ Total I hereby apply for a Residential Mechanical 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 with the Mechanical Codes; 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 ap roved plan in the case of work which requires a review and approval of Ia. ,? : ?: -----, ??'1Q. ????n f1 ?/ ?_.-??? ? ? ?-_,_?_ _ Applieant's Printed Name ApplicanYs Signature ?' r,laY 2 5 ?OOS L - I ?-- 2005 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for. commerciaUindustrial buildings ; multi-family buildings when sepazate permits are not required for each dwelling unit Date Site Street Address Unit # Tenanf Name (if applicable) previous Tenant Name Property Owuer Telephone # ( ) Contractor Street Address City State Zip Telephone # ( ) Bond tt: Expires: The Applicant is _ Owner _ Contractor Other Work Type _ New Construction ` Underground Tank _ Install _Remove "see below _ fnterior Improvement _ Install Piping _ Processed _Gas Nature of Work: ""When instalfing/removing underground tank, call for inspecfion by Ffre Marshal and Plumbing lnspector P¢1'llllt F¢¢5: $70.50 Underground tank ins[allation/removal $50.50 Minimum (includes State Surcharge) ar Contract Value $ x I% _ $ Permit Fee • If ev rmit fee is $1,000 or less, add $.50 => $ State Surcharge If oe rmit fee is over $1,000, add $.50 for every $1,000 ne rmit fee $ Total Fee 1 hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be'in conformance with khe ordinances and codes of the City of Eagan and with the Mechanical Codes; 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. ApplicanYs Printed Name Applicant's Signature Approved By: , Inspector PIONEEFt LANUSUNVEY( " engineering.. LANOPLPNNERS• ? 70 F_ Certificate of Survey for: Trle Rottlund COI'1'lpany, l1"1C• Model Name: Summit -, 30 y N ? m ? F_ Z fTl so ? ? N 0 o ?O O 00 Z ? aes.3- 148.00 S 8936'44" W I \.:... _.. .... _.. 2.- 2? lZ VA'1'E ------.......?- F,ERT[•1G TiI_;N,F 900.0 Denotes Existing Elevation PROPOSED HOUSE ELEVATION • eoo.o Denotes Proposed Elevotion Lowest Floor Elevation:885.36 - Denotes Drainage & Utility Easement ToP of Block Elevation:888.56 - Denotes Drainage Flow Direction Garage Slab Elevation:888.23 Denot --o- es Monument -e Denotes Offset Hub Bearings shown are assumed LOT 8,hIENBLOCK. M?NNESOTA COVENTRY PASS 3RD ADDITION I hereby certity thal this survey, plan ar report was prepared hy me or nder my direct supervision and i am duly Registered Land Surveyor under the laws ol Ihe State of Minnesota. Daled this-444 day of G A.D, 19 Scal e: 1 inch=30feet ? ?i`-???( / ROBERT B. SIKIGH S. REG. NO. 1489 pvlL ENGINEEHS 2422 Emerp(ise Drive Mendota Heights, MN 55120 1612) 681-1914 I I N 89'36'44" E I 148.00 I o N 981.3 _ 44.M _ - _° _ _ -' - _ _ _ _ _ - _ , m I3 ? U vl Io ? ?- ,z.oa J n ? 37 I ` ? , ._ ? I 23.67 I ? c, ? ? w o ? ? _ i . co m O .7 O M ? \,\ N I LD O 00 O T i o , I ? ? }R Is ? ?- t-----------? ? N ° °? - - - __- so.oo ?- - _±43a 55.50 ? p1011MEER 2422 Enterprise Drive LIINOSURVEYORS•CIVILENGINEERS ?J MendotaHeights,MN55120 * engineeringr• ?ANOPLqNNEM??pNDSCqpEl1RCHITECT$ * * ** (612) 681-1914 Certificate of Survey for: Th@ Rottlund Company Inc Model Name: Summit -, JO m? ?'I ? ? fTl ? ? ? ? I 30 I ? N 89'36'44" E ? 148.00 3 to z- 0 n O N C6 O 000 Z •w ?°0 44.34 ooT ? 10 C ? ? ,z.oo J 23.67 ? 0 x ° o o m 0 o iC I i IQ N 5.0 ^ I I n I ? 37 ? I O fV ? _ 30.00 it _ aa_ ? o? ? ? ? N . N ^ ?s _- ---------? 148.00 S 8936'44" W _._.-...._ .. I I nY_._ . _...... .:_?__ . ... . . . . i v r i: ?^, Y?. r. J?-, '•? .. ?_-? r LI %SA l:iA Ni ' 9000 Denotes Existing Elevation • 9?o Denotes Proposed Elevation -- Denotes Drainage & Utility Easement - - Denotes Drainage Flow Oirection --o- Denotes Monument -a-- Denotes Offset Hub Bearings LOT 8 , BLOCK 3 HENNEPIN COUNTY; MINNESOTA PROPOSED HOUSE ELEVATION Lowest Floor Elevation:885.36 Top of Block Elevation:888.56 Garage Slab Elevation:888.23 shown are assumed COVENTRY PASS 3RD ADDITION 881.3 W ? O M C6 O 00 p N e7 e.i I Aereby certily that this survey, plan ar report was pre ared by me or nder my direct supervision and t em duly Registered ?and Surveyor nder the laws of the State of Minnesola, Dated [hif_(, G daY of A.O. 19 ?7i ? Scal e: 1 ?^?=30+eet ROBERT 8. SIHICH .5. REG. NO, IOq9 ** 2422 Enterprise Drive PIONEER LANDSURVEYORS•CIVILENGINEERS ? Mendota Heights,MN 55120 ?en91?Ieer?ngLANOPLANNERS•LANDSCAPEARCHITERS (612) COUI-.?^lA y V J`f ?T l{ Certificate of Survey for. Trle Rottlund Company, IY1C. Model Name: Summit -, I ? 30 i so I N 8936'44" E ? 148.00 I I H85J 30.00 0 44.34 a ? , 881.3 10 F - m o -_-m _---- _ -- ? 20.67 0 r'(1 23.67 . ? o I I 7i ?o ? I ? m I ' 12.00 w Q M 0 O 'J o ° m ?. O.- I N(p I ? 50 ' ? ? O? ? I n a I N I Z . I 37.33 ? I 00 Q 1 '3 Z I15 O H ? n - _ _ _ _ _ J I i p 70.00 `- 44.34 879.1 I 985.3 I ? 55.50 148.00 F;'a. Ei I ? S 89'36'44" W E. D ? I ? pATE z- z i q Z u By ` D Le EAG.?4IV E1VGIlVEERING DEAT • 900.0 Denotes Existing Elevation PROPOSED HOUSE ELEVATION - eao.o Denotes Proposed Elevation Lowest Floor Elevation:885.36 - Denotes Drair.age & Utility Easement Top of Block Elevation:888.56 - Denotes Drainage Flow Direction --o-- Denotes Monument Garage Slab Elevation:888.23 -B- Denotes Offset Hub gearings shown are assumed LOT 8, BLOCK 3 COVENTRY PASS HENNEPIN COUNT`f MINNESOTA 3 R D A D D I TI 0 N 1 hereby certify that this survey, plan or report was pre ared hy me or nder my direct supervision and t am duly Registered Land Surveyor under the laws of the State of Minnesota. Dated thisday of A.D. 19_?/_ J Scal e: 1-Inch_30feet ZL Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - - - I For Office Use Permit City of EaEd~ I Permit Fee: C/ 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I 1 Fax: (651) 675-5694 I Staff: I I 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Unit Date: Site Address: 397y r''Le.Ys uJ a c w 5512.3 Name: S a ~e ~ ,e s s Phone: 95 Z Z 10, 9 N5 '7 RESIDENT / OWNER Address / City / Zip: .38~ 7Ll r~ to rse~ LJ -Ll a. ~ 0- IN S5 /,Z3 Applicant is: Owner Contractor TYPE OF WORK Description of work: -b -n, 4,epjc L, 4o ~ a_S ~ - &VD Multi-Family Building: (Yes / No ) Construction Cost: Company: _---Contact: S~ace~ ~~,rSS CONTRACTOR Address: 3R7 2,rSC City: 0. a N M State: Nl N Z' 2 3 hone: S-2 - Z I o 1/ License a5~ Lead Ce cate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) zse 199`/ 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: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. 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.org 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. 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. s X SfRC2 X., a -Sp C SS i Applicant's Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type: Plumbing Permit Number: EA106972 Date Issued: 09/19/2012 of 3 a R Permit Category: ePermit Site Address: 3874 Mersey Way Lot: 8 Block: 3 Addition: Coventry Pass 3rd PID: 10-18402-03-080 Use: Description: Sub Type: e - Fixtures Work Type: New Description: More Than One Floor Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Mark Johnson 7145 Oakland Ave So Richfield, mn 55423 612-243-3965 Fee Summary: PL - Permit Fee (miscellaneous) $55.00 0801.4087 Surcharge-Fixed $5.00 9001.2195 Total: $60.00 Contractor: - Applicant - Owner: Johnson Plumbing & Heating Hanh T Ho 7145 Oakland Ave. S 3874 Mersey Way Richfield MN 55423 Eagan MN 55123 (612) 243-3965 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. Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink . �-_--_-_.__---__--� I For Office Use I � � Perrnit#: � �W /�� City of �� I P rmi Fe : lJ - °�� I e t e � 3830 Pilot Knob Road � � n�se ' � Eagan MN 55122 � Date Received: �d�� Phone: (651)675-5675 � � Fax: (651)675-5694 � Staff: � I 1 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: � �'�� Site Address: �� Q,.wr�. Unit#: � ��: Name: � S� ��'e— Phone: ��c7.� �l� ( l � Residentl. .�� OwneC ' Address/City/Zip: �C'S�� l�i Applicant is: Owner �Contractor pp �, � Type of Work Description ofwork: t�— �� 1\, �=- �C � �_ Construction Cost:__� �('��- Multi-Family Building: (Yes /No� Company: S��C l�C�-\.A�AS� ��S�c�F��Contact: I�..�P�.S Llr� ��(x��h 4u.e�nn _ `Contractor , Address: � ��, ( �'I�k�q� '� L-�� City: S1r`�-!` �� ` State:�P�S Zip: �JG 3�Phone:__ ��v'z`�`�7E al: ' License#: 1�Cs �t21�� 3 Lead Certificate#: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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: NOTEc Plans and supporting documents that you submif are considered to be public information. Portions of <the information may be classified as non-public if you provide specific reasons fhat would permit#he City to conc/ude that they are trade secrets. 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.qopherstateonecall.ora 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. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be com leted within 180 days of permit issuance. � �/ _._- x �L V'\ L� �,,� x ° ApplicanYs Printed Name .ApplicanYs Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA126381 Date Issued:08/22/2014 Permit Category:ePermit Site Address: 3874 Mersey Way Lot:8 Block: 3 Addition: Coventry Pass 3rd PID:10-18402-03-080 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Stacey M Spiess 3874 Mersey Way Eagan MN 55123 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA165579 Date Issued:11/06/2020 Permit Category:ePermit Site Address: 3874 Mersey Way Lot:8 Block: 3 Addition: Coventry Pass 3rd PID:10-18402-03-080 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 - Stacey M Spiess 3874 Mersey Way Eagan MN 55123 (952) 210-9457 New Life Contracting Inc. 814 Grand Avenue St. Paul MN 55105 (651) 336-9966 Applicant/Permitee: Signature Issued By: Signature