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3882 Mersey Way Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - - - Far Office Use • gypyq City of T EI Permit#. q(9, 1 Permit Fee: OD 3830 Pilot Knob Road Eagan MN 55122 Date Received: yo2~ Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: c / I I I 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: SiP ddre Tenant: C ~ 2 T- ; ~a"P, Suite RESIDENT / OWNER Name: G_.tJ Phone: Address / City / Zip: 3 QC, Applicant is: Owner Contractor TYPE OF WORK Description of work:i , ~7 ``fit S V~ `c Construction Cost: {t' [ t, Multi-Family Building: (Yes / No lX ) CONTRACTOR Name: LicenseM Address: 2 695 "t)City: ~C_11> State: 111,4, Zip: 701 Phone: Co o, 2 to Contact: k `'mot J~ Email: ( ~ 1~ ~~c~'S SeX~err~rS ,~d 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 the 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.goi)herstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordina nd 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 tart ' hou pe it; that the work will be in accordance with th pproved plan in the case of work which requires a review and approval of pla X_&14L x Applicant's Printed Name Applicant's ignature Page 1 of 2 n:7y _ • L CASH RECEIPT - CITY OF EAGAN . 3830 PILOT KNOB ROAD EAGAfY, MINNESOTA 55122 onre ? FkE`?;? ???ut1 r?j AMOUNT $ ?141"i' )Li 51?1& OOLLARS ,oo ? CASH /'R CHECK F. r ?':? ??4` i""Vb1-7 bF _3S gr3 1YrY_":1- u t?) (-N u W4 1U 6llt;k? FUND I OBJECT I I I AMOUNT Thank You BY r-' C 0 15 9 8 % ??te . ayers ? ? Yel?--?e? ??y Pink-File Copy p . . . „ . . .. ? ,? ..-. ...,- .,.. _.?,,,p. ... . _ . CITY OF EAGAN , . ry 1 c 7 §$30 Pilot Knob Road, P.O. Box 21 -1 99, Eagan, MN 55121 ' °• . PHONE: 454-8100 BUILDING FERMIT Receipt # To be us d for SF DNG/GAR Est. Value $86,000 Date OM 2 4 , 194L Site Address 3882 M[RSlSY NAY Lot 10 Block Sec/Sub. COVEN't'1tY P OFFICE USE ONLY PBrCeI N0. Occupancy R-3 -H=-] FEES R-i Zoning W Name 7`KE gn?"Ljj?(„ Y(?C (Actual) Const ?N Bldg Permit 577,? o _ AddfB55--??1 N RTVE!it gD (Allowable) v? . a3 ? Surcharge . City 1?&II1I-Eit PhOne S7?Q3(? +? ot Stories - W1 Plan Review 373•? Len9th o Name ---SA11F DePth 48t SAC Cit 100.00 y , o? Address S.F. Total 5 ? U SAC, MCWCC 6 0, ~ city Phone S.F. Footprints _ W t C 660-? On Site Sewage _ a er onn • w Nae On Site well t t W M 9s ? ? Addtess Mwcc sy5lem - L a er e er • e W CIty Phone Ciry Water JL_ Acct. Deposil 3o•oo 30 ? PRV Required - SIW Permil - I hereby acknowlege that I have read this application and state that the Booster Pump - 5M1 Surcharge information is corcect and agree to comply with all applicable 5tate ol Minnesota Staiutes and Cily of Eagan Ordinances. Treatment PI 276.00 Signature of Permitee APPROYALS Road Unit 370•00 A Building Permit is issued 10: -TM RO+TIAMQ CO IIQC Planner - Park Ded. on the express condition that all work shall be done in accordance with all Council - applicable State of Minnesota Statutes and City of Eagan Ordinances. gldg_ pif, _ Copies Building Ofticial Va^ance - TOTAI 2 6 ? Permit No_ Permk Holder Date Teiephone # WATEFt SEWER PLUM8ING H.V.A.C. ELECTRIC ?q ? / 4 ya- pO Inspecfion Date Insp. CommMts Footings I Foundation Framing Roofing Rough Plbg. 44 2Z Rough Htg. / A Isul. l7 9.L ? Fireplace Final Htg. Orstat Test , i Finai Plbg. JA Plbg. Inspector - Notify Plumber Const. Meter Engr.IPtan Bldg. Final Deck Ftg. Dedc Final Well Pr. Disp. 164.V? ? ? (grx#iftra#e uf (Orxupanry Citp of (Eagart l9rparbnrtcl uf laning JMW"tiutc ?his Cer tilwa[e Pssued pursuant to 1he Muirenrearls of Section 306 of the Urrijorm Building Code cer[ifying lhat at the lime oJirsuance this ssructure wsrrs in compliaru:e wilfi !he pariaus ordirtmtoes of !he GVy regulatutg bur7ding cortsAruction or use For the foUaxdng. lbe aauisowo. _$'Bw?w Bfd& Pamit Na IQg37 OMOP&M T7P? ?? ? Z.-CDvirt R.) Type COM ym OwottdHuiAqusGo PC /????1 T? DAW RD I FD1T'fE7 a.oc 2,/I?jq2 swaa,ma oW,t POST W A CONSPICUOUS PIACE ? ? SEWER & WATER PERMIT OFFICE USE ONLY CITY OF EAGAN • METER #VYYya y1? PERMI7 DATE 10/3(?/ ?: i 3830 Pilot Knob Rd. Eagan, MN 55122-1897 CHIP # Q ?-1- PERMIT # 13365 METER SIZE B,P. RECEIPT # C 015982 DATE ISSUE DATE B.P. RECEIPT DATE 10128191 - PRV - BOOSTER PUMP SITE ADDRESS 3882 14e-sey-Wa°• PERMIT REQUESTED LOT 1 r) BLOCK R SEC/SUB Ft"a 3 ? ;{ SEWER X WATER TAP APPLICANT: 2'he- gntthund Co . Imr ADDRESS: 5201 R. Ri.ver ftad COMM/IND -Y- RESIDENTI CITY,STATE F'z'idZey, mn• ZIP 915401 X (VEW -EXIS7ING PHONE: 571-0304 Lawn Sprinkler Meters are to be InstaR ` PLUMBER: Ya'!'Lim) plurnb,ing -- Ahead of Domestic Meters on Water Line ADDRESS: _610S'reek Lane Credit WILL NOT be given for Deduct Meter, CITY, STATE Jardan o Mri _ ZIp55-45% 2_ PHONE: 492-2121 I AGREE TO COMPLY WITH CITY OF ? OWNER: EAGAN ORDINA CE ADDRESS: 5Zf11 E. r CITY STATE Fri? l+I ZIP5?? s' , , n. ! PHONE: ?7' NATURE WHEN METER I SUE , PL'L`-ASE ALLOWTW6 WORKING CALL ,DAYS FOR`PRbdSSING 454-5220 FOR INSPECTIONS FOR STORM # . . SEWER PERMITS, CONTACT ENGINEERING DEPT. ? ot . . . _ .? CITY OF EAGAN NQ 19$ 3 7 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55721 PHONE:454-8700 Receipt # CvI BUILDING PERMIT t? 7o be ussd for SF DWG/GAR $86,000 Site Address 3882 MERSEY WAY Lot 10 Block 3 Sec/Sub. COVENTRY PASS 3R Parcel No. . Im IName- THE ROTTLUND CO INC o Address 5201 E RIVER RD City FRIDLEY Phone 571-0304 Name _ Address City - Phone r WW Name ?? Address <W City Phone I hereby acknowlege that I have read this application and state that the information is correct and agree to comply with all applica6la State of Minnesola Statutes and Cily of E gan Ordinances. ? Signature of Permitee A Builtling Permit is issued to: THE RO LIIND CO INC on the express condition thal all work shall be done in accordance with all applicable State of Minnesma Statutes and Ciry of Eagan Ordinances. Builtling Official 1991 OFFICE USE ONLY Oaupancy R- 3 M-1 FEES Zoning R-1 (qquaq Const V-N Bldg. Permit 577.00 (Allowable) V-N Surcharge 43.00 tl of Stories LBngih 55' PlanReview 375.00 Depih 48' SAC, City 100.00 S.F. Total - SAC, MCWCC 6$0.00 S.F. Footprinis _ On Site Sewage _ water Conn 660.00 On Sile Well - water Meter 0 95.o MWCCSystem X X Ami. Deposit 30.00 Ciry Water PRV Required - S/W Permit 30.00 Booster Pump - S/yy Surcharge .50 Treatment Pl z 76. 00 APPROVALS Road Unit 370.00 Plenner - park 06d. CWncd BIdg.ON. _ Copies variance - 707AL 3+206• Sn 7 3 7? , Request Oele - ire No. ' Aoug n i psection Repuiretl in eCion OlnecTnan Rough-In (YOU u cail inspeclar when reatly) y Now ? Will Notify InSpMOr ves ? oaie eaa I[I?eensed contractor ] owner hereby, request inspection of above electrical wovk at: . .. Job Aaaress tSVeel. Box or Route No.l Ciry 3 8 z Section No. Township Name or No. ange No. Coun? ?4 Occupanl(PRINT) J? 4- Phona No. ? 4 4co p.e Power Supp er L/ y Address / /:- Eiectncal Comror)(COT ' y(?4y qC 4/? {? (n oI?l?.L?atlrl'1A:,Y?1"?J? 1'?V Comrador's {Ltlic?e}nse No. . ?111 ?YiiJ? M9iling AECre55 (COnir 'pI Qw ¢ql/ g Installation) ??? ?n/S' t 2803 FL?rt1°il+? ??? LEiry h1N 55 i 24 Puthorizea Sgnatwe i nl ecbr/Owner Making Ins? Ilalion) Phona Number 431-6384 MINNESOTA STATE 60ARi ELEC7BICITY THIS INSPECTION REOUEST WILL NOT Griggs-MlEway Bltlg. - Room S173 l? . BE ACCEPTEO BY THE STATE BOARD 1821 Univereily /ve., 51. Gaul. MN 55104 UNLE55 PROPEP INSPECTION FEE IS PMne (612) 602-080 ENClOSED. 9 , J REQUEST FOR ELECTRICAL INSPECTION ?j? ?? I $ee Insimqions for completing ihis lorm on baCk ol yellow copy. ? "X" Be/ow LNOYk Coyered by This Request 6M ? EB-00001-08 ? e Add }?iep. " TypeotBuilding AppiiancesWired EquipmentWiretl Home Range Temporary Service Duplex Water Heater EleCtric Heating Apt 8uilding Dryer load Management Comm./Industrial Furnace Other (SpecityJ Farm Air Conditioner Omer (syeciyi CqnVacmr's Remarks: Compute Inspection Fee Below: il # 01her Fee # ServiceEnhancaSize Fee # Circuit5/Feeder5 Fee Swimming Pool 0[0 200 Amps 0 to 100 Amps 7ransformers Above 200 _ Amps Above 700 _ Amps Signs mspxror§ use only: TOTAL Irrigation Booms & ? Special Inspection 6 Alarm/Gommunication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT Other Fee . COMPLETED WITHIN 18 MONTHS. I, ihe Electrical Inspector, hereby if Rougn-in oare cert y that the above inspection has been made. Final - ?e OFFICE USE ONLV Thls request void 18 monins trom 1/ 9 9? 7 9 5 4 /V ?O 5 0 p ,e?u Requesl Date Pire Na ou ?in - retl? Inspeclion ? fieatly Now 24,11 Notity Inspeclor ?? `? ' _ Yes C N. When Reatly? I;elicensed coniractor ] owner here6y request inspection of above electrical work aC Jo0 AOdress tStreel. B. or Route No.t City 3 9 B a U 52chOC, No. Township Nam¢ or No. Range No. County DA.t. Occupa I (PRINTr I n M??vap Phone No. PowerSuppli AOtlr¢s6 ? ' ? . U Elecmcel VactoyCompany Name) Gonhactor5 License No. M1lailing Atlcress ICOnVacloror Own Making I nstallalion) Ambor¢etl Sigoatme ICOnvacmr wner 'e.ng Ins:allationl Phone NumDer 4 ? F/ d MINNESOTA STATE 60AHD OF ELE TBICITV THIS MSPECTION REOUEST WILL NOT Griggs-Mltlway Bltlq. - Room.54]3 BE AGCEPTEO BY THE STATE 90AFD 1821 University Ave.. SL Paul, MN 55104 UNLE55 PROPER INSPECTION FEE IS Phane(6/Y) 692A800 ENCLOSED. REOUEST FOR ELECTRICAL INSPECTION ? See In61ruC.ian6 for comUleting Uns IOrm On bdCk Ot y2110w COpy. 7'? C3 5 4 "X" 8elow Work Covered by This Request *TE EB00001-08 :'-'l`a4z .:?-.. ew A6G jF(ep. -. TypeolBUiltling ? 'ApplancesWiretl EquipmenlWired Home Range Temporary Service Duplex water Heater Electric Heating Apt Building Dryer Other (Specity) Comm./Industrial Fumace Farm Air Condi[ioner Olhar Isyeaily) Gon[roclor's Remarns'. Compute Inspection Fee Below: # Other Fee n ServiceEnirance5ize Fee # Circuits/Feeders Fee Swimming Pool 0 ta 200 Amps f 0 to i00 Amps q, Transformers Above 200 _ Amps Above 100 _ Amps SignS inspeciors Use Only: TOTAL Ircigation BoomS ?( .] a sa Specel Inspectlon Alarm/Communication THIS INSTALLATION MAY B RD SCONNECTEO IF NOT Other Fee COMPLETED WITHIN 18 HS. f I, ihe Electrical Inspector, hereby RO09n'" , ce 1?, rq f (i certify that the above inspection has been made. F??ai oaie ? OFFICE USE ONLY ? This request voitl 18 montM1S (mm / ?? 3955 ? r°I ox bo Reduest Date Fire No. -iMnspection ed7 1-featly Now ? WIII NotAy Inspec[or 1 a?s? _: Ves C No Wnen Reatly? I Zlicensed coniractor ? owner here6y request inspection of above electrical work at: Job Atltlress (Slreet Box or Roule Na.) Ciy 388?. (,J Section rvo. Townsniv Name or Range No. County OccupantlPRINT) I AkWAi Phone No. Power Sup r Atltlress A GIJ? • Uf4.. Eiectncal onvactorcOmpany Na e) ConVacrorS Gcense No. f.? d ?x-3 Mailinq Atldress iGOnlrector or Owner Mebng Instanation) nulnonzed Si9naNre ICOmra c0 er Ma'ting Install lon? Phone NumEer ? ? 463-3 io MINNESOTA STATE BOAPD OF ELECTRICITY THIS INSPECTION PEQUEST WIIL NOT Griggc-MiEway BIEg. - Room S-173 BE ACGEPTEO BV THE STATE BONRD 1821 Onivereity Ave.. 51. Paul. MN 55104 . UNI.E55 PFOPEf1 INSPECTION FEE IS Vnone(61a)6a2-0800 ENCLOSED. ?/Vjf,t REQUEST FOR ELECTRICAL lNSPECTION ji? See instmciions for complafing thls lorrn on back ol yellow copy73Cj 55 "X" Below Wolk Covered by This Request ? q EB-OWO1-OB ?? S i e A#j Rep: Typeof6uiltling AppliancesWired EquipmeniWired Home Fange Temporary Service I Duplex Water Heater Electnc Heating Apt Building Dryer Other (Specity) Comm.lindusfrial Furnace Farm Air Conditioner Othetlsyecityi Convactor's Remarss. Compufe Inspecfion Fee Below: z , Other ? Fee # ServiceEntranceSize Fae # Gircuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transtormers Above 200 _ Amps Above 100 _ Amps L?Slgns inspecbr's Use Only: TOTAL Iflig3ti0n BOOrY15 w ? Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDER DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, ihe Electrical Inspector, hereby Ro°9m'" oate certify that the above inspection has been made. F;nai Z. oste OFFICE USE ONLY This requast voitl 18 moniM1S Irom Address: 3$$2 MMSEY WAY Lot 10 Blk 3 Sec/Sub OpVIINIRY pASS 3RD These items were/were not complete at the time of the final inspection. DaLe: 2 18 92 Yes No s JnSpactor* Fina1 grade (6" from siding) Pexmanent steps - garage Permanent steps • main entry ? Permanent driveway ? Permanent gas Sod/seeded grass ? Trail/curb damage W . Porch Basement finish LI Deck Please verify with tha buildex the removal of roof test caps from the plvmbing system and the shut-off of watar supply to tha outside lawn faucet before freeze potential exists. 1.01-? •a.aEOrwen White - City copy Yellow - Resident copy Pink - Contractor copy ^ 1991 BUILINP &*PPLICATZON CITY OF EAGAN SINGLE FAMILY DWELLINGS lSIILTYPLE DtBELLINGS COMMERCIAL z;?, 2 SETS OF PIANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCUTATIONS (CHECK WITH BLDG. DEPT:) 1 SET OF SPECIFICATION5 1 SET OF ENERGY CALCUTATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY AYPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BITT NOT PICKED UP BY IAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. IAT CHANGE IS REQlIESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER HUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: --5qW4y-E fi'?ylf_y, Valuation: *PIWE Date: 10224t! Site Address 3z9t'2 ry?p[c??( /?r yy Loc _L(2__ Elaatc 3 Parcel/Sub Owner 7'HE 2?Q2=tL7Nl> e?". /L/l. Address 52U/ E. )21L)eZ J City/Zip Code ?QLC-[ - s{cty) Phone e.71-dw.04 Contractor Addres City/2 Phone Arch./ Addres City/2 Phene Sewer/Water Licensed Contr. 8?, Occupancy Zoning Actual Const Allowable # of stories Length Depth S.F. Total Footprint S. OFFICE US', . I V-N V-N ? F. On site sewage_ On site well MWCC System ? City water PRV _ Booster Pump _ APPROVALS Planner Council Bldg. Off. p5 /G-zc?.g? Variance ONLY FE- Bldg. Permit f ?J77,0o Surcharge 4/3'oo Plan Review 3 95, 00 SAC, City /pO.Oo SAC, MWCC Sbi0u Water Conn. 6 O,Oa Water Meter 95oac Acct. Deposit O,oo 5/w Permit 30iOD S/W Surchaxge ,$b Treatment P1. ;76,00 Road Unit 37rJ•rJo Park Ded. Trail Ded. Copies SUBTOTAL Penalty Lot Change TOTAL 1.14L,r0 J?w 7LI??& F? agrees that all wotk ahall be done in accordance with 0 (Signature of Contractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. ? C?aRa?E -?-=- zox?= 4aok??,? ?,OOO? ? $S MT, xy K2g = G72 IVzx(3) _?-- ?6? X/y= q3(G ? le1 loptc)2 L4& Q-S ? ? ?` ?-? ; I 2 4 B 3x ?Li ? ?z _._----- T 32o x 53 = g?j? 32(0 o?•L $G?Ooo "? FYTFRiOfl r•r+vr•rrnPr• nvr•r;nr,r' °u° CurmuTn•riOu WE?v'fct?000_ owr+ER ?OTT'LVND co-- SITE ADDqESS LOT ??, 'ELOtK3? C60 ?l1T,l?( ?rASS 312D ADD'jJ, CONTRACTOF DATF. PHONE Dete:-min workini; square footni;e o1' each. 1. Total exposed va11 area .. ?I Zo- tI sq. ft. x 0.11 2. Total roof/ceiling area .. ? Z1v sq. ft. x 6,026 . = 1892cr = 33.02. Total exposed vail area above floor = Ozo• Ca a. Total wail windov area ............................ b. Total door srea .............................. :.... ,( ? c. Total sliding glass door area ..................... T 9. d. Total Sireplace va11 area ......................... z O e. Total vall framing area (average lOp) ............. '3 rj ,c}. P. Total net vell area nbove floor ................... / Z I , g. Total rim ,joist area .............................. O Total exposed foim dntion arca h. Total foun3etion vindov a:ea ...................... ? ^ i. Total net foundation area above grade ............. . Detercnine "U" value o; esch vall ,egment. a. I 4? , 7 X„u., (p 0,? S b. 4211( X„U„ n. / 3 F? = 5,g 9 - •c . 3q,91 X,.U„ a3Z = lZ,?9 d z.t7 X?lull , ?, 1 = Z e, X.P,Url r. I Z? a• `1 `I X„?,. . s• i 2v X.,t,,, o,o¢i }l. x nUn X l.Uli l. 3. ............................... 'lotn] .. O? If item N3 is the same as, or les^. :.h:,n iCecn N1, you navc met the intent of ssC 6oo6(c)2. .) Total exposed roof/ceilinG aren L7D Total gross roof/ceiling are:i = ?. Total skylieht arza .......................... k. Tot al roof/ceiling framing area .............. 1. Total net insulated roof/ceiling area ........ Determine "U" value for cnch roaf/ccilinj: seFgnent. ?-. J. x 'lUll . k: x„Ute O,?7i? _ ?'Jil''j?'• ?. I(¢3 X„U„ o- 0 2 2 = y,??> ?- a . ............ ' ................. Totgl If total of N4 is the same as, or less than A2;'y'ou have met tYie intent of sac 60o6(c)i. . . To utilize the total envelope system method, the values establi-rhed by the sum of items N3 and B4 shall not be greater.thxn the sum of itea:s N1 and N2. 1. + 2. ?+ . U _ ? o -=Ta =ukl.UF GAI.GI,N-ATIDI?!7 ?GoNT?. -rf AML WPt1-? G? I N? LATI?N LoM?'ON?NR ;J 12 ;u ?. ouT'?IM aiF F1u4t -h" G1D1t-?(i. . - ? ?%z INSU?A?I?rf? I??ID? Alfy ?ILM, - : . F? - VALU 5- ----- , 0 - - .co2 - - 2;04 -- ' 19.0 o, 45 - ??,= 23.of = !?? -? = 0_.043 -FFA0 WAu. G? -!?-,TOD - p1.#IkN• ylew. C ce C C C C LdM PON'svN"?5 o_u T-t71oE Rliz pl.+u. hNE?A'(H l N b . ? x c. h ran (Fpm P>D. irJ,1?7105 MP RL-M. - -F-vA?u5 2.oLr - - ?.-? g .--?- - ? ??afv4: -- l-I ?AL =G?JtiiP?. ??U+=?0,12Xo.ot?q> t(o,SaXo.o43? = ?• 0¢7 - :-- ? ? 0 ? O 0 I?CI, -P??? -?!!<M ?Y..?1?. ?jLM • _ I•SS ? ? . . ? 29 27 _- coMFbH -55 N?K2 _-- ? ? 30 C' {.LS -- ??•. ?? --? ?-?--1.--. --1?Lc---- . . o, o?: .- ' - ?I: ? -?-?- ? ? O C C O O , ? -- ?_(?_? ? -a? ?'1--- -_29 --- - - -o.4-:5----- --- _ R ?---3 u ?-g-3-- I = 0. 027 ?S2?3 0 F?7- F:t?M. Q ? ' Z?6YP- -I?D ---- ? -o%i1:=:_--- - - 0=4'S------ -o _c?.t---- ???-5;?- 3-- -_-- "?i43v D•?Z? CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 nmuNG "m FOR CITY USE ONLY PERMIT ECEIPT # 3 Y R DATE: # PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY TOWNHOMES/CONDOS WHEN PERMITS ARE REQUZRED FOR EACH UNIT. -------------°--------------------------------------- WORK DESCRIPTION NEW CONST ? ADD ON _ REPAIR _ OWNER NAME: SITE ADDRESS: W1:? -i LOT : ? BIACK ? SUBD. ? w4A• .3 ? INSTALLER: ?«\ L, ADDRESS:_? IO C ?C??? ? ? CITY: lu *??'? ? ZIP: PHONE n '1 \ . PERMITTEE DWELLINGS & COMPLETE THE FOLLOWING: N0. FIXTURES EA. TOTAL ADD-ON MINIMIJM 15.00 ` SHOWER 3.00 a WATER CLOSET 3.00 ? ? BATH TUB 3.00 -3 ? LAVATORY 3.00 G " ? KITCHEN SINK 3.00 ? LAUNDRY TRAY 3.00 3 ? HOT TUB/SPA 3.00 i WATER HEATER 3.00 ? ? FLOOR DRAIN 3.00 GAS FIPING OUT. (MINIMUM - 1) 3.00 ? ROUGH OPENINGS 1.50 _ OTHER WATER SOFTENER 5.00 _ PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 SllBTOTAL $ ST. SURCHARGE .50 3 ? TOTAL: $ PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: OWNER NAME: _ SITE ADDRESS:_ LOT: BLOCK _ SUBD. INSTALLER: ADDRESS: 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: ( S IGNATtTRE ) ? . . R?SIA;?ATTxA3G:; ? CITY OF EAGAN 3830 PIIAT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 WORK DESCRIPTION FOR CITY IISE ONLY PERMIT # RECEIPT DATE: FEES NEW CONST X ADD ON REPAIR OWNER NAME: ? I'( TYtIt 1 M (2C). SITE ADDRESS LOT:/0 BLOCK ; SUBD. INSTALLER r? . ¦ PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY TOWNHOMES/CONDOS WHEN PERMITS ARE REQUZRED FOR EACH UNIT. ---J-------------------------------------------- ADDRESS : 9W Pl uth Ave: Na den VallOY, CITY: ZIP: PHONE ADD-ON MINIMUM HVAC 0-100 M BTU ADDITIONAL 50 M BTU GAS OUTLETS - MINIM[TM OF 1 PER PERMIT SUBTOTAL: STATE SURCHARGE: TOTAL: DWELLINGS 6 $15.00 24.00 6.00 3.00 $S1%? _? .50 $pG-L`-JV SIGNA E OF PE ITTE ?AMM,ERCT(11./ITIDVSTR7AL.'; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, ,....... _<. . APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. ----------------- _-------- ___-------- ____------ ________ CONTRACT PRICE OWNER NAME: SITE ADDRESS: LOT: BIACK _ SUBD. INSTALLER: ADDRESS: CITY: 2IP: PHONE #: FOR: CITY OF EAGAN FEES 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[JRE ) RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55722 851-881-4875 -] ? NewCanstrucilon ReaulremeMe RemodeVHemlr BeaulremeMs . 3 repistered sae surveys showing sq.1t. of bt, sq. ft of house; and ?II roofed areas • 2 copies of plan (20%meximumlMCOVerageallowed) • lsetofEnergyCakulatbnsforhaatedatlditlons • 2 wpies ol plan showing beam & window sizes; pouretl rouna desgn, etc.) • 7 sMa sunrey br exterwr add'nbns & decks • 1 set of Energy Calculatbns • Indirate H home 5erved Dy septk sys[em tor adtlitions • 3 copies o1 Tree Preservation Plan II bt plened after 7/1/93 . R'un Jolst Defail Optbns selection sheet (bWAs witli 3 or lass untls) DATE \a - ?\o - i3 Q_. VALUATION * 'A5 a 0 00 SITE ADDRESS 3?SE5 MULTI-FAMILY BLDG _ Y }C N NPE OF WORK ^CFJaQ cl?? ?Zi.. VM5 FIREPLACE(S) _ 0 _ 1, 2 APPLICANT ?'Q?O v.S RQ?S;1,1J Lt- STREETADDRESS \tJ&k,?cIME VyU%, CINr,Q`{STAI-. STAiEMVS2IP TELEPHONE # Zlo3 5fa0 -lb?SO CELL PHONE # FAX #`\b3 -'?1'l,l - O la0 ? PROPERTYOWNERZ S?t?GI? TEIEPHONE#\A\-l0$'4' Mo4 5 - ---------- °------------------------------°--------°---------------------------------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNFSOTA RLTI.ES 7670 CATEGORY 1 MINNESOTA RULES 7672 (4 submission type) . Residential Ventilation Category 1 Worksheet 5ubmitted • New Energy Code Worksheet Submittetl . Energy Envalope Calculations Su6mltteA Plumbing Conhactor: ___ Plumbing system includes: Mechanlcal Contracfor: Mechanical system includes: 5ewer/Water Conhactor: Air Conditioning Heat Rewvery System Phone # Fee: $90.00 Fee: $70.00 I hereby acknowledge that I have read thls application, state that the inform fon is correct, and agreie to comply with all applic-able State of Minnesota Statutes and City of Eagan Ordinance Y ---------- ----? SignalureoPApplicant \NN'\4? --------°-°-.._._.---°--°•--......._......._._..._..____._.____...??.-_....r.. OFFICE USE ONLY Gertificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 ? Water Softener _ Water Heater _ No. of Baths _ Phone # Lawn Sprinkler No. of R.I. Baths OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex ? 07 OS-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 08-plex O 18 Deck ? 11 70.plex ? 19 Lower Level ? 12 12-plex Plbg_Y ar _ N ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screened) ? 24 Storm Damage 0 25 Miscellaneous ? 30 Accessory Bldg ? 37 Ext. Alt - Muki ? 33 Ext. Alt - SF ? 36 Multi ? 31 New ? 3$ Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 38 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bidg)" O 43 Reroof ? 46 Windows/DOOrs ? 34 Replacement `Demolitlon (Emlre Bldg only) - Glve PCA handout to applicaM Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) FinaVNo C.O. _ Footings (addirion) _ Plumbing Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ RI. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MGES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Searoh Copies Other Total Building Inspector RESIDENTIAL BUILDING r Permit Application City OfEagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephoue # 651-675-5675 FAX # 651-675-5694 #7v.a0 C•a?c? 5//??03 L? New ConsWCtion Reauirements RemodeVReoair Reauirements Office Use Onlv 3 regislered site surveys shawiig sq. (L of lot, sq. ft. of house; and all roofed areas 2 copies of plan CeA of Survey Recd (20°h maximum lot coverage allowed) 1 set of Energy Calculations tor heated addNons Tree Pres Plan Reod 2 CopieS of plan showing 6eam 8 window sizes; poured found design, etc. 1 site survey tar additions & decks Tree Pres Not Reqd lsetofEnergyCalculafions Adtlfi'on-irMirafei/on-sAesepticsystem _Oo-siteSepticSystem 3 wpies of Tree PreservaGon Plan "rf lot platted after 7H193 Rim Joist Detail Options selecUOn sheet (bidgs with 3 or less unBs Date /CDI / 03 Construction Cost D(O('] O SiteAddress go?ia /A eV"t,?,_) GL' L7nit/Ste# k L A Descriphon of Wark O C (A I yl Q Q 0 Multi-Family Bldg _ Y i,/N Fireplace(s) _ 0 ? 1 _ 2 Property Owner )NSAt5 IReAt.1 v u-Ai-t 6 ^ S O?? Telephone #( bs i) 68 963 u - z`3SG Contractor <?EL-F Address ?0-ry\,k _ (sA City ? '0. State ?ts Zip ?S ?2-3 Telephonetl{G5 COMPLETE THlS AREA OI+lLY IF Energy Code Category Minnesota Rules 7670 Cateeorv 1 (J submission type) ' Residen6al Ventilation Category 1 Worksheet Submitted • Energy Envelope C%o*jqAubmitted Licensed Plumber Mechanical Contractor Vk Sewer/Water Contractor A NEW BUILDING Minnesota Rules 7672 . New Energy Code Worksheet Suhmitted Telephone #( Telephone # ( Telephone #( I hereby apply for a 12esidential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the 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 ofplans. Npr2 E CN I?F Ar1 J L,i,.A %-( Applicani's Printed Name Appli Ys Signature `---'-"- OFFICE USE ONLY Sub Types ? 01 FoundaGOn ? 07 05-plex ? 13 16-plex ? 20 Pool ? 02 SF Owelling ? 08 06-plex ? 16 Firepiace ? 21 Porch (3-sea.) ? 03 01 of_plex ? 09 07•plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 04 02-plex ? 10 08-plex /K\ 18 Deck ? 23 Porch (screenlgazebo) ? 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 32 Addition ? 36 ? 33 Alteration ? 37 ? 34 Replacement Valuation ? Census Code SAC Units Nbc of Units Nbr. of Bldgs Type of Const Int Improvement ? 38 Demolish (Interior) ? 44 Move Bldg. ? 42 Demolish (Foundation) ? 45 Demolish (Bldg)' ? 43 Reroof ? 46 'Demolition (Entire Bidg) • Give PCA handout to applicant Occupancy /' !- ?? MCIES System _ Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered Width Footings (new bldg) ? Footings (deck) _ Footings (addition) , Foundation Drain Tile Roof Ice & Water Final _ Framing _ Fueplace _ R.I. _ Air Test _ Final Insulation ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. Siding Fire Repair Windows/Doors REQUIRED INSPECTIONS FinaUC.O. A FinaUNo C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tests _ _ Siding Stucco Stone _ Windows (new/replacement) _ 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 Search Copies Other Total 0r%lilG- 2? ? 7,9 - ? P10_RIEER ?asurrvcvoas•CEV0.Enc+nrfifiMK *enginee-reng.. LANO...H.„EW.,A..D6CAM „?ITE? - * ? ** Certificate of Survey far: The Rattiund Com d ? ? W U-) rr, W m I I S N 5936'44" E I 14&00' 30.oo' F-'?- . O ? I N b 100 f I n kr 285Q? ' t6 o? L...r-?-------- ao.oa J 4%33' eea.a i ? I I I 2422 6nibrprice Orive Menda2a Heights, MN 55120 (612) 6$1•1974 fly, InC. - - - - ------ - I 5• ? i S i ? ? ? -------•- _._..J 148.001 5 8B'36'#4" w Bv EAGASd sss.? ? ? ? I w cD O ? ?s N ? b cn ---- 7- DEPT ENi?IIVEERIIdG •900.o pBnotes Existing Elevation PROPDSED HOUSE_ELEYATION -? Denotes Proposed ?levation Lowes# Fl oor Elevation:883.96 _.._ _ Denotas Orainage dc Utikity Eosement Top of BloCk EfeYation:$57.1$ Denates Drainage Ffow Direction Garage Slah Ekevafion•886.83 --o.- Denotes Monument --"-"' .9- Denotes Offse# Hub Bearings shown are assumed LOT__10, BLC?CK 3__ _COVENTRY_ PASS 3rdADD. bAKOTA COUNTY. 1?iNNESOTA 1 hprpW ttni;'Y tA-A thia ip z true entl coff eci representplion af e surveY of sM boundmias of tfic e4we desy+Md lend, nd the focrtian of an putldingt, chcrean, and All vi:i!)le encraachmence, if enV, from or on mid tand_ As wrveyad bY me rhis?dw ol A.D. 19-U 'rJCQIE: ?;?n?J' Q ?t R 6ERT B. 51! [M L5. itEG. fVO. 103S? 91194.15 rt 41 engi* eering.. T w ? ? LLJ :2 N H! 1 ?o.ad w+ , ?.?' F- __8- 2422 Ent6rprice Orive Mendote Haights, MN 55120 (6121681•1914 cBrtificam of su.vey far: The Rottlund Campany, Inc. ? ? ? 0 O ao Z `?JT ? ? I I ? eNUH?5 0 ? S ? ? o• k = m ? ?=L ? l O?? ??9 ' E? ? _---------, I 5• ? ? t ; ? ? ? ? -?-----..? _.? ti 148.00, ( S 83'35'44" W ? I W ? ? N m ? cn D?te FACl?N E23GINEERII3G DEPT - 900.0 penotes Existing Elevation PROPOSED HQUSE..ELEYATION •(2gjD Denotes Propased Elevation Lowes# Floor Efavation:883,96 Oenotes Drainage Ec lltitity Eosement Top af 8kock EfevCtion:887_]6 Denoies Drainage Flow Direction Garage Slab Elevatton•886.83 --L? benotes Monument ---° -e- Denotes Offsei Hub Bearings shown are assumed LOT1 Q, BLOCK _3___ _COVENTEZY_ PASS 3rd., ADD. bAKOTA C)UN7Y, MINNESOTA 1 het?by CGrtiy tMt Ihil if e ttve entl [onaci tepreventaifon 01 0 lurvey Di the boundariea oft?t above 'D?d lend, ntl the ivrntian at il puUdln97, Shoeon, and all uiaible amroachmants, ii any, trom ar on said Isnd. As sunayed Oy me this day of A.D. 19...U R OERT B. 51! CM ?-S. REG. IVO, lab:?l Scal e: 1 Ln- 30 '°°t - - ?e.a3- - - yiin+.a-Fs PERMIT City of Eagan Permit Type: Plumbing Eaaan, Permit Number: EA101526 Date Issued: 10/11/2011 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 3882 Mersey Way Lot: 10 Block: 3 Addition: Coventrv Pass 3rd PID: 10-18402-03-100 Use: Description: Sub Type: e - Water Heater Work Type: New Description: Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Kris Oien 3670 Dodd Rd Eaaan. mn 55123 651-365-1340 Fee Summary: PL - Permit Fee (WS &or WH) $50.00 0801.4087 Valuation: 848.00 Surcharge-Fixed $5.00 9001.2195 Total: $55.00 Contractor: - Applicant - Owner: Champion Plumbing Lori L Rude 3670 Dodd Rd., =100 3882 Mersey WaN Eagan NIN 55123 Eagan MN 55123--395 (651) 365-1340 I hereby aeknowledae 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 Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA142185 Date Issued:04/18/2017 Permit Category:ePermit Site Address: 3882 Mersey Way Lot:10 Block: 3 Addition: Coventry Pass 3rd PID:10-18402-03-100 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 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 - Charles P Torgerson 3882 Mersey Way Eagan MN 55123 (651) 270-4981 Pella Northland 15300 25th Ave N #100 Plymouth MN 55447 (763) 355-1300 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA165119 Date Issued:10/19/2020 Permit Category:ePermit Site Address: 3882 Mersey Way Lot:10 Block: 3 Addition: Coventry Pass 3rd PID:10-18402-03-100 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 - Charles P & Lori L Torgerson 3882 Mersey Way Eagan MN 55123 (651) 270-4981 Pahl Exteriors 3129 Islandview Dr Mound MN 55364 (952) 451-1018 Applicant/Permitee: Signature Issued By: Signature