3886 Mersey Way. . . .. ? ?
'?? CASH RECEIPT '
,.
CITY OF EAGAN '
?
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122 •
__? _
DATE r ? L'J 19 I`
,.
RECEWEO ?
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AMOUNT $ • . ' '' i
[1 CASH ?'CHECK
DOLLARS
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????k l C l?l 1.;?- ? I't ?= J'? C 1` .'%4!?? Z::? ,(?, ? Y Y`
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?rt
C ? & ?i ? ? Whilo--Payers Copy ?
Yellorr-Posdng Copy
Pink?ile Capy
Thank You .
ev ? `_ ?' '
SW CWSr+--39 1-3024 CITY OF EAGAN 4
?• '• 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
Tobeusedfor $P M/CM Est,-Value ;79,000 Date sEf'L. 23 , 194?
Site Address 3$86 !fB
Lot 11 Block
Parcel No.
W Name _
o Address
City _
Name _
Address
l'-m ; Address
s W City
I hereby acknowlege that I have reac
inlormation is correct and agree to i
Minnesota StaWtes and City of Eagan
Signature of Permitee ?
m co Tw
:R HD
Phone 571-0304
Phone
Phone
this application and state that the
imply with all applicable State of
lydinanr.es
on tne express contlitfon that all work shall be done in accordance with all
applicable 51ate of Minnesota Statutes and City ol Eagan Ordinances.
Buiiding Official
Zoning
(Actual) Const
(Allowabie)
8 ot stwies
Length
Depth
S.F. Total
S.F. Footprint
On Site Sewa
On 5ite Well
Mwcc sy5tam
Ciry Water
PRV Required
Booster Pump
APPROVALS
OFFICE USE ONLY
R-3 ?
Xr,3
FEFS
?? Bldg. Permit ?s•?
Y- ?1 39.3t)
Surchasge
45, Plan Review 3?*?
SAC, City 1?•?
-
_ SAC, MCWCC 6?•?
9e _ Water Conn d?.oo
WaterMeter 93s00
x
?
X Acct. Deposit .?
SNV Permit 30.00
- 51W Surcharge • 50
Treatment PI 276.00
Road Unit s
370.00
Planner _
Council
BIdg.Off. _
Variance -
Park Oed.
Copies
?
TOTAL 31150.
Permit No. Permit Holder Oate Telephone #
WATER
K
SE,WER
PLUMBWG
H.V.A.C.
ELECTRIC
inspection Date Insp. Commants
Footings I
Foundation
Framing ?=? Z ? ?; JsiS
Roofing
Rough Pibg.
Rough Htg.
Isui.
Fireplace
Final Htg. ?
Orstat Test
Final Plbg. O-?/341 PICg- Inspector - Noiify Plumber
Const. Meter
Engr./Plan
Bldg. Final
Dedt Ftg,
Dedc Final
Well
Pr. Disp.
CITY OF EAGAM
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
INSPECTION RECURD
PERMIT TYPE:
Permit Number:
Date Issued:
SITE ADDRESS: , „T :
. ri; r ,? ? 4tAll
(i i !'k`.'. ti1r11
it H1 u( v
r APPLICANT:
,? ? ?ti 1 i !I I?•
?
PERMIT SUBTYPE: TYPE OF WORK:
-1rAr I ,iN
??i ?,? ? I; :+ i?i? I??A`• I N',f It l ? 1 1 Nt 1
Pertnit No. Psrmk Holder Date Telephone =
S/1/V
PLUMBING
HVAC
ELECTFIIC
ELECTRIC
Inspection Date Inap. Commemft
Footings I
Foundation
Framing
Roofing
Rough Pibg.
Rough Htg_
Isul.
Fireplace v /? ?ST G y y?
Fnal Htg.
r>
prsat Test
Final Plbg. Pibg. Inspeclor - Not'rfy Plumber
Const. Meter
EngrJPlan
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
? ?..a- ?+??.??." ? ? , ,?p ? • _ ??.?
?t. ?jf ? ? •
'i
(Itr#if ira#e uf Orrupanry
titp of (f agan
]DrVatmM nf adid'ag jwrr#imt
This ficate issued pursuant to 1he requirements of Section 3f16 of 1ke Unifor?n BuiWing
Co e? certrfying t/rat at the ttrrre of rssuarrce this slrucrure was rn complrarrce with the various
ordinances of the City regulating burlding construction or use. For 1he following:
c?r?uoa?
U.
NO. 1Q459
OccuPancY TYPe R3'1L' 7om8 DoI+ici R3 7YPe ('""°T VN
? owneroreuMagIlE ROFflulBID rJ0 Il+]C. A&Wm 5201 E RIVEft RD, FP=
Buading Addm 3866 MM= WAY L 11, B3, OUVQ1t?8 PASS 3RD
D,te: 10/11/q!
e„aaing oe-xw
POST IN A CONSPICUOUS PLACE
?-??q9,?..ary?.1?....?.?•?T•wC?7TA?*70j?Al?a.•RSTC..o-?.....+S7+s.a:,..., - ' . . SEWER & YIP4TER PERMIT
CITY OF EAGAN .
? 3830 Pilot Knob Rd.
' Eagan, MN 55122-1897
DATE 7- ? q--A
OFFICE USE ONLY
METER # yy 4 y? ? ?'('PERM(T DATE
CHIP # Q./ 7 PERMIT # 12201
?
MEfER SIZE S?g s?SKS B.P. RECEIPT # C 146-`-c
n
ISSUE DATE ;d ?' - 9I B.P. RECEIPT DATE '' ' ` 1 '
_ PRV - BOOSTER PUMP
SITEADDRESS
LOT ! . BLOCK SEClSUB
APPLICANT:
ADDRESS: ?.,ZJ R' R.i ?.?_^c?? _
CITY, STATE ?i 0I eV. Tn - ZIP •?`'-' i
PHONE: ` 71-0304
«
PLUMBER: ' ?aj; @<,
ADDRESS:
CITY, STATE iIG«C:a'1r CYi? ZIp
PHONE:
OWNER: Wi?e
PERMIT REQUEStED
X SEWER X WATER - TAPS
- COMM/IND - RE5IDENTIAL
" NEW - EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
? .:
I AGREEfiO COMPLY WITH CIT? OF
]EAQAN OR INA C S
ADDRESS: 5Q,1 ???ver Ra -
CITY, STATE i4 t'?ZIP
PHONE: SIGNATURE WHE ETER ISSUED
PLEASE ALLOWTWO W(IpKINd' DAYS FUR'PRdCESSING. CALL 454-5220 FOR INSPECTIONS. FQR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
A ? - - -?.?, ? •?..
Y ' CITY OF EAGAN No . 1 g459
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100 !1
? 1 /
BUILDING PERMIT Receipt # 1
`t
L- ?05p
>
Tobeusedfor SF DWG/GAR Est.Value $79,000 Date dUL 2 3 , 7gQL---
Site Address 3886 MERSEY WAY
Lot 11 Block 3 Sec/SubCOVENTRY PASS 3RD OFFICE USE ONLV
ParcelNo. occupancy R-3?L-1 pees
R
3
Zoning -
W Name THE ROTTLIJND CO INC (nduap const Y=N eldg. Permit 54S.n?
; Address 5201 E RIVER RD (qllowable) V-N
39
50
° Surcharge .
(',jty FRIDLEY Phone 571-0304 #oiStories
451 Plan Feviaw 354.00
Largth
F Name SAME oePm 44' snc
cry 100.00
?
0H Addf055 S.F.Total - ,
65
? SAC, MCWCC 0.00
QIIY f?h0(18 S.F. footprints _
Water Conn 660
00
On Sile Sewage _ .
r
Name
on siie weli
-
w
M
t
t
0
95
0
er
a
a
er .
z? Address MWCCS stem
Y X
aW
City Phone
ciry waier
?L Acct. De sn
PO 30.00
0
30
0
PRVRequired _ S/WPermil •
I hereby acknowlege that 1 have read Ihis application and state ihal 1he
' Boosfer Pump - SM' Sumharge .5
0
information is corr d 0
h all applicale Sate of
l
Minesota Statules ? ty ol 7realment PI 276. 00
Signature of Permite APPROVALS Road Unit 370.00
A Building Permil is is to: THE OTTLUND CO INC Pianner - park Ded.
on the express condition thal all work shall be done in accordance wilh all Council
applicable State ol Mi
/n?ne
s
o
la Slatutes and C
i
ry of Eagan OMinances. Bmg. Off. _ Copies
.
?
?
?
,
1
Builtling Oflicial ??A?7!0!l I rn I I1 LI
q
4 Variancs - TOTAL 3.150.0
0
p 12 45
Request Date Flre No. R -in Inspection
reC?
}?eaGy Now ? Will Notity Inspector
7'? 0_? I ,_ Ves _No When Reatly?
I,,Ificensed contractor p owner hereby request inspection of above electrical work at:
Job Atldress ISheet Box or qoule Noj Gry
8S6 f.,)
Seclion No. Township Name or Range No. Covn?l??
Occupa t?PRINT? Phone No.
Power uuppli Aatlress
? ?'
{?
Eiecvica Controctor (Company Neme, Conrcecmr5license No.
' ?- 4a z-
Maibng Aaaress iConvacto' m Owner Making Installation)
AutnoriieC Sgnalure ICOnVacto. Owner Ma in Installalion) ? • Pbone Number
Xn A
? u /V
MINNESOTA STATE BOAqD OF ELE flICITV THIS INSPECTION REOUEST WILL NOT
Griggs-Mitlway 91tlg. -- Poom S-113 8E AGCEPTED 8V THE STATE BOARD
1821 llnlversity pve., SL Veul, MN 55106 UNLESS PROPEP INSPECTIONFEE IS
PM1One (612) 644-0800 ' ENGLOSED.
[.REQUEST FOR ELECTRICAL lNSPECTION
? Sea ns!mct ars fy+-wmGretiny Ihls form on back oi yellaw copy.
? n?2 a, -rj "X" Below Work Covered by This Request
?"? EB-OOD01-D8 "? I
40,V8b1g?
eiAdtl1 Fe BUilding AppliancesWired EquipmentWired
Home Ranqe Temporary Service
Duplex Water Heater Electric Heatinq
Apt. Building Yryer Other (Specify)
i Comm./Industrial Furnace
Farm Air Conditioner
Other?specify) Conlfed0I6RBm9lk6.
Compufe Inspection Fee Below:
# Other Fee # ServiceEntrance5ize Fee # Circuits/Feeders Fee
Swimming Pool Q to 200 Amps 0 to 100 Amps
Transformers Above200-Amps A Amps
Signs Inspecror's Use Onry?
? TOTAL
a
Irrigation Booms ?
?j ? ?? j 'S
Special Inspection
AlarmiCOmmunication THIS INSTAILATION MAV BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the EleCtriCal Inspector, here6y oare
certify that the above inspection has
been made. F;,,ai
OFPICE USE ONLV ?
TM1i9 IBq1129t VOi/J 16 RIOI1lh5 fIOffl
?/G/ ?
?
205
01 ? ?
,
Requesl Date Flre No. R ghin Inspaction
Re uired? ? Reatly Now fr' VJIII Nolily Inspeclor
g^? - _ es '_No When Featly?
I?censed contractor owner hereby request inspection oi above elecirical work at
Job Atltlress (Slrael. Bas or qoute No.) pry
SS(" ?J
Sectron No. Township Name or Range No. Co ry
OccoGam IPRIN_ T) ?
/I n Phone No.
Powersuop?!( Atltlress
? ?
1J
Eiecvical G ha?t r(COmpany Namel
? GonVactar5 License No.
, ? ? - 3
MaAing ntltlress IConVactor or Owne Makinq Installation)
Au?nonze Signanre ICOnVecion ner M Ing Installeuon) ,? Phone Number
MINNESOTA STATE BOARD OF ELE?RICITV / THIS INSPECTION REOUEST WILL NOT
Griggs-Mitlway BIEg. - Room &173 ' 8E ACCEPTED.BV THE STATE BOARD
1821 llniversity Ave., St. Paul. MN 55104 UNLE55 PFOPEF INSPECTION FEE IS
Phone (612) 602-0800 ENCLOSED.
/y? REQUEST FOR ELECTRICAL INSPECTION
??• / ? See I?evudions Ipr ?mpleling Ihis form on beck of yellow capy.
?n12n 5 "X" Below Work Covered by This Fequest
E8-0D001-08
ew ,paM. Aep. ? Typeof6uilding AppliancesWired EquipmeniWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Buliding Dryer Other (Specity)
? Comm./Industrial Fumace
I ? I Farm AirCOndi[ioner
Other(specify) Cont.tor's Remarks-
P
Compute Inspection Fee 8efow:
#.. Other ' Fee # Service Entrence5ize Fee # Circuits/Feeders Fee
? Swimming Pool 0 to 200 Amps 0 to 100 Amps irl
Transiormers Above 200 _ Amps Amps
SIgnS Inspecmrg Use Oniy TOTA
Irrigation Booms ?S
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERE CTED IF NOT
Other Fee COMPLETED WITHIN 18 MO ?
I, the Electrical Inspector, hereby
certify that the above inspection has
been made. Fmai
OFiICE USE ONLY
This requesivoitl 18 montnsirom
Address: 3$$6 MER,qgy WAy Lot 11 Blk 3 Sec/Sub !;pVENM pASS 3RD
These items were/were not complete at the time of the final inspection.
10/11/91 Yes No
Final grade (6" from siding) 11-14
Permanent'steps - garage LIX
Permanent steps - main entry tl/
Permanent driveway V-11
Permanent gas vlo,
Sod/seeded grass
Trail/curb damage ?
Porch
Basement finish CoH
Deck
Please varify with the builder the removal of roof test caps from the plumhing
system and the shut-off of water supply to the outside lawn faucet before
freeze potential eaists. ?
una?exrt.
White - City copy Yellow - Resident copy Pink.- Contractor copy
4
?
rine 6E194S3
F.02
2471 Entcrprix Qrir!
Manqaia H¢ights, M19N 55120
(512}891-7414
?
Cartfficate of Su*rey tor: THE ?QTTL (/ND CoMP+qNy,
_? ....??•??? NORTN
?--, _..A
l.Ar°t/
?? 3°,?° 4. aa?•'
e '
z
CS'?
?
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L
? ?' TSa
{
?
1 7
-
10 " P
-? - js
u
C?7 v
'?- I .?
I' I
?4 ?
p r ?
v ?
?
, .._., ?? .. ,. .
. ?....? ?? ???..
? , .. .. . . . !1
1-1
__?..zr.r..tMtd/ DEPT
-soo.a []enotes brs1in Efeva}ian 13aor?osqr? Hrw E[E?r t
• oa.o I?erx?fes?'i?v?m(a?afiar? Ioeves 7oarElrvC1irm 885.416
-•------ (]enotes C?na?nrr?e i Ufilify faserr?ej-? To? o''Blackf{rvali on 88?. ?`
J,... ?- Dendes OrnifeW Floa?'DirVcfion Ga 4f Slab E/PVCr1`i0rr L36C4 3>
Ll
o ertcks ,dlorauenf &csrrngs shown cxressu,nfd 13Der7oes c?? -46
LOT f(,BL OCW 3, COVFN7-',?)' PASS 3,47D ,4DDl TION
aAZaT/3 CwNT}rI ApjNXESO7A
1 hrrebY cel1Hy thec this surwy, plen ur rbpat w.n pr wad {rp or uoef my dnect savervislon ern1 tt.x1 1 am riuh AaqlslerM loeM $utYSyv?
mthr Mtr larve of the 51ate nt Kinnexota. bafed fhlf ?tWy pf ' A.D. ig? ?•'
(??,/r ? ?`?`°`s?{(f'/??• ?11lQ(7,Zb ??11(}AF.fl?1' .SIK}Ctll.S.? ,.NO.1?9]` .
yi? ?r
1991 BIISLDING PERMI AP ZCATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
2 SETS OF PLANS
3 REGISTERED SITE SURVEYS
1 SET OF ENERGY CALCULATIONS
M[TLTIPLE DWELLINGS
?
.
COMMERCIAL
2 SETS OF PIANS 2 SETS OF ARCHITECTURAL
REGISTERED SITE SURVEYS - & SIRUCTURAL PLANS
(CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSlIED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
I. d ° REcv
To Be Used For: ???F ?ryyj??y Valuation: -Z? Date: -7t 111qI
Site Address ?369c?- m??2Y U 9,q'(,
Lot i j_ siock 3
Parcel/Sub G1vE/-r-YjT( P/?? aj
Owner '71/E i HL.
Address E2o/ E. ??/Ggy2 7v?
City/Zip Code FQ?pr,? c,?y2l
Phone S-71-
Contractor Addres
City/Z
Phone
Arch./
Addres
City/Z
Phone #
79, ovJ'
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
OFFICE USE ONLY
R3 hl-(
R-3
V-N
V-N
44S
Yy'
On site sewage_
On site well
MWCC System L.7
City water
PRV
Booster Pump _
APPROVALS
Planner _
Council
Bldg. Off.
Variance
FEES
Bldg. Permit .Sy5?0 J
Surcharge 39,50
Plan Review 3$y.00
SAC, City /OO,DO
SAC, MWCC 5D, ae7
Water Conn. ,D O
Water Meter $14DD
Acct. Deposit 30,00
S/w Permit 30,00
S/W Surcharge 1SO
Treatment P1. 276, 0 0
Road Unit 370,00
Park Ded.
Trail Ded.
Copies
SIIBTOTAL
Penalty
Lot Change
TOTAL IK ,?
?S141f/
-&'y Aee'z agrees that all work shall be done in accordance with
-V (Signature of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
GA,RAGE
?f?v ? t? = 6ona
ay xay = s? ?,? ?? = gnc u
- 1sT F?oorz-
??F?c? 9G o
13x i2 s Is?
...t--
I ? 07 x 53 = ? ?`1 ?71
?go 3.5?r 79, oo?`
,
r, ,
; • FxTF.HTOR t-:rrvr•.t,rn'r•. nvi•:r,ncr: ^u" CUMT'U'i'ATiOr+
SvMxj 1"(
oW*i Efl :r11-U V-l b C-O _
p /? y 2
SITE ADD9ESS LOT I I. 17LOGtG 3. (?07/Eh?I?Y ?l?SS Jl0D 457>>Tlr
CONTRACTOR
DATF.
PHONE
Determin vorkinr; squnre footnite of each.
1. Total exposed wall area sq. ft. x 0.11 = ZO ??'?8
2. Total rooffceiling area s??. ft. x e,oz6
. ?
c
Total exposed wall ares nbovc flonr =_ 12 ZX
a. Total va11 vindou area ............................
b. Total door area ....................:.............. ?j
c. Total sliding glass door area ...... . . . . . . . . ....... 3 Q.9 7
d. Total Sireplace wall nrea ......................... z- o
e.
f. Total
Total wall framing area (average lOp) ............. Ce
net wall area above floor ................... 2 ? Z(l
g. Total rim joist area ....... ......... ...........
Total exposed foundntion arca
h.
i.
Total
Total ?
foundetion vindow a:ee ..........
net foundatioa area above grade .
............ ?
(o i,
............
-T
. Betermine "U" value o: each wall sFE;ment.
a. X u?? {?J• ?"? _ ? ! • i I
b. -7 ? X,.U„ O, r 3i?;,
. C. X??„?? ,. 3 Z = I 2, 71
d Z o X„?„ a ? ? = 2.-
e. X 'lU,l ?. 08>
f. I 2?9, 2G x.,U,. ?? a?3 = 55.84
g. r 24., g x ,.1,,,
h.
? x "ll" ?
?- r
-
?. 62,4 X.,u„ b,73
3. ...... ....................... .. 'iot.a] _ ? / ?,Z ?-
c/c..
If item N3 i r.
s the same.as, or less
:.h:,n item Nl, et the intent
of sBC 6oo6(c)2
!
n
Total exposed roof/ceiling arez
`1 ?" • Total gross roof/ceilini, are:i =
?. Total skylight area .......................•.. -?
k. Total roof/ceiling framing area .•............ IZ?F.
/ _ •
1. Total net insulated roof/ceiling area ........
Determine "U" value for clch runf/cciiinj; segment.
- ? ? X nUn
?
?/. ? •
k: 1. Cf' x'lUll Q,?z 7 = ? v3
z. 11 ? 9? . Co X"U,. o. 02 z= 24, c?
= 'Z ,1
b . ...............................:. Total
IP total oP NL is the same as, or less than N2, ou ha et tt?e intent of
sac 6oo6(c)z. . .
To utilize the total envelope system method, the values establi;hed by the
sum of items N3 and M4 shall not be greater.thxn the sum of iten:s X1 and H2.
1. + 2.
T. +4.
,
r ,
0
_ _ b
-VkI.U? GALGUt-ATIDt?}?i ?GcNT?.
LoMPoN?N?
.u
?.
L?
04'?-A DE A I P f 9 W
-h"
__- ?{??THIN?
==5%y lNsuLA'lct+
!>IP I?J.
l??I?J? Af(y ?{Lk1,
_- . R-?lAU.l6
Iq.c '
o, 45 -
O, Co b
-FFAM5* wA?. & 15;,TOP
- p1,IkN• yIrw.
C
c
C
cf-
C
C
LoMPON?NTg
Aiiz Hi.,u.
h IFD IN?.. .
hH5R"jHl N lo,.
7Z xc, hr.ID (FW-Mi4)
R?-At. .
: F- -vaL, ue:
-- _ . o , `'1. ---- -
2 ,GCr _
" _I•-IS • -- --
- -- G,4`? --_ -
Id C4----
U
-??1P?. ??u?- ?0,12 X o.ot9? t(o,9b xo.a43> = O• 047 -
• 4
0
0
0
CO
O
?
(D
03
C
:r__.__
?Dk?P2?f?4 4h
L-A
u
,z5N?TH ??.
T-?-IblNli.----
?? j; kl?; ?j?M •
_-
T?C.G -.-
-_13._?
j? :1 -? - p,Gt
'LG "-,37;
?
I?+?-?1?._?iLNI
-a-i_i:---
- ?,-,-?-- -
I2.fJ
I
_-?- ?1- ? o • ? G
0
C'
C
C
C
R= 3 G.-8 3- I
'r.- o, 0 27
??.
I J, \'I - . I
-2? • (a
J .?
i - ? o; ??--- i
F.i L-µ .
O ?.?-???- ??M -
?_?_??5.c? 3 - -
?,? ?
CITY OF EAGAN
3830 YIIAT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
FOR CITY USE ONLY
PERMIT #
RECEIPT # 1002
DATE: '7/,?O ?
?ES?AEN3`?i?; PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN YERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION
NEW CONST ?C
ADD ON _
REPAIR _
OWNER NAME : S n hi `y ? c`
SITE ADDRESS:
LOT:? BLOCK ? SUBD.? ?
INSTALLER: ?JA
ADDRESS: L2t?? L ?
CITY: ?o tc?n? ZIP: " 5_S3S 1
PHONE #:
SI
COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
ADD-ON MINIMUM 15.00
1 SHOWER 3.00
? WATER CLOSET 3.00 ?
L BATH TUB 3.00 3-
! LAVATORY 3.00 3 -
? KITCHEN SINK 3.00 3_
L, LAUNDRY TRAY 3.00 3?
„? HOT TUB/SPA 3.00
-
WATER HEATER 3.00 3
i FIAOR DRAIN 3.00 3_
GAS PIPING OUT.
? (MINIMUM - l) 3.00
? ROUGH OPENINGS 1.50 U-??
_ OTHER
WATER SOFTENER 5.00
_ PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
SUBTOTAL S 3 1 • ?u
ST. SURCHARGE .50
TOTAL: S ?3 a -
?bMMEItCIAI?f?1Dij$'TI??:4L;; PLEASE COMPLETE THIS PORSION FOR ALL GONRfERCIAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING S7NIT.
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK , SUSD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
FEES
]Q OF COTTTAGl;T FpF,_
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1% $
STATE SURCHARGE $
TOTAL:
S
(SIGNATURE)
CITY OF EAGAN
CZTY OF EAGAN
3830 PIIAT KNOB ROAD
EAGAN, MN 55122
` PHONE (612) 454 8100
pC?#N?CAS.,??tl?
FOR CITY USE ONLY
PERMIT #
RECEIPT # 0 Ce O
DATE: ? /
PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE ]
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
---°--------------
WORK DESCRIPTION
NEW CONSTX
ADD ON _
REPAIR
OWNER NAMET 1 \U.,\iYlCl 0-0
SITE ADDRESS
LOT:/L BLOCK J SUBD.
INSTALLER
aDDRess: 9303 Fiymouth Ave. No.
n. ,? . • 55427
CITY
ZIP:
PHONE #:5y(A -?\UU
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: $DW60
STATE SURCHARGE: .50
TOTAL:
SIGNATURE OF PERMITTEE
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARR
NOT REQUIRED FOR EACH DWELLING UNIT.
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
DWELLINGS &
FEES
FEES
16 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 I GNATIJRE )
CITY OF EAGAN
UNDERGROUND SPRINKLER. SYSTEM
PLUMBING PERMPf
Date: Permit #
Date :? p /cl '-
Receipt # CO!96r-/Y
_ Commercial: $25.50 + water tap if required. (City installs all taps up to 1"). If
adding new setvice, a water pernilt will be required, as well.
? Eadstingresidentia •$15.50 umbing permit not required if backflow preventor was
previously installed).
_ Residential developments: Fee to be determined by bu7ding inspections department.
May require payment of water perxnit, plumbing pernrit, WAC, and water treatment
plant fees.
Homeowner/Plumber:
Phone #:
5treet Address:
City, State, Zip:
Owner Name:
Street Address:
Phone #:
Irrigation Contractor:
Phone #:
_79-o 16 ?eYSt Wz
(Address to , sprinkler d)
ev
21
67,Fo 44Cu•-A` '/r, f_
??. N, ? N?,, a 7 7
Jfl e- 1&5 o
> ??b /?ca-s zy w? ?
,
?fla^C?`OfH P:r?? ?Pr.jiOR
I hereby acknowledge that I have read this application and state that the information is
conect and agree to comply with all applicab3e CSty of Eagan Ordinances
cc: Engineering Department
?A /?la 71..e U r a f??
??
PERMIT # , y 5 9
REACTIVATE „
CITY OF EAGAN
1992 BUILDING PERMIT APPLICATION ?' "`"P
681-4675
SINGLE 8 MULTI-FAMILV 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 of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date C.n Valuation of work ??I,??•OU
Site Address: VV1,
STREET . SUITE I
Tenant Name: (commerctal only)
IAT BIACK SUBD. P.I.D. k
Descri tion of work:
The applicant is: 0 Owner ? Contractor ? Other (Deseribe)
Name L-oSqS-;o Phone
Property LAST FIRST
Owner Address Jt4eci :
STREET ? STE R
CitY State Zip
Company q. Lx-.,s? Phone gc? /- 3?2 9
Contractor Address -) 3 License #? Exp.
City 4-. (4 State Zip
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer 6 water licensed plumber . Processing time for
sewer 6 r?ater permits is two days once area as been approved.
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. ?
Signature of Applicant:
?
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation
? 02 SF Dwg.
O 03 SF Addition
? 04 SF Porch
? 05 Sf Misc.
WORK TYPE
d31 New
? 32 Addition
? 06 Duplex
O 07 4-Plex
? 08 8-Plex
? 09 12-Plex
0 10 Multi. Add'1.
? 33 Alterations
? 34 Repair
GENERAL INFORMATION
? 11 Apt./Lodging
0 12 Multi. Misc.
? 13 Garage/Accessory
? 14 Fireplace
P 15 Deck
? 35 Tenant Finish
O 36 Move
Const. (Actual) Basement sq. ft.
(Allowable) lst F1. sq. ft.
UBC Occupancy F, -? 2nd F1. sq. ft.
Zoning Sq. Ft. total
# of Stories Footprint Sq. ft.
length On-site well
Depth On-site sewage
APPROVALS
Planning Building
Engineering Yariance
REQUIRED INSPECTIONS
? Site
? Wallboard
? Footing
? Final
O Framing
? Draintile
-?
? Insulation
? Fireplace
Permit Fee
Surcharge
Plan Review
?1WCC SAC
City SAC
Water Conn.
Nater Meter
Acct. Deposit
S/N Permit
S/W 5urcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies ,?
Other
Total:
veluation: $
Y
? 16 Basement Finish
? 11 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
O 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
MWCC System
City Water
PRV Required
Booster PumP
Fire 5prinkler
Census Code
5AC Code
Assessments
SAC %
SAC Units
* ?sl?t1
? 4L
5--
?
3
?
i
?
I?
i ?
! r:
2+Ir1 Entcrprix orire
Menpata Heiqhts, MN 55120
1512) 881-791A
Cartificateof $uney tot: j -A(1470Tr1-VIV0
3
? n
u?
Z, Q
Z .
_....???
__w
..
i!' :.. .... ..... ?..
?
NORTH
i. • 900.0 Denores Exis?it? Eievafion PMaonusqo Hav E Et.Ev47-
i? oa.o Utnvles Prz?ov?Ed ?Eitewafron Lorve 7oar flrvalio?7 4985. 46
_.`----- f?rrotes Ur??iro?PE ufilrty fasern?errf Tap v''BlockElrvolion Ss&. (L
--- ? Den?ts FXzrixY ' f7rnd'Drr?/ion G? r. SJa:6 f/evcrl'ion s?t?
? Dprta?es Monu?gnf BevrinSs .s?w++?rt aressumfd oLlerxy es c?,Ib6
LOT (f , f3L QCI,c' 3, COVE/I l T',?Y PASS 3rrD ADDI TIO/V
AA.C17 T9 COfJNTY}A4INYVESOtA -
1 herebv Rrtl}y thet thit swWY. Ok? ? Fpdt wn ? swl bT w u t my dietot svperviflon p.d thal 1 em rIVIy RRgls?ereA lwA a,ur,YSyar ,
mAH Ihe lawr o1 !he StmtC o! Kinneaote. Dated +hlf d?y pf - A,p, 19-94L
eci t.c. ,. ?o. ?asf?•
I JCQIe : 1 ?`HV ?« ?? f ?4 Qb "-' Z
k
?•
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-18402-110-03
DESCRIPTION:
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
3886 MERSEY WAY
LOT: 11 BLDCK: 3
COVENTRY PASS 3RD
f, (GAS INSERT
31d-iv?g)Permit Type
ilding-VJork Type
\'1
\
L_\
1
r-•,.:i_./
B
& LINE)
FIREPLACE
ALTERATION
eurLozNc
022633
12/02/93
? a
?Q]Li
REMARKS:
FEE SUMMARY:
Base Fee $25.00
5urcharge $.50
Totel Fee $25.50
qEL'TPACTQG" - "NNiiuari? -
188 12073
850 W 1067N ST 22
BLOOMING70N MN 55420
(612) 881-2073
Lq5"R SS'U' J O E
3886 MERSEY WAY
EAGAN MN
(612)686-8312
T hereby acknowledge that I have read this appli.cation and state that the
9nformation is correat and aqree to camply with all applicable State of Mn.
StaCUtes and City of Eagan Ordinances.
?
APPLICAN7/PERMITEE SIGNATURE
-?, kAn R4A?.L.?rn?,1f
ISSUED 8 SI ATURE ?-
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: B U I L D I N G
3830 Pilot Knob Road Permit Number: 0 2 2 6 3 3
Eagan, Minnesota 55123 Date Issued: 12 / 0 2/ 9 3
(612) 681-4675
SITE ADDRESS: Lo r: 11 B L 0 C K: g APPLICANT:
3856 MERSEY WAY BEL-AIR HTG
COVENTRY PASS 3RD (612) 881-2073
PE?MJT?.S
U
?TYPE: TYPE OF WORK:
L
A ALTERATION
DESCRIP7ION (GA3 INSERT & LINE)
INSPECTION .. .
.A
ROUGH-IN FINAL
,
'. ,
REACTIVATE _
PERMIT # '
"41ILTS
CITY OF EAGAN
1993 BUILDING PERMIT APPLICATION $2Z.60
681-4675
- _?
SINGLE & MULTI-FAMILY
2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural 3 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 i.s requested once permit
is issued.
Date ?? - ? Yaluation of work
Site Address: 3K?? ??
SiqEET wiTE r
Tenant Name: (commercial only)
IAT ? 81ACK SUBD.
J P.I.D. tM
?
Descri tion of work:
The applicant is: ? Owner Contractor ? Other (Oescriba)
Name -405 f 5 s o J6t Phone 47,F6`Q'31Z'
Property LAST ii0.ST
Owner Address
STREET sre r
City State ZjP
- ? ? Phone 73
Company
Contractor Address License N Exp.
Z i p ? Z D
St
t
Q
a
e
6 ?
City -
Company Phone
AfChItBCt/
Name Registration #
Engineer
Address
City State Zip
Sewer 6 water licensed plumber . Processing time for
sewer 8 water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
licable State of Minnesota Statutes and City of
ll a
ith
l
pp
a
y w
correct and agree to comp
Eagan Ordinances.
5lgnature of Applicant: ??-?' --
OFFiCE USE ONLY
BUILDING PERMIT TYPE
O 01 Foundation ? 06 Duplex ? 11 Apt./Lodging
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc.
? 03 Sf Addition O 08 8-Plex ? 13 Garage/Accessory
? 04 SF Porch ? 09 12-Plex 0 14 Fireplace
O 05 SF Misc. ? 10 Multi. Add'1. O 15 Deck
woRK rrPe
? 31 New O 33 Alterations ? 35 Tenant finish
? 32 Addition 0 34 Repair 0.36 Move
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBL Occupancy
2oning
1 of Stories
Length
Depth
APPROVALS
Planning
Engineering
REQUIRED 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
? footing
El Final
? Framing
? Draintile
? Insulation
? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAL
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
5/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
v.luecian:
? ` ? ?a?
; [3016 Basemeftt finish
LL O 17 Swim Pool
O 18 Comn./Ind.
0 19 Coron./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
MWCL System
City Water
PRY Required
Booster Pump
Fire Sprinkler
tensus Code
SAC Code
Assessments
SAC %
SAC Units
RESIDENTIAL
FJ??03 BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681•4675
New Construction Renuiremenis
. 3 registered site surveys showing sq, ft. o( lot, sq, ft. of house; and all rooled areas
(20%maximum lot wverage allowed)
• 2 copies of plan showing beam 8 window sizes; paured found desgn, etc.)
• 1 set of Energy Calculations
• 3 copies of Tree PreservaGon Plan if lot platted after 711193
• Rim Joist Detail Options selection sheet (61tlgs wiN 3 or less units)
DATE °Z(° ^ (3 2'
SITE ADDRESS .l M fy') eQ-SQ-u W
TYPE OF WORK yvC ('o o-?- \?p S
MULTI-fAMILYBLDG _Y _N
FIREPLACE(S) _ 0 _ 1 _ 2
APPLICANT
STREET ADDRESS La-?? COrk'4e, ",N`v-S 7? CITY STATEMtj ZIP cn31`7
TELEPHONE #qyd -3 ELL PHONE # fAX #
PROPERTYOWNER L,oSASSO TELEPHONE#
-----------------------°----------------------------------------------°----------------°----
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ yIINN1:S(YC:\ 12UI.1:S 7670 CA"TICGOItY t MI\NFSO'f:l RIii.1:S 7672
(J submission type) • Residential Ventilacion Category 1 Worksheet Submifled • New Energy Code Worksheet Submitted
• Energy Envelope Calculalions Su6mitted
Plumbing Contractor:
Pfuinbiug systciii includes:
Mechanical Contractor:
NIccliatlic.il systcnt includcs:
Sewer/Water Contractor:
-- Air Conditiouing
Hcal Rccovcry S}'slcm
D
Pee: $90.00
-?1
uu '
? _---•
y J- _ _.. - •
""""""""'""""'""""""'""""""...."""""'.._"""""'""""""'"' ------------
I hereby acknowledge that I have read this application, state ihat the information orr t, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinanc
Signature of Applicant ?
------°-----°--------°-------°---------------°-°----------°----°--°-°--°-----°-----------'
OFFICE liSE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
Watcr SoFlcncr
Watcr Heatcr
-- \`o. of Badis
?i (''-1 5
RemodellReoair Reuuirements
• 2 cooies of plan
• 1 set o( Energy Calculations kr hea[ed addilions
. 1 site survey for extenor additions 8 decks
• Indicate if home served by septic system for additions
VALUATION
PllOtle # .
_ I.awi 5prinklcr
No. ot R.I. 13adis
Phone #
OFFICE USE ONLY
? 07 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plez ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/DOOrs
? 34 Replacement 'Demolition (Entire Bldg 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 Bldgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (additiou) _ Plumbing
_ Founda[ion HVAC '
_ Drain Tile Other
Roof _ Ice & \Vater _ F inal Pool
Ftgs AiriGas Tests Final
_ Framing _ _
Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ _
Final _ Windows (new/replacement)
_ Insulation _ Retaining Wal]
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
LvC1Lt Iol
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-575-5675
Please compiete for: single family dwellings &[ownhomes/wndos when permits aze required for each unit
? 30.so
Date ! 06 / 14 / 05
SiteAddress 3886 MERSEY WAY Unit#
PropertyOwner MARf;ARFT Tf1SAS Sn Telephone#(651 ) FRti -83-19
Contractor RON'S MECHANICAL. INC.
StreetAddress 12010 OLD BRIC K YARD RD C<<Y SHAKOPE E
State MN Zip 55379 Telephoneit ( 952 ) 445-5585
Bond #: Expires:
The Applicant is _ Owner X Contractor ` Other
Add-on or alteration to existing dwelling unit $ 30.00
fumace _Additional _Replacement
air exchanger
? airconditioner _New v?Replacement
other
State Surcharge $ .50
Tota? ' $ 30.-Sb
I hereby apply for a Residential Mechanical Permit and acknowledge that [he information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the Ciry 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 wiYhout a permit; that the work will be in accordance with the
approyed plan in the case of work which requires a review and approval of plans.
lJ L,nda Jev na.vd,er
ApplicanYs Printed Name ApplicanYs Signa e Ij , ''I =?l ; ??1 r
: 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 separate permits are not required for each dwelling unit
Date
Site Street Address Uoit #
Tenant Name (iTapplicable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephooe # ( )
Bond #: Eapirer.
The Applicant is _ Owner _ Contractor _ Other
Work Type
New Construction _ Underground Tank _ Install _Remove *'see below
Interior Improvement _ Install Piping _ Processed _Gas
Nature of Work:
'*When instalfinglremoving underground tank, calf for inspection by Fire Marshal and Plumbing Inspector
P¢t'mlt F¢¢5: $70.50 Underground ffink installatiojVremoval
$50.50 Minimum (indudes Sh[e Surcharge)
OC
Contract Value $ x 1% _ $ Permit Fee
• If ermit fee is $1,000 or less, add $.50 State Surcharge
If pe rmit fee is over 51,000, add $.50 for
every $1,000 ermit fee $ TotaV Fee
T hereby appty for a Commercial 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 oFEagan 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.
ApplicanPs Printed Name
ApplicanYs Signature
ApproVed By: , Inspector
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÷
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA139493
Date Issued:10/25/2016
Permit Category:ePermit
Site Address: 3886 Mersey Way
Lot:11 Block: 3 Addition: Coventry Pass 3rd
PID:10-18402-03-110
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
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: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Abby N Desanto
3886 Mersey Way
Eagan MN 55123
(612) 382-6661
Crew2 Inc
2650 Minnehaha Ave
Suite 100
Minneapolis MN 55406
(612) 276-1680
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA167255
Date Issued:03/04/2021
Permit Category:ePermit
Site Address: 3886 Mersey Way
Lot:11 Block: 3 Addition: Coventry Pass 3rd
PID:10-18402-03-110
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. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
*Roof permits issued between December and March will be inspected in the spring or when weather warms up.
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 -
Lilian Ferguson
3886 Mersey Way
Eagan MN 55123
(651) 457-7337
Walker Roofing Company
2270 Capp Rd
St Paul MN 55114
(651) 251-0910
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