3902 Thames Ave
INSPECTION RECORD ~
~ CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: ar .'t}.' 1 1
Eagan, Minnesota 55123 Date Issued: o~ ii i t
(612) 681-4675 ~
SITE ADDRESS: 1111 t, F Mk. , 000 APPLICANT:
I 1 10. t NloMr AVi i ilt VO f iI 1A1VJ1 f, ! hli.
r1IVf'NiPY f'A`,`_, (r,1.') PERMIT SUBTYPE: TYPE OF WORK:
~~i r~~ t?
r
~ INSPECTION .
:.rr I
I! .
` #ti .lI l /1I !!rN ; INA1
i
I
IJt' Mfltth lif 11'j i! s. t~ t•I I~i~ L ri! 1 tI'! Iti•
~
' ~ J
~ wmn No. wTnn ?+ow.. o.s. ToMpnore #
r
stw
PLUMBING 9 !~-~~p2~
HVAC
ELECTRIC
ELECTRIC ~v
k~qetbn Dtlr 1nsp. Comnonta
Foodngs I
Foundation
Frwning
Roofinp
Rough Pbg. -'7,,72
Rough Mfl. ~yIY3
is,l. '/y k t~
F'replac° 9d
F"W "V-
aso Tom ~ 7 1V
Fkal Pbe• Plbp- ir~sPecia - NoNN Pa,mesr
p
Caris1. Mater
EI?yfJPlen
FkW
Dock 1`14
Do* Rnal i
Won i
~
Pr. Disp. i
~
~
fi
MM of pagan
~This Certificate issued pursuartt to the nquirrmertts of the Uniform Building Code
cerrifying that at the tirne of issuance this structurie was in compliance with the various
ordinances of the City regeloting building construction or use. For the following:
useaaagifiacionW DWO sW Ptrmic No. 2Q21 1
ODMWNICYTyPe R3 1 Zo,,;,g DMict RI _Type ConsL VN
owoer of suiking ME RFP1IM OD IlE Addmu 5201 E RIVER RD, FRIQ$Y
I Bildin Addras M MW AV6ZIlE Locidi~, L3, B2, O~VH4II~t PASS
-f~ 03/}7/q3
Doe:
.~9
auiimngaffcw
POSf IN A CQNSPICUOUS PLACE
Address 3902 lttarfes nvEN[E Zip 5512 3
I.ct • 3 Blk 2 Sub !:ovavrxY rnss
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION.
Date: 03/ 17/93 Yes No Inspector:
Final grade (6" from siding) ~
Permanent steps (garage)
Permanent steps (main entry) ~
Permanent driveway ~
Permanent gas ~
Sod/Seeded grass ~
TraiUcurb damage ~
Porch ~
IIasement 5nish
Deck v
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in righhof-way or installing underground sprinkler system. ~
White - City Copy Yellow - Resident Copy Pink - Contraaor Copy
K 5J 2~9
5
~ - III
Rapuest Daie Fne No RougRin4nspeclion ~~~LLL
' Reqmred? ~eatly Now ? Wdl Nonly Inspeda
Ves C N. When Reatlyl
Icensed cornractor O owner hereby request inspechon ot above electncal work aC
Jo0 AtlOress (Sireet. Bae or Rou N. ~ ChY
3 0 ,2-
Setlion No. TownsM1ip Name or No Renge No. Co
Occupa IPRINT) Phone No
Pawer Sup ier ^ hdtlress
~ l..Cf[~C,
Eiecvwai nvac r(COmpa~n rv^ e~ ConVectwS LaenseNo.
Gl'e.c~ C DD3 fr'l
Mdding AOtlre55 ICOnVBt[Or Or wn¢t Mdking Installd00n)
Aumonzea Signawre ILonu clo2: Maang Instail n, , i Phone Numeer
b - 3~'~v
MINNESOtA STRTE BOARD OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT
Griggs-Mitlway 81Eg. - Room S-173 BE ACCEPTED 8Y THE STATE BOARD
1011 Univernty Ave.. SL Feul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Vhone (612) 6,12-0800 ENCLOSED
C?151~~- REOUEST FOR ELECTFLCAL INSPECTION EB-OOOOt-08
See insvunions ior co~Apleting thrs lorm on oack of yellmv mpy
/5~`r~/
Ka-5 5 219
"X" Below Work Covered by This Request
ew Atld Rep. TypeofBmltling AppliancesWired Epuipmen[Wirad
Home Range Temporary Service
Duplea Water Heater Electric HeaLng
Apt Building Dryer Other (Specity)
Comm./Mdustrial Fumace
Farm Air Conditioner
Oiher(syecily) ConVactor's Remarks:
Compute Inspection Fee Below.
N Other Fee # Service Entrance Size Fee # Cirwits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
SignS Inspecror5 Use Only: / I TOTAL
Irrigabon BoomS J~ O S S~
Special InSpection
Alarm/Communication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspedor, hereby Ro°qh-'" oa~e
cerufy that the above inspection has F~nai Da ~ 7 t1
been made. ~ ~
OFFICE USE JNLY
Tnrs repuest vaa 18 momns hom
~ K 70734111-9193 #16y ~ lelv/
Raquest Daia ~ F e No Rqoughptl-in Ins wn
? R6a0y Now NWiII Nolity ln7BCto
~ Yes No When a
Q~
I'-Xicensed coniractor ? owner hereby request inspection of ab eledrical work-
r
Job AtlOress (Sireel Box or Ro te No.) Qry
`3 62_ Q.ue_
Seaon Na Township Neme or No. Range No Cou
OCCUp IPPINTI Phone Na
Power u Olier~ Mtlress
Elenn tr m5lCOmpany mel Conlracor5 L¢ense No
003
Mann daress iCOnvanor ar er M' mg InstallaLOn)
nwrwnzeo Signamre iConva onOwner nsiauaironi Pnone NumOer
¢6 j - 3,?io
MINNESOTA STATE BOARD OF E ECTRICITV THI$ INSPECTION REOUEST WILL NOT
Gripga-MlEway Bltlg. - Room 5-073 BE ACCEPTED BY THE STATE BOARD
1821 University Ava.. St Peul. MN 55100 UNLESS PROPER INSPECTION FEE I$
Phone(61]) 602-0B00 ENCIOSED
REOUEST FOR ELECTRICAL INSPECTION '-::~q ee-ooom-oe
.
K 70734 Sea msi-ucLOns lor complelug this lorm on ~ack ol yellow copy '
~
8'elow Work Covered by This Request ~ /5~y/
~ Oy
e Adtl Rep. Type of Building Ap0liancesWved EqmpmeniWUetl
Home Range Temporary Service
Duplex Water Heater Electnc Heating
Apt. Builtling Dryer Other (Specify)
Comm./IndusVial Fumace
Farm Air Conditioner -k ~ Olher(syemty) Convactor5 RamaM1S:
Compute Inspechon Fee Below:
# Other Fee # ServiceEntranceSrze Fee # Qmuits/Feeders Fee
Swimming Pool 0 to 200 Amps 9 o to 100 Amps
Trensformers Above 200 _ Amps A _ Amps
SignS MspecrorSUSeOnly. md TOTA~
Irrigahon Booms t TA l!l
Speaal Inspecllon ~ d G ,
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby R0°qn-'" od1e "
cerhty that the above inspechon has Fnai ~A ~a~3
been made. GC (O
OFFICE USE ONLY
This reQUesl voitl 18 months Irom
~C CITY OF IEAGAN PERMIT PERMIT TYPE:
3830 Pilot Knob Road B U I L D I N G
Eagan, Minnesota 55123 Permit Number: 02 0 211
(612) 681-4675 Date Issued: 01(08/ 9 3
SITE ADDRESS:
3902 7fiAMFS A'JE
LOT: 0003 BLOCK: 0002
COVENiRY PASS
P,I.N.: 10-18400-030-02
DESCRIPTION:
Building Permit Type SF DWG
Building Work Type NEW
UBC Occupan6y R-3 M-1
ConstrueCiqn T-vpe V-N
Zoning ~ R-1
Bui.ldinq Length ; 53
Building Width ~ 34
~ /F %.=,~r` 'r,_ -
. l_...~ ~L~._ ~.J.~~. V':,..'. .
i ~ .
REMARKS:
REL'ETPT # C 5& W PLBR - VAILEY NLBCi
FEE SUMMARY:
VALUATION $138,000
Fiase Fee $772.50 MSSCELLNNEOUS $1,744.50
Plan Review $502.13 l'otal Fee $3,838.13
Surcharge $69.00
SAC $%50.Vi0
SAC % 100
SAC Units 1
Subtotal $2,093.63
CONTRACTOR: - ApPlicanr. - s-r. LIcOWNER:
THE ROTTLUND CO INC 15710304 0001335 THE ROTTLUND CO
5201 E RIVER RD 5201 E RIVER RD
FRIDLEY MN 55421 FRIDLEY MN 55421
(612) 571-0304 (612)571-0304
i hereby acknowledge tYraY. 7 have read this application snd state tha't tha
in'YormaL'ion is correct and agree to r.cmpiy wiCh all applicWble St.atc of hin.
5Tatii~. s and City p'P Eaqan Ordinances.
~ -
od I M1f
A P ICANT/PERMITEE SIGNATUFE ISSUED Y. IGNAT RE
'
PERhlIT ~Y ~q~3 CITY OF EAGAN C-~(°~4 Z/3
~f ~ i 92 BUILDING PERMIT APPLICATION $3,~~~~, t3
681-4675
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 of energy calcs.
JA h 0 R
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 93 Valuation of wor 49 0c;'O
Site Address: 3°~02 T1%aJ^es AAx
STREET STE 8
Tenant Name: 't+C- 1?a+44u1\J CPo• T-vIG-
LOi J BLOCK Z SUBD CoVe~~ s s P.I.D. i
+J
Oescri tion of work: Siq (G4~ww., l
The appl icant is: Vr1Qwner M Contractor ? Other (Describe)
Name Ttne-- (Zoi=1-(.,nd G- rnc, Phone 57~-050
Property LAST FIRSi
Owner pddress S"20t E •2: Ve-f '301
STREET ' STE I
City ir'idLe State bN Zip SS Z.l
Company SdWAe_ Phone
Contractor Address License # 133T Expz -q
City State Zip
Architect/ Company Phone
Engineer Name Registration M
Address
City State Zip
Sewer & water licensed plumber PNVAINN . Processing time for
sewer 8 water permits is two days once are has been ap roved.
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: .
v~ ~ ~v~ vvr v~~~~
BUILDING PERMIT TYPE , . ,
? 01 Foundation 0 05 Apt. Bldg ? 09 Basement Finish ?~3~u
~ ~ FMc.
02 SF Dwg. ? 06 Garage/Accessory O 10 Swim Pool O 14 Agricultural
? 03 Two family ? 07 Fireplace ? 11 Res. Add./Porch ?`15 cellane7us`
O 04 Multi-fam. T.H. ? 08 Deck O 12 Cortm./Ind.
WORK TYPE
W31 New ? 34 Repair ? 37 Demolish
? 32 Addition ? 35 Tenant Finish O 99 Undefined
? 33 Alterations 0 36 Move -
GENERAL INFORMATION
Const. (Actual) V-N Basement sq. ft. MWCC System YE~
(Allowable) v_ N Ist F1. sq. ft. City Water
UBC Occupancy R_3 M_i 2nd F1. sq. ft. PRY Required
Zoning Sq. Ft. total Booster PumP
# of Stories Footprint Sq. ft. Fire Sprinkler
Length 53' On-site well Census Code /O/
Depth 34, On-site sewa9e 5AC Code 01
APPROVALS
Planning Building Assessments
Engineering Variance
REGIUIRED INSPECTIONS
? Site ? Footing ? Framing ? Insulation
D Yallboard ? Final ? Draintile O Fireplace
Permit Fee v.iL.eim: s 38 DO~^
Surcharge
Plan Review GACZn,csC; .?,oX26=52o x 16= 8320
License 4SMT; zg X 2g = 78q
MWCC SAC ,~o x i y_ 2 go
City SAC
Mater Conn. I5T 1064 x i5= 151960
Mater Meter -
Acct. Deposit gS1.1T c I qbq
S/W Permit
S/W Surcharge ~(dx1,67= /o
Treatment P1.
Road Unit f p-7 q X 53 - r9~Z
Park Ded. ZN ~ F~
Trails Ded.
Copies
Other 56/39 2
Total:
5AC % I oo ~ 3'?, S`!LI
SAC Units ~
P.et
K * * * ~ , 2422 Enterprise flrive
* Mendoko Heights, MN 55120
* P101116ER wro S,RVE,MS . aVIL tNONE„ (stz) saI-1e14.Fox e81-9489
* engneering LANo "FERs . LANDSCAPE M~TS 625 Highway 10 Hwtheeat
* elcine. MN 55434
* * (812) 783-1880•Fax 783-1883
Certificate of Survey for: ThE Rottlund COm OCIy IfiC
Mouse Address: Thames Avenue Eaaan MN
Model Name: Hnmpton
~
I s~ ~
/
$8„ 2
~ ~ ' ~z„ e~?.~ "I~4 5a w
/ /Afi N ~ ,7p~ qg(„~ q 7a 8
'e,u 993~ ` 7
-4 ~ 6.0 ~ ~ ~ ~
~aA & ~ 980,! ~
ra
a?~~ ~98t~, ze ~ .114
53 ? 98~.a 984.? 3 ~ °
~
+`180.~ ! O~.113
~ Q37
H S ~ /ls
6 ~
b842• ~ ~ ~ 1
w b D
BY
ate 4 9 z
EAGAN YIVGINEERJIdG DEPT
i
x aoo.o Denotes Exlsting Elevation pROPOSED HOU5E ELEVATION
.qloo-O Denotes Proposed Elevation Lowest Floor Elevation:879.85
- Denotes Drafnage & Utllity Easement
- Denotes Drainage Flow Direction Top of Bloak Elevat(on:888.66
--o-- Oenotes Monument Garage Slab Elevation:888.33
--g- Denotes Offset Hub Bearinga shown ore ossumed M
LOT 3, BLOCK-2- COVENTRY PASS
DAKOTA COUNTy, MINNESDTA
1 hwa6y certity, thK thb furwy, plan or rtpprt was pre{qred yy mgw~ u~nder my Alrett WpYrvkton tnd ~hat I am duly ReglitBred Lond SurvYYa
under the laws of the Stete af Minnewte. Dated thii~C dav ol.-LL_ A.D. e-
a,e. lkLqh `3 O•"• aBEATB: IKCM .St
Sc
(
R '
. • IAT BIIRVEY CSECICLIBT TOR REBIDENTI7IL
~ BIIILDZNG PERMIT 71PPLIC ION
pROPERTY •*GI1L•i ~
Dite Of B1lrVepi /o- ~Y/ ~ q Z-
p4C NT BT7L**9 stna
M""0 0 • Reqistered Lnnd Surveyor siqnature and company
0 • Buildinq Permit ]lpplicant
•
•
r r) • Legal description
0 0 • Address
Q-~0 0 • North arrow and bar 4cale
GYf] D • House type (rambler, walkout, split v/o, split arrtry,
lookout, etc.)
L'0 • Directional drainage arrows vith slope/gradient i.
0',D 0 • Proposed/existing sewer and vater services
0 • Street name
O' 0 0 • Driveway
LLEVATIONB
Exiatiaa
8~"~[1 0 • Sewer service
0 0 • Lot corners
? • Top of curb at the driveway
0 ? • Elevations of any existing adjacent homes
/ PrODOaed
D/ Q 0 • Garage floor
ef/ 0 D : First floor
~ Lowest exposed elevation (walkout/window)
0 • Property corners
0 0 • Front and rear of home at the foundation
PONDING AREAB (if aoolic b].t
D Fl 0 • Easement line
0 0 0 • NWL
0 ~ 0 • HwL
0 df0 • pond # desiqnation
D O a • Emergency overllow Elevation
DZKENBSONB '
0 • Lot lines
~ 0 0 • Right-of-vay and street vidth (to back of cvrb)
0'0 0 • Proposed home dimensions includin an
g y proposed decks,
overhangs qreater than 21, porches, etc. (i.e. all
structures requirinq permanent footings)
00 • Show all easements of record and any City utilities within
those easements
0 0 • Setbacks of proposed structure and aetback of adjacent
existing ho
0 0 • Retaini al r irements, if any
- Reviewed:
ame Dat
/
October 1992
• HfFMPToN .
FcTFrien vuvr•.t.rn•Y. nvi•:rnr,i: , u" C.nrtru'rr,•ri,)rj TNE
S=TE ADD?ESS Lor z P
~
~i,e.rl'~rr.t }K-s
CGi1T?t,aC?03 PDT711-C,11VO GD. D.\Tr -
PHi)NE
Deter~in vorkini; squnre footar,c of c¢ch.
1. To' al er.pcsed vall eren 2CO~JS. 2 sn. ft. x o•1'-
• 2. Total reof/ceiling arca ft. x e.0..0 _ 2' G
•
Yotel exposed wni1 arca nbove flonr = 2Fa7S ~
a. Total vall windov area 2 ~ 7•~
,
_ b. Total door area
~
c. Total sliding glasc door area d. To'lal fireplece vyll area
e. Total va_1 ;raming a:ea (average 100,) 2 ,
f. Total net well aren nbove floor . . . z z.b •
g. Totzl rim joist area .
,
Total exposed foi:ndotion arca
'
h. Total foundc:!on vin3ov a:ce ,
Tota1 net foundstion a-ea above gr.ade
~
~ . Dete:-rr,ine "U" va1Le o; eech vall :r.F;ment.
~ . a. 2l7, 7 x 1:ull cv, 42 - ~j 1.43
b. -7r. _ z..U„
- ~ c . 39. ~ l X„~„ 7~
d. X
e. x...u„ ~.O~Jq = ~~~DO
r. l9Zz,oC~ X0,0¢3
. 2 43. Z X„t~„ q, q ~
h. X
X„U„ . 4, I r{' _ / O Z
3 . . ro t.a.,
If itet.^. a3 is the same as, or les~~ '.h:,n iLr.ia pl, }rou navc met the intent
or ssC 6006(c)3.
Tot¢1 ezposed roaC/ceilinr nren
\ ~ . . _
Total gross roof/ccilinr, arc:i
Totel skylieht erea _
k. Total roof/ceiling framing area............... ~-27 1. Total net insuleted roof/c°ilin~; area
Detc-mine °U" vnluc for cnch ruuf/cci I ini; sc+,~cnt.
nUn _ • k: z„u„ 62. n 2-7
1. x „u„ 67.a2Z
a . Totai = Z 3 ,9
• e~
If to:al of q4 is the same as, or less than N2, you have met tYke intent of
SBC 6oo6(c)1.
To utilize the total envelope syste= method, t1e values establiahed by the
suc of items N3 and N4 shall not Le sreater.thxn the sum of iten:s A1 and N2.
1. ± 2.
- 3 , • + 4. 0
.=VkI.U~ GAI.GI,N.A'(IDt~ ~GcNT~,
-rr-AMr,- WAU. G~ I N,~A-I LAjPN
LOMPON~N-fZi . - . R-~IAI.U6
- ~ I-) o.i.fr~DE AIF Fii.M O,I'1 - -
2
~ 3 -
'
INM.Al1cN. 19.0
4 ~5 yn GiP, ep o, 45 -
" 5 `G IC~7ID~
_ Pfi~TPC,= 2 3. o ~ -
-FFAMG WAU. C. 6;TL4D .
LoMPaN~N j5 . - - ~-VALU5
IC o_u'rt7loE Piiz Rtau. - - --0.1"1..---- -
„ 1 i
IDIN4.. . : 0:L2:_
3 3~ 67N5A'(HiNb, 2.OG _
4 f~ h'PaD(FPAMKk) - -~,-~g-_~---
~ 5 ~ ~2-~'~p• a;45 -
ir~im MR Rt-M.
- - - ~T~~;-_-1I• I c~-
_ p~.l~N• ~/I~In~. . U : ~ ~ o. 089.
s
G~1N
i = f~). (
U= D,12 X o.0t~9) t(o, Sb X 0•043)
-
° 4-7
~
13 I .
4 I O 5H1:5r4'~HIN(v. _ Z.GL
3 0 ~~~._P~I~,-~jLM• _-0-1 I.:.. ~ ;
i ~
/
c
. . % ,
? , ~ ~ ~ ~ {IS -.-s~O- ~~~~i
3 CZ..~hL..~L~,
i
t
0.
I ~
3
2. 1
. ~ I
- - --~?-CU~~~ - i
;
i ~
, 2J
p;----
4O
O I~u-kif?-F~GM•
i
3 4 5 R= 3~-8-3---
- - = = 0, 027
u ~5.87
lwz
I 2
=a%~1---=---
'
- ~ I~-~ff~~IcM_----
~
0.022
~
. C~i ~U 3
/ RESIDENTIAL
~ BUILDING PERMIT APPLICATION
2n ~ CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
~ 651-681-4675 ~
NewCanstructionReaulroments RemodeVReoairReauirementa
3 re9 stered site suneYs showin9 sQ. ft. of IoC sq. ft. of house; and all roofed areaz • 2 coDies of Plan
(20%maximum lot covera9e ailowed) . 1 set of Eneryy Calculations for heated addi6ons~ • 2 copies ol plan showing beam 8 windaw sizes; poured found Eesign, etc.) • 1 site survey for extenor additions 8 decks
• 1 set ot Energy Calculations . Indiwte if home served by septic system for addiGons
• 3 copies of Tree Preservalion Plan i( lot platted after 7/1193
• Rim Joist DelaJ Ophons selection sheet (61dgs vnth 3 or less units)
DATE G217 q) o-z- VALUATION ~ZD~
SITEADDRESS MULTI-FAMILYBLDG _Y _N
TYPE OF WORK 1~ i'D' i't-'ZS~fir FIREPLACE(S) _ 0_ 1_ 2
APPLICANT
STREET ADDRESS ~!3 S~ ~ ~wGk S 1~ ~ re Pw+l„ CITy I 6-7 N STATE M^' ZIP SSC~-lb
TELEPHONE # 6919-- (-3(~% CELL PHONE # FAX # e R99 - I ? $8
PROPERTYOWNER 1o~t~-%n(Sc~ ?~sKU2 TELEPHONE#
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ \4INNL•'SO"l':1 RUI.L:S 7670 C:1"I'CGORY l MIV R-C}'17i2~.I].S 7S715
(d submission type) . Residential Vendlation Category 1 Worksheet Submitted • N ergr ~Odp Wpr4454p~Qt S~ tted
vUIV u 4 CUUL
• Energy Envelope Calculations Submitted ~
By
Plumbing Contractor: Phonc #
Plumbing system includes: Water Softener I.awn Sprinl:ler Pce: $90.00
Watcr Heater No. of R.I. Baths
No. of Baths
Mechanical Conhactor: Phone #
X-Icchamic:il syslcm includcs: _ Air Condi[ioning Fcc: $70.00
Hcat Rccovcry Systcm
Sewer/Water Contractor: Phone #
I hereby acknowledge ihat I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicanf
OFFICE USE ONLY
Certificates ot Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
? 07 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling O OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-ptex ? 77 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 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 Aiteration ? 37 Demolish (Bldg)' O 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) _ FinaWi o C.O.
_ Footings (addition) _ Plumbing
Foundation H V AC
Drain Tile Other
Roof _ Ice & Warer _ Final _ Pool _ F[gs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ W indows (new/replacement)
_ Insulation _ Retaining Wall
Approved By , Buifding Inspector
Base Fee
Surcharge
Plan Review
MGES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
;3ISE ONY.% ;
•
, .
C~'~"~'
, . . ;.M~<
'_r. ' . .oy.. . .g ..~.~.~:::p. R:.~p~iy~~::~5::~••yi
~L . ~ . . : . ..:z;;~
. ~
. < .
. .
: . . . . .
. `
, .
. . ~ , . . . ..F:.
; , . . : <.;
: .
.j.
u:..~.v ~ .
1993 PLUMBING PERMIT (RESIDEIV'TIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT•
- - - - - - -
NO. FIXTURES EACH TOT~
~ SHOWER 3,00 3 ~
WATER CLOcET 3.00 CA -
~ BATH TUB 3.00 (1 -
LAVATORY 3•00 q'
KITCHEN SINK 3.00 ' f
LAUNDRY TRAY 3.00 ~ -
HOT TUB/SPA 3•00
~ WATER HEATER 3.00
~ FLOOR DRAIN 3.00
l GAS PIPING OLJTLET • minimum - t 3.00
ROUGH OPENINGS 1.50 "
WATER SOFTENER 5.00
PRIVATE DISP. • nercy. iic. 15.00
U.G. SPRINKL.ER • nome unaer mnsl. 3•00
ALTERATIONS • to edsun8 15•00
WATER TURN AROUND 15.00
STATE SURCHARGE .50
TOTAL: ` 1
~q
SITE ADDRESS: J IO ~ 4pv~
{`~lj~ _
OyVNEA NA1vtE: RO V~k~ - J _
INSTALLER:
ADDRESS:
~ ~Z
ST3
CTT'y: \1 0 cc a, STATE: ZIP CODE:
PHONE (c,
SIGNATC7RE OF PERMITTEE
t7S~,'CyN;C:Y
~u~,..,
..._.A...:.
v...
~:z,....:..a:
[ ~.j.
..A :.,3~5 i..f~.~t3, w•'`:~:'~?'..
a..;Y::..:...: ,
d.~.~~' .
. .nn . .'..4~..:,~~.%:::)...~ ....x:.:.'.:
.3
.o..:......?.~:.
- ...~:',..............R~ . .Lo..:.
4.~:..._ :a ..::......:..w.~ ..<c:j
. . . .~..r.....:d....c n.. ....,f,..~.?r ~~q..~... . .
o. ..n.....~... w..s.v ~....~...5. . PfL. .A...ww., n ....~.y:-n
. ~ ......:~<::R..::
...>:.a...:.:.:.:...~ ...r . .wo<..., n :.rv,.:::.: ~~...:....~:~trc...:t ~...<~.~n...., .
. . n . h...<.>:~ R
'k;~:::,... , n .
n w......... c.....'. a:o-j
~.>.....W. . - h' . i Y:H:.... .;:n.nki::?°i::+`.`£:io....: . .
x••s^s:,;~r:<:z:... a i , o:xiiK 3'.6:;;:..t ~:_y:L:g.~a; d:i;:•.:<p:.:. ~~:fi:4
.........n ~li:
•Ql~ .:M.~::: . .ti~4 ..~.'.'l`'~::'::.:.:'3>~S :r .v^) T ~u:H~SJ+iY^iji=.. ~5; '.,L..<..:'.-~;m•' 'T..
...r:
. . o. ~n.:.'uF...'~'~.x'.:~. c•3(:~ : (f".: F:.:~:i%.,~i,:~.r. . E V
~ .,.;.r . , ~„.:.,..t ,
. . .
.
.,_.c ..............::x.~....,....... . „ar',aY~....w:.r...,:a:.xA::,:,.. ....,....~..5'A.........a.,..,....,......:...~r..,....:;,a,.;.:.,~.wi.:;.,..w,..... >.wv...::.;.......,.. .~'..kw.,
1993 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PII,OT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL COIvIIvIERCIALJINDUSTRIAL BUILDINGS. ALSO FOR MULTI-
FAMILY BUILDINGS WHEN SEPARATE PERMTTS ARE NOT REQUII2ED FOR EACH
DWELLING UNTI'.
_ NEW CONSTRUCfION
ADD ON
~ REPAIR
WORK DESCRIPTION:
CONTRACI' PRICE: $
FEE 1% OF CONTRACT FEE.
STATE SURCHARGE $.50 FOR EACH $1,000 OF P~ERMYf FEE
MINIMUM FEE: f 25.00
CONTRACT PRICE X 1% $
STATESURCHARGE $
TOTAL $
SITE ADDRESS:
TENANT NA11'IE:__. STE. # _
OWNER NAN4E:
INSTALLER:
ADDRESS:
CITY: STATE: ZIP CODE:
PHONE
FOR:
CI1Y OF EAGAN APPLICANT
OW>vsE onn;Y '
..t.~
B .,Y
.m L:~
. ..:..::<<.:::;;:.-::.............,.:...
..r.E.,
• :
_
>
, .
r,>.,.. , ....r ;
,.l'.. , . .
. . ;
- , . s ..:..:.:.s::,,~
. . i.: .
( . ~ :
. .
, .
. .o:.~.~.
~ .
,......t.. . _ . . . ,,:e ....-:s~::.:.: :<:s;~~.c;::~
.
, . ~ . . . . . . .
. . ..<.......,...y,..:,..........
. . ..~..i . .
.~:.:,,..t:v:ro::.:._.>:.... .
. . . a:r:....: ~
< <~e:.:t,.;:'~
~ .~.~.x.~~a,~.~a~.w...~ . . , . ,
:z:<.:...:.,-.,:...,......:::.....,.~.m.....:.._a.,.:.~. ' ~
1993 MECHAN7CAL PERMTT (RESIDEIVTIAL) ~
CITY OF EAGAN
3830 PII,OT KNOB RD
FAGAN MN $5122
s (612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
NEW CONSTRUCTION
T ADD-ON A/C
ADD-ON FURNACE
DATE
FEES
HVAC: 0.100 M BTU $ 24.00 '
ADDITIONAL 50 M BTU ' 6.00 '
GAS OUTLETS (MINIMUM 1@ 53.00 EACH) I
ADD-ON/REMODEL (ExIsT[rrc CoNSr?iucnorr) $ 15.00 '
STATE SURCHARGE .50
TOTAL ~r s ~70
stTF qDnuF_Ss; ~y0,7 TiS~rYJCS L~vz°
OWNER NAME: TELEPHONE
INSTALLER FSWMONEATING ANO AIR CONOffIONINGI
- 410 WEST~LAFCE STREE3 ~ -
ADDRESS: MINNE?rous, MN 55408
CITY: STATE: ZIP CODE:
TELEPHONE orl
~
SIG ATURE OF PERMITTEE
~..,..........,_..w...,._~,~~:.,.~.:~,:.,-..,Y.r.:..,,..;n.
y..
. . : ~ . . . w..
L .:y:.:.., iS:a-:a '<.:~x'~'1'iflii':l'r•iC~.1lP.`;y:' ~iri~„ ~»:r
...c :..,::.r.a?:.,.. ,,;v• ..L,.. ~r~,:~'.:a!~:..;.
,
•.....i
x:
r z
.5:~..... ~
.•:Y
,.~t~~... qa +r. a. . '~@,
. . . ~~x.. . . ' , 5:~:..~~ .
~:a:.s~x ..t .>YJ.. . ~::a ;::d^'.5.:9••'2~~~~ ::ro.~~
D.....<..:,,. w..
...:.:r.:l:..-,....:.:>,...r., ....,F ! ~x.;•. ,.aw....,,. E;:'<'<.,..,~:.,., crr.rs:z°~,~~Y~,..,.,,..: .:~.n:
1993 MECHANICAL PERMIT (COMMIIiCIAL)
CTIY OF EAGAN.
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 6814675 .
PLEASE COMPLETE FOR ALL CONAERCLAIJINDUSTRIAL BUII.DINGS. AISO- GOMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMIL,Y BUILDINGS. WHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING iJNTf.
DATE: CONTRACT PRICE: $
NEW BUILDING
INTERIOR IMPROVEMENT •
WORK DESCRIPTION:
FEES
1 °lo OF CON'TfZACT FEE $
PROCESSED PIPIh'G: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF TT FEE. ~
TOTAL $
SITE ADDRESS:
OWNER NAME: TEI:EPFiON,LE #a 7
TENANT NAME: (IMPROVEMEN77S ONL1)
INSTALLER:
. . , '~^+a"r+r•«r• ~ _ ,~t-.,: ,•~~z'
ADDR'ESSy:,
' r ' • ' ~ _
. . , r . S;I'ATE~:;; ,
,.s~ r.~ W., a e • . . ZIP COO "DE~• ~ .
TELEPHONE
SIGNATURE OF PERMITTEE CTTY INSPECTOR
i
:..n... T
:s .L:.:... [
. ~
.
. .
..~.....,o.,.:..
: :.,.s:t:::......r:.
. :..r.::°.~.
. . . .<...,~..::.,P::;:
r . . . . . . ..:.......s:,'::...;.o...,... i:(~~
~ . , , e . . . .,....:..<.~....r... ,
. . . ..:.:..:........:..r.~......,.:...>.<.......,.......::.::.:.,:;...::_`:..D:G'i:E%:::....,,., .,:;:r..
. . ..k.. ~ ~..%.s..: .
>
. ' -...a.y.,,n..~.>.:.::
.
`.;:w.^.:>;::::~ . a~.aP.... ..n:.::... : a. . . .
.»...,a..~.:.:..,:=.,~...,.~:.,..~.w.<.: . . _ .
MECHANICAL.PERMIT (RESIDENI7AL) ~
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT.
X• NEW CONSTRUCTION
ADD-ON A/C
ADD-Oi I FURN?.CE
DATE
FEES
HVAC: 0.100 M BTU $ 24.00
ADDTTIONAL 50 M BTU 6.00
GAS OUTLETS (MINIMUM 1@$3.00 EACH) 3
ADD-ON/REMODEL (EXISTiNG CONSTRUCI'ION) $ 15.00 '
STATE SURCHARGE - .50
TOTAL
STTE ADDRESS:~J~~/~~\NGs~S
OWNER NAIVIE: TELEPHONE
INSTAI.LER: •
ADDRESS:
CTI'Y: STATE: ZIP CODE:
TELEPHONE
SIGNATURE OF PERMITTEE
•
..,...x~...,...~,... ....ryarY:'&^•fi~..c:#a~.~~ ilA7A7ii:~17AIL:y..Mi •...T':!
~ ` . . . . 5,.:.~::..< ..3..< •:'il~i )`:b'ic:~ :'.:3`..dilCri~S~~F°l ~fl%'v?::p. c:,':~e.,s~:'.`~..
..a; : .r•.. ~
iJ,:.... _.>~.:,..a...A .....a ..c.. ~.......~......c...:..._ : "'Y''~` '>'.`X'(:.'<
: ' ._.c.,..~. ~ rw . n~r
.n,.~ ::H.:,..;._:
. kJ:• . ' .q~.<.:"~.ti.a<:J:7:i:?..:~.:i:er» ' S:..
: . .'.:.z; .
.......o.a..uo.y.•y:: .
` ......:..:.>,-~.,>:3~:,::. . 4~.: ~ . _.r~'i;;i;.E.~i.>,f'~ 2fi"r.~3li'kiq•,;
i~fT T~ :o:..>..,._. .>_:.<..%'.::[.s...:......G. . .CS'a:~.~ , az";tix.~y;:^ 'A ;.y.....:.c~r~~°<,.:.«.,.. i;s'x~`q3~iP;1:5.>~`~
a'IV~L....,..~.: < o<<... .:^:$Y. :,~4~~~(Z•.<, a;3z..~crx,`.?;.;x>E:'d~?iSS:.A
.
....,......r . M~~~~~•...;r.s: : ,~.>><..»:')::'15:~:f~'»5::>:~i.•
a.....:~ . ..:.,~,..o.~..wa,:.;..ae.:.>: a... , _ ,.3x.,3,.,....,..,...:,..,..,..,...:m,.w,.........,...x:~yw.;:.3 _ sxi:an'::i•'~S,',"„'an:„:.w.:ox..f,cu>,w
N,-
MECHANICAL, PEIiMIT (COMMERCIAM). : .
CI'I'1'' OF EAGAN ~
383,0 PII:OT KNOB RD
FAGAN MN .55122
(612),681-4675
PLEASE COMPLETE FOR ALL COMMERCIAL%INDUSTRIAL IBiJ. L INGS'. .,AL'SO~COIvIPLETE
FOR APARTMENT BUILDINGS OR OTHER ICNLTI-FAIvIILY BilyIL:DINaGS +W_HEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EAGH DWELLING'LJNI'I'. _
-
DATE: CQNTRACI' PRICE: g
NEW BUILDING ~ - ~ •
WTERIOR IMPROVEMENT • .
WORK DESCRIPTION:
FEES
. .
1% OF CC) , ~NT~,RAGT FEE $ - - • - - - . ' .
xn w;:m;.., w~:~s.., , -
PROCESSED PIPING: $25.00 ' _ . . . . _ ~
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FQR EACH $1,000 OF-PERIVITf FEE.
TOTAL $
SI'TE ADDRF.SS:
OWNER NAME: 'I'EL:EPHONE
TENANT NAME: (IMPROVEMENT'S ONL1)
INSTALLER:
ADDRESS:
CTI'Y: STATE: ZIP CODE:
TELEPHONE
SIGNATURE OF PERMITTEE CITY INSPEGTOR
C~~ 96`~
B R A V N srn Braun Inferfec Engineering, Inc.
6950 West 146th Slreet, Suite 131
Apple Valley, Minnesota 55124-9520
INTERTEC 612-431-4493 Fax:431-3084
Enginaers antl 5cienlisfs Serving
the Builf and Notural Environments
April 2, 1993 Project BODX-93-039
Mr. Dave Kenneth
Rottlund Homes
5201 East River Road, Suite 301
Fridley, MN 55421
Daar Iienneth:
Re: Foundation Wall Ohservation, 3902 Thamzs, Ea,an. Minnesota.Rottlund Project
Number CY00123
This letter summarizes the observation completed for the ahove-referenced project. The
observation was complzted accordimg to your varhal request on !vixrch 17, 1993, and our
subsequent Contirmation of Authorizatiun for Services.
Background Information
The following information was obseived on site ur provided by Mr. Dave Kenneth of
Rottlund Homes.
The existing house is a two-stury sn'uciure with a hill basement and attached Gara;e. The west
wall of the basement from the southwast cornar of tha house north approximately 26 feet is 13
courses high and the wall adjacent to the -arage is I I courses. The souchern basement wall
has reinforoed core tills at approxiinately 6-fuot spacing. The foundation wall of the garage
has nc cora tili;.
The block walls were constructed in cold weather conditions in January and Febniary of
1993.
When the walls were backtilled, the [wo walls mentioned above moved from the weight of the
backfill. The west basement wall howed in approximxtely 1 to l 1/2 inches as did the back
Youndation wall of the garage. The plate uf the house which is anchored into the top course of
block held the top course of block. Thus, when tha wall moved opening the top mortar joint
along the west basement wall, other joints throughout tha wall opened and crackad.
Rottlund Homes
Project BODX-93-039
April 2, 1993
Page 2
The cracked mortarjoints werz cleaned out and tuck-pointed prior to our observation. Those
moRar joints were visible because of the difference in color of the mortar.
Conciusions and Recommendations
Based on our observations and the background information you provided; it is our opinio?
that the west walls of the basement discussed ahove should perform adequatzly. The mottar
and core till material should gain some streneth once the structure is heated and the backtill
soils thaw. Typically during cold weather construction with IitHe protection from t'reezing, the
strength gain of mortar will bz slowed eonsiderably.
The west walls of the basement are protectecl from surface water entering the backfill. The
wall from the southwest corner to 26 feet north of tha southwest corner of the house has an
overhangin; porch area extendin; approximately 6 fee[ to the west. The rear wall of the
garage is also protected from surface water entaring the backtilL If these walls were not
protected from surface water enterin; the loose backtill, ad(litional stresses may be put on the
walls which have moved.
The backfill soils consist of silty sands and silty clayey sands. Because these walls were
backYilled with frozen soils that were not compacted, setdement will occuc Slabs placed over
these soils should be delayed to allow time for the backtill to consolidate. Some lono term
settlement should be expected.
We recommend that the owner be made aware chat these walls have moved and there is a
slight risk of additional movement. We also rzcommend that the walls be obsarved for a
period of at least nine months ro dztect any fumre muvement. If atlditional movement of the
wall is noted, a strucmral engineer should he retained to provide an opinion of the inte.grity of
the wall.
General
Services performed by the geotechnical and material en.-ineers for this project have been
conducted with that level of care and skill ordinarily exercised by members of the profession
currendy practicing in this area. No warranty, expressed or implied, is madz.
Rottlund Homes
Project BODX-93-039
April2, 1993
Pa;e 3
It has been a pleasure being of service to you on this project. If you have any questions, or
require additional information, please call lames Samuelson or John Carlson at
(612) 431-4493.
Sincerely,
~
ames M. Samuelson
Office Manaaer
Professional Certification:
I hereby certify that this report was prepared by me or
under my direct supervision and that 1 am a duly
Registered Professional Hngineer under the laws of the
State of Minnesota.
pm
John T. Carlson, P.E. .
Project Engineer '
Registration Number. 20663
Date: Apri12, 1993
j msljtc:pea\93039Utr
S
2004 RESIDENTIAL BUILDING PERIVIIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
6:5,~ I -f I Telephone # 651-675-5675 FAX # 651-675-5694
Lrw~n--QG'.~
New Construction Reomremenis RemodeVReoair Reomremenis Offce Use Onlv
3 registered site surveys showing sq. R of lot, sq It of house; and all roofed areas 2 copies of plan Ced of;Survey Recd WYe- N
(20%maximum lot coverage allowed) 1 set of Energy Calculations for heated addiCons fnae s Pie~n R~ 00.N.
2 copies of plan showing beam & window sizes; poured found desigq eta 1 site survey for addihons 8 decks Tree Pres;Reqwred ~°==~Y~ ,N
lsetofEnergyCalculabons Add'rtion - 'mdicateifon-sitesephcsystem On.site.SepticASystem "._Y~=N
3 copies of Tree PreseNa6on Plan if bt platted a%er 711193
Rim Joist Detail OpGons selec6on sheel (bldgs with 3 or less umis
Date - 'L-/ aR / Construction Cost Q~. C~
SiteAddress _ ~S AV° ~ UniUSte #
Description of Work 1~p 1 [.p C~~.
Multi-Family Bldg _ Y N Fireplacc(s) _ 0 X 1 _ 2
Property Owner Telephone # (!p$1 ) VSy- ~'?Q I ,3
Contractor (-h I 1p"
Address City
State Zip Telephone ti ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category t Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
. Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y N If so, 25% plan review
fee applies.
Licensed Plumber D~@~ ql T
elephone Mechanical Contr r APR 2 Telephone ~
Sewer/Water Con B Telephone ~
I hereby apply for a Residential 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 cas of work 7eq ires a review and
approval of plans.
~`_S~z Applicant's Printed Name 's Si ture
OFFICE USE ONLY :
- • ;
Sub Types
? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling O OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex O 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex K 18 Deck ? 23 Porch (screen/gazebo) O 36 Multi Misc.
? OS 03-plex ? 11 70-plex ? 19 lowerLevel ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
Ix 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alleration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/DOOrs
? 34 ReplaCement 'Oemolition (Entire Bldg) - Give PCA handout to applicant
Valuation o tgi-i Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
Footings (new bldg) FinallC.O.
~ Footings (deck) ~ Final/No C.O.
_ Footings (addition) _ Plumbing
Founda[ion HVAC
Dram Tile Other
Roof _ Ice K Water _ Final _ Pool _ Ftgs _ AidGas Tesa Final
_ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ AirTest _ Final _ Windows
Insulation _ Retaining Wall
Approved By: Building Inspector
Base Fee
Surcharge
PlanReview ~/J,~v`,
MC1ES SAC ~ V
City SAC ~
Utility Connection Charge
5&W Permit & Surcharge
Treatment Plant
License Search
Copies-__-~
Other
Total
r - aJe~...~>-~~ ~ .
2422 Enterprise Orive
* . Mendola Heights. MN 55120
r~
* PION6ER ,,,,,o s,,,vEYoR, • aya b,cwEErts (612) 881-1914•Fax 681-94e8
ang nearlng uND Pw+r+ens • uuNDSCi,re AvamECis 626 Highway 10 Noriheeet
* ,k 91aine, MN 55434
(612) 783-1880•Fox 783-1883
Certificate of Survey for: The Rottlund Com an~/~ . IriC•
Mouse Address: Thames Avenue. Eoqon. MN
Model Name: Hampton
~
~ ao
I 30 f
~
I ~ 98(~.e I g~°'~
/ e,.
N~ 5:32•s8„ 2
w
/ 03 Ze
~ ~T `^o~ ~ 986.3 40L.9 b ~ ~
/ N~
w~ s P \ +r1 1
~30
6.0
/83 :L- ,o ~
~ ¢ '14
, ~as~ J~,z ~ ~~~86• 3 ~ ~ ~
>
qO
z
/ N sr3~ •a,
sD84°
c
By
ate
AAGAN ENGINEERJ719IG DEPT
I
w 900.0 Denotes Existing Elevation pROPOSED HOU5E ELEVATION
.C~.~ Denotes Proposed Elevotion Lowest Floor Etevation:879.85
Denotea Drainaqe & Utility Easement Top of Block Elevat(on: 888.66
- Denotes Drainage Flaw Direction -
Elevatton:888.33
LC..d:., Denotea Monument Garage Slab
Oenotes Offset Fiub Beorfngs shown ore assumed T 3BLOCK 2 COVEN TRY PASS
DAKOTA COUNTY, MINNESOTA
y rertlN thH this turNy, plan ar ttpoft rn+ preOrod hY m m or undOr my direcl Nparvkfon sM that I~m duly Reglsnrvd Lend St~rvWar
awl of eha S1ote Of Minnetote, Deted thif daY o( lA,D, 79/
/ ryp~~IIC~Ia pZfr~ 06[ATB:Su li f
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA138290
Date Issued:08/18/2016
Permit Category:ePermit
Site Address: 3902 Thames Ave
Lot:3 Block: 2 Addition: Coventry Pass
PID:10-18400-02-030
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 -
Thomas G Piskor
3902 Thames Ave
Eagan MN 55123
(952) 239-1773
Window Concepts Mn
291 Eva St
St Paul MN 55107
(651) 905-0105
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA148517
Date Issued:04/04/2018
Permit Category:ePermit
Site Address: 3902 Thames Ave
Lot:3 Block: 2 Addition: Coventry Pass
PID:10-18400-02-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Thomas G Piskor
3902 Thames Ave
Eagan MN 55123
Haley Comfort Systems
4320 Hwy 52 N
West Frontage Rd
Rochester MN 55901
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA165617
Date Issued:11/10/2020
Permit Category:ePermit
Site Address: 3902 Thames Ave
Lot:3 Block: 2 Addition: Coventry Pass
PID:10-18400-02-030
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 -
Thomas G & Linda J Piskor
3902 Thames Ave
Saint Paul MN 55123--390
(952) 239-1773
Metro Roofing & Remodeling Llc
17470 91st Place N
Maple Grove MN 55311
(612) 217-7221
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA177759
Date Issued:07/18/2022
Permit Category:ePermit
Site Address: 3902 Thames Ave
Lot:3 Block: 2 Addition: Coventry Pass
PID:10-18400-02-030
Use:
Description:
Sub Type:Air Conditioner
Work Type:Replace
Description:
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Thomas G & Linda J Piskor
3902 Thames Ave
Saint Paul MN 55123--390
Haley Comfort Systems
3708 Broadway Ave N
Rochester MN 55906
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature