3918 Thames Ave40k•
City of Evan
3830 Pilot Knnppb Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
PEE`—"IED
MAY 132011
Co
Use BLUE or BLACK Ink
Permit#: r % [!q
%
Permit Fee: 1 72.. Z�
Date Received: - /-7
Staff:
/2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 5----13 / Site Address: 31/ D T rt -k s 41,4e. £ °► j ct t
Unit #:
RESIDENT /
OWNER
Name: Ai 1 L GJ O 3 • Qk Phone:
`
Address /City /Zip: 3 7 l ? f 4
Applicant is: Owner X Contractor
TYPE OF WORK
Description of work: C pto (cn, e) I'S 44 et) J ck
Construction Cost:T / 5) 8 a0 Multi -Family Building: (Yes / Noy.)
CONTRACTOR
Company: be- ( 05 /(c._ c Contact: cI 6a -rano -CD
Address: 73 75 43644., S"ct- City: A p p L( tit f lt i
, �(�,
State: hiltZip: S-S-iid d 7/ Phone: C` / 3' C- f r g -(
License #:,206.36.051 Lead Certificate #:
If the project is exempt
from lead certification, please explain why: (see Page 3 for additional information)
In the last 12 months,
No If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
_Yes
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be pubic information Potions of
the information may be classified as non public, if you provide specific reasons thao rld permit tie City o
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gooherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of pla
x
e'-r1Ot/C)
Applicant's Printed Name
x
Applicant's Signature
Page 1 of 3
1 hArn&=
Fue
DO NOT WRITE BELOW THIS LINE
?9o9 --
SUB TYPES
Foundation
Single Family
Multi
01 of _ Plex
Accessory Building
WORK TYPES
New
_I Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25% 100% y)
Census Code
#of Units
# of Buildings
Type of Construction
Fireplace
Garage
X[ Deck
// Lower Level
Interior Improvement
Move Building
Fire Repair
Repair
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: Ice & Water Final
Framing
Fireplace: _Rough In Air Test Final
Insulation
Porch (3 -Season) Storm Damage
Porch (4 -Season) Exterior Alteration (Single Family)
Porch (Screen/Gazebo/Pergola) Exterior Alteration (Multi)
Pool Miscellaneous
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Sheathing
Sheetrock
Reviewed By: i ,r
Siding Demolish Building*
Reroof
Windows
Egress Window
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building - give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC Gas Service Test Gas Line Air Test
Other:
Pool: _Footings Air/Gas Tests _Final
Siding: Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall: Footings , Backfill _ Final
Radon Control
Erosion Control
, Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
61-4 4
Page 2 of 3
4
* PIONEER
* eng11 ei Tny LAND PLANNERS . LANDSCAPE AYES
LAND SURVEYORS • ave. ENGINEERS
P. 82
2422 Enterprise Drive
Mendota Heights, MN 55120
(812) 681-1914•Fax 881-9488
625 Highway 10 Northeast
Blaine, MN 55434
(612) 783-1880•Fax 783-1883
Certificate of Survey for: The Rottlund Company Co.
House Address: Thgznes Avenue. Eagan. MN
Model Name: Richmond
CusT'mEP: 6RuL3/Chr
®.
Poi.%
87x
CO
^ 04
.6 `''�o' `-Z7/,
-*Vf‘D'
N
N
x ,loo -0 Denotes
Denotes
- — - Denotes
Denotes
—o- Denotes
--a— Denotes
N [N`
Existing Elevation
Proposed Elevation
Drainage & Utility Easement
Drainage Flow Direction
Monument
Offset Hub
Bearings shown
are
A
NER ANG DEPT
PROPOSED HOUSE ELEVATION
Lowest Floor Elevation:871.85
Top of Block Elevation: 879.96
Garage Slab Elevation: 879.63
assumed
LOT 7 , BLOCK 2 COVENTRY PASS
DAKOTA COUNTY, MINNESOTA
I hereby certify that this survey, plan or report was p2pared by me or under my direct supervision and that 1 am duly Registered Land Surveyor
under the laws of the State of Minnesota, Dated this— day of —e 0~07 A 0 19 ' 12x4
RO B. SIKICN L.S. Rid. NO. t489
Scale: 1 10.Ph= 3 Oket
INSPECTION RECORD
" C-IT'r OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: i{J 1• yAA I Hi crILr; : ey;, APPUCANT:
i
f FiAMf ; F1VF I Nf'
~ '1 11 1 y y .
PERIIAIT SUBTYPE: TYPE OF WORK:
INSPECTION .
r i ta~, al i
i r, 111 61 1_1i ra i1 N At I
I
i
~I
~
Pwnnk No. PwmR FbIdK DW TibplwrN •
w
S/ r.
PLUMBING
zk~
~
HVAC
ELEcrRic
ELECTRIC
bnpwtlon Do% 1nap. ComrmMs
F°°Ings ' ! 1 l
F°tincl"°^
Framing p
Roo„ng 3 D
A°"o Pr'o.
RWO Hig. 2~~l93 ~
~
Fl" M9. 3 a.~
orsat TeM
Flnal Plbg. Ak- PIb9. Irrepector - NotNY Plum6er
~
Const. "x
Enyr./Plen
R" y is 9 1~S
Do* ft-
Deck Fnel
WeN
Pc Diep.
C~~licate nf cccupano
wit4 of cpagatt
eerRrtwcxt 4q Ari[iins
This Cerri, ficatc issued pursuant to the requirements of the Uniform Building Code `
certifying that at the tone of issuance this structun was in canpliance with the various
' ordinvnces of the City ngulating 6uilding consrnrction or rise. For the following:
Use aauific,4o,c SF MG gw pcnnk Nm 20229
O-W-r ~ o'~W5201 E RIVER RD FRIT1fEY
owner or ew~s Aam~~ ,
' ~ ~ , , ODYENIRY PASS
Daw- 04/ 15/V3
&dd4o &W
~ POST IN A CONSPICt10US PLACE
Address 3918 mfES AvEN[1E Zip 5512 3
I.ot' 7, Blk 2 Sub COVENTRY PASs
THGSE ITEMS WERE / WERE NOT COMPLEI'E AT THE TIME OF THE FINAL INSPECI70N.
Date: 04/15/q3 Yes No Inspector.
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas VI/
Sod/Seeded grass
TraiUcurb damage ~
Porch
Basement finish
Deck n Q Sr
Please verify with Ihe builder the removal of roof rest caps from the pl bing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 6814645 before working in rightof-way or installing underground sprinkler system. ~
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
;J/ 100GJ7
H 33625 $15 0°
Rp,ue9 Oata Fre No. ough-in Inspeclion
3- t 6- 9 RequireG+ ? Peatly Now JZWiII NoLly Inspxtor
1 ~YBS ? NO When Reatly4
I jd'licensed contractor ? owner hereby request inspecllon of above electncal work at:
JoD Atltlress (5[reeq Box or Rome No ) Qry
3Cl IS
Secuon N. Township Name or No. Range No Cou
~
Occupam RINT~~ Phone No.
PowerSu~r ' Atltlrass
L~ ~.K
Eiecmcai nl~acmr ~~ompany Namel Comractor§ License No.
a1L~
Maihng Atltlress (COntrector or Owner Makmg Installation) '
amiti
Amlpnzetl SigraNre ICOmraclon ner M n InstallaLOn) ~ Phone Number _ 3 N
MINNESOTA STATE BOARD OF ELECTPICITY THIS INSPECTION PEOUEST WIIL NOT
Grlqqs-MlEway BIEg. - Room S173 BE ACCEPTED BV THE STATE BOARD
1821 Unlveralty Ave.. St. Veul. MN 55104 UNlESS PROPER INSPECTION FEE IS
PMne (612) 612-0800 ENCLOSED
3 ~ REDUESTPOR ELECTRICAL INSPECTION EB00001-08
ml~ Yu/°/ / ? Sea insvudions IoFompleung this brm on Dack ol yellow copy
ry "X" Below Work Covered by This Request
3 3.62 5 ~
ew Atltl Rep. Typeoleuiltling ApphancesWired EqwpmeniWiretl
Home Range Temporary Service
Duplex Water Heater Electric Heatmg
ApL Bwiding Dryer Oiher (Specify)
Comm./Industrial 'FUrnace
Farm Air Contlitioner
Olher(specily) Lonhactor's Remarks
Campufe Inspection Fee Below:
M Other Fee # ServiceEntrance5rze Fae X Qrcmis/Feeders Fee
Swimmmg Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps ove 100 _ Amps
Signs Inspecror5 Use Oniy. / TOTAL
Irrigation Booms
Special Inspection
AlarmlCommunication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby RougM1-in oele
certify that ihe above inspection has F,,,ai /
tieen made. d~ (
- use onLr hft,L! monms Irom
~-5~~/y~
Repuest Oala Fua No Ro gh-in Inspectwn )
q mred, ? Reatly Now .Jill NoLiy Insp~qo
-a:2-qZ \~as orro Wpe7
_ ~
I~censed contractor ? owner hereby request inspection of above electr' I work at: ~
/ 3,vir•
bC Atlareu (Sneel Bov or R te No 1 Ciry = ~~F
3 9 (g _::x '
Sectqn No Townsbip Name or Na, Range No. Co
addDam i Pbo No
Power Supplier pdtl~B55
/
Elecv¢al C r~ct IGOnpany Name ConlroctorS L¢ense No,
C/p0038j
Maihng Atltlress (ConttaCtOr Or OwnBr Mdking In5lallatiOn)
nutMrrzetl Signature iGOnva r,p.vner ki g Installauon~ Ppane Numbar
' j,3&
MINNESOTA STATE BOAHD OF ELELTRILITY THIS INSPECTION REOUEST WILL NOT
Grigps-MlEwey Bltlg. - Room S173 BE ACCEPTED BV THE STATE BOARO
1821 Univers11y Ave. St. Peul, MN 55100 UNLESS PROPER INSPECTION FEE IS
Fhone (612) 662-0800 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION "`~q E8-/00001-OB
70735 , See mShuTOns for comple~ing W5 form on back ol yellow wpy ~
~Y ~Y/T~
K
„X" Below Work Covered by This Request S34 /
Ew Add Bey. TypeoBuildmg AppliancesWired EquipmeniWued
Home Range Temporary Service
Duplex Water Heater Eleciric Healing
Apt. Bmlding Dryer Other. (Specify)
Comm /Intlusirial Furnace
Farm Air Conditioner
plner sUeciNl Gonlraclors Remarks •
Compute Inspecfion Fee Below,
N Olher Fee # ServiceEniranceSrze Fae M CircuRS/FeedBrs Fea
Swimming Pool 0 to 200 Amps b to 100 Amps
Transformers Above200_Amps Aboveloo! Amps
$IJnS inspecmr's Usa Only TOTAL
. c -To O~ ~Q 6~~
Irrigation Booms ~jq~
Special Inspection !y
Alarm/COmmunicauon THIS INSTALLATION MAV BE ORD ISCONN CTE~F NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electncal Inspectoc hereby Rough-in ~~NV oai ~
certify that the above inspection has Fmei oa~e ~
been made.
OFFICE l/SE'JNLV
This reQUest voitl t8 mamhs imm
/ 4z ql
~ (.G,~e~c ~i ~en• ~ s 6ro
Request Date Fire No Po gh~in Inspecuon
mred'+ . ? Aeatly Now X W~^en ReatlyPeclor
fl Y' Y¢s r No
Ik licensed contractor ] owner hereby request inspection of above electrical work at:
Job lCCress (Sireet Bax ar ROUte NO I City
n~ 1~ ~
Secuon !JO Township Name or No Range No, Co(u~nry `
IVJ~
Occupant (PqINT) Phpne No,
p+~~
P • SupM1 `.J~+`J~~ • AtltlI255
Eletlncal Contraclor(COmOany N2me) CO/n~VdCtOrS LRenSB NO.
Naihng Actlr ss (Conrtactor or penp, Lld4ing Insmllatqn)
AutM1Oraea Sgnnt IConlmclb/Owner Mokmg Inslellelio, ? Ppona Numper
I -S~-~ Ll-43_ $ 11)
MINNESOTA STATE 80RRD OF ELECTRICITY THIS INSPECTION REOUEST WRL NOT
Griggs-Mitlway BIEg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD
1821 Unrversiry nva.. SL Paul. MN SStOE UNLE55 PROPEF WSPEGTION FEE IS
Phone (611) 640-0800 ENClOSED.
a/~-r//C~ REQUEST FOR EL; CTRICAL INSPECTION ee-ooo'm/-oe
? See inSVUClions lor comp!eung this form on pack oi yellow copy
~
' "X" Below Work Covered by This Request '~•„bti~"
ew'Atld Rea- TypeofBwlding ApphancesWired EquipmeniWiretl
Home Range ~ Temporary Service
Duplex Water Heater Electnc Heating
I-- Apt. Building Dryer Other (SpeCity)
I Commllndustrial Fumace
Farm Au Conditioner
Other tsyeciryt Gomractor's Ramarks
Campute Inspection Fee BelowOther Fee s Service Emrance Size Fee # Circuits/feetlers Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Z nsbrmers Above 200 _ Amps lAbme-VO Amps
ns Inspettor6 Use Omy TOTAL
Irnganon Booms ~ % ' S Sr
Special Inspecnon
AlarmiCommumcahon THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS. '
I, the Electrical Inspector, hereby Rovgh-m oate
certdy that the above inspechon has F,nai ~ oace ~
been made.
OFFICE USE ONLY
This repuest vo,a IB months Irom
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
~ y 651-675-5675
Please complete for modifications to existing residential dwellings. °
Date :!!K I ~21 1
Site Street Address 35i e 77hanrz~6 AVE 94&aAf YN n! SSl -3 unic #
&(oa - 0/3 u+ )
PropertyOwner ^c44r--i.. T. aC,uRiCA Telephone# (4"o ) -`1fIF
Contractor Telephone # ( )
Address City State Zip
The Applicant is: _ Owner _ Contractor _Other
Alterations to existing dwelling $ 50.00
'V, Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
_Water Turnaround (add $121.00 if a ,5~!8" meter is required)
_Other. X" )a.L~ T~1n.~S~
Water Softener Water Heater $ 15.00
_ replacement _ additional
Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00
State Surcharge $ 50
Total $
I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be 'n accordance with the approved plan in
the event a plan is required to be reviewed and approve .
/1'1 i c.r!/+-jr~ S ('s"61cd1
ApplicanYs Printed Name Ap li nYs Signature
2004 RESIDENTIAL BCIILDING PERVIIT APPLICATIOIV ~16~
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
~ D Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWdion Reauiremenis RemodeVReoair Reauirements Office".U'se Onlv
N
3 registered site surveys showirg sq. R. of lot, sq ft of house; and all roofed areas 2 copies of plan C~of~S~uY
A
(20% maximum lot coverage allo
wed) 1 set of Energy Calcula6ons for heated additions :T2 copies of plan showing beam & window sizes; poured lound design, etc. 7 site survey for atlditlons 8 decks lseto(EnerqyCalculalions Additlon-Indicatedon-sitesapficsysfem $Y~:==N
3 copies of Tree Preservafion Plan if lot platted after 7l1/93
Rim Jotst Derail Op6ons seledion sheet (bldgs with 3 or less units
Date / _L/ / 04 Construction Cost
Site Address 3~f Sj r,#!}MF S A1/t_ Unit/Ste #
F-ac.44 rs~
Description of Work .~..OU1fJC. I-E,%L Y//?/Sl~
Multi-Family Bldg _ Y~ N Fireplace(s) A 0 _ 1 _ 2
y}~ ~y - W
Property Owner ii/ sGI~4EL T. C~P..tIfStc./a Telephone # ( ,~,51) (04(, --1~loS ~ ~IF ~
Contractor
Address City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) 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 Telephone J
Mechanical Contractor Telephone
Sewer/WaterContractor Telephone
I hereby apply for a Residential Building Permit and acknowledge that the informat on is comp d acc rate;
that the work will be in conformance with the ordinances and codes of the City o MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans. ~
IKUgE~ 7. Ccae.u ~ I c.l~ ?
Applicant's Printed Name Appl} ant's Signature
/
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 OSplex ? 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 E#. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex Pf 19 LowerLevel ? 24 Storm Damage
? 06 04-plex ? 12 12•plex Plbg~v or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Impravement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
E~ 33 Alterafion ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/DOOrs
? 34 ReplaCement 'Demolition (Entire Bldg) - Give PCA handout [o applicant
Valuation <}OO ~ Occupancy g - `l? MCESSystem
Census Code Zoning 2 f City Water
SAC Units ~ Stories Booster Pump
# of Units !7 Sq. Ft. PRV
# of Bldgs / Length Fire Sprinklered
Type of Const sI~,( Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Final/C.O.
_ Footings (deck) ~ FinaUNo C.O.
_ Footings (addition) ~ Plumbing
_ Faundation HVAC
Drain Tile O[her
Roof _ Ice R, R'ater _ Final _ Pool _ Ftgs _ AidGas Tests Final
_y Framing _ Siding _ Sriicco _ Stone _ Drick
_ Fireplace _ R.I. _ AirTest _ Final _ Windows
~ Insu(a[ion _ Re[aining Wall
Approved By: 'S P`4 Building Inspector
Base Fee
Surcharge Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S8W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
~ RESIDENTIAL
~ ~ ~ 5 BUILDING PERMIT APPLICATION
arr oF encaN
31 3830 PILOT 651s68RD, 1• 875 N MN 55122
~ Oq ~ I
I
New Cona W ctian Reuuiremanb RomodeVRamir Raouiroments
. 7 regisrered sde surveys showirg sq. ft. of lot, sq. fl. of house; and all moled areas • 2 apies ol plan
(20°h rrwiimum bt coverage albwed) • 1 set of Ereryy CakWa6ons for heated adAitioas
• 2 copies of plan showing beam 8 wmdow s¢es; pouretl faunG Cesgn, eta) • 1 sRe survey forezterior additions 6 decks
. 1 set of Energy Calculalions • Indicata ii home served hy sepGc system kr aCditions
. 7 copies of Tree Preservation Plan if lot platted after 7/7193
• Rim Joat DetaJ OpUons selection sheet (ddgs vnth 1 or less uni5)
DATE VALUATION I Pl ~v G~
SITE ADDRESS MULTI-FAMILY BLOG _ Y _ N
TYPE OF WORK FIREPLACE(S) _ 0_ 1_ 2
APPLICANT Cgdw Valtey Exteriors+ lflG'
STREET ADDRESS Coon Rapids, MN 55493 Crcy STATE_ZIP
~
TELEPHONE #~TIn~' I J77~ELL PHONE # FAX
PROPERTY OWNER 1 Y\~~_ bUhCh TELEPHONE # IUsI I" 6100
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONIY
Energy Code Category _ MIINNESOTA RULFS 7670 CATEGORY 1 MINNESOTA RULES 7674
(J submission rype) • Residentlal Ventilatlon Category 7 W orksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculatlons Submitted
Plumbing Contractor: Phone ft
Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00
Water Heater _ No. of R.I. Baths
No. of Baths
Mechanical Conhactor. Phone Ik
Mcch:uiic<il system includes: _ Air Conditioning Fce: $70.00
_ Heat Recovery System
Sewer/Water Contractor: Phone
- .
I hereby acknowledge ihat I have read this application, state that th in rmation i ct ~ mply
with all applicable State of Minnesota Statutes and City of Eagan O di
Signature of Applican}
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Pian Received _ Not Required _
Updated 4102
OFFICE USE ONLY
? 01 Foundation O 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porth (3-sea.) ? 31 EM. Alt - Multi
? 03 Ot of _ plex ? 09 07•plex ? 17 Garage ? 22 PorcNAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multl
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
0 37 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 AlteraGon ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Reptacement 'DemoliUon (Entire Bidg 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 Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain'I'ile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesa _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ RI. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
- -
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
W ater Supply & Storage
S&W Permit 8 Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
CITY OF EAGAN PERMIT
3830 Pilof Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55123 Permit Number: 0 2 0 2 2 9
(612) 681-4675 Date Issued: 01 / 1 R/ 9 3
SITE ADDRESS:
3918 THA F5 FlVELOT: 0007 BLUC : 0002
COVENTRY PASS
P.I.N.: 10-18400-070-82
DESCRIPTION:
'8uilding Permit Type SF OWG
6uil.ding`Work TypE NLW
' UBC OccupanCy R-3 M-1
~ Const.ruction '1"ype V-N
% Zonlnq . R -
Buliding Lenqth ~ 67
Builtling Width ~ 42
. „ .
~
y
REMARKS: I
RECEIPT $ C~~~`T D S& W PI_BR - VRLLEY PLBG
FEE SUMMARY:
VALUATION $140,000
Base Fee $779.50 MISCELlANEOUS L1,744.50
P.Lari Review $506.68 Tota1 Fee $3,850.68
Surcharge $70.00
SAC $750.04J
SAC % 100
SAC Units 1
Subtotal $2,106.18
CONTRACTOR: - applicant - ST. L1cOWNER:
THE FiOTI'LUND CO INC 15710309 0081335 'I"HE RDTTLUNp CO INC
5209 E RIVER RD 5201 E RIVER RD
FR.T.DLEY MN 55421 FRIOLEY MN 55421
(612) 571-0304 (612)571-030q
1 hereby acknowledye Lhat T have read this applicatian and state that the
information is correct and aqree to r_omply with a1.1 applicable State of Mn.
~ Statutes and City of Eayan Ordinances. J
-Fa ~D4
APPLICANT/PERMI ESIGNATUFiE IS ED Y.STGNA7 RE~
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: BurLorrvr
3830 Pilot Knob Road Permit Number: 020229
Eagan, Minnesota 55123 Date Issued: 471 / 1 4/ 9 3
(612) 681-4675
SITEADDRESS: LoT: 0007 BLoCK: 000APPLICANT:
399.8 THAME3 AVE THE ROTTLUND CO INC
COV£NTRY PASS (612) 571-0304
PERMIT SUBTYPE: TYPE OF WORK:
SF DWG NEW
INSPECTION D. . DA
FOOTIN6 FRRMING
SNSULATION FINAL
FCRcPLFlCE
REMARI:S: RECL"IPT # S& W PI.BR - VALLEY PLB6
F
-
PERMIT f CITY OF EAGAN
' 1992 BUILDING PERMIT APPLICATION
10129 681-4675
cQ,~.cl I - I 3
SINGLE S MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural 8 structural plans, I set of
specifications, 1 copy of energy calcs. iJAh 0 $REcD
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 l / S /'13 Valuation of work OD o
Site Address: V -,_?:o9 i $ TywM"~.° SA-\IQ-
STREET STE 0
Tenant Name: 'rkL Qo444UNi~ C.o• $yi C.
LOT BLOCK ~ SUBD. P.I.D. f
Gou2K S
Descri tion of work: S10(t W.'1
The applicant is: Owner C]KContractor O Other (Deserihe)
Name 'TCae QoH-(uN~C.o•L~t~. Phone 1-0 0
Property LAST FIRST
Owner qddress S201 eF- 9~r (Id. F,r,,,4l~
STREET 57E N
City r~~l!!+-! State 1~8 n Zip sr'1'L/
Company S AvAe- Phone
COntI'8Ct01' Address License # 13'? r- Exp.
City State 2ip
Architect/ Company Phone
Engineer Name Registratibn #
Address
City State Zip
Sewer & water licensed plumber 'f01WyWN4 Processing time for
sewer 8 water permits is two days nce ar a has been app oved.
I hereby acknowledge that I have read this application and state thaL the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant: RN ~lX NN~C.~c_ _
v~ ~ ~vr. vvr v~~~~
BUILDING PERMIT TYPE
? 01 Foundation ? 05 Apt. Bld 09 Basement Finish F'
02 SF Dwg. ? 06 Garage/ACcessory ~ O 10 Swim Pool 0 4Agr~cultu~ral~
? 03 Two family ? 07 Fireplace O 11 Res. Add./Porch 0 PS"*i celld5s
? 04 Multi-fam. T.H. ? 08 Deck ? 12 Comn./Ind.
WORK TYPE
tr 31 New ? 34 Repair ? 31 Demolish
0 32 Addition ? 35 Tenant Finish ? 99 Undefined
? 33 Alterations ? 36 Move -
GENERAL INFORMATION
Const. (Actual) ~-N Basement sq. ft. MWCC System `(Es
(Allowable) ~ lst F1. sq: ft. City Water Yes
tJBC Occupancy R-3 M-I 2nd F1. sq. ft. PRY Required
Zoning R-I 5q. Ft. total Booster Pump
8 of Stories Footprint Sq. ft. Fire Sprinkler
Length 57 On-site well Census Code
Depth ~ On-site sewage SAC Code o/
APPROVALS
Planning Building ~11-93 bs Assessments
Engineering Variance
REGIUIRED INSPEC710NS
? Site O Footing ? Framing O Insulation
? Mallboard ? final ? Draintile ? Fireplace
Permit Fee ValLntim: f 'I110,0"
Surcharge CiqRqGE: 30x•20 = 6ao
Plan Review
License Z n~~ = (Z~~
cWty snc SAC 6SM T' SS n~6 =~r Zso
Mater Conn. X'Rr~; s~~$
Water Meter g X J3 ~/oy
Acct. Deposit
S/w Permit 9X 16= ! y.4
S/W Surchar e
Treatment P?. 1166 !5= 17490
Road Unit (ST ,F'~oQ(z
Park Ded.
Trails Ded. IYLx2:~ ~o .
Copies
Other 86,„r ~l66
7otat: 07L
${1C % l0f7 ZNO~topp, '
SAC Units
R x ~G. 1 64 y
5 5
972,
,
P.02
* * 2422 Enterprlse Drive
* Mendoto Metghts, MN 55120
* PIANEER
IAID SuRVEVORS s QNL ENOAiEER3 (612) ael-1914•Fox 881-9488
* eng neer ng LAND PLANNMM ' ~~tiars 625 Nighway 10 Northeast
* Bloine. MN 55434
(612) 783-18806Fax 783-7883
Certificate of survey for: The Rottiund Compan,y Co•
House Address: Thames Avenue. Ea„gan, MN
Model Name: Richmond
CuSTOrt~-R: GRuC3~GN
~
V
~
~ E41CC, g>
\ y.~/ ~ ?s A ~ 84/0•8 ~
q
Pel.~ 1 N Q' /~•1~ zd ~c /
O +
,o ~ / o ~ ~ ~ 't,~ `O
45'~ o
~ (p
\ ~ ~ a8 ` g77•7/ ~
\ ry~
\ \ O'7 7
30 ~
~
'S',92~ 8's=6
,
so r
y4. r.
A?
AG1AAP IN IN ER NG DEPT
t
~
~ ~~~/L *Y0'
\ \ + ~
.900.o Denotes Existing Eleva~ion pRppOSED HOUSE ELEVATION
Denotes Proposed Elevation Lowest Floor Elevotion:871.85
- Denotes Drainaqe & Utili#y Easement
- Denotes Drainage Flow Direction 7op of Block Elevation:879.96
-o- Denotes Monumen# Garage Slab Elevation: 879.63
---Ei Oenotes Offset Hub Bearings shown are assumed
LOT 7, BLOCK 2 COVENTRY PASS
DAKOTA COUtdTY, 1AtNNESOTA
I hereby cCttifV ihat thia surva~y, plen or repprt wes p ered bY me or under my dirtct wpervlilOn aM Ihat 1 em duly REyiatared La~+d S~+rveYOr
uMer tlre lawe o/ Me 6tete o1 Minou. Da[ed thil dey of--Q&~4,0, 19~.
Sl.`ale: 1to.oaz3oyr- RO B.SIKICHLS.HE0.N0.1609
, LOT BIIRVEY C88C1CLZBT !O& IILBIDENTIIIL
~ SIIILDIIiG pERMIT SPPS.I OIi
pROPERTY La7?L•i ~ c eG ( sa~s
~ Dat• ot eurvep: / 97
pOCIIMENT 8T7L*D A B
0 0 • Reqistered Land Surveyor siqnature and company
0 0 • Building Permit ]?pplicant •
~ 0 0 • Legal description
0 8' 0 • Address
fd" 0 0 • North arrow and bar acale 0~ 0 0 • House type (rambler, walkout, aplit v/o, split sntry,
lookout, etc.)
6" 0 0 • Directional drainaqe arrows with slope/gradiant t.
D 8''0 • Proposed/exiating sewer and water services
0-~ D 0 • Street name
V0 D • Driveway
LLEVATIONB
Exiatina
0 0~ 0 • Sewer service
0' 0 0 • Lot corners
tr 0 0 • Top of curb at the driveway
8~ 0 0 • Elevations of any existinq adjacent homes
pIOD09Bd
8'~ 0 0 • Garage floor
0' 0 0 • First floor
6' 0 0 • Lowest exposed elevation (walkout/window)
0'~ ~ 0 ? • Property corners
0 13 0 • Front and rear of home nt the foundation
pONDINO AREAS (if iDD1iC b]a)
0 0 0 • Easement line
O 0 O • rrwL
D D 0 • HwL
0 0 0 • Pond # designation
D 0 0 • Emerqency Overflow Elevation
DIMEN6ION8 '
0 0 0 • Lot lines
D 0 0 • Right-of-way and street width (to back of curb)
D 0? • Proposed home dimensions including any proposed decks,
overhangs qreater than 21, porches, etc.. (i.e. all
structures requiring permanent footinqs)
D 0 ? • show all easements of record and any City utilities within
those easements
13 0? • Setbacks of proposed structure and setback of adjacent
existinq homes
0 0 0 • Retaining vall requirements, if any
- Reviewed•
Name / Date
October 1992
~ Ft~~rrLoR }:NVF.i,roPr: nvr:r,nct•: " u" cur.rru•rn•ri~>~r RIG{~l~t~~JU.
4
k • 04JNE:1
S?TE ADDZESS Lb'T
. i
C6NT?2ACi0i, ~~/!L(Q CO . ppTr PHQNe',
Dete-min vorkinr, squctre footnr,c of cach.
2. ^otal expcsed vall e-ea ?2 6P sq. :t.. y~0.11
. • 2. Total roof/ceiling area -7 ? s, ft. x
' ~
•
^otal exPosed va"L1 arca nbovc floor =
s. Total vall windov area
t b. Total c'oor area ....................a............ -ri .7/
c. Total slidir.g gless door area -
d. To'lal Sireplace vall e;ee
e. Total vzll frzming area (everage 10,)
f. Total net vall area ubove floor / 7(s S./z
8• Totzl rim Joist area .2(C/
Total exposed foi:ndation a.rr.a = I 2(o- Cs% ~
h. Total foun3etion vindcc z:ee ~~•Ci
• i. Totzl net fo;indst:o? a^ea above grade 2140,
~ . Dete=ine "U" valce o; eech vall sec;ment.
. ~ . a. ,.u„
b. 59, 7~ z..U„ 0,13 g- 8. Z3
. c. x
d. - x
e.. ! p~0.1 L x ..L,. 7 7. 44
5
f. 7~:,. 1-7 X ~
. s- Z/ L X..u" O, D¢ r = d, ~7
h. X•,U„ ~.~2 = Z8
Z X..U„ _ O,%T
3. •iot.nt Ll
If item /13 is the same as, or iesa :.ti:.n ite:a :41, yoIi n.avc met tne iatect
o: sBc 6006(c)2.
~
' Total exposed rooC/ceilinr, aren
~
. . .
Total g:oss roof/ceilinr are:i =
. ' ~
J. Totel skylie^t a-ea
X. Total roof/ceiling f^zTir,3 e:ea.............. .
1. Total net ?nsulated roo=/cei7.irF area O 5. •
Determ?ne "U" value for clch ru<if/cciiint; segmcnt.
J x ~~L~~ ~ _
.
k: ~ x,;u„ ' 0.0 2 -7
1057 S z,~U„ 0.~22 = 23.2~ 4 . Total
' •n 1
If to:al oP A4 is the se-ne as , o: less than N2, you have met the intent o:
sac 6oo6(c)i. . .
To utilize the tota1 e.^.velooe syste= rethod, the values establi:hed by tY.e
stn o: items N3 e-zd db shall r.ot be greater, thxn the sum af itens Nl s:,z A2.
1. T 2. •
t ~ . = _ .
~ . '
•
•
U
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,
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GoMPON~N 15 ~--VALU~
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~
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:
. . . .
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.
1993 PLUMBING PERMIT (RESIDEIVT7AL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLWGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT.
- - -
NO. FIXTURES EACH
~ SHOWER 3.00 3 -
.VATER CLGSET 3•00 ~
i BATH TUB 3.00 ( , -
.N_ LAVATORY 3•00
KITCHEN SINK 3.00 3 -
~ LAUNDRY TRAY 3.00 3 ~
HOT TUB/SPA 3•00
l WATER HEATER 3.00
i FLOOR DRAIN 3•00
ti GAS PIPING OUTLET • minimum - 1 3•00
~ ROUGH OPENINGS 1.50 ~i • ~ °
WATER SOFTENER 5•00
PRIVATE DISP. • Dak.Cty. lic. 15.00
U.G. SPRINKLER • nome unaer comi. 3•00
ALTERATIONS • to existina 15.00
WATER TURN AROUND 15.00
STATE SURCHARGE .50
TOTAL:
SITE ADDRESS: ~)q t$-T V t1 v'\ c~ 4vc
OWNER NAME: 1\ o\k \ v,;' 8
INSTALLER:
ADDRESS:_~D~(~
CTI'Y: v~`c~ A"1 STATE: ZIP CODE:
PHONE
SIGNATUR OF PERMITTEE
<..<~..._,~. , . .~~;•m'K''USE;QNLY
_ o. G.._.:.:.~i..~" :........:......YOr4"'...... S?R9~e...a...::yi~3:yp:.::.' ' .....~..,.y,ex;.:..~:;1...........
r....o? ^a.r :z>rg;,.;,r•~ rA : n....:::" :;a,..C> <;zYi:^SS~ryy:w:
a~..,:.~,.x.. e <..:~:....w E
_ .,.y .
, _ ` # -..e,~:.., , x :s,.,.,
.._.,...)....._~.k.. ......n _...n .a....<..ta, . ,.r.. fi'i o;.YC~.
~ .,_...c<< „>..sx.:: :.....,.,:.::3xvo
.:`.:.'...>r .._:<.:.,..,...,.::.<:.:..<
~c.
__s-:a;:~~::,«..:.:r.•.;.,:~ . ........~_.....,....~:x r... ;o.r.~.[~~ ,,.x:.
~`£.u,.
. . ....t.5 3 .:.~::fcn~::5.. :`.,5:e~
..::..:......a..s.....,s!.~,.,,..sc::~:.
1993 PLUMBING PERMIT (COMI14II2CIAL)
CITY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL COMNfERCL4LJINDUSTRIAL BUILDINGS. ALSO FOR MULTI-
FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIItED FOR EACH
DWELLING UNTT.
NEW CONSTRUCTION
ADP ON
REPAIR
WORK DESCRIPTION:
CONTRACT PRICE: $
FEE: 196 OF CONTRACf FEE.
STATE SURCHARGE $.SO FOR FACH $1,000 OF P,ERMPC FEE
MINII~tUM FEE S 25.00
CONTRACT PRICE X 1% $
STATESURCHARGE $
TOTAL $
SI1'E ADDRESS:
TENANT NA111E: STE. #
OWNER NA114E:
W STALLER:
ADDRESS:
CITY: STATE: ZIP CODE:
PHONE
FOR:
CI7Y OF EAGAN APPLICANT
~ vsE orv~,Y
. .
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SiT~D..: . ..~,•;'~t.:~~~ _.:,..-:r..a~:,-.r:,.:,...'':........,.,.a.;:`.,,::;;z>s:~A~ , r~~<i~~';~,~:~:t:~"s'`:::.t~
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, 1993 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUII2ED FOR EACH UNTI'.
- -
~ NEW CONSTRUCT:ON
ADD-ON A/C
ADD-ON FURNACE
DATE s)--~-R~
FEES
HVAC: 0-100 M BTU $ 24:00
ADDITIONAL 50 M BTU 00
GAS OUTLETS (MINIMUM 1 @ $3.00 EACH)
ADD-ON/REMODEL (ExIST[NG CoNSTaaucrloN) $ 15.00
STATE SURCHARGE
TOTAL
SITE ADDRESS:~\p~~c.~e.~~\~ •
OWNER NAME: TELEPHONE #:S`~~
INSTALLER: -
FLARE HTG. & A/C. ONC.
ADDRESS: 9393m e N^
CI,I,1': rnirlan Vall~,~ Dawi Frn97
STATE: ZIP CODE:
TELEPHONE
SIGNATURE OF PERMITTEE
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1993 MECHANICAI. PERMI7?-(COMIORCIAL')
CITY OF:'EAGAN. ~ A . . ,
3830 PII:OT ICNOB'RD
EAGAN~ ~MN~',S,ST22~1
.(61'2)=681-4675
PLEASE COMPLETE FOR'ALL: COMMER~CIAL•JINDi7STR _;I.AL,$LJII.~DIlVCrS: `ALSO COIvIPLETE
FOR APARTMENT BUILDINGS OR. OTHBR' IvIiILTI=FAIvIII::Y B~[JII:DINC.S~ V1'W,Fi~EN::SEPA~RATE
PERMITS ARE Iv'OT REQUIRED FOR F.ACH' D~WELLING iJNI`P.`
DATE: CONTRACTPRdCE:~:$•~'~~~.
NEW BUILDING
INTERIOR IMPROVEMENT ,
;
WORK DESCRIPTION: • ~
14
FEES
. „
1% OF CO~"NT,,FEE $
PROCESSED PIPING: $25.00 ~ , . . • ~
i y; • ~ .
' MINIMUM FEE: $25.00
STATE SURCHARGE $:50 ,FOR EAC-if $i1,OQO.OF,; P ~~ER~M ~:,FEE:~-
TOTAL $
SITE ADDRESS:
~ - - ,1
OWNER NAME: TELEPI-IONE
TENANT NAME: ([MPROVEMENTS ONLY) .-!9
I4
~~A ~ . , In Mea
INSTALLER:
ADDRESS: •
CITY: STATE: ZIP"CODE: -
TELEPHONE
SIGNATURE OF PERMITTEE CITY INSPECTOR ~
LOT / BLOCK ~ SUBD.
RECEIPT # & DATE 9
;i
CITY OF EAGAN
UNDERGROUND SPRINKLER SYSTEM PERMTT
1993 '
Application Date: 1~ - °2 3 - ~ 3 _
_ Commercial project Gallons per minute/rnmmercial only
_ ResidenHal project (sprinkler systems for de+elopment pmjects)
i
~ Existing residence
Area/address to be sprinklered: LP, e,41Z f.T
Installer: .0a.d ~ /~-A.
Street address: o52;oif ° /7 P'r,4&c. 4Aa.
Clty, state & zip: ke~'Ci~l
_ TP!enl,,~%r, S'G
Owner name•
Street address• e~ ~cA utr _f
City, state & zip: rA`Z4tq - l f l~ 3
Yhone 73 00 3
Irrigation rnntractor; if diffemnt: vcc ?45i~r l C.~ o'
10,
Phone ZZ
° • , "
I hereby acknowledge that I have read this applicatien and state that the information is correct and, agree
to comply with all applicable City of Eagan ordinances.
Sign ur of Permittee • • New service required
Fee- due: Calculated b~ 1~ta,69-~- ~
!t' k S~l.4~r~i . , a w u . , ~ . f i 4 ( I , - ~ ~ ~3 ~ F;
D.
' ~ ~ .
CITY OF EAGAN
UNDERGROUND SPRINKLER SYSTEM PROCEDU=_RE
1993
1. A plan must be submitted to the Ciry'srEngineeringDepartinent For.i7approval before
installing a]awn sprinkler system. If digging in the boulevard, acright-of-way periniY
may be required.
2. Once plan is approved, it will be presented to the City's Plumb'ing-Inspecior for sizing
of the meter. , „ ; ,
3. Jerry Wobschall, Finance Department, will calcula"te,ape armitj
fees, as follow's :r -
. ii' .
a. Commercial proiect: $ 25.50 underground;,spr'u%klen?pe'rmit;
$ 30.50 water permit,=fee- onlv• if4ne.w"iservi¢e~-is~,insialled.
$100.00 per tap if insgtalled-b~y. CiryjPlease consult:with .F
Engineering Depariment~ regarding,,:feasi.bili,ty.tof:*City:
installation (City will 6 nly0in`stall, tap`s-uphto
b. Residential proiect: $ 15.50 underground,sprinkler~pe,r.zr`nit~.
, q.~k
$.SO.SO.wacer permrt"fee, ;if ~new seivice~is~Tnstall
$695.00 pe cc^.^ecticfi vk'ntc.^ s =t,.~-•-F-..~s
$324.00 per.connection - warer;treatmentjP7ani:~;'~ '
c. Existine residence: $15.50 underground sprinkler:,permit =(fee norxrequired
if backflo.w preventor previously installed);:howe,uei,'plan
must still„ tie,rpresented for, approval and: an"Lapplication~
must be filled ouc.
4. Once meter size is determined,,Psotect~iveInspecf•ions+.Cler-k-i^~ypist.ivill'contactLJ.tiliry
Billing Clerk for cost.andanotify installet of all ¢o'sts associaied``witfi*piojectx~'Ifi=new
service lines are not requir,ed; one: check=.may be, wiit-ten fRr meter and,ptiermit costs.
No meter will be sold before all se.wer and^:water,inspections are rnmplefe on,a.new
service--(Engineering Department wil] advise Utility Billing Clerk when meter can be
sold). Receipt will be coded to 20-37,16 (meter,portion only) wifh pirtk copy ,
forwarded to Utility Billing Clerk.
5. The installer is to contact Protecfiv.,e Ynspections, at 681:=4675 ~for inspection of the
inside water line and backflow preventor. The Public Works bepartment may be
reached at 681-4300 for .w,ater turn-on and set and seal of ineter. Inspection hours are
8:30 AM to 330 PM, Monday through Friday. Requests for AIGI; inspections should
be made on the preceding work day. Requests for PM inspectio"ns will be accepted
until 12:00 noon that day.
~
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2007 RESIDENTIAL PLUMBING PeRMiT aPPUCaTioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings. Do noi combine inside and outside
lumbin on the same a lication; se arate a lications and ermits are re uired.
Date I IQI 07
,~-I
Site StreetAddress ~l I~', ~Tha.rne S 7TV~_ Unit#
PropertyOwner IMI l-w, 6rub1CA-1 Telephone# (bSl) ~$f'Db~ot
Ch3rnpiun ,
i
Contrector 651-365-1340 Telephone # ( )
Address 3670 d Rd. #100 cih, SWte Zip
The Applicant is: _ Owner 8 Occupant ~ Licensed Plumbing Contractor
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Fire Repair (replace bumed out fixtures, etc.) $ 90.00
This fee a lies when extensive lumbin re airs are made to a buildin .
Alterations to existing dwelling $ 50.00
_ Add plumbing fMUres to main level lower level. This fee includes
installation af a water softener and/or water heater at the same time. N you are
installing onlv a water sokener and/or water heater, do not complete this section;
move to the next section and place a checkmark next to the appliance(s) you are
installing.
Septic System Abandonment
_Water Tumaround (add $136.00 if a 5/8" meter is required)
Other. • . ~
Water Softene? ~Water Heater $ 15.00
new ~replacement
Lawn Irrigation _RP2 _PVB _new _repair _rebuild $ 30.00
SWte Surcharge $ 50
Total $ ESD
I hereby apply for a Residential Plumbing Permit and acknowledge that the infortnation is complete and accurate; that the work will be
in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a pertnit, but
only an applicafion for a permit, work is not to start without a pertnit and work will be in accordance with e
a plan is re wred to be }eviewed and approved.' D
P 17 2007
Applicant's Printed Name ApplicanYs Signature , n~ 7
~ .L
By 0
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PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA111002
Date Issued:06/07/2013
Permit Category:ePermit
Site Address: 3918 Thames Ave
Lot:7 Block: 2 Addition: Coventry Pass
PID:10-18400-02-070
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fixtures:Split single bath lav sink supply and waste into 2 sinks, Replace existing shower pan and valve,
Renee Johnson
7600 West 27th Street
Fee Summary:PL - Permit Fee (miscellaneous)$55.00 0801.4087
Surcharge-Fixed $5.00 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 -
Michael J Grubich
3918 Thames Ave
Eagan MN 55123
(651) 788-1664
Hc Plumbing & Electric
7600 West 27th Street
Suite 214
St Louis Park MN 55426
(952) 426-3683
Applicant/Permitee: Signature Issued By: Signature
City of Eapll
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #: 11 I 1 (AS?
Permit Fee:
Date Received:
Staff:
��
�.j� 2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: - k 7 i 'Q Unit #:
Name: VA, ., .
Address / City / Zip: '' 4
Applicant is: Owner )` Contractor
Description of work: 5t,.At=Jb``-f'
Construction Cost: 4 W. A ° 13-0
Phone:
St. -1(66- t(dal-Il
Multi -Family Building: (Yes / No )
Company: � '1-- Contact:
Address: 114,1 t -t i City:
State: *JOS Zip: Phone: (Qk. ° t 1� c, (73
License #: '%* C) Lead Certificate #: '`1
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
NOTE• Plans and supporting documents that you submit are considered to be public information•
the information may be classified as non; public if you provide specific reasons` that would permit'
conclude that they are trade secrets, .,.,
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x 1.y1.vk''
Applicant's Printed Name
•x
Applicant's Signature
Page 1 of 3
3 1/1 /r'e
DO NOT WRITE BELOW THIS LINE
////607
SUB TYPES
/Foundation
/ Single Family
Multi
01 of _ Plex
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25% 100%
Census Code
# of Units
# of Buildings
Type of Construction
Fireplace
Garage
Deck
Lower Level
/Interior Improvement
Move Building
Fire Repair
Repair
Int, foo -e,
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: Ice & Water Final
Framing
Fireplace: _Rough In _Air Test Final
—7 Insulation
Sheathing
Sheetrock /:
Reviewed By: C /✓
Siding
Reroof
Windows
Egress Window
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
/Demolish Building*
✓ Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building - give PCA handout to applicant
M tNtMyM a1)^ .2leoe.
/itt.-• 5 MCES System
7,07,&55 3L SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Meter Size:
/Final / C.O. Required
✓ Final / No C.O. Required
HVAC Gas Service Test Gas Line Air Test
Other:
Pool: _Footings Air/Gas Tests _
Siding: _Stucco Lath Stone Lath
Windows
Retaining Wall: Footings Backfill
Radon Control
Erosion Control
, Building Inspector
Final
Brick
Final
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
1, -I<
I
11.44
TOTAL it I ZZ , L
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA131540
Date Issued:06/24/2015
Permit Category:ePermit
Site Address: 3918 Thames Ave
Lot:7 Block: 2 Addition: Coventry Pass
PID:10-18400-02-070
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 -
Michael J Grubich
3918 Thames Ave
Eagan MN 55123
(651) 788-1664
Crew2 Inc
2650 Minnehaha Ave
Suite 100
Minneapolis MN 55406
(612) 276-1680
Applicant/Permitee: Signature Issued By: Signature
RECEAlEfl BUG
?Z X97
August 20, 1997
City Of Eagan
Attn: Rich Brasch
Water Resources Coordinator
3830 Pilot Knob Rd.
Eagan, MN 55123
Dear Mr. Brasch,
In 1996, the City of Eagan was petitioned by a select few residents on the pond that borders our
back yard to raise the pond water level. The City complied with this request and did raise the
pond level by .5 feet. We received a letter(copy attached) from the City later that year stating
they realized their decision was premature since unanimous approval of all land owners
surrounding the pond was not obtained. Subsequently, the water level was lowered to the
original level.
Due to the water level being raised, we lost our mature oak tree which is located near waters
edge. We now need to have this tree removed at an expense of several hundred dollars. We are
requesting assistance from the City of Eagan to have the tree remove.
Please respond to our request in writing to:
Mike&Barb Grubich
3918 Thames Ave.
Eagan, MN 55123
If you have any questions, we can be reached during the day at the following numbers:
Mike#738-5022
Barb #738-4038
Sincerel ,
64�aA�
chael ich Barbara Grubich
Enc. Letter copy
cc: R�asS Ma++I,lrs
Asst. City Engineer
city of aagan
THOMAS EGAN
Mayor
PATRICIA AWADA
April 24, 1996 SHAWN HUNTER
SANDRA A. MASIN
THEODORE WACHTER
Council Members
THOMAS HEDGES
City Administrator
E.J. VAN OVERBEKE
City Clerk
Dear Resident:
In 1995, many of the residents living on the pond that borders your backyard signed and submitted
a petition requesting the City to upgrade the management status of the pond under the City's water
quality management program. The Advisory Parks, Recreation, and Natural Resources
Commission reviewed that request during the course of several meetings last summer and fall and
subsequently recommended that the pond classification be upgraded to recognize it's value for
wildlife habitat. The recommendation was contingent on the establishment of a buffer of natural
unmaintained vegetation extending at least 30 feet back from the water's edge in order to filter
pollutants in runoff from backyards sloping to the pond and to provide better habitat for wildlife.
This contingency affects 4 of the 22 lots bordering the pond. City staff will be contacting these four
property owners soon to request their cooperation in establishing the necessary buffer area.
The City was also requested to evaluate adjustment of the normal water elevation of the pond. The
pond water level has fluctuated somewhat during the last year or so due to periodic blockages of the
outlet control. City staff have talked to a number of residents around the pond and assessed
potential tree impacts associated with raising the normal water level of the pond. To balance tree
preservation and shoreline stabilization with maximizing the depth of the pond, it is proposed to
maintain a normal water elevation of 855.5 for a test period of one year. This elevation is
approximately .5 feet above the normal water elevation originally intended for the pond, but over 1
foot below the maximum water level experienced last summer when the outlet was partially
obstructed. The water level will be re-evaluated at the end of this test period to determine whetter
this change should be permanent.
We wanted to thank you for your efforts in working cooperatively with the City to protect the pond
and adjacent upland resources. Since the petition was submitted, the watershed for your pond has
been placed on the priority spring and fall street sweeping list for the City. In addition, shoreline
Cont'd..... .
MUNICIPAL CENTER THE LONE OAK TREE MAINTENANCE FACILITY
3830 PILOT KNOB ROAD 3501 COACHMAN POINT
THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY
EAGAN,MINNESOTA 55122-1897 EAGAN,MINNESOTA 55122
PHONE:(612)681-4600 PHONE:(612)681-4300
FAX:(612)681-4612 Equal Opportunity/Affirmative Action Employer FAX:(612)681-4360
TDD:(612)454-8535 TDD:(612)454-8535
resident John Korth and his family have distributed informational literature on water quality
protection and stenciled catch basins throughout the watershed. Shoreline resident Tim Ploetz is
working with the City to consistently monitor pond water clarity and has also distributed some
good information. Finally, thanks to all residents who have paid a little more attention to their lawn
care practices in order to protect the pond.
Please contact Rich at 681 4300 or Mike at 6814646 if you have any questions. Thanks for your
patience and for your interest in helping protect this neighborhood resource.
Sincerely,
Rich Brasch Mike Fo ch ' —
Water Resources Coordinator Assistant City Engineer
CC. Tom Colbert
Ken Vraa
Wayne Schwanz
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PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA148321
Date Issued:03/20/2018
Permit Category:ePermit
Site Address: 3918 Thames Ave
Lot:7 Block: 2 Addition: Coventry Pass
PID:10-18400-02-070
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
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 -
Michael J Grubich
3918 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:EA150166
Date Issued:06/22/2018
Permit Category:ePermit
Site Address: 3918 Thames Ave
Lot:7 Block: 2 Addition: Coventry Pass
PID:10-18400-02-070
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Michael J Grubich
3918 Thames Ave
Eagan MN 55123
(651) 788-1664
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:EA163664
Date Issued:09/09/2020
Permit Category:ePermit
Site Address: 3918 Thames Ave
Lot:7 Block: 2 Addition: Coventry Pass
PID:10-18400-02-070
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 -
Michael J Grubich
3918 Thames Ave
Eagan MN 55123
All Craftsmen Exteriors Llc
1020 East 146th St
Ste 226
Burnsville MN 55337
(952) 898-4680
Applicant/Permitee: Signature Issued By: Signature