3922 Thames Ave
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS• • 14' 1840' w"' `'j , APPLICANT:
iu1; H rli.u,r
' 1 hiA11F'; AVi VE'N
I, PERMIT SUBTYPE: TYPE OF WORK: ~
rJ i:;; ~'11 I I I. f; f I tiIa
INSPECTION DA • D•
~:1~11~~1o IIJ S'I 1~~~ I IpIQI.
R
i • 1 iHl1t t ' ri .I 1 6 l - I l ! 1 ~ i• pi l i I', ~ I11I11 1 ! li ~ W r~l! , 1 f Iltt4t l W, 1:) ; 4> 11,10 Al I I~II~ I
F
~
L
Permit No. Permk Holdx Date Telephone M
ELECTRIC
PLUMBING
HVAC
Inepecdon Data Insp. Commants
FOOTINGS
FOUNO
FRAMiNG
ROOFING
ROUGH
PLUM8ING ~ ~J(d
AIA TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL ~
GYP80ARD
FIREPLACE ~
FIREPLACE
AIR TEST
FINAL PLBG ~
100,
FINALHTG
.
ORSAT
IEST
~6LDG FINAL
I BSMT R.I.
I
9SMT FINAL I~ !%kCKFfG - - ~
I
j i)FCK FINAL
f~rndb'I-VN~. Ndr~
k~77)67
,7/~~~ Flyl '~i~r~7tv Y~ l.uiw «t~ L~~~/ ~,r.v~s~
- - '
~
~ . . CITY OF EAGAN
. , 3830 Pflot Knob Raad, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 ' - .
BUILDING PERMIT Receipt #
To be used tor gip OW/aR Est. value S12190M Date JUNE 26 ~y 91
Site Address 3912 UAli4 AVZ .
Lot 8 Block 2 Sec/Sub. COYMM rPM OFFICE USE ONLY ~
Parcel No. occuPancy R""~ h'i FEES
zonine
'iA6 x0"ITWHD t~0 IlIQ R~-1 ~ Name (Aqual) Const VL Bidg. Permil ; 713,00
Address 3201 8 RlVRR RD (nuowable) 60. SO
Surcharge
City ~OLICY Phone i r oi stories _ 463900
Length Plan Review
t~ Name oecw 32--- sac, cicy 100600
Address S.F.Total _ GSO.00
~ snc. Mcwcc
City Phone S.F. Faotprints -
On Site Sewage Waler Conn
~ W Name on siie weli 95.00
Water Meter
=Z Address utwCC System 319 3p.00
i2
w C'ity PhOne City water u DePosit 30000
PRV Required _ S/W Permit ~
I hereby acknowlege that I have read this appliCation and state Ihat the Boosler Pump _ •
S/YV $yrcharge
iMOrmation is correct and agree to comply with all applic,able State of ~'Q~~
Minnesota Slatules and G(ty ol Eagan dinanCBS. • , Treatmenl PI
Signature of Permitee ~"rt-... APPROYALS Road Unit s~~~
. ~
A Building Permit is issued to: ~E noiTum ao INC Planner - Park Ded.
on lhe express oondition that all work shall be done in accordance with aIl Co+ncJ
applicable State of Minneso!#, Statutes and Ciiy of Eagan Ordinances. g{dg, pry. _ Copies
Building OttiCial Va?iance - TOTAL
Pegmk No. Pwmlt Holdw Dits T*Nphone N
~
WATER 1,2106,
SEWEf2
PLuMeiNC
H.V.A.C.
ELECTRIC
kopwtlon Dab In+P. Conwnants
Foolings 1 7/, A ~
Foundation
Framing
Floofing
RaWh PIb9 O --/.S~ ~ .
Rough Htg.
l5ul. S3 Os Ce 4,~ o' si i
Frceplaoe
Flnal Htg. E301
orsrac Test 9/~ 7~~y DN ~G
Final Pbg- Plbg. Inspec.yor - Notiy Plumber
Cortst. Meter
EnprJPlan
Bldp. Final f.17
Dedc FEg. I
Dedc Fir?al ~
WeN
Pr. Disp.
- - J
i,i•
i
~
_ i
. • . - 1
' (I.Or#ifiratpof Mrrupsn.cn • '
, . . _
' ~Citp of ~agat~
ioP}t81"wpit# Df illtdbing iwPtliDit ~
Thts Certfficate issued pursunnl to the requirements oJSection 306 of the Unifonrt Building
Code certifying that at the time of issuance this structure was in conrpliance with the mrious
ordinances of the City reguTating building construetton or use. For the fnllowrng.~
Ihe (]amificafionsg M('(,AR Bldg. Rronit No. _14940 OocuM-Y TyPe T°°in6 Dislrict TYP~ COOL VN ,
Owncr of Bw7ding BE-FjQq!M= OD IM Addres -5Mj-~-a-iMCr~~: EtDj MM
Building Addtess Loc+b~~T~
/
Date:
~-g~d'ing ' aal
gl,
, POS71N A CONSPICUOUS PU1CE,
_ y. .
- _ ~ ~
•~Addzess: 3922 IlHY+'ES AVFTVIIJE Lot g Slk 2 Sec/Sub {OVENTRy p,qSS
These items were/were not complete at the time of the final inspection.
9/27/91 Yes No
Final grade (6" fram siding)
Permanent steps - garage
, Permanent ateps - main entry ~
Permanent driveway
Permanent gas
Sod/seeded grass
Trail/curb damage •
Porch
Basement finish
Deck
Please verify with the builder the removal of roof tast caps from the plumbing
system and the shut-off of water supply to the outside lawn faucet before ~
freeze potential exists.
IIFL~'p[D M'PI
White - City copy Yellow - Resident copy Pink - Contractor copy _jI
INSPECTION RECURD
GITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
~ ~ i~ i, , i , „ I
PERMIT SUBTYPE: TYPE OF WORK: ~
~ . , ~ i . • ~ ~ ~ ~
~
INSPECTION
INSPTR. •
I
wrmn rw. Permn Hoid.. o.o. T.kpnons #
S/w
PLUMBING .
HVAC
ELECTRIC
ELECTRIC
Inspsctlon Drb h". Commwnls
FooUngsl
Foundation
~
Framing I
Roofing
Rough Plbg. I
Rou9h Nt9. I
Isul.
F``ep'ace 3
IT-IP
Flnel Htg.
Orsat Test
Fnal Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
ErgrJPlan
Bldg. Final
DeCk Ftg.
Dedc Final
weli
Pr. Disp.
. . .
IN5PECTION RECORD
` CIT-f OF EAGAN PERMIT TYPE: ' r'
3830 Pilot Knob Road' Permit Number: t _0 0 «
Eagan, Minnesota 55123 ~ Date Issued:
(612) 681-4675 ~
I SITE ADDRESS: APPUCANT: i
' , t 1?~1 ; i r; . . , _ I: ) ?ili7 te.t:3 . ~
• n..:re-++n•.~•.1~,~, - srr~ ~^-~,a-+.: ~
~ I
~ PERMIT SUBTYPE: TYPE OF WORK:
- . . a.~ I~I1 fJ I
INSPECTION D• • •
I I I I I ; t('I ~ i I i I.i I I
1
~ ~
~ S/W Psrmn rw. vermR Howa oats rslephone #
~
~ PLUMBING I
1
HVAC a ~
ELECTRI 7/9 yt D~
ELECTRIC
Inspection Dab Insp. CommeMs I
Footings I
~ L 6-0.f k '(i
Foundarion
Framing
~
Floofing • • 4117
Rough P1b9-
Rough FIt9•
Isul.
I Flreplaos
Final Hlq.
Orsat Test
Finel Plbg. Plbg. Inspecior - NotilY Pkimber
Const. Meter
ErigrAnan I
Bldg. Final
Dedc Ftg-
Deck Final
Well
Pr. Disp.
7q7 Tf~x /~?6 D 9J~1 S 1T
~
Px 1~w sR , *-J;4. /^/Sjo !-v 6
1 . ' . . . . . ,
SEWER b WATER PERMIT OFFICE USE ONLY I
CITY OF EAGAN METER S(0 :77 PERMIT DATE
3830 Pilot Knob Rd.
Eagan, MN 55122-1897 cHiP #!g ~a 9~ PERMIT # 121 c.•E~ I
METER SIZE> y fk B.P. RECEIPT c Z u2n7
DATE 'J" ~~-`-~l ISSUE DAT~ B.P. RECEIPT DA7E Ob L 7 91
_ PRV _ BOOSTER PUMP
SITE ADDRESS-~c-22
l:ia~bs ~?Je PERMIT REGIUESTED
LOT ~3_BLOCK SEClSUB Sriyentn~Z-~~a~S x SEWER x WATER _ TAPS
i APPLICANT: 'rna Rntt 1 izrvi c,ri Tne
ADDRESS: 5201 E_ Rivc-r_ Rnaci -COMM/IND X RESIDENTIAL
CITY, STATE 1 rydieY, Mn•` ZIP.S54 ~ l ~ X NEW _ EXISTING
PHONE: 5110304
~ Lawn Sprinkler Meters are to be Installed
PIUMBER: YaLtQ.~Pl~anbir~~ Ahead of Domestic__Meters on Water Line.
~ ADDRESS: 610 Oreeir. I„ane `\Cr\edit WILC,NOT be gtyen for peduct Meters.
! CITY, STATE .Iordan, Mn. ZIP 55352
~ -
PHONE: 492-2121 - .
I I AGR E O COM~LY WITH CITIf OF
~ OWNER: The J:Ott11Lm1 Ca. Inc. EAGAN ORDI ' NCES
~ ADDRESS: 5201 E. Rivex Road ~
~ CITY, STATE Fcidlev, Mn. ^ Zlp 559Z1
PHONE: 571-0304 SIGNATUR WHE IETER ISSUED
r ' I -Z , G , E / y_14;"_ 7 /
; PLE~AS~ ~~I~LLOIAy TWO WORKING DAYS FbR PROCESSING. CALL 450-5220 FOR INSPECTIONS. FOR STORM
' SEWER PERMITS, CONTACT ENGINEERING DEPT. ~
INSPECTIUN RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: s E~ ca
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675 ~
SITE ADDRESS: ' 10 18404 0,10 4+ APPLICANT:
i~ir:
. . rFt,AMr', Av?'
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION
I
~ .
~ ~I
1
wrmn No. a«mn rwwK DeN TNapAOrM # I
ELECTRIC I
I
PLUMBINCa II
HVAC I
mspacnon o.a Inap. comm.Ms I
FOOTINGS
FOUND I
I
FRAMIN(i I
ROOFINd I
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING I
(iAS SVC
TEST
INSUL
GYP BOARD
I
FIREPLACE I
FIREP"CE I
AIR TEST I
FINAL PLBG I
RNAL WG I
ORSAT I
TEST I
BLDO FINAL
I
I
BSMT R.I. I
BSAAT FINAL
I
DECK FTCa II
DECK FINAL I
' . 1991 BUILllIN*9PJAPP CAT9 6,
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MITLTIPLE DWELLINGS COMMERCIAL ,
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OFENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS °
PENALTY APPLZES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICN REQUEST -IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BU LDING PERMI 0 n~J~
v
PROCESSING TIME FOR SEWER 6 WATER PERMITS IS TWO DAYS ONC ERM~IpT{ HAS BEEN C LETED.
PERMIT MUST SHOW A LICENSED PLUMBER. dW, 2 5~
To Be Used For: GW,LF_ g'ypmILy_' Valuation: _ D tet &-Z_
~/Site Address 392Z ?N!?sl/ES .4UF. OFFICE USE ONLY
Lot _P51 Block '2 FEES n
Occupancy Bldg: Permit 713, 00
Zoning (Z - I Surcharge GO .SD
Parcel/Sub Actual Const y-N P1an.Review 3-00
A1lowable V^ N SAC, City 00•00
Owner -'HE -P~y-TL-uHO gf~. 1"c. # of stories SAC, MWCC 50,OD
Length 5(41 Water Conn. 00
Address 52vt E. ~ir.E7t 72m4r~ Depth 32~ Water Meter 95, OD
S.F. Total Acct~ Deposit 30.00
City/Zip Code F~.~p~(,. MH. 4gG;,4LI Footprint S.F. S/w Permit 3D.00
S/W Surcharge 16-0
Phone On site sewage_ Treatment Pl. rJy b,a0
On site well Road Unit 370,~
Contractor MWCC System ~ Park,Ded.
City water ? Trail Ded.
Address PRV _ Copies
Booster Pump _
City/Zip Code SUBTOTAL
APPROVALS Penalty
Phone Planner Lot Change ~
Council ' TOTAL
Arch./Engr. Bldg. Off. ~)5~-72~/
Variance "
Address
City/Zip Code
Phone #
agrees that all work shall be done in accordance with
(Signa Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
..~n T• ,3`~fi ~i ~ .
VAL~ar-n~a~"_' ~ ~ •
~ .
~ X2o~ 4ao
~?,.S nrt l~
.~y' ~c .3 2 = ln3~3
'7xy~~rC-3 Z-) .
~ YZ,x ~ _
_ a,..
~
~
~mT = Xs~= yC~s20
J
~O 12,Gtt
ryK~R= 168 xLlo= ~720
~N,D ~LDa 2
a )(3q 8y o x 53= y`rs~o
~2022J v/C )2.I~aoa '
OFFICE USE ONLY
L BL RECEIPT
SUBD. DATE:
1996 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 6814675
Please complete for: P all commerciallindustrial buildings.
0 multi-family buildings when separate permits are D_Qj required for each dwelling
unit.
DATE: CONTRACT PRICE:
WORK TYPE: _ NEW CONSTRUCTION _ ADD ON _ REPAIR
DESCRIPTION OF WORK: '
r'
IS WATER METER REQUIRED7 YES NO. IF SO, PLEASE PROVIDE THl; FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOMETER:i TO BE INSTALLED? _ YES _ NO.
FAILURE TO PROVIDE THIS INFORMATION WILL RESUL7' IN A DELAY OF METER ISSUANCE.
WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? _ YES _ NO.
IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINY:LER PERMIT.
FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per
$7,000 of PgLmil fee due on all permits.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL
SITE ADDRESS:
TENANT NAME: STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
, CITY: STATE: ZIP:
PHONE SIGNATURF:
APPLICANT
OFFICE USE ONLY
METER SIZE: " DATE: INSPECTOR:
CITY USE ONLY
L ~ BL ~ RECEIPT#:
SUBD. DATE: 8 ~ 9
1996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please compiete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES EACN TOTAL
Shower 3.00 x =
. ~n,..~,.. ~i,....,. 3.40 x -
•4tVVIVvV\ ~
Bath Tub 3.00 _
Lavatory 3.00 x =
Kitchen Sink , 3.00 ;c =
Laundry Tray 3.00 :c =
Hot Tub/Spa 3.00 ;c =
Water Heater 3.00 ;c =
Floor Drain 3.00 _
Gas Piping Outlet ' vqinimum - 1 3.00 _
Rough Openings 1.50 _
Water Softener 5.00 :c =
Private Disposal ' Dakota Cty. license 65.00 =
(new and refurbished o.ystems)
U.G. Sprinkler ' home unAer const. 3.00 =
Alterations ' to existing 20.00
Water Turn Around 20.00
STATE SURCHARGE .50
U
TOTAL ~ p
SITE ADDRESS: -~`1~~ 2,
OWNER NAME: 0"
INSTALLER NAME: c1._
STREET ADDRESS: " Q -c
CITY: ~Usc~ti~ STATE: V'')- ZIP: 55 3; •
PHONE
/
~ 0--, ;r
CITY OF EAGAN ~y
r- ~ • 3830 PILOT KNOB RD - 55122 ~
p~J 9'L~ 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675 Z
Nm Gonstn!ction ReauiremenL kemoCeVReoair Reouirements l
? 3 regiaterod site wivsys 2 copias of Plan
? 2 copies Of plans (Indude beam 8 window sizes; poured fid. design; etc.) ? 2 ske surveys (exterior aGddions 8 dedcs)
? 1 enerpy caICUlationa ? 1 energy calwlations for heated adddions
? 3 copies o} 4ee pmaarvation plan 'rf lot pfattetl eRer 711l93 '
mquired: _ Yes _ No ,
DATE: 41 - ~D - CONSTRUCTION COST:
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT ~ BLOCK SUBD./P.I.D. 00 `/112) 4/t ~T
S~t~E STi~~I
PROPERTY Name: .S~Phone 6463 - PL,
owNeR :4.
Street Address•
City: ,/,q N State: ~ Zip: SS~~ 3
CONTRACTOR Company: ~r~? 5/,~ s /~c 16!~r Phone 9-~0 7
~
Street Address: CD_ /1V, 6 LiCeqse ~
~
City:/ J2,4D/C 4,Y23a~ IznAJ State: ~ Zip
ARCHITECT/ Company: 5~11V' 45 Phone
ENGINEER
Name: Registration #v
Street Address- City: State: Zip:
Sewer 8 water licensed plumber: penalty applies when address change and lot
change are requested once permit is issued. '
I hereby acknowledge that I have read this application and state that the information is correCt and agree to comply with all
applipble State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Appiicant:
OFFICE USE ONLY RSCE~V ED
Certificates of Survey Received _ Yes _ No JUN 2 0 9995
Tree Preservation Plan Received Yes No -
~
OFFICE USE ONLY . .
BUILDING PERMIT TYPE
? 01 Foundation o 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition o 08 8-plex o 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch o 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
a 05 SF Misc. ? 10 _ plex ao,,015 Deck
WORK TYPE
~311 New ? 33 Alterations ? 36 Move
0 32 Addition ? 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actuai) Basement sq. ft. MC/WS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. R. Census Code. y3y
Depth _ Footprint sq. ft. SAC Code 0~
Census Bldg
Census Unit ~
APPROVALS
Planning Building Engineering Variance
d
Pertnit Fee Valuation: $ /ZOO ~
Surcharge
Plan Review
License
, MCNVS SAC
Ciry SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies . - ? 0
Total: .
°k SAC '
SAC Units ~
I CITY OF EAGAN NO 19340
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE:454-B700 Receipt # fwc2O~
7obeusedfor SF DWG/GAR Est.value $121,000 pate JUNE 26 19 91
Site Address 3922 THAMES AVE
Lot 8 Block 2 Sec/Sub. "OVENTRY PASS OFFICE USE ONLV
R-3, M-1 FEES
P2/C01 NO. Octupancy
Zoning R-1
~ Name THE ROTTLUND CO 1NC $ 713.00
W 5201 E RIVER RD IACtuap Const V~ aiag. Permn
o Address (/liowable) V~ surcnarge 60.50
City FRI?LEY Phone 571-0304 k ol Siones - 463.00
Lenglh 54 Plan Review
zF Name _ SAME Depih 32_- snC, ary 100.00
ga Address " S.F.Total - SnC,rnCwCC 650.00
~ City Phane s F. Fomprinis _
On Site Sewaga _ Water Conn 660.00
~a
° Name On Sneweu
ww - Water Metar 95.00
t:' Address MWCCSystem XX 30.00
aw CIIy Phone Cily Waler Acct. Deposit
PRV Requirad _ S/W Parmil 30.00
I hereby acknowlege that 1 have reatl this apphcation and state that the Booster Pump - S/W Surcharge • SO
inlormation is correcl antl agre to comply with all applicable Stale ol
Minnesota StaWtes and City ofEag n Ordinan Treatment PI 276.00
SiqnaWre ol Permitee E- ' APPROVALS Road Unn 370 _ 00
A Building Permit is issued-to: THE ROTTLUN? CO INC Planner - park Detl.
on the express condtlion that all work shall be done in accordance wuh all Caunai
app6cable Slate of Minnesot taWtes and Ciry of E an Ortlinances gldg pry Copies
~3,448.00,
Builtling OlfiCial O~ Vanance _ TOTAL
~
2 1 3- L`.5 5~ OFF~ SEQNLY This nqmst.oid 18 months (mm volidalmn doie primed in ihis bpy~ ~
O~a 4 S%
~
PLEASE PRIN OR TYPE ~ 00i
Requezt ~o Rough-in impedion mqwndB ~ N. Inspetlion Oiher Rwn Rov~h-In Q Ready Now AI Call
S (You musl wll Ihe inspMOt when ready~ Oale Ready.
I, ? licensed contmdor wner hereby requesf inspeclion of the above electriml work at:
Jab ~rp'(Strqp, Bon, a e o.) Ciry Zip Cade
% P CCi'n s \ e
Setlion N. Towmhip Nama or N. Range Na. Fim No. Counry
Om Phone N.
-f -eJe S'~~ti~
PowerSappliar Pddress
ElMriml onnacpr (Compony Name) Canimnor bmme N. Moskr bc N. (Planl Eletl Only)
Y,-o Wh
Mailing Pd~'pss Connacwi or (Zh.nar PeAormng Insiollaeon)
DU cJ
athan.ed 5~amo,a.. «M, a, o,~a, P~o , I r, "6 83 i/ z G
I v
E8-00001A.10 6/95 STAT OAFOCOPY-SEEINSTPUCTIONSONBACKOFYELLOWCOPY
IIII II II I II I II REOUEST FOR ELECTRICAL INSPECTION
Minnesota Rtate Board ot Electriciry
1821 Univei ity Ave., Rm. S-1 B, St. aul, MN 55104
* 3 2 5 0 s Ph'rne (~64
2-0800
Home Dup e Apt. Bldg. Oth ~ New ddn
Commerciol Indusirial Farm n~ S Remod Re air
Air Cond. Hig. Equip. Water Hh. Load Mgmt. Ofhet:
D er Ran e Elec. Heat Tem . Service
"X° above the work covered by this request Enfer remarks in fhis space and on the back ol the whife copy only.
Calculate Inspection Fee - This Inspecfion Request wJl not be occepted without fhe correct fee:
OlFier Fee af` Service Enhance Sae Fee ~ Circuih/Feeders Fee
Mobile Home Park Stoll 0 to 200 Amps 0 t0 100 Amps
$freei lfg./froffic $ig. Above 200 Amps 0 Amps O
Tronsformer/Generabr INSPECTOR'SUSEONLY
Sign/Oulline Ltg. Xfmr.
Alarm/Remote Conhol
$wimming Pool I henb cam ihm I ins eaad ihe eleadml ~miallahon moibed he.e.n on ihe dmee .11ed
Irtigafion BOOm Ro,h-In Oaro
Speaal Inspection D
Finol oW
Investigotrve Fee ~O ~
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MO THS.
Nz507~ . ~av~°~
Repuesl Dale, ~ Fr¢ N0, ougIn5Inpfettan mre0 Ins ion Oiner Tnan Rougn-In
Ou o~ UII in500ReptI0r nen reaaYl qeaCy NOw ? WJl NOtAy InSp¢Lbr
? Vas No OoleReaDy
X-' icensed contractor owner hereby request inspection of above electrical work at:
oD Adtlress (S;reet Box or Ro~te No I Qty da aca.SecLOn No Township Name or No, Range No. Cou ~0~
Occupant(PRINT)Q.5~ Phon l~3_ 1 !a h
Power SupOber Atltlress
Elxincal L•cto~ (Conpany Name~ _ GonVactor5 L¢ense No.
c.&
Manmq Aedres iComranar or Oaner MaInstallabon)
E, IS
Nulhonxed SignaNrC COn~ cton wner Mdkinq In5ldllalion) PllOne NumEar
~
MINNESOTA STATE 601 HD OF ELECTPICITY THIS INSPEQION REOUEST WILL NOT
Griggs-MlEway BIEq. - Hoom 5-173 BE ACCEPTEO BY THE STATE 80AFD
1821 Univeraity Ave., St Peul. MN 55104 UNLESS PROPEF INSPECTION FEE IS
Phone161]) 602-0800 ENGLOSED
~g q REQUEST FOR ELECTRICAL INSPECTION a ee-ooomoe
, ~
? See insUUClwns lor comde0ng IM1is form on back of yellow COpy
N ~ - .
5 O 7 6 . '"X" Be/ow Work Covered by This Request
e Add Rep.' TypeotButlding ApplianceSWired EqmpmenlWired
Home Range Temporary Service
Duplex Water Heater EleCltiC Heating
Apt. Building Dryer Load Menagement
Comm /Indusirial Fumace Other (Specify)
Farm Av Contlitioner
Olher (sVecdy) Comrector5 Remarks:
Compufe Inspection Fee Below:
x Other Fee # Service Entrance Size Fee # CvcuitsiFeetlers Fae
Swimming Pool 0 l0 200 AmpS 0 to 100 Amps
Transtormers Above 200 _ Amps Above 100 _ AmOs
SignS iaspectorE Usa Onry. TOTAL
Irrigation Booms d p,~r
Special Inspection ~
Alarm/Communication ~ THIS INSTALLATION MAV BE ORD CONNECTED IF NOT
Other Fee COMPLETED WITHIN iB MONTHS.
I, the Elecirical Inspector, hereby R°uqmin oaee
certity that ihe above inspectwn has F,,,,i
been made.
OFFICE USE ONLY
Thrs requesl voitl 18 months Irom
~~5~ RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651•681-4675
New Conshuction Reauiraments RemodellReoair Repwrements
. 7 regisrered site surveys showirg sa. ft. of lot, sa. R. ol hause; anG all rooted areas • 2 coDies of plan
(20% maamum lot wverage allowed) • 7 set of Energy Calculalions for heateC aCCiticns
. 2 copies of plan shovnng beam & window s¢es; poured found design, elc I • 1 sae survey for extenor additions S decks
• 1 set of Eneryy CalculaAons . Iraicate d home served by septic system for adcitions
• 3 copies of Tree Preservalion Plan d lot platted after il U53
. Rim Joist Detail Options selection sheet (614gs wrth 7 or less urots)
DATE VALUATION
SITE ADDRESS MULTI-FAMILY BLDG _ Y _ N
TYPE OF WORK ~ 1 FIREPLACE(S) _ 0_ 1_ 2
Cedar Valley Exterior, Inc.
APPLICANT ee2e aiua stree+
STREET ADDRESS Coon Rapids, MN 55433 CITY STATE ZIP
TELEPHONE #-I6-~Y~- D~~ELL PHONE # FAX # ~~S-JJRO
PROPERTYOWNER O I 1P ~ C~Cl.3LD 1"I~l V1S2 TELEPHONE#((051) bg3-II 610
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Cate9orY - MINNE501C.\ KCLL•S 7670 C:\"CECORI' 1 "IL
~I rrv nl
mittzd
(J submission type) . Residential Ventilahon Category 1 Worksheet Submitted • e i-e. n nn rp
v~ rrergy,COde WorkShe~et Db
• Energy Envelope CalculaGons SuDmitted ~ OCT p 1 ZppZ Plumbing Contractor: Phone ~ _
Plumbing system includes: _ NVater SoFtener _ L,aim Sprinl:ler - Y Fee:--$J0:0O
lVater Heater No. oF R.I. Baths
No. of Baths
Mechanical Confractor: Phone #
~Icch:u~ic.il systcm includcs: .1ir Condfuonmg Pcc: $70.00
F[ca[ Rccovcn Svslcm
Sewer/Water Conhactor: Phone #
I hereby acknowledge ihat I have read this application, state tha he informat' n is orrect, and agree to comply
with all applicable State of Minnesofa Statutes and City of Eaga rdinances ~
~
Signature of Appllcant
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling ? 08 06-plex ? 76 Fireplace O 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 77 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? OJ 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex 0 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 0 38 Demolish (Interior) ? 41 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Damolition (Entire Bldg oniy) - Give PCA handout to applicant
Valuation Occupancy MCIES 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
_ Foo[ings (new blde) _ FinaUC.O.
_ Footings (deck) _ FinaWo C.O.
_ Footings (additian) _ Plumbing
Foundation H V AC
Drain Tile Other
Rooi _[ce 3: Water _ Final _ Pool _ Ftgs _ Air/Gas'Cests _ Final
_ Framing _ Siding Smcco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ W indows (oew/replacement)
_ (nsulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply 8 Storage
S&W Permit & Surcharge
Treatment Piant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
RE9IDEhTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN ~
3830 PILOT KNOB RD - 55122
651-681-4675
New ConswcGon Reauiremend RemodeVReoair Reaulremenb
• 3 registered site surveys showirg sq. fl. of lot, sq. fl. of house; and all rooFed areas . 2 copies of plan
(20% manimum lot coverage aDowed) . 1 set at Energy Calalations for heated additions
• 2 copies of plan slavnng beam & window s¢es; poured found design, etc.) . 1 sde survay for eMenor additions 8 decks
• 1 set of Energy Calculations . Indicate if home served by septic system for addidons
• 3 copies W T2e PreservaGon Plan if lot platted after 7/1193
• Rim Joist DetaJ Optioris seledion sheet (hldgs with 3 or less unils)
DATE IN•1UC\A'0a. VALUATION
JOB SITE ADDRESSZ09aa _'5%an.aa
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER SkLLS. -nur>\
TYPE Of WORK&:6RIaca 1~),woo~l ~ 1 Pa-ka-,2!ocir FIREPLACE(S) _ 0_ 1_ 2
APPLICANT 0~~r g{' ~~'m-
pHONE# (051• o'l(D~~L{'#-}}
ADDRESS 19ap 'C.Dvn~ Rd."C.''L4>~ I toS2~ 11t~nlt~~ ZIPCODE 55I13
PAGER # CELL PHONE # FAX #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor. Phone
PlumUing System Includcs: _ Watcr SoCtencr Iawn Sprinkler Fcc: $90.00
Watcr Hcatcr No. of R.I. Badis
No. of Baths
Mechanical Contractor: Phone #
Mcchanical Syslem Includcs: _ Air Conditioning Pcc: $70.00
_ Hcat Recovery System
Sewer/Water Contractor: Phone #
All above information must be submitted prior to processing of application.
I hereby acknowledge that 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 Or ~iances. r/'1
Signature of ApplicaOA4
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 2002
OFFICE'USE ONLY
? 01 FoundaUon 0 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Eut. All - Multi
C 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck 0 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Stortn Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New O 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration 37 Demolish (Bldg)' ? 43 Reroof O 46' Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg only) - Give P~CA han,dout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning " Ciry N%ater
SAC Units Stories' Booster Pump-
Nbr. of Units . Sq. Ft. • PRV , •
Nbr. of Bldgs Length ; • " , Fire Sprinklered •
Type of Const Width
REQUIRED INSPECTIONS
_ Foo[ings (new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AidGas Tests _ Final
_ Framing _ Siding Stucco Srone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
Insula[ion _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
W ater Supply 8 Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Cities Di ital Qualily Control
.
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
~
rv.•i auv ac.uu cnn lOJ O/l '4800
e~arusew nr enunic.yem .
~ uuzf u
re al
W A~
rune 7, zoo1 .
C* of Sam 3836 PiIat gmob Road
PAEan, MN 55122
To Whom It May Concern:
Elder Jones is authoriud to Pan building peimifs Por Ranewal by Mdergen_ Please alIow
Bider ]ones to prm•ide this W'vxce for ua in Eagan. 'IhiR audiori2adon la velid for eny
date beyond 616101: until a R"anewal by Andmea manaM eaFrms1Y revokea it in wridng
W the City.
IreNw this authorizaaoa bc acceptad expeaidousJY,
not dela m the
our bnilding pcmub any furthcr. Picasc caIl mc if thc~e u+c mq qneationa. I~heng of
~ contacted at 763-502-4706.
Your immqdiate aftntion to this matter }s appreeieted.
Sinceiely,
ymond R. Rau
oscallation Manager
Ronowai by A,ndasen Corporaden .
C'r.: Kma.F.lrler T~nea
aH D
nu~,ri, ~~~AL
w'a""oa°°°~ ~ atwm
Received Time Jun. 1. I:OJPlA
Pioriear Eneine?rinv 6819438
2422 't PlONEI~R ' 4/aV EYORy • GIVI L QirINEER9 M nd ~H tHar9n~,s~nnu 55T20
y 1M16
T
gngineeringn• LFND1LAIwER6•LANf2CAPEpACMTC4Y5 iC 1+121 sp
V1-1914
certiEicate of surveY for: PDMz. L!A/D C'o- I
~
~ , NORrH
12~
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za
~
'M76Q ~1 ~ s,
B~ y-~- - q-
ate
ZA(;ENGIIVEERIIdG
, -
.900.o Denotes exrstinj elevofior7 ROpC1,~QHOUSE ~a~
~ 900•0 Denafes p?nposed e(evation Lowesf floor f(evaflon gbs 41,
C.HhoffS Drarrrle'fn ~(lfili~fy Easemenf Topc."BRrk Elevofior~ S7b,sb
Dtnofes Drnin~low 1~rraws Gdrale Stob Elevufron 6"'6.23
~ Denotes monuI
~no jes Or'~e~ f~ufJ ~
Beal~in~s shown are assurrred o
LoT 8,BLocu Z, CovFnrrQY pAss
oascora COUNTY, MINNfSOTA Subjecl fo e4sements c~''record
1 fie.ekr MrtRr tfiat thia surver. G4n er reoort v.ec p. by rtMunde~r my dirt,ct tu0orvicion ond thal 1 om OuIY Replsteted LA~d Surveypr
undn !he li~. 0 the Stire ot MMnesotp. Opted [hli -at _.~CJ~aale~-- R.D. 19--6p. f
~ i
SCC1'lfP: irnch ' 4Q f'~ef
~
- - P BEAT . IKIGH 4$. REG. NO. 148911 A
1~ 89102. 11,
-
OVryE;
, S?TE ADDREss LO'r .D{.OLk Z. L.OI/4Mr/1A
co,rTRa,c^,on l207-7~-UND GD . DqT% PkiON-E
Deterain wor<ini; squnre footar;c of cach.
1. lotsl expcsed vall area ~G Z$4~7 sq. ft. x 0'11 = 2~~.~o
• 2. Total roof/ceiling area 3~•S sq. ft. x 8,026
• ' .
Total ezposed va!2 area nbovc flocir = Z% gG
a. Total va11 window erea 15;4- F'i L,
b. Totel door area --2~ -1 1 -7 %
c. Tot21 slidine giass c'oor area _771-7171-7-
d. Total fireplece va-11 area 24
e. Total vall framir.g a.-es (everaZe lOS) /d .7 7
f. Totzl net vall area above floor /f~
. 6. Total rim Joist area 'L Dn
. Total exposed fm:ndation arca = floo
h. Total foundet:on vindcva:ee ~ 5l-7 5~
i. Toy _ .,al net found=tion e-. ea nbove grade 9G.
~ ' . Deterr,ine "U" va1Le o; eech vall ,e:Fa:ent.
~ e. Z x 4 -2 = G5.o2
- ~ a. 4-3.-71 x,.U„ O./38 - ~'•03.
C. 3 I, q7 X,.U„ 0.3? - 1Z.7~/
d. 7i`T X CJ.~ = Z,G'
.
e JSI.-7 5" X;
f. I i3S.-7,S x 'lUl. ~•~G3 _ .70.33 ~ .
. 8- ZO ~ X
h. j5 -7 X„u„
~ 4_4r- g X,.~,. _ o. l~'-r-•
3 .
r
If item'H3 2s the same 2s, or lesa :h:tn ile:~ N1, yoti nave met the inter.t
of sac 6oo6(c)2. , .
6
Y3~.8
, . , Totnl exposed rooC/ceilinG Rre1
, `1 . .
Total gross roof/ceilinf, arc;i =
Totel skylieht area - q
k. Totsl roof/ceiling frzlning area .
1. Total net insulated roof/ceilinF area R 4 G 9~_ •
Dete:mine "U" value for e1cli rucif/eei I int; se;,~ncnt.
' X "Ull N .
.
q3.g8 X „U„ o.a2~ = 2.53 •
k:
z- o,azZ k . Total 21 f I
• If total of N4 is the scme es, o: less than N2, you have met the inter,t of
sac 6oo6(c)i. . .
To utilize the total eavelope system method, the values establi:hed by the
sun of items N3 azd 14 shall not be 6reater. thxn the sum of iten:s Nl a.-iC X2.
1, + 2.
' - g•, • + 6 . _ _ .
. • •
' • ' ~
• ,
•
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_ . J
CIT PERMIT ~ 44~~
O~EAGAN
3830 Pilot Knob Road PERMIT TYPE: B u r Lo r rv G
Eagan, Minnesota 55122-1897 Permit Number: 025900
(612) 681-4675 Date Issued: 0 6/ 2 6/ 9 5
SITE ADDRESS:
3922 THAMES AVE
LOT: 8 BLOCK: 2
COVENTRY PASS
P.I.N.: 10-18400-080-02
DESCRIPTION:
Building Permit Type DECK
Building Work Type NEW
REMARKS:
FEE SUMMARY:
Base Fee $30.00
Surcharge $.50
Total Fee $30.50
CONTRACTOR: - qpplicant - ST. LIc. OWNER:
RENSLOW'S DECKS-N-GAZEBOS 17739707 0008209 STAHL STEVE
1746 E COUNTY ROAD B 3922 THAMES AVE
MAPLEWOOD MN 55109 EAGAN MN
(612) 773-9707 (612)683-1126
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 Mn.
L Statutes and City ofi Eagan Ordinances.
~
- -!*~LLYI'JqAP~~ANT/PERMITEE SIGNAT~ ISSU~BY S~NA 8 REr~ ~ I I I~
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: B U I L D I N G
3830 Pilot Knob Road Permit Number: 025900
Eagan, Minnesota 55122-1897 Date Issued: 06 J26/95
(612) 681-4675
SITEADDRESS: P•=•N.: 10-184ee-e8e-e2 APPLICANT:
LOT: 8 BLOCK: 2
3922 THAMES HVE RENSLOW'S DECKS-N-GAZEBOS
COVENTRY PASS (612) 773-9707
PERMIT SUBTYPE: TYPE OF WORK:
DECK NEW
INSPECTION D. .
FOOTINGS FINAL
F
L
~
~ . .
. • . 2432 Enterprise pNve
' 'R uu+owavcrows•av~.uacmecia Mandote Hafghts,MN 56120
' *e@@I'frl9.. ~""o.~~~..cas. LAN[aC~?! ARCMT[C1S (612) 681-1914
. Certificate of Survey for: TH~ D~ ~rv~ ~a •
~
~ pORtH
~
~
4,
~ • zr
.
b 3
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a a.~
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\
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r
' ~ ~ ~ _ . / ~
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h•
. . 3 ` d , ~~•q• •P ~
.
' '..3.::`j ~
x t•;} y?1 ENuiNht.P?NG
~ 900.o Denates existing elevafinn l~~oA~.SEl7 HQysE ELEVA7`IUNS
t 900.o Denoles prvpo44 elevafion Lowesf floor frevafion _8b a 4b
1~nofes ~raina~e E Ufilif fo~semenf Tp q.^Bla^k E/evaffon 8'76.sd
Denotes Draina~te ~low rrow_s Cldrarle Slab Elevdflor! ~~b•23
0 Dena f es rnanur?'len t
BearinIs shown are ossumed 4 Denofes O*'ykf Kub
Lor 8,B~ocu Z, COVENTRY PASS
OAKOTA covNrY, MI+VNESVTA Subjecl fo ecisemenls c~('rec,ord
1 M,rkr ce-tilr tfin thia nwur. G4n or report wn pr by ordhect suPervislon and tAat 1 am duly Rp1itlle0 Lartl SvrwYOr
uwdei the qw, of the Sqp ol Mlnmob. Oeted d+b -4164dav o1 A.D. 19~1.
Sca le : 1inch . 10f2gf
p OEAT , IK~CN L.$, REG. N~. ~O~Y~
In 89102.1 r
PERMIT
X CITY OF EAGAN
~ 3830 Pilot Knob Road FERMIT TYPE: a L NG
Eagan, Minnesota 55123 Permit Number: 021904
(612) 681-4675 Date Issued: 0 9 J 0 9/ 9 3
SITE ADDRESS:
3922 THAMES AVE
LOT: 8 BI.OCK: 2
COVENTRY PASS
P.I.N.: 10-18400-080-02
DESCRIPTION:
ii'x 141 12'x iz'
Building Permit 7ype DECK
Building Wo,rk Type NEW
IUBC Occupancy\ R-3
~
~
.
~ ` y-
ci cy. (3
REMARKS:
FEE SUMMARY:
Base Fee $25.00 COPIES $4.50
Surcharge $.50 Total Fee $30.00
Subtotal $25.50
~Lb-GE7AJXTEI71ORS INC_ APP 116871613 0006564 SQrafHCER:
STEVE
8017 NICOLLET AVE S 3922 THAMES AVE
BLOOMINGTON MN 55420 EAGAN MN 55123
(612) 887-1613 (612)683-1126
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 Mn.
Statutes and City of Eagan Ordinances.
A LICANT/P ITEE SIGN E `SSUED BY: t0 ATURE
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: B U I L D I N G
3830 Pilot Knob Road Permit Number: 021904
Eagan, Minnesota 55123 Date Issued: 0 9/ 0 9/ 9 3
(612) 681-4675
SITEADDRESS: Lor: e sLocK: 2 APPLICANT:
3922 THAMES AVE BUDGET EXTERIORS INC
COVENTRY PASS (612) 887-1613
PE o111IT SUBTYPE: TYPE OF WORK: NEw
DESCRIPTION 11'x 14' 12'x 12'
INSPECTION .
FOOTING FINAL
~ ~
REACTIVATE _ CITY OF EAGAN
PERMIT # . 1993 BUILDING PERMIT APPLICATION -t30. 00
. . • T jq04 681-4675
SINGLE 8 MULTT-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural 8 structur.al plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month.
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date 'Z / 10 / Q'~ Valuation of work tkQOS0 c
Site Address: T ham~ NV 2j
STREET SUITE r
Tenant Name: (commercial only)
IAT BLOCK Z SUBD. CCr/c3f9yl y~,¢~S P.I.D. N
Descri tion of work: DEGK ~
The applicant is: ? Owner Contraccor CJ Other (Deccri6e)
Name CjG.kn L ~k_\! C'. Phone (A3' ti W0
Property LAST F10.5T
Owner pddress -nhc./Me~S N-r e STREET STE •
city ~state ~N 2ip JS l'~-3
Company 2yt~ Phone
Contractor Address (~O17 ~S'LstAw' Arv e, S.License # 0" Exp.
City 5tate Zip ~JCJ '
Architect/ Company Phone
Engineer Name Registration N
Address
City State Zip
Sewer 8 water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this apPlication and state that the information is
correct and agree to comply with all applicabl State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applica .
74.~ ~
OFFICE USE ONLY .
,
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./LadgiAg 13 T6 Basement Finish
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition 0 OB 8-Plex 013 Garage/Accessory O 18 Comn./Ind.
? 04 SF Porch 0 09 12-Plex 014 Fireplace O 19 Comm./Ind. Misc.
O 05 SF Misc. ? 10 Multi. Add'1. R,15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
W1 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL 1NFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) lst F1. sq. ft. City Water
UBC Occupancy ~ 2nd F1. sq. ft. PRV Required
Zoning Sq. Ft. total Booster PumP
# of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code y3~I
Depth ,zxiz On-site sewage SAC Code
APPROVALS a
Planning Building Assessments
Engineering Variance
REDUIRED INSPECTIONS '
• Site ~K Footing ? Framing ? Insulation
? Wallboard I/ir, Final O Draintile E3 Fireplace
Permit Fee .2vo v.iuac;on: $
Surcharge
P 'ew
1CP S
AAL
City SAC
Water Conn.
Water Meter
Acct. Deposit
5/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Lopies 4. ~
Other
Total:
sac %
SAC Units
. 2422 Ertterprise prive
~.ZIE..I?R 1~1N61/RVEYOIq•GIYIIpIC~1YEER9 Mendote Hefghts, MN 55T20
.3* eering- ~""n.ur..eAS.L~N[6CaPEARC~wTCCT6 (612) 681-1914
Certifiwte ot Su?rey for: ~~0 7 T L 0 rvn C~-
~
' NaRrH
/
PI`o
T o,
.h tr o.. ~ • • 3s
~
s6-
~ ` / ~ ~qr3.jt0 ~•er/. ~ 1~ \ \ ~s's..
2 ,11~ ~1•~ / ~t4
F'se
~ j
5 n,
4L~
I.: 7.M ~~`L tlY:: (
" ~
~1~.•;~.V .E~Iti~.r.~iN^F~I~EF'T .
.
ROJ~Q.Sf~2 NQ E VA Q~OI~
~ 900.o Denafies exisfing efevafran
,
f 900_o Denoles prnposed r/evation Lowesf FJoor E(evafion Sbs 44,
,6
oenotes Drainaoe E Ufilr-fy Eo'semenf Top ~.^Blcrk Elevofion 5765
DErrofes Droino~Se Klvw ~frrows Gara$e Slarb Elevvfron 8`'b23
o Denaf es manu,~?Yen t
BecrrinP shown are assumed 4 Denofes Qt''4"kf Kub
LOT 8: BLOCK Z, COVENTQY PASS
Axoza covHrY, Ml~1NFSO~ Subjecl fo easements a, record
p
~v my dj nt+ cuPOrvicion and that 1Sm duly RplttHeO Ls~d 9Uew+YD'
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CITY OF EAGAN PERMIT ~J,1120
4~3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55123 Permit Number: 025194
(612) 681-4675 Date Issued: 0 3/ 0 3/ 9 5
SITE ADDRESS:
3922 THAMES AVE
LOT: 8 BLOCK: 2
COVENTRY PASS
P.I.N.: 10-18400-080-02
DESCRIPTION:
(GAS)
B~u`ilding=.Permit Type FIREPIACE
8uilding Work Type NEW
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REMARKS:
FEE SUMMARY:
Base Fee $25.00
Surcharge $.50
Total Fee $25.50
CONTRACTOR: - Applicant - sT. Lzc. OWNER;
FZRESIDE CORNER INC 16331042 0001068 STAHL STEVE
2700 N FAIRVIEW 3922 THAMES AVE
ROSEVILLE MN 55113 EAGAN MN 55122
(612) 633-1042 (612)683-1126
I hereby acknowledge that I have read this application and state that the
in'Format'ion is correct and agree to comply with all applica6le State of Mn.
Statutes and ity of Eagan prdinances.
- J
ISSUED B: ~j~ SI A c~aiTURN k
J NT/PERMITEE SIGNATURE
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: auzLorNG
3830 Pilot Knob Road Permit Number: 025194
Eagan, Minnesota 55123 Date issued: 0 3/ 0 3/ 95
(612) 681-4675
SITE ADDRESS: Lo-r : a B L 0 C K: 2 APPLICANT:
3922 THAMES AVE FIRESIDE CORNER INC
COVENTRY PASS (612) 633-1042
PERMIT SUBTYPE: TYPE OF WORK:
FIREPLACE NEW
DESCRIPTION (GAS)
INSPECTION D. .
ROUGH-IN FINAL
F
~
L
CITY OF EAGAN
)SI94 3830 PILOT KNOB RD - 55122
1995 FIREPLACE PERMIT APPLICATION
681-4675
DATE: 3 - 3~ -
DESCRIPTION OF WORK: ~ INSTALL NEW FIREPLACE: _ WOOD BURNING 7Z GAS
INSTALL GAS LOG ONLY IN EXISTING FIREPLACE 4rmT- ~j
- & oDO AVi
INSTALL GAS LINE ONLY IN EXISTING FIREPLACE ~p
OTHER:
AREA TO BE INSTALLED IN: SX-I7 Lei/sZ-- Aa,-y 51-
STREET ADDRESS:
LOT ~ BLOCK 7 . SUBD./P.I.D. 1
APPLICANT: (circle one only) OWNER ONTRACTOR
I hereby acknowledge that I have read this application and state that the information is correct and agree to
compiy with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
~
PROPERTY Name: Phone
OWNER `"ST A""
Signature:
Street Address• 3 ~j z-~ ~ ~ ~ m t5-S
`
City: ~ G• A t~ State: tit Zip: 5 Z
FIREPLACE Company: Slc~ ~ a.. _ Phone ~z s61
INSTALLER
Signature:
Stree dress: Z 7ov -W-" i/L/"/t-,~License
City;. o j~^fCL~...v State: 04 Zip/
,
GAS LINE Company: Phone
INSTALLER v
Name:
Signature:
Street Address:-4
City: State: Zip:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 14 Fireplace
WORK TYPE
0 31 New ? 33 Alterations
? 32 Addition o 34 Repair
GENERAL INFORMATION
Census Code.
SAC Code
REMARKS: Chimney/flue must be inspected before concealing.
FEES
Permit Fee
Surcharge
Other
Copies
Total:
Ceo
PERMIT °Z--3-
3ITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: surLoxNs
~ Eagan, Minnesota 55122-1897 PermitNumber: 027250
(612) 681-4675 Dale Issued: 0 4/ 0 9/ 9 6
SITE ADDRESS:
3922 THAMES AVE
LOT: 8 BLOCK: 2
COVENTRY PAS3
P.I.N.: 10-18400-080-02
DESCRIPTION: •
Building Permit Type BASEMENT FINISH
'Building Work Type ALTERATION
Census Code \ 434 ALT. RESIDENTIAL
i
i `
CpF
\ \
I~ ~ i . ~ ' i._ • . _.a ~REMARKS:
A SEPARATE PERMIT IS REQUZRED FOR flNY PLUMBING OR ELECTRICAL WORK
FEE SUMMARY:
Base Fee $50.00
Surcharge $.50 .
Total Fee $50.50
CONTRACTOR: OWNER: - Applicant -
STAHL STEVEN
3922 THAMES AVE
EAGAN MN 55123
(612)683-1126
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 Mn.
L Statu and City of Eagan Ordinances. J
APPLICANT/P E SI NATURE SUED ' G ATURE
v CITY OF EAGAN ~ J/ O.50
~ 3830 PILOT KNOB RD - 55122
lq MO96 BUILDING PERMIT APPLICATION (RESIDENTIAL) cav4lt
681-4675
N • r=onsWdion ReauirementQ Ra odel/R oair Reauiremenl
? 3 registered aHe surveys ? 2 copies of plan
? 2 coples ol plana (include beam 6 window sizes; poured fnd. design; etc.) ? 2 sfte surveys (exterior additions 6 decks)
? 1 energy calwlatione ? t energy ealwlatione lor heated additions
? 3 copies of tree preservation plan N lot platled aRer 7I11193
requlred: Yes _ No
DATE: CONSTRUCTION COST:
DESCRIPTION OF WORK: 7' -
STREET ADDRESS:
LOT ~ BLOCK ~ SUBD./P.I.D. ~ ~
• /L~ /Fl5~00 OS~_ O~"
PROPERTY Name: Phone M3 -/~~"~O
OWNER IM,
StreetAddress 3qar) -[&a41~s 741[tf-)
City: i5a4a ki state: zip: Ss~a 3
-~j
CONTRAC70R Company: Phone
Street Address: License
City; State: Zip:
ARCHITECTI Company: Phone
ENGINEER
Name: Registration
Street Address•
City: State: Zip:
Sewer & water licensed plumber: Penalty applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the infor tion is correct and agree to comply with all
applipble State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY r%A
Certificates of Survey Received _ Yes No i4rK 0 ~
---Tree Preservation Plan Received _ Yes _ No
•
OFFICE USE ONLY ~
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex o 12 Multi RepairlRem. ? 17 Swim Pool
? 03 SF Addition o 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch o 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. 0 10 = plex ? 15 Deck
WORK TYPE
0 31 New ? 33 Alterations ? 36 Move
0 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATlO!d
Const. (Actual) Basement sq. ft. MC/WS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code.
Depth Footprint sq. ft. SAC Code
Census Bldg
Census Unit
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Pian Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Pertnit
SIIN Surcharge
Treatment PI.
Road Unit
Park Ded.
Traiis Ded.
Other
Copies
Total:
% SAC
SAC Units
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PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA135743
Date Issued:04/01/2016
Permit Category:ePermit
Site Address: 3922 Thames Ave
Lot:8 Block: 2 Addition: Coventry Pass
PID:10-18400-02-080
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.
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 -
Todd R Gustafson
3922 Thames Ave
Eagan MN 55123
(651) 450-9129
Arneson Heating & Cooling Llc
7803 Drake Road
St Paul MN 55125
(651) 459-3360
Applicant/Permitee: Signature Issued By: Signature