3926 Thames Ave
INSPECTION RECORI)
~ CITY OF EAGAN PERMIT TYPE: 1,1111011114
E 3830 Pilot Knob Road Permit Number: h~ n t
Eagan, Minnesota 55123 Date Issued: f~' ~
i (612) 681-4675 .
k SITE ADDRESS: - APPLICANT:
4 I ~ [tl ~r~ !
I liitirl+ n~.~a 1 1ii-r11 1 11 i.Ni , t;-It.
~ •i•~~~;~ MIHY l>A`ic~ (611t 1;71• 0304
~ PERMIT SUBTYPE: TYPE OF WORK: ~
1i:
i i",
~
INSPECTION . .A
i i I E•1 ri ~
I4 '~I f`~ilrF~ll I''i hl~~ I I: tl~~li•+ Is 1'~;11~ 1 I~~ tlil~ il!
~
J
L
i
PsrmR No. PermR Holdar DaEs Tsiaphone A I
S/VN I
PLUMBING ~
HVAC
ELECTRIC
ELECTRIC ~
Inspeetion Dats msp. Coff""Wb
Footings I
I
I
FoundaUon I
I
Framing yr28,03 RomV9 I
I
Raigh PIb9' I
P^O ft I
I
~sul.
Flrepl8ce
Flnsl Fky.
Orsat Test
Fhiel Pibg. Plbg. Irrepector - Nobly Pqmber
Const. Meter
En9?JPkn ~
-Odg Fl"el I-L-719y ~
Dedc Fig.
Deck Fhiel
1Ne11
Pr. Diep.
, INSPECTI(JN RECORD l Contrel No.
CI'TY OF EAGAN PERMIT TYPE: i "'i
3830 Pitat Knob Raasl Permit Numbar. 001447
Eegan, Minnesota 55123 Date Isaued:
( (612) 681-4675 '
' SiTE ADDRESS: 10t1 y APPLICANT:
~9 16 YNnMF?; ~vt iMrr P0111uNp c0 Il~c
~ PERM~T §YPTYPE; TYPE OF WORK: N~?a
1~.IU i! MG I'iP A11 i Mce
~
iM`-IIp Ifi~ I• Ctls11
I ~ f~E t' I A~ t
' H! AA1fk''J ; i+1- 1.11 li' 1 1 uiw r! Off iIA! LtY PRMIQ. f
E ~
k '
.
UbphoM •
wrmlt tip. POnNt rbldw oats
aw
~ PLt1M81MG
HYAC
E1.EC'YAIC
EL.ECTRFC
Yup~ctlon DOW Molk Cwlw+luU
F°°i"'qs E
II F0WY,1YflOR
FranwV
RDo&9
FkKVh P04
PAUM ?+a.
toLd.
FinM
ALIZ-a
ofw Tw ~i
(
Rne+ rbo• Pap. ?nepacoor - rOaniy mntw
Canat LAiew
EiWJP4n
DWC' FkW
Oetic P4~
Dodc Phd
Vlhll
pr. Disp-
- ~J
.
i
Wertificate n.f Cccupane~
~it4 o~
Teontoeat of ffixi" aw-Vection
= This Certificate issued pursuant to the requirements of the URifor?n Building Code
; certifying tfiat at the time of issuarece this structure was in compliance with the various
' onlinances of the City regulating buildiag constrrrctiore or use. For rhe following:
ow ci"rcation: SF UM swg.Pommit ,+b_ 1447
It3 1 RI VN
ow~ysia o~u;ct ~5201 B RIVFR ~ PRIIIEY
~s
BuLMbm aeamn LAr-W„y • :
12/28/92
Building 43"
POST IN A CONSPICUOUS PLACE
Address : 3926 IHAMES AVF3~l0E ~t q Blk 2 Sac/Sub r~W p~
,
These items wors/wors not complets at the time of the final inspection.
12/28/92 Yes No Tnnppctnr!
Final grade (6" from siding) ?
Parmanent ateps - garaga ~
Permanent staps - main sntry
Permanent driveway
Pezmanent gas
Sod/seedad graas i
Trail/curb dacaage
Porch ~
Basement finish ~
Deck
Pleass varify vith ths builder the ramoval of roof test caps from the plwabiag
systam and the shut-ofi of vater supply to the outside lavn laucet before
fraeze potential •zists. i
'oP
White • City copy Ysllow • Residant copy Pink • Contractor copy N~ i
L 271895~~~~5~- ~~-y(~-
~v ~
Repuet, Oale r F:e Na, Roug n I spaction """JJJ
J3 Rea eE'+ y, ReaEY Now Wlhen Reatly7acmr
~ Yes ? No ~
Iez hcensed contractor ? owner hereby request inspection of above electrical work at:
Job Aatlress (Sireat. Box or Romeyp ) Cny
3
SecLOn No 1 Township Neme ar No. Ranga No. Covr~p
a~x"
OccoO tiPAINT) Phone No
Pawer 5/pplier Atltlress
Eiec:ncai omr aor (COmpany Name1 Conuacmr5 L¢ense No
Gd¢DoSB!
N.ailmg Aotlress IConiractor or Owaer Making Installalion)
Aulnonzetl SiqnaWre ICOmr lonpwner a g Inslaqauon~ Pnone Numoer
~
MINNESOTA STATE BOARD OF EL CTPICITY THIS INSPECiION REOUESTINILL NOT
Grigge-MlEwey Bltlg. - Room S-177 BE ACCEPTED BY THE STATE BOnRO
1841 Univ¢rnity Ave.. SL Pau4 MN 55104 UNLE55 PROPER INSPEQION FEE IS
Vhone(61Y) 644-0800 ENCLOSED
O~ p S REOUEST'POTECEUrAICA-L jNSPECTION ~"•`~~'q EB-o0001-oB
~ . ^
? See insfmcuons tor canpleting tNS lorm on bacF ol yellow copy, ~l "X" Be/ow Work Covered by This Request
eN tltl R4,. TypeoBudding AppliancesWired E uipmentWred Home Range Temporary Service /
Duplex Water Heater Electric Heating
ApL Builtling Dryer Other (Specify)
Comm.llndushial Furnace
Farm Au Condrtioner
Omer (sye<dy, ('qnVamor's Remarks' ~
Compufe Inspection Fee Below,
+ Other Fee # ServiceEntrance5ize Fee n Circuits/Featlers Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
SignS Inspector§ Use Only:
TOTAL
Irrigation Booms .c 6~ 3 ~ 60
Special Inspection
AlarmlCommunwatwn TFIIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT ~
Other Fee COMPLETED WITHIN 18 MO ~
I, the Electrical Inspectoc hereby R009~~~
certity that Ihe above mspection has •
been made. Fa, oa~e
OFFICE USE ONLY
This reque5c wid 18 monms lrom
55178 ,
.1i L ji~~13
iiequast Date n9 No Rough-yNn5~c1ion
Fe,~Q,tw'r~d1_J ? Ready Now ~il NOtily InSpaCtOr
p~es ? No When ReatlYo
I_;Dlicensed contractor ? owner hereby request inspection of above electrical work at:
JaD Adtlress (SVeeL Box or we No ~ dty
3 9 a ~ Q.U2,
Sactmn No Township Name a No Rarge No. CouN
OccuOan PqINT) PhOne No
1 ~
Power upp r~ A AOtlress
. I.C.LCi
EiecvrcaTyorq~r br~COmpa~ny nuame) ConVacrorS License No.
C.a Z~C2v G' g,l
Matling Aatlress ICOnvactrn or Owner Makng InslalleUOn1
AutMnietl Sgnauw¢ ICONrac~Ori ner Ma4i In tallatwn, Phone Numbe,
gLr3- g 0
,
MINNESOTA SiATE 80RRD OF ELECTRICITY THIS INSPECTION iiE0UE5T WILL NOT
Grlggs-Mitlway Bltlg. - Room Sl]] 9E NCCEPTEO BY THE STATE 90ARD
1821 Umversiry Ave.. St Peul. MN 55106 UNLE55 PROPER INSPECTION FEE IS
PMne (612) 6a2-0800 ENCLOSED
REQUESTFOR ELECTRICAL INSPECTION ''~~~''ta EB-OOODt-OBQ
Sae msVUCnons lar completing tbis lorm On b2ck 01 yellow cnOY
ll~ K 55178
=X" Belaw Work Covered by This Request
e'Adtl Np TypeolBuiltling ApphancesWired EqmpmenlWved
Home Range % Temporary Service
Dupler Water Heater Eledric Heating
ApL 8mltling Dryer Other (Specity)
Comm /Industrial Furnace
Farm Air Conditioner
Other (syeci'y) Cono-a<tor8 Remarks
Compute Inspechon Fee Below.
# Olher Fee # ServiceEntrenca5ae Fee # Circmts/Feetlers fee
Swimming Pool 0 l0 200 AmpS 0 to 700 Amps 4 S
Translormers Above 200 _ Amps A Amps
Signs insoecwr's usa Omy ~ TOTAL
Irrigation BoomS -7 3 ~
Speaallnspecllon
Alarm/Communication THIS INSTALLATION MAV BE OflDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 M THS.
I, ihe Elechical Inspector, hereby Rough-in ~ Date
?
certify that the above inspection has F~nei a~e
been made. , ~ -
OFFICE USE ONLY
TM1rs requesi voitl t8 montM1S Irom
10734
& Jr o0
Raque 1 Date Fre No, Pp~p n~in I specnon
Q {1pOpi,ep ;2'HeaOy NOw ? Wrll Nollty InspBClor
s Z G Ves G Na When ReaayP
I42~lcepsetl contracror D owner hereby request inspection of above electrical work at:
JoD Atltlrew (Stree/L Bov or Poute N//Ai Ciry
~ ~ (p /WeLvv~,
Section No TawnshiD Name or No Range No. Cou~
~.J
Occup I(PRWT) PhoneNo
PowerSup r ~
~ Atltlress
Eler,n i (Zontracm, IComO ~ Namel ComractorS Ucense No
~ C /9- Do 3 ~l
Maibng 4a0ress IGOnhaclor or Owner Makmg Ins;allatronl
vv
Au1horize0 S,gnaWre IGOnvan -0wner ak g Ins(nlletan Pbone Number
^ ` 3- 3~io
MINNESOTA STATE BOARD OF ELE TRICRY THIS INSPECTION REOUEST WILL NOT
Griqgs-MlOway BIEg. - Room St]J BE RCCEPTEO BY THE $TATE BOARp
1821 Universlly qve., SL Paul. MN 55100 UNLESS PROPER INSPECTION FEE IS
Phone(61]) 662-0800 ENCIOSED.
A9/aD/9oZ REOUEST FOR ELECTRICAL INSPECTION es-oaoo, oe
K ~ See instmcuons lor coipplaJing 1his form on back ol yellow capY f~~?-~
107
34 "X" Below Work Covered by This Request
ew qtltl ReO. _ TypeofBmlding Applianceswirea EquipmentWirea
Home Range Temporary Service
Duplez Water Heater Electric Heating
Apt. Bwldinq Dryer Other (Speaty)
Comm./Intlustrial Fumace
Farm Air Conditioner
Otber Isyeatyl ConUactot§ Femarks
Campute Inspection Fee Below:
n Other Fee # ServiceEntranceSae Fee # Circwts/Feeders Fee
Swimminq Pool 0 to 200 Amps 0 to 100 Amps
Transtormers Above 200 _ Amps A6ove 700 _ Amps
Signs inspecmr's use Only. TOTAL v
Irrigaiion Booms
Special Inspection
Alarm/Communicahon THIS INSTALLATION MAY BE ORDERED SCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-in oate
certify Ihat the above inspection has F,,,ai oata
been matle. f ~
OFFICE USE ONLV ?
Tnis request void 18 montns Imm -
RESIDENTIAL
BUILDINC PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Constructian Reauvementa RemodellReaair Renuirements
. 7 registered site surveys showirg sq ft. of lot, sq R. of house; and all rooled areas • 2 copies of plan
(20Yo maximum lot coverage allowed) • 7 set ol Energy CalculaGons for heated adddions
• 2 copies of plan showirg beam 8 windew srzes: poured found desyn, etc ) • 1 srte suney for extenor adadions 8 decks
• 1 sel of Energy Calculations • Indicate A home served by septic system for adddions
• J copies of Tree Preservation Plan itbt platted aNer 711193
. Rim Joist DelaJ Options selection sheet (bldgs with 3 or less wits)
DATE Z~-q!d Z VALUATION
SITE ADDRESS ~q ?'e `N" M MULTI-FAMILY BLDG _ Y _Q
TYPE Of WORK J'e ro6f / v~~~- FIREPLACE(S) _ 0_ 1_ 2
APPLICANT K611"I&. {1Y'F2- / Marc~ ~c~-f~'Vl
STREET ADDRESS ~~Th#_" CINfATln~ STATE M0'3 ZIP 55 (a--
TELEPHONE # CELL PHONE # ~ 51-~60 -M3~1FAX #
PROPERTYOWNER 46`v'tAy!_Z' ! PVA'Y6A1 C,L1D-rttv"\ TELEPHONE# 9 3q~j
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNL50T:1 R[;I.GS 7670 C:ATECORI' I MIIN:VESO"1'_A RL.~LLS 7672
(J submission type) • Residential VenLlation Category 1 Worksheet Submitted . New Energy Code'Norksheet Submd[ed
• Energy Envelope Calculatlons Submitted
Plumbing Contractor. Phoi
Plumbing system includes: 'Wuer Softener Iatim Sprinl:ler Fee: $90.00
Water Hea[er No. oF R.I. Baths
No. of Baths
Mechanical Contractor: Phone #
Mcckiazuril systcnt includcs: _ :1ir Condiuoning rcc Si0.00
Hl'lC RCCOVCR' Sy'Sll'IIl
Sewer/Water Contractor: Phon I#
t1 - .
I hereby ocknowledge thai I have reod thrs application, state that the informotio aycorrect, aadn cee- comply
with all applicable State of Minnesota Statutes and City of Eagan Ordi ances. In' I
SlgnatureofApplicant AN~A~A/\ I/IAM
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updaled 4l02
OFFICE USE ONLY
? 01 Foundation ? 07 45-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace 0 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 77 Garage ? 22 Porch/Addn. (1-sea.) ? 33 Ext. Alt - SF
O 04 02-plex O 10 08-plex ? 78 Deck O 23 Porch (screened) ? 36 Muiti
? OS 03-plex ? 11 70-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 72 12-plex Plbg_Y or _ N ? 25 Miscellaneous
O 37 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS '
_ Footings (new bldg) _ FinaVC.O.
_ Foocings (deck) _ FinaVNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice R Nater _ Final _ Pool _ Ftgs _Air,Gas'Cests _ Final
_ Franung _ Siding Smcco Sronz
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insufation _ ReWining \Val]
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbmg Permit
Mechanical Permit
License Search
Copies
Other
Total
PERMIT Co"' o"o 1063
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55123 Permit Number: 0 014 4 7
(612) 681-4675 Date Issued: 0 9 J 16 / 9 2
SITE ADDRESS:
3926 THAMES AVE
LOT: 9 BLOCK: 2
COVENTRY PASS
DESCRIPTION:
.'Building Permit Type SF DWG
Building"Work Type NEW
UBC Occupancy R-3 M-1
Construction Type VN
Zoning ~ R-1
Building Length % 48
~
Building Width ` 34
~ i
. . i
~
i :
~ .
!
iREMARKS:
RECEIPT #COa~g~S S&W PLBR - VALLEY PLBG.
FEE SUMMARY:
VALUATION $80,000
Base Fee $549.50 MISC FEES $1.610.50
Plan Review $357.18 Total Fee $3,257.18
Surcharge $40.00
SAC $700.00
SAC ~ 100
SAC Units 1
Subtotal $1,646.68
CONTRACTOR: - Applicant - ST. l.I OWNER:
THE ROTTLUND CO INC 15710304 000133 ROTTLUND CO THE
5201 E RIVER RD 5201 E RIVER RD 301
FRIDLEY MN 55421 FRIDLEY MN 55421
(612) 571-0304 (612)571-0304
I hereby acknowledge that T 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.
~ -
.~TMy~1~`S' ~aU.a ~ ~~f1. ? rn~f
~
APPLICANT/PERMITEE SIGNATURE ISSUED BY SI TURE
INSPECTION RECORD Control No. 1063
CITYOFEAGAN PERMITTYPE: BuiLorNG
3830 Pilot Knob Road Permit Number: 001447
Eagan, Minnesota 55123 Date Issued: 0 9/ 16 / 9 2
(612) 681-4675
SITEADDRESS: Lor: 9 BLOCK: 2 APPLICANT:
3926 THAMES AVE THE ROTTLUND CO INC
COVENTRY PASS (612) 571-0309
PERMIT SUBTYPE: TYPE OF WORK:
SF DWG NEW
INSPECTION ,
FOOTING FRAMING
INSULATION FINAL
FIREPLACE
REMARKS: RECEIPT # S6W PLBR - VALLEY PLBG.
I ~
~ I
~RMIT N CITY AF EAGAN S],
REACTI:'afE 1992 BUILDING PERMIT APPLICATION
681-4675 C41U q - L~
,6EP 1 a.RECO
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIaL 2 sets of architectural 6 structural plans, 1 set of
specifications, 1 copy of energy calcs.
°enalty applies when typing of permit is requested, but not picked up by last working day
of month ir. which re uest is made or lot chan e is re uested once ermit is issued.
D te _ C1 'q / QZ Valuation of work`'#;1(PS,000
Site 4ddress: 392ca Thc.w..es AVQ-
STREET SUITE /
Tenant Name: (commercial only) -FQ tiZa.}-4-t,,,,A Co.-T'nc.
L'JT ~ BIACK 2 SUBD. P.I.D. N
GaveN 4SS
Descri tion of work:
The applicant is: Owner Contractor ? Other (Deecribe)
' Name Ry+4-1„,AA co.S~nc Phone 5-71-02,n<!
Property LAST FIRST I
Owner Address szoi E.g;U¢r- Iza, 3ot
STREET STE N
City l^"Alev State Nlvt Zip 55421
I
Company f~ o~e_ Phone
COtltl'8Ct0r Address License #on~o1335 EXp3i 9¢
City State Zip
Architect/ Company Phone
Engtneer Name Registration N
Address
City State Zip
Sewer 8 Nater licensed plumber u b Processing time for
sewer 8 water permits is two days once rea as be n approved. '
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all appticable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
v
OFFICE USE ONLY
BUILDING PERMIT TYPE 1L
? 01 Foundation 0 06 Duplex ? 11 Apt./Lodging O 16 Basement Finish
~ 02 SF Dwg. O 07 4-Plex O 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory A 18 Comm./ind.
? 04 SF Porch O 09 12-Plex 11 14 Fireplace ? 19 Comm./InG. Misc.
? 05 SF Misc. 0 10 Multi. Add'1. O 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
)5 31 New ? 33 Alterations ? 35 Tenant Finish ? 31 Demolish
? 32 Addition O 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) V- N Basement sq. ft. MWCC System
(Allowable) %V. N lst F1. sq. ft. City Water ~
UBC Occupancy R.3 M_I 2nd F1. sq. ft. PRY Required
Zoning ( Sq. Ft. total Booster Pump
N of Stories Footprint Sq. ft. Fire Sprinkler
Length yg On-site well Census Code io
Depth 34, On-site sewage SAC Code UI
APPROVALS .
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
? Site ? Footing ? Framing . ? Insulation
? Yallboard ? Final O Draintile ? fireplace
Permit Fee veimtim: g7O1pDfl
Surcharge GARA4'E;
Plan Review ~9 2v = 4-I0 0 >c /6; ~you
Llcense
MWCC SAC &SM7;
city sAC
Water Conn.
Mater Meter - I y X 2 g: 34"Z
Acct. Deposit
S/W Permit /064 xlS; 15160
-
S/W Surcharge Isr ~c.ooa :
Treatment Pl. 35rnT = io
Road Unit
Park Ded. ~'ii KG = 9
Trails Ded. S6°~
Copies I0 73X53 56
= 1 Other
Total: 991 2~O1
SAC % 100
,
SAC Units J_
j P.ez
2422 Entarprlae Drlve
Mendoto Heighls, MN 95110
~ PIONE6Fl LANo Mmvcracs . aue. oNan?as (612) 691-1914-Fox 881-9488
~ t.*ne *bel' 119 wm Puxe+cns . uwouWe exwmn 829 HIghway 10 Norkheast
Bloln0. MN 65434
* * * (812) 783-18B0•FoK 783-1883
Certificate of Survey for: TI'le OttlUrl CO f1 C.
House Address: Thames Avenue Eogan. MN_ ,
Model Name: HamRton Production Madel
,
DRUNACE # UTIUtY EASEuENT
3 / I }
r- / ~ .
s's NN,? to Q ' C
2 / ~ n
(0 ~
~ g~~Pic j z
1
! / ~ 8
q / ~ I g
d64,3t - L I
/ro.ao 71, • v
40.0 N 09•aY6Y ~ ~
~ $732 12 °a'ese easatrn rv.~ K868~9'5
H~stn
g~13 ~
87Y31 ~ e;l3 °ARAce ~ Wwca,r I ~
r-2~»'$ so.e~ ~
~
/
~ ~ ~3 • ~,.a~ ~ X 87'l. 3
~
'?3.z e"';~~ ° ~ ~1 ~ ~l i
Z
- -r
387.
~ Bo
rHq Mes _ AlW&H EgEGYNE AING DEP'x
AVEIVUE
. 000.0 Denotee Exlsting Elevation RP OpDSEJJ WOUSE EIEV611ON
Denotas Propoaed Elevatlan Lowesi Floor Elevatfon:887_8S
Denotes Droinoge & Utility Easement Top of Bloek Elevatlon:875.98
- Denotes Dralnaqe Flow Oirection ~
--o-- Denotes Monument Garage Slab Elevation: 87$.83
--a- Denotes Offset Hub Bearings shown are assumed v~
LOT 9, BLOCK 2 COVENTRY PASS
OAKOTA COl1N7Y, IAINNESOTA
1 Mre6y eatily Met ebb surwV, pten er report vrm mM by me or ~mder mV dhat wp sbn and t1u1 Iam duly Re~iterW Unp 6urv.yar
u~r tAe leM ol tho Btele ot Mlrmnate, D~Ied thlid~ ol 0 T A.D. 19,
. Ro~. 9-4-9~ - ndd Er:s~- Elas.
SCQIIi. 1Lqgh°30'td POBFRT M~414 1.5.REO.N0.14191
Q1~J 89102.12
R-97% 09-11-92 02:22PM P002 #06
. etrer,!ea vrvr•.r.rn'F nvi:rnrr: "u" cur.rru•rr,•ri.,~i
C-T L .GD 17`:SJ OT 9
CG:'ITR..1^:0, r~DTiLCJ/V;D Gc'7. D:\T=
PHONE
. DeterM!n vcrkinr, s,unre footzl;c of cach.
1. Total e-pesed vall eren 2~0-7 5r, 2 0.11 2q4,.Z I
sq. ft. x =
• 2. Total reof/ceiling area S.,,, f` x 0,026
o .
Total exposed vall erca nSovc loor = 26 7 5^ ~
a. Totel vall windov e-e_ _ ~L17• 7
~
C. Total sliding glee. .
. b. To'zl c.~o^ z.-es ~
s docr area
d• Total fireplece vall erea
e. Total va_1 ::=ing a-ea (average lOP) ~
2 ,
Total net ve11 eree above iloor
/ 92 7 0
C,.
. g. Totzl rim joist e-en 2 Cf7. Z
T0t3l exposed iOuT1da,,10n ftrC3
h. Tetal founlc'.?on vindo': a:ec . . '
i. Total net fo•Lndstion -
^bove €r.zde 77~77 V
. ~ Cete^,ine "U" •:alce e: each vall ar.f,^,nent.
. 9. L1-7r !
b. 3P7,-71. z,.U„
~ c . x„~„ o,4'Z = lG,7v ~
a. - X
-1
e. L.oaq = /~,00
f. ~9ZZ.0(Q X„~,. D,D¢3 = 7Z,~i~f' _
4_77, z X„~~„ q• q ~
5. X
i. /2/, (,o X „u" _ O.I~'- _ OZ
3 . .r~~.,.~
• ` a~
If i:e^ ,17 :s .he saT= as, o.- iesa :.h:ln iLe::a yt. 5'ou n~vc met the intent
or sac 6000(0)2..
n
' Tatcl exposed roof/ceilinG Rren
Total Eross raof/cciling arcr+
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~ CITY oOF EAGAN PERMIT PERMIT TYPE: a u z L dI ~ ~c ~
Eagan, Minrizsota 55123 Permit Number: 020741
(612) 681-4675 Date Issued: 0 4/ 2 7/ 9 3
SITE ADDRESS:
3926 THAMES AVE
LOT: 9 BLOCK: 2
COVENTRY PASS
P.I.N.: 10-18400-090-02
DESCRIPTION:
INCLUDES DECK
8uilding Permit Type SF PORCH
Building Work Type NEW
'Building Length 14
Building Width 12
. =
REMARKS: '
RECEIPT N SEPARATE PERMIT REQUIRED FOR ELECTRICAL
FEE SUMMARY:
VALUATZON $9,000
Base Fee $108.00
Surcharge $4.50
Total Fee $112.50
CONTRACTOR: - Applicant - sT. Lzc. OWNER:
ROTTLUND CO INC, THE 15710304 0001335 ROTTLUND CO INC THE
5201 E RIVER RD 5201 E RIVER RD 301
FRIDLEY MN 55421 FRIDLEY MN 55421
(612) 571-0304 (612)571-0304
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 of Eagan Ordinances. J
7 ~,J ~ -fl.Uun R,~Ar1171L,t~
-
APPLICA lPERMITEE 5 ATUPE I ED . S NATURE A
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: auzLozrtG
3830 Pilot Knob Road Permit Number: 020791
Eagan, Minnesota 55123 Date Issued: 0 4/ 2 7/ 9 3
(612) 681-4675
SITE ADDRESS: Lo T: 9 B L 0 C K; 2 APPLICANT:
3926 THAMES AVE ROTTLUND CO INC. THE
COVENTRY PASS (612) 571-0304
PERMIT SUBTYPE: TYPE OF WORK:
SF PORCH NEW
DESCRIPTION INCLUDES DECK
INSPECTION . DA
FOOTING FRAMING
FINAL
REMARKS: RECEIPT # SEPARATE PERMZT REQUIRED FOR EIECTRICAL
F
L -
REACTIVATE _ CITY OF EAGAN ~
PEk:'t;~7 1993 BUILDING PERMIT APPLICATION
681-4675 (~PR 1 6 REco
~-e--4 L f J'; 6
SINGLE 8 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
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 Val uati on of work ~
Site Address: ' '~->,q 5z-co TM-~wes Aw-
STREET SUfTE Y
Tenant Name: (commercial only) -+~^e IZ~•H-1vNC9 Co•J~,nc-
IAT ~ BIACK 2- SUBD. P.I.D. *
C.oVern S S
Descri tion of wark:
The applicant is: Owner Contractor ? Other (Describe)
Name *~~~ur~(ACOSN~ Phone s 1I-o
Property LAST FIRST
Owner Address SZoI CZve/' 0I.l 3° 4
STREET STE k
City T~C"'j t q State ZiP .S 2- _
Company I (~A Phone
Contractor Address Sa L~ /t!~A License # 1335 Exp 3-3Lfr3
City State Zip
Company Phone
Architect/
Engineer Name Registration M
Address
City State Zip
Sewer 8 water licensed plumber tik Processing t9me 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 applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant: ~ C~
OFFICE USE ONLY
BUILDING PERMIT TYPE
F ,
? 01 Foundation 0 06 Duplex 0 11 Apt./Lodging ? 16 Basement Finish
I] 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Camm./Ind.
)ir" SF Porch ? 09 12-Plex 0 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. O 15 Deck ? 20 Public Facility
. ? 21 Miscellaneous
WORK TYPE .
~ 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) V-N Basement sq. ft. MWCC System V_ _
(Allowable) v-ry lst F1. sq. ft. City Water '
UBC Occupancy 2nd F1. sq. ft. PRV Re.quired
Zoning r,-i Sq. Ft. total Booster PumP
# of Stories Footprint Sq. ft. Fire Sprinkler
Length IAI ! On-site well Census Code
Depth On-site sewage SSCUo~deb'~ ~APPROVALS
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
? Site ooting ~Framing ? Insulation
O Wallboard 3tinal ? Draintile ? Fireplace
Permit Fee ~ o$, 'ao veimc;p,: S 1~~ZDaa
Surcharge
Plan Review
License
MWCC SAC - ' • '
City SAC ~~r ,
Water Conn. - - -
Water Meter
Acct. Deposit , .
S/W Permit
5/W Surcharge
Treatment P1. f- Road Unit ,
Park Ded. `
Trails Ded.
Copies 7 '
Other
Total :
sAC%
SAC Units
Po2~ .
I2~Ci4= f68
1 %,Z x~(9 g 5$ &
~L
-
2422 Enterp9ce Orive
P1bNEER ~ Mendoto Hei hls, IAN 55720
LANp qURyEYM • LNMCM (612) 681-1914•Fax 681-9488
* eng neering uND PLMMFRS - UND9CAPE MGi17EC75 625 Highway 10 Northeast
* * ~ * Blplne, MN 55434
(812) 783-1880•fox 783-1883
Certificate of Survey for: ThG Rottlund Companv If1C
,
House Address: Thames Avenue Eaaan MN
Model Name: Namptan Production' Model
onniNAcs & unurr aser.¢
(7/" O
vi V ? 3
9
~ X to Zo
/STA1 12~ 14' p(~&YiC I Z
~ a
De,=k ,,H
869 / g ~ ~ ~z• 0 I
+~o
bro ~$75~1 12 Ca'ay e'sewEar rq.ap X
PRCP ~
n ~sE Q~i.l ~
/Za.2~73$ cta~ ' wA~W7
1' 20.E7 m°. 27.3,; ~17~ y
- I
` ~ ` 'a ry ~ fi. g ~a st ~zi ~ K 87Y. ~3
OrmtWAr
~ 87~ 9 ~ E
Y I
- - -
04.55 T73.3
-
,
R~3676p3~ ~ ~r
~ Dat
AVENUE $ACLO
¦ 000.0 Oenotes Existing Elevatiqn PROPOSEO HOUSE EL~7 ~/~~ION 1)~p
Denotes Proposed Elewtion
Denotes Drainage & Utility Easement Lowest F1oar Elevotion:867.85
Denotes Drainage Flow Oirection - Top of Block Elevation:875.96
--o-- Denotes Monument Garage Stab Elevation:875.63
-Fa Denotes Offset Hub Bearings shown are assumed
LOT 9, BLOCK 2 COVENTRY PASS
DAKOTA COUNTY, FlINNESOTA
I hKebY Certl/y Wt thu wrwY. Pkn w report wpa prep9re4 bY n% oI uMtr my diract yIon end Wt I sm AuIY Regineraa Land Survsyor
under tha laMn of the 6tato ot Minnesota. Oattd thHL day of A.D. 19 ,
. ReJ. y-4-4z - Add E(Ws. ~
'
S C Q Ie. 1 Z
~J Oeet R09CAT . 1 L3. RlG. IVO, 10693
/
. . .
' tcs sVRvsY eexcuzss soA Ussanrz"
~ snzs.n:sa ssXucsr atsLSCas ox .
~ 1 .~.c.`
atte O= f1tltoYi 911 1~4 7 _
WT fTfvnR4nB z_
17~D 0 • RGqistersd Lna iurveyor siqnaiuse and eompany
8-0 0 • Suildinq parmit 1lpplicant
S-D 0 • iAqal desesiption '
D 8'0 • Address
0 • Korth arrov ana Dar scal• •
8~D 0 • 8ouse typa (rambler, valkout, split w/o, split atitry,
Iookout, etc.) '
DOID 0 • Diseeitonal dzaiaaq• arrovs vitA •lope/QraQient t.
0 0 • pzopoasa/existinq movar ar?a vater sarvieas
D~,Q 0 • btreet name
g~ O 0 • Drivevay
szrv~rioxs
lYSst3nc
D ~'D • sevcr serviee
8' D 0 • Lct eozners
r0 0 • Top of euzb.at tht drivevay
D~ D D • Elevatior,s of sny axistiaq aajaeent homes
}refle~tE
VO~D D • Garege Sloor
D' D D • Fizst floor
~0 0 • Lovest txpose0 eltvation (walkout/viaEov)
D • Pzoperty eorr,ezs
0 D • front and saaz of Aome at the toundation
p0YDS1:G 11tiAB lif IDDIiCLSel
D~D D • iesement lin*
00'' D 0 ; r~;L
!!WL
D~ D,,p • Pond # desiqnation
D D" D • Lzezqeney Overtlov Slevation
DI?2N6SON6 •
~D D • Lot lines
0 0 • Riqht-of-vay aaE stroat vidth (to baek ei CuTb)
FD 0 • proposed bomc dimensions ineludinq an ro
Y ~ ?esea aeeki,
overDnnqs qzester then 21, pozehts, ete. (i.e. all
strvetures.requirinq permanent tootinqs)
~D D • Shov all easements of seeorQ anQ any City ntilities vSthin
those •esements
8~0 D • Setbecks of proposed atsueture anQ setback of adjaeent
existing Aomes •
a~• Retair,inq 11 sequiraments, it any
- Revieved: ` 7jP~~.';po< ylz°l,,~
L / eL ~ CITY OF EAGAN CITY USE ONLY
PLUMBING PERMIT
SUBD. QZ4-~ (612) 681-4675 RECEIPT #
DATE /O S 9 ,;7-
RESIDBNTIAL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS
WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION COMPLETE THE FOLIAWING:
N0. FIXTURES EA. TOTAL
NEW CONST I REPAIR/ADD ON 15.00
ADD ON _ SHOWER 3.00 1-
REPAIR WATER CIASET 3.00 oF`
~ BATH TUB 3.00 G
LAVATORY 3.00
OWNER NAME: O l•-~ ~ KITCHEN SINK 3.00 Y'~ t J J-- IAUNDRY TRAY 3.00 SITE ADDRESS: I~\t/F HOT TUB/SPA 3.00
T WATER HEATER 3.00 FLOOR DRAIN 3.00 ~
r ~ GAS PIPING OUT.
INSTALLER: CO (MINIMUM - 1) 3.00
j
1 ROUGH OPENINGS 1.50 ~ ~
ADDRESS: C9 ~ U ~'C L~ OTHER
C WATER SOFfENER 5.00
CITY: JoI 1 Q~ ZIP: 5J3 _ PRIVATE DISP. 15.00
,pq\ U.G. SPRINKLER 3.00
PHONE ~t 1 d' n~ I a( _ W. TURNAROUND 15 . 00
C L STATE SURCHARGE .50
S ATURE OF PERMITTEE TOTAL:
COMMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY
BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
WORK DESCRIPTION: '
OWNER NAME:
CONTRACT PRICE:
SITE ADDRESS: 1% OF CONTRACT FEE. .
STATE SURCHARGE - $.50 FOR
TENANT NAME: EACH $1,000 OF PERMIT FEE.
SUITE $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 1% $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE
FOR: (SIGNATURE)
CITY OF EAGAN
C1TY OF EAGAN
L 9. B~- MECHANICAL PERNIIT RECEIPT # 00"~<3
SUBD. ~ S aa~s-(612) 681-4675 DATE c3v 90'--
~P °z / RESIDENTIAL
PLEASE COMPLE!'E UPPER PORTTON ONLY FOR SINGLE FAMILY DR'EI.LINGS. ALSO, COMPLETE FOR
TOWNHOMFS/CONDOS WHEN SEPARATE PERMTIS ARE REQUIRID FOR EACA DR'ELLiNG UNIT.
OWNER: C (J`j 19 ADD-ON A/C ADD-ON FUKNACE ?
SITE ADDRESS--. ADD ON/RIINODEI, (ElQST[NG $ 15.00
~ I 1~7L.f I/E CONSTRUCI'ION ONLl)
INSTALLER: ~yL , HVAC: 0-100 M BTU ~ 24.00>
PHONE ADDITIONAL 50 M BTU 6.00
ADDRFSS: a-3 J t/y LF~ /tJ• GAS OUTLETS - hIINIMUM t@ S3 EA. 3. o0
crrY: zir: ,Sf L,? suxcxnxcE: $ .so
SIGNATURE: ,e,,,54 TOTAL: 7.J-j ~
NO PERMIT BEQUIRED FOR DUCTWORK ONLY!
COMMERCTAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCWJINDUSTRIAL BUILDINGS. ALSO COMPLEfE FOR
APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR
EACH DWELLING UNTP.
WORK DESCRIPTION: CONTRACT PRIC& FEFS
196 OF CONTRACT FEE.
STATE SURCHARGE IS $.SO FOR EACH
$1,000 OF PERMIT FEE a
PROCFSSED PIPING - $25•00 $
MINIMUM FEE - S25•00
OWNER: TOTAL: $
SITE ADDRFSS:
TENANT:
SUITE #t:
INSTALI.ER:
. . . . .
, . ,
ADDRESS:
CI1'Y: ZIP:
PHONE CTIY SIGNATURE
SIGNATURE:
~'Y;LI5E;C?NI;:Y
: . . . . . . . : . . .
. . . . r_..a:~~g:"<zi:i~.:d.
• ~ .:...:..::....1.:::.:
. .t . : .~~°":::=n::~~r:~ - ,',:~.;.:;,M
s, . ,
i~~i~1E~~~~ , ' s z , z s~... ..,..b~s..ct ....~..,.....,_.af,xiay&.'t&~&zx~.x..w.,.,....,..... ...t.x.... ...ax.a.....c . :
1993 PLUMBING PERMIT (RESIDENTIAAL)
CITY OF EAGAN
3830 PII,OT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT.
NO. FIXTURES AC TO
SHOWER 3•00
WATER CLOSET 3•00
BATH TLTB 3.00
LAVATORY 3•00
KTTCHEN SINK 3•00
LAUNDRY TRAY 3.00
HOT TUB/SPA 3•00
WATER HEATER 3•00
FLOOR DRAIN 3•00
GAS PIPING OUTLET • min+mum -1 3•00
ROUGH OPENINGS 1.50 ~
~ WATF'R S^F'I'ENER 5.00
PRIVATE DISP. • Deccry. iic. 15.00
U.G. SPRIIr'KLER • eome unoer const. 3.00
ALTERATIONS • to custing 15.00
WATER TURN AROUND 15.00
STATE SURCHARGE .50
TOTAL:
SITE ADDRESS:2? G
OWNER NAME:
INSTALLER:
ADDRESS: 7d- /OD / 17'2 ° ~'-i
CITY:_~ S¢` f~' ?`I STATE: ~l N~ l ZIP CODE:-sS~ 7
PHONE (klS ) / 22 /
~
SIGNATUR F P RMITTEE
<-.-,;-~c..;...;; p:.ti ~rx;
. ~SE.tS
.,:.:.:~~,-...::::~.a?:~7<<';:,...,.~., a.z;.... .,.:„~~~;i:.e:....,:,: :a¢:~'s:'ct~'4'~ ,i?~gt':;:
.....,c .
~ : .
.
.
, ~........~...BL : .;s..:;~~:
, t
~ r . . . . +v.~..r.:p.:' L+.:.~...wi 'i:.. 9:..
i a.: . . ....:.....<..c.. ...s::.n.. .y ~n
q ..>...x.....:.
~ . . . .<'..%F<...IIS ..iJ%.'.:.o3.e. >..i`[ c.f:::
o~
.r .:.t..:-.......'~:......n _~.'aa..yp..F..p.<y~.n.rnn.:t. Za:bT:....: v..fta' ^.i`f'N.rf``• ~n.d'.'(°~
D.... . s . . . c :..n;.i$
. . . P:.:::..: -::.n.~...... ..N..~. ...i.....n:..::,.3.> a
.a. . . . ..:::.....::...i:>.:•2..
. .....9.... ,r.:...:
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. ~ .:....`.._::::...~,:...c.:» '.1 ~%~>'t
D.:.::.. .~a.„,..a,:~:r.: •~DATE~ :t .
.
~m:...... R...=~..w~...:..~.:.w , ....~......<.<.:...~.,,.,.,:,.=.~•x:-,. „<.,,:~-.,.:..,..~:.-':<:;<:
..:<.....~~.~..m.m...~~.~,.,e~-:x,;,.....,.w.~.. ~:.-w,.,;..m.,....M..._..~...,m~...a..~..,,..:; ~s...,;~MM.,.,.~ ,.1~ M::,,.;.~.....,..
1993 PLUMBING PERMTf (COMIIIZII2CIAL)
CITY OF EAGAN
3830 PIIAT KNOB RD
FAGAN MIIV 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMMERCIAUINDUSTRIAL BUILDINGS. ALSO FOR MULTI-
FAMILY BUP DINGS WHEN SEPARATE PERMTTS ARE NOT REQUII2ED FOR EACH
DWELLING U1::T.
_ 'dEW C'JNSTRUCTION
ADD ON
icF3AiR
WORK DESCRIPTION:
CONTRACT PRICE: $
FEE 14E OF COh"TRACI' FEE.
STATE SURCHARGE $.50 FOR EACH $1,000 OF PERM~TI' FEE
.`.`.;;7I,`.'.UM FEE: $ 25.i'n1
CONTRACf PRICE X 1% a
STATESURCHARGE $
TOTAL $
SITE ADDRESS:
TENAIVT NA11'IE: STE. #
ONT'ER hAl?ZE:
W STALLER:
ADDRESS:
CI7Y: STATE: ZIP CODE:
PHONE
FOR:
CITY OF EAGAN APPLICANT
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City of Evan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or 7B -LAC Ink ..-----
For Office Use / -03S
Permit #:
-
Permit Fee: Coo
Date Received: 1' /Z
Staff:
L
46
2012 RESIDENTIALgPLUMBING PERMIT APPLICATION
Date: OS �o i Site Address: / Z(a vt.,
Tenant:
Suite #:
Name: �.c\C C.(-<+) Phone: /c 2-- 8 S' --- 1St U
Address / City / Zip:
Name:
�z 1vnn�.'+�
Address: 'uDii L-Ut_A,Vk, 4.
License #: 089 07% — I
City: Pt`s c.-...
State: '" 1r' Zip: S'.."'"5"12.• Phone: ,57-- ` Z r - / (q j(10
Contact:
New
Replacement
0 I
Email: �(,J Z , & �1
Repair Rebuild _ Modify Space Work in R.O.W.
Description of work:
RESIDENTIAL
Water Heater
Lawn Irrigation (_ RPZ / PVB)
Septic System
New
Abandonment
Water Softener
Add Plumbing Fixtures (_ Main / _ Lower Level)
Water Turnaround
RESIDENTIAL FEES:
$60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $189.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
TOTAL FEES $
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 wor 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 • fans.
x J e.,cq m`{ w f),_. 2
Applicant's PriAted Name
x
Applica ,s Si nature
Date:
Gity of Eaaafl
cv"'
0
Use BLUE or BLACK Ink
For Office Use
Permit #: /cq33(
Permit Fee: / T.' l
Date Received: - I
Staff:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
2012 RESIDENTIAL BUILDING PERMIT APPLICATION 1-- Cf
5�
� ` � Site Address: � / �' ��� r � /� Unit #:Jr‘t
RESIDENT l
OWNER
Name: r t -- CleY' _ Phone: 6112- ` 363- Z6/D
Address / City / Zip: /3z5-2.--- 4/11t lukRJ Acz, 4/r,
Applicant is: 'i -- mer Contractor c/
TYPE OF WORK
Description of work: ! (7OIi� 1t scl(Ge'fi Vyi er rive -4l "r'v �42( i -Self 1511
Construction Cosierb Multi -Family Building: (Yes / No)
CONTRACTOR
Company: MO Walt -6A i4IC J AIOI S Contact .11 Ase- Ha" Se kt.
Address: /4-0c95— 6t t' U -1'1f -t / r� ' City: Ve
r�
State: Zip: r 5737 T.� Phone: �j /Z— 387 qo.5 l
License #: BGd 377/ Lead Certificate #:
If the project is exempt
1301/-7-
from lead certification, please explain why: (see Page 3 for additional information)
!.ii C16eZ..-
In the last 12 months,
Yes 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:
_No
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Cali 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.aopherstateonecall.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 plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota _ : Building Code must be completed within 180
days of permit issuance.
x Ie ij) L -
Applicant's Printed Name
x
Appli s ' gnature
Page 1 of 3
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DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
,6 Single Family
Multi
01 of Flex
_ Accessory Building
WORK TYPES
New
Addition
Alteration
Replace
_ Retaining Wall
Fireplace
_ Garage
Deck
Lower Level
Porch (3 -Season) _
_ Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Interior improvement
_ Move Building
_ Fire Repair
_ Repair
DESCRIPTION
Valuation ocGW
Plan Review
(25%_ 100% //j
Census Code
#of Units
# of Buildings
Type of Construction
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Foundation
Drain Tile
Roof: Ice & Water Final
„1 Framing
Fireplace: _Rough In Air Test _Final
tat Insulation
Sheathing
Sheetrock
Reviewed By:
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies 2„ @
TOTAL
73
Siding
Reroof
Windows
A 1-1 331
Storm Damage
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Demolish Building*
_ Demolish Interior
Demolish Foundation
_ Egress Window ,y—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
Siding: _Stucco Lath Stone Lath
Windows
Retaining Wall: _ Footings Backfill
Radon Control
Erosion Control
, Building Inspector
Final
Brick
Final
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA119680
Date Issued:12/12/2013
Permit Category:ePermit
Site Address: 3926 Thames Ave
Lot:9 Block: 2 Addition: Coventry Pass
PID:10-18400-02-090
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
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 -
Curtis J Baughman
3926 Thames Ave
Eagan MN 55123
Apex Energy Solutions
1509 Southcross Drive West
Burnsville MN 55306
(651) 688-2739
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA149457
Date Issued:05/23/2018
Permit Category:ePermit
Site Address: 3926 Thames Ave
Lot:9 Block: 2 Addition: Coventry Pass
PID:10-18400-02-090
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
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 -
Curtis J Baughman
3926 Thames Ave
Eagan MN 55123
(651) 786-9185
Pronto Heating & Air Conditioning
7415 Cahill Rd
Edina MN 55439
(952) 835-7777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA176409
Date Issued:05/16/2022
Permit Category:ePermit
Site Address: 3926 Thames Ave
Lot:9 Block: 2 Addition: Coventry Pass
PID:10-18400-02-090
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation. When a weather barrier is installed or
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 -
Kathryn Ridley
3926 Thames Ave
Eagan MN 55123
(651) 238-2479
Associated Exteriors Inc
8741 Hwy 65 NE, Suite 101
Blaine MN 55434
(763) 370-2010
Applicant/Permitee: Signature Issued By: Signature