3930 Thames Ave
, PLUMBING PERMIT For Office Uss Only
' CITY OF EAGAN PERMIT N • ~ !
CONTRACT 3830 PILOT KNOB ROAD, EA~ii AN, MN 557 22 RECEIPT # I~
PRICE • PHONE 4548100 DATE:
Site Address ~110 ~ ~ ~-z A- S BLDG. TY. ,,PE WORK DESCRIPTION
Res, New
Lot I ;Block Sec/Sub
Mult. Add-on
Name A l1 ' P~ ~ Comm. Repair
Other
Address
~
~ Cky 3~, d Pho ne RES. PLBG. ONLY- COYPLETE THE FOLLOWING:
- NO. FIXTURES TOTAI
3 waber Closet - $3.00 $ ~
Name N~- ~ 8ath Tubs - $3.00
~ Address ' L i~ • ' . . 3 . Lavatory - $3.00
Shuwer - $3-00
City Phone I c`=
-r Kitchen Sink - $3.00
UrinaUBidet - $3.00
FEES I_ Laundry Tray - $3.00
3
: COMM./IND. FEE - 1% OF CONTRACT FEE t Floar Drains - $1.50
APT. BLOGS. - COMM. RATE APPLIES ~ Water Heater - $1.50
~ t'-
TOWNHOUSE 8 CONDO - RES. RATE APLUES
~ Vlfhirlpod - $3.00 3 _
MINIMUM - RESIDENTIAL FEE $12.00 -r Gas Piping Oudets - $1.50
MINIMUM - COMM.IND./FEE $20.00 (MINIMUM -1 PER PERNIT)
STATE SURCHARGE PER PERMIT .50 Softener -$5.00
(ADD $.50 StC PER EACH $1,000 OF PERMIT FEE) Well - $10.00
~ Private Disp. - $10.00
Rough Openings - $1.50
U. G. SprinWer System - 12.00
SIGNATURE OF PERMITTEE P R~T FEE:
ST~ES SJC:
FOR: CITY OF EAGAN 4PAND TOTAL: '
- ~
F« omce uae only: ~
• . ' ' MECHANICAL PERMIT PERMIT # ;
CITY OF EAGIIN RECEIPT # '
9830 PILOT KNOB ROAD, EAGAN, MN',ia12Z ~CONTRACT PRICE PHONE: 454-e100 DATE:
3ite Addreas BLD(i. TYPE WORK DESCRIPTION
Lot Block Sec/Sub Res. New
m Name Mult Add-on
Addresa ~ Comm. Repair
~ City Phone
FEES
~ Name ' RES. HVAC 0-100 M BTU - $24.00
c AddreBS ~ ADDITIONAL 50 M BTU - 6.00
0 City Phone (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM -1 PER PERMff) - 1.50 EA. .
TYPE OF WORK CO1AlIAlIND FEE -1'X. OF CONTAACT FEE
Forced Air M BTU - APT. BLDGS. - COMM. RATE APPUES
Boiler M BTU TOWNHOUSE 8 CONDOS - RES. RATE APPLiES
Unit Heeter M BTU IiA1NIMUM REStDENT'IAL FEE - ALL ADD-ON 3
Alr Cond. M BTU REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
Vent. CFM STATE SURCHARGE PEA PERMIT - .50
(3es Piping Oudets # (ADD $.50 S/C PER EACH $1000.00 OF PERMIT FEE)
Other -
PERMIT FEE:
SIGNATURF, OF PERMITTEE ;
SIC: ~
TOTILL: FOR: CITY OF EAGAN
CITY OF EAGAN N~ 18494
" 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE:454-8100 Receipl # U 02:7
To be used tor SF DWG/GAR Est. Value $146, 000 Date OCT 30 ,1g 90
Site Address 3930 THAMES AvE
Lot 10 Block 2 SeGSub. COVENTRY PASS OFFICE USE ONLY
Parcel No. occ„pa„cy R-3 M=1 FEES
Zoning R=1
W Name - ~E ROTTLUND CO, INC (Actuaq Consi Bldg. Permit 404.00
o Address 5201 E RIVER RD (+vlowable) V-N Surcnarge 73.50
City FRIDLEY Phone 571-0304 # ot stories -
8Q1 Pla^ Review 523 . 00
Lergtn
Name SAME Deptn 341
snc, ary 100.00
AddrBSS S.F. Total _
City Phone S.F. Foolprints _ SAC, Mcwcc --A~Q
0
On Sita Sewage water Conn 625.0
~ W Name 0n siie weu Water Meter 90.0
0
xg ' AddreSS MWCC System X
3(l _ OD
02 Acct. Deposil
s W City Phone city waier ~L
0
PRV Required _ S/W Permit 30.0
I hereby acknowlege that I ha read this application and state that the ~~er PumP - 6Mr Surcharge . SO
infortnation is correct and ag e to compl with II applicable State ol
Minnesota Stalutes and City o E gan Or i Treatmenl PI 2 5? . 00
Signature ol Permilee nces APPROYALS Road Uni1 355.0
O
THE ROTTLUND C0. INC Planrw - Perk Ded.
A Building Pertnit is issued to:
on the express condition that all work shall be done in accordance with all Cancil -
epplicable State of Minnesota Statutes and City of Eagan Ordinances. ft, pry, _ coPies
_ )DA"a~ ~ Variance - 70TAL J,483.00
Building Otficial
CITY OF EAGAN ~ ~494
^3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 °
PFIONE: 454-8100 ~
BUILDIN RMIT Receipt # '
To be use r sF DWG/"R Est. Value s1"1000 Date OCT 30 90
Site Address 3930 THAMES AV$
Lot 10 Block 2--Sec/Sub. ~v~TRY p~s OFFICEUSEONLY
PBtC@I N0. Occupancy R 3 H" i FEES
Zoning R-i
W Name ' THE ROTTLUliU CO. INC (Actual) Const Y~ Bldg. Permit g~•~
seSS 5201 ERIVER EtD (Allowable) Vm 73.~
~ o AdQf
City FKIDLEY Phone 571-0304 r oi stwies Surcharge
Lenglh $01 PlanReview 523.00
o Name sA~ Depth ~1 SAC, City l~•~
8~ Address S.F. Total - SAC, Mcwcc
~ Clty PhOne S.F. Footprints - 6ZS.00
0n Sile Sewage _ Weter Conn
~ W Name on site wen Water Meter
X= Address MwCC System ~ 30.00
2 X n~t. oaPosit i W City Phone Ctry water 30. 00
PRV Required - SJW Permit
I hereby acknowlege that I have read lhls application and state that the Booster Pump - SM! Surcharge .50
in(wmation is correct and agree'4o comply with all applicable State ot 25Z~0~
Minnesota Statutes and City of Eagan Ordjnances. l Treatment PI
Signature ot Pe?mitee APPROVALS Road Unit 355.00
A Building Petmil is issued to: THE ROTTUJND CO+ jNC Planner - park Ded,
on the express condition that all work shall be done in accordance with all Co+ncil
applicable State of Minnesota Statutes and City of Eagan Ordinances. gidy. pff. _ Copies
3,
BuildingOHicial ' Variance - TOTAL 483•~
i
Parmit No. Permit Holder Date Telephone #
NN1TER
SEWER
PLUMBING 1441(J
oir
OS o?J ` ~ ~ v~v
co
H.VA.C. 0? 90A ~
ELECTRIC Q(S 1q U
hnpoction Date Insp. Comments
Footings I
Foimdauon -Qo ~ S c o c-T . l/ c0 Co
Fruning I i ~
Roofirg
R.* Ptb9 d f0
Ra+9h Hi9- /Z . . i
FreWace ~ Lt%~
Final Htg.
FffW Plbg ~
i
Consl. Metet Plbg. Inspec,lor - Notify Plumber
ErgrJPla^
Bldg. Final
Oeck Fl9.
DeCk Final
VVell
Pr. Disp.
. _ ...L r. _ . . . _ , . . . . r . . . . ' , . . . .
Addr-o,ss:393 1~~c,,„4g Xile Lot /0 Blk 2. Sac/sub CpVtI7~/', t.,55
, These items were/were not complete at the time of the final ina ection.
- 2•_ Yes No
Final grade (6" from siding) t~
Permanent steps - garage
Permanent steps - main entry v
Permanent driveway v
Permanent gas I~
Sod/seeded grass
Trail/curb damage 7 AOk,
Porch
Basement finish
Deck ~
Please verify with tha builder the removal of roof test caps from tha plumbing
system and the shut-off of water aupply to the outside lawn fi ucet befora
freeze potential exists.
White - City copy Yellow - Resident copy Pink - Contractor copy
, ~
~
• ~~r#i#~r~~~ ~f (~rru~~nr~
titp of glagan
]0PpwrWiPtt1 0# 14dW" JWPrtiOtt
This Cerfificate issued pursuant w the requirenrentc af Section 306 of tJte Unijorm Building
Code certifying that at the time of issuance this suucture wns in compliance wrth the various
adirances of 1he City negularing buiidlng constructron ar use. For the following.•
un cti:rorkm SF DWG/GAR eiag. rro. 18494
oa„p„cy ,ype R-3 M-1 z;mD;,mG R-1 ,yaC., V-H
oww 0( Bwmia BOTTLUND CO I NC Ad&. 5201 E RIVEx RD
l1kading Addma 3930 'fRAHES AVE ~bn L10, B2, COVENTRY PASS
\ r, k,l FEBBUAbtY 4, 1991
POST IN A CON3PICUOU3 PLACE
. y . . . . , ,
SEWER•& WAIFER PERMIT OFFICE USE ONLY
CITY OF EAGAN - Mlz--rER # PERMIT DATE 11/01J90
3830 Pilot Knob Rd. 1170'
Eagan, MN 55122-1897 cHiP ~ PERMIT ~
r METER SIZE B.R. RECEIPT # 1 ny% 7
DATE 1(~ -2 3"' g 0 ISSUE DATE B.P. RECEIPT DATE 10 L3 1L9U
PRV - BOOSTER PUMP
SITE AODRESS 3930 Thames AVe _ 5_ PERMIT REDUESTED
LOT U BLOCK 2 SEC/SUB S-oventry Paaa
-X- SEWER ..X- WATER _ TAPS
APPUCANT: Th(' Rot tin l C'n_ TnC.
ADDRESS: 5201 E. River Ro ad - COMM/IND -X-- RESIDENTIAL
CITY, STATE rridley. Ain. ZIP5 5421 X NEW ~ EXISTING
PHONE: 571-0 304
Va21e Lawn Sprinkler Meters are to be Installed
PLUMBER: y P11zii1bing Ahead of Domestic Meters on Water Line.
ADORESS: 610 Creek LArie Cre 't WILL NOT be given for Deduct Meters. '
CITY, STATE JOr'ddri, Mri. ZIP 552 PHONE: 4 92-212I
I AGREE TO COMPLY WITH CITY OF
OWNER: The RO .tlund Co. Inc. EAGAN ORDINANCES
ADDRESS: 5201 E. River Road ~
CITY, STATE Fridley, Mn. Zip55421 ~
PHONE: 71- 0 3 O4 IGNATURE WHE METER SUED
PLEASE Ak`lOW TWO WOkI1466A 3lPO PROC S81NG. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT. '
-t~ . . :--~asri+aF~.Y rt r-. iv.++`.. .~'`~~+T•q.°'.M'.y^'1`^'r ""~.r..*r„^_"_ ,-.-r...,..., . a . -n. -,...,n. ~
SEWEti-3 ~~ER PERMIT OFFICE USE ONLY CITY 38 0 P o Kn b Rd. ' METER # PERMIT DATE 11/01: 90
Eagan, MW6,122-1897 CHIP ~ PERMIT # 1 ~ 703
. ~ ~ METER SIZE B.P. RECEIPT # ciQ.Q,Z.~
DATE 1Q==2 3- 9 ~ ISSUE DATE B.P. RECEIPT DATE 1II~31~40
_ PRV - BOOSTER PUMP
SITE ADDRESS 3910 Thamas AVA. S. PERMIT REQUESTED
LOT -10LBLOCK _2 SEClSUB t'-r?ven.*rTP8ne
_~L_ SEWER _L WATER - TAPS
APPLICANT; The RottlLUiA Ca.. InCi.
ADDRESS: 5301 E_ iuer Rr~a~A - COMM/IND ~ RESIDENTIAL
CITY, STATE FY'idle,v. Mn. ZIPS Sd 21 ~ NEW - EXIS7ING
PHONE: 571-0304
Lawn Sprinkler Meters are to be Installed
PLUMBER: Vrtlley Plunubing, Ahead of Domestic Meters on Water Line.
ADDRESS: 610 Cl"9ek Lane Crecjit WILL NOT be given for Deduct Meters.
CITY, STATE _JOrdari, Mn. Zip 53352
PHONE: 492-21$1 -1-C~.X.r
I AGREE TO COMPLY WITH CITY OF
OWNER: The Rottltnd CQ,.Tnn- EAGAN ORDINANCES
ADDRESS: 5201 E. Rivar Road
CITY, STATE Fri8loy, Mll. Zlf'-754Z1
PHONE; D71- 1304 SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
1
DATE: NOV 1, 1940
RE: 3930 THAMES AVE (THE 6tOTTLUND C0, INC)
X Your Sbwer & Water Permit for the above ProPertY has been comPleted. It will be held at the
Pubk Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CyALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer & Water Permit for the above property cannot be completed for the following
i reasons:
Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bitl Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REGIUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
.:r•~,: . . - .~.-~:;rt.yT`~•:-J•~q•Jp~1~P~',;-: ~q'ru..•W - ' . -m.
~ CASH RECEIPT ~
.
CITY OF EAGAN
3830 PILOT KNOB ROAD , ?
EAGAN, MINNESOTA 55122
oArE
i-~-
AFAOUNT S ~ L/Q - ~CaJ
U ~
a oouARs
,oo
O CASH ~(CHECK
; f
416
i. ~
5 t
fUND OBJECT AMpUNT
Thank You
,
BY
Whiw-
C 10921 YMo--~o~eWrDcwyCaDY
Pir*--FYf Copy
Q CITY USE ONLY
l. I gl . . RECEIPT#:
suao. rnYeMrv 90,QR ~ RECEIPTDATE: 11'I1''n1'
(v;O 6'LERMIT#
' IO I~H lOln /
2000 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN 3630 PILOT KNOB RD '
EAGAN, MN 55122 651-681-4675 Please complete for. ? single family dwellings . i
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES EACH' # TOTAL
Alterations to existing dwelling - minimu fee $ 30.00
Describe: ~
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas piping outlet ' minimum - 1 3.00 x = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $
Laundry tray 3.00 x = $
Lavatory 3.00 x = $
Septic System newlrefurbished " requlres MPC Ilc. 75.00 X = $
Septic System abandonment 30.00 x = $
RPZ naw installation/repair/rebuild 30.00 X = $
Rough opening 1.50 x = $
Shower 3.00 x = $
Underground sprinkier if dwelling is under construdion 3.00 x = $
Underground sprinkler if existing dwelling 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener if dwelling under consvuctlon 5.00 x = $
Water soRener if existing dwelling 30.00 x = $
VVater turnaround 30.00 x _ $
State Surcharge 50 $ 50
TOtal $ Qo d
Reminder: Call for inspections of alterations, i.e. waterheaters; water softeners, etc.
he-------------e t--------------------------------------------------------- -
-
- that the infortnation is corted. and agree to compty with all applicable Ciry of Eagan ordinances.
- read - this -
, state -
- application -
I reby- acknowledghat I - have -
It is the applicanPs responsibiliry to notity the property owner that the City of Eagan assumes no liability for any damages caused by the City during its
normal operational and maintenance adivities to the facilities wnstructed under this permit within City propeRy/right-of•way/easement.
SITEADDRESS: b+°"' AvenUf.1
~.A
e(~ ~ ~'Q ¢ ' \
OWNER NAME: : ~ \ TELEPHONE ~05
(AREA CODE)
INSTALLER NAME: CAELEPHONE 5c) -7r J3 `t'-6ri1
STREETADDRESS: ` C~3UI cy~p Ir (AREA CODE)
CITY: l'`U Y\~`-=~d~'-1 STATE:I ZIP: ~ 23~
~ '~Zy~'
SIGNATUR O PERMITTE
H 0841~ - ' S~9~o8'
Re~uest Date Fre No Roug~ Inspadion,
6~~~ p Re u tl~ ~6neatly Now ? Will Noety Inspeaor
~ 0 ?Yes o WhenReeCyP
L licensed contrador ? owner hereby request inspection of above electrical work aC
Job AOtlress (Street, 9ox or Roa~a City
3q 3 o r- a,•R-
Sacoon No. Township Name or No Range No. Counly ~
Occupant(P MT) Phona No
Power 5 lier cn AtlCress
•
Elemn Co r ICom y Namai Comracmr's L¢ense No zxgze- , 4~ l~-3
Mailing AtlOress convactw o( Ow r Mabng Installatmnj
numoraea Sgnamre (COnvacmr ner Maki In
LE, smllamnl , Phone Number 3g
3-
MINNESOTA STATE BOARD OF ELECTPICITV THIS INSPECTION REOUEST WILL NOT
Grigps-NlGwey Bltlg. - Room 5-1)] 6E ACCEPTED BY THE STATE 90AR0
1821 Univarslty Ave, SL Peul, MN 55106 UNLESS PROPER INSPECTION FEE IS
Phana(612) 612-0800 ENCLOSED
/ REl]UEST FOH ELECTRICAL INSPECTION E13-00001-08
~O ? Sae inslmcvons lor campleling Ihis lorm on back ol yellow mpy 9Cna~
7 /
0.84 ~ 9 "X" Below Work Covered by This Request
ew Adtl Rep. Type of Building AppliancesWired EqwpmentWired
Home Range Temporary Service
Duplex Water Heater Elecinc Heating
Apt. Building Dryer Other (Specity)
Comm/Indusirial 'FUrnace
Farm Air CondRioner
Other (spanly) Contractor's RemaMs
Compute Inspection Fee Below.q Other Fee # ServiceEnirance$ize Fee # Circuils/Feeders Fea
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Ahove 200 _ Amps Above 100 _ Amps
Signs InspecmB Use Only. TOT A~,,5_ So
Irrigation Booms ~J 'UG
Special Inspection
Alarm/COmmunication THIS INSTALLATION MAY BE ORDERED OISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Elecvical Inspector, hereby Rouyn-in oa,e
certify that the above inspection has ~ 1071
been made F,nai 'v
OFFICE USE'JNLY
Tnis reqoest voiE 18 months imm
ia/io 9 0 Iq 99 ~oj~
H 0 8 2 3~G io a j`~~
ReQuesl Data Fire No. Rov - Inspectqn
Re9 etlt ? Rettly N. ~1Wnen ReaCy?eclor
C(~ ~Ves ? No
I']'(icensed coniractor O owner hereby request inspection of above electrical work at:
Job AtlCress IStree4 Box or Rou Na ~ Qty
u
$ectron No. Township Name or No Range No Coupry ~
(til
Ocmpa ~PRINT) PM1One No
Power Su Ler Atldress
Electncal C ~pany Name) ConVactor5 Laense No
vu~, a I2 2 -
Mailin9 AEdrass IGonVactor or Owner Makmq Installntion)
Amlqnzed SrgnaWre ICOnVactorl er b Inslallatwn) P~one Number
l03- 3 8~+~
MINNESOTA STATE BOAflD OF ELECT ICITY THIS INSPEGTION REOUEST WILL NOT
Grlggs-Mltlwey BIEg - Room S173 BE ACCEPTED BY iHE STATE BOARD
1821 Unlvenlry Avo., St Peul, MN 55104 UNLESS PROPER INSPECTION FEE IS
PAOne (612) 6a2L800 ENCLOSED
RE~UEST FOR ELECTRICAL INSPECTION Ee-00001 08
y
~ See instmctions lor camplaling Ihis form on back oi yellow mpY 99~D~{
H08423 "X" Be/ow Work Covered by This Request V
ew Ade+ Rep.~., TypeofBwlding AppliancesWiretl EqwpmentWired
Home Range Temporary Service
Duptex Water Heater Electric Heating
Apl Bwiding Dryer Other (Specify)
Comm./Intlustnal Furnace
Farm Air Conditioner
O1h& (SpecJy) Contraclor5 Remarks:
Compute Inspechon Fee Below:
# Other Fee # ServiceEntranceSrze Fee # CircuitslFeetlers Fee
Swimminq Pool 0 to 200 Amps ,(fa 240 to 100 Amps
Transformers Above 200 _ Amps A to0 _ Amps
S19fIS Inspecmr5 Use Onry. TOTAL
Irrigation Booms ~6~ ~d
Special Inspec[ion
AlarmlCOmmunwation THIS INSTALLATION MAY BE ORDERED DI ONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONT
I, the Electrical Inspector, hereby Rough-in eca L/
o'
certify thal ihe above inspection has F,,,ai oate
been made. -7
OFFICE USE ONLY
This requesl witl 18 months Irom
r
~ RESIDENTIAL
BUILDING PERMIT APPLICATION 1 ~
CITY OF EAGAN
' J U 3830 PILOT KNOB RD, EACAN MN 55122 C~
651-681-4675
New Construction Reaoiremeirts RemodellReoair Reouirements
• 3 registered site surveys showirg sq, ft. of lol, sq. ft, of house; and all roofed areas • 2 copies of plan
(20% maximum lot coverage allowed) . 1 sel of Energy Calculations for heated additions
• 2 copies of plan showing beam & window s¢es; poured tound design, etc.), • 1 sRe survey for extenor additions 8 decks
• 7 set of Energy CalculaUons . Indicate if home served by seppc system for additions
• 3 copies of 7ree Preservatbn Plan A lot plattad after 711/93
• Rim Joisl Defail Options selection sheet (Wdgs vrith 3 or less units)
DATE ~J I O' U~ VALUATION ~
l~
SITE ADDRESS ~ I MULTI-FAMILY BLDG Y N
TYPE OF WO ~ FIREPLACE(S) _ 0_ 1_ 2
APPLICANT Cedar Valley Exteriors, I11C
STREET ADDRESS 9920 Zllle 3treet CITY STATE ZIP
TELEPHONE #-7IA---I% aCY~'1 CELL PHONE # FAX #_7B _ISS 11J9 ~
PROPERTYOWNER [ I~,I'1 ~ U~~I\ TELEPHONE#165I
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY "
Energy Code Category
_ MINNLS07'A RULLS 7670 CA'I'EGOR1' 1 MIN (U;'JaUl2PLL~ S 3~17A
(Jsubmissiontype) • ResidentialVentllationCalegory lWorksheetSuhmitted • Ne ergy,Cp,de,W~rkgheetSu ' ted
JUIV ~ CUUC
• Energy Envelope Calculations Submitted
)
Plumbfng Contractor: Plione # By
PlumUung system includes: _ Watcr Soltencr _ Iawn Sprinl:ler - I'cc: $90.00
Watcr Hcater No. of R.I. 13atlis
No. of BaUis
Mechanical Contractor: Phone #
Mechanical systecn includes: Air Conditioning P'ee: $70.00
Heal Recovery Syslcm
Sewer/Water Contractor. Phone #
I hereby acknowledge that I have read this application, state tha he informati n is orrect, and agree to comply
with all applicable State of Minnesota Statutes and City of Eaga r inances.
Slgnature of Applicant
-
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
? 01 Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings(new bldg) _ FinaVC.O.
Footings (deck) _ FinaUNo C.O.
_ Footint;s (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Srone
_ Fireplace _ R.I. _ AirTest _ Final _ Windows(new/replaccment)
Insulation _ Retaining Wall
Approved By , BuiWinglnspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply 8 Storage
S&W Permit 8 Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
L ~
OCT 2 6 199C1
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIPLE 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 OF ENERGY CALCULATIONS 1 SET OF ENERGI CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WO[tKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
rOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COPIPLETED.
PERMIT MLIST SHOW A LICENSED PLUMBER.
ad o
To Be Used For: '-i Valuation: Date: /044a;~/-r'j(I
Site Address r-, h OFFICE USE ONLY
Lot /1) Block Z FEES
Occupancy A-3
Zoning
Parcel/Sub Actual Const V/Y Bldg. Permit ~101
Allowable V41 Surcharge, 93,50
Owner 4:::~> I nC_ # of stoTies Plan Review ,j 13
Length ~ SAC, City /00
Address /2tUP~ fc~x~f Depth 3Y,33 SAC, MGICC (V~'
S.F. Total Water Conn (025
City/Zip Code Footprint S.F. Water Meter ~p
Acct. Deposit 30
Phone S"'~~_Ly-p c~ On site sewage_ S/W Permit 30
On site well S/W Surcharge ,S O
Gontractor M47CC System ? Treatment P1. 2SZ
City water ? Road Unit 3!z5-
Address PRV Park Ded.
Booster Pump _ Copies
City/Zip Code SUBTOTAL
APPROVALS Penalty
Phone Planner TOTAL SO -A-()Q
Council
Arch./Engr. Bldg. Off. k11060
Variance
Address
City/Zip Code
Phone sk
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* ' II 2•122 Enterprise Orive
* PIONEER MetlJvta Heights, MN 55120
engineerln -
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Certificate of Survey for: 7TIE e07 r4C.1/~11,2
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EAGADd ENGINEEI3IN(a UET''!'
!x,900.o I~enoles exisfing efevafron
P~O_pQ 3OUSE ELEVA. TION~
~
~t 9po.~ Denafes proposed e%vatio~~ Lowesr l7cor [~evaf;on 8~8, oC~
- C)enofes brcrina e E Ufili~fy Easemenf Top ot Blak E/evalr'ort ys -r~
02nofe5 Drvina~"low I-~rrows Gdro6e Slob Elevafion 8'S4~
~
0 D?notes mor~umen f ~
m Bearin~s showm are ossumed .
,1
o Danofes of'f'sef Nub
L o r io , BLock
. z , CovFNTQY pASs
~ DauorA covNry, MltiINESOTA Su bfec t to Pasemenls a'record
~ I l+er?by cerki7y ;hae rhi: survey, plan ur ieou.r w3a cr oere.y bY me or u~d my tlir" wper uion 3nN I am tluly Regietgrrtl Land Sun•eyo,
~unc!er the 1aw; of thn Stete of Mipne3ote. Dated this r~ay ot~._ p,p, 1g~
! • ~
~inch - L~Qfeef
115 89/02. /3
JBEFT 5, SikiCM L.S. RCU. NO. 71g
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Y
~ ' '_~~S~C"l?~Sk~~l\QJC
+ , • EXTERIOR . h.+vx;LOPE AVERAGE "U" CURPUTATION ~
owNER
SITE ADDRESS
CONTRACTOR DATE PHONE
Determine working square footage of each.
1. Total exposed wall area 2~B8& sq. ft. x = 3,ZL~1.~~
2. Total roof/ceiling area 80 sq. ft. x.026 = 3 0.6
To[al exposed wall area above floor =*21f 9 6
a. Total wall window area ~
b. Total door area
c. Total sliding glass door area
d. Total fireplace wall area
e. Total wall framing area (average 10%) 2
f. Total net wall area above floor 9 O ,
g. Total rim joist area 3 1~ ~
Total exposed foundation area = ffi
h. Total foundation window area i
i. Total net foundation area above grade
Determine "U" value of each wall segment.
a. 253 X "U" ..36.62
b. 31Y X "U.I. ,07 = ;2.(c G
c . 40 X „Ul, a V6 =..2.7.60
d. R nU n
e. X ilUll ~ QU7
f. 143o x ~,u,, , o`FZ = a1.06
g 3/2 X ~lUil 12r4 p.
h. 7 g ~lUll 3p85'
i. 7/ g liull ~ = 7°91
3 ......................................Tota1 - .2 0.7g
If item 3 is the same as, or less than item 111, you have met the intent
of SBC 6006(c)2.
Total exposed roof/ceiling area = / / 80 _
Total gross roof/ceiling area =
j. Total skylight area ?
k. Total roof/ceiling framing area
1. Total net insulated roof/ceiling area
Determine "U" value for each roof/ceiling segment.
j ~ X --U-'
k. 71 X -U-
1. / io 9 X'lUll sazs = 27.73
4 Total =
If total of fi4 is the same as, or less than I12, you have met the intent of
SBC 6006(c)1.
To utilize the total envelope system method, the values established by the
sum of items li3 and I14 shall not be greater than the sum of iteins I11 and #2.
32 0_ 3 S + 2. 30. 6 8 = 3S7,63
`F
s. 290• 79 + a. 24?.65 = 320.Lk
' WIiLL .`iLl:'1'l"o., i•uyu d u1 4
lu1'C: Use' 10% ot opaque wall area for _irame construction
Construction , cR-Value
1. Interior air' film ` 0.68
.2. Y LC,'r P. 13 R t7 S-
3 3. zx(~ STtias (0088
~ a
:ASIC 9. 2 S/32 S H7'C. 2„OC~
WALL ' . 5. S/d/.LC+ UvE/t FECT / a?~o
/7~ 6. Exterior air film 0.17
~ Total
FIG. iI1 TOPVIEf4 OF v~ oOg-7 '
' . • FR1itLE 17ALL . ~
, 1. Interior air film 0.68
. . , ' • . ' . 2. ~LC~t'P I3aZ D o y5-
j~ 3.
9. 2 S 32 5~"7T(~ .
FIG. 02 ~r~ . 2 ~OG
. ~ .4 ~"6P 6. FSCterior air film 0.17
Total 2 3, 6 Z
- '
^ ~~~T 1, Interior air film 0. G8'
:1s~r I,
2. ' /n~SVL ~yvUO
• r
3. ' 2 x _ ta f
,t~.l.`...1
• 9. 2 5 ~3 2 S F-I r-~ G
,i.' ~ ~ , . 2 a0~
I -fv , ~~.--r~ • ~ ' . 5. S/O/.v6 UV~%z r~"2T .
~.f y,1j~A ts / a 2t:~-
il~`h •~O. 6. Exterior air film 0.17
)lTICt~ 3( Total 2 S.O S
~7 • . '
~f i~ • ,tl' • Q' , ,
.
r~/10 c\ O `7`U
IL.~
~y `r' F 1.,,,`J 1. Interior air film 0.68
•4 ~•il' ,
~,~%4 • . • ~~J ' • ' • 2•
- ~ . . . 3. 2,r~1 FtJR R i N C~ U O
4. 12p.3COC(L. /.LFS
S
6. Exterio: air film 0.17
. ~ • . . • . Total 13013
,0•7~
`ee 'A `u 1 II( \ ~ ..~t~-~rr~ /11 6• ' • 4' ~
~ ~ , 4' - ~ ~ _ . -~6 ` ~ •
. . .
i - . . v . .
' u~ i . • ~ • . • : i
' rri , . .
•
. 113 . FIG. 114
~ _ iF
o ~ ' , ~ ~ • o (
` ' • ` /rr -
ROOI'/CEILTN3
, . . . ' . . ~ ,
• ' ' ,
ConstrucCion ' R_Valuc
1. ~ Interior air film 0.61. '
2. s/p vYr~ T3c~o ~ osa
j~I • 4. Exterior air film (still) 0.6
~
• V:~tT ~ Total
~ ~ L ~ ' • . ' V =,U1S
.
Vented Heac flow.' • ' ~
up
FIG. $5 , ' .
i
1. Interior air film 0.61
2. S '
/ri C~YT-
ovNA,
4., Exterior air film sti 1~
~j/-~ ' • . Total
~ . . .
L@ L'1@3 S . . ~ • . .
~ Yeac flocr up. i . ~ .-vented . • I ' .
. ,
~ ` i ' . . .
. ~ .
. FIG. 46.: .i... • ~ . . , ,
- . . -r-',' • - - .
3 ~ ~ v 1. Insi.de ai.r film 0.61
~ . y , •.tr,~t~ 2. . .
. ~ y ~n~[y~+' ' •
S. Outside ai-r filui 0.17
i , ~ Total
, . 'i , . . ~ , ~ . .
. . ; .
Notc: Use additional slieets •if more space i.s
^ needed foz details and calculal:ions.
. Rent ' .
' . . ~f1aW up ~ . .
7 ~ • • . .
~
CITY OF EAGAN FOR CITY USE ONLY
3830 PILOT KNOB ROAD
EAGAN, MN 55122 PERMIT # lotZ~ ~ 9
PHONE: (612) 454-8100 RECEIPT # /U !J S
~'S~BING';"PER2IIT DATE :
RESIAENTIA~,:`: PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY' DWELLINGS &
TOWNNOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
NEW CONST ADD-ON MINIMUM 15.00
ADD ON SHOWER 3.00
REPAIR WATER CLOSET 3.00
BATH TUB 3.00
LAVATORY 3.00
OWNER NAME: KITCHEN SINK 3.00
SITE ADDRESS~ ~UNDRY TRAY 3.00
_ HOT TUB/SPA 3.00
WATER HEATER 3.00
LOT:/0 BLOCK a~ SUBD. jvLe~ FLOOR DRAIN 3.00
M ~ GAS PIPING OUT.
INSTALLER: (MINIMIJM - 1) 3.00
//l~ ROUGH OPENINGS 1.50
ADDRESS / An~ F v OTHER
CITY: ~O•, ~ ~J ~ ~ WATER SOFTENER 5.00
ZIP: PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
PHONE n:
SUBTOTAL $
LIO ST. SURCHARGE .SO
SIGNATURE OF P. ITTEE
' TOTAL: $ 560
COMMERCIAI,/iNDUSTRIAL:: PLEASE COMPLETE THIS PORTION FOR ALL COMMERCZAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
° - °
CONTRACT PRICE: FEES
OWNER NAME: 18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
SITE ADDRESS: EACH $1,000 OF PERMIT FEE.
LOT: BLOCK _ SUBD. $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 18 $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE
(SIGNATURE)
FOR:
CIT'Y OF EAGAN
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA107668
Date Issued:10/22/2012
Permit Category:ePermit
Site Address: 3930 Thames Ave
Lot:10 Block: 2 Addition: Coventry Pass
PID:10-18400-02-100
Use:
Description:
Sub Type:e - Furnace & Air Conditioner
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to Mark Anderson , State Electrical Inspector, (952)
445-2840
Valuation: 6,498.00
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
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 -
Gautam G Jha
3930 Thames Ave
Eagan MN 55123
Hoffman Refrigeration & Heating
5660 Memorial Ave. N
Stillwater MN 55082
(651) 439-5770
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA146804
Date Issued:11/14/2017
Permit Category:ePermit
Site Address: 3930 Thames Ave
Lot:10 Block: 2 Addition: Coventry Pass
PID:10-18400-02-100
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 -
Gautam G Jha
3930 Thames Ave
Eagan MN 55123
(612) 812-7547
Window Concepts Mn
291 Eva St
St Paul MN 55107
(651) 905-0105
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA164990
Date Issued:10/13/2020
Permit Category:ePermit
Site Address: 3930 Thames Ave
Lot:10 Block: 2 Addition: Coventry Pass
PID:10-18400-02-100
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 -
Gautam Gopalji Jha
3930 Thames Ave S
Egan MN 55123
(612) 812-7548
Summit Construction Group Inc
5325 W 74th Street, Suite 11
Edina MN 55439
(218) 343-8884
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA167389
Date Issued:03/11/2021
Permit Category:ePermit
Site Address: 3930 Thames Ave
Lot:10 Block: 2 Addition: Coventry Pass
PID:10-18400-02-100
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 -
Gautam Gopalji Jha
3930 Thames Ave S
Egan MN 55123
(612) 812-7548
Summit Construction Group Inc
5325 W 74th Street, Suite 11
Edina MN 55439
(218) 343-8884
Applicant/Permitee: Signature Issued By: Signature