3934 Thames Ave
INSPECTI4N RECORD
` CiTY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number.
Eagan, Minnesota 55123 Date Issued: o•' / 0 1 I'J i
(612) 681-4675
SITE ADDRESS: i 1; 0011 li ! (.fiF 4y 0{, APPLICANT:
~ . ~ flIAhil- Avf' , i II; I 1 itHl) (:i/ INf
~ r 'I PJ I I ? 61 "S4lQ
PERMIT SUBTYPE: TYPE OF WORK:
i i,1„, Nt ~i
INSPECTION DA .
~1W , I rf(: ; t• " M 1 N~.
I N'011 n t t)Ili ~ i niA 1
! 1 FIi1:~'r, , •e ~ V It'1 ~i ~,.;.t .~I {,i~,~1 I ~ ~ { 1 ,
~ ~ ~
- Prrmk No. PWmdt 1loidw Dets Tilaplane M
SJVU
PLUMBING 8 0 5 ~
HVAC
ELECTRIC
ELECTRIC
I
kwpwtlon DrM InsP• Comn~ts I
FoWrQs I
I
FoundaUon
Fmff*V ~3 O •
pb*V
FUx* P".
Rouo ft.
[Sul.
P"P°°° 3- 3
FmW ft.
Oraet Test
FffW P". P".W*pecim -NMy Pk-dW I
I
c°wt. mew I
Eklg. FinW
Dm* Ftg. I
Docic FinW
W~l
Pr. Disp. 1
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1 4
Wet*jicate of Cc0Panc4
Criti) of cpagan , ,
This Certificate issued pursuant to the nequirrments of tht Uniform Building Code
certifying that at the lime of issuance this structwie was in corrlpliance wuk tiie various
ondinances of the City regulating building construction or use. For tlie following:
use ca,w;f~ion: SF = Bkf& Pa No- 20277
O-+P-Y 7YPe zoniug Disaicc
f
Owner of Bui{din Addren
f s
Buil~iag Address ~ h,
~
Date- 04/20/q3
eudding onr-K;,i
POST IN A OONSPIC.tJOUS PLACE
Address 3934 TRAMS AVF1V[JE Zip 5512 3
Lot ''I i Blk 2 Sub sNaNm pASs
TI-ESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: 0420 93 Yes No Inspector: w
Final grade (6" from siding)
Permanent steps (gatage)
Permanent steps (main entry)
Permanent driveway
Permanent gas ~
I Sod/Seeded grass r/
Trail/curb damage
Porch
Basement finish
Deck ~
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before free~ze potential exists.
Contad engiaeering division at 681-4645 beforo working in right-of-way or installing underground sprinkler system. ~
W6ite - CitY CopY Yellow - Resident Copy Pink - Contractor Copy
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number.
Eagan, Minnesota 55123 Date Issued: • r' I
I (612) 681-4675
SITE ADDRESS: APPLICANT:
i 11i;ro1 nvi ,UniW11, , i
1''1V1 N I P l• 1'A`~`•
I, PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION
i
~
~
I ~
~ ~
i
I Pa?mn ra. Psm?n now.. oses TeWprwre r
snN
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspect?on oeft Insp. GanmMts
Foolinge I I
Foundation
Framing
RooHV
Ra?gh Plbp.
Rough M9-
Isul.
Flreplece
Fnal Htg.
Orsat Test I
I
Rnal Plbg. Pibg. Inspector - Noti}y Plumber I
Carist. AAeter I
I
EngrJPlan I
Bbg FinW I
I
oeak Fee-
oeck Fi?,ai 72D14 I
weli I
I
Pr. Disp. I
I
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY QF EAGAN \
3830 PII.OT KNOB RD - 55122 A L SV
(651) 681-4675 ~ 26 c~ 4
y
New Construction Requirements 'RemodeVReoair Reauirements
I
• 3 registered site suneys ? 2 copies of plan
• 2 copies oT plans (include beam 8 window sizes; poured fnd. design; etc.) • 1 site surveys (ezterior additions 8 decks)
? 1 energy calculations ? 1 energy calculations for heated additions
? 3 copies oi tree preservation plan R lat platted after 7f1193
required: _Yes No - ~i
o
DATE: 4 I 3' 9 9 CONSTRUCTION COST: OOO,~.
DESCRIPTION OF WORK: Cl N 151-~ pqS~~q1.~T Ili
STREETADDRESS: -311'54 T14AMES A~VE. I~'~(a/~N 1UlIJ• SS/~Z3
~
LOT: 1 l BLOCK: SUBD./P.I.D. C1.C) \1 `eL~
Name: WC1912.T-HY 1/-~Il..I4RM Phone#: (Q6 I-
PROPERTY Lazt First ~
OWNER Stree[Address: 3134 TMIQVV76,rj AVE.
Ciry EA 67 K3 State: ~ MQ Zip: 5 S/;1 3
I
Company: II Phone
CONTRACTOR
Street Address: License # Exp.
.
Ciry Stare: Zip:
ARCHITECT/
ENGINEER Company: I, Phone
„
,
Name: ~ Regishation
Street Address:
City State: Zip:
Sewer & water licensed plumber (new construction only): Penalty applies when.address
change and lot change is requested once permit is issued. q
'I
I hereby acknowledge that I have read this application, state that the information i correc , and agree to comply with all applicable
Sta,e of Minnesota Statutes and City of Eagan Ordinances.
. .
Signature of Applicant:
. , p hcL~fr~o~ ~ ~ .
OFFICE USE ONLY
N.PR I 3 1999
Certifcates of Survev Received Yes No
Tree Preservation Plan Received _ Yes _ No _ Not Required.
i
OFFICE USE ONLY
BUILDING PERMIT TYPE
!
O. 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ~ 16 Basement Finish
? 02 SF Owelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition ? 08 S-plex ? 13 Garage/Accessory ? 20 Public Facility
p. 04 SF Porch O 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
05 SF Misc: 10.10 _-plex ? 15 Deck : . • .
WORK TYPE , , _ . , • ,
~i 31i New• • 33 Alterations ? 36' •Move : • : .
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code y?~~
(Allowable) • • Main level sq. ft. • SAGCode, o(
UBC Occupancy sq. ft. Census Units ~
Zoning sq. ft. Census Bldg ~
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building Engineering . Variance
Permit Fee Valuation: $ ~:aOd
Surcharge
Plan Review
License
MGES SAC
City SAC
Water Conn. •
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other i
Copies •
Total: % SAC
SAC Units
'I
' • 'I
~'Y ~ISE ~JNLX . ' '
yt7VVY.I~~~?`GfA'~•'r.F~ „,d'~tdL^ , , _ s~~C3~~r"~`.
\ _ . . . ,
. . - , '
1993 PLUMBING PERMIT (RESIDENITAL)
CITY OF EAGAN
3830 PILOT KNOB RD,
EAGAN MN 55122
(612) 681-41675 I
PLEASE COMPLETE FOR SINGLE FAMILY DWELLING3. ALSO, FOR TOWNNOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH uUN1T.
NO. FIXTURES --,I- EACH TOTAL
HOWER 3.00
i
S
3 WATER CLOSET 3.06 "l -
BATH TUB I 3.00 U .
-
3_ LAVATORY 3.00 1
~ KITCHEN SINK !I ~I 3.00 3-
LAUNDRY TRAY ; 3.00
HOT TUB/SPA II 3.00
1 WATER HEATER 3.00
1 FLOOR DRAIN 1I 3.00 3-_
~ GAS PIPING OUTLET • minimum -1;, ~I 3.00
3 ROUGH OPENINGS 1.50
WATER SOFTENER 5.00
PRIVATE DISP. • Daway. ue. 15.00
U.G. SPRINKLER • nome unde, con:t. 3.00
ALTERATIONS • to oosting ~i 15.00
WATER TURN AROUND 15.00
STATE SURCHARGE .50
N -7
TOTAL:
SITE ADDRESS: "A mt rA ~ t
OWNER NAME:
INSTALLER: V~11
i
ADDRESS: ( v
CTI'Y: STATE:_ ZIP CODE:
PHONE ( ) , `.I _ a l a ~ I
i`
~
SIGNATURE OF PERMITTEE
.
~ .
.
F.
S[TBD ._,..a..~... ;..V.~..= ,.~ATE w......M.....
1993 PLUMBING PERMTT (COMMERCIAL)
CI'Tl' OF EAGAN-
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681A675
PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUII.DINGS. AISO FOR MULTI-
FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
NEW CONSTRUCTION
ADD ON
REPAIR
WORK DESCRIPTION:
CONTRAC'I' PRICE: $
FEE: 1% OF CONTRACT FEE.
STATE SURC}iARGE: $SO FOR FACH $1,000 OF P£It]tifY{' FEE
MINIMUM FEE: $ 25.00
CONTRACf PRICE X 1% $
STATESURCHARGE $
TOTAL $
SITE ADDRESS:
TENANT NAAZE: STE. #
OWNER NA114E:
INSTALLER:
ADDRESS:
CITY: STATE: ZIP CODE:
PHONE
FOR:
CITY OF EAGAN APPLICANT
'.;Q_~
, I
Br, ~CEIPT #o A
"Trusu ~nL~ ~
. . . .:i~.r.. .
. ..x..... ........t . . . .
1993 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122 i
(612) 6814675
I~
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOMES AND
CONDOS WHEN PERMIT'S ARE REQUIRED FOR EACH'UN1T.
- --------------------------------------------------------a--=--
~ NEW CONSTRUCTION II
ADD-ON A/C
ADD-ON FURNACE ;
DATE
;
~I FEES
,
HVAC: 0-100 M BTU $ 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS (MINIMUM 1 Qa $3.00 EACH) ii ~•~0
ADD-ON/REMODEL (EXISTING CONSTRUCIION) I $ 15.00
STATE SURCHARGE ~ .50
TOTAL 3`~ SO
~I
~
SITE ADDRESS: ~`~,,.~~e,~@~~~ i
OWNER TELEPHONE
INSTALLER:
ADDRESS:
~
STATE7--~',zz',~ ~ ZIP CODE:
TELEPHONE #:::7~' ~Kv ^
SIGN.ATURE OF PE MITTEE
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:oUSG:>VNLY ~ y .
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't
. 6: Y S
1993 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PIIAT KNOB RD
. FAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMIIvfERCIAUINDUSTRIAL BUILDINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE
PERMTTS ARF NOT REQUIRF_D FOR EACH DWELLING UNTT.
- - - - - - - - - - - -
DAT'E: CONTRACT PRICE: $
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
1% OF CONTRAGT FEE $
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF PERMiT FEE.
TOTAL $
STTE ADDRESS:
OWNER NAME: TELEPHONE
TENANr NAME: (IMPROVEMENTS ONL1)
INSTALLER:
ADDRESS:
CTI'Y: STATE: ZIP CODE:
TELEPHONE
SIGNATURE OF PERMITTEE CTI'Y INSPECTOR
Request Oale Fre No. qMin Inspedion
eQmre ? Reatly Now ~NatRy Inspactor
} q as ? No When R tly ~
I,21"Censed comractor ? owner hereby request inspection of above electnc ork at:
Iob Aatlress ~Street~B/ox ar Raoi o ~ ~ ~ C~ry r~~~~ w.(/J ~!,/jJ'-"-- -
Seclion No Township Name or No Range No CouqlQ~
1 ro .
%,.i
occuoa iaAiNn anona rv
PowerM ~ Address
~
Electr¢ omr tor,cOmOapar Namei Conlractor5 Licanse No
3 g
Mamnp.Maress omractpq or ner Mex4mg instananon) 'TX
l (N IN
Autnonzetl SignaWre ICOntra n0 er abng Ins[alla n) PM1One Number
~3j$/o
MINNESOTA STATE BOARD EIECTRICITY THIS INSPECTION FEOUEST WILL NOT
Grlgga-MlOway Bldg - Room S173 BE ACCEPTED BY THE STNTE BOAPO
1821 Universl[y Ave, 51 Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612~ 64241800 " ENGLOSED
REOUESTFOR~_LECTRICALINSPECTION ee-aoomoe
? See instmcp;ns mr comqeiing ims brm an eacx ot yenow mpy
K 0739
"X" Below Work Covered by This Request ~ j Q/
eAv kdd Rep. TypeolBmlding ApplianCesWiretl EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Budding Dryei Other (Speaty)
Commllndusirial Furnace
Farm Air Condititiner
Other (syeory) ConVactork RemeYns:
Compute Inspec(ion Fee Below:
N Other Fee d ServmeEnlranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps ~ 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
Signs Inspecmr's Usa Only ~ TOTAL ~
Irrigahon Booms 7~~ /IL g3 3
Special InspecLOn
Alarm/Commumcation THIS INSTALLATION MAY BE ORDERED DISCONRECTED~P NOT
Other Fee COMPLETED WITMIN 18 MONTHS.
I, ihe Electrical Inspector, hereby Rough-in
~
certify Ihat ihe above inspection has F,,,ai • o
been made.
OFFICE USE ONLY
This requesl vm0 18 monttis Irom
K 5 221 / Yao
oO- r 201 cE- a
ReQuest Daie Frte No. Rou -in In pecLOn
Req red+ ? PeaGy Now Nolity Inspector
UV V ? No When ReaW?
I'Zricensed coniractor ? owner hereby request mspeclion of above elecirical work at:
*b Adtlreu (Street. Box or ute No j Gty
3 34
Seclion No Township Name or No Range No Co
Octupam (PRINT) Phone No
Power upp4er r lWaress
Eixmcai omrr IGOmOa ame) Goni License No.
C~} o o a 3~~
MaNrg Atltlress IConlraclor or O ner Mabng Installa0onl
Amnonzea SignaNre iConlract 'Ow kmg Ins~allet; Phone Numper
MINNESOTq STATE BOARD OF EIECiRICITY THIS INSPECTION REOUEST WILL NOT
Grlg9s-Mltlway Bleg - Room 5-1]] , BE ACCEPTED BY THE STATE BOARD
1821 Umversity Ave., SL Gaul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phorie (612) 6,12-0800 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION Fy'"""'~Q ea-oaooi-oe
K ? See insVUClmns lor completin~tnis lorm ~beck ol yellow copy
5522 1 "X" Below Work Covered by This Request
ew Atld Rep J TypeofBwltling AppliancasWired EquipmeniWired
Home Range Temporary Service
I Dupler Water Heater Electric Heating
Apt. Building Dryer Other (Specity)
+ Gomm /Indusirial Furnace
Farm Air Conditioner
Olher (spemlyl Comrector5 Remarks' '
Compufe lnspection Fee Belowx Other Fee # Serv~ceEntranceSze Fee # QrcmtslFeetlers Fee
Swimmmg Pool 0 ta 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 700 _ Amps
Signs Inspeclar5 Use Only. TOTAL
Irrigation Booms ~.S SO
Special Inspecuon
Alarm/Communication THIS INSTALLATION MAY BE'ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, ihe Electrical Inspedor, hereby Rough-in oata
certify that the above inspection has F,nai oat ~
been made
OfFICE USE ONLY This request vob 18 momhs Irom '
, ~.~3 7~ -"r y~,~)-~
2005 RESIDENTIAL BUILDING PERMIT APPLICATION /~-~-M Q c~ IC~S
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWCtion Reauiremenls RemodellReoair Reaulrements OfficeUs"e0'nlv
3 registered sita surveys shaxirg sq. ft. of bt, sq. ft of house; and all rooled areas 2 copies of plan Ced'o'f S'uriey;Recd°,,, Y4*_ N
(20% mazimum lot coverage allowed) 1 set o( Eneryy Calculalbns tor heated additions Tr'ee Pies.°Plan Recd Y, _ N
W~,r,R,.. .
2 coDies of plan showiig beam & window sizes; poured found desgn, etc. 1 site survey for addRbns 8 decks Tree~PresiRequired= - 1-4_3. Y• ` N
J~dG:., _ 9~ , -
1 set of Enert~y Calculations AddiNon • indkete ifon-sife sepfk sysfem On Seplic System~`~~-'='--,--_ Y_ N
3 wpies of Tree Preservation Plan if lot platted aNer7l1193
Rim Joist DetaO Options seledion sheel (bWdings with 3 or less un'AS)
Date IE:,+ /e'3I /0 ~ Construction Cost 'l ~ f Wn
Site Address ~ }~C._ y-~VF-e Unit/Ste #
Description of Work ~2-01 Ep~faE lgmITIOIa
Multi-Family Bldg _ Y)C N Fireplace(s) _ 0 Z( 1 _ 2
Property Owner 1--li~ Howe.x Telephone ft ((Q12J f~'~° 0tS+le)
Contractor -Tii{91\-.1 QAlS~I~~'"p~?~'l _,y~~„
Address ~ S;, ~l~y(~,Q~ _ x~,~-~f-1(~l(o CityW-114 ST-e rAUL
State Zip ~75- Telephone # (W) 2 2-5-0 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 7 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
. Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber Teiephone # ( )
Mechanical Contractor Telephone J
Sewer/WaterContractor Telephone#( J
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans. FrA ! n n'' 6~e~ pplicant's Printed Name Applt's Signature I~ ~ 2005
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 Ot of _ plex ? 09 07-plex 'pe, 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscelianeous
Work Types
O 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
~ 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteralion ? 37 Demolish Building' ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement 'Demolitlon (EnUre Bldg) - Give PCA handout to appliwnt
Valuation o o 0 Occupancy MCES System
Census Code L/ 3!~ Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width _f) '
REQUIRED INSPECTIONS
_ Footings (new bldg) Final/C.O.
_ Footings (deck) Final/No C.O.
~ Footings (addition) = Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final
~C Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ AirTest _ Final _ Windows
Insulation _ Retaining Wall
1
Approved By: Building Inspector
-
Base Fee
Surcharge
Plan Review
/ AC 0
City SAC
Utility Connection Charge
S&W Permit 8 Surcharge
Treatment Plant
• License Search
Copies
Other
Total
2422 Enterprise Drive
~ Mendota Heights, MN 55120
*i?ICNEER WyD SURYEYORS . CIhL ENGNEER5 (612) 681-1914•Fax 6e1-948e
* engineering LAND PUNNERS • LANDSCME ARCHITEC75 625 Highway 10 Northeast
Blaine, MN 55434
* * * (612) 783-1880•Fax 783-1883
Certificate of survey for: The Rottlund Companv, Incorporated
House Address: Thames Avenue. Eagan, MN
Model Name: Fairwav Customer: McCarthv
5 O6'09'26" W
38.48 S lo s2-oa„
.3p w
_
DRAINAGE 8 I1TIL17Y EASEMENT ~
-r---------- ---r
I ass9=
10 i 11 Ed'` i 12
5 ~ IS
~ I
I ~
~ I
~ I
3 I
964D g
a
-c°o LO
p p ~I,o f ee5. 0
~0
8 j- - ~-Z' Y 07K4'00' E Q)I.L ~ q~9 . fD
76.50 IAO 18.50
Z I 12 COURSE BASEMENT ~ I^ -q-bo
I ~ 00
m
n u PROPOSED ~ Z
n I HOUSE
WAlKOUT
9yl V0 27.33 CARA ~i ~~yyQ,
Br 18.50 ~E75.9-- ° 20.6) Si18.5 ~ a753.4
~
~ - coNC. sroor s, .a
$ I ( DRIVEWAY I g
9 L_! - - - - - --J~
O °
875.6 Y~~ i~ r 874.4
874.0 874-r- - ~
85.00
i
06
o
~ 873lb N 01'24'00" E 87.96
~ THAMES AVENUE
. 900.0 Denotes Existing Elevation PROPOSED HOUSE ELEVATION
. eaa.o Denotes Proposed Elevation Lowest Floor Elevation:869.So
- - - Denotes Drainage & Utility Easement
- Denotes Drainage Flow Direction Top of Block Elevation: $77,56
~ Denotes Monument Garage Slab Elevation: 877•23
-B Denotes Offset Hub Bearings shown are assumed
~ OC2~:~ ~ENT~~Y '
QAKOTA COUNTY, MINNESOTA
I hereyy certify that this survey, plan or report waspr/e ared by me ar under my direcc supervision and that I am duly Registered Land Survayor
under the laws of the State of Minnesota. Dated this ^ ~L~nday of A.D. ~19~.
U /
Scale: 1inCFI_30 fBBt R BERTB.SIKICHL.S.REG. 14CF
Ifi-51 89102.14
RESIDENTIAL
BUILDING PERMIT APPLICATION 13. ~
cirv oF EAcan
3830 PILOT KNOB RD, EAGAN MN 55122
851-681-4675
New Conetructbn Neaulremenb NemoAeVHeoalr Heaulrements
• 3 registered sAe surveys showing sq. N, of bt, sq. tt. ol house; and all rooled areas • 2 copies of plan
(20%maxunum lot coverege allowed) • 7 5et ot Energy Cakulatbnsfor heated add'Abns
• 2 copies o1 plan showing beam 8 wintlow sizes; poured found desgn, etc.) • 1 sde survey lor exlenor additions 8 decks
• 1 set of Ene(gy CaICUIatiOns • IndlC2te tl home serv6d by seDtic sys1em lor adOdi0n5
• 3 copies oI Tree Preservalion Plan A bt planed atter 711/93
• Rim Joist DetaJ Optbns selectlon sheet (bWgs with 3 or less unAS)
DATE ~z/ OZO R~ VALUATION y$Dg. °o
SITE ADDRESS 113 l /`rl/C- MULTI-FAMILY BLDG _ Y _ N
NPE OF WORK ooe'~' rrt,- mFL FIREPLACE(S) _ 0_ 1_ 2
APPLICANT Gl~aAe/qscoc-e- ~n~' ~ C°•
STREET ADDRESS S(o 4`7 41e /Y CITI(r t~/O-~STATE _~IP SSo &f.)-
TELEPHONE # 5~39-~&242 CELL PHONE # FAX # 3s/- ao9~
PROPERNOWNER I 4-rA- TELEPHONE# 4f-/- ~S Ap~~
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINVESOTA RULFS 7670 CATEGORY 1 MINNFSOTA RULCS 7672
(4 submission type) • Residential Ventilation Category t Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Conhactor: Phone #
1 Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00
~ Water Heater No. of R.I. I3aths
No. of Baths
Mechanlcal Conhactor: Phone ri
Mechmucal system includes: _ Air Conditioning Fee: $70.00
Hea[ Recovery System
Sewer/Water Contracfor. Phone q ~ n
~
-----------------------------------------------------------------------------------------°-------l---T
I hereby acknowledge ihat I have read this application, siate that the informaTion is correct, ~Yld`6ree to comply- ~
wlth all applicable State of Minnesota Statutes and City of Eagan Ordinanc . ~ 1
Signature of Applicant J
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 ? 08 06-plex ? 16 Fireplace ? 21 Porch (&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 O 12 12-plex Plbg_YOr_N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. O 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 Alleration O 37 Demolish (Bldg)' O 43 Reroof ? 46 WindowslDoors
? 34 Replacement 'DemoliHon (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
_ Foo[ings (new bldg) _ FinaVC.O.
_ Footings (deck) _ FinaVNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tilc Other
Roof _ Ice & Wa[er _ Final _ Pool _ Ftgs _ AidGas Tests _ Final
_ Framing _ Siding Stucco Stonc
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Rctaining Wall
Approved By , Building Inspector
- - - °
Base Fee
Surcharge
Plan Review
MGES SAC
City SAC
Water Suppy 8 Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit License Search
Copies
Other
Total
~I 2-8
RESIDENTIAL Z
i3 BUILDINC PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
851-681-4875
NewConatructlonHeaulrementa HemodeVHeoalrNeaulrements
• 3 repisteretl sAe suneys showing sq. N. of lot, sq. N. of house; and all roofed areas • 2 copies of plan
(20% maximum bt coverage albwetl) . 1 set of Energy Calculatbns for heated atldHions
• 2 copies of plan showing beam 8 window sizes; poured Pound design, etc.) • 1 site survey for exlerior a40Aions 8 decks
• 1 set of Energy Calculatbns • Indirale A home served by septic syslem toraddftbns
• 3 copies of Tree Preservatlon Plan A bt pLattetl after 7/1 f93
• Rim Jalst Dehail Opibns seleclbn sheet (DIOgs wrth 3 or less unfts)
DATE (017_< )foZ VALUATION 9-7 6S, 00
SITE ADDRESS 393z/ -#kuno.s Ae• MULTI-FAMILY BLDG _ Y _ N
TYPE OF WORK PgSicL_ FIREPLACE(S) _ 0_ 1_ 2
APPLICANT (.7on 4t_A..a, r I C°a~S~'•
STREETADDRESS SbLI-) ///(o.,ol A-+/L°~ CIN Sj ~~lw~~~-~- STATE A/J ZIP SSoHZ
TELEPHONE #Cw 1- 03`1 - y37A CELL PHONE # FAX #6 5! - 351- 229 b
PROPERTY OWNER TELEPHONE #
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
~
Energy Code Category _ MINNESOTA RULES 7670 CA1'EGORY 1 MI rEnerrgylode R
(J submission type) • Residenlial Ventilation Category 1 Worksheet Submitted • eet mitted
• Energy Envelo pe Calculations Submitted 2
Plumbing Conhactor: Phone #
Plumbing system includes: Water Softener _ Iawn Sprinkler Fee: $90.00
_ Water Heater _ No. of R.I. Baths
_ No. of Ba[hs
Mechanlcal Conhactor: Phone N
Mechanical system includes: _ Air Conditioning Fee: $70.00
_ Heat Recovery SVstem
Sewer/Wafer ConMactor: Phone 11
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 Ordinances.
Signature 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 16plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OB OEplex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Yor_N ? 25 Miscellaneous
? 31 New ? 35 Int Improvemen[ ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition O 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 Alleralion ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDOOrs
0 34 Replacement 'Demolition (Entire Bldg only) - 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 W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaVC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AidCas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S8W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
PERMIT 9 3
~ CITY OF EAGAN cA'1315
3830 Pilot Knob Road PERMIT TYPE: e u r Lo t Nc
Eagan, Minnesota 55123 Permit Number: Fs 7 m 2 77
(612) 681-4675 Date Issued: 0 2/ 01 / 9 3
SITE ADDRESS:
3934 7HNMES AVE
. LOT: 0011 13LOCK: 0002
COVCNTftY PASS
P.S.N.: 10-18400-110-02
DESCRIPTION: '
'E3uildi'ng Permit l'ype SF DWG
BuSldinqWurk Type NEW
' UBC Occupanb,u R-3 M-1
~ Construction 1ype VN
, Zoninc) ~ R-•1
Building lonqT.h ! 48
Buildiny Width ` 35
~ i
r.:
.l
REMARKS:
RECEIPT # S&W PIBR - VALLEY hLBG
FEE SUMMARY
VALUATION $125,000
Base Fee $727.00 M7.SC F[E.i $1,744.50
PJ.an Review $472.55 Total FeEa $3,756.55
SurcYiarge $62.50
SAC $75U1.00
3AC ~s 100
S"AC Units 1
Subtotal $2,4712.05
CONTRACTOR: - Rpplicant - 5T. LICOWNER:
THE ROTTLUND CO INC 15710304 0001335 ROT'fLUND CO INC
5201 E RIVER RD 520:1 E RIVER RL7
FRLDLEY MN 55421 FRIDLEY MN 55421
(612) 571-0304 (61~)571-0304
T hsreby acknowledqe tMat I have read this iBpplicati.on and state tihnt tJip
inior-mition i.s currpcl ajid aqreP to comp?y With a.11 oppliceblo State uP I4ri
StaY.utes and City of Eaydn Urdinans.es.
~ APPLIC NT/PER EESIGNATURE ISSUED SIGNATURE ~
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: Rui-t ozNc
3830 Pilot Knob Road Permit Number: e 2 0?7 7
Eagan, Minnesota 55123 Date Issued: N 2/ 01-/ Q 3
(612) 681-4675
SITEADDRESS: LoT: 0011 BLocK: meOAPPLICANT:
3934 THAMES AVE THE ROTTLUNO CO INC
COVGNTRY PASS (612) 571-0304
PERMIT SUBTYPE: TYPE OF WORK:
SF DWG NEW
INSPECTION .
FUOTTNG FRAMING
INSULATION FINAL
FI'RFPLHCE
REMARKS: RECEIPT fl S&W PLBR - VALLGY PLE3G
F
l-
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
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 Yaluation of work 00
Site Address: 3154__T1UyMP,S H-V12-
STREET SUITE N
Tenant Name: (commercial only).'Tt° P"4-4401A.Q /',h, TuC'_~
IAT BIACK ~ SUBD. P.I.D. B
~~oV
Descri tion of work:
The applicant is: Pq~owne~r Contractor ? Other (Describe)
Name--FT-,{ ro+F(u;O 6V:T:Mc, Phone 57 ~-036~1
Property LAST FIRS7
Owner qddress 520 ( E Ver'
STREET STE M
City e~I State kd I _ Zip SS~IZC
Company Sa we-- Phone
COntrBCtOf Address License # 133 S- Exp~
City State Zip
Company Phone
Architect/
Eng(neer Name Registration #
Address
City State Zip
Sewer & water licensed plumber C2 e 61,014 Processing time for
sewer & water permits is two days once rea has beeti 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
11, Eagan Ordinances. I
Signature of Applicant: OC/
1 i
r _
I
2422 EneerpNse o.iv.
Mandoto Helphts. MN~65120
(612) 681-1814•Fox' 681-9488
*PIONEEp LAmD MArqEjOqzS • rnnL rHOUVUS '
*
engineer ng L&40 pLM04ERS ' A*WTECTS 625 HIghway 10 Northcast
e"atne, MN 55+3+ I
•~c * * * (612) 783--1880•Fax 783-1883.
Certificote of Survey for: The Ro und Com ar1 Incor :orated
House Address: _ Thames Avenue Eagan: MN !
Model Name: Fairw Customer: c arth
$ 06*09'26m ;
w
38.48 S 10'52'00.
~
7,30 w '
4
~ P z3 '
Nwc. Fss0 ~
,/{wla. grY.o
• oRUrAce t unun EAASEEMeHr
i
i
T----------- -----T ,
~ ~syc I
10 ~ ~)L ~ IMdpJ ~ ~
12 ;
I ~
E I
I ~ I
gt79
, o~
oo ~
QO (G J _ L N n17'r00' E g1~=' ~ 40~ i0 I
W r~ ~nso 4e.a
Z ~ 12 couM BAseuerrt ~ M~
PROPOM HoUSE r_..-_ z ~
~
,~~y
~ wnucaui
P'''~ 27.37 cNtuie
r
° xo.sr 6~'e~..go ~ g~s.zy ~
9 6 9 I DRIYEWAY ` ~'Jd a ~ F~ / ' /kI/
~ i
2p>
85.00 ~ie ~
n $73 N 01'24'00• E 'a iv"s7a''''TGINEERI;[dG DEPT
~
- ~
~ THAMES AVENUE
. noao penotes Existing Elevotton • . PROPOSED HOUSE ELEVATION
¦(gi?D Denotes Proposed Elevation Lowest Flo.or Elevation:669,
Denotes Droinage & Utility Easement Top of Block Elevation: $77.5~
Denotes Drainage Flow Direct+on -
---cl- Denotea Monument Garoge Slab Elevatlon: 877.23
-ig- Dertotes Ofiset Hub Bearings shown are assumed
LOT 11 , BLOCK 2 COVENTRY PASS ;
pAKOTs COUNTY, MINNESOTA I
( Mn6y are3}y dut ehb wrwy. pln or rtport w.~t ,,~~,;~~/J~~~ 6y me or ueWer my dlreet wpavl~lon srd that 1 sm dufy Apittaod LanQ Surw'YOr
~~oMar the pwa of tlla StatO of MdlnelotY. DaUd thy._L'~.~fi dty of A,D, 19~.
oM
U /
i~
~/trY~I'~• 'Ilnrh_7nf66t o wCATw.A1NICHL.5.RE0. 0
.1469
LOT BIIAVEY CSLCICI,ZBT !OR ALBIDENTI]IL
~ aIIILDINO ERld2T ~PPLIC7ITION
IROPERIX-LLM s
~
Date of tuzvep:
49MENT BTAHD nna
[9X0 0 • Registered Laad Surveyor siqnaturQ aad company
D D • Buildinq Permit ]lpplicant
•
•
[3 0 • Legal description
0 VE) • ]lddress
0 13 • North arrow and bar scale •
V0 D • House type (rambler, walkout, aplit v/o, split tntry,
lookout, etc.)
~0 0 • Directional drainage arrovs vith slopa/gradiant
0~ 0 0 • Proposed/existinq sewer and vater sezvices
B~ 0 0 • Street name
D~ 0 0 • Driveway
LLEVATIONB
Ex;°ttnc
D 0' 0 • Sewer service
0' D 0 • Lot corners -
V 0 0 • Top of curb at the driveway
B~ 0 D • Elevations of any existing adjacent homes
BzoDOsed
L'~ ~ ? • Garage floor
D~ 0 0 • First floor
@' ~ 0 • Lowest exposed elevation (walkout/window)
E~ 0 0 : Property corners
D 0 0 Front and rear of home at the foundation
PONDING 71REA8 (if iDD1iC ble)
L•1' 0 ? • Easement line
[3' 0 0 • NwL
0~ 0 0 • HwL
d o 0 • pond N desiqnntion
D @' 0 • Emergency Overflow Elevation
DIlSENB IONS •
L'~ 0 0 • Lot lines
0r 0 0 • Riqht-of-way and street width (to back of curb)
Lr 0 o • Froposed home .dimensions includin an
g y proposed Qecka,
overhangs greater than 21, porches, etc. (i.e. all
structuzes requiring permanent footings)
13'~ 0 0 • Show all easements of record and any City utilitiea within
those easements
~ 0 0 • Setbacks of proposed etructure and setback of adjacent
0 ~n ~ existing homes
Retainin z qui ments, if any
- Revieved• 442
Name / ate
October 1992
~ r-XTFr,IoR i:r+vr•.[,rn~t. nvErnrr: "u" curmirrn•riOU -
~ oWN ER
SITE ADDSESS LoT 11, gLOCK Z4 COVEMl2y I-q-SS
CONTRACTOn &o77Lc9ND C-0 pATF pl{qNE
` Deterain vorkini; sqvnre footaj,,c of ench.
1. Total exposed vall area Sq, ft. x 0.11
_ 2`2, 3 L
• 2. Total roof/ceiling area sq. ft. x 6,026 _ 28 G
• .
Total exposed vail ares nbovc rloor = G 3 fl~'O
a. Total vall vindov area I~ Z, °p ~
c D. Total door area e. -7
c. Total sliding glnss c'oor area tJ-Q,~'j
d. Total fireplece v~l area
e. Total vall framing a:ea (average 100A)
P. Total net vell erea above floor
• g. Total rim ~O '
~ joist area
~ Total exposed faundation araa
h. Total foundetion vindov a:ee
' i. Total net foundation a-ea above p,rade
f//j, 3
. Deterrcine "U" value o: each vall ;FC;ment.
. .
. . 8. lSZ,`S YU„ 0 2- = 72.77
b. - 3h.7/ X0,13~
' C. 59, 97 x„U„
d. - X
e.. X..lUll d. pbq = l G.7A,
r. /ro~7.~?~ x 7,
. g. X,.1,,.
n. ~ x „u., 57
i, X„U.,
3. •io~.~] = 2 Z,I
If item N3 is the sune as, or les:: !.h;ln ilcm I'l, you navc met t.he; in:en!:
ot ssc 6006(c)2.
f~
Total exposed roof/ceilinG nrel
~ .
Total gross roof/ceilint, arc:t J. Total skylieht area
k. Total roof/ceiling framing area
1. ToLal net insulated roof/ceiling area
Detennine "U" value for cnch roaC/cci l inl; ec;,'rcent.
X nUn - _ .
.
k: l o ~l X „u„ a.oz -7 = Z;q '
1. 98 / X„U,. o.o2z. = ZI.sB 4 . Total
If total oP N4 is the same as, or less than X2, you have met the Sntent of
ssc 6oo6(c)i. , .
To utilize the total envelope system method, the values establi:hed by the stmm of items N3 and 14 shall not be sreater.thnn the swv of iten:s 11 and 92.
1. ± 2.
~ • 3•, + 4. _ .
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-
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C:f]I]L.1.iVL•i 1 :162i I;>y:?; 7„r1=F:5i ha2 2 11 9I•'2 ii 5 --l3i V' a,b721
, ~ ~ ~ • r:: • r.:~ , e.. . ,
t i7.~ i7~ U( 1C.~,~~+~•i ~
f-IE(•1l"7~iC: ~ ; ] g:'.i~f. 664
_ _
F::C. CiIU
WA1_LS Nl:llR'I'4 ;iUlJl'I•i E.FI+.:;41I' WIc:S'f' IV6':/1'JW SSiE/£iW t31='tAUF T[:1"fFlt_
_ . . _ _
HRL•:F+ ~ (4 1 6271 609 1 1i~ f 1C>1 D: : ~59{
. ~
i ~h9; , a
0:30I_ P Nfii 516: 4&3.`3 ; ;S69 I :[r",J:" l '"r ~ I 0; 14 1;
4:15~ Aiil 4i) 1 5 ,29b: I11.,6491
14 E:f1T:IVJf.i 1 2,2561 2e7.171 4e36 1
_ - - .
vOcar,s MOR•rH SOIJTh7 6P,S'1' WE"S"f Nt::/I'SW GF:/SW ?Cl"fAL
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ARFH ; iflf 40f 21.) ; q: 781
(7C1(.il_TNG : 229: 486I 243: C71 f,7f CS: , 9.¢50
HEf1Y']'.NLi 1 9:36 1 2,1241 ] 062 t U1 01 C11 ~ 4a14'2l
. .
FLOC1R h1hEA QUUI_SIVC3 HL=n7I1vC;
;i?3'7i ~ Ny
';6 i 9,c"i.4
CE.[i_Inu, ARE:A s.:ca«LIivc; }at:A7.irau
2869 959
M:[SG;f:.L..l_.ANEOUEi CCiQL..iIVC9 I_.Ql+li~
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I''f;N7}:11.E' :.'i:(1ES:LC:rl4: r...Gat:l ~ 10 [..ei"t.E=1i'k. L<Jeift 1,4'74
:_•_.«I'ttis & I•1pp1. l_rJau ' i.lY;:i L..a•t.r:•nt t-;~_~f~~.•r.y bt.L:h 5
Va?nti.laticsn Gr.rcu1 9MS
pLIC:t }feFit CEl.ll'1 !1
In•FiJ.Y.r•~~t.i.r~n Lcrid :_;ii:l
,"3ensible tiafaity Bt.Uh 947
d,A`iTEE 'V' LAD 5.769
'I'!:]'T'AL.. F3FEfV:i i: Ci+LEiE I.OFii) ..1.9 .8R;i "i'f fA.. I_
aL:mmLni• AC:Fi Q.VLE ]Q111G. ;:IlN.if1C3 I'1ult. 1.00
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f're{'.)arucl Fc,re 1-'YF?r]dY"F?f_I FJy e
I1t7'f"fl_.I_INX) t:f7MPf1NY i':f*'I I..!-11JI)1'JEF't
FI_ARI: HI_ATiNI:i
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DE?S1Gh.l 1=f7Ni>TLLINS
l:1LJTDf7::1F: J. PIDUC]k
S11Mf'l1=Fi WTP•ITE-R SL3T'IMER WIIVTF:It
i)r'y Bulb N:2 7111 i 71'.)
WE'k Dtl l b Ta 67
Cia:Lly Rcl.flgFy 2-2 Uai.'.ly Sw.ima :;.r.>
'
I_;ti.k.UciO 44 E.1F!vatinn 0'2'2
t:ii:l•FF: Ly f''clG t1:7t 01) :.`i
Latent 1=,:LC:tr_•i~^ f::)
Sr2ns.ible
FtUC3rn I'4 2r.+t1n Ca Heati.ng LucAirip Cooling
Nz.rnc; IITUFI f;Ff•q H`fL.f4~{ ~FY9
C.7aw1 5paCe f.,12 176 ;.,af<<t 7-S
L~,~~anmctnt 10,364 1I45 n t41 ?~i3
F.vyF.r 4 ,`<"l6 1 9 i,':i:4 77
k.ltC:1lE'll 9":Jf3l Z i] 5,Il44 ryJ:i
Li.v.ir) q/OS.n.tin,y Ca.E;40 :l5, ~570 2:31
E"+ed r oam 1 ,9"'t:2 tl a'336
E:+at:l'iwcx',m a 118 6
E+edMr.tom r 1,90Ei ::7 1 Sl,
il a
PEs(JI"'C)G^fIl ._i 2, 29C{ ~~.e~ ~ ~ .fimlC7 77.f
" 329 _ _._.1'c~._. , J~?:_ 1 5 :;~35
I1Eiri'?.T.tJCi DEL"fA 'I" 615.0 CC)Cll..TNf:.* t)F:L-fFa T]8.l>
~ PERMIT ~ ~Iw5
CITY-OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road B U I L D I N G
Eagan, Minnesota 55123 Permit Number: 0 2 3 7 4 5
(612) 681-4675 Date Issued: 0 5 /2 7/g q
SITE ADDRESS: ,
3934 THAMES AVE LOT: 11 BLOCK: 2 'I
COVENTRY PASS
P.I.N.: 10-184@0-110-02 I
DESCRIPTION: ~
Building'Permit Type DECK',
Building Work Type NEW
%
~
~ i
t c il . , I
~,;~;il-::.,1`1~'~ C~~ ~~i=' 1~,~;~.~°~, a,, ~
REMARKS:
FEE SUMMARY:
Base Fee $30.00 Surcharge $.50
Total Fee $30.50
CONTRACTOR: - Applicant - ST. LIC. OWNER:
SUNBURST BLDRS 16865832 0008582 MCCARTHY BILL
4270 SUNRISE RD 3934 THAMES AVE
EAGAN MN 55122 EAGAN MN 55123
(612) 686-5832 (612)686-7364
Z 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.
L Statutes and City of Eagan Ordinances.
:~~.~c?» r
AP I ANT/PERMI7EESIGNATURE - S~BY SI NATURE
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: B U I L D I N G
3830 Pilot Knob Road Permit Number: 0 2 3 7 4 S
Eagan, Minnesota 55123 Date Issued: 0 5/ 2 7/ 9 4
(612) 681-4675
SITE ADDRESS: Lo r: 11 B L 0 C K: 2 APPLICANT:
3934 THAMES AVE SUNBURST BLDRS
COVENTRY PASS (612) 686-5832
PERMIT SUBTYPE: TYPE OF WORK:
DECK NEW
INSPECTION D. .
FOOTINGS FINAL
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A ~ CITY OF EAGAN:,~
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BU,ILDING PERMIT`APPLICAT~ID:N
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, ysew,er & wa}ter per,mats ifs;two``day-s.once.area,;has been appr~oved.,: p~u
f I;h'erebyFackn~ow~l~edgFeutha't~ I have'reacl~t~his application and sta,t~e~ that t,he~~"n~f,o m~a`t~ionMi"~
~ coct and; agr~ee toomp~lsy ~wqi~t;h~all.,app~li~cab:le S6ate of~Minneso~ta ~S~t~a;tu'tes1and`g~`~y~'o,~f.
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OFFE+°l'JSE ONLY
BUILDING PERMIT TYPE
? Ol Foundation O 06 Duplex,r.. Y4 "•~i Ti1:+A"pt~6.od'gJ:ff'g ';O.'16:-Basemen~t,Fi;mi-sh _
? 02 SF Dwg. El"07 4-Plex~r:~~"'1 '40 1`2 Mu:lyti M~fs.c~' O 17 Swi`~Poo~l.:-
? 03 SF Addition ~''088-P~l~ex . ? 13j'Garage~/Accessory?1,8,`Cbmmm/Ind:
? 04 SF Porch ? 09 12-91ex. 14, Fi;re`p'1'aces ~„19~Cortue:J4Ind:: Misc.
? 05 SF Misc. 0,.10 Mult-i;:.,`. ~}•-1°5'.Deck ; O`20 Puti%l~i•c"Ea'cility
0 21: ~Mf~scellaneous
- . . t '.F ` . ~ 1. .
WORK TYPE
31 New O 33 Alt.e,rations 111,15 Tenantsh ;shi~
? 32 Addition :0 34: Repair•" s-'-'1~ 3,6~.Mo..ve'.' .e•' - .
-
GENERAL INFORMATION
Const. (Actual) Basement sq. ft, MWG;C_;S~y,,s;tem,(Allowable) l:st- Fl._ sq. ft: .•y,CiLAy~Wa~ter
UBC Occupancy ,2ntl<F1: sq. ft. y "PRV1aReGui~r~e~d
Zoning "Sq Ftt total =Boosit~er*Pump~
# of Stories ~Fo,ot,priri;t Sq rft. Spyr~a!nk:l>ers Length ;Ons'sit~e tivell 1s.~r ~ Census,Code,,,,
Depth ` On site sewag,e~ SAG +Code - r
;C;e'n.s"us'-B;].dgr. . " ~
APPROVALS ' _ " ' Census .
Planning "Builtling',_ Asses~sments .
Engineering Va~i'anc;e
- f...J<~':a.
. i'.
REGIUIRED INSPECTfO.NS
?.Site lp Footi~ng' s~. ? Fr,ami~ng; 13 Insulra,tion
? Wallboard Final" . Dra4n•tTl+'e~,7,~.. _ O;F`irepl"ac.e,;
- •4'^ _ -
PBYRIIt F@e
Surcharge - - t ` • ^
Plan Revi'ew
License
MWCC SAC
1' • h ' t l
City SAC
Water Conn.
Water Meter ° ,
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pl.
Road Unit
r.
Park Ded. ` . ` ~ - • '
Trai 1 s Ded.
COP105 . Other . , '
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Total: , . ,
bAC %
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SAC Units
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, . " 2422 Enterprlso Driw
~ µandoto Hel9htt, M068120
ANEEIa w,o sux,hra,s , ma rrcwmes (612) 681-1614•1`o~ 681-9468
~n~~neer ng ~~0=3GAWK MM=TT 625 Hlghwny 10 Nort~caet
13Ioh0. MN 55434
* * * 'k (612) 783-~1880•Fax 783--1983,
Certificote of Survey for: The Rottlund ComaanX IncorIorated
House Address: ha s Avenue Ea an M
Model Name: ai Customer: c ar ~
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R THAMES AVENUE
. 9aao penotes Existing Elavation PROPOSED HOUSE ELEVATION
_<i&0 Denotea Proposed Elevction Lowest Flo.ar Elevation:869.5'0
Denotes Drainage dc Utility Easement ToP of Block Elevation: $77.5G
- Denotes Droinage Flow Direction _o,~rp9e Slab Elevation:877•~j
_ penotes Mon~ment ; - ~
.--ia.- Denotes Offset Hub Bearings shown are assumed
LOT11, BLOCK 2 C~VENTRY PASS '
~
pAK(ue COUNTY, MINNESO7A I
I MnbY areiN dut thb wrv.y, pl.n or nport .ww pregand 6y mpe or under mY dlceet wpervl+ion and that Ism duly Apitarod Lmnd SurnVa
urd.r th• lem at tha Sute ot Minnawa. Oat.d tnb ar of A.D. ~19~3_..
C r, ry ~ '1 Inc11- '7~ n f09t o wFwi w RIIIICH L.S. AEO. O. 14~9
PERMIT # RECEIPT DATE: . ~O I
MIDEPTIAL PLiJM$1RH PEfiM1T APPLICikTION
CITY OF Ek&AN
3830 PaoT xxoe Rn
SASAIY, MR 55188
651-881-4675
Please complete for: ? single family dwellings
D townhomes and condos when permiGS are required for each unit
D backflow preventer for irrigation system
SITEADDRESS: 1HRME5 Q`X
OWNERNAME::~Il.li Vv\~(.,t~i~Tb'~i TELEPHONE#: (?f'/ (v016' "73`~P4
(AREA CODE)
INSTALLER NAME: TELEPHONE ~QS y
STREETADDRESS: 3~3~I T4'EAi'"i£5 J~VIE (E+REACODE)
CITY: N STATE: M ti ZIP: SSI a~
Place a check mark next to the ermit work t e
New residential dwelling unit under construction and not owner/occupied $ 90.00
Add-on, modification or alteration to existinq dwelling unit, including: $ 50.00
• abandonment of septic system
• new installation/repair/rebuild of RPZ
• lawn irrigation system
• water turnaround
Nature of work: 134SFM6>_U L& T~4
Septic System, new/refurbished - $ 225.00
• includes County & Consulting InsQector fees
• requires MPC license
State Surcharge $ .50
Tota I $
Reminder: Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc.
I hereby acknowledge that I have read this application, state that the information is correcl, and agree to comply with all applicable City of Eagan ortlinances. It
is the applicant's responsibility to notlFy the property owner thal the CiTy of Eagan assumes o liability for any damages d by the City during its normai
operational and maintenance activities to the facilities constructed under this pert Wiprop yi ig bof-wayfea
SIGNATURE OF PERMITiEE
Updated 1l01
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
f City Of Eagan ,Ld-n
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694 CaU.icA
New ConsWCtion Reaui2menis RemodellReoair ReauiremenLS Office Use Onlv
3 registe2d site surveys showing sq. ft. of lot sq. N. of house; and all roofed areas 2 copies of plan CeROf Survey Reoi Y _N
(20% maximum lot coverage allowed) 1 sel of Energy Caiculations for healed addihons Tree Pres Plan Recd Y_ N.
2 copies of plan showing beam 8 wiMow sizes; poured foufW design, etc. 1 site suney lor addiUons & decks Tree Pres Required Y _N
lsetofEnergyCalculations Addifion -indicafeAon-sResepGcsystem Oo-siteSepEcSystem _Y _N
3 copies of Tree Preservation Plan if lot platted after 711/93
Rim Joist Detail Options seledion sheet (buildings with 3 or less units)
Date_R / I S /0,~- ConstructionCost WdE
SiteAddress 39?,,q
1C1~~W ~~1C., UniUSte #
Description of Work I A1 ~_j Q-006-\ U-L ?AI~- C?-E i '4 $v&~Er Px l\t.t-`/ - XQ) lb~t~
Multi-Family Bldg _ YK N Fireplace(s) _ 0 _ 1 _ 2
Property Owner Tftj Telephone 6~ )~'I (1'~ ~~l
Contractor
Address h3~~ CRM1(ZI11~6L5T City Sr LCol5
State y?11~~ Zip Telephone 1~ ) t.1~3- q le~
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateaorv I Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submission type) Submitted Submitted
. Energy Envelope Calculations Submitted
In ihe lasT 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber Telephone )
Mechanical Contractor Telephone )
Sewer/Water Contractor Telephone )
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requiresia rev- i'ew;and
approval of plans. J I l
2005
Applicant's Printed Name Ap ican ' ature I
L
OFFICE USE ONLY
Sub Types
? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
02 SF Dwelling O 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Mulli
? 03 01 of _ plex O 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof O 46 Windows/Doors
? 34 Replacement 'Demolitlon (Entire Bldg) - Give PCA handout to applicant
Vaiuation UM27 Occupancy MCES System
Plan Review ~ 100% or 25%
Census Code 3y Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const V6_ Width
REQUIRED INSPECTIONS
_ Footings (new bldg) Final/C.O.
_ Footings (deck) ~ Final/No C.O.
_ Footings (addition) _ Plumbing
Foundat ion H V AC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AidGas Tests Final
_4( Framing _ Siding _ Stucco _ Stone _ Brick
Fireplace _ R.I. _ AirTes[ _ Final _ Windows
Insulation _ Retaining Wall
Approved By: Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC (n~7/
City SAC / j~'
Utility Connection Charge (
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
.
,
1- L'.: J cc.ncc.k~cc
CLAIM VOUCHER- REFUND REQiTEST
CITY OF EAGAN
iAKE CHECK PAYABLE TO: Total Service
ADDRESS: 6314 Cambridge St
St. Louis Park, MN 55416
PERMIT # 70377
RECEIPT #/DATE: 93496/August 25, 2005
REASON FOR REFUND: Incorrect Fees Collected VALUATION: $11,000.00
TYPE OF REFUND:
Buildin Pemrit Base Fee 0801.4085 $
Conswction Meter De Refund 9220.2254 $
Curb Box De osit Refund 9220.2253 $
Fire Su ression Permit 0801.4096 $
Mechanical Pernut 0801.4088 $
Plan Review Fee 0720.4222 $ 126.91
Plumbin Peimit 0801.4087 $
SAC (MC/WS) 92202275 $
SAC (Ci ) 9379.4681 $
SAC (Admin) 0801.4246 $
Sewer Permit 6201.4532 $
Surch e 9001.2195 $
Treatmen[ Plant 6101.4685 $
Water Permit 6101.4507 $
Water Meters & Radio Read 6101.4509 $
Water Su ly & Storage 6101.4680 $
Other(Invoice) 0501.4228 $
Total $ 126.91
I'declaze mder penalues of law that this account, claim, or demand isjust and that no part of it has been paid.
09/06/2005
SIGNATURE DATE
~ ~oo0 53 -
~ For Offce Use T
Clty of Eap ; Permit # I~ 2
I Permit Fee: ~ T /l'J ~
3830 Pilot Knob Road
Eagan MN 55122 ~ Date Received 0.3 ' 0& I
Phone: (651) 675-5675 i i
Fax: (651) 675-5694 I Staft.
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: I~?~D D Site Address: 3737 "Tk4hLc'.5 Tenant: L.f~RA /'~~~~DL\) Suite#:
RESIDENT I OWNER Name: L/{R;!p' mDZ.,-ZQ V Phone: & Io~-b YS 8S7 ~
Address / City / Zip: 3W~l 'ThJ4/M c G X`! L' eLU Ll E Applicant is: _ Owner -4 Contractor
TYPE OF WORK Description of work: R av -4-
Construction CosC Multi-Family Building: (Yes No~L
CONTRACTOR Name: ~ C~oAJS`7t'/ L/'+w License#: 7~710
Address: ~?IY-! ~6~/ r U~
City: &'-st ~~lA~tyt S Staie: MA-) Zip:
. Phone: Contact Person: ;PilJ/eL~
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1' Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet . New Energy Code Worksheet
Category Submitted Submitted
(4 submission type) • Energy Envelope Calculations Submiried
In the last 12 montlis, has the City of Eagan issued a permit for a similar plan based on amaster plan?
_Yes _No If yes, date and address of master plan
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer 8 Water Contrector: Phone:
NOTE: Plans and supporting documents fhat 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 fhe City to
, conclude fhat the are trade secrets.
I hereby acknowledge that this mformation is wmplete and accurate; that the work will be m conformance with the ordmances and codes of the Ciry of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start ~ hout a permit, that the work will be in
accor ance with the appro plan in the case of work which requires a review and approv ) of plans.
x 'e-lil di A ' X ' "
ApplicanYs Printed N me A plicanYs Signatu e
Page 1 of 3
SUB TYPES DO NOT WRITE BELOW THIS LINE
.
? Foundation ? OS-plex ? 16-plex ? Accessory Building ? Pool
~ Single Family ? 06-plex ? Fireplace ? Porch (3-season) , ? Ext. Alt. - Multi
? 01 of _ Plex ? 07-plex ? Garage ? Porch (4•season) ? Ext. Alt. - SF
? 02-Plex ? 08-plex ? Deck ? Porch (screen/qazebo/pergola) ? Multi Misc.
? 03-Plex ? 10-plex ? Lower Level ? Storm Damage
? 04-Plex ? 12-plex ? Miscellaneous
WORK TYPES
? New ? Interior Improvement ? Siding ? Demolish Building'
? Addition ? Move Building ? Reroof ? Demolish Interior
? Alteration ? Fire Repair ? Windows ? Demolish Foundation
? Replacement ? Egress Window IP1 Water Damage
' Demolition (entire building) - give PCA handout to applicanl
DESCRIPTION:
Valuation 3F c6lo•00 Occupancy MCES System
Plan Review Code Edition SAC Units
(25%_ 100% Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet . PRV
# of Buildings Length Fire Sprinklers
Type ot Const. Width
REQUIRED INSPECTIONS
Footings (new bldg) Sheetrock
Footings (deck) Final/C.O.
_ Footings (addition) ~ Final/No C.O.
Foundation HVAC
Drain Tile Other:
Roof: Ice 8 Water Final Pool: _Footings Air/Gas Tests _Final
~ Framing _ p Siding: _Stucco La[h _Slone Lath _Brick
Fireplace:_R.I. _Air Test _Final Windows
Insulation Retaining Wall
Reviewed y: Building Inspector
RESIDENTIAL FEES:
Base Fee
Surcharge
Plan Review
MCIES SAC
City SAC
Utility Connection Charge
S8W Permit 8 Surcharge
Treatment Plant
Copies
Total
Page 2 of 3
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3934 Thames Ave
Lot: 11 Block: 2
PID:10- 18400 - 110 -02
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264 -4777
Addition: Coventry Pass
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
4/30/08 Notification letter sent regarding expired perm
Construction Type:
Occupancy:
pf
A framing inspection is required when installing a Bay or Bow window or if the opening is altered
required in all sleeping rooms prior to final
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
- Applicant -
$90.00
Owner:
Daniel W Kotasek
3934 Thames Ave
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Building
EA079571
08/31/2007
ePermit
Smoke detectors are
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3934 Thames Ave
Lot: 11 Block: 2
PID:10- 18400 - 110 -02
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264 -4777
Permit closed
Addition: Coventry Pass
PERMIT
City of Eaan
thout required inspection(s). Letter & correction notice sent to applicant on 2/13/09. (pf)
A framing inspection is required when installing a Bay or Bow window or if the opening is altered
required in all sleeping rooms prior to final
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
$88.50 0801.4085
$1.50 9001.2195
$90.00
Owner:
Daniel W Kotasek
3934 Thames Ave
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Building
EA081059
11/13/2007
ePermit
Smoke detectors are
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PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA159805
Date Issued:01/21/2020
Permit Category:ePermit
Site Address: 3934 Thames Ave
Lot:11 Block: 2 Addition: Coventry Pass
PID:10-18400-02-110
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
John M Forse
3934 Thames Ave
Eagan MN 55123
(651) 399-2732
Sedgwick Heating & Air Conditioning
1408 Northland Drive, Suite 310
Mendota Heights MN 55120
(952) 881-9000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA172162
Date Issued:09/16/2021
Permit Category:ePermit
Site Address: 3934 Thames Ave
Lot:11 Block: 2 Addition: Coventry Pass
PID:10-18400-02-110
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.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
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 -
John M & Frances J Forse
3934 Thames Ave
Eagan MN 55123--390
(651) 399-2732
Elite Restoration Pro
1120 E 80th St, Suite 201
Bloomington MN 55420
(952) 322-7773
Applicant/Permitee: Signature Issued By: Signature