3938 Thames AvePERMIT
City of Eagan Permit Type:Building
Permit Number:EA169876
Date Issued:06/14/2021
Permit Category:ePermit
Site Address: 3938 Thames Ave
Lot:12 Block: 2 Addition: Coventry Pass
PID:10-18400-02-120
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 -
Mary M Simpson
3938 Thames Ave
Saint Paul MN 55123--390
Klingelhut Window & Siding
7623 Crimson Lane
Savage MN 55378
(612) 532-3117
Applicant/Permitee: Signature Issued By: Signature
, . . ' - . . . . , . . . . ,
• CITY OF EAGAN ~ - ' 8~'~
~ •,i
' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-81D0
BUILDING PERMIT Receipt #
To be used for Sf DWG/CAR Est. Value $101,000 Oate AUG 20 , ~g q0
~ Site Address 3938 'T1iAMES AVIK
Lot 12*1 BloCk 2 SBGSub. ~MIN?RY PASS OFFICE USE ONLY
Parcel No. occupancy R-3 M-1 FEES
Zorong A-1
THB RO7Tl.UND CO
W Name + i~ (nauai) const VN Bldg. Permit ~3• ~
3 Address 5201 E RIVER RD y_~I
o (Allowable) Surcharge ~
City IFRIDLEY Phone 571-0304 +r of stories
Length Plan Review 41 e. 00
~ ~U Name S~ oePU+ ~ snc, city 100.00
. Address S.F. Total _ SAC 6~.~
Clty Phone S.F. Footprints _ , MCWCC
on site Sewage _ water Co~r~ 625. ~
Name on sne weo 40.00
Waler Meter
¢g Address MWCC System ~
. C+iry PhOne City Waler x Aect. Deposit
PRV Required _ S1W Permil 30.00
I hereby acknowlege that I have read this application and state that the Booster Pump .50
inlormation is correcl and agr8e lo comply with a applicable S1ate of
Minnesota Statutes and City ot Qagan Qrdin*ces. ~ Treatment PI 252.00
Signature of Permitee f~_~4'V ? 1+. f4 • APPROVALS 355.00
Road Unit A Building Permit is issued to: m ROTTLM COs iNC Pla^^ef - Park Ded.
on the express condition that all work shall be done in accordance with all Council
applicahle State of Minnesota Statutes and City of Eagan Ordinances. gldg, pif. ~ Copies
Building Ofiicial ~ i' Variance - TOTAL 3s 194.00
Permit No. Permit Holdar Dab Telephone #
WATER 8 yv
St:'WER•
PLUMBING 9 7 7~D
H.V.A.C.
EIECTRIC
Inymetion Date N?sp. CommsntB
Footings I ~ Q4 !u'
Faxdation
Framing ~ 2
Floofm9
R,* Plb9•
Rou9h ?+t9•
is,i. ' 9• StJ
Fireplace
Finel Hig. l r (7
Fnal Plbg.
Conyt. Meter Plbg. Inspecta - Notify Plumber
Ergr./Plam
Bldq. Final
Deck Ftcj.
Dedc Final
Well
Pr. Disp.
Address : 3938 THAM&S AVFINUE Lot 12 Blk 2 Sec/Sub COVENTgy pASS
These'items were/were not completa at the time of the final inspection.
UATE: NOfTEMIDE[t 15, 1990 Yes No INSPE.,I1DR: S
Final grade (6" from siding) L/
Permanent steps - garage 1? I
Permanent steps - main entry ~
Permanent driveway ~
Permanent gas
Sod/seeded grass ~
Trail/curb damage
Porch
Basement finish L/
Deck
Pleasa verify with tha builder the removal of roof test caps from the plumbing
system and the shut-off of water aupply to the outside lawn faucet before
freeze potential exists.
White - City copy Yellow - Resident copy Pink - Contractor copy
••~F e
! (gtrtttziraft. of Orrupaury
Citp of (eaaan
Erputatrtrt uf Ntti[iting jwrrfimt
Thls Caiffuale lssued pwsumr[ M 11u neqrdwtaus of Sedion 306 of !lre Unijarm Building
Ca1e oatifyiiig drat ar the Jime of istuQna !lrlsj&umre %crs in aompliance wirh lhe mrious
angnanoes ojdre City, r,egufaQing buUdirig mnwuaion or resa For 1he jollowing:
Ue auAaro. 92 PAIGIGO 81a~. Meit No.
O-qK7 iype 7aoat Divitt j~ T"cG=m
O- ef Wi6ei ~~M G9-$'IG-- . RTYM • s PREILPY
~mAdhm 3938 ~v~'L 1,ou1~4 L 12T42` mrv?rM nA ee
Duc
- ~i
POST IN A OONSPICUOUS PLACE
. . . . . . . . . . .-i
PLUMBINO PERMIT For Offk.e Use Only
~ r CITY OF EAGAN PERMIT # .1LX~
CONTRACT 3830 PILOT KNOB ROAD, EAOAN, MN 65122 RECEIPT #
PRICE PHONE 454-8100 DATE: 95S v
SitA Addfess 3133 '-t qrn + ~ Av< BLDG: TYPE WORK DES~RIPTION
' Lot Bbck ~ SeclSub ReS. 4 New
L u ~ . ? . , . , Muft. Add-on
Name A 1l c 1 Comm. Repair
C. ~ r L her
~ a
Address 6ig
~ City A^~ Phone aES. RLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURE8 TOTAL
3 VIIoUBr Closet - $3.00 $ ~
` Name ~ I gi6 Tubs - $3.00 3
. 1
P-> Address 5 ~ o l ~ • , R ~ Litiwtory - $3.00
~ City L~ j--- - RMone s snower - $3.00 3 = -
~
ICIIChen Sink - $3.00
UrInaVBidet - $3.00
FEES ~ Laundry Tray - $3.00
1
COMM.lIND. FEE -1% OF CONTRACT FEE ~ FlOor Drains - $1.50
APT. BLDGS. - COMM. RATE APPLIES ~ Water Heater -;1.50
TOWNHOUSE 3 CONDO - RES. RATE APLUES Whiripool - $3.00
MINIMUM - RESIDENTIAL FEE $12.00 Gas Piping Outlets - $1.50 "MINIMUM - COMM.IND./FEE $20.00 (MINIMUM -1 PER PERMIT)
STATE SURCHARGE PER PERMIT .50 Softener -$5.00
(ADD $.50 SJC PER EACH $1,000 OF PERMIT FEE) Well -$10.00
Private Disp. - $ 10.00
Rough Openings - $1.50 ~4 ~
U. G. Sprinkler System - $12.00
SIGNATURE OF RMfTTEE PERNpT FEE:
STATES SJC:
FOR: CITY OF EAGAN GRAND TOTAL: ' '
For omee uss ony:
itMECHANICAL PERMIT PERMIT #E 7
I~ • • • urr oF EAG?N RECEIPT #
3s90 PILOT KNOB ROAD. EAGAN, MN $5122
' CONTRACT PRICE PHONE: 454-8100 DATE: '
' SRe Address ` BLDG. TYPE WORK DEO CRIPTION
~ Lot BIoCk - Sec/Sub Res. New
~ Mult Add-on
, m Name
~ Address Comm. Repeir
~
c Ciy ` Other
Phone
Fees ~
Name RES. HVAC 0-100 M BTU - $24.00
c AddreSS ADDITIONAL 50 M BTU - 8.00
p City Phone (RES. HVAC IHCLUDES A/C ON NEW
CONSTRUCTION)
TYPE OF WORK GAS OUTLETS (MIMIAUM -1 PER PERMIT) - 1.50 EA.
COIAMlIND FEE - iX. OF CONTRACT FEE
Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES
Boiler M BTU TQWNHOUSE 8 CONDOS - RES. RATE APPLIES
Unit Heater M BTU MNNIMUIN RESIDENTIAL FEE - ALL ADD-ON 8
Air Cond. M BTU REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
Vent CFM STATE SURCHARGE PER PERMIT - .50
(ias Plplng Outlets N (ADD $.50 S/C PER EACH $1000.00 OF PERMIT FEE)
Other
PERMIT FEE:
SIGNATURE OF PERMITTEE
SIC:
~ TOTl1L: FOR: CITY OF EAGAN
~
_
r . • . . ' . ,-M .
~j . . . .
SEWER,&-WATER PERMIT OFFICE USE ONLY
CIl°XOF ILIAGAN MErER# 61 PERMITDATE OS/23/9C~
3830PilotKrlobAd
Eagan, MN 55122-189~ ' CHIP # 10 3 G PERMIT #E 11595
METER SIZE B.P. RECEIPT # G 9567
DATE 8"' 14 `g 0 ISSUE DATE B.P. RECEIPT DATE 08 / 2 1 / o
• - PRV - BOOSTER PUMP
SITE ADDRESS 3938 Triames Ave. PERMIT REQUESTED I
LOT 12 BLOCK_2 SEC/SUB Cnventry Pams I
X SEWER X WATER _ TAPS I
APPLICANT: T"1 R)ttI iind Cn- Tnc-. i
- COMM/IND --X- RESIDENTIAL
ADDRESS: 5201 E. kiver Raod ~
CITY,STATE Frirzley, Mn. ZIt~5~21 , X NEW _EXISTING I
PHONE: 571-0304
Lawn Sprinkler Meters are to be Installed
, PLUMBER: Va11aT_-1lumkiing Ahead of Domestic Meters on Water Line.
T ADDRESS: 61 :L1'reek L~r3x1e Crec~WILL NOT be given for Deduct Meters.
CITY, STATE Jo rdan tirn _ ZIp S C;2_
PHONE: 492-2121
, --T I AGREE TO COMPLY WITN CITY OF.
OWNER: The _ o __1 1nd C'cj_ TnC„- EAGAN ORDINANCES
ADDRESS: 5201 E. River Road
CITY, STATE Fridley. Mn. ZIP 55421 - r`
PHONE: 57I- 0 3 0 4 yrIGNATURE WHEN ME R ISSUED
r r-. - , _
PL . .
' tI~Sk'A~~~OW TWO WORKING~L~A~S F~ PROC SSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERIMITS, CONTAGT ENGINEERING DEPT. ; / 1, ,
- - - - ~ - ~1 . - - - _ -
SEWR & WFATER PERMIT OFFICE USE ONLY
CITY' FEAGAN METER # .,1 PERMIT DATE (41/23/SO
3830 Pibt Knob Adi CHIP # PERMIT # 11595
Eagan, MN 55122-1897 '
METER SIZE B.P. RECEIP7 # C 9567
DATE 0 Q ISSUE DATE B.P. RECEIPT DATE 08/211 90
- PRV - BOOSTER PUMP
~
SITE ADDRESS 39~b TI1i.mes Avc?. PERMIT REOUESTED
LOT12 BLOCK SEC/SUB Covenl-ry p8.%g
X SEWER 3; WATER - TAPS
APPLICANT: _ T'_ZE± Rn-ctl inci Cn, Tnc .
ADDRESS: -52-41 E. River Raed - COMMlIND RESIDENTIAL
CITY, STATE Fridley J. m21. ZiF6 54 Z 1 X NEW _ EXISTING>• '
i PHONE: 571"0304
~ 1 1w~s n Lawn Sprinkler Meters are to be Installed
PLUMBER: Va ltUqh.jnq Ahead of Domestic Meters on Water Line.
I ADDRESS: 910 Creek Lane Credit~WILL NOT be given for Deduct Meters. ~
CITY, STATE JoY'dan , I+iri _ ZIP
PHONE: 492-2121
I AGREE TO COMPLY WITH CITY OF I
OWNER: The l~nttlLnci (a_ Tne%-,, EAGANORDINANCES I
ADDRESS: 5202 E. River Road
CITY, STATE Fridl.ey. Mn. ZIP 55421
PHONE: 571- ,J 3 04 SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEVIfER PERMITS, CONTACT ENGINEERING DEPT.
• DATE: AUC 23, 1990
RE: 3938 THAlIES AVE (THE ROTTLUND C0, IHC)
X Your Sewer & Water Permit for the above property has been completed. It will be held at the
Pub. orks Garage (3501 Coachman Road) until the meter is picked up, BE SURE TO
CAUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
7
~ur Sewer & Water Permit for the above property cannot be completed for the following
reasons: I
Your Sewer 8 Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed uqtil further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHUNE, ELECTRIC, GAS, ETC.
- REGIUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POUCY.
Secretary, Building Inspections Dept.
.
CASH RECEIPT
CITY OF EAGAN
3830 PILOT KNOB ROAD ~
EAGAN, MINNESOTA 55122
DATE f 2- ,s ~
„MOUNT s s~s ~
a DOLLARS i
,oo ~
? CASH CHECK VFUN. O OBJECT AI~tOUNT
. Thank You
BY
C 9567 Wh"--P"-Copy
YeMpw--pbsWp (`,ppy
Piri--Fils Gopy
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number. i,> 11414 It I
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT: {
:r, f III1Mt 'c A'J1 I r~l".ItI4 pi!?kY
i 1#vf h1 ! f+Y I'A t •114, I
I
PERMIT SUBTYPE: TYPE OF WORK:
r,F If
INSPECTION .
I ~
~ ~
Permn wo. aern,n Hoide. o.a Telephone A
I S/W
I PLUMBING
I HVAC
ELECTR
ELECTRIC
Impftlbn DaM Insp. Comrnsnta
Footirtgs I
I PoundaGOn
Framing
Rooflnp
Rough Plbg.
Raigh Htg.
Isul.
I F-plBCe
I
I Rnal Htg.
I Orsat Test
I
Finel Plbg. Plbg. InspeCtor - NOtHy Plumber
Const. Meter
EngrJPlen
I
BWy. Final i
I
DeCk Ftg. ~ R~dzw
Deck Final
112- 10 d I
Well
Pr. Disp.
INSPECTIUN RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
t HA141 rwl hlHH'~ -
ta I 1~ . , o , <61
PERMIT SUBTYPE: TYPE OF WORK:
11 - i
INSPECTION .
I
i
1
I
~ ~ ,
I 1
I wnnn No. wrmn Hold.r nete Tdsvnorm • I
SIIN I
~
PLUMBING I
I
HVAC I
ELECTRIC
ELECTRIC
InspWlon DeM Msp. ComnNeb I
I
FootuVs I , I
I
I
Foundafion I
Frffining
Roofiny I
Rou?, Plbo. I
I
R°ugh Htg. I
IsuL i
Frepiace
Final Htg.
Orsat Test
Fnal Plbg. Plby Inspector - Notify Pqimber I
I
Con6t. Meter I
I
EWAnan ~
Bldg. Final I
I
Deck Ftg. ~ I
oeak Finai -~Aq3 C I
wea
Pr. Disp.
1
CITY OF EAGAN No - .18273
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
~p_I"'1
BUILDING PERR7IT . PHONE:454-8100 Receipt x ~`L~11
To be used (or SF DWG/GAR Est. Value $101,000 Date AUG 20 ,19-9a-
Site Address 3938 T AMES AV E Lot ~ Block _2- Sec/Sub. ('OVENTRY PA OFFICE USE ONIV
P8fCQl NO. Occupancy R-3 T]-1 FEF.S
Zoning $ -1
w Name THE ROTTLUND C0. INC (ncwapConsi Y-N Bldg Permn fi43.00
3 Address 5201 E RIVER RD (Allowable) V=N
0 Cit FRIDLEY Surcnarge 50.50
y Phone 571-0304 x of stories
Length 54 ' Plan Review 41ss _ nn
~ io Name SAME DaGih 32' sac.cny 100.00
~ gF Address S.F. TOlal - SAC. MCWCC 600.00
City Phone SF.FOOtpnms -
aier Conn 625.0
vd
On 0
mi , Siie Sewa9e _
Name
On Sne Well - Water Moler 90. 00
AddfQSS MWCC S stem X
Y Acct. Deoosn 30.0City Phone CityWalcr ~
PRV RequireE _ S/W Permit 30.0~
I hereby acknowlege that I have read ihis application and state Ihat the eoosier Pump - Siw Surcharge .5
0
iniormalion is correct and ag e to comply wrth a I applicable State of
Minnesota StaNtes and City o agan rdm 7reatment PI ~0
Signature of Permitee ces ' I APPROVALS Road Untl 1 19 _ M
A Building Permn is issued to: THE ROTTLUND C0. INC Planner - park Ded,
on the express contlrtion ihat all work shall be tlone in accortlance wrth all CouncA applicable Stale of Minnesota Stalutes and Cit of Eagan Ordinances gia9, pif, Copies
Building Official nT~~l~ Variance - TO7Al 3.194.00
y,,a,so g~~~ y
H 0 8 4 0 1 ~
Pequesl0ate Frta o. Rough nspeclion
fieqw ~ ? Reetly Now gdJill NonTy Inspeclar
V ~fes G No When Reatly'+
I H licensed contractor ? owner hereby request inspection of above electrical work at:
Job Atltlress (Street, Box or Ro e Na I Qly
3 3 8 T Cl.~
Sedion No Township Name or No Range No. County
~
Occupa (PRINT) ~ Phone No.
PowerS her ~Q Atldress
Becinca nl actor ICOmpanx Name) Con[ractor's Lmense No
Mailinq N tlress (CanVaccor or O ner Making Installation)
Authorrzed 9gnawre (COmra nOwn kmq Installatw ~ Ppon Number
' `-9S~a
MINNESOTA STATE BOARD OF ELECTRiC1TY TMIS INSPEGTION REQUEST WILL NOT
Grlgge-hUaway B1tlg - Room &193 BE AGCEPTEO BY THE STATE BOAFD
1831 Unlverefly Ave.. 56 Vaul, MN 55104 UNLE55 PROPEF INSPECTION FEE IS
Phane (614) 6i2-0800 ENCLOSED
9//$/9o REQUEST FOR ELECTRICAL INSPECTION
sF 4\ ee-oaooI-oe
~ See instmclions Ic~comple~ing this lorm on back of yellow copy 98-2S9
H "X" Below Work Covered b This Re uest
0.8401 Y 4
e Add Rep " 7ypeofBmldmg ApphancesWrtetl EquipmentWiretl
Home Range Temporary Service
Duplex Water Heater Elec[ric Heating
Apt 8mlding Dryer OMer (Speafy)
Comm/Industrial 'FUrnace
Farm Au Condltionei
Omer (spemy) ConVacmrs Remarks:
Compute Inspection Fee Below:
# Other Fee # ServiceEntrance5rze F e # Circwis/Feeders Fee
Swimming Pool O to 200 Amps / / O to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
Si9nS Inspetlor5 Use Only TOTAL
Irrigation 8ooms Ga~ ~
Special Inspechon
Alarm/Communication THIS INSTALLATION MAY BE OflDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTH .
I, the Electrical Inspector, hereby R°°9n"" oat
certit that ihe above ins ection has r~J
Y p Fnal oate
been made. l~ '2
OFFICE USE ONW
TM1is reQUest void 18 momhs imm
93v/9~ 3a5Y7 4a34~-34
Repuest Oate F a No. Roogrln In e ane wreE InsOection Other Th ugh-M
~J (Vau mmt ep r ~an rea0y) 0 RgeEy Now Will Nollty In ector
y~7 ~ ? Vef a Date ReaE
I icensed contrector D owner hereby request inspection of above el rical work a-
Job AEtlr(6s (Slrael. Baa or Poute No ) C /
Secen No ownsnip Name or No. Range No. Co, ty
[
Occupann (PRWT) , PboneNO.
A/
PowerSuopl 1 Actlress
Ele5;t~T Conlraaor IComp y.Na e) . Conlracto~5 Lrcense No
aJing Atltlress (Con[rac~m or Owner nAaking Inslallaiionl
Au;norrzetl 9gnature ICOnttanorOwne: ing In " ~on~ ~ ) Phone Number
MINNESOTA STATE BOAPD OF ECT ITY, THIS INSPECTION REOUEST WILL NOt
Griggs-MlOway Bltlg. - Room 5413 6E ACGEPTED 9Y THE $TATE BOARD
1821 Univenity Avo., SL Peul. MN 55104 UNLE55 PPOPER INSPECTION FEE IS
Ptwne S12) 60I-0800 ENCLOSEO.
y/a~~o,/ REQUEST FOR ELECTRICAL tNSPECTION
~ ? See insvunrons lor compleung this form on bBCk 01 yellaw copy q ~''S .3 2 j ( 7
"X" Be/ow Work C7overed b This Re uest "v
N 6 7 519 y q
e Atl Rep TyPaofBmltling AppliancesWired EquipmeMWiretl '
Home Ran9e Temporary Service
Duplex Water Heater Eledric Heating
Apt. Bwltling Dryer Load Management
` Comm./Industrial Furnace Other (SpeciTy)
Farm Air CondiUOner
O~ber~syeayl Comrecmrs Femarks HD L
Compufe lnspechon Fee Below:
# Other Fee # Serv¢eEntrance5iza Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps (
Transformers Above 200 _ AmpS Above 100 Amps ~
SIyt15 , Inspeciors Use Only OTAL 1
Irrigation Booms W y'~'Cf'i ~'"QT
Special Inspection
AlarmlCommumcation THIS INSTALLATION MAV BE ORDE DISCONdCTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspectoc hereby Rouyn-in oale
cenify that the above inspeclion has F,nai oaiy
beenmede. ( 7-7-`~L4
OfFiCE USE ONIY
TM1is reQUasl voi0 1B mont05lrom ~
RESIDENTIAL a
5y ~Sa BUILDING PERMIT APPLICATION
CITY OF EAGAN ~
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Conslruction Renuirements RemodellReoair Reauiraments
. ] registerea site surveys snowing sq. M. of lot. sq. R of house. and all moletl areas • 2 copies of plan
(20°'o maximum lot cove2ge allcwed) . I set of Energy Calculatons for heatetl additions
• 2 comes oi plan snowug beam 3hmoow ;rzes; poured found desgn, elc I . 1 sde survey for zztenor adddions 8 tlecks
• t set of Energy Calculanons . Indicate if home served 6y seplic system for aadihons
. 3 capies o( Tree Preservatan ?lan d lot :laned after 711193
. Rim Joisl Detail Oplions selecuor, sheet (bldgs with 3 or less umts)
DATE !Z ISj-C> Z VALUATION 9yZS.p0
SITE ADDRESS 3938 Aa.%LS A-V~.. MULTI-fAMILY BLDG _ Y _ N
TYPE OF WORK FIREPLACE(5) _ 0_ 1_ 2
APPLICANT W e~{~e,a'o.varcl Co
STREET ADDRESS 564-7 ~Mc,noeiia..I AJt. /AJ • CITY S'Huw~..~r STATEM9-ZIP 'So L
TELEPHONE # 651-y39`N32o CELL PHONE # FAX #(n51-35 1-20f (o
PROPERTYOWNER A" 5; n`%e'xrN TELEPHONE# 651-q6(o 5"710
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Cate9orY MI\\'E:SOT.1 RULk:S ifiJO C\"CKGO(il' t M I\"\I:S t~... _1. ~i 'n
submission rype) • Residen[ial Ventilation Cate9ory 1`NOrksneet Submittetl • New~E g~y, Dd~'WgrkShee~'~ti q, etl
• Enerqy Envelope Calculations Submitted ~J II
AUG 0 8 2002 ~
Plumbing Contractor. Phonc
-
Plumbing systcm includes: _ Watcr Sol(cncr Luvn Sprinl:ler BY-r -Z ~S
Water Hca[cr \'o. oC R.I. Baths
Vo. of Baths
Mechanical Contractor: Phone #
kIcch:mir.il scstcm indudcs: :\ir Conditiunins; Pcc: S70.00
E Ical Rccuccty Systrm
Sewer/Water Contractor: Phone 4
I hereby acknowfedge ihat i have read this applicafion, state Ihat the information is correct, and agree to comply
with oll ppplicable Stafe of Minnesota Statutes and City of Eagan Ordinances.
Slgnature of Applicanf
OFFICE USE ONLY
Certificates of Survey Received Tree Preservation Plan Received _ Not Required _
Uptlatetl SI02
OFFICE USE ONLY
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 ?orch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage 0 22 Porch/Addn. (a-sea.) ? 33 Ext. Alt - SF
0 03 02-plex ? 10 OB-piex ? 78 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex p 17 70•plex ? 79 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 P.fiscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Intenor) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 32 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bidg only) - Give PCA handout to appiicant
Valuation Occupancy MC/ES System
Census Code Zoning Ciry Water
SAC Units Stories Boosier Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bfdg) _ FinaVC.O.
_ Footings (deck) _ FinabNo C.O.
_ Foocings (addition) _ Plumbing
Faundation H V AC
Drain Tile Other
Roof !ce R R'ater Final Poof Ftos AidGa; Ttsts Final
_ Framing _ Siding Smcco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ \Vindows (ne«'replacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply 8 Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanicai Permit
License Search
Copies
Other
Total
~
S 33 ca? RESIDENTIAL J~ 3»
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construaion Reouirements RemodellRaoair Renuirements
• 1 r-gisterea sne surveys showing sq. R of lot sq ft of house: and all rooled areas • 2 co0ies of plan
(ZO°% max;mum lol coverage allowed) . 1 set o( Energy Calculations lor heated additians
• ? coo,es of plan showing beam 3 wmdcw srzes; ooure0 tound Aesgn, ztc 1 • 1 srte survey for extenor aadrtions 8 Cecks
• 1 sei of Energy Calculations • Indicate d home served by seplic system for add¢ions
• 3 ccpies of Tree Preservation Plan d lot platted after 711193
. Rim Joat Delatl Oplions selecYion sheet (hl0gs with J or less umts)
DATE -7 II S I OZ VALUATION qO 75.0Q
SITEADDRESS 393o Ihr,,~S AVe, MULTI-FAMILYBLDG _Y _N
TYPE OF WORK ez 0oo4- FIREPLACE(S) _ 0_ 1_ 2
APPLICANT
STREET ADDRESS 5re47 Memor'dl Au¢.• CITY 5f,'Ik.a,4r~ STATE A&ZIP S9602
TELEPHONE #(6SI-<I3?- $131a CELL PHONE # Fa,x a 651 -35 i- Z.a9c,._
PROPERTYOWNER All" -S1 wtli TELEPHONE# (n-S7/C9
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category
MlNVF:SOT:A RULES 7670 C:A11?GORY I MIVC-e ~
(v submission type) . ResidenhalVenGlation Category i'Norksheet Submitted NtlSy ~i ztl
. Energy Envelope Calculahons Submitted 2 Plumbing Contraetor. _Plumbing s}ste~n mcludes: ~Vater Softener Law.0
Water Hcater No. of R.I. Ba[hs
No. of I3aths
Mechanical Contractor: Phone #
' Ndcchanic;il ;}:,lcm indudcs: Air Condiuoning Pcc: 570.00
Hcal Rccoccn' Svstrm
Sewer/Water Conhactor: Phone #
i hereby acknowledge that I have read this appiication, siate that fhe information is correct, and agree to comply
with all applicable State of Minnesota Sfatutes and City of Eagan Ordinonces.
SlgnatureafAppllcanf'-t~~ _
OFFICE USE ONLY
Certificates of Survey Received Tree Preservation Plan Received _ Not Required _
Updated 1102
OFFICE USE ONLY
? 01 Foundation ? 07 OS-plex 0 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 27 Porch (3-sea.) ? 31 Ext. Alt - Multi
O 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? Oa 02-plex ? 70 OB-plex ? 78 Deck 0 23 Porch (screened) ? 36 ti1Wti
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 P.7iscelianeous
? 37 New ? 35 Int Improvement 0 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 15 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
_ Footin_s (nea bldg) _ FinaUC.O.
_ Footings (deck) _ Finab?1o C.O.
_ Foorings (addi[ion) _ Plumbing
Foundatio? H V AC
Drain Tile Other
Roof _!ce & Water _ Final _ Pool _ Ftgs _ Airr'Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.L _ Air Test _ Final _ Windows (nz~k'replacement)
Insulation Retainin2 \1'aII
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MClES SAC
City SAC
Water Supply 8 Storage
S&W Permit 8 Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
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 PL.ANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIOnS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: 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 SEF'ER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEn COMPLETED.
PERMIT MUST SHOW A LICEA'SED PLUMBER.
AUG 16 Reco
To Be Used For: 4:"; Valuation: Jpemmm ep Date: 5- 14-Cin
Site Address -,~92fAy 7/17..n.1~ AF OFFICE USE ONLY
Lot JZ Block -7 FEES
Occupancy -R 3 J~-I
Zoning
Parcel/Sub er.1~~~f7-..~ Actual Const (/-r/ Bldg. Permit 693,00
Allowable Surcharge $p,s0
Owner # of stories Plan Review 1410 10 1)
Length $L ~ SAG, City 100'0
~
Address PILAp4 401gQ, Depth 37' SAC, MWCC G,00,00
S.F. Total Water Conn 21
City/Zip Code rry4.~-e, ~,~µZ,/ Footprint S.F. Water Meter 40,00
Acct. Deposit O W
Phone On site sewage_ S/W Permit 30,00
On site well S/W Surcharge ,Sp
Contractor MWCC System Treatment Pl. Z,, 00
City water _1z Road Unit" 355,00
Address PRV Park Ded.
Booster Pump _ Copies
City/Zip Code SUBTOTAL
APPROVALS Penalty
Phone Planner TOTAL i.i G ,no
Council Arch./Engr. Bldg. Off.
Variance ~ s
Address
City/Zip Code
Phone #k
,
r , f
n.i,, k~ ei . .
GA__ GG
ao xig~.o =L4 oo x is = c 0 00
21ou.se
24 x 3y = f3re x 11l'~r =9 y GS,~
foac,sti.
I
~ * *'iL • 2422 Enterpri50 Driv2
't PIONEER MenAOta Heights. MN 5:~tzo
* eng* eering,. (612) 681-1914
Certiticate of Survey for: rTt' Ovmui 'P 60MPANY ~
~
NoarN
S_~9> 36.GC~,•~
; ;a 34q.56
~ o
W
~7 5 c~ a i2.6c o 3~.9 I J j
cQ.3;
M d r' ~ n a i~ Q.~ o
M o r
~ : • ~ ~ ~ ~ a z w ai ~n
4 l1.4
o . TS~ f \1rt
~ ~ o.; ~,ay o a ~ ( a~d
~ ~ za ~ ~ _ JI ^,!4 I ~C
.3
.s _ C7.
A,
d
By :z -
L~:^_~T7 ~ =t:"c~'~?T~T(; T~FPT
,900,0 Denofes exisl'in~¢ elevafron P~QP~~dUSE ELEI/ATIDNS
r goo:o Denofes proposed e%vatr'on Lawesf floor Elevafion
Dpnofes Draina e r Ufilii fasemen~ Top o~ Blork Flevpfion a77, 3~
Derofes Urcrina~ic~ Flow rrows r,arp~e Slab Elevcrfion _ e
o Deno fes monum en f fes o+set Hub ~
Beprrn¢s shown are assumed a Deno
LoT' iz ,BLocu Z, CovFnrTQY pASs
DAkora couNry, MJNNhcsorA Subjed fo easemenfs erecard
I hprebVi certify thet this survcy, plan or reaort wa•~Jf~~jfared bv me . o~de~ mY direcc sooe.~yis~io~ aRd thai I am duW Registered Land S..veyar
under ehe Iewe oi the State of Minnesota. Dated th~5~4L',y`day of A.D. 19 p
~s~ ,
,Q
SC'Q~ 1 inch = 40 t~ef fJ,
- RGBERT BSIKI~H L.~. REG. NO. 14891
U5 89to2 • 1 "
M'el+TOn Fnvr•,i,rn't: nvr:rnr,f~: "u° currrn•rn•ri~~n
' ~o~riaet~ 'I~orrLVNO ~o_
SITE ADD4£SS f-.GT I Z,B~Z, C-pu~(RY
CONTRACTOR DATF. PHi)NE
Determin vorking square footni,.e of cuch.
1. Total exposed wall area t(O sq. ft. x 0.11 _
• 2. Total roof/ceiling area 8 I sq. Tt. x 0,026 =
•
Total exposed wall arca nbovc rlocir = Zb4f•(.~
a. Total wall vindow area .
~ b. Total door area .'7
c. Total sliding gluss door area 3 Q~q 7
d. Total fireplace wall area zO
e. Total wall framing area (average l0p) Z.p
f. Total net wall area above floor s.&
g. Total rim joist aren
Total exposed foundntion araa = -r Zr g
h. Total foundetion vindow area -T S
' i. Total net foundation a-ea nDove grade
~
. Determine "U" value o: each wall :,FC;ment.
8. 4 x „u„
b. ¢Z . / ~ X
• • C. 3Q,4'7 X"U„ 0.3 z _ /Z.,79
a. Z D X„u"
e, /CoZ . O'T x~~u- D. 0,9 I+, 4'2-
~ f. 1458. &s x„u,. o. D43 _ G Z.7z-..
. g. ~gs. 4 X•IW, -7~ 4
h. 71 S x,,,,,, s
i. 8S, 3 x.,u„
s. .r~~.,i
r
If item N3 is the seme as, or les; :.h:,n iLCrn pl, you nave met the' intent
or sac 6oo6(c)2.
0
Total exposed roof/ceiling aren
Total gross roof/ceilinf-, are:i =
J. Total skylight area
k. Total roof/ceiling framin3 arey
1. Total net insulated roof/ceiling area •
Determine "U" vnlue for cnch ruuf/cci 1 ini; scFment.
X uUu _
k: x,lu.t 0•0 27 = Z-.2 . •
1. 734-.4. X„u„ 0.02z
a . Total = 8 .3
. 04
If totsl of N4 is the seme as, or less than N2, you have met ttte intent of
SEC 6oo6(c)1. . ,
To utilize the total envelope system method, the values establiahed by the
sum of items N3 and dk shall not be 6reater.thHn the swn of items N1 and N2.
1. +
~ • 3, • + 4.
. r,
•
O
_ . O e
-VkI.UV GAVULATIoWv (GoNr),
~I~M~ W~tU. @ lN~-II-ATIoN
LoMPoN~N'f~ . 12-VAUu6
~ ~ i?J o-Lf(~[7E AI(~ f9ubl O,I'I - -
J_ 2 ~J
---!6fVATHIN4r ot, ~ -
•
IN6U6A1104. 19.0
4 ~s, Iy° GYP. I~ 0.45 -
. FTbrk~ 23•0t -
,
U= R= = 0.043
-FFAMV WAu. 6TuD .
LoMPaNLNTS ~ . ~ f2--VAI,u5
r o_UT'I~PPE Aiit RI.M. - -o,~'I.----~ -
I , 3 3 hW~ATFIINb. 2 •04 _
RAM?~) - "1.-~g,-----
4 fc- -t Xih1UD(p
1! 5 ~ Jl--ti-~'f~• ~D. _ o;sGS
'
.
F fvtl~. -
- pI.I~N• 1/I~?nt. . U=~' 0. 089.
~
~L
~=G~J~tP~. ~~Ur= ~0,12 X D.ob9~ -~~O,Sb Xo.o43~ = O. 04 .
,
~ 1~ =P~~~ --F?~M ~ o
Q ~Z'-_~ tii5u~, ?.9. o .
~72'FIM anh , _ I• as j
( N(o . 2.0 G
47
~ ~ ; GaMFbIJEN"~K --FnRW
_ j ~
? ` /o
3 u
- . ~ . C~ I~ -~?R _ ~ I.M -~_=G.~---_--- ,
F-G
I_
0•JA
0, 097'
/2.ia?
;
I ~ 2
' ~Fa_N:N~h-
r - C
RA
Q 1~C-P~If~ -F(T,M _ o,~t_-_
3 4 5 R~--3-5-8 3------
' - o. 027
I 2 Q
;
30 ~ 2'6YP•. F b R_.
IQI
~=~~-5:~. 3 - _ -
' - 0.022
c}L~4 3
~ PERMIT O23
~ CITY OF EAGAN "OLLO
3830 Pilot Knob Road PERMIT TYPE: B r MG
Eagan, Minnesota 55123 Permit Number: 024444
(612) 681-4675 Date Issued: 0 8/ 2 5/ 9 4
SITE ADDRESS:
3938 THAMES AVE
LOT: 12 BLOCK: 2
COVENTRY PRSS
P.Z.N.: 10-18400-120-02
DESCRIPTION:
Building'Permit Type DECK
Building Wo•rk'Type NEW
.
\
.
\
'
.
4
REMARKS:
FEE SUMMARY:
Base Fee $30.00
Surcharge $.50
Total Fee $30.50
CONTRACTOR: OWNER: - Applicant -
SZMPSON MARY
3938 THAMES AVE
ENGAN MN 55123
(612)733-9361
I hereby acknowledge that I have read this application and state that the
infiormation is correct and agree to comply with all applicable State of Mn.
Statutes and City of Eagan Ordinances.
- J
Aua R ~a~l m ~f
APPLICANT/PERMITEE SIGNATURE ISSUED B SI I~4fURE
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: suzLozNG
3830 Pilot Knob Road Permit Number: 024444
Eagan, Min nesota 55123 oate Issued: 0 8/ 2 5/ 9 4
(612) 681-4675
SITE ADDRESS: Lo T: 12 B L 0 C K: z APPLICANT:
3938 THAMES AVE SIMPSON MARY
COVENTRY PRSS (612) 733-9361
PERMIT SUBTYPE: TYPE OF WORK:
DECK NEW
INSPECTION .
FOOTINGS FINAL
F-
L
J
CITY OF EAGAN
1994 BUILDING PERMITAPPLICATION
681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered 'site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typ'ed, but not picked up by last working day of month
in which request is made, 2) address iis changed or 3) )ot change is requested once permit
is issued.
Date 6~1 Valuation of work
Site Address:_ T~laMLS ! t
STREET SUITE I!
Tenant Name: (commercial only) II
LOT ~ BLOCK
I SUBD. ~ ~ P.I.D. #
i'U
Od' I
Descri tion of work: ~~L i'_ /1c
The applicant is: 13'6wner ? Contractor ? Other coes«;be>
Name Phone 5 ti)- ~-7 I 0 omt
Property LasT : FIRST
Owner qddress 3c13$ ~~ES A-~~,u,~ F~
STREET : STE #
City E- State l'vl;nnt-5d~. Zip 55)a~~
Company Phone
COntI'BCtOf Address License # Exp.
City State Zip
Company . Phone
Architect/
Engineer Name Registration #
Address " • i
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read t'his application a`nd state that the information is
correct and agree to comply with all applicab State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant~ ~Z • ~
OFFICE USE ONLY M s wV
BUILDING PERMIT TYPE
? 01 Foundation 0 06 Duplex ? 11 Apt./Lodging C~ 16 Basement Finish
? 02 SF Dwg. ? 01 4-Plex ? 12 Multi. Misc. 0 17 Swim Pool
? 03 SF Addition ? OS 8-Plex 0 13 Garage/Accessory ? 18 Comm./Ind.
? 04 SF Porch O 09 12-Plex ? 14 Fireplace 0 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. O 15 Deck ? 20 Public Facility
O 21 Miscellaneous
WORK TYPE
,0 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) lst F1. sq. ft. City Water
UBC Occupancy 2nd F1. sq. ft. PRV Required
Zoning Sq. Ft. total Booster Pump
N of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code ! s
Depth On-site sewage SAC Code 9i
Census Bldg i
APPROVALS Census unit o
Planning Building Assessments
Engineering Variance
REGIUIRED INSPECTIONS
? .Site [D'Footing ? Framing ? Insulation
? Wallboard 13-Final ? Draintile 0 Fireplace
Permit Fee veimc;a,: $
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit •
S/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC % SAC Units
~ I 2422 EnterpriSL Diiv@
.QN E E R ~ 102ndoia Heighis. MN 5517,0
angi* eereng . (6121 s81-1514
aF
Certificateof Survey for:. 4 4%
. ( ~ ~
NoatN
1-
349. 56
4W -YV
b 31,6F 31.4 I
Z4.;l
~.y~ c Q U
01. n 0o
d
C/7n N ` ` "'y a~
~ e s19
~ ~ ~,a, o z ~ I afA
'ij.a".%
~'l. L 1 I~' 3 i. q 3 •31~:~t7. ~j ~,.V .
17
o~ ~9`~• $6 '
i
_ . ,
. . .~~,z,lpo
'1'
~ _~,4sEa 2
r 9)0.0 (.)er~ofes extsF~nj YI£VCYffOf! } i• t%i-i E
` Pl~p12~~I~ ~C~TI
:oj Denales proposed elevatr'on LowesF floor Elevafion ___g0. 3c,
Denofes Or•arnap f Ufili~fy Easc-menf -Tp ot 81oe~k Elevafion 81y,_ 3~
Derotes Ur4li~a~¢o F~low i=lr~rows (;arpge .Slab Elevcr{ion `,-77o-s_
o Denofes muncrmen f ~
Beari+ shown are ossumed o Denofes Otf'Se} Nub
Lor12 BcocK Z , CovENrAY)l PA5s
PAKDTA covNTY, 411IJNf5oTA Subjecl !a easernenfs aCrecord
I hWtny te,ttly thnt tbis sur~.y, nla~ o~ rcpo'[ wa- ~ar~d 7y m4 ~ndu, my dilLCt s~~prQrv~i;io~ artd Ih3t I ~m dtdy Re9iile,id La~d Surveynr
u~~U2r th¢ Igtv9 al IhB Sletc ot A~Lnne;Jtd. U~IPd lhi.LJJy OF A.D. 19
115 SIKICH l ,~nEG. NO 14891
, _ , PERMIT ~
CITY OF EAGAN 9-
3830 Pilot Knob Road PERMIT TYPE: e u i Lo i rv G
Eagan, Minnesota 55123 Permit Number: 021976
(612) 681-4675 Date Issued: 0 9/ 15 / 9 3
SITE ADDRESS:
3938 THAMES AVE
LOT: 12 BLOCK: 2
COVENTRY PASS
P.I.N.: 10-18400-120-02
DESCRIPTION:
B`uilding' Permit Type DECK
Building 6JOrk Type NEW
iUBC Occupancy-\-,, R-3
~ Building Length, 14
8uilding Width 14
<
,
! .
~
CuAg ~
REMARKS:
FEE SUMMARY:
Base Fee $25.00
Surcharge $.50
Total Fee $25.50
CONTRACTOR: OWNER: - Applicant -
SIMPSON MARY
3938 THAMES AVE
EAGAN MN 55123
(612)733-9361
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State of Mn.
Statutes and City of Eagan Ordinances.
- J
AP~YCANT/PERMITEE S NATURE ISSUED 8 SI NATUR
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: eulLoiNG
3830 Pilot Knob Road Permit Number: 021976
Eagan, Minnesota 55123 Date Issued: 09 / 15 /93
(612) 681-4675
SITE ADDRESS: Lo T: 12 B L 0 C K: z APPLICANT:
3938 THAMES AVE SIMPSON MARY
COVENTRY PASS (612) 733-9361
PERMIT SUBTYPE: TYPE OF WORK:
DECK NEW
INSPECTION . D.
FOOTING FINAL
- . .
- , ~
REACTIVATE CITY OF EAGAN $ ~ ~0
PERMIT N' 1993 BUILDING PERMIT AP
~t 9 681-4675 _ : =
E661 E t d3S ~
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surv 14o1-y11a-energy
calcs. "
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specificatians, 1 capy 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 S~ / I 3 / r9 53 Yaluatian of work a a60. 00
Site Address: -3
STREET r SUITE N
Tenant Name: (commercial only)
IAT ~ BIACK S~ SOBD.~ f~1tK ~55 P.I.D. Mt I S~QQ
Descri tion of work: "~c aYb oe-En cie-
The applicant is: 21-`bwner ? Co tractor ? Other (Deseribe)
Name S1'mn5(30 YY1~2W Phone' 3-93 4u,
Property LAST FIRST 4f5(0 -S-7 10 ~h
Owner Address t__5 14vrf-n u F-_---
STREET StE 0
City State Yl ir) . 2ip ~S~a3
Company -)-n Ci' Phone
Contractor Address f 0~ U~ ' nse # Exp.
Cit/ + State (Y)+Yl(1 , ip
Company n tAJY) fP ~ nc~ C'_oY) '}-l2r_~ ctt17~ Phone
Archftect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber !a~ Processing time for
sewer 8 water permits is two days nce 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:
vFFice u5t UnLY
BUILDING PERMIT TYPE ~ ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging„s ~O 16~Bras`ement Finish
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Nisc. ? 17 Swim Pool
13 03 SF Addition ? OS 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Cortun./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. j63~15 Deck ? 20 Public Facility
O 21 Miscellaneous
WORK TYPE
'CYY 31 New ? 33 Alterations ? 35 Tenant finish ? 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move .
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) lst F1. sq. ft. City Mater
UBC Occupancy 2nd F1. sq. ft. PRY Required
Zoning Sq. Ft. total Booster Pump
of Stories Footprint Sq. ft. Fire Sprinkler
Length fy, On-site well Census Code y3Y
Depth ,v• On-site sewage SAC Code
~
APPROVALS c
Planning Building Assessments
Engi.neering Variance
REGlUIRED INSPECTIONS ' ? Site P Footing ? Framing ? Insulation
? Wallboard 0 Final ? Draintile ? fireplace
Permi t Fee ~S, Uil r:ime;x:. $
Surcharge ~b
Plan Review
License '
MWCC SAC
c;ty sac •
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
.
Citles Di ital Quality Control
.
' The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
.
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.
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.
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S:J
UNDERGROUND SPRINKLER SYSTEM
PLUMBING PERMIT
p~~
Date: S5191 Receipt #
Date ''s~9/
_ Commercial: $25.50 + water tap if required. (Ciry installs all taps up to 1"). If
adding new service, a water permit will be required, as well.
~ Existing residential: $15.50 (Plumbing permit not required if backflow preventor was
previously installed).
_ Residential developments: Fee to be determined by building inspections department.
May require payment of water permit, plumbing permit, WAC, and water treatment
plant fees.
3938 IAOMES
(Development area to be sprinklered)
~ /L,), ,oa,
Plnmber Name: t'Y1 N um 6 ~'na
Address:
City/Zip: /n/o
Phone A-f q5 - cEcIL/ ~
Irrigation Contractor: i,tq j,'& (;rL[N
Phone ~910 - 300 5
-3-'~' 2 /c- -'/3Ca
cc: Engineering Department (commercial only)
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA136537
Date Issued:05/18/2016
Permit Category:ePermit
Site Address: 3938 Thames Ave
Lot:12 Block: 2 Addition: Coventry Pass
PID:10-18400-02-120
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 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 -
Mary M Simpson
3938 Thames Ave
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA169775
Date Issued:06/09/2021
Permit Category:ePermit
Site Address: 3938 Thames Ave
Lot:12 Block: 2 Addition: Coventry Pass
PID:10-18400-02-120
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. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
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 -
Mary M Simpson
3938 Thames Ave
Saint Paul MN 55123--390
(652) 456-5710
Apex Roofing & Siding
944 Oriole Dr
Apple Valley MN 55124-0000
(952) 891-1919
Applicant/Permitee: Signature Issued By: Signature