3939 Thames Ave _i.- . , . . -•:r~.~,~'~,~~R~"h: 7,,,. ..hq.~,~ . . ~.T..~.,a.r _ . ' • . .
~%A?7/91 CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 17859
PHONE: 454-8100
BUILDING PER$~ IT~/~ :id7,400 Receipt ~ MAY 1
To be used for EsL Value Date , 19
Sit@ Ahress OFFICE USE ONLY
Lot Block SeclSub. A- y.l
Parcel No. t)ceuaancx FeEs
Zoning i 8041~
¢ Name (ActuaQ Consl q_ Bldg. Permit 73• ws~
I AddfeSS (Allowab1e) - Sureharge '
City Phone r of stories 7~
Plan Review
Length
•
34
to Name Dev?n - sAC, city
0'0 S.F. Total _ -6mia1
U~ Address snC, MCwCC
i''' C11y Phone S.F. Foolprinls - -~-i~
On Site Sewaqe Water Conn '
t = Name on sice wen water Merer
- l•~
x- Address MwcC sys?em
i~ Clty PhOne Gty Water ~ Deposit 30 ~
PRV Required - ~ Pe~~
I hereby acknowlege that I h ve read this application and state that the 8oosier PumP ~ SNV Surcharge 2~ ~j
Iniofmation is correct and to comply wi all applicable State of
Minnesola Statules and City i a~gapiOrdinanc Treatment P1
`-fT'~/ ` ~ ~,,.L.1A-•'~,' i`~ ~
Signature of Permitee ' APPROYALS Road Unit ~
A Building Permit is issued to: ~e"~ - Park Ded.
on the express condition that all work shall be done in accordance with all Council - i
applicable State ot Minnesota Statutes and Ciry Eagan Ordinances. g~, pff. _ ~OP~~
Vanance - TOTAL ~
Building OHicial
~ PwmH No. P~rn+k Ho1dK Dsl~ T~NpiwrN +M
WATER ~ O
SEVY~tR
PlUM81NG
H.V.A.C. ~ /Y4/, 4
ELECTRIC D ~
InspMtion DrM Intp. Commsnts
~1 s~ -
Foursdation
Framirg
Roofn9
a«* Pts. JC-!rD I
fto ?+~G d I
111HRA.
ZJ2
Freplace
Fnal H1g. 7
FvW alog.
Const. MeW PIb9. InsPector - Notiy Plumber I
ErgrJPlan ~
81dg. Final
Dedc Ftg.
Dedc Final
w~u
Pr. Oisp.
I
J
u . . 4 .
ftrrfifiratie uf (~rru~~~tr~ -
titp of tagan ,
191ppotaumt of WWld" imwprtwn
This CemJ7cate issued pursuant to the requirements oJSection 306 of 1he Urtrjorm Building
Code ce,trfying tlwt at the tirrie of rssuance this slructure was in compria?rce with the mrious
ordinunces of the City regulatin8 buildin8 c°nslrucdon or use. For the jollowing:
uw csor,aM SF DWG/GAR. DWS. Par„„ No. 17859
o R ~ VN
O-p--Y TYve R3 /M I., "ymim aWmc, Type cann.
~ F~TI.T 00., ]NC. 5201 E RIVF.It RD., FRTD~EY
,
o~« Or eUm ~939 VFt~IE I.21, B3, OO~t PASS
D. AtIQIST T, 1990
a,naig `
POST IN A CONSPICUOUS PLACE
~~"r'ir~'$*`.~ ~T~'~r.e. . ~~--Yi._~ -.~~~,~.w ' 9•~ ~..t, I .x'
, PLUMBING PERMIT For Office Uae Ont
CITY OF EAGAN PERMIT A ~
CONTRACT 3830 pILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT#
PRICE PHONE 4548100 DATE: ~U 5 v
Site Address u^`~ ` BLDG. nT WORK DESCRIPTION
Lot Bbck Sec/Sub Re6. New x
Mult. Add-on
~ ~ ~ Comm. ~P~r
y IVame pther
SL tr (L ~ ki ~
~ Addres
c City Phone RES. PLBG. ONLY • COMPLETE THE FOLLOWING:
- NQ. FIXTURES ~ TOTAL
3 Water Closet - $3.00 $
Name T- Bath Tubs -$3.00 T-
~ Addres ~ ~ 1 ` : , ~ Lavatory - S9.QU 1 ~
~ Cii ~ , ~ ~ , Phone - Shower - S3.ob-'. .
Y Kitchen Sink - $3.00
UrinaVB'idet - $3.00
FEES Laundry Tray - $3.00 ~
COMM.IIND. FEE -1X OF CONTRACT FEE Floor Drains -$1.50
APT. BLDGS. - COMM. RATE APPLIES Water Heater -$1.50
TOWNHOUSE 8 CONDO - RES. RATE APLLIES t- Whirlpool -$3.00
MINIMUM - RESIDENTIAI FEE $12.00 Gas Piping Outiets -$1.50 MINIMUM - COMM.IND./FEE $20.00 (MINIMUM -1 PER PERMIT)
STATE SURCHARGE PER PERMIT .50 Softener -$5.00
(ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE) Well 10.00
~ I Privabe Disp. - $10.00 ,
Rough OpeninQa - $1.50
r
SIGNATURE OF PERMfTTEE PERMIT FEE: ` y j
STATES S/C:
.
FOR: CITY UF EAGAN GRAND TOTAL: y;
- . _ . . . . - r ; - . . . :xj.' xe.1t. i $i}'e:n'p'~ • .
' • _ PERMIT #
• • - ! ~ MECNANICAL PERMIT RECEIPT li
CITY OF EAQAN
3830 PIIOT KNOB ROAD, EACiAN, MN 55122 DATE:
CONTRACT PRICE: r`PHONE: 454-8100 For Office Use Only:
Site Address gLpr,, TypE WORK DESCRIPTION
lot Block Sec/Sub Res ~ New
Mult Add-on
m Name Comm. Repair
Address
Other
c Ciry ' Phone
' FEES
~ Name RES. HVAC 0-100 M 8TU - $24.00
c Address ADDITIONAL 50 M BTU - 6•00
il: o ei~ ; Pho~e _(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIIIIIUM - t PER PERMIT) - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air - M BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPUES i
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE _ 20.00
STATE SURCHARGE PER PERMIT .50
Vent CFM (ADO $.50 S/C IF PERMIT PRICE GOES
BEYOND $1.000)
Gas Piping Outtets N
Other
FEE
SIGNATURE OF PERMITTEE'
S/C: TOTAL• FOR: CITY OF EAGAN
. . . ...T~ - ~ , . .
PLUMBINO PERII~lT Fo~ Office ~1 Oniy
~ CITY OF EAGAN PERNqT ~
CONTRACT P~~OT KNOB ROAD, EAG~1N, II~N ~1 ZZ RECEtPT ~ ~ 5 3
PRICE PMONE 4548100 DATE: ~ y~
Site Addres ~ BLDQ T1/PE WORK DESCRIPTION
Lot B Sec/Sub ~s'
'Muk. A~dd-on
Nam " Comm, r
~ addre ~°t~`
~ Ciry Phon~ REB. PLBG. ON~Y - COMPLETE THE FOLLOWING:
- Np, FIXTURES TOTAL
W~tar Clotet - 53.00 S
Name Bath Tuba - i3.00
~ Addres ~ Lavatory - 53.00
~ City t ~J J Phone Shower - 53.00
- iGlchen Sink - 53.00
~ UrinaVBidet - 53.00
FEES Laundry Trey - 53.00
COMM./IND. FEE -1% OF CONTRACT FEE Floor Drains - 51.50
APT. BLDGS. - COMM. RATE APPLIES Water Heater - 51.50
TOWNHOUSE a CONDO - RES. RATE APLUES Whirlpool - s3.00
MINIM M~ RESlDENTIAL FEE s12.00 Gas Pipinp Outleta - s1 •50
MINI~M - COMM D.1FEE s20.00 (IY11NlMUM • 1 PER PERMin
STAT SURCHA f3 PER PERMIT .50 SotEaner - SS.00 ~
(~DD .50 EAC s 000 OF PERMIT FEE} WeN - S 10.00 ~
Private Disp. - 510.00
r Rough Openir?p8 - 51.50
SIGNA RE OF PER E _L U. G. SprlnWer SyStem - 512.00 . d G ,
PERMIT FEE: ~
STATES S/C: `-t
F~R: CITY OF EAGAN
' ~cc.rz_ ~L~- D, ~~,GRAND TOTAL: / ~ . iSa
-/5 a-~.
SEWER & WATER PERMIT QFFICE USE ONLY
CITY OF EAGAN
3830 Pilot Knob Rd. METER 3 7G7~ 37 PEFiMIT DATE 0511819C)
Eagan, MN 55122-1897 C~++P 4, PERMIT # 11395
METER S12E B.P. RECEIPT # G 7858
~ MAY 11, 1990 ISSUE DATE ! B.P. RECEIPT DATEP g1 16 /~)Q
DATE - PRV - BOOSTER PUMP
~ SITE ADDRESS 3939 THAMES AVENUE PERMIT REOUESTED
LOT 218LOCK 3 SEC/SUB COVENTRY PASS
x SEWER x WATER - TAPS
APPLICANT; THE ROTTLUKD CO'
ADDRESS: 5201 E RIVEEi ROAd - COMM/!ND X RESIDENTIAL
CITY,STATE FRIDLEY ZlP 55421 X NEW -EXISTING
PHONE: ST 1-0304
VALLEY PLiMB1NG Lawn Sprinkler Meters are to be Installed
PLUMBER: Ahead of Domestic Meters on Water Line.
,ADDRESS: 610 "ftEEK LANE Credit ILL NOT be given for Deduct Meters,
CITY, STATE JORDAN ZIP 5 53 52
492-2121
PHONE:
I AGREE TO COMPLY WITHCITY OF
OWNER: EAGAIORDINA S ;
ADDRESS:
CITY, STATE ZIP
PHONE: SI TURE WH fF TER {SSUED
, PLEASE ALLOIN TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT. , -
.-+^-a...rr v. . . . . . . . . • . . . . . . - . v . .
i
SEIA(gR & 11fATER PERMIT OFFICE USE ONLY
CITY OF EAGAN METER # PERMIT DATE 0/18/90
3830 Pitot Knob Rd. 11395
Eagan, MN 55122-1897 CHIP # PERMIT #
METER SIZE B.P. RECEIPT # C 7858
DATE MAY 11, 1990 ISSUE DATE B.P. RECEIPT DATEPS/ 1619)
t~ _ PRV _ BOOSTER PUMP
. ~
3934 TY! A!~~:S AVEMUE
' SITE ADDRESS PERMIT REDUESTED
LOT 2161OCK 3 SEC/SUB COVENTRY pASS
THE ~:O'fILU^ID CO ~ SEWER X WATER TAPS
APPLICANT:
ADDRESS: 5201 t R1V'R ROAD - COMM/IND X RESIDENTIAL
CITY, STATE FR1D~ Y~ ZIp Ss47.1 x NEW - EXISTING
, PHONE:
VAI.LEY PI.rMB1PiG Lawn Sprinkler Meters are to be InstaUed
I PLUMBER: Ahead of Domestic Meters on Water Line.
ADDRESS: hl~) ("RE$K LAN!' CretliVWILL NOT be given for Decluct Meters.
, STATE 10~~AN 5535Z
CITY
' 4 2-2121 ZIP
; PHONE:
; 1 AGREE TO COMPLY WITH CITY OF
~ OWNER: EAGAN ORDINANCES
j ADDRESS:
, CITY, STATE ZIP
~ PHONE: SIGNATURE WHEN METER ISSUED
I PLEASE ALLOW TWO WORKlNG DAYS FOR PROCESSING. CALL 4545220 FOR INSPECTIONS. FOR STORM
I, SEWER PERMITS, COHTACT ENGINEERING DEPT.
' DATE: MAY 18, 1910
~ Y 3939 TtUMES AvE
RE:
X Your Sewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) untit the meter is picked up. BE SURE 70
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer 8 Water Permit for the above property cannot be completed for the following
reasons:
Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at Ciry Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing tnspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL IOCAL UTILfT1ES - TELEPHONE, ELECTRiC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POIfCY.
Secretary, Building Inspections Dept.
DATE: liAY 18, 1 90
RE: 3939 THAlIES AVE
X Your Sewer & Water Permit for the above property has been completed. It will be held at the
f! Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
. CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
~ Your Sewer 8 Water Permit for the above property cannot be completed for the following
reasons:
,
Your Sawer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
COMMERCIAI PROJECTS ONLY: Please pay tor 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 - TELEPHONE, ELECTRIC, GAS, ETC.
- REOUtRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Bui{ding Inspections Dept.
, . y.~: . . . . . . . r. - , 'Y- . : N'.i~it
~ CASH RECEIPT .
r
CITY OF EAGAN ~ •
3830 PILOT KNOB ROAD j
EAGAN, MINNESOTA 55122 - DATE ~J /L 19
rEctmo
FIIp11 •
AMOUNT S ~ Q f 1
tJ
d ~ OOLLARS
O CASH ~ CHECK
353~
FUND OB.IECT AMOUNT
Thank You
8Y ~
C 78~~ ~CCWY
OPY
Plnk--Fib Capy
~ ' 1991 LDING PERMIT APPLICATION
CITY OF EAGAN ~I
SINGLE FAMILY DWELLINGS MULTZPLE DWELLINGS i COMMERCIAL
2 SETS OF PLANS 2 SEITS OF PLANS i~2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGYICALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
II # OF FOR SALE UNITS
I~ ,I
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHIGH REQUEST IS MADE.`
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
II I
NOTE: ADDRESSES FOR CORNER LATS - CONTRACTOR/HOMEOWNER MITST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING':PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER 6 WATER,PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
I
To Be Used For: Valu Ition:,~"--~-~~ Date: C63-171
Site Address OFFICE USE ONLY
Lot 2 I Block 3 ` FEES
Occupancy !i Bldg: Permit N )L
I Zoning f! Surcharge
Parcel/Subr-'16UeW, P45"j jj Actual Const 11 Plan Review
/ q' / Allowable %I SAC, City
Owner L p!/ (fU •(~,-lj p•?S II # of stories 1 SAC, `MWCC
Address 3~'J_~ 7 y~~ ~(JE II Length ]/K Water Conn.
Depth 1 20' Water Meter
S.F. Total II Acct. Deposit
City/Zip Code Footprint S.F. ~ S/w Permit
S/W Surcharge
Phone On site sewage rl_ Treatment Pl.
On site well il Road Unit
ContractorAnG 6 MWCC System ;I Park Ded.
City water ,I Trail Ded.
Address ~~?~j~~/jl~.qt-~/ II PRV il Copies
Booster Pump
City/Zip Code SUBTOTAL
l APPROVALS q Penalty
Phone Planner ~ Lot Change
Council " TOTAL
Arch./Engr. l~r~ ~~,epES ~I Bldg. Off.
Variance rl
Address ~r2f~ijE/ZifiJ~9~
City/Zip Code
Phone #
I
agrees that all q*ork sha11 be done in accordance with
(Signature of Cont actor) ~I
all applicable State of Minnesota Statutes and City of Ealgan Ordinances.,
11 .I
CITY OF EAGAN No 17859
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454•8100
BUILDING PERMIT Receipt p
Tobeusedtor SF DWG/GAR Est.vaiue $147,000 oate MAY 11 ~y 90
Site Address 3939 THAMES AVENUE
Lot 21 Block 3 SeGSub. COVENTRY PASS OFFICE USE ONLV
Oaupancy R-3 M-1 FEES
Parcel No.
Zoning R-1_
w N2me THE ROTTLUND CO INC (pctuaqConst Va- Bldg.Permil $ 804.OC
~ Address 5201 E R1VER RD 55421 (Allowabla) Vn- Surcharge 73.5C
° City Phone 571-0304 w oi storias - 523.OC
y 70 Plan Review
~engih 100. OC
o Name SA~ Depth 34- snc.cny
~a Addf855 S.F.7otal - SAC, MCWCC 600.0C
~ City Phone S.F.FOatpnnis - GZS.OC
On Site Sewage _ Water Conn
w W Name On Sile Well - Water Meter 90.0(
w
Address MWCCSystem xx___ 30.OC
0u Acct. Deposii
<w City Phone cirywaier xx-
30.OC
PRV Required - S/W Permit
ihereby acknowlege that I have read this application and slate that the Booster Pump - SiW Su¢harge .5C
rmation is correct d tlth all applicable State of 252.0C
nesota Statutes and City 1 a an Or an~~\ 7reatment PI
APPROVALS qoad Unit 355.0C
iaNre oi Permitee t n w. r
iing Permrt is issued to: THE ROTTLUND CO IN^, Pianner - park DeO,
ixpress condrtion that all work shall be tlone in accordance with all Council
State of Mm.n(e~sota Staptutes 1and CIi'ry ol Eagan Ordinances. Bldg. Ofl. _ Copies
I I f~~ n 01 L~' U~ Vanance - 707AL $3,483.00
'icial~ .
G 37995 -
Reduest Daie Fire N.
Rou -in eclion
Req~u ? Reetly Now flFlill NoLty Inspeclor
S^ 11p " ies ? No WM1en Reaay+
I,X 6censed coniractor ? owner hereby request inspection of above electrical work at:
JoC Atlaress (SVeel Box or ule No I Qry
3`i
$ecuon No, Township Name or No. Renge No Cqunp~
k\~
Occupan PRINTI Phono No
Power SupV Cfp'ur ' AEaress
G(J
EixvKal Con~~~cmr (Company ~lame) Comra<mr5 License No
~
MaiLng Adtlres5 1COnlroctor or Owner Making Inscallatwnl
auilwnze0 Signalure IGomracror ner mg Installauon) PM1One Nymber
MINNESOTA STATE BOAHD OF ELE RICITV THIS INSPECTION FEOUEST WILL NOT
Grlqga-MlUwey BICg. - Room 5-173 BE ACCEPTED BY THE STATE BOAFD
1821 Ilnlvenlry Ave., St. Vaul. MN 55100 UNLESS PROPER INSPECTION FEE IS
Plwnc (612) 6024800 ENCLOSED
COifll9o REQUEST FOR ELECTRICAL INSPECTION ee-oaa01-07
W S.- inslmctons lor completing Ihis form on back o( yellow ropy
G 37990 X" Below Work Covered by This Request
ew Rdd Rep. TypeofBmltling AppliancesWired EquipmentWVed
Home Range Temporary Serwce
Duplex Water Heater Elecinc Heating
Apt Budding Dryer Other (Specdy)
Comm /Industrial Fumace
Farm Air Condihoner
OIM1er(specily) Canirec[ar's Remarks'
Campufe lnspectron Fee Below
# Other Fee # ServiceENranceSize Fee # Circwts/Feetlers Fee
ISwimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 700 _ Amps
S90S InspecmrS Use Only TOTAL
Irngauoneooms SO
Special Inspection
AlarmlCommunication THIS INSTALLATION MAY BE ORDERED D SCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS. (
I, the Electrical Inspector, hereby Roogn-,n V/,'o_, eJ~. r'Y _5~~
certdy that [he above inspection has 'ate -(7~
been made.
OFFICE USE ONIV Tnis request voitl 18 manNS irom
RESIDENTIAL
BUILDING PERMIT APPLICATION
~ J CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122 -yk~ o-3 -r ~
651-681-4675
New Construction ReauiremeMa RemodeVRaoair ReauiremeMs
• 3 registered sAe surveys shovnng sq. fl. of IoL sq. ft, of house; and all mofed areas • 2 copies of plan
(20% maximum lot coverage allowed) • 7 set of Energy Calcula6ons lor heated additions
• 2 cupies of plan showing beam 8 window s¢es; poured found design, etc.) • 1 sile survey for exterior additions 8 decks
• 1 set ol Eneyy Calalations • Indirale'rf home served by sepGc system for addiGons
3 copies of Tree Preservahon Plan il lot platted afler 711H3
• Rim Joist Detail Options selection sheet (bldgs wAh 3 orless uniLS) •ca
DATE VALUATION
SITE ADDRESS ~ 1 iMULTI-FAMILY BLDG _Y _ N
TYPE OF WOR FIREPLACE(S) _ 0_ 1_ 2
APPLICANT °ader Va118Y EAWWWW8, kM'c'
%?920 21119 8tteet
STREET ADDRESS MN B6AB3 CITY STATE ZIP
TELEPHONE 75S-~ CELL PHONE # FAX #
PROPERTYOWNER JUIJ~J J(7. ^ J~ TELEPHONE#I'b
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNISOTA RULF.S 7670 CA'CI?GORY I _ MI '.~'a ~tJOL.~i(~2
(Jsubmission type) • Residential Ventilation Category t Worksheet Submitted • Ener yCode Worksheet mitted
• Energy Envelope Calculalions Submitted MAY 1 6 2002
Plumbing Contractor: Phonc # By
Plumbing syslcm includcs: _ Water Sollcncr _[.awn Spiinlclcr Fcc: $90.00
VVatcr I-Icatcr No. of R.I. Baths
No. of 13aths
Mechanical Confractor: Phone #
Mcchanical syslcm iiicludcs: Air Conditioning rcc: $70.00
I-Icat Recovcry Systcm
Sewer/Water Contractor: Phone #
°
I hereby acknowledge that I have read this application, state thaT information i orrect, and agree to mply
with all applicable State of Minnesota Statutes and City of Eagan r inances.
Signature of Applicani
- -
OrrICL [JSF, ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4I02
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex O 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bidg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation H VAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ A'v Test _ Final _ Windows (new/replacement)
_ Insula[ion _ Re[aining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MCIES SAC
City SAC
Water Supply & Storage
SRW Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
t t ~ ~
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
Z SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGI CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST 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 SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For. &ka-
LF '~yavv%. Valuation: ~.,.F~~ Date: S'7010
Site Address y OFFICE USE ONLY
lq, aDa"
Lot 2-t Block 3~ ~7 FEES
Occupancy R--J M-I
SOy
Zoning (Z-1
Parcel/Sub Actual Const V-N Bldg. Permit , Jp
Allowable V -N Surcharge 13.50
Oomer # of stories Plan Review S7-3,o0
Length 7D' SAC, City 100,00
Address ~ sk Zd, Depth 3 y~ SAC, MWCC &~Oa'Ol7
S.F. Total Water Conn 6,25,00
City/Zip Code ~'Q(r)L~-Y~ 5~{ Z~ Footprint S.F. Water Meter p,00
Acct. Deposit 30,00
Phone On site sewage_S/W Permit 3D.0o
On site well S/W Surcharge i50
Contractor ~jJ~l//1E MWCC System ? Treatment Pl. ZSZ,OJ
City water ? Road Unit 3$S,uo
Address PRV Park Ded.
Booster Pump _ Copies
City/Zip Code SUBTOTAL
APPROVALS Penalty
Phone Planner _ TOTAL
Council
Arch./Engr. Bldg. Off.
Variance
Address
City/Zip Code
Phone #
VALUAT 1pO
-t ,E -`1 ~ %i . ~ I 1
G ARA~~ ~r ~ ',9,. '4
n
3~ X Z 1 = 71y
Z3 x i= 2 3
73'l x ~s- ~ i oss
~S?v1T.
3( :p x 32 = IISz ~
II N3 ~ ~y = 16ooz--
ls-r
6smT ~ ~ I y 3
?r ~5 xs? = sq yi~
2Nr~ ~.oo?Z
T35mT q 3
Z'zx it ^ 38
118~ KSl = GolBo
I ~I 6 ~.52
* * -jK 2422 Enmrprise Drive
* PIQNEER - Mendota Heightz, MN 55120
engineering,.
* * ~f (612) 681-1914
* ~c * ~
Certificate of Survey for: ~~C 1: ~0TTLVmo COMpQNY
~
\ NORrH
H° EPEN ~
C/
8s6 RCL~
z~ 2 e`2jos?46•~ o~ ~
0
n ~ o N N-4~
•M ~ o 'm° a P i\ S W
5yh r
~ $15. . i ~ i a1• 0 ~ Z
~ N
0 ~ ~
N o >
v 2 M ~ ~ Q
~ M N ~ ' ~ ~ 2
Z i.e yl o^ I
/ rZ.o ~
60
% . °
N ` ~ o y m iJ ~ r
~ g L m Jr~- ~ o ? a (V
g$°~ 1 x- 26,a aFl ![Z~'~
9 0~loi N
~b• 3z. ,
/45q¢
NEERIN4
,900.0 Denofes exisfil e(evafion QP~J.SF___ OU,~E_ELEVA'1'"I~_
~ 9oao Deno(es p+roposed e%vatron Lowesf Floor EIevofion 869.5
Denofes broinale i Ufili.fy Easemenf Top oF Black Elevafion 8 7-7.s
DenofeS DrainaJ¢e F"low Arrows Carage Slab Elevafron 877. Z
° Ogno f es monum en f
Bearin~s shown are Qssumed o Denoles of"; sef HUb
Lorzl ,Bcock 3 , COVE1VTRPASS
DAKOTA couNrY, M1NNfsoTA Subjecl /a easemenfs or'record
I herrhy cerlity thTt Nis survey, plTn or rrport wns prepnreA Ay myeyo~r~ under my direc[ supervision and Ihat I ain tiitly RegisinreA Lpnd Surveyor
un~fer the lawe of the Slate o/ Minneeota. Dared fhis~ day o/ A.D. f 9 (70_ )
/
scale: linch = 40iief . ?
U5 89102. RpRER 0. SIKICH L.S. REG. NoI. I48p1 38
F.C77fiiOR 1•:NVF.id11'ti: AVt:ICnf;F: "U" CO)Mf'IITA'I'I+1N NDPMf}NDy .
OwN ER V~!D= I,,-A r c m f t~?C
.
SITE ADDRESS
CONTRACTOR 1~OT-rL UND G~. DATF. 7 90 PiIONE 57
Determin vorkini: square Yootar;e o1' ench.
1. Total exposed vail area sq. ft, x o' 11
. • 2. Total roof/ceiling area II74•5 sq. ft. x e.,026 ~ 3O.G4
• ,
Total exposed wall ares nbovc flonr
a. Total wall window area 44f•2 ~
c . b. Total door area --F'45.42,
c. Total sliding glass door area
d. Total fireplace wall area
e. Total wall framing area (average 10:)..... 'z.i - v7 7)
f. Total net wall area above floor q 7,0 / •
. 6. Total rim joist area .2 ZO.R
, Total exposed foundotion nraa ° ~
h. Total foundation vindow area /.7 S
' i. Total net foundation a-ea ubove grade ~
~ . . Determine "U" value o; each wall ,r.Fment.
a. 184.2 x,;u„ 4.¢2 ~ 77• 34 .
b. 660, Q-f`Z x~~u" D.13g ~ 7.7$ .
. ' • c. X "up, • ~ ~ .
d. Z~ Xu~,
e.. 21 0 . ~'J x.,,U„ 0,089 18.75
r. l$97,a? X„U.. p.17 43
. 2
g. za .°o X0. 04 I~~ 9.0 5
n. X"U„ 0~410 _ ~ 7. Z4
x„U„
3 . . rots] ~
, . ~ .
If item'N3 is the seme as, or less Lti:&n itcm Ul, you havc met the intent
or ssc 6006(c)2.
o
~
Total exposed roof/ceilinG aren = I• -7 ft
i • . . -
Total gross roof/ceiling are:ti =
. . '
J. Totel skylight erea
k. Total roof/ceiling framing area..............
1. Total net insulated roof/ceiling area 0 G/• •
Determine "U" vnlue for encli ruuf/cei I int; Se6ment.
, x nUn
° •
1I7. 95' „u„ D,o2-7 - '3:1~ • .
k: X
'
1. /0 ce/I?r? J( "U" ~rOZZ = 23~.~? • .
4 . Total
. D P~-
If total of U4 is the same as, or less than N2, you have met tiLe intent of
ssc 6oo6(c)i. . .
To uLilize the total envelope system method, the values estahlizhed by the
sum of items N3 and NL shall not be 6reater.than the sum of iten:s 91 and N2.
1, + 2.
i . .
' •3•, +L.
~ . .
o •
' a . . ~
" i
I ry
i
~ -
;
~ ~2
Q----
O
Q tT~=P~If?--r'~• - :o,~ot
-
0, 027
, . r, . . ,
2 ; r
E ,
~ ~WF1zN1:
1
,
O ~ Y_-
~O o~~~---.-
; 3 - ~~-5:~-3---
' 0,02'
; .
--VkI.M- GA?.Gl.p,A-f 10 W-;7 (~oN-r\:
~
• ~~II ~ ~ ` ~I~i
ML WPCw G~
- 1 Nh?-I L-67j oN
LoMPoNL*N~.
~L) o~f-l M AIfz F1L.M
-v v.co 2 -
- ~ - 5%,, INSUI.A'~ct~l• ( q . o '
~ • ~ t~hl~J~ Atfy rII.M,
. `
- ~L 23.0t -
,
~ Rtb1A~
-FFAM9r w4. c~ 6~1un .
LaMPONLNTS ~ . - F--VAL145
, I au r~~oE
I~IW..
3 3 hHC-A'(HINb. 2.OU _
4 fo- ~1un (pep~e~) - i g -
J~-= 5 Q 1-z-~'(P. eD. -o;4y
~ - - -
C' iNhi v5 MR F91-M. .
fofw~:= -1I. I ct -
I'I.J~N• yl~in~• - U= ~ ~ D.oBq. '
~L
,-~-~P~. ~~U+= ~0,12 X o.ob9~ t~o,Sb Xo.o43> = 4. O~{-
; I
i a
. . . . a, „
. ,
~
. . ,
I
. . ~ ~
Q
Q ~"-FI~? ~IM ao~ti , I • as ;
--Ht~R I Wa.
3 O T- -
24~30.-
'e I
~ ~ -~~~p~pN •
-c • . . C
. i 1,13 ~lZd3
- =o.oa<
~
~ fi ~ • 2422 Entr,rpiise Diive
PIONEER Mendota Heights, MN 55120
* eng* eering,. lf (612) 681-1914
II
Certificate of Survey for: HL- OoTri-Uw) CoMPANY
~
\ NoRrN
H° E~EN
C/
8s6 R<<6
z~ 2 ~=2~ or~ 46 0~
N°
b _ \ I
M ~ -
ni~ o N P I~ a'I~'~
~ ~ M O ti \ i',
I- W
32.33~ 0e!
b~ / y{ 1 0 i 1~j o y, - N e >
/ rz.o N J
60
~ L.o jn
% 0 Vy.8 ~
° y n i'J h
N
md: Z.o N 1 ` ~ ..,y
~
g8oA
. _~.j'.,
p
4't 9'
S4 y a j~
/4
¢ 'I~i
$ 'b o
y t•T
8 ~~o
,bs 6¢6 W Al~
~sNG NE~RING
~ 900.0 Denofes existin4 elevafion QP_O_SF~U_L.fVA1"1M~5_
t 900.o Denotes proposed e%vation Lowesf Floor I(evafion 869. S
Deno{es braina~¢e i Ufili~fy Easemenf Top of Blark Eleva'ron 87~.s
Denofe5 Draina~e F7ow zlrrows Garage Slnb fleva{ron 8jr7. Z
o Denofes monumen f -
Bearin~s shown are ossumed o Denoles 01'Pse} Hub
LoTz1 ,BcocK 3 , CovEnrraY pAss
DqKOrA couNrY, M1NNf5oTA 5u6jec/ % easemenfs o0record
1 herrhy cenify ptat ihis survey, plan or raport was prepareA M1y mryryrye ~~~ar~~- under my direa vipervisinn and Ihaf I am Ouly RegistereA Lrnd $urveyor
under the laws of ihe State ol Minnesota. OateA Ihis4k_ day of ~ A.D. 19 qn
Y•'
3ca1e :1 inch = 40 aef
115 89/02-38
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3939 Thames Ave
Lot: 21 Block: 3
PID:10- 18400 - 210 -03
Use:
Description:
Sub Type: e- Fireplace
Work Type: Gas Fireplace (new)
Description:
Census Code: 434 - Occupancy:
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 2,000.00
Contractor:
Fireside Hearth & Home
20802 Kensington Blvd
Lakeville MN 55044
(952) 985 -6675
Addition: Coventry Pass
Chimney /flue must be inspected prior to concealing. Smoke detectors are requ ired in all sleeping rooms prior to final
inspection. When wall studs or ce iling joists are exposed, hard -wired detectors are required. Battery operate d types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.Brenda Huston 2700 N.
Fairview Avenue Roseville, MN 55113 651- 633 -2561 hustonb@hearthnhome.com
Surcharge - Based on Valuation $2K
BL - Base Fee $2K
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Construction Type:
$1.00
$69.00
$70.00
Owner:
Louis E Gibbons
3939 Thames Ave
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
9001
0801
Issued By: Signature
Building
EA074803
08/18/2006
ePermit
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.
PERMIT
Permit Type: Plumbing
City of Eagan
Permit Number: EA105671
Date Issued: 07/25/2012
Permit Category: ePermit
Site Address: 3939 Thames Ave
Lot: 21 Block: 3 Addition: Coventry Pass
PID: 10-18400-03-210
Use:
Description:
Sub Type: e - Water Heater
Work Type: New
Description: Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Tony Boerner
Comments:
2090 County Road 42 W
Burnsville, MN 55337
952-435-2442
PL - Permit Fee (WS &/or WH) $55.00 0801.4087
Fee Summary:
Surcharge-Fixed $5.00 9001.2195
Total: $60.00
Contractor: Owner:
- Applicant -
Tony's Appliance Louis E Gibbons
2090 County Road 42 West 3939 Thames Ave
Burnsville MN 55337 Eagan MN 55123
(952) 435-2442
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature Issued By: Signature
' Use BLUE or BLACK Ink
r
1 For Office Use 1
• ; Permit 1731
City of EldIl I Permit Fee:
3830 Pilot Knob Road I lob Eagan MN 55122 01 013 I Date Received: 1 11
Phone: (651) 675.5675 1 1
Fax: (651) 675-SM i staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: "15 3 Site Address: Unit
Name: Phone: CP l Z-~ ~{v'~3
Resident/ ~LZ ~ rl rT vt c~wtQ$ ✓A .~y~.~
'57s► 1,3
Owner Address / City / Zip: "J Q 1
Applicant is: Owner Contractor
Type of Work Description of work: i-Q O*%
Construction Cost: 17 Multi-Family Building: (Yes / No
Company: :.'at=e 4S J~4/f ~nt8ct:
Contractor Address: Z-~O t,~ L ko.~ . h14 City:
2 ,
State: M- Zip: -4;Z 3 Phone: to 1 7. r 33 1 ttl w9
License 28&q pal Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
r7
g I 1~
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes kNo If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer S Water Contractor: Phone:
NOTE: Plaits and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.oooherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the worts will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and worts 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 plan;.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
Applicant's Printed Name App ca 's Signature
Page 1 of 3
O -3013 NOT WRIT~WTHIS LINE 1J -737 /
r SUB TYPES
r
_ Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage
Single Family - Garage - Porch (4-Season) _ Exterior Alteration (Single Family)
Multi - Deck - Porch (Screen/Gazebo/Pergola) -Exterior Alteration (Multi)
_ 01 of _ Plex _ Lower Level _ Pool _ Miscellaneous
Accessory Building
WORK TYPES"
New Interior Improvement Siding Demolish Building*
Addition / Move Building Reroof Demolish Interior
Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace Repair Egress Window Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION v
Valuation v` t 0 Occupancy MCES System
Plan Review Code Edition y~4 A/ dj SAC Units
(25%_100%`) Zoning -/-b- City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC Gas Service Test Gas Line Air Test
Drain Tile Other:
Roof: `Ice & Water Final Pool: -Footings `Air/Gas Tests Final
Framing Siding: `Stucco Lath Stone Lath -Brick
Fireplace: Rough In -Air Test -Final Windows
Insulation Retaining Wall: Footings Backfill Final
Sheathing Radon Control
Sheetrock Erosion Control
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
,r
Plan Review q f
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant V ` , 7 L
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA150904
Date Issued:07/30/2018
Permit Category:ePermit
Site Address: 3939 Thames Ave
Lot:21 Block: 3 Addition: Coventry Pass
PID:10-18400-03-210
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Louis E Gibbons
3939 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:EA165235
Date Issued:10/23/2020
Permit Category:ePermit
Site Address: 3939 Thames Ave
Lot:21 Block: 3 Addition: Coventry Pass
PID:10-18400-03-210
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Louis E & Judith A Gibbons
3939 Thames Ave
Saint Paul MN 55123--390
(651) 230-4405
Walker Roofing Company
2270 Capp Rd
St Paul MN 55114
(651) 251-0910
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA166119
Date Issued:12/14/2020
Permit Category:ePermit
Site Address: 3939 Thames Ave
Lot:21 Block: 3 Addition: Coventry Pass
PID:10-18400-03-210
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Louis E & Judith A Gibbons
3939 Thames Ave
Saint Paul MN 55123--390
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA170948
Date Issued:07/23/2021
Permit Category:ePermit
Site Address: 3939 Thames Ave
Lot:21 Block: 3 Addition: Coventry Pass
PID:10-18400-03-210
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 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 -
Louis E & Judith A Gibbons
3939 Thames Ave
Saint Paul MN 55123--390
(651) 987-0660
Window Concepts Mn
291 Eva St
St Paul MN 55107
(651) 905-0105
Applicant/Permitee: Signature Issued By: Signature