3942 Thames Ave
CITY OF EAGAN . ~ 18353
. 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
' PHONE:454-8100
BUILDING PERMIT Receipt # - Tobe used for SF DHC/GAR Est. value $113,000 Date SEp lQ , 19 90
Site•Address 3942 T!lAMES wVE
Lot 13 Block 2 SeGSub. COVENTBY PASS r OFFICE USE ONLY
Parcel No. Occupancy R"3 No" 1 FEES
Name THE ROT''LUND CQ, INC Zoning R_i
(Attual) Const V'N Bldg. Permit 689.00
¢ ~
W 5201 E R1VER RD V-N
~ Address (Allowahle) - Surcharge ~
° City FRIDI.EY Phone 571-0904 * oi stones wl ~5.~ ~
Length Plan Fieview 1
Name SAME Depth s?~ SAC.City
1~•~
0
~u. Address S.F. rotai - snC, nnCwCC I~
~ City Phone S.F. Fooiprmts - 6Z3.00 ;
On Site 5ewage _ ~Nater Co~n
¢ 90.00 I
W W Name a+ Sae Weii x Water Meter ;
Address Mwcc 5ystem gp.oo '
X Acct. oeposit ,
i13 City Phone C+y wacer 30.00
PRV Required _ SI1N Permit I herehy acknowlege that I have read this application and state that lhe Boo5ter PumD - $iyy Surcharge '50
intormatian is correct and agree lo comply with all applicable State of 252.00
'
Minnesota Statutes and City of.Eagan Ordinances. Trealment PI
Road Unit 355.00
Signature of Permitee APPROVALS
A Building Permit is issued to: THE R0'['tLUlID CO, I IiC Planner - park Ded.
on the express condition that all work sha11 be done 1n accordance with all Cou^cil
applicable State of Minnesota Statutes and City of Eagan Ordinances. B~j. pff. _ Cop~es
' Variance - TOTAL 3.269.00
Building Official
,
. PermN No. Permit Holder Date Telephone #
WATER /u g ~''f lf
SEWEfi
~
PLUMBING
$ l!, ~ -:J--u • ~ /g rjL~
H.va.C.
ELECTRIC 1 W/ ~
Inspoctlon Date Insp. Commsnts
Footings I
Fourniation
F~~ing 2-
3i'o ds
aoa~ng
Rm* Plbs, id
RMghM9. AOIIlq
i~
Fkeplace
Final Hlg.
Fnal Plbg.
Const. Meter Plbg. Inspecyor - Notify Piumber
EngrJPlan
Bldg. Final
Oeck FIg.
Deck Final
wen
Pr. Disp.
Address:3942 THAMES AVENUE Lot 13 Blk 2 Sec/Sub COVENTRY PASS
These items were/were not complete at the time of the final inspection.
DATE: DECEMBER 6 1990 Yes No INSPECTOR• S
Final grade (6" from aiding)
Permanent steps - garage
Permanent steps - mairi entry
Permanent driveway
Permanent gas
Sod/seeded grass
Trail/curb damage
Porch
Basement finish Lle"
Deck
Yleasa verifq vith the builder ths removal of roof test caps from the plumbing
system aad the shut-off of vatez supply to the outside lavn faucet before
freeze potential ezists.
Whita - City copy Yellow - Resident copy Piak - Contractor copy
y ~
c ~
. •
~
i . Citp of (tagan
EirpatuPtd of W1totltg jwPttW1t
This Cerdfwcle issued pursuav to rlre requirrm.ertts of Section 304 of the Uniforrn Building
C'.odt certiJj*g dsat at the tLne of issuance ALs shudune tr= lx compliance witlr 1he various ~
ondinaxcrs of tlre City rrgufakng building rnnmructimar use For Are faUowing. !
unasommu~ ~ ~~W Md& nrmd N,, 18353
O-W-V-7,r~w R3 f Ail zolinDkt,;u R! zYW c- VN
oywocequisc IlEI47ITI11Bm m., IlVC. A&k= 5201 E. RIVM RD., FWM
3942_-MWMS AXM ~ L 13, B2, OOVFIdIRY PASS
DOMM 6, 1990
. o~.~
POST IFl A COFlSPICUOUS ALACE
, ' . A',/T-•w~. . . . ' ' I
PLUMBINQ PERMIT For Ottice U Only
~ .
CITY OF EAOAN PERMIT #t Z/y
CONTRACT 3830 pILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT #
PRICE PHONE 454-8100 DATE: ~j SG'
Site Address 3 9 a A~n BLDG. T P,1( E WORK DESCRIPTION
Lot 1-3 " Bigck sec/sub Res. New X
Mult. Add-on
Comm. Repair
~ Name pther
~ Add ress
c City 3O ~ ? Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
- NO. FIXTU RES TOTAL
7 Waber Closet - $3.00 $ L
Name Bam Tubs - S3•00 ~ Address Lavatory - S3•00 City te, dl ~ y Phone ShoWer - S3.00 s
I Ktchen Sink - $3.00 3
UrinaVBidet - $3.00
FEES ' Laundry Tray - $3•00 3 ~
COMM.JIND. FEE -1% OF CONTRACT FEE T- Floor Drains - $1.50
APT. BLDGS. - COMM. RATE APPLIES ~ Water Heater - $1.50
TOWNHOUSE & CONDO - RES. RATE APLLIES T- WhirlPod -;3.00 3-
: MINIMUM - RESIDENTIAL FEE $12.00 T- Gas Piping Outlets - $1.50 MINIMUM - COMM.IND./FEE $20.00 (Ir11NIMUM • 1 PER PERIAIn ~
STATE SURCHARGE PER PERMIT .50 Softener -$5.00
(ADD $•50 S/C PER EACH $1,000 OF PERMIT FEE) Well - $10.00
Private Disp. - $10.00 '
Rough Openings - $1.50
U. G. Sprinkler System -$12.00
SIGNATURE OF PE MfTTEE PERMIT FEE: :3 L.
li
STATES S/C:
~
FOR: CITY OF EAGAN GRAND TOTAL: `
For office uss only: ~
MECHANICAL PERMIT PERMIT # % _
GTY OF EAQAN RECEIPT # C r n7~/ /
3e30 PILOT KNOB ROAD, EAGAH. IIAN 55122
CONTRACT PRICE _ PHONE: 4S1-a100 DATE:
Site Address BLDG. TYPE WORK DESCRIPTION ~a
Lot Block , Sec/Sub Res. New
~ .
Name Mult Add-on
~ Addreas ' ~ r_r~ il.J Comm. Repeir
c Gry Phone Other
FEES
Neme RES. HVAC 0-100 M BTU - $24.00
; Addreas ' ' , ' • f ~ ADDITIONAL 50 M BTU - 6.00 p City Phone ' (RES. HYAC INCLUDES A!C ON NEW 11 CONSTRUCTION)
GAS OUTLETS (MIMIMUM -1 PER PERMIT) - 1.50 EA.
TYPE OF WORK COMMIIND FEE -1% OF CONTRACT FEE
Forced Air C•''~ M BTU APT. BLDGS. - COMM. RATE APPUES ~
Boiler M BTU TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
Unit Heater M BTU MINIMUM RESIDENTiAL FEE - ALL ADO.ON 8
REMODELS - 12.00
Alr Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
Ve?n. CFM STATE SURCHARGE PER PERMIT - .50
Gas Pipfng Outleta # r(ADD $•50 S/C PER EACH $1000.00 OF PERMIT FEE)
Other '
PERIMIT FEE: s.
S/C: SIGNATUH OF PERMITTEr
TOTAL: ' FOR: CITY OF EAGAN ~
DATE: 5EP 17, 1990
,
RE: 3942 TKAMES AVE (THE ROTTLUND C0, IHC)
X -Your ewer & Water Permit for the above property has been completed. It will be held at the
Publorks Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
C~L~ PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer & Water Permit for the above property cannot be completed for the following
reasons:
Your Sewer 8 Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allawed until further notlce.
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, CAIL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, 8uilding Inspections Dept.
' .11~y. . . . . _ . - . . s,. ,
~ CASH RECEIPT
CITY OF EAGAN ~
3830 PILOT KNOB ROAD
~
EAGAN, MINNESOTA 55122
DATE 19 -SL
/ 71.£ • ~
AMOUNT $ 8 DOLLARS
,m
? CASH CHECK
~
/ r ljj ~
FUND OBJECT AMOUNT
. Thank You ~
BY
C 9947
Pink-*-" cow
H 08 Oy/q
iVequest Oate Fire Na. gRin Inspeciwn
R mretl? ? Reatly Now fi7 WAI Notity Inspector
~a ^90 jjNes ?NO WbenReatli
I~?licensed coniractor ? owner hereby request inspection ot above electrical work at:
.bb AEOress (StreeL 9on or Roule a ~ Gry
3 ;t-
Secuon No Township Nama or No Range No. Coy@y ,
GJ~~
Occu n~~PRINT) Phane No
Power S pher/j lWtlrass
AA I vG. '
Electnc ConVactor (COmpany Namel Conlratlors Lsense No
,
/,w a41~--3
{/lfS~ ~
Mai6ng A~ress (ConUacior Owner Making InstallaLOn)
AWnonzeE SignaWre ILOmra rorlOwn r aking Insialtatqn Phona NumDer
3 -38to
MINNESOTA STATE BOARD OF EL CTRIQTY TNIS INSPECTION REOUEST WILL NOT
Grlggn.MlCwey BIEg. - Room Sl]] BE AGCEPTED BV THE STATE BOAPO
1821 Univanlty Ave, 5t. Peul, MN 5510C UNLESS PROPER INSPECTION FEE IS
Vlwne (612) 843-0800 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION
~ See insvmpions Por complatmg this lorm on back al yallow copy
?
~
H 08410 "X" Below Work Covered by This Request
ewAdQ Rep. TypeolBmltlmg AppliancesWned Equipmen[Wiretl
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Speary)
Comm./Indusirial Furnace
Farm Au Conditioner
Other(specity) Conlraclor's Femarks
Compute Inspecfion Fee Below:
p Olher Fee 8 ServiceEntranceSize Fee # Circmis/Feeders Fee
Swimming Pool ~ 0 to 200 Amps 0 to 100 Amps Os
Transformers Above 200 _ Amps Abo i00 _ Amps
Si Jn5 Inspector5 Use Only: TOTAL
Irrigafion BoomS (ea:qv ~,Sp
Speciallnspechon
Alarm/Communication THIS INSTALLATION MAY BE ORDERED ISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 HS. f
I, [he Electncal Inspector, hereby Rough-in eie
certity ihat ihe above inspection has
been made.
OFFICE USE ONLV
This reQUest voiE 18 months Irom
310-677' 0 OFFIC USE NLY This requai void 18 months fmm wludanon dore pnnted in ihis boz~~ C^
? ,s > >
PLEASE PRINT OR TYPE OL(-fili a`V
Reyuen Dak Rough-in mspxLOn reqmmd ~ Yes InspMion Oiha Thon Raogh.ln: Rwdy Now 0 Will Call
~ ~ J~j (/au mmr mll ihe inspedorwhen ready) Wpe Ready
I, icensed contracfor 0 owner hereby requesf inspeclion a( the above elecfrical work at:
lob Mdrm (Spreeq Box, or Roure No Ciry Zp Cade
Senion No Tovmship Name or No Raege No Fin No Counry
Omponl Phone
o.~(v ZZ
Power r Addmss
Eleddcol Conlm mpany N e) Comrvaor limnsa No. Masror Lc. No (Plam Elecr. Only)
Moi i Ad re ~mnor or Owner PeAormin o a n) _ /
?C//(/~~~
AuManzed 5 n er PeAarmi, Insmllalionj ~ P~p~~
r~ V/
EB-OOOOIA-706/95 STATEBOARDCOPY-SEEINSTHUCTIONSONBACKOFYELLOWCOPY ~
I I~II II I i I~I I~I REQUEST FOR ELECTRICAL INSPECTION
Minnesota State Board of ElecVicity
* ~ Z d~ 7 7 Q* 1827 Universiry Ave., Rm. S428, SL Paul, MN 55104
Phone (612) 642-0800 (p ~ ~j' ~41 ~
ome ~p e. Apt. Bldg. Other: New Addn
Commercial Indushial Farm Remod Re air
ir Cond. H}g. Equip. Wofer H. Load Mgmf. Ofher:
D er Ran e Elec. Heat Tem . Service ryg "X" above the wark covered by this requesf. Enfer remarks in this space and on fhe back ol the white copy only.
Cokulate Inspection Fee - This Inspechon Request will not be accepted without the mrcect fee:
OlFier Fee # Service Enhance Siie Fee B Ciraih/Feeders Fee
Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps
Street ltg./Traffic $ig. Above 200 fvnps A6ove 100 Amps
Transformer/Generator INSPECTOR'SUSEONLV w TOT
Sign/Outline Lig. Xfmr pV~
Alarm/Remote Confrol
Swimming Pool
I here cem thot I ms ed the eiMnml Imlallohon e m ad herein on Ihe daks aa~ed
Irngation Boom pmqh D.I.
-i~ $pe cial Inspedion
Investigahve Fee F~~ ~~n THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 8 MONTHS.
so 99/s~
H 0 84.0:9 tia
Request Oate Fulb No. Roughan pecLOn
Rapmre ? Reatly Nav 'R-tNtll Nouty Inspector
- p ,7./yas ? No When Reatly?
Iicensed con(ractor O owner hereby request inspection of above electncal work at
JoE Adtlress ISIreeL Box o~ Foute o) Qry
3g .
Setlmn No. Townsmp Name or No Range No. boiA
Ill
Occupa PFINT~ Phone No
Power Su lier Atltlress
Electnc ommcor (Company Nama) Conlractor's LKense N.
4-2 L
Maihrg natlress (COnttactor or O er Making Instalianon)
Aulhonzatl SignaWre ICOnVacto wner king Installalion) Phona NumDer
44 - 8
MINNESOTA STATE BOARD OF EL CTHICITY TMIS INSPECTION REQUEST WILL NOT' '
GrlqgrMlaway BIOg - Noom &173 BE ACCEPTED 8Y THE STATE BOARD
1821 Universlty qve., St. Peul. MN 55104 UNLE55 PROPEF INSPECTION FEE IS
Phone(613)6a2-0B00 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION ea-oaam-ae
/o /8 90 v
~ ? See Mshutlions lor compleung Nis lorm on back ol yellow copy. 9
H09409 "X" Helow Work Covered by Tbis Request
ew AtlSPO Rep TypeolBuilding AppliancesWired EquipmentWired
aome Range emporary Service
Duplex Water Heater Electnc Heahng
Apt. Buildmg Dryer Other (Speary)
CommJlndustnal 'Furnace
Farm Au Conditioner
ONer fspenty) ConVactor's ilemanks
Compute Inspection Fee Below:
M Other Fee # ServiceEntrenceSae Fee # Circmts/Feeders Fee
Swimming Pool 0 l0 200 Amps 0 to 100 Amps
Translormers Above 200 _ Amps 100 _ Amps
SignS inscecta« Use Oniy. TOTAL
Irrigation BoomS !(J' ~
Special Inspecuon
AlarmlCommunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Roui oa+e
certity that the above inspection has F,,,ai o,i r
been made U ~ V
OFFICE USE ONLV ~
Ttus request witl 18 monIDS from
' CITY OF EAGAN NO 18353
, 1 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt N
Tobeusedtor SF DWG/GAR Est.value $113,000 Date SEP 10
Site Address 3942 THAMES AVE
Lot 13 Black Z SeGSub. COVENTRY PASS oFFICE uSE ONLv
POfCeI N0. Occupancy R-3 M-L FEFS
Zoning R=1
w Name THE ROTTLUND C0. INC (qciuap Const Y-N_ BIOg. Permrt 685.00
3 Address 5201 E RIVER RD (Allowa6le) V=N
56.5
° City FRIDLEY PhOnO 571-0304 k ol Slories Surcharge Lenglh 56' Plan Review 445.00
o Name SAME oePm SZ snc. city 100.00
00Addf2S5 S.F. 7otal
~s SAC.MCWCC 600.00
~ City Phone $F.FOOlprinis -
On Site Sewage _ Waler Conn 69 S_ l1f1
~
e w Name On Sie Well - Waier Meter 9O.00
Address Mwccsysiem X
aw Clty Phone QtyWater x AccLDeposil 30-00
PRVRequired _ SIWPermil 30-0
n
I hereby acknowlege Ihat I have read Ihis application and state Ihat the Booster Pump - &W Surcharge . SO
inlormation is correct and a ree to comply with all appiicable Slate o1
Minnesota Statutes and Crt Eag~ Ordl anc . 7reaimem Pi 252.0
0
y
SignaWre of Permitee APPROVALS Road Unrt 159 n
A Building Permit is issuetl to: D INC Planner - Park Ded.
on the express condition that all work shall be done in accortlance wnh all Councii
applicaCle State ot Mmnesola S,t,patutes and hCtl,yI o1 Eagan Ordmances. BIOg. OIL Copios
0
Building OfUCreI , ~ 1101~(~ l 111 ~CV Variance _ Tp7qL 3,269.0
~ ~ `I q GI RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New ConsW clion Reauirements RemodeVReoair Reauirements
• 3 registered site surveys showing sq. ft. of lot, sq. fl. of house; and all roofed areas • 2 copies of plan
(20% manimum bt coverage allowed) • 1 set of Eneryy Calculations for heated additions
• 2 copies of plan showing beam 8 window s¢es; poured tound design, etc.) . 1 site suney forexterior additions 6 decks
• 1 set of Enetgy Calculalions • Indicate if home served by sepGc syslem for additions
• 3 wpies of Tree Preservalion Plan if lot platled after 711193
• Rim Joist Detafl OpUons selection sheet (bidgs with 3 or less units)
DATE VALUATION
SITE ADDRESS MULTI-FAMILY BLDG _ Y _ N
TYPE OF WORK-n Ct1 .[~1_I~ OM527/-. FIREPLACE(S) _ 0_ 1_ 2
APPLICANT Cecler Valiey Hxlsriors, Inc
9820 Zilla 3treet
STREET ADDRESS Coen Ilepl9s; MN-55d93 CITY STATE_ZIP
TELEPHONE#-I«1d23C7I CELLPHONE# FAX#'l Iri'-3 - 7S15 -
PROPERTYOWNER~~0-4__1 C1 .11~t'~ TELEPHONE#(pcJl-LOg~b
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNCSOTA RULES 7670 CA1'EGORY 1 MINNI:SO"l'A RULI:S 7672
(4 submission type) • Residential Ventilation Calegory 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculalions Submitted
Plumbing Contractor. _ Phone #
Plumbing system includcs: Watcr Soflencr I.awn Sprinkler Pcc: $90.00
Watcr Heatcr No. of R.I. Iiaths
No. of Baths
Mechanical Contractor: Phone #
Mechuucal system includes: _ Air Conditioning I'ee: $70.00
HcaL Rccovcry Systetn D~(~ fc fl fyi (2 D
vL~ll LJ L5
Sewer/Water Contractor: Phone #
I hereby acknowledge that I have read this application, state that e information is co ree t ly
with all applicable State of Minnesota Statutes and City of Eagan dinances.
Signature of Appllcant
_
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex 0 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. AIt - Mulli
? 03 01 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 LowerLevel ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N O 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Reptacement '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 W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation H V AC
Drain Tile Other
Roof _ Ice &\Vater _ Final _ Pool _ Ftgs _ AidGas Tests _ Final
_ Framing _ Siding Smcco Stone
_ Fireplace _ R.I. _ Air Tes[ _ Final _ Windows (new/replacemen[)
_ Insulation _ Retaining Wall
Approved By , Building Inspectar
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
. • RESIDENTIAL
' BUILDING PERMIT APPLICATION
CITY OF EAGAN $ ~ -D- ~
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
NewConstructionHeauhemeMe RemotleVReoairHeauheme. I~~~-Q cT'
• 3 reglStered sne suneys showing sq. fl. of lol, sq. fl, of house; and gll rootea areas • 2 copies ol plan av -~Y
(20Y maximum bt coverage elbwed) • 1 set of Energy Calculations for heated adOAbns
• 2 coples ot plan showing beam 8 wintlow sizes: poured found desgn, etc.) • 1 sAe suney for excerror aOAM1bns 8 decks
• 1 set of Energy Cakulatbns • tntlipte A home sanetl Dy septic system for etld'Abns
• 3 cOpies oi Trea Pre58rv21bn Pldn N lot p12riBC afler 7A/93
• Rim Joist Detail OptbnS selectbn sheet (bidgs wAh 3 or less unfts)
DATE q) ~ I V Z VALUATION bUOc)
SITEADDRESS 3ILIZ- ~n1PrnVn V~InK MULTI-FAMILYBLDG_Y N
NPE OF WORK def,I(, FIREPLACE(S) Q 0_ 1_ 2
APPLICANT Je(.(YI bU P11~-
STREET ADDRESS 3CfI,I Zj&lm la 1&4 CIN~STAiE IA/ ZIP S,S"! 13
TELEPHONE#i (osl-le9X-~`fILCELLPHONE# IPIZ~221-2537 FAX# 952-`173-'6 31-7
PROPERNOWNER d l. TELEPHONE#
COMPLETE THIS SECTION FOR %%NEW- RESIDENTIAL BUILDINGS ONLY
Energy Code Calegory _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672
(4 submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculalions Submitted
Plumbing Conhacfor: Phone #
Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00
Water Heater No. of R.I. Baths
No. of Baths
Mechanical Conhactor: ~e
Mechanical system includes: _ Air Conditioning ~$70.00
_ Heat Recovery System MAY 6 2002
Sewer/Wafer Conhactor: one #
By
I hereby acknowledge ihat I have read this application, state that the information is correcT, and agree to comply
.
wiih all applicable STate of Minnesota StaTuTes and City of Eagan Ordr/&I ces
SignalureofApplicant
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02,
OFFICE USE ONLY ' -
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. All- Multi
? 03 Ot of _ ptex ? 09 07-plex O 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ~ 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10.plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N O 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Oemolish (Interior) ? 44 Siding
'K 32 Addilion ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (EMire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MGES 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 -VAL W idth
REQUIRED INSPECTIONS
Footings (new bldg) _ FinaUC.O.
~ Footings (deck) FinaVNo C.O.
_ Footings (addition) 7y- Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stonc
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By l L. , Building Inspector
Base Fee
Surcharge
V
Plan Review -7
MC/ES SAC
City SAC
Water Suppy & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
A ~
.i
- +4
~ - ~ER _ z4,z F„~:;oris= prlve
M=ndo!a Hel91 >
J~ r., titN SSt~>o
~(6121 68 i-l 9 14
f
~
Certificate of survey tor: TN_LU N D Co. rIV C.
J I;
~ If g-1 531 . ~ NORrH
Q V ~ 9t.g` '-.z-~.-'~~+ I
.
Q<
~r ~
o ~
N , M e
~ ti~' Vri~v[woy ~n LS.a 4.o w 3V.
' ~ 4 / • a p~ Z
/g9
l4 ~
f200,
s9
$y~ ~ 1 ; ; a~ , • • -
Lais / • - -
10.0 `Jerlofe5 exisfinj elevafion Paopo l/ E ' 7"ION.S
fo.o Denofes proposed e%vation Lowesf F/oor E~evot+on g7p, &&
02nofes brpinaje e' Ufi(i.fy Easemenf 7p of 8lack flevafiorr s7g.i6
Denofes Drnlna~ ~e~low ,zlrrows Gara~e Slab Elevcrfron S?>, 6 3
~ DenofeS monurr~enf
Bearrnk~s shown are ossumed o Denofes o+Msef Hub
' or!L, BLock 2, COVENT,Q}' PASS
DAKOTA covNrY, MIAINfSOTA ubiec} fo easemenfs crrecord
herpk7y cptrt/y tha[ this furvey, Dlen 0/ repo.t wes FAlM by me ~ under my dinct eupervi-ion anA chal 1 am duly Re9itiCl4d land $urveyor
the lews of the Srete of e.tinnssota. Dared Mts~ djy of
A.O. 19~,~
!
linch= 4QL{
Y
1102. IG aneEar e. 5 r.iCN
CITY USE ONLY
L ~ BL ~ RECEIPT -S 11~0
SUBD. DATE:
1996 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dweliings
? townhomes and condos when permits are required for each unit
New coristruciion iidd-on iurnace
Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc.
Date: S- `30-C11a
FEES
? Minimum Fee: Add-on/ emodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required @$3.00 each)
? State Surcharge .50
TO i FiL 'oZ (7• SO
SITE ADDRESS: ~`Y~ L\ rQ s\v UrN
OWNER NAME: PHONE
INSTALLER NAME:~P
STREET ADDRESS: ~1 ~ L ~ ~ ~--M~~~--~~-
CITY: STATE: /v\_(V ZIP:
PHONE ( V\2) \-k 2-?3
CITY USE ONLY
L BL RECEIPT
SUBD. DATE:
1996 MECHANICAL PERMIT (COMMERCIAL)
• CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681 -4675
Please complete for: ? ail commercial/industrial buildings.
? multi-family buildings when separate permits are ~ required
for each dwelling unit.
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: o $25.00 minimum fee 2[ 1% of contract price, whichever is greater.
. Processed piping - $25.00
• State surcharge of $.50 per $1,000 of permit fee due on ali permits.
CONTRACT PRICE x 1%
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SIl"E ADDRESS:
OWNER NAME: TELEPHONE
TENANT NAME: (IMPROVEMENTS ONLY)
INSTALLER:
ADDRESS:
CITY: STATE: ZIP:
PHONE
SIGNATURE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
. 3
1990 BUILDZNG PERMIT APPLICATION gEp p 6 1990
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLAnS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WFiEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: _ Valuation: njtaTM==:LV~ Date: g0
Site Address -51qq_ 113 0oo- OFFICE USE ONLY
~ Lot t- B1ock Z FEES
' Occupancy (Z'3 M-I
Zoning R- I
Parcel/Sub Actual Const V-N Bldg. Permit 685,00
Allowable V-N Surcharge S(0 1 50
Otoner # of stories Plan Review 414/ 00
Length , SAC, City /D Oia O
Address G7-Cx F Q,ow_ Zu. Depth S2 SAC, MWCC &Op,00
S.F. Total Water Conn (22510
City/2ip Code 'Fgj pt,~c,-Y SSc}ZI Footprint S.F. Water Meter qD,OJ
Acct. Deposit 30,00
Phone 5Q 1_pzy~. On site sewage_ S/W Permit 040~
On site well S/W Surcharge 4
Contractor M41CC System f/ Treatment Pl. 252,00
City water Road Unit 35$~00
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 #
~ d VA LU1XT1o1J , . ,
~
~ ~ X • ,
Gi~lR~G~
Z2 x22 = ySLf x IS= ~2C~0
'SSr~ T
28 = ~syD
Z,X?jo
15 x~9 ~y- 2 Z34q
I sc Fi.oo2
85yn7'= !S-9L
2/K(oylyz = 19
Ixr~= i~
51 = 828'1 S
112yr)
q '
Fiori.=er Enein?.-Jrirr? c•8 19 4:=8, P.02
~ PIONEER 2422 Enterpris= Drlve
Heights, MN 55t20
~ engineering , -
* *~k ~ (st2) 661 19 14
~
Gertificate of Survey for: TWE R~OTTL.VN Q Co. ,rM c.
J Jl ~ tJ~
\ R H
~zT
9~i ,vewaY ~n {z.p 4.0 iv
Q _Qj
9 ~
S_~
~
E
IV I
ate
EAGAIU _ENGINEERING DEpT
I x 900.0 Denofes existinb e(evafion PRQ2QS. ~1,LE ~LEV,4TIQ~,,~
Id goa.o Denofes prnposeql e%vatior? Lowesf F/oor Elevaf;on 87Q,
Denofes brarnaJe F Ufr'(i.ty Easemenf Tp of Block E/evaf1ori s7g,iZ
D2nofP5 Draina~~e~low ~Irr-ows Garage Slab Elevafion 877, 6 3
o Denofes monurr~"en f
Bedrm~s shown are ossumed 4 DMofes O+'f'sef Nub
Lor13,BcocK z 7CovFNTWY pAss
CJqKOTA CouNrY, MInINESOrA 5ubject fo easemenfs 4rrecord
I hnrek7y r.errlfy that vhis survey, plen or rep.,.t a,ed bv me_&~r under my direct SuPervision arM th3t I am dufy Fiegk(n,nd Land Surveypr
unde• the lew9 of (hn Srete of h9innssvta, Dated thiswas p~ day of SP9.4t qp, 19-9a
31,
/~~1.1'y1en 1JnCh° r2 2l
, z=w1 ,~OfCM ROBECT B.5 KICFI 1..5. p[:_ In8~1
r5 a9roz,16
'
F(7'F.1ti0ti i•:NVF.I,nI't: AVI•:I;At~I•: "U" Cc)MT'U'PA'P1Of1 ~
a 4 . • .
QW'N i.Il
~ ~
SITE ADDRESS LOT 'j~~
~~C Z C~U eVC~ ~,Ptf~s
CONTR:ICTOF F-Z7 Z7'~-(/il/L7 CD • DATF. PHONn
Dete:-ain vorking, squnre footaiI.e o1' cach.
l. Total exposed vall area sq. ft. x 0.11 _ 2(py.08
. • 2. Total roof/ceiling area APaj sq. ft. x 8~0:6
• ~ . -
Total exposed vail area nbove floc.r
a. Total va11 c:indou area
~ b. Total door area ~
c. Total sliding glass door area
d. Total Sireplace vall area G E-
e. Total vall framing area (average lOP) //10
f. Total net vall area above Sloor ! Z.D.O ~
g. Total rim Joist aren 3
, Totsl exposed foi:ndntion arca = 7Z., T
h. Total foundetion vindov,a:ee ~ J
^ i. Total net foundation a-ea above Rrade t-2(o,/e ~
~ . Detenrine "U" value o: each vall ,egment.
a. Z X„~„ Q. ~'?'2 - 8 7, 4g-
b. 38, ~ 1 X,~U~~ 4.13~ = 5,34
- C. -79•~~- X „u„ Zs.se ~
d. 2T X„~„
e. _ ~ l f, x.~~u- Qr oc; q _ 17r a
r. 1 %7-o,n4., x.,U,. . 0.04 3
. g. 8 XI't,"
h. x„U., _-7. 2t
X„U„ 7- q3
3. .r~~.~~
~ l
If item N3 is the same as, or les^ :.}i:,n ite:a 111, you havc met the intent
of sBC 6006(c)2.
Total exposed roof/ceilinc area
~ - . . . . -
Total gross rool'/ceilinp are:i =
J. Total skylieht area _ q
k. Total roof/ceiling framing area / .
1. Total net insulated roof/ceilinF area D . _ •
Determine "U" value for clch ruof/cci I ini; acgmcnt.
J. x IlUli
.
k: X„u„ o, 027
I i7, g7
1. /0 61~~ 5S X„U., o, a2z = 23,3 u . Total
,
~ r
' If total oP N4 is the same as, or less than N2, you have met the intent of
ssc 6oo6(c)i. . .
To utilize the total envelope system method, the values establiahed by the
sum of iteas N3 and d4 shall not be greater.thkn the sum of iten:s N1 and A2.
l, + 2.
' • 3•, + b. _
, . .
•
0
_ . o °
.=VAI,U~ GAl-GI.I{.ATIDI~ ~GcNT).
-MAML WAU. G~ IN~t-I~ATI~N
LOMPONt,%rI-F7 . - . R-VALUE
oaq;EIvE AIF- FiL.M
r
-h~ o,b 2 -
3
- ~ `G L51~E PofL ~ILN1, _.__O;Co b -
~ G
• Z 3 . o I -
Rrc(~~~
-fFAM9 WAu. G -S~JVD .
LoMPaNj55NTS ~ . : F--VAI,U5
" I
2
~
'J 3 3
4 4- -17, D hJ).fD (FP~,M Y4) - `l --1$ . -
Cl 1r~105 Mg- RLAt. -
~ ~T~r~:=_-I I• I c~-
- pl.l~N- vlekt.
~L
=Z~om P~. ~~U+= (0.12 X 0.0m) t(o,Sb X o.043~ = O• 04-7
i -
Q ~?.~~,ul., ---(~~-o
,
~ ~ 3 ~ ~j..-kl~.-~j~M• °:~`I
~ ' r ? _
,
/ 4 O _ ~fl• -5.-0 - j 0,8~,
.
~
30 T'LL~~• P~l.~.
~ ~ ~ . C:
~
_~~I~ ~ a•~~
O. 0a-
r;
~
-o~\"1---
-
~ = 0, 027
f • ,
0 F-1L=M=
= D.022
a
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA111571
Date Issued:07/01/2013
Permit Category:ePermit
Site Address: 3942 Thames Ave
Lot:13 Block: 2 Addition: Coventry Pass
PID:10-18400-02-130
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Window or Door:Door
Joanne Burr
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Cynthia A Glewwe
3942 Thames Ave
Eagan MN 55123
Window Concepts MN
291 Eva St
St Paul MN 55107
(651) 905-0105
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA154430
Date Issued:03/21/2019
Permit Category:ePermit
Site Address: 3942 Thames Ave
Lot:13 Block: 2 Addition: Coventry Pass
PID:10-18400-02-130
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
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 -
Samuel Stevens
3942 Thames Ave
Eagan MN 55123
(651) 434-9152
Boys Mechanical Inc
490 Villaume Ave, Suite 300
South St. Paul MN 55075
(651) 340-5956
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA157624
Date Issued:08/29/2019
Permit Category:ePermit
Site Address: 3942 Thames Ave
Lot:13 Block: 2 Addition: Coventry Pass
PID:10-18400-02-130
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Samuel Stevens
3942 Thames Ave
Eagan MN 55123
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA165268
Date Issued:10/26/2020
Permit Category:ePermit
Site Address: 3942 Thames Ave
Lot:13 Block: 2 Addition: Coventry Pass
PID:10-18400-02-130
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 -
Samuel Stevens
3942 Thames Ave
Eagan MN 55123
(651) 434-9155
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:Building
Permit Number:EA170195
Date Issued:06/23/2021
Permit Category:ePermit
Site Address: 3942 Thames Ave
Lot:13 Block: 2 Addition: Coventry Pass
PID:10-18400-02-130
Use:
Description:
Sub Type:Siding & Windows/Doors
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of house wrap and leave on site for 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.
Valuation: 10,000.00
Fee Summary:BL - Base Fee $10K $191.75 0801.4085
Surcharge - Based on Valuation $10K $5.00 9001.2195
$196.75 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 -
Samuel Stevens
3942 Thames Ave
Eagan MN 55123
(651) 434-9152
Strole & Company Llc
160 Prospect Blvd
St Paul MN 55107
(612) 636-7056
Applicant/Permitee: Signature Issued By: Signature