3950 Thames Ave ~.~t-.r , , . . . . .
; INSPECTION RECORD
~ 'CIV OF EAGAN PERMIT TYPE•
, 3830 Pilot Knob Road Permit Number. ~
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675 '
SITE ADDRESS: l„, APPLICANT:
i IlrlH r qvt t rir I 1I1;,
~
~ PERMIT SUBTYPE: TYPE OF WORK:
IJ
INSPECTION .A • • ~
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- - - - - - - - - - - - - - - - - -
l
pennk No. Permft Holder Date Telephorre N I
' SNV
. PLUMBING
ra"
, I
HVAC
ELECT d 93 p°
ELECT Q~(~ I ~ • ~ / 9~ ~
Inspsction Qate Inap. Comments
Footingsl -10,/q3
Foundatan
Framing ~
Roofing
Rough Pibg. ~
Rough Htg. y
I Isul.
.
Freplace
Finel Htp.
Orsat Test
Fnal Plbg. Q^?S ~ Plbg. Inspector - Notify Plumber
Const. Meter
EngrJPian
Bldy. Final `
Deck Ftg.
I
Deck Final ~QS ~ piQ,w'I~6 _ I
I
wea fftia«S i
Pr. Disp. I
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w °
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C~';ert~~cate ~ccu~anc~
~~j o~ @~agan
. ~A of
TJti.s Certificate issued pursuant to the irquinenecrus of t?te Uniform Building Code
certifying that at du tinu of issuanct this stnrctune was in compliance with the various
oidinances of the Ciry r+egWutereg buildueg construction or use. For the followirig:
uw clooaecatkm: SF DW smg. Pmok No. 21671 '
o-UPOINCr Tyve R3/141 zoif" nbUict R 1 Type COUL VN
owm or audding IM RMTIIM 00 INC Ad&wn 5201 E RIVHt Ril, FRM[EY
B,n,ding Aeerem 3450 1t34ES AV= ,.,,q,;,y L15, OUVMM PASS
Buiving 0" ~
PU~`sT IN A CXMSPICUOUS PLACE I
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1993 MECHANICAL PERMTT (RESIDENTiAL)
CITY OF FAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMII,Y DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIltED FOR EACH UNTT.
- - - -
~ NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
DATE
FEES
HVAC: 0-100 M BTU $ 24.00
ADDITIONAL 50 M BTU 6.00
GAS OLJTLETS (MIhIMUM 1 C$3.00 EACH) 3•Z5~
ADD-ON/REh90DEL (EXISTING CONSTRUCI7oN) $ 15.00
STATE SURCHARGE .50
TOTAL
siTE AnDRESS:
OWNER NAME: TELEPHONE
INSTALLER:
e
ADDRESS:
CITY:~~'1\\e~ STATE: ZIP CODE: -1
TELEPHONE ~a~`~ \\\o\o
SIGNATURE OF PERMITTEE
. ,
~:i',t'K~USE l)NLY
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1993 MECHANICAL PERMIT (CObL144III2CIAL)
CTfY OF EAGAN
3830 PIIAT KNOB RD
FAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL COMMERCLAL/INDUSTRIAL BUILDWGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR 07HER MULTI-FAMII.Y BUILDINGS WHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNTT.
DATE: CONTRACT PRICE: $
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
1% OF CONTRACT FEE $
PROCESSED PIPIhG: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF FERMiT FEE.
TOTAL $
SI7'E ADDRESS:
OW1v`ER NAME: TELEPHONE
TENANT Ir'AME: (IMPROVEMENTS ONL1)
INSTALLER:
ADDRESS:
CITY: STATE: ZIP CODE:
TELEPHONE
SIGNATURE OF PERMITTEE CITY INSPECI'OR
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN -Is
3830 PILOT KNOB ROAD, EAGAN MN 55122
OE~ 651-675-5675
Please complete for modifications to existing residential dwellings.
Date ~ I Zc~ 1 ~
Site Street Address zx>q.S-0 A-VE_ ' Unit#
Property Owner 77f0l~" A-S Sc 0 L- S 0 ^A Id-' Telephone # ( 6 ' 6 ~7-q 2-`f
Contractor Telephone # ( )
Address City State Zip
The Applicant is: ~ Owner _ Contractor _Other
Alterations to existing dwelling $ 50.00
/~Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
_Water Turnaround (add $121.00 if a 5/8" meter is required)
Other.
Water Softener Water Heater $ 15.00
_ replacement _ additional
Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00
State Surcharge $ 50
Total $ 5~ - 'S--d
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
f 7/ ~ T- d c~ D~l
Applicant's Printed Name Appli anYs Si ature
Address 3950 1IU2ES AvEUE Zip 5512 3
Lot • L5 Blk 2 SUb COVEMY PASS
THESE ITEMS W$RE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: Yes No Inspecror:
Final grade (6" from siding) LZ
Permanent steps (garage)
Permanent steps (main entry) ?
Permanent driveway Vl""
Permanent gas ~
Sod/Seeded grass ~
TraiUwrb damage v
Porch ?
Basement finish
Deck
Plcase verify with the builder the removal of roof test caps from the plumbing system and Ihe shut-off of water supply to
the outside lawn faucet before freeze potential exisa.
Contact engineering division at 681-4645 before working in rightof-way or installing underground sprinkler sysrem. ~
White - City Copy Yeliow - Resident Copy Pink • Contractor Copy
s/ ra-
M_ 019 6 9
Requast Dale le No Foug n In pec0on NOTICE: Vou Musl Call EiecV¢al Inspecbr
S- ~ q_ q 3 Requi! tlP It A Rough-In Inspectwn
Ves ? No Is Requiretl
~licensed conlraclor ? owner hereby request inspechon oi above elecirical work at,
Job Atltlress (SVaet, Box or Rome No ) City
5 0
SecLOn No Township Name or No flange No.
Occ n1 (PRINT) Phone N.
Pawer Supplier Pddresa
? .
Elecincal GonVaqor (COmpany Name) Conhactor5 Licanse No.
MaAmg ntldress (COmractor or tMIMn9~IMIC. INC. CA00381
37004225TH ST. W.. F(iTN., MN 66Q2t
Authonxe0 SignaWre (COnVector er Making I allation) Phone Number
MINNESOTA STATE BOAflD OF ELECTRICRY / TNIS INSPECTION FEOUEST WILL NOT
Gdgga-Mltlway Bldg. - Hoom S473 BE FCCEPTED BV THE STATE BOARD
1821 Unlversity Ave., SL Paul, MN 55104 /UNLESS PFOPER INSPECTION FEE IS
Vhone(612)69Y-0B00 ENCLOSED.
~ EB0000~-08
REQUEST FOR ELECTRICAL INSPECTION
7 S. ins WClions br complevmg Nis torm on back ol yellow copy
M~)1969 X" Bcfaw Wdrk Covered by This Request
e ACA Rep. TypeoBmltling AppliancesWuetl EquipmeniWired
Home Range Temporary Service
Duplex Waler Heater Electric Heahng
Apt. Building Dryer Load Managemem
Comm./Industnal Furnace Other (Specify)
Farm Air Condi6oner
Olher(spectly) Contractor§ Remarks
Compufe Inspection Fee Below:
# Other Fee # ServiceEnirence Size Fee # Circwts/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 700 _ Amps
Signs Insoector4 Use Onry. TOTAL
Irrigation Booms ^
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE R ED CONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONT
I, the Electncal Inspector, hereby RO1qn-'" Dala
certify that the above inspection has Fnal
been made.
OFFICE USE ONLY
This re0uesl vaitl 18 monihs Imm
M/50206~~s~,~- ~o~~ P Xa
s(~2 9 ~
Fepuesl Date ve No Rouqh-m I twn NOTICE: You Musl Cell Electnc papeciar
Reqwred'+ If A Faughln I spe
2 3 Yes ? No Is Requi 79 / Q9
I licensed coniractor ? owner hereby request mspection of above el trical o'r -
Job Atltlress (Streei. Box or Route N City ~
Seclron Na Township Name or No Range No Co
Occupan (PPINT) PMne No
Power S lier ~ Atltlrew
i
Elecmcal Comraaor (COmpany Name) Contrector5 License No
MailingAtltlress(CqnV~~IESerfte~~jGm'NC. CA0038'
S1M,225TH $T. W., F(3TN., MN 55M
Authorize0 Signalore ~ n er in9 Installahon) Phone Number
Wad
MINNESOTA STATE BOARD OF ELECTRICRY THIS INSPECTION REOUEST WILL NOT
GriggsMiEway Blag. - Room 5113 BE ACCEPTED BV THE STATE BOARD
1841 UmversHy Ave., SL Peul, MN 551D0 UNLESS PROPER INSPECTION FEE IS
Phom (612) 641-0800 ENCLOSEO.
C~~Jt'/~~ REQUEST~FOR ELECTRICAL INSPECTION
? See mslructions for chmpla0ng this lorm on Oack ol yellow wpy.
M 0 2 0 7 6 ~`X" 8 ow Work Covered by This Request /?o( j
ew Add Rep. 7ypeolBUilding AppliancesWiretl Equipmentwired
Home Range Temporary Service
• Duplex Water Heater Electric Heating
Apt. Butldmg Dryer Loatl Mana9ement
Comm./Indusinal Fumace Other (Specity)
• Farm Air Condrtioner
Ofier (speaty~ Conlractor5 RemaMs
Compute Inspection Fee Below:
# Other Fee # ServiceEntranceSae Fee # Cirwtls/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transtormers Above 200 _ Amps ' :00 _ Amps
SigllS lnspector5 Usa Onry: ~ TOTAL
Irrigation BoOms r
Special Inspection lO/QL P?•Jv r~ m ~rq
Alarm/Communication THIS INSTALLATION MAY RD DISC~TED IF NOT
Other Fee COMPLETED WITHIN 18 HS.
I, the Elecirical Inspector, hereby Rough-in • r oala
certify that Ihe above inspection has Fi„ai qen
l
been made. °/I
OFFlCE USE ONLV
This request witl 18 months Irom
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWCGon Reouirements RemodellReuair Reauirements Office Use OnN
3 registered site surveys showing sq. R of lot sq. ft of house; and all roofed areas 2 coDies of plan CeA of Survey Recd; Y_N
(20%maximumbtcoverageallowed) lsetofEnergyCalculationsforheatedaddNOns SreePmsPlariReod'.:,-:-;,;_Y _N.
2 copies of plan showing beam 8 window sizes; poured Pound design, eic. 1 sRe survey for addiUons 8 decks Tr@e_Pres Required~, :-_Y, N
lsetofEnergyCalculations Addifion-indkateilon-s8esepticsystem D_n_-siteSeptlaSys_tem;~L,, ' .Y-_N
3 copies of Tree Preservafi~on PWn H lot platted aker 711/93
Rim Joist Defail OpUons selection sheet (bldgs wiN 3 or less uni5
p~ C!J
Date Construction Cost /Z 000
Site Address CV 72M r wf--s /~Y~ ' UniUSte #
Descriptioo otR'ork ~t r~j i'S 0"'J "vL L-L--"V
Multi-Family Bldg _ YX N Fireplace(s) X 0 _ 1 _ 2
d- Tete hone #6r - 6k7 - y '~y 9
Properry Owner P ~ )
S n~ . S-G ' O_.•r'L
Contractor
Address Ci4'
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Tviinnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category , Residentlal Ventilatlon Category 7 Worksheet • New Energy Code Worksheel
(Jsubmissiontype) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar pianZ _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber ~ ~ ~ ~ u ~ Telephone )
Mechanical Contractor ~~N 2 S 2004 Telephone ~
Sewer/Water Contractor Tetephone )
I hereby apply for a Residential Building Permit and aclrnowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval ofplans.
Vo M .3-, O L- S L) ,I pl""1
ApplicanYs Printed Name App canYs Sign e
OFFICE USE ONLY
Sub Types
? 01 Foundation O 07 05-plex ? 13 16-plex ? 20 Poot ? 30 Accessory Bldg
O 02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn.(4-sea.) ? 33 EM. Alt- SF
? 04 02-plex ? 10 OS-plex 0 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex 19 Lower Level ? 24 Stortn Damage
? 06 04-plex O 12 12-plex PIbg)(Y or_ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 36 Demolish Interior ? 44 Siding
O, 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
~ 33 Alteration ? 37 Demolish Building• ? 43 Reroof 0 46 Windows/Doors
? 34 Replacement •DemollUon (Entlre Bldg) - Give PCA handout to applicant
Valuation '~GC) U Occupancy - ; MCES System
Census Code LJ"%'-) CF Zoning City Water
SAC Units ~ Stories Booster Pump
# of Units ~ Sq. Ft. PRV
# of Bldgs / Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) Final/C.O.
_ Footings (deck) ~ FinaUNo C.O.
_ Footings (addi[ion) Ir Plumbing
Foundation 1K HVAC
Drain Tile Olher
Roof Ice & Wa[er Final Pool Ftgs AidGas Tes[s Final
-Ir Framing _ Siding _ S[ucco _ Stone _ Brick
_ Fireplace _ R.I. _ AirTest _ Final _ Windows
v Insula[ion _ Retaining Wall
Approved By: ha 4~~'J Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit 8 Surcharge
Treatment Plant
License Search
Copies
Other
Total
RESIDENTIAL
BUILDING PERMIT APPLICATION v
~ CITY OF EAGAN
3830 PILOT NNOB RD, EAGAN MN 55122
651-681-4675
New Conslruclion Raauiremenb RemodellReoair Renuirements
• J registereE stle surveys showing sa. R, of lol, sq. ft. ol house; and all roofed areas • 2 copies of plan
(20%mavimum lat coveraqe ailowetl) . 1 set of Energy Calculabons for healetl aCCrtions
• 2 copies of plan showing beam d window sizes: poured found desyn, etc.) . 1 srte survey for zxter.or aaditions d tlecks
• 1 set of Energy Calculations . Intlicate if home senetl by se0tic system for additions
• 3 copies of Tree Preservalion Plan d lot Dlatted afler 111193
• Rim Jaist Detad ODtions selecuon sheet (61Cgs with 3 or less units)
DATE ~
VALUATION L'ow ~
SITE ADDRESS YYI-02S MULTI-FAMILY BLDG _ Y _ N
TYPE OF WORK a~e..v 00~_ ()-k-, FIREPLACE(S) _ 0_ 1_ 2
APPLICANT ~D1~ C2J2~SGv~ &~J~f UCSI"QA~ . r
STREETADDRE55 ~7CIU 1"`ll-G-,Sc' /uLCITY J",~~'~ STATEMIP5SY3-
TELEPHONE #:-26; } ~ZW CELI PHONE # FAX #
PROPERTYOWNER OkSuyti TELEPHONE#
COMPLETE THIS SECTION POR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ NIINYLtiOTA RCL1:S 7670 C:l"I'EGQI21' I MI\ VE50"t':\ RL'L1:5 itiJ?
(,J submission type) • Residential VenGlaUOn Calegory 1`Norksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope CalculaUons Submitted
Plumbing Contractor: Phonc ;
Pl.iimbing sys[cm includes: Water Soltener _ Lawn Sprinl:ler Fee: $90.00
Water Heater _ No. of R.I. Baths
_ No. of Qaths t
Mechanical Contractor: Phone #
N[cct~ uiicail systcm includcs: .air Condiuoning - Fcr. 570.00
Hcat Rccovcn' Scstcm
Sewer/Water Contractor: Phone #
I hereby acknowledge that I have read this application, state at the information is correct, and agree to comply
with all applicable Sfate of Minnesota Statutes and City of Eag Ordinances.
Slgnature of Applicanf
----°"----------.__.-----'-"---^---•--c
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Uptlatetl a102
OFFICE USE ONLY ? Oi Foundatiun ? 07 OS-plex ? 13 lo-plex ? 20 Pool ? 30 Accessory Bldg
O 02 SF Dwelling ? 08 06-plex ? 76 Firepiace ? 21 Porch (3-sea.) ? 37 Ext. Alt - titulti
? 03 0 1 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. AIt - SF
? Oa 02-piex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 tifulti
0 OS 03-plex ? 71 10-plex ? 19 Lower level ? 24 Storm Damage
? 06 04•plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 37 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
0 32 Addition 0 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 AlteraUOn ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 V'Jindows/Doors
? 34 Replacement •Damolition (Entire Bldg only) • Give PCA handout to applicant
Valuation Occupancy MCIES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinkiered
Type of Const Width
REQUIRED INSPECTIONS
_ Foocings (new blde) _ FinaUC.O.
_ Footings (deck) _ Final/h`o C.O.
_ Foo[ings (addition) _ Plumbing
Foundati on H V qC
Drain Tile Other
Roof _ Ice S Water _ Final _ Poo! _ Ftgs _ AiriGas Teses _ Final
_ Framing _ Sidin; Smcco Swne
_ Fireplace _ R.L _ Air Test _ Final _ Windows (new/repfacement)
_ [nsulation _ Retaining Wall
Approved By Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
W ater Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
license Search
Copies
Other
To ta I
PERMIT ~,~u-~5
~ CITY OF EAGAN -93
3830 Pilot Knob Road PERMITTYPE: BUILDING
Eagan, Minnesota 55123 Pertnit Number: 021671
(612) 681-4675 Date Issued: 8 8/ 0 9/ 9 3
SITE ADDRESS:
3950 THAMES AVE
LOT: 15 BLOCK: 2
COVENTRY PA3S
DESCRIPTION:
Building_Permit Type SF DWG
Building 41ork Type NEW
UBC Occupancy~ R-3 M-1
~ Construction Type V-N
~Zoning ~ R-1
Building Length ~ 58
Building Width . 34
REMARKS:
S& W PLBR - VALLEY PIBG
FEE SUMMARY
VALUATION $142,000
8ase Fee $786.50 MISCELLHNEOUS $1,744.50
Plan Review $511.23 Total Fee $3,863.23
Surcharge $71.00
SAC $750.00
SAC % 100
SAC Units 1
Subtotal $2,118.73
CONTRACTOR: - APPlicant - ST. LIC. OWNER:
ROTTLUND CO ZNC, THE 15710304 0001335 THE ROTTLUND CO INC
5201 E RIVER RD 5201 E RIVER RD 301
FRIDLEY MN 55421 FRIDLEY MN 55421
(612) 571-0304 (612)571-0304
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.
L
J
APPLICANT/PERM T SIGNATURE 1-49SUED BY..AIGNATYITE
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: BusLozNs
3830 Pilot Knob Road Permit Number: 021671
Eagan, Minnesota 55123 Date Issued: 0 8/ 0 9/ 9 3
(612) 681-4675
SITE ADDRESS: LoT : 15 B L 0 C K: 2 APPLICANT:
3950 THAMES AVE ROTTLUND CO INC, THE
COVENTRY AASS (612) 571-0304
PERMt oW~ BTYPE: TYPE OF WORK: NEw
INSPECTION D, .
FOOTING FRAMING
INSULATION FINAL
FIREPLACE
REMARKS: S& W PLBR - VALLEY PLBG
~
- ~
REALTIVATE \ CITY OF EAGAN
PER,MIT 0~ ED 1993 BUILDING PERMITAPPLICATION
V+~~'
itel-I 3 0 1993 681-4675
ro d;~ L
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural 6 structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month•
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date -7. Valuation of work 3
Site Address: ,Q-LrQ-
STREET SUITE 0
Tenant Name: (commercial only) 1Qo+-+IuVA CO. T:hc•
IAT ~ S BLOCK 2 SUBD. P.I.D. M
V 2h'hf a
Descri tion of work: lThe applicant is: Owner Contractor ? Other (Descri6e)
Name~~ LdLlu,.,.A Phone57/-o30
Property LAST FIRST
.Owner qddress GiZd E- 12i Vef #-`30/
sraeer sre r
City EEP~4W State ~AA Zip T .ry~
Company Sc,w-~ Phone
Contractor Address License # 1335 Exp?-31'4
City State ~ Zip
Company A~~-~-- Phone
Architect/
Eng(neer Name Registration N
Address
City State Zip
Sewer 8 water licensed plumber ' Processing time for
sewer & water permits is two days once atea-Kks been approve
I hereby acknowledge that I have read this application and tate that the information is
correct and agree to comply with all applicable State of innesota Statutes and City of
Eagan Ordinances.
Signature of Applicant: A~r
_ u
. '
OFFICE USE ONLY ,
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging 0 16~Basgment Fi,nish
~ 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. O 17 Swim Pool
03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comn./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace 13 19 Comm./Ind. Misc.
? OS SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
0'31 New ? 33 Alterations O 35 Tenant Finish ? 31 Demolish
? 32 Addition 13 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) v- N Basement sq. ft. MWLC System `(es
(Allowable) v-N lst F1. sq. ft. Gity Mater ,rE-s
UBC Occupancy R_3 M_I 2nd F1. sq. ft. PRV Required
Zoning R_1 Sq. Ft. total Booster Pump
M of Stories Footprint Sq. ft. Fire Sprinkler
Length -3-S7-- On-site well Census Code Tvi
Depth 3t4 , On-site sewage SAC Code oi
APPROVALS ~
i
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS '
? Site O Footing 0 Framing ? Insulation
? Wallboard ? Final 0 Draintile ? Fireplace
Permi t Fee v.imc;a,: $ lq2 ovo
Surcharge
Plan Review G'A?~~6'~ x2~ = 630
License
CWty SAC 6SMT; z; ~6 ~ 9~760
Water Conn. 28x,2$ = rlg4 .
Water Meter
Acct. Deposit 14kao = 2go
S/W Permit '
S/W Surcharge 1064 XIS= IS,9 60
Treatment Pl. Isr Fwo2;
Road Unit
Park Ded. ~-o q
Trails Ded
Copies .
Other ~y~
Total: r
zUD TWD12 ,
SAC % ~UC) Isr rt= lo-I N ~.~'~I~ 57,c/`16
SAC Units
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, Pioneer Eneineerins 7SS1823 P•132
2422 Enlcrprise Drive
Mendotc Hcighls, MN 55120
(612) 681-1914•Fox 681-9488
~AND SUH`ZORAS
* PIONEER
PIµNERS • w'+75c~AE ARCniTECis 625 Hiyhway 10 Nort~'ccst
~ engineermg Blolne, MN 55434
* * I(612) 783-1880•Fax 783-1883
Certificate of survey for: The Rottlund Companv InC.
House Address: , Thames Avenue Eaqon. MN_
Model Name: Hompton
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. 900.0 Denotes Existing Elevation PROPOSED HOUSE ELEVATION
M oo.o Denotes Proposed Elevation Lowest Floor Efevation:871 35
Denotes Droinage & Utillty Easement 7op of Block Elevation:879.46
Denotes Drainage Flow Direction Garage Slab Elevotion:879.13
~ Denotes Monument
Denotes Offset Hub Bearings shown are assumed
LOT 15, BLOCK 2 COVENTRY PASS
DAKOTA COUNlY, MINNESOTA
I Aereby cer[ily that Ohis survey, plan or raDorc was Dr¢ red Dy mc r under my direct ;upervlslon enC ihai I am duly Rcql,icrcd LanA Surveyor i
under the laws ot che State ot Minnssoq. Dated chis aY ol _ A.D. 19
~j
C(`(lIC' 1 auh= -~n feek p(1n_ TP..iKICH ..~EC~.N0.1~89] ,
LOT BDRVEY CHECRLZ6T FOR RESZDENTIAL
~ BUILDING PERMIT APPLICATION
m
pROPERTY LEOAL: LOT IS 61-OGK Z CpJF~) i fLY P{F'SS
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~Dnte of Survey. 7-L7 -9 3
~ DOCUMENT BTANDARDS
0 : Registered Land Surveyor siqnature and company
? 0 Building Permit Applicant
0 ? Legal description
0 0 0 • Address
1 0 0 • North arrow and bar scale
¦ 00 • House type (rambler, walkout, split w/o, split entry,
lookout, etc.)
• Directional drainage arrows with slope/gradient
0 0 0 • Proposed/existing sewer and water services
~ 0 0 : Street name
0 0 Driveway
ELEVATIONB
Existing
? 0 ? • Sewer service
/ 0 ? • Lot corners
¦ 0 0 • Top of curb at the driveway
0 • Elevations of any existing adjacent homes
Procosed
~
? ? • Garage floor
0 D • First floor
0 ~ • Lowest exposed elevation (walkout/window)
0 ? • Property cornezs
? 0 • Front and rear of home at the foundation
ONDING AREAS if a licable
? 0 0 • Easement line
0 0 0 • NwL
o ? o • xwL
0 ? 0 • Pond # designation
0 0 0 • Emergency Overflow Elevation
pIKENBIONB
~ 0 ? • Lot lines
~ 0 D • Right-of-way and street width (to back of curb)
0 0 • Proposed home dimensions including any proposed decks,
overhangs greater than 21, porches, etc.: (i.e.. all
structures requiring permanent footings)
? 0? • Show all easements of record and any City utilities within
those easements
D 0? • Setbacks of proposed structure and setback of adjacent
existing homes
? 0 0 • Retaining wall re irements, if any
Reviewed• Z
Name / Date
October 1992
• ~ 7'HE {lfFMPToN .
F'trer,ren t•:Nvr•.r,rn•r. ncr•i;nr,t: ^u" c:urrs~u•rr,•rin~t
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cctrTIRAc;o; ~DT; LUNO --.a ,
DATc PHONE
Detez-iin vorkini; square footnil.c of ench.
1. iotal er.pcsed vall aren. 2(0-75r. 2 sR. ft. x 0.11 _ 2cf4, Z
• 2. Total roof/ceiling area /L? (0+ S;", rt. x 6.X6
• ~
iotal exposed vntl arel nbove.floor = 2675 • L
a. Total vall vindov area . . , 7
. b. TotaZ door area ---=--71 ~
c. Tota1 slidir.g glnse door area
d. Total fireplece vall area 14 7
e. Tota1 vall ;raming area (average 10e)
f. Total net vell aren nbove floor 2 ~
: 2Z.C ~
• g. Total rim Joist aren .
Total eaposed foundation Rrva
h. Total fovndc•+ "
.._on vindov a:ce . ,
i• To'lal net fo:Lndation a-ea above Fr.ade
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or ssc 6006(c)2..
Totnl ecposed roof/ceilinr aren = ID ~
Totel gross roof/cciling arca
J. Total skylifht area
k. Total roof/ceiling framing arei ~O
1. Total net insulaLed roof/ceilinti area 7. 44
Deteraine "U" vnlue for cncli ruof/cei 1 int; Scgment.
X nUn _ .
_ i
k: X„u„ o. a 27
1. 9y7, C~ x„~,. p. a 2 Z = Z l,.o~~ .
a . Tocal ' Z 3 ,9 • a,~
If total oP N4 is the same as, or less than N2, you have met t1ie intent of
SBC 6oo6(c)1. .
To utilize the total envelope systec method, the values establi;hed by the
sun of items N3 and N4 ehall not be sreater.thKn the sum of iten:s R1 and N2.
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COCIi_IIVG 1 S6F, I 604 ~ E320 ; 739 i G ~ V I 0 ~ 2, 79£3 i
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UOORS (VdFil"H SCJ[i"fFi EA:i1' 4fE£i'i tJl:./IVW ,o ''!i /SW TD7AL
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MIFiL'EI.LANE:OI.I;i C:i:iCJL]N(:s LC7AG::
Prauple fienbat7lcr Load 1l5 i~•,..___.___...._-LatenY...l.c,r.cA 6.995
Lly.`it!:. R< App1. Lc,aa 1,195 Latent Saiety Ftuti 356
VL-n'tilatiQii l_oau' S,E,*(>
Uimt F1eat tiain G
Tn4:ltr~tirv-~ Loat! 4:9
:,OnsiGle Safeky &tuh 1 ,3.56
TF77AL SakIVSTHLE. LORD 24}4H:i 101'HL tAl"El`!- LUf3IJ 7.345
Summear- /aL"W 0. 06 1'emp. Swing PILiIt. x.U0
Tot.al Ccolirig Loitd 51.8:17 bTllH ?r 2.6S 'fc,r,ss #~t~k
MTS'L'Et_L_Fltd[:C}lJS HEFa7?'IVG '_QF.P9
lnfi.l.tratian L.oad 5, 1Jr=..".__.._.__---•-Ventilati.or toad 9,900
I.`ij[:'t Heat Loss V 8afety IItuti 2,876
Winter Al,H 0 .7:"
x~* 'Total. HNating L.orrd 64.3,4'7 kitU4
M A P. - 2- 19Z T U E 9= Q 3 F L A R E H T G A C.
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WE't Bu:lb 75 bY
Da21y Ftnnga 22 f)ally Swi.n, ~.A
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tiame Dl"ilH C;FrI BS"lSH CFrt
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!kia:,E+RiEi11t i',6fi:; 19U ~ 1, 2.8Es b:;
t:ravtl 9pace 1,474 49 18E 9
Ac,,,c r 0,907 58 1.294 b:i
Livinp Rnorn 0.50I 49 2,695 Sab
Oin.inp Rs7arn l.881 :?S :1.+72V ~'t'
F',itchen 11,592 162 3,886 196
Dir,ette 2,]S2 :1 lt9:t:i 97 Family FCUUrn 5,253 77 3sy3E3 199
&E?dYDOm a 2,465 ;54 1,238 63
BQdreom 2 2'85'o 40 1,E347 93
erd; c,om 3 2&05 al 1,174 59
Upper both 1,081 15 627 32
rl~ot[•Y' Blt.h 1:..125 Srr3 G00 45
M,-s}c-r Ftadroom °i,04.• 71 2,45i3 124
60r '1i'7 ---54;7 24,48.°i 1 ~2w6
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1993 PLUMBING PERMIT (RESIDEIVT'IAL)
CITY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIFtED FOR EACH UNTf.
- - - - - - -
NO. k'IXTURES EACH TOTAL
I SHOWER 3•00 3
3 WATER CLOSET 3•00
BATH TUB 3.00 ~ ~ -
LAVATORY 3 ~
KITCHEN SINK
LAUNDRY TRAY 3.00 3 -
HOT TUB/SPA 3•00
I WATER HEATER 3.00 5-
+ FLOOR DRAIN 3•00 T=
GAS PIPING O=ET • minimum - 1 3.00
ROUGH OPENINGS 1.50
WATER SOFTENER 5•00
PRIVATE DISP. • Dak.Cty, lic. 15.00
U.G. SPRINKLER • eome unaer oonst. 3•00
ALTERATIONS • io adsiing 15•~
WATER TURN AROUND 15.00
STATE SURCHARGE .50
TOTAL:
STTE ADDRESS:
OWNER NAME: ~ n ~A
INSTALLER:
ADDRESS: ~ n l C a° e E~ L-
CTTY: STATE: ZIP CODE:
PHONE ( ) `~'1 a' a{ a l
SIGNATURE OF PERMITTEE
. ,
;C7SE ,QNLY
~C(<~~1
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.:..:::e : "n::.... ~fA<~ ? °4.. .aS..n.A ":S..c.a..
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...,$L
,y. ........:::::..._...,.....;..,,.,.,.._............,....~:.s,..S,.., .,u;ez: ;ii:s>~~or:o;d:•':
:....~...,.:...:.3 v s, ~ , rr:..: ,..a . r r ...n r,,.. . . .i;nc,:n
, . s....... ..-.i.;~_.:,_... .._.K..:. i s<....,,.:..:_:>c..~~ . c..x•i<xg,>_.a:~.,,..~.a;:.~e2~::..,.w.w:^'•t~'~'9.^x,~:::.~f;~'.~..»iS'.:i;;5:~'r'^i~x~s,;: ;
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. • .......:.:.ro-....~e: _..s,:..........,..a.~c'..~.....~.;,.w.
.....r.,. .S.g.....~...r. e:S:t..:3.E:.~ ,p~.:~............E..yy•.,.e:.s6:~~...~L.y..?'~("~.>.;~~<iS`o ~f,,-rv ;i:~i'3.3~:;::?s'~:::~i:i".
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1993 PLUMBING PERMIT (COD'MERCIAL)
CITY OF EAGAN
3830 PIIAT IINOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL CONIIvIERCIAUINDUSTRIAL BUILDINGS. ALSO FOR MULTI-
FAMILY BUIT-DINGS WHEN SEPARATE PERMITS ARE NOT REQUIItED FOR EACH
DWELLING L"; iT.
_ NEW CONSTRUCfION
ADD ON
REPAIR
WORK DESCRIPTION:
CONTTL4CT PRICE: $
FEE: l% OF COhTRACf FEE.
STATE SURCHARGE $.50 FOR FACH $1,000 OF P£RMPf FEE
MINIMUM FEE: S 25.00
CONTRACT PRICE X 1% a
STATESURCHARGE a
TOTAL $
SITE ADDRESS:
T'ENANT NAA4E: STE. #
OWIr'ER NAA4E:
INSTALLER:
ADDRESS:
CI7Y: STATE: ZIP CODE:
PHOr'E
FOR:
CI7'}' OF EAGAN APPLICANT
PLUMBING (RESIDENTIAL)
Permit Application 4~d Q ~
City OfEagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please complete foc Single Family Dwellinas
Townhomes and Condos when permits are required for each unit
Datc-70./ 0 3
Sitc Address 3 qi-o Unit ~
G'
Property Owner L G/~ S S- CY..S Jr1 Telephone 6~') - 6~~'" ~I Z-y9
Contractor F ,1--
Address ~ 1MW State e#
The Applicant is \X Owner _ Contractor _ Other
Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00
Includes County fee. Additional consultant fees may apply,
Alterations To Existing Dwelling Unit, Including $ 50.00
_ Adding fixtures to lower levels or room additions, excluding water softener and water heater
_ Abandonment of septic system
_ Water turnaround 5/8" meter if needed -$121.00)
Other:
_ RPZ _ new installation _ repair _ rebuild $ 30.00
x Lawn irrigation system ^
_ Water softener _ Water heater $ 15.00
- " F
_ replacement _ additional , •
$ 50
Statc Surchargc .
Total d~1 S go ~
1 hereby apply for a Residential Plumbing Permi[ and acknowledge tha[ [he information is complele and accurate; [ha[ [he woik will
be in conformance with [he ordinances and codes of [he City of Eagan and with [he Plumbing Codes, [hat I understand this it noi ;i
permit, but only an application for a permit, and work is not to start without a permit; Ihat the work will re in accordance wiih ihc
approved plan in the case of work which requires a review and approval of plans.
Trlv M4S J-- OL SoJ
~
Applicant's Printed Name Appli nt's Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA165727
Date Issued:11/17/2020
Permit Category:ePermit
Site Address: 3950 Thames Ave
Lot:15 Block: 2 Addition: Coventry Pass
PID:10-18400-02-150
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
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 -
Colin C Buddecke
3950 Thames Ave
Eagan MN 55123--390
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:Mechanical
Permit Number:EA177211
Date Issued:06/21/2022
Permit Category:ePermit
Site Address: 3950 Thames Ave
Lot:15 Block: 2 Addition: Coventry Pass
PID:10-18400-02-150
Use:
Description:
Sub Type:Air Conditioner
Work Type:Replace
Description:
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
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 -
Colin C Buddecke
3950 Thames Ave
Eagan MN 55123--390
(651) 356-5945
Sedgwick Heating & Air Conditioning
1240 Trapp Road, Suite A
Eagan MN 55121
(952) 881-9000
Applicant/Permitee: Signature Issued By: Signature