600 Thames CirPERMIT
City of Eagan Permit Type:Building
Permit Number:EA128891
Date Issued:12/12/2014
Permit Category:ePermit
Site Address: 600 Thames Cir
Lot:9 Block: 3 Addition: Coventry Pass
PID:10-18400-03-090
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
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 -
Thamar M Lewis
600 Thames Cir
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(130) 651-2644 X777
Applicant/Permitee: Signature Issued By: Signature
~ ~ INSPECTION REC~RD~~~,,, , r,,,
CITY OF EAGAN PERMIT TYPE: i i~?
3830 Pilot Knob Road Permit Number. ~ f ~
Eagan, Minnesota 55122-1897 Date Issued: j
(612) 681-4675
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SITE.ADDRESS: ~ + ~ ~ APPUCANT:
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PEF~~II,T; SUBTYPE: TYPE ~F WORK: ~ ~
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Permit No. Permit Holder Date Telephone N
ELECTRIC ~ry;
N
PLUMBING
HVAC I
Inspection Date insp. Comments I
FOOTINGS r
FOUND ~
FRAMING I
ROOFING ~ ~ ~ I
/
ROUGH ~ , - l' ~ I
PLUMBING [r~~
AIR TEST IrI~ OIL I~/ (~j(/ S/'~T~?
ROUGH ~
HEATING
GAS SVC N7~ ~ ~~~N~~~N ~N/~M
TEST !~'IySr -T~1~,~~C~
aF y}~ ,?~m a~ ~ /~v
INSUL s/DE•
GYPBOARD ~
FIREPLACE b~ I
FIREPLACE ~e' I
AIR TEST
FINAL PLBG
I FINAL HTG
ORSAT
TEST
RLDG FINAI
i3SMT R.I.
~ i3SMT FINAI I I
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; . . INSPECTION RECORD I
' 'CITY OF EAGAN PERMIT TYPE: ~ ~'t
j 3830 Pilot Khob Road Permit Number: ~g
Eagan, Minnesota 55123 Date I ssued: ! t~ 1?~~?
{6 i 2) 681-4675
' SITE ADQRESS: ~ n~ ~ g ~t~r_ t, ,~i APPUCANT:
F+~!• 7 F~AMC it THE irf)l TLUIIt~ GD [MC I
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~r~rurtuue~t~ of ~iu~tding ~rrtinn
TI~Is C~?if~Cate ~cwe~dPursrrant to rhe negrrinrmarts ojSer~ion 306 ojthe unlJonri Building
Code cer~j~isg tlie! at ~e t~ine ojirurunce this.slrrrct~re iuas lir cnnrp!la~e wftlF die rarlorcr
onGrta~rc~rs o~tbe C;}ty ne8ul~ir~8 b~r7dG~8 cnx~r~ario~ or us~ Fur the followtrtg.~
ur a.~,ao. eie~. Ie~mic xo. 179~
q~p~, 7~'o~e R3/M 1 7o~is~ oiuia R 1 7~p~ c,,.~. v~v
o,..a d~m.~ II~ IimTII~II~ID q0 INC 5201 E RIVHt RD. FRTrr1?Y
~;,,e ,ydd1et 600 I1iA~S R ~yb,L q~~.~ iT7VFNTTi'YP~PA.t4
/ 02/2k/93
eWw~e oe~u~^a
PosT ~ ~ coNS~cuous Puce
vK55 y5., -3 ~ io~~~~
~ ~`is
FeQUe t Date Fire No g in Inspection
' p q Rapw ? ~Featly Now p Will NoLty Inspecbr
^ 1 Z- es G No Wnen Ready7
I~' licensed corn~actor p owner hereby request inspection of above electrical work at
Ja0 AtlOress ISVeeI Bo. or qou No ~ City
O ~
SecLOn No Towns~i0 Name ar No Range No CourW~
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OcwDa t IPfiMT~ Ppone No
Power Syppller AtlGress
~Y )
v
Eletlnca om,acmr ICOmOany N e~ Cqnvector's L¢ense No
~ e Do3~(
Ma~hng Aenress iCOmracior o~ Owner Makmg Ins~alla~rory
Awlwr¢etl 9gnaWre iGOnuacto~~ ne~ Mak stalla~ionl PMna Number
~ 4~3- 381a
MINNESOtA STqTE BORRO OF ELE RICITV THIS INSPECTION REOUEST WILL NOT
Grlgqs~MlGway BICg - Poam &1]3 BE ACGEPTEO BY THE STATE BOARD
18I1 Universry Ave. SI. Peul. MN 5510< UNLE55 PROPER INSPECTION FEE IS
Phona~61])6<Y-~800 ENGLOSEO.
g~-- RE~UESTFOR ELECTRICAL INSPECTION x',=" ~~~G~
y,a
519 5~ See ms~mctmns Iw campleting I~is lorm on beck ol yellow mpy ~"SL'a ~i
- 'X" Below Work Covered by This Request ~~R~~ /
e Adtl Rep. TypeofBwlding AppliancesWired EquipmeniWired
Home Range Temporary Service
Duplez Water Heater Electric Heating
Apt. Builtling Dryer Other (Speciy)
Comm /Indusirial Furnace
Farm Air Condiuoner
O~her~syeoly) Conlractor's Remarks.
Compute Inspechon Fee Below:
a Oiher Fee # ServiceEniranceSize Fee N Qrcuifs/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
S~gns mspxmr's Use Onry. TOTAL
Irrigauon 6ooms /J;
q~ ,S S
I Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
~ Other Fee COMPIETED WITHIN 18 MONTMS.
I, the Electrical Inspector, hereby Ro~ym~~ oa~a
certity ihat the above inspection has F,,,ai ( oa~e `
been made. ~ ~ a(j'f
OFFICE USE JNLY C~~
This repuest vm0 18 monl~s Imm
5 7 ~/s~v~-_ E' /o
/y/ 9 3 ~ ~l~'
Requesi Da~e Fne No Foug~ eciwn ~
II n pe9W~ ? Reatly Now .CI WAI No~ily Inspacto~
( I ~1 ~J Yes ? No / When ReaOy?(l'•
/ P
I. lic~ensed coMractor ? owner hereby request inspection ot above electrical work at~ ,
Ja~ nrdtl_ress ISVeeI Bcm''~ ~or me rvo.~ n~ Qry -
lo ~ ~ 1 ~N~r"_'z l~l ~
SecUOn No Towns~ip Name or No. Renge No, Couny
D~.~
OccuO IPRINT P~one No
PowerS e~ ~ ACOress
E~ecmcal ontm tor ICOmOany Na e) Conlracror§ Lcensa No
~ C o0 3Sr
Malin tltlress ICOmractor or ner Making Installa~~on~
AuIDOnietl SiqnaWR IConVa ~Owner Ma n Insi6~~alion~ Plqne Numppr
~ - 3_ ~ k'l~
MINNESOTA STATE BOI.R~ OF ELECTRICITV THIS INSPECTION PEQUEST WIIL NOT
Griggs-Mitlwey BIEq. - Poom SI'!~ 0E FCCEPiED BY THE STATE BOARD
tBP1 Ilnivenity Ave. SL Paul, MN SS10i UNLESS PROPEF INSPECTION FEE IS
P~one (614) 84Y~0800 ENLLOSED
~~~/y~' - REQUEST FOR ELECTRICAL INSPECTION °°":^;a~ Ee-0oom-os
K ? Se ~~nstmrnorrlor rompieung tnis lorrn on back ol yeuow coOY
Q 'F~ q/oBGG~
5~~"~ „X" Be/ow Work Covered by This Request ~~R~~
ewA6tl Rep~' TypeofBudding AppliancesWiretl Eqmpment ired
Home Range 7emporary Service
Duplex Water Heater Electric Heating
Apt. Bmlding Dryer Other (Specify)
Comm./Indusirial Furnace
Farm A~r Condi~ioner
Other ~syenlyl GonlracbrS Remarks
Compute Inspecf~on Fee Below.
d Olher Fee N ServiceENranceSrze Fee # Circuits/Feeders Fee
Swimming Pool 0 ~0 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps -700 _ Amps
Signs ~~spectorS usa Only n TOTAI
Irriganon Booms y " ~
~
Speaal Inspection r ~Tp ~~~J v fl,
r/
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MO
I, the Elecirical Inspector, hereby Ro~n.~ o
cerhf thattheaboveins ectionhas ~
Y p Finel Oa1e
been made ~ ~ •.~'~/1---
OFFICE USE ~NLY ~
T~is repuesi voia i8 monins Imm
Address 50o n~a~:s cnt~ Zip 5512_3_
Lot Blk 3 Sub ~vEZn?tY 2nss
THESG 11'EMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECIION.
Date: 02/24/93 Yes No Inspector.
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Socl/Seeded grass
TraiUcurb damage
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shuboH of water supply to
ihe ouLSide lawn faucet beforc freeze potcntial exists.
Contact engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system.
White • City Copy Yellow - Resident Copy Pink • Coniractor Copy ~
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" ^ ; °3830 RIL,OsT KNOB ROAD, EAGA'N:MN 551~22~ ~ ~ :a~.; "
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~ ~~~~Add fixf~e`s to ro~oms +ezcludin , water"softener and-w.ater heater , P''~y , ~ "`i+r~ 1
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~ __~Water~ur~naround~(add $121 OO if.8 5Z8" meter'is required)' , •.,,b ~ ' - ~y
~ µ ~ ~'LOther~~7 , F L f{.r$`$ ~`rs ~y ~a 9~~,~.~ .
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~ ~ r~f a °'A . , tl, 1 . , ~ } 7'.`~I~ffi .~fiy'., .d~4 -~j~ F~ t
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~°:*Lawn lr,rigation Sy'stem RPZ_ - new _ repair r:'rebwld , ^p'~~~!~a~$M'`y E
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~'~I`~hertebyJ~a`pply for~a' R°esidenUal Rlurntiing Permit and acknowledge tha~t~the anfo
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~'~,~a~nd~a~ccurate~~that ther~work,.will be~in conformarice;.with the-ordinances and codes~f~the~Cit,q~cof .
%x ti~aEagan and,~.the~
pljumtimg~fcqtles that. I understand this is ~not a perniit4;rbut only an appl~'~cazio;~n`~o,~;~a; ,
pe"rmit~ work is~not~to start~without";a°;permit and work .will be in°accord"a4nce ,w~th the app~'ro~d~plan~ in
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RESIDENTIAL ~ / ~
BUILDING PERMIT APPLICATION
CITY.OF EAGAN
3830 PILOT KNOB RD, EACAN MN 55122
~j ~ j ~ 651-681-4675
New ConsWCtion Reauirement~ RemodellReoair Reouirements
• 3 registered site surveys showing sq. ft. of lot, sq. ft ot house; and all mofed areas • 2 cropies of plan
(20% mauimum bl coverage allowed) . 1 set of Eneryy Calculahons for heated additions
• 2 copies of plan showing beam 8 window s¢es; poured faund design, etc.) . 1 sile survey for exlerior additions 8 decks
• 1 set of Energy Calculations . Indicate if fwme served by septic system for addihons
• 3 copies of 7ree Preservation Plan if lot platted afler 7/1193
• Rim Joist DetaJ Options selection sheet (bldgs with 3 or less units)
DATE ~n- ~`-f-V~ VALUATION dvi 43
~~~Q rv~.,~a-
SITE ADDRESS MULTI-FAMILY BLDG Y N
TYPE OF WOR ~ \ FIREPLACE(S) _ 0_ 1_ 2
APPLICANT Ceder Valley Exteriors, I~_
8820 Zllla Street
STREET ADDRESS Geen tleplds,~~;-5 CITY STATE_ZIP~.y,_;~
TELEPHONE #-II r~' i~.V"~C~I CELL PHONE # FAX #~I ~~~~cJS-~J,~"I ( J
PROPERTYOWNER ~J 1~.UU,YlL.~' TELEPHONE#l~~"~UJ-l~~t'~
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNES07:~ RULLS 7670 CA'11?G012Y 1 2
submission type) . Residential Venlilation Category 1 Worksheet Submitted ~~e~n~ ~ ar et Submilted
• Energy Envelope Calculalions Submitted ~
JUN 1 4 2002
Plumbing Contractor: Phone #
Plumbing system includcs: _ Waler So4encr _ I.awn Sprink y . ).00
Wa~er Hcatcr No. of RL Badis
No. of 13allis
Mechanical Contractor: Phone #
Mechanical system includes: _ Air Conditioning Fce: ~70.00
_ Heat Rccovcry Syslcm
Sewer/Water Contractor: Phone #
I hereby acknowledge thai I have read this application, state that hie information i o ct, and ree to comply
with all applicable State of Minnesota Statutes and City of Eagan i ce .
Slgnature of Applicant
~ OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4l02
OFFICE USE ONLY
? 01 Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Owelling ? 08 O6-plex ? 16 Firepiace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OB-plex ? 18 Deck ? 23 Porch(screened) 0 36 Muiti
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? O6 04-plex ? 12 12-plex Plbg_Yor_N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bidg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof , ? 46 WindowslDoors
? 34 Replacemenl 'Demolition (Entire Bidg 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 (dcck) _ FinaVNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tilc Other
Roof _ Ice & Water _ Final _ Pool _ F[gs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.L _ Air Test _ Final _ Windows (new/replaccment)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
-
ease Fee
Surcharge
Plan Review
MCIES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
: PERMIT 12 9 2
~ CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: e u r ~ o z N ~
Eagan, Minnesota 55123 Permit Number: 0017 80
(612) 681-4675 Date Issued: 7.1 / 12 / 9 2
SITE ADDRESS:
600 THAMES CIR
LOT: 9 BLOCK: 3
CUVENTRY PRSS
DESCRIPTION:
"Buildin,g Permit T,ype SF DWG
liuilding`~Work Type IVEW
UBC Occupancy R-3 M-1
ConsY.ruction Type V-N
Zoning R-1
' Building Length ~ 46
Building WirJth ` q6
i
i
, '
„
l .<<~c~ . ; ;i- 'i~ "
~
A`i~.C~ V~~~,~~...~, A-..:.i
REMARKS: d c~/~ ~`j
S& W CONTRACTOR - VA~LEY PLBG
FEE SUMMARY:
VALUATION $105,000
Base Fee $657.00 MIlSCELLANEOUS $1,61m.50
Plan Review $427.05 Total Fee $3,447.05
Surcharge $52.5@
SAC $700.00
SAC ~ 100
SAC Units 1
Subtotal $1,836.55
CONTRACTOR: - Applicant - S7. cpWNER:
TFIE ROTTLUNO CO INC 1571@304 0001335 THE ROTTLUNO CO INC
5201 E RIVER RD 5201 E RIVER Rb
FRIDLEY MN 55421 FRIDLEY t9N 55921
(612) 571-0304 (612)571-0304
I hareby acknowledge that I have read this application and state that the
inform ~zn is correct and agree to comply with all applicable State of Mn.
ST.al: es nd C' y ofi Eag~n Ordinances.
L J
' s.~~~ 1~~r,n Rs, I mt{
APPLICANT/PERMITEE SIGNATURE I SUE~ Y: IGNAT RE~~-
INSPECTION RECORD I ControlNo. 1292
CITY OF EAGAN PERMIT TYPE: B~i I i. ~ T N c
3830 Pilot Knob Road Permii Number: m A 17 8 m
Eagan, Minnesota 55123 Date Issued: 11 2/ 9 2
(612)681-4675
SITE ADDRESS: ~ o T: 9 B L Q C K: 3 APPLICANT:
600 THAMES CIR THE ROTTLUND CO INC
COVENTRY PASS (612) 571-0304
PERMIT SUBTYPE: TYPE OF WORK:
SF DWG NEW
. .
FOOTING FRAM7NG
INSULATION FINAf.
FIREPLACE
REMARKS: S& W CON'i'RACTOR - VALLEY PLBG
~ ~
~ ~
PERMIT ~v , CITY OF EAGAN $ 3~~~'I~'!_'`
RE1CTIVA~rE _ - 1992 BUILDING PERMIT APPLICATION
_ ' O 681-4675
iiUV ~ ~ RECD
- i I-I 0
SINGLE 8 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is i sued.
Date _ / ~ /_G 2 Valuation of worb, i3~~OOC~
Site Address: ~4C~7 ~ci~,eS ~1~
SiREET SUfTE N
Tenant Name: (commercial only) 'T4t~~+-~-I~~~ (io• ~vtG,
IAT BIACK ~ SUBD. p,i,p, *
G~v el1 Q S S
Descr9 tion of work:
The applicant is: ~Owner Contractor ? Other coea«r~~
Name '~~1~ Ro~{-j~„~( ~.j Phor~a ~`o~o¢
Property ~~ST F,RS,
Owner Address ~?~ol ~~v~' (z~., ~,o j
STREET STE N
City ~ri~~P?' State ~it Zip ~J~4'2-~
Company SciWW~e- Phone
CO~tf3Ct0~ Address License q(33,~ Exp.3~3i~
City State Zip
Company Phone
Archttect/
Engineer Name Registratian N
Address ~
~itY State Zip
Sewer 8 water licensed plumber ~'t U~~j;vt Processing time for
sewer 5?vater permits is two days once a ea as een a roved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances. ~
Signature of Appl icant: ~ C~
OFFICE USE ONLY ~ `
BUILDING PERMIT TYPE ~
O O1 Foundation ~ 06 Duplex ? 11 Apt./Lodging ~ 15 B~em~nt Finish
02 SF Dwg. O 07 4-Plex ~ 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace O 19 Comn./Ind. Misc.
? 05 SF Misc. O 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
O 21 Miscellaneous
WORK TYPE
~ 31 New ~ 33 Alterations ? 35 Tenant Finish O 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) v- N Basement sq. ft. MWCC System '(Es
(Allowable) v-N lst Fl. sq. ft. City Nater `(Es
UBC Occupancy R-3 rn-i 2nd F1. sq. ft. PRY Required
Zoning ~Z-t Sq. Ft. total Booster Pump
/ of Stories Footprint Sq. ft. fire Sprinkler
Length ti~ ~ On-site well Census Code ~
Depth y~~ On-site sewage SAC Code or
APPROVALS
Planning Building Assessments
Engineering Variance
RE~UIRED INSPECTIONS
? Site ? Footing O Framing O Insulation
? Mallboard ? Final ? Draintile O Fireplace
Permit Fee Yelistim: $ IbS, (~~O
Surcharge
Plan Review GARAGEt y~= yoo K!b= l~~400
License
MWCC SAC ~ SMT x 2p S6o
City SAC `I K g = ~3~
Mater Conn. ~ST
Water Meter SZS K IS= ~7920
Acct. Deposit ~~`~Z= ~-y . , '
S/W Permit !/'4U
S/W Surcharge 2..~c ~.c ~
RoadtUnit Pl. I~zxl%z= I~
Park Ded. 1 x 8 r. s
Trails Ded. ~ G 2 D63
Coptes '
Other L.ow~~~, ;
Total:
~X~l = ~zv x 53 = 33, o~ 2
SAC % /oo
SAC Units i GK~D~r uniC~NlSIdEDaKc^~ • / ~ \
I ~ X,1 V= db 4~t ap = ~5-~
/ON,l~1S
~ ~ * , 2422 Enterprlae Drive
* PICl1VE61a ~ ~siij saiia~ta•FON,~ eef
~aaae
LAND SUA1£TORS ~ qNL ENpNm+'
*~ng~n~~r~ng ~^"o °~um[tes • i^"osc"r~ "flpn~cTg 825 Highway 10 Northcast
* * * * Blaine, MN 55434
(612) 783-1880•Fax 783-1883
Certifica~e of sur~~y fo~: The Rottlund Compan,~! Inc
~~'~d House Address: Thames Circle Eagon, MN
Mode! Name: Afton
/ ~
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~t{,C`RPJ ~AIGITI~EAII~T~ 1~~:='.
• ~•o Denotes Existing Elevation
Denotes Proposed Elcvation PROPbSED HOUSE.ELEVATION
Denotes Drainage & Utility Easement Lowest Floor Elcvation: 885.75
Denotes Drainage Flow Direction • Top of Block Efevotion:893.86
-a-- Denatea Monument Garage Slab Elevation:893.53
Denotes Offset Hub Bearings shown are assumed
LOT 9, BLOCK 3 COVENTRY PASS
OAKOTA COUNTY, MINNESO7A
1 herebY ttrtitV tha~ [his ~~rwy. P1an or ~epprt rs~ p~apered bV ma ar untler my dircct ~upa~vylon a~d that 1 em dulY Reginfpd Le'M Surveyw
V~~th~ I'vh of MO SMte of Minnesom, Dated thy,~l1~, d~y pL 1~0?, _ 0.D,19~,
~ 4-~fz. To son ~t~sr. ~i~VS.
/ /
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Scale: 1~-3QS~ qOB pT9.SIKIC .RE,.NO.~j
F:C7'F.itiOR F:t7VF.L~I'}: AVI•:I:I1C1: "U" CUMT'lITl~'I'I~1[f /HG f~t'T~N'
. ~04,'4uc - .
~=TL ~~;~s LoT 9, S~oc,K 3, CDUENTR~1 PASS
CONT~ACTOn ~r!
LUN~ GO, ~qTr ritox~
Deter~ir, vo-kini; sc~uare foota,;c of ench.
2. Totel expcsed ve11 erea G~ ( ~ 7~ 2, sR. ft. x 1'- = 27jZ. ~i %
. 2. Total roof/ceiling area ~[p s~~. ft. x B~0?6 _ p5
• ~
iotzl exposed ~ail erca nbovc floor = Z~1~' Z
a. Total vzll ~indo: e-ea II~• Pj .
~ b. Tatel daor ~ree
c. Totz? s~ ' e2. 7 /
_iding glrss c.~or a:ea ~
d. Total fire~lece vall cree
e. Tota1 v2~1 ira-ni~g a-ea (avera~e lOP) .
~ , ~
f. Totzl net'vell aree ebove floor / S z~, ' •
: 6• Total rim So±st arec . . . ./?~J• ~L
• Total exposed ~ocndation arca = ~1~.~{- ~
h. Totzl founde~ion vindov z;ee ~j
. Totzl net fo~,:ndation area above grade Q,~.
~ _ • Deterr..ine "U" ralce o; eech vall sec;ment. ~
. . 8. l I q, f~ O- ~2 = Sa , 3~
b. ~ 1 x„U~~ D,r 3 S = ~.8' .
. ~ 8~-. X „U„ ~,Q,.Z = 3~`•2a ~
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3. _ . _ (9D.o`f'
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If item'//3 is the s~ne zs, or les.^. Lt~:~n ilc~a r9.1, yo~i nave met the in:er.t
or ssc 6oo6(c)2.
~
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, Totul exposed roof/ceilinG Rre1
Total gross roof/ceilin~ are:i ~ ` ~ ~
Total skylight erea
k. Totai roof/ceil?ng franirg erei
1. Total net ?r.sulated roo*/ceiling area ~l.~ 3 Z~`O •
~ Dete:-~ine "U" vnlue for clch ruut/cci I i n~; scb'~cnt.
x ~~U~~ _
k: IS~J.. z X ~ o.o z7 =~f-, ~z . .
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4 . Totel
If total oP N4 is the same rs, o: less than N2, you have met tY~e iateat o:'
ssc 6oo6(c)i. , .
To utilize the total eavelope syste= method, the values establi_hed by t`e
siua of items N3 e.zd @L shall not be 6reater. thKn the sur~ of iten:s dl e.-~~' d2.
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FF;k~+ S 7~~~1 49~~~ ~171 7_C~I 141 14t cj; 2,24n~
CG(JLING ~ b?F~: 4nli o7p~ o2'I 11; ?1~ 01 2~.::21
`Y ' p /1 J ~jI]
~(~:'Yl~~~:l'] 1 L~/~Y~ 1.~94:~~ .J.~J1~JI ;:~wl ,~rf~l C~1 /~~)~~~'11 ~VI~CIQ~
llCUFa NOFI'H SOl_I';'i! Ells-r ~:r:sr ive:ir~!Pi :.~w/SW TdTAI_
P.RF~A i 0; p~ :'F31 !til C~I ~ ~81
i~UQL.I~•IG l ~:r~ ;>f 417i i>1 i~~ i~l ~ ~ 4171
i-IER~7I1'J6 ~ J; O. _,0181 ~~I OI Ol ~ 2,C~131
F l_CJOR hIF:CFi ~f~C~!.lP.!~3 I-;E.ATIh~G
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!`Si°_~3L1_ANf-.:OUS f]Of?L'tlvl~ ~UAD-
F'e~p:e 5r-ri5i~le !_oGzr~ :~~.JIJ Latent Lu~.d S„'•06
L.ights F: Flppl. ~a~ici ~~+1 !~ctc:nt ~;a~et/ :it.uh ~60
vF_=rit.il.atinn L.r.ad B.^:;
1)uct Hr:~tk G~,zn C~
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t;c:n5ihlr• SaF~ty ~ti.ih 26c
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MISCF_i_i_r-,r,lE11U~; Hk:ATTPJG L.UF;i)~;
Sn•filtrai:ion Load ",9P1 Ve:~ti2~+L'i«n Luad 4,?50
Duct He-:rt~ !.o~s 0 S~vfety b'tuh '~}.jl:,
W.ir~tFr ~;CH i~.GO
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F'rc.•Par•ed For: i='rep~ar-a=rJ E+y:
fiuttlur~d Eo. M.W, Gi.te>r•re
Flart_ I•i~~a~tiri,y
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DESIGN [.CiNi).'fTC.7iVa Fur
GU1'~OUR . NbUCF,
Sf~'f^.ME"r: W'rrJ7F'~: ;=UN11'iE:R Wii,1T'E.n
nl^V bU~ ~ ~.i -:'.S 7J 7CI
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Daiiy ncu-,r7ce U::i.ly ;:iwing ,.ii
1.atitud~ 44 !~:?ev;,,i.:c:i-~ fa':~
;3aFCrty F:~.t;:,r ii:) ~
!_i~tErii: F:aCt.l7~` :;0 ~
~~~;~~~k:k~:k:It~:k~ X~f.:k`k;N;F;k;i;~::a~'k~;i~$':#[8i;~1~;~:1F r:Y%F'}'.'~'F'tT%F%k'k%f~%YM;Y%'1',A~n k~'(r X:>~:;<~c F:z:~'B~kx ~T* k
5;:r~s.i!;1e
F:~om H~~t;.nt~ Ht.~ti~-~g Ceo].ina Coolin,y
Nan~ i UN CFI'1 'c~'1'Uli : ~=i"1
t:rawl ;pace 6,OJti ~'+28 fu
E'saser,rarri: 30~9u'_~ 1:~_C 1~ 1iN,3 .:i6
F~?.~n~ 1 y FC~pft1 ' , ~6n .~.Q ~L., .
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L.ivii-~r~ Racm ~
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Din.inq Foam _ ~ c:i.:_ 4f_5 : 1;='
~~~~yc:r 1 ~ r;s£j .i3 7nh ~•c~.
E~~•dr6G!n 1 I,`,'6~.' :cd ~•=F r 28
E~edr•c~crrt _ 1,L4'~ '<'F, 1, f 1:? :;u
M.15tFP Padrnr.m ~v~.~ 1~i67 8'~
Ia~t~1Y'UCilit 1.t~u'] lt~ 15
49.5'7:; b79 1E3,'~~1 9?tl
hIEla"~IhIG BEL7A T 6~.0 CUOV_IP•IG P~LTP 1` 1^c.C~
i.in~r-.. ~ _._..,'1'__' ..~~-~-..-I ~..,,,i-. .c.r,i~,.~..~,r,r.+c
, . . ~ PERMIT
CITY OF EAGAN
3830 Piiot Knob Road PERMIT TYPE: 0 Z$ i o 9 N ~
Eagan, Minnesota 55122-1897 Permit Number: 0 7 J 11 / 96
(612) 681-4675 Date Issued:
SITEADDRESS: 600 THAMES CIR
LOT: 9 BLpCK: 3
COVENTRV PASS
P.I.N.: 10-18400-090-03
DESCRIPTION:
Buil~tl`inq Permit Type DECK
~Building'Work Type NEW
{ Census Code ~ 434 ALT. RESIDENTIAL
~
f \ \ ,
~ _
~~~t. ~
~
f
i% A~ - , .
~r; , .
REMARKS:
FEE SUMMARY:
Base Fee $45.00
Surcharge $.50
Lic. Search Fee $5.00
Total Fee $50.50
C~~I,TR~~~ST1~7U~TION INC PP 113689544 6397 ~RE~IrER ROB
2510 BRIDLE CREEK TR 600 THAMES CIR
CHANHASSEN MN 55317 EAGAN MN
(612) 368-9544 (612)683-0847
I hereby acknowledge that I have read this application and state that the
infiormation is correct and agree to comply with all applicable State of Mn.
Statutes and City o'F Eagan Ordinances.
I_ J
~r~~n R~,:~a f~
APPLYCANT/P MI7EE SIGNATURE ISSUED BY. IGN TUF
~ C~ , CITY OF EAGAN
3830 PILOT KNOB RD - 55122 S6 S
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) ~
681-4675
New Construelion Reauiremenls RemodeVReoair Reauirements
? 3 registerad site surveys ? 2 copies of plan
? 2 copies ol plans (include beam 8 window sizes; poured fnd. design; etc ) ? 2 site surveys (exterior additions 8 decks)
? 1 energy caiculations ? i energy ealeulations lor healed addilions
? 3 copies of tree preservation plan H lot ptaHed after 711193
requlred: _ Yes _ No
DATE: ti- 28 ,5.~ . CONSTRUCTION COST: 2 YOO~
DESCRIPTION OF WORK: ~u~f"~ ~~lr
STREETADDRESS: ~Od 'T"ti~ c
LOT 2 BLOCK ~SUBD./P.I.D. " " p~'O
~
PROPERTY Name: RnG. ~~k.,1(ci^ PhOne o`~+v ~
OWNER
Street Address: ~ , ~'+N~-l~
City: ~ State: i'v/~t7- Zip:
CONTRACTOR Company: ~ ~o.tis~r~..-~.~;~ rl.cc_ Phone '~~P~ -g~~~/
StreetAddress: 2S'Lc) ~n,~~~ ~~r.~ 10~. License#: 6~9~
City: r-c acS~y. , State: ~l/U• Zip: . SS3/7
ARCHITECT/ Company: Phone
ENGINEER
Name: Registration
Street Address:
City: State: Zip:
Sewer 8 water licensed plumber: Penalty applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances. ~
Signature of Applicant:
OFFICE USE ONLY ~~~~Q~I
Certificates of Survey Received _ Yes No ~ ~ ~ Q tgg6
Tree Preservation Plan Received Yes No
.
OFFICE USE ONLY ' ' • •
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex o 12 Multi Repair/Rem. ? 17 Swim Pool
0 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory o 20 Public Facility
0 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 _-plex ~ 15 Deck
WORK TYPE
~n 31 New ? 33 Alterations o 36 Move
o. 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code.
Depth Footprint sq. ft. SAC Code ~L
Census Bldg ~
Census Unit
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review _T
License S -
MCNVS SAC .
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
ToWI:
% SAC
SAC U~its
Oecc wetl: 6~25/9b~ ~'06RY~ 8128610462 DAV CONSTPUCTION CO ' MZ
•:~~-`F-gn i1'i:U~r."~4 ~k~~~bl rE~r,[:. % TO 93fi8u553 FUO'~i00C
~ ~ ~F zaxz cn~av,~ o.~..
i* ~ MadoW Hdphlti AtN 66120
* ~~Q ~y 61Y) 6D1-1014•Fa¦ 881-948!
* enq aer AQ ~ '~P~ 845 Hlyhvar 10 NefUwt
&Oha, YN SN34
~ * w * (a~2) 7ai-~eso•~a. ~es-iees
Certificate of Survay 1or: TfiG' Rottiund Com~anv. ~nC.
House Address: Thames Circle. Eagon, MN
EAadel Nome: Afion
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Denoles Edai~ng Elevation QgQppSED HOU~ ~LEVATION
Denoteo Proposed Clewtlon ~owesl F~vor Elawtlon:985.75
Denotes Orainage k Utplty Eosemonl 7 oT Btock Elawllon:89~;88
-~UMOtee Oralnoga Flow Directlon • °P
Denote9 Monuman4 CalagP $lab Elavatfan:883.53
-e- Denote9 Ot/set HuD Bearings shawn are ossumed
LOT 9, BLOCK~ COVENTRY PASS
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1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) '
CITY OF EAGAN ~ ~ o ~
3830 PILOT KNOB RD - 55122
~ ~ ~ ~-l. ~ ~ 651-681-4675 Q n I ~ `S~~ a
~.~.tA~Q,J ~
New Consfiuction ReaulremeMs Remodel/Reoair Reaulremenh ~
D 3 regislered ske surveyf showing sq. k. of lot, sq. N. o( house 4 coples it plan
and gl~ rooled areas (20% ma:lmum loT coveraae allowed) 1 set of energy calculaNons lor heated addRlons
? 2 topies of plans (show beam L wlndow sizes; poured fnd. tleslgn; Nc.) 1 sBe s~rvey for extertor addXlont a~decks
? 7 sef of energy calculaflons
D 3 copiea of hee pre~ervaHOn plon B,lot plaMed aHer 7/1/93 '
DATE: ~ I~ I CONSTRUCTION COST: I~~~ ~6 CI
DESCRIPTION OF WORK: ~ 1 \S X~.`F~-PV~~ I
STREETpDDRESS: _ Y~tYY1~C-'.S Cti~{'Cl~ I
LOT: ~ BLOCK: ~ SUBD./P.I.D. C O \I `2 ~r~.~'? \ I (1-~
~
~ ~c'b~-V ~ /L
Name: ~~~-Q,~ ~/UYI~ Phone k: S ~7
PROPERTY ~ast F~rst '
OWNER r 1~ l
Sheet Address: l~ ~~~~~5 C ~ Y' C~I'~-
c~ L, ~1 st~?e: M l~ ~ ziP: S'~"~ ~~-c~ ~
` I
Company: S ~ ~ ~ ~ ~C1lt~P J Phone
I(area code) •
CONTRACTOR
Sheet Address: IJeense M Exp.
City State: Zip:
ARCHITECT/
ENGINEER Company: Name:
Telephone area code ( ) I
~
Sheel Address: Registration ik:
City State: I Zip:
,Sewer S wafer tlcensed plumber (reauired for new conshuctlon onlvl: I
Penalty applles when addre:s change and lot change Is requesfed once permR Is Issued.
I hereby acknowledge thaf I haC~e read fhls applicatlon, slafe that the Infyyy rtnaNon is conect, and agree fo comply wHh~all appllcabl
State of Minnesota Statutes and Cfty of Eagan Ordlnances. ~
-r
Signature ot Appllcant: - - - c_--=-+
!r' ;~.rC~~ ~'d i'~
{I il~~ . ,''yi:,lj11~~_l.~~~1
OF CE USE ONLY ~ ~ i~ i; ~
~;i
Certificates of Survey Received _ Yes _ No N~ 4 ~
~ ~r,
Tree Preservation Plan Received _ Yes _ No _ Not Required ` I
a
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? O6 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch~(3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex O 18 Deck ? 23 Porch (screened)
? 04 2-plex 09 7-plex ? 14 Apartments ~ 19 Lower Level 24 Storm Damage
? 05 3-plex ? 10 8-plex O 15 Lodging~ ? 20 Pool ~ 25 Miscellaneous
WORK TYPE '
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding%Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
~ 33 Alteration ? 37 Demolish Bldg.' ? 41 Wood Stove O 45 Fire Repair
? 34 Repair ? 38 + Demolish pnterior) ? 42 Reroof
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION •
Const. (Actual) Basement sq. ft. Census;Code = ~
(Allowable) L/ Main level sq. ft. SAC Code o.r.
UBC Occupancy ~,~~iA~ sq. ft: No. of Units
Zoning ~ sq. ft. No. of Bldgs
# of Stories ~ sq. ft. MC/ES System
Length sq. ft. Gity Water
Width Footprint sq. ft. 'Booster R.ump ,
PF2V
• F.ire Sprinklered
APPROVALS ~
Planning Building ~ ~ ~l `~'[r Engineering Variance
,
Permit Fee Valuation: $
Surcharge ' ~
Plan Review
License ~~~-°~~j~r" ~ C~~-`"~
MC/ES SAC ~ ~
City SAC
Water Conn.
Water Meter
Acct. Deposit ~
S/W Permit '
S/W Surcharge ~
Treatment PI.
Park Ded.
Trails Ded.
Other '
Copies . ~S ~
TofaL•
SAC Units
% SAC
l~ 8~ ~ CITY OF EAGAN CITY USE ONLY
PLUMBING PERHIT
SUBD. (612) 681-4675 RECEIPT /U 8~0
DATE / .3~
REBIDBNTIAL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS
WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION COMPLETE THE FOLIAWING:
N0. FIXTURES EA. TOTAL
NEW r,ONST ~ REFAIR/l,DD Otv' 15.00
ADD ON _ , SHOWER 3.00
REPAIR _ ~ WATER CIASET 3.00
~ BATH TUB 3.00 ~ ~
p ~ LAVATORY 3.00 `ti-
OWNER NAME: 1\Oul-• ~ KITCHEN SINK 3.00 ~
~ IAUNDRY TRAY 3.00
SITE ADDRESS: L40L~ ~~Q^~~ C,2C~ ` HOT TUB/SPA 3.00
~ WATER HEATER 3.00
~ FLOOR DRAIN 3.00 7-
INSTALLER: ~1'~~ 1 GAS PIPING OUT.
~1 ~ (MINIMUM - 1) 3.00 _
f ~ ROUGH OPENINGS 1.50 y-~"
ADDRESS: l.,l l J K orx~[t
WATER SOFfENER 5.00
CITY: ~v'~ ~~i ZIP: SS3 S~- _ PRIVATE DISP. 15.00
PHONE ~-1~- ~ - U.G. SPRINKLER 3.00
_ W. TURNAROUND 15.00
~ STATE SURCHARGE .50
SIGNATURE OF PERMITTEE TOTAL: S~I '
COMMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY
BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
WORK DESCRIPTION:
OWNER NAME:
CONTRACT PRICE:
SITE ADDRESS: 1X OF CONTRACT FEE. .
STATE SURCHARGE - $.50 FOR
TENANT NAME: EP.CH $1,000 OF PERMIT FEE.
SUITE $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 1X $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE
FOR: (SIGNATURE)
CITY OF EAGAN
• ~ ~U. ~
3~~~ IU-a-~-~~
1999 FIREPLACE PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD - 55122
651 681-4675
Date:
0~~ ~ ~ d~"' , 49
Descnpt~on of Work: ~ Construct new fireplace ~Gas _Masonry _ Alteratrons to existing
_ Install gas insert onlv _ Install gas line aelr•
_ Other
Job address: ~V ~~J C/ e ({~'C f~
Lot: Block: Subdrv~sion/P.I.D. ` Ol/P~~~ f~.S S
Applicant (circle one only): Owner ontractor Pern+it Fee: 560.50
I~ame: U I~~~kpl~ /?~'~~11~1 ~ Ph~ k1 ~~7~3- CJL~L/,
PROPER7 Y Last First
OV?NER ~ O('> / /~.~J'YI C C~C )~C I ~
Street Address:
City ' 1.~~(~~ State: / 6l/• Zip: ~~/!if O~
Company: ~ i ~'P_~~'~.~~~~V~Er~~Ill~iP6~res,~e rn~ea: ~`~U-~~5~
(area code)
FIREPLACE n ~ A ' ~ ! ~
INSTALLER Street Address: ~ / ~v ~ / ] ~ ~
City ~j~ SU ~ ~ + ~ P _ State: ~ Z~p: ~7 ~ ~-3~
Company: Phone
(aiea code)
GAS LINE ~ fnn ~
r~~
INSTALLER Street Address:
' City ~ Sta[e: Zip:
?r 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. \
r
RECEIVED GGr.~~ ~
SignaNre
OCT 21 1999
BY:
OFFICE USE ONLY
BUILDING PERAtIT TYPE
? 16 F'veplace
~~'ORI~ T1'PE
? 31 New O 33 Alterations ? 39 Gas Line ? 41 ~\'ood Stove
? 32 Addition ? 34 Repair ? 40 Gas Insert
GE1ER:1L INFOR~tAT10\
Census Cade 434
SAC Code 01
REn1.4RKS
Chimne}•/Flue must be inspected before concealing.
~
~
L~ MECHANICAL PEitMIT RECEIPT # 0~~''2'
SUBD. T- (612) 681-4675 ' DATE 9~--
RESIDENI7AL ~
PLFASE COMPLEfE UPPER PORTION ONLY FOR SWGLE FAMIIY DWF•I.I.WGS. AISO, COMPI.ETE FOR •
TORNHOMES/CONDOS WHEN SEPARATE PIIihII1'S ARE REQUIRID FOR FACH DWELi.WG (TNIT.
OR'NER: gEES
STl'E ADDRFS : ADD ON/RIINODEL (E?IIS'1'QdG S 15.00
~-C CONSTRUC170N ONLl~
INS7'ALLER: HVAC: a100 M BTU 24.00
PHONE +ft: ~ ADDT170NAL SO M BTU ~.00
ADDRESS: GAS OUTLETS - bff]VIMi7M 1@ S3 FA. 00
CITl': ZIP: SURCHARGE S
SIGNATURE: TOTAL• S , J~ '
C011'IMERCIAI.
PLEASE COMPLEI'E THIS PORTION FOR ALL COMMERCIAIIINDUSTRLIL BUII.DINGS. AISO COMPLECE FOR
APARTMENT BUII,DINGS OR OTHER MULTI-FAMII Y BUII.DWGS R'HEN SEPARATE PERMITS ARE NOT REQUIRID FOR
FACH D~VELLWG UNTf.
WORK DFSCRIPTION: ~ CONTRACf PRICE FEES
196 OF CONTRACT FEE.
STATE SURCHARGE IS s.50 FOR EACH
SI,000 OF PIItMI'f FE& s
PROCFSSID PIPING - 525.00
S '
1?IINII~I[TM FEE - Szs.oo
TOTAL• S •
STfE ADDRFSS: •
7'ENANT:
~ i=,;:~<":...-.,:,:-~:.: ._.;..::.;<.:,<.s::.
:.c~`~<,.:..... ...:..:...>:;.:~:'~r:.;.._....
' :.:'..__~;,1:.`:>G.
SUITE aM: , _'fr:.'..,. ' .7::': .
, .
INSTAI.I.ER: ' < ,
, . . ,
ADDRESS:
.
ZIP: r , .
CI1'P: , , ;
PHONE CI7Y SIGNATURE
SIGNATURE
CLAIM VOUCHER-REFUND REQUEST
CITY OF EAGAN
MAKE CHECK PAYABLE TO: Allied Fireside, Inc.
ADDRESS: 3850 West Highway 13
Burnsville, MN 55337
LOCATION: 600 Thames Circle P.I.DJLEGAL: Lt 9 B13 Coventry Pass
RECEIPT #/DATE: 118621/]0-22-99 VALOATION:
REASON FOR REFLJND: Covered under LL permit PERMIT 38410
TYPE OF REFUND: Electrical Permit 3211-9001 $
Plumbing Perntit 3212-9001 $
Mechanical Permit 3213-9001 $
Building Permit Fee 3210-9001 $ 60.00
Plan Review Fee 3422-9001 $
SAC (MC/WS) 2275-9220 $
SAC (City) 3866-9379 $
SAC (Admin) 3446-9001 $
Water Connection 3865-9220 $
Sewer Permit 3743-9220 $
Water Permit 3713-9220 $
Account Deposit 2252-9220 $
Water Meter 3716-9220 $
Wata Treatment 3868-9220 $
Surcharge 2155-9001 $
Utility Acct Ovecpayment 2250-9220 $
Curb Box Deposit Refund 2253-9220 $
Construction Meter Dep Refund 2254-9220 $
Water Usage Chazge 3711-9220 $
Other $
TOTAL $ 60.00
I declaze under the penalties of law that this account, claim, or demand is just and that no part of it has been paid.
~ 1~ c~X/~ 12-22-99
SIGNATURE ,~~~a.~/9.~ DATE
ri7
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 763
DATE: 09/11/00 TIME: 14:16:26
ID:
NAME: FIRESIDE CORNER
3210 9001 600 THAMES CIR 60.00
2155 9001 600 THAMES CIR 0.50
Total Receipt Amount: 60.50
CR137222
USER ID: ,TAN
~ ~ 60 ~ ~0
2000 FIREPLACE PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD - 55 ] 22
651 681-4675
Da~:~ . 'r>>
~
Description of Work: Construct new f
p~ce "~Gas _Masonry _ A11e~ations to existing
~ Install ¢as insert onlv _ Install gas line onlv
Other
Job address: _ ( j i ( ~
Lot: Block: V Subdivision/P.I:D.~l: ~(lVPh~7'~/ Y(~~~iC
Applicant (circle one only): Owner Contractor Perrnit Fee: $60.50
Name: ~ Phone ~ ~-U~'J'y/
PROPERTY Las[ First "
OWNER ~
StreM Address: ~[/Ol Yl1 l~ ~ Y~ ( I-P
c;Ty C ~n r6 s~: `~J • z~p: SS/~.3
~9 L~aY'r~er n~r+
Company: ~11`(~ C ~ ~ ~~~f I'~! 1'~~1"~•~~ honelk: ~ ~
(area code)
FIREPLACE ~ p~~ ~ ~ ~ / ^ / ~
INSTALLER Street Address:_ _ ~ 0
c~ri ~ fa Y' Vl S r) ~ e s~: /1~ . z;p: S~-S~ 337
Compaoy: Phone
(area code)
GAS LINE - ~,A
INSTALLER Street Address: v(
' City State: Zip:
I hereby acknowledge that I have read tkas application and state that the information is coaect and agree to
comply with all applicable State of Minnesota Statut s and Ci ~ of Eagan Or 'nanc s. ~
~
Signature
RECri~~~
SEP 11 Z00~
BY:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 16 Fireplace
WORK TYPE
~ 31 New ? 33 Alteraiions ? 39 Ga5 Line ? 41 Wood Stove
? 32 Addition ? 34 Repair ? 40 Gas Insert
GENERAL INFORMATION
Census Code 434
SAC Code Ol
REIVI.ARI{S
Chimney/flue must be inspected before concealing.
(t ~
SW~ d~/"" ~ 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
l.f 8~~~ ~~cy. rc~ CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date ~ I v~ c`~ I 0 Sl ~
Site Street Address ~ v?ID S' l.~ Unit #
Property Owne~
~DN,cJ~_~~rrr /7~/' - ~ f~ Telephone # ~j~~a 8"
Contrector ~~/Oq'~ l~/jQ-TP~° „ Telephone# (9.s',~- - S~
Address~/- ~~I~" ~le City F' ~E~ State~ Zip
The Applicant is: _ Owner ~Contrector _Other
Alteretions to existing dwelling $ 50.00
_ Add plumbing fixtures (excludes water softener and/or water heater--complete next
section if installing these appliances).
_Septic System Abandonment
_Water Turnaround (add $~25.00 if a 5/8" meter is required)
Other:
~ Water Softener _ Water Heater $ 15.00
_ new ~ replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge n~~ m~ i 1 $ 50
FEB 2 2 2005 L g
Total
I hereby apply for a Residential Plumbing Permit and ack ovdledge-tha mation 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 o be reviewed and approved.
i
ApplicanYs Printe Name A IicanYs i re
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA139630
Date Issued:11/01/2016
Permit Category:ePermit
Site Address: 600 Thames Cir
Lot:9 Block: 3 Addition: Coventry Pass
PID:10-18400-03-090
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
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 -
Thamar M Lewis
600 Thames Cir
Eagan MN 55123
(612) 209-8164
Standard Heating & Air Conditioning
130 Plymouth Ave. N
Minneapolis MN 55411
(612) 824-2656
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA165926
Date Issued:12/01/2020
Permit Category:ePermit
Site Address: 600 Thames Cir
Lot:9 Block: 3 Addition: Coventry Pass
PID:10-18400-03-090
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 -
Thamar M Lewis
600 Thames Cir
Eagan MN 55123
(612) 210-9512
Nexgen Exteriors Inc
1321 Andover Blvd NE Suite 112
Andover MN 55304
(763) 441-5907
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA177157
Date Issued:06/17/2022
Permit Category:ePermit
Site Address: 600 Thames Cir
Lot:9 Block: 3 Addition: Coventry Pass
PID:10-18400-03-090
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation. When a weather barrier is installed or
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Thamar M Lewis
600 Thames Cir
Eagan MN 55123
(612) 210-9512
Nexgen Exteriors Inc
800 Lund Blvd
Anoka MN 55303
(763) 441-5907
Applicant/Permitee: Signature Issued By: Signature