604 Thames Cir , ' ~ ' . ' Y . . ~ . . ~ ~ r ~ .
_ CITY OF EAGAN ~~92g
3830 Pllot Knob Road, P.O. Box 21-199, Eagan, MN 55121 „
PHONE: 454-8100 ` ~ -
BUILDINa PERMIT Receipt ~ ~
To be used tor sF Est. Value =b4~~ Dat~ ~4 ~ , 19 ~
Site Addr~ss ~ ~ CYR
LOt BIOCk SeC/SUb. OFFICE USE aNLY
Parcel No. occupency FEES
'C!i$ AOTfLUIia CO IIIC zonir~y
W Name ~ IActual?Const ~ Bldg. Permit
s2oi g ~ivsa w ~ 3a.so
~ Address (w~oweWe? - Surcharge
Ciry FitIDLEY Phone 'u oi stor~s 325.00
8~ Lenpth ~ Plan Review
~ N81T16 DeP~ _ . 5AG City
Addres3 S.P. Total SAC, MCWCC
~ Ciry Phone S.F. Footprints - Waler Conn 62s'00
o~ sne sew.ye
Name on sne we~i ~ yysie~ Mecer
Address MwCC sy~~em 3Q.00
~ W City Phone c,~y wacsr ~ ,4oa. ~eposn 30.00
PRV Required _ S/W Permit
I hereby adcnowlege that I hev read this application and state that the Booster Pump _
S/W Surcharge
information ia correct and agr to comply with pUCaWe State ol 252~~0
MuVleeOte 5letule! end City of ` art r inafi , Treatment PI
Siqnature ot Permitee ~`l 1 u APPROVALS qp~ Unit 3's~~
A Buildinp Permit is i88ued to: i~ P~°n^°r - Park Ded.
on the express condition that all work shell be done in accordance with all
applkable State of Minnesola Statules and City of Eagan Ordinances. g~, pn. _ ~p1eg
Building Officfal j - TOTAL
,
PKmk No. PKmk Holdsr Date TeMphorw ~Y
WATER ps~ . O
SENfER
p~u~ugu~G - O
M.v.~.~. a o a ~
U3 8' a o
M,sp~etloe, ~.e. M~p, c°"a'»"'•
Footings I
Fo~x~dation .
Frarrwng ~o~~b
~~9 '
~ 3- D
~ns. 4 Fo
~a.
F?ep~soe
Fr1al Hlp.
Fnal Pbg. ~
Cor~sl. Me~er PIb9. Inspector - Notify Plumber ~i
I
.F,~ ~•Z3 So
Deck Ffg.
Dedt Final
We0 ~
R. Disp.
I
a
~ ~
~ ~
! t~~r#i#ir~f~ nf (~rr~~~nr~ ~
. ~Citp of ~agan '
~r~tt af ~r~id~ng .~)ns}~rrt~nti
This Certifuale usued pursuant 1o the requineme~ts ojSection 306 of the Unljor~n Buildirrg
Code certlfyrng that at the dme of esslcance dus structure was in wmpliance wit1~ the ?nrious
adinances of ~he City regulating building conslruction or use. For the jollowing.•
uk a.~r~.o~ SF U,1G/C~4R e~. ~;s 17926
~~r TYx ~/M 1 ~ a~ R I Tyv~ ~ VN
o~~~~ R[)1~I)NH) OD. IlrC. 5201 E. RIVF~z RII.~ F~tmrmr
e~~m~ ~wa~ 604 INAAFS ~E ~;hi,8. S3. ~ PASS
/ ~ ' / ao~_AIX~lST 20} 1990
~ a
POST IN A CONSPICUOUS PLACE
' . ~t ' ' x ~ ' ' r- !1r . ~
t
PLUMBINQ PERMIT For Office Use ~ 1
' CITY OF EAGAN PERMIT # ~
CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT ~
PRICE PHONE 4548100 DATE: lO 5
Site Addre~,s v A"'~~ 5 '<< BLDG. TYPE WORK D~$CRIPTION
Lot Blodc SeclSub Res. New
~v
~ . „ . C ~ ~a > , Mult. Add-on
~ Name ~ ` Comm• Repair
~ (0 1 u ~L << L~- Other
~ Address
c City ~"J Phone ~y RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
- NO. FIXTU RES TOTAL
~ _ ~ Water Closet - a3.00 E 3
Name ° ~ Bath Tubs - $3•00 3
~ Addres a~ ~ ` Lavatory. $3.00
'
" ~ Clt ~ ~ ~ « ~ Phone ~ l 1- o; y-( Shower - ~3.00
y Kitchen Sink - ~3.00 i
~ ~ UrinaVBidet - $3.00
FEES Laundry Tray - $3.00
COMM./IND. FEE -196 OF CONTRACT FEE ~ Floor Drains -$1.50
APT. BLDGS. - COMM. RATE APPLIES WaEer Heater -=1.50
TOWNHOUSE d~ CONDO - RES. RATE APLUES 1Nhirlpool - 33.00
MINIMUM - RESIDENTIAL FEE 512.00 ~ Gas Piping Oudets - a1.50
MINIMUM - COMM.IND./FEE $20.00 (MINIMUM -1 PER PERMIT)
STATE SURCHARGE PER PERMIT .50 SoPoene~ -$5.00
(ADD .50 S/C PER EACH 51,000 OF PERMIT FEE) Well - 510.00
Private Disp. - s10.00
~'1.L} ~ ~ 4. _ L~ y 2'~!~_ Rouph Openin~s - 57.50
SIGNATURE OF HMRTEE PEAMIT FEE: a~~
'STATES S/C: ~ ~
FOR: CITY OF EAGAN GRAND TOTAL: ~ .
M
~ . • - . ,:~y _
, ~ / ! PERMIT 1 C~ ,
' MECHANICA~ PERMIT RECEIPT # y r~~~' y~
CITY OF EA(iAN ; " D
3a30 PILOT KNOB ROAD, EAGAN, MH 55122 DATE
CONTRACT PRICE: ~ . PHONE: 45~-eioo For OffiCe Use Only:
Site Address - ~ gLD~i. TYeE WORK DF~8CRIPTION
Lot Block ~ Sec/Sub R~ ` New
Mult Add-on
m Name - f` ; i
Address ~ , ~ 'Comm. Repair
~ , Other
c City - ' Phone
i
FEES
Name ~ ' ' ~ ~ ' ~ RES. HVAC 0-100 M BTU - s24.00
~ Address ' l• ADDITIONAL 50 M BTU - 6.00 `
p Cily ~ ` Phone 1 ~ (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMI~ - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 196 OF CONTRACT FEE
Forced Air ~ M BTU - I' APT. BLDGS. - COMM. RATE APPLIES
~ TOWNHOUSE 8 C~NDOS - RES. RATE APPLIES
Bofler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
I Unit Heater M BTU REMODELS - 12.00 ~
' Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES
, Gas PipVng Oudets ~i ' ,r BEYOND $1,000~ ~
~ Other FEE , '
~ ~ ~ SIGNATUAE OF PERMITTEE~ ~
S/C: "
TOTAL: FOR: CITY OF EAGAN +
i
~ SEWER b WATER PERMIT OFFICE USE ONLY
CITY OF F~,~AN METER s g a~ PERMIT DATE 6/4/90
3830 i~ibt Knab F~d. cHiP ~~j~ ~*3"6 WATER PERMff #E l i426
Eagan, MIV 5512L-1897
METER SIZE 6 G~ B.P. RECEIPT ~ ~~095
~ ISSUE DATE g~' g~ B.P. RECEIPT DATE S/ 31 / 90
, - PRV _ BOOSTER PUMP
i SITE ADDRESS ~.1~'~ -~1~~~ s-~'~~ r~~Ck PERMIT REQUESTED
LOT YTALOCK ,~SEClSUB ~-t~~ ~
APPUCANT: ~ Y~+f~~^~~ C.-~ - )X`C. ~ SEWER x WATER -TAPS
ADDRESS: ~7~" ' "j7~~ _COMAA/IND x RESIDENTIAL
CITY, STATE ` ~ • ' ~ ZIP ;TYZ.( x
PHONE: ~
~~~p~u U - NEW - EXISTING
PLUMBER: F~i ~_I _ .
~ ADDRESS: ~~.tr'+ ti' I AGREE TO COMPLY WRH CtTY OF
~ CITY, STATE i~T-U ZIP~~ J~-~~_ ~G~N ORDINANCES:
PHONE: a`~i-~~~.~ ~ i -
~ 'i e ~ ~ d ~
OWNER: s-.~ [~r~ ~tli Lc~ ~.1ir
ADDRESS: ~ • ~~Y ? SIGNATURE WHEN M UED
, CITY, STATE ~ I ~ • . ZIP .~t Z ~ ~
~ PHONE: r ' ' - , `
: PLEASE ALLOW TKfO WORKING DAYS F~R
~R,OCESSIN .~OR ~ORM SEWER PERMITS, CONTACT
ENGINEERING DEPT. APPLICANT AND PLUTAB~A WILL BE NQTIFIED WHEN PERIAIT IS PROCESSED.
i SEWER de W9TER PERMIT OFFlCE USE ONLY
~ CITY OF IE/~GAN METER ~ PERMIT DATE
38J0 Pilot Knob F~d.
II E a
g a n, M I V 5 5 1 2 2- 1 8 9 7 CHIP # , WATER PERMIT ~ l 1r~26
I METER SIZE B.P. RECEIPT ~ ~~95
~ ; Y ISSUE DATE B.P. RECEIPT DATE ~L31.L~
- PRV _ BOOSTER PUMP
4
StTE ADDRESS ~s L?r PERMIT REOUESTED
LOT BLOCK ~ SEC/SUB ~ ~ f ' ~
x SEWER X WATER - TAPS
APPUCANT: - . >,~-i " - ~ x C .
ADDRESS: L~ ~ - ~ r y Lf~~ ~ - _ COMM/IND ~ RESIDENTIAL
CITY, STATE • - ZIp - ~r % }
PHONE: c;:: sL X NEW - EXISTING
PLUMBER: ~ `
ADDRESS: , ~ ~ l ; rt ~ ~ 't : . ; ~ I AGREE TO COMPLY WITH CfTY OF
CITY, STATE , . . ~ ~ . : + Z~p-~_ EAGAN ORDINANCES:
PHONE: ' _ a l ~ 4' ' , s~;-'~, -
OWNER: ~ • = ~ ~:l C:.c:- ~
ADDRESS: ti-~ ' SIGNATURE WHEN METER 15SUED
CITY, STATE - ; ~ : . 21P ' ` i ~ ' '
' r
PHONE: .
PLEASE ALLOW TWO WORKINCa DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT. APPLICANT AND PLUMBER WILL BE NOTIFIED WHEN PERMIT IS PROCESSED.
CASH RECEIPT
CITY OF EAGAIV
3830 P(L07 KN08 ROAD .
EAGAN, MINNESOTA 55122
o~TE ~ - ~ ~ s v U'
y~~il ~~L~.t~,,,~~,~: ~i.~t~ `
AMOUNT ~ [ I .l
a oou.nF?s
? CASH ~ CHECK
w^~t~tt ~~~-~7~ .~7,~ i~~'_~_ c.~r ~--1t' ~ l',~
-~-r~ --T
~ ! ~ 1J z"!f ..~C~,1~~G`A:l~ r~! y~~~.
/pI, ~ ' ~ i.. .l~ 1 / • ~ x~ >
~ J
Fl1ND OBJECT ry j. J • AMOUNT
, ~ ~ r.' ~
Thank You
ey
C ~o~~
wr~-F+e coor
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: i`~ ~ rJ J
~ 3830 Pilot Knob Road Permit Number: ~~.'Ftw. 1 A ~
' Ea an, Minnesota 55122-1897 ~ ~i ` F.
I 9 Date Issued: '
~ (612) 681-4675
SITE ADDRESS: ~ ~ ~ ~ : APPLICANT:
i ~ ~ c~ Ei ~ ~ r. ~
~ ~ IIIAMt'. 1't.E7 ~'i~lN
~ irl> ~~~r, i~ ! i-t'.~ ~:4~~
I
PERMIT SUBTYPE: TYPE OF WORK:
> , ~ ~ r,~FGf
• •
~ ~,~i } ~ ~,a~~ , ~ ld,,~
.T.
~ .
~ - - . ~ 1
---------------------~~-__.,_f- _
PermR No. Permit Holde? Dab 7olephone ~
ELECTRIC I
~
PLUMBING I
HVAC ~
InspecHon D~M Insp. Comments
FOOTiNGS ~s ~
CL
FOUNO
FRAMING
ROOFING
ROUGH
PLUMBING
P~BG
AIR TEST ~
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLB(3
F i NAL HTG
ORSAT
TEST
3LDG FINAL
' BSMT R.I.
~ 95MT FINAL
I
DECK FTG I
- - ~S G~~ . - -
~
D'~CK Fiw;L - ~ Ci/, `l~ -
_1~ L ~
I - '
~ - -
~ - - - 1
~ - - _ ~1
. ~ CITY OF EAGAN Np ~~926
, 383A Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 A~
PHONE:454-8100 (l ~„~I~
BUILDING PERMIT Receipt # L•~ U"f
To be used for SF DWG/GAR Est. Value $69, 000 Date ~1AY z9 , 79 9~
Site Address 604 THAMES CIR ~ OFFICE USE ONLV
Lol $ Block 3 SeGSub. COVENTRY PASS
Parcel No. ~ o«~pa~cy R-3 tl-L FEFS
, Zoning R=1
w Name THE ROTTL.UND QO ~ TNC '(Actua~~ Const V-N Bldg Permn 500.00
o Address Ol RTV R RD (Allowable~ V=N Surcharge 34.50
City FRIDLFY Phone 571-0304 x ol stonas
Lenglh 58' Plan Review 325. 00
, o Name SAME oePm Z4' sac, cay 100.00
~a Address ~ SF.TOIaI - SAC,MCWCC 600.00
r 5 F FoolOrints -
Crty Phone
On Sne Sewaga - '~'ater Conn ~n
r
ww Name on sne weii - waie~ nne~er 90 _ n0
i~ Addfess MWCCSys~em XX
~u Acd. Daposit "+n _ nn
`aw City Phone caywa~er X2L
' PRV Required - SlVJ Permtl 30.00
I hereby acknowlege that I have read this appiication and slate thal ihe Booster Pump - SMI Surcharge . 50
inlormaM1On is correct antl agr to comply with all applicable Sta~e ol
Minnesota Sta[utes and Ciry ol gan O~ia~~ Treatment PI 252 . 00
Signature of Permitee f APPROVALS Road Un~t a S S fl[1
A Bwltling Permit is issued ro: THE ROTTLUND CO INC Pianner - park Dea.
on the ezpress condnion that all work shall be done in accordance wnh all Council -
applicable State of Minnesota StaNtes and C-yi~ry, o~f1 Eagan Ordinances. ' BIdg.011. _ CoDies
n(41~0 RoAl~ Ilili vanance - 70TAL 2+942.00
Building Othcia~ i
~/~9a ~GC -
G 3 8101 s
Reques~ Date F e No Roug~~m Inspecuon
R~e~qwc,reO? ? Reatly Now f~lWill No~ily Inspe or
les ? No When Ree0y7
I ~ icensed contractor O owner hereby request inspection of above electrical work at:
Jab AtltlresOs~reet, Bp r pome No ) ` Qry
A
Sanion No Townsbip Name or No Henge No Co n
~
Occu nl (PRWTI Phona Na.
Pawe uppL¢r AOtlr255
f
Eienr a4Camr~cror ILamOany Namel ConVector5 Licensa No
a ~-3
Maihnq Atltlress (COnlractor or nor MaWng InstalleLOn)
Aulhorrzea SignaWre IConVa er Making Inslall ionj Phone Number
-3g/c7
MINNESOTA STATE BOARD F ELECTRICITY iH15 INSPEGTION REOUEST WILL NOT
Gdggs-MlOwey BIEg. - Room 5~1)3 BE ACCEPTE~ BY THE $TATE BOARD
1821 Unberslty pve., 51 Paul, MN 55/04 UNLESS PROPER WSPECTION FEE IS
P1wne (61P) 6aY-0800 ENCLOSED
~ 7~/~ REQUEST FOR ELECTRICAL INSPECTION ea~oooo~~m
ppv 1
? See in5lmcY.ons lor mi~iylelmg Ihis lorm on ba[k ot yellow copy (1)~ `
~ i~ i
Qey . 3 8 1 O 1 "X" Below Work Covered by This Request ~v~~ ~o ~
ew~AJd Nep. TypeoBmltling AppliancesWired Eqwpmen[Wiretl
Home Ranqe Temporary Service
Duplex Wa~er Nea~et EleCiriC Hea[ing
Apt. Bmlding Dryer Other (Speciy)
Comm./Indusirial Pumace
Farm Air Contli~ioner
ONer (spemty) Conlractors ilemarks:
Compute Inspection Fee Below:
# Other Fee i Serv¢eEntranceSze Fee # Qrcwts/Feeders Pee
Swimming Pool 0 to 200 Amps .~D ' to i00 Amps ,~J
Transformers Above 200 _ Amps Abov _ Amps
Signs Insoacmr5 Use Oniy TOTA/L
Irri9ation Booms ~6' `j6~
Speaal Inspection
AlarrtUCommunicanon THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 M S.
I, the Electncal Inspector, hereby R°ugh-in e•
certity ihat the above inspec0on has F~~ai oa~e
been made. ~
OFFICE USE ONLY ~
Tnis requast vaitl tB momM1S Imm
~
~ 33 7 ~ RESIDENTIAL
BUILDING PERMIT APPLICATION ~
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
65'I-681-4675 jl~d
New Construction Reauirements RemodeUReoau Reauiremants
. 3 registerea site surveys showing sq X, c~!oi, sq R of house; and all rcefed areas ~ 2 copies of plan
(20 % maximum bt covera9e allowea) . 1 set of Ene~gy Calculahons lor heated addihons
. 2 wpies ot plan showing beam 3•xintlow srzes, poured lountl desgn, atc 1 • 1 sde survey tor extenor adtlitions d decks
• 1 sel ot Energy Calculations . Indicate d home served by septic system for addrtions
. 7 copies of Tree Preservat~on Plan d lot platted afler 7f1l93
.,4im .loist Detail Options seleaion sneet Rldgs with 7 or less units)
DAiE 7 /2> VALUATION ~a `~7~, o0
SITE ADDRESS (oo~ I ha.K~S C~~z.I,t, MULTI-FAMILY BLDG _Y _ N
TYPE OF WORK Qe S~cI~.L FIREPLACE(Sj _ 0_ 1_ 2
APPLICANT ~~x.~ CpnS+.
STREETADDRESS Sb'~7 M2w~or~a..~ ~ri-Ne• ~f~. CITYS~'llwai~cr STATE~ZIP~ O`~
TELEPHONE #lo.Sl-y3~`i-y32.~ CELL PHONE # FAX # (051-351-Zog[o
PROPERiYOWNER _I-)wg Car{~r TELEPHONE# ~cS~'~gK-~5~
~
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ Vk:SOT:A RGLL:S 767D C.A"~I?GORI' t ~(I ~ ~ i Pp~ 11
(•i submission rype) . Residential Venttlation Category i Worksheet Submitted . r y'7C . e sh'eet su mittetl
• Energy Emelope CalculaUOns Submitted II
JUI 1 8 2002 ~
Plumbing Contraetor. Phone #
Pluail~ing system includcs: _ ~Vater SoE[cn~r Iawn Sprinkler ee
~Vatcr Hcater No. oF R.I. Ba[hs
~o. of I3alhs
Mechanical Contractor: Phone #
~[cch:u~ic>~ sy~~~cm includes: :~ir Condiuuning P'cc: 57Q.00
Hcat Rccocci7 S}striu
Sewer/Water Contractor: Phone #
I hereby acknowledge that I have read this application, sTate thai the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances ~
Slgnature oT Applicanf ~l:(.LlL4~
OFFICE USE OvLY
CertiFicates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1f02
OFFICE USE ONLY
? 07 Foundation ~ 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 05 O1 of _ plex ? 09 07-plex ? 17 Garage ~ 22 PorchlAddn (.i-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? t0 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 MWti
? OS 03-plex ? 17 10-plex ? 19 Lower Levei ? 24 Storm Damage
? O6 04-plex ? 72 72-plex Plbg_Y or_ N ~ 25 hlisceilaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 4~3 Siding
? 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 4o Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg only) • Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning Ciry Water
SAC Units Stories Booster Pump
Nbr of Units Sq. Ft. PRV
Nbr of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footin~s (new blde) _ FinaUC.O.
_ Foocmgs (deck> _ FinaVNo C.O.
_ Foutings (addition) _ Plumbmg
Foundation H V A C
Drain Tilt Other
~ RooF _ Ice R\b'~ter _ Fin~l _ Pool _ Ftgs _ AiriGas Tasts _ Fina!
_ Fr~min~ _ Sidmg Stucco ~ Stone
_ Pireplace _ R.L _ Air Tzst _ Final _ ~Vindows (nz~~'~replacement)
~ [nsulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
S~rcharge
Plan Review
MC/ES SAC
City SAC
Water Supply 8 Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
z s , 3
' RESIDENTIAL
BUILDING PERMIT APPLICATION
n ~ CITY OP EAGAN
(n2~ 3830 PILOT KNOB RD, EAGAN MN 55122 r~~
851-681•4675 ~
New Conatructlon Reaulremenro HemotleVReualr Heauiremente
• 3 ~Bgistered 5tlC Sun9yS ShOwi~g sq. fl. o~ b~, Sq. it. 0f h0u5B; end 211 roofed areas • 2 copiOS 01 plen
(20%maximum btcoverege albwetl) • 1 set of Energy Ca~ulations for heated additions
• 2 copies of plan showing beam 8 window saes; poured found design, etc.) • 1 site survey for e~Aerior add'Aions 8 decks
• 1 set of Energy Calalatbns • Intlaate A home servetl by sep4c system tor atldilions
• 3 copies of Tree Preservatbn Plan M lot platted aNer 7/1193
• Rim Joisl Detail Optqns seleclbn sheet (bttlgs wM 3 or less untls)
DATE 2y Id Z- VALUATION ~I ZZS - ~~J
SITE ADDRESS G,(~~I I iial~u8 Ca~Y `e MULTI-FAMILY BLDG Y'~N
NPE OF WORK ~ FIREPLACE(S) _ 0_ 1_ 2
APPLICANT f,~) o_a...}~s~: lawr.~ ~on.S7'~
STREETADDRESS~n~I-7 M°cv~~nc;.,I /a-,/2°_. CIN~STATE/~~ZIP~
TELEPHONE # G5~~y3`I- y3lD CELL PHONE # FAX # 6Si - 3Si - 20~ 6
PROPERTYOWNER Vb~ C~~,-~ TELEPHONE# ~n51-fa~f~3 -(~`Jt?~~!
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RliI.ES 7670 CATEGORY 1 ~fINNES01'A RtiLES 7672
(J submission type) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submrtted
Plumbing Conhacfor: Phone #
Plumbing system includes: Wa[er Softener Lawn Sprinlcler Fee: $90.00
Wa[er Heater No. of R.I. Badis
No. of Baths
Mechanlcal Conhactor: Phone #
Mechanical system includes: Air Condi[ioning Fee: $70.00
` Hea[ Recovery Sys[em
Sewer/Wafer Conhactor: Phone #
I hereby acknowledge that I have read this applicaTion, sTate that the information is corr e~ itl"Ic f~
~ ~ ~
with all applicable State of Minnesota Statutes and City of Eagan Ordi nc~p~ ~
Signature of Applicant GN~' N 2 8 2002 '
OFFICE USE ONLY ey~r-
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
? 01 Foundation ? 07 OSplex ? 13 16plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 0&plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Stortn Damage
? O6 04-plex ? 12 12-plex Plbg_Yor_N ? 25 Miscellaneous
? 31 New O 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 WindowslDoors
? 34 Replacement 'Demolition (EMire 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(newbldg) _ FinaUC.O.
_ Footings (deck) _ FinaVNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _[ce & Water _ Final _ Poo] _ Ftgs _ Air/Gas Tests , Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
Insulation _ Retaining Wail
Approved By , Building Inspector
- -
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storege
S&W Permit 8 Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
~ S
• 1 ~
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIPLE DWELLZNGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PIANS 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 WEIEN: 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.
~ ~ : RECD
To Be Used For: -,1-,~ ~~,~,,,,,~h, Valuation: Date: ~~2z/90
' + Car
Site Address (cpq 'tF.,a ~,o ~ O~~ OFFICE USE ONLY
Lot ~ Block ~ FEES
occupancy I~'3 M-I
Zoning R-I
Parcel/Sub ~~rH Actual Const ~/-N Bldg. Permit Jr'~~~~
Allowable 1/~/~ Surcharge 3y,SO
Owner ~ Q~~-~-r t~~_,y~ ~'-0, # of stories Plan Review 32$,JO
Length ~ SAC, City Iv O~J~
Address ~p~ 72~~1F,~ '`Cg~i_ Depth 24 SAC, MWCC bOO~J~
S.F. Total Water Conn (~$~,00
City/Zip Code _~~y~~-~i ~c+.Z~ Footprint S.F. Water Meter QO
Acct. Deposit ,p0
Phone L~7/-~~~f, On site sewage_ S/W Permit ,vo
On site well S/W Surcharge ,gb
Gontractor MWCC System Treatment P1. 252,0~
City water V Road Unit 3$S~~
Address PRV . _ Park Ded.
Booster Pump _ Copies
City/Zip Code SUBTOTAL
' APPROVALS Penalty
Phone Planner _ TOTAL 2'
Council
Arch. /Engr. Bldg. Off . ~7
Variance
Address
City/Zip Code
Phone ~
r ~
1/A~~ ATI £~5 ~ ~ , • '
Z ; . ,
~ ~ '
G q R ,46~'
~ x 20 ~ y o~ = G pov
$3mT
2 ~ "~5b x i 4 ~
133~
IS'r ~FL~/a
B q S~?
~zx? ~
x 51 =-~I 572,
G 8~ 37~.
~ * ~ ' 2A22 Entr.ipiise Drive
~ PIONEER • LANOSUFVEYORS•CIVILENGINEERS _.l Mendota Heights, MN 55120
~ QI1gIC1P~P~I~Ing~~ LA~OPLANNERS•LANOSC/1PEFRCHITECTS ~I ~C~~~ ~p~-1n~~
L i V O 10
L ~ ~T
1[
Certificate of Survey for: ~r'~' `LU~~~ ~oMnANY
~
NoRrN
s~ /oo `•1
• ~
36 .
Q pP~~ ,'2~ .
O~ ~ 1~~ \ / ~
~ ~ ~ ~7`1
b
~ N^a/ s ~ro
~
9 ` ` ~ _
~ ~ 1 / I ~ ~
o ,
,''b~ / 6~ ~ - ° A ~ t'~
~ ° ,r° ~ o~ tl~
1K ~ ~ \ ^~o / `J ~ ~ ~ ~
I! ~ ~ X ~ ~
,~C~ m h ~ e~ 0 0.
o ~ 'L 9 ~
Oa D`~ ~1~' 's ~ ° .
O 1 ~
? O / / d ° ~ ~ 3~s \ ~a .
ti 's
~ / `~s s~ y (897.0
~ ti . ~ ~97.Z
~o/ , io~ /f c~v
io_. ~ rV.o°
~
? h~ .t RSl•'8 ~',r. ~ ~ CD onl
~ ~ ~
L~ ` ~ `
6 S ~
µ 7 I
i i~
~ - 21/.~~- ~P,l~~,~~
. s a9°as~ ro~ E 2~,~~~ F~,.
By , ~ _ _.r..~..
Date sl
E~G,~}~ ENGI£dEERI1VG DEPT
~ 900.0 Denofes existin¢ e(evafion ~RQPIJS.EQ__~-_-IOCI~~EVA'T~tONS
~ 9aa~o Dei~ofes proposeci elevafiorr Lowesf froor E(evofion 89 s. o
Denofes braina~¢e e Ufilif Easemenf Top of Blork E/evafrort b~9.8
Denofes Draina~¢e ~"law ~rrows ~'ara~e Slab Elevafion 899. S
o Denotes monumen f
Bedrin~s shown are assumed o DPno~es D+~''sef Nub
Lor s,B~oc~ 3, CovENTaY pAss
DAKOTA
uDC NTY~ MIIJNfSOTA Su6jec! fo easemenfs o~'record
1 6crrby certfly ~hat this survey, plan or reporl was pre ared hy me or under my direct supervisinn and that I am duly Reqiseared la~A Survryor
under Ihe Inws ol ihe SIa1e ol Minnesota. ~ared this~Aay o(~ q p, ~g~Q ~
'
scal~ ~ 1 inch = 4~r~ef _ ~ -;ti, ~
: r ' i
115 $9102. 25 nP Rt P. StKICH L5. ~EQ. No. I~8^7
7"~% ~~/=aJ9!'--
~ , FSTF.RiOR r:r+vr•.r,rn~r~ nvr:rnr,r: "u" CuMT'll'f!~'1'I~~u r'r
o~.,+&n leo'1~LVND GZ7: .
• ~ ' .
s?T~. n~~~ESS r~.q- e~ y~.~
CONTRACTOR ~'}~7~{,~ DATF. ~~ZZl~n PHONE ~[~-p
Deterain vorkinr, squnre footni;c of cach.
1. Total expesed vall area ~1~z'~ sR. ft. x ~'1~ _ ~~~•2(~
• 2. Total roof/ceiling area -f~ sq. ft. x e~0?6 _ ZC~q,~1
•
Total e:cposed vail arez abovc flo<~r = { ~ a 7ii¢
a. Total wall vindov area IZ ,
~ b. Total door area ~
c. Total sliding glnss door area
d. Total fireplece va?1 crea 2 0
e. Total vall framing area (avera~e l0p) /~3
-,),Q(~
P. Total net uell erea nbove floor ~`L"L" •
. g. Total rim ~oist area 14L.¢
Total exposed foi:ndation arca = -I~ ~
h. Total foun3etion vindov z:ee ~
^ i. Total net foa~dation 2rea nbove grade
~ . Deterrt;ine "U" ~-alue o; each vall .FC;ment.
. a. 12~F- 4 Y„U„ 0,4-2 = 52.o-g
b. 4Z,~~ x„U„ p,~3~ = 5,85 .
. 5~- X„~„ 0,3 Z = ~7,z~ .
d. 2 n x„~„ . o, ~ _ Z
e. l35,8 L x.,,U„ v,o8~' = IZ,o9
r, IZ22,g''~ X„~,. O,a~3 _ 52,5~
. B. l o Z, q- X„i,,, O~ 04 I~_ ~-.I ~
h. x "l~" _
i. q7, ~ X„U„ _ 0,~~4. = i~,~ C~
3. 'iot.~t = ,
1 y4.']7 ~
r. ' ~ ~~r
If item N3 is the sazne as, or les~ :.ti:~n ite~~ Nl, you n~ve met the intent
of ssc 6oo6(c)2.
' ~ Total exposed roof/ceilin~ nren = ~ v d
~ 'l . - -
Total gross roof/ceilin~ are:i =
. ' -
Total skyli~ht area _
k. Total roof/ceiling framing area
1. Total net insulated roof/ceilinF area ~p~ 2 •
Determine "U" value for ~ncli ruuf/~cilin~~ seF,~mcnt.
J. X uUn _
?
?
k. ~8 X o.az7 = Z~ ~ ~
~82 X „U„ O_02Z- = Iq,~ .
k . Totai = ~ ,
c (c_
If total of N4 is the same as, or'less than N2, you have met tt~e intent of
ssC 6oo6(c)1. . .
To utilize the total envelope system method, the values establi_hed by the
simm of iteas d3 and dL shall not be greater.thKn the sum of iten:s N1 and N2.
1. + 2. _ _
' - g, ~ + L. _ _
. . .
,
•
U
_ . A °
~~~---~~i~-~~a~z
- (co~~j:~:- -
, ~1~1__.~o~h"C -
m~hPo~t~4 js.... --~vh.u~-:-_
v ~ O ~~-~~~.-FI.L~t ~;.g
~
~ S~.Jti~~u~. -_:I~-~ . .
~ ~":FI~? ~IM ao~h . _ I ~ as
~ i ~~-H :A'~N ~ N~ . _ 2, o c,
s 2 ~ ~.INU---- - -o;.~,~~.
3 0 ~j--k1~: ~jLM. --_--o;~ i.:. .
~ ' I J .
(v ~~.tJ
a
~ ; ~__'ZG:-3o:-
j I
~ ; - 0.04,
Grz:~ - ~ 2~. :D ~
, _
. % ~t~tIND~~oN ~ ~
j D '
% ~
, ~MFbN~N'~.--- --~'yk!,I~:
I j
~ - ~ - ~ 3
~ . - j . ~ ~~~/1. =
o
•.i 1-~_ _ -
~ / ~ 0 ~IS _ ~Q•. ~,r,~ _ . Ia~;
,
. / % 3 L-
' , C~ IZ.~-~~,--hc~;
~
~ . ~ . C; t~'.e~,e_~~M
~ ~,i3 (tz,?;
i
_t~=~- = o . I ~
~ ~ =o.o~
~3
~ .=~J .~vPcl,u~ ~~l~u~AT,orY~ (~oNT).
-~~~M~ WP~U. G~ ~IN~-II-ATlct~l
LoMPoN~rIR . ~-vAU.aE
-r_,
r ~
~.i o-t~~DE AI~ FiI.M 0,17 _
= 2 -h~ ~~1Nv. - - p,~,,Z -
_
- `U - ~-E~kTHIN~ _ 2; oc, . _
3 ~
- - - ~/2 lNSULAT1cN• I ~j . G '
4 ~`u G,~P ~ o, 47 -
5 = .
; `G
° I~~Ir7E Pdfy ~II,M, --p; Ca o -
L
- ~T=f~.= 2 3 , a ( _
U= = o 0~3 ,
R rP~+~r
. .~'r~MS W~u. C~. ~r~D .
LoMPON~NTs ~ . : ~ ~-VAI,U~
~ - , _uT~,oE _....__o,i~.---- -
~ ~ ~
-~~T.' 2 ~/Z~~hI~iN(.. -a:L2::.._
3 3~ hH~A'(}~lNb, 2.GLi -
4 4- ~ X c~ h1~:ID (F~A~i~u) - -J.-~ p~ -
; ~ _ - - 5 ~ P.
5 Q .~2 ~ . . - - ~;4'~ -
~r C' ~r>~~~ P~iR- Rt-M. . . -0.-~0~=- .
_
' II.I_~-
~Taf~x,- -
_ f
l.l~N• Ul~k~. . U~, p. oa9.
~L
r ~
~ _G-s~1~ P~. U=~0. I2 X O.Ob9) -I-~O~ Sb x 0.043> = O• D~-7 _
~ . R
c . *
~z~cz~~m~m~m~m~mmm~m~m~m~mm~~~s~~~mm~~z~~~m~
ctiv nr- Eacar~
CASH:[ER: S T~RMINAL N0: 3E
DAT'F_; OB/1.2/96 TIMF_: 13:39::,5
Ii~s
i~AMEa T10NAl.L~ M tOHN50N
3210 90U1 604 THAMES CIR 4::~.00
^L1.:1J 9001 604 TNAMCS CIR O.SO
7ot~1. Receip+ Art~o~.int: 45.50
CkIJ62830
USF..R IL~: NANCY
mm~~mm~zzc~mmm~~~m~~m~m~~mzc~~~~~~~~~c~mmm~
_ ~ PERMIT ~
CITY OF ~AGAN
3830 Pilot Knob Road PERMITTYPE: ~~~~~~N~
Eagan, Minnesota 55122-1897 Permit Number: •
(612) 681-4675 Date Issued; 0 8/ 0 9/ 9 6
SITE ADDRESS:
604 THAMES CIR
LOT: 8 BLOCK: 3
COVENTRY PASS
P.I.N.: 10-18400-080-03
DESCRIPTION:
Buildin`g, Permit Type DECK
!B~ilding Work Type NEW
~~Census Code~~,~ 434 FlLT. RESIDENTIAI
i
r
. /
i'
i `
\ yy ,l
~ ) -
;~~"/1 1. ~ ~f
i~ 1/
i'~
~ : , _ _ - -
f . ~ ' ~m.. ~ - _ ~ . .
~ _
REMARKS:
FEE SUMMARY:
Base Fee $45.00
Surcharge $.5@
Total Fee $45.50
CONTRACTOR: OWNER: - APPlicant -
JOHNSON ~ON
604 THAMES CIR
EAGAN MN
(612)451-1349
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 hin.
Stat es d City of Eagan Ordinances. ~
~ , ~
c
A PLI /PERMITEE SIGNATURE ISSUED SIGN RE .
CITY OF EAGAN
~ Q~/(/ 3830 PILO? KNOB RD • 55122
U ~ I 1996 BUILDI~IG PERMIT A~PLICATeON (RESIDENTIAL)
f 681-46T5
ti'
New Gonslrt~tlian Reaulremenls RemodeL+~epair Reauirements S~ S v
? 3 rogisterod aAe surveys ? 2 cropies of plan ~
? 2 eopias o/ plena (Indude beam 6 window sizes; poured Md. deslgn; etc.) ? 2 sRe surveys (exterlor addrtions d decks)
? 1 energY ca~cu~ations ? 1 energy calculations far healed additions
? 3 copies o1 trx proservaHon ptan N bt pktted efler 7/7/93 ~ij~„~(„y ~
raquired: _ Yee _ No
DATE: ~
I 7 f~? . CONSTRUCTION COST: ~`3~~ ~ -
DESCRIPTION OF WORK: ~ • Q~c~~
STREET ADDRESS: ~L~ ~R~~ C rv~e ~ ~~~'^3 ~
LOT ~ BLOCK SUBD./P.I.D. - ~S
PROPERTY Name: ~ ~L~~n-t~~ ~v.~ Phone#: ~SZ ~~~q`f~
OWNER ~ M.. Lp 6- i3`E !
Street Address• ~ h~^~ ~
City: ~~-g~ State: Lt~_ Zip:~~
Sf Z3
_ ~
CONTRACTOR Company: '-~~E- ~ ~ - Phone
Street Address: License
City: State: Zip:
ARCHI7ECTl Company: ~1~ - Phone
ENGINEER
Name: Registration
Street Address~ .
City: State: Zip:
Sewer 8 water licensed plumber: Penatty applies when address change and lot
- change are requested once permit is issued.
t herel+y acknowiedge that I have read this application and state that t,e info ation ' correct and agree to comply with att
applicable State ot Minnesota Statutes and City oi Eagan Ordinances.
Signature oi Applicant: _
, OFFICE USE ONLY C~I~OM~~~
Certificates of Survey Received _ Yes _ No ~ f q° ~996
Tree Preservation Plan Received _ Yes _ No L~~~ -~,-R=~
f
~F~` 1` ' i} . _ ~a . ` . a ~ e
OFFICE USE ONLY , , ,
i3U1LD1NG PERMIT TYPE
0 01 Foundation ? O6 Duplex o 11 Apt./Lodging ? 16 Basement Finish
0 02 SF Dwelling ? 07 4-piex o 12 Multi Repair/Rem. ? 17 Swim Pool
0 03 SF Addition o 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
0 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
0 05 ;F Misc. 0 10 _ plex ca~15 Deck
WORK TYPE
~31 New o 33 Alterations o 36 Move
0 32 Addition ? 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. _ MC1WS System
(Allowable) Main level sq. ft. _ City Water ?
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# ai Stories sq. ft. Booster Pump
Length sq. ft. Census Code. v~
Depth Footprint sq. ft. SAC Code oi
Census Bldg i
Census Unit v
APPROVALS
Planning Building 6~~ Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit ,
S/W Pertnit
S/VN Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded. /
Other
Copies '
Total:
% SAC
SAC Units ,
. ` k . y . .rvJS~
. , . . , t
î
ÿþþ ýüúïüú
ùþþ øð
þ
ó õ í ùû
ôó
ÿþö
ÿþýüûú
æ ß ù õ ùþ üûú
ùüûú áú
ùú
õ þ õ ôóôïþú
û
ò
ÿñþ
ùð
ùùûðùþ
þ
ãâî
î
íþ
â
ú âàô
ããÞ
ðååôèèô
õù
ÿþùî
ù
þ
ååèèã
þ
è
ôøó
ö òñ
úú
õùæã þ
õ
ù ù
ãâî
î
íôüî
ë õù
â
ú âàô
âàãó
éãçãÞ
îùýû
æ î
î
íù
î
úú
î
îì ùë
ùù
ù ëúûæ î
úú
ýÿ
ìâ
ÿ
þ
õ û ì
ïù
è
úú
ß
þû ÿ
þù
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA112213
Date Issued:08/02/2013
Permit Category:ePermit
Site Address: 604 Thames Cir
Lot:8 Block: 3 Addition: Coventry Pass
PID:10-18400-03-080
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:patio door
Perry Firkus
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 -
Douglas A Carter
604 Thames Cir
Eagan MN 55123
Crew2 Inc
2650 Minnehaha Ave
Suite 100
Minneapolis MN 55406
(612) 276-1680
Applicant/Permitee: Signature Issued By: Signature