3958 Thames Ave omw owwajgc JV
Total $ Ti
Sc
Sewerand Wa
8" Sewer Service
6" Water Service
Sewer lateral charge @ $24.60/ff
Water lateral charge @ $31.30/ff
Sewer trunk tr $2,060/acre
Water trunk @ $2,165/acre
City SAC @ $100/unit
MCES SAC tr $1,350/unit
Receipt # , Date
Water supply & storage @ $3,415/acre
Treatment plant @ $588/SAC unit
Septic abandonment
Permit Fee
State Surcharge
Total
Separate plumbing permit requircd
Niunber of.SAC tutil.e is delerminecl b- the Metra olifur
cc: Carolyn Krech, Finance Department
~es ~
~S9 -1~
3
2006 RESIDENTIAL PLUMBING PeRnniT a.PPLIcATioN
I CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date S 1~
Site Street Address A4lrreS ~L Unit #
PropertyOwner Du l,~rb~ ~i'fna't-4-CQ Telephone# ( )
Contractor_0/~O Telephone#
Address SZ7X ()/,Sdy! City 14f357-i.f176 Stateiq• Zip
The Applicant is: _ Owner KContractor _Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license ~ Includes County fee
$ 100.00
Per as-built $ 10.00
Alterations to existing dwelling $ 50.00
~ Add plumbing fixtures. This fee includes installation of a water softener and/or water
heater at the same time. If you are installing onlv a water sokener and/or waler
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
_Water Turnaround (add $130.00 if a 518" meter is required)
Other:
Water Softener _ Water Heater $ 15.00
_ new _ replacement
Lawn Inigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total $
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 wili be in
accordance with the approved plan in the event a plan is Z~_eviewed and approved.
,
QN'~V', i.n
ApplicanYs Printed Name licant's Signature
r ~ 2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
(o gy~ Telephone # 651-675-5675 FAX # 651-675-5694
New Conslmchon Reouirements RemodeUReDair Reouiremenis O(fice Use Onlv
3 registered site surveys shaxing sq H of lot, sq fl of house, and all roofed areas 2 copies of plan Cerf otSurvey Recd Y_N
(20°6 maximum lot coverage allowed) 1 set of Energy Calculahons for heated additions Flee PresPlan Recd Y_N
2 copies of plan showing beam & window srzes, poured found design, etc 1 sde survey for adddions & decks Free Pres Required ~YN
1 set of Energy Calculations Addition - mdicate donsRe sepGc system Do-site SepticSystem Y_N
3 copies of Tree Preservahon Plan rf lat piatted aker 711193
Pom Joist Defail Options selecUon sheet (bmldings with 3 or less units)
Date 4l / 11 l b 5, Construction Cost ~ yB0
SiteAddress 3953 71i4w,~4 r /a.vt ?vL ,1 Unit/Ste #
DescriptianufWork ~J~c, k-
Multi-Family Bldg _ Y2)_ N Fireplace(s) ~ 0 _ 1 _ 2 '
Property Owoer 0.n SC.1-cJ, sG w c i-f,-
n rT~tepho~
Cuntractor G 2 9 r~,5~i IYV~j'~ PR I( Address 9 aS I 5-E-b,riyt LE City ~ e'
State w~Y1 Zip S$7 Telep one 2) 9kr- 700i
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDiNG
- Mimiesota Rules 7670 Cateeoiv 1 Minnesota Rules 7672
Energy Code Category , Residential Venhlahon Category 1 Worksheet . New Energy Code Worksheet
(+Isuhmissiontype) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 2517o plan review
fee applies.
Licensed Plumber Telephone )
Mechanical Confractor Telephone )
Sewer/WaterContractor Telephone#( J
I hereby apply for a Residential Building 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 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 of plans.
Applicant's Printed Name Applicant's Signatu
OFFICE USE ONLY ~
~
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM, Alt- Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-piex ? 10 OB-plex ArO0,18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 72 12-plex Plbg_Yor_N ? 25 Miscellaneous
Work Types
.,;~31 New ? 35 Int Improvement 38 Demolish Interior 44 . Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building• ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation ZO00 W Occupancy MCES System
Census Code 3` Zoning City Water
SAC Unils ~ Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const g' 1! Width
REQUIRED INSPECTIONS
Footings(new bldg) FinaUC.O.
~Footings (deck) ~ FinaUNo C.O.
_ Footings (addition) _ Plumbing
_ Foundauon HVAC
_ Drain Tile Other
' /Roof _ Ice & Water Final Pool Ftgs Air/Gas Tests Final
y Framing _ Siding S[ucco Stone Brick
_ Fireplace _ R.I. _ AirTest _ Fina] Windows
_ Insulation _ Retaining Wall
Approved By: ICAW41- , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S8W Permit 8 Surcharge
Treatment Plant
License Search
Copies
Other
Totai ,
* * 2422 Enterprise Drive
* ~c Mendota Heights, MN 55120
EEF3 VJlD SVRYEYdiS • C1Nl EllCINEEPS (651) 097-1914 FAX:687-9488
e LANp PUNNEflS• lANUSG~PE ~RCNIlEC15 625 Highway 10 N.E.
Blaine, MN 55434
(783) 783-1880 FIU(:783-1883
for: MANLEY BROTHERS ONSTRUCTION
2SUL~ING INeJPL~~~IM PErlr' 3958 THAMES AVkIUE BUYER:SPEC EAGAN, MINNESOTA
\
O
_ LOWEST FLOOR ELEVATION: ELEV4 C~OJ~ 0441
TOP OF BLOCK EIEVATION: 117-
GARAGE SLAB ELEVATION:
TOB 0 LOOKOUT ELEVATION: / "D~0~
% 000.00 DENOlES E%ISTINC ELEVAlION ,
( 874.9
000.00 ) UENOTES PROPOSED ELEVATION
~ 0~L 874.7
- DENOTES ORAINqCE AND UTILITY EASEMENT ~ 874.6 M CN
~ DENOTES ORAINAGE F4k1W DIRECTION 072/ B74.3 ~ 874.6
-A- DENOTES SPIKE b 137y2 B OENOTES OFFS~Fd'HUB
r~
~
~ GRAPHIC ,SCAL~
~ 00 IN FEET
M 3 ?f oY
. ? ~ , E
~ ~e .e X\ bbi _
I BENCH MARK
~ ~ ~ \ . ~~ge7.4 ~ TOP OF SPIKE
` I ~ ELEV.= 867.40 ( .
~ ~
~
t\:O) o
Ln
` vyo : o~--•,~ '
';x \ y6
~ oa.\ N
r ~ 870.0 00 ~Pr' . . POO I ~
~yy~'
x '1. ~ • i~'. r-- 4
i~? V
807.2 /O ~O
~ - ~ 71t s
~ / O \ ` )866.8 ¢OOJSY O ~ ~
~ .
~y~ 26 ti . L~
iA ~p \ 'y0 \ p «i~''Y (
•o ese.e . . o° " a`•'
0 w 1~` Ci ',Q51~
,
~ °•o ,
, . A.
o
' '+y:t,e o o\~~ , •~,~y . w
A60~ n ~
?~'~C Qo N I`e,•r-~~-~~- Wv~~~! tv ~
.Cl:~P~ ~IYGIN~~PwTNGDEPT.;c'.~; • .s'. \ 9
BENCH MARK `r ~ ~i'~~'~ - ~ vMhj ~ u1`~
TOP OF SP1KE ' ~.1~ ~ e`° ~ • 3' Mwr1N1~7 S~Op98
ELEV.= 866.83 U~ c ase. 9 \\`i iw yt ~v 'y ~ 0 0r RANnI(1g W$ll Nil
IBENCH MARK Z S/G~ RA~U~~
TNH l.OTS 2 k 3 BlK 2 ~/6 0
cLEV.=866.78 Fd`C`r
7i ~ r
i
lOT AREA = 16,119 sq. it. ry~j /IN ~X
GARAGE HOUSE AREA AREA ~ 1,330 eq. ft.
s 981 sy it.
PORCH AREA- 216 aq. -(t..
COVERAGE -15.77
'reo! C~,~-cti=591~ ~,•r{`_ l,t~~:l~ iCic~i. ~'t~ 1~ s ~6y I ST~
t.,ecK (i-.-~ 2= >I, 0 ~
SERV. INV. EIEV.=858.9 3 L' ,dyV C~
HOUSE TYpE- WAUCOUT K1t Q 1/ 1V I~ W /1~ `A
NOTE: PROPOSED CRAOES SHOWN PER CRADINC PLAN 9Y: PIONEER
NOTE: 6UILDINO DIMEHSIONS SHONN AftE FOR HORIZONTAL ANO VERTICAL LOCATION
OF STIIUCNRES ONLY. SEE ARCHIIECTUAL PlANS FOR BUILDING AND FOUNDATION OIMENSIONS. -
NOTE: NO SPECIFIC SOIIS INVES7IGATON HAS BEEN COMPLEIED ON 7HI5 LOT BV T1E ~
SVRVEYOR. THE SUITABILIiY OF SOIIS i0 SUPPORT iHE SPECIFIC MOUSE
PROPOSED IS NOT THE RESPONSIBILI7Y OF iHE SURVEYOR. '
NOIE! 7HIS CER71FlCAlf OOES NOT PURPORT TO SHOW EASEMENTS O A!lantis PooUEcoWater Syetem
7HER T{AN q
7105E $HONN ON TIE RECDRDED PIAT. ~y21 68th AVenUe NOITh O US •
NOTE: CONIRACTOR MUST YERIFY DRI4EWqY DESICN. BCOOkI,/n CP.nter, MN 55429
NOTE: BEAPoNGS SHOWN RRE BASEO ON AN ASSUMED UATUM 763-560-0103 ~ x')..
763-560-8619 Fayr
WE HEREBY CERTIFY TO MANLEY BROTHERS CONST. THAT THIS
IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF
THE BOUNDARIES OF: ~o~e~ ~D O
LOT 1, BLOCK 2, PERRON ACRES ~o o I r~2~ g
DAKOTA COUNTY, MINNESOTA
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR
ENCHROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED BY ME OR
UNDER MY DIRECT SUPERVISION THIS 30 DAY OF JULY, 2003.
SI ED: PIONEER E INE ING, P.A. .
SCALE : 1 INCH = 30 FEET REVISED 8-7-03 STAKE HSE <
ev
054 101222.025 JMM/PDS Dan R. Westergren Reg. No. 197 0
1.. 47 ~~'1 2004 RESIDENTIAL BUILDING PERMIT APPLICATION ~ 38c~ , ZS~
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122 S2-516~
Telephone # 651-675-5675 FAX # 651-675-5694
New Conshuction Reauirements RemodeN3eoair Reauirements OHice Use OnN
3 registe2d sile surveys shovnng sq. ft. of bt, sq. R of house; and all roofed areas 2 copies of plan CeR of Syrvey Recd ,-,~M Y_ N
(200h maximum lot cove2ge allowed) 1 set of Eneigy Calcula6ons for heated addNOns Tree Pres Plan Recd, _Y _ N
2 copies of plan showing beam 8 window sizes; pou2tl found design, etc. 1 sAe survey tor addNons & detks Tree Pres Required ` _Y _ N,,
15etofEnergyCalculations Adddion - indicafei(on-s@esepticsystem On_siteSepticSystem_Y _N,
3 copies of Tree Preservation PWn if lot platted aNer 7l1193
Rim Joist Detail Options seledion sheet (bldgs with 3 or less units
l ~
Date Q~ / --ay- / 0 L)_ Construction Cost
Site Address 3956 /%_p UniUSte #
.i /Z
Description of Work .,L4 nd If 0 K °JZ ';(A 1 M,ll'lG A()
~
Multi-Family Bldg _ Y X N Fireplace(s) _ 0 _ 1 _ 2
Property Owner T M N- ~n nk , e &-1c%0 ~ Telephone #([Q~~
Contractor ~}lIL',,t T O
10 Address 'T•/,3 Z~ ~ 0~~ tP~ l~. , City f. _
State ~ N Zip ~YZc7 Telephone d1
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
. Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies. ~ u
Licensed Plumber ~ 1nl Telephone # ( )
Mechanical Contractor 11\~ Telephone )
Sewer/WaterContractor Telephone#( J
I hereby apply for a Residential Building 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 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 of ans. Sta.C,y 14„wbba?cl
Applicant's Printe N e App icans S gnature
OFFICE USE ONLY
I ~
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_v or _ N ? 25 Miscellaneous
Work Types
16 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding '
? 32 Addition ? 36 Move Building ? 42 Demolish Foundatlon ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 WindowsfDoors
? 34 ReplaCement `Demolition (Entire Bldg) - Give PCA handout to applicant
i
Valuation ~V U Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const ~(V Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) _ FinaUNo C.O.
Footings (addition) _ Plumbing
Foundation _ HVAC
Drain Tile Other
Roof _ Ice & Water _ Final ~y Pool ~ Ftgs _K Air/Gas Tests ~Final
Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace R.I. AirTest Final Windows
Insulation _ Reta'vung Wal]
Approved By: , Building Inspector
- - - - - - - -
Base Fee
Surcharge ~~7 ~
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S8W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
{
POOL PERMIT - APPLICATION SUBMIT7'AL REQUIREMENTS
~
m
GENERAL INFORMATION
U
O Z d
Applicant - name, address, phone & fax numbers, signariue
? ? Promgtty o-wner name
?210~ Legal descriptio and address of property
? North arrow, scale (1" = 30' or 40') and date
?166- Location and name of all streets adjacent to property
?4W Site Plan drawn to scaFe:--s-howing location of house, pool and other existing or proposed
structures ( pe»/ sc~z/QS /S no-F-
~?~'ir Directional drainage arrows (existing an proposed) ( rreai-G, ~f, wa
ELEVATIONS
Existina
ML House corners ~6~c ~ o-fi ouse ~'J~'ekrs 7~ !~P F's6 8, u~ ach.a!/y it sti0ul~I
? ? Property comers
000 On property lines at point of ineasured dimension to pool (see below) (W
? If applicable, ground elevation at each end of retaining walls and at wall's greatest height
Prooosed
~?-#M Finished pool deck corners s
? O Top of retaining walls (if any) and at each different e]evation (if it changes)*
0, ? 46-- Pool bottom (or max. depth)/m,'ssi ny)
~
DIMENSIONS
Existin
J4 ? ? All pmperty/lot lines
Prooosed
~ ? -M-- Poo1(Araw -1-o sca/p~
~ ? -No Pool plus integrated deck/patio ( .
Shortest distance from outside edge of pool deck to (ot lines and house , s~:yJ es „
y
Reviewed: L 3-4510
Name Date
G:/CECFVJR 2002lPaol Pcmvt Chccklist
, ~ * ]f 2422 Enterprise Drlve
* ~t Mendota Heights, MN 55120
EEIa uno svnVErais • aHL rNaNerns (831) 881-1814 FAX:681-9488
rin e iu~o rwacas. LAHOSCnrc ~wamccrs
~p 625 Highway 10 N.E.
I~E . ' Blaine, MN 55434
~ ~ (783) 783-1880 FAX:783-1885
~ATE y for. MANLEY BROTH R_ CONSTRUCTION
~u~.B~~~B~AC B~S~~C~EO~N+S +~E~~+. 3958 THAMES A UE BUYER:SPEC EAGAN, MINNESOTA
0 v~r-TR ~-ti ~ ,
M
LOWEST FLOOR ELEVATION: C-OS,J `P ~
TOP OF BLOCK ELEVATION:
GARAGE SLAB ELEVATION:
TOB 0 LOOKOUT'EIEVATION: ~
% 000.00 DENOlES EXI571NC ELEVA710N 874.9
( 000.00 ) DEN07E5 PROPOSED ELEVA710N JO TEL 874.7
DENOTES ORAINAGE AND UTILIIY EASEMENT 874.6 /
I/ ~ CN
' DENOIES DRAINAGE Fl,OW DIREC110N 872 ~ 874.J M87L6
- -A- DENO7E5 SPIKE ~ i ' / B 9~Z2 ` ~o w
@ ~
OENOTES OFFS~HUB, ~ZL~ ~
(--2
~ - / 'o ~ N ~ GRAPHIC,SCALE
3.2 IN FEET
s ~ 3
u~, c='
BENCH MARK C
e7.4 - TOP OF SPIKE . l
ELEV.= 867.40
I N
~l
,n,
QQ.~u) 4b) ~>c°o ~
r ~
~
6 oo., C ryy~'od--
e70.0 d~P~'4• PO O I ~
888.7 ~ . Q G ~O 888.8 868.1
o . ~sz, • ~~4~ . ~ ~
887.2 "O Q 'S6. yG0 .10
S,
v> 72.1 YV tT~ ` I ~ r7
,2s; qv~ ~ ~ , r?v.
~ i / ~ • `~o ~ 'S° ? . ~ 0 O~ '
~~p
ti~+t.
7'[ 1 'O ~ r B6B.0__.. ?,y0 ~k• W
RE ~ 7_~
; (i ~ ~ ~11`l ~ b
T ~ ~ ~ • u ~ y
. a• bl~h-~~
L3~ : . S6 % W
O 4 . Bdab~s~ 0 + It p
' EAGAIV E1vGIlVEERING DEP'',! ~ i' °9 S Qo' 9'r ~ N : at+ti ; W ur~I~l p0 g~ I•
. ~ ~ v ~h-~' ~ uti` 1
OP OF SP KE ~s • ~wRNJI~I Slppgg
ELEV.o e68.83 859. a~~'...~' N. or Reteining Well VUill
I3ENCH MARK tS~ R~U~~
TNH LOTS 2& 3 BLK 2 A~ ~ ,`0~-61 ,
cLEV.=866.78 ~ ' ~.st ,`YI RR' I ~ElIIC~
lOT AREA = 16.119 s ft. , • X
~ S
HOUSE AREA - 1,3304eq. fl. ,F ~ \
GARAGE AREA - 981 sy. if. ~ \ I
PORCH AREA- 216: eq. :ft.'-"
" COVERAGE -15.79. ~ ' • ~,t , ~ 0 ? N O ~ ~ ~
Toe~ a~ ti= s~-a ^~l,• 3 y~n i a-cr~ rr ,~2
y- to s~ fr ~°"/n ~o 15
SERV. INV. ELEV.o858.9 E> J'
HOUSE TYPE- WALKOUT ,
NOIE: PROPOSED GRADES SHONM PER CRADINC PLAN BY: PIONEER 0) (+f \k
NOIE: BUILOINO DIMEN90N5 SHONN ARE FOR MORIZONTAI AND VERTICAL IOCATION
OF STRUCNRES ONLY. SEE ARCHITECIUAL PLANS FOR BUILOING AND
FOUNDA7ION DINENSIONS. NOIE NO SPECIFlC SqLS INYESTGAlION HAS BEEN COMPLETED ON THIS LOT BY THE
SURVEYOR. THE SUITABIUiY OF SOILS TO SUPPORT THE SPEqFIC HOUSE
PROPOSED IS.NOT THE RESPONSIBILITV OF THE SURYEYOR.
A!larrtis PooVEcoWater Syetem 1 +-e
NOIE: 1HI5 CER7IFICA7E DOE$ NOT PURPORT TO 9iOW EASEAIEN75 OTNER THAN
n+ase sHOVM oN THE aeconoeo PLAr. 4321 68th AV9f1U9 NOItFI 0 US L' •
NOIE: CONIRACTOR MU3T VERIFY DPoVEWAY DESIGN. BrOOkIyn Center, MN 55429
NOIE; BEAPoNGS SHOWN ARE BRSED ON AN ASSUMED UATUM 763-560-0103 7C X I'1 _ A'~~,~
763-560-8619 Fay*
WE HEREBY CERTIFY TO MANLEY BROTHERS CONST. THAT THIS
IS A iRUE.AND CORRECT REPRESENTA710N OF A SURVEY OF
THE BOUND~RIES OF: Po~~~ 0 u~ /
LOT 1, BLOCK 2, PERRON ACRES ~Oo
DAKOTA COUNTY, MINNESOTA
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR
ENCHROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED BY ME OR
l1NDER MY DIRECT SUPERVISION THIS JO DAY OF JULY, 2003. ('i:.t; ~
SI ED: . PIONEER E INE ING, P.A.
SCALE : 1 INCH = 30 FEET REVISED 8-7-03 STAKE HSE
BY
354 101222.025 , JMM/PDS Don R. Westergren Reg. No. 197 0
m 6w''. 3s6'r rh'm"4041 INra
BRAUN°M
INTERTEC
DAILY OBSERVATION REPORT
Project n DXD3- ~-LA1 C. Report So1 LS
Location: ~t~ imt-1 . M nf Date: q- S- 0 3
Regular Overtime
Personnel Classification Hours Hours
b
~y6AKKEid
Areas and work performed this day: Dsr~~-.ir~ /~cKi~~~~irli .~t' ~tvu.4/
7~PAiL~ 7t D~ h/! ,G~hS ~/G~4° q~ Qh cl S J~~Pcc c 7~ ia~ ~
e -/y,~eLt. kS15 /1te y/ oi- e4>e7cPec1EW
oo& ~
Weather: CaPltii- Performed By
Submitted To: F: DAILY 1
DOR-01
~
BRAUN Brvun Intertec Corporation Phone. 952 Z69.36d4
INTtRTK M-1 Heron Wcy Fcx 952.e698599
Ol ~P/ eb. 6rcumntenecmm
le, MN 55044
Report of Field Compaction Tests Date: April 26, 2004 03738 Report: 1
Client: Project Descriprion:
Mr. Brian Chnstopherson Excavation Observation and Compaceon Tesring
Manley Brothers Construcrion, Inc. Proposed Pool, Lot 1, Block 2, Perron
2113 C1iffDrive 3958 Thames Avenue
Eagan, MN 55122-3327 Eagan, Minnesota
Max. Lab Inplace Specified
Soil Optimum Dry Density* Inplace Dry Relative Minimum
ID and Moisture" (Std.Proc.) Moisture Density Compaction Compact.
Tes[ Date Type Classi6cation (pcn (pcf) Comments
1 4/19/04 N P-1: SP 10.7 114.6 10 107 93 95 B
2 4/19/04 N P-1: SP 10.7 114.6 7 113 99 95 A
lA 4/19/04 N P-1: SP 10.7 114.6 10 109 95 95 A
3 4/20/04 N P-1: SP 10.7 114.6 7 113 99 95 A
4 4/20/04 N P-1: SP 10.7 114.6 9 111 97 95 A
5 4/20/04 N P-1: SP 10.7 114.6 10 111 97 95 A
6 4/20/04 N P-2: SM 11.2 132.2 9 129 98 95 A
Key: N= Nuclear, ASTM D 2922 A= Test results comply with specifications.
SC= Sand Cone, ASTM D 1556 B= Test results do not comply with specifications.
O.M. and M.L.D.D. rounded to nearest 0.1 C= Test results meet zero air voids criteria.
Test Test Locatian Elevation
1 Fill for pool area, south end of pool area 87
2 Fill for pool area, south end of pool area
lA Retest of #1 87
3 Fill for pool area, south end of pool area 90
4 Fill for pool area, south end of pool area 91
5 Fill for pool area, north end of pool area 96
6 Fill for pool area, north end of pool area 98
Technician: RDA
Elevation Reference: Finish grade (6" below walkout elevation) = 100.0
c: Mr. Tom Miklya; City of Eagan
Mr. Tom Shaffer
Braun Intertec rporahon
/
~ ames M. Samuels9
~ /Associate Principal
0403738\cGC-1
Provtdtng engmeering und environmental soAurons since 1957
e
MOISTURE-DENSITY RELATIONS OF SOILS
134 I I I I I I I I I
I I I I ~
132
~
~
130 I I I I ~ I
U I
a
T
C
N I
N
~ I
? 128 I I I I I
~ I
I
I I
126 I I I
I
~
124
6 8 10 12 14 16 18
Water content, %
Test specification: ASTM D 698-00a Method C Standard
Oversize correction a lied to each oint
Elev/ Classification Nat. > % <
Depth USCS AASHTO Maist Sp.G. LL P~ °a 314 in. NA.200
SM 6 23
ROCK CORRECTED TEST RESULTS UNCORRECTED MATERIAL DESCRIPTION
Maacimum dry densiry = 132.2 pcf 130.6 pcf SM- w/gravel. Brown
Optimum moisture = 11.2 % 11.9 %
Project No. av0403738 Client: Manley Brothers Construction, Inc. Remarks:
Projett: Proposed Pool, Lo[ 1, Block 2 Perton Acres, Eagan, MN
• Location: Person Acres
MOISTURE-DENSITY RELATIONS OF SOILS
BRAUN INTERTEC Figure P_2
MOISTURE-DENSITY RELATIONS OF SOILS
119 117 I I I I I
~
I ZAV for
2.65
115 I I I I
n I ~ I ~
T I I I I
N I ~ I
z ' I I II
~ 113 I I I I I I I I
EEI I I I I I
I
111 I ~ ~ I ~ ~ ~ 1 I I
~
109
4 6 8 10 12 14 16
Water content, %
Test specification: ASTM D 698-00a Method A Standard
Elevl Classiflcation Nat °a <
Depth USCS AASHTO Moist I Sp.G. LL P~ No.4 No.200
SP 5.0 4
TEST RESULTS MATERIAL DESCRIPTION
SP- Fine gained. Light tan
Maximum dry density = 114.6 pcf
Optimum moisture = 10.7 %
Project No. av0403738 qient: Manley Brothers Construction, Inc. . Remarks:
Project: Proposed Pool, Lot 1, Block 2 Perton Acres, Eagan, MN
• Location: Perron Acres ~
MOISTURE-DENSITY RELATIONS OF SOILS
BRAUN INTERTEC Figure P_1
~
BftAUN p~C~~o~~
s zoo4 D
IlVTER! EC Bv
Excavation Observations and
Compaction Testing Report for .
Manley Brothers Construction, Inc.
Proposed Pool at 3958 Thames Avenue
Lot 1, Block 2, Perron Acres
Eagan, Minnesota
Professional Certification:
I hereby certify that this plan, specification
or report was prepared by me dr under my direct supervision and that I am a duly
Licensed Engineer under the laws of the
State of Minnesota.
-iL?~^' !\J-iL''CL~(1.~ ~ \1
Gregor3. lon, PE
Associate - Senior Engineer
Registration Number: 24017
Project AV-04-03738
May 4, 2004
- Braun Intertec Conoration
9 providhig en,aineerino and environmentaf solettions since 1957
BRAUN Braun Intertec Corporalion Phone. 952 469.3644
INTEP.TEC 21021HeronWcy Fa. e52.469.8599
Sune 101 Web brcunintenecmn
Lekeville, MN 55044
May 4, 2004 Project AV-04-03738
Mr. Brian Christopherson
Manley Brothers Construction, Inc.
2113 Cliff Drive
Eagan, NIlV 55112
Dear Mr. Christopherson:
Re: Excavation Observarion and Compaction Tesring, Proposed Pool at 3958 Thames Avenue, Lot
1, Block 2, Perron Acres, Eagan, Minnesota
As requested, we recently completed observations of the excavation to remove fill and buried debris and
performed compaction tesring of the fill placed for the proposed pool at the above address.
Available Information
Braun Intertec conducted a geotechnical evaluation for the Perron Acres Residential Development in
2001. Results of our evaluarion were summarized in our report dated July 31, 2001, under Braun Project
number BODX-0 1-0141. A boring was not conducted on Lot 1, Block 2.
Braun Intertec also provided construcrion observations and testing services dunng the site development ,
in 2001 and 2002. Results were summanzed in our report dated August 19, 2002, under Braun Project
number BODX-01-283C.
During the mass gading Lot 1, Block 2 was excavated to a depth of about 2 feet to remove topsoil. The
excavation bottom elevarions ranged from about 858 in the rear to about 868 in the front. The house pad
was graded for a 50-foot deep pad and was oversized 6 to 7 feet in the rear. Compaction tests were taken
during the filling operarion to establish grade For the pad (872 front to 863 rear less the hold-down).
Buried debris was not observed on this lot during the grading procedures.
The proposed pool is 16 feet by 32 feet with the 32-foot dimension paralleling the rear oF the house. The
west edge of the pool is about 10 feet east of the rear of the house. The bottom of the pool slopes from
about a 2 to 3 foot depth on the north end to 8 feet deep on the south end.
Observations and Testing
Our first observations were conducted on April 16, 2004. During the excavation for the pool, the pool
conhactor encountered fill and buried debris during the excavation for the pool. Stocker Excavating was
then called in to remove the fill and debns. The debris consisted of cans, bottles, carpet, tires, old
appliances, etc. No debris was observed [hat appeazed to be hazardous. During our first observarion, we
recommended that all the fill and debris be removed from the pool and oversize area.
The fill and debris was removed and we observed the excavation bottom soils on the aftemoon of April
16, 2004, as well as the moming and aftemoon on April 19; 2004. The excavation was taken down to 8
to 9 feet below finish grade on the north end of the pool to 8 to 15 feet below finish grade on the south
end of the pool. The deepest area of the excavation was in the southwest corner. Oversizing of 4 to 6
Providmg enginzering and environmencal solu[ions since 1957
Manley Brothers Construction, Inc.
Project AV-04-03738
May 4, 2004
Page 2
feet was provided along all sides of the pool. The fill and debris did not extend into the graded house
pad. The fill and debris ended about 6 to 7 feet east of the house.
The natural soils encountered in the excavation bottom consisted of poorly graded sand with silt and silty
sand. Based on our shallow hand auger probes, the natural soils were in an estimated medium dense
condition.
Sand and silty sand were imported to fill the excavation. Compaction tests were taken as the fill was
placed. Six compaction tests and one retest were taken. Results indicate adequate densities were
obtamed. Results of the compacrion tesu are attached.
Conclusions
Based on our excavation observations and shallow hand auger probes, the natural soils encountered
appear suitable for support of the fill and loads imposed by the pool. Based on the pool dimensions
referenced to the rear of the house, adequate oversizing was provided.
Based on the results of our compaction testing, adequate densities were obtained in the engineered fill
placed and tested.
General
Services performed by the geotechnical engineers for tMs project have been conducted with that level of
caze and skill ordinarily exercised by members of the profession currently practicing in this azea. No
warranty, expressed or implied, is made.
It has been a pleasure being of service to you on this project. If you have any quesrions, please call Jim
Samuelson at (952) 469-3644 or Greg Bialon at (952) 995-2380.
Sincerely,
4BR-AUN INTE TEC CORPORATION
o-~M. Samuels
iate Principal
Greg J~InE~
Associate -enior Engineer
Attachments:
Report of Field Compaction Tests, Report 1
Proctors P-1 and P-2
c: Mr. Tom Miklya; City of Eagan
Mr. Tom Shaffer
jms/gjb:skg\0403738/rpt
Brcun Intertec Corpormion ?6cn~ v52.Cc9.364/
i~I T C F, i21021 'r,'ercn VJcy Fcx. 952.464 8S9
- $mte 10i Weo. 6:cuninra~eccor
LcL.vtll_, MN 5~-044
Report of Field Compaction Tests
Date: Apri126, 2004 . Project: AV-04-03733 Report: 1
Client: Proj ect Description:
VIr. Brian Chnstopherson Excavation Observarion and Compaction Testing
NIanley Brothers Construcrion, Inc. Proposed Pool, Lot 1, Block 2, Perron
2113 Cliff Drive 3958 Thames Avenue
Eagan, NL~i I 55122-3327 - Eagan, Niinnesota
- 1YIas. Lab Inplace Specified
- Soil Optlmum DryDensiTy* Inplace Dry Relafive Vlinimum
ID and Moisture* (Std.Proc.) bloisture Density Compacfion Compact
Test Date Type Classif-ication (pct) (pcn Comments
1 4/19/04 N P-1: SP 10.7 114.6 10 107 93 95 B
2 4/19/04 N P-1: SP 10.7 114.6 7 113 99 95 A
IA 4/19/04 N P-1: SP 10.7 114.6 10 109 95 95 A
3 4/20/04 N P-1: SP 10.7 114.6 7 113. 99 95 A
4 4/20/04- N P-1: SP 10.7 114.6 9 111 97 95 A
5 4/20/04 N P-1: SP 10.7 114.6 10 111 97 95 A
6 4/20/04 N P-2: SM 11.2 1322 9 129 98 95 A
Key: N= Nuclear, ASTIvI D 2922 A= Test results comply with specificarions.
SC= Sand Cone, ASTM D 1556 B= Test results do not comply with specificahons.
G.M. and M.L.D.D. rounded to nearest 0.1 C= Test results meet zero air voids criteria.
Test . . . TestLocation Elevation
1 Fill for pool area, south end of pool azea $7
2 Fill for pool azea, south end of pool azea 88
lA Retest of #1 $7
3 Fill for pool azea, south end of pool azea 90
4 Fill for pool azea, south end of pool azea 91
5 Fill for pool azea, north end of pool area 96
6 Fill for pool area, north end of pool azea 98
Technician: RDA
Elevation Reference: Finish grade (6" below wallcout elevation) = 100.0
c: b1r. Tom Niiklya; Ciry of Eagan
Ivlr. Tom Shaffer
Braun Intertec oration
Aames M. Samuels
i ! Associate P:incipal
oao;r,s~v-i i
B.T.?;II2? :ns an(1' 2 ..tro1.'nLeIl[C~ SalJ.CtonS c;= _957
:f
. ~ M01STURE-DENSfTY RELATIONS OF SOILS
134
I I I I I I I I I I I I I ~
I I I I I I I I I I
132 I I I ~ I I ~ I ~ I ~ ~ I ~ I ~ I I
I I I
I i I I
130 I I I I N
Q ~ I I ~ . I I I I ~.I I
04
C
jor
~ I I I I
~128 ~ ~ I I I I I I
I
I I ~
126 I i I I I I I I I I I
I I I aml'I24
6 8 10 12 14 16 18
Water content, %
_ Test specification: ASTM D 698-00a bfethod C Standard
Oversize correction a lied to each oint
Elevl Classification Nat
Depth USCS AASHTO Moist. Sp.G. LL P~ 374 in. No.200
Sbf 6 23
ROCK CORRECTED TEST RESULTS UNCORRECTED MATERIAL DESCRIPTION
Marimum dry density = 132.2 pcf 130.6 pcf SM- W/gaveL Brovm
Optimum moisture = 11.2 % 11.9 %
Project No. av0403738 Client: Manley Brothers Construction, Inc. Remarks:
Project: Proposed Pool, Lot 1, Block 2 Perron Acres, Eagan,lvftN
• Location: Perron Acres
MOISTURE-DENSITY RELATIONS OF SOILS
BRAUN INTERTEC Figure P_2
~ • MO1STURE-DENSiTY RELATIONS OF SOILS
I I I ~ ~ I I I ~ ~ ~ I I I I I I I ~
Ili I I II I Ilil I I I
I I I I( I I I I I I
117 I II ~ I ~ ~ ~ ~ ~ ~ ~ I I ~
I! I I I I I I ~ I I i i I
I I I I I I I I i I ZAV for
Sp.G.=
J I 2.65
U115 I I I I I I I I ~ ~ I I I I I I ~
~ I ~ I I I I I I I I
= i I i I ~ ~ ~ I I f f I ~ I ~
I I I H-fl I I I I I I I ~
111 +I I I I I I 1I I
I I I ~ ~ ~ I I I
i I I I ~
~
109 ~ I I I I
4 6 8 10 12 14 16
Water content, %
Test specification: ASTM D 698-00a Me[hod A Standard
Elev/ Ciassification Nat.
Depth USCS AASHTO Moist Sp.G. LL PI
No.4 No.200
SP 5.0 4
TEST RESULTS MATERIAL DESCRIPTION
Masimum dry density = 114.6 pcf SP- Fine grained_ Lieht tan
Optimum moisture = 10.7 %
Projecf No. av0403738 Client: Manley Brothers Construcrion, Inc. Remarks:
. Project: Proposed Pool, Lot 1, Block 2 Perron 9cres, Eagan, nPV
• Location: Perron Acres
MOISTURE-DENSITY RELATIONS OF SOILS
BRAUN INTERTEC Figure P_1
952 431 3084
Avr•26• 2004 12:41PM 8raun No•0323 P. 1
,
BRAYN
INTER7EC Fax Transmittal
_ To: Mr. Tom Miklya
Fax Number: 651-6755694
From: Jim Samnelson
Phone Number: 952-469-3644 Mob. 612-369-8041
Date: April 26, 2004
NumberotPages: 4 (inciudingcover)
,..w..
` Re: Compaction Test Results, Pool Backfill, 3958 Thames Avenue, Eagan, Minnesota
Give me a call with any questions.
,,:,;•~~i,. '[7fanks
- :f:
f
_-~J'~=~.i%': tl~i
77777
s~
16 S':
~ .
b~. v
Please advise ijyou hove ?ceclved thls commmnicatinn rn enor.
Braun Intcrtcc Corporation
21021 Heron Way, Suite 101
. . Lakeville, MN 55044
Phone: (952) 469-3644 Fax: (952) 469-8599
~ PmV;c/mg cngineeringand mvlro~uuenral wJunrms si~c l957
Aor 26• 2 0 0 4 12 4 1 P M B r a u n No•0323 P- 2
~ B RAU N Braun IMarlec Corporolion Plvvir. 952.4623644
IPI7ERTEC 2 1021 r+o«,~way rox v.7~.anv.yse9
iuile 101 WeS' bmumnleJ-.
Lokehlle, MN SSOdd
Repoirt of Field Compaction Tests xlate: Apri126, 2004 Project: AV-04-03738 Report: I
Client: Project Ae9cription:
Mr. Brian Chrislophesson Ezcavation Observation and Compaction Testing
Manley Brothers Construction, Ine. Proposed Pool, Lot l, Block 2, Perron
2213 Cliff Drive 3955 Thazncs Avenue
L:agan, MN 55 1 22-3 3 27 Eagan, Mirnesota
Maz. Lab ]nplace SpeciIIed
Soil Optimum Dry Deusity* Tnpiaa Dry Rclative Minimum
ID and Moisturc* (Sttl.Proc.) Moisture Density L'ompaction Compact
'Iest Date '1'ype Classification (°/a) (pcn (pcq Comments
I 4l19/04 N P-1: SP 10.7 114.6 10 107 93 95 B
2 4/19/04 N Y-1: SP 10.7 114.6 7 113 99 95 A
lA 4/19/04 N P-1: SP 10.7 114.6 10 109 95 95 A
3 4/20/04 N P-1: SP 10.7 114.6 7 113 99 95 A
4 4/20/04 N P-1: SP 10.7 114.6 9 I11 97 95 A
5 4/20/04 N P-1: SP 10.7 114.6 10 111 97 95 A
6 4/20/04 N P-2: SM 112 132.2 9 129 98 95 A
Key: N= Nuclear, ASTM D 2922 A= Test results comply with specifications.
SC= Sand Cone, ASTM D 1556 B= Test results do not cnmply with speci6carions.
= O.M. and M.L.D.D. roanded to nearest 0.1 C= Test resulls meet zero air voids criteria.
1'es[ Test Location Elevudon
1 Fill for pool area, south cnd of pool erea 87
2 Fill for pool azea, souih end of pool area s$
1 A Retcst of #1 87
3 Pill for pool area, soudi end of pool azea 90
4 k'ill for pool area, south end of pool area 91
5 Fill for pcwl area, north end of pool :xrea 96
6 Fill for pool area, narth cnd of pool area 98
?'echnicianr fLDA
Elevation Itefercnce: Pinish gade (G" helow walkout elevation) = 100 0
~
~-r Braun Intertec Co oration
{
~s.
*Associate M. Samuelson .
Pzincipal
' .3 U403738ka-t
NW, - - I Pruviding engineeriv¢g and envirnrirnerQm! rnlutions sinrtl9S7
evr•26• 2004 12:42PM Braun No•0323 P. 3
MOISTURE-DENSITY RELATIONS OF SOILS
,34
132
130
L
a -
- -
C
N
a ~ - -
~ - - - . _
O
128
-
,26
124
6 8 10 12 14 16 'IS
Water content, °k
Te,St SpCCIflC8ti0n: ASTM D 698-60a Method C Stnndtud
Oversize carrectlon a lied to each oint
EIeV! Classifiwtlon Nai °h > °a <
Depth USCS AASH70 Moisk Sp.G. LL P' 3/41n. No.200
SM 6 23
ROCK CURREC7ED TEST RESULTS UNCORRECTED AAATERIAL DESCRIP710N
Maximum dry density - 132.2 pcf 130.6 pcf sht- w/gravei. sro..m
Optimum moisture - 11.2 % 11.9 °/a
Pro)ect No. uv04o3738 Client: Manley Brothets Construction, Ino Remarks:
ProJeCt: Proposed Pool, Lot 1, Block 2 Perron Acres, Eagan, WIIN
9 Location: Perron Acres
MOISTURE-DENSITY RELATIONS OF SOILS
BRAUN INTERTEC Flgure P-z
Apr.26• 2004 12 42PM Eraun No•0323 P. d
MOISTURE-DENSITY RELATIONS OF SOILS
T,a
117 '
uv ra.
Sp.G.=
_ 2.65
115
~i
a - - -
Z. .
w
C
N
Z^ .
C I
113 I -
~
111 I I
109 - ~ -
4 6 8 10 12 14 16
Water content, %
Test specification.: ASTM D 698-00a Method A Standazd
Elev/ ClassifleaUon Nat S I G. LL PI
Depth USCS AASHTO Moist P. No.4 I No.200
SP I 5.0 4
TEST RESULTS MATERIAL DESCRIPTION
Maximum dry dcnsity = 114.6 pcf , I SP- Fine grained, Light tan
Optimum moisture = 10.7 %
PIoJBCt N0. av0403738 Client: Manley Bro[hers Construction, Inc. Remarics:
P?oJect: Proposed Pool, Lot I, Blcek 2 PeROn Acces, Eagan, MN
• Loeation: Perron Acres
MOISTURE-DENSITY RELATIONS OF SOILS I
BRAUN INTERTEC Figure r_,
~
! . ~
sRAUa'°
Report of Field Compaction Tests INTERTEC
~x
Tested For. Project .0 3- 2af 741- Date:
Test No. ~ Z 3 5 ~
Probe Depth
Density Count p$ 1f
Moismre Content Z 1 3 155 /56 / Gauge Serial No:
Wzc Density 130 JZQ~ /Z 2-9 Densiry Standazd:
Moisture 5 3 ~ Moisture Standard:
~ Inplace SpeciRed
I Soil Optimum i~tax. Lab Inplace Dry Relative iiinimum
ID and Moisture' Dry Density• Moisture Density Compaction Compacf.
Test Date Type Classitication (%a) (pcf) (pcfl Comments
I -s N -1SC IZ~ 11 , it I 'g iOo gly
I l 13 '~7
~ 3 2 II
' ll H 9
rl li Joo 04
I
Key: N = IYuclear, ASTM D 2922 A= Test resulu comply with specifications.
SC = Sand Cone, ASTM D 1556 B= Test rzsults do not comply wich specitications.
* = O.M. and M.L.D.D. rounded to nearest 0.5
~ 'i'rst Test Location Elevation
Lrara C ~al Gf
/'&s
9G'
!3
I
Elevation ReFerence:
Field Representative BD~"
:rtn\wkaht.<ts 4/30l96
I S-t-l.j G I 02-al E)V- L,01A--)8 "5-I '~)Ts 93
Ocl__ z RESIDENTIAL BUILDING MP ' (O ~9-1ol -10 • t~b
Permit Application np. ~,ooi gb q p,~
City Of Eagan ti~
3830 Pilot Knob Road, Ea an Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694 93
,
c~.~ ~ a-~ • ~
NewConsWctionReouiremenLS Remodel7ReoairReouirements o
OHi UseOnl
3 registered site surveys showing sq. R of lot, sq. N. of house; anU all roofeA areas 2 o~pies of plan 1k CeV d of Survey Recd
(20% ma~cimum lot coverege allowed) 1 set of Energy Calculations lor heated addih'ons Tree Pres Plan Recd
2 mpies of plan showing beam 8 window sizes; poured found desgn, etc. i site survey for additions & decks Yk- L-~I"ree Pres~ Not R~e d_
lselofEnert~yCalculations Addifion - indicafeilon-sdesepficsysfem _Orvs@eSepSystem
3 copies of Tree Pmservatlon Plan i( lol platted after 711/93
Rim Joist Detail Options selecUOn sheet (bldgs with 3 or less units r--~)s
1
Date F /'9 / V? Construction Cost 0U011 00
Site Address /nLP -4Z, UniUSte #
Description of Work or-)
Multi-Family Bldg _ YK N Fireplace(s) _ 0/\ 1 _ 2
Property Owner ci- &Q r o 7-A-e./_5 Telephone # 1) C)
Contractor / y/CC r Q~
Address _142 ~/3 ( ' / yJ,e ~ City
State Telephane # ((4h vf 0,~' *?~l n
COMPLETE THIS AREA ONLY IF CONSTRIiCTING,-KN1EW BUILDING
Minnesota Rules 7670 Cateeorv I DT ~ ~ V~~, II inneso[a Rules 7672
Energy Code Category , ~2 Q ZuU3 V;
Residential Ventila6on Category 1W0 ks~ieeN . New Energy Code Worksheel
(J submission type) Submitted I~II Submitted
. Energy Envelope Calwlations Sub tt d
[ y ' /
Licensed Plumber Telephone '7~t~ - (,,9_7 34-
Mechanical Contractor - ` Telephone #464bD-0-3)3
Sewer/WaterContractor 1- Telephone #Q~
I hereby apply for a Residential Building 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 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 wofk which requires a review and
approval of plans. Rw"I(14
~L I Cf {-eL--L
Applicant's Printed Name Applicant's Signature
OFFICE USE ONLY
Sub Types • '
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
'?f 02 SF Dwelling ? 08 06-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 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-piex ? 12 12-plex Plbg_v or _ N ? 25 Miscellaneous
Work Types
v 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg) - Giva PCA handout to applicant
Valuation 7 oi, D O0 Occupancy R-3 MCIES System
Census Code Zoning R~ ~ City Water
SAC Units ~ Stories 2 Booster Pump
Nbr. of Units Sq. Ft. Z~ ~7 PRV ~ J.-'~/
T-
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width yc), 6
REQUIRED INSPECTIONS
X Footings (new bldg) ~ FinallC.O.
_ Footings (deck) _ FinaVNo C.O.
Footings (addition) _ Plumbing
Z( Foundation _ HVAC
~C Drain Tile Other
Roof X_ Ice & Water ~ Final _ Pool _ Ftgs AidGas Tests _ Final
~ Framing _ Siding Stucco Stone
Zc Fireplace _X R.I. _V Air Test x Final Windows (new/replacement)
_ Insuta[ion ~ Re[aining Wall
Approved By Building Inspector
Base Fee , o O
Surcharge ? FSf'vv~E fl~ 1~~) 7C 1(o : Z ~ 2 c! ~o ,
j ~~I D o ~-7 1 Pa 7~
Plan Review ' S7 F/o ° ft 137
MC/ES SAC a~t / 3 32! )c '1 `f b 2 8
citysnc 130n~ S izooM y g 3 rs11. boBZ,-
Utility Connection Charge ~eE>YF~1.Y+p p
Poe M -2I O •
9 n °
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
a
• • * 7f 2422 Enterprise Drive
* Mendota Heights, MN 55120
* PIONEEF7 LAND SVRYEYOFS • qY1L ENqNEERS (881) 881-1914 FAX:681-9488 •
* eng neer ng LRND PLANNERS• IANDSCAVE ARCHITECiS 625 Highway 10 N.E.
* * * . Blaine, MN 55434
* (783) 783-1880 FAX:783-1883
Cer-tificate of Survey for: _MANLEY BROTH R_ CONSTRl1C TION
3958 THAMES AVENUE BUYER:SPEC EAGAN, MINNESOTA
PROPOSE H S V N
LOWEST FLOOR EIEVATION: ~aS~S~
TOP OF BLOCK ELEVATION: ~Z-~ / ^~O~
GARAGE SLAB ELEVATION: ~
/
TOB 0 LOOKOUT'ELEVATION: ~~~0~
.
X 000.00 DENOTES EXISTINC ELEVAPON 8749
( 000.00 ) DENOTES PROPOSED ELEVATION
7EL B74J
OENO7E5 DRAINACE AND UTIIITY EASEMENT 874.6 ~
DENOTES DRAINAGE FIOW DIRECTION / 572 j~ B7~4.3 ~874.6
DENOTES SPINE 6 ~Z 2 t~
v- OENOTES OFFS HUB
/ ~22,
.q
o
,0~ GRAPHIC SCALE
( y2 / ~ ~ IN FEET
5 ,
~ ~ ,
i ,
~ o
l~". e .e 7~\ o6
BENCH MARK
TOP EV F 86I7 40
t /
E~
.j~
y 5'6 o F' y 1 O
, VQ~ ~ \ ~•y' ~ / Q~°F, ~ y 41b), oo~ co
~9
rk
h°?°o N
ry`L' F. 10
870.0 868.7, C)P' ~~Oy e66
.6 ffil 868.1
.
pO 'QJ i ' T r
~ es .s Y O~G C
C
aszz ~p r r, Q,a`°• c0 ~p ~i ~~L l 1 N~G
f ~ `\r/'
721
)869.6~OJ~J~' ' 864.1 ~ .
1~0 864.5 ~ .
868.8 O1)
d' ~ ~+1 2000
~(((9~~~ i \ I
863.7
n~
~ ese.o~s ~ 865.1 TREE LINE I w
~
p9 .9 862.9 I N
BENCH MARK ~"p}S~j I ~ ~
N V~ ~ r
SIOM
TOP OF SPIKE G 2 •
ELEV.= 868.83 SFC ase.s ~ I O Or RetWn
hg Wo Wpi
BENCH MARK ~ Z Be ReqVlMd J
TNH LOTS 2& 3 BLK 2 SA~~
ELE V. =866.78
LOT AREA = 16,119 sq. ft.
HOUSE AREA = 1,330 sq. ft. F
GARAGE AREA = 981 sq. ft. \Tq~
PORCH AREA= 216 sq. ft.
COVERAGE =15.79:
h J
SERV. INV. EIEV.=858.9 HOUSE TYPE= WAlKOUT
NOTE: PROPOSED CRADES SHOWN PER GRADINC PLAN BY: PIONEER B~'0J
NOTE: BUIIDING DIMENSIONS SHOWN ARE FOR HORIZONTAL AND VERTICAL LOCA710N '
OF STRUCIURES ONLY. SEE ARCHITECNAL PLANS FOR BUILOING ANO
FOUNDATION DINENSIONS.
NOTE: NO SPECIFIC SOILS INVES71GA170N HAS BEEN COIAPLETED ON THIS LOT BY THE
SURVEYOR. THE SUITABILITY OF SOIlS TO SUPPORT THE SPEqFIC HWSE I
PROPOSED IS.NOT THE RESPONSIBIIITY OF ME SURVEYOR.
NOIE: THIS CERTIFlCATE OOES NOT PURPORT TO SHOw EASEMENTS OTHER THAN
7HOSE SHOYM ON THE RECORDED PLAT.
NOIE: CONTRACTOR MUST YERIFV ORIVEWAY DESICN.
NOIE: BEARINGS SHOYM ARE BASED ON AN ASSUMED DANM , q.
{F~C
WE HEREBY CERTIFY TO MANLEY BROTHERS CONST, THAT THIS ~
IS A TRUE,AND CORRECT REPRESENTATION OF A SURVEY OF n ~ p
iHE BOUND~RIES OF, poU LLo~o ~
LOT 1, BLOCK 2, PERRON ACRES -
DAKOTA COUNTY, MINNESOTA ' A 'J4
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR
ENCHROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED BY ME OR
UNDER MY DIRECT SUPERVISION THIS 30 OAY OF JULY, 2003.
SI ED: PIONEER E INE ING, P.A.
SCALE : 1 INCH = 30 FEET REVISED 8-7-03 STAKE HSE
BY ~
3054 101222.025 JMM/PDS g Dan R. Westergren Reg. No. 19 0
Pettnit Number
REScheck Compliance Certificate Checked By/Date
2000 Minnesota Energy Code
REScheck5oftware Version 3.5 Release lb
Data filename: C:\Program FileslCheck\REScheck\mbc0075.rck
COUNTY: Aitkin
STATE: Minnesota
ZONE: 1
CONSTRUCT[ON TYPE: Single Family
DATE: 08/ I 8/03
DATE OF PLANS: 8/18/03
PROJECT INFORMATION:
Perron Acres Spec #4
Lot I Block 2 Perron Arces
Eagan,MN
COMPANY INFORMATION:
Manley Bros Construction
COMPLIANCE Passes
Maximum UA = 555
Your Home UA = 437
213% Better Than Code (UA)
• Gross Glazing
Area or Cavity Cont. or poor
Perimeter R-Value R•Value U-Fac[or UA
Ceiling l: Raised or Energy Truss 1556 44.0 0.0 34
Ceiling 2: Cathedral Ceiling (no attic) 295 19A 10.0 10
Wall l: Wood Frame, 16" o.c. 1386 19.0 0.0 67
Window 2: Above-Grade:Vinyl Frame:Double Pane with Low-E 206 0350 72
Door 1: Solid 41 0350 14
WaI12: Wood Frame, 16" o.c. 1559 19.0 0.0 82
Window 3: Above-Grade:Vinyl Frarne:Double Pane with Low-E 168 0350 59
Basement Wall L Solid Concrete or Masonry 1355 11.0 0.0 75
Wall height: 8.8'
Depth below grade: 8.2'
Insulation depth: 8.8'
Window i:
Basement> 5.6 ft2:Vinyl Frame:Double Pane with Low-E 21 0350 7
Floar t: All-Wood JoisdTruss:Over Outside Air 24 30.0 0.0 1
Floor 2: All-Wood ]oisdTruss:Over Unconditioned Space 480 30.0 0.0 16
Fumace 1: Forced Hot Air, 90 AFUE
Proposed and Maximum U-Factor Averages
Proposed Maximum
Average U-Factor Allowed U-Factor
Above-Grade Windows and Glass Doors 0350 0370
Inciudes Foundation Windows> 5.6 11:2
Floors Over Unconditioned Space 0.033 0.033
COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications,
and other calculations submitted with the permit application. The proposed building has been designed ro meet the 2000 Minnesota
Energy Code requirements in REScheckVersion 3.5 Release Ib (formerly MECchec~ and to comply with the mandatory
re uirements listed i the RES c~ecklns ection ecklist.
BuildedDesigner Date
t'2EScheck Inspection Checklist
2000 Minnesota Energy Code
REScheckSoftware Version 3.5 Release lb
DATE: 08/18/03
PLAN REVIEW AND INSPECTION ISSUES
This list of items may be helpful for Plan Reviewers and Building Inspecrors to use as a guide for enforcing the
Minnesota Energy Code. The items apply to Group R, Division 3 Occupancies, one- and rivo-family residential
dwellings. The items marked with * apply only to detached one- and two-family
residential dwellings.
PLAN REVIEW ISSUES
FOUNDATION INSPECTION
foundation wall insulation R-5 minimum
foundation insulation extends from top of wall down to top of the footing
exterior foundation insulation is covered by a protective coating finish
CONCRETE SLAB OR iJNDER-SLAB INSPECTION
slab on grade perimeter insulation R-5 minimum
slab insulation extends from top of slab to design frost line or top of footing
floors over unheated space R-30 minimum
WINDOWS / DOORS / SKYLIGHTS
average U-value is 037 maYimum for windows and glass doors (excludes foundation windows)
window U-values consistent with building plan and REScheck Certificate
window and door areas consistent with building plan and RES check CertiFcate
MECHANICAL VENTILATION ISSUES
residential mechanical ventilation system provides adequate ventilation per code requirements*
furnace efficiency is consistent with RES check Certificate or building plan
protection against excessive depressurization is installed per code requirements*
ENVELOPE INSULATION FOR PLAN REVIEW
interior basement insulation R-5 minimum (if no exterior insulation)
ceilings with attics R-38 minimum or consistent with building plan and RES check Certificate
wall framing and insulation level is consistent with building design and RES check Certificate
INSPECTION ISSUES
CONCEALED INSULATION
Framing and Sheathing
wind wash barrier installed at attic edge
exterior wall comers framed so [hat insulation can be installed after exterior sheathing is installed
intersections of interior partition walls and exterior walls framed so that insulation can be installed between the
partition and exterior sheathing afrer exterior sheathing is installed
gaps between framing less than one-half inch are eliminated by securing framing together or are insulated at the
time of assembly *
all penetrations between conditioned and unconditioned spaces made prior to framing inspection aze sealed *
~ Inu~rior Air Barrier
all fire stops are air sealed
pipes, ducts, wires, equipment and flues and chimneys through the interior air barrier are sealed
a sealed continuous interior air barrier is installed on the warm side of the building envelope at ceilings, walls,
and floor rim joist areas'
air barrier behind tub and shower is sealed and protected
recessed light fix[ures are sealed
Envelope Ins ulation
[ ] basement insulation R-5 minimum
wind wash barrier on wall separating house and garage is sealed
loose fill insulation is prevented from entering the eaves
insulation on skylight shafts and walls exposed in attics is supported on the unconditioned side
Attic Insulafion
attic access panel insulated to R-38 for ceiling panel and R-19 for wall panel
attic card attached to framing near access opening
notification of attic R-value and date of installation posted near building permit inspection card
This is a summary only. Other requirements may apply. See the Minnesota Energy Code. Questions? Call the
Department of Public Service Information Center at 651-296-5175 or 1-800-657-3710.
r
LOT SURVEY CHECKLIST FOR RESIDENTIAL `
. ' BUIIDING PERMIT APPUCATION
PROPERTY LEGAL: LIrr ~ B~OCK ZEQizdrJ 14 DATE OF SURVEY: 7-'-'O ' 03
LATEST REVISION: 9' 7 - 03
m
a
c
a
t
U
~
O a DOCUMENTSTANDARDS
v?? • Registered Land Surveyor signature and company
? ? • Building Pertnit Applicant
~Cl ? • Legal description
? ? • Address
? ? • North arrow and scale
v? ? • House type (rambler, walkout, split w/o, split entry, lookout, etc.)
~0 ? • Directlonal drainage artows with slope/gradient %
Ga~ • Proposedlexisting sewer and water services & invert elevation
[p~o ? • Street name
~ ? ? • Driveway
~ ? ? • Lot Square Footage
U/? ? • Lot Coverage
ELEVATIONS
ExisSnq
V/0 ? • Sewer service (or Proposed)
q/? ? • Property comers
Cd' • Top of curb at the driveway and property line eMensions
B,?? • Elevations of any existing adjacent homes
V • Adequate footing depth of sWCtures due to adjacent utility trenches
? V ? • Waterways (pond, stream, etc.)
/ Prooosed
0' o ? • Garage Floor
&XI ? • easementfloor
? . Lowest exposed elevation (walkouUwindow)
L~p ? . Property comers
m/~ ? . Front and rear of home at the foundation
~ PONDING AREA (if applicable)
m '9~~0 • Easementline
? CA' ? • NWL
? co/ ? • HWL
? q~ ? . Pond # designation
a ~ ? • Emergency Overflow Elevation
? q/ ? . Pond/WeUand buffer delineation
DIMENSIONS
2/o ? • Lot lineslBearings & dimensions
v ~ ? • Right-of-way and street width (to back of curb)
CI • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all structures requiring pertnanent footings)
V/? ? . Show all easements of record and any City utllities within those easements
• Setbacks of proposed sWCture and sideyard setback of adjacent existing sWctures
? lu/ ? • Retaining wall requiremenGs,'rf any
Reviewed:
ame Date
G:/FORMS/BUilding Permit Applicatlon
Address: 3958 Thames Ave Zip: 55123
Lot: 1 Block: 2 Subdivision: Perron Acres
THE FOLLOWING ITEMS WF.RF,/WF.RF. NOT COA1PLETE AT FI\AI, INSPECTION ON /oy
Yes No Comments
Final girade - 6" from sidin
Permanent ste s - garage
Permanent ste s- main entry
Permanent driveway
Permanent as
Sod/Seeded lawn
Trail/curb damage
Porch
Lower level finish
Deck
Fire lace
• V erify with your builder that roof test caps from the plumbing system have been removed.
• T um off water supply to the outside lawn faucets before freeze potential exists.
• Call [he City's Engineering Department at 651-675-5646 prior to working in right-of-way or installing
irrigation system.
V BUILUINC INSPECTOR:
CONTRACTOR:
Manley Brothers Constructian
2113 Cliff Drive
EaQan MN 55122
Monday. Odober 08, 2003 1:16 PM ~ Lofgren Ytg S A/C 651-4E011 203 ~ p 02
Sils address' Lot ~ Block .2 Subd. ~rvo.~/ JkY~:,
On Apnl 15, 2000 the Minnesota Energy Gode, Category I BuiWing RequiremeNs for insulation protecGon, ai;
tightness, and venfilation, was adopted. As a resufl, the City of Eagan is requiring that the foitowing informatlon be
subm!tted prior to fssuance of a Certificate of Oocupancy.
This sUuchue is cortsUuctad lo meet minimum requiremeMa of Ihe Mn Energy Code, i.hapter 7676
OA
_ Fhis shucNre w II I 6e conslructed lo meel more resinc6ve requiremenls of Chapters 7672 or 7674
~
APpLL{NCE GAS ELEC MANIIfACTURER MODEI BTUS VENTING T'fPE `
lNeter Heat9r . I
Fomace ''BM II J
VY%
Dryer X ss y" AI V j
VENTED i
EXHAUSTSYSTEM LOCATION TVPr WODEL CFM's YES NO
icnehe+• aecnen N4 1 Yr~
9amroam t ~ 60,04 A/ ~
Balhrmn2 r 'lccY ~ '
a ~
Bathr~om 3 .1'' rr~ a.i/ S. 0._ ~
Bathroom 4 M a z ft.~ ro c, .t! ,~~."U~ y I
Olher ~4t ~'f ~s? 1 ~.aa J " 'l
VENSING 1
FlREPLA LOCATidi CiAS WOOD IMNYFACTURER MOOEL BTU'S o1FiECT ATNOS '
'T - 1 w oc~',
~
~
i
-
MppEL TYPE CFM's
I i
1 hereby adcnowledge that Ihe above infornatian is wrrect arid agree to ampiy wilh the Minnesota Energy Goee antl Ciry of Eagan
reqmrertronls
SignaNre Oale
- R£~--
CamaanyName
• This krm is the responsibillly ol ihe General Cantratlor
a ~-D, ~
2005 RESIDENTIAL BUILDING PERiYIIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagao MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWCtion ReouiremenLS RemodeVRe air R uirements Office Use OnN
3 registered site surveys showing sq. ft. of IoL sq. ft. of house; and all roofed areas 2 copies of plan CeR of Survey Recd Y N
(20 % maximum lot coverage allowed) 1 set of Energy Calculations for heated addihons Tree Pres Plan Recd Y N
2 copies ol plan showing beam & window srzes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required Y N
1 set of Energy Calculations AddAion - indirate d on-sRe septic sysfem On-site Sepllc System _ Y_ N
3 wpies of Tree Preservahon PWn if bt platled atter 7/1193
Rim Joist Detail Options selechon sheet (huildings with 3 or less umts)
Date o/ l tJ / Q VJ Construction Cos , QOV • vv
SiteAddress f !!~~1/ (2~ UniUSte #
Description of Work k
Niulti-Family Bldg _ Y~ N Fireplace(s) _ 0 n 1 _ 2
Property Owncr Telephone # ( )
Contractor 0~1
Address City
State ZipE~' Telephone #
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Cat ory . Residential Ventilalion Cate o 1 Worksheflt New Ener Code Worksheet
(Jsubmissiontype) 9 ry 9y
Submitted Submitted-
• Energy Envelope CaICGlations Submitted
In fhe last 12 monihs, has the City of Ea n issued a permit fo milar plan based on a master plan2
_ Y _ N If yes, date nd address of master plan:
Licensed Plumber Telephone )
Mechanical Contractor Telephone )
Sewer/WaterContractor / Te hone#( )
I hereby apply-fsr-a-Resid- ential Building 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 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 Ihe work will be in accordance with the approved plan in the case of work whi h requires a review and
approval of plans.
~ass~
Applicant's Printed Name Applicant's Signature FEB 0 6 2p06
YV `
OFFICE USE ONLY
Sub Types
? 01 Foundalion ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-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 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ~ 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plhg_Y or _ N ? 25 Miscellaneous
Work Types
0 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addilion ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
>F 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 WindowslDoors
? 34 Replacemenl 'Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation VV~ Occupancy MCES System
Plan Review ~ ~.1~00~% or 25%
Census Code l'7 ~l Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const V6 W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) X Final/No C.O.
_ Footings (addition) _ Plumbing
Poundation H V AC
Drain Tile Other
Roof _ Ice &Water _ Final _ Pool _ F[gs _ AidGas Tests Final
~ Framing = Siding _ Stucco _ Stone _ Brick
Fireplace X R.I. 4AirTest Pina] Wiitdows
~ Insulation _ Retaining Wall
Approved By: Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
C/
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
!"
#$%&'()' *+*,
-./$%'"&0-1 43/7$,+
-./$%'63/7-.1 89:;<A;
>*%-'!??3-5199@B<@B<9C
-./$%'#*%-+(.&1- -./$%
D$%-'855.-??1'':LCM''"N*/-?'8R-''
!#$ %& ''")**+ + , ''1:BB ,')%B:9
123 !45W(76W54"54!4'
89:
>-?G.$0%$(,1
-.;'<=>: C:9+*:, +D$
? B&'<=>: C:>$D%:
3:9%B+> + , ?D :B'\]:D :B
E: :B'-+^:E: :B'<=>:ED,.0D% .B:B-:B+D$'\[.M;:BC:M :'\[.M;:B +,:'-+^:
1$:D9:'%D$$'#.+$*+,I'2,9>:% + ,9'D 'S(W!\\'(6W5W(6W' '9%O:*.$:'D'0+,D$'+,9>:% + ,P
#(//-,%?1
/DB; ,'M , R+*:'*: :% B9'DB:'B:J.+B:*'@+ O+,'!4'0:: ' 0'D$$'9$::>+,I'B M' >:,+,I9'+,'B:9+*:, +D$'O M:9'SE+,,:9 D'- D :'
#.+$*+,I'/ *:\\P
1 '5'1:BM+ 'K::'S?-'_A B'?\]\\UW7P44'4X4!PF4X6
E--'D3//*.&1
-.B%ODBI:5K+R:*U!P44'744!P"!7W
"(%*41
H=<I<<'
#(,%.*G%(.1JK,-.1
5'')>>$+%D, ''5
#B.%&M.:$$:B'1$.M;+,I'2,%<O MD9'-%OD:0:B
G77"'1:,,9=$ND,+D')N:G7WX'<ODM:9')N:
YDID,'E\[''WW!"GYDID,'E\[''WW!"G
S(W!\\'(X(5((7(S(W!\\'"GW5"7XG
2'O:B:;='D%&, @$:*I:' OD '2'ODN:'B:D*' O+9'D>>$+%D + ,'D,*'9 D :' OD ' O:'+,0 BMD + ,'+9'% BB:% 'D,*'DIB::' '% M>$='@+ O'D$$'D>>$+%D;$:'- D :'
0'E+,,:9 D'- D . :9'D,*'/+ =' 0'YDID,'LB*+,D,%:9P
)>>$+%D, A1:BM+ :: '-+I,D .B:299.:*'#= '-+I,D .B:
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA168702
Date Issued:04/29/2021
Permit Category:ePermit
Site Address: 3958 Thames Ave
Lot:1 Block: 2 Addition: Perron Acres
PID:10-56975-02-010
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. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
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 -
Thomas & Sarah Schaefer
3958 Thames Ave
Eagan MN 55123
Ashco Exteriors Inc
11164 Zealand Ave N
Champlin MN 55316
(763) 225-8333
Applicant/Permitee: Signature Issued By: Signature