3962 Thames Ave
Address -TkA1"neS ~ve_~ Zip 5512 3
Lot Blk a Sub ~eS(o r'-\ r('~S
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: 3- 3- p Yes No Inspector. v
Final grade (6" ftom siding) x
Permanent steps (garage)
Pennanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass rx,
TraiUcurb damage ~yyw cu
Porch Basement finish ~
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shuboff of water supply to
the outside lawn faucet before freeze porential exists.
Contaa engineering division et 681-4645 before working in rightof•way or installing underground sprinkler system.
White - City Copy Yellow - Residem Copy Pink - Contractor Copy ~
~ August 19, 2002 922 AM Lofgren Htg & A/C 651-4601208 p.03
Site address: 37 fp pc Z ~AfQ- S Lol _ Block _ Subd.
On April 15, 2000 the Minnesota Energy Code, Category I Building Requirements for insulation protection, air
tightness, and venGlation, was adopted. As a result, the City of Eagan is requiring that the following information be
submitted prior to issuance of a Certificate of Occupancy.
~ This shucture: is constructed to meet minimum requirements of Ihe Mn Energy Code, Chapter 7670
OR
_ Thls strucNre: wlll be conslructed to meet more reslriclive requ(rements oi Chapters 7672 or 7674
APPLIANCE GAS ELEC MANIIFACTURER MODEL BTU'S VENTING TYPE
Waler Healer
Fumace CAYL2Jl~IZ oZ 0 ik
Dryer 3 ~ u
VENTED
EXHAUST SYSTEM LOCATION TYPE MODEL CFM's YES NO
Kilchen kilchen
Balhroam 1 ~1?UI'~} `.~O
Bathraom2 ~t
Bafhroom 3 Nc~ ~ I1 5-O
Bathroom 4 11 s6 X
Other 134:5Z S-~ x F:-]
VENTING
FIREPL4CE S LOCATION GAS WOOD MAN FACNRER MODEL BTU'S DIRECT A7M05
. ~
~ JW (.~O(S
MAKE-UP AIR MODEL TYPE CFM's
I hereby acknowledge Ihat the above fnformatlon Is correct and agree to comply with lhe Minnesola Energy Code and City of Eagan
require 4s.
SI nature ~ Date
CompanyNam
` This form is the responsibility of Ihe Generai Conlractor.
~QO L-/a.uoFif e'..~s~p;U oj SAh9f~l SrlhU/~c~ /~Gb/1
-
"r/!Creft rU 1161-1, 6~ 647" f'Oti.,-i
~'Rv~ /t /~~t.{~ r xy~9a sr ~cr~,0
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feL ae$Z S s~~~,t vi'?Diz/ ~ sr,y,ri,
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W
RESIDENTIAL
BUILDING PERMIT APPLICATION
~ CITY OF EAGAN p c~ C~ go .
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Conshuctbn Heaulrements BemotleVNeoalr Heauirementa
• 3 rBpiStered sAe survey5 showing sq. fL ol bt, Sq. n. ol house; aM II rooted areas • 2 COpies of Dlan C os~.~
(20% maximum btcoverage albwed) . 1 set ol Energy Cakulations lor heated edditans
• 2 copiesol plan showing beam d window srzes; pouretl tound Aesgn, etc.) • 1 site surveyfor ex1enoradditions 8 decks
1 set of Energy Cakulatbns Inaicate if home served by septic system tor adaifions
• 3 coDies ol Tree Preservatbn Plan it lot plattetl alter 7/1193 r/~'y ~ ~ f
• R'un Joist Detail Optbns selectbn sheet (bldgs wNh 3 or less unAS),' ~~s}~ I ?
DATE VALUATION D
SITE ADDRESS ~9&;2- --7h-D1}1)PS MULTI-FAMILY BLDG Y N
NPE OF WORK X1t'_ %.r) CtQ/16 1X7.(/TI/21 2 _ PIREPLACE(S) _ 0_ 1_ 2
APPLICANT l)
~n C.~I'D~/LL• K-5 ( [Tni~/('T7Cl'L
STREET ADDRESS 44 '7G 2. CITY ~`J STATE ~ ZIP
TELEPHONE 3 CELL PHONE lt .'3'7 FAX lf L6I -9~-1-
PROPERTYOWNER~ TELEPHONE#LGS)
COMPLETE THIS SECTION FOR NNEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RliLES 7670 CATEGORY I MIYA'LSOTA RULES 7672
(4 submission type) • Residential Ventilation Category 1 Worksheet Submittea . New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitled
Mumbing Contractors.hora' ~.1. ! 1V ! n Phone
Plumbing system includes: _ Water SoRener-j~ Lawn Sprinl:lcr Fee: $90.00
Watcr Heater No. of R.I. Baths
No. of Baths
Mechanlcal Conhactor: 4 Phone u""'
Mechanical sys[em includes: Air Conditioiung Fee: $70.00
_ Hcat Recovery System
Sewer/Water Conhactor,Y-hL~ ~'P r /Yl-b Phone #
I hereby acknowiedge that I have read this application, state that the information is correct, arld agree to comply
wim all applicable State of Minnesota Statutes and City of Eagan Ordi s.
Signature of Applican nanc
~ I
!eq ~~OFFICE USE ONLY IUI 0 3 20
Certifcates of Survey Received Tree Preservation Plan Received N uir~
B pd ted 4I02
~ y
OFFICE USE ONLY
~
? 07 Foundation O 07 OS-plex ? 13 16plex ? 20 Pool ? 30 Accessory Bldg
)K 02 SF Dwelling O 08 06plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Exl. All - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level 0 24 Stortn Damage
? 06 04-plex O 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Y, 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition O 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Rerooi ? 46 Windows/Doors
? 34 Replacement 'Demolition (Ent(re Bldg only) - Give PCA handout to applicant
-7 ~
Valuation Occupancy ' MC/ESSystem
Census Code Zoning n~ City Water
SAC Units _F_I Stories Booster Pump
rJ ,
Nbr. of Units Sq. Ft. 7. PRV
i
Nbr. of Bldgs ~ Length Fire Sprinklered
•-,r,
Type of Const v I,~ Width
REQUIRED INSPECTIONS
~ Footings(new bldg) ~ FinaVC.O.
_ Footings (dcck) _ FinaVNo C.O.
Footings (addition) _ Plumbing
~ Foundation _ HVAC
Drain Tile O[hcr
Roof _ Icc & Warer _ Final _ Pool _ Ftgs _ AidGas Tcsts _ Final
NC Framing _ Siding _ SWCw _ Stone
_X Fireplace Y R.I. * Air Test } Final Windows (new/replacement)
~ Insulation ~r ~ Retaining Wall
~ I
Approved By Building Inspector
Base Fee • ~ ' ~ ~
r-
Surcharge
Plan Review
MCIES SAC l'I .
City SAC
Water Supply & Storage ~
S&W Permit 8 Surcharge ,
Treatment Plant 7
Plumbing Permit ~
Mechanical Permit ~ C 1C • =~p
License Search rrldy~-~ ~?Ylt''{ V
r _ > ~ 1 ~ y
~
Copies J .',LF7.~S4 fr.7
otner s %
Total
,
-
MNCheck COMPLIANCE REPORT
Minnesota Energy Code Permit #
MNchock Software version 3.0
Checked by/Date
COUNTY: Dakota
STATE: Minnesota
ZONE: 2
CON9TRUCTION TYPE: Single Family
DATE: 6-28-2002
DATE OF PLANS: 6/24/02
PROJECT INFORMATION:
Paul &n Mary Anderson
Lot 2, Blk 2 Perron AcYes
COMPANY INFORMATION:
Manley Bros Construction
COMPLIANCE: PASSES
Required UA = 614
YOllY HOme = 604
1.6%- Setter Than Code
Area or Cavity Cont. Glazing/Door
Perimeter R-Value R-Value U-Value
_
EILINGS: Raiaed TYUSS 2116 a4.0 0.0
WALLS: Wood Frame, 16" O.C. 394 19.0 2.0
WALLS: Wood Frame, 16" O.C. 1395 19.0 2.0
WAI,LS: Wood Frame, 16" O.C. 1774 19.0 2_0
BSMT: Conc. 8.8' ht/8.2' bg/8.8' insul 1104 10.0 0.0
GLA2ING: Windows or poore, Above Grade 180 0.340
GLAZING: Windows or poors, Above Grade 315 0.340 1
GLA2ING: Windows or poors, Above Grade 284 0.340
DOORS 41
FLOORS: Over Unconditioned Space 0.350
400 30.0 0.0
-
COMPLIANCE STATEMENT: The proposed building design described here is
consietent with the building plans, specifications, and other calculations
submitted with the permit application. The proposed building has been
designed to meet the of he Mi nnesota Energy Code.
Builder/Designer ME& / 2~
Da t e
Zd WHSZ:LL Z00Z BZ 'unf 9L00068 iS9 :'ON 3NOHd 9NIlJti21Q-T-X0J : WOaJ
Lnnesota Energy Code
_ MNcheck Software Versipn 3.0
DATE: 6-28-2002
PLAN REVIEW AND INSPECTION ISSUES
This list of items may be helpful for Plan Reviewers and Building Inspector
use as a guide for enforcing the Mirlnesota Energy Code. The itema apply to
Group R, Division 3 Occupancies, one- and two-family residential dwellings.
The items marked with * apply only to detached one- and two-family
residential dwellings.
PLAN REVIBW ISSUES
FOUNDATION INSULATTON
- foundation wall insulation R-S minimum
- foundation insulation extends from top of wall down to top of the footin
- exterior foundation insulation is covered by a protective coating finish
CONCRETE SLAB OR [JNDER-SLAB INSULATION
- 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
WTNDOWS / DOORS / SKYLIGHTS
- average U-value is 0.37 maximum for windows and glass doors (excludes
foundation windows)
- window U-value consistent with building plan and MNcheCk Report
- window and door area consistent with building plan and MNcheck Report
MECHANICAL vENTILATION ISSUES
- residential mechanical ventilation system provides adequate ventilation
per code requirements*
_ turnace efficiency is consistent with MNcheck or building design plan
protection against excessive depressurizaCion is installed per code
requirements=
ENVELOPE INSULATION FOIZ PLAN REVIEW
- interior basement insulation R-5 minimum (if no exterior insulation)
- ceilings wiCh attics R-38 or consistent with building plan and MNCheck
Report
- wall framing and insulation level is consistent with building design
and hsicheck Report
INSPECTION ISSUES
CONCEALED TNSULATION
FRAMING AND SHEATHING
- wind wash barrier insr_aZled at attic edge
- exterior wall corners framed so that insulation can be installed after
exterior shaathing is installed
- intersections of interior partition walle and exterior walls are frame
that insulacion can be installed between the partition and exterior
sheathing after exterior sheathing is installed
-$aps between framinq less chan one-half inch are eliminated by securin
framing together or are insulated aC the time of assembly
- all penetrations between conditioned and unconditioned spaces made
Ed WHBZ:LT Z00Z 8Z 'unf 9100768 LS9 :'ON 3NOHd 9N11Jki?JQ-T-XOJ : WObH
,
- prior to framing inspection are sealed
INTERIOR AIR HARRIER
- all fire stops are air sealed
- pipes, ducts, wires, equipmenC and flues and chimneys through the inte
air barrier are sealed
- a sealed continuous interior air barrier is installed on the warm side
the building envelope aC ceilings, walls, and floor rim joist areas*
air barrier behind tub and shower is aealed and protected
- recessed light fixtures are eealed
ENVELOPE INSULATION
- 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 wa11s exposed in attica is aupported
on the unconditioned side
ATTIC INSULATION
- 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 ar_tic R-value and date of installation posted near
permit inspection card
This Ener is a summary only. Other requirements may apply. See the Minnesota
gy Code. Questions? Ca11 the Department of Public Service Information
Center at 651-296-5175 or 1-800-657-3710.
4d WFi6Z:Tt Z00Z 8Z 'unf 9T00b68 LS9 :'ON 3NOHd ON[lAFiJQ-T-XOA : WOaA
~ LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTY LEGAL; 1- ot 2 9I Do F- ~ Ax'tO ir1 4crp,S
DATE OF SURVEY: S '~:3~!?.Z
LA7ESTREVISION: '2-/b' o~
d
~
c
m
cL.) DOCUMENTSTANDARDS
Y ¢ ~
O Z Q
W o ? • Registered Land Surveyorsignature and company
f~ ? ? • Buiiding PertnrtApplicant
? ? • Legal description
? ? • Address
d/? ? • North arrow and scale
Ef . House type (rambler, walkout, splR wlo, splR entry, lookout, etc.)
W?? • Directional drainage arrows with slopelgradient °h
• Proposed/existing sewer and water services & invert elevation
cd~ ? ? • Street name
q~ ? 0 • Driveway
r~Y ? ? • LotSquare Footage
~/17 ? • LotCoverage
Ql~ ? ? • Benchmark
ELEVATIONS
Existinq
~ ? ? • Sewer service (or Proposed)
t-,,/ [l ? . Property comers
Ca~ . Top of curb at the driveway and property line extensions
? • Elevations o(any existing adjacent homes
. Adequate footing depth of structures due to adjacent utilily trenches
? V? • Waterways (pond, stream, etc.)
Prooosed
LY ? ? • Garage Floor
~/[I ? • First Boor
iR" ? ? • Lowest exposed elevation (walkouUwindow)
[tl~/ ? 0 • Property comers
f~ . Front and rear of home at the foundation
PONDING AREA ('rf aoolicable)
? ? • Easement line
? V ? • NWL
? g/ ? • HWL
? ut/ / ? • Pond # desgnation ? 6~ ? . Emergency Overflow Elevation
/ DIMENSIONS
Qy/ t7 ? • Lat lines/Bearings 8 dimensions
GY/ ? CI • Rightof-way and street width (to back of curb)
? ll • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
(i e. alt structures requiring pertnanent footings)
fl ? • Show all easements of record and any City utilAies wRhin those easements
? • Setbacks of proposed structure and sideyard selback of adjacent existing structures
LA' ? ? • Retainingwallrequirements,'rfany
Reviewed:
Name 71- / Date
* 2422 Enterpriae Drlve
i~ Mendola'Helghls, MN 55120
* PIONEER (661)W-19141AXt!l1-94l8
*engineering warunaf. uxasn+tr~aurten 625 Filghwuy 10 N.E.
* * * Bloine, MN 55434 a
~ (7e3) 7e3-ieeo FAxmriee3
Certificate of Survey for: MANLEY BROS.
o a 3962 TIiAMES AVENUE BUYER:ANDERSON
JUL ~ 6 REC D EACAN, MN
~ LOT AREA = 18,350 SQ FT.
HOUSE AREA = 2505 SQ. FT.
GftAPHic SCA.e PORCH/ PAT10 = 60 SQ FT.
IN rgET DRIVEwAY AREA = 788 S0. FT.
COVERAGE = 14.0 7 BUILDING IMPERVIOUS;
COVERAGE = 18.3 % TO7AL IMPERVIOUS)
SERVICE INV. = 856.1
`j 1 HOUSE TYPF, WAI_KnUT
867. PS°
P~vC') 867.3 ~ ~OP OF SPIKE
ELEV.=865.33 ~b
0 Q~ ~ ~~6 \ ^ ~ o /
A~
CbL' 8.? 5
885.7~~
~ / O , 8~ ~ 1
O
OQ
asa. ' ~ B a ~~vFU_a,yT)
0'y
~
G ~
n ~
Q' 958.5 ~
BENCH MARK ^ ~ \ 86J'9 O
i0P OF SPIKE xes
ELEV.=863.52
Xesa• /
F \ StV (0G i ~ =F
I/\\oj ' i, ~ Q~
x 6.4 tiy
~ 8569 !18.53
~ S , \ 2 'V 1 _N00'2,'29°E
REIY? lq~s( e_ 841.9
L~ M
yjy F•, ~ \ \ O~PE'~.`~~ ~O~ • M
' Et1GF,I\T F.'.RrG 1TIF:EI2IlVG DEPT.
0
PROPOS D OUS L-V IgN ~
LOWEST FLOOR ELEVATION: MBX~m~~~".~ N
ec09,4r prRe4ainirt~WaflWe~'Sj eo~ C*4
TOP OF BLOCK ELEVATION: ~S ~ b
GARAGE SLAB ELEVATiON: ~~8.0 Be ReUu~red N
r 000.00 DENOiES E%ISPNG ELEVAiION
( 000.00 ) OENOIES PROPOSED ELEVAiION 837:1
OEN01E5 DRAINAGE AND UOLIrY EASEMEN7 ry
DENOiES ORAINAGE FLOW OIREC?ON 1-
OENOiES SPINE
B DENOiES OFFSET MUB ~ ~
i ~
NOiE: PROPOSED GRAOES SMOVM PER GRAOING PLAN BY: PIONEER
i
NOIE: BUILUINC DIMENSIONS SMONN ARE FOR HORIZONTAL AND VERnCAL LOCATION
OF STRUCIURES ONLY. SEE ARCHIiECTVAL PLANS FOR BUILDING AND
fOUNDAiION DIMENSIONS. NOIE NO SPECIFIC SOILS INVES7IGAPON IIAS BEEN COMPLETED ON THIS lOT BY THE iAyO,0O 0,
SURVEVOP. iHE SUIiABILI7Y OF SOILS TO SUPPORT 7HE SPECIFlC HOUSE ~
PROPOSED IS N07 iHE RESPONSIBILITY OF 1HE SURVEYOR, p
NOTE. IHIS CEFiIFICAIE OOES NOi PURPORT i0 SHOW EASEMENTS O7HFR THAN
4105E 5110NN ON RIE RECORDEO PLAT OO
/ ^ PG~ > Q~O~ J~1~
~
NO(E- CONiRACiOR MUST VERIFY DRIVEWAY UESICN. cO
GP
NOIE: BEARINGS SMOMAJ ARE BASED ON AN ASSUMED DATUM 2~ I O ~ O
WE HEREBY CERTIFY TO MANLEY BROS. THAT THIS IS A TRUE AND p~
CORRECi REPRESENTATION OF A SURVEY OF THE 80UNDARIES OF: oa~
LOT 2, BLOCK 2, PERRON ACRES
DAKOTA COUNTY, MINNESOTA DEOTAILA`
Ir DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS,
[XCEPT AS SHOWN, AS SURVEYED BY ME OR UNOER MY DIRECT
SUPERVISION THIS 23RD DAY OF MAY, 2002.
SI NED: ' PIONR EN INEER G, P.A.
SCALE : 1 INCH = 40 FEET STAKED 5-29-02 Br: I
REVISED 7-10-02 MOVEO HSE. ~
3054 101222.13 BAT j Dan R. Westergren Reg. No. 1979
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3962 Thames Ave
Lot: 2 Block: 2 Addition: Perron Acres
PID:10- 56975- 020 -02
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Integrity Home Improvements Inc
11440 West Laketowne Dr
Albertville MN 55301
(763) 670 -2212
PERMIT
City of Eaan
Construction Type:
Occupancy:
If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes.
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total: $90.00
Applicant/Permitee: Signature
- Applicant -
$88.50
$1.50
Owner:
Paul K Anderson
3962 Thames Ave
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
0801
9001
Building
EA089118
05/12/2009
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA172115
Date Issued:09/15/2021
Permit Category:ePermit
Site Address: 3962 Thames Ave
Lot:2 Block: 2 Addition: Perron Acres
PID:10-56975-02-020
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.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
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 -
Reji & Nisha Thomas
3962 Thames Ave
Eagan MN 55123
(952) 250-0114
T 10 Construction Services Llc
16754 US 10 Bldg 2
Elk River MN 55330
(612) 254-8060
Applicant/Permitee: Signature Issued By: Signature