3967 Thames Ave
Address YY1 -C S Zip 5512_
I.oc I 'I Bik 1 Sub r f n ,n I~ ( v -cS
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION.
Date: ~ Zg p Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanentdriveway X
Permanent gas
Sod/Seeded grass
TraiUcurb damage x
Porch
Basement 5nish r?j O4 13 9.5
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ~
Whik - City Copy Yellow - Resident Copy Pink - Contracror Copy
Wednesday, February12, 2003 8:16 AM Lofgren Htg & A/C 651-4601208 p.02
' V
Site address: Lot L Block ~ Subd.
On April 15, 2000 ihe Minnesota Energy Code, Category I Building Requirements for insulation protection, air
tightness, and ventilatlon, 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.
X This sUucture: Is constructetl to meet minimum requirements of the Mn Energy Code, Chapter 7670 FEB 2003 ~
OR
_ This slructure: wlll be constructed to meet more restriGive requiremenls of Chaplers 7672 or 7674
~
APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S . VENTING TYPE
Water Heater
Furnace
l~ Corr;c 1" S 8 --l/~ ' 3 it. v~
Dryer
EXNAUST SYSTEM LOCATION TYPE MODEL CFM's ~ YES~~ NO
Kitchen
kitchen
Balhroom 1 ~r o ~
Bathroom 2
Scj
Balhroom 3 ^d
Bathroom 4 ~
f r~
Other YO
,~d r y~
FIREPLACE S LOCATION GAS WOOD MANtIFACTURER MODEL BTU'S olRECrENTI AGMOS
dk / oep
MAKE•UP AIR MOUEL TYPE CFM's
I hereby acknowledge Ihat Ihe a6ove in(ormalion is correct and agree to comply wifh the Minnesota Energy Code and City of Eagan
requirements.
0 3 ~
Signature Dala
>
Company N ~ e
` This form is the responsibility of lhe General Contractor. ,
I
Thursday, September 26, 2002 11:48 AM Lofgren Htg 8 A/C 651-4601208 p.03
sue aaare55: .396 7 TI, n~e~~ i LotJ 7 eiock I Subd.
On April 15, 2000 the Minnesoia Energy Code, Category I Building Requirements for insulation protection, air
tightness, and ventilation, was adopted. As a result, the City of Eagan is requiring that the following information be
submilted prior.lo issuance o( a Certificate of Occupancy.
~ This sWclure: is consUucted to meet minimum requlremenls of the Mn Energy Code, Chapter 7670
OR
_ This slructure: will be construcled lo meet more restrtcUve requlrements of Chapters 7672 or 7674
APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENiING TYPE
Water Heater
Fumace 3 ~ t
X Covr;eo" S' 000. VG
Dryer I r
VENTED
EXHAUSTSYSTEM LOCATION TYPE MODEL CFM'a YES NO
Kltchen kitchen
Balhroom 1 r O -p
Bathroom 2
Balhro om 3 ^d
Bathroom 4 ~O
Other
VENTING
FIREPLACE S LOCATION GAS WOOD MANUFACTURER MODEL BTU'S DIREC7 AiMOS
MAKE•UP AIR MODEL TYPE CFM's
• I hereby acknowledge that the above information is wnect and agree to wmply with the Minnesota Energy Code and Cily of Eagan
requlremenls.
Signature Date
Company Name
' This form is the responsibility of the General Contraclor.
I~ bIac-I~ I RESIDENTIAL ~.6'_ ~oSB S q0' 5-70
~
BUILDINC PERMIT APPLICATION
Pit!, rP o rl 19'(,re-.S CITY OF EAGAN Ih ,P. ¢a 59 7 0. S (3
3830 PILOT KNOB RD, EAGAN MN 55122
651-681•4675 sw
~ ~
New Construction Reauirementa RemodellReDair ReauiremenM
• 3 registered sde surveys shaxirg sq. k. o11oL sq. ft. ol house; and ail mofed areas . 2 copies of plan L~
(20%maximum bt coverage allowed) . 1 set of Energy Calculations for heated additions ~c L~~ V
2 wpies of plan showing beam & window sizes, poured (ound desgn, etc.) . 1 ste survey for extenor addilions 8 decks
• 1 set o( Energy CalculaUOns . Indicate it home served by sephc system for atlditions
• 3 co0ies of Tree Preservation Plan il lol platted after 7/1I93
• Rim JoislOetaJ Options selection sheet (bldgs with 3 or less umLS) -7~
1 \
DATE VALUATION
SITE ADDRESS ~ CD~ I(Y.f (WS 'i\i 'L MULTI-FAMILY BLDG _ Y N
TYPE OF WORK GnO ;,t`) (NnMl C-h(,h-\ FIREPLACE(5) _ 0 Y7 _ 2
APPLICANT n I`. C 1F' ~n'131n,1 MJ WI $TREET AD(D~RE1SS ~I _l Cf1rl~~l_G~ CITYAl~~~ STATE .~l
11 ZIP ~1~
TELEPHON~"# ``7J4 CELL PHONE # l OI~- 1~ O.3S FAX # LOSI"i-I 5U -~'13~ I
PROPERTYOWNER r Y ICa r-02J,4TELEPHONE#U5I"t-h-I- ~2b
,
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
U2ode N[INYCSO"f';\ RliLLS i670 C:\TGGORY l ~ IINNLSO"G1 RULPS 7G72
. Residenlial Ventilatlon Category 1 Woilcsheet Submitted New Energy Code Worksheet Submitted
• Energy Envelope CalculaUOns Submittetl
Plumbing Contractor: 1~~ Phone
Plumbing systcm includcs: Watcr So~tcncr L,awn Sprinkler Pcc: $90.00
_ Wa[cr Hcaler No. of R.I. Badis
No. of 13at}is
Mechanical Contractor: ;-tl P k:~f1~~ ~ Phone # Cel- '11(/'b
Mech:uiic;il system inclu(ies: Air Conditionina Pec: $70.00
_ Hcat Rccovcry Systcm
Sewer/WaterContractor. ~ J UY/V(' 4' P`i.lNAIn~ rlV-, Phone# 35r) -"fL1~- ~3LI
(J
I hereby acknowledge ihaf I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and Cify of Eagan Ordinances. '
/
SlgnatureofApplicant ~?L I 1AII J,
OFFICE USE ONLY
Certificates of Survey Received ~ Tree Preservation Plan Received _ Not Required bi~
Updated 4l02
OFFICE USE ONLY
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessdry Bldg •
,W 02 SF Dwelling ? OB 06-plex ? 76 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(screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
O 06 04-plex ? 12 12-plex Plbg_Y or _ N 0 25 Miscellaneous
,q 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 only) - Give PCA handout to applicant
Valuation az~> Occupancy 3MC/ES System
Census Code Zoning R-~ Ciry Water iS
SAC Units Stories Booster Pump
Nbr. af Units 0/ Sq. Ft. PRV r>
Nbr. of Bldgs 0/ Length Fire Sprinklered
Type of Const Z~2 Width
REQUIRED INSPECTIONS
k Footings (new bldg) ~ FinaUC.O.
_ Faatings (deck) _ FinaVNo C.O.
Footings (addition) _ Plumbing
,g Foundation _ HVAC
)E Drain Tile Other
Roof JC Ice & Water X Final _ Pool _ Ftgs _ AidGas Tests _ Final
ZC Framing _ Siding Stucco Stone
~ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
x Insulation _ Retaining Wall
Approved By , Building Inspector
- - ------o---
ease Fee 15H~ `~iv 11~ynS' -77.2 0 L' ~5`= / el 3O°
Surcharge Un.r.,v /31rrT 72-g 15 - ~ d q~
PlanReview ~sr ~-~ti /3G3{(I ~ ;-ti`~ 5-10
MC/ES SAC ~ ^'o 3 3 3 V ~ 6-`f 7/ 98~
City SAC C~ /9 n dj q
W ater Supply 8 Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
•
Permit Number
MECcheck Compliance Report
2000 Minnesota Energy Code che~kea sy~ate
MECcheck Software Version 3.3 Release 16
Data filename: I:\Energy Ca1cs~IvIECrMn102-257.cck
TITLE: 02-257
COUNTY: Dakota
STATE: Minnesota
ZONE: 2
CONSTRUC'TION TYPE: Single Family
DATE: 07/30/02
llATE OF PLANS: 7-29-02
PROJECT INFORMATION:
LOT 17, BLOCK 1, PERRON ACRES
3967 THAiVES AVE. EAGAN MN
GREG & WENDY GRAFF
COMPANY INFOILMATION:
MANLEY BROS. CONST.
COMPLIANCE: Passes
Maximum UA = 645
Your Home = 489
24.2% Better Than Code
Gross Glazing
Area or Cavity Cont. or poor
Perimeter R-Value R-Value U-Factor UA
Ceiling 1: Raised or Energy Truss 1605 44.0 0.0 35
Wal] l: Wood Frame, 16" o.c. 3775 19.0 pA 191
Window I:
Above Grade, Vmyl Frame, Double Pane with Low-E 442 0.320 141
Door 1: Solid 40 0.350 14
Daor 2: Solid 20 0.230 5
Door 3: Glass 40 0330 13
Basement Wall 1:
Solid Concrete or Masonry, 8.8' hU8.2' bg/8.8' insul 1404 11.0 0.0 79
Basement Wa112:
Solid Concrete or Masonry, 3.5' hd2.9' bg/3.5' insul 122 11.0 0.0 9
Floor 1: All-Wood JoisUTruss, Over Unconditioned Space 40 38.0 OA ]
Floor 2: A]I-Wood JoisVTruss, Over Outside Air 44 38.0 0.0 1
Furnace 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 0321 0370
Includes Foundation Wmdows> 5.6 ft2
Floors Over Unconditioned Space 0.026 0.033
COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans,
specifications, and other calculations subrrtitted wrth the permit application. The proposed building has been
designed to meet Ihe 2000 Mmnesota Energy Code requirements in MECcheck Version 33 Release lb and ro
comply with the mandatory requir nen[s listed in ECcheck Inspec[ion Checklis[.
BuildedDesigner J14 V &&2- Date ~
f ~
1VIECcheck Inspection Checklist
2000 Minnesota Energy Code
MECcheck Sofiware Version 33 Release lb
DATE 07/30/02
TITLE: 02-257
PLAN REVIEW AND INSPECTION ISSUES
This list of items may he helpful for Plan Reviewers and Building Inspectors to use as a guide For
enforcmg the Minnesota Energy Code. The items apply to Group R, Division 3 Occupancies, one- and
two-family residentia] dwellings. The items marked with * apply only to detached one- and two-family
residential dwellings.
PLAN REVIEW ISSUES
FOUNDATIONINSPECTION
foundation wall insulation R-5 minimum
foundahon 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 UNDER-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
WINDOW5/DOORS/SKYLIGHTS
average U-value is 037 maximum for windows and glass doors (excludes foundation windows)
wmdow U-values consistent with buildmg plan and MECcheck Report
window and door areas consistent with building plan and MECcheck Report
MECHANICAL VENTILATION ISSUES
residential mechanical ventilation system provides adequate ventilation per code requirements*
fumace efficiency is consistent with MECcheck Report or buildmg plan
protection against excessive depressurization is installed per code requirements*
ENVELOPE INSULATION FOR PLAN REVIEW
intertor basement insulation R-5 minimum (if no exYertor msulation)
ceilings with attics R-38 minimum or consistent with buildmg plan and MECcheck Report
wall framing and insulation level is consistent with buildmg design and MECcheck Report
INSPECTIONISSUES
CONCEALEDINSULATION
Framing and Sheathing
wind wash barrier installed at attic edge
exterior wall corners framed so that msulation can be mstalled afrer exYerior sheathing is installed
intersections of interior partition walls and extenor walls framed so that insulation can be mstalled
between the partition and extenor sheathing after exterior sheathmg is installed
gaps between frammg 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 are
r 1
' sealed *
Interior 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 mterior air barrier is installed on the warm side of the buildmg envelope at
ceilings, walls, and floor rim joist areas *
au barrier behind tub and shower is sealed and protected
recessed light fixtures are sealed
Envelope Insufation
[ ] 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 Insulation
attic access panel msulated 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 Departrnent of Public Service Information Center at 651-296-5175 or 1-800-657-3710.
~
I LOT SURVEY CHECKLIST FOR RESIDENTIAL
. . BUILDING PERMIT APPLICATION
PROPERTY LEGAL: Lof 1-7 DATE OF SURVEY: '~2-1
S d~
LATESTREVISION:
d
rn
c
m
v DOCUMENTSTANDARDS
Y a a
O z Q
i~/~ i~ • Registered Land Surveyor signature and company
~:.I • Building Permit Applicant
~l 7 • Legal description
~ G C • Address
~f ~ • North arrow and scale
C C • House type (rambler, walkout, split w/o, split entry, lookout, etc.)
C? • Directional dreinage arrows with slope/gradient %
tl F? . Proposed/existing sewer and water services 8 invert elevation
Lv / ? ? • Street name
? ? G • Driveway
~ ? G • Lot Square Footage
L~r r . Lot Coverage
ELEVATIONS
Existina
u :1 • Sewer service (or Proposed)
L,?/ - ^ • Property corners
E • Top of curb at the driveway and property line extensions
. Elevations of any existing adjacent homes
" I~/ E • Adequate footing depth of structures due to adjacent utility trenches
G ~l% ? • Watervvays (pond, stream, etc.)
Prooosed
~ C • Garagefloor
i~ G • Basement floor
• Lowest exposed elevation (walkouUwindow)
:1 • Property corners
t9" • Front and rear of home at the foundation
PONDING AREA (if aoolicable)
? y F. • Easement line
? ~0 • NWL
G ? • HWL
? G • Pond # designation
0 Y? • Emergency OverFlow Elevation
~ DIMENSIONS
Lot lines/Bearings 8 dimensions
17~ C? • Right-of-way and street width (to back of curb)
17 . Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all structures requiring permanent footings)
• Show all easements of record and any City utilities within those easements
j~ . Setbacks of proposed structure and sideyard setback of adjacent existing structures
. Retaining wall requirements, if any
Reviewed: f I~Y ~ ~Q,rl ? 3~ D~,
Name Date
7
Z6^y Enlerprfse Drive /p~-a,ppp
**.M Ne dota Heights. MN 55120 EIY\.:f/Yl V I
~ 4t (831) 681-1914 FA%:881-9488 JUL 3 0 REC'D ~
PI ONEER ~ s„w. • a~. n~9
~ ~V' ~ ~~"J
* en meerm ~I~~~ R" 625 Highway 10 N.E.
1f 9 * 9 Blaine, NN 55434 BV
* ~ * (812) 78S-1sE0 fA%:7N-188S DAT 7-~Z
Certiticate of Survey for. MANLEY BROTHERS CONSTRIlC110N ~ 18
~l1i~ r~1I~1G IP!SPECTIC.
3967 THAMES AVENUE BUYER:GRAFF EAGAN, MINNESOTA ~
78.5 ~l`~O RA:1~ ~ WtSCOTT
~ - - H68, ,
HOUSE AREA 12.228555Q FFT. 70 160449 2•,W ~
DRIVEWAY AREA = 814 SQ. FT. 864.9 ~
° 30 COVERAGE = 24.3 % 40' ~
GRAPHIC SCALE ~ '
IN FEET ~EFN% ca n~.fQSZ,$ 864.9 8672
~ x8e4.7
I~o~E, T~PE= SiflE / "~4\ 4p33 o~SfG
looiC. oo~
~ ry/ 86 ~S 866.7 /
PROPOSED HQUSE TI N e64.N ; - G ,
IONEST ROOR EIEVATION: '~1 2 ~ 'S~ S O 863. ~
g
' M(~ U=a/~ ( q}Y} '~-~(~J %Q T ~EE S ~
TOP OF BIOCK EIEVATION: b~ a ~Q p
GARAGE SLAB ELEVATION: S M)
=Q(~/ 7 / ~ ~ 3O
TOB O LOOKOUT ELEVATIO 3~ ..n1\ sa.s
~I
/
~ oooao oEr+atES cnsnHC 2EVAnox rM~~n~W~r ? 0 4 Q / ~U~ e 6s.2
( ooa.aa ) oD+orES aawostv eiEVAna+
- ovaics oaAwAcE ,wo unutt tAscucxr Cc pRpp z/
owansonarvA~ tiawow[cnw Ri~FwSep
t OENOlES NONUYEHT 0.7 V•• o~~ ~ /X862.9
-e ocnai[s arrsEr nue
owoTcs sw<
Q~r
w M 663.yY
NOIE: FPOGOSEO QtADES SHpNN CEIt piMING RAN BY: HONEER
NOIE: BUIUWG WIEM40N5 9i0WN ME FIX1 NRii2IXiTK ANp VEFTCAL LOGAPqa M
OF SiRUC1UliE5 ONIY. SEE ANQ111ECNAL GUNS FOq BNLOINC AND
ramoAna+ owENsars
NOIE NO SPEQRC SQLS V1WSIIGAIION HA5 BEEN GONRFIFD OM 1HI5 l0T BY ME ~863. ~ 862
SJR~ExOR. ME NiAB~lliv Of Spls i0 SUPPOHT ME 5?EOFlC HWSE 224 40 ~lP / v
3p /
caaosEO is r+or TMe acsrar+veiurr a n~ wr+Y 33
cra+~ 11c V~ ` W~
o ~ o o Q'
nore: nns aanaure ooes xor waaa+T ro sHow cAsi3cn TS oTMEn NM LP ~~L^f ' &AL.
h~T~ ~
niosE viorm a+ nie aeeaaoeo vLn*. t 4
xoM: caxmAcra+ r~usr vEam oAiWw•r oes~a 67 861.9 ~
NOIE: BEARMCS 410MN ME BASEO ON AN ASSUNEp DANY
r W r
V A c.A
WE HEREBY CERTIFY TO MANLEY BROTHERS CONSTRUCTION THAT THIS IS A
i12UE AND CORRECT REPRESENTATION OF A SURtEY OF THE BOUNDARIES OF: 0 /
LOT 17, BLOCK 1, PERRON ACRES ~
DAKOTA COUNTY, MINNESOTA N
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENiS, EXCEPT AS SHOWN,
QJ AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 15iH DAY OF JULY, 2002. SIG E PIONEER ENGINEERING, P. A.
SSCALE : 1 INCH = 30 FEET srnKEO 7-23-02
REVISED 7-29-02 MOVED HSE. Dan R. Westergren Reg. No. 1979
305 101222.15 BAT
~ v-~)i~ 2005 RESIDENTIAL BUILDING PERMIT APPLICATION 0
City Of Eagan 0 -
3830 Pilot Knob Road, Eagan MN 55122
Telephoae # 651-675-5675 FAX 9 651-675-5694
ll~$. ~ 23.~
New Construction Reauirements RemodellReoair ReauiremenLS Office Use 014
3 regate2d site surveys showirg sq. ft. of IoL sq. ft. of house; and all roofed areas 2 copies of plan CeR of Survey Reoi _ Y_ N
(20%maximum bt coverage allowed) 1 set of Eneyy Calculallons lor heated atlditions Tree Pres Plan Recd Y_ N.
2 copies al plan showing 6eam 8 window s¢es; poured found design, etc. 7 sRe survey for additions 8 decks Tree Pres Required _ Y_ N
1 set of Energy Calculations Add'rtron - indicafe i(an-sde sep6c system On-stte Septic Syslem _ Y_ N
3 copies of Tree Preservation Plan if lol platted after 717/93
Rim Joist Detail Optbns selectbn sheel (huildings wiN 3 orless units)
Date Construction Cost A yy00
SiteAddress _3y(,7 41/E UniUSte il
G4-ew I! 10-6123
Description of Work AT9 ~EC~C 04 REff'IZ
Multi-Family Bldg _ YX N Fireplace(s) _ 0 _X 1 _ 2
Property Owner ('-;i2LEt6Ry -RWF Telephone fcfl ) GS I' 83 qO
w~ebilc -335-48SS
Contracror V-L~
Address City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Ene~gy 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.
Licensed Plumber Telephone ~
Mechanical Contractor Telephone )
Sewer/Water Contractor Telephone ~
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.axev.iew-affrdl
approval ofplans.
I 1 1 ~ I
(1 G II'
7 .
C( I~CCTOR'l ~
ApplicanYs Printed Name Appl' ant's Sig e tIV
~
OFFICE USE ONLY
i .
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
O 02 SF Dwelling ? 08 06-plex ? 16 Firepiace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) O 33 Ext. Alt- SF
? 04 02-plex ? 10 08-plex x 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
0 06 04-plex ? 12 12-plex Plbg_Y or _ 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 WindowslDoors
? 34 Replacement 'Demolitlon (Entlre Bldg) - Give PCA handout to applicant
Valuation 91, 0 60I 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 Width
REQUIRED INSPECTIONS
Footings (new bldg) _ Final/C.O.
_~S Footings (deck) ~ Final/No C.O.
Footings (addition) _ Plumbing
Foundation _ HVAC
Drain Tile Other
Roof Ice & Water Final _ Pool _ Ftgs _ Air/Gas Tesu Final
Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace R.I. AirTest Final Windows
Insulation _ Retaining Wall
Approved By: _T Z , Building Inspector
- - - - - - - - - - - - - -
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total '
2622 Enteryrise Drive
Mendola Heights. MN 55720
C~IJ".r"FI
* PIONEER ,,,q • ow (0.51) 681-1914 FAX:681-9488 I ¢ j
* engineerrng wo.w+ors• ..a.,~ e25 Hiyn.ay ia N.E. JU _ J I!L ~ ~il E ;~,I
M * e10., urr 55434
* ~ * (812) 783-1880 FAX:763-1883 ~ ~Y - ,
r '
Certificate of Survey for: MANI FY BROTHERS GONSTRLIGTION ~ ;~;-.T;-
3967 7HAME5 AVENUE BUYER:GRAFF EAGAN, MINNESOTA r ' '~~~-'='n'='= S.~.Q.
78.5 L+rl7~ ~P•~ ~ wC~jCfg\'T
10 '0 LOT AREA = 12.758 SQ. FT. ~684 ' ~.E'~(.= 5b4~.S3
HOUSE AREA = 2285 SQ. FT. ^ 70 ~ h ~60,4
~ DRIVEWAY AREA = 814 SQ. FT. Q .9 W
o t0 COVERAGE = 24.3 9 aea.9
~
GR ~ ~
7IN FEETEfZ~~~L.°.. ",.t" QSZ.,'$ xes 8e72
fki
n
F"E. T\iPE= S~DE q SS
Lotiv- .oli ~ 14 ,cv t~ 033 0~ Fc
PR POS H V TI ~ ~ 8640x
LONEST ROOR ELEVpT70N. 86 ~ 866.7
~u~ b' S'SD O 863.
TOP OF BLOCK ELEVATION: 46.p
4ih ~l } l iry' ~3 ^ ~ 8 EIEC. ~
GARAGE SLAB ELEVATION: 'j TE
i ~
~ O
T06 O LOOKOUT ELEVATO ~Cy 17
, 64.8
x o00.00 DENOiES E%ISTHG ElEVATOx M, rM• tv ~ a , UQ 2^ ~ y p e<.z
( ooa.oo ) ocno~s anoaasEO c~vana+ ~~~\n~ p ~
- owoics oaua~cc uro unun cnscuenr a ~V``
ores orsannc[ Raw owccnan /~opo$EO
ow
f owart3 uonuuExr /X8629 O j Co.O ~4i ~ W
-a oo+aMs o~5cr Hue
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WE HEREBY CERTIFY TO MANLEY BROTHERS CONtTRUCTION iHAT iH15 IS A
7FtUE AND CORRECT REPRESENTATtON OF A SURkEY OF THE BDUNDARIES OF: 1Z,~• 3p
LOT 17, BLOCK 1, PERRON ACRES /
DAKOTA COUNTY, MINNESOTA ~i
~IES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SHOWN, " L
"~EYED BY ME OR UNDER MY pIRECT SUPERVISION THIS 15TH DAY OF JULY, 2002 . C~ SIG E. PIONEER ENGINEERING, P.A.
' 'NCH = 30 FEET STAKED 7-23-02 BY: ~
REVISED 7-29-02 MOVED HSE. ,
~qT ~~OIL~ Dan R. Westergren Reg. No. 1979
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA131344
Date Issued:06/16/2015
Permit Category:ePermit
Site Address: 3967 Thames Ave
Lot:17 Block: 1 Addition: Perron Acres
PID:10-56975-01-170
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Gregory M Graff
3967 Thames Ave
Eagan MN 55123
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA138830
Date Issued:09/22/2016
Permit Category:ePermit
Site Address: 3967 Thames Ave
Lot:17 Block: 1 Addition: Perron Acres
PID:10-56975-01-170
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Gregory M Graff
3967 Thames Ave
Eagan MN 55123
(651) 681-8340
Appliance Connections Inc
12850 Chestnut Blvd
Shakopee MN 55379
(952) 445-4803
Applicant/Permitee: Signature Issued By: Signature
' (-For Office Use
4 0 , / S
o y i 1 p p `
:::
#Fee: 6o
r-� Date Received: 7-a
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 JUL 02 2019 Staff:
buildinqinspections c(D.cityofeacian.com __,
2019 RESIDENTIAL PLUMBING
PLUMBING PERMIT APPLICATION
N�
Dat /410) `Site Address 3-1� T T N-60A PA/
c
Tenant: t n ✓�' V Suite#:
Name: I� .4- p ► one. 1/5- 301 /8141
Resident)Ownert
7 .:3 Address/City/Zip:_____3167- 71,4_,VV•td6 P4
Name: License#:
Contractor Address: City:
State: Zip: Phone:
Contact: Email:
• New Replacement —Repair Rebuild —Modify Space Work in R.O.W.
Type.of Work.' — —
Description of work:
Water Heater
Lawn Irrigation( RPZ/—PVB)
Water Softener
Description Septic
Plumbing Fixtures ( Main/_Lower Level)
Septic System
Description:
New
Connection to City Water from Well
Abandonment
RESIDENTIAL FEES
$60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation (includes State Surcharge)
$60.00 New fixtures, adding or removing piping (includes State Surcharge)
$60.00 Septic System Abandonment
$100.00 New Residential (fee collected with Building Permit)
$115.00 New Septic System (includes County fee and State Surcharge)
$60.00 Connecting to City Water from Well* + $290 for Meter and $190 for Radio Read = $540
*Sewer&Water Permit also required for connection charges
TOTAL FEES $
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.cityofeagan.com/subscribe.
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, b t only an application for a permit, and work is not to tart without a permit; that the work will be in
accordance wih t approved plan in he``�ccase. f ork whic requires a review and approval of plans.
x UL)\,
Applicant's Printed Name Applicant's Signature
Pagel of 2