3970 Thames Ave
Addtess 3Q70 Thames nve Zip 5512 3
Lot 4. Blk Z Sub Perron Acres
THESE ITEMS WERE / WERE NOT COMPLE'I'E AT THE TIME OF THE FINAL INSPEGTION.
Date: • D Z. Yes No Inspector:
Fina1 grade (6" from siding) V--"
Permanent steps (garage)
Permanent steps (main entry)
Petmanent driveway
PeRnanentgas
Sod/Seeded grass
TraiUcurb damage
Porch
Basement finish PA'~L7/ Al-
Deck ?
Please verify with the builder lhe removal of roof test caps from the plumbing system and the shul-off of water supply lo
the outside lawn faucet before freeze potential exists.
Conlact engineering division at 6814645 before working in rightbf-way or installing underground sprinkler system. ~
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
f RESIDENTIAL
i BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
NewCons[ructionRe4uvements RemoAellReoairReuuiremants
• 3 regisereC vie swieys snowiry ;p, rt, cf ici, iq. B of house; ana ail roofed areas • 2 cooies of Dlan
(20 o maxunum lot ceverage aliowed) • 1 sef of `_nergy Calculations (or healed aaaitians
• 2 copies ol lan showing oeam 3winacw ;iz=s, poure0 founa aesign, etc.) • 1 site survey'or extenor adddbns 8 Gecks
• t sel of Enerqy Calculauons • Intlicate rf home served by seFtic system .`or additions
• J coFies of Tree Preszrvation Plan d loi olatled after 7l1197
. Rim Joist 7eiail Ophons selectwn sheel Iblags wrth J or less umts)
DATE 1 6 Le VALUATION
SITE ADDRESS S110 T NJ'~M ~S A Ve MULTI-FAMILY BLDG _Y -ON
TYPE OF WORK DncIC FIREPLACE(S) _ 01_ 2
APPLICANT T V 1 U~C R A~I ~ S~
STREETADDRESS '2 q-10 7_~1?'1rnPS ~v2 CITY-LAI /J&-STATE~M&ZIPS:5
TELEPHONE # GSI- ~gI~4$G~ CELL PHONE #(ol~-'~11r-~°, ( FAX #
w- l 934-I'7-)8
PROPERTYOWNER V" IP ^'I ~r2 L171 TELEPHONE#
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Cate9ory _ AIIA'V'E:tiO"1'.1 KCiLC•5 iGiO C.A"I1CGORl' I MIVA'ESO"f.A RGLI:S 7672
(J submission type) . Residential Ven[ilalion Category 7 Worksheet Submitted • New Energy Cade Worksheet SubmitteC
• Energy Envelope Calculations Submitted
Plumbing Contractor: Phonc #
Plumbing systcm includcs: W.UCr SoCtcncr _ L.am Sprinl:lcr Fcc: $90.00
Watcr Hea[cr No. of R.I. BaOis
No. of Baths
Mechanical Contractor: Phone #
Jlcctcmic.il Scslcm includr;: Air CuncliUonin; Pcc: 570.00
(-[cal Rccovcn Systcm
Sewer/Water Confractor: Phone
i hereby acknowledge that I have read this application, stafe that fhe informotion _ ---_gr e-to ply
with all applicable State of Minnesota Statufes and City of Eagan Ordi ances.
SignafureofApplicant
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservalion Plan Received _ Not Required _
Updaled 4102
OFFICE USE ONLY
I `i
? Ot Foundation ? 07 OS-plex ? 13 18-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OB 06-plex ? 16 Firepiace ? 21 Porch (3-sea.) ? 31 6ct. Alt - Multi
? 03 Ot of _ plex ? 09 07-plex ? 77 Garage O 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex X 18 Deck ? 23 Porch (screened) ? 36 MuIU
0 OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex O 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
/k 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) 0 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolitlon (Entire Bldg only) - Give PCA handout to applicant
Valuation / VL9 J Occupancy MC/ES System
n
Census Code Zoning City Water
SAC Units Stories Boaster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs ~ Length Fire Sprinktered
Type of Const v f\) Width
REQUIRED INSPECTIONS
Footings (new bldg) FinaVC.O.
~ Footings(deck) ~ FinaWi o C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tes[s _ Final
_ Frarrting _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacemenQ
_ [nsulation _ Re[aining Wall
Approved By T-2, , Building Inspector
-
Base Fee
Surcharge
Plan Review /
MGES SAC
City SAC
Water Supply & Storage
S&W Permit 8 Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
PROPOS D HOUS E V Tl N 2422 Entvprise Dnm
# * Menaota Heighls, MN 55120
LOWEST FLOOR ELEVATION: BENCH MARK ~ (851) 881-1914 FAX:881-9488 ~
70P OF BLOCK ELEVATION: TQP QF PIPE P1ONi6A un aw~t~ws • aa pvms E-mail: PIONEERENG.COM ~
iELEV.=859.75 en OOPn ~~~e•wocKawrzm
&.01.5 h ~ 3 / * g 0 625 Mighway 10 N.E.
GARAGE SLAB ELEVAl10N: Bloine, MN 55431
TOB 0 LOOKOUT ELEVATION: i~ * * (812) 783-1880 FAX:783-1883
E-mod: PIONEER26PRESSENTER.COM
/
.MoM oenorzs cnsnnc ¢cvartan Certifieate of 5urvey for: MANLEY BROS. CONSTR.
( ooooa ) ocr+orzs aAOaogo acvnw ~ i
oer+o~s oaAmAcc Mo unu*r ¢nseuEr+r 861.0 ~~os.S7 ''1d '7AA"-Ee-' A4E1E . EAGAN
- - -
UENOTES D(tAMAGE RLOW OWECTOH 26 ^ NOTE VqOPO5E0 CNAOE$ $MOYM PER GRADING PLAN BY: CIONEER
OEMOIES MONIIYENT NOIE: BUILpING DIN[1140N5 SNOMN ME FpR MORi20t1iAL Aryp yER11CAL LOCAiION
OEMOiES p~i'S[T NVB OF $IRUCNRES ONLY SEE ARO'IT[CNAL GlANS FON BUILpING N!D
Z" 10 FOUN04TON W1EN90145
F.`„ note: No svEanc saU mNEsncAnaN HA5 BEEN CWPLEi[p pN MIS LOT Br iHE
ej SC6 . VSURWYOR. ROPOSEO 15TMNOTV'ME R[$PpN51g~~ ipF IryPE SUqy[YOfiPECIFlC XOUSE
l V
q' ry~ Bz. 3NOTE TVIIS CERTIFlGT[ OOES NOi PU0.PpHT TO 910W ERSENENiS QiHQt THAN
rJ
~ SSB.y ~ DAy~ iNOY 910MN ON TIE RECOFpm PLAT.
/1 ~3.33a13.00 ~5
2.6 M . T NOIE CONiRACTOR NUST KFIfY pRIVEWAY OESIGN.
~
NOIE: BEARINGS SIOMN RFE BASm ON RN RSSUNED OANM
r ll e / i 50 3
m I ~ co /o°_y~ 2. 0 n2.33 N~ o; aoi
858.8,1 N 00
CO ~ PROPO 5pp
DRI
VleWSAE
~ . ° .60
5.5, N0: 1
o.o_ 2.0o Q
.
U 21
~ 0
^ I ~I `o /O ~ %852. 77o
~ 859-0 ~ 24.33 - m i u EDGE/OF WETLAND--^~ X~0
hi 6tq.z 855 823.5
~ ~ ~ 10 ~ - 1' - 53~.
DRAINAP EASEMENT p UTILITY
~axa.r~Ae~'. Y.a.r1- N3 r 26.33 " - - - - - - / ^,ry'~~.i
. ER PLA 7 _
BV-~ FeRA PcA-4.: 1858., 53.36 849.9g 2/ NQf
l_ 'DooO QoaD II V~ ~ `~,o - 823.5
S$rJ'3.3'S 732.63 823.5 NN
C~41. = 8(c3 . 4-1 r35". ~ pN
~ r,
`!282.33 °
BENCH NARK
TOP OF PIPE
WE HEREBY CERIIFY TO MANLEY BROS. CONSiR. THAi THIS IS A TRUE ELEV.=855.90 U
AND CORRECT REPRESENTATION OF A SURVEY pF THE BOUNDARIES OF:
LOT 4, BLOCK 2, PERRON ACRES r8sa.s) rr-1;:.;;. ~.7,::=~ I
DAKOTA COUNTY, MINNESOTA ,
yE5 NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, E%CEPT AS SHpWN, c)PqyR~1,Q.4 5E+•••sE(L
~VEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 25TH DAY OF JANUARY, 2002. SI NED: IONEER ENCINE C. .A. riJVL=-2T ^40,b
`~1~ `NCH = 30 FEET BY. e LOT AREA = 19,305 S0. FT.
• HOUSE AREA = 2637 S0. FT.
ohn C. Larson, L.S. Reg. No. 19828 COVERAGE = 73.6
AT
PERMIT # S RECEIPT DATE:
8008 itES1DEVTIAL PLUM$1Rfi PERM1T lkPP11ClkTION
crrY oF EAsnx
3830 PII.OT KAOB RD
gk8}41v. M1V 551EE
851-891-4675
Please complete for: single family dwellings, townhomes and condos when permits are required for each unit,
backflow preventer for irrigation system
SITE ADDRESS: N10 JhafflC A v e.
OWNERNAME:: U~I~OIV ~~YY TELEPHONE#: (AREA ~ QDE)LS! OI -~p
INSTALLER NAME: f I ~ V1 TELEPHONE "I a ' "1 (p 9 " U09 qq
STREETADDRESS: 2 (AREA CODE)
VIEiY`~
CITY: ~akV I 6 Vt STATE: M N ZIP: V)N Y
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
• MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
_ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system. .
_ Water tumaround - existing dwelling unit 5/8" meter if needed -$118)
Other: !1 r~
1 n
, ~ 1-Y ~
_ RPZ: new installation/repairlrebuild tAUG 1 g p0QZ $ 30.00
_ lawn irrigation system ReplacemenUadditional: ~ water softener ~water heater $ 15.00
~..n~
State Surcharge $ .50
rotal S ~ 5 .5b
I hereby acknowledge that I have read this application, state thatthe informaUon is covect, and agree m complywith all applicable Cityof Eagan oMinances. It
is the appliranYS responsibility to notiTy the property owner fhal the Cityof Eagan assumes no liability for any damaqes caused by t Cit during its normal
operational and maintenance activities to the facilities constructed under this permit within Ci prop, /rig t-of- / eme
SIGNATURE OF PERMI E 1l02
Site address: 1/ V r/ r6L(1}7 eS "'~JCLot f- Block Subd.
On April 15, 2000 the Minnesota 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
submitted prior to issuance of a Certificate of Occupancy.
X This structure: is constructed to meet minimum requirements of the Mn Energy Code, Chapter 7670
OR
_ This structure: will be constructed to meet more restrictive requirements of Chapters 7672 or 7674
APPLIANCE GAS ELEC MANUFACTURER MODEL 8TU'S VENTING TYPE
Water Heater To _ 4000 PWJ+e UENyr
Fumace 1 ~ ]n/ Q~
(/v A[L
Dryer 4 " 6a.'
VENTED
EXHAUST SYSTEM LOCATION TYPE MODEL CFM's YES NO
Kitchen kitchen ~
Bathroom 1 A, i co'o
1 Il,l
Bathroom 2
Bathroom 3
Bathroom 4
Other 8ATH i( ~r
VENTING
FIREPLACE S LOCATION GAS WOOD MANUFACTURER MODEL BTU'S DIRECT aTMOs
00f7
MAKE-UP AIR MODEL TYPE CPM's
I hereby acknowledge that ihe above informa6on is correct and agree to comply with the Minnesota Energy Code and City of Eagan
requirements.
C UL/
ig atu e Date
ompanyName
' This form is the responsibility of the General Contractor.
wrel'fu'~ RESIDE TIAL y Acres BUILDING PERMIT APPLICATIONMV4-4?9y(' 70.50
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
New ConstrucUon Reauirements RemodellReoafrReauirements /Ao t•~ 9
. 3 registered site surveys showing sq. ft. of lot, sq. tl. of house; anll roo(ed areas • 2 copies of plan
(20%maximum lot coverage albwed) . 1 set of Energy Calalations for heated addifions Cawa
• 2 copies of plan showing beam & window sizes; poured found design, etc.) . 1 sile survey for eztenor addi0ons 8 decks
• 1 sel of Energy Calcula6ons . Indicate if home served by sep6c system for addifions
. 3 copies of T2e Preservation Plan if bt platted after 711193
. Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
DATE a- b-o ~VALUQION ob0
JOB SITE ADDRESS 3°~`l0 -~~vw~~S ~e-
IF MULTI-FAMILY BUILDING, HOW MANY UNITS? r.1+R
PROPERTY OWNER Vy\A
TYPE OF WORK FIREPLACE(5) _ 01, 1_ 2
APPLICANT Vy"NA^~~ PHONE# 4s--+sl-- -kq'33
ADDRESS Z~ ZIPCODE
PAGER # CELL PHONE # (o\2- °N\S- 'k44-'i FAX #
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Category MINNLSO'1'A RULLS 7670 CA'I'LGORY 1 I
(check one) - Residential Ventilation Category 1 Worksheet Submittety,l),
- Energy Envelope Calculations Submitted FEB 0 8 D
2002
_ MINNCS07'A RUI.1S 7672 l~ j
- New Energy Code Worksheet Submitted
Plumbing Contractor. Phone
Plumbing Systcm Includcs: VVatcr Softcncr' _ I,awn Sprinklcr Tcc: $90.00
~ VVatcr Heatcr No. of R.I. 13aQis
~ No. of 13aths
Mechanical Contractor. RL+ Phone #U'1-- 1''f5 -\"LA`1
Mechanical Syslem Includcs: / Air Condiu ing Pec: $70.00
~ Hcat Rccovcry Systcm
Sewer/Water Contractor. Phone # (~\Z _ y^1 - -Sa83
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state ihat the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applfcant
a
Certificates of Survey Receivedyµ~]~ Tree Preservation Plan Received _ Not Required~/
(J- (7" Updated 2002
OFFICE USE ONLY ~
r .
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
A 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-piex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
I`
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement `Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy • U~ MCIES System
Census Code ..b2-L Zoning /I City Water
SAC Units Stories ~ Booster Pump
Nbr. of Units Sq. Ft. PRV
/
Nbr. of Bldgs _L Length G q Fire Sprinklered
Type of Const V/v W idm
REQUIRED INSPECTIONS
~ Footings (new bldg) X FinaUC.O.
Footings (deck) _ FinaUh'o C.O.
Footings (addition) _ Plumbing
~C Foundation _ HVAC
Drain Tile Other
Roof Ice & Water Final Pool Ft s Air/Gas Tes[s _ Final
X Framing _ Siding Stucco Stone
~ Fireplace R.I. A Air Test s[ Final _ Windows (new rep acemen[)
~ Insulation _ Retaining Wall
Approved By 7 Building Inspector
~----------r---tigJ-r--------- -~-7--- 3--- -
BaseFee r~ x a S- 3!/ 7
Surcharge ~ ri J ~Z Ut?j"%V, o
Plan Review 97!q7o
MCIES SAC X
City A
WaterSupply& Storage X
S&W Permit 8 Surcharge (~~~v1
Treatment Plant ~ d ~ X
(ri?n l3~''~
Plumbing Permit
Mechanical Permit r
License Search l~'V ~ rp 3~( 3 ~ ~ ~ q
Copies 0
a
Other
Total ~ Y y 3 y/
FROM :MRNLEY BRDS FAX NO. :651-454-9371 Feb. 12 2002 04:19PM P2
e !
Mflcheck COMPLIANCS RS?ORT I
Mizutesota Ene2'gy Code f PeYrttlt
t.fficheck Software Veraion 3.0 ~
' Cheeke y Date
1
C6t7NTY: Dakota STATE: Minnaeota
zoxE: z
CCN9TRVCPIpN TYPE! single Family
DATS: 2-12-2002
DATE OP PLAN9: 6/22/01
PROuECT INPORMATION:
seff & ZYacy Clark
708 Mcfaddens
Eegan , MN
COMP71f75C 2NFORMATZp1q:
Maaley Sros. Construction
COMPLIANC6: 2A$SES
Required UA = 624
Xour Home ~ 600
3.9% setter Than Code
Area or Cavity Cont. GlazingJDoor
Perimeter R-ValLiE R-Value U-value
CETLiNGS! Raised rxuss 2047 44.0 0.0
WALLB: Wppd Prame, 16" O.C. 379 19.0 2.0
WALLS: WOOd Frame, 16° O.C. 1708 19.0 2,0
WAx.LSe 91ood F'j:-attle, 16" o.C. 1696 19.0 2.0
BSMT: Cone. 8.91 ht/8_21 bg/8.8' insul 1102 10.0 0.0
GLAZING: Wiedows or poora, Above Grade 178 0.350
CiLAzr[SG: windows ar poore, Above Grade 372 0.330 1
GLAZING: Windows or poprs, Above Grade 196 0.350
DWRS 40 0.350
HLDORS: pver Uncoiiditianed Spaee 179 30.0 0.0
PLOORS: Over Outside Air 21 30.0 0.0
"
:.MPLIANCE 3TATEMENT: Tize proposed building daaigr descxibad here is
consister.t with the building plans, specificationa, and oCher caZCUlations
submitted with the permit applicatian. The proposed building hae been
deaigned to meet the requirements of t e Minnaeota Snergy Code.
suilder/aesigaer Dace-;,-- l`~-d2
td wdzt'M 720Z 2T 'Giiml 9T62068 TS9 ''ON BNOHd ONI1_*2f(I-S-Y.7J : WONU
~n //-krV `
d~~,
""vvR
~
mNcheck COMPLIFNCE P,6PORT l
Minnesot_a Energy Code Fermit ~
MNCheck Scftwar2 Version 3•0
C ecked byJ5ate
roJNTY: Waehingtcn
STATE: M7.nneaota
ZONE: 2
CONSTRUCTION TYPE: Singla Family
DATE: 2-7-2002
Da?E OF BLANS: 5%23/02
PRGJECT INFOF<MATION:
Murray & Keren Geer
COMPALV'Y TNFORftATIGN:
Manley Brca Corstruction
COMPi,IANCE: PASSES
Required UA = 554
Youz Home = 539
2.9% Bette: Than Code
Azea or Cav±ty Cont. Glazing/P.oor
Perimeter R-Valus R-VAlue U-Valu6
CEII,IIvC35: RAised Trues 1931 44.0 0-0
WALLS: Wood Frame, 16" O.C_ 340 15.0 2.0
iQkLLS: Wood Frame, 16" O.C. 1591 19.0 2.0
WALLS: WOOd Frame, 16" O.C. 1345 19.0 2.0
BSM`i': COnc. 8-8' ht/8.2' bg/8.81 insul 664 10.0 0.0
GLAZING: VTindows or poors, Above Grade 173 0.350
6LAZIIZCi: WindoWS or poora, Above Grade 322 0.350 1
GLAZING: Window6 or poors, Aboti°e Grade 183 0.350
DC70RS 41 0.350
FLOORS: Over Unconditioned 8pace 126 30.0 0.0
- "
COMPLIFIVCE STA'i'EMENT: :he proposed building design described here as
coneistent with the building plana, specificat_ons, and other caiculatzons
submitted with the permit application. T~ propoeed buii3ing has been
designed to m2et the requzrements of the Mi nesota Energy Co3e.
^
Suilder/Designer ~ Date ~
Zd l4dGr:21 ?0G2 ~0 '4=~ ~10e068 TS3 :'OFI 31ICN!d hl!!l~J~Q-T-YfG~ : WO~~
Mi»nesota &nerc,y Code
ivVrh_ck software Version 3.0
JATE: 2-7-2002
PLPSI REVSEW AIv'D INSPECTION ISSi7ES
This list of items may be kelpful for F1an Reviewers ar.d. Euilding Inspector
use as a guide for enfor.cing t'ie Minnesota Energy Code, The iteme anply to
Group R, Division 3 4ccupanc_eu, cne- an3 two-fanlly resicential ciwelli-ags.
The iteme markad with * apply cnly to detacned one- an3 two-family
resldential dwellings.
PL7aN kEVIEW ISSUES
£OUNDATION SN9VLATION
- foundacion wall insulation R-5 minimum
- foundation insulation extends from top of wall down to rop of the £ootzn
- exterior foundation insulation is covered by a protective eoating fi.r.ish
GONCRETE SLAE QR ANUER-SLAB IISS'JLFTZON
- slab or grade perimeL-er insulation R-5 minimutn
- sl.ab insulation extetlds from top o£ elab to design frest 1-a.ne or Cop of
footing
- floors ovex ~nheated space IY-30 minimun
WINDOW,S / DpORS / SK'i'LT_GHTS
- average u-value is 0.37 maxintum £er windowa and glass docra (er.cludes
foundation window3)
- window U-vaJ.ue coneistent witkz building plan and MNCheck 2eport
- window dszd door area consistent with building plan aad MNcheck Report
, MECiiF,NICAI. VENTILATION ISSUES
- rea7.d2ntial mechaniaaJ, ventilation sye*-em provides adeauate v'entilation
per aode requirements*
-`urnace efficieney is conaistent wi-.h wAtcheck oz building desicn pian
- protection against excasaive depressurization i.s inetalled per code
requlremeate*
ENVHLOPE INSTILATIOIvT FOR PLAN REVZe^,W
- interior basemeat insulaCior. R-s minimum (~f no exterior ineulation)
- ceilings with atti.ce a-38 or cor.sistent with bui7.ding plar and MNchec3:
Repart
- wall framina and insulation 1eve1 I-e consistent with building design
and MNchack RepoYt
INSPECTION ISSUEB
CONCFA.LED Ii3SLTLATION
FRAMING AND SHEATHING
- wind wash barrier installed ar attic edge
- exteriox' wall corners =ramed so rhat insulation can be instal3ed after
exterior sheathing ie installed
- intersections of interior partition walls and exterior walla are frame
tha: insulation can be installed between the partition and exteYiDr
sheathing after exterior eheathing is installed
- gags between framing less than cne-ha'-f inch axe eliminated by securin
traming Coaetk,er or are insulated at the time of assemb7.y
- a11 penetration.s betwesn conditioned and unconditioned spaCes made
Ed Wd6h:GZ CBOG :.o l4zj 9T0Eb68 i='a : 'OIJ : I.UJZ3~
prioK to framing inspection are seeled
INTERIOR AZR P,ARRIER
- all fire atops are aiz sEa'_ed
- pipes, ducts, wises, eguipment and flues and chamneys through the inte
air bar-rier are sealed
- a sealed continuous inter=or air ba'txier is installed on the w~rm side
the building envelope at ceilings, wa11s, and floor rim joiet areas*
- air barrier behind tub aad shower ie sealed and proLected
- recessed light £ixtures are sealed
ENVELOPE INSULATION
- baEeman" insulation R-5 rnina.mum
- wind waeh barrier cn wall sep2ratiag house and garage is sealed
- loose fill insul2.tion is prevented £rom entering the eGvas
- insulatiori on skylight shafts and walls e9cposed an attics ia supported
on the unconditioned side
ATTIC INSULATIGN
- attiC access par.el inaulated tu R-38 tor ceal'-ng pan°1 and R-19 for
wall panel
- attic aard attachFd to Eraming near accass opening
- r.o*_i:ication oL attic R-value and dace of installation posted near
permit inapection CaYd
This ie a summary onlv. Other requirCmer_ts may apply. Se2 the Minnesota
Enexgy Code. Questions? Call the Department of Public 5ervica Tn£ormation
Center at 651-296-5175 or 1-800-657-37;.C•.
td WdLb:cT ZC^Ci'c Lt3 'Qr~ 9iCOb6E TS5 ;'DN 3NCHd JhJI_~t1;~Q-Z-X7~ : WOdj
, LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
. PROPERTYLEGAL: L6'F 'If BIn'K ~ /Ot~.i/ow
I DATE OF SURVEY: o'~
LATEST REVISION:
d
a
c
m
v DOCUMENTSTANDARDS
Y a v
O Z ¢
? 0 • Registered Land Surveyor signature and company
O ? • Building PermBApplicant
d'[] ? • Legaldescription
[a~jo ? • Add2ss
ff /f7 ? • North arrow and scale
EY,0 ? • House type (rambler, walkout, split w/o, splh entry, bokout, etc.)
B~ 0 • Directional drainage arrows wdh sbpe/gradient °k
? • Proposedlexisting sewer and water services 8 invert elevaGon
p~,t7 ? • Street name
ff~~Cl ? • Driveway
[7~~ ? • Lot Square Footage
? • Lat Coverage
o' 0 ? • Benchmark
ELEVATIONS
/ Existinq
d/ 00 • Sewer service (or Proposed)
[3'/ ? ? • Property corners
. Top of curb at fhe driveway and property line extensions
?/Cd' ? • Elevations of any existing adjacent homes
• Adequate footing depth of structures due to adjacent utility trenches
e' ? ? • Waterways (pond, stream, etc.)
Proposed
? ? • Garage fbor
Q ? ? • Firstfloor
Y ~ ? . Lowest exposed elevation (walkouUwindow)
? ? • Property comers
. Front and rear of home at the foundation
/ PONDING AREA ('rf aoolicable)
C7' O ? • Easement line
vo ? • NWL
~O • HtiVL
? ~Y 0 • Pond # desgnation
O~ ? ? • Emergency Overflow Elevation
/ DIMENSIONS
i 1 ? • Lat Iines/Bearings & dimensions
H?? • Right-af-way and sUeet wklfh (to badc of curb) ? • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
/ (i.e. all sWctures requiring pertnanentfootings)
6'/ o? • Show all easements of record and any City utiltties wRhin those easements
• Setbacks of proposed sW cture and sideyard setback of adjacent existing structures
C~ • Retaining wall requirements, Nany
Reviewed: 2- . v
Name / Date
2422 Enterprisa Orive
PROPOSED HOUSE EL V T10N MmEOta Heights. MN 55120 I
LOWEST FLOOR ELEVATION: BENCH MARK * * (851) 881-1914 FAX:881-9188
TOP OF PIPE * pION66A u~o sw.En~:. o~a wcwE+: E-mal: PIONEERENG.COM
u.o n.~.ms. worre .~oncc+s
TOP OF BLOCK ELEVATON: 'ELEV.=859.15 eng neer 9 625 Hiqhway 70 N.E.
aiai~e, Mrv ssaaa
CARAGE SLAB ELEVA710N: .1 ~ it (812) 78il18H0 FAX:783-1883
TOB @ LOOKOUT EIEVATION: ~ E-mail: PIONEER20PRESSENTER.COM
Certificate of survey for: MANLEY BROS. CONSTR.
% 000.00 OENOiES E%ISPNG [IEVqTON /
/y~d 1~'~~ ^~'E1~~ ~ '
( 000.00 ) OENOTES PROPOSEO EiEVr1TON 7i
OENOiES DRAINRGE AND U11UT1' EASENENT / 861.0 ~
- OENOiES ONRiNAGE ROW DinECTON ~6 NOtE: PROPOSED GRADES SMOM PER (iiA01NC PLAN BY PIONEER
t OENOIE$ MONUNENT MOiE: BVIlOING OlMEN40N5 SHOMN RPE FOft HOFIZpNip1 pND YEft11CAL LOCAi10tJ
OF STRUGNRES QVLY. SEE M0111ECNRL PUNS FOF BUIlOING AND
El- OENORS OFiSLT NUB 1~ I FOUNOATION pINEN40N5.
FEB 0 8 REC'~ '0 NOiE. NO SPECIFlC SpLS INVESPCPTON HAS BEEN COMPLEIED ON RIIS LOi BY iHE
SURVEtt%t. IHE SUITA6IUTY OF SOILS TO SUPPIXtT INE SPEGi1C HOUSE
^~c PROPOSED 15 NOi iNE AESPONSBILJTY OF ME SUR~YOR.
• ~ ~ p~~~({\~` ~ IJ ~1 NOiE: 1M15 CERPiICAiE OOES NOT PURPONT TO 910W EASENENTS ORfER THMI
J
b MOSE SNONTI ON ME RECIXiDED PUT
`W / 852. t77 .
J cy ~
858
! SZ'p
Z^ ` T F NO1E: COMTIiACT(IR NUST VEMfY DR~4fWAY OESICN.
I(p ~ ~ ~3- 33 a~3.00 a 6M ~
NO1E. BEPPoNGS SY.9'MJ AFE BRSED ON PN /.SSU4ED DAiUN
o
m ~ ~ / ; Sa3 ~
f~NL~ titi
~ i 2.0
o I m I .1 a
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858.91
^ 3
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~ 0
r h 96
~ ~ ~ . g~ 5.50'^ ;yl 3 / ry .
- 0.0- 2 00 ~ o~~ 21.00
Y852. ? j 17 g3Z.Z
cYi /EDGE/OF WETLANp--- X*
, 859.0 " 24.33 , 823.5
a55.7 ~ o si.s
10 a3~.~
1 ~ Q L DRAINAGE & UTILITY
r EASEMENT PER PLAi'~~ Q1
N
~+~MAe~'. T..1.r~ . 3 ~ 26.33 - - - - - - - - - - - / ^v
N I 53.36 _a 849.9 g~ 0 ~
8¢a~~PA P~.4-c~; ' n t- i85B,o .
823.5 NfV
132.63 823.5
L. vOoo uo ~w S85 3~59°E~~., e3s1) • 83s.g oN
~.~.Kc. - $c~3 . 4~
I~ 282.33 E,o,r. c°n
BENCH MARK
TOP OF PIPE
Ii 2- WE HEREBY CERTIFY TO MANLEY BROS. CONSTR. TNAT THIS IS A TRUE ELEV.=855.90 - J• J ~
AND CORRECT REPRESENTATION OF A SURVEY OF iHE BOUNDARIES OF:
~~.~..t.LL1LU.~IS++`+,.,~.iSlJ1VQ~A1'iLSL:
L O T 4, B L O C K 2, P E R R O N A C R E S 8sa.s) •
:
DAKOTA COUNTY, MINNESOTA SE~EL
IT DOES NOT PURPORT TO $HOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SHOWN, 5 l
AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 25TH DAY OF JANUARY, 2002. SI NED4C.Lorson. R ENCINE ING. .A. ~~T ~ g48•~
SCALE : 1 INCH = 30 fEET BY: e HoUSE nREa 192605 S0. Fr.
oL.S. Reg. No. 19828 COVERAGE = 73.6 %
305 . 10t222.o3 8AT
L~ FFR oB~ooZ D
By
6 -1s "s 6 ~ ~
2006 RESIDENTIAL PLUMBING PeRMiTaPPUCazioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings
Date 1 ~I
Site Street Address t)~ ^7 0 'T kryN y,S 6- Illt Unit #
I Property Owner ta„("y~~ ~ Gc rf" Telephone # (oS L-,~~ ~
I
Contractor Telephone #
Address City ,cj i ~~G.~,~ State /"l Zip
The Appiicant is: _ Owner Contractor _Other
I Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee ~
$ 100.00
~ Per as-buiit $ 10 00
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures. This fee includes installation of a water softener and/orwater
i heater at the same time. If you are installing oniv a wafer softener and/or water
I heater, do not complete this section; move to the next section and check the
appliance(s) you are installing AUG I O
_Sephc System A6andonment ~
_ Water Turnaround (add $130.00 if a 5/8" meter is required) ,
Other:
~
~ Water Softener ~ Water Heater $ 15.00
I -
_ new replacement
_ Lawn Irrigation _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, 6ut only an application for a permit, rk is not to start without a permit and work will be in
accordance with the approved plan in the event a plan is required t e reviewed an approved.
:Vnn;fC~ (A bZ
ApplicanYs Pnnted Name Appl i n
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA115064
Date Issued:09/23/2013
Permit Category:ePermit
Site Address: 3970 Thames Ave
Lot:4 Block: 2 Addition: Perron Acres
PID:10-56975-02-040
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments: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 .
Jose Herrera
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 -
Murray N Gerr
3970 Thames Ave
Eagan MN 55123
(651) 681-9862
Bayvista Inc
4222 Xerxes Ave N
Minneapolis MN 55412
(612) 205-6156
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA115065
Date Issued:09/23/2013
Permit Category:ePermit
Site Address: 3970 Thames Ave
Lot:4 Block: 2 Addition: Perron Acres
PID:10-56975-02-040
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Duplicate - will call for new address when we get one. 9/23/2013 (SB)
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.
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 -
Murray N Gerr
3970 Thames Ave
Eagan MN 55123
(651) 681-9862
Bayvista Inc
4222 Xerxes Ave N
Minneapolis MN 55412
(612) 205-6156
Applicant/Permitee: Signature Issued By: Signature
Bill Rascher Mechanical
41,1s*City afEagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
6514506644 p.2
Use BLUE or BLACK Ink
For Office Use
Permit #: ( 1
LJ
Permit Fee:
Date Received:
L Staff:
2016 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 6121/2016 Site Address- 3970 Thames Ave
I
Tenant:
Resident/Owner
J
�..-.._
I Suite
Name: #:
Murra a e Karen and K G 651-681-9862
_�. Address/City/Zip: 3970 Names Ave, Eagan MN
Name: Bill Rascher Mechanical Inc
Contractor
Type of Work
Address: 4921
1" State: MN Zip: 55077
Bill Rascher
Babcock Trai , Suite C
Contact:
License #: PM062591
City: Inver Grove Heights
Phone: 651450-6622
Email: bill@billraschermech.com
New K Replacement Repair Rebuild Modify Space Work in R.O.W.
1 Description of work:
Permit Type
I RESIDENTIAL
Water HeatIr
Lawn Irrigation ( RPZ /
Septic Syst=m
New
Abend • nment
Water Softener
PVB)
✓ Add Plumbing Fixtures (✓ Main / Lower Level)
Water Turnaround
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, o Water Heater and Softener (includes State Surcharge)
$60.00 Lawn Irrigation (includes State Surcharge)
$60.00 Add Plumbing Fixtures, Septic S tem Abandonment, Water Turnaround* (includes State Surcharge)
*Water Turnaround (add $280.00 if
$115.00 Septic System New (includes C runty fee and State Surcharge)
3/4" meter is required)
TOTAL FEES $ 60.00
CALL BEFORE YOU DIG. Call Goplier State One Call at (651) 454-0002 for protection against underground utility damage.
CaII 48 hours before you intend to dig to receive locates of underground utilities. w w.gopherstateonecall.orq
1 hereby acknowledge that this information is conn fete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that 1 understand this is not a permit, bu only an application for a permit, and work is not to start without ait; that the work will be in
accordance with the approved plan in the case of rk which requ res a review and approval of pi„n
xBifl Rascher
Applicant's Printed Name
x
App icant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough -In Air Test Gas Test Final
Meter Related Items: Meter Size I Radio Reac Manometer Staff:
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA142704
Date Issued:05/15/2017
Permit Category:ePermit
Site Address: 3970 Thames Ave
Lot:4 Block: 2 Addition: Perron Acres
PID:10-56975-02-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Murray N Gerr
3970 Thames Ave
Eagan MN 55123
(651) 681-9862
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA143603
Date Issued:06/20/2017
Permit Category:ePermit
Site Address: 3970 Thames Ave
Lot:4 Block: 2 Addition: Perron Acres
PID:10-56975-02-040
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.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
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 -
Murray N Gerr
3970 Thames Ave
Eagan MN 55123
(651) 681-9862
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature
For Office Use �,/' ��
�% i� JAYA,2 `019 :::::
/v.
.0, EAGAN
v.
Date Received: l'aY I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff:
buildinginsoectionst cityofeagan.com L
2019 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: J/z 3//q Site Address: 36170 / J c&i &s 4Ve- Unit#:
Name: Myrr-o\ f Gael )< 1 V'I herr Phone:
Resident/
Owner Address/City/Zip: 70 171ctivieS AV's
f ei e/i/�
Applicant is: _ _Owner / Contractor „0/,‘..7,-PL�'�' �c® u�, j�. .f'r�.
Description of work:MOW ,j 0�Mi r00 W1 Au-110d e r i�c� r-�' %�"' ° C ✓�' L��C l
Type of Work //t., �f
Construction Cost 1. Jv�; ,.1� . s��; r'9 .off' Multi-Family Building:(Yes /No V )
Company: jAliies 4401(4Vn De5r71 gui)c Contact: Jaene5 M tc 5t.--1
Contractor Address: 6'6720 1 fig.){.i S in/ City: Afie& vG IT CY
State:AV/ Zip: 551 DIPhone'61S2—2a 27%Email: JelrI $&J /).J 6� Z
License#: l'(0 a3 Lead Certificate#: #144T— 2.0677-7.
If the project is exempt from lead certification, please explain why: 711,,,-,/I f c'f/" f7 7
c \
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe
classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets.
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.citvofeaoan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
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
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, 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.
x ./ e"J,/c x
Applicant's Printed Name f�;�Pyn= Applicant's Signature
.. - 3q b vii1 P S 1/ e_ d/53 s69
DO NOT WRITE BELOW THIS LINE
SUB TYPES
_ Foundation Fireplace Porch(3-Season) Exterior Alteration(Single Family)
Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
_ Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
01 of Plex Lower Level Pool Accessory Building
WORK TYPES
New Interior Improvement _ Siding _ Demolish Building*
Addition _ Move Building Reroof _ Demolish Interior
* Alteration _ Fire Repair Windows _ Demolish Foundation
— Replace Repair Egress Window _ Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation 3eloQ Occupancy IOL- _L MCES System
Plan ReviewCode Edition AO' _ SAC Units
(25%_ 100(Y0 Y ) Zoning Aj 'i_ City Water
Census Code h/ 3 I/ Stories – Booster Pump
#of Units / Square Feet PRV _
#of Buildings / Length – Fire Suppression Required
Type of Construction
1:13- Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final/C.O. Required
Footings(Addition) Final/No C.O. Required —
Foundation Foundation Before Backfill HVAC Service Test Gas Line Air Test Hood
Roof:_Ice 8 Water _Final Pool: Footings Air/Gas Tests _Final
ye- Framing V 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS
1/ Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression: _Rough In_Final
Braced Walls Erosion Control
. ' Shower Pan Other:
Reviewed By: g — , Building Inspector
RESIDENTIAL FEES // �/ 3 /'1' ,Q �/ PI/O `��
Base Fee Er �_ h 'T (,<
Surcharge
Plan Review 5-2 6_c
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan , , Permit Type: Plumbing
3830 Pilot Knob Rd ' Permit Number: EA153892
# EAGANEagan,MN 55122 Date Issued: 01/31/2019
(651)675-5675 Permit Category:rY.ePermit
www.ci.eagan.mn.us
Site Address: 3970 Thames Ave
Lot: 4 Block: 2 Addition: Perron Acres
PID: 10-56975-02-040
Use:
Description:
Sub Type: Residential
Work Type: Replace
Description: Laundry room&master bath
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments: Please call BuildingInspections at(651)675-5675 to schedule a final inspection.
Allow an 18"minimum radius clearance to the water meter from all appliances(i.e.furnace,water heater,water softener).
Fee Summary: PL-Permit Fee(WS&/or WH) $59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
Total: $60.00
Contractor: - Applicant - Owner:
Diversified Plumbing&Heating Inc Murray N Geri-
125
err125 E Railroad St 3970 Thames Ave
Norwood Young Americ MN 55368 Eagan MN 55123
(952)583-9646
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.
Applicant/Permitee: Signature Issued By: Signature