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3604 Springwood CtPERMIT City of Eagan Permit Type:Mechanical Permit Number:EA127859 Date Issued:10/16/2014 Permit Category:ePermit Site Address: 3604 Springwood Ct Lot:1 Block: 3 Addition: Stonehaven 1st PID:10-72700-03-010 Use: Description: Sub Type:Residential Work Type:New Description:Garage Heater Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Andrea Preusse 4145 Sibley Memorial Hwy Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Leah M Micheletti 3604 Springwood Ct Eagan MN 55123 (651) 269-8984 Wenzel Heating & Air Conditioning 4145 Sibley Memorial Hwy Eagan MN 55122 (651) 894-9898 Applicant/Permitee: Signature Issued By: Signature gz_qg 30 7 - � 6 `21 40111'Clt of �a 016.9W- 3830 ptag-50g- . Q YOali /ISD Pilot Knob Road `�' e 16.66( Eagan MN 55122 MAR 0 3 2011 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLA Permit #: (} Permit Fee: L5 / 5- 6 Date Received: / b 5Wx..,� Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION A I % Air Date: r�l� /j � Y/// Site Address: Tenant: e 1� �y��► 3 -suit! RESIDENT / OWNER Name: 2 e/imvid" 0 Mgr Phone: (2) ` G Address / City / Zip: 93SF M91/24 q Ov 5-3,2 Applicant is: Owner XContractor Description of work: 71't) 4j$t,e Construction Cost: Multi -Family Building: (Yes / No oo ) Name: 4J4�A/� A41 »1 if �Y/ J License #: Address: g3 E. 4, 44,4 Nod City: (AM / State: �i�Wr r v Zip: 53.3 92 Phone: (q 7 — 36 a c Contact: Tru ' Email: r'fr y, r/ eit/e1-,c/,4) 4//iJ7tr , 604'1 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 X' No If yes, date and address of master plan: Licensed Plumber: E//4» e/Ae TYPE OF WORK CONTRACTOR Mechanical Contractor: Sewer & Water Contractor: f/4wIf Vie' NOTE: Plans and supporting :documents that the information may be classified as nan piit conclude supmrtyare considered to be publ!c rnformatfon FPortrons of -< �ouprovide specific reasons that would permifthe'Cft✓to Ware,trade secrets. 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 x It/ tl k etc)ft 1�, 3 i) Applicant's P anted Name Phone: (f�/ Phone: 6 / e / 1 Phone: S') c,2f11'' Applicant' gnature Page 1 of 2 SUB TYPES Ai Foundation Single Family Multi 01 of Plex Accessory Building WORK TYPES New Addition Alteration Replace _ Retaining Wall DESCRIPTION Valuation 3i 5* dte Plan Review in grick (25 %_ 100 %( � '+ Census Code # of Units # of Buildings Type of Construction REQUIRED INSPECTIONS 0 Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile I Roof: 4 0Ice & Water Final Framing {c Fireplace: Rough In *Air Final Insulation Meter Size: Reviewed By: O q $ 6 �r� ucrc DO NOT WRITE, BELOW THIS LINE Fireplace Garage Deck Lower Level Interior Improvement Move Building Fire Repair Repair Occupancy Code Edition Zoning Stories Square Feet Length Width RESIDENTIAL FEES Base Fee Surcharge Plan Review (leo' MCES SAC City SAC Utility Connection Charge S &W Permit & Surcharge Treatment Plant Copies TOTAL Porch (3- Season) Porch (4- Season) Porch (Screen /Gazebo /Pergola) Pool Siding Reroof Windows Egress Window `Demolition of entire building — give PCA handout to applicant Zec 47? P 1 AM? Go , Building Inspector Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* _ Demolish Interior Demolish Foundation Water Damage MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock Final / C.O. Required Final / No C.O. Required HVAC Other: Pool: Footings Air /Gas Tests Siding: Stucco Lath 4L Stone Lath Windows ✓'^ Retaining Wall: Footings _ Backfill Radon Control Erosion Control Final Brick Final U 4 ' / - ' r te F s s m r / l5� fAo5c - 3�G -- letiL iii , C e 2 Z G 5- /llA- /6 ,t ?VI' ! 11/9 "Air- Gti(74& 33— xi 75 g‘raPP Polo 17706 ii‘ 79" 314( ‘3).- Page 2 of 3 Per N1101.8 Building Certificate. A building certificate shall be posted in a permanently visible location inside the building. The certificate sltall be completed by the builder and shall n., information and values of components listed in Table N1101.8. Date Certificate Posted Mailing Address of the Dwelling or Dwelling Unit 360 s,o . /4/C , —� G / City Name of Residential Contractor LENNAR MN License Number THERMAL ENVELOPE Insulation Location Total R -Value of all Types of Insulation Type: Check All That Apply X Passive (No Fan ) Non or Not Applicable Fiberglass, Blown sties 's sePag d Foam, Closed Cell Foam Open Cell pieogaagy Imaum Rigid, Extruded Polystyrene ''Rigid,Isocynurate Active (With fan and manometer or other system monitoring device) Other Please Describe Here Below Entire Slab X. . Foundation Wall 5 EXTERIOR Perimeter of Slab on Grade. Rim Joist (Foundation) 10 INTERIOR Rim Joist (1st Floor+)':.' - .. . 10 .: :. .. INTERIOR. .. . . Wall 21 Ceiling, flat 44 Ceiling, vaulted 44 Bay. Windows or cantilevered areas :.... ..::. .: :. : >. 38 ..... ..... .. ... .. . . Bonus room over garage 38 5 Describe other insulated areas & Doors Heating or Cooling Ducts Outside Conditioned Spaces Average U- Factor (excludes skylights and one door) U: 0.30 Not applicable, all ducts located in conditioned space Solar Heat Gain Coefficient (SHGC): 0.22 X R -value R-8 MECHANICAL SYSTEMS 1 Make - Air Select a Type Appliances Heating System Domestic Water Heater Cooling System X Not required per mech. code Fuel Type Natural Gas : Natural Gas : Electric Passive Manufacturer Lennox AO Smith Lennox Powered Model ML193UH090P36C GPVH5ON : 13ACX -036 -230 Interlocked with exhaust device, Describe: Rating or Size Input in BTUS: 88 000 Capacity in Gallons: 511 Output in Tons: 3 Other, describe: Structure's Calculated.. Heat Loss: .. —69,061. 7 � `tlf . . Heat Gam.: 21,625 Location of duct or system: Efficiency AFUE or HSPf % 93 SEER: 13 Calculated I cooling load: 28,297✓ / Cfm's PLAN 6007 ( " round duct OR Mechanical Ventilation System Describe any additional or combined heating or cooling systems if installed: (e.g. two furnaces or air source heat pump with gas back -up fumace): Select Type " metal duct Combustion Air Select a Type Not required per mech. code X Passive Heat Recover Ventilator (HRV) Capacity in cfms: Low: High: Other, describe: Energy Recover Ventilator (ERV) Capacity in cfms: Low: High: Location of duct or system: Mechanical Room X Continuous exhausting fan(s) rated capacity in cfms: 3 continous fans on low TOTAL IOOCFMS Location of fan(s), describe: (Owners bath, Main Bath , J &J Bath Cfm's Capacity continuous ventilation rate in cfms: //i0 Alt2 Insulated Flex Total ventilation (intermittent + continuous) rate in cfms: 475 " metal duct New Construction Energy Code Compliance Certificate Created by BAM version 052009 wrightsofte Component Constructions Entire House Elander Mechanical Inc. 591 Citation Drive, Shakopee, MN 55379 Phone: 952 - 445 -4692 Fax: 952-445-7487 Project Information For: Design Conditions Location: Minneapolis -St. Paul, MN, US Elevation: 837 ft Latitude: 45 °N Outdoor: Dry bulb ( °F) Daily range ( °F) Wet bulb ( °F) Wind speed (mph) Construction descriptions Walls 15B- 4s3c -8: Bg wall, light dry soil, concrete wall (f -dins, 8" thk n R v s all Std Ext Wall Lennart Frm wall, vnl ext, r -21 cav ins, 1/2" gypsum n e s w all board int fnsh, 2 "x6" wood frm Partitions 12F -Osw: Frm wall, r -21 cav Ins, 1/2' gypsum board int fnsh, 2 "x8" wood frm Windows Stonehaven: VINYL Insulated Glass Double Hung; NFRC rated {SHGC = 0.19); 50% indoor insect screen Stonehaven: VINYL Insulated Glass Double Hung; NFRC rated n w all Stonehaven: VINYL Insulated Glass Double Hung; NFRC rated e (SHGC =0.22) (SHGC = 0.22); 50% indoor insect screen Lennar Builders Heating -15 15.0 Stonehaven: VINYL Insulated Glass Double Hung; NFRC rated (SHGC = 0.23); 50% indoor insect screen Cooling 88 19 (M) 71 7.5 n w all e w all Stonehaven: VINYL Insulated Glass Double Hung; NFRC rated s (SHGC=0.23) wrightscrft- Right - Suite® Universal 8.0.04 RSU13410 Indoor: Heating Indoor temperature ( °F) 70 Design TD (°F) 85 Relative humidity ( %) 50 Moisture difference (gr/lb) 54.5 Infiltration: Method Construction quality Fireplaces Or Area U -value Insul R Htg HTM Loss Gig HTM Gain ft' Btuhllt'. °F ttt °F/Btuh Btuhlh' etuh Btuh/ft' Btuh 269 0.080 504 0.080 279 0.080 504 0.080 1556 0.080 432 0.062 663 0.062 570 0.062 716 0.062 2380 0.062 312 0.065 10 14 24 22 87 189 298 16 12 41 53 12 0.300 0.300 0.300 0.300 0.300 0.300 0.300 0.300 0.300 0.280 0.280 0.30 4.0 4.0 4.0 `J ; 4.0 4 21 21 21 21 21 Job: 6007 Date: Aug 12, 2009 By: Scott Simplified Tight 1 (Average) 2011 .Feb -21 14:49:42 L•fF, ... H. ElanderrDesktop\Wr €ghtsoft Heat Loss\Lennar 6007 Eagan.rup Calc = MJ8 Front Door faces: Page 1 7.37 1982 0.18 49 7.60 3832 0.26 130 7.60 2121 0.26 72 7.60 3832 0.26 130 7.56 11767 0.24 380 5.27 2274 1.42 611 5.27 3494 1.42 939 5.27 3004 1.42 808 5.27 3772 1.42 1014 5.27 12544 1.42 3372 5.52 1724 0.60 188 0 25.5 306 24.9 299 0 23.8 971 24.6 1004 O 24.2 1277 24.7 1303 O 25.5 306 15.5 186 0 25.5 253 7.94 79 0 25.5 357 21.4 299 0 25.5 610 15.8 378 0 25.5 548 8.47 182 0 25.5 2219 24.0 2090 0 25.5 4820 24.0 4541 O 25.5 7586 22.9 6814 O 25.5 408 25.3 405 C/ X07 Cooling 72 16 50 32.7 Doors 11KO: Door, mtl fbrgl type, mtl strm strm Ceilings 16CR -44ad: Attic ceiling, asphalt shingles roof ma 5/8" gypsum board int fnsh cell Ins, e 21 0.360 6.3 30.6 643 10.0 211 n 21 0.360 6.3 30.6 643 10.0 211 all 42 0.360 6.3 30.6 1285 10.0 421 1752 0.022 44.0 1.87 3276 0.91 1594 Floors 20P -38c: Fir floor, frm fir, 12" thkns, carpet flr fnsh, r -5 ext ins, r -38 43 0.030 38.0 2.55 110 0.34 15 cav ins, amb ovr 20P -38c: Fir floor, frm fir, 12" thkns, carpet fir fnsh, r -5 ext ins, r -38 187 0.030 38.0 2.55 477 0.34 64 cav ins, gar ovr 20P -38t: Fir floor, frm fir, 12" thkns, tile fir fnsh, r -5 ext ins, r -38 cav 99 0.030 38.0 2.55 252 0.34 34 ins, gar ovr 21A-32t: Bg floor, light dry soil, 8' depth 1423 0.020 0 1.70 2419 0 0 wrightsc ft - Right - Suite® Universal 8.0.04 RSU13410 2011 - Feb -21 14:49:42 ... H. Elander\Desktop \Wrightsoft Heat Lossll.ennar 6007 Eagan.rup Cale = MJ8 Front Door faces: Page 2 --+ wrightsoft` Project Summary Entire House Elander Mechanical Inc. 591 Citation Drive, Shakopee, MN 55379 Phone: 952 - 445.4692 Fax: 952 -446 -7487 Project information Desi o n Information Outside db Inside db Design TD Winter Design Conditions Structure Ducts Central vent (50 cfm) Humidification Piping Equipment load Method Construction quality Fireplaces Area (ft Volume (ft Air changes /hour Equiv. AVF (cfm) Heating Equipment Summary Make Lennox Trade MERIT 90 Model ML193UH090P36C -* GAMA ID 4119046 Efficiency Heating input Heating output Temperature rise Actual air flow Air flow factor Static pressure Space thermostat For: Lennar Builders Notes: Heating Summary Infiltration Heating 598 29289 1 Weather: -15 °F 70 °F 85 °F 59957 Btuh 1732 Btuh 4535 Btuh 9211 Btuh 0 Btuh 75435 Btuh Simplified Tight 1 (Average) Cooling 48 29289 1 75 93 AFUE 88000 Btuh 83000 Btuh 50 °F 1556 cfm 0.025 cfm /Btuh 0 in H2O Bold/Italic values have been manually overridden Printout certified by ACCA to meet all requirements of Manual J 8th Ed. - 1+ - wrightsoft• Right - Suite® Universal 8.0.04 RSU13410 Job: 6007 Date: Febuary 21, 2011 By: Scott Minneapolis -St. Paul, MN, US Summer Design Conditions 88 OF 72 °F 16 °F 50 M % 33 gr/lb Outside db Inside db Design TD Daily range Relative humidity Moisture difference Sensible Cooling Equipment Load Sizing Structure Ducts Central vent (50 cfm) Blower Structure Ducts Central vent (50 cfm) Equipment latent load Equipment total load Req. total capacity at 0.70 SHR 21625 Btuh 525 Btuh 848 Btuh 1024 Btuh Use manufacturer's data n Rate /swing multiplier 0.93 Equipment sensible Toad 22316 Btuh Latent Cooling Equipment Load Sizing 4786 Btuh 117 Btuh 1079 Btuh 5981 Btuh 28297 Btuh 2.7 ton Cooling Equipment Summary Make Lennox Trade 13ACX SERIES - RFC Cond 13ACX- 036- 230*13 Coil C33 -43* ARI ref no. 3660944 Efficiency 11.0 EER, 13 SEER Sensible cooling 24360 Btuh Latent cooling 10440 Btuh Total cooling 34800 Btuh Actual air flow 1160 cfm Air flow factor 0.052 cfm /Btuh Static pressure 0 in H2O Load sensible heat ratio 0.80 2011 - Feb -21 15:03:56 /,Cs ... H. Elander\Desktop\Wrightsoft Heat Loss\Lennar 6007 Eagan.rup Cain = MJ8 Front Door faces: Page 1 From: "Brenda hanson" <bhanson@wdrmn.com> To: Date: Wednesday, February 16, 2011 03:46PM Subject: 3604 Springwood Ct /Eagan R.O.`s & Etc. History: 5 This message has been forwarded. Fdn: 1 ea. 32 1/4x 421/4 SHGC =.19 U Value =.30 STC =30 *Optional Window: 1 ea. 96 1/4 x 48 1/4 SHGC =.19 U Value =.30 STC =30 Main: 1 ea. 72 1/4 x 72 1/4 1 ea. 42 1M x 72 1/4 3 ea. 24 1/4 x 24 1/4 4 ea. 42 114 x 72 1/4 Upper: 2 ea. 24 1/4 x 24 1/4 1 ea. 72 1/4 x 601/4 2 ea. 24 1/4 x 24 1/4 1 ea. 72 1/4 x 24 114 "Troy Hendrickson" <troy.hendrickson @lennar.com> Dining SHGC =.22 U Value =.30 STC =30 Study SHGC =.22 U Value =.30 STC =30 Study SHGC =.23 U Value =.30 STC =30 Great Room SHGC =.22 U Value =.30 STC =30 1 ea. 71 1/4 x 80 Nook SHGC =.23 U Value =.28 STC =32 1 ea. 48 1/4 x 42 1/4 Kitchen SHGC =.19 U value =.30 STC =30 1 ea. 36 1/4 x 60 1/4 Mud SHGC =.22 U Value =.30 STC =30 Laundry SHGC =.23 U Value =.30 STC =30 Loft SHGC =.23 U Value =.30 STC =30 Open to Below SHGC =.23 U Value =.30 STC =30 Owners Bath SGHC =.23 U Value =.30 STC =30 1 ea. 108 1/4 x 601/4 Owners Suite SHGC =.22 U Value =.30 STC =30 2 ea. 72 1/4 x 60 1/4 Bedrooms #2 & #3 SHGC =.22 U Value =.30 STC =30 1 ea. 40 1/4 x 601/4 Bedroom #4 SHGC =.22 U Value =.30 STC =30 Page 1 of 1 https : / /my.lennar.com/mdc- inotes /mail/ troyhendrickson. nsf/($Inbox) /7FD9B2EC5371253... 2/28/2011 i tiare felt o Atign Isle §449( ntin'uq% nLilalian 0:160 han}cai ve ht l(dtlOn y rnjshatl provide sufcfenf o� �' f ene h �r .. , utd aor airt o n ,n , ,. Ot(C peri ae pordingsto the ab oye5tah[ Qf e uat €ri' i ' a °° " ' ' .` equ th e to a tfta.. cC F�Fi ea�t�e ` ��� €� � t%� the avera e h uYly vent((at €an c aci as yew - T. g Q an d ene C t1/ rnust t}e tletermirip 41- consi L' € fr o a� v O i V r = ti ,eC �/2r V entr(a of bath far defeat ar of e e " `" I'at n Qf xh�f or out out cu►p�rent�yc( €ngft '` r � ili+t;eductian ids, ve� nt( ( ato • at ;minim of 0$per ' ' - - ft the tota(ventilati rat but not Tess than 4d cfm shat be, provide on a = e `avera for e one hour p eriod Th p ortion of the mech anica(-ue. ntrfation:sys 1.0r:�:,:�s., � matic cyctm controls providing the a flow ra fo e hour is met Y(ikkli makeup -comb a i r submitfat (2) docx " Section B f t a t t yt; ectrons Thg' t fa i sche'drrle should d escr.(b eEw,t rrterCnettent vc ntrf atran TIie fart that rs chose for oht 1 ,1ess th a n 00% feater'thiln the contrnuotts rate ' eed 80c in /�utnmatrocontrols rtt eg115 not.requIred) Ve jt,f1 004 tVieth4 10061e eith f 6 aianCe`d "oreRFZausCnfilyj Balanced HRV {Heat Recovery Vent {fa #ar) oi'ERV (EnergyRecov i" E'xhadst wryly , ery Ventilator) cfm of unit rn Cow mu o# excee! con tinuous vend Contlh(taus fan ratio latran r'aHn b mor`e'fhan 10096 Low cfm High cfm '^ �, ��ncrm Olt Y J3 C Contrngbus fan rating in cfm (capacity must not exceed corttrndogs �entit�kion rater g by rrlor¢ t an,ioo j s /047. .,�7 .. abttrEi bu erections - Choose the method of ventrjatian balanced ',ter, the low and h'" igh c a Le pj r•'ffo nt ust ,1 ss fhan 10036 greater than the continuous rate ( l± or lnstd a { 7., i.l • it cbntrals may allo of a. la that is operate ',ms gre typically HRV or E'RV's. uireirca`ntinuous ventllatron rate and, trlatron f must not exceed 80 c m � , V.�r1 (d s e (oescrjbe opa at[dn are J th trot iair.� s �Qh�CO '.£ . ,. ......•. ". %a < I� 7 , .,# b ; zs r�...: y r M 5 i t.: k z ' { y r } , S C . ta''' 4 r! � x 1.;' " 4 "' :' ' Z ' : `� �. j �? tt s � c fa .t"s s)q �. � } . t p - .; ---,,— P) k sa't y,sasi ry ? J i ci s:: x i .r" f r : x } a t� a.,r r' S d `F•" r 4.Z 'C. i + y �. � ._ j ..: ��. , t'i^irlxT 4 - - r * r 7� r � r rJ t , rs 2 '� � +" r. z z ^ ' i at*.� i; '� *1474 :t iii t l ti 7;7;,., 5 :� } e xa - } . .r - rf 7 ( }L # ; . y�r rT t1 t q.r �,x +rt a _ aF ( -i t? s . a .. S__ tatns pescrlb t o o onof,{tth yentllatlb systern r shau cif ri ` � i li ' rte '` r f Y 41 1100.11.7.4d0 �al/ ante r Related t al pis ne ctdr Aced `'`7 uirtrr et ` 1 ° }� }I h rekr ewers b dinspectars to (re�i g p e i1 r pla �lrte , , s f � d r e(S?r F es' m r e 4 # ffitb c' fro x r fi . + d.ns rfir Els 1t1 rl ap er1tlon bf t Id r sr f forcli `g i t a, lt irt yle dt rHe th s �' : r re r tr9! entllrxt ilecl, describe ho ( r11 b e7ris �a l l ed? f {€ tvfjr6 cartrl tl d Id atr f n c r tdfs i J ,�, x. a x q n EI #Vbi^xIR rs led,n theman a r T ' z r " o!par r f terfac d'vltb ' fh eair tr dl f E 7 ` ' �� + f e fnstallritran`ftr��k s, � r r F x. y. :.x•90 pm4.01ea a de3crfbesuch c onnection i li Jf Rrf � s �1QC117t( �/!/L / ir uf7� Ul s Y £ u e. atP t t r i i06 Gj itt► men ar�'ro `r d � j r s 59 ,. , r r. ofilrniiacrltl lope r ent fd e,,Tterlo kectwIt !7 4 P f p er' n p etatl anucl t' terconne� vrt ]osrq(tbemadea)r .n .. - Passrve (c(aterminad fr01**,0400.gns:from Ta61 5..0 1) powered determined from calculatrons from Table 501.3x . " [hterlocked witl{ exhaust device (determined frofn ca(ctt�afron frot Other describe able 501:3 tron of duct ar system verlYf {atron rNake'up alrraterminetl from make ip air tipenin ab(e 1 Cfm": Size a(id tWe (rburrd, rectangular, flexor rigid); Page 2 of 6 Directions - In order to determine the makeup air, Table 501.3.1 must be filled out (see below). For most new installations, column A will be appropriate, however, If atmospherically vented appliances orsolid fuel appliances are installed, use the appropriate column. For existing dwellings, see !MC 501.3,3. Please note, if the makeup air quantity is- negative, no additional makeup air will be re- quired for ventilation, if the value is positive refer to Table 501,31 and size the opening. Transfer the cfm, size of opening and type (round, rectangular, flex or :rigid) to the last line of section b. The Make -up pfr supp ly Must be installed per WIC 501.3.2.1 Table 501.3.1 PROCEDURE TO DETERMINE MAKEUP AIR QUANITY FOR EXHAUST EQUIPMENT iN DWELLINGS (Additional combustion air will be requir for combustion appliances see KAIR h Use this column If there are other than fan - assisted or atmospherically vented gas or oil appliance or if there are no combustion appliances. (Power vent d direct vent appliances may be used.) Use this column if there is one fan - assisted appliance per venting system, (Appliances other than atmospherically vented appliances may also be in- ded.) Use this column if there is one atmospherically vented (other than fan- assisted) gas or oil appliance per venting system or one solid fuel appliance. Use this column if there are multiple atmospherically vented gas or oil appliances using a common vent or If there are atmospherically vented gas or oil 3liances and solid fuel appliances. Page 3 of 6 One or multiple power vent or direct vent ap- pliances or no combus- tion appliances Column One or multiple fan- assisted appliances and power vent or direct vent appliances . Column B met od for calculations) One at nosphericallyvent gas of . o)fappliance or one solid fuel appliance ColurrinC . Multiple atmosphericaI- ly vented gas or oil appliances or solid fuel appliance Column D - f) pressure'factor cfm /if) 0.15 0.09 0.06 0.03 i)`conditioned floor a rea (sf) (including • infinished basements) • 1 , ...'; 7 98 . :stimated House Infiltration (cfm): (1a 1b) ' . ::. CO s . :. Exhaust. Capacity ) continuous eirhaust -only ventilation ystem (cfm);(not applicable to ha- faced ventilation. systems such as ' I[tV} ' . jO O 1 clothes dryer (cfm) 135 135 135 135 ) SO% of largest exhaust rating (cfm); itchen hood :typically; lot applicable if recirculating, system r if powered makeup air is electrically iterlocked match..to exhaust) .. p k 3 Up Z V U 1:8(:1% of next Iargest:exhaust rating. fm), bath far typically : - lot !applicable if recir system if pd ke owere maup airs electrically terleeke reffil matched 'tOexhaust) - Not ' Applicable - - )t Exhaust capacity (cfm); .a +2b +2c +2d) 4t7 Makeup Air Quantity (cfm)„ . total exh Capacity (from above) q75 / estimated house infiltration (from love) . ,o akeup Air Quantity (cfm); a _ 3b) value is negative, no makeup air is :eded). .. • For makeup Air Opening Sizing, refer Table 501.4.2 n , ,n / �/ /'( Directions - In order to determine the makeup air, Table 501.3.1 must be filled out (see below). For most new installations, column A will be appropriate, however, If atmospherically vented appliances orsolid fuel appliances are installed, use the appropriate column. For existing dwellings, see !MC 501.3,3. Please note, if the makeup air quantity is- negative, no additional makeup air will be re- quired for ventilation, if the value is positive refer to Table 501,31 and size the opening. Transfer the cfm, size of opening and type (round, rectangular, flex or :rigid) to the last line of section b. The Make -up pfr supp ly Must be installed per WIC 501.3.2.1 Table 501.3.1 PROCEDURE TO DETERMINE MAKEUP AIR QUANITY FOR EXHAUST EQUIPMENT iN DWELLINGS (Additional combustion air will be requir for combustion appliances see KAIR h Use this column If there are other than fan - assisted or atmospherically vented gas or oil appliance or if there are no combustion appliances. (Power vent d direct vent appliances may be used.) Use this column if there is one fan - assisted appliance per venting system, (Appliances other than atmospherically vented appliances may also be in- ded.) Use this column if there is one atmospherically vented (other than fan- assisted) gas or oil appliance per venting system or one solid fuel appliance. Use this column if there are multiple atmospherically vented gas or oil appliances using a common vent or If there are atmospherically vented gas or oil 3liances and solid fuel appliances. Page 3 of 6 volume t i tcvl If CAS Volume (from Step 2) is g reater th TRV then no outdoor openings are needed. If CAS Volume (from Step .2 Tess than TRV then go to STEP 5. 4b. KnoWn Air Infiltration Rate (KAIR) Method (DO NOTCOUNT DIRECT VENT APPLIANCES} Total Biu/hr: itiniit of all fan assisted and power vent appliances Input: 9n nc, Btu /hr TRV ft Use Fan-Assisted Appliances column m Table E - to find RVFA: 3, ono . Required Volume Fan Assisted ( Total Btu /hr:input of all Natural;draftapp input: Btu /hr Use Natural draft Appliances column in:Table E 1 tofind • RVNFA: .. 'ft?. Required Volume Natural draft a pplian c es (RVNDA).'::.. - tota f Required Volume (TRV) RVFA + RVit7DA TRV = + = 3 066 If CAS Valuine (from'Step 2)15 greater than TRV then no outdoor openings are needed. If CAS Volume:(from:Step:.2). is J than TRV then gq to STEP 5. Step 5: Calculate the ratio of available interior volume to the total required volume. ratio = CAS. Volume (from Step 2) divided by TRV (from Step 4a or Step 4b) Ratio= /, Yt7S / 3 = 4 17 .. step 6: Calculate Reduction Factor (RF). RF =1 minusRatlo. ... RF =1 • �� r3 itep 7: Calculate single outdoor opening as if all combustion air Is from outside. "otal Btu /lirinput of all combustion Appliances PP liances in the same CAS Input: I IO,OCyO Btu /hr (EXCEPT DIRECT VENT): :ombustion Air Opening Area (CAOA): } 'otal Btu /hr:divlded by 3000 Bt`u /hr.per in? CAOA = go O O / 3000 Btu /hr per in = /5. 3 y inz tep 8: Calculate Minimum CAOA. Minimum CAOA = = CAOAmultiplied by RF Minimum CAOA = /3 3y x , r 3 = 7 0 - 7 in' tep 9: Calculate Combustion Air Opening Diameter (CAOD) ,i CAOD =1.13 multiplied by the square root of Minimum CAOA CAOD =1.13 V Minimum CAOA 3 in. diameter one go up' inch in - size: if using flex duct • If desired, ACH can be determined using ASHRAE calculation or blower door test. Follow procedures in Section G304. Directions - The Minnesota Fuel Gas Code method to calculate to size of a required combustion air opening, is called the Known Air Infiltration Rate Method. For new construction, 4b of step 4 is required to be filled out. IFGC Appendix E, Worksheet E -1 .. Residential Combustion A,rCalculation Method (for Furnace, Boiler, and /or Water Heater in the Same Space), Step 1: Complete vented combustion appliance information..: Furnace /Boiler: Draft Hood _ Fan Assisted ` Direct Vent Input: Btu /hr or Power Vent Water Heater: _ Draft Hood X Fan Assisted _ Direct Vent Input: 90, 000 Btu /hr or Power ,Vent Step 2 Calculate the volume of the Combustion Appliance Space (CAS) containing combustion appliances. The CAS Includes all spaces connected to one another by code compliant openings. CAS volume: 1/ '/O2 h Step3 Determine Air Changes perHour;( D e ACH values;have been in corporated into; E - 1 . for. use h Metho 4b €(A Mehod If t fault he y ear of constructio orAC is not known,: 4a (Standawitrd ( . . Step 4 Determ Required Volume for Combustion Air: DO NOT COUNT DIRECT d VENT APPLIANC IR t E$) { 4a Standard Method;° Total Btu /h input o all combustion ap pliance s input: Btu /hr ' Use Standard Meth' ethod column in Table E -S to f € Total Requi TRV: ft Page 5off6 k. ;eCtionS F Other, describe: ection F calculations follow on the next 2 pages. Makeup Air Opening Table for New and Existing Dwelling Table 501.3.2 Passive opening Passive opening Passive opening Passive opening Passive opening Passive;operiing Massive opening' W /mdEorizeri damper.. Passive opening w /motorized damper. Passive opening w /motorised damper Powered makeup air:.. One or multiple power vent, direct vent ap- pliances, or no combus- tion appliances Column A 1 -36 37 -66 67 -109 110 =163 164 -232 233 -317 318. -419. : 420 — 539 540' -.679 >679 - One multiple fan -. assisted appliances and power vent or direct vent appliances Colurnn 8 1 -22 23 -41 42 =66 67 -100 101 -143 144 -195 196 -258 259 —332 333 -419 >419 One atmospherically vented gas or oil ap- pliance or one solid fuel - appliance Column C 1 -15 16 -28 29 - 46 47 - 69 • 70= 99 100 -135' `136: - . 180 - 230 231-- 290 >290 Multiple atmospherically vented gas or oil ap- Duct di- pfiances or solid fuel ameter appliances Column D 1 -9 3 10 -17 1828 .. S 29 -42 J 6 43 -61 62'— 83 84 --110 7 8 111: -142. 1. 10 143 -179 11 >179 NA Notes: A. An equivalent length of 100 feet of round smooth metal duct is assumed. Subtract 40 feet for the exterior hood and ten feet.for: each 90- .degree elbow to determine the remaining length of straight duct allowable. 8. If flexible duct is used, increase the duct diameter by one inch. Flexible duct shall be stretched with minimal sags. Compressed duct shall not be accepted. C.. • Barometric dampers are prohibited in passive makeup air openings when any atmospherically vented appliance is Installed. • D. • : Powered makeup air shall be electrically interlocked with the largest exhaustsysterri. 'Combustion air Not required per mechanical code (NO atmospheric-or power vented appliances) Passive (see IFGC Appendix E, Worksheet E -1) Size and type . 9" --77-- xplanation - If no atmospheric or power vented appliances are installed, check the appropriate to box, not required. lfa power vented r atmospherically vented appliance installed, use !FGCAppendix E, Worksheet E -1 (see below). Please enter Size and type- Combus- on air vent supplies must communicate with the appliance or appliances that require the combustion air Page 4 of 6 PROPERTY LEGAL: O z Q DOCUMENT STANDARDS 7 ❑ ❑ • Registered Land Surveyor signature and company 7 ❑ ❑ • Building Permit Applicant 7 ❑ ❑ • Legal description 7 ❑ ❑ • Address .ii` ❑ ❑ • North arrow and scale 7 ❑ ❑ • House type (rambler, walkout, split w /o, split entry, lookout, etc.) 7 ❑ ❑ • Directional drainage arrows with slope /gradient °A) X ❑ ❑ • Proposed /existing sewer and water services & invert elevation i' ❑ ❑ • Street name er ❑ ❑ • Driveway (grade & width - in R/W and back of curb, 22' max.) 2' ❑ ❑ • Lot Square Footage hf ❑ ❑ • Lot Coverage . ELEVATIONS Existing 7 ❑ ❑ • Property corners 7' ❑ ❑ • Top of curb at the driveway and property line extensions 7' ❑ ❑ • Elevations of any existing adjacent homes ./ ❑ , ❑ • Adequate footing depth of structures due to adjacent utility trenches ❑ ❑ • Waterways (pond, stream, etc.) Proposed / ❑ ❑ • Garage floor I ❑ ❑ • Basement floor 7 ❑ ❑ • Lowest exposed elevation (walkout/window) ❑ ❑ • Property comers . ❑ ❑ • Front and rear of home at the foundation PONDING AREA (if applicable) ❑ 7 ❑ • Easement line ❑ fa ❑ • NWL 0 j ❑ • HWL ❑ ❑ • Pond # designation . ❑ ❑ • Emergency Overflow Elevation ❑ / ❑ • Pond/Wetland buffer delineation Y • Shoreland Zoning Overlay District Y • Conservation Easements DIMENSIONS t 4a' f d ,V cee2A it) I, i1 r $ ❑ / • Lot lines /Bearings & dimensions S 1 i -"E,. i P /eAse_ 0-46-441-4 7' ❑ ❑ • Right -of -way and street width (to back of curb) 7 ❑ ❑ • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (i.e. all structures requiring permanent footings) X ❑ ❑ • Show all easements of record and any City utilities within those easements / LI ❑ • Setbacks of proposed structure and sideyard setback of adjacent existing structures 7' ❑ ❑ • Retaining wall requirements: Reviewed By: G: /FORMS /Cert. of Survey Checklist Rev. 3 - 3 - 11 LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION BJ e,lc 3 S-1 e.)aa€41 1 DATE OF SURVEY: 2 13/f/ LATEST REVISION: aJq/Il 3&0q qtq itc000cie 01- Date /8/ 3/101/1 90357 908.8 1 0 904.6 1 904.9 1 BY: Peter J. Hawkinson License No. 42299 3498 CIVIL ENGINEERS LAND PLANNERS LAND SURVEYORS LANDSCAPE ARCHITECTS 2422 Enterprise Drive, Mendota Heights, MN 55120, Phone: (651) 681 1914 Fax: (651) 681 9488 - Pioneereng.com HO ADDRESS: 3604 SPRINGWOOD COURT, EAGAN, BUYER: INVENTORY MODEL: MONTICELLO ELEV Certificate of Survey for: LOT AREA = 15,945 SF. HOUSE AREA =2,070 SF. SIDEWALK AREA =98 SF. PORCH AREA =177 SF. DRIVEWAY AREA =784 SF. COVERAGE =19.6% BUILDING COVERAGE COVERAGE =10.4% PROV ' AND MAINTAIN INLET P ---':` - ' - v FINAL TURF IS EST > NOTE: ADD BRICK LEDGE AS REQUIRED i 1 PROPOSED ^ I HOUSE 1 w I O r — t STAKED I BENCH MARK:N TOP OF SPIKES ELEV.= 905.67 NOTE: GRADING PLAN BY PIONEER LAST DATED 5 -28 -2011 WAS USED TO DETERMINE THE PROPOSED ELEVATIONS SHOWN ON THIS CERTIFICATE. NOTE: PROPOSED BUILDING DIMENSIONS SHOWN ARE FOR HORIZONTAL LOCATION OF STRUCTURES ON THE LOT ONLY, CONTACT BUILDER PRIOR TO CONSTRUCTION FOR APPROVED CONSTRUCTION PLANS. NOTE: NO SPECIFIC SOILS INVESTIGATION HAS BEEN PERFORMED ON THIS LOT BY THE SURVEYOR. THE SUITABILITY OF SOILS TO SUPPORT THE SPECIFIC HOUSE PROPOSED IS NOT THE RESPONSIBILITY OF THE SURVEYOR. NOTE: THIS CERTIFICATE DOES NOT PURPORT TO SHOW EASEMENTS OTHER THAN THOSE SHOWN ON THE RECORDED PLAT. NOTE: CONTRACTOR MUST VERIFY DRIVEWAY DESIGN. NOTE: BEARINGS SHOWN ARE BASED ON AN ASSUMED DATUM _ p5 g 3 42. rc 31.3 , (9(g907.3)29, qg ff 9 r t o 9 -- WE HEREBY CERTIFY TO LENNAR HOMES THAT THIS IS A TRUE SURVEY OF THE BOUNDARIES OF: LOT 1, BLOCK 3, STONEHAVEN 1ST ADDITION DAKOTA COUNTY, MINNESOTA IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED UNDER MY DIRECT SUPERVISION THIS 3RD DAY OF FEBRUARY, 2011. SCALE : 1 INCH = 30 FEET 110162012 3D NJKx2 PI NEEReng ineering 90 REVISED: 2 -8 -11 X 000.00 ( 000.00 ) NOTE: STAKED HOUSE MN (904.7) 40 V HOUSE ELEVATIONS LOWEST FLOOR ELEVATION TOP OF FOUNDATION ELEV. GARAGE SLAB ELEV. CO DOOR DENOTES DENOTES DENOTES DENOTES SIGNED: I � I ite /'a f EAGAN ENGINEERING DEPT. LOWEST ALLOWABLE FLOOR ELEVATION :898.8 EXISTING ELEVATION PROPOSED ELEVATION DRAINAGE FLOW DIRECTION SPIKE AND CORRECT REPRESENTATION OF A N A . i Max or Retaining Wall WI Be Required 901.9 (902 3 ) 902.7 0 w O rn N 0 oo :(PROPOSED) /ASBUILT (900.5) / (908.5) (908.2) BY ME OR IONEE,R ENGINEERING, P.A. *City of }aan Address: 3604 Springwood Ct Zip: 55123 Permit #: 98307 The following items were / were not completed at the Final Inspection on: Final grade - 6" from siding Permanent steps — Garage Permanent steps — Main Entry Permanent Driveway Permanent Gas Retaining Wall or 3:1 Max Slope Sod / Seeded Lawn Trail / Curb Damage Wit Porch NA Lower Level Finish 144' Deck Fireplace • Verify with your builder that roof test caps from the plumbing system have been removed. • Turn off water supply to the outside lawn faucets before freeze potential exists. • Call the Engineering Department at (651) 675-5646 prior to working in the right-of-way or installing an irrigation system. Building Inspector: ‘:::::::::):37 G:\Building Inspections\FORMS\Checklists City of Eagan Eagan, PERMIT City of Eaan Permit Type: Plumbing Permit Number: EA102641 Date Issued: 01/03/2012 Permit Category: ePermit Site Address: 3604 Springwood Ct Lot: 1 Block: 3 Addition: Stonehaven 1st PID: 10-72700-03-010 Use: Description: Sub Type: e - Water Softener Work Type: New Description: Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Bob Sable 5242Quebec Ave N. New Hope, Mn 55428 763-535-4694 Fee Summary: PL - Permit Fee (WS &/or WH) $55.00 Surcharge -Fixed $5.00 0801.4087 9001.2195 Total: $60.00 Contractor: Bob Sable Services 5242 Quebec Ave N New Hope MN 55428 (612) 534-6526 - Applicant - Owner: US Home Corporation 935 E Wayzata Blvd Wayzata MN 55391 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 City of Eagan 3830 Pilot Knob Road RECEIVED Eagan MN 55122 Phone: (651) 675-5675 JUN 0 6 2012 Fax: (651) 675-5694 Date: 64102 Site Address: Yea y/N 4.1 1,4 r Use BLUE or BLACK Ink For Office Use Permit#: Permit Fee: /72, /2, SC Date Received: Staff: (o-(0- /Z 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Unit #: lv--II--1 7-' RESIDENT / OWNER Name: Phone: Address / City / Zip: Applicant is: Owner Contractor TYPE OF WORK Description of work: Z.)eck Construction Cost: 6010, I0 Multi -Family Building: (Yes / Nok ) CONTRACTOR Company: !—e'A/NAA CO P Contact: //'d Address: .�-r)/ io GvI City: �QJdO State: _ 41*. Zip: 3'T/CIL3 Phone: £/0 "'o -0,')1"" License #: /Y�� Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: _Yes _No Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. - ' 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.org 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. Exterior work authorized by a building permit issued in accordance with the Minnesot days of permit iss ance. x Applicant's Prin d Name ust be completed within 180 Applicant' = ature Page 1 of 3 SUB TYPES Foundation Single Family Multi 01 of _ Plex Accessory Building WORK TYPES New yAddition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review DO NOT WRITE BELOW THIS LINE /( 7 Fireplace _ Garage Deck Lower Level Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Interior Improvement Move Building Fire Repair Repair (25% 100%_ Census Code # of Units # of Buildings Type of Construction REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water _Final Framing Fireplace: Rough In _Air Test Insulation Sheathing Sheetrock Reviewed By: Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Final / C, Siding Reroof Windows Egress Window 09 Cal Cit _ Storm1Damage _ Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant PD MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Other: Pool: Footings _Air/Gas Tests Final Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Erosion Control , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL et,14-kultdkiet.. ?,6(20 Page 2 of 3 PISNEERengineeringCIVIL ENGINEERS LAND PLANNERS LAND SUVEYORS LANDSCAPE AR CHITECTS 2422 Enterprise Drive, Mendota Heights. MN 55120, Phone. (651) 681 1914 Fax: (631) 6619488 - Pioa Certificate of Survey for: LENNAR HOMES ADDRESS: 3604 SPRINGWOOD COURT, EAGAN, MN. BUYER: INVENTORY MODEL: IIONTICELLO ELEVATION: A LOT AREA =15,945 Sr, HOUSE AREA =2,070 SF. SIDEWALK AREA =98 SF. PORCH AREA =177 SF. DRIVEWAY AREA =784 SF, COVERAGE =19.6% BUILDING COVERAGF COVERAGE =10.4% tr �.-- DU>CKw DRI ' off--- > ---" 1 130.17 579°79.48"W 902.4 994.9 900 i w cm co —8 -33.3 n 42.3 1 , (907.3) 9M. / N79.29 48 BENCH MARK : t t 1 I TOP OF SPIK ELEV. =905.67 NOTE: ADD BRICK LEDGE AS REWIRED 1 NO1E: GRADING PLAN BY RORER LAST DATED 5-28-2011 WAS USED TO DETERWNE THE PROPOSED ELEVATIONS SHOWN ON THIS CERTIFICATE. NOM PROPOSED BUILDING CRIMSONS SHOWN ARE FOR HORIZONTAL LOCATION OF STRUCTURES ON THE LOT ONLY. CONTACT BUILDER PRIOR TO CONSTRUCTION FOR APPROVED coNSTRUCT1ON PLANS NOTE: NO SPE(FJC SOILS WVESTICATTON HAS BEEN PERFCSLIED ON THIS LOT BY THE SURVEYOR. THE SUITABILITY OF SOILS TO SUPPORT THE SPECIFIC HOUSE PROPOSED IS NOT THE RESPONS1WUTY OF THE SURVEYOR. (904.7) A40.p3 --1 PROPOSED ' t HOUSE iy; 7 I mama D LOWEST ALLOWABLE FLOOR ELEVATION :896.8 HOUSE ELEVATIONS : (PROPOSED)/ASBU(LT LOWEST FLOOR ELEVATION : (900.5) / TOP OF FOUNDATION ELEV. : (908.5) / GARAGE SLAB ELEV. 9 DOOR : (908.2) / PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA172060 Date Issued:09/14/2021 Permit Category:ePermit Site Address: 3604 Springwood Ct Lot:1 Block: 3 Addition: Stonehaven 1st PID:10-72700-03-010 Use: Description: Sub Type:Residential Work Type:Alteration Description:Gas Grill Comments:Please call for a Rough In and Air Test, prior to the Final Inspection. Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 210-0754. 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 - Leah Marie & Robert S Micheletti 3604 Springwood Ct Eagan MN 55123 (651) 269-8984 Bruckmueller Plumbing Inc 3992 Pennsylvania Ave Eagan MN 55123 (651) 686-6696 Applicant/Permitee: Signature Issued By: Signature