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3555 Sawgrass Tr W/0-' City of Eaau e, f , /0 -- 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675-5694 !=' 73 / 0 0 0 3 L- 2011 RESIDENTIA UILDING PERMIT APPLIC Date: —7 2.3 i 2 _ <;�S � / ATION Site Address: 6155 TK;(1 Unit #: Name:' - NMA- Phone L L Address / City / Zip: 01'4 094C A/. SAW 600 Applicant is: Owner Contractor Description of work: Construction Cost) (H I (l I Company: Address: X57 iw City: State: I Zip: ,f e1 4 V Phone: /OZ } License # : 3 Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA my. IF CONSTRUCTING A ME BUILDING In the last 12 months, has the City of Eagan . issued a permit for a similar plan based on a master pla ? .Yes No If yes, date and address of master . rr Licensed Plumber: 19j0 Mechanical Contractor: Sewer & Water Contractor: Multi - Family Building: (Yes / No Contact: CALL BEFORE YOl f nrr• Cali Gopher State One Call at (851) 454 -0002 for protection against underground utility damage. Call 48 hours before you Intend to dig to receive locates of underground utilities, lOmm►.aooherstateonecaii ors 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 Minnesota State Building Code must be completed within 180 . ..v days of permit issuance. ... �,� x • Ale ot 0 Applicant's - anted Name x Appl cant's Sig Use BLUE or BLACK Ink For Office u• Permit #: /(/) 2S Permit Fee: , 416 3. 3 Date Received: - Z 'IL Staff: rcr Page 1 of 3 ' SUB TYPES Foundation Single Family Multi 01 of Flex Accessory Building WORK TYPES New Addition Alteration Replace Retaining Wall Fireplace Garage Deck Lower Level Interior improvement Move Building Fire Repair Repair DESCRIPTION Valuation 57V Plan Review / (25% /,100 %_) Cens Code #of Units # of Buildings Type of Construction V6 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: RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S &W Permit & Surcharge Treatment Plant Copies TOTAL DO NOT WRITE BELOW THIS LINE Porch (3- Season) _ Storm Damage Porch (4- Season) Exterior Alteration (Single Family) Porch (ScreenlGazebolPergola) _ Exterior Alteration (Multi) Pool Miscellaneous Occupancy Code Edition Zoning Stories Square Feet Length Width Siding Reroof Windows Egress Window Demolish Building* Demolish interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant C � ■ 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 _ Siding: _._ Stucco Lath one La' Brick Windows Retaining Wall: Radon Control Erosion Control ing inspector 60 f Ans Si: x90,75 1 6 MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Footings Backfill 7G / K(G. Q). x' 1, 2.3 Final Page 2 of 3 3S 1 i5 7b' rer N 11U 1.5 SUlldmg Certificate, A building certificate shall be posted in a permanently visible location inside the building. The certificate shall be completed by the builder and shall list information and values of components listed in Table NI 101.8. Date Certificate Posted Mailing Address of the Dwelling or Dwelling Unit 3555 SAWGRASS TRAIL WEST Cit> EAGAN Naive of Residential Contractor 4 MN License Number _ THERMAL ENVELOPE RADON SYSTEM Insulation Location O 0. F 0 74 a .71 H Type: Check All That Apply X Passive (No Fan) .o • Q ti z a Z o H _ ii: 4 a�0 vi 2 �° t4 V v 8 U g w G U p w ?, .- w c a 0 >, a C c v ti a' u 2 T FG Active (With fan and nsono, leter or o th e r system monitoring device) Other Please Describe Here Below Entire'S[ab '' ` X Foundation Wall 10 INTERIOR Perimeter of Slab On Grade : :: ; X Rim Joist (Foundation) 10 INTERIOR Rim Joist (1't. Floor +) .: 1 0 INTERIOR Wall 21 Ceiling, flat ' _:: 44 Ceiling, vaulted 44 Bay: Windows or cantilevered areas . 38 ' 21 :10 S Bonus room over garage X Describe other insulated areas Windows & Doors Heating or Cooling Ducts Outside Conditioned Spaces Average U Factor (excludes skylights and one door) U: 0.29 Not applicable, all ducts located in conditioned space Solar Heat Gain Coefficient (SHGC): 0.29 r R - value MECHANICAL SYSTEMS Make -up 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 ML193UH89OP36C GPVH5ON 1 036 -230' Interlocked with exhaust device. Describe: Rating or Size Input in BTUS: 88 0 00 ' Capacity in Gallons: 50 I Output in Tons: 3 Other, describe: Structure's Calculated' Heat Loss: 72,623 ` Heat Gain 27,826 ;:! Location of duct or system: Efficiency AFUE or FISPF?'c 93 SEER: 13 Calculated cooling load: 1 33,800 Cfnis PLAN 4009 " 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 furnace): 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: 2 fans cont low, total 90cfm Location of fan(s), describe: 'Owners bath, Main Bath Cfm's Capacity continuous ventilation rate in cfms: 90 6" Insulated Flex Total ventilation (intermittent + continuous) rate in cfms: 465 " metal duct New Construction Energy Code Compliance Certificate Created by BAM version 052009 PLAN REVIEW FOR COMPLIANCE WITH AIRCRAFT NOISE ORDINANCE Submitter: Noise Impact Area Lennar 16305 36th Ave. No. Suite 600 Plymouth, MN 55446 952 -249 -3000 Airport - MSP International Noise Zone - 4 New Infill Residence is a "COND" use in Noise Zone 4 Plan Reviewed: W cy5 9 0 / Lxit k Vs 35S 5 �-i Trz4\\ t_--_ Information Submitted: Annotated architectural drawings including: Windows: Atrium Swinging Patio Doors: Atrium Entry Doors: Therma Tru Skylights: N/A Compliance with STC Requirements: Average window /wall area for exterior wall: 'y ? With this window /wall area ratio and STC 40 walls, windows with an STC 30 can be used to meet the noise reduction requirements; Summary: Other measures including duct bends and caulking are being taken to ensure minimum transmission of noise through the exterior building shell so that the construction should meet the compatibility guidelines. Therefore, the materials and construction as proposed should meet the requirements of the Eagan aircraft noise ordinance. Review Completed (date): Review Completed by: Tom Tamte Compliance with Procedures to Ensure Adequate Noise Attenuation: Exterior wall construction: LP Smart Board 15/32" sheathing Tyvek wrap 2x6 studs 16" O.C. R -21 batt insulation with 1/2" gypsum board Roof Construction: Peaked roof with manufactured trusses 24" O.C. Roof vents Shingles 15# felt 1/2" sheathing Blown insulation R -44 5/8" gypsum board Mechanical Ventilation System: 3 -ton central air conditioning unit Window, Door Frame, Perimeter and Other Seals: All window and door openings are to be caulked with butyl -based caulk Fireplace Chimney Cap: Built -in flue damper, chimney cap, glass enclosed Ventilation Duct Exterior Wall Penetrations: All exterior ducts will have bends as required by the ordinance Door and Window Construction: Windows: Atrium (30 STC) Sliding Patio Doors: Atrium (30 STC) Entry Doors: Therma Tru (29 STC) Skylights: N/A Other Exterior Wall Penetrations: Sill sealer between plates and blocks Ventilation, Makeup and Combustion Air Calculations Submittal Form For New Dwellings These blank submittal forms and instructions are available at the City ofeliNfloassa website and at City Hall. The completed form must be submit- ted in duplicate at the time of application of a mechanical permit for new construction. Additional forms may be downloaded and printed at Ifkli Site address Contractor ; / Complete d By 1 Date 1 7/ 42.3 26/02 Section A Ventilation Quantity (Determine quantity by using Table N1104.2 or Equation 11 -1) Square feet (Conditioned area including Basement — finished or unflnished) Number of bedrooms 3830 Total required ventilation Continuous ventilation ho rels Directions - Determine the total and continuous ventilation rate by either using Table N1104.2 or equation 11 -1. The table and equation are below. Equation 11 -1 (0.02 x square feet of conditioned space) + (15 x (number of bedrooms + 1)) = Total ventilation rate (cfm) Total ventilation — The mechanical ventilation system shall provide sufficient outdoor air to equal the total ventilation rate average, for each one -hour period according to the above table or equation. For heat recovery ventilators (HRV) and energy recovery ventila- tors (ERV) the average hourly ventilation capacity must be determined in consideration of any reduction of exhaust or out outdoor air intake, or both, for defrost or other equipment cycling. Continuous ventilation - A minimum of 50 percent of the total ventilation rate, but not less than 40 cfm, shall be provided, on a con- tinuous rate average for each one -hour period. The portion of the mechanical ventilation system intended to be continuous may have automatic cycling controls providing the average flow rate for each hour is met. G:ISAFETYUK \Vent makeup -comb air submittal (2).docx Page 1 of 6 Table N1104.2 Total and Continuous Ventilation Rates (in cfm) Number of Bedrooms 1 2 3 4 5 6 Conditioned space (in sq. ft.) Total/ continuous Total/ continuous Total/ continuous Total/ continuous Total/ continuous Total/ continuous 1000 -1500 60/40 75/40 90/45 105/53 120/60 135/68 1501 -2000 70/40 85/43 100/50 115/58 130/65 145/73 2001 -2500 80/40 95/48 110/55 125/63 140/70 155/78 2501 -3000 90/45 105/53 120/60 135/68 150/75 165/83 3001 -3500 100/50 115/58 130/65 145/73 160/80 175/88 3501 -4000 110/55 125/63 140/70 155/78 170/85 185/93 4001 -4500 120/60 135/68 150/75 165/83 180/90 195/98 4501- 5000 130/65 145/73 160/80 175/88 190/95 205/103 5001 -5500 140/70 155/78 170/85 185/93 200/100 215/108 5501 -6000 150/75 165/83 180/90 195/98 210/105 225/113 Ventilation, Makeup and Combustion Air Calculations Submittal Form For New Dwellings These blank submittal forms and instructions are available at the City ofeliNfloassa website and at City Hall. The completed form must be submit- ted in duplicate at the time of application of a mechanical permit for new construction. Additional forms may be downloaded and printed at Ifkli Site address Contractor ; / Complete d By 1 Date 1 7/ 42.3 26/02 Section A Ventilation Quantity (Determine quantity by using Table N1104.2 or Equation 11 -1) Square feet (Conditioned area including Basement — finished or unflnished) Number of bedrooms 3830 Total required ventilation Continuous ventilation ho rels Directions - Determine the total and continuous ventilation rate by either using Table N1104.2 or equation 11 -1. The table and equation are below. Equation 11 -1 (0.02 x square feet of conditioned space) + (15 x (number of bedrooms + 1)) = Total ventilation rate (cfm) Total ventilation — The mechanical ventilation system shall provide sufficient outdoor air to equal the total ventilation rate average, for each one -hour period according to the above table or equation. For heat recovery ventilators (HRV) and energy recovery ventila- tors (ERV) the average hourly ventilation capacity must be determined in consideration of any reduction of exhaust or out outdoor air intake, or both, for defrost or other equipment cycling. Continuous ventilation - A minimum of 50 percent of the total ventilation rate, but not less than 40 cfm, shall be provided, on a con- tinuous rate average for each one -hour period. The portion of the mechanical ventilation system intended to be continuous may have automatic cycling controls providing the average flow rate for each hour is met. G:ISAFETYUK \Vent makeup -comb air submittal (2).docx Page 1 of 6 Ventilation Fan Schedule Make -up air Location Passive (determined from calculations from Table 501.3.1) intermittent Powered (determined from calculations from Table 501.3.1) y� /22e.),4,, Ige Interlocked with exhaust device (determined from calculation from Table 501.3.1) High cfm: Other, describe: Location of duct or system ventilation make -up air: Determined from make -up air opening table Cfm I I Size and type (round, rectangular, flex or rigid) (NR mantic not rnnuireA1 Ventilation Fan Schedule Description Location Continuous intermittent Z , :7.4 -'CZ? y� /22e.),4,, Ige High cfm: Continuous fan rating In cfm (capacity must not exceed continuous ventilation rating by more than 100 %) ! Po c 7 i1 ) s4 -- RD( ./-0 ,,- AO 50 Ventilation Method either balanced or exhaust only) Ej (Choose Balanced, ery Ventilator) tation rating by HRV (Heat Recovery Ventilator) or ERV (Energy Recov- — cfm of unit In low must not exceed continuous venti- more than 100%. LE1 Exhaust only a Continuous fan rating In cfm 3 �`� �`�� Th / fz c7C+ Low cfm: High cfm: Continuous fan rating In cfm (capacity must not exceed continuous ventilation rating by more than 100 %) ! Po c 7 i1 Section B Directions - Choose the method of ventilation, balanced or exhaust only. Balanced ventilation systems are typically HRV or ERV's. Enter the low and high cfm amounts. Low cfm air flow must be equal to or greater than the required continuous ventilation rate and less than 100% greater than the continuous rate. (For instance, if the low cfm Is 40 cfm, the ventilation fan must not exceed 80 cfm.) Automatic controls may allow the use of a larger fan that is operated a percentage of each hour. Section C Directions - The ventilation fan schedule should describe what the fan is for, the location, cfm, and whether it is used for continuous or intermittent ventilation. The fan that is chose for continuous ventilation must be equal to or greater than the low cfm air rating and less than 100% greater than the continuous rate. (For instance, if the low cfm is 40 cfm, the continuous ventilation fan must not exceed 80 cfm.) Automatic controls may allow the use of a larger fan that Is operated a percentage of each hour. Section D Ventilation Controls (Describe operation and control of the continuous and intermittent ventilation) Directions - Describe the operation of the ventilation system. There should be adequate detail for plan reviewers and Inspectors to verify design and Installation compliance. Related trades also need adequate detail for placement of controls and proper operation of the building ventilation. If exhaust fans are used for building ventilation, describe the operation and location of any controls, Indicators and legends. If an ERV or HRV Is to be installed, describe how it will be installed. if It will be connected and interfaced with the air handling equipment please describe such connections as detailed in the manufactures' installation instructions. If the installation instructions require or recommend the equipment to be interlocked with the air handling equipment for proper operation, such interconnection shall be made and described. Section E Page 2 of 6 Table 501.3.1 PROCEDURE TO DETERMINE MAKEUP AIR QUANITY FOR EXHAUST EQUIPMENT IN DWELLINGS (Additional combustion air will be required for combustion appliances, see KAIR method for calculations) One or multiple power vent or direct vent ap- pliances or no combus- tion appliances Column A One or multiple fan- assisted appliances and power vent or direct vent appliances Column B One atmospherically vent gas or oil appliance or one solid fuel appliance Column C Multiple atmospherical - ly vented gas or oil appliances or solid fuel appliances Column O 1. a) pressure factor (cfm/sf) 0.15 0.09 0.06 0.03 b) conditioned floor area (sf) (including ... shdb unfinished basements) 3 / , (n Estimated House Infiltration (cfm): (la x lb] .; 2. Exhaust Capacity a) continuous exhaust -only ventilation system (cfm); (not applicable to ba- lanced ventilation systems such as HRV) 9 p b) clothes dryer (cfm) 135 135 135 135 c) 80% of largest exhaust rating (cfm); Kitchen hood typically (not applicable if recirculating system or if powered makeup air is electrically interlocked and match to exhaust) • 9 A ?co e. ca N d) 80% of next largest exhaust rating (cfm); bath fan typically (not applicable If recirculating system or if powered makeup air is electrically interlocked and matched to exhaust) Not Applicable Total Exhaust Capacity (cfm); [2a + 2b +2c + 2d) 2/4 c 3. Makeup Air Quantity (cfm) a) total exhaust capacity (from above) � 7 6' b) estimated house infiltration (from above) �- > Makeup Air Quantity (cfm); (if value is negative, no makeup air is needed) l/ 4. for makeup Air Opening Sizing, refer to Table 501.4.2 �y A 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 or solid 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 501.3.2 and size the opening. Transfer the cfm, size of opening and type (round, rectangular, flex or rigid) to the last line of section D. The make -up air supply must be installed per MC 501.3.2.3. A. 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 and direct vent appliances may be used.) B. Use this column if there is one fan - assisted appliance per venting system. (Appliances other than atmospherically vented appliances may also be in- cluded.) C. 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. D. 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 appliances and solid fuel appliances. Page 3 of 6 Makeup Air Opening Table for New and Existing Dwelling Table 501.3.2 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. B. 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. 0. Powered makeup air shall be electrically interlocked with the largest exhaust system. Sections F Explanation - If no atmospheric or power vented appliances are installed, check the appropriate box, not required. if a power vented or atmospherically vented appliance installed, use IFGC Appendix E, Worksheet E -1 (see below). Please enter size and type. Combus- tion air vent supplies must communicate with the appliance or appliances that require the combustion air. Section F calculations follow on the next 2 pages. Page 4 of 6 One or multiple power vent, direct vent ap- pliances, or no combus- Lion appliances Column A One or multiple fan- assisted appliances and power vent or direct vent appliances Column 8 One atmospherically vented gas or oil ap- !glance or one solid fuel appliance Column C Multiple atmospherically vented gas or oil ap- pliances or solid fuel appliances Column D Duct di- ameter Passive opening 1 -36 1 -22 1 -15 1 -9 3 Passive opening 37 -66 23 -41 16 -28 10 -17 4 Passive opening 67 -109 42 -66 29 -46 18 -28 5 Passive opening 110 -163 67 -100 47 -69 29 -42 6 Passive opening 164 -232 101 -143 70 -99 43 -61 7 Passive opening 233 -317 144 -195 100 -135 62 -83 8 Passive opening w /motorized damper 318 -419 196 -258 136 -179 84 -110 9 Passive opening w /motorized damper 420 -539 259 -332 180 -230 111 -142 10 Passive opening w /motorized damper 540 — 679 333 — 419 231 — 290 143 —179 11 Powered makeup air >679 >419 >290 >179 NA Makeup Air Opening Table for New and Existing Dwelling Table 501.3.2 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. B. 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. 0. Powered makeup air shall be electrically interlocked with the largest exhaust system. Sections F Explanation - If no atmospheric or power vented appliances are installed, check the appropriate box, not required. if a power vented or atmospherically vented appliance installed, use IFGC Appendix E, Worksheet E -1 (see below). Please enter size and type. Combus- tion air vent supplies must communicate with the appliance or appliances that require the combustion air. Section F calculations follow on the next 2 pages. Page 4 of 6 Combustion air Not required per mechanical code (No atmospheric or power vented appliances) X Passive (see IFGC Appendix E, Worksheet E -1) I Size and type I 6, - r Other, describe: Makeup Air Opening Table for New and Existing Dwelling Table 501.3.2 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. B. 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. 0. Powered makeup air shall be electrically interlocked with the largest exhaust system. Sections F Explanation - If no atmospheric or power vented appliances are installed, check the appropriate box, not required. if a power vented or atmospherically vented appliance installed, use IFGC Appendix E, Worksheet E -1 (see below). Please enter size and type. Combus- tion air vent supplies must communicate with the appliance or appliances that require the combustion air. Section F calculations follow on the next 2 pages. Page 4 of 6 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 41s required to be filled out. Page 5 of 6 IFGC Appendix E, Worksheet E -1 Residential Combustion Air Calculation 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 Fan Assisted Direct Vent Input: 76, ,900 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 59 7 ft LxWxH L W H Step 3: Determine Air Changes per Hour (ACH)1 Default ACH values have been incorporated into Table E -1 for use with Method 4b (KAIR Method). If the year of construction or ACH is not known, use method 4a (Standard Method). If Step 4: Determine Required Volume for Combustion Air. (DO NOT COUNT DIRECT VENT APPLIANCES) 4a. Standard Method Total Btu /hr input of all combustion appliances Input: Btu /hr Use Standard Method column in Table E -1 to find Total Required TRV: ft Volume (TRV) If CAS Volume (from Step 2) is greater than TRV then no outdoor openings are needed, If CAS Volume (from Step 2) is less than TRV then go to STEP 5. 4b. Known Air Infiltration Rate (KAIR) Method (DO NOT COUNT DIRECT VENT APPLIA,,Nff ES) Total Btu /hr input of all fan - assisted and power vent appliances input: 7 C JC) Btu /hr Use Fan - Assisted Appliances column in Table E -1 to find RVFA: 3, O ..) ft Required Volume Fan Assisted (RVFA) Total Btu /hr input of all Natural draft appliances Input: Btu /hr Use Natural draft Appliances column in Table E -1 to find RVNFA: ft Required Volume Natural draft appliances ( RVNDA) >q Total Required Volume (TRV) = RVFA + RVNDA TRV = + = ?/(00 TRV ft If CAS Volume (from Step 2) is greater than TRV then no outdoor openings are needed. CAS Volume (from Step 2) Is less than TRV then go to STEP S. 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) 7 Ratio = l S Y / .foot) = ,. C '— Step 6: Calculate Reduction Factor (RF). RF= 1 minus Ratio RF =1- .,� _ .. 7 7 Step Total Combustion Total 7: Calculate single outdoor opening as if all combustion air is from outside. Btu/hr input of all Combustion Appliances in the same CAS Input: /Q dkX) Btu /hr (EXCEPT DIRECT VENT) Air Opening Area (CAOA): 2 �� J y = Btu /hr divided by 3000 Btu /hr per in CAOA = �� CI D� / 3000 Btu /hr per In = In Step 8: Calculate Minimum CAOA. Minimum CAOA = CAOA multiplied by RF Minimum CAOA = 3y' x . /7 = 6.A7 in Step 9: Calculate Combustion Air Opening Diameter (CAOD) t CAOD = 1.13 multiplied by the square root of Minimum CAOA CAOD = 1.13 V Minimum CAOA = O?. E in. diameter go up one inch in size if using flex duct 1 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 41s required to be filled out. Page 5 of 6 - Wrightsoftr Project Summary Entire House Elander Mechanical Inc. 591 Citation Drive, Shakopee, MN 56379 Phone: 952 - 445 -4692 Fax: 952 -445 -7487 ro'ect Information Desi • n Information Outside db Inside db Design TD For: Notes: / 1,(j1°Jf /") _ 8r Ott 7o7 a 3 ' c2 f 141 - 3 y,e)e, 33, trod 3 3 Winter Design Conditions Weather: Minneapolis -St. Paul, MN, US -15 °F 70 °F 85 °F Outside db Inside db Design TD Daily range Relative humidity Moisture difference Bold/ltalle values have been manually overridden Printout certified by ACCA to meet all requirements of Manual J 8th Ed. - 4 - wrightsoft- Right - Suite® Universal 8.0.04 RSU13410 ACCA ,.. H. Elander,Desktop \Wrightsott Heat Loss\Lennar 4009 Eagan.rup Calc = MJ8 Front Door faces: Job: 4009 Eagan Date: Feb 1 2012 By: Scott Summer Design Conditions 88 °F 72 °F 16 °F M 50 % 33 gr/lb Heating Summary Sensible Cooling Equipment Load Sizing Structure 51506 Btuh Structure 24214 Btuh Ducts 2977 Btuh Ducts 1061 Btuh Central vent (90 cfm) 8164 Btuh Central vent (90 cfm) 1527 Btuh Humidification 9977 Btuh Blower 1024 Btuh Piping 0 Btuh Euiment load 72623 Btuh Use manufacturer's data Rate /swing multiplier 1.00 Infiltration Equipment sensible load 27826 Btuh Method Simplified Latent Cooling Equipment Load Sizing Construction quality Tight Fireplaces 1 (Tight) Structure 3850 Btuh Ducts 182 Btuh Heating Cooling Central vent (90 cfm) 1942 Btuh Area (ft 3874 3874 Equipment latent load 5973 Btuh Volume (ft 22644 22644 Air changes/hour 0.35 0.35 Equipment total load 33800 Btuh Equiv. AVF (cfm) 132 132 Req. total capacity at 0.70 SHR 3.3 ton Heating Equipment Summary Cooling Equipment Summary Make Lennox Make Lennox Trade MERIT 90 Trade 13ACX SERIES - RFC Model ML193UH090P36C * Cond 13ACX- 036 - 230 *13 GAMA ID 4119046 Coil C33 -43* ARl ref no. 3660944 Efficiency 93 AFUE Efficiency 11.0 EER, 13 SEER Heating input 88000 Btuh Sensible cooling 24360 Btuh Heating output 83000 Btuh Latent cooling 10440 Btuh Temperature rise 50 °F Total cooling 34800 Btuh Actual air flow 1556 cfm Actual air flow 1160 cfm Air flow factor 0.029 cfm /Btuh Air flow factor 0.046 cfm /Btuh Static pressure 0 in H2O Static pressure 0 in H2O Space thermostat Load sensible heat ratio 0.82 2012-Jul-23 14:32:28 Page 1 -- wrightsoft" Component Constructions Entire House Elander Mechanical Inc. 591 Citation Drive, Shakopee, MN 55379 Phone: 952 -445 -4692 Fax: 952-445-7487 ' roject Information Design Conditions Location: Minneapolis -St. Paul, MN, US Elevation: 837 ft Latitude: 45°N Outdoor: Dry bulb ( °F) Daily range (°F) Wet bulb (° ) Wind speed (mph) Construction descriptions Walls 12F -Osw: Frm wall, vnl ext, r -21 cav ins, 1/2" gypsum board int fnsh, 2 "x6" wood frm 15B- 10sfc -8: Bg wall, light dry soil, concrete wall, r -10 ins, 8" thk Partitions 12F -Osw: Frm wall, r -21 cav ins, 1/2" gypsum board int fnsh, 2 "x6" wood frm Windows Stonehaven: VINYL Insulated Glass Double Hung; NFRC rated (SHGC =0.29) Stonehaven: VINYL Insulated Glass Double Hung; NFRC rated (SHGC =0.26) Stonehaven: VINYL Insulated Glass Double Hung; NFRC rated (SHGC =0.30) Doors 11JO: Door, mtl fbrgl type For: Heating -15 15.0 Cooling 88 19 (M) 71 7.5 n e s w all n e S w all n s w w all e s all w e n all ,± - Fla" wrightsoft- Right - Suite® Universal 8.0.04 RSU13410 ACCK ... H. Elander\Desktop \Wrightsoft Heat Loss\Lennar 4009 Eagan.rup Cato = MJ8 Front Door faces: Indoor: Indoor temperature ( °F) Design TD ( °F) Relative humidity ( %) Moisture difference (gr /Ib) Infiltration: Method Construction quality Fireplaces Job: 4009 Eagan Date: Feb 1 2012 By: Scott Heating Cooling 70 72 85 16 50 50 54.5 32.7 Simplified Tight 1 (Tight) Or Area U -value Insul R Htg HTM Loss Clg HTM Gain fN Btuhlftx - "F tN•'F /Bluh Btuhlilx Btuh Btuhtit" Btuh 545 0.065 21.0 5.52 3011 1.08 590 334 0.065 21.0 5.52 1844 1.08 361 689 0.065 21.0 5.52 3806 1.08 746 577 0.065 21.0 5.52 3190 1.08 625 2145 0.065 21.0 5.52 11852 1.08 2322 320 0.050 10.0 4.25 1360 0 0 400 0.050 10.0 4.25 1700 0 0 320 0.050 10.0 4.25 1360 0 0 332 0.050 10.0 3.68 1220 0 0 1372 0.050 10.0 4.11 5640 0 0 430 0.065 21.0 5.52 2373 0.60 258 23 0.290 0 24.6 567 10.1 232 24 0.290 0 24.6 592 18.1 434 152 0.290 0 24.7 3741 31.7 4805 68 0.290 0 24.6 1676 31.7 2153 267 0.290 0 24.7 6576 28.6 7624 127 0.290 0 24.6 3135 28.9 3670 17 0.290 0 24.6 421 16.7 285 144 0.290 0 24.6 3556 27.4 3956 41 0.290 0 24.6 1006 32.6 1330 21 0.600 6.3 51.0 1071 16.7 351 20 0.600 6.3 51.0 1041 16.7 341 41 0.600 6.3 51.0 2112 16.7 692 2012 - Jut - 2314:3228 Page 1 Ceilings 16CA -44ad: Attic ceiling, asphalt shingles roof mat, r -44 ceil ins, 1642 0.022 44.0 1.87 3071 0.91 1494 5/8" gypsum board int fnsh Floors 20P -38c: Fir floor, frm fir, 12" thkns, carpet fir fnsh, r -5 ext ins, r -38 66 0.030 38.0 2.55 168 0.34 22 cav ins, amb ovr 20P -38c: Fir floor, frm flr, 12" thkns, carpet fir fnsh, r -5 ext ins, r -38 380 0.030 38.0 2.55 969 0.34 129 cav ins, gar ovr 20P -38v: Fir floor, frm fir, 12" thkns, vinyl fir fnsh, r -5 ext ins, r -38 42 0.030 38.0 2.55 107 0.34 14 cav ins, gar ovr 20P -38w: Fir floor, frm fir, 12" thkns, hrd wd fir fnsh, r -5 ext ins, r -38 24 0.030 38.0 2.55 61 0.34 8 cav ins, amb ovr 21A -32t: Bg floor, heavy dry or light damp soil, 8' depth 1196 0.020 0 1.70 2033 0 0 4* wrightsoft- Right - Suite® Universal 8.0.04 RSU13410 ACC ... 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PROPERTY LEGAL: Proposed 0 • Garage floor ❑ • Basement floor ❑ • Lowest exposed elevation (walkout/window) ❑ • Property corners ❑ • Front and rear of home at the foundation ❑ • Retaining wall requirements: Reviewed By G: /FORMS /Building Permit Application Rev. 11 - 26 - 04 LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION Lcif � , I311 skothezeeti Zn 4dd- DATE OF SURVEY: 00 /l2.- LATEST REVISION: A DOCUMENT STANDARDS • Registered Land Surveyor signature and company • Building Permit Applicant • Legal description • Address • North arrow and scale • House type (rambler, walkout, split w /o, split entry, lookout, etc.) • Directional drainage arrows with slope /gradient % • Proposed /existing sewer and water services & invert elevation • Street name • Driveway (grade & width - in R/W and back of curb, 22' max.) • Lot Square Footage • Lot Coverage ELEVATIONS Existing 0 ❑ • Property corners j ❑ 0 • Top of curb at the driveway and property line extensions ❑ ❑ ❑ • Elevations of any existing adjacent homes ❑ ❑ ❑ • Adequate footing depth of structures due to adjacent utility trenches ❑ ❑ ❑ • Waterways (pond, stream, etc.) PONDING AREA (if applicable) ❑ Yr ❑ • Easement line ❑ ,- ❑ • NWL ❑ , 0 • HWL ❑ 7 ❑ • Pond # designation ❑ / Fd' ❑ • Emergency Overflow Elevation ❑ , 0 • Pond/Wetland buffer delineation Y • Shoreland Zoning Overlay District Y N • Conservation Easements DIMENSIONS 0 • Lot lines /Bearings & dimensions ❑ • Right -of -way and street width (to back of curb) ❑ • 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 ❑ • Setbacks of proposed structure and sideyard setback of adjacent existing structures Date 7/z.AZ ✓ C AJ w w z 0 w 00 0 O N_ z . 00 0 b C c W s P"..) . °' W w N U W N LL t f) ` 00 (I) O 00 0 �� II O_ II I ' W II QQc W W Q < <cc cc w Q Q Q <cc v) ow O cc > W 000E0 JS W0(/) L O .---- a..) r > SA W : ,) 1 1 (../) ■ _ —'— + 8 �. 036 2 m OC EE Y Y < (n O O 5 0 11 Z W L J I- 0 J CO J CO 00 1- r 0 J r z 0 r h Q S 00 r = z 11 U j 1 - 1 -I _J m rw 8: M SS 1- O z 0 w o o 0 • 0 < w 1- H W J O '0 <Fe aN I-0 Z �H NN 0 d ' ° J I--0 0 a w m <N WI z J N < O J o z 0 d z 0 < o 10 Z - z _J 140 D Z Z w° 0JV) o m inw0 w0_ wF--0 Z 0 M _ 0 as °o> }= 0 0 O ZWCC Z 0 - F a m m = O m O�w z w Nm Q 0 OO O U 0O n 1- I- U 0 O00 Z Z J U 0 -J N U 2 F U w 00 000 0 = W 0 0 O N 0_ Q W 0� ZN w Li c J H cn Z N o Z O >-0_ 0 1- (A H J w m � >¢w -5 N J w 0 Z O ~ • Li 00 W f/1 w O 0 (t 0 u) z w w H ~ D 0>- 0 Z CO I 141203 28 0 _ N 0 I- O J a Om 0 d 0 F- 0 00 Z W N cc ww 0= 0 I- w Q U z wo 0 w O _ 0 Z F 0 O z 6 n 11 , Z 0 Z I 9 8. 1 3 M O 0) co O O 0) ✓ w W r to Q w 1- 0 w 0< S r CC w < U) Z Lai J W X O ro >-w w C w 0 < w U 0 U Z r 0 S mam W D SXr W r QO s ctx 00 06 0 0) 0 = pp ° 2 R = 2535 20.86 0 r 0 0) z O 0 t 0 Z 0 0 0) N 0 O z O O O 0 0 0 X N r z w (/) W O > z r N c0wW CL z 3 : ( 22- 0 < >- 0 � U 0 0 Z r w F- 0vi a. � a d S 0< 0 Z 0 0 cr (I) >- O W > W 0 w a. Otn tn PROVIDE AND MAINTAIN INLET PROTECTION UNTIL FINAL TURF IS ESTABLISHED z 0 1- z 0 r J O W W 0 W W U N 4 a z 0 ¢ Y 0 0 0) N 0) 0) F F I- 0 0 0 O00 0 0 0 0 O 0 0 0 0) 0 W 0 1- z ) N 0 ul N W \ CC m N O 0) 0) N N PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA108188 Date Issued:11/21/2012 Permit Category:ePermit Site Address: 3555 Sawgrass Tr W Lot:9 Block: 1 Addition: Stonehaven 2nd PID:10-72701-01-090 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:Charles Sundean 8201 Old Central Ave spring Lake Park, MN 55432 763-286-6956 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 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 - US Home Corporation 16305 36th Ave N Minneapolis MN 55446 Water Doctors Water Treatment Company 8201 Old Central Ave, Suite F & G Spring Lake Park MN 55432 (763) 535-1800 Applicant/Permitee: Signature Issued By: Signature **City of bop Address: 3555 Sawgrass Tr W Zip: 55123 Permit #: 105808 The following items were / were not completed at the Final Inspection on: I (%r ti 111 - Final grade - 6" from siding Permanent steps - Garage plate k42 Permanent steps - Main Entry Permanent Driveway x Permanent Gas Retaining Wall or 3:1 Max Slope Sod / Seeded Lawn Trail / Curb Damage \ic S://0t�uwlf Porch Lower Level Finish Deck \oLs kip h r Fireplace ye) • 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: G:\Building Inspections\FORMS\Checklists City of EaQali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Date: (�Z3 Use BLUE or BLACK Ink For Office Use /� 0 p� �} Permit #: I //(6/ / Permit Fee: / ! Ol . 3 4 Date Received: Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION 395 S ,gra5S Fri Oil Name: eVoevH I PO. / l o 3 ) 'Ti-! . Address / City /Zip:��P Applicant is: /Owner Contractor Description of work: build a deet- Construction `eet Construction Cost: Multi -Family Building: (Yes / No ✓ ) %% Site Address: Unit #: Phone: Company: IlLe Pak g C Contact: Address: 6c1120 U 1519t S t' e U Sk city: p State: N't Zip: 5512-4 Phone: 952 / 11 ✓2 Ig" License #: liR00 `'t557 Lead Certificate #: R' -I-3035 R 10 -01551 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) c)Oh PL 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: 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. Exterior work authorized by a building permit issued in accordance with the Minnesota State Buildin, ode m st be completed within 180 days of permit issuance. x Yeoiioer i y Fwd OI. 'v Applicant's41nted Nfame 1 Sig tifr �t e Page 1of3 SUB TYPES Foundation Single Family Multi 01 of Plex Accessory Building WORK TYPES New X Addition �` Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review 3555 :Sad J DO NOT WRITE BELOW THIS LINE Fireplace Garage )(Deck Lower Level Interior Improvement Move Building Fire Repair Repair (25%_ 100% y) Census Code # of Units # of Buildings Type of Construction REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Porch (3 -Season)_ Storm Damage Porch (4 -Season)_ Exterior Alteration (Single Family) Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) Pool Miscellaneous Occupancy Code Edition Zoning Stories Square Feet Length Width Roof: _Ice & Water _Final Framing Fireplace: _Rough In Air Test Final Insulation Sheathing Sheetrock Reviewed By: IL _ Siding Reroof Windows Egress Window Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant Meter Size: MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers 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 NF'n) OIL Page 2 of 3 N (0 (.0 (0 0 V) D 1 m 1333 02 =HONI 0f N N 0 0 c Z D 0 O Z D m c F x 0 N m z 0 N011VONf10J Z l/LZ/8 0 O 0 0 0 0 z z z z O O 0 0 N N N N D x' x D O N 1 m v z rro n 0rm2 m O mC < D -1 z t0 7- 0 NOLVA313 NOu03al 21000 ®*A313 BV1S 30VelV0 t0 W "A313 NOIlVONflOJ JO d01 ((0 NOIIVA313 80013 1S3M01 ((0 O CO 0 0 m SNOIIVA313 0 '0 0 rn D N co c r LOWEST ALLOWABLE FLOOR ELEVATION 8 z z BEARINGS SHOWN ARE BASED ON AN ASSUMED DATUM CONTRACTOR MUST VERIFY DRIVEWAY DESIGN. 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Cb 0 Use BLUE or BLACK Ink For Office Use /// {^ 1�Ir ::::ee" City of Ea ab . 3830 Pilot Knob'Road c ' - /4 Eagan MN 55122 RECEIVED Date Received: Phone: (651)675-5675 •4/-- I Fax: (651)675-5694 FEB 2 2 2017 Staff: 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 2/21/2017 Site Address: 3555 Sawgrass Trl W, Eagan, MN 55123 unit#: Name: Yevgeniy Podolyan Phone: 612-232-9696 Resident/ 3555 Sawgrass Trl W, Eagan, MN.55123 owner Address/City/Zip: Applicant is: X Owner Contractor Type`of Work Description of work: Finish basement bedroom and bathroom Construction Cost: 3,000 Multi-Family Building: (Yes /No X ) Company: Contact: Contractor Address: City: State: Zip: Phone: Email: License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: 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 infor ation- 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 sec rets. ' 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. Exterior work authorized by a building permit issued in accordance with the Minnesota State-4411111 Code .st be completed within 180 days of permit issuance. Yevgeniy Podolyan ---' d Applicant's Printed Name Applicant's Signature Page 1 of 3 5 6 S rtAliz t„ UO NOT WRITE BELOW THIS LINE 1,-{117 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 _ U I of_Plex 4 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 PGA handout to applicant DESCRIPTION Valuation 3 Occupancy .ThL -/ MCES System Plan Review Code Edition 10/5 SAC Units (25%_ 100% i/ Zoning /2,0 City Water Census Code J-'3 K Stories Booster Pump #of Units I Square Feet PRV #of Buildings g Length Fire Suppression Required — Type of Construction 74 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 Ai. HVAC_Gas Service Test Gas Line Air Test Roof:_Ice &Water _Final Pool: _Footings Air/Gas Tests _Final 41- Framing 30 Minutes 1 Hour Drain Tile Fireplace: _Rough In _Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick_EFIS 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: / , Building Inspector RESIDENTIAL FEES �� ® q ,,!.% JJ g yv do Base Fee j j it.9— �7 Surcharge Plan Review 74 ?% MCES SAC City SAC Utility Connection Charge S&W Permit& Surcharge Treatment Plant Copies TOTAL Page 2 of 3 Use BLUE or BLACK Ink k,i For Office Use ll� t_ei ` :::::eeJ: /_I / ' -t City of Eaall : l!✓ s� 3830 Pilot Knob Road RECEIVED Date Received: _ C%'_/ 7 Eagan MN 55122 Phone: (651) 675-5675 FEB 2 2 2017staff: ,rte Fax: (651) 675-5694 2017 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 2/21/2017 site address: 3555 Sawgrass Trl W, Eagan, MN 55123 Tenant: Suite#: ResidentiOwner Name: Yevgeniy Podolyan Phone: 612-232-9696 Address/City/Zip: 3555 Sawgrass Trl W, Eagan, MN 55123 Name: License#: Contractor Address: City: State: Zip: Phone: Contact: Email: Type of Work j New _Replacement _Repair _Rebuild _Modify Space _Work in R.O.W. Description of work: Finish basement bathroom RESIDENTIAL Water Heater Water Softener Permit Type Lawn Irrigation t_RPZ/_PVB) , Septic System lif Add Plumbing Fixtures(_Main/ 1 Lower Level) New Water Turnaround 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 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround*(includes State Surcharge) *Water Turnaround (add$280.00 if a 3/4"meter is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES $60.00 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 no 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 pl-ns. x Yevgeniy Podolyan g`"s $ ---� Applicant's Printed Name Applicant's Signatur: FOR OFFICE USE Reviewed BY: Date.. Required Inspections: Under Ground Rough-In Air.Test Gas Test Final Meter Related Items: Meter Size Radio Read Manometer. Staff: