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3593 Lemieux Cir Use BLUE or BLACK' Ink - - I For Office Use Q C f*r c ~1~ 1V5 Permit#: 0 q inan City of Ea ` wt~ ~p Permit Fee: v lX 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 I / Fax: (651) 675-5694 1 Staff: 1 1 09 4 s 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ! •2091 5 Site Address: IF= C-1 Unit M tsTiL.rJG? I®t~.I Phone: S' 4r1,? Name: o~ GL~A, Resident/ Owner ? Address / City / Zip:-759W 1W1!! SET, ~IE'(ZI6.„( 5 _ i Applicant is: Owner Contractor L- ~7 Z 4l Ih~lCj Type of Work Description of work: 6JEL- W 4,061 S? C't' 'l4~.1 Construction Cost: Multi-Family Building: (Yes Z/ No Company: S St! Fs A's 4!~CA Contact: Contractor Address: City: State: Zip: Phone: License 1 Z 2 ef) Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) I COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING i In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? i _Yes <o If yes, date and address of master plan: i Licensed Plumber: -E--- w!± Phone:6Z. 44!r • 4<401'Z Mechanical Contractor: L12~SA/ I I L.E. l"!;;;, Phone: I F2'L . 4 . G'7PPAS✓ Sewer & Water Contractor: t2L Phone: 6051.6 ob-1 . 212 NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of i 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.Qopherstateonecall.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 Fagan; 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 days'of permit issuance. ` t X 46~ 1"I k • 'XW Y- applicant's Printed Name Applicant's ignatur Pas 35q3 tt m ltut t G r - DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation - Fireplace - Porch (3-Season) _ Storm Damage Single Family _ Garage _ Porch (4-Season) Exterior Alteration (Single Family) Multi Deck Porch (Screen/Gazebo/Pergola) Exterior Alteration (Multi) 01 of J,Plex Lower Level Pool - Miscellaneous 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 ©9 ao Occupancy QG -I MCES System Plan Review Code Edition le v? SAC Units 1 (25%_ 100% V) Zoning City Water Census Code /O/ Stories J Booster Pump # of Units I Square Feet 3a PRV # of Buildings / Length Fire Sprinklers Ira Type of Construction- Width REQUIRED INSPECTIONS J Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC _ Gas Service Test Gas Line Air Test Drain Tile Other: Roof: -ice & Water Final Pool: -Footings -Air/Gas Tests -Final wpr% Framing Siding: -Stucco Lath Stone Lath -Brick Fireplace: Rough In Air Test ,Final Windows Insulation Retaining Wall: _ Feeting~ e=tf l _,j Final SheathingV Radon Control Sheetrock Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee /70 h+ s`r ~'`,iZ I J F7 ~'Q 909- 1 A l 697 Surcharge _ D $ G3 Plan Review I / U~ MCES SAC d t<G/t / ~j'O "r' °L aZ ' G ao City SAC ~GZGv✓7 P Ac# T00T @y3"" 3 Utility Connection Charge 38'!7' S&W Permit & Surcharge J " 0► 00►9 769 A- Treatment Plant d` Copies (g TOTAL Page 2 of 3 New Construction Energy Code Compliance Certificate Per N1101.8 Building Certificate. A building certificate shall be posted in a permanently visible location inside Date Certificate Posted ADD 1f3 . ?113 the building. The certificate shall be completed by the builder and shall list information and values of APR rd components listed in Table N1101.8. 10 Mailing Address of the Dwelling or Dwelling Unit City 3593 Lemieux Circle Eagan Name of Residential Contractor MN License Number Ron Clark Construction 8, Design 1220 THERMAL ENVELOPE RADON SYSTEM Type: Check All That Apply X Passive (No Fan ) o ~ Active (11'ilh faa and inonomerer or a other system monitoring dcrice ) a ~ Gq ~ U A b v p U O v v O O Insulation Location o z ° w w o 0 ti b 0 on ou E°- z w w w° w° cG FG Other Please Describe Here Below Entire Slab X Foundation Wall R-5 X Exterior Foundation Wall At Walk Out R-10 X interior Rim Joist (Foundation) R-12 X interior Rim Joist (1't Floor+) X Wall R-19 X Ceiling, flat R-44 X Ceiling, vaulted X Bay Windows or cantilevered areas R-30 X Four Season Porch Above Unconditioned Space R-35 X X F.G or BlownR30 r 1"Rigid R5 Describe other insulated areas Windows & Doors Heating or Cooling Ducts Outside Conditioned Spaces Average U-Factor (excludes skylights and one door) U: 0.31 x Not applicable, all ducts located in conditioned space Solar Heat Gain Coefficient (SHGC): 0.35 R-value R-8 in garage area MECHANICAL SYSTEMS Make-up Air Selecta Type Appliances Heating System Domestic Water Heater Cooling System X Not required per mech. code Fuel Type GAS Electric R-41 OA Passive Manufacturer Bryant Marathon Bryant Powered Interlocked with exhaust device. Model 912SB48080S17 MR105245 CA13036 Describe: Input in 80,000 Capacity in 105 Output in 3 Other, describe: Rating or Size BTUS: Gallons: Tons: Heat Loss: 57,992 Heat 23,218 Location of duct or system: Structure's Calculated Gain: AFUEor 92% SEER: 13 HSPF% Calculated 26,424 Efficiency cooling load: Cfm`s " round duct OR Mechanical Ventilation System " metal duct Describe any additional or combined heating or cooling systems if installed: (e.g. two furnaces or air Combustion Air Select a Type source heat pump with gas back-up furnace): Not required per mech. code Select Type X Passive 6" Flex X Heat Recover Ventilator (HRV) Capacity in cfins: Low: 70 High: 150 Other, describe: Energy Recover Ventilator (ERV) Capacity in elms: Low: High: Location of duct or system: Continuous exhausting fan(s) rated capacity in cfms: Basement Location of fan(s), describe: Cfin's L Capacity continuous ventilation rate in of ns: " round duct OR Flex Total ventilation (intermittent + continuous) rate in efins: "metal duct Created by BAM version 052009 Burnsville Heating & Air Conditioning, Inc. 3451 W. Burnsville Pkwy, Suite 120, Burnsville, MN 55337 Phone 952-894-0005 - Fax 952-894-0925 - Web www.burnsvilleheating.com Ventilation, Makeup and Combustion Air Calculations Submittal Form for New Dwellings Site address 3593 Lemieux Circle Date Contractor Burnsville Heating & Air Conditioning, Inc Completed By Alan Dobson, Section A Ventilation Quantity (Determine quantity by using Table N1104.2 or Equation 11-1) Square feet (Conditioned area including 3367 Total required ventilation 100 Basement-finished or unfinished) Number of bedrooms 1 Continuous ventilation 50 Directions - Determine the total and continuous ventilation rate by either using Table N1104.2 or equation 11-1. The table and equation are below. Table N1104.2 Total and Continuous Ventilation Rates (in cfm) Number of Bedrooms 1 2 3 4 5 6 Conditioned Total/ Total/ Total/ Total/ Total/ Total/ space (in sq. ft. continuous continuous continuous continuous continuous 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 100/5Q 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 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 ventilators (ERV) the average hourly ventilation capacity must be determined in consideration of any reduction of exhaust or 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 continuous 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:\SAFETY\JK\Vent-makeup-comb air submittal (2).docx Page 1 of 6 Section B Ventilation Method (choose either balanced or exhaust only) ® Balanced, HRV(Heat Recovery Ventilator) or ERV (Energy ❑ Exhaust only Recovery Ventilator) -cfm of unit in low must not exceed Continuous fan rating in cfm continuous ventilation rating by more than 100% Low cfm: 64 High cfm:150 Continuous fans rating in cfm (capacity must not exceed continuous ventilation rating by more than 100%) Directions- Choose the method of ventilation, balanced or exhausts only. Balanced ventilation systems are typically HRV or ERV's. Enter the low and high cfm amounts. Low c fm airflow 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 Ventilation Fan Schedule Description Location Continuous Intermittent Bath Fan Master Bath 80 Bath Fan Main Bath 80 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 c fm 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) Control Located In Mech Room Directions- Describe the operation of the ventilation system. There should be adequate detail forplan 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 on 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 Make-up air Passive (determined from calculations from Table 501.3.1) Powered (determined from calculations from Table 501.3.1) Interlocked with exhaust device (determined from calculations from Table 501.3.1) Other, describe: Location of duct or system ventilation make-up air: Determined from make-up air opening table NR cfm Size and type (round, rectangular, flex or rigid) 21 Page 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 IMC 501.3.3. Please note, if the makeup air quantity is negative, no additional makeup air will be required 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 IMC 501.3.2.3. 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 One or multiple fan- One atmospherically Multiple power assisted vent atmospherically vent or direct vent appliances and gas or oil appliance vented gas or oil appliances power vent or direct or appliances or solid or no combustion vent one solid fuel fuel appliances appliances appliance appliances Column A Column B Column C Column D 1. 0.15 0.09 0.06 0.03 a) pressure factor (cfm/sf) b) conditioned floor area (sf) (including 3367 unfinished basements) Estimated House infiltration (cfm): [1a 505.05 x 1b] 2. Exhaust Capacity a) continuous exhaust-only ventilation system (cfm); (not applicable to balanced ventilation systems such as HRV) b) clothes dryer (cfm) 135 135 135 135 c) 80% of largest exhaust rating (cfm); 240 Kitchen hood typically (not applicable if recirculating system or if powered makeup air is electrically interlocked and match to exhaust) d) 80% of next largest exhaust rating Not (cfm); bath fan typically Applicable (not applicable if recirculating system or if powered makeup air is electrically interlocked and matched to exhaust) Total Exhaust Capacity (cfm); 375 [2a + 2b +2c + 2d] 3. Makeup Air Quantity (cfm) 375 a) total exhaust capacity (from above) b) estimated house infiltration (from 505.05 above) Makeup Air Quantity (cfm); -130.05 [3a - 3b] (if value is negative, no makeup air is needed) 4. For makeup Air Opening Sizing, refer to Table 501.4.2 A. Use this column if there are otherthan 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 included.) 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. 31 Page Makeup Air Opening Table for New and Existing Dwelling Table 501.3.2 One or multiple One or multiple One atmospherically Multiple power fanassisted vented gas or oil atmospherically vent, direct vent appliances and appliance vented gas or oil appliances, power vent or direct or one solid fuel appliances Duct diameter or no combustion vent appliances appliance or solid fuel appliances appliances ColumnA Column B Column C Column D 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 318-419 196-258 136-179 84-110 9 w/motorized damper Passive opening 420-539 259-332 180-230 111-142 10 w/motorized damper Passive opening 540-679 333-419 231-290 143-179 11 w/motorized damper Powered makeup air >679 >419 >290 >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. 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. D. Powered makeup air shall be electrically interlocked with the largest exhaust system. Sections F Combustion air Not required per mechanical code (No atmospheric or power vented appliances) X Passive (see IFGC Appendix E, Worksheet E-1) size and type 4" smooth or 5" Flex Other, describe: Explanation - If no atmospheric or power vented appliances are installed, check the appropriate box, not required. If a power ventedor atmospherically vented appliance installed, use IFGC Appendix E, Worksheet E-1 (see below). Please enter size and type. Combustionair vent supplies must communicate with the appliance or appliances that require the combustion air. Section F calculations follow on the next 2 pages. - - - 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 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 or Power Vent _X_Direct Vent Input: 80000 BTU/HR Water Heater: -Draft Hood -Fan Assisted or Power Vent -Direct Vent Input:_Electric BTU/HR 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: 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). 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: ft3 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 APPLIANCES) Total Btu/hr input of all fan-assisted and power vent appliances Input:-40000 Btu/Hr Use Fan-Assisted Appliances column in Table E-1 to find RFVA:_3000 ft3 Required Volume Fan Assisted (RVFA) Total Btu/hr input of all Natural draft appliances Input: Btu/hr Input: -0 Btu/Hr Use Natural draft Appliances column in Table E-1 to find RVNFA:-none ft3 Required Volume Natural draft appliances (RVNDA) Total Required Volume (TRV) = RVFA+ RVNDA TRV=_3000 + none = 3000 TRV ft3 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. 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 3000 Step K: Calculate Reduction Factor (RF). RF= 1 minus Ratio RF = 1- _ Step 7: Calculate single outdoor opening as if all combustion air is from outside. Total Btu/hr input of all Combustion Appliances in the same CAS Input: Btu/Hr (EXCEPT DIRECT VENT) Combustion Air Opening Area (CAOA): Total Btu/hr divided by 3000 Btu/hr per in2 CAOA = 40000 /3000 Btu/hr per in 13.33 Step 8: Calculate Minimum CAOA. Minimum CAOA = CAOA multiplied by RF Minimum CAOA = 13.33 x =in Step 9: Calculate Combustion Air Opening Diameter (CAOD) CAOD = 1.13 multiplied by the square root of Minimum CAOA CAOD = 1.13 V Minimum CAOA = 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. - . - - - - 51Page IFGC Appendix E, Table E-1 Residential Combustion air (Required Interior Volume Based on Input Rating of Appliance) Known Air Infiltration Rate (KAIR) Method (cu ft) Fan Assisted or Power Vent Natural Draft Input Rating Standard Method 1994 to present Pre-1994 1994 to present Pre-1994 (Btu/hr) 5,000 250 375 188 525 263 10,000 500 750 375 1,050 525 15,000 750 1,125 563 1,575 788 20,000 1,000 1,500 750 2,100 1,050 25,000 1,250 1,875 938 2,625 1,313 30,000 1,500 2,250 1,125 3,150 1,575 35,000 1,750 2,625 1,313 3,675 1,838 40,000 2,000 3,000 1,500 4,200 2,100 45,000 2,250 3,375 1,688 4,725 2,363 50,000 " 2,500 3,750 1,675 5,250 2,625 55,000 2,750 4,125 2,063 5,775 2,888 60,000 3,000 4,500 2,250 6,300 3,150 65,000 3,250 4,875 2,438 6,825 3,413 70,000 3,500 5,250 2,625 7,350 3,675 75,000 3,750 5,625 2,813 7,875 3,938 80,000 4,000 6,000 3,000 8,400 4,200 85,000 4,250 6,375 3,188 8,925 4,463 90,000 4,500 6,750 3,375 9,450 4,725 95,000 4,750 7,125 3,563 9,975 4,988 100,000 5,000 7,500 3,750 10,500 5,250 105,000 5,250 7,875 3,938 11,025 5,513 110,000 5,500 8,250 4,125 11,550 5,775 115,000 5,750 8,625 4,313 12,075 6,038 120,000 6,000 9,000 4,500 12,600 6,300 125,000 6,250 9,375 4,688 13,125 6,563 130,000 6,500 9,750 4,875 13,650 6,825 135,000 6,750 10,125 5,063 14,175 7,088 140,000 7,000 10,500 5,250 14,700 7,350 145,000 7,250 10,875 5,438 15,225 7,613 150,000 7,500 11,250 5,625 15,750 7,875 155,000 7,750 11,625 5,813 16,275 8,138 160,000 8,000 12,000 6,000 16,800 8,400 165,000 8,250 12,375 6,188 17,325 8,663 170,000 8,500 12,750 6,375 17,850 8,925 175,000 8,750 13,125 6,563 18,375 9,188 180,000 9,000 13,500 6,750 18,900 9,450 185,000 9,250 13,875 6,938 19,425 9,713 190,000 9,500 14,250 7,125 19,950 9,975 195,000 9,750 14,625 7,313 20,475 10,238 200,000 10,000 15,000 7,500 21;000 10,500 205,000 10,250 15,375 7,688 22,525 10,783 210,000 10,500 15,750 7,875 22,050 11,025 215,000 10,750 16,125 8,063 22,575 11,288 220,000 11,000 16,500 8,250 23,100 11,550 225,000 11,250 16,875 8,438 23,625 11,813 230,000 11,500 17,250 8,625 24,150 12,075 1. The 1994 date refers to dwellings constructed under the 1994 Minnesota Energy Code. The default KAIR used in this section of the table is 0.20 ACH. 2. This section of the table is to be used for-dwellings constructed prior to 1994. The default KAIR used in this section of the table is 0.40 ACH. - - - 61Page - APR 12 2013 HVAC Load Calculations for Ron Clark s ftroinuNmAL "wNftHVAC. WAC L oADs I I Prepared By: Alan Dobson Burnsville Heating & A/C Inc.. 3451w Burnsville Pkwy, Suite 120 Burnsville,MN 55337 I 952-894-0005 Thursday, April 11, 2013 Rhvac is an ACCA approved Manual J and Manual D computer program. Calculations are performed per ACCA Manual J 8th Edition, Version 2, and ACCA Manual D. Rhvac - Residential & Light Commercial Hv4C Loads Elite Software Development, Inc. i Burnsville Heating & A/C Inc 3593 Lemieux Circle Burnsville, MN 55,337 Pa e2 Pro,'ect Report I General Project Information i Project Title: 3593 Lemieux Circle Designed By: Alan Dobson Project Date: Monday, March 11, 2013 Client Name: Ron Clark Company Name: Burnsville Heating & A/C Inc. Company Representative: Alan Dobson Company Address: 3451w Burnsville Pkwy, Suite 120 Company City: Bumsville,MN 55337 Company Phone: 952-894-0005 Company Fax: 952-894-0925 Company Comment: Design Data Reference City: nneapolis, Minnesota Mi Building Orientation: Front door faces West Daily Temperature Range: Medium Latitude: 44 Degrees Elevation: 834 ft. Altitude Factor: 0.970 Elevation Sensible Adj. Factor: 1.000 Elevation Total Adj. Factor: 1.000 Elevation Heating Adj. Factor: 1.000 Elevation Heating Adj. Factor: 1.000 Outdoor Outdoor Outdoor Indoor Indoor Grains Dry Bulb Wet Bulb Rel.Hum Rel.Hum Dry Bulb Difference Winter: -15 -15.33 80% n/a 72 n/a Summer: 88 73 50% 50% 75 35 Check Figures _ Total Building Supply CFM: _ 1,088 CFM Per Square ft.: 0.323. _ Square ft. of Room Area: 3,367 Square ft. Per Ton: 1,529 Volume (113) of Cond. Space: 30,298 Building Loads _ Total Heating Required Including Ventilation Air: 57,992 Btuh 57.992 MBH Total Sensible Gain: 23,218 Btuh 88 % Total Latent Gain: 3,206 Btuh 12 % Total Cooling Required Including Ventilation Air: 26,424 Btuh 2.20 Tons (Based On Sensible + Latent) Notes Rhvac is an ACCA approved Manual J and Manual D computer program. Calculations are performed per ACCA Manual J 8th Edition, Version 2, and ACCA Manual D. All computed results are estimates as building use and weather may vary. Be sure to select a unit that meets both sensible and latent loads according to the manufacturer's performance data at your design conditions. i \\SBS2011\RedirectedFolders ...\Ron Clark Briarwood 3593 Lemieux Cir,rhv Thursday, April 11, 2013,11:29 AM - - - - Burnsville Heating Residential & A/C Igc~ Commercial HVAC Loads Elite Software 3593 Lemieux Development, Inc. Circle Burnsville VIN 55337 Pa e3 . Miscellaneous Re ort System 1 Main Floor Outdoor Outdoor - Outdoor Indoor Indoor Grains Input Data Dry Bulb Wet Bulb Rel.Hum Rei.Hum Dry Bulb Difference I Winter: 15 -15.33 80% n/a 72 n/a Summer: 88 73 50% 50% 75 35.17 i Duct Sizln~tnputs _ Main Trunk Runouts Calculate: Yes Yes Use Schedule: No No Roughness Factor: 0.00300 0.01000 Pressure Drop: 0.1000 in.wg./100 ft. 0.1000 in.wg./100 ft. Minimum Velocity: 650 ft./min 450 ft./min Maximum Velocity: 900 ft./min 750 ft./min Minimum Height: 0 in. 0 in. Maximum Height: 0 in. 0 in. Outside Air Data Winter Summer Infiltration Specified: 0.320 AC/hr 0.170 AC/hr 161 CFM 85 CFM Infiltration Actual: 0.320 AC/hr 0.170 AC/hr Above Grade Volume: X 30.105 Cu.ft. X 30105 Cu.ft. 9,634 Cu.ft./hr 5,118 Cu.ft./hr X 0.0167 X 0.0167 Total Building Infiltration: 161 CFM 85 CFM Total Building Ventilation: 0 CFM 0 CFM System 1--- Infiltration & Ventilation Sensible Gain Multiplier: 13.87 = (1.10 X 0.970 X 13.00 Summer Temp. Difference) Infiltration & Ventilation Latent Gain Multiplier: 23.26 (0.68 X 0.970 X 35.17 Grains Difference) Infiltration & Ventilation Sensible Loss Multiplier: 92.85 = (1.0 X 0.970 X 87.00 Winter Temp. Difference) Winter Infiltration Specified: 0.320 AC/hr (161 CFM), Construction: Average Summer Infiltration Specified: 0.170 AC/hr (85 CFM), Construction: Average Duct Load Factor Scenarios for System _1 - _ _ Attic Duct Duct Surface From No. Type Desc~on Location Ceiliru~ Leakage Insulation Area MDD 1 Supply Main Attic _ 16B 0.12 6 150 No 1 Return Main Attic 16B 0.24 6 56 No i i \\SBS2011\RedirectedFolders ...\Ron Clark Briarwood 3593 Lemieux Cir.rhv Thursday, April 11, 2013, 11:29 AM A, Rhvac - Residential & Light Commercial HVAC Loads Elite Software Development Inc..I Burnsville Heating & A/C Inc 3593 Lemieux Circle Burnsville, MN 55337 Page 11 ` Total Building Summary Loads T om onent _ Component-- P Area Sen Lat --S-en Total Description Quan Loss Gain Gain Gain hbt: Glazing-hbt, ground reflectance = 0.23, u-value 0.29, 27 681 0 375 375 SHGC 0.3 hbt: Glazing-hbt; ground_reflectance-=-0.23 u-value-0:31, SHGC 0.35 I hbt: Glazing-hbt, ground reflectance = 0.23, u-value 0.31, 12.5 337 0 133 133 SHGC 0.35 hbt: Glazing-hbt, ground reflectance = 0.23, u-value 0.3, 30 783 0 1,215 1,215 SHGC 0.37 hbt: Glazing-hbt, u-value 0.31, SHGC 0.35 21.6 582 0 794 794 hbt: Glazing-hbt, u-value 0.3, SHGC 0.37 24 626 0 924 924 hbt: Glazing-hbt, u-value 0.33, SHGC 0.35 42 1,206 0 459 459 hbt: Glazing-hbt, ground reflectance = 0.23, u-value 0.33, 40.8 1,171 0 1,591 1,591 SHGC 0.35 I hbt: Glazing-hbt, ground reflectance = 0.23, u-value 0.29, 12 302 0 114 114 SHGC 0.3 Front Door: Door- 20.4 248 0 69 69 i hbt: Door-hbt 19 232 0 64 64 12E-Osw: Wall-Frame, R-19 insulation in 2 x 6 stud 2066.8 12,225 0 2,164 2,164 cavity, no board insulation, siding finish, wood studs R-5 wall: Wall- 4100' -8Q8-~t 4,901 0 867 867 I 15BO-1Os3-4: Wall-Basement, , R-10 board insulation to 24 140 0 0 0 3', no interior finish, 4' floor depth I RC Rim Joist: Wall-Frame, Custom, RC Rim joist 256.3 1,850 0 328 328 16B-44-ad: Roof/Ceiling-Under Attic with Insulation on 1766.7 3,383 0 1,866 1,866 Attic Floor (also use for Knee Walls and Partition Ceilings), vented attic, no radiant barrier, R-44 I insulation, dark asphalt 19A-30p: Floor-Over enclosed unconditioned crawl 155 385 0 57 57 space, No insulation on exposed walls, sealed or vented space, passive, R-30 blanket s 20P-5: Floor-Over open crawl space or garage, Passive, 130.4 1,577 0 145 145 R-5 board insulation, any cover 21A-32-v: Floor-Basement, Concrete slab, any thickness, 1599.8 2,784 0 0 0 2 or more feet below grade, no insulation below floor, vinyl covering, shortest side of floor slab is 32' wide Subtotals for structure: 38,271 0 17,688 17,688 People: 2 460 600 1,060 Equipment: 400 1,200 1,600 Lighting: 0 0 0 Ductwork: 4,815 367 2,164 2,531 `i Infiltration: Winter CFM: 161, Summer CFM: 85 14,906 1,979 1,184 3,163 Ventilation: Winter CFM: 0, Summer CFM: 0 0 0 0 0 AED Excursion: 0 0 382 382 _ i Total Building Load Totals: 57,992 3,206 23,218 26,424 Check Figures i Total Building Supply CFM: 1,088 CFM Per Square ft.: 0.323 I Square ft. of Room Area: 3,367 Square ft. Per Ton: 1,529 Volume (W) of Cond. Space: 30,298 Building Loads Total Heating Required Including Ventilation Air: 57,992 Btuh 57.992 MBH I Total Sensible Gain: 23,218 Btuh 88 % Total Latent Gain: 3,206 Btuh 12 % Total Cooling Required Including Ventilation Air: 26,424 Btuh 2.20 Tons (Based On Sensible + Latent) I Notes Rhvac is an ACCA approved Manual J and Manual D computer program. \\SBS201 1\Redi rected Folders ...\Ron Clark Briarwood 3593 Lemieux Cir.rhv Thursday, April 11, 2013,11:29 AM Rhvac - Residential & Light Commercial HVAC Loads Elite Software Development, Inc.' Burnsville Heating & A/C Inc 3593 Lemieux Circle Burnsville MN-11.5.5.13137- Page 15 System 1 Main Floor Summary Loads Component Area Sen Lat Sen Total'' Description Quan Loss Gain Gain Gain - . hbt: Glazing-hbt, ground reflectance = 0.23, u-value 0.29, 27 681 0 375 375 SHGC 0.3 r-hbt:-Glazing-hbt; ground-reflectance-= 0.23 u-value-0.311, 180:1 4;858 - ..........................6;523................_...----- 6;523..::.. SHGC 0.35 l hbt: Glazing-hbt, ground reflectance = 0.23, u-value 0.31, 12.5 337 0 133 133 SHGC 0.35 I hbt: Glazing-hbt, ground reflectance = 0.23, u-value 0.3, 30 783 0 1,215 1,215 SHGC 0.37 hbt: Glazing-hbt, u-value 0.31, SHGC 0.35 21.6 582 0 794 794 hbt: Glazing-hbt, u-value 0.3, SHGC 0.37 24 626 0 924 924 I hbt: Glazing-hbt, u-value 0.33, SHGC 0.35 42 1,206 0 459 459 hbt: Glazing-hbt, ground reflectance = 0.23, u-value 0.33, 40.8 1,171 0 1,591 1,591 SHGC 0.35 hbt: Glazing-hbt, ground reflectance = 0.23, u-value 0.29, 12 302 0 114 114 SHGC 0.3 Front Door: Door- 20.4 248 0 69 69 hbt: Door-hbt 19 232 0 64 64 12E-Osw: Wall-Frame, R-19 insulation in 2 x 6 stud 2066.8 121225 0 2,164 2,164 cavity, no board insulation, siding finish, wood studs R-5 wall: Wall- 828.4 4,901 0 867 867 15BO-10s3-4: Wall-Basement, , R-10 board insulation to 24 140 0 0 0 i 3', no interior finish, 4' floor depth RC Rim Joist: Wall-Frame, Custom, RC Rim joist 256.3 1,850 0 328 328 16B-44-ad: Roof/Ceiling-Under Attic with Insulation on 1766.7 3,383 0 1,866 1,866 Attic Floor (also use for Knee Walls and Partition Ceilings), vented attic, no radiant barrier, R-44 insulation, dark asphalt i 19A-30p: Floor-Over enclosed unconditioned crawl 155 385 0 57 57 space, No insulation on exposed walls, sealed or vented space, passive, R-30 blanket 20P-5: Floor-Over open crawl space or garage, Passive, 130.4 1,577 0 145 145 R-5 board insulation, any cover 21A-32-v: Floor-Basement, Concrete slab, any thickness, 1599.8 2,784 0 0 0 2 or more feet below grade, no insulation below floor, vinyl covering, shortest side of floor slab is 32' wide Subtotals for structure: 38,271 0 17,688 17,688 i People: 2 460 600 1,060 Equipment: 400 1,200 1,600 Lighting: 0 0 0 Ductwork: 4,815 367 2,164 2,531 r Infiltration: Winter CFM: 161, Summer CFM: 85 14,906 1,979 1,184 3,163 ! Ventilation: Winter CFM: 0, Summer CFM: 0 0 0 0 0 AED Excursion: 0 0 382 382 System 1 Main Floor Load Totals: 57,992 3,206 23,218 26,424 Check Fi~ures____ Supply CFM. 1,088 CFM Per Square ft.. 0.323 ' Square ft. of Room Area: 3,367 Square ft. Per Ton: 1,529 Voiume (W) of Cond Space: 30,298 System Loads I Total Heating Required Including Ventilation Air: 57,992 Btuh 57.992 MBH Total Sensible Gain: 23,218 Btuh 88 % Total Latent Gain: 3,206 Btuh 12 % Total Cooling Required Including Ventilation Air: 26,424 Btuh 2.20 Tons (Based On Sensible + Latent) Notes Rhvac is an ACCA approved Manual J and Manual D computer program. \\SBS2011\RedirectedFolders ...\Ron Clark Briarwood 3593 Lemieux Cirrhv Thursday, April 11, 2013,11:29 AM Rhvac - Residential & Light Commercial HVAC Loads Elite Software Development, Inc. Burnsville Heating & NC Inc 3593 Lemieux Circle Burnsville MN 55337 Page 19 , System 1, Zone 1 Summary Loads (Peak Load Procedure for Rooms) Component Area Sen- - _Laf - Sen Total Description Quan Loss Gain Gain Gain 11 hbt: Glazing-hbt, ground reflectance = 0.23, u-value 0.29 15 378 0 142 142 SHGC 0.3 ~H.hbt: Glazing~hbt,-ground-reflectance = 0.23, u-value 0.31, 83.1 2,241 0 2,765 2,765 SHGC 0.35 hbt: Glazing-hbt, ground reflectance = 0.23, u-value 0.31, 12.5 337 0 133 133 SHGC 0.35 hbt: Glazing-hbt, ground reflectance = 0.23, u-value 0.3, 30 783 0 1,215 1,215 SHGC 0.37 hbt: Glazing-hbt, u-value 0.31, SHGC 0.35 21.6 582 0 794 794 hbt: Glazing-hbt, u-value 0.3, SHGC 0.37 24 626 0 924 924 hbt: Glazing-hbt, u-value 0.33, SHGC 0.35 42 1,206 0 459 459 Front Door: Door- 20.4 248 0 69 69 hbt: Door-hbt 19 232 0 64 64 12E-Osw: Wall-Frame, R-19 insulation in 2 x 6 stud 1545.9 9,144 0 1,618 1,618 cavity, no board insulation, siding finish, wood studs 16B-44-ad: Roof/Ceiling-Under Attic with Insulation on 1766.7 3,383 0 1,866 1,866 Attic Floor (also use for Knee Walls and Partition Ceilings), vented attic, no radiant barrier, R-44 insulation, dark asphalt 19A-30p: Floor-Over enclosed unconditioned crawl 155 385 0 57 57 space, No insulation on exposed walls, sealed or vented space, passive, R-30 blanket 20P-5: Floor-Over open crawl space or garage, Passive, 130.4 1,577 0 145 145 R-5 board insulation, any cover i Subtotals for structure: 21,122 0 11,923 11,923 People: 2 460 600 1,060 Equipment: 400 1,200 1,600 Lighting: 0 0 0 Ductwork: 2,596 0 1,275 1,275 Infiltration: Winter CFM: 81, Summer CFM:43 7,548 1,002 600 1,602 System 1, Zone 1 Load Totals: 31,266 1,862 15,823 17,685 Supply CFM: 741 CFM Per Square ft.: 0.420 Square ft. of Room Area: 1,767 Square ft. Per Ton: 1,199 Volume (fta) of Cond. Space: 15,900 Zone Loads Total Heating Required: 31,266 Btuh 31.266 MBH i Total Sensible Gain: 15,823 Btuh 89 % Total Latent Gain: 1,862 Btuh 11 % Total Cooling Required: 17,685 Btuh 1.47 Tons (Based On Sensible + Latent) Notes Rhvac is an ACCA approved Manual J and Manual D computer program. Calculations are performed per ACCA Manual J 8th Edition, Version 2, and ACCA Manual D. All computed results are estimates as building use and weather may vary. Be sure to select a unit that meets both sensible and latent loads according to the manufacturer's performance data at your design conditions. i \\SBS201 1 \RedirectedFolders ;.\Ron Clark Bdarwood 3593 Lemieux Cir.rhv Thursday, April 11, 2013,11:29 AM Rhvac - Residential & Light Commercial HVAC Loads Elite Software Development, Inc. Burnsville Heating & A/C Inc 3593 Lemieux Circle j Burnsville, MN 55337 PMe ZQ System 1, Zone 2 Summary Loads (Peak Load Procedure for Rooms) om Went Component-- Po Area Sen Lat _ Sen Total Descriiption Quan Loss Gain Gain Gain' ftbt: Glazing-hbt, ground reflectance = 0.23, u-value 0.31, 97 2,617 0 3,758 3,758 SHGC 0.35 hbt; Glazing-hb ground=reflectance-=-0:23, u-value-0:3-3;- 40.8- t;t-71, 0 1;591 1;591 SHGC 0.35 hbt: Glazing-hbt, ground reflectance = 0.23, u-value 0.29, 12 303 0 233 233 SHGC 0.3 hbt: Glazing-hbt, ground reflectance = 0.23, u-value 0.29, 12 302 0 114 114 SHGC 0.3 12E-Osw: Wall-Frame, R-19 insulation in 2 x, 6 stud 520.9 3,081 0 546 546 cavity, no board insulation, siding finish, wood studs R-5 wall: Wall- 828.4 4,901 0 867 867 15BO-10s3-4: Wall-Basement, , R-10 board insulation to 24 140 0 0 0 3', no interior finish, 4' floor depth RC Rim Joist: Wall-Frame, Custom, RC Rim joist 256.3 1,850 0 328 328 21A-32-v: Floor-Basement, Concrete slab, any thickness, 1599.8 2,784 0 0 0 2 or more feet below grade, no insulation below floor, vinyl covering, shortest side of floor slab is 32' wide Subtotals for structure: 17,149 0 9,404 9,404 People: 0 0 0 0 Equipment: 0 0 0 Lighting: 0 0 0 Ductwork: 2,219 0 889 889 ' Infiltration: Winter CFM: 79, Summer CFM: 42 7,358 977 584 1,561 System 1, Zone 2 Load Totals: 26,726 977 11,034 12,011 Check Figures Supply CFM: 517 CFM Per Square ft.. 0.323 Square ft. of Room Area: 1,600 Square ft. Per Ton: 1,599 Volume (11:3) of Cond. Space: 14,398 Zone Loads Total Heating Required: 26,726 Btuh 26.726 MBH Total Sensible Gain: 11,034 Btuh 92 % Total Latent Gain: 977 Btuh 8 % , Total Cooling Required: 12,011 Btuh 1.00 Tons (Based On Sensible + Latent) Notes Rhvac is an ACCA approved Manual J and Manual D computer program. Calculations are performed per ACCA Manual J 8th Edition, Version 2, and ACCA Manual D. All computed results are estimates as building use and weather may vary. Be sure to select a unit that meets both sensible and latent loads according to the manufacturer's performance data at your design conditions. i i ~ \\SBS2011\RedirectedFolders ...\Ron Clark Briarwood 3593 Lemieux Cir.rhv Thursday, April 11, 2013, 11:29 AM Rhvac - Residential & Light Commercial HVAC Loads r Elite Software Development, Inc. I Burnsvilte Heating & A/C Inc 3593 Lemieux Circle Burnsville MN 55337 Pa e 40 S stem 7 Room Load Summa Htg Min _ Run Run Clg Clg Min Act Room Area Sens Htg Duct Duct Sens Lat Clg Sys No Name SF Btuh CFM Size Vel Btuh Btuh CFM CFM I ---Zone 1--- 1-Foyer 50 703 ----9 1-2 432 -201 20 9 9--1----- 2 Den 208 3,093 41 1-5 272 791 113 37 37 I 3 Powder Room 80 2,757 37 1-4 340 633 105 30 30 4 Kitchen 234 2,520 34 1-6 466 1,951 90 91 91 I 5 Great Room 360 5,191 69 1-8 526 3,916 165 183 183 6 Master Bedroom 202 4,034 54 1-7 576 3,288 601 154 154 7 Master Bath 280 2,563 34 1-3 573 600 99 28 28 8 Laundry 126 1,153 15 1-2 581 271 445 13 13 9 Sunroom 155 7,191 96 1-8 509 3,794 134 178 178 I 10 Mud Room 72 2,061 28 1-3 362 379 90 18 18 Zone 1 subtotal 1,767 31,266 419 15,823 1,862 741 741 ---Zone 2--- 11 Basement 1,600 26,726 358 1-12 658 11,034 977 517 517 Zone 2 subtotal 1,600 26,726 358 11,034 977 517 517 Duct Latent 367 System 1 total 3,367 57,992 776 23,218 31206 1,088 1,088 System 1 Main Trunk Size: 12x16 in. I Velocity: 816 ft./min Loss per 100 ft.: 0.097 in.wg Note: Since the system is multizone, the Peak Fenestration Gain Procedure was used to determine glass sensible gains I at the room and zone levels, so the sums of the zone sensible gains and airflows for cooling shown above are not intended i to equal the totals at the system level. Room and zone sensible gains and cooling CFM values are for the hour in which the glass sensible gain for the zone is at its peak. Sensible gains at the system level are based on the "Average Load i Procedure + Excursion" method. Cooling System Summer Cooling Sensible/Latent Sensible Latent Total I Tons Split Btuh Btuh Btuh Net Required: 2.20 88%/12% 23,218 3,206 26,424 I ~ I ~ E I i I t \\SBS2011\RedirectedFolders ;.\Ron Clark Briarwood 3593 Lemieux Cir.rhv Thursday, April 11, 2013,11:29 AM A 1 " LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION PROPERTY LEGAL: m4 4;4w 5 DATE OF SURVEY: LATEST REVISION: a~ a~ c s U O z Q DOCUMENT STANDARDS ❑ ❑ • Registered Land Surveyor signature and company ❑ ❑ • Building Permit Applicant -ef ❑ ❑ • Legal description ~Z ❑ ❑ • Address ,2 ❑ ❑ • North arrow and scale ❑ ❑ • House type (rambler, walkout, split w/o, split entry, lookout, etc.) ❑ ❑ • Directional drainage arrows with slope/gradient % )zr ❑ ❑ • Proposed/existing sewer and water services & invert elevation fd' ❑ ❑ • Street name ,el ❑ ❑ • Driveway (grade & width - in R/W and back of curb, 22' max.) ❑ ❑ • Lot Square Footage ❑ ❑ • Lot Coverage ELEVATIONS Existing ❑ ❑ Property corners ❑ ❑ Top of curb at the driveway and property line extensions ❑ Elevations of any existing adjacent homes X El [I ❑ Adequate footing depth of structures due to adjacent utility trenches ❑ ❑ Waterways (pond, stream, etc.) Proposed ❑ ❑ Garage floor ❑ ❑ Basement floor ❑ ❑ • Lowest exposed elevation (walkout/window) ❑ ❑ • Property corners ❑ ❑ • Front and rear of home at the foundation PONDING AREA (if applicable) ❑ ,,0 ❑ • Easement line ❑ ,B ❑ • NWL ❑ ❑ • HWL ❑ ' ❑ • Pond # designation ❑ 0 ❑ • Emergency Overflow Elevation ❑ 'z ❑ • Pond/Wetland buffer delineation Y A • Shoreland Zoning Overlay District Y Conservation Easements DIMENSIONS ❑ ❑ 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) ,B' ❑ ❑ • Show all easements of record and any City utilities within those easements ❑ ❑ • Setbacks of proposed structure and rd setback of adjacent existing structures ',0 ❑ ❑ • Retaining wall requirements: Reviewed By: Date.. G:/FORMS/Cert. of Survey Checklist Rev. 3-3-11 Certificate of Survey for: RON CLARK CONSTRUCTION & DESIGN °-952.8 Denotes Existing Elevation Job # B1601.10-123 Book/Page: xxx xx 981,5 Denotes Proposed Elevation 1V Scale: 1"=30' Date: 02/25/2013 GD Denotes Surface Drainage O Denotes 1/2" iron pipe set HOUSE TYPE: TOWNHOUSE FULL BASEMENT WALKOUT • Denotes 1/2" iron pipe found. PROPOSED HOUSE ELEVATIONS: GARAGE FLOOR ELEVATION = 883.5 `^`!918 fm SI®~S$ TOP OF FOUNDATION ELEV = 883.8 t =g a4'1 Wall LOWEST FLOOR ELEVATION = 875.1 1g Wig L: a,c~rro RED' IVED it I y\ \ * 9 Z 0 ALL OF LOT 29 IS A LT DRAINAGE & UTILITY EASEMENT ~~~Ty\ \ 0 N89'53'33"E 120.00 '4'' ° ^6 / e o~ PROPOSED / T~ r°A`'~s ri~ ~s z E" L__ I ! _ 55.63 - i RET. WALL /q z _T_ 12.30 - 0.5 ~ r,% > ~I s, 6,3~3s"bV r1 00I ~ ~ hri 8 ~ .z 9j Bj 6y . I I 9, 2 O co O r 15.0 M I c w • , O I L1J wm h~U4 26.5 `0 0O l.. T-- °a 00 0 01 viui 2.0 r7O / 0.; _j C6 I N ♦ M° 8~ CS "O XI r D J ~L J 2 I o Z ~ee2 31.0 883.5 ?R O H J o o m rn 0 • u r 0 GARAGE o) i5 . j SA>M M< K) Lq 3 a ^%K 010.5 e's < ° _j 41Z r, I I 00 > ch, s E N89'S3'33"E m 120.00 lb i-\ 0 ? 6 NN Lv ~I0~ 00 0 s 8>R V) pry 00 0. \ - z 10.5 O 0) GARAGE N I N I C14 2 N to a 8 f y It I- (N a I r- 0 22 o . a_ n ~ L.L L 1 J Z F ~ a O 30.0 883.5 p pw as I L~ O a tY°~2.0 Ico 00 CS z4k Kj ~ I- -cod 6) a- h`r O 0p Z h , I W o N sr~ 26.5 0i' cD J O,p Z C y0' ? o n 0 cb ^ s `~G~~L9~ o - T - ( X A L h 15.06 I ( I 00 660 • n I 1° ' 9~ 0~ G N89.53 33 E 120.00 \PROPOSED I RET. WALL I A- 11 1 COT211 I I I I I I I EAGAN REV I ~ ED BY. By DaX DATE: EAGAN ENGINEERING DEPT, Lots 21 and 22, Block 1, PEARLMONT HEIGHTS, Dakota County, MN I hereby certify that this survey, plan, or report was prepared by me or under my direct supervision and that . I am a duly Licensed Land Surveyor under the laws of the state of Minnesota. Oliver Surveying & Engineering, Inc. ~ 01tver° S'ur°n ng & En nee ng 1w. By: Rick M. Blom, LS Laid Sicaveying ° Oval Engkoaft - Land Planning License No. 21729 580 Dodge Ave. E&Rhw, MN 35330 ° 763.441.2072 • faa 763.441.5665 Date: 03/04/2013 www.ofiver-spcom REVISED: 03/18/2013 ADDED PORCH, Lot 21 & 03/20/2013 RECEIVED APR 3 0 2013 Page of Daily Soil Observation Notes Project No: 3313 Project Name: 71„- Project Location: 4 Date: Report No: Client!, Project Manager: ° Temp/Weather: -- Time Arrived: Departed: v, , , -,,,,. • ' : , ,',41' ' 'f^,,,tr ' ' ,,„ ,,,1 - - ' •P, '''' '.-1,;,4" r '''.. -,',. AreasObserved: 0 Buiiding Pad CD House Pad 0 Roadway CD Parking/Walks El Footing 0 Proof Roll 0 Other (describe) ", - ' 7-1 -: -', - , ,-- %. -,. Soil report available? 0 Yes No Report reviewed? 0 Yes No Report prepared by: enchmark: Benchmark evaluation: Benchmark provided by: Finish floor evaluation: Bottom of footing elevation: Bottom of excavation elevation: Approved plans available? Specified compaction: Fill source: Oversizing appears adequate NA E3 Yes 0 No Soils observed agree with Soils report? 0 Yes 0 No Soils appear adequate for design loads? t:f Yes El No Proposed project bearing capacity (psf): Contractor notified of results? ' Yes 0 No Name of person notified: Was a copy of this report left on site? Yes 1:=1 No If so, whom was it submitted to? ' \ ,./4' — , .,.. , e ' ' , J" A h. .4....? 1. - , -...-- ...., 1 1 • 1. . . .„. 111).- : • 4\vNeA—s, Performed By • ‘3,-, Reviewed By: Date: 77„X , This is a preliminary report and is provided solely as evidence that field observations and/or testing was performed. Observations and/or conclusions and/or recommendation conveyed in the final report may vary from, and shall take precedence over, those indicated in a preliminary report. City of Eagan PERMIT City of Eaan Permit Type: Building Permit Number: EA111044 Date Issued: 06/10/2013 Permit Category: ePermit Site Address: 3593 Lemieux Cir Lot: 22 Block: 01 Addition: Pearlmont Heights PID: 10-56950-01-220 Use: Description: Sub Type: Fireplace Work Type: Gas Insert Description: Census Code: 434 - Zoning: Square Feet: 0 Construction Type: Occupancy: Comments: Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required by law in ALL single family homes. Mallory Miller Fee Summary: BL - Base Fee $3K $88.50 Surcharge - Based on Valuation $3K $1.50 0801.4085 9001.2195 Total: $90.00 Contractor: Hearth And Home Technologies 2700 N. Fairview Ave Roseville MN 55113 (651) 638-3309 - Applicant - Owner: Pearlmount Heights Llc 7500 78th St W Edina MN 55439 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 pit/i4,-r. /c). /©M/ May 31, 2013 Project Number: 13-210 Gopher State Concrete 9110 Grand Ave S Bloomington, MN 55420 Re: Soil Observation Report Proposed Single Family House 3591 Lemieux Circle Eagan, Minnesota Dear Mr. Jeff Sjobert; We have recently completed an excavation observation and hand auger probes for the proposed single family house at 3591 Lemieux Circle in Eagan, Minnesota. 11399 Our site visit was conducted on April 22nd, 2013, just prior to the footing pour of the proposed house. Hand auger probes were conducted along the excavated bottom and with the house and deck footings. The soils encountered were native granular materials and consisted of poorly graded sand, poorly graded sand with silt and silty sand. It is our opinion, based on the soils encountered that the soils are suitable for the anticipated loads, with an estimated bearing capacity of 2000 psf. Thank you for the opportunity to assist you on this project. If you have any questions or need additional information please contact Joe Westphal at 612.269.4027. Sincerely, Haugo GeoTechnical Services, LLC. Joe Westphal, P.E. Project Engineer 1 3570 GRDVE ©RIPE `278, MAPLE GRCIVE, MN 55311 Date: Gity of Eaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: L 2013 RESIDENTIAL BUILDING PERMIT APPLICATION 26113 Site Address: ? LA' tr,►T2tux CtirCIC Resider Owner Type of•W1 Unit #: Name: Ron CSI (vIC. Cir ---f L .-h(: Phone: CI669—aµ7- ClO'_ Address / City / Zip: —7:' ) Y) if j 1011. fit - Ecl tlr% 439 Applicant is: Owner )( Contractor Description of work: Construction Cost: ' 151 -.co Multi -Family Building: (Yes / No ) Company: K, - )t SNt EX C: kJ 0.41 rVj L _ Contact: d Y'1c rt ci.e. Address: t'1C `,3 rear wd 61 -re 4 City: E. v4. Pn.i State: rilrit4 Zip: 5F-1S1�J Phone: Go51 4h1- 3 tr._C © License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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: Mechanical Contractor: Phone: 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.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 Minnesota State Building Code must be completed within 180 days of permit issuance. x'NrInSY� Applicant's Printed Name Wit Applicant s Signature Page 1 of 3 10g pii‘Za 1' 17 CityofEa 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: 1 1'ag.3g Permit Fee: Date Received: Staff: Q 1 5113 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 8 i 1 • 3 Site Address: 3991 -'b513 !.Z'ti'EQ)<' s Unit #: Name: ,. GL c0+IJST. D'ioveg>I._I, Phone:I 2.'4" 1.3038 Address / City / Zip: -1 14.1 --1S11-1 Vicle...14. 155j4641 Applicant is: Owner "Contractor Description of work: Construction Cost: $4455, oczQ Company:gz1/'E, Multi -Family Building: (Yes / No ) Contact: Address: City: State: Zip: Phone: License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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? ,,�...y�J /Yes No If yes, date and address of master plan: 4.4z .�1� .! .99211.-S915 LE 1. 4.I1L. Licensed Plumber: 12,L.1& J.t ?J2 }�'�'C�..� . Phone:1 SZ,.4 . 4C 2. Mechanical Contractor: 'L)Lt...Lsivin - . �,.�'�;,il\�[" (�l4 Phone: ate2.45.5q4. 0005 Sewer & Water Contractor: '71...Q. Phone: F 3 3 J5 > r a'� AOantl supportingdocuments that you submit are consideree► to.be pu t . S a cu is e information maybe classified as non prib/�c if you prov�ale specs is reason conclude that they aretrade secret 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.00pherstateonecall.ora 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 days of permit issuance. x 1-4A3271,2=• J 11L Applicant's Printed Name vls) igriature Page 1 of 3 City of Eagan PERMIT City of Eaan Permit Type: Building Permit Number: EA119600 Date Issued: 12/09/2013 Permit Category: ePermit Site Address: 3593 Lemieux Cir Lot: 22 Block: 01 Addition: Pearlmont Heights PID: 10-56950-01-220 Use: Description: Sub Type: Fireplace Work Type: Gas Insert Description: Census Code: 434 - Zoning: Square Feet: 0 Construction Type: Occupancy: Comments: Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee $3K $88.50 Surcharge - Based on Valuation $3K $1.50 0801.4085 9001.2195 Total: $90.00 Contractor: Hearth And Home Technologies 2700 N. Fairview Ave Roseville MN 55113 (651) 638-3309 - Applicant - Owner: Pearlmount Heights Llc 7500 78th St W Edina MN 55439 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 RIC, Inca 8730 Egan Drive Savage, MN 55378 952.736.5930 www.ric-mn.com anuary 6, 2014 Ron Clark Construction 7500 West 78th Street Edina, MN 55439 To Whom It May Conce] RECEIVED FEB 0 5 2014 ESIDENTIAL SMP OVEMENT CONTRACTORS I N C . priN41 r # /, AI. 3 r I confirm that 3591 and Lemieux Circle Eagan, MN were constructed per sheer w by Larson Specialty Structures, Inc. dated October 15, 2013. Feel free to contact me with any questions. Wade Kranz Cell# (612) 220-1851 Office# (952) 736-5930 RIC, Inc. License #639105 1 design Atiuho410101111 :siit�e i1,ll� �� ?� jilt 0, 4 kikdi to: z 0 U) z 0. G.� CiN 0 s rZ ki 0 41. Larson Larson Specialty Structures, Inc 5931 Hobe Lane White Bear Lake, Minnesota 55110 651 429 5143 Fax; 651 207 8146 lnternetengineering@Comcast.net l hereby certify that this plan, specification or report was prepared by me or under my direct supervialon and that 1 em a duly Licensed Professional Engineer under the tam oftate of Minnesota. Wayne C. Dateed '/j 'j License 17831 611,40A1...) Comm. No. *1 55 Qimai_ m i 1110K rillimilf II fr °q�l+liiiioHiiiIII 1, C LU • Larson Larson Specialty Structures, Inc 6931 Hobe Lana White Bear Lake, Minnesota 55110 661 429 5143 Fax 651 2078146 internetengineering@comcast.ttet I hereby certify that this plan, specification or report was prepared by me or under my direct eupervieton and that im s duly Licensed ProfessionalEngineer under the WWII of ihe, State of Minnesota. G - Wayne �. L son nate/615 .,13 License # 7831 i 4•t AjU(, ead5r Ctsmm. tJo. �'', umll aI 1 IUfm 1O ttuimluWuWltlW f 11ilk€04000e Larson Larson Specialty Structures, Inc 5931 Hobe Lane White Bear Lake, Minnesota 55110 061 429 5143 Fax 651 207 8146 Interne#engineering@comcast.net I hereby certify that this plan, *saltiest'orti or report was prepared by me or under my direct supervision and that! ani 5 duly Licensed Professional Engineer under the t lawl e State of Minnesota. Wayne C. arson V pate lQ. -/S= Z ,? manse # 7831 itA 114 124u 4c6..e0Ais7 Larson Larson Specialty structures, Inc 5931 Hobe Lane White Bear Lake, Minnesota 55110 651 4295143 Fax: 851 2078148 intornetengineering@aamcast.net i hereby certify that this plant specification or report was prepared by me or under my direct aupervialan and that 1 am a duty Licensed Professional Engineer under the laws ai We State of Minnesota. 1-11 WayneC. n pate /6-1 7D /3 License # 7831 t2.o, ,l Ct./Ike-1h Co A f:. Lamm. No. 9 5*$* ellas 'Larson Larson Specialty Structures, Inc 6931 Hobe Lane White Bear Lake, Minnesota 55110 651429 514$ Fax: 651207 8146 internetengineering@comcast.net 1 hereby certify that this plan, specification or report was prepared by me or under my direct supervision and that tam a duly Licensed Professional Engineer under the laws sti tVefitate of Minnesota. Wayne C. Lrfrson Date its •15' 2013 License # 7831 ,f11 mut eti ezueAsd..) ,fk,44, Comm. No. 5"�✓"' 0 0 CO IIeM atuod Larson Larson Spec aity Stnictures Inc 5931 Hobe Lane White Bear Lake, MN 55110 651 429.5143 Fax: 651 429-6781 www.mildredliPoonicastnet I hereby sway that Ms plan. Emanation. or mod was oreciarecl rrte orunder midi/est isnot:Melon and that I am a &iv Domed Professional EfigiflOW under the laws ot the Mate of Minnesota. pant Nam: Wayne C. Lar$011 Sitinalunsi )4444/LIP Date: k,4[-2.4/1 License # 7831 n— eVellto r•ftilich pt..' 6f, Pe mom. No. L. w .43 JG O 3 cd m 1.3 va.P. u id s9$ L M Si 2Larson spec:laity ure$ Inc 5931 Hobe Lane White Bear Lake, MN 55110 6.,1429.5143 Fax: 651 429-6761 www.madradl@oomcasinet t water vary that this plan, so fasatton, o report was wowed by me or under my drsd supervision and that I am a ddy Licensed Proi,ssiona, Enptnear under the laws of the stato of 1 nnesota. Nat Name: W ne C. Larson License * 7831 its CLAttie Gama.Na ) 'J Larson Specialty Structures, Inc 5931 Kobe Lane White Bear Lake, Minnesota 55110 651 429 $143 Fax: 651 207 8146 intemetengineering@cotncaet,net I hereby certify that this plan. specification or report was prepared by me or under my direct supervision and that 1 am a duly Licensed Professional Engineer under the laws e{ tM State of Minnesota.. • • • 494hi L Larson Larson Specialty Structures Inc 5931 Hobe Lane White Seer Lake, Minnesota 55110 551 429 5143 Fax 551 4296761 www.mikkedlecomcestriet hereby certify that this plen, specification, or report was prepared by me or under my direct swervin and that I sin a duly Llcensed Professfortid Enghteer under the laws of the State of Minnesota. Print Name Wzvm C. Larson _ Date_ /6-0' i3 _license 7831 fang. (-,NIze toNfer comm.N0.1c53- --1 tp T_ . . T ... . : - _:� . .. .._- . . . , . _ ____ _ __ _ ___ _ ____ __ ________ _ . ._. . . .� _� � . ... . . __ . . _ __ __ _ _ _ __ ___ _ , 952 445 7487 Line 1 12:24:11 p.m. 10-16-2015 2 J2 Use BLUE or BLACK Ink -----------------,. ' � Fo�Office Use � . � I Permit#: /�� Clty Of�� . - ,--1, '�� Permit Fee: ��l_.1' � 3830 Pilot Knob Road � � Eagan MN 55122 I Date Received: � Phone: (651)675-5675 � i � Fax:(651)675-5694 � Staff: � � �..��.�J 2015 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 10/Ibr/� SiteAddress: 3Sg3 `r��EU� GIRGLEr f�AG/AN /vJnl Tenant: STEV� /�LT►'►'1�qN/J Suite#: �?�;�;?s�`":;:`�35�#`s;..a.;�„:i-,:w,r c��-.., ��yr:S:�s`,{r`"�M��S =;e'.�'ii�lzit�a-u'.-'_°.. ,��..__��;�''.� , t� ��;�*�1s Name: STEV� �Ll%1'1 „ `�?�:,��. �}k�v. AA11V Phone: 61Z�Zg'2^i�t ZS ;��R��cle t�� ;iei;�;� �- �� . ... �-• ..��.:��:r*j� Address/City/Zip: 3Sg3 LEMJ�VX GlQCLC" �ffCsi/9A1 /YJ1V �:;'.:.. � i»�' '=s- �•r.': :u•^_ _..�. _"^Fi S�!a?�.. �'^ ;' ��r'�S j u:�,s.a.'i ��'`..z�ss�... �;:'S�C,�ic'FuC.i�'.z^_: . ;� r`,�� •'�'�,,f��r'.� Name: ELANnL�Q VVIECN9NIGflL License#: Pn')��2��{ �.�-� ��t: '�y]�y' F_1.,4^i' i��1.� :Y•I'J'�a�i..'yi'�'Y't. #..�'M:1}� "� �v,,.N� �-. •��P�, ,�;_ � � ' r�� Address: 70� UALLEY I NDV51�IA� ��2��ESc�cy: syA�kO�C� . - .,, Q::� � �,..�,,��;� � ,., "'�_ :�,�r�: .r�?�'�!3�'�`�= State: Y►')N Zip: S S 3 7�j Phone: �ISZ- y4S- �169 Z pr��eN - 7 :; ,,n - 4��+,��:-i s�� p�"` ,r ;,�.�,,�`;�� Contad: a o5H Email: SERVI GE�E�NOE�tNECN13N/C19L.CD�Y! ,•..: :-r •;�:,;a�_ . .,i.s ��,�. �� :.:; s� ,. t::'•�`�;i`,�1�� `�a ; = `-. New Re lacement Re air Rebuild � � �!•- _ _ p _ p _ �C Modify Space _Work in R.O.W. �� `=:x,��,, +F�e.. �...:. : b� .,• �I�� <��S-l� .�Lc p-d ;�f `= ' , ':c .""��,i?,!�:N ,�_';�, '°,.. = '.:•�:;��,�,�„ Description of work: si?:� P E�'� -.. „�..__..,�,t, ..�_��;fi._;� : �. �r�;�,.� RESIDENTIAL r.,;"'�hs•, _ 'S r.'-�,�„s�°�=`=;r�i�'� ��.,;e �';� ��'��*°� ,�,,�3��'�� Water Heater ,�P��` �'�`} � ` '��' Water Softener ��-�; 5�°��;.' "�,�`t;.,;u, ; -�� .• �'Z�€� `��i�a�, Lawn Irrigation�RPZ 1_PVB) ��-�. 1.�. �� a��R��•'- ��f il�i.i �! �•�� >�? �t �• � J� Add Plumbing Fixtures(___Main/ X Lower Level) t'' �� #�� Septic System — �: �;�;'� �'��:e-,��,� , -�, ` � i-�7`�+I''�,,��, � �n t(�;�"','.3. '•��.� ?�f-�'�3�� Water Tumaround � ,:� �,..'..,s„--,� . New ��,�.; ��a�:�;�;�;< �� — ;b -• _ - - •- - - - ,:��E��ir - _�__�: '- .-}''��.�;�:�;m��" Abandonment aAsEmt�✓T �INJS/�' R+ RESIDENTIAL FEES: $60.00 Water Heater,Water Softener, or Water Heater'and Softener(includes State Surcha�ge) $60.00 Lawn Irrigation(includes State Surcharge) $60.00 Add Plumbing Fixtures, Seatic Svstem Abandonment,Wate�Turnaround'`(inGudes State Surcharge) *Water Turnaround(add$210.00 if a 5/8"meter is required) $115.00 SeDtic SYstem New(includes County fee and State Surcharge) TOTAL FEES$ CALL BEFORE YOU DIG. Call Gopher State One Call at{651)454-0002 for protection against underground utility damage. . Call 48 hours befo re ou intend y to di to receive locates of under round utilities. www. o hers o I 9 tate necal.or g ap a I hereby acknowled e that this info�mation is com lete and r 9 accu ate•that the work will be in confo ma ce wi h fi r n t eo i P t rd nances and codes of the Cif of Y Eagan; that I understand this is not a ermit, but onl an a lication for a ermit and work is not o it P Y pP p t start w hout a ermit�that the wo�k will be in P � accordance with the approved plan in the case of work which requires a review and a roval of lans. 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(,1WT1�'',. . .' Address/City/Zip: ► , . Z 1''a.r' Applicant is: Owner t Gorrtiaci�oY`� � . . T�p� a�1�Y0�C�=�; Description of wor : �'� i lj � � �d W��"' �P�VP� � Construction Co� � . � Multi-Famil Buildin : es /No � Y 9 n' � � ' Company: Contact: .:i •� �� , 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: � j� :*y �'.a . ,.;, a ' : .},. � . Sewer&Water Contractor: Phone�: Fire Suppression Contractor: � i • � } � Phone: AI�JT�:Pla��nd s�pt>r�#ng�o�t�m�er��at y��ar�cc��s�'ed t�be�bl�� ?��o�s o�' the��orr►��#i��y be�f�ssifie ��t�r�n p��i��`i�'��pro�r�le s�ecifl�re�rr�t��p�r��tf�� i#y to cr�r��ale t�t��t� "�rs tra�le�ecr�s. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Ca1148 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.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 Building Code must be completed within 180 days of permit issuance. x �T�iV-E'- /�, � ��G�,V1 l/� " ApplicanYs Printed Name ' ApplicanYs Signature .� Page 1 of 3 3�3 C�rn�eu s� C„ti/� DO NOT WRITE BELOW THIS LINE �,��Zr'� �(G'J K 1 � 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 � Z6,�a � �o Occupancy �L C� l MCES System Plan Review Code Edition �'h�12�15 SAC Units (25%_ 100%�C) Zoning �_ City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction � Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) � Final/ No C.O. Required Foundation � HVAC Gas Service Test Gas Line Air Test � Roof:_Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final � Framing Drain Tile �C Fireplace:�Rough In �Air Test �C Final Siding: _Stucco Lath _Stone Lath _Brick �C Insulation Windows Sheathing Retaining Wall:_Footings_ Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Other: Reviewed By: ^�'VV� �1�� C�4� , Building Inspector RESIDENTIAL FEES �, �Jv � . � 7-- Base Fee � Surcharge � Z�'�� 54� /�T� Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit& Surcharge Treatment Plant Copies TOTAL Page 2 of 3 !" #$%&'()'*+*, -./$%'"&0-123$45$,+ -./$%'63/7-.189::N9: =*%-'!>>3-519?@AA@A?9; -./$%'#*%-+(.&1--./$% B$%-'855.->>1'':;Q:''E-/$-3V'#$.'' ;;#$%& ''!"())**+ ''4-C1$L+'\]-*HN. 456 "!7:9W:!7!"7;;!' <.- =->F.$0%$(,1 =0/'>2?- J*1-?$C%-E+.10%*+'>2?- ,1&'>2?- bC.'J*1-?$C%-'S+-@\[ 6-.%1*?*+ E-+.0.'E)- F3F'7'K%%0?C+%2 G+*+H =I0C1-'J-- ! 5L?1M-L-+.''N-'NL-'LC2'1-I0*1-'.L&-')--%1.'*+'C$$'/-)1L.O''EN*L+-2'A'P$0-'L0.'/-'*+.?-%-)'?1*1'' #(//-,%>1 %+%-C$*+HO EC1/+'L+R*)-')--%1.'C1-'1-I0*1-)'@*N*+'"!'P--'P'C$$'.$--?*+H'1L'?-+*+H.'*+'1-.*)-+*C$'NL-.'SD*++-.C'=C-' #'7'#C.-'J--'U3VU88O:!'!8!"OF!8: G--'B3//*.&1 =01%NC1H-'7'#C.-)'+'TC$0C*+'U3VU"O:!'W!!"O;"W: TC$0C*+ ''3Q!!!O!! 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