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4874 Rusten Rd _ _ _ Use BLUE or BLACK Ink 115 ` I For Office Use I I Permit I n City of Eap l vJ t tJ - `ermit Fee: 5-3 3830 Pilot Knob Road U3 I L Eagan MN 55122 U ' I Date Received: Phone: (651) 675-5675 I Staff: Fax: (651) 675-5694 C.Ck\ 2013 RESIDENTIAL BUILD N PERMIT APPLICATION Date: Site Address: A it Name: /1/0r7'0h 14OA4. c.S L(. L Phone: 7L3 7Sl '.z~'1~~ Resident/ Owner Address / City / zip: /gc JS 17 l 1-d~~ /V S/G 7-1 elyhwAk_ MY' 04W Applicant is: Owner Contractor Type of Work Description of work: /4.M/ GoA S+rVCJ"o K Construction Cost: 75 00 Multi-Family Building: (Yes No ) Company: A1,0140i, /7a`f_s l-GC. Contact: Cl+wVS ~C~f1zJ11 p~~ /dais ys T14 A 0L Al City: Contractor Address: State:-MAI -Zip: Phone: 7413' $~$`1 a'Z.991 3$17L t License 3 C 6 37 ZL I Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONS RUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan basedon a master plan? _Yes YNo If yes, date and address of master plan: ' (0iz 75'0 - 0; 8 Licensed Plumber: A/di~M/ GGvh Phone: Gy Mechanical Contractor: Y<,JJ WJLK 0,_,-t4 ~'w,.5 A 'r- Phone: 0 0 Sewer & Water Contractor: Ca.11ik_ Phone: (041 1/1- `3ZID NOTE: Plans and supporting documents that you s bmit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work auth rized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit is ance. r f Lam/ / x Cle Y 5 ! 'k x Applicant's Printed Name Applicant's Signature Page 1 of 3 7s', fed DO NOT WRITE BELOW THIS LINE C/ 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 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 Occupancy j`& MCES System Plan Review Code Edition SAC Units (25%100% Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV v176 # of Buildings Length Fire Sprinklers Type of Construction Width D! 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 Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath eTC S StO-n-el7al?I -Brick Fireplace: Rough In -Air Test TVFinal Windows Insulation Retaining Wall: _ Footings _ Backfill _ Final Sheathing ~C Radon Control Sheetrock Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES / Base Fee N J ~l 1 J I / b X t sf r' 9L 4,1 Surcharge l~ , f Plan Review q g J r " MCES SAC ` tr ! Q ~ ~ ; J 161 9 City SAC Utility Connection Charge S&W Permit & Surcharge ~r D Treatment Plant rp Copies TOTAL New Construction Energy Code Compliance Certificate Per NI I OLS Building Certificate. A building certificate shall be posted in a permanently visible locatiIon insid Date Certificate Posted' the building. The certificate shall be completed by the builder and shall list information and values of coin rents listed in Table N1101.8. Ma rg,4ddress of the DNt etling,or Dwelling Unit City COMM. NO. 210278 48W RUSTIN ROAD EAGAN, MN Name orltesidential Contractor WIN License Number Norton Homes THERMAL ENVELOPE RADON SYSTEM Type: Check All That Apply X Passive Wo Fair ) c y Active (With fun and mottonreter rn, 0 other s),slt:ne tnotitoriirg device) ex a o ~ ~ a ~ p a! ~ LJ U b ~ o Z a x lnsulatiap. Location ~ ~ ~ 'ta U p L w ~.w E t°- zTom' w-.. 'r.:. a Other Please Describe Here Below Entire Slab Foundation Wall Type in location: interior exterior or integral Perimeter of Slab on Grade Rim Joist (Foundation) Type in location: interior exterior or integral Rim Joist (1" Floor) Type in location: interior exterior or integral Wall Ceiling, fiat t Ceiling, vaulted Bay Windows or cantilevered areas Bouus room over garage , L L Describe other insulated areas Windows a Doors eating or Cooling Ducts Outside Conditioned Spaces Average U-Factor (excludes skylights and one door) U: 0.27 Not applicable, all ducts located in conditioned space Solar Heat Gain Coefficient (SHGC): 0.23 R-value MECHANICAL SYSTEM Make-up Air Select a Type Appliances Heating System Domestic Water Heater Cooling System Not required per mech. code Fuel Type GAS ~t c ✓ t C_ ELECTRIC Passive Manufacturer GOODMAN .o S GOODMAN Powered Interlocked with exhaust device, Model Describe: Input in 70000 Capacity in Output in. 15 Other, describe: Rating or Size BTUS: Gallons: Tons: Heat Loss: 41854 Heat 27,3 79 Location of duct or system: Structure's Calculated Gain: AFUE or 92.1 SEER 13 HSPF% Calculated 2.26 Efficiency coolie load: Cfirr'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 Passive Heat Recover Ventilator (HRV) Capacity in cfins: Low: 67 Hight 157 Other, describe: Energy Recover Ventilator (ERV) Capacity in chins: Low; High: Location of duct or system:: Continuous exhausting fan(s) rated capacity in cfms: BASEMENT' Location of fan(s), descri IN HRV AND BATHFANS IN BATH ROOMS Cfm's Capacity continuous ventilation rate in cfins: 97, "round duct OR Total ventilation (intermittent + continuous) rate in cfms: 337 " metal duct Created by BAM version 052009 1346.6012 I GC AI'PENJDIX E, W ORY. ~E+ T 3E-1. IFGC Appendix E, Worksheet E-1 Residential Combustion Air Calculation Method for Furnace Boiler, and/or Water Heater in the Same S ace Step 1 Complete vented combut on appliace information: Fumace/Bolen _ Draft Hood Fan Assisted \ Direct Vent Input Btulhr (Not fan Assisted) & Power Vent Wafer Heater. Draft Hood Fan Assisted Direct Vent loput Btulhr t Y t Not fan Assisted & Power Vent Step 2: Calculate the volume of the Combustion Appliance Space (CAS) containing combustion appliances. The CAS includes aft s aces connected to one another b code Corn iant o in s. CAS volume a W Step 3: Determine air Changes per Hour (ACH)E 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. 4a. Standard Method Total Btulhr input of all combustion appliances (DO NOT COUNT DIRECT VENT APPUANCES) tnpu LBbAr Use Standard Method column in Table E-1 to find Total Required Volume (TRV) 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 s. co 64S ? 4b. Known Air Infiltration Rate (KAIR) Method Total '%/hrinput of all fan-assisted and power vent appliances t V1' ` (DO NOT COUNT DIRECT VENT APPLIANCES) Input BbAr Use Fan-Assisted Appliances column in Table E-1 to find Required Volume Fan Assisted (RVFA) RVFA: ft3 Total Btultr input of all non-fan-assisted appliances Input: Btulhr Use Non-Fan-Assisted Appliances column in Table E-1 to find Required Volume Non-Fan-Assisted (RVNFA) RVNFA: ft3 Total Required Volume (TRV) = RVt=A + RVNFA TRV = + = tt3 If CAS Volume (from Step 2) is greater than TRV then no outdoor openings are needed. If CAS Volume from Ste 2 is less than TRV there o to STEP S. Step 5: Calculate the ratio of available Interior volume to the total required volume. Ratio = CAS Volume from Ste 2 divided t3 TRV from S 4a ar Ste 4b Rate= 1 - Step 6. Calculate Reduction Factor (RF). RF =1 minus Ratio RF =1- - Step 7 Calculate single outdoor opening as if aD combustion air is from outside. Total Btu/hr input of all Combustion Appliances in the same CAS (EXCEPT DIRECT VENT) Input Btulhr Combustion Air Opening Area (CAOA): Total Btulhr divided 6 3000 BbAr per in2 CAOA = /3000 Btulhr per inz = inz Step 8: Calculate Minimum CAOA. Minumum CAOA = CAOA multi tied b RF Minimum CAOA = x inz Step 9: Calculate Combustion Air Opening Diameter (CA:0_ CAOD =1.13 multi lfed'b the square root of Minimum CAOA CAOD =1.13 x Minimum CA0A = in 'lf desired, ACH can be determined using ASHRAE calculation or blower door test. Follow procedures in Section 304. 58 Section Ventilation Qua a y foe erminequantitybyusingTableNIV[ t : r <44t!on t f 5qre faeY { .:;end t;o„e a . $u., 7 nr --f-wished or vprn aheezial ('<j G' NurnOet Jt ta:j~ 0 11- } E reCi VS C>e. r''%!Ei'E 7' :::'C7!i2C4C[> 11L1~S1(ur?1 u6a?7turej#yL2t i';'Ll irf~ ivr f .1. GI'Ey^'Ci'i3P 1 1_. ~iiE~ 1'A~ C n L L ItLYCt0f7 ore ljeicdl, Table N 1104 < fiatal and Continuous Ventfiarion Rates (in cfrn) Nwnber of Bedrooms 2 3 F vnditionedsparefiri Total/ ltd,, ~C1t81/ Jtai/0_a{% 5q. ft') continuous continuous ~ roritii' ubvs Cantinuou f'.^.nCIt13JUS Con'Litr)u,'%;" _ 000-1500 60J~t7 7-5/40 '90/45 20_5_/53 120/60 135/'68-- '1501-2000 70/40 83143 1fl0/SU _ A25J58 i30165) _ 14 2001-2500 810/41( 95/43 110/55 1-25/63___._... 140/70 155,178 2501-3000 90/45 , r- 105/53 120160 135168 _ ~ ~ 250f75 255183 3042-35011 100; 5r 115/58 f ^ 1aCL 145/73 160/80 175/88 3501_ ;000 +0/55 125/63 14 70 (155/78 ~ 170185 185/93 400,1-4500 120160 135/68 150/75 165/83 180/90 195198 4501 5000 145/73 160/80 175/88 -13,)/95 205/2)3 5001-55011 l J /0 18181113 a7C•/85 y 881193 200/140, 1 215/1W . 5501--6000 S0~ %5 165/83 L8Q/94 195/98 10/105 225/1 ~gera",~sin ;13;0 ,0.02 x square fezt of condit W .s7ace) + j1S x ;Number of cetJrocros+ 1)j = 'fetal ventiiation rate (d_,) Conditioned space iuciuje-,-, the basemezat. a If condi6m-d space exceeds 6000 0!- ~z. :r. ark rw fan 6 I i.• ror t uectioz . t'i f l Q to a' u are c, :a ve.taflatian rate. Total ventilation-The 3' achanicai ><entiiatl l stern sikill p}".v[d_- gGfficie outdoor air to egUai the itiCc€i =d'tl'?_ti$~ti irage, f : each one-hour period^,ccort4ing to the abiuwe t?tb . t_ r t»qyatii) n, ror heat recovery , enrijl zors (}•lRV) and energy [ -.i ; 7r,rii?» tors (cRY) the aaverr ge hourly ventilation caparitj" anust be detamii ned in consideration o any reduction of :xhaaust o air intake, or both, for defrost or other equipment. cycling. n inisraiz, k'w3`P#l .f in A minii!'urn or 5o p tent of the wta v'ent'Iicatio; rate, blt't n lass ti+;s^ 4q cf shat( be Pro .#i?_ ; a {'f`s 3- tinuous rat average for each one how- period. The porti` n of the :rnechanidal ventilatic i sys ~i intended to be coy Ii,v.i ({?ve atgorn , _id cy,°Rng controls providing the average -w rate for each hour is Inet. I of I i aml IS _ , sabA kV, 14QV p'iLw fleovi {i ir~:R. tt~A 4Qf} r m,' (.energy v. f t2E-, crust ohs =ty Verttiiataa 3 cf,t5 of aarst; is P~tiv mta t not exceez cantiruoos rs r:ci- C.oc9 f(;xuow fast Awing: i a a;F'rc iatian rating by more than 009. _ hEgh fm; ::tlntiauaus fan ratios in ft rcAaacny matst not ucafld ~r~sstinuousuesatHatianratingb< mntetha;rl009 Direction,,- Choose the t 1: thQd j ntJltrti xf bola~rer exhaust only. x~,, r 1t~ ! u;;shiun sv::t ms <.,rs Ltt~ : , ff, ~ ~1 s{'"s Enter thelowand high c,,*~% arrra4rn Cwcrr 001 M;tbe equal tacrgracbr H 17M tH Jess than 160% grerrt4n 1t< i Did contNuo s nv - 2, P ! , x m e j (Um kw In,2 !a Mi (1? t'' .,,M.i2fiJ. „k2: xaGt Sb ~311'Qt?7GiX1~.t:itP:~XL7f.S f7lCaj-/'Q~'~I L::1C U~rt,T ` 7;.j~i fY , c,I;:f~l ~ +.7~{7#:.''Ui?4f+~t JJr'~f±"t.n,~.u . ,?t ._..,..r )~c7?1,', Section C n t Fay) P X1.4 t 1 ✓..Vr ~p2 ~l&..a\ ~CL'.++ t. azarts -The`i 7, + }G-i sc.h2d,#e b'f'O4n`~ du l.r. VA po & PO oil , l,-cTC, f md Li'AM R c j;#W'tYSt fmf U a and t" "SS than 00 Choi - F..,,, ado , i _t,t _ malo rr_,o +m" M, on , (r.1 ,lat3t~th Tt ?5-L l ~ M _ t1. _ ~`~3 •t\ . t'V~ 1 L!~y ~ ~ . '~-1, t`.. ~7 ~ c\~_._. _.C. 'Ci Y 1,.,,.~1..,~ ~ 11 YY'} lY'15~. . s,. i ~~nn3. 4t~s+;j=~ ~ ..;t ,r uC§ z:'- r r; r;c _ , u° a.Q_ G,lEx c h rS:r 1 1 limps Ind 1a '1 eft f t ' tY tFa t 4e:~afed =n Lta,. , ~ _ r t n f , s _ ~s LEte E j intarkatk c wiG> s nr _ _ ~ r ai~rrs~ast, - S ~ ,a EXHAUST SYSTEMS TABLE 501.3,1 NM PROCEDURE TO DETERMINE MAKEUP AIR QUANTITY FOR EXHAUST EQUIPMENT IN DWELLINGS N N ONE OR=LTIPLE ONE OR MULTIPLE ONE MULTIPLE N POWER VENT OR FAN-ASSISTED ATMOSPHERICALLY ATMOSPHERICALLY M DIRECT VENT APPLIANCES AND VENTED GAS OR OIL VENTED GAS OR OIL N APPLIANCES OR NO POWER VENT OR APPLIANCE OR ONE APPLIANCES OR N COMBUSTION DIRECT VENT SOLID FUEL SOLID FUEL M APPLIANCESA APPLIANCESa APPLIANCEc APPLIANCESP NM appropriate column to estimate house infiltration N 1. Use the M N a. pressure factor (cfm/sf) 0.15 0.09 0.06 0.03 N N b. conditioned floor area (sf) (including unfinished N basements)@ M M Estimated house infiltration (cfm): [la x lb] t'~ ( MM N M 2. Exhaust capacity a M a. continuous exhaust-only ventilation system N (cfm): (not applicable to balanced ventilation ( N systems such as HRV) N M b, clothes dryer 135 135 135 135 c. 80% of largest exhaust rating (cfm): (not applica-~ N ble if recirculating system or if powered makeup I, air is electrically interlocked and matched to ` N exhaust) M N M d', 80% of next largest exhaust rating (cfm): (not N applicable if recirculating system or if powered not applicable N makeup air is electrically interlocked and N matched to exhaust) NM N Total exhaust capacity (cfm): M M [2a + 2b + 2c + 2d] N N M 3, Makeup Air Requirement N N a. total exhaust capacity (from above) NM M b. estimated house infiltration (from above) - N M N Makeup Air Quantity (cfm): [3a - 3b] N (if value is negative, no makeup air is needed) ( N N 4. For Makeup Air Opening Sizing, refer to Table 501.3.2 N A N Use this column if there are other than fan-assisted or atmospherically vented gas or oil appliances or if there are no combustion appliances. N a Use this column if there is one fan-assisted appliance per venting system. other than atmospherically vented appliances may also be included. M e 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. N Use-this columniftherearemultipleatmosphericallyventedgasoroilappliancesusngacommonventorifthereareatmosphericallyventedgasoroiIappliances N and solid fuel appliances. N 200 MINNESOTA MECHANICAL CODE 36 Rhvac - Residential & Light Commercial HVAC Loads Elite Software Development, Inc. I Sedgwick Heating and %C Norton Homes Mendota Heiants, MN 55120 Page 2 I Pro Report General Project Inlorrr~ation Froje:,; Title: Norton Homes Project Date: Thursday, May 02, 2013 Client Name: Norton Homes Client Address: 11447Y Rustin Road Client City: Eagan, MN Company Name: Sedgwick Heating And Air Condtioning Company Representative: Jarrod Beach Company Address: 1408 Northland Drive Suite 314 Company City: Mendota Heights, MN 55120 Company Phone: 952-881-9000 Company Fax: 952-881-4491 Company E-Mail Address: jarrodb@sedgwickheating.com CompanyWebsite: sedgwckheating.com `Design _Data Reference City: Minneapolis/St. Paul AP, Minnesota Building Orientation. Front door faces West Daily Temperature Range: High Latitude: 44 Degrees Elevation: 834 ft, Altitude Factor: 0.970 Outdoor Outdoor Outdoor Indoor Indoor Grains Qry Bulb Wet Bulb Rel Hurn Rel.Hum Dry Bulb Difference Winter., -16 -11.42 n/a 30% 70 24.15 Summer: 95 71 31% 50% 75 12 Total Building Supply CF1A. 1,074 GFM Per Square ft.: 0.303 I Square ft. of Room Area: 3,541 Square ft. Per Tan: 17563 Volume (ft3) of Cond. Space: 29,457 Building Loads Total Heating Required Including Ventilation Air: 414384 Btuh 41.884 MBH I Total Sensible Gain: 23,832 Btuh 88 % ' Total Latent Gain: 3,347 Btuh 12 % Total Cooling Required Including Ventilation Air: 27,179 Btuh 2.26 Tons (Based On Sensible + Latent) Notes Rhvac is an ACCA approved Manual J and Manual D computer program. Calculations are performed perACCA 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 ( l .S C:\tlsersi mb19\Documents\Elite Software\Rhvac 9 Projects\norton 4880 Rustin Road.rh9 Friday, May 03, 2013, 2:55 PM - - FRhvac Residential & Light Commercial HVAC Loads Elite Software Development, Inc. Sedgw c Heating and A'C Norton Hornes Mendota HHe~iqhts, MN 55120 Page 2 - - - Miscellaneous Report System i Home System Outdoor --Outdoor Outdoor Indoor- Indoor Grains' Input Data Gr. Bub Wet Bulb Rel. Hum Rei.Hun, Dry Bulb Difference' Winter: 16 -11.42 100°, J - 30%0 ^C 24.15 Summer: 95 71 310 GCa 7 L.41 Duct Sizinn Inputs Main Trunk Runouts Calculate: Yes Yes Use Schedule: Yes yes j Roughness Factor: 0,00300 0.01000 Pressure drop: 0.1000 in.wg.J100 ft. 0.1000 in.wg./100 ft. Minimum Velocity: 650 ft./min 450 ft./min Maximum Velocity 800 ft./min 750 ft./min Minimum Height: 0 in. 0 in. Maximum Height: 0 in., 0 in. Outside Air Data Winter Summer Infiltration Specified: 0.100 ACihr 0.050 AC/hr _ 36 CFM 18 CFM Infiltration Actual: 0.000 AC/hr 0.000 AC/hr Above Grade Volume: X 21,692 Cut. X 21,692 Cu.ft; 4 Cu.ft.fhr 0 Cu.ft./hr X 0.0167 X 0.0167 Total Building Infiltration: 0 CFM 0 CFM Total Building Ventilation: 157 CFM 157 CFM ---System 1--- Infiltration & Ventilation Sensible Gain Multiplier: 21.35 = (1.10 X 0.970 X 20.00 Summer Temp. Difference) Infiltration & Ventilation Latent Gain Multiplier 8.05 = (0.68 X 0.970 X 12.21 Grains Difference) Infiltration & Ventilation Sensible Loss Multiplier. 91.78 = (1.10 X0.970 X 86.00 Winter Temp. Difference) Winter Infiltration Specified: 0.100 AC/hr (36 CFM), Construction: Tight Summer Infiltration Specified: 0.050 AC/hr (18 CFM), Construction: Tight j 3 l C:\Users\jmb19\Documents\Elite Software\Rhvac 9 Projects\norton 4880 Rustin Road.rh9 Friday, May 03, 2013, 2:55 PM Rhvac - Residential & Light Commercial HVAC Loads Elite Software Development, Inc Sedgwick Heating and A/C Norton Hornes Mendota Heiahts. MN 55120 page-5- Total Building Summary Loads Component Area Sen - Lai Sen T ota! Description _ _ C2uan Loss Gain Gain Garr: window: Glazing-operabie window, e=0.20 on surface 2, 243.3 5,867 0 6,074 6,074 vinyl frame, u-value 0,28, SHGC 0.22 4A-1v-o: Glazing:-.Double pane low-e (e = 0.20 or less), 20 482 0 486 486 operable window, a=0.20 on surface 2, vinyl frame, u- value 0,28, SHGC 0.2 window: Glazing-operable window, a=0.20 on surface 2, 43 925 0 768 768 vinyl frame, u-value 0.25, SHGC 0.24 window: Glazing-operable window, a=0.20 on surface 2, 67 1,556 0 1,826 1,826 vinyl frame, u-value 0.27, SHGC 0.24 11Q: Door-Metal Polyurethane Core With Storm 39.2 573 0 173 173 12E-0sw: Wall-Frame, R-19 insulation in 2 x 6 stud 2154.2 12,598 0 2,550 2,550 cavity, no board insulation, siding finish, wood studs 15B0-4sf-10: Wall-Basement, , R-4 board insulation to 1160 6,583 0 0 0 floor, no interior finish, 10' floor depth 16A-44: Roof/Ceiling-Under Attic with Insulation on Attic 1406.8 2,660 0 2,165 2,165 Floor (also use for Knee Walls and Partition Ceilings), Unvented Attic, No Radiant Barrier, Any Roofing Material, Any Roof Color, R-44 insulation 20P-19: Floor-Over open crawl space or garage, Passive, 399 1,716 0 200 200 R-1:9 blanket insulation, any cover 21A-32: Floor-Basement, Concrete slab, any thickness, 2 1138 1,957 0 0 0 or more feet below grade, no insulation below floor, an floor cover, shortest side of floor slab is 32' wide Subtotals for structure: 34,917 0 14,242 14,242 People: 7 1,400 1,610 3,010 III Equipment: 683 7,075 7,758 Lighting: 0 0 0 Ductwork: 0 0 0 0 Infiltration: Winter CFM': 0, Summer CFM: 0 0 0 0 0 Ventilation. Winter CFM: 157, Summer CFM; 157 3,891 1,264 905 2,169 Humidification Winter 8.39 altda 3,076 0 0 0 Total Building Load Totals: 41,884 3,347 23,832 27,179 Check Figures Total Building Supply CFM: 1,014 CFM Per Square ft : 0.308 Square ft. of Room Area: 3,541 Square ft. Per Ton: 1,563 Volume (ft) of Ccnd. Space: 29.457 _ Building Loads Total Heating Required inciuding Ventilation Air. 41,884 Btuh 41.884 MBH Total Sensible Gain: 23,832 Btuh 88 % Total Latent Gain: 3,347 Btuh 12 % Total Cooling Required Including Ventilation Air: 27,179 Stith 2.26 Tons (Based On Sensible + Latent) Notes R h v a c is an A C C A a pproved Manual J and IVlanual D computer program. Calculations are performed per ACCA Mar, uai 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 CAUsersl mb19\Documents\EIite Software\Rhvac 9 Projects\norton 4880 Rustin Road.rh9 Friday, May 03, 2013, 2:55 PM f ` Rhvac - Residential & Light Commercial HVAC Loads Elite Software Development, Inc, ` Sedgyvick Healing and A/C Nurton Homes Mendota Height-.. MN 55120 ICJ pager '1 I System 1 Home System Summary Loads Component Area Sen Lat Sen Tota' Description Quan Loss Gain Gain Gain window: Gazing-operable window, e=0.20 on surface 2, 243.8 5,867 0 6,074 6,074 f vinyl frame, u-value 0,28, SHGC 0.22 I 4A-1v-o: Glazing-Double pane low-e (e = 0.20 or less), 20 482 0 486 486 operable window, a=0.20 on surface 2, vinyl frame, u- III value 0.28, SHGC 0.2 window: Glazing-operable window, a=0.20 on surface 2, 43 925 0 768 768 vinyl frame, u-value 0.25, SHGC 0.24 window: Glazing-operable window, a=0.20 on surface 2, 67 1,556 0 1,826 1,826 vinyl frame, a-value 0.27, SHGC 0.24 11Q: Door-Metal - Polyurethane Core With Storm 39.2 573 0 173 173 12E-0sw: Wall-Frame, R-19 insulation in 2 x 6 stud 2154.2 12,598 0 2,550 2,550 cavity, no board insulation, siding finish, wood studs 15B0-4sf-10: Wall-Basement, , R-4 board insulation to 1160 6,583 0 0 0 floor, no interior finish, 10' floor depth 16A-44: Roof/Ceiling-Under Attic with Insulation on Attic 1406.8 2,660 0 2,165 2,165 Floor (also use for Knee Walls and Partition Ceilings), Unvented Attic, No Radiant Barrier, Any Roofing Material, Any Roof Color, R-44 insulation 20P-19: Floor-Over open crawl space or garage, Passive, 399 1,716 0 200 200 R-19 blanket insulation, any cover 21A-32: Floor-Basement, Concrete slab, any thickness, 2 1138 1,957 0 0 0 or more feet below grade, no insulation below floor, any floor cover, shortest side of floor slab is 32' wide Subtotals for structure: 34,917 0 14,242 14,242 People: 7 1,400 1,610 3,010 I Equipment: 683 7,075 7,758 Lighting: 0 0 0 Ductwork: 0 0 0 0 Infiltration: Winter CFM: 0, Summer CFM: 0 0 0 0 0 Ventilation: Winter CFM° 157, Summer CFM: 157 3,891 1,264 905 2,169 Humidification (Winter) 8.39 gal/day : 3,076 0 0 0 System 1 Home System Load Totals: 41,884 3,347 23,832 27,179 Check Figures 11 Supply CFM: 1,074 CFM Per Square ft.: _ 0 303 -Square ft. of Room Area: 3,541 Square ft. PerTon: 1,503 Volume (ft-) of Cond. Space 29,457 System Loads Total Heating Required including \Jentiia#ion Fair: 41,884 Btuh 41.884 MBH E Total Sensible Gain: 23,332 Btuh 88 % 1 Total Latent Gain: 3,347 Btuh 12 % Total Cooling Reeluired Including Ventilation Air. 27,179 Btuh 2.26 Tons (Based On Sensible + Latent) Notes Rnvac is an ACCIA a p proved Manual ii-and wanual 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. G:XUsersljmbl9\DocumentslEl•te Software\Rhvac 9 Projectsinorton 4880 Rustin Road.rh9 Friday, May 03, 2013, 2:55 PM Rhvac - Residential & Light Commercial HVAC Loads Elite Software Development. Inc. Sedg:~ic}; Heating and A C Nuror Home Mendota Heights MN 55120 Page 7 I I Equipment Data - System I - Home System Cooling System Type: Standard Air Conditioner Outdoor Model: VSX130301 D* Indoor Model: CA*F3030*6D*+EEP Tradename: GOODMAN, JANITROL, AMANA DISTINCTIONS, EVERREST, ONE HOUR AIR CONDITIONING AND HEATING, ENERGI AIR Outdoor Manufacturer: GOODMAN MANUFACTURING CO., LP AHRI Reference No,: 4717959 Nominal Capacity: 28000 Efficiency: 13 SEER Heating System Type: Natural Gas Furnace Model: GKS90703BX Tradename: Goodman, Xenon Manufacturer: GOODMAN MANUFACTURING COMPANY Description: Natural Gas or Propane Furnace Capacity: 65000 Efficiency 92.1 AFUE Heatln0 Equipment Picture A ~~fl r ~ x r `L t f a c. .i, 8 ' s f d. r i^ pi I r C:\Users\jmb 1 9\Documents\Eiite Software\Rhvac 9 Projects\norton 4880 Rustin Road.rh9 Friday, May 03, 2013, 2:55 PM Rhvac • Residential & Light Commercial HVAC Loads Elite Software Development, Inc. ' Sed ck Heating and A C Homes Mendota vnota HeightsMN 55120 No tcn Pa ge o System I Room Load Summary Htg Min Run Run Cig Clg M n Act Rcor; Area Sens Htg Duct Duct Sens Lat Cl- Sys No Name SF Btui1 C F M Size Vel Btuh Etuh CFM CFA.-; I ---Zone 1 - - - 1 Master Bedroom 256 2,892 42 2.5 515 2 995 400 140 140 2 Master Bath 197 1,184 17 1-4 449 837 0 39 39 3 Master Closet 88 1,145 17 1-4 229 427 0 20 20 4 2nd Floor Laundry 72 591 9 1-4 382 711 0 33 33 5 Bedroom 2 139 1,781 26 1-4 559 1,042 200 49 49 6 Bedroom 3 147 2,083 30 1-5 483 1,405 200 66 66 7 BRM-4 162 2,814 41 1-5 518 1,508 200 71 71 8 Upstarirs Hallway 210 1,140 17 1-4 236 440 0 21 21 9 Dining 202 1,467 21 1-4 660 1,230 0 58 58 10 Kitchen 179 933 14 2-5 574 3,339 683 156 156 11 First Floor Bath 136 2,403 35 1-4 463 862 0 40 40 And Mud Room 12 Great Room 267 2,838 41 2-5 496` 2;890 0 135 135 13 Stairwell 152 635 9 1-4 111 206 0 10 10 14 Study 132 1,484 22 1-5 632 1,840 0 86 86 15 Entry 64 861 13 1-4 270 503 0 24 24 16 Basement 1,138 10,666 155 2-5 462 2,692 400 126 125 Ventilation 3,891 905 1,264 Humidification 3,076 System 1 total 3,541 41,884 509 23,832 3,347 1,074 1,074 - System 1 Main Trunk Size: 12x16 in. Velocity: 806 ft./min Loss per 100 ff.: 0.094 in.wg Cooling System Summary - _ _ _ - - - - - _ - : _ - - Cooling Sensible/Latent Sensible Latent Total -_Tons _ __..split Btuh Btuh__ Btu5 Net Required: 26 88'% / 1223.832 3,347 Actual: 2.33 77°"0123% 21,560 6.440 26,0OO Equipment Data Heating System Cooling System Type: Natural Gas Furnace Standard Air Conditioner Mader GKS90703BX VSX130301 D* Indoor Model: CA*F3030*6D*+EEP Brand: Goodman, Xenon GOODMAN, JANITROL, AMANA DISTINCTIONS, EVERREST, ONE l HOUR AIR CONDITIONING AND HEATING, ENERGI AIR Description: Natural Gas or Propane Furnace Efficiency: 92.1 AFUE 13 SEER Sound: 0 0. Capacity: 65,000 Btuh 28,000 Btuh Sensible Capacity: nla 21,660 Btuh Latent Capacity: nla 6,440 Btuh AHRI Reference No. n1a 4717959 C:\Users\jmbl9\Documents\Elite Software\Rhvac 9 Projectslnorton 4880 Rustin Road.rh9 Friday, May 03, 2013, 2:55 PM City Inspection Dept. Copy City of Eapn City Forester Copy. Applicant/Builder Copy INDIVIDUAL RESIDENTIAL LOT TREE PRESERVATION PLAN SUMMARY CITY OF EAGAN FORESTRY DIVISION 651-675-5300 (BUILDER, PLEASE READ ATTACHMENTS) Development RUSTEN NORVIN OAKS Lot Number 2 Block Number 1 Address 4874 Rusten Road Builder Norton Homes Phone Number: 612-804-9821 Contact: Pat Hiller Tree Protection Requirements: X Tree Protection Fen ' fencing when ground thaws out) F0R~q 0 i V uP j/'S'0N Oak Tree Pruning (I is a o n 5 J Therapeutic Prunin SEWED Retaining Wall To B Other: BY ( ) FV Replacement Trees:. DATE_ X Not Required f As Follows: Attachments: X Yes (Refer to atta hed documents for details) No Additional Notes: Builder to utilize certified arborist (Rainbow TreeCare) to create a tree preservation plan of action to protect all preserved oak trees with encroachment inside the trees critical root zone (Tree management may include root pruning or Cambistat application). H:\ghove\2013file\treepres\Tree Preservation Plan Rusten Norvin oaks Lot 2, Block 1 N ° n N o m {S 77 O - a _ r a:s:;~nra~,:v ~ LLL. O ~ Yd T e 8~y - 2 0 0 a U) z 5~ o~ W (if L N d Y r Yw t °03' ¢ ° W j o-- ~2 co §q o I C 4 ` Z li c p u3 LLj _ ~j ~'Fyi~ s R W II m lid ~i ~3 q R nom ~ d o 7S' In LL- ol N z i O W ~N / ,rN ~ of cc e 'O / 4 Z = O 1 W y d N x a m ¢r0 t=n ~Z \110 Ix z w w a Vl < K Z _ O Ix O w p W ✓\.aD `d`am a p W J c 7\ ` a i~n~ Zm< Qmo x U O VO\~ <NOIn W 'Woz o,o 0 - \ I < 3 M / \ n N m w .oF Dr- nO1g j 4 Utillity E....t - `~iC V W w 118.94 N00°41'45"W oo o I `o d nl _T O ' h W 'I w<W~ F p o I (iV m mwo~ ~I l` 0 x w W W xwrx o Zm av -om:n c ZW Cl) S 3t m m N + c Kp1 -O l m c o o L) A 3 ~O' Q o Y ° E c N C o Q y N f0 fp 1 m~ O , Z Jr2 p o~<c V/ Q v V C F 0 m ~ p a II o c u LLJ O W C ; N R1~i X41 U) o N w ' w 0 O N II L 0 U C v ~ ~o°d~ m oA ~d 9 O 9 0 &L 0 0 ~ 1 I H a) Z a) -0 w -0 N w a) L.LJ =0 N 00 of E E Q O~ Q O m 0 ti W 41 LLJ H MM d' N W = C V) 0 0 L Z lL Z 0 a 0 I zz, vl~ m 1- 0) U- of W ro 2 ~1 nQgwall i °q~~ r^ Q to i N _ 0) 1 O ~ CA i y O y ~ O y v w \ L 0 Z L;j o o w l rn a z ~ro Yd vJ O O y m O_ -d U o N \ \ mil, ~ ~ \ ~ \ L yy ZW0 O Ol p LLI r- > rl) LO F- X Of It W En (I W of v~2 7p. _j D Z x F- 0 U) z ✓ \ o / app F- W Z Z W w ' N N c'p WaNa OfZ 1 N1- O w 0 W IC) 00 w 0- a IL ~v \ O w J J \ U 0 0 U n Z a~ \ x \ 3 o a - m \ O O Q N O ZO W U OLLJ WDNW z v N p ar O "'"'C Y O\ m+ y ' , w U v s~\ + oo 1- \ QO~Q o \ a cn°DN° = w U Z CF a f >M 10' Drai~ge & Utillity Easement ° mss' Z0 l F= O W z~ C~ T t- W 118.04 N00°41'45"W o o o 0 M W 2 ~ r U ` of m0 R' W a w W~~I LLI YO Z) 0 O4' M X 6 U,0~ dl N ~ I w I C 5 aEi o M m w rn ui 0 < Z 0 0- z Q ~N M O Q c W > ' O Cf) F- L 3 N O %1 L- cn OLD C 0 a) a) v a --t r O O v c a O ~ U VI 3 M 00 0) .0 O N O N >N t0 -W D L- c m w O 01 0 4-j rn to 0 Qw-4 Q) 'to CO 1~ LL C~ ~ O V~ II I WOwc.. 0- L. ~m WAN LLI > U w V) 4 D W (n 0 N M y LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION PROPERTY LEGAL: L4 gL,. 44 A2!YL7,/ DATE OF SURVEY: '4 l0®® i LATEST REVISION: VA Q d 0 c Y Q 13Y7 Q// S~~~G ZT r O z Q DOCUMENT STANDARDS ~,K ❑ ❑ . Registered Land Surveyor signature and company "K ❑ ❑ . Building Permit Applicant ❑ ❑ . Legal description ❑ Address ! $74- ace--VvllA ale /fib ❑ ❑ North arrow and scale 1 ❑ ,B' House type (rambler, walkout, split w/o, split entry, lookout, etc.) Spy! ~pp,~'-bl~' ,z ❑ ❑ Directional drainage arrows with slope/gradient % ❑ ❑ Proposed/existing sewer and water services & invert elevation ❑ ❑ Street name ~7 ❑ • Driveway (grade & width - in R/W and back of curb, 22' max.) ❑ ❑ Lot Square Footage ❑ Lot Coverage ELEVATIONS Existing ❑ ❑ . Property corners ,K ❑ ❑ . Top of curb at the driveway and property line extensions ❑ ❑ . Elevations of any existing adjacent homes l ❑ ❑ • Adequate footing depth of structures due to adjacent utility trenches ❑ ❑ . Waterways (pond, stream, etc.) Proposed ❑ ❑ • Garage floor ❑ • Basement floor 11 • Lowest exposed elevation (walkout/window) x El ❑ . Property corners ~Z ❑ • Front and rear of home at the foundation PONDING AREA (if applicable) ~a of ❑ . Easement line - I~d~ syrr~° 414 e,~40 T~1~'Gc, /~04~ fJ ✓y~A JILO 10-e- 6k ❑ ❑ • NWL ❑ ❑ . HWL ❑ ❑ . Pond # designation F1 / ❑ • Emergency Overflow Elevation ❑ ❑ . Pond/Wetland buffer delineation Y • Shoreland Zoning Overlay District Y • Conservation Easements DIMENSIONS ❑ ❑ • Lot lines/Bearings & dimensions Q .A ❑ • Right-of-way and street width (to back of curb) r ❑ ❑ • 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 a sid yard setback of adjacent existing structures ❑ ❑ Retaining wall requirements: Reviewed By• Date &4117 G:/FORMS/Cert. of Survey Checklist Rev. 3-3-11 N M O w II t 7 0 7 rrw0~~ V LJ 0 ~ Bi~ 0 0 tl~N ~y A~ti,1 ` 0 0 V) I I I-- N Z W-0 L+J :2 (n ~p m V) N O\ W a N N W o 00 Cl) Y ~ m N Q E Op II II Q O m o N _ c vi I W I Ld 7 o Z L. 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Building Inspector: G:\Building Inspections\FORMS\Checklists Use BLUE or BLACK Ink r For Office Upse'1 I City Permit#: of Eapn RECEIVED ; Permit Fee. goy' 3830 Pilot Knob Road I I Eagan MN 55122 APR 3 2014 ; Date Received: Phone: (651) 675-5675 t Fax: (651) 675-5694 I Staff: 1 1 I I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Ll ~J 5 T,3 R OAS Unit J I I i Name: ObNAL-0 4 A^fVA eA(_4 Phone: j ~1~~Z' b ~L(3 ZLi I Resident/ 1 Owner Address / City / Zip: `I ~v Ems? o/~~ C AV,~,J iZZ f F Applicant is: Owner Contractor Type of Work Description of work: $Dai'Ar fl C` C K 0NJ V 5 y Construction Cost: Multi-Family Building: (Yes / No Company: Contact: i Contractor 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) J 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: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that#her are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.oro 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 Dn~sU? 17f?'CA x - - Applicant's Printed Name Applicant's Signature Page 1 of 3 _ qVq ~kln 0 /J,060~ DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Fireplace Porch (3-Season) _ Exterior Alteration (Single Family) Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Multi) Multi Deck Porch (Screen/Gazebo/Pergola) Miscellaneous 01 of - Plex _ Lower Level _ Pool _ Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building Reroof _ Demolish Interior Alteration Fire Repair Windows Demolish Foundation _ Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation l,JO Occupancy MCES System Plan Review Code Edition ap SAC Units (25%_ 100% li) Zoning n -1 City Water Census Code y y Stories Booster Pump _ # of Units / Square Feet 3y,~ PRV # of Buildings t Length Fire Sprinklers Type of Construction Width d 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 Fireplace: -Rough In -Air Test -Final Siding: -Stucco Lath -Stone Lath -Brick Insulation Windows Sheathing Retaining Wall: _ Footings _ Backfill _ Final Sheetrock Radon Control Fire Walls Erosion Control Braced Walls Other: Reviewed By: , Building Inspector RESIDENTIAL FEES 2 /O Base Fee 7 -3 '?o' 7w Surcharge Plan Review y7 4 MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 0 M ov N U o ~l ,Z - C CL 0 . ~ w U Q U LU (~1 +•l.~s Q s -909 O ° Z., - 0, . t j6i ~qa~. J° a• z 00 I I 4' 3 F- 0 N z a)-o Q Q W (n 0 uj O 0) N 0 Z,c Gt o o 0 q 01) N co U 0 WW II I I o m Q o y ~ P :2 41 LLJ N r+.- Lai S o V) I w M \ U i LE Z Z o 0 ON 7 J Q W L- O ` ' ery kZ "o, .,sue 1. 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O V) i o + L,(1) vin L) A E Lo Lo S 0° 01 0 U5 n LO d N o f~ ca o a) o) d) > 00 0 (ED 1 $ ton II II II II II II fl it y > N - c \V z 1-i E W. 5~lP zO (D U) 0 0 -Y ' x U m ~0. sFs 'ro 4 ~i, 0 z cc Q) c j j L. U O O C1 0 `O O 0 i 0 j N 00 ai LL) C OLD. a)w O._,w ow c M U.J LL. LL. ,`V)0) 0 d u- Cm U) N Of (1) p ~ rn c ~ a) d O o, x O~ c 0 U O L- fJ) i_ N c 4 CID w V) O° o ~Q LIJ (L F--C00mQMW~0 Use BLUE or BLACK Ink r------------,----,-1 1 For Office Use � t I • � 'Permit#:' t C�� i. �� :.,. � ,"�', I Permit Fee: � � �1 �I 3830 Pilot Knob Road � Eagan MN 55122 ��&, � :; , ;�.,; � Date Received: . �'�� I I Phone:(651)675-5675 i �", � Fax:(651)675-5694 I Staff: � �----=-----------�� 2015 RESIDENTIAL BUILDING PERMIT APPLICATION C'� �,�1`' Date: �!d�l�.S� Site Address: ��/ ��tJ�� rtcf � o G. Unit#: ,,� �i� , F�'B$KC��1� , : Name: ��s2� ��q c_ �c��,c�,f� Phone:�� l t 6 ��0 CflVll�i��.. . , � Address/City/Zip: Z d" �7 �P.eJ ��1 �c� ��'� �I'� Jr Applicant is: Owner �Contractor �' L Description of work: f r' 'yt%/'fl %�!@i''+ ��t��(u�� +-� !.�� /�6 a <"��'�+�C?$'�Qi'k > � • � ° � r� Construction Cos�� a � �� Multi-Family Building:(Yes )t�e�'�`�} �� ` Company:�rGi� /�!�✓�� .-�C/.�c� Contact:��y� �l?��-�'a I � � � � �� I �`��1��"��`� � Address:G��g�� City: ��-(/G Q'�.-- ' ll�� '�3 7� .�-,a-r°�s°Y-�� ` �� r ,n�'f �� ` �� ° State- Zip: Phone� maii:�� `f' � .' x�� q � � �,.,� l I ` ��"�� Y License#: ��o! � Lead Certificate#: !, If the project is.exempt from lead certification, please explain why: (see Page 3 for additional information) , �oJ� �q'7dJ �' � COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING i In the last 12 months;has the City of Eagan issued a permit#or a similar plan based on a maste�plan? �� _Yes �o If yes,date and address of master plan: ' �� Licensed Plumber: Phone: i� Mechanical Contractor: Phone: ` ' Sewer&Water Contractor: Phone: '�V1�7"� ��t�s ��i :� �� - . a �#��b�7�t�� ,. ._ . , � _; - �. :, '� . � - 3 : . ,.. .�� „��a�_ �.�-�-,�""�� _ ° � ��. � �, � � :.� �: _ � �' ��-' �� . CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utiliry damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www:gopherstateonecalf:ora 1 hereby acknowledge that this information is complete and accurate;that the work wiA be in conformance with the ordinances a�tl 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 accoMance with the approved plan in the case of work which requires a review and approval of pfans. Exterior work authorized by a building permit issued in accordance with the Minnesota 5tate Suilding Code must be completed within 180 days of permit issuance. n r. X, ��.� �v�,��, � �� ------" ., Applicant's Printed Name �'Applicant's Signature : Page 1 of 3 � � � . . . . . . � . . . . . . . .. �. . .� . � . � � � . �� ... �� .. . i DO NOT WRITE BELOW THIS LINE �� !, � SUB TYPES Foundation Fireplace Porch(3-Season) Exterior Aiteration(Singie Family) T Single Famity Garage Porch(4-Season) Exterior Alteration(Multi) Multi Deck Porch(Screen/Gazebo/Pergoia); _ Miscellaneous _ 01 of_Plex ' � Lower Level _ Pool _ Accessory Building WORK TYPES New Interior lmprovement Siding Demolish Building* ` �Addition Move Building Reroof Demolish Interior �(Alteration Fire Repair Windows Demolish Foundation T- — — — Replace Repair Egress Window Water Damage ` Retaining Wall *Demolition of entire building=give PCA handout to applicant DESCRIPTION �} Valuation Caf �� Occupancy ��,�� MCES System Plan Review Code Edition SAC Units (25%_100%�) Zoning ��f�� 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 V HVAC Gas Service Test Gas Line Air Test Roof: Ice&Water Final � PooL• Footings _Air/Gas Tests Final � F�aming Drain Ti�e Fireplace:�Rough ln �Air Test �Final Siding: .lStucco Lath _Stone Lath _Brick �( Insulation Windows , TT Sheathing Retaining WaIL_Footings T Backfill_Final � Sheetrock Radon Control � Fire Walls Erosion Control ', Braced Walls Other: I Reviewed By: ��1 ,Building Inspector I RESIDENTIAL FEES - Sase Fee �� Surcharge �� Plan Review MCES SAC City SAC �� ^y„ �� Utility Connection Charge � l S&W Permit 8 Surcharge Treatment Plant Copies TOTAL , ` Page 2 of 3 Use BLUE or BLACK Ink �-----------------, � For Office Use, I • � � �� I C�4� Ol ��11 � Permit#: I ' ��% , � Permit Fee: I 3830 Pilot Knob Road i � Eagan MN 55122 I Date Received: � Phone: 651 675-5675 � i Fax: (651)675-5694 � � F � , � Staff: ,. • -----------------I 2015 RESIDENTIAL PLUMBING PERMIT APPLICATION �ate: 1/21/15 s�te address: 4874 Rusten Road Tenant: Suite#: R�Sid�t�tl�IW1t��' ' Name: Phone: Address/City/Zip: Name: Alta Htg & Plg, dba Clearwater Plg & Htg �icense#: PM060886 ��.��,��#� Address: 19260 Mushtowrl Road c�ry: Prior Lake state: MN Zip: 55372 Phone:952-440-3779 Contact: Susan S�hlink Email: T��,��,��,�. X New _Replacement _Repair _Rebuild _Modify Space _Work in R.O.W. Description of work: IllStall t011@t, lav and bar in lower level RESIDENTIAL Water Heater Water Softener Lawn Irrigation(_RPZ/_PVB) ��T�� 3 Add Plumbing Fixtures(�Main/ X Lower Level) Septic System New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes$5.00 State Surcharge) $60.00 Lawn Irrigation(includes$5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic Svstem Abandonment,Water Turnaround*(includes$5.00 State Surcharge) 'Water Turnaround(add$200.00 if a 5/8"meter is required) $115.00 Seqtic System New($10.00 per as built)(includes County fee and$5.00 State Surcharge) TOTAL FEES$ 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 not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. X Susan Schlink X ApplicanYs Printed Name Applicant's Signature FC�R Ci�F�G�,US� Rer�'t�W��. � � '��„��;� Req��r�d tns�ect��n�,,_: E.irtd�r�ra�€�crst R��agt�-I� ' �'�`� � ��'�"� � ��`�t� - Nleter�e!l�tt+�I��: . ; �eter.�i�e ; ��li�� M��'° ` 03/06/2015 10:01 FA1 651 451 7740 CULLIGAN I�0001/0001 1 �' -�-U�'� ��.. C��.�-c�� C.�r�-�' �''�� 1�� 'C". � � �� c��-- �� ,�,,/� � �irG�..- --� f�l�� ' ___ Use BLUE or BLACK Ink ' % , �� _�� ; Q ; For Office Us ��"�5��.�.� I �� Clt of �� a� � Permif x� � I Y � � � ' �� i � Permit Fee: I 3830 Pilot Knob Road i i Eagan MN 55122 I Date Received: � � I Phone:(651)675-5675 i Fax: (651)675-5694 � Staff: � ��J - 2015 RESIDENTIAL PLUMBING PE MIT APPLICATION Date• • � Site Address: �� Z' � • � � � n fR��r Tenant: _ F1 C�►'t_FX�CC� ��.�...Vl. Suite#: �{*f��"' �7 Y��,�a�,t f�il�t �i `'� /� ,f I�eS G1�nt��f,�,VWS�� Name: b'�f� >. �/�Et..C'-° `Q�,� ��y �� y; Phone: �� a ,�,��<: G �� . �,�c :�if;��" Address/City/ZiP: 6 ��... F' G� J.7 �� '�` �'s �''f� �,��'a �." ��` �� `��'�r''"`�� Name: �bert Corr�pany Tnc dba Culligan Water WC641376 i .��,��r�� . ��`��4j: License#: ��'��antr` ��'' '' Address: 1801 50`" St East ��ty, Inver Grove Hgts.. y 3 �.� � �` �;�1;�"��3 � �,�'�'�: state: Mn Z�p; 55077 Pnone: 651-451-2241' {�k'�� iY� � ; F��,,�_ � � � contact: Willianl R Milbert Email: {i. Ty.��*. � �y � '£5 4 � . ��1FS.�1 � i 4 r{�T��'e'�Q��Qf� � —New �Replacement _Repair _Rebuild _Modify Space _Wo�C in R.O.W. ��:: yhr�� ,,x• ' B, � ,� , `� r: � a `: , ' � Description ot work: w��-- -'��'. J v � '� 1 4��'R'�',�� s��, x�s�+Y��,'` RESIDENTIAL �t��,c,��',��x,;� � <�-�� r� � ,� ��¢��,�! �_} ��,� _Water Heater �v*�t��.�`�'��} �� Y �,Water Softener � ��' rg�� 5t u _Lawn lrrigation(_RPZ/_PVB) -��Perm�l� Add Plumbing Fixtures(_Main/_Lower Levei) � � '�'��'�� _Septic System — y��,�s� �� ' � �, ¢�F ��`��.� IVew _Water Tumaround 3 tya{.1��`r� +1 �f i �a�`�a1' `� �,,�;.�7` �f Abandonment RESIDENTIAL FEES: $60.00 Water Heater,Water Softener, or Water Heater and Softener(ineludes$5.00 State Surcharge) $60.00 Lawn Irrigation(includes$5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, SeQtic Svstem Abandonment,Water Turnaround"(inctudes$5:00 State Surcha�ge) "Water Turnaround(add$200.00 if a 5/8"meter is required) $115.00 Septic System New($10.00 per as built)(includes County fee and$5.00 State Surcharge) � O O TOTAL FEES$ CALL BEFORE YOU DIG. Call Gophe�State One Call at(6b1)464-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.orq I hereby acknowledge that thls Information is complete end accurate;thal the wwk will be in coniormance with the ordinances and codes of the Cily of Eagan; that 1 understand this is not a permit, but only an appllcation tor a pertnR, and work is not to start wlthout a permlt;that the work will be In accordance with the approved plan in the case af work whlch requires a review and approval af p�ans. x t�1��1� I� l�1�1(�� `�" n .�'�- -4" � x Appllcant s Printed Name Appllcant's ignature -+�� r ,.: , ,, ... ��,.. _x {. "��. - `�r. r� - �, . T �, a) Y ,ii ' '� '% ` `�'. a,. .� - �;�f . FS.. r e�t+��+xe.� d.aa� � r> y,, `�. ,`�. PERMIT City of Eagan Permit Type:Building Permit Number:EA129913 Date Issued:03/24/2015 Permit Category:ePermit Site Address: 4874 Rusten Rd Lot:2 Block: 1 Addition: Rusten Norvin Oaks PID:10-64925-01-020 Use: Description: Sub Type:Fireplace Work Type:Free-standing Stove (new) Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: 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 . Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - Jana I Deach 4874 Rusten Rd Eagan MN 55122 Hearth and Home Technologies 2700 N. Fairview Ave Roseville MN 55113 (651) 638-3309 Applicant/Permitee: Signature Issued By: Signature