3582 Lemieux Cir
l 5
ID o Use BLUE or BLACK Ink
3 I For Office Use~~ 1
14
I Permit#: ~y 1 j
City of Eapn I 1 95. I
Permit Fee.
3830 Pilot Knob Road I I
Eagan MN 55122 I Date Received: -t ~S 3 I
Phone: (651) 675-5675 1 I
Fax: (651) 675-5694 1 Staff: I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION 51
Date:LF I&o/)! Site Address: !P'JEkP. l~Ei~11~VX GIB. Unit#:
` Name: VI26J GLA449 C~rL.l1S`T► f~l~ ~ ~1~ ( Phone: 52.540.503g
Resident/ Y
Owner Address / City / Zip:
75C~
~ IY
j R
{ Applicant is: Owner Contractor
Description of work:
y~Type~of Work
a Construction Cost: Multi-Family Building: (Yes No
' Company:(' /mssG7~1_/'~ Contact:
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)
LD~ -I 0J-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:0" Phone:19 S2.44-S .L<cA 2.
Mechanical Contractor: 1!2U¢t _WMAtT. 11l,_1G Phone: orsziesg4. 0005
Sewer & Water Contractor: Phone:
NOTE Pla~s'and Fsupporting alocuments tha yousubrri!< 9are co'?sr"eretl tobe u~s information Portions of '
the information maybe c/ass fietl as non publ►,c if you provide sped lfgy g hs that would permarf he City to
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.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 HAlE2122 t%..JI kL
Applicant's Printed Name lic t igna ure
Page 1 of 3
6AV
DO NOT WRITE BELOW THIS LINE 1101
7-
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)
T 01 of L Piex _ 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 27 AV Occupancy G - MCES System
Plan Review Code Edition Gav7 SAC Units /
(25%_ 100%-JZ Zoning P- City Water I/y
Census Code 1341 Stories / Booster Pump 0116-0-
# of of Units / Square Feet ~3b3 PRV w
# of Buildings / Length 78' Fire Sprinklers /9-10
Type of Construction 12 Width 39
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:
yV Roof: Ice & Water Final Pool: -Footings -Air/Gas Tests -Final
Framing Siding: ^Stucco Lath Stone Lath -Brick
Fireplace: Rough In Air Test _JtFinal Windows
Insulation Retaining Wall: _ Footings _ Backfill _ Final
Sheathing Radon Control
Sheetrock Erosion Control
Reviewed By: , Building Inspector
RESIDENTIAL FEE Vi✓ri,r A fr 75) 4V @ ~6. /A 3 91
39
Base Fee -7'" 8''33 1j Q V I-? 73 141
Surcharge o ,j, 34
Plan Review / 3 77 / s> F'4~ 3~t' ~ Ca 9 ~ 4,Z g ~ y
MCES SAC
City SAC
Utility Connection Charge Dll / 30 13,e c~ 50
S&W Permit & Surcharge -
Treatment Plant RaiA/U~ ! 3s g 7 9
Copies 2 3
TOTAL
d2~G ? !v
Page 2 of 3
. I IoI7q
New Construction Energy Code Compliance Certificate
Per N1101.8 Building Certificate. A building certificate shall be posted in a permanently visible location inside Date Certiscate Posted
the building. The certificate shall be completed by the builder and shall list information and values of
components listed in Table N1101.8.
Mailing Address of the Dwelling or Dwelling Unit City
3582 Lemieux Circle Eagan
Name of Residential Contractor MN License Number
Ron Clark Construction & Design 1220
THERMAL ENVELOPE RADON SYSTEM
Type: Check All That Apply X Passive (No Fan)
ti c
Active (6i iih fan and tnononleter or
E p other system monaorin,, device )
cC U N
C..) y ~O T3 ice.
:3 N Q
td C. P
1 U
Y O
Insulation Location v v O N
z p L W
E° i 4 z c° R Other Please Describe Here
Below Entire Slab X
Foundation Wall R-5 X Exterior
Foundation NN all At Walk Out R-10 X Interior
Rini Joist (Foundation) R-12 X Interior
Rim Joist (I" Floor+) X
Wall R-19 X
Ceiling, flat R-44 X
Ceiling, vaulted X
Bav Windows or cantilevered areas R-30 X
hour Season Porch Above Unconditioned Space R-35 X X FGorBlownR30 / V'RlgtdR5
Describe other insulated areas i 11
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 Select a Type
Appliances Heating System Domestic Water Heater Cooling System X Not required per mech. code
Fuel Typc GAS Electric R410A Passive
'.lanutaeturer Bryant Marathon Bryant Powered
Interlocked with exhaust device.
Model 912SB48080S17 MR105245 CA13030 Describe:
Input in 80,000 Capacity in 105 Output in 2.5 Other, describe:
Rating or Size BTUS: Gallons: Tons:
Heat Loss 14.760 bear 21.795 Location of duct or system:
Structure's Calculated Gain:
AFUE or 92% SEER: 13
HSPF%
Calculated 24,997
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 cftns: Low: 64 High: 150 Other, describe:
Energy Recover Ventilator (ERV) Capacity in cfins: Low: High: Location of duct or system:
Continuous exhausting fan(s) rated capacity in cfms: Basement
Location of fan(s), describe: c"
Capacity continuous ventilation rate in cfms: "round duct OR Flex
Total ventilation (intermittent + continuous) rate in cfms: "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 3582 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 3335 Total required ventilation 100
Basement - finished or unfinished)
Number of bedrooms 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
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%50 115/58 130/65 145/73 160/80 175/88
3501-4000 110/55 /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 ore than 100%
Low cfm: 64 High cfm:150 hoor 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 for plan reviewers and inspectors
to verify design and installation compliance. Related trades also need adequate detail for placement of controls and proper
operation of the building ventilation. If exhaust fans are used for building ventilation, describe the operation and location of any
controls, indicators and legends. If an ERV or HRV is to be installed, describe how it will be installed. If it will be connected and
interfaced with the air handling equipment please describe such connections as detailed in the manufactures' installation
instructions. If the installation instructions require or recommend the equipment to be interlocked with the air handling
equipment for proper operation, such interconnection shall be made and described.
Section E
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 f 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 3335
unfinished basements)
Estimated House Infiltration (cfm): [1a 500.25
x lb]
2. Exhaust Capacity
a) continuous exhaust-only ventilation
system (cfm); (not applicable to balanced
ventilation systems such as
H RV)
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 500.25
above)
Makeup Air Quantity (cfm); -125.25
[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 other than fan-assisted or atmospherically vented gas or oil appliance or if there are no combustion appliances.
(Power vent
and direct vent appliances may be used.)
B. Use this column if there is one fan-assisted appliance per venting system. (Appliances other than atmospherically vented appliances may also
be 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
Column A 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.
41 Page
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 opeX10 CAS Volume: ft
LxWxH L W H 4''.
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 S.
Step 5: Calculate the ratio of available interior volume to the total required volume.
Ratio = CAS Volume (from Step 2) divided by TRV (from Step 4a or Step 4b)
Ratio 3000 =
Step 6: Calculate Reduction Factor (RF).
RF= 1 minus Ratio RF = 1- J . = d•
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/ r
(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.
5 ~ Page -
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.
61 Page
• RECEIVED
MAY 0 9 201
3582 Lemieux Circle
HVAC Load Calculations
for
Ron Clark
EFJL6 9 *a m
w Kw% L an' & VA 8Prepared By:
Alan Dobson
Burnsville Heating & A/C Inc.
3451w Burnsville Pkwy, Suite 120
Burnsville,MN 55337
952-894-0005
Wednesday, April 24, 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 HVAC Loads Elite Software Development, Inc.l
Burnsville. Heating & A/C Inc 3582 Lcm ei Circle
Burns Mlle. MN 55337 _ Page 2
Pr ect Report
General Project Information
Project Title: 3582 Lemieux Circle
Designed By: Alan Dobson
Project Date: Wednesday, April 24, 2013
Project Comment:
Client Name: Ron Clark
Company Name: Burnsville Heating & A/C Inc.
Company Representative: Alan Dobson
Company Address: 3451w Burnsville Pkwy, Suite 120
Company City: Burnsville,MN 55337
Company Phone: 952-894-0005
Company Fax: 952-894-0925
Company Comment:
Design Data........ _ Reference City: Minneapolis, Minnesota
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 /Vet Bulb Rel.Hum Re1.Hum Drv Bulb Difference
Winter: -15 ✓ -15.33 80% n/a 72 n/a
Summer: 88 111-~ 73 50% 50% 75 35
Check Figures
Total Building Supply CFM: 1,021 CFM Per Square ft.: 0.306
Square ft. of Room Area: 3,335 Square ft. Per Ton: 1,601
Volume (ft') of Cond. Space: 30,022
Building Loads
Total Heating Required Including Ventilation Air. 54 760 Btuh 54.760 MBH
Total Sensible Gain: 21,795 Btuh 87 %
Total Latent Gain: 3,202 Btuh 13 %
Total Cooling Required Including Ventilation Air: ,9 to 2.08 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.
\\SBS201 1\Redi rected Folders ...\Ron Clark Avalon 3582 Lemieux Cir Final.rhv Wednesday, April 24,20113,11:52 PM
i 11 Bu nsville 33 Light Commercial HVAC Loads - Elite Software Lemieux Circle 11 , IN Burnsville Heating & A/C Inc 3582 582
Le Lemieux Circle
Total Buildin Summary Loads
ComponPni Area Sen Lat Sen Total
Description Quan Loss Gain Gain Gain'
hbt: Glazing-hbt, ground reflectance = 0.23, u-value 0.29, 15 379 0 174 174
SHGC 0.3
hbt: lazing-hbt, ground reflectance = 0.23, u-value 0.31, 215.5 5,814 0 6,276 6,276
SHGC 0.3~
hbt: Glazing-hbt, ground reflectance = 0.23, u-value 0.33, 40.8 1,171 0 446 446
SHGC 0.5
hbt: Glazing-hbt, u-value 0.3, SHGC 0.37 27 705 0 1,039 1,039
hbt: Glazing-hbt, ground reflectance = 0.23, u-value 0.3, 30 783 0 1,215 1,215
SGC HE
hbt: Glazing-hbt, ground reflectance = 0.23, u-value 0.31, 33 890 0 1,278 1,278
SHGC 0.~
hbt: Glazing-hbt, u-value 0.31, SHGC 0.35 10 270 0 107 107
hbt: Glazing-hbt, ground reflectance = 0.23, u-value 0.3, 25 653 0 1,012 1,012
Front Door: Door- 20.4 248 0 69 69
hbt: Door-hbt 19 232 0 64 64
12E-Osw: Wall-Frame,t91 insulation in 2 x 6 stud 2196.6 12,995 0 2,300 2,300
cavity, no board ins ation, siding finish, wood studs
R-5 wall: Wall- rDAI 485.3 2,872 0 509 509
RC Rim Joist: Wall-Frame, Custom, RC Rim joist 223.7 1,614 0 286 286
16B-44-ad: Roof/Ceiling-Under Attic with Insulation on 1741 3,332 0 1,839 1,839
Attic Floor (also use for Knee Walls and P rtition
Ceilings), vented attic, no radiant barrie R-4
insulation, dark asphalt
RC Floor: Floor-Over open crawl spaceorarage, 146.2 356 0 33 33
Custom, RC Porch Floor R-3,57-
21A-32-v: Floor-Basement, Concrete slab, any thickness, 1594.7 2,775 0 0 0
2 or more feet below grade, no insulation below floor,
ylnyi_covering, shortest side of floor slab is 32' wide
Subtotals for structure: 35,089 0 16,647 16,647
People: 2 460 600 1,060
Equipment: 400 1,200 1,600
Lighting: 0 0 0
Ductwork: 4,803 368 2,168 2,536
Infiltration: Winter CFM: 160, Summer CFM: 85 14,868 1,974 1,180 3,154
_Ventilation:_-Winter CFM _0, Sumer_CFM: 0 _0 0... _0
_ _
Total Building Load Totals: 54,760 3,202 21,795 24,997
'Check Figures j
Total Building Supply GFM: 1,021 CFM Per Square ft.: 0.306
Square ft. of Room Area: 3,335 Square ft. Per Ton: 1,601
Volume (ft3) of Cond. Space: 30,022
Building Loads -
Total Heating Required Including Ventilation Air: 4 760-Btu 54.760 MBH
Total Sensible Gain: 21,7 tuh 87 %
Total Latent Gain: 3,202 Btuh 13 %
Total Cooling Required Including Ventilation Air: 2.08 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.
\\SBS201 1 \Redirected Folders ...\Ron Clark Avalon 3582 Lemieux Cir Final.rhv Wednesday, April 24, 2013, 1:52 PM
Rhvac - Residential & Light Commercial HVAC Loads Elite Software Development, Inc.
Burnsville Heating & A/C Inc 3582 Lemieux Circle j
Burnsville MN 55337 Page 14
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, 15 379 0 174 174
SHGC 0.3
hbt: azing-hbt, ground reflectance = 0.23, `-value 0.31 215.5 5,814 0 6,276 6,276
SHSHG~-4.x.5.
hbt: Glazing-hbt, ground reflectance = 0.23, u-value 0.33. _ 40.8 1,171 0 446 446
SHG, C 0.3~ -
hbt: Glazing-hbt, u-value 0.3, SHGC 0.37 27 705 0 1,039 1,039
hbt: Glazing-hbt, ground reflectance = 0.23, u-value 0-1 30 783 0 1,215 1,215
SH~~
hbt: Glazing-hbt, ground reflectance = 0.23, u-value 0.31, 33 890 0 1,278 1,278
SHGC 0.35
hbt: Glazing-hbt, u-value 0.31, SHGC 0.35 10 270 0 107 107
hbt: Glazing-hbt, ground reflectance = 0.23, u-value 0_3, 25 653 0 1,012 1,012
SHGC 0.37
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 2196.6 12,995 0 2,300 2,300
cavity, no board in ion, siding finish, wood studs
R-5 wall: Wall- r-091 ✓4 AJlwou 2, 485.3 2,872 0 509 509
RC Rim Joist: Wall-Frame, Custom, RC Rim joist 7 1,614 0 286 286
16B-44-ad: Roof/Ceiling-Under Attic with Insulation on 1741 3,332 0 1,839 1,839
Attic Floor (also use for Knee Walls and P i 'on
Ceilings), vented attic, no radiant barrie , R-44
insulation, dark asphalt
RC Floor: Floor-Over open crawl space or garage, 146.2 356 0 33 33
Custom, RC Porch Floor n w 36-
21A-32-v: Floor-Basement, Concrete slab, any thickness, 1594.7 2,775 0 0 0
2 or more feet below grade, rno inula abelow floor,
_ viny-I_covering, shortest s de.of floor, slab__ s_32' wide
Subtotals for structure: 35,089 0 16,647 16,647
People: 2 460 600 1,060
Equipment: 400 1,200 1,600
Lighting: 0 0 0
Ductwork: 4,803 368 2,168 2,536
Infiltration: Winter CFM: 160, Summer CFM: 85 14,868 1,974 1,180 3,154
Ventilation: Winter C-FM: 0, Summer CFM: 0 0 0_ 0 0_-
System 1 Main Floor Load Totals: 54,760 3,202 21,795 24,997
Check Figures.. _
Supply CFM: 1,021 CFM Per Square ft : 0.306
Square ft. of Room Area: 3,335 Square ft. Per Ton: 1,601
Volume (ft3) of Cond. Space: 30,022
System Loads
Total Heating Required Including Ventilation Air: q54,,760 Bttu 54.760 MBH
Total Sensible Gain: Btuh 87 %
Total Latent Gain: tuh 13 %
Total Cooling Required Including Ventilation Air: 24,997 Btuh 2.08 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.
\\SBS201 1 \Redirected Folders ...\Ron Clark Avalon 3582 Lemieux Cir Final.rhv Wednesday, April 24, 2013, 1:52 PM
i s
Rhvac - Residential & Light Commercial HVAC Loads Elite Software Development, Inc.
Burnsv PP Heating & A/C Inc 3582 Lemieux Circle
Burnsville. MN 55337 Page 32
Detailed Room Loads - Room 10 - Basement Peak Fenestration Gain Procedure
General
Room is in zone 2, which peaks at 11 am
Calculation Mode: Htg. & clg. Occurrences: 1
Room Length: 40.9 ft. System Number: 1
Room Width: 39.0 ft. Zone Number: 2
Area: 1,595.0 sq.ft. Supply Air: 414 CFM
Ceiling Height: 9.0 ft. Supply Air Changes: 1.7 AC/hr
Volume: 14,352.0 cu.ft. Req. Vent. Clg: 0 CFM
Number of Registers: 1 Actual Winter Vent.: 0 CFM
Runout Air: 414 CFM Percent of Supply.: 0 %
Runout Duct Size: 11 in. Actual Summer Vent.: 0 CFM
Runout Air Velocity: 628 ft./min. Percent of Supply: 0 %
Runout Air Velocity: 628 ft./min. Actual Winter Infil.: 80 CFM
Actual Loss: 0.107 in.wg./100 ft. Actual Summer Infil.: 42 CFM
Item Area U- Ht Sen C! Lat Sen
Description _ Quantity .Value HTM Loss HTM Gain Gain;
E -Wall-12E-Osw 39 X 9 266 0.068 5.9 1,574 1.0 0 279
N -Wall-12E-Osw 40.9 X 9 368 0.068 5.9 2,177 1.0 0 385
S -Wall-R-5 wall 9.8 X 3.6 35.3 0.068 5.9 209 1.0 0 37
W -Wall-R-5 wall 39 X 9 351 0.068 5.9 2,077 1.0 0 368
E -Wall-RC Rim Joist 39 X 1.4 54.6 0.08 7.2 394 1.3 0 70
N -Wall-RC Rim Joist 40.9 X 1.4 57.2 0.083 7.2 413 1.3 0 73
W -Wall-RC Rim Joist 39 X 1.4 54.6 0.083 7.2 394 1.3 0 70
S -Wall-RC Rim Joist 40.9 X 1.4 57.2 0.083 7.2 413 1.3 0 73
S -Wall-12E-Osw 9.8 X 5.6 37.4 0.068 5.9 221 1.0 0 39
S -Wall-12E-Osw 20 X 9 150 0.068 5.9 887 1.0 0 157
S -Wall-R-5 wall 11 X 9 99 LO.3 5.9 586 1.0 0 104
E -GIs-hbt t3X500~9 %S (4) 60 27.0 1,620 47.5 0 2,852
E -GIs-hbt %S 25 26.1 653 49.9 0 1,248
S -GIs-hbt %S 17.5 27.0 472 36.3 0 636
S -GIs-hbt %S 30 27.0 809 36.3 0 1,090
Floor-21A-1594.7 0.020 1.7 2,775 0.0 0 0
Subtotals for Structure: 15,674 0 7,481
Infil.: Win.: 79.7, Sum.: 42.3 1,663 4.450 7,399 0.353 982 587
Ductwork: __775-.
Room Totals: 25,291 982 8,843
\\SBS201 1 \Redirected Folders ...\Ron Clark Avalon 3582 Lemieux Cir Final.rhv Wednesday, April 24,2013,1:52 PM
Rhvac - Residential & Light Commercial HVAC Loads Elite Software Development, Inc.
Burnsville Heating & A/C Inc 3582 Lemieux Ctrde
Burnsville. MN 55337
System 1 Room Load Summary
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
-Zone 1---
1 Foyer 53 816 11 1-2 466 217 26 10 10
2 Flex Room 148 3,646 49 1-5 329 958 130 45 45
3 Kitchen 322 1,924 26 1-6 443 1,857 65 87 87
4 Dining 158 2,416 32 1-4 462 860 72 40 40
5 4 Season Porch 146 6,747 90 1-8 513 3,819 196 179 179
6 Great Room 264 3,306 44 1-8 492 3,668 80 172 172
7 Master Bedroom 203 4,123 55 1-7 554 3,161 613 148 148
8 Master Bath 132 1,341 18 1-2 635 296 55 14 14
9 Mud-Room- - 314--- _5j62--.-.-- 1..-4 575...... 1,072 615- 50 50....
Zone 1 subtotal 1,740 29,469 394 15,908 1,852 745 745
---Zone 2---
10 Basement _1,59525291 339...._.._ 1-1.1 628 8,843 _982 414 414....
Zone 2 subtotal 1,595 25 291 339 8,843 982____ 414 414.._.
- - -
Duct Latent 3688 - - -
System 1-_1otal___ 3,335_54,760__-_ _ 733 _21,795 _3,202___ 11021 _1,021_
System 1 Main Trunk Size: 11x16 in.
Velocity: 835 ft./min
Loss per 100 ft.: 0.108 in.wg
Note: Since the system is multizone, the Peak Fenestration Gain Procedure was used to determine glass sensible gains
at the room and zone levels, so the sums of the zone sensible gains and airflows for cooling shown above are not intended
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
Procedure + Excursion" method.
Cooling System Summary
Cooling Sensible/Latent Sensible Latent Total
Tons Split _ Btuh - _Btuh - Btuh
Net Required: 2.08 87%/13% 21,795 3,202 24,997
\\SBS201 1 \Redirected Folders ...\Ron Clark Avalon 3582 Lemieux Cir Final.rhv Wednesday, April 24, 2013, 1:52 PM
LOT SURVEY CHECKLIST FOR RESIDENTIAL
• BUILDING PERMIT APPLICATION
V ~ s
PROPERTY LEGAL:
DATE OF SURVEY: 3
LATEST REVISION:
a~
c
ca
L
V
p z Q DOCUMENT STANDARDS
p ❑ Registered Land Surveyor signature and company
❑ ❑ Building Permit Applicant
~f ❑ ❑ Legal description
~j ❑ p Address
❑ ❑ • North arrow and scale
~j ❑ ❑ • House type (rambler, walkout, split w/o, split entry, lookout, etc.)
0 ❑ • Directional drainage arrows with slope/gradient %
❑ p • Proposed/existing sewer and water services & invert elevation
'1y ❑ ❑ • Street name
'H'' 0 0 • Driveway (grade & width - in RAN and back of curb, 22' max.)
D p • Lot Square Footage
❑ p • Lot Coverage
ELEVATIONS
Existing
❑ ❑ • Property corners
0 0 Top of curb at the driveway and property line extensions
XA 4 p ,21" Elevations of any existing adjacent homes
~v 0 ❑ Adequate footing depth of structures due to adjacent utility trenches
❑ ❑ Waterways (pond, stream, etc.)
'Pr Proposed
p 0 ❑ Garage floor
0 0 Basement floor
0 ❑ Lowest exposed elevation (walkout/window)
❑ ❑ Property corners
❑ ❑ Front and rear of home at the foundation
PONDING AREA (if applicable)
❑ ❑ Easement line
p ~9 0 • NWL
0 fa 0 • HWL
❑ C, ❑ • Pond # designation
❑ 0 Emergency Overflow Elevation
❑ /V Pond/Wetland buffer delineation
y Shoreland Zoning Overlay District
Y Conservation Easements
DIMENSIONS
~f J Jd` 0 0 Lot lines/Bearings & dimensions
f e/ 0 'X Right-of-way an reet widt to back of curb)
,2( 0 dd' Proposed home dimensions including any,,proposecTdecks over angs Brea er an porches. etc.
(i.e. all structures requiring permanent foofings)
❑ 0 Show all easements of record and any City utilities within those easements
❑ ❑ Setbacks of proposed structure an and setback of adjacent existing structures
0 0 Retaining wall requirements: i
Reviewed By~ Date -3
G:/FORMSBuilding Permit Application Rev. 11-26-04
r U FLU ~u rrvlt~;L~ ~o vv - Z+ ~uv~~y vv - v- i Z~.U IV i zti, NAI, I ~ ,~ii
1 -~11
Certificate of Survey for: RON CLARK CONSTRUCTION & DESIGN
952.8 Denotes Existing Elevation HOUSE TYPE: TOWNHOUSE FULL BASEMENT WALKOUT Job # 131601.10-124
981.5 Denotes Proposed Elevation
PROPOSED HOUSE ELEVATIONS: Date: 3/06/13
'101 Denotes Surface Drainage
GARAGE FLOOR ELEVATION = 887.5 S al "=20'
O Denotes 1/2" iron pipe set TOP OF FOUNDATION ELEV = 887.8 r
• Denotes 1/2" iron pipe found. LOWEST FLOOR ELEVATION = 879.1 C
I~y
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ar Retaining all Wig Date -
Be Required o co AV ~flRE T.
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° LEMIEUX CIRCLE FIN TURF IS ESTABLISH'tD
PRD SAN. PRD SAN.
SERV. 875.5 I SERV. 875.5
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A 32.33 _54.67 Ir ~C
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885.47 or--- ~.9 - -r10
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864818.33 66~~ p ~e1b ~ 8.61 I Q 4
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8821 PROPOSED BUILDING $$pO~ °
z Lot Area: 6572 S.F. Lot Area: 6572 S.F. I 00
° I 881.6 Coverage: 2093 S.F. Coverage: 2057 S.F.
881.6 ° z
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N89°53'33"E 106.00
Lots 7 and 8, Block 3, 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 Li &i- d_.La.nd...S.urve_uDr Tend he-
laws J zY~
of the state of Minnesota. [ w0 141~B DIVI SICIN
Oliver Surveying & Engineering, Inc.
~-yr Oliver Surveying & Engineering, Inc. &&~' By: Rick M. Blom, LS Land Surveying • Civil Engineering- Land Planning
580 Dodge Ave. Elk River, MN 55330. 763.441.2072 fac. 763.441.5665
License No . 21729
www.oliver-se.com
Date: 3/07/13 Rev.: 5/8/13 city comments
Rev.: 3/26/13 (restake new plans)
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA112690
Date Issued:08/22/2013
Permit Category:ePermit
Site Address: 3582 Lemieux Cir
Lot:7 Block: 03 Addition: Pearlmont Heights
PID:10-56950-03-070
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Fireplace (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 .
Mallory Miller
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 -
Pearlmount Heights Llc
7500 78th St W
Edina MN 55439
Hearth And Home Technologies
2700 N. Fairview Ave
Roseville MN 55113
(651) 638-3309
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA112691
Date Issued:08/22/2013
Permit Category:ePermit
Site Address: 3582 Lemieux Cir
Lot:7 Block: 03 Addition: Pearlmont Heights
PID:10-56950-03-070
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Fireplace (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 .
Mallory Miller
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 -
Pearlmount Heights Llc
7500 78th St W
Edina MN 55439
Hearth And Home Technologies
2700 N. Fairview Ave
Roseville MN 55113
(651) 638-3309
Applicant/Permitee: Signature Issued By: Signature
JID: 491635
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3830 Pilot Knob Road I 1
I
Eagan MN 55122 i Date Received:
Phone: (651) 675-5675 1 Staff: j
Fax: (651) 675-5694 1
2013 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: ° s Site Address:
Tenant: Suite
lot
Name: 1/ Phone: m Cd
Resident/Owner
Address / City / Zip: C ~L> ` ° Ff
Name: nse
Address: ~ ! ~1 ~C1-ti & GZ ` C, V.
Contractor / 6C/
State: Zip: ~a _ Phone:
A-
Contact: Email:
Type of Work New -Replacement _Repair -Rebuild - Modify Space - Work in R.O.W.
Description of work: 1^ J
RESIDENTIAL
Water Heater
Water Softener
Lawn Irrigation RPZ PVB)
Permit Type Add Plumbing Fixtures Main 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 System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*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)
TOTAL FEES $
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.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.
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App icant's :frin'ted-Naipfie Applicant's Signa
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test Gas Test Final
Meter Related Items: Meter Size Radio Read Staff: