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4911 Jamie Rose Ct 61 I `13) 5 )0, 6 53.61-7 e, io% L 0 Use BLUE or BLACK Ink n„ , i `1 J l O p r (70 For Office Use 1 X11 ` 1 + ~~S 1 b"'1 Of Eap Permit 9"LY Permit Fee: 3830 Pilot Knob Road ` 1 3 I Eagan MN 55122 I Date Received: 9' 1 Phone: (651) 675-5675 I Staff: 1 Fax: (651) 678-5694 3L,,w1 , l 2013 RESIDENTIAL BUILDING ~Pe~E`~RMIT APPLICATION Date: Site Address: f ~ 1I 1 iIL V 1\ e- r-as e c o a ve-T Unit I Name: Phone: Resident/ i Owner Address l City / Zip: Applicant is: Owner Contractor Type of Work Description of work: 6W L+Q)% 6014 9 Construction Cost: Multi-Family Building: (Yes / No Company: VeNN i Elm 9 uu? )rj Contact: WLI SS ft Address: 2960 I/y. VIM W-ig 4~)- C'T~ 40le- City: V?111V-NSViiJ, I Contractor I State: _Zip: Phone: "C! - `VQ - '2;My i _ License t0 Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONL F 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 qI asl R " N Phone: (P - -34-3 (010 Mechanical Contractor. Phone: 9J - Sewer & Water Contractor Phone: t ° ty f 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 i conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Cali 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.ygpherstateonecall.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~ t L a P\ 't T 1~ Y 12 x 6-. (t /1~114'r~ l Applicant's Printed Name Applicant's Signature Page 1 of 3 ma ~Rmlt - DO NOT WRITE BELOW THIS LINE 11135 SUB TYPES _ Foundation - Fireplace _ Porch (3-Season) _ Storm Damage Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) _ Multi _ Deck _ Porch (ScreerdGazebo/Pergola) _ Exterior Alteration (Multi) _ 01 of _ Plex _ Lower Level T 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 MCES System Plan Review Code Edition SAC Units (25%100%.)(,) Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: -f ` Footings (Deck) Final I 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 -4 Framing Siding: -Stucco Lath tone La -Brick Fireplace: Rough in Air Test Final Windows Insulation Retaining Wail: _ Footings _ Backhll _ Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES 121 0--7 Base Fee f Surcharge t) t x~ j 4~ ~7~17 Plan Review MCES SAC ( L( 'Ti City sac ~ ~ ~ ~ q ~ 73 Utility Connection Charge J S&W Permit & Surcharge Treatment Plant L q1 33 7, Copies ~Mgi W V L21 I TOTAL I 2 )AX -3,t O l-~ New Construction Energy Code Compliance Certificate Per N1101.8 Building Certificate. A building certificate shall be posted in a permanently visible location inside the mate Certificate Posted building. The certificate shall be completed by the builder and shall list information and values of components listed in Table NI 101.8. 8/26/13 Mailing Address of the Dwelling or Dwelling Unit City nnehjem 4911 Jamie Rose Ct Adda udi Eagan, MN a~altlMCorpowatlal~ Name of Residential Contractor MN license Number Venneh•em Building Co !p. BC108964 THERMAL ENVELOPE RADON SYSTEM c Type: Check AM That Apply X Passive (No F. ) ~ v F" ar Active (With fan and monometer or v e c y other system monitoring device ) o U y as c > o 0 Insulation Location N k ~ 'L7 0 0 H Z r.. r4 wo wo w Other Please Describe Here Below Entire Slab X Foundation Wall R10 X Interior Perimeter of Slab on Grade R10 X Rim Joist (Foundation) R13.4 X Interior Rim Joist 1" Floor'l• R13.4 X Interior Wall R19 X Ceiling, flat R44 X Ceiling, vaulted R44 X Bay Windows or cantilevered areas R43 X X R30 Batt Insul. + r SPRAY FOAM Room over garage FLOOR R43 X X R30 Ball Insul. + 2°SPRAY FOAM Describe other insulated areas r. Windows & Doors [Heating or Coolie Duets Outside Conditioned Spaces Ave. U-Factor (excludes skylights & one door) U: 0.28 Not applicable, all ducts located in conditioned space Solar Heat Gain Coefficient (SHGC): 0.31 R-value MECHANICAL SYSTEMS Make-up Air Select a Type Appliances Heating System Domestic Water Heater Cooling System Not requited per mech. code Fuel T pe Natural Gas Electric Electric Passive Manufacturer LENNOX RHEEM LENNOX Powered Interlocked with exhaust device. Model ML193UH09OP48C RHE- PR052-2 3ACX-042-230-11 Describe: I"Put 88,000 Capacity in 50 Gal Output in 3.50 Other, describe: Rating or Size BIUS~ Cations: Tons: Heat 73,405 Heat 32, 369 Location of duct or system: Structure's Calculated Loss: Gain: Art TTTTT or 93% SEERI 13 USPI'% Calculated 32,369 Efftcieucv coolie 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 Seed a Type source heat pump with gas back-up fiunace): Not required per mech. code Seled Type Passive Heat Recover Ventilator (HRV) Capacity in efms: Low: 95 High: 190 Other, describe: Energy Recover Ventilator (ERV) Capacity m efms: Low: High: Location of duct or system: Continuous exhausting fan(s) rated capacity in cfms: N/A Location of fan(s), describe: Cfm's Capacity continuous ventilation rate in cfms: " round duct OR FLEX Total ventilation (intermittent + continuous) rate in efins: "metal duct Created by BAM version 052009 Meridian Energy Pmoducts Load Short Form Job: Entire House I [ Dace: Aug 30, 2013 ay: ENERTECH Project Information For: Better Air - Addagudi - Jamie Rose Court 4911 Jamie Rose Court, Eagan, MN Design Information H19 C19 infiltration Outside db (°F) -15 88 Method Simplified Inside db (°F) 70 722 Construction quality Tight Design TD (°F) 85 16 Fireplaces 0 Daily range - M Inside humidity (°fo} 40 50 Moisture difference (gr/lb) 43 38 HEATING EQUIPMENT COOLING EQUIPMENT Make Lennox Make Lennox Trade MERIT 90 Trade ADP Model ML193UH090P48C-` Cond 13ACX-042-23o-11 AHRI ref 4119047 Coil M60E59(6,9) AHRI ref 44662o5 Efficiency 93AFUE Efficiency 10.5 EER, 13 SEER Heating input 88000 MBtuh Sensible cooling 27300 Btuh Heating output 83000 Btuh Latent cooling 11700 Btuh Temperature rise 60 IF Total cooling 39W Btuh Actual air flow 1300 cfm Actual air flow 1300 cfm Air flow factor 0.022 ctm/Btuh Air flow factor 0.068 cfm/Stuh Static pressure 0 in H2O Static pressure 0 in H2O Space thermostat Load sensible heat ratio 0.67 ROOM NAME Area Htg load Clg load Htg AVF CIg AVF 01:2) (Btuh) (Btuh) (cfm) (cfm) Basement 1584 15597 2410 347 164 Entry Level 1175 5409 1724 120 117 Roof Over 52 1541 404 34 28 Open to above 273 7502 3085 167 210 Bump 18 1865 173 41 12 Porch 156 7701 3544 171 241 2nd Level 1175 9903 4073 220 277 Above Garage 342 3685 1472 82 100 Nook 84 3476 1362 77 93 Upper Cant 24 1759 861 39 59 Bold'Wic values have Daen mwrueity nvectlddan Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. Wr! htsotft' 9 Rignt-Sutep4 Universat M212.0.13 RSU02665 2013-Sep-O4 09:10:24 Page i C:Wse+s~JeHLDocunrenls\Wrightsott HVAG4Better Arc, AddaguKit -rup Calc = MJ8 Front Door faces, 0 Entire House 4883 58438 19149 1317 1317 Other equip loads 14967 3733 Equip. @ 01.93 RSM 21220 Latent cooling 11149 TOTALS 4883 73405 32369 1317 1317 BoldliteAc values ham been ~ually omrridden Calculations approved by ALGA to meet all requirements of Manual J 8th Ed. W htSOft° 2013-Aug-3016:36:16 A- Right-Suites Universal 2012 12.0.13 RSU02669 Page 2 C:,UserstJetfiDocumentsiWrightsolt HVAMWter Air. Addagud.W Calc MJ6 Front Door faces: Building l Analysis Date: Aug 3Q, 2013 Entitle House By. ENERTECH Project Information Far: Better Air - Addagudi - Jamie Rose Court 4911 Jamie Rose Court, Eagan, MN Design Conditions Location: Indoor: Heating Cooling Minneapolis-St Paul Int'i Arp, MN, US Indoor temperature (°F) 70 72 Elevation: 837 ft Design TD (°F)) 85 16 Latitude: 45°N Relative hurn>d'ty 40 50 Outdoor: Heating Cooling Moisture difference (grub} 43.1 37.9 Dry bulb (°F -15 88 Infiltration: Daly r °F) 18 ( M) Method Simplified Wet txdb~ 72 Construction quality Tight Wind speed (mph) 15.0 7.5 Fireplaces 0 « Component Btuhlft2 Btuh % of load Walls 5.3 24029 32.7 Glazing 252 12378 16.9 Doors 25.4 2239 3.1 Ceilings 3.1 6540 8.9 Floors 3.1 5502 7.5 Infiltration 1.8 7751 10.6 Ducts 0 0 Piping 0 0 Humidification 0 0 Ventilation 14967 20.4 Adjustments 0 Total 73405 100.0 • s Component Btutvft2 Btuh of load Wails 1.0 4726 20.7 Glazing 17.5 8572 37.5 Doors 8.5 749 3.3 Ceilings 1.9 3997 17.5 Floors 0.2 283 1.2 Infiltration 0.2 781 3.4 Ducts 0 0 Ventilation 3733 16.3. Internal gains 0 0 Blower 0 0 Adjustments 0 Tot>31 22841 100.0 Latent Cooling Load = 11149 Stuh Overall U-value 0.069 Btuhlft2- °F ERROR: negative wall area in Basement - check windows. Soldlif0c Mues haws been mermat[y overridden wr htstisft° 2013-Aug-3015:36:18 Right-Suites Universal 2012 12,0.13 RSU02M Page C;\UserslJett DocumernslWdghtsott HVACiBetter Air, Addagudi.rup talc - MJ8 From Door laces: 1 Component Constructions Job: Date: Aug 30, 2013 Entire House By: ENERTECH Project Information For Better Air - Addagudi - Jamie Rose Court 4911 Jamie Rose Court, Eagan, MN Design Conditions Location: Indoor: Heating Cooling Minneapolis-St Paul Int'l Arp, MN, US Indoor temperature (°F) 70 72 Elevation: 837 ft Design TD (°F) 85 16 Latitude: 45 ON Relative humidity 40 50 Outdoor: Heating Cooling Moisture difference (grub) 43.1 37.9 Dry bulb (°F) -15 88 Infiltration: Daily range (°F) - 18 ( M) Method Simplified Wet bulb (°F) - 72 Construction duality Tight Wind speed (mph) 15.0 7.5 Fireplaces 0 Construction descriptions or area U-value Insul R Htg HTM Lass clg HTM Gain ie 61uh?tp-`f W-FSWh 8'prhtCi: 8Wh fthAp atuh Wails 12E-0sw: Frm wait, vni ext, 112" wood shth, r-19 cav ins, 112 gypsum n 1219 0.068 19.0 5.78 7045 1,32 1604 hoard int fnsh, 2"x6" wood frm a 862 0,068 19.0 5.78 4984 1.32 1135 s 575 0.068 19.0 5.78 3323 1.32 756 w 767 0.068 19.0 5.78 4435 1.32 1010 all 3423 0.068 19.0 5.78 19787 1.32 4504 15611-8wc-6: Bg wall, heavy dry or light dam soil, 2"x4" wood int frm, a 441 0.043 19.0 3.94 1737 0.19 85 concrete wall, r-10 ins, 8" thk, 112" gypsum board Int tnsh s 468 0.043 19.0 3.94 1843 0.19 90 w 300 0.043 19.0 3.89 1166 0.16 47 all 1101 0,043 19.0 3.85 4242 0.20 221 Partitions (none) Windows 2 glazing, Or outr, air gas, vni frm mat, cir innr, 114" gap, 114" thk:2 n 31 0.280 0 23,8 733 10.9 335 glazing, cir outr, air gas, vni frm mat, cir innr, 1l4" gap, 1f4" thk; NFRC n 117 0,300 0 25.5 2986 11,2 1310 rated (SHGCd0.34) n 108 0.300 0 25,5 2749 11.2 1206 e 16 0.280 0 23.8 381 36.2 579 e 19 0.300 0 25.5 494 36.5 706 s 29 0.300 0 25.5 749 20.6 604 w 19 0.300 0 25.5 479 36.5 686 all 339 0.300 0 25.3 8571 16.0 5425 2 glazing, clr outr, air gas, vni trm mat, cir innr, 114" gap, 114° thk: 2 n 28 0300 0 25.5 719 10.8 305 glazing, cir outr, air gas, vni frm mat, cir innr,114" gap,. 114" thk; NFRC s 67 0,300 0 25.5 1698 19.6 1308 rata} (SHGC-0.32) w 28 0300 0 25.5 719 34.6 976 all 123 0300 0 25.5 3136 21.1 2589 2 glazing, cir outr, air gas, vni trm mat, cir innr, 114" gap, 1i4" thk: 2 s 28 0.280 0 23.8 671 19.8 558 glazing, cir outr, air gas, vni frm mat, cir innr, 1W gap, 114" thk; NFRC rated (SHGC=0.33) ~..±3~ i,,,tttSlDft` 2013-Aug-3015:36.16 wr i9C.l.~t lg Right-9uite® Universal 2012 12.0.13 RSU02669 Page 1 C: Users}Aeit\Documents`Wrightsoit HVAC\Better Air. Addagudi.rup Caic - MJ8 Front Door laces: Doors Door, mil pur core type: Door, mtl pur core type a 20 0280 10.5 23.8 486 7.97 163 S 21 0.340 10.5 28.9 607 9.67 203 w 26 0,280 10.5 23.8 611 7:97 204 all 67 0.280 10.5 25.4 1704 8.50 570 Door, glass: Door, glass w 21 0.300 10.5 25.5 536 8.54 179 Ceilings 1613-44ad: Attic ceiling, asphalt shingles roof mat, r-44 ceil ins.. '1/2" 1s 0.022 44.0 .1.87 34 1.14 21 gypsum board intfnsh 16B-44ad: Attic ceiling, asphalt shingles roof mat, r-44 ceii ins, 518" 1950 0.022 44.0 1.87 3647 1.14 2229 gypsum board int fnsh C part ceiling,: C part ceiling, carpet flr fnsh, frm fir, 12" thkns, 5/8" 156 0.216 1.0 18.3 2860 11:2 1748 gypsum board int fnsh Floors 19A•Obscp: Part floor, carpet fir fnsh, frm fir, 12" thkns, 518" gypsum 156 0.295 0 9.42 1469 1.76 275 board int fnsh 20P-38c: Flr floor, frm flr, 12" thkns, carpet flr fttsh, r-38 cav ins, amb 24 0.030 38.0 2.55 61 0.36 9 ovr 21 A-28c: Bg floor, heavy dry or light darn sail, 6.5' depth, carpet fir 1584 0.022 0 1.87 2962 0 0 fnsh 22A-tpl: Bg floor, light dry soil, on grade depth 12 0.989 0 84.1 1009 0 0 'I I :c 2013-Aug-3015:36:18 WC hY63f MgM-SurieO Uruversa! 2012 12A 13 RSU02669 Pap 2 C:,UsersQetttDocumentstWrightsoft HVAC%amter Air, Addagudi.rup Cat = MJ8 Front Door faces: Project Summary 'tot : We: Aug 30, 2013 Entire House Br: ENERTECH # _ Information For: Better Air - Addagudi - Jamie Rose Court 4911 Jamie Rose Court, Eagan, MN Notes: ------Desi-qn Information Weather: Minneapolis-St Paul Intl Arp, MN, US Winter Design Conditions Summer Design Conditions Outside d b -15 °F Outside db 88 OF Inside db 70 "F Inside d b 72 OF Design TD 85 QF Design TD 16 c Daily range M Relative humidity 50 % Moisture difference 38 gr/lb Heating Summary Sensible Cooling Equipment Load Sizing Structure 58438 Btuh Structure 19109 Btuh Ducts 0 Btuh Ducts 0 Btuh Central vent (300 cfm) 14967 Btuh Central vent (400 cfm) 3733 Btuh Humidification 0 Btuh Blower 0 Btuh Piping 0 Btuh Equipment load 73405 Btuh Use manufacturer's data n Ratelswing multipplIier 0.93 Infiltration Equipment sensi a load 21220 Btuh Method Simplified Latent Cooling Equipment Load Sizing Construction quality Tight Fireplaces Structure 1150 Btuh Ducts 0 Btuh Heating Coolie Central vent (400 cfm) 9999 Btuh Area ( W~ft3) 39438 4883 34883 Equipment latent load 111449 Btuh Volume Air cha es/hour 0.13 0.07 Equipment total load 32369 Btuh Equiv. A F (cfm) 85 46 Req. total capacity at 0.70 SHR 2.5 ton Heating Equipment Summary Cooling Equipment Summary Make Lennox Make Lennox Trade MERIT 90 Trade 13ACX SERIES Model ML193UH09OP48C-' cord 13ACX-042-230-16 AHRi ref 4119047 Coil C33-42+ML18OUH090E486*+TDR+TXV AHRI ref 5529828 Efficiency 93 AFUE Efficiency 11.0 EER, 13 SEER Heating input 88000 MBtuh Sensible cooling 27650 Btuh Heating output . 83 Bt h li 11 B 000 u Latent cooling 850 tuh Temperature rise 59 cF Total cooling 39500 Btuh Actual air flow 1317 cfm Actual air flaw 1317 cfm Air flow factor 0.023 cfmfBtuh Air flow factor 0.069 cfm/Btuh Static pressure 0 in H2O Static pressure 0 in H2O Space thermostat Lead sensible heat ratio 0.67 8oidrrtatlo raluaa have been o w nually ovwddaen Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. wr htsoft 2013.Aug-3015:36Aa Flight•SuiteO universal 2012 12.0.13 SSU02669 Page 1 ACA C:1Users:WeffSDocument sMfightsoft HVACNBetter Air, Adda9t4,rW Calc - MJ8 Front Door faces; AED Assessment DJob: ate: Entire House By: ENERTECH Project Information For: Better Air - Addagudi - Jamie Rose Court 4911 Jamie Rose Court, Eagan, MN Design Conditions Location: Indoor Heating Cooling Minneapolis-St Paul Int'i Arp, MN, US Indoor temperature (°F) 70 72 Elevation: 837 It Design TD (°F) 85 16 Latitude: 45N Relative humidity (°l) 40 50 Outdoor: Heating Cooling Moisture difference (gr/lb) 43.1 37.9 Dry bulb (°F) -15 88 Infiltration: Daily range (`F) - 18 ( M } Wet bulb (`F) - 72 Wind speed (mph) 15.0 T5 Test for Adequate Exposure Diversity Hourly Glazing Load 1-0,000-T- 12,aoo t- 10,0001- 8,000 6.000 - d,000.. ~k { fl 8 9 10 11 12 13 14 15 16 17 18 19 20 Hour or Day kax'ro > hrerdp AE45wl Maximum hourly glazing load exceeds average by 24.1%. House has adequate exposure diversity (AED), based on AED limit of 30%. AED excursion: 0 Btuh 8oldlftalle values have been manually ovwrtddm 2013-Aug-3015;36:18 .,w W C htsoft Right-SuiteSUraversat 2012 12.0.13 RSU02669 Page 1 C:\UsersNJeffkOocuments~Wrigtitsolt HVAC%"ter Aie Addaguo-rup Calc = MJ8 Front Door faces; i r" -c www,abridirectory.org Ulrx[icate Product Ratin s AHRI Certified Reference Number: 4738436 Date: 9/4/2013 Product: Split System: Air-Cooled Condensing Unit, Coif Atone Outdoor Unit Model Number: 13ACX-042-230-15 Manufacturer: LENNOX INDUSTRIES, INC. Indoor Unit Model Number: M60E59(6,9)+TD Manufacturer: ADVANCED DISTRIBUTOR PRODUCTS Trade/Brand name: ADP Manufacturer responsible for the rating of this system combination is ADVANCED DISTRIBUTOR PRODUCTS Rated as follows in accordance with AHRI Standard 2101240-.2008 for Unitary Air-Conditioning and Air-Source Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored, Independent, third party testing: Cooling Capacity (Btuh): 39000 EER Rating (Cooling): 10.50 SEER Rating (Cooling): 13.00 Ratings aed by , asterisk indicate a voluntary rerate of previously published data. unless accompanied with a WAS_ vfiich indicates an involuntaryrerate. DISCLAIMER AHRI does not endarse the produ0s) listed on Oils Certificate and mattes no representations, warranties or guarantees as to, and assume* no responsibilky fir, the products) listed on this Certificate. AHRf expressly disclaims ap Uati ty for damages of any kind arising out of the use or performance of tie product(s), or the unauthorized alteration of data listed on this Certificate. Caltified ratings are valid only far models and configurations fisted in the directory at www.ahtidkectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and confWantlat reference purposes, The contents of this Certificate may not, in whole or in part, to reproduced, copied, dissaminaltd; antored Into a computer database. o' otierwise utilized, in any form or manner or by any meaths, except for the user's Individual, personal and confidential reference. CERTIFICATE VEF FICATION The Won, ion for a model cited on this certificate can be verUfed at www.ahrkiirectory.org, Air-Conditioning, Heating click on Cc r ce" link and enter the AHRI Certified Reference Number and the date on and Refrigeration Institute which the + 1 tifk;ate was issued, which is listen above, and the certificate No., which is Rated below. 02013 Air-Con(44ioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 130227757519241590 LLL__ Building Code Division NW 1st Ave. Faribault. MN 5=1 Fax (5177) 38407 li OW 208 Of, 'l . FeW U It Alan Emste, Building Official (507) 333.0347 Dave Mathews, Building lnspecbar (507) 333-0357 www. ci.AftaU& mr7. us Schedule Inspections (507) 333-0387 Ventilation, Makeup and Combustion Air Calculations Please submit at One of application of a mechanical p!Fmlt for new construction. Site a ddtase c Elaba HvAC C"PWW contractor Section A Vendlatlon Quantity (Determine quarry by using Table N1104.2 or Equation 11-1) Square feet (Conditioned area Including Basement - finished or unfinished) Total required wastion 9 Number of bedrooms Continuous ration 75 Section 8 Ventilation Method Choose eHher balanced or exhaust aft JZ] Balanced, HRV (heat Recover Ventilator) or ERV (Energy Exttust only Ve rdator} - cfm of unit in low must not e7ueed coon- Continuous tan rating cfm tirwous ventilation more than 100%, low dm: High afm: Contnuous fan rating In cfrn (capecity nwd rxx exceed continuous ventilstio n by More than 100% Section C ' Ventilation Fan Schedule Desc ° 'on Location Continuous Total Ventilation Section D Controls on and control of the oorW woos vent gLw Section E Make-up air for vendladon Passive (delernined from calmlations from Table 801.4. 1) Powered (determminad from calwIati from Table 501.4.1) Ind with scsaust defte (det mw*d from m*xdaWn from Tabu 501.4.1} Other, describe: Location of duct or system ventilation make-u air: Determined fran m*04v sir waning table Cfm Sin and type (round. rectangular, flex or rid} Section F Make-up air for combusticm X Not required per macharecal code (No alamphaflo or power vended ) Passive (see IF Appendix E. Woeaheet -1) Sim and type describe Notes: nskudlons and exempie fornre are available at the OWWkid Safnty waballe and at the Building NO% RG. Ibis &M mug be submitted at the Ums of roman of a numha nical pwmit for now coradrurdtom Additional forms may be downloaded and printad at. hdp;tAvww.d dsrfba Anb7. . /III Building Code Division BAN POW" Ain Ernste, Wilding Olf i N" Mathews, Wilding l (W 333-03357 www.ci, mn.uar St;the l e Inspeetions ( 333-t) 7 Ventilation, Makeup and Combustion Air Calculations Instructions and Example These kaft d wo and blw* aselittal fom a are ON" at the BWWft Safety webade and at the &dWft areas, Tne form n um be submitted d the base of of a Perm for now frt. Additional forma maybe dwOooded and Pdrded at: wWW . r completed Section A Ventilation Quantity (D$Wrr w quardity bbyusft Table NI V4 2 or Equation 11-1) arse Nr JOV B ruhnt - erdehed or urdintehed) Tom raquirad va on 7 Numtrar of bedrooms Cor Age noft Dkechbw - Determine ft total and oontkwous vwAftehn late by ad wussfng Table N1104.2 or equation 11.1. Insert ft j srquane Rove, kW mqu/twd vengleflon and Merit! wous venbeflott in AftAwk el Subm#af form The babte and equathn ate bow. , Table N1104, Total and Continuous Ventilation Rates (in dhiNumber ofa 1 2 3 4 5 6 Conditioned space Total/ Torah TotaU TR-w Total! TOMV On sq. ftA) continuous continuous continuous continuous continuous continuous 1000-15x0 5'OM 75Mtt 9(w 1 3 1 1 gg 15012000 70140 8543 100/50 115158 130165 1415173 20012500 W40 95148 110/55 12683 140!70 155178 2501-ww W46 105153 135M 16W5 185483 3001-3500 10iVv0 115158 130M 145173 16018 75/88 35014000 110/55 12583 140!70 156178 170185 185193 4001.4500 120/60 135/68 150175 185/83 180190 ift" 4501 130/861 145173 1t3f = 175188 80 20F103 • SWI-Mm 14W O 156178 170/65 i 85193 200/100 215/108 5501.6 0 1W75 185 83 180190 1951 210/105 2251113 Equation 11-1 (0.02 x square feet of conditioned sowe) + 15 x number of bedrooms + 1)j Total ventilation rate Wm) Example. Total ventilation - The mechanical ventilatlon syderm shalt provide sufficient outdoor air to equal the total vent n rate average, for each one-hour period according to rise above table or equation. For had recovery ventilators (HR11) and en- ergy recovery ventilators (ERV) the average hourly ventilation ce r must be dstwmined in consideration of any reduce Lion of exhaust or out outdoor air intake. or both, for defrost or other equipment cycling. Continuous ventilation - A minknu m of 50 pent of the total wartilatlon raft, but net test than 40 clip, shall be provid- ad, on a continuous rate average for each one lour period. The portion of the mechanical ventilation system h led to be continuours may have autwristic oyding controls prwAdb g the aver"s flow rafts for each how is met. vent-makup-comb ffir rNSTRUCTICNS.etoe Page 1 of 6 Section 8 Ventilation Method 921 M e or t BaWnced, HRV t Raaavvy Vwdab4 orERV (Enalpllr eowjd ,onh, - care d w* M tow Mutt not awed oxh ion rov is dM *RxPA vin raft by more #on I W%. Low M t mud Mat aeae0d w*=w traed 100% Dlra►cf = Choose the mmUW of vet*k*o h, balanced or exhaust O* Balanced vOn&#orr Syg&w ane iyp"W HRV or ERV's. Enfer at low and huh Ofm an ti. L=dm air flow mustbe equal to or gre1' ter then, !'equked ggaft& rate and /on than 100% giester #tert the cotr:uous rate. (Far ohs , ff ft low din to 40 dfnt, the venNabon tan must not exceed 80 cm.) Autom&w may allow the use of a *W fan that Is operated a percentage of each /hour. Section C Ventilation Fan Schedule pse"Won Location Continuous Taal Vsntilai on Dkocb" - The v agw fan sdlodule *xXW d"arft what the fern is for, the loce t % din, and ~w 4 to used for c ttnuotx cr foW verh&Wbn The fan that is dwas fb wnb`/ttrt>lra vw l dbn must be equal to or Om Me JU gb atre ft and Am Man 10096 gmWw than Me conftan raft. (Farmstance, ythe low c*n is 40 cm, the c:onttnuous tam+n,,~fan thrust not exceed 80 d~rh.) Aur~rratc conbrb may sllaw be use of a tar fart is cpstated a p t- age of each hour; Section D Ventilation Controls nd ~tt~e i Db9ctl" - Describe the Wwagon of the mWattan system. Triers shmN be acbsgus defef for Ow roviewem and llh- Vectats to vefy d®stgn and bedea also reed adequate deWfor ofcanbals and proper opemNan of the if ex/houst fans are used for b WbV veri7eg mt, dowbe the open Won and /ovation c l any conbr is, cataar and bgonds. if an ERV or HR V /s to be koft0ed, descift how 8 wN be IF 4 wHI be ownected and mooed wO Me af f nd ft equonent such connections as *Wod in the manufactures' Cation insbucbon& tf the kwisIbOon ku truaftne requko or recommend the squ*wwg to be r- bclced with the ak harxtlktg equipment' for pamper operadon, ,such onrwbon dW be made and ds$Wftd. Section E Make-up air for ventilation A T"- . rI d-wg .43) NOW- , Location of dud or system vendbdion rr~tdt" air: oommkw rltemm m*wup air opw" wbis + OR tva (regd. rodan6u r I" or (NR means not required) Peke 2 of 6 In omWto d mbta the maWW air for vertu Table 501.41 must be fled otot (see below). Formosa new kistaftWag ooko vt A wllt be *p p dak graver, #Mdterr hoods exceed 3QO cart, onoepheni W t whw app & ands arwW fusi aA%Unces arse in hWs4 use dte boo mn. Pli®ase nda, If the mW%W akgttr y is nega- titre, no ak wN be tiW*W for vwda#5im, I the vstua It pore rem to Table 5DI.4.2 a W s ke tip Wining. Transferthe cart, at* oitapenft wid type (ttx#vtd, ular, flex ordiW to the /ad &#e ofsec tbn D. The venffietion m&W-up ak &V* MLW Corium kofe *0 the etch appliances. • Table 501 A.1 PROCEDURE TO DETERMINE MAKEUP AIR QUANITY FOR EXHAUST EQUIPMENT IN DWEwNGS wrii! be t combs ors eee tWR meetod fbr vent ordtiW vwd aftidoda**M vat an or d op* C* vow on or ON oppbnco or no can- p vwt or arce or one sW A* applwum or sW md appkr=s COMM 0 Cvk= A coko m B cokann C a) pruvim iaaw 0.15 0.08 0.06 0.03 b area 13 !e x 1b 2. EXrMM a>~~W6 - tion $YAW" (oft. (not sppftmo to trWw=d WANNUM aPstems Mich H b) dWW dryer tin) 135 135 135 135 a) W% of meet esdwum iatp 4 , ' .4>C (dm); (00 spok" if 1"=AMV tam or N powwed is 9r owcm=w k*wbdw ww ram to • n" d) W% or iv (ohn); *r or M pawsM wok" * I NA to exhotmM ota# ftft* Capacity (ckn}; + +ft+ go m 1. aj tatai axteuat atwve ~ 6) ammm w" Foam- pw 4. or , Wll reefer to Tabie 501,43 A. Use this mum d #we we cow #m or atrnowwftw varrted an or ou M*NWM or i## me we no oant rift amftllo- a. (Power went and amt verrr appAmmoo may be used.) 9. Ilea t#we m If tt»re is one par wr system. cdwr ow atrnos "rim wow= Wray 00 be Mkrdsd.) C. the va ookorsr # twn k are wtrvq*wtty vWAd (other t#w broossh1eo to or an appknoo per vwft vid nt or o wwN brat w ice. D. Li" tads m M" there in mA* wnasphatc * vwftd Ww or o5 XhV a oornmmn warm or if Vw# ew atmosphar#ca V vem od in or oN appowma aM =W AM mmkom. Pars 3 of 6 Makeup Air Opetft TsbMti tw New wwtd Waft DweWng • Tattle ti A.Z ar naople powsi or a vent, dbect vent appf• assisted OPPOOran v!st W qu or ad sppl- y vied ges or of DuCt di- moss, or no *xWxw &W pom vent or aracs or we sofd tarsi apphmn or said *W mow tort SIPPINIONS taer4 vent Cow A tdurm a Corr C Cow D 1-38 1-22 1-16 1- 3 Passive opsnilrp 37 - 86 23-41 18 - 28 10-17 4 Fzw- - "e 90-46 18-26 5 Passive open tp 110 • f83 07-100 47-59'-'- ,7 - IS OM W 184- i0 -1 89 1 7 Pawn -317 195 1 ,.1 02-83 8 Pos" open" 318 - 419 196-266 136 -17tt 64 -110 8 n 150-2 111-142 10 Yfla Opel* --T ed dw.we 39$ -418 231-200' 143-179 11 ;0,41 s390 >179 NA Nobs: A. An )sng y of 100 feet of r+ajrid smooth aWN daet is ovined. SW*Ae# 40 feet for 0te eodWW hood end fan fist far esch 90• degree stow to d*W"nko Vie rent g JIMM ofd duet aRoiwebt L S. K tox bte duo is wed, nowt, tee duet dknWsr by one Mxih. pteo" duct shep be st WoW wfh n rod seas. Campreeeed duck sheaf not be scoop" C. Swanoft dwMm we p erd In PN W4srWW Ms M*BW sir apw*Va ohm try sinvopw1=4 WrAsd appRorms Is 0. Pottered nmatw * * sheaf be eksd*Wy we the Ugg" sxtxsuet s tem. k*dW Make-up air for combustion V Ravivad ;W arm vW*W 1 t x#wwb an - If no atTrttJVNWt a- PO~ vend 4Wftwm ate b cheek lte epW box, rW refit d h a power vented orettrraep#tet"W Vwtted WpAwe ea; tree 1Ff3C App wm* ty Woftheet E- I (no bed). Pbw enter Are and Wa COn bustkm atr M# nxW o"mNlcste with the appfJenoe or apptteirtces VW twWft the QOVltbWOM I*. Sec on F calculagons follow on fire next 2 paW Peg* 4 of 8 THE 2001 MtSSMTA STATE BVILDttiC CODE Complete vented comtxisbon n. FurnamBofler; _ Draft Hood _ Fan Assisted Vent lriput 4 6tuttu (Not tare uststed) d Poor vent Water'Hester: Otxttt Hood _ Fan Assisted Direct VW Input: (f-- _ mt& (Not tan asp ed) Pcnnmer Vert c c L. Cairxttate the nmkv* of ttfe Comlx:sb mtWkance Slice (CAS) contarnmg ~oniMtion appdi2n . The inckides all spies con d ;o one arotter by code mrnprant openings. CAS uoturne: ff3 fW- Determine Au Changes per Hots (ACH)' DO&A ACH values have been kxoqwa*d into Table E-1 for use whh W*VW 4b (KAgt Method). If tine yew of c onstruchon or ACN is not known, dice-n*OW 4a (Standard WIIW). Dewrr m Regwmd Volurnil for CW*,GtW Air 4a. Standard Method Total Btuftnr input of all c0niN stion appliames (DO NOT COUNT DIRECT VENT APPLIANCES) Input; U Btuhv Use Standard Method column in Table E-1 to find Total Rec d VAP* (TRV) TRY: ~ If CAS Volume (tram Step 2) is greater titan TRV alai no o oor openings are needed. It GAS Volume (from Steo 2) is has TRV ttten go to STEP 5. 4b. Known Air lnfttiratim Rate (KAIR) WOW Total Btuftu input of all fart-assisted and pow vent a pi ices (DO NOT COUNT DIRECT VENTAPPf fANCES) Input: c%% t~dtnr Use Fan-Assisted Appliances coiumn in Table E-1 to find Required V lurne Fan AsWed (RVFA) RVFA: if3 That Btalhr input of all non-fan-assisted app4anm Input: 8tuthr Use Nan-Fan-Assisted Appl ances column in Table E-1 to #W RoQt*W MAM Non-Fare-Assisted (RV's=A) RVNFk _T__ft' Toiaf Required Volturte (TT0j= RVFA + RVNFA TRV z + - _A, If CAS Vi rrr (tram Step 2) is greater ftn TRV Mer x outdoor openings are needed. If CAS Volurne (from Step 2) is teas #uws TRV theca go to STEP S. Calculate the ratio of av ' m1mr volume to then total requred vokxm. Raba = CAS Voturte (from Z) div4d&d by TRV (from Step 4a or Sitep 4b) Ratio Calmilate RWu on Farms (RF). RF =1 ralnus Ratio RF _ 1_ C: le single outdoor opmting as if all mr0bustion am is from outsidc Tom MAY input of ad Combustion Appliarces in ftts same CM (EXCEPT DIRECT VENT) tnp L _ atww Ct trstion Air Opening Area (CACA). Total ShAr did by 3000 Bttrlfir pec P2 CAOA 3000 Stamm per in2 -;,,_jna t CaWate K nirrnr+ra CAOA Minimum CAOA = CAOA rnu led by RF kdu mwin CAOA = x in2 CaWate Combustion Air Opening 0.1meter (CAOD) CAOD = 1.13 multiplied by the squaWroot of Minim;un CAOA CA0D = i.13 x IMinir,um.CAOA = _,_..-in tf desired. ACH can be determined using ASHRAE calc:,latotrn or blower door test. Follow procedures in Section 304. 382 t City Inspection Dept. Copy 411" City of Evan 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 WHISPERING WOODS 12m ADDITION Lot Number 8 Block Number 2 Address 4911 Jamie Rose Ct. Builder Vennehiem Building Corp. Phone Number:-952-890-3000 Contact: Joe Hilla Tree Protection Requirements: X Tree Protection Fencing Installed on Site (cement barricades to protect trees in preserved backyard area) Oak Tree Pruning (Immediately seal wounds during April 1 to July 31) Therapeutic Pruning Required Retaining Wall To Be Installed Other: Replacement Trees: X Not Required EA~"~ ~111 v t rURE STRY DIVISION REYi EWEI) As Follows: R 4 Attachments: B •r rl~, X Yes (Refer to attache r details) No Additional Notes: HAghove\2013file\treepres\Tree Preservation Plan Whispering Woods 12" Addition Lot 8 Block 2 - 4911 JAMIE ROSE COURT CERTIFICATE OF SURVEY H For.. Vennehjem Building Corp. K rn~jZ --25 15 X15'S1t~G w ro 1 r1T Hb115~ rn O 1 I L_V I v ~ a, it ~ J - W CP LTI 10 v CJ~ 9o `]°31 5().49 X963 60 • - 12??~ ' O-C~ I.. ,r -19e,25), 0 1273500 J / 12727 Q~ x 963.8 966.2) 963.3 U M O 49.0 ° N to to N 0 Q m y t .06.0 Y o N 3.0 5.0 ---45.0--- F, W U► o a o a Q o o 12725 01 mZT\ nw`1 ~ 3 \a = to f~•~1 c° o O V l .4 CD - rn `~6+ r = \ 0 965.2 6.1 N LY r~1 frl J a N 3° . a•a ~o o 4 r- rA cn o0 m J\ o tr A Q m W --a -G p - g 12.71 ` o ca rn i \ 15 i rnx C o \ d o I _ 963.2 ~ - - - 22.2 9s6'`- -811 9 1 J N - c-14.26 ' 12 4 to (0 96 1 0) M C 7 49.77 N81 °2 ' 97 . 1p C 7 3 34"1W 44.02 C HpUnNG ~ Y ~ Se g vai ^ --25 y It zoo °C a u CI PROPOSED HOUSE = m °w / ' 2,594 SQ.FT. OR l 17.2% OF LOT AREA DRIVEWAY = 1,336 SQ. FT. SAN. SERVICE INVERT LOT 8 = 15,052 SQ. FT. PROPOSED ELEV.= 955.7 Scale: 1"=30' Page 2 of 2 James R. Hill, Inc. LOT SURVEY CHECKLIST FOR RESIDENTIAL DBUILDING PERMIT APPLICATION PROPERTY LEGAL ~f L i~ h DATE OF SURVE 2/ahl d LATEST REVISION: as c cc U_ Q O z Q DOCUMENT STANDARDS 16 ❑ ❑ • Registered Land Surveyor signature and company z ❑ 0 • Building Permit Applicant ❑ ❑ • Legal description 0 ❑ • Address ❑ ❑ • North arrow and scale ❑ ❑ • House type (rambler, walkout, split Wo, split entry, lookout, etc.) 'z 0 0 • Directional drainage arrows with slope/gradient % ,Q' 0 ❑ • Proposed/existing sewer and water services & invert elevation ;el ❑ 0 • Street name ❑ 0 • Driveway (grade & width - in R/W and back of curb, 22' max.) ❑ ❑ • Lot Square Footage 0 0 • Lot Coverage ELEVATIONS Existing ❑ ❑ • Property corners ,Q' 0 0 * Top of curb at the driveway and property line extensions X ❑ 0 • Elevations of any existing adjacent homes 0'a ❑ • Adequate footing depth of structures due to adjacent utility trenches ❑ 'W ❑ • Waterways (pond, stream, etc.) Proposed 21 0 0 • Garage floor ,e' 0 0 • Basement floor 'IT ❑ 0 • Lowest exposed elevation (walkout/window) ,,0' 0 ❑ • Property corners ,a 0 0 • Front and rear of home at the foundation PONDING AREA (if applicable) ❑ ❑ • Easement line ❑ ❑ • NWL ❑ '0 ❑ • HWL ❑ "5~ 0 • Pond # designation ❑ 0 • Emergency Overflow Elevation 0 0 • Pond/Wetland buffer delineation Y • Shoreland Zoning Overlay District Y • Conservation Easements DIMENSIONS 0 0 • Lot lines/Bearings & dimensions 'E' ❑ ❑ • Right-of-way and street width (to back of curb) 'ET 0 0 • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (i.e. all structures requiring permanent footings) ,0' ❑ ❑ • Show all easements of record and any City utilities within those easements ❑ 0 • Setbacks of proposed structure a si d setback of adjacent existing structures 0 0 • Retaining wall requirements: Reviewed By: Date GJFORMS/Building Permit Application Rev. 11-26-04 4911 JAMIE ROSE COURT CERTIFICATE OF SURVEY For.. Vennehjem Building Corp. PROPERTY DESCRIPTION: Lot 8, Block 2, WHISPERING WOODS FOURTEENTH ADDITION, Dakota County, Minnesota. We hereby certify that this is a true and correct survey of the above described property and that it was performed by me or under my direct supervision and that I am a duly Licensed Surveyor under the laws of the State of Minnesota. That this survey does not purport to show all improvements, easements or encroachments, to the property except as shown thereon. Signed this 2nd day of September -,2013. Jwnes R Hit Inc., MIEVVED Date By. EAGAN ENGINEERING DEPT. Harold C. Peterson, Minnesota L.S. No. 12294 Notes: 1. Building dimensions shown are for horizontal & vertical placement of structure ® Denotes set spike only. See architectural plans for building o Denotes set iron monument • Denotes found iron monument & foundation dimensions. x927.6 Denotes existing elevation 2. No specific soils investigation has been (930.0) Denotes proposed elevation completed on this lot by James R. Hill, Inc. Denotes Proposed drainage Y tc Denotes top of curb The suitability of soils to support the specific house proposed is not the responsibility of Bench Mark: 977.14 -TNH-Lots 4 & 5 Block 2 James R. Hill, Inc. or the surveyor. Proposed Garage Floor 0 Front= 971.0 3. No specific title search for existence or non- Proposed Garage Top of Block= 971.4 existence of recorded or un-recorded easements Proposed House Top of Block= 972.4 has been conducted by the surveyor as a part Proposed Lowest Floor= 963.7 of this survey. Only easements per the recorded Proposed Top of Block plat are shown. at Lookout Window= 966.9 4. Proposed grades shown were taken from BearkQs are on assumed datum the grading &/or development plan prepared by JAMES R. HILL, INC. 1'' rn w o o D rn ;0 James H. Hill, Inc. (A m v <"0-U> PLANNERS / ENGINEERS / SURVEYORS w 0 ~ -n o m *1 1 W r o o `n CA m 2500 a C1Y ft 4Z Sly 12% Bum YN 56337 L(4 PlIW-- (9W)W- WO FAX: (952P90-R" I7 315 49n JAMIE ROSE COURT CERTIFICATE OF SURVEY N For Vennehjem Building Corp. 3:1 MaAmurn slopes or Retaining Wall Wig Be Required G-a n 15 15'ilN , woo ~ 1 r1T ^ HOSE ~ O ~ ~.v w v \ 0. A g - .963.0 M-1 O S- - 50 9 160. 12' X--- ~>rl 4 ~2 5) c° 12735 96 - rn ( 3• 12727 4" O _ I >19.99 I, *N ~ 96~ -5 I : 15.00-< ` 963.8 (966.2) 963.3 % x -C 15-- 9~ C14 N4-19;"o c N C-j C~ 6.0 0 3A ^ ------45.0--- - - O W O ~~yy o ~ \ ° So 12725 0 ~ 0) c~ Z p ~ \ nr~ ri 03 to n ~O 0') w a_ 0 rn 6.5 to 11 00 rn -0 W 965.2 6.1% 04 ~r 12ar NO dQ (~O O ^ r- a c° ao o v\ I OQ q>3 co I 'ice --4 co 15 ~ 12.7 00 963. ° -\22 2-+- ^ 'n - ---z8-11 A co co \ 966:0 ~A ._14-26-<' I 1_-- ~ Q i 7 c 7 49.77 49.38 '3 97 . -1 c N8i 23 4"W 44.02 I -CD CJ 1 r,T -7 ^ 3 ~_v 1 fxi w H SnNC Of Zq> PROPOSED HOUSE = co ' 2,594 SQ.FT. OR 17.2% OF LOT AREA DRIVEWAY = 1,336 SQ. FT. SAN. SERVICE INVERT LOT 8 = 15,052 SQ. FT. PROPOSED ELEV_= 955.7 Scale: 1"=30' Page 2 of 2 James R. Hill, Inc. 4911 J"M ROSE COURT CERTIFICATE OF SURVEY For: Venne~.jem Building Corp. Lot 8, Block 2, WHISPERING WOODS FOURTEENTH ADDITION Tree Preservation place Fire House Proposed Post House IDevelopTent Construction Tree Preservation Construction Const. A;9-Built Post 1-louse Const. As--Built o P w w ® O h w in M cn z > o) g Cn z POINT N0. ELEV. TYRE= fiA vai v Ix W 0 U D Of 0 4 1 1 13 A3 1 1 1 9 } ~r a Preliminary Tree Certification During a site visit zn September 2nd, 20113 ell sigifficant ivies shown Pond Adesignated !hereon -were present and in good heblth, exceptras noted A~i the kblJle above. a The hoa has been staked. Tree fence 4ill need to be p{aeed otAsid3e the dria ofc6ll signfcant jlbe i= saved. F re grading and construction should nrwot have ro negative effect con these trees. 9/T/13 By. Date: 4 Harold C. Peterson, Minnesota L'S. Nce.. 12294 Signature of Owner e~ Scale: 1"=30' Page 3 of 3 James R. Hill, Inc. . Use BLUE or BLACK Ink r-----------------� I For Office Use � I Q � ' � Permit#: �� l�� I �� . /� � � � � Pertnd Fee: UGu� I 3830 Pilot Knob Road � 2 i Eagan MN 55122 � Dafe Received: O J� � t Phone: (651)675-5675 � i Fax: (651)675-5694 L staff_______' ______ I 2014 RESIDENtIAL PLUMBING PERMIT APPLICATION Date: t �`'� � l "� Site Address: � 1 � � ��{� n ��0 �--� Tenant: � , • � � � .� (, � � i Suite#: � ��...� � Name: � � � , Phone: �� C->��-L�� '. � F� � Address/City/Zip: �-� � �-�' ��.2.. �� , �.�; .. �� .. ,�� , : ,.-�-�� _' Name: �( �,��` "`�. � '� �, � � License#: �� ' � �- � � � r s � ��1'"��' Address: � � � C�y: ��l ��1� � � �. � � � � < ' � State: � � Zip: �,� �� Phone� � � ,�� Contact: � � EmaiL � ��.�� • _ _ �,,�a.� g : `�, :: a. : � � .�: �� New _Replacement _Repair _Rebuild _Modify Space _Work in R.O.W. � � �� = ; t � � : � Description of work: � ��a...��,�. , : _ �. .: RE5IDENTIAL � � � � Water Heater u � _ �Water Softener � { - �awY► r��gat�on��z r �ve� � # 4 � ��'�p�e, — � � Septic System Add Plumbing Fixtures�Main!_Lower Level) � � New Water Tumaround � � � f �Abandonment � ! ��,��. �.� ,�;: _..: — . ��.oF ��. .,,��..i�:,� � RESIDENTIAL FEES: _ : � $60.00 Water Heater,Water Softener, or Water Heater and Softener(includes$5.00 State Surcharge) � �� $5�.�0 La�vr� lrr�ation�inc��des�5.3�m�n�rnum S:�t�Sur�ha�ge) � $60.00 Add Plumbing F'ixtures,Septic Svstem Abandonment,Water Turnaround*(includes�5.00 State Sureharge) � *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) � -, L� � TOTAL FEES $ � Q L+. ��_��_ �,.� . . _ ,��.,,�.,�-,.� CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against un�erground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.orq I hereby acknowledge that this irrformation is complete and accurate;that the work will be in conformance with the ordinar�es and codes of the City of Eagan; that t understand this is not a permit, but only an application for a permit, and work is not to start without a permit; tF�t the work will be in ; accordance with the approved plan in the case of work which requires a review and approval of plans. . X �,, �a�� 1��. ; : X %�l� �,� Applicant's Printed Name Applica s Signature �� ; ' '- ; �r��+��c��r' �t�y,..�„�;,��,�,�,° ��r��t��a�� c�r�� ,�,,,��#��#�r ' ,"„��:;:��"�� ,t�a��"� �� fi�#��1��1�� II�� `= ��b�a�l�,�,,;;.�,_�t�#� ;� � ....�,.��-,.-t-.