4614 Black Wolf Run
t 'r l -2~0304
Use BLUE or BLACK Ink
3 o~, w
I For Office Use
~T i Permit i Do~(
City of Eajan 10) 6 S-
I Permit Fee: 1 I
3830 Pilot Knob Road rf
Eagan MN 55122 V.'11 %#QJA4 j Date Received: 3 j
Phone: (651) 675-5675 RECEIVED
Fax: (651) 675-5694 I Staff.
JAN 10 init. S 9,U r 1 a~~~
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
LL/ 1 ~
Date: Z Site Address: 7701 6L4C-10-1 WO LF 1W Unit
Name: 49 f /off AIV A] ' 1AJ Phone:
Resident/
Owner Address / City / Zip:
Applicant is: Owner Contractor
Type of Work Description of work: A&&Z X51 D&-AJ 7-14-t-- , .S`146. 64m; lra~ I 7"
Construction Cost:
Y1 Y-1 Z5, C, Multi-Family Building: (Yes _/No )
Company: A R, 14 D &:MA I ~ ~/J C- Contact: .&0 04I #61e670
Contractor Address: l00 6pug-T' City: Lek 101 Ce.E
State: 4) Zip: 5✓ D 'L/ A el Phone: q$ 2 - 14f 5 - 7" 6,
License 6 G to 45 t, v7- Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
r45-rJ 6Vti-,;7?e4-)e%T t,9A1 (A q NULL w4i 6
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: 3/qc of A Phone:
Mechanical Contractor: Phone: -743-4173-27-(&Z
Sewer & Water Contractor: :9M PL-ISIYI g LA& Phone: 1 2 -ff l-l _yl T
f
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 t they are f ade 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.aoaherstateonecall.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 Luc LEE x
Applicant's Printed Name Applican s Signature
Page 1 of 3
4~ 1(4 01 Wj l-r
DO NOT WRITE BELOW THIS LINE ( °Q b 6Oq
SUB TYPES
_ Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration (Single Family)
-X 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 qj Occupancy MCES System
Plan Review Code Edition hna-` SAC Units
(25%_ 100% Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length I Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required `
4- Foundation HVAC _ Gas Service Test Gas Line Air Test
Roof: -Ice & Water -Final Pool: -Footings Air/Gas Tests -Final
Framing Drain Tile
~G Fireplace: Rough In XAir Test X Final Siding: -Stucco Lath Stone Lat -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 `l '
Base Fee 4A 9~`
Surcharge
Plan Review ` ( J
MCES SAC
/j 1
City SAC U
Utility Connection Charge f f
S&W Permit & Surcharge
Treatment Plant
3Copies Y
TOTALL
Page 2 of 3
j a0304
New Construction Energy Code Compliance Certificate DAM
Per N1101.8 Building Certificate. A building certificate shall be posted in a permanently visible location inside Date Certificate Posted r
the building. The certificate shall be completed by the builder and shall list information and values of
components listed in Table N1101.8.
Mafihig Address of the Dwelling or Dwelling Usk
4614 Black Wolf Run Eagan
Naae of Residential Contractor MN License Nusul
DRHorton BC605657
commaoky PIM W
533 with 300 et® tool
THERMAL ENVELOPE RADON SYSTEM
Type: Check All That Apply X Passive (No Fan)
o d
Active (1Viih fan and monomelet- or
9 m
outer system monitoring device )
w v a
Insulation Location p; c V w w
g 1 c a m ae~o
.g z w w w° w° 1 r : Other Please Describe Here
Below Entire Slab
Foundation Wall R-5 X Type in location: interior exterior or integral
Perimeter of Slab on Grade
Rini Joist (Foundation) R-12 X Type in bcation: intenor exterior or Integral
Rim Joist (1" Floor+) R-12 X Type in bcation: interior exterior or integral
wall R-19 X
ceiling, flat R-44 X
Ceiling, vaulted R-44 X
Bav Windows or cantilevered areas R-32 X
Bonus room over garage
Describe other insulated areas
Windows $ Doors eating or Cooling Ducts outside Conditioned Spaces .
Average U-Factor (excludes skylights and one door) U: 0.31 Not applicable, all ducts located in conditioned space
Solar Heat Gain Coefficient (SHGC): 0.28 L-8 R-value
MECHANICAL SYSTEMS Make-up Air Select a Type
Appliances Heating System Domestic Water Heater Cooling System X Not required per mech. code
Fuel Tyrie NAT GAS NAT GAS R-41 OA Passive
Manufacturer CARRIER RHEEM CARRIER Powered
Interlocked with exhaust device.
Model 598SC2B100S21 PROG5042NRH67PV CA13NA042 Describe:
Input in IU0(X)0 Capacilyin ~O Oulputin ~.5 Other, describe:
Rating_ or Size al lls- Gallon>_ Tuns
rleatG,s~: 90,627 treat 29,754 Location ofduct or system:
Structure's Calculated Gaiit:
AFUE or 92 SEER: 13
HSPF%
Calculated 36377
Lcy cooling load Cfm's
rouna duct UK
Mechanical Ventilation System "metal duct
2- Panasonic WhisperGREEN fans set at 50 cfm continuous (one with a light). Fans ramp up to 80 cf n upon motion Combustion Air Select a Type _
sensing for 30 minutes. Toilet Room FV08VSL 80 cfin switched Not required per mech. code
Select Type X Passive
Heat Recover Ventilator (HRV) Capacity in cfms: Low: High: Other, describe:
Energy Recover Ventilator (ERV) Capacity in cfins: Low: High: Location of duct or system:
1-Panasonic FV08VKM3 & 1- FV08VKML (w/lite)
Continuous exhausting fan(s) rated capacity in cfins: 80 cf n set @ 50 cfin each furnace room
Location of fan(s), describe: Master bath & Jack-N-Jill bath (respectively) Cfni's
Capacity continuous ventilation rate in cfms: 100 4 " round duct OR
Total ventilation (intermittent + continuous) rate in cf ns: 240 " metal duct
5351- 4614 Blackwolf Run, Eagan
HVAC Load Calculations
for
DRHorton
Lakeville, MN
Prepared By:
Todd Boyum
Sabre Plumbing & Heating
15535 Medina Rd
Plymouth, MN 55447
763-473-2267
Wednesday, January 08, 2014
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.
Sabre Plumbing & Heating 5351-4614 Blackwolf Run. Eagan
Plymouth, MN _ 55447 -Page 2
[ Project-Report
Geperal Project Information
Project Title: 5351- 4614 Blackwolf Run, Eagan
Designed By: Todd Boyum
Project Date: 1/7/14
Client Name: DRHorton
Client City: Lakeville, MN
Company Name: Sabre Plumbing & Heating
Company Representative: Todd Boyum
Company Address: 15535 Medina Rd
Company City: Plymouth, MN 55447
Company Phone: 763-473-2267
Company Fax: 763-473-8565
Des! n 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
Outdoor Outdoor Outdoor Indoor Indoor Grains
DI~t Bulb Wet Bulb $el.Hum $el.Hum Dry Bulb Difference
Winter: -15 -12.38 n/a n/a 70 n/a
Summer: 88 73 50% 50% 75 35
Cie Figures-
Total Building Supply CFM: 1,394 CFM Per Square ft.: 0.278
Square ft. of Room Area: 5,018 Square ft. Per Ton: 1,655
Volume (ft3) of Cond. Space: 43,380
landing Loads _
Total Heating Required Including Ventilation Air: 90,627 Btuh 90.627 MBH
Total Sensible Gain: 29,754 Btuh 82 %
Total Latent Gain: 6,623 Btuh 18 %
Total Cooling Required Including Ventilation Air: 36,377 Btuh 3.03 Tons (Based On Sensible + Latent)
offs
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.
C:\ ...\DRH 5351- West Front Door (Eagan).rh9 Wednesday, January 08, 2014,12:17 PM
Rhvac - Residential & Light Commercial HVAC Loads Elite Software Development, Inc.
Sabre Plumbing & Heating 5351- 4614 Blackwolf Run, Eagan
P mouth, MN 55447 Fagg 3-1
Load Preview Report - Net ft .2 Sen Let Net Sen i Sys Sys Sys Duct
Scope Ton /Ton Area Gain Gain Gain Loss: CFM CFM CFM Size
Building 3.03 1,655 5,018 29,754 1 6,623 36,377 90,627 1,213 1,394 1,394
,
System 1 3.03 1,655 5,018 29,754, 6,623 36,377 90,627 1,213 1,394 1,394' 12x19
Duct Latent 424 424
Zone 1 5,018 29,754 6,199 35,953 I 90,627 1,213 1,394 1,394, 12x19
I -Basement 1,618 4,008 691 4,699 36,110 483 188 168, 2-6
2 -Main floor 1,618 15,758, 4,271 20,029 28,204 378 738 738 7-6
- - -
3-2nd floor
1,782 9,988, 1,237 11,225 26,313 352 468 468 5-6
.
I ~
C:\ ...\DRH 5351- West Front Door (Eagan).rh9 Wednesday, January 08, 2014,12:17 PM
Rhvac -Residential 8 Light Commercial HYAC Loads Elite Software Development, Inc.
Sabre Plumbing & Heatinq 5351- 4614 Biackwolf Run, > apan
Plymouth MN 55447 ge 4
System 1 Summary- Loads -
- ^t"Area Sen La# . Sen Tpfal'
Component
6D cnptio fuan___ loss Gain Gain 'Gain
DRH LowEE 2929: Glazing-DRH Windows, u-value 0.29, 80 1,972 0 2,470 2,470
SHGC 0.29
DRH LowEE 3328: Glazing-DRH Windows, u-value 0.33, 156 4,378 0 4,752 4,752
SHGC 0.28
DRH LowEE 3228: Glazing-DRH Windows, u-value 0.32, 243 6,610 0 6,351 6,351
SHGC 0.28
DRH LowEE 3031: Glazing-DRH Windows, u-value 0.3, 12 306 0 117 117
SHGC 0.31
DRH LowEE 3028: Glazing-DRH Windows, u-value 0.3, 8 204 0 240 240
SHGC 0.28
11 J: Door-Metal - Fiberglass Core 37.8 1,927 0 544 544
12E-Osw: Wall-Frame, R-19 insulation in 2 x 6 stud 3347.2 19,349 0 3,505 3,505
cavity, no board insulation, siding finish, wood studs
EXT R-5- 9': Wall-Basement, Custom, Rigid R-5 Styro- 1062 18,054 0 0 0
foam to top of footing- EXTERIOR PERIMETER- 9'
basement
EXT R-5- 4': Wall-Basement, Custom, Rigid R-5 Styro- 96 1,632 0 0 0
foam to top of footing- EXTERIOR PERIMETER- 4'
wall
RJ-12.2: Wall-Frame, Custom, Rim Joist- interior R-12.2 512.1 3,570 0 648 648
spay foam
166-44: Roof/Ceiling-Under Attic with Insulation on Attic 1782 3,332 0 1,882 1,882
Floor (also use for Knee Walls and Partition
Ceilings), Vented Attic, No Radiant Barrier, Dark
Asphalt Shingles or Dark Metal, Tar and Gravel or
Membrane, R-44 insulation
21A-20: Floor-Basement, Concrete slab, any thickness, 2 1618 3,713 0 0 0
or more feet below grade, no insulation below floor,
any floor cover, shortest side of floor slab is 20' wide
20P-30: Floor-Over open crawl space or garage, Passive, 275 818 0 77 77
R-30._blanket _insulation, an .cover -
Subtotals for structure: 65,865 0 20,586 20,586
People: 8 1,600 1,840 3,440
Equipment: 1,131 4,512 5,643
Lighting: 0 0 0
Ductwork: 3,138 424 742 1,166
Infiltration: Winter CFM: 238, Summer CFM: 149 21,624 3,468 2,074 5,542
Ventilation: Winter CFM: 0, Summer CFM: 0 0 0 0 0
_Exhaust __Winter._CFM .__1.00,__Summer_CFM.:.._1.00
System 1 Load Totals: 90,627 6,623 29,754 36,377
C(ieck R ures
Supply CFM: 1,394 CFM Per Square ft.: 0.278
Square ft. of Room Area: 5,018 Square ft. Per Ton: 1,655
Volume (fP) of Cond. Space: 43,380
System Loads
Total Heating Required Including Ventilation Air: 90,627 Btuh 90.627 MBH
Total Sensible Gain: 29,754 Btuh 82 %
Total Latent Gain: 6,623 Btuh 18 %
Total Cooling Required Including Ventilation Air: 36,377 Btuh 3.03 Tons (Based On Sensible + Latent)
Noes
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.
C:\ ...\DRH 5351- West Front Door (Eagan).rh9 Wednesday, January 08, 2014,12:17 PM
Site address 4614 Blackwolf Run, Eagan Date 1-7-14
Contractor Sabre P & H Completed
Todd B
Section A
Ventilation Quantity
(Determine quantity by using Table N1104.2 or Equation 11-1)
Square feet (Conditioned area including
Basement-finished or unfinished) 50018 Total required ventilation 2~ 5
Number of bedrooms V Continuous ventilation 1 08
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 dm)
Number of Bedrooms
1 2 3 4 5 6
Conditioned space (in Total/ Total/ Total/ Total/ Total/ Total/
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 110/55 125/63 140/70 155/78 170/85 185/93
4001-4500 120/60 135/68 150/75 165/83 180/90 195/98
4501-5000 130/65 145/73 160/80 175/88 190/95 205/103
5001-5500 140/70 155/78 170/85 185/93 200/100 215/10
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 ventila-
tors (ERV) the average hourly ventilation capacity must be determined in consideration of any reduction of exhaust or out outdoor
air intake, or both, for defrost or other equipment cycling.
Continuous ventilation - A minimum of 50 percent of the total ventilation rate, but not less than 40 cfm. shall be provided, on a con-
tinuous rate average for each one-hour period. The portion of the mechanical ventilation system intended to be continuous may
have automatic cycling controls providing the average flow rate for each hour is met.
GASAFETYWKWent-makeup-comb air submittal (2).docx
Section B
Ventilation Method
(Choose either balanced or exhaust only)
Balanced, HRV (Heat Recovery Ventilator) or ERV (Energy Recov- Exhaust only
ery Ventilator) - cfm of unit in low must not exceed continuous venti- Continuous fan rating in cfm
lation rating by more than 100%.
Low cfm: High cfm: Continuous fan rating in cfm (capacity must not exceed F160
continuous ventilation rating by more than 100%)
Directions - Choose the method of ventilation, balanced or exhaust only. Balanced ventilation systems are typically HRV or ERV's.
Enter the low and high cfm amounts. Low c 1m 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
Panasonic FV08VKM WhisperGreen Master Bath 50 80
Panasonic FV08VKMLWhisperGREEN Jack-N-Jill Bath 50 80
Panasonic FV08VSL WhisperVALUE Master Toilet Room 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 m 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)
Master & JNJ Bath run at 50 cfm 24/7- ramp up to 80 cfm upon motion sensing for 30 minutes.
Master Toilet Room fan has wall switch for intermittent
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.
Directions - In order to determine the makeup air, .Table 501.3.1 must be filled out (see below). For most new installations, column A
will be appropriate, however, if atmospherically vented appliances or solid fuel appliances are installed, use the appropriate column.
For existing dwellings, see ►MC 501.3.3. Please note, if the makeup air quantity is negative, no additional makeup air will be re-
quired for ventilation, if the value is positive refer to Table 501.3.2 and size the opening. Transfer the cfm, size of opening and type
(round, rectangular, flex or rigid) to the last line of section D. The make-up air supply must be installed per 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 power One or multiple fan- One atmospherically vent Multiple atmospherical-
vent or direct vent ap- assisted appliances and gas or oil appliance or ly vented gas or oil
pliances or no combus- power vent or direct vent one solid fuel appliance appliances or solid fuel
tion appliances appliances appliances
Column C Column D
Column A Column B
L
a) pressure factor 0.15 0.09 0.06 0.03
(cfm/sf)
b) conditioned floor area (sf) (including 5018
unfinished basements)
Estimated House Infiltration (dm): [1a 752
x 1b]
2. Exhaust Capacity
a) continuous exhaust-only ventilation 160
system (dm); (not applicable to ba-
lanced ventilation systems such as
HRV)
b) clothes dryer (cfm) 135 135 135 135
c) 80% of largest exhaust rating (dm);
Kitchen hood typically 240
(not applicable if recirculating system
or if powered makeup air is electrically
interlocked and match to exhaust)
d) 80% of next largest exhaust rating
(cfm); bath fan typically Not
(not applicable if recirculating system
or if powered makeup air is electrically Applicable
interlocked and matched to exhaust)
Total Exhaust Capacity (cfm); 535
[2a + 2b +2c + 2d]
3. Makeup Air Quantity (cfm)
a) total exhaust capacity (from above) 535
b) estimated house infiltration (from 752
above)
Makeup Air Quantity (dm);
[3a - 3b] -217
(if value is negative, no makeup air is
needed)
4. For makeup Air Opening Sizing, refer Not Re ~d
to Table 501.4.2 q
A. Use this column if there are other than fan-assisted or atmospherically vented gas or oil appliance or if there are no combustion appliances. (Power vent
and direct vent appliances may be used.)
B. Use this column if there is one fan-assisted appliance per venting system. (Appliances other than atmospherically vented appliances may also be in-
cluded.)
C. Use this column if there is one atmospherically vented (other than fan-assisted) gas or oil appliance per venting system or one solid fuel appliance.
D. Use this column if there are multiple atmospherically vented gas or oil appliances using a common vent or if there are atmospherically vented gas or oil
appliances and solid fuel appliances.
Makeup Air Opening Table for New and Existing Dwelling
Table 501.3.2
One or multiple power One or multiple fan- One atmospherically Multiple atmospherically
vent, direct vent ap- assisted appliances and vented gas or oil ap- vented gas or oil ap- Dud di-
pliances, or no combus- power vent or direct pliance or one solid fuel pliances or solid fuel ameter
tion appliances vent appliances appliance 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 dud 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)
Passive (see IFGC Appendix E, Worksheet E-1) Size and type T Rigid, 3" Flex
Other, describe:
Explanation - If no atmospheric or power vented appliances are installed, check the appropriate box, not required. If a power vented
or atmospherically vented appliance installed, use IFGC Appendix E, Worksheet E-1 (see below). Please enter size and type. Combus-
tion air vent supplies must communicate with the appliance or appliances that require the combustion air.
Section F calculations follow on the next 2 pages.
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: 100000
Draft Hood E]Fan Assisted QDirect Vent Input: Btu/hr
or Power Vent
Water Heater: 42,000
Draft Hood ✓ Fan Assisted Direct Vent Input: Btu/hr
or Power Vent
Step 2: Calculate the volume of the Combustion Appliance Space (CAS) containing combustion appliances. 2736
The CAS includes all spaces connected to one another by code compliant openings. CAS volume: W
LxWxH L W H
Step 3: Determine Air Changes per Hour (ACH)1
Default ACH values have been incorporated into Table E-1 for use with Method 4b (KAIR Method).
If the year of construction or ACH is not known, use method 4a (Standard Method).
Step 4: Determine Required Volume for Combustion Air. (DO NOT COUNT DIRECT VENT APPLIANCES)
4a. Standard Method
Total Btu/hr input of all combustion appliances Input: Btu/hr
Use Standard Method column in Table E-1 to find Total Required TRV: W
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 S.
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: 4mm Btu/hr
Use Fan-Assisted Appliances column in Table E-1 to find RVFA: 3375 .W
Required Volume Fan Assisted (RVFA)
Total Btu/hr input of all Natural draft appliances Input: 0 Btu/hr
Use Natural draft Appliances column in Table E-1 to find RVNFA: W
Required Volume Natural draft appliances (RVNDA)
Total Required Volume (TRV) = RVFA + RVNDA TRV = 3375 + 0 _ 3375 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 Sr 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 = 2736 /3375 =.81
Step 6: Calculate Reduction Factor (RF).
RF =1 minus Ratio RF =1- .81 =.19
Step 7: Calculate single outdoor opening as if all combustion air is from outside. 42000
Total Btu/hr input of all Combustion Appliances in the same CAS Input: Btu/hr
(EXCEPT DIRECT VENT)
Combustion Air Opening Area (CAOA):
Total Btu/hr divided by 3000 Btu/hr per in2 CAOA = 42000 / 3000 Btu/hr per in2 =14 in2
Step 8: Calculate Minimum CAOA.
Minimum CAOA = CAOA multiplied by RF Minimum CAOA = 14 1.19 = 2.66 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 = 1.84 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.
IFGC Appendix E, Table E-1
Residential Combustion air (Required Interior Volume Based on Input Rating of Appliance)
Input Rating Standard Method Known Air Infiltration Rate (KAIR) Method (cu ft)
(Btu/hr)
Fan Assisted or Power Vent Natural Draft
1994 to present Pre-1994 1994 to present Pre-1994
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 21,525 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.
LOT SURVEY CHECKLIST FOR RESIDENTIAL
i' BUILDING PERMIT APPLICATION
PROPERTY LEGAL: h 07 R~d~'~ ~ ~Y~ 6~ Pz-l A
DATE OF SURVEY: I~~ZGyL/~~
LATEST REVISION:
d
a~
c
A
U
Ya ~
O z ¢ DOCUMENT STANDARDS
0 ❑ ❑ • Registered Land Surveyor signature and company
'p- ❑ ❑ • Building Permit Applicant
,g 0 ❑ • Legal description
.0' ❑ ❑ • Address
;g- ❑ ❑ • North arrow and scale
0 ❑ • House type (rambler, walkout, split w/o, split entry, lookout, etc.)
,E' 0 0 • Directional drainage arrows with slope/gradient %
.0' ❑ 0 • Proposed/existing sewer and water services & invert elevation
& ❑ 0 • Street name
2" 0 ❑ • Driveway (grade & width - in R/W and back of curb, 22' max.)
.,f( 0 0 • Lot Square Footage
'E~ 0 ❑ • Lot Coverage
ELEVATIONS
Existing
,g~ ❑ ❑ Property corners
,B' ❑ 0 • Top of curb at the driveway and property line extensions
❑ X ❑ • Elevations of any existing adjacent homes
z 0 ❑ • Adequate footing depth of structures due to adjacent utility trenches
'PI 0 0 • Waterways (pond, stream, etc.)
Proposed
,off ❑ 0 • Garage floor
'2' 0 0 • Basement floor
0 ❑ • Lowest exposed elevation (walkout/window)
❑ 0 • Property corners
H 0 0 • Front and rear of home at the foundation
PONDING AREA (if applicable)
0 X ❑ • Easement line
0 J~r ❑ • NWL
0 a 0 • HWL
❑ ,0' ❑ • Pond # designation
0 ,8' 0 • Emergency Overflow Elevation ;
0 'Er' ❑ • Pond/Wetland buffer delineation
Y • Shoreland Zoning Overlay District
Y • Conservation Easements
DIMENSIONS
,a' ❑ 0 • Lot lines/Bearings & dimensions
'0' 0 0 • Right-of-way and street width (to back of curb)
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 0 • Setbacks of proposed structure and sideyard setback of adjacent existing structures
0 0 • Retaining wall requirements:
Reviewed By: Date
GJFORMS/Building Permit Application Rev. '11-26-04
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N N N o CERTMCA72 OF SURVU
-11 Z W Z y N FOR James R. Hill, Inc.
z 0 71 0 . 2' w ![t o D Tt NORTON INC. - ]@TNES0Tl1 PLANNERS / ENGINEERS / SURVEYORS
O j Z a 1 m > o w 2500 WEST COUNTY ROAD 42, SUITE 120, BURNSVILLE, NN 55337
O ~ a to lot 4. Block 1. DAKOTA PATH. PHONE: (952) 890-6044 FAX: (952) 890-6244
Dakota a County, Minnesota
Use BLUE or BLACK Ink
For Office Use I
I 1
1 ta3j~~
non
City of Ea I Permit
1 rte/
Permit Fee: (06 I
I 1
3830 Pilot Knob Road 1
Eagan MN 55122 1 Date Received:
Phone: (651) 675-5675 I I
1 Staff:
Fax: (651) 675-5694
2014 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Z- Site Address: t0~ 1 A]
Tenant: Suite
ReSident/Ow ler Name: „ Pr ~Am6+coj Phone:
Address / City /.Z.iip:: ~r t
. . Name: ~Q l ( Jq:t-- r C0tjJ r+ t o N) icense
Contractor Address: u-450 City: - 0`~ • ~~t ~ ~
State: M'y Zip:j lam' ( Phone: ! 13 "71
s
Contact: Email:
Modify Space -Work in R.O.W.
Type of Work New _Replacement '1 _ Repair --ii -Rebuild
Description of work:
RESIDENTIAL
Water Heater
C~ Water Softener
Kermit Lawn Irrigation RPZ PVB)
Type
Septic System Add Plumbing Fixtures Main / Lower Level)
3
New Water Turnaround
i
j 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) i
$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.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.
b/J ~ q c
X ~~Y T'1 L°- N op-. (
X
Applicant's Printed Name Applic' is Signature
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:
clty of�����
3
Address: 4614 Black Wolf Run Permit#: 12Q�04
The following items were /were not completed at the Final Inspection on:
�or�ptete;. Inc�mptete , 'Cvimmen�s;
Final grade - 6"from siding �� �.� ' j �v f �� �,�-�
�
Permanent steps —Garage
Permanent steps — Main Entry �
Permanent Driveway
Permanent Gas �
Retaining Wall or 3:1 Max Slope ��� � � �� .f � J��.�
Sod / Seeded Lawn ,�
Trail / Curb Damage
Porch
Lower Level Finish
Deck �� 'fj��V �
J1
Fireplace t�' � �
/'. /� /" ��JZ.
• Verify with your builder that roof test caps from the plumbing system have been removed.
• Turn off water supply to the outside lawn faucets before freeze potential exists.
• Call the Engineering Department at (651) 675-5646 prior to working in the right-of-way or installing an
irrigation system.
Building Inspector:
G:\Building Inspections\FORMS\Checklists
. , . I �O���f
New Construct'ron Energy Code Compliance Certificate �.������• �
Per N1101.8 Building C�ate.A building certificate shall be posted in a pernianenUy visble location inside Daa Certif;cate eosted r�
the building. The certifica�shall be completed by the builder and s6al!list infom�ation and values of
wmponents listed in Tabk NI 101.8.
MaWng Address of the Dwd�or DweWng Unk
4614 Black Wolf Run Ea an
Name of Residential Contruffi�r� MN Lkeose Namber �
DRHorton BC605657
Commmtty Plao ID
535 wit6 300 cfm hood
HERMAL ENYELOPE RADON SYSTEM
TYPe:Check All Thaf Apply X Passive(No Fan)
�y � �i:.3� '2n'°� _ S ,�4� - . ,
a �
N �irw 3 �-y�1 � :' '� ,.�" ' �
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� c�i .-. '� o ~'``�*��;� ` ..<��. � .f�,.�"��.
w a � y p„ °�
� � 00 GO �i V � �op �a
j q o y vi o �i w tf o .
Insulatioa LocaKort � x
� � o ,� .� V p � W ;'
o � o � � o o ,� � m
F- .9 z w w w w � i� r.� Other Please Describe Here
� '�� � �������,��- ���� �� � � ��` .� �::� �� � �;
� ,:
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}
. .�. � . ; .��.� �: ,.,. R . �_���� _. �. , . �� � �
�' �<:;
,v. . .� ._:-,..:
FOwtdation Wall R-�J X Type in locatlon:interior exterior or integrel
�.�,T'��,�''�. .��.-� „ � - .. � "�'
� .� "����..x.�����"�:5`� � $:� � s.�* �`� � �„��,� a�Z�^� ��
f « r. . ,. ..,�� � .
. m• _. ,� . „ .. , . , .� ,...s,
Rim Jo�St(FOwldati0�) R-12 X Type in IocaUon:interior exterior or integrai
� �"-�� £..�.'."�'-' � v�.�,'� s. z ;�. ..
-�``.� y". ?�� �" r��� ':
�'�'� R-19 X
_... r�...�.. ,.. .,
` � , F� '. .,"'_"E��. ��"��d � x A� � �'�`� �--- �� a
, ..
>. „�.,:. , .�:�:-- . ,rr.��s � � �.. ..�,�,�`r,%�„'._ „�_ `g'�,� �_F�.�. .. �,� -_: �'c.�v� A�.� �� �� °
.� m��_
Ceiling,vaulted R-44 X
.� �" .�� ,�;`s��.a�?� � � �;� ��§��^�''e..� ��.���������?<
Bonus room over guage
_. ,
�
e�r a�ta '� � ` ��� �� � � ��,� ��� � �^� �� � : ��;
�.. ......,�. ._. __ ..e_ _� � . .. ��. :��,- - .��� �� f
� � �,r��, � �; ��.
�ndows 8 Doors eating or Cooling Ducts Outside CondiAoned Spaces
Average U-Factor(exctudes skylights and one door)U: 0.31 Not applicable,all ducts located in condifioned space
Solaz Heat Gain Coeffr�ient(SHGC): 0.28 -8 R-value
ECHANICAL S'l�STEMS Make-up Air Select a Type
A liances Heating System Domestic Water Heater Cooling System X Not required per mech.code
%�ia�"�` � '�t���'� � � � �' s G�'� : y �'�n � : "�� � ..,���,: � ��
..' ���'� ��`` �;�� ��`��_ ��': ������.a z��� �� �,.f Passive
1Kanucacturer CARRIER RHEEM CARRIER Powered
� �= �'�.n � .- . ti : y
� 1 =��,��� {�s � ���'� £� - � � , ;,:� „�� lnterlocked with exhaust device.
M�e���."�� �w�� �,;��F� ��'��3� �F����1,���: P���042 ..,. �t; .p . .��� �y�s. ;�;: Describe:
Input in 100000 Capacity in 50 Output in 3.$ Other,describe:
Rating or Size BTUS: Gallons: Tons:
� .� 5 :t'�,•�' �� '�"F�"'� � :�x f'�` �'���� � .,"_3 � c ; '��. `�'��� � IACBU011 Of aUCt OL SySY0tT1: �.
St�iic�t[ir�'�c�'8Is �
., �' � � r�'�' ; . .,.��t� �� ; � � I
,..,>,.r . .. .:, . .�.� ...,, > . . : � ,._ :�?,;��..
AF[JE or 92 SEER: 13 i
I-ISPF��o
Calculated 36377
Efficienc coo' load: Cfm's
roun uc
Mechanical Venhlation Sysfem "metal duct
:2-Panasonic WhisperGREEN fans set at 50 cfm continuous(one with a light).Fans ramp up to 80 cfm upon motion �ombustion Air Select a Type
sensing for 30 minutes.Toilet Room FV08VSL 80 cfin switched Not required per mech.code
Select Type X Passive
Heat Recover Ventilator(HR� Capacity in cfins: Low: High: Other,describe:
Energy Recover Ventilator(ER�Capacity in cfms: Low: High: Location of duct or system:
1-Panasonic FV08VKM3&1-FV08VKML(w/lite)
Continuous eachausting fan(s)rated capacity in cfins: 80 cfm set @ 50 cfin each fU�t18C@ fOOCT1
I.ocation of fan(s),describe: Master bath&Jack-N-Jill bath(respectively) Cfm's
Capacity continuous ventilation rate in cfms: 100 4 "round duct OR
Total vendlation(intermittent+continuous)rate in cfins: 240 "metal duct
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Use BLUE or BLACK Ink
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� For Office Use �
i �;,? ;��� i� „ �
Cltof �� �� , Permit#: �i�(
Y � ������ � � � /
� Permit Fee: ���_ �✓ I
3830 Pilot Knob Road ,� � 7 ,�„�;j � / �
Eagan MN 55122 �� � Date Received: 'a��� � I
Phone: (651)675-5675 I I
Fax: (651)675-5694 I Staff: � �
I I
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
� ����..�._ .
� Name: �O S� /�A �� Phone: ��a1-�`�CJ-I��`r
Address/City/Zip: �7'��� �Z-�C�� P.�v�j- �VN , �6�G„A Q/ MN-'�S"l23
Applicant is: ✓Owner Cor�tractor
_ Description of work: ����w�v wk v►.��r� �ou w�
Construction Cost: � �L�� � Multi-Family Building: (Yes /No�
Company: Contact:
��� Address: City:
-���. - �
�_� � � State: Zip: Phone: EmaiL
$ License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes _No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer 8�Water Contractor: � Phone:
_,_ .Y....F,m.. , �
, , , .'"�. , . .., _ _ - : �� _. . _ - .
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.aooherstateonecall.ora
1 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 �DS� N f1 �/� X �
ApplicanYs Printed Name App icant's Signature
Page 1 of 3
��/� ����� �'����� ���"1 / � .�,
DO NOT WRITE BELOW THIS LINE f �� .-7—=�
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 �d � Occupancy ,�'nc MCES System ''"�
Plan Review Code Edition O/ SAC Units —
(25%_100%� Zoning �_ City Water �
Census Code �3y Stories "" Booster Pump
#of Units � Square Feet -- PRV ''
#of Buildings Length --- Fire Suppression Required ""
Type of Construction � Width �-'
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings(Deck) � Final/C.O. Required
Footings(Addition) Final/No C.O. Required
Foundation � HVAC_Gas Service Test Gas Line Air Test
Roof: Ice&Water Final Pool: Footings _Air/Gas Tests Final
� Framing Drain Tile
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 ' ��� �� �p� IO a� �
Base Fee / „�-
Surcharge
Plan Review �„�y ...�
MCES SAC
City SAC
Utility Connection Charge
S8�W Permit 8�Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
Use BLUE or BLACK Ink
r————————————————�
I For O�ce Use �
.
� Permit#: � �l�L�J I �
City of �a �� � �
� I permit Fee: �
3830 Pilot Knob Road � �
Eagan MN 55122 � Date Received: �
Phone: (651)675-5675 � I
� Staff: �
Fax: (651)675-5694 �_________________i
2015 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date:
�� �( Site Address: L /�F- ,/�� ,c �_�" (�l/��� ��J/�l�, ��/ � ��/V 1' "(N '��2.3
T � �J�l�� � �, 1C��1`N �%���✓� Suite#:
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�����,��; ������i�� :� : �� � – 8�� ��� � �
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� � ��)
� �li �
� � �� ��'��� Name: / License#:
� •
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_ ` L � Address: L � City:
�C}ti'��`5����'���. .
����° � � �" ��������� ti
� State: Zip: Phone:
�m m
"`e�+..1. [� �l`�'k'�"� `:
I ���
,� �- � yN��° � Contact: EmaiL
, �
nu � n ���� New Replacement Repair Rebuild 'I�Modify Space _Work in R.O.W.
� u�i������������������N tiG � .�,2�t�^- D�r� � '�ev��� � �CZB-2`
� �,p ' r_,i���A. ��: Description of work: .
�� ` ������;��e� RESIDENTIAL
������ � ��I� d�� � �� ��� . .
� Water Heater
-�;�� ( � a�;
p`.;. :
'�`� � �' � �� � Water Softener
"���'a �� ��4 � Lawn Irrigation�RPZ/_PVB)
��������� � Add Plumbing Fixtures�Main/_Lower Level)
�i �„��,����� � Septic System �
� �
` NeW Water Turnaround
��� ��'��"� ��� �� —
-�--� �y ,� .,"m��1��=�.�"� 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$210.00 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.ciopherstateonecall.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 with ut 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.
— �� �
� ' SN 2
X � k �J� 1 X
Applicant' .ri ted Name Applicant's Signat re
� � � � � � � �� ���� �
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:"��'���`�8�����m� y����l.:_���I"_�x� s �'�_5��� �� d�����,w�.�i,_.... � , ���` �r � �� * ���
Date:
City of Eaafl
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
REGEN ED
014 7.0*
r
Use BLUE or BLACK Ink
For Office Use
Permit #: ( `,
Permit Fee:
/q 7 o "
Date Received: (11 14' I
Staff:
er7
2016 RESIDENTIAL BUILLD
.'T'DING PERMIT APPLICATION
Site Address: /2`.:-,41.4 % L_ / ', kit) F ' .{JdV L r-1 Unit #:
/says
Name: J O$ 11 eV 16( Phone: 61-2- - 2 70 -- $�
Address /City /Zip:e J .�vuo LP xUA/ fia 671 lv)ij j 5-5 r2 -3
Applicant is:
Description of work:
Owner Contractor
ikek
Construction Cost: f 50 00
Multi -Family Building: (Yes / No LZ-)
Company: Contact:
Address: City:
State: Zip: Phone: Email:
License #: Lead Certificate #:
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
Fire Suppression Contractor: Phone:
NOTE, :Plans and supporting documents that you submit are considered
the information may be classifieds non-public; if you pro specific asons
cornclude.that theyare tradevideseecrets
a#ion-
ermit
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 1 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.
OS !V9/
Applicants. lilted Name
x
A piicant's Signature
Page 1 of 3
%6
tiofq 1ic- -uu NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
Single Family
Multi
01 of _ Plex
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100% )
Census Code
# of Units
# of Buildings
Type of Construction
Fireplace
Garage
Deck
Lower Level
Porch (3 -Season)
Porch (4 -Season)
_ Porch (Screen/Gazebo/Pergola)
Pool
_ Interior Improvement
Move Building
Fire Repair
Repair
REQUIRED INSPECTIONS
Footings (New Building)
X Footings (Deck)
Footings (Addition)
Foundation
Roof: _Ice & Water
Framing 30 Minutes _
Fireplace: Rough In _
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Reviewed By:
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Final
1 Hour
Air Test Final
Siding
Reroof
Windows
Egress Window
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building - give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC _ Gas Service Test Gas Line Air Test
Pool: _Footings Air/Gas Tests Final
Drain Tile
Siding: _Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall: Footings _ Backfill _ Final
Radon Control
_ Fire Suppression: _Rough In _Final
Erosion Control
Other:
,Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
IS
Page 2 of 3
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CERTIFICATE OF SUNY
FOR
D.R. HORTON. INC. - MI TA
Lot 4, Bloc( 1. DAKOTA PATH,
Dakota County. Minnesota
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James R. ill, Inc.
RAMS / [Rams / MOORS
2500 VEST COM ROAD 47, ME 120, BURNS UE MN 55337
PHONE: (962) 890-6044 FAX (962) 890-6244.
r For Office UsePermit#: �-
/6/ {I/�l
-%:.1 E AGA N
gic Permit Fee:
flECEJEp Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675- 4 MAYn
u 6 213 Staff:
buildinginspectionsOcityofeagan.com
2020 RESIDENTIAL BUIL IT APPLICATION
Date:05/06/2020 Site Address:4614 BLACK WOLF RUN Unit#:
Name:JOSH NAIR Phone: 952-270-1845
Resident/ 4614 BLACK WOLF RUN, EAGAN, MN-55123
,owner :' Address/City/Zip:
-r)Applicant is: ✓ Owner Contractor j'l J f743 14
Description of work:ADDITION OF STAIRS TO EXISTING DECK
Type of Work p
Construction Cost: 2500 Multi-Family Building: (Yes /No )
Company: Contact:
Contractor Address: City:
State: Zip: Phone: Email:
License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: - Phone:
Fire Suppression Contractor: Phone:
NOTE;Plans and supporting documents that yousubmit are considered to be public information. Portions of the Information maybe.
classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.com/subscribe.
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. -
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.
xJOSH NAIR
Applicant's Printed Name Applicant's Signature
Z/6/q igiffC4 Ida) 4/1 / 7 -' `.:.--> --. .--
IDO 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 x Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
01 of_Plex _ Lower Level — Pool — Accessory Building
WORK TYPES
_ New _ Interior Improvement _ Siding _ Demolish Building*
1( 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 Z000 Occupancy TRc-I MCES System
Plan Review Code Edition 9(:),1-c, SAC Units
(25%_100% ) Zoning Ps) City Water
Census Code 43q Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction �/3 Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
X Footings(Deck) Final I C.O. Required
Footings (Addition) X Final I No C.O. Required
Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood
Roof:_Ice&Water _Final Pool:_Footings Air/Gas Tests _Final
X Framing 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS
Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: . Ne)5 , Building Inspector
RESIDENTIAL FEES /4cJ:r, $ :cs o....i L,...�:..5
Base Fee +o Q., t_y;54:A (leek
Surcharge
Plan Review
MCES SAC
City SAC 4 (2) Qt's 'Sb/So z '('d tz e,el
Utility Connection Charge T"r )o►4- SvO.r-.4
S&W Permit&Surcharge
Treatment Plant ta,boo - /1/4/Vb.4.;....,,n. e
Radio Meter Read
Copies
TOTAL
Page 2 of 3
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