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3431 Chestnut Lane Use BLUE or BLACK Ink C For Office Use I i Permit CEIvEDD City 0 Eapn I Permit Fee: 3830 Pilot Knob RoadEg 4(~ j Eagan MN 55122 I Date Received: I Phone: (651) 675-6675 Fax: (651) 675-5694 Staff: L r 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: a Site Address: 3 c~ [ CA44u~ lfmc Unit Name: CA&4 Phone: - - 01 Yq' 3000 Resident! ,ry c Owner Address / City / Zip: / 0,5 .3 ~ 4oc• 54 00 L/Y6 ~'tq ✓t C9 Applicant is: Owner Contractor 13-3 =iK -1 I'1 rcc eJ Type of Work Description of work: LO ~ &5JritL+j'~ Construction Cost: Multi-Family Building: (Yes / No ) Company: ~ e4t r Contact: ~J aJ Contractor Address: ZUM 3G~ due. iN. _5(#k GG) City: Priem otA~k State: ~LL1t- Zip: Phone: License r yI3 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? x Yes _No If yes, date and address of master plan: J O ` tt 6'1~ AtJ I-A tlf Licensed Plumber: IFLe-der he S4i Cal Phone: I " t~y~ ~~y Mechanical Contractor: Phone: Sewer & Water Contractor: / ?'e 0. er 'AfiJ r' Phone: 65l- aZ fit - cv ~ NOTE: Plans and supporting ocuments 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 thatthe are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aooherstateonecall.ora I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit Issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit Issuance. /9/// x R en '50A4.5u'' x Applicant's Printed Name Applicant nature Page 1 of 3 io `f 1 JfhAl LAP DO NOT WRITE BELOW THIS LINE SUB TYPES - Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration (Single Family) - Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Multi) _ Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Miscellaneous 01 of ~ Plex _ Lower Level _ Pool _ Accessory Building WORK TYPES L 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 0 Valuation Occupancy MCES System Plan Review Code Edition; < SAC Units (25%4 100%_) Zoning 40 City Water Census Code Stories 136 Booster Pump # of Units C Square Feet PRV # of Buildings- Length 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 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 L -Brick Insulation Windows Sheathing Retaining Wall: _ Footings _ Backfill _ Final Sheetrock Radon Control Fire Walls Erosion Control Braced Walls Other: Reviewed By: x , Building Inspector RESIDENTIAL FEES Base Fee Surcharge (9 31 3M Plan Review' ~V r MCES SAC t q1 City SAC Utility Connection Charge SSW Permit & Surcharge Treatment Plant' Copies bL 4 4t^9 TOTAL Page 2 of 3 New Construction Energy Code Compliance Certificate Per N 1101.8 Building Certificate. A building certificate shall be posted in a permanently visible location inside Dale Certificate Poskd the building. The certificate shall be completed by the builder and shall list inforniation and values of components listed in Table NI 101.8. Mailing Address of the Dwelling or Dwelling Unit City 3431 CHESTNUT LANE EAGAN Name of Residential Contractor \IN License Number " THERMAL ENVELOPE RADON SYSTEM Type: Check All That Apply X Passive (No Fan) w Active {iVrlhfan and monoineter or n > other system nionltoring devlee ) es v 'b o ~ Q W m u U U Insulation Location o z a ua H 0 ,y ~'a ya E ei G 'L~ F .S z a r° w° c a cG Other Please Describe Here Below Entire Slab Foundation Walt X INTERIOR Perimeter or Slab on Grade Rim Joist (Foundation) X INTERIOR Rim Joist (1't Floor+).`.. 10 INTERIOR Wall 21 Ceiling, fiat44 Ceiling, vaulted X Bay Windows or cantilevered areas 38 ; Bonus room over garage 138 J10 5 Describe other insulated areas : Windows & Doors Heating or Cooling Ducts Outside Conditioned Spaces Average U-Factor (excludes skylights and one door) U: 6.28 Not applicable, all ducts located in conditioned space Solar Heat Gain Coefficient (SHGC): 0.26 12JR-vaitte MECHANICAL SYSTEMS Make-up Air Select a Type Appliances Heating System Domestic Water Heater Cooling System X Not required per mech. code reel type: Natural Gas Electric Electric Passive Manufacturer Lennox AO Smith Lennox Powered Interlocked with exhaust device. Model ML193U1-1045XP24B GPVH50N 13ACX-018-230 Describe: Input in 44,000 Capacity in sa Output ill 1 6 Other, describe: Rating or Size BTUS: Gallons: Tons: ' Heat Loss: I Heat Location of duct or system: 36,647 ` 13,964. Structure's Calculated: Gain.. AFUE or SEER: 13 HSPF% 93 Calculated 17 257 Efficiency cooling load: ' Cfm's PLAN CMS Madison " round duct OR Mechanical Ventilation System "metal duct Describe any additional or combined heating or cooling systems if installed: (e.g. hvo furnaces or air Combustion Air Select a TZpe source heat pump with gas back-tip furnace): X . Not required per mech. code Select Type Passive Heat Recover Ventilator (FIRV) Capacity in efms: Low: High: Other, describe: Energy Recover Ventilator (ERV) Capacity in efms: Low: High: Location of duct or system: X Continuous exhausting fan(s) rated capacit in efms: I fan coat low 50cfm Mechanical Room Location of fan(s), describe: Owners bath, Main Bath Cftn's Capacity continuous ventilation rate in efms: 50 insulated Flex IF- Total ventilation (intermittent + continuous) rate in efms: l85 11 metal duct Created by BAM version 052009 MULTI-FAMILY PLAN REVIEW FOR COMPLIANCE WITH AIRCRAFT NOISE ORDINANCE Compliance with Procedures to Ensure Submitter: Noise Impact Area Adequate Noise Attenuation: Lennar Airport - MSP International Exterior wall construction: 16305 36th Ave. No. Noise Zone - 4 Vinyl Suite 600 15/32" sheathing Plymouth, MN 55446 New Infill Residence is a "COND" Tyvek wrap 952-249-3000 use in Noise Zone 4 2x6 studs 16" O.C. R-21 batt insulation with 1/2" gypsum board Roof Construction: Plan. Reviewed: '7 tJ C Peaked roof with manufactured trusses 24" O.C. Roof vents Shingles Information Submitted: 15# felt Annotated architectural drawings includin : 1/2" sheathing Blown insulation R-44 Windows: Atrium 5/8" gypsum board Swinging Patio Doors: Atrium Entry Doors: Therma Tru Mechanical Ventilation System: Skylights: N/A 2-ton central air conditioning unit Compliance with STC Requirements: Window, Door Frame, Perimeter and Other Seals: All window and door openings are to be caulked Average window/wall area for exterior wall: with butyl-based caulk With this window/wall area ratio and STC 40 walls, windows Fireplace Chimney Cap: with an STC 30 can be used to meet the noise reduction N/A requirements; Ventilation Duct Exterior Wall Penetrations: Summa : All exterior ducts will have bends as required by the ordinance Other measures including duct bends and caulking are being taken to ensure minimum transmission of noise through the Door and Window Construction: exterior building shell so that the construction should meet Windows: Atrium (30 STC) the compatibility guidelines. Sliding Patio Doors: Atrium (30 STC) Therefore, the materials and construction as proposed should meet the requirements of the Eagan aircraft noise ordinance. Entry Doors: Therma Tru (29 STC) Skylights: N/A Review Completed (date): ~L Other Exterior Wall Penetrations: Review Completed b : Tom Tamte Sill sealer between plates and blocks Project Summary' Job: CMS Madison A&C unit wrightsoft' ' 7 Date: February 17, 2014 Entire House By: Elander Mechanical Inc. $91 Citation Drive, Shakopee, MN 55379 Phone: 952-446.4692 Fax 952-446-7487 /`r - Project Information For: 3 Y31 C eJ~n u f G ct ~.t Notes: Design information Weather: Minneapolis-St. Paul, MN, US Winter Design Conditions Summer Design Conditions Outside db -15 OF Outside db 88 OF Inside db 70 OF Inside db 70 OF Design TD 85 OF Design TD 18 OF Daily range M Relative humidity 50 % Moisture difference 37 gr/ib Heating Summary Sensible Cooling Equipment Load Sizing Structure 28709 Btuh Structure 12009 Btuh Ducts 1237 Btuh Ducts 544 Btuh Central vent (74 cfm) 6701 Btuh Central vent (74 cfm) 1411 Btuh Humidification 0 Btuh Blower 0 Btuh Piping 0 Btuh Equipment load 36647 Btuh Use manufacturer's data y Rate/swing multiplier 1.00 Infiltration Equipment sensible load 13964 Btuh Method Simplified Latent Cooling Equipment Load Sizing Construction quality Tight Fireplaces 1 (Average) Structure 1389 Btuh Ducts 120 Btuh Heating Cooling Central vent (74 cfm) 1784 Btuh Area (ftz) 1728 1728 Equipment latent load 3293 Btuh Volume (ft'} 13824 13824 Air changes/hour 0.23 0.07 Equipment total load 17257 Btuh Equiv. AVF (cfm) 52 16 Req. total capacity at 0.70 SHR 1.7 ton Heating Equipment Summary Cooling Equipment Summary Make Lennox Make Lennox Trade MERIT 90 Trade 13ACX Series - RFC Model ML193UH045XP24B-* Cond 13ACX-018-230 * AHRI ref 4792130 Coil C33-25*+TDR AHRI ref 1031313 Efficiency 93AFUE Efficiency 11.9 EER, 13.5 SEER Heating input 44000 MBtuh Sensible cooling 12950 Btuh Heating output 41000 Btuh Latent cooling 5550 Btuh Temperature rise 50 OF Total cooling 18500 Btuh Actual air flow 768 cfm Actual air flow 617 cfm Air flow factor 0.026 cfm/Btuh Air flow factor 0.049 cfm/Btuh Static pressure 0 in H2O Static pressure 0 in H2O Space thermostat Load sensible heat ratio 0.81 Boldlitalic values have been manuaily overridden Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. 2014-Feb-17 14:55:40 + wrightsoft~ Right-Sulte® Universal 2012 12.1.06 RSU13410 Page 1 - ACCP~ ...P%Heat Losses 20131Lennar Patriot Madison Asup Calc - MJ8 Front Door faces: N wri ° Component Constructions Job: CMS Madison A8,C unit 9htSOft Date: February 17, 2014 Entire House By: Elander Mechanical Inc. 591 Citation Drive, Shakopee, MN 55379 Phone: 952-4454692 Fa)c 952-445-7487 Project Information For: • Conditions Location: Indoor: Heating Cooling Minneapolis-St. Paul, MN, US Indoor temperature (°F) 70 70 Elevation: 837 ft Design TD (°F) 85 18 Latitude: 45°N Relative humidity 50 50 Outdoor: Heating Cooling Moisture difference (gr/Ib) 54.5 36.6 Dry bulb (°F) -15 88 Infiltration: Daily range (°F) - 19 ( M) Method Simplified Wet bulb (°F) - 71 Construction quality Tight Wind speed (mph) 15.0 7.5 Fireplaces 1 (Average) Construction descriptions Or Area U-value Insui R Htg HTM Loss Clg HTM Gain n' Bluhm=-'F rt'-'F/BWh Btuhe Bluh MAN Btuh Walls 12F-Osw: Frm wall, vnl ext, r-21 cav ins, 1/2" gypsum board int n 544 0.065 21.0 5.52 3006 1.21 659 €nsh, 2"x6" wood frm a 421 0.065 21.0 5.52 2325 1.21 510 s 525 0.065 21.0 5.52 2899 1.21 636 w 364 0.065 21.0 5.52 2012 1.21 441 all 1854 0.065 21.0 5.52 10242 1.21 2247 Partitions (none) Windows 61A: VINYL Insulated Glass Double Hung: NFRC rated a 54 0.280 0 23.8 1289 29.3 1585 (SHGC=0.26) w 112 0.280 0 23.8 2654 29.3 3263 all 166 0.280 0 23.8 3943 29.3 4848 Doors 11JO: Door, mil fbrgl type a 21 0.600 6.3 51.0 1071 17.9 376 s 19 0.600 6.3 51.0 983 17.9 345 w 20 0.600 6.3 51.0 1040 17.9 365 all 61 0.600 6.3 51.0 3094 17.9 1087 Ceilings 16CR-44ad:Aflic ceiling, asphalt shingles roof mat, r-44 cell ins, 1064 0.022 44.0 1.87 1990 0.95 1015 5/8" gypsum board int fnsh Floors 2OP-38c: Fir floor, firm fir, 12" thkns, carpet fir fnsh, r-5 ext ins, r-38 12 0.030 38.0 2.55 31 0.40 5 cav ins, amb ovr 20P-38c: Fir floor, frm fir, 12" thkns, carpet fir fnsh, r-5 ext ins, r-38 308 0.030 38.0 2.55 785 0.40 123 cav ins, gar ovr 20P-38v: Fir floor, frm fir, 12" thkns, vinyl fir fnsh, r-5 ext ins, r-38 80 0.030 38.0 2.55 204 0.40 32 cav Ins, gar ovr 226-10tpm: Bg floor, heavy dry or light damp soil, on grade depth, 122 0.355 10.0 30.2 3681 0 0 r-10 edge ins 2014-Feb-17 14:55:40 wrightsoft' Right-Suite® Universal 2012 12.1.06 RSU13410 Page 1 ACCA ...plHeat Losses 20131Lenner Patriot Madison A rup Calc = MJB Front Door faces: N t \ \ \ W g go cc) -0 0>0 ~i W W ~V W W .CF (I A A A O ~ O A A O "3 r► `t/ 'a ate. ~I . 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The completed form must be submit- ted in duplicate at the time of application of a mechanical permit for new construction. Additional forms may be downloaded and printed at: Site address 3 tI 3 1 r J ` ~ ~ Date Contractor J/ ! [ c~ J~ ✓ ~ Completed I , o//t'l~7Grt~ta / By CU Section A Ventilation Quantity (Determine quantity by using Table N1104.2 or Equation 11-1) Square feet (Conditioned area including l Basement-finished or unfinished) Total required ventilation Number of bedrooms 3 Continuous ventilation s'd Directions - Determine the total and continuous ventilation rate by either using Table N1104.2 or equation 11-1. The table and equation are below. Table N1104.2 Total and Continuous Ventilation Rates (in cfm) Number of Bedrooms 1 2 3 4 5 6 _ Conditioned 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 140/70 155/78 170/85 185/93 200/100 215/108 5501=6000 150/75 165/83 180/90 195/98 210/105 225/113 Equation 11-1 (0.02 x square feet of conditioned space) + [15 x (number of bedrooms + 1)] = Total ventilation rate (cfm) Total ventilation - The mechanical ventilation system shall provide sufficient outdoor air to equal the total ventilation rate average, for each one-hour period according to the above table or equation. For heat recovery ventilators (HRV) and energy recovery 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. G:ISAFETYIJKXVent-makeup-comb air submittal (2).docx Page 1 of 6 Section B Ventilation Method (Choose either balanced or exhaust only) Balanced, HRV (Heat Recovery Ventilator) or ERV (Energy 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 continuous ventilation rating 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. Cow c m 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 n- AA r~t~i SCE ad 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 cl~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) 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 detall for placement of controls and proper operation of the building ventilation. If exhoust fans are used for building ventilation, describe the operation and location of any controls, Indicators and legends. !fan ERV or HRV fs to be Installed, describe how It will be installed. !fit will be connected and Interfaced with the air handling equipment, please describe such connections as detailed In the manufactures' Installation instructions. If the installation instructions require or recommend the equipment to be interlocked with the air handling equipment for proper operation, such interconnection shall be made and described. Section E Make-up air Passive (determined from calculations from Table 501.3.1) Powered (determined from calculations from Table 501.3.1) /V H Interlocked with exhaust device (determined from calculation from Table 501.3.1) Other, describe: Location of duct or system ventilation make-up air: Determined from make-up air opening table Cfm Size and type (round, rectangular, flex or rigid) (NR means not required) Page 2 of 6 A,.nts e t`J 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 1MC501.3.3. 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, flexor 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 appilances, 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 0 Column A Column 8 1. a) pressure factor 0.15 0.09 0.06 0.03 (cfm/sf) b) conditioned floor area (sf) (including unflnlshed basements) Estimated House Infiltration (cfm): [1a x lb] 2. Exhaust Capacity a) continuous exhaust-only ventilation system (cfm); (not applicable to ba-d lanced ventilation systems such as HR b) clothes dryer (cfm) 135 135 135 135 c) 80% of largest exhaust rating (cfm); Kitchen hood typically (not applicable if recirculating system or if powered makeup air is electrically interlocked and match to exhaust d) 80% of next largest exhaust rating (cfm); bath fan typically (not applicable if recirculating system Not or if powered makeup air is electrically Applicable interlocked and matched to exhaust) Total Exhaust Capacity (cfm); jj [2a + 2b +2c + 2d] t S j 3. Makeup Air Quantity (cfm) a) total exhaust capacity (from above) b) estimated house infiltration (from 7 above Makeup Air Quantity (cfm); Pa-3b] (if value is negative, no makeup air is t j Q~ , needed) 4. For makeup Air Opening Sizing, refer to Table 501.4.2 A. Use this column if there are other than fan-assisted or atmospherically vented gas or oil appliance or If there are no combustion appliances. (Power vent and direct vent appliances may be used.) 8.- . 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. Page 3 of 6 rVi • I i 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- Duct 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 >2-0 >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 dud shall be stretched with minimal sags. Compressed duct shall not be accepted. C. Barometric dampers are prohibited in passive makeup air openings when any atmospherically vented appliance is installed. D. Powered makeup air shall be electrically interlocked with the largest exhaust system. Sections F Combustion air Not required per mechanical code (No atmospheric or power vented appliances) Lin&. F v", r Passive (see IFGC Appendix E, Worksheet E-1) _7, and type 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 1FGCAppendix 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. Page 4 of 6 int a~'~S ~r LOT SURVEY CHECKLIST FOR RESIDENTIAL t BUILDING PERMIT APPLICATION ~C1 PROPERTY LEGAL: ~l I k! 3~ 7<4fiSt/1e- DATE OF SURVEY: LATEST REVISION: as a~ c cc , U O z ¢ DOCUMENT STANDARDS 0 ❑ ❑ • Registered Land Surveyor signature and company 'z 0 D • Building Permit Applicant X ❑ ❑ • Legal description ❑ ❑ • Address ❑ ❑ • North arrow and scale 9? ❑ ❑ • House type (rambler, walkout, split w/o, split entry, lookout, etc.) ❑ ❑ • Directional drainage arrows with slope/gradient % ❑ 0 • Proposed/existing sewer and water services & invert elevation ❑ ❑ • Street name ❑ ❑ • Driveway (grade & width - in RAN and back of curb, 22' max.) X 0 ❑ • Lot Square Footage j ❑ ❑ • Lot Coverage ELEVATIONS Existin ❑ ❑ • Property corners ❑ ❑ Top of curb at the driveway and property line extensions ❑ 0 • Elevations of any existing adjacent homes D ❑ • Adequate footing depth of structures due to adjacent utility trenches e1 ❑ ❑ • Waterways (pond, stream, etc.) Proposed ❑ ❑ • Garage floor ❑ X ❑ • Basement floor ,g ❑ ❑ • Lowest exposed elevation (walkout/window) ❑ D • Property corners D ❑ • Front and rear of home at the foundation PONDING AREA (if applicable) ❑ ';K ❑ • Easement line ❑ ,9 ❑ • NWL ❑ /ef ❑ • HWL ❑ ❑ • Pond # designation ❑ 0 • Emergency Overflow Elevation ❑ ~Pf 0 • Pond/Wetland buffer delineation Y • Shoreland Zoning Overlay District Y Conservation Easements DIMENSIONS ❑ ❑ • Lot lines/Bearings & dimensions ,eJ ❑ ❑ • Right-of-way and street width (to back of curb) 0 0 Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (i.e. all structures requiring permanent footings) ❑ ❑ Show all easements of record and any City utilities within those easements ❑ 0 Setbacks of proposed structure and sideyard setback of adjacent existing structures ,B• 0 0 Retaining wall requirements: / Reviewed Date zo /0 WFORMS/Building Permit Application Rev. 11-26-04 d I rrrrr tD o m O)SU7vI'C rtWa? 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Clty of E��a� Address: 3431 Chestnut Lane Permit#: 120809 The following items were/were not completed at the Final Inspection on: ��-C�� ��� L-��'� , � �,� �, �, � : �,�� ' Cc�rnpl��� `Ir���mplet� ��" �,, :Corrimerl't��; : � ���:; ��e��.h� ���'� � � ����� �- Final grade - 6"from siding Permanent steps— Garage Permanent steps— Main Entry � Permanent Driveway Permanent Gas � Retaining Wall or 3:1 Max Slope � ��- So / Seeded Lawn � � �� � � Traii / Curb Damage Porch �,� ,�� `� Lower Level Finish � �(� Deck � � Fireplace � • 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. Buildin Ins ector: � �! h ���1�� 9 p G:\Building Inspections\FORMS\Checklists