4626 Crooked Stick Ct t � � � l�� �� 3 �?�1���
� �
� f '1 � � � � d<�: Use BLUE or BLACK Ink
� E7 j�
`� � ForOfficeUse---------�
' �� ��� , `�`� I ��� � Permit#: � �� '��.j
Cl�y of �a�a� _ � 3�;
- T � Permit Fee:
3830 Pilot Knob Road ��'�, �y �a ' �
Eagan MN 55722 � Date Received: 1� � �
Phone:(651)675-5675 ;; I �' I
Fax:(651)675-5694 - i Staff: � I �
�`�--`-� I ��1 �� '--------------- �� ,�
2014 RESIDENTIAL BUILDING PERMIT APPLICATION ��`� �``�
��r
Date: � ' SiteAddress: 7�� �+G���� �G� �U,�'-�Unit#: ��
�� �� �
�� . I
� ��' Name: �� ��'..-��/l� /i�G- Phone:
�
�����n�f,���
(�yy��� Address/City/Zip:
�� �
� -: � �� licant is: Owner Contractor �' �'� � �� ���j ��
z.. � .. �...' a�_��� APP
� ��� �/ /^� �� n ��� ,���,
'�� ��", \\ Description of work: /�� �//�}�� /i�IYY!/�� p ,��
���'�Co�\:
" ' Construction Cost: � Multi-Family Building:(Yes /No
Company: �� �b�1'I.?Jl� l/�� Contact:���'-C�I�E7.!>
� �� �-��� ���v 1%4���i�i D��� � � � ��V� r.��
'��itll'�T��tt�M":', Address: �te`+Ci : �:
� � ����, State:�Zip: b Phone: ���l 9 "�P� —�TI� �
`�� � .�.,�
�_�.. ,.
License#: �. � � � Lead Certi�cate#: f� I
If the project is exempt from lead certification, please explain why:(see Page 3 for additional information) '
��' �/U���'�T/o�tl I�
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING 'i
I
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: b����'� '���� ���Dbl.� � � �ddl-`ti�� I
i
Licensed Plumber: Ci�-�� Phone: 7��J "' ��.�°'2�� I
�
Mechanical Contractor: �°/�`"1�(L'-� Phone: �co�"' �'f'7', °�'�/
Sewer&Water Contractor: ��- ��..�M �l 1�� Phone: �5� "�� � ` 1
NC1�';E;F/ans� ��ir��r�(�rr��r��s��i.°��+�.���t�rr?����c�t�d tt�'�e�oublrc i !�'"�a!r�a�ir�s ci� ``
t�ie r�f€�i��i be�lass����,s��r����I�c r��i pr"��fd����+��i��ts th�t�r���F �t���fty��ti . .
� _ .. � �_, �, z��
�t��c1�d�tha#t�t�'_�re tra���ecr�r�� ����
.��.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Calt 48 hours
before you intend to dig to receive locates of underground utilities. www.aoaherstateonecall.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.
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 I�� L�� X
Applicant's Printed Name ApplicanYs Sign re
Page 1 of 3
t „�. t
����p �Y cf�c�a.� ��1 G/L l� �}
DO NOT WRITE BELOW THIS LINE � (f �3
SUB TYPES
Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
� Single Family _ Garage _ "Porch(4-Season) _ Exterior Alteration(Muiti)
_ 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 ?j 3,qy28'�7 Occupancy �j� C_ I MCES System
Plan Review Code Edition ypn ?pp7 SAC Units
(25%X 100%_) Zoning �_ City Water
Census Code Stories Z, Booster Pump
#of Units Square Feet PRV
#of Buildings Length ��I��� Fire Sprinklers
Type of Construction �� Width 4 Q � ��'�
REQUIRED INSPECTIONS
� Footings (New Building) Meter Size:
Footings (Deck) � Final/C.O. Required
Footings (Asldition) Final/No C.O. Required
� Foundation �,,MVAC,�Gas Service Test Gas Line Air Test
�.._%
�C Roof: �tce&Water 1C Final Pool:_Footings Air/Gas Tests _Final
2C Framing Drain Tile
� Fireplace:�Rough In x Air Test �Final Siding:_Stucco Lath �Stone Lath _Brick
X Insulation Windows
�C Sheathing Retaining Wall:_Footings_Backfill_Final
�( Sheetrock )( Radon Control
Fire Walls � Erosion Control
� Braced Walls Other:
Reviewed By: �� ✓+1 !� �� � y✓'�'" , Building Inspector
RESIDENTiAL FEES 191��;� ; $h rd. ��1'SG'/�P� ����Sa�Xl6•5�
BaseFee (m,q%�1 F/oOF� F•��.She-.a /�lBssFT"X �-�73
Surchar9e a n� l��vo/2 /F%�%.j�c� �?�019�X45�'�3
Plan Review 6 � 59�X�'°°
F;?ont si-��� �gytt�"� yo.yi
MCES SAC / �
City SAC " �����
Utility Connection Charge �3 � 3 �9 9 •� ?
�
S8W Permit 8�Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
� ��� �`��
New Construction Energy Code Compliance Certificate j�=�• [� �$ �"'
Per N I 101.5 Bailding Certificate.A building certificate shall be posted in a permanendy visible location inside Date Certifica[e Posted ��� �- �
the building. The certificate shall be completed by the builder and shall list information and values of
components listed in Table Nl 101.8.
Mailiag Address of the Dwelling or Dwelling UNt
4626 Crooked Stick Ct Ea an
Name of Residential Cmtractor MN Lkense Number � �
DRHorton BC605657 ',
Community Plan ID �'�.
Hillcrest-Dakota Path Ii
HERMAL ENVELOPE RADON SYSTEM ��I
Type:Check All That Apply X Passive(No Fan) �I
0 0� I
F � �. Activ�(Wit&fun a�a!rrr�nameter or II
� � atker,s,�stem manxtaring device}
� .� � '° ° „
a ,�
� �
7 d 0] � a�i U � b �i,
> o Z° � � ° a, u: � y
Insulation Locafion c4 •� o � � v O � W
�. �. � � a� b ;u
�
E-� � Z w w w° w° � c� rx Other Please Describe Here
Below Entire Slab
Foundation Wall R-5 X Type in loca6on:eMerior
Perimeter of Sl�b on Grade
Rim Joist(Foundation) R-12 X Type in IocaGon:interior
Rim Tesist(1�Flos►r+) �-"[� � Type in tcscati�r�:interior
wau R-19 X
GeeIing?flat R-44 ! ?�'
Ceiling,vaulted R-44 X
B�y Windows nr cantilev�red ar�ss }�-3� �
Bonus room over garage
DescrSt�e other insulated areas
Windows&Doors Heafing or Cooling Ducts Oufside Conditioned Spaces
Average[J-Factar(excludes skylights and one door)U: 0.31 Not applicable,all ducts located in conditioned space
Solar Heat Gain Coefficient(SHGC): 0.28 -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
Fu�l z'yp� NAT-GAS NAT�AS R�1 UA Passive
1Kanutacturer CARRIER AOSmith CARRIER Powered
Interlocked with eachaust device.
Ntoae� ���SC2B10{�52� ��vL-5o CA13NA042 vescribe:
Input in 100000 Capacity in 50 Output in 3.5 Other,describe:
Rating or Size BTUS: Gallons: Tons:
Heat Loss: ; $$,��2 HeaL 3p,765 Location of duct or system:
Structura's CaleWated ' Gain:
AFUE or 92 SEER: ]3
HSPF%
Calculated 37837
Efficienc coolin load: Cfin's
roun uc
Mechanical Ventilafion System "metal duct
2-Pan WhisperGREEN fans set at 50 cfin&60 cfin constant(one with a light).Fans ramp up to 80 cfin 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 cfins: I.ow: High: Other,describe:
Energy Recover VenUlator(ERV)Capacity in cfms: Low: High: Location ofduct or system:
1-Panasonic FV08VKM3 set @ 50 cfin&1-
X Continuous exhausting fan(s)rated capacity in cfins: FV08VKML(w/lite)60 cfrn furnaee room
Location of fan(s),describe: Master bath&Jack-N-Jill bath(respectively) Cfin's
Capacity continuous ventilation rate in cfrns: 110 4 "round duct OR
Total ventilation(intemuttent+continuous)rate in cfms: 240 "metal duct
5351- 4626 Crooked Stick Ct., Eagan
HVAC Load Calculations
for
DRHorton
Lakeviile, MN
Prepared By:
Todd Boyum
Sabre Plumbing&Heating
15535 Medina Rd
Ptymouth, MN 55447
763-473-2267
Thursday, December 18,2014
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.
�h�� N��,���»#ial&LN�h#Co�� � A��.oads ��' � �s �I� �+a CIe�I ���1��:
��br� lumb�ng�'��ting ���� _ ��59 � �c!����� E�gan
F,_. . .. iMN 5 "�. ....: ',.... ' ,,X�.. ' . _. . .. ?. � �,': . ,, .:?:,...Pa e�,
Prr�'�Ct Re art
,
�1.,t`�: � -�r�fc�" ' ,
;.\ ,�� -;�?�:,,rn,a���:.��dllo �� . ..:.�. .���"�r v'�:,q °�°o'�� y �� �;::. j s �PZ ii/�/�
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Project Title: 5351-4626 Crooked Stick Ct., Eagan
Designed By: Todd Boyum
Project Date: 12/18/14
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
_...
: �'t t��f�. . ,;, . '� �„.;;� '� r � � �, , , `'� � �.� ��,� ..�� .
:,,.- r r i � li�i: �// � ��' a•�- , :,.: m �< ::� � ��a`:;
. ..... � ,,,�� ,, pp,,.:; . ...,.... , % .,,., . ,.„. , .:�:.;. ,_. ..r.: , ., ....�i° :::
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
Dry Bulb Wet Bulb Rel.Hum Rel.Hum �Bulb Difference
Winter: -15 -12.38 n/a n/a 70 n/a
Summer: 88 73 50% 50% 72 42
.� � ,�?', ��, r �.'•:� �a�. � .,� ; .;o �..�z °x
-` ,,, �� � � „�::a. .� ::a.
,:: ,, .. .�,: ....� :s-_ , .,. �. � . _,
, ...� ,,,,i,,., ....>... ��.6.. �.�a�,�� o .,,. .«. ,: �:
,„ ,. .. ,;:,,,,:.
Total Building Supply CFM: 1,441 CFM Per Square ft.: 0.287
Square ft.of Room Area: 5,016 Square ft. Per Ton: 1,591
Volume(ft3)of Cond. Space: 41,746
,, ,.
.. �� , � % ;, � � t�y .`a�� <:: s�� � �: � 4� �i �s��\ a`'�v��
„ , 'ii . '.,,,��� ;'�.. „ , l�" <.. ��� �, „�.� ....... .-.,.. ,::, ..... ��.��. ., ,, i; ' � ",- ,.,.e"'�.a,,,, � 1, l'„�Y� .
�
,.. .,: .. , . ,. .� .... . .....::.....
Total Heating Required Including Ventilation Air: 88,252 Btuh 88.252 MBH
Total Sensible Gain: 30,765 Btuh 81 %
Total Latent Gain: �,072 Btuh 19 %
Total Cooling Required Including Ventilation Air: 37,837 Btuh 3.15 Tons(Based On Sensible+ Latent)
< �..�, � F �� ��
. � � v�a ,.: ��
,
'�... „,,. -'. ,, z�. « �. . . z r���„r,, ��� �?'
'. <., a <;,.; t�a.
„ _,.,; ,,,, , �:,.,
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 5351-4626 Crooked Stick Ct(WEST).rh9 Thursday, Decernber 18,2014,4:03 PM
Rhv��•�e,�� t��84 L���i�+Gommer�i���^I�la4.�t,:t�+cts � „- �' ���` #it�St�t�r���ela��,Ir�+c.
S�br�f�lumba ��#�n�, � � �\�� �+������ti���;��gan
_
Pl m ° ......_. :" �A,.,:-_. ;M �;_,;, . . >��,,_.����..a.� ' , .:. .....:.
�� 3'
Load Preview Re �rt
� _ ��� ���� ���
i Net; ft. P Sen: Lat� Net Sen Htg Clg Act` Duct
Scope � Ton; /Ton� Area, Gain; Gain; Gain Loss ( Size
� � , CFM; CFM CFM=
_._ _w_ _e_ `
_. ��_ _.__.__�W �
`�.J.,,,. „ .-._._,.._,» ,_._........ . ............. .,......._..,t..........m..,.. ' . ..,.,,._.,_ v
Buildin9 ' 3.15' 1,591 5,016 4 30,765'� 7,072' 37,837 i�88,252! 1,181 1 1,441��1,441 ' .
System 1 ' 3.15 1,591 5,016 30,765 7.072 37,837 8$252 1,181 t,44'! 1,441 12x20
Duct Latent _ 479 . 479 _
Zone 1 5,016 30,765 6,593 37,358 88,252 1,181 't,441 1,441 12x20
1-Basement . 1618 4,294 807 5,101 33,173 444 201 201 2--6
2-Main floor . 1,618 16,056 4,237 20,293 28,751 385 752 752 7--6
3-2nd floor . . .. 1.780 10,415 1,549 11,964 26.328 352 488 488 5--6
C:\...\DRH 5351-4626 Crooked Stick Ct(WEST).rh9 Thursday, December 18,2014, 4:03 PM
#�hw����"e��r��i�t����l� �r�tai F��fA�L� �` ;: ��,�•. �r+i�� 4i�patrr��t,lin�.
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�b����1�a `��tin ; ���` � � r�����k�t.,�� ar�:
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�� � � �� ��� t ��, � ��
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S stem 1 Sumrnar L�aads
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.. .. rr� /y,�y�3 i �y r . �a : ti� �y °y� ii�; _.r_..
�r „� ��� ��� � � �� *f�9j ��'��� ��'��� � � � y /� �}��� �(�
: �
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DRH LowEE 2929: Glazing-DRH Windows, u-value 0.29, 80 1,972 � O v 2,540 2,540
SHGC 0.29
DRH LowEE 3228: Glazing-DRH Windows, u-value 0.32, 15 408 0 469 469
SHGC 0.28
DRH LowEE 3328: Glazing-DRH Windows, u-value 0.33, 30 842 0 944 944
SHGC 0.28
DRH LowEE 3229:Glazing-DRH Windows, u-value 0.32, 276 7,510 0 8,501 8,501
SHGC 0.29
DRH LowEE 3031: Glazing-DRH Windows, u-value 0.3, 20 510 0 399 399
SHGC 0.31
DRH LowEE 3229: Glazing-DRH Windows, u-value 0.32, 8 218 0 147 147
SHGC 0.29
DRH LowEE 3228: Glazing-DRH Windows, u-value 0.32, 12 326 0 214 214
SHGC 0.28
DRH LowEE 3329: Glazing-DRH Windows, u-value 0.33, 30 842 0 972 972
SHGC 0.29
11J: Door-Metal-Fiberglass Core 20 527 0 167 167
11J: Door-Metal-Fiberglass Core 17.8 907 0 288 288
12E-Osw:Wall-Frame, R-19 insulation in 2 x 6 stud 3325.2 19,222 0 4,160 4,160
cavity, no board insulation,siding finish,wood studs
EXT R-5-8':Wall-Basement, Custom, Rigid R-5 Styro- 944 16,048 0 0 0
foam to top of footing-EXTERIOR PERIMETER-8'
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-12.2 530.8 3,701 0 800 800
spray foam
16B-44: Roof/Ceiling-Under Attic with Insulation on Attic 1780 3,329 0 1,997 1,997
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-28: Floor-Basement, Concrete slab,any thickness,2 1618 3,026 0 0 0
or more feet below grade, no insulation below floor,
any floor cover, shortest side of floor slab is 28'wide
P-32 R-32: Floor-Over open crawl space or garage, 281.2 717 0 93 93
Custom, R-30 Blanket insulation, 3/4"Foamboard R-
2,any cover_ __
_ __ _ _ _ _
Subtotals for structure: 61,737 0 21,691 21,691
People: 6 1,200 1,380 2,580
Equipment: 1,131 4,262 5,393
Lighting: 0 0 0
Ductwork: 3,145 479 783 1,262
Infiltration:Winter CFM:258, Summer CFM: 155 23,370 4,262 2,649 6,911
Ventilation:Winter CFM:0, Summer CFM: 0 0 0 0 0
Exhaust:Winter CFM:_1_10, Summer CFM: 110 _ _
_ __ _ _ _ _
System 1 Load Totals: 88,252 7,072 30,765 37,837
,r , ,,
<.. � :..
<. �, < ,�� -,
z,,,.• r F. ' r�_. ,,,,, ,,r,.,;'' .,z,; �,� �:"
K v i
s... - s . .. ..', <�
Supply CFM: 1,441 CFM Per Square ft.: /0287
Square ft. of Room Area: 5,016 Square ft. Per Ton: 1,591
Volume(ft3)of Cond. Space: 41,746
,�' �:,� ; ' ; .
� -�, va,� z
.,,,,,�. .
� i� � ��,
,,,, < . . . �.•,,, ,
Total Heating Required Including Ventilation Air: 88,252 Btuh 88.252 MBH
Total Sensible Gain: 30,765 Btuh 81 %
C:\...\DRH 5351-4626 Crooked Stick Ct(WEST).rh9 Thursday, December 18,2014,4:03 PM
�h���«N�esi������ � +�inrnerCr��E�Y�1�i�t�� �NTt��c�C�;re�?ev��Cw' l�ic.
��bra Plumbang����� � ������-� ;�'������` ����f. ��gd�►•.
't�l m�ut�t'PAN_ �
a�59�'����r�
`�„ ' < ��.,... �, •• �>e:r � ••.:.. ,,,,, .., 9 ����.�5
. .. ..,�a�.�. .��,>e ,. . .... : ,vx•�.. „,.; . ._,' .. ° '�.
5 stem 1 5urnmar Lc�ads cont'd
:.�s�, y�y., :: �... . _ �y �.
'£.,a�,, .a�l� �. ����.�-:, �,i,,,f,'� �..... . ;..��� �W«;... ,�:•.� �...��,ri�." ..?�� „ws�fsq����,��, '��
Total Latent Gain: 7,072 Btuh 19 %
Total Cooling Required Including Ventilation Air: 37,837 Btuh 3.15 Tons(Based On Sensible+ Latent)
�}�,� z--, , ��: _ / „ -�-� � ;�i �` '�.:. ���z �� ��
-I�'I�, . ,.i � .._ � ;� ..
i��. �,. ��. .;: � � //'�a> ;g� � rf�i 3� ? ,.�ri..:
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 5351-4626 Crooked Stick Ct(WEST).rh9 Thursday, December 18,2014,4:03 PM
Site address 4626 Crooked Stick Ct, Eagan Date 12/18/14
Contractor Sabre P & H comBY ted TOdd g ,
Section A I
Ventilation Quantity ''
{Determine quantity by using Table N1104.2 or Equation 11-1) 'I
Square feet(Conditioned area including '
Basement—finished or unfinished) 5016 Total required ventilation 215
Number of bedrooms 6 Continuous ventilation 1 O�
Directions-Determine the total and continuous ventilation rate by either using Table N1104.2 or equation 11-1.
The table and equaiion 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 SO/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 225J113
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 rnechanical ventilation system intended to be continuous may
have automatic cycling controls providing the average flow rate for each hour is met.
G:\SAFETYIJK\Vent-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 160
continuous ventilation rating by more than 100%)
Directions-Choose the method of ventilation,balanced or exhaust only. ealanced ventilation systems are typically HRV or ERV's.
Enter the low and high cfm amounts. Low c m air flow 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 mus[not exceed 80 cfm.J
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 JBCk-N-Jill Bath 60 80
Panasonic FVOSVSL 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 veniilation must be equal to or greater than the low c 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 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
JNJ Bath run at 60 cfm 24/7-ramp up to 80 cfm upon motion sensi�g for 30 minutes.
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 detai!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.!f it wil/be connected and interfaced with the air handling equipment,please describe such connections as
detailed in the manufactures'installation instrudions.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 belowJ. For most new installations,column A
will be appropriate,however,if atmospherically vented appliances or solid fuel appliances are instailed,use the appropriate column.
For existing dwellings,see IMC 501.3.3. Please note,if the makeup air quantity is negative,no additional makeup air will be 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
1.
a)pressure factor 0.15 0.09 0.06 0.03
(cfm/sf)
b)conditioned floor area(sf)(including 5016
unfinished basements)
Estimated House Infiltration(cfm):[1a 752
x 1b]
2.Exhaust Capacity
a)continuous exhaust-only ventilation 110
system(cfm);(not applicable to ba-
lanced ventilation systems such as
HRV)
b)clothes dryer(cfm) 135 135 135 135
c)80%of largest exhaust reting(cfm);
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); 485
[2a+2b+2c+2d]
3.Makeup Air Quantity(cfm)
a)total exhaust capacity(from above) 485
b)estimated house infiltration(from 752
above)
Makeup Air Quantity(cfm);
[3a-3bj -267
(if value is negative,no makeup air is
needed)
4.For makeup Air Opening Sizing,refer Not Re �C�
to Table sol.a.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 perventing 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 atmosphericafly 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- 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
Passiveopening 1-36 1-22 1-15 1-9 3
Passiveopening 37-66 23-41 16-28 10-17 4
Passiveopening 67-109 42-66 29-46 18-28 5
Passive opening 110-163 67—100 47—69 29—42 6
Passiveopening 164-232 101-143 70-99 43-61 7
Passiveopening 233-317 144-195 100-135 62-83 8
Passiveopening 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 eMerior hood and ten feet for each 90-degree elbow to
determine the remaining length of straight duct allowable.
B. If flexible duct is used,increase the duct diameter by one inch. Flexible duct shall be stretched with minimal sags. Compressed duct shall not be accepted.
C. Barometric dampers are prohibited in passive makeup air openings when any atmospherically vented appliance is installed.
D. Powered makeup air shall be eledrically interlocked with the largest exhaust system. '
I
I
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 2"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 IFGCAppendix 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 ojstep 4 is required to be filled out.
IFGC Appendix E,Worksheet E-1 !�
Residential Combustion Air Calculation Method !
(for Furnace,eoiler,and/or Water Heater in the Same Space) �!
Step 1:Complete vented combustion appliance information. !
Furnace/Boiler: �OOOOO
�Draft Hood �Fan Assisted QDired Vent Input: Btu/hr �,I
or Power Vent ,
Water Heater: �O 00o I
�Dreft Hood ❑✓ Fan Assisted �Direct Vent Input: � BtuJhr
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: ft'
Step 3:Determine Air Changes per Hour(ACH)1
�" 19x18x8=2736
Default ACH values have been incorporated into Table E-1 for use with Method 4b(KAIR Method).
If the year of construction or ACH is not known,use method 4a(Standard Method).
Step 4:Determine Required Volume for Combustion Air.(DO NOT COUNT DIRECT VENT APPLIANCES)
4a.Standard Method
Total Btu/hr input of all combustion appliances Input: Btu/hr
Use Standard Method column in Table E-1 to find Total Required TRV: ft3
Volume(TRV)
If CAS Volume(from Step 2)is greater than TRV then no outdoor openings are needed.
If CAS Volume(from Step 2)is less than TRV then go to STEP 5.
4b.Known Air Infiltration Rate(KAIR)Method(DO NOT COUNT DIRECT VENT APPLIANCES)
Total Btu/hr input of all fan-assisted and power vent appliances Input: 40�� Btu/hr
Use Fan-Assisted Appliances column in Table E-1 to find RVFA: �OOO ft3
Required Volume Fan Assisted(RVFA)
Total Btu/hr input of all Natural draft appliances Input: � BtuJhr
Use Natural draft Appliances column in Table E-1 to find RVNFA: ft3
Required Volume Natural draft appliances(RVNDA)
Total Required Volume(TRV)=RVFA+RVNDA TRV= �OOO + � _ 300� TRV ft3
If CAS Volume(from Step 2)is greaterthan TRV then no outdoor openings are needed.
If CAS Volume(from Step 2)is less thon TRV then go to STEP S.
Step 5:Calculate the retio 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 �3000 =.9�
Step 6:Calculate Reduction Factor(RF�.
RF=1 minus Ratio RF-1- •91 = .09
Step 7:Calculate single outdoor opening as if all combustion air is from outside. �0000
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 inZ CAOA= 4���� �300o Btu�n�pe���2-13.33 in2
Step 8:Calculate Minimum CAOA.
Minimum CAOA=CAOA multiplied by RF n/�inimum CnOA= �3.33 X .09 = �•2 inZ
Step 9:Calculate Combustion Air Opening Diameter(CAOD)
CAOD=1.13 multiplied by the squore root ojMinimum CAOA CAOD=1.13� Minimum CAOA= �'�� in.diameter
go up one inch in size if using flex duct
1 If desired,ACH can be determined using ASHRAE calculation or blower door test.Follow procedures in Section
G304.
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 I
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 i
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.
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_ : ! � LOT SURVEY CHECKLIST FOR RESIDENTfAL
BUILDING PERMIT APPLICATION
PROPERTI' LEGAL �;�'�' C:,�� �-./.0�� t'l.+77� �� ���,
DATE QF SURVEY: ��,�� J'9
LATEST REVISION:
a�
a�
c
�
�
U
O z Q DOCUMENT STANDARDS
� 0 ❑ • Registered Land Surveyor signature and company
� ❑ ❑ • Building Permit Applicant
� ❑ ❑ • Legal description
� p ❑ • Address
,�' D ❑ • North arrow and scale
� ❑ ❑ • House type (rambler,walkout, split wlo,split entry, lookout,etc.)
� ❑ ❑ • Directional drainage arrows with slope/gradient%
� 0 ❑ • Propased/existing sewer and water services&invert elevation
• � ❑ ❑ • Street name
� ❑ ❑ • Driveway(grade&width-in R/W and back of curb,22' max.)
� ❑ ❑ • Lot Square Footage
� ❑ p • Lot Coverage
ELEVATIONS
Existinq
� ❑ ❑ • Property corners M
❑ fd • Top of curb at the driveway and ro ' sions ",C�p� � �'��..
d
� ❑ � • Elevations of any existing adjacent homes
� ❑ ❑ • Adequate footing depth of structures due to adjacent utility trenches
�( p ❑ . Waterways(pond, stream, etc.)
Proposed <
�' ❑ 0 • Garage floor
� 0 � • Basement floor
� ❑ ❑ • Lowest exposed elevation (walkouUwindow)
� ❑ � • Property comers
� p ❑ • Front and rear of home at the foundation
PONDING AREA(if applicable)
❑ �'11 ❑ • Easement line
p �r7' ❑ • NWL
❑ fd ❑ • HWL
❑ Cy p • Pond#designation
❑ � p • Emergency Overflow Elevation �
0 ,d p • Pond/Wetland buffer delineation
Y �y . Shoreland Zoning Overlay District
Y � • Conservation Easements
DIMENSIONS
`��� ❑ � • Lot lines/Bearings&dimensions
�°O ❑ � • 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)
� p ❑ • Show all easements of record and any City utilities within those easements
fd`' 0 ❑ • Setbacks of proposed structure and sideyard setback of adjacent existing structures
�X ❑ 0 • Retaining wall requirements:
Reviewed By� Date %z �'.
G:/FORMS/Building PermitApplication Rev.11-26-04
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Cityofaaafl
Address: 4626 Crooked Stick Ct
The following items were / were not completed at the Final Inspection on:
Final grade - 6" from siding
Permit #: 29163
Permanent steps — Garage
Permanent steps — Main Entry
Permanent Driveway
Permanent Gas
Retaining Wall or 3:1 Max Slope
Sod / Seeded Lawn
Trail / 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.
Building Inspector:
G:\Building Inspections\FORMS\Checklists
City of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECEIVED
APR 7 6 1016
Use BLUE or BLACK Ink
For Office Use
Permit#: 1 -L 6 1 FO
Permit Fee:
Date Received:
Staff:
�(
2015 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date:4 "(1 Site Address: `-e0A-414.\-14A--5144
/41 -
Tenant:
RESIDENTIAL FEES:
Name:
Address / City / Zip: (J
4 4 Suite #:
-4 n
.
Name: Hilbert Con pang Inc dba Culligan Water. License #: WC6413 76
Address: 1$01 50th St East
City: Inver Grove Hgts. ,
State:. Mn Zip: 55077 Phone: 651-451-224r •
Contact: Willlai2l R Milbert Email:
New _ Replacement _ Repair _ Rebuild _ Modify Space Work in R.O.W.
Description of work:
RESIDENTIAL
Water Heater
_ Lawn Irrigation (_ RPZ / _ PVB)
Septic System
New
Abandonment
XWater Softener
Add Plumbing Fixtures (_ Main / _ Lower Level)
Water Tumaround
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $200.00 if a 5/8" meter is required)
$115.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
TOTAL FEES $ (Dt/ , D
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.00pherstateonecall.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
acco ance with/the approved plan in. the case ojwork which quires a review and approval of plans.
Illi:
/71)/
Applicant's Printed Name Applicant's Signature
x
Citi of EaoaIl
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
JUL 1 1 2016
Use BLUE or BLACK I l
For Office Use 1
Permit*: /3-76 7 14/(
Permit Fee:
Date Received: /
Staff:
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 7/11/2016 Site Address: 4626 Crooked Stick Ct.
Residen
Owner
Name: Nick Abruzzo
Address /city /zip: 4626 Crooked Stick Ct.
Applicant is: Owner 1 Contractor
Unit #:
Phone: 262-794-2253
Description of work: Installation of new deck
Construction Cost: $10,850
Multi -Family Building: (Yes / No 1 )
Company: Precision Decks LLC Contact: Bob Januik
Address: 20170 75th Ave N City: Corcoran
State: MN Zip: 55340Phone: 763-228-4429 Email: bob@psdecks.com
License #: BC583025 Lead Certificate #: NAT -118472-1
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:
Phone:
Fire Suppression Contractor: Phone:
Sewer & Water Contractor:
)TE: Pians and su,
ror►nation _ a'
eots' that you submit are consiete
1 ani �IIi1
Troon public,i f' you; provide specific rens+
�elude that they are trade secr
•
1c `info
of wou
r;
ons a1
CALL BEFORE YOU DIG. can 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.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.
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 Lyndsay Olson
Applicant's Printed Name
x
A lican 's Signature
atoou
Page 1 of 3
ac0K-.6-6(
I2ON W THIS LINE
SUB TYPES
Foundation
Single Family
Multi
01 of Plex
WORK TYPES
No 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
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Roof: _Ice & Water _Final
Framing 30 Minutes 1 Hour
Fireplace: _Rough In _Air Test _Final
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
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
5124 -
!2n 20/S
PD
1 L
-D
Meter Size:
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Final / C.O. Required
y 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:
Reviewed By: —1-0 do /7)9. J� j�� , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Dtc -d-$7 2
216 s /r
Page 2 of 3
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PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA163538
Date Issued:09/03/2020
Permit Category:ePermit
Site Address: 4626 Crooked Stick Ct
Lot:4 Block: 2 Addition: Dakota Path 2nd
PID:10-19541-02-040
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Basement Fixtures
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Nicholas A Abruzzo
4626 Crooked Stick Ct
Eagan MN 55123
Farr Plumbing & Heating Llc
2525 Nevada Ave N #104
Golden Valley MN 55427
(763) 732-9497
Applicant/Permitee: Signature Issued By: Signature