1302 Interlachen Dr � ; �� �����L� �� (n('^(�;"`1'3 ___ Use BLUE or BLACK Ink
'� � For Office Use �
. �� ��� ��� � ��s� I � '"� � I
� �-�, y�'�a�" � Permit#: J�� �
�1�� 0� �� �Il � l� � ��� ____-�._ . . ��� �
� /+,�
_._....__ ��_._._...._ �..��._.wM.._. _� �P-�r�+E-Fee. V� �
3830 Pilot Knob Road �-
Eagan MN 55122 � �(� ����3j Date Received: � ��� '�� I
Phone:(651)675-5675 � ' �
� q I } I
Fax:(651)675-5694 � t,� ` 1� �� i Staff: �) �� i
�----------------- � ,�
�� , �
2015 RESIDENTIAL BUILDING PERN7IT APPLICATION �'�'�
� �.
Date: � J Site Address: ��� ���=��y�-��./�' �/'�l�:�� Unit#: r! /
Name: p� ,l�,"� . �,.�C"�... Phone: ��2—���7�,
����C��'1'i'�
��g�- Address 1 City/Zip:
j��
"� Applicant is: �Owner Contractor L.' Lp ��' Z q�'� ��,�1 3
Description ofwork: �� �j �
T�p+� '��'WClrk
Construction Cost: `f�9, �J � Mullti-Family Building:(Yes /No )
� _ ,. .
7 �
� Company: Q l� �j��'i� _Contact: �%'l?a J� �r�
' �' Address`�U S�C� �� �!�L 1,�� C�U� City: E-���/1 Ll•�-�
��li�('r��Ot', ::.
State: ,��Zip:_��Ca �'T_ Phone: qs�-_�r�� �- 7�'�3�
License#:_p�-�J(r��� Lead Certificate�`:
If the project is exempt from lead certification, please explain why: (see Page 3 for additionaf information)
!d� �����-�,��.;r-�,��,�
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 ba�sed on a master plan?
_Yes �No If yes,date and address of master plan: ��'�E !1'1�9-�� ��}}"1S` ��1�' ���� � ,�
Licensed Plumber: �-,��` _Phone: �ro� "'���"`��'��
Mechanical Contractor: �6}f��.-� _Phone: 7���� ��-. ���
Sewer&Water Contractor: �`7�-- Phone: I S Z-^�� 7'"�� � �
�fUTf �!l,�r�s�n�(s�ppvrtrr��r dr���'��rt�t`hat�,a�submft are c�nsider��#€�b��St�bl�c ini�rtr��€i�� Pc�r�`�t�s:e�f
#he i;nfcrrm�#�+�n:�ay be cl�ssif��c�as non�t��ti�if yv��ro�riaC�s�ec���,re���ns���w�rrr�+�p�mat#i�e�l�,tp;
..... ...
`. �t�ctu+de thaf ttie �r�i�rade secre�#s, ,
CALL BEFORE YOU DIG. Call Gopher State One Cau at(651)454-0002 for protection a�gainst underground utifity damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in coriformance 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 ir
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 N1L� L�� X
ApplicanYs Printed Name ApplicanYs Si n re
t--��� ��. -� -- �c G , -p . P � �
� � ,e �.. ;-
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
� New _ Interior Improvement _ Siding _ Demolish Building" I�
_ Addition _ Move Building _ Reroof _ Demolish Interior
_ Alteration _ Fire Repair _ Windows _ Demolish Foundation
_ Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation � � Occupancy .�� MCES System
Plan Review Code Edition ���� SAC Units
(25%_100%]�) Zoning �_ City Water
Census Code � Stories Booster Pump
#of Units Square Feet L 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
� �oundation HVAC_Gas Service Test Gas Line Air Test
Roof: _Ice&Water _Final Pool: _Footings Air/Gas Tests _Final
� Framing Drain Tile
CFireplace: �Rough In �Air Test �Final Siding: _Stucco Lath �Stone Lath _Brick
Insulation Windows
�C Sheathing � Retaining Wall: �Footings�Backfill�Final
� Sheetrock � Radon Control
Fire Walls ;�� Erosion Control x
� Braced Walls � �( Other: � f��t !'�'�r*iY����l^�. ;�
�
Reviewed By: I , Building Inspector
RESIDENTIAL FEES �''� � . ����" �� _$ ',� :�` �=< � �� ����� �
r ���� ��f ���� � x
Base Fee
Surcharge �� � � � �� � � � ��� �� ���
�d�.���.� �°° ,�. �N � ,..�� �
k
Plan Review � �'` �(,�� �j��
��, �.... � . �� '�� ��'�'� ��� ._ ' J �( 1
MCES SAC '� ��.;,s� � �
�, ti �$ �. �Y'� �� �
�;.r � r r-'
City SAC � � 1 �d � �;. � �x F- .�. � � �
Utility Connection Charge ,„� �"�'�'�
SB�W Permit&Surcharge ��,� � � ,�-° �/ ����� ��, �1 � ��
�v
Treatment Plant ����
Copies � � �� ��,���� / �( ����
� �`
TOTAL ,�°��;�%��r���''���� ,: �� !
ts� Page 2 of 3
,� ���,��
�f� � �
: .� � ���3�
New Construction Energy Code Compliance Certificate D•R]{��N'
� � Date Certificate Posted ����J�
Per R40 L3 Building Certificate.A building certificate shall be posted on or in die electrical distribution panet.
hlailing�OdresS oYthe Dwelliu�or Dwellin�Onit . .
1302 Interlachen DR Eagan
Name of ResiAential Contractor �Iti License Number
DRHorton BC605657
Community Plan ID
�THERMAL ENVELOPE RADON SYSTEM
Type:Check All That A�pply X Passive(No Fan)
�o a�
a a� �-'�,' Active.(�th fan and monometer or '
H � � ,
w � � � � a � �.n'.;y oth�rsystem monaranng dev�ce����;,
� �� � � v � � � � Location(or future LocaUon)of Fan:
� W GG � y� A �
� b � y y � y W � �
Insulafion Location � •° z = =° v O � W
5 � � a��i `'° � e� °�' ti ^u
F°- � z w 'w w w° � i� rx Other Please Describe Here
.>.�F � � • �� -
Below F�tire Slab `�d� . �`�. _;;�`� c�` �c:.,��� ���"'f g .;,, X� �`'', `�z. ' � ��y �`x �� � � wz� � x,
Foundation Wall R-10/R15 X Either/OR,See Plans For Location
�.::�. : . L�r.� 'F�, �- ��, r � - x - ,�p �, ..A�
�
, .ry
Pei�meferoi�ta6 on Grade�t : �� . �._�'� �.... .;. ���� � . � �,- � . °...,.. ,��' . �. . � ,,� �..�+`,.` � �
... � .
Rim Joist(Foundation) R-ZO X �nterior
�c,�` ,� � �k,v,� ,�'� �...�a . ' '� �:�+::� s kb '`�'�U
I2im�oLct`(t.Floar-�-j ���. �• ,�.�;���',:,�,. ,e:� R=2Q, �, `� �, �. �'� �ite�ar� ����''����.
. w . , :� . .w
Wait R-21 X
Ceiliug,flat �:� ��-:. ,�,:��'�� ':'�v�,,�� �f2-!���,. ,' _� . X:= � ^�� ` ��.. � �� � ��� � r�..:
. _ �..,.
Ceiling,vauited R-49 X
�; . �� n .
Bay;Wiriilowsor.caritilevered areas��"`;'' ,� �����,�. ..._�R��Q. =�� ...� �,. � �:� .�;� �� � �� �` � `� ��
�- �:: ;�. �.,;��;�,,
, ,,. u
Bonus room over garage R-32 X X
�,� � ; ��;� .° �. � ��, �- .�._
Describe other insula€ed�reas.�t::� ,=����,� '�, a ' �,fi r a,� >- :...a���,> _ `� �:� , : .����., � ��� ,
�� . .'�
Building Envelope air Ti htness: Duct system air tii htness: Ail duct in conditioned space
�ndows 8 Doors HeaKng or Cooling Ducts Oufside Condifioned Spaces
Average U-Factor(excludes skylights and one door)U: 032 Not applicable,all ducts located in conditioned space
Solaz Heat Gain Coefficient(SHGC): 0.28 34 R-value
MECHANICAL SYSTEMS � Make-up Air Select a Type
Appliances Heating System Domestic Water Heater Cooling System X Not required per mech.code
1 " �� r a.�� ,��r:sv�t�� �`'�: � �:���-�r,"� ��`,_"� �'��^x �� � " `°� �� .
�uet Type�°���.� . . ,.:�_��� , �,,�� [VA .�AS�� ...�„� NA"f�fi�AS.. . ��� R-410A.;. '��� „�. � Passive
1v�anufacturer CARRIER AOSmith CARRIER Powered
' �:. �� ���* ������.�*. �;� �" �� �: .��� � Interlocked with exl�ust device.
h'r� 's x � '�h .;�r �tw � .r� �� 3.,a„
Model� � ;�.�. ,��...;#s.:: �J9S�`rcB�Q = ,��'G�!�50, "� , �pt'���i���� ' Describe:
r��^
Input in 80000 Capacity in 50 Output in 3 5 Other,describe:
Rating or Size B'CUS: Gallons: Tons:
� � � .4FUE;or �.��Q ��` �'���� �� SEEK or� °"� 1� = Location of duct or system:
ffciency� s�= z�� HSPF°lo x, .��, � . .. a��. .��,-,�;.,, '�<; ��` `�����
HEATLO55 MEATGAIN COOLINGLOAD
SIDENTIAL LOAD CALC 64902 29473 37466
Cfin's
� roun uc
Mechanical Ventilallon Sysfem � "u�etal duct
Describe any additional or combined heating or cooling systems if installed:(e.g.two fiunaces or air Combusfion Air Select a Type
source heat pump with gas back-up fiunace Not required per mech.code
Se[ect Type X Passive
Heat Recover Ventilator(HRV) Capacity in cfins: L,ow: High: ON�er,describe:
X Energy Recover Ventilator(ERV)Capacity in cfms: Low: 40%=124 High: 70°/d=217 �cation of duct or system:
Balanced Ventilation Capacity in CFMS: 311 cfrn furnace room
Locations of Fans,describe: Cfin's
Capacity continuous ventilation raYe in cfins: 124 6 °round duct OR
Total ventilation(rntennittent+continuous)rate in cfins: 217 "�netal duct
i
�
�
II �
5361 - 1302 Interlachen Dr
HVAC Load Calculations
for
DRHorton
Lakeville, MN
Prepared By:
Todd Boyum
Sabre Plumbing&Heating
15535 Medina Rd
Plymouth,MN 55447
763-473-2267
Wednesday,April 08,2015
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.
� '', Project Re�norf �, �
j Project Title: 5361 - 1302 Interlachen Dr �
; Designed By: Todd Boyum I,
i Project Date: 4-7-15
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
Reference City: Minneapolis, Minnesota
Building Orientation: Front door faces Northwe:st
Daily Temperature Range: Medium
Latitude: 44 Degrees
Elevation: 834 ft.
Altitude Factor: 0.970
Outdoor Outdoor Outdoor Indoor Indoor Grains
�Bulb Wet Bulb Rel.Hum Rel.Hum p1y Bulb Difference
Winter: -15 -12.38 n/a 30% 74 31.92
Summer: 88 73 50% 50% 70 46
Total Building Supply CFM: 1,316 CFM Per Sc�uare ft.: 0.267
Square ft.of Room Area: 4,934 Square ft. P'er Ton: 1,580
Volume(ft3)of Cond. Space: 42,680
Total Heating Required Including Ventilation Air: 64,902 Btuh Ei4.902 MBH
Total Sensible Gain: 29,473 Btuh 79 %
Total Latent Gain: 7,992 Btuh 21 %
Total Cooling Required Including Ventilation Air: 37,466 Btuh 3.12 Tons(Based On Sensible+ Latent)
Rhvac is an ACCA approved Manual J and Manual D computer program.
Calculations are performed per ACCA Manual J 8th Edition,Version 2,and AC:CA 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 5361 NW FRT.rh9 Wednesday,April 08,2015, 3:42 PM
' ! Load Preview Report �:
! Net� ft.�3 � Sen' L,at Net; Sen, Sys� Sys, Sys� Duct
' Scope i Ton� /Ton, Area� Gain Gain{ Gain; Loss; Htg; Clg? Act; Size '
i '�__._..J 3 _____I I � CFM��CFM� CFM�
, �Building 3.12 1,580 4.934 29,473 7,992 . 37,466 64,902 777 1,316 1,316
SVstem 1 3.12 1,580 4,934 29,473 7,992 37,466 64,902 777 7�3,��,=' 1,316 12x18 �
____
Ventilation 1,383 5,4.22 6,805 6,839;
Duct Latent _ 239 239 . _.
Humidification _ _ 6,289
_ _ : _ ..... _ _.._
Zo�e 1 ; 4,934 28 090 2 3 31 30,421 51 774" 777 1 316 12x18
1-Basement �� i�~ �A . ����h 1 605 i e 4 220,� 0:� 4,220' 14 452 217; 198� 2--6
2-2nd Floor �� �� 271 4 8,008�� 0� >�8,008� 18,288� 275 375 4-6
3-Main floor � 1,605 15,862� 2,331 E 18,193 19,034; 286 743 7--6
� � ����� �
_
C:\...\DRH 5361 NW FRT.rh9 Wednesday,April 08,2015, 3:42 PM
' ' System � Summary Loads j '.
i
� �
. �. � .
,... .:. �, ,
� .,
z.
, �
� :�.
���� � �„,, , . �.. �- ..,, n. �,� � ,
� DRH LowEE 3032: Glazing-DRH Windows, u-value 0.3, 192 5,132 0 4,492 4,492 i
I SHGC 0.32
� DRH LowEE 2933: Glazing-DRH Windows, u-value 0.29, 92 2,374 0 3,319 3,319 '�
SHGC 0.33
DRH LowEE 2833: Glazing-DRH Windows, u-value 0.28, 54 1,346 0 1,447 1,447
SHGC 0.33
DRH LowEE 3032: Glazing-DRH Windows, u-value 0.3, 42 1,122 0 1,484 1,484
SHGC 0.32
DRH LowEE 3029: Glazing-DRH Windows, u-value 0.3, 15 401 0 488 488
SHGC 0.29
DRH LowEE 3029: Glazing-DRH Windows, u-value 0.3, 67 1,791 0 2,178 2,178
SHGC 0.29
DRH LowEE 3229: Glazing-DRH Windows, u-value 0.32, 16 456 0 526 526
SHGC 0.29
11J: Door-Metal-Fiberglass Core 20 552 0 180 180
11J: Door-Metal-Fiberglass Core 17.8 949 0 309 309
12F-Osw: Wall-Frame, R-21 insulation in 2 x 6 stud 3846.2 :?2,252 0 4,576 4,576
cavity, no board insulation, siding finish,wood studs
15A-10sffc-4: Wall-Basement, concrete block wall, R-10 48 214 0 0 0
foam board to floor, no framing, no interior finish,
filled core,4'floor depth
15A-10sffc-8:Wall-Basement, concrete block wall, R-10 270 1,096 0 35 35
foam board to floor, no framing, no interior flnish,
filled core, 8'floor depth
15A-15sffc-8:Wall-Basement, concrete block wall, R-15 936 3,025 0 81 81
foam board to floor, no framing, no interior finish,
filled core, 8'floor depth
RJ R20 Closed Cell:Wall-Frame, Custom, Spray Foam R- 520 2,314 0 532 532
20
R-49 166-49: Roof/Ceiling-Under Attic with Insulation on 1806.3 3,215 0 1,914 1,914
Attic Floor(also use for Knee Walls and Partition
Ceilings), Custom, R-49 insulation
21A-32: Floor-Basement, Concrete slab, any thickness, 2 1605 2,857 0 0 0
or more feet below grade, no insulation below floor,
� any floor cover, shortest side of floor slab is 32'wide
P-32 R-32: Floor-Over open crawl space or garage, 260.7 696 0 102 102
Custom, R-30 Blanket insulation, 3/4"Foamboard R-
2,any cover
Subtotals for structure: ��9,792 0 21,663 21,663
People: 6 1,200 1,380 2,580
Equipment: 1,131 4,262 5,393
Lighting: 0 0 0
Ductwork: 1,982 239 785 1,025
Infiltration:Winter CFM:0, Summer CFM:0 0 0 0 0
Ventilation:Winter CFM: 180, Summer CFM: 180 6,839 5,422 1,383 6,805
Humidification(Winter)17.15 gal/day: 6 289 0 0 0
System 1 Load Totals: Ei4,902 7,992 29,473 37,466
Supply CFM: 1,316 CFM Per Square ft.: 0.267
Square ft. of Room Area: 4,934 Square ft. f'er Ton: 1,580
Volume(ft3)of Cond. Space: 42,680
Total Heating Required Including Ventilation Air: 64,902 Btuh �64.902 MBH
Total Sensible Gain: 29,473 Btuh 79 %
Total Latent Gain: 7,992 Btuh 21 %
C:\...\DRH 5361 NW FRT.rh9 Wednesday,April 08,2015, 3:42 PM
! �
' ' System � Summary Zoads (cont'd�
�I Total Cooling Required Including Ventilation Air: 37,466 Btuh 3.12 Tons(8ased On Sensible + Latent) I
� :
� Rhvac is an ACCA approved Manual J and Manual D computer program. '
i Calculations are performed per ACCA Manual J 8th Edition, Version 2, and ACCA Manual D.
Ali 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 5361 NW FRT.rh9 Wednesday,April 08, 2015,3:42 PM
Site address 1302 Interlachen Dr,Eagen Date . 4-14-15
`°�"a"°� Sabre Plumbing & Heating Comg�ted Mich��el H
Section A
Ventilation Quantity
(Determine quantity by using Table R403.5.2 or Equation 11-1) �
Square feet(Conditioned area including 4934 Total required ventilation 175
Basement—finished or unfinished)
4 Continuous ventilation ��
Number of bedrooms �
Directions-Determine the toLol and continuous ventilation rate by either using Table R403.5.1 oi equation 11-1.
The toble and equation are below
Table R403.5.2
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/
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 li-1
(0.02 x square feet of conditioned space)+[15 x(number of bedrooms+1j]=Total ventilation rate(cfm)
Total ventilation—The mechanical ventilation system shall provide sufficient outdoc�r air to equal the total ventilation rate
average,for each one-hour period according to the above table or equation.For heat recovery ventilators(HRV)and energy
recovery ventilators(ERV)the average hourly ventilation capacity must be determine�i 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 continuous rate average for each one-hour period.The portion of the mechanical ventilation system intended to be
continuous may have automatic cycling controls providing the average flow rate for e�ach hour is met.
Section B
Ventilation Method
(Choose eiiher balanced or exhaust only)
❑� Balanced,HRV(Heat Recovery Ventilator)or ERV(Energy Recovery Exhaust only
Vzr.tilator)—cfm cf unit in low must nci zxceed con[inuous � ❑ .ontinuous fan rating in cfm �
vzntilation ratin b more than lOG°6. �
Low cfm: ��^ High cfm: ��� Continuous fan rating in cfm(capacity must not exceed
`t continuous v=ntilation rating by more than 100%) .
Directions-Choose Yhe method of ventilation,balanced or exhaust only.Balanced ventilation systems are rypically HRV or ERV's. �
Enter ihe!ow and high cfm amounts.Low cfm air flow must be equo/ta or greater than the required continuous ventilation rote and
less than 100%greater than the continuous rate./For instonce,if the/ow cfm is 40 cfm,the ventilation fan must not exceed 80 cfm.)
Automa[ic controls may allow[he use of a larger fan that is operated a percen[age of each hour. �
Section C
Ventilation Fan Schedule
Descri tion Location Continuous Intermittent
Direc[ians-The ventilation fan schedule should describe what[he fan is for,the location,cfm,and whether it is used for co�ntinuous
or intermitten[ventilation.The fan that is chose for continuous ventilation must be equal to or greoter than[he low cfm air rating
and less than 100%greater than the continuous rate.(For instonce,iJ the low cfm is 40 cjm,the continuous ventilation fon must not
exceed 80 cfm.J Automatic controls may allow fhe use of a larger fan that is operated o percentage of each hour. � �
Section D
Ventilation Controls
(Describe operation and control of the continuous and intermittent ventilat:io�)
� ERV wall control set at 40%=124 cfm
ERV wall control set at 70%=217 cfm
Directions-Describe the operation of the ventilation rystem.There should be adequate detail jor plan reviewers and inspectors to verify design and
installation compliance.Reloted irades also need adequate detail for placement of controls and proper operation of the building ventilation.If exhaus[fans
are used for building ventilation,describe the operation and location of any controls,indicators and legends.If an ERV or hIRV is to be installed,descri6e how
it will be installed.If it will be connected and interfaced with the air handling equipmen4 pleose describe such connettions as detailed in the manufactures'
installation instruc[ions.If the installation instructions require or recommend the equipment to be interlocked with the air handling equipment for proper
operation,such in[erconnection shall be made and described.
Directions-In order to determine the makeup air,Table 501.4.1 must be filled out(see belowj.For most new installations,column A will be appropriate,however,if
atmospherically veni=d appliances orsolid fuel appliances are installed,use the appropriatz column. Please note,if the makeup airquantity is negative,no additional makeup air
will be requir�d for ventllation,if the value ls positiv=refer to Ta61e 501.4.2 and size the opening.Transfer tha cfm,siz=_of opening and type(round,rectangular,flex or rigid)to �
the last line ot section D.
Table 501.4.1
PROCEDURE TO DETERMINE MAKEUP AIR QUANITY FOR EXHAU`.iT EQUIPMENT IN DWELLIN6S
� (Addi!Icnal com6ustion air wiil bz required for combustion appliances.see KAIR m=_thod for calwlations)
One or multiple power One or multiple fan- Onz atmospherically vent Multiple atmospherical-
� vent or direct vent ap-pliances assisted appliances and powr.r gas or oil appliance or one solid ly vented gas or oil appliances
or no combus-tion appliances vent or direct vent appliances fuel appliance or solid fuel appliances
Column D
Column A Column B Column C
1 0.15 0.09 0.06 0.03
a)pressure factor
(cfm/sf)
b)conditioned floor area(sf)(including 4934
unfinished basements)
Estimated House Infiltration(cfm�:[la 740
x 1b]
2.Exhaust Capacity
a)continuous exhaustonly ventilation system E RV=O
(cfm);(not applicable to ba-lanced ventilation
systems such as HRV)
b)clothes dryer(cfm) 135 135 135 135
c)80°�of largest exhaust rating(cfm); �
Kitchen hood typically 24�
(no[applicable if recirculating system or if
powered makeup air is electritally interlocked �
d)8�.6 of next largest exhaust rating NOL
(cfm�;bath fan typically qpplicable
(not applicable if recirculating system or if
powered makeup air is electrically interlocked �
Total Exhaust Capacity(cfm�; 375
[2a+2b+Zc+2d) �
3.Makeup Air Quantity(cfm)
a)total exhaust capacity(from above) 375
b)estimated house infiltration(from �A O
above) 't
Makeup Air Quantity(cfm);
[3a—3b� -36 5
(if value is nega[ive,no makeup air is needed)
4.For makeup Air Opening Sizing,refer
toTab1e501.4.2 NOT REQ'D -
A.Use this column if there are otherthan fan-assisted or atmospherically vented gas or oil appliance.or if[here�are no combustion appliances.(Powervent and direct vent
appliances may be used.)
B.Use this column if there is one fan-assisted appliance per venting system.(Appliances other than atmospherically vented appliances may also be included.)
C.Use this column if there is one a[mospherically vented(other than fan-assisted)gas oroil 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
fule appliances.
Table 501.4.2
Makeup Air Opening Sizing Table for New and Existing Dwelling;Units
One or multiple power One or multiple fan- One atmosphericalhr vented Multiple atmosphericaliy Duct di-
vent,direct vent ap- assisted appliances and gas or oil ap- vented gas or oil ap- ameter
pliances,or no comous- power vent or direct vent pliance or onz solid fuel pliances or solid fuel
tion appliances appliances Column 8 appliance appliances
Passiveopeninp 1-36 1—Z2 1-15 1-9 3 ,
Passiveopening 37-66 23-41 16-28 10-17 4
Passiveopening 67-109 42-66 29-46 18-28 S
Passiveopening 110-163 67-100 47-69 29-42 6
Passiveo enin 164-232 101-143 70-99 43-61 7
Passiveo enin 233-317 144-195 100-135 62-83 8
Passiveopening 318-419 196-258 136-179 84-110 9
w motorized dam er
Passiveopening 420-539 259-332 180-230 111-142 10
w/motorized dam er
Passiveopening 540-679 333-419 231-290 143-179 11
w/motorized damper
Powered makeup air >679 >419 >290 >179 NA
Noter.
A.An equivalent length of 100 feet of round smooth metal duct is assumed.Subtract 40 feet tor the exterior hood and ten feet for each 90-degree elbow to
determine the remaining length of streight 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 syrtem.
Combustion air
Q Not required per mechanical code(No atmospheric or power vented appliances)
� Passive(see IFGC Appendix E,Worksheet E-1) Size and type 3"Rigid,4"Flex
OOther,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.Combustion
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 ne�v construction,4b o`stzp 4 is required to be filled eut.
IFGC Appendix E,Worksheet E-1
Residential Combustion Air Calculation Method
(for Furnace,Beiler,and/or Water Heater in the Same Space)
Step 1:Complete vented combustion appliance information.
Fumace/Boiler.
Draft Hood �Fan Assisted �Oirect Vent Input: Btu/hr or Power Vent
Water Heater: ^O o00
Draft Hood �Fan Assisted �Direct Vent Input: �f ' Btu/hr or Power Vent
Step 2:Calculate the volume of the Combustion Appliance Space(CAS)containing combustion appliainces. 2646
The CAS includes all spaces connected to one another by code compliant openings. CAS volume: ft3
21x14x9 LxWxH � 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: Fta
Volume(TRV)
If CAS Volume(from Step 2)is gre o t er th a n TRV then no outdoor openings are needed.
If CAS Volume(from Step 2)is less th an TRV then go to STEP 5.
4b.Known Air Infiltretion Rate(KAIR)Method(DO NOT COUNT DIRECT VENT APPLIANCES)
Total Btu/hr input of all fan-assisted and power vent appliances Input: a0000 Btu/hr
Use Fan-Assisted Appliances column in Table E-1 to find RVFA: �OOO fts
Required Volume Fan Assisted(RVFA)
Total Btu/hr input of all Natural dreft appliances Input: � Btu/hr
Use Natural draft Appliances column in Table E-1 to find RVNFA: ft:3
Required Volume Natural draft appliances(RVNDA)
Total Re uired Volume TRV =RVFA+RVNDA TRV= �000 + O _ �000 TRV fts
Step 5:Calculate the ratio of available interior volume to the total required volume.
Ratio=CAS Volume(from Step 2)di vided by TRV(from Step 4a or Step 4b)
Ratio= 2646 i 3000 = .88
Step 6:Calculate Reduction Factor(RF).
RF=1 mi n us Ratio RF=1- •vv = •��
Step 7:Calculate single outdoor opening as if all combustion air is from outside. 40000
Total Btu/hr input of all Combustion Appliances in the same CAS Input: _ Btu/hr
(EXCEPT DIRECT VENT)
Combustion Air Opening Area(CAOA): ,1
Total Btu/hr d i vi d ed by 3000 Btu/hr per inz CAOA= `f OOOO �3000 Btu/hr per inz= ��.33 inz
Step 8:Calculate Minimum CAOA.
Minimum CAOA=CAOA multiplied by RF Minimum CAOA= �3.33 x ,12 = 1 ,l� inz
Step 9:Calculate Combustion Air Opening Oiameter(CAOD)
CAOD=1.13 m ultiplied by t he sq u a re root o/ Minimum CAOA CAOD=1.13 d Minimum CAOA= 1'42 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 Applianc2)
input Rating Standard Nletnod Known Air Infiltration Rate(KAIR)Methocl(cu ft)
(Btu/hr) Fan Assisted or Power Vent Naturai Draft
1994 to pr2sent Pre-1994 1994to present Pre-1994
5 000 250 375 188 525 263
10 000 500 750 375 1 O50 525
15 000 750 1 125 563 1 575 788
20 000 1 000 1 500 750 2 100 1050
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 7125 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 11025 S 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 10125 5 063 14175 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 11625 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 21000 " 10 500
205 000 10 250 15 375 7 688 21525 10 783
210 000 10 500 15 750 7 875 22 O50 11025
215 000 10 750 16 125 8 063 22 575 11 288
220 000 11000 16 500 8 250 23100 11550
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 use�d in this section of the table is
0.20 ACH.
2.This section of the table is to be used for dwellings construc[ed prior to 1994.The default KAIR used in this s�ection of the table is 0.40 ACH.
�
- = LOT SURVEY CHECKLIST FOR RESIDENTIAL
BU�LDING PERMIT APPLfCATIION
PROPERTY LEGAL: �4�" C� , ��G���, �GL�O�G�— �t3��'� 3r`� Rd�-
DATE QF SURVEY: 1��?��5�
LATEST REVISIOt�I:
m
a�
�'�� c
� ,
I L
U
Q �
O `z ¢ DOCUMENT STANDARDS
�' ❑ ❑ • Registered Land Surveyor signature and company
� p ❑ • Building Permit Applicant
� ❑ ❑ • Legal description
� ❑ p • Address
,g p ❑ • North arrow and scale
yr ❑ ❑ • House type (rambler,walkout, split w/o,split entry, lookout, etc.)
,� 0 ❑ • Directional drainage arrows with slope/gradient°/a "
,8' ❑ ❑ • Propased/existing sewer and water services& invert elevation
• ,� ❑ p • Street name
�' ❑ 0 • Driveway(grade&width-in R/W and back of curb,22' max.)
,B p ❑ • Lot Square Footage
� ❑ ❑ • Lot Coverage
ELEVATIONS
Exisfinq
�( ❑ ❑ • Property comers
�I � 0 • Top of curb at the driveway and property line extensions
xJ ❑ ❑ • Elevations of any existing adjacent homes
� ❑ ❑ • Adequate footing depth of structures due to adjacent utility trenc:hes
� p 0 • Waterways (pond, stream, etc.)
Proposed �
� p ❑ • Garage floor
�' p ❑ • Basement floor
� ❑ ❑ • Lowest exposed elevation (walkouUwindow)
�J ❑ ❑ • Property corners
�' 0 0 • Front and rear of home at the foundation
PONDING AREA(if applicable)
❑ � p • Easement line
p � ❑ • NWL
p �' ❑ • HWL
❑ � ❑ • Pond#designation
❑ �r7' 0 • Emergency Overflow Elevation �
❑ �' ❑ • Pond/Wetland buffer delineation
Y � • Shoreland Zoning Overlay District
Y • Conservation Easements
DIMENSIONS
�' ❑ � • Lot lines/Bearings&dimensions
,� ❑ � • Right-of-way and street width (ta back of curb)
f� ❑ 0 • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all structures requiring permanent footings)
�' ❑ ❑ • Show ail easements of record and any City utilities within those easements
� 0 ❑ • Setbacks of proposed structure and sidey�rd setback of adjacent existing structures
�' ❑ ❑ • Retaining wall requirements: %`
Reviewed By: Date 3
G:/FORMS/Building PermitAppiication Rev.11-26-04
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��fPyl�� � `/����� Page of
BR A V N �mt-dson 4/07
I N T E RT E C Daily Soil Observation Notes
Project No.: , Date: ����� S �1'�=� Report No.:
� �1 t ,` f i..f ��r'� _ �
Project Name: �� ��� �,;+-.. l. e �-, �o �t, t� ,�E C� J Project Location: �3 t) � �,,,., ./'� .e (�;-^--� .;�,�/'.
Client: �.� i�.. ��,re�-�-�, � �'�
Temp/Weather. _�� '
Project Manager. ��K -�° �t ��� Time Arrived: Departed:
. I
Areas Observed: O Building Pad � House Pad • .O Roadway O Pkng/walks O Footing II
� Proof Roll O Other (describe) � I
Soil report available? Yes � No Reporf reviewed? Yes � No Report prepored by: � Y� �,,..-� Getcopy
Benchmark: " ��.; �,. �� ! Benchmark elevotion: �'`G,�fY � Benchmark provided by: �j., �y� 1. s�
Finish floor elevation:'f , ��?,��,,., Bottom of footing elevation:�j�r �_.�,,� Bottom of excavation elevation:�,�,.c.r �i>%,��,
Approved plans available? � � Specified compaction: Fill source:
Oversizing appeors odequote? Q NA [�' Yes 0 No Soils observed agree�with Soils report? �Yes � No
Soils appear adequate for design loads? � Yes ❑ No Proposed project beoring capacity (psfl: �TL,�[.1
Contractor notified of results? Yes O No Name of person notified: !�,�. � ,,,. ` �� �`)����
Was a copy of this report left on site? Yes � No If so, whom was it submitted to?
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PerFormed By: �� ` � Reviewed By: Date:
.,
This is a preliminory report and is provided solely as evidence that field observotions ond/or testing was performed. Observations and/or conclusions and/or
recommendotions conveyed in the final repo�t may vary from,and sholl take precedence over,those in�dicated in a preliminory report.
Prrwidin,�en�rineering uriJ eriviroiirnentul solutioiis since t9�7
Use BLUE or BLACK Ink
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� �� "���� �" � For Office Use �
///��^�. �/��s �'�����. � 3C� �� �
��� �� ��� �� I Permit#: I
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j Perrnit Fee: � �
3830 Pilot Knob Road -
Eagan MN 55122 �� j' `'� � Date Received: �
Phone:(651)675-5675 � �
Fax:(651)675-5694 � Staff: �
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`___�____________J
2015 FIRE SUPPRESSION SYSTEMS PE=RMIT APPLICATION*
Date: - •Z� r Site Address: ���Z. ��C.�/l�I�l.v WY 1 � \. )�
Tenant: Suite#:
� � Name: Phone:
' ���������' ' Address/City/Zip:
�
�
�� . Applicant is: Owner ✓Contractor
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s��T�+�����El1"'IC, Description of work: ���. `JLUI�Y�1��.`.7�I I�. �1/1��(7l���1-Yt 0 V� '
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, �� : Construction Cost: Dd��•� Estimat�ed Completion Date:
,
,
�'� �'�� Name: �UI,Y `(�L �L�(�'j �- {.�"Q'1 License#: �[�t[�`�yJ��"q
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� � Address: ���JGJ ����-Q.. �-f1 _City:
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� ��" State: 1 Y � _Zip: _•,�..r��� Phone:��07J "Z5�'�1 D�
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� � �`�', Contact: EmaiL• �� � � �
, � . .. __ ', .
FIRE PERMIT TYPE WORK'TYPE
,Sprinkler System(#of heads�) ✓New _Addition
_Fire Pump _Standpipe Alterations _Remodel
Other: Othe�r:
DESCRIPTION OF WORK: Commercial ✓Residential Educational
FEES
$55.00 Permit Fee Minimum Contract Value$ x.01
*If contract value is LESS than$10,010,Surcharge=$5.00
""If contract value is GREATER than$10,010, Surcharge=Contract Value x$0.0005 -$ Permit Fee
"""`If the project valuation is over$1 million,please call for Surcharge =$ Surcharge"
$100.00 Residential New(includes$5.00 State Surcharge) -$ `aQ�QQ TOTAL FEE
3/4" Displacement Fire Meter-$270.00 =$ Fire Meter
_$ TOTAL FEE
*Requirements:2 complete sets of drawings and specifications,cut sheets on materials and components to be used
I hereby apply for a Fire Suppression System permit and acknowledge that the infoemation is corriplete and accurate;that the work will be in
conformance with the ordinances and codes of the City of Eagan and with the Minnesota BuildingJFire Codes;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 arcordance with the approved plan in the case of work
which requires a review and approval of plans.
X X �V�1-��/� ��.lAi�/II'�
ApplicanYs mted Name ApplicanYs�Sig unat re �
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��������� ���
'F���3UII�EF�IN�PECTtC#NS
Hydr�stt�frc F�ow Ai�rm �rain Tes# �f�c�ugh in
`. .. ._. .:. ;T�ip s ; F�um�Test ; Gentral Statir�n . ;�inal '
��4n�t�tans.of Issu�r�ce: , . ..
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I
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA132580
Date Issued:08/24/2015
Permit Category:ePermit
Site Address: 1302 Interlachen Dr
Lot:6 Block: 2 Addition: Dakota Path 3rd
PID:10-19542-02-060
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
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 (WS &/or WH)$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 -
Dr Horton Inc Minnesota
20860 Kenbridge Ct Ste 100
Lakeville MN 55044
Bob Sable Services
5242 Quebec Ave N
New Hope MN 55428
(612) 534-6526
Applicant/Permitee: Signature Issued By: Signature
_ �
Clt� of Ea�a�
Address: 13021nterlachen Dr Permit#: 130334
The following items were/were not completed at the Final Inspection on: ! ��/�.�
�: �+� � ���i��rt�pl+�#�r ��t�r�t�r�t� � .
� ~� �- :-: � ,a. � �
-f -
������� - �. . ..t ,. � .�. �. � _ ,.. .�. d� ,
Final grade - 6"from siding �'�
Permanent steps—Garage ✓
Permanent steps— Main Entry ✓�
Permanent Driveway 1/
Permanent Gas �
Retaining Wall or 3:1 Max Slope ✓
Sod / Seeded Lawn �-' � �,� S ee�e�
Trail / Curb �amage �/
Porch
Lower Level Finish
Deck
Fireplace � m,j}�R��' ��b2,
• 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: �� U ` ' ` �( � 1/1""
G:\Building Inspections\FORMS\Checklists
� ;
Address: 1302 Intedachen Dr
En e I'g y Eagan,MN 55122
euilder: DR Hortan
E ff i c i e n cy Inslalled: 2015-09-04
License: BC605657
Certificate
Insulation Windows
Location R-Value Type Location U-Factor' SHGC'
Attic 60 Loose Fill Fiberglass Front 0.30' 0.29'
Rim/Band Joists 22' Spray Foam* Back 0.29' 0.32*
Ductwork 8* Fiberglass* Left 0.29` 0.32'
Wall 21" Fiberglass Batt' Right N/A* N/A*
Foundation Wall 15' Rigid Foam'
Crawlspace Wall N/A N/A
Crawlspace Slab N/A N/A
Concrete Slab N/A N/A
Heating System Water Heater Air Conditioner
Type Gas Forced Air Type Conven6onal* Type Cenhal AC
Fumace' Model GPLV50200' Model CA13NA0360NGACBA
Model 59SC26080S171216' E�ciency 0.70 EF� Efficiency 13.0 SEER
Efficiency 92.1 AFUE' Manufacturer AOSmith" Manufacturer Carrier
ManufacNrer Not Installed" Input Rating 40,000' Input Radng 36,000 Btu
Input Rating 80,000 Btu'
Ventilation Make Up Air Radon Mitigation
Type Balanced' Type System Type Passive
Location Mechanical Room' Location Location Attic
ExhaustAir 297CFM Size
Inhake Air 297 CFM
Designed Con6nuous Ventilation 106 CFM'
Designed 7otal Ventilation 217 CFM'
Calculated Heat Loss : Blower[3oor `966 CFM Q5Q'Fa'
Calculated Heat Gain u Air Changes at 50 Pa `12 ACH�S4 R�* ` `
Calculated Coolingload. Tota4 Duct Leakage, N/A
�Using the most prevalent R-Value,U-Fac�or and SHGC.
^Verified ey � Poweretl By �HDU5E
� C�RATER
Use BLUE or BLACK Ink �
. � . . r-----------------, �
, I For Office Use �� �
� �' � Permit#: ��� ��� �'���
��J �� ����� I PermitFee: �7(����� I
3830 Pilot Knob Road
I
Eagan MN 55122 � Date Received: � �`�� �
Phone: (651)675-5675 I I
Fax: (651)675-5694 I Staff: I
.. ,.;.:';� � I
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
�=�W�`� � �; Name: 1 r1�V°l� ��G��Q -.� Cb `� �Il�I �����?��
�4�� Phone:
, i �.���,'5���.�'1� p� -p�'
C?V�Ti��t' ,°�� Address/City/Zip:�U� ,,,G. ' GfC 1✓'� Ll �
J
' Applicant is: Owner Contractor
� n r
Ty�i� it?f WQI'k , Description of work: f`7� � o(� ��r� i,t," ' _��l.t
r ��
' Construction Cost��� C'J�� Multi-Family Building: (Yes /No
Com an : ����if(��S� Contact: ,�C3/)� '��(l_ll-
P Y �„e
' � G I�.� Cu�/iS �� �f �1,� ,
, ����������, Address: City:
State:;�Zip: -5SD r`�� Phone��.3���Email:
��;:� n
' License#: L5 n �! �`��3 9� Lead Certificate#: '—'–'
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
�c�i� i�OuJ'� ��'c�('
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 mOn� has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and addres ster plan:
Licensed Plumber: one:
Mechanical Contractor: p
Se ontractor: Phone:
NC?TE:Plans anal suppdrting da�um�nts t�t�t yau submit�r'e cc►nsider�d#cr.be public info�ma�trcat�. Par�ions crf
fhe infnrmafic�n may be����si�ed as�nari=�ubllc i�yc�tr�r.c�viate speci��re�svns���t would{�errr�i�tfi�City to
�� ��r�clu�e#hat�h , '�rare-�rade se�rets. ����, j
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours I
before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.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 �1"'�h n -��� X � � ,���
ApplicanYs Printed Name A licant's Signature
Page 1 of 3
, � _�_ #�� �
. ��0� ��21�'�C.(/!�!'1 DO NOT WRITE BELOW THIS LINE �-5����
SUB TYPES
_ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration (Single Family)
_ Single Family Garage Porch(4-Season) Exterior Alteration(Multi)
_ Multi �Q 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 buildi�g-give PCA handout to applicant
DESCRIPTION
Valuation � (�l Zo'�v Occupancy ,.L�C- 1 MCES System
Plan Review Code Edition N�n zv��' SAC Units
(25%_ 100%�) Zoning }�1'� City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Z Fire Sprinklers
Type of Construction Y 1� 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: ��n'i /YL;k(.,�. , Building Inspector
RESIDENTIAL FEES
Base Fee y�� y� L•1n�: n.� w;�"N $i if i,'2 w ,*N
Surcharge
J
Plan Review / , �-S�'
MCES SAC `7 v � �• �T X �s.�� t y. �'�-•
City SAC
' Utility Connection Charge
S&W Permit& Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
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Use BLUE or BLACK Ink �
r----------------�
' c I For Office Use �
� � Permit#: � �J ��� I I
I �j
Clty of �a�aIl , . . -� ��- .. �
Permit Fee. �� ���� I
3830 Pilot Knob Road �
Eagan MN 55122 � Date Received: � �
Phone: (651)675-5675 I
Fax: (651)675-5694 � � Staff: ���,�g"��
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
�J�Z��1� �� �n���f�CC�n ��'�j
Date: Site Address: A ,? �� Unit#:
� .���"� � � Name: ����' � ��►f�A �C.�T� Phone: (��� ����i`3�o`�j�
R@�Id������ L l�
O�i1i�@�'�� w Address/City/Zip: �� ��l'f�.��4t.'v`t.,r-. p�1. ���'�rn ..������
Applicant is: Owner Contractor
� Description of work: ��'t- y � ����� �/���-�-
�'��e of Work= '� �`
Construction Cost: Multi-Family Building:(Yes /No )
� Company: � ''� Ry S Contact: �1'(� ��Af1c.,Nq2.,l�
h /� ,�S '
� � � =- *�
��� � Address: ��x'�`� �3 / City: �'" �'
COntra��r
� ��h} '' State: �� Zip: �S�J Phone: �!Z- " JU.,IZ�;7 Email: ('��bC�"�c,�.l I�' ��I � ��
�;��;:
License#: Lead Ce ificate#: (���
If the project is exempt from lead certification, please explain why:
�r 2��c Lt. N� ��^�
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:
N4TE�lan�ar����upPor#i��i�locumen#s�#li��you���%n�t are� ��lered�v�e���������fi� x �� �r#ron�� �`
�`���ri#'ormatrar��rnay be classified as�o»;-pub�ic�f,�r'ou prav��1�sPe����r�ason�: ��i�� ������rmit�J�e���#�r�to
_ � :
M r r���c��de that#he _�;t'�.�r"��e 5 ��;: ��,��. � �
� � t
. ,. �' �-�:a . � .>.. ., £ .,r � .,
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.qopherstateonecall.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 1�4`S �G�TT
x
Applicant's Printed Name Appl s ignatur
Page 1 of 3
/�� ,� ���}'�{G�C�� I�1�0 NOT WRITE BELOW THIS LINE � �� �'
� ..
� `
SUB TYPES
_ Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration (Single Family)
�Q Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Multi)
_ Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Miscellaneous
_ 07 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 appiicant
DESCRIPTION
Valuation ����•f� Occupancy ��— 1 MCES System
Plan Review Code Edition U�`�►� zo 1� SAC Units
(25%_100%� Zoning `�_ City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction '� t�j 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 Fire Suppression: _Rough In_Final
Braced Walls Erosion Control
Other:
Reviewed By: �a� ����`�� , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
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