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4740 Prairie Dunes Way
, . .t„ Use BLUE or BLACK Ink �� l �ls���- � ���. .��1 �----------------- i ForOfficeUse �����+� �� `� ! v � '� � I ) 3 l� ' C� � �� ' �� S � Permit#: / / ` � I ���y ���� �� ����� � � �� G� r �� I • •� �� ��5 � 3830 Pilot Knob Road �� /�/� � �� ��+ �� � Permit Fee. � � Ea an MN 55122 � Date Receiv d:' � �� � Pnone: �ss��s�s-ss�s MAY 2 1 2A15 � � � � i Fax: (651)675-5694 I Staff: I � W�3�5�� �----------------� 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: � / Site Address: !7�� P/�{'/l�/E.S ,gUi✓ES W n ! Unit#: � � Name:___�/� ,��-77�✓1/ Phone: R��IC��,i#:�. � (,'�����-• Address/City/Zip: r , \��`� „', - ' Applicant is: Owner Contractor �� � �C��.v �` � � �'� Description of work: ���,rl /�Sl d£�i(�Tl.�� ���`�� � ��,�,� �?��r��Y �Typ�:�����ark� ��, ,; h ` Construction Cost: �� � Multi-Family Building:(Yes /No ) , � � p Y �l� � • �I Com an :�,T/� �(j., /A/G Contact: ,�1�oDIC�E ,p ' Address: � �#�����, ?�860 �enbndac� ��u rf c�ry: �A;�v��r.� State:�Zip:� Phone: � �- O�OEmail: � ��� : License#: BC �DO$-Ga S7 Lead Certificate#: /v If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) N�'�J Ga N� c�7'6oitl 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: 7�03� I 7 3' 2�t� Mechanical Contractor: ��,�� Phone: 5�� Sewer�Water Contractor: ��l� �G/)/1Zb/,t�[� Phone: � �S ' � NL?7'f'.Pl,�ri��r�d�upp�rfing doc�fi��nt���at�rau^��brni��re-��sJdered fc�be pu�11c it�fc�rrr��trc�r� P�r�ic�r�s��' , #h��nt'armatiorr�ay b��lassi�ed a��c�n=pabCl�-if,�+��pr��r�al'��p►ecf�c reas�r���at wart�ld permr�#f�� C�t�r:��v�. ; ° ci��clude�lsa�t i�hr� 'ar+���`ade s�refs. ' >, _ . CALL BEFORE YOU DIG. Call Gopher State One Call at(651)4540002 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 Lvt- L�� X Applicant's Printed Name Applicant's Signature Page 7 of 3 *City of Eaiall Address: 4740 Prairie Dunes Way Permit #: 131573 The following items were / were not completed at the Final Inspection on: /11/127/3-" Final grade - 6" from siding Permanent steps — Garage Permanent steps — Main Entry Permanent Driveway Permanent Gas Retaining Wall or 3:1 Max Slope Sod / Seeded Lawn Trail / Curb Damage Lower Level Finish • 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 �l��YG �'/l/��al,� ��'�'�J� w��/ ' ' '4 � /✓/� �� 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* _ Addition _ Move Building _ Reroof _ Demolish Interior _ Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage _ Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation �d?Aab Occupancy ,�t- ! MCES System Plan Review Code Edition O/ SAC Units / (25%_100%�V �A�IL Zoning �j� City Water y�s ; Census Code J4/ Stories Z Booster Pump ,,�a #of Units ! Square Feet p ? PRV �✓'p Iil #of Buildings / Length ,S'O Fire Suppression Required �D Type of Construction �_ Width i►"] REQUIRED INSPECTIONS �C 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 Finaf � Framing Drain Tile -�_�` � Fireplace: �Rough In �Air Test �Final Siding:_Stucco Lat �Stone Lat _Brick Insulation Windows � Sheathing Retaining Wall: _Footings_Backfill_Final � Sheetrock � Radon Control Fire Walls � Erosion Control � Braced Walls Other: Reviewed By: , Building Inspector RESIDENTIAL FEES U1Y/�l,p/ �.� �.3�a 4�l '� �`fe/� Z/ �r/Jr � Z��� � L/�- ?� Base Fee �S t� /_' /��O ,�'Cw 9 ��� � �'� y� G3 Surcharge �� � � 9�a ��,? yiG Plan Review f t/ 9�j �- ,'� — /C'� l33 �� r MCES SAC q,�l�A�'/L (tol7Q,�� ���� ,�� 'y!? `�'�' City SAC ✓ Utility Connection Charge ,r,/Zp,r+j' f�0A.6W /y0� '� �0��� '? Q�7 � S8�W Permit 8�Surcharge Treatment Plant 3 �G �'� � Copies TOTAL Page 2 of 3 � i New Construction Energy Code Compliance Certificate • � � �" Date Certifcate Posted ����^ . f�. .` Per R4013 Building CertiFicate.A building certificate shall be posted on or in the electrical distribution paneL 5/20/15 /�/��� Mailing Address o(the Dwelling or Dwelling Onit 4740 Prairie Dunes Wa Hillcrest Name of Residential Contractor MN License Number DRHorton BC605657 Community Plan[D � Eagan 5391 THfRMAL ENVELOPE RADON SYSTEM o Type:Check All Thaf Apply X Passive(No Fan) y a � � � T : E-, "? AC[iue(�t�t fan a�d P,itrnnme�Ei`#!i"�: � >' � o � � v �o „ v�ter system mvtaflprFngdeva�) y U '_ �v � � Q � � � �j '� � � Location(or future L.ocation)of Fan: �v �, c � � T > ° ° ti y ° a, w k o Insulafion Locafion cG ° z -c° �' � O � W �= ci v :c � � � H G Z w w w° w � i� r� Other Please Describe Here $eiaw Entire Slab. ; �{ Foundation Wall-Front R-10 X �terior Fuundation W�11-Sides R�15 � �-to�rc�eior,tt-s�me�oc Foundation Wall-Walkout R-19 X ezterior F�rimeter o#'Sla6 an+�rads � � Rim Joist(Foundation) R-20 X ioter�or Ri�n.Faist(i�Flpori�=�. ' R-�Q, X '�nter� '�' wau R-21 X Cetttng,�tat R�9 ' X ' Ceiling,vautted R-49 X Bay win8m�s or c�t��e�ered are»s R-�U )C Bonus room over garage R-32 X X D�seribs otherin�uulated areas . a Building Envelope air Tightness: Duct s stem air ti htness: Windows 8 Doors eafing or Cooling Ducts Outside Condifioned Spaces Average U-Factor(excZudes skylights and one door)U: 03] Not applicable,all ducts located in conditioned space Solar Heat Gain Coefficient(SHGC): 0.28 4 R-value MECHANICAL SYSTEMS Make-up Air Select a Type Appliances Heating System Domestic Water Heater Cooling System X Not required per mech.code Fuet`t'yp� I�IAT G/�S I�fAT GA� R-41UA Passive Manutacturer CARRIER AOSmith CARRIER Powered Interlocked with exhaust device. Mudel 59SC2Afl�(1521 G1�VL-�0 CA13I�1AQ�U Descr�be: [nput in 60000 Capacity in 50 Output in 2 5 Other,describe: Rating or Size BTUS: Gallons: Tons: ` AFUE or' �2o�g SEER or �� I,ocation of duct or sys[em: fficiency H�PF°f EER �HEATLOSS� HEATGAIN ��COOUNGLOAD ESIDENTIAL LOAD CALC 49,154 20,690 27,463 c�'s roun uc Mechanical Venfilafion System "metal duct Describe any additional or combined heating or cooling systems if installed:(e.g:two furnaces or air Combusfion Air Select a Type source heat pump with gas back-up furnace Not required per mech.code Se[eet Type X Passive Heat Recover Ventilator(HRV) Capacity in cfrns: Low: High: Other,describe: Energy Recover Ventilator(ERV)Capacity in cfins: Low: 30%=93 High: 60%=186 Location of duct or system: Balanced Ventilation Capcity in CFMS: fUfI18Ce fOOfTI Locations of Fans,describe: Cfin's Capacity continuous ventilation rate in cfrns: $5 6 "round duct OR Total ventilation(intermitten!-l-continuous)rate in cfins: 170 "metal duct � 4740 Prairie Dunes Way Eagan HVAC Load Calculations for DR Horton Lakeville, MN Pre ared By: 70�� �yu�M Sabre Plumbing&Heating 15535 Medina Road Plymouth, MN 55447 763-473-2267 Wednesday,May 20,2015 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. �FY�'�G.;R��ii�qA3Cl��}�iw��� ���iill��������� ..,�� � ,. ., x�t:�- \ ..��j_ �,,,; ���r��F'i�lilYitl;� I4A�i[�� �� ��.�: II� ����UI���Lit<9,�+d�t��3.. f ,_.. .. ' � ��da. �\." ������if�� II / �� r%. Pro'ect Re c�rf ����� �� �n �� � �, �: �� � ?� I Project Title: 4740 Prairie Dunes Way Eagan '� Designed By: Michael Hoium I Project Date: Wednesday, May 20,2015 ' Client Name: DR Horton I Client City: Lakeville, MN ', Company Name: Sabre Plurnbing&Heating �I Company Representative: Michael Hoium I� Company Address: 15535 Medina Road ', Company City: Plymouth, MN 55447 ��, Company Phone: 763-473-2267 I Company Fax: 763-473-8565 ,.,. ' �' ��.;., " .. . .��a.�.�%''���' �.,.. .•.: �i�..:� y� .i, >;� . .:..� �aa�x�i�'�-°`� ,,�' ��I Tl fl�..- �ta� ; . .,. Reference City: Minneapolrs, Minnesota Building Orientation: Front door faces Southwest �� Daily Temperature Range: Medium I Latitude: 44 begrees Elevation: 834 ft. Altitude Factor: 0.970 Outdoor Outdoor Outdoor Indoor Indoor Grains Dry Bulb /Wet Bulb I.H m Rel.Hum Dry Bulb Difference Winter: 15✓ -12.38 n/a 30% 72 29.40 Summer: 88 ,� 73 50% 50% 72 42 � � s� ::, - ��i ... � � C(ri,� r 5 ::, �.. a�= ��;� \ y :�r�. .'� .,� >;i�„ v:�� .. ... � ,a . .,:, .... ,,, ,.w......... .. ... ... . . , r... .,., . �.� ,.:.:• .. ., .. ....._. ,� . Total Building Supply CFM: 915 CFM Per Square ft.: 0.253 Square ft.of Room Area: 3,622 Square ft. Per Ton: 1,583 Volume(ft3)of Cond. Space: 30,213 .:S� './ / \ ^. S, .'cY.�: T��i ���,�..� �; y��� 113..���?�,�.�ZY � ..,,�'�.�.,. .},,. Total Heating Required Including Ventilation Air: ,154 Btu 49.154 MBH Total Sensible Gain: 20,690 Btuh 75 % Total Latent Gain: 6 Btuh 25 % Total Cooling Required Including Ventilation Air: 27,463 Btu 2.29 Tons(Based On Sensible+ Latent) �, � i�, � � � " ._ � , �� �.��� : �. � � e. .r, ���. .�;, � ,.,,:, . ,.. . <.,�, ,-„, „ . ,, ..,� , . ....:. a.; F,,; 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 Manuaf 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. M:\...\DRH 5391 4740 Prairie Dunes Way SW.rh9 Wednesday, May 20,2015,3:05 PM ����den#ia11���+�� ���!�#1/A��.s��#s ����� � �� ��et� elt� ���t�,, n9&:i��i��� � �7� � a "�� �'7��� ����y � :�u ". � �? � �:-:.:; . ...... ' ��.,,,; ,u�-.-:. - ._.:.:_,. �`, � i � � Lr�ad PrevieW Re c�t�t Net: ft.�� ` Sen Lat Net� Sen( Hts Sys' Sys` Duct Scope Ton; lTon� Area s Gain; Gain Gain 4 Loss� 9; Clg, Act Size ; ; � [ CFM, CFM: CFM� , , �__._a ���__._�, � �_._ _��t_ _m_ �� Building 229 1,583' 3,622 20,690 6,773 µ„27.463 49,154� 573 F 915 I 915 � System 1 2.29 1,583' 3,622 20,690 6,773 27,463 49,154 573 915 915 10x17 Ventilation . . 1,161 .. 4,672 5,833 6,314 . Humidification . 5.989 __ Zone 1 .. 3,622 19,529' 2,101 21,630 36,851 573 915 915 10x17 1-Basement 1,203 3,144 0 3,144 11,754 183 147 147 2--5 2-Main Floor .. . . I 1,235 10,587 2,101 12,688 12,914 201 49C 496 5--6 3-Second Floor ' 1,184 5,798 0 5,798 12,183 190 2�'2 272 3-6 M:\...\DRH 5391 4740 Prairie Dunes Way SW.rh9 Wednesday, May 20,2015, 3:05 PM ��#Y+cif�t ���.���4L{�K�IYIISI�I�C#�{HY���. a/9yr '' � � � �*�4'�:�5 �€��tlii� ���s' ���` ' . �t , s N�� � �,, �� . . : � � \\ ,.,;,:�!..... .. ...: ..:. � �:-:- ,..� � - :. .,..o� .���,�.. � �.._.,� � �`•.� ' � ,%,�:;,*,., � Total�uil�irr Surr�mar Laads `` .. ,��� Y \ i �%. ;�.,� �"3�c -i f ����� �¢��.� �- �. t � � �d y \ �. \ �� � '+� :�'� , x ���}�,: \\ ���\�,�. ��',�t���5'��i�\,'`� �,��¢ :��+.��a���. �'2�a..x `�`�'� a ;�fi � af ��W.`�^''�, / \� i:;3v .ia¢�'_' � �;�`• ?,F.: . . .. , .:.>. . ::. „ ,.. .,�,y. ,. _�.: . :> : .. •-, . ..... .... , . . DRH LowEE 3228: Glazing-DRH Windows, u-value 0.32, 222 6,186 0 5,247 5,247 SHGC 0.28 �-` DRH LowEE 2929: Glazing-DRH Windows, u-value 0.29, 40 1,009 0 888 888 SHGC 0.29 DRH LowEE 2924: Glazing-DRH Windows, u-value 0.29, 12 303 0 230 230 SH C 0.24 ��' DRH Low 3029: Glazing-DRH Windows, u-vatue 0.3, 48 1,253 0 1,073 1,073 SHGC 0.29 DRI�`t'ow�E3'123: Glazing-DRH Door w/Sidelite, u- 26.7 719 0 631 631 value 0.31, SHGC 0.23 DRI�i-" 0�1: Glazing-DRH Windows, u-value 0.3, 12 314 0 262 262 SHGC 0.21 � 11J: Do�tal-Fiberglass Core 17.8 928 0 288 288 DRH-R15 8ft:Wall- asement, Custom, DRH-8"poured 304 1,560 0 208 208 concrete wall, 1 board insulation to footing, no interior finish, or depth DRH-R15 4ft:Wal asement, Custom, DRH-8"poured 96 492 0 66 66 concrete wall 1 board insulation to footing, no interior finish, r depth 12F-Osw:Wall-Frame -21 insulation in 2 x 6 stud 2777.6 15,707 0 2,944 2,944 cavity, no board in ion,siding finish,wood studs DRH-R10 8ft:Wall-Basement, Custom, ORH-8"poured 376 1,930 0 257 257 concrete wall 1 board insulation to footing, no interior finish, or depth RJ 20 Spray Foam:Wall-Frame, Custom, Rim Jois R-2 394 1,714 0 542 542 Closed Cell Spray Foam R49 16B-49: Roof/Ceiling-UnderAtticwith Insulation on 1183.9 2,369 0 1,389 1,389 Attic Floor(also use for Knee Walls and Partition Ceilings),Custom, R-49 Blown Insulation, No Radiant Barrier,Vented Attic,Asphalt Shingles 21A-28: Floor-Basement, Concrete slab,any thickness, 2 1203.2 2,303 0 0 0 or more feet below grade, no insulation elow floor, any floor cover, shortest sic�e of floor slab is 28'wide 20P-30: Floor-Over open crawl space or garage, Passive, 21 64 0 8 8 (1�3�blanket insulation,any cover___ __ _ __ _ _ _ �.,i _ _ Subtotals for structure: 36,851 0 14,033 14,033 People: 6 1,200 1,380 2,580 Equipment: 901 4,116 5,017 Lighting: 0 0 0 Ductwork: 0 0 0 0 Infiltration:Winter CFM: 0, Summer CFM:0 0 0 0 0 Ventilation:Winter CFM: 170, Summer CFM: 170 6,314 4,672 1,161 5,833 Humidification_.(Winter)_16.33_gal/day;_ ___.. __ __ 5,989. 0 0 ____ ___ 0_ Total Building Load Totals: 49,154 6,773 20,690 27,463 : ,. . ,,, � � : , � q �,; � ��: �� � , � �� � �t����# �t� `�.�:.,; ,;,.z t .. . �, �,,... .., ..�. �,�. ,>..,�,�,� .:;,,, . .:� � _ ,.:: .. ....�, :;:' Total Building Supply CFM: 915 CFM Per Square ft.: 0.253 Square ft.of Room Area: 3,622 Square ft. Per Ton: 1,583 Volume(ft')of Cond. Space: 30,213 �, . � ��t �,,.C3r"'�� .,�;:'� ,�.,,,;�.� ' ::. , „ir,� �i � E �- ����. E� `� * � �, , �.. �,,, .„ �,. .. .: . . _-,;, ,. ..,,.,,,., ,„ Total Heating Required Including Ventilation Air: 49,154 Btuh 49.454 MBH Total Sensible Gain: 20,690 Btuh 75 % Total Latent Gain: 6,773 Btuh 25 % Total Cooling Required Including Ventilation Air: 27,463 Btuh 2.29 Tons(Based On Sensible+ Latent) �,. ., ,�{"11��. :,; c �`�'.,.�,�:��� ::�:. . % ��,F �z i .�i �„� "'..c a�? Z�.'Pe� � �/"1 � � �'�'�..�� �b : L i3,rr, :.�� >,�`k'� ^ ,:. , y ... 3 ..,. .,.;, �. ...... .. ., ,,, , ..,. , :�. ...� ,. . ... . _ ....... ,< .. - , . ...... :: Rhvac is an ACCA approved Manual J and Manual D computer program. M:\...\DRH 5391 4740 Prairie Dunes Way SW.rh9 Wednesday, May 20,2015, 3:05 PM ..�+i"t��"i �"�'$���'���i�F���� ���"�"i*�"�Y ��k'�"�� _ , ---. �� ,v��,-��``i- *�`\�� ����1�� ; : t�F?�Ur�1blr�i�e F-I�`��'►g � ��' ; � ����� �?ur��i`Wa�t��g"�n _<. e � � < „ � . QU�1 � >,a_;, .. . . :.. � ....,; ,�'�.,., ,,,,;;� .. ,�,� :. ._ .., r;���,' � ; ; y :" , ' .`. �`�tat guildin Sum�rr�r' Load� cant`�+ � ��, k . ��� � ������� � � ti�,� � �, 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. M:\...\DRH 5391 4740 Prairie Dunes Way SW.rh9 Wednesday, May 20,2015, 3:05 PM Site address 4740 Prairie Dunes Way,Eagan MN Date 5-20-15 Contractor Sabre Plumbing & Heating `°"'BY`ed Michael H Settion A Ventilation Quantity � (Determine quantity by using Table R403.5.2 or Equation 11-1) Square feet�Conditioned area including 3622 Total required ventilation �70 Basement—finished or unfinished) � . . 5 Continuous ventilation �� Number of bedrooms Directions-Determine fhe total and can[inuous ventilation rote 6y either using Table R403.5.1 or equation 11-1. The table and equation ore 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 80J40 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/SO 175/88 3501-4000 110/SS 125/63 140/70 155/78 170/8 185/93 4001-4500 120/60 135/68 150/75 165/83 0 195/98 4501-5000 130/65 145/73 160/80 175/88 190/95 205/103 sooi-ssoo iao/�o iss/�s vo/ss 185/93 Zoo/ioo zis/ioa 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 ventilators(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 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 each hour is met. Section B Ventilation Method �Choose either balanced or exhaust only) �Balanced,HRV(Heat Recovery Ventilator)or ERV(Energy Recovery ❑Exhaust only .. Ventilator)—tfm of unit in low must not exceed continuous Continuaus fan rating in cfm ventilaf ratin b more han100%.� Low cfm: �� � High cfm: ��C Continuous fan rating in cfm(capacity must not exceed V continuous ventilation rating by more than 100%) � Directions-Choase the method ojventilation,balanced or exhaus[only.8alanced ventilatian systems are rypicolly HRV or ERVs. fn[er the law and higfi�cfm amounts.Low cfm air flaw musi be equal to or greater than fhe required continuous ventilation rate and � less than 100%grea[er than[he 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 operafed a percen[oge of each hour. Section C Ventilation Fan Schedule Descri tion Location Continuous Intermittent Directions-The venfilation fan schedule shauld describe what the fon is for,.the location,cfm,and wnether it is used for continuous or infermittent ventilotion.The fan that is chose for coniinuous ventilotion must be equal to or greater than the low cfm air rating and less ihan 100%greo[er fhan the cantinuous rate.(Far instance,if the low cfm is 40 cfm,the continuous ventilation fan must not exceed 80 cfm.J Automatic con[rols may ollow the use of a largerfan ihat is operated a percenfoge ojeoch hour. Sedion D Ventilation Controls (Describe operation and control of the continuous and intermitteni ventilation) � ERV has wall con�roF set to 30%=93 CFM � � ERV has wali conirol-set to 60%=186 CFM � Diredions-Describe ihe operation of the ventilatian system.Tfiere should be odequate de[ail for plon reviewers and inspectors to veriJy design and installotion complionce.Related trodes also need adequate detoil for placemen[of controls and proper operation of the building ventilatian.If exi�aust fons ore used for 6uilding ventilation,describe[he operotian and location ojony controls,indicators and legends.If on ERV or HRV is to be insialled,descri6e how it will be instolled.If if wil�6e connected and interfaced with tf�e oir handling equipment,pleose describe such connections as detailed in�the manufactures' installotian instruciions.If the installation instructions require ar recommend tfie equipment to be interlotked wifi�the oir hondling equipment for proper operation,such interconnection sholl be made and described � Directions-In order to determine the makeup air,Tahle 501.4.1 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.Please note,if the makeup air quantity is negative,no additional makeup air will be required for ventilation,if the value is positive refer to Table 501.4.2 and size the opening.Transfer the cfm,size of opening and type�round,rectangular,flex or rigid)to the last line of section D. Table 501.41 PROCEDURE TO DETERMINE MAKEUP AIR QUANITY FOR EXHAUST EQUIPMENT IN DWELLINGS (Additional combustion air will be required for combustion appliances,see KAIR�method forcalculations) One or multiple power One or multiple fan- � One atmospheritally vent Multiple a[mospherical- vent or direa vent ap-pliances assisted appliances and power gas or oil appliance or one solid ly vented gas or oil appliances or no combus-tion appliances vent or direct vent appiiances 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)condi[ioned floor area(sf)(including �G�� unfinished basemen[s) V Estimated House Infiltration�cfm):[la 544 x 16] 2.Exhaust Capacity �� a)continuous e:haust-only ventilation system ERV—� �. (cfm�;(not applica6le to ba-lanced ventilation � systems such as HRV) I b)dothes dryer(cfm) 135 135 135 135 c)80%of largest exhausi rating(cfm); '� Kitchen hood typically `Z4,o '' (not applicable if recirculating sysiem or if �, powered makeup air is electrically interlocked �', d�80%ofnextlargestexhaustrating � NOY � � (cfm);bath fan typicaliy I Applicable �, (�ot applicable if recirculating system or if powered makeup air is electrically interlocked ', Totai Exhaust Capacity(cfm); . 375 � ' [2a+26+2c+2d] 3.Makeup Air Quantity(cfm) . ��C a)total exhaust capacity(from above) J b)estimated house infiltration(from 544 above) Makeup Air Quantity(cfm); � � [3a-36) -169 (if value is negative,no makeup air is needed) 4.For makeup Air Opening Sizing,refer . � toTable501.41 NOT REQ'D A_Use this column if there are other than fan-assisted or atmospherically vented gas or oi�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 included.) 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 appliante. D.Use this column if there are multiple atmospherically vented gas or oil appliances using a common vent or if tkere 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 atmospheritally vented Multiple atmospherically Duct di- vent,direct vent ap- assisted appliances and gas or oil ap- vented gas or oil ap- ameter pliances,or no combus- power vent or direct vent pliance or one solid fuel pliances or solid fuel tion appliances appliances Column B appliance appliances Passiveopening 1-36 1-22 1-15 1-9 3 Passiveopening 37-66 23-41 16-28 10-17 4 Passive opening 67—109 42—66 29—46 38—28 5 Passive opening 110-163 6�—300 47—69 29—42 6 Passiveo enin 164-232 101-143 70-99 43-61 7 Passiveo enin 233-3ll 144-195 500-135 62�-83 8 Passiveopening 318-419 196-258 136-179 84-110 9 w motorized dam er Passive opening 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 Notes: A.An equivalent length of 100 feet of round smooth metal duct is assumed.Subtract 40 feet for the exterior hood and ten feet for each 90-degree elbow to determine the remaining length of straight duct allowable. B.If flexible duct is used,increase the duct diameter by one inch.Flexible duct shall be stretched with minimal sags.Compressed 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. Combustion air Q Not required per methanical code(No atmospheric or power veMed appliances) � Passive(see IFGC Appendix E,Worksheet E-1) Size and type 4"Rigid,5"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 applia�ce 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 F I m h t I i r i n ir nin i alled the Known Air III� ue Gas Code et od to ca cu ate to s ze of a equired combust o a ope g, s c Infiltration Rate Method.For new construction,4b of step 4 is required to be filled out. IFGC Appendix E,Worksheet E-1 ' Residential Combustion Air Calculation Method ' (for Furnace,Boiler,and/or Water Heater in the Same Space) Step 1:Complete vented combustion appliance information. ' Fumace/Boiler. , Draft Hood ❑Fan Assisted �Direct Vent Input: Btu/hr or Power Vent Water Heater: ^o000 Draft Hood �Fan Assisted �Direct Vent Input: �t Btu/hr or Power Vent I Step 2:Calculate the volume of the Combustion Appliance Space(CAS)containing combustion appliances. �2�6 � The CAS includes all spaces connected to one another by code compliant openings. CAS volume: ft3 8x19x8 LxWxN L W H Step 3:Determine Air Changes per Hour(ACH)1 � Default ACH values have been incorporated into Table E-1 for use with Method 4b(KAIR Method).If the year of construction or ACH is not known,use ' method 4a(Standard Method). � Step 4:Determine Required Volume for Combustion Air.(DO NOT COUNT DIRECT VENT APPLIANCES) ' 4a.Standard Method ' Total Btu/hr input of all combustion appliances Input: Btu/hr il Use Standard Method column in Table E-1 to find Total Required TRV: fts Volume(TRV) I, If CAS Volume(from Step 2)is grea ter th an TRV then no outdoor openings are needed. I If CAS Volume(from Step 2)i s less th an 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 appfiances Input: 4��o Btu/hr Use Fan-Assisted Appliances column in Table E-1 to find RVFA: `�OOO ft3 Required Volume Fan Assisted(RVFA) Total BtuJhr input of all Naturel draft appliances Input: O Btu/hr Use Natural draft Appliances column in Table E-1 to find RVNFA: � fts Required Volume Natural draft appliances(RVNDA) Total Re uired Volume TRV =RVFA+RVNDA TRV= 3000 + 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 6y TRV(from Step 4a or Step 4b) Ratio= 1216 � 3000 = .41 Step 6:Calculate Reduction Factor(Rf). RF=1 min us Ratio RF=1- •41 = .59 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): Total Btu/hr d i vi d ed by 3000 Btu/hr per ini CAOA= 40000 /3000 Btu/hr per inz= �3•�� inz Step 8:Calculate Minimum CAOA. Minimum CAOA=CAOA multiplied by RF Minimum CAOA= �3.33 X .59 - 7,86 inz Step 9:Calculate Combustion Air Opening Diameter(CAOD) CAOD=1.13 m ultiplied by the sq u a re root of Minimum CAOA CAOD=1.13�Minimum CAOA= `�' I� 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 G 304. JFGC 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 O50 525 15 000 750 1 125 563 1575 788 20 000 1 000 1 500 750 2 100 1 O50 25 000 1 250 1 875 938 2 625 1 313 30 000 1 S00 2 250 1 125 3 150 1 575 35 000 1 750 2 625 1 313 3 675 1 838 40 000 Z 000 3 000 1 500 4 200 2 1� 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 S 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 S00 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 10125 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 11250 5 625 15 750 7 875 155 000 7 750 11 625 5 813 16 275 8138 160 000 8 000 12 000 6 000 16 800 8 400 165 000 8 250 12 375 6188 17 325 8 663 170 000 8 500 12 750 6 375 ll 850 8 925 ll5 000 $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 IS 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 O50 11 025 215 000 10 750 16 125 8 063 22 575 11 288 220 000 Yl 000 16 500 8 250 23 S00 11 550 225 000 11 250 16 875 S 438 23 625 11 813 230 000 11 500 17 250 8 625 24 150 12 075 1.The 1994 date refers to dwellings tonstructed under the 1994 Minnesota Energy Code.The default KAIR used in this section of the table is 0.20 ACH. 2.This sectiort of the table is to be used for dwellings constructed prior to 1994.The default KAIR used in this section of the table is 0.40 ACH. - ' ` LOT SURVEY CHECKLlST FOR RESIDENTIAL �� f�� � BUILDING PERMIT APPLICATION � I PROPERTY LEGAL: �'"� 3 � � �� �� ��' DATE OF SURVEY: � LATEST REVISION: m � y��� P��;�; � �.�� � � � � � U � O z Q DOCUMENT STANDARDS � p ❑ • Registered Land Surveyor signature and company �' ❑ ❑ • Buiiding Permit Applicant � ❑ ❑ • Legal description �y ❑ p • Address � ❑ ❑ • North arrow and scale �. ❑ ❑ • House type (rambler,walkout,split w/o,split entry, lookout,etc.) � ❑ 0 • Directional drainage arrows with slope/gradient% �- ❑ ❑ • Propased/existing sewer and water services& invert elevation ' �' � 0 • Street name � ❑ ❑ • D�iveway(grade&width-in R/W and back of curb,22' max.) � ❑ ❑ • Lot Square Footage � ❑ p • Lot Coverage ELEVATIONS Existin ,,g� ❑ ❑ • Property comers �° ❑ p � Top of curb at the driveway and property line extensions ❑ �'' ❑ • Elevations of any existing adjacent homes /y` ❑ ❑ • Adequate footing depth of structures due to adjacent utility trenches �` ❑ ❑ . Waterways(pond, stream, etc.) Proposed � ,g�° ❑ ❑ • Garage floor � p p • Basement floor , �' ❑ ❑ • Lowest exposed elevation (walkout/window) ,g' p ❑ • Property corners ,e' p ❑ • Front and rear of home at the foundation PONDING AREA(if applicable) �J'^�p ❑ • Easement line � ❑ ❑ • NWL �' p ❑ • HWL � ❑ ❑ • Pond#designation p � p • Emergency Overflow Elevation ; ❑ �' 0 • Pond/Wetland buffer delineation y . Shoreland Zoning Overlay District Y • Conservation Easements DIMENSIONS �'' ❑ p • Lot lines/Bearings&dimensions �' p ❑ • Right-of-way and street width (to back of curb) ,H' 0 ❑ • Proposed home dimensions including any proposed decks, overhangs greater than 2',porches, etc. (i.e. all strucfures requiring permanent footings) �' ❑ ❑ • Show all easements of record and any City utilities within fhose easements �' ❑ ❑ • Setbacks of proposed structure and ideyard setback of adjacent existing structures �' ❑ ❑ • Retaining wall requirements: Reviewed By: Date� � �_ G/FORMS/6uilding Permit Application Rev.41-26-04 o}asauutW '�C}uno� p}o�o0 'NOIlIQ�d � tj '� �Yf19-069 {lS6) -XVY.� 1�#09-OBS (lS5) 3NOHd Q�£ Hltfd `d10��4 `t �1�18 �£ �Ql �' i!1 ^ � rf •x c�ss Nn '3nu�sra�s'oat�ms'tt aroa ur�is�n flosz � aa �, � �W �M � � z Q o sao��nans / sa�Np� / s�Nri�w r,aa+�xx�r - �rrr xar�o�r �rrt �_ � � �, �o � � o � .- , � ` f � �7��� aoj �� o � S $z 4 0 � M �Z � I II.H � i' ��n��l1S ,�Q ��ar��wG�aa �' � m "N a � � M � � � a � � � � � .� � � � a ��m� \ � '��' � y � N v+ 1 �` � (U � � C � M N iV(V d- M � i-� O L�, � �,.,, p � ,c c c.i ,c� ,,,_, o� a � E T Z N � � Q p� � tf')tt3 tf') d' N f3� 0 „- ...., -v ai c �.-. o c a-� o� � C,O',N p O Ca O C► Q� �" F"' ''L:f F+ �+ � � �'� �_ a"i � � � o u `� � �" � O-+-� O C � ���r _� P�"} �+' ,U� � � a ap Q <u i r' � v�''i� a vi cn ` � � j p � � �•� Q ra-' � a C3 Q} Z ".�.-. �- L� s "' c °' � .� o w (�,� � C�G>"c7-� � Y (I Q Q� � �� � � (fj Q� � -✓ p �� �- � "'' ..�.fl � � � �"C}"� (�j '— ,��, p V � a3 � � • • � C v� Q � O � i•v Q � C�1, � � �1 �O•— �V} [A v— � p m� d � � � v� '�' -+-. o a� c "-� o o. 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S Q� a0 oC fl �"' �' V y `-' �� � Csl �'' , '`�'' tQ'� �`'� �� � � w� , � .. , �, ``� � o � � � K�1 -� r � 8��� � .c �� � � � � a� Q w i ,� � ,� �` �' w 1�"� 4 4� •... ,�,. ` wv � � � J Q � a � o a z rn �e ���� °��� h� � � � � � Z 0•' w o � � .- — � �r c,�� o°` `�� "o ,�° � � ;<< 4 -� _ � o °° � U o � �4'Q��` "'Q � � "�P ; ; � � a � �.�. �� � � �� t� �wu �-} ? � � � � � � Q �� �w �? �� �.. i N' �� t�_i .�. a..., �--- ,- � � � � � / �— z W �� � �t � "i� tt" � O ,� �� � �p�, �/ C7 � � � � °�� � �� U � � Page of B R A 1� N ��,x_��a����� I NTE RTE� Daily Soil Observation Notes Project No.: Date: C',�° '�� Report o.: Project Name: �'���� � ��r%�� i`� � `-w Project Location: �+� � IJ�`��C- �i �`"�`� ������ Client: �� ��Y�. Temp/Weather: �'�"�( t'�� Project Manager: � ��t}'� Time Arrived: Departed: � � Areas Observed: O Building Pad C�,House Pad O Roadway O Pkng/walks O Footing O Proof Roll O Other (describe) �� Soil report available? Yes O No Report reviewed? Yes O No Report prepared by: �,�,,�. Get copy Benchmark: „j r.�.� (�. Benchmark elevation: �,l��Y Benchmark provided by: , �-`, c,./"` Finish floor elevation: �� �f d.,�'�, Boitom of footing elevation: �j� l� Bottom of excavation elevation �,fV�,,,� Approved plans available? ��{) Specified compaction: Fill source: Oversizing appears adequate? O NA Yes O No Soils observed agree with Soils report? es O No Soils appear adequate for design loads? Yes ❑ No Proposed project bearing capacity(psfl: �� Contractor notified of results? � Yes O No Name of person notified: �.���,�,,�� Was a copy of this report left on site? Yes O No If so,whom was it submiited to? 3 E � ' E ,` ..# .�.._ \,.�� � '�U G 1 � 3 { F 3 Ct_ _ I�. , � r� � `�1 u ; v ,R, � � � � i � � � � ` .� � �. � rt E � � !' f_ F � � � C,. ( � ' � � � � ` � � � t 3 3 � � ; � � Notes/Comments: � � ' � � t� � � � � � � P r � ¢ 1 � j § ) Write b��t� �I• atior�s, �fat�e�xcavc�t�cl, r�v�rsizir�� �snd iype of botfo����sa€1s c�r�si�e��h ' ..- � r PerFormed By: �� Reviewed By: Date: This is a preliminary repo�and is provided solely as evidence that field observations and/or testing was performed. Observations and/or conclusions and/or recommendations conveyed in the final report may vary from,and shall take precedence over,those indicated in a preliminary report. Providing engineering and environmental solutians since 1957 !" #$%&'()'*+*, -./$%'"&0-143/7$,+ -./$%'63/7-.189:;<:9 >*%-'!??3-51@:A9<AC@9D -./$%'#*%-+(.&1--./$% E$%-'855.-??1''<=<@''.*$.$-'>3,-?'Q*&'' H#$%& ''!)**++, ''50&0'30N'H.* 345 !67!Y8G(76!76H6' 92: >-?H.$0%$(,1 ;-<'=>?: \\:2+*:,+0$ A.&'=>?: \\:?$0%: 5:2%.+?+, A0:.';Q:,:. S::.';+c:S::.'=>?:S0,-Q0%-.:.;:.+0$'\]-L<:.\\:L:'\]-L<:.+,:';+c: 3$:02:'%0$$'#-+$*+,J'4,2?:%+,2'0'C"8!E'"\[878"\[8''2%N:*-$:'0'Q+,0$'+,2?:%+,O #(//-,%?1 F0.<,'L,R+*:'*::%.2'0.:'.:K-+.:*'D+N+,'!6'Q::'Q'0$$'2$::?+,J'.L'?:,+,J2'+,'.:2+*:,+0$'NL:2'CS+,,:20';0:' #-+$*+,J'F*:EO 3'7'3:.L+'@::'CA;'^P.'A1EV8YO66'6X6!OG6X\[ I--'E3//*.&1 ;-.%N0.J:7@+R:*V!O66'Y66!O(!Y8 "(%*41 JD@L@@' #(,%.*H%(.1FM,-.1 7'')??$+%0,''7 #<';0<$:';:.M+%:25.'1.,'4,%'S+,,:20 8(G('a-:<:%')M:'\](6X"6'W:,<.+*J:'F';:'!66 \]:D'1?:'S\]''88G(X0&:M+$$:'S\]''886GG C"!(E'X"67XGY8 4'N:.:<>'0%&,D$:*J:'N0'4'N0M:'.:0*'N+2'0??$+%0+,'0,*'20:'N0'N:'+,Q.L0+,'+2'%..:%'0,*'0J.::''%L?$>'D+N'0$$'0??$+%0<$:';0:' Q'S+,,:20';0-:2'0,*'F+>'Q'Z0J0,'/.*+,0,%:2O )??$+%0,P3:.L+:: ';+J,0-.:422-:*'#> ';+J,0-.: Use BLUE or BLACK Ink r For Office Use City of Eaall ::::. lOZLi J 3830 Pilot Knob Road Eagan MN 55122 Date Received: .. -7/ / Phone: (651)675-5675 Fax: (651)675-5694 RECEIVED Staff: t NIF MAY 11 12017 2017 RESIDENTIAL BUILDING PERMIT APPLICATION ,i I Date: Site Address: 7 7 O p re`'► r i 1 /✓(/,^.C1 �it, : 5-/43 IJ k Name: Al '( /hh G Phone: o s/- 3 s' _m � Resident/ [J '- Owner I Address/City/Zip: 4Y 7f() p r A: r • ( 1/v-c) l,./d y I �� Applicant is: Owner �2ontractor � tj Description of work: /1/-c,‘— i'✓Z �I Type of Work ' Construction Cost: 81) V c1) Multi-Family Building: (Yes /No ) Company: �f)L Pori PCo 0.5, Contact: G ,9-1 SO Sr- 3 599 I I Address: 4 0 1�f 5 �a� /;i 4 C ✓„. City: c r'/'+ :-'1 /r 1 Contractor7 State:/l4/1/ Zip: S SUS, hone: Email: �d�//M � Lit,) cJ`/� -s Li5 cense#: 0" Lead Certificate#: If the project is exempt from lead certification, please explain why: t 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? I Yes No If yes, date and address of master plan: Licensed Plumber: Phone: i Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: g. Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to L._ w.��_. conclude that mare trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection again derground util ,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 conformance with t.- ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, an• work is not to start ,ithout a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and a••royal of plans. Exterior work authorized by a building permit issued in accordance with the , innesota State B ' .ing Code must be completed within 180 days of permit issuance. x Applicant's Printed Name App,Vant' • ature Page 1 of 3 DO NOT WRITE BELOW THIS LINE 14. ) SUB TYPES C3 �f �� r �vr�es II/ ,� Foundation Fireplace Porch (3-Season) Exteri r 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 yl 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 --Q? C 0 'lc' "=" Occupancy 'I-2C l MCES System Plan Review . Code Edition 0)/12 , SAC Units (25% 100% ) Zoning P City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction V 3 Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: ' ' Footings (Deck) Final/C.O. Required Footings (Addition) Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Roof: _Ice &Water _Final Pool: _Footings _Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace: _Rough In _Air Test _Final Siding: Stucco Lath _Stone Lath _Brick_EFIS Insulation Windows Sheathing Retaining Wall:_ Footings_ Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan � Other: 7 Reviewed By: Tdr7/1 /l}l;lc(4//9" , Building Inspector RESIDENTIAL FEES /ti ')( -2 o` P. ,<:. I- 2-4i-30 '/'27- Base /'7Base Feeit., 53- tr Surcharge � L ��0 go S.) , /cr Plan Review 'f}(ry ` 5?—i, P. 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