4625 Black Wolf Run �
° Use BLUE or BLACK Ink
` ` �� � ��`:5�� - � ��y7�sI .------------------
� � For Office Use � I�
��
• �� �� � �/5 .,_ /� � _ a � � Permit#:��`���j � �/,!�
���� �� ����� G� _ �� d - � O � � r� �. t
�� %.?� �� S ' Permit Fee. �
3830.Pilot Knob Road � � /j�� �i i �
Ea gan MN 55122 � `7 � Date Received: � j
Phone: (651)675-5675 I I
Fax: (651)675-5694 I Staff: I
Sw�� /:���� , !----------------�
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: $� -�v Site Address:__��Z-�J �CJ�� (�b C.F' �U/V Unit#:
Name: �� Phone: ��'
�'8������ r,�
r
���' '_ ' Address/City/Zip: ��/ .L�"` � �.��
�.•:.:. . �
;;: Applicant is: Owner �Contractor
.
` ' Description ofwork:�� S/���.��v-�
;
T��� (i'��I/�b#'1C
,;,. \ Construction Cost: ?".�' ��� Multi-Family Building:(Yes /No )
: Company: I.ia-- �Q--�jb/v Contact:�iQ-G�� I CJ
��3��C��dr ` , Address:�}$� �,tibr,d� �vr't City: LGC kt(ji���
� :
State:�Zip: 50 Phone:��$S�$�� Email: �M I1 a�Ql�� �4 d�/7�A f�.
' License#: G �d � Lead Certificate#:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
l�� �N s�.��..-T-�n w�
COMPLETE THIS AREA ONLY IF CONSTRUCTtNG 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:��E '�S '��,� 5'33�`� � e U'�N
Licensed Plumber: �'TD� Phone: 7�2�"�7�"22'!e 7
Mechanical Contractor: 5,�� Phone: [�3 '��3— 2��
Sewer 8�Water Contractor: ST�'� Phone: �52^8ST ��� i '�'�
�Itp7'E.Pl,�ns and s�p,�r����g d��um��ts�t��t��s�zbm��`�re cvn�lder�ttr��t�bll�i�f�rm��ic�r� ��r�io�s�tf
f�ia irtt'c�rmati�n;��y�e cl��i��d as�r�anipubli��f�at�pravid�spe���c re�s�rt�#hat r�c�r�ld�rmf�the�Ety#�
�a,� cor�clu�fe-����;#he are trad��e�r�ts `'' , ,:
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.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
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 �VE LEE O
x
ApplicanYs Printed Name ApplicanYs Signafure
Page 1 of 3
/ i i V�. /
G-��p�� � ����j�I� DO NOT WRITE BELOW THIS LINE ��� ��' �'
SUB TYPES
_ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
ingle Family Garage Porch(4-Season) Exterior Alteration(Multi)
_ ulti _ 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 `�; �� Occupancy i MCES System
#-�
Plan Review Code Edition � SAC Units
(25% 100%�) Zoning City Water
Census Code Stories Booster Pump
#of Units Square Feet �t PRV
#of Buildings Length ___�,�'� Fire Suppression Required �
Type of Construction _�� Width �
REQUIRED INSPECTIONS
� Footings (New Building) Meter Size: �
Footings (Deck) • � Final/C.O. Required
Footings (Addition) r(�, Final I 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 r,,,,.,..,,,,,,
Fireplace: �Rough In �Air Test �Final Siding: _Stucco Lath Stone Lat _Brick
Insulation Windows
� Sheathing Retaining Wall: _Footings_Backfill_Final
'-- Sheetrock Radon Control
Fire Walls � Erosion Control ,
�, Braced Walls Other:
Reviewed By: _ , Building Inspector
RESIDENTIAL FEES , � , � '' �"", � ,' � �"� ,�. 'l� ` J,�/� �~�
!����`� �<l����� v� ,� � ,� �`. r� `�'l(J � �
Base Fee ��°� �
Surcharge � � �-,� ���� �,,. �� �t �"��� ��� � ! � � ���
;'�; :r:�. � � .�` � � �
Plan Review �
�.. ��� ��
MCES SAC ; �� '� �,��` ��<.�. .,. � �,t i
City SAC ��F�.}�� ' `" �, r � � �
��� �
Utility Connection Charge ""� .'';� ��`�� ��� � �/��`� ;�j
S8�W Permit 8�Surcharge
���� ��: r ,, ,, �',. � i
TreNatment Plant �"� n�� � � � 1� (�� -�",,� �,t��
Co ies U�i �t��� I` �" � ��
TOTAL � � � �
Page 2 of 3
. /��� ���--
New Construction Energy Code Compliance Certificate j�.R.]{� �` "`
Date Certificate Posted � ,��,�+ s� .��,�:a
Per R401.3 Building Certificate.A building certificate shall be posted on or in the electrical distribution panel.
8/3/15
Mailing Address of the Dwelling or Dweiliug Ooi[
4625 Black Wolf Run
Name of Residenlial Contractor � MN License Number
DRHorton BC605657
Community p��p �
Eagan 5336
HERMAL ENVELOPE RADON SYSTEM
o Type:Check All That Apply X passive(No Fan)
� � ,
H ?: �' A�tive(With fc�n and mff�cuneter ar '
� � � � „ o�h�r sysxem maMitr�r�rrsg rl�viee�
a
� � � � b �j � � � Location(or future Location)of Fan: ,
�s N a ,o T
U
'7 � z vi v, � p, W K' .�n
Insulafion Location �; • ,. =° =° v O W --�
�a o �u �u � � � ti ,d
o � o � � o o � °D °i° Other Please Describe Here
F- � z w w w w � cG cG
Betow�ntire Stab X
Fouudation Wall Sides R-15 X R-10 Exteterior,R-s Interior
ou�d�tivn W�11 Frant�ud Rear- ��'�(} �- � �t�v���te�tor '-
Rim Joist(Foundation) R-20 X Interior
Rim daist(1'��'ioor�� ; ���I��O '��� }� �te�wr
wa�i R-21 . X
Ceiiin ,tlat R-�49 �C
Ceiling,vaulted R-49 X
Bay WTndows or cantilevaretl areas R-�Q ' �
Bonus room over garage R-32 X X
bescribe uthcrttnsulat�ct areas :
Buildin Envelo e air Ti htness: Duct s stem air ti htness:
Windows 8 Doors eafing or Cooling Ducts Outside Condifioned Spoces
Average U-Factor(excludes skylights and one door)U: 031 Not applicable,all ducts located in conditioned space
Solar Heat Gain Coefficient(SHGC): 0.28 -8 R-value
MECHANICAL SYSTEMS Make-up Air Seleet a Type
Applianees Heating System Domestic Water Heater Cooling System X Not required per mech,code
Fuet'T t�tA`f .C'aAvS Ni�1�' .f,aA."S R-41f11A Passive
Manufacturer CARRIER AOSmith CARRIER Powered
Interlocked with e�chaust device.
Mod�t ������Q$�$'�� 'GPV[�&{} GA13NA�I36 Describe:
I�ut in $0000 Capacity in 50 Output in 3 Other,describe:
Rating or Size BTUS: Gallons: Tons:
AFUE°r ��°fQ SEER br j� , Location of duct or system:
fficiency HSPF°fo EER
HEAT LOSS MEAT GAIN COOLING LOAD
ESIDENTIAL LOAD CALC 57,983 27,290 34,512
Cfin's
roun uc
Mechanical Ventilafion System "metal duct
Describe any additional or combined heating or cooling systems if installed:(e.g.two furnaces or air Combustion Air Select a Type
source heat pump with gas back-up fiunace Not required per mech.code
Selec[Type X Passive
Heat Recover Ventilator(HRV) Capacity in cfms: Low: High: Other,describe:
Energy Recover Ventilator(ERV)Capacity in cfins: Low: 40%=124 High: 70%=217 L.ocation of duct or system:
Balanced Ventilation Capcity in CFMS: fUPIIaC@ fOOPTI
Locations of Fans,describe: Cfin's
Capacity continuous venfilation rate in cfins: QQ 4 "round duct OR
Total ventilation(intermittent+continuous)rate in cfins: 180 "metal duct
4625 Black Wolf Run Eagan EAST
HVAC Load Calculations
for
DR Horton
Lakeville, MN
Prepared By:
Michael Hoium
Sabre Piumbing&Heating
15535 Medina Road
Plymouth,MN 55447
763-473-2267
Monday,August 03,2015
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.
�. � es�der� ��ht C+��t���il H�f�4�Lo�[r� � � �� �1it�Softwar�T3eve��nt,��,
_„ ti,imbartg&,�r►g' ��`� ��.. `a: �` �tf'i2��c�Wc��can�ain�:,��
`
�7 '. ,�:.. . .. : .. �� ; . �,. . ��'��`��.� �
x�
PrQ'ect Re �rt
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..,,' � .���{�'.. _ ..�I ... ...e :,..... :';�;;,�k ,,;.%✓. .;,<':......�. -� .�.,�`�;,x i� �;��"� �r�� �`�� i,.e.•�: y �i; !,'�',.::.
Project Title: 4625 Black Wolf Run Eagan EAST
Designed By: Michael Hoium
Project Date: Monday,August 03,2015
Client Name: DR Horton
Client City: Lakeville, MN
Company Name: Sabre Plumbing&Heating
Company Representative: Michael Hoium
Company Address: 15535 Medina Road
Company City: Plymouth, MN 55447
Company Phone: 763-473-2267
Company Fax: 763-473-8565
, �s; , � s � � � ,� a s
"� �.,<,s�i x..-.. �`�. '� �.,: .. ���! �.� ,'fia;� ,� »,', —�a�; c+'z F .,°,� ,�, ��\`���:, g .�Gi� � ,��:�,ir
.< ..: ::...... .....
� . . , p . . _ ., . _ r >
Reference Ci : Minnea olis, Minnesota
Building Orientation: Front door faces East
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 Dry Bulb Difference
Winter: -15 -12.38 n/a 30% 72 29.40
Summer: 88 73 50% 50% 72 42
�,, �� ,
;;,r.:'� :`� � .'��..,,,,F� � �i ... ,,,,-��- ,`/��: .<,,,� ��4n �a�.�� «�<f,� 3 ,s y��,�`y�" s�� �".k: ,� 3�:Ch. ��.
Total Building Supply CFM: 1,221 CFM Per SquareFft.: 0.296
Square ft.of Room Area: 4,119 Square ft. Per Ton: 1,432
Volume(ft')of Cond.Space: 34,303
s �i,`;y„�?�&.� ,.f, // ,v� �:� ��'a„ �r �'\ t � � #,��� �:�
,- . F, , :.;, ..o .:s�,�� ,.,...... „
Total Heating Required Including Ventilation Air: 57,983 Btuh 57.983 MBH
Total Sensible Gain: 27,290 Btuh 79 %
Total Latent Gain: 7,222 Btuh 21 %
Total Cooling Required Including Ventilation Air: 34,512 Btuh 2.88 Tons(Based On Sensible+ Latent)
.,..
� � � �
3:•�...,,,,,� ;:�Q Y.;;? , z �^ ,,:�;,� ..�, z aq�� � v�c: r` �.,.., : � , .=�'���,%r "`,'��/ .`� �.Hr'8;,, ` ,. �'
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.
M:\Sales and Estimating\Heat Calcs\DRH\4625 Black Wolf Run Eagan EAST.rh9 Monday,August 03, 2015,10:36 AM
��� �es��l�at�i��[��cr�mmerc�at H1fA���� � ��€� ��,� �� �lit�r �E)e�kainrn�t�l�rc:"
�a���hu��ban�&H��i�° ; � ��.� ' f� � ��� ��1����a��a�AST;
'P : txF 5 �7 ' � �°�����'°..:.,.... :..', .��a..
�
Lr��d Preview Re art
3 �
2 ' Sys� Sys: Sys;
Neti ft. . Sen Lat Net; Sen Duct
} � Htg� Clg Act;
Scope Ton /Toni Area� Gain Gain Gain; Loss � � Size �
�� � � CFM� CFM CFM;
, !
___._W__� �....�___._.�....._.__.__1 _......w___., _.;.___
� ___:_______ �
Building 2.88 1,432' 4,119' 27,290 ' 7,222' 34.512' S7,983: 687' 1.221 1.221 '
System 1 2.88' 1,432' 4,119 27,290 . 7,222 34,512 67,983 687 1;22'1 1,22'i 12x17
Ventilation _ 1,229. 4.946 6,176: 6,685 '
_Duct Latent _ 175 175
_Humidification_ _ _ _ 6,650: : '
Zone 1 4,119 26,061 2,1Q1 28,162 44,648 687 1;221 1,221 12x17 I
1 Basement .. . 1,349' 4,616' . 0 4,616 14,566 224 216 216 2--6 i
2-Main Fioor ' 1,349 13,085 2,101 15,186 15,081 232 613 613 6--6 I
3-Second Floor . 1,421 8.360 0 8,360 15,001 231 '392 392 4--6
M:\Sales and Estimating\Heat Calcs\DRH\4625 Black Wolf Run Eagan EAST.rh9 Monday,August 03,2015, 10:36 AM
��•i�FAr���T�€EiP`�r _i,C\iYi�R[R�fii����"� ' � ��. y,a 3� - �N����� �\ �it1r.- . . .
SabCe F'; lCtg�c t���� �� �,` "� �1� �iK�#�3Ei���[t��'7:
PI h+tt�:: '' �7 �� : ,:,.. .. `;_, ' :.: ��.��.._
Tota! Buif+�in 5ummar Loads
- "` '' �t1 - i � d - .
� � � � `�� i s< �$�.� .y y "� ` �€,�, ��� �, , �y \
..�''t{+'CI�. � �f. : k�. z. � ,, �: �,��k�.� � �... �`� :�r
y y
y �:; i ,y�� ��a• .y� .b ' ' �"�,;,� ��`ym�/�i�,: �_.. ?�r
DRH LowEE 3228: Glazing-DRH Windows, u-value 0.32, 283 7,885 0 8,055 8,055
SHGC 0.28
DRH LowEE 2929:Glazing-DRH Windows, u-value 0.29, 88 2,220 0 2,794 2,794
SHGC 0.29
DRH LowEE 2924: Glazing-DRH Windows, u-value 0.29, 12 303 0 325 325
SHGC 0.24
DRH LowEE 3021: Glazing-DRH Windows, u-value 0.3, 7 183 0 171 171
SHGC 0.21
DRH Door 31 UF: Door-DRH Exterior poor-.31 U Factor, 37.8 1,019 0 316 316
.23 SHGC
DRH-R15 8ft:Wall-Basement,Custom, DRH-8"poured 480 2,464 0 328 328
concrete wall, R-15 board insulation to footing, no
interior finish,8'floor depth
DRH-R15 4ft:Wall-Basement,Custom, DRH-8"poured 96 492 0 66 66
concrete wall, R-15 board insulation to footing, no
interior finish,4'floor depth
12F-Osw:Wall-Frame, R-21 insulation in 2 x 6 stud 3124.2 17,666 0 3,311 3,311
cavity, no board insulation,siding finish,wood studs
DRH-R10 8ft:Wall-Basement,Custom, DRH-8"poured 400 2,053 0 274 274
concrete wall, R-10 board insulation to footing, no
interior finish,8'floor depth
RJ 20 Spray Foam:Wall-Frame,Custom, Rim Joist R-20 451 1,960 0 622 622
Closed Cell Spray Foam
R49 16B-49: Roof/Ceiling-UnderAtticwith Insulation on 1421.2 2,844 0 1,667 1,667
Attic Floor(also use for Knee Walls and Partition
Ceilings),Custom, R-49 Blown Insulation, No
Radiant Barrier,Vented Attic,Asphalt Shingles
21A-20: Floor-Basement, Concrete slab,any thickness,2 1349 3,169 0 0 0
or more feet below grade, no insulation below floor,
any floor cover,shortest side of floor slab is 20'wide
P-32 R-32: Floor-Over open crawl space or garage, 209 545 0 69 69
Custom, R-30 Blanket insulation, 3/4"Foamboard R-
2, any cover _
_ _....._ _.... _....... __ __
Subtotals for structure: 42,803 0 17,998 17,998
People: 6 1,200 1,380 2,580
Equipment: 901 4,116 5,017
Lighting: 0 0 0
Ductwork: 1,845 175 417 592
Infiltration:Winter CFM: 0, Summer CFM:0 0 0 0 0
Ventilation:Winter CFM: 180, Summer CFM: 180 6,685 4,946 1,229 6,176
Humidification(Winter) 18.13 gal/day: 6,650 0 0 0
AED_Excursion: p
_ ._.._._. 0_ __2,149 . 2,_�49
__
Total Building Load Totals 57,983 7,222 27,290 34,512
r. •y v�, � �`E%„, .��' r,_ �/ r / � :\� .�.„
a`a'.ai' .2:� ,;�
„ .,:. . . .m,o„ �; .;i;, , . . .. N :, :,.'r...<.. .. :.. .., i. , " ,:.
, , :...., .� ., .,,,,�,.,: , _;;,-;:,....: . _., .. ..
Total Building Supply CFM: 1,221 CFM Per Square ft.: 0.296
Square ft.of Room Area: 4,119 Square ft. Per Tort: 1,432
Volume(ft3)of Cond. Space: 34,303
,.,
�t. ,.,. , ,,,:�;, = `� �;,,'. �.� ..',.. .',"'; "r, � ��ry,.s� ���� z. � � �� .
;; , ,. . 4
,, r:,... ..
Total Heating Required Including Ventilation Air: 57,983 Btuh 57.983 MBH
Total Sensible Gain: 27,290 Btuh 79 %
Total Latent Gain: 7,222 Btuh 21 %
Total Cooling Required Including Ventilation Air: 34,512 Btuh 2.88 Tons(Based On Sensible+ Latent)
,
.��;, .�,�,':.'�. .... \��'�. � ;"s . . ...�,� e, ,.: � �'Y �. �i y ��;�ti. j s��
. . , ...,,,�,�- . ,.<,F,� . , .,;, . _Y,:: ....,.;,, � :; ,a::.� ., �.,; ,�,..i�� ;!. i�id��
vti, C..
. ..... .: .. , „ ..:: ,..:�.
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.
M:\Sales and Estimating\Heat Calcs\DRH\4625 Black Wolf Run Eagan EAST.rh9 Monday,August 03,2015, 10:36 AM
�ih������Fder�T� 1at Co � r��H1��4� �� � �� � � z�� �� �reto���.
w�e"'��pyyy'����{�l�itli�E���c�{�6��'il'���` ' ��a �a� ! � �s Ef ���t��4��}�� `��C1��`�;
�' I11411�11[1� ��Y�i�7Y� . ....•�"„,,, .'�. .� .::,� . '.;.g.n . ...:. ... -. , .':; ..,,,;�-.. . ,, ,': .-:.. .,. �.. ..�_,._,. ,� �. .
7"�t�l Buildin Summar La�ds cc�rtt'd
,:, ,..�;. . / : � y:� _ ��,� � � , .,,;. �r t�, , �'�i,. � �.
�"::. --.. , /�✓.i -..9� : .- �w.: , «e ,� y �- 3, � � G fY' `t �FY �
./„ �W�.l,i \�''a ..0. ./'�> ,�?>.n n.\ t c`:�.s, s-C:
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:\Sales and Estimating\Heat Calcs\DRH\4625 Black Wolf Run Eagan EAST.rh9 Monday,August 03,2015, 10:36 AM
Site address 4625 Black Wolf Run Eagan oate $-3-15
Contractor Sabre Plumbing & Heating �om8y ted Michael H
Section A
Ventilation Quantity
(Determine quantiry by using Table R403.52 or Equation 11-1)
Square feet�Conditioned area including 4119 Total required ventilation �$Q
Basement—finished or unfinished)
5 Continuous ventilation �O
Number of bedrooms
Direc[ions-Determine Lhe[otol ond caniinuous ventilation rate by either using Table R403.5.2 or equation Il-1.
The table 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 Totai/ Total/ Total/ Total/ Total/ Total/
1000-1500 60/40 75/40 90/45 105/53 120/60 135J68
1501-2000 70/40 85/43 100/50 115/58 130/65 145/73
2001-2500 80/40 95/48 110/SS 125/63 140/70 155/78
2501-3000 90/45 105/53 120/60 135/68 150/75 165/83
3001-3500 1�/50 115/58 130/65 145/73 160/80 175J88
3501-4000 110/55 125J63 140/70 155/78 185f93
4001-4500 120/60 135/68 150/75 165/83 180/90 195/98
4501-5000 130/65 145/73 160/80 175/88 205/103
5001-5500 140/70 155/78 170/85 185/93 200J100 215/108
5501-6000 150/75 165/83 180/90 195/98 210/105 225/113
Equation 31-1
(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 �I
Ventilation Method I
�Choose either balanced or exhaust only) �'��.
� Balanced,HRV(Heat Recovery Ventilator)or ERV�Energy Recovery a Exhaust only . '
Ventilator)—cfm of unit in low must not exceed continuous Continuous fan rating in cfm
v nt' " n ratin b more 0 I
Low cfm: ��A High cfm: ��� Continuous fan rating in cfm(capacity must not ezceed I,
`�' continuous ventilation reting by more than 100°�) i
Directions-Choose the method ojventilotion,6alanced or exhaust only.Bafanced ventilotion sysiems are typicolly HRV or ERV's. '�,
Enter the low and high cfm amounts.Low cfm air flow must be equa(to or greater than the required coniinuous ventilotion rote ond �,
less t6an 100%grea[er thon the con[inuous rate.(For instance,if the low cfm is 40 cfm,the ventilation fan must nof ezceed 80 tfm.J �
Automofic canfrals may allvw fhe use af o lorger fan that is operated a pertentoge af eoch 6ouc � '.
Section C I
Ventilation Fan Schedule '
Descri tion Location Continuous Intermittent ',
Dired'ans-The ventilation fon schedule s6ould desaibe whot the fan is for,fhe focotion,cfm,and wRether it is used for rnn[inuous II'
or intermittent ventilation.T6e fan that is chose for continuous ventilation must be equai to or greater fAan the low cfm air�ating I�
and less than 100%greater fhon the tontinuous rate.(For instonce,if the low cfm is 40 cfm,the tonfinuaus ventilotion fan must not
exceed 80 cfm.J Automotic con[ro/s may ollaw the use of a lorger fan that is operated a percentage af eoch houc ��
Section D II
Ventilation Controls
�Describe operation and control of the continuous and intermittent ventilation)
ERV has wall control-set to 40%=124 CFM I
ERV has wall control-set to 70°h=217 CFM
Direc[ions-Describe the aperotion of the ventilation sys[em.Thereshould be adequote detail for plan reviewers and inspectors[o verify design and
ins[allation complionce.Reloted trades also need adequate detail for plocement of cantrols ond proper aperation of the 6uilding ventilation.If exhaust fons
are used for 6uilding ventilation,descri6e the operation and locotion of any cantrals,indicators and legends.lf an ERV or MRV is to 6e installed,dexribe how
it will be installed.If d will6e ronnecied ond interfaced wiih the air bandling equipmeni,please descri6e such connec[ions as detailed in the manufactures' .
insiallafion instruaions.If ihe instollotion insiructions require or recommend the equipmenf ta be interlocked wifh the oir hondling equipmen!for proper
operation,wcb interconnection sAall be made and dexribed. �
Directions-In order Yo determine the makeup air,Table 501.4.1 must be filled out(see below�.For most new installations,column A will be appropriate,howeve�,if
atmospherically vented appliances or solid fuel appliances are installed,use the appropria[e column.Please note,'rf the makeup air quanYity 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 501.4.1
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 muitiple fan- One atmospherically vent Multiple atmospherical-
vent or direct vent ap-piiances 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 appliances fuel appliance or solid fuel appliances .
Column D
Column A Column B Column C
i� 0.15 0.09 0.06 0.03
a)pressure fador
�dmisfl
b�conditioned floor area(sf)(including 4119
unfinished basements)
Estimated House Infiltration(cfm�:[la 618
x ib]
2.Exhaust Capacity
a)continuous exhaust-only ventilation system ERV=O �
(cfm);�not appliwble to ba-lanced ventilation
systems such as HRV)
b)clothes dryer(cfm) 13S 13S 13S 13S
c)80%of largest exhaust reting(cfmJ;
Kitchen hood typically `L40
(not applicable if recirculating system or if
powered makeup air is electrically interlocked
d)80%of next largest exhaust rating NOt
(dm);bath fan typically ppplicable �
(not applicable if recirculating system or if
powered makeup air is eledritally interlocked
Total Ezhaust Capacity(cfm); 375
[2a+26+2c+2dj �
3.Makeup Air Quantity(cfm) 375
a)total exhaust capacity(from above)
b)estimated house infiltretion�from 618
above)
Makeup Air Quantity(cfm);
[3a—36] _^�^
(if value is negative,no makeup air is needed) L �
4.For makeup Air Opening Sizing,refer N OT REQ,�
to Table 501.4.2
A.Use this column if there are other than fan-assisted or atmospherically vented gas or oil appliance or if there are no combustion appliances.(Power vent and direct vent
appliances may be used.)
6.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 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 Ezisting Dwelling Units
One or multiple power One or multiple fan- O�e atmospherically vented Multiple atmospheritally 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
tian 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
Passiveopening 67-109 42-66 29-46 18-28 5
Passive opening 110-163 67—S00 47—69 29—42 6
Passiveo enin 164-232 101-143 70-99 43-61 7
Passive o enin 233—317 144—195 300—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 ill—142 SO
w/motorized dam er
Passiveopening 540-679 333-419 231-290 143-179 11
w/motorized damper
Powered makeup air >679 >419 >290 >379 NA
Noter.
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.
e.If flexible duct is used,intrease the duct diameter by one inch.Flexible duct shall be stretched with minimal sags.Compressed duct shall not be accepted.
C.earometric dampers are prohibited in passive makeup air openings when any atmospherically vented appliance is installed.
D.Powered makeup air shall be elettrically interlocked with the largest exhaust system.
Combustion air
Not required per mechanical code(Na atmospheric or power vented appliances)
✓ Passive(see IFGC Appendix E,Worksheet E-1� Size and�type 3"RI Id,4��Flex �
Other,describe:
Explanation-If no atmospheric or power vented appliances are installed,check the appropriate box,nat 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 new construction,4b of step 4 is required to be filled out.
IFGC Appendix E,Worksheet E-1
Residential Combustion Air Calculation Method
(for Furnace,Boiler,and/or Water Heater in the Same Space)
Step 1:Complete vented combustion appliance information.
Furnace/Boiler.
raft Hood �an Assisted �irect Vent Input: Btu/hr or Power Vent
Water Heater: ^0000
raft Hood �Fan Assisted �Direct Vent Input: �� Btu/hr or Power Vent
Step 2:Calculate the volume of the Combustion Appliance Space(CAS)containing combustion appliances. 2��6
The CAS includes all spaces connected to one another by code compliant openings. CAS volume: fts
LxWxH 18 L 14 W 8aH
Step 3:Determine Air Changes per Hour(ACH)1
Oefault 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.(00 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: fts
Volume(TRV)
If CAS Volume(from Step 2)is gre a 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 Infiltration Rate(KAIR)Method(DO NOT COUNT DIRECT VENT APPLIANCES)
Total etu/hr input of all fan-assisted and power vent appliances Input: 4�� etu/hr
Use Fan-Assisted Appliances column in Table E-1 to find RVFA: `iOOO fti
Required Volume Fan Assisted(RVFA)
Total etu/hr input of all Natural draft appliances Input: � Btu/hr
Use Natural draft Appliances column in Table E-1 to find RVNFA: O ft3
Required Volume Natural draft appliances(RVNDA)
Total Re uired Volume TRV =RVFA+RVNDA TRV= �000 + O _ �000 TRV ft3
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)
Rat�o= 2016 � 3000 = 0.67
Step 6:Calculate Reduction Factor(RF).
Rf=lminus Ratio RF=1- O•�r = �.33
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 inz CAOA= 40000 /3000 Btu/hr per inz= ��•33 inx
Step 8:Calculate Minimum CAOA.
Minimum CAOA=CAOA mukiplied by RF Minimum CAOA= �3.33 x Q.33 = 4.37 in2
Step 9:Calculate Combustion Air Opening Diameter(CAOD)
CAOD=1.13 m ultiplied by the sq u o re root of Minimum CAOA CAOD=1.13 d Minimum CAOA= 2'36 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
S 000 250 375 188 525 263
10�0 500 750 375 1 O50 525
15 000 750 1 125 563 1 575 788
20 000 1 000 1 S00 750 2 100 1 O50
25 000 1 250 1 875 938 2 625 1 313
30 000 1 500 2 250 1 125 3 150 1575
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 00� 2 250 3 375 1 688 4 725 2 363
SO 000 2 500 3 750 1675 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 0� 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 S00 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 14 175 7 088
140 000 7 000 SO S00 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 9188
180 000 9 000 13 S00 6 750 18 900 9 450
185 000 9 250 13 875 6 938 19 425 9 713
190 000 9 S00 14 250 7 125 19 950 9 975
195 000 9 750 14 fi25 7 3S3 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 O50 11025
215 000 10 750 16 125 8 063 22 575 11 288
220 000 11 000 16 500 8 250 23 100 11 S50
225 000 11 250 16 875 8 438 23 625 11 813
230 000 11 S00 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
010 ACH.
2.This section of the table is to be used for dwellings construaed prior to 1994.The default KAIR used in this section of the table is 0.40 ACH.
' . • � LOT SURVEY CHECKLlST FOR RESIDENTIAL / �� �f0�
BUILDING PERMIT APPLICATION
. f �j 1� 7
PROPERTY LEGAL: ��`� �I�G,�I�.�C(�1�.�lA��G2�.� G��d f_�
DATE QF SURVEY: ZZIJ.r
LATEST REVISION:
d
a�
_
R
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Q �
O z Q DOCUMENT STANDARDS
� p ❑ • Registered Land Surveyor signature and company
,� ❑ ❑ . Buiiding Permit Applicant
� ❑ ❑ • Legal description
� p p • Address
� ❑ ❑ • Nor�h arrow and scale
� ❑ ❑ • House type(rambler,walkout, split w/o, split entry, lookout,etc.)
� ❑ ❑ • Directional drainage arrows with slope/gradient%
�' ❑ 0 • Propased/existing sewer and water services& invert elevation
• ,,� ❑ ❑ • Street name
� ❑ p • Driveway(grade&width-in R/W and back of curb,22' max.)
� p ❑ • Lot Square Footage
� ❑ ❑ • Lot Coverage
ELEVATIONS
Existin
� ❑ ❑ • Property comers
�' ❑ p � Top of curb at the driveway and property line extensions
❑ ❑ ❑ • Elevations of any existing adjacent homes
�g p ❑ • Adequate footing depth of structures due to adjacent utility trenches
� p 0 • Waterways(pond, stream, etc.)
Proposed �
� ❑ ❑ • Garage floor
� ❑ p • Basement floor ,
� p p • Lowest exposed efevation (walkouUwindow)
� ❑ ❑ • Property comers
� D 0 • Front and rear of home at the foundation
PONDING AREA(if applicable)
❑ � ❑ • Easement line
❑ �' ❑ • NWL
❑ �' 0 • HWL
❑ � ❑ • Pond#designation
❑ � 0 • Emergency Overflow Elevation ',
❑ ,� • Pond/Wetland buffer delineation
y . Shoreland Zoning Overlay District
Y • Conservation Easements
DIMENSIONS
� ❑ 0 • Lot lines/Bearings&dimensions
� p ❑ • Right-of-way and street width(to back of curb)
�j,d' 0 ❑ • Proposed home dimensions including any proposed decks,overhangs greater than 2',porches, etc.
(i.e.all structures requiring permanent footings)
� ❑ ❑ • Show all easements of record and any City utilities within those easements
� p ❑ • Setbacks of proposed structure and ' ard sefback of adjacent existing structures
I� ❑ ❑ • Retain-ing wall requirements:
Reviewed By� Date ��
G:/FORMSBuilding PermitApplication Rev.11-26-04-
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� Z ��j � � � Lot 2, Block 1, DAKflTA PATH 2ND 2500 VMES7 COUNTY ROAD 42, SUITE 120.
� � � '< ADDITION, Dokoto County, Minnesota. BURN5VILLE, MN 55337
PHONE: (952} Bg0-6044 FAX: (952) 89d-6244
Address: 4625 Black Wolf Run
Permit #: 132362
The following items were / were not completed at the Final Inspection on: a 7 7 (:-
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
ff�iRU, e Zed
Trail / Curb Damage
Porch
Lower Level Finish
Deck
Fireplace
/d?1,
/)d
• 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:
l
rpt /fl; /(/y
G:\Building Inspections\FORMS\Checklists
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA136837
Date Issued:06/01/2016
Permit Category:ePermit
Site Address: 4625 Black Wolf Run
Lot:1 Block: 1 Addition: Dakota Path 2nd
PID:10-19541-01-010
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) 860-8495
Applicant/Permitee: Signature Issued By: Signature
a
4
Use BLUE or BLACK Ink
For Office Use (. ° /0c C/.
44011' City Permit#: ' 6 (-,�
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 V,`,: F1 Date Received: l l ' -J��
Phone:(651)675-5675
Fax: (651)675-5694 Staff:
2016 RESIDENTIAL BUILDING PERMIT APPLICATIONA�(fi
Date: Site Address: t"}6 41 o 1 44A-v-\
Unit#:
Name: t\ `O ' \Cfj V Phone: 612, ?L2 X1
ft�slcie� `. �
p
Address/City/Zip: L l b `J �q�,.5-, jnAC F�AJ\a/\ n0 ,v 511-3
Applicant is: Owner X Contractor J
Type Qf iAlPtic
Description of work: Covewr_
\-s\
Construction Cost: /Di 0 0 Multi-Family Building: (Yes /No X )
Company: btL E.jnl 'eir ()nS tLc\vo.' Contact Sue. Rt, 41 U'h
, Address: 1402,S'4 W City: ofc.!r
C�r�tr'acr ` (`
State: WI Zip: c 07-5 Phone: 6 2. To 7 (1,�122€mail: ` tmjeCe `9)Qc1AM4t 1. C-0 V^
License#: .Pj(�_G/37)1 Lead Certificate#: U
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes,date and address of master plan:
Licensed Plumber: Phone:
{ Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE'Plans esu orting documents that *tIl aria be n:fo�,�r
the i 10:0at may be m ss �i 1`�
Zir. K. ....a . . h r+ ry . _ x._ -0 fi ,_, t gg: _e,iM
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.gopherstateonecal.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 ,'! . 14,e4r'`.Ifr ^ x ._
Applicant's Printed Name Applican s S' ature
Page 1 of 3
i
.G ,
DO NOT WRITE BELOW THIS LINE ( 14°1 0(f
SUB TYPES `(CP-S 1.('4. 1 o c (e—in
` Foundation _ Fireplace —
Porch(3-Season) _ Exterior Alteration(Single Family)
— Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
Multi ?6' Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
01 of_Plex _ Lower Level _ Pool _ Accessory Building
WORK TYPES
'PNew — 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 41 `fsta."� Occupancy ,.. 7G - k MCES System
Plan Review Code Edition VY)el 2..t 15- SAC Units
(25%_100%i0) Zoning ? City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction \ j Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
?0 Footings(Deck) Final I C.O. Required
Footings (Addition) )'0 Final I 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:
Reviewed By: Tv en j'Y?. )4 jA- ,Building Inspector
RESIDENTIAL FEES Z O x/ L : 3 2 e SS, r.T
Base Fee
Surcharge eC - t-9%19;/.
Plan Review
MCES SAC /�• a
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
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EAGAN
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810ni
EC E I
VE
(651) 675-5675 I TDD: (651) 454-8535 I FAX (651) 675-5fl 4 J U L 7 TrreD
bui ld i nainspections(aDcityofeagan.com
2020 RESIDENTIAL BelYiEDINGPERIVIIT APPLICATION
Date:
r
For Office Use Perm#: /�,6'97 C70,
Permit Fee: -✓ 2(4-1` % 14'
Date Received:
Resident/
Owner
Staff:
Site Address: Unit #:
Name: ► r A1+t4t0 AlC4 `) Phone: bloc . 61a. c%' % -7
Address / City / Zip: 416 [QI4uc k Uol kun /VW S5) a
Applicant is: 7-Owner Contractor
Type of Work
19P 9A-ko-tfei Per4k
Description of work: 1 m' s41.i
Construction Cost:
Multi -Family Building: (Yes
DYf
/ No ,)
912411
Contractor
Company: )C l'F Contact:
Address: City: r1 o� r
State: Zip: Phone: Email: I+. "Celli • alai Q- &IAN
License #:
Lead Certificate #:
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Phone:
Phone:
Sewer & Water Contractor. Phone:
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 conclude that they are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeacian.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit Issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. CaII 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 approv�Af p(ans.
x 41.141k) . r °lW(€ j
J f
Applicant's Printed Name
/J c
x
Applicant'signature
DO NOT WRITE BELOW THIS LINE
&,UB TYPES
Foundation
Single Family
Multi
01 of _ Plex
WORK TYPES
New
Addition
Alteration
Replace
_ Retaining Wall
DESCRIPTION
Valuation
Plan Review
Fireplace
_ Garage
Deck
Lower Level
Y�IRcK 42o1 /a--?-& 9?
_ Porch (3-Season) _
Porch (4-Season) _
Porch (Screen/Gazebo/Pergola)
Pool
_ Interior Improvement
Move Building
Fire Repair
_ Repair
/11('120
(25%_ 100% X )
Census Code
#of Units
# of Buildings
Type of Construction
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation Foundation Before Backfill
Roof: _Ice & Water _Final
Framing _430 Minutes 1 Hour
Fireplace: _Rough In Air Test _Final
\[ Insulation
C Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Reviewed By:
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
Siding
Reroof
Windows
_ Egress Window
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
Demolish Building*
_ Demolish Interior
Demolish Foundation
_ Water Damage
*Demolition of entire building - give PCA handout to applicant
MCES System
0 SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC _ Service Test Gas Line Air Test _ Hood
Pool: _Footings Air/Gas Tests _Final
Drain Tile
Siding: _Stucco Lath _Stone Lath _Brick _ EFIS
Windows
Retaining Wall: _ Footings _ Backfill _ Final
Radon Control
Fire Suppression: _Rough In _Final
Erosion Control
Other:
Building Inspector
1q0/(19-0 (000
Page 2 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA162939
Date Issued:08/06/2020
Permit Category:ePermit
Site Address: 4625 Black Wolf Run
Lot:1 Block: 1 Addition: Dakota Path 2nd
PID:10-19541-01-010
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 -
Matthew J Mccall
4625 Black Wolf Run
Eagan MN 55123
Bruckmueller Plumbing Inc
3992 Pennsylvania Ave
Eagan MN 55123
(651) 686-6696
Applicant/Permitee: Signature Issued By: Signature