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1292 Interlachen Dr _L ///ogg ql 3—4` qk, y t.) Use BLUE or BLACK Ink For Office Use 0.1 �� MC. l CEIVED . Permit#: ' 6( s,-/7 City of Eaaall 6 57 6 Permit Fee:9 SS9i 3830 Pilot Knob Road JAN19 �4�� j f ' ty �� Eagan MN 55122 Date Received: ti/ Phone:(651)675-5675 Fax:(651)675-5694 Staff: U) / _5.4L/o1 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ( I12 t1 Site Address: t. .12 itti IvlCi is ai' Unit#: . t`. t Ips VFX (r. Phone: A� ',4 Name: i� yy��,,�� a ittiP F -.-', Address/City/Zip: 2�L(Ol% h6r� G ,t 1 Y i�) 1�. r9l 1 ttlb Applicant is: Owner /Contract°1:1717,///f �Q� ��� .rtit f 4`{ teco1 1(fr1P41 �(r o raw) I.y /9c(r7ii `0l� Description of work: w V � �#B �OI IC Construction Cost � � C� Multi-Family Building:(Yes /No '�) z s � �, ' Company: 17•. r� t Ifl' r , ( 4 L G Contact: i Address: _.�^ Or-'; OVVedr City: �' toi State: Zip: Phone: Email: ,:f k � License#: 6st✓�* I Lead Certificate#: If the project is exempt from lead certification, please explain why: icekt c ru Ci COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Inthe st 12 months,has the City of Eagan issued a permit for a similar�+� plan based on a ma/steer,�-plan? e}► f Yes NoIf s (. ai 1 V • t l• 0 yes,date and address of master plan: `vl� Licensed Plumber: *A Kc, Phone: 1� • � ' f�� Mechanical Contractor: stIer Phone: 1(0/2• 1- F,•' gf&-1 • Sewer&Water Contractor: r I1M N110IY14 Phone: CI - 2• t� ' ' �t1 Fire Suppression Contractor: Phone: NOTE:Flans and.supportingdocuments that o omit are considered to ibl c info tion. P 6„ the information may ecc s,stfi s on public if„ root i provide specrfc rca `,, stha`would',# 4 0. �ito c ttd1"tle that, h ire trad secret CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 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 oif Eagan; that I understand this is not a permit, but only an application fora 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. II • --Q°Cil Applicant's Prir)ed Name Applicant's Signature Page 1 of 3 / f, zlik;(C/ /)-- DO NOT WRITE BELOW THIS LINE it/00-V-7 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 Lia tt OccupancyMCES;System Plan Review Code Edition } SAC Units (25% r 100% ) Zoning 1913 City Water Census Code Stories c2 Booster Pump #of Units Square Feet `"1(Q 7� PRV #of Buildings Length I Fire Suppression Required Type of Construction Ni I Width Lir REQUIRED INSPECTIONS XFootings(New Building) Meter Size: Footings(Deck) Final I C.O.Required Footings (Addition) Final/No C.O.Required ie Foundation HVAC_Gas Service Test Gas Line Air Test Roof:_Ice&Water _Final Pool: Footings Air/Gas Tests Final Framing Drain Tile Fireplace: s( Rough In )(Air Test Final Siding: Stucco Lath ')(, one La Brick Insulation Windows ?(, Sheathing Retaining Wall: Footings Backfill Final )( Sheetrock )( Radon Control Fire Walls Fire Suppression: _Rough In Final S Braced Walls Erosion Control Shower PanOther: Reviewed By: , Building Inspector 5 'CY RESIDENTIAL FEES ., n °9 1 Base Fee Surcharge 64,,,y_),?.. ri" /0 6 q .LL, a . IEJ2.1335:37 Plan Review ) f MCESSAC til ) ' M, ,l7 lI -2 1, :— i 6,12231 City SAC 2 `-y/`: / 7 `N 13')i 24,3,L/0 Utility Connection Charge -- - S&W Permit&Surcharge 1 /' `"I)( y Li31.14)--- 1i (I' Treatment Plant Copies TOTAL � .� �Li'—'� 1.�`�^f lt�f Page2of3 /q7 New Construction Energy Code Compliance Certificate Date Certificate Posted ,t„.,_ 43ed .14 Per R,401.3 Building Certificate.A building certificate shall be posted on or in the electrical distribution panel. 1/12/17 Mailing Address of the Dwelling or Dwelling Unit 1292 Interlachen Drive Name of Residential Contractor MN License Number DRHorton BC605657 Community Plan ID Eagan 5470 'THERMAL ENVELOPE I RADON SYSTEM Type:Check All That Apply X Passive(No Fan) 0 u C, H Active(With fan and monometer or m -o other system»tml#oring device) a dE1 b t) Location(or future Location)of Fan: CY7 tY7 a� op Insulation Location ° z ° o w H z w w w° w° o cC Other Please Describe Here Below Entire Stab X Foundation Wall(Sides) R-15 X R-10 Exterior,R-5 Interior Foundation Wall(Front and Back) R-10 _ X Exterior Rim Joist(Foundation) R-20 X Interior Rim Joist(l't Floor+) R-20 X Interior wall R-21 X Ceiling,flat R-49 X Ceiling,vaulted R-49 X Bay Windows or cantilevered areas R-30 X Bonus room over garage R-32 X X Describe other insulated areas Building Envelope air Tightness: Duct system air tightness: Windows&Doors Heating or Cooling Ducts Outside Conditioned Spaces Average U-Factor(excludes skylights and one door)U: 0.31 Not applicable,all ducts located in conditioned space Solar Heat Gain Coefficient(SHGC): 0.31 R-8 R-value MECHANICAL SYSTEMS Make-up Air Select aType Appliances Heating System Domestic Water Heater Cooling System X Not required per mech.code Fuel Type NAT GAS NAT GAS R-410A Passive Manufacturer Bryant Rheem Bryant Powered Interlocked with exhaust device. Model 912SC48080S17 PROG5042NRH67PV BA1 3NA036 Describe: Input in 80000 Capacity in 50 Output in 3 Other,describe: Rating or Size BTUS: Gallons: Cons: AFUE I or 92% SEER or 13 Location of duct or system: Efficiency "HSPF% EER` HEAT LOSS HEAT GAIN COOLING LOAD RESIDENTIAL LOAD CALL 57,426 28,581 35,014 Cfm's i round duct UK Mechanical Ventilation 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 furnace Not required per mech.code Select Type X Passive Heat Recover Ventilator(HRV) Capacity in cfins: Low: High: Other,describe: X Energy Recover Ventilator(ERV)Capacity in cfins: Low: 40%=124 High: 70%=217 Location of duct or system: Balanced Ventilation Capcity in CFMS: furnace room Locations of Fans,describe: Cfin's Capacity continuous ventilation rate in cfins: 90 4 "round duct OR Total ventilation(intermittent+continuous)rate in cfins: 180 "metal duct • 1292 Interlachen Dr Eagan HVAC Load Calculations for DR Horton Lakeville, MN Prepared By: Michael Holum Sabre Plumbing&Heating 15535 Medina Road Plymouth, MN 55447 763-473-2267 Thursday,January 12,2017 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. Rhvac Residential$ t " y rcial HVAC Lads Elite Sa ©evelo n•t , •abt ult incg,f&mea g B - 129 erIr cheti1 Dr a Ea Project Report i....3 , ���,l�l��� Cll'f�r"�'f`i�tlf)t ,,.;�.. � �°"' ,�� ...,...„ :�. ... .�� a.�..,, \ , ,.atePN Project Title: 1292 Interlachen Dr Eagan Designed By: Michael Hoium Project Date: Thursday, January 12, 2017 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 Reference City: Minneapolis, Minnesota Building Orientation: Front door faces West Daily Temperature Range: Medium Latitude: 44 Degrees Elevation: 834 ft. Altitude Factor: 0.970 Outdoor Outdoor Outdoor Indoor Indoor Grains Dry Bulb Wet Bulb Rel.Hum Rel.Hum Dry Bulb Difference Winter: -15 -12.38 n/a 30% 72 29.40 Summer: 88 73 50% 50% 75 35 1167116611 ki01111111111NIMINIPZAitiiiONVIIIIM1111111111111111EMBEMOSSiiiiiiii011111111111111121Siilliti Total Building Supply CFM: 1,290 CFM Per Square ft.: 0.291 Square ft. of Room Area: 4,426 Square ft. Per Ton: 1,517 Volume (ft3)of Cond. Space: 33,153 Bufilditg'Loads . . . . .. ., Total Heating Required Including Ventilation Air: 57,426 Btuh 57.426 MBH Total Sensible Gain: 28,581 Btuh 82 % Total Latent Gain: 6,433 Btuh 18 % Total Cooling Required Including Ventilation Air: 35,014 Btuh 2.92 Tons(Based On Sensible+ Latent) Notes `t, 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. Thursday, January 12, 2017,3:13 PM i�hvac Resl�leilttaa�fry,11 Light Gommerla1 HttAtw'eac(s Elite Software Development,Inc,: 'B '2Ptur feing&Heating, �,° a ‘129.2,41)f ta0 3er1 DC%EAq Pt rrso ,M547"' o,,,..< „ „ ^ Page 3_3 Load Preview Report Net ft.2: Sen Lat Net Sen Sys Sys Cl i Duct Scope Ton /Ton Area Gain Gain Gain ` Loss 9 9 Size CFM CFM CFM Building 2.92 1,517 4,426 28,581 ; 6,433 35,014 57,426 674 1,290 1,290 System 1 2.92 1,517 4,426 28,581 6,433 35,014 57,426 674 1;290 1,290 12x18 Ventilation 999 4,177 5,175 6,685 Supply Duct Latent 107 107 Return Duct 55. 49 104 367 Humidification 6,421 Zone 1 4,426 27,527 2,101 29,628 43,953 674 1,290 1,290 12x18 1-Basement 1,423 2,624 0 2,624 12,892 198 123 123 2-5 2-Main Floor 1,423 14,242 2,101 16,343 14,902 229 667 667 7-6 3-Second Floor 1,580 10,662 0 10,662 16,159 248 499 499 5-6 Thursday, January 12, 2017, 3:13 PM • I�hvac��QSI{�entlal i3e�I ht�Q/�1[iI�CCI11���t-ZS�t�S 4Y�a�r l Sabre Plumbing&Floating °� `" ',, 1292'Interla ben rEa fly uth, IN 55447 Total Building Summary Loads Ar etEtI 9 DRH LowEE 2725: Glazing-DRH Windows, u-value 0.27, 9.7 227 0 260 260 SHGC 0.25 DRH LowEE 2932: Glazing-DRH Windows, u-value 0.29, 20 505 0 674 674 SHGC 0.32 DRH LowEE 3131: Glazing-DRH Windows, u-value 0.31, 300 8,093 0 9,445 9,445 SHGC 0.31 DRH LowEE 3132: Glazing-DRH Windows/Glass Doors, 48 1,295 0 1,630 1,630 u-value 0.31, SHGC 0.32 DRH Door 31 U F: Door-DRH Exterior Door- .31 U Factor, 37.8 1,018 0 281 281 .23 SHGC DRH- R15 8ft-4in: Wall-Basement, Custom, DRH-8" 616.6 2,728 0 162 162 poured concrete wall, R-15 board insulation to footing, no interior finish, 8'-4"floor depth DRH-R10 8ft-4in: Wall-Basement, Custom, DRH-8" 716.6 3,409 0 189 189 poured concrete wall, R-10 board insulation to footing, no interior finish, 8'-4"floor depth DRH-R10 3.5ft: Wall-Basement, Custom, DRH-8" 116.7 599 0 59 59 poured concrete wall, R-10 board insulation to footing, no interior finish, 3.5'floor depth 12F-Osw: Wall-Frame, R-21 insulation in 2 x 6 stud 2723.2 15,401 0 2,355 2,355 cavity, no board insulation, siding finish,wood studs RJ 20 Spray Foam: Wall-Frame, Custom, Rim Joist R-20 473.4 2,058 0 580 580 Closed Cell Spray Foam R49 16B-49: Roof/Ceiling-Under Attic with Insulation on 1580 3,162 0 1,744 1,744 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 1423 3,343 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, 216 564 0 52 52 Custom, R-30 Blanket insulation, 3/4" Foamboard R- 2, any cover Subtotals for structure: 42,402 0 17,431 17,431 People: 6 1,200 1,380 2,580 Equipment: 901 4,116 5,017 Lighting: 1250 4,263 4,263 Ductwork: 1,918 156 392 548 Infiltration: Winter CFM: 0, Summer CFM: 0 0 0 0 0 Ventilation: Winter CFM: 180, Summer CFM: 180 6,685 4,177 999 5,175 Humidification (Winter) 17.51 gal/day ......... 6,421 0....... Total Building Load Totals: 57,426 6,433 28,581 35,014 Total Building Supply CFM: 1,290 CFM Per Square ft.: 0.291 Square ft. of Room Area: 4,426 Square ft. Per Ton: 1,517 Volume(ft3)of Cond. Space: 33,153 qq IE_�,,,.:" slad Total Heating Required Including Ventilation Air: 57,426 Btuh 57.426 MBH Total Sensible Gain: 28,581 Btuh 82 Total Latent Gain: 6,433 Btuh 18 Total Cooling Required Including Ventilation Air: 35,014 Btuh 2.92 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 ACCA Manual D. All computed results are estimates as building use and weather may vary. Thursday, January 12, 2017, 3:13 PM 22 rlachn T3f 1=aari Pale 5 Total Building Summary Loads (cont'd) • ®rem i ..,,. ...: ax..,-.... ^,'��� �. ,`� .. � £�....... Be sure to select a unit that meets both sensible and latent loads according to the manufacturer's performance data at your design conditions. Thursday, January 12, 2017, 3:13 PM ''14144'46'1711",ii�n%tiat c b Commerciai lAC Loads ' -N4 � Eflte S ft rare�v44n ' rnC 1i Sabre Plunking-&H nc ,o '/ 1292 Interla en Dr an. Pty,mouth,MN S5447'' y55 Detailed Room Loads - Room 1 - Basement (Average Load Procedure) rt. �...a _ ,. ..o....ie.ta.. .. . .., ,:::.' ,E,.‘, t,,,....,. ...?' .. tti .,i 6x,9ni�wx,.,rT .,.v4�3,�'�. ,... .: Calculation Mode: Htg. &clg. Occurrences: 1 Room Length: 28.5 ft. System Number: 1 Room Width: 50.0 ft. Zone Number: 1 Area: 1,423.0 sq.ft. Supply Air: 123 CFM Ceiling Height: 8.3 ft. Supply Air Changes: 0.6 AC/hr Volume: 11,858.30 cu.ft. Req. Vent. Clg: 0 CFM Number of Registers: 2 Actual Winter Vent.: 53 CFM Runout Air: 61 CFM Percent of Supply.: 43 % Runout Duct Size: 5 in. Actual Summer Vent.: 17 CFM Runout Air Velocity: 451 ft./min. Percent of Supply: 14 Runout Air Velocity: 451 ft./min. Actual Winter Infil.: 0 CFM Actual Loss: 0.164 in.wg./100 ft. Actual Summer Infil.: 0 CFM I)escn:ho \, .t ua .... ., e.... _- Tf t........", v T w- .?, ajn.. ....... Gain S -Wall-DRH- R15 8ft-4in 37 X 8.3 308.3 0.042 4.4 1,364 0.3 0 81 E -Wall-DRH- R10 8ft-4in 36 X 8.3 300 0.050 4.8 1,427 0.3 0 79 E -Wall-DRH- R10 3.5ft 14 X 8.3 116.7 0.054 5.1 599 0.5 0 59 E-Wall-12F-Osw 14 X 8.3 87 0.065 5.7 492 0.9 0 75 N-Wall-DRH-R15 8ft-4in 37 X 8.3 308.3 0.042 4.4 1,364 0.3 0 81 W-Wall-DRH-R10 8ft-4in 50 X 8.3 416.7 0.050 4.8 1,982 0.3 0 110 S -Wall-RJ 20 Spray Foam 37 X 1.5 55.5 0.050 4.4 241 1.2 0 68 E -Wall-RJ 20 Spray Foam 50 X 1.5 75 0.050 4.4 326 1.2 0 92 N-Wall-RJ 20 Spray Foam 37 X 1.5 55.5 0.050 4.4 241 1.2 0 68 W-Wall-RJ 20 Spray Foam 50 X 75 0.050 4.4 326 1.2 0 92 1.5 E -Gls-DRH LowEE 2725 shgc-0.25 9.7 0.270 23.5 227 26.9 0 260 0%S E-Gls-DRH LowEE 2932 shgc-0.32 20 0.290 25.2 505 33.7 0 674 0%S Floor-21A-20 50 X 28.5 1423 0.027.... 2.3 3,343 0.0 0 0._. Subtotals for Structure: 12,437 0 1,739 Infil.: Win.: 0.0, Sum.: 0.0 1,188 0.000 0 0.000 0 0 Ductwork: 455 32 Lighting 250 _............................................................ 853 Room Totals: 12,892 0 2,624 Thursday, January 12, 2017, 3:13 PM S & t C aa � ,,,,,,,,,,,,,3004,;,,,,, ,,,,Elate Soft2►are Deelapmetenc 'Rhvac Residertlal [ hCommecialFiALds � � 192tFnterlavchenDri 4abre Plumbing&1ting ' / ,.Plymouth,"MN, I7 ,,,,,,,,,..,,_ Detailed Room Loads - Room 2 - Main Floor (Average Load Proced,,,,z„.,;#,...:0 „01„,vortall::,,4,7, ,,,„_ :,.:io,i,i„,,,_,„„;,,,,,,.,,,,:„.,„„,,„,,,,,, ,ure) General e�� Calculation Mode: Htg. &clg. Occurrences: 1 Room Length: 28.5 ft. System Number: 1 Room Width: 50.0 ft. Zone Number: 1 Area: 1,423.0 sq.ft. Supply Air: 667 CFM Ceiling Height: 9.0 ft. Supply Air Changes: 3.1 AC/hr Volume: 12,807.00 cu.ft. Req. Vent. CIg: 0 CFM Number of Registers: 7 Actual Winter Vent.: 61 CFM Runout Air: 95 CFM Percent of Supply.: 9 Runout Duct Size: 6 in. Actual Summer Vent.: 93 CFM Runout Air Velocity: 485 ft./min. Percent of Supply: 14 % Runout Air Velocity: 485 ft./min. Actual Winter Infil.: 0 CFM Actual Loss: 0.147 in.wg./100 ft. Actual Summer Infil.:ir„ 0 CFM tal Item lrr , Y Serf e �� 10escrrptip �::'''' 4'''''''''''''-'''''% s .. - QLicantlty Wei,!Wats .. .> ..,, ,_ 1 S-Wall-12F-Osw 37 X 9 333 0.065 5.7 1,883 0.9 0 288 E -Wall-12F-Osw 50 X 9 320 0.065 5.7 1,810 0.9 0 277 N -Wall-12F-Osw 37 X 9 321 0.065 5.7 1,815 0.9 0 278 W-Wall-12F-Osw 50 X 9 376.2 0.065 5.7 2,128 0.9 0 325 S -Wall-RJ 20 Spray Foam 41 X 1.2 47.8 0.050 4.4 208 1.2 0 59 E-Wall-RJ 20 Spray Foam 50 X 1.2 58.4 0.050 4.4 254 1.2 0 71 N -Wall-RJ 20 Spray Foam 41 X 1.2 47.8 0.050 4.4 208 1.2 0 59 W-Wall-RJ 20 Spray Foam 50 X 58.4 0.050 4.4 254 1.2 0 71 1.2 W-Door-DRH Door 31 OF 3 X 6.7 20 0.310 27.0 539 7.4 0 149 W-Door-DRH Door 31 OF 2.7 X 6.7 17.8 0.310 27.0 479 7.4 0 132 E -Gls-DRH LowEE 3131 shgc-0.31 90 0.310 27.0 2,425 33.0 0 2,970 0%S (5) E-Gls-DRH LowEE 3132 shgc-0.32 40 0.310 27.0 1,079 33.9 0 1,358 0%S N -Gls-DRH LowEE 3131 shgc-0.31 12 0.310 27.0 324 9.9 0 119 100%S W-Gls-DRH LowEE 3131 shgc- 36 0.310 27.0 970 33.0 0 1,188 0.31 0%S(2) Subtotals for Structure: 14,376 0 7,344 Infil.: Win.: 0.0, Sum.: 0.0 1,778 0.000 0 0.000 0 0 Ductwork: 526 175 People: 200 lat/per, 230 sen/per: 6 1,200 1,380 Equipment: 901 3,638 Lighting: _ 500 -- ------___ 1,705 Room Totals: 14,902 2,101 14,242 Thursday, January 12, 2017, 3:13 PM Rhvac Residential0tpht C€tmmercr I lC t,0040ff A' ,, �Hte.Software Deveiopnwnt tom_' Sabre�PMI c&i &lHeatinn � y�� 44 a k1 teriactr pry ,Plymouth,MN.55447 „ Mr:. 0 i : 4 ,".,,,,. .; 1A 4 ,> !age83 Detailed Room Loads - Room 3 - Second Floor (Average Load Procedure) Aetleral, c`„r3...k `....`. i ,ro :xm .._ `a = , ttt.... „ „a`v..,4 . ,... Calculation Mode: Htg. &clg. Occurrences: 1 Room Length: 31.6 ft. System Number: 1 Room Width: 50.0 ft. Zone Number: 1 Area: 1,580.0 sq.ft. Supply Air: 499 CFM Ceiling Height: 8.0 ft. Supply Air Changes: 2.4 AC/hr Volume: 12,640.00 cu.ft. Req. Vent. Clg: 0 CFM Number of Registers: 5 Actual Winter Vent.: 66 CFM Runout Air: 100 CFM Percent of Supply.: 13 % Runout Duct Size: 6 in. Actual Summer Vent.: 70 CFM Runout Air Velocity: 509 ft./min. Percent of Supply: 14 % Runout Air Velocity: 509 ft./min. Actual Winter Infil.: 0 CFM Actual Loss: 0.161 in.wg./100 ft. Actual Summer Infil.: 0 CFM {tern P./�� �� Area' - Sen Ct t Sen ,i��... � n� Vattae . .... 'i=lTt 7 .131 , u .. S-Wall-12F-Osw 41 X 8 316 0.065 5.7 1,787 0.9 0 273 E -Wall-12F-Osw 50 X 8 325 0.065 5.7 1,838 0.9 0 281 N -Wall-12F-Osw 41 X 8 328 0.065 5.7 1,855 0.9 0 284 W-Wall-12F-Osw 50 X 8 317 0.065 5.7 1,793 0.9 0 274 S -Gls-DRH LowEE 3131 shgc-0.31 12 0.310 27.0 324 18.2 0 218 0%S E -Gls-DRH LowEE 3131 shgc-0.31 75 0.310 27.0 2,025 33.0 0 2,475 0%S (5) W-Gls-DRH LowEE 3131 shgc- 75 0.310 27.0 2,025 33.0 0 2,475 0.31 0%S (5) W-Gls-DRH LowEE 3132 shgc- 8 0.310 27.0 216 34.0 0 272 0.32 0%S (2) UP-Ceil-R49 16B-49 31.6 X 50 1580 0.023 2.0 3,162 1.1 0 1,744 Floor-P-32 R-32 18 X 12 216 0.030 2.6 564 0.2 0 52 Subtotals for Structure: 15,589 0 8,348 Infil.: Win.: 0.0, Sum.: 0.0 1,456 0.000 0 0.000 0 0 Ductwork: 570 131 Equipment: 0 478 Lighting: 500 1,705 Room Totals: 16,159 0 10,662 Thursday, January 12, 2017, 3:13 PM Site address 1292 Interlachen Dr, Eagan MN Date 11/12/2017 Contractor Sabre Plumbing & Heating Completed Michael H . Section A Ventilation Quantity (Determine quantity by using Table R403.5.2 or Equation 11-1) Square feet(Conditioned area including 4426 Total required ventilation 180 Basement—finished or unfinished) - 5 Continuous ventilation 90 Number of bedrooms Directions-Determine the total and continuous ventilation rate by either using Table R403.5.1 or equation 11-1. 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 Total/ Total/ Total/ Total/ Total/ Total/ sn ft) rnntinunus rontinunus rnntiniirnus rontinunns rontinuous continuous 1000-1500 60/40 75/40 90/45 105/53 120/60 135/68 1501-2000 70/40 85/43 100/50 115/58 130/65 145/73 2001-2500 80/40 95/48 110/55 125/63 140/70 155/78 2501-3000 90/45 105/53 120/60 135/68 150/75 165/83 3001-3500 100/50 115/58 130/65 145/73 160/80 175/88 3501-4000 110/55 125/63 140/70 155/78 170/85 185/93 4001-4500 120/60 135/68 150/75 165/83 180/90 195/98 4501-5000 130/65 145/73 160/80 175/88 1 205/103 5001-5500 140/70 155/78 170/85 185/93 200/100 215/108 5501-6000 150/75 165/83 180/90 195/98 210/105 _225/113 Equation 11-1 (0.02 x square feet of conditioned space)+[15 x(number of bedrooms+1)]=Total ventilation rate(cfm) Total ventilation—The mechanical ventilation system shall provide sufficient outdoor air to equal the total ventilation rate average,for each one-hour period according to the above table or equation.For heat recovery ventilators(HRV)and energy recovery 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 ri Exhaust only Ventilator)—cfm of unit in low must not exceed continuous Continuous fan rating in cfm ventilation rating by more than 100%. Low cfm: 1 A High cfm: , Continuous fan rating in cfm(capacity must not exceed `t continuous ventilation rating by more than 100%) Directions-Choose the method of ventilation,balanced or exhaust only.Balanced ventilation systems are typically HRV or ERV's. Enter the low and high cfm amounts.Low cfm air flow must be equal to or greater than the required continuous ventilation rate and less than 100%greater than the continuous rate.(For instance,if the low cfm is 40 cfm,the ventilation fan must not exceed 80 cfm.) Automatic controls may allow the use of a larger fan that is operated a percentage of each hour. Section C Ventilation Fan Schedule Description Location Continuous Intermittent Directions-The ventilation fan schedule should describe what the fan is far,the location,cfm,and whether it is used for continuous or intermittent ventilation.The fan that is chose for continuous ventilation must be equal to or greater than the low cfm air rating and less than 100%greater than the continuous rate.(For instance,if the low cfm is 40 cfm,the continuous ventilation fan must not exceed 80 cfm.)Automatic controls may allow the use of a larger fan that is operated a percentage of each hour. Section D Ventilation Controls (Describe operation and control of the continuous and intermittent ventilation) ERV has wall control-set to 40%=124 CFM ERV has wall control-set to 70%=217 CFM Directions-Describe the operation of the ventilation system.There should be adequate detail for plan reviewers and inspectors to verify design and installation compliance.Related trades also need adequate detail for placement of controls and proper operation of the building ventilation.if exhaust fans are used far building ventilation,describe the operation and location of any controls,indicators and legends.if an ERV or HRV is to be installed,describe how it will be installed.If it will be connected and interfaced with the air handling equipment,please describe such connections as detailed in the manufactures' installation instructions.If the installation instructions require or recommend the equipment to be interlocked with the air handling equipment for proper operation,such interconnection shall be made and described. Directions-In order to determine the makeup air,Table 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 501.4.1 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 multiple fan- One atmospherically vent Multiple atmospherical- vent or direct 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 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 4426 unfinished basements) Estimated House Infiltration(cfm):[la cGA x lb] V�J�F 2.Exhaust Capacity a)continuous exhaust-only ventilation system ERV=0 (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 240 (not applicable if recirculating system or if powered makeup air is electrically interlocked d)80%of next largest exhaust rating Not (cfm);bath fan typically Applicable (not applicable if recirculating system or if powered makeup air is electrically interlocked Total Exhaust Capacity(cfm); [2a+2b+2c+2d] 375 3.Makeup Air Quantity(cfm) 375 a)total exhaust capacity(from above) b)estimated house infiltration(from Cc A above) VV•+ Makeup Air Quantity(cfm); [3a—ub] (if value is negative,no makeup air is needed) -289 4.For makeup Air Opening Sizing,refer NOT REQ'D 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.) 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 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 Existing Dwelling Units One or multiple power One or multiple fan- One atmospherically 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 Passive opening 1-36 1-22 1-15 1-9 3 Passive opening 37-66 23-41 16-28 10-17 4 Passive opening 67—109 42—66 29—46 18—28 5 Passive opening 110-163 67—100 47—69 29—42 6 Passive opening 164-232 101-143 70-99 43-61 7 Passive opening 233-317 144-195 100-135 62-83 8 Passive opening 318-419 196-258 136-179 84-110 9 w/motorized damper Passive opening 420—539 259—332 180—230 111-142 10 w/motorized damper Passive opening 540-679 333-419 231-290 143-179 11 w/motorized damper Powered makeup air >679 >419 >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 Not required per mechanical code(No atmospheric or power vented appliances) i Passive(see IFGC Appendix E,Worksheet E-1) 'Size and type 3"Rigid,4"Flex Other,describe: Explanation-If no atmospheric or power vented appliances are installed,check the appropriate box,not required.If a power vented or atmospherically vented appliance installed,use 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: 80000 draft Hood Dan Assisted I✓Direct Vent Input: Btu/hr or Power Vent Water Heater: 40000 raft Hood IJ Fan Assisted ❑Direct Vent Input: Btu/hr or Power Vent Step 2:Calculate the volume of the Combustion Appliance Space(CAS)containing combustion appliances. 1824 The CAS includes all spaces connected to one another by code compliant openings. CAS volume: ft3 LxWxH F1L1-1W®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: ft3 Volume(TRV) If CAS Volume(from Step 2)i s greater than TRV then no outdoor openings are needed. If CAS Volume(from Step 2)i s less than TRV then go to STEP 5. 4b.Known Air Infiltration Rate(KAIR)Method(DO NOT COUNT DIRECT VENT APPLIANCES) Total Btu/hr input of all fan-assisted and power vent appliances Input: 40000 Btu/hr Use Fan-Assisted Appliances column in Table E-1 to find RVFA: 3000 ft3 Required Volume Fan Assisted(RVFA) Total Btu/hr input of all Natural draft appliances Input: 0 Btu/hr Use Natural draft Appliances column in Table E-1 to find RVNFA: 0 ft3 Required Volume Natural draft appliances(RVNDA) Total Required Volume(TRV)=RVFA+RVNDA TRV= 3000 + 0 = 3000 TRV ft3 Step 5:Calculate the ratio of available interior volume to the total required volume. Ratio=CAS Volume(from Step 2)divided by TRV(from Step 4a or Step 4b) Ratio= 1824 / 3000 = 0.61 Step 6:Calculate Reduction Factor(RF). RF=l mi n us Ratio RF=1- 0.61 = 0.39 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(CADA): Total Btu/hr divided by 3000 Btu/hr per int CAOA= 40000 /3000 Btu/hr per inz= 13.33 inz Step 8:Calculate Minimum CAOA. .1 Minimum CAOA=CAOA multiplied by RF Minimum CAOA= 1 3.33 x 0.39 = 5.23 in2 Step 9:Calculate Combustion Air Opening Diameter(CAOD) CAOD=1.13 m ultiplied by the square root of Minimum CAOA CAOD=1.13 J Minimum CAOA= 2.58 in.diameter go up one inch in size if using flex duct 1 If desired,ACH can be determined using ASHRAE calculation or blower door test.Follow procedures in Section G304. IFGC Appendix E,Table E-1 Residential Combustion air(Required Interior Volume Based on Input Rating of Appliance) Input Rating Standard Method Known Air Infiltration Rate(KAIR)Method(cu ft) (Btu/hr) Fan Assisted or Power Vent Natural Draft 1994 to present Pre-1994 1994 to present Pre-1994 5,000 250 375 188 525 263 10,000 500 750 375 1,050 525 15,000 750 1,125 563 1,575 788 20,000 1,000 1,500 750 2,100 1,050 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 7,125 3,563 9,975 4,988 100,000 5,000 7,500 3,750 10,500 5,250 105,000 5,250 7,875 3,938 11,025 5,513 110,000 5,500 8,250 4,125 11,550 5,775 115,000 5,750 8.625 4,313 12,075 6,038 120,000 6,000 9,000 4,500 12,600 6,300 125,000 6,250 9,375 4,688 13,125 6,563 130,000 6,500 9,750 4,875 13,650 6,825 135,000 6,750 10,125 ,5,063 14,175 7,088 140,000 7,000 10,500 5,250 14,700 7,350 145,000 7,250 10,875 5,438 15,225 7,613 150,000 7,500 11,250 5,625 15,750 7,875 155,000 7,750 11,625 5,813 16,275 8,138 160,000 8,000 12,000 6,000 16,800 8,400 165,000 8,250 12,375 6,188 17,325 8,663 170,000 8,500 12,750 6,375 17,850 8,925 175,000 8,750 13,125 6,563 18,375 9,188 180,000 9,000 13,500 6,750 18,900 9,450 185,000 9,250 13,875 6,938 19,425 9,713 190,000 9,500 14,250 7,125 19,950 9,975 195,000 9,750 14,625 7,313 20,475 10,238 200,000 10,000 15,000 7,500 21,000 10,500 205,000 10,250 15,375 7,688 21,525 10,783 210,000 10,500 15,750 7,875 22,050 11,025 215,000 10,750 16,125 8,063 22,575 11,288 220,000 11,000 16,500 8,250 23,100 11,550 225,000 11,250 16,875 8,438 23,625 11,813 230,000 11,500 17,250 8,625 24,150 12,075 1.The 1994 date refers to dwellings constructed under the 1994 Minnesota Energy Code.The default KAIR used in this section of the table is 0.20 ACH. 2.This section of the table is to be used for dwellings constructed prior to 1994.The default KAIR used in this section of the table is 0.40 ACH. /Wog 7 411,a1. City Inspection Dept.Copy City of Eap City Forester Copy Applicant/Builder Copy INDIVIDUAL) ESIDE TIAL o a t TREE PREF TION PLA pineOF EAGAN:FORESTRY DIVISION 44 651-075-5300 . (BUILDER, PLEASE READ ATTACHMENTS) Development Dakota Path 3rd Addition Lot Number 1 Block Number 2 Address 1292 Interlachen Drive Builder D. R. Horton Phone Number: 612-508-1642 Contact: Kevin Bartol Tree Protection Requirements: Tree Protection Fencing Installed on Site(Erosion tubes) Oak Tree Pruning (Immediately seal wounds during April 1 to July 31) Therapeutic Pruning Required Retaining Wall To Be Installed Other: Replacement Trees: Not Required X As Follows: One(1)Category B trees(>=2.5"caliper deciduous trees or>= 6' hgt coniferous trees), per approved Tree Mitigation Plan; in front yard following completion of construction. Attachments: /��'�/I� X Yes (Refer toattaithE oF FiESTRY DIVISION No REVIEWED/4 ik.\_ Additional Notes: BY DATE H:\ghove\2017file\treepres\Tree Preservation Plan Dakota Path 3'"Add.Lot'Block 2 -1":11- -7:F4s11047054,02.w ..... ..6_7.____ 1 -1- 1 o 1a r — L._,_ (144 4 - 1044. ,. 70.00 LP, to 0 +z 1.- a, Mack .1D455 .:J" . _174:, a. sFrei c+ 8 f m m 044.87 Mokiks.. • } •r DRlt�prgy 10"lea) • V � 191Q457 ! �'• o r '►1 �y 1.04 7 �,0,8>)-7T GE :'o R oma. ►r `1 • aCAOKOO 4,6 �Idit, 1 � i !! 1 ls t, _J 10111 b ,4043 ,pp'/ �� i,, .f�rj`7tb co � i 5` 0136 '`A �` --, • C� m m n O to4z3r 10 '.� gS ' to 3'o ------->—___ .1 .11043.,,, No=r2r34"E7070.13r"- f (; a' ,r.__ > t.twyzl/,i Cb -, r— a :a `••-GRAIN .sEcR S ' PER w ww a,g La/ 1 r' / llt 9,11 2.i$ ! 4 2 a.a x (1056.3\ •1 ' /1054.9) 21 15 "- 70.58 S00°32'48"W k^ d o 2 22 �•-1 S�,1�1 "Ti -4 W m- In un .a w 1.+r zy z -0 'D R. a' Q S g5 .Sl UWI O- C1 OSt d n mrqf-44: aa I G 2 7c r.147111 /$4151a;176 ir ion O m O . _w S. 3;=} rn • D a AEo„ oHH A > m� dG .D 1- O 126 ?a 5.-' moi to r :. P a= 5-e -1 s a a n Z o. aga ~ ' �mn Q s^i '=^ a N D 3 ^PXg D 4bua .D.1 N >2. A/ zN 2,041 _,, t - N w 0 p d9 „ E3 4-„°,f 3 Q Z kk N d ^3 L w a pQp1 .g 51 axai 'O.F= C my,i O .'✓ a"dZ' � pVp 1,+y 1+1+,1pa+n s 'fps• Eil _5 pQ C 0 N� ks a r 2C O i.- 1+ Oa0 i ILn” . ynli S� Cd .ys.a,1�0^01 ,=I,O� O/ .?ria I f at DI to IY' {N{°a Q . 7° a a C g. �O? W A° s Ftb °a '3,� 0� 7j.,°33gff N °�;4 R. N N 4, ,$ _6d M a -....„ 2.4--� _ + 3 ° 04$ a no.msti i aao. 3.52 d1. iti g 14;m . A. a.� o CA y J o ' James R. Hill Inc.. .. 0 A Q a> 11 Nnz BC - i PLANNERS/ /SURVEis S� "' 1a m Lot 1,Block 2,DAKOTA PATH 3RD ! 1__ 2500 MEET COMM._ ROA RDW 42.WE 120, ... i, N - i ADDITION,Dakota County, Mkknasota ;' BUR�MUE,MN 55337 .. 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N-------3ya -izaziv -1. ____L___ O Q Eo, z,.....0-- E co a Ma PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA141040 Date Issued:02/09/2017 Permit Category:ePermit Site Address: 1292 Interlachen Dr Lot:1 Block: 2 Addition: Dakota Path 3rd PID:10-19542-02-010 Use: Description: Sub Type:Residential Work Type:Underground Sprinkler System Description:PVB 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 - RPZ/PVB/Lawn Irrigation $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 Sabre Plumbing Heating & A/c Inc 15535 Medina Road Plymouth MN 55447 (763) 473-2267 Applicant/Permitee: Signature Issued By: Signature Page of BRAUNc n®dso 4/07 I NTE RTEC Daily Soil Observation Notes Project No.: Date: 2 /I'I l I i Report No.: Project Name: f• fc,r/ec, Project Location: , ter, Client: ' "i" Temp/Weather: CJ'�`'1 J 3 CD Project Manager: 11 1 Time Arrived: Departed: s: Areas Observed: O Building Pad O House Pad O Roadway O Pkng/walks O Footing ❑ Proof Roll O Other (describe) Soil report available? ❑ Yes ❑ No Report reviewed? O Yes O No Report prepared by: Get copy Benchmark: 61,voye/ • fav Benchmark elevation:l' fi y• Benchmark provided by: Finish floor elevation: Y � h w',/ Bottom of footing elevation:,,. 19., (, Bottom of excavation elevation: •`.e_., b- lv, Approved plans available? \/,1 Specified compaction: Fill source: Oversizing appears adequate? ❑ NA fp Yes ❑ No Soils observed agree with Soils report? ❑ Yes ❑ No Soils appear adequate for design loads? '[r] Yes ❑ No Proposed project bearing capacity(psf): G. • Contractor notified of results? p Yes O No Name of person notified: ),0.e 4G4. V1/ ,✓j-Me.A Was a copy of this report left on site? Yes O No If so,whom was it submitted to? 1 U`12 Mir pof , ,f ity‘eirt,‘)°1--ell t,/,-,' ' i ""---1 MillE, 4 V C A A yt,,1, - i 5111WilleatillWill Mill 1 1pI 1 �yJ,01-2 i `' ` .wnw I Al i L (4,'-fes. ( Y V , _ :'' ,%44) 1. I. I i X 6 �4 , I r j W I Notes/Comments: [ j ) 1I Write bo o�n elevations, date excavated,oversizing and type of bottom soils on sketch 1 - Performed By: ! Reviewed By: Date: This is a preliminary report 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 solutions since 1957 Use BLUE or BLACK Ink For Office Use �,L{ CityEaall ::::ee: _ _ ; ..„, C 4 -a-0 3830 Pilot Knob Road** .Im Eagan MN 55122 Date,Received: "7-17—/' Phone: (651)675-5675 ( 2017 Staff: Fax: (651) 675-5694 2017 RESIDENTIAL PLUMBING PERMIT APPLICATION t f �rl , ,, Date: 7.//C/t 7 Site Address: / /117 /- 4 CJ! /J4 Tenant: Suite#: „r hI „Ir', II'yj i'i iz 'i IaiiIIl(iI31 'fII "..___C) nL�; l /-7. --)-- ) / / C/ 6661ir ,' I'r ii i' „''ta'II'i'I' Name: GSL 4 �i✓V t�}1�� Phone: ,_, l '-C3�G' �(�S` ResldentlOwner�' _ III�Ijj 'f!Il i'b;' ( ('ii'!Rwaa ,'i; Address/City/Zip: S4r E,'f � /d'Z� vim/ c 6l y�lLicense#:, f' , Name: RSc`)te» WATERIjb" ali "i'' I „,l� City:'I! ",H' ' ;1ij, II",'?; ."IAddress: 918@W3S%, 3RI/E contractor 'I,3' BLAINE hitt 68A�19 � -✓Jf n a p'I'i�ta'�i"'4 '��'� '' ' ' ' .State: Zip: Phone: ` --—,---7---.'77— �7c'/ pl Ipil yi�I,f "aa iII,bp.I.a, II r ,i Contact: Email: r ° 1'111Typeof Wqk =llj`; \,J New _Replacement Repair _Rebuild _Modify Space _Work in R.O.W. 'yt',„ .. Description of work: „ RESIDENTIAL . Water Heater /Water Softener 'III"'I' .,.41 ' '' Lawn Irrigation(__RPZ/_PVB)ermit Type,i''0,, Add Plumbing Fixtures(_Main/_Lower Level) „iie('l �iii iI t i r io,�l Septic System Water Turnaround lr ' hl' ijilINq,q ; a a,ii4 _Newi '' ,ir :ii AbandonmentF/iftI,111di 'i ,'a'�,,I s at bte ,I.;. RESIDENTIAL FEES: $60.00 Water Heater,Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation(includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State Surcharge) *Water Turnaround(add$280.00 if a 3/4"meter is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES$ �% 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.ciooherstateonecall.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. x L� � � x ; C/Cc�lICA/•Z2 Applicant's Printed Name Applicant's Signature FOR OFFICE USEBy: lily{ ,':Ia'' ��i n"' I", Reviewed p II'li , ate ,1j 4 I " f'!� ,i .. ''G� . . �'�II"'III ' a.i l'I i�, iii ; ft, la�i IIIc I'il',. Required Inspections: Under Ground Rough1n Air Test' I'I,'' ili"?as Test 'I,'"'I''�' 'I'I I..,... a�`' t 'I Fina r y l a'II'I;I'0 , Meter Related Items: Meter,Size ' RadioiRead, Manometer Staff 'i''