1023 Wescott Ct ,31_ 1.51 <?-z -- 1/, l3 qhs
r irfil
o° G . - e,e) -69 Q For Office Use iif /�/ // 3-34-7. ( _ . Permit#: ���qo, OPV
16.„ %. .0 ., E A N r
1,��� "'
Permit Fee: l/ `5 --- , '
• ��
�~ RECIEVPD
Date Received: c/67/O
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 AUG 1672018 J
(651)675-5675 I TDD:(651)454-8535 I FAX: (651)675-5694 Staff:
buildinginspectionsa:ci ofeaaan.com L. r
Li) //SVa
/ 7
20 8RESIDENTIAL BUILDING PERMIT APPLICATION
Date: s(C C D 1 Site Address: 10 a 3 c 5 L cam` 0-0:.,✓- Unit#:
1
Name: G o n C...G._ g Al,c 5 Phone: 6 51-d I/_5-061-11
Resident! J / /
Owner Address I City I Zip: 100 i 6 0 c Ovt Al ��t-4 40
Applicant is: Owner ( Contractor /�O i 7 g/ot r / iJi if0 i) i'c16 6
1ccD4'c
escription of work: B✓: �I (,✓ �"'b Me9-
Type of Work I
Construction Cost: .3.75/ O 4. 0 Multi-Family Building:(Yes /No V)
Company: G b.� Nt,cs- #b An.z..$ Contact 6f5P y= J
Contractor Address: City:
�1r, L
State: Zip: Phone:‘S/',7�"Uii • 'Email: 1 054 c 0Ajc.ei,Aoet'c5.GUlot
License#: (9 5 . Lead Certificate#: J �! 4.
If the project is exempt from lead certification, please explain why: 'W't, f-40 in
\ it r
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes /No If yes, date and address of master plan: )
Licensed Plumber: a �r'c-- Phone: 6tI'1 558 ` 0811
Mechanical Contractor: J 0. t Phone: �a f O 7 _.
Sewer&Water Contractor: • '✓ $P s Phone: 1 7/5.55/.051/3
Fire Suppressjon"Cantractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be
classified as n. _ . if .- provide .-•fic reasons that would it the C to conclude th4at y are trade secrets.
You may subscribe lo receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaoan.comisubscribe.
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. 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 o dinances 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 wi ••+ 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 Jo s vP- 3 G,G_. x - , .
Applicant's Printed Name Applicant's Sig ature
DO NOT WRITE BELOW THIS LINE � 2 S t )e- cd I- C /5-/q- _ <
SUB TYPES
Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
1( 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 , g 1, e
Valuation ftJ.I Occupancypvi,..g., MCES System
Plan Review ) Code Edition vviSAC Units
(25%_100% X) Zoning 0 a City Water
Census Code Stories Booster Pump
#of Units Square Feet NamPRV
#of Buildings Length i#I Fire Suppression Required
Type of Construction V111 Width 44
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) / v Final I C.O. Required
Footings(Addition) Final/No C.O. Required
!` Foundation ``r. Foundation Before Backfill HVAC Gas Service Test Gas Line Air Test Hood
Roof: Ice&Water _Final Pool:_Footings _Air/Gas Tests _Final
Framing 30 Minutes /"1 Hour Drain Tile
p Fireplace: r Rough In Air Test , Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS
XInsulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock ,X Radon Control
Fire Walls Fire Suppression: Rough In Final
Braced Walls A, Erosion Control
Shower Pan Other:
Reviewed By: -T� , Building Inspector
y a
RESIDENTIAL FEES ' �� 1 (�� tS V
Base Fee 14 ; (2, i 2(93 /X 1 7c,73 -,o I713\40(401i
Surcharge �! k s:1 ) L/(t 106 102--
Plan
o�
Plan Review g ��"?
MCES SAC / �VJ x 9� 7z 171-160/ 6'
City SAC 914)
Utility Connection ChargeFIN-WC
pop // O ' ¶V , 5, 00,
S&W Permit&Surcharge C 917' Q)
Treatment Plant6441714 �� ` 0, (4l a " l f
Copies `f" X (s- D tel
TOTAL 0 OA 1 zgelp 1
New Construction Energy Code Compliance Certificate
Date Certificate Posted
Per R401.3 Building Certificate.A building certificate shall be posted on or in the electrical distribution panel.
7/30/18
Mailing Address of the Dwelling or Dwelling Unit
1023 Wescott Court
Name of Residential Contractor MN License Number
Gonyea Homes 2459
Community Plan ID
Eagan GH0899
THERMAL ENVELOPE IRADON SYSTEM
Type:Check All That Apply X Passive(No Fan)
I)
Active(With fan and monometer or
2other system monitoring device)
c °
U
U u Location(or future Location)of Fan:
G P T
> Z `n h O ¢ u, p O Attic
Insulation LocationC° U 0 w
o op on E E -a
� -o
T6
o °n oo E on on
F Z u w w 2 c K Other Please Describe Here
Below Entire Slab 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(15t Floor+) R-20 X Interior
Wall R-20 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 a Type
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 912SC48080517 PROG5042NRH67PV BA13NA036 Describe:
Input in 80000 Capacity in 50 Output in 3 Other,describe:
Rating or Size BTUS: Gallons: Tons:
AFUE or 92% SEER or 13 Location of duct or system:
Efficiency HSPF% EER
HEAT LOSS HEAT GAIN COOLING LOAD
RESIDENTIAL LOAD CALC 67,747 26,487 33,514
Cfm's
"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 cfms: Low: High: Other,describe:
X Energy Recover Ventilator(ERV)Capacity in cfms: Low: 40%=124 High: 70%=217 Location of duct or system:
Balanced Ventilation Capcity in CFMS: furnace room
ILocations of Fans,describe: Cfm's
Capacity continuous ventilation rate in cfms: 95 3 "round duct OR
Total ventilation(intermittent+continuous)rate in cfms: 190 "metal duct
1023 Wescott Ct Eagan SPEC
HVAC Load Calculations
for
Gonyea Homes
Golden Valley, MN
Prepared By:
Michael Hoium
Sabre Plumbing&Heating
15535 Medina Road
Plymouth, MN 55447
763-473-2267
Monday,July 30,2018
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&Light Commercial HVAC Loads Elite Software Development,Inc.
Sabre Plumbing&Heating •
1023 Wescott Ct Eagan SPEC
Plymouth, MN 55447 Page 2
1 Project Report - -
General Project Information
Project Title: 1023 Wescott Ct Eagan SPEC
Designed By: Michael Hoium
Project Date: Sunday, July 29, 2018
Client Name: Gonyea Homes
Client City: Golden Valley, 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
Design Data
Reference City: Minneapolis, Minnesota
Building Orientation: Front door faces South
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
Check Figures
Total Building Supply CFM: 1,183 CFM Per Square ft.: 0.259
Square ft. of Room Area: 4,576 Square ft. Per Ton: 1,638
Volume (ft3): 37,964
Building Loads
Total Heating Required Including Ventilation Air: 67,747 Btuh 67.747 MBH
Total Sensible Gain: 26,487 Btuh 79 %
Total Latent Gain: 7,028 Btuh 21
Total Cooling Required Including Ventilation Air: 33,514 Btuh 2.79 Tons (Based On Sensible + Latent)
Notes
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.
Monday, July 30, 2018, 9:09 AM
Rhvac-Residential&Light Commercial HVAC Loads Elite Software Development,Inc.
Sabre Plumbing&Heating 1023 Wescott Ct Eagan SPEC
Plymouth, MN 55447 Page 3
-- -----------
Load Preview Report 1
Sys
Net ft.' Sen Lat Net Sen Hts Cls' Act; Duct
Scope Ton! /Tont Area Gain Gain Gain; Loss CFM( CFM CFM
Size
Building 2.79 1,638 4,576 26,487 7,028 33,514 67,747 797 1,183 1,183
System 1 2.79 1,638 4,576 26,487 7,028 33,514 67,747 797 I 1,183 12x17
Ventilation 1,054 4,409 5,463 7,057
Supply Duct Latent 360 360
Return Duct 176 158 334 1,175
Humidification 7,004
Zone 1 4,576 25,256 2,101 27,357 52,512 797 Not 1,183 12x17
1-Basement 1,322 3,009 0 3,009 15,328 233 141 2--5
2-Main Floor 1,356 13,267 2,101 15,368 17,362 263 I, jal 622 6--6
3-Second Floor 1,898 8,980 0 8,980 19,821 301F a 421 4--6
•
Monday, July 30, 2018, 9:09 AM
Rhvac-Residential&Light Commercial HVAC Loads Elite Software Development,Inc.
Sabre Plumbing&Heating • 1023 Wescott Ct Eagan SPEC
Plymouth, MN 55447 _ Page 4_
Total Building Summary Loads
Component Area Sen Lat Sen Total
Description Quan Loss GainGain _ Gain
LowEE 3032: Glazing-Windows, u-value 0.3, SHGC 0.32 194.8 5,084 0 2,876 2,876
LowEE 3131: Glazing-Windows, u-value 0.31, SHGC 0.31 20 539 0 198 198
LowEE 3231: Glazing-Windows, u-value 0.32, SHGC 0.31 209.3 5,832 0 3,410 3,410
LowEE 3031: Glazing-Windows, u-value 0.3, SHGC 0.31 47.5 1,240 0 1,562 1,562
Door 23UF: Door-Exterior Door- .23 U Factor, .17 SHGC 37.8 756 0 208 208
Eagan - R15 8ft: Wall-Basement, Custom, Eagan - 8" 490 2,515 0 249 249
poured concrete wall, R-15 board insulation to
footing, no interior finish, 8' floor depth
Eagan - R15 4ft: Wall-Basement, Custom, Eagan - 8" 123 631 0 62 62
poured concrete wall, R-15 board insulation to
footing, no interior finish, 4'floor depth
R20 12F-Osw: Wall-Frame, Custom, R-20 Insulation in 2921.5 16,776 0 2,565 2,565
2x6 Cavity, no board insulation, siding finish, wood
studs
Eagan - R10 4ft: Wall-Basement, Custom, Eagan - 8" 176 903 0 89 89
poured concrete wall, R-10 board insulation to
footing, no interior finish, 4'floor depth
Eagan - R10 8ft: Wall-Basement, Custom, Eagan -8" 352 1,807 0 179 179
poured concrete wall, R-10 board insulation to
footing, no interior finish, 8'floor depth
RJ 20 Spray Foam: Wall-Frame, Custom, Rim Joist R-20 583.6 2,540 0 716 716
Closed Cell Spray Foam
R49 16B-49: Roof/Ceiling-Under Attic with Insulation on 1898 3,798 0 2,095 2,095
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 1322 3,105 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, 711 1,856 0 171 171
Custom, R-30 Blanket insulation, 3/4" Foamboard R-
2, any cover
Subtotals for structure: 47,382 0 14,380 14,380
People: 6 1,200 1,380 2,580
Equipment: 901 4,116 5,017
Lighting: 1250 4,263 4,263
Ductwork: 6,305 518 1,294 1,812
Infiltration: Winter CFM: 0, Summer CFM: 0 0 0 0 0
Ventilation: Winter CFM: 190, Summer CFM: 190 7,057 4,409 1,054 5,463
Humidification (Winter) 1.9.10 gal/day : 7,004 0 0 0
Total Building Load Totals: 67,747 7,028 26,487 33,514
Check Figures
Total Building Supply CFM: 1,183 CFM Per Square ft.: 0.259
Square ft. of Room Area: 4,576 Square ft. Per Ton: 1,638
Volume (ft3): 37,964
Building Loads
Total Heating Required Including Ventilation Air: 67,747 Btuh 67.747 MBH
Total Sensible Gain: 26,487 Btuh 79
Total Latent Gain: 7,028 Btuh 21
Total Cooling Required Including Ventilation Air: 33,514 Btuh 2.79 Tons (Based On Sensible + Latent)
Notes
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.
Monday, July 30, 2018, 9:09 AM
Rhvac -Residential&Light Commercial HVAC Loads Elite Software Development,Inc.
Sabre Plumbing&Heating 1023 Wescott Ct Eagan SPEC
Plymouth,MN 55447 __— Page 5
Total Building Summary Loads (cont'd)
-----------
Notes
Be sure to select a unit that meets both sensible and latent loads according to the manufacturer's performance data at
your design conditions.
•
Monday, July 30, 2018, 9:09 AM
Rhvac-Residential&Light Commercial HVAC Loads • Elite Software Development,Inc.
Sabre Plumbing&Heating 1023 Wescott Ct Eagan SPEC
Plymouth MN 55447 -_-_-- --- _____- Page 6
Detailed Room Loads - Room 1 - Basement fAverage Load Procedure)
General
Calculation Mode: Htg. & clg. Occurrences: 1
Room Length: 26.4 ft. System Number: 1
Room Width: 50.0 ft. Zone Number: 1
Area: 1,322.0 sq.ft. Supply Air: 141 CFM
Ceiling Height: 8.0 ft. Supply Air Changes: 0.8 AC/hr
Volume: 10,576 cu.ft. Req. Vent. Clg: 0 CFM
Number of Registers: 2 Actual Winter Vent.: 55 CFM
Runout Air: 70 CFM Percent of Supply.: 39
Runout Duct Size: 5 in. Actual Summer Vent.: 23 CFM
Runout Air Velocity: 517 ft./min. Percent of Supply: 16 %
Runout Air Velocity: 517 ft./min. Actual Winter Infil.: 0 CFM
Actual Loss: 0.214 in.wg./100 ft. Actual Summer Infil.: 0 CFM
Item Area -U- Htg Sen Clg Lat Sen
Description Quantity Value HTM Loss HTM Gain Gain
E -Wall-Eagan - R15 8ft 26.8 X 8 214 0.042 5.1 1,098 0.5 0 109
E -Wall-Eagan - R15 4ft 19.2 X 4 77 0.041 5.1 395 0.5 0 39
N -Wall-R20 12F-Osw 19.2 X 4 77 0.066 5.7 442 0.9 0 68
N -Wall-Eagan - R10 4ft 44 X 4 176 0.054 5.1 903 0.5 0 89
N -Wall-R20 12F-Osw 44 X 4 86 0.066 5.7 494 0.9 0 75
W-Wall-Eagan - R15 4ft 11.5 X 4 46 0.041 5.1 236 0.5 0 23
W-Wall-R20 12F-Osw 11.5 X 4 46 0.066 5.7 264 0.9 0 40
W-Wall-Eagan - R15 8ft 34.5 X 8 276 0.042 5.1 1,417 0.5 0 140
S -Wall-Eagan - R10 8ft 44 X 8 352 0.050 5.1 1,807 0.5 0 179
E -Wall-RJ 20 Spray Foam 46 X 1.7 76.7 0.050 4.4 334 1.2 0 94
N -Wall-RJ 20 Spray Foam 44 X 1.7 73.3 0.050 4.4 319 1.2 0 90
W-Wall-RJ 20 Spray Foam 46 X 76.7 0.050 4.4 334 1.2 0 94
1.7
S -Wall-RJ 20 Spray Foam 44 X 1.7 73.3 0.050 4.4 319 1.2 0 90
N -GIs-LowEE 3032 shgc-0.32 70 0.300 26.1 1,825 9.9 0 695
100%S (5)
N -GIs-LowEE 3131 shgc-0.31 20 0.310 27.0 539 9.9 0 198
100%S
Floor-21A-20 50 X 26.4 1322 0.027 2.3 3,105 0.0 0 0
Subtotals for Structure: 13,831 0 2,023
Infil.: Win.: 0.0, Sum.: 0.0 1,740 0.000 0 0.000 0 0
Ductwork: 1,497 133
Lighting: 250 853
Room Totals: 15,328 0 3,009
Monday, July 30, 2018, 9:09 AM
Rhvac-Residential&Light Commercial HVAC Loads Elite Software Development,Incl
Sabre Plumbing&Heating 1023 Wescott Ct Eagan SPEC
Plymouth MN 55447 Pag-e7
Detailed Room Loads - Room 2 - Main Floor(Average Load Procedure) i
General - -
Calculation Mode: Htg. &clg. Occurrences: 1
Room Length: 27.1 ft. System Number: 1
Room Width: 50.0 ft. Zone Number: 1
Area: 1,356.0 sq.ft. Supply Air: 622 CFM
Ceiling Height: 9.0 ft. Supply Air Changes: 3.1 AC/hr
Volume: 12,204 cu.ft. Req. Vent. Clg: 0 CFM
Number of Registers: 6 Actual Winter Vent.: 63 CFM
Runout Air: 104 CFM Percent of Supply.: 10 %
Runout Duct Size: 6 in. Actual Summer Vent.: 100 CFM
Runout Air Velocity: 528 ft./min. Percent of Supply: 16 %
Runout Air Velocity: 528 ft./min. Actual Winter Infil.: 0 CFM
Actual Loss: 0.173 in.wg./100 ft. Actual Summer Infil.: 0 CFM
Item Area -U- Htg Sen Clg Lat Sen
Description Quantity Value HTM Loss HTM Gain Gain
E -Wall-R20 12F-Osw 46 X 9 396.7 0.066 5.7 2,278 0.9 0 348
N -Wall-R20 12F-Osw 44 X 9 295 0.066 5.7 1,694 0.9 0 259
W-Wall-R20 12F-0sw 46 X 9 360.5 0.066 5.7 2,070 0.9 0 316
S -Wall-R20 12F-0sw 44 X 9 311.9 0.066 5.7 1,791 0.9 0 274
E -Wall-RJ 20 Spray Foam 50.5 X 75.8 0.050 4.4 330 1.2 0 93
1.5
N -Wall-RJ 20 Spray Foam 44 X 1.5 66 0.050 4.4 287 1.2 0 81
W-Wall-RJ 20 Spray Foam 50.5 X 75.8 0.050 4.4 330 1.2 0 93
1.5
S -Wall-RJ 20 Spray Foam 44 X 1.5 66 0.050 4.4 287 1.2 0 81
S -Door-Door 23UF 3 X 6.7 20 0.230 20.0 400 5.5 0 110
S -Door-Door 23UF 2.7 X 6.7 17.8 0.230 20.0 356 5.5 0 98
E -GIs-LowEE 3032 shgc-0.32 0%S 5.3 0.300 26.1 139 33.7 0 180
E -GIs-LowEE 3032 shgc-0.32 0%S 12 0.300 26.1 314 33.8 0 406
(2)
N -Gls-LowEE 3032 shgc-0.32 63 0.300 26.1 1,644 10.0 0 627
100%S (3)
N -GIs-LowEE 3231 shgc-0.31 30 0.320 27.8 836 10.0 0 300
100%S (2)
N -GIs-LowEE 3231 shgc-0.31 8 0.320 27.8 223 10.0 0 80
100%S
W-GIs-LowEE 3031 shgc-0.31 0%S 40 0.300 26.1 1,044 32.9 0 1,315
W-GIs-LowEE 3031 shgc-0.31 0%S 7.5 0.300 26.1 196 32.9 0 247
W-GIs-LowEE 3032 shgc-0.32 0%S 6 0.300 26.1 157 33.8 0 203
S -GIs-LowEE 3231 shgc-0.31 0%S 33 0.320 27.8 918 18.2 0 602
(2)
S -GIs-LowEE 3231 shgc-0.31 0%S 13.3 0.320 27.8 372 18.3 0 244
(2)
Subtotals for Structure: 15,666 0 5,957
Infil.: Win.: 0.0, Sum.: 0.0 1,904 0.000 0 0.000 0 0
Ductwork: 1,696 587
People: 200 lat/per, 230 sen/per: 6 1,200 1,380
Equipment: 901 3,638
Lighting: 500 1,705
Room Totals: 17,362 2,101 13,267
Monday, July 30, 2018, 9:09 AM
--- -- --- ---
Rhvac-Residential&Light Commercial HVAC Loads is Elite Software Development,Inc.
Sabre Plumbing&Heating 1023 Wescott Ct Eagan SPEC
Plymouth, MN 55447 __ --Pa•e 8
Detailed Room Loads - Room 3 - Second Floor (Average Load Procedure) J
General
Calculation Mode: Htg. & clg. Occurrences: 1
Room Length: 38.0 ft. System Number: 1
Room Width: 50.0 ft. Zone Number: 1
Area: 1,898.0 sq.ft. Supply Air: 421 CFM
Ceiling Height: 8.0 ft. Supply Air Changes: 1.7 AC/hr
Volume: 15,184 cu.ft. Req. Vent. Clg: 0 CFM
Number of Registers: 4 Actual Winter Vent.: 72 CFM
Runout Air: 105 CFM Percent of Supply.: 17 %
Runout Duct Size: 6 in. Actual Summer Vent.: 68 CFM
Runout Air Velocity: 536 ft./min. Percent of Supply: 16 %
Runout Air Velocity: 536 ft./min. Actual Winter Infil.: 0 CFM
Actual Loss: 0.178 in.wg./100 ft. Actual Summer Infil.: 0 CFM
Item Area -U- Htg Sen Clg Lat Sen
Description Quantity Value HTM Loss HTM Gain Gain
E -Wall-R20 12F-Osw 50.5 X 8 388 0.066 5.7 2,228 0.9 0 341
N -Wall-R20 12F-0sw 44 X 8 317.5 0.066 5.7 1,823 0.9 0 279
W-Wall-R20 12F-Osw 50.5 X 8 404 0.066 5.7 2,320 0.9 0 355
S -Wall-R20 12F-0sw 44 X 8 239 0.066 5.7 1,372 0.9 0 210
E -GIs-LowEE 3032 shgc-0.32 0%S 16 0.300 26.1 418 33.8 0 541
S -Gls-LowEE 3231 shgc-0.31 0%S 30 0.320 27.8 836 18.3 0 548
(2)
N -GIs-LowEE 3032 shgc-0.32 22.5 0.300 26.1 587 10.0 0 224
100%S
N -GIs-LowEE 3231 shgc-0.31 12 0.320 27.8 334 10.0 0 120
100%S
S -GIs-LowEE 3231 shgc-0.31 0%S 75 0.320 27.8 2,090 18.3 0 1,370
(5)
S -GIs-LowEE 3231 shgc-0.31 0%S 8 0.320 27.8 223 18.3 0 146
UP-Ceil-R49 16B-49 38 X 50 1898 0.023 2.0 3,798 1.1 0 2,095
Floor-P-32 R-32 20 X 35.5 711 0.030 2.6 1,856 0.2 0 171
Subtotals for Structure: 17,885 0 6,400
Infil.: Win.: 0.0, Sum.: 0.0 1,512 0.000 0 0.000 0 0
Ductwork: 1,936 397
Equipment: 0 478
Lighting: 500 1,705
Room Totals: 19,821 0 8,980
Monday, July 30, 2018, 9:09 AM
Site address 1023 Wescott Court Eagan Date 7/30/2018
Contractor Completed
Sabre Plumbing & Heating By Michael H
Section A
Ventilation Quantity
(Determine quantity by using Table R403.5.2 or Equation 11-1)
Square feet(Conditioned area including 4576 Total required ventilation 190
Basement—finished or unfinished) -
5 Continuous ventilation
95
Number of bedrooms
Directions-Determine the total and continuous ventilation rate by either using Table R403.5.2 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/
• .1 '1 • •1 '. • .1 '1 • •1 'I • •1 .1 • •I '. I
1000-1500 60/40 75/40 90/45 105/53 120/60 135/68
1501-2000 70/40 85/43 100/50 115/58 130/65 145/73
2001-2500 80/40 95/48 110/55 125/63 140/70 155/78
2501-3000 90/45 105/53 120/60 135/68 150/75 165/83
3001-3500 100/50 _115/58 130/65 145/73 160/80 175/88
3501-4000 110/55 125/63 140/70 155/78 170/85 185/93
4001-4500 120/60 135/68 150/75 165/83 180/90 195/98
4501-5000 130/65 145/73 160/80 175/88 190/95 205/103
5001-5500 140/70 155/78 170/85 185/93 200/100 215/108
5501-6000 150/75 165/83 180/90 195/98 210/105 225/113
Equation 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)—cfm of unit in low must not exceed continuous Continuous fan rating in cfm
ventilation rating by more than 100%.
Low cfm: 124 2 I High cfm: n^ Continuous fan rating in cfm(capacity must not exceed
7 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 for,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%=124cfm
ERV has wall control-set to 70%=217cfm
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 for building ventilation,describe the operation and location of any controls,indicators and legends.If an ERV or HRV is to be installed,describe how
it will be installed.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 4576
unfinished basements)
Estimated House Infiltration(cfm):[la 686
x ib]
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); 375
[2a+2b+2c+2d]
3.Makeup Air Quantity(cfm) 375
a)total exhaust capacity(from above)
b)estimated house infiltration(from 686
above)
Makeup Air Quantity(cfm);
[3a—3b] -311
(ififvalue is negative,no makeup air is needed)
4.For makeup Air Opening Sizing,refer
to Table 501.4.2 NOT REQ'D
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.
L_ Combustion air
Not required per mechanical code(No atmospheric or power vented appliances)
✓ Passive(see IFGC Appendix E,Worksheet E-1) Size and type 2"Rigid, 3"Flex
Other,describe:
Explanation-If no atmospheric or power vented appliances are installed,check the appropriate box,not required.If a power vented
or atmospherically vented appliance installed,use 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 Flan Assisted ✓ direct Vent Input: Btu/hr or Power Vent
Water Heater: 40000
raft Hood I Fan Assisted DDirect Vent Input: Btu/hr or Power Vent
Step 2:Calculate the volume of the Combustion Appliance Space(CAS)containing combustion appliances. 2592
The CAS includes all spaces connected to one another by code compliant openings. CAS volume: ft3
LxWxH nL1]WnH
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)is greater than TRV then no outdoor openings are needed.
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 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= 2592 / 3000 = 0.86
Step 6:Calculate Reduction Factor(RF).
RF=lminus Ratio RF=1- 0.86 = 0.14
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 divided by 3000 Btu/hr per in2 CAOA= 40000 /3000 Btu/hr per int= 13.33 inz
Step 8:Calculate Minimum CAOA.
Minimum CAOA=CAOA multiplied by RF Minimum CAOA= 13.33 3.33 x 0.14 = 1 .81 in2
Step 9:Calculate Combustion Air Opening Diameter(CAOD)
CAOD=1.13 multiplied by the square root of Minimum CAOA CAOD=1.13 V Minimum CAOA= 1"52 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.
0.
! EAGAN
City Inspection Dept. Copy
City Forester Copy
Applicant/Builder Copy
INDIVIDUAL RESIDENTIAL LOT
TREE PRESERVATION PLAN SUMMARY
CITY OF EAGAN FORESTRY DIVISION
651-675-5300
(BUILDER, PLEASE READ ATTACHMENTS)
Development Willow Ridge
Lot Number 7 Block Number 1
Address 1023 Wescott Ct.
Builder Gonyea Homes
Contact: Josh
Phone: 612-245-0277
Email: iosh(c gonyeahomes.com
Tree Protection Requirements:
Tree Protection Fencing Installed on Site(orange silt fence)
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: Ten (10) Category A trees, (4.0" caliper deciduous
trees or 12' hqt evergreen trees)to be installed following
completion of construction. Five(5) Black Hills Spruce,three(3)
Northwood Red MapleasatimaulawAnielibite Oak.
Attachments: EAGAN FORESTRY DIVISION
X Yes (Refer to attac eREviE E w
No
BY
Additional Notes:
DATE d"--"at'
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LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING'
PERMIT APPLICATION
PROPERTY LEGAL: � J
� �1 1 j BA �!//0 R"C1,
DATE OF SURVEY: 8/14//8
LATEST REVISION:
a)
s
C.)
O z a DOCUMENT STANDARDS
❑ 0 • Registered Land Surveyor signature and company
X 0 0 • Building Permit Applicant
X 0 ❑ • Legal description
l 0 0 • Address
,A 0 0 • North arrow and scale
X 0 ❑ • House type(rambler,walkout,split w/o,split entry, lookout,etc.)
4 0 0 • Directional drainage arrows with slope/gradient%
• ❑
0 • Proposed/existing sewer and water services&invert elevation
0 0 • Street name
�Xd ❑ ❑ • Driveway(grade&width-in RNV and back of curb,22'max.)
aF' ❑ 0 • Lot Square Footage
Afi 0 ❑ • Lot Coverage
ELEVATIONS
Existing
jer 0 0 • Property corners
,l1 0 0 • Top of curb at the driveway and property line extensions
api' 0 0 • Elevations of any existing adjacent homes
/I 0 ❑ • Adequate footing depth of structures due to adjacent utility trenches
❑ ,X ❑ • Waterways(pond,stream,etc.)
Proposed
0 0 • Garage floor
0 0 • Basement floor
)2' 0 0 • Lowest exposed elevation(walkout/window)
7 0 0 • Property corners
0 0 • Front and rear of home at the foundation
Y .t • PRV Required
PONDING AREA Of applicable)
O B 0 • Easement line
❑ * ❑ • NWL
❑ lir ❑ • HWL
❑ je 0 • Pond#designation
❑ �iJ
0 • Emergency Overflow Elevation
❑ • Pond/Wetland buffer delineation
Y • Shoreland Zoning Overlay District
Y & • Conservation Easements
DIMENSIONS
,e' 0 ❑ • Lot lines/Bearings&dimensions
0 0 • Right-of-way and street width(to back of curb)
,e( ❑ 0 • Proposed home dimensions including any proposed decks,overhangs greater than 2', porches,etc.
(i.e. all structures requiring permanent footings)
❑
0 • Show all easements of record and any City utilities within those easements
7 0 0 • Setbacks of proposed structure and si.- rd setback of adjacent existing structures
0 ❑ • Retaining wall requirements:
Reviewed By: ' Date cOV/P
G:/1 Engineering/FORMS/Cert.of Survey Checklist Rev.11-16-16
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1 For Office Use — 1
1 Permit
A I
EAGAN
i I
C•`_ I Permit Fee: (47 L�
I
I
NOV®01� 1 Date Received:
3830 PILOT KNOB ROAD j EAGAN, MN 55122-1810 1 1
(651) 675-5675 1 TDD: (651) 454-8535 1 FAX: (651) 675-5694 I Staff: 1
auildinginspectionsa-cilyofeagan.com- - - - - - - - - - - - -
----1
2018 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: I I- Z 1- 1 (,) Site Address: 1o'23 1. I cs e -c f � 1.
Tenant: Suite #:
4
ResidentlOwner Name: Phone:
i
Address / City / Zip:
y
}worn:.•aysaarnsss-«-xs�sac.m�.vea — t:®..e�r,.�z�...z�r��.ccar.3c�.n-..:�.�..,n...vx.:.:a.�«�<,��.�cvmau.:�3:,-.___.. - _ �:w ._.� :-
} Aaame®m�
3 Name: fad, aJ��License #: 60 Q L'�i)oz
1
COntraCtOr Address: � Lj2l nylc' e r)A�roj -f)UL City:
� n� -- A ��� ice`
State: I`� ► P Zip: �?� Phone: �7(4 ,"� 1" I P30 )
fi I Contact izo-y(f" Email: .1Iz
Type of Work X -New Replacement Repair Rebuild Modify Space Work in R.O.W. i
Description of work:In
1C-{�r�/"
i RESIDENTIAL
Water Heater
1
Water Softener
Lawn Irrigation RPZ / PVB)
Permit Type Add Plumbing Fixtures L— Main ! Lower Level)
Septic System
i
v H
New Water Turnaround
e i
Abandonment
i
s RESIDENTIAL FEES:
F $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes State Surcharge)
t $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 Cali at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. vJ,A+_v_.gooherstateonecO.ora
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.citvofeaaan.com/subscribe.
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 Ll 7-0=+h n X
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough -In Air Test Gas Test Final
Meter Related Items: Meter Size Radio Read Manometer Staff:
4 ft fence
REVIEWED FOR
CODE COMPLIANCE
03/09/2022 8:17:11 AM
Terry Zelenka, Building Inspector
BUILDING INSPECTIONS