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4360 Medary Ave? Rec'd in Street 17-4 ?,r' ? MUNICIPAL '- MINNEGASCO hN 7'- PERMIT N0. Mpls.F1 SERVICE INSTALLATION ORDER N0. Sub. E-N 0. Map No. Old? New? Bldg. Class Customer's Name Tel. Installation Address Legal Description: Lot No. Block No. Addition Contr's Name Tel. Contr's Address Owner's Nome_ __ Tel. Owner's Address Date Ordered Max. Demand CF/Hr. Taken By Main Auth. No. Service Location: Right F? Left Fj FronT ? Add'I Info. Date Completed Foreman's Name To the (City Engineer (City Council (Village Council (Town Board The Minnesota Gas Company hereby requests permission to perform the work indicated above. MINNESOTA GAS COMPANY ? f`4 (Chief Desiqn Engineer) To the Minnesota Gas Company Permission is hereby granted the Minnesota Gas Company to perform the work indicated above. of DaTe gy (Authorizsd Signature) FORM 52-2R 6/69 Rec'd in Street MUNICIPAL MINNEGASCO PERMIT N0. Mpls.11 SERVICE INSTALLATION ORDER N0. Sub. E-N0. Map No. Old? New? Bldg. Class Customer's Name Tel. Installation Address Legal Description: Lot No. Block No. Add ition Contr's Name Tel. Contr's Address Owner's Name__ Tel. Owner's Address Date Ordered Max. Demand CF/Hr. Taken By Main Auth. No:' Service Location: Right E] Left F_j Front E] Add'I Info. . - . _. .. "4 ? . .. ?' ? . , . Date Completed ? , Foreman's Name To the (City Engineer (City Council ". . '- (Village Council (Town Bqard The Minnesota Gas Company hereby requests permission to perform the work indicated above. MINNESOTA GAS COMPANY (Chief Dasign Engineer) To the Minnesota Gas Company Permission is hereby granted the Minnesota Gas Company to perform the work indicated above. of Date gy (Authorized Signature) FORM 52-3R 8/69 -"t„? CITY OF EAGAN Remarks .? Addition RiVer Hil 1 c Qt,fj Lot 17 Blk ?Q Parcel ? OwnerL.???I;a?/ H"viLil(?r Street 4360 Medarv AvE+_ State EagdTirbN $5122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK t. • ],973 348.72 9.91 15 Paid * SEWERLATERAL 1976 2101.66 700.55 WATEflMA1N * WATER LATERAL 1976 3 WATER AREA STORM SEW TRK aid thru urnsville * STORM SEW LAT 1976 3 CURB & GUTTER SIDEWALK STREETLIGHT ? 1980 _ 67.80 13.56 5 67.80 C006649 0- -7 WATER CONN. 205.00 $22$ -8-77 BUILDINGPER. #4214 SAC PARK ? cIrr oF EAw?w 3795 PIIaR Rnob Raad Eagan, MN 55122 ' PHONE: 454-9100 BUILDING PERMIT Receipt # Te 6e used fer Est. Value Date N2 5276 , 19 5(te Addreu Erect ? Occupancy ' Lot Block Sec/Sub. Alter ? Zoning parcel # Repair ? Fire Zone Enlarge ? Type of Const. W Name Move ? # Srories ; Address Demolish ? Front ft. 0 Ci Phone ? Grode ? Depth ft. cc Name Approvols Fees ? o Address Assessn+ent Permit ~ Ci pho Water & Sew. Surchorge ? Police Plan check WW N°^x Fire SAC ? Address Eng. Woter Conn. aW Ci Phone Planner WoterMeter I hereby ackrawledge that I hwe read this application ond state tFwt Council Bldg. Off. the information is wrrect and agree to comply with all applicable APC Total State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to: on the express condition that oll work shall be done in accordance with oll applicable State of Minnesota Stotutes and City of Eagan Ordinances. Building Official ??M # Dd? laa?d P?ewilfw Plumbing Mechanicol INSPECTIONS DATE INSP. Rouph-In Final Footings Date Irop. Dafe Inap. Foundotion Plumbing Frame/ins. Mechanical Final Remarks:? _ 1-2 ;p - > 9 *?, '"' 14 2?, - , At-?Jow-e? CASH RECEIPT ' CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 aecerveo FROM AMOUNT $ I a ooLLnr+s 1 oo ? CASH F?CHECK FOR ? BY ?G Q 228 NUMERICAL FIIE COPY CITY OF EAGAN _ 3795 Pilot Knob Road Eagan, MN 55122 N2 4214 . PHONE: 454-8100 BUILDING PERMIT Receipt # rTo be used for ? Date -, 19 - ? Site Address ! 7 Lot - Parcel .# _ ?• fndsor ::cx, i:orn. cc Name z •'i`-;^ ? '%`- ?. 3 Address T - p ,. , r:.., o?.....e a Name Zr Erect EJ Occupancy ` - Alter ? Zoning Repair ? Fire Zone Enlarge ? Type of Const. Move ? .# Stories Demolish ? FroM ' ft. Grade ? Depth ft. Aoorovals Fees ?Q Address F Ci Phone Water & Sew. Pol ice V? ,,,w Name Fire r Y? Address - Eng. ¢W Ci Phone Planner Counci I I hereby acknowledge that I have reod this applicotion ond stote that gldg. Off. the information is correct and agree to comply with all applicable APC State of Minnesota Statutes and City of Eogan Ordinonces. Signature of Permittee ' - ?•? Permit Surcharge - •''" Plan check sAC ?75•'_:', Water Conn.205.U0 WaterMeter (>0 . 06 Truxtk 180.00 Total iJb1.5:7 A Building Permit is issued to: on the express condition that all work shall be done in accordance with all opplicoble State of Minnes:)to Stotutes and City of Eagan Ordinancas. Building Officiol -- Block 4 Sec/Sub.? =v H311s 9th Pa+mM # GeN lawd PwmMtM Plumbing ' nnea,a„icoi , INSPECTIONS DATE INSP. Rouplrln Final Footings Date Inap. Date Irup. Foundation Plumbing j-a/' Frame/ins. Mechanital ,?"•:ZI ? Final ? Remarks: citi ' t :AGAN SEWER SERVICE PERMIT 3795 Pilof Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: Address: Site Address: Plumber. I agree to eomplp wifh the City of Eegan Ordinancos. BY - Date of Insp.: EAGAN ='9Y9 Connection Charge: _ Account Deposit: Permit Fee: Surcharge: Misc. Charges: Total: Dote Paid: WATER SERVICE PERMIT - ...ot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: _ Zoning: No. of Units: Owner. ite Address: ' ?` '?'= " 'lumber. ?G^?t'.?;? • ir.,. . Aeter No.: Connection Charge:?A'p 'Ze' - Account Deposit: .eader No.: Permit Fee: agree M eomply with the Cify of Eagan Surcharge: ?rdinancea. Misu Charges: Total: y Dcte Paid: ate of Insp.: _ Insp.: CITY OF EAGAN BUILDING PERMIT APPLIC,ATION 'Oe c K4- Valuatfon Date To he used for v( j/'N' ? Include ts of plans, 1 site plan w/elevations 5 'g 1 set of energy calculations.}; Site Address 0"11?' (, a l*YA)e` OFFICE USE ONLY Lot ? Block ?_ Sec. /Sub. ?C'j(9fn Erect ? Occupancy ?3 /`?j Parcel ll Owner :6 Y I S?f- i C`'\ . ? -Address: ,. ) ?? ?A 6- A'ti' A1 Phone S: 890` I U ict Co"ntractor: nN7- Address: _ ??j 4/w(' SU A1 I ' JSv J1ts Phone #: 4?43j - S-.f Arch/Eng.: Address: Alter 2!:=_ Zoning Repair Fire Zone 3 Enlarge Type of Const. ? Move # Stories Demolish Front _ft. Grade Depth ft. Approvals Fees Assessment_ Water/Sewer Police Fire Eng. Planner Council Bldg. Off. APC ? Permit ) 9 Surcharge a Plan Check SAC Water Conn. Water Meter Road Unit Phone 4i: TOTAL (F 60 1,?e, c K, 2 c i4 e V-c??d c-.-, s' •? ?? ? ? ?)eck.?'`?? /- awesz Izvc / CITY OF EAGAN 3795 Pilof Kno6 Road Eagon, MN 55122 N2 5276 PHONE: 454-8100 BUILDING PERMIT APPLICATION Receipt .# 14874 _ Deck & Lower 5,000.00 6/21 79 To be used for re.:ol F;,,; ?1,;,g sC• Value Date , 19 ? Site Address 4360 MPdary i.an Erect [X Occuponcy 1zl Lot 17 Block 4 Sec/SubR1VHZ' H1l1S 9th Alter Zoning R1 porcel # Repoir ? Fire Zone 3 Enlarge ? Type of Const.11 a Nome M & Mrc Pri cj1i Move W ? # Stories 3 Addreu 4360 Medary Ln Demolish ? Front -.-L42--dPCk_ ft. ? Grade ? Depth 14 ft. Ci Phone 890-1039 ?p Nome Artek Gen COI1t ADProrals Fees ` ?? Address 13 412 4 th Av SO Ncme _ Address Assessment _ Water & Sew. Police Fire Eng. Planner - Council _ Permit 1 R_ fl fl _ Surcharge ? _ 5 (1 Plon check SAC Water Conn. Woter Meter I hereby acknowledge that I have read this application and state that gldg. Off. the information is correct and agree to compiy with all applicoble State of Minnesota Statutes and 'ry of Eagon Ordinances. APC Total 90 50 Signoture of Permittee A Building Permit is iuued ro: Artek Gen C'nnt on the express condition thut oll work shall be done in accordonce with ail apQlicuble State of Mipnesotn Statutes ond Ciry of Eagan Ordinances. Building Official CITY OF EAGAN ?'? 3795 Pilor Kno6 Road Eagan, MN 55122 Ha 4214 • PHONE: 454 -87 00 BUILDING PERMIT APPLICATION 42 000 Receipt # Szad? $ . v To be used for 5ing. Fam Bwlg. & Garg, Dore Feb. 8p 19 77 Site Address 4360 Med3Ly Erect 13, Occupancy I RiV Hills 9th t 17 Blo k 4 S /S L b Alter ? Zoning R 1 o c ec u . Repair ? Fire Zone Parcel .# _ Enlarge ? Type of Const - V z Name Windsor Dev. Corp. Move ? # Stories Z Addres 4660 W. 77CI'l, Demolish ? Front 46 ? ft. ? ? lna, Grade ? Depth 50 ft. Cit Phone p Name Approvala Fees ??r- Address ~ City Phone ? Ww Name ?? Address - z i"' Citv Phone tlssessment _ Water & Sew Police Fire Eng. Planner - Council _ I hereby acknowledge that I have read this applicaticn and state that gldg. Off. _ the information is correct and ogree to compl with all applicable APC State of Minnesota Statutes and City of E?on ? dinances. .02 Signature of Permittee A Building Permit is issued to: oll work shall be done i cca Permit 1 cv. Jv__ Surchorge 21.00 Plan check sAC 475.00 Water Conn. 205.00 0 Woter Meter 60.0 Sew Trunk 180.00 roral 1061.50 _ on the express condition that State of Minnesota Statutes ond City of Eagan Ordinances. Building Official This request void 18 months from Px/ re ?,G " z' ? 1?1 -79 R 32085 Date af s Request X I, as Licensed Electrical Co ractor Owner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route No. C) ? City? Section Township Range County ? Which is occupied by ls a roughin inspection required on this job? No ? Power Supplier Electrical Contractor (Company Name) Yes [? Ready Now 111--l"'Will Call C?Y E' r s License No. ThISlnstallatlon) . 17 ?Phone No. Mailing Address L- 4-4 (Ele 1 C Authorized Signature (EI r c Contre or or Vdi`?1LS ? [J LYl ARD ?y ON This inspection request will not be accepted by the State Board unless proper inspection fee is enelosed. Xinnesota State Board of Electricity 1954 niversity Ave., St. Paul, Minn. 55104-Phone 645-7703 REQUEST FOR ELECTRICAL INSPECTION CHECK BELbW WORK COVERE6 BY THIS REOUEST /'5 ?/ 7 ol R 32085 Type of Buflding New Add. p. Check Appliances Wired For Check Equipmeni Wiced For - Home ? +? Rangc ? Temporazy Wiring ? Duplex ? ? ? Water Heater ? Lighting Fixtures ? Apt. Bldg. ? ? ? Dryex ? Electric Heating ? Commercial Bldg. ? ? ? Furnace ? Silo Unloader ? Industrial Bldg. ? 1:1 ? Au Conditionei ? Bulk Milk Tank ? Farm ? ? ? List List Other ? ? ? Others? Here Others? Here COMPUTE IN3PECTION FEE BELOW Secvice En[rance Size: # Fee FeedersBcSubfeedecs: # Fee Circuits: # Fce D ro 100 Am s. 30 e 0 to 30 Am eres 701 to 200 Amps. ' l parp, s' 31 to 100 Am eres Above 200 Amps. bove "T'P 11 ,? Above 100 Amps. Transformers emdreCorifftftift- . Partial or othet fee Signs Special Inspec[ion Minimum Fee $5.00 Remazks AL FEE 1, the Electrical Inspector, her4Jby (Final) _ This request void 18 months from haSbeenm e.?,0d Date ? Date 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN I - 3830 PILOT KNOB RD - 55122 ?J ? ( b s 681-4675 New Construdion Reauirements ? 3 registered site surveys ? 2 copies oi plans (inGude beam & window sizes; poured fnd. design; etc.) ? 1 energy caiculations ? 3 copies of tree preservation plan if fot platted after 7/1/93 required: _ Yes _ No DA7E: q - ?` R8 DESCRIPTI OF WORK: kG?'-0 ST E ADDRESS: ?36D MQdQ LOT: ? BLOCK: ? RemodeVReoair Reauirements 0 2 copies of plan ? 2 site surveys (exterior addkions 8 decks) ? 1 energy calculations for heated additions CONSTRUCTION COST; I V00 VOA SUBD./P.I.D. #: p W L Name: hI L ,?- vv0--4?1 Phone #: PROPERTY Lass Firsc oWNER qgo rt?a( S dd ? Z 9y , treet A ress: , Ciry ? State: /v1U Zip: ? SI Company: Phone #: C ?o CONTRACTOR S Add wy(' 0? )'1 S ty) e # Lic n treet ress: ! tI e s City State: Zip: N o4r l? c-E v? s -e.D ARCHITECT/ N ca vVl.t?- i S S ENGINEER Comp C_() V l.? I ?. Ph ne #: ?S ? 4? Name: ?stration #: Street Address: City State: Zip: Sewer & water licensed plumber (new construction ony): . Penalty applies when address chang and lot change is requested once permit is issued. I hereby acknowledge that I have read this appliption and state that the information is correct and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex 0 05 SF Misc. ? 10 = plex WORK TYPE ? 31 New ? 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning #t of Stories Length Depth APPROVALS Planning 0 11 AptJLodging 0 O 12 Multi Repair/Rem. ? ? 13 Garage/Accessory ? 0 14 Fireplace ? ? 15 Deck ? 36 Move 0 37 Demolition Basement sq. ft. _ Main level sq. ft. _ sq. ft. _ sq. ft. _ sq. ft. _ sq.ft. _ Footprint sq. ft. 16 Basement Finish 17 .Swim Pool 20 Public Facility 21 Miscellaneous MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Building Engineering Variance Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S1W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Valuation: $ % SAC SAC Units CITY USE ONLY L ? BL RECEIPT #: SUBD.C? IJj-L % 1 RECEIPT DATE: 1997 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES EACH N,Q. TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x - - _ Water Heater 3.00 x' 7 _ Floor Drain 3.00 x = Gas Piping Outlet ' minimum -1 3.00 x = Rough Openings 1.50 x = Water Softener " for dwellings under construction 5.00 X = Water Softener " for existing dwelling 20.00 x = U.G. Sprinkler " for dwelling under const. 3.00 = U.G. Sprinkler * for existing dwelling 20.00 = Alterations " to existing residence 20.00 = Water Turn Around 20.00 = Private Disposal System " Dak Cty lic. 75.00 = (new and refurbished systems) Private Disposal Systems * Abandonment 20.00 = STATE SURCHARGE .50 jG TOTAL Ihe^e5y ackrauledge t`at ; have reaC :his apFlEcs,icn, stete that ths inf;,,r,satien uwrrect, and agree to r.omply erilh s1l app!:cable City oi Eagan ardinances. It is the applicanYs reaponsibility to notify the property owner that the City of Eagan essumes no liability for any damages caused by the City during its nortnal operational and maintenance adivities to the facilities wnsVucted under this pertnft within City property/right-of-wayleasement. SITE ADDRESS: OWNER NAME: 4 p lq? ? INSTALLER NAME: &,e GCdDTf,Q TELEPHONE #: STREET ADDRESS: CITY: l/ ?1?/rl?liT/1 STATE: Jl?v ZIP: ? SIGNATURE OF PERM EE . BJ27D2't3G PMATT iFPLIC.?T1?'1 9 LCiRT.oLSP AilDITIOxd c•.RCLL Fi =1017 ;7iiiiP.%R 1.7 Ul:i7-7.A''i"I'ED ?','Df.?k?sSu Ko?CL---'-- IKI'P'rl^'? J_v"l:?i: USE r:^ irtrv?L<-; ..1??S1L'?. L':) ?ao ?.117A lr Ap Cfl?+T-1'a 2?CT'Ur. Al) li.-;zc::;S q6 *A TEL3PTiICIv a il'O.? TELEPHON'u :QO. T?oty- Txzclu,37?, plano buit.aing pla.s, and energy calculatio^s Witl: i.h'-s ki1p.l:.ct:tion Igned - SI ? OFFICE USE C'?32,U1?^a TOt! 4?? V ? 5AC CO'.si„'G;C^Tn'iT ?17aT; Ii MIT:t'ER B1J3.LD_r.Y:G FPk'J1`7.' nZ PIu,:1 0:?.CX F= PAPX D°JICA`CIC::1 FEE r.TF:R S l.`?eiLk • .?..... 1 ? O ;5 ? /l. / .?. 1 a/A APPP.f)`7: I,S : j1 X2.',ESSP1M:l CLSFv.{ BUTLDING DEPT. POLICE DPP?` MiER & oY'3.tiR DEPa . FI?M DrPT. )"IDEpT. o e' ? FE13 ;$ ;977 February 1, 1977 Mr. Dale Peterson CITY OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 Dear Mr. Peterson: RE: Lot 17 Block 4 4360 Medary Tvenue Eagan, Minnesota Enclosed please find a check for Building Permit Application and fees as allocated on the check stub in the amount of $1,035.50: This home will be a Model 75-10 ELevation A and will contain the following: - Vaulted and beamed ceiling in living room, dining room, kitchen, and dinette. - Patio door off dinette w/8x10 deck and 5'x25' deck going to bedroom from 8x10 deck with steps to grade. - Include bath and 3/4 - Marble vanity top in full bath - Full brick front - Two fireplaces - Finished family room in basement - Finished hall in basement - Finished bath in basement - Include walkout w/patio door and 10 x 12 slab - Include wet bar in basement - Include 2z ton central air conditioner - 'nppliances Attached also find a copy of the proposed plot plan. Sincerely, G'TNDS012 DEVELOPMENT CORPORATION , ?? f ?d,I?li`, Warren R. Anderson Vice President t^RA/cs Enclosures PERMIT Permit Type: Building City of Eagan Permit Number: EA104982 Date Issued: 06/19/2012 Permit Category: ePermit Site Address: 4360 Medary Ave Lot: 17 Block: 4 Addition: River Hills 9th PID: 10-64400-04-170 Use: Description: Sub Type: e-Reroof Construction Type: Work Type: Replace Description: House & Garage Census Code: 434 - Occupancy: Zoning: Square Feet: 0 If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are Comments: not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes. BL - Base Fee $4K $103.25 0801.4085 Fee Summary: Surcharge - Based on Valuation $4K $2.00 9001.2195 Valuation: 4,000.00 Total: $105.25 Contractor: Owner: - Applicant - Schmidt Roofing Inc Benson D Pritchett 13401 County Road 5 4360 Medary Ave Burnsville MN 55337 Eagan MN 55122 (952) 888-4889 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. Applicant/Permitee: Signature Issued By: Signature PERMIT Permit Type: Mechanical City of Eagan Permit Number: EA105345 Date Issued: 07/10/2012 Permit Category: ePermit Site Address: 4360 Medary Ave Lot: 17 Block: 4 Addition: River Hills 9th PID: 10-64400-04-170 Use: Description: Sub Type: e - Furnace & Air Conditioner Work Type: New Description: Furnace & Air Conditioner Questions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952) Comments: 445-2840 ME - Permit Fee (Replacements) $55.00 0801.4088 Fee Summary: Surcharge-Fixed $5.00 9001.2195 Total: $60.00 Contractor: Owner: - Applicant - Standard Heating & Air Conditioning Benson D Pritchett 130 Plymouth Ave. N 4360 Medary Ave Minneapolis MN 55411 Eagan MN 55122 (612) 824-2656 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. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA132989 Date Issued:09/15/2015 Permit Category:ePermit Site Address: 4360 Medary Ave Lot:17 Block: 4 Addition: River Hills 9th PID:10-64400-04-170 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater 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 - Aaron J Peterson 4360 Medary Ave Eagan MN 55122 (651) 592-3998 Norblom Plumbing 1465 Selby Ave St Paul MN 55104 (612) 827-4033 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA152362 Date Issued:10/11/2018 Permit Category:ePermit Site Address: 4360 Medary Ave Lot:17 Block: 4 Addition: River Hills 9th PID:10-64400-04-170 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Aaron J Peterson 4360 Medary Ave Eagan MN 55122 (612) 251-9334 Eagle Siding 1301 East Cliff Road Suite 117 Burnsville MN 55337 (952) 746-3046 Applicant/Permitee: Signature Issued By: Signature 0 3830 PILOT KNOB ROAD I EAGAN,.MN 55122-18.10 '(651) 6755675 I TDD; (6.51) 454-8535 1 FAX; (651)675-5694 .bulldlnalnspen com .2018 RESIDENTIAL PLUM Date: - la ` 11- i1 -Site Address: `�� `�' v Y� Tenant: For Offlce. Uso - - - -, I 3479 I Permit #;. / 5 I I I Permit Fee: V v I DEC18 Q' � U I I Date Received: I I I Staff; ------------- ---+ INSG PERMIT4pP�LfGATION Y -e- 55/ Nat-no: Phone Address / City / Zip - Name: MILBERT COMPANY dba CULLIGAN 4ATER License #; Address: 1801 50TH STREET EAST Slate; MN . zip: 55077 Suite #: "61376 City; INVER GROVE HEIGHTS :Phone: 651-451-2241 Contact; BILL MILBERT Email: gloria.abas@culligan4water,com New , Replaeement Repair Rebuild Modlf S -- y pace — Work in. R•,O.W, Description of work: RESIDENTIAL Water Heater .Lawn Irrlgalion (__ RPZ / — PV8) Septic System Now X Water Softener Add Plumbing Fixtures (— Main./ _ Lower Level) Water Turnaround --._Abandonment RESIDENTIAL FEES; �- — ----- _ _ $60,00 Water Heater, Water Softener, or Water Heater and Softener (Includes State Surcharge) y ��--_ _ _.�._._• $60,00 Lawn Irrigation (Includes State Surcharge) $60.00 Add Plumbing Fixtures, S.eotic System Abandonment, Water Turnaround" (includes State.surcharge) 'Water Turnaround (add $280,00 If a 3/4" meter Is required) $115,00 Septic System New (Includes County fee and State Surcharge) CALL BEFORE YOU DIG. Call Gopher Slate One Call al (651) 454-0002 for protection a al TOTAL FEES .$ 60.00 Intend to dig to recelve locales of underground ulllltles, www,gopherstaleonecall orc, 9 nst underground utlllly damage• Call �4II hours be'(ore you You may subscribe to recolve an electronic notlflcatlon from the City of proposed ordinances webs.lto at _www,cilyo(eagan com/subscribe. by signing up fo.r an email update on the City's I hereby acknowiodge -that (his Informallon is complete and accurate; that the work will be in conformance with the ordinances Eagan; that I understand this Is not a permll, but onl an application for a permit, and work Is not (o start without a permit; that the work will be In a cordancewllh �ho approved plan In thea of. work hich requires a rev le�v and approv I of laps and codes of the City of X � � Ap Ilcant's Printed Nam x A r" ` For Office Use ` " :::: ee: 4,O • 0 Date Received: / 3-- // 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 R�scEIVE (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinginspectionst cityofeaaan.com __J SPR 0 3 2019 _ 2019 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 4/3/2019 Site Address: 4360 Medary Ave, Eagan MN, 55122 Tenant: Suite#: Resident/Owner Name: Aaron Peterson Phone: 612-251-9334 Address/City/Zip: 4360 Medary Ave, Eagan MN, 55122 - Name: License#: Contract'o ° d Address: City: at.4 r —oriM State: Zip: Phone: rxs� �Nx Contact: Email: — — — New Replacement —Repair —Rebuild — Modify Space Work in R.O.W. Type.of Work Description of work: Bathroom remodel, re-routing 3' of pex to new shower valve and head. Water Heater Lawn Irrigation ( RPZ/ PVB) Water Softener ✓ Add Plumbing Fixtures(—Main/ ✓,Lower Level) Description G Septic System Bathroom remodel, x Description: New �`e � Connection to City Water from Well �' Abandonment 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 New fixtures, adding or removing piping (includes State Surcharge) $60.00 Septic System Abandonment $100.00 New Residential (fee collected with Building Permit) $115.00 New Septic System (includes County fee and State Surcharge) $60.00 Connecting to City Water from Well*+$290 for Meter and $190 for Radio Read =$540 *Sewer&Water Permit also required for connection charges 60.00 TOTAL FEES$ 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.gopherstateonecall.orq 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.citvofeagan.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. 4 Digitally signed by Aaron Peterson xAaron Peterson xAaron Peterson Date:2019.04.03081138-05'00' Applicant's Printed Name Applicant's Signature Page 1 of 2 Plyvu ��- r For Office Use • /S'1773 +� Permit..__ E /a2- /O _,? Permit Fee: APR 03 Zu19 Date Received: / j OOI EAGAN, MN 551F :2(26-5118)16075-5694 (651)3830 675-5675 PILOTKNTDD:BRAD(651)454-8535 AXStaff: buildinoinsoections ancitvofeagan.com 2019 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 4/3/2019 Site Address: 4360 Medary Ave Unit#: ���� Name: Aaron Peterson Phone: 612-251-9334 y�3 Retidatiti 4360 MedaryAve, Ea an, MN 55122 Address/City/Zip: g r Applicant is: 1 Owner Contractor Tye OfWork Description of work: Bathroom remodel Construction Cost: $1,500 Multi-Family Building: (Yes /No Company: Contact: " Address: City: Contractor State: Zip: Phone: Email: 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: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTEti prong "rirr eats that}±rr#f� re co topublic frtfor ati" Po „t rrs of the Info mation may be cl# g ut t vii speeltfc 'ia; +kite ►e, ity to conclude" raf` y'.'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.citvofeagan.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. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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. Digitally signed by Aaron Peterson xAaron Peterson xAaron Peterson Date z0,g0a030s, 5g-05'00' Applicant's Printed Name Applicant's Signature L43c,o V'vveAtrl t /577 DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) f 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 RCA handout to applicant DESCRIPTION f` Valuation Sa90 Occupancy 1 i0"!V MCES System Plan Review Code Edition Li i S SAC Units (25%_100% ) Zoning ' 1 City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction 4b Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final I C.O. Required Footings(Addition) Final I No C.O. Required Foundation Foundation Before Backfill ! HVAC_Service Test Gas Line Air Test_Hood 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 •Iv Shower Pan /il i V Other: Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge (90' ) S&W Permit&Surcharge \O.T Treatment Plant v t Radio Meter Read " C .1111 Copies (e ,2 S` 1. TOTAL Page 2of3 I ctco2cii , ,t,E o ✓ a• u a x -a O J % 0acC c d b 1 O R ,-1 c 2 > 2 1:,- CT, E o I t a .n 3 D. n m oa V v E c •o > 0 a c 32 _ m 5 N — m ..c C 2 a O V d 0 a , ' N> v vim._ c a) E ° �! E a>' N an E _` O o o -o . — oo c on v a'u c y _ vro n 0 a ov E -a a U cu Y2 0 c — c c > aui as �o O m N a 0 Y L4J cO N E a H O .O ,o c fa) o a • c -o r es o a' c y O C m y 0a " ,lilt a, a r o` 3 a' 3 W N d Y `, `, v nz m M V a 6- v O v m "ail o c Q/ N a, E C 'a > m — Q E b y F a tii ID CPLIA IW'AI I !' -TM IrnrvIrrunv'u.rrty Ventilation Makeupand Combustion Air HEATING,COOLING&PLUMBING "Creating Custom Comfort"Since/985 Calculations Submittal Form For New 16411 ABERDEEN ST NE,HAM LAKE,MN 55304 Dwellings � �,� , Site address 799 Summerbrooke Ct Date • Contractor Country Joe Homes Completed By Air Mechanical Section A • "' Ventilation Quantity APR 0 9 21170 (Determine quantity by using Table N1104.2 or Equation 11-1) Square feet(Conditioned area including basement— 4718 Total required ventilation 190 finished or unfinished) Number of bedrooms 5 Continuous ventilation 95 Directions -Determine the total and continuous ventilation rate by either using Table N1104.2 or equation 11-1. The table and equation are below. Table N1104.2 Total and Continuous Ventilation Rates (in cfm) Number of Bedrooms 1 2 3 4 5 6 Conditioned space Total/ Total/ Total/ Total/ Total/ Total/ (in sq. ft.) continuous continuous continuous continuous continuous 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 130/65 145/73 160/80 175/88 190/95 205/103 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 ventila- tors (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 con- tinuous 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. 1 Section B Ventilation Method (Choose either balanced or exhaust) ✓aalanced,HRV(Heat Recovery Ventilator)or ERV(Energy laxhaust only(Continuous fan rating in cfm) Recov-ery Ventilator)—cfm of unit in low must not exceed continuous venti-lation rating by more than 100%. Low cfm: ,�00 High cfm: 200 Continuous fan rating in cfm(capacity must not exceed 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 Description Location Continuous Intermittent RENEW AIRE EV-200 Mech.Room 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 Directions -Describe operation and control of the continuous and intermittent ventilation. 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. RENEW AIRE Honeywell 2 Section E Make-up air 0 Passive (determined from calculations from Table 501.3.1) Q Powered(determined from calculations from Table 501.3.1) Interlocked with exhaust device(determined from calculation from Table 501.3.1) Other,describe: NOT REQUIRED Location of duct Or system ventilation make-up air: Determined from make-up air opening table Cfm Size and type(round,rectangular,flex or rigid) Directions -In order to determine the makeup air. Table 501.3.1 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. For existing dwellings, see IMC 501.3.3. Please note, if the makeup air quantity is negative, no additional makeup air will be re-quired for ventilation, if the value is positive refer to Table 501.3.2 and size the opening. Transfer the cfm, size of opening and type (round, rectangular, flex or rigid) to the last line of section D. The make-up air supply must be installed per IMC 501.3.2.3. Table 501.3.1 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 atmospherically vent or direct vent assisted appliances and gas or oil appliance or vented gas or oil appliances appliances or no power vent or direct one solid fuel appliance or solid fuel appliances combustion appliances vent appliances Column A Column B Column C Column D 1. a)pressure factor(cfm/sf) 0.15 0.09 0.06 0.03 b)conditioned floor area(sf) 4718 (including unfinished basements) Estimated House Infiltration(cfm): 707 [la x 1b] 2.Exhaust Capacity a)continuous exhaust-only N/A ventilation system(cfm);(not applicable to balanced ventilation systems such as HRV) b)clothes dryer(cfm) 135 135 135 135 c)80%of largest exhaust rating(cfm); Kitchen hood typically(not applicable 480 #� if recirculating system or if powered makeup air is electrically interlocked and match to exhaust) d)80%of next largest exhaust rating (cfm); bath fan typically(not Not applicable if recirculating system or if powered makeup air is electrically Applicable interlocked and matched to exhaust) Total Exhaust Capacity(cfm); 615 [2a+2b+2c+2d] 3. Makeup Air Quantity(cfm) 615 a)total exhaust capacity(from above) b)estimated house infiltration(from 707 above) Makeup Air Quantity(cfm); [3a—3b](if value is negative,no -92 makeup air is needed) 4.For makeup Air Opening Sizing, refer 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 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 fuel appliances. 3 Makeup Air Opening Table for New and Existing Dwelling Table 501.3.2 One or multiple power One or multiple fan- One atmospherically Multiple atmospherically vent,direct vent assisted appliances and vented gas or oil vented gas or oil Duct appliances,or no power vent or direct appliance or one solid appliances or solid fuel diameter combustion appliances vent appliances fuel appliance appliances Column A Column B Column C Column D 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. Section F Combustion 0 Not required per mechanical code(No atmospheric or power vented appliances) 0 Passive(see IFGC Appendix E,Worksheet E-1) Size and type 6"INSULATED FLEX 0 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. 4 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 EFan Assisted Q✓ Direct Vent Input: 80000 Btu/hr or Power Vent Water Heater: , yt raft Hood Q✓ Fan Assisted DDirect Vent Input: 5500 : u r or Power Vent Step 2:Calculate the volume of the Combustion Appliance Space(CAS)containing combustion appliances.The CAS includes all spaces connected to one another by code compliant openings. CAS volume: 2240 ft3 Lx W x H L W H Step 3: Determine Air Changes per Hour(ACH)1 Default ACH values have been incorporated into Table E-1 for use with Method 4b(KAIR Method). If the year of construction or ACH is not known,use method 4a(Standard Method). Step 4: Determine Required Volume for Combustion Air.(DO NOT COUNT DIRECT VENT APPLIANCES) 4a.Standard Method Total Btu/hr input of all combustion appliances Input: Btu/hr 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)is 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: 55,000 Btu/hr Use Fan-Assisted Appliances column in Table E-1 to find RVFA: 4125 ft3 Required Volume Fan Assisted(RVFA) Total Btu/hr input of all Natural draft appliances Input: Btu/hr Use Natural draft Appliances column in Table E-1 to find RVNFA: ft3 Required Volume Natural draft appliances(RVNDA) Total Required Volume(TRV)=RVFA+RVNDA TRV= 4125 + = 4125 TRV ft3 If CAS Volume(from Step 2)is greater than TRV then no outdoor openings are needed. If CAS Volume(from Step 2)is less than TRV then go to STEP 5. 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=2240 /4.125 =.54 Step 6:Calculate Reduction Factor(RF). RF= 1 minus Ratio RF=1 - .51 =.46 Step 7:Calculate single outdoor opening as if all combustion air is from outside.Total Btu/hr input of all Combustion Appliances in the same CAS Input: 5500 Btu/hr(EXCEPT DIRECT VENT) Combustion Air Opening Area(CAOA):Total Btu/hr divided by 3000 Btu/hr per in2 CAOA=5500 /3000 Btu/hr per in2= 18.3 in2 Step 8:Calculate Minimum CAOA: Minimum CAOA=CAOA multiplied by RF Minimum CAOA= 18.3 x.46 =8.4 in2 Step 9:Calculate Combustion Air Opening Diameter(CAOD): CAOD=1.13 multiplied by the square root oif Minimum CAOA CAOD=1.13 J Minimum CAOA= 3.2 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. af ; 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. 6 New Construction Energy Code Compliance Certificate AP' 0 9 2020 Per R401.3 Certificate.A building certificate shall be posted on or in the electrical distribution Date Certificate Posted /�+, p/� / r/� panel. _'ID AiC("YAAIV'A! Imp Mailing Address of the Dwelling or Dwelling Unit City TVA 1111•411 W IoVAL lily 799 Summerbrooke Ct Eagan HEATING, COOLING& PLUMBING Name of Residential Contractor MN License Number "Creating Custom Comfort"Since 1985 Country Joe Homes BC627670 THERMAL ENVELOPE RADON CONTROL SYSTEM Type:Check All That Apply Passive(No Fan) o a Active(With fan and monometer or ai 22 other system monitoring device) 1-- a) N Location(or future location)of Fan: _ Tn T c6 Ei C NN _ 2 cc):_' N o a 3 = U a, o , T Clo m D Q m CO ao mi -oa c R a > Insulation Location > o z m a v O- w_ ow m o O) O E m - oNo c oa -Q o o ) Cr) F- E z w u u_ u_ Fe iY Other Please Describe Here Below Entire Slab x Foundation Wall R-15 X Perimeter of Slab on Grade x Rim Joist(1st Floor) R-20 X Rim Joist(2nd Floor+) R-20 X Wall R-21 X Ceiling,flat R-49 X Ceiling,vaulted R-49 X Bay Windows or cantilevered areas Floors over unconditioned area R-30 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: 0.29 X Not applicable,all ducts located in conditioned space Solar Heat Gain Coefficient(SHGC): 0.28 R-8 R-value MECHANICAL SYSTEMS Make-up Air Select a Type Appliances Heating System Domestic Water Cooling System Heater X Not required per mech.code Fuel Type Natural gas Natural gas Electric Passive Manufacturer BRYANT RHEEM BRYANT Powered 926TB48080V17A- Interlocked with exhaust device. Model A PRO+G7576NRH BA13NA048 Describe: Input in 80,000 Capacity 75 Output 4 Other,describe: BTUS: in Gallons: in Tons: Rating or Size :: AFUE or 96% - - ' ` _ r 13 Location of duct or system: HSPF% /EER Efficiency Heating Loss Heating Gain Cooling Load Residential Load Calculatit 79 847 32.058 42,409 Cfrn's "round duct OR 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 RENEW AIRE EV-200(BALANCED) Passive .> Heat Recover Ventilator(HRV) Capacity in cfms: Low: High: X Other,describe: ti mirtN. X Energy Recover Ventilator(ERV)Capacity in cfms: Low: 100 High: 200 Location of duct or system: Balanced Ventilation capacity in cfms: FLEX MECH ROOM Location of fan(s),describe: Cfm's Capacity continuous ventilation rate in cfms: 6" "FLEX OR Total ventilation(intermittent+continuous)rate in cfms: "metal duct Builders Associaton of Minnesota version 101014 OF-21T 4.-K,"4-,v)(. c-in, FASTENMASTER TECHNICAL BULLETIN APR 1 3 21320 MULTIPLE MEMBER ENGINE RED WOOD BEAMS ./. CONNECTION DETAILS 41 41 The FIatLOK Structural Wood Fastener has been designed specifically for use �\ in joining multiple-ply structural wood beams. Using an impact driver, standard corded or cordless 1/2" low speed/high torque drill, install screws into the side of the outermost ply. As the thread fully engages the final ply, allow the underside of the washer head to pull the plies firmly together. Refer to the FastenMaster FlotLOK® information in this bulletin for proper fastener size selection and fastening pattern. Structural Wood FASTENER SIZE SELECTION MINIMUM SPACING REQUIREMI 13/4 13/4 13/4 13/4 13/4 ,, I-. I aT�rs®� 0 3II ye tLO L 0 111111 -g----e-___ -- FIatLOK FIatLOK 13/4 31/2 13/4 13/4 13/4 13/4 , I 4.....—. A. Minimum end distance=3 3/4" 0 B. Minimum edge distance= 1 3/4" i I - C. Minimum spacing between fasteners in a row=3 1/2" D. Minimum spacing between rows of fasteners=5/8" 5" 63/4" FIatLOK FlatLOK GENERAL GUIDELINES 31/4 3'/2 1% 31/2 13/4 • Beams wider than 7" require special coisideration by a design professional. r I The values on the next page do not apply. • Excessively warped or curved LVL should never be forced into alignment by use r I _ of clamps, screws or bolts as splitting may occur, potentially decreasing the carrying capacity of the beam. 63/4" 63/4" • To avoid damaging the beam,fastener heads must not be countersunk. FIatLOK FIatLOK • For applications other than those listed on this bulletin,a Professional Engineer FASTENER IDENTIFICATION (PE) may be consulted to determine proper connection design. For additional engineering data and technical assistance,please contact FastenMaster Technical For easier selection and FIatLOK 3 1/2" F3.5 Support at 800-518-3569 or visit our website at www.FastenMaster.com. post-installation inspection, FIatLOK 5" F5.0 all FIatLOK fasteners carry an identifying head marking. FlatLOK 6 3/4" F6.7 Effective July 1,2017. Please reference our website to ensure that you are using the most up to date version. e FastenMaster PRO Driven 153 BOWLES ROAD,AGAWAM,MA 01001 413.789.0252 800.518.3569 WWW.FASTENMASTER.COM FASTENMASTER TECHNICAL BULLETIN FASTENING PATTERN Top Loaded Beams Where all floor joists sit on the beam,fasteners should be spaced two For beam depths of 18"or more,this pattern should be increased to every 24"on center in a staggered pattern as shown. three fasteners every 24"on center.ilk ._ 1.. + I 18" 4 24" 24" Side Loaded Beams Assembly Type Where floor joists are joined to the side of the beam (typically using a joist hanger), 0 0 O 0 0 0 this load chart must be used to establish PAPA 13A P/4 13/4 13/4 3 1/2 13A 31/2 P/4 31/2 31/2 P/4 13/4 13/4 13/4 the proper pattern based on the design load as determined by the engineer and ►-- I I - I r noted on the plans. • Allowable loads in this table were ~.... I I I I r calculated using design values 31/2" 5" 5" 63/4" 63/4" 63/4" determined through individual and FIatLOK FIatLOK FIatLOK FIatLOK FIatLOK FIatLOK system testing to ICC-ES AC-233 in engineered wood having a specific NO of SPACING ALLOWABLE SIDE LOADS BY ASSEMBLY TYPE gravity of 0.50 or greater. FLATLOK SCREWS BETWEENS ROWS A B C D E F • The uniform loads in this table relate 2 24" 660 only to the capacity of the fastener to transfer shear loads between plies. 2 19.2 830 The capacity of the EW beam may be1 „ 2 16 990 less and should be checked against the 8�2 3 24" 990 manufacturer's literature. 3 19.2 1240 • Values listed reflect 100%stress . level (Ca=1.0).The designer may 3 16 1490 apply adjustment factors to increase 2 24" 490 490 or decrease these loads according 2 19.2 620 620 to the most current National Design 2 16 740 740 Specification for Wood Construction 5" (NDS) based on conditions for each 3 24" 740 740 assembly. 3 19.2 920 920 • To minimize rotation, 7"wide beams 3 16 1110 1110 shall be side loaded only when loads ' 2 24" 440 660 440 are applied to both sides of the beam with the lesser loaded side bearing at 2 19.2 550 830 550 least 25%of the overall design load. s �� 2 16 660 990 660 • Assumes that fasteners may be installed 6�4 3 24" 660 990 660 in the weakest condition,where greatest 3 19.2 830 1240 830 loads are applied to pointed side of the `- fastener. fastener. 3 16 990 1490 990 FastenMaster"and FIatLOK"are trademarks of OMG,Inc. LL Copyright©2017 OMG,Inc.All rights reserved. /�8 .t L. m L, .77? Sz24(vi-i2. -7- APR 0 3 1020 Section E el Make-up air O Passive (determined from calculations from Table 501.3.1) ...m El Powered(determined from calculations from Table 501.3.1) El Interlocked with exhaust device(determined from calculation from Table 501.3.1) El Other,describe: Not required Location of duct or system ventilation make-up air: Determined from make-up air opening table Cfm Size and type(round,rectangular,flex or rigid) Directions -In order to determine the makeup air, Table 501.3.1 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. For existing dwellings,see IMC 501.3.3. Please note, if the makeup air quantity is negative, no additional makeup air will be re-quired for ventilation, if the value is positive refer to Table 501.3.2 and size the opening. Transfer the cfm, size of opening and type (round, rectangular, flex or rigid)to the last line of section D. The make-up air supply must be installed per IMC 501.3.2.3. Table 501.3.1 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 atmospherically vent or direct vent assisted appliances and gas or oil appliance or vented gas or oil appliance: appliances or no power vent or direct one solid fuel appliance or solid fuel appliances combustion appliances vent appliances Column A Column B Column C Column D 1. 0.15 0.09 0.06 0.03 a)pressure factor(cfm/sf) b)conditioned floor area(sf) 4718 (including unfinished basements) Estimated House Infiltration(cfm): 707 [lax lb] 2.Exhaust Capacity NA NA a)continuous exhaust-only ventilation system(cfm);(not applicable to balanced ventilation systems such as HRV) b)clothes dryer(cfm) 135 135 135 135 c)80%of largest exhaust rating(cfm); 480 Kitchen hood typically(not applicable if recirculating system or if powered makeup air is electrically interlocked and match to exhaust) d)80%of next largest exhaust rating 1335 (cfm); bath fan typically(not Not applicable if recirculating system or if powered makeup air is electrically Applicable interlocked and matched to exhaust) Total Exhaust Capacity(cfm); 615 [2a+2b+2c+2d] 3.Makeup Air Quantity(cfm) 615 a)total exhaust capacity(from above) b)estimated house infiltration(from 707 above) Makeup 3b (if Quantity(cnegative, -92[3a—3b](if value is eatino makeup air is needed) 4.For makeup Air Opening Sizing, refer 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 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 fuel appliances. 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA172415 Date Issued:09/29/2021 Permit Category:ePermit Site Address: 4360 Medary Ave Lot:17 Block: 4 Addition: River Hills 9th PID:10-64400-04-170 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 210-0754. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Bruce J Studley 4360 Medary Ave Eagan MN 55122 Homeworks Services Co Dba Homeworks Plumbing Htg 1230 Eagan Industrial Rd, Suite 117 Eagan MN 55121 (612) 400-9020 Applicant/Permitee: Signature Issued By: Signature