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4510 Thomas Lake CirDate: City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: A26/ Permit Fee: / / CO 6719 Date Received: Staff: PI -C1 2011 RESIDENTIAL BUILDING PERMIT APPLICATION CA (t 61- `l % f Site Address: 9S/0 bG�� S �/ d/tr�e-- Unit #: `✓ RESIDENT / OWNER Name: f7 i m///e/- Phone: /,o?- 707.3 2 54 Si Address / City / Zip: It .Sl o-Kerrl- 4 s L4 -KC z/e/e Applicant is: ) Owner Contractor TYPE OF WORK Description of work: F, r1, tas "1 /,,w— /Ire/ Construction Cost: 149, a CO, Multi -Family Building: (Yes / No X ) CONTRACTOR Company: Contact: Address: City: State: Zip: Phone: License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, _Yes No If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: ,Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. 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.goaherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, aril work is not to start without a permit that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. Applicant's Printed Name x Applicaq Signature Page 1 of 3 hn 2-1 20 TYPES Foundation Single Family Multi aAD1 O NOT WRITE BELOW THIS LINE '/31 l Fireplace Porch (3 -Season) Storm Damage Garage Porch (4 -Season) _ Exterior Alteration (Single Family) _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) 01 of _ Plex At. Lower Level _ Pool _ Miscellaneous Accessory Building WORK TYPES New Interior Improvement _ Siding _ Demolish Building* _ Addition Move Building _ Reroof Demolish Interior ,t Alteration Fire Repair_ Windows _ Demolish Foundation Replace Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building — give PCA handout to applicant DESCRIPTION Valuation Plan Review (25%_ 100% 4 Census Code #of Units # of Buildings Type of Construction 431( 7/3 Occupancy Code Edition Zoning Stories Square Feet Length Width MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) - Final / No C.O. Required Foundation HVAC _ Gas Service Test Gas Line Air Test Drain Tile Other: Roof: _Ice & Water _Final Pool: _Footings _Air/Gas Tests Final 4` Framing Siding: _Stucco Lath _Stone Lath _Brick Fireplace: _Rough In _Air Test _Final Windows Insulation Retaining Wall: _ Footings _ Backfill _ Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: �� , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL 5'91" 3 &? Page 2 of 3 /u 7311 DOC # cR 7& La FILED .-- ti 0- l� ABSTRACT COPY DAKOTA COUNTY Z ;-rr RECD RECEIVED MAT 14 2012 CERTIFICATION OF PURPOSE OF SECONDARY KITCHEN FACILITIES WITHIN SINGLE FAMILY DWELLING I, Jane Miller, duly sworn and under oath, certify that I am the Owner of the one -family detached dwelling as defined in Section 11.30 of the Eagan City Code located at 4510 Thomas Lake Circle legally described as Lot 3, Block 1, Sugar Bluffs, PID #10-72925-01-030. A building permit application has been submitted on my behalf to the City to enlarge, alter, improve, remodel, and/or finish the above -referenced dwelling, or a portion thereof, to include the installation of facilities for a secondary kitchen within the dwelling. The secondary kitchen facilities to be installed under the building permit are for the sole purpose of providing cooking and food service facilities for private entertainment of guests by the property owner at the dwelling. I acknowledge that the Eagan Zoning Code prohibits the existence of a second kitchen facility within a dwelling unit to serve a complete, independent and secondary living or housekeeping use within the dwelling. I certify that the installation of the secondary kitchen facilities under the building permit is not for the purpose of providing a second complete, independent and separate living and/or housekeeping unit within the dwelling. Dated: February 19, 2012 Subscribed and sworn to before me this /V day of JULIE A. STRID NOTARY PUBLIC- MINNESOTA My Commission Expires Jan. 31, 2015 ti0 ✓lfll_�✓.!,!/.lIlI11_Y_1llllll./IIl ` I hereby verify that the above said Certification of Purpose of Secondary Kitchen Facilities within Single Family Dwelling was recorded at the County Recorder's Office on , 2012. By: Its: THIS INSTRUMENT WAS DRAFTED BY: City of Eagan Community Development Department 3830 Pilot Knob Road Eagan, MN 55122 G:\Building Inspections\FORMS\Certification of Kitchen ity of Ea ai 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 L62° Cy 0 0 gs`°s q AUG 0 3 REC'01 3;(1 3a, 11-( lowo a� I Permit#: Permit Fee: gi /e/ Date Received: t! `4 Staff: 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 7-26 —I° Site Address: Tenant: 17157.9 7 v / Suite #: RESIDENT / OWNER Name: 2 Address / City / Zip: /g/ 33 ���. S qua f PS 707 i jhrt Phone: CovA -723- d --S pi Applicant is: X Owner /0•\" ` Contractor TYPE OF WORK Description of work: /VEX/ S77 / /L 176114`® Construction Cost: Multi -Family Building: (Yes / No ) CONTRACTOR Name: 1OVtq 71 i-Qt-izo4ES License#: aO6a ! Address: 4/33 �, / City: % ?�r`��71//�1JrP� State: f'v Zip: Phone: ‘25)--90' ittala67 1DContactPerson: ! 0E7 b/2'2i - 3 -16 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 Minnesota Rules 7672 • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Submitted Submitted • Energy Envelope Calculations Submitted Energy Code Category (J submission type) In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes X No If yes, date and address of master plan: 6cxi z. ei Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: b O ,7-E C/t Phone: "152-7677- /000 Phone: qsT — 7 (7 — /00D Phone: 6/ 2 ---70-7t-/S-&, you submit are considered to be Wit if you provide specific reason hat they are trade. secrets. 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 appro _.,.., plans. it /l, Applicant's Printed Name App ant's Sign atur Page 1 of 3 45i‘) 7hongs Cc(c DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Fireplace 4- Single Family Garage Multi Deck 01 of Plex Lower Level Accessory Building WORK TYPES 4 New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% I4 Census Code # of Units Interior Improvement Move Building Fire Repair Repair 10/ I # of Buildings / Type of Construction Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS • Footings (New Building) Footings (Deck) Footings (Addition) ;f Foundation Drain Tile Roof:- Ice & Water , Final Framing • Fireplace: Rough In Air Test Final • Insulation Meter Size: Reviewed By: Siding Reroof Windows Egress Window Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant %'AG -2 MCES System N, 6°-7 SAC Units f.1 / City Water / Booster Pump 5G 3 3 PRV 60 Fire Sprinklers ,4'O I %0S Sheetrock - 1j13411G/1413411G/14x'--- 4 '11$ Final / C.O. Required Final I No C.O. Required HVAC Other: Pool: Footings Air/Gas Tests Final Siding: _Stucco Lath _Stone Lath _Brick Windows 4_ Retaining Wall Erosion Control / , Building Inspector RESIDENTIAL F S Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies 1//',/`i LL oto 'C / l 3Y oc1. 1 20 0-0 /4/47 5n 44:51t °NIA@ 33 p/cc_k 3002d@ J5 flhl6vtJ; S'rooP 4 @ g TOTAL Eroia± 30 OA 4-1 y5-Thb -� / A V= _9I/ 632. y� Page 2 of 3 Date: 7/28/2010 Revision Date: 7/28/2010 Site Information Address 1: 4510 Thomas Lake Circle Address 2: City: Eagan County: Application Information Business Name: Joe & Jane Miller Contact Person: Joey Miller Office Ph: Fax: Ceti Ph: 612-269-6370 Address 1: City: Lakeville State: MN Zip Code: House Details Square Feet: 5160 sq. ft. Avg. Ceiling Ht: Ventilation : Balanced otal V ntilatioCapacity : 203 cf Mini m Con ' uous entila on : 16' 70 New Construction Project #: Lot: Block: Subdivision: MN Contractor License #: Number of Bedrooms: Intermittent Ventilation: 143 cfm. Combustion Appliance ater Heater: Furnace/Boiler: Power Vent Input BTUs: 120,000 Independently Vented Other Combustion Appliances Gas Fired Direct Vent Fireplace(s): Yes Gas Fired Natural Draft Fireplace(s): No Exhaust Equipment Con ' r . - t Ventilation Capacity (cfm): NA Exhaust Fan Rating (cfm): 60 Make- p Air No Make -Up Air Required by Code Combustion Air Minimum Combustion Air Requirements Met. 95963 Gas Fired Power Vent Fireplace(s): No Solid Fuel Appliance(s): No Clothes Dryer (cfm): 135 echanical Roo r n Size: 10'x20'x9 163/2 - 82 -CFM Continueuc Ventil .Srti 7:4134 dS ,y //0#.,2 Applicant Name (print): � , <--C6 O & Signature/Date: Code Official (print): Signature/Date: CSS 6 ()Ns /3-7 civ 60\r -z- t, g d- ` 7L7 - /0 C 2004 CenterPoint Energy Minnegasco. 2004 Mechanical Code Guidelines. Page 1 06/09/2009 13:48 6128252303 13 22.1.1041Viinnetota Rule (16,6 lkom-s RAY N WELTER HEATING o ,q5g PAGE 0: Page 2 of Exception: If the local ventilation requirements according to IRC Section R303.3 are being met by the continuous ventilation system, it shall be capable of operating at a rate not more than 100 percept greater than required by Section N1104.2.1. N1104.2.2 Intermittent ventilation. The difference between the total ventilation rate and the continuous ventilation rate shall be based on flow rates as designed or as installed. Conditioned space' (in sq. ft) 1000-1500 1501-2000 2001-2500 2501-3000 3001-3500 3501-4000 4001-4500 4 0 5001-550, 5501-60002 Table N1104.2 Total and Continuous Ventilation Rates (in efxn) Number of Bedrooms 1 2 3 Total/ Total/ Total/ Continuous Continuous Continuous 4 5 Total/ Total/ Continuous Continuous 62 Total/ Continuous 60/40 75/40 90/45 105/53 120/60 135/68 70/40 85/43 100/50 115/58 130/65 145/73 80/40 95/48 110/55 125/63. 140/70 155/78 90/45 105/53 120/60 135/68 150/75 165/83 100/50 115/58 130/65 145/73 160/80 175/88 110/55 125/63 140/70 155/78 170/85 185/93 120/60 135/68 150/75 1.65/83 180/90 195/98 130/65 145/73 160/80 175/88 190/95 205/103 140/70 155/78 170/85 185/93 200/100 215/108 150/75 165/83 180/90 195/98 210/105 225/113 I Conditioned space includes the basement. 2 If conditioned space exceeds 6000 sq. ft. or there are more than 6 bedrooms, use Equation 11-1 from Section N! 104.2 to calculate total ventilation rate. N1104.3 Ventilation system requirements. The mechanical ventilation system shall be one of three types: exhaust according to Section N1104.3.1; balanced, and HRV/ERV according to Section N1104.3.2; or other method according to Section Ni l04.3.3. N1104.3.1 Exhaust systems. Fans used to comply with the continuous ventilation part of the mechanical ventilation system shall: 1. meet the minimum continuous ventilation rate in Section NI 104.2.1 at the point of discharge; 2. be designed and certified by the equipment manufacturer as capable of continuous operation at the rated elm; 3. have a maximum 1.0 sone per HVI Standard 915 for surface mounted fans; 4. be permitted to use a required overcurrcnt protection device as a disconnect per the National EIectri:c Code, incorporated by reference in Minnesota Rules, chapter 1315; and 5. comply with the Minnesota Mechanical Code, chapter 1346, which may require .1� Youngfield Homes HVAC Load Calculations for Youngfield Homes 4510 Thomas Lake Circle Eagan, MN. HVAC HVAC LOADS Prepared By: Todd Boyum Genz -Ryan Plbg. & Htg. 2200 West Hwy 13 Burnsville, MN. 952-767-1000 Monday, August 30, 2010 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. Project Report Project Title: Designed By: Project Date: Client Name: Client Address: Client City: Client Phone: Client Fax: Company Name: Company Representative: Company Address: Company City: Company Phone: Youngfield Homes Todd Boyum Aug. 12, 2010 Youngfield Homes 4510 Thomas Lake Circle Eagan, MN. None None Genz -Ryan Plbg. & Htg. Todd Boyum 2200 West Hwy 13 Burnsville, MN. 952-767-1000 Reference City: Building Orientation: Daily Temperature Range: Latitude: Elevation: Altitude Factor: Elevation Sensible Adj. Factor: Elevation Total Adj. Factor: Elevation Heating Adj. Factor: Elevation Heating Adj. Factor: Winter: Summer: Outdoor Dry Bulb -15 88 44 834 0.970 1.000 1.000 1.000 1.000 Minneapolis, Minnesota House faces East Medium Degrees ft. Outdoor Outdoor Indoor Indoor Grains Wet Bulb Rel.Hum Rel.Hum Dry Bulb Difference -12.38 100% 30% 70 27.02 72 47% 50% 75 29 Total Building Supply CFM: Square ft. of Room Area: Volume (ft3) of Cond. Space: 2,125 5,158 51,589 CFM Per Square ft.: Square ft. Per Ton: 0.412 1,018 Total Heating Required Including Ventilation Air: Total Sensible Gain: Total Latent Gain: Total Cooling Required Including Ventilation Air: 68,599 Btuh 45,596 Btuh 3,240 Btuh 48,836 Btuh 68.599 MBH 93 7 % 4.07 Tons (Based On Sensible + Latent) 5.07 Tons (Based On 75% Sensible Capacity) 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. C:\Program Files\Elite\Rhvacw\Genz-Youngfield Homes-1.rhv Monday, August 30, 2010, 10:41 AM Load Preview Report Scope Net ft.2 Ton /Ton Area Sen Gain Lat Gain Net Gain Sen Loss Sys Sys Htg Clg CFM CFM Sys Act CFM Duct Size Building54S System 1 Ventilation Duct Latent Humidification Zone 1 1 -Lower Level 2 -Main Level 4.07 1,267 4.07 1,267 5,1583 45,596 3,2401 48,836E 68,599 1,047 2 125 2,125 5158 455961 3,240; 48,836 68,599, 1047, ,125 2,1251 16x22 239'y1 3321 571 1,560 3073 30 1 2,621; 5,158 45,357 _ 2,6011 47,958 64,418 i 1 047125 2,125! 16x22 2,579. 13,444 1,2191 14,663E 27,563 448 t 630 ' 6301 5--7 2,579] 31,913 1,3821 33,295 36,8551 599 1 495 1 495; 12--7 C:\Program Files\Elite\Rhvacw\Genz-Youngfield Homes-1.rhv Monday, August 30, 2010, 10:41 AM Total Building Summary Loads 1 D-cw-o: Glazing -Double pane, operable window, clear, wood frame, indoor insect screen with 100% coverage, u -value 0.29, SHGC 0.56 1 D-cw-d: Glazing -Double pane, sliding glass door, clear, wood frame, external shade screen coefficient of 0.25 and 100% coverage, u -value 0.3, SHGC 0.56 1 D-cw-o: Glazing -Double pane, operable window, clear, wood frame, u -value 0.29, SHGC 0.56 1 D-cw-o: Glazing -Double pane, operable window, clear, wood frame, external shade screen coefficient of 0.35 and 100% coverage, u -value 0.29, SHGC 0.56 1 D-cw-d: Glazing -Double pane, sliding glass door, clear, wood frame, u -value 0.3, SHGC 0.56 11J: Door -Metal - Fiberglass Core 11D: Door -Wood - Solid Core 15A-10s3oc-2: Wall -Basement, concrete block wall, R-10 foam board to 3', no framing, no interior finish, open core, 2' floor depth 12E-Osw: Wall -Frame, R-19 insulation in 2 x 6 stud cavity, no board insulation, siding finish, wood studs New Material: Wall -Frame, , Spray Foam Insulation Pkg. 16A-44: Roof/Ceiling-Under Attic with Insulation on Attic Floor (also use for Knee Walls and Partition Ceilings), Unvented Attic, No Radiant Barrier, Any Roofing Material, Any Roof Color, R-44 insulation 16A-38: Roof/Ceiling-Under Attic with Insulation on Attic 208 460 0 368 368 Floor (also use for Knee Walls and Partition Ceilings), Unvented Attic, No Radiant Barrier, Any Roofing Material, Any Roof Color, R-38 insulation 21A-32: Floor -Basement, Concrete slab, any thickness, 2 2579.5 4,385 or more feet below grade, no insulation below floor, any floor cover, shortest side of floor slab is 32' wide Subtotals for structure: People: Equipment: Lighting: Ductwork: Infiltration: Winter CFM: 129, Summer CFM: 63 Ventilation: Winter CFM: 17, Summer CFM: 17 Humidification (Winter) 7.15 gal/day : ..._.. Total Building Load Totals: 70 1,726 84 2,142 555.8 13,700 16 394 42 1,071 21 1,071 21 696 929 6,301 2701.2 15,613 90 358 2579.5 4,824 0 2,373 2,373 0 1,952 1,952 0 25,901 25,901 0 425 425 0 1,588 1,588 0 302 302 0 197 197 0 645 645 0 2,828 2,828 0 73 73 0 3,859 3,859 0 0 0 52,741 0 40,511 40,511 6 1,380 1,800 3,180 0 0 0 0 0 0 0 307 2,169 2,476 11,677 1,221 877 2,098 1,560 332 239 571 2,621 0 0 0 68,599 3,240 45,596 48,836 Total Building Supply CFM: Square ft. of Room Area: Volume (ft3) of Cond. Space: 2,125 5,158 51,589 CFM Per Square ft.: Square ft. Per Ton: 0.412 1,018 Total Heating Required Including Ventilation Air: Total Sensible Gain: Total Latent Gain: Total Cooling Required Including Ventilation Air: 68,599 Btuh 45,596 Btuh 3,240 Btuh 48,836 Btuh 68.599 MBH 93 % 7 % 4.07 Tons (Based On Sensible + Latent) 5.07 Tons (Based On 75% Sensible Capacity) 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. C:\Program Files\Elite\Rhvacw\Genz-Youngfield Homes-1.rhv Monday, August 30, 2010, 10:41 AM Total Building Summary Loads (cont'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. C:\Program Files\Elite\Rhvacw\Genz-Youngfield Homes-1.rhv Monday, August 30, 2010, 10:41 AM System 1 Main Floor Summary Loads 1 D-cw-o: Glazing -Double pane, operable window, clear, wood frame, indoor insect screen with 100% coverage, u -value 0.29, SHGC 0.56 1 D-cw-d: Glazing -Double pane, sliding glass door, clear, wood frame, external shade screen coefficient of 0.25 and 100% coverage, u -value 0.3, SHGC 0.56 1 D-cw-o: Glazing -Double pane, operable window, clear, wood frame, u -value 0.29, SHGC 0.56 1 D-cw-o: Glazing -Double pane, operable window, clear, wood frame, external shade screen coefficient of 0.35 and 100% coverage, u -value 0.29, SHGC 0.56 1D-cw-d: Glazing -Double pane, sliding glass door, clear, wood frame, u -value 0.3, SHGC 0.56 11J: Door -Metal - Fiberglass Core 11D: Door -Wood - Solid Core 15A-10s3oc-2: Wall -Basement, concrete block wall, R-10 foam board to 3', no framing, no interior finish, open core, 2' floor depth 12E-Osw: Wall -Frame, R-19 insulation in 2 x 6 stud cavity, no board insulation, siding finish, wood studs New Material: Wall -Frame, , Spray Foam Insulation Pkg. 16A-44: Roof/Ceiling-Under Attic with Insulation on Attic Floor (also use for Knee Walls and Partition Ceilings), Unvented Attic, No Radiant Barrier, Any Roofing Material, Any Roof Color, R-44 insulation 16A-38: Roof/Ceiling-Under Attic with Insulation on Attic 208 460 0 368 368 Floor (also use for Knee Walls and Partition Ceilings), Unvented Attic, No Radiant Barrier, Any Roofing Material, Any Roof Color, R-38 insulation 21A-32: Floor -Basement, Concrete slab, any thickness, 2 2579.5 4,385 or more feet below grade, no insulation below floor, any floor cover, shortest side of floor slab is 32' wide Subtotals for structure: People: Equipment: Lighting: Ductwork: Infiltration: Winter CFM: 129, Summer CFM: 63 Ventilation: Winter CFM: 17, Summer CFM: 17 Humidification (Winter) 7.15 gal/day : System 1 Main Floor Load Totals: 70 1,726 84 2,142 555.8 13,700 16 394 42 1,071 21 1,071 21 696 929 6,301 2701.2 15,613 90 358 2579.5 4,824 0 2,373 2,373 0 1,952 1,952 0 25,901 25,901 0 425 425 0 1,588 1,588 0 302 302 0 197 197 0 645 645 0 2,828 2,828 0 73 73 0 3,859 3,859 0 0 0 52,741 0 40,511 40,511 6 1,380 1,800 3,180 0 0 0 0 0 0 0 307 2,169 2,476 11,677 1,221 877 2,098 1,560 332 239 571 2,621 0 0 0 68,599 3,240 45,596 48,836 Supply CFM: Square ft. of Room Area: Volume (ft3) of Cond. Space: 2,125 5,158 51,589 CFM Per Square ft.: Square ft. Per Ton: 0.412 1,018 Total Heating Required Including Ventilation Air: Total Sensible Gain: Total Latent Gain: Total Cooling Required Including Ventilation Air: 68,599 Btuh 45,596 Btuh 3,240 Btuh 48,836 Btuh 68.599 MBH 93 7 % 4.07 Tons (Based On Sensible + Latent) 5.07 Tons (Based On 75% Sensible Capacity) 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. C:\Program Files\Elite\Rhvacw\Genz-Youngfield Homes-1.rhv Monday, August 30, 2010, 10:41 AM System I Main Floor Summary Loads cont'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. C:\Program Files\Elite\Rhvacw\Genz-Youngfield Homes-1.rhv Monday, August 30, 2010, 10:41 AM Detailed Room Loads - Room 1 - Lower Level (Average Load Procedure Calculation Mode: Room Length: Room Width: Area: Ceiling Height: Volume: Number of Registers: Runout Air: Runout Duct Size: Runout Air Velocity: Runout Air Velocity: Actual Loss: Htg. & clg. 78.0 ft. 33.1 ft. 2,579.0 sq.ft. 9.0 ft. 23,215.0 cu.ft. 5 126 7 471 471 0.112 CFM in. ft./min. ft./min. in.wg./100 ft. Occurrences: System Number: Zone Number: Supply Air: Supply Air Changes: Req. Vent. Clg: Actual Winter Vent.: Percent of Supply.: Actual Summer Vent.: Percent of Supply: Actual Winter Infil.: Actual Summer Infil.: 1 1 1 630 CFM 1.6 AC/hr 0 CFM 7 CFM 1 % 5 CFM 1 % 56 CFM 27 CFM NW-Wall-15A-10s3oc-2 78 X 9 NE-Wall-15A-10s3oc-2 33 X 9 SE-Wall-12E-Osw 78 X 9 SW-Wall-12E-Osw 33 X 9 W -Wall-New Material 10 X 9 NW -GIs -1 D-cw-o shgc-0.56 0%S SE -GIs -1 D-cw-d shgc-0.56 0%S SE -GIs -1 D-cw-o shgc-0.56 0%S SW -GIs -1 D-cw-o shgc-0.56 0%S Floor -21A-32 33.1 X 78 Subtotals for Structure: Infil.: Win.: 55.8, Sum.: 27.4 Ductwork: People: 230lat/per, 300 sen/per: Room Totals: 632 0.063 297 0.063 512 0.068 281 0.068 90 0.047 70 0.290 84 0.300 106 0.290 16 0.290 2579.5 0.020 1,868 3 6.8 4,277 0.7 0 434 6.8 2,024 0.7 0 211 5.8 2,959 1.0 0 536 5.8 1,624 1.0 0 294 4.0 358 0.8 0 73 24.7 1,726 33.9 0 2,373 25.5 2,142 23.2 0 1,952 24.7 2,613 49.3 0 5,223 24.7 394 26.6 0 425 1.7 ........ 4,385 0.0 0 0 22,502 0 11,521 2.709 5,061 0.203 529 380 0 643 27,563 690 900 1,219 13,444 C:\Program Files\Elite\Rhvacw\Genz-Youngfield Homes-1.rhv Monday, August 30, 2010, 10:41 AM Detailed Room Loads - Room 2 -Main Level (Average Load Procedure) Calculation Mode: Room Length: Room Width: Area: Ceiling Height: Volume: Number of Registers: Runout Air: Runout Duct Size: Runout Air Velocity: Runout Air Velocity: Actual Loss: Htg. & clg. 78.0 ft. 33.1 ft. 2,579.0 sq.ft. 11.0 ft. 28,374.0 cu.ft. 12 125 CFM 7 in. 466 ft./min. 466 ft./min. 0.110 in.wg./100 ft. Occurrences: System Number: Zone Number: Supply Air: Supply Air Changes: Req. Vent. Clg: Actual Winter Vent.: Percent of Supply.: Actual Summer Vent.: Percent of Supply: Actual Winter Infil.: Actual Summer [nth.: 1 1 1 1,495 CFM 3.2 AC/hr 0 CFM 10 CFM 1 % 12 CFM 1 % 73 CFM 36 CFM NW-Wall-12E-Osw 78 X 11 NE-Wall-12E-Osw 33 X 11 SE-Wall-12E-Osw 78 X 11 SW-Wall-12E-Osw 33 X 11 NW -Door -11J 3 X 7 NW -Door -11D 3 X 7 NW -GIs -1 D-cw-o shgc-0.56 0%S NE -GIs -1 D-cw-o shgc-0.56 0%S SE -GIs -1 D-cw-o shgc-0.56 0%S SW -GIs -1 D-cw-o shgc-0.56 0%S NE-Gls-1D-cw-d shgc-0.56 0%S UP-Ceil-16A-44 78 X 33.1 UP-Ceil-16A-38 16 X 13 Subtotals for Structure: Infil.: Win.: 72.9, Sum.: 35.8 Ductwork: People: 230lat/per, 300 sen/per,..._... Room Totals: 724 0.068 5.8 4,185 1.0 285 0.068 5.8 1,647 1.0 566.2 0.068 5.8 3,273 1.0 333 0.068 5.8 1,925 1.0 21 0.600 51.0 1,071 14.4 21 0.390 33.2 696 9.4 92 0.290 24.7 2,268 37.7 36 0.290 24.7 887 37.7 291.8 0.290 24.7 7,192 49.3 30 0.290 24.7 740 49.3 42 0.300 25.5 1,071 37.8 2579.5 0.022 1.9 4,824 1.5 208 0.026 2.2 ........ 460 18. 30,239 2,442 2.709 6,616 0.204 0 3 36,855 0 758 0 298 0 593 0 349 0 302 0 197 0 3,466 0 1,356 0 14,378 0 1,478 0 1,588 0 3,859 0 368 0 28,990 692 497 1,526 690 ......._.900 1,382 31,913 C:\Program Files\Elite\Rhvacw\Genz-Youngfield Homes-1.rhv Monday, August 30, 2010, 10:41 AM System Room Load Summary —Zone 1--- 1 Lower Level 2 Main Level Ventilation Humidification Duct Latent System 1 total System 1 Main Trunk Size: Velocity: Loss per 100 ft.: 2,579 27,563 448 5-7 471 13,444 1,219 630 630 2,579 36,855 599 12-7 466 31,913 1,382 1,495 1,495 1,560 2,621 5,158 68,599 1,047 16x22 in. 869 ft./min 0.075 in.wg 239 332 307 Net Required: Recommended: Actual: 4.07 5.07 1.00 93% / 7% 75% / 25% 45,596 45,596 9,000 3,240 15,199 3,000 48,836 60,794 12,000 CAPrognamRleo\E|ibe\Rhvauv\Genz'YnungfcAdHomao-1.rhv Monday, August 30, 2010, 10:41 AM City Forester Copy Applicant/Builder Copy City of Eapa INDIVIDUAL RESIDENTIAL LOT TREE PRESERVATION PLAN SUMMA CITY OF EAGAN FORESTRY DIVISION 651-675-5300 (BUILDER, PLEASE READ ATTACHMENTS) Development SUGAR BLUFFS Lot Number 3 Block Number 1 Address 4510 Thomas Lake Circle Builder?Owner Mike Stack, 4500 Thomas Lake Road Phone Number: 651-675-0603 Contact: Mike Stack Tree Protection Requirements: X Tree Protection Fencing Installed On Site (Black silt fence) X Oak Tree Pruning (Immediately seal wounds during April 1 to July 31) Therapeutic Pruning Required Retaining Wall To Be Installed Other: Replacement Trees: x Attachments: Not Required As Follows: X Yes (Refer to attached docume No PAGAN FORESTRY unns�oN " REVIEWE BY DATE gi(a nts for details) Additional Notes: All tree protection measures shall remain in place until all construction is complete. No additional removal of significant trees shall occur without the approval of the City of Eagan Supervisor of Forestry. H:\ghove\2010file\treepres\Tree Preservation Plan Sugar Bluffs Lot 3 Block 1 L i—g— T --- aweINC) svwa�a vOg 3 iu`s�o sines -moi 3>11/1 SVWOHi • T _ „ i i .„....." OVOd,%3NV1 SVWOHI I NoelIGGV I ;, Ian SS�Nl!A INI1 ;i, ::t �_� I IN I ash.. Q0. oia lcwlc of Irma -• I. 2 Z 1 \e > 411, : ii' Q L i—g— T --- aweINC) svwa�a vOg 3 iu`s�o sines -moi 3>11/1 SVWOHi • T _ „ i i .„....." OVOd,%3NV1 SVWOHI I NoelIGGV I ;, Ian SS�Nl!A INI1 ;i, ::t �_� I IN I ash.. • O Y s 2 t/ l3S 1`333 S9S 4WG� N N 1--- 0 0 S89'24'47"E 0 N4JjM 31-- 4 .1 t/LMS 3HI JO ,"•'I JO 3NIl 1SV3--' M„ l,S�.00S SO '26 a 0 \ 0 g ti\ 1.--4;-)----4:-;Z6.4,_,,.° bLZg \ \ --:-C,..:0 �St ›. �° NOjdt �o 1�z=�Z ®\�vbll ' Z''''1'\ \O oi � d.O\�°b�. ,\ b\e',,,,,-,22 • oic 00./s7.4,a m O --L./1-0-;?- I\ '� �- F� x'•'o �SSOI �\ \ l \ \ \o • Gs', k'\ v 'gyp 2n w ?'v \, -F0,' \ \r0 \S6 „nyC� ao 3 Mj.ZS,0I�Z.00L ,I I ,Ir co � � � / 'r I'la"'6 �e,� / I I'`� f s.6\ a / Nl ��6 /' W/ o r l rn po O O NOH % / ; 'T SII N 7�3, 1,I m / / Y 1 0m o• 0 i ,<va (00 co C, °o \ ‘,°; > b �JvlK Gd 00. o . ��-, ovr 10�� / C - ,, 8rs6 ,,o J / ,f64' \/ �sc"� J \,/ 6,1.'6' 6 O 10 N _ ei F i /�X/� Horn r, _..--i ` j� i / Op1w o m• / ca i44 mjl � \ A4�k�',1,•/ •i �x REQ+ ALL S.�-2.05 O / / I i� , i / H- SUGAR BLUFFS 0 0 CO r') 0 J 0 Q 0 a) 0 0) a) J z z 0 0 0 0 w zz 0 z wo zi< z z0'-zQ ¢Nwoa �wOoW woLsi 0LO ZOV00 rawoao En OftiJzZ X O Q w 0 w a (/) LL V) V) w pz wWF Q=IL L Z —— O ) w�z¢ C C — co F- II II II 0 o aN O o 00 O O rn a I U, II I kt -� 0 O c an N C' 0 a M II U 1.4 CERTIFICATE OF SURVEY a JANE MILLER G7� �fr 8 z ZD- z C r 030 - zv� -TREE PRESERVATION CALCULATION WORKSHEET Bluffs LOT 3 BLOCK 4510 Thomas lake Circle Single lot residential Development Type = U) Z 0 H J 0 -J 0 Z 0 a Fo- 2 Trees Removed 0 0 0 0 0 0 01 Cfl d' N N N 0 Category B Trees TOTAL MITIGATION 0 0 0 0 0 0 0 0 o - C) O -o N d' N N CV co NN (4 P `. A v Cl) O 0 d p 0 N H a c U 0 N U 7 N a) o • U A o U E D o L O a L -5-00 00 a) 3 :� E 0 0 o o 0 o 0 (n 2 U) U 2 0 0 0 MITIGATION SUMMARY w F- 0 Z • r ViLE r'`,1 IYCwo..Vi MU I CI lely.yt I.UUC VVI II}.JIiQIIL.0 I.CI LIIII..QLC N1101.8 Building Certificate. A building certificate shall be posted in a permanently visible location inside the building. The certificate shall be completed by the builder and shall list infonnation and values of components listed in Table NI101.8. Date Certificate Posted 8/11/10 0.29 gPer (� E - . - - `� - l �) Mailing Address of the Dwelling or Dwelling Unit 4510 Thomas Lake Circle City Eagan q i �-�� _/✓�/6�' Name of Residential Contractor Youngfield Homes MN License Number 20627607 THERMAL ENVELOPE RADON SYSTEM Insulation Location Total R-Value of all Types of Insulation Type: Check All That Apply X Passive (No Fan) Non or Not Applicable Fiberglass, Blown Fiberglass, Batts Foam, Closed Cell Foam Open Cell Mineral Fiberboard Rigid, Extruded Polystyrene Rigid, Isocynurate Electric Active (With fan and monometer or other system monitoring device) Other Please Describe Here Below Entire Slab Carrier X Marathon Carrier Powered Model 58UVB80 MR105 Foundation Wall R-10 Interlocked with exhaust device. Describe: 1200 CFM range hood Rating or Size Input in BTUS: X Capacity in Gallons: 10' Output in Tons: 5 1-3/8" - 1-1/2" POLYURETHANE Perimeter of Slab on Grade Structure's Calculated X 68,599 Heat Gain: 45,596 Location of duct or system: Efficiency AFUE or HSPF% Rim Joist (Foundation) R-13.6 SEER: 21+ X 48,836 Cfins BASF 178 2" spray foam interior Rim Joist (1st Floor+) R-13.6 Mechanical Ventilation System Describe any additional or combined heating or cooling systems if installed: Geo -Thermal heating & cooling with gas furnace back-up. Panasonic Lo -sone fans will help make make-up Total ventilation. ERV will run at Hi -Speed to achieve continuous ventilation- 104 CFM Select Type " metal duct X X Not required per mech. code Passive BASF 178 2" spray foam interior Wal R-19 X Other, describe: X Energy Recover Ventilator (ERV) Capacity in cfins: GUARDIAN FIBERGLASS Ceiling, flat R-44 High: X Location of duct or system: Mechanical Room Continuous exhaustins fan(s) rated capacity in cfins: X Location offan(s), describe: GUARDIAN FIBERGLASS Ceiling, vaulted R-38 Capacity continuous ventilation rate in cfins: X " round duct OR Total ventilation (intermittent + continuous) rate in cfins: 208 GUARDIAN FIBERGLASS Bay Windows or cantilevered areas X Bonus room over garage X Describe other insulated areas 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 Gam Coefficient(SHGC): 0.56 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 Natural Gas Electric Electric Passive Manufacturer Carrier Marathon Carrier Powered Model 58UVB80 MR105 DO T UJU041V1.U3U 1 Interlocked with exhaust device. Describe: 1200 CFM range hood Rating or Size Input in BTUS: 80,000 Capacity in Gallons: 10' Output in Tons: 5 Other, describe: Structure's Calculated Heat Loss: 68,599 Heat Gain: 45,596 Location of duct or system: Efficiency AFUE or HSPF% 95 SEER: 21+ Calculated cooling load: 48,836 Cfins " round duct OR Mechanical Ventilation System Describe any additional or combined heating or cooling systems if installed: Geo -Thermal heating & cooling with gas furnace back-up. Panasonic Lo -sone fans will help make make-up Total ventilation. ERV will run at Hi -Speed to achieve continuous ventilation- 104 CFM Select Type " metal duct Combustion Air Select a Type X Not required per mech. code Passive Heat Recover Ventilator (HRV) Capacity in cfins: Low: High: Other, describe: X Energy Recover Ventilator (ERV) Capacity in cfins: Low: 40 High: 120 Location of duct or system: Mechanical Room Continuous exhaustins fan(s) rated capacity in cfins: X Location offan(s), describe: Master and 3/4 bath will revceive Panasonic FV-08VQ3 fans Cfins Capacity continuous ventilation rate in cfins: 104 " round duct OR Total ventilation (intermittent + continuous) rate in cfins: 208 " metal duct ,. w-1, ,ncnn7n PROPERTY LEGAL: rn c t U O z Q DOCUMENT STANDARDS [t3' ❑ ❑ • Registered Land Surveyor signature and company IB' 0 El • Building Permit Applicant C7' ❑ ❑ • Legal description [� ❑ ❑ • Address C9' El ❑ • North arrow and scale Cts'' ❑ Ile • House type (rambler, walkout, split w/o, split entry, lookout, etc.) F t (f ‘5,25e00 -1f - wa C9'' ❑ ❑ • Directional drainage arrows with slope/gradient % ozi7 ❑ C9' • Proposed/existing sewer and water services & invert elevation Er ❑ ❑ • Street name d ❑ ❑ • Driveway (grade & width - in R/W and back of curb, 22' max.) qOLOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION /'-/./o 104' 'c�i1,-w cs/% ADs S DATE OF SURVEY: '7// T //O/ 6 _ 3 -10 LATEST REVISION: � ! hQ • ❑ ❑ • Lot Square Footage ❑ ❑ • Lot Coverage ELEVATIONS Existing C9' ❑ ❑ • Property corners �' ❑ i • Top of curb at the driveway and property line extensions '21' El C9' • Elevations of any existing adjacent homes (We.-42,14 or 115-00 Yhb» 4-- C/rcf') C3' ❑ ❑ • Adequate footing depth of structures due to adjacent utility trenches ❑ C • Waterways (pond, stream, etc.) -7-407.4-05 Lemke. 637- ? A/w - 90 `t. 2 /-/W4- ' f07 e0 Proposed C9' ❑ ❑ • Garage floor ❑ 0 • Basement floor ®' ❑ ❑ • Lowest exposed elevation (walkout/window) CI' ❑ ❑ • Property corners lW ❑ ❑ • Front and rear of home at the foundation PONDING AREA (if applicable) ❑ ❑ • Easement line ❑ Y• NWL x'"" ❑ C9' • HWL )• ❑ Ca' • Pond # designation ❑ d ❑ • Emergency Overflow Elevation ❑ ❑ ❑ • Pond/Wetland buffer delineation N • Shoreland Zoning Overlay District N • Conservation Easements DIMENSIONS I ' ❑ El • Lot lines/Bearings & dimensions ❑ E' Cl • Right-of-way and street width (to back of curb) EY ❑ ❑ • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (i.e. all structures requiring permanent footings) M' ❑ 0 • Show all easements of record and any City utilities within those easements IT ❑ El • Setbacks of proposed structure an • - .: yard setback of adjacent existing structures Jrl ❑ ❑ • Retaining wall requirements: Reviewed By: G:/FORMS/Cert. of Survey Checklist Rev. 11-26-04 ...1-1,166•1/144/ %fel Yr,e5¢T✓a%er, fly Date y/i9,/%0 r U ›a: cc Q. In O � II D m J 0 O J m ND O J C 0 0_ V a a) CD z z O O 0 F- LU C9 Z wO Zia z z o��ZQ QNwoQ w000>w w DzwHz wo 0 ZpUW0Q aDC�O (n (n W Z W �---WWLL O OWUNwD w WDzc/� 0 Cr OZtimO II II II 0 O M N) U i7 L3S ]Hl g95 1S3M 0 z O 30 -b/LMS 3H1 3H1 30 3N11 M„2L,52.00S 50'26 e ADDRESS: 4510 THOMAS LAKE CIRCLE H b LL. O U) Q W Q << Ct IX QWw 00 \ / <v 04” 45 SOV o o ti `>' O�0�j7,, %°•>) 04,1-32 TREE PRESERVATION c �-V0.?/ L Cgb N AP 0 sa 1.4 OF SURVEY CERTIFICATE 7 immimommir a rF 0111111111101111111111 z W 0 0 41/`° City of EaQall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit #:q70 1 Permit Fee: / ZS •7 Date Received: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: J// 9//(7 Tenant: � ✓r•e- Site Address: �/ //ivy - 4/c7,0 4 — 4/ 7o cicfed?7 / 4 . jfr /.e `{' Suite #: i/ Pik. RESIDENT / OWNER Name: J4yi it/ i- Phone* Address / City / Zip: Applicant is: Owner ) Contractor TYPE OF WORK Description of work: poc- /43,- 4 4,,,LG U..4 // dwv Y / /( Construction Cost: / /vODU . co / Multi -Family Building: (Yes / No,)' ) CONTRACTOR Name: /'re Se,, vices GLG License #: Address: %fZ //evciv,c,. vCir. ,s..✓ City: Lowsdc%d.. State: /441./ Zip: i°3-04/6 Phone:: 9YZ - --Z-PL — ,5—e...3 .3 Contact: JG ruin rev Email: Aeevy Se .. --was C(f (2;}„,..,,/.044.„-7 yy..,,/ o 4 7 COMPLETE In the last 12 months, has Yes No If yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING the City of Eagan issued a permit for a similar plan based on a master plan? date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered -to be public information Portions of the information may be classified as non-public if you provide specific reasons that would permit the. City to`, conclude that they are trade secrets. 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.c opherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x jewriks Applicant's Printed Nme x r� Applica s Si tur Page 1 of 2 L DO NOT WRITE BELOW THIS LINE q-740z/e SUB TYPES Foundation Single Family Multi.. 01 of Plex Accessory Building -- Fireplace Porch (3 -Season)_ Storm Damage Garage Porch (4 -Season)_ Exterior Alteration (Single Family) Deck Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) Lower Level Pool Miscellaneous WORK TYPES New_ Interior Improvement __Siding _ Demolish Building* Addition_ Move Building _ Reroof _ Demolish Interior Alteration_ Fire Repair _ Windows _ Demolish Foundation _ Replace_ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building — give PCA handout to applicant DESCRIPTION Valuation Plan Review (25% 100%) Census Code # of Units # of Buildings Type of Construction Occupancy MCES System Code Edition 1.47) SAC Units Zoning R - City Water Stories Booster Pump Square Feet -- PRV Length Fire Sprinklers Width .r - REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Drain Tile Other: Roof: Ice & Water _Final Pool: _Footings Air/Gas Tests Final Framing Siding: _Stucco Lath _Stone Lath Brick Fireplace: Rough In Air Test Final Windows Insulation- Retaining Wall: it Footings jlt Backfill 4( Final Meter Size: Radon Control Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL 4/A Page 2 of 2 rif70 nz= 10 22 FD z Z g = fl § A E • Sg 2 I r.; 3— Ix c,‘ • "P(c. ks‘ o (o N.„5, "P,(<•• '•3 9 • '/O )o °.<• IN \ I \ 9,34 \ (• • 32 0 ,r) 937 . r>7 • 0 0 Co r') )A. / 9 NNN \\N N.\ \ \ 0 N \ • N \\\N\ N \ C— 31VOulle:130 0 -n r- 0 0 cHmU)> " »P1 —< > 7:1 • • ?.()1— (Y1 co --4 v (1) 0 ri 74 • 310e110 ]>1V1 SVIAIOH1 01i :SS3eICICIV U) co 0) 1\5 co rn ro c.,•4 co CJ Toss (,4 0 cO CA CO f 98.05 S00*35'13"W --EAST LINE OF THE WEST Jig // OF THE SW1/4 OF THE SEfv."' FEE 0 rrt z0 z r -rt 0 0 CD0 Cz ..41! I 0 (1) C) z m mm 5 > 7:) z m >11) r- rn z ci r - c 0 (f) • U) z (f) 0 r7:7 o 63' a) (Q. C-) z -H rn f City of Eagan PERMIT City of Eaan Permit Type: Plumbing Permit Number: EA106739 Date Issued: 09/10/2012 Permit Category: ePermit Site Address: 4510 Thomas Lake Cir Lot: 3 Block: 1 Addition: Sugar Bluffs PID: 10-72925-01-030 Use: Description: Sub Type: e - Fixtures Work Type: New Description: Basement Fixtures Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Mike Schiltz P.O. Box 22172 Eagan, MN 55122 651-681-8252 Fee Summary: Valuation: 2,000.00 PL - Permit Fee (miscellaneous) $55.00 Surcharge -Fixed $5.00 0801.4087 9001.2195 Total: $60.00 Contractor: Hessian Plumbing Services Box 22172 Eagan MN 55122 (651) 681-8252 - Applicant - Owner: Jane E Miller 4510 Thomas Lake Cir Eagan MN 55122 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