4096 Meadowlark RdRESIDENT / OWNER
Name: i' 4 NI Phone: COS V8l — 938 9
Address /City /Zip: � 3 ( O ►r \ la r I,.
CONTRACTOR
Name: License it
Address: SEDGIMCK HEATING 8 AIR t manITIOrlu4G U C City:
1408 Northland Drive Suite 310
State: Hghts,MN 55120 Phone:
(892) 881 -9000
Contact: Email:
TYPE OF WORK
New Replacement Additional Alteration Demolition
■
Description of work: L ' "' ` ,Q `` g' �C4A --`
mounte and ground mounted 8 anical eq is re e reened by it
t Is llntact the Mechanical Insp- .' r for info On per ®s a ling method
PERMIT TYPE
ESIDENTIAL
N.L. Furnace
COMMERCIAL
New Construction _ Interior Improvement
`>?' Air Conditioner
Install Piping _ Processed
Air Exchanger
_
Gas _ Exterior HVAC Unit
Heat Pump
_ Under / Above ground Tank ( Install / _ Remove)
_ Other
** When installing /removing tank(s), call for inspection by Fire
Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$55.00 Minimum Add -on
or alteration to an existing unit (includes
burned out appliances, ductwork, etc.) (includes
$5.00 State Surcharge) o ....
$95.00 Fire repair (replace
$5.00 State Surcharge) $ rD 1 AL I'LL
COMMERCIAL FEES:
$75.00 Underground tank
$55.00 Minimum (includes
installation /removal OR
State Surcharge)
$10,010, surcharge is $ 5.00
surcharge increases by $.50 for each $1,000 Permit
Fee requires a $ 5.50 surcharge)
Contract Value $ x 1%
_ $ Permit Fee
- If the Permit Fee is less than
Fee = $ Surcharge
- If the Permit Fee is > $10,010,
(i.e. a $10,010- $11,010 Permit
_ $ TOTAL FEE
4 City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
Tenant: l.-_F') (Y , P VCS
Applicants Printe • Name
i
x
Applicants Sign j% re
2010 MECHANICAL PERMIT APPLICATION
Date: Site Address: l t(--P eaCUC,OI r K
Suite #:
Use BLUE or BLACK Ink
Permit*: /7
Permit Fee: *()O
Date Received:
Staff:
J
CALL BEFORE YOU DIG. CaII 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.gopherstateonecaliorg
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 w; ut a permit; that the work will be in accordance
with the approved Ian in th - e of which requires a review and approval of plans.
` J�
INFILTRATION/
VENTILATION
FLOOR
SQ
x
FT. x
CEILING
HEIGHT
FT + 60
=
=
CUBIC
FT
0.40
CUBIC
105
CFM
124
133
143
152 162
MECHANICAL VENTILATION CFM = FRESH AIR INTAKE
181
NO INSULATION
2" IN
DESIGN TEMPERATURE DIFFERENCE
BTUH
30
' 35 f 40 146 1 156 160 1 6c 70175 180 1 11ro 196
9.4
CFM
H T LOSS
`J
181879
ER
HEAT TRANSFER MULTIPLIER
INFILTRATION
9‘
33
39
44
50
55
61
66
72
77
_
83
88
_
94
99
105
yfo
MECHANICAL VENTILATION
/ ) el
33
39
44
50
55
61
66
72
77
83
88
94
99
105
pi/3i/1
CONCRETE SLAB
WITH PERIMETER SYSTEM
LINEAR
FOOT
DESIGN TEMPERATURE DIFFERENCE
BTUH
HEAT LOSS
30 50 55 60 Q 0 7f5 80 85 90
HEAT TRANSFER MULT PLIER
NO EDGE INSULATION
DESIGN TEMPERATURE DIFFERENCE
57 67
76 86
95
105
114
124
133
143
152 162
171
181
NO INSULATION
2" IN
' 18
1
46 J
84
9.4
,
15.816.8
181879
20.0
[
48
51
54
2" EDGE INSULATION
28 33
42
42 37 47
'
2.6
51
51
56
61
4.4
70
75 79
84
89
6.6
CONCRETE SLAB WITHOUT
PERIMETER SYSTEM
LINEAR
FOOT
DESIGN TEMPERATURE DIFFERENCE
BTUH
HEAT LOSS
30 35 40 46 50 65 60 0 0 0 80 ® 0
HEAT TRANSFER MULTIPLIER
NO EDGE INSULATION
DESIGN TEMPERATURE DIFFERENCE
25
29
33
37'
41 45 49 53 ' 57
61
65
69 73
77
1"
NO INSULATION
2" IN
' 18
6.3
7.4
84
9.4
10.511512613781
■
15.816.8
181879
20.0
45
•
SQUARE
FEET
C , ( ,
DESIGN TEMPERATURE DIFFERENCE
Heat Loss Subtotal from Page 1 I /4 117' 1
CEILING
SQUARE
FEET
DESIGN TEMPERATURE DIFFERENCE
BTUH
HEAT LOSS
30 35 40 45
50 55 60 1 661 70
- 75
- 80 86 90
H EAT
TRANSFER MULT
PLIER
NO INSULATION
' 18
21
24
27
30
33
36
39
42
45
48
51
54
57
R -11, 3" INSULATION
2.6
3.1
3.5
4.0
4.4
4.8
5.3
5.7
6.2
6.6
7.0
7.5
7.9
8.4
R -19, 6" INSULATION
1.6
1.9
2.1
2.4
2.6
2.9
3.2
3.4
3.7
4.0
4.2
4.5
4.8
5.0
R -30, 10" INSULATION
/1.0
1.2
1.3
1.5
1.6
1.8
2.0
2.1
2.3
2.5
2.6
2.8
3.0
3.1
R -38, 12" INSULATION
/ Q� 0 7'
0.8
0.9
1.0
1.2
1.3
1.4
1.6
1.7
1.8
2.0
2.1
2.2
2.3
2.5
< 31 Q
BASEMENT FLOOR
SQUARE
FEET
C , ( ,
DESIGN TEMPERATURE DIFFERENCE
TUH
HEAAT LOSS
/ L
d 40
60 0 6° 0 0 75 i!0 O0
0.8 1 1.0 [ 1 . 1 1
HEAT TRANSFER MULTIPLIER
1.3 f 1.41 1.5 1 1.71 1.812.0 1 2.1 12.211.4 1 2.5 1
2.7
BASEMENT FLOOR
1
IUESIEEI 2.6 ECIERIELI
FLOOR OVER AN
UNCONDITIONED SPACE
NO INSULATION
R -11, 3" INSULATION
R -19 6 "INSULATION
R -30, 10 "INSULATION
SQUARE
FEET
DUCT LOSS
R-4, 1" Flexible Blanket Insulation: ADD 15% (.15)
R -7, 2" Flexible Blanket Insulation: ADD 10% (.10)
10
2.4
1.6
NOTE: All Heat Transfer Multipliers from ACCA Manual "J" Sixth Edition.
HL 841 - L7 002344
DESIGN TEMPERATURE DIFFERENCE
HEAT TRANSFER MULTIPLIER
1.1 1.3 1.5 1.7 1.8 2.0 2.2 2.4 2.6 2.8 3.0 3.1 3.3 3.5
BTUH
HEAT LOSS
An additional infiltration Toad is calculated only if the home is loosely constructed or when window infiltration is greater than .5 CFM per
linear foot of crack.
1
HEAT LOSS SUBTOTAL
BTUH HEAT LOSS
TOTAL HEAT LOSS 0/311#(1,1'
Litho U.S.A.
CITY OF EAGAN Permit No: Date:
3830 Pilot Knob Road Meter No: Size:
P.O: Box 21199 Reader No: Date:
Eagan, MN 55121
Owner
Site Address:
Plumber.
Conn. Chg: Zoning:
Acct. Dep No. of Units:
Permit Fee:
Surcharge: I agree to comply with the City of Eagan
Tr. Plant Ordinanc .
Meter: //
misc. By
WATER SERVICE PERMIT
CITY OF EAGAN Permit No: Date:
3830'Pilot Knob Road B/P No:
P.O. Box 21199 Date:
Eagan, MN 55121
Owner:
Site Address:
Plumber:
MWCC: Zoning
City Chg: No. of Units:
Acct. Dep
Permit Fee: I agree to comply with the City of Eagan
Surcharge: Ordinances.
Misc.: By
SEWER SERVICE PERMIT
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA130835
Date Issued:05/18/2015
Permit Category:ePermit
Site Address: 4096 Meadowlark Rd
Lot:3 Block: 8 Addition: Hillandale 3rd
PID:10-32952-08-030
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)$55.00 0801.4087
Surcharge-Fixed $5.00 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 -
Connie M Payette
4096 Meadowlark Rd S
Eagan MN 55122
(651) 681-9389
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature
r For Office Use
e�c % ® EAG L
Permit#:A
PermitFee: (+
3 - -' Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 = >'' i; C ���
(651)675-5675 TDD: (651)454-8535 FAX: 651 67 94 , '„
( ) Staff: �'
buildinginspections@cityofeagan.com J
2019 RESIDENTIAL BUILDING RMIT APPLICATION
Date: Site Address: P '"1 o /W S/ al C.i,,,a)fi,,, ; d Unit#:
Name: Phone:
Resident/ ,
Owner ' Address/City/Zip:
Applicant is: Owner Contractor
—
)-
Type of Work Description of work: Pct.- ' _�-r'(!i'-C c'. 1 '1
_
, Construction Cost: i')�7 C�0 k> Multi-Family Building: (Yes /No )
Company: 0 cl-r'c,-I\ L n)-1=-,1,/7 Contact: 6 1 ,•A Pc.,i i
_ ]
Address: Z/4j .) !1✓C- a- tiCity: �Y7��.1
' Contractor /
State:t�`�ti• Zip: * .-' /Z Z Phone: 5/-2 10 -/Oc7(Email (� 1r.. f /�'� %, Lt,+:�
License#: (e25–CD I tD 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?
7 Yes No If yes, date and address of master plan: S t2r,�) 706 14' /el.44)(A71
r i 7
/
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be
classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.cityofeagan.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.qopherstateonecall.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 o start without a permit; that the work will be in
accord nce with th approved plan in the case of work which requires a review and approvl ofpla Si.
x ( L'n 1-- v 1 Id
Applicant's Printed Name Applicant's Signature
DO NOT WRITE BELOW THIS LINE 1-1 46-44-- 00)1/914- le /
SUB TYPES
Foundation Fireplace Porch (3-Season) _ Exterior Alteration (Single Family)
Single Family Garage Porch (4-Season) Exterior Alteration (Multi)
Multi _ Deck Porch (Screen/Gazebo/Pergola) Miscellaneous
2c, 01 of o 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
e Replace Repair Egress Window Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation UV° 3 9t' , r Occupancy P L --3 MCES System
Plan Review Code Edition Y»n 20l C) SAC Units
(25% ( 100%_) Zoning rD City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction V Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
10 Footings (Deck) Final/C.O. Required
Footings (Addition) ? Final/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
Shower Pan M I Other:
Reviewed By: ) �'Y \ /• ) : (y , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit& Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
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