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567 Caylin CtCity of Eaali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 15 'az. -A22- *.0 cc) Use BLUE or BLACK Ink Permit #: \C:\ Permit Fee:'"" Date Received: Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION alzho Date: /1 6 /G Site Address: 7 (iyt 1 J Cr: ,.-f 1a1/ I3%c6k / Ln AC ACYes'Suit # A`=-'Gv. Tenant: -, RESIDENT / OWNER Name: -S CM) 4: C V‘42.26+ -W., Q4:-.-1 %L Phone: Address / City / Zip: 4 ("lam r MGT- /, 41 /de Applicant is: Owner D(, Contractor TYPE OF WORK Description of work: 1�Z') / & Construction Cost: ' co Iwo Multi -Family Building: (Yes / No x ) CONTRACTOR Name: tie OS 'rA,^^'►t_y j O W c:S .�t License #: 206 3 069 Address: l7bY5—Jc+niPe 'A-T?t 5TE. /3,s---- City: �,4Ke✓ l IS State: A40) Zip: .-S0Wy Phone: / L." 4/69- e9OD Contact: D-f1UE CA- tii,r,/ /{n.% Email: y `}t12 y aD /eio)$ fate 1-;(r,4'rlr/ r Comf 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: S+1..,2 ✓ -t. p.ee '1 (AU rtvi Phone: 6 i " 3) ?--Lit ° Z Mechanical Contractor: fie- c ha.,,IcA-i. Phone: 7h ?.j -% (.- 3 7 $ 3 Sewer & Water Contractor: S Td Gl=ut- &C Phone: g5 Z - 820- 92-9) NOTE. Plans and supporting documents that you submit are considered to be publi=c infor iatron Portions of , the informationclassified as non pu[ lic fyouprovide spe+ 1ti0 ► sr n ftat would pe r the ity o conclude that athey re tie a s+ecre , 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 I hereby acknowledge that this information is complete and accurate; that the work will be in conformance w' h 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 no _ s = 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 x I ��S )-(4/ /3 Applicant's Printed Name -sbleQiN\Kk\cif, Applicants Signature Page 1 of 2 SUB TYPES F undation Single Family Multi 01 of _ Plex Accessory Building WORK TYPES / ew Addition Alteration Replace Retaining Wall Fireplace Garage Deck Lower Level DESCRIPTION Valuation Plan Review (25% 100% Census Code /o/ #of Units / # of Buildings 1 Type of Construction .1v06 Interior Improvement Move Building Fire Repair Repair 3 c REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: 4 Ice & Water ,;(Final Framing Fireplace: _Rough In Air Test Insulation Meter Size: RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S &W Permit & Surcharge Treatment Plant Copies TOTAL DO NOT WRITE BELOW THIS LINE Porch (3- Season) Storm Damage Porch (4- Season) Exterior Alteration (Single Family) Porch (Screen /Gazebo /Pergola) _ Exterior Alteration (Multi) Pool Miscellaneous Occupancy Code Edition Zoning Stories Square Feet Length Width Final Reviewed By: ho e 23 Siding Reroof Windows Egress Window \c Demolish Building* Demolish Interior Demolish Foundation _ Water Damage `Demolition of entire building — give PCA handout to applicant 2' 4c ? A -r /9 17 6.0 MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock Final / C.O. Required Final / No C.O. Required HVAC Other: Pool: Footings Air/Gas Tests Final Siding: Stucco Lath _ Stone Lath * Brick Windows Retaining Wall: _ Footings Backfill Radon Control Erosion Control , Building Inspector vv r,y AL / / 3, tii/ @ /re Z O s' 73 IV //614e r - /31 ,59 ,trre / 3sGiO F6- 17 �stiaf2 G71 fe 33 e. F A#14 ibAte if Il Final Ac,t lo' 46 Page 2 of 3 ERMAL ENVELOPE RADON SYSTEM nsuiation Location Total R -Value of all Types of Insulation Types Chick Al That Apply X Passive (No Fan) iNon or Not Applicable UMo ix►a 1'A suits 'sseralaqu IP3Iu d Foam Open Ceti pn'og» ild t¢nu!W 1 anaL4lsilodpopnfxg'ram Rigid, lsocynurate 1 Active (With fan and monometer or other system monitoring device) Other Please Describe Here w Entire Slab X oundatdon Wall 10 X --� Type in location: i n t s d o ammrx S t e m * er of Slab on Grade X in Joist (Foundation) 10 Type in location: . , exterior integral Rim Joist t Floor+ 10 X CeW' fiat 44 X X Cellist vaulted 38 X Windows or cantilevered areas 30 Bonus room over ra: 30-X X ••��� Describe other insulated areas Windows a Doors eating or Coollnyy Ducts Outside Conditioned Spaces Not • • linable, all ducts located in conditioned s • ce Avers. ' U -Factor (excludes skyll: hts and one door) U: 0.30 Solar Heat Gain Coefficient (SHGC): 0.25 I R-value ECHANICAL SYSTEMS Make -up Air Select a Type APPS Heating System Domestic Water Heater Cooling System X Not required per mech. code Fuss Type NATURAL NATURAL ELECTRIC Passive Manufacturer BRYANT A 0 SMITH BRYANT Powered Model 340AAVO48080 POWER VENTED 113ANA036 Interlocked with exhaust device. Describe: Ratio Structure's or Size input in BTUS: 80,000 Capacity in Gallons: S O Gwent in Tons: 3 TON Other, describe: Calculated Heat Loss: 59,679 beat Gain: i 49-+}OT4 ,LEIifgi Location of duct or system: Efficiency AFUE or HSPF% 92% SEER: 13 Calculated cooling load: S4797 Cfm's " round duct OR Mechankal Ventilation System Describe any additional or combined heating or cooling systems if installed: (e.g. two furnaces or air ource heat purnp with gas back -up fumace): _ Select - " metal duct Combustion Air Select a Tye Not required per mech. code Passive Heat Recover Ventilator (HRV) Capacity in cfms: Low: E Low: 4 OM High: r' X Location ''" FLEX Other, describe: of or system: MECH ROOM Energy Recover Ventilator (ERV) Capacity in cfms: Continuous exhausting fan(s) rated capacity in shier: SD C F m p. A 48,0 ►a i tM Mt, I Yell. Location of fan(s), describe: JMAIN, U2 BATH,MASTER,MASTER TOILET Cfm's Capacity continuous ventilation rate in dins: ' FLEX Total ventilation (intermittent+ continuous) rate in cfms: 1296 " metal duct RECEIVED DEC 1 2010 ,\\■\ 146 . i t mv Place your logo here New Construction Energy Code Compliance Certiffcate Per NI 101.8 Building Certificate. A building certificate the building. The certificate shall be completed by the builder and shall list information and values of components listed in Table NI 101.8. rote: Certificate Posted Maetag Address of the Dwelling or Dwelling unit 567 CAYLIN CT ar EAGAN Name of Residential Coetraetor FIELDSTONE FAMILY HOMES MN Deems Number 206311 ( - 1 Co- x \ Total Building Summary Loads 4A -la -o: Glazing - Double pane low -e (e = 0.20 or less), operable window, e=0.20 onsurface 2, wood with metal clad fram 11A: Door -Wood - H..w fore 12E -Osw: Wall- Frame, R -19 insulation in 2 x 6 stud cavity, no board insulation, siding finish, wood studs 15B0- 10sf -8: Wall- Basement, , R -10 board insulation to floor, no interior finish, 8' floor depth 16B -44: Roof /Ceiling -Under Attic with Insulation on Attic Floor (also use for Knee Walls and Partition Ceilings), Vented Attic, No Radiant Barrier, Dark Asphalt Shingles or Dark Metal, Tar and Gravel or Membrane, R -44 insulation 21A -28: Floor- Basement, Concrete slab, any thickness, 2 or more feet below grade, no insulation below floor, any floor cover, shortest side of floor slab is 28' wide 22B -10ph: Floor -Slab on grade, Vertical board insulation covers slab edge and extends straight down to 3' below grade, any floor cover, R -10 insulation, pasii► Total Building Supply CFM: Square ft. of Room Area: Volume (ft of Cond. Space: anket insulation, any cover Subtotals for structure: People: Equipment: Lighting: Ductwork: Infiltration: Winter CFM: 117, Summer CFM: 70 Ventilation: Winter CFM: 150, Summer CFM: 75 Total Building Load Totals: Total Heating Required Including Ventilation Air: Total Sensible Gain: Total Latent Gain: Total Cooling Required Including Ventilation Air: Passive, 1,030 3,794 35,365 59,679 Btuh 22,441 Btuh 6,356 Btuh 28,797 Btuh 512 13,365 42 1,242 2736 16,186 1026 4,788 1628 3,116 CFM Per Square ft.: Square ft. Per Ton: Air Tumover Rate (per hour): 0 0 0 0 839 1,606 0 58 2,427 0 7,732 7,732 357 357 3,051 3,051 96 96 1,755 1,755 0 0 0 0 174 530 0 55 55 43,260 0 13,046 13,046 1,840 2,400 4,240 1,500 5,500 7,000 0 0 0 0 0 0 0 10,848 1,457 1,047 2,504 5,571 1,559 ....._.. 448 2,007 59,679 6,356 22,441 28,797 0.272 1,522 1.7 59.679 MBH 78 % 22 % 2.40 Tons (Based On Sensible + Latent) 2.49 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 according to the manufacturer's performance data at your design conditions. C: \Users \dharvey \Desktop \Projects Backup\Air Mech.,Fieldstone, 2 Story.rhv Thursday, December 02, 2010, 9:45 AM Project Report Project Title: Project Date: Project Comment: Client Name: Client Address: Client City: Company Name: Company Representative: Company Address: Company City: Company Phone: Company Comment: 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 Total Building Supply CFM: Square ft. of Room Area: Volume (ft of Cond. Space: Fieldstone Homes Monday, November 22, 2010 Speir Residence 567 Caylin Court Eagan, MN 55123 Air Mechanical Brian Ebert 16411 Aberdeen Street Ham Lake, MN (763) 434 -7747 44 834 0.970 1.000 1.000 1.000 1.000 Outdoor Outdoor Indoor Indoor Grains Wet Bulb Rel.Hum Rel.Hum Dry Bulb Difference -15.33 80% n/a 72 n/a 72 47% 50% 74 31 Total Heating Required Including Ventilation Air: Total Sensible Gain: Total Latent Gain: Total Cooling Required Including Ventilation Air: 1,030 3,794 35,365 Minneapolis, Minnesota Front door faces South Medium Degrees ft. 22, 41 Btuh 6,356 Btuh C: \Users \dharvey \Desktop \Projects Backup\Air Mech.,Fieldstone, 2 Story.rhv CFM Per Square ft.: Square ft. Per Ton: Air Turnover Rate (per hour): 0.272 1,522 1.7 59.679 MBH 78 % 22 % 2.40 Tons (Based On Sensible + Latent) 2.49 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 according to the manufacturer's performance data at your design conditions. Thursday, December 02, 2010, 9:45 AM NOV -23 -2010 07:56 FROM:AIR MECHANICAL EAGAN 6514526925 Date: 1112312010 Revision Date: 11/2312010 New Construdzon Site Information Address 1: 567 Caylin Ct. Project #: Address 2: Lot: Block: City: Eagan County: Subdivision: Application Information Business Name: Air Mechanical Inc. MN Contractor License #: Contact Person: Brian Ebert Office Ph: 763 - 746 -3753 Fax: 763 -434 -1699 Cell Ph: Address 1: 16411 Aberdeen St. N.E. City: Ham Lake State: Mn. Zip Code: 55304 House Details Square Feet: 3734 sq. ft. Avg. Ceiling Ht: 8.6 ft. Number of Bedrooms: 4 Ventilation : Balanced Total Ventilation Capacity : 4cfnn. cgs Minimum Continuous Ventilation J.6cfm. 78' Intermittent Ventilation: 65 cfm. Combustion Appliance Water Heater. Power Vent Input BTUs; 50,000 Independently Vented Fumace/Boiler: Direct Vent/Sealed Combustion Input BTUs: 80,000 Independently Vented Other Combustion Appliances Gas Fired Direct Vent Fireplace(s): Yes Gas Fired Power Vent Fireplace(s): No Gas Fired Natural Draft Fireplace(s): No Solid Fuel Appliance(s): No Exhaust Equipment Continuous Exhaust Ventilation Capacity (cfm): NA Clothes Dryer (cfm): 135 Exhaust Fan Rating (cfm): 50 Make -Up Air M L ON a an - 3,0 ?c to X ie. 1 1- No Make -Up Air Required by Code Combustion Air Round Rigid Required: 4 inches or Insulated Flex: 5 inches go Applicant Name (print): e r I ' � Signature /Date: ) 1 147 i g)010 Code Official (print): Signature/Date: 2004 CcntcrPoint Energy Minnegasco. 2004 Mechanical Code Guidelines. Page 1 • • • • IFGC Appendix E, Worksheet E -1 Residential Combustion Air Calculation Method • for Furnace Boller, and /or Water treater In the Same S +ace Ste 1: Complete P Furnace /Roller: _ Draft Hood Water Heater: _Draft Hood vented combustion appliance information- • ° "�'lc' pP ,,.,,, 4 .0 l ;r Fan Assisted X Direct Vent input; S 0, ¢4.0 Btu/hr i P, • • • or Power Vent 11 °• • 1 ' :. X l an Assisted Direct Vent Input :. 5-0, 000 • Eltu /hr ,;,r3, " "', , i +;"1• i T. at power Vent step 2: Calculate the volume of the Combustion Appliance Space (CASi'containing combust ppllances, "' ;a:'' {„ ' The CAS includes all spaces connected to one a nother c ode compliant openings. 045.volume f (o r ft' "(w. P by P ' P: Step 3: Determine Air Changes per Hour (ACH)1 - ' %'•,, • i y Default ACH va lues have been incorporated into Table E -1 for use with Method!4•k!j(MJR Method). Ifftie.year .iy r, • of Construction or ACH 1S not known, use method 4;a (Standard Method . i''•'r ; "'. • ".ii;i ;:' • Step 4: Determine 4a, Standard Total btu T / DIRECT VENT Use Standard Volume ftRV) OCAS Volume If CAS volume 46. Known Total Atu 100 NOT Uso Fnn••Astlated Required Total Btu Use Natural Required Total Required If CAS Va OCAS V. Required Volume f or Combustion Air. , Method;,' : ,': ;I. :•:.i,' hr Input of all combo D '!;::;: `' p soon appliances 1 0 NOT Inp�;• W, ++: Yp /hr � �'�;; APPLIANCES) .,i ;! :' (; di 41-„, tia i /x Method column in Table E -1 to find Total Requir TRV: .I s,.... : : 6 ft- :; • • ' . • • • • X1?,, sr,. , t , t `• p'•:1. -" i ::t f rya (from Step 2) Is greater than TRY then no.outdoo STE r'e ntrf; sa needed. '�:•: a• •;: "! "11 ,, ; I;r, (from Step 2) is less than TRV than go to P 5. � ' +�.t:., ,.•,• .,, '�; �I�, Air Infiltration Rate(KAIR) Method `' " ;�� "•2. • /hr Input of all Fan - assisted and power„y,.ent appliances I � : Inpu , c.)0 (Aighr ; T COUNT DIRECT VENT APPLIANCES '!i• ,•• %` " tii,l'iPik!• Appliances column in Table i ilp; ?? ; • R1 f5: _ 3 7 ^ O ft • Volume Fan Assisted (RVFA) ; +i: ; ` -- /hr Input of all Natural draft appliances ' `Inpu _ Btu /hr _ Q draft Appliances dIth It .Table E- . to find . RVNFA :, • U A t- ft • • Volume Natural dra a ppi iai tice3lINNFA) • Volume (TRV) = RVpi� r t.RVNFA .2 � (' : ti r 'RV = '3 7 Si none a,.7 SOft3 • • ,�X.t1�1I �''����� ' •;,+ :!•k !:,; ',4:' .: • rrom step j � ° thl ` �r' li. „ `� p' 2 ) i 4 reate � n T R '� ,�', � thltf 't1�x1 15it�CpeningS are needed. ;;� = (from Ste. ,2).is than ` tt rO STEP ," it ,y , . Step 5: Step 2)' t ' Rte the MOO of available in tei:tor t m 6 e to the total required volume. Ratio CAS Volume (from - i4 g d by TRY (from Step 4a or Sf4$40) q y, ', ., .u.. 99'�!''il: 4;i :4., Rafln= ) 0• / . 3' 7 _.,_.. . r 4 .. f ! A • Steps: Calculatai004,; OffdI1 i , . ' ' RF F 1 minus Ratio ' ' Ratio RF =1- , 9 a, x r • S Co . • • • Step 7: Calculate, single outdoor openingaSifll a� combustion air is from outside. Total Iftu /hr Input of all Combustion ApplaAtes in the same CAS input: _$ 0, 04+O atu /hr . (EXCEPT DIRECT VENT) • ., ' ' Combustion Air Opening Area (CAOA): Total Btu/hr divided +` _by 3000 B a COO per In' CAOA a _S / 3000 Btu/hr per In' = s 4. in` Step fl; Calculate Minimum CAOA. Q • Minimum CADA = CAOA multiplied by RF Minimum CAOA c Jj , iv x _ 1, 7 In' Step 9: Calculate CAOD a _ S Ir gesired, G304, „�,.s,_'�p, , Combustion Air Opening Diameter (CAOD) 1,13 multiplied by the square milt of Minimum CAOA CAOD = 1,13 d Minimum CAOA = 3 . 3 7 In. diameter go up one Inch In size If usin flex duct 1 , • . ACH can be determined using ASHRAE calculation or blower door test. Follow procedures in Section NOV -23 -2010 07:56 FROM: AIR MECHANICAL EAGAN 6514526925 TO:9524698803 P:4/7 t,4.5 - • \ 1 - C - Directions - The Minnesota Fuel Gas Code method trrcalculate to size o a require combustion air opening, is called the Known Air Infiltration Rate Method. For new construction, 4b of step 4 is required to be filled out. The example assumes a typical 4,200 square foot home with a finished basement that has a mechanical mom that is 10 feet wide by 12 feet long with an 8 foot ceiling: It: also assumes installation of a 90,000 btu, 2 pipe condensing. furnace; and a 50,000 Stu; power vented water heater. Page 5 of ,6 NOV-23-2010 07:57 FROM:AIR MECHANICAL ELAN 6514526925 • e0/20/ 2010 10: 02 9523498355 EDEN FRIIITKE DEPECT tie`e■ C'+' Table 5013_1 Procedure to Determine Matteup Air Clam* for ExilamtEouipthent irt Dwel 5 itEVIKAZ One or multiple One of multiple. One Mul 'pie power vent fax atmospherically afro sphericaBy • or dn vet vent appliances and vented gas or srentd. gas or appliances or power vent oil appliance or oil 4pliaiicea no combustion or direct vent one solid fuel or s lid fuel es appliances appliances appliance 1. Use the Appropriate Column to Estimate House InAltra-tion a) pressure factor (cfm/s0 0.15 0.09 0.06 0:03 b) conditioned floor area (4) 272,9 (including unfinished basements) Estimated House Infiltration (cfm): [la x lb] Vis 0, 2. Exhaust Capacity a) continuous exhaust-only ventilation system (eftn):. (met applicable to balanced ventilatim systems such as FM) b) clothes dryer 135 135 • 13$ c) 80% of largest exhaustraing (cfm): (uct applicable if recirculating system- or if powered makeup air is electricall interloCked and matched to exhaust) d) S 0% of ne largest exhaust not rating (cfm): applicable (not applicable if recirculating system or if powered makeup air is electric interlocked and matched to exhaust) Total Exhaust Capacity (cfm)! (2a-F2b+2c4-2d] .; tf 3 m: 95a4698803 P:6/7 135. Capri& 02009 by the Revisor of Stztntes, St of Niimicauta. A1 Itiot Removed. • PAGE 13 4' 046.4501 NaUFE3 -2010 07:57 FROM: RIR MECHANICAL EAGAN 6514526925 ~•• eef28l2e18 18 :82 9529498355 EDEN `PRAIRIE 'INSPECT . 6 REVISOR 3. Makeup Air Requirement a) Total Exhaust Capacity (from above) b) Estimated House bnfil1xation (from above) Sp 0 Makeup Air Quantity (cfm): [3a -3b] 3 { 7 . X9 Type of opening or ean (ci) One or multiple power vent or direct vent appliances or no combustion appliance?' One or multiple • • fan-assisted appliances and power vent or direct vent appliances' (Lf value is negative, no makeup air is needed) • 4_ For Makeup Air Opening Sizing, refer to Table 5013.2 ° `Use this column if there are other than fan - assisted or atmospherically oil appliances or zf'there are no combustion appliances. 'Use this column if there is one fan - assisted appliance per venting syst atmospherically - vented appliances may also be 'included. c Use this co1umn1 if there is one atmospherically vented (other than or oil appliance per venting system or one solid fuel appliance. . 1D Use this cohmua if there are multiple. atmospherically vented gas or using a common vent or if there are atmospherically vented gas or oil a solid fuel appliances. Table 501.3.2 Makeup Air Opening Sizing Table for New and Existing Dwe One Multiple ataoaospber- atmtosphei neatly vented. ically ven gas or oil gas or oil appliance or appliances one solid .fuel or solid appliance C applian Copyright 02009 by the azvisot of Starates, State of ND:tw et& An Rights Platat 'ed. TO: 9524698803 P: T'T PAUL 1Q (cfin) ented gas or Other than sisted) gas it appliances Dances and Passive makeup air opening 1 duct diameter 1346.0581 (inches) NOV -23 -2010 07:56 FROM:RIR MECHANICAL EA6'AN 6514526925 1322.1104 Airmnesota Rule Conditioned space' (in sq. ft.) 1000 -1500 1501 -2000 2001 -2500 2501 -3000 3001 -3500 3501 -4000 4001-4500 4501 -5000 5001 -5500 5501 -6000 1. Total/ Continuous 60/40 70/40 80/40 90/45 100/50 110/55 120/60 130/65 140/70 150/75 Table N1104.2 Total and Continuous Ventilation Rates (in cfm) Number of Bedrooms 2 Total/ Continuous 75/40 85/43 95/48 105/53 115/58 125/63 135/68 145/73 155/78 165/83 1911 /NxrtxrVu 1 0",.v.," ... .. 1....1.. - 1'7'1'1 1 A S co ci1 �. . 3 ' Total/ Continuous 90/45 100/50 110/55 120/60 130/65 140/70 150/75. 160/80 170/85 180/90 TO: 9524698803 P: 3'7 Page 2oi9 N1104.2.1.1 Ventilation rate. The continuous ventilation system shall be balanced in•aceordance with Section NI 104.4.2. . 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 percent greater than required by Section N1104.2.1. NI 104.2.2 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. 4 5 • • 62 Total/ Total/ Total/ Continuous Continuous Continuous 105/53 115/58 125/63 135/68 145/73 165/83 175/88 185/93 195/98 120/60 130/65 140/70 150/75 160/80 170/85 180/90 190/95 200/100 210/105 135/68 145/73 155/78 165/83 175/88 185/93 195/98 205/103 215/108 225/113 1 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 N1104.2 to calculate total ventilation rate. N1104.3 Ventilation system requirements. The mechanical ventilation system shall be one of three types: exhaust according to Section NI 104.3.1; balanced, and HRV/ERV according to Section N1104.3.2; or other method according to Section N1104.3.3. N1104.3.1 Exhaust systems. Fans used to comply with the continuous ventilation part of the mechanical ventilation system shall: 1. mcet the minimum continuous ventilation rate in Section N1104.2.1 at the point of discharge; .S ?* 4 f.... . IVIDUAL RESIDENT! ESERVATI TY EAGAN FORESTR 651 - 675 -5300 Development LONG ACRES 2 " ADDITION Lot Number 12 Block Number 1 Address 567 Caylin Ct. Builder Fieldstone Family Homes Replacement Trees: X Attachments: Additional Notes: City Forester Copy Applicant /Builder Copy Phone Number: Contact: Tree Protection Requirements: (BUILDER, PLEASE READ ATTACHMENTS) NA Tree Protection Fencing Installed On Site (Black silt fence) Oak Tree Pruning (Immediately seal wounds during April 1 to July 31) Therapeutic Pruning Required Retaining Wall To Be Installed Other: i Not Required As Follows: One (1) Category A tree ( > =4" single -stem deciduous tree or > =12' conifer tree or clump deciduous tree) per approved initial development Tree Mitigation Plan. X Yes (Refer to attached documents for details) No H: \ghove\2010file \treepres \Tree Preservation Plan Long Acres 2 Addition Lot 12 Block 1 City of Eagan EApAN FORESTRY DIVISION REVIEWED BY DATE Certificate of Survey LOT AREA = 12,070 SF HOUSE AREA =1,851 SF PORCH AREA =135 SF DRIVEWAY AREA =764 SF SIDEWALK AREA =72 SF TOTAL COVERAGE =23.4% HOUSE COVERAGE =15.3% (944.5) X - 03 0 0 (9 (964.5) PIS NEE ' . engineering CIVIL ENGINEERS LAND PLANNERS LAND SURVEYORS LANDSCAPE ARCHITECTS 2422 Enlelprise Drive, Mendota Heights, MN 55120, Phone: (651) 681 1914 Fax: (651) 681 9488 - I'ioneereng.com VACANT (943.5) (943.6) 0 0 � o 09 a / BENCH MARK: 0 TOP OF SPIKE ELEV. = 964.54 ° o (964.0) 964.0 - I ! oy SCALE : 1 INCH = 30 FEET [35871 110040005 MTW 956.6 for: 957.2 27.17 958.5 958.1 1 5.00 NOTE: BEARINGS SHOWN ARE BASED 00 AN ASSUMED DATUM FIELDSTONE FAMILY HOMES, INC. N89 °40'29 "E 85.00 .6 942.6 945.6 ADDRESS: 567 CAYLIN COURT, EAGAN, MN BUYER: SPEIR MODEL: CUSTOM /COBALT. ELEVATION: 943.70 DRAINAGE AND UTILITY EASEMENT PER PLAT 12 (958. (959,2) - _ -- ;' 37.67 M PROPOSED 70 / HOUSE / ^ ° ' i 814" F.B. W.O. m "' 1810 .. � 1217 a 71) 1 0 767 965.0 11.67.,1 - 5 i (966.5)1 1L SRV v .5_. 8) O 10 NOTE: ADD BRICK LEDGE AS REQUIRED NOTE: GRADING PLAN BY PIONEER ENGINEERING LAST DATED 8/20/04 WAS USED TO DETERMINE THE PROPOSED ELEVATIONS SHOWN ON THIS CERTIFICATE. NOTE: PROPOSED BUILDING DIMENSIONS SHOWN ARE FOR HORIZONTAL LOCATION OF STRUCTURES ON THE LOT ONLY. CONTACT BUILDER PRIOR TO CONSTRUCTION FOR APPROVED CONSTRUCTION PLANS. NOTE: 00 SPECIFIC SOILS INVESTIGATION HAS BEEN PERFORMED 014 THIS LOT BY THE SURVEYOR. THE SUITABILITY OF SOILS TO SUPPORT THE SPECIFIC HOUSE PROPOSED 15 NOT THE RESPONSIBILITY OF THE SURVEYOR. NOTE: Tr15 CERTIFICATE DOES NOT PURPORT TO SHOW EASEMENTS OTHER THAN THOSE SHOWN ON THE RECORDED PLAT. NOTE : CONTRACTOR MUST VERIFY DRIVEWAY DESIGN. i / CD .9 ARAGE, ro 0/ o c7I3I ,g - . 2 4 : 5 . 1 2 5 - 964 F_ - - f - -1 Orch . 00 P 2 19.83 10.67310 m z I ;j �� - C967.Op -r n 968.5(96 r _ (970.7) 4.9% PROPOSED DRIVEWAY e 1 N89 ° 41b'29 "E 85 965 < 1 CAYLIN COURT 957.0 0 947.9 I (947.6) �5 95 0 N 959.4 1 -r- �0 v � BENCH MARK: TOP NUT HYDRANT L10 -11 B1 ELEV. = 963.41 C. (962.9) r u PROPOSED HOUSE STAKED I I 0 BENCH MARK: 5 p �- TOP OF SPIKE ELEV =965.96 0 966.5_ 966.4) 0 0 966.1 I < COM :(PROPOSED) /ASBUILT : (959.7) : (967.7) GARAGE SLAB ELEV. @ DOOR: (967.3) HOUSE ELEVATIONS LOWEST FLOOR ELEVATION TOP OF FOUNDATION ELEV. X 000.00 DENOTES EXISTING ELEVATION ( 000.00 ) DENOTES PROPOSED ELEVATION - - DENOTES DRAINAGE AND UTILITY EASEMENT ----- DENOTES DRAINAGE FLOW DIRECTION --A DENOTES SPIKE DENOTES EMERGENCY OVERFLOW WE HEREBY CERTIFY TO FIELDSTONE FAMILY HOMES, INC. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: LOT 12, BLOCK 1, LONG ACRES 2ND ADDITION DAKOTA COUNTY, MINNESOTA IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 8TH DAY OF NOVEMBER, 2010. 4 REVISED: NOTE: 11/10/10 STAKE SIGNED: 7 ,1 /PIONEER/ ENGINEERING, P.A. BY: L _ Peter J: ( Hawkinson License No. 42299 f "P ' ' d --2.-. - -=. / 7 / / - ` c' 1 -940 — . a itti te , "��!'�Iriw�`- .'Alr► ��../►.. r nklern ��':' ��►: � ,tfmouAUK•�rima•.�waricuminl�rr umn. /. ••• • 11101Witilligina 4 16 7' I NW Wow get lame nT1r7 At II /Off._ EA] S1TN 0 TREES . 7 - t ip 7-7/29 /04 ODEO 'TREE T,?iTmc TTN FROM 6 5/6/04y. jfFT PLANT MATERIAL_ 5- 4 /20/04-- RAISED BISCAYNE AVE = -CITY COMMENTS Revisions 1 - 10/01 /Q5 -NEW CONTOURS _ -! 17 1nd_ 7 MANLEY P,T'- I o! - 962- --. (fill daft 11. . �/ Otv °?nsmt�. g # '3a13N!.i Y I � \ _ 1 \ ' )I \3. I I \ \ / J 2 7%7_7_7/_i _� - �� _. / 1 1 1 1 1 \ t 1 / / y ���� 11\1 t ® ) \ ---- -- 1 u L2 2 a • • LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION PROPERTY LEGAL: /-. )2. Loti, i46(zj Zn 11614-1, r DATE OF SURVEY: ///i f i0 LATEST REVISION: 7 ❑ /" ❑ DOCUMENT STANDARDS • Registered Land Surveyor signature and company • Building Permit Applicant • Legal description • Address • North arrow and scale • House type (rambler, walkout, split w /o, split entry, lookout, etc.) • Directional drainage arrows with slope /gradient • Proposed /existing sewer and water services & invert elevation • Street name • Driveway (grade & width - in R/W and back of curb, 22' max.) • Lot Square Footage • Lot Coverage ELEVATIONS Existing A ❑ ❑ • Property corners ❑ ❑ • Top of curb at the driveway and property line extensions ,121' ❑ ❑ • Elevations of any existing adjacent homes 7 ❑ ❑ • Adequate footing depth of structures due to adjacent utility trenches A ❑ ❑ • Waterways (pond, stream, etc.) Proposed ,e' ❑ ❑ • Garage floor ❑ ❑ • Basement floor )2' ❑ ❑ • Lowest exposed elevation (walkout/window) 7 0 ❑ • Property corners / pj ❑ ❑ • Front and rear of home at the foundation PONDING AREA (if applicable) ❑ X] ❑ • Easement line ❑ I CY ❑ • NWL r . ❑ 7❑ •HWL ❑ 7 ❑ • Pond # designation ❑ V ❑ • Emergency Overflow Elevation ❑ "X ❑ • Pond/Wetland buffer delineation Y • Shoreland Zoning Overlay District Y • Conservation Easements VVV DIMENSIONS ' ❑ ❑ • Lot Tines /Bearings & dimensions / 0' ❑ ❑ • Right -of -way and street width (to back of curb) g' ❑ ❑ • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. / (i.e. all structures requiring permanent footings) ❑ ❑ • Show all easements of record and any City utilities within those easements X ❑ ❑ • Setbacks of proposed structure and s'• : rd setback of adjacent existing structures f- ❑ ❑ • Retaining wall requirements: Reviewed By: Date /2!/"( ) G: /FORMS /Building Permit Application Rev. 11 -26 -04 C . \ \ \� C k- LOT AREA = 12,070 SF HOUSE AREA = 1,851 SF PORCH AREA =135 SF DRIVEWAY AREA =764 SF SIDEWALK AREA =72 SF TOTAL COVERAGE =23.4% HOUSE COVERAGE =15.3% (944.5) -�-- X - PISIN 3 I+ !mum Slopes J 1 of 1(i.ilLg Wall Will riaqui CIVIL ENGINEERS LAND PLANNERS LAND SURVEYORS LANDSCAPE ARCHITECTS Certificate of Survey 11 (943.5) (943.6) am o 0 N d- (955.5) ui US j W 11 4 AC Itirlum VACANT M Za 0) f 4.1 ° Ki Y Z ko �� X (964.5) . yy..�� Q BENCH MARK: " TOP OF SPIKE - -- a ill 2422 Enterprise Drive, Mendota Heights, MN 55120, Phone: (651) 681 1914 Fax: (651) 681 9488 - Pioneereng.com 957.2 DRAINAGE AND UTILITY EASEMENT PER PLAT 4.9% PROPOSED DRIVEWAY 3587 �'- ELEV.= 964.54 v ow 1.4 < small By �/ 110040005 MTW 0 01 01 01 (964.0) 963 I 942.6 for: - 7 N89 °40'29 "E 85.00 945.6 N89 ° 46'29 'E 55.00 E / VE !AYLIN COURT EAGAN ENG1NEE.R1N J ur.ef. NOTE; ADD BRICK LEDGE AS REQUIRED NOTE: GRADING PLAN BY PIONEER ENGINEERING LAST DATED 8/20/04 WAS USED TO DETERMINE THE PROPOSED ELEVATIONS SHOWN ON THIS CERTIFICATE. NOTE: PROPOSED BUILDING DIMENSIONS SHOWN ARE FOR HORIZONTAL LOCATION OF STRUCTURES ON THE LOT ONLY. CONTACT BUILDER PRIOR TO CONSTRUCTION FOR APPROVED CONSTRUCTION PLANS. NOTE: NO SPECIFIC SOILS INVESTIGATION HAS BEEN PERFORMED ON THIS LOT BY THE SURVEYOR. THE SUITABILITY OF SOILS TO SUPPORT THE SPECIFIC HOUSE PROPOSED IS NOT THE RESPONSIBILITY OF THE SURVEYOR, NOTE: THIS CERTIFICATE DOES NOT PURPORT TO SHOW EASEMENTS OTHER THAN THOSE SHOWN ON THE RECORDED PLAT. NOTE: CONTRACTOR MUST VERIFY DRIVEWAY DESIGN. NOTE: BEARINGS SHOWN ARE BASED ON AN ASSUMED DATUM SCALE : 1 INCH = 30 FEET FIELDSTONE FAMILY HOMES, INC. ADDRESS: 567 CAYLIN COURT, EAGAN, MN BUYER: SPEIR MODEL: CUSTOM /COBALT ELEVATION: :(PROPOSED) /ASBUILT (959.7) (967.7) GARAGE SLAB ELEV. @ DOOR : (967.3) HOUSE ELEVATIONS LOWEST FLOOR ELEVATION TOP OF FOUNDATION ELEV. X 000.00 DENOTES EXISTING ELEVATION ( 000.00 ) DENOTES PROPOSED ELEVATION DENOTES DRAINAGE AND UTILITY EASEMENT DENOTES DRAINAGE FLOW DIRECTION DENOTES SPIKE WE HEREBY CERTIFY TO FIELDSTONE FAMILY HOMES, INC. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: LOT 12, BLOCK 1, LONG ACRES 2ND ADDITION DAKOTA COUNTY, MINNESOTA IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN UNDER MY DIRECT SUPERVISION THIS 8TH DAY OF NOVEMBER, 2010. REVISED: NOTE: 11/10/10 STAKE (0 958,5 CV 966.1 BENCH MARK: p TOP NUT HYDRANT L10 -11 B1 .''LEV 963.41 Li 966.4) m0 mr7 t (962.9) PROPOSED HOUSE STAKED I J L (970.7) DENOTES EMERGENCY OVERFLOW M 0) o ° oi Z BENCH MARK: TOP OF SPIKE ELEV.= 965.96 z,Z (.d/J`.tiMNL AS SURVEYED BY ME OR SIGNED: /PI0G�EEF . ENGINEERING, P.A. BY: Peter ,)y Hawkinson License No. 42299 A\ 1 City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 1u� 0 3 2011 Use BLUE or BLACK Ink r 1 For Office Use Permit #: //D 3t Permit Fee: Date Received: Staff: I77 9- 1-3-n_ Cek Date: -T 3 26 ( Site Address: G-67 COQ r Unit #: 2012 RESIDENTIAL BUILDING PERMIT APPLICATION RESIDENT / OWNER Name: 6 (4 ft-011irt el1`ti Phone: Go- wa Lid -a7 / -{— Address / City / Zip: 56 7 . y /i�✓I COW' Applicant is: X Owner Contractor TYPE OF WORK Description of work: COelS C�'vG t °' q Q e C [C Construction Cost: S-60 Multi -Family Building: (Yes / No %C" ) 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) % i/" i /-✓ ac? 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.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 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 I droll zra.612 x Applicant's Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE lo5-selo SUB TYPES Foundation Single Family Multi 01 of _ Plex Accessory Building WORK TYPES New 4 Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25% 100% Census Code # of Units # of Buildings Type of Construction Fireplace Garage o ' Deck Lower Level Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Interior Improvement Move Building Fire Repair Repair y 3h► Occupancy Code Edition Zoning Stories Square Feet 33G 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 Length Width a'�m REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Ice & Water Final Framing Fireplace: _Rough In Air Test Final Insulation Sheathing Sheetrock Reviewed By: MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Other: Pool: Footings _Air/Gas Tests Siding: _Stucco Lath Stone Lath Windows Retaining Wall: Footings _ Backfill _ Final Radon Control Erosion Control Building Inspector Final Brick RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL .tsit 3 36 0 4 Page 2 of 3 0.043G 70 /6 %`»A RECD./E[ JUL 0.6 2012 /v 538 II CIVIL ENGINEERS LAND PLANNERS LAND SURVEYORS LANDSCAPE ARCHITECTS 2422 Enterprise Drive, Mendota Heights, MN 55120, Phone: (651) 681 1914 Fax: (651) 681 9488 - Pionnereng.eoin Certificate of Survey LOT AREA =12.070 SF HOUSE AREA =1,851 SF PORCH AREA =135 SF DRIVEWAY AREA =764 SF SIDEWALK AREA =72 SF TOTAL COVERAGE =23.4% HOUSE COVERAGE =15.3% (944,5) (943.5) (943.6) (955.5) VACANT (964.5) BENCH MARK: TOP OF SPIKE--' ELEV.=964.54 NOTE: NOTE; C" 0 tri rn N c0 a) 942.6 for: FIELDSTONE FAMILY HOMES, INC. ADDRESS: 567 CAYLIN COURT, EAGAN, MN BUYER: SPEIR MODEL: CUSTOM/COBALT ELEVATION: -7 N89'40'29"E 85.00 943.7 0 945.6 DRAINAGE AND UTILITY EASEMENT PER PLAT 4 956.6 N} _ PROPOS/ED/I, to,/ HOUSE B`4" F�B.WO�`_ o t80 �7 / .I » 7.9 BENCH MARK: TOP NUT HYDRANT L10-11 B' ELEV.=963.41 EAGAN 'REVIEW D (947. a ;ado op1 965.0 11.67•�i -- 27.2 --�-,� poral 5.0 7.67 .X'64.9 964.8 15.0_0 -J-17 X967.05) J (956.5) 151 x 0 944.0 V //7 .r) 464$ARAGE.,. o,J 0 f, Q19.60°.10.673.10+ 964.3/, 57.0964 e*r- 4.9% PROPOSED DRIVEWAY J SRV d 983.6 .-+a-_._•' �' �� 865 N89° {6 29 851.00 15 J 966.5 7 - DING INSPECTIONS DIVISION u? 03 0) °i 2 0 0 (966.4) I0 kQ •-+s---^^- 955.1 CAYLIN COURT ADD BRICK LEDGE AS REQUIRED GRADING PLAN BY PIONEER ENGINEERING LAST DATED $/20/04 WAS USED TO DETERMINE THE PROPOSED ELEVATIONS SHOWN ON THIS CERTIFICATE. NOTE: PROPOSED BUILDING DIMENSIONS SHOWN ARE FOR HORIZONTAL LOCATION OFSTRUCTURESON THE LOT ONLY, CONTACT BUILDER PRIOR TO CONSTRUCTION FOR APPROVED CONSTRUCTION PLANS. NOTE; NO SPECIFIC SOILS INVESTIGATION HAS BEEN PERFORMED ON THIS LOT BY THE SURVEYOR, THE SUITABILITY OF SOILS TO SUPPORT THE SPECIFIC HOUSE PROPOSED IS NOT THE RESPONSIBILITY OF THE SURVEYOR. NOTE: THIS CERTIFICATE DOES NOT PURPORT TO SHOW EASEMENTS OTHER THAN THOSE SHOWN ON THE RECORDED PLAT. NOTE; CONTRACTOR MUST VERIFY DRIVEWAY DESIGN. NOTE: BEARINGS SHOWN ARE BASED ON AN ASSUMED DATUM (962.9) PROPOSED HOUSE STAKED (970.7) BENCH MARK: TOP OF SPIKE ELEV.=965.96 HOUSE _ELEVATIONS :JPROPOSEp)/ASBUILT LOWEST FLOOR ELEVATION : (959.7) TOP OF FOUNDATION ELEV. :(967.7) GARAGE SLAB ELEV. © DOOR :(967.3) X 000.00 DENOTES EXISTING ELEVATION ( 000.00 ) DENOTES PROPOSED ELEVATION DENOTES DRAINAGE AND UTILITY EASEMENT DENOTES DRAINAGE FLOW DIRECTION --ADENOTES SPIKE DENOTES EMERGENCY OVERFLOW WE HEREBY CERTIFY TO FIELDSTONE FAMILY HOMES, INC. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: LOT 12, BLOCK 1, LONG ACRES 2ND ADDITION DAKOTA COUNTY, MINNESOTA IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 8TH DAY OF NOVEMBER, 2010. % NOr ?'0 ScAI 03587 110040005 MTW 11 10 10 STAKE i SIGNED: BY: P10 I EE- , ENGINEERING, P.A. Peter Hawkinson License No. 42299 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA156772 Date Issued:07/18/2019 Permit Category:ePermit Site Address: 567 Caylin Ct Lot:12 Block: 1 Addition: Long Acres 2nd PID:10-45801-01-120 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener 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. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). 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 - Harold Iii R Broman 567 Caylin Ct Eagan MN 55123 (651) 329-7038 Bruckmueller Plumbing Inc 3992 Pennsylvania Ave Eagan MN 55123 (651) 686-6696 Applicant/Permitee: Signature Issued By: Signature