The URL can be used to link to this page

Home My WebLink AboutLA174316 - 19950 Harvest Dr Permit PackRESIDENTIAL BUILDING PERMIT APPLICATION CITY OF LAKEVILLE BUILDING INSPECTIONS DEPARTMENT 20195 HOLYOKE AVENUE LAKEVILLE, MN 55044 952-985-4440 Office Use Only __________________ Permit Number ___________________ Received By ___________________ Date Received ___________________ Fee Total SITE ADDRESS: MAILING ADDRESS: CITY: STATE: ZIP: JOB DESCRIPTION:__________________________________ MASTER PLAN: (Number or Address)____________________ LIST OTHER STRUCTURES ON PROPERTY:_______________________________________________________________ ESTIMATED VALUATION: PROPOSED START DATE: END DATE: (New Residential Only): LEGAL DESCRIPTION: LOT: _____ BLOCK: _____ SUBDIVISION: APPLICANT IS: RESIDENT OWNER CONTRACTOR EMAIL NEW MODEL HOME: YES NO (IF YES – ADMINISTRATIVE PERMIT REQUIRED) PLEASE FILL OUT THE FOLLOWING COMPLETELY (All Contractor information must be as listed on State License) RESIDENT OWNER NAME:_______________________________________________________________________________ HOME PHONE #:_____________________________ CELL PHONE:___________________________ GENERAL CONTRACTOR Homeowner Contractor CONTRACTOR:_______________________________________________________________________ LICENSE #:BC______________ LEAD CERTIFICATE#_______________ (PRE 1978 STRUCTURE) OFFICE PHONE #:_____________________________ CELL PHONE:___________________________ ADDRESS:____________________________ CITY:________________ ST:______ ZIP:____________ PLUMBING WORK Homeowner Contractor CONTRACTOR:__________________________________________LICENSE #: PM______________ OFFICE PHONE #:_____________________________ CELL PHONE:___________________________ ADDRESS:____________________________ CITY:________________ ST:______ ZIP:____________ MECHANICAL WORK Homeowner Contractor CONTRACTOR:________________________________________ _______________________________ OFFICE PHONE #:_____________________________ CELL PHONE:___________________________ ADDRESS:____________________________ CITY:________________ ST:______ ZIP:____________ BOND #:_______________________________________ EXPIRATION DATE____________________ SEWER/WATER CONTRACTOR New Construction Only NAME:________________________________________________ ______________________________ HOME PHONE _____________________________ CELL PHONE:______________________________ BOND #:_______________________________________ EXPIRATION DATE____________________ INTEREST EARNINGS ON THE ESCROW ACCOUNTS, IF ANY, ARE RETAINED BY THE CITY TO OFFSET THE ADMINISTRATIVE COSTS ASSOCIATED WITH PROCESSING THE ESCROW APPLICATION AND REFUND. I HEREBY APPLY FOR A BUILDING PERMIT AND I ACKNOWLEDGE THAT THE INFORMATION ABOVE IS COMPLETE AND ACCURATE; THAT THE WORK WILL BE IN CONFORMANCE WITH THE ORDINANCES AND CODES OF THE CITY AND WITH THE STATE BUILDING CODE, THAT I UNDERSTAND THIS IS NOT A PERMIT AND WORK IS NOT TO START WITHOUT A PERMIT AND THAT THE WORK WILL BE IN ACCORDANCE WITH THE APPROVED PLAN. NAME OF APPLICANT (Please Print)DATE APPLICANT’S SIGNATURE: www.lakevillemn.gov RESIDENTIAL BUILDING PERMIT APPLICATION PAGE 2 OFFICE USE ONLY BUILDING PERMIT TYPE REQUIRED INSPECTIONS SINGLE FAMILY DWELLING BUILDING DUPLEX AS BUILT TOWNHOUSE UNITS BUILDING FINAL DETACHED TOWN HOUSE UNIT DECK FOOTING CONDO FIREPLACE ACESSORY BUILDING FOOTING REROOF FOUNDATION RESIDE FRAMING PORCH FRAMING GARAGES INSULATION RES ADDN/REPAIR/RMDL DECK PORCH GARAGES LATH LOWER LEVEL FINISH LOWER LEVEL FINAL ADDITION OTHER FOUNDATION ONLY PORCH FOOTING MISCELLANEOUS POURED WALL DEMO SEPTIC TANK REMOVAL MOVED SITE MECHANICAL CITY BUILDING VALUATION: $AIR TEST FINAL BUILDING PERMIT FEES ROUGH-IN $PERMIT FEE PLUMBING $PLAN CHECK FINAL $SURCHARGE ROUGH-IN $METRO SAC METER SIZE $CITY WATER HOOKUP UNIT PRESSURE REDUCING VALVE $CITY SEWER HOOKUP UNIT SEWER/WATER $LANDSCAPE ESCROW SEWER/WATER $TREE ESCROW FINAL $MISC ESCROW STREET DRAINTILE $PLUMBING BUILDING INFORMATION $MECHANICAL TYPE OF CONSTRUCTION $SEWER WATER ZONING $OTHER CODE EDITION $TOTAL FIRE SUPPRESSION SYSTEM OCCUPANCY GROUP APPROVED BY: BUILDING INSPECTOR: Date: PLUMBING/MECHANICAL INSPECTOR: Date: COMMENTS: C o n c e p t A p p r o v a l O N L Y S u b j e c t t o F i e l d I n s p e c t i o n I n s p e c t o r D a t e 2 0 1 5 M N B l d g C o d e 1 0 / 0 7 / 2 0 1 9 d m a t h e w s Secure door closed u n t i l d e c k i s constructed with a s e p a r a t e p e r m i t . U F E R G r o u n d - P r o v i d e 2 0 ' R e b a r i n f o o t i n g a n d s t u b u p n e a r e l e c t r i c a l s e r v i c e p a n e l . PFG P F G P F G - M i n . 1 5 " c l e a r a n c e t o a n y o b s t r u c t i o n f r o m c e n t e r o f W . C . , 2 4 " i n f r o n t ( t y p ) . Stone Cottage HVAC Load Calculations for Irwin 19950 Harvest Dr Lakeville,mn Prepared By: Randy Andrews Lofgren Heating 5708 Upper 147th Street West Apple Vallley, MN 55124 Wednesday, September 11, 2019 Rhvac - Residential & Light Commercial HVAC Loads Elite Software Development, Inc. Lofgren Htg. & A/C Stone Cottage Farmington, MN 55024 Page 2 Project Report General Project Information Project Title:Stone Cottage Project Date:Wednesday, September 11, 2019 Client Name:Irwin Client Address:19950 Harvest Dr Client City:Lakeville,mn Company Name:Lofgren Heating Company Representative:Randy Andrews Company Address:5708 Upper 147th Street West Company City:Apple Vallley, MN 55124 Company E-Mail Address:rrandrews@lofgrenheating-ac.com Design Data Reference City:Minneapolis, Minnesota Building Orientation:Front door faces West Daily Temperature Range:Medium Latitude:44 Degrees Elevation:834 ft. Altitude Factor:0.970 Elevation Sensible Adj. Factor:1.000 Elevation Total Adj. Factor:1.000 Elevation Heating Adj. Factor:1.000 Elevation Heating Adj. Factor:1.000 Outdoor Outdoor Outdoor Indoor Indoor Grains Dry Bulb Wet Bulb Rel.Hum Rel.Hum Dry Bulb Difference Winter:-15 -15.33 80%n/a 72 n/a Summer:88 72 47%50%75 29 Check Figures Total Building Supply CFM:1,184 CFM Per Square ft.:0.359 Square ft. of Room Area:3,294 Square ft. Per Ton:1,157 Volume (ft³) of Cond. Space:29,646 Building Loads Total Heating Required Including Ventilation Air:43,921 Btuh 43.921 MBH Total Sensible Gain:25,616 Btuh 84 % Total Latent Gain:5,037 Btuh 16 % Total Cooling Required Including Ventilation Air:30,653 Btuh 2.55 Tons (Based On Sensible + Latent) 2.85 Tons (Based On 75% Sensible Capacity) Notes Calculations are based on 8th edition of ACCA Manual J. 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:\ ...\20072 HAMLET LN RAMBLER 03272018.rhv Wednesday, September 11, 2019, 9:57 AM Rhvac - Residential & Light Commercial HVAC Loads Elite Software Development, Inc. Lofgren Htg. & A/C Stone Cottage Farmington, MN 55024 Page 3 Load Preview Report Scope Has AED Net Ton ft.² /Ton Area Sen Gain Lat Gain Net Gain Sen Loss Sys Htg CFM Sys Clg CFM Sys Act CFM Duct Size Building 2.55 1,290 3,294 25,616 5,037 30,653 43,921 820 1,184 1,184 System 1 Yes 2.55 1,290 3,294 25,616 5,037 30,653 43,921 820 1,184 1,184 21x10 Ventilation 340 1,352 1,692 4,550 Zone 1 3,294 25,276 3,685 28,961 39,371 820 1,184 1,184 21x10 1-Upper Level 1,647 18,680 2,620 21,300 25,503 531 875 875 10--6 2-Lower Level 1,647 6,596 1,065 7,661 13,868 289 309 309 4--6 C:\ ...\20072 HAMLET LN RAMBLER 03272018.rhv Wednesday, September 11, 2019, 9:57 AM Rhvac - Residential & Light Commercial HVAC Loads Elite Software Development, Inc. Lofgren Htg. & A/C Stone Cottage Farmington, MN 55024 Page 4 Total Building Summary Loads Component Description Area Quan Sen Loss Lat Gain Sen Gain Total Gain 4A-1a-o: Glazing-Double pane low-e (e = 0.20 or less), operable window, e=0.20 on surface 2, wood with metal clad frame, u-value 0.32, SHGC 0.33 438 12,194 0 13,809 13,809 11N: Door-Metal - Polystyrene Core 42 1,278 0 352 352 12F-0sw: Wall-Frame, R-21 insulation in 2 x 6 stud cavity, no board insulation, siding finish, wood studs 1572 8,890 0 1,359 1,359 15B0-15sf-10: Wall-Basement, , R-15 board insulation to floor, no interior finish, 10' floor depth 1188 4,341 0 0 0 16B-50: 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-50 insulation 1647 2,866 0 1,581 1,581 21A-24-c: Floor-Basement, Concrete slab, any thickness, 2 or more feet below grade, no insulation below floor, carpet covering, shortest side of floor slab is 24' wide 1167 2,538 0 0 0 Subtotals for structure:32,107 0 17,101 17,101 People:7 1,400 1,610 3,010 Equipment:1,500 6,000 7,500 Lighting:0 0 0 Ductwork:0 0 0 0 Infiltration: Winter CFM: 78, Summer CFM: 41 7,264 785 565 1,350 Ventilation: Winter CFM: 140, Summer CFM: 70 4,550 1,352 340 1,692 Total Building Load Totals:43,921 5,037 25,616 30,653 Check Figures Total Building Supply CFM:1,184 CFM Per Square ft.:0.359 Square ft. of Room Area:3,294 Square ft. Per Ton:1,157 Volume (ft³) of Cond. Space:29,646 Building Loads Total Heating Required Including Ventilation Air:43,921 Btuh 43.921 MBH Total Sensible Gain:25,616 Btuh 84 % Total Latent Gain:5,037 Btuh 16 % Total Cooling Required Including Ventilation Air:30,653 Btuh 2.55 Tons (Based On Sensible + Latent) 2.85 Tons (Based On 75% Sensible Capacity) Notes Calculations are based on 8th edition of ACCA Manual J. 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:\ ...\20072 HAMLET LN RAMBLER 03272018.rhv Wednesday, September 11, 2019, 9:57 AM Rhvac - Residential & Light Commercial HVAC Loads Elite Software Development, Inc. Lofgren Htg. & A/C Stone Cottage Farmington, MN 55024 Page 5 Building Pie Chart Building Loss 43,921 Btuh Floor 6% Roof 7% Wall 30% Glass 28% Door 3% Infiltration 17% Ventilation 10% Building Gain 30,653 Btuh Roof 5%Wall 4% Glass 45% Door 1% People 10% Equipment 24% Infiltration 4%Ventilation 6% C:\ ...\20072 HAMLET LN RAMBLER 03272018.rhv Wednesday, September 11, 2019, 9:57 AM Rhvac - Residential & Light Commercial HVAC Loads Elite Software Development, Inc. Lofgren Htg. & A/C Stone Cottage Farmington, MN 55024 Page 6 System 1 Whole House Summary Loads Component Description Area Quan Sen Loss Lat Gain Sen Gain Total Gain 4A-1a-o: Glazing-Double pane low-e (e = 0.20 or less), operable window, e=0.20 on surface 2, wood with metal clad frame, u-value 0.32, SHGC 0.33 438 12,194 0 13,809 13,809 11N: Door-Metal - Polystyrene Core 42 1,278 0 352 352 12F-0sw: Wall-Frame, R-21 insulation in 2 x 6 stud cavity, no board insulation, siding finish, wood studs 1572 8,890 0 1,359 1,359 15B0-15sf-10: Wall-Basement, , R-15 board insulation to floor, no interior finish, 10' floor depth 1188 4,341 0 0 0 16B-50: 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-50 insulation 1647 2,866 0 1,581 1,581 21A-24-c: Floor-Basement, Concrete slab, any thickness, 2 or more feet below grade, no insulation below floor, carpet covering, shortest side of floor slab is 24' wide 1167 2,538 0 0 0 Subtotals for structure:32,107 0 17,101 17,101 People:7 1,400 1,610 3,010 Equipment:1,500 6,000 7,500 Lighting:0 0 0 Ductwork:0 0 0 0 Infiltration: Winter CFM: 78, Summer CFM: 41 7,264 785 565 1,350 Ventilation: Winter CFM: 140, Summer CFM: 70 4,550 1,352 340 1,692 System 1 Whole House Load Totals:43,921 5,037 25,616 30,653 Check Figures Supply CFM:1,184 CFM Per Square ft.:0.359 Square ft. of Room Area:3,294 Square ft. Per Ton:1,157 Volume (ft³) of Cond. Space:29,646 System Loads Total Heating Required Including Ventilation Air:43,921 Btuh 43.921 MBH Total Sensible Gain:25,616 Btuh 84 % Total Latent Gain:5,037 Btuh 16 % Total Cooling Required Including Ventilation Air:30,653 Btuh 2.55 Tons (Based On Sensible + Latent) 2.85 Tons (Based On 75% Sensible Capacity) Notes Calculations are based on 8th edition of ACCA Manual J. 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:\ ...\20072 HAMLET LN RAMBLER 03272018.rhv Wednesday, September 11, 2019, 9:57 AM Rhvac - Residential & Light Commercial HVAC Loads Elite Software Development, Inc. Lofgren Htg. & A/C Stone Cottage Farmington, MN 55024 Page 7 Detailed Room Loads - Room 1 - Upper Level (Average Load Procedure) General Calculation Mode:Htg. & clg.Occurrences:1 Room Length:1,647.0 ft.System Number:1 Room Width:1.0 ft.Zone Number:1 Area:1,647.0 sq.ft.Supply Air:875 CFM Ceiling Height:9.0 ft.Supply Air Changes:3.5 AC/hr Volume:14,823.0 cu.ft.Req. Vent. Clg:0 CFM Number of Registers:10 Actual Winter Vent.:91 CFM Runout Air:88 CFM Percent of Supply.:10 % Runout Duct Size:6 in.Actual Summer Vent.:52 CFM Runout Air Velocity:446 ft./min.Percent of Supply:6 % Runout Air Velocity:446 ft./min.Actual Winter Infil.:62 CFM Actual Loss:0.124 in.wg./100 ft.Actual Summer Infil.:32 CFM Item Description Area Quantity -U- Value Htg HTM Sen Loss Clg HTM Lat Gain Sen Gain N -Wall-12F-0sw 42 X 9 354 0.065 5.7 2,002 0.9 0 306 S -Wall-12F-0sw 42 X 9 319 0.065 5.7 1,804 0.9 0 276 E -Wall-12F-0sw 48 X 9 281 0.065 5.7 1,589 0.9 0 243 W -Wall-12F-0sw 48 X 9 322 0.065 5.7 1,821 0.9 0 278 W -Door-11N 3 X 7 21 0.350 30.5 639 8.4 0 176 W -Door-11N 3 X 7 21 0.350 30.5 639 8.4 0 176 N -Gls-4A-1a-o shgc-0.33 100%S 24 0.320 27.8 668 10.4 0 250 S -Gls-4A-1a-o shgc-0.33 0%S 59 0.320 27.8 1,643 19.2 0 1,132 E -Gls-4A-1a-o shgc-0.33 0%S 151 0.320 27.8 4,204 35.0 0 5,286 W -Gls-4A-1a-o shgc-0.33 0%S 68 0.320 27.8 1,893 35.0 0 2,380 UP-Ceil-16B-50 1647 X 1 1647 0.020 1.7 2,866 1.0 0 1,581 Subtotals for Structure:19,768 0 12,084 Infil.: Win.: 61.8, Sum.: 32.1 1,620 3.540 5,735 0.275 620 446 People: 200 lat/per, 230 sen/per:5 1,000 1,150 Equipment:1,000 5,000 Room Totals:25,503 2,620 18,680 C:\ ...\20072 HAMLET LN RAMBLER 03272018.rhv Wednesday, September 11, 2019, 9:57 AM Rhvac - Residential & Light Commercial HVAC Loads Elite Software Development, Inc. Lofgren Htg. & A/C Stone Cottage Farmington, MN 55024 Page 8 Detailed Room Loads - Room 2 - Lower Level (Average Load Procedure) General Calculation Mode:Htg. & clg.Occurrences:1 Room Length:1,647.0 ft.System Number:1 Room Width:1.0 ft.Zone Number:1 Area:1,647.0 sq.ft.Supply Air:309 CFM Ceiling Height:9.0 ft.Supply Air Changes:1.3 AC/hr Volume:14,823.0 cu.ft.Req. Vent. Clg:0 CFM Number of Registers:4 Actual Winter Vent.:49 CFM Runout Air:77 CFM Percent of Supply.:16 % Runout Duct Size:6 in.Actual Summer Vent.:18 CFM Runout Air Velocity:393 ft./min.Percent of Supply:6 % Runout Air Velocity:393 ft./min.Actual Winter Infil.:16 CFM Actual Loss:0.097 in.wg./100 ft.Actual Summer Infil.:9 CFM Item Description Area Quantity -U- Value Htg HTM Sen Loss Clg HTM Lat Gain Sen Gain E -Wall-12F-0sw 48 X 9 296 0.065 5.7 1,674 0.9 0 256 W -Wall-15B0-15sf-10 48 X 9 432 0.042 3.7 1,579 0.0 0 0 N -Wall-15B0-15sf-10 42 X 9 378 0.042 3.7 1,381 0.0 0 0 S -Wall-15B0-15sf-10 42 X 9 378 0.042 3.7 1,381 0.0 0 0 E -Gls-4A-1a-o shgc-0.33 0%S 136 0.320 27.8 3,786 35.0 0 4,761 Floor-21A-24 1 X 1167 1167 0.025 2.2 2,538 0.0 0 0 Subtotals for Structure:12,339 0 5,017 Infil.: Win.: 16.5, Sum.: 8.6 432 3.539 1,529 0.275 165 119 People: 200 lat/per, 230 sen/per:2 400 460 Equipment:500 1,000 Room Totals:13,868 1,065 6,596 C:\ ...\20072 HAMLET LN RAMBLER 03272018.rhv Wednesday, September 11, 2019, 9:57 AM Rhvac - Residential & Light Commercial HVAC Loads Elite Software Development, Inc. Lofgren Htg. & A/C Stone Cottage Farmington, MN 55024 Page 9 System 1 Room Load Summary No Room Name Area SF Htg Sens Btuh Min Htg CFM Run Duct Size Run Duct Vel Clg Sens Btuh Clg Lat Btuh Min Clg CFM Act Sys CFM ---Zone 1--- 1 Upper Level 1,647 25,503 531 10-6 446 18,680 2,620 875 875 2 Lower Level 1,647 13,868 289 4-6 393 6,596 1,065 309 309 Ventilation 4,550 340 1,352 System 1 total 3,294 43,921 820 25,616 5,037 1,184 1,184 System 1 Main Trunk Size:21x10 in. Velocity:812 ft./min Loss per 100 ft.:0.097 in.wg Cooling System Summary Cooling Tons Sensible/Latent Split Sensible Btuh Latent Btuh Total Btuh Net Required:2.55 84% / 16%25,616 5,037 30,653 Recommended:2.85 75% / 25%25,616 8,539 34,155 Actual:1.00 77% / 23%9,240 2,760 12,000 Equipment Data Heating System Cooling System Type:Natural Gas Furnace Standard Air Conditioner Model:QC-F38-E78-G QC-C12 Indoor Model:S12 Brand:Quikcool FE Series Quikcool AS Series Description:Hi Efficiency Furnace Standard Efficiency Air Condit Efficiency:78.3 AFUE 12.4 SEER Sound:8.1 bels Capacity:38,000 Btuh 12,000 Btuh Sensible Capacity:n/a 9,240 Btuh Latent Capacity:n/a 2,760 Btuh C:\ ...\20072 HAMLET LN RAMBLER 03272018.rhv Wednesday, September 11, 2019, 9:57 AM Builders Associaton of Minnesota version 101014 Date Certificate Posted x Passive (No Fan) Active (With fan and monometer or other system monitoring device) Location (or future location) of Fan: Other Please Describe Here x 10/15 x x x 20 x 20 x 21 x 49 x x x x x Not applicable, all ducts located in conditioned space x Not required per mech. code Passive Powered Interlocked with exhaust device. Describe: Input in BTUS: 60,000 Capacity in Gallons: Other, describe: AFUE or HSPF% 95% Cfm's " round duct OR " metal duct Not required per mech. code x Passive Low: Other, describe: x Low: Location of fan(s), describe: Cfm's 4" " round duct OR Flex " metal duct City Mailing Address of the Dwelling or Dwelling Unit Combustion Air Select a Type Location of duct or system: 30,653 Below Entire Slab Rig i d , E x t r u d e d P o l y s t y r e n e Ceiling, flat Per R401.3 Certificate. A building certificate shall be posted on or in the electrical distribution panel.8/30/19 Place your logo here New Construction Energy Code Compliance Certificate Name of Residential Contractor Stone Cottage Construction Inc. MN License Number Lakeville19950 Harvest Dr BC636874 Mech Room Heat Recover Ventilator (HRV) Capacity in cfms: Energy Recover Ventilator (ERV) Capacity in cfms: 43,921 Heating Gain Cooling Load Attic Fuel Type Solar Heat Gain Coefficient (SHGC): Windows & Doors Ceiling, vaulted Bay Windows or cantilevered areas Floors over unconditioned area Rim Joist (2nd Floor+) 0.30 Appliances THERMAL ENVELOPE Fo a m O p e n C e l l Wall Rig i d , I s o c y n u r a t e Perimeter of Slab on Grade RADON CONTROL SYSTEM No n o r N o t A p p l i c a b l e Cooling System To t a l R - V a l u e o f a l l T y p e s o f In s u l a t i o n Type: Check All That Apply Min e r a l F i b e r b o a r d Insulation Location Fo a m , C l o s e d C e l l 0.22 Describe other insulated areas Fi b e r g l a s s , B l o w n Fi b e r g l a s s , B a t t s Foundation Wall R-value Average U-Factor (excludes skylights and one door) U: Duct system air tightness: 1.72 ACHBuilding envelope air tightness: Rim Joist (1st Floor) GPVL-50 CA13NA024BNG Model Heating System Natrual Gas Carrier Location of duct or system: Heating or Cooling Ducts Outside Conditioned Spaces Electric Make-up Air Select a Type AO Smith Domestic Water Heater MECHANICAL SYSTEMS Rating or Size Efficiency 13 Seer 200CFM Select Type Describe any additional or combined heating or cooling systems if installed: (e.g. two furnaces or air source heat pump with gas back-up furnace): 25,616Residential Load Calculation SEER /EER Total ventilation (intermittent + continuous) rate in cfms: Balanced Ventilation capacity in cfms: High: High: MECHANICAL VENTILATION SYSTEM Capacity continuous ventilation rate in cfms: 59SC5A060 Heating Loss Manufacturer Carrier Natural Gas Output in Tons: 2 Ton50 NEW RESIDENTIAL CONSTRUCTION SWPPP VERIFICATION This form must be completed and submitted with all new residential permit applications. New residential building permits WILL NOT be issued without this completed form. Project Site Address: _____________________________________________________________________ Company Name: _________________________________________________________________________ Primary Contact: _________________________________________________________________________ Phone # (24 hr Contact): ______________________ Email: ______________________________________ Description of Land Disturbing Activity: _____________________________________________________ NPDES Construction Stormwater Permit # C000 ___ ___ ___ ___ ___ or # SUB00 ___ ___ ___ ___ ___ If you are not covered under a NPDES Construction Stormwater Permit administered by the MPCA, an erosion and sediment control plan MUST be submitted with the residential building permit application. “The permittee(s) shall ensure that the individuals are trained by local, state, federal agencies, professional organizations or other entities in erosion prevention, sediment control, permanent Stormwater management and the Minnesota NPDES/SDS Construction Stormwater Permit.” (NPDES Construction Stormwater Permit, MPCA) “The permittee(s) must ensure that a trained person (as identified in Part III.A.3.a) will routinely inspect the entire construction site at least once every seven (7) days during active construction and within 24 hours after a rainfall event greater than 0.5 inches in 24 hours.” (NPDES Construction Stormwater Permit, MPCA) Contact information of person CERTIFIED to provide weekly onsite erosion and sediment control inspections and corrective actions: Name of Person: ________________________________Company: _______________________________ Phone # (24 hr Contact): ______________________ Email: ______________________________________ Entity that Provided Training: ________________________ Certification Expiration Date: ____________ NOTE: Prior to any land-disturbing activity, all erosion and sediment controls must be installed on the project site and on individual lots. No land disturbing activity may begin until a residential building permit has been issued. I understand, the above information to be true and I will have read, understood, and accepted all terms and conditions of the National Pollutant Discharge Elimination System (NPDES) Permit (MN R 100001). The City of Lakeville may issue a STOP WORK ORDER; withhold building inspections; or, draw on securities/escrows to bring the site into compliance with the NPDES Construction Stormwater Permit (MN R 100001) or erosion and sediment control plan. Signature: ________________________________________________ Date:_________________________ Contact the City of Lakeville with questions at erosion@lakevillemn.gov or 952-985-4500 ______________ 09/24/19 X KP Must provide transfer number once assigned by MPCA